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TAGIHAN PT.

Asuransi Allianz Bulan October 2009

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien EKG LAB Rontgen Treadmil HIV Test Jumlah
Nama Dr. Honor
1 10/28/2009 Negara P Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
2 10/29/2009 Fong Yaw Ho Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
3 10/31/2009 Johan Abidin J Rp 30,000 Rp 25,000 Rp 55,000

TOTAL Rp 90,000 Rp 150,000 Rp 424,000 Rp 160,000 Rp - Rp - Rp 824,000

Medan, 04 November 2009

Bag. Keuangan
drg. Gary
TAGIHAN PT. Asuransi Allianz Bulan November 2009

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien EKG LAB Rontgen Treadmil HIV Test Jumlah
Nama Dr. Honor
1 11/3/2009 Belseria Abidin J Rp 30,000 Rp 75,000
Rp 199,500 Rp 80,000 Rp 384,500
2 11/3/2009 Olarata L T Abidin J Rp 30,000 Rp 75,000
Rp 199,500 Rp 80,000 Rp 384,500
3 11/7/2009 Tan Ken Juan Abidin J Rp 30,000 Rp 75,000
Rp 199,500 Rp 80,000 Rp 384,500
4 11/7/2009 JS Khoman Abidin J Rp 30,000 Rp 75,000
Rp 682,500 Rp 80,000 Rp 175,000 Rp 1,042,500
5 11/7/2009 Rine A Abidin J Rp 30,000 Rp 80,000 Rp 110,000
6 11/11/2009 Bobby S Abidin J Rp 30,000 Rp 25,000 Rp 55,000
7 11/16/2009 Darwin T Abidin J & sofian Rp 60,000 Rp 682,500 Rp 80,000 Rp 350,000 Rp 175,000 Rp 1,347,500
8 11/18/2009 Tomin Abidin J Rp 30,000 Rp 25,000 Rp 55,000
9 11/19/2009 Tan Bun Tiong Abidin J & sofian Rp 60,000 Rp 682,500 Rp 80,000 Rp 350,000 Rp 175,000 Rp 1,347,500
10 11/20/2009 Limiwaty L Abidin J Rp 30,000 Rp 75,000 Rp 682,500 Rp 80,000 Rp 175,000 Rp 1,042,500
11 11/21/2009 Pangeran Abidin J Rp 30,000 Rp 75,000 Rp 682,500 Rp 80,000 Rp 175,000 Rp 1,042,500

TOTAL Rp 390,000 Rp 450,000 Rp 4,141,000 Rp 640,000 Rp 700,000 Rp 875,000 Rp 7,196,000

Medan, 03 Desember 2009

Bag. Keuangan
drg. Gary
TAGIHAN PT. Asuransi Allianz Bulan Desember 2009

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien EKG LAB Rontgen Treadmil HIV Test Jumlah
Nama Dr. Honor
1 12/3/2009 Sukiman K Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
2 12/5/2009 Helmi Fauzi Ir. Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
3 12/9/2009 Lo Fu Sang Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
4 12/10/2009 Loh A mui Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
5 12/12/2009 Lim Gek Hiang Abidin J Rp 30,000 Rp 25,000 Rp 55,000
6 12/14/2009 Irwansyah D Abidin J Rp 30,000 Rp 75,000 Rp 857,500 Rp 80,000 Rp 1,042,500
7 12/16/2009 Riana Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
8 12/17/2009 Amris Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
9 12/22/2009 Liaw Loi Noei Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500

TOTAL Rp 270,000 Rp 600,000 Rp 2,279,000 Rp 640,000 Rp - Rp - Rp 3,789,000

Medan, 05 January 2010

Bag. Keuangan
drg. Gary
TAGIHAN PT. Asuransi Allianz Bulan January 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien EKG LAB Rontgen Treadmil HIV Test Jumlah
Nama Dr. Honor
1 1/5/2010 Joko The Lie Tjiang Dr.Abidin J Rp 30,000 Rp 25,000 Rp 55,000
2 1/25/2010 Ir. Helmi F Rp 658,000 Rp 658,000
3 1/25/2010 Zainuddin N dr.Abidin& dr.Sofian Rp 60,000 Rp 682,500 Rp 80,000 Rp 350,000 Rp 175,000 Rp 1,347,500

TOTAL Rp 90,000 Rp - Rp 1,365,500 Rp 80,000 Rp 350,000 Rp 175,000 Rp 2,060,500

Medan, 05 February 2010

SUDAH DI BAYAR PADA TANGGAL 17-03-2010

Bag. Keuangan
drg. Gary
TAGIHAN PT. Asuransi Allianz Bulan February 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien EKG LAB Rontgen Treadmil HIV Test Jumlah
Nama Dr. Honor
1 2/11/2010 Anwar S dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
2 2/12/2010 Meri S dr.Abidin Rp 30,000 Rp 75,000 Rp 682,500 Rp 80,000 Rp 175,000 Rp 1,042,500

TOTAL Rp 60,000 Rp 75,000 Rp 707,500 Rp 80,000 Rp - Rp 175,000 Rp 1,097,500

Medan, 10 Maret 2010

Bag. Keuangan
drg. Gary
TAGIHAN PT. Asuransi Allianz Bulan Maret 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien EKG LAB Rontgen Treadmil HIV Test Jumlah
Nama Dr. Honor
1 3/24/2010 Tah Mei TJoe Abidin J Rp 30,000 Rp 75,000 Rp 199,500 Rp 80,000 Rp 384,500
2 3/25/2010 H.Adi.P Abidin J Rp 30,000 Rp 30,000
3 3/25/2010 Hendry D Abidin J Rp 30,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,317,500
Sofian W Rp 30,000 Rp 30,000
4 3/29/2010 Hendra Abidin J Rp 30,000 Rp 857,500 Rp 80,000 Rp 75,000 Rp 1,042,500
Rp 2,804,500

Medan, 05 April 2010

Bagian Keuangan
( DRG. GARY)
Tagihan PT ALLIANZ CHECK UP BULAN APRIL 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien OBAT LAB Rontgen Treadmil HIV Test Jumlah
Nama Dr. Honor
1 4/12/2010 Juliana dr.abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
2 4/28/2010 Tandias dr.abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
TOTAL Rp 60,000 Rp - Rp 1,207,000 Rp 160,000 Rp - Rp - Rp 1,427,000

6/17/2010
Medan, 03 Mei 2010

Bag. Keuangan
drg. Gary

Tagihan PT ALLIANZ BULAN APRIL 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien OBAT LAB Rontgen Treadmil HIV Test Jumlah
Nama Dr. Honor
1 4/7/2010 Laila Jamila dr.dedy Rp 40,000 Rp 33,500 Rp 73,500
2 4/12/2010 Agusnawan dr.abidin Rp 25,000 Rp 193,000 Rp 218,000
3

TOTAL 65000 193000 0 291500


TAGIHAN PT.ALLIANZ BULAN MEI 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien LAB Rontgen Treadmil Jumlah
Nama Dr. Honor
1 5/6/2010 Lina Jaya dr.Abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
2 5/7/2010 Suwanto dr.Abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
3 5/7/2010 Husin dr.Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
4 5/10/2010 Tio Kui Hua dr.Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
5 5/11/2010 Adella Ottoman dr.Abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
6 5/11/2010 Rikani Tangkas dr.Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
7 5/17/2010 Karsi dr.Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
8 5/19/2010 Zaldi Yendri dr.Abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
9 5/21/2010 Ju Tju Sian dr.Abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
10 5/22/2010 Usli dr.Ab & dr SW Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
11 5/22/2010 Silvia Tio dr.Ab & dr SW Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
12 5/22/2010 Philip Tjuatja dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
13 5/22/2010 Ellen Tjuatja dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
14 5/22/2010 Hasnah dr.Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
15 5/24/2010 Erwin Ottoman dr.Abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
16 5/24/2010 Anresangsya dr.Abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
17 5/25/2010 Herlina dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
18 5/26/2010 Jauw Hue Heng dr.Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
19 5/26/2010 Aaw Sioe Kin dr.Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
20 5/26/2010 Nursiah Butar-Butar dr.Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
21 5/31/2010 Herman dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
TOTAL Rp 690,000 Rp 10,538,500 Rp 1,360,000 Rp 700,000 Rp 13,288,500

7/29/2010 Medan, 02 Juni 2010

Bag. Keuangan
drg. Gary
TAGIHAN PT.ALLIANZ BULAN JUNI 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien LAB EKG Rontgen Treadmil Jumlah
Nama Dr. Honor
1 6/2/2010 Lim Endi Hermanto dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
2 6/2/2010 Arisio dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
3 6/2/2010 Ng Hong Ngo dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
4 6/4/2010 Ng Gek Lui dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
5 6/5/2010 Edy dr.Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
6 6/9/2010 Ng Siu Hung dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
7 6/12/2010 Helena Veronica dr.Abidin & SW Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
8 6/12/2010 Liono Tjhia dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
9 6/12/2010 Syahrifah Suharni dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
10 6/14/2010 Alian dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
11 6/21/2010 Su Paulus dr.Abidin & SW Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
12 6/21/2010 Lim A Eng dr.Abidin & SW Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
13 6/22/2010 Tjeng Gek Hua dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
14 6/26/2010 Drs Ngasup Sitepu dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
15 6/28/2010 Iwan Suleming dr.Abidin Rp 30,000 Rp 857,500 75000 Rp 80,000 Rp 1,042,500
16 6/29/2010 Tjau Pek Liang dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
17 6/29/2010 Lie Lian Hoa dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
18 6/29/2010 Wison Gunawan dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
19 6/29/2010 Mintaza Oktorio dr.Abidin Rp 30,000 Rp 857,500 75000 Rp 80,000 Rp 1,042,500
20 6/29/2010 Silvia Yant dr.Abidin Rp 30,000 Rp 857,500 75000 Rp 80,000 Rp 1,042,500
TOTAL Rp 690,000 Rp 8,072,500 Rp 1,050,000 Rp 1,360,000 Rp 1,050,000 Rp 12,222,500

Paid 25/08/10 Medan, 1 Juli 2010

Bag. Keuangan
drg. Gary
TAGIHAN PT.ALLIANZ BULAN JULI 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien LAB EKG Rontgen Treadmil Jumlah
Nama Dr. Honor
1 7/8/2010 Taman Halim dr.Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
2 7/12/2010 Yusli dr.Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
3 7/12/2010 Kwek Haryanto dr.Abidin Rp 30,000 Rp 25,000 Rp 55,000
4 7/12/2010 Tunas Asam dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
5 7/12/2010 Siu Gek Kie dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
6 7/12/2010 Lim Hang Bun dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
7 7/13/2010 Rini Prasetyowat dr.Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
8 7/16/2010 Ariani dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
9 7/21/2010 Edward Pangaribuan dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
10 7/21/2010 Ng Bung Hiang dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
11 7/26/2010 Wihardi Rianto dr.Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
12 7/26/2010 Djaman Cornelius G dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
13 7/27/2010 Grivan Prinjatna dr.Sofian Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
14 7/30/2010 Tan Bun Tjing dr.Abidin/dr.Sofian Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
15 7/30/2010 Ronie Lim dr.Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
16 7/30/2010 Joko Yamanto Tan Rp 37,000 Rp 37,000
17 7/31/2010 Njo Kok Leng dr.Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
Total Rp 510,000 Rp 7,660,500 Rp 1,050,000 Rp 1,200,000 Rp 350,000 Rp 10,770,500

Medan, 2 Agustus 2010


Paid 15/09/10

Bagian Keuangan
(drg. Gary)
TAGIHAN PT.ALLIANZ BULAN AGUSTUS 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien LAB EKG
Nama Dr. Honor
1 8/12/2010 Wong Sui Tho Abidin Rp 30,000 Rp 199,500 Rp 75,000
2 8/12/2010 Lim Dju Lai Abidin Rp 30,000 Rp 199,500 Rp 75,000
3 8/12/2010 Pia Gwek Eng Abidin Rp 30,000 Rp 25,000
4 8/12/2010 Rudi Tjandra Abidin Rp 30,000 Rp 857,500 Rp 75,000
5 8/12/2010 David Abidin Rp 30,000 Rp 857,500 Rp 75,000
6 8/18/2010 Eko Tandy Tan Abidin Rp 30,000 Rp 77,000
8 8/19/2010 Nurleli Costan Abidin Rp 30,000 Rp 25,000
9 8/21/2010 Erinawat Abidin Rp 30,000 Rp 857,500 Rp 75,000
10 8/23/2010 Dewina ,SE Abidin Rp 30,000 Rp 857,500 Rp 75,000
11 8/25/2010 Sioe Lan Abidin Rp 30,000 Rp 199,500 Rp 75,000
12 8/27/2010 Steven Tan Abidin Rp 30,000 Rp 25,000
13 8/28/2010 Tan A Djuk / Dora Abidin Rp 30,000 Rp 199,500 Rp 75,000
14 8/28/2010 Hendy winata Abidin/Sofian Rp 60,000 Rp 857,500
15 8/28/2010 Yosella Tjung Abidin/Sofian Rp 60,000 Rp 857,500
TOTAL Rp 480,000 Rp 6,095,000 Rp 600,000

10/12/2010
STUS 2010

Rontgen Treadmil Jumlah

Rp 80,000 Rp 384,500
Rp 80,000 Rp 384,500
Rp 55,000
Rp 80,000 Rp 1,042,500
Rp 80,000 Rp 1,042,500
Rp 107,000
Rp 55,000
Rp 80,000 Rp 1,042,500
Rp 80,000 Rp 1,042,500
Rp 80,000 Rp 384,500
Rp 55,000
Rp 80,000 Rp 384,500
Rp 80,000 Rp 350,000 Rp 1,347,500
Rp 80,000 Rp 350,000 Rp 1,347,500
Rp 800,000 Rp 700,000 Rp 8,675,000

Medan, 02 Sept 2010

Drg Gary
Bag. Keuangan
TAGIHAN PT.ALLIANZ BULAN SEPTEMBER 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien LAB EKG Rontgen Treadmil Jumlah
Nama Dr. Honor
1 9/2/2010 Asun dr Abidin Rp 30,000 Rp 30,000
2 9/7/2010 Willianto dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
3 9/15/2010 Laksmiyat Gunawan dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 9/20/2010 Humiliaty Udaya dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
5 9/24/2010 Ariani dr Abidin Rp 30,000 Rp 350,000 Rp 380,000
TOTAL Rp 150,000 Rp 1,256,500 Rp 225,000 Rp 240,000 Rp 350,000 Rp 2,221,500

Medan, 02 Okt 2010

10/29/2010
Drg Gary
Bag. Keuangan
TAGIHAN PT.ALLIANZ BULAN OKTOBER 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien LAB EKG Rontgen Treadmil Jumlah
Nama Dr. Honor
1 10/1/2010 Liaw Loi Noei Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
2 10/11/2010 Lam A Tak Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
3 10/11/2010 Gunawan Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 10/19/2010 Hasan Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
5 10/20/2010 Hartono Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
6 10/21/2010 Ng Ek Kie Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
7 10/21/2010 Rus Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
8 10/22/2010 Sio Lo Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
9 10/27/2010 Sunariyo Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
10 10/28/2010 Eddy Jacob Aswadin Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
11 10/28/2010 Henny Dr Abidin Rp 30,000 Rp 274,500 Rp 80,000 Rp 384,500
12 10/30/2010 Romeo R Paoki Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
13 10/30/2010 Irwan Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
14 10/30/2010 Sulinda Mustafa Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
Rp 420,000 Rp 5,983,500 Rp 900,000 Rp 1,040,000 Rp - Rp 8,343,500

12/16/2010 Medan, 05 Nov 2010

Drg Gary
Bag. Keuangan
TAGIHAN PT.ALLIANZ BULAN NOVEMBER 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen Treadmil Jumlah
Nama Dr. Honor
1 11/1/2010 Hasan Dr Abidin Rp 30,000 Rp 702,500 Rp 75,000 Rp 80,000 Rp 887,500
2 11/5/2010 Elly Tan B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
3 11/6/2010 Tommy Ngiamiarto C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 11/6/2010 Tan Leng An B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
5 11/6/2010 Ani / Ng A Lian B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
6 11/12/2010 Nurlena Kumala A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
7 11/12/2010 Paimin Halim C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
8 11/12/2010 Nuraini Kumala C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
9 11/13/2010 Romy C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
10 11/19/2010 Erny Muliaty D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
11 11/20/2010 Dr Dewi Atka Putri D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
12 11/20/2010 Dr Babbin Amirul D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
13 11/22/2010 Ricent Anggriant C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
14 11/24/2010 Saliyem B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
15 11/24/2010 Lim Seng Shiun A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
16 11/24/2010 Jip Len Tju B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
18 11/25/2010 Halim Kesuma B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
19 11/29/2010 Hauw Giok Khim B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
20 11/30/2010 Lau Tjhing Kok B Dr Abidin Rp 30,000 Rp 75,000 Rp 80,000 Rp 185,000
TOTAL Rp 660,000 Rp 9,084,000 Rp 975,000 Rp 1,360,000 Rp 1,050,000 Rp 13,129,000

Medan, 05 Des 2010


12/29/2010

Drg Gary
Bag. Keuangan
TAGIHAN PT.ALLIANZ BULAN DESEMBER 2010

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen Jumlah
Nama Dr. Honor
1 12/4/2010 Alfred E Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
2 12/4/2010 Poe Tjoe B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
3 12/4/2010 Hendry Adolf Sinaga B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
4 12/6/2010 Arto Jaya Gan B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
5 12/9/2010 Ciling C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
6 12/9/2010 Yusuf Iskandar B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
7 12/10/2010 Tanjung Lina C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
8 12/11/2010 Mida B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
9 12/11/2010 Herlinwaty C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
10 12/11/2010 Tansri Singadju Benui B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
11 12/11/2010 Infriwat Tansaputri C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
12 12/13/2010 Sri Suwantni B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
13 12/13/2010 Yulmi Zarni C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
14 12/14/2010 Zulkarnain C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
15 12/14/2010 Muhammad Nasir Lubis B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
16 12/16/2010 Jent C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
17 12/16/2010 Hermawan Philipus C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
18 12/16/2010 Darmawan Cokro C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
19 12/16/2010 Dr.Marwan Taslim B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
20 12/17/2010 Adrianto C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
21 12/18/2010 Phoa Chun Tat A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
Rp 630,000 Rp 10,420,500 Rp 1,425,000 Rp 1,520,000 Rp 13,995,500

Medan, 04 Jan 2011


2/1/2011

Drg Airin
Bag. Keuangan
TAGIHAN PT.ALLIANZ BULAN JANUARI 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 1/3/2011 Darmin Halim Lpk,Treadmill Dr Abidin Rp 30,000 Rp 350,000 Rp 380,000
2 1/6/2011 Robert Marbun C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
3 1/7/2011 Anwar Nirmala A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
4 1/7/2011 Didik Giantono B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
5 1/8/2011 Dr.Meidina Kesuma B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
6 1/8/2011 H.Syafrizal C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
7 1/11/2011 Samin Wijaya A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
8 1/12/2011 Masmarwat B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
9 1/15/2011 Hamdan Marhat B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
10 1/18/2011 Harry Marbun Msc D Dr Abidin Rp 30,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,317,500
Dr Sofian Rp 30,000 Rp 30,000
11 1/21/2011 Rusli Romulus B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
12 1/22/2011 Hendra Kwek B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
13 1/25/2011 Efendy C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
14 1/27/2011 Artha Andhica LPK Dr Abidin Rp 30,000 Rp 30,000
15 1/29/2011 Djuangga A Siregar C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
16 1/29/2011 Jannifer Olivia C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
TOTAL Rp 510,000 Rp 6,392,000 Rp 825,000 Rp 960,000 Rp 700,000 Rp 9,387,000

Medan, 07 Februari 2011


3/3/2011

Drg. Airin
Bag. Keuangan
TAGIHAN PT.ALLIANZ BULAN FEBRUARI 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 2/14/2011 Yant B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
2 2/17/2011 Jenni C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
3 2/17/2011 Luyan Suharto C Dr Abidin Rp 30,000 Rp 932,500 Rp 80,000 Rp 1,042,500
4 2/26/2011 Djuangga Siregar E : LPK,Treadmill
Dr Abidin Rp 30,000 Rp 350,000 Rp 380,000
5 2/28/2011 Alai Lias B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
JUMLAH Rp 150,000 Rp 2,189,000 Rp 225,000 Rp 320,000 Rp 350,000 Rp 3,234,000

3/21/2011 Medan, 03 Maret 2011

Drg. Airin
Bag. Keuangan
TAGIHAN PT.ALLIANZ BULAN MARET 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 3/7/2011 Jamiah B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
2 3/11/2011 Suhadi B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
3 3/12/2011 Korina D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
4 3/18/2011 Hendri Herianto D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
5 3/21/2011 Wan Kek Ali Sumitro C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
6 3/23/2011 Herman B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
7 3/23/2011 Gek Moy C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
8 3/25/2011 Patar Bronson Sitnjak Fisik Dr Abidin Rp 30,000 Rp 30,000
9 3/25/2011 Rotua Veralina B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
10 3/26/2011 Suyanto Wijaya C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
11 3/28/2011 Sieny Hollina B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
12 3/30/2011 Ng Kai Jie B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
13 3/31/2011 Tsjai Gim Soen B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
TOTAL Rp 450,000 Rp 5,684,000 Rp 750,000 Rp 960,000 Rp 700,000 Rp 8,544,000

Medan, 01 April 2011


4/25/2011

Drg. Airin
Bag. Keuangan
TAGIHAN PT.ALLIANZ BULAN APRIL 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 5/4/2011 Chandra Dewi C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
2 5/4/2011 Janto C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
3 5/4/2011 Budiman D Dr Abidin Rp 60,000 Rp 857,000 Rp 80,000 Rp 350,000 Rp 1,347,000
4 6/4/2011 Andre Chandra A Dr Abidin Rp 30,000 Rp 80,000 Rp 110,000
5 7/4/2011 Imam Harijanto B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
6 7/4/2011 Ali Adrian Wirakusuma C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
7 7/4/2011 Sui Lian Alias Sumina A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
8 7/4/2011 Boy Kie Rena A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
9 9/4/2011 Manna Ida B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
10 9/4/2011 Stephen Livanrio B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
11 9/4/2011 Sjantmin Husnyi B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
12 9/4/2011 Ng Tjoen Hiang B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
13 9/4/2011 Lim Seng Hwi A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
14 11/4/2011 Grace C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
15 11/4/2011 Wernita Simanjuntak LPK Dr Abidin Rp 30,000 Rp 30,000
16 12/4/2011 Helmi Br Sianturi B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
17 12/4/2011 Jhonny Simatupang B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
18 12/4/2011 Michael A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
19 13/4/2011 Emilia A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
20 14/4/2011 Thio Siu Lan Als Leni A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
21 19/4/2011 Tan Tjeng Hock A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
22 19/4/2011 Yant C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
23 23/4/2011 Yong Fung Moi B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
24 25/4/2011 Michael Darah Rutn Rp 55,000 Rp 55,000
25 26/4/2011 Suwandi C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
26 28/4/2011 Tjong Pik Lean C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
27 28/4/2011 Jong Pik Chan C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
28 28/4/2011 Salim Leo C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
29 28/4/2011 Ade Herdiyat C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
TOTAL Rp 870,000 Rp 11,338,000 Rp 1,350,000 Rp 1,520,000 Rp 350,000 Rp 15,428,000

15428000 MEDAN, 05 MEI 2011

DRG AIRIN
BAG KEUANGAN
TAGIHAN PT.ALLIANZ BULAN MEI 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 5/2/2011 Willy Fusin C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
2 5/3/2011 Yani Cahyani D C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
3 5/3/2011 Sulfan Nasuton C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 5/10/2011 Kasim Wong B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
5 5/11/2011 Herlina C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
6 5/12/2011 James Oktavianus Satyo C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
7 5/12/2011 Santo C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
8 5/14/2011 Sukardi C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
9 5/19/2011 Ng Shang Jong A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
10 5/19/2011 Chong Kok Khien A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
11 5/19/2011 Goh Kin Hong A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
12 5/19/2011 Anwar Nirmala A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
13 5/19/2011 Sujanto B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
14 5/20/2011 Suriana B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
15 5/20/2011 Tiurmaida N A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
16 5/20/2011 MT.Abd Azis Napitupulu B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
17 5/20/2011 Roos B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
18 5/21/2011 Poh Sjok Tie B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
19 5/21/2011 Law Gut Tjie B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
20 5/21/2011 Soefiat A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
21 5/21/2011 Sugiono Gandakusuma B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
22 5/23/2011 Ng Thiang Joe A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
24 5/25/2011 Otman Siregar C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
25 5/25/2011 Rusdi Anna B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
26 5/26/2011 Herlina Treadmill Rp 350,000 Rp 350,000
27 5/27/2011 Soei Mie Juliana B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
28 5/27/2011 Jimmy C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
29 5/28/2011 Alexander B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
30 5/28/2011 Sho Hian Tin B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
31 5/31/2011 Hui Hai C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
32 5/31/2011 Risma A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
TOTAL Rp 900,000 Rp 11,169,000 Rp 1,650,000 Rp 1,760,000 Rp 350,000 Rp 15,829,000

7/13/2011
Medan, 10 Juni 2011

Drg Airin
Bag Keuangan
TAGIHAN PT.ALLIANZ BULAN JUNI 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 6/4/2011 Sutarsono D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
2 6/4/2011 Djuliana D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
3 6/7/2011 Viviana Wibisono A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
4 6/9/2011 Sulfan Nasuton Lpk,Treadmill Dr Abidin Rp 30,000 Rp 350,000 Rp 380,000
5 6/9/2011 Tan Bun Tiong D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
6 6/10/2011 Clarita Utami 5L + Microurinalysis Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
7 6/10/2011 Erdio Ulfadinata 5L + Microurinalysis Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
8 6/11/2011 Tandianus C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
9 6/13/2011 Merry Low D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
10 6/14/2011 Ferry Gunawan D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
11 6/14/2011 Ng Weng Soen B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
12 6/15/2011 Sugiharto Djingga C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
13 6/15/2011 Merry C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
14 6/15/2011 Jonni D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
15 6/15/2011 Tagor Sibagariang B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
16 6/16/2011 Moryta Yaw B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
17 6/17/2011 Darwin Ulfadinata Goh A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
18 6/18/2011 Anita Pemeriksaan Fisik Dr Abidin Rp 30,000 Rp 30,000
19 6/20/2011 Lau Giok Bing B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
20 6/21/2011 Fatmah B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
21 6/21/2011 Muhammad Said B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
22 6/22/2011 Benny Martjius B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
23 6/22/2011 Marina Chouw B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
24 6/23/2011 Eddy Lie D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
25 6/24/2011 Akim Efendy B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
26 6/27/2011 David Sembiring Meliala B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
27 6/28/2011 Santoso C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
28 6/30/2011 Sumitro Chiuman D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
TOTAL Rp 1,080,000 Rp 12,385,000 Rp 1,050,000 Rp 2,110,000 Rp 2,800,000 Rp 19,425,000

8/16/2011

Medan, 11 Juni 2011

(Drg Airin)
Bag Keuangan
TAGIHAN PT.ALLIANZ BULAN JULI 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 7/1/2011 Sriwat Lena A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
2 7/4/2011 Lau Giok Bing Treadmill Rp 350,000 Rp 350,000
3 7/7/2011 Husin Leman Sinaga C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 7/8/2011 Miryana Martono A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
5 7/9/2011 Davit C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
6 7/16/2011 Teo Via C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
7 7/16/2011 Tody Wijaya C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
8 7/21/2011 Widya Santoso A + KGD &2Jam PP,Lemak Drh Dr Abidin Rp 30,000 Rp 199,500 Rp 229,500
9 7/22/2011 Yoelius Usman A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
10 7/26/2011 Tjie Bin Chin B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
11 7/26/2011 Sukanto SH C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
12 7/27/2011 Gho Kui Men B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
13 7/27/2011 Kok Kwan Ho B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
14 7/28/2011 Lin Giok B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
15 7/30/2011 Tjioe She Toh B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
TOTAL Rp 420,000 Rp 5,559,500 Rp 750,000 Rp 800,000 Rp 350,000 Rp 7,879,500

Medan, 3 Agustus 2011


8/24/2011

Drg Airin
Bag Keuangan
TAGIHAN PT.ALLIANZ BULAN AGUSTUS 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr. Honor
1 8/2/2011 Jap Tjoei Ngo B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000
2 8/3/2011 Tok A Hiok B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000
3 8/4/2011 Susanto C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000
4 8/6/2011 Salim B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000
5 8/10/2011 Tan Boen Lie A Dr Abidin Rp 30,000 Rp 25,000
6 8/10/2011 Tan Bun Khengherrinda W A Dr Abidin Rp 30,000 Rp 25,000
7 8/12/2011 Ng Bung Hiang B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000
8 8/16/2011 Paimin Chandra D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000
9 8/18/2011 Edy Pan C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000
10 8/18/2011 Hartni C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000
11 8/18/2011 Chandra C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000
12 8/18/2011 David S Meliala TIPE C Kekurangan dari type B Dr Abidin Rp 658,000
13 8/18/2011 Tri Bobby Haribuona C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000
14 8/19/2011 Js Khoman Dr D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000
15 8/19/2011 Adelio Hugo Chandra A Dr Abidin Rp 30,000 Rp 25,000
16 8/19/2011 Ponding Marihat S B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000
17 8/24/2011 Tan Bun Khengherrinda W Foto Thorax,Ekg,Test Darah Dr Abidin Rp 174,500 Rp 75,000 Rp 80,000
18 8/24/2011 Erik L T P Silalahi C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000
19 8/27/2011 Edy Gunawan C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000
20 8/27/2011 Wie Cin C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000
TOTAL Rp 600,000 Rp 10,480,000 Rp 1,050,000 Rp 1,280,000 Rp 700,000

10/12/2011 Medan,07 September 2011


Drg.Airin
Bagian Keuangan
Jumlah

Rp 384,500
Rp 384,500
Rp 1,042,500
Rp 384,500
Rp 55,000
Rp 55,000
Rp 384,500
Rp 1,347,500
Rp 1,042,500
Rp 1,042,500
Rp 1,042,500
Rp 658,000
Rp 1,042,500
Rp 1,347,500
Rp 55,000
Rp 384,500
Rp 329,500
Rp 1,042,500
Rp 1,042,500
Rp 1,042,500
Rp 14,110,000

ember 2011
angan
TAGIHAN PT. ALLIANZ BULAN SEPTEMBER 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 9/7/2011 Edi Susanto C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
2 9/9/2011 Drs Diman Ponijan A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
3 9/9/2011 Tjoa Siau Hoeng B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
4 9/9/2011 Fahira Anindya LPK Dr Abidin Rp 30,000 Rp 30,000
5 9/10/2011 Heng Denise C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
6 9/10/2011 Muliana B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
7 9/16/2011 Djoni B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
8 9/17/2011 Naroma Siregar B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
9 9/17/2011 Angkup P Sipahutar C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
10 9/17/2011 Linda Christna C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
11 9/20/2011 Nurdin SE C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
12 9/23/2011 Ardine Damayant C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
13 9/23/2011 Harianto Tarigan B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
14 9/24/2011 Marwali Lino D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
15 9/26/2011 Yen Yen C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
16 9/26/2011 Lim Sheng Wen C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
17 9/26/2011 Wie Kie Pemeriksaan Fisik Dr Abidin Rp 30,000 Rp 30,000
TOTAL Rp 540,000 Rp 8,740,000 Rp 975,000 Rp 1,120,000 Rp 350,000 Rp 11,725,000

Medan,05 Oktober 2011


10/21/2011
Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 10/7/2011 Hendra B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
2 10/10/2011 Peter Salim B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
3 10/10/2011 Henny C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 10/12/2011 Andhie A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
5 10/13/2011 Susanto D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
6 11/14/2011 Sirhan A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
7 10/17/2011 Yendy Tjalani C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
8 10/22/2011 Kui Hwa C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
9 10/24/2011 Sunarto Ramli T3,T4 & TSH Dr Abidin Rp 30,000 Rp 412,500 Rp 442,500
10 10/26/2011 Hendy Junus C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
11 10/28/2011 Suwarty B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
12 10/31/2011 Lim Bie Hoa USG Abdomen Rp 250,000 Rp 250,000
TOTAL Rp 360,000 Rp 5,348,500 Rp 525,000 Rp 890,000 Rp 350,000 Rp 7,473,500

11/17/2011 Medan,01 November 2011

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN NOVEMBER 2011
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 11/1/2011 Tie Gim Sean A Dr Abidin Rp 30,000 Rp 350,000 Rp 380,000
2 11/4/2011 Teng Liong C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
3 11/5/2011 Joni C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 11/9/2011 Husni Sunasli C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
5 11/10/2011 Amando Damanik SH C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
6 11/10/2011 Ricky Indajang A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
7 11/10/2011 Pinpinwat Lowis B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
8 11/10/2011 Eddy A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
9 11/12/2011 Tommy Mak C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
10 11/16/2011 Ganefo Efendi Baris P A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
11 11/19/2011 Amin C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
12 11/21/2011 Amirudin Hakim B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
13 11/21/2011 Yew Hung Jen IR B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
14 11/22/2011 Tjien Hwa D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
15 11/23/2011 Suwaty B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
16 11/25/2011 Selamat B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
17 11/29/2011 Hedwiga Huili Asali D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
18 11/29/2011 Mansjur Tanzil D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
19 11/30/2011 Usli D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
20 11/30/2011 Tan An Lie LPK,EKG,RONTGEN ,HBA1C
Dr Abidin Rp 30,000 Rp 220,000 Rp 80,000 Rp 330,000
TOTAL Rp 720,000 Rp 9,867,500 Rp 825,000 Rp 1,280,000 Rp 1,750,000 Rp 14,442,500

Medan,05 Desember 2011

12/21/2011
Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN DESEMBER 2011

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 12/1/2011 Suwaty Darah lengkap Rp 658,000 Rp 658,000
2 12/6/2011 Taslim D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
3 12/6/2011 Selamat Kekurangan Type"C"dari Type"B" Rp 603,000 Rp 603,000
4 12/6/2011 Tan Lie Hong A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
5 12/6/2011 Peng Kion Ghenri A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
6 12/7/2011 Sri Astut C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
7 12/8/2011 Iwan Kusto B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
8 12/8/2011 Edi Chandra B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
9 12/9/2011 Kho Acui C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
10 12/9/2011 Suwanto D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
11 12/9/2011 Edy A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
12 12/10/2011 Romeo R Paoki B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
13 12/12/2011 Udin D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
14 12/12/2011 Husni Sunasli Treadmill Rp 350,000 Rp 350,000
15 12/15/2011 Rosida Tampubolon B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
16 12/15/2011 Effendy Panjaitan IR C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
17 12/15/2011 Tjing Le Le B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
18 12/16/2011 Jonathan Leon A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
19 12/16/2011 Mary Effendy C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
20 12/16/2011 Winta Chandra D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
21 12/17/2011 Winarmas C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
22 12/19/2011 Leo Sali C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
23 12/19/2011 Oh Sui Tjien B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
24 12/19/2011 Kusno Wijaya B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
25 12/20/2011 Benua Chandra D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
26 12/20/2011 Surfiwaty Tjandrasa D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
27 12/20/2011 Edi Chandra Rontgen dada Rp 80,000 Rp 80,000
28 12/20/2011 Jenny Wijaya A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
TOTAL Rp 900,000 Rp 13,072,500 Rp 975,000 Rp 1,600,000 Rp 2,450,000 Rp 18,997,500

1/27/2012 Medan, 03 Januari 2012

Drg Airin
Bag Keuangan
TAGIHAN PT. ALLIANZ BULAN JANUARY 2012

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 1/3/2012 Lady Diana C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
2 1/4/2012 Buyung C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
3 1/4/2012 Hadi Johan B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
4 1/5/2012 Stephen D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
5 1/5/2012 Tjong Jam Chun B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
6 1/6/2012 I Gst Bagus Anresangsya C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
7 1/10/2012 Kang A Bie Sugianto B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
8 1/10/2012 Ooi Yang Hwa B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
9 1/14/2012 Sudarman Ramli C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
10 1/19/2012 Gunawan Wijaya SE C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
11 1/20/2012 Kasim A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
12 1/20/2012 Budi Afrizal C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
13 1/25/2012 Etty C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
14 1/28/2012 Angelyn A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
15 1/28/2012 Ammat Tua Purba B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
16 1/28/2012 Suanni B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
TOTAL Rp 510,000 Rp 8,107,000 Rp 975,000 Rp 1,120,000 Rp 350,000 Rp 11,062,000

Medan, 05 Februari 2012


2/27/2012

Drg Airin
Bag Keuangan
TAGIHAN PT. ALLIANZ BULAN FEBRUARI 2012

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 2/4/2012 Jefri Tjia A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
2 2/6/2012 Tju Tjiang / Jonson B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
3 2/14/2012 Johan C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 2/25/2012 Rikani Tangkas C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
5 2/25/2012 Elviana A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
6 2/25/2012 Hendrik Chandra A + Rontgen Dr Abidin Rp 30,000 Rp 25,000 Rp 80,000 Rp 135,000
7 2/27/2012 Ng Lie Huang A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
8 2/27/2012 Mak Jat Seng A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
9 2/27/2012 Tah Mei Tjoe D Dr Abidin Rp 60,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
TOTAL Rp 300,000 Rp 2,897,000 Rp 225,000 Rp 400,000 Rp 350,000 Rp 4,172,000

4/10/2012 Medan, 05 Maret 2012

Drg Airin
Bag Keuangan
TAGIHAN PT. ALLIANZ BULAN MARET 2012

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 3/2/2012 Sydney Yang SPK Dr Abidin Rp 30,000 Rp 30,000
2 3/2/2012 Sunariyo C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
3 3/10/2012 Nurleli Costan C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
4 3/14/2012 Ng Che Fang A Dr Abidin Rp 30,000 Rp 25,000 Rp 55,000
5 3/15/2012 H.Sjafaruddin SH,MM C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
6 3/24/2012 Cynthia Tan C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
7 3/26/2012 Lity Darmadi B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
8 3/29/2012 Esther C Dr Abidin Rp 30,000 Rp 857,500 Rp 75,000 Rp 80,000 Rp 1,042,500
9 3/29/2012 Corry Sanggule E M SE B Dr Abidin Rp 30,000 Rp 199,500 Rp 75,000 Rp 80,000 Rp 384,500
10 3/29/2012 Wanty D Dr Abidin Rp 30,000
Dr Sofian Rp 30,000 Rp 857,500 Rp 80,000 Rp 350,000 Rp 1,347,500
TOTAL Rp 330,000 Rp 5,569,000 Rp 525,000 Rp 640,000 Rp 350,000 Rp 7,414,000

Medan, 03 April 2012


4/30/2012

Drg Airin
Bag Keuangan
TAGIHAN PT. ALLIANZ BULAN APRIL 2012

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 4/11/2012 Jenni Choudri B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
2 4/13/2012 Muhammad Hasbi Mustafa B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
3 4/14/2012 Amin Limantoro D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
4 4/14/2012 Tjong Tjun Phin Mery C B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
5 4/14/2012 Tio Lie Lie A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
6 4/16/2012 Susi C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
7 4/16/2012 Johni C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
8 4/18/2012 Susanto C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
9 4/19/2012 Lily Anggraini Ureum + Creatnine darah rutn
Dr Abidin Rp 35,000 Rp 145,200 Rp 180,200
10 4/21/2012 Johan Fanggara C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
11 4/25/2012 Ng Kok Bin B+HbA1C+treadmill Dr Abidin Rp 35,000 Rp 368,600 Rp 88,000 Rp 385,000 Rp 876,600
12 4/25/2012 Drg Rehulina Gintng C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
13 4/28/2012 Djuwita D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
14 4/28/2012 Denzel Limantoro A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
15 4/28/2012 Derick Limantoro A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
16 4/28/2012 Michelle Jessica A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
17 4/28/2012 Matthew Jeffrey A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
TOTAL Rp 665,000 Rp 7,912,400 Rp 660,000 Rp 968,000 Rp 1,155,000 Rp 11,360,400

Medan, 07 Mei 2012

5/30/2012

Drg Airin
Bag Keuangan
TAGIHAN PT. ALLIANZ BULAN MEI 2012

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522

Honor Dr. Umum


No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 5/8/2012 Ngio Edwin C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
2 5/8/2012 Ady Susanto A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
3 5/12/2012 Mastnus Wibowo B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
4 5/14/2012 Lili Anggraini CX Rontgen Dada Dr Abidin Rp 88,000 Rp 88,000
5 5/15/2012 Linawat B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
6 5/16/2012 Ratna Yohanni Widjaja D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
7 5/16/2012 Carson Keith Kurniawan LPK Dr Abidin Rp 35,000 Rp 35,000
8 5/18/2012 Yong Foong Bie B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
9 5/21/2012 Tan Giek Lang B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
10 5/23/2012 Mery Tan C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
11 5/23/2012 Anthony Silaban SE A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
12 5/25/2012 Yong Foong Bie USG Rp 275,000 Rp 275,000
13 5/30/2012 Felix Iwan Wongso B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
TOTAL Rp 420,000 Rp 3,982,000 Rp 577,500 Rp 1,067,000 Rp 385,000 Rp 6,431,500

Medan, 04 Juni 2012

6/15/2012 Drg Airin


Bag Keuangan
TAGIHAN PT. ALLIANZ BULAN JUNI 2012
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 6/2/2012 Suheri C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
2 6/2/2012 Ervinna C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
3 6/6/2012 Yansata Njam D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
4 6/6/2012 Nonita Njam D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
5 6/7/2012 Irsan SE A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
6 6/7/2012 Madi Setawan C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
7 6/8/2012 Chandra Satria Salim C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
8 6/9/2012 Jon Wy C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
9 6/9/2012 Christopher LPK Dr Abidin Rp 35,000 Rp 35,000
10 6/9/2012 Cleonie Marfen LPK Dr Abidin Rp 35,000 Rp 35,000
11 6/9/2012 Ani Br Tarigan C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
12 6/12/2012 Antonie B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
13 6/12/2012 Sany B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
14 6/13/2012 Liaw Loi Noei C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
15 6/13/2012 Tjeng Seng An A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
16 6/14/2012 Joni LPK,LED,RF,EKG Dr Abidin Rp 35,000 Rp 82,500 Rp 82,500 Rp 200,000
17 6/15/2012 Tan Hong Tjien B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
18 6/18/2012 Cleonie Marfen Urine Rp 27,500 Rp 27,500
19 6/18/2012 Christopher Urine Rp 27,500 Rp 27,500
20 6/19/2012 Maria SE D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
21 6/19/2012 Suyantono SE D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
22 6/19/2012 Sebastan Siodharma Tan A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
23 6/19/2012 Treshia Siotama Tan A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
24 6/19/2012 Marsun B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
25 6/20/2012 Hermanto C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
26 6/20/2012 Suwandi C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
TOTAL Rp 980,000 Rp 13,387,550 Rp 1,155,000 Rp 1,496,000 Rp 1,540,000 Rp 18,558,550

Medan, 3 Juli 2012

7/24/2012 Drg Airin


Bag Keuangan
TAGIHAN PT. ALLIANZ BULAN JULI 2012
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 7/5/2012 Martnus Wibowo
Darah Rutn,FungsiHat,Fungsi Ginjal,Hiv Test,HBSAg Rp 723,800 Rp 723,800
2 7/5/2012 Ng Bie Tjoe D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
3 7/6/2012 Soei Mie Juliana B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
4 7/14/2012 Lim Seng Shiun B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
5 7/14/2012 Lina B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
6 7/14/2012 Irsan SE Thorax Photo,EKG,Analisa Darah Lengkap Rp 998,250 Rp 88,000 Rp 1,086,250
7 7/19/2012 Sukardi Sarmi C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
8 7/20/2012 Jenny B Dr Abidin Rp 35,000 Rp 219,450 Rp 82,500 Rp 88,000 Rp 424,950
9 7/21/2012 The Moi Ki / Siros C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
10 7/26/2012 Ratna Alias Mei Kok C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
11 7/26/2012 Adlin C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
12 7/26/2012 Stefanus Halim C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
13 7/27/2012 Stefen Widokho C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
14 7/28/2012 Imelda C Dr Abidin Rp 35,000 Rp 943,250 Rp 82,500 Rp 88,000 Rp 1,148,750
15 7/28/2012 Benua Chandra D Dr Abidin, SW Rp 70,000 Rp 943,250 Rp 88,000 Rp 385,000 Rp 1,486,250
TOTAL Rp 525,000 Rp 11,089,100 Rp 907,500 Rp 1,232,000 Rp 770,000 Rp 14,523,600

Medan, 3 Agustus 2012

Drg Airin
Bag Keuangan

9/6/2012
TAGIHAN PT. ALLIANZ BULAN AGUSTUS 2012
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL Jumlah
Nama Dr. Honor
1 8/1/2012 Hendrik Rianto C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
2 8/4/2012 Adiyanto C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
3 8/6/2012 Josef Natali C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
4 8/8/2012 Tan Se Hoa C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
5 8/8/2012 Amita B Dr Abidin Rp 35,000 Rp 199,500 Rp 234,500
6 8/16/2012 Russel Moritz Hanawi LPK Dr Abidin Rp 35,000 Rp 35,000
7 8/16/2012 Daniel Hanawi LPK Dr Abidin Rp 35,000 Rp 35,000
8 8/27/2012 Mathenius Simon B Dr Abidin Rp 35,000 Rp 199,500 Rp 234,500
9 8/29/2012 Lilis C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
10 8/29/2012 Michelle Angelin Adison LPK Dr Abidin Rp 35,000 Rp 35,000
11 8/29/2012 Andrew Adison LPK Dr Abidin Rp 35,000 Rp 35,000
12 8/31/2012 Ashley Chen A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
13 8/31/2012 Irina C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
14 8/31/2012 Rusli Djonni C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
15 8/31/2012 Cherly Chen LPK Dr Abidin Rp 35,000 Rp 35,000
TOTAL Rp 525,000 Rp 3,653,500 Rp 577,500 Rp - Rp - Rp 4,756,000

10/1/2012 Medan, 12 September 2012

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN SEPTEMBER 2012
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 9/6/2012 Joe Lie Ing LPK,EGFR,2x Cek Urine Dr Abidin Rp 35,000 Rp 83,500 Rp 118,500
2 9/7/2012 Suria Sing A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
3 9/8/2012 Denny E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500 Rp 1,499,500
4 9/8/2012 Pang Gek
A +Tju
Analisa Lemak Darah,Cholestrol Total,LDL,HDL,Triglyserida
Dr Abidin Rp 35,000 Rp 179,000 Rp 214,000
5 9/19/2012 Andrew Adison Urine Lengkap Rp 27,500 Rp 27,500
6 9/21/2012 Omar Hartono C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
7 9/21/2012 Enty A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
8 9/21/2012 Surjasa Kamal,Ir A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
9 9/21/2012 Kui Hwa C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
10 9/24/2012 Ria Fanita A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
11 9/24/2012 Edison Wijaya A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
12 9/25/2012 Agussaman Boediman E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500 Rp 1,499,500
13 9/26/2012 Seniat Era Tantoso C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
14 9/26/2012 Yusan Poa E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500 Rp 1,499,500
15 9/26/2012 Saleh A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
16 9/28/2012 Ng Lie Huang C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
TOTAL Rp 525,000 Rp 4,696,000 Rp 330,000 Rp 264,000 Rp 1,155,000 Rp 577,500 Rp 7,547,500

Medan, 05 Oktober 2012


10/22/2012

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2012
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr. Honor
1 10/3/2012 Firman Deny Puyento C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
2 10/3/2012 Zulkarnain C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
3 10/8/2012 Hendra D Dr Abidin Rp 35,000 Rp 799,000 Rp 82,500 Rp 88,000
4 10/9/2012 Huat Lai Als Agustar B Dr Abidin Rp 35,000 Rp 199,500
5 10/9/2012 Johan C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
6 10/9/2012 Fay Johanna LPK Dr Abidin Rp 35,000
7 10/11/2012 Indrawan Tanaka C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
8 10/11/2012 Edwin Tanaka C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
9 10/12/2012 Sudarmo Ali Susanto C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
10 10/12/2012 Willian Santy Wijaya C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
11 10/12/2012 Kenneth Susanto A Dr Abidin Rp 35,000 Rp 27,500
12 10/12/2012 Giovanny Susanto A Dr Abidin Rp 35,000 Rp 27,500
13 10/13/2012 Edward Tjiharto E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500
14 10/13/2012 Mei Lin E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500
15 10/16/2012 Tan Biaw Tin A Dr Abidin Rp 35,000 Rp 27,500
16 10/17/2012 Eddy Jacob Aswadin LPK Dr Abidin Rp 35,000
17 10/20/2012 Martono A + Ureum&Creatnin Dr Abidin Rp 35,000 Rp 84,500
18 10/20/2012 Hendy Gunawan SGPT,SGOT,GGT Dr Abidin Rp 107,500
19 10/22/2012 Warjin E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500
20 10/27/2012 Daniel Boediman C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
21 10/27/2012 Gwek Bie A +Analisa Lemak Darah,GDP,HBA1C Dr Abidin Rp 35,000 Rp 359,000
22 10/31/2012 Kim Tun C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
TOTAL Rp 735,000 Rp 8,178,000 Rp 825,000 Rp 352,000 Rp 1,155,000 Rp 577,500

Medan, 09 November 2012

11/30/2012
Drg.Airin
Bagian Keuangan
Jumlah

Rp 578,500
Rp 578,500
Rp 1,004,500
Rp 234,500
Rp 578,500
Rp 35,000
Rp 578,500
Rp 578,500
Rp 578,500
Rp 578,500
Rp 62,500
Rp 62,500
Rp 1,499,500
Rp 1,499,500
Rp 62,500
Rp 35,000
Rp 119,500
Rp 107,500
Rp 1,499,500
Rp 578,500
Rp 394,000
Rp 578,500
Rp 11,822,500
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2012

Medan Medical Center


Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr. Honor
1 10/1/2012 Yendy Tjalani B Dr Abidin Rp 35,000 Rp 199,500
TOTAL Rp 35,000 Rp 199,500

11/9/2012
ER 2012

TREADMILL HIV Jumlah

Rp 234,500
Rp 234,500

Medan, 09 November 2012

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN NOVEMBER 2012
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 11/1/2012 Johny C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
2 11/7/2012 The Gim Seng A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
3 11/7/2012 Edy Heryanto D Dr Abidin Rp 35,000 Rp 799,000 Rp 82,500 Rp 88,000 Rp 1,004,500
4 11/8/2012 Sutyoso,Ir C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
5 11/10/2012 Suzan Gunawan A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
6 11/13/2012 Hendra Chairil C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
7 11/14/2012 Rinto C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
8 11/16/2012 Hendera Wijaya E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500 Rp 1,499,500
9 11/19/2012 Erika Natalin Pangaribuan C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
10 11/26/2012 Ali Adrian Wirakusuma C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
11 11/26/2012 Susanto E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500 Rp 1,499,500
12 11/27/2012 Tan A Boh A : SGOT,SGPT,GGT Dr Abidin Rp 35,000 Rp 135,000 Rp 170,000
13 11/27/2012 Mhd Muhidin A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
14 11/29/2012 Susan Kato B Dr Abidin Rp 35,000 Rp 199,500 Rp 234,500
15 11/29/2012 Yenni Marini Treadmill Dr Abidin Rp 385,000 Rp 385,000
16 11/29/2012 Pricilia Wanli A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
17 11/30/2012 Suli A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
TOTAL Rp 560,000 Rp 5,635,000 Rp 577,500 Rp 264,000 Rp 1,155,000 Rp 385,000 Rp 8,576,500

Medan, 05 Desember 2012

12/26/2012

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN DESEMBER 2012
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 12/3/2012 Muhammad Royan A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
2 12/4/2012 Sukidi C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
3 12/7/2012 TanALie
+ SGOT,SGPT,Gamma
Pheng GT,Alkali Phosphatase,HBsAg,HBeAg
Dr Abidin Rp 35,000 Rp 531,500 Rp 566,500
4 12/10/2012 Andy Wibowo C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
5 12/14/2012 Wesley Cuaca A + Darah Rutn Dr Abidin Rp 35,000 Rp 88,000 Rp 123,000
6 12/17/2012 Japrinus Gunawan C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
7 12/17/2012 Djoni Halim A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
8 12/18/2012 Wahab A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
9 12/20/2012 Junus Saujana A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
10 12/21/2012 Boew Siew Ngut A + UREUM,CREATININDr Abidin Rp 35,000 Rp 84,500 Rp 119,500
11 12/21/2012 Harto Cipto Widkaja A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
12 12/21/2012 Tan Guan Tjun LPK Dr Abidin Rp 35,000 Rp 35,000
13 12/22/2012 Elisa Ramli LPK,USG Dr Abidin Rp 35,000 Rp 330,000 Rp 365,000
14 12/22/2012 Caroline Siahaan C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
15 12/22/2012 Robert Marbun E Dr Abidin Rp 35,000 Rp 799,000 Rp 88,000 Rp 385,000 Rp 192,500 Rp 1,499,500
16 12/26/2012 Marco Armando LPK Dr Abidin Rp 35,000 Rp 35,000
17 12/26/2012 Marvella Amanda A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
18 12/26/2012 Marvenia Amanda LPK Dr Abidin Rp 35,000 Rp 35,000
19 12/26/2012 Erlini Jennifer C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
20 12/26/2012 Lina Jaya C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
21 12/27/2012 Desi Gofany A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
22 12/28/2012 Hendix Cuaca A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
23 12/29/2012 Lai Koei Tjoe A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
TOTAL Rp 805,000 Rp 4,516,500 Rp 495,000 Rp 418,000 Rp 385,000 Rp 192,500 Rp 6,812,000

Medan, 05 January 2013

2/11/2013

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN JANUARI 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 1/3/2013 Rivando SPK,Urine Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
2 1/3/2013 Raymond A + Darah rutn Dr Abidin Rp 35,000 Rp 88,000 Rp 123,000
3 1/5/2013 Rudy Hartono C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
4 1/7/2013 Sang Tak B Dr Abidin Rp 35,000 Rp 199,500 Rp 234,500
5 1/7/2013 Fung Jun B Dr Abidin Rp 35,000 Rp 199,500 Rp 234,500
6 1/8/2013 Danny Boediman C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
7 1/8/2013 Wong Pong Ling LPK Dr Abidin Rp 35,000 Rp 35,000
8 1/8/2013 Helen Dumais A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
9 1/11/2013 Yansen Abidin A + LD,darah rutn,F ginjal Dr Abidin Rp 35,000 Rp 404,000 Rp 439,000
10 1/12/2013 Johan Kwek B Dr Abidin Rp 35,000 Rp 199,500 Rp 234,500
11 1/14/2013 Livi Tanjaya A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
12 1/16/2013 Chelsea Evageline SPK Dr Abidin Rp 35,000 Rp 35,000
13 1/18/2013 Johnny C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500 Rp 578,500
14 1/25/2013 Gwek Ngo A Dr Abidin Rp 35,000 Rp 27,500 Rp 62,500
15 1/29/2013 Danny Boediman Thorax,Treadmill,D rutn,HIV,HBsAg,HbA1C
Dr Abidin Rp 305,000 Rp 88,000 Rp 385,000 Rp 192,500 Rp 970,500
TOTAL Rp 490,000 Rp 2,888,500 Rp 247,500 Rp 88,000 Rp 385,000 Rp 192,500 Rp 4,291,500

Medan, 05 Februari 2013


2/15/2013

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN FEBRUARI 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG
Nama Dr. Honor
1 2/2/2013 Michael Alberta SPK Dr Abidin Rp 35,000
2 2/2/2013 Dharlim A Dr Abidin Rp 35,000 Rp 27,500
3 2/4/2013 Yenni E Dr Abidin Rp 35,000 Rp 799,000
4 2/7/2013 Nicholas Boediman C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
5 2/8/2013 Go Siu Kim A Dr Abidin Rp 35,000 Rp 27,500
6 2/14/2013 Miau King LPK Dr Abidin Rp 35,000
7 2/14/2013 Djoni A Dr Abidin Rp 35,000 Rp 27,500
8 2/20/2013 Go Siu Kie A + USG Dr Abidin Rp 35,000 Rp 27,500
9 2/21/2013 Leni Hakim USG Dr Abidin
10 2/23/2013 Tirta Sumali B Dr Abidin Rp 35,000 Rp 199,500
11 2/23/2013 Edy Sen E Dr Abidin Rp 35,000 Rp 799,000
12 2/27/2013 Fendi C Dr Abidin Rp 35,000 Rp 461,000 Rp 82,500
TOTAL Rp 385,000 Rp 2,829,500 Rp 165,000

Medan, 05 Maret 2013

3/21/2013

Bagian Keuangan
FEBRUARI 2013

Rontgen TREADMILL HIV Jumlah

Rp 35,000
Rp 62,500
Rp 88,000 Rp 385,000 Rp 192,500 Rp 1,499,500
Rp 578,500
Rp 62,500
Rp 35,000
Rp 62,500
Rp 275,000 Rp 337,500
Rp 275,000 Rp 275,000
Rp 234,500
Rp 88,000 Rp 385,000 Rp 192,500 Rp 1,499,500
Rp 578,500
Rp 726,000 Rp 770,000 Rp 385,000 Rp 5,260,500

Medan, 05 Maret 2013

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN MARET 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 3/4/2013 Armen C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
2 3/4/2013 Rachmad C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
3 3/6/2013 Fenny Lie B Dr Abidin Rp 38,500 Rp 219,450 Rp 257,950
4 3/6/2013 Sarimin Sudarmo A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
5 3/9/2013 Mariani A + Ureum dan Creatnin + USG Dr Abidin Rp 38,500 Rp 92,950 Rp 302,500 Rp 433,950
6 3/15/2013 Wasito C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
7 3/16/2013 Ir Harry Marbun MSC D Dr Abidin Rp 38,500 Rp 878,900 Rp 90,750 Rp 96,800 Rp 1,104,950
8 3/16/2013 Dra Joyce Lumban Tobing C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
9 3/20/2013 Hendra E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
10 3/27/2013 Riduan Wijaya C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
TOTAL Rp 385,000 Rp 4,635,950 Rp 544,500 Rp 496,100 Rp 423,500 Rp 211,750 Rp 6,696,800

Medan, 06 April 2013

4/24/2013

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN APRIL 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 4/1/2013 Ng Seng Teng A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
2 4/6/2013 Eugenie Francine A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
3 4/11/2013 Daras Bulbda C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
4 4/11/2013 Natalia Reinalda Darah rutn Dr Abidin Rp 66,550 Rp 66,550
5 4/12/2013 Fredy Sukimin E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
6 4/19/2013 Lim A Eng C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
7 4/19/2013 Su Paulus C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
8 4/22/2013 Tjin An A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
9 4/22/2013 Ai Siang A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
10 4/27/2013 Tedy Anggara A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
11 4/30/2013 Jami C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
12 4/30/2013 Veredi C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
TOTAL Rp 423,500 Rp 3,632,200 Rp 453,750 Rp 96,800 Rp 423,500 Rp 211,750 Rp 5,241,500

Medan, 06 Mei 2013

5/22/2013

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN MEI 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 5/3/2013 Khor Soei Hiong A + Analisa Lemak Darah + Ekg Dr Abidin Rp 38,500 Rp 196,900 Rp 90,750 Rp 326,150
2 5/3/2013 Natalia R H Budiman A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
3 5/3/2013 Lelo Rahmansyah LPK Dr Abidin Rp 38,500 Rp 38,500
4 5/4/2013 Linda C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
5 5/10/2013 Kwe Juliana LPK,EKG,Hs - C Reactve Protein Dr Abidin Rp 38,500 Rp 236,500 Rp 90,750 Rp 365,750
6 5/10/2013 Suriani Tusu C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
7 5/10/2013 Edi Sugianto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
8 5/16/2013 Indrawan A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
9 5/20/2013 Budi Putra Tan Jaya LPK Dr Abidin Rp 38,500 Rp 38,500
10 5/22/2013 Yusuf SGOT,SGPT,Gamma GT,LPK,HbsAg,Ant HCV Dr Abidin Rp 38,500 Rp 602,250 Rp 640,750
11 5/23/2013 Hartawan Tjendra E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
12 5/27/2013 Harry Haryono LPK Dr Abidin Rp 38,500 Rp 38,500
13 5/27/2013 Yeny LPK Dr Abidin Rp 38,500 Rp 38,500
TOTAL Rp 500,500 Rp 3,496,350 Rp 453,750 Rp 96,800 Rp 423,500 Rp 211,750 Rp 5,182,650

Medan,12 Juni 2013

6/25/2013

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN JUNI 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 6/1/2013 Eugenie Francine Tjendra Darah Rutn Dr Abidin Rp 66,550 Rp 66,550
2 6/7/2013 Djamilah A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
3 6/8/2013 Catherine A + USG Dr Abidin Rp 38,500 Rp 30,250 Rp 302,500 Rp 371,250
4 6/8/2013 Yusuf HBeAg Dr Abidin Rp 302,500 Rp 302,500
5 6/10/2013 Duryatmo Tamihardjo A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
6 6/11/2013 Teresawaty Koeswoyo C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
7 6/11/2013 Ir Harry Marbun,Msc Treadmill,Hiv Test Dr Abidin Rp 423,500 Rp 211,750 Rp 635,250
8 6/18/2013 Syarifudin C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
9 6/18/2013 Monique Praseto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
10 6/24/2013 Hendy Warsito B Dr Abidin Rp 38,500 Rp 219,450 Rp 257,950
11 6/24/2013 Melyana A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
12 6/25/2013 Leman A+SGOT,SGPT,GGT,USG Dr Abidin Rp 38,500 Rp 118,250 Rp 302,500 Rp 459,250
13 6/25/2013 Susant LPK,T3,T4,TSH Dr Abidin Rp 38,500 Rp 866,000 Rp 904,500
TOTAL Rp 385,000 Rp 3,215,050 Rp 272,250 Rp 605,000 Rp 423,500 Rp 211,750 Rp 5,112,550

Medan, 04 Juli 2013

7/29/2013

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN JULI 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 7/2/2013 Erli Tangi A + Analisa Lemak Darah Dr Abidin Rp 38,500 Rp 196,900 Rp 235,400
2 7/2/2013 Aprila Cahya Nabila SPK + Urine Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
3 7/2/2013 Kristna Susanto A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
4 7/2/2013 Teresawaty Koeswoyo Darah Rutn,HbsAg,HBA1c,Rontgen Dr Abidin Rp 335,500 Rp 96,800 Rp 432,300
5 7/2/2013 Liaw Loi Noei B Dr Abidin Rp 38,500 Rp 219,450 Rp 257,950
6 7/2/2013 Zainal A + HBA1C,Darah Rutn,GDP,Tes fungsi Hat Dr Abidin Rp 38,500 Rp 619,750 Rp 658,250
7 7/2/2013 Maximilian Koeswoyo Urine Lengkap Dr Abidin Rp 30,250 Rp 30,250
8 7/3/2013 Nerdy D Dr Abidin Rp 38,500 Rp 878,900 Rp 90,750 Rp 96,800 Rp 1,104,950
9 7/3/2013 Tjia Ai Na C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
10 7/3/2013 Shani Thea A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
11 7/4/2013 Sahinan A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
12 7/4/2013 Effendi L A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
13 7/4/2013 Bie Bi A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
14 7/6/2013 Ratna Yohanni Widjaja C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
15 7/6/2013 Chloe Kurniawan SPK Dr Abidin Rp 38,500 Rp 38,500
16 7/10/2013 Jovin A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
17 7/11/2013 Harri Sugandi Hutagalung A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
18 7/12/2013 Angelica SPK,Urine Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
19 7/13/2013 Paulus B Dr Abidin Rp 38,500 Rp 219,450 Rp 257,950
20 7/16/2013 Suria Sing A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
21 7/16/2013 Maximilian Koeswoyo SPK Dr Abidin Rp 38,500 Rp 38,500
22 7/18/2013 Jumarsi L B Dr Abidin Rp 38,500 Rp 219,450 Rp 257,950
23 7/18/2013 Budi C + HBA1C Dr Abidin Rp 38,500 Rp 682,550 Rp 90,750 Rp 811,800
24 7/20/2013 Jovin Darah Rutn Dr Abidin Rp 66,550 Rp 66,550
25 7/23/2013 Budi Sugiarto A + Darah Rutn,GDP,HBA1C Dr Abidin Rp 38,500 Rp 294,800 Rp 333,300
26 7/23/2013 Surian LPK Dr Abidin Rp 38,500 Rp 38,500
27 7/23/2013 Cek Wanto Pandowo C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
28 7/24/2013 Parlindungan Silaban B Dr Abidin Rp 38,500 Rp 219,450 Rp 257,950
29 7/27/2013 Doni Osmon ST C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
30 7/27/2013 Chee Yu C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
31 7/31/2013 Lilis Verawaty C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
32 7/31/2013 Konco Tarigan A + USG Prostat,Tumor Marker PSA Dr Abidin Rp 38,500 Rp 330,250 Rp 302,500 Rp 671,250
TOTAL Rp 1,116,500 Rp 7,658,350 Rp 726,000 Rp 496,100 Rp - Rp - Rp 9,996,950

Medan,12 Agustus 2013

8/30/2013

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN AGUSTUS 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr. Honor
1 8/1/2013 Li Wan A Dr Abidin Rp 38,500 Rp 30,250
2 8/5/2013 Teh Loe Koei LPK Dr Abidin Rp 38,500
3 8/13/2013 Nani LPK + USG Payudara Dr Abidin Rp 38,500 Rp 302,500
4 8/22/2013 Ho Bun Hwa A Dr Abidin Rp 38,500 Rp 30,250
5 8/22/2013 Davit C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
6 8/23/2013 Poniman Taman C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
7 8/24/2013 Mimi Sidik LPK Dr Abidin Rp 38,500
8 8/30/2013 Suria Sing Analisa Lemak Darah,EKG,GDP,tes Fungsi Ginjal,Tes Fungsi Hat Dr Abidin Rp 476,850 Rp 90,750
TOTAL Rp 269,500 Rp 1,551,550 Rp 272,250 Rp 302,500 Rp - Rp -

Pembayaran Dapat Di Transfer Melalui :


a/c : 2420,1004,7600,6 Medan,03 September 2013
a/n : PT.BINA SEHAT
BANK : CIMB NIAGA 9/13/2013

Drg.Airin
Bagian Keuangan
Jumlah

Rp 68,750
Rp 38,500
Rp 341,000
Rp 68,750
Rp 636,350
Rp 636,350
Rp 38,500
Rp 567,600
Rp 2,395,800
TAGIHAN PT. ALLIANZ BULAN SEPTEMBER 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 9/2/2013 Kamalia Marpaung A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
2 9/3/2013 Kamalia Marpaung Urine Dr Abidin Rp 30,250 Rp 30,250
3 9/4/2013 Johny C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
4 9/6/2013 Marlince Kristna Hutabarat A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
5 9/6/2013 Sijowarto A + HBA1C,GDP Dr Abidin Rp 38,500 Rp 228,250 Rp 266,750
6 9/11/2013 Esther C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
7 9/14/2013 Sufia A + HBA1C,GDP,Analisa Lemak Darah Dr Abidin Rp 38,500 Rp 394,900 Rp 433,400
8 9/14/2013 Allen Pangaribuan Ir,MSP C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
9 9/14/2013 Sumiaty LPK Dr Abidin Rp 38,500 Rp 38,500
10 9/17/2013 Iyan Efendi F Tarigan,Drs C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
11 9/20/2013 Joel Bross Luhur C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
12 9/24/2013 Weng Hoa A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
13 9/24/2013 Hendrik Rianto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
TOTAL Rp 462,000 Rp 3,786,750 Rp 544,500 Rp - Rp - Rp - Rp 4,793,250

Pembayaran Dapat Di Transfer Melalui :


a/c : 2420,1004,7600,6 Medan,03 Oktober 2013
a/n : PT.BINA SEHAT
BANK : CIMB NIAGA

10/16/2013
Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 10/2/2013 Rita,SE E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
2 10/2/2013 Angeline S PSI C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
3 10/3/2013 Arifin LPK Dr Abidin Rp 38,500 Rp 38,500
4 10/4/2013 Mahmun Harahap,Ir A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
5 10/7/2013 Viviani C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
6 10/7/2013 Rudy Hartono A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
7 10/7/2013 Tjin Min LPK,SGOT,SGPT,GG,HBSAG,HBEAG Dr Abidin Rp 38,500 Rp 514,250 Rp 552,750
8 10/11/2013 Tan A Boh A +SGOT,SGPT,GG,GDP,USG LIVER Dr Abidin Rp 38,500 Rp 346,500 Rp 302,500 Rp 687,500
9 10/17/2013 Rospita Marbun A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
10 10/19/2013 Hock Eng A + Foto Rontgen Dr Abidin Rp 38,500 Rp 30,250 Rp 96,800 Rp 165,550
11 10/21/2013 Fenny C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
12 10/22/2013 Viviani USG Payudara Dr Abidin Rp 302,500 Rp 302,500
13 10/22/2013 Sri Suryani Nusalim,S.Kom C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
14 10/22/2013 Rudi Hanto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
15 10/24/2013 Wenny Siswanto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
16 10/24/2013 Darwin Tandjo C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
17 10/26/2013 Nawi A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
18 10/26/2013 Hendra Siswanto Ir A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
19 10/26/2013 Satrio Widadi A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
20 10/26/2013 Ng Sia Li A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
21 10/29/2013 Sherly Tedjo E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
22 10/30/2013 Alwine Rosdiana P C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
23 10/30/2013 Putri Victoria Sianturi A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
24 10/30/2013 Threszia Rumondang E Sianturi A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
TOTAL Rp 885,500 Rp 6,977,850 Rp 726,000 Rp 895,400 Rp 847,000 Rp 423,500 Rp 10,755,250

Pembayaran Dapat Di Transfer Melalui :


a/c : 2420,1004,7600,6 Medan,04 November 2013
a/n : PT.BINA SEHAT
BANK : CIMB NIAGA
11/26/2013 Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN NOVEMBER 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr. Honor
1 11/1/2013 Soedjana Souw A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
2 11/1/2013 A Yung A + HBA1C,GDP & 2 Jam PP,LD Dr Abidin Rp 38,500 Rp 417,450 Rp 455,950
3 11/2/2013 Sutarsono E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
4 11/2/2013 Dr Djuliana E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
5 11/2/2013 Vivyana Wibisono A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800 Rp 135,300
6 11/2/2013 Lina LPK Dr Abidin Rp 38,500 Rp 38,500
7 11/8/2013 Hermes Hendro Sp E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
8 11/14/2013 Supatmi Sudarsono C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
9 11/15/2013 Tan A Boh Lemak Darah Dr Abidin Rp 166,650 Rp 166,650
10 11/15/2013 Lim Beng Hoa A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
11 11/16/2013 Tio Lian Hwe B Dr Abidin Rp 38,500 Rp 219,450 Rp 257,950
12 11/18/2013 Tjie Tjiet Sin LPK Dr Abidin Rp 38,500 Rp 38,500
13 11/18/2013 Eddi Leo A + Darah Rutn,Analisa Lemak Darah Dr Abidin Rp 38,500 Rp 263,450 Rp 301,950
14 11/19/2013 Wilianto Tio Hardi SE C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
15 11/19/2013 Ng Tjoei Hock Herman A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
16 11/20/2013 Rudy Hendrawan A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
17 11/20/2013 Halomoah H A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
18 11/21/2013 Selamat C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
19 11/21/2013 Elsi Tanaseh A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
20 11/26/2013 Lim Hok Lai C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
21 11/26/2013 Lina C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
22 11/27/2013 Vincent Salim Lho A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
23 11/27/2013 Dewi A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
24 11/27/2013 William C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
25 11/28/2013 Tommy Tjoe E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
26 11/29/2013 Miau hun LPK Dr Abidin Rp 38,500 Rp 38,500
27 11/30/2013 Magdaline Evarista Sener SPK Dr Abidin Rp 38,500 Rp 38,500
28 11/30/2013 Patricia Anggasta SPK Dr Abidin Rp 38,500 Rp 38,500
TOTAL Rp 1,039,500 Rp 7,964,000 Rp 544,500 Rp 387,200 Rp 1,694,000 Rp 847,000 Rp 12,476,200

Pembayaran Dapat Di Transfer Melalui :


a/c : 2420,1004,7600,6 Medan,04 Desember 2013
a/n : PT.BINA SEHAT
BANK : CIMB NIAGA

12/17/2013 Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN DESEMBER 2013
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr. Honor
1 12/2/2013 Jap Amin A + HBA1c + GDP Dr Abidin Rp 38,500 Rp 228,250
2 12/2/2013 Jon Efendi Sianturi C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
3 12/2/2013 Drs Hartono Ngadimin A Dr Abidin Rp 38,500 Rp 30,250
4 12/2/2013 Erin Harina Lius SPK,Urine Dr Abidin Rp 38,500 Rp 30,250
5 12/2/2013 Hariadi Lius A Dr Abidin Rp 38,500 Rp 30,250
6 12/3/2013 Peggy C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
7 12/3/2013 Sugito HBA1C,HIV TEST,Treadmill,DARAH RUTIN,FOTO RONTGEN DADA,HBSAG Dr Abidin Rp 335,500 Rp 96,800 Rp 423,500
8 12/3/2013 Sukidi E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500
9 12/7/2013 Djoni B Dr Abidin Rp 38,500 Rp 219,450
10 12/9/2013 Yulius C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
11 12/11/2013 Lee LPK Dr Abidin Rp 38,500
12 12/12/2013 Yosella Tjung E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500
13 12/12/2013 Hendy Winata E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500
14 12/12/2013 Tjia Ai Hiok Alias Suharni LPK Dr Abidin Rp 38,500
15 12/13/2013 Tadyatavira C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
16 12/13/2013 Julkarnein Harahap A Dr Abidin Rp 38,500 Rp 30,250
17 12/14/2013 Nicollette Chiloe Tjendra E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500
18 12/16/2013 Rivai Tansaputra Willy C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
19 12/16/2013 Zulkarnain D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
20 12/17/2013 Halomoan H Analisa Lemak Darah,GDP Dr Abidin Rp 189,200
21 12/17/2013 Gwek Bie A + HBA1c + GDP Dan 2 Jam PP + Analisa Lemak Darah Dr Abidin Rp 38,500 Rp 417,450
22 12/18/2013 Eugenie Francine A Dr Abidin Rp 38,500 Rp 30,250
23 12/19/2013 Michael C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
24 12/20/2013 Linna Amat D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
25 12/20/2013 Zulkarnain Treadmill,HIV Test Dr Abidin Rp 423,500
26 12/23/2013 Ruslim A + Analisa Lemak Darah Dr Abidin Rp 38,500 Rp 196,900
27 12/23/2013 Siau Hun LPK Dr Abidin Rp 38,500
28 12/24/2013 Donny Amril SE C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
29 12/24/2013 Yudiharto Indrawan C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
30 12/24/2013 Amri Nasuton LPK Dr Abidin Rp 38,500
31 12/24/2013 Kamijam Gunawan A Dr Abidin Rp 38,500 Rp 30,250
32 12/27/2013 Wily Susanto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
33 12/27/2013 Jenny C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
34 12/27/2013 Anton C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
TOTAL Rp 1,193,500 Rp 12,196,250 Rp 1,179,750 Rp 677,600 Rp 2,541,000

Pembayaran Dapat Di Transfer Melalui :


a/c : 2420,1004,7600,6 Medan,03 Januari 2014
a/n : PT.BINA SEHAT
BANK : CIMB NIAGA

1/16/2014
Drg.Airin
Bagian Keuangan
HIV Jumlah

Rp 266,750
Rp 636,350
Rp 68,750
Rp 68,750
Rp 68,750
Rp 636,350
Rp 211,750 Rp 1,067,550
Rp 211,750 Rp 1,649,450
Rp 257,950
Rp 636,350
Rp 38,500
Rp 211,750 Rp 1,649,450
Rp 211,750 Rp 1,649,450
Rp 38,500
Rp 636,350
Rp 68,750
Rp 211,750 Rp 1,649,450
Rp 636,350
Rp 211,750 Rp 1,104,950
Rp 189,200
Rp 455,950
Rp 68,750
Rp 636,350
Rp 211,750 Rp 1,104,950
Rp 211,750 Rp 635,250
Rp 235,400
Rp 38,500
Rp 636,350
Rp 636,350
Rp 38,500
Rp 68,750
Rp 636,350
Rp 636,350
Rp 636,350
Rp 1,694,000 Rp 19,482,100
TAGIHAN PT. ALLIANZ BULAN JANUARY 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 1/3/2014 Emy A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
2 1/3/2014 Veronica SPK,Urine Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
3 1/4/2014 Kwee Tjin Fong LPK Dr Abidin Rp 38,500 Rp 38,500
4 1/4/2014 Suwandi A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
5 1/7/2014 Lina C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
6 1/7/2014 Hanli A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
7 1/9/2014 Susanto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
8 1/9/2014 Jaya mustka ST LPK Dr Abidin Rp 38,500 Rp 38,500
9 1/9/2014 Lim Kui mie Als Nuriyat A + HBA1C,SGOT,SGPT,GGT,LD,GDP Dr Abidin Rp 38,500 Rp 513,150 Rp 551,650
10 1/16/2014 Cong Siu C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
11 1/16/2014 Warni C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
12 1/16/2014 Alex Surya A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
13 1/16/2014 Paulina Andriani A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
14 1/20/2014 Tjhia Efalina LPK Dr Abidin Rp 38,500 Rp 38,500
15 1/25/2014 William Tan Spk Dr Abidin Rp 38,500 Rp 38,500
16 1/28/2014 Ramly SH A + HBA1C,SGOT,SGPT,GGT,LD,GDP Dr Abidin Rp 38,500 Rp 513,150 Rp 551,650
17 1/29/2014 Nancy A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
18 1/29/2014 Putri Murni E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
19 1/29/2014 Rudy Hartono E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
TOTAL Rp 731,500 Rp 5,024,250 Rp 363,000 Rp 193,600 Rp 847,000 Rp 423,500 Rp 7,582,850

Pembayaran Dapat Di Transfer Melalui :


a/c : 2420,1004,7600,6 Medan,05 Februari 2014
a/n : PT.BINA SEHAT
BANK : CIMB NIAGA
2/20/2014

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN FEBRUARY 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 2/7/2014 Venny Wijaya C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
2 2/7/2014 Kevin Wijaya C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
3 2/8/2014 Jhonny Ramli A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
4 2/10/2014 Mesra F Pardosi SH A + T3,T4,TSH Dr Abidin Rp 38,500 Rp 866,000 Rp 904,500
5 2/11/2014 Lie Li Phin C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
6 2/12/2014 Jonathan Leon SPK,URINE Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
7 2/12/2014 Taw Heng A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
8 2/12/2014 Elaine SPK,URINE Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
9 2/12/2014 Andrew SPK,URINE Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
10 2/13/2014 Suhan C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
11 2/14/2014 Hong Kho Khian / Tonny Kurniawan LPK Dr Abidin Rp 38,500 Rp 38,500
12 2/15/2014 Lisa Valencia Limiaty SPK,URINE Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
13 2/15/2014 Stefanny Limiaty SPK,URINE Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
14 2/15/2014 Edi Go C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
15 2/17/2014 Monica SPK,URINE Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
16 2/17/2014 Afandi Citra SH LPK Dr Abidin Rp 38,500 Rp 38,500
17 2/17/2014 Sumiaty A + HBA1C,Fungsi Ginjal,LD,GDP Dr Abidin Rp 38,500 Rp 457,600 Rp 496,100
18 2/18/2014 Eli Puspa Sari C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
19 2/19/2014 Sumiaty LPK,EKG,URINE Dr Abidin Rp 38,500 Rp 30,250 Rp 90,750 Rp 159,500
20 2/19/2014 Anton Ngadimin A + HBA1C + PSA+HBSAG + USG Dr Abidin Rp 38,500 Rp 596,200 Rp 605,000 Rp 1,239,700
21 2/20/2014 Nancy Darah Rutn Dr Abidin Rp 66,550 Rp 66,550
22 2/21/2014 Sursanto Sirah C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
23 2/24/2014 Susanto A + SGOT,SGPT,GGT,Ant HCV Dr Abidin Rp 38,500 Rp 539,500 Rp 578,000
TOTAL Rp 847,000 Rp 6,347,800 Rp 726,000 Rp 605,000 Rp 8,525,800

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,06 Maret 2014
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
3/20/2014 Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN MARET 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 3/1/2014 Salimin Angkasa A + Hba1c,GDP,Asam Urat Dr Abidin Rp 38,500 Rp 259,600
2 3/5/2014 Marwali Lino E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
3 3/5/2014 Livia Charissa Limiaty Urine Lengkap,SPK Dr Abidin Rp 38,500 Rp 30,250
4 3/6/2014 Efendi LPK Dr Abidin Rp 38,500
5 3/6/2014 Evelyn SPK Dr Abidin Rp 38,500
6 3/8/2014 Nova Ariany Effendi A Dr Abidin Rp 38,500 Rp 30,250
7 3/11/2014 Joni Wijaya A Dr Abidin Rp 38,500 Rp 30,250
8 3/13/2014 John Satria A + SGOT,SGPT,GGT,Hbsag,Hbeag Dr Abidin Rp 38,500 Rp 544,500
9 3/13/2014 Lim Po Lien LPK Dr Abidin Rp 38,500
10 3/13/2014 Tjia Hui Huang A + Ureum dan Creatnin Dr Abidin Rp 38,500 Rp 92,950
11 3/15/2014 Hartawan Tjendra E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
12 3/19/2014 Wie Wie LPK Dr Abidin Rp 38,500
13 3/19/2014 Lie Mei LD,GDP,Fungsi Ginjal,Fungsi Hat,Ekg Dr Abidin Rp 476,850 Rp 90,750
14 3/19/2014 Rotua Pangaribuan LPK Dr Abidin Rp 38,500
15 3/20/2014 Sumini SE C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
16 3/22/2014 Anggiat Lumban Gaol,Drs Msi A + LD,Treadmill Dr Abidin Rp 38,500 Rp 196,900 Rp 423,500
17 3/22/2014 Harto Salim B Dr Abidin Rp 38,500 Rp 219,450
18 3/22/2014 Vera Nindyasari E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
19 3/22/2014 Tengku Muhammad Husyairi E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
20 3/22/2014 Cu Hun A + SGOT,SGPT,GGT,HBSAG,HBEAG Dr Abidin Rp 38,500 Rp 642,000
21 3/24/2014 Sandy Treadmill Dr Abidin Rp 423,500
22 3/24/2014 Sunario C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
23 3/25/2014 Lim A Eng A Dr Abidin Rp 38,500 Rp 30,250
24 3/25/2014 Surya Bachtar C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
25 3/25/2014 Susanto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
26 3/26/2014 Susanto Darah Rutn,Hbsag,Hba1C,Treadmill,foto rontgen,HIV Dr Abidin Rp 335,500 Rp 96,800 Rp 423,500
27 3/26/2014 Ong Ependi A Dr Abidin Rp 38,500 Rp 30,250
TOTAL Rp 924,000 Rp 8,463,000 Rp 453,750 Rp 484,000 Rp 2,964,500 Rp 847,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 April 2014
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

5/9/2014
Drg.Airin
Bagian Keuangan
Jumlah

Rp 298,100
Rp 1,649,450
Rp 68,750
Rp 38,500
Rp 38,500
Rp 68,750
Rp 68,750
Rp 583,000
Rp 38,500
Rp 131,450
Rp 1,649,450
Rp 38,500
Rp 567,600
Rp 38,500
Rp 636,350
Rp 658,900
Rp 257,950
Rp 1,649,450
Rp 1,649,450
Rp 680,500
Rp 423,500
Rp 636,350
Rp 68,750
Rp 636,350
Rp 636,350
Rp 855,800
Rp 68,750
Rp 14,136,250
TAGIHAN PT. ALLIANZ BULAN APRIL 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 4/3/2014 Tusanto Kuslan C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
2 4/3/2014 Susanto B Dr Abidin Rp 38,500 Rp 219,450
3 4/5/2014 Amir A + UREUM,CREATININ,ASAM URAT,BILIRUBIN DIREK,BILIRUBIN TOTAL Dr Abidin Rp 38,500 Rp 190,850
4 4/5/2014 Albert Darmawan Mulia SPK,Urine lengkap Dr Abidin Rp 38,500 Rp 30,250
5 4/5/2014 Eva Veda Artestarni SPK,Urine lengkap Dr Abidin Rp 38,500 Rp 30,250
6 4/10/2014 Johny Pranata C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
7 4/10/2014 Ng Bu Hian Burhan LPK Dr Abidin Rp 38,500
8 4/11/2014 Lity Yuliana Oeij A Dr Abidin Rp 38,500 Rp 30,250
9 4/12/2014 Sumiat A Dr Abidin Rp 38,500 Rp 30,250
10 4/15/2014 Johan Kwek D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800 Rp 211,750
11 4/15/2014 Ida Tobing A Dr Abidin Rp 38,500 Rp 30,250
12 4/15/2014 Susanty Artha Gilberte C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
13 4/21/2014 Maiden K Tampubolon LPK Dr Abidin Rp 38,500
14 4/23/2014 Selly LPK Dr Abidin Rp 38,500
15 4/24/2014 Susilo Kimberly C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
16 4/29/2014 Juliyani LPK Dr Abidin Rp 38,500
TOTAL Rp 616,000 Rp 3,257,100 Rp 453,750 Rp 96,800 Rp 211,750

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 Mei 2014
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

5/19/2014
Drg.Airin
Bagian Keuangan
Jumlah

Rp 636,350
Rp 257,950
Rp 229,350
Rp 68,750
Rp 68,750
Rp 636,350
Rp 38,500
Rp 68,750
Rp 68,750
Rp 1,104,950
Rp 68,750
Rp 636,350
Rp 38,500
Rp 38,500
Rp 636,350
Rp 38,500
Rp 4,635,400
TAGIHAN PT. ALLIANZ BULAN MEI 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 5/2/2014 Jeklie Alias Lilis A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
2 5/3/2014 Tongam Sitanggang A + HBA1C + GDP Dr Abidin Rp 38,500 Rp 228,250 Rp 266,750
3 5/5/2014 Tan Siu Jong A + LD Dr Abidin Rp 38,500 Rp 196,900 Rp 235,400
4 5/8/2014 William Ng C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
5 5/8/2014 Sri Dewi C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
6 5/8/2014 Calvin A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
7 5/9/2014 Rina Tampubolon SE LPK,USG Thyroid Dr Abidin Rp 38,500 Rp 302,500 Rp 341,000
8 5/10/2014 Ruhani B Dr Abidin Rp 38,500 Rp 219,450 Rp 257,950
9 5/10/2014 Rasmi Hasibuan LPK Dr Abidin Rp 38,500 Rp 38,500
10 5/10/2014 Karel Simatupang A + HBA1C Dr Abidin Rp 38,500 Rp 205,700 Rp 244,200
11 5/13/2014 Goh Oen Hoat A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
12 5/16/2014 Sandy LD,EKG,GDP,Test Fungsi Ginjal,Tes Fungsi Hat Dr Abidin Rp 476,850 Rp 90,750 Rp 567,600
13 5/17/2014 Manaor Sianipar A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
14 5/19/2014 Sadikun A + LD,Treadmill Dr Abidin Rp 38,500 Rp 196,900 Rp 423,500 Rp 658,900
15 5/20/2014 Ruben Ar Simanjuntak A + Ureum,Creatnin Dr Abidin Rp 38,500 Rp 92,950 Rp 131,450
16 5/21/2014 Edyson A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
17 5/21/2014 Calvin Darah Rutn Dr Abidin Rp 66,550 Rp 66,550
18 5/23/2014 Jap Fuk San LPK,Pemeriksaan Urin 2x hari berbeda,SGPT Dr Abidin Rp 38,500 Rp 91,850 Rp 130,350
19 5/23/2014 Wilky A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
20 5/24/2014 Ong Sun Hok A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
21 5/24/2014 Bun San C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
22 5/30/2014 Peng Hwa C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
23 5/31/2014 Tonny Wijaya A + GDP,HBA1C Dr Abidin Rp 38,500 Rp 228,250 Rp 266,750
24 5/31/2014 Hui Lie C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
TOTAL Rp 847,000 Rp 4,750,900 Rp 544,500 Rp 302,500 Rp 423,500 Rp 6,868,400

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 Juni 2014
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
6/11/2014 Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN JUNI 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 6/2/2014 Joleen Sebastan William SPK Dr Abidin Rp 38,500 Rp 38,500
2 6/3/2014 Bally C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
3 6/3/2014 Julia Amet C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
4 6/4/2014 A Sin B + Hba1C Dr Abidin Rp 38,500 Rp 394,900 Rp 433,400
5 6/6/2014 Novianto LPK,USG Dr Abidin Rp 38,500 Rp 302,500 Rp 341,000
6 6/7/2014 Phin San E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
7 6/9/2014 Manaor Sianipar Ureum,Creatnin,GDP,Urine,HBA1C Dr Abidin Rp 290,950 Rp 290,950
8 6/9/2014 Valencia Leora Wijaya SPK Dr Abidin Rp 38,500 Rp 38,500
9 6/10/2014 Manaor Sianipar Urine Dr Abidin Rp 30,250 Rp 30,250
10 6/10/2014 Nawi C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
11 6/10/2014 Runggu Napitupulu LPK Dr Abidin Rp 38,500 Rp 38,500
12 6/10/2014 Wibowo A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
13 6/11/2014 Surfiwaty Tjandrasa E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
14 6/13/2014 Esther Pintjie A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
15 4/13/2014 Eduardus Dermawan Kangdra A Dr Abidin Rp 38,500 Rp 30,250 Rp 68,750
16 4/18/2014 Mariana C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 636,350
17 6/21/2014 Indri Situmorang Hba1C,LD,Urine Lengkap Dr Abidin Rp 372,350 Rp 372,350
TOTAL Rp 539,000 Rp 4,965,400 Rp 363,000 Rp 496,100 Rp 847,000 Rp 423,500 Rp 7,634,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 Juli 2014
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

8/18/2014 Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN JULI 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 7/2/2014 Abidin Efendi C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
2 7/2/2014 Aimi C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
3 7/4/2014 Njo Jek Bin D Dr Abidin Rp 38,500 Rp 878,900 Rp 90,750 Rp 96,800
4 7/4/2014 Johan LPK Dr Abidin Rp 38,500
5 7/5/2014 Ferawan C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
6 7/5/2014 Djoni Halim SE A Dr Abidin Rp 38,500 Rp 30,250
7 7/7/2014 Veronica C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
8 7/11/2014 Lim Cung Yang LPK Dr Abidin Rp 38,500
9 7/11/2014 Ain LPK Dr Abidin Rp 38,500
10 7/12/2014 Chi Tju Lan Darah Rutn,LPK Dr Abidin Rp 38,500 Rp 66,550
11 7/12/2014 Bujong Markam LPK Dr Abidin Rp 38,500
12 7/14/2014 Ir Abidin Sihaloho A Dr Abidin Rp 38,500 Rp 30,250
13 7/16/2014 Lie Ping Soeroto E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800
14 7/17/2014 Agus Maruli Tua Sinaga Sp LPK Dr Abidin Rp 38,500
15 7/19/2014 Indra Kusuma C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
16 7/19/2014 Tan Peng Wui C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
17 7/19/2014 Lanni Amran C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
18 7/23/2014 Fendy A + USG Leher Dr Abidin Rp 38,500 Rp 30,250 Rp 302,500
19 7/24/2014 Ham Siu Hoa Urine Lengkap Dr Abidin Rp 30,250
20 7/24/2014 Deliana LPK Dr Abidin Rp 38,500
21 7/24/2014 Paimin LPK Dr Abidin Rp 38,500
22 7/25/2014 Ng Tjin Huat C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
TOTAL Rp 808,500 Rp 5,971,900 Rp 847,000 Rp 496,100

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,05 Agustus 2014
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

8/28/2014
Drg.Airin
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 636,350
Rp 636,350
Rp 1,104,950
Rp 38,500
Rp 636,350
Rp 68,750
Rp 636,350
Rp 38,500
Rp 38,500
Rp 105,050
Rp 38,500
Rp 68,750
Rp 423,500 Rp 211,750 Rp 1,649,450
Rp 38,500
Rp 636,350
Rp 636,350
Rp 636,350
Rp 371,250
Rp 30,250
Rp 38,500
Rp 38,500
Rp 636,350
Rp 423,500 Rp 211,750 Rp 8,758,750

gustus 2014

euangan
TAGIHAN PT. ALLIANZ BULAN AGUSTUS 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 8/4/2014 Kaitlin Huang A Dr Abidin Rp 38,500 Rp 30,250
2 8/4/2014 Clarabelle Huang A Dr Abidin Rp 38,500 Rp 30,250
3 8/4/2014 Usman C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
4 8/5/2014 David LPK,Darah Rutn,SGOT,SGPT,GGT Dr Abidin Rp 38,500 Rp 184,800
5 8/6/2014 Edy C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
6 8/6/2014 Emilia C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
7 8/8/2014 Nusri Junita Sari Tarigan SPD LPK,USG Dr Abidin Rp 38,500 Rp 302,500
8 8/8/2014 Budiyanto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
9 8/8/2014 Ferry Markus Pitoy A + GDP& 2jam PP,Lemak Dr Abidin Rp 38,500 Rp 242,000
10 8/8/2014 Sutejo LPK Dr Abidin Rp 38,500
11 8/9/2014 Hartono Salim A + SGOT,SGPT,GGT,CK Dr Abidin Rp 38,500 Rp 282,500
12 8/9/2014 Rendy A + Darah rutn Dr Abidin Rp 38,500 Rp 96,800
13 8/9/2014 Yek Ngo C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
14 8/11/2014 Suria Sing E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800
15 8/11/2014 Kevin Halim Urine lengkap,SPK Dr Abidin Rp 38,500 Rp 30,250
16 8/12/2014 Nurleli Costan B Dr Abidin Rp 38,500 Rp 219,450
17 8/13/2014 Murni C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
18 8/13/2014 Slamet Wijaya C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
19 8/15/2014 Syamsul Bahri Sembiring A Dr Abidin Rp 38,500 Rp 30,250
20 8/15/2014 Rukito C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
21 8/18/2014 Suwito C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
22 8/19/2014 Tjoa Sai Kiong A Dr Abidin Rp 38,500 Rp 30,250
23 8/19/2014 Hasna LPK Dr Abidin Rp 38,500
24 8/22/2014 Poniman B Dr Abidin Rp 38,500 Rp 219,450
25 8/22/2014 Midya C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
26 8/22/2014 Kie Hoa Tjoan A Dr Abidin Rp 38,500 Rp 30,250
27 8/22/2014 Catherine Halim Urine lengkap,SPK Dr Abidin Rp 38,500 Rp 30,250
28 8/23/2014 Wenny Veronica Tannavie A + USG leher Dr Abidin Rp 38,500 Rp 30,250 Rp 302,500
29 8/23/2014 Herlina Hutapea A + Hba1c,GDP Dr Abidin Rp 38,500 Rp 228,250
30 8/23/2014 Jesseline Willisa A + Darah rutn Dr Abidin Rp 38,500 Rp 96,800
31 8/23/2014 Tjai Fong A Dr Abidin Rp 38,500 Rp 30,250
32 8/27/2014 Ridsan C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
33 8/28/2014 Joice Abigail Siringo Ringo SPK Dr Abidin Rp 38,500
34 8/29/2014 Husin Kosmosutran E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800
TOTAL Rp 1,309,000 Rp 9,178,200 Rp 998,250 Rp 798,600

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,02 September 2
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

9/15/2014
Drg.Airin
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 68,750
Rp 68,750
Rp 636,350
Rp 223,300
Rp 636,350
Rp 636,350
Rp 341,000
Rp 636,350
Rp 280,500
Rp 38,500
Rp 321,000
Rp 135,300
Rp 636,350
Rp 423,500 Rp 211,750 Rp 1,649,450
Rp 68,750
Rp 257,950
Rp 636,350
Rp 636,350
Rp 68,750
Rp 636,350
Rp 636,350
Rp 68,750
Rp 38,500
Rp 257,950
Rp 636,350
Rp 68,750
Rp 68,750
Rp 371,250
Rp 266,750
Rp 135,300
Rp 68,750
Rp 636,350
Rp 38,500
Rp 423,500 Rp 211,750 Rp 1,649,450
Rp 847,000 Rp 423,500 Rp 13,554,550

mber 2014

angan
TAGIHAN PT. ALLIANZ BULAN SEPTEMBER 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 9/1/2014 Mak Jat Seng D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800 Rp 211,750
2 9/1/2014 Bilson Makmur LPK,Darah Rutn Dr Abidin Rp 38,500 Rp 66,550
3 9/1/2014 Martono A + Ureum Dan Creatnin,USG Abdomen Dr Abidin Rp 38,500 Rp 92,950 Rp 302,500
4 9/2/2014 Ris Silalahi LPK Dr Abidin Rp 38,500
5 9/6/2014 Henson C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
6 9/8/2014 Joshua Lio Urine,SPK Dr Abidin Rp 38,500 Rp 30,250
7 9/8/2014 Honey Lio Urine,SPK Dr Abidin Rp 38,500 Rp 30,250
8 9/10/2014 Susina A + SGOT,SGPT,GGT,LD Dr Abidin Rp 38,500 Rp 315,150
9 9/10/2014 Johny Kasidi C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
10 9/10/2014 Sjhin Kul Lien C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
11 8/11/2014 Go Po Lin LPK,Treadmill Dr Abidin Rp 38,500 Rp 423,500
12 9/12/2014 Bilson Makmur Urine Lengkap Dr Abidin Rp 30,250
13 9/13/2014 Tan Seng Hoat LPK,EKG Dr Abidin Rp 38,500 Rp 90,750
14 9/13/2014 Gunawie SE A + GDP dan HBA1C Dr Abidin Rp 38,500 Rp 228,250
15 9/15/2014 Rosmina A Dr Abidin Rp 38,500 Rp 30,250
16 9/15/2014 Lie Lie Mei A Dr Abidin Rp 38,500 Rp 30,250
17 9/16/2014 Irwan LPK Dr Abidin Rp 38,500
18 9/17/2014 Tonny Wijaya Ureum dan creatnin,darah rutn,tes fungsi hat,LD,HBSag,treadmill,rontgen Dr Abidin Rp 703,450 Rp 96,800 Rp 423,500
19 9/18/2014 Win Fadhli C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
20 9/18/2014 Jovian A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
21 9/19/2014 Karyanto E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
22 9/22/2014 Jeannita Tjoe SPK Dr Abidin Rp 38,500
23 9/22/2014 Aina LPK Dr Abidin Rp 38,500
24 9/22/2014 Jody Edbert SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
25 9/23/2014 M Niarita Br Bukit SE A + GDP,HBA1C Dr Abidin Rp 38,500 Rp 294,800
26 9/24/2014 Ahuat Alias Wanto A + LD Dr Abidin Rp 38,500 Rp 196,900
27 9/24/2014 Meilicya Lio Urine,SPK Dr Abidin Rp 38,500 Rp 30,250
28 9/25/2014 Kean Ming A + Hba1c,GDP Dr Abidin Rp 38,500 Rp 228,250
29 9/25/2014 Rasman Siburian Sp LPK Dr Abidin Rp 38,500
30 9/25/2014 Rudy LPK Dr Abidin Rp 38,500
31 9/26/2014 Benny Martjius SH LPK Dr Abidin Rp 38,500
32 9/26/2014 Indra LPK Dr Abidin Rp 38,500
33 9/26/2014 Edy Heryanto C + Darah rutn Dr Abidin Rp 38,500 Rp 573,650 Rp 90,750
34 9/26/2014 Esmin Alberta Sinurat A Dr Abidin Rp 38,500 Rp 30,250
35 9/27/2014 Win Fadhli Hba1c Dr Abidin Rp 175,450
36 9/29/2014 Marlince Kristna Hutabarat BA C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
37 9/29/2014 Silvy Natalia Marbun SPK,Urine Rutn Dr Abidin Rp 38,500 Rp 30,250
38 9/29/2014 Jose Agustn Fernando Marbun A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
TOTAL Rp 1,347,500 Rp 7,422,800 Rp 726,000 Rp 592,900 Rp 1,270,500 Rp 423,500

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,10 Oktober 2014
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

10/30/2014
Drg.Airin
Bagian Keuangan
Jumlah

Rp 1,104,950
Rp 105,050
Rp 433,950
Rp 38,500
Rp 636,350
Rp 68,750
Rp 68,750
Rp 353,650
Rp 636,350
Rp 636,350
Rp 462,000
Rp 30,250
Rp 129,250
Rp 266,750
Rp 68,750
Rp 68,750
Rp 38,500
Rp 1,223,750
Rp 636,350
Rp 135,300
Rp 1,649,450
Rp 38,500
Rp 38,500
Rp 68,750
Rp 333,300
Rp 235,400
Rp 68,750
Rp 266,750
Rp 38,500
Rp 38,500
Rp 38,500
Rp 38,500
Rp 702,900
Rp 68,750
Rp 175,450
Rp 636,350
Rp 68,750
Rp 135,300
Rp 11,783,200
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 10/3/2014 Rolan Siregar B Dr Abidin Rp 38,500 Rp 219,450
2 10/3/2014 Hasan Badri D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
3 10/4/2014 Daniel Wijaya SE E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800
4 10/4/2014 Dany Heng C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
5 10/4/2014 Cai In E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800
6 10/6/2014 Pioman Gono B Dr Abidin Rp 38,500 Rp 219,450
7 9/6/2014 Lina E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800
8 9/6/2014 Delvino A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
9 10/7/2014 Amrizal Lubis A Dr Abidin Rp 38,500 Rp 30,250
10 10/9/2014 Marlisa C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
11 10/10/2014 Suparno,Ir A Dr Abidin Rp 38,500 Rp 30,250
12 10/10/2014 Jukanto A Dr Abidin Rp 38,500 Rp 30,250
13 10/10/2014 Darwin SGOT,SGPT,GGT,LD Dr Abidin Rp 284,900
14 10/11/2014 Tjipta Wiriyan B Dr Abidin Rp 38,500 Rp 219,450
15 10/11/2014 Tiurma Br Tambunan LPK Dr Abidin Rp 38,500
16 10/11/2014 Yenty Chandra LPK + USG Payudara Dr Abidin Rp 38,500 Rp 302,500
17 10/11/2014 Yuvina Yawan B Dr Abidin Rp 38,500 Rp 219,450
18 10/15/2014 Yenty C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
19 10/15/2014 Dewi A Dr Abidin Rp 38,500 Rp 30,250
20 10/18/2014 Rita Sugianto A Dr Abidin Rp 38,500 Rp 30,250
21 10/18/2014 Vivi Cecilia Ng A + SGOT,SGPT,GGT Dr Abidin Rp 38,500 Rp 148,500
22 10/20/2014 Tionggom Simarmata A + LD Dr Abidin Rp 38,500 Rp 196,900
23 10/21/2014 Erlin C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
24 10/21/2014 Kevion Albet A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
25 10/21/2014 Sabar Lumban Gaol Ir A Dr Abidin Rp 38,500 Rp 30,250
26 10/21/2014 Listen Manalu SH A Dr Abidin Rp 38,500 Rp 30,250
27 10/24/2014 Suparno,Ir GDP,HBA1C Dr Abidin Rp 198,000
28 10/24/2014 Danny Kurniawan C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
29 10/24/2014 Leni Sulasto C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
30 10/28/2014 Betania P Tumanggor C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
TOTAL Rp 1,078,000 Rp 8,965,000 Rp 726,000 Rp 689,700

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,05 November 2014
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

11/24/2014 Drg.Airin
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 257,950
Rp 211,750 Rp 1,104,950
Rp 423,500 Rp 211,750 Rp 1,649,450
Rp 636,350
Rp 423,500 Rp 211,750 Rp 1,649,450
Rp 257,950
Rp 423,500 Rp 211,750 Rp 1,649,450
Rp 135,300
Rp 68,750
Rp 636,350
Rp 68,750
Rp 68,750
Rp 284,900
Rp 257,950
Rp 38,500
Rp 341,000
Rp 257,950
Rp 636,350
Rp 68,750
Rp 68,750
Rp 187,000
Rp 235,400
Rp 636,350
Rp 135,300
Rp 68,750
Rp 68,750
Rp 198,000
Rp 636,350
Rp 636,350
Rp 636,350
Rp 1,270,500 Rp 847,000 Rp 13,576,200

mber 2014

angan
TAGIHAN PT. ALLIANZ BULAN NOVEMBER 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB
Nama Dr Honor
1 11/1/2014 Alberto Jecklyn Rusli SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
2 11/1/2014 Stefanny Jecklyn Lee SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
3 11/1/2014 Mayant C Dr Abidin Rp 38,500 Rp 507,100
4 11/1/2014 Darmin C Dr Abidin Rp 38,500 Rp 507,100
5 11/1/2014 Denisha Jecklyn Lee A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
6 11/1/2014 Fernando Jecklyn Rusly SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
7 11/4/2014 Iyan Efendi F Tarigan,Drs D + Treadmill Dr Abidin Rp 38,500 Rp 667,150
8 11/4/2014 Jonny Martaliminata Salim A Dr Abidin Rp 38,500 Rp 30,250
9 11/4/2014 Ir.Suparno HBA1C + GDP Dr Abidin Rp 198,000
10 11/5/2014 Tjoa Sai Kiong Darah Rutn Dr Abidin Rp 66,550
11 11/6/2014 Rudy Rahayu SE A + HBA1C + GDP + Treadmill Dr Abidin Rp 38,500 Rp 228,250
12 11/10/2014 Linda LPK Dr Abidin Rp 38,500
13 11/11/2014 Joan Utama A Dr Abidin Rp 38,500 Rp 30,250
14 11/12/2014 Lily A Dr Abidin Rp 38,500 Rp 30,250
15 11/12/2014 Haulan Siregar A Dr Abidin Rp 38,500 Rp 30,250
16 11/13/2014 Ng Ciak C Dr Abidin Rp 38,500 Rp 507,100
17 11/13/2014 Lenny Go C Dr Abidin Rp 38,500 Rp 507,100
18 11/13/2014 Joko Teguh Warsito ST LPK + Foto Dada Dr Abidin Rp 38,500
19 11/14/2014 Riky Ciayadi C Dr Abidin Rp 38,500 Rp 507,100
20 11/17/2014 Listen Manalu SH HBA1C + GDP Dr Abidin Rp 198,000
21 11/17/2014 Norman LPK Dr Abidin Rp 38,500
22 11/18/2014 Agus Tina Amd LPK + USG Dr Abidin Rp 38,500
23 11/20/2014 Tony A + LD + Rontgen Dr Abidin Rp 38,500 Rp 263,450
24 11/21/2014 Tio Ik Ling LPK,USG Dr Abidin Rp 38,500
25 11/22/2014 Julywat D Dr Abidin Rp 38,500 Rp 667,150
26 11/22/2014 Felix Kanardy Sujono LPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
27 11/25/2014 Hai LPK + HBA1C Dr Abidin Rp 38,500 Rp 175,450
28 11/26/2014 Sumiana E Dr Abidin Rp 38,500 Rp 878,900
29 11/26/2014 Fery Antono C Dr Abidin Rp 38,500 Rp 507,100
30 11/26/2014 Budi C + Hba1c Dr Abidin Rp 38,500 Rp 682,550
31 11/27/2014 Vilencia Metta Rahayu SPK Dr Abidin Rp 38,500
32 11/27/2014 Rachel Emily Yeo SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
33 11/27/2014 Joshua Benjamin Yeo SPK Dr Abidin Rp 38,500
34 11/27/2014 Ruth Madelina Yeo SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
35 11/27/2014 Megan Elizabeth Yeo SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
36 11/28/2014 Rachmat LPK,Fungsi Hat,protein,albumin,Globulin,USG Dr Abidin Rp 38,500 Rp 314,950
37 11/29/2014 Fuzi Alexander A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
TOTAL Rp 1,309,000 Rp 7,909,350

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
12/24/2014
BER 2014

EKG Rontgen TREADMILL HIV Jumlah

Rp 68,750
Rp 68,750
Rp 90,750 Rp 636,350
Rp 90,750 Rp 636,350
Rp 135,300
Rp 68,750
Rp 90,750 Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,528,450
Rp 68,750
Rp 198,000
Rp 66,550
Rp 423,500 Rp 690,250
Rp 38,500
Rp 68,750
Rp 68,750
Rp 68,750
Rp 90,750 Rp 636,350
Rp 90,750 Rp 636,350
Rp 96,800 Rp 135,300
Rp 90,750 Rp 636,350
Rp 198,000
Rp 38,500
Rp 302,500 Rp 341,000
Rp 96,800 Rp 398,750
Rp 302,500 Rp 341,000
Rp 90,750 Rp 96,800 Rp 211,750 Rp 1,104,950
Rp 68,750
Rp 213,950
Rp 96,800 Rp 423,500 Rp 211,750 Rp 1,649,450
Rp 90,750 Rp 636,350
Rp 90,750 Rp 811,800
Rp 38,500
Rp 68,750
Rp 38,500
Rp 68,750
Rp 68,750
Rp 302,500 Rp 655,950
Rp 135,300
Rp 816,750 Rp 1,391,500 Rp 1,270,500 Rp 635,250 Rp 13,332,350

Medan,04 Desember 2014


Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN DESEMBER 2014
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 12/1/2014 Hendrik C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
2 12/1/2014 Mangumban Silalahi,Ir LPK Dr Abidin Rp 38,500
3 12/2/2014 Richard E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
4 12/2/2014 Cha Cha Veronica C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
5 12/2/2014 Robin Yakob E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
6 12/2/2014 Winarjogo A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
7 12/2/2014 Tiara Wisnawat LPK Dr Abidin Rp 38,500
8 12/4/2014 Ramly SH A + GDP + HBA1C Dr Abidin Rp 38,500 Rp 228,250
9 12/4/2014 Winda C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
10 12/4/2014 Amin A Dr Abidin Rp 38,500 Rp 30,250
11 12/5/2014 Alissa Angelia SPK + Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
12 12/5/2014 Phoebe Cecilia Anggreiny SPK + Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
13 12/8/2014 Michael Kusumo C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
14 12/10/2014 Drs Arnold Budiman Hutasoit A Dr Abidin Rp 38,500 Rp 30,250
15 12/11/2014 Want A + F.Ginjal,Protein total,albumin,globulin.F.hat Dr Abidin Rp 38,500 Rp 407,900
16 12/11/2014 Silviana LPK Dr Abidin Rp 38,500
17 12/12/2014 Yulia Lie C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
18 12/12/2014 Marsinta R Situmorang A + HBA1C,GDP Dr Abidin Rp 38,500 Rp 228,250
19 12/12/2014 Zainab Nasuton LPK Dr Abidin Rp 38,500
20 12/13/2014 Wesli A Dr Abidin Rp 38,500 Rp 30,250
21 12/13/2014 Widyawat C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
22 12/13/2014 Doreen SPk Dr Abidin Rp 38,500
23 12/15/2014 Sinekmehuli Perangin Angin C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
24 12/15/2014 Suwanto E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
25 12/15/2014 Mery Winata A Dr Abidin Rp 38,500 Rp 30,250
26 12/15/2014 Adrian Winata SPK Dr Abidin Rp 38,500
27 12/15/2014 Johan Winata A Dr Abidin Rp 38,500 Rp 30,250
28 12/15/2014 Jhon Tanaka A Dr Abidin Rp 38,500 Rp 30,250
29 12/15/2014 Tan Sai Hong B Dr Abidin Rp 38,500 Rp 219,450
30 12/15/2014 Hendy Winata E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
31 12/15/2014 Hadi Prianto LPK Dr Abidin Rp 38,500
32 12/16/2014 Rani Wilis SE C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
33 12/16/2014 Johan C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
34 12/16/2014 Mutara F Nainggolan A + Ureum dan Creatnin,Analisa Lemak Darah Dr Abidin Rp 38,500 Rp 259,600
35 12/16/2014 Yosella Tjung E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
36 12/17/2014 Jimmy C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
37 12/18/2014 Rosmiaty B Dr Abidin Rp 38,500 Rp 219,450
38 12/18/2014 Liaw Lie Fa B Dr Abidin Rp 38,500 Rp 219,450
39 12/18/2014 Carsten Austn Sumiko SPK Dr Abidin Rp 38,500
40 12/18/2014 Kwe Juliana E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
41 12/18/2014 Wan Kek Ali Sumitro E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
42 12/18/2014 Chilten Trevin Sumiko Urine,SPK Dr Abidin Rp 38,500 Rp 30,250
43 12/19/2014 Johan Winata C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
44 12/19/2014 Mery Winata C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
45 12/19/2014 Ali A Dr Abidin Rp 38,500 Rp 30,250
46 12/20/2014 Angely Chai Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
47 12/20/2014 Reynaldy Urine Lengkap Dr Abidin Rp 30,250
48 12/20/2014 Adrian Winata Urine Lengkap Dr Abidin Rp 30,250
49 12/20/2014 Roynaldo Urine Lengkap,SPK Dr Abidin Rp 38,500 Rp 30,250
50 12/20/2014 Yulius E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
51 12/20/2014 Lie Gim A Dr Abidin Rp 38,500 Rp 30,250
52 12/20/2014 Chrisnalia A Dr Abidin Rp 38,500 Rp 30,250
53 12/22/2014 Hendri A + HBA1C,GDP,Ureum dan Creatnin Dr Abidin Rp 38,500 Rp 290,950
54 12/23/2014 Kaisar Arya Ghosan Sembiring SPK Dr Abidin Rp 38,500
55 12/24/2014 Russell Yawan SPK Dr Abidin Rp 38,500
56 12/29/2014 Trisnawat Br Marpaung Darah Rutn,SGOT,SGPT,GGT,LPK Dr Abidin Rp 38,500 Rp 184,800
57 12/29/2014 Lina Ellysa C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
TOTAL Rp 2,117,500 Rp 16,462,400 Rp 1,179,750 Rp 774,400 Rp 3,388,000 Rp 1,694,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,17 Januari 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

1/26/2015
Drg.Airin
Bagian Keuangan
Jumlah

Rp 636,350
Rp 38,500
Rp 1,649,450
Rp 636,350
Rp 1,649,450
Rp 135,300
Rp 38,500
Rp 266,750
Rp 636,350
Rp 68,750
Rp 68,750
Rp 68,750
Rp 636,350
Rp 68,750
Rp 446,400
Rp 38,500
Rp 636,350
Rp 266,750
Rp 38,500
Rp 68,750
Rp 636,350
Rp 38,500
Rp 636,350
Rp 1,649,450
Rp 68,750
Rp 38,500
Rp 68,750
Rp 68,750
Rp 257,950
Rp 1,649,450
Rp 38,500
Rp 636,350
Rp 636,350
Rp 298,100
Rp 1,649,450
Rp 636,350
Rp 257,950
Rp 257,950
Rp 38,500
Rp 1,649,450
Rp 1,649,450
Rp 68,750
Rp 636,350
Rp 636,350
Rp 68,750
Rp 68,750
Rp 30,250
Rp 30,250
Rp 68,750
Rp 1,649,450
Rp 68,750
Rp 68,750
Rp 329,450
Rp 38,500
Rp 38,500
Rp 223,300
Rp 636,350
Rp 25,616,050
TAGIHAN PT. ALLIANZ BULAN JANUARI 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 1/7/2015 Meryana A + SGOT,SGPT,GGT Dr Abidin Rp 38,500 Rp 148,500
2 1/7/2015 Betsy Reulina Tarigan A Dr Abidin Rp 38,500 Rp 30,250
3 1/7/2015 Angel Ivana Louise SPK Dr Abidin Rp 38,500
4 1/8/2015 Andryo C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
5 1/10/2015 Sherin Tjinuardi SPK + USG ABDOMEN Dr Abidin Rp 38,500 Rp 302,500
6 1/10/2015 Lisa C + USG Payudara Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750 Rp 302,500
7 1/14/2015 Lie Tjin C + USG Thyroid + T3,TA,TSH Dr Abidin Rp 38,500 Rp 1,373,100 Rp 90,750 Rp 302,500
8 1/15/2015 Johannes Ahdi Satria Siahaan Urine Dr Abidin Rp 30,250
9 1/17/2015 Musni Tjandra C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
10 1/20/2015 Kwe Pieter A Dr Abidin Rp 38,500 Rp 30,250
11 1/20/2015 Prijanto A Dr Abidin Rp 38,500 Rp 30,250
12 1/20/2015 Albert A + Darah Rutn Dr Abidin Rp 38,500 Rp 30,250
13 1/21/2015 Florentna A + SGOT,SGPT,GGT Dr Abidin Rp 148,500
14 1/22/2015 David Jumpa Malem Sembiring C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
15 1/24/2015 Dewi Purnama Sari LPK Dr Abidin Rp 38,500
16 1/26/2015 Rachmat Test Fungsi Hat,Protein Total,Albumin,Globulin Dr Abidin Rp 314,950
17 1/26/2015 Betty LPK,Rontgen Dr Abidin Rp 38,500 Rp 96,800
18 1/27/2015 Rosdiana Widjaja LPK,Lutut Kiri Posisi Anteroposterior dan Lateral Dr Abidin Rp 38,500 Rp 250,000
19 1/28/2015 Axcel Beltmardo Tarigan SPK,Analisa Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
20 1/29/2015 Goh Lan Seng LPK Dr Abidin Rp 38,500
21 1/29/2015 Gandi C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
22 1/30/2015 Ricardo Albert A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
23 1/31/2015 Ramlan A + Ureum dan Creatnin,Ekg,USG Dr Abidin Rp 38,500 Rp 92,950 Rp 90,750 Rp 302,500
TOTAL Rp 770,000 Rp 4,891,800 Rp 635,250 Rp 1,556,800 Rp - Rp -

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,02 Februari 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
2/17/2015
Drg.Airin
Bagian Keuangan
Jumlah

Rp 187,000
Rp 68,750
Rp 38,500
Rp 636,350
Rp 341,000
Rp 938,850
Rp 1,804,850
Rp 30,250
Rp 636,350
Rp 68,750
Rp 68,750
Rp 68,750
Rp 148,500
Rp 636,350
Rp 38,500
Rp 314,950
Rp 135,300
Rp 288,500
Rp 68,750
Rp 38,500
Rp 636,350
Rp 135,300
Rp 524,700
Rp 7,853,850
TAGIHAN PT. ALLIANZ BULAN FEBRUARI 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 1/20/2015 Albert Darah Rutn Dr Abidin Rp 66,550
2 2/2/2015 Santo Sinaga C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
3 2/4/2015 Tiffany Alyssa Mak Urine Lengkap Dr Abidin Rp 30,250
4 2/9/2015 Tan Ai Pin A Dr Abidin Rp 38,500 Rp 30,250
5 2/11/2015 Hendy Gunawan A + Analisa Lemak Darah Dr Abidin Rp 38,500 Rp 196,900
6 2/16/2015 Tiffany Alyssa Mak SPK Dr Abidin Rp 38,500
7 2/17/2015 Rusli A + HBA1C,GDP Dr Abidin Rp 38,500 Rp 228,250
8 2/17/2015 Anton LPK,GGT Dr Abidin Rp 38,500 Rp 55,550
9 2/18/2015 Tan Ai Pin EKG,GDP,Test Fungsi Hat,LD Dr Abidin Rp 504,150 Rp 90,750
10 2/18/2015 Juliana LPK Dr Abidin Rp 38,500
11 2/23/2015 Gunawan Wijaya SE A Dr Abidin Rp 38,500 Rp 30,250
12 2/24/2015 Poniman A Dr Abidin Rp 38,500 Rp 30,250
13 2/25/2015 Jali A + LD,T3,T4,TSH + USG Thyroid Dr Abidin Rp 38,500 Rp 1,062,900 Rp 302,500
14 2/26/2015 Elbert Ricardo Fu SPK Dr Abidin Rp 38,500
15 2/28/2015 Tan Ai Pin Ureum dan Creatnin Dr Abidin Rp 62,700
TOTAL Rp 423,500 Rp 2,805,100 Rp 181,500 Rp 302,500

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,04 Maret 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

3/17/2015 Drg.Airin
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 66,550
Rp 636,350
Rp 30,250
Rp 68,750
Rp 235,400
Rp 38,500
Rp 266,750
Rp 94,050
Rp 594,900
Rp 38,500
Rp 68,750
Rp 68,750
Rp 1,403,900
Rp 38,500
Rp 62,700
Rp - Rp - Rp 3,712,600

ret 2015

angan
TAGIHAN PT. ALLIANZ BULAN MARET 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 3/2/2015 Sumurung Lumban Gaol LPK Dr Abidin Rp 38,500
2 3/3/2015 Maslim Haryono D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
3 3/3/2015 Eric Wijaya D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
4 3/5/2015 Edwin Raymond Tanner A + GDP,HBA1C,LD Dr Abidin Rp 38,500 Rp 394,900
5 3/6/2015 Elisa Wijaya A + GDP,HBA1C Dr Abidin Rp 38,500 Rp 228,250
6 3/7/2015 Kamboja Bangun A Dr Abidin Rp 38,500 Rp 30,250
7 3/10/2015 Maria C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
8 3/11/2015 Suarni LPK Dr Abidin Rp 38,500
9 3/11/2015 Hong Kho Khian LPK Dr Abidin Rp 38,500
10 3/11/2015 Abdul Hakim LPK Dr Abidin Rp 38,500
11 3/12/2015 Binauli Simarmata A Dr Abidin Rp 38,500 Rp 30,250
12 3/13/2015 Suwandy D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
13 3/13/2015 Zulkarnain Salim LPK Dr Abidin Rp 38,500
14 3/14/2015 Sahinan D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
15 3/14/2015 Bunganisi Br S Manihuruk LPK Dr Abidin Rp 38,500
16 3/14/2015 Yanche LPK + Rontgen Dr Abidin Rp 38,500 Rp 96,800
17 3/17/2015 Rinaldi LPK,USG Leher Dr Abidin Rp 38,500 Rp 302,500
18 3/26/2015 Rudy HBA1C,Tes fungsi hat,Tes fungsi Ginjal,ADR,HBSAg,Rontgen Dada,EKG Dr Abidin Rp 623,150 Rp 90,750 Rp 96,800
19 3/27/2015 David Jumpa Malem Sembiring Rontgen dada,Darah Rutn,HBA1C,HBSAg,Treadmill,HIV Test Dr Abidin Rp 335,500 Rp 96,800 Rp 423,500
20 3/27/2015 Sinekmehuli Perangin Rontgen dada,Darah Rutn,HBA1C,HBSAg Dr Abidin Rp 335,500 Rp 96,800
21 3/27/2015 Herry D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
22 3/28/2015 Franzul M Sianturi A Dr Abidin Rp 38,500 Rp 30,250
23 3/30/2015 Edyson D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
24 3/31/2015 Meiry Andriani USG Dr Abidin Rp 302,500
25 3/31/2015 Chandra LPK Dr Abidin Rp 38,500
TOTAL Rp 808,500 Rp 6,518,050 Rp 726,000 Rp 1,573,000 Rp 423,500

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,01 APRIL 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

4/20/2015 Drg.Airin
Bagian Keuangan
HIV Jumlah

Rp 38,500
Rp 211,750 Rp 1,104,950
Rp 211,750 Rp 1,104,950
Rp 433,400
Rp 266,750
Rp 68,750
Rp 636,350
Rp 38,500
Rp 38,500
Rp 38,500
Rp 68,750
Rp 211,750 Rp 1,104,950
Rp 38,500
Rp 211,750 Rp 1,104,950
Rp 38,500
Rp 135,300
Rp 341,000
Rp 810,700
Rp 211,750 Rp 1,067,550
Rp 432,300
Rp 211,750 Rp 1,104,950
Rp 68,750
Rp 211,750 Rp 1,104,950
Rp 302,500
Rp 38,500
Rp 1,482,250 Rp 11,531,300
TAGIHAN PT. ALLIANZ BULAN APRIL 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 4/7/2015 Vivian LPK,Rontgen,darut,SGOT,SGPT,GGT,Alkali Forfatase Dr Abidin Rp 38,500 Rp 224,950 Rp 96,800
2 4/8/2015 Aisyah Wijayant Putri Br Brahmana SPK Dr Abidin Rp 38,500
3 4/9/2015 Meyri Andriani A Dr Abidin Rp 38,500 Rp 30,250
4 4/10/2015 Mahani B Dr Abidin Rp 38,500 Rp 219,450
5 4/13/2015 Cun Cun SH D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800
6 4/15/2015 Tagor Siahaan A + LD Dr Abidin Rp 38,500 Rp 196,900
7 4/16/2015 Fendy LPK,T3,T4,TSH Dr Abidin Rp 38,500 Rp 866,000
8 4/17/2015 Muhammad Mahib Nabil SPK Dr Abidin Rp 38,500
9 4/23/2015 Supardi A + GGT,Alkali Phosphatase,bilirubin,ECG,RONTGEN,Darah Rutn Dr Abidin Rp 38,500 Rp 259,050 Rp 90,750 Rp 96,800
10 4/27/2015 Tro pinus Pasikuali A + GDP,HBA1C Dr Abidin Rp 38,500 Rp 228,250
11 4/29/2015 Marlince Kristna Hutabarat HBA1C,Darah Rutn,Hbsag,Rotgen Dada Dr Abidin Rp 335,500 Rp 96,800
12 4/29/2015 Suwandy A Dr Abidin Rp 38,500 Rp 30,250
13 4/29/2015 Tjioe Tje Tjai C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
14 4/29/2015 Ng Lie Jong C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
15 4/30/2015 Benny Tandean B Dr Abidin Rp 38,500 Rp 219,450
16 4/30/2015 Risma Munte A Dr Abidin Rp 38,500 Rp 30,250
17 4/30/2015 Brata Tama Unsandy A + LD,GDP &Gula darah puasa dan 2jam PP Dr Abidin Rp 38,500 Rp 242,000
18 4/30/2015 Stephani Ong A Dr Abidin Rp 38,500 Rp 30,250
19 4/30/2015 Indra Bonardo Oloan Simbolon LPK Dr Abidin Rp 38,500
TOTAL Rp 693,000 Rp 4,593,900 Rp 363,000 Rp 387,200 Rp -

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,04 Mei 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

5/19/2015 Drg.Airin
Bagian Keuangan
HIV Jumlah

Rp 360,250
Rp 38,500
Rp 68,750
Rp 257,950
Rp 211,750 Rp 1,104,950
Rp 235,400
Rp 904,500
Rp 38,500
Rp 485,100
Rp 266,750
Rp 432,300
Rp 68,750
Rp 636,350
Rp 636,350
Rp 257,950
Rp 68,750
Rp 280,500
Rp 68,750
Rp 38,500
Rp 211,750 Rp 6,248,850
TAGIHAN PT. ALLIANZ BULAN MEI 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 5/2/2015 James Lim SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
2 5/2/2015 Jeff Lim SPK,Urine Lengkap Dr Abidin Rp 38,500 Rp 30,250
3 5/4/2015 Hendro Wijaya LPK,SGOT,SGPT,GGT Dr Abidin Rp 38,500 Rp 118,250
4 5/4/2015 Mangembang Manalu A + HBA1C,GDP Dr Abidin Rp 38,500 Rp 228,250
5 5/7/2015 Yustan Yusman A + LD Dr Abidin Rp 38,500 Rp 196,900
6 5/7/2015 Linda (Ng Kui Tho) LPK Dr Abidin Rp 38,500
7 5/8/2015 Kim Hwa Ongsono A + HBA1C,GDP Dr Abidin Rp 38,500 Rp 228,250
8 5/9/2015 Kasim Sutoyo A + HBA1C,GDP Dr Abidin Rp 38,500 Rp 228,250
9 5/15/2015 Joni Hutajulu B Dr Abidin Rp 38,500 Rp 219,450
10 5/15/2015 Mariani S A Dr Abidin Rp 38,500 Rp 30,250
11 5/20/2015 Mariamas Siregar A Dr Abidin Rp 38,500 Rp 30,250
12 5/20/2015 Mesta Sihite A + Ureum & Creatnin,Darah Rutn,Usg Ginjal Dr Abidin Rp 38,500 Rp 159,500 Rp 302,500
13 5/21/2015 Peter Chandra D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800 Rp 211,750
14 5/22/2015 Hendyson D Dr Abidin Rp 38,500 Rp 667,150 Rp 90,750 Rp 96,800 Rp 211,750
15 5/22/2015 Whitney Stella A + Darah Rutn Dr Abidin Rp 38,500 Rp 96,800
16 5/23/2015 Efendy Salim LPK Dr Abidin Rp 38,500
17 5/25/2015 Didrikus Kelana C Dr Abidin Rp 38,500 Rp 507,100 Rp 90,750
18 5/25/2015 Tjia Ai Na E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
19 5/27/2015 Halimah A + Ureum & Creatnin,Darah Rutn,Test Fungsi Hat,USG Dr Abidin Rp 38,500 Rp 474,450 Rp 302,500
20 5/28/2015 Sannaria Br Napitupulu LPK Dr Abidin Rp 38,500
21 5/28/2015 Elshia LPK Dr Abidin Rp 38,500
22 5/28/2015 Tan Tin Tiong A + Darah rutn,GDP,HBA1C,LD Dr Abidin Rp 38,500 Rp 461,450 Rp 423,500
23 5/29/2015 Marlince Kristna Hutabarat HBEAg Dr Abidin Rp 302,500
24 5/30/2015 Johan Salim E Dr Abidin Rp 38,500 Rp 878,900 Rp 96,800 Rp 423,500 Rp 211,750
TOTAL Rp 885,500 Rp 6,434,250 Rp 272,250 Rp 992,200 Rp 1,270,500 Rp 847,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 Juni 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
6/19/2015
Drg.Airin
Bagian Keuangan
Jumlah

Rp 68,750
Rp 68,750
Rp 156,750
Rp 266,750
Rp 235,400
Rp 38,500
Rp 266,750
Rp 266,750
Rp 257,950
Rp 68,750
Rp 68,750
Rp 500,500
Rp 1,104,950
Rp 1,104,950
Rp 135,300
Rp 38,500
Rp 636,350
Rp 1,649,450
Rp 815,450
Rp 38,500
Rp 38,500
Rp 923,450
Rp 302,500
Rp 1,649,450
Rp 10,701,700
TAGIHAN PT. ALLIANZ BULAN JUNI 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 6/5/2015 Zulkarnanin E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
2 6/6/2015 Aiin Cristna Novelia LPK,USG Dr Abidin Rp 50,000 Rp 333,000
3 6/9/2015 Saut Marisi Marbun A + Hba1c,GDP Dr Abidin Rp 50,000 Rp 275,000
4 6/9/2015 Ah Lai SGOT,SGPT,GGT,LPK Dr Abidin Rp 50,000 Rp 170,000
5 6/10/2015 Supratman E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
6 6/11/2015 Lim A Hui D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
7 6/12/2015 Tinah D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
8 6/13/2015 Didrikus Kelana Darah rutn,Hbsag,Hba1c,Rontgen dada Dr Abidin Rp 430,000 Rp 135,000
9 6/16/2015 Irwansyah D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
10 6/17/2015 Dusli Sidabutar C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
11 6/17/2015 Sabar Simanjuntak C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
12 6/17/2015 Nikolas Simanjuntak SPk,Urine Lengkap Dr Abidin Rp 50,000 Rp 40,000
13 6/19/2015 Lambok Parlinggo Siregar LPK Dr Abidin Rp 50,000
14 6/19/2015 Sri Ulina Emninta Gintng LPK,Urine Lengkap Dr Abidin Rp 50,000 Rp 40,000
15 6/22/2015 Fauzi A Dr Abidin Rp 50,000 Rp 40,000
16 6/22/2015 Lie Siw Kim A + LD Dr Abidin Rp 50,000 Rp 225,000
17 6/23/2015 Saut Marisi Marbun Ureum dan creatnin,pemeriksaan Urine 2x hari yg berbeda Dr Abidin Rp 130,000
18 6/24/2015 Saut Marisi Marbun Pemeriksaan Urine 2x dengan hari yg berbeda Dr Abidin Rp 40,000
19 6/25/2015 Tonny A Dr Abidin Rp 50,000 Rp 40,000
20 6/26/2015 Palar Nainggolan SH C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
21 6/26/2015 Danny Anggia Matondang A + darah rutn,test fungsi ginjal,fungsi hat,Rontgen Dr Abidin Rp 50,000 Rp 390,000 Rp 135,000
22 6/29/2015 Irwansyah Rontgen dada Dr Abidin Rp 135,000
23 6/30/2015 Wong Siu Fung D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
24 6/30/2015 Hamidah Ramli LPK,USG Dr Abidin Rp 50,000 Rp 333,000
TOTAL Rp 1,000,000 Rp 10,520,000 Rp 770,000 Rp 1,881,000 Rp 1,000,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,02 Juli 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

8/7/2015 Drg.Airin
Bagian Keuangan
HIV Jumlah

Rp 345,000 Rp 2,140,000
Rp 383,000
Rp 325,000
Rp 220,000
Rp 345,000 Rp 2,140,000
Rp 1,405,000
Rp 1,405,000
Rp 565,000
Rp 1,405,000
Rp 840,000
Rp 840,000
Rp 90,000
Rp 50,000
Rp 90,000
Rp 90,000
Rp 275,000
Rp 130,000
Rp 40,000
Rp 90,000
Rp 840,000
Rp 575,000
Rp 135,000
Rp 1,405,000
Rp 383,000
Rp 690,000 Rp 15,861,000
TAGIHAN PT. ALLIANZ BULAN JULI 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG
Nama Dr Honor
1 7/2/2015 Erick Wirawong A Dr Abidin Rp 50,000 Rp 40,000
2 7/3/2015 Suhartni A + HbA1c,GDP Dr Abidin Rp 50,000 Rp 275,000
3 7/3/2015 Lexson Kristan Manalu A + Darah Rutn,Ureum dan Creatnin Dr Abidin Rp 50,000 Rp 220,000
4 7/3/2015 Ihot Rumapea A Dr Abidin Rp 50,000 Rp 40,000
5 7/3/2015 Stephani Ong GDP,LD Dr Abidin Rp 220,000
6 7/4/2015 Walinaty Tedja E Dr Abidin Rp 50,000 Rp 1,110,000
7 7/7/2015 Janny Leman E Dr Abidin Rp 50,000 Rp 1,110,000
8 7/7/2015 Henny Wat LPK,Usg Payudara Dr Abidin Rp 50,000
9 7/8/2015 Yessy Wardasih LPK,Darah Rutn,SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 260,000
10 7/8/2015 Sek Ing A Dr Abidin Rp 50,000 Rp 40,000
11 7/8/2015 Lie Lee LPK Dr Abidin Rp 50,000
12 7/9/2015 Lanni Amran D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000
13 7/9/2015 Shindy LPK Dr Abidin Rp 50,000
14 7/9/2015 Rachmat Sija D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000
15 7/9/2015 Ronny A Dr Abidin Rp 50,000 Rp 40,000
16 7/9/2015 Hendra D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000
17 7/10/2015 Wily Sumardi A + GDP,LD Dr Abidin Rp 50,000 Rp 260,000
18 7/11/2015 Julia D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000
19 7/14/2015 Werinder Singh LPK Dr Abidin Rp 50,000
20 7/22/2015 Joni Hutajulu HbA1C Dr Abidin Rp 200,000
21 7/27/2015 Hendrik A Dr Abidin Rp 50,000 Rp 40,000
22 5/29/2015 Sri Intan Kamal A Dr Abidin Rp 50,000 Rp 40,000
23 5/29/2015 Win Fadli A + HbA1c,GDP Dr Abidin Rp 50,000 Rp 275,000
24 7/30/2015 Tan A Boh A + GDP,Hba1c Dr Abidin Rp 50,000 Rp 275,000
25 7/31/2015 Anton D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000
26 7/31/2015 Alwie Kwanata C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
TOTAL Rp 1,200,000 Rp 10,675,000 Rp 660,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,04 Agustus 20
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

9/7/2015

Bagian Keuangan
5

Rontgen TREADMILL HIV Jumlah

Rp 90,000
Rp 325,000
Rp 270,000
Rp 90,000
Rp 220,000
Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 333,000 Rp 383,000
Rp 310,000
Rp 90,000
Rp 50,000
Rp 135,000 Rp 1,405,000
Rp 50,000
Rp 135,000 Rp 1,405,000
Rp 90,000
Rp 135,000 Rp 1,405,000
Rp 310,000
Rp 135,000 Rp 1,405,000
Rp 50,000
Rp 200,000
Rp 90,000
Rp 90,000
Rp 325,000
Rp 325,000
Rp 135,000 Rp 1,405,000
Rp 840,000
Rp 1,278,000 Rp 1,000,000 Rp 690,000 Rp 15,503,000

dan,04 Agustus 2015

Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN AGUSTUS 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 8/3/2015 Sahala M Sitanggang LPK Dr.Abidin Rp 50,000 Rp 50,000
2 8/6/2015 Sinto Limin A+LD,SGOT,SGPT,GGT,USG Abdomen Dr.Abidin Rp 50,000 Rp 395,000 Rp 333,000 Rp 778,000
3 8/8/2015 Fery Janes LPK,EKG,HbA1c Dr.Abidin Rp 50,000 Rp 310,000 Rp 360,000
4 8/15/2015 Nurwat Bint Hasan E Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
5 8/15/2015 Dewi Krisdayant D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
6 8/15/2015 Hasan Basri E Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
7 8/15/2015 Rusmalidar E Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
8 8/15/2015 Irianto A Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
9 8/15/2015 Nova Ariany Effendy A Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
10 8/15/2015 Winoto LPK Dr.Abidin Rp 50,000 Rp 50,000
11 8/15/2015 Leni LPK Dr.Abidin Rp 50,000 Rp 50,000
12 8/18/2015 Budi Antony D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
13 8/19/2015 Franki A Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
14 8/20/2015 Sit Mutara Sarah LPK+Darah rutn Dr.Abidin Rp 50,000 Rp 90,000 Rp 140,000
15 8/21/2005 Sudianto LPK,T-3,USG Thyroid Dr.Abidin Rp 50,000 Rp 333,000 Rp 333,000 Rp 716,000
16 8/21/2015 Henly ST A + GDP,HBa1c,Ureum dan creatnin Dr.Abidin Rp 50,000 Rp 365,000 Rp 415,000
17 8/25/2015 Nelson LPK,SGOT,SGPT,Gamma GT Dr.Abidin Rp 50,000 Rp 170,000 Rp 220,000
18 8/26/2015 Rianto A+LD Dr.Abidin Rp 50,000 Rp 225,000 Rp 275,000
19 8/29/2015 Sunarwan A + SGOT,SGPT,GGT,LD,VDRL,TPHA Dr.Abidin Rp 50,000 Rp 593,000 Rp 643,000
20 8/29/2015 Win Fadhli LD Dr.Abidin Rp 185,000 Rp 185,000
21 8/31/2015 Adel Sinaga A+Rontgen Dada Dr.Abidin Rp 40,000 Rp 135,000 Rp 175,000
TOTAL Rp 950,000 Rp 8,376,000 Rp 220,000 Rp 1,476,000 Rp 1,500,000 Rp 1,035,000 Rp 13,557,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,07 September 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

9/23/2015
Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN September 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 9/2/2015 Mastalina LPK Dr.Abidin Rp 50,000 Rp 50,000
2 9/3/2015 Enjang Hasan Kurnia C Dr.Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
3 9/3/2015 Robin LPK Dr.Abidin Rp 50,000 Rp 50,000
4 9/4/2015 Purwanto D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
5 8/4/2015 Kui Lian A+GDP,HbA1c,EKG, Rontgen Dada Dr.Abidin Rp 50,000 Rp 275,000 Rp 110,000 Rp 135,000 Rp 570,000
6 9/4/2015 Rosmina Gintng LPK Dr.Abidin Rp 50,000 Rp 50,000
7 9/5/2015 Paimin Chandra D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
8 9/5/2015 Eko Setawan A+Darah Rutn,LD,SGOT,SGPT,Gamma GT Dr.Abidin Rp 50,000 Rp 485,000 Rp 535,000
9 9/8/2015 William Moenandir D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
10 9/8/2015 Hermansyah A + LD,GDP &Gula darah 2jam PP Dr.Abidin Rp 50,000 Rp 295,000 Rp 345,000
11 9/8/2015 Tonner Purba LPK Dr.Abidin Rp 50,000 Rp 50,000
12 9/9/2015 Yayan Sofian A Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
13 9/12/2015 Betti Ria Simatupang Urine Lengkap Dr.Abidin Rp 40,000 Rp 40,000
14 9/14/2015 Robin LPK Dr.Abidin Rp 50,000 Rp 50,000
15 9/15/2015 Lily D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
16 9/15/2015 Sugi Hasan HbA1c Dr.Abidin Rp 200,000 Rp 200,000
17 9/19/2015 Suriat A+Tes Fungsi Ginjal, SGOT,SGPT, Gamma GT Dr.Abidin Rp 50,000 Rp 300,000 Rp 350,000
18 9/21/2015 Sumini Wangsa D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
19 9/22/2015 Suriat Sudjadi C+Rontgen Lumbosacral Spine (AP+Lateral) Dr.Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 242,000 Rp 1,082,000
20 9/22/2015 Felicia Irvin SPK,Urine Lengkap Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
21 9/22/2015 Jasvertan Irvin SPK Dr.Abidin Rp 50,000 Rp 50,000
22 9/22/2015 Irawan D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
23 9/23/2015 Adiyanto D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
24 9/23/2015 Sofian Sidabolak A+HbsAg,HbeAg,SGOT,SGPT,Gamma GT Dr.Abidin Rp 50,000 Rp 750,000 Rp 800,000
25 9/23/2015 Iyan Effendi F Tarigan D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
26 9/25/2015 Jonny Rikki A+GDP,HbA1c,HbsAg,Fungsi Hat, EKG,Rontgen Dada Dr.Abidin Rp 50,000 Rp 745,000 Rp 110,000 Rp 135,000 Rp 1,040,000
27 9/26/2015 Deni D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
28 9/28/2015 Kiswanto LPK+Darah Rutn Dr.Abidin Rp 50,000 Rp 90,000 Rp 140,000
29 9/28/2015 Lina A+Fungsi Hat, Protein Total,Albumin,Globulin Dr.Abidin Rp 50,000 Rp 535,000 Rp 585,000
30 9/30/2015 Samsuri LPK,HbsAg,HbeAg,Fungsi Hat Dr.Abidin Rp 50,000 Rp 870,000 Rp 920,000
31 9/30/2015 Udin Habeahan A+GDP,HbA1c Dr.Abidin Rp 50,000 Rp 275,000 Rp 325,000
32 9/30/2015 Jonny Rikki Urine Lengkap Dr.Abidin Rp 40,000 Rp 40,000
TOTAL Rp 1,450,000 Rp 16,330,000 Rp 1,430,000 Rp 1,727,000 Rp - Rp - Rp 20,937,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,05 Oktober 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

10/23/2015 Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 10/6/2015 Fam Njit Kiong C Dr.Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
2 10/7/2015 Luceria Br Simanjuntak A Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
3 10/7/2015 Sairon Sinaga E Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
4 10/7/2015 Duma Batu Bara A+EKG Dr.Abidin Rp 50,000 Rp 40,000 Rp 110,000 Rp 200,000
5 10/7/2015 Yap Hui Lan D+USG Kandungan, Ca-125,Ca-19-9 Dr.Abidin Rp 50,000 Rp 2,397,000 Rp 110,000 Rp 468,000 Rp 3,025,000
6 10/7/2015 Darwinsyah A Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
7 10/7/2015 Sumi LPK Dr.Abidin Rp 50,000 Rp 50,000
8 10/9/2015 Dinginta Tarigan A+Fungsi Ginjal, USG Abdomen Dr.Abidin Rp 50,000 Rp 130,000 Rp 333,000 Rp 513,000
9 10/15/2015 Marlina D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
10 10/15/2015 Marolop Manik D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
11 10/24/2015 Susanna Rose C Dr.Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
12 10/24/2015 Tanerva C Dr.Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
13 10/24/2015 Lim Hok Cuan A+HbsAg, EKG Dr.Abidin Rp 50,000 Rp 180,000 Rp 110,000 Rp 340,000
14 10/27/2015 Chui Hon Lpk+USG Thyroid Dr.Abidin Rp 50,000 Rp 333,000 Rp 383,000
15 10/29/2015 Lilis Farida A+Darah Rutn, SGOT, SGPT, Gamma GT Dr.Abidin Rp 50,000 Rp 300,000 Rp 350,000
16 10/30/2015 Alfian Nur A+Analisis Lemak Darah Dr.Abidin Rp 50,000 Rp 225,000 Rp 275,000
17 10/31/2015 Budjiono A Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
18 10/31/2015 Rahmad Siregar LPK Dr.Abidin Rp 50,000 Rp 50,000
19 10/31/2015 Gek Kim D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
20 10/31/2015 Ali Adrian Wirakusuma E Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
TOTAL Rp 1,000,000 Rp 10,982,000 Rp 990,000 Rp 1,809,000 Rp 1,000,000 Rp 690,000 Rp 16,471,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 November 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

11/20/2015 Drg.Airin
Bagian Keuangan

ekg = 9
TAGIHAN PT. ALLIANZ BULAN NOVEMBER 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 11/2/2015 Fungky Harsoyo A+Analisis Lemak Darah Dr.Abidin Rp 50,000 Rp 225,000 Rp 275,000
2 11/3/2015 Lian Pongoh D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
3 11/3/2015 Yanty D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
4 11/3/2015 Joanne Brillian SPK+Urine Lengkap Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
5 11/3/2015 Bryan Brillian SPK+Urine Lengkap Dr.Abidin Rp 50,000 Rp 40,000 Rp 90,000
6 11/4/2015 Syahrial LPK+Darah Rutn Dr.Abidin Rp 50,000 Rp 90,000 Rp 140,000
7 11/5/2015 Susanto D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
8 11/14/2015 Mimi A+ALD, GDP, HbA1c Dr.Abidin Rp 50,000 Rp 460,000 Rp 510,000
9 11/14/2015 Andres Ardian Sinulingga SPK Dr.Abidin Rp 50,000 Rp 50,000
10 11/16/2015 Juwandi A+Darah Rutn Dr.Abidin Rp 50,000 Rp 130,000 Rp 180,000
11 11/17/2015 Anthony A+USG Thyroid Dr.Abidin Rp 50,000 Rp 40,000 Rp 333,000 Rp 423,000
12 11/19/2015 Maryam A+Analisis Lemak Darah Dr.Abidin Rp 50,000 Rp 225,000 Rp 275,000
13 11/20/2015 Tjia A Al Hiok LPK Dr.Abidin Rp 50,000 Rp 50,000
14 11/23/2015 Sri Wahyuni E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
15 11/24/2015 Fungky Harsoyo D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
16 11/25/2015 Salim A+GDP, Darah Rutnn, HbA1c Dr.Abidin Rp 50,000 Rp 365,000 Rp 415,000
17 11/25/2015 Tiurma Siahaan A+Thyroid Test (T3,T4,TSH) Dr.Abidin Rp 50,000 Rp 967,800 Rp 1,017,800
18 11/25/2015 Go Ai Bie B Dr.Abidin Rp 50,000 Rp 260,000 Rp 310,000
TOTAL Rp 900,000 Rp 8,392,800 Rp 440,000 Rp 1,008,000 Rp 500,000 Rp 345,000 Rp 11,585,800

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,02 Desember 2015
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

12/22/2015 Drg.Airin
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN DESEMBER 2015
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 12/2/2015 Suwandy D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
2 12/2/2015 Verawaty D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
3 12/4/2015 Jant D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
4 12/4/2015 Sumeni LPK Dr.Abidin Rp 50,000
5 12/7/2015 Chua Siu Cen A+ Ant HCV, SGOT, SGPT, Gamma GT, LD Dr.Abidin Rp 50,000 Rp 868,000
6 12/7/2015 Teh A Eng (Nisa) A+GDP, SGOT, SGPT, Gamma GT, Foto Rontgen Dada,Hba1c Dr.Abidin Rp 50,000 Rp 445,000 Rp 135,000
7 12/8/2015 Lina SE D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
8 12/10/2015 Anthony Kosasih A+ Tes Fungsi Ginjal Dr.Abidin Rp 50,000 Rp 130,000
9 12/10/2015 Durman E Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
10 12/11/2015 Susilo Kimberly E Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
11 12/14/2015 Suhartono LPK Dr.Abidin Rp 50,000
12 12/14/2015 Fidelco Brith Cousen SPK Dr.Abidin Rp 50,000
13 12/15/2015 Po Giok Ih D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
14 12/16/2015 Putra Best Raja January A+Test Fungsi Ginjal, SGOT, SGPT, Gamma GT Dr.Abidin Rp 50,000 Rp 300,000
15 12/16/2015 Sara Marintam Nauli SPK Dr.Abidin Rp 50,000
16 12/17/2015 Kwok A Jeng A Dr. Abidin Rp 50,000 Rp 40,000
17 12/17/2015 Ani D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
18 12/17/2015 Jolim D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
19 12/18/2015 Tristan Raja Immanuel Sinaga SPK Dr.Abidin Rp 50,000
20 12/18/2015 Bornok Sinaga LPK Dr.Abidin Rp 50,000
21 12/18/2015 Elisabeth Br Siahaan A+HbA1c,GDP,LD Dr.Abidin Rp 50,000 Rp 460,000
22 12/21/2015 Tan Bun Tjing D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
23 12/21/2015 Sumini SE C Dr.Abidin Rp 50,000 Rp 680,000 Rp 110,000
24 12/22/2015 Jenny Ellysa LPK Dr.Abidin Rp 50,000
25 12/22/2015 Suryani LPK Dr.Abidin Rp 50,000
26 12/22/2015 Herlinwaty D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
27 12/22/2015 Zulkarnain D Dr.Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
28 12/22/2015 Surya Bachtar C Dr.Abidin Rp 50,000 Rp 680,000 Rp 110,000
29 12/22/2015 Risma Kartni Sihombing LPK Dr.Abidin Rp 50,000
TOTAL Rp 1,450,000 Rp 16,923,000 Rp 1,320,000 Rp 1,755,000 Rp 1,000,000 Rp 690,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,05 Januari 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

1/26/2016 SARAH
Bagian Keuangan
Jumlah

Rp 1,405,000
Rp 1,405,000
Rp 1,405,000
Rp 50,000
Rp 918,000
Rp 630,000
Rp 1,405,000
Rp 180,000
Rp 2,140,000
Rp 2,140,000
Rp 50,000
Rp 50,000
Rp 1,405,000
Rp 350,000
Rp 50,000
Rp 90,000
Rp 1,405,000
Rp 1,405,000
Rp 50,000
Rp 50,000
Rp 510,000
Rp 1,405,000
Rp 840,000
Rp 50,000
Rp 50,000
Rp 1,405,000
Rp 1,405,000
Rp 840,000
Rp 50,000
Rp 23,138,000
TAGIHAN PT. ALLIANZ BULAN JANUARI 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 1/4/2016 Lim Kim Hwe A+Darah Rutn, Sediaan Darah Tebal Dr. Abidin Rp 50,000 Rp 319,200 Rp 369,200
2 1/6/2016 Jaffrey Law C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
3 1/7/2016 Martauli A+Darah Rutn Dr. Abidin Rp 50,000 Rp 130,000 Rp 180,000
4 1/9/2016 Ferry Juliner Damanik A+Test Fungsi Ginjal, USG Urologi Dr. Abidin Rp 50,000 Rp 130,000 Rp 333,000 Rp 513,000
5 1/14/2016 Sironmany A Dr. Abidin Rp 50,000 Rp 40,000 Rp 90,000
6 1/16/2015 Wan Kek Ali Sumitro E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
7 1/18/2016 Waty A Dr. Abidin Rp 50,000 Rp 40,000 Rp 90,000
8 1/18/2016 Muliaty SE A Dr. Abidin Rp 50,000 Rp 40,000 Rp 90,000
9 1/19/2016 Guek Jong A+GDP, HbA1c Dr. Abidin Rp 50,000 Rp 275,000 Rp 325,000
10 1/19/2016 Nico Pratama A+Lemak Darah, GDP, HbA1c Dr. Abidin Rp 50,000 Rp 460,000 Rp 510,000
11 1/21/2016 Vina Deswita LPK+USG Payudara Dr. Abidin Rp 50,000 Rp 333,000 Rp 383,000
12 1/23/2016 Ahmad Ridwan Syah C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
13 1/23/2016 Rina LPK+USG Kandungan Dr. Abidin Rp 50,000 Rp 333,000 Rp 383,000
14 1/23/2016 Ryki Mangaratua D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
15 1/26/2016 Sutomo D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
16 1/26/2016 Hendri A+HbA1c Dr. Abidin Rp 50,000 Rp 240,000 Rp 290,000
17 1/27/2016 Yesika Tjhin A Dr. Abidin Rp 50,000 Rp 40,000 Rp 90,000
18 1/29/2016 Ju Ho Ing (Salman) LPK,LD,Echocardiography Dr. Abidin Rp 50,000 Rp 185,000 Rp 785,000 Rp 1,020,000
19 1/29/2016 Diah D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
20 1/29/2016 Rusli D + Hba1c,Hbeag Dr. Abidin Rp 50,000 Rp 1,510,000 Rp 110,000 Rp 135,000 Rp 1,805,000
TOTAL Rp 1,000,000 Rp 9,209,200 Rp 1,445,000 Rp 1,674,000 Rp 500,000 Rp 345,000 Rp 14,173,200

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,02 Februari 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
2/22/2016 SARAH
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN FEBRUARI 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 2/1/2016 Limas Kosim E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
2 2/2/2016 Niswan A + GDP,Hba1C Dr. Abidin Rp 50,000 Rp 275,000
3 2/2/2016 Luceria Br Simanjuntak LD Dr. Abidin Rp 185,000
4 2/4/2016 Jap Ai Suk A + USG Dr. Abidin Rp 50,000 Rp 40,000 Rp 333,000
5 2/4/2016 Aju LPK + Pemeriksaan Ulang Laju Endap Darah Dr. Abidin Rp 50,000 Rp 90,000
6 2/5/2016 Santo Sinaga E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
7 2/6/2016 Marwali Liro E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
8 12/6/2016 Vincent Sumar Lie Ir D + USG Abdomen Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 468,000
9 2/12/2016 Herry Angga Wijaya D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
10 2/12/2016 Alpen Simbolon LPK + Thyroid Test (T3,T4,TSH) Dr. Abidin Rp 50,000 Rp 954,000
11 2/12/2016 Sofyan Hadi Siregar LPK + Foto Rontgen Dada Dr. Abidin Rp 50,000 Rp 135,000
12 2/13/2016 Edy D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
13 2/23/2016 Atjai LPK + Rontgen Dada Dr. Abidin Rp 50,000 Rp 135,000
14 2/25/2016 Ahmad Ridwan Syah Putra Treadmill Dr. Abidin Rp 500,000
15 2/26/2016 Marlisa D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000
16 2/27/2016 Bie Eng A Dr. Abidin Rp 50,000 Rp 40,000
TOTAL Rp 700,000 Rp 9,354,000 Rp 440,000 Rp 1,746,000 Rp 2,000,000 Rp 1,035,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 Maret 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

3/28/2016 SARAH
Bagian Keuangan
Jumlah

Rp 2,140,000
Rp 325,000
Rp 185,000
Rp 423,000
Rp 140,000
Rp 2,140,000
Rp 2,140,000
Rp 1,738,000
Rp 1,405,000
Rp 1,004,000
Rp 185,000
Rp 1,405,000
Rp 185,000
Rp 500,000
Rp 1,270,000
Rp 90,000
Rp 15,275,000
TAGIHAN PT. ALLIANZ BULAN MARET 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 3/7/2016 Silvia Fanny LPK Dr. Abidin Rp 50,000
2 3/17/2016 Johan Kwek A Dr. Abidin Rp 50,000 Rp 40,000
3 3/19/2016 Riduan C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
4 3/19/2016 Amat Rusli C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
5 3/22/2016 Ng Huck Yun E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
6 3/22/2016 Ridwan Kosasih D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
7 3/24/2016 Akai C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
8 3/24/2016 Sri Ayu Utami Tarigan SPK Dr. Abidin Rp 50,000
9 3/26/2016 Eng Seng Hwa / Tony A + LD Dr. Abidin Rp 50,000 Rp 225,000
10 3/29/2016 Lia Lek D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
11 1/30/2016 Dewi Krisdayant E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
TOTAL Rp 550,000 Rp 6,745,000 Rp 550,000 Rp 540,000 Rp 1,000,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,01 April 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

4/22/2016 SARAH
Bagian Keuangan
HIV Jumlah

Rp 50,000
Rp 90,000
Rp 840,000
Rp 840,000
Rp 345,000 Rp 2,140,000
Rp 1,405,000
Rp 840,000
Rp 50,000
Rp 275,000
Rp 1,405,000
Rp 345,000 Rp 2,140,000
Rp 690,000 Rp 10,075,000
TAGIHAN PT. ALLIANZ BULAN APRIL 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 4/1/2016 Erman A+ Darah Rutn,LD,SGOT,SGPT,Gamma GT,CEA,T3,T4,TSH Dr. Abidin Rp 50,000 Rp 1,769,000
2 4/1/2016 Herry Santoso C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
3 4/1/2016 Riki Boy LPK Dr. Abidin Rp 50,000
4 4/4/2016 Thina Mani LPK Dr. Abidin Rp 50,000
5 4/5/2016 Tok Sai Hiok D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
6 4/8/2016 Mery Ervina LPK+Darah Rutn Dr. Abidin Rp 50,000 Rp 90,000
7 4/9/2016 Cristan Orchard Tampubolon LPK Dr. Abidin Rp 50,000
8 8/11/2016 Parman Leo LPK Dr. Abidin Rp 50,000
9 4/14/2016 Adlan Anas C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
10 4/14/2016 Timour Hutabarat A + T3,T4,TSH Dr. Abidin Rp 50,000 Rp 994,000
11 4/16/2016 Go Ek Ho A + Hba1c,EKG Dr. Abidin Rp 50,000 Rp 240,000 Rp 110,000
12 4/20/2016 Wita Pandojo L D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
13 4/22/2016 Hendra Syahputra Pane LPK Dr. Abidin Rp 50,000
14 4/23/2016 Tondy Wijaya D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
15 4/23/2016 Joko Yamanto Tan D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
16 4/23/2016 Murni Ngadiwidjaja LPK Dr. Abidin Rp 50,000
17 4/25/2016 Tommy Tanzil D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
18 4/25/2016 Tok Sai Hiok HIV Test + Treadmill Test Dr. Abidin Rp 500,000
19 4/26/2016 Go Ek Ho Treadmill Test Dr. Abidin Rp 500,000
20 4/26/2016 David Djuli D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
21 4/28/2016 Irianto A Dr. Abidin Rp 50,000 Rp 40,000
22 4/29/2016 Tio Tjoi Tek C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
23 4/29/2016 Edison Tambunan A Dr. Abidin Rp 50,000 Rp 40,000
24 4/29/2016 Juniar Br Dabuke A + Hba1c,Echocardiography,Treadmill,LD,Ureum dan Creatnin Dr. Abidin Rp 50,000 Rp 1,380,000 Rp 500,000
TOTAL Rp 1,100,000 Rp 13,253,000 Rp 1,100,000 Rp 810,000 Rp 1,500,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,04 Mei 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
5/26/2016
SARAH
Bagian Keuangan
HIV Jumlah

Rp 1,819,000
Rp 840,000
Rp 50,000
Rp 50,000
Rp 1,405,000
Rp 140,000
Rp 50,000
Rp 50,000
Rp 840,000
Rp 1,044,000
Rp 400,000
Rp 1,405,000
Rp 50,000
Rp 1,405,000
Rp 1,405,000
Rp 50,000
Rp 1,405,000
Rp 345,000 Rp 845,000
Rp 500,000
Rp 1,405,000
Rp 90,000
Rp 840,000
Rp 90,000
Rp 1,930,000
Rp 345,000 Rp 18,108,000
TAGIHAN PT. ALLIANZ BULAN MEI 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 5/2/2016 Arpan Pane A + Darah Rutn Dr. Abidin Rp 50,000 Rp 130,000
2 5/3/2016 William D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
3 5/3/2016 Kwek Po Jong B Dr. Abidin Rp 50,000 Rp 260,000
4 5/3/2016 Yen Yen Agatha D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
5 5/3/2016 Maxwel Howard SPK Dr. Abidin Rp 50,000
6 5/3/2016 Surya Bachtar Echocardiographi,Hba1c,darah rutn,Hbsag,HIV Test,Rontgen dada,Treadmill Dr. Abidin Rp 50,000 Rp 430,000 Rp 865,000 Rp 135,000
7 5/7/2016 Lim Sheng Wen E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
8 5/14/2016 Irianto Hba1c,Ureum,Creatnin,GDP,urine lengkap Dr. Abidin Rp 365,000
9 5/17/2016 Deliana LPK Dr. Abidin Rp 50,000
10 5/18/2016 Tondy Wijaya Treadmill,HIV Dr. Abidin
11 5/20/2016 Irianto Urine Lengkap Dr. Abidin Rp 40,000
12 5/20/2016 Ketty A + CEA ,USG Dr. Abidin Rp 50,000 Rp 370,000 Rp 333,000
13 5/20/2016 Davit D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
14 5/20/2016 Suyanto Wijaya D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
15 5/20/2016 Tio Tjoei Tek Hba1c,Tes Fungsi Hat,Treadmill,GDP,Hbsag,Darah Rutn,Foto Rontgen Dr. Abidin Rp 635,000 Rp 135,000
16 5/21/2016 Heddinar Br Sinaga B Dr. Abidin Rp 50,000 Rp 260,000
17 5/21/2016 Joko Yamanto Tan Treadmill Dr. Abidin
18 5/21/2016 Jonhendrik Hoon Insani C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
19 5/21/2016 Kwe Yunita A Dr. Abidin Rp 50,000 Rp 40,000
20 5/26/2016 Isaak Liadinata C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
21 5/26/2016 Gianto A Dr. Abidin Rp 50,000 Rp 40,000
22 5/30/2016 Edy D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
23 5/30/2016 Emilia D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
TOTAL Rp 900,000 Rp 11,700,000 Rp 1,745,000 Rp 1,548,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 Juni 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
6/16/2016
SARAH
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 180,000
Rp 1,405,000
Rp 310,000
Rp 1,405,000
Rp 50,000
Rp 500,000 Rp 345,000 Rp 2,325,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 365,000
Rp 50,000
Rp 500,000 Rp 345,000 Rp 845,000
Rp 40,000
Rp 753,000
Rp 1,405,000
Rp 1,405,000
Rp 500,000 Rp 1,270,000
Rp 310,000
Rp 500,000 Rp 500,000
Rp 840,000
Rp 90,000
Rp 840,000
Rp 90,000
Rp 1,405,000
Rp 1,405,000
Rp 2,500,000 Rp 1,035,000 Rp 19,428,000

ni 2016
angan
TAGIHAN PT. ALLIANZ BULAN JUNI 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 6/2/2016 Ruspendi D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
2 6/9/2016 Kwan Fun Lien B Dr. Abidin Rp 50,000 Rp 260,000 Rp 310,000
3 6/9/2016 Ripin Jauhari E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
4 6/13/2016 Vardy Wendy Boen LPK Dr. Abidin Rp 50,000 Rp 50,000
5 6/15/2016 Andro Abraham LPK Dr. Abidin Rp 50,000 Rp 50,000
6 6/15/2016 Poh Lian E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
7 6/16/2016 Lik Ling A + GDP,HBA1C Dr. Abidin Rp 50,000 Rp 275,000 Rp 325,000
8 6/18/2016 Herman Syah D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
9 6/20/2016 Sukiran SH D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
10 6/20/2016 Rufina Br Manalu LPK Dr. Abidin Rp 50,000 Rp 50,000
11 6/21/2016 Woe Yet Tin E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
12 6/21/2016 Tasman C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
13 6/24/2016 Tjong Thian Seng LPK,Amilase,Lipase Dr. Abidin Rp 50,000 Rp 407,000 Rp 457,000
14 6/29/2016 Susanto E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
15 6/29/2016 Magarios D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
TOTAL Rp 750,000 Rp 10,502,000 Rp 550,000 Rp 1,080,000 Rp 2,000,000 Rp 1,380,000 Rp 16,262,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,14 Juli 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN JULI 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 7/2/2016 Wanto Manulang A + GDP,HBA1C Dr. Abidin Rp 50,000 Rp 275,000 Rp 325,000
2 7/2/2016 Tiambun Simbolon BSC A Dr. Abidin Rp 50,000 Rp 40,000 Rp 90,000
3 7/12/2016 Eka Fransiska Darah Rutn Dr. Abidin Rp 90,000 Rp 90,000
4 7/15/2016 Sumiayadi C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
5 7/18/2016 Baik Bukit LPK Dr. Abidin Rp 50,000 Rp 50,000
6 7/23/2016 Mary Effendi D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
7 7/23/2016 Winta Chandra D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
8 7/25/2016 Jamaluddin E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
9 7/26/2016 Mirawat D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
10 7/29/2016 Wong Chow Loeng A Dr. Abidin Rp 50,000 Rp 40,000 Rp 90,000
11 7/29/2016 Budi Malem LPK,Darah Rutn Dr. Abidin Rp 50,000 Rp 90,000 Rp 140,000
12 7/30/2016 Asni A Dr. Abidin Rp 50,000 Rp 40,000 Rp 90,000
TOTAL Rp 550,000 Rp 5,695,000 Rp 440,000 Rp 540,000 Rp 500,000 Rp 345,000 Rp 8,070,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,01 Agustus 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN AGUSTUS 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 8/8/2016 Anindito Pangestu LPK Dr. Abidin Rp 50,000 Rp 50,000
2 8/8/2016 Suwandi A + SGOT,SGPT,GGT Dr. Abidin Rp 50,000 Rp 210,000 Rp 260,000
3 8/11/2016 Kok Yong A + LD,TREADMILL Dr. Abidin Rp 50,000 Rp 225,000 Rp 500,000 Rp 775,000
4 8/16/2016 Anmbri C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
5 8/16/2016 Josheva Elythamora Sibuea SPK Dr. Abidin Rp 50,000 Rp 50,000
6 8/18/2016 Cuandra A + LD Dr. Abidin Rp 50,000 Rp 225,000 Rp 275,000
7 8/19/2016 Juline Elka D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
8 8/22/2016 Sindiyap Putra E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
9 8/22/2016 Suwanto A + Ureum & Creatnin,GDP Dr. Abidin Rp 50,000 Rp 165,000 Rp 215,000
10 8/22/2016 Freddy Teng C + Hba1c Dr. Abidin Rp 50,000 Rp 880,000 Rp 110,000 Rp 1,040,000
11 8/27/2016 Mui Yong C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
12 8/29/2016 Henry Rusli A + Hba1c,LD,GDP Dr. Abidin Rp 50,000 Rp 460,000 Rp 510,000
TOTAL Rp 600,000 Rp 5,745,000 Rp 440,000 Rp 270,000 Rp 1,000,000 Rp 345,000 Rp 8,400,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,03 September 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN SEPTEMBER 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 9/8/2016 A Inglenny A,Treadmill,Darah rutn,LD Dr. Abidin Rp 50,000 Rp 315,000 Rp 500,000 Rp 865,000
2 9/9/2016 Bie Eng C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
3 9/9/2016 Nelly E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
4 9/10/2016 Budiman E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
5 9/16/2016 Afri Andi Koto A Dr. Abidin Rp 50,000 Rp 40,000 Rp 90,000
6 9/22/2016 Chandra Satria Salim C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
7 9/23/2016 Rudy D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
8 9/30/2016 Safrin LPK Dr. Abidin Rp 50,000 Rp 50,000
9 9/30/2016 Bryan Mark Teddy D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
TOTAL Rp 450,000 Rp 6,155,000 Rp 440,000 Rp 540,000 Rp 1,500,000 Rp 690,000 Rp 9,775,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,05 Oktober 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 10/1/2016 Tan Li Cin A + Darah Rutn,SGOT,SGPT,GGT,LD Dr. Abidin Rp 50,000 Rp 485,000 Rp 535,000
2 10/5/2016 Wenarmy LPK,USG Kandungan Dr. Abidin Rp 50,000 Rp 333,000 Rp 383,000
3 10/6/2016 Peter Chandra E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
4 10/7/2016 Robisman Saragih LPK Dr. Abidin Rp 50,000 Rp 50,000
5 10/8/2016 Kie A Moi A + Hba1c Dr. Abidin Rp 50,000 Rp 240,000 Rp 290,000
6 10/8/2016 Bandy Suriadi LPK Dr. Abidin Rp 50,000 Rp 50,000
7 10/11/2016 Sonni Golfried S Silalahi LPK Dr. Abidin Rp 50,000 Rp 50,000
8 10/14/2016 Masjogo D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
9 10/15/2016 Suherna LPK Dr. Abidin Rp 50,000 Rp 50,000
10 10/17/2016 Lianty A + Ureum dan Creatnin,Darah Rutn Dr. Abidin Rp 50,000 Rp 220,000 Rp 270,000
11 10/18/2016 Sukardi D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
12 10/20/2016 Sofian E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
13 10/24/2016 Sopiah A + Hba1c,GDP Dr. Abidin Rp 50,000 Rp 275,000 Rp 325,000
14 10/25/2016 Elenty Wijaya A + SGOT,SGPT,GGT Dr. Abidin Rp 50,000 Rp 210,000 Rp 260,000
15 10/27/2016 Jamin C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
16 10/27/2016 Mila Kirana LPK Dr. Abidin Rp 50,000 Rp 50,000
17 10/29/2016 Manotap Simangunsong LPK Dr. Abidin Rp 50,000 Rp 50,000
TOTAL Rp 850,000 Rp 6,550,000 Rp 330,000 Rp 873,000 Rp 1,000,000 Rp 690,000 Rp 10,293,000

Pembayaran dapat di transfer melalui :


A/C : 2420,1004,7600,6 Medan,02 November 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN NOVEMBER 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 11/2/2016 Antoni E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
2 11/3/2016 Moh Tjing A + Darah Rutn,USG Payudara Dr. Abidin Rp 50,000 Rp 130,000 Rp 333,000
3 11/3/2016 Dewi Salim A + Hbsag,Hbeag,Tes Fungsi Hat Dr. Abidin Rp 50,000 Rp 750,000
4 11/5/2016 Stephen LPK Dr. Abidin Rp 50,000
5 11/5/2016 Pang Sin Tjun A Dr. Abidin Rp 50,000 Rp 40,000
6 11/5/2016 Febrita E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
7 11/5/2016 Piek Sin A Dr. Abidin Rp 50,000 Rp 40,000
8 11/5/2016 Ferry Wijaya LPK Dr. Abidin Rp 50,000
9 11/10/2016 Arisa Laia LPK Dr. Abidin Rp 50,000
10 11/10/2016 Angelina Setyawan SPK Dr. Abidin Rp 50,000
11 11/12/2016 Tan Tjung Hiang C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
12 11/12/2016 Merywat D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
13 11/15/2016 Valeria Emily Lioe SPK Dr. Abidin Rp 50,000
14 11/17/2016 Veronica Br Tarigan LPK Dr. Abidin Rp 50,000
15 11/18/2016 Djohan C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
16 11/19/2016 Mariana C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
17 11/19/2016 Hendy Winata E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
18 11/19/2016 Yosella Tjung E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
19 11/25/2016 Darwis Nasuton A Dr. Abidin Rp 50,000 Rp 40,000
20 11/25/2016 Marthony Hutagalung LPK Dr. Abidin Rp 50,000
21 11/28/2016 Sanjaya Susanto A + Foto Rontgen,Treadmill Dr. Abidin Rp 50,000 Rp 40,000 Rp 135,000 Rp 500,000
22 11/28/2016 Rasman Siburian SP LPK,T3,T4,TSH,USG Thyroid Dr. Abidin Rp 50,000 Rp 954,000 Rp 726,000
23 11/29/2016 Lisa Tantoso HBA1C,Treadmill Dr. Abidin Rp 200,000 Rp 500,000
24 11/30/2016 Peh Kim Bie B Dr. Abidin Rp 50,000 Rp 260,000
TOTAL Rp 1,150,000 Rp 10,044,000 Rp 440,000 Rp 1,869,000 Rp 3,000,000 Rp 1,380,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,02 Desember 2016
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
SARAH
Bagian Keuangan
Jumlah

Rp 2,140,000
Rp 513,000
Rp 800,000
Rp 50,000
Rp 90,000
Rp 2,140,000
Rp 90,000
Rp 50,000
Rp 50,000
Rp 50,000
Rp 840,000
Rp 1,405,000
Rp 50,000
Rp 50,000
Rp 840,000
Rp 840,000
Rp 2,140,000
Rp 2,140,000
Rp 90,000
Rp 50,000
Rp 725,000
Rp 1,730,000
Rp 700,000
Rp 310,000
Rp 17,883,000
TAGIHAN PT. ALLIANZ BULAN DESEMBER 2016
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 12/3/2016 Anwar Lawden LPK,Rontgen Dada Dr. Abidin Rp 50,000 Rp 135,000
2 12/7/2016 David Sianipar LPK,Rontgen Waters Dr. Abidin Rp 50,000 Rp 269,500
3 12/8/2016 Marthony Hutagalung GDP,Hba1C Dr. Abidin Rp 235,000
4 12/8/2016 Martauli Br Sirait A Dr. Abidin Rp 50,000 Rp 40,000
5 12/10/2016 Lim Hok Lai E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
6 12/15/2016 Diana D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
7 12/17/2016 Lord Hilman A +Darah Rutn,Ureum dan Creatnin Dr. Abidin Rp 50,000 Rp 220,000
8 12/22/2016 Joni Lie LPK,EKG,Darah Rutn,pemeriksaan ulang creatnin,USG Abdomen Dr. Abidin Rp 50,000 Rp 135,000 Rp 110,000 Rp 825,000
9 12/22/2016 Tonner Purba LPK Dr. Abidin Rp 50,000
10 12/22/2016 Jhon Philip LPK Dr. Abidin Rp 50,000
11 12/23/2016 Louis Gohan D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
12 12/23/2016 Sudianto Wlis D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
13 12/24/2016 Rusli Djoni A Dr. Abidin Rp 50,000 Rp 40,000
14 12/24/2016 Pau Pau A + HBa1C,GDP,LD,Pemeriksaan darah Tumor Marker CA 125 Dr. Abidin Rp 50,000 Rp 1,096,000
15 12/24/2016 Thomas Anton Christan Tarigan A + SGOT,SGPT,GGT Dr. Abidin Rp 50,000 Rp 210,000
16 12/28/2016 Ana LPK,Darah Rutn Dr. Abidin Rp 50,000 Rp 90,000
17 12/28/2016 Jenni D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
TOTAL Rp 800,000 Rp 7,616,000 Rp 550,000 Rp 1,904,500 Rp 500,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 Januari 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
HIV Jumlah

Rp 185,000
Rp 319,500
Rp 235,000
Rp 90,000
Rp 345,000 Rp 2,140,000
Rp 1,405,000
Rp 270,000
Rp 1,120,000
Rp 50,000
Rp 50,000
Rp 1,405,000
Rp 1,405,000
Rp 90,000
Rp 1,146,000
Rp 260,000
Rp 140,000
Rp 1,405,000
Rp 345,000 Rp 11,715,500
TAGIHAN PT. ALLIANZ BULAN JANUARI 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 1/9/2017 Benhur A Dr. Abidin Rp 50,000 Rp 40,000
2 1/10/2017 Herman Syah D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
3 1/10/2017 Ailice D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
4 1/11/2017 Lena Sadikin SGOT,SGPT,GGT,LPK Dr. Abidin Rp 50,000 Rp 170,000
5 1/11/2017 Sofia A Dr. Abidin Rp 50,000 Rp 40,000
6 1/13/2017 Rudy LPK,HbA1c Dr. Abidin Rp 50,000 Rp 200,000
7 1/14/2017 Dahlan Tanjung A Dr. Abidin Rp 50,000 Rp 40,000
8 1/14/2017 Kenzo Marveille Xie SPK Dr. Abidin Rp 50,000
9 1/19/2017 Janice LPK,EKG Dr. Abidin Rp 50,000 Rp 110,000
10 1/21/2017 Erwin Djingga LPK Dr. Abidin Rp 50,000
11 1/25/2017 Kiswanto LPK Dr. Abidin Rp 50,000
12 1/31/2017 Sinta Silaban A + USG Kandungan Dr. Abidin Rp 50,000 Rp 40,000 Rp 847,000
TOTAL Rp 600,000 Rp 2,750,000 Rp 330,000 Rp 1,117,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,02 Februari 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 90,000
Rp 1,405,000
Rp 1,405,000
Rp 220,000
Rp 90,000
Rp 250,000
Rp 90,000
Rp 50,000
Rp 160,000
Rp 50,000
Rp 50,000
Rp 937,000
Rp 4,797,000

ri 2017

gan
TAGIHAN PT. ALLIANZ BULAN FEBRUARI 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 2/2/2017 Armaita A + GDP,Hba1c Dr. Abidin Rp 50,000 Rp 275,000
2 2/3/2017 Morris Claudius Yufongcia A Dr. Abidin Rp 50,000 Rp 40,000
3 2/6/2017 Tuminah A + Treadmill,Darah Rutn,LD Dr. Abidin Rp 50,000 Rp 315,000 Rp 500,000
4 2/8/2017 Louis Gohan Treadmill Dr. Abidin Rp 500,000
5 2/9/2017 Ani E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
6 2/10/2017 Pita Hariat Tambunan A + GDP,Hba1c Dr. Abidin Rp 50,000 Rp 275,000
7 2/13/2017 Lisnawaty Darah Rutn,LPK Dr. Abidin Rp 50,000 Rp 90,000
8 2/14/2017 Ruspendi D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
9 2/17/2017 Tan Sri Ningsih LPK Dr. Abidin Rp 50,000
10 2/18/2017 Jonni Siahaan A + Rontgen Foto dada,SGOT,SGPT,GGT Dr. Abidin Rp 50,000 Rp 210,000 Rp 135,000
11 2/21/2017 Jali T3,T4,TSH,LPK Dr. Abidin Rp 50,000 Rp 954,000
12 2/21/2017 Susilo Kimberly E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
13 2/25/2017 Yagimin D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
14 1/25/2017 Deborah D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
15 2/28/2017 Po Cuan A Dr. Abidin Rp 50,000 Rp 40,000
16 2/28/2017 Florencia Oria Yufongcia LPK Dr. Abidin Rp 50,000
17 2/28/2017 Jocelyn Oria Yufongcia A Dr. Abidin Rp 50,000 Rp 40,000
TOTAL Rp 800,000 Rp 7,789,000 Rp 330,000 Rp 810,000 Rp 2,000,000 Rp 690,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 Maret 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 325,000
Rp 90,000
Rp 865,000
Rp 500,000
Rp 2,140,000
Rp 325,000
Rp 140,000
Rp 1,405,000
Rp 50,000
Rp 395,000
Rp 1,004,000
Rp 2,140,000
Rp 1,405,000
Rp 1,405,000
Rp 90,000
Rp 50,000
Rp 90,000
Rp 12,419,000
TAGIHAN PT. ALLIANZ BULAN MARET 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 3/3/2017 Abdul Rasid Panggabean A + Hba1c,APS,GDP,SGOT,SGPT,GGT Dr. Abidin Rp 50,000 Rp 445,000
2 3/6/2017 Sarman Salim A + Hba1c,GDP Dr. Abidin Rp 50,000 Rp 275,000
3 3/6/2017 Rumondang A + Darah Rutn, Ureum,Creatnin Dr. Abidin Rp 50,000 Rp 220,000
4 3/7/2017 Arya Tjipta Prananda E + Hbeag Dr. Abidin Rp 50,000 Rp 1,510,000 Rp 135,000 Rp 500,000 Rp 345,000
5 3/7/2017 Tan Lai Sioe LPK Dr. Abidin Rp 50,000
6 3/11/2017 Ratna Dewi SGOT,SGPT,GGT Dr. Abidin Rp 170,000
7 3/11/2017 Yenni Tan LPK,USG Payudara Dr. Abidin Rp 50,000 Rp 749,100
8 3/11/2017 Sachi Emelin Anastasia SPK Dr. Abidin Rp 50,000
9 3/11/2017 Sheren Geraldine Anastasia A + Darah Rutn Dr. Abidin Rp 50,000 Rp 130,000
10 3/11/2017 Marcello Claudius A Dr Abidin Rp 50,000 Rp 40,000
11 3/11/2017 Mario Claudius SPK + Analisa urine Dr. Abidin Rp 50,000 Rp 40,000
12 3/13/2017 Irma Damayant Siagian LPK,USG Payudara Dr Abidin Rp 50,000 Rp 749,100
13 3/14/2017 Armen Pohan Siahaan A Dr. Abidin Rp 50,000 Rp 40,000
14 3/14/2017 Mansyur A + Hba1c,GDP,EEG Dr. Abidin Rp 50,000 Rp 275,000 Rp 982,000
15 3/16/2017 Gerrit Londok A + Hba1c,LD,GDP Dr. Abidin Rp 50,000 Rp 460,000
16 3/16/2017 Wong Yen Tie LPK,USG Kandungan Dr. Abidin Rp 50,000 Rp 847,000
17 3/18/2017 Danny A + Darah Rutn Dr. Abidin Rp 50,000 Rp 130,000
18 3/18/2017 Setjowate LPK Dr. Abidin Rp 50,000
19 3/18/2017 Supratman E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
20 3/18/2017 David E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
21 3/18/2017 Janny Leman E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
22 3/25/2017 Henny D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
23 3/25/2017 Wynda Taniwan D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
24 3/25/2017 Setawi Dharma D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
25 3/31/2017 Usman C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
TOTAL Rp 1,200,000 Rp 11,075,000 Rp 1,422,000 Rp 3,290,200 Rp 2,000,000 Rp 1,380,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,05 April 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 495,000
Rp 325,000
Rp 270,000
Rp 2,540,000
Rp 50,000
Rp 170,000
Rp 799,100
Rp 50,000
Rp 180,000
Rp 90,000
Rp 90,000
Rp 799,100
Rp 90,000
Rp 1,307,000
Rp 510,000
Rp 897,000
Rp 180,000
Rp 50,000
Rp 2,140,000
Rp 2,140,000
Rp 2,140,000
Rp 1,405,000
Rp 1,405,000
Rp 1,405,000
Rp 840,000
Rp 20,367,200
TAGIHAN PT. ALLIANZ BULAN APRIL 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 4/1/2017 Hasan Asari Lubis A + Ureum,Creatnin Dr. Abidin Rp 50,000 Rp 130,000
2 4/1/2017 Wagino D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
3 4/4/2017 Daniel Panahatan Sihombing LPK Dr. Abidin Rp 50,000
4 4/6/2017 Jalongos Manik A + Hba1c,GDP Dr. Abidin Rp 50,000 Rp 275,000
5 4/8/2017 Sam Jok Sin LPK Dr. Abidin Rp 50,000
6 4/8/2017 Jon Jovan Halim A + Darah rutn Dr. Abidin Rp 50,000 Rp 130,000
7 4/8/2017 Lie Siang A + SGOT,SGPT,GGT Dr. Abidin Rp 50,000 Rp 210,000
8 4/15/2017 Parno LPK Dr. Abidin Rp 50,000
9 4/15/2017 Fenny D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
10 4/17/2017 Husin Halim A + Hba1c,GDP Dr Abidin Rp 50,000 Rp 275,000
11 4/18/2017 Hasan Asari Lubis Tes fungsi ginjal + USG Ginjal & Saluran Kemih Dr. Abidin Rp 90,000 Rp 533,500
12 4/18/2017 David Sianipar Rontgen Foto Dada,LD,Urine Lengkap Dr Abidin Rp 225,000 Rp 135,000
13 4/19/2017 Supardi E Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
14 4/20/2017 Suwitra Jordanta Gintng SPK Dr. Abidin Rp 50,000
15 4/22/2017 Choiril Yapin Jap A Dr. Abidin Rp 50,000 Rp 40,000
16 4/25/2017 Hj.Roswat A + Hba1c,GDP Dr. Abidin Rp 50,000 Rp 275,000
17 4/27/2017 Darwin A + LD Dr. Abidin Rp 50,000 Rp 225,000
TOTAL Rp 750,000 Rp 5,205,000 Rp 220,000 Rp 1,073,500 Rp 500,000 Rp 345,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,06 Mei 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 180,000
Rp 1,405,000
Rp 50,000
Rp 325,000
Rp 50,000
Rp 180,000
Rp 260,000
Rp 50,000
Rp 1,405,000
Rp 325,000
Rp 623,500
Rp 360,000
Rp 2,140,000
Rp 50,000
Rp 90,000
Rp 325,000
Rp 275,000
Rp 8,093,500
TAGIHAN PT. ALLIANZ BULAN MEI 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 5/2/2017 Antonie D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
2 5/4/2017 Silviana Sicillya Ng C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
3 5/4/2017 Wenatrta Archie C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
4 5/5/2017 Anna Tiara A Dr. Abidin Rp 50,000 Rp 225,000 Rp 275,000
5 5/8/2017 Ranto Situmorang LPK Dr. Abidin Rp 50,000 Rp 50,000
6 5/8/2017 Ani D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
7 5/8/2017 Jolim D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
8 5/13/2017 Mahadi Limsar LPK,HBA1c,HIV Test,Treadmill Dr. Abidin Rp 50,000 Rp 545,000 Rp 500,000 Rp 1,095,000
9 5/16/2017 Joni D Dr. Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
10 5/20/2017 Mariat A + Audiometri Dr Abidin Rp 50,000 Rp 178,000 Rp 228,000
11 5/20/2017 Anddy LPK,Ureum Creatnin Dr. Abidin Rp 50,000 Rp 90,000 Rp 140,000
12 5/23/2017 Lily Surianty D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
13 5/26/2017 Amenna Sianturi LPK,Rontgen Lumbo Sacral APLAT Dr. Abidin Rp 50,000 Rp 741,600 Rp 791,600
14 5/27/2017 Arifin LPK Dr. Abidin Rp 50,000 Rp 50,000
15 5/30/2017 Yauzi Meid Siregar A + SGOT,SGPT,GGT,Echocardiography Dr. Abidin Rp 50,000 Rp 1,075,000 Rp 1,125,000
TOTAL Rp 750,000 Rp 9,023,000 Rp 770,000 Rp 1,416,600 Rp 500,000 Rp - Rp 12,459,600
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600, Medan,05 Juni 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN JUNI 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 6/3/2017 Kaminta Br Silalahi LPK Dr. Abidin Rp 50,000
2 6/5/2017 Jonedi Nababan A + HBA1C,LD Dr. Abidin Rp 50,000 Rp 425,000
3 6/6/2017 Riyadh Ikhsan LPK Dr. Abidin Rp 50,000
4 6/9/2017 Widjadja A + Audiometri,GDP,LD Dr. Abidin Rp 50,000 Rp 398,000
5 6/9/2017 Monika Berliana Gultom A Dr. Abidin Rp 50,000 Rp 40,000
6 6/10/2017 Rusmiat A + LD,Treadmill Dr. Abidin Rp 50,000 Rp 225,000 Rp 500,000
7 6/14/2017 Andi Saputra LPK Dr. Abidin Rp 50,000
8 6/15/2017 Mahmulia Harahap LPK Dr. Abidin Rp 50,000
9 6/16/2017 Yusuf Effendi A Dr. Abidin Rp 50,000 Rp 40,000
10 6/17/2017 Wenatrta Archie Hba1c,HIV Test,Treadmill,Hbsag,Darah Rutn,Foto Rontgen Dr Abidin Rp 430,000 Rp 135,000 Rp 500,000 Rp 345,000
11 6/17/2017 Silviana Silcillya Ng Hba1c,HIV Test,Treadmill,Hbsag,Darah Rutn,Foto Rontgen Dr. Abidin Rp 430,000 Rp 135,000 Rp 500,000 Rp 345,000
12 6/19/2017 Karmin Aminah A Dr Abidin Rp 50,000 Rp 40,000
TOTAL Rp 500,000 Rp 2,028,000 Rp - Rp 270,000 Rp 1,500,000 Rp 690,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,05 Juli 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 50,000
Rp 475,000
Rp 50,000
Rp 448,000
Rp 90,000
Rp 775,000
Rp 50,000
Rp 50,000
Rp 90,000
Rp 1,410,000
Rp 1,410,000
Rp 90,000
Rp 4,988,000
TAGIHAN PT. ALLIANZ BULAN JULI 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 7/6/2017 Jamin C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
2 7/6/2017 Jonedi Nababan Gula Darah Puasa Dr. Abidin Rp 35,000
3 7/7/2017 Cheng Jin Kok B Dr. Abidin Rp 50,000 Rp 260,000
4 7/10/2017 Lim Yong Nguang C Dr. Abidin Rp 50,000 Rp 680,000 Rp 110,000
5 7/10/2017 Lee Kiat Helen A Dr. Abidin Rp 50,000 Rp 40,000
6 7/11/2017 Karsono Ureum,Creatnin,PSA,Urine Lengkap Dr. Abidin Rp 554,000
7 7/12/2017 Po Cuan A + Darah Rutn Dr. Abidin Rp 50,000 Rp 120,000
8 7/20/2017 Yendy Tjalani LPK Dr. Abidin Rp 50,000
9 7/20/2017 Merita Purba LPK Dr Abidin Rp 50,000
10 7/22/2017 Melani Gunawan B Dr. Abidin Rp 50,000 Rp 260,000
11 7/28/2017 Judika Lungguk Mkalau LPK Dr Abidin Rp 50,000
12 7/31/2017 Ratna Hutahuruk A + Rontgen Lumbosacral AP - Lateral Dr Abidin Rp 50,000 Rp 40,000 Rp 680,000
13 7/31/2017 Suhamaya LPK Dr Abidin Rp 50,000
TOTAL Rp 550,000 Rp 2,669,000 Rp 220,000 Rp 680,000 Rp - Rp -
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,10 Agustus 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 840,000
Rp 35,000
Rp 310,000
Rp 840,000
Rp 90,000
Rp 554,000
Rp 170,000
Rp 50,000
Rp 50,000
Rp 310,000
Rp 50,000
Rp 770,000
Rp 50,000
Rp 4,119,000
TAGIHAN PT. ALLIANZ BULAN AGUSTUS 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 7/31/2017 Suhamaya USG Payudara Dr Abidin Rp 749,100
2 8/1/2017 James Hendrik S Ketaren A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
3 8/3/2017 Hendy Winata E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
4 8/3/2017 Agustna LPK Dr Abidin Rp 50,000
5 8/4/2017 Oei Hui Ong T3,T4,LPK,USG Thyroid Dr Abidin Rp 50,000 Rp 666,000 Rp 774,000
6 8/4/2017 Dendy Leonardi Kekurangan Tipe E Dr Abidin Rp 50,000 Rp 1,165,000 Rp 135,000
7 8/7/2017 Lim Wang Kiet LPK Dr Abidin Rp 50,000
8 8/8/2017 Tjiam Andrew Homer C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
9 8/9/2017 Riama Gurning,SE,Ak Darah Rutn,LPK Dr Abidin Rp 50,000 Rp 90,000
10 8/12/2017 Kam Sui Lie E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
11 8/12/2017 Jannes Situmorang A + Echocardiography,Treadmill,Rontgen ,LD,SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 1,362,400 Rp 135,000 Rp 500,000
12 8/16/2017 Sukiman A Dr Abidin Rp 50,000 Rp 40,000
13 8/21/2017 Eddy Susanto C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
14 8/21/2017 Chiowarty Sumiat C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
15 8/23/2017 Henry Dumanter Tampubolon A Dr Abidin Rp 50,000 Rp 40,000
16 8/25/2017 Verawat D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
17 8/30/2017 Janto Widjaja A Dr Abidin Rp 50,000 Rp 40,000
TOTAL Rp 800,000 Rp 8,903,400 Rp 440,000 Rp 2,198,100 Rp 1,500,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,05 September 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
HIV Jumlah

Rp 749,100
Rp 180,000
Rp 345,000 Rp 2,140,000
Rp 50,000
Rp 1,490,000
Rp 1,350,000
Rp 50,000
Rp 840,000
Rp 140,000
Rp 345,000 Rp 2,140,000
Rp 2,047,400
Rp 90,000
Rp 840,000
Rp 840,000
Rp 90,000
Rp 1,405,000
Rp 90,000
Rp 690,000 Rp 14,531,500
TAGIHAN PT. ALLIANZ BULAN SEPTEMBER 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 9/2/2017 Pau Pau A + LD Dr Abidin Rp 50,000 Rp 225,000
2 9/6/2017 Edi Suprianto A + GDP,Hba1c Dr Abidin Rp 50,000 Rp 275,000
3 9/6/2017 Hoeng Moek King C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
4 9/9/2017 Effendi L C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
5 9/11/2017 Edy Chandra A + GDP Dr Abidin Rp 50,000 Rp 75,000
6 9/11/2017 Ellyza Lim D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
7 9/11/2017 Maralo Silalahi A + Ureum,Creatnin,GDP,Hba1c,Foto Rontgen,USG Abdomen Dr Abidin Rp 50,000 Rp 365,000 Rp 1,014,000
8 9/15/2017 Roziah Ibrahim A + LD Dr Abidin Rp 50,000 Rp 225,000
9 9/15/2017 Rusman Manurung,Drs LPK Dr Abidin Rp 50,000
10 9/16/2017 Loly Yasim E + HbeAg Dr Abidin Rp 50,000 Rp 1,510,000 Rp 135,000 Rp 500,000
11 9/18/2017 Sutrino C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
12 9/18/2017 Julyana LPK Dr Abidin Rp 50,000
13 9/23/2017 Susina A + Darah Rutn Dr Abidin Rp 50,000 Rp 120,000
14 9/25/2017 Mitro Wigito E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
15 9/25/2017 Bujung C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
16 9/25/2017 Posma Lamboy Hutabarat LPk + Echocardiography Dr Abidin Rp 50,000 Rp 918,000
17 9/26/2017 Nurhayat Butar Butar LPK Dr Abidin Rp 50,000
18 9/27/2017 Jonie LPK Dr Abidin Rp 50,000
19 9/27/2017 Michelle A + USG Abdomen Dr Abidin Rp 50,000 Rp 40,000 Rp 799,000
20 9/28/2017 Erman A + SGOT,SGPT,GGT,LD Dr Abidin Rp 50,000 Rp 395,000
21 9/28/2017 Pho Tju A + GDP,Hba1c Dr Abidin Rp 50,000 Rp 275,000
22 9/29/2017 Chansen Junaidy E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
23 9/30/2017 Tho Lie Kin A + GDP,Hba1c Dr Abidin Rp 50,000 Rp 275,000
TOTAL Rp 1,150,000 Rp 10,748,000 Rp 550,000 Rp 2,353,000 Rp 1,500,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,05 Oktober 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
SARAH
Bagian Keuangan
HIV Jumlah

Rp 275,000
Rp 325,000
Rp 840,000
Rp 840,000
Rp 125,000
Rp 1,405,000
Rp 1,429,000
Rp 275,000
Rp 50,000
Rp 345,000 Rp 2,540,000
Rp 840,000
Rp 50,000
Rp 170,000
Rp 345,000 Rp 2,140,000
Rp 840,000
Rp 968,000
Rp 50,000
Rp 50,000
Rp 889,000
Rp 445,000
Rp 325,000
Rp 345,000 Rp 2,140,000
Rp 325,000
Rp 1,035,000 Rp 17,336,000
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 10/12/2017 Tony D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
2 17/10/2017 Erman USG Abdomen Dr Abidin Rp 789,000
3 18/10/2017 Hendra LPK Dr Abidin Rp 50,000
4 18/10/2017 Tan Li Cin A + LD Dr Abidin Rp 50,000 Rp 225,000
5 19/10/2017 Karyanto E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
6 19/10/2017 Ferry E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
7 19/10/2017 Nurhayana Sijabat A + Ureum & Creatnin,SGOT,SGPT,GGT,LD Dr Abidin Rp 50,000 Rp 485,000
8 19/10/2017 Henrica Rasmy Sinaga A + HBA1c Dr Abidin Rp 50,000 Rp 240,000
9 20/10/2017 Lim Hok Tjiang A + Rontgen dada,GDP,Hba1c, Dr Abidin Rp 50,000 Rp 310,000 Rp 135,000
10 21/10/2017 Go Bie Lien A Dr Abidin Rp 50,000 Rp 40,000
11 21/10/2017 Naomi Eirinta Br Tarigan LPK,Tes fungsi hat,protein total,albumin,globulin,USG Abdomen Dr Abidin Rp 50,000 Rp 510,000 Rp 879,000
12 23/10/2017 Sumiat A + GDP,Hba1c,LD Dr Abidin Rp 50,000 Rp 460,000
13 23/10/2017 Hannah Laura Sembiring SPK Dr Abidin Rp 50,000
14 25/10/2017 Jumiddin A + HbA1C,GDP Dr Abidin Rp 50,000 Rp 275,000
TOTAL Rp 650,000 Rp 5,875,000 Rp 110,000 Rp 2,208,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 November 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 1,405,000
Rp 789,000
Rp 50,000
Rp 275,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 535,000
Rp 290,000
Rp 495,000
Rp 90,000
Rp 1,439,000
Rp 510,000
Rp 50,000
Rp 325,000
Rp 1,000,000 Rp 690,000 Rp 10,533,000

mber 2017

ngan
TAGIHAN PT. ALLIANZ BULAN NOVEMBER 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 11/1/2017 Queenzy Viriya Tanoto LPK Dr Abidin Rp 50,000
2 02/11/2017 Vardy Wendy Boen SE A + LD Dr Abidin Rp 50,000 Rp 225,000
3 03/11/2017 Ugan Sihotang A + Rontgen Dada Dr Abidin Rp 50,000 Rp 40,000 Rp 135,000
4 04/11/2017 Tjing Peng A Dr Abidin Rp 50,000 Rp 40,000
5 09/11/2017 Binneria Bancin C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
6 14/11/2017 Darwis Napitupulu A + darah rutn Dr Abidin Rp 50,000 Rp 130,000
7 17/11/2017 Agustnus Netap Israel LPK Dr Abidin Rp 50,000
8 18/11/2017 Jhon Eliot Situmeang A + Hba1c,GDP Dr Abidin Rp 50,000 Rp 275,000
9 20/11/2017 Yulinda Sari A Dr Abidin Rp 50,000 Rp 40,000
10 21/11/2017 Mery C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
11 22/11/2017 E Sagala LPK Dr Abidin Rp 50,000
12 23/11/2017 Rudy LPK Dr Abidin Rp 50,000
13 27/11/2017 Buyung E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
14 27/11/2017 Tri Utami Windayant T3,T4,TSH,LPK,USG Thyroid Dr Abidin Rp 50,000 Rp 954,000 Rp 726,000
15 30/11/2017 Suliani E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
16 30/11/2017 Heryanto Tiaman E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
17 30/11/2017 Henny Waty LPK,USG Abdomen Dr Abidin Rp 50,000 Rp 685,000
18 30/11/2017 Dewi Salim A + Hbeag,Tes fungsi Ginjal Dr Abidin Rp 50,000 Rp 610,000
TOTAL Rp 900,000 Rp 7,004,000 Rp 220,000 Rp 1,951,000 Rp 1,500,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,05 Desember 2017
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
HIV Jumlah

Rp 50,000
Rp 275,000
Rp 225,000
Rp 90,000
Rp 840,000
Rp 180,000
Rp 50,000
Rp 325,000
Rp 90,000
Rp 840,000
Rp 50,000
Rp 50,000
Rp 345,000 Rp 2,140,000
Rp 1,730,000
Rp 345,000 Rp 2,140,000
Rp 345,000 Rp 2,140,000
Rp 735,000
Rp 660,000
Rp 1,035,000 Rp 12,610,000
TAGIHAN PT. ALLIANZ BULAN DESEMBER 2017
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 12/4/2017 Dr.Soesilawat LPK Dr Abidin Rp 50,000
2 05/12/2017 Glugno Joshimin,Dr A + Hba1c,GDP,SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 445,000
3 05/12/2017 Juslim C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
4 06/12/2017 Yohanes D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
5 06/12/2017 Ratna LPK Dr Abidin Rp 50,000
6 08/12/2017 A Cai A + Hba1C,GDP,SGOT,SGPT,GGT,LD Dr Abidin Rp 50,000 Rp 630,000
7 08/12/2017 Ernist Sianipar A + Darah Rutn,Rontgen Foto Dada Dr Abidin Rp 50,000 Rp 130,000 Rp 135,000
8 09/12/2017 Oi Goei Lian A + LD Dr Abidin Rp 50,000 Rp 225,000
9 11/12/2017 Gunawan LPK,SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 170,000
10 11/12/2017 Tri Yant Handayani Rontgen Foto Dada,LPK Dr Abidin Rp 50,000 Rp 135,000
11 13/12/2017 Turino Gunawan SE LPK,T3,T4,TSH Dr Abidin Rp 50,000 Rp 954,000
12 15/12/2017 Indrayani Tumanggor LPK Dr Abidin Rp 50,000
13 18/12/2017 Catherine A Dr Abidin Rp 50,000 Rp 40,000
14 23/12/2017 Oei Chioe Yong A Dr Abidin Rp 50,000 Rp 40,000
TOTAL Rp 700,000 Rp 4,424,000 Rp 220,000 Rp 405,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,05 Januari 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 50,000
Rp 495,000
Rp 840,000
Rp 1,405,000
Rp 50,000
Rp 680,000
Rp 315,000
Rp 275,000
Rp 220,000
Rp 185,000
Rp 1,004,000
Rp 50,000
Rp 90,000
Rp 90,000
Rp 5,749,000
TAGIHAN PT. ALLIANZ BULAN JANUARI 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV Jumlah
Nama Dr Honor
1 05/01/2018 Tan Poh Khuan A Dr Abidin Rp 50,000 Rp 40,000 Rp 90,000
2 05/01/2018 Yenwi Alias Edi Herman D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
3 05/01/2018 Wat D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000 Rp 1,405,000
4 05/01/2018 Sherly Astri Fajar Darah Rutn Dr Abidin Rp 50,000 Rp 90,000 Rp 140,000
5 13/01/2018 Julius Hermanto A + GDP Dr Abidin Rp 50,000 Rp 75,000 Rp 125,000
6 14/01/2018 Asni C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000 Rp 840,000
7 16/01/2018 Mikhael E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
8 16/01/2018 Juwita A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000 Rp 180,000
9 17/01/2018 Mery A + Hba1c,GDP Dr Abidin Rp 50,000 Rp 275,000 Rp 325,000
10 17/01/2018 David Winata E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
11 17/01/2018 Jali A + Treadmill Dr Abidin Rp 50,000 Rp 40,000 Rp 500,000 Rp 590,000
12 21/01/2018 Alida Anggreni Putri A + Lemak Darah Dr Abidin Rp 50,000 Rp 225,000 Rp 275,000
13 25/01/2018 Monika M Marpaung LPK Dr Abidin Rp 50,000 Rp 50,000
14 26/01/2018 Dra.Gunawan Siagian LPK Dr Abidin Rp 50,000 Rp 50,000
15 27/01/2018 Pardamean Sitnjak A + LD,SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 395,000 Rp 445,000
16 31/01/2018 Wasman,Ir E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000 Rp 2,140,000
TOTAL Rp 800,000 Rp 7,500,000 Rp 330,000 Rp 675,000 Rp 2,000,000 Rp 1,035,000 Rp 12,340,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,02 Februari 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TAGIHAN PT. ALLIANZ BULAN FEBRUARI 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 03/02/2018 Yang Yam E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000
2 05/02/2018 Edward Halomoan Pakpahan C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
3 07/02/2018 Norken Sinaga LPK + Rontgen Dada Dr Abidin Rp 50,000 Rp 135,000
4 07/02/2018 Susanto Lpk Dr Abidin Rp 50,000
5 08/02/2018 Surianto D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
6 10/02/2018 Suri Amelia Putri LPK Dr Abidin Rp 50,000
7 13/02/2018 Ryuji Anthony Chen SPK Dr Abidin Rp 50,000
8 13/02/2018 Jie Beng Yu D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
9 15/02/2018 Tinurlian Tampubolon LPK + USG Kandungan Dr Abidin Rp 50,000 Rp 790,000
10 15/02/2018 Laurencius Sinaga D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
11 15/02/2018 Espina Marbun C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
12 20/02/2018 Wandy Tjoa LPK Dr Abidin Rp 50,000
13 24/02/2018 Meiny Fangsinarta A + Hbsag,SGOT,SGPT,GGT+ Usg Abdomen Dr Abidin Rp 50,000 Rp 350,000 Rp 980,000
14 26/02/2018 Gwek Bie A + Hba1c + GDP,LD Dr Abidin Rp 50,000 Rp 460,000
15 27/02/2018 Oen Tjin Tjoen A + Treadmill, Ureum,Creatnin,LD Dr Abidin Rp 50,000 Rp 315,000 Rp 500,000
16 27/02/2018 Zulkarnain C + Echocardigraphy Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
17 27/02/2018 Lasma Pretty Siahaan A + Drah Rutn Dr Abidin Rp 50,000 Rp 130,000
TOTAL Rp 850,000 Rp 7,735,000 Rp 660,000 Rp 2,445,000 Rp 1,000,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,05 Maret 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
HIV Jumlah

Rp 345,000 Rp 2,140,000
Rp 840,000
Rp 185,000
Rp 50,000
Rp 1,405,000
Rp 50,000
Rp 50,000
Rp 1,405,000
Rp 840,000
Rp 1,405,000
Rp 840,000
Rp 50,000
Rp 1,380,000
Rp 510,000
Rp 865,000
Rp 840,000
Rp 180,000
Rp 345,000 Rp 13,035,000
TAGIHAN PT. ALLIANZ BULAN MARET 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 03/03/2018 Darman Effendi A + LD Dr Abidin Rp 50,000 Rp 225,000
2 05/03/2018 Asnah LPK,GDP Dr Abidin Rp 50,000 Rp 35,000
3 09/03/2018 Lisnur B Dr Abidin Rp 50,000 Rp 260,000
4 10/03/2018 Mariaty S LPK,Spirometri Dr Abidin Rp 50,000 Rp 266,000
5 13/03/2018 Ellys A + Hba1C,GDP,Darah Rutn, Dr Abidin Rp 50,000 Rp 365,000
6 19/03/2018 Demina Mariani Sibarani A + Ureum & Creatnin Dr Abidin Rp 50,000 Rp 130,000
7 21/03/2018 Tironsi Br Simangunsong A + Darah Rutn,USG Kandungan Dr Abidin Rp 50,000 Rp 130,000 Rp 800,000
8 21/03/2018 Leonard Naibaho A Dr Abidin Rp 50,000 Rp 40,000
9 22/03/2018 Win Fadhli A Dr Abidin Rp 50,000 Rp 40,000
10 23/03/2018 Ferya Wat E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
11 23/03/2018 Poniman Taman D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
12 23/03/2018 Anthony Siahaan,SE,ATD,MT LPK,SGOT,SGPT,GGT,LD Dr Abidin Rp 50,000 Rp 355,000
13 24/03/2018 Fransisca A Dr Abidin Rp 50,000 Rp 40,000
14 24/03/2018 Taufik Affandy Koto LPK Dr Abidin Rp 50,000
15 26/03/2018 Irma Syafriani Br Sinaga LPK,Fungsi Hat,USG Abdomen Dr Abidin Rp 50,000 Rp 530,000 Rp 980,000
16 26/03/2018 Noni Tamin A + GDP,Hba1c Dr Abidin Rp 50,000 Rp 275,000
17 28/03/2018 Wina E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
18 29/03/2018 Riduan Wijaya A Dr Abidin Rp 50,000 Rp 40,000
19 29/03/2018 Ronald Lumban Gaol A + SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 210,000
TOTAL Rp 950,000 Rp 6,005,000 Rp 110,000 Rp 2,451,000 Rp 1,000,000 Rp 690,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 APRIL 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
SARAH
Bagian Keuangan
Jumlah

Rp 275,000
Rp 85,000
Rp 310,000
Rp 316,000
Rp 415,000
Rp 180,000
Rp 980,000
Rp 90,000
Rp 90,000
Rp 2,140,000
Rp 1,405,000
Rp 405,000
Rp 90,000
Rp 50,000
Rp 1,560,000
Rp 325,000
Rp 2,140,000
Rp 90,000
Rp 260,000
Rp 11,206,000
TAGIHAN PT. ALLIANZ BULAN APRIL 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 02/04/2018 Hadiyanto Kurniawan D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
2 03/04/2018 Rusli Br Siagian LPK,T3,T4,TSH Dr Abidin Rp 50,000 Rp 954,000
3 03/04/2018 Ervinawaty D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
4 03/04/2018 Steffanie Criste SPK Dr Abidin Rp 50,000
5 04/04/2018 Susin LPK Dr Abidin Rp 50,000
6 04/04/2018 M.Ikhsan A + SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 210,000
7 05/04/2018 Darwin A + LD Dr Abidin Rp 50,000 Rp 225,000
8 05/04/2018 Bantu Hutabarat LPK Dr Abidin Rp 50,000
9 06/04/2018 Arifin A + SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 210,000
10 10/04/2018 Julius Hermanto Hba1c Dr Abidin Rp 200,000
11 10/04/2018 Po Kie Siung E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
12 10/04/2018 Tetty Chandra E + CA 125 Dr Abidin Rp 50,000 Rp 2,735,000 Rp 1,085,000
13 12/04/2018 Eddy Lam E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
14 12/04/2018 Lina A Dr Abidin Rp 50,000 Rp 40,000
15 12/04/2018 Ayu Ulina Siahaan A + EKG Dr Abidin Rp 50,000 Rp 150,000
16 12/04/2018 Rauli Sinurat A + Rontgen Lumbosacral Ap - Lateral Dr Abidin Rp 50,000 Rp 40,000 Rp 900,000
17 12/04/2018 Jovan Ivander Adelio SPK Dr Abidin Rp 50,000
18 13/04/2018 Pantas Tambunan A + Darut,GDP,Hba1c,SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 535,000
19 17/04/2018 Tasmi A + Ureum,Creatnin,LD,SGOT,SGPT,GGT,USG Abdomen Dr Abidin Rp 50,000 Rp 485,000 Rp 980,000
20 17/04/2018 Manto A + LD,SGOT,GGT Dr Abidin Rp 50,000 Rp 395,000
21 17/04/2018 Fransiska Coa LPK,Darah Rutn Dr Abidin Rp 50,000 Rp 90,000
22 17/04/2018 Johannes Silitonga A Dr Abidin Rp 50,000 Rp 40,000
23 17/04/2018 Eliaro Lawuna LPK Dr Abidin Rp 50,000
24 17/04/2018 Basina Lawuna A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
25 18/04/2018 Ani Karno A + Test Fungsi Hat,Ureum,Creatnin,Protein,Albumin,Globulin Total Dr Abidin Rp 50,000 Rp 694,000
26 18/04/2018 Kam Sui Lie E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
27 19/04/2018 Rudy E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
28 19/04/2018 Hasan Panjaitan LPK Dr Abidin Rp 50,000
29 19/04/2018 Petric Marc Ruya LPK + Rontgen Dada,Natrium,Chlorida,Kalium Dr Abidin Rp 50,000 Rp 625,000 Rp 135,000
30 19/04/2018 Marsaulina Br Sitorus A Dr Abidin Rp 50,000 Rp 40,000
31 23/04/2018 Fendy Wijaya LPK Dr Abidin Rp 50,000
32 25/04/2018 Lina LPK Dr Abidin Rp 50,000
33 25/04/2018 Veren LPK Dr Abidin Rp 50,000
34 26/04/2018 Effendy,ST E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
35 28/04/2018 Kwan Hwie Tjien E + Hbeag Dr Abidin Rp 50,000 Rp 1,510,000 Rp 135,000
36 28/04/2018 Yanto Sendjaja E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000
37 28/04/2018 Ivan Yanputra D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
38 30/04/2018 Estomihy Manurung,SE D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
TOTAL Rp 1,850,000 Rp 20,408,000 Rp 440,000 Rp 4,585,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 APRIL 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 1,405,000
Rp 1,004,000
Rp 1,405,000
Rp 50,000
Rp 50,000
Rp 260,000
Rp 275,000
Rp 50,000
Rp 260,000
Rp 200,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 3,870,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 90,000
Rp 200,000
Rp 990,000
Rp 50,000
Rp 585,000
Rp 1,515,000
Rp 445,000
Rp 140,000
Rp 90,000
Rp 50,000
Rp 180,000
Rp 744,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 50,000
Rp 810,000
Rp 90,000
Rp 50,000
Rp 50,000
Rp 50,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 500,000 Rp 345,000 Rp 2,540,000
Rp 500,000 Rp 345,000 Rp 2,140,000
Rp 1,405,000
Rp 1,405,000
Rp 3,500,000 Rp 2,415,000 Rp 33,198,000

RIL 2018

angan
TAGIHAN PT. ALLIANZ BULAN MEI 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 02/05/2018 Wan Kek Ali Sumitro E Dr Abidin Rp 50,000 Rp 1,110,000 Rp 135,000 Rp 500,000 Rp 345,000
2 03/05/2018 Tetty Chandra USG Payudara Dr Abidin Rp 965,000
3 05/05/2018 Benhur LPK Dr Abidin Rp 50,000
4 05/05/2018 Herni LPK,USG Kandungan Dr Abidin Rp 50,000 Rp 950,000
5 11/05/2018 Ronald Lumban Gaol GDP,Hba1c Dr Abidin Rp 235,000
6 11/05/2018 Rudy Amd A + Darah Rutn,USG Abdomen Dr Abidin Rp 50,000 Rp 130,000 Rp 980,000
7 11/05/2018 Teguh Sianipar SPK Dr Abidin Rp 50,000
8 12/05/2018 Abdul Gani A Dr Abidin Rp 50,000 Rp 40,000
9 12/05/2018 Stefani Cynta Brahmana A Dr Abidin Rp 50,000 Rp 40,000
10 15/05/2018 Ratna Dewi A + LD Dr Abidin Rp 50,000 Rp 225,000
11 15/05/2018 Suamdi A + LD Dr Abidin Rp 50,000 Rp 225,000
12 15/05/2018 Nuryono Foto Rontgen Dada + LPK Dr Abidin Rp 50,000 Rp 135,000
13 17/05/2018 A Hui A + SGOT,SGPT,GGT,LD,USG Abdomen Dr Abidin Rp 50,000 Rp 395,000 Rp 980,000
14 18/05/2018 Florentna Siok Tuan LPK Dr Abidin Rp 50,000
15 19/05/2018 Juliana A + Darah rutn,Tes Fungsi Hat,USG Abdomen Dr Abidin Rp 50,000 Rp 460,000 Rp 980,000
16 19/05/2018 Anne Fransisca A + SGOT,SGPT,GGT,Ureum & Creatnin Dr Abidin Rp 50,000 Rp 300,000
17 21/05/2018 Melfa Sektana A + Ureum + Creatnin Dr Abidin Rp 50,000 Rp 130,000
18 23/05/2018 A Hue Lo LPK Dr Abidin Rp 50,000
19 23/05/2018 Linda A + T3,T4,TSH,USG Thyroid Dr Abidin Rp 50,000 Rp 994,000 Rp 890,000
20 28/05/2018 Rosinta Situmeang Foto Rontgen Lutut Bilateral Ap-Lateral Dr Abidin Rp 450,000
21 30/05/2018 Suleman Treadmill Dr Abidin Rp 50,000 Rp 500,000
22 30/05/2018 Ng A Boy Megawat LPK,USG Kandungan Dr Abidin Rp 50,000 Rp 950,000
TOTAL Rp 950,000 Rp 4,284,000 Rp 7,415,000 Rp 1,000,000 Rp 345,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,07 Juni 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
SARAH
Bagian Keuangan
Jumlah

Rp 2,140,000
Rp 965,000
Rp 50,000
Rp 1,000,000
Rp 235,000
Rp 1,160,000
Rp 50,000
Rp 90,000
Rp 90,000
Rp 275,000
Rp 275,000
Rp 185,000
Rp 1,425,000
Rp 50,000
Rp 1,490,000
Rp 350,000
Rp 180,000
Rp 50,000
Rp 1,934,000
Rp 450,000
Rp 550,000
Rp 1,000,000
Rp 13,994,000
TAGIHAN PT. ALLIANZ BULAN JUNI 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 02/06/2018 Liaw A Lie / Lily A Dr Abidin Rp 50,000 Rp 40,000
2 04/06/2018 Lidya Lie A Dr Abidin Rp 50,000 Rp 40,000
3 05/06/2018 Gisele Genevieve Goselin SPK Dr Abidin Rp 50,000
4 06/06/2018 Robet A + Foto Rontgen,EKG,Creatnin,Spirometri Dr Abidin Rp 50,000 Rp 355,000 Rp 110,000 Rp 135,000
5 07/06/2018 A Hui Ureum,Creatnin Dr Abidin Rp 90,000
6 08/06/2018 Suent LPK Dr Abidin Rp 50,000
7 11/06/2018 Sant Jumida Simanjuntak LPK Dr Abidin Rp 50,000
8 11/06/2018 Sukiman C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
9 25/06/2018 Laba Sinulingga LPK Dr Abidin Rp 50,000
10 29/06/2018 Tintn Lestari A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
TOTAL Rp 450,000 Rp 1,335,000 Rp 220,000 Rp 135,000 Rp - Rp -
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 Juli 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 90,000
Rp 90,000
Rp 50,000
Rp 650,000
Rp 90,000
Rp 50,000
Rp 50,000
Rp 840,000
Rp 50,000
Rp 180,000
Rp 2,140,000
TAGIHAN PT. ALLIANZ BULAN JULI 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 04/07/2018 Slamat Nirmala A + Hba1c,GDP,LD Dr Abidin Rp 50,000 Rp 460,000
2 05/07/2018 Sahat Purba LPK Dr Abidin Rp 50,000
3 05/07/2018 Rosinta Situmeang LPK Dr Abidin Rp 50,000
4 06/07/2018 Ju Sin LPK + USG Payudara Dr Abidin Rp 50,000 Rp 965,000
5 06/07/2018 Jonny Rikki A Dr Abidin Rp 50,000 Rp 40,000
6 07/07/2018 Berta Br Sidabutar Spirometri Dr Abidin Rp 270,000
7 09/07/2018 Jenny A Dr Abidin Rp 50,000 Rp 40,000
8 11/07/2018 Lim Kok Min LPK,Rontgen Foto Dada,Tes Fungsi Hat,Protein Total,Albumin,Globulin Dr Abidin Rp 50,000 Rp 528,000 Rp 135,000
9 16/07/2018 Panca Rianto Harianja LPK Dr Abidin Rp 50,000
10 17/07/2018 Rebecca Situmorang A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
11 20/07/2018 Djuliani C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
12 24/07/2018 Lie Man Kiaw A + Hba1c,GDP Dr Abidin Rp 50,000 Rp 275,000
13 24/07/2018 Irena Andriani C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
14 24/07/2018 Karsono D Dr Abidin Rp 50,000 Rp 1,110,000 Rp 110,000 Rp 135,000
15 25/07/2018 Maleakhi Purba LPK + Treadmill Dr Abidin Rp 50,000
16 25/07/2018 Suyen LPK + USG Kandungan Dr Abidin Rp 50,000 Rp 850,000
17 26/07/2018 Yohannes Binsar Silaban A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
18 26/07/2018 Ketthy Margaret Silaban A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
19 26/07/2018 Anthony Silaban A + Hba1c + GDP + Tes Fungsi Hat Dr Abidin Rp 50,000 Rp 605,000
TOTAL Rp 900,000 Rp 5,078,000 Rp 330,000 Rp 2,085,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 Agustus 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 510,000
Rp 50,000
Rp 50,000
Rp 1,015,000
Rp 90,000
Rp 270,000
Rp 90,000
Rp 713,000
Rp 50,000
Rp 180,000
Rp 840,000
Rp 325,000
Rp 840,000
Rp 1,405,000
Rp 500,000 Rp 550,000
Rp 900,000
Rp 180,000
Rp 180,000
Rp 655,000
Rp 500,000 Rp 8,893,000

s 2018
an
TAGIHAN PT. ALLIANZ BULAN AGUSTUS 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 01/08/2018 Johan Usman C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
2 02/08/2018 Afandi Citra,SH A + GDP,LD Dr Abidin Rp 50,000 Rp 260,000
3 02/08/2018 Mimi Lukito A Dr Abidin Rp 50,000 Rp 40,000
4 08/08/2018 A Sin C Dr Abidin Rp 50,000 Rp 680,000 Rp 110,000
5 08/08/2018 Loina Br Sitorus LPK Dr Abidin Rp 50,000
6 10/08/2018 Junjungan Moses Marudut A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
7 11/08/2018 Ng Erwin Gunawan LPK + T3,T4,TSH Dr Abidin Rp 50,000 Rp 954,000
TOTAL Rp 350,000 Rp 2,744,000 Rp 220,000 Rp -
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,15 Agustus 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 840,000
Rp 310,000
Rp 90,000
Rp 840,000
Rp 50,000
Rp 180,000
Rp 1,004,000
Rp - Rp 3,314,000

ustus 2018

uangan
TAGIHAN PT. ALLIANZ BULAN OKTOBER 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 04/10/2018 Victoria Ellen A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
2 05/10/2018 Ng Sien Ling A + LD,Darah Rutn Dr Abidin Rp 50,000 Rp 430,000
3 06/10/2018 Buyung E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000 Rp 450,000
4 06/10/2018 Nicholas Yangsen A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
5 06/10/2018 William Yangsen SPK,Urine Lengkap Dr Abidin Rp 50,000 Rp 40,000
6 09/10/2018 Sudirman Candra A Dr Abidin Rp 50,000 Rp 40,000
7 13/10/2018 Suhendy E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000 Rp 450,000
8 16/10/2018 Maria De Kock A + Gula Darah,Hba1C Dr Abidin Rp 50,000 Rp 380,000
9 16/10/2018 Jieco Liu SPK,Urine Lengkap Dr Abidin Rp 50,000 Rp 40,000
10 17/10/2018 Mulianto E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000 Rp 450,000
11 17/10/2018 Kwek Hoen Tan C Dr Abidin Rp 50,000 Rp 850,000 Rp 120,000
12 20/10/2018 Wiwit Suherianto Hbeag,Test Fungsi Hat,LPK,Hbsag Dr Abidin Rp 50,000 Rp 1,170,000
13 22/10/2018 Kalim A Dr Abidin Rp 50,000 Rp 40,000
14 22/10/2018 Hadiyanto Kurniawan HIV Test,Treadmill Dr Abidin Rp 500,000 Rp 450,000
15 25/10/2018 Andreas Totonafo Zebua LPK,Foto Rontgen Dr Abidin Rp 50,000 Rp 140,000
16 26/10/2018 Bernadette K.R.Rajagukguk C Dr Abidin Rp 50,000 Rp 850,000 Rp 120,000
17 27/10/2018 Mimi Merlin D Dr Abidin Rp 50,000 Rp 1,410,000 Rp 120,000 Rp 140,000
18 30/10/2018 Teh Mei Ik C Dr Abidin Rp 50,000 Rp 850,000 Rp 120,000
TOTAL Rp 850,000 Rp 10,590,000 Rp 480,000 Rp 700,000 Rp 2,000,000 Rp 1,800,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 November 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 180,000
Rp 480,000
Rp 2,550,000
Rp 180,000
Rp 90,000
Rp 90,000
Rp 2,550,000
Rp 430,000
Rp 90,000
Rp 2,550,000
Rp 1,020,000
Rp 1,220,000
Rp 90,000
Rp 950,000
Rp 190,000
Rp 1,020,000
Rp 1,720,000
Rp 1,020,000
Rp 16,420,000
TAGIHAN PT. ALLIANZ BULAN NOVEMBER 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL HIV
Nama Dr Honor
1 05/11/2018 Tiurni Silitonga A + LD Dr Abidin Rp 50,000 Rp 340,000
2 10/11/2018 Ng Sien Ling A + LD,Darah Rutn Dr Abidin Rp 50,000 Rp 430,000
3 16/11/2018 Juanda D Dr Abidin Rp 50,000 Rp 1,410,000 Rp 120,000 Rp 140,000
4 16/11/2018 Irvino Rangkut SH D Dr Abidin Rp 50,000 Rp 1,410,000 Rp 120,000 Rp 140,000
5 24/11/2018 Tiarman Nadeak A + Glukosa Puasa,Hba1c Dr Abidin Rp 50,000 Rp 380,000
6 30/11/2018 Joni A + Darah Rutn,LD,Treadmill,Foto Rontgen Dr Abidin Rp 50,000 Rp 430,000 Rp 140,000 Rp 500,000
7 30/11/2018 Prizky Syahbana Hutabarat A + EKG Dr Abidin Rp 50,000 Rp 40,000 Rp 120,000
TOTAL Rp 350,000 Rp 4,440,000 Rp 360,000 Rp 420,000 Rp 500,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,04 Desember 2018
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
Jumlah

Rp 390,000
Rp 480,000
Rp 1,720,000
Rp 1,720,000
Rp 430,000
Rp 1,120,000
Rp 210,000
Rp 6,070,000
TAGIHAN PT. ALLIANZ BULAN DESEMBER 2018
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 01/12/2018 Ir.Saud Oberlin Napitupulu A + LD Dr Abidin Rp 50,000 Rp 340,000
2 01/12/2018 Prizky Syahbana Hutabarat A + EKG Dr Abidin Rp 50,000 Rp 160,000
3 03/12/2018 Poniman Taman E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000
4 04/12/2018 Helen Octaviani A Dr Abidin Rp 50,000 Rp 40,000
5 05/12/2018 Jamser Simanjuntak A Dr Abidin Rp 50,000 Rp 40,000
6 07/12/2018 Floria Br Simanjuntak LPK,Drah Rutn Dr Abidin Rp 50,000 Rp 90,000
7 08/12/2018 Nelly E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000
8 08/12/2018 Johan Winata A + LD Dr Abidin Rp 50,000 Rp 340,000
9 10/12/2018 Nuraini A + Darah Rutn Dr Abidin Rp 50,000 Rp 130,000
10 13/12/2018 Tan Tin Tiong A + GDP,Hba1C,Treadmill Dr Abidin Rp 50,000 Rp 380,000 Rp 500,000
11 14/12/2018 Sofian E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000
12 14/12/2018 Ir.Saud Oberlin Napitupulu GDP,Hba1C Dr Abidin Rp 340,000
13 15/12/2018 Yant LPK,Drah Rutn Dr Abidin Rp 50,000 Rp 90,000
14 15/12/2018 Firman Hidayat LPK Dr Abidin Rp 50,000
15 17/12/2018 Elly E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000
16 17/12/2018 Ramses Siburian LPK Dr Abidin Rp 50,000
17 17/12/2018 Ida Sihombing LPK Dr Abidin Rp 50,000
18 17/12/2018 Hendra LPK,EKG Dr Abidin Rp 50,000 Rp 120,000
19 18/12/2018 Emily Wilkinson SPK,Urine Lengkap Dr Abidin Rp 50,000 Rp 40,000
20 19/12/2018 Tiamin Intan LPK Dr Abidin Rp 50,000
21 20/12/2018 Setawi Dharma LPK,Hba1C,Hiv Test,Treadmill,Rontgen dada Dr Abidin Rp 50,000 Rp 300,000 Rp 140,000 Rp 500,000
22 20/12/2018 Octavia LPK Dr Abidin Rp 50,000
23 20/12/2018 Dennys Lourentz Winata A Dr Abidin Rp 50,000 Rp 40,000
24 20/12/2018 Dustn Laurentz Winata A Dr Abidin Rp 50,000 Rp 40,000
25 20/12/2018 Darren Laurentz Winata A Dr Abidin Rp 50,000 Rp 40,000
26 21/12/2018 Suhardjo LPK Dr Abidin Rp 50,000
27 21/12/2018 Robin A + LD Dr Abidin Rp 50,000 Rp 340,000
28 22/12/2018 Louis Oliver Goh SPK Dr Abidin Rp 50,000
29 22/12/2018 Steven A + LD,SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 530,000
30 26/12/2018 San Mai Dr Abidin Rp 50,000 Rp 470,000
31 26/12/2018 Bujung E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000
32 27/12/2018 Sudiman E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000
33 29/12/2018 Tony LPK Dr Abidin Rp 50,000
TOTAL Rp 1,600,000 Rp 12,210,000 Rp 120,000 Rp 980,000 Rp 4,000,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 Januari 2019
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
HIV Jumlah

Rp 390,000
Rp 210,000
Rp 450,000 Rp 2,550,000
Rp 90,000
Rp 90,000
Rp 140,000
Rp 450,000 Rp 2,550,000
Rp 390,000
Rp 180,000
Rp 930,000
Rp 450,000 Rp 2,550,000
Rp 340,000
Rp 140,000
Rp 50,000
Rp 450,000 Rp 2,550,000
Rp 50,000
Rp 50,000
Rp 170,000
Rp 90,000
Rp 50,000
Rp 450,000 Rp 1,440,000
Rp 50,000
Rp 90,000
Rp 90,000
Rp 90,000
Rp 50,000
Rp 390,000
Rp 50,000
Rp 580,000
Rp 520,000
Rp 450,000 Rp 2,550,000
Rp 450,000 Rp 2,550,000
Rp 50,000
Rp 3,150,000 Rp 22,060,000
TAGIHAN PT. ALLIANZ BULAN JANUARI 2019
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen
Nama Dr Honor
1 08/01/2019 Bunga Habeahan A + GDP,Hba1c Dr Abidin Rp 50,000 Rp 380,000
2 10/01/2019 Lidia LPK Dr Abidin Rp 50,000
3 11/01/2019 Hendy Winata E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000
4 11/01/2019 Lina Wat A + GDP,Hba1c Dr Abidin Rp 50,000 Rp 380,000
5 12/01/2019 Surjit Kour LPK,Analisa Urine Lengkap,Analisa Darah Lengkap,Treadmill,Hiv Test Dr Abidin Rp 50,000 Rp 1,410,000
6 15/01/2019 Jonson LPK Dr Abidin Rp 50,000
7 19/01/2019 Ng Sei Pang A Dr Abidin Rp 50,000 Rp 40,000
8 19/01/2019 Oei Guek Kie A Dr Abidin Rp 50,000 Rp 40,000
9 22/01/2019 Neliyat C Dr Abidin Rp 50,000 Rp 850,000 Rp 120,000
10 22/01/2019 Tjie Suk Ling E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000
11 23/01/2019 Ng Mie Mie A Dr Abidin Rp 50,000 Rp 40,000
12 25/01/2019 Tjhia Lie Tjaw A Dr Abidin Rp 50,000 Rp 380,000
13 25/01/2019 Lie Tjin Tjai LPK Dr Abidin Rp 50,000
14 28/01/2019 Albaik LPK Dr Abidin Rp 50,000
15 31/01/2019 Alice Angko LLB A Dr Abidin Rp 50,000 Rp 40,000
TOTAL Rp 750,000 Rp 6,380,000 Rp 120,000 Rp 280,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,03 Februari 2019
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA

SARAH
Bagian Keuangan
TREADMILL HIV Jumlah

Rp 430,000
Rp 50,000
Rp 500,000 Rp 450,000 Rp 2,550,000
Rp 430,000
Rp 500,000 Rp 450,000 Rp 2,410,000
Rp 50,000
Rp 90,000
Rp 90,000
Rp 1,020,000
Rp 500,000 Rp 450,000 Rp 2,550,000
Rp 90,000
Rp 430,000
Rp 50,000
Rp 50,000
Rp 90,000
Rp 1,500,000 Rp 1,350,000 Rp 10,380,000

ruari 2019

uangan
TAGIHAN PT. ALLIANZ BULAN FEBRUARI 2019
Medan Medical Center
Komplek Multatuli Indah Blok. BB No.56-57 Medan
Telp. (061) 4535522
Honor Dr. Umum
No. Tgl Nama Pasien TIPE LAB EKG Rontgen TREADMILL
Nama Dr Honor
1 01/02/2019 Devi LPK Dr Abidin Rp 50,000
2 14/02/2019 Amin D Dr Abidin Rp 50,000 Rp 1,410,000 Rp 120,000 Rp 140,000
3 15/02/2019 Suwanto A + LD Dr Abidin Rp 50,000 Rp 340,000
4 15/02/2019 Jenni LPK + Darah Rutn Dr Abidin Rp 50,000 Rp 90,000
5 18/02/2019 Sherly Tedjo E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000
6 18/02/2019 Hartawan Tjendra E Dr Abidin Rp 50,000 Rp 1,410,000 Rp 140,000 Rp 500,000
7 19/02/2019 Yuni Astria Simanjuntak LPK + Darah Rutn Dr Abidin Rp 50,000 Rp 90,000
8 20/02/2019 Kho Tiam Ting Tahara A + Hba1c,Ureum,Creatnin,GDP Dr Abidin Rp 50,000 Rp 500,000
9 21/02/2019 Kwe Juliana D Dr Abidin Rp 50,000 Rp 1,410,000 Rp 120,000 Rp 140,000
10 21/02/2019 Carsten Austn Sumiko SPK,Urine Lengkap Dr Abidin Rp 50,000 Rp 40,000
11 21/02/2019 Ady LPK Dr Abidin Rp 50,000
12 21/02/2019 Merlin Gintng A + GDP,Hba1c Dr Abidin Rp 50,000 Rp 380,000
13 21/02/2019 Yunita Hutabarat LPK Dr Abidin Rp 50,000
14 23/02/2019 Chiew Kean Yong D Dr Abidin Rp 50,000 Rp 1,410,000 Rp 120,000 Rp 140,000
15 23/02/2019 Sofia LPK,Darah Rutn Dr Abidin Rp 50,000 Rp 90,000
16 25/02/2019 Lomina Sinaga C Dr Abidin Rp 50,000 Rp 850,000 Rp 120,000
17 26/02/2019 Tju Tjiang Jonson LPK Dr Abidin Rp 50,000 Rp 40,000
18 26/02/2019 Jagat Abid Barokah SPK Dr Abidin Rp 50,000
19 27/02/2019 Norma Br Kaban A + LD Dr Abidin Rp 50,000 Rp 340,000
20 27/02/2019 Agumi Chuanda LPK Dr Abidin Rp 50,000
21 28/02/2019 Cinly LPK Dr Abidin Rp 50,000
22 28/02/2019 Akim Gintng LPK,SGOT,SGPT,GGT Dr Abidin Rp 50,000 Rp 190,000
TOTAL Rp 1,100,000 Rp 10,000,000 Rp 480,000 Rp 700,000 Rp 1,000,000
Pembayaran dapat di transfer melalui :
A/C : 2420,1004,7600,6 Medan,04 Maret 2019
A/n : PT.BINA SEHAT
Bank : CIMB NIAGA
SARAH
Bagian Keuangan
HIV Jumlah

Rp 50,000
Rp 1,720,000
Rp 390,000
Rp 140,000
Rp 450,000 Rp 2,550,000
Rp 450,000 Rp 2,550,000
Rp 140,000
Rp 550,000
Rp 1,720,000
Rp 90,000
Rp 50,000
Rp 430,000
Rp 50,000
Rp 1,720,000
Rp 140,000
Rp 1,020,000
Rp 90,000
Rp 50,000
Rp 390,000
Rp 50,000
Rp 50,000
Rp 240,000
Rp 900,000 Rp 14,180,000

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