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REKAPITULASI KUNJUNGAN PASIEN PT EDS MANUFACTURING INDONESIA

RB & KLINIK OBBINI MEDIKA


RAWAT INAP PERIODE BULAN JANUARI 2012

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

2-Jan SATAM 1147 1 7,500 105,500 Rp 113,000 RHINITIS ALLERGI


2-Jan AKHMAD FAIZIN A026 1 7,500 15,000 73,500 Rp 96,000 URTICARIA
2-Jan SUTISNA AHMAD 5217 1 7,500 108,500 Rp 116,000 VARICELLA
2-Jan IRNAWATI SANGWAR Q218 1 7,500 146,500 Rp 154,000 T. CORPUS
2-Jan SITI ROHATIN R284 1 7,500 103,500 Rp 111,000 SUSP. THYPOID F.
2-Jan SOFYAN AHMAD SAMLAWI 4043 2 7,500 20,500 Rp 28,000 KB INJ
2-Jan KUSWANDI A188 3 7,500 108,500 Rp 116,000 SUSP. THYPOID F.
2-Jan TEGUH KURNIANTORO 5867 2 7,500 20,500 Rp 28,000 KB INJ
2-Jan SANTO 4957 2 38,000 Rp 38,000 KB PIL
2-Jan WAGIMUN 3855 2 7,500 54,500 Rp 62,000 KONTROL POST. PARTUM
2-Jan JONO 3839 3 7,500 101,500 Rp 109,000 SUSP. THYPOID F.
2-Jan ENGKAR SUTARNA G 349 1 7,500 65,000 111,500 Rp 184,000 ULCUS
2-Jan MUDZALIPAH ALIUDIN R603 1 7,500 114,500 Rp 122,000 SUSP. THYPOID F.
2-Jan NURAENI SAMSUL B. S377 1 7,500 110,500 Rp 118,000 ASMA BRONKHIL
2-Jan SITI ROFIQOH Q234 1 7,500 108,500 Rp 116,000 PHARINGITIS
2-Jan INDRIANI SAFITRI Q282 1 7,500 114,500 Rp 122,000 KONTROL THYPOID F.
2-Jan ANNGELLA THERSIA 6084 1 7,500 106,500 Rp 114,000 SUSP. THYPOID F.
2-Jan MUHAMAD ZAINUL ARIFIN 3446 1 7,500 90,500 Rp 98,000 SUSP. THYPOID F.
2-Jan FITRI DWI W. A122 1 7,500 50,000 140,500 Rp 198,000 VL

3-Jan SUTISNA AHMAD 5217 3 7,500 94,500 Rp 102,000 ISPA+VARICELLA


3-Jan NOFRIA LENDAWATI 5116 1 19,000 Rp 19,000 KB PIL
3-Jan BUDI RAHAYU 6070 1 30,000 Rp 30,000 KB PIL
3-Jan ISUYONO 4610 1 7,500 30,000 127,500 Rp 165,000 RA
3-Jan ENI SURYANI 6677 1 38,000 Rp 38,000 KB PIL
3-Jan ANGGELA THERESIA 1347 1 7,500 90,000 Rp 97,500 KONS+LAB
3-Jan ROHAYATI 6449 1 7,500 103,500 Rp 111,000 SUSP. THYPOID F.
3-Jan TRI DIYANTO A437 2 7,500 121,500 Rp 129,000 SUSP. THYPOID F.
3-Jan BUDI RAHAYU 6070 1 7,500 111,500 Rp 119,000 SUSP. THYPOID F.
3-Jan SURYA JAYANATA 3946 3 7,500 102,500 Rp 110,000 SUSP. THYPOID F.
3-Jan SALMUN 7,500 158,500 Rp 166,000 KONTROL POST SC
3-Jan ABDUR ROZAK 3695 3 7,500 86,500 Rp 94,000 SUSP. THYPOID F.
3-Jan SALMUN 4193 3 25,000 Rp 25,000 IMUNISASI
3-Jan ENDARYATNA 3672 1 28,000 Rp 28,000 RESEP
3-Jan PURNOMO 0409 1 12,000 Rp 12,000 KB PIL
3-Jan PURNOMO 0409 2 24,000 Rp 24,000 KB PIL
3-Jan HENDRI WIJAYA 0925 1 7,500 98,500 Rp 106,000 PHARINGITIS AKUT
3-Jan HERTINI 6803 1 7,500 106,500 Rp 114,000 DERMATITIS
3-Jan JUHARTA 2952 3 7,500 120,500 Rp 128,000 PHARINGITIS AKUT
3-Jan NOVIYANTI NURDIN Q592 1 7,500 190,500 Rp 198,000 PHARINGITIS AKUT
3-Jan RANAH 7006 1 7,500 20,500 Rp 28,000 KB INJ
3-Jan PRIHATIN SUMARDJO A276 1 7,500 121,500 Rp 129,000 VARICELLA
3-Jan SANAWIYAH SAMLAWI 6019 1 7,500 20,500 Rp 28,000 KB INJ
3-Jan PERDIYANTO A271 7,500 124,500 Rp 132,000 GEA+THYPOID F.
3-Jan NURDIN AHMAD 5576 2 36,000 Rp 36,000 KB PIL
3-Jan ABDUR ROZAK 3695 3 7,500 98,500 Rp 106,000 ISPA
3-Jan SUPAIN 2219 2 7,500 20,500 Rp 28,000 KB INJ
3-Jan SUKARIH 5251 3 7,500 80,500 Rp 88,000 D. ALLERGI
3-Jan NURHIJAH Q224 1 7,500 85,500 Rp 93,000 SUSP. THYPOID F.

4-Jan NARMI EDI R198 1 7,500 106,500 Rp 114,000 DERMATITIS


4-Jan IMAM BUDI SANTOSO B857 3 7,500 72,500 Rp 80,000 ISPA
4-Jan AI SUHARTINI 6911 1 7,500 20,500 Rp 28,000 KB INJ
4-Jan YAYUK AISAH C167 1 7,500 56,500 Rp 64,000 RA
4-Jan DINA MARYANAH Q073 1 7,500 90,500 Rp 98,000 PHARINGITIS
4-Jan NENI RASIM Q583 1 7,500 90,500 Rp 98,000 PHARINGITIS
4-Jan LIA MULYASARI S129 1 7,500 104,500 Rp 112,000 ISPA+DISPEPSIA
4-Jan SITI PATIMAH SANITA P635 1 7,500 96,500 Rp 104,000 SUSP. THYPOID F.
4-Jan WIYANA A471 2 7,500 78,500 Rp 86,000 ISPA
4-Jan EDI SUTANTO 3932 3 7,500 83,500 Rp 91,000 OBS FEBRIS
4-Jan MUJAHID 5572 1 7,500 78,500 Rp 86,000 KONTROL THYPOID F.
4-Jan MIDIUSTUTY 5569 3 7,500 79,500 Rp 87,000 ISPA
4-Jan SUSILO 4710 1 7,500 80,500 Rp 88,000 ISPA
4-Jan SUTISNA AHMAD 5217 1 7,500 124,500 Rp 132,000 VARICELLA

5-Jan SARIPUDIN W. 1805 1 7,500 83,500 Rp 91,000 ISPA+FEBRIS


5-Jan DADANG SUPANDI A059 1 7,500 88,500 Rp 96,000 ISPA
5-Jan SARNO 1261 3 7,500 73,500 Rp 81,000 ISPA
5-Jan SARNO 1261 1 7,500 93,500 Rp 101,000 GEA
5-Jan MUHAEMIN 2813 3 7,500 73,500 Rp 81,000 GEA
5-Jan JAMAT 4945 2 7,500 20,500 Rp 28,000 KB INJ
5-Jan DAHLIA SUMANTA O916 1 7,500 83,500 Rp 91,000 ISPA
5-Jan PURNAMAWATI 6144 1 7,500 82,500 Rp 90,000 GASTRITIS
5-Jan NURSAHID A256 2 110,000 163,000 Rp 273,000 USG
5-Jan PARITO A265 2 110,000 247,000 Rp 357,000 USG
5-Jan YANTO SUPRIYANTO 4550 2 85,000 Rp 85,000 KONS. Sp.OG
5-Jan ARIF RUSMAN C579 1 7,500 84,500 Rp 92,000 ISPA+FEBRIS

6-Jan MUJI KARNO A233 3 7,500 90,500 Rp 98,000 VARICELLA


6-Jan AKHMAD IMRON A008 1 7,500 141,500 Rp 149,000 DERMATITIS ALLERGI
6-Jan MUSLIMIN A240 3 7,500 104,500 Rp 112,000 VARICELLA
6-Jan SUGENG HARIYANTO 7457 2 7,500 27,500 Rp 35,000 ANC
6-Jan SUGENG HARIYANTO 7457 3 7,500 93,500 Rp 101,000 T.PHARINGITIS AKUT
6-Jan AKHMAD IMRON A008 3 7,500 114,500 Rp 122,000 PHARINGITIS AKUT
6-Jan AKHMAD IMRON A008 2 7,500 138,500 Rp 146,000 RHINITIS ALLERGI
6-Jan BUDI TRISNO A053 3 7,500 20,000 187,500 Rp 215,000 BP+NEBU+STOMATITIS
6-Jan SARIPUDIN W. 1805 3 7,500 70,500 Rp 78,000 SUSP. THYPOID F.
6-Jan SRI MURYANI 6250 1 7,500 20,500 Rp 28,000 KB INJ
6-Jan YULIARTI 6510 1 7,500 127,500 Rp 135,000 PHARINGITIS AKUT
6-Jan RUKMAN SALIM 3644 2 7,500 27,500 Rp 35,000 KB INJ
6-Jan RUKMAN SALIM 3644 2 7,500 115,500 Rp 123,000 CARIES DENTIS+PHARING.
6-Jan SURYATI AHMAD Q238 1 7,500 78,500 Rp 86,000 CHOLAZION SINISTRA
6-Jan M. YADI 5574 1 7,500 360,000 100,500 Rp 468,000 THYPOID FEVER
6-Jan SUDIYONO A366 1 7,500 96,500 Rp 104,000 T. CORPUS
6-Jan PRIHATIN SUMARDJO A276 1 7,500 148,500 Rp 156,000 PHARINGITIS+VARICELLA
6-Jan HERI AGUS SETIYONO D183 2 7,500 20,500 Rp 28,000 KB INJ
6-Jan DEFI TRI HANDAYANI R574 1 7,500 101,500 Rp 109,000 SUSP. THYPOID F.
6-Jan ABDUR ROZAK 3695 3 7,500 70,500 Rp 78,000 KONTROL
6-Jan MARSUDI 3425 2 7,500 85,500 Rp 93,000 PHARINGITIS

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 )

HUBUNGAN JASA MEDIK


TGL NAMA KARYAWAN NIK YBS IST ANK KONS TIND OBAT JUMLAH Ketr
8-Jan SOLEH 2254 3 7,500 86,500 Rp 94,000 SCBIES
8-Jan MAHMUD 0870 3 7,500 101,500 Rp 109,000 SUSP. THYPOID F
8-Jan HENDRI WIJAYA 0925 3 7,500 94,500 Rp 102,000 SUSP. THYPIOD F
8-Jan RUDITA 4220 3 7,500 81,500 Rp 89,000 MILLIANA
8-Jan LINDAWATI A. ROHIM 6687 1 7,500 27,500 Rp 35,000 KB INJ
8-Jan GUNANTO D179 2 7,500 90,000 159,500 Rp 257,000 THYPOID FEVER
8-Jan MUJAHID 5572 1 7,500 130,500 Rp 138,000 KONTROL THYPOID
8-Jan ABDUL KHAFID 0841 1 7,500 86,500 Rp 94,000 RA
8-Jan M. RIDWAN A671 1 7,500 90,000 108,500 Rp 206,000 THYPOID FEVER
8-Jan WAKIDI A453 3 7,500 80,500 Rp 88,000 ISPA+OBS FEBRIS
8-Jan WAKIDI A453 1 7,500 94,500 Rp 102,000 PHARINGITIS+SUSP. THY.
8-Jan NURWATI 2247 1 7,500 180,000 143,500 Rp 331,000 THYPOID FEVER
8-Jan AAN HASANAH D168 2 7,500 119,500 Rp 127,000 ISK

9-Jan YATIN A893 2 110,000 346,000 Rp 456,000 USG


9-Jan SULASDI 3140 2 110,000 159,000 Rp 269,000 USG
9-Jan PRAWOTO A275 2 110,000 223,000 Rp 333,000 USG
9-Jan HADI SUMANTO 4564 2 7,500 20,500 Rp 28,000 KB INJ
9-Jan AHMAD ROMLI 2934 1 7,500 88,500 Rp 96,000 ISK
9-Jan HANI MULYANI S454 1 7,500 150,000 132,500 Rp 290,000 LAB+THYPOID FEVER
9-Jan MOHAMAD ADIH 5607 2 7,500 136,500 Rp 144,000 PHARINGITIS AKUT
9-Jan FATIKIN 5677 1 140,000 Rp 140,000 RONTGEN
9-Jan M. SUBUR 4068 3 7,500 104,500 Rp 112,000 GEA+FEBRIS
9-Jan PUJI PRAMONO 4111 1 7,500 90,500 Rp 98,000 RA
9-Jan TATI KUSMAYATI P910 1 7,500 90,000 125,500 Rp 223,000 LAB+THYPOID FEVER

10-Jan NURWATI 2247 1 7,500 140,500 Rp 148,000 KONTROL THYPOID


10-Jan TRI DIYANTO A437 3 7,500 94,500 Rp 102,000 ISPA+OBS FEBRIS
10-Jan AKHMAD IMRON A008 2 15,000 19,000 Rp 34,000 TESPEK+KB PIL
10-Jan DWI RAHAYU SUKMANINGSIH C061 1 7,500 20,500 Rp 28,000 KB INJ
10-Jan M. RIDWAN A671 1 7,500 89,500 Rp 97,000 THYPOID FEVER
10-Jan MOH. IQBAL A231 2 7,500 94,500 Rp 102,000 SUSP. THYPOID F.
10-Jan SURYA JAYANATA 3946 2 18,000 Rp 18,000 KB PIL
10-Jan MARYANTO LASIMAN 5241 3 7,500 84,500 Rp 92,000 ISPA+FEBRIS
10-Jan MARYANTO LASIMAN 5241 1 7,500 88,500 Rp 96,000 SUSP. THYPOID F.
10-Jan SUDIYONO A366 3 125,000 Rp 125,000 IMUNISASI
10-Jan SUHENDI 4922 1 7,500 159,500 Rp 167,000 PHARINGITIS AKUT
10-Jan SUKARIH 5241 3 7,500 90,500 Rp 98,000 ALLERGIA
10-Jan SUKARIH 5241 2 7,500 135,500 Rp 143,000 ALLERGIA
10-Jan AISAH IRNAN R782 1 7,500 131,500 Rp 139,000 D. ALLERGI
10-Jan SOLIHIN D. HADIAT 4960 1 7,500 88,500 Rp 96,000 GINGGIVIITIS
10-Jan RISKA KAMSARI S401 1 7,500 121,500 Rp 129,000 D. ALLERGI
10-Jan UMDAH P751 1 7,500 89,500 Rp 97,000 STOMATITIS
10-Jan SARANI 0891 2 19,000 Rp 19,000 KB PIL
10-Jan SARANI 0891 7,500 67,500 Rp 75,000 SUSP. THYPOID F.
10-Jan ERLINAWATI 6563 1 7,500 118,500 Rp 126,000 ART.GOUT

11-Jan AMRIYAH O169 1 7,500 78,500 Rp 86,000 GASTRITIS


11-Jan HUDA NAHRUDI ILHAM 4941 1 38,000 Rp 38,000 KB PIL
11-Jan PUJI PRAMONO 4111 3 7,500 79,500 Rp 87,000 ISPA
11-Jan SAEFULLAH ARSIM 5241 3 7,500 65,500 Rp 73,000 GASTRITIS+FEBRIS
11-Jan SIMPING PRAYITNO 3906 3 7,500 68,500 Rp 76,000 ISPA
11-Jan SURYANA MANTA 4047 2 7,500 68,500 Rp 76,000 SUSP. THYPOID F.
11-Jan ELY S. 0298 1 7,500 74,500 Rp 82,000 GEA
11-Jan TRI WALUYO 4748 2 7,500 20,500 Rp 28,000 KB INJ
11-Jan IRIANDI 2466 3 7,500 89,500 Rp 97,000 ISPA
11-Jan ARMAN 3971 2 7,500 111,500 Rp 119,000 BRONKHITIS

12-Jan IDA PURWATI 6804 1 7,500 118,500 Rp 126,000 THYPOID FEVER


12-Jan SITTI FATIMAH 5123 1 7,500 89,500 Rp 97,000 KONTROL THYPOID
12-Jan SUGINO 1090 3 7,500 82,500 Rp 90,000 OBS FEBRIS
12-Jan NURWAKHID 3903 2 7,500 70,500 Rp 78,000 ISPA
12-Jan AMAR MA'RUP 4778 3 7,500 73,500 Rp 81,000 OBS FEBRIS
12-Jan ELI ROHANI 6628 1 7,500 20,500 Rp 28,000 KB INJ
12-Jan SITI NURHAYATI SANUDIN C146 1 19,000 Rp 19,000 KB PIL
12-Jan SITI NURHAYATI SANUDIN C146 1 7,500 66,500 Rp 74,000 OBS FEBRIS
12-Jan HERLIKA SUMMAWATI S998 1 7,500 98,500 Rp 106,000 ANC
12-Jan ITA HERIYANTI B399 1 7,500 27,500 Rp 35,000 KB INJ
12-Jan SUMARNO A390 2 7,500 20,500 Rp 28,000 KB INJ
12-Jan KUSTINI 5977 1 7,500 70,500 Rp 78,000 OBS FEBRIS
12-Jan SITI MASITOH S. R277 1 7,500 70,500 Rp 78,000 OBS FEBRIS
12-Jan HENGKI IRAWAN 2144 2 7,500 89,500 Rp 97,000 THYPOID FEVER
12-Jan EKA LESMANA 3577 1 35,000 Rp 35,000 RESEP
12-Jan MARYADI 1116 1 7,500 74,500 Rp 82,000 ISPA
12-Jan MEGASARI JAKARIA P551 1 7,500 78,500 Rp 86,000 SUSP. THYPOID F.
12-Jan SARANI 0891 3 7,500 79,500 Rp 87,000 ISPA
12-Jan MEGA KUSLIA S132 1 7,500 90,500 Rp 98,000 KONTROL THYPOID
12-Jan SUMIRAH C008 1 7,500 81,500 Rp 89,000 SUSP. THYPOID F.

13-Jan TARTO 5339 1 7,500 76,500 Rp 84,000 HEMOROID


13-Jan WIYANA A471 3 7,500 67,500 Rp 75,000 KP
13-Jan JOKO SUPRIYANTO A648 2 7,500 90,000 101,500 Rp 199,000 LAB+THYPOID FEVER
13-Jan UNTUNG SANTOSO A449 2 7,500 145,500 Rp 153,000 SATOMATITIS+GASTRTIIS
13-Jan SITI ROHMAH D. P442 1 7,500 64,500 Rp 72,000 PHARINGITIS
13-Jan SASTRA HERMITA S799 1 7,500 61,500 Rp 69,000 SUSP. OMA
13-Jan HOLILAH 6437 1 7,500 115,500 Rp 123,000 ANC
13-Jan TRIYONO A872 2 24,000 Rp 24,000 KB PIL
13-Jan HENDRI WIJAYA 0925 3 7,500 62,500 Rp 70,000 ISPA
13-Jan SUPIAN 2219 3 7,500 57,500 Rp 65,000 ISPA
13-Jan WINARNO A465 1 7,500 51,500 Rp 59,000 ISPA
13-Jan BUDI TRISNO A053 1 7,500 88,500 Rp 96,000 KONTROL THYPOID
13-Jan BUDI TRISNO A053 3 7,500 56,500 Rp 64,000 ISPA
13-Jan AGUS SUYANTO A021 2 7,500 81,500 Rp 89,000 VERTIGO
13-Jan M. SAEBANI 4324 2 7,500 75,500 Rp 83,000 SUSP. THYPOIID F.
13-Jan AKRAM 3413 2 110,000 88,000 Rp 198,000 USG
13-Jan ROKAYAH 6593 1 110,000 126,000 Rp 236,000 USG
13-Jan PURNOMO A282 2 110,000 96,000 Rp 206,000 USG
13-Jan SARNIATI P587 1 85,000 67,000 Rp 152,000 USG
13-Jan SUGENG HERIYANTO 7457 2 110,000 38,000 Rp 148,000 USG
13-Jan WAHYUDI P. SUDARMO 4883 1 7,500 90,500 Rp 98,000 SUSP. THYPOID F.
13-Jan RUDI AHMAD WIDADI 4123 3 7,500 63,500 Rp 71,000 OBS FEBRIS

14-Jan LIA MULYASARI 5129 1 7,500 99,500 Rp 107,000 ISPA+HT


14-Jan SALAMUN 3817 2 7,500 55,500 Rp 63,000 ISK
14-Jan ARI WIDODO 3029 1 7,500 56,500 Rp 64,000 ISPA
14-Jan DWI YANTO A081 2 7,500 120,500 Rp 128,000 STOMATITIS
14-Jan WIWI O112 1 7,500 57,500 Rp 65,000 SUSP. THYPOID
14-Jan ITA SUSILAWATI P957 1 7,500 62,500 Rp 70,000 ISPA
14-Jan HENDRI WIJAYA 0925 1 7,500 57,500 Rp 65,000 GEA
14-Jan SITI MUNIROH BANHAWI N965 1 7,500 64,500 Rp 72,000 SUSP. THYPOID
14-Jan IDRIS 5027 2 7,500 20,500 Rp 28,000 KB INJ
14-Jan SITI HERLINDA R548 1 7,500 81,500 Rp 89,000 ISPA
14-Jan IKEU RULIA 5150 1 7,500 50,500 Rp 58,000 ISPA
14-Jan ISROMIATI 6897 1 7,500 50,500 Rp 58,000 ISPA
14-Jan PURWO WIDODO 2542 2 7,500 59,500 Rp 67,000 INFLUENSA
14-Jan HERMAWAN 1573 3 7,500 73,500 Rp 81,000 ISPA
14-Jan PARITO A265 2 7,500 70,500 Rp 78,000 RA
14-Jan LAELATUL SHOLIKHAH P964 1 7,500 73,500 Rp 81,000 GASTRITIS
14-Jan SAEFULLAH ARSIM 5248 3 7,500 64,500 Rp 72,000 GEA
14-Jan SAEFULLAH ARSIM 5248 3 7,500 161,500 Rp 169,000 GEA

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 )

HUBUNGAN JASA MEDIK


TGL NAMA KARYAWAN NIK YBS IST ANK KONS TIND OBAT JUMLAH Ketr
16-Jan IMAS EUSNIAWATI Q841 1 7,500 83,500 Rp 91,000 PHARINGITIS AKUT
16-Jan SUWANDI A416 2 7,500 88,500 Rp 96,000 SUSP. THYPOID+PHARING
16-Jan TRI WALUYO 4748 3 7,500 80,500 Rp 88,000 ISPA
16-Jan SITI SALENA 3552 1 7,500 90,000 133,500 Rp 231,000 THYPOID FEVER
16-Jan DIANA RIYANTI 4639 1 7,500 94,500 Rp 102,000 SUSP. THYPOID
16-Jan PUJI PRAMONO 4111 3 7,500 106,500 Rp 114,000 KONTROL THYPOID
16-Jan PUJI PRAMONO 4111 3 7,500 85,500 Rp 93,000 ISPA
16-Jan SURYA 3649 3 7,500 104,500 Rp 112,000 ISPA+FEBRIS
16-Jan UMI HAENI P911 1 67,000 Rp 67,000 RESEP
16-Jan BUDI ASTUTI 1665 1 25,000 Rp 25,000 LAB
16-Jan ROSMIATI DAMAHURI S403 1 7,500 90,500 Rp 98,000 ISPA
16-Jan SINTA SARKA'I S406 1 7,500 128,500 Rp 136,000 DERMATITIS
16-Jan NURJANAH A. KOMAR 6543 1 7,500 129,500 Rp 137,000 PHARINGITIS+GASTR.
16-Jan WINARNO MULYO 2791 2 7,500 20,500 Rp 28,000 KB INJ
16-Jan SUHERMAN HARJOSUWARNO 4373 1 7,500 190,500 Rp 198,000 CONJUNGTIVITIS
16-Jan SITI SARTIKAH 5122 1 38,000 Rp 38,000 KB PIL
16-Jan HARISDI 0040 1 7,500 150,000 141,500 Rp 299,000 THYPOID FEVER+HEPATITIS
16-Jan HENDRI WIJAYA 0925 1 7,500 108,500 Rp 116,000 ASMA

17-Jan ISUYONO 4610 1 7,500 105,500 Rp 113,000 RA


17-Jan ELIS MULHAH P604 1 7,500 106,500 Rp 114,000 SUSP. THYPOID+PHARING
17-Jan SITI NURHAYATI S. 5732 1 7,500 90,000 129,500 Rp 227,000 LAB+THYPOID FEVER
17-Jan JULI SAPUTRI S732 1 7,500 113,500 Rp 121,000 ASMA BRONKHIAL
17-Jan MARFIKAH S070 1 7,500 118,500 Rp 126,000 SUSP. THYPOID+PHARING
17-Jan HASAN ABDULLAH 0787 2 7,500 128,500 Rp 136,000 PHARINGITIS AKUT
17-Jan TRI LESTARI 6055 1 7,500 80,500 Rp 88,000 THYPOID FEVER
17-Jan ANITA PERTIWI R475 1 7,500 122,500 Rp 130,000 SUSP. THYPOID+PHARING
17-Jan SAHNAH 1532 1 7,500 20,500 Rp 28,000 KB INJ
17-Jan SAHNAH 1532 1 7,500 106,500 Rp 114,000 DERMATITIS
17-Jan MUNTIHA P416 1 7,500 25,000 69,500 Rp 102,000 VL
17-Jan ARI WIDODO 3029 3 7,500 133,500 Rp 141,000 SUSP. THYPOID
17-Jan RATNA SUSILAWATI A290 1 7,500 20,500 Rp 28,000 KB INJ
17-Jan SITI AISAH ARIFIN F681 1 7,500 133,500 Rp 141,000 GASTRITIS
17-Jan DIDIN ROHIDIN 0916 1 7,500 133,500 Rp 141,000 ISPA+FEBRIS
17-Jan PUJI WINARTO 2818 1 7,500 86,500 Rp 94,000 SUSP. THYPOID
17-Jan TUGINO 5240 3 7,500 111,500 Rp 119,000 SUSP. THYPOID
18-Jan SRI WIDODO C. 5539 3 7,500 62,500 Rp 70,000 OBS VOMITUS
18-Jan SRI WIDODO C. 5539 3 7,500 73,500 Rp 81,000 ISPA
18-Jan MUHIDIN SUDARNA 4269 2 7,500 20,500 Rp 28,000 KB INJ
18-Jan ROSIPAH UDIN 6833 1 7,500 20,500 Rp 28,000 KB INJ
18-Jan MUAWANAH 2750 1 7,500 83,500 Rp 91,000 OBS FEBRIS+ISPA
18-Jan SUTIKNO RIKIN 4303 2 7,500 90,500 Rp 98,000 PHARINGITIS AKUT
18-Jan WINARNI A464 1 7,500 20,500 Rp 28,000 KB INJ
18-Jan ANI FADILAH R139 1 7,500 88,500 Rp 96,000 SUSP. THYPOID F
18-Jan JAIYAH F307 1 7,500 80,500 Rp 88,000 ANC
18-Jan SITI SARMAH O069 1 7,500 100,500 Rp 108,000 SUSP. THYPOID F
18-Jan AHMAD FUDOLI 3897 3 7,500 90,500 Rp 98,000 GEA+FEBRIS
18-Jan MUNIROH MARTA S073 1 7,500 116,500 Rp 124,000 SUSP. THYPOID F
18-Jan GUNANTO D179 2 7,500 20,500 Rp 28,000 KB INJ
18-Jan SADAD MUSADAD 2483 2 7,500 95,500 Rp 103,000 VERTIGO
18-Jan AGIA YULIASARI 0167 1 7,500 88,500 Rp 96,000 HERPES
18-Jan NURHIJAH MIRAWATI Q224 1 7,500 83,500 Rp 91,000 SUSP. THYPOID F

19-Jan HAERUDIN ROHMAN 0786 1 7,500 95,500 Rp 103,000 GASTRITIS


19-Jan ELIS ANGGRAENI P655 1 7,500 79,500 Rp 87,000 DERMATITIS
19-Jan DEWI ANGGRAENI SAMAD P711 1 7,500 66,500 Rp 74,000 CONJUNGTIVIITS
19-Jan SUGIHARTI A368 1 7,500 20,500 Rp 28,000 KB INJ
19-Jan SUGENG HERIYANTO 7457 2 110,000 68,000 Rp 178,000 USG
19-Jan SOLEHA AYAT 6838 1 110,000 254,000 Rp 364,000 USG
19-Jan RAPEI 3936 2 110,000 107,000 Rp 217,000 USG
19-Jan SUPARLAN 4597 3 7,500 89,500 Rp 97,000 PHARINGITIS+FEBRIS
19-Jan MARIMUN 0407 1 7,500 70,500 Rp 78,000 OBS VOMITUS
19-Jan RUMIYATI 7094 1 7,500 20,500 Rp 28,000 KB INJ
19-Jan RUSMANTO A310 2 7,500 94,500 Rp 102,000 SUSP. THYPOID F
19-Jan YEYEYN NURHAYATI UCI P247 1 7,500 93,500 Rp 101,000 PHARINGITIS
19-Jan SARIPUDIN WAHAB 1805 2 7,500 90,500 Rp 98,000 SUSP. THYPOID F
19-Jan RODIYAH AHAMD P186 1 7,500 89,500 Rp 97,000 RA
19-Jan SUPARLAN 4597 1 7,500 70,500 Rp 78,000 ISPA
19-Jan NENENG SUNENGSIH S138 1 28,000 Rp 28,000 RESEP
19-Jan ABDUR ROZAK 3695 3 7,500 62,500 Rp 70,000 ISPA

20-Jan PURWANTO 4151 3 7,500 118,500 Rp 126,000 ISPA+FEBRIS


20-Jan AGUS SUYANTO A021 1 7,500 97,500 Rp 105,000 PHARINGITIS AKUT
20-Jan SHELVA RESTIANY S109 1 7,500 100,500 Rp 108,000 ISPA
20-Jan MOHAMAD ADIH 5607 3 7,500 128,500 Rp 136,000 GEA
20-Jan SUARTA AHMAD 2356 3 7,500 88,500 Rp 96,000 ISPA+SUSP.THYPOID
20-Jan SUHAENI SAEPUDIN R291 1 7,500 117,500 Rp 125,000 CONJUNGTIVIITS
20-Jan UUM UNAESIH Q701 1 7,500 86,500 Rp 94,000 SUSP. THYPOID F
20-Jan POERNOMO 0409 3 7,500 100,500 Rp 108,000 SUSP. THYPOID F
20-Jan POERNOMO 0409 2 24,000 Rp 24,000 KB PIL
20-Jan ECIH SUKAESIH IMING 2147 1 7,500 151,500 Rp 159,000 RHINITIS
20-Jan AHMAD HABIBI 1793 1 7,500 95,500 Rp 103,000 PHARINGITIS
20-Jan ENDARYATNA 3672 2 7,500 111,500 Rp 119,000 SUSP. THYPOIID F
20-Jan ABDUR ROZAK 3695 3 7,500 179,500 Rp 187,000 KP
20-Jan RUSWAN 2011 1 7,500 25,000 237,500 Rp 270,000 LAB+DM
20-Jan SAFULLAH ARSIM 5248 1 7,500 90,000 109,500 Rp 207,000 LAB+THYPOID F
20-Jan ELFIANIS 4828 1 7,500 138,500 Rp 146,000 PHARINGITIS AKUT
20-Jan ELFIANIS 4828 2 7,500 20,500 Rp 28,000 KB INJ
20-Jan TRI YULI PANGESTUTI R758 1 45,000 Rp 45,000 RESEP
20-Jan ENDARYATNA 3672 1 65,000 Rp 65,000 RESEP
20-Jan MUHAMAD SUJAIH 1383 2 7,500 111,500 Rp 119,000 SUSP. THYPOID
20-Jan SUKARIH 5251 3 7,500 81,500 Rp 89,000 ISPA+FEBRIS
20-Jan TOLIB 2981 3 7,500 82,500 Rp 90,000 SUSP. THYPOID+PHARING.
20-Jan SUGIHARTI A368 1 7,500 90,000 130,500 Rp 228,000 LAB+THYPOID F
20-Jan SUARTA AHMAD 2356 2 7,500 91,500 Rp 99,000 SUSP. THYPOID
20-Jan ADE SUPARTA A013 3 7,500 106,500 Rp 114,000 ISPA+GEA

21-Jan SUGENG HERIYANTO 7457 1 7,500 86,500 Rp 94,000 GASTRITIS


21-Jan RIRIN PURWANINGSIH P216 1 7,500 158,500 Rp 166,000 PHARINGITIS+ASMA
21-Jan YULIANTORU 3477 3 7,500 88,500 Rp 96,000 URTICARIA+ISPA
21-Jan RINA MULYATI 7007 3 7,500 105,500 Rp 113,000 GEA+URTICARIA
21-Jan RUKMIYATI 7094 1 7,500 127,500 Rp 135,000 PHARINGITIS AKUT
21-Jan SITI KHODIJAH HIDAYAT S220 1 7,500 83,500 Rp 91,000 SUSP. THYPOID
21-Jan LILI SUHARTI 1774 1 7,500 27,500 Rp 35,000 KB INJ
21-Jan SITI MUNDARSIH J133 1 7,500 20,500 Rp 28,000 KB INJ
21-Jan DADANG SUPANDI A059 1 7,500 118,500 Rp 126,000 ASMA BRONKHIAL
21-Jan ANKE NURHAYATI P202 1 7,500 101,500 Rp 109,000 SUSP. THYPOID
21-Jan RATNA SARI SUHARJA R610 1 7,500 107,500 Rp 115,000 SUSP. THYPOID
21-Jan SAIMUN 4193 3 100,000 Rp 100,000 IMUNISASI
21-Jan SAIMUN 4193 2 7,500 27,500 Rp 35,000 KB INJ
21-Jan SITI AISAH ARIFIN F681 1 7,500 20,500 Rp 28,000 KB INJ
21-Jan SUYANTO H464 2 38,000 Rp 38,000 KB PIL

22-Jan AGUS SUYANTO A021 3 7,500 99,500 Rp 107,000 ISPA+FEBRIS


22-Jan SADAD MUSADAD 2483 3 7,500 72,500 Rp 80,000 OBS FEBRIS
22-Jan SADAD MUSADAD 2483 2 7,500 94,500 Rp 102,000 KONTROL THYPOID
22-Jan DICKY WAHJUWIDAJADI IS 5096 2 19,000 Rp 19,000 KB PIL
22-Jan DICKY WAHJUWIDAJADI IS 5096 3 7,500 65,000 82,500 Rp 155,000 ABSES
22-Jan SUWITO 0410 3 7,500 90,000 127,500 Rp 225,000 THYPOID+PHARINGITIS
22-Jan SUHENI SARTANA 6841 1 7,500 20,500 Rp 28,000 KB INJ
22-Jan AHMAD ROMLI 2934 3 7,500 104,500 Rp 112,000 SCBIES
22-Jan JOKO SANTOSO A646 1 7,500 111,500 Rp 119,000 PHARINGITIS AKUT
22-Jan SURIPTO 4689 1 7,500 75,500 Rp 83,000 ISPA
22-Jan ARIF RUSMAN C579 2 38,000 Rp 38,000 KB PIL
22-Jan WIDI HARTANTO 5256 3 7,500 101,500 Rp 109,000 SUSP. THYPOID
22-Jan HAERUDIN ASTRA 0923 3 7,500 75,500 Rp 83,000 ISPA+FEBRIS
22-Jan DEWI ASMAYANI H793 1 7,500 20,500 Rp 28,000 KB INJ
22-Jan MULYONO 4654 3 7,500 89,500 Rp 97,000 ISPA+FEBRIS
22-Jan MUZANNI 5074 3 7,500 141,500 Rp 149,000 STOMATITIS+SUSP.THYPOID
22-Jan MARDANI RAILAN 4949 3 7,500 64,500 Rp 72,000 ISPA
22-Jan ADE ERNI P396 1 7,500 141,500 Rp 149,000 T.PEDIS+DERMATITIS
22-Jan MARLINAH ARSAMAN O297 1 7,500 79,500 Rp 87,000 OMA
22-Jan MURNIASIH R525 1 7,500 106,500 Rp 114,000 PHARINGITIS AKUT
22-Jan MISNAN SAYA 4627 2 7,500 120,500 Rp 128,000 SUSP. THYPOID
22-Jan MARDANI RAILAN 4949 2 7,500 20,500 Rp 28,000 KB INJ
22-Jan SUPARLAN 4597 3 7,500 61,500 Rp 69,000 ISPA
22-Jan SUPARLAN 4597 3 7,500 108,500 Rp 116,000 TONSILITS AKUT
22-Jan SUPRIYADI ISKANDAR A401 3 7,500 106,500 Rp 114,000 ISPA+FEBRIS
22-Jan SULAEMAN A834 1 7,500 115,500 Rp 123,000 SUSP.THYPOID+PHARING.
Rp 13,949,000
REKAPITULASI KUNJUNGAN PASIEN PT EDS MANUFACTURING INDONESIA
RB OBBINI MEDIKA
BULAN JANUARI 2012 PERIODE 4 ( TGL 23 S/D 31 JANUARI 2012 )

HUBUNGAN JASA MEDIK


TGL NAMA KARYAWAN NIK YBS IST ANK KONS TIND OBAT JUMLAH Ketr
23-Jan IVAN SULISTIYANTO 4211 3 7,500 90,000 134,500 Rp 232,000 V.EXCARIATUM
23-Jan FACHRAH SAPTATINA A117 1 7,500 7,500 Rp 15,000 KONS.
23-Jan IDRIS 5027 1 7,500 105,500 Rp 113,000 SUSP.THYPOID+PHARING.
23-Jan HARLINAH R173 1 7,500 118,500 Rp 126,000 SUSP. THYPOID
23-Jan M. YADI 5574 1 7,500 138,500 Rp 146,000 KONTROL THYPOID
23-Jan SUSI AKIDJA S172 1 7,500 110,500 Rp 118,000 SUSP. THYPOID
23-Jan MUZANNI 5074 1 7,500 91,500 Rp 99,000 PHARINGITIS
23-Jan SUHENDAR A377 3 7,500 98,500 Rp 106,000 OBS FEBRIS+URTICARIA
23-Jan SUPRAPTO 5290 3 7,500 98,500 Rp 106,000 ISPA+FEBRIS
23-Jan WARSITO 3758 2 7,500 89,500 Rp 97,000 T.PEDIS
23-Jan RIDWAN JUAN 5643 1 7,500 121,500 Rp 129,000 KONTROL THYPOID
23-Jan SAENAH Q301 1 7,500 50,500 Rp 58,000 ANC
23-Jan NURDIN AHMAD 5576 3 7,500 88,500 Rp 96,000 ISPA+SUSP.THYPOID
23-Jan EDYANSYAH 5347 3 7,500 81,500 Rp 89,000 ISPA+SUSP.THYPOID
23-Jan EDYANSYAH 5347 2 7,500 20,500 Rp 28,000 KB INJ

24-Jan MUHIBI 3096 3 7,500 90,000 78,500 Rp 176,000 SUSP. THYPOID F.


24-Jan SUIS 2915 3 7,500 97,500 Rp 105,000 ISPA
24-Jan ANDRI MULYANA 3525 3 7,500 67,500 Rp 75,000 ISPA
24-Jan SUGINO 1090 3 7,500 84,500 Rp 92,000 OBS FEBRIS
24-Jan EDY WIDADA 3763 1 68,000 Rp 68,000 RESEP
24-Jan NURJEN 4327 2 7,500 20,500 Rp 28,000 KB INJ
24-Jan HERLINA AMSAR DJ R174 1 7,500 118,500 Rp 126,000 SUSP. THYPOID F.
24-Jan WARSONO A455 3 80,000 Rp 80,000 IMUNISASI
24-Jan SIMPING PRAYITNO 3906 3 7,500 75,000 68,500 Rp 151,000 VL
24-Jan SITI MUAJAH R444 1 7,500 115,500 Rp 123,000 SUSP. THYPOID F.
24-Jan PURWO WIDODO 2542 3 75,000 Rp 75,000 IMUNISASI
24-Jan IMAN TRIYADI 3838 3 7,500 147,500 Rp 155,000 PHARINGITIS+SUSP.THYPOID
24-Jan FATIKIN 5677 3 7,500 90,000 109,500 Rp 207,000 LAB+THYPOID F.
24-Jan ITA SUSILAWATI P957 1 7,500 134,500 Rp 142,000 KONSTIPASI
24-Jan SUGINO 1090 3 7,500 118,500 Rp 126,000 SUSP. THYPOID F.
24-Jan YAUYK AISAH C167 1 7,500 99,500 Rp 107,000 CEPALGIA+LBP
24-Jan TARSONO 3757 2 7,500 95,500 Rp 103,000 ISPA
24-Jan DWI RAHAYU SUKMANINGSIH C061 1 49,000 Rp 49,000 RESEP
24-Jan SUGINO 1090 1 7,500 98,500 Rp 106,000 SUSP. THYPOID F.

25-Jan JUWAHIR 1981 1 7,500 60,500 Rp 68,000 PHARINGITIS


25-Jan MARYANO LASIMAN 5241 1 7,500 70,500 Rp 78,000 OBS FEBRIS
25-Jan SUPRAPTO SAHUDI 5290 3 7,500 68,500 Rp 76,000 OBS VOMITUS
25-Jan AGUS WIDODO E240 1 7,500 62,500 Rp 70,000 CARIES DENTIS
25-Jan IRFAN SANTOSO A160 1 7,500 64,500 Rp 72,000 ISPA
25-Jan ASMURIH 4250 3 68,000 Rp 68,000 RESEP
25-Jan INDRAWATI A157 1 18,000 Rp 18,000 KB PIL
25-Jan AMINAH SYAHIR 6755 1 7,500 84,500 Rp 92,000 CONJUNGTIVITIS
25-Jan PUPUT FADILAH C790 1 7,500 65,500 Rp 73,000 VERTIGO
25-Jan ENDARYATNA 3672 3 7,500 69,500 Rp 77,000 ISPA
25-Jan SUARTA 0818 1 7,500 84,500 Rp 92,000 ISPA

26-Jan TRI HANDOKO 4432 1 7,500 40,500 Rp 48,000 ANC


26-Jan AJI PURWANTO 5503 1 7,500 89,500 Rp 97,000 KONTROL THYPOID
26-Jan LIA MULYASARI S129 1 7,500 78,500 Rp 86,000 ISPA
26-Jan TRI HANDOKO 4432 3 7,500 70,500 Rp 78,000 ISPA
26-Jan PUJI LESTARI BAMBANG DJ P801 1 7,500 76,500 Rp 84,000 GASTRITIS
26-Jan MARYATI BUANG G451 1 7,500 68,500 Rp 76,000 ISK
26-Jan IRMA ROHMAYANI R591 1 7,500 66,500 Rp 74,000 ISPA
26-Jan SIHYONO 5861 2 7,500 78,500 Rp 86,000 ISPA+FEBRIS
26-Jan SUARTA AKHMAD 2356 3 7,500 71,500 Rp 79,000 ISPA+FEBRIS
26-Jan HENDRI WIJAYA 0925 3 7,500 20,000 68,500 Rp 96,000 VL
26-Jan SUGENG HERIYANTI 7457 2 110,000 Rp 110,000 USG
26-Jan KASRIDI H918 2 110,000 Rp 110,000 USG
26-Jan SUTIKNO RIKIN 4033 1 7,500 70,500 Rp 78,000 GEA
26-Jan PANTO 1701 3 7,500 81,500 Rp 89,000 ISPA
26-Jan PUJI WINARTO 2818 3 7,500 82,500 Rp 90,000 OBS FEBRIS
26-Jan IRFAN SANTOSO A160 2 7,500 70,500 Rp 78,000 OBS FEBRIS
26-Jan IRFAN SANTOSO A160 3 7,500 73,500 Rp 81,000 OBS FEBRIS
26-Jan ROIDAH SUHADA 6874 1 7,500 20,500 Rp 28,000 KB INJ
26-Jan ERLINAWATI 6563 1 7,500 90,500 Rp 98,000 HEMOROID
26-Jan MULYANAH B. Q399 1 7,500 63,500 Rp 71,000 ISPA
26-Jan SUKARTI MARYATI 4299 1 7,500 78,500 Rp 86,000 OBS FEBRIS+ISPA
26-Jan MUZANNI 5074 3 7,500 79,500 Rp 87,000 OBS FEBRIS
26-Jan SITI NURHALIMAH SAMAN Q429 1 7,500 68,500 Rp 76,000 OBS FEBRIS+ISPA

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

28-Jan MAHMUD 0870 3 7,500 104,500 Rp 112,000 ISPA+OBS FEBRIS


28-Jan SORAYA ULFAH S477 1 7,500 65,000 61,500 Rp 134,000 VL
28-Jan SIGIT HERMAWAN B361 3 7,500 67,500 Rp 75,000 ISPA
28-Jan MUSLENI 3338 3 7,500 68,500 Rp 76,000 ISPA
28-Jan JUNAEDI 2747 3 7,500 81,500 Rp 89,000 ISPA+SUSP. THYPOID
28-Jan TEGUH KURNIANTORO 5867 3 7,500 20,000 108,500 Rp 136,000 BP
28-Jan AINUL INAYAH S428 1 7,500 217,500 90,000 Rp 315,000 VL
28-Jan WINARNO A465 1 7,500 77,500 Rp 85,000 PHARINGITIS+SUSP.THYPOID
28-Jan WARSITO PONO F228 2 7,500 110,500 Rp 118,000 SUSP. THYPOID F.
28-Jan HENDRI WIJAYA 0925 3 7,500 76,500 Rp 84,000 BRONKHITIS

29-Jan PURWASIH SUPARTA Q614 1 7,500 81,500 Rp 89,000 SUSP. THYPOID F.


29-Jan JUNAEDI 2747 3 7,500 93,500 Rp 101,000 OBS FEBRIS
29-Jan SARANI 0891 3 7,500 84,500 Rp 92,000 GEA
29-Jan MUHIDIN 2451 1 7,500 98,500 Rp 106,000 PHARINGITIS AKUT
29-Jan JOKO SANTOSO A646 3 7,500 56,500 Rp 64,000 ISPA
29-Jan AAN 0907 3 7,500 90,500 Rp 98,000 SUSP. THYPOID F.
29-Jan JUWITA 2147 1 7,500 93,500 Rp 101,000 PHARINGITIS AKUT
29-Jan KUWAT SUDIYONO A190 2 7,500 20,500 Rp 28,000 KB INJ
29-Jan HENDRI WIJAYA 0925 3 7,500 88,500 Rp 96,000 ISPA+VOMITUS
29-Jan JOHARI 3094 3 7,500 90,500 Rp 98,000 ISPA

30-Jan SUSILO 4710 1 7,500 100,500 Rp 108,000 SUSP. THYPOID F.


30-Jan ISMAWATI P544 1 7,500 98,500 Rp 106,000 PHARINGITIS AKUT
30-Jan SUKARIH 5251 1 7,500 101,500 Rp 109,000 D. ALLERGI
30-Jan JUNARSIH 6775 1 7,500 99,500 Rp 107,000 GEA
30-Jan JOKO PRAYITNO 3184 3 7,500 91,500 Rp 99,000 ISPA
30-Jan YULIUS BAGUS REKANS. H356 2 7,500 20,500 Rp 28,000 KB INJ
30-Jan KUNARDI 3317 3 7,500 98,500 Rp 106,000 OBS FEBRIS
30-Jan JUMINAH 7068 1 7,500 91,500 Rp 99,000 ISPA
30-Jan ADBDUL HALIM J295 3 7,500 20,000 81,500 Rp 109,000 BRONKHITIS
30-Jan TRI LESTARI 6055 3 7,500 71,500 Rp 79,000 D. ALLERGI
30-Jan IKA KUSNIA R404 1 7,500 80,500 Rp 88,000 PHARINGITIS
30-Jan SUKARTI MARYATI 4299 3 7,500 64,500 Rp 72,000 ISPA
30-Jan EKA SETIAWATI S. S046 1 7,500 80,500 Rp 88,000 KONTROL THYPOID
30-Jan ENI SURYANI 6677 1 7,500 89,500 Rp 97,000 SUSP. THYPOID+PHARING.
30-Jan AGUS SUYANTO A021 1 7,500 86,500 Rp 94,000 SUSP. THYPOID+PHARING.
30-Jan SRI MULYATI S. P906 1 7,500 89,500 Rp 97,000 GEA
30-Jan SANAWIYAH SAMLAWI 6019 1 7,500 88,500 Rp 96,000 SUSP. THYPOID F.
30-Jan SITI KOLIYAH P740 1 7,500 110,500 Rp 118,000 PHARINGITIS AKUT
30-Jan AINUL INAYAH S428 1 7,500 90,000 108,500 Rp 206,000 VL
30-Jan WAHYUDI P. SUDARMO 4883 2 7,500 148,500 Rp 156,000 MIALGIA
30-Jan WAHYUDI P. SUDARMO 4883 3 7,500 104,500 Rp 112,000 ISPA+STOMATITIS

31-Jan INDRIANI SAPUTRI Q282 1 7,500 113,500 Rp 121,000 PHARINGITIS AKUT


31-Jan MAS'UROH R192 7,500 98,500 Rp 106,000 GEA
31-Jan NURWAKHID 3903 1 41,000 Rp 41,000 RESEP
31-Jan SUGENG HERIYANTO 7457 2 110,000 Rp 110,000 USG
31-Jan YANTI TITING O261 1 7,500 106,500 Rp 114,000 PHARINGITIS
31-Jan NIA SAPTINA G736 1 24,000 Rp 24,000 KB PIL
31-Jan TRI RETNO NINGSIH A867 1 7,500 210,000 119,500 Rp 337,000 VL
31-Jan DIDIN ROHIDIN 0916 3 7,500 81,500 Rp 89,000 SCBIES
31-Jan SRI WIDIANINGSIH S. HADI 6251 1 98,000 Rp 98,000 RESEP
31-Jan HASIH 1542 1 7,500 80,500 Rp 88,000 SUSP. THYPOID F.
31-Jan SUPRAPTO SAHUDI 5290 1 47,000 Rp 47,000 RESEP
31-Jan SORONO SISWO SUMARTO 4426 1 62,000 Rp 62,000 RESEP
31-Jan ASIH PUJIARTI 4441 1 7,500 27,500 Rp 35,000 KB INJ
31-Jan MUTIARA P360 1 7,500 89,500 Rp 97,000 GASTRITIS+PHARINGITIS
31-Jan USWATUN HASANAH A.M S707 1 7,500 64,500 Rp 72,000 ALLERGI
31-Jan JONOARI A172 3 7,500 108,500 Rp 116,000 MYLERGIA+D.ALLERGI
31-Jan NURLAELA B339 1 7,500 90,500 Rp 98,000 PHARINGITIS AKUT
31-Jan TRI WINARNI B453 1 7,500 75,500 Rp 83,000 URTICARIA
31-Jan SEDYO BUDI UTOMO 6178 3 7,500 50,000 79,500 Rp 137,000 VL
Rp 13,692,000
11,820,500
14,606,000
13,949,000
54,067,500

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