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LAPORAN OBAT SESUAI FORMULARIUM MARET 2019

No No RM Nama Umur Jenis Tgl Tgl Keluar Dokter Diagnosa Tindakan SESUAI FORNAS KETERANGAN

Kelamin Masuk
FELICIA K.P. 06-03- 14-03-
1 01.90.97
MAHESWARI 2 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Typhoid fever
08-03- 18-03-
2 03.45.70 ADHYASTHA PRASAJA 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Acute amoebic dysentery
Diarrhoea and
BY SOFIA FRIDA 03-03- 07-03-
02.95.21
MALLAKA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A gastroenteritis of presumed
3 infectious origin
Diarrhoea and
BY I GUSTI AYU LINDA 26-02- 02-03-
02.93.92
P. IRAWAN 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A gastroenteritis of presumed
4 infectious origin
Diarrhoea and
BY. LIDYA MEDE 21-03- 25-03-
03.14.26
MERE 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A gastroenteritis of presumed
5 infectious origin
Diarrhoea and
MARIANUS A. BANI 14-03- 18-03-
01.64.08
NINU 2 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A gastroenteritis of presumed
6 infectious origin
Diarrhoea and
WILIAM SIMON P. F. 12-03- 16-03-
03.46.81
MOA 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A gastroenteritis of presumed
7 infectious origin
JORGIE MARTIN E. 27-02- 03-03- Bacterial infection,
8 02.61.69
MULIK 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
unspecified
WILLIAM C.SELAH 02-03- 06-03- Dengue fever [classical
9 03.44.33
OEMATAN 3 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
dengue]
HAZAEL BINTANG 08-03- 11-03- Dengue fever [classical
10 03.45.75
NABABAN 2 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
dengue]
MARTA ROSARI B 23-03- 28-03- Dengue haemorrhagic
11 03.48.81
BIADAE 2 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever
ALEXIS ELIANDER B. 23-03- 31-03- Dengue haemorrhagic
12 03.48.82
BATAONA 5 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever
GABRIEL JANETTO 25-02- 04-03- Dengue haemorrhagic
13 03.42.93
LETKAMANG 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever
11-03- 17-03- Dengue haemorrhagic
14 03.46.37 JULIAN C. F. GAH 13 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever
GERALD G.GARSOLA 08-03- 14-03- Dengue haemorrhagic
15 02.11.40
SEDA 5 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever
RANDY JULIO B. 11-03- 16-03- Dengue haemorrhagic
16 03.46.54
NGETA 10 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever
GIANCARLO
01-03- 09-03- Dengue haemorrhagic
03.44.04 GUSANILOKA 9 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever
17 XAVERIO
JADON ROBERTH 01-03- 05-03- Dengue haemorrhagic
18 03.44.07
SIMON BUNGA 10 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


RENA MABRURROTUN 04-03- 08-03- Dengue haemorrhagic
19 03.44.69
DINIA 3 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
fever
TRI BEATA INDRIANI 15-03- 19-03- Dengue haemorrhagic
20 01.87.32
SEO 2 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A
fever
NADARA C.PUTRI 28-02- 04-03- Dengue haemorrhagic
21 01.80.72
SALSADEWA 2 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A
fever
ROMUALDO 11-03- 14-03- Dengue haemorrhagic
22 02.81.10
FERNANDO REGO 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
fever
ADRIEL LEFYARDO 11-03- 13-03- Varicella without
23 00.19.67
THONAK 3 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
complication
AZKA NUR 28-02- 01-03- Measles without
24 02.63.18
AULIANNISA 2 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A
complication
26-02- 01-03-
25 01.22.41 EMIR SALIM HAUZAN 4 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
26-02- 01-03-
26 03.43.18 GILSAN IZRA KOTTEN 4 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
22-02- 02-03-
27 03.42.14 HELENA JEJE RADA 3 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
BELLATRIX 26-03- 29-03-
28 03.49.32
WALUWANJA 8 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
KAREEN MARIA. C. A. 11-03- 14-03-
29 03.46.36
MANG NGERENG 7 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
I GEDE BISKA 11-03- 14-03-
30 00.30.98
ARTANAGARA 6 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
NI KETUT KRISTINA A 24-03- 26-03-
31 03.28.33
ARIASTUTI 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A Viral infection, unspecified
MERVAL E. BANGNGU 25-03- 30-03-
32 01.49.17
REDE 4 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
AN.CASSANDRA 18-03- 21-03-
33 01.20.54
PETRYSIA 13 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
GABRIEL BRYAN 19-03- 22-03-
34 03.47.98
NURAK 8 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
05-03- 09-03-
35 03.45.32 ANTONIO DULI KASA 4 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
MUHAMMAD C. 12-03- 15-03-
36 02.05.09
RAYHAN SOGO 8 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
02-03- 07-03-
37 03.44.28 ELLENA AZALIA 6 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Viral infection, unspecified
Other specified diabetes
06-03- 08-03-
03.30.34 MERY THEI 57 PEREMPUAN
2019 . 2019 .
dr Nina SpPD mellitus without
38 complications
dr.D.A.P. Shinta
ERNA RAHEL B. 11-03- 13-03-
03.00.01
MAUDAY 57 PEREMPUAN
2019 . 2019 .
Widari,Sp.KJ, Paranoid schizophrenia
39 MARS
dr.D.A.P. Shinta Severe depressive episode
01-03- 04-03-
03.43.82 GRACIANA GUDHU 55 PEREMPUAN
2019 . 2019 .
Widari,Sp.KJ, without psychotic
40 MARS symptoms

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


dr.D.A.P. Shinta
ASNAD ADEMA 25-02- 01-03- Severe depressive episode
02.68.64
BILISTOLEN 49 PEREMPUAN
2019 . 2019 .
Widari,Sp.KJ,
with psychotic symptoms
41 MARS
AN. SAMUDERA H. 07-03- 11-03-
42 01.44.16
MUHAMMAD 5 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Epilepsy
26-03- 28-03- Essential (primary)
43 03.16.73 KRISTINA MARIA NONI 49 PEREMPUAN
2019 . 2019 .
dr Nina SpPD
hypertension
ASNAT S. MANAFE 26-02- 01-03- Essential (primary)
44 03.43.14
MULOKO 51 PEREMPUAN
2019 . 2019 .
dr Nina SpPD
hypertension
06-03- 08-03- Essential (primary)
45 03.45.54 YUSTINA SANTIMAN 53 PEREMPUAN
2019 . 2019 .
dr Nina SpPD
hypertension
LIENY DIMMA A. 26-03- 29-03- Essential (primary)
46 03.40.66
THOME 49 PEREMPUAN
2019 . 2019 .
dr Nina SpPD
hypertension
HEMY ERVINA 27-03- 29-03- Essential (primary)
47 02.12.84
M.PENNA 46 PEREMPUAN
2019 . 2019 .
dr Nina SpPD
hypertension
RADJA MUHAMMAD Y. 22-03- 27-03- Acute nasopharyngitis
48 01.75.68
METUDUAN 2 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
22-03- 27-03- Acute nasopharyngitis
49 01.96.12 LEANDRA LEOANAK 3 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
WILLIAM CARNOR 21-02- 01-03- Acute nasopharyngitis
50 02.50.10
NGGESU 3 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
VAREL GERALDY 25-02- 04-03- Acute nasopharyngitis
51 02.60.34
HELLO 3 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
AN . SUNNY A. DE 25-02- 02-03- Acute nasopharyngitis
52 01.46.00
ARAUJO 3 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
NI MADE AYU JENY 26-03- 29-03- Acute nasopharyngitis
53 03.49.41
SAPITRI 9 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
12-03- 17-03- Dr.Tjahyo Suryanto, Acute nasopharyngitis
54 02.95.05 RAFASYAH ATAIA 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed [common cold]
JI ADELIO 11-03- 14-03- Dr.Tjahyo Suryanto, Acute nasopharyngitis
55 01.72.56
H.BANUNAEK 3 LAKI-LAKI
2019 . 2019 . SpA. MBiomed [common cold]
AN. SAMUDERA H. 13-03- 20-03- Acute nasopharyngitis
56 01.44.16
MUHAMMAD 5 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
ANINDITA FILIA 13-03- 17-03- Acute nasopharyngitis
57 01.66.79
MAHARANI 2 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
DAFU ARTAHSASTA 13-03- 18-03- Acute nasopharyngitis
58 01.66.48
NESNAY 2 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
KHALEEV A . RAFFI 14-03- 18-03- Acute nasopharyngitis
59 03.47.20
ISMAIL 2 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
[common cold]
VREDELIN 10-03- 13-03- Acute nasopharyngitis
60 01.99.65
TALLULANGI 2 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A
[common cold]
KAIROS CHARISMA 28-02- 02-03- Dr.Tjahyo Suryanto, Acute nasopharyngitis
61 03.24.80
TOJA 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed [common cold]
AMORA AMIRATUL 14-03- 17-03- Acute nasopharyngitis
62 03.46.90
AZZAHRA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
09-03- 14-03- Acute nasopharyngitis
63 03.38.73 FELICA UFI 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


FLORA MILANIA 19-03- 23-03- Acute nasopharyngitis
64 02.16.47
MAUTANG 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
STEVANIA YOHANA 20-03- 22-03- Acute nasopharyngitis
65 02.59.89
GRISELDA 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
05-03- 09-03- Acute nasopharyngitis
66 02.44.97 ALESHA SORAYA 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
MARA HANNADRI 12-03- 18-03- Acute nasopharyngitis
67 03.46.79
PENLAANA 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
BY.RINY NELCI 02-03- 05-03- Acute nasopharyngitis
68 02.80.06
TAMENO 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
I GUSTI AGUNG
17-03- 22-03- Acute nasopharyngitis
03.47.71 PRADNYANI ANNISA 6 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
69 A.P
27-02- 05-03- Acute nasopharyngitis
70 01.94.77 RIVAVEL G. MBURA 3 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
GAVRILLA 20-03- 24-03- Acute nasopharyngitis
71 03.48.26
MANAHAMPI 3 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
AURELIA 21-03- 24-03- Acute nasopharyngitis
72 03.48.51
M.A.LUKMETIABLA 8 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
21-03- 28-03- Acute nasopharyngitis
73 01.60.81 GABRIELO R. BANI 6 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
11-03- 14-03- Acute nasopharyngitis
74 03.46.33 ALESANDRA GIOVANI 4 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
DRAGHYEL S. I. 01-03- 05-03- Acute nasopharyngitis
75 02.97.48
DARYANTO 2 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
ARZANKA RAFIF 06-03- 09-03- Acute nasopharyngitis
76 03.45.56
KAINDRA 1 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
CLEMENT JEQUIN 06-03- 09-03- Acute nasopharyngitis
77 02.17.16
BEREK 1 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
12-03- 17-03- Acute nasopharyngitis
78 02.68.07 BY. MILTA R. BALUKH 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
AN. LAURENCIA
12-03- 18-03- Acute nasopharyngitis
00.94.75 MAGDALENA 4 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
[common cold]
79 KARMELIA NANGA
26-03- 31-03- Acute pharyngitis,
80 03.49.47 AQILAH ARTA NADISA 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
unspecified
AN. GIOVANI 18-03- 23-03- Acute pharyngitis,
81 00.29.20
A.MARCELLO TOHA 3 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
unspecified
Other acute upper
CHRISERA DOMINICK 28-02- 04-03-
03.43.76
MARTHIN SOAN 4 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A respiratory infections of
82 multiple sites
Other acute upper
CHRISTHOPPER 24-03- 30-03-
03.48.99
WIRAPUTRA TIRAN 5 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A respiratory infections of
83 multiple sites
Other acute upper
BRYAN HISKIANDO 18-03- 23-03-
01.02.65
MOOY 7 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A respiratory infections of
84 multiple sites

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Other acute upper
BUNDA BELINDA 26-03- 28-03-
03.49.49
MANUAIN 14 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A respiratory infections of
85 multiple sites
Other acute upper
CYRILLA DOROTA 01-03- 05-03-
03.43.91
PINGAK 7 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A respiratory infections of
86 multiple sites
Other acute upper
07-03- 10-03-
03.45.59 AIRILYN MONE 3 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A respiratory infections of
87 multiple sites
Other acute upper
FREDERICHO I. 08-03- 11-03-
01.77.13
BARNABAS IBU 2 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A respiratory infections of
88 multiple sites
Other acute upper
18-03- 20-03- Dr.Tjahyo Suryanto,
01.45.31 AN.PUTRI KASE 8 PEREMPUAN
2019 . 2019 . SpA. MBiomed
respiratory infections of
89 multiple sites
08-03- 10-03- Bronchopneumonia,
90 03.45.69 ANDHRA KILA 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
unspecified
BY TESALONIKA T. 11-03- 12-03- Bronchopneumonia,
91 03.31.06
HANING 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A
unspecified
BY.MARTA E.LINO 14-03- 17-03- Dr.Tjahyo Suryanto, Bronchopneumonia,
92 03.47.16
LOPUH 0 PEREMPUAN
2019 . 2019 . SpA. MBiomed unspecified
BY.FRANSISKA 11-03- 14-03- Acute bronchitis,
93 03.46.40
N.A.SADUK 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
unspecified
THURNEYSEN 11-03- 14-03- Acute bronchitis,
94 03.46.02
A.HARUN MONE 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
unspecified
ADRIEL DAMIANUS 16-03- 20-03- Dr.Tjahyo Suryanto, Acute bronchitis,
95 03.47.54
YOHANES LEMA 3 LAKI-LAKI
2019 . 2019 . SpA. MBiomed unspecified
16-03- 23-03- Acute bronchiolitis,
96 03.47.48 JENEA LULU 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
unspecified
25-03- 28-03- Allergic rhinitis,
97 02.02.19 DJORDAN NDUN 4 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
unspecified
28-02- 05-03-
98 01.39.70 ANDREAS A DAPUT 3 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Asthma, unspecified
24-03- 31-03-
99 03.48.98 ELSADAI OEL NENABU 1 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Asthma, unspecified
CHESAR MICHAEL 03-03- 06-03-
100 02.91.24
GODWIN DOHINA 7 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Asthma, unspecified
09-03- 11-03-
101 03.45.22 SITI ABDULLAH 53 PEREMPUAN
2019 . 2019 .
dr Nina SpPD Dyspepsia
NY.NI KETUT 09-03- 11-03-
102 00.49.94
SUARDANI 60 PEREMPUAN
2019 . 2019 .
dr Nina SpPD Dyspepsia
03-03- 05-03-
103 03.44.60 NI NENGAH SURYANI 54 PEREMPUAN
2019 . 2019 .
dr Nina SpPD Dyspepsia
NY. ANTONETHA 02-03- 04-03-
104 00.30.80
NDEO 59 PEREMPUAN
2019 . 2019 .
dr Nina SpPD Dyspepsia
NONCI KLARA 08-03- 10-03- dr. Ahmad Hendra
105 02.28.67
NGGEBU-SANU 35 PEREMPUAN
2019 . 2019 . Yuniarsa, Sp.B
Acute appendicitis Tindakan Bedah

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


25-02- 01-03- Acute appendicitis,
106 03.42.66 THERESIA WAKOS 15 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A
unspecified
Tindakan Bedah
Noninfective
BY.IRNA MUSRIANI 15-03- 18-03-
03.47.18
MAUTUKA 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A gastroenteritis and colitis,
107 unspecified
28-02- 02-03-
108 03.01.81 SUSIANA JUANDA 56 PEREMPUAN
2019 . 2019 .
dr Nina SpPD Other cholelithiasis
DESSY W.A. 29-03- 30-03- Rheumatoid arthritis,
109 02.55.96
SEUBELAN 32 PEREMPUAN
2019 . 2019 .
dr Nina SpPD
unspecified
CAROLIN REDA DILA 28-03- 30-03-
110 02.95.36
BENGNGU 18 PEREMPUAN
2019 . 2019 .
dr Nina SpPD Pain in joint
02-03- 06-03- dr. Ahmad Hendra Soft tissue disorder,
111 03.44.23 SUSANA MOOY 52 PEREMPUAN
2019 . 2019 . Yuniarsa, Sp.B unspecified
Tindakan Bedah
09-03- 12-03- dr. Irene Lokananta, Soft tissue disorder,
112 03.46.04 ABRAHAM LEKO 10 LAKI-LAKI
2019 . 2019 . Sp.BA unspecified
Tindakan Bedah
09-03- 11-03- Urinary tract infection, site
113 02.48.90 NURJANA MAHMUD 29 PEREMPUAN
2019 . 2019 .
dr Nina SpPD
not specified
SHARLY Y. Y. NEPA 06-03- 09-03- dr. Ahmad Hendra
114 03.45.07
BURENI 18 PEREMPUAN
2019 . 2019 . Yuniarsa, Sp.B
Fibroadenosis of breast Tindakan Bedah
Other specified female Ekstrasi IUD
FEBRINA SELAWATI 18-03- 19-03- dr. Andree
03.47.78
DIMA ROHI 45 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
pelvic inflammatory Dokter Spesialis
115 diseases + Anastesi
08-03- 11-03- dr.D.A.A.Shanti Other and unspecified
116 03.45.84 VALENTINA ERNA 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG ovarian cysts
LAPARATOMI
WELMINCE TAIMENAS 23-03- 25-03- dr.D.A.A.Shanti Other and unspecified
117 01.56.86
-SERAN 34 PEREMPUAN
2019 . 2019 . Widyasari,SpOG ovarian cysts
LAPARATOMI
01-03- 02-03- dr. Andree Endometrial glandular Curetage +
118 03.43.81 SELFINA ISU 52 PEREMPUAN
2019 . 2019 . Hartanto.SpOG hyperplasia Anastesi
06-03- 08-03- dr. Andree Endometrial glandular Curetage +
119 03.42.70 LITA NGEFAK 51 PEREMPUAN
2019 . 2019 . Hartanto.SpOG hyperplasia Anastesi
Excessive and frequent
NI MADE MEGAPUTRI 12-03- 13-03- dr. Kt. Agus Curetage +
03.46.68
SUHARDINITA 29 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
menstruation with irregular
Anastesi
120 cycle
Abnormal uterine and
MARIA M. AFFI 05-03- 06-03- dr.D.A.A.Shanti Curetage +
02.98.51
ELIMANAFE 46 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
vaginal bleeding,
Anastesi
121 unspecified
24-03- 26-03- dr.D.A.A.Shanti Blighted ovum and Curetage +
122 03.48.96 JELI MATEDA TABUN 26 PEREMPUAN
2019 . 2019 . Widyasari,SpOG nonhydatidiform mole Anastesi
MARIA ANGELINA 26-03- 27-03- dr.D.A.A.Shanti Blighted ovum and Curetage +
123 03.38.64
BATAONA 16 PEREMPUAN
2019 . 2019 . Widyasari,SpOG nonhydatidiform mole Anastesi
AGUSTINA AMALIA G 30-03- 31-03- dr. Kt. Agus Blighted ovum and Curetage +
124 03.50.30
CASTILLIO 26 PEREMPUAN
2019 . 2019 . Sunatha, SpOG nonhydatidiform mole Anastesi
NINGMUF ROIFATUL 18-03- 19-03- dr. Kt. Agus Blighted ovum and Curetage +
125 03.47.81
ZAMAH 28 PEREMPUAN
2019 . 2019 . Sunatha, SpOG nonhydatidiform mole Anastesi
GUSTI AYU PUTU 11-03- 12-03- dr. Kt. Agus Blighted ovum and Curetage +
126 03.46.57
DEWI SURYANTINI 33 PEREMPUAN
2019 . 2019 . Sunatha, SpOG nonhydatidiform mole Anastesi

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


09-03- 11-03- dr.D.A.A.Shanti Curetage +
127 03.14.94 ANDI NURQALBI 38 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Missed abortion
Anastesi
05-03- 06-03- dr. Kt. Agus Curetage +
128 03.45.10 MIFTAHUL JANAH 35 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
Missed abortion
Anastesi
16-03- 17-03- dr. Andree Curetage +
129 01.23.98 TINA KEMALA SARI 30 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
Missed abortion
Anastesi
Unspecified abortion,
DELVIANA 24-03- 25-03- dr.D.A.A.Shanti Curetage +
03.48.87
VIVIANDRY PAUT 31 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
incomplete, with other and
Anastesi
130 unspecified
Unspecified abortion,
21-03- 22-03- dr.D.A.A.Shanti Curetage +
03.48.59 NURANI LAMBEY 23 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
incomplete, with other and
Anastesi
131 unspecified
Unspecified abortion,
MARIA VERALINE 01-03- 02-03- dr. Kt. Agus Curetage +
03.44.08
LINDIS 29 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
incomplete, with other and
Anastesi
132 unspecified
Unspecified abortion,
MARIA ANITA 28-02- 01-03- dr. Andree Curetage +
03.09.83
YOYUBE 31 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
incomplete, with other and
Anastesi
133 unspecified
Unspecified abortion,
04-03- 05-03- dr. Andree Curetage +
03.33.19 KHAIRUN NISSA 26 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
incomplete, with other and
Anastesi
134 unspecified
Pre-existing hypertensive
09-03- 11-03- dr.D.A.A.Shanti
03.42.79 YUBLINA TUNBONAT 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
disorder with Sectio Cesarea
135 superimposed proteinuria
Pre-existing hypertensive
26-03- 28-03- dr.D.A.A.Shanti
03.07.05 YANTI HOLIDAYA 34 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
disorder with Sectio Cesarea
136 superimposed proteinuria
Gestational [pregnancy-
ECEMRI MOTUKA 26-03- 29-03- dr.D.A.A.Shanti
02.74.49
HETTA 36 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
induced] hypertension with Sectio Cesarea
137 significant
05-03- 07-03- dr.D.A.A.Shanti
138 03.44.96 FERDERIKA MANU 23 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Severe pre-eclampsia Sectio Cesarea
04-03- 06-03- dr. Andree Unspecified maternal
139 03.25.85 MERI SABNENO 20 PEREMPUAN
2019 . 2019 . Hartanto.SpOG hypertension
Sectio Cesarea
NITA VERAWATY
16-03- 18-03- dr. Andree
03.12.64 PATRECHIA 28 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
Threatened abortion
140 SINABARIBA
PITRIYANTI Y.S 14-03- 18-03- dr. Andree
141 01.88.92
TALAN 39 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
Threatened abortion
FAMELIA BETHRISTA 17-03- 18-03- dr. Andree Mild hyperemesis
142 03.47.66
SAO 22 PEREMPUAN
2019 . 2019 . Hartanto.SpOG gravidarum
08-03- 09-03- dr. Kt. Agus Mild hyperemesis
143 02.32.80 CHRISTIN BUTHE 31 PEREMPUAN
2019 . 2019 . Sunatha, SpOG gravidarum
RIESTY L.D 24-03- 25-03- dr. Kt. Agus Mild hyperemesis
144 02.35.86
CAHYANINGSIH 31 PEREMPUAN
2019 . 2019 . Sunatha, SpOG gravidarum
18-03- 22-03- dr. Kt. Agus Mild hyperemesis
145 03.47.96 JENI NAIMANU 30 PEREMPUAN
2019 . 2019 . Sunatha, SpOG gravidarum

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


28-03- 31-03- dr.D.A.A.Shanti Mild hyperemesis
146 03.49.78 MEITA ELIN SING 28 PEREMPUAN
2019 . 2019 . Widyasari,SpOG gravidarum
SONYA HENNY T. N- 23-03- 24-03- dr.D.A.A.Shanti Mild hyperemesis
147 03.44.83
RAFAEL 32 PEREMPUAN
2019 . 2019 . Widyasari,SpOG gravidarum
SYAHIRA 14-03- 19-03- dr.D.A.A.Shanti Unspecified infection of
148 01.96.14
KARTIKAWATI 30 PEREMPUAN
2019 . 2019 . Widyasari,SpOG urinary tract in pregnancy
DEWA AYU PUTU 01-03- 04-03- dr. Kt. Agus Unspecified infection of
149 02.98.85
MARIANA K 36 PEREMPUAN
2019 . 2019 . Sunatha, SpOG urinary tract in pregnancy
Continuing pregnancy after
NY. JENY FITRIANA 09-03- 10-03- dr. Andree
00.78.75
DJARI 34 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
abortion of one fetus or
150 more
12-03- 16-03- dr. Andree Maternal care for breech
151 03.43.34 MARTHA SALU 31 PEREMPUAN
2019 . 2019 . Hartanto.SpOG presentation
Sectio Cesarea
RAMAWATI PALA 01-03- 03-03- dr.Dewa Putu Maternal care for
152 02.95.64
BENGE 37 PEREMPUAN
2019 . 2019 . Sahadewa, SpOG(K) transverse and oblique lie
Sectio Cesarea
YUMIMA LAKAT 12-03- 14-03- dr.D.A.A.Shanti Maternal care for
153 01.59.05
BAITANU 30 PEREMPUAN
2019 . 2019 . Widyasari,SpOG transverse and oblique lie
Sectio Cesarea
13-03- 15-03- dr.D.A.A.Shanti Maternal care for
154 03.46.49 NURLINDA BADJAHER 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG transverse and oblique lie
Sectio Cesarea
13-03- 18-03- dr.D.A.A.Shanti Maternal care for
155 03.02.16 IFA LIZATUL UMMAH 27 PEREMPUAN
2019 . 2019 . Widyasari,SpOG transverse and oblique lie
Sectio Cesarea
02-03- 04-03- dr.D.A.A.Shanti Maternal care for
156 01.85.12 BONAFASIA C. DELBY 30 PEREMPUAN
2019 . 2019 . Widyasari,SpOG transverse and oblique lie
Sectio Cesarea
20-03- 22-03- dr. Andree Maternal care for
157 02.65.85 NATALIA NURYANI 38 PEREMPUAN
2019 . 2019 . Hartanto.SpOG transverse and oblique lie
Sectio Cesarea
NOPTRIDA DYANA 27-02- 01-03- dr. Andree Maternal care for
158 03.43.32
SUEK 35 PEREMPUAN
2019 . 2019 . Hartanto.SpOG transverse and oblique lie
Sectio Cesarea
WANDA APRILIA 08-03- 11-03- dr. Andree Maternal care for
159 03.45.73
SAPUTRI 27 PEREMPUAN
2019 . 2019 . Hartanto.SpOG transverse and oblique lie
Sectio Cesarea
01-03- 03-03- dr. Andree Maternal care for
160 03.43.83 RATI DJOLLA 26 PEREMPUAN
2019 . 2019 . Hartanto.SpOG transverse and oblique lie
Sectio Cesarea
YOSIA NENOBESI - 02-03- 04-03- dr. Andree Maternal care for
161 01.37.47
FOENAY 40 PEREMPUAN
2019 . 2019 . Hartanto.SpOG transverse and oblique lie
Sectio Cesarea
ELTRI JUMELDA DUKA 16-03- 18-03- dr. Andree Maternal care for
162 03.47.44
LOBANG 38 PEREMPUAN
2019 . 2019 . Hartanto.SpOG transverse and oblique lie
Sectio Cesarea
KRISTIANA 26-03- 28-03- dr.D.A.A.Shanti Maternal care for
163 03.49.43
REINNAMAH 41 PEREMPUAN
2019 . 2019 . Widyasari,SpOG transverse and oblique lie
Sectio Cesarea
06-03- 08-03- dr. Andree Maternal care for
164 03.06.34 REZKY DATO 24 PEREMPUAN
2019 . 2019 . Hartanto.SpOG transverse and oblique lie
Sectio Cesarea
FERLY A. MANBAIT 28-03- 31-03- dr. Andree Maternal care for
165 03.18.96
FETO 32 PEREMPUAN
2019 . 2019 . Hartanto.SpOG transverse and oblique lie
Sectio Cesarea
BEBBY SELVIA 25-03- 27-03- dr.D.A.A.Shanti Maternal care for
166 03.44.25
MUHAMMAD 24 PEREMPUAN
2019 . 2019 . Widyasari,SpOG transverse and oblique lie
Sectio Cesarea
06-03- 08-03- dr.D.A.A.Shanti Maternal care for
167 01.33.30 RATNI LIUKAE 36 PEREMPUAN
2019 . 2019 . Widyasari,SpOG transverse and oblique lie
Sectio Cesarea
NY. SELFINA HUMAU 26-03- 28-03- dr.D.A.A.Shanti Maternal care for
168 01.49.39
BANA 41 PEREMPUAN
2019 . 2019 . Widyasari,SpOG transverse and oblique lie
Sectio Cesarea

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Maternal care for
KORNELIA D.ARIANCE 04-03- 06-03- dr.D.A.A.Shanti
03.14.38
BELANG 31 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
169 contraction of pelvis
Maternal care for
03-03- 05-03- dr.D.A.A.Shanti
01.81.78 MIRANTI ANGGRAINI 23 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
170 contraction of pelvis
Maternal care for
RATNA NELCY 10-03- 12-03- dr.D.A.A.Shanti
03.46.00
EFFENDY 17 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
171 contraction of pelvis
Maternal care for
MARIA GAUDENSIANA 06-03- 08-03- dr.D.A.A.Shanti
01.62.18
BRIA 29 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
172 contraction of pelvis
Maternal care for
FRANSISKA G N. 11-03- 13-03- dr.D.A.A.Shanti
03.19.33
JEBARUS 22 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
disproportion due to inlet Sectio Cesarea
173 contraction of pelvis
Maternal care for
ELSYE AGUSTINA 11-03- 14-03- dr. Kt. Agus
03.46.46
YUNINGSIH 32 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
disproportion due to inlet Sectio Cesarea
174 contraction of pelvis
Maternal care for
DEWILA AMELIA 02-03- 05-03- dr. Andree
03.44.34
AMNAHAS 28 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
disproportion due to inlet Sectio Cesarea
175 contraction of pelvis
Maternal care due to
VENERANDA 11-03- 14-03-
03.31.77
VERONIKA . SADA 30 PEREMPUAN
2019 . 2019 .
uterine scar from previous Sectio Cesarea
176 surgery
Maternal care due to
04-03- 06-03- dr. Andree
03.12.15 AGUSTINA M. GORAN 41 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
uterine scar from previous Sectio Cesarea
177 surgery
Maternal care due to
YUNENSY MARIANA 28-02- 02-03- dr.D.A.A.Shanti
01.50.47
RISSE 36 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
uterine scar from previous Sectio Cesarea
178 surgery
Maternal care due to
19-03- 22-03- dr. Kt. Agus
02.07.41 MARIA RIKA KLAU 36 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
uterine scar from previous Sectio Cesarea
179 surgery
Maternal care due to
18-03- 21-03- dr. Kt. Agus
02.13.60 SUSANA KUEAIN 39 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
uterine scar from previous Sectio Cesarea
180 surgery
Maternal care due to
10-03- 13-03- dr. Kt. Agus
02.09.44 YULIS IKHA PRATIWI 29 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
uterine scar from previous Sectio Cesarea
181 surgery
Maternal care due to
16-03- 19-03- dr. Kt. Agus
03.47.51 YULIA INA BENGA 30 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
uterine scar from previous Sectio Cesarea
182 surgery
Maternal care due to
NUELVIN ROSALIN 17-03- 19-03- dr. Andree
03.06.95
KORELUDJI 34 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
uterine scar from previous Sectio Cesarea
183 surgery
Maternal care due to
DIANA RIKA 02-03- 04-03- dr.Dewa Putu
00.96.60
SARGIANA FALLO 37 PEREMPUAN
2019 . 2019 . Sahadewa, SpOG(K)
uterine scar from previous Sectio Cesarea
184 surgery

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Maternal care due to
MARGARITA 15-03- 17-03- dr.Dewa Putu
01.99.52
FULBERTUS 30 PEREMPUAN
2019 . 2019 . Sahadewa, SpOG(K)
uterine scar from previous Sectio Cesarea
185 surgery
Maternal care due to
13-03- 15-03- dr.D.A.A.Shanti
02.70.08 ANGELINA HALIM 32 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
uterine scar from previous Sectio Cesarea
186 surgery
Maternal care due to
FITRIA AHMAT 10-03- 12-03- dr.D.A.A.Shanti
00.06.68
SALASA 30 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
uterine scar from previous Sectio Cesarea
187 surgery
Maternal care due to
28-02- 02-03- dr.D.A.A.Shanti
00.48.35 DAFROSA O. PUTRI 26 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
uterine scar from previous Sectio Cesarea
188 surgery
01-03- 04-03- dr.D.A.A.Shanti Maternal care for
189 03.24.60 WINARTI L. WEWO 29 PEREMPUAN
2019 . 2019 . Widyasari,SpOG intrauterine death
Sectio Cesarea
04-03- 06-03- dr.D.A.A.Shanti
190 03.14.56 ERNI LALI PORA 26 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
13-03- 15-03- dr.D.A.A.Shanti
191 03.31.88 DESIANA BRIA 32 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
13-03- 15-03- dr.D.A.A.Shanti
192 03.46.73 MARIA PRISKA LURUK 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
MARIA ANGGELINA 05-03- 07-03- dr.D.A.A.Shanti
193 03.44.75
FOUK 27 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
20-03- 22-03- dr.D.A.A.Shanti
194 00.02.35 NY. HEDI DIANA METO 28 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
CHITRA MONALISA 02-03- 04-03- dr.D.A.A.Shanti
195 03.31.61
FUNAY 25 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
MARIA YULIANA 23-03- 25-03- dr.D.A.A.Shanti
196 03.23.58
OROLALENG 36 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
06-03- 09-03- dr.D.A.A.Shanti
197 03.44.09 ADELFINA AFI 42 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Oligohydramnios Sectio Cesarea
EVA DIANINGTYAS 12-03- 15-03- dr. Kt. Agus
198 03.46.65
ARIYATI 36 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
Oligohydramnios Sectio Cesarea
KORNELIA ERLITA 03-03- 06-03- dr. Kt. Agus
199 03.44.38
NAHAK 32 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
Oligohydramnios Sectio Cesarea
Premature rupture of
13-03- 15-03- dr.Dewa Putu
03.46.86 YESI SARLINCE SINE 36 PEREMPUAN
2019 . 2019 . Sahadewa, SpOG(K)
membranes, onset of
200 labour within 24 hours
Premature rupture of
20-03- 22-03- dr.D.A.A.Shanti
03.48.23 GUSMIYATI ABANI 32 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
membranes, onset of Sectio Cesarea
201 labour within 24 hours
Premature rupture of
04-03- 06-03- dr.D.A.A.Shanti
03.40.10 ITA PURNAMASARI 28 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
membranes, onset of Sectio Cesarea
202 labour within 24 hours
Premature rupture of
29-03- 31-03- dr. Kt. Agus Partus Patologi
03.49.95 DESI W. LEBA TUGI 21 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
membranes, onset of
(Induksi)
203 labour within 24 hours

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Premature rupture of
ANI ORANCE 22-03- 24-03- dr.Dewa Putu
03.39.56
NOMLENE 35 PEREMPUAN
2019 . 2019 . Sahadewa, SpOG(K)
membranes, onset of Sectio Cesarea
204 labour after 24 hours
Premature rupture of
24-03- 27-03- dr.D.A.A.Shanti
03.48.97 FINCE TANEO 19 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
membranes, onset of Sectio Cesarea
205 labour after 24 hours
Premature rupture of
11-03- 13-03- dr.D.A.A.Shanti
03.46.26 TANIA ATOK 19 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
membranes, onset of Sectio Cesarea
206 labour after 24 hours
Premature rupture of
04-03- 07-03- dr. Andree
03.44.74 FRANSINA OLLO 38 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
membranes, onset of Sectio Cesarea
207 labour after 24 hours
NORITA ROSALINA 04-03- 07-03- Premature rupture of
208 03.44.76
SOLE 23 PEREMPUAN
2019 . 2019 . membranes, unspecified
Sectio Cesarea
12-03- 14-03- dr.Dewa Putu Premature rupture of
209 03.46.76 MEGI THERIK 23 PEREMPUAN
2019 . 2019 . Sahadewa, SpOG(K) membranes, unspecified
Sectio Cesarea
VIKTORIA M.YULIANA 01-03- 03-03- dr.D.A.A.Shanti Premature rupture of
210 02.18.95
TJUNG 33 PEREMPUAN
2019 . 2019 . Widyasari,SpOG membranes, unspecified
Sectio Cesarea
22-03- 24-03- dr.D.A.A.Shanti Premature rupture of
211 03.18.13 NENY 30 PEREMPUAN
2019 . 2019 . Widyasari,SpOG membranes, unspecified
26-02- 01-03- dr. Andree Premature rupture of
212 03.09.66 SOFI YOHANA FEOH 27 PEREMPUAN
2019 . 2019 . Hartanto.SpOG membranes, unspecified
Sectio Cesarea
03-03- 05-03- dr. Kt. Agus Placental disorder,
213 03.02.88 LILIK HANDAYANI 39 PEREMPUAN
2019 . 2019 . Sunatha, SpOG unspecified
Sectio Cesarea
MARIA ARNOLDA 09-03- 12-03- dr.D.A.A.Shanti Antepartum haemorrhage,
214 02.40.83
YOSEFA DA COSTA 29 PEREMPUAN
2019 . 2019 . Widyasari,SpOG unspecified
Sectio Cesarea
26-03- 27-03- dr.D.A.A.Shanti Antepartum haemorrhage,
215 03.21.21 SRIYATI 34 PEREMPUAN
2019 . 2019 . Widyasari,SpOG unspecified
MARIA AGNES MEY 27-03- 28-03- dr.D.A.A.Shanti Other failed induction of
216 02.57.61
SOGEN 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG labour
23-03- 26-03- dr.D.A.A.Shanti Other failed induction of
217 00.06.73 HILDEGUNDA JERITA 31 PEREMPUAN
2019 . 2019 . Widyasari,SpOG labour
Sectio Cesarea
JESIKA MERYLIN 02-03- 06-03- dr. Andree Failed induction of labour,
218 02.91.83
LAZARUS 28 PEREMPUAN
2019 . 2019 . Hartanto.SpOG unspecified
Sectio Cesarea
14-03- 15-03- dr.D.A.A.Shanti Other abnormalities of Partus Patologi
219 01.45.72 NY. MARGARITA ROHI 31 PEREMPUAN
2019 . 2019 . Widyasari,SpOG forces of labour (Vacum)
ELSYE KATHERIN 06-03- 08-03- dr.D.A.A.Shanti Other abnormalities of Partus Patologi
220 02.89.83
NAIT 30 PEREMPUAN
2019 . 2019 . Widyasari,SpOG forces of labour (Vacum)
17-03- 19-03- dr. Andree Prolonged first stage (of
221 03.47.72 ORANCE TAUNU 34 PEREMPUAN
2019 . 2019 . Hartanto.SpOG labour)
Sectio Cesarea
17-03- 19-03- dr. Andree Prolonged first stage (of
222 03.47.60 YENI ABANAT SAKAU 31 PEREMPUAN
2019 . 2019 . Hartanto.SpOG labour)
Sectio Cesarea
OFLIN ORIANCE 18-03- 20-03- dr. Andree Prolonged first stage (of
223 03.35.78
LASSA 22 PEREMPUAN
2019 . 2019 . Hartanto.SpOG labour)
Sectio Cesarea
Labour and delivery
26-02- 01-03- dr.Dewa Putu
03.43.27 LUSIA PORA 33 PEREMPUAN
2019 . 2019 . Sahadewa, SpOG(K)
complicated by fetal stress, Sectio Cesarea
224 unspecified

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Labour and delivery
ELISABETH NIRMALA 27-02- 01-03- dr.Dewa Putu
00.31.57
S. B.TUKAN 35 PEREMPUAN
2019 . 2019 . Sahadewa, SpOG(K)
complicated by fetal stress, Sectio Cesarea
225 unspecified
Labour and delivery
13-03- 15-03- dr.D.A.A.Shanti
03.15.51 PETRONELA BANA 28 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
226 unspecified
Labour and delivery
13-03- 16-03- dr.D.A.A.Shanti
03.47.03 ORANCE BANI 38 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
227 unspecified
Labour and delivery
MARIA MAYA F. E. 02-03- 05-03- dr.D.A.A.Shanti
03.44.29
JEBATU 26 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
228 unspecified
Labour and delivery
WEHELMINA NINA 10-03- 12-03- dr.D.A.A.Shanti
03.46.13
MAAKH 24 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
229 unspecified
Labour and delivery
08-03- 11-03- dr. Kt. Agus
03.45.90 MURTININGSIH 33 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
complicated by fetal stress, Sectio Cesarea
230 unspecified
Labour and delivery
28-03- 31-03- dr. Laurens David
03.13.85 MARNY SABUNA 39 PEREMPUAN
2019 . 2019 . Paulus. SpOG(K)
complicated by fetal stress, Sectio Cesarea
231 unspecified
Labour and delivery
OVNI ADRIANA 15-03- 18-03- dr. Andree
03.47.27
TEFNAI 30 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
complicated by fetal stress, Sectio Cesarea
232 unspecified
Labour and delivery
08-03- 11-03- dr. Andree
03.45.76 MARCE SERLIANTI 22 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
complicated by fetal stress, Sectio Cesarea
233 unspecified
Labour and delivery
20-03- 23-03- dr. Andree
03.46.31 NORMA YUNITA 32 PEREMPUAN
2019 . 2019 . Hartanto.SpOG
complicated by fetal stress, Sectio Cesarea
234 unspecified
Labour and delivery
MARIA THERESIA 19-03- 22-03- dr.D.A.A.Shanti
03.34.39
RETUK 20 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
235 unspecified
Labour and delivery
ORYANCE IMELDA 27-02- 02-03- dr.D.A.A.Shanti
03.43.53
SAE 25 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
236 unspecified
Labour and delivery
GRESTA O. BERLIN 11-03- 14-03- dr.D.A.A.Shanti
02.94.17
AMTIRAN 29 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
237 unspecified
Labour and delivery
25-03- 27-03- dr.D.A.A.Shanti
01.87.25 YUNITA MATA RATU 31 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
238 unspecified
Labour and delivery
YANUARIA RINCE 25-03- 28-03- dr.D.A.A.Shanti
03.23.09
SIMU 21 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
239 unspecified
Labour and delivery
26-03- 28-03- dr.D.A.A.Shanti
03.49.35 RITA GETREDA HENUK 31 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
complicated by fetal stress, Sectio Cesarea
240 unspecified

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Retained portions of
28-02- 01-03- dr.D.A.A.Shanti
03.43.75 YESI NOFITA RIUNESI 22 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
placenta and membranes,
241 without haemorrhage
WASTI HETREDA 04-03- 06-03- dr.D.A.A.Shanti Other single spontaneous
242 03.09.31
TOASU 29 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
Partus Normal
05-03- 07-03- dr.D.A.A.Shanti Other single spontaneous
243 03.43.79 UYYUNUR ROCHMAH 24 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
Partus Normal
01-03- 03-03- dr.D.A.A.Shanti Other single spontaneous Partus Patologi
244 03.43.94 ANTONIA TALAEN 19 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery (Induksi)
21-03- 23-03- dr.D.A.A.Shanti Other single spontaneous
245 03.24.81 NURMAYA ARKIANG 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
Partus Normal
21-03- 22-03- dr.D.A.A.Shanti Other single spontaneous
246 03.48.11 DEWI ASTUTI MASAE 36 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
Partus Normal
ESTER HERLINA 15-03- 19-03- dr.D.A.A.Shanti Other single spontaneous
247 03.02.86
LAKAPU 33 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
Partus Normal
03-03- 05-03- dr. Andree Other single spontaneous
248 03.44.65 LILIK SURYANI 34 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery
Partus Normal
07-03- 08-03- dr. Andree Other single spontaneous
249 03.45.60 SANTI TRISTIANTA 27 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery
Partus Normal
JENI MARIANA 23-03- 24-03- dr. Andree Other single spontaneous
250 03.48.62
SANAUNU 29 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery
Partus Normal
02-03- 05-03- dr. Kt. Agus Other single spontaneous
251 03.44.27 YULIANA NGAPA 28 PEREMPUAN
2019 . 2019 . Sunatha, SpOG delivery
Partus Normal
WASRI NOVANTI 06-03- 07-03- dr. Andree Other single spontaneous
252 03.43.93
SALUKH 23 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery
Partus Normal
18-03- 19-03- dr. Andree Other single spontaneous
253 03.47.76 JUANITA BENGNGU 29 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery
Partus Normal
PATRISIA DIMUN 17-03- 18-03- dr. Andree Other single spontaneous
254 03.35.20
ESRAM 21 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery
Partus Normal
MARIA MAGDALENA 15-03- 18-03- dr. Andree Other single spontaneous Partus Patologi
255 03.44.84
V.LOPI 34 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery (Induksi)
14-03- 16-03- dr. Andree Other single spontaneous
256 03.38.63 YUNI HOSIANA TOBE 16 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery
Partus Normal
MARIANCE 14-03- 18-03- dr.D.A.A.Shanti Other single spontaneous Partus Patologi
257 03.32.29
NDAUMANU 36 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery (Induksi)
LEDY DIANA DORKAS 01-03- 02-03- dr.D.A.A.Shanti Other single spontaneous Partus Patologi
258 03.12.72
KORO 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery (Induksi)
29-03- 31-03- dr.D.A.A.Shanti Other single spontaneous
259 03.50.04 MURNAWATI M. SIDIN 25 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
Partus Normal
MARIA L.MARLINA 26-03- 27-03- dr.D.A.A.Shanti Other single spontaneous
260 03.49.33
MOI 33 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
Partus Normal
WINI DORCE M. N. 24-03- 26-03- dr. Kt. Agus Other single spontaneous
261 03.48.89
RAME 26 PEREMPUAN
2019 . 2019 . Sunatha, SpOG delivery
Partus Normal
SARTIKA RAMBU 15-03- 18-03- dr. Kt. Agus Other single spontaneous Partus Patologi
262 03.47.38
WUAKARANU 28 PEREMPUAN
2019 . 2019 . Sunatha, SpOG delivery (Induksi)
29-03- 30-03- dr.D.A.A.Shanti Partus Patologi
263 03.48.00 URSULA TUTO DEONA 26 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Vacuum extractor delivery
(Vacum)

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


21-03- 22-03- dr. Kt. Agus Partus Patologi
264 03.48.46 AGNES BANGU KAHI 23 PEREMPUAN
2019 . 2019 . Sunatha, SpOG
Vacuum extractor delivery
(Vacum)
09-03- 11-03- dr.D.A.A.Shanti Other single delivery by
265 00.08.06 KAMELIA NGGADAS 29 PEREMPUAN
2019 . 2019 . Widyasari,SpOG caesarean section
Sectio Cesarea
MARTA TAEBONAT 02-03- 04-03- dr.D.A.A.Shanti Other single delivery by
266 03.30.83
HUMSIBU 31 PEREMPUAN
2019 . 2019 . Widyasari,SpOG caesarean section
Sectio Cesarea
11-03- 14-03- dr.D.A.A.Shanti Other single delivery by
267 01.39.14 DESI FRANSINA SANDI 21 PEREMPUAN
2019 . 2019 . Widyasari,SpOG caesarean section
Sectio Cesarea
ADELHEIT NATALIA 26-03- 30-03- dr.D.A.A.Shanti Other single delivery by
268 02.95.97
HITONG 29 PEREMPUAN
2019 . 2019 . Widyasari,SpOG caesarean section
Sectio Cesarea
INGRIT TESYABELA 26-03- 30-03- dr.D.A.A.Shanti Other single delivery by
269 03.49.37
NDOEN 30 PEREMPUAN
2019 . 2019 . Widyasari,SpOG caesarean section
Sectio Cesarea
THERESIA YULIAN B. 24-03- 26-03- dr. Kt. Agus Other single delivery by
270 03.48.88
ADU 32 PEREMPUAN
2019 . 2019 . Sunatha, SpOG caesarean section
Sectio Cesarea
15-03- 18-03- dr. Kt. Agus Other single delivery by
271 03.47.37 HANA NDUN NDUN 38 PEREMPUAN
2019 . 2019 . Sunatha, SpOG caesarean section
Sectio Cesarea
NY. JENY FITRIANA 16-03- 20-03- dr. Andree Other single delivery by
272 00.78.75
DJARI 34 PEREMPUAN
2019 . 2019 . Hartanto.SpOG caesarean section
Sectio Cesarea
04-03- 06-03- dr.D.A.A.Shanti Infection of obstetric
273 03.30.45 YANE KAMLASI 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG surgical wound
Sectio Cesarea
06-03- 08-03- dr. Andree Infection of obstetric
274 03.43.27 LUSIA PORA 33 PEREMPUAN
2019 . 2019 . Hartanto.SpOG surgical wound
18-03- 19-03- dr. Andree Infection of obstetric
275 03.30.45 YANE KAMLASI 35 PEREMPUAN
2019 . 2019 . Hartanto.SpOG surgical wound
14-03- 15-03- dr. Andree Infection of obstetric
276 03.00.14 VICTORYA POLLO 37 PEREMPUAN
2019 . 2019 . Hartanto.SpOG surgical wound
LINDA YULIANTI 11-03- 12-03- dr. Andree Infection of obstetric
277 03.37.41
KANA 28 PEREMPUAN
2019 . 2019 . Hartanto.SpOG surgical wound
16-03- 17-03- dr. Andree Infection of obstetric
278 03.25.85 MERI SABNENO 20 PEREMPUAN
2019 . 2019 . Hartanto.SpOG surgical wound
ORYANCE IMELDA 16-03- 18-03- dr. Andree Infection of obstetric
279 03.43.53
SAE 25 PEREMPUAN
2019 . 2019 . Hartanto.SpOG surgical wound
20-03- 21-03- dr. Andree Infection of obstetric
280 03.32.30 WATI 38 PEREMPUAN
2019 . 2019 . Hartanto.SpOG surgical wound
Diseases of the respiratory
NY. NI WAYAN RIANTI 21-03- 22-03- dr.D.A.A.Shanti
01.51.57
SARI 24 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
system complicating
281 pregnancy, childbirth
Diseases of the digestive
MARIA NATALIA G. 20-03- 22-03- dr.D.A.A.Shanti
03.48.05
HARI 25 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
system complicating
282 pregnancy, childbirth and
Diseases of the digestive
NURDI YARDI 25-03- 27-03- dr.D.A.A.Shanti
03.20.68
ALENORA LOASANA 27 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
system complicating
283 pregnancy, childbirth and
Diseases of the digestive
MALINDA RADJA 26-03- 27-03- dr.D.A.A.Shanti
03.29.52
PONO 30 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
system complicating
284 pregnancy, childbirth and

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Diseases of the digestive
28-03- 29-03- dr.D.A.A.Shanti
02.66.60 YULITA MARLIN KOLO 26 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
system complicating
285 pregnancy, childbirth and
Fetus and newborn
20-03- 22-03- Dr.Tjahyo Suryanto,
03.48.33 BY NATALIA NURYANI 0 PEREMPUAN
2019 . 2019 . SpA. MBiomed
affected by breech delivery
286 and extraction
Fetus and newborn
BY.EVA DIANINGTYAS 12-03- 15-03-
03.46.69
ARIYATI 0 LAKI-LAKI
2019 . 2019 .
affected by caesarean
287 delivery
Fetus and newborn
BY. YUBLINA 09-03- 11-03- dr. Simplicia Maria
03.46.10
TUNBONAT 0 PEREMPUAN
2019 . 2019 . Anggrahini,Sp.A
affected by caesarean
288 delivery
Fetus and newborn
BY.KAMELIA 09-03- 11-03- dr. Simplicia Maria
03.46.12
NGGADAS 0 PEREMPUAN
2019 . 2019 . Anggrahini,Sp.A
affected by caesarean
289 delivery
Fetus and newborn
BY. MARIA Y. 23-03- 26-03- dr. Simplicia Maria
03.48.76
OROLALENG 0 PEREMPUAN
2019 . 2019 . Anggrahini,Sp.A
affected by caesarean
290 delivery
Fetus and newborn
BY. YANUARIA RINCE 26-03- 28-03-
03.49.31
SIMU 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
291 delivery
Fetus and newborn
BY. NUELVIN ROSALIN 17-03- 19-03-
03.47.70
KORELUDJI 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
292 delivery
Fetus and newborn
BY. YULIS IKHA 11-03- 13-03- dr. Irene Lokananta,
03.46.32
PRATIWI 0 PEREMPUAN
2019 . 2019 . Sp.BA
affected by caesarean
293 delivery
Fetus and newborn
BY. LUSIA CLORIANA 11-03- 15-03- dr. Irene Lokananta,
03.46.39
TEDA 0 LAKI-LAKI
2019 . 2019 . Sp.BA
affected by caesarean
294 delivery
Fetus and newborn
BY. NURLINDA 13-03- 15-03- dr. Irene Lokananta,
03.46.95
BADJAHER 0 PEREMPUAN
2019 . 2019 . Sp.BA
affected by caesarean
295 delivery
Fetus and newborn
BY.MARIA PRISKA 13-03- 19-03- dr. Irene Lokananta,
03.46.96
LURUK 0 PEREMPUAN
2019 . 2019 . Sp.BA
affected by caesarean
296 delivery
Fetus and newborn
13-03- 15-03- dr. Irene Lokananta,
03.46.92 BY.ANGELINA HALIM 0 PEREMPUAN
2019 . 2019 . Sp.BA
affected by caesarean
297 delivery
Fetus and newborn
BY.ANI ORANCE 22-03- 24-03- Dr.Tjahyo Suryanto,
03.48.69
NOMLENE 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed
affected by caesarean
298 delivery
Fetus and newborn
BY. ELISABETH 27-02- 01-03- Dr.Tjahyo Suryanto,
03.43.44
NIRMALA S. B.TUKAN 0 PEREMPUAN
2019 . 2019 . SpA. MBiomed
affected by caesarean
299 delivery
Fetus and newborn
BY.NOPTRIDA DYANA 27-02- 02-03- Dr.Tjahyo Suryanto,
03.43.41
SUEK 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed
affected by caesarean
300 delivery

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Fetus and newborn
20-03- 23-03- Dr.Tjahyo Suryanto,
03.48.32 BY NORMA YUANITA 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed
affected by caesarean
301 delivery
Fetus and newborn
BY.IFA LIZATUL 14-03- 18-03- Dr.Tjahyo Suryanto,
03.47.06
UMMAH 0 PEREMPUAN
2019 . 2019 . SpA. MBiomed
affected by caesarean
302 delivery
Fetus and newborn
BY OFLIN ORIANCE 18-03- 20-03- Dr.Tjahyo Suryanto,
03.47.92
LASSA 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed
affected by caesarean
303 delivery
Fetus and newborn
BY. ELSYE AGUSTINA 12-03- 14-03-
03.46.60
YUNINGSIH 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
304 delivery
Fetus and newborn
12-03- 25-03-
03.46.61 BY. DESI F. SANDI 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
305 delivery
Fetus and newborn
BY. RAMAWATI PALA 01-03- 04-03-
03.44.03
BENGE 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
306 delivery
Fetus and newborn
BY JESIKA MERYLIN 03-03- 06-03-
03.44.62
LAZARUS 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
307 delivery
Fetus and newborn
BY KORNELIA ERLITA 03-03- 06-03-
03.44.56
NAHAK 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
308 delivery
Fetus and newborn
03-03- 05-03-
03.44.57 BY LILIK HANDAYANI 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
309 delivery
Fetus and newborn
BY. ITA PURNAMA 04-03- 06-03-
03.44.91
SARI 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
310 delivery
Fetus and newborn
BY.BONAFASIA 18-03- 21-03-
03.44.17
C.DELBY 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
311 delivery
Fetus and newborn
BY MIRANTI 03-03- 05-03-
03.44.52
ANGGRAINI 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
312 delivery
Fetus and newborn
16-03- 19-03-
03.47.42 BY. HANA NDUN 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
313 delivery
Fetus and newborn
BY YENI ABANAT 17-03- 19-03-
03.47.64
SAKAU 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
314 delivery
Fetus and newborn
BY FRANSISKA D. N. 11-03- 13-03-
03.46.52
JEBARUS 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A affected by caesarean
315 delivery
Fetus and newborn
BY.WEHELMINA NINA 10-03- 15-03-
03.46.14
MAAKH 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
316 delivery

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Fetus and newborn
BY. MARIA THERESIA 20-03- 22-03-
03.48.15
RETUK 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
317 delivery
Fetus and newborn
05-03- 08-03-
03.44.99 BY.FERDERIKA MANU 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
318 delivery
Fetus and newborn
BY. NORITA ROSALINA 05-03- 08-03-
03.45.11
SOLE 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
319 delivery
Fetus and newborn
BY MARIA ANGELINA 05-03- 08-03-
03.45.33
FOUK 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
320 delivery
Fetus and newborn
05-03- 25-03-
03.44.93 BY ERNI LALI PORA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A affected by caesarean
321 delivery
Fetus and newborn
BY.MARIANCE 15-03- 25-03- dr. Irene Lokananta,
03.47.33
NDAUMANU 0 PEREMPUAN
2019 . 2019 . Sp.BA
affected by precipitate
322 delivery
BY.WINI DORCE M.N. 24-03- 26-03-
323 03.48.91
RAME 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Other low birth weight
BY. NENE SENDI 25-03- 27-03-
324 03.49.20
ADONI TANEO 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Other low birth weight
17-03- 19-03- Dr.Tjahyo Suryanto,
325 03.47.61 BY YULIA INA BENGA 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed
Other low birth weight
BY.SOFI YOHANA 27-02- 01-03- Dr.Tjahyo Suryanto,
326 03.43.40
FEOH 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed
Other low birth weight
03-03- 08-03-
327 03.44.51 BY VERONIKA BENU 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Severe birth asphyxia
BY. SELFI HELDA 11-03- 13-03-
328 03.46.29
KARTIBA 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A Severe birth asphyxia
BY. ELSYE KATHERIN 06-03- 08-03- Mild and moderate birth
329 03.45.46
NAIT 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
06-03- 08-03- Mild and moderate birth
330 03.45.48 BY.RATNI LIUKAE 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY.YUNITA MATA 25-03- 27-03- Mild and moderate birth
331 03.49.21
RATU 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY.SELFINA HUMAU 26-03- 28-03- Mild and moderate birth
332 03.49.22
BANA 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. FERLY A. 28-03- 30-03- Mild and moderate birth
333 03.49.87
MANBAIT FETO 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. NATALIA 28-03- 30-03- Mild and moderate birth
334 03.49.90
ADELIANA KOTEN 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
13-03- 15-03- Mild and moderate birth
335 03.46.93 BY. DESIANA BRIA 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
asphyxia
BY. GRESTA O. BERLIN 12-03- 15-03- Mild and moderate birth
336 03.46.62
AMTIRAN 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A
asphyxia

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


15-03- 18-03- Mild and moderate birth
337 03.45.79 BY MARCE SERLIANTI 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
asphyxia
BY.MARIA A.YOSEFA 09-03- 15-03- dr. Irene Lokananta, Mild and moderate birth
338 03.45.92
DA COSTA 0 PEREMPUAN
2019 . 2019 . Sp.BA asphyxia
14-03- 16-03- Mild and moderate birth
339 03.45.15 BY. YETI R. SEO 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY YOSIA NENOBESI 02-03- 04-03- Mild and moderate birth
340 03.44.21
FUNAY 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY.DIANA 02-03- 07-03- Mild and moderate birth
341 03.44.26
R.SARGIANA FALLO 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. MARIA MAYA F.E. 02-03- 04-03- Mild and moderate birth
342 03.44.41
JEBATU 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. MARTHA 02-03- 04-03- Mild and moderate birth
343 03.44.42
TAEBONAT HUMSIBU 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. DEWILA AMELIA 02-03- 08-03- Mild and moderate birth
344 03.44.43
AMNAHAS 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
19-03- 21-03- Mild and moderate birth
345 03.48.07 BY. MARIA RIKA KLAU 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
05-03- 06-03- Mild and moderate birth
346 03.45.25 BY.FRANSINA OLLO I 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
05-03- 06-03- Mild and moderate birth
347 03.45.26 BY.FRANSINA OLLO II 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. AGUSTINA M. 04-03- 06-03- Mild and moderate birth
348 03.44.78
GORAN 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
04-03- 06-03- Mild and moderate birth
349 03.44.92 BY YANE KAMLASI 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
13-03- 15-03- Mild and moderate birth
350 03.46.91 BY.PETRONELA BANA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. AGNES BANGU 21-03- 22-03- Mild and moderate birth
351 03.48.52
KAHI 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
14-03- 16-03- Mild and moderate birth
352 03.47.05 BY ORANCE BANI 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
24-03- 26-03- Mild and moderate birth
353 03.49.00 BY.FINCE TANEO 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY.HILDEGUNDA 24-03- 26-03- Mild and moderate birth
354 03.49.02
JERITA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
09-03- 11-03- Mild and moderate birth
355 03.45.91 BY.MURTININGSIH 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
19-03- 25-03- Mild and moderate birth
356 03.47.97 BY. SUSANA KUEAIN 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY.INGRIT 27-03- 29-03- Mild and moderate birth
357 03.49.65
TESYABELA NDOEN 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY.RAMBU RARA 27-03- 29-03- Mild and moderate birth
358 03.49.70
P.UMBU 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY MARIA 06-03- 11-03- Mild and moderate birth
359 03.45.37
GAUDENSIANA BRIA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


27-02- 01-03- Mild and moderate birth
360 03.43.28 BY LUSIA PORA 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. ORYANCE IMELDA 28-02- 02-03- Mild and moderate birth
361 03.43.57
SAE 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
20-03- 22-03- Mild and moderate birth
362 03.48.28 BY.GUSMIYATI ABANI 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
26-03- 28-03- Mild and moderate birth
363 03.49.38 BY. YANTI HOLIDAYA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY SISILIA SOFINA 11-03- 13-03- Mild and moderate birth
364 03.46.41
PANGO 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. VICTORIA M. 01-03- 03-03- Mild and moderate birth
365 03.43.84
YULIANA TJUNG 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY CHITRA MONALISA 02-03- 04-03- Mild and moderate birth
366 03.44.18
FUNAY 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. JENY FITRIANA 17-03- 24-03- Mild and moderate birth
367 03.47.68
DJARI 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
BY. KRISTIANA 26-03- 28-03- Mild and moderate birth
368 03.49.48
REINNAMAH 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
asphyxia
AQILA HUMAIRA 19-03- 25-03- Other respiratory distress
369 03.48.08
SADA SELA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
of newborn
BY. THERESIA 24-03- 27-03- Respiratory distress of
370 03.48.90
YULIAN B. ADU 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
newborn, unspecified
BY. NINDI SUMIRNA 24-03- 26-03- Respiratory distress of
371 03.48.92
KOLMATE 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
newborn, unspecified
BY.BONAFASIA 02-03- 04-03- Neonatal jaundice,
372 03.44.17
C.DELBY 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
unspecified
05-03- 12-03- Neonatal jaundice,
373 03.45.15 BY. YETI R. SEO 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A
unspecified
08-03- 11-03- Neonatal jaundice,
374 03.45.79 BY MARCE SERLIANTI 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A
unspecified
28-02- 05-03- Neonatal jaundice,
375 03.43.71 BY. DAFROSA O. PUTRI 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A
unspecified
BY. NURLINDA 18-03- 22-03- dr. Irene Lokananta, Neonatal jaundice,
376 03.46.95
BADJAHER 0 PEREMPUAN
2019 . 2019 . Sp.BA unspecified
BY.DESITIA 04-03- 06-03- Perinatal digestive system
377 03.38.56
R.RAHALUS 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A
disorder, unspecified
Disturbance of temperature
04-03- 06-03-
03.44.67 BY. MERI SABNENO I 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A regulation of newborn,
378 unspecified
Disturbance of temperature
04-03- 06-03-
03.44.68 BY. MERI SABNENO II 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A regulation of newborn,
379 unspecified
Disturbance of temperature
BY VENERANDA 11-03- 13-03-
03.46.53
VERONIKA SADA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A regulation of newborn,
380 unspecified

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


Disturbance of temperature
20-03- 22-03-
03.48.29 BY. HEDI DIANA METO 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A regulation of newborn,
381 unspecified
Disturbance of temperature
13-03- 14-03-
03.46.85 BY MARTHA SALU 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A regulation of newborn,
382 unspecified
Disturbance of temperature
BY. YUNI HOSIANA 15-03- 16-03- dr. Irene Lokananta,
03.47.21
TOBE 0 PEREMPUAN
2019 . 2019 . Sp.BA
regulation of newborn,
383 unspecified
INGGRED KORNIA 01-03- 06-03- Other and unspecified
384 02.53.14
LIFU 25 PEREMPUAN
2019 . 2019 .
dr Nina SpPD
abdominal pain
YOSEPH JAVIER 05-03- 09-03-
385 03.45.31
NOMESEOH 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Nausea and vomiting
02-03- 06-03-
386 03.43.02 ASNATH SUSANA SAID 39 PEREMPUAN
2019 . 2019 .
dr Nina SpPD Nausea and vomiting
BY. ADELHEIT 27-03- 30-03-
387 03.49.72
NATALIA HITONG 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Fever, unspecified
STEVANZKA
09-03- 11-03- dr. Simplicia Maria
02.96.22 FRAYENALANJES 0 LAKI-LAKI
2019 . 2019 . Anggrahini,Sp.A
Febrile convulsions
388 RUWU
JHOVITA PRICILIA 25-02- 08-03-
389 02.11.67
PANDIE 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Febrile convulsions
01-03- 03-03-
390 02.52.93 BEYNIAWATI PANE 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Febrile convulsions
BY. NOVIA KAHI 01-03- 07-03-
391 02.62.20
NIMBA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Febrile convulsions
06-03- 09-03-
392 02.54.36 FARNO F. ADU 12 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Febrile convulsions
ANDRES I. KEROBI 09-03- 10-03-
393 00.97.66
TUKAN 5 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Febrile convulsions
Contact with and exposure
24-03- 31-03-
02.64.54 LOVENDA BOIMAU 1 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A to unspecified
394 communicable disease
20-03- 21-03- dr.D.A.A.Shanti
395 03.48.22 DINCE BAIT 35 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Sterilization MOW BPJS (B)
02-03- 03-03- dr.D.A.A.Shanti
396 01.88.25 IMELDA NINU 39 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Sterilization MOW BPJS (B)
YUDID MARINCE 27-03- 28-03- dr.D.A.A.Shanti
397 02.85.84
TANIU 41 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Sterilization MOW BPJS (B)
27-03- 28-03- dr.D.A.A.Shanti
398 03.49.60 YANCES DIMU HELA 41 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Sterilization MOW BPJS (B)
ROJALINA 26-03- 27-03- dr.D.A.A.Shanti
399 03.49.28
FERNANDES 37 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
Sterilization MOW BPJS (B)
BY.NINGSIH 23-03- 25-03- dr. Simplicia Maria
400 03.48.80
RAMAYANTI 0 LAKI-LAKI
2019 . 2019 . Anggrahini,Sp.A
Singleton, born in hospital
BY. JENI MARIANA 23-03- 24-03-
401 03.48.70
SANAUNU 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


BY.YOVITA 26-02- 06-03-
402 03.43.10
Y.HENDRIKA BULU 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY RATIH LUISA 26-02- 01-03-
403 03.43.22
YULIAN OTTO 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY. WASRI NOVANTI 06-03- 08-03-
404 03.45.42
SALUKH 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
06-03- 08-03-
405 03.45.47 BY.ADELFINA AFI 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY LEDY D. DORKAS 01-03- 02-03- Dr.Tjahyo Suryanto,
406 03.43.89
KORO 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed
Singleton, born in hospital
BY. JUANITA 18-03- 19-03- Dr.Tjahyo Suryanto,
407 03.47.80
BENGNGU 0 PEREMPUAN
2019 . 2019 . SpA. MBiomed
Singleton, born in hospital
14-03- 15-03- Dr.Tjahyo Suryanto,
408 03.47.04 BY MARGARITA ROHI 0 LAKI-LAKI
2019 . 2019 . SpA. MBiomed
Singleton, born in hospital
BY MATILDA VONI 12-03- 15-03- Dr.Tjahyo Suryanto,
409 03.46.75
LAU 0 PEREMPUAN
2019 . 2019 . SpA. MBiomed
Singleton, born in hospital
BY. ELTRI JUMELDA 16-03- 18-03- Dr.Tjahyo Suryanto,
410 03.47.57
DUKA LOBANG 0 PEREMPUAN
2019 . 2019 . SpA. MBiomed
Singleton, born in hospital
BY.YESI NOFITA 28-02- 01-03- dr. Irene Lokananta,
411 03.43.78
RIUNESI 0 PEREMPUAN
2019 . 2019 . Sp.BA
Singleton, born in hospital
02-03- 03-03-
412 03.44.15 BY. ANTONIA TALAEN 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
01-03- 03-03-
413 03.44.02 BY RATI DJOLLA 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
BY. WANDA APRILIA 08-03- 11-03-
414 03.45.81
SAPUTRI 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
11-03- 15-03-
415 03.46.28 BY TANIA ATOK 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
BY.OVNI ADRIANA 15-03- 18-03-
416 03.47.35
TEFNAI 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
29-03- 31-03- Dr.Tjahyo Suryanto,
417 03.50.11 BY.DESI W.LEBA TUGI 0 PEREMPUAN
2019 . 2019 . SpA. MBiomed
Singleton, born in hospital
BY.SARTIKA RAMBU 16-03- 17-03-
418 03.47.50
WUAKARANU 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
BY MARIA 16-03- 18-03-
419 03.47.43
MAGDALENA V. LOPI 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
BY.MARGARITA 15-03- 18-03-
420 03.47.23
FULBERTUS 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
BY. ESTER HERLINA 15-03- 16-03-
421 03.47.28
LAKAPU 0 LAKI-LAKI
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
BY. YUNENSY 28-02- 02-03-
422 03.43.69
MARIANA RISSE 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
BY DEWI ASTUTI 21-03- 22-03-
423 03.48.37
MASAE 0 PEREMPUAN
2019 . 2019 .
dr. Iren David, Sp.A Singleton, born in hospital
17-03- 19-03-
424 03.47.75 BY.ORANCE TAUNU 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :


BY UYYUNUR 06-03- 07-03-
425 03.45.38
ROCHMAH 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY NURMAYA 21-03- 23-03-
426 03.48.55
ARKIANG 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY FITRIA AHMAT 10-03- 12-03-
427 03.46.20
SALASA 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY KORNELIA D. 05-03- 08-03-
428 03.44.94
ARIENCE BELANG 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY YUMIMA LAKAT 12-03- 14-03-
429 03.46.83
BAITANU 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY MARIA L. MARLINA 26-03- 27-03-
430 03.49.45
MOI 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
07-03- 08-03-
431 03.45.62 BY. SANTI TRISTIANTA 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY. MARIANA MERRY 07-03- 13-03-
432 03.45.67
LASAKAR 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
04-03- 05-03-
433 03.44.66 BY. LILIK SURYANI 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
06-03- 09-03-
434 03.45.49 BY.REZKY DATO 0 LAKI-LAKI
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
BY. PATRISIA DIMUN 17-03- 18-03-
435 03.47.69
ESRAM 0 PEREMPUAN
2019 . 2019 .
dr.Frans Taolin,Sp.A Singleton, born in hospital
MALINDA RADJA 03-03- 05-03- dr.D.A.A.Shanti Preterm labor without
436 03.29.52
PONO 29 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
INDRIYANI 28-03- 30-03- dr.D.A.A.Shanti Preterm labor without
437 01.89.55
P.SYCHBUTUH 34 PEREMPUAN
2019 . 2019 . Widyasari,SpOG delivery
15-03- 16-03- dr. Kt. Agus Preterm labor without
438 03.28.93 SRI SUMARTI 30 PEREMPUAN
2019 . 2019 . Sunatha, SpOG delivery
18-03- 19-03- dr. Kt. Agus Preterm labor without
439 03.28.93 SRI SUMARTI 30 PEREMPUAN
2019 . 2019 . Sunatha, SpOG delivery
Partus Normal
04-03- 06-03- dr. Andree Preterm labor without
440 03.38.63 YUNI HOSIANA TOBE 16 PEREMPUAN
2019 . 2019 . Hartanto.SpOG delivery
SUSANA YOHANA 05-03- 06-03- dr.D.A.A.Shanti
441 03.45.02
FOLLE SELLI 38 PEREMPUAN
2019 . 2019 . Widyasari,SpOG
MOW BPJS (B)

VALIDASI : SESUAI FORNAS : TIDAK SESUAI FORNAS :

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