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  • Exel Perkiraan Biaya

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    Azmil Umur
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    This document provides a cost estimate for a patient's treatment at RSUP Sanglah hospital. It includes the patient's name, medical record number, age, diagnosis, estimated length of stay, choice of ward class, and estimated charges for daily room rates, nursing services, doctor visits, diagnostic tests, medications, surgical procedures if needed, medical devices, and total estimated bill. The estimate notes that costs are based on initial examination, planned treatment, and the patient's condition at the time.

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    _exel Perkiraan Biaya

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    This document provides a cost estimate for a patient's treatment at RSUP Sanglah hospital. It includes the patient's name, medical record number, age, diagnosis, estimated length of stay, choice of ward class, and estimated charges for daily room rates, nursing services, doctor visits, diagnostic tests, medications, surgical procedures if needed, medical devices, and total estimated bill. The estimate notes that costs are based on initial examination, planned treatment, and the patient's condition at the time.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    22 views2 pages

    Exel Perkiraan Biaya

    Uploaded by

    Azmil Umur
    This document provides a cost estimate for a patient's treatment at RSUP Sanglah hospital. It includes the patient's name, medical record number, age, diagnosis, estimated length of stay, choice of ward class, and estimated charges for daily room rates, nursing services, doctor visits, diagnostic tests, medications, surgical procedures if needed, medical devices, and total estimated bill. The estimate notes that costs are based on initial examination, planned treatment, and the patient's condition at the time.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 2

    PERKIRAAN BIAYA

    Cost estimates
    RSUP SANGLAH
    RM.13.5/ADM/2015
    Nama Pasien Laki-laki
    Patient Name Male
    Perempuan
    Female
    No. RM Umur........th
    Medical Record Age..........years
    Subsidi
    Diagnosis Subsidized
    Diagnose Non Subsidi
    Non subsidized
    Kode tarif
    Rencana Perawatan Fee code
    Treatment Plan
    Perkiraan hari rawat...............hari
    Estimated length of stay.........days
    Nama Dokter Spesialisasi
    Doctors Name Specialization
    Pilihan Ruang Perawatan
    Patient Choise Of Ward Class
    Biaya Harian Ruang Perawatan Rp.
    Daily Charges Room charge
    Biaya Perawatan Rp.
    Ward Service (nursing)
    Perkiraan Visit Dokter Rp.
    biaya-biaya Treatment fee (doctor visits)
    Estimated Penunjang Diagnosa,Obat-obatan& lainnya Rp.
    Charges Diagnostic,Medication,Other Services
    Tindakan Bedah Rp.
    Surgical Procedure Charge
    Alat Kesehatan
    Consumables/plates & Screws
    1. Rp.
    2. Rp.
    3. Rp.
    4. Rp.
    5. Rp.
    6. Rp.
    Perkiraan total biaya Rp.
    Estimated Total Bil Size
    Dana Titipan Rp.
    Total Deposit Payable (rounded) Rp.
    Admission Nama Dokter Pasien/Keluarga Pasien
    Admission Staf Doctors Name Patien/Patient Escort

    Tgl / / Tgl / / Tgl / /


    Date Date Date

    PERKIRAAN BIAYA DIHITUNG BERDASARKAN PADA PEMERIKSAAN AWAL, RENCANA


    PERAWATAN/TINDAKAN AWAL DAN KEADAAN PASIEN SAAT ITU
    COST ESTIMATES IS BASED ON INITIAL INVESTIGATION AND PATIENT CONDITION AT THAT TIME

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