Riwayat Pasien

  2. Registrasi Awal
  3. Riwayat Pasien
...
Tanggal Visit No.Pendaftaran Poliklinik Jaminan Usia Dokter Diagnosa Sumber Actions
1 2025-07-01 09:49:53 RJ-20250701178 OBG BPJS 26 tahun 6 bulan 4 hari dr. MUHAMMAD RIZAL SANGADJI, Sp. OG
  • 93.57 | Application of other wound dressing
  • Z48.8 | Z48.8 othter specified surgical follow up care Primer
RJ
2 2025-06-24 14:26:00 OK-20250624403 OK BPJS 26 tahun 5 bulan 28 hari dr. MUHAMMAD RIZAL SANGADJI, Sp. OG
IGD
3 2025-06-24 13:46:02 RI-20250624224 RI BPJS 26 tahun 6 bulan 3 hari dr. MUHAMMAD RIZAL SANGADJI, Sp. OG
  • 74.0 | Classical cesarean section
  • O33.9 | Maternal care for disproportion, unspecified Primer
RI

- Cefadroxil tab 500 mg 2x1

- Metronidazole tab 500 mg 3x1

- AS Mefenamat 500 mg 3x1

- TTD TAB 1X1

- VIT C TAB 2X1

MOBILISASI AKTIF

 

    

 

  • INSTRUKSI :
    • Bidan
  • 2025-06-26 23:47
    • SUBJECTIVE :

      Os mengatakan nyeri bekas luka operasi (+), demam (-), perdarahan (-), pusing (-), mual (-)

    • OBJECTIVE :

      TD: 110/80 mmhg

      HR: 80 x/i

      RR: 19 x/i

      T: 36,6 c

    • ANALYST :

      P1A0 post sc a/i CPD

    • PLANNING :

      Therapy:

      -Cefadroxil 2x1

      -Asam Mefenamat 3x1

      -Metronidazole 3x1

      -Vitamin C 2x1

      -Tablet Tambah Darah 1x1

    • INSTRUKSI :

      -Anjurkan Mobilisasi aktif

    Bidan
  • 2025-06-27 09:29
    • SUBJECTIVE :

      Os mengatakan nyeri bekas luka operasi (+) demam (-) perdarahan (-) pusing (-) mual (-)

    • OBJECTIVE :

      TD:110/80 mmhg

      RR:20X/i

      HR:80X/i

      Tem:36,5 c

    • ANALYST :

      P1A0 POST SC a/i CPD

    • PLANNING :

      Pbj

      -cefadroxil 2x1

      -Asam mefenamat3X1

      -Metronidazole 3x1

      -Vit C 2x1

      -TTD 1X1

    • INSTRUKSI :

      - Kontrol ke poly obgyn

      -Gv kering

    Perawat
  • 2025-06-27 11:51
    • SUBJECTIVE :

      Nyeri luka operasi bekurang

      imobilisasi sudah berjalan

    • OBJECTIVE :

      Kes CM

      TD 110/70 mmHg

      RR 22

      T 36.6

      Hr 78

    • ANALYST :

      Post sc Ai CPD

    • PLANNING :

      Lapor dr Rizal Sp OG advice;

      PBJ

      kontrol selasa

       

    • INSTRUKSI :

      GV kering

    Dokter Umum
    • Laboratorium
    1. DARAH LENGKAP
      2025-06-25 06:01:51
      Lihat Hasil
    Radiologi
    Obat & BMHP 2025-06-24 13:59:26 | Vitamin k | - (1Tablet) 2025-06-24 13:59:26 | HB 0 Vaksin | - (1Pcs) 2025-06-24 15:36:42 | Vitamin K injeksi/ phytomenadione | - (1ampul) 2025-06-24 15:36:42 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2025-06-24 15:36:42 | Ketorolac inj | 1amp/8jam (1Ampul) 2025-06-24 15:36:42 | Metronidazole infus | 1 fls/8 jam (1botol) 2025-06-24 15:36:42 | Ranitidin inj | 1amp/12jam (1Ampul) 2025-06-24 15:36:42 | Asam Tranexamat inj | 1amp/8jam (1Ampul) 2025-06-24 15:36:42 | Ketoprofen supp | - (1Pcs) 2025-06-24 15:36:42 | Aqua pro injection | - (1Vial) 2025-06-24 15:36:42 | Ringer Lactat / RL | 20 gtt/i (2fls) 2025-06-24 18:01:16 | Ketorolac inj | 1amp/8jam (1Ampul) 2025-06-24 18:01:16 | Metronidazole infus | 1 fls/8 jam (2botol) 2025-06-24 18:01:16 | Asam Tranexamat inj | 500mg/8jam (1Ampul) 2025-06-24 18:01:16 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2025-06-24 18:01:16 | Ringer Lactat / RL | 20 gtt/i (2fls) 2025-06-24 18:16:45 | Ranitidin inj | 1amp/12jam (2Ampul) 2025-06-24 20:20:54 | Ketoprofen supp | 3X1 (2Pcs) 2025-06-25 09:03:35 | Ketorolac inj | 1amp/8jam (1Ampul) 2025-06-25 09:03:35 | Asam Tranexamat inj | 1amp/8jam (1Ampul) 2025-06-25 09:03:35 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2025-06-25 09:03:35 | Metronidazole infus | 1amp/8jam (1botol) 2025-06-25 09:03:35 | Aqua pro injection | - (1Vial) 2025-06-25 17:45:35 | Ringer Lactat / RL | 20 gtt/i (2fls) 2025-06-25 17:45:35 | Ranitidin inj | 1amp/12jam (1Ampul) 2025-06-25 17:45:35 | Ketorolac inj | 1amp/8jam (2Ampul) 2025-06-25 17:45:35 | Asam Tranexamat inj | 500mg/8jam (2Ampul) 2025-06-25 17:45:35 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2025-06-25 17:45:35 | Asam Mefenamat 500mg | 3x1 (1Pcs) 2025-06-25 17:45:35 | Metronidazole 500 mg | 3x1 (1Tablet) 2025-06-25 17:45:35 | Vitamin C | 2 X 1 (1tablet) 2025-06-25 17:45:35 | Tablet tambah darah | 1x1 (1Tablet) 2025-06-26 10:11:29 | Cefadroxil Monohydrate 500mg | 2 X 1 (1tablet) 2025-06-26 10:11:29 | Asam Mefenamat 500mg | 3x1 (1Pcs) 2025-06-26 10:11:29 | Metronidazole 500 mg | 3x1 (1Tablet) 2025-06-26 17:58:17 | Cefadroxil Monohydrate 500mg | 2 X 1 (2tablet) 2025-06-26 17:58:17 | Asam Mefenamat 500mg | 3x1 (2Pcs) 2025-06-26 17:58:17 | Metronidazole 500 mg | 3x1 (2Tablet) 2025-06-26 17:58:17 | Vit. C 250 mg | 2 X 1 (2tablet) 2025-06-26 17:58:17 | Tablet tambah darah | 1x1 (1Tablet) 2025-06-27 08:52:49 | Gentamicin salep | - (1tube) 2025-06-27 08:52:49 | Cefadroxil Monohydrate 500mg | 2X1 (10tablet) 2025-06-27 08:52:49 | Asam Mefenamat 500mg | 3X1 (10Pcs) 2025-06-27 08:52:49 | Metronidazole 500 mg | 3X1 (10Tablet) 2025-06-27 08:52:49 | Vit. C 250 mg | 2X1 (10tablet) 2025-06-27 08:52:49 | Tablet tambah darah | 1X1 (10Tablet)
    2025-06-24 14:01:16 | Alat suntik sekali pakai spuit 1 cc | - (1pcs) 2025-06-24 14:01:16 | Kasa Hydrophil Steril Uk 16 cm x 16 cm | - (1box) 2025-06-24 14:01:16 | Selang Oxygen Bayi | - (1pcs) 2025-06-24 14:01:16 | Suction Cateter No.8 | - (1pcs) 2025-06-24 15:45:41 | Alat suntik sekali pakai spuit 3 cc | - (2pcs) 2025-06-24 15:45:41 | Alat suntik sekali pakai spuit 10 cc | - (1pcs) 2025-06-24 15:45:41 | Nassal Canula (Adult) /Selang Oksigen dewasa | - (1pcs) 2025-06-24 16:16:22 | Alat suntik sekali pakai spuit 10 cc | - (1pcs) 2025-06-24 16:16:22 | Alat suntik sekali pakai spuit 3 cc | - (2pcs) 2025-06-24 16:16:22 | Nassal Canula (Adult) /Selang Oksigen dewasa | - (1pcs) 2025-06-24 18:03:37 | Alat suntik sekali pakai spuit 10 cc | - (1pcs) 2025-06-25 09:06:47 | Alat suntik sekali pakai spuit 10 cc | - (1pcs) 2025-06-25 09:06:47 | Alat suntik sekali pakai spuit 3 cc | - (2pcs) 2025-06-25 09:06:47 | Alat suntik sekali pakai spuit 5 cc | - (1pcs) 2025-06-27 08:59:11 | Kasa Hydrophil Steril Uk 16 cm x 16 cm | - (1box)
    Tindakan
    Alat Kesehatan
    USG
    Tanggal Rencana Kontrol No.Pendaftaran Catatan Status
    2025-01-14 RJ-20241206414 Belum Kontrol
    2025-06-10 RJ-20250502608 Belum Kontrol