| CILACAP | RS Umum Daerah Cilacap | | 1 | 1 | 2 | 2 | 0 | 2 | 2 | 1 | 3 | 3 | 0 | 3 | 3 | 0 | 3 | 2 | 0 | 2 | 1 | 1 | 2 |
| CILACAP | RS Umum Daerah Majenang | | 2 | 0 | 2 | 2 | 1 | 3 | 1 | 1 | 2 | 4 | 0 | 4 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
| BANYUMAS | RS umum Daerah Banyumas | | 4 | 0 | 4 | 1 | 2 | 3 | 3 | 1 | 4 | 2 | 4 | 6 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 0 | 1 |
| BANYUMAS | RS Umum Daerah Ajibarang | Kelas C | 2 | 1 | 3 | 2 | 0 | 2 | 3 | 1 | 4 | 2 | 3 | 5 | 2 | 0 | 2 | 1 | 1 | 2 | 2 | 0 | 2 |
| BANYUMAS | RS Khusus Mata Purwokerto | | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| PURBALINGGA | RS Umum Daerah dr. R. Goeteng Taroenadibrata | | 2 | 0 | 2 | 1 | 2 | 3 | 1 | 3 | 4 | 2 | 2 | 4 | 3 | 0 | 3 | 2 | 0 | 2 | 1 | 0 | 1 |
| PURBALINGGA | RS Umum Daerah Panti Nugroho | | 1 | 1 | 2 | 0 | 2 | 2 | 2 | 1 | 3 | 0 | 1 | 1 | 3 | 0 | 3 | 0 | 1 | 1 | 0 | 1 | 1 |
| BANJARNEGARA | RS Umum Daerah Hj. Anna Lasmanah Banjarnegara | | 4 | 0 | 4 | 1 | 1 | 2 | 1 | 2 | 3 | 2 | 2 | 4 | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 0 | 1 |
| KEBUMEN | RS Umum Daerah dr. Soedirman Kabupaten Kebumen | | 2 | 0 | 2 | 2 | 2 | 4 | 2 | 0 | 2 | 4 | 0 | 4 | 2 | 1 | 3 | 1 | 1 | 2 | 2 | 0 | 2 |
| KEBUMEN | RS Umum Daerah Prembun | | 0 | 1 | 1 | 1 | 1 | 2 | 2 | 0 | 2 | 2 | 2 | 4 | 1 | 1 | 2 | 0 | 1 | 1 | 0 | 1 | 1 |
| PURWOREJO | RS Umum Daerah Dr. Tjitrowardojo Purworejo | | 2 | 2 | 4 | 2 | 1 | 3 | 1 | 1 | 2 | 2 | 4 | 6 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 0 | 1 |
| PURWOREJO | RS Umum Daerah R.A.A Tjokronegoro | | 1 | 1 | 2 | 1 | 1 | 2 | 2 | 0 | 2 | 0 | 2 | 2 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| WONOSOBO | RS Umum Setjonegoro Wonosobo | | 1 | 2 | 3 | 3 | 0 | 3 | 1 | 2 | 3 | 4 | 0 | 4 | 1 | 2 | 3 | 1 | 0 | 1 | 1 | 0 | 1 |
| MAGELANG | RS Umum Daerah Muntilan Kab. Magelang | | 2 | 0 | 2 | 2 | 0 | 2 | 0 | 3 | 3 | 4 | 0 | 4 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| MAGELANG | RS Umum Daerah Merah Putih | | 1 | 1 | 2 | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 2 | 4 | 1 | 1 | 2 | 0 | 1 | 1 | 1 | 0 | 1 |
| MAGELANG | RS Umum Daerah Bukit Menoreh | | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 |
| MAGELANG | RS Umum Daerah Candi Umbul | | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BOYOLALI | RS Umum Daerah Pandan Arang Boyolali | | 3 | 0 | 3 | 1 | 2 | 3 | 1 | 3 | 4 | 3 | 0 | 3 | 3 | 0 | 3 | 1 | 1 | 2 | 0 | 1 | 1 |
| BOYOLALI | RS Umum Daerah Waras Wiris | | 1 | 1 | 2 | 1 | 1 | 2 | 1 | 2 | 3 | 1 | 2 | 3 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 |
| BOYOLALI | RS Umum Daerah Simo | | 1 | 1 | 2 | 2 | 0 | 2 | 0 | 2 | 2 | 2 | 1 | 3 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
| KLATEN | RS Umum Daerah Bagas Waras | | 1 | 1 | 2 | 2 | 0 | 2 | 3 | 0 | 3 | 3 | 0 | 3 | 2 | 0 | 2 | 1 | 0 | 1 | 0 | 1 | 1 |
| SUKOHARJO | RS Umum Daerah Ir. Soekarno Kabupaten Sukoharjo | | 4 | 0 | 4 | 2 | 1 | 3 | 2 | 1 | 3 | 3 | 1 | 4 | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 1 | 3 |
| WONOGIRI | RS Umum Daerah Dr. Soediran Mangun Sumarso Wonogi | | 3 | 0 | 3 | 1 | 0 | 1 | 3 | 0 | 3 | 3 | 0 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 1 | 2 |
| KARANGANYAR | RS Umum Daerah Kartini Karanganyar | | 2 | 0 | 2 | 2 | 1 | 3 | 2 | 1 | 3 | 3 | 0 | 3 | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 0 | 1 |
| SRAGEN | RS Umum Daerah dr. Soehadi Prijonegoro | | 1 | 1 | 2 | 2 | 0 | 2 | 3 | 0 | 3 | 4 | 0 | 4 | 5 | 0 | 5 | 2 | 0 | 2 | 2 | 0 | 2 |
| SRAGEN | RS Umum Daerah dr. Soeratno Gemolong | | 1 | 0 | 1 | 2 | 0 | 2 | 1 | 1 | 2 | 3 | 1 | 4 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 |
| SRAGEN | RS Umum Daerah Sukowati Tangen | | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 1 | 1 | 1 | 0 | 1 |
| GROBOGAN | RS Umum Daerah Dr. R.Soedjati Soemodiardjo | | 3 | 0 | 3 | 1 | 2 | 3 | 2 | 2 | 4 | 3 | 1 | 4 | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 0 | 1 |
| GROBOGAN | RS Umum Daerah Ki Ageng Selo | | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 3 | 3 | 1 | 1 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| GROBOGAN | RS Umum Daerah Ki Ageng Getas Pendowo Gubug | | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 |
| BLORA | RS Umum Daerah Dr. R. Soetijono Blora | | 2 | 0 | 2 | 2 | 0 | 2 | 3 | 1 | 4 | 3 | 0 | 3 | 1 | 1 | 2 | 1 | 1 | 2 | 1 | 1 | 2 |
| BLORA | RS Umum Daerah Dr. R. Soeprapto Cepu | | 2 | 0 | 2 | 0 | 2 | 2 | 1 | 1 | 2 | 1 | 3 | 4 | 1 | 1 | 2 | 0 | 1 | 1 | 0 | 1 | 1 |
| BLORA | RS Umum Daerah Samin Surosentiko Randublatung | | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| REMBANG | RS Umum Daerah dr. R. Soetrasno Rembang | | 3 | 0 | 3 | 2 | 1 | 3 | 4 | 0 | 4 | 2 | 1 | 3 | 3 | 1 | 4 | 1 | 0 | 1 | 1 | 1 | 2 |
| PATI | RS Umum Daerah RAA Soewondo | | 3 | 0 | 3 | 2 | 1 | 3 | 1 | 2 | 3 | 4 | 0 | 4 | 2 | 2 | 4 | 2 | 0 | 2 | 1 | 1 | 2 |
| PATI | RS Umum Daerah Kayen Pati | | 2 | 0 | 2 | 2 | 0 | 2 | 1 | 1 | 2 | 2 | 1 | 3 | 3 | 0 | 3 | 1 | 0 | 1 | 1 | 0 | 1 |
| KUDUS | RS Umum Daerah dr. Loekmono Hadi | | 3 | 0 | 3 | 2 | 1 | 3 | 2 | 1 | 3 | 3 | 1 | 4 | 4 | 0 | 4 | 1 | 2 | 3 | 1 | 1 | 2 |
| JEPARA | RS Umum Daerah R. A. Kartini | | 4 | 0 | 4 | 3 | 0 | 3 | 2 | 1 | 3 | 3 | 0 | 3 | 2 | 2 | 4 | 3 | 0 | 3 | 1 | 1 | 2 |
| DEMAK | RS Umum Daerah Sunan Kalijaga | | 3 | 1 | 4 | 1 | 1 | 2 | 1 | 3 | 4 | 1 | 3 | 4 | 0 | 3 | 3 | 1 | 1 | 2 | 1 | 0 | 1 |
| DEMAK | RS Umum Daerah Sultan Fatah Karangawen Demak | | 1 | 1 | 2 | 1 | 2 | 3 | 1 | 2 | 3 | 1 | 2 | 3 | 0 | 2 | 2 | 1 | 1 | 2 | 1 | 0 | 1 |
| SEMARANG | RS Umum Daerah dr. Gunawan Mangunkusumo | Kelas C | 2 | 1 | 3 | 2 | 0 | 2 | 2 | 1 | 3 | 2 | 4 | 6 | 1 | 1 | 2 | 0 | 1 | 1 | 1 | 0 | 1 |
| SEMARANG | RS Umum Daerah dr. Gondo Suwarno | Kelas C | 1 | 0 | 1 | 1 | 2 | 3 | 2 | 0 | 2 | 3 | 0 | 3 | 1 | 1 | 2 | 1 | 0 | 1 | 2 | 0 | 2 |
| TEMANGGUNG | RS Umum Daerah Kabupaten Temanggung | | 3 | 1 | 4 | 3 | 2 | 5 | 1 | 3 | 4 | 1 | 2 | 3 | 1 | 2 | 3 | 1 | 0 | 1 | 1 | 1 | 2 |
| KENDAL | RS Umum Daerah Dr. H. Soewondo Kendal | | 1 | 3 | 4 | 2 | 1 | 3 | 2 | 1 | 3 | 4 | 0 | 4 | 3 | 0 | 3 | 2 | 1 | 3 | 1 | 0 | 1 |
| BATANG | RS Umum Daerah Batang | | 2 | 0 | 2 | 2 | 0 | 2 | 0 | 3 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| BATANG | RS Umum Daerah Limpung | | 1 | 1 | 2 | 1 | 0 | 1 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| PEKALONGAN | RS Umum Daerah Kraton Kab. Pekalongan | | 1 | 1 | 2 | 1 | 2 | 3 | 1 | 2 | 3 | 3 | 0 | 3 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
| PEKALONGAN | RS Umum Daerah Kajen Kab. Pekalongan | | 3 | 0 | 3 | 1 | 1 | 2 | 3 | 1 | 4 | 1 | 1 | 2 | 2 | 1 | 3 | 1 | 0 | 1 | 1 | 0 | 1 |
| PEKALONGAN | RS Umum Daerah Kesesi Pekalongan | | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| KOTA PEKALONGAN | RS Umum Daerah Bendan Kota Pekalongan | | 1 | 1 | 2 | 1 | 3 | 4 | 0 | 3 | 3 | 4 | 0 | 4 | 1 | 1 | 2 | 1 | 0 | 1 | 2 | 0 | 2 |
| PEMALANG | RS Umum Daerah Dr. M. Ashari Pemalang | | 3 | 0 | 3 | 1 | 1 | 2 | 3 | 1 | 4 | 5 | 0 | 5 | 2 | 3 | 5 | 2 | 0 | 2 | 1 | 0 | 1 |
| TEGAL | RS Umum Daerah dr. Soeselo Slawi Kabupaten Tegal | | 3 | 0 | 3 | 2 | 1 | 3 | 3 | 0 | 3 | 4 | 1 | 5 | 1 | 3 | 4 | 1 | 0 | 1 | 2 | 0 | 2 |
| TEGAL | RS Umum Daerah Suradadi | | 0 | 0 | 0 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 2 | 3 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| BREBES | RS Umum Daerah Brebes | | 4 | 0 | 4 | 1 | 2 | 3 | 4 | 0 | 4 | 3 | 1 | 4 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 1 | 2 |
| BREBES | RS Umum Daerah Bumiayu | Kelas C | 1 | 0 | 1 | 2 | 0 | 2 | 1 | 0 | 1 | 2 | 1 | 3 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 |
| BREBES | RS Umum Daerah Ir. Soekarno Kab. Brebes | | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| KOTA MAGELANG | RS Umum Daerah Tidar | | 4 | 0 | 4 | 2 | 2 | 4 | 1 | 2 | 3 | 3 | 6 | 9 | 2 | 2 | 4 | 2 | 2 | 4 | 1 | 0 | 1 |
| KOTA MAGELANG | RS Umum Daerah Budi Rahayu | | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 |
| KOTA SURAKARTA | RS Umum Daerah Ibu Fatmawati Soekarno | | 3 | 0 | 3 | 1 | 1 | 2 | 2 | 0 | 2 | 3 | 0 | 3 | 2 | 1 | 3 | 1 | 0 | 1 | 1 | 1 | 2 |
| KOTA SURAKARTA | RS Umum Daerah Bung Karno Kota Surakarta | | 2 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 2 | 3 | 0 | 3 | 2 | 0 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| KOTA SALATIGA | RS Umum Daerah Kota Salatiga | | 4 | 0 | 4 | 2 | 2 | 4 | 3 | 1 | 4 | 2 | 2 | 4 | 2 | 0 | 2 | 3 | 1 | 4 | 2 | 0 | 2 |
| KOTA SEMARANG | RS Daerah KRMT Wongsonegoro | | 5 | 3 | 8 | 3 | 0 | 3 | 4 | 1 | 5 | 5 | 3 | 8 | 0 | 6 | 6 | 2 | 2 | 4 | 1 | 0 | 1 |
| KOTA SEMARANG | RS Umum Daerah Mijen | | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 |
| KOTA TEGAL | RS Umum Daerah Kardinah | | 4 | 0 | 4 | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 1 | 2 | 2 | 0 | 2 |