| CILACAP | RS Umum Daerah Cilacap | Kelas B | 1 | 1 | 2 | 1 | 0 | 1 | 2 | 1 | 3 | 3 | 0 | 3 | 3 | 0 | 3 | 1 | 0 | 1 | 1 | 1 | 2 |
| CILACAP | RS Umum Daerah Majenang | Kelas C | 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 | Kelas B | 2 | 0 | 2 | 1 | 2 | 3 | 2 | 2 | 4 | 2 | 3 | 5 | 2 | 2 | 4 | 1 | 0 | 1 | 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 | Kelas C | 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 | Kelas C | 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 | Kelas C | 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 | Kelas C | 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 | Kelas C | 2 | 0 | 2 | 1 | 2 | 3 | 2 | 0 | 2 | 4 | 0 | 4 | 2 | 1 | 3 | 1 | 1 | 2 | 2 | 0 | 2 |
| KEBUMEN | RS Umum Daerah Prembun | Kelas C | 0 | 0 | 0 | 1 | 1 | 2 | 2 | 0 | 2 | 2 | 2 | 4 | 2 | 1 | 3 | 0 | 1 | 1 | 0 | 1 | 1 |
| PURWOREJO | RS Umum Daerah Dr. Tjitrowardojo Purworejo | Kelas B | 2 | 2 | 4 | 2 | 1 | 3 | 1 | 1 | 2 | 1 | 4 | 5 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 1 | 2 |
| PURWOREJO | RS Umum Daerah R.A.A Tjokronegoro | Kelas C | 1 | 1 | 2 | 0 | 1 | 1 | 2 | 0 | 2 | 0 | 2 | 2 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| WONOSOBO | RS Umum Setjonegoro Wonosobo | Kelas B | 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 | Kelas C | 2 | 0 | 2 | 2 | 0 | 2 | 0 | 2 | 2 | 4 | 0 | 4 | 2 | 0 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| MAGELANG | RS Umum Daerah Merah Putih | Kelas C | 2 | 0 | 2 | 2 | 1 | 3 | 2 | 1 | 3 | 3 | 3 | 6 | 2 | 0 | 2 | 1 | 0 | 1 | 1 | 0 | 1 |
| MAGELANG | RS Umum Daerah Bukit Menoreh | Kelas D | 2 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 |
| MAGELANG | RS Umum Daerah Candi Umbul | Kelas D | 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 | Kelas B | 2 | 0 | 2 | 1 | 2 | 3 | 1 | 2 | 3 | 3 | 0 | 3 | 3 | 0 | 3 | 1 | 1 | 2 | 0 | 2 | 2 |
| BOYOLALI | RS Umum Daerah Waras Wiris | Kelas C | 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 | Kelas D | 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 | Kelas C | 0 | 1 | 1 | 2 | 0 | 2 | 3 | 0 | 3 | 3 | 0 | 3 | 2 | 0 | 2 | 1 | 0 | 1 | 0 | 0 | 0 |
| SUKOHARJO | RS Umum Daerah Ir. Soekarno Kabupaten Sukoharjo | Kelas B | 2 | 0 | 2 | 2 | 1 | 3 | 1 | 0 | 1 | 3 | 1 | 4 | 2 | 0 | 2 | 2 | 1 | 3 | 2 | 1 | 3 |
| WONOGIRI | RS Umum Daerah Dr. Soediran Mangun Sumarso Wonogi | Kelas B | 3 | 0 | 3 | 1 | 0 | 1 | 3 | 0 | 3 | 3 | 0 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 0 | 1 | 1 |
| KARANGANYAR | RS Umum Daerah Kartini Karanganyar | Kelas C | 2 | 0 | 2 | 2 | 1 | 3 | 2 | 1 | 3 | 3 | 0 | 3 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 0 | 1 |
| SRAGEN | RS Umum Daerah dr. Soehadi Prijonegoro | Kelas B | 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 | Kelas C | 1 | 0 | 1 | 2 | 0 | 2 | 1 | 1 | 2 | 2 | 1 | 3 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 |
| SRAGEN | RS Umum Daerah Sukowati Tangen | Kelas D | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 1 | 1 | 1 | 0 | 1 |
| GROBOGAN | RS Umum Daerah Dr. R.Soedjati Soemodiardjo | Kelas B | 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 | Kelas D | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 2 | 2 | 1 | 1 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| GROBOGAN | RS Umum Daerah Ki Ageng Getas Pendowo Gubug | Kelas D | 0 | 1 | 1 | 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 | Kelas C | 2 | 0 | 2 | 2 | 0 | 2 | 2 | 1 | 3 | 3 | 0 | 3 | 3 | 1 | 4 | 1 | 1 | 2 | 1 | 1 | 2 |
| BLORA | RS Umum Daerah Dr. R. Soeprapto Cepu | Kelas C | 2 | 0 | 2 | 0 | 2 | 2 | 1 | 1 | 2 | 1 | 3 | 4 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 |
| BLORA | RS Umum Daerah Samin Surosentiko Randublatung | Kelas D | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| REMBANG | RS Umum Daerah dr. R. Soetrasno Rembang | Kelas C | 2 | 0 | 2 | 2 | 1 | 3 | 4 | 0 | 4 | 1 | 1 | 2 | 3 | 1 | 4 | 1 | 0 | 1 | 0 | 1 | 1 |
| PATI | RS Umum Daerah RAA Soewondo | Kelas B | 3 | 0 | 3 | 2 | 1 | 3 | 1 | 2 | 3 | 4 | 0 | 4 | 2 | 1 | 3 | 2 | 0 | 2 | 1 | 1 | 2 |
| PATI | RS Umum Daerah Kayen Pati | Kelas C | 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 | Kelas B | 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 | Kelas B | 3 | 0 | 3 | 3 | 0 | 3 | 2 | 1 | 3 | 3 | 0 | 3 | 2 | 2 | 4 | 3 | 0 | 3 | 1 | 1 | 2 |
| DEMAK | RS Umum Daerah Sunan Kalijaga | Kelas C | 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 | Kelas C | 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 | 3 | 5 | 1 | 1 | 2 | 0 | 1 | 1 | 1 | 0 | 1 |
| SEMARANG | RS Umum Daerah dr. Gondo Suwarno | Kelas C | 1 | 1 | 2 | 1 | 2 | 3 | 1 | 0 | 1 | 3 | 0 | 3 | 1 | 1 | 2 | 1 | 0 | 1 | 2 | 0 | 2 |
| TEMANGGUNG | RS Umum Daerah Kabupaten Temanggung | Kelas B | 3 | 1 | 4 | 3 | 2 | 5 | 1 | 3 | 4 | 1 | 2 | 3 | 1 | 2 | 3 | 0 | 0 | 0 | 1 | 1 | 2 |
| KENDAL | RS Umum Daerah Dr. H. Soewondo Kendal | Kelas B | 1 | 3 | 4 | 2 | 1 | 3 | 2 | 1 | 3 | 4 | 0 | 4 | 3 | 0 | 3 | 0 | 1 | 1 | 1 | 0 | 1 |
| BATANG | RS Umum Daerah Batang | Kelas C | 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 | Kelas C | 1 | 0 | 1 | 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 | Kelas B | 1 | 1 | 2 | 1 | 2 | 3 | 1 | 1 | 2 | 3 | 0 | 3 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
| PEKALONGAN | RS Umum Daerah Kajen Kab. Pekalongan | Kelas C | 2 | 0 | 2 | 0 | 1 | 1 | 3 | 1 | 4 | 1 | 1 | 2 | 2 | 1 | 3 | 1 | 0 | 1 | 0 | 0 | 0 |
| PEKALONGAN | RS Umum Daerah Kesesi Pekalongan | Kelas D | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 |
| KOTA PEKALONGAN | RS Umum Daerah Bendan Kota Pekalongan | Kelas C | 1 | 1 | 2 | 1 | 3 | 4 | 0 | 3 | 3 | 4 | 0 | 4 | 1 | 1 | 2 | 1 | 0 | 1 | 0 | 0 | 0 |
| PEMALANG | RS Umum Daerah Dr. M. Ashari Pemalang | Kelas C | 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 | Kelas B | 3 | 0 | 3 | 2 | 1 | 3 | 4 | 0 | 4 | 4 | 1 | 5 | 1 | 2 | 3 | 1 | 0 | 1 | 2 | 0 | 2 |
| TEGAL | RS Umum Daerah Suradadi | Kelas C | 1 | 0 | 1 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 2 | 3 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 1 |
| BREBES | RS Umum Daerah Brebes | Kelas B | 4 | 0 | 4 | 1 | 2 | 3 | 3 | 0 | 3 | 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 | Kelas D | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
| KOTA MAGELANG | RS Umum Daerah Tidar | Kelas B | 4 | 0 | 4 | 1 | 2 | 3 | 1 | 2 | 3 | 3 | 6 | 9 | 2 | 1 | 3 | 2 | 2 | 4 | 1 | 0 | 1 |
| KOTA MAGELANG | RS Umum Daerah Budi Rahayu | Kelas D | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 3 | 3 | 0 | 2 | 2 | 0 | 2 | 2 | 0 | 1 | 1 | 0 | 1 | 1 |
| KOTA SURAKARTA | RS Umum Daerah Ibu Fatmawati Soekarno | Kelas C | 3 | 0 | 3 | 1 | 1 | 2 | 2 | 0 | 2 | 2 | 0 | 2 | 2 | 1 | 3 | 1 | 0 | 1 | 1 | 1 | 2 |
| KOTA SURAKARTA | RS Umum Daerah Bung Karno Kota Surakarta | Kelas C | 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 | Kelas B | 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 | Kelas B | 6 | 3 | 9 | 3 | 0 | 3 | 4 | 1 | 5 | 6 | 3 | 9 | 0 | 5 | 5 | 1 | 1 | 2 | 1 | 1 | 2 |
| KOTA SEMARANG | RS Umum Daerah Mijen | Kelas D | 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 | Kelas B | 4 | 0 | 4 | 2 | 1 | 3 | 2 | 1 | 3 | 3 | 0 | 3 | 2 | 0 | 2 | 1 | 1 | 2 | 2 | 0 | 2 |