The document summarizes medical expenses for a patient named Ny. Ayyik W for a spontaneous birth with a midwife. It lists expenses for various medical items, tests, and services totaling Rp. 845,000. It then shows the total budget from BPJS of Rp. 2,227,700 and notes Rp. 1,055,000 is for expenses outside the package. It further breaks down that Rp. 210,000 will be returned to the patient and itemizes those returns. It also itemizes laboratory expenses totaling Rp. 210,000. Finally, it lists the expense for a resume as Rp. 100,000.
The document summarizes medical expenses for a patient named Ny. Ayyik W for a spontaneous birth with a midwife. It lists expenses for various medical items, tests, and services totaling Rp. 845,000. It then shows the total budget from BPJS of Rp. 2,227,700 and notes Rp. 1,055,000 is for expenses outside the package. It further breaks down that Rp. 210,000 will be returned to the patient and itemizes those returns. It also itemizes laboratory expenses totaling Rp. 210,000. Finally, it lists the expense for a resume as Rp. 100,000.
The document summarizes medical expenses for a patient named Ny. Ayyik W for a spontaneous birth with a midwife. It lists expenses for various medical items, tests, and services totaling Rp. 845,000. It then shows the total budget from BPJS of Rp. 2,227,700 and notes Rp. 1,055,000 is for expenses outside the package. It further breaks down that Rp. 210,000 will be returned to the patient and itemizes those returns. It also itemizes laboratory expenses totaling Rp. 210,000. Finally, it lists the expense for a resume as Rp. 100,000.
Pengeluaran Hepatitis Rp 25,000 Luar Paket Linen Rp 100,000 FC Rp 5,000 Tindik Rp - Giwang Rp - Cucian Rp 60,000 Cuci Ari - Ari Rp 10,000 Kendil Rp 10,000 Sampah Medis Rp 150,000 Softex Besar Rp - Obat Luar Paket Rp 240,000 Laborat Rp - Lab Golda Rp 25,000 CTBT Rp 35,000 Lab Tambahan Rp - Susu Ibu Rp - Resume Rp 100,000 Visite Ibu Rp 20,000 Visite Bayi Rp 20,000 Tamb HC Rp 30,000 Foto Rp 15,000 Total Rp 845,000
2/15/2019 Ny. Ayyik W K1 BPJS Spontan Bidan
INA CBG's Rp. 2.227.700 Belum Terbayar Total Luar Paket Rp 1,055,000 Pengeluaran Rp 845,000 Kembali Ke Ibu Rp 210,000 Linen Rp 100,000 Susu Ibu Rp - Softex Besar Rp - Tindik Rp - Giwang Rp - Selisih Naik Kelas Rp - Total Rp 310,000
2/15/2019 Ny. Ayyik W K1 BPJS Spontan Bidan
Laborat Rp 150,000 Lab Golda Rp 25,000 CTBT Rp 35,000 Total Rp 210,000