| 3301 | CILACAP | RS Umum Daerah Cilacap | Kelas B | 3/1 | 2/1 | 3/1 | 4/1 | 3/1 | 2/1 | 2/1 | 34/1 |
| 3301 | CILACAP | RS Umum Daerah Majenang | Kelas C | 2/1 | 2/1 | 2/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3302 | BANYUMAS | RS umum Daerah Banyumas | Kelas B | 3/1 | 3/1 | 4/1 | 5/1 | 5/1 | 1/1 | 1/1 | 48/1 |
| 3302 | BANYUMAS | RS Umum Daerah Prof Dr. Margono Soekarjo | Kelas A | 4/1 | 3/1 | 5/1 | 3/1 | 3/1 | 5/1 | 3/1 | 122/1 |
| 3302 | BANYUMAS | RS Umum Daerah Ajibarang | Kelas C | 3/1 | 3/1 | 4/1 | 6/1 | 2/1 | 2/1 | 2/1 | 0/0 |
| 3303 | PURBALINGGA | RS Umum Daerah dr. R. Goeteng Taroenadibrata | Kelas C | 2/1 | 1/1 | 4/1 | 4/1 | 3/1 | 2/1 | 1/1 | 44/1 |
| 3303 | PURBALINGGA | RS Umum Daerah Panti Nugroho | Kelas C | 2/1 | 1/1 | 3/1 | 3/1 | 4/1 | 1/1 | 1/1 | 0/0 |
| 3304 | BANJARNEGARA | RS Umum Daerah Hj. Anna Lasmanah Banjarnegara | Kelas C | 3/1 | 2/1 | 3/1 | 3/1 | 3/1 | 2/1 | 1/1 | 29/1 |
| 3305 | KEBUMEN | RS Umum Daerah dr. Soedirman Kabupaten Kebumen | Kelas C | 2/1 | 1/1 | 2/1 | 4/1 | 3/1 | 3/1 | 2/1 | 41/1 |
| 3305 | KEBUMEN | RS Umum Daerah Prembun | Kelas C | 2/1 | 2/1 | 3/1 | 4/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3306 | PURWOREJO | RS Umum Daerah Dr. Tjitrowardojo Purworejo | Kelas B | 4/1 | 4/1 | 2/1 | 4/1 | 3/1 | 4/1 | 3/1 | 49/1 |
| 3306 | PURWOREJO | RS Umum Daerah R.A.A Tjokronegoro | Kelas C | 2/1 | 2/1 | 2/1 | 4/1 | 3/1 | 2/1 | 1/1 | 0/0 |
| 3307 | WONOSOBO | RS Umum Setjonegoro Wonosobo | Kelas B | 3/1 | 3/1 | 4/1 | 4/1 | 3/1 | 4/1 | 1/1 | 34/1 |
| 3308 | MAGELANG | RS Umum Daerah Muntilan Kab. Magelang | Kelas C | 2/1 | 2/1 | 4/1 | 4/1 | 2/1 | 1/1 | 1/1 | 33/1 |
| 3308 | MAGELANG | RS Umum Daerah Merah Putih | Kelas C | 2/1 | 3/1 | 3/1 | 5/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3308 | MAGELANG | RS Umum Daerah Bukit Menoreh | Kelas D | 1/1 | 2/1 | 2/1 | 1/1 | 2/1 | 2/1 | 1/1 | 0/0 |
| 3308 | MAGELANG | RS Umum Daerah Candi Umbul | Kelas D | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3309 | BOYOLALI | RS Umum Daerah Pandan Arang Boyolali | Kelas B | 3/1 | 2/1 | 4/1 | 4/1 | 3/1 | 2/1 | 2/1 | 44/1 |
| 3309 | BOYOLALI | RS Umum Daerah Waras Wiris | Kelas C | 2/1 | 2/1 | 2/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3309 | BOYOLALI | RS Umum Daerah Simo | Kelas D | 2/1 | 2/1 | 2/1 | 3/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3310 | KLATEN | RS Umum Pusat Dr. Soeradji Tirtonegoro | Kelas A | 2/1 | 3/1 | 3/1 | 5/1 | 4/1 | 3/1 | 3/1 | 83/1 |
| 3310 | KLATEN | RS Jiwa Daerah Dr. RM. Soedjarwadi | Kelas A | 1/1 | 2/1 | 1/1 | 3/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3310 | KLATEN | RS Umum Daerah Bagas Waras | Kelas C | 2/1 | 2/1 | 3/1 | 3/1 | 2/1 | 1/1 | 1/1 | 34/1 |
| 3311 | SUKOHARJO | RS Umum Daerah Ir. Soekarno Kabupaten Sukoharjo | Kelas B | 3/1 | 3/1 | 2/1 | 3/1 | 4/1 | 3/1 | 3/1 | 39/1 |
| 3312 | WONOGIRI | RS Umum Daerah Dr. Soediran Mangun Sumarso Wonogi | Kelas B | 3/1 | 1/1 | 4/1 | 3/1 | 3/1 | 2/1 | 2/1 | 35/1 |
| 3313 | KARANGANYAR | RS Umum Daerah Kartini Karanganyar | Kelas C | 2/1 | 3/1 | 3/1 | 3/1 | 3/1 | 2/1 | 1/1 | 32/1 |
| 3314 | SRAGEN | RS Umum Daerah dr. Soehadi Prijonegoro | Kelas B | 3/1 | 3/1 | 3/1 | 4/1 | 4/1 | 2/1 | 3/1 | 40/1 |
| 3314 | SRAGEN | RS Umum Daerah dr. Soeratno Gemolong | Kelas C | 2/1 | 2/1 | 3/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3314 | SRAGEN | RS Umum Daerah Sukowati Tangen | Kelas D | 1/1 | 1/1 | 2/1 | 1/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3315 | GROBOGAN | RS Umum Daerah Dr. R.Soedjati Soemodiardjo | Kelas B | 3/1 | 3/1 | 4/1 | 5/1 | 2/1 | 2/1 | 1/1 | 42/1 |
| 3315 | GROBOGAN | RS Umum Daerah Ki Ageng Selo | Kelas D | 1/1 | 1/1 | 2/1 | 2/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3315 | GROBOGAN | RS Umum Daerah Ki Ageng Getas Pendowo Gubug | Kelas D | 2/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3316 | BLORA | RS Umum Daerah Dr. R. Soetijono Blora | Kelas C | 2/1 | 2/1 | 2/1 | 4/1 | 5/1 | 2/1 | 1/1 | 27/1 |
| 3316 | BLORA | RS Umum Daerah Dr. R. Soeprapto Cepu | Kelas C | 2/1 | 2/1 | 2/1 | 4/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3316 | BLORA | RS Umum Daerah Samin Surosentiko Randublatung | Kelas D | 1/1 | 1/1 | 1/1 | 2/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3317 | REMBANG | RS Umum Daerah dr. R. Soetrasno Rembang | Kelas C | 3/1 | 3/1 | 4/1 | 4/1 | 4/1 | 2/1 | 2/1 | 42/1 |
| 3318 | PATI | RS Umum Daerah RAA Soewondo | Kelas B | 3/1 | 2/1 | 3/1 | 6/1 | 3/1 | 3/1 | 2/1 | 43/1 |
| 3318 | PATI | RS Umum Daerah Kayen Pati | Kelas C | 2/1 | 2/1 | 2/1 | 4/1 | 3/1 | 1/1 | 1/1 | 0/0 |
| 3319 | KUDUS | RS Umum Daerah dr. Loekmono Hadi | Kelas B | 3/1 | 3/1 | 4/1 | 5/1 | 5/1 | 3/1 | 2/1 | 41/1 |
| 3320 | JEPARA | RS Umum Daerah R. A. Kartini | Kelas B | 4/1 | 3/1 | 3/1 | 2/1 | 3/1 | 3/1 | 2/1 | 42/1 |
| 3320 | JEPARA | RS Umum Daerah dr. Rehatta Provinsi Jawa Tengah | Kelas C | 2/1 | 3/1 | 4/1 | 3/1 | 3/1 | 1/1 | 1/1 | 0/0 |
| 3321 | DEMAK | RS Umum Daerah Sunan Kalijaga | Kelas C | 4/1 | 2/1 | 4/1 | 4/1 | 4/1 | 2/1 | 1/1 | 36/1 |
| 3321 | DEMAK | RS Umum Daerah Sultan Fatah Karangawen Demak | Kelas C | 2/1 | 3/1 | 1/1 | 3/1 | 2/1 | 2/1 | 1/1 | 0/0 |
| 3322 | SEMARANG | RS Umum Daerah dr. Gunawan Mangunkusumo | Kelas C | 2/1 | 2/1 | 2/1 | 5/1 | 2/1 | 1/1 | 1/1 | 33/1 |
| 3322 | SEMARANG | RS Umum Daerah dr. Gondo Suwarno | Kelas C | 3/1 | 4/1 | 3/1 | 4/1 | 2/1 | 1/1 | 2/1 | 0/0 |
| 3323 | TEMANGGUNG | RS Umum Daerah Kabupaten Temanggung | Kelas B | 4/1 | 3/1 | 3/1 | 3/1 | 4/1 | 2/1 | 2/1 | 44/1 |
| 3324 | KENDAL | RS Umum Daerah Dr. H. Soewondo Kendal | Kelas B | 3/1 | 3/1 | 3/1 | 4/1 | 3/1 | 2/1 | 1/1 | 41/1 |
| 3325 | BATANG | RS Umum Daerah Batang | Kelas C | 2/1 | 2/1 | 4/1 | 3/1 | 2/1 | 1/1 | 1/1 | 27/1 |
| 3325 | BATANG | RS Umum Daerah Limpung | Kelas C | 1/1 | 1/1 | 2/1 | 2/1 | 1/1 | 0/1 | 1/1 | 0/0 |
| 3375 | KOTA PEKALONGAN | RS Umum Daerah Kraton Kab. Pekalongan | Kelas B | 2/1 | 3/1 | 2/1 | 3/1 | 1/1 | 1/1 | 1/1 | 43/1 |
| 3375 | KOTA PEKALONGAN | RS Umum Daerah Bendan Kota Pekalongan | Kelas C | 2/1 | 3/1 | 3/1 | 4/1 | 2/1 | 1/1 | 1/1 | 35/1 |
| 3326 | PEKALONGAN | RS Umum Daerah Kajen Kab. Pekalongan | Kelas C | 2/1 | 4/1 | 4/1 | 4/1 | 3/1 | 1/1 | 2/1 | 0/0 |
| 3326 | PEKALONGAN | RS Umum Daerah Kesesi Pekalongan | Kelas D | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 0/1 | 1/1 | 0/0 |
| 3327 | PEMALANG | RS Umum Daerah Dr. M. Ashari Pemalang | Kelas C | 2/1 | 2/1 | 4/1 | 5/1 | 4/1 | 1/1 | 1/1 | 43/1 |
| 3328 | TEGAL | RS Umum Daerah dr. Soeselo Slawi Kabupaten Tegal | Kelas B | 3/1 | 3/1 | 4/1 | 5/1 | 2/1 | 2/1 | 2/1 | 38/1 |
| 3328 | TEGAL | RS Umum Daerah Suradadi | Kelas C | 1/1 | 2/1 | 2/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3329 | BREBES | RS Umum Daerah Brebes | Kelas B | 4/1 | 5/1 | 5/1 | 3/1 | 3/1 | 2/1 | 2/1 | 43/1 |
| 3329 | BREBES | RS Umum Daerah Bumiayu | Kelas C | 1/1 | 1/1 | 1/1 | 4/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3329 | BREBES | RS Umum Daerah Ir. Soekarno Kab. Brebes | Kelas D | 2/1 | 3/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3371 | KOTA MAGELANG | RS Umum Daerah Tidar | Kelas B | 6/1 | 2/1 | 3/1 | 8/1 | 6/1 | 4/1 | 2/1 | 58/1 |
| 3371 | KOTA MAGELANG | RS Umum Daerah Budi Rahayu | Kelas D | 4/1 | 2/1 | 3/1 | 6/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3372 | KOTA SURAKARTA | RS Umum Daerah Dr. Moewardi Surakarta | Kelas A | 12/1 | 1/1 | 7/1 | 6/1 | 7/1 | 2/1 | 4/1 | 195/1 |
| 3372 | KOTA SURAKARTA | RS Umum Pusat Surakarta | Kelas C | 3/1 | 3/1 | 3/1 | 4/1 | 3/1 | 2/1 | 1/1 | 35/1 |
| 3372 | KOTA SURAKARTA | RS Umum Daerah Ibu Fatmawati Soekarno | Kelas C | 3/1 | 2/1 | 2/1 | 3/1 | 3/1 | 1/1 | 2/1 | 30/1 |
| 3372 | KOTA SURAKARTA | RS Umum Daerah Bung Karno Kota Surakarta | Kelas C | 2/1 | 2/1 | 2/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3373 | KOTA SALATIGA | RS Umum Daerah Kota Salatiga | Kelas B | 4/1 | 3/1 | 4/1 | 5/1 | 2/1 | 2/1 | 2/1 | 52/1 |
| 3374 | KOTA SEMARANG | RS Umum Pusat Dr. Kariadi | Kelas A | 12/1 | 2/1 | 7/1 | 22/1 | 18/1 | 10/1 | 6/1 | 266/1 |
| 3374 | KOTA SEMARANG | RS Umum Daerah dr. Adhyatma, MPH | Kelas B | 5/1 | 2/1 | 5/1 | 8/1 | 5/1 | 4/1 | 1/1 | 0/0 |
| 3374 | KOTA SEMARANG | RS Daerah KRMT Wongsonegoro | Kelas B | 8/1 | 3/1 | 5/1 | 10/1 | 4/1 | 4/1 | 2/1 | 78/1 |
| 3374 | KOTA SEMARANG | RS Umum Daerah Mijen | Kelas D | 1/1 | 2/1 | 1/1 | 3/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3376 | KOTA TEGAL | RS Umum Daerah Kardinah | Kelas B | 4/1 | 3/1 | 4/1 | 3/1 | 2/1 | 1/1 | 2/1 | 42/1 |