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  • Umpan Balik Hasil Verifikasi: NO No Id PST Bpjs Nama PST Bpjs Diajukan Disetujui

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    This document is a verification report from PUSKESMAS SARONGGI health center for August 2016. It shows the claims submitted and approved for 40 patients under the general dental service program. Each claim was for 10,000 and the total submitted and approved amount was 400,000. The report was signed by the head of the Sumenep health office and Dr. Dewi Sucianingrum as the managing doctor.

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    UMPAN BALIK

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    This document is a verification report from PUSKESMAS SARONGGI health center for August 2016. It shows the claims submitted and approved for 40 patients under the general dental service program. Each claim was for 10,000 and the total submitted and approved amount was 400,000. The report was signed by the head of the Sumenep health office and Dr. Dewi Sucianingrum as the managing doctor.

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    4 views4 pages

    Umpan Balik Hasil Verifikasi: NO No Id PST Bpjs Nama PST Bpjs Diajukan Disetujui

    Uploaded by

    ekomargo
    This document is a verification report from PUSKESMAS SARONGGI health center for August 2016. It shows the claims submitted and approved for 40 patients under the general dental service program. Each claim was for 10,000 and the total submitted and approved amount was 400,000. The report was signed by the head of the Sumenep health office and Dr. Dewi Sucianingrum as the managing doctor.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 4

    UMPAN BALIK HASIL VERIFIKASI

    NAMA PPK : PUSKESMAS SARONGGI


    KODE PPK : 13360801
    BULAN PELAYANAN : AGUSTUS 2016
    JENIS KLAIM : PEMERIKSAAN GDS

    NO NO ID PST BPJS NAMA PST BPJS DIAJUKAN DISETUJUI


    1 10,000 10,000
    2 10,000 10,000
    3 10,000 10,000
    4 10,000 10,000
    5 10,000 10,000
    6 10,000 10,000
    7 10,000 10,000
    8 10,000 10,000
    9 10,000 10,000
    10 10,000 10,000
    11 10,000 10,000
    12 10,000 10,000
    13 10,000 10,000
    14 10,000 10,000
    15 10,000 10,000
    16 10,000 10,000
    17 10,000 10,000
    18 10,000 10,000
    19 10,000 10,000
    20 10,000 10,000
    21 10,000 10,000
    22 10,000 10,000
    23 10,000 10,000
    24 10,000 10,000
    25 10,000 10,000
    26 10,000 10,000
    27 10,000 10,000
    28 10,000 10,000
    29 10,000 10,000
    30 10,000 10,000
    31 10,000 10,000
    32 10,000 10,000
    33 10,000 10,000
    34 10,000 10,000
    35 10,000 10,000
    36 10,000 10,000
    37 10,000 10,000
    38 10,000 10,000
    39 10,000 10,000
    40 10,000 10,000
    J U M L A H 400,000 400,000

    Sumenep, Agustus
    Kepala KLOK Sumenep DOKTER PENGELOL
    ENDANG LILIS S Dr. DEWI SUCIANING
    PAN BALIK HASIL VERIFIKASI

    SELISIH KETERANGAN
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    Sumenep, Agustus 2016


    DOKTER PENGELOLA
    Dr. DEWI SUCIANINGRUM

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