YAYASAN BINA UMMATRUMAH SAKIT ASYIFA PAMEKASANJl. Mandilaras No.88-90 Telp.(0324)334100

LAPORAN BULANAN RAWAT INAPBulan : Oktober 2014

NO NO RM NAMA JK USIA ALAMATL P ( th )1 14/09/2742 Ny Fida Fitriya P 34 Jl Brawijaya2 14/09/2743 Sdr Ramadanus L 13 Sampang3 14/09/1265 By Rafi r L 19 Larangan4 14/09/2747 Tn Abd Jalal L 60 Pakong5 14/09/2748 Ny Nurul Isniani P 42 Masjid Bagandan6 14/09/2755 Ny Hj Ramlah P 78 Jembatan Baru7 14/09/0247 Ny Farihah P 31 Tatangoh8 14/09/2754 Tn Syafii L 60 Sokobenah9 14/09/1565 Ny Saninten P 50 Sampang

10 14/09/2770 Ny Saptumi P 75 Panglegur11 14/09/2762 Ny Nurul Sufiyana P 40 Jl Sersan Mesrul12 14/09/2708 Tn Mat Halim L 54 Sumenep13 14/09/0905 Tn Djufri L 60 Pademawu14 14/09/2760 Ny Siti Suhairiyah P 40 War15 14/09/2236 An Ilham Setya B L 6 Murtajih16 14/09/0072 Ny Maimunah P 55 Pakong17 14/09/1564 Ny Nuryana P 35 Bujur18 14/09/2761. Tn H Muhamad L 61 Sumenep19 14/09/2772 Tn Ashari L 55 Jl Jingga20 14/09/2724 Tn Muhamad L 51 Bandaran21 14/08/2427 Nn Maiyana P 21 Blega22 14/09/2759 Tn Dodi Hariyanto L 29 Pademawu23 14/09/2768 Ny Suwani P 42 Panglegur24 14/09/2777 Tn Ali Sudin L 65 Penangguan25 14/09/2780 Ny Hj Juhairiyah P 65 Kadur26 14/09/2773 Tn Moh Saleh L 46 Sokobenah27 14/09/2751 Tn Hanafi L 65 Kertagenah28 14/09/2787 Nn Nurul Laili P 13 Banyuates29 14/09/1591 Ny Mastuah P 60 Camplong30 14/09/2785 Tn Abd Hadi L 34 Sana Laok31 14/09/2786 Ny Nuriyeh P 45 Ketapang32 14/09/2793 An Fatin Iradotin H P 16BLN Tlanakan33 14/09/2790 Tn Salawi L 65 Palengaan34 14/09/2797 An Nayla Putri P 17BLN Proppo35 14/09/2788 Sdr Armanda L 17 Parteker36 14/09/0202 Tn Sa'rani L 42 Bujur37 14/09/2789 Ny Nora P 30 Jl Kemayoran38 14/09/2784 Ny Amrotun P 25 Karang Penang

39 14/09/1593 Ny Sukarsih P 30 740 14/09/1540 Ny Astiyah P 42 Camplong41 14/09/1599 Tn Umar L 40 Sampang42 14/09/2913 An Mahtuatus Sholikha P 9 Sampang43 14/09/0228 Ny Nurul P 32 Jelmak44 14/09/ By Nurul P 0 Jelmak45 14/09/2723 Tn H Romli L 50 Omben 46 14/09/2781 By Abd Hamid Panji L 9BLN Sokobenah47 14/10/0233 Ny Sumarti P 29 Tampojung48 14/10/ By Ny Sumarti P 0 Tampojung49 14/10/0235 Ny Hoiriyah P 34 Pongkoran50 14/10/2909 Ny Debiyeh P 45 Camplong51 14/10/2799 Tn Mafud L 75 Ambunten52 14/10/2915 Tn Sugianto L 54 Nyalabu53 14/10/0237 Ny Sauzan P 33 Jl Pramuka54 14/10/ By Ny Sauzan P 0 Jl Pramuka55 14/10/2806 Tn Burawi L 80 Pragaan56 14/10/2919 Tn Yazid L 6 Larangan57 14/10/2598 Tn Toha L 70 Pamoroh58 14/10/2938 Ny Hosen P 40 Pagentenan59 14/10/1236 Ny Suparwati P 50 Jl Sersan Mesrul60 14/10/1603 Ny Ymna P 49 Kolpajung61 14/10/1615 Ny Rubbah P 25 Sampang62 14/10/1469 Nn Nurus Solehah P 18 Larangan63 14/10/1610 Tn Sarnilam L 55 Pagentenan64 14/10/2942 Ny Lilik Yuningsih P 57 Jl Pintu Gerbang65 14/10/2920 An Robi Putra W L 2 Jl Stadion66 14/10/0241 Ny Rahmatul P 19 Batu Ampar67 14/10/ By Ny Rahmatul P 0 Batu Ampar68 14/10/0239 Ny Sulis P 23 Pasean69 14/10/ By Ny Sulis P 0 Pasean70 14/10/2934 Sdr Moh Faqih L 16 Bata-Bata71 14/10/2943 Sdr Rahmadani L 13 Jl Masegit72 14/10/1618 Ny Musliha P 15 Omben 73 14/10/1621 Ny Atmiyeh P 60 Kowel74 14/10/1517 Ny Jumaidah P 45 Sampang75 14/10/1617 Ny Safiah P 55 Sumenep76 14/10/1616 Tn Abd Gani L 35 Tamberu77 14/10/2948 Ny Hana P 35 Karang Penang78 14/10/0204 Ny Hidayatul P 21 Larangan79 14/10/2953 Ny Nur Satriyah P 46 Durbuk80 14/10/2969 Nn Yani P 17 Tamberu81 14/10/2977 Ny Hikmayanti P 48 Sumenep82 14/10/2975 Ny Habibah P 63 Jl Stadion83 14/10/2974 Tn Misnadin L 45 Larangan84 14/10/2965 Tn Moh Toha L 55 Perenduan

85 14/10/2952 Ny Sumyati P 55 Sokobenah86 14/10/2967 Tn Limin L 52 Blumbungan87 14/10/2968 Ny Diah P 15 Budengan 88 14/10/1596 Ny Eka Ferawati P 34 Sumenep89 14/10/1623 Tn Munawir L 70 Omben 90 14/10/2751 Tn Hanafi L 65 Kartagenah91 14/10/2976 Tn Su'id L 60 Sumenep92 14/10/1372 Ny Romanten P 50 Tlambeh93 14/10/2980 Ny Sulama P 75 Sumenep94 14/10/1626 Ny Sulastri P 60 Palengaan95 14/10/2970 Ny Jumaiyah P 45 Nyelabu96 14/10/2989 Tn Hayat L 47 Jl Pintu Gerbang97 14/10/2982 Ny Mawaroh P 50 Panglegur98 14/10/1638 Tn Saprawi L 55 Saronggi99 14/10/2985 Ny Nurjanah P 48 Bluto100 14/10/0249 Ny Nadifatul P 22 Larangan101 14/10/ By Ny Nadifatul P 0 Larangan102 14/10/2990 An Qodrun Nada P 4BLN Pasean103 14/10/3007 By Safika P 1 Karang Penang104 14/10/2993 Tn Junaidi L 45 Kadur105 14/10/3008 Ny Safiyah P 30 Jl Trunojoyo106 14/10/3023 Tn H Abd Kadir L 65 Waru107 14/10/0251 Ny Samailina P 55 Jl Dirgahayu108 14/10/3000 Nn Wardatul P 16 Sumenep109 14/10/3016 Tn Moh Romadhon L 30 Jl Rajawali110 14/10/2991 Ny Asiyah P 53 Pongkoran111 14/10/3026 Ny Madiyeh P 70 Omben 112 14/10/1505 Ny Suraida P 40 Pagentenan113 14/10/1662 Tn Hidayat L 44 Tamberu114 14/10/1654 Tn Aryo L 30 Batu Marmar115 00/14/10/2996 Tn Simo L 44 Karang Penang116 00/14/10/3027 Tn Sukandar L 35 Pakong117 01/14/10/1658 Tn Musenep L 63 Pasongsongan118 01/14/10/1644 An Ilham L 8 Waru119 00/14/10/3040 Ny Sahrami P 31 Guluk-guluk120 05/14/10/8252 Ny Maria Ulfa P 26 Proppo121 05/14/10/ By Maria Ulfa P 0 hr Proppo122 05/14/10/3046 Ny Munirah P 36 Cen-lecen123 05/14/10/ By Munirah P 0 hr Cen-lecen124 01/14/10/1661 Ny Rukmini P 45 Saronggi125 01/14/10/1645 Ny Jumina P 47 Pasean126 01/14/10/1659 Ny Masiyah P 45 Sampang127 01/14/10/1650 Ny Haliya P 75 Kolpajung128 01/13/12/1076 Ny Samaih P 35 Guluk-guluk129 01/14/09/1478 Ny Sainah P 60 Gapura130 00/14/10/3044 Ny Sahirah P 43 Karang Penang

131 00/14/10/3043 Ny Rubaya P 38 Waru Barat132 05/14/10/0256 Ny Patihatur P 23 Dempoh Timur133 05/14/10/ By Patihatur P 0 hr Dempoh Timur134 00/14/10/3045 An Ibnu Alfin L 7 Bukek135 00/14/10/3005 Tn H Maun L 62 Duko Timur136 01/14/10/1658 Tn Budin L 57 Manding137 00/14/10/3066 Ny Misnawiyah P 32 Sumenep138 01/14/10/1658 Tn Jumal L 65 Sumenep139 00/14/10/3067 Ny Hj Ainiyah P 90 Blumbungan140 01/14/10/1603 Ny Yumna P 49 Kolpajung141 00/14/10/3050 Ny Sukarni P 31 Sumenep142 01/14/10/1672 Ny Satumi P 39 Batu Bintang143 00/14/10/3016 Tn Moh Romadhan L 30 Sampang144 00/14/10/3028 Tn Guntur L 53 Sampang145 00/14/10/3029 Tn Feri Eka Hadi L 33 Galis146 01/14/10/1655 Ny Masrina P 46 Pasean147 00/14/10/3030 Ny Nurhayati P 40 Prenduan148 00/14/08/1311 Tn Ali Topan L 66 Pegantenan149 01/14/10/1649 Tn Mufahran L 61 Proppo150 00/14/10/3056 Sdr Syaifullah L 13 Karang Penang151 00/14/07/1950 Tn Hasbullah L 55 Peltong152 00/14/10/3069 Nn Rofiah P 19 Karang Penang153 00/14/10/3070 Sdr Hasbullah L 12154 05/14/10/0258 Ny Nurul Fajariyah P 30155 05/14/10/0261 Ny Jumariyah P 18156 05/14/10/0259 Ny Nur yaroh P 24157 05/14/10/ By Nur yaroh P 0 hr158 00/14/10/3074 Nn Nur Mutmainah P 15159 00/14/10/3084 Ny Naidah P 70160 00/14/10/3092 Sdr Imam Hanafi L 15161 00/14/10/3081 Tn Abdus Sukur L 82162 00/14/10/3080 Ny Safiona P 62163 00/14/10/3097 An Sulistiawati P 75164 00/13/08/3054 Ny Hj Subaidah P 55165 00/14/10/3086 Tn Mustan Jakfar L 40166 00/14/09/1530 Tn Said L 45167 00/14/10/3098 Tn Marjewi L 70168 00/14/10/3099 Ny Siti Aminah P 40169 01/14/10/0785 Tn Halimin L 6170 01/14/10/3103 An Alfia P 10 bln171 01/14/10/1685 Ny Alwiyah P 49172 00/14/10/3104 Ny Hatifah P 42173 00/14/10/3108 Ny Sanah P 40174 01/14/10/1699 Ny Hj Fatimah P 45175 01/14/10/1696 Ny Patmi P 45176 01/14/10/1691 Ny Rusmiyati P 53

177 00/14/10/3111 An Ismail L 20178 00/14/10/3116 An Moh Ulum L 8179 01/14/10/1603 Ny Yumna P 49180 05/14/10/0262 Ny Indri Karmila Sari P 23181 05/14/10/ By Indri Karmila Sari P 0 hr182 00/14/10/1681 Tn Mustaji L 72183 00/14/10/3117 Ny Hj Juhara P 90184 00/14/10/3100 Tn Kurdi L 54185 01/14/09/1501 Ny Saimah P 52186 00/14/10/3119 Ny Umma P 60187 00/14/10/3122 Ny Endang Herawati P 39188 00/14/10/3126 Ny Azizah P 50189 00/14/10/3124 Ny Amna P 80190 00/14/10/3125 Sdr Khairul A L 16191 00/14/10/3127 Ny Asis P 75192 00/14/10/3136 Ny Yetti P 36193 00/14/10/3135 Tn Moh Sadik L 76194 00/14/10/3146 Ny Fatimah P 80195 00/14/10/2987 An Anisa P 7196 00/14/10/3142 An Fahri L 3.5197 01/14/10/1649 Tn Mufahran L 61198 00/14/10/1677 An Sakrul Anam L 2.5199 01/14/10/1721 Tn Abd Azis L 45200 00/14/10/3148 Tn Musahwi L 55201 00/14/10/3156 Ny Misrai P 60202 00/14/10/2942 Ny Lilik Yuningsih P 57203 00/14/10/3154 Sdr Azmi L 19204 00/14/10/3153 Tn Mahfud L 35205 00/14/10/3159 Ny Sumyani P 30206 01/14/10/1728 Ny Suhairiyah P 24207 00/14/10/3169 Ny Tija P 65208 05/14/10/0266 Ny Wahidah P 25209 05/14/10/ By Wahidah P 0 hr210 05/14/10/0264 Ny Habsatun P 34211 05/14/10/ By Habsatun P 0 hr212 00/14/10/3151 Ny Nyai Mutik P 50213 01/14/10/1714 Ny Sunatiyah P 52214 01/14/10/1689 Tn Mastuyan L 54215 01/14/10/3150 Tn Sanudin L 80216 00/14/10/3162 Tn Ridwan L 68217 00/14/10/3094 Ny Aisyah P 30218 00/14/10/3172 Tn H Mursit L 67

Jumlah lama rawat inap pasien selama satu bulanJumlah rata-rata hari rawat pasien

Ket: (pasien pulang)

1. APS2. Meninggal3. Rujuk

Mengetahui,Direktur RS. Asyifa Husada

dr. Sulistiawan, Sp. OT

YAYASAN BINA UMMATRUMAH SAKIT ASYIFA PAMEKASANJl. Mandilaras No.88-90 Telp.(0324)334100

LAPORAN BULANAN RAWAT INAP

DIAGNOSA RUANGAN KP LR 0 KETVIP KLS SAL ( hari ) KRS

HTTonsilitisThypoidAnemia + HM + HipoalbuminDM + GEAGEA + HTPartusOrchitisTu PalpebraThipoid + GESyndroma DispepsiaDispepsiaCholelitiasis : Susp SHDF + DMISPAProlap UteriFibrolipomaBPHApp PerforasiTu Sub MandibulaAuto Imun Hemolitik AnemiaGEAOf Os Tibia Fibula (S)PremoniCVA InfarkHIL (S)HaemoroidAPPBatu Ureter + Hidro PyenefrosisFibrolipomaThipoidISPAStephen JonshonGEACORStruma + KontrakturThipoidTu Mamae (D)

FibrolipomaCa Mamae (D)DMMultiple cf femur + CORFams NormalBBL RISKPnemoniaSCBBLKETAbses GluteusCa BuliThipoid +DMPartusBBLH Inkarsekta (D+S)BBBBPH TURPFibrolipomaFibrolipomaCa Mamae + DMStrumaKista Ovari D+SHIL (D)Nefrolitiasis (D)Kejang DemamSCBBLSCBBLCombosioDengue FeverTu Sub MandibulaHIL (D)Ca Mamae pro kemoterapiCa Mamae pro kemoterapiHIL (D)Kista OvariKontipasi dengan gravidaCORThipoidSepsis + CKDUlkus + DMCholelitiasisSH + DM

MH + AnemiaChespaintDHFHemoroidHILHemorage Post Op HemoroidLimfangiomaStrumaTu Panggul +HTNefrolitiasis (D)Nefrolitiasis (S)Thipoid + DMGEA + DMHILCa Mamae (D)SCBBBISPAThipoid FeverPerianal FistelThipoidTB ParuMioma UteriPeritonsilitisDHFDM + ISK + Syok SepsisTu Intra AbdomentCa MamaeHILTu Punggung + TanganStrumaHILBBBLimfargiomaDC stage VPartusBBL RPartusBBL RFibrolipomaFibrolipomaStrumaHILFibrolipomaKemoterapi Ca. MamaeHT

AsitesPartusBBLThipoid + MorbiliTB ParuBatu PyelumDecom CordisBPHPJK + Cher PainCa. Mamae (S)Struma MultinudosaCholelitiasisThipoidPJK + StemiHapatitisTu. OvariCa Mamae KemoterapiHIL (S)BPHBBBAFF Stend (S)Susp. Inct + ThipoidBatu Ureter (S)OBS HILKuretPartusBBL RThipoidHerpes zosterThipoidPPOKSH + HMNeurofibromaDM + DispepsiaThipoid FeverStruktur UretraH. DuplexFibrolipomaBPHDiare AkutHIL (S)Fibrolipoma + DMCa. MamaeFibrolipomaMioma UteriPerianal Fistel

Diare AkutTonsilitis AkutDM + Post op Ca mamaeSCBBLHidrokel (s)CRFHIL (S)Tu ColiMioma UteriThipoidHT + VertigoGGK +Selulitis PedisIleus ParalitikGEASepsisFaringitisPJK + Syndroma DispepsiaTonsilitis H. InkerserataOrchitisHILHIL (D)Tu ColiCholelitiasisCKD + DMThipoidCKD FibrolipomaBatu Ureter (S)Nefrolitiasis (D)SCBBLSCBBLUlkus Pedis + DMBatu PyelumBPH TURPBPH TURPCa BuliBatu Ureter

Jumlah lama rawat inap pasien selama satu bulanJumlah rata-rata hari rawat pasien

Pamekasan,26 Oktober 2014Kepala Ruangan IRNA

Sri Amalia, AMd. Kep.

DATA PASIEN OPNAMEDI RUANG PERAWATAN RUMAH SAKIT ASYIFA PAMEKASAN

` Bulan September 2014Bedaesarkan Jenis Klamin

NO Jenis Kelamin JUMLAH KET Sepuluh Penyakit Terbanyak1 Laki-laki NO2 Perempuan 1

JUMLAH 23

Bedasarkan Usia 4No Usia (tahun) JUMLAH KET 51 0-6hr 62 7-28hr 73 28-4th 84 1-4th 95 5-14th 106 15-24th 117 25-44th8 45-64th9 >65th

JUMLAH

Klasifikasi PenyakitNO KLASIFIKASI PASIEN JUMLAH KET Mengetahui,1 Bedah Direktur RS. Asyifa Husada2 Interna3 Paru4 Anak5 Saraf dr. Sulistiawan, Sp. OT6 Ortopedi7 Kandungan

JUMLAH

DI RUANG PERAWATAN RUMAH SAKIT ASYIFA PAMEKASAN

Sepuluh Penyakit TerbanyakDIAGNOSA JUMLAH KETThipoid 17HIL 14DM 14Fibrolipoma 12Ca Mamae 11GEA 11BBB 8BPH 7SC 7Struma 6Lain-lain 111JUMLAH 218

Pamekasa, 26 Oktober 2014Kepala Ruangan IRNA

Sri Amalia, AMd. Kep