Data Matabor



No CASE MR NO SEP NAMA PASIEN UMUR DOKTER TANGGAL MASUK DIAGNOSIS CLASS HAK KELAS (CLASS BPJS) CATEGORY ASURANSI HARI RAWAT TARIF INACBGs TOTAL BILLING PERSENTASE KET
1 1031370 117723 AZURA CLARA MAHARANI ,AN 0 th Endang Melati, Sp.A. 2025-09-02 BI, Bacterial infection, unspecified - A49.9(Diagnosa Utama) KLS III JAMINAN PRIBADI Rp 0 Rp 2.205.900 -
2 1031606 110846 0132R0870925V000214 MUTIA TUSSOLIHAH , NY 27 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-10 Bacterial Infection , - (Diagnosa Utama)G2P1A0H9mggu, - (Diagnosa Sekunder) KLS III 3 BPJS KESEHATAN Rp 0 Rp 2.413.500 -
3 1031959 117997 0132R0870925V000495 AULIYA AL ZAHRA ,AN 0 th Endang Melati, Sp.A. 2025-09-22 GEA DRS, Diarrhoea and gastroenteritis of presumed infectious origin - A09(Diagnosa Utama)Ispa, Acute upper respiratory infection, unspecified - J06.9(Diagnosa Sekunder) KLS III 3 ICU BPJS KESEHATAN Rp 0 Rp 1.657.800 -
4 1031911 110742 0132R0870925V000436 SUSILO WAHYUNI , NY 47 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-20 Dyspnoea ec asthma + OF ec BI + VES ekg, - (Diagnosa Masuk) KLS III 3 ISOLASI COHORT BPJS KESEHATAN Rp 0 Rp 2.204.200 -
5 1031912 117972 0132R0870925V000435 MUNAJAH ,NY 56 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-20 Hipoglicemic ec DM tipe II + vomitus + OF + ulkus diabetikum r. pedis sinistra dan dextra, - (Diagnosa Masuk) KLS III 3 ISOLASI COHORT BPJS KESEHATAN Rp 0 Rp 5.558.130 -
6 1031957 117995 FEBRYANTI NURSAIDAH ,NN 21 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-22 dengue fever , Dengue fever [classical dengue] - A90(Diagnosa Utama) KLS III ISOLASI COHORT JAMKESDA (JAMINAN KESEHATAN DAERAH) Rp 0 Rp 1.066.500 -
7 1031961 110379 0132R0870925V000469 ANITA ERLAS ,NN 24 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-22 GEA DRS , Diarrhoea and gastroenteritis of presumed infectious origin - A09(Diagnosa Utama) KLS III 3 ISOLASI COHORT BPJS KESEHATAN Rp 0 Rp 821.352 -
8 1031983 118003 0132R0870925V000489 SUSIH ,NY 34 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-23 bakterial infection, - (Diagnosa Utama) KLS III 3 ISOLASI COHORT BPJS KESEHATAN Rp 0 Rp 631.200 -
9 1031923 117977 0132R0870925V000445 BULE ,NY 45 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-21 Bacterial Infection , - (Diagnosa Utama) KLS I 1 KELAS I BPJS KESEHATAN Rp 0 Rp 2.873.070 -
10 1031932 111939 0132R0870925V000449 ROPIKOH ,NY 24 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-21 Bacterial Infection , - (Diagnosa Utama) KLS I 1 KELAS I BPJS KESEHATAN Rp 0 Rp 2.325.200 -
11 1031965 118001 0132R0870925V000472 ENGKAS KOMARUDIN ,TN 57 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-22 Dengue fever , Dengue fever [classical dengue] - A90(Diagnosa Utama) KLS I 1 KELAS I BPJS KESEHATAN Rp 0 Rp 1.722.723 -
12 1031952 117993 0132R0870925V000465 ARCELIO DIZHWAR HADIANTO ,AN 0 th Endang Melati, Sp.A. 2025-09-22 GEA, Diarrhoea and gastroenteritis of presumed infectious origin - A09(Diagnosa Utama)FEBRIS, Fever, unspecified - R50.9(Diagnosa Sekunder) KLS II 1 KELAS II BPJS KESEHATAN Rp 0 Rp 856.600 -
13 1031960 117998 0132R0870925V000468 MUHAMAD HIKAM MUTTAQIN ,AN 9 th Endang Melati, Sp.A. 2025-09-22 colic abdomen, Acute abdomen - R10.0(Diagnosa Utama)nausea and vomiting , Nausea and vomiting - R11(Diagnosa Sekunder) KLS II 1 KELAS II BPJS KESEHATAN Rp 0 Rp 1.034.700 -
14 1031966 113148 0132R0870925V000475 ESA RIFKI SYAEPUDIN ,AN 8 th Endang Melati, Sp.A. 2025-09-23 BI , Bacterial infection, unspecified - A49.9(Diagnosa Utama)colic abdomen , - (Diagnosa Sekunder) KLS II 1 KELAS II BPJS KESEHATAN Rp 0 Rp 540.415 -
15 1031967 113217 0132R0870925V000476 HANAN IZZUL SAID SETIAWAN ,AN 2 th Endang Melati, Sp.A. 2025-09-23 kejang demam sederhana, - (Diagnosa Utama) KLS II 1 KELAS II BPJS KESEHATAN Rp 0 Rp 551.792 -
16 1031897 117962 0132R0870925V000427 FAIHA ANNAILA ZALFA ,AN 8 th Endang Melati, Sp.A. 2025-09-19 BI, - (Diagnosa Utama) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 2.422.155 -
17 1031921 117976 0132R0870925V000440 ASYIFA RISKIA RAMADHANI ,AN 4 th Endang Melati, Sp.A. 2025-09-21 Of ec BI + GEADRS, - (Diagnosa Masuk) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.406.900 -
18 1031924 117978 SHEZA SYAFANIA FIRDAUS ,AN 2 th Endang Melati, Sp.A. 2025-09-21 Diare akut dehidrasi sedang , - (Diagnosa Utama) KLS III KELAS III JAMKESDA (JAMINAN KESEHATAN DAERAH) Rp 0 Rp 1.966.100 -
19 1031931 117982 0132R0870925V000447 KHALISA GHINA FAIRUZ ,AN 0 th Endang Melati, Sp.A. 2025-09-21 Gea dehidrasi sedang , - (Diagnosa Utama) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.380.510 -
20 1031934 117984 0132R0870925V000450 MUHAMAD AMBAR MAUZZA ,AN 4 th Endang Melati, Sp.A. 2025-09-21 OF H5 , - (Diagnosa Utama)DIare akut , - (Diagnosa Sekunder) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.632.050 -
21 1031936 117986 0132R0870925V000452 UMIH ,NY 57 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-22 Gea , - (Diagnosa Utama)Dm tipe 2 , - (Diagnosa Sekunder) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.036.200 -
22 1031937 117987 0132R0870925V000453 ADIT MAULANA ,AN 11 th Endang Melati, Sp.A. 2025-09-22 OF H3 , - (Diagnosa Utama) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.297.200 -
23 1031943 117990 0132R0870925V000461 MUNAWAROH ,NY 28 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-22 febris , Fever, unspecified - R50.9(Diagnosa Utama) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.001.775 -
24 1031959 117997 0132R0870925V000495 AULIYA AL ZAHRA ,AN 0 th Endang Melati, Sp.A. 2025-09-22 GEA DRS, Diarrhoea and gastroenteritis of presumed infectious origin - A09(Diagnosa Utama)Ispa, Acute upper respiratory infection, unspecified - J06.9(Diagnosa Sekunder) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.657.800 -
25 1031963 117999 0132R0870925V000470 ZENATA ZAHRO TUSSITTA ,AN 17 th Endang Melati, Sp.A. 2025-09-22 colic abdomen ec dyspepsia , Dyspepsia - K30(Diagnosa Sekunder)bacterial infection , Bacterial infection, unspecified - A49.9(Diagnosa Utama) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.157.600 -
26 1031964 118000 0132R0870925V000471 FEBRIYANI ,AN 7 th Endang Melati, Sp.A. 2025-09-22 BI, Bacterial infection, unspecified - A49.9(Diagnosa Utama) KLS III 3 KELAS III BPJS KESEHATAN Rp 0 Rp 1.178.500 -
27 1031989 109188 0132R0870925V000491 MUHAMMAD KENZI ALVARENDRA , AN 3 th Endang Melati, Sp.A. 2025-09-23 gea,vomitus, - (Diagnosa Utama) KLS III 1 KELAS III BPJS KESEHATAN Rp 0 Rp 292.000 -
28 1031929 117981 0132R0870925V000446 MUHAMAD SURYANA ,TN 30 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-21 Bacterial Infection , - (Diagnosa Utama) KLS III 3 PERAWATAN KEBIDANAN BPJS KESEHATAN Rp 0 Rp 1.217.500 -
29 1031933 117983 0132R0870925V000448 TOYIB ,TN 71 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-21 OFH3, - (Diagnosa Sekunder)FA, - (Diagnosa Sekunder)Diare akut , - (Diagnosa Utama) KLS III 3 PERAWATAN KEBIDANAN BPJS KESEHATAN Rp 0 Rp 1.568.200 -
30 1031939 117988 0132R0870925V000454 EGI ,TN 55 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-22 CAP , - (Diagnosa Utama) KLS III 3 PERAWATAN KEBIDANAN BPJS KESEHATAN Rp 0 Rp 1.002.900 -
31 1031946 117991 0132R0870925V000464 NURJANAH ,NY 38 th Firmansyah Adi Praditya 2025-09-22 menoragia, - (Diagnosa Utama) KLS I 1 PERAWATAN KEBIDANAN BPJS KESEHATAN Rp 0 Rp 3.906.221 -
32 1031955 102880 0132R0870925V000466 YUSRIL ABDULLAH , TN 25 th ANDI AINUN ZAMIRA M.M. Sp. PD 2025-09-22 GEA DRS , Diarrhoea and gastroenteritis of presumed infectious origin - A09(Diagnosa Utama)vertigo, Other peripheral vertigo - H81.3(Diagnosa Sekunder) KLS III 3 PERAWATAN KEBIDANAN BPJS KESEHATAN Rp 0 Rp 776.100 -
33 1031968 102501 0132R0870925V000473 THAWAB ,TN 49 th JOSEPHINE MARIANE, Sp. B 2025-09-23 soft tissue tumor regio oksipital - Diagnosa Utama KLS III 3 PERAWATAN KEBIDANAN BPJS KESEHATAN Rp 0 Rp 616.700 -