Rujukan Keluar 2018

No Tgl Rujukan No RM Nama Pasien
1 3/8/2018 96027 Ida Ayu

2 3/11/2018 97226 Dian Purnasari Meilani
3 3/15/2018 96340 Serti Yanti L
4 3/24/2018 Purwanti
5 3/25/2018 Endah Asmirah
6 4/2/2018 Radhika Tian Pratama, An
7 4/6/2018 By Ny Ika Fatmawati
8 4/9/2018 Herlina Kusbudiati
9 4/16/2018 Tiva Gani Agustiana
10 4/29/2018 Sri Nuryati
11 03/05/20185 Wiwid Dian Lestari
12 5/12/2018 Fitri Handayani
13 5/21/2018 Sri Pamiluwati
14 5/26/2018 125013 Ngadinem
15 5/27/2018 Muhammad Arzechel Albalya
16 6/2/2018 Risti Lenawati
17 6/30/2018 Kasinem
18 7/1/2018 113010 Agus Mela Setyaningrum
19 7/5/2018 Febrianti Setyaning Purbasari
20 7/14/2018 DewiAmrih
21 7/14/2018 131097 By Ny Martini
22 7/18/2018 Rosa Tri Karyati

23 7/21/2018 Desi Eka Rahmawati
24 7/22/2018 Surati Lestari
25 7/23/2018 Ratih J Oktaviani
26 7/27/2018 Siti Haijaroh Ita Ridha
27 7/27/2018 Laucana Qutratulain
28 7/28/2018 Isnaini
29 7/29/2018 Parjiman
30 Triani
31 8/4/2018 133677 Mifah
32 8/6/2018 133833 Ari Wahyuni
33 8/7/2018 63113 Nurul Hikmah
34 8/6/2018 133557 By Ny Chosiyatun II
35 8/22/2018 135573 By Ny Fatmawati
36 8/23/2018 135875 An Gerda Satya Wiraputra
37 8/30/2018 82215 Alberta Veddiva
38 9/14/2018 80135 Ny Retty Puspita
39 9/17/2018 138314 By Ny Isnani Hidayati

40 9/30/2018 139211 By Ny Eka Setiya Rini
41 10/5/2018 Ny Yusnida Nur Azizah
42 10/15/2018 142333 By Ny Sasta Anggraini P
Alamat Dirujuk ke Diagnosa
Klitren GK 3/383 Gondokusuman Yogyakarta RSUP Dr. Sardjito PP Iminent
Sidomulyo 03/27 RSUP Dr. Sardjito Triplet Pregnancy, bukaan lengkap
Cokrodiningratan JT II/235 RSUP Dr. Sardjito KPD, B20
RSUP Dr. Sardjito Kala I Fase Laten
RSUP Dr. Sardjito KPD 9 Hari Uk 32+4 minggu
RSUP Dr. Sardjito Penurunan Kesadaran
Jatimulyo TR I 003 Kricak Tegalrejo RS Hermina Susp. Recto-vaginal Fistula
Bangunrejo RSA UGM IUGD Oligohidramnions G1P0A0
Jetisan 03/02 Hargobinangun RSUP Dr. Sardjito G1P010 Hamil 33 minggu PPIM
RSUP Dr. Sardjito Severe pre eclampsi
RSUP Dr. Sardjito PEB Gemeli
RSUP Dr. Sardjito KPD
Karangmloko 03/18 Sariharjo Ngaglik Sleman RSUP Dr. Sardjito Ca Serviks
RSPAU Hardjolukito Appendicitis
RSUP Dr. Sardjito Ventricular septal defect
RSUP Dr. Sardjito KPD Uk 29+4 minggu
RSA UGM Othr and unspecified ovarian cysts
RSUP Dr. Sardjito Post Partum Haemorrahe
RS JIH Myoma Uteri
RSUP Dr. Sardjito Bacterial Sepsis Of Newborn
Delayed or excessive haemorhage

following abortion and ecto[ic and
RSUP Dr. Sardjito molar pregnancy (008.1)
RSUP Dr. Sardjito Eclampsia in pregnancy
RSUP Dr. Sardjito Amenia Berat
RSUP Dr. Sardjito Pre eklamsi Berat
RSUP Dr. Sardjito Pre eklamsi Berat (pasien kejang)
RSUP Dr. Sardjito Protein urin +4
RSUP Dr. Sardjito CHF
RSUP Dr. Sardjito PPIM, KPD
RSUD Sleman Prolonged pregnancy
RSUP Dr. Sardjito O72 PPIM
RSUP Dr. Sardjito Protein urin +4
RSUP Dr. Sardjito Sepsis
RSA UGM Aspiksi, Sepsis
RSUP Dr. Sardjito Brocopneumoni
RSUP Dr. Sardjito Speech delay, Laringomalasia
RSUP Dr. Sardjito PPH
Obs. Kejang, Ikterik, Hipoglikemia,
Ceblok, Cokro, Wukirsari RSUP Dr. Sardjito Riwayat VE
Karangjati, Sinduadi RSUP Dr. Sardjito Transient tachypnea of newborn
RSUP Dr. Sardjito PPIM buka 3 TBJ 1000gr
RSUP Dr. Sardjito Hernia diafragma
Ket
RI
No Tanggal Jenis Pelayanan Nama
1 1/3/2018 RI Darminah Siti Sudarti
2 1/4/2018 RJ Victorius Darren
3 1/5/2018 RJ Lela Nesya Putri
4 1/24/2018 RI By Ny Syulasa Dewi Nur Hayati
5 1/23/2018 RJ Farah Izzati Ulfa
6 1/24/2018 RJ Dyah Ayu Ratnaningrum
7 1/25/2018 RJ Sri Utami
8 1/27/2018 RJ Alfian Daniswara Nugroho
9 1/30/2018 RI Darwati
10 2/5/2018 RJ Irsyad Mufid Nugraha
11 2/10/2018 RJ Dwi Lestaringsih
12 2/14/2018 RJ Wika Sri Kuntari
13 2/14/2018 RJ AisiyahAtfriyani
14 2/15/2018 RJ Alya Yehya Rachmad
15 2/15/2018 RJ Suci Purwitasari
16 2/17/2018 RJ Chori Purnamawati
17 2/17/2018 RI Danis Afnita Afdriani
18 2/20/2018 RJ Tri Purwanti
19 2/20/2018 RJ Yeni Nur Anggraheni
20 2/20/2018 RJ Sri Winarsih
21 2/20/2018 RJ Nur Hidayah
22 2/20/2018 RJ Yuni Damayanti
23 2/21/2018 RJ Suwarni
24 2/22/2018 RJ Marlina Windriyanti
25 2/24/2018 RJ Retna Mudiasih
26 2/28/2018 RJ Keisha Ivana Ramadhani
27 2/28/2018 RJ Najwa Fauziyah
28 3/5/2018 RJ Redan Muhammad Ahnaf Ruzain Atarsyah
29 3/7/2018 RJ Adi Sumitro
30 3/7/2018 RJ Kinanta Shaquille Harmawan
31 3/8/2018 RI Ida Ayu Normadewi
32 3/9/2018 RJ Fitriana Romadhani
33 3/9/2018 RJ Karnrlia Anggraini
34 3/10/2018 RI Prastista Rakha Gunawan
35 3/11/2018 RJ Dian Purnasari Meilani
36 3/15/2018 RI Serti Yanti Lumbangaol
38 3/17/2018 RJ Jumrana
39 3/17/2018 RJ Hartanti Cahyaningrum
40 3/20/2018 RJ Hasna Assyifatu Laiqa
41 3/25/2018 RI Endah Asmirah
42 3/20/2018 RJ Novianti Fajar Santoso
43 3/21/2018 RJ Aswin Mannaf Alvaro Purnomo
45 3/24/2018 RJ Purwanti
46 3/27/2018 RJ Khanza Inara Assidiq
47 3/28/2018 RJ Cheryl Adenaya Qinthara Prabowo
48 4/2/2018 RI Radhika Tian Pratama
49 4/3/2018 RI Prawati
50 4/5/2018 RJ Rizky Putra Setiawan Junior
51 4/6/2018 RI By Ny Ika Fatmawati
52 4/9/2018 RJ Zuafah
53 4/9/2018 RJ Herlina Kasbudiarti
54 4/10/2018 RJ Khanza Inara Assidiq
56 4/12/2018 RJ Nilamsari Kusumadewi
57 4/13/2018 RJ Tri Wahyuningsih
58 4/16/2018 RJ Filia Setiawati
59 4/16/2018 RJ Tiva Gani Agustiana
60 4/17/2018 RJ Farzana Ayunindya
61 4/19/2018 RJ Purpuji Astuti
62 4/21/2018 RJ Jacklin Marini Rompas
63 4/21/2018 RJ Heni Pangesti
64 4/23/2018 RJ Murtini
65 4/24/2018 RJ Adisti Puspitaningtyas
66 4/24/2018 RJ Noviya Dwi Rahayu
67 2/25/2018 RJ Viviane Theresia
68 4/26/2018 RJ Muhammad Rizky Fahry
69 4/29/2018 RJ Sri Nuryati
70 4/30/2018 RJ Noor Amini Sovia
71 4/30/2018 RJ Dwi Miftah Qomariyah
72 5/2/2018 RI Wiwid Dian Lestari
73 5/7/2018 RJ Turini
74 5/7/2018 RJ Ismiyatin
75 5/12/2018 RI Fitri Handayani
76 5/14/2018 RJ Rafizky Azril Sulistya
77 5/21/2018 RJ Sri Pamiluwati
78 5/22/2018 RJ Shaheera Avs Swastika
79 5/24/2018 RJ Raka Maheswara
80 5/26/2018 RJ Ahmadinejad Faruq Rohman
81 5/27/2018 RI Muhammad Arzachel Albalya
83 5/28/2018 RJ Florentina Esti Pratiwi
84 5/30/2018 RJ By Ny Maharani
85 5/31/2018 RJ Suryadila Larasati Setya Putranti
86 5/31/2018 RJ By Ny Wiwik Eka Ari Santi
87 6/1/2018 RJ RA Heksa Moermoedji MSB
88 6/2/2018 RI Risti Lenawati
89 6/5/2018 RJ Niken Tyas Utami
90 6/7/2018 RJ Runtiyah
91 6/7/2018 RJ Murdayanti
92 6/12/2018 RJ Supartinah AM
93 6/14/2018 RI By Ny Yuli Setyandari
94 6/21/2018 RJ Yumna Ayusara
95 6/22/2018 RJ Umiyatun
96 6/27/2018 RJ Alvaro Devan Dharmawan
97 6/28/2018 RJ By Ny Denita Aulia Sari
98 6/28/2018 RJ Feri Widyastuti
99 6/28/2018 RJ Ovie Sri Hanzani
100 6/30/2018 RJ By Ny Rika Purwanti
101 6/30/2018 RJ Retno Wti
102 6/30/2018 RJ Wahyu Kurniawati
103 6/30/2018 RJ Kasinem
104 7/1/2018 RJ Agus Mela Setyaningrum
105 7/2/2018 RJ Hermuntasih
106 7/3/2018 RJ Farah Izaati Ulfa
107 7/3/2018 RJ Yatimah
108 7/3/2018 RJ By Ny Wiwik Eka Ari Santi
109 7/5/2018 RJ Febrianti Setyaning Purbasari
110 7/5/2018 RJ Maria Selwa Shifa Salsabila
111 7/10/2018 RJ Eka Yulianti
112 7/11/2018 RJ Runi Tyas Anggraini
113 7/11/2018 RJ Dwi Hamida Yusikasari
114 7/12/2018 RJ Pipit Sulistyorini
115 7/14/2018 RJ Dewi Amrih
116 7/17/2018 RJ Hesty Setyaningrum
117 7/18/2018 RJ Suratmini
118 7/19/2018 RI By Ny Inneke Meliawati
119 7/19/2018 RJ Rosa Tri Karyati
120 7/28/2018 RI Isnaini Soliqah
122 7/21/2018 RJ Desi Eka Rahmawati
123 7/22/2018 RI Surati Lestari
124 7/23/2018 RI Ratih J Oktavianti
125 7/24/2018 RJ Shazia Nur Shafiqa
126 7/27/2018 RJ Loucana Qutratuain
127 7/27/2018 RJ Siti Haijaroh Ita Ridha
128 7/31/2018 RI Triani Setyowati
129 7/30/2018 RJ Azzahira Noor Amira
130 7/31/2018 RJ Mangesti S
131 8/2/2018 RJ Dwi Sartika
132 8/4/2018 RJ Mifah
133 8/7/2018 RI Ari Wahyuni
134 8/6/2018 RI By Ny Chosyiatunaningdyah
135 8/9/2018 RJ Apollina Sri Windarti
136 8/11/2018 RJ Wiwik Darwati
137 8/12/2018 RJ Erlina Dewi Safitri
138 8/12/2018 RJ Nanik Lestari
139 8/13/2018 RJ Mikhayla Assyabiya Zananda
140 8/13/2018 RJ Wartinem C
141 8/15/2018 RJ Fabian Arka Alfarizqi
142 8/15/2018 RJ Irawati
143 8/15/2018 RJ Ika Anggun Febriyanti
144 8/15/2018 RJ Dirga Syarief Elzlatan
145 8/19/2018 RJ Sri Utami
146 8/20/2018 RJ Raffasya Ahmad Ariestitto
147 8/21/2018 RJ Rini Purwandari
148 8/21/2018 RJ By Ny Novela Purwitojati
149 8/23/2018 RI Gerda Satya Wiraputra
150 8/25/2018 RJ Rosa Tri Karyati
151 8/28/2018 RJ Isti Rokhimah
153 8/30/2018 RJ Alberta Veddira Narda
154 9/1/2018 RJ Sarah Syamila Setiawan
155 9/4/2018 RI Afiffany Kusuma Dewi
156 9/4/2018 RJ Yuli Hertati
158 9/6/2018 RJ Suryani
159 9/8/2018 RJ Kartini
161 9/6/2018 RJ Murtini
162 9/7/2018 RJ Muyasaroh
163 9/10/2018 RJ Dwi Purnamasari
164 9/10/2018 RJ Usmeini Dwi Etika Wati
165 9/9/2018 RJ Aveinia Shafira Sukamdi
166 9/13/2018 RJ Banon Lastiti
167 9/12/2018 RJ Martini
168 9/10/2018 RJ Fitra Fajarwati
169 9/14/2018 RJ Andari Triliana
170 9/11/2018 RJ Miranda Eugenia Chavelle
171 9/11/2018 RJ Aprilia Suryati
172 9/12/2018 RJ Eni Sulistyowati
173 9/12/2018 RJ Sunaryati
174 9/14/2018 RJ Widiyanti Puspitasari
175 9/13/2018 RJ Jacklin Marini Rompas
176 9/17/2018 RI By Ny Isnaini Hidayati
177 9/13/2018 RJ Mialida Kausari
178 9/14/2018 RJ Sri Mulyani
179 9/15/2018 RJ Sunarti
180 9/19/2018 RJ Ari Afriati
181 9/17/2018 RJ Dwi Miftah Qomariyah
182 9/19/2018 RJ Windarti
183 9/19/2018 RJ Etik Marisah
184 9/19/2018 RJ Tuty Sri Astuti
185 9/22/2018 RJ Iza Nursila
186 9/22/2018 RJ Larasati
187 9/21/2018 RJ Siti Salamah
188 9/22/2018 RJ Hari Astuti
189 9/22/2018 RJ Susi Sulistyawati
190 9/24/2018 RJ Desi Ayu Sulastri
191 9/24/2018 RJ Eko Cahyani
192 9/24/2018 RJ Nanik Lestari
193 9/25/2018 RJ Eggie Sekarsari Asmara
194 9/25/2018 RJ Riyanah
195 9/25/2018 RJ Akhtar Athallah Farzan
196 9/25/2018 RJ Dwi Indah Purnama Sari
197 9/25/2018 RJ Aswin Rakhanendra Mnaf
198 9/26/2018 RJ Irawati
199 9/26/2018 RJ Fatin Shaquille
Faskes Rujukan Keterangan
RS Queen Latifah
RS UGM
RS JIH
RSUP Dr. Sardjito
RS JIH
RSUP Dr. Sardjito
RS UGM
RS UGM
RSUP Dr. Sardjito
RS JIH
RS UGM
Klinik Keluarga Sembada Rujuk Balik
Puskesmas Sleman Rujuk Balik
dr. Endang Sunarti, M.Kes. Rujuk Balik
Klinik Sehat Sejahtera Rujuk Balik
Puskesmas Godean I Rujuk Balik
RSUP Dr. Sardjito
Puskesmas Mlati I Rujuk Balik
Klinik Chandra Brata Medika Rujuk Balik
Klinik Widuri Rujuk Balik
RS JIH
RSUP Dr. Sardjito
Puskesmas Gamping II Rujuk Balik
RSUP Dr. Sardjito
RS UGM
RSUD Sleman
RS JIH
RSUP Dr. Sardjito
Puskesmas Banguntapan III Rujuk Balik
Klinik GMC Health Center Rujuk Balik
RS UGM
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS JIH
Klinik Korpagama UGM
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
Puskesmas Tempel Rujuk Balik
RS JIH
RSUP Dr. Sardjito
RS Panti Rapih
Klinik Yonif 403 Rujuk Balik
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS UGM
RS Hemina
Puskesmas Ngaglik I Rujuk Balik
RS UGM
RS Panti Rapih
dr. Endang Sunarti, M.Kes Rujuk Balik
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS JIH
RSUP Dr. Sardjito
Klinik Chandra Brata Medika
RSUP Dr. Sardjito
Klinik Sehat Sejahtera
RSUP Dr. Sardjito
RS JIH
RSUP Dr. Sardjito
RS UGM
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUD Sleman
Puskesmas Ngemplak II Rujuk Balik
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS Panti Rapih
RS JIH
RSUD Sleman
RSUP Dr. Sardjito
RS JIH
RSUP Dr. Sardjito
RS JIH
RS JIH
RSUP Dr. Sardjito
RS UGM
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS Panti Rapih
RSUP Dr. Sardjito
RSUP Dr. Sardjito
dr Ernawati Rujuk Balik
RS JIH
RSUP Dr. Sardjito
RSUD Sleman
Puskesmas Ngaglik II Rujuk Balik
RS UGM
RSUP Dr. Sardjito
dr. Alexander Prasudi M.Kes Rujuk Balik
RS JIH
RSUD Sleman
RS JIH
RSUD Sleman
RSUP Dr. Sardjito
RSUP Dr. Sardjito
dr. Trisni Nur Andayani Rujuk Balik
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS JIH
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUD Sleman
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS UGM
RSUD Sleman
RSUD Sleman
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS JIH
RS UGM
Puskesmas Mlati II Rujuk Balik
dr. Aris Misyari Rujuk Balik
RSUP Dr. Sardjito
dr. Trisni Nur Andayani Rujuk Balik
RS JIH
RSUP Dr. Sardjito
RSUP Dr. Sardjito
Puskesmas Gedongtengen Rujuk Balik
RS JIH
RSUP Dr. Sardjito
Klinik Keluarga Sembada Rujuk Balik
RSUP Dr. Sardjito
RSUD Sleman
RS UGM
RSUP Dr. Sardjito
RS JIH
RSUP Dr. Sardjito
RSUP Dr. Sardjito
dr. Alexander Prasudi, M.Kes Rujuk Balik
RSUP Dr. Sardjito
RSUP Dr. Sardjito
Puskesmas Ngaglik II Rujuk Balik
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS UGM
Puskesmas Depok III Rujuk Balik
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUD Sleman
RSUP Dr. Sardjito
RSUP Dr. Sardjito
Puskesmas Gamping Rujuk Balik
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RSUP Dr. Sardjito
Puskesmas Turi Rujuk Balik
RSUP Dr. Sardjito
RS Panti Rapih
RS Panti Rapih
RSUP Dr. Sardjito
RSUP Dr. Sardjito
RS UGM
RS UGM
No Tanggal Dirujuk Nama Faskes Rujukan
1 1/4/2018 Victorius Darren RS UGM
2 1/5/2018 Lela Nesya Putri RS JIH
3 1/23/2018 Farah Izzati Ulfa RS JIH
4 1/24/2018 Dyah Ayu Ratnaningrum RSUP Dr. Sardjito
5 1/25/2018 Sri Utami RS UGM
6 1/27/2018 Alfian Daniswara Nugroho RS UGM
7 2/5/2018 Irsyad Mufid Nugraha RS JIH
8 2/10/2018 Dwi Lestaringsih RS UGM
9 2/20/2018 Nur Hidayah RS JIH
10 2/22/2018 Marlina Windriyanti RSUP Dr. Sardjito
11 2/28/2018 Keisha Ivana Ramadhani RSUP Dr. Sardjito
12 3/5/2018 Redan Muhammad Ahnaf Ruzain Atarsyah RS UGM
13 3/7/2018 Adi Sumitro RSUD Sleman
14 3/7/2018 Kinanta Shaquille Harmawan RS JIH
15 3/11/2018 Dian Purnasari Meilani RSUP Dr. Sardjito
17 3/17/2018 Jumrana Klinik Korpagama UGM
18 3/17/2018 Hartanti Cahyaningrum RSUP Dr. Sardjito
19 3/20/2018 Hasna Assyifatu Laiqa RSUP Dr. Sardjito
20 3/20/2018 Novianti Fajar Santoso RSUP Dr. Sardjito
22 3/24/2018 Purwanti RSUP Dr. Sardjito
23 3/27/2018 Khanza Inara Assidiq RS Panti Rapih
24 4/5/2018 Rizky Putra Setiawan Junior RS UGM
25 4/9/2018 Herlina Kasbudiarti RS UGM
26 4/10/2018 Khanza Inara Assidiq RS Panti Rapih
27 4/16/2018 Filia Setiawati RSUP Dr. Sardjito
28 4/16/2018 Tiva Gani Agustiana RSUP Dr. Sardjito
29 4/17/2018 Farzana Ayunindya RS JIH
30 4/21/2018 Jacklin Marini Rompas RSUP Dr. Sardjito
31 4/21/2018 Heni Pangesti Klinik Chandra Brata Medika
32 4/23/2018 Murtini RSUP Dr. Sardjito
33 4/24/2018 Adisti Puspitaningtyas Klinik Sehat Sejahtera
34 4/24/2018 Noviya Dwi Rahayu RSUP Dr. Sardjito
35 2/25/2018 Viviane Theresia Klinik Sehat Sejahtera
36 4/26/2018 Muhammad Rizky Fahry RS JIH
37 4/29/2018 Sri Nuryati RSUP Dr. Sardjito
38 4/30/2018 Noor Amini Sovia RS UGM
39 4/30/2018 Dwi Miftah Qomariyah RSUP Dr. Sardjito
40 5/7/2018 Turini RSUD Sleman
41 5/14/2018 Rafizky Azril Sulistya RSUP Dr. Sardjito
42 5/21/2018 Sri Pamiluwati RSUP Dr. Sardjito
43 5/22/2018 Shaheera Avs Swastika RS Panti Rapih
44 5/24/2018 Raka Maheswara RS JIH
45 5/26/2018 Ahmadinejad Faruq Rohman RSUD Sleman
47 5/28/2018 Florentina Esti Pratiwi RSUP Dr. Sardjito
48 5/30/2018 By Ny Maharani RS JIH
49 5/31/2018 By Ny Wiwik Eka Ari Santi RS JIH
50 6/7/2018 Runtiyah RS UGM
51 6/12/2018 Supartinah AM RSUP Dr. Sardjito
52 6/21/2018 Yumna Ayusara RS Panti Rapih
53 6/27/2018 Alvaro Devan Dharmawan RSUP Dr. Sardjito
54 6/28/2018 By Ny Denita Aulia Sari RSUP Dr. Sardjito
55 6/28/2018 Ovie Sri Hanzani RS JIH
56 6/30/2018 By Ny Rika Purwanti RSUP Dr. Sardjito
57 6/30/2018 Retno Wti RSUD Sleman
58 6/30/2018 Kasinem RS UGM
59 7/1/2018 Agus Mela Setyaningrum RSUP Dr. Sardjito
60 7/3/2018 Farah Izaati Ulfa RS JIH
61 7/3/2018 Yatimah RSUD Sleman
62 7/3/2018 By Ny Wiwik Eka Ari Santi RS JIH
63 7/5/2018 Febrianti Setyaning Purbasari RSUD Sleman
64 7/5/2018 Maria Selwa Shifa Salsabila RSUP Dr. Sardjito
65 7/10/2018 Eka Yulianti RSUP Dr. Sardjito
66 7/14/2018 Dewi Amrih RSUP Dr. Sardjito
67 7/19/2018 Rosa Tri Karyati RSUP Dr. Sardjito
69 7/21/2018 Desi Eka Rahmawati RSUP Dr. Sardjito
70 7/24/2018 Shazia Nur Shafiqa RSUD Sleman
71 7/27/2018 Loucana Qutratuain RSUP Dr. Sardjito
72 7/27/2018 Siti Haijaroh Ita Ridha RSUP Dr. Sardjito
73 7/30/2018 Azzahira Noor Amira RS UGM
74 7/31/2018 Mangesti S Klinik Chandra Brata Medika
75 8/2/2018 Dwi Sartika RSUD Sleman
76 8/4/2018 Mifah RSUD Sleman
77 8/9/2018 Apollina Sri Windarti RSUP Dr. Sardjito
78 8/12/2018 Erlina Dewi Safitri RSUP Dr. Sardjito
79 8/12/2018 Nanik Lestari RSUP Dr. Sardjito
80 8/13/2018 Mikhayla Assyabiya Zananda RSUP Dr. Sardjito
81 8/13/2018 Wartinem C RSUP Dr. Sardjito
82 8/15/2018 Fabian Arka Alfarizqi RS JIH
83 8/15/2018 Irawati RS UGM
84 8/19/2018 Sri Utami RSUP Dr. Sardjito
85 8/21/2018 By Ny Novela Purwitojati RS JIH
86 8/25/2018 Rosa Tri Karyati RSUP Dr. Sardjito
88 8/30/2018 Alberta Veddira Narda RSUP Dr. Sardjito
89 9/4/2018 Yuli Hertati RSUD Sleman
90 9/5/2018 Irsyad Mufid Nugraha RS UGM
91 9/6/2018 Suryani RSUP Dr. Sardjito
93 9/6/2018 Murtini RSUP Dr. Sardjito
94 9/7/2018 Muyasaroh RSUP Dr. Sardjito
95 9/9/2018 Aveinia Shafira Sukamdi RSUP Dr. Sardjito
96 9/10/2018 Fitra Fajarwati RSUP Dr. Sardjito
97 9/11/2018 Miranda Eugenia Chavelle RSUP Dr. Sardjito
98 9/11/2018 Aprilia Suryati RSUP Dr. Sardjito
99 9/12/2018 Eni Sulistyowati RS UGM
100 9/13/2018 Jacklin Marini Rompas RSUP Dr. Sardjito
101 9/13/2018 Mialida Kausari RSUP Dr. Sardjito
102 9/15/2018 Sunarti RSUD Sleman
103 9/17/2018 Dwi Miftah Qomariyah RSUP Dr. Sardjito
104 9/19/2018 Tuty Sri Astuti RSUP Dr. Sardjito
105 9/21/2018 Siti Salamah RSUP Dr. Sardjito
106 9/22/2018 Hari Astuti RSUP Dr. Sardjito
107 9/22/2018 Susi Sulistyawati RSUP Dr. Sardjito
108 9/24/2018 Nanik Lestari RSUP Dr. Sardjito
109 9/25/2018 Eggie Sekarsari Asmara RS Panti Rapih
110 9/25/2018 Akhtar Athallah Farzan RS Panti Rapih
111 9/25/2018 Dwi Indah Purnama Sari RSUP Dr. Sardjito
112 9/25/2018 Aswin Rakhanendra Mnaf RSUP Dr. Sardjito
113 9/26/2018 Irawati RS UGM
114 9/26/2018 Fatin Shaquille RS UGM
RS UGM 16
RS JIH 21
SARJITO 53
RSUD SLEMAN 11
PANTI RAPIH 6
No Tanggal Rujukan Nama Faskes Rujukan
1 1/3/2018 Darminah Siti Sudarti RS Queen Latifah
2 1/24/2018 By Ny Syulasa Dewi Nur Hayati RSUP Dr. Sardjito
3 1/30/2018 Darwati RSUP Dr. Sardjito
4 2/17/2018 Danis Afnita Afdriani RSUP Dr. Sardjito
5 3/8/2018 Ida Ayu Normadewi RSUP Dr. Sardjito
6 3/10/2018 Prastista Rakha Gunawan RS UGM
7 3/15/2018 Serti Yanti Lumbangaol RSUP Dr. Sardjito
8 3/25/2018 Endah Asmirah RSUP Dr. Sardjito
9 4/2/2018 Radhika Tian Pratama RSUP Dr. Sardjito
10 4/3/2018 Prawati RSUP Dr. Sardjito
11 4/6/2018 By Ny Ika Fatmawati RS Hemina
12 5/2/2018 Wiwid Dian Lestari RSUP Dr. Sardjito
13 5/12/2018 Fitri Handayani RSUP Dr. Sardjito
14 5/27/2018 Muhammad Arzachel Albalya RSUP Dr. Sardjito
15 6/2/2018 Risti Lenawati RSUP Dr. Sardjito
16 6/14/2018 By Ny Yuli Setyandari RSUP Dr. Sardjito
17 7/19/2018 By Ny Inneke Meliawati RSUP Dr. Sardjito
18 7/28/2018 Isnaini Soliqah RSUP Dr. Sardjito
19 7/22/2018 Surati Lestari RSUP Dr. Sardjito
20 7/23/2018 Ratih J Oktavianti RSUP Dr. Sardjito
21 7/31/2018 Triani Setyowati RSUP Dr. Sardjito
22 8/7/2018 Ari Wahyuni RSUP Dr. Sardjito
23 8/6/2018 By Ny Chosyiatunaningdyah RSUP Dr. Sardjito
24 8/23/2018 Gerda Satya Wiraputra RSUP Dr. Sardjito
25 9/4/2018 Afiffany Kusuma Dewi RSUP Dr. Sardjito
26 9/17/2018 By Ny Isnaini Hidayati RSUP Dr. Sardjito
27 5/26/2018 Ny Ngadinem RSPAU Hardjolukito
28 7/14/2018 By Ny Martini RSUP Dr. Sardjito
29 7/29/2018 Ny Isnaini RSUP Dr. Sardjito
30 7/29/2018 Tn Parjiman RSUD Wirosaban
31 8/7/2018 Ny Nurul Hikmah RSUP Dr. Sardjito
32 8/22/2018 By Ny Fatmawati RSA UGM
33 9/14/2018 Ny Retty Puspita RSUP Dr. Sardjito
34 9/30/2018 By Ny Eka Setiya Rini RSUP Dr. Sardjito
RS Queen latifah 1
RSUP SARJITO 28
RS UGM 2
RS HERMINA 1
RS UGM 2
RSPAU HARDJOLUKITO 1
RSUD WIROBRAJAN 1
No Tanggal Rujukan Jenis Layanan Nama
1 2/14/2018 RJ Wika Sri Kuntari
2 2/14/2018 RJ AisiyahAtfriyani
3 2/15/2018 RJ Alya Yehya Rachmad
5 2/17/2018 RJ Chori Purnamawati
6 2/20/2018 RJ Tri Purwanti
7 2/20/2018 RJ Yeni Nur Anggraheni
8 2/20/2018 RJ Sri Winarsih
9 2/20/2018 RJ Yuni Damayanti
10 2/21/2018 RJ Suwarni
11 2/24/2018 RJ Retna Mudiasih
12 2/28/2018 RJ Najwa Fauziyah
13 3/9/2018 RJ Fitriana Romadhani
14 3/9/2018 RJ Karnrlia Anggraini
15 3/21/2018 RJ Aswin Mannaf Alvaro Purnomo
16 3/28/2018 RJ Cheryl Adenaya Qinthara Prabowo
17 4/9/2018 RJ Zuafah
19 4/12/2018 RJ Nilamsari Kusumadewi
20 4/13/2018 RJ Tri Wahyuningsih
21 4/19/2018 RJ Purpuji Astuti
22 5/7/2018 RJ Ismiyatin
23 5/31/2018 RJ Suryadila Larasati Setya Putranti
24 6/1/2018 RJ RA Heksa Moermoedji MSB
25 6/5/2018 RJ Niken Tyas Utami
26 6/7/2018 RJ Murdayanti
27 6/22/2018 RJ Umiyatun
28 6/28/2018 RJ Feri Widyastuti
29 6/30/2018 RJ Wahyu Kurniawati
30 7/2/2018 RJ Hermuntasih
31 7/11/2018 RJ Runi Tyas Anggraini
32 7/11/2018 RJ Dwi Hamida Yusikasari
33 7/12/2018 RJ Pipit Sulistyorini
34 7/17/2018 RJ Hesty Setyaningrum
35 7/18/2018 RJ Suratmini
36 8/11/2018 RJ Wiwik Darwati
37 8/15/2018 RJ Ika Anggun Febriyanti
38 8/15/2018 RJ Dirga Syarief Elzlatan
39 8/20/2018 RJ Raffasya Ahmad Ariestitto
40 8/21/2018 RJ Rini Purwandari
41 8/28/2018 RJ Isti Rokhimah
42 9/1/2018 RJ Sarah Syamila Setiawan
43 9/8/2018 RJ Kartini
44 9/10/2018 RJ Dwi Purnamasari
45 9/10/2018 RJ Usmeini Dwi Etika Wati
46 9/13/2018 RJ Banon Lastiti
47 9/12/2018 RJ Martini
48 9/14/2018 RJ Andari Triliana
49 9/12/2018 RJ Sunaryati
50 9/14/2018 RJ Widiyanti Puspitasari
51 9/14/2018 RJ Sri Mulyani
52 9/19/2018 RJ Ari Afriati
53 9/19/2018 RJ Windarti
54 9/19/2018 RJ Etik Marisah
55 9/22/2018 RJ Iza Nursila
56 9/22/2018 RJ Larasati
57 9/24/2018 RJ Desi Ayu Sulastri
58 9/24/2018 RJ Eko Cahyani
59 9/25/2018 RJ Riyanah
Faskes Rujukan
Klinik Keluarga Sembada
Puskesmas Sleman
dr. Endang Sunarti, M.Kes.
Puskesmas Godean I
Puskesmas Mlati I
Klinik Widuri
Puskesmas Mlati I
Puskesmas Gamping II
Puskesmas Banguntapan III
Klinik GMC Health Center
Puskesmas Tempel
Klinik Yonif 403
Puskesmas Ngaglik I
dr. Endang Sunarti, M.Kes
Puskesmas Ngaglik I
Puskesmas Ngemplak II
Puskesmas Ngaglik I
dr Ernawati
Puskesmas Ngaglik II
dr. Alexander Prasudi M.Kes
dr. Trisni Nur Andayani
Puskesmas Sleman
Puskesmas Mlati II
dr. Aris Misyari
Puskesmas Sleman
dr. Trisni Nur Andayani
Puskesmas Gedongtengen
Klinik Keluarga Sembada
dr. Alexander Prasudi, M.Kes
Puskesmas Sleman
Puskesmas Mlati I
Puskesmas Ngaglik II
Puskesmas Ngaglik I
Puskesmas Depok III
Puskesmas Mlati II
Puskesmas Mlati II
Puskesmas Sleman
Puskesmas Ngaglik I
Puskesmas Gamping
Puskesmas Turi
Puskesmas Mlati I
60
50
40
JUMLAH PASIEN DIRUJUK RAWAT JALAN
NAMA RUMAH SAKIT JUMLAH PASIEN 30
RS UGM 16
RS JIH 21 20
RSUP SARJITO 53
10
RSUD SLEMAN 11
PANTI RAPIH 6 0
JUMLAH PASIEN DIRUJUK RAWAT INAP 30

NAMA RUMAH SAKIT JUMLAH PASIEN
25
RS Queen latifah 1
RSUP SARJITO 28 20
RS UGM 2 15
RS HERMINA 1
10
RS UGM 2
RSPAU HARDJOLUKITO 1 5
RSUD WIROBRAJAN 1
0
Column B
Column C
Column B
Column C

Rujukan Keluar 2018

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Rujukan Keluar 2018

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No Tgl Rujukan No RM Nama Pasien

1 3/8/2018 96027 Ida Ayu

22 7/18/2018 Rosa Tri Karyati

39 9/17/2018 138314 By Ny Isnani Hidayati

Delayed or excessive haemorhage

JUMLAH PASIEN DIRUJUK RAWAT INAP 30

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