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<TH ALIGN=right COLSPAN=7>Hal 1 dari 1</TH>

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<TH ALIGN=right COLSPAN=9>04/09/2018</TH>

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<TH ALIGN=left COLSPAN=8>POLI/UNIT LAYANAN</TH>

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<TH>ICD </TH>
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<TH COLSPAN=8>Deskripsi</TH>

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<TH>Jumlah</TH>
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<TD>I50-0</TD>
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<TD COLSPAN=8>CONGESTIVE HEART FAILUR (CHF)</TD>

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<TD ALIGN=right>3</TD>
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<TD>A90</TD>
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<TD COLSPAN=8>DENGUE FEVER [ CLASSICAL DENGUE ]</TD>

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<TD ALIGN=right>1</TD>
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<TD>I50-0</TD>
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<TD COLSPAN=8>CONGESTIVE HEART FAILUR (CHF)</TD>
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<TD ALIGN=right>1</TD>
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<TD>E11</TD>
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<TD COLSPAN=8>NON - INSULIN - DEPENDENT DIABETES MELLITUS TYPE II</TD>

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<TD ALIGN=right>1</TD>
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<TD>N18-9</TD>
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<TD COLSPAN=8>CHRONIC RENAL FAILURE, UNSPECIFIED</TD>

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<TD ALIGN=right>1</TD>
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<TD>R06-0</TD>
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<TD COLSPAN=8>DYSPNOE</TD>

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<TD ALIGN=right>1</TD>
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<TD>I64</TD>
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<TD COLSPAN=8>STROKE, NOT SPECIFIED AS HAEMORRHAGE OR INFARCTION</TD>

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<TD ALIGN=right>1</TD>
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<TD>N18-9</TD>
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<TD COLSPAN=8>CHRONIC RENAL FAILURE, UNSPECIFIED</TD>

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<TD ALIGN=right>1</TD>
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<TD>K74-6</TD>
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<TD COLSPAN=8>OTHER AND UNSPECIFIED CIRRHOIS OF LIVER</TD>

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<TD ALIGN=right>1</TD>
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<TD>I11</TD>
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<TD COLSPAN=8>HYPERTENSIVE HEART DISEASE</TD>

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<TD ALIGN=right>1</TD>
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<TD>K12</TD>
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<TD COLSPAN=8>STOMATITIS AND RELATED LESIONS</TD>

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<TD ALIGN=right>1</TD>
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<TD>C50-9</TD>
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<TD COLSPAN=8>BREAST, UNSPECIFIED</TD>

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<TD ALIGN=right>1</TD>
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<TD>I64</TD>
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<TD COLSPAN=8>STROKE, NOT SPECIFIED AS HAEMORRHAGE OR INFARCTION</TD>
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<TD ALIGN=right>1</TD>
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<TD>J18-0</TD>
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<TD COLSPAN=8>BRONCHOPNEUMONIA, UNSPECIFIED</TD>

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<TD ALIGN=right>1</TD>
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<TD>A09</TD>
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<TD COLSPAN=8>DIARRHOEA</TD>

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<TD ALIGN=right>1</TD>
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<TD>I11</TD>
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<TD COLSPAN=8>HYPERTENSIVE HEART DISEASE</TD>
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<TD ALIGN=right>1</TD>
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<TD>B02-9</TD>
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<TD COLSPAN=8>ZOSTER WITHOUT COMPLICATION</TD>

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<TD ALIGN=right>1</TD>
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<TD>A15-0</TD>
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<TD COLSPAN=8>TUBERCULOSIS OF LUNG, CONFIRMED BY SPUTUM MICROSCOPY WITH OR
WITHOUT CULTURE</TD>

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<TD ALIGN=right>1</TD>
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<TD>J45</TD>
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<TD COLSPAN=8>ASTHMA</TD>

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<TD ALIGN=right>1</TD>
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<TD>E11</TD>
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<TD COLSPAN=8>NON - INSULIN - DEPENDENT DIABETES MELLITUS TYPE II</TD>

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<TD ALIGN=right>1</TD>
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<TD>J45</TD>
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<TD COLSPAN=8>ASTHMA</TD>

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<TD ALIGN=right>1</TD>
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<TD>D64-8</TD>
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<TD COLSPAN=8>OTHER SPECIFIED ANAEMIAS</TD>

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<TD ALIGN=right>1</TD>
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<TD>J45</TD>
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<TD COLSPAN=8>ASTHMA</TD>

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<TD ALIGN=right>1</TD>
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<TD>D64-8</TD>
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<TD COLSPAN=8>OTHER SPECIFIED ANAEMIAS</TD>

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<TD ALIGN=right>1</TD>
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<TD>P24-1</TD>
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<TD COLSPAN=8>NEONATAL ASPIRATION OF AMNIOTIC FLUID AND MUCUS</TD>

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<TD ALIGN=right>1</TD>
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<TD>N18-9</TD>
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<TD COLSPAN=8>CHRONIC RENAL FAILURE, UNSPECIFIED</TD>
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<TD ALIGN=right>1</TD>
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<TD>A15-0</TD>
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<TD COLSPAN=8>TUBERCULOSIS OF LUNG, CONFIRMED BY SPUTUM MICROSCOPY WITH OR
WITHOUT CULTURE</TD>

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<TD ALIGN=right>1</TD>
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<TD>I46</TD>
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<TD COLSPAN=8>CARDIAC ARREST</TD>

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<TD ALIGN=right>1</TD>
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<TD>C34-1</TD>
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<TD COLSPAN=8>UPPER LOBE, BRONCHUS OR LUNG</TD>
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<TD ALIGN=right>1</TD>
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<TD>S06-6</TD>
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<TD COLSPAN=8>CONTUSIO SEREBRI</TD>

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<TD ALIGN=right>1</TD>
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<TD>I99</TD>
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<TD COLSPAN=8>ISCHEMIA</TD>

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<TD ALIGN=right>1</TD>
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<TD>N17</TD>
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<TD COLSPAN=8>ACUTE RENAL FAILURE</TD>

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<TD ALIGN=right>1</TD>
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<TD>E16-2</TD>
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<TD COLSPAN=8>HYPLOGLYCAEMIA</TD>

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<TD ALIGN=right>1</TD>
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<TD>E11</TD>
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<TD COLSPAN=8>NON - INSULIN - DEPENDENT DIABETES MELLITUS TYPE II</TD>

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<TD ALIGN=right>2</TD>
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<TD>A15-0</TD>
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<TD COLSPAN=8>TUBERCULOSIS OF LUNG, CONFIRMED BY SPUTUM MICROSCOPY WITH OR
WITHOUT CULTURE</TD>

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<TD ALIGN=right>2</TD>
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<TD>I64</TD>
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<TD COLSPAN=8>STROKE, NOT SPECIFIED AS HAEMORRHAGE OR INFARCTION</TD>

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<TD ALIGN=right>2</TD>
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<TH ALIGN=right COLSPAN=8>Jumlah</TH>

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<TH ALIGN=right>41</TH>
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