National Health Insurance (JKN) has encouraged utilization of Inpatient Department (IPD). The highest improvement by poor who funded by JKN-PBI scheme. Unbalancing supply and demand are potentially making queuesand effect to prolonged waiting times. The study aims to define bed management in the 3rd class IPD of RSUD. Dr. M. Soewandhie Surabaya. Type of study was observasional-descriptive with cross sectional design. Study was conducted in The 3rd Class IPD of RSUD. Dr. M Soewandhi beginning on June to August 2018. Sample was patients who have been decided to discharged from IPD. Sampling technique by simple random sampling. The sample size were 104 patients. Data collection by observing process of patients discharge to preparation of inpatient rooms (cleaning and put on the linen). Analysis dat in narrative and supported by graphs and tables. The results: the peak time of patient discharge and patient admission has gap about 4 hour time. Room booking is centralized at Administration, but updating data is constrained due to gathering information by telephone to nurses in IPD. Cycle time to provide a bed for 165 minutes (Takt Time = 52 minutes). The longest process is waiting for patient discharge and cleaning services. Provision of inpatient rooms still long, so the hospital management needs to improve patient flow, administration and information when patient discharge untill room cleaning.