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DAFTAR PENERIMAAN PEMBAYARAN PASIEN UMUM

BULAN : JANUARI 2019

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP
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BULAN : FEBRUARI 2018

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP

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BULAN : MARET 2018

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP
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BULAN : APRIL 2018

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP
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BULAN : MEI 2018

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP
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BULAN : JULI 2018

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP
1 7/4/2018 7/9/2018 NY.TIARA SC dr.John A Kaput Sp.OG
2 7/5/2018 BY.NY.ERVINA ASFEKSIA dr.Sudading Sp.A
3 7/6/2018 BY.NY.AZLIA ASFEKSIA dr.Sudading Sp.A
4 7/7/2018 NY.ANDI INDAH PARTUS NORMAL dr.John A Kaput Sp.OG
5 7/10/2018 BY.NY.TRI RAHAYU PARTUS NORMAL dr.John A Kaput Sp.OG
6 7/22/2018 NY.FADLUN PARTUS NORMAL dr.John A Kaput Sp.OG
7 7/14/2018 7/14/2018 NY.YAYU R PARTUS NORMAL dr.John A Kaput Sp.OG
8 7/14/2018 7/17/2018 NY.FATIMA SC dr.John A Kaput Sp.OG
9 7/27/2018 7/27/2018 NY.FACHRI.R KURET dr.John A Kaput Sp.OG
10 7/28/2018 7/29/2018 NY.RANI.M KURET dr.John A Kaput Sp.OG
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BULAN : AGUSTUS 2018

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP
1 8/7/2018 8/8/2018 NY.LINCE KURET
2 8/10/2018 8/11/2018 NY.NURHAYATI PARTUS
3 8/20/2018 8/21/2018 NY.HARUMI KURET
4 8/3/2018 NY.JULIANA SC
5 8/5/2018 BY.NY.EVI ASFIKSIA
6 8/11/2018 BY.NY.HJ.ESA ASFIKSIA
7 8/11/2018 BY.NY.AULIA MUSTIKA ASFIKSIA
8 8/12/2018 BY.NY.DIANA ASFIKSIA

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9 8/12/2018 NY.RISDAWATI SC
10 8/16/2018 BY.NY.MEINARD ASFIKSIA
11 8/19/2018 NY.FITRIANI SC
12 8/23/2018 NY.ASTRIANI SC
13 8/24/2018 BY.NY.NUR AINI ASFIKSIA
14 8/27/2018 BY.NY.EKA YUNITA ASFIKSIA

BULAN : SEPTEMBER 2018

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP
1 9/1/2018 9/4/2018 NY.MESKE SC dr.Jhon A Kaput Sp.OG
2 9/1/2018 9/4/2018 NY.NURHIDAYATI SC dr.Jhon A Kaput Sp.OG
3 9/9/2018 9/11/2018 NY.SRI M PARTUS dr.Jhon A Kaput Sp.OG
4 9/8/2018 9/11/2018 NY.MAMIK SC dr.Jhon A Kaput Sp.OG
5 9/2/2018 NY.NIRMALASARI PARTUS dr.Jhon A Kaput Sp.OG
6 9/5/2018 NY.LISTIAWIDITA SC dr.Jhon A Kaput Sp.OG
7 9/10/2018 NY.IRAWATI SC dr.Jhon A Kaput Sp.OG
8 9/20/2018 BY.NY.IRMA ASFEKSIA dr.Jhon A Kaput Sp.OG
9 9/21/2018 BY.NY.MERCY ASFEKSIA dr.Jhon A Kaput Sp.OG
10 9/26/2018 BY.NY.MISRIANI ASFEKSIA dr.Jhon A Kaput Sp.OG
11 9/28/2018 BY.NY.ZAITUN ASFEKSIA dr.Jhon A Kaput Sp.OG
12 9/14/2018 9/16/2018 NY.RISKA PARTUS dr.Jhon A Kaput Sp.OG
13 9/24/2018 9/28/2018 NY.SITI SOLEHA SC dr.Jhon A Kaput Sp.OG
14 9/26/2018 9/28/2018 NY.NI GUSTI SC dr.Jhon A Kaput Sp.OG

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Tarip Umum Tarif Selisih Total Tarif Jenis Pasien Keterangan

Tarip Umum Tarif Selisih Total Tarif Jenis Pasien Keterangan

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Tarip Umum Tarif Selisih Total Tarif Jenis Pasien Keterangan

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Tarip Umum Tarif Selisih Total Tarif Jenis Pasien Keterangan

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Tarip Umum Tarif Selisih Total Tarif Jenis Pasien Keterangan

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Tarip Umum Tarif Selisih Total Tarif Jenis Pasien Keterangan

Rp12,235,100 UMUM
Rp2,000,000 BPJS Rawat bayi normal
Rp4,000,000 BPJS rawat bayi sc
Rp1,770,000 BPJS Kelas 2 ke Vip
Rp1,777,000 BPJS Kelas 2 ke Vip
Rp332,000 BPJS Kelas 2 ke 1
Rp1,650,000 UMUM
Rp7,515,100 UMUM
Rp2,225,000 UMUM
Rp2,910,000 UMUM
Rp36,414,200

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Tarip Umum Tarif Selisih Total Tarif Jenis Pasien Keterangan

2,375,000 UMUM
2,025,000 UMUM
2,710,000 UMUM
1,700,000 BPJS Kelas 2 ke 1
3,000,000 BPJS Rawat bayi SC
4,000,000 BPJS Rawat bayi SC
3,000,000 BPJS Rawat bayi SC
2,000,000 BPJS Rawat bayi SC

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5,950,000 BPJS Kelas1 ke Vip

1,500,000 BPJS Rawat bayi SC
1,700,000 BPJS Kelas 1 ke Vip
1,790,000 BPJS Kelas 1 ke Vip
2,000,000 BPJS Rawat bayi SC
3,000,000 BPJS Rawat bayi SC
36,750,000

Tarip Umum Tarif Selisih Total Tarif Jenis Pasien Keterangan

Rp8,433,000 UMUM
Rp7,692,000 UMUM
Rp3,100,000 UMUM
Rp8,930,000
Rp332,000 BPJS Kelas 2 ke 1
Rp1,690,000 BPJS Kelas 1 ke VIP
Rp1,625,000 BPJS Kelas 2 ke 1
Rp3,000,000 BPJS Rawat bayi Sc
Rp3,000,000 BPJS Rawat bayi Sc
Rp3,000,000 BPJS Rawat bayi Sc
Rp2,000,000 BPJS Rawat bayi Sc
Rp2,325,000 UMUM
Rp9,210,000 UMUM
Rp11,710,100 UMUM
Rp66,047,100

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BULAN : JANUARI 2019
No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien DIAGNOSE DPJP Tarip Umum Tarif Selisih Total Tarif
1 1/21/2019 1/25/2019 NY.ANDINI SC dr.John A Kaput Sp.OG 9,260,000
2 1/24/2019 1/26/2019 NY.IMELDA PARTUS NORMAL dr.John A Kaput Sp.OG 2,150,000
3 1/25/2019 1/26/2019 NY.DEWI PARTUS NORMAL dr.John A Kaput Sp.OG 2,550,000
4 1/29/2019 1/30/2019 NY.ARIZA KURET dr.John A Kaput Sp.OG 3,020,000
5 1/29/2019 1/31/2019 NY.MARINA PARTUS NORMAL dr.John A Kaput Sp.OG 3,850,000
6 1/22/2019 NY.NUR SC dr.John A Kaput Sp.OG 2,600,000
7 1/24/2019 NY.ELLY KONTAP dr.John A Kaput Sp.OG 6,300,000
8 1/25/2019 NY.LIDYA SC dr.John A Kaput Sp.OG 600,000
9 1/26/2019 NY.NILUH AYU SC dr.John A Kaput Sp.OG 5,000,000
10 1/31/2019 NY.SUHARYANTI PARTUS NORMAL dr.John A Kaput Sp.OG 332,000
11 1/31/2019 NY.MARINA PARTUS NORMAL dr.John A Kaput Sp.OG 1,771,000
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 Jenis Pasien Keterangan
UMUM
UMUM
UMUM
UMUM
UMUM
BPJS Kls 3 ke klas 2
BPJS
BPJS Kls3 ke Klas 2
BPJS Kls 1 ke vip
BPJS kls ke klas 2
BPJS