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  • 1 - Update Pengobatan TB RO - Apr 2018

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    Tasya virrisya Tania 94
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    The documents contain registration and treatment records for patients with multi-drug resistant tuberculosis (TB MDR) at RSUD Matraman hospital in July and August 2018. In July, Ahmad Junaedi Fajri (24 years old) received 16 injections of Kanamycin 750mg and had a total drug cost of Rp 468,500. In August, Ahmad Junaedi Fajri received 31 injections of Capreomycin 750mg and laboratory tests for liver and kidney function, while Sandi Wijaya (43 years old) received 4 injections of Kanamycin 750mg. Total drug costs for August were Rp 931,800.

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    1_Update Pengobatan TB RO_Apr 2018

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    The documents contain registration and treatment records for patients with multi-drug resistant tuberculosis (TB MDR) at RSUD Matraman hospital in July and August 2018. In July, Ahmad Junaedi Fajri (24 years old) received 16 injections of Kanamycin 750mg and had a total drug cost of Rp 468,500. In August, Ahmad Junaedi Fajri received 31 injections of Capreomycin 750mg and laboratory tests for liver and kidney function, while Sandi Wijaya (43 years old) received 4 injections of Kanamycin 750mg. Total drug costs for August were Rp 931,800.

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    © All Rights Reserved
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    9 views23 pages

    1 - Update Pengobatan TB RO - Apr 2018

    Uploaded by

    Tasya virrisya Tania 94
    The documents contain registration and treatment records for patients with multi-drug resistant tuberculosis (TB MDR) at RSUD Matraman hospital in July and August 2018. In July, Ahmad Junaedi Fajri (24 years old) received 16 injections of Kanamycin 750mg and had a total drug cost of Rp 468,500. In August, Ahmad Junaedi Fajri received 31 injections of Capreomycin 750mg and laboratory tests for liver and kidney function, while Sandi Wijaya (43 years old) received 4 injections of Kanamycin 750mg. Total drug costs for August were Rp 931,800.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 23

    REKAP PENDAFTARAN KONSUL TB MDR JULI 2018

    NO Rekam Medis NAMA USIA POLI


    1 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 POLI CRISTAL (PARU) PAGI
    2
    3
    4
    5

    REKAP TINDAKAN INJEKSI TB MDR JULI 2018

    NO Rekam Medis NAMA USIA TINDAKAN

    1 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg


    2 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    3 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    4 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    5 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    6 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    7 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    8 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    9 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    10 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    11 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    12 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    13 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    14 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    15 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    16 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    17 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    18 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    19 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    20 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI KANAMICYN 750mg
    TOTAL
    TAGIHAN BMHP TB MDR JULI 2018
    RSUD MATRAMAN

    NO. No. RM Nama pasien Biaya Obat TGL


    1 2017.00.59.83 AHMAD JUNAEDI FAJRI Rp 468,500 9/12/2017
    2
    3
    TOTAL BIAYA OBAT Rp 468,500

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003
    TARIF TGL
    Rp 30,000 7/14/2018

    Rp 30,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003

    18

    TARIF TINDAKAN TGL

    Rp 10,000 7/12/2018
    Rp 10,000 7/13/2018
    Rp 10,000 7/14/2018
    Rp 10,000 7/15/2018
    Rp 10,000 7/16/2018
    Rp 10,000 7/17/2018
    Rp 10,000 7/18/2018
    Rp 10,000 7/19/2018
    Rp 10,000 7/20/2018
    Rp 10,000 7/21/2018
    Rp 10,000 7/22/2018
    Rp 10,000 7/23/2018
    Rp 10,000 7/24/2018
    Rp 10,000 7/25/2018
    Rp 10,000 7/26/2018
    Rp 10,000 7/27/2018
    Rp 10,000 7/28/2018
    Rp 10,000 7/29/2018
    Rp 10,000 7/30/2018
    Rp 10,000 7/31/2018
    Rp 200,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003
    REKAP PENDAFTARAN KONSUL TB MDR AGUSTUS 2018

    NO Rekam Medis NAMA USIA POLI


    1 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 POLI CRISTAL (PARU) SORE
    2 2018.03.43.47 SANDI WIJAYA 43 POLI CRISTAL (PARU) SORE
    3 2018.03.45.31 RIVALDI 22 POLI CRISTAL (PARU) SORE
    4
    5

    REKAP TINDAKAN TB MDR AGUSTUS 2018

    NO Rekam Medis NAMA USIA TINDAKAN


    1 2018.03.45.31 RIVALDI 22 EKG
    REKAP TINDAKAN INJEKSI TB MDR AGUSTUS 2018

    NO Rekam Medis NAMA USIA TINDAKAN

    1 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg


    2 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    3 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    4 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    5 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    6 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    7 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    8 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    9 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    10 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    11 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    12 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    13 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    14 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    15 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    16 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    17 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    18 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    19 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    20 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    21 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    22 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    23 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    24 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    25 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    26 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    27 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    28 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    29 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    30 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    31 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg

    1 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg


    2 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg
    3 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg
    4 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg

    5
    TOTAL
    REKAP LABORATORIUM TB MDR AGUSTUS 2018

    NO Rekam Medis NAMA USIA TINDAKAN


    1 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 FUNGSI HATI
    2 FUNGSI GINJAL
    3
    4

    NO Rekam Medis NAMA USIA TINDAKAN


    1 2018.03.45.31 RIVALDI 22 KABOHIDRAT
    2 ELEKTROLIT
    3 FUNGSI GINJAL
    4

    TOTAL

    TAGIHAN BMHP TB MDR AGUSTUS 2018


    RSUD MATRAMAN

    NO. No. RM Nama pasien Biaya Obat TGL


    1 2017.00.59.83 AHMAD JUNAEDI FAJRI Rp 697,800 8/1/2018
    2 2018.03.45.31 RIVALDI Rp 228,000 8/31/2018
    3 2017.00.59.83 AHMAD JUNAEDI FAJRI Rp 6,000 8/7/2018
    TOTAL BIAYA OBAT Rp 931,800

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003

    TAGIHAN OBAT EFEK SAMPING TB MDR AGUSTUS 2018


    RSUD MATRAMAN
    NO. No. RM Nama pasien Biaya Obat TGL
    1 2017.00.59.83 AHMAD JUNAEDI FAJRI Rp 6,000 8/7/2018
    2
    3
    TOTAL BIAYA OBAT Rp 6,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003
    18

    TARIF TGL
    Rp 40,000 8/7/2018
    Rp 40,000 8/24/2018
    Rp 40,000 8/31/2018

    Rp 120,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003

    TARIF TGL
    Rp 50,000 8/31/2018

    Rp 50,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003
    2018

    TARIF TINDAKAN TGL

    Rp 10,000 8/1/2018
    Rp 10,000 8/2/2018
    Rp 10,000 8/3/2018
    Rp 10,000 8/4/2018
    Rp 10,000 8/5/2018
    Rp 10,000 8/6/2018
    Rp 10,000 8/7/2018
    Rp 10,000 8/8/2018
    Rp 10,000 8/9/2018
    Rp 10,000 8/10/2018
    Rp 10,000 8/11/2018
    Rp 10,000 8/12/2018
    Rp 10,000 8/13/2018
    Rp 10,000 8/14/2018
    Rp 10,000 8/15/2018
    Rp 10,000 8/16/2018
    Rp 10,000 8/17/2018
    Rp 10,000 8/18/2018
    Rp 10,000 8/19/2018
    Rp 10,000 8/20/2018
    Rp 10,000 8/21/2018
    Rp 10,000 8/22/2018
    Rp 10,000 8/23/2018
    Rp 10,000 8/24/2018
    Rp 10,000 8/25/2018
    Rp 10,000 8/26/2018
    Rp 10,000 8/27/2018
    Rp 10,000 8/28/2018
    Rp 10,000 8/29/2018
    Rp 10,000 8/30/2018
    Rp 10,000 8/31/2018
    Rp 310,000
    Rp 10,000 8/28/2018
    Rp 10,000 8/29/2018
    Rp 10,000 8/30/2018
    Rp 10,000 8/31/2018
    Rp 40,000

    Rp 350,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman
    Agus Ateng Setiawan, SE, MA
    NIP : 196908081995031003
    2018

    TARIF TGL
    Rp 60,000 8/6/2018
    Rp 90,000

    Rp 150,000
    TARIF TGL
    Rp 50,000 8/31/2018
    Rp 80,000
    Rp 30,000

    Rp 160,000
    Rp 310,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003
    REKAP PENDAFTARAN KONSUL TB MDR SEPTEMBER 2018

    NO Rekam Medis NAMA USIA POLI


    1 2018.03.48.23 ROCHIMAH 47 POLI CRISTAL (PARU) SORE
    2 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 POLI CRISTAL (PARU) SORE
    3
    4
    5

    REKAP TINDAKAN TB MDR SEPTEMBER 2018

    NO Rekam Medis NAMA USIA TINDAKAN


    1 2018.03.48.23 ROCHIMAH 47 EKG
    2 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 EKG
    3 2018.03.43.47 SANDI WIJAYA 43 EKG
    REKAP TINDAKAN INJEKSI TB MDRSEPTEMBER 2018

    NO Rekam Medis NAMA USIA TINDAKAN

    1 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg


    2 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    3 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    4 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    5 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    6 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    7 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    8 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    9 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    10 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    11 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    12 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    13 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    14 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    15 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    16 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    17 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    18 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    19 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    20 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    21 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    22 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    23 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    24 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    25 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    26 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    27 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg
    28 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 INJEKSI CAPREOMILYN 750mg

    1 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg


    2 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    3 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    4 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    5 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    6 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    7 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    8 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    9 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    10 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    11 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    12 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    13 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    14 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg
    15 2017.00.59.83 ROCHIMAH 47 INJEKSI KANAMICYN 750mg

    1 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg


    2 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg
    3 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg
    4 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg
    5 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg
    6 2018.03.43.47 SANDI WIJAYA 43 INJEKSI KANAMICYN 750mg
    1 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    2 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    3 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    4 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    5 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    6 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    7 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    8 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    9 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    10 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    11 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    12 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    13 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    14 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    15 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    16 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    17 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    18 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    19 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    20 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    21 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    22 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    23 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    24 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    25 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg
    26 2018.03.45.31 RIVALDI 22 INJEKSI KANAMICYN 750mg

    TOTAL
    REKAP LABORATORIUM TB MDR SEPTEMBER 2018

    NO Rekam Medis NAMA USIA TINDAKAN


    1 2018.03.48.23 ROCHIMAH 47 HEMATOLOGI
    2 KABOHIDRAT
    3 FUNGSI HATI
    ELEKTROLIT
    IMUNOSEROLOGI
    4 FUNGSI GINJAL

    NO Rekam Medis NAMA USIA TINDAKAN


    1 2017.00.59.83 AHMAD JUNAEDI FAJRI 24 CREATININ
    2 UREUM
    3
    4

    NO Rekam Medis NAMA USIA TINDAKAN


    1 2018.03.43.47 SANDI WIJAYA 43 ELEKTROLIT
    2 FUNGSI GINJAL
    3
    4

    TOTAL

    TAGIHAN BMHP TB MDR SEPTEMBER 2018


    RSUD MATRAMAN

    NO. No. RM Nama pasien Biaya Obat TGL


    1 2017.00.59.83 AHMAD JUNAEDI FAJRI Rp 678,000 9/1/2018
    2 2018.03.45.31 RIVALDI Rp 678,000 9/4/2018

    TOTAL BIAYA OBAT Rp 1,356,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman
    Agus Ateng Setiawan, SE, MA
    NIP : 196908081995031003

    TAGIHAN OBAT EFEK SAMPING TB MDR SEPTEMBER 2018


    RSUD MATRAMAN

    NO. No. RM Nama pasien Biaya Obat TGL


    1 2018.03.45.31 RIVALDI Rp 2,000 9/24/2018
    2
    3
    TOTAL BIAYA OBAT Rp 2,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003
    18

    TARIF TGL
    Rp 40,000 9/4/2018
    Rp 40,000 9/7/2018

    Rp 80,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003

    TARIF TGL
    Rp 50,000 9/1/2018
    Rp 40,000 9/7/2018
    Rp 50,000 9/26/2018
    Rp 140,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003
    2018

    TARIF TINDAKAN TGL

    Rp 10,000 9/1/2018
    Rp 10,000 9/2/2018
    Rp 10,000 9/3/2018
    Rp 10,000 9/4/2018
    Rp 10,000 9/5/2018
    Rp 10,000 9/6/2018
    Rp 10,000 9/7/2018
    Rp 10,000 9/8/2018
    Rp 10,000 9/10/2018
    Rp 10,000 9/11/2018
    Rp 10,000 9/12/2018
    Rp 10,000 9/13/2018
    Rp 10,000 9/14/2018
    Rp 10,000 9/15/2018
    Rp 10,000 9/16/2018
    Rp 10,000 9/17/2018
    Rp 10,000 9/18/2018
    Rp 10,000 9/19/2018
    Rp 10,000 9/20/2018
    Rp 10,000 9/21/2018
    Rp 10,000 9/22/2018
    Rp 10,000 9/23/2018
    Rp 10,000 9/24/2018
    Rp 10,000 9/25/2018
    Rp 10,000 9/26/2018
    Rp 10,000 9/28/2018
    Rp 10,000 9/29/2018
    Rp 10,000 9/30/2018
    Rp 280,000
    Rp 10,000 9/5/2018
    Rp 10,000 9/12/2018
    Rp 10,000 9/13/2018
    Rp 10,000 9/14/2018
    Rp 10,000 9/15/2018
    Rp 10,000 9/16/2018
    Rp 10,000 9/17/2018
    Rp 10,000 9/18/2018
    Rp 10,000 9/19/2018
    Rp 10,000 9/20/2018
    Rp 10,000 9/21/2018
    Rp 10,000 9/22/2018
    Rp 10,000 9/23/2018
    Rp 10,000 9/24/2018
    Rp 10,000 9/25/2018
    Rp 150,000
    Rp 10,000 9/2/2018
    Rp 10,000 9/3/2018
    Rp 10,000 9/4/2018
    Rp 10,000 9/5/2018
    Rp 10,000 9/6/2018
    Rp 10,000 9/7/2018
    Rp 60,000
    Rp 10,000 9/3/2018
    Rp 10,000 9/4/2018
    Rp 10,000 9/5/2018
    Rp 10,000 9/6/2018
    Rp 10,000 9/7/2018
    Rp 10,000 9/8/2018
    Rp 10,000 9/9/2018
    Rp 10,000 9/11/2018
    Rp 10,000 9/12/2018
    Rp 10,000 9/13/2018
    Rp 10,000 9/14/2018
    Rp 10,000 9/15/2018
    Rp 10,000 9/16/2018
    Rp 10,000 9/17/2018
    Rp 10,000 9/18/2018
    Rp 10,000 9/19/2018
    Rp 10,000 9/20/2018
    Rp 10,000 9/21/2018
    Rp 10,000 9/22/2018
    Rp 10,000 9/23/2018
    Rp 10,000 9/24/2018
    Rp 10,000 9/25/2018
    Rp 10,000 9/26/2018
    Rp 10,000 9/27/2018
    Rp 10,000 9/28/2018
    Rp 10,000 9/29/2018
    Rp 260,000
    Rp 750,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003
    2018

    TARIF TGL
    Rp 40,000 9/1/2018
    Rp 25,000
    Rp 165,000
    Rp 80,000
    Rp 10,000
    Rp 90,000
    Rp 410,000
    TARIF TGL
    Rp 30,000 9/7/2018
    Rp 30,000

    Rp 60,000
    TARIF TGL
    Rp 80,000 9/26/2018
    Rp 60,000

    Rp 140,000
    Rp 610,000

    Jakarta, 11 Oktober 2018


    Ka Subbag TU
    RSUD Matraman

    Agus Ateng Setiawan, SE, MA


    NIP : 196908081995031003

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