Riwayat Pasien

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  3. Riwayat Pasien
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Tanggal Visit No.Pendaftaran Poliklinik Jaminan Usia Dokter Diagnosa Sumber Actions
1 2025-05-21 10:36:54 RJ-20250521262 BED BPJS 40 tahun 0 bulan 6 hari dr. SUWANDY EKA SYAHPUTRA, Sp.B
  • D21.1 | Other benign neoplasm of connective and other soft tissue Primer
RJ
2 2025-05-15 11:04:13 OK-20250514781 OK BPJS Kesehatan 40 tahun 0 bulan 0 hari dr. SUWANDY EKA SYAHPUTRA, Sp.B
RI
3 2025-05-14 14:14:55 RI-20250514206 RI BPJS Kesehatan 39 tahun 11 bulan 30 hari dr. SUWANDY EKA SYAHPUTRA, Sp.B
  • 862 | Injury to other and unspecified intrathoracic organs
  • D21.9 | Other benign neoplasm of connective and other soft tissue, unspecified Primer
RI
 

Ivfd RL 20gtt/i

inj ceftriaxone 1gr/12jam

inj Keterolac 30mg/8jam

inj Ranitidine 50mg/8jam 

Inj Asam Traneksamat 500mg/8jam

 

 
  • INSTRUKSI :
    • Perawat
  • 2025-05-15 08:08
    • SUBJECTIVE :

      Benjolan di kaki kanan 2 buah 

    • OBJECTIVE :

      Pedis Dextra

      I: Tampak benjolan 2 buah 

      P: ukuran 1) 4x3x2 cm

                       2) 3x3x2cm melkat pada otot

    • ANALYST :

      Soft Tissue Tumor Multiple Pedis dextra,

      Multiple Exisi +PA

    • PLANNING :

      Ivfd RL 20gtt/i

      inj ceftriaxone 1gr/12jam

      inj Keterolac 30mg/8jam

      inj Ranitidine 50mg/8jam 

      Inj Asam Traneksamat 500mg/8jam

    • INSTRUKSI :

      Diet MB

    Dokter Spesialis
  • 2025-05-15 11:16
    • SUBJECTIVE :

      nyeri berkurang

    • OBJECTIVE :

      luka tertutup verban

    • ANALYST :

      post eksisi

    • PLANNING :

      - PBJ

      - Cefixime 2x200mg

      - Na dcilofenac 3x1

      - Metronidazole 3x500mg

    • INSTRUKSI :

      kontrol poli hari rabu

    Dokter Spesialis
    • Laboratorium
    Radiologi
    Obat & BMHP 2025-05-14 17:53:38 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2025-05-14 17:53:38 | Ranitidin inj | 1a/12jam (1Ampul) 2025-05-14 17:53:38 | Ketorolac inj | 1a/8jam (2Ampul) 2025-05-15 08:23:08 | Ringer Lactat / RL | fls (1fls) 2025-05-15 08:23:08 | Asam Tranexamat inj | 1a/12jam (1Ampul) 2025-05-15 11:20:08 | Cefixime 200 mg | 2x1 (14tablet) 2025-05-15 11:20:08 | Natrium Diklofenak 50 mg / nadic | 3x1 (21tablet) 2025-05-15 11:20:08 | Metronidazole 500 mg | 3x1 (21tablet)
    2025-05-14 17:54:20 | Alat suntik sekali pakai spuit 10 cc | 1 (1pcs) 2025-05-14 17:54:20 | Alat suntik sekali pakai spuit 3 cc | 2 (2pcs) 2025-05-15 08:23:33 | Alat suntik sekali pakai spuit 10 cc | pcs (1pcs) 2025-05-15 08:23:33 | Alat suntik sekali pakai spuit 3 cc | pcs (1pcs)
    Tindakan
    Alat Kesehatan
    USG
    Tanggal Rencana Kontrol No.Pendaftaran Catatan Status
    2025-05-21 RI-20250514206 kontrol ulang Belum Kontrol