No Tanggal 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 Poli Saraf Target 66 132 198 264 330 396 462 528 594 660 726 792 858 924 990 1056 1122 1188 1254 1320 1386 1452 1518 1584 1650
1727 Capaian 33 22 56 16 43 33 42 35 68 30 43 41 24 21 52 43 29 55 32 23 66 27 24 39 46
57.15% Akumulasi 33 55 111 127 170 203 245 280 348 378 421 462 486 507 559 602 631 686 718 741 807 834 858 897 943
Hasil -33 -21 -87 -137 -160 -193 -217 -248 -216 -239 -305 -330 -372 -417 -388 -425 -491 -502 -536 -579 -552 -618 -660 -687 -707

Poli Penyakit
2 Dalam Target 37 74 111 148 185 222 259 296 333 360 396 444 481 518 555 592 629 666 703 720 756 792 828 864 900
974 Capaian 33 15 19 17 14 16 37 16 29 36 18 16 16 17 34 30 6 18 28 15 29 30 10 13 26
59.78% Akumulasi 33 48 67 84 98 114 151 167 196 232 250 266 282 299 333 363 369 387 415 430 459 489 499 512 538
Hasil -4 -7 -27 -50 -87 -108 -108 -100 -101 -110 -146 -178 -199 -185 -192 -223 -260 -279 -288 -261 -267 -293 -329 -352 -362

Poli Sub spesialis

3 KKV Target 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125
127 Capaian 8 0 0 0 0 0 0 0 1 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0
14.40% Akumulasi 8 8 8 8 8 8 8 8 9 9 9 9 9 9 18 18 18 18 18 18 18 18 18 18 18
Hasil 3 -2 -7 -12 -17 -22 -35 -31 -36 -41 -46 -51 -56 -52 -57 -62 -67 -72 -77 -82 -87 -92 -97 -102 -107

4 Poli Anak Target 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125

126 Capaian 11 0 12 0 9 0 8 0 10 0 9 0 14 0 5 0 15 0 8 0 10 0 10 0 0
96.80% Akumulasi 11 11 23 23 32 32 40 40 50 50 59 59 73 73 78 78 93 93 101 101 111 111 121 121 121
Hasil 6 13 8 12 7 2 5 10 5 9 4 -1 8 8 3 13 8 3 6 11 6 11 6 1 -4

5 Poli Obsgyn Target 29 58 87 116 145 174 203 232 261 290 319 348 377 406 435 464 493 522 551 580 609 638 667 696 725
743 Capaian 0 13 21 0 31 22 9 11 18 13 3 13 11 20 20 14 26 5 11 20 10 7 25 7 9
46.75% Akumulasi 0 13 34 34 65 87 96 107 125 138 141 154 165 185 205 219 245 250 261 281 291 298 323 330 339
Hasil -29 -24 -53 -51 -80 -87 -107 -107 -123 -149 -178 -194 -212 -201 -216 -219 -248 -272 -290 -289 -311 -315 -344 -366 -386

6 Poli Bedah Target 11 22 33 44 55 66 77 88 99 110 121 132 143 154 165 176 187 198 209 220 231 242 253 264 275
287 Capaian 0 0 0 0 0 0 0 0 0 36 0 6 0 0 1 15 0 6 3 1 0 20 0 5 0
33.81% Akumulasi 0 0 0 0 0 0 0 0 0 36 36 42 42 42 43 58 58 64 67 68 68 88 88 93 93
Hasil -11 -22 -33 -44 -55 -66 -77 -88 -63 -74 -85 -90 -101 -111 -107 -118 -129 -134 -142 -152 -143 -154 -165 -171 -182

Poli Bedah
7 Ortopedi Target 7 14 21 28 35 42 49 56 63 70 77 84 91 98 105 112 119 126 133 140 147 154 161 168 175
170 Capaian 0 8 0 0 6 0 0 9 0 0 9 0 0 10 0 0 12 0 1 8 0 0 0 8 6
44% Akumulasi 0 8 8 8 14 14 14 23 23 23 32 32 32 42 42 42 54 54 55 63 63 63 63 71 77
Hasil -7 1 -13 -14 -21 -28 -35 -33 -40 -38 -45 -52 -59 -56 -63 -58 -65 -72 -78 -77 -84 -91 -98 -97 -98
8 Poli Paru Target 37 74 111 148 185 222 259 296 333 370 407 444 481 518 555 592 629 666 703 740 777 814 851 888 925
962 Capaian 16 0 22 0 12 6 0 25 0 0 5 9 5 0 9 15 11 5 9 0 7 19 4 5 8
20.75% Akumulasi 16 16 38 38 50 56 56 81 81 81 86 95 100 100 109 124 135 140 149 149 156 175 179 184 192
Hasil -21 -58 -73 -110 -135 -166 -203 -215 -252 -289 -321 -349 -381 -418 -446 -468 -494 -526 -554 -591 -621 -639 -672 -704 -733

9 Poli THT Target 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 240 250
251 Capaian 5 0 16 0 15 4 11 0 16 4 24 8 10 0 21 4 21 2 10 0 17 4 19 0 18
91.6% Akumulasi 5 5 21 21 36 40 51 51 67 71 95 103 113 113 134 138 159 161 171 171 188 192 211 211 229
Hasil -5 0 -9 -4 -14 -20 -19 -13 -19 -5 -15 -17 -17 -6 -12 -1 -11 -19 -19 -12 -18 -9 -19 -29 -21

10 Poli Jiwa Target 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

29 Capaian 0 0 0 0 5 9 0 0 1 3 2 4 0 0 5 4 3 0 0 0 5 2 3 6 0
100% Akumulasi 0 0 0 0 5 14 14 14 15 18 20 24 24 24 29 33 36 36 36 36 41 43 46 52 52
Hasil -1 -1 -3 1 0 8 7 7 9 10 9 12 11 15 18 20 19 18 17 21 22 24 23 28 27
TERCAPAI
10 Poli Gigi Target 12 24 36 48 60 72 84 96 108 120 132 144 156 168 180 192 204 216 228 240 252 264 276 288 300
310 Capaian 8 9 11 0 3 6 10 10 4 10 5 3 17 10 9 10 1 2 9 17 8 11 1 3 12
63% Akumulasi 8 17 28 28 31 37 47 57 61 71 76 79 96 106 115 125 126 128 137 154 162 173 174 177 189
Hasil -4 13 -8 -17 -29 -35 -37 -35 -37 -44 -56 -65 -60 -53 -55 -66 -78 -88 -91 -78 -79 -90 -102 -111 -111

11 Poli Umum Target 14 28 42 56 70 84 98 112 126 140 154 168 182 196 210 224 238 252 266 280 294 308 322 336 350
372 Capaian 5 7 18 10 18 16 7 8 21 17 18 21 35 25 23 21 37 37 20 39 17 25 14 20 8
100% Akumulasi 5 12 30 40 58 74 81 89 110 127 145 166 201 226 249 270 307 344 364 403 420 445 459 479 487
Hasil -9 -16 -12 -16 -12 -10 -17 -23 -16 -13 -9 -2 19 30 39 46 69 92 98 123 126 137 137 143 137
TERCAPAI
12 Rapid Antigen 5 3 8 7 8 8 1 3 17 12 9 10 27 16 10 14 30 28 11 25 9 20 10 15 4
13 Rapid Antibodi
14 PCR

TARGET 1650 900 125 125 725 275 175 925 250 25 300 350 5825
CAPAIAN 943 538 18 121 339 93 77 192 229 52 189 487 3278

PROSENTASE 56.27%
 dr. Sobirin Sp.S

No Tanggal Total BPJS Umum JR SKTM BPJS TK Tindakan

1 1/28/2022 24 24 1 0 0 0
3 1/31/2022 43 38 5 0 0 0
4 2/1/2022 16 13 3 0 0 0
5 2/2/2022 23 21 2 0 0 0
6 2/3/2022 24 23 1 0 0 0
7 2/4/2022 25 22 2 0 1 0 INJ. UMARON
9 2/5/2022 35 33 1 1 0 0
10 2/7/2022 36 32 3 0 0 1
11 2/8/2022 23 22 1 0 0 0 RI:1
12 2/9/2022 29 25 4 0 0 0
13 2/10/2022 32 30 2 0 0 0
15 2/11/2022 16 16 0 0 0 0
16 2/12/2022 21 19 2 0 0 0
17 2/14/2022 34 32 2 0 0 0
18 2/15/2022 24 20 4 0 0 0
19 2/16/2022 18 17 1 0 0 0
21 2/17/2022 30 28 2 0 0 0
22 18/02/2022 21 20 1 0 0 0
23 19/02/2022 23 21 2 0 0 0
24 21/02/2022 45 43 2 0 0 0
25 22/02/2022 27 26 1 0 0 0
26 23/02/2022 15 13 0 1 0 0 RI:2
27 24/02/2022 22 19 2 1 0 0 RI:1
28 25/02/2022 34 33 1 0 0 0 INJ. UMARON
TOTAL 640 590 45 0 0 1
 dr. Rina Sp.S

No Tanggal Total BPJS Umum Tindakan

1 1/28/2022 9 8 1 tgl jml
3 1/29/2022 22 21 1 28 33
4 1/31/2022 13 13 0 29 22
7 2/2/2022 20 19 1 31 56
9 2/3/2022 9 9 0 1 16
10 2/4/2022 17 17 0 2 43
11 2/7/2022 32 31 1 3 33
12 2/8/2022 7 7 0 4 42
13 2/10/2022 9 9 0 5 35
14 2/9/2022 14 14 0 7 68
15 2/11/2022 8 8 0 8 30
16 2/14/2022 18 18 0 9 43
17 2/15/2022 19 19 0 10 41
18 2/16/2022 11 11 0 11 24
19 2/17/2022 25 25 0 12 21
20 2/18/2022 11 11 0 14 52
21 2/21/2022 21 21 0 15 43
22 2/23/2022 9 9 0 16 29
23 24/02/2022 17 16 1 17 55
24 25/02/2022 12 11 1 18 32
TOTAL 303 297 6 19 23
21 66
22 27
23 24
24 39
25 46
 dr. Husnun sp.p

NO TANGGAL JUMLAH UMUM BPJS

KET
1 1/28/2022 16 0 16
2 31/09/2022 22 1 21
3 2/2/2022 12 0 12
4 2/3/2022 6 0 6
5 2/5/2022 7 1 6
6 2/5/2022 25 1 24
7 2/9/2022 5 2 3
8 2/10/2022 9 0 9
9 11/02/2022 5 0 5
10 2/14/2022 9 0 9
11 2/15/2022 15 2 13
12 2/16/2022 11 1 10
13 2/17/2022 5 0 5
14 2/18/2022 9 3 6
15 2/21/2022 7 1 6
16 2/22/2022 19 1 18
17 2/23/2022 4 1 3
18 24/02/2022 5 0 5
19 25/02/2022 8 7 1
TOTAL 199 21 178
 dr. Edi Sp.PD dr. S

No Tanggal Total BPJS Umum Tindakan No

1 1
2 2
3 3

CUTI
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13
14
Tanggal Jumlah 15
28 33 16
29 15 17
31 19 18
1 17 19
2 14 20
3 16 21
4 37 22
5 16 23
7 29 24
8 36 TOTAL
9 18
10 16
11 16
12 17
14 34
15 30
16 6
17 18
18 28
19 15
21 29
22 30
23 10
24 13
25 26
 dr. Solomon Sp.PD dr. Irma Sp.PD

Tanggal Total BPJS Umum Tindakan No Tanggal

1/28/2022 15 15 0 1 1/28/2022
1/29/2022 15 12 3 2 2/1/2022
1/31/2021 19 15 4 3 2/4/2022
2/2/2022 14 12 2 4 2/7/2022
2/3/2022 16 13 3 5 2/8/2022
2/4/2022 24 22 2 6 2/12/2022
2/5/2022 16 16 0 7 2/14/2022
2/7/2022 22 17 5 8 2/15/2022
2/8/2022 30 29 1 9 2/18/2022
2/9/2022 18 15 3 10 2/21/2022
2/10/2022 16 16 0 11 2/22/2022
2/11/2022 16 14 2 12 25/02/2022
2/12/2022 7 6 1 TOTAL
2/14/2022 18 17 1
2/15/2022 23 23 0
2/16/2022 6 5 1
17/02/2022 18 17 1
18/02/2022 15 15 0
19/02/2022 15 13 2
21/02/2022 18 17 1
22/02/2022 18 18 0
23/02/2022 10 9 1
24/02/2022 13 12 1
25/02/2022 12 11 1
TOTAL 394 359 32
dr. Irma Sp.PD

Total BPJS Umum Tindakan

18 14 4 INJ. UMARON
17 17 0 EKG:2
13 11 2
7 7 0
6 6 0
10 10 0
16 15 1
7 6 1
13 13 0
11 10 1
12 12 0
14 14 0
144 135 9
 dr. Supartono Sp.KKV

No Tanggal Total BPJS Umum Tindakan

1 1/28/2022 8 6 2
2 2/7/2022 1 0 1
3 2/14/2022 9 6 3
TOTAL 18 12 6
 dr. Hesti Sp.A

No Tanggal Total BPJS Umum SKTM Tindakan

1 1/28/2022 11 6 5
2 1/31/2022 12 10 2
3 2/2/2022 9 7 2
4 2/4/2022 8 6 2
6 2/7/2022 10 9 1
7 2/9/2022 9 5 4
8 2/11/2022 14 12 2
9 2/14/2022 5 3 2
10 2/16/2022 15 14 1
11 2/18/2022 8 8 0
12 2/21/2022 10 8 2
13 2/23/2022 10 10 0
TOTAL 121 98 23
 dr. Anurudha Sp.OG dr. Yu

No Tanggal Total BPJS Umum SKTM Tindakan No Tanggal

1 2/2/2022 4 2 2 1 1/31/2022
2 2/3/2022 7 5 2 2 2/2/2022
3 2/9/2022 5 4 1 3 2/3/2022
4 2/10/2022 4 2 2 4 2/4/2022
5 2/16/2022 5 4 1 5 2/7/2022
6 2/17/2022 5 3 2 6 2/8/2022
7 2/22/2022 7 7 0 7 9/2/2022
8 2/23/2022 8 8 0 8 10/2/2022
9 24/02/2022 7 7 0 9 2/11/2022
TOTAL 52 42 10 10 2/12/2022
Tanggal Jumlah 11 2/14/2022
28 0 12 2/15/2022
29 13 13 2/16/2022
31 21 14 2/18/2022
2 31 15 2/19/2022
3 22 TOTAL
4 9 dr. Yo
5 11 1 25/02/2022
7 18
8 13
9 30
10 13
11 11
12 20
14 20
15 14
16 26
17 5
18 11
19 20
21 10
22 7
23 25
24 7
25 9
 dr. YudI Sp.OG dr. Citra Sp.OG

Total BPJS Umum Tindakan No Tanggal Total

14 9 5 1 1/29/2022 13
15 8 7 2 1/31/2022 7
15 10 5 3 2/2/2022 12
9 7 2 4 2/5/2022 11
12 6 6 5 2/7/2022 6
13 11 2 6 2/9/2022 10
15 7 8 7 2/12/2022 7
9 5 4 8 2/14/2022 9
11 7 4 9 2/16/2022 8
13 9 4 10 2/19/2022 10
11 7 4 11 2/21/2022 10
14 6 8 12 2/23/2022 17
13 7 6 TOTAL 120
11 8 3
10 5 5
185 112 73
dr. Yosef sp.OG
9 8 1
dr. Citra Sp.OG

BPJS Umum Tindakan

7 6
2 5
6 6
8 3
5 1
6 4
3 4
3 6
6 2
8 2
8 2
12 5
74 46
 dr. Nasrudin Sp.B

No Tanggal Total BPJS SKTM Umum BPJS TK Tindakan

1 2/8/2022 36 36 0 0
2 2/10/2022 6 6 0 0
3 2/15/2022 15 14 0 1
4 2/17/2022 6 6 0 0
5 2/18/2022 3 3 0 0
6 2/22/2022 20 20 0 0
7 24/02/2022 5 5 0 0
TOTAL 91 90 0 1

dr. Wahyu Sp.B

No TANGGAL JUMLAH UMUM BPJS RI TINDAKAN

1 2/14/2022 1 0 1 0 ektrasi kuku 1

2 2/18/2022 3 0 3 0
3 2/19/2022 1 0 1 0
TOTAL 5 5 0 5
 dr.Aria Sp.OT

No Tanggal Total BPJS BPJS TK JR Umum

1 1/29/2022 8 3 3 1 1
2 2/2/2022 6 4 2 0 0
3 2/5/2022 9 5 1 2 1
4 09/02/2022 9 5 1 2 1
5 12/02/2022 10 4 3 1 2
6 16/02/2022 12 7 1 3 1
7 19/02/2022 8 5 1 1 1
TOTAL 62 33 12 10 7

POLI ORTOPEDI
No TANGGAL JUMLAH U B JR TK
1 2/18/2022 1 0 1 0 0
2 24/02/2022 8 0 6 1 1
3 25/02/2022 6 1 4 1 0
TOTAL 15 15 1 11 2
 Tindakan

inj intra articular 1

inj intra articular 1

SKTM RI TINDAKAN

0 0
0 0
0 0
1 0 0
No TANGGAL JUMLAH UMUM BPJS

1 2/2/2022 5 0 5
2 2/3/2022 9 1 8
3 2/7/2022 1 0 1
4 2/8/2022 3 1 2
5 2/9/2022 2 1 1
6 2/10/2022 4 1 3
7 2/14/2022 5 0 5
8 2/15/2022 4 0 4
9 2/16/2022 3 1 2
10 2/21/2022 5 1 4
11 2/22/2022 2 0 2
12 2/23/2022 3 1 2
13 24/02/2022 6 0 6
TOTAL 52 7 45
 dr.Yusuf, Sp.THT-KL

No Tanggal Total BPJS SKTM JR Umum Tindakan

1 1/28/2022 5 4 0 0 1 EAR TOILET 2
2 1/31/2022 16 14 0 0 2 EAR TOILET 2
3 2/2/2022 15 13 0 0 2 EAR TOILET 3
4 2/3/2022 4 4 0 0 0
5 2/4/2022 11 11 0 0 0 EAR TOILET 4
6 2/7/2022 16 13 0 0 3 EAR TOILET 1
7 2/8/2022 4 4 0 0 0 EAR TOILET 1
8 2/9/2022 24 22 0 0 2 EAR TOILET 3
9 2/10/2022 8 6 0 0 2
10 2/11/2022 10 9 0 0 1 EAR TOILET 4
11 2/14/2022 21 18 0 0 3 EAR TOILET 2
12 2/15/2022 4 2 0 0 2 EAR TOILET 1
13 2/16/2022 21 19 0 0 2 EAR TOILET 1
14 2/17/2022 2 1 0 0 1
15 2/18/2022 10 8 0 0 2 EAR TOILET 2
16 2/21/2022 17 17 0 0 0 EAR TOILET 2
17 22/02/2022 4 1 0 0 3 EAR TOILET:1
18 23/02/2022 19 18 0 0 1 ear toilet:3
20 25/02/2022 18 16 0 0 2 EAR TOILET:2
TOTAL 229 200 0 0 29
NAMA DOKTER NO TANGGAL JUMLAH UMUM BPJS JR

1 1/28/2022 7 0 7
2 2/4/2022 8 0 8
3 2/8/2022 7 0 7
4 2/11/2022 11 8 3
drg. Monita 5 2/15/2022 7 2 5
6 2/18/2022 6 0 6
7 2/22/2022 5 2 3
8 25/02/2022 9 0 9
TOTAL 60 12 48
No Tanggal Umum Tindakan

INJ. RANID:1, INJ.

1 1/28/2022 5 ONDAN:1
2 1/29/2022 4
3 1/31/2022 9 SKS:1, RI:1
4 2/1/2022 3 RI:1
5 2/2/2022 10 LAB:4, RO:1, RI:1
6 2/3/2022 9 LAB:1, RO:1, RI:1
7 2/4/2022 4
8 2/5/2022 4 SKS:1
9 2/6/2022 4 RO:1, SKS:2
10 2/8/2022 6 RI:2
11 2/9/2022 9 RI:1
12 2/10/2022 11 LAB:2
13 2/11/2022 6 RO:1
14 2/12/2022 9 RI:5
15 2/14/2022 13 RO:3
16 2/15/2022 7
17 2/16/2022 7
CEK GOLDAR:1, LAB:1,
18 2/17/2022 7 RO:1, RI:1
19 2/18/2022 4 SKS:1
SKS:1, RI:1, LAB:3, INJ.
20 2/19/2022 11 KETO:1, INJ. RANID:1
21 2/21/2022 8 USG ABD:1, EKG:1, LAB:2
22 2/22/2022 5 LAB:1
23 2/23/2022 5
24 2/24/2022 5 RO:1, LAB:2, RI:1
25 25/02/2022 6 RO:1, EKG:1
TOTAL 171
NO TANGGAL JUMLAH
1 1/28/2022 5
2 1/29/2022 3
3 1/31/2022 8
4 2/1/2022 7
5 2/2/2022 8
6 2/3/2022 8
7 2/4/2022 1
8 2/5/2022 3
9 2/7/2022 17
10 2/8/2022 12
11 2/9/2022 9
12 2/10/2022 10
13 2/11/2022 19
14 2/12/2022 16
15 2/14/2022 10
16 2/15/2022 14
17 2/16/2022 30
18 2/17/2022 28
19 2/18/2022 5
20 2/19/2022 25
21 2/21/2022 9
22 2/22/2022 20
23 2/23/2022 10
24 2/24/2022 15
25 25/02/2022 4
TOTAL 296
NO TANGGAL JUMLAH
1 8/16/2021
2 8/23/2021
TOTAL 0
NO TANGGAL JUMLAH
1 9/29/2021 1
2 9/30/2021 1
3
4
TOTAL 2