PENDAPATAN TUNAI

NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

15I00001

01-09-2015

1509010005

VERONIKA, NN

15I00005

01-09-2015

1508290134

HUMAIROH,AN

15I00007

01-09-2015

1509010089

TUTI ULFIYATI 01

125.000,00

15I00015

01-09-2015

1509010033

AIDA NUR FITRIA, NN

330.600,00

15I00018

01-09-2015

1509010011

HERRY CONSTANA L.TN

257.100,00

15I00025

01-09-2015

1509010035

HASAN,TN

115.400,00

15I00034

01-09-2015

1509010071

KURWATI,NN

15I00045

01-09-2015

1509010082

EARLYTA A S,AN

15I00046

01-09-2015

1509010104

MULIANA AGUSTIN,NN

499.300,00

10

15I00049

01-09-2015

1509010099

H.IDING ABIDIN,TN

291.200,00

11

15I00051

01-09-2015

1508290312

SALEM,NY,BY

12

15I00055

01-09-2015

1508270230

KARTINI,NY

13

15I00056

01-09-2015

1509010101

RIONALDO ALGHAZALI, AN

342.300,00

14

15I00057

01-09-2015

1509010122

RIZA AHMAD FAUZI.AN

340.000,00

15

15I00058

01-09-2015

1509010144

AZIE NINGRAT A,AN

16

15I00077

01-09-2015

1508290253

SITI JULAEHA, NY

17

15I00083

01-09-2015

1509010198

NITA SHOLIHAH,NN

18

15I00085

01-09-2015

1509010197

WAIJAH,NY

19

15I00098

01-09-2015

1508300013

MERRIAM,NY

20

15I00100

01-09-2015

1509010242

YANDI PRAMITA 03

21

15I00101

01-09-2015

1508290165

SALEM.NY

22

15I00102

01-09-2015

1508280244

AMINAH,NY

23

15I00114

01-09-2015

1508310172

SITI ROPIKOH,NN

24

15I00115

01-09-2015

1509010236

SISWATI,NN

450.000,00

25

15I00131

01-09-2015

1509010228

TINAH HJ,NY

333.500,00

26

15I00133

01-09-2015

1509010221

MAHIR BIN SA'IT, TN

234.100,00

27

15I00147

01-09-2015

1509010248

DIRMAN,TN

28

15I00158

01-09-2015

1509010266

TUTI PURWATI, NN

75.400,00

29

15I00159

01-09-2015

1509010260

CUCUN LISTIA,NN

223.300,00

30

15I00183

01-09-2015

1508310344

R ACHMAD SOFYAN,TN

31

15I00215

01-09-2015

1509010279

RIDWAN,TN

32

15I00253

01-09-2015

1509010190

SEPTIANI MENTARI,NN

33

15I00272

01-09-2015

1508310066

M BAGUS FAISHAL, AN

34

15I00274

01-09-2015

1508310005

NURHASANAH, NY

35

15I00277

01-09-2015

1508280275

M ROHI BIN RATNA, TN

36

15I00278

01-09-2015

1508310048

OKTARIA,NN

37

15I00279

01-09-2015

1508250346

YULI YANTI,NN

38

15I00281

01-09-2015

1508310052

NANDAR KARMANA,TN

39

15I00282

01-09-2015

1508310070

SUPRIYANTO, TN

40

15I00284

01-09-2015

1508310053

NURYANTI, NY

41

15I00285

01-09-2015

1508290252

TAMINUDDIN, TN

42

15I00291

01-09-2015

1508280283

WIWIN RAWINI,NY

503.000,00

43

15I00294

01-09-2015

1509010307

FAUZIN,TN

500.300,00

44

15I00315

01-09-2015

1509010319

NELI ROPIKA,NY

100.500,00

45

15I00318

02-09-2015

1509020029

ADE RUSLI,TN

278.000,00

46

15I00321

02-09-2015

1509020069

FAJAR NUGROHO 02

160.000,00

47

15I00329

02-09-2015

1509020096

MUNDHOFI, TN

114.300,00

48

15I00347

02-09-2015

1509020116

NELI ROPIKA,NY

165.000,00

49

15I00349

02-09-2015

1509020159

ZAINAL MUCHTAR

612.600,00

50

15I00353

02-09-2015

1509010062

GILANG BAYU A, TN

51

15I00361

02-09-2015

1508310349

TITIN SUPARTINI, NY

52

15I00362

02-09-2015

1509020115

RISMAN DALA,TN

744.600,00

53

15I00363

02-09-2015

1509020070

FAHRI,AN

137.100,00

54

15I00364

02-09-2015

1509020136

LESTARI,NY

491.600,00

55

15I00365

02-09-2015

1509020153

SIDIQ ZAELANI,TN

15.000,00

56

15I00366

02-09-2015

1509020165

HENDRA,TN

84.400,00

No Transfer

499.500,00
8.222,00

85.000,00
85.000,00

1.631.000,00
8.222,00

85.000,00
8.222,00
50.000,00
398.900,00
8.222,00
160.000,00
8.222,00
1.801.200,00
8.222,00

10.000,00

17.800,00
493.000,00
40.000,00
8.222,00
214.568,00
2.000.000,00
8.222,00
199.865,00
8.222,00
8.222,00
15.944,00
8.222,00

8.222,00
2.645,00

YANTI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

57

15I00372

02-09-2015

1508300046

PITRIA,NY

58

15I00397

02-09-2015

1509020202

ANDRIS ARDIANSYAH 08

59

15I00399

02-09-2015

1509020184

SRI DWI ASTUTI,NY

65.000,00

60

15I00400

02-09-2015

1509020066

SRI DWI ASTUTI,NY

263.700,00

61

15I00401

02-09-2015

1509020090

AHMAD FAUZAN,TN

399.700,00

62

15I00403

02-09-2015

1508310152

IMAS SARI BT TALIM.AN

63

15I00410

02-09-2015

1508310074

ADUL, TN

64

15I00420

02-09-2015

1509020211

SAIN BIN ONEN,TN

141.000,00

65

15I00428

02-09-2015

1509020170

HIZKIA ANINDITHA,NN

192.700,00

66

15I00429

02-09-2015

1509020167

SAEFUL MUSTOFA.TN

158.700,00

67

15I00437

02-09-2015

1509020127

BANDI,TN

416.900,00

68

15I00473

02-09-2015

1509020234

WAWAN HERMAWAN,TN

69

15I00494

02-09-2015

1508180310

ANDRIAN JOKO P, TN

55.400,00

70

15I00496

02-09-2015

1509020274

SITI KHAMIDATUN,NN

105.300,00

71

15I00497

02-09-2015

1509020272

M.REZZA ISMAIL,TN

150.900,00

72

15I00500

02-09-2015

1509020270

SISWATI,NN

58.300,00

73

15I00519

02-09-2015

1509020295

SUWENTI,NY

371.800,00

74

15I00520

02-09-2015

1508130198

JANGKUNG,TN

75

15I00525

02-09-2015

1507070031

KHOLID.TN

8.222,00

76

15I00528

02-09-2015

1509020286

AMRINA,NN

175.000,00

77

15I00550

02-09-2015

1509020012

DASEM.NY

1.084.700,00

78

15I00551

02-09-2015

1509010315

AGUS MAMAN S,TN

3.726.100,00

79

15I00558

02-09-2015

1509020305

HELEN MAULANA,TN

80

15I00567

02-09-2015

1509020302

SRI YULIANTI,NN

81

15I00571

02-09-2015

1509020316

MIFTAH NURJANAH.NN

82

15I00572

02-09-2015

1509020315

NONI FARAH FELLA S,NN

160.800,00

83

15I00585

03-09-2015

1509030004

RHOMI DIANTI UMAMI,NN

5.000,00

84

15I00587

03-09-2015

1509010044

HAMDATUS SHOLIHA,NN

8.222,00

85

15I00588

03-09-2015

1509010040

AAN A,NN

8.222,00

86

15I00589

03-09-2015

1509030027

EVA AFRILIYA.NN

87

15I00594

03-09-2015

1509030029

SITI MARIA ULFAH,NY

88

15I00605

03-09-2015

1509030034

SRI DWI ASTUTI,NY

89

15I00611

03-09-2015

1509030072

FIKA LATIFAH 02

221.000,00

90

15I00612

03-09-2015

1509030069

SANNY ANNISA AL RASYID 01

221.000,00

91

15I00618

03-09-2015

1509030142

FAJAR KUNIK A,NN

92

15I00619

03-09-2015

1508300014

DANI,TN

175.880,00

93

15I00624

03-09-2015

1509030109

MURNIASIH,NY

752.200,00

94

15I00635

03-09-2015

1509030135

TIARA SALSABILA.AN

180.100,00

95

15I00636

03-09-2015

1509030078

SRI YULIANTI,NN

235.000,00

96

15I00637

03-09-2015

1509030153

ZULFA SITI ZAHRA,AN

280.800,00

97

15I00650

03-09-2015

1509030119

SITI NURSAIDAH FAUZIAH,NN

436.300,00

98

15I00651

03-09-2015

1509030120

NENENG SUAIDAH, HJ, NY

478.800,00

99

15I00664

03-09-2015

1509030196

IRFAN MAULANA, AN

214.200,00

100

15I00669

03-09-2015

1508310291

RINA INTANI,NN

8.222,00

101

15I00676

03-09-2015

1509020039

JUWATI, NY

8.222,00

102

15I00687

03-09-2015

1508310047

ANAH,NY

8.222,00

103

15I00690

03-09-2015

1509020103

HARPITA SARI, NN

8.222,00

104

15I00698

03-09-2015

1509020051

WARJI.TN

8.222,00

105

15I00703

03-09-2015

1508290192

BONIN, TN

8.222,00

106

15I00704

03-09-2015

1509020038

REZZA PAHLENI A,TN

8.222,00

107

15I00706

03-09-2015

1508310049

ZUBAEDAH,NY

8.222,00

108

15I00710

03-09-2015

1509030165

SALEM,NY,BY

85.000,00

109

15I00711

03-09-2015

1509030114

WULANSARI.NN

50.000,00

110

15I00734

03-09-2015

1509030077

SUMIYATI,NN

88.300,00

111

15I00748

03-09-2015

1509010031

YAYAH DARIYAH,NY,BY

112

15I00763

03-09-2015

1509030254

RUDI PRATAMA, TN

No Transfer

8.222,00
160.000,00

8.222,00
8.222,00

85.000,00

8.222,00

33.200,00
111.400,00
25.000,00

2.000,00
833.100,00
65.000,00

60.000,00

1.625.600,00
136.600,00
SITIRJ

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

113

15I00798

03-09-2015

1509030277

DONI WIJAYANTO,TN

111.700,00

114

15I00799

03-09-2015

1509030224

SELVIA HALIMATHUL O.NY

197.300,00

115

15I00800

03-09-2015

1509030256

AZIA RATNASARI,NN

116

15I00821

03-09-2015

1508280207

NURAENI A,AN

117

15I00823

03-09-2015

1509020251

DIAN MUTIAH,NY

252.338,00

118

15I00826

03-09-2015

1509030281

DADAN KUSMANA, TN

219.000,00

119

15I00827

03-09-2015

1509010186

MAULANA YUSUF,AN

8.222,00

120

15I00828

03-09-2015

1508310003

MIMIN,NY

8.222,00

121

15I00830

03-09-2015

1509010004

YAYAH DARIAH,NY

122

15I00833

03-09-2015

1509030292

YUNI ARTI ASMAYATI,NN

123

15I00834

03-09-2015

1508290308

DANYI BINTI WALIM,NY

124

15I00836

03-09-2015

1509030305

ILMI ZAHRAN.AN

125

15I00842

03-09-2015

1509030288

SISWATI,NN

727.500,00

126

15I00888

04-09-2015

1509040003

CARUM,TN

106.300,00

127

15I00889

04-09-2015

1509030317

DEDI HARTONO,TN

473.400,00

128

15I00892

04-09-2015

1509040064

ARISA SYIFA ANJANI 01

160.000,00

129

15I00893

04-09-2015

1509040069

DIDING KARTIKA CHANDRA. D 02

160.000,00

130

15I00917

04-09-2015

1509040073

AHMAD SOPIAN 03

160.000,00

131

15I00918

04-09-2015

1509040115

ARIESTA HADI P 16

125.000,00

132

15I00932

04-09-2015

1509040091

M.AWALUDIN FITROH,TN

287.500,00

133

15I00941

04-09-2015

1509040122

DZALFA SYAQIRAH S,AN

12.500,00

134

15I00959

04-09-2015

1509040071

M.FAZLI PRATAMA,AN

135

15I00968

04-09-2015

1509040164

M AKBAR ALFATIH,AN

95.000,00

136

15I00969

04-09-2015

1509040179

ALTAMIS MADANI,AN

222.200,00

137

15I00980

04-09-2015

1509040074

AHMAD OKTAFIANTO 04

160.000,00

138

15I00981

04-09-2015

1509040221

DESY RAHMAWATI 19

125.000,00

139

15I00982

04-09-2015

1509030260

DWI WURYANINGSIH,NY

780.000,00

140

15I00983

04-09-2015

1509040176

NURUL HIKMAH.NN

388.000,00

141

15I00985

04-09-2015

1509040191

ATIRI,NY

191.800,00

142

15I00988

04-09-2015

1509020226

FIRMAN JAUPANI,TN

200.000,00

143

15I00992

04-09-2015

1509020268

AYU AGUSTIANI,NN

144

15I00993

04-09-2015

1508250107

ANA HARWATI,NN

145

15I01000

04-09-2015

1509040189

IWAN,TN

178.400,00

146

15I01002

04-09-2015

1509020323

NANDYA AULIANA F,AN (APS)

752.000,00

147

15I01004

04-09-2015

1509040216

ROY KRISVANDI,TN

148

15I01005

04-09-2015

1508310251

DAMIN,H,TN

149

15I01006

04-09-2015

1509010302

MOCH. FACHRI, TN

437.722,00

150

15I01009

04-09-2015

1509040217

PUJIONO,TN

530.100,00

151

15I01032

04-09-2015

1509040145

TUSLIHA, NN

152

15I01061

04-09-2015

1509020240

EVIANA.NY.BY

153

15I01065

04-09-2015

1509040167

MERI PUJIASTUTI, NY

154

15I01074

04-09-2015

1509040232

KOMI,NY

348.000,00

155

15I01094

04-09-2015

1509040235

KOMI,NY

507.700,00

156

15I01097

04-09-2015

1509040268

RISKA, NN

227.400,00

157

15I01104

04-09-2015

1509040142

OVA SARIYANI,NN

158

15I01110

04-09-2015

1509030103

ZESSI APRIYANTI,NY

159

15I01111

04-09-2015

1509030314

ZESSI APPRIYANTI,NY,BY

453.700,00

160

15I01122

04-09-2015

1509040292

FUJI FUJIAWATI,NN

176.600,00

161

15I01141

04-09-2015

1509030052

ERNA SUGANDA P.NN

162

15I01142

04-09-2015

1509020321

RIANI PURNAMASARI,NY

163

15I01144

04-09-2015

1509010209

EVIYANA,NY

8.222,00

164

15I01145

04-09-2015

1509030051

ERNA,NN

8.222,00

165

15I01146

04-09-2015

1509020042

JUNARIAH,NY

8.222,00

166

15I01148

04-09-2015

1509010095

MASNAWATI,NY

8.222,00

167

15I01149

04-09-2015

1509040301

ADHI KURNIAWAN,TN

66.400,00

168

15I01152

04-09-2015

1509020081

ATIKAH BT SAMIN.NY

8.222,00

No Transfer

126.400,00
8.540.500,00

8.222,00
550.400,00
8.222,00
77.200,00

157.800,00

800.000,00
13.220.707,00

510.100,00
6.680.000,00

223.300,00
1.612.200,00
85.000,00

85.000,00
3.197.100,00

8.222,00
229.729,00

LINDA

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

169

15I01153

04-09-2015

1509030085

INDAH WALASARI,AN

170

15I01164

04-09-2015

1509040308

SUNIPAH, NN

171

15I01165

04-09-2015

1509040278

AGUS IRAWAN,TN

172

15I01166

04-09-2015

1509040265

JAYA,TN

875.000,00

173

15I01175

05-09-2015

1509050001

PRIHANTOKO YULIARDI,TN

120.000,00

174

15I01176

05-09-2015

1509050003

ERNAWAN.TN

175

15I01177

05-09-2015

1509050002

HENDI KURNIYAWAN,TN

176

15I01178

05-09-2015

1509050010

ROYAT,TN

177

15I01185

05-09-2015

1509050038

SRI DWI ASTUTI,NY

178

15I01187

05-09-2015

1509050067

TEGAR APRILIYANTO 02

160.000,00

179

15I01188

05-09-2015

1509050065

ALBIANSYAH. JP 01

160.000,00

180

15I01189

05-09-2015

1509050070

RAHBAT SARJONO 03

160.000,00

181

15I01190

05-09-2015

1509050073

YUSUF WAHYUDI 04

160.000,00

182

15I01191

05-09-2015

1509050077

SATRIA PAMUNGKAS 05

160.000,00

183

15I01192

05-09-2015

1509050079

KHAERUL ANWAR 06

160.000,00

184

15I01193

05-09-2015

1509050081

DIDI WICAKSONO 07

160.000,00

185

15I01194

05-09-2015

1509050085

LATIF TRI SETIAWAN 08

186

15I01195

05-09-2015

1509050056

SURATI,NY

187

15I01196

05-09-2015

1509050088

SARIFUDIN 09

160.000,00

188

15I01197

05-09-2015

1509050092

SHODIQIN 10

160.000,00

189

15I01198

05-09-2015

1509050095

NOVIANUS NIKIJULUW 11

160.000,00

190

15I01199

05-09-2015

1509050097

ROMI APRIAN 12

160.000,00

191

15I01200

05-09-2015

1509050098

AKHMAD FAISOL 13

160.000,00

192

15I01201

05-09-2015

1509050100

HAMZAH RIANTO 14

160.000,00

193

15I01202

05-09-2015

1509050105

HARIQ UNGGUL MARDIKA 15

160.000,00

194

15I01203

05-09-2015

1509050108

AGUNG GUMILANG 17

160.000,00

195

15I01204

05-09-2015

1509050109

EKO MUSTAKIM 18

160.000,00

196

15I01205

05-09-2015

1509050111

IBROHIM HASAN 19

160.000,00

197

15I01206

05-09-2015

1509050113

DIAN PURNA IRAWAN 20

160.000,00

198

15I01207

05-09-2015

1509050116

ASEP RUKMANA 21

160.000,00

199

15I01208

05-09-2015

1509050119

AEF SUHERMAN 22

160.000,00

200

15I01209

05-09-2015

1509050123

ANDRI NUR SUKMA 23

230.000,00

201

15I01210

05-09-2015

1509050107

ABDUL AZIS MUSLIM 16

160.000,00

202

15I01211

05-09-2015

1509050061

TEDI IRAWAN.TN

327.600,00

203

15I01215

05-09-2015

1509050030

YATINAH, NY

257.100,00

204

15I01222

05-09-2015

1509050165

LESTIA WULANDARI 24

125.000,00

205

15I01235

05-09-2015

1509050141

MURDIANTO, TN

257.100,00

206

15I01246

05-09-2015

1509050194

LAMIN, TN

207

15I01247

05-09-2015

1509050018

AAS,NY

166.900,00

208

15I01248

05-09-2015

1509050198

RAHMAT HIDAYAT 25

125.000,00

209

15I01249

05-09-2015

1509050199

IBNU FAJAR 26

160.000,00

210

15I01287

05-09-2015

1509050212

HARWATI,NY

416.900,00

211

15I01290

05-09-2015

1509050221

SANAH,NY

317.700,00

212

15I01291

05-09-2015

1509050214

AGUS ASRIYANTI, NN

131.800,00

213

15I01292

05-09-2015

1509050216

DANI LISTIOWATI, NN

214

15I01293

05-09-2015

1509030229

MAYLISA KARNI,NY,BY

215

15I01307

05-09-2015

1509030101

MAYLISA KARNI.NY

8.222,00

216

15I01311

05-09-2015

1509020058

IDA,NY

8.222,00

217

15I01316

05-09-2015

1509040063

ROSMALASARI,NN

8.222,00

218

15I01318

05-09-2015

1509050241

ABDULAH USIN,TN

385.500,00

219

15I01332

05-09-2015

1509020004

RICHO,TN

220

15I01334

05-09-2015

1509030149

AMBARWATI, NY

221

15I01335

05-09-2015

1509040108

REZA FAHLEVI Z.AN

222

15I01338

05-09-2015

1509050239

M SOLEH, TN

744.200,00

223

15I01339

05-09-2015

1509050251

ABD AZIS

829.500,00

224

15I01356

05-09-2015

1509050288

HARTONO, TN

No Transfer

8.222,00
222.300,00
1.914.000,00

261.800,00
1.470.800,00
948.500,00
65.000,00

160.000,00
1.249.300,00

90.000,00

127.800,00
1.328.700,00

8.222,00
229.729,00
8.222,00

63.700,00
SITIRJ

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

225

15I01364

05-09-2015

1509050269

NURAENI A,AN

85.000,00

226

15I01365

05-09-2015

1509050249

ACHMAD JALALUDDIN, AN

85.000,00

227

15I01371

05-09-2015

1509050131

YAYAH DARIYAH,NY,BY

85.000,00

228

15I01372

05-09-2015

1509050274

LEHA, NY

85.000,00

229

15I01380

05-09-2015

1509040314

YANAH,NY

1.217.500,00

230

15I01388

05-09-2015

1509040214

MUHAMMAD RAMDAN, AN

2.232.600,00

231

15I01396

05-09-2015

1509050304

SURNIAH, NN

232

15I01400

05-09-2015

1509020227

DWI HARTARTO, TN

233

15I01401

05-09-2015

1509050248

MUKLISIN,TN

234

15I01402

05-09-2015

1509020040

IYOS ROSMAWATI,NY

235

15I01410

05-09-2015

1509030170

RINNA DIANA,NY

236

15I01415

05-09-2015

1509050287

AISAH, HJ, NY

237

15I01422

05-09-2015

1509020094

SAMIT,TN

238

15I01425

05-09-2015

1508310222

FETRI KURNIA S,NY

8.222,00

239

15I01427

05-09-2015

1509030046

SURYADI KURNIAWAN,TN

8.222,00

240

15I01429

05-09-2015

1509040090

RAHMADANI SUMANTO,TN

8.222,00

241

15I01431

05-09-2015

1509020310

WULANDARI,NN

242

15I01442

05-09-2015

1509050294

SAMINEM, NY

299.000,00

243

15I01449

05-09-2015

1509050295

AIDA NUR FITRIA, NN

379.591,00

244

15I01451

05-09-2015

1509050319

LIE SUN NJOH, NY

125.200,00

245

15I01453

05-09-2015

1509050321

YUDA AKBAR,TN

288.800,00

246

15I01456

05-09-2015

1509050323

NIKEN ESTI N, NN

512.300,00

247

15I01459

05-09-2015

1509050330

RONAL ROSADI S,TN

279.600,00

248

15I01460

06-09-2015

1509060001

AMIN HIDAYAT,TN

161.900,00

249

15I01469

06-09-2015

1509060003

SITI PATIMAH,NY

889.800,00

250

15I01470

06-09-2015

1509060004

MAWAN SETIAWAN.TN

790.600,00

251

15I01472

06-09-2015

1509060031

S TOTO SUPATNO,TN

150.700,00

252

15I01473

06-09-2015

1509050104

SISWANTO GIRI,TN

8.222,00

253

15I01477

06-09-2015

1509030001

WULAN SARI,NY

8.222,00

254

15I01478

06-09-2015

1509040059

ERNA ARYANI,NY

255

15I01482

06-09-2015

1509060033

AHMAD FATONI,TN

256

15I01485

06-09-2015

1509030056

GARNANDI,TN

257

15I01512

06-09-2015

1509040061

HASAN BIN ASMIN.TN

258

15I01514

06-09-2015

1509040046

NYAI BT DULATIP,NY

259

15I01521

06-09-2015

1509040199

M AKBAR ALFATIH,AN

2.259.800,00

260

15I01522

06-09-2015

1509040282

NIA ELVIANA.NY

4.036.000,00

261

15I01523

06-09-2015

1509040283

NIA ELVIANA,NY,BY

1.309.000,00

262

15I01524

06-09-2015

1509060056

SEBIH NURFAJRIYAH.NY

779.200,00

263

15I01542

06-09-2015

1509060064

SRI WAHYUNINGSIH,NY

631.000,00

264

15I01544

06-09-2015

1509060069

WAWAN SETIAWAN,TN

704.300,00

265

15I01547

07-09-2015

1509060070

RATIH MAYYA RANTI,NN

549.900,00

266

15I01548

07-09-2015

1509070001

HASANAH,NY

149.000,00

267

15I01550

07-09-2015

1509070005

NURAN,TN

608.400,00

268

15I01556

07-09-2015

1509010065

JIRANY NAZWAJULIAN,AN

269

15I01560

07-09-2015

1509070077

UNIH,NY

241.600,00

270

15I01564

07-09-2015

1509070015

A.SUKARDI WIJAYA,H,TN

625.000,00

271

15I01572

07-09-2015

1509070098

HENDRO SUGIYONO,TN

108.500,00

272

15I01574

07-09-2015

1509070031

MAEMUNAH,NY

156.200,00

273

15I01576

07-09-2015

1509070027

MULANA,NY

257.100,00

274

15I01583

07-09-2015

1509070006

HERRY CONSTANA L.TN

271.700,00

275

15I01584

07-09-2015

1509070018

SAMINEM, NY

363.000,00

276

15I01585

07-09-2015

1509070108

SAMHARI,TN

97.700,00

277

15I01586

07-09-2015

1509070028

AISAH, HJ, NY

210.400,00

278

15I01594

07-09-2015

1509070180

MUKHOLIM 01

160.000,00

279

15I01595

07-09-2015

1509070186

SAMSUL ARIFIN 03

125.000,00

280

15I01596

07-09-2015

1509070182

ADI SUGIANTO 02

125.000,00

No Transfer

550.000,00
111.611,00
3.906.000,00
8.222,00
8.222,00
216.500,00
19.435,00

8.222,00

8.222,00
426.100,00
5.350.000,00
8.222,00
8.222,00

8.222,00

NOER

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

281

15I01600

07-09-2015

1509070101

TITUK SULASMI.NY

282

15I01604

07-09-2015

1509070129

EKA TIARA S, AN

283

15I01605

07-09-2015

1509070062

MATAMIN,TN

701.500,00

284

15I01618

07-09-2015

1509070137

YUDA AKBAR,TN

348.300,00

285

15I01622

07-09-2015

1509070170

DRISMANTO,TN

191.200,00

286

15I01624

07-09-2015

1509070106

EDO ALIYAPI,TN

481.900,00

287

15I01637

07-09-2015

1509070196

AMINIVA ISBATH,AN

449.300,00

288

15I01639

07-09-2015

1509070225

SIGIT PURWANTO 05

125.000,00

289

15I01640

07-09-2015

1509070223

AAT SOLEHAT 04

125.000,00

290

15I01653

07-09-2015

1509070218

NYAMID, TN

612.600,00

291

15I01654

07-09-2015

1509040100

ANTON EKO YONO,TN

8.222,00

292

15I01656

07-09-2015

1509040298

KASIM BIN NAMAN, TN

133.345,00

293

15I01657

07-09-2015

1509070212

FAILA AFIFAH.AN

190.700,00

294

15I01679

07-09-2015

1509070220

SRI HANDAYANI.NY

371.800,00

295

15I01699

07-09-2015

1509070300

MULYANI AMBAR KUSUMAWATI 08

65.000,00

296

15I01721

07-09-2015

1509070313

TIAH JASMINARTIAH 10

65.000,00

297

15I01722

07-09-2015

1509070311

WITRI ISMAYA 09

65.000,00

298

15I01723

07-09-2015

1509070315

TYAS ERRENITHA NOVIAR 11

65.000,00

299

15I01724

07-09-2015

1509070316

AISYAH FEBRILIANI 12

300

15I01726

07-09-2015

1509070282

DIAN FALUPIYATI,NN

301

15I01728

07-09-2015

1509070325

ENIK SETYONINGSIH 13

65.000,00

302

15I01729

07-09-2015

1509070327

RIKA DIAH PALUPI 14

65.000,00

303

15I01755

07-09-2015

1509070263

ANA HARWATI,NN

304

15I01756

07-09-2015

1509070247

RINA INTANI,NN

175.900,00

305

15I01757

07-09-2015

1509070103

FATIMAH, NY

234.200,00

306

15I01758

07-09-2015

1509070166

MARSIH,NY

399.400,00

307

15I01762

07-09-2015

1509040004

M HAFIDZ ARRIFQI,AN

308

15I01763

07-09-2015

1509070151

FENY U.H,NY

208.800,00

309

15I01811

07-09-2015

1509070363

ELIS IRMAWATI,NY

284.400,00

310

15I01812

07-09-2015

1509070334

ARIS SATRIA,TN

223.400,00

311

15I01813

07-09-2015

1509070361

NURHALIMAH, NN

312

15I01814

07-09-2015

1509070360

SULASTRI,NN

210.000,00

313

15I01863

07-09-2015

1509070362

KUSMANTO. TN

100.000,00

314

15I01878

07-09-2015

1509070392

TAHRIR MASHUD,TN

315

15I01880

07-09-2015

1509040316

RINAH S,NY

1.380.000,00

316

15I01886

07-09-2015

1509050021

ABU,TN

2.962.700,00

317

15I01887

07-09-2015

1509050020

AHMAD SAEPUDIN,TN

3.084.300,00

318

15I01914

08-09-2015

1509080069

M. E. OKTAVIA, NY

90.000,00

319

15I01919

08-09-2015

1509080086

SAHRUL PAJAR 04

125.000,00

320

15I01921

08-09-2015

1509080091

NYAI,NY

150.000,00

321

15I01926

08-09-2015

1509080105

SRI DWI ASTUTI,NY

322

15I01927

08-09-2015

1509080068

SARMITA, TN

323

15I01929

08-09-2015

1509080137

YULIA RINI AGUSTIN, AN

324

15I01943

08-09-2015

1509080042

AIDA NUR FITRIA, NN

294.500,00

325

15I01967

08-09-2015

1509080104

UMI AKROMAH,NN

293.500,00

326

15I01969

08-09-2015

1509080125

ROSILAWATI,NY

327

15I01977

08-09-2015

1509060021

EMOT,NY

328

15I02002

08-09-2015

1509080225

LIMAH BT EMAN, NY

329

15I02003

08-09-2015

1509050162

SEKAR NIRA, NY

1.930,00

330

15I02005

08-09-2015

1509070046

MAYASARI,NY

8.222,00

331

15I02007

08-09-2015

1509030117

LEMAN.TN

8.222,00

332

15I02011

08-09-2015

1509050007

APRIYANI,NY

333

15I02021

08-09-2015

1509080217

SOPIAH,NY

284.600,00

334

15I02025

08-09-2015

1509080209

FUJI FUJIAWATI,NN

154.200,00

335

15I02049

08-09-2015

1509030249

SA'DIAH,NY

336

15I02051

08-09-2015

1509080229

TRIYATUN, NY

No Transfer

625.000,00
85.000,00

65.000,00
101.400,00

33.500,00

4.035.300,00

20.000,00

10.000,00

65.000,00
655.300,00
90.000,00

190.900,00
5.637.000,00
337.800,00

8.222,00

4.361,00
371.800,00
PUTRI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

337

15I02071

08-09-2015

1509080281

SOFYAN AGUS R.TN

338

15I02075

08-09-2015

1509070261

NURKHASANH, NY

113.780,00

339

15I02076

08-09-2015

1509080259

ANDIYANTO,TN

208.600,00

340

15I02078

08-09-2015

1509030215

JANI BINTI SEAN,NY

175.000,00

341

15I02098

08-09-2015

1509080232

KOMI,NY

225.700,00

342

15I02117

08-09-2015

1509080335

INNE ROSTIKA 18

343

15I02118

08-09-2015

1509080336

RINA KURNIA 19

344

15I02119

08-09-2015

1509080159

MAMAN SUPARMAN,TN

257.100,00

345

15I02129

08-09-2015

1509080331

MAULIDA.NN

162.400,00

346

15I02134

08-09-2015

1509080192

ACEP BAEPAGIH,H,TN

813.800,00

347

15I02145

08-09-2015

1509080297

ENCUK, NY

247.200,00

348

15I02149

08-09-2015

1509080310

SUSANTO,TN

141.800,00

349

15I02150

08-09-2015

1509080112

NYAI,NY

120.400,00

350

15I02168

08-09-2015

1509080306

SURATMAN.TN

351

15I02169

08-09-2015

1509070202

ETI, NY

352

15I02170

08-09-2015

1509080347

M AFKHA EL RAFIF,AN

353

15I02171

08-09-2015

1509080307

AISAH, HJ, NY

354

15I02176

08-09-2015

1509080280

LIMARAN SIANTURI.TN

527.400,00

355

15I02192

08-09-2015

1509080214

NOVITA KUSUMA A,NN

258.300,00

356

15I02207

08-09-2015

1509080131

ABDUL AMIN K.TN

229.800,00

357

15I02210

08-09-2015

1509080359

ELLA MELLAWATI,NY

206.200,00

358

15I02215

08-09-2015

1509080378

RONI DARWIKO, TN

170.200,00

359

15I02218

08-09-2015

1509080367

METI OKTAVIANA.NY

559.800,00

360

15I02229

08-09-2015

1509080320

JAYA,TN

875.000,00

361

15I02245

08-09-2015

1509080385

AJI NANDANG ARIPIN.TN

108.100,00

362

15I02250

08-09-2015

1509080386

NOVERI.TN

297.100,00

363

15I02252

08-09-2015

1509080388

BAGUS.TN

541.800,00

364

15I02253

08-09-2015

1509080390

FITRI.NN

437.300,00

365

15I02278

09-09-2015

1509090066

ADANG FAJAR H,TN

366

15I02285

09-09-2015

1509090123

YODI SAEPUDIN 08

95.000,00

367

15I02298

09-09-2015

1509090139

ROSITA KARTIWI,AN

127.100,00

368

15I02319

09-09-2015

1509090158

AISAH, HJ, NY

369

15I02321

09-09-2015

1509090073

FAJAR MAULANA,AN

251.900,00

370

15I02322

09-09-2015

1509090164

SAMIN,S.PD.I,TN

396.700,00

371

15I02326

09-09-2015

1509050102

BOIN, TN

372

15I02327

09-09-2015

1509090150

ANA MAHBUBAH,NY

305.800,00

373

15I02330

09-09-2015

1509090157

MAHFUDOTIN,NY

489.600,00

374

15I02331

09-09-2015

1509050257

KARMILAH.NY

375

15I02337

09-09-2015

1509090046

AHMAD FATONI,TN

376

15I02340

09-09-2015

1509090168

NAOMI ALENA F,AN

377

15I02343

09-09-2015

1509090160

NUR ATRIVIA AMIR,NY

378

15I02348

09-09-2015

1509070377

ECIH S.NY.BY

379

15I02358

09-09-2015

1509050325

SANIA, NN

380

15I02368

09-09-2015

1509060068

ECIH SUSILAWATI BT UNIN,NY

381

15I02371

09-09-2015

1509090204

SULISTIOWATI 11

382

15I02395

09-09-2015

1509090185

ADAM FIRDAUS,AN

383

15I02401

09-09-2015

1509090189

KHAFIZHUL ABQARI M,AN

384

15I02402

09-09-2015

1509090005

KEIRA FAKHIRA A,AN

385

15I02418

09-09-2015

1509090237

RIKHSON M, TN

386

15I02423

09-09-2015

1509090210

M.DIMAS NURALI,AN

387

15I02430

09-09-2015

1509090219

TARSIH,NY

251.700,00

388

15I02431

09-09-2015

1509090244

HARTEDY BRILIANA.TN

329.000,00

389

15I02470

09-09-2015

1509090298

DEDEH,NN

122.100,00

390

15I02474

09-09-2015

1509090094

ANAM,TN

198.700,00

391

15I02476

09-09-2015

1509090024

M. HASANUDIN AZIS,TN

103.000,00

392

15I02477

09-09-2015

1509080038

FITHRIA H, NY

No Transfer

40.000,00

65.000,00
65.000,00

227.400,00
3.534.500,00
85.000,00
85.000,00

85.800,00

90.000,00

8.222,00

8.222,00
271.500,00
5.000,00
183.100,00
1.639.100,00
8.222,00
8.222,00
125.000,00
95.000,00
10.000,00
1.782.728,00
399.100,00
95.000,00

14.800,00
JENNY

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

393

15I02487

09-09-2015

1509080041

M. RIFKI BASTIAN, AN

394

15I02499

09-09-2015

1509090287

MURSIDI,TN

395

15I02509

09-09-2015

1509090317

ANGELINA,NY

60.000,00

396

15I02529

09-09-2015

1509090319

KHOIRUDIN,TN

391.600,00

397

15I02531

10-09-2015

1509100001

MURYADI,TN

578.300,00

398

15I02532

10-09-2015

1509100002

AJI KASRUDI.TN

11.000,00

399

15I02536

10-09-2015

1509100034

SITI AMINAH,NY

420.600,00

400

15I02537

10-09-2015

1509100071

BELA MAHENDRA 01

125.000,00

401

15I02540

10-09-2015

1509100039

SARIYAH,NY

206.100,00

402

15I02555

10-09-2015

1509100077

DANYI BINTI WALIM,NY

216.800,00

403

15I02558

10-09-2015

1509100099

AISAH, HJ, NY

404

15I02571

10-09-2015

1509100105

SUPRIATNA, TN

711.500,00

405

15I02572

10-09-2015

1509100058

IDRIS SUGIANTO,TN

527.400,00

406

15I02575

10-09-2015

1509100090

EVI S,NY

158.700,00

407

15I02577

10-09-2015

1509100146

DEDE GUNAWAN 04

125.000,00

408

15I02581

10-09-2015

1509100106

ETI, NY

194.500,00

409

15I02583

10-09-2015

1509100108

KRISTINA H,NY.

276.800,00

410

15I02585

10-09-2015

1509100063

AYU CANDRA S,NN

255.600,00

411

15I02596

10-09-2015

1509070120

SAIM, TN

412

15I02597

10-09-2015

1509100163

ENDENG,NY

196.900,00

413

15I02601

10-09-2015

1509090003

WINDY BT BAMBANG.NY

234.746,00

414

15I02602

10-09-2015

1509100180

M.RUMHUS SABIL,AN

195.000,00

415

15I02615

10-09-2015

1509100165

IIN MARLINA.NY

299.900,00

416

15I02619

10-09-2015

1509100178

NANGSIAH,NY

694.400,00

417

15I02621

10-09-2015

1509090044

OSEP SYAEFUL B.TN

418

15I02623

10-09-2015

1509080144

NIKA LESTIA,NY

419

15I02625

10-09-2015

1509080032

ISYE FUJI ASTUTI,NY

420

15I02626

10-09-2015

1509050208

BASRI, TN

421

15I02629

10-09-2015

1509090049

OKTAFIANA,NN

14.800,00

422

15I02630

10-09-2015

1509080039

MASITOH,NY

14.800,00

423

15I02634

10-09-2015

1509050149

DONI WIJAYANTO,TN

424

15I02637

10-09-2015

1509050042

IIS AZIZAH,NY

24.466,00

425

15I02638

10-09-2015

1509070026

ASMIRAH,NY

229.729,00

426

15I02648

10-09-2015

1509080001

EVI HOLIPAH.NY

229.729,00

427

15I02659

10-09-2015

1509100169

KANO,TN

134.000,00

428

15I02661

10-09-2015

1509100219

ROHAYATI, NY

156.600,00

429

15I02685

10-09-2015

1509100176

NAFSIAH,NY

430

15I02690

10-09-2015

1509100192

FATIMAH,NY

431

15I02697

10-09-2015

1509080321

SRI SUNINGSIH,NY,BY

432

15I02698

10-09-2015

1509100158

AHMAD HAITAMI,TN

433

15I02706

10-09-2015

1509100207

ANUNG DWI JATMIKO,TN

434

15I02716

10-09-2015

1509100128

EVI LUTFIYAH, NY

833.100,00

435

15I02720

10-09-2015

1509100265

MAYA APRIANI,NN

219.800,00

436

15I02735

10-09-2015

1509100279

EDI PURWANTO.TN

480.000,00

437

15I02737

10-09-2015

1509100272

KASDU SAI'IN,TN

590.200,00

438

15I02742

10-09-2015

1509100273

ROSITA, NY

483.200,00

439

15I02745

10-09-2015

1509080084

KAYLA BT NURJAYA, NY

440

15I02752

10-09-2015

1509100255

NANI,NY

441

15I02762

10-09-2015

1509100299

ARIS WAHYUDI,TN

125.100,00

442

15I02767

10-09-2015

1509100275

ENAH PURNAMASARI,NY

307.800,00

443

15I02773

10-09-2015

1509030313

SANIA.NY

444

15I02774

10-09-2015

1509080055

SRI SUNINGSIH.NY

14.800,00

445

15I02775

10-09-2015

1509090045

ROBERTUS B R,TN

14.800,00

446

15I02776

10-09-2015

1509080379

RIRIN SRI UTAMI.NY

2.645,00

447

15I02809

10-09-2015

1509100317

NY SUWARSIH

200.000,00

448

15I02810

10-09-2015

1509100318

TN MUWARDI

200.000,00

No Transfer

14.800,00
341.500,00

90.000,00

14.800,00

14.800,00
234.746,00
14.800,00
8.222,00

8.222,00

95.000,00
85.000,00
1.373.500,00
269.800,00
60.000,00

14.800,00
6.800,00

8.222,00

NOER

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

449

15I02812

11-09-2015

1509100320

LULI RULIATI,NY

118.100,00

450

15I02814

11-09-2015

1509110004

ATMADI,TN

135.100,00

451

15I02815

11-09-2015

1509110005

SUDAR,TN

452

15I02818

11-09-2015

1509100288

ENDANG SRI REZEKI.NY

453

15I02819

11-09-2015

1509110075

GUS TONI 01

125.000,00

454

15I02829

11-09-2015

1509110023

ROMSIAH, NY

320.900,00

455

15I02832

11-09-2015

1509110098

AHMAD DIDIK HARIYANTO 03

456

15I02843

11-09-2015

1507300160

SITI AISAH,NY (APS)

457

15I02847

11-09-2015

1509110059

NEMAH, NY

306.400,00

458

15I02850

11-09-2015

1509110041

NELLY.NY

271.700,00

459

15I02856

11-09-2015

1509110095

SARMITA, TN

217.500,00

460

15I02860

11-09-2015

1509110118

AISAH, HJ, NY

105.000,00

461

15I02861

11-09-2015

1509110042

RIZQIA N, AN

462

15I02864

11-09-2015

1509110073

LILIK NURLAELA.NY

260.000,00

463

15I02865

11-09-2015

1509110127

IKE YULI A,NY

245.000,00

464

15I02867

11-09-2015

1509110043

NUR LAELI SAMA, NY

411.500,00

465

15I02868

11-09-2015

1509110136

DEVANA YURIANI EFENDI 04

125.000,00

466

15I02869

11-09-2015

1509110065

SETIYANINGSIH, NY

467

15I02874

11-09-2015

1509080005

PARAMITHA GWYNETH A.AN

468

15I02876

11-09-2015

1509080106

ENJUM BT ENJUN, NY

14.800,00

469

15I02887

11-09-2015

1509110153

ALYA SALSABILLAH, AN

90.000,00

470

15I02896

11-09-2015

1509080056

ENGKON BT JEJE, NY

471

15I02901

11-09-2015

1509110150

ABDUL MUHNI,AN

195.000,00

472

15I02904

11-09-2015

1509110148

S TOTO SUPATNO,TN

283.800,00

473

15I02907

11-09-2015

1509080128

ACHMAD HIDAYAT,TN

14.800,00

474

15I02909

11-09-2015

1509100193

RIYATIN, NN

14.800,00

475

15I02912

11-09-2015

1509110123

ASEP SAEPUDIN.TN

838.700,00

476

15I02921

11-09-2015

1509110151

DESI MULDIANTI,NY

653.700,00

477

15I02930

11-09-2015

1509110112

HASANAH,NY

478

15I02931

11-09-2015

1509110114

MARDANI,TN

479

15I02937

11-09-2015

1509110167

MELVA RC, NY

632.800,00

480

15I02944

11-09-2015

1509110183

AZIS EFENDI,TN

987.500,00

481

15I02964

11-09-2015

1509110199

AMIH KOMSIAH, NY

731.800,00

482

15I02980

11-09-2015

1509110206

WAGINO,TN

272.900,00

483

15I02987

11-09-2015

1509110221

META TRIJAYANTI,NY

198.000,00

484

15I02997

11-09-2015

1509100100

YANYAN KURNIADI, TN

14.800,00

485

15I02999

11-09-2015

1509080299

NURHASANAH,NY

14.800,00

486

15I03001

11-09-2015

1509100083

IYOD RODIAH,TN

14.800,00

487

15I03004

11-09-2015

1509100030

KARISSA KEIKO DIANDRA,AN

14.800,00

488

15I03006

11-09-2015

1509090048

TUTI HERAWATI, NY

14.800,00

489

15I03037

12-09-2015

1509100026

DEDI SALMAN, TN

14.800,00

490

15I03038

12-09-2015

1509100109

LILIS KARLINA,NY

14.800,00

491

15I03041

12-09-2015

1509050050

BASRI BIN H NURDIN, TN

492

15I03043

12-09-2015

1509120093

ANGGA AGASTA 01

493

15I03044

12-09-2015

1509030124

ANI SUMARNI,NY

494

15I03069

12-09-2015

1509120038

SETYO WARSITO.TN

427.900,00

495

15I03070

12-09-2015

1509120112

SRI RAHAYU,NY

152.400,00

496

15I03071

12-09-2015

1509120069

KARMILAH.NY

220.600,00

497

15I03083

12-09-2015

1509120176

GUSTIAN 03

125.000,00

498

15I03093

12-09-2015

1509120095

TRI LESTARI, NY

469.400,00

499

15I03098

12-09-2015

1509120075

SUTIRAH, NY

416.900,00

500

15I03106

12-09-2015

1509090051

MARSONO,TN

14.800,00

501

15I03116

12-09-2015

1509090042

WIWI WIARSIH, NY

14.800,00

502

15I03119

12-09-2015

1509100037

WATI USRIAH H, NY

14.800,00

503

15I03123

12-09-2015

1509080035

SITI MUZAYAROH, NY

504

15I03130

12-09-2015

1509120106

MEILANI R Z,NY

No Transfer

174.600,00
3.014.200,00

125.000,00
1.499.600,00

21.100,00

235.000,00
1.000.000,00

14.800,00

95.000,00
95.000,00

8.222,00
125.000,00
23.666,00

14.800,00
116.200,00
NENI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

505

15I03135

12-09-2015

1509120089

EMOT,NY

441.400,00

506

15I03136

12-09-2015

1509120165

NAYEM BT TAYUM.NY

328.300,00

507

15I03153

12-09-2015

1509120169

ANI MARYANI,NY

197.400,00

508

15I03157

12-09-2015

1509120172

KUSMIRAH.NY

427.400,00

509

15I03164

12-09-2015

1509120143

UJU BT SOIN,HJ,NY

214.200,00

510

15I03184

12-09-2015

1509120193

ELVIANI,NN

245.000,00

511

15I03186

12-09-2015

1509120213

KHAERUDIN, TN

512

15I03188

12-09-2015

1509120223

IRWANTO,TN

513

15I03190

12-09-2015

1509100205

DEWI SRI ATUN, NY, BY

514

15I03192

12-09-2015

1509120210

DORMAULI,NY

515

15I03194

12-09-2015

1509090301

IRAWATI,NY

516

15I03195

12-09-2015

1509100086

DEWI SRI ATUN,NY

517

15I03224

12-09-2015

1509090309

SITI ROBIAH, NY

518

15I03248

12-09-2015

1509120237

REBECCA ABIGAIL, AN

519

15I03251

12-09-2015

1509120260

RIZKAN.TN

400.000,00

520

15I03253

12-09-2015

1509120272

ALVI.NN

575.900,00

521

15I03258

12-09-2015

1509120288

AGUS OMAN G, TN

522

15I03264

12-09-2015

1509120192

SRI WIYANTI,NY

523

15I03265

12-09-2015

1509120264

SLAMET SUWANDI,TN

524

15I03268

12-09-2015

1509110096

FITRI FAUZIAH,NN

525

15I03280

12-09-2015

1509120289

INTAN MUTIARA,NN

261.700,00

526

15I03281

12-09-2015

1509120273

NURJANAH,NY

307.000,00

527

15I03284

12-09-2015

1509120281

RUKIAH,NY

253.000,00

528

15I03295

12-09-2015

1509120285

EMOT,NY

169.500,00

529

15I03298

12-09-2015

1509120303

YANTI,NN

283.200,00

530

15I03302

12-09-2015

1509120216

MELVA RC, NY

531

15I03323

13-09-2015

1509130002

MIHARJA,TN

532

15I03327

13-09-2015

1509090091

NENAH SUHAENAH,NY

533

15I03329

13-09-2015

1509130018

RUSIDI,TN

534

15I03330

13-09-2015

1509120309

MALIK FAZAR,TN

535

15I03331

13-09-2015

1509120310

YADI SURYADI,TN

536

15I03333

13-09-2015

1509130021

RAISYA PUTRI WIBOWO,AN

145.000,00

537

15I03334

13-09-2015

1509130028

PUJIYANTO,TN

123.200,00

538

15I03336

13-09-2015

1509130035

ERWIN SUSANTO.TN

539

15I03338

13-09-2015

1509120047

EDI SUCIPTO.TN

540

15I03349

13-09-2015

1509130038

ALVINA SETIAWAN,AN

311.400,00

541

15I03350

13-09-2015

1509130034

JELIA,NY

278.500,00

542

15I03352

13-09-2015

1509040312

SELVIA HALIMATHUL O.NY

543

15I03354

13-09-2015

1509100060

PUSPITA,NN

544

15I03355

13-09-2015

1509030296

YATI BT BENIN,NY

545

15I03357

13-09-2015

1509120005

M GINAN,AN

546

15I03358

13-09-2015

1509110168

IRMAS SAWULINA,NY

547

15I03359

13-09-2015

1509110205

IRMAS SAWULINA,NY,BY

548

15I03363

13-09-2015

1509100316

SYAHLA F A,AN

549

15I03366

13-09-2015

1509100270

FIFIT SAFITRI.NY

5.486.100,00

550

15I03369

13-09-2015

1509130063

DEWI ASTUTI.NY

207.100,00

551

15I03370

14-09-2015

1509140003

SITI MUKHAROMAH,NN

218.000,00

552

15I03373

14-09-2015

1509040195

MASAMAH BT H.MUMININ.NY

154.654,00

553

15I03374

14-09-2015

1509100127

SUSENO SULISTIONO.TN

14.800,00

554

15I03377

14-09-2015

1509120108

ABDURROZAK,AN

14.800,00

555

15I03379

14-09-2015

1508300025

NAUVAL HANAFI,TN

556

15I03386

14-09-2015

1509140145

BAGAS SANTOSO 01

557

15I03395

14-09-2015

1509140036

ABDULLAH.TN

69.500,00

558

15I03401

14-09-2015

1509090296

AYU NURMALA,NN

14.800,00

559

15I03418

14-09-2015

1509140059

NEMAH, NY

560

15I03427

14-09-2015

1504130255

SELAN,TN

No Transfer

12.000,00
25.100,00
1.608.400,00
470.500,00
14.800,00
14.800,00
3.938.500,00
85.000,00

93.000,00
601.500,00
95.000,00
14.800,00

85.000,00
153.400,00
18.612.000,00
480.100,00
414.400,00
3.041.400,00

90.000,00
14.800,00

14.800,00
14.800,00
158.222,00
1.860.300,00
11.727.301,00
1.012.000,00
109.800,00

8.222,00
191.000,00

116.800,00
6.979.000,00
NOERHM

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

561

15I03428

14-09-2015

1509130013

ARDHAN,AN

562

15I03430

14-09-2015

1509140150

NOVITA KUSUMA A,NN

142.700,00

563

15I03431

14-09-2015

1509140072

SARIYAH,NY

736.600,00

564

15I03434

14-09-2015

1509140079

ALYA JAZILAH, AN

117.100,00

565

15I03435

14-09-2015

1509140141

NAVIA NUR FITRIANI,AN

566

15I03447

14-09-2015

1509140177

GUNAWAN TRIMADONI,TN

567

15I03448

14-09-2015

1509140045

CHRISTINE,NY

568

15I03449

14-09-2015

1509140140

NIBRAS MAULANA NIZAM,AN

176.800,00

569

15I03467

14-09-2015

1509140152

KARTI SANTIA.NY

165.000,00

570

15I03468

14-09-2015

1509140060

GHINA SALSABILA,AN

201.400,00

571

15I03472

14-09-2015

1509140160

RONA AFIFAH, NY

279.700,00

572

15I03484

14-09-2015

1509140211

NIA ELVIANA.NY

247.700,00

573

15I03486

14-09-2015

1509010133

KARTINAH, NN

750.000,00

574

15I03487

14-09-2015

1509140164

NOVI.NY

575

15I03488

14-09-2015

1508180228

SAKIMAN,TN

576

15I03489

14-09-2015

1509140216

DEDE WAHYUDIN,TN

577

15I03501

14-09-2015

1509140234

BONA AGARAHMAN, TN

578

15I03504

14-09-2015

1509130059

PUTRA HAFIS SYAWAL.AN

579

15I03511

14-09-2015

1509140207

MULYASAROH.AN

95.000,00

580

15I03512

14-09-2015

1509140232

MULYASAROH.AN

114.100,00

581

15I03531

14-09-2015

1509140213

ABDUL MALIK,TN

812.900,00

582

15I03559

14-09-2015

1509140262

ADAM FIRDAUS,AN

125.200,00

583

15I03566

14-09-2015

1509140102

HUSEN SUSANTO,TN

324.600,00

584

15I03568

14-09-2015

1509140260

ATHALA SAWALUDIN, AN

176.500,00

585

15I03578

14-09-2015

1509140281

CHELSA TIANA.AN

118.900,00

586

15I03579

14-09-2015

1508210028

LINA MARLINA.NY

4.509.022,00

587

15I03581

14-09-2015

1509140298

AZIS EFENDI,TN

588

15I03587

14-09-2015

1509140229

IKEM,NY

589

15I03596

14-09-2015

1509140023

ASEP BIN NASEM,TN

208.800,00

590

15I03601

14-09-2015

1509140306

NOVITASARI, NN

172.200,00

591

15I03615

14-09-2015

1509140315

SURYA HERMAWAN, TN

344.100,00

592

15I03617

14-09-2015

1509140192

MAYA APRIANI,NN

175.000,00

593

15I03618

14-09-2015

1509120092

REFTI TRI UTAMI.NN

594

15I03619

14-09-2015

1509140314

WASLIHAN, NY

595

15I03625

14-09-2015

1509120083

SOPIAH,NY

14.800,00

596

15I03628

14-09-2015

1509140022

ALIYAH,NY

218.500,00

597

15I03630

14-09-2015

1509140300

DESSI INDRASWARI, NN

218.500,00

598

15I03633

14-09-2015

1508290115

CHAIRUL IMAM,AN

599

15I03638

14-09-2015

1509140249

EHUD BENJAMIN ,TN

600

15I03644

14-09-2015

1509140226

IWAN SANTOSO,TN

625.000,00

601

15I03645

14-09-2015

1509140286

MAHFUD GANA,TN

153.700,00

602

15I03652

14-09-2015

1509140100

KIKI SAKINAH,AN

137.300,00

603

15I03661

14-09-2015

1509140327

FUJI FUJIAWATI,NN

300.000,00

604

15I03663

14-09-2015

1509140278

EDWAR PETER S, TN

133.200,00

605

15I03676

14-09-2015

1509110002

EEN SUMARNI,NY

606

15I03678

14-09-2015

1509120033

NURUL F,NN

14.800,00

607

15I03681

14-09-2015

1509140241

NGATINI,NY

222.900,00

608

15I03693

14-09-2015

1509140340

SISWATI,NN

764.000,00

609

15I03694

14-09-2015

1509140316

SAKINATUN AMALIYAH, NY

320.700,00

610

15I03704

14-09-2015

1509110223

FIRZI ELFAIRUZ,AN (pasien APS),14/09/15

611

15I03709

14-09-2015

1508150047

UJU BT SOIN,HJ,NY

612

15I03712

14-09-2015

1509140292

REZA CAHYA P, AN

613

15I03713

14-09-2015

1509140255

UNTUNG, TN

614

15I03727

14-09-2015

1509140363

AUFA RIZQI M.AN

615

15I03728

14-09-2015

1509140364

RUDIANTO,TN

616

15I03729

15-09-2015

1509140365

AJI KUSWANTO,TN

No Transfer

2.030.406,00

95.000,00
215.300,00
54.600,00

547.700,00
5.933.400,00
387.200,00
175.000,00
1.306.900,00

310.400,00
38.500,00

14.800,00
181.900,00

8.222,00
16.400,00

14.800,00

1.249.620,00
33.533.200,00
95.000,00
95.000,00
568.800,00
40.000,00
561.600,00
SITIRJ

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

617

15I03730

15-09-2015

1509140070

ALI USMAN,TN

50.000,00

618

15I03738

15-09-2015

1509150091

M RAFKA MAHENDRA, AN

90.000,00

619

15I03739

15-09-2015

1509150046

SRI DWI ASTUTI,NY

620

15I03740

15-09-2015

1509150055

SELVIA HALIMATHUL O.NY

621

15I03741

15-09-2015

1509130010

KIKI SAKINAH,AN

36.500,00

622

15I03744

15-09-2015

1508310342

INTAN RESKA,NN

75.900,00

623

15I03745

15-09-2015

1509090214

YOFAN, TN

624

15I03749

15-09-2015

1509150076

TRI INDRACAHYANI, NN

625

15I03752

15-09-2015

1509120197

NUR FITRI A. NN

626

15I03753

15-09-2015

1509100006

ROSYDHATUL P A,AN

627

15I03757

15-09-2015

1509150111

ANANDITO GAMA F.P 01

160.000,00

628

15I03770

15-09-2015

1509150089

H.IDING ABIDIN,TN

508.000,00

629

15I03772

15-09-2015

1509120053

MARYANI,NY

630

15I03777

15-09-2015

1509150044

KASMINAH RAHAYU,NY

109.700,00

631

15I03781

15-09-2015

1509150019

DEDE SOFIAN,TN

542.600,00

632

15I03788

15-09-2015

1509150101

UJU BT SOIN,HJ,NY

460.000,00

633

15I03795

15-09-2015

1509150120

HAMDAN, AN

634

15I03796

15-09-2015

1509130007

ENCUM SUMIATI,NY

635

15I03807

15-09-2015

1509150117

RINA MUKAROMAH,NY

347.200,00

636

15I03811

15-09-2015

1509150183

ALFIN KHOIRUL U,AN

187.700,00

637

15I03813

15-09-2015

1509150194

ENCID BT NARMAN,NY

534.200,00

638

15I03814

15-09-2015

1509100210

TASAN S,TN

26.900,00

639

15I03823

15-09-2015

1509150203

ABDULOH 04

95.000,00

640

15I03824

15-09-2015

1509150205

WAHYU GUSTI.P 05

95.000,00

641

15I03825

15-09-2015

1509150206

AHMAD HIDAYAT 06

95.000,00

642

15I03826

15-09-2015

1509150208

RIZAL HIDAYAT 07

95.000,00

643

15I03829

15-09-2015

1509150211

ROKHMAT MUNGALIM 08

644

15I03830

15-09-2015

1509150204

WAHYU ADHIE C, TN

645

15I03833

15-09-2015

1509110179

DINA APRIYANTI,NY,BY

646

15I03834

15-09-2015

1509130070

ELSA LIYANA A,AN

647

15I03835

15-09-2015

1509150094

GALUH YASIN MUBAROK,TN

348.900,00

648

15I03845

15-09-2015

1509150135

SULASTRI WIBISARI,NN

994.900,00

649

15I03849

15-09-2015

1509090267

ARIYANTO.TN

650

15I03858

15-09-2015

1509150246

WATI NURCHAYATI 09

651

15I03864

15-09-2015

1508200022

DEWI SUSILAWATI,NY

652

15I03909

15-09-2015

1509150253

MININ,TN

197.700,00

653

15I03911

15-09-2015

1509150226

MARYANI.NY

585.000,00

654

15I03921

15-09-2015

1509150125

GOA,TN

144.400,00

655

15I03925

15-09-2015

1509150279

SITI PUTRI NURYATI.NN

650.000,00

656

15I03928

15-09-2015

1509150270

RAHMAT PERMANA.TN

657

15I03929

15-09-2015

1509150250

NURHASANAH.NN

211.900,00

658

15I03933

15-09-2015

1509150275

KOBTIAH, NY

207.900,00

659

15I03937

15-09-2015

1509140058

DEWANTHO RISQI P.AN

660

15I03958

15-09-2015

1509150281

NURYANI, NY

661

15I03961

15-09-2015

1509150284

KARMILA.NY

119.200,00

662

15I03970

15-09-2015

1509150289

KOMSINAH.NY

320.400,00

663

15I03973

15-09-2015

1509150303

RIZKA YULIANI.NN

500.300,00

664

15I04025

16-09-2015

1509160059

ADETIA SETIAWAN 03

665

15I04027

16-09-2015

1509160005

WARSONO.TN

666

15I04031

16-09-2015

1509160087

DEDI MULYANA 04

125.000,00

667

15I04038

16-09-2015

1509160103

NURUL LINARYATI 05

125.000,00

668

15I04045

16-09-2015

1509160092

MAHIRA HASNA A, AN

669

15I04049

16-09-2015

1509160051

LIA MARLIAH.NY

670

15I04054

16-09-2015

1509160130

DEDE MARDANI 07

95.000,00

671

15I04055

16-09-2015

1509160131

DANI RAIS 08

95.000,00

672

15I04058

16-09-2015

1509010290

DWI ANGGRAENI,NN

36.600,00

No Transfer

90.000,00
319.400,00

90.000,00
231.200,00
305.323,00
3.006.400,00

14.800,00

218.600,00
3.631.800,00

125.000,00
60.000,00
1.598.900,00
87.114,00

46.300,00
125.000,00
8.222,00

50.000,00

14.800,00
245.000,00

160.000,00
1.502.400,00

97.300,00
133.300,00

NOER

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

673

15I04060

16-09-2015

1509160104

M REZA FAHLEVI, AN

403.700,00

674

15I04062

16-09-2015

1509160091

URSULA WAYAN S,SE,NY

408.900,00

675

15I04063

16-09-2015

1509160033

M LUTFI AL MUNAWAR, AN

279.900,00

676

15I04066

16-09-2015

1509160122

NYAI, NY

611.200,00

677

15I04067

16-09-2015

1509140049

NAYEM,NY

678

15I04070

16-09-2015

1509130043

IKAH ATIKAH,NY

234.746,00

679

15I04081

16-09-2015

1509160137

WIRANATA,TN

344.100,00

680

15I04082

16-09-2015

1509160032

ADE SETIA R, TN

215.400,00

681

15I04083

16-09-2015

1509160121

SUTIRAH,NY

267.000,00

682

15I04084

16-09-2015

1509160040

DIDI MARWADI,TN

149.200,00

683

15I04089

16-09-2015

1509160106

RATNA, NY

726.800,00

684

15I04096

16-09-2015

1509160013

YULI SUCIYANTI.NY

373.600,00

685

15I04104

16-09-2015

1509160117

ASAN BIN SANAN, TN

592.400,00

686

15I04116

16-09-2015

1509160119

PARSUJI, TN

302.700,00

687

15I04124

16-09-2015

1509160196

INE SINTIAH,NN

688

15I04125

16-09-2015

1509160175

SAUDI SOLEH,TN

689

15I04137

16-09-2015

1509160160

EVIYANA,NY

690

15I04173

16-09-2015

1509150054

ENDEH SURYANI,NY

691

15I04183

16-09-2015

1509160220

EVI KURNIASIH,NN

270.000,00

692

15I04186

16-09-2015

1509160015

UDIN SAMSUDIN E, H, TN

823.700,00

693

15I04187

16-09-2015

1509160172

YUSUP FAIZAL.TN

377.400,00

694

15I04189

16-09-2015

1509160212

PURBADI, TN

695

15I04191

16-09-2015

1509160207

MA'RUFAH, NN

102.000,00

696

15I04207

16-09-2015

1509160250

SURYATI,NN

219.900,00

697

15I04215

16-09-2015

1509100319

SITI ROCMAH,NY

120.000,00

698

15I04233

16-09-2015

1509160234

SAPRIAH,NY

257.100,00

699

15I04247

16-09-2015

1509160232

M.SOLEH.TN

1.592.700,00

700

15I04248

16-09-2015

1509160247

SRI AGUSTINAH, HJ,NY

144.400,00

701

15I04259

16-09-2015

1509160251

NENDI,TN

483.900,00

702

15I04262

17-09-2015

1509170009

AGUSTINI.NN

588.300,00

703

15I04263

17-09-2015

1509170010

SOPHAN WARDANA.TN

264.400,00

704

15I04270

17-09-2015

1509170032

SRI DWI ASTUTI,NY

705

15I04280

17-09-2015

1509170026

NENAH SUHAENAH,NY

706

15I04305

17-09-2015

1507300081

SUNANDAR,TN

707

15I04306

17-09-2015

1509170047

FAJAR MAULANA,AN

708

15I04316

17-09-2015

1509170082

EMOT,NY

709

15I04317

17-09-2015

1509150031

SYAFIRA EKA NURHAURA,NN

710

15I04319

17-09-2015

1509150312

ERNIH.NY

260.628,00

711

15I04332

17-09-2015

1509170115

NAUVAL HANAFI,TN

158.600,00

712

15I04336

17-09-2015

1509170157

SAMSUL ARIFIN 14

160.000,00

713

15I04337

17-09-2015

1509170156

ROSMALIYAH 13

160.000,00

714

15I04339

17-09-2015

1509170142

DESI HANDAYANI, NY

247.200,00

715

15I04346

17-09-2015

1509170131

TIMAN BIN SAKEM, TN

134.000,00

716

15I04347

17-09-2015

1509170123

AGUS KRISTIONO, TN

354.300,00

717

15I04383

17-09-2015

1509170070

RINDI ANTIKA,NY

632.700,00

718

15I04393

17-09-2015

1509170185

TABAH RIANTO.TN

705.600,00

719

15I04402

17-09-2015

1509170194

TEGUH SANTOSO,TN

150.000,00

720

15I04415

17-09-2015

1509170060

YULIANUS ALUPAN,TN

374.700,00

721

15I04420

17-09-2015

1509170203

NENENG HASANAH,NY

208.800,00

722

15I04427

17-09-2015

1509170233

SARTO,TN

723

15I04432

17-09-2015

1509170222

OOM BT RIMIN,NY

281.800,00

724

15I04441

17-09-2015

1509170240

CAHYA ALIM AISYAH,AN

189.300,00

725

15I04465

17-09-2015

1509170209

A GHOYALI M,TN

95.000,00

726

15I04470

17-09-2015

1509170261

ZOEL AVIANTO,TN

50.000,00

727

15I04481

17-09-2015

1509170213

MARLINAH,NY

317.800,00

728

15I04483

17-09-2015

1509170258

FITRIANA,NY

245.000,00

No Transfer

14.800,00

90.000,00
359.400,00
230.200,00
4.673.800,00

86.250,00

65.000,00
660.900,00
5.339.808,00
218.300,00
265.100,00
5.850.000,00

60.000,00

YANTI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

729

15I04498

17-09-2015

1509170260

SITI MARSITA,NY

225.000,00

730

15I04506

17-09-2015

1509170279

M WESTA AKRAM,AN

270.500,00

731

15I04509

17-09-2015

1509170288

EKO SETIAWAN,TN

540.100,00

732

15I04512

18-09-2015

1509170292

M SAIF ALHASANY,AN

733

15I04545

18-09-2015

1509180051

RUMSIH,NY

226.300,00

734

15I04546

18-09-2015

1509180044

ROHMAN RUKMANA,TN

182.500,00

735

15I04552

18-09-2015

1509180027

RINDI ANTIKA,NY

177.800,00

736

15I04558

18-09-2015

1509180049

YAYAH HOLILAH, NY

201.200,00

737

15I04562

18-09-2015

1509180054

SOHIBAH,NY

143.600,00

738

15I04576

18-09-2015

1509180098

RIYATIN, NN

202.400,00

739

15I04583

18-09-2015

1509180125

OYEN,H,TN

276.100,00

740

15I04599

18-09-2015

1509180019

NOOR TITI, NY

685.000,00

741

15I04600

18-09-2015

1509160109

MINTARSIH,NY

1.958.900,00

742

15I04602

18-09-2015

1509180130

EVA HARDINI,NY

298.100,00

743

15I04609

18-09-2015

1509180111

SASMITA, TN

807.800,00

744

15I04610

18-09-2015

1509180136

DINA APRIYANTI,NY

219.400,00

745

15I04611

18-09-2015

1509140361

M YAHYA,TN

720.000,00

746

15I04618

18-09-2015

1509180121

HENGKY WIDODO,TN

747

15I04624

18-09-2015

1509170277

PUTRA AKBAR S,AN

748

15I04627

18-09-2015

1509180155

ALBI SAPTA AJI,AN

749

15I04634

18-09-2015

1509150293

SITI NURAENI,NY

750

15I04636

18-09-2015

1509160236

SITI NURAENI,NY,BY

751

15I04639

18-09-2015

1509180091

ANWAR SUMEDI,TN

752

15I04642

18-09-2015

1509160176

SYAEFUDIN HIDAYAT, TN

753

15I04650

18-09-2015

1509180172

SUKIRAH,NY

272.800,00

754

15I04654

18-09-2015

1509180175

JUELNA THIMOHI,NN

249.700,00

755

15I04655

18-09-2015

1509150108

EKA PARMI, NY

756

15I04656

18-09-2015

1509160235

EKA PARMI,NY,BY

761.300,00

757

15I04657

18-09-2015

1509180167

TEDDY, TN

163.780,00

758

15I04659

18-09-2015

1509180050

SUNARTI,NY

277.000,00

759

15I04670

18-09-2015

1509180083

PARSUJI, TN

3.095.800,00

760

15I04672

18-09-2015

1509180181

ROMDANI,H,TN

761

15I04674

18-09-2015

1509180199

RUKIAH,NY

762

15I04675

18-09-2015

1509160145

RISKA WATI AS, NY

763

15I04676

18-09-2015

1509160181

RISKA WATI,NY,BY

647.300,00

764

15I04691

18-09-2015

1509180198

ROMDANI,H,TN

156.300,00

765

15I04706

18-09-2015

1509120308

ROMSIH,NY

766

15I04709

18-09-2015

1509180089

AHMAD HAITAMI,TN

348.500,00

767

15I04710

18-09-2015

1509180090

ENCEP, TN

190.700,00

768

15I04711

18-09-2015

1509180188

OOM BT RIMIN,NY

166.000,00

769

15I04719

18-09-2015

1509180133

ALOYSIUS HARYANTO,TN

179.700,00

770

15I04723

18-09-2015

1509180231

ROBBY DARMAWAN,AN

482.100,00

771

15I04726

18-09-2015

1509180232

BENI NUPIANSYAH,TN

565.600,00

772

15I04736

18-09-2015

1509180202

HANIPAH,NY

773

15I04744

18-09-2015

1509180247

TEGUH PURNOMO,TN

774

15I04745

19-09-2015

1509180248

ROKEN JIMMY,TN

775

15I04746

19-09-2015

1509190003

SUHENDRO,TN

776

15I04749

19-09-2015

1509190004

BAMBANG SULISTIYO,TN

777

15I04769

19-09-2015

1509190035

CATARINA Y, NY

165.500,00

778

15I04775

19-09-2015

1509190082

SELVIA HALIMATHUL O.NY

278.600,00

779

15I04776

19-09-2015

1509190095

LILIS KARLINA,NY

212.600,00

780

15I04777

19-09-2015

1509190049

AGUSTIADI.TN

401.800,00

781

15I04804

19-09-2015

1509190122

NURI ASIH SUCI P, NN

50.000,00

782

15I04806

19-09-2015

1509120294

SLAMET SUWANDI,TN

13.133.300,00

783

15I04810

19-09-2015

1509190110

DADANG ZAJULI,TN

153.700,00

784

15I04826

19-09-2015

1509190100

TITIN BT NISAN,NY

542.600,00

No Transfer

95.400,00

10.000,00
1.171.900,00
250.500,00
4.685.001,00
681.300,00
95.000,00
16.806.600,00

6.933.900,00

300.000,00
134.800,00
8.421.200,00

39.500,00

3.453.700,00
35.000,00
726.200,00
489.900,00
1.422.700,00

SITIRJ

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

785

15I04844

19-09-2015

1509190170

ROHMAN RUKMANA,TN

786

15I04848

19-09-2015

1509110015

DINA APRIYANTI,NY

787

15I04857

19-09-2015

1509190205

ANEN J, IR, TN

531.700,00

788

15I04858

19-09-2015

1509190188

SRI AYU LESTARI.NN

426.200,00

789

15I04862

19-09-2015

1509190214

M HADYAN A.AN

547.000,00

790

15I04879

19-09-2015

1509190240

SUYONO.TN

791

15I04880

19-09-2015

1509190248

RISA NURSEHA,NY

345.900,00

792

15I04881

19-09-2015

1509190237

HENDRA ISKANDAR,TN

214.500,00

793

15I04882

19-09-2015

1509190204

REZKY ADITYA, AN

426.800,00

794

15I04883

19-09-2015

1509190207

ADRIAN HAFIZ A.AN

344.900,00

795

15I04901

19-09-2015

1509190241

FITRI AMELIA,NN

309.700,00

796

15I04907

19-09-2015

1509190264

DEVI AGUSTIANI,NN

150.200,00

797

15I04908

19-09-2015

1509190281

AQILAH BILQIS H.AN

798

15I04910

19-09-2015

1509170001

ELSA ENJELIKA.AN

1.694.800,00

799

15I04916

19-09-2015

1509170193

MEIVI NORI,NY,BY

2.647.900,00

800

15I04919

19-09-2015

1509190096

PARSUJI, TN

801

15I04944

19-09-2015

1509100239

JOHAN.TN

802

15I04953

19-09-2015

1509190300

RIRIS N S,NN

134.600,00

803

15I04954

19-09-2015

1509190031

WISNU RIYADI N, TN

124.200,00

804

15I04988

19-09-2015

1509190298

EMOT,NY

135.700,00

805

15I04992

19-09-2015

1509190285

YUYUN K,NY

389.700,00

806

15I05005

19-09-2015

1509190208

RUKIAH,NY

807

15I05013

19-09-2015

1509190315

IYOS,NY

163.100,00

808

15I05022

20-09-2015

1509200008

LESTI TRIWINOTO, NN

135.100,00

809

15I05031

20-09-2015

1509150268

KARMILA. NY

810

15I05032

20-09-2015

1509200036

AZURA NARPA T, AN

811

15I05037

20-09-2015

1509180224

IDAR KURNIASIH,NY,BY

1.640.800,00

812

15I05042

20-09-2015

1509170290

HERMAN,TN

3.091.400,00

813

15I05043

20-09-2015

1509200013

SALWA NABILA,AN

389.100,00

814

15I05045

20-09-2015

1509200037

ROSYDHATUL P A,AN

160.000,00

815

15I05050

20-09-2015

1509190261

IIP SYARIFUDIN,TN

307.498,00

816

15I05070

20-09-2015

1509200057

AJI SARWONO,TN

169.500,00

817

15I05072

20-09-2015

1509200056

INTAN MUTIARA,NN

631.900,00

818

15I05073

20-09-2015

1509200058

IDA FARIDA,NY

310.000,00

819

15I05079

20-09-2015

1509200068

EKO NUR K, TN

198.400,00

820

15I05080

20-09-2015

1509200070

DEDIN,TN

504.300,00

821

15I05081

20-09-2015

1509200071

ASEP SUGANDA,TN

822

15I05092

21-09-2015

1509200074

ASEP JUANDI S,TN

1.134.200,00

823

15I05095

21-09-2015

1509200078

TRI VHITALHOKA,NY

1.321.201,00

824

15I05098

21-09-2015

1509180140

ARYA PASHA PURWA R,AN

825

15I05101

21-09-2015

1509190216

LATIFAH,NY

243.826,00

826

15I05104

21-09-2015

1509210106

DONI ALVIAN 01

160.000,00

827

15I05105

21-09-2015

1509210107

SETYOWATI 02

160.000,00

828

15I05106

21-09-2015

1509210109

DIAH AYU. M 03

160.000,00

829

15I05109

21-09-2015

1509150285

EDI PURWANTO.TN

850.000,00

830

15I05114

21-09-2015

1509210128

IMAM SAROJI 04

160.000,00

831

15I05115

21-09-2015

1509210130

FAISAL 05

160.000,00

832

15I05116

21-09-2015

1509210131

AIS SUSANTO 06

160.000,00

833

15I05117

21-09-2015

1509210135

CINDY YULIANA 08

125.000,00

834

15I05118

21-09-2015

1509210133

IAN ANDRIYANA 07

125.000,00

835

15I05119

21-09-2015

1509210113

OKI INDRIANA, NN

264.900,00

836

15I05120

21-09-2015

1509210148

SAEFUL BAHRI 09

160.000,00

837

15I05161

21-09-2015

1509210034

MADHADI, TN

542.600,00

838

15I05170

21-09-2015

1509210183

KUSNO HADI 11

284.000,00

839

15I05173

21-09-2015

1509210125

SITI NURAENI,NY,BY

85.000,00

840

15I05174

21-09-2015

1509210175

ROHMAH,HJ,NY

40.000,00

No Transfer

616.700,00
4.429.079,00

40.000,00

153.900,00

134.500,00
1.575.932,00

85.000,00

86.900,00
101.500,00

85.600,00

41.400,00

NENI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

841

15I05175

21-09-2015

1509210161

FHABYAN AR,AN

842

15I05176

21-09-2015

1509210200

RUSMIYATI, NY

843

15I05178

21-09-2015

1509210147

SHERYL DAESYA, AN

844

15I05185

21-09-2015

1509210116

MEIVI NORI,NY,BY

845

15I05200

21-09-2015

1509140073

MUFRAENI,TN

846

15I05204

21-09-2015

1509190098

SITI AMINAH,NY

847

15I05207

21-09-2015

1509150169

DAUD, TN

120.000,00

848

15I05209

21-09-2015

1509180217

JAMILAH,NY

234.746,00

849

15I05238

21-09-2015

1509210229

QUANTUM MYIESHA Z,AN

239.200,00

850

15I05239

21-09-2015

1509210176

MARWATI, NY

851

15I05270

21-09-2015

1509210239

EKO INDRAWAN,TN

852

15I05275

21-09-2015

1509090260

NYANIH,NY (Alm)

853

15I05276

21-09-2015

1509210011

YAHYA BIN H.S,TN

854

15I05278

21-09-2015

1509180099

SURATMAN.TN

855

15I05283

21-09-2015

1509210079

ASAN BIN SANAN, TN

856

15I05303

21-09-2015

1509170113

TOHIR, TN

857

15I05326

21-09-2015

1509210275

MEIDA NURJANAH,NY

235.000,00

858

15I05333

21-09-2015

1509210291

YENI.NY

245.000,00

859

15I05361

21-09-2015

1509210300

RONA AFIFAH, NY

307.800,00

860

15I05400

21-09-2015

1509210122

FAJAR ANGGARA, TN

229.200,00

861

15I05414

21-09-2015

1509210358

ADI SUCIPTO.TN

144.400,00

862

15I05415

22-09-2015

1509220002

FAHRUL FAUZI F.TN

863

15I05418

22-09-2015

1509160249

YOYOH,HJ,NY

864

15I05421

22-09-2015

1509210167

JAMALUDIN, TN

865

15I05422

22-09-2015

1509180101

RUSLINYANTI,NN

866

15I05425

22-09-2015

1509220104

OKTI KHOTIMAH 01

160.000,00

867

15I05432

22-09-2015

1509220111

GUNAWAN 02

125.000,00

868

15I05438

22-09-2015

1509210317

TEDDY HARYANTO,TN

135.900,00

869

15I05458

22-09-2015

1509220021

CECEP.TN

199.000,00

870

15I05463

22-09-2015

1509220019

AMAD TAURINA,TN

316.900,00

871

15I05467

22-09-2015

1509220084

NUNUNG J, HJ,NY

102.500,00

872

15I05471

22-09-2015

1509220013

LIAH,NY

112.100,00

873

15I05479

22-09-2015

1509220030

DWI WIDIYATMI.NY

625.000,00

874

15I05481

22-09-2015

1509220082

YUDA AKBAR,TN

229.400,00

875

15I05498

22-09-2015

1509220066

FAILA AFIFAH.AN

876

15I05506

22-09-2015

1509180144

TIKA FEBRIANTI, NN

877

15I05526

22-09-2015

1509220206

WAHYU PERATOMO,TN

878

15I05558

22-09-2015

1509200017

EMIH BT RISIN.NY.BY

1.671.701,00

879

15I05562

22-09-2015

1509220213

SRI AYU LESTARI.NN

150.000,00

880

15I05563

22-09-2015

1509220185

SELVIANA,NY

381.800,00

881

15I05565

22-09-2015

1509220027

M ARIF BILAL, AN

210.100,00

882

15I05597

22-09-2015

1509220088

SITI NURAENI,NY

256.700,00

883

15I05598

22-09-2015

1509220224

CAMAH,NY

272.440,00

884

15I05625

22-09-2015

1509220100

SARNAH, NY

513.600,00

885

15I05633

22-09-2015

1509220095

KANTI BT SALIM, NY

88.300,00

886

15I05637

22-09-2015

1509160053

HERI HERMAWAN,TN

41.576,00

887

15I05655

22-09-2015

1509220205

TEDDY, TN

888

15I05670

22-09-2015

1509220304

SRI AYU LESTARI.NN

130.000,00

889

15I05671

22-09-2015

1509220283

AYU LESTARI, NN

144.400,00

890

15I05680

22-09-2015

1509220257

MASAN.TN

153.700,00

891

15I05689

22-09-2015

1509220293

SYAEFUDIN HIDAYAT, TN

173.600,00

892

15I05704

22-09-2015

1509220133

SURATMAN.TN

893

15I05739

23-09-2015

1509220319

SIGIT SATRIYA.TN

504.700,00

894

15I05740

23-09-2015

1509220320

TAMAJUNI PRANATIP.TN

731.500,00

895

15I05762

23-09-2015

1509230101

NURHAKIKI,NY

896

15I05771

23-09-2015

1509230127

ANGGI MARTHA SETYA 02

No Transfer

206.900,00
90.000,00
118.000,00
85.000,00
7.109.153,00
2.800,00

95.000,00
379.500,00
85.000,00
1.084.700,00
60.000,00
346.300,00
95.000,00

516.000,00
1.000.000,00
267.460,00
95.000,00

302.000,00
1.072.594,00
311.300,00

85.000,00

85.000,00

50.000,00
160.000,00
NENI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

897

15I05776

23-09-2015

1509230126

SURADIMAN,TN

898

15I05779

23-09-2015

1509230013

MARIA E INDRIA W,NY

899

15I05780

23-09-2015

1509230012

ALOYSIUS HARYANTO,TN

208.100,00

900

15I05797

23-09-2015

1509230156

SRI AYU LESTARI.NN

130.000,00

901

15I05798

23-09-2015

1509230136

ROHMAH,HJ,NY

40.000,00

902

15I05816

23-09-2015

1509230121

JAMALUDIN, TN

395.100,00

903

15I05820

23-09-2015

1509230152

SATRIA WIJAYA S,TN

126.500,00

904

15I05835

23-09-2015

1509230061

CECEP HERIYANTO,TN

386.900,00

905

15I05840

23-09-2015

1509230161

PARSUJI, TN

172.600,00

906

15I05842

23-09-2015

1509230033

BAHTIAR AHMAD,TN

907

15I05843

23-09-2015

1509230151

SUPRIYANDI,TN

251.900,00

908

15I05849

23-09-2015

1509230166

SUKIRAH,NY

409.000,00

909

15I05857

23-09-2015

1509120100

SITI AMINAH,HJ,NY

910

15I05867

23-09-2015

1509150298

NURHAYATI,HJ,NY

5.841.540,00
1.285.000,00

No Transfer

50.000,00
20.400,00

2.100,00

1.323,00

911

15I05871

23-09-2015

1509220313

NAURA FEBRIYANTI,AN

912

15I05874

23-09-2015

1509230204

JUMIATI,NN

241.000,00

913

15I05899

23-09-2015

1509230179

SATRIA FARREL A, AN

237.200,00

914

15I05901

23-09-2015

1509230215

EGA READYNAL P.TN

915

15I05902

23-09-2015

1509230208

SITI NUR AIDA.NY

916

15I05903

23-09-2015

1509230214

JIONO.TN

917

15I05928

23-09-2015

1509230153

JUBAEDAH,NY

918

15I05930

23-09-2015

1509230237

EDIE YUSTIANTO.TN

919

15I05932

23-09-2015

1509230181

JIMI PERMANA P,TN

920

15I05940

23-09-2015

1509230234

HAMDENAH,NY

921

15I05942

23-09-2015

1509230240

M FAIS,AN

160.500,00

922

15I05943

24-09-2015

1509240005

OKKY HIDAYANTO.TN

176.500,00

923

15I05946

24-09-2015

1509160127

NAYEM BT TAYUM.NY

306.835,00

924

15I05947

24-09-2015

1509120080

IJAH SITI K,NY

925

15I05949

24-09-2015

1509240032

EDI WINARNO,TN

150.000,00

926

15I05952

24-09-2015

1509240033

ENILIYA, NY

178.100,00

927

15I05953

24-09-2015

1509240035

SONI AJI,TN

179.000,00

928

15I05954

24-09-2015

1509240013

NITA AGUSTINA.NY

326.400,00

929

15I05955

24-09-2015

1509220314

CAMAH,NY

5.997.400,00

930

15I05956

24-09-2015

1509220042

DINA DWI A, NN

1.050.000,00

931

15I05976

24-09-2015

1509210331

ACAH,NY

932

15I05985

24-09-2015

1509220003

ADINDA PUTRI M.AN

933

15I05988

24-09-2015

1509220288

KUSNO PRATIKO.TN (Alm)

285.000,00

934

15I06011

24-09-2015

1509240076

ANY PUJIASTUTI,NN

202.700,00

935

15I06012

24-09-2015

1509240074

ASEP KAERUDIN,TN

557.700,00

936

15I06025

25-09-2015

1509250003

ALDAN NENDRA,AN

129.000,00

937

15I06028

25-09-2015

1509250036

MAHIRA DZIKRA.AN

122.300,00

938

15I06029

25-09-2015

1509250053

IMAM HARYANTO,TN

196.400,00

939

15I06030

25-09-2015

1509250068

EVA AZZARA 01

221.000,00

940

15I06033

25-09-2015

1509250021

SABRIH,TN

833.100,00

941

15I06043

25-09-2015

1509250040

EMOT,NY

253.400,00

942

15I06050

25-09-2015

1509250046

KUSLIANDARI, NY

943

15I06051

25-09-2015

1509250026

TIKA FEBRIANTI, NN

944

15I06062

25-09-2015

1509250086

TRI INDRACAHYANI, NN

945

15I06065

25-09-2015

1509220286

KANIM, SPD, TN

946

15I06072

25-09-2015

1509230109

LUKMAN FADLI,TN

947

15I06073

25-09-2015

1509240015

EKA A.NY.BY

948

15I06083

25-09-2015

1509250146

NUR SALIM, TN

280.000,00

949

15I06097

25-09-2015

1509250131

WULANDARI,NY

330.900,00

950

15I06102

25-09-2015

1509250142

WINDA GRASELLA,NY

245.000,00

951

15I06104

25-09-2015

1509250124

AYU HUSNA W,AN

255.600,00

952

15I06123

25-09-2015

1509250133

ETI BT DIMIN,NY

242.200,00

5.000,00
27.300,00
5.000,00
2.405.100,00
316.800,00
10.000,00
1.060.200,00

95.000,00

39.495,00
2.681.400,00

69.500,00
202.800,00
191.500,00
7.302.900,00
900.000,00
1.623.200,00

ENENG

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

953

15I06124

25-09-2015

1509240004

UMIATUN.NY

954

15I06184

25-09-2015

1509250226

IPAT FATIMAH,NN

955

15I06198

25-09-2015

1509220296

SUHENDAR, TN

956

15I06205

25-09-2015

1509250060

ILIA NUR KHOLIFAH,AN

265.000,00

957

15I06210

25-09-2015

1509250174

NABILAH NUR D,AN

166.700,00

958

15I06232

25-09-2015

1509250219

KAYLLA A.P, AN

448.700,00

959

15I06234

25-09-2015

1509250245

SIGIT BUHORI,AN

251.100,00

960

15I06245

26-09-2015

1509260047

NENTI,NY

302.900,00

961

15I06253

26-09-2015

1509260110

DESTI EKA RIANI 01

125.000,00

962

15I06254

26-09-2015

1509260109

FAHRUL FAUZI F.TN

321.200,00

963

15I06255

26-09-2015

1509260114

SITI NURWAQIAH.NN

343.000,00

964

15I06256

26-09-2015

1509260134

ANA,NN

965

15I06258

26-09-2015

1509220087

MULYANTI, NY

275.344,00

966

15I06297

26-09-2015

1509260020

H.A.SALIM, TN

324.400,00

967

15I06298

26-09-2015

1509260076

H.A.SALIM, TN

251.900,00

968

15I06314

26-09-2015

1509260049

MASWARDI, TN

191.800,00

969

15I06320

26-09-2015

1509260078

ANI MARYANI,NY

362.100,00

970

15I06326

26-09-2015

1509260070

EEM MASAROH,NY

416.900,00

971

15I06340

26-09-2015

1509260164

USWATUN K, NY

467.800,00

972

15I06357

26-09-2015

1509260156

ASAN BIN SANAN, TN

973

15I06367

26-09-2015

1509260209

PUNGKY CAHYO W, TN

974

15I06396

26-09-2015

1509260223

EDAH,NY

52.400,00

975

15I06418

27-09-2015

1509270022

TITIK KRISTIANI, NY

96.500,00

976

15I06419

27-09-2015

1509270021

LASONO, TN

96.500,00

977

15I06421

27-09-2015

1509270023

SARAH, AN

978

15I06422

27-09-2015

1509270019

SUEBAH BT KARYA, NY

979

15I06423

27-09-2015

1509270010

LUNA,NN

980

15I06426

27-09-2015

1509270005

MANIH,NY

150.000,00

981

15I06427

27-09-2015

1509270030

TOMMY AGUS S, TN

250.000,00

982

15I06428

27-09-2015

1509270039

TRISHA ALBENIZ. TN

983

15I06429

27-09-2015

1509270041

N. DEWI R, NN

163.000,00

984

15I06430

27-09-2015

1509270040

WIDA SARYANTI, NN

163.000,00

985

15I06432

27-09-2015

1509260063

AMELIA KONTESA,NY

500.000,00

986

15I06434

27-09-2015

1509240087

NAJWA CHOIRO W,AN

750.000,00

987

15I06437

27-09-2015

1509250122

SUHARTI,NY

241.454,00

988

15I06442

27-09-2015

1509270028

IRHAN AL KANTARA, AN

166.000,00

989

15I06451

27-09-2015

1509270046

SAHID,AN

160.000,00

990

15I06461

27-09-2015

1509270063

AQILA NANDA S,AN

991

15I06462

27-09-2015

1509270067

NILA AKMALIA, NN

143.300,00

992

15I06463

27-09-2015

1509270070

REDO FITRIYANSAH.TN

161.600,00

993

15I06471

27-09-2015

1509270077

YUNITA SARI.NN

994

15I06474

27-09-2015

1509270092

YAYAN MULYANA,TN

995

15I06478

28-09-2015

1509280001

RANDI,TN

996

15I06480

28-09-2015

1509280002

ARI ANDRIYANA,TN

745.300,00

997

15I06481

28-09-2015

1509260007

MAHIRA DZIKRA.AN

2.177.400,00

998

15I06482

28-09-2015

1509280088

RIRIN MARDANI 01

160.000,00

999

15I06499

28-09-2015

1509250137

TATI IRMAWATI,NY

207.134,00

1000

15I06519

28-09-2015

1509280098

HASRI ENGEL ALFRET T, TN

191.500,00

1001

15I06525

28-09-2015

1509280050

RATU ADRIANA K, NN

242.100,00

1002

15I06526

28-09-2015

1509280134

RATU ADRIANA K, NN

1003

15I06529

28-09-2015

1509280030

CAMAH,NY

600.700,00

1004

15I06543

28-09-2015

1509280120

ENUR, NY

897.700,00

1005

15I06545

28-09-2015

1509280049

ASAN BIN SANAN, TN

206.300,00

1006

15I06559

28-09-2015

1509280115

EMOT,NY

241.200,00

1007

15I06561

28-09-2015

1509280103

IDRIS SUGIANTO,TN

359.800,00

1008

15I06565

28-09-2015

1509280141

NANI BT NEMAN, NY

245.000,00

No Transfer

1.887.300,00
50.000,00
60.000,00

52.400,00

85.000,00
129.900,00

96.500,00
273.100,00
1.917.800,00

36.500,00

1.165.800,00

185.300,00
1.075.500,00
599.800,00

65.000,00

SITIRJ

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1009

15I06570

28-09-2015

1509280192

WIJAYANTI U.NN

400.000,00

1010

15I06579

28-09-2015

1509280193

NURHAYATI, NN

125.300,00

1011

15I06584

28-09-2015

1509280183

ADNAN ALESSANDRO,TN

1012

15I06605

28-09-2015

1509230190

NITA,NY,BY

1013

15I06635

28-09-2015

1509260220

ERNI SUGIARTI,NY

241.454,00

1014

15I06639

28-09-2015

1509280201

SITI AMINAH, NY

722.000,00

1015

15I06645

28-09-2015

1509240083

LESTARI,AN

400.000,00

1016

15I06649

28-09-2015

1509250225

DRS. ROYALIH S, TN

400.000,00

1017

15I06650

28-09-2015

1509280188

ENDAH BT ENOH, NY

500.400,00

1018

15I06651

28-09-2015

1509240046

HANA FAIDA I.AN

750.000,00

1019

15I06653

28-09-2015

1509280209

OKIN,TN

1020

15I06656

28-09-2015

1509280249

CARKIM 05

1021

15I06657

28-09-2015

1509280251

ABDUL KARIM,TN

1022

15I06659

28-09-2015

1509280229

NOYOH BT NAIH.NY

542.600,00

1023

15I06663

28-09-2015

1509280224

ODEH,NY

416.900,00

1024

15I06667

28-09-2015

1509280253

DERI METIAS PERMANA 06

65.000,00

1025

15I06668

28-09-2015

1509280254

BAYU SETIO AJI 07

65.000,00

1026

15I06669

28-09-2015

1509280255

ISROLLAH 08

1027

15I06670

28-09-2015

1509280118

MALA BINTI AMID,NY

1028

15I06696

28-09-2015

1509260193

TIKTIK NURMAYANTI,NY

1029

15I06697

28-09-2015

1509260225

TIKTIK N ,NY,BY

680.001,00

1030

15I06715

28-09-2015

1509280259

SAIFUDIN FAJERI, TN

393.900,00

1031

15I06718

28-09-2015

1509280269

MARENDRA DWI P, TN

155.000,00

1032

15I06737

28-09-2015

1509280298

UCU SOLIHAT,NY

328.100,00

1033

15I06770

28-09-2015

1509280336

LUTHFIYYAH NABILAH.A,AN

260.000,00

1034

15I06775

28-09-2015

1509250136

ANITA,NY

241.454,00

1035

15I06777

28-09-2015

1509280309

AYUB MULYADI.AN

209.100,00

1036

15I06779

28-09-2015

1509280343

SITI FAOZAH,NN

1037

15I06791

28-09-2015

1509260009

MUHAMAD FARHAN,AN

1038

15I06793

28-09-2015

1509280300

MINTARSIH,NY

394.200,00

1039

15I06797

28-09-2015

1509280304

HANIPAH,NY

102.100,00

1040

15I06805

28-09-2015

1509280347

SANDI YULYADI.TN

619.800,00

1041

15I06806

28-09-2015

1509280362

SAMUIN H,TN

209.800,00

1042

15I06830

28-09-2015

1509280364

FANY,NN

204.800,00

1043

15I06831

28-09-2015

1509280354

PANJI PRATAMA R,TN

640.000,00

1044

15I06836

29-09-2015

1509290010

HANIFAH,AN

704.100,00

1045

15I06837

29-09-2015

1509290030

ARIFIN ANWAR,TN

1046

15I06840

29-09-2015

1509290064

KINARA, AN

1047

15I06842

29-09-2015

1509270032

KOKOM MALA SARI, NY

1048

15I06844

29-09-2015

1509290082

AGUS HANANTO 01

125.000,00

1049

15I06845

29-09-2015

1509240056

ETIS DWI YANTI,NY

2.096.500,00

1050

15I06848

29-09-2015

1509290066

RATU ADRIANA K, NN

65.000,00

1051

15I06854

29-09-2015

1509290105

ARKHA FAKHRI R.AN

125.000,00

1052

15I06858

29-09-2015

1509290057

FITRI AMELIA,NN

1053

15I06859

29-09-2015

1509270008

ALVIAN BAGAS R,AN

1054

15I06868

29-09-2015

1509290049

FENY U.H,NY

416.900,00

1055

15I06878

29-09-2015

1509290055

ANO HARYONO,TN

153.700,00

1056

15I06879

29-09-2015

1509290048

H MIAN,TN

160.300,00

1057

15I06881

29-09-2015

1509290100

AQILA NANDA S,AN

301.900,00

1058

15I06889

29-09-2015

1509290098

NAURA FEBRIYANTI,AN

344.200,00

1059

15I06890

29-09-2015

1509290124

EMIH BT RISIN.NY.BY

1060

15I06901

29-09-2015

1509290134

ANTON SUGIYANTO,TN

10.000,00

1061

15I06908

29-09-2015

1509290163

NAURA FEBRIYANTI,AN

116.200,00

1062

15I06909

29-09-2015

1509290144

FIQI FARKHANAH,NN

169.600,00

1063

15I06912

29-09-2015

1509290159

EVI SEPTIANI,NN

138.700,00

1064

15I06913

29-09-2015

1509290143

YUNI HARDIYANTI,NN

No Transfer

422.200,00
1.687.775,00

95.000,00
225.000,00
90.000,00

65.000,00
230.000,00
6.872.200,00

160.600,00
3.686.493,00

50.000,00
90.000,00
400.000,00

85.000,00
2.057.901,00

85.000,00

10.000,00
NOER

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1065

15I06923

29-09-2015

1509290131

ALOYSIUS HARYANTO,TN

1066

15I06927

29-09-2015

1509290212

ATMA,TN

191.000,00

1067

15I06934

29-09-2015

1509290188

RIA ANDIEK, TN

260.000,00

1068

15I06935

29-09-2015

1509290152

SUPIYEM,NY

181.800,00

1069

15I06937

29-09-2015

1509290218

FAHMI FAUZI,AN

1070

15I06956

29-09-2015

1509170002

CIPTO S FELIX.TN

1071

15I06996

29-09-2015

1509170188

HENDRI HIDAYAT.TN

1072

15I06997

29-09-2015

1509230003

AHMAD HANAFI,AN

24.810,00

1073

15I07003

29-09-2015

1509260186

ADE INTAN U,NY,BY

1.100.000,00

1074

15I07031

29-09-2015

1509290251

ATU ANIHSAH, HJ, NY

1075

15I07032

29-09-2015

1509290231

NUSIH, TN

185.000,00

1076

15I07033

29-09-2015

1509290179

RAHMAT RAFIK,TN

133.800,00

1077

15I07034

29-09-2015

1509290232

SUMARTI,NY

145.300,00

1078

15I07035

29-09-2015

1509290289

WELLA NEW YEAR 13

65.000,00

1079

15I07036

29-09-2015

1509290285

UDIN BIN CELONG,TN

283.400,00

1080

15I07037

29-09-2015

1509290288

WINDI YOLANDA 12

1081

15I07039

29-09-2015

1509290263

SYAEFUDIN HIDAYAT, TN

1082

15I07040

29-09-2015

1509290287

ULVA NOVITA SARI 11

1083

15I07082

29-09-2015

1509290333

RUSMIATI,NY

261.800,00

1084

15I07083

29-09-2015

1509290330

BUDIMAN, TN

128.400,00

1085

15I07088

29-09-2015

1509290332

FANY,NN

294.200,00

1086

15I07089

29-09-2015

1509290106

EKA PARMI, NY

259.800,00

1087

15I07090

29-09-2015

1509290101

SURATMAN.TN

85.000,00

1088

15I07091

29-09-2015

1509290319

ICAN,TN

1089

15I07092

29-09-2015

1509290325

TEGUH MULYONO,TN

123.200,00

1090

15I07111

29-09-2015

1509290348

ULFA HIMMATUL U,NY

165.000,00

1091

15I07140

29-09-2015

1509290352

IDAH UMIDAH,NN

1092

15I07192

29-09-2015

1509290371

GUTRIYANA.TN

269.100,00

1093

15I07197

30-09-2015

1509300020

ZAINUDIN.TN

900.200,00

1094

15I07200

30-09-2015

1509300037

AWIT BT KAINAN,NY

205.200,00

1095

15I07207

30-09-2015

1509300026

RATU ADRIANA K, NN

65.000,00

1096

15I07211

30-09-2015

1509300087

OYAN SANUSI,H,TN

97.500,00

1097

15I07213

30-09-2015

1509180145

JAEDUN BIN SUHAD,TN

1098

15I07218

30-09-2015

1509300074

OGIN,TN

1099

15I07222

30-09-2015

1509300101

A.HIDAYAT,TN

1100

15I07226

30-09-2015

1509300060

ICAN,TN

1101

15I07232

30-09-2015

1509300130

SHAQILA AZZAHRA,AN

1102

15I07233

30-09-2015

1509280324

ALTHAF.AN

1103

15I07235

30-09-2015

1509300106

KHANZA DHUHA W,AN

1104

15I07238

30-09-2015

1509300082

IDAR KURNIASIH,NY,BY

1105

15I07245

30-09-2015

1509300118

M LUTFI AL MUNAWAR, AN

1106

15I07253

30-09-2015

1509300117

ROSMALA DEWI.NY

211.200,00

1107

15I07261

30-09-2015

1509290004

ADE DARMAWATI, NY (Alm)

335.000,00

1108

15I07266

30-09-2015

1509300142

IIS ISTAWATI, NY

235.600,00

1109

15I07278

30-09-2015

1509300148

HERI KUSWANTO,TN

153.500,00

1110

15I07283

30-09-2015

1509300154

OKI OKTAVIAN,TN

89.600,00

1111

15I07286

30-09-2015

1509300162

SANDI YULYADI.TN

152.800,00

1112

15I07292

30-09-2015

1509290193

FITRI WIDARTI,NY

1113

15I07300

30-09-2015

1509280127

SULAEMAN,TN

1114

15I07311

30-09-2015

1509280124

ECIH BT SUIR, HJ, NY

1115

15I07313

30-09-2015

1509220067

DEDEN SETIAWATI, NY

1116

15I07315

30-09-2015

1509280100

ALIYUDIN,TN

1.372.200,00

1117

15I07344

30-09-2015

1509240006

DIMAS RULLISTIADI,TN

7.171.032,00

1118

15I07348

30-09-2015

1509300213

DEDE ROSANA,TN

147.100,00

1119

15I07349

30-09-2015

1509300215

ITA YULIANA,NN

129.800,00

1120

15I07358

30-09-2015

1509300180

TANUROH, NY

440.600,00

No Transfer

35.200,00

243.400,00
1.348.500,00
16.414.400,00

70.600,00

65.000,00
138.100,00
65.000,00

95.000,00

72.900,00

10.577.900,00
95.000,00
450.200,00
65.000,00
215.900,00
2.056.500,00
159.500,00
85.000,00
277.300,00

241.454,00
1.499.892,00
95.000,00
703.000,00

NENI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1121

15I07361

30-09-2015

1509300066

BINAR GHASSANI M,AN

200.600,00

1122

15I07369

30-09-2015

1509300151

AGUS WIDODO,TN

201.500,00

1123

15I07373

30-09-2015

1509300238

BINAR GHASSANI M,AN

91.200,00

1124

15I07375

30-09-2015

1509300227

LINDA SUSILAWATI,NY

153.700,00

1125

15I07391

30-09-2015

1509300250

RANNY SATICA, NY

154.900,00

1126

15I07392

30-09-2015

1509300174

HOMING,TN

257.300,00

1127

15I07409

30-09-2015

1509300254

NUROHMAN.TN

525.100,00

1128

15I07410

30-09-2015

1509260021

NUNUNG NURYASIH.NY

253.394,00

1129

15I07440

30-09-2015

1509300271

RIFQY ZAUHARY.AN

158.900,00

1130

15J00001

01-10-2015

1509300272

NAI SULASTRI .NY

1131

15J00002

01-10-2015

1509300192

HARI PRASETYADI 12

749.900,00

1132

15J00003

01-10-2015

1510010048

EKO ARIF NUGROHO 01

125.000,00

1133

15J00006

01-10-2015

1510010056

LILIS RISMAYANTI 02

160.000,00

1134

15J00007

01-10-2015

1510010058

AYU SAPUTRI 03

160.000,00

1135

15J00010

01-10-2015

1510010071

NURFIDA FADHIA 04

221.000,00

1136

15J00019

01-10-2015

1510010063

ICAN,TN

1137

15J00021

01-10-2015

1510010102

TRI WARDANA, TN

163.300,00

1138

15J00022

01-10-2015

1510010036

H. OING, TN

218.400,00

1139

15J00024

01-10-2015

1510010031

SITI MARIA ULFAH,NY

833.100,00

1140

15J00030

01-10-2015

1509290345

YUSUP FAIZAL.TN

1141

15J00032

01-10-2015

1509250111

SUBUR ROHMAD.TN

1142

15J00034

01-10-2015

1510010118

TRI WASNO,TN

1143

RFI00001

01-09-2015

1509010006

NY YAYAH

1144

RFI00002

01-09-2015

1509010016

NY CHOLIFAH

163.900,00

1145

RFI00003

01-09-2015

1509010041

TN DAYAT

272.400,00

1146

RFI00004

01-09-2015

1509010109

TN HASAN

36.400,00

1147

RFI00005

01-09-2015

1509010119

TN RAHMAT

64.100,00

1148

RFI00006

01-09-2015

1509010180

NY TANISAH

150.800,00

1149

RFI00007

01-09-2015

1509010181

NY YESI

108.400,00

1150

RFI00008

01-09-2015

1509010252

NY NYAI

1151

RFI00009

01-09-2015

1509010185

DR LUKMAN

1152

RFI00010

01-09-2015

1509010281

NY RINA

16.400,00

1153

RFI00011

01-09-2015

1509010297

AN MEGA

41.600,00

1154

RFI00012

01-09-2015

1509010306

NY WAHYUNI

1155

RFI00014

01-09-2015

1509010310

TN CHOLIL

12.100,00

1156

RFI00015

01-09-2015

1509010314

TN AFAN

23.900,00

1157

RFI00016

01-09-2015

1509010316

TN SARAN

1158

RFI00017

01-09-2015

1509010317

TN YANTI

1159

RFI00018

02-09-2015

1509020032

NY FATIMAH

1160

RFI00019

02-09-2015

1509020055

TN ALLOYSIUS

1161

RFI00020

02-09-2015

1509020057

TN RIDWANTO

46.000,00

1162

RFI00021

02-09-2015

1509020074

NY RATNA SRI M

17.900,00

1163

RFI00022

02-09-2015

1509020131

NY KARMI

31.900,00

1164

RFI00023

02-09-2015

1509020144

NY EEM

36.400,00

1165

RFI00024

02-09-2015

1509020150

NY ATIKAH

69.100,00

1166

RFI00025

02-09-2015

1509020154

NY NURUL FAUZAH

50.500,00

1167

RFI00026

02-09-2015

1509020158

AN KGS M ALIF

63.600,00

1168

RFI00027

02-09-2015

1509020169

NY SULASTRI

53.300,00

1169

RFI00028

02-09-2015

1509020173

TN SARAN

16.100,00

1170

RFI00029

02-09-2015

1509020205

TN MARYANTO

24.200,00

1171

RFI00030

02-09-2015

1509020206

NY ENDANG

17.800,00

1172

RFI00031

02-09-2015

1509020218

TN SANDI

2.700,00

1173

RFI00032

02-09-2015

1509020259

NY YANTI

40.700,00

1174

RFI00033

02-09-2015

1509020266

AN ZAHIRA

14.200,00

1175

RFI00034

02-09-2015

1509020280

NY RISMA

15.700,00

1176

RFI00035

02-09-2015

1509020285

TN ARIF

18.400,00

No Transfer

87.100,00

65.000,00

85.000,00
19.750.500,00
142.100,00
39.400,00

4.900,00
111.300,00

4.200,00

8.400,00
4.200,00
13.800,00
9.000,00

YANTI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1177

RFI00036

02-09-2015

1509020289

RS HARAPAN MULIA

1178

RFI00037

02-09-2015

1509020307

NY KUSTININGSIH

1179

RFI00038

02-09-2015

1509020308

NY WIWI

14.300,00

1180

RFI00039

02-09-2015

1509020311

TN HERY

127.900,00

1181

RFI00040

02-09-2015

1509020313

NY LINDA

9.000,00

1182

RFI00041

02-09-2015

1509020317

TN SAMAN

22.400,00

1183

RFI00042

02-09-2015

1509020319

NY UMI

19.600,00

1184

RFI00043

03-09-2015

1509030009

TN SARAN

16.100,00

1185

RFI00044

03-09-2015

1509030007

NY ATIKAH

29.900,00

1186

RFI00045

03-09-2015

1509030012

NY WULANSARI

29.900,00

1187

RFI00046

03-09-2015

1509030023

TN NASRULLOH

1188

RFI00047

03-09-2015

1509030047

TN SARAN

16.100,00

1189

RFI00048

03-09-2015

1509030168

AN M YUSUF

63.600,00

1190

RFI00049

03-09-2015

1509030188

DR DICKY

80.300,00

1191

RFI00050

03-09-2015

1509030191

AN M ARDAN

32.100,00

1192

RFI00051

03-09-2015

1509030200

NY MAYLISA

39.400,00

1193

RFI00052

03-09-2015

1509030234

TN RIYAN

13.500,00

1194

RFI00053

03-09-2015

1509030253

TN GALIH

1195

RFI00054

03-09-2015

1509030265

BY NY RINA

1196

RFI00055

03-09-2015

1509030267

TN HAMDANI

33.700,00

1197

RFI00056

03-09-2015

1509030270

BY NY IYOS

162.900,00

1198

RFI00057

03-09-2015

1509030282

NY IYOS

1199

RFI00058

03-09-2015

1509030280

NN GINANSIH

1200

RFI00059

03-09-2015

1509030283

TN RAJUL

1201

RFI00060

03-09-2015

1509030285

TN MISTA

1202

RFI00061

03-09-2015

1509030289

NY RUKAYAH

1203

RFI00062

03-09-2015

1509030302

NN DINI

32.000,00

1204

RFI00063

03-09-2015

1509030308

AN RIZKI B

93.600,00

1205

RFI00064

03-09-2015

1509030311

NN PIA

10.500,00

1206

RFI00065

03-09-2015

1509030316

NUNIK

11.200,00

1207

RFI00066

04-09-2015

1509040088

NY TOMI

77.600,00

1208

RFI00067

04-09-2015

1509040096

TN BAMBANG

15.700,00

1209

RFI00068

04-09-2015

1509040102

TN HAMID

39.000,00

1210

RFI00069

04-09-2015

1509040117

TN SARAN

16.100,00

1211

RFI00070

04-09-2015

1509040156

AN KARISSA

63.600,00

1212

RFI00071

04-09-2015

1509040203

NY AGUSTIN

72.700,00

1213

RFI00072

04-09-2015

1509040230

NN RATNA

25.000,00

1214

RFI00073

04-09-2015

1509040261

NY HJ DJIAH

1215

RFI00074

04-09-2015

1509040263

NN ANA HARWATI

1216

RFI00075

04-09-2015

1509040267

TN MIAN

68.400,00

1217

RFI00076

04-09-2015

1509040270

NY RINI

14.000,00

1218

RFI00077

04-09-2015

1509040273

TN DADANG

1219

RFI00078

04-09-2015

1509040291

RS.HOSANA MEDICA

1220

RFI00079

04-09-2015

1509040294

TN ROHIM

9.000,00

1221

RFI00080

04-09-2015

1509040295

TN ROHIM

42.300,00

1222

RFI00081

04-09-2015

1509040300

BY NY NIA

29.100,00

1223

RFI00082

04-09-2015

1509040303

TN REZA

20.500,00

1224

RFI00083

04-09-2015

1509040309

TN RIMBA

61.700,00

1225

RFI00084

04-09-2015

1509040313

NY EKA

16.900,00

1226

RFI00085

05-09-2015

1509050058

NY YATI

8.400,00

1227

RFI00086

05-09-2015

1509050071

TN ANDIK

1228

RFI00087

05-09-2015

1509050118

NY SUSI SUSANTI

12.300,00

1229

RFI00088

05-09-2015

1509050124

NY RISMA

15.700,00

1230

RFI00089

05-09-2015

1509050137

NY RISMA

15.700,00

1231

RFI00090

05-09-2015

1509050148

TN ADUL

1232

RFI00091

05-09-2015

1509050169

NY SITI

No Transfer

132.900,00
13.500,00

4.500,00

23.300,00
162.900,00

16.900,00
4.900,00
12.100,00
10.500,00
150.800,00

18.300,00
107.200,00

29.400,00
129.200,00

8.400,00

11.700,00
282.900,00
NENI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1233

RFI00092

05-09-2015

1509050231

NY SARI

13.500,00

1234

RFI00093

05-09-2015

1509050250

TNB ABDULA H

39.400,00

1235

RFI00094

05-09-2015

1509050271

NN LANI

29.000,00

1236

RFI00095

05-09-2015

1509050300

TN ARIFIN

17.400,00

1237

RFI00096

05-09-2015

1509050306

NY YENI

1238

RFI00097

05-09-2015

1509050308

TN GILANG

172.100,00

1239

RFI00098

05-09-2015

1509050309

APOTIK ANNISA I

429.500,00

1240

RFI00099

05-09-2015

1509050315

NY APRIYANI

1241

RFI00100

05-09-2015

1509050324

NN FITRI

1242

RFI00101

05-09-2015

1509050329

DR YUSTIVANI

34.300,00

1243

RFI00102

05-09-2015

1509050331

NY NIKEN

56.400,00

1244

RFI00103

06-09-2015

1509060005

NY APRIYANI

16.900,00

1245

RFI00104

06-09-2015

1509060006

NY APRIYANI

1246

RFI00105

06-09-2015

1509060011

TN FERRY

1247

RFI00106

06-09-2015

1509060012

NY YATI

16.100,00

1248

RFI00107

06-09-2015

1509060020

TN SARAN

16.100,00

1249

RFI00108

06-09-2015

1509060044

NN LANI

12.900,00

1250

RFI00109

06-09-2015

1509060045

AN MEYLANI

66.300,00

1251

RFI00110

06-09-2015

1509060046

AN AHMAD FARHAN

66.300,00

1252

RFI00111

06-09-2015

1509060047

NY JUARNIH

32.100,00

1253

RFI00112

06-09-2015

1509060049

AN M RIZKI

1254

RFI00113

06-09-2015

1509060054

BAPA REZA

1255

RFI00114

06-09-2015

1509060058

NY EKA AFRIYANI

1256

RFI00115

06-09-2015

1509060060

NY JUJU

4.900,00

1257

RFI00116

06-09-2015

1509060067

TN YOGI

23.800,00

1258

RFI00117

06-09-2015

1509060066

RS HARAPAN KELUARGA

93.600,00

1259

RFI00119

07-09-2015

1509070019

NY YATI

16.100,00

1260

RFI00120

07-09-2015

1509070017

TN SARAN

16.100,00

1261

RFI00121

07-09-2015

1509070104

ZR SEPTI

20.000,00

1262

RFI00122

07-09-2015

1509070136

TN ALI

29.900,00

1263

RFI00123

07-09-2015

1509070155

NY MULANA

39.300,00

1264

RFI00124

07-09-2015

1509070242

NY KATRIN

150.800,00

1265

RFI00125

07-09-2015

1509070249

NY MIMIN

33.800,00

1266

RFI00126

07-09-2015

1509070262

NY CAWI

148.600,00

1267

RFI00127

07-09-2015

1509070324

TH WITENA

1268

RFI00128

07-09-2015

1509070339

NY HJ SOPIAH

69.500,00

1269

RFI00129

07-09-2015

1509070343

NY YATI

85.000,00

1270

RFI00130

07-09-2015

1509070371

NN NURHALIMAH

1271

RFI00131

07-09-2015

1509070380

TN H SAJA

84.000,00

1272

RFI00132

07-09-2015

1509070385

AN M RIZKI

63.600,00

1273

RFI00133

08-09-2015

1509080026

NY EVI

39.400,00

1274

RFI00134

08-09-2015

1509080027

NY EVI

29.900,00

1275

RFI00135

08-09-2015

1509080074

NY OKTAVIA

57.100,00

1276

RFI00136

08-09-2015

1509080075

NY SRI SUNINGSIH

29.900,00

1277

RFI00137

08-09-2015

1509080117

AN GIVAN

63.600,00

1278

RFI00138

08-09-2015

1509080155

NY NURHASANAH

39.400,00

1279

RFI00139

08-09-2015

1509080171

NY ERUM

1280

RFI00140

08-09-2015

1509080264

NY IANATUT

224.600,00

1281

RFI00141

08-09-2015

1509080268

NY SINTA SRI

36.700,00

1282

RFI00142

08-09-2015

1509080282

NY TIKA

1283

RFI00143

08-09-2015

1509080296

NY ANI

1284

RFI00144

08-09-2015

1509080312

TN YADI

1285

RFI00145

08-09-2015

1509080373

NY SRI AMINAH (BPJS)

101.200,00

1286

RFI00146

08-09-2015

1509080375

TN ANDRI

149.100,00

1287

RFI00147

08-09-2015

1509080374

NY FATIMAH (BPJS)

168.000,00

1288

RFI00149

08-09-2015

1509080380

NY SUPRIYATI (BPJS)

109.700,00

No Transfer

21.500,00

69.100,00
3.000,00

29.900,00
121.100,00

7.800,00
15.700,00
150.900,00

7.400,00

5.700,00

4.200,00

156.500,00
43.400,00
39.000,00

NOER

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1289

RFI00150

08-09-2015

1509080383

TEH MARSIH

42.300,00

1290

RFI00151

08-09-2015

1509080391

TN HERMAN

98.600,00

1291

RFI00152

08-09-2015

1509080392

TN HERMAN

14.200,00

1292

RFI00153

08-09-2015

1509080393

NY ECIH

55.200,00

1293

RFI00154

09-09-2015

1509090006

NY NIKA

39.400,00

1294

RFI00155

09-09-2015

1509090098

TN SONNY

80.000,00

1295

RFI00157

09-09-2015

1509090108

TN ENCIM

66.900,00

1296

RFI00158

09-09-2015

1509090104

NY MARDIAH

66.700,00

1297

RFI00159

09-09-2015

1509090152

NY SEKAR

1298

RFI00160

09-09-2015

1509090180

TN BEJO

178.800,00

1299

RFI00161

09-09-2015

1509090181

NY FADHILAH

210.900,00

1300

RFI00162

09-09-2015

1509090182

NY TARI

1301

RFI00163

09-09-2015

1509090184

TN SAMIN

11.700,00

1302

RFI00164

09-09-2015

1509090151

HOTEL GRAND VALORE

83.400,00

1303

RFI00165

09-09-2015

1509090251

TN ARIF

18.400,00

1304

RFI00166

09-09-2015

1509090256

RS HOSANA MEDICA

1305

RFI00167

09-09-2015

1509090278

NY SITI ARUMI

40.900,00

1306

RFI00169

09-09-2015

1509090283

AN M HAFIDZ

45.400,00

1307

RFI00170

09-09-2015

1509090302

AN ABIMANYU

63.600,00

1308

RFI00172

09-09-2015

1509090306

NY NENDEN

13.800,00

1309

RFI00173

09-09-2015

1509090315

NN LASIDANIATI

22.700,00

1310

RFI00174

10-09-2015

1509100003

A YONO

6.700,00

1311

RFI00175

10-09-2015

1509100004

A YONO

66.000,00

1312

RFI00176

10-09-2015

1509100139

TN M HASANUDIN

1313

RFI00177

10-09-2015

1509100149

TN NIMAN

77.300,00

1314

RFI00178

10-09-2015

1509100167

NY IRAWATI

69.100,00

1315

RFI00179

10-09-2015

1509100171

NY IRAWATI

16.900,00

1316

RFI00180

10-09-2015

1509100172

NY DEWI

1317

RFI00181

10-09-2015

1509100173

NY D

1318

RFI00182

10-09-2015

1509100184

NY ATI

1319

RFI00183

10-09-2015

1509100186

RS HOSANA MEDICA

65.000,00

1320

RFI00184

10-09-2015

1509100115

RS HOSANA MEDIKA

257.900,00

1321

RFI00185

10-09-2015

1509100208

BY NY DEWI SRI

162.900,00

1322

RFI00186

10-09-2015

1509100212

TN NURDIN

32.800,00

1323

RFI00187

10-09-2015

1509100224

TN ACUH

39.000,00

1324

RFI00188

10-09-2015

1509100241

TN NEWI

28.800,00

1325

RFI00189

10-09-2015

1509100283

NY SRI

49.300,00

1326

RFI00190

10-09-2015

1509100300

TN RAHMAT

24.300,00

1327

RFI00192

10-09-2015

1509100303

NN DIAN

96.200,00

1328

RFI00193

10-09-2015

1509100304

NY PUTRI

93.600,00

1329

RFI00194

10-09-2015

1509100305

NY RAXI

2.800,00

1330

RFI00195

10-09-2015

1509100308

NY RAXI

12.400,00

1331

RFI00196

11-09-2015

1509110001

TN M SAHRONI

1332

RFI00197

11-09-2015

1509110039

AN RASYA

63.600,00

1333

RFI00198

11-09-2015

1509110045

AN HABIBAH

63.600,00

1334

RFI00199

11-09-2015

1509110085

NY DEDEH

4.200,00

1335

RFI00200

11-09-2015

1509110086

TEH RATNA

94.200,00

1336

RFI00201

11-09-2015

1509110092

NY IIS

54.000,00

1337

RFI00202

11-09-2015

1509110100

TN CADI

54.700,00

1338

RFI00203

11-09-2015

1509110130

RS DR SANDER B

1339

RFI00204

11-09-2015

1509110140

NY DINA

16.900,00

1340

RFI00205

11-09-2015

1509110141

NY EEN SUMARNI

14.800,00

1341

RFI00206

11-09-2015

1509110145

NY WATI

18.500,00

1342

RFI00207

11-09-2015

1509110174

NY EKA

30.500,00

1343

RFI00208

11-09-2015

1509110197

NY IRMAS

69.100,00

1344

RFI00209

11-09-2015

1509110208

NY IRMAS

16.900,00

No Transfer

64.100,00

2.900,00

410.500,00

120.500,00

85.900,00
150.800,00
27.200,00

6.400,00

297.400,00

YANTI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1345

RFI00210

11-09-2015

1509110229

AN FIDIA

1346

RFI00211

11-09-2015

1509110233

TN LUKMAN HAKIM

1347

RFI00212

12-09-2015

1509120084

NY BAMAH

33.300,00

1348

RFI00213

12-09-2015

1509120125

AN ANGGLES

63.600,00

1349

RFI00215

12-09-2015

1509120131

RS.HARAPAN KELUARGA

194.600,00

1350

RFI00216

12-09-2015

1509120171

NY NUR AZMI A

128.400,00

1351

RFI00217

12-09-2015

1509120175

TN H SALIM

374.800,00

1352

RFI00218

12-09-2015

1509120180

NY ANI

1353

RFI00219

12-09-2015

1509120195

NY MEILANI

158.100,00

1354

RFI00220

12-09-2015

1509120211

MAS FAJAR

7.100,00

1355

RFI00221

12-09-2015

1509120265

AN NURUL

28.200,00

1356

RFI00222

12-09-2015

1509120267

AN M HANIF

12.300,00

1357

RFI00223

12-09-2015

1509120293

NY IKA

27.600,00

1358

RFI00224

12-09-2015

1509120295

NY FITRIA

1359

RFI00225

12-09-2015

1509120300

MBA JENNE

1360

RFI00226

12-09-2015

1509120305

NAY

1361

RFI00227

13-09-2015

1509130012

NY SEKAR

1362

RFI00228

13-09-2015

1509130036

TN AANG

10.700,00

1363

RFI00229

13-09-2015

1509130040

AN NUR ZAHRA

36.400,00

1364

RFI00230

13-09-2015

1509130041

NY ANIS

13.500,00

1365

RFI00231

13-09-2015

1509130046

TEH NCI

41.500,00

1366

RFI00232

13-09-2015

1509130052

NY IKAH

56.100,00

1367

RFI00233

13-09-2015

1509130053

TN ENDANG

14.200,00

1368

RFI00234

13-09-2015

1509130060

ZR ENGKOM

33.800,00

1369

RFI00235

14-09-2015

1509140002

NY IKAH

29.900,00

1370

RFI00236

14-09-2015

1509140146

TN NURJEN

33.300,00

1371

RFI00237

14-09-2015

1509140131

TN BAMBANG

15.700,00

1372

RFI00238

14-09-2015

1509140148

NY SUMINAH

36.000,00

1373

RFI00240

14-09-2015

1509140156

NY RATNI

66.700,00

1374

RFI00241

14-09-2015

1509140222

NY SEKAR

1375

RFI00242

14-09-2015

1509140224

NY MUJI WAQIAH

1376

RFI00243

14-09-2015

1509140233

NY REZA

16.600,00

1377

RFI00244

14-09-2015

1509140274

IBU KUSRINI

14.000,00

1378

RFI00245

14-09-2015

1509140277

NY NYAI

96.200,00

1379

RFI00246

14-09-2015

1509140279

NY NOVI

16.400,00

1380

RFI00247

14-09-2015

1509140287

AN SULTAN

32.100,00

1381

RFI00248

14-09-2015

1509140294

NY ENGKON

44.800,00

1382

RFI00249

14-09-2015

1509140325

TN VERGIAN

80.000,00

1383

RFI00250

14-09-2015

1509140344

NY WERDININGSIH

1384

RFI00251

14-09-2015

1509140346

TN DAWI

1385

RFI00252

14-09-2015

1509140350

AN THIA

1386

RFI00253

14-09-2015

1509140353

NY RAHMI

112.200,00

1387

RFI00254

14-09-2015

1509140356

NY RUMIYATI

156.500,00

1388

RFI00255

15-09-2015

1509150069

NY RAXI PRAWESTI

1389

RFI00256

15-09-2015

1509150119

TN DEDE

11.400,00

1390

RFI00257

15-09-2015

1509150151

AN RAIHANA

96.600,00

1391

RFI00258

15-09-2015

1509150195

NY EKA

14.800,00

1392

RFI00259

15-09-2015

1509150201

NY NUR AENI

86.300,00

1393

RFI00260

15-09-2015

1509150202

NY ANI

36.700,00

1394

RFI00261

15-09-2015

1509150239

NN DESI

1395

RFI00262

15-09-2015

1509150274

NY MARYANI

42.900,00

1396

RFI00263

15-09-2015

1509150300

AN AZIIZAH AMALIA

63.600,00

1397

RFI00264

15-09-2015

1509150302

NY MASTUROH

7.800,00

1398

RFI00265

15-09-2015

1509150304

TN KHOLIL

9.200,00

1399

RFI00266

15-09-2015

1509150308

NY SITI KHOLIFAH

43.500,00

1400

RFI00267

16-09-2015

1509160003

NY ERNI

69.100,00

No Transfer

75.000,00
111.300,00

33.800,00

2.800,00
10.900,00
22.500,00
127.500,00

56.400,00
174.800,00

12.100,00
113.200,00
66.300,00

5.300,00

9.700,00

SITIRJ

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1401

RFI00268

16-09-2015

1509160108

TN HAMID

1402

RFI00269

16-09-2015

1509160146

NY ORI

1403

RFI00270

16-09-2015

1509160147

NY TIORA

56.400,00

1404

RFI00271

16-09-2015

1509160151

NY EKA YULIYANTY

14.300,00

1405

RFI00272

16-09-2015

1509160153

NY RISKA

69.100,00

1406

RFI00273

16-09-2015

1509160155

NY NAKEM

17.800,00

1407

RFI00274

16-09-2015

1509160158

NY EKA

69.100,00

1408

RFI00275

16-09-2015

1509160169

ZR NISSA

24.500,00

1409

RFI00276

16-09-2015

1509160177

TN SUDIYANA

36.400,00

1410

RFI00277

16-09-2015

1509160194

TN HERI

20.700,00

1411

RFI00278

16-09-2015

1509160200

TN SAUDI

1412

RFI00280

16-09-2015

1509160210

NY NIVI

1413

RFI00282

16-09-2015

1509160206

NY HESTHI

1414

RFI00284

16-09-2015

1509160128

NY FATIMAH

1415

RFI00285

16-09-2015

1509160221

NY NANI

44.700,00

1416

RFI00286

16-09-2015

1509160095

TN BAMBANG L (BPJS)

70.100,00

1417

RFI00287

16-09-2015

1509160237

TN MUSA

33.000,00

1418

RFI00288

16-09-2015

1509160262

NY ENGKOM

12.200,00

1419

RFI00289

16-09-2015

1509160263

TN DR BAMBANG

10.900,00

1420

RFI00290

17-09-2015

1509170006

TN ADAM

25.000,00

1421

RFI00292

17-09-2015

1509170027

TN AIP

1422

RFI00293

17-09-2015

1509170045

RS HOSANA MEDIKA

1423

RFI00294

17-09-2015

1509170063

NY MARWATI

1424

RFI00296

17-09-2015

1509170150

NY EMOT

54.900,00

1425

RFI00297

17-09-2015

1509170143

TN SAIM

282.500,00

1426

RFI00298

17-09-2015

1509170202

NY JUWITA

20.700,00

1427

RFI00299

17-09-2015

1509170218

BY NY MAIVI

39.500,00

1428

RFI00300

17-09-2015

1509170248

NY MARIAH

1429

RFI00301

17-09-2015

1509170263

TN WIWIT T

1430

RFI00302

17-09-2015

1509170271

AN BEN EZEKIEL

36.400,00

1431

RFI00303

17-09-2015

1509170274

NY DINI

31.400,00

1432

RFI00304

17-09-2015

1509170275

NY ANIS

26.400,00

1433

RFI00305

17-09-2015

1509170278

NY SITI MARSITA

1434

RFI00306

17-09-2015

1509170283

NY IKA

1435

RFI00307

17-09-2015

1509170287

ABD WAHID

1436

RFI00308

18-09-2015

1509180096

NY TOMI

65.900,00

1437

RFI00309

18-09-2015

1509180104

NY SINOL

39.000,00

1438

RFI00310

18-09-2015

1509180139

NY DINA

33.800,00

1439

RFI00311

18-09-2015

1509180142

NY ARUM

11.900,00

1440

RFI00312

18-09-2015

1509180151

NY MAIVI

162.900,00

1441

RFI00313

18-09-2015

1509180150

TN HENGKI

65.500,00

1442

RFI00314

18-09-2015

1509180160

NY IDAR

29.900,00

1443

RFI00315

18-09-2015

1509180163

NN LARAS

1444

RFI00316

18-09-2015

1509180169

NY SUNARTI

16.900,00

1445

RFI00317

18-09-2015

1509180190

TN SUGENG

35.000,00

1446

RFI00318

18-09-2015

1509180208

NY IDAR KURNIASIH

16.900,00

1447

RFI00319

18-09-2015

1509180215

TN WAIS

65.500,00

1448

RFI00320

18-09-2015

1509180236

TN JAENUDUN

61.500,00

1449

RFI00321

18-09-2015

1509180238

TN AWI

1450

RFI00322

18-09-2015

1509180245

TN RAHMAT HIDAYAT

27.000,00

1451

RFI00323

19-09-2015

1509190112

TN HJ BUYUNG

39.000,00

1452

RFI00324

19-09-2015

1509190109

TEH IDAS

12.900,00

1453

RFI00325

19-09-2015

1509190123

NY NURUL HIDAYAT

70.100,00

1454

RFI00326

19-09-2015

1509190183

TN SUGENG RIYADI

35.000,00

1455

RFI00328

19-09-2015

1509190220

ZR RTNA

1456

RFI00329

19-09-2015

1509190215

TN ALOYSIUS HARYANTO

No Transfer

39.000,00
210.900,00

41.200,00
183.300,00
86.300,00
2.800,00

8.700,00
98.000,00
100.600,00

58.600,00
188.600,00

271.200,00
38.600,00
7.800,00

4.200,00

7.800,00

55.400,00
386.600,00
PUTRI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1457

RFI00330

19-09-2015

1509190238

TN ANEN

42.800,00

1458

RFI00331

19-09-2015

1509190275

TN ENCIM

27.800,00

1459

RFI00332

19-09-2015

1509190297

TN ARIF

22.000,00

1460

RFI00333

19-09-2015

1509190302

NY MULYATI

75.700,00

1461

RFI00334

19-09-2015

1509190308

NY RAMINAH

150.800,00

1462

RFI00335

19-09-2015

1509190310

NY DIAH FATMAWATI

1463

RFI00336

19-09-2015

1509190313

NN EKA YULIANINGSIH (BPJS)

1464

RFI00337

19-09-2015

1509190314

NY MINAH

22.100,00

1465

RFI00338

19-09-2015

1509190319

TN NURGANDI

20.700,00

1466

RFI00339

19-09-2015

1509190320

BU NYAI

1467

RFI00340

19-09-2015

1509190321

RS MEDIROSA 2

1468

RFI00341

20-09-2015

1509200005

TN NURDIN

1469

RFI00342

20-09-2015

1509200007

TN NURDIN

9.500,00

1470

RFI00343

20-09-2015

1509200026

TN SARIBU

72.400,00

1471

RFI00344

20-09-2015

1509200038

NY EMIH

16.900,00

1472

RFI00345

20-09-2015

1509200046

AN M HAFIZ

75.000,00

1473

RFI00346

20-09-2015

1509200047

AN AULIA NURPADILAH

75.000,00

1474

RFI00347

20-09-2015

1509200048

AN ALIEF

75.000,00

1475

RFI00348

20-09-2015

1509200049

AN NIDHAL ABIYU

75.000,00

1476

RFI00349

20-09-2015

1509200051

AN NAN GITA

75.000,00

1477

RFI00350

20-09-2015

1509200052

AN M ALIF RIFAI

75.000,00

1478

RFI00351

20-09-2015

1509200062

ZR SRI

1479

RFI00352

20-09-2015

1509200063

KLINIK KEMALA

33.300,00

1480

RFI00353

20-09-2015

1509200067

BD INA

16.600,00

1481

RFI00354

20-09-2015

1509200069

RS HOSANA MEDICA

98.000,00

1482

RFI00356

20-09-2015

1509200077

NN JAQUELINE

1483

RFI00357

20-09-2015

1509200080

NY DONA

1484

RFI00358

21-09-2015

1509210121

BR NASEP

5.300,00

1485

RFI00359

21-09-2015

1509210132

AN SAFIRA

52.500,00

1486

RFI00361

21-09-2015

1509210140

NY SEKAR

1487

RFI00362

21-09-2015

1509210199

NY FATIMAH NURUL

1488

RFI00363

21-09-2015

1509210204

NN SRI WAHYUNI

65.500,00

1489

RFI00364

21-09-2015

1509210207

TN MEGY DWI

65.500,00

1490

RFI00365

21-09-2015

1509210215

NY LILI

1491

RFI00366

21-09-2015

1509210221

TN MURSIN

104.900,00

1492

RFI00367

21-09-2015

1509210253

RS HOSANA MEDICA

195.500,00

1493

RFI00368

21-09-2015

1509210265

NY IKEM

155.500,00

1494

RFI00369

21-09-2015

1509210211

DR LUKMAN

111.300,00

1495

RFI00370

21-09-2015

1509210281

TN DIMAS

170.800,00

1496

RFI00371

21-09-2015

1509210304

NY ANAH

1497

RFI00372

21-09-2015

1509210335

NY WALTINI

1498

RFI00373

21-09-2015

1509210340

NY DINA

39.400,00

1499

RFI00374

21-09-2015

1509210342

NY ACAH

85.900,00

1500

RFI00375

21-09-2015

1509210348

AN DWI

1501

RFI00376

21-09-2015

1509210349

NY EDEH

1502

RFI00377

21-09-2015

1509210351

TEH NENG

1503

RFI00378

21-09-2015

1509210353

RS HOSANA MEDICA

1504

RFI00379

22-09-2015

1509220065

TN RINDON

76.200,00

1505

RFI00380

22-09-2015

1509220113

NY MULYANTI

16.900,00

1506

RFI00381

22-09-2015

1509220118

MR X

1507

RFI00382

22-09-2015

1509220153

NN TIA

13.600,00

1508

RFI00383

22-09-2015

1509220210

TN BADRUN SEFANGAT

65.500,00

1509

RFI00384

22-09-2015

1509220228

NY AMI

1510

RFI00385

22-09-2015

1509220243

NY JAANIH

187.600,00

1511

RFI00386

22-09-2015

1509220245

BD RATNA

58.600,00

1512

RFI00387

22-09-2015

1509220269

TN HERMAN

56.900,00

No Transfer

73.500,00
210.900,00

9.000,00
187.300,00
85.900,00

5.400,00

8.500,00
61.700,00

91.100,00
245.700,00

4.200,00

48.200,00
150.800,00

75.000,00
128.600,00
13.500,00
135.900,00

217.500,00

42.300,00

ENENG

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1513

RFI00388

22-09-2015

1509220300

NY SARNAH

1514

RFI00389

22-09-2015

1509220316

TN ENANG

1515

RFI00390

22-09-2015

1509220317

NN NUNI

1516

RFI00391

23-09-2015

1509230002

TN BAMBANG

20.300,00

1517

RFI00392

23-09-2015

1509230060

AN QUINSHA

63.600,00

1518

RFI00393

23-09-2015

1509230090

NY ATI SURYATI

53.000,00

1519

RFI00394

23-09-2015

1509230100

TN BAMBANG

26.900,00

1520

RFI00395

23-09-2015

1509230114

NY EKA AGUSTINA

78.500,00

1521

RFI00396

23-09-2015

1509230148

NY ENDANG LARAS

39.300,00

1522

RFI00397

23-09-2015

1509230132

TN BAHTIAR

14.800,00

1523

RFI00398

23-09-2015

1509230199

AN ANANDA YUQNI

35.600,00

1524

RFI00399

23-09-2015

1509230099

NY ENDANG SULISTIARI

1525

RFI00400

23-09-2015

1509230202

NY TATI

60.500,00

1526

RFI00401

23-09-2015

1509230205

NN RIAN TANJUNG

10.700,00

1527

RFI00402

23-09-2015

1509230229

NY LILIS

1528

RFI00403

23-09-2015

1509230232

HJYGU

1529

RFI00404

23-09-2015

1509230233

NY MAIVIN

1530

RFI00405

24-09-2015

1509240007

TN TRI BUDI

1531

RFI00406

24-09-2015

1509240026

NN ICHE

1532

RFI00408

24-09-2015

1509240036

TN H ROHMAT

1533

RFI00409

24-09-2015

1509240048

TEH PUAH

19.200,00

1534

RFI00410

24-09-2015

1509240066

TN HENDRI HIDAYAT

14.800,00

1535

RFI00411

24-09-2015

1509240073

NN SEPTI

28.200,00

1536

RFI00412

24-09-2015

1509240078

BR DENI

13.300,00

1537

RFI00413

24-09-2015

1509240079

DFGFXDVGD

23.300,00

1538

RFI00414

25-09-2015

1509250001

TN MINAN

14.800,00

1539

RFI00415

25-09-2015

1509250011

NY DEWI

29.900,00

1540

RFI00416

25-09-2015

1509250077

TN MINAN

14.800,00

1541

RFI00417

25-09-2015

1509250085

TN HENDRI

29.100,00

1542

RFI00418

25-09-2015

1509250091

TN HASRI

49.700,00

1543

RFI00419

25-09-2015

1509250098

TEH NUR

1544

RFI00420

25-09-2015

1509250103

TN AGUNG

15.700,00

1545

RFI00421

25-09-2015

1509250120

NY ANTI

39.000,00

1546

RFI00422

25-09-2015

1509250117

NY ERLIKA

4.200,00

1547

RFI00423

25-09-2015

1509250141

AN SANIA

37.100,00

1548

RFI00424

25-09-2015

1509250150

YESA

1549

RFI00425

25-09-2015

1509250152

NY ROFICHO

136.800,00

1550

RFI00426

25-09-2015

1509250161

TN H DULLOH

91.800,00

1551

RFI00427

25-09-2015

1509250195

TN MIAN

39.700,00

1552

RFI00428

25-09-2015

1509250200

NN HERLINA

1553

RFI00429

25-09-2015

1509250210

TEH YULI

1554

RFI00432

25-09-2015

1509250213

TN SARDANG

36.900,00

1555

RFI00433

25-09-2015

1509250215

TEH NCI

13.600,00

1556

RFI00434

25-09-2015

1509250216

RS HOSANA MEDICA

98.000,00

1557

RFI00435

25-09-2015

1509250227

TN NUR HILAL

1558

RFI00436

25-09-2015

1509250230

AN LIDYA

1559

RFI00437

25-09-2015

1509250236

AN BUNGA

75.000,00

1560

RFI00438

25-09-2015

1509250237

AN RAEHAN

75.000,00

1561

RFI00439

25-09-2015

1509250238

BY NY NANA

39.500,00

1562

RFI00440

25-09-2015

1509250240

A YUMNA

1563

RFI00441

25-09-2015

1509250241

RS HOSANA MEDICA

1564

RFI00442

25-09-2015

1509250247

TN FERDI

6.100,00

1565

RFI00443

26-09-2015

1509260043

TN MUSA

36.700,00

1566

RFI00444

26-09-2015

1509260074

P YANTO

21.900,00

1567

RFI00445

26-09-2015

1509260083

NY TATI IRMAWATI

14.800,00

1568

RFI00446

26-09-2015

1509260088

NY TATI

39.400,00

No Transfer

20.000,00
6.700,00
7.100,00

7.500,00

2.800,00
43.400,00
194.800,00
9.200,00
21.200,00
283.800,00

3.700,00

7.800,00

8.400,00
3.900,00

99.300,00
208.500,00

75.000,00
103.700,00

SITIRJ

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1569

RFI00447

26-09-2015

1509260100

NN ADE LINA

75.700,00

1570

RFI00448

26-09-2015

1509260113

NY MULYATI

75.700,00

1571

RFI00449

26-09-2015

1509260129

NY RATNA SRI

20.700,00

1572

RFI00450

26-09-2015

1509260135

MANG SARDANG

1573

RFI00451

26-09-2015

1509260143

TN DENI

14.800,00

1574

RFI00452

26-09-2015

1509260151

NY TATI IRMAWATI

16.900,00

1575

RFI00453

26-09-2015

1509260153

TN MURSIDI

1576

RFI00454

26-09-2015

1509260165

NY NAZIROTUL HASANAH

1577

RFI00455

26-09-2015

1509260166

NY ADE INTAN

39.400,00

1578

RFI00456

26-09-2015

1509260171

TN EKA

14.200,00

1579

RFI00457

26-09-2015

1509260177

NN ERNA

1580

RFI00458

26-09-2015

1509260182

BY NY NAZDIIROTUL HASANAH

1581

RFI00459

26-09-2015

1509260185

NY NAZDIROTUL

16.900,00

1582

RFI00460

26-09-2015

1509260194

TN ALDI

17.300,00

1583

RFI00461

26-09-2015

1509260196

NUNIK

38.200,00

1584

RFI00462

26-09-2015

1509260190

TN SUPARJO

35.000,00

1585

RFI00463

26-09-2015

1509260205

NY TATI

1586

RFI00464

26-09-2015

1509260208

NY ROSNAINI

1587

RFI00465

26-09-2015

1509260221

TN ENGKUS

29.900,00

1588

RFI00466

26-09-2015

1509260222

TN HASAN

21.300,00

1589

RFI00467

27-09-2015

1509270003

TN UCEN

14.800,00

1590

RFI00468

27-09-2015

1509270007

NY MANIH

42.900,00

1591

RFI00469

27-09-2015

1509270015

TEH ENENG

1592

RFI00470

27-09-2015

1509270036

NY LUNA

42.900,00

1593

RFI00471

27-09-2015

1509270038

NN NELLA

12.900,00

1594

RFI00472

27-09-2015

1509270055

TN USEN

14.800,00

1595

RFI00473

27-09-2015

1509270058

AN LIAN A

41.200,00

1596

RFI00474

27-09-2015

1509270060

AN M NAUFAL

75.000,00

1597

RFI00475

27-09-2015

1509270061

AN NENG DARMAWATI

75.000,00

1598

RFI00476

27-09-2015

1509270068

NY UTIJAH

60.700,00

1599

RFI00477

27-09-2015

1509270072

NN SITI NUR

9.400,00

1600

RFI00478

27-09-2015

1509270080

TN RIAN

6.800,00

1601

RFI00479

28-09-2015

1509280018

TN UCE

29.100,00

1602

RFI00480

28-09-2015

1509280022

TEH NENG

31.500,00

1603

RFI00481

28-09-2015

1509280095

NY SAETI

69.900,00

1604

RFI00482

28-09-2015

1509280117

TN JAEDUN

20.700,00

1605

RFI00483

28-09-2015

1509280112

NY TOMI

60.900,00

1606

RFI00484

28-09-2015

1509280111

NY SITI NURMALA

12.700,00

1607

RFI00486

28-09-2015

1509280126

TN RASIJO

15.700,00

1608

RFI00487

28-09-2015

1509280153

NY HJ ROMLAH

10.700,00

1609

RFI00488

28-09-2015

1509280151

TN FEBRIANSYAH

35.000,00

1610

RFI00489

28-09-2015

1509280196

NY KOKOM

14.800,00

1611

RFI00490

28-09-2015

1509280199

NY ZULAEKHA

86.300,00

1612

RFI00491

28-09-2015

1509280234

TN MUSLIM

26.400,00

1613

RFI00492

28-09-2015

1509280245

NY ODEH

18.500,00

1614

RFI00493

28-09-2015

1509280262

TN SUNADIH

36.400,00

1615

RFI00494

28-09-2015

1509280266

TN ROHMAN

33.500,00

1616

RFI00495

28-09-2015

1509280281

NY ARI

1617

RFI00496

28-09-2015

1509280295

AN M RIZKI

1618

RFI00497

28-09-2015

1509280323

AN NADIA

1619

RFI00498

28-09-2015

1509280340

NY LILI

1620

RFI00499

28-09-2015

1509280344

TN ARIF

1621

RFI00500

28-09-2015

1509280345

NY TARIMPEN

93.600,00

1622

RFI00502

28-09-2015

1509280349

AN VIOLA

36.400,00

1623

RFI00503

28-09-2015

1509280353

NY RUMIYATI

71.700,00

1624

RFI00504

28-09-2015

1509280360

TEH ZIAH

No Transfer

6.700,00

84.000,00
111.900,00

10.900,00
162.900,00

39.400,00
126.500,00

3.700,00

16.900,00
113.300,00
50.800,00
4.200,00
4.200,00

6.700,00
NENI

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1625

RFI00505

28-09-2015

1509280365

NY ENDEH

26.500,00

1626

RFI00506

28-09-2015

1509280366

NY ENJUN

29.100,00

1627

RFI00507

28-09-2015

1509280367

TN PANJI

31.900,00

1628

RFI00508

28-09-2015

1509280368

TN MARJUKI

17.100,00

1629

RFI00509

29-09-2015

1509280348

TN IMRON ROSYADI

80.000,00

1630

RFI00510

29-09-2015

1509290003

NY EDEH

14.800,00

1631

RFI00512

29-09-2015

1509290015

NY NANI

85.900,00

1632

RFI00513

29-09-2015

1509280357

NY IKA (SGL)

99.900,00

1633

RFI00514

29-09-2015

1509280358

NY DIAN (SGL)

29.000,00

1634

RFI00515

29-09-2015

1509280359

NY TANAKA (SGL)

49.300,00

1635

RFI00516

29-09-2015

1509290039

AN SITI M

65.000,00

1636

RFI00517

29-09-2015

1509290044

NY EDEH

14.800,00

1637

RFI00518

29-09-2015

1509290047

NY EDEH

57.700,00

1638

RFI00519

29-09-2015

1509290054

TN GURU

20.700,00

1639

RFI00520

29-09-2015

1509290077

TN JAEDUN

20.700,00

1640

RFI00521

29-09-2015

1509290102

BY NY NANI

162.900,00

1641

RFI00522

29-09-2015

1509290112

NY SRI

29.900,00

1642

RFI00523

29-09-2015

1509290119

TN YANUAR ADHI

26.600,00

1643

RFI00524

29-09-2015

1509290122

TN PARENG

65.500,00

1644

RFI00525

29-09-2015

1509290164

BU NYAI

42.300,00

1645

RFI00527

29-09-2015

1509290171

NN YUNI

80.000,00

1646

RFI00528

29-09-2015

1509290174

TN RUDI

10.700,00

1647

RFI00529

29-09-2015

1509290168

TN ANTON

1648

RFI00539

29-09-2015

1509290294

RS AMANDA

1649

RFI00540

29-09-2015

1509290313

TN IBRAHIM

1650

RFI00541

29-09-2015

1509290154

RS HOSANA MEDICA

1651

RFI00542

29-09-2015

1509290213

TH SITOY

1652

RFI00543

29-09-2015

1509270082

BUNDA

1653

RFI00544

29-09-2015

1509290292

BY NY SRI AMINAH

162.900,00

1654

RFI00545

29-09-2015

1509290302

NY FITRI

162.900,00

1655

RFI00546

29-09-2015

1509290261

NY NYAI

84.900,00

1656

RFI00547

29-09-2015

1509290259

TN MASDA

84.900,00

1657

RFI00548

29-09-2015

1509290357

NY TIORA

113.200,00

1658

RFI00549

29-09-2015

1509290358

NY RUKAYAH

1659

RFI00550

29-09-2015

1509290361

NY ELIN

57.600,00

1660

RFI00551

29-09-2015

1509290369

AN REFAN

75.000,00

1661

RFI00552

30-09-2015

1509300052

NY NITA

24.200,00

1662

RFI00553

30-09-2015

1509300076

TN H HAMID

26.900,00

1663

RFI00555

30-09-2015

1509300100

RS HOSANA MEDICA

58.600,00

1664

RFI00556

30-09-2015

1509300153

NY SANIH

42.300,00

1665

RFI00557

30-09-2015

1509300157

NY IIS

17.200,00

1666

RFI00558

30-09-2015

1509300161

TEH RATNA

1667

RFI00559

30-09-2015

1509300166

RS HOSANA MEDICA

1668

RFI00560

30-09-2015

1509300187

TN RIDON

1669

RFI00561

30-09-2015

1509300196

ERLIKA

1670

RFI00563

30-09-2015

1509300202

BY NY TIANA

162.900,00

1671

RFI00564

30-09-2015

1509300211

NY ADELINA

45.700,00

1672

RFI00565

30-09-2015

1509300214

AN AGUNG

1673

RFI00566

30-09-2015

1509300223

NY NURHAINI

142.100,00

1674

RFI00568

30-09-2015

1509300224

NY AFRILIA

178.100,00

1675

RFI00569

30-09-2015

1509300245

AN SATRIO

50.800,00

1676

RFI00570

30-09-2015

1509300266

TN GERIAN

6.400,00

1677

RFI00571

30-09-2015

1509300267

NY LASMI

5.700,00

1678

RFJ00001

01-10-2015

1510010003

AN ALBA

63.700,00

1679

RFJ00002

01-10-2015

1510010016

TN SAEPUL ANWAR

39.000,00

1680

RFJ00003

01-10-2015

1510010062

RS HOSANA

98.000,00

No Transfer

80.000,00
114.900,00
44.900,00
135.900,00
900,00
96.600,00

2.800,00

3.900,00
203.600,00
76.200,00
39.000,00

75.000,00

ENENG

PENDAPATAN TUNAI
NO

NO INVOICE

TANGGAL

NO REGISTRASI NAMA PASIEN

JUMLAH

1681

RFJ00004

01-10-2015

1510010082

NY MANIH

1682

RFJ00005

01-10-2015

1510010105

NY SURATI

1683

RFJ00007

01-10-2015

1510010114

RS HOSANA MEDIKA

203.600,00

1684

RFJ00008

01-10-2015

1510010120

TN RIDHO

192.100,00

No Transfer

46.500,00
29.900,00

701.858.641,00
TOTAL PENDAPATAN TUNAI :

701.858.641,00

NENI