No Tanggal Nama Umur Alamat Jenis PX Hasil

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REGISTER LAB UMUM BULAN NOPEMBER 2016

NO TANGGAL NAMA UMUR ALAMAT JENIS PX HASIL


1 11/1/2016 IQ. MUNAH P 53 DS LEKONG GDS 253
2 11/2/2016 HJ SOLATIAH P 80 BIL KEM CO 200
3 IQ HELNIATI P 45 BIL KEM CO 235
4 IQ SUPARMI P 40 DS LEKONG CO 195
5 IQ. MARSIUN P 55 TEJONG CO 183
6 3-11-2-16 IQ. TINA P 27 OTAK GAWAR HB 12,3
7 YULIANA P 24 SL HB,GD 11,5 AB
8 SUHAIMI P 29 SL HB 12,3
9 WIWIK P 23 JORBAT HB,GD 11,8,O
10 AZWAR L 37 BB1 widal pos
11 IQ HAMZAN P 50 CEMPAKA widal pos
12 AZWAR L 37 BB1 DL 10,0.5,02.14,0.41,6.326
13 IQ HAMZAN P 50 CEMPAKA DL 4,4.5,32.14,7.44,1.160
14 JULIANI P 26 SL HB 12,6
15 11/10/2016 TAMAN L5 SL widal pos
16 11/10/2016 TAMAN L5 SL DL 10,7.5,17.12,7.37,1.96
17 DARMANIS P 45 SAPIT HB 12,6
18 11/11/2016 BQ AYU P18 SAPIT HB 11,3
19 IQ MUNASI P 50 DS LEKONG GDS 203
20 HAMDANI L 37 JORBAT GDS 259
21 MARWAH P 21 BB1 HB,GD 11,8 O
22 11/14/2016 SYARA P 37 T RESAK HB,GD 12,7 A
23 RENI P 24 JORBAT HB 12,1
24 11/15/2016 IQ. MUSLIHIN P 50 DS LEKONG CO 205
25 HJ EKA LESTARI P 45 L PUCAT widal pos
26 HJ EKA LESTARI P 45 L PUCAT DL 9,1.5,96.13,1.37,3.255
27 AQ. MAHRUM L 60 DS LEKONG HB 14,2
28 11/16/2016 MAKYAH P 45 PSUGULAN GDS 87
29 11/17/2016 HJ. NURHIDAYAH P 60 MT GEDENG GDS 448
30 HERLIANA P 31 BT CANGKU HB,GD 11,6.B
31 11/21/2016 HURIAH P 31 DS SUMUR HB,GD 11,1.B
32 SIANA P 20 SD HB,GD 11,7.B
33 IQ SAEPUDIN P 41 CEMPAKA GDS 310
34 ALNA SAFIRA P 17 SL HB,GD 11,8.B
35 11/22/2016 HJ. SITI ASIYAH P 50 BIL KEM CO 187
RETRI
RP 15.000
RP 25.000
RP 25.000
RP 25.000
RP 25.000
RP.5000
RP.13.000
RP.5000
RP.13.000
RP. 20.000
RP. 20.000
RP. 40.000
RP. 40.000
RP.5000
RP. 20.000
RP. 40.000
RP.5000
RP.5000
RP 15.000
RP 15.000
RP.13.000
RP.13.000
RP.5000
RP.25.000
RP. 20.000
RP. 40.000
RP.5000
RP 15.000
RP 15.000
RP.13.000
RP.13.000
RP.13.000
RP 15.000
RP.13.000
RP 25.000

RP.539.000
REKAPITULASI PEMBAYARAN DI LAYANAN LABORATORIUM PUSKESMAS SUELA
Bulan : JANUARI 2017

JENIS
NO TANGGAL NAMA ALAMAT UMUR PEMERIKSAAN
1 3/1/2017 RUKYAH HB+GD
2 IQ. NIRMLA GDS
3 WIDIA SARI HB+GD
4 IQ. ZEN HB+GD
5 NABIL WIDAL
6 WAHIDAH HB+GD
7 NANDA HB
8 ETA HB
9 11/1/2017 MULIANI HB+GD
10 DIANA HB+GD
11 NURUL HB+GD
12 INDRAYANI HB+GD
13 AZKIA WIDAL
14 SUKAESI HB
15 REHANAH HB
16 12/1/2017 SARIPA AS+CL
17 IQ. ADI HB+GD
18 IQ. KHARUL HB+GD
19 HUSNAWATI HB+GD
20 IMRAN HB
21 BQ. INDRA HB+GD
22 14-1-2017 IQ. HAJRIN AS+CL
23 16-1-2017 IQ. JOHAN AS+CL
24 RINA HB
25 FITRI HB
26 17-1-2017 SUKRI DL+HBSAG
27
28
29
30
31
32
33
34
35
36
TORIUM PUSKESMAS SUELA
017

TARIF

13,000
15,000
13,000
13,000
20,000
13,000
5,000
5,000
13,000
13,000
13,000
13,000
20,000
5,000
5,000
50,000
13,000
13,000
13,000
5,000
13,000
50,000
50,000
5,000
5,000
65,000

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