Riwayat Pasien

  2. Registrasi Awal
  3. Riwayat Pasien
...
Tanggal Visit No.Pendaftaran Poliklinik Jaminan Usia Dokter Diagnosa Sumber Actions
1 2024-10-18 11:37:18 RI-20241018123 RI BPJS Kesehatan 65 tahun 9 bulan 18 hari dr. HENRY SIBARANI, M. Kes, M. Ked, Sp. PD
  • NEFROLITHIASIS | Primer
  • NEUROPATI DM | Sekunder
RI
  • ANALYST :

    gangguan intoleransi hambatan mobilitas fisik

  • PLANNING :

    therapy dilanjutkan sesuai anjuran dokter

    pantau tanda - tanda vital

  • INSTRUKSI :
    • Perawat
  • 2024-10-19 10:10
    • SUBJECTIVE :

      nyeri kaki +

      lemas +

       mual -

      muntah -

      demam-

    • OBJECTIVE :

      sens cm

      td:170/90mmhg

      hr:80x/I

      rr:20x/i

      tm 36,8

    • ANALYST :

      ganggren diabetik

      Dm type II

    • PLANNING :

      terapy lanjut

    • INSTRUKSI :
    Dokter Umum
    • Laboratorium
    LAB-20241020605
    1. KGD PUASA DAN 2 JAM PP
      2024-10-20 22:12:24
      Sedang Proses
    LAB-20241021872
    1. KGD PUASA DAN 2 JAM PP
      2024-10-21 09:36:54
      Sedang Proses
    Radiologi
    Obat & BMHP 2024-10-18 21:12:53 | Ringer Lactat / RL | Per 8 Jam (2fls) 2024-10-18 21:12:53 | Ceftiaxiason inj | per 12 jam (1Vial) 2024-10-18 21:12:53 | Omeprazole inj | 1per 12 jam (1Ampul) 2024-10-18 21:12:53 | Ondansentron inj | Per 8 Jam (2Ampul) 2024-10-19 12:14:36 | Ringer Lactat / RL | 20gtt/i (1fls) 2024-10-19 12:14:36 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2024-10-19 12:14:36 | Omeprazole inj | 40mg/12j (1Ampul) 2024-10-19 12:14:36 | Ondansentron inj | Per 8 Jam (1Ampul) 2024-10-19 12:14:36 | Ketorolac inj | k/p (1Ampul) 2024-10-19 19:01:43 | Ringer Lactat / RL | Per 8 Jam (2fls) 2024-10-19 19:01:43 | Ceftiaxiason inj | per 12 jam (1Vial) 2024-10-19 19:01:43 | Omeprazole inj | per 12 jam (1Ampul) 2024-10-19 19:01:43 | Ondansentron inj | Per 8 Jam (2Ampul) 2024-10-19 19:01:43 | Amlodipin Besilate 10mg | - (1Pcs) 2024-10-20 11:49:04 | Ringer Lactat / RL | 20gtt/i (2fls) 2024-10-20 11:49:04 | Ceftiaxiason inj | per 12 jam (1Vial) 2024-10-20 11:49:04 | Omeprazole inj | per 12 jam (1Ampul) 2024-10-20 11:49:04 | Ondansentron inj | Per 8 Jam (1Ampul) 2024-10-20 11:49:04 | Ketorolac inj | Per 8 Jam (2Ampul) 2024-10-20 11:49:04 | Amlodipin Besilate 10mg | 1 x 1 (1Pcs) 2024-10-20 22:05:52 | Ringer Lactat / RL | 20gtt/i (1fls) 2024-10-20 22:05:52 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2024-10-20 22:05:52 | Omeprazole inj | 40mg/12j (1Ampul) 2024-10-20 22:05:52 | Ondansentron inj | Per 8 Jam (2Ampul) 2024-10-20 22:05:52 | Ketorolac inj | Per 8 Jam (2Ampul) 2024-10-20 22:05:52 | Amlodipin Besilate 10mg | 1 x 1 (1Pcs) 2024-10-21 09:34:54 | Ringer Lactat / RL | fls (1fls) 2024-10-21 09:34:54 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2024-10-21 09:34:54 | Omeprazole inj | 40mg/12jam (1Ampul) 2024-10-21 09:34:54 | Ondansentron inj | 4mg/8jam (1Ampul) 2024-10-21 09:34:54 | Aqua pro injection | - (1Vial) 2024-10-21 09:34:54 | Ketorolac inj | 30mg/8 jam (1Ampul) 2024-10-21 20:14:27 | Ringer Lactat / RL | 20gtt/i (2fls) 2024-10-21 20:14:27 | Ceftiaxiason inj | 1gr/12jam (1Vial) 2024-10-21 20:14:27 | Omeprazole inj | 40mg/12j (1Ampul) 2024-10-21 20:14:27 | Ondansentron inj | Per 8 Jam (2Ampul) 2024-10-21 20:14:27 | Ketorolac inj | Per 8 Jam (2Ampul) 2024-10-22 10:43:27 | NaCl 0.9% | fls (1fls) 2024-10-22 10:43:27 | Omeprazole inj | 40mg/12jam (1Ampul) 2024-10-22 10:43:27 | Ondansentron inj | 30mg/8 jam (1Ampul) 2024-10-22 10:43:27 | Ketorolac inj | 30mg/8 jam (1Ampul) 2024-10-22 10:43:27 | Aqua pro injection | - (1Vial) 2024-10-22 16:35:51 | Gabapentin tab 300 mg | 1 x 1 (7tablet) 2024-10-22 16:35:51 | Candesartan Cilexetil 16 mg | 1 x 1 (7tablet) 2024-10-22 16:35:51 | Amlodipin Besilate 10mg | 1 x 1 (7Pcs) 2024-10-22 16:35:51 | Cefadroxil Monohydrate 500mg | 2x1 (14tablet)
    2024-10-18 21:12:21 | Alat suntik sekali pakai spuit 10 cc | - (1pcs) 2024-10-18 21:12:21 | Alat suntik sekali pakai spuit 3 cc | - (1pcs) 2024-10-18 21:12:21 | Alat suntik sekali pakai spuit 5 cc | - (1pcs) 2024-10-19 12:15:30 | Alat suntik sekali pakai spuit 10 cc | per 12 jam (1pcs) 2024-10-19 12:15:30 | Alat suntik sekali pakai spuit 3 cc | Per 8 Jam (2pcs) 2024-10-19 12:15:30 | Alat suntik sekali pakai spuit 5 cc | per 12 jam (1pcs) 2024-10-19 19:02:57 | Alat suntik sekali pakai spuit 10 cc | - (2pcs) 2024-10-19 19:02:57 | Alat suntik sekali pakai spuit 3 cc | - (2pcs) 2024-10-20 11:52:05 | Alat suntik sekali pakai spuit 10 cc | 1 vial per 12 jam1 (1pcs) 2024-10-20 11:52:05 | Alat suntik sekali pakai spuit 5 cc | per 12 jam (1pcs) 2024-10-20 11:52:05 | Alat suntik sekali pakai spuit 3 cc | Per 8 Jam2 (1pcs) 2024-10-20 11:52:05 | Alat suntik sekali pakai spuit 3 cc | kp (1pcs) 2024-10-20 22:07:05 | Alat suntik sekali pakai spuit 10 cc | per 12 jam (1pcs) 2024-10-20 22:07:05 | Alat suntik sekali pakai spuit 3 cc | Per 8 Jam (2pcs) 2024-10-21 09:36:16 | Alat suntik sekali pakai spuit 10 cc | - (1pcs) 2024-10-21 09:36:16 | Alat suntik sekali pakai spuit 5 cc | - (1pcs) 2024-10-21 09:36:16 | Alat suntik sekali pakai spuit 3 cc | - (2pcs) 2024-10-21 20:15:43 | Alat suntik sekali pakai spuit 10 cc | per 12 jam (1pcs) 2024-10-21 20:15:43 | Alat suntik sekali pakai spuit 5 cc | per 12 jam (1pcs) 2024-10-21 20:15:43 | Alat suntik sekali pakai spuit 3 cc | Per 8 Jam (2pcs) 2024-10-22 10:44:24 | Alat suntik sekali pakai spuit 3 cc | - (2pcs) 2024-10-22 10:44:24 | Alat suntik sekali pakai spuit 5 cc | - (1pcs)
    Tindakan
    Alat Kesehatan
    USG
    2 2024-10-18 09:48:10 IGD-20241018123 IGD BPJS Kesehatan 65 tahun 9 bulan 18 hari dr. DAMERYA PURBA
    • E11.0 | Non
    • R06.0 | Dyspnoea
    • E11.0 | Non Primer
    • R06.0 | Dyspnoea Primer
    IGD
    Tanggal Rencana Kontrol No.Pendaftaran Catatan Status
    2024-10-29 RI-20241018123 Belum Kontrol