sensus ri anak

8/20/2019 Sensus Ri Anak

1/389

Bulan Januari 2015

Pasien Aw #

Kelas I 3

Kelas II

Kelas III #

VIP :

PASIEN MASUK RUA

PASIEN MASUK

NO Tanggal Nama Pasien Umur Nomor RMKelas Rawat

Tanggal

LK PR I II III

1 01/01/2015 Af!ol 251""1 1 1

2 01/01/2015 A#fa 25"$15 1 1

" 01/01/2015 Putri 2%&'55 1 1

% 01/01/2015 (ian 15"$%% 1 1

5 01/01/2015 )o!anes 25"$%* 1 1

& 01/01/2015 )a+an 25"2%$ 1 1

' 02/01/2015 K!airunnisa 25"$&0 1 1

$ 02/01/2015 A#fa! 25"$$0 1 1* 0"/01/2015 Arila 0"5$0' 1 1

10 0%/01/2015 ,asta 25"*"$ 1 1

11 0%/01/2015 -umaira 25"*%& 1 1

12 0%/01/2015 Nurilla! 25"*%$ 1 1

1" 0%/01/2015 M.(ian 25"*&' 1 1

1% 05/01/2015 Aulia 25*"02 1 1

15 05/01/2015 Risi 25"*$' 1 1

enisKelamin


2/389

1& 05/01/2015 K!airunnisa 25"*&* 1 1

1' 0&/01/2015 arisa 00'5&5 1 1

1$ 0&/01/2015 Marila 255010 1 1

1* 0&/01/2015 M.atur 25501% 1 1

20 0'/01/2015 M.-a#3 2%&1*% 1 1

21 0$/01/2015 ,anri4a 2550'& 1 1

22 0$/01/2015 ,iti.f 2550'5 1 1

2" 0$/01/2015 Nala 2550$& 1 1

2% 0$/01/2015 Amar 2550$5 1 1

25 0*/01/2015 Raisa 2%5%1' 1 1

2& 10/01/2015 A6el 0%&*2& 1 1

2' 10/01/2015 Aisa 0"'215 1 1

2$ 10/01/2015 Maisu 0"'215 1 1

2* 10/01/2015 -a7i7i 2552"5 1 1

"0 10/01/2015 Amal 8 2552"& 1 1

"1 10/01/2015 M.9wi A 21''11 1 1

"2 10/01/2015 ,arin 1 1

"" 11/01/2015 Ata 25525" 1 1

"% 11/01/2015 Rio. 2552"* 1 1

"5 11/01/2015 Na7ila 01%&"5 1 1

"& 11/01/2015 Alif 2550&$ 1 1

"' 12/01/2015 Mano!ares 255100 1 1

"$ 12/01/2015 Alif 25501$ 1 1

"* 1"/01/2015 Rania 25512& 1 1%0 1"/01/2015 Lisa N 25512$ 1 1

%1 1"/01/2015 Mu!amma 2551%1 1 1

%2 1%/01/2015 Imam., 255155 1 1

%" 1%/01/2015 M.,a#+ 2%&$02 1 1

%% 15/01/2015 Marati 02$&&1 1 1

%5 15/01/2015 A#f 1 1

%& 1&/01/2015 M.Ri3i.R 255"11 1 1

%' 1&/01/2015 a:ri 255"*0 1 1


3/389

%$ 1&/01/2015 Rus!i 255"12 1 1

1'/01/2015 )usuf 0%**1& 1 1

1'/01/2015 Rasa 255"11 1 1

1'/01/2015 ,artia.9 255"*0 1 1

1'/01/2015 )ogi 255"12 1 1

1'/01/2015 M.A7i3ar 255"1" 1 1

1$/01/2015 A7i3ar.N 255"'* 1 1

1$/01/2015 Anana rii 02*%%" 1 1

1*/01/2015 M.(aini.A 0051"& 1 1

1*/01/2015 laia.K 255%0* 1 1

1*/01/2015 Rangga., 255%1" 1 1

1*/01/2015 M.Alfari3i 255%0% 1 1

1*/01/2015 ,ulistiawati 25%'55 1 1

1*/01/2015 a!aa.A 255"$% 1 1

1*/01/2015 (umri 255"$' 1 1

1*/01/2015 Putri 255%"% 1 1

20/01/2015 M.9a;a 255"02 1 1

20/01/2015 Marisa 0%&5&5 1 1

20/01/2015 M.Rifi 255%$% 1 1

20/01/2015 Kesa 255%*& 1 1

21/01/2015 Aia 2%*&0* 1 1

21/01/2015 A3i 255%%0 1 1

21/01/2015 Maria.U 25550% 1 1


4/389


5/389

UMLA-

KETERANGANKelas Rawatan

I II

1. Pasien Awal 11. Mati < %$ a

2. Pasien Masu 12. Mati = %$ :a


6/389

". Total >asien 9irawat 1". Total Pasien

%. Pasien 9ii3inan Pulang 1%. Total Pasien

5. Pasien 9i>ina!an 15. ?ana Pasie

&. Pasien 9iru:u 1&. P, g Masu

'. Pasien Pina! Ke R, Lain

$. Pasien Pulang Pasa

*. Pasien Melarian 9iri

10. Pasien eluar -iu>


7/389

NG RAWAT INAP

PASIEN PINDAH DARI RUANGAN LAIN

Nama Pasien Umur Nomor RM enis Kelamin Kelas Rawatan

Tanggal

LK PR I II III @IP

12/01/2015

1"/01/2015

9ariRuangan


8/389


9/389


10/389


11/389

KETERANGANKETERANGANKelas Rawatan

I II III


12/389

eninggal eninggal

eluar eluar

n g masi! 9irawatn g masi! 9irawat

an Keluar Paa !ari g ,ama an Keluar Paa !ari g ,ama


13/389

SENSUS HARIAN PASIEN RAWAT INAP ANAK RSUD PURI HU

PASIEN PINDAH KERUANGAN LAIN

Nama Pasien Nomor RM enis Kelamin

Tgl Masu KL, Ke Ruang Tanggal Nama Pasien

LK PR

Alif 25501$ 1 12/01/2015 " IU 01/01/2015 M.83a

Lisa N 25512$ 1 1"/01/2015 " IU 01/01/2015 Ul#a

01/01/2015M.Il!am

01/01/2015Lawana

02/01/2015Ana

02/01/2015Mu:a7ar

02/01/2015Aran

02/01/2015Af!ol02/01/2015(ian

0"/01/2015Lut#

0"/01/2015Putri

0"/01/20158lsa

0"/01/2015)o!anes

05/01/2015A#fa

05/01/2015)a+an


14/389

0&/01/2015K!airunnisa

0'/01/2015Aulia

0'/01/2015arisa

0'/01/2015Nurilla!

0$/01/2015Risi

0$/01/2015,asta

0$/01/2015Arila

0$/01/2015Marila

0$/01/2015M.(ian

0*/01/2015M.atur

0*/01/2015M.-a#3

10/01/2015,anri4a

10/01/2015Nala

10/01/2015Amar

10/01/2015Raisa

11/01/2015,arin

11/01/2015Alif

11/01/2015Maisu

12/01/2015-a7i7i

12/01/2015Amal 8

12/01/2015Ata

12/01/2015Rio.

1"/01/2015M.9wi A

1"/01/2015Na7ila1%/01/2015Mano!ares

1%/01/2015Mu!amma

15/01/2015A6el

15/01/2015Aisa

15/01/2015A#f

15/01/2015Rania

1'/01/2015Marati

1'/01/2015a:ri


15/389

1$/01/2015Rus!i

1$/01/2015)usuf

1$/01/2015Rasa

1*/01/2015 )ogi

1*/01/2015A7i3ar.N

20/01/2015M.A7i3ar

21/01/2015Kesa


16/389


17/389


18/389


19/389

SADA TEMBILAHAN

PASIEN KELUAR RAWAT INAP

KELUAR RUMAH SAKIT

Umur Nomor RM enis Kelamin Kelas Rawatan

Tgl Masu 9iagnosa Keluar 9PP

LK PR I II III Umum K9

25"'$' 1 1 2*/12/201%

25"'%" 1 1 2*/12/201%

25"'*5 1 1 2*/12/201%

25"$0% 1 1 "1/12/201%

1222$% 1 1 "0/12/201%

25"'2$ 1 1 "0/12/201%

1 1 2'/12/201%

251""1 1 1 01/01/201515"$%% 1 1 01/01/2015

1 1 12/"1/201%

2%&'55 1 1 01/01/2015

25"$"0 1 1 12/"1/201%

1 1 01/01/2015

25"$15 1 1 01/01/2015

25"2%$ 1 1 01/01/2015


20/389

25"*&* 1 1 05/01/2015

25*"02 1 1 05/01/2015

00'5&5 1 1 0&/01/2015

25"*%$ 1 1 0%/01/2015

25"*$' 1 1 05/01/2015

25"*"$ 1 1 0%/01/2015

0"5$0' 1 1 0"/01/2015

255010 1 1 0&/01/2015

25"*&' 1 1 0%/01/2015

25501% 1 1 0&/01/2015

2%&1*% 1 1 0'/01/2015

2550'& 1 1 0$/01/2015

2550$& 1 1 0$/01/2015

2550$5 1 1 0$/01/2015

2%5%1' 1 1 0*/01/2015

1 1 10/01/2015

2550&$ 1 1 11/01/2015

0"'215 1 1 10/01/2015

2552"5 1 1 10/01/2015

2552"& 1 1 10/01/2015

25525" 1 1 11/01/2015

2552"* 1 1 11/01/2015

21''11 1 1 10/01/2015

01%&"5 1 1 11/01/2015255100 1 1 12/01/2015

2551%1 1 1 1"/01/2015

0%&*2& 1 1 10/01/2015

0"'215 1 1 10/01/2015

1 1 15/01/2015

25512& 1 1 1"/01/2015

02$&&1 1 1 15/01/2015

255"*0 1 1 1&/01/2015


21/389


22/389


23/389


24/389


25/389

CARA PASIEN KELUAR MATI

ara ?aar9iru:u R, Lari < 2% AM = %$ AM

KNM KNP?I PT Bratis

1

1

1

1

1

1

1

11

1

1

1

1

1

1

9i i3inanPulang

9iru:uPusesmas

Pulang>asa


26/389

1

1

1

C

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

11

1 1

1

1

1 1

1

1


27/389

1

1

1

1

1

1


28/389


29/389


30/389


31/389

Tanggal

RINIAN PA,I8N

Pasien ,isa

I II III @IP

01/01/2015 " 2 1%

02/01/2015 2 1%

0"/01/2015 1 12

0%/01/2015 2 2 1"

05/01/2015 2 2 1"

0&/01/2015 1 2 1&

0'/01/2015 1 1 1%

0$/01/2015 1 1 1"0*/01/2015 2 11

10/01/2015 " 10

11/01/2015 " 11

12/01/2015 % &

1"/01/2015 " &

1%/01/2015 2 &

15/01/2015 &


32/389

1&/01/2015 1 1 '

1'/01/2015 2 2 $

1$/01/2015 % 1 &

1*/01/2015 % 2 10

20/01/2015 % 2 1%

21/01/2015 % 2 1'

22/01/2015 2 1$

2"/01/2015

2%/01/2015

25/01/2015

2&/01/2015

2'/01/2015

2$/01/2015

2*/01/2015

"0/01/2015

"1/01/2015


33/389


34/389


35/389


36/389


37/389

Bulan Februari 2015

Pasien Aw #

Kelas I 3

Kelas II 1

Kelas III #

VIP :

PASIEN MASUK

NO Tanggal Nama Pasien Umur Nomor RMKelas Ra

LK PR I II

1 02/02/2015 M.RA(I9IN 00&0&2 1 1

2 02/02/2015 TA,)A 2%*"&$ 1

" 02/02/2015 RAID 25&1"% 1

% 02/02/2015 ARUMI K8)LA 255$&5 1 1

5 0"/02/2015 NURAINI 222**% 1

0"/02/2015 8RAN9I 25&1'% 1 1

0"/02/2015 M.RA(ID 255$** 1 1

0%/02/2015 IK-,AN 255*0& 1

0%/02/2015 A?9.KAI 2511'5 1

0%/02/2015 (AI9AN 255$*% 1 1

0%/02/2015 )U9A 255*2% 1

05/02/2015 TIARA 255*"' 1

05/02/2015 NURMALIKA 0%0"52 1 105/02/2015 NAILA 255*5' 1

05/02/2015 A.AU(I 255*&2 1 1

05/02/2015 NA9I 0%'1"' 1

0$/02/2015 NAUAL 25&00" 1 1

0$/02/2015 ULA.A 25&022 1 1

0*/02/2015 A?9UL I9-AM 1%$%"% 1

0*/02/2015 NURA,I9IK 25&0%' 1

0*/02/2015 AR9IAN,)A- 25&0%* 1 1

10/02/2015 ,U-A9A 25&0&2 1

10/02/2015 M.)U,U 0%0*1& 110/02/2015 M.NAAR 25&'"2 1

10/02/2015 ARRA)AN 0%%22$ 1 1

10/02/2015 LUTIA.U 25&0*% 1


38/389


39/389


40/389

UMLA-


I II

1. Pasien Awal

2. Pasien Masu

". Total >asien 9irawat

%. Pasien 9ii3inan Pulang

5. Pasien 9i>ina!an

&. Pasien 9iru:u

'. Pasien Pina! Ke R, Lain$. Pasien Pulang Pasa




41/389

PASIEN MASUK RUANG RAWAT INAP


at Tanggal Nama Pasien Umur Nomor RM

enis Kelamin

III LK PR

1

1

1

1

1

1

1

1

1

1

1

1

1

1


42/389


43/389


44/389

KETERANGANI

11. Mati < %$ am

12. Mati = %$ :am

1". Total Pasien Meninggal

1%. Total Pasien Keluar

15. ?ana Pasien g masi! 9irawat

1&. P, g Masu an Keluar Paa !ari g ,ama


45/389

SENSUS

PASIEN PINDAH KERU

Kelas Rawatan Tanggal Nama Pasien Nomor RM

enis

I II III @IP LK

9ariRuangan


46/389


47/389


48/389

Kelas Rawatan

II III


49/389

HARIAN PASIEN RAWAT INAP ANAK RSUD PURI HUSA

NGAN LAIN

elamin Tgl Masu KL, Ke Ruang Tanggal Nama Pasien Umur

PR

01/02/2015UNAI9A

01/02/2015,).NAI,A

02/02/2015R8NAL9I

02/02/2015NURAINI

02/02/2015 ,ITI AL)A

02/02/2015ALITO

0"/02/2015ABRA

0%/02/2015M.RA(I9IN

05/02/2015ARUMI K8)LA

05/02/2015IK-,AN

0'/02/2015(AI9AN

0$/02/2015A?9.KAI

0$/02/2015TIARA0$/02/2015A.AU(I

0$/02/20158RAN9I

0*/02/2015TA,)A

10/02/2015M.RA(ID

10/02/2015M.RA(ID

10/02/2015ULA.A

10/02/2015ANIA

10/02/2015)U9A

10/02/2015A?9UL I9-AM


50/389


51/389


52/389


53/389

A TEMBILAHAN

PASIEN KELUAR RAWAT IN

KELUAR RUMAH SAKIT

Nomor RM enis Kelamin Kelas Rawatan

Tgl Masu 9iagnosa KeluarLK PR I II III

25%$*' 1 1 2&/01/2015

255'51 1 1 2*/01/2015

255'&0 1 1 "0/01/2015

255'&5 1 1 "0/01/2015

255'*2 1 1 "1/01/2015

25$001 1 1

255'&1 1 1 "0/01/2015

00&0&2 1 1 02/02/2015

255$&5 1 1 02/02/2015

255*0& 1 1 0%/02/2015

255$*% 1 1 0%/02/2015

2511'5 1 1 0%/02/2015

255*"' 1 1 05/02/2015255*&2 1 1 05/02/2015

25&1'% 1 1 0"/02/2015

2%*"&$ 1 1 02/02/2015

255$** 1 1 0"/02/2015

255$** 1 1 0"/02/2015

25&022 1 1 0$/02/2015

1 1 "0/01/2015

255*2% 1 1 0%/02/2015

1%$%"% 1 1 0*/02/2015


54/389


55/389


56/389


57/389

AP

9PPara ?aar

Umum K9 KNM KNP?I PT Bratis

1

1

1

1

1

1

1

1

1

1

1

11

1

1

1

1

1

1

1

1

9i i3inanPulang


58/389


59/389


60/389


61/389


Tanggal

9iru:u R, Lari < 2% AM = %$ AMI

01/02/2015 "

02/02/2015 "

0"/02/2015 %

0%/02/2015 %

05/02/2015 %

0&/02/2015 %

0'/02/2015 "

0$/02/2015 "

1 0*/02/2015 %

10/02/2015 "

11/02/2015 2

12/02/2015

1"/02/20151%/02/2015

15/02/2015

1&/02/2015

1'/02/2015

1$/02/2015

1*/02/2015

20/02/2015

21/02/2015

22/02/2015

2"/02/20152%/02/2015

25/02/2015

2&/02/2015

2'/02/2015

2$/02/2015

9iru:uPusesmas

Pulang>asa


62/389


63/389


64/389


65/389

INIAN PA,I8N

Pasien ,isa

II III @IP

1%

1 1"

1 1%

2 1&

2 1*

2 1*

2 1*

2 1'

2 1$

1 20

1 22


66/389


67/389


68/389


69/389

Bulan Maret 2015

Pasien Aw #

Kelas I

Kelas II

Kelas III 7

VIP :

PASIEN MASUK


LK PR I II

1 02/0"/2015 -A?I?I 25'&1' 1

2 02/0"/2015 UNA 25'*%% 1 1

" 0"/0"/2015 UNAI9I 25$"$* 1

% 0"/0"/2015 NA9IA 2%&"%0 1

5 0"/0"/2015 PALUEA, 25'&&1 1 1

0"/0"/2015 ARLITA 25'&&' 1

0"/0"/2015 (I9AN 25'&'$ 1 1

0%/0"/2015 PUTRI 25'&$% 1

0%/0"/2015 K8I,A 25'&'0 1 1

0%/0"/2015 UAN 25''1$ 1 1

0%/0"/2015 NURALIA 25'"%% 1

0%/0"/2015 ?RATA., 25'5&' 1 1

05/0"/2015 A9IT 05''"2 1 10&/0"/2015 ,ARMILA 2255'' 1 1

0&/0"/2015 A.ULIL 25''5* 1 1

0&/0"/2015 -8RLI)A 0"0"$" 1

0'/0"/2015 RAA 25'''0 1

0'/0"/2015 M.ALEI 25$5%5 1 1

0'/0"/2015 M.RALI 25$5%5 1 1

0*/0"/2015 DU8N() 25'$01 1 1

0*/0"/2015 M.RI9-O 0"51&" 1

0*/0"/2015 (8O 2%0520 1 1

0*/0"/2015 KAMI,A- 25'5'5 111/0"/2015 AI,)A- 25'$'0 1 1

12/0"/2015 AM8LIA 0%5*1' 1

12/0"/2015 ATTA 25'*2& 1

12/0"/2015 (IKRI 25'*0& 1

12/0"/2015 M.URDON 25'$"% 1 1

1"/0"/2015 AI(8N 25'*2' 1 1

1"/0"/2015 NIA 25'*%* 1 1

1%/0"/2015 A.PRANATA 25'$1* 1 1


70/389

1%/0"/2015 NA9IA 25'*%& 1

1%/0"/2015 BU,TI 25'*5% 1

15/0"/2015 -A)LA 21*125 1 1

15/0"/2015 RIKI 25'*'$ 1

1'/0"/2015 NAIMA 25*0%2 1 1

1'/0"/2015 M.EA-)U 25*05* 1 1

1'/0"/2015 RI9-O 0"1'00 11'/0"/2015 -AI(A- 25*025 1 1

1$/0"/2015 ALI., 25$0%1 1

1$/0"/2015 EI9A9 21*0$* 1

1$/0"/2015 AI,)A-.( 2510$0 1 1

1*/0"/2015 MITRA 00'%%0 1

1*/0"/2015 RI,KI.R 25$$5' 1

1*/0"/2015 A(A.? 25*12% 1 1

1*/0"/2015 IKA 25*12& 1 1

1*/0"/2015 8(A/8KA 25$$5" 1

20/0"/2015 -AI( 25*1"& 120/0"/2015 NURAIA- 25*1%" 1 1

20/0"/2015 M.,)AEAL 25*1&2 1

20/0"/2015 RI9-O 25*1&' 1

21/0"/2015 -ILMAN 25*1'* 1

21/0"/2015 ALIA 25*12$ 1

22/0"/2015 M.-AIT 25*125 1

22/0"/2015 NA(ILA 25*12' 1 1

2"/0"/2015 TRI ARIKA 2&2'1% 1 1

2"/0"/2015 (AKIRA 25*1%2 1 1

2"/0"/2015 RAI-AN 25*20% 1

25/0"/2015 M.)U,U 0%$*1& 1

25/0"/2015 (AK-I 25*25" 1

25/0"/2015 A?8L 25*2&1 1

25/0"/2015 RANIA 25512& 1

25/0"/2015 NAILA 25*2'% 1 1

2&/0"/2015 AN9RA 2&00&" 1

2&/0"/2015 RAKA.T 25'2"2 1 1

2&/0"/2015 (ULAN 25*2$1 1

2'/0"/2015 OKTA@IANO 000$"1 1 1

2'/0"/2015 TRI KU,)ANTI 25*"22 1

2'/0"/2015 ?INTANB 25$$&2 1 1

2$/0"/2015 ,U,ANTI 25*"%1 1

2*/0"/2015 AL)A 25*"5* 1

"0/0"/2015 L8,TI 2&01'% 1

"0/0"/2015 9898 25*"*$ 1 1

"1/0"/2015 M.IN9RA 25*%25 1


71/389


72/389

UMLA-


I II

1. Pasien Awal

2. Pasien Masu



5. Pasien 9i>ina!an

&. Pasien 9iru:u





73/389




enis Kelamin

III LK PR

1

1

1

1

1

1

1

1

1

1

1

1

1


74/389


75/389


76/389


77/389

SENS

PASIEN PINDAH KE


enis

I II III @IP LK

22/0"/2015 NURAIA- 25*025 1

2&/0"/2015 NAILA 25*2'%

9ariRuangan


78/389


79/389


80/389

Kelas Rawatan

II III


81/389

S HARIAN PASIEN RAWAT INAP ANAK RSUD PURI H

UANGAN LAIN

elamin Tgl Masu KL, Ke Ruang Tanggal Nama Pasien

PR

20/0"/2015 2 IU 01/0"/2015 RI(KI

1 25/0"/2015 1 IU 01/0"/2015 9I,MA

0"/0"/2015OLI@IA

0%/0"/2015ANI,A

0%/0"/2015M.RAI-AN

0%/0"/2015A9IT)A

0%/0"/2015 ?RATA.,

0%/0"/2015UNA

0"/0"/2015NA9IA

02/0"/2015-A?I?I

0"/0"/2015PALUEA,

0"/0"/2015ARLITA

0%/0"/2015K8I,A0%/0"/2015PUTRI

0'/0"/2015RAA

0'/0"/2015UNAI9I

0'/0"/2015UAN

0'/0"/2015A9IT

0'/0"/2015(I9AN

0'/0"/2015-8RLI)A

0$/0"/2015NURALIA

0*/0"/2015,ARMILA

0*/0"/2015M.ALEI11/0"/2015M.RALI

11/0"/2015A.ULIL

11/0"/2015DU8N()

1"/0"/2015AM8LIA

1%/0"/2015AI,)A-

1%/0"/2015M.URDON

1%/0"/2015KAMI,A-

15/0"/2015(IKRI


82/389

1&/0"/2015NIA

1&/0"/2015-A)LA

1&/0"/2015 A.PRANATA

1&/0"/2015ATTA

1&/0"/2015(IKRI

1&/0"/2015BU,TI

1'/0"/2015AI(8N1'/0"/2015RI9-O

1'/0"/2015NA9IA

1'/0"/2015RIKI

1*/0"/2015M.EA-)U

20/0"/20158(A/8KA

20/0"/2015ALI.,

20/0"/2015RI9-O

21/0"/2015NAIMA

21/0"/2015AI,)A-.(

21/0"/2015EI9A921/0"/2015-AI(

21/0"/2015RI9-O

22/0"/2015A(A.?

22/0"/2015-AI(A-

22/0"/2015MITRA

22/0"/2015RI,KI.R

2"/0"/2015M.-AIT

2%/0"/2015IKA

2%/0"/2015-ILMAN

2%/0"/2015ALIA

25/0"/2015TRI ARIKA

25/0"/2015(AKIRA

2&/0"/2015M.)U,U

2'/0"/2015RAI-AN

2$/0"/2015(AK-I

2$/0"/2015A?8L

2$/0"/2015AN9RA

2$/0"/2015TRI KU,)ANTI

2$/0"/2015(ULAN

2*/0"/2015RANIA

2*/0"/2015RAKA.T

2*/0"/2015 M.,)AEAL

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PASIEN KELUAR RAWAT INA

KELUAR RUMAH SAKIT

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Pasien Aw 3

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VIP :

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105/389


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Kelas Rawat Tanggal Nama Pasien Umur Nomor RM

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113/389

SENSUS HARIAN PASIEN RAWAT INAP ANAK R

IEN PINDAH KERUANGAN LAIN

Nomor RM enis Kelamin

Tgl Masu KL, Ke Ruang TanggalLK PR

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02/0%/2015

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0%/0%/2015

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05/0%/2015

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114/389

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SUD PURI HUSADA TEMBILAHAN

KELU


LK PR I II III

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Bulan Mei 2015

Pasien Aw !

Kelas I 3

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VIP :

PASIEN MASUK

NO Tanggal Nama Pasien Umur Nomor RMKel

LK PR I

1 01/05/2015 -enra Usur 2&1"&2 1 1

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I II

1. Pasien Awal

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SENSUS HARIAN PASIEN RAWAT INAP ANAK R

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Pasien Aw "

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Kelas II

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PASIEN MASUK

NO Tanggal Nama Pasien Umur Nomor RMKel

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2. Pasien Masu



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SENSUS HARIAN PASIEN RAWAT INAP ANAK

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Bulan Juli 2015

Pasien Aw !

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PASIEN MASUK

NO Tanggal Nama Pasien Umur Nomor RMLK PR

1 01/0'/2015 M.R!afa I+7al 0"0200 1

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KETERANGANKelas Rawa

I II

1. Pasien Awal

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UANGAN LAIN

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Kelas Rawatan

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209/389

SENSUS HARIAN PASIEN RAWAT I

PASIEN PINDAH KERUANGAN LAIN

Nama Pasien Nomor RM enis Kelamin

Tgl Masulos

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NAP ANAK RSUD PURI HUSADA TEMBILAHAN

Ke Ruang Tanggal Nama Pasien Umur Nomor RM enis

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KELUAR RUMAH SAKIT

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1 2'/0'/2015

1 2$/0'/2015 1

1 1 2$/0'/2015


219/389


220/389


221/389

CARA PASIEN KELUA

ara ?aar9iru:u R,

K9 KNM KNP?I PT Bratis

1 1

11 1

1

1 1

1 1

1 1

1

1 1

1 1

11

1

1

1

1 1

1 1

1 1

1 1

1

1 1

1

1

1

1 1

1

1

1 1

1 11 1

9i i3inanPulang

9iru:uPusesmas


222/389

1

1

1

1 1

1

1 1

1 1

1

1

1


223/389


224/389


225/389

R MATI

Tanggal

RINIAN PA,I8N

Lari < 2% AM = %$ AMPasien ,isa

I II III @IP

01/0'/2015 % 1 "

02/0'/2015 2 2 %0"/0'/2015 2 2 "

0%/0'/2015 " 2 "

05/0'/2015 " 1 2

0&/0'/2015 " 1 "

1 0'/0'/2015 1 2

0$/0'/2015 1 2

0*/0'/2015 1 " 2

10/0'/2015 2 " 2

11/0'/2015 % " 1

12/0'/2015 % "1"/0'/2015 % 2 2

1%/0'/2015 1 2 2

1 15/0'/2015 1 2 2

1&/0'/2015

1'/0'/2015

1$/0'/2015 1 %

1*/0'/2015 2 %

20/0'/2015 1 %

21/0'/2015 1 1

1 22/0'/2015 1 1 12"/0'/2015 1 1 1

2%/0'/2015 1

25/0'/2015 1 1

2&/0'/2015 1 1

2'/0'/2015 1 2

2$/0'/2015 1 "

2*/0'/2015 1 1 "

"0/0'/2015 1 1 5

"1/0'/2015 2 1 '

Pulang>asa


226/389

1

1


227/389


228/389


229/389

Bulan Agustus 2015

Pasien Aw :

Kelas I:

Kelas II :

Kelas III :

VIP :

PASIEN MASUK


LK PR I II

1

2

"

%

5


230/389


231/389


232/389

UMLA-


I II

1. Pasien Awal

2. Pasien Masu



5. Pasien 9i>ina!an

&. Pasien 9iru:u





233/389




enis Kelamin

III LK PR


234/389


235/389


236/389


237/389


238/389


239/389


240/389

Kelas Rawatan

II III


241/389


242/389


243/389


244/389


245/389

TEMBILAHAN

PASIEN KELUAR RAWAT

KELUAR RUMAH SAKIT




246/389


247/389


248/389


249/389

INAP

9PPara ?aar


9i i3inanPulang


250/389


251/389


252/389


253/389


Tanggal


01/0$/2015

02/0$/2015

0"/0$/2015

0%/0$/2015

05/0$/2015

0&/0$/2015

0'/0$/2015

0$/0$/2015

0*/0$/2015

10/0$/2015

11/0$/2015

12/0$/2015

1"/0$/20151%/0$/2015

15/0$/2015

1&/0$/2015

1'/0$/2015

1$/0$/2015

1*/0$/2015

20/0$/2015

21/0$/2015

22/0$/2015

2"/0$/20152%/0$/2015

25/0$/2015

2&/0$/2015

2'/0$/2015

2$/0$/2015

2*/0$/2015

"0/0$/2015

"1/0$/2015

9iru:uPusesmas

Pulang>asa


254/389


255/389


256/389


257/389

INIAN PA,I8N

Pasien ,isa

II III @IP


258/389


259/389


260/389


261/389

Bulan Septeber 2015

Pasien Aw :

Kelas I:

Kelas II :

Kelas III :

VIP :

PASIEN MASUK


LK PR I II

1

2

"

%

5


262/389


263/389


264/389

UMLA-


I II

1. Pasien Awal

2. Pasien Masu



5. Pasien 9i>ina!an

&. Pasien 9iru:u





265/389




enis Kelamin

III LK PR


266/389


267/389


268/389

KETERANGANI

11. Mati < %$ am

12. Mati = %$ :am






269/389

SENSUS

PASIEN PINDAH KERU


enis

I II III @IP LK

9ariRuangan


270/389


271/389


272/389

Kelas Rawatan

II III


273/389

ARIAN PASIEN RAWAT INAP ANAK RSUD PURI HUSAD

NGAN LAIN


PR


274/389


275/389


276/389


277/389

TEMBILAHAN

PASIEN KELUAR RAWAT

KELUAR RUMAH SAKIT




278/389


279/389


280/389


281/389

INAP

9PPara ?aar


9i i3inanPulang


282/389


283/389


284/389


285/389


Tanggal


01/0*/2015

02/0*/2015

0"/0*/2015

0%/0*/2015

05/0*/2015

0&/0*/2015

0'/0*/2015

0$/0*/2015

0*/0*/2015

10/0*/2015

11/0*/2015

12/0*/2015

1"/0*/20151%/0*/2015

15/0*/2015

1&/0*/2015

1'/0*/2015

1$/0*/2015

1*/0*/2015

20/0*/2015

21/0*/2015

22/0*/2015

2"/0*/20152%/0*/2015

25/0*/2015

2&/0*/2015

2'/0*/2015

2$/0*/2015

2*/0*/2015

"0/0*/2015

9iru:uPusesmas

Pulang>asa


286/389


287/389


288/389


289/389

INIAN PA,I8N

Pasien ,isa

II III @IP


290/389


291/389


292/389


293/389

Bulan !"tber 2015

Pasien Aw :

Kelas I:

Kelas II :

Kelas III :

VIP :

PASIEN MASUK


LK PR I II

1

2

"

%

5

enisKelamin


294/389


295/389


296/389

UMLA-


I II

1. Pasien Awal

2. Pasien Masu



5. Pasien 9i>ina!an

&. Pasien 9iru:u





297/389




enis Kelamin

III LK PR


298/389


299/389


300/389

KETERANGANI

11. Mati < %$ am

12. Mati = %$ :am






301/389

SENSUS

PASIEN PINDAH KERU


enis

I II III @IP LK

9ariRuangan


302/389


303/389


304/389

Kelas Rawatan

II III


305/389


NGAN LAIN


PR


306/389


307/389


308/389


309/389


310/389


311/389


312/389


313/389

INAP

9PPara ?aar


9i i3inanPulang


314/389


315/389


316/389


317/389


Tanggal


01/10/2015

02/10/2015

0"/10/2015

0%/10/2015

05/10/2015

0&/10/2015

0'/10/2015

0$/10/2015

0*/10/2015

10/10/2015

11/10/2015

12/10/2015

1"/10/20151%/10/2015

15/10/2015

1&/10/2015

1'/10/2015

1$/10/2015

1*/10/2015

20/10/2015

21/10/2015

22/10/2015

2"/10/20152%/10/2015

25/10/2015

2&/10/2015

2'/10/2015

2$/10/2015

2*/10/2015

"0/10/2015

"1/10/2015

9iru:uPusesmas

Pulang>asa


318/389


319/389


320/389


321/389

INIAN PA,I8N

Pasien ,isa

II III @IP


322/389


323/389


324/389


325/389

Bulan $%eber 2015

Pasien Aw :

Kelas I:

Kelas II :

Kelas III :

VIP :

PASIEN MASUK


LK PR I II

1

2

"

%

5

enisKelamin


326/389


327/389


328/389

UMLA-


I II

1. Pasien Awal

2. Pasien Masu



5. Pasien 9i>ina!an

&. Pasien 9iru:u





329/389




enis Kelamin

III LK PR


330/389


331/389


332/389

KETERANGANI

11. Mati < %$ am

12. Mati = %$ :am






333/389

SENSUS

PASIEN PINDAH KERU


enis

I II III @IP LK

9ariRuangan


334/389


335/389


336/389

Kelas Rawatan

II III


337/389


NGAN LAIN


PR


338/389


339/389


340/389


341/389

TEMBILAHAN

PASIEN KELUAR RAWAT

KELUAR RUMAH SAKIT




342/389


343/389


344/389


345/389

INAP

9PPara ?aar


9i i3inanPulang


346/389


347/389


348/389


349/389


Tanggal


01/11/2015

02/11/2015

0"/11/2015

0%/11/2015

05/11/2015

0&/11/2015

0'/11/2015

0$/11/2015

0*/11/2015

10/11/2015

11/11/2015

12/11/2015

1"/11/20151%/11/2015

15/11/2015

1&/11/2015

1'/11/2015

1$/11/2015

1*/11/2015

20/11/2015

21/11/2015

22/11/2015

2"/11/20152%/11/2015

25/11/2015

2&/11/2015

2'/11/2015

2$/11/2015

2*/11/2015

"0/11/2015

9iru:uPusesmas

Pulang>asa


350/389


351/389


352/389


353/389

INIAN PA,I8N

Pasien ,isa

II III @IP


354/389


355/389


356/389


357/389

Bulan &eseber 2015

Pasien Aw :

Kelas I:

Kelas II :

Kelas III :

VIP :

PASIEN MASUK


LK PR I II

1

2

"

%

5

enisKelamin


358/389


359/389


360/389

UMLA-


I II

1. Pasien Awal

2. Pasien Masu



5. Pasien 9i>ina!an

&. Pasien 9iru:u





361/389




enis Kelamin

III LK PR


362/389


363/389


364/389

KETERANGANI

11. Mati < %$ am

12. Mati = %$ :am



15. ?ana Pasien g

sensus ri anak

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