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RSPREMIERBINTARO

Page1
05Jun2014
08:40:15

LaporanPendapatanDokter(StatementofAccount)
Periode:
01/05/2014..31/05/2014
Nama:
IsmailHariWahyu,dr
Doctorname: IsmailHariWahyu,dr
Manualinput?: No
Nontaxableitem: No
Episodetype: Emergency
Date
Ep.#
MR#
PatientName

OrderItemDescription

OrderItemAmount

TaxableShare
Amount

NonTaxable Payor
ShareAmount

350.000,00
600.000,00
350.000,00

175.000,00
300.000,00
175.000,00

SELF
SELF
SELF

OrderItemAmount

TaxableShare
Amount

NonTaxable Payor
ShareAmount

04May2014
E261613 00388740
04May2014
E261613 00388740
04May2014
E261613 00388740
Episodetype: InPatient
Date
Ep.#
MR#

FahyatAriqPutraHadi
FahyatAriqPutraHadi
FahyatAriqPutraHadi

JasaDokterTindakanPemasanganNGT
JasatindakanIntubasiDokterUmum@
PemasanganKateterDoctor@

PatientName

OrderItemDescription

05May2014
I146648
05May2014
I146960
06May2014
I146958
07May2014
I144584
07May2014
I146874
11May2014
I147292
11May2014
I147292
11May2014
I147292
12May2014
I147266
13May2014
I146987
18May2014
I147015
19May2014
I146118
19May2014
I147291
20May2014
I147031
28May2014
I146118

DikkiTeguhSaputra
KeenandRaynAydin
NaufalAthallahKarim
HettyHerawati
Mariyah.
Yunasmi.
Yunasmi.
Yunasmi.
ByNySakinaPutri
Nurlena.
FaridaOetoyo
MoetomoIr
NurdinH
AsrulSalim
MoetomoIr

PhysicalassessmentDokterUmum@
PhysicalassessmentDokterUmum@
PhysicalassessmentDokterUmum@
PemasanganKateterDoctor@
PemasanganNGTDoctor@
PhysicalassessmentDokterUmum@
PemasanganNGTDoctor@
PemasanganKateterDoctor@
PhysicalassessmentDokterUmum@
PhysicalassessmentDokterUmum@
JasatindakanIntubasiDokterUmum@
PemasanganKateterDoctor@
PhysicalassessmentDokterUmum@
PhysicalassessmentDokterUmum@
PemasanganKateterDoctor@

00388164
00388118
00388315
00081396
00311205
00335272
00335272
00335272
00389214
00162725
00212156
00307084
00047902
00268465
00307084

Summary
TotalPendapatanRawatJalan..............:
TotalPendapatanRawatInap ...............:
TotalPendapatanUGD..........................:
TotalPendapatanKotorSebelumPajak:
TotalPendapatanKotorTidakKenaPajak
:
Pajak ......................................................:
TotalPendapatanBersihSetelahPajak :

0,00
1.387.833,56
650.000,00
2.037.833,56
0,00
122.270,00
1.915.563,56

Koreksi
Koreksi ...................................................:
TotalPendapatanBersihSetelahKoreksi
:

0,00
1.915.563,56

KoreksiAP
KoreksiAP .............................................:
0,00
TotalPendapatanBersihSetelahKoreksiAP
:
1.915.563,56

800,17
35.000,00
35.000,00
400.000,00
350.000,00
75.000,00
350.000,00
350.000,00
75.000,00
75.000,00
600.000,00
350.000,00
75.000,00
50.000,00
43.532,71

400,09
17.500,00
17.500,00
200.000,00
175.000,00
37.500,00
175.000,00
175.000,00
37.500,00
37.500,00
300.000,00
175.000,00
37.500,00
25.000,00
21.766,36

Reason?

Reason?

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