8 September 2015

8 September 2015
NI KETUT KARTI
10.10.004788 I VIP
Benign paroxysmal vertigo H81.1
Rp 1.816.400,00
Tambah Other Miscellaneous procedures 99.99 eppley manuver??
Rp 1.816.400,00
ANANG BACHTIAR
10.10.009469 I
Unspecified diabetes mellitus with multiple complications E14.7

Acute myeloid leukaemia C92.0 s
Anaemia, unspecified D64.9
Rp 5.362.900,00
Ganti Chronic myeloproliferative disease D47.1
Rp 3.871.100,00
Sulaiman
20.14.013418 II
1 Jalan
Senile incipient cataract H25.0
Other cataract extraction 13.69
Rp 3.150.000,00
muhammad mirza al fatih
20.15.002947 II
Diarrhoea and gastroenteritis of presumed infectious origin A09
Rp 2.121.700,00 nope
BUDI BAKTI CAHYONO
20.15.010955 II
Urinary tract infection, site not specified N39.0
Rp 1.721.200,00
EVI NOVIAN AGUSTIN
20.15.001403 II
Delivery by emergency caesarean section O82.1

Premature rupture of membranes, unspecified O42.9
Low cervical cesarean section74.1
Rp 4.387.800,00 nope
SAFI`I
20.15.018935 II
Dengue haemorrhagic fever A91
Inflammatory liver disease, unspecified K75.9
Rp 1.807.000,00
6 september 2015
KATIMIN
20.15.010746 I VIP
Unilateral or unspecified inguinal hernia, without obstruction or gangrene K40.9
Unilateral repair of inguinal hernia, not otherwise specified 53.00
Rp 4.212.400,00 nope
11 septe,mber 2015
SITI QOMARIYAH
20.15.010580 I
Tanggal SEP 6-9 tanggal resume 6-11

5
Gastritis, unspecified K29.7

Nausea and vomiting R11 s
Malignant neoplasm of breast, unspecified C50.9
Rp 1.819.900,00
Ganti Personal history of malignant neoplasm of breast Z85.3
SILVI FITRIA NUR ARIFKI
20.12.001700
Maternal care for breech presentation O32.1

Delivery by elective caesarean section O82.0
Rp 4.387.800,00 NOPE \
10 September 2015
H. HAMID SAHLAN
20.15.010951 I VIP
3
Hypertensive heart disease with (congestive) heart failure I11.0
Rp 3.339.900,00
TUKIMIN
20.14.002353 I VIP
Heart failure, unspecified I50.9

Dilated cardiomyopathy I42.0
Rp 4.728.100,00 nope
DJAMAL
20.15.011027 I VIP
3
Unstable angina I20.0
Atherosclerotic heart disease I25.1
Rp 3.334.300,00nope
muhammad ilham
20.15.010886 II
6
Other low birth weight P07.1
Rp 2.622.100,00
+
Perinatal digestive system disorder, unspecified P78.9
Tak berubah
HANIPAN
20.14.014717 III
Syncope and collapse R55
Rp 3.933.400,00
+
Meniere's disease H81.0
Rp 3.933.400,00
SARJUMAN
20.15.011017 I
Hypertensive heart disease with (congestive) heart failure I11.0

Atrial fibrillation and flutter I48
Rp 4.728.100,00 nop e
9 September 2015
NINA FEBRIYANTI
20.15.010950 II

Melaena K92.1 s
Rp 3.318.100,00 nope
12 September 2015
FINA FERDINAN SARI
20.11.011809 I VIP

Low cervical cesarean section 74.1
Rp 5.119.100,00nope
DEWI ERLINDA
20.15.011116
Typhoid fever A01.0
Rp 3.026.700,00
+ Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the
puerperium O98.8
Tetap
NADHIRA AUfIYA EFENDI
20.13.011096 II VIP
Other acute gastritis K29.1
Rp 1.559.900,00 nope
zaenah fadilah
20.15.001407 III
Spontaneous vertex delivery O80.0

MADE NGURAH TJANDRA
20.13.003851 I

Volume depletion E86
Rp 2.475.300,00
SILVIA PURWANTI
20.15.007152 I
Moderate pre-eclampsia O14.0

Rp 3.549.200,00 nope
14 September 2015
SUMARTI I VIP A
20.15.010861
7

Unspecified diabetes mellitus with unspecified complications E14.8
Rp 2.108.100,00 nope
EVI CITRA ROZANA
20.12.011592 II VIP A
Typhoid fever A01.0

Rp 3.026.700,00 nope
SAHODA
20.15.011172 II
3
Aplastic anaemia, unspecified D61.9
Rp 1.560.600,00
Tulisan tak terbaca konfirmasi
WAHARTI NINGSIH
20.15.011110 I
Cellulitis, unspecified L03.9
Chronic ischaemic heart disease, unspecified I25.9
Flaccid paraplegia G82.0
Shock, unspecified R57.9

Rp 3.871.100,00
Rp 3.871.100,00
Kemungkinan jadi

Cellulitis, unspecified L03.9 s
Shock, unspecified R57.9
Tetap tidak dapat terapi yang lain
15 September 2015
W ABDUL RA'UF
10.04.002804 I VIP A
1
Benign paroxysmal vertigo H81.1
Rp 1.816.400,00 nope
SUGIHARTIK
10.09.050097 II I

Rp 2.121.700,00
ERNERNA MILA ALVIA NABILA
20.15.011278
Other and unspecified abdominal pain R10.4
Rp 2.121.700,00 nope
MOH. ANWAR
10.10.001760 IVIP

Cystitis, unspecified N30.9 s
Other cholelithiasis K80.8
Rp 3.871.100,00 nope
BAMBANG HARIANTO
20.15.006212

Essential (primary) hypertension I10
Rp 3.150.000,00 nope
ZAENABUN
20.15.011250 III

Hypoglycaemia, unspecified E16.2 s
Arthrosis, unspecified M19.9
Rp 1.799.100,00 nope
ELISA NURLAILI
20.15.011253 III
Maternal care for high head at term O32.4

Other abnormal findings on antenatal screening of mother O28.8 s
Rp 3.656.500,00 nope
TITRIN SS MISSA
20.15.011258
Maternal care for intrauterine death O36.4

Rp 2.166.600,00nope
14 september 2015
MARFUAH
20.15.011175 III
Low back pain M54.5

Other and unspecified intestinal obstruction K56.6 s
Chronic obstructive pulmonary disease, unspecified J44.9 s
Other chronic renal failure N18.8
Rp 2.269.100,00 nope
HOIRIYAH
20.15.011256 ii
Stroke, not specified as haemorrhage or infarction I64

s

Rp 2.842.000,00
+ Hyperlipidaemia, unspecified E78.5
TAK MENAMBAH
18 September 2015
TUNIK HERI MUKTI
20.15.011259 I VIP
4
Submucous leiomyoma of uterus D25.0
Total abdominal hysterectomy 68.4

Other unilateral salpingo-oophorectomy 65.49
Rp 5.605.100,00
Ganti Other removal of both ovaries and tubes at same operative episode 65.61
Sama
68.4 saja Rp 5.605.100,00
MUKANAH
20.15.011076
1

Rp 5.518.600,00 nope
SUPARNO
20.15.011286 III
4

Unspecified haematuria R31
Rp 1.300.500,00
Gastrointestinal haemorrhage, unspecified K92.2

Rp 3.790.300,00
15 september 2015
INAYATUR ROBIYAH, A.MA
20.15.011298 I
1
Carpal tunnel syndrome G56.0
Rp 3.050.400,00
17 september 2015\
FRIDIANAWATI
20.15.010272II VIP
2
Internal thrombosed haemorrhoids I84.0
Ligation of hemorrhoids 49.45
Rp 4.183.700,00
BAMBANG SETYO UTOMO
20.13.011878 I
1
Rp 7.726.000,00 nope
MOH HAFIS ARRAHMAN
20.15.011252 I
Rp 2.475.300,00
JAMILA
20.15.001191III
Submucous leiomyoma of uterus D25.0

Chronic nephritic syndrome, minor glomerular abnormality N03.0 s
Other unilateral salpingo-oophorectomy65.49
Rp 5.677.000,00 nope
JUMHARI
20.15.010664 III
Benign neoplasm of other and unspecified parts of mouth D10.3
Other excision of mouth 27.49
Rp 3.008.900,00 nop e
malvy krismalinda
20.13.001307 i VVIP A
Other abnormal findings on antenatal screening of mother O28.8

Rp 5.119.100,00
khansa amatillah
20.15.000173 III
Melaena K92.1
Inflammatory liver disease, unspecified K75.9 s
Rp 3.790.300,00
AYU LESTARI
20.15.009291III
Prolonged pregnancy O48

Rp 3.656.500,00 nop e
ERNAWATI
20.15.010954I

Rp 5.119.100,00 nope
SUHARTINI
20.15.010679
ternal care for breech presentation O32.1

Rp 4.387.800,00 nope
16 september 2015
ARKAN HARITH PUTRA VIANSA
20.15.011214 III

Nausea and vomiting R11 s
Rp 1.768.100,00
19 september 2015
SULASTRI
20.13.014488 III
1
Benign lipomatous neoplasm, unspecified D17.9
Incision with removal of foreign body or device from skin and subcutaneous tissue 86.05
Rp 1.336.500,00 nope
ASMUNI
10.05.005616 II VIP

Unilateral or unspecified inguinal hernia, without obstruction or gangrene K4
Unilateral repair of inguinal hernia, not otherwise specified 53.00
Rp 3.610.600,00 nope
SUSWATI AS
10.08.035629 I VVIP
Other peripheral vertigo H81.3
Nausea and vomiting R11
Low back pain M54.5
Rp 1.816.400,00
YEDI DANIAR BALQIS
10.10.005377 III
Pre-eclampsia, unspecified O14.9
Rp 1.830.600,00 nope
FATIMAH
20.15.011491 III
Other and unspecified cirrhosis of liver K74.6

Ascites R18
Rp 2.515.500,00 nope
21 september 2015
poni'ah
20.15.011335 III
Placenta praevia specified as without haemorrhage O44.0

Delivery by elective caesarean section O82.0 s
Unspecified appendicitis K37
Other appendectomy 47.09
Rp 2.195.100,00

Other appendectomy 47.09
Rp 3.656.500,00
Ganti O82.9 jadi primary
H. HAMID SAHLAN
20.15.010951

Chronic ischaemic heart disease, unspecified I25.9 s
Atrial fibrillation and flutter I48
Rp 4.728.100,00 nope
22 september 2015
NYI HARTATI
20.14.002669 I
Melaena K92.1
Unspecified diabetes mellitus with multiple complications E14.7 s
Other acute gastritis K29.1 s
Rp 5.306.400,00 nope
sapinahI
20.14.009070 I

Heart failure, unspecified I50.9 s
Chronic ischaemic heart disease, unspecified I25.9
Rp 3.315.700,00 nope
SUNARGO
20.13.003585 II]\
Pterygium H11.0
Other excision of pterygium 11.39
Other free graft to conjunctiva 10.44
Rp 2.169.400,00 nope
26 September 2015
NENI DEWI ANGGITA

20.13.004407 III
1
Spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage O03.1
Dilation and curettage following delivery or abortion 69.02
Rp 2.484.200,00
28 september 2015
Rudiyanto
20.15.011816 II
Chest pain, unspecified R07.4
Haemoptysis R04.2
Rp 3.287.900,00
27 september 2015
SIWIK SUWARNI
20.11.010204 I VIP
Malignant neoplasm of colon, unspecified C18.9

Rp 3.406.700,00
Ganti
Malignant neoplasm of colon, unspecified C18.9

Rp 1.820.600,00
NINA FEBRIYANTI
20.15.010950 II
5
Melaena K92.1
Other and unspecified cirrhosis of liver K74.6 s
Anaemia, unspecified D64.9 s
Hyperglycaemia, unspecified R73.9
Rp 4.548.300,00 nope
29 September 2015
HOLI SETYOWATI
20.15.011330 I VI p
2
Other specified abnormal uterine and vaginal bleeding N93.8

Rp 3.477.800,00
Other specified abnormal uterine and vaginal bleeding N93.8

Dilation and curettage following delivery or abortion69.02
Rp 6.114.400,00
HARIYANTO
10.08.040713 I
4
Chest pain, unspecified R07.4
Rp 3.334.300,00
sari'ah
20.15.007779
Septicaemia, unspecified A41.9

Cutaneous abscess, furuncle and carbuncle, unspecified L02.9 s
Rp 2.386.600,00 nope
+ 1st
Non-insulin-dependent diabetes mellitus with multiple complications E11.7
Rp 3.830.700,00
NUR TJAHJOHADI
20.15.011074
Rp 3.150.000,00
ISTIQOMAH\
20.14.006177
Rp 2.333.600,00 nope
boedi soesetyo
20.12.008356 II

Non-insulin-dependent diabetes mellitus with peripheral circulatory
complications E11.5
Rp 2.326.200,00
N39.0 hapus tetap
SUJANTO
10.10.013794 II

Unspecified nephritic syndrome, diffuse membranous glomerulonephritis N05
Rp 2.537.800,00 nope

complications E11.5
Rp 2.386.600,00
Non-insulin-dependent diabetes mellitus with peripheral circulatory complications E11.5

Rp 4.428.900,00
Septicaemia, unspecified A41.9 s

Decubitus ulcer L89
ANIEFAH SOEMARSONO
20.15.011539
Haematemesis K92.0
Melaena K92.1 s
Unspecified diabetes mellitus with multiple complications E14.7 s
Rp 5.306.400,00
MUSAWANAH
20.13.007607 III

Rp 1.768.100,00 nope
30 sept
ENDANG PUJIASTUTI
20.12.002285I
Tubulo-interstitial nephritis, not specified as acute or chronic N12
Rp 145.200,00
Ganti ranap kelas I Rp 2.008.100,00
Musanadah
20.15.011850 II
Typhoid fever A01.0
Ascites R18
Rp 4.460.600,00nope
ARLIYAH
20.15.010809 I
Pterygium H11.0
Other excision of pterygium 11.39
Rp 2.530.900,00 nope
SUMARNO
10.08.039732 I VIP

Other peripheral vertigo H81.3 s
Arthrosis, unspecified M19.9 s
Dyspepsia K30
Rp 4.051.900,00nope
ISTIKOMAH. HJ
20.15.011548 I VIP
11
Atherosclerotic heart disease I25.1 s
Rp 3.315.700,00
+
Hypo-osmolality and hyponatraemia E87.1
Tetap
AYU GILANG PRAWESTRI
20.14.012742 II
1
Rp 2.196.700,00 nope
LINDA IRMA WATI
20.15.012100II\
1
Rp 2.196.700,00 nope
RODIYAH
20.15.012033
Maternal care for high head at term O32.4
Rp 3.656.500,00
DINA ANGGRAINI
10.09.052169

Rp 4.387.800,00
+ Maternal care for transverse and oblique lie O32.2 tak berubah
5 oktober 2015
WAYAN FRIDA DEWITA SANTIH
20.14.003652 I VIP

Other cardiomyopathies I42.8 s
Dyspepsia K30
Rp 3.531.100,00
Belom di proses jadi Rp 4.728.100,00
FADHIA ALMIRA MAHARANI
10.10.009829 II VIP
Typhoid fever A01.0

Bronchitis, not specified as acute or chronic J40 s
Tuberculosis of lung, without mention of bacteriological or histological
confirmation A16.2
Rp 3.893.100,00
ZAENABUN BAWAZIER
20.11.007123

complications E11.5
Hypoglycaemia, unspecified E16.2
Disorientation, unspecified R41.0
Rp 2.601.700,00
Konfirmasi tulisan tolong lihat status kesadaran
GILANG SHOLIKHIN SYAHBANI

20.15.011884 I
Nephrotic syndrome, unspecified N04.9
Rp 2.086.400,00
MOH. MUZAKI
20.15.012088 III
Generalized and unspecified atherosclerosis I70.9
Excision of lesion of other soft tissue 83.39
Rp 4.428.500,00
Ganti Other benign neoplasm of skin of trunk D23.5
Rp 4.428.500,00 tetap
NOVI SUSANTI
20.11.007713 III

Premature rupture of membranes, onset of labour after 24 hours O42.1 s
Maternal care for other specified fetal problems O36.8
Rp 2.166.600,00 vnope
7 Oktober 2015
WAHYU NINGSIH
20.14.010569 II VIP
Respiratory tuberculosis unspecified, without mention of bacteriological or

histological confirmation A16.9
Rp 5.435.800,00
ASNAWI
20.14.000640 I
Congestive heart failure I50.0

Chronic obstructive pulmonary disease, unspecified J44.9
Rp 4.728.100,00 nope
Rumiyati
20.15.007737III

Rp 2.024.800,00 nope
LINA SETIYOWATI
20.15.012120 III

Rp 3.656.500,00
NURAZIJAH
20.15.006513II
Moderate pre-eclampsia O14.0
Rp 4.387.800,00
Nope
9 Oktober 2015
SUWARDI I Naik Kelas

Essential (primary) hypertension I10 s
Bronchiectasis J47
Rp 3.871.100,00
ALFIA NURIN NI'MAH
20.14.016699 I VIP A
Other autoimmune haemolytic anaemias D59.1

Unspecified jaundice R17
Rp 2.729.700,00
RAFA GUSTI BUDIMANTO
20.12.001378 I VIP A
Rp 2.475.300,00 nope
NOVELLYA PUTRI ANGGRAINI
20.15.012200III
Rp 1.768.100,00
NUR IMAMAH ISWAMAWATI
10.11.000409 I

Rp 2.722.500,00 nope
HAMIDAH
10.05.008939 III
Haemorrhoids in pregnancy O22.4

Maternal care for high head at term O32.4 s
Rp 3.656.500,00
9 oktober 2015
ariqa fatina maulidia
20.15.012357 II VIP
Rp 2.121.700,00 nope
RDHO ARTA NURFITIYANI
20.15.012330 III

Rp 3.656.500,00
+ Maternal care for transverse and oblique lie O32.2
Tetap
SYAMSUL HIDAYAT
10.11.000536 II VIP A
Other intracerebral haemorrhage I61.8
Compression of brain G93.5
Rp 2.721.800,00 nope
SRI WAHYUNINGSIH
20.14.002582 III
Maternal care for intrauterine death O36.4
Rp 2.484.200,00 nope
DITA DWI HARTATI
20.15.001780 I
Maternal care for transverse and oblique lie O32.2


Rp 5.119.100,00 nope
SUPRIHATIN
10.04.000592
Rp 2.008.100,00 nope
10 oktober 2015
DWI AYU RISTIANA
10.10.006944 II
Bronchitis, not specified as acute or chronic J40
Asthma, unspecified J45.9

Rp 3.120.200,00 nope
HUSNUL KHOTIMAH
20.14.014687 III
3

Rp 3.656.500,00 nope
ARIES MARZA FERIYANI
20.15.007254I

Rp 5.119.100,00
+
Prolonged second stage (of labour) O63.1ganti dx sekunder tambah ini
Caesar jadi primer

UMI HIDAYATI
20.15.010585 I VIP B
3 hari
Typhoid fever A01.0
Other gastritis K29.6
Rp 3.531.100,0
SITI ISWANAH
20.15.012118 I VIP A
Internal thrombosed haemorrhoids I84.0
Rp 3.537.700,00 nope
vira rizky rachmanti
10.09.045293 II
Cervicalgia M54.2
Rp 1.559.900,00
SOFA MAJIDA
10.09.053650 II I
Threatened abortion O20.0
Rp 1.166.600,00 nope
EKO WIDODO
10.10.012053 I
Other peripheral vertigo H81.3

Rp 1.816.400,00
AGNES SINDHY PIKATAN
20.15.007562 II
3

Rp 4.387.800,00 nope
SUMARNI ALI
20.11.011268 I
5
Other specified pulmonary heart diseases I27.8
Left ventricular failure I50.1
Hyperglycaemia, unspecified R73.9

Rp 4.997.700,00
+ Cardiomyopathy, unspecified I42.9
Ganti primer Chronic obstructive pulmonary disease, unspecified J44.9
Rp 3.399.900,00 turun
13 Oktober 2015
Minche Saudah, hj
20.14.015009 rajal
Myopia H52.1
Other cataract extraction13.69
Rp 3.150.000,00
AHMAD
20.15.012189 III
4 hari
Cerebral infarction, unspecified I63.9

Bronchitis, not specified as acute or chronic J40
Arthrosis, unspecified M19.9
Rp 2.545.800,00 nope
SUKESI
20.15.012529 III
Chronic renal failure, unspecified N18.9

Venous catheterization for renal dialysis 38.95
Rp 1.777.200,00 nope
MISRANA
20.15.012381 I VIIP
Blighted ovum and nonhydatidiform mole O02.0
Rp 3.477.800,00 nope
NADHIFA ELSA NUGRAHENI
20.14.009914 II VIP B
Rp 2.121.700,00 mope
ANIS SETYOWATI
20.11.012660 II VVIP
Prolonged pregnancy O48
Rp 2.599.900,00 nope
15 Oktober
RR. MOENAWARAH
10.10.009013 I VIP

Rp 7.726.000,00 nope
Nope
SUMARDJO
20.15.005262 I VIP
Unspecified diabetes mellitus with unspecified complications E14.8
Rp 9.598.800,00 nope
MAMAN SUPARMAN
20.14.005767II VIP
Unstable angina I20.0
Rp 3.287.900,00 nope
Gastropathy dan neuropathy tak ,menambah
Disease of stomach and duodenum, unspecified K31.9
Other disorders of nervous system, not elsewhere classified G98
MUHAMMAD RIZQY ALVINO
10.10.000581 I VIP
4
Unspecified nephritic syndrome, diffuse membranous glomerulonephritis N05
Rp 3.503.000,00 nope
WILDAN DIRGA BAIHAQY
20.14.009922 I VIP
Unspecified nephritic syndrome, diffuse

membranous glomerulonephritis N05.2
Rp 2.086.400,00konfirmasi tulisan dx sekunder
14 Oktober 2015
SEHATI
20.15.012546 III
Rp 1.768.100,00 nope
FITRI PUJI NANDA SARI
20.15.012207 III
Cutaneous abscess, furuncle and carbuncle of

buttock L02.3
Rp 2.176.800,00
+ Incision of perianal abscess 49.01

Rp 3.486.400,00
DWI AYU RISTIANA
10.10.006944 II
Measles with other complications B05.8
Asthma, unspecified J45.9
Rp 1.807.000,00
SRIMULAT HANDAYANI
20.14.005966 II
Rp 4.387.800,00
Nope
HEPPI TRI WAHYU WULANDARI
20.15.005837 II
Rp 4.387.800,00
IDA NURJANNAH
20.15.012532
Missed abortion O02.1
Dilation and curettage following delivery or

abortion 69.02
Rp 407.300,00 nope

8 September 2015

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8 September 2015

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8 September 2015

Unspecified diabetes mellitus with multiple complications E14.7

Ganti Chronic myeloproliferative disease D47.1

Senile incipient cataract H25.0

Other cataract extraction 13.69

muhammad mirza al fatih

Diarrhoea and gastroenteritis of presumed infectious origin A09

Urinary tract infection, site not specified N39.0

EVI NOVIAN AGUSTIN

Delivery by emergency caesarean section O82.1

Dengue haemorrhagic fever A91

Inflammatory liver disease, unspecified K75.9

Unilateral or unspecified inguinal hernia, without obstruction or gangrene K40.9

Unilateral repair of inguinal hernia, not otherwise specified 53.00

Tanggal SEP 6-9 tanggal resume 6-11

Gastritis, unspecified K29.7

Ganti Personal history of malignant neoplasm of breast Z85.3

SILVI FITRIA NUR ARIFKI

Maternal care for breech presentation O32.1

Heart failure, unspecified I50.9

Hypertensive heart disease with (congestive) heart failure I11.0

Unspecified diabetes mellitus with multiple complications E14.7

FINA FERDINAN SARI

Maternal care for breech presentation O32.1

Low cervical cesarean section 74.1

NADHIRA AUfIYA EFENDI

Other acute gastritis K29.1

Spontaneous vertex delivery O80.0

MADE NGURAH TJANDRA

Diarrhoea and gastroenteritis of presumed infectious origin A09

Moderate pre-eclampsia O14.0

Dengue haemorrhagic fever A91

EVI CITRA ROZANA

Typhoid fever A01.0

Tulisan tak terbaca konfirmasi

Unspecified diabetes mellitus with multiple complications E14.7

Cellulitis, unspecified L03.9

Chronic ischaemic heart disease, unspecified I25.9

Flaccid paraplegia G82.0

Shock, unspecified R57.9

Unspecified diabetes mellitus with multiple complications E14.7

Tetap tidak dapat terapi yang lain

Diarrhoea and gastroenteritis of presumed infectious origin A09

Other and unspecified abdominal pain R10.4

Unspecified diabetes mellitus with multiple complications E14.7

Senile incipient cataract H25.0

Other cataract extraction 13.69

Unspecified diabetes mellitus with multiple complications E14.7

Maternal care for high head at term O32.4

Low cervical cesarean section 74.1

Maternal care for intrauterine death O36.4

Low back pain M54.5

Stroke, not specified as haemorrhage or infarction I64

Unspecified diabetes mellitus with multiple complications E14.7

TUNIK HERI MUKTI

Total abdominal hysterectomy 68.4

68.4 saja Rp 5.605.100,00

Other cataract extraction 13.69

Anaemia, unspecified D64.9

Gastrointestinal haemorrhage, unspecified K92.2

BAMBANG SETYO UTOMO

Other cataract extraction 13.69

MOH HAFIS ARRAHMAN

Diarrhoea and gastroenteritis of presumed infectious origin A09