No.

RM

Nama Pasien

U000825
S004504
A007820
Y001792
M002529
R004324
S004500
D003146
T001588
F000756
A007281
M004129
M002034
R001613
Y000469
I002999
F000225
N003193
A002480
G000571
S004060
A002787
J000706
A007721
L000044
F001782
T001589
B000654
F001783
N000576
E000294
M004130
B000001
S004524
D002806
A001308
D003151
D003152
F001784
Z000541
I002004
G000395
S004525

UDIN
SAPARI
ASEP SUPARMANA
YANTI MAYANTI
MUKODIMAH CHELSEA
RIVAN
SUKARSIH
DINDA PUTRI PAMUNGKAS
TRIA VERA GUSPIANA
FITRI APRIANI
ALFI ATHALLAH
MAHIRA PUTRI JANEETA
MUHAMMAD AL FATIH
RINA ROSMINA
YUNI SUCI RAHAYU
INDAH RAHMAWATI
FITRI HANDAYANI
NILAM KHOERUNISA
APAN IRPAN
GERI HAMZAH
SYAFIRA AMELIA PUTRI
ANDRI SAPUTRA
JULIO ALFAJRI
AZKEYA FABIOLA
LINA KARLINA
FITRI ANITA
TIEK TIEK FATHICHA
BUDI KOSWARA
FAGIYA NAQIYATUDIN
NENDEN SITI AZAHRA
EUIS SUNDARI APRILANI
MELLA LAILA
BINTANG NUR ISLAM
SAMBASUL
DZALIFAH AHMAD GOZALI
AKHSAN
DIMAS HERMAWAN
DEDE SUPRIYADI
FITRI NURDIANTI
ZALFA NAQIQIYA CHANDRA TJIO
INAS
GANDA
SUSI SOPIAN

No. Apotek
1
2
2
3
4
5
6
7
7
8
9
10
11
12
13
14
15
16
17
17
17
18
19
20
21
22
23
24
25
26
28
29
30
31
32
33
34
35
36
37
38
38
39

0.00
0.00
20,000.00
33,000.00
89,900.00
27,200.00
0.00
0.00
40,500.00
21,600.00
88,300.00
81,000.00
69,300.00
0.00
44,400.00
52,800.00
61,000.00
127,100.00
0.00
16,300.00
0.00
30,200.00
27,100.00
51,000.00
40,300.00
43,000.00
0.00
81,600.00
19,800.00
34,800.00
20,000.00
36,000.00
59,300.00
53,600.00
75,100.00
61,000.00
22,000.00
24,500.00
28,000.00
0.00
0.00
35,000.00
0.00

IGD
30,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
95,100.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
50,000.00
0.00
0.00
0.00

N002147
W000356
R004325
K001118
A007821
T001590
M004131
T000693
S004526
M003259
D003153
D003149
N003194
Z000146
A005652
Y001878
R003080
W000983
I003000
I001952
A002338
A005241
I003001
M004123
G000460
L001049
F001674
F001780
S003858
R004319
E003012
R002299
W000984
C000571
W000977
H001709

NINGSIH
WESTLI MAMURUNG
RAHMI Y F
KARMILAH
AON SUARDI
TASYA NABILA NURUL ALIFAH
M.SULTHAN
TATIN ROSTATIN
SUSI ERLINA
M. RAJA
DADAH JUBAEDAH
DUDI IRAWAN
NURUL RAMDANIA
ZIAN FAWAZIANSYAH
ASEP LUKMANUL HAKIM
YAYAN S
RIZKI DAFA PRATAMA
WATI
IKO
IIT RUSMIATI
ALFIANSYAH GUISTIANA
ANDRE TRIUTOMO
IHSAN PRIATNA
M ALFINDAR RAFANDITO
GINAN ZAKY AWWALA PUTRA
LILIS KOMARIAH
FAISAL AGUSTIA
FITRAH
SALAMAH HJ,
RASYA MUHAMMAD ATHAYA
EGI JUNIAR
RITA APRILIA
WILDAN JANUAR
CUCU SURYATI
WIWIN
HAMIDAH

TOTAL

40
41
42
43
43
44
45
46
48
49
50
51
51
52
53
54
55
56
56
57
58
59
60
61
63
93
101
103
105
106
107
112
135
139
167
177

59,900.00
227,900.00
0.00
0.00
111,700.00
37,600.00
24,600.00
0.00
47,000.00
9,000.00
70,200.00
0.00
36,600.00
19,300.00
81,200.00
0.00
24,600.00
0.00
0.00
100,700.00
80,000.00
70,000.00
23,300.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
55,000.00
30,000.00
0.00
0.00
0.00
0.00
30,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

2,538,300.00

290,200.00

LAPORAN PENDAPATAN RAWAT JALAN

Periode: 12-04-2015 s/d 12-04-2015
Rawat Jalan Jasa Dokter Dokter
26,000.00
0.00
26,000.00
26,000.00
26,000.00
26,000.00
29,000.00
0.00
29,000.00
31,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
0.00
30,000.00
0.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
0.00
29,000.00
29,000.00

9,000.00 DWI SANTOSO, DOKTER

0.00 ENCEP SUDARYANA, DOKTER
9,000.00 DWI SANTOSO, DOKTER
9,000.00 DWI SANTOSO, DOKTER
9,000.00 DWI SANTOSO, DOKTER
9,000.00 DWI SANTOSO, DOKTER
6,000.00 CEK LAB SAJAH, 0.00 WILDA RINA SIREGAR, DR
6,000.00 DWI SANTOSO, DOKTER
4,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
0.00 WULAN WIDYAWATI, DR
30,000.00 DWI SANTOSO, DOKTER
0.00 WULAN WIDYAWATI, DR
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 DWI SANTOSO, DOKTER
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
0.00 WULAN WIDYAWATI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR

Lab
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Kartu
0.00
0.00
10,000.00
0.00
0.00
0.00
0.00
0.00
10,000.00
0.00
0.00
10,000.00
0.00
0.00
10,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
10,000.00
0.00
0.00
10,000.00
0.00
0.00
10,000.00
0.00
0.00
0.00
0.00
10,000.00
10,000.00
0.00
10,000.00
0.00
10,000.00
0.00
0.00
0.00
0.00

29,000.00
29,000.00
29,000.00
0.00
29,000.00
29,000.00
29,000.00
23,000.00
29,000.00
29,000.00
29,000.00
0.00
29,000.00
29,000.00
29,000.00
29,000.00
29,000.00
0.00
29,000.00
29,000.00
29,000.00
29,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1,635,000.00

6,000.00 NOVI YULIANTI, DR

6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
0.00 WULAN WIDYAWATI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
12,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
0.00 WULAN WIDYAWATI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 NOVI YULIANTI, DR
6,000.00 CEK LAB SAJAH, 6,000.00 NOVI YULIANTI, DR
0.00 ENCEP SUDARYANA, DOKTER
6,000.00 NOVI YULIANTI, DR
11,000.00 NOVI YULIANTI, DR
11,000.00 IWAN SUWARSA, dr
11,000.00 IWAN SUWARSA, dr
30,000.00 IWAN SUWARSA, dr
0.00 ENCEP SUDARYANA, DOKTER
0.00 WULAN WIDYAWATI, DR
0.00 WULAN WIDYAWATI, DR
0.00 NOVI YULIANTI, DR
0.00 WULAN WIDYAWATI, DR
0.00 ENCEP SUDARYANA, DOKTER
0.00 ENCEP SUDARYANA, DOKTER
0.00 NOVI YULIANTI, DR
0.00 WULAN WIDYAWATI, DR
0.00 DWI SANTOSO, DOKTER
0.00 DWI SANTOSO, DOKTER
0.00 H. ASEP MARYAMAN, DR
0.00 H. ASEP MARYAMAN, DR
430,000.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
10,000.00
0.00
10,000.00
10,000.00
10,000.00
0.00
10,000.00
0.00
10,000.00
0.00
10,000.00
0.00
0.00
0.00
0.00
0.00
10,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00

190,000.00

Oxygen Ambulan Jumlah

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

65,000.00
0.00
65,000.00
68,000.00
124,900.00
62,200.00
35,000.00
0.00
85,500.00
56,600.00
123,300.00
126,000.00
104,300.00
35,100.00
89,400.00
87,800.00
96,000.00
162,100.00
0.00
76,300.00
0.00
65,200.00
72,100.00
86,000.00
75,300.00
88,000.00
130,100.00
116,600.00
64,800.00
69,800.00
55,000.00
71,000.00
94,300.00
98,600.00
120,100.00
96,000.00
67,000.00
59,500.00
73,000.00
85,000.00
0.00
70,000.00
35,000.00

Jenis Pasien

Keterangan

UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
JAMSOSTEK
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
CEMARA FRESH CHICKEN
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM

RI
RI
SUDAH DILAYANI
SUDAH DILAYANI
SUDAH DILAYANI
SUDAH DILAYANI
RESERVASI
RI
SUDAH DILAYANI
SUDAH DILAYANI
SUDAH DILAYANI
SUDAH DILAYANI
SUDAH DILAYANI
RI
SUDAH DILAYANI
SUDAH DILAYANI
RESERVASI
SUDAH DILAYANI
RI
SUDAH DILAYANI
RI
SUDAH DILAYANI
SUDAH DILAYANI
SUDAH DILAYANI
SUDAH DILAYANI
SUDAH DILAYANI
RI
SUDAH DILAYANI
RESERVASI
RESERVASI
SUDAH DILAYANI
RESERVASI
RESERVASI
RESERVASI
RESERVASI
RESERVASI
RESERVASI
RESERVASI
RESERVASI
RI
RI
RESERVASI
SUDAH DILAYANI

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

94,900.00
317,900.00
75,000.00
0.00
156,700.00
82,600.00
69,600.00
65,000.00
92,000.00
44,000.00
115,200.00
0.00
81,600.00
54,300.00
116,200.00
35,000.00
59,600.00
0.00
45,000.00
140,700.00
120,000.00
110,000.00
53,300.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00

0.00

5,083,500.00

UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
CEMARA FRESH CHICKEN
UMUM
BPJS
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM

SUDAH DILAYANI
SUDAH DILAYANI
RI
RI
SUDAH DILAYANI
RESERVASI
RESERVASI
RI
RESERVASI
RESERVASI
RESERVASI
RI
RESERVASI
RESERVASI
RESERVASI
RESERVASI
RESERVASI
RI
BATAL
RESERVASI
SUDAH DILAYANI
RESERVASI
RESERVASI
RI
RI
RI
RI
RI
RI
RI
RI
RI
RI
RI
RI
RI