| 1 |
2337789 |
459020 |
|
TEST IT |
34 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-28 |
tes 123, - (Diagnosa Utama) |
KLS I |
|
|
|
BPJS KESEHATAN |
|
2 |
|
Rp 0 |
- |
|
|
| 2 |
2334376 |
649943 |
0130R0060425V007075 |
SARIYAH, NY |
75 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-21 |
E16.2 - Hypoglycaemia, unspecified |
KLS III |
|
|
|
BPJS KESEHATAN |
0 |
9 |
|
Rp 2.120.842 |
58 % |
HIPOGLIKEMIA EC OAD - HT STAGE 2 - |
BPJS NON AKTIF TIDAK DITANGGUNG/ kls 3/ SERTIJAM 23/04/2025/ zia / sep+ |
| 3 |
2335034 |
629538 |
0130R0060425V007109 |
RIFKA NUGRAHA, AN |
6 th |
Rizki Handayani, dr, Sp. A |
2025-04-22 |
Of h-5 susp bp, - (Diagnosa Masuk) |
KLS II |
|
|
|
BPJS KESEHATAN |
0 |
8 |
|
Rp 3.741.724 |
84 % |
Bronkopneumonia |
HAK KLS 2 / RINA |
| 4 |
2337527 |
589839 |
0130R0060425V008808 |
ARIEF SEKTO MULYO, TN |
34 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-27 |
gea + dheidrasi sedang + migrain , - (Diagnosa Ma |
KLS III |
|
|
|
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.694.185 |
71 % |
bi, dyspepsia
|
HAK KLS 3 /RINA /SEP +/ WL IGD |
| 5 |
2335960 |
650100 |
|
ISNAENI HARUN RASID, TN |
23 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-24 |
of hari 4 ec vi dd bi, - (Diagnosa Masuk) |
KLS III |
|
|
|
ASURANSI ASTRA BUANA, PT (GARDA MEDIKA - PT. AHM) |
|
6 |
|
Rp 7.818.368 |
- |
|
HAK KELAS 3/ JADE 01-2/SERTIJAM 25/04/2025 |
| 6 |
2336794 |
603301 |
0130R0060425V008335 |
OTIH SITI NURJANAH, NY |
29 th |
M.R.Kurnia Eni Savitri ,dr ,Sp.PD |
2025-04-25 |
OF + CKD, - (Diagnosa Masuk) |
KLS III |
|
|
|
BPJS KESEHATAN |
0 |
5 |
|
Rp 4.002.667 |
69 % |
CHF HHD CKD on HD,HHD, SUSP PNEUMONIA |
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD/SEP |
| 7 |
2333526 |
382373 |
0130R0060425V006078 |
SALSABYLA LYDIA FAUZYAH,AN |
12 th |
Rizki Handayani, dr, Sp. A |
2025-04-20 |
Of + ispa + riw. Asma, - (Diagnosa Masuk) |
KLS III |
|
|
|
BPJS KESEHATAN |
0 |
10 |
|
Rp 4.855.337 |
203 % |
demam tifoid + asma bronkial |
HAK KLS 3/ JAMINAN DI MAP / SABRINA |
| 8 |
2336990 |
595277 |
0130R0060425V008447 |
ROZAI GUNAWAN, TN |
22 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-25 |
of h4 susp vi dd bi, - (Diagnosa Masuk) |
KLS III |
|
|
|
BPJS KESEHATAN |
0 |
5 |
|
Rp 3.132.864 |
131 % |
TF, dyspepsia
|
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD /SEP+ |
| 9 |
2335984 |
650102 |
0130R0060425V008359 |
WIDODO, TN |
50 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-24 |
obs dypsneu ec susp ckd + ht urgensi, - (Diagnosa |
KLS III |
|
|
|
BPJS KESEHATAN |
0 |
6 |
|
Rp 2.617.702 |
89 % |
|
BPJS PREMI DARI 2020/ RENCANA URUS UHC ACC +/ HAK KELAS 3/ JAMINAND I BANTEK / HELMI / WL IGD |
| 10 |
2334601 |
618018 |
|
AUDIA MARETAGARI SUKRY, NN |
25 th |
Gamal Ramadiputra, dr.Sp.OT |
2025-04-22 |
open # pedis dex + ve genu dex + trauma shoulder d |
KLS II |
|
|
|
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
8 |
|
Rp 6.572.956 |
- |
|
KLL DIDAERAH BIC JATUH DARI MOTOR PADA SAAT BERANGKAT KERJA/HAK KLS 2/sertijam 24/04/2025/DINA |
| 11 |
2336137 |
603119 |
0130R0060425V007882 |
UCI SUARSIH, NY |
60 th |
Evan Rivana, dr, Sp.P |
2025-04-24 |
ckd o hd, ppok, bronkitis, ?, - (Diagnosa Masuk) |
KLS I |
|
|
|
BPJS KESEHATAN |
0 |
6 |
|
Rp 5.805.808 |
130 % |
|
POSKO AMBULANCE SUKAMANDI/HAK KLS 1/JAMINAN DIBANTEX/SEP+/WL IGD/DINA/CRYSTAL 05 - 1 pindah EMERALD 01-1 |
| 12 |
2334829 |
631164 |
|
BUDI PRASETYO, TN |
46 th |
Muhammad Barry Akbar, dr, Sp.N |
2025-04-22 |
LBP ec susp RL dd HNP, - (Diagnosa Masuk) |
KLS II |
|
|
|
HINO MOTOR MANUFACTURING INDONESIA, PT |
|
8 |
|
Rp 7.197.522 |
- |
|
HAK KLS 2/JAMINAN DIADM/DINA |
| 13 |
2337324 |
399555 |
0130R0060425V008709 |
YANTO PUJIYANTO, TN |
52 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
gerd, - (Diagnosa Utama)cefalgia, - (Diagnosa Sekunder) |
KLS II |
|
|
|
BPJS KESEHATAN |
0 |
4 |
|
Rp 3.169.312 |
178 % |
dyspepsia |
KLS 2/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 14 |
2334401 |
649945 |
0130R0060425V006667 |
JAENUDIN, TN |
61 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-21 |
susp radikulopati lumbal, - (Diagnosa Utama) |
KLS I |
|
|
|
BPJS KESEHATAN |
0 |
9 |
|
Rp 4.918.571 |
242 % |
|
olivine 4-2/ kls 1/ jaminan d bantek / zia / sep+ |
| 15 |
2333804 |
577819 |
|
WINDI ADI SUKMANA, TN |
29 th |
Boby Harul Priono, dr, Sp. OT |
2025-04-21 |
Union # clavicula + femur |
KLS II |
|
|
|
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
9 |
|
Rp 27.969.016 |
- |
|
HAK KLS 2/SERTIJAM 23/04/2025/RANIA/ OP ELEKTIF ACC +/BERKAS + |
| 16 |
2334427 |
429615 |
0130R0060425V006679 |
AZHAR AIZADALFARIDZI, TN |
21 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-21 |
gea, - (Diagnosa Utama)vomitus, - (Diagnosa Seku |
KLS I |
|
|
|
BPJS KESEHATAN |
0 |
9 |
|
Rp 3.216.637 |
178 % |
|
c2-2/ KLS 1/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 17 |
2338780 |
638863 |
0130R0060425V009648 |
RAISA QOUNITA PUTRI, AN |
0 th |
Rizki Handayani, dr, Sp. A |
2025-04-29 |
A: BP, - (Diagnosa Utama) |
KLS III |
AMETHYST 8 BED 3 |
|
AMETHYST |
BPJS KESEHATAN |
|
1 |
|
Rp 126.800 |
- |
|
HAK KLS 3 / RINA /SEP + |
| 18 |
2337555 |
650272 |
0130R0060425V008821 |
ALISA PUTRI, AN |
11 th |
Rizki Handayani, dr, Sp. A |
2025-04-27 |
OF H1 ec VI dd/ BI , - (Diagnosa Masuk)Vomitus , - (Diagnosa Sekunder) |
KLS III |
AMETHYST 8 BED 4 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.516.357 |
55 % |
|
HAK KLS 3/JAMINAN DI BANTEK/SIRO/AMETHIS 8-4 |
| 19 |
2337780 |
650300 |
0130R0060425V008998 |
MUHAMAD ANDRA HIDAYATULLOH, AN |
2 th |
Rizki Handayani, dr, Sp. A |
2025-04-28 |
A: susp fraktur femur , - (Diagnosa Utama)Susp dislokasi elbow, - (Diagnosa Sekunder) |
KLS III |
AMETHYST 9 BED 4 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
2 |
|
Rp 3.057.335 |
150 % |
|
HAK KLS 3 / SEP +/ POST JATUH DI HALAMAN RUMAH/ KRONOLOGIS + |
| 20 |
2336768 |
650166 |
0130R0060425V008323 |
ALMAHYRA KHOIRUNNISA, AN |
4 th |
Paramita Diah Winarni, dr, SpA |
2025-04-25 |
BP , - (Diagnosa Masuk)tonsilitis akut , - (Diagnosa Sekunder) |
KLS I |
AMETHYST 2 BED 2 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
5 |
|
Rp 3.590.490 |
40 % |
BP, TF, dyspepsia |
HAK KELAS 1 FULL TIITP EKLAS 3/ JAMINAN DI ADM / HELMI /AMETHYST 09 - 3 PINDAH AMETHYST 02-2 |
| 21 |
2337563 |
650276 |
0130R0060425V008833 |
ANDINI MAULIDA DESTRIANI, AN |
8 th |
Rizki Handayani, dr, Sp. A |
2025-04-27 |
OF H6 ec VI dd/ BI , - (Diagnosa Masuk)diare akut , - (Diagnosa Sekunder) |
KLS III |
AMETHYST 8 BED 5 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.845.637 |
52 % |
DHF, TF, dyspepsia
|
HAK KLS 3/JAMINAN DI BANTEK/SIRO |
| 22 |
2337510 |
454111 |
0130R0060425V008795 |
ANNISA ZAHRA RATIFA, AN |
11 th |
Paramita Diah Winarni, dr, SpA |
2025-04-27 |
Obs. Febris+DADRS, - (Diagnosa Masuk) |
KLS III |
AMETHYST 9 BED 3 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.534.332 |
91 % |
|
sep manual emr eror/HAK KLS 3/JAMIAN DIBANTEX/SEP+/DINA |
| 23 |
2337874 |
650307 |
0130R0060425V009055 |
HAWA NURRAENI, AN |
6 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
obs vomitus, - (Diagnosa Masuk) |
KLS III |
AMETHYST 9 BED 5 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.849.223 |
102 % |
|
HAK KLS 3 / RINA /SEP + |
| 24 |
2338423 |
610011 |
0130R0060425V009374 |
MUHAMAD RIZKI MAULANA, AN |
5 th |
Rizki Handayani, dr, Sp. A |
2025-04-29 |
susp bp + of ec susp BI dd tf , - (Diagnosa Masuk) |
KLS III |
AMETHYST 8 BED 1 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
1 |
|
Rp 1.333.552 |
30 % |
|
HAK KELAS 3/ JAMINAN DI BATEK / HELMI /AMETHYST 08 - 1 |
| 25 |
2336716 |
439804 |
0130R0060425V008304 |
ARLEY LUTHFI MAULAN |
17 th |
Paramita Diah Winarni, dr, SpA |
2025-04-25 |
ISPA + syndrom dispepsia, - (Diagnosa Utama)susp ISK, - (Diagnosa Sekunder) |
KLS II |
AMETHYST 5 BED 1 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
5 |
|
Rp 4.292.100 |
154 % |
TF, dyspepsia |
CHECK IN/HAK KLS 1 FULL/KAMPEN+/JAMINAN DI BANTEK/SIRO/ T 4025 IH |
| 26 |
2337474 |
650246 |
0130R0060425V008780 |
JAUZIA KHAIRANI RAMADHANTY, AN |
7 th |
Rizki Handayani, dr, Sp. A |
2025-04-26 |
R50.9 - Fever, unspecified |
KLS III |
AMETHYST 8 BED 6 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
4 |
|
Rp 1.958.302 |
70 % |
|
HAK KELAS 3/ JAMINAN DI ADM/ HELMI / AMETHYTS 08-6/ DENDA+/sep+ |
| 27 |
2338398 |
593565 |
0130R0060425V009356 |
KEYZHA HUMAIRA LESMANA, AN |
6 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
Asma eksaserbasi akut, - (Diagnosa Masuk) |
KLS II |
AMETHYST 6 BED 1 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.578.172 |
33 % |
|
KLS 1/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 28 |
2337576 |
650284 |
0130R0060425V008849 |
MUHAMMAD DEVIN FAIRUZ, AN |
0 th |
Rizki Handayani, dr, Sp. A |
2025-04-27 |
OF H III, - (Diagnosa Masuk) |
KLS I |
AMETHYST 2 BED 1 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.737.042 |
59 % |
vi, dyspepsia |
HAK KELAS 1 FULL TITIP KELAS 2/ JAMINAN DI BANTEK / HELMI / AMETHYST 06-2 pindah AMETHYS 2-1 |
| 29 |
2338000 |
650313 |
0130R0060425V009226 |
ARCELLIO LEONATHAN WARUWU, AN |
0 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
L04 - Acute lymphadenitis |
KLS III |
AMETHYST 7 BED 1 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.359.960 |
35 % |
|
HAK KLS 2/JAMINAN DI MAP/RANIASEP - DENDA 45 |
| 30 |
2337580 |
589298 |
0130R0060425V008853 |
DAVIRA ARGANI, AN |
5 th |
Paramita Diah Winarni, dr, SpA |
2025-04-27 |
Of IV + vomitus, - (Diagnosa Masuk) |
KLS III |
AMETHYST 8 BED 2 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.601.407 |
58 % |
|
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / AMETHYST 09 - 4 |
| 31 |
2337006 |
629769 |
0130R0060425V008472 |
REYNAND ABRISYAM PUTRANTO,AN |
7 th |
Rizki Handayani, dr, Sp. A |
2025-04-26 |
OF H4 susp vi dd bi, - (Diagnosa Masuk) |
KLS II |
AMETHYST 6 BED 3 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.310.742 |
83 % |
TF, dyspepsia
|
HAK KLS 2/JAMINAN DIBANTEX/SEP+/DINA |
| 32 |
2337914 |
650310 |
0130R0060425V009111 |
NUR HAFIZHA DINILLAH, AN |
0 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
A: Obs febris H7 vi dd bi, - (Diagnosa Masuk) |
KLS II |
AMETHYST 5 BED 3 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.549.045 |
48 % |
|
HAK KLS 1 / RINA / KAMPEN + |
| 33 |
2336978 |
650192 |
0130R0060425V008440 |
AMMAR FATHUL KARIM, AN |
5 th |
Paramita Diah Winarni, dr, SpA |
2025-04-25 |
of h2 susp vi dd bi, - (Diagnosa Masuk) |
KLS III |
AMETHYST 9 BED 2 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
5 |
|
Rp 2.759.977 |
73 % |
BP
|
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / AMETHYST 09 - 2 |
| 34 |
2338396 |
650346 |
|
FAEYZA RASHAFA, AN |
1 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
Obs. Febris+ISPA, - (Diagnosa Masuk) |
KLS III |
AMETHYST 7 BED 2 |
|
AMETHYST |
Jaminan Pribadi |
|
2 |
|
Rp 3.239.457 |
- |
|
JAMINAN DI ADM/ ZIA/ B 8055 OV |
| 35 |
2338412 |
650350 |
|
MUHAMMAD FIRMANSYAH, AN |
13 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
susp bronkitis akut + gerd , - (Diagnosa Masuk) |
KLS II |
AMETHYST 6 BED 2 |
|
AMETHYST |
SUMI RUBBER INDONESIA, PT (DUNLOP) |
|
2 |
|
Rp 2.288.457 |
- |
|
hak kelas 2/ jaminan di adm /AMETHYST 06 - 2 |
| 36 |
2338415 |
590632 |
|
MUHAMMAD FIKRI ALFARIZKI, AN |
2 th |
Paramita Diah Winarni, dr, SpA |
2025-04-29 |
of ec susp tf , - (Diagnosa Masuk) |
KLS III |
AMETHYST 7 BED 4 |
|
AMETHYST |
SUMI RUBBER INDONESIA, PT (DUNLOP) |
|
1 |
|
Rp 916.182 |
- |
|
b 1458 dq/HAK KELAS 3/ JAMINAN DI ADM |
| 37 |
2337007 |
650212 |
0130R0060425V008473 |
MUTIARA FITRI NURSAKINAH, AN |
11 th |
Rizki Handayani, dr, Sp. A |
2025-04-26 |
of h2 susp vi dd bi, - (Diagnosa Masuk) |
KLS I |
AMETHYST 4 BED 2 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
4 |
|
Rp 1.999.939 |
84 % |
|
HAK KLS 1 FULL/KAMPEN+/JAMINAN DIBANTEX/SEP+/DINA/ t 2508 mv |
| 38 |
2337005 |
650211 |
0130R0060425V008470 |
RAZKA SHAKIEL ALTEZA, AN |
6 th |
Rizki Handayani, dr, Sp. A |
2025-04-26 |
obs dypsneu ec asma, - (Diagnosa Masuk) |
KLS I |
AMETHYST 1 BED 1 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.758.782 |
87 % |
bi, dyspepsia
|
HAK KLS 1 FULL/KAMPEN+/JAMINAN DIBANTEX/SEP+DINA/T 5061 CH |
| 39 |
2337529 |
650263 |
0130R0060425V008811 |
RAFKA ALFARIZKI, AN |
0 th |
Paramita Diah Winarni, dr, SpA |
2025-04-27 |
bp , - (Diagnosa Masuk) |
KLS I |
AMETHYST 1 BED 2 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.991.460 |
68 % |
BP |
HAK KLS 1 /RINA /SEP +/KAMPEN +/AMETHYST 06 - 1 pindah AMETHYS 1-2 |
| 40 |
2336719 |
536136 |
0130R0060425V008439 |
ALSAKI KEYLAN MAULAN |
5 th |
Paramita Diah Winarni, dr, SpA |
2025-04-25 |
Parathypoid fever, - (Diagnosa Utama) |
KLS II |
AMETHYST 5 BED 2 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
5 |
|
Rp 4.221.855 |
54 % |
BP, TF, bi, dyspepsia
|
CHECK IN/T 2246 JJ/HAK KLS 1 FULL/KAMPEN+/JAMINAN DI BANTEK/SIRO |
| 41 |
2338405 |
607465 |
0130R0060425V009359 |
URWATUNNISA , AN |
7 th |
Gamal Ramadiputra, dr.Sp.OT |
2025-04-28 |
Susp Closed fraktus radius ulna dex, - (Diagnosa Masuk) |
KLS III |
AMETHYST 9 BED 1 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
2 |
|
Rp 2.524.042 |
63 % |
|
JATUH DIDEPAN RUMAH SAAT BERMAIN SEPATU RODA/KRONOLOGIS + |
| 42 |
2337524 |
641032 |
0130R0060425V008807 |
AR SHAKA RANSI ALDEN, AN |
8 th |
Paramita Diah Winarni, dr, SpA |
2025-04-27 |
of ec susp tf dd df , - (Diagnosa Masuk) |
KLS I |
AMETHYST 4 BED 1 |
|
AMETHYST |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.958.560 |
101 % |
vi, bronchitis |
HAK KLS 1 / RINA /KAMPEN +/AMETHYST 05 - 3 pindah AMETHYST 04 - 1 |
| 43 |
2337628 |
650288 |
0130R0060425V008860 |
SUMIYATI, NN |
32 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
OF H2 + anemia, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 6 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 2.791.162 |
86 % |
|
DX ANEMIA ACC+/ HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD / |
| 44 |
2337291 |
650227 |
0130R0060425V008713 |
UBUNG ABU BAKAR,TN |
61 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-26 |
hemiparese sinistra ec susp CVD , - (Diagnosa Utama)hipertensi , - (Diagnosa Sekunder) |
KLS III |
CRYSTAL 9 BED 5 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 3.274.845 |
45 % |
stroke ec infark hemiparese sin |
HAK KLS 3/JAMINAN DI MAP/RANIA |
| 45 |
2338206 |
650329 |
0130R0060425V009278 |
AISAH ,NY |
50 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
anemia ec ?, - (Diagnosa Utama) |
KLS III |
CRYSTAL 8 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.213.537 |
33 % |
|
ANEMIA ? HB 7.7/ KLS 3/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 46 |
2338245 |
650332 |
0130R0060425V009350 |
PANI DEWI ARIYANTI,NY |
18 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-28 |
limfadenitis, - (Diagnosa Utama)dysfagia, - (Diagnosa Sekunder) |
KLS III |
CRYSTAL 5 BED 5 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.907.325 |
49 % |
|
HAK KLS 2/JAMINAN DI MAP/RANIA |
| 47 |
2338704 |
650366 |
0130R0060425V009654 |
MIMIN JAMILAH,NY |
43 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-29 |
CKD V, - (Diagnosa Utama) |
KLS III |
CRYSTAL 6 BED 3 |
|
CRYSTAL |
BPJS KESEHATAN |
|
1 |
|
Rp 0 |
- |
|
HAK KLS 3/JAMINAN DI MAP/RANIA |
| 48 |
2333946 |
649926 |
0130R0060425V006375 |
MAMAN WILMAN, TN |
59 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-21 |
respiratori distress ec ? + KAD, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 9 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
9 |
|
Rp 29.266.550 |
324 % |
CAP PSI SEVERE -CHF -EFUSI PLEURA BILATERAL EC SUSP TRANSUDASI PROSES -AKI DD/ CKD - |
HAK KLS 3/ SEP +/ PRO HCU ACC |
| 49 |
2335938 |
650099 |
0130R0060425V007720 |
AMING, TN |
64 th |
M.R.Kurnia Eni Savitri ,dr ,Sp.PD |
2025-04-24 |
of hari 3 ec vi dd bi + gerd, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 9 BED 4 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
6 |
|
Rp 4.874.362 |
137 % |
of hari 3 ec vi dd bi + gerd - Diagnosa Masuk AKI HHD ISK CHOLECYSTITIS ACUT HEPATITIS NON B |
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD/SEP+ |
| 50 |
2336047 |
650107 |
0130R0060425V007770 |
MAMAN, TN |
81 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-24 |
of h1 + gerd + vomitus, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 10 BED 4 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
6 |
|
Rp 4.227.772 |
86 % |
CKD STG V DENGAN ALO ISPA COPD SUSP MEDIASTINAL TUMOR |
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI /WL IGD / |
| 51 |
2337397 |
513330 |
0130R0060425V008733 |
HERLIANI SAPARTRI, NN |
20 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
disfagia + OF h2, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 7 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 1.950.112 |
66 % |
Bronchitis acute + Dyspepsia - |
KLS 3/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 52 |
2337535 |
648914 |
0130R0060425V008815 |
RIZKY ANUGRAH PUTRA, TN |
18 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
Of, - (Diagnosa Masuk) |
KLS I |
CRYSTAL 2 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
3 |
|
Rp 3.025.222 |
82 % |
|
BLPL 30/03/25/HAK KLS 1/JAMINAN DI BANTEK/SIRO/ D 1042 UW |
| 53 |
2337574 |
650283 |
0130R0060425V008844 |
SILVIA AGUSTINA, NY |
31 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
GEA DRS, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 5 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.800.172 |
85 % |
|
HAK EKLAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD /SEP+/ t 6811 it |
| 54 |
2337525 |
650262 |
0130R0060425V008806 |
DEDI SUANDI, TN |
59 th |
Jeppri Bangun, dr, Sp.B |
2025-04-27 |
colic abdomen ec peritonitis , - (Diagnosa Masuk) |
KLS III |
CRYSTAL 9 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.988.332 |
51 % |
|
HAK KLS 3 / RINA /SEP /WL IGD / t 2564 jk/ t 3161 io |
| 55 |
2337553 |
404865 |
0130R0060425V008829 |
NURAENI, NN |
24 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-27 |
Vomitus, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 8 BED 3 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.241.677 |
69 % |
|
ANAK PAK ONO/HAK KLS 3/JAMINAN DI BANTEK/SIRO/WL IGD |
| 56 |
2338274 |
650289 |
|
IMAS MASTUROH, NY |
42 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
of 2 dgn vomitus, - (Diagnosa Utama)gea, - (Diagnosa Sekunder) |
KLS III |
CRYSTAL 7 BED 4 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.284.937 |
40 % |
|
RENCANA UHC/ JAMINAN DI ADM / ZIA |
| 57 |
2337101 |
547785 |
0130R0060425V008603 |
HJ. NUNUNG, NY |
47 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
dypnoe ec susp ckd, - (Diagnosa Utama)ascites, - (Diagnosa Sekunder)ht, - (Diagnosa Sekunder) |
KLS III |
CRYSTAL 8 BED 5 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.990.452 |
44 % |
CKD V dengan edema paru + Efusi pleura dextra + CHF + DM tipe 2 |
Ibu Shelvi Billing/ kls 3/ jaminan di bantek / zia / sep+ |
| 58 |
2336388 |
648365 |
0130R0060425V008236 |
YANTI JUARTI |
42 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-25 |
SJS ec s asam mefenamat, - (Diagnosa Utama |
KLS I |
CRYSTAL 1 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
5 |
|
Rp 3.903.312 |
108 % |
SJS Candidiasis oral Konstipasi |
CHECK IN/HAK KLS 1 FULL/JAMINAN DI MAP/RANIA/CRYSTAL 05 - 5 PINDAH CRYSTAL 01-2 |
| 59 |
2336996 |
650206 |
0130R0060425V008457 |
TRIS KOMALASARI, NN |
20 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-25 |
colic abdomen + vomitus, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 7 BED 5 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
5 |
|
Rp 2.909.069 |
122 % |
colic abdomen + vomitus - FEBRIS BI GER |
HAK KLS 3/JAMINAN DIBANTEX/SEP+/DINA |
| 60 |
2338491 |
387338 |
0130R0060425V009478 |
IDAS SUJANA, TN |
36 th |
Joko Purwito, Sp. B |
2025-04-29 |
obs abd pain, - (Diagnosa Masuk) |
KLS I |
CRYSTAL 3 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
1 |
|
Rp 836.168 |
35 % |
|
HAK KLS 1/SEP +/ RINA |
| 61 |
2338240 |
650331 |
0130R0060425V009303 |
INOH MARYANAH, NY |
50 th |
Evan Rivana, dr, Sp.P |
2025-04-28 |
dypnoe ec asma br, - (Diagnosa Utama) |
KLS III |
CRYSTAL 8 BED 6 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.404.532 |
51 % |
|
kls 3/ jaminan di bantek / zia / sep+ |
| 62 |
2336807 |
599752 |
0130R0060425V008360 |
EDI, TN |
41 th |
Evan Rivana, dr, Sp.P |
2025-04-25 |
PPOK EX AKUT, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 9 BED 6 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
5 |
|
Rp 3.983.962 |
105 % |
cap |
HAK KELAS 3/ JAMINAN DI BANTEK /HELMI / WL IGD /SEP+ |
| 63 |
2338150 |
650324 |
0130R0060425V009240 |
ARJA ,TN |
67 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-28 |
susp stroke, - (Diagnosa Utama) |
KLS III |
CRYSTAL 9 BED 3 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.993.845 |
84 % |
|
TITIPAN A IMAM/ KLS 3/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 64 |
2338637 |
650363 |
0130R0060425V009545 |
FERRA WIDIARTI, NY |
34 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-29 |
susp poliarthritis dgn obs edema tungkai, - (Diagnosa Masuk) |
KLS I |
CRYSTAL 4 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
1 |
|
Rp 314.446 |
11 % |
|
T 4694 IW +/ HAK KLS 1 / RINA /SEP + |
| 65 |
2337942 |
650312 |
0130R0060425V009120 |
RUMYATI SOFIYANTI, NY |
57 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-28 |
A Post sinkop , - (Diagnosa Utama) |
KLS I |
CRYSTAL 4 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 2.006.538 |
52 % |
|
HAK KLS 1/ RINA /SEP + |
| 66 |
2336981 |
384747 |
0130R0060425V008443 |
ENTIN RUSTINI, NY |
77 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-25 |
of h2 susp vi dd bi + gerd, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 7 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
5 |
|
Rp 3.041.476 |
70 % |
CLIC RENAL +of h2 susp vi dd bi + gerd + NEFROLITIASI |
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / CRYSTAL 07 - 1 |
| 67 |
2338374 |
650341 |
0130R0060425V009348 |
NURYATI ,NY |
60 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
Obs Febris+Vomitus, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 6 BED 4 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 507.832 |
18 % |
|
kls 3/ jaminan di bantek . zia /. sep+ |
| 68 |
2336311 |
650133 |
0130R0060425V007991 |
ENAH, NY |
62 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-24 |
kolik abdomen , - (Diagnosa Masuk) |
KLS III |
CRYSTAL 6 BED 5 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
6 |
|
Rp 3.476.077 |
97 % |
Dengue fever+ Efusi pleura + Congestive liver + Dyspepsia |
HAK KLS 3 / RINA /SEP + |
| 69 |
2337213 |
650223 |
0130R0060425V008662 |
MIMIN ,NY |
53 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
low intake ec stomatitis, - (Diagnosa Utama) |
KLS III |
CRYSTAL 7 BED 3 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.051.332 |
94 % |
SJS |
kls 3/ jaminan di bantek / zia / sep+ |
| 70 |
2337541 |
614635 |
0130R0060425V008820 |
ENAH ,NY |
54 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-27 |
Vertigo, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 5 BED 6 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.528.747 |
96 % |
|
HAK KLS 3/JAMINAN DI BANTEK/SIRO/WL IGD |
| 71 |
2336305 |
391173 |
0130R0060425V007988 |
H.YUSEP SUKMANA,TN |
71 th |
M.R.Kurnia Eni Savitri ,dr ,Sp.PD |
2025-04-24 |
Dyspepsia Low intake , - (Diagnosa Masuk)Stomatitis , - (Diagnosa Sekunder)CKD on HD , - (Diagnosa Sekunder)efusi pleura sinistra, - (Diagnosa Sekunder) |
KLS III |
CRYSTAL 10 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
6 |
|
Rp 2.854.897 |
42 % |
KD V EC HT ,EFFUSI PLEURA SINISTRA -CHF EC DD HHD / IHD -EFFUSI PLEURA SINISTRA EC DD TB PARU - |
HAK KLS 3/JAMINAN DIBANTEX/SEP+/WL IGD/DINA |
| 72 |
2337511 |
650256 |
0130R0060425V008794 |
SUNARSIH, NY |
66 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
Hipoglikemia DM2, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 8 BED 4 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.751.452 |
47 % |
HIPOGLIKEMIA EC OAD -HHD/IHD - |
SEP MANUAL EMR EROR/HAK KLS 3/JAMINAN DIBANTEX/SEP+/WL IGD/DINA |
| 73 |
2337406 |
414561 |
0130R0060425V008743 |
HASANAH ,NY |
65 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
obs dyspneu + edem anasarka + ckd end stage, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 5 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 3.926.212 |
88 % |
/CKD V + PPOK eksaserbasi akut + anemia inflamasi - |
PX HD/ KLS 3/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 74 |
2337506 |
650254 |
0130R0060425V008790 |
DEDEN ABDUL AZIS, TN |
46 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
psmba + hhnk , - (Diagnosa Masuk) |
KLS III |
CRYSTAL 10 BED 5 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 1.701.892 |
32 % |
PSMBA ec gastropati erosive + Bacterial infection + DM tipe 2 dengan uncontrolled hiperglikemia |
HAK KLS 3/JAMINAN DIBANTEX/SEP+/WL IGD/DINA |
| 75 |
2337539 |
629978 |
0130R0060425V008828 |
DIAH, NY |
52 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-27 |
Of + susp. Kad, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 8 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.318.117 |
47 % |
|
HAK KLS 3/JAMINAN DI BANTEK/SIRO |
| 76 |
2337688 |
487188 |
0130R0060425V008913 |
YATI KUSMIATI |
55 th |
Boby Harul Priono, dr, Sp. OT |
2025-04-28 |
flexor tendon entrapmen syndrome + contaracture hand |
KLS III |
CRYSTAL 7 BED 6 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 6.001.669 |
37 % |
flexor tendon entrapment syndrom tindakan ligamen recontrucsion tgl.28/4 |
OP ELEKTIF/HAK KLS 3/ACC SEDANG/JAMINAN DI MAP/SIRO/ T 8212 AT |
| 77 |
2338358 |
650340 |
0130R0060425V009346 |
AI ROHMAH, NY |
43 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-28 |
Ptosis unilateral ec susp stroke infark, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 6 BED 2 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.303.995 |
42 % |
|
KLS 3/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 78 |
2338414 |
650352 |
0130R0060425V009371 |
LITKIN SEMBIRING, NY |
65 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-29 |
vertigo , - (Diagnosa Masuk) |
KLS I |
CRYSTAL 1 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
1 |
|
Rp 585.331 |
31 % |
|
HAK KELAS 1/ JAMINAN DI BANTEK / HELMI / CRYSTAL 01-1 |
| 79 |
2337000 |
650208 |
0130R0060425V008464 |
EDI TOPANDI, TN |
69 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-25 |
hematemesis + vomitus + anemia + riwayat hemoroid, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 10 BED 6 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
5 |
|
Rp 5.465.318 |
212 % |
hematemesis + vomitus + anemia + riwayat hemoroid PSMBA |
HAK KLS 3/JAMINAN DIBANTEX/SEP+/WL IGD/DINA/ISO ONYX 05 - 6 pindah crystal 10-6 |
| 80 |
2337112 |
578376 |
0130R0060425V008618 |
DEDE SRI UTAMI, NY |
44 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
prolonged fever dgn cefalgia, - (Diagnosa Utama)gerd, - (Diagnosa Sekunder) |
KLS III |
CRYSTAL 6 BED 6 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 3.026.572 |
46 % |
Infrequent PVC ---> sinus Hipokalemia,TF VES Hipokalemia |
kls 3/ jaminan di bantek / zia / sep+ |
| 81 |
2337500 |
573909 |
0130R0060425V008781 |
ROBI, TN |
28 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
of ec susp tf dd df, - (Diagnosa Masuk) |
KLS I |
CRYSTAL 3 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 3.747.518 |
101 % |
Prolong fever + DIare akut inflamasi + Dehidrasi sedang + Dyspepsia - |
HAK KELAS 1/ JAMINAN DI BANTEK / HELMI / CRYSTAL 03-1 |
| 82 |
2338621 |
650050 |
0130R0060425V009525 |
DUDIN BADRUDIN ,TN |
39 th |
Iman Fatullah, dr, Sp.JP |
2025-04-29 |
CAD, - (Diagnosa Masuk) |
KLS III |
CRYSTAL 10 BED 1 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
1 |
|
Rp 245.385 |
10 % |
|
R CT CARDIAC/ HAK KLS 3 / RINA /SEP + |
| 83 |
2337087 |
650216 |
0130R0060425V008514 |
ASPI, NY |
65 th |
Muhammad Barry Akbar, dr, Sp.N |
2025-04-26 |
vertigo with dizziness , - (Diagnosa Masuk) |
KLS III |
CRYSTAL 5 BED 3 |
|
CRYSTAL |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.419.252 |
151 % |
vertigo perifer syndroma dispepsia |
KLS 3/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 84 |
2337635 |
573956 |
|
BRIAN SHIDQI ABDILLAH , AN |
4 th |
Boby Harul Priono, dr, Sp. OT |
2025-04-28 |
union fraktur elbow dextra, - (Diagnosa Masuk) |
VIP |
DIAMOND 1 BED 01 |
|
DIAMOND |
ZURICH ASURANSI INDONESIA, Tbk, PT |
|
2 |
|
Rp 44.150.732 |
- |
|
ANAK DR DEWI/JATUH DARI KURSI/ JAMINAN DI ADM/700rb toleransi selama perawatan/ACC 1 HARI RAWAT POST TINDAKAN//JAMINAN DI AMBIL MBA PUJI 29/04/2025 |
| 85 |
2335267 |
648704 |
0130R0060425V007295 |
SAHAT RAJAGUKGUK, TN |
69 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-23 |
intake oral kurang + elektrolit imbalance, - (Diagnosa Masuk) |
VIP |
DIAMOND 3 BED 01 |
|
DIAMOND |
TELKOM (YAKES PEGAWAI TELKOM) - BPJS SELISIH |
|
7 |
|
Rp 23.506.019 |
- |
|
NIK 560935.000/ BLPL TGL.25 MARET ACC+/ JEMPUT AMBULAN GRATIS/ TITIPAN BU SUSI MARKETING/ HAK VIP DIAMOND 03 - 1 |
| 86 |
2338413 |
650351 |
|
AISHWAH FALIHAH ROHMAH, AN |
1 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
ob vomits + dheodras sdang , - (Diagnosa Masuk) |
VIP |
DIAMOND 9 BED 01 |
|
DIAMOND |
Jaminan Pribadi |
|
2 |
|
Rp 3.933.240 |
- |
|
TIDAK PUNYA ASURANSI ATAU BPJS/ BLM MASUK KK/ APS PRIBADI KELAS VIP/SP+DP+ |
| 87 |
2338600 |
649844 |
|
ENDANG SUNARYA, TN |
51 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-29 |
Cholelithiasis + DM tipe , - (Diagnosa Utama) |
VIP |
DIAMOND 4 BED 01 |
|
DIAMOND |
Jaminan Pribadi |
|
1 |
|
Rp 2.164.140 |
- |
|
TIDAK MEMPUNYAI ASURANSI/BPJS/APS VIP/SIRO/ d 1393 shk |
| 88 |
2337546 |
650269 |
|
ROYYAN HAFIYYAN YAHYA, AN |
10 th |
2 Rizki Handayani, dr, Sp. A |
2025-04-27 |
susp, asma, - (Diagnosa Masuk) |
KLS I |
DIAMOND 2 BED 01 |
|
DIAMOND |
ASURANSI ASTRA BUANA, PT (GARDA MEDIKA - PT. AHM) |
|
3 |
|
Rp 5.622.405 |
- |
|
HAK KLS 1/JAMINAN DI ADM/SIRO/T 6166 IS |
| 89 |
2336928 |
343930 |
0130R0060425V008424 |
SUPARMAN , TN |
61 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-25 |
Hemiparese dextra Susp stroke ulang HT , - (Diagn |
VIP |
DIAMOND 6 BED 01 |
|
DIAMOND |
TELKOM (YAKES PEGAWAI TELKOM) - BPJS SELISIH |
|
5 |
|
Rp 13.247.947 |
220 % |
hemiparase,susp stroke, ht |
HAK VIP BERSEDIA TITIP KELAS 1/ JAMINAN DI ADM/ JADE 09 - 2/641753.000/JADE 09 - 2 pindah DIAMOND 6 |
| 90 |
2338320 |
650337 |
0130R0060425V009332 |
KENZIO ELMOE ZAVIER, AN |
0 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
dadrs, - (Diagnosa Utama)low intake, - (Diagnosa Sekunder) |
VIP |
DIAMOND 7 BED 01 |
|
DIAMOND |
Jaminan Pribadi - COB BPJS |
|
2 |
|
Rp 1.883.645 |
- |
|
kls 1 aps ke vip/ jaminan di adm / zia/ b 1985 uoq |
| 91 |
2338720 |
515127 |
0130R0060425V009590 |
MAYA DIANI, NN |
28 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-29 |
A: Febris h4 vi dd bi dispepsia , - (Diagnosa Utama) |
KLS I |
EMERALD 1 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
1 |
|
Rp 207.900 |
7 % |
|
HAK KLS 1 / RINA /*SEP + |
| 92 |
2337522 |
392686 |
0130R0060425V008804 |
EVI WIDYASTUTY, NY |
50 th |
M.R.Kurnia Eni Savitri ,dr ,Sp.PD |
2025-04-27 |
of ec susp f + dhf , - (Diagnosa Masuk) |
KLS I |
EMERALD 3 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
3 |
|
Rp 3.475.882 |
128 % |
|
HAK KLS 1 / RINA/SEP + |
| 93 |
2335639 |
499103 |
0130R0060425V007562 |
CICIH UMASIH, NY |
63 th |
Evan Rivana, dr, Sp.P |
2025-04-23 |
Asma Eksaserbasi, - (Diagnosa Masuk) |
KLS I |
EMERALD 7 BED 02 |
|
EMERALD |
BPJS KESEHATAN |
0 |
7 |
|
Rp 15.474.476 |
660 % |
asma ekserbasi akut |
HAK KLS 1/JAMINAN DIBANTEX/SEP+/WL IGD/DINA/CRYSTAL 06 - 4 PINDAH EMERALD 03-1/ PRO HCU ACC+ |
| 94 |
2337462 |
393711 |
0130R0060425V008759 |
ODANG TABRONI, TN |
57 th |
Muhammad Barry Akbar, dr, Sp.N |
2025-04-26 |
susp storke infark , - (Diagnosa Masuk) |
KLS I |
EMERALD 9 BED 02 |
|
EMERALD |
BPJS KESEHATAN |
0 |
4 |
|
Rp 4.057.836 |
77 % |
|
HAK KELAS 1/ JAMINAN DI BANTEK / HELMI / EMERALD 09-2 |
| 95 |
2337567 |
650278 |
0130R0060425V008837 |
HESTIANI, NN |
21 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
OF H V ec susp VI dd BI , - (Diagnosa Masuk) |
KLS I |
EMERALD 8 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
3 |
|
Rp 3.255.907 |
117 % |
|
HAK KELAS 1/ JAMINAN DI BANTEK / HELMI/ emerald 08-1 |
| 96 |
2338596 |
636703 |
|
MAHPUDIN , TN |
50 th |
Joko Purwito, Sp. B |
2025-04-29 |
ckr multiple ve susp shoulder fraktur, - (Diagnosa Masuk) |
KLS II |
EMERALD 2 BED 02 |
|
EMERALD |
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
1 |
|
Rp 5.047.000 |
- |
|
KLL PADA SAAT MAU BERANGKAT KERJA TGL 28/04/2025 JAM 18.30/JATUH DARI MOTOR DIDAERAH CIBUNGUR/KRONOLOGIS + |
| 97 |
2337571 |
650280 |
0130R0060425V008841 |
N ENTI ROHAETI, NY |
58 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
OF H V ec susp Vi dd BI , - (Diagnosa Masuk) |
KLS I |
EMERALD 7 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.699.002 |
97 % |
|
HAK KELAS 1/ JAMINAN DI BANTEK / HELMI / EMERALD 07 - 1 |
| 98 |
2337551 |
454877 |
0130R0060425V008825 |
MOCH HIDAYAT MANSYUR, TN |
78 th |
Jeppri Bangun, dr, Sp.B |
2025-04-27 |
Hernia inguinal lateral d reponible |
KLS I |
EMERALD 5 BED 02 |
|
EMERALD |
BPJS KESEHATAN |
0 |
3 |
|
Rp 8.151.028 |
533 % |
|
OP ELEKTIF/ACC SEDANG/HAK KLS 1/JAMINAN DI BANTEK/SIRO/EMERALD 5-2// T 5952 AV + |
| 99 |
2337532 |
506049 |
0130R0060425V008814 |
ECE SOBARI ,TN |
75 th |
M.R.Kurnia Eni Savitri ,dr ,Sp.PD |
2025-04-27 |
gerd , - (Diagnosa Masuk) |
KLS I |
EMERALD 2 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.842.470 |
55 % |
|
HAK KLS 1 / RINA /SEP + |
| 100 |
2338071 |
439674 |
0130R0060425V009162 |
SHERLI RAHMAWATI, NY |
31 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-28 |
A: Febris h2 vi dd bi dispepsia , - (Diagnosa Utama) |
KLS I |
EMERALD 4 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.866.048 |
58 % |
|
TITIPAN TEH SABRIN/ HAK KLS 1 / RINA |
| 101 |
2338606 |
544615 |
0130R0060425V009520 |
DEDI KUSWARA, TN |
56 th |
M.R.Kurnia Eni Savitri ,dr ,Sp.PD |
2025-04-29 |
obs febris dispepsia, - (Diagnosa Masuk) |
KLS I |
EMERALD 5 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
1 |
|
Rp 224.000 |
7 % |
|
HAK KLS 1 / RINA / EMERALD 05 - 1 |
| 102 |
2337950 |
602685 |
0130R0060425V009274 |
RIDWAN |
44 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-28 |
UAP, - (Diagnosa Utama) |
KLS I |
EMERALD 6 BED 02 |
|
EMERALD |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.619.195 |
30 % |
|
CHECK IN/HAK KLS 1/JAMINAN DI MAP/RANIA |
| 103 |
2337570 |
415174 |
0130R0060425V008839 |
YANTI ROSTIAWATI, NY |
52 th |
Joko Anom Suryawan, dr, Sp. U |
2025-04-27 |
kolik renal ec susp BSK , - (Diagnosa Masuk) |
KLS I |
EMERALD 8 BED 02 |
|
EMERALD |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.990.587 |
165 % |
|
HAK KELAS 1/JAMINAN DI BANTEK / HELMI / EMERALD 08-2 |
| 104 |
2337921 |
650064 |
0130R0060425V009099 |
HENDRICO PUTRA,TN |
57 th |
Boby Harul Priono, dr, Sp. OT |
2025-04-28 |
A: Susp fraktur calcaneus, - (Diagnosa Utama) |
KLS II |
EMERALD 9 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
2 |
|
Rp 10.707.765 |
452 % |
|
PX ATENSI REKANAN OWNER RS/DENDA 45H+/HAK KLS 2 TITIP KLS 1 kampen+/JATUH DI DEPAN RUMAH MENGINJAK KERIKIL/KRONOLOGIS+/SIRO/ d 1389 mp |
| 105 |
2338196 |
417534 |
0130R0060425V009255 |
RAUDHINA GHAISANI ARIFIN, NN |
24 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
vomitus, - (Diagnosa Utama)post syncope, - (Diagnosa Sekunder) |
KLS I |
EMERALD 1 BED 02 |
|
EMERALD |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.750.797 |
83 % |
|
KLS 1/ JAMINAN DIBANTEK / ZIA / SEP+/ t 6575 bj |
| 106 |
2338083 |
650319 |
0130R0060425V009217 |
INDRA, TN |
35 th |
Joko Purwito, Sp. B |
2025-04-28 |
A: Haemoroid , - (Diagnosa Masuk) |
KLS I |
EMERALD 6 BED 01 |
|
EMERALD |
BPJS KESEHATAN |
0 |
2 |
|
Rp 5.780.405 |
324 % |
|
PX DR JOKO DI HELSA, DISURUH KESINI/RIW OP DI HELSA/ hak kls 1/ jaminan di bantek / zia / sep+ |
| 107 |
2338065 |
538318 |
0130R0060425V009174 |
UKA SUKAESIH , NY |
63 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-28 |
A: Hemiparesis susp stroke , - (Diagnosa Utama) |
KLS I |
EMERALD 4 BED 02 |
|
EMERALD |
BPJS KESEHATAN |
0 |
2 |
|
Rp 2.849.465 |
65 % |
|
ORTU BR TIA IGD/ HAK KLS 1 / EMERLAD 04 - 2 |
| 108 |
2337572 |
650282 |
|
RASMAD, TN |
54 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
acute on ckd + ALO + hipoglikemia perbaikan + DM II tak terkontrol , - |
HCU |
HCU 2 BED 2 |
|
HCU |
Jaminan Pribadi |
|
3 |
|
Rp 13.779.100 |
- |
|
TIDAK PUNYA ASURANSI ATAU BPJS/ APS PRIBADI/DP+SP+/HCU-4 PINDAH HCU 2 - 2 |
| 109 |
2337557 |
649714 |
0130R0060425V008823 |
EMAN ,TN |
64 th |
Daruqutni, dr, Sp. U |
2025-04-27 |
BPH , - (Diagnosa Masuk) |
HCU |
HCU 1 BED 3 |
|
HCU |
BPJS KESEHATAN |
0 |
3 |
|
Rp 3.690.532 |
95 % |
|
REN OP/HAK KLS 3/JAMINAN DI BANTEK/SIRO |
| 110 |
2337578 |
650286 |
0130R0060425V008852 |
IDAH, NY |
40 th |
Jeppri Bangun, dr, Sp.B |
2025-04-27 |
Abdominal pain, - (Diagnosa Masuk) |
HCU |
HCU 1 BED 4 |
|
HCU |
BPJS KESEHATAN |
0 |
3 |
|
Rp 4.748.677 |
225 % |
|
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD |
| 111 |
2326601 |
323444 |
0130R0060425V001550 |
ENI KUSTINI,NY |
50 th |
Joko Purwito, Sp. B |
2025-04-08 |
TUMOR TYROID SINISTRA |
KLS II |
ICU BED 3 |
|
ICU |
IN HEALTH - BPJS SELISIH |
|
10 |
|
Rp 56.368.697 |
- |
|
ELEKTIF/HAK KLS 1/SIRO/ACC KHUSUS/sertijam 09/04/2025/HCU 1 - 4 pindah DIAMOND 08 - 1//SERTIJAM 14/04/2025 |
| 112 |
2338350 |
650339 |
0130R0060425V009340 |
BAYI NYONYA NINA NURHASANAH |
0 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
of 5 susp morbilli, - (Diagnosa Utama) |
KLS III |
AMETHYST 3 BED 3 |
|
ISOLASI AMETHYST |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.202.722 |
43 % |
|
kls 3/ jaminan di bantek / zia / sep+/ t 1883 gi/ |
| 113 |
2337356 |
650229 |
0130R0060425V009355 |
JAJANG JAJULI, TN |
34 th |
Try S Rahantan, dr, Sp.B., FINACS., FICS |
2025-04-26 |
dyspneu c tension pneumothorax, - (Diagnosa Masuk) |
KLS III |
ONYX 4 BED 2 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
4 |
|
Rp 10.170.337 |
345 % |
|
RENCANA UHC+/ JAMINAN DI ADM / ZIA/ISO ONYX 04 - 2 |
| 114 |
2337730 |
354702 |
0130R0060425V008969 |
DEDEN KRISTIAN, TN |
52 th |
Evan Rivana, dr, Sp.P |
2025-04-28 |
A: tb paru on oat Ht, - (Diagnosa Utama) |
KLS III |
ONYX 4 BED 1 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.363.451 |
30 % |
|
HAK KLS 3 / RINA /SEP +/ISO TB |
| 115 |
2336992 |
650200 |
0130R0060425V008799 |
SARTIKA DEWI, NY |
20 th |
Evan Rivana, dr, Sp.P |
2025-04-25 |
A15.0 - Tb lung confirm sputum microscopy with or without culture |
KLS III |
ONYX 6 BED 2 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
5 |
|
Rp 2.138.272 |
47 % |
TB paru |
DENDA 45 HR+/HAK KLS 1/ISO TB/KAMPEN+/JAMINAN DIADM/DINA |
| 116 |
2337568 |
492618 |
0130R0060425V008838 |
GIYAN PAHREPI, TN |
29 th |
Joko Purwito, Sp. B |
2025-04-27 |
kolik abd ec cholelithiasis, - (Diagnosa Masuk)DM tipe 1, - (Diagnosa Sekunder) |
KLS III |
ONYX 5 BED 3 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.484.122 |
70 % |
|
PASIEN BLPL 77 APRIL 2025 ACC +/HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD |
| 117 |
2338432 |
650356 |
0130R0060425V009372 |
KARNESIH, NY |
54 th |
Evan Rivana, dr, Sp.P |
2025-04-29 |
susp tb paru aktif dd cap + chf , - (Diagnosa Masuk) |
KLS III |
ONYX 6 BED 1 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
1 |
|
Rp 557.287 |
10 % |
|
PRO ISO TB / HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / ONYX 06-1 |
| 118 |
2337782 |
650299 |
0130R0060425V009068 |
YOGI SOMANTRI, TN |
30 th |
Richard F Nanlohy, dr ,Sp.THT |
2025-04-28 |
Mastoiditis Kanan, - (Diagnosa Utama) |
KLS III |
ONYX 5 BED 4 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
2 |
|
Rp 6.372.108 |
306 % |
|
HAK KLS 3/JAMINAN DI BANTEK/SIRO/SP ISO |
| 119 |
2337632 |
650292 |
0130R0060425V008861 |
ENGKUS KUSNADI, SPD.I, TN |
68 th |
Evan Rivana, dr, Sp.P |
2025-04-28 |
obs dypsneu ec chf, - (Diagnosa Masuk) |
KLS I |
ONYX 3 BED 2 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
2 |
|
Rp 2.152.762 |
43 % |
CHF, dyspneu |
HAK KELAS 1/ JAMINAN DI BANTEK /HELMI / EMERALD 09-1/ PRO ISO TB pindah ONYX 03-2 |
| 120 |
2337884 |
650309 |
0130R0060425V009349 |
SUDARYA, TN |
74 th |
Daruqutni, dr, Sp. U |
2025-04-28 |
obs retensi urin dd isk, - (Diagnosa Masuk) |
KLS III |
ONYX 5 BED 5 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.936.368 |
51 % |
|
NON AKTIF DIAKHIR BULAN / RENCANA URUS UHC / JAMINAN DI ADM / RINA/sep +// T 3304 JI + |
| 121 |
2337561 |
650274 |
0130R0060425V008831 |
ALI BASAH, TN |
49 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-27 |
cephalgia kronik, - (Diagnosa Masuk)riwayat konvulsi , - (Diagnosa Sekunder) |
KLS III |
ONYX 5 BED 6 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.731.680 |
98 % |
cepalgia, dyspepsia
|
SODARA BAHRUL RAD |
| 122 |
2337566 |
650277 |
0130R0060425V008836 |
UJANG, TN |
47 th |
Jeppri Bangun, dr, Sp.B |
2025-04-27 |
kolik abd, - (Diagnosa Masuk) |
KLS III |
ONYX 5 BED 1 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.332.732 |
111 % |
|
HAK KLS 3/WL/SIRO |
| 123 |
2337548 |
650270 |
0130R0060425V008830 |
RASMIDI ,TN |
52 th |
Joko Anom Suryawan, dr, Sp. U |
2025-04-27 |
Obs. Abdominal pain, - (Diagnosa Masuk) |
KLS III |
ONYX 5 BED 2 |
|
ISOLASI ONYX |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.516.167 |
139 % |
|
HAK KLS 3/JAMINAN DI BANTEK/SIRO/WL IGD/EMR ERROR |
| 124 |
2337275 |
394991 |
0130R0060425V008684 |
AHMAD KOSASIH, TN |
47 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
dypnoe ec/ dgn colic abd, - (Diagnosa Utama) |
KLS III |
RUBY 7 BED 2 |
|
ISOLASI RUBY |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.543.362 |
86 % |
|
kls 3/ jaminan di bantek/ zia / sep+/ pro iso tb acc+ |
| 125 |
2337446 |
650241 |
0130R0060425V008748 |
MARSYA DWI SAFITRI, NN |
20 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
hemaptoe susp tb paru, - (Diagnosa Masuk) |
KLS III |
RUBY 4 BED 1 |
|
ISOLASI RUBY |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.228.077 |
49 % |
TB paru, hemaptoe |
KLS 1/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 126 |
2338404 |
514391 |
0130R0060425V009368 |
MUTIARA AULIA, NN |
18 th |
Evan Rivana, dr, Sp.P |
2025-04-28 |
Susp Tb paru dd CAP + Obs Febris, - (Diagnosa Masuk) |
KLS III |
RUBY 4 BED 2 |
|
ISOLASI RUBY |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.110.322 |
21 % |
|
HAK KELAS 2/JAMINAN DI BANTEK / HELMI / WL IGD .SEP/PRO ISO TB / ONYX 04-2 |
| 127 |
2335873 |
650088 |
0130R0060425V007679 |
ENDAY, TN |
62 th |
Muhammad Barry Akbar, dr, Sp.N |
2025-04-24 |
hemiparase ec stroke + intake oral kurang + sind geriatric + susp elektrolit imbalance dd hipoalbumin, - (Diagnosa Masuk) |
KLS III |
RUBY 7 BED 1 |
|
ISOLASI RUBY |
BPJS KESEHATAN |
0 |
6 |
|
Rp 5.099.850 |
97 % |
stroke infak, dmt2 |
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD /SEP+/ONYX 05 - 4 pindah ONYX 07 - 3/ pindah iso tb ruby 07-1 |
| 128 |
2337934 |
650311 |
0130R0060425V009118 |
KURNIAWAN BAHARI, TN |
23 th |
Evan Rivana, dr, Sp.P |
2025-04-28 |
A bekas tb paru, - (Diagnosa Utama) |
KLS III |
RUBY 1 BED 1 |
|
ISOLASI RUBY |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.451.085 |
27 % |
|
HAK KLS 3 / RINA /SEP +/ ISO TB |
| 129 |
2337641 |
390321 |
0130R0060425V008876 |
KOKOM KOMARIAH, NY |
52 th |
Daruqutni, dr, Sp. U |
2025-04-28 |
nefrolithiasis dextra, - (Diagnosa Masuk) |
KLS I |
JADE 06 BED 2 |
|
JADE |
IN HEALTH - BPJS SELISIH |
|
2 |
|
Rp 19.034.559 |
- |
|
OP.ELEKTIF/ 1011435123137 NO.KA/JADE 06 - 2/1013R0030425PR000009/ACC 1 HARI RAWAT INAP/JAMINAN DI AMBIL MBA PUJI 29/04/2025 |
| 130 |
2337850 |
625068 |
|
MUHAMMAD SULTONI, TN |
21 th |
Joko Purwito, Sp. B |
2025-04-28 |
abd pain post trauma + shoulder pain dd myalgia, - (Diagnosa Masuk)ckr, - (Diagnosa Sekunder) |
KLS II |
JADE 10 BED 2 |
|
JADE |
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
2 |
|
Rp 3.206.912 |
- |
|
JATUH DARI MOTOR DITABRAK DARI BELAKANG SAAT PULANG KERJA |
| 131 |
2337467 |
650242 |
|
SITI HARDIYANTI, NY |
31 th |
Gamal Ramadiputra, dr.Sp.OT |
2025-04-26 |
susp clised fractured pedis sin , - (Diagnosa Mas |
KLS II |
JADE 02 BED 4 |
|
JADE |
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
4 |
|
Rp 14.017.796 |
- |
|
KLL DI DAERAH PT.SAMCON CAMPAKA, DITABRAK MOTOR DARI BELAKANG SAAT BERANGKAT KERJA (13.35) |
| 132 |
2338026 |
630111 |
0130R0060425V009167 |
NAIYHRA QHAIYLANI GUNAWAN, AN |
7 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
A: Obs febris H4 vi dd bi, - (Diagnosa Utama) |
KLS I |
JADE 05 BED 1 |
|
JADE |
IN HEALTH - BPJS SELISIH |
|
2 |
|
Rp 3.022.909 |
- |
|
1051435128069/ JADE 05 - 1 / HAK KLS 1 / T 1356 GV + |
| 133 |
2337470 |
650243 |
|
DEVI RAHAYU, NY |
31 th |
Try S Rahantan, dr, Sp.B., FINACS., FICS |
2025-04-26 |
vl ar wrist joint sin , - (Diagnosa Masuk) |
KLS II |
JADE 02 BED 3 |
|
JADE |
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
4 |
|
Rp 12.406.567 |
- |
|
TANGAN KIRI TERKENA PISAU LEVING SAAT BEKERJA (13.45) |
| 134 |
2337549 |
311131 |
0130R0060425V008826 |
VINNY AYUNINGTYAS, NN |
28 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
VOMITUS,DISPEPSIA,VERTIGO |
KLS II |
JADE 03 BED 3 |
|
JADE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.755.292 |
94 % |
vertigo, dyspepsia |
HAK KLS 2/JAMINAN DI BANTEK/SIRO/JADE 3-3 |
| 135 |
2337907 |
362159 |
|
ENI NURAENI, NY |
33 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
A Limpadenitis Caries dentis, - (Diagnosa Utama)riwdm , - (Diagnosa Sekunder) |
KLS II |
JADE 11 BED 1 |
|
JADE |
HINO MOTOR MANUFACTURING INDONESIA, PT |
|
2 |
|
Rp 2.062.981 |
- |
|
PLAN KLS 2 / T 5981 IR + |
| 136 |
2338186 |
481750 |
0130R0060425V009250 |
ENDANG WAHYUDIN, TN |
63 th |
Joko Purwito, Sp. B |
2025-04-28 |
ulkus pedis dextra, - (Diagnosa Utama) |
KLS II |
JADE 04 BED 1 |
|
JADE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.175.002 |
46 % |
|
KLS 2/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 137 |
2337598 |
649896 |
|
NENI MARLINA,NY |
47 th |
Jeppri Bangun, dr, Sp.B |
2025-04-28 |
Tumor mamae bilateral, - (Diagnosa Utama) |
KLS I |
JADE 07 BED 1 |
|
JADE |
Jaminan Pribadi |
|
2 |
|
Rp 19.238.900 |
- |
|
TIDAK MEMPUNYAI ASURANSI ATAU BPJS/APS KELAS 1/SIRO/ACC SEDANG |
| 138 |
2337889 |
582252 |
|
ALFIYAN HIDAYATULLAH, TN |
22 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
obs febris dispepsia, - (Diagnosa Masuk) |
KLS III |
JADE 08 BED 2 |
|
JADE |
ASURANSI ASTRA BUANA, PT (GARDA MEDIKA - PT. AHM) |
|
2 |
|
Rp 1.609.514 |
- |
|
PLAN KLS 3/ e 2985 ham |
| 139 |
2337106 |
650219 |
|
LINA SRI HERNAWATI, NN |
25 th |
Try S Rahantan, dr, Sp.B., FINACS., FICS |
2025-04-26 |
susp fr pelvis sinistra post kll, - (Diagnosa Utama) |
KLS III |
JADE 03 BED 4 |
|
JADE |
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
4 |
|
Rp 5.148.035 |
- |
|
KLL MOTOR VS MOTOR DAERAH BIC SAAT BERANGKAT KERJA /PAK RIZKI : 081315065754/ JAMINAN DI ADM / ZIA |
| 140 |
2338172 |
618913 |
0130R0060425V009243 |
MOCHAMAD ZEVA RAYYANSAH, AN |
1 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
of 3 dgn hyperpirexia, - (Diagnosa Utama) |
KLS I |
JADE 09 BED 2 |
|
JADE |
IN HEALTH - BPJS SELISIH |
|
2 |
|
Rp 3.105.776 |
- |
|
JAMINAN DI ADM/ ZIA/ T 1030 AE/1061435318951/ |
| 141 |
2337538 |
616463 |
|
AYUMI ELEANOR KHADEEJAH, AN |
2 th |
Rizki Handayani, dr, Sp. A |
2025-04-27 |
Gea, - (Diagnosa Masuk) |
KLS III |
JADE 09 BED 1 |
|
JADE |
YAMAHA INDONESIA MOTOR MANUFACTURING, PT |
|
3 |
|
Rp 2.205.493 |
- |
|
HAK KLS 3/JAMINAN DI ADM/SIRO/ t 6362 ib |
| 142 |
2338294 |
650335 |
|
CAHYA ALIF KURNIAWAN, TN |
20 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
of 2 susp vi, - (Diagnosa Utama) |
KLS III |
JADE 01 BED 2 |
|
JADE |
ASURANSI ASTRA BUANA, PT (GARDA MEDIKA - PT. AHM) |
|
2 |
|
Rp 1.846.413 |
- |
|
JADE 1-2/ JAMINAN DI ADM/ ZIA |
| 143 |
2338825 |
648859 |
|
MUHAMAD RIDWAN, TN |
22 th |
Boby Harul Priono, dr, Sp. OT |
2025-04-29 |
remove implant |
KLS II |
JADE 04 BED 3 |
|
JADE |
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
1 |
|
Rp 0 |
- |
|
OP ELEKTIF / ACC / |
| 144 |
2338028 |
630112 |
0130R0060425V009185 |
NAIYHRI QHAIFA GUNAWAN, AN |
5 th |
Paramita Diah Winarni, dr, SpA |
2025-04-28 |
A: Obs febris H4 vi dd bi, - (Diagnosa Masuk) |
KLS I |
JADE 05 BED 2 |
|
JADE |
IN HEALTH - BPJS SELISIH |
|
2 |
|
Rp 3.012.718 |
- |
|
1061435128061/ADIK PX NAIYHRA/ JADE 05 - 2 |
| 145 |
2336449 |
322967 |
0130R0060425V008118 |
AHMAD YASIN FIRMANSYAH, TN |
20 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-25 |
R50.9 - Fever, unspecified |
KLS I |
JADE 08 BED 1 |
|
JADE |
BPJS KESEHATAN |
0 |
5 |
|
Rp 3.975.197 |
125 % |
TF, dyspepsia |
TITIPAN BU RINA/ kls 1/ jaminan di bantek / zia / sep+ |
| 146 |
2338617 |
623694 |
|
KIKI RUSTANDI, TN |
43 th |
Gamal Ramadiputra, dr.Sp.OT |
2025-04-29 |
Union fraktur at left tibia |
KLS II |
JADE 04 BED 4 |
|
JADE |
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
1 |
|
Rp 966.964 |
- |
|
OP ELEKTIF/ HAK KLS 2 / JAMINAN DI ADM / SIRO |
| 147 |
2337630 |
650290 |
|
AHMAD SYAMSUL MAARIF, TN |
19 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
of h2 susp vi dd bi, - (Diagnosa Masuk) |
KLS III |
JADE 14 BED 2 |
|
JADE |
ASURANSI ASTRA BUANA, PT (GARDA MEDIKA - PT. AHM) |
|
2 |
|
Rp 3.180.294 |
- |
|
HAK KELAS 3 TITIP KELAS 1(FULL) / JAMINAN DI ADM |
| 148 |
2336367 |
510441 |
|
AEP SAEFUDIN.TN |
51 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-25 |
OF H3+Vomitus+ISPA, - (Diagnosa Masuk) |
KLS I |
JADE 14 BED 1 |
|
JADE |
ADMEDIKA - PERUM JASA TIRTA II |
|
5 |
|
Rp 10.806.321 |
- |
|
HAK KLS 1/JAMINAN DI ADM/RANIA |
| 149 |
2337515 |
318431 |
0130R0060425V008798 |
LISNA SUMIATI. NY |
49 th |
Jeppri Bangun, dr, Sp.B |
2025-04-27 |
Hemoroid dd prolaps recti, - (Diagnosa Masuk) |
KLS I |
JADE 06 BED 1 |
|
JADE |
IN HEALTH - BPJS SELISIH |
|
3 |
|
Rp 17.398.952 |
855 % |
Hemoroid dd prolaps recti |
1011006881471 // 1013R0030425RI000035/ PLAN KLS 1 |
| 150 |
2334357 |
649942 |
0130R0060425V006647 |
DEDEH, NY |
64 th |
Try S Rahantan, dr, Sp.B., FINACS., FICS |
2025-04-21 |
gastritis, - (Diagnosa Utama)dm, - (Diagnosa Sekunder) |
KLS II |
JADE 03 BED 2 |
|
JADE |
BPJS KESEHATAN |
0 |
9 |
|
Rp 14.219.032 |
191 % |
cholelitiasis TX open chole |
HAK KLS 2 /JAMINAN DIBANTEX/SEP+/DINA |
| 151 |
2337547 |
617822 |
0130R0060425V008827 |
IIN NURHAYATI, NY |
57 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-27 |
OBS VOMITUS RIW DM |
KLS II |
JADE 03 BED 1 |
|
JADE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.473.387 |
58 % |
dmt2 |
HAK KLS 2/JAMINAN DI BANTEK/SIRO/JADE 3-1 |
| 152 |
2337545 |
650268 |
|
CECEP JUHANA, TN |
43 th |
Joko Purwito, Sp. B |
2025-04-27 |
MULTIPLE VE+VL |
KLS III |
JADE 13 BED 1 |
|
JADE |
AA INTERNATIONAL INDONESIA, PT |
|
3 |
|
Rp 16.520.142 |
- |
|
JATUH DARI MOTOR KARNA NGINJAK LUBANG DI DAERAH CILODONG /PLAN 2 BED TERENDAH/HIS KLS 3 DULU |
| 153 |
2332795 |
649789 |
0130R0060425V005581 |
EDI SUDIMAN, TN |
55 th |
Joko Purwito, Sp. B |
2025-04-17 |
Of + susp selulitis pedis dextra, - (Diagnosa Masuk) |
KLS I |
JADE 13 BED 2 |
|
JADE |
IN HEALTH - BPJS SELISIH |
|
13 |
|
Rp 30.687.908 |
831 % |
Of + susp selulitis pedis dextra |
HAK KLS 1/SERTIJAM 21/04/2025/SEP+/DINA/1013R0030425RI000026 |
| 154 |
2336983 |
636643 |
|
Y. USMAN DIYANTO, TN |
54 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-25 |
of h4 susp vi dd bi + ispa, - (Diagnosa Masuk) |
KLS II |
JADE 12 BED 1 |
|
JADE |
INDOFOOD CBP SUKSES MAKMUR, PT, Tbk (FID) |
|
5 |
|
Rp 7.864.239 |
- |
|
HAK KELAS Rp,395.000/ hari / jaminan di adm / EMERALD 05 - 2/ JADE 12-1 |
| 155 |
2338459 |
312474 |
|
DIANA ANGGRAENI, NY |
40 th |
Richard F Nanlohy, dr ,Sp.THT |
2025-04-29 |
Tonsilitis kronik, - (Diagnosa Masuk) |
KLS II |
JADE 07 BED 2 |
|
JADE |
SUMI RUBBER INDONESIA, PT (DUNLOP) |
|
1 |
|
Rp 778.890 |
- |
|
HAK KLS 2/JAMINAN DI ADM/SIRO |
| 156 |
2335012 |
532168 |
|
NANA SUTARNA,TN |
48 th |
Gamal Ramadiputra, dr.Sp.OT |
2025-04-22 |
closed fracttru os radius 1/3 distal, - (Diagnosa |
KLS II |
JADE 01 BED 3 |
|
JADE |
BPJS KETENAGAKERJAAN (TRAUMA CENTER) |
|
8 |
|
Rp 13.618.942 |
- |
|
TANGAN TERTIMPA KOMPONEN MESIN SAAT BEKERJA/KRONOLOGIS+/INFO 08561401968 PAK NASRIP/JAMINAN DI AMBIL MBA PUJI 29/04/2025 |
| 157 |
2336380 |
333234 |
|
DIDI RUSWANDI. TN |
50 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-25 |
Obs. febris+Vomitus, - (Diagnosa Masuk) |
KLS II |
JADE 12 BED 2 |
|
JADE |
INDOFOOD CBP SUKSES MAKMUR, PT, Tbk (FID) |
|
5 |
|
Rp 7.762.625 |
- |
|
HAK KLS 2/t 1230 bl/JAMINAN + |
| 158 |
2337560 |
648434 |
|
RIFALDI FAUZI, TN |
30 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
OF H3 ec VI dd/ BI , - (Diagnosa Masuk)cephalgia , - (Diagnosa Sekunder)dyspepsia, - (Diagnosa Sekunder)HT , - (Diagnosa Sekunder) |
KLS II |
JADE 01 BED 1 |
|
JADE |
ADMEDIKA - BCA LIFE |
|
3 |
|
Rp 4.567.477 |
- |
|
PLAN KAMAR 350 TOLERANSI DI KLS 2 SELAMA PERAWATAN/SIRO |
| 159 |
2334982 |
486369 |
0130R0060425V007080 |
ABID AQILA RAJENDRA, AN |
8 th |
Rizki Handayani, dr, Sp. A |
2025-04-22 |
hiperpiraxeia , - (Diagnosa Masuk) |
KLS I |
JADE 11 BED 2 |
|
JADE |
IN HEALTH - BPJS SELISIH |
|
8 |
|
Rp 6.909.290 |
187 % |
fever |
1051006913774 // t 1511 ad +/SERTIJAM 23/04/2025 |
| 160 |
2337889 |
582252 |
|
ALFIYAN HIDAYATULLAH, TN |
22 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
obs febris dispepsia, - (Diagnosa Masuk) |
KLS III |
JADE 10 BED 1 |
|
JADE |
ASURANSI ASTRA BUANA, PT (GARDA MEDIKA - PT. AHM) |
|
2 |
|
Rp 1.609.514 |
- |
|
PLAN KLS 3/ e 2985 ham |
| 161 |
2337408 |
646095 |
|
IFAN ARBIANSYAH, TN |
20 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
of hari ke 2 ec vi dd bi, Observation for suspected disease or condition, unspecified - Z03.9(Diagnosa Masuk) |
KLS III |
JADE 01 BED 4 |
|
JADE |
ASURANSI ASTRA BUANA, PT (GARDA MEDIKA - PT. AHM) |
|
4 |
|
Rp 5.949.471 |
- |
|
KLS 3/ JAMINAN DI ADM |
| 162 |
2338670 |
650364 |
0130R0060425V009570 |
NUNUY SITI NURJANAH, BY NY |
0 th |
Paramita Diah Winarni, dr, SpA |
2025-04-29 |
BBL DENGAN RD ec Susp MAS |
NICU |
NICU/PICU BED 2 |
|
NICU/PICU |
BPJS KESEHATAN |
0 |
1 |
|
Rp 998.340 |
22 % |
|
|
| 163 |
2336980 |
650194 |
|
MELINDA SOPYANI HARIS, BY NY |
0 th |
Paramita Diah Winarni, dr, SpA |
2025-04-25 |
BBL SC DENGAN RDS EC BP |
NICU |
NICU/PICU BED 1 |
|
NICU/PICU |
SUMI INDO WIRING SYSTEM, PT |
|
5 |
|
Rp 13.351.385 |
- |
|
|
| 164 |
2337670 |
529537 |
0130R0060425V008895 |
NENG SITI MAESAROH, NN |
26 th |
Joko Purwito, Sp. B |
2025-04-28 |
tumor mamae dx |
KLS I |
OLIVINE 5 BED 2 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 7.283.683 |
80 % |
tumor mamae TX eksisi |
HAK KLS 1/JAMINAN DI BANTEK/SIRO/ACC SEDANG/OP ELEKITF/ T 5980 KF |
| 165 |
2338236 |
334912 |
0130R0060425V009265 |
ELIS KURNIASIH, NY |
35 th |
Rico Julius Dolok Saribu, dr, Sp. THTKL |
2025-04-28 |
Rhinosinusitis maksilaris + ethmoid sinistra + hipertropi konka inferiro sinsitra |
KLS I |
OLIVINE 1 BED 1 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 8.851.989 |
365 % |
|
OP ELEKTIF / HAK KLS 1 /SEP+ |
| 166 |
2337513 |
650257 |
0130R0060425V008792 |
NASUHA, TN |
62 th |
Zuhaira Syam, dr, Sp.s., M.kes |
2025-04-27 |
radikulopati, - (Diagnosa Masuk) |
KLS III |
OLIVINE 6 BED 4 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.147.435 |
55 % |
RL |
sep manual emr eror/HAK KLS 3/JAMINAN DIBANTEX/SEP+/WL IGD/DINA |
| 167 |
2335723 |
650077 |
0130R0060425V007568 |
MARYANI, NY |
38 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-23 |
of 2 dgn colic abd, - (Diagnosa Utama) |
KLS I |
OLIVINE 3 BED 2 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
7 |
|
Rp 5.795.787 |
209 % |
of 2 dgn colic abd broonkhuitis GERD |
HAK KLS 1 /SEP +/ KAMPEN +/ RINA /CRYSTAL 07 - 5 PINDAH OLIVINE 03-2 |
| 168 |
2338620 |
374216 |
0130R0060425V009529 |
TETI NURHAYATI, NY |
61 th |
Iman Fatullah, dr, Sp.JP |
2025-04-29 |
CAD, - (Diagnosa Masuk) |
KLS I |
OLIVINE 4 BED 2 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
1 |
|
Rp 332.010 |
10 % |
|
R CT CARDIAC/ HAK KLS 1 / RINA / SEP + |
| 169 |
2334429 |
649960 |
0130R0060425V006681 |
UJANG DANI, TN |
38 th |
Try S Rahantan, dr, Sp.B., FINACS., FICS |
2025-04-21 |
post trauma dgn susp retensio urine, - (Diagnosa Utama) |
KLS III |
OLIVINE 6 BED 3 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
9 |
|
Rp 16.239.029 |
53 % |
Perironitis diffuse ec perforasi colon transversum + Hipoalbuminemia tindakan LE + repair colon tranversum + appendectomy + peritoneal toilet |
JATUH DARI TANGGA DIRUMAH/KRONOLOGIS +/ jaminandi bantek / zia / sep+/ onyx 5-2 |
| 170 |
2337523 |
456598 |
0130R0060425V008805 |
UUN NURHAYATI, NY |
51 th |
Pramita Kusuma CN, dr, Sp.KK |
2025-04-27 |
kondiloma akuminata, - (Diagnosa Masuk) |
KLS III |
OLIVINE 7 BED 5 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.737.713 |
52 % |
|
HAK KLS 3 /SEP +/WL IGD / RINA |
| 171 |
2337519 |
650261 |
0130R0060425V008800 |
DAYAT ,TN |
55 th |
Muhammad Rainda Farhan, Sp.BS, dr |
2025-04-27 |
MHI + obs vomitus , - (Diagnosa Masuk) |
KLS III |
OLIVINE 6 BED 2 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.508.870 |
78 % |
MHI |
JATUH DARI KURSI DI TERAS RUMAH/KRONOLOGIS +/ HAK KLS 3 /RINA /WL IGD |
| 172 |
2337680 |
484032 |
0130R0060425V008906 |
TETI HARTATI,NY |
73 th |
Boby Harul Priono, dr, Sp. OT |
2025-04-28 |
radikulopasti lumbal |
KLS I |
OLIVINE 1 BED 2 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 4.981.826 |
96 % |
|
OP ELEKTIF/HAK KLS 1/JAMINAN DI BANTEK/SIRO |
| 173 |
2338388 |
449078 |
0130R0060425V009353 |
AHMAD MAOLUD, TN |
48 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
OF+GEA, - (Diagnosa Masuk) |
KLS I |
OLIVINE 2 BED 2 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.837.107 |
57 % |
|
KLS 1/ JAMINAN DI BANTEK / ZIA / SEP+ // A 3669 MH + |
| 174 |
2337507 |
396021 |
0130R0060425V008789 |
AAN ANISAH, NY |
46 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
obs vomitus + gerd+ dehidrasi sedang , - (Diagnos |
KLS I |
OLIVINE 3 BED 1 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.720.610 |
53 % |
GERD |
HAK KLS 1/JAMINAN DIBANTEX/SEP+/DINA |
| 175 |
2337536 |
624401 |
0130R0060425V008816 |
DODI SUKMANA, TN |
30 th |
Daruqutni, dr, Sp. U |
2025-04-27 |
Colic renal dd. Isk, - (Diagnosa Masuk) |
KLS III |
OLIVINE 6 BED 1 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.637.757 |
100 % |
|
HAK KLS 3/JAMINAN DI BANTEK/SIRO/WL IGD |
| 176 |
2337472 |
650245 |
0130R0060425V008764 |
ODAH, NY |
58 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
PSMBA + susp itp + dm + ht , - (Diagnosa Masuk) |
KLS III |
OLIVINE 7 BED 2 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
4 |
|
Rp 3.662.127 |
239 % |
|
HAK KELAS 3/ JAMINAN DI BANTEK /HELMI / WL IGD /SEP |
| 177 |
2337564 |
502784 |
0130R0060425V008834 |
ENEN , NY |
49 th |
Pramita Kusuma CN, dr, Sp.KK |
2025-04-27 |
Psoriasis pustulosa, - (Diagnosa Masuk) |
KLS III |
OLIVINE 7 BED 3 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.896.895 |
74 % |
|
HAK KLS 3/JAMINAN DI BANTEK/SIRO/WL |
| 178 |
2337823 |
650303 |
0130R0060425V009038 |
WIDALIAWATI, NY |
64 th |
Joko Purwito, Sp. B |
2025-04-28 |
obs trauma thorax dextra dd muscle sprain, - (Diagnosa Masuk) |
KLS I |
OLIVINE 4 BED 1 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 2.034.476 |
52 % |
|
JATUH TERPELESET SAAT DI DALAM DIRUMAH/KRONOLOGIS+/ HAK KLS 1 / SEP +/ RINA |
| 179 |
2338305 |
650336 |
0130R0060425V009337 |
MULYANI ,NY |
49 th |
Joko Purwito, Sp. B |
2025-04-28 |
ulkus pedis dextr, - (Diagnosa Utama) |
KLS III |
OLIVINE 7 BED 1 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.684.217 |
77 % |
|
KLS 3/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 180 |
2335509 |
571505 |
0130R0060425V007469 |
NUNUNG NURAENI,NY |
49 th |
Muhammad Rainda Farhan, Sp.BS, dr |
2025-04-23 |
Reudine Meningothelid meningioma paresis cranial nerve 7 sinistra |
KLS III |
OLIVINE 7 BED 4 |
|
OLIVINE |
BPJS KESEHATAN |
0 |
7 |
|
Rp 18.318.951 |
81 % |
Meningothelial meningioma falcotentorial tindakan re craniotomy tumor removal tgl.24/4 |
ELEKTIF/HAK KLS 3/JAMINAN DI BANTEK/SIRO/ icu pindah OLIVINE 07 - 4 |
| 181 |
2337518 |
650260 |
0130R0060425V008802 |
ADE ,TN |
69 th |
M.R.Kurnia Eni Savitri ,dr ,Sp.PD |
2025-04-27 |
gerd +of ec susp tf dd df + dehidrasi sedang , - (Diagnosa Masuk) |
KLS III |
ONYX 7 BED 6 |
|
ONYX |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.562.787 |
107 % |
bi, dyspepsia
|
HAK KLS 3 / SEP +/WL IGD |
| 182 |
2337520 |
538311 |
0130R0060425V008801 |
SOLEHUDIN , TN |
60 th |
Boby Harul Priono, dr, Sp. OT |
2025-04-27 |
open fracture ar digiti Iv pedis sintstra , - (Diagnosa Masuk) |
KLS III |
ONYX 7 BED 2 |
|
ONYX |
BPJS KESEHATAN |
0 |
3 |
|
Rp 7.431.087 |
81 % |
fraktur pedis digiti 4 TX Orif |
KAKI TERTIMPA TABUNG GAS DIRUMAH/KRONOLOGIS +/ HAK KLS 3 /SEP +/WL IGD / RINA |
| 183 |
2337359 |
650213 |
0130R0060425V008719 |
YUYUN YUNARTI, NY |
64 th |
Muhammad Barry Akbar, dr, Sp.N |
2025-04-26 |
hemiparese dextra ec susp stroke infark dd hemorrhagic, - (Diagnosa Masuk) |
KLS III |
ONYX 2 BED 3 |
|
ONYX |
BPJS KESEHATAN |
0 |
4 |
|
Rp 3.173.310 |
60 % |
stroke infak
|
JATUH DI KAMAR MANDI/KRONOLOGIS+/ KLS 3/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 184 |
2337503 |
563199 |
0130R0060425V008785 |
ROSID, TN |
69 th |
Firman Noor Habibi, dr, Sp.JP |
2025-04-26 |
chf dd cad , - (Diagnosa Masuk) |
KLS III |
ONYX 7 BED 5 |
|
ONYX |
BPJS KESEHATAN |
0 |
4 |
|
Rp 2.998.138 |
50 % |
TB paru, CHF, cad |
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD /SEP+/alih dpjp/ t 3603 ij |
| 185 |
2338389 |
561859 |
0130R0060425V009354 |
EKA MUTIARA DEWI , NY |
28 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-28 |
OF+VOmitus+DM, - (Diagnosa Masuk) |
KLS III |
ONYX 2 BED 2 |
|
ONYX |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.170.802 |
36 % |
|
BLPL 17/04/2025/ KLS 1/ JAMINAN DI BANTEK / ZIA / SEP+/ t 5210 jc |
| 186 |
2338406 |
454407 |
0130R0060425V009367 |
ROHIMAH , NY |
61 th |
Jeppri Bangun, dr, Sp.B |
2025-04-28 |
ULkus DM, - (Diagnosa Masuk) |
KLS III |
ONYX 2 BED 4 |
|
ONYX |
BPJS KESEHATAN |
0 |
2 |
|
Rp 2.011.327 |
37 % |
|
ORTU MAS ANTO TEKNIK/HAK KELAS 3/ JAMINAN DI ADM/ HELMI / ONYX 02-4 |
| 187 |
2337682 |
629975 |
0130R0060425V008910 |
ENENG SINTA, NY |
26 th |
Try S Rahantan, dr, Sp.B., FINACS., FICS |
2025-04-28 |
Synovial cyst ar wrist joint sinistra |
KLS III |
ONYX 2 BED 1 |
|
ONYX |
BPJS KESEHATAN |
0 |
2 |
|
Rp 5.552.292 |
134 % |
|
HAK KLS 3 / RINA / OP ELEKTIF / Acc Sedang // t 8249 aq |
| 188 |
2337350 |
650228 |
0130R0060425V008728 |
KARSAN BIN RASDA, TN |
62 th |
Muhammad Barry Akbar, dr, Sp.N |
2025-04-26 |
vertigo perifer dd sentral, Other peripheral vertigo - H81.3(Diagnosa Masuk) |
KLS III |
ONYX 7 BED 1 |
|
ONYX |
BPJS KESEHATAN |
0 |
4 |
|
Rp 1.702.207 |
107 % |
vertigo, dyspepsia |
TIDAK PUNYA HP/ JAMINAN DI BANTEK / ZIA / SEP+ |
| 189 |
2337517 |
650259 |
0130R0060425V008797 |
DASTA, TN |
58 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
Kolik renal susp bsk, - (Diagnosa Masuk) |
KLS III |
ONYX 7 BED 3 |
|
ONYX |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.470.177 |
67 % |
dmt2, bi, dyspepsia
|
HAK KLS 3 / RINA /SEP +6/ WL IGD |
| 190 |
2337880 |
650308 |
0130R0060425V009079 |
ROY MADROWI, TN |
52 th |
Joko Purwito, Sp. B |
2025-04-28 |
susp bullae pedis dextra, - (Diagnosa Masuk) |
KLS I |
ONYX 1 BED 1 |
|
ONYX |
BPJS KESEHATAN |
0 |
2 |
|
Rp 6.433.103 |
238 % |
|
HAK KLS 1 / RINA /SEP + |
| 191 |
2332419 |
390499 |
0130R0060425V005331 |
RIFKI ARIFALDI, AN |
12 th |
Muhammad Rainda Farhan, Sp.BS, dr |
2025-04-17 |
obs seizure post op craniotomy, - (Diagnosa Masuk) |
PICU |
NICU/PICU BED 1 |
|
PICU |
BPJS KESEHATAN |
0 |
13 |
|
Rp 34.203.350 |
108 % |
epidural abses +osteomyelitis, respiratori failure,TTIK,ulkus decubitus tindakan craniotomy debridement epidural abcess On venti tgl.19/4 jam 21.00 |
RIW TUMOR OTAK POST OP RS LAIN DI BANDUNG/ ACC PRO PICU + |
| 192 |
2337573 |
472037 |
0130R0060425V008845 |
ANI KHADIZAH, NY |
27 th |
Erwin Supriadi, dr, Sp. OG |
2025-04-27 |
G1P0A) gr 3-4 ws + kolik abd susp KET dd isk, - (Diagnosa Masuk) |
KLS II |
SAPHIRE 2 BED 1 |
|
SAPHIRE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.459.244 |
72 % |
|
HAK KELAS 2/ JAMINAN DI BANTEK / HELMI /SAPHIRE 02-1 |
| 193 |
2337631 |
650291 |
0130R0060425V008859 |
ALFINA MEYLANI PUTRI, NN |
22 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
gea, - (Diagnosa Masuk) |
KLS II |
SHAFIRE 5 BED 2 |
|
SAPHIRE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 848.859 |
40 % |
|
hak kelas 2/ jaminan di bante / helmi / wl igd /sep+ |
| 194 |
2338179 |
650327 |
0130R0060425V009237 |
NUNUY SITI NURJANAH, NY |
25 th |
Fatolosa Pardomuan Panjaitan, dr, Sp. OG |
2025-04-28 |
g2p1a0 gr 38 39 mggu dgn oiligohydramnion, - (Diagnosa Utama) |
KLS III |
SHAFIRE 5 BED 3 |
|
SAPHIRE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 2.398.762 |
90 % |
|
KLS 3/ JAMINAN DI BANTEK/ ZIA / SEP+ |
| 195 |
2337558 |
627905 |
0130R0060425V008824 |
CUCU JUARIAH, NN |
43 th |
Fatolosa Pardomuan Panjaitan, dr, Sp. OG |
2025-04-27 |
mioma uteri , - (Diagnosa Masuk)HT , - (Diagnosa Sekunder) |
KLS III |
SAPHIRE 2 BED 4 |
|
SAPHIRE |
BPJS KESEHATAN |
0 |
3 |
|
Rp 8.993.483 |
304 % |
|
REN OP/HAK KLS 3/JAMINAN DI BANTEKSIRO |
| 196 |
2338272 |
638106 |
0130R0060425V009347 |
SUSI MULYATI, NY |
38 th |
Maulia Mardini, dr , MARS, Sp.OG |
2025-04-28 |
G$P3AO hamil 36-37 mgg dg bsc 2x jth preskep + obesitas |
KLS III |
SAPHIRE 2 BED 2 |
|
SAPHIRE |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.028.870 |
43 % |
|
hak kls 3/op elektif acc paket sc /rania |
| 197 |
2338421 |
650354 |
|
RINI PEBRIANTI, NY |
25 th |
Maulia Mardini, dr , MARS, Sp.OG |
2025-04-29 |
g2p1a0 uk 6 mgg+ HEG , - (Diagnosa Masuk) |
KLS III |
SHAFIRE 5 BED 4 |
|
SAPHIRE |
BPJS KESEHATAN |
0 |
1 |
|
Rp 529.798 |
20 % |
|
RENCANA URUS UHC ACC+/ HAK KELAS 3/ JAMINAN DI ADM / HELMI / SAPHIRE 05- 4 |
| 198 |
2337494 |
650251 |
0130R0060425V008779 |
SURIAH, NY |
53 th |
Bima Valentino Samsudin G, dr,Sp.PD |
2025-04-26 |
of ec susp tf dd df , - (Diagnosa Masuk) |
KLS III |
TOPAZ 1 BED 3 |
|
TOPAZ |
BPJS KESEHATAN |
0 |
4 |
|
Rp 1.683.517 |
77 % |
vi, dyspepsia |
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD /SEP |
| 199 |
2337556 |
650273 |
0130R0060425V008822 |
LILIS SULASTRI, NY |
50 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
OF H5 ec VI dd/ BI + DM + gastroparesis , - (Diagnosa Masuk) |
KLS III |
TOPAZ 1 BED 5 |
|
TOPAZ |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.756.387 |
48 % |
dmt2 |
HAK KLS 3/JAMINAN DI BANTEK/SIRO/WL |
| 200 |
2338390 |
650343 |
|
RIZAL NASIHUL AMIN, TN |
29 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
OF+Faringitis+ISPA, - (Diagnosa Masuk) |
KLS III |
TOPAZ 2 BED 2 |
|
TOPAZ |
BPJS KESEHATAN |
0 |
2 |
|
Rp 437.587 |
14 % |
|
KLS 3/ JAMINAN DI ADM/ ZIA ./ DENDA - |
| 201 |
2337509 |
650255 |
0130R0060425V008796 |
IRNA WANTI, NY |
26 th |
M.R.Kurnia Eni Savitri ,dr ,Sp.PD |
2025-04-27 |
GERD, - (Diagnosa Masuk) |
KLS III |
TOPAZ 1 BED 6 |
|
TOPAZ |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.476.267 |
162 % |
dyspepsia |
sep manual emr eror/HAK KLS 3/JAMINAN DIBANTEX/SEP+/WL IGD/DINA |
| 202 |
2337603 |
650287 |
0130R0060425V008857 |
ILWAN PARDIANA, TN |
25 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-28 |
Of III, - (Diagnosa Masuk) |
KLS III |
TOPAZ 2 BED 1 |
|
TOPAZ |
BPJS KESEHATAN |
0 |
2 |
|
Rp 1.191.487 |
43 % |
|
SUAMI UTI APOTEK/ HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD /SEP+ |
| 203 |
2338457 |
558916 |
0130R0060425V009379 |
AHMAD RIFAI, TN |
32 th |
Mohammad Rosyid Ridho, dr, Sp.Pd |
2025-04-29 |
OF H3, - (Diagnosa Masuk) |
KLS III |
TOPAZ 2 BED 3 |
|
TOPAZ |
BPJS KESEHATAN |
0 |
1 |
|
Rp 366.550 |
13 % |
|
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD /SEP+ |
| 204 |
2337514 |
650258 |
0130R0060425V008793 |
HERA LIDIANTI, NN |
19 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
OF H-4, - (Diagnosa Masuk) |
KLS III |
TOPAZ 1 BED 4 |
|
TOPAZ |
BPJS KESEHATAN |
0 |
3 |
|
Rp 2.111.602 |
96 % |
vi, dyspepsia |
sep manual emr eror/HAK KLS 3/JAMINAN DIBANTEX/SEP+/WL IGD/DINA |
| 205 |
2337577 |
650285 |
0130R0060425V008850 |
RAHMAWATI, NY |
24 th |
Rizha Zhetira, dr,Sp.PD |
2025-04-27 |
Vomitus profuse, - (Diagnosa Masuk) |
KLS III |
TOPAZ 1 BED 1 |
|
TOPAZ |
BPJS KESEHATAN |
0 |
3 |
|
Rp 1.146.652 |
54 % |
|
HAK KELAS 3/ JAMINAN DI BANTEK / HELMI / WL IGD / |
