LAPORAN OBAT SESUAI FOEMULARIUM FEBRUARI 2019

No No RM Nama Umur Jenis Tgl Tgl Keluar Dokter Diagnosa Tindakan SESUAI
FORMULARIUM KETERANGAN
Kelamin Masuk
25-02-2019 27-02-2019
1 03.42.87 EUNIKE VILIA MUTU 18 P
. .
dr Nina SpPD Typhoid fever

02-02-2019 06-02-2019 dr. Simplicia Maria Diarrhoea and gastroenteritis

02.52.42 JAVIER AZKA RIHI TUGU 1 L
. . Anggrahini,Sp.A of presumed infectious origin
2
MATTHEW HENRY WILA 27-01-2019 01-02-2019 Diarrhoea and gastroenteritis
03.34.72
PAU 0 L
. .
dr.Frans Taolin,Sp.A
of presumed infectious origin
3
27-01-2019 02-02-2019 Diarrhoea and gastroenteritis
03.34.81 BY.FENY Y.CROSBY TINE 0 P
. .
dr.Frans Taolin,Sp.A
of presumed infectious origin
4
10-02-2019 14-02-2019 Diarrhoea and gastroenteritis
02.05.63 INDAH AYU SAFITRI 1 P
. .
dr.Frans Taolin,Sp.A
of presumed infectious origin
5
ANARGHYA KUSUMA 15-02-2019 18-02-2019 Diarrhoea and gastroenteritis
03.40.32
ATMAJA 0 L
. .
dr.Frans Taolin,Sp.A
of presumed infectious origin
6
MAHARDIKA JANUAR 13-02-2019 18-02-2019 Diarrhoea and gastroenteritis
02.92.78
ULLY 1 L
. .
dr.Frans Taolin,Sp.A
of presumed infectious origin
7
STIVEN ZATRYA 01-02-2019 06-02-2019 dr. Irene Lokananta, Diarrhoea and gastroenteritis
00.48.84
TAEBONAT 3 L
. . Sp.BA of presumed infectious origin
8
19-02-2019 23-02-2019 Diarrhoea and gastroenteritis
03.41.24 GLORIA LALUS 1 P
. .
dr.Frans Taolin,Sp.A
of presumed infectious origin
9
JORDANNE CELLINE 08-02-2019 09-02-2019 Diarrhoea and gastroenteritis
03.22.15
AURISTELA 0 P
. .
dr. Iren David, Sp.A
of presumed infectious origin
10
10-02-2019 11-02-2019 Diarrhoea and gastroenteritis
02.86.07 AUDRA ROHI DJAMI 1 P
. .
dr. Iren David, Sp.A
of presumed infectious origin
11
FRANCESCO MEGIYANTO 30-01-2019 01-02-2019 Diarrhoea and gastroenteritis
02.06.34
KERI 1 L
. .
dr. Iren David, Sp.A
of presumed infectious origin
12

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 KAYVANOEL D. NONG 04-02-2019 05-02-2019 Diarrhoea and gastroenteritis
03.36.89
BABA 1 L
. .
dr. Iren David, Sp.A
of presumed infectious origin
13
07-02-2019 13-02-2019 Dr.Tjahyo Suryanto, Diarrhoea and gastroenteritis
03.37.96 MEISAEL AZRIEL NOPE 1 L
. . SpA. MBiomed of presumed infectious origin
14
08-02-2019 11-02-2019 Bacterial infection,
15
02.32.71 GILBERT GIOVANI A.ISU 1 L
. .
dr. Iren David, Sp.A
unspecified
11-02-2019 12-02-2019 Bacterial infection,
16
03.38.73 FELICA UFI 1 P
. .
dr. Iren David, Sp.A
unspecified
TZURIEL VANDERICK 07-02-2019 09-02-2019 Bacterial infection,
17
02.08.99
EZANZER LERRICK 1 L
. .
dr. Iren David, Sp.A
unspecified
17-02-2019 20-02-2019 Bacterial infection,
18
03.40.76 AGUSTINA FOE 55 P
. .
dr Nina SpPD
unspecified
11-02-2019 15-02-2019 Dengue fever [classical
19
01.65.08 PAULA E. LEDE 5 P
. .
dr.Frans Taolin,Sp.A
dengue]
21-02-2019 24-02-2019 Dengue fever [classical
20
03.41.93 RINI TAROCI MANANEL 9 P
. .
dr. Iren David, Sp.A
dengue]
20-02-2019 22-02-2019 Dengue fever [classical
21
03.41.38 ISA SRIYANTI NENOBESI 8 P
. .
dr. Iren David, Sp.A
dengue]
GEVARIEL DARRELLIE 01-02-2019 09-02-2019 dr. Irene Lokananta, Dengue fever [classical
22
01.69.33
BILI 2 L
. . Sp.BA dengue]
04-02-2019 08-02-2019 dr. Irene Lokananta, Dengue fever [classical
23
03.36.87 DANISWARA HASAN 0 L
. . Sp.BA dengue]
06-02-2019 11-02-2019 dr. Irene Lokananta, Dengue fever [classical
24
02.20.12 JIHAN ISMAN TAQIYYA 5 P
. . Sp.BA dengue]
31-01-2019 04-02-2019 Dengue fever [classical
25
03.36.12 MELDA ESTER NITSAE 20 P
. .
dr Nina SpPD
dengue]
MARISA LEONY 02-02-2019 04-02-2019 Dengue fever [classical
26
02.13.38
DAPATAKA 34 P
. .
dr Nina SpPD
dengue]
GHISELA RAMBU TEBA 29-01-2019 01-02-2019
27 03.35.56
SIKKA 6 P
. .
dr.Frans Taolin,Sp.A Dengue haemorrhagic fever
KHAEZU N.ZAYYANI 22-02-2019 24-02-2019
28 03.40.89
WIJAYA 7 L
. .
dr.Frans Taolin,Sp.A Dengue haemorrhagic fever
17-02-2019 19-02-2019
29 03.39.71 ZAINAL ARIFIN 3 L
. .
dr.Frans Taolin,Sp.A Dengue haemorrhagic fever
16-02-2019 20-02-2019
30 00.51.01 AURA LATISYA AQUINA 3 P
. .
dr.Frans Taolin,Sp.A Dengue haemorrhagic fever
13-02-2019 17-02-2019
31 03.39.71 ZAINAL ARIFIN 3 L
. .
dr.Frans Taolin,Sp.A Dengue haemorrhagic fever
24-02-2019 28-02-2019
32 03.42.55 PATRICK JULIO LEANG 0 L
. .
dr.Frans Taolin,Sp.A Dengue haemorrhagic fever

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 RIZMAN TAGELA 14-02-2019 20-02-2019
33 03.39.91
SUBNAFEU 4 L
. .
dr.Frans Taolin,Sp.A Dengue haemorrhagic fever
KENWARD ISAKA 29-01-2019 04-02-2019
34 02.00.35
ABINENO 1 L
. .
dr. Iren David, Sp.A Dengue haemorrhagic fever
01-02-2019 05-02-2019 Dr.Tjahyo Suryanto,
35 03.36.20 ANGELITA TARI 5 P
. . SpA. MBiomed
Dengue haemorrhagic fever
YULANDY TITIEN 05-02-2019 07-02-2019 dr. Irene Lokananta,
36 03.36.48
KLAENONI 11 P
. . Sp.BA
Dengue haemorrhagic fever
MARIA RIESTHAVIANY 03-02-2019 06-02-2019 dr. Irene Lokananta, Unspecified viral
37
02.41.72
BENA 1 P
. . Sp.BA haemorrhagic fever
DEANDRA GABRIELLA 10-02-2019 13-02-2019 pper respiratory infections
38
03.38.53
KASSE 1 P
. .
dr. Iren David, Sp.A
(J00-J06)
PRAXEDIS ANNA LIO 15-02-2019 17-02-2019 Unspecified viral hepatitis
39
03.40.43
KOSAD 51 P
. .
dr Nina SpPD
without hepatic coma
AN. VALINKA 19-02-2019 23-02-2019
40 00.08.36
GERALDINE ROHI 6 P
. .
Viral infection, unspecified
MARIA B.ADELHEID 10-02-2019 17-02-2019
41 03.38.65
GADA 4 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
22-02-2019 25-02-2019
42 03.42.10 ALVIAN ADU 3 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
RAFHARD LYONEL 22-02-2019 26-02-2019
43 02.94.43
HENDRIK BAKY 6 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
HADRIEL EFRAIN 31-01-2019 04-02-2019
44 02.38.66
SILALAHI 3 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
KEANNA RHEA K. 01-02-2019 06-02-2019
45 03.36.22
WINARNO 2 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
ELKANA GABRIEL 03-02-2019 07-02-2019 dr. Irene Lokananta,
46 01.42.84
SAEFATU 3 L
. . Sp.BA
Viral infection, unspecified
06-02-2019 09-02-2019 dr. Irene Lokananta,
47 02.69.77 MIKHAYLA JANITRA 0 P
. . Sp.BA
Viral infection, unspecified
20-02-2019 25-02-2019
48 03.41.56 TROY ADRIEL NDUN 2 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
19-02-2019 24-02-2019
49 02.96.21 EVELYN M. BANUNAEK 4 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
19-02-2019 23-02-2019
50 02.54.41 KIMBERLY P. KIUK 1 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
MOCHAMMAD ALMER T 06-02-2019 09-02-2019
51 03.37.63
P AMRI 7 L
. .
dr. Iren David, Sp.A Viral infection, unspecified
TB FAREL ADITYA 07-02-2019 09-02-2019 dr. Irene Lokananta,
52 03.37.58
PRATAMA 5 L
. . Sp.BA
Viral infection, unspecified
03-02-2019 06-02-2019 dr. Irene Lokananta,
53 03.36.77 NAIYA MARLIANA NENO 5 P
. . Sp.BA
Viral infection, unspecified
11-02-2019 15-02-2019
54 00.81.20 MELVY DOMIN TAPATAB 14 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
11-02-2019 19-02-2019
55 00.51.19 AN.ACHEVA C.E.MANI 3 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 16-02-2019 21-02-2019
56 03.40.64 GRESYA MARIANA SORU 4 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
AN. ALEXANDER R. BALI 24-02-2019 27-02-2019
57 01.34.60
DULI OLA 3 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
DEWULAN AYUDIAN 14-02-2019 19-02-2019
58 03.39.86
FUNAY 7 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
SALMUN G ADELO 14-02-2019 16-02-2019
59 01.11.98
MODOK 4 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
TIARA ANGGELA 01-02-2019 06-02-2019
60 02.39.20
NDAOMANU 2 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
18-02-2019 22-02-2019
61 01.28.50 AN. JACOB NAEL POETRA 4 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
KHAEZU N.ZAYYANI 18-02-2019 22-02-2019
62 03.40.89
WIJAYA 7 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
CLARESA NADYA L. 10-02-2019 17-02-2019
63 03.38.67
MEZE 2 P
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
LAURENSIUS MICHAEL A. 10-02-2019 17-02-2019
64 03.38.69
MOGO 4 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
JOSHUA BENNEDICK 11-02-2019 14-02-2019
65 03.38.84
DALLY 8 L
. .
dr.Frans Taolin,Sp.A Viral infection, unspecified
17-02-2019 18-02-2019 dr.D.A.A.Shanti
66 03.33.79 DEBORA BANA. TASEY 34 P
. . Widyasari,SpOG
Anaemia, unspecified
30-01-2019 01-02-2019 Other specified
67
03.04.37 FIENTJE ROHI B. THOME 72 P
. .
dr Nina SpPD
hypothyroidism

21-02-2019 24-02-2019 Other specified diabetes

02.83.25 ANGGI NATALIA DETHAN 34 P
. .
dr Nina SpPD
mellitus without complications
68
01-02-2019 04-02-2019 dr.D.A.P. Shinta
69 00.26.07 ENDANG D.SERANG 37 P
. . Widari,Sp.KJ, MARS
Paranoid schizophrenia
FEBRINA ADRIANA 21-02-2019 24-02-2019 dr.D.A.P. Shinta Severe depressive episode
70
03.29.86
NAHAK MUDIN 56 P
. . Widari,Sp.KJ, MARS with psychotic symptoms
12-02-2019 14-02-2019 dr.D.A.P. Shinta Severe depressive episode
71
02.73.52 RIBCA S.K. FANGIDAE 19 P
. . Widari,Sp.KJ, MARS with psychotic symptoms
29-01-2019 01-02-2019
72 02.57.58 BENDALINA REDE TENGA 42 P
. .
dr Nina SpPD Migraine, unspecified
11-02-2019 13-02-2019 dr. Ahmad Hendra Unspecified haemorrhoids
73
01.04.98 NY. APRIANI SINE PATTY 40 L
. . Yuniarsa, Sp.B with other complications
Tindakan Bedah

BERRYL LEONARD 02-02-2019 06-02-2019 dr. Simplicia Maria Acute nasopharyngitis

74
02.15.34
NEMESIO NDEOK 2 L
. . Anggrahini,Sp.A [common cold]
10-02-2019 14-02-2019 Acute nasopharyngitis
75
01.51.91 SABRIA ADILA HAFISZA 3 P
. .
dr.Frans Taolin,Sp.A
[common cold]
30-01-2019 02-02-2019 Acute nasopharyngitis
76
03.35.90 ZHAFIRA ANNISA 5 P
. .
dr.Frans Taolin,Sp.A
[common cold]
23-02-2019 27-02-2019 Acute nasopharyngitis
77
03.13.34 ABIZAI NICOSALIM PADA 0 L
. .
dr.Frans Taolin,Sp.A
[common cold]

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 07-02-2019 09-02-2019 Acute nasopharyngitis
78
03.34.27 KHAIRINA NUR MALAIKA 1 P
. .
dr.Frans Taolin,Sp.A
[common cold]
MYSHA SHAQEENA 17-02-2019 20-02-2019 Acute nasopharyngitis
79
03.40.83
ALMAHYRA 0 P
. .
dr.Frans Taolin,Sp.A
[common cold]
REY IVANDER BATARA 06-02-2019 10-02-2019 dr. Irene Lokananta, Acute nasopharyngitis
80
03.20.12
TURNIP 2 L
. . Sp.BA [common cold]
MICHYA M.ANGGELINA 03-02-2019 09-02-2019 dr. Irene Lokananta, Acute nasopharyngitis
81
03.36.75
SADUK 8 P
. . Sp.BA [common cold]
RAFAEL ANTHONIO 12-02-2019 14-02-2019 dr. Irene Lokananta, Acute nasopharyngitis
82
02.23.93
BOYMAU 1 L
. . Sp.BA [common cold]
AN. HENDRIKUS HENOK 22-02-2019 27-02-2019 Acute nasopharyngitis
83
00.95.01
TUPEN DOSI 4 L
. .
dr.Frans Taolin,Sp.A
[common cold]
MARC CHARLO B. C.DA 26-02-2019 28-02-2019 Acute nasopharyngitis
84
01.16.95
SILVA 4 L
. .
dr.Frans Taolin,Sp.A
[common cold]
05-02-2019 06-02-2019 Acute nasopharyngitis
85
02.15.69 ALFIANO JUNIOR MANU 1 L
. .
dr. Iren David, Sp.A
[common cold]
30-01-2019 02-02-2019 Acute nasopharyngitis
86
01.65.76 MARK MODENA PISDON 2 L
. .
dr. Iren David, Sp.A
[common cold]
CHEALSY FHERLYN 30-01-2019 04-02-2019 Acute nasopharyngitis
87
03.35.94
MALESSY 1 P
. .
dr. Iren David, Sp.A
[common cold]
04-02-2019 06-02-2019 dr. Irene Lokananta, Acute nasopharyngitis
88
03.36.97 HENDRA P.B KABALU 8 L
. . Sp.BA [common cold]
ENJELIKA JENET AMOS 16-02-2019 20-02-2019 Acute nasopharyngitis
89
03.40.62
PAH 7 P
. .
dr.Frans Taolin,Sp.A
[common cold]
AIRA ZULEKHA NISFU 15-02-2019 16-02-2019 Acute nasopharyngitis
90
03.40.19
SYA'BAN 2 P
. .
dr.Frans Taolin,Sp.A
[common cold]
LANINA KIMBERLY S. 15-02-2019 19-02-2019 Acute nasopharyngitis
91
03.40.45
LETIK 4 P
. .
dr.Frans Taolin,Sp.A
[common cold]
RANNY MARIA JOEVITHA 08-02-2019 12-02-2019 Acute nasopharyngitis
92
03.02.43
BENNY 7 P
. .
dr.Frans Taolin,Sp.A
[common cold]
13-02-2019 17-02-2019 Acute nasopharyngitis
93
03.32.53 AULIA IZZATUNNISA 1 P
. .
dr.Frans Taolin,Sp.A
[common cold]
MAIKEL CHR 24-02-2019 28-02-2019 Acute nasopharyngitis
94
03.42.54
LEKATOMPESSY 11 L
. .
dr.Frans Taolin,Sp.A
[common cold]
17-02-2019 22-02-2019 Acute nasopharyngitis
95
02.59.15 KEANE DAVEL DAUD 3 L
. .
dr.Frans Taolin,Sp.A
[common cold]
10-02-2019 12-02-2019 Acute nasopharyngitis
96
03.38.68 SARAH ARISTY ANINDYA 8 P
. .
dr.Frans Taolin,Sp.A
[common cold]
NAUFAL RIZKY 18-02-2019 22-02-2019 Acute nasopharyngitis
97
03.40.42
MAULANA 0 L
. .
dr.Frans Taolin,Sp.A
[common cold]

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 16-02-2019 20-02-2019 Acute nasopharyngitis
98
03.39.89 ISLAHUL FIKRI 15 L
. .
dr.Frans Taolin,Sp.A
[common cold]
16-02-2019 21-02-2019 Acute nasopharyngitis
99
03.40.61 CLARA M. IVANNA NINU 6 P
. .
dr.Frans Taolin,Sp.A
[common cold]
CARISSA LUCIANY 16-02-2019 21-02-2019 Acute nasopharyngitis
100
02.54.90
THESA NINU 4 P
. .
dr.Frans Taolin,Sp.A
[common cold]

19-02-2019 24-02-2019 Other acute upper respiratory

01.52.37 CALVIN SIMMAR LEOB 3 L
. .
dr.Frans Taolin,Sp.A
infections of multiple sites
101
JOSH BENHARD M. 30-01-2019 02-02-2019 Other acute upper respiratory
03.35.75
FANDU 6 L
. .
dr.Frans Taolin,Sp.A
infections of multiple sites
102
AN. GRACELLA A. 05-02-2019 11-02-2019 Other acute upper respiratory
01.49.35
AGUSTAV 12 P
. .
dr.Frans Taolin,Sp.A
infections of multiple sites
103
MELANI JANITHA 11-02-2019 14-02-2019 Other acute upper respiratory
03.38.88
GABRIELA TUALAKA 4 P
. .
dr.Frans Taolin,Sp.A
infections of multiple sites
104
02-02-2019 03-02-2019 Other acute upper respiratory
03.36.33 WERNER H. S. KABELEN 10 L
. .
dr.Frans Taolin,Sp.A
infections of multiple sites
105
25-02-2019 28-02-2019 Other acute upper respiratory
03.19.08 RAHMANIA PUTRI 1 P
. .
dr.Frans Taolin,Sp.A
infections of multiple sites
106
08-02-2019 10-02-2019 dr. Irene Lokananta, Other acute upper respiratory
03.17.80 MARIA S.ROSARI NASUR 3 P
. . Sp.BA infections of multiple sites
107
RENALDA W.ALBERTINE 06-02-2019 07-02-2019 dr. Irene Lokananta, Other acute upper respiratory
03.37.33
BUGEL 7 P
. . Sp.BA infections of multiple sites
108
03-02-2019 06-02-2019 Other acute upper respiratory
03.36.76 WARSUSAN 41 P
. .
dr Nina SpPD
infections of multiple sites
109
MARIA GORETY 16-02-2019 19-02-2019 Other acute upper respiratory
01.86.58
NENOTEK 39 P
. .
dr Nina SpPD
infections of multiple sites
110
NAFILAH AULIA 20-02-2019 22-02-2019 Other acute upper respiratory
03.41.47
ARROYSYAH 6 P
. .
dr. Iren David, Sp.A
infections of multiple sites
111
RAFAEL KRISTIAN A. 01-02-2019 06-02-2019 Other acute upper respiratory
00.16.57
PUTRA KAPA KADO 11 L
. .
dr. Iren David, Sp.A
infections of multiple sites
112

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 04-02-2019 06-02-2019 Other acute upper respiratory
03.34.26 MUTIARA PUTRI RUDI 8 P
. .
dr. Iren David, Sp.A
infections of multiple sites
113
CHRISTIAN Y.M. FAITH 03-02-2019 09-02-2019 dr. Irene Lokananta, Other acute upper respiratory
01.90.79
TAY 5 L
. . Sp.BA infections of multiple sites
114
30-01-2019 01-02-2019 dr. Irene Lokananta, Other acute upper respiratory
03.35.95 ERLAND JONIAS NDAONG 5 L
. . Sp.BA infections of multiple sites
115
31-01-2019 04-02-2019 dr. Irene Lokananta, Other acute upper respiratory
02.60.02 TIARA JULIANA BOELAN 10 P
. . Sp.BA infections of multiple sites
116
27-01-2019 01-02-2019 Bronchopneumonia,
117
03.31.22 FLORA MARIA AMARAL 0 P
. .
dr. Iren David, Sp.A
unspecified
YOKSAN NANDES 06-02-2019 11-02-2019 dr. Irene Lokananta, Bronchopneumonia,
118
03.13.15
SAIJUNA 0 L
. . Sp.BA unspecified
30-01-2019 04-02-2019
119
00.81.20 MELVY DOMIN TAPATAB 14 L
. .
dr.Frans Taolin,Sp.A Acute bronchitis, unspecified

22-02-2019 27-02-2019
120
01.84.48 JAVIER ZENETTI MALO 2 L
. .
dr.Frans Taolin,Sp.A Acute bronchitis, unspecified

STARLA EVANGGELINA 15-02-2019 21-02-2019 Dr.Tjahyo Suryanto,

121
02.58.64
NAHAK 0 P
. . SpA. MBiomed
Acute bronchitis, unspecified
03-02-2019 04-02-2019 dr. Simplicia Maria
122 03.36.53 CHRISTIAN J. M. F. BOY 6 L
. . Anggrahini,Sp.A
Asthma, unspecified
17-02-2019 28-02-2019
123 02.14.89 AISYAH QUINNOVA INAR 3 P
. .
dr.Frans Taolin,Sp.A Asthma, unspecified
07-02-2019 09-02-2019 dr. Irene Lokananta,
124 03.37.76 CHARLY DENGAK 12 L
. . Sp.BA
Dyspepsia
RACHEL KEZIA 18-02-2019 21-02-2019 dr. Irene Lokananta,
125 03.41.00
HEREWILA 15 P
. . Sp.BA
Dyspepsia
19-02-2019 22-02-2019 dr.D.A.A.Shanti
126 03.14.94 ANDI NURQALBI 38 P
. . Widyasari,SpOG
Dyspepsia
04-02-2019 06-02-2019
127 02.15.42 BAHRIA WAHAR 42 P
. .
dr Nina SpPD Dyspepsia
23-02-2019 25-02-2019
128 03.42.22 MARSELINA BANOLA 57 P
. .
dr Nina SpPD Dyspepsia
30-01-2019 01-02-2019
129 03.25.09 RANNY ROSITHA MADA 18 P
. .
dr Nina SpPD Dyspepsia
11-02-2019 12-02-2019
130 03.38.87 ARLIS HARAHAP 25 P
. .
dr Nina SpPD Dyspepsia
17-02-2019 19-02-2019
131 03.40.78 SILPA RASI 25 P
. .
dr Nina SpPD Dyspepsia
NY. APRIYANTI TINA 20-02-2019 23-02-2019
132 01.20.87
DHAE 25 P
. .
dr Nina SpPD Dyspepsia

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 19-02-2019 22-02-2019
133 01.50.25 MARTINA S. NIRON 63 P
. .
dr Nina SpPD Dyspepsia

Local infection of skin and

BY. YANSE KRISTIANA 06-02-2019 09-02-2019
03.37.67
MIHA DJAMI 0 L
. .
dr. Iren David, Sp.A subcutaneous tissue,
134 unspecified
18-02-2019 21-02-2019
135 03.41.10 CORNELIA FUNAY ROLE 65 P
. .
dr Nina SpPD Chronic renal failure
10-02-2019 13-02-2019 Urinary tract infection, site not
136
02.45.86 MARDELIA DERANG 66 P
. .
dr Nina SpPD
specified
18-02-2019 22-02-2019 Urinary tract infection, site not
137
01.94.91 NOVIN TANGKELANGI 27 P
. .
dr Nina SpPD
specified
26-02-2019 28-02-2019 Urinary tract infection, site not
138
02.79.95 MARIA K . S SILE 41 P
. .
dr Nina SpPD
specified
21-02-2019 23-02-2019 Urinary tract infection, site not
139
03.41.80 HUTRI SANGTIA KADJA 17 P
. .
dr Nina SpPD
specified
25-02-2019 28-02-2019 Urinary tract infection, site not
140
02.49.55 YAYA IDRAWANTI NDUN 32 P
. .
dr Nina SpPD
specified
ELNINO E. ABCHOURS 19-02-2019 21-02-2019 dr. Irene Lokananta, Redundant prepuce, phimosis
141
01.23.92
LETIK 8 L
. . Sp.BA and paraphimosis
Tindakan Bedah

03-02-2019 04-02-2019 dr.D.A.A.Shanti Incisi Bartolin Abces

142
00.41.85 NY. ARYANTI MALO 43 P
. . Widyasari,SpOG
Abscess of Bartholin's gland
+ Anastesi
19-02-2019 20-02-2019 dr.Dewa Putu Other and unspecified ovarian
143
00.82.15 NY. INEKE SETIAWARGA 37 P
. . Sahadewa, SpOG(K) cysts
LAPARATOMI

AFLINDI M. ATAUPAH - 20-02-2019 22-02-2019 dr. Andree Endometrial glandular

144
03.41.34
BAKO 46 P
. . Hartanto.SpOG hyperplasia
Curetage + Anastesi

21-02-2019 22-02-2019 dr. Andree Endometrial glandular

145
03.41.65 MARIA MENSE 53 P
. . Hartanto.SpOG hyperplasia
Curetage + Anastesi

12-02-2019 13-02-2019 dr. Andree Endometrial glandular

146
03.39.11 LASMINI HARMASTUTI 46 P
. . Hartanto.SpOG hyperplasia
Curetage + Anastesi

Excessive and frequent

YORI MINCE 12-02-2019 13-02-2019 dr.D.A.A.Shanti
03.39.14
KAMENGLEHI-TEFU 40 P
. . Widyasari,SpOG
menstruation with regular Curetage + Anastesi
147 cycle
Excessive and frequent
GUITRIDA NELSY N. 15-02-2019 16-02-2019 dr. Kt. Agus Sunatha,
03.40.37
LAMAWITAK 31 P
. . SpOG
menstruation with irregular Curetage + Anastesi
148 cycle
Excessive and frequent
08-02-2019 09-02-2019 dr. Kt. Agus Sunatha,
03.38.17 NIKEN SULA 31 P
. . SpOG
menstruation with irregular Curetage + Anastesi
149 cycle
Excessive and frequent
21-02-2019 22-02-2019 dr. Kt. Agus Sunatha,
03.41.71 WELY NOBRIHAS 25 P
. . SpOG
menstruation with irregular Curetage + Anastesi
150 cycle

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 22-02-2019 24-02-2019 dr.D.A.A.Shanti Abnormal uterine and vaginal
03.42.13 DEVY ELSYE 43 P
. . Widyasari,SpOG bleeding, unspecified
Curetage + Anastesi
151
23-02-2019 25-02-2019 dr. Kt. Agus Sunatha, Hydatidiform mole, Curetage Mola +
152
03.42.30 SISILIA H. C. TAOLIN 21 P
. . SpOG unspecified Anastesi
24-02-2019 25-02-2019 dr.D.A.A.Shanti Blighted ovum and
153
01.89.20 INGRIANI F.KILA SADUK 23 P
. . Widyasari,SpOG nonhydatidiform mole
Curetage + Anastesi

03-02-2019 04-02-2019 dr.D.A.A.Shanti Blighted ovum and

154
03.34.70 TUNIK PURWANDARI 38 P
. . Widyasari,SpOG nonhydatidiform mole
Curetage + Anastesi

09-02-2019 10-02-2019 dr.D.A.A.Shanti Blighted ovum and

155
03.34.70 TUNIK PURWANDARI 38 P
. . Widyasari,SpOG nonhydatidiform mole
MOW BPJS (B)

25-02-2019 26-02-2019 dr. Kt. Agus Sunatha, Blighted ovum and

156
00.10.68 NY. DIAN AFRIYANI 39 P
. . SpOG nonhydatidiform mole
Curetage + Anastesi

ELISABETH PUTRI 24-02-2019 25-02-2019 dr. Andree Blighted ovum and

157
03.42.43
KRISMAWATI 24 P
. . Hartanto.SpOG nonhydatidiform mole
Curetage + Anastesi

18-02-2019 22-02-2019 dr. Andree Blighted ovum and

158
03.40.93 JAMILA RAHMA 43 P
. . Hartanto.SpOG nonhydatidiform mole
Curetage + Anastesi

SUSANTI NATALIA 27-02-2019 28-02-2019 dr. Andree Blighted ovum and

159
00.44.06
RUPILU 26 P
. . Hartanto.SpOG nonhydatidiform mole
Curetage + Anastesi

27-02-2019 28-02-2019 dr. Andree Blighted ovum and

160
03.43.21 DEBORA VICTRES GIE 31 P
. . Hartanto.SpOG nonhydatidiform mole
Curetage + Anastesi
08-02-2019 09-02-2019 dr.D.A.A.Shanti
161 03.37.97 NORLINA I. TELNONI 30 P
. . Widyasari,SpOG
Missed abortion Curetage + Anastesi

Unspecified abortion,
24-02-2019 25-02-2019 dr.D.A.A.Shanti
00.04.73 NY. MERI S.BR. TAMBUN 38 P
. . Widyasari,SpOG
incomplete, with other and Curetage + Anastesi
162 unspecified
Unspecified abortion,
12-02-2019 13-02-2019 dr.D.A.A.Shanti
03.39.24 BOKI BOKO 18 P
. . Widyasari,SpOG
incomplete, with other and Curetage + Anastesi
163 unspecified
Unspecified abortion,
EDITH FERANITA 11-02-2019 12-02-2019 dr.D.A.A.Shanti
03.38.99
MANBAIT 43 P
. . Widyasari,SpOG
incomplete, with other and Curetage + Anastesi
164 unspecified
Unspecified abortion,
31-01-2019 01-02-2019 dr.D.A.A.Shanti
03.36.10 AGUSTIN TEGUH 37 P
. . Widyasari,SpOG
incomplete, with other and Curetage + Anastesi
165 unspecified
Unspecified abortion,
14-02-2019 16-02-2019 dr. Kt. Agus Sunatha,
03.40.07 DEVI WIRAWAN 26 P
. . SpOG
incomplete, with other and Curetage + Anastesi
166 unspecified
Unspecified abortion,
ANTUNIA MENSIAPDRI 25-02-2019 26-02-2019 dr. Andree
03.42.69
TEFNAI 36 P
. . Hartanto.SpOG
incomplete, with other and Curetage + Anastesi
167 unspecified

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 Unspecified abortion,
23-02-2019 24-02-2019 dr. Andree
03.42.38 SEROFINA SEKO 45 P
. . Hartanto.SpOG
incomplete, with other and Curetage + Anastesi
168 unspecified
Unspecified abortion,
24-02-2019 27-02-2019 dr. Andree
02.04.01 RIANA GISZELLA GAOS 25 P
. . Hartanto.SpOG
incomplete, with other and Curetage + Anastesi
169 unspecified
Unspecified abortion,
24-02-2019 25-02-2019 dr. Andree
03.42.49 REGINA WAGI 29 P
. . Hartanto.SpOG
incomplete, with other and Curetage + Anastesi
170 unspecified
Unspecified abortion,
26-02-2019 27-02-2019 dr. Andree
03.43.03 YUL MEGA SARI BESSIE 29 P
. . Hartanto.SpOG
incomplete, with other and Curetage + Anastesi
171 unspecified
Pre-existing hypertensive
25-02-2019 27-02-2019 dr.D.A.A.Shanti
03.42.75 SHINTA P. NEPARASI 24 P
. . Widyasari,SpOG
disorder with superimposed Sectio Cesarea
172 proteinuria
Pre-existing hypertensive
12-02-2019 18-02-2019 dr.D.A.A.Shanti
01.93.83 YETI YULIANA LUDJI 35 P
. . Widyasari,SpOG
disorder with superimposed Sectio Cesarea
173 proteinuria
21-02-2019 23-02-2019 dr.D.A.A.Shanti
174 03.41.96 YUSTIN 40 P
. . Widyasari,SpOG
Moderate pre-eclampsia Sectio Cesarea
19-02-2019 21-02-2019 dr.Dewa Putu
175 00.79.22 NY.MAISARAH 30 P
. . Sahadewa, SpOG(K)
Threatened abortion
05-02-2019 06-02-2019 dr.D.A.A.Shanti
176 03.24.34 ENGGAR WATI 34 P
. . Widyasari,SpOG
Threatened abortion
17-02-2019 20-02-2019 dr.D.A.A.Shanti
177 03.40.81 MARIA PURWANTI 38 P
. . Widyasari,SpOG
Threatened abortion
12-02-2019 13-02-2019 dr.D.A.A.Shanti
178 03.32.98 KETSIA S.P.M. LANOE 33 P
. . Widyasari,SpOG
Threatened abortion
24-02-2019 26-02-2019 dr. Andree
179 00.30.01 MELI SUSANTRI MANALU 27 P
. . Hartanto.SpOG
Threatened abortion
13-02-2019 14-02-2019 dr. Andree
180 01.88.92 PITRIYANTI Y.S TALAN 39 P
. . Hartanto.SpOG
Threatened abortion
HERLOFINA BELINDA 06-02-2019 09-02-2019 dr. Andree
181 02.45.70
SABA 28 L
. . Hartanto.SpOG
Threatened abortion
05-02-2019 07-02-2019 dr.D.A.A.Shanti
182
03.37.31 LASTRI YULIYATNI OEK 25 P
. . Widyasari,SpOG
Mild hyperemesis gravidarum

22-02-2019 23-02-2019 dr.D.A.A.Shanti

183
03.41.98 HERSE ELENIA RIWU 28 P
. . Widyasari,SpOG
Mild hyperemesis gravidarum

16-02-2019 18-02-2019 dr.D.A.A.Shanti

184
03.29.43 ADRIANA I. SAEFATU 26 P
. . Widyasari,SpOG
Mild hyperemesis gravidarum

HERLOFINA BELINDA 12-02-2019 17-02-2019 dr. Andree

185
02.45.70
SABA 28 L
. . Hartanto.SpOG
Mild hyperemesis gravidarum

06-02-2019 08-02-2019 dr. Andree

186
03.37.52 ECHNI M. KILLA 26 P
. . Hartanto.SpOG
Mild hyperemesis gravidarum

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 HERLOFINA BELINDA 23-02-2019 26-02-2019 dr. Andree
187
02.45.70
SABA 28 L
. . Hartanto.SpOG
Mild hyperemesis gravidarum

01-02-2019 04-02-2019 dr.Dewa Putu Maternal care for breech

188
03.35.48 MEGAWATI ALFIRA UN 26 P
. . Sahadewa, SpOG(K) presentation
Sectio Cesarea

12-02-2019 14-02-2019 dr.Dewa Putu Maternal care for breech

189
03.39.03 SYAFITRI MANAFE 27 P
. . Sahadewa, SpOG(K) presentation
Sectio Cesarea

12-02-2019 14-02-2019 dr.Dewa Putu Maternal care for breech

190
03.35.73 WINDAWATI TJUNG 30 P
. . Sahadewa, SpOG(K) presentation
Sectio Cesarea

MADELBERTA ASRI 18-02-2019 20-02-2019 dr.D.A.A.Shanti Maternal care for breech

191
03.40.25
WIJAYA 26 P
. . Widyasari,SpOG presentation
Sectio Cesarea

14-02-2019 17-02-2019 dr. Andree Maternal care for breech

192
02.94.19 NAFSIANI LOASANA 33 P
. . Hartanto.SpOG presentation
Sectio Cesarea

21-02-2019 23-02-2019 Maternal care for transverse

193
03.26.27 APRI BESSIE 21 P
. . and oblique lie
Sectio Cesarea

14-02-2019 16-02-2019 dr.D.A.A.Shanti Maternal care for transverse

194
03.26.83 BETTI DUMA SARI 34 P
. . Widyasari,SpOG and oblique lie
Sectio Cesarea

03-02-2019 06-02-2019 dr.D.A.A.Shanti Maternal care for transverse

195
03.22.46 SELFINA NAKLUI LAKAT 35 P
. . Widyasari,SpOG and oblique lie
Sectio Cesarea

15-02-2019 19-02-2019 dr. Andree Maternal care for transverse

196
03.38.08 MARTHA KADJA RIHI 41 P
. . Hartanto.SpOG and oblique lie
Sectio Cesarea

12-02-2019 14-02-2019 dr. Andree Maternal care for transverse

197
03.33.20 ESTER YOHANA M. KEFI 43 P
. . Hartanto.SpOG and oblique lie
Sectio Cesarea

29-01-2019 01-02-2019 dr.D.A.A.Shanti Maternal care for transverse

198
02.95.90 ERNESTINA BAREK HADA 38 P
. . Widyasari,SpOG and oblique lie
Sectio Cesarea

HARYANTI PUJI 14-02-2019 16-02-2019 dr. Kt. Agus Sunatha, Maternal care for transverse
199
03.39.79
WULANDARI 37 P
. . SpOG and oblique lie
Sectio Cesarea

SENY GRESMAWATI 26-02-2019 28-02-2019 dr. Kt. Agus Sunatha, Maternal care for transverse
200
03.40.94
TOOY 36 P
. . SpOG and oblique lie
Sectio Cesarea
Sectio Casarea +
20-02-2019 23-02-2019 dr. Andree Maternal care for transverse
03.41.42 SESILIA SERAN 39 P
. . Hartanto.SpOG and oblique lie
Simple Suture of Tuba
201 Fallopi
11-02-2019 13-02-2019 dr. Andree Maternal care for transverse
202
03.35.50 HENY MERSINCE LODEN 31 P
. . Hartanto.SpOG and oblique lie
Sectio Cesarea

13-02-2019 16-02-2019 dr. Kt. Agus Sunatha, Maternal care for high head at
203
03.10.94 SERLI ARYANTI SANAK 19 P
. . SpOG term
Sectio Cesarea

PUTU NOVINDRA 25-02-2019 27-02-2019 dr. Kt. Agus Sunatha, Maternal care for high head at
204
03.08.97
PRADIPTA 32 P
. . SpOG term
Sectio Cesarea

Maternal care for

18-02-2019 21-02-2019 dr.D.A.A.Shanti
03.37.81 AINUN JARIAH 31 P
. . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
205 contraction of pelvis

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 Maternal care for
YOVITA Y.HENDRIKA 26-02-2019 28-02-2019 dr.D.A.A.Shanti
03.28.07
BULU 25 P
. . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
206 contraction of pelvis
Maternal care for
12-02-2019 15-02-2019 dr.D.A.A.Shanti
03.33.78 MARSI YUNITA KASE 29 P
. . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
207 contraction of pelvis
Maternal care for
JOHANA G. IKA 04-02-2019 07-02-2019 dr.D.A.A.Shanti
03.36.92
KUSUMANINGRUM 34 P
. . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
208 contraction of pelvis
Maternal care for
10-02-2019 12-02-2019 dr. Andree
03.38.54 YOHANA NAIMENA 25 P
. . Hartanto.SpOG
disproportion due to inlet Sectio Cesarea
209 contraction of pelvis
07-02-2019 09-02-2019 dr. Andree Maternal care due to uterine
210
03.22.78 AGATA OBE 29 P
. . Hartanto.SpOG scar from previous surgery
Sectio Cesarea

SARTIKA 15-02-2019 18-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

211
01.93.15
LUMBANTORUAN 32 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

14-02-2019 17-02-2019 dr. Andree Maternal care due to uterine

212
03.22.03 JUNIANTI PHIETER 31 P
. . Hartanto.SpOG scar from previous surgery
Sectio Cesarea

MARIA ANGELI 06-02-2019 10-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

213
02.23.95
MARTHADI TEMA 32 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

NY. DESSY G I. R 14-02-2019 16-02-2019 dr. Kt. Agus Sunatha, Maternal care due to uterine
214
00.22.37
LATUHERU 34 P
. . SpOG scar from previous surgery
Sectio Cesarea

13-02-2019 16-02-2019 dr. Kt. Agus Sunatha, Maternal care due to uterine
215
03.39.58 FERDOLINA WATI SERO 35 P
. . SpOG scar from previous surgery
Sectio Cesarea

02-02-2019 06-02-2019 dr. Kt. Agus Sunatha, Maternal care due to uterine
216
01.09.77 JOICE LANDUWULANG 35 P
. . SpOG scar from previous surgery
Sectio Cesarea

HIZKYANI AZARIANA 03-02-2019 06-02-2019 dr. Kt. Agus Sunatha, Maternal care due to uterine
217
03.36.58
ARA RIWU 29 P
. . SpOG scar from previous surgery
Sectio Cesarea

PATRICIA W. WOGE 23-02-2019 26-02-2019 dr. Kt. Agus Sunatha, Maternal care due to uterine
218
00.14.04
AMALO 37 P
. . SpOG scar from previous surgery
Sectio Cesarea

IKA KURNIA PUTRI 21-02-2019 23-02-2019 dr.D.A.A.Shanti Maternal care due to uterine
219
01.78.55
LESTARI 26 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

24-02-2019 26-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

220
00.25.77 DWI INDRASTUTI 36 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

08-02-2019 11-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

221
02.17.74 NINGSIH SUSANTI HIBU 26 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

29-01-2019 01-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

222
01.15.89 ERNA LILA TARAMEHA 32 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

11-02-2019 14-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

223
03.39.01 MERLIN SAU 21 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

01-02-2019 04-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

224
03.02.08 BERIL M. PAKH 31 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 02-02-2019 04-02-2019 dr.Dewa Putu Maternal care due to uterine
225
01.45.19 NY. MARDIANA 29 P
. . Sahadewa, SpOG(K) scar from previous surgery
Sectio Cesarea

03-02-2019 06-02-2019 dr.Dewa Putu Maternal care due to uterine

226
03.29.16 RAHAYU SAFITRI 33 P
. . Sahadewa, SpOG(K) scar from previous surgery
Sectio Cesarea

18-02-2019 20-02-2019 dr.Dewa Putu Maternal care due to uterine

227
01.09.22 CHINTAMI FANGGIDAE 33 P
. . Sahadewa, SpOG(K) scar from previous surgery
Sectio Cesarea

19-02-2019 21-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

228
03.40.85 YENI YANI TOSI 31 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

22-02-2019 25-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

229
03.24.26 DESRY H. TABELAK 25 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

14-02-2019 16-02-2019 dr.D.A.A.Shanti Maternal care due to uterine

230
00.46.73 NY. HARINI 39 P
. . Widyasari,SpOG scar from previous surgery
Sectio Cesarea

05-02-2019 07-02-2019 dr.Dewa Putu Maternal care due to uterine

231
03.32.74 ROSNAWATI ARKIANG 28 P
. . Sahadewa, SpOG(K) scar from previous surgery
Sectio Cesarea

04-02-2019 07-02-2019 dr.Dewa Putu Maternal care due to uterine

232
01.53.38 THERESIA KURNIATY 28 P
. . Sahadewa, SpOG(K) scar from previous surgery
Sectio Cesarea

06-02-2019 08-02-2019 dr. Andree Maternal care for intrauterine

233
03.37.41 LINDA YULIANTI KANA 28 P
. . Hartanto.SpOG death
Sectio Cesarea

14-02-2019 16-02-2019 dr. Kt. Agus Sunatha, Maternal care for fetal
234
03.40.10 ITA PURNAMASARI 28 P
. . SpOG problem, unspecified
TALITA A.EMANUELA 11-02-2019 13-02-2019 dr.D.A.A.Shanti
235 03.38.76
BALLO 20 P
. . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
17-02-2019 19-02-2019 dr.D.A.A.Shanti
236 03.09.45 RISNA TRIFENA TEFBANA 24 P
. . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
08-02-2019 11-02-2019 dr.D.A.A.Shanti
237 03.32.96 NI PUTU WARSIKI 29 P
. . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
29-01-2019 01-02-2019 dr.D.A.A.Shanti
238 03.33.12 ETA FIRARIA 28 P
. . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
13-02-2019 15-02-2019 dr. Kt. Agus Sunatha, Partus Patologi
239 03.37.88 ELISABETH NAFI 33 P
. . SpOG
Oligohydramnios
(Vacum)
Premature rupture of
YUNINGSIH YACOBA 24-02-2019 26-02-2019 dr.D.A.A.Shanti
03.03.88
FORA 30 P
. . Widyasari,SpOG
membranes, onset of labour Sectio Cesarea
240 within 24 hours
Premature rupture of
REYSTIANA HERLINA 03-02-2019 06-02-2019 dr.Dewa Putu
03.36.64
DETHAN 29 P
. . Sahadewa, SpOG(K)
membranes, onset of labour Sectio Cesarea
241 after 24 hours
11-02-2019 12-02-2019 dr.Dewa Putu Premature rupture of
242
03.38.83 LORBET ATIMETA 32 L
. . Sahadewa, SpOG(K) membranes, unspecified
05-02-2019 08-02-2019 dr.D.A.A.Shanti Premature rupture of
243
03.37.32 MARTALINA LAOLI 26 P
. . Widyasari,SpOG membranes, unspecified
Sectio Cesarea

14-02-2019 16-02-2019 dr.D.A.A.Shanti Premature rupture of Partus Patologi

244
03.39.76 ELLEN KOROH 25 P
. . Widyasari,SpOG membranes, unspecified (Vacum)

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 20-02-2019 23-02-2019 dr. Andree Premature rupture of
245
03.15.46 AYUNDIRA TAIMENAS 25 P
. . Hartanto.SpOG membranes, unspecified
Sectio Cesarea

07-02-2019 10-02-2019 dr.D.A.A.Shanti Antepartum haemorrhage,

246
03.24.34 ENGGAR WATI 34 P
. . Widyasari,SpOG unspecified
YEANNE YAKOMINA P. 23-02-2019 26-02-2019 dr.D.A.A.Shanti Failed induction of labour,
247
03.20.40
FANGGIDAE 28 P
. . Widyasari,SpOG unspecified
Sectio Cesarea

NONCI YULIANTI 17-02-2019 20-02-2019 dr.D.A.A.Shanti Failed induction of labour,

248
03.40.80
NITBANI 21 P
. . Widyasari,SpOG unspecified
Sectio Cesarea

12-02-2019 16-02-2019 dr.D.A.A.Shanti Failed induction of labour,

249
03.13.44 MERPATI E. BANUNAEK 29 P
. . Widyasari,SpOG unspecified
DESITIA RAHANTI 09-02-2019 12-02-2019 dr.D.A.A.Shanti Failed induction of labour,
250
03.02.31
RAHALUS 20 P
. . Widyasari,SpOG unspecified
Sectio Cesarea

21-02-2019 24-02-2019 dr. Andree Failed induction of labour,

251
02.71.75 ADA DEWANTY BOYMAU 31 P
. . Hartanto.SpOG unspecified
Sectio Cesarea

09-02-2019 12-02-2019 dr. Andree Failed induction of labour,

252
03.34.55 MARIA IFONI SUNI 20 P
. . Hartanto.SpOG unspecified
Sectio Cesarea

03-02-2019 04-02-2019 dr.D.A.A.Shanti Other abnormalities of forces Partus Patologi

253
03.36.54 DORCI SANAM 22 P
. . Widyasari,SpOG of labour (Vacum)
14-02-2019 16-02-2019 dr.D.A.A.Shanti Other abnormalities of forces Partus Patologi
254
03.37.11 AMELIA URU LUNGGI 27 P
. . Widyasari,SpOG of labour (Vacum)
17-02-2019 18-02-2019 dr.D.A.A.Shanti Other abnormalities of forces Partus Patologi
255
03.40.74 DEVITA GALLA 22 P
. . Widyasari,SpOG of labour (Vacum)
11-02-2019 13-02-2019 dr.D.A.A.Shanti Prolonged second stage (of Partus Patologi
256
03.30.72 VERNIANI VELFINCE ORA 33 P
. . Widyasari,SpOG labour) (Vacum)
Labour and delivery
01-02-2019 04-02-2019 dr.D.A.A.Shanti
03.08.73 ISABELA RASSI 32 P
. . Widyasari,SpOG
complicated by other evidence
257 of fetal stress
Labour and delivery
30-01-2019 01-02-2019 dr. Kt. Agus Sunatha,
03.35.93 NURAENI 18 P
. . SpOG
complicated by fetal stress, Sectio Cesarea
258 unspecified
Labour and delivery
06-02-2019 08-02-2019 dr.D.A.A.Shanti
03.28.06 OKTAVIANA MOLA KORE 27 P
. . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
259 unspecified
Labour and delivery
06-02-2019 09-02-2019 dr.D.A.A.Shanti
03.24.50 DORTIA BAKSUNI 42 P
. . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
260 unspecified
Labour and delivery
SARLIN OKTAVIANA 24-02-2019 26-02-2019 dr.D.A.A.Shanti
03.42.53
PIRY 21 P
. . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
261 unspecified
Labour and delivery
LENNY MARDIANA 03-02-2019 06-02-2019 dr.D.A.A.Shanti
03.36.56
SUJARWO 25 P
. . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
262 unspecified

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 Labour and delivery
07-02-2019 10-02-2019 dr.D.A.A.Shanti
03.37.60 ERLIN HANAS 28 P
. . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
263 unspecified
Labour and delivery
06-02-2019 09-02-2019 dr. Andree
03.37.70 MARIA FATIMA NAHAK 20 P
. . Hartanto.SpOG
complicated by fetal stress, Sectio Cesarea
264 unspecified
Labour and delivery
09-02-2019 12-02-2019 dr.D.A.A.Shanti
03.38.28 DELITA FUNUK 25 P
. . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
265 unspecified
Labour and delivery
07-02-2019 09-02-2019 dr.D.A.A.Shanti
03.30.32 ANGELA MARICE TAENA 27 P
. . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
266 unspecified
Labour and delivery
MARIA FRANSISKA 07-02-2019 10-02-2019 dr. Kt. Agus Sunatha,
02.07.80
BADJO 31 P
. . SpOG
complicated by fetal stress, Sectio Cesarea
267 unspecified
Labour and delivery
25-02-2019 27-02-2019 dr. Andree
03.17.38 MERLIANA RIWU LONI 19 P
. . Hartanto.SpOG
complicated by fetal stress, Sectio Cesarea
268 unspecified
Labour and delivery
21-02-2019 24-02-2019 dr. Andree
03.41.70 NELCI FLORINCE MESAH 27 P
. . Hartanto.SpOG
complicated by fetal stress, Sectio Cesarea
269 unspecified
Labour and delivery
12-02-2019 14-02-2019 dr. Andree
00.13.16 YOLANDA LUKAS LAY 30 P
. . Hartanto.SpOG
complicated by fetal stress, Sectio Cesarea
270 unspecified
20-02-2019 21-02-2019 dr.D.A.A.Shanti Retained placenta without
272
00.54.51 NY.IRBELINDA MALO 26 P
. . Widyasari,SpOG haemorrhage
Curetage + Anastesi

05-02-2019 06-02-2019 dr.D.A.A.Shanti Other single spontaneous

273
01.75.22 RATIH RUSMAYATI NUR 33 P
. . Widyasari,SpOG delivery
Partus Normal

05-02-2019 06-02-2019 dr.D.A.A.Shanti Other single spontaneous

274
03.36.40 EUSABIA NESA 21 P
. . Widyasari,SpOG delivery
Partus Normal

05-02-2019 06-02-2019 dr.Dewa Putu Other single spontaneous

275
03.37.15 FENTRIK KABNANI 19 P
. . Sahadewa, SpOG(K) delivery
Partus Normal

20-02-2019 21-02-2019 dr.D.A.A.Shanti Other single spontaneous

276
03.40.35 YUSMINA TAHAO 35 P
. . Widyasari,SpOG delivery
Partus Normal

20-02-2019 21-02-2019 dr.D.A.A.Shanti Other single spontaneous

277
03.41.49 INVIOLATA DUA BELA 29 P
. . Widyasari,SpOG delivery
Partus Normal

HENY SELVI TABELAK 14-02-2019 16-02-2019 dr.D.A.A.Shanti Other single spontaneous

278
02.16.71
NGGEOLIMA 27 P
. . Widyasari,SpOG delivery
Partus Normal

23-02-2019 25-02-2019 dr. Andree Other single spontaneous

279
03.16.43 DEVI APRIANI RIHI 26 P
. . Hartanto.SpOG delivery
Partus Normal

23-02-2019 24-02-2019 dr. Andree Other single spontaneous

280
03.42.40 BLANDINA SUFMELA 33 P
. . Hartanto.SpOG delivery
Partus Normal

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 11-02-2019 13-02-2019 dr. Andree Other single spontaneous Partus Patologi
281
01.66.53 BENDELINA TENIS 26 P
. . Hartanto.SpOG delivery (Induksi)
07-02-2019 13-02-2019 dr. Andree Other single spontaneous
282
03.37.92 ADRIANA ABUK 29 P
. . Hartanto.SpOG delivery
Partus Normal

23-02-2019 25-02-2019 dr. Andree Other single spontaneous

283
03.41.02 IDA MAUMANET 24 P
. . Hartanto.SpOG delivery
Partus Normal

10-02-2019 11-02-2019 dr. Andree Other single spontaneous

284
03.04.92 NURLELA 23 P
. . Hartanto.SpOG delivery
Partus Normal

13-02-2019 14-02-2019 dr.D.A.A.Shanti Other single spontaneous

285
02.16.37 EVIA RAHMA YUNITA 39 P
. . Widyasari,SpOG delivery
Partus Normal

13-02-2019 16-02-2019 dr.D.A.A.Shanti Other single spontaneous

286
03.24.34 ENGGAR WATI 34 P
. . Widyasari,SpOG delivery
Partus Normal

09-02-2019 11-02-2019 dr.D.A.A.Shanti Other single spontaneous

287
03.25.05 ADRIANI TRIVONIA TANII 21 P
. . Widyasari,SpOG delivery
Partus Normal

04-02-2019 06-02-2019 dr.D.A.A.Shanti Other single spontaneous

288
03.32.60 DESRIANI KIRE KADJA 21 P
. . Widyasari,SpOG delivery
Partus Normal

12-02-2019 13-02-2019 dr.D.A.A.Shanti Other single spontaneous

289
03.37.59 ANGGI VIVILIA BILI 22 P
. . Widyasari,SpOG delivery
Partus Normal

02-02-2019 04-02-2019 dr.D.A.A.Shanti Other single spontaneous

290
03.36.31 ANTONETA FALLO 21 P
. . Widyasari,SpOG delivery
Partus Normal

24-02-2019 25-02-2019 dr.D.A.A.Shanti Other single spontaneous

291
03.32.14 MERISKA AYUNI 20 P
. . Widyasari,SpOG delivery
Partus Normal

24-02-2019 25-02-2019 dr.D.A.A.Shanti Other single spontaneous

292
02.32.19 ESTI SEPTRIANA 29 P
. . Widyasari,SpOG delivery
Partus Normal

17-02-2019 18-02-2019 dr.D.A.A.Shanti Other single spontaneous Partus Patologi

293
03.40.53 YOKSI TASEY 29 P
. . Widyasari,SpOG delivery (Induksi)
03-02-2019 04-02-2019 dr.D.A.A.Shanti Other single spontaneous
294
00.55.45 NY. DAMARIS HAE 30 P
. . Widyasari,SpOG delivery
Partus Normal

15-02-2019 16-02-2019 dr.D.A.A.Shanti Other single spontaneous

295
03.30.31 ORPA MARIA TANESIB 26 P
. . Widyasari,SpOG delivery
Partus Normal

02-02-2019 04-02-2019 dr.D.A.A.Shanti Other single spontaneous

296
03.36.35 HERLINA NATALIA LIEM 23 P
. . Widyasari,SpOG delivery
Partus Normal

21-02-2019 24-02-2019 dr. Andree Delivery by emergency

297
03.16.11 ROHMA YUNITA 26 P
. . Hartanto.SpOG caesarean section
Sectio Cesarea

24-02-2019 27-02-2019 dr.D.A.A.Shanti Other single delivery by

298
03.01.67 YOLIANA NAUTANI 27 P
. . Widyasari,SpOG caesarean section
Sectio Cesarea

20-02-2019 21-02-2019 dr. Andree Infection of obstetric surgical

299
03.39.03 SYAFITRI MANAFE 27 P
. . Hartanto.SpOG wound
HEACTING
26-02-2019 27-02-2019 dr. Andree Infection of obstetric surgical
03.42.40 BLANDINA SUFMELA 33 P
. . Hartanto.SpOG wound
PERINIUM +
300 ANASTESI

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 20-02-2019 21-02-2019 dr.D.A.A.Shanti Other specified puerperal
301
03.39.01 MERLIN SAU 21 P
. . Widyasari,SpOG infections
Anaemia complicating
24-02-2019 25-02-2019 dr.D.A.A.Shanti
03.37.11 AMELIA URU LUNGGI 27 P
. . Widyasari,SpOG
pregnancy, childbirth and the
302 puerperium
Mental disorders and diseases
04-02-2019 06-02-2019 dr. Andree
00.13.16 YOLANDA LUKAS LAY 30 P
. . Hartanto.SpOG
of the nervous system
303 complicating
Diseases of the digestive
15-02-2019 16-02-2019 dr.D.A.A.Shanti
02.63.40 MAGRIN S. ORA 30 P
. . Widyasari,SpOG
system complicating
304 pregnancy, childbirth and
Diseases of the digestive
09-02-2019 11-02-2019 dr.D.A.A.Shanti
03.38.35 WALEHA LAKA 31 P
. . Widyasari,SpOG
system complicating
305 pregnancy, childbirth and
Diseases of the digestive
RINNY MARINDU R. 22-02-2019 25-02-2019 dr.D.A.A.Shanti
03.41.53
MANDALA 27 P
. . Widyasari,SpOG
system complicating
306 pregnancy, childbirth and
Other specified diseases and
11-02-2019 28-02-2019 dr.D.A.A.Shanti
02.46.16 HETI MARIANCE NIAP 28 P
. . Widyasari,SpOG
conditions complicating
307 pregnancy,
Other specified diseases and
NY.YOUNELL FROGERITI 13-02-2019 15-02-2019 dr. Andree
01.17.45
DJARA 36 P
. . Hartanto.SpOG
conditions complicating
308 pregnancy,
Fetus and newborn affected by
17-02-2019 18-02-2019 dr. Simplicia Maria
03.40.77 BY.DEVITA GALLA 0 L
. . Anggrahini,Sp.A
delivery by vacuum extractor
309 [ventouse]
Fetus and newborn affected by
14-02-2019 15-02-2019 Dr.Tjahyo Suryanto,
03.39.74 BY.ELISABETH NAFI 0 P
. . SpA. MBiomed
delivery by vacuum extractor
310 [ventouse]
31-01-2019 01-02-2019 Fetus and newborn affected by
311
03.35.97 BY NURAENI 0 L
. .
dr.Frans Taolin,Sp.A
caesarean delivery
22-02-2019 25-02-2019 Fetus and newborn affected by
312
03.42.19 BY. DESRY H TABELAK 0 P
. .
dr.Frans Taolin,Sp.A
caesarean delivery
12-02-2019 14-02-2019 Fetus and newborn affected by
313
03.39.05 BY. SYAFITRI MANAFE 0 P
. .
dr.Frans Taolin,Sp.A
caesarean delivery
BY.CHINTAMI 18-02-2019 20-02-2019 Fetus and newborn affected by
314
03.40.98
FANGGIDAE 0 P
. .
dr.Frans Taolin,Sp.A
caesarean delivery
BY DESSY G. I. R 14-02-2019 18-02-2019 Fetus and newborn affected by
315
03.39.93
LATUHERU 0 P
. .
dr.Frans Taolin,Sp.A
caesarean delivery
BY HARYANTI PUJI 14-02-2019 16-02-2019 Fetus and newborn affected by
316
03.39.94
WULANDARI 0 P
. .
dr.Frans Taolin,Sp.A
caesarean delivery

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 21-02-2019 22-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
317
03.41.39 BY.YUSMINA TAHAO 0 L
. . Sp.BA caesarean delivery
06-02-2019 08-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
318
03.37.37 BY.FAIRUZ H.ALBONEH 0 P
. . Sp.BA caesarean delivery
21-02-2019 25-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
319
03.41.86 BY.APRIYANI BESSIE 0 L
. . Sp.BA caesarean delivery
BY. MARIA ANGELI 07-02-2019 12-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
320
03.37.82
MARTHADI TEMA 0 P
. . Sp.BA caesarean delivery
07-02-2019 09-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
321
03.37.84 BY.AGATA OBE 0 L
. . Sp.BA caesarean delivery
BY. MEGAWATI ALFIRA 01-02-2019 04-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
322
03.36.21
UN 0 L
. . Sp.BA caesarean delivery
10-02-2019 12-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
323
03.38.58 BY.YOHANA NAIMENA 0 L
. . Sp.BA caesarean delivery
10-02-2019 12-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
324
03.38.60 BY.MARIA IFONI SUNI 0 L
. . Sp.BA caesarean delivery
03-02-2019 05-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
325
03.36.61 BY. RAHAYU SAFITRI 0 L
. . Sp.BA caesarean delivery
BY. SARTIKA 15-02-2019 18-02-2019 Dr.Tjahyo Suryanto, Fetus and newborn affected by
326
03.40.46
LUMBANTORUAN 0 L
. . SpA. MBiomed caesarean delivery
15-02-2019 19-02-2019 Dr.Tjahyo Suryanto, Fetus and newborn affected by
327
03.40.33 BY MARTHA KADJA RIHI 0 L
. . SpA. MBiomed caesarean delivery
09-02-2019 12-02-2019 Dr.Tjahyo Suryanto, Fetus and newborn affected by
328
03.38.27 BY NI PUTU WARSIKI 0 L
. . SpA. MBiomed caesarean delivery
BY. ANGELA MARICE 07-02-2019 11-02-2019 Dr.Tjahyo Suryanto, Fetus and newborn affected by
329
03.37.98
TAENA 0 P
. . SpA. MBiomed caesarean delivery
12-02-2019 14-02-2019 Dr.Tjahyo Suryanto, Fetus and newborn affected by
330
03.39.25 BY.MERLIN SAU 0 L
. . SpA. MBiomed caesarean delivery
BY.JOHANA 05-02-2019 07-02-2019 dr. Irene Lokananta, Fetus and newborn affected by
331
03.37.12
G.I.KUSUMANINGRUM 0 L
. . Sp.BA caesarean delivery
BY. SELFINA NAKLUI- 03-02-2019 06-02-2019 Fetus and newborn affected by
332
03.36.62
LAKAT 0 P
. .
dr. Iren David, Sp.A
caesarean delivery
BY. MARIA FATIMA 07-02-2019 09-02-2019 Fetus and newborn affected by
333
03.37.86
NAHAK 0 P
. .
dr. Iren David, Sp.A
caesarean delivery
04-02-2019 06-02-2019 Fetus and newborn affected by
334
03.37.08 BY. THERESIA KURNIATY 0 L
. .
dr. Iren David, Sp.A
caesarean delivery
03-02-2019 06-02-2019 Fetus and newborn affected by
335
03.36.72 BY.LENI M.SUJARWO 0 L
. .
dr. Iren David, Sp.A
caesarean delivery
BY.TALITA A.EMANUELA 11-02-2019 13-02-2019 Dr.Tjahyo Suryanto, Fetus and newborn affected by
336
03.38.91
BALLO 0 P
. . SpA. MBiomed caesarean delivery

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 BY. HENY MARSINCE 11-02-2019 13-02-2019 Dr.Tjahyo Suryanto, Fetus and newborn affected by
337
03.38.86
LODEN 0 L
. . SpA. MBiomed caesarean delivery
19-02-2019 21-02-2019 Fetus and newborn affected by
338
03.41.23 BY.YENI YANI TOSI 0 L
. .
dr.Frans Taolin,Sp.A
caesarean delivery
24-02-2019 27-02-2019 Fetus and newborn affected by
339
03.42.58 BY. YOLIANA NAUTANI 0 L
. .
dr.Frans Taolin,Sp.A
caesarean delivery
BY YUNINGSIH YACOBA 24-02-2019 26-02-2019 Fetus and newborn affected by
340
03.42.64
FORA 0 L
. .
dr.Frans Taolin,Sp.A
caesarean delivery
BY.OKTAVIANA MOLA 06-02-2019 08-02-2019 Fetus and newborn affected by
341
03.37.36
KORE 0 P
. .
dr. Iren David, Sp.A
caesarean delivery
BY. ROSNAWATI 05-02-2019 07-02-2019 Fetus and newborn affected by
342
03.37.19
ARKIANG 0 L
. .
dr. Iren David, Sp.A
caesarean delivery
BY. JOICE 03-02-2019 06-02-2019 Fetus and newborn affected by
343
03.36.59
LANDUWULANG 0 L
. .
dr. Iren David, Sp.A
caesarean delivery
17-02-2019 18-02-2019 dr. Simplicia Maria Fetus and newborn affected by
344
03.40.75 BY.YOKSI TASEY 0 L
. . Anggrahini,Sp.A precipitate delivery
12-02-2019 13-02-2019 Dr.Tjahyo Suryanto, Fetus and newborn affected by
345
03.39.18 BY BENDELINA TENIS 0 P
. . SpA. MBiomed precipitate delivery
23-02-2019 25-02-2019 dr. Simplicia Maria
346 03.42.37 BY.IDA MAUMANET 0 L
. . Anggrahini,Sp.A
Other low birth weight
08-02-2019 12-02-2019
347 03.38.03 BY. ERLIN HANAS 2 0 P
. .
dr.Frans Taolin,Sp.A Other low birth weight
BY. DEBORA BANA 13-02-2019 19-02-2019
348 03.39.52
TASEY 0 L
. .
dr.Frans Taolin,Sp.A Other low birth weight
BY.HENY 14-02-2019 15-02-2019
349 03.39.92
S.T.NGGEOLIMA 0 P
. .
dr.Frans Taolin,Sp.A Other low birth weight
13-02-2019 15-02-2019 Dr.Tjahyo Suryanto,
350 03.39.35 BY.YETI YULIANA LUDJI 0 P
. . SpA. MBiomed
Other low birth weight
BY. AYUNDIRA 21-02-2019 25-02-2019 dr. Irene Lokananta,
351 03.41.85
TAIMENAS 0 L
. . Sp.BA
Other low birth weight
09-02-2019 11-02-2019 Mild and moderate birth
352
03.38.48 BY DELITA FUNUK 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
10-02-2019 12-02-2019 Mild and moderate birth
353
03.38.56 BY.DESITIA R.RAHALUS 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
22-02-2019 24-02-2019 Mild and moderate birth
354
03.42.07 BY. ROHMA YUNITA 1 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
01-02-2019 04-02-2019 Mild and moderate birth
355
03.36.23 BY. BERIL M. PAKH 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
15-02-2019 18-02-2019 Mild and moderate birth
356
03.40.21 BY. NAFSIANI LOASANA 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
BY. MARIA FRANSISKA 07-02-2019 09-02-2019 Mild and moderate birth
357
03.38.01
BADJO 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 15-02-2019 21-02-2019 Dr.Tjahyo Suryanto, Mild and moderate birth
358
03.40.31 BY ELLEN KOROH 0 P
. . SpA. MBiomed asphyxia
06-02-2019 09-02-2019 dr. Irene Lokananta, Mild and moderate birth
359
03.37.46 BY. DORTIA BAKSUNI 0 L
. . Sp.BA asphyxia
BY MERLIANA RIWU 25-02-2019 27-02-2019 Mild and moderate birth
360
03.42.95
LONI 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
26-02-2019 27-02-2019 Mild and moderate birth
361
03.42.97 BY SHINTA P. NEPARASI 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
BY.SENY GRESMAWATI 26-02-2019 28-02-2019 Mild and moderate birth
362
03.43.09
TOOY 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
BY. INVIOLATA DUA 20-02-2019 25-02-2019 Mild and moderate birth
363
03.41.58
BELA 0 L
. .
dr. Iren David, Sp.A
asphyxia
02-02-2019 06-02-2019 Mild and moderate birth
364
03.36.32 BY ANTONETA FALLO 0 L
. .
dr. Iren David, Sp.A
asphyxia
BY. VERNIANI VELFINCE 11-02-2019 14-02-2019 Dr.Tjahyo Suryanto, Mild and moderate birth
365
03.38.80
ORA 0 L
. . SpA. MBiomed asphyxia
14-02-2019 16-02-2019 Mild and moderate birth
366
03.39.96 BY BETTI DUMA SARI 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
14-02-2019 16-02-2019 Mild and moderate birth
367
03.39.98 BY.HARINI 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
BY.IKA KURNIA PUTRI 21-02-2019 23-02-2019 Mild and moderate birth
368
03.41.97
LESTARI 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
22-02-2019 23-02-2019 Mild and moderate birth
369
03.42.00 BY.YUSTIN 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
BY. YEANNE YAKOMINA 24-02-2019 26-02-2019 Mild and moderate birth
370
03.42.57
P. FANGGIDAE 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
BY. NELCI FLORINCE 22-02-2019 25-02-2019 Mild and moderate birth
371
03.42.04
MESAH 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
08-02-2019 13-02-2019 Mild and moderate birth
372
03.38.02 BY. ERLIN HANAS 1 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
12-02-2019 18-02-2019 Mild and moderate birth
373
03.39.20 BY. MARSI YUNITA KASE 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
BY.MADELBERTA ASRI 18-02-2019 20-02-2019 Mild and moderate birth
374
03.40.99
WIJAYA 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
BY.NONCI YULIANTI 18-02-2019 20-02-2019 Mild and moderate birth
375
03.41.07
NITBANI 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia
BY. FERDOLINA WATI 14-02-2019 16-02-2019 Mild and moderate birth
376
03.39.88
SERO 0 P
. .
dr.Frans Taolin,Sp.A
asphyxia
15-02-2019 18-02-2019 Mild and moderate birth
377
03.40.12 BY. AMELIA URU LUNGGI 0 L
. .
dr.Frans Taolin,Sp.A
asphyxia

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 02-02-2019 04-02-2019 dr. Irene Lokananta, Transient tachypnoea of
378
03.36.41 BY. MARDIANA 0 P
. . Sp.BA newborn
BY.YOLANDA LUKAS 12-02-2019 14-02-2019 Respiratory distress of
379
03.39.30
LAY 0 L
. .
dr.Frans Taolin,Sp.A
newborn, unspecified
20-02-2019 22-02-2019
380
03.39.98 BY.HARINI 0 P
. .
dr.Frans Taolin,Sp.A Neonatal jaundice, unspecified

BY. JOICE 08-02-2019 10-02-2019

381
03.36.59
LANDUWULANG 0 L
. .
dr. Iren David, Sp.A Neonatal jaundice, unspecified

BY. HIZKYANI AZARIANA 08-02-2019 12-02-2019

382
03.36.67
ARA RIWU 0 P
. .
dr. Iren David, Sp.A Neonatal jaundice, unspecified

BY.YOHANA FRANSISKA 04-02-2019 06-02-2019

383
03.35.39
WOLOR 0 P
. .
dr. Iren David, Sp.A Neonatal jaundice, unspecified

08-02-2019 11-02-2019 dr. Irene Lokananta,

384
03.37.29 BY.EUSABIA NESA 0 L
. . Sp.BA
Neonatal jaundice, unspecified

21-02-2019 23-02-2019
385
03.41.78 BY.SESILIA SERAN 0 L
. .
dr.Frans Taolin,Sp.A Other neonatal hypoglycaemia

20-02-2019 21-02-2019 dr. Irene Lokananta,

386
03.41.39 BY.YUSMINA TAHAO 0 L
. . Sp.BA
Other neonatal hypoglycaemia

Disturbance of temperature
03-02-2019 04-02-2019 dr. Simplicia Maria
03.36.55 BY. DORCI SANAM 0 P
. . Anggrahini,Sp.A
regulation of newborn,
387 unspecified
Disturbance of temperature
22-02-2019 24-02-2019
03.42.09 BY. ROHMA YUNITA II 0 P
. .
dr.Frans Taolin,Sp.A regulation of newborn,
388 unspecified
Disturbance of temperature
12-02-2019 14-02-2019
03.39.10 BY ESTER YOHANA KEFI 0 P
. .
dr.Frans Taolin,Sp.A regulation of newborn,
389 unspecified
Disturbance of temperature
24-02-2019 26-02-2019
03.42.59 BY. DWI INDRASTUTI 0 P
. .
dr.Frans Taolin,Sp.A regulation of newborn,
390 unspecified
20-02-2019 25-02-2019 Other and unspecified
391
03.41.46 QONITA SAFITRI 4 P
. .
dr. Iren David, Sp.A
abdominal pain
06-02-2019 08-02-2019 dr. Andree Other and unspecified
392
03.08.36 MARINA I BHATO 29 P
. . Hartanto.SpOG abdominal pain
DIANA LESTARI 07-02-2019 09-02-2019 Other and unspecified
393
03.03.71
MAKANLEHI 28 P
. .
dr Nina SpPD
abdominal pain
10-02-2019 12-02-2019
394 03.38.66 IBRAHIM RAFISKY 2 L
. .
dr.Frans Taolin,Sp.A Nausea and vomiting
FREY LAWRENCE 13-02-2019 17-02-2019
395 02.61.53
YOSEANO 0 L
. .
dr.Frans Taolin,Sp.A Nausea and vomiting
ARSFAH NAZEERA 20-02-2019 25-02-2019
396 00.60.84
ASHARI 3 P
. .
dr. Iren David, Sp.A Nausea and vomiting

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 SISILIA USMIYATI M. 21-02-2019 22-02-2019 dr.D.A.A.Shanti
397 02.53.41
PENI 38 P
. . Widyasari,SpOG
Nausea and vomiting
16-02-2019 19-02-2019
398 03.40.68 NOVITA PRAHESTY R. 28 P
. .
dr Nina SpPD Fever, unspecified
26-02-2019 28-02-2019
399 02.60.09 SRIYANE BOIMAU-ADU 52 P
. .
dr Nina SpPD Fever, unspecified
25-02-2019 27-02-2019
400 03.42.82 KORNELIA NAIF 23 P
. .
dr Nina SpPD Fever, unspecified
AN. CROSSBHI H. 10-02-2019 14-02-2019
401 01.33.64
NAKAMNANU 6 L
. .
dr.Frans Taolin,Sp.A Febrile convulsions
GABRIELLA RENA DAE 16-02-2019 21-02-2019
402 02.74.73
PANIE 0 P
. .
dr.Frans Taolin,Sp.A Febrile convulsions
NAURA AZURA SYAKIRA 11-02-2019 15-02-2019
403 03.29.23
PURNAMA 3 P
. .
dr.Frans Taolin,Sp.A Febrile convulsions
AYESHA KHAIRANI R 22-02-2019 27-02-2019
404 03.41.99
IDRIS 0 P
. .
dr.Frans Taolin,Sp.A Febrile convulsions
JAVIER ALDORINO 22-02-2019 23-02-2019
405 03.42.01
NOMLENI 7 L
. .
dr.Frans Taolin,Sp.A Febrile convulsions
04-02-2019 06-02-2019
406 02.38.29 YOSUA KENZO LANTIK 5 L
. .
dr. Iren David, Sp.A Febrile convulsions
ANDRES I. KEROBI 05-02-2019 09-02-2019 dr. Irene Lokananta,
407 00.97.66
TUKAN 5 L
. . Sp.BA
Febrile convulsions
05-02-2019 06-02-2019 dr. Irene Lokananta,
408 00.98.79 AN. CHICARITO LEDOH 6 L
. . Sp.BA
Febrile convulsions
11-02-2019 13-02-2019 dr. Ahmad Hendra
409 03.38.93 GALDINE MARCHYA ULY 9 P
. . Yuniarsa, Sp.B
Unspecified injury of head
21-02-2019 23-02-2019 dr.D.A.A.Shanti Simple Suture of Tuba
410
00.55.45 NY. DAMARIS HAE 30 P
. . Widyasari,SpOG
Sterilization
Fallopi
18-02-2019 19-02-2019 dr.D.A.A.Shanti
411 03.40.87 KAROLINA BULI 40 P
. . Widyasari,SpOG
Sterilization MOW BPJS (B)
13-02-2019 14-02-2019 dr.D.A.A.Shanti
412 03.33.79 DEBORA BANA. TASEY 34 P
. . Widyasari,SpOG
Sterilization MOW BPJS (B)
HERMOLINDA 11-02-2019 13-02-2019 dr.D.A.A.Shanti
413 03.31.13
MALAIKARI 34 P
. . Widyasari,SpOG
Single live birth Partus Normal
24-02-2019 25-02-2019 dr. Simplicia Maria
414 03.42.48 BY.MERISKA AYUNI 0 P
. . Anggrahini,Sp.A
Singleton, born in hospital
03-02-2019 04-02-2019 dr. Simplicia Maria
415 03.36.66 BY. DAMARIS HAE 0 L
. . Anggrahini,Sp.A
Singleton, born in hospital
BY.ADRIANI TRIVONIA 09-02-2019 10-02-2019
416 03.38.32
TANII 0 L
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY.ADA DEWANTY 22-02-2019 27-02-2019
417 03.42.11
BOYMAU 0 P
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY. RISNA TRIFENA 17-02-2019 22-02-2019
418 03.40.79
TEFBANA 0 P
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
15-02-2019 25-02-2019
419 03.40.51 BY. JUNIANTI PHIETER 0 P
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 12-02-2019 13-02-2019 Dr.Tjahyo Suryanto,
420 03.39.16 BY ANGGI VIVILIA BILI 0 P
. . SpA. MBiomed
Singleton, born in hospital
BY HERLINA NATALIA 02-02-2019 06-02-2019 dr. Irene Lokananta,
421 03.36.37
LIEM 0 P
. . Sp.BA
Singleton, born in hospital
05-02-2019 06-02-2019 dr. Irene Lokananta,
422 03.37.29 BY.EUSABIA NESA 0 L
. . Sp.BA
Singleton, born in hospital
11-02-2019 12-02-2019 dr.D.A.A.Shanti
423 03.34.11 ADOLFINA TEFBANA 27 P
. . Widyasari,SpOG
Singleton, born in hospital Partus Normal
BY. ORPA MARIA 15-02-2019 16-02-2019 Dr.Tjahyo Suryanto,
424 03.40.49
TANESIB 0 L
. . SpA. MBiomed
Singleton, born in hospital
BY. TAMARA SILVANA 15-02-2019 17-02-2019 Dr.Tjahyo Suryanto,
425 03.40.50
NDAOMANU 0 P
. . SpA. MBiomed
Singleton, born in hospital
BY NINGSIH SUSANTI 08-02-2019 11-02-2019 Dr.Tjahyo Suryanto,
426 03.38.26
HIBU 0 P
. . SpA. MBiomed
Singleton, born in hospital
08-02-2019 09-02-2019 Dr.Tjahyo Suryanto,
427 03.38.07 BY.ADRIANA ABUK 0 P
. . SpA. MBiomed
Singleton, born in hospital
BY.SERLI ARYANTI 14-02-2019 16-02-2019 Dr.Tjahyo Suryanto,
428 03.39.73
SANAK 0 P
. . SpA. MBiomed
Singleton, born in hospital
13-02-2019 14-02-2019 Dr.Tjahyo Suryanto,
429 03.39.36 BY.EVIA RAHMA YUNITA 0 P
. . SpA. MBiomed
Singleton, born in hospital
BY. RATIH RUSMAYATI 05-02-2019 06-02-2019
430 03.37.30
NUR 0 P
. .
dr. Iren David, Sp.A Singleton, born in hospital
10-02-2019 11-02-2019
431 03.38.55 BY NURLELA 0 P
. .
dr. Iren David, Sp.A Singleton, born in hospital
05-02-2019 06-02-2019
432 03.37.18 BY. FENTRIK KABNANI 0 P
. .
dr. Iren David, Sp.A Singleton, born in hospital
BY. HIZKYANI AZARIANA 03-02-2019 06-02-2019
433 03.36.67
ARA RIWU 0 P
. .
dr. Iren David, Sp.A Singleton, born in hospital
BY. DESRIANI KIRE 04-02-2019 06-02-2019
434 03.36.83
KADJA 0 P
. .
dr. Iren David, Sp.A Singleton, born in hospital
BY. HERMOLINDA 12-02-2019 13-02-2019 Dr.Tjahyo Suryanto,
435 03.39.08
MALAIKARI 0 L
. . SpA. MBiomed
Singleton, born in hospital
12-02-2019 14-02-2019
436 03.39.19 BY WINDAWATI TJUNG 0 P
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY. PATRICIA W. WOGE 24-02-2019 26-02-2019
437 03.42.47
AMALO 0 P
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
23-02-2019 25-02-2019
438 03.42.42 BY. BLANDINA SUFMELA 0 P
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
19-02-2019 21-02-2019
439 03.41.32 BY. AINUN JARIAH 0 P
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
24-02-2019 25-02-2019
440 03.42.56 BY. ESTI SEPTRIANA 0 L
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY PUTU NOVINDRA 25-02-2019 27-02-2019
441 03.42.67
PRADIPTA 0 L
. .
dr.Frans Taolin,Sp.A Singleton, born in hospital
RATNANDYA PUTRI 20-02-2019 21-02-2019 dr.D.A.A.Shanti
442
02.03.82
LUTHFITA 24 P
. . Widyasari,SpOG
Preterm labor without delivery

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

 KORNELIA D.ARIANCE 31-01-2019 01-02-2019 dr.D.A.A.Shanti
443
03.14.38
BELANG 31 P
. . Widyasari,SpOG
Preterm labor without delivery

09-02-2019 10-02-2019 dr.D.A.A.Shanti

444
03.03.65 NATASYA P. BIRE 26 P
. . Widyasari,SpOG
Preterm labor without delivery

09-02-2019 11-02-2019 dr.D.A.A.Shanti

445
03.29.08 YENI EMIWATI MISSA 23 P
. . Widyasari,SpOG
Preterm labor without delivery

04-02-2019 06-02-2019 dr. Kt. Agus Sunatha,

446
03.37.11 AMELIA URU LUNGGI 27 P
. . SpOG
Preterm labor without delivery

14-02-2019 16-02-2019 dr. Andree

447
02.10.12 CICILIA E.KILLA 31 P
. . Hartanto.SpOG
Preterm labor without delivery

16-02-2019 18-02-2019 dr. Andree

448
03.06.97 HERFI ASERWATI BAUNG 28 P
. . Hartanto.SpOG
Preterm labor without delivery

BENEDICTHA NELI 22-02-2019 24-02-2019 dr. Andree other cotraceptive Ekstrasi IUD Dokter
450
03.42.03
RUSAE 52 P
. . Hartanto.SpOG Spesialis + Anastesi
management

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :