| BOGOR | RS Umum Daerah Cibinong | Kelas B | 3 | 3 | 6 | 2 | 2 | 4 | 4 | 3 | 7 | 3 | 0 | 3 | 1 | 3 | 4 | 2 | 1 | 3 | 3 | 0 | 3 |
| BOGOR | RS Umum Daerah Ciawi | Kelas B | 5 | 1 | 6 | 3 | 1 | 4 | 1 | 5 | 6 | 4 | 3 | 7 | 2 | 5 | 7 | 2 | 0 | 2 | 2 | 0 | 2 |
| BOGOR | RS Umum Daerah Leuwiliang | Kelas B | 1 | 2 | 3 | 0 | 4 | 4 | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 3 | 0 | 3 | 1 | 2 | 3 |
| BOGOR | RS Umum Daerah Cileungsi | Kelas B | 2 | 2 | 4 | 0 | 2 | 2 | 1 | 3 | 4 | 0 | 3 | 3 | 4 | 1 | 5 | 0 | 2 | 2 | 1 | 0 | 1 |
| SUKABUMI | RS Umum Daerah Sekarwangi | Kelas B | 3 | 0 | 3 | 3 | 2 | 5 | 3 | 1 | 4 | 4 | 0 | 4 | 1 | 3 | 4 | 1 | 1 | 2 | 1 | 0 | 1 |
| SUKABUMI | RS Umum Daerah Palabuhanratu | Kelas C | 3 | 0 | 3 | 1 | 1 | 2 | 0 | 1 | 1 | 3 | 0 | 3 | 1 | 1 | 2 | 2 | 0 | 2 | 1 | 0 | 1 |
| SUKABUMI | RS Umum Daerah Sagaranten | Kelas D | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 |
| CIANJUR | RS Umum Daerah Sayang | Kelas B | 2 | 3 | 5 | 2 | 0 | 2 | 4 | 3 | 7 | 2 | 2 | 4 | 2 | 1 | 3 | 1 | 1 | 2 | 1 | 0 | 1 |
| CIANJUR | RS Umum Daerah Cimacan | Kelas C | 1 | 1 | 2 | 1 | 1 | 2 | 1 | 0 | 1 | 2 | 1 | 3 | 0 | 1 | 1 | 0 | 2 | 2 | 1 | 0 | 1 |
| CIANJUR | RS Umum Daerah Pagelaran | Kelas C | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 3 | 3 | 0 | 1 | 1 | 0 | 1 | 1 |
| CIANJUR | RS Umum Daerah Sindangbarang | Kelas D | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BANDUNG | RS Umum Daerah Majalaya | Kelas B | 2 | 1 | 3 | 1 | 3 | 4 | 3 | 0 | 3 | 3 | 1 | 4 | 1 | 1 | 2 | 2 | 0 | 2 | 1 | 0 | 1 |
| BANDUNG | RS Umum Daerah Oto Iskandar Di Nata | Kelas B | 2 | 1 | 3 | 2 | 0 | 2 | 4 | 0 | 4 | 2 | 4 | 6 | 1 | 1 | 2 | 1 | 1 | 2 | 3 | 0 | 3 |
| BANDUNG | RS Umum Daerah Cicalengka | Kelas C | 2 | 0 | 2 | 1 | 1 | 2 | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 0 | 2 | 2 | 1 | 0 | 1 |
| BANDUNG | RS Umum Daerah Bedas Cimaung | Kelas D | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 1 |
| BANDUNG | RS Umum Daerah Bedas Tegalluar | Kelas D | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| BANDUNG | RS Umum Daerah Bedas Arjasari | Kelas D | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| BANDUNG | RSUD BEDAS KERTASARI | Kelas D | 0 | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| GARUT | RS Umum Daerah dr. Slamet Garut | Kelas B | 2 | 2 | 4 | 3 | 1 | 4 | 4 | 1 | 5 | 4 | 0 | 4 | 2 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 2 |
| GARUT | RSUD MALANGBONG | Kelas D | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| KOTA TASIKMALAYA | RS Umum Daerah dr. Soekardjo | Kelas B | 5 | 1 | 6 | 1 | 1 | 2 | 2 | 1 | 3 | 3 | 0 | 3 | 3 | 1 | 4 | 1 | 1 | 2 | 2 | 0 | 2 |
| KOTA TASIKMALAYA | UPTD Khusus RSUD Dewi Sartika | Kelas D | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| TASIKMALAYA | RS Umum Daerah Singaparna Medika Citrautama | Kelas C | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 2 | 3 | 2 | 0 | 2 | 1 | 0 | 1 |
| CIAMIS | RS Umum Daerah Kab. Ciamis | Kelas C | 1 | 1 | 2 | 2 | 0 | 2 | 3 | 0 | 3 | 3 | 0 | 3 | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 0 | 1 |
| CIAMIS | RS Umum Daerah Kawali | Kelas D | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 1 |
| KOTA BANJAR | RS Umum Daerah Banjar | Kelas B | 2 | 1 | 3 | 2 | 1 | 3 | 3 | 1 | 4 | 2 | 1 | 3 | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 0 | 1 |
| KOTA BANJAR | RS Umum Daerah Asih Husada Langensari | Kelas D | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 |
| KUNINGAN | RS Umum Daerah 45 Kuningan | Kelas B | 3 | 0 | 3 | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 0 | 1 |
| KUNINGAN | RS Umum Daerah Linggajati Kuningan | Kelas C | 2 | 0 | 2 | 0 | 0 | 0 | 2 | 1 | 3 | 0 | 3 | 3 | 1 | 0 | 1 | 2 | 0 | 2 | 1 | 0 | 1 |
| CIREBON | RS Umum Daerah Waled | Kelas B | 3 | 2 | 5 | 3 | 0 | 3 | 3 | 1 | 4 | 0 | 3 | 3 | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 0 | 1 |
| CIREBON | RS Umum Daerah Arjawinangun | Kelas B | 2 | 2 | 4 | 3 | 1 | 4 | 3 | 2 | 5 | 1 | 1 | 2 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 0 | 1 |
| MAJALENGKA | RS Umum Daerah Majalengka | Kelas B | 3 | 0 | 3 | 2 | 0 | 2 | 2 | 0 | 2 | 3 | 0 | 3 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
| MAJALENGKA | RS Umum Daerah Cideres | Kelas B | 2 | 1 | 3 | 3 | 0 | 3 | 1 | 2 | 3 | 3 | 0 | 3 | 1 | 0 | 1 | 0 | 2 | 2 | 1 | 0 | 1 |
| MAJALENGKA | RSUD Talaga | Kelas D | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 |
| SUMEDANG | RS Umum Daerah Sumedang | Kelas B | 5 | 0 | 5 | 2 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 2 | 3 | 1 | 0 | 1 | 1 | 2 | 3 |
| INDRAMAYU | RS Umum Daerah Kab. Indramayu | Kelas B | 2 | 2 | 4 | 3 | 0 | 3 | 2 | 2 | 4 | 1 | 2 | 3 | 2 | 0 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| INDRAMAYU | RS Umum Daerah M. A. Sentot Patrol | Kelas C | 1 | 1 | 2 | 2 | 0 | 2 | 1 | 1 | 2 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
| INDRAMAYU | RS Umum Daerah Mursid Ibnu Syafiuddin | Kelas D | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 1 | 2 | 0 | 1 | 1 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| SUBANG | RS Umum Daerah Subang | Kelas B | 1 | 3 | 4 | 2 | 2 | 4 | 1 | 2 | 3 | 3 | 4 | 7 | 1 | 2 | 3 | 0 | 1 | 1 | 1 | 1 | 2 |
| PURWAKARTA | RS Umum Daerah Bayu Asih | Kelas B | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 1 | 3 | 4 | 0 | 4 | 3 | 0 | 3 | 1 | 2 | 3 | 2 | 0 | 2 |
| KARAWANG | RS Umum Daerah Karawang | Kelas B | 4 | 1 | 5 | 2 | 1 | 3 | 2 | 0 | 2 | 4 | 2 | 6 | 3 | 0 | 3 | 2 | 1 | 3 | 1 | 0 | 1 |
| KARAWANG | RS Umum Daerah Jatisari Kabupaten Karawang | Kelas C | 2 | 0 | 2 | 1 | 0 | 1 | 1 | 1 | 2 | 1 | 2 | 3 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
| KARAWANG | RS Umum Daerah Rengasdengklok | Kelas C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BEKASI | RS Umum Daerah Kab.Bekasi | Kelas B | 5 | 0 | 5 | 3 | 1 | 4 | 4 | 1 | 5 | 4 | 2 | 6 | 4 | 1 | 5 | 3 | 0 | 3 | 2 | 0 | 2 |
| BEKASI | RS Umum Daerah Cabangbungin | Kelas D | 0 | 2 | 2 | 1 | 1 | 2 | 0 | 2 | 2 | 2 | 1 | 3 | 0 | 2 | 2 | 0 | 1 | 1 | 1 | 0 | 1 |
| BANDUNG BARAT | RS Umum Daerah Cililin | Kelas C | 1 | 2 | 3 | 0 | 1 | 1 | 1 | 3 | 4 | 4 | 1 | 5 | 0 | 2 | 2 | 0 | 1 | 1 | 1 | 0 | 1 |
| BANDUNG BARAT | RS Umum Daerah Lembang | Kelas C | 2 | 0 | 2 | 1 | 1 | 2 | 2 | 0 | 2 | 2 | 1 | 3 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| BANDUNG BARAT | RS Umum Daerah Cikalongwetan | Kelas C | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 0 | 1 | 1 | 2 | 3 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
| PANGANDARAN | RS Umum Daerah Pandega Pangandaran | Kelas C | 2 | 2 | 4 | 0 | 2 | 2 | 2 | 1 | 3 | 0 | 2 | 2 | 1 | 2 | 3 | 0 | 1 | 1 | 0 | 0 | 0 |
| KOTA BOGOR | RS Umum Daerah Kota Bogor | Kelas B | 3 | 2 | 5 | 0 | 4 | 4 | 3 | 3 | 6 | 2 | 4 | 6 | 2 | 3 | 5 | 3 | 1 | 4 | 2 | 1 | 3 |
| KOTA SUKABUMI | RS Umum Daerah R. Syamsudin, SH | Kelas B | 2 | 2 | 4 | 0 | 2 | 2 | 3 | 3 | 6 | 3 | 2 | 5 | 3 | 3 | 6 | 1 | 1 | 2 | 1 | 0 | 1 |
| KOTA SUKABUMI | RS Umum Daerah Al-Mulk | Kelas D | 1 | 0 | 1 | 1 | 1 | 2 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | 1 |
| KOTA BANDUNG | RS Umum Daerah Bandung Kiwari | Kelas B | 2 | 4 | 6 | 2 | 2 | 4 | 7 | 0 | 7 | 3 | 4 | 7 | 3 | 1 | 4 | 2 | 2 | 4 | 3 | 0 | 3 |
| KOTA BANDUNG | RS Umum Daerah Kota Bandung | Kelas B | 4 | 0 | 4 | 3 | 0 | 3 | 5 | 0 | 5 | 2 | 2 | 4 | 3 | 0 | 3 | 2 | 0 | 2 | 2 | 0 | 2 |
| KOTA BANDUNG | RS Khusus Gigi dan Mulut Kota Bandung | Kelas B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 3 | 0 | 0 | 0 | 1 | 0 | 1 |
| KOTA CIREBON | RS Umum Daerah Gunung Jati | Kelas B | 5 | 1 | 6 | 2 | 5 | 7 | 3 | 2 | 5 | 5 | 2 | 7 | 1 | 4 | 5 | 1 | 4 | 5 | 3 | 0 | 3 |
| KOTA BEKASI | RS Umum Daerah dr. Chasbullah Abdulmadjid | Kelas B | 5 | 2 | 7 | 2 | 3 | 5 | 3 | 2 | 5 | 4 | 2 | 6 | 1 | 5 | 6 | 3 | 2 | 5 | 1 | 2 | 3 |
| KOTA BEKASI | RS Umum Daerah Jatisampurna | Kelas D | 1 | 2 | 3 | 0 | 2 | 2 | 2 | 2 | 4 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 0 | 0 | 0 | 1 | 1 |
| KOTA BEKASI | RS Umum Daerah Pondokgede | Kelas D | 1 | 1 | 2 | 0 | 1 | 1 | 1 | 1 | 2 | 0 | 2 | 2 | 1 | 1 | 2 | 0 | 2 | 2 | 1 | 0 | 1 |
| KOTA BEKASI | RS Umum Daerah Bantar Gebang | Kelas D | 1 | 1 | 2 | 1 | 1 | 2 | 0 | 1 | 1 | 0 | 2 | 2 | 1 | 1 | 2 | 0 | 0 | 0 | 1 | 0 | 1 |
| KOTA BEKASI | RSUD TELUK PUCUNG | Kelas D | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| KOTA DEPOK | RS Umum Daerah Khidmat Sehat Afiat Kota Depok | Kelas C | 2 | 1 | 3 | 0 | 3 | 3 | 2 | 1 | 3 | 4 | 2 | 6 | 2 | 1 | 3 | 1 | 2 | 3 | 2 | 1 | 3 |
| KOTA DEPOK | RS Umum Daerah Anugerah Sehat Afiat | Kelas C | 1 | 2 | 3 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 2 | 2 | 1 | 2 | 3 | 1 | 0 | 1 | 1 | 0 | 1 |
| KOTA CIMAHI | RS Umum Daerah Cibabat | Kelas B | 4 | 0 | 4 | 2 | 0 | 2 | 4 | 0 | 4 | 5 | 2 | 7 | 2 | 1 | 3 | 2 | 1 | 3 | 3 | 1 | 4 |