| 3301 | CILACAP | RS Umum Daerah Cilacap | | 3/1 | 2/1 | 3/1 | 4/1 | 3/1 | 2/1 | 2/1 | 34/1 |
| 3301 | CILACAP | RS Umum Daerah Majenang | | 2/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3302 | BANYUMAS | RS umum Daerah Banyumas | | 2/1 | 3/1 | 4/1 | 4/1 | 5/1 | 1/1 | 1/1 | 48/1 |
| 3302 | BANYUMAS | RS Umum Daerah Prof Dr. Margono Soekarjo | | 3/1 | 3/1 | 5/1 | 3/1 | 2/1 | 5/1 | 3/1 | 122/1 |
| 3302 | BANYUMAS | RS Umum Daerah Ajibarang | | 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 | | 2/1 | 2/1 | 4/1 | 4/1 | 3/1 | 2/1 | 1/1 | 44/1 |
| 3303 | PURBALINGGA | RS Umum Daerah Panti Nugroho | | 2/1 | 1/1 | 3/1 | 2/1 | 4/1 | 1/1 | 1/1 | 0/0 |
| 3304 | BANJARNEGARA | RS Umum Daerah Hj. Anna Lasmanah Banjarnegara | | 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 | | 2/1 | 2/1 | 2/1 | 4/1 | 3/1 | 3/1 | 2/1 | 41/1 |
| 3305 | KEBUMEN | RS Umum Daerah Prembun | | 1/1 | 2/1 | 3/1 | 4/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3306 | PURWOREJO | RS Umum Daerah Dr. Tjitrowardojo Purworejo | | 4/1 | 4/1 | 2/1 | 5/1 | 4/1 | 4/1 | 3/1 | 49/1 |
| 3306 | PURWOREJO | RS Umum Daerah R.A.A Tjokronegoro | | 2/1 | 2/1 | 2/1 | 4/1 | 3/1 | 2/1 | 1/1 | 0/0 |
| 3307 | WONOSOBO | RS Umum Setjonegoro Wonosobo | | 2/1 | 3/1 | 4/1 | 4/1 | 3/1 | 2/1 | 1/1 | 34/1 |
| 3308 | MAGELANG | RS Umum Daerah Muntilan Kab. Magelang | | 2/1 | 2/1 | 2/1 | 4/1 | 2/1 | 1/1 | 1/1 | 33/1 |
| 3308 | MAGELANG | RS Umum Daerah Merah Putih | | 2/1 | 3/1 | 3/1 | 5/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3308 | MAGELANG | RS Umum Daerah Bukit Menoreh | | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 2/1 | 1/1 | 0/0 |
| 3308 | MAGELANG | RS Umum Daerah Candi Umbul | | 1/1 | 1/1 | 0/1 | 1/1 | 0/1 | 0/1 | 1/1 | 0/0 |
| 3309 | BOYOLALI | RS Umum Daerah Pandan Arang Boyolali | | 3/1 | 3/1 | 4/1 | 4/1 | 3/1 | 2/1 | 2/1 | 44/1 |
| 3309 | BOYOLALI | RS Umum Daerah Waras Wiris | | 2/1 | 2/1 | 2/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3309 | BOYOLALI | RS Umum Daerah Simo | | 2/1 | 2/1 | 2/1 | 3/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3310 | KLATEN | RS Umum Pusat Dr. Soeradji Tirtonegoro | | 2/1 | 3/1 | 3/1 | 5/1 | 4/1 | 3/1 | 2/1 | 83/1 |
| 3310 | KLATEN | RS Jiwa Daerah Dr. RM. Soedjarwadi | | 1/1 | 2/1 | 1/1 | 3/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3310 | KLATEN | RS Umum Daerah Bagas Waras | | 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 | | 4/1 | 3/1 | 2/1 | 3/1 | 3/1 | 3/1 | 3/1 | 39/1 |
| 3312 | WONOGIRI | RS Umum Daerah Dr. Soediran Mangun Sumarso Wonogi | | 3/1 | 1/1 | 4/1 | 3/1 | 3/1 | 2/1 | 2/1 | 35/1 |
| 3313 | KARANGANYAR | RS Umum Daerah Kartini Karanganyar | | 2/1 | 3/1 | 3/1 | 3/1 | 3/1 | 2/1 | 1/1 | 32/1 |
| 3314 | SRAGEN | RS Umum Daerah dr. Soehadi Prijonegoro | | 3/1 | 3/1 | 3/1 | 4/1 | 4/1 | 2/1 | 2/1 | 40/1 |
| 3314 | SRAGEN | RS Umum Daerah dr. Soeratno Gemolong | | 2/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3314 | SRAGEN | RS Umum Daerah Sukowati Tangen | | 1/1 | 1/1 | 2/1 | 1/1 | 2/1 | 2/1 | 1/1 | 0/0 |
| 3315 | GROBOGAN | RS Umum Daerah Dr. R.Soedjati Soemodiardjo | | 3/1 | 3/1 | 4/1 | 5/1 | 2/1 | 2/1 | 1/1 | 42/1 |
| 3315 | GROBOGAN | RS Umum Daerah Ki Ageng Selo | | 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 | | 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 | | 2/1 | 2/1 | 2/1 | 3/1 | 4/1 | 2/1 | 1/1 | 27/1 |
| 3316 | BLORA | RS Umum Daerah Dr. R. Soeprapto Cepu | | 2/1 | 2/1 | 2/1 | 4/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3316 | BLORA | RS Umum Daerah Samin Surosentiko Randublatung | | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3317 | REMBANG | RS Umum Daerah dr. R. Soetrasno Rembang | | 3/1 | 3/1 | 4/1 | 4/1 | 4/1 | 2/1 | 2/1 | 42/1 |
| 3318 | PATI | RS Umum Daerah RAA Soewondo | | 3/1 | 2/1 | 3/1 | 6/1 | 4/1 | 3/1 | 2/1 | 43/1 |
| 3318 | PATI | RS Umum Daerah Kayen Pati | | 2/1 | 2/1 | 2/1 | 4/1 | 3/1 | 1/1 | 1/1 | 0/0 |
| 3319 | KUDUS | RS Umum Daerah dr. Loekmono Hadi | | 3/1 | 3/1 | 3/1 | 5/1 | 5/1 | 3/1 | 3/1 | 41/1 |
| 3320 | JEPARA | RS Umum Daerah R. A. Kartini | | 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 | | 2/1 | 3/1 | 4/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3321 | DEMAK | RS Umum Daerah Sunan Kalijaga | | 4/1 | 2/1 | 4/1 | 4/1 | 3/1 | 2/1 | 1/1 | 36/1 |
| 3321 | DEMAK | RS Umum Daerah Sultan Fatah Karangawen Demak | | 2/1 | 3/1 | 1/1 | 3/1 | 2/1 | 2/1 | 1/1 | 0/0 |
| 3322 | SEMARANG | RS Umum Daerah dr. Gunawan Mangunkusumo | | 2/1 | 2/1 | 2/1 | 5/1 | 2/1 | 1/1 | 1/1 | 33/1 |
| 3322 | SEMARANG | RS Umum Daerah dr. Gondo Suwarno | | 3/1 | 4/1 | 2/1 | 4/1 | 2/1 | 1/1 | 2/1 | 0/0 |
| 3323 | TEMANGGUNG | RS Umum Daerah Kabupaten Temanggung | | 4/1 | 3/1 | 4/1 | 3/1 | 4/1 | 2/1 | 2/1 | 44/1 |
| 3324 | KENDAL | RS Umum Daerah Dr. H. Soewondo Kendal | | 3/1 | 3/1 | 2/1 | 4/1 | 3/1 | 2/1 | 1/1 | 41/1 |
| 3325 | BATANG | RS Umum Daerah Batang | | 2/1 | 2/1 | 3/1 | 3/1 | 2/1 | 1/1 | 1/1 | 27/1 |
| 3325 | BATANG | RS Umum Daerah Limpung | | 1/1 | 2/1 | 2/1 | 2/1 | 1/1 | 0/1 | 1/1 | 0/0 |
| 3375 | KOTA PEKALONGAN | RS Umum Daerah Kraton Kab. Pekalongan | | 3/1 | 3/1 | 2/1 | 3/1 | 1/1 | 1/1 | 1/1 | 43/1 |
| 3375 | KOTA PEKALONGAN | RS Umum Daerah Bendan Kota Pekalongan | | 2/1 | 3/1 | 4/1 | 4/1 | 2/1 | 1/1 | 1/1 | 35/1 |
| 3326 | PEKALONGAN | RS Umum Daerah Kajen Kab. Pekalongan | | 2/1 | 4/1 | 4/1 | 4/1 | 3/1 | 1/1 | 1/1 | 0/0 |
| 3326 | PEKALONGAN | RS Umum Daerah Kesesi Pekalongan | | 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 | | 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 | | 3/1 | 3/1 | 4/1 | 5/1 | 2/1 | 2/1 | 2/1 | 38/1 |
| 3328 | TEGAL | RS Umum Daerah Suradadi | | 1/1 | 2/1 | 2/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3329 | BREBES | RS Umum Daerah Brebes | | 4/1 | 5/1 | 5/1 | 2/1 | 4/1 | 2/1 | 2/1 | 43/1 |
| 3329 | BREBES | RS Umum Daerah Bumiayu | | 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 | | 2/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3371 | KOTA MAGELANG | RS Umum Daerah Tidar | | 6/1 | 2/1 | 3/1 | 8/1 | 6/1 | 4/1 | 2/1 | 58/1 |
| 3371 | KOTA MAGELANG | RS Umum Daerah Budi Rahayu | | 2/1 | 2/1 | 3/1 | 4/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3372 | KOTA SURAKARTA | RS Umum Daerah Dr. Moewardi Surakarta | | 11/1 | 1/1 | 5/1 | 8/1 | 6/1 | 2/1 | 3/1 | 195/1 |
| 3372 | KOTA SURAKARTA | RS Umum Pusat Surakarta | | 3/1 | 3/1 | 4/1 | 4/1 | 3/1 | 2/1 | 1/1 | 35/1 |
| 3372 | KOTA SURAKARTA | RS Umum Daerah Ibu Fatmawati Soekarno | | 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 | | 2/1 | 2/1 | 2/1 | 3/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| 3373 | KOTA SALATIGA | RS Umum Daerah Kota Salatiga | | 4/1 | 3/1 | 3/1 | 5/1 | 2/1 | 2/1 | 2/1 | 52/1 |
| 3374 | KOTA SEMARANG | RS Umum Pusat Dr. Kariadi | | 12/1 | 2/1 | 6/1 | 22/1 | 19/1 | 9/1 | 9/1 | 266/1 |
| 3374 | KOTA SEMARANG | RS Umum Daerah dr. Adhyatma, MPH | | 5/1 | 2/1 | 4/1 | 8/1 | 5/1 | 4/1 | 1/1 | 0/0 |
| 3374 | KOTA SEMARANG | RS Daerah KRMT Wongsonegoro | | 7/1 | 3/1 | 4/1 | 9/1 | 3/1 | 4/1 | 2/1 | 78/1 |
| 3374 | KOTA SEMARANG | RS Umum Daerah Mijen | | 1/1 | 2/1 | 1/1 | 3/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| 3376 | KOTA TEGAL | RS Umum Daerah Kardinah | | 4/1 | 3/1 | 4/1 | 3/1 | 2/1 | 1/1 | 2/1 | 42/1 |