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Form Tugas Perawat
Form Tugas Perawat
Form Tugas Perawat
Hubungan
TGL Nama Karyawan NIK YBS IST ANK Diagnosa Jumlah Klaim
4-Jan MASLAKAH 4724 3 THYPOID F. Rp 1,123,500
6-Jan LINDA HARYATI P549 1 THYPOID F. Rp 1,586,550
6-Jan LEGIMIN 3587 2 THYPOID F. Rp 1,237,950
7-Jan BUDI TRISNO A053 1 THYPOID F. Rp 1,333,500
8-Jan MEGA KUSLIA S132 1 THYPOID F. Rp 1,627,500
9-Jan PARITO A265 1 THYPOID F. Rp 1,602,300
11-Jan RINA MULYATI 7007 3 THYPOID F. Rp 1,834,350
11-Jan M.YADI 5574 1 THYPOID F. Rp 2,032,800
13-Jan SITI ELISA SAPIIN S407 1 THYPOID F. Rp 1,698,900
13-Jan PUJI 4111 3 THYPOID F. Rp 2,069,550
18-Jan RIDWAN 5643 1 THYPOID F. Rp 1,718,850
20-Jan SITI NURHAYATI 5732 1 THYPOID F. Rp 1,161,300
22-Jan PUPUT FADILAH C790 1 THYPOID F. Rp 1,376,550
23-Jan AJI PURWANTO 5503 1 THYPOID F. Rp 1,748,250
25-Jan M. SUJAIH 1383 2 THYPOID F. Rp 1,604,400
25-Jan SUPRIYANTO 3501 2 R.KEBIDANAN+GEA Rp 840,000
25-Jan SABARUDIN 2425 3 THYPOID F. Rp 1,224,300
27-Jan EKA SETYAWATI S046 1 THYPOID F. Rp 1,329,300
30-Jan WINDA S421 1 THYPOID F. Rp 2,123,100
31-Jan WIDODO A462 2 PARTUS DGN SC Rp 7,474,950
Jumlah Tagihan Rp36,747,900
Terbilang : Tiga puluh tujuh juta tiga empat puluh tujuh ribu sembilan ratus rupiah
Tn Hari 12910182 1 Rwt Umum Rp 1,773,450
21-Dec Mahyani 11980878 2 Tind Curet Rp 1,725,150
REKAPITULASI KUNJUNGAN PASIEN PT EDS MANUFACTURING INDONESIA
RB OBBINI MEDIKA
BULAN JANUARI 2012 PERIODE 1 ( TGL 01 S/D 07 JANUARI 2012 )
HUBUNGAN
TGL NAMA KARYAWAN NIK YBS IST ANK KONS TIND OBAT JUMLAH Ketr
1-Jan HILWIYAH P302 1 7,500 86,500 Rp 94,000 PHARINGITIS AKUT
1-Jan SAMINA 0759 3 7,500 88,500 Rp 96,000 ISPA+FEBRIS
1-Jan SAMINA 0759 1 7,500 101,500 Rp 109,000 PHARINGITIS+SUSP.THY.
1-Jan ERLINAWATI 6563 1 7,500 20,500 Rp 28,000 KB INJ
1-Jan SULASDI 3140 1 7,500 117,500 Rp 125,000 RA
1-Jan MUSLIMIN A240 3 7,500 111,500 Rp 119,000 VARICELLA
1-Jan ELI KUSNIAWATI A575 1 7,500 49,500 Rp 57,000 FIBRO A.
1-Jan AGUS RISWANTO 5223 2 7,500 104,500 Rp 112,000 ISPA
1-Jan ENYULIS 5194 1 12,000 Rp 12,000 KB PIL
1-Jan MARNI PARDI 6821 1 7,500 20,500 Rp 28,000 KB INJ
1-Jan MA'MUN JANIAN 2345 3 7,500 97,500 Rp 105,000 ISPA+FEBRIS
1-Jan NURJEN 4327 3 7,500 110,000 79,500 Rp 197,000 LYMPADENITIS TB
1-Jan SOBARI 0894 2 7,500 27,500 Rp 35,000 KB INJ
1-Jan DHARMOKO 3263 3 7,500 83,500 Rp 91,000 ISPA
1-Jan TRI LESTARI 6055 1 38,000 Rp 38,000 KB PIL
7-Jan BAMBANG TRIATMOKO A049 3 7,500 90,000 113,500 Rp 211,000 THYPOID FEVER
7-Jan PURWANTO 4151 2 36,000 Rp 36,000 KB PIL
7-Jan DIDIK PRAMONO 5839 3 7,500 77,500 Rp 85,000 OBS FEBRIS
7-Jan JUWAHIR 1981 3 7,500 94,500 Rp 102,000 D. ALLERGI
7-Jan ADMAWATI 6285 1 19,000 Rp 19,000 KB PIL
7-Jan WINARNO A465 2 7,500 20,500 Rp 28,000 KB INJ
7-Jan NURHAETI SARKA 5378 1 7,500 86,500 Rp 94,000 SUSP. THYPOID F.
7-Jan TARSONO 3757 2 38,000 Rp 38,000 KB PIL
7-Jan DICKY WAHJUWADAJADI I S 5096 2 7,500 93,500 Rp 101,000 PHARINGITIS AKUT
7-Jan TRI JENDRO IRIANTO 2761 3 7,500 93,500 Rp 101,000 ISPA+SUSP. THYPOID
Rp 11,820,500
Rp 11,820,500
REKAPITULASI KUNJUNGAN PASIEN PT EDS MANUFACTURING INDONESIA
RB OBBINI MEDIKA
BULAN JANUARI 2012 PERIODE 2 ( TGL 08 S/D 15 JANUARI 2012 )
15-Jan AGUS RUSWAN DRAJAT 5223 1 7,500 109,500 Rp 117,000 PHARINGITIS AKUT
15-Jan SUGINO 1090 1 7,500 105,500 Rp 113,000 SUSP. THYPOID F
15-Jan NURWATI 2247 1 7,500 104,500 Rp 112,000 KONTROL THYPOID
15-Jan EDY WIDADA 3763 3 7,500 20,000 118,500 Rp 146,000 BRONKHITIS
15-Jan RUSWANTO A312 3 7,500 93,500 Rp 101,000 ISPA
15-Jan JOKO SUPRIYANTO A648 2 7,500 205,500 Rp 213,000 SUSP. THYPOID+PHARING.
15-Jan MUKIDI 0400 2 7,500 114,500 Rp 122,000 T.PHARINGITIS AKUT
15-Jan SANGEN DWIYANTI A318 1 7,500 119,500 Rp 127,000 PHARINGITIS
15-Jan TAMAN 1020 3 7,500 93,500 Rp 101,000 PHARINGITIS AKUT
15-Jan PURWANTO 4151 3 7,500 117,500 Rp 125,000 GEA
15-Jan TUGINO 5340 2 7,500 119,500 Rp 127,000 SUSP. THYPOID F
15-Jan SUAMRNO A390 1 7,500 119,500 Rp 127,000 PHARINGITIS AKUT
15-Jan SITI ELISA SAIIPIN S407 1 7,500 124,500 Rp 132,000 THYPOID FEVER
15-Jan PRIHATIN SUMARJO A376 2 7,500 93,500 Rp 101,000 ISPA
15-Jan RUKMAN SALIM 3644 1 7,500 93,500 Rp 101,000 SUSP. THYPOID F
15-Jan KIKIN LUKMAN 4947 2 7,500 119,500 Rp 127,000 SUSP. THYPOID F
15-Jan TRI LESTARI 6055 1 7,500 144,500 Rp 152,000 THYPOID FEVER
15-Jan SARDI 4534 3 7,500 75,000 91,500 Rp 174,000 VL
15-Jan DIDIN ROHIDIN 0916 3 7,500 114,500 Rp 122,000 ISPA+SUSP. THYPOID
15-Jan SRI WIDODO M. 4536 2 7,500 20,500 Rp 28,000 KB INJ
15-Jan KURNADI 3317 3 7,500 57,500 Rp 65,000 OBS FEBRIS
15-Jan SUBEJO A362 1 7,500 70,500 Rp 78,000 RA
14,606,000
P. THY.
HARING.
REKAPITULASI KUNJUNGAN PASIEN PT EDS MANUFACTURING INDONESIA
RB OBBINI MEDIKA
BULAN JANUARI 2012 PERIODE 3 ( TGL 16 S/D 22 JANUARI 2012 )
27-Jan IVAN SULISTIYANTO 4211 3 7,500 75,000 103,500 Rp 186,000 KONTROL V.E
27-Jan ARMAN 3971 1 7,500 89,500 Rp 97,000 SUSP. THYPOID F.
27-Jan KURATUL'AIN 1899 3 7,500 90,000 98,500 Rp 196,000 THYPOID F
27-Jan WIYANA A471 1 7,500 77,500 Rp 85,000 KP
27-Jan YAYUK SIDARNAWATI P456 1 7,500 86,500 Rp 94,000 ISK
27-Jan SRI YATUN MADHALIM P822 1 7,500 93,500 Rp 101,000 T.PARINGITIS AKUT
27-Jan TARSONO 3757 3 7,500 94,500 Rp 102,000 SUSP. THYPOID F.
27-Jan RAHMAN 1297 2 7,500 71,500 Rp 79,000 SUSP. THYPOID F.
27-Jan RAHMAN 1297 3 7,500 110,500 Rp 118,000 ISPA+D.ALLERGI
27-Jan ADE MISBAH 4336 3 7,500 67,500 Rp 75,000 OMP DEXTRA+ISPA
27-Jan NURJEN 4327 2 7,500 83,500 Rp 91,000 T.CORPUS