Odc Parcel Kemo 2018 Pj1

ODC
LAPORAN MAKAN PASIEN ODC

JULI 2012
TANGGAL NAMA PASIEN HARGA
07/02/12 NY. MILVA ELVIDA Rp6,500.00
07/02/12 NY. SRI HARYANTI Rp6,500.00
07/02/12 NY. NOVA ELVINA Rp6,500.00
07/03/12 TN. DEDI KURNIA Rp6,500.00
07/03/12 TN. ANDY RIFAT Rp6,500.00
07/05/12 NY. SYARIFAH Rp6,500.00
07/06/12 NY. VISCA THIO WIJAYA Rp6,500.00
07/06/12 NY. DINAR NATALINA Rp6,500.00
07/09/12 NY. IRMA MARDIANTI Rp6,500.00
07/09/12 NY. ROSDEWI Rp6,500.00
07/11/12 NN. DINDA AYU D Rp6,500.00
07/11/12 NY. LASIAH Rp6,500.00
07/13/12 NY. SRI UTAMI Rp6,500.00
07/13/12 NN. SEPTIANI Rp6,500.00
07/14/12 NN. DELLA PRAYONSA Rp6,500.00
07/16/12 NY. ANI NOVIATUN Rp6,500.00
07/16/12 NY. IKA HARMUSTIKA Rp6,500.00
07/16/12 NY. SUSIHARTI Rp6,500.00
07/16/12 TN. FADLY YAHYA Rp6,500.00
07/16/12 NY. SOLEKAH Rp6,500.00
07/17/12 TN. NUR FAIZIN Rp6,500.00
07/17/12 NY. ANITA FATHANI Rp6,500.00
07/17/12 NN. ERNA SUPIYANTI Rp6,500.00
07/19/12 NY. SRI HARTATI Rp6,500.00
07/19/12 AN. KIANDRA VALDIANO Rp6,500.00
07/19/12 TN. RHENDY SURYA Rp6,500.00
07/20/12 NY. DWI ANA PASKARINA Rp6,500.00
07/21/12 NY. BETTY ELIZABETH Rp6,500.00
07/21/12 TN. NUR ROCHIM Rp6,500.00
07/30/12 NY. SUKMA Rp6,500.00
07/31/12 TN. SUDARNO Rp6,500.00
TOTAL 201500

AGUSTUS 2012
08/01/12 TN. FUAD BISMAR I Rp6,500.00
08/03/12 NY. JUMIYEM Rp6,500.00
08/03/12 NY. YONE LINGKE Rp6,500.00
08/04/12 NY. YESSY SUCIATI Rp6,500.00
08/04/12 TN. EKO KURNIA Rp6,500.00
08/08/12 NN. NURLAELA Rp6,500.00
08/10/12 NY. TATIK K Rp6,500.00
08/10/12 NY. SYAROFAH Rp6,500.00
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08/13/12 NY. EKOWATI Rp6,500.00

08/14/12 NY. SALLY DIYANING Rp6,500.00
08/14/12 NAN. SITI DIVA G Rp6,500.00
08/15/12 AN. NADHIFA AZKIA Rp6,500.00
08/22/12 AN. AIKO SAQY Rp6,500.00
08/23/12 AN. FADHEL HUDSAFAH Rp6,500.00
08/24/12 NY. RIMAH Rp6,500.00
08/24/12 TN. RAJASA NEGARA Rp6,500.00
08/26/12 NY. TRI INDAH WAHYU Rp6,500.00
08/27/12 NY. NILA SARI Rp6,500.00
08/27/12 NY. FATMAWATI Rp6,500.00
08/27/12 TN. SAMSI Rp6,500.00
08/29/12 NY. MAZIDAH Rp6,500.00
08/29/12 NY. NURJANAH Rp6,500.00
08/31/12 NY. IDA KURNIAWATI Rp6,500.00
08/31/12 NY. TRI W. CIPTADI Rp6,500.00
TOTAL Rp156,000.00
LAPORAN MAKAN PASIEN ANGIOGRAFI

AGUSTUS 2012
08/14/12 TN. IMAM Rp20,000.00
08/30/12 TN. BENIARA S Rp20,000.00
TOTAL Rp40,000.00

SEPTEMBER 2012
09/01/12 TN. KUSDIYANTO Rp6,500.00
09/01/12 TN. SUYADI SANTO Rp6,500.00
09/06/12 NN. RIZKA INDRIANI Rp6,500.00
09/07/12 NY. INDAH BUDI S Rp6,500.00
09/07/12 NY. EMAH Rp6,500.00
09/07/12 AN. SIDIQ P. Rp6,500.00
09/08/12 NY. MONITA OMPUSUNGGU Rp6,500.00
09/08/12 TN. CHANDRA A.S. Rp6,500.00
09/10/01 NY. TIGIN LESTARI Rp6,500.00
09/10/12 NY. FEBRITTA NOFFIYAS Rp6,500.00
09/12/12 TN. HARRY GHAFAR Rp6,500.00
09/13/12 NY. IRMA JUWITA SARI Rp6,500.00
09/13/12 NY. EVI SARMAULI Rp6,500.00
09/13/12 NY. OLIVIA ASTUTI Rp6,500.00
09/15/12 TN. NASIP TANJUNO Rp6,500.00
09/15/12 TN. WAWAN DARMAWAN Rp6,500.00
09/15/12 NY. LISNA WATI D Rp6,500.00
09/18/12 NN. INGGRIET W Rp6,500.00
09/19/12 AN. RIKA ANGGRAENI Rp6,500.00
09/19/12 NY. DAHLIA Rp6,500.00
Page 2
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09/19/12 TN. DEDE Rp6,500.00

09/22/12 NY. RISTIANINGSIH Rp6,500.00
09/22/12 NN. SANTI NOVIA Rp6,500.00
09/24/12 NY. HELVY SALLY Rp6,500.00
09/25/12 NY. LENGGA HARI LUBIS Rp6,500.00
09/25/12 NY. I HAFSHAH HESNIAR Rp6,500.00
09/28/12 NY. UMI FARIDAH Rp6,500.00
09/28/12 NY. RUSNAWATI Rp6,500.00
09/29/12 TN MARYONO Rp6,500.00
TOTAL 188500

OKTOBER 2012
10/02/12 NY. ELWI SURYANA Rp6,500.00
10/02/12 NY. YULIKAH Rp6,500.00
10/05/12 NY. EVELINE Rp6,500.00
10/06/12 NY. BARIROH Rp6,500.00
10/06/12 NY. DIYAN FATIMAH Rp6,500.00
10/06/12 TN. HARY PRIYONO Rp6,500.00
10/12/12 AN. DEVI NOVITA SARI Rp6,500.00
10/17/12 NY. ELIZABETH SARI Rp6,500.00
10/17/12 AN. NABILA AR-RAHMAH Rp6,500.00
10/17/12 NY. NOVA AMALIASARI Rp6,500.00
10/19/12 NN. SUCI AYU Rp6,500.00
10/19/12 NN. PAXIA IZADIRA Rp6,500.00
10/19/12 AN. NURDYAS NADA Rp6,500.00
10/19/12 TN. ARIEF ZACKIARDI Rp6,500.00
10/19/12 TN JOHONAN HUTABARAT Rp6,500.00
10/19/12 NY. NORITA SIAHAN Rp6,500.00
10/19/12 NY. MURNIATI Rp6,500.00
10/20/01 NY. TRI WAHYUNI Rp6,500.00
TOTAL Rp117,000.00

OKTOBER 2012
10/19/12 NY. PATMAWATI Rp20,000.00
TOTAL Rp20,000.00

NOVEMBER 2012
11/02/12 TN. JAN WARIBMAN S. Rp6,500.00
11/03/12 NY. ENDANG KUSRIYANTI Rp6,500.00
Page 3
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11/03/12 TN. FATHUR RAHMAN Rp6,500.00

11/03/12 TN. EBOT HAIRUL SALEH Rp6,500.00
11/03/12 AN. ARIQ S. MF Rp6,500.00
11/03/12 NY. DEWI ANGGRAENI Rp6,500.00
11/05/12 TN. MUKLIS SUHARJA Rp6,500.00
11/07/12 AN. NINDI DWI KURNIAWATI Rp6,500.00
11/07/12 NY. IIN ROSMALA Rp6,500.00
11/08/12 NY. PRATYASTUTI DKM Rp6,500.00
11/08/12 NY. RITA SARI DL Rp6,500.00
11/08/12 NY. IFA ERASANTI Rp6,500.00
11/10/12 NY. WIRI SUGI R Rp6,500.00
11/12/12 NY. SOFIATI Rp6,500.00
11/12/12 NN. WINDA YULIANI Rp6,500.00
11/13/12 NY. SITI ASTUTI Rp6,500.00
11/13/12 NY. REJEB MARYATI Rp6,500.00
11/14/12 TN. FATONI Rp6,500.00
11/15/12 TN. SUTARMONO Rp6,500.00
11/16/12 NN. NI PUTU OLIVIA P.S Rp6,500.00
11/16/12 TN. DALIYO Rp6,500.00
11/18/12 AN. ZAHRA NAYLA Rp6,500.00
11/20/12 NY. ERNAULI MELIYANA Rp6,500.00
11/22/12 NY. YULIANINGSIH Rp6,500.00
11/22/12 TN. FEBBY SATRYO Rp6,500.00
11/22/12 NY. RINDA EFENDI Rp6,500.00
11/23/12 NY. ADE SURIAH Rp6,500.00
11/28/12 TN. SUGIYANTO Rp6,500.00
11/28/12 NY. SRI RAHAYU Rp6,500.00
11/28/12 AN. OKTAVIA RIZKA K Rp6,500.00
11/28/12 NY. DIANA Rp6,500.00
11/28/12 NY. RINI DWI Rp6,500.00
TOTAL 208000

DESEMBER 2012
12/07/12 NY. TITI A Rp6,500.00
12/11/12 NY. DEBORA SIHOMBING Rp6,500.00
12/11/12 NY. FARIDAH Rp6,500.00
11/12/12 NY. RUSDA ULI Rp6,500.00
12/12/12 NY. DEVINA ARDELIA Rp6,500.00
12/14/12 TN. KARMAN Rp6,500.00
12/15/12 NN. NURHAYATI TANTRI Rp6,500.00
12/17/12 TN. ACHMAD TOHA Rp6,500.00
12/17/12 TN. ENDAR AJI Rp6,500.00
12/22/12 TN. BAMBANG SUNOWO Rp6,500.00
12/22/12 NN. DIYAN KURNIWATI Rp6,500.00
12/22/12 NY. SRI ARGA YANI Rp6,500.00
12/24/12 TN. KUSDIANTO Rp6,500.00
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12/24/12 NN. DELLA PRADECTA Rp6,500.00

12/24/12 NY. MIKE WARNASARI Rp6,500.00
12/29/12 NY. SUDARTI Rp6,500.00
TOTAL Rp104,000.00

JANUARI 2013
01/03/13 NY. HAIRANI TARIGAN Rp6,500.00
01/03/13 AN. HAFIZHAH Rp6,500.00
01/04/13 TN. SUTRISNO Rp6,500.00
01/08/13 AN. DIMAS PUTRA Rp6,500.00
01/11/13 NN. TITIN SUPRIHATIN Rp6,500.00
01/11/13 TN. ANDHIKA FANDRIAN Rp6,500.00
01/11/13 NY. MAESYAROH Rp6,500.00
01/14/13 TN. IRFAN A. Rp6,500.00
01/15/13 TN. DAFA BAGASTA Rp6,500.00
01/17/13 NY. RISKA NESYA Rp6,500.00
01/19/13 TN. AGE FIRMANSYAH Rp6,500.00
01/21/13 TN. ACHMAD ARISANTO Rp6,500.00
01/22/13 NN. JENIAR FEBRILLAH Rp6,500.00
01/23/13 NN. SRI FATMI K. Rp6,500.00
01/26/13 TN. ACE KOSASIH Rp6,500.00
01/26/13 NY. YENTI SRI Rp6,500.00
01/26/13 NY. NENG YULI Rp6,500.00
01/28/13 NY. YULIA DIAN SARI Rp6,500.00
01/31/13 NN. INNA APRIANTI Rp6,500.00
01/31/13 TN. HERI PRABOWO Rp6,500.00
01/31/13 TN. NUR KHOLIS Rp6,500.00
JUMLAH Rp136,500.00

FEBUARI 2013
02/06/13 NY. MARYAM ULI ARTA Rp6,500.00
05/06/13 TN. UNTUNG DARMONO Rp6,500.00
02/07/13 NY. ENDAH EKA Rp6,500.00
02/11/13 NN. FITRIAH Rp6,500.00
02/13/13 TN. SETIAWAN Rp6,500.00
02/13/13 NN. TRENA TASYA Rp6,500.00
02/19/13 TN. SUHERMAN Rp6,500.00
02/19/13 TN. PURNOMO Rp6,500.00
02/19/13 TN. ANDIONO KURNIAWAN Rp6,500.00
02/22/13 TN. JULI PURWANTO Rp6,500.00
02/22/13 TN. RIO HERLAMBANG Rp6,500.00
JUMLAH 71500
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MARET 2013
03/04/13 TN. SHOBIRIN Rp6,500.00
03/04/13 NY. NURLAELA Rp6,500.00
03/05/13 NY. RAHAYU NINGSIH Rp6,500.00
03/05/13 NY. YULIANA EDELVI Rp6,500.00
03/10/13 AN. GIOVAN SIMAMORA Rp6,500.00
JUMLAH Rp32,500.00

APRIL 2013
04/04/13 TN. BAYU WERRO Rp8,500.00
04/04/13 NY. NINA FAJAR Rp8,500.00
04/05/13 AN. FADHIL DHIYA Rp8,500.00
04/06/13 TN. SUPRAYOGI Rp8,500.00
04/10/13 TN. HERRY APRIYANTO Rp8,500.00
04/15/13 NY. ENDAH PRATIWI Rp8,500.00
04/16/13 TN. KURNIA Rp8,500.00
04/16/13 TN. ABI RAFDI Rp8,500.00
04/16/13 NY. NAILAH Rp8,500.00
04/17/13 NY. CHANDRA JELITA Rp8,500.00
04/17/13 NY. SUTRESNI Rp8,500.00
04/18/13 NY. SITI CHODIJAH Rp8,500.00
04/20/13 NY. SITI ASTUTI A Rp8,500.00
04/20/13 NY. SULASTRI Rp8,500.00
04/20/13 NY. RINI UGIYANTI Rp8,500.00
04/22/13 NY. SITI NUR E Rp8,500.00
04/24/13 NY. WULAN SAFITRI Rp8,500.00
04/24/13 TN. REDI ABDUL Rp8,500.00
04/24/13 TN. MUCHYAR SABANI Rp8,500.00
04/26/13 TN. WINARTO Rp8,500.00
04/26/13 NY. SURATI Rp8,500.00
04/26/13 TN. HASAN BASRI Rp8,500.00
04/26/13 NY. ETTY R Rp8,500.00
04/29/13 TN. SABAR Rp8,500.00
04/29/13 NY. SEKAR HARASTI Rp8,500.00
TOTAL 212500
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MEI 2013
05/03/13 NY. RAFNI SINTA Rp8,500.00
05/04/13 NY. RETNO WATI Rp8,500.00
05/04/13 NY. IIN AGUS ARIANI Rp8,500.00
05/04/13 NY. MAHARDIKA Rp8,500.00
05/04/13 AN. GUSTI PANGESTU Rp8,500.00
05/04/13 TN. MOCHAMMAD KHOIRUL A Rp8,500.00
05/11/13 NY. MARIA YOFANI DA GOMEZ Rp8,500.00
05/11/13 TN. WARNO Rp8,500.00
05/15/13 TN. LANGEN KARYO Rp8,500.00
05/23/13 NY. MIRNA EKA Rp8,500.00
05/24/13 TN.REGI MAHENDRA Rp8,500.00
05/28/13 TN. NASRUL SOERIN Rp8,500.00
05/29/13 NY. SOFIATI Rp8,500.00
05/31/13 TN. DANI SAPUTRA Rp8,500.00
TOTAL 119000

06/03/13 NY. SARI YUNIATI Rp8,500.00
06/03/13 NY. MARLENY PATANDUNG Rp8,500.00
06/06/13 NN. RATNA SURYAWATI Rp8,500.00
06/08/13 NY. SARI DWI NOVIANTI Rp8,500.00
06/10/13 TN. TRI DIAN FEBRIANTO Rp8,500.00
06/11/13 NY. KHUSNUL KHOTIMAH Rp8,500.00
06/13/13 NY. NURJANAH Rp8,500.00
06/13/13 TN. AHMAD SUBANDI Rp8,500.00
06/13/13 TN. DHANY HENDARSYAH Rp8,500.00
06/20/13 TN. LAKSAMANA BIMO Rp8,500.00
06/22/13 NY. MARIA FLORIDA Rp8,500.00
06/22/13 NN. NURSANITA Rp8,500.00
06/28/13 NY. ADE RISKY Rp8,500.00
06/28/13 NN. EMILIA F Rp8,500.00
06/29/13 NY. SUKIYAH Rp8,500.00
TOTAL 127500

JULI 2013
07/01/13 NY. NENI JUHINI Rp8,500.00
07/03/13 NY. GALIH RADITYA Rp8,500.00
07/04/13 NY. VIERNI DESRIANA Rp8,500.00
07/04/13 NY. TRI WIJAYANTI Rp8,500.00
07/04/13 AN. ANANDA LUTPIA Rp8,500.00
07/04/13 TN. AGUS DARMINTO Rp8,500.00
07/04/13 NY. ERLITA HELPIDA Rp8,500.00
07/05/13 TN. ALDHIANSYAH Rp8,500.00
07/05/13 TN. AZZAM RIZQULLAH Rp8,500.00
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07/05/13 NY. ELIN KARLINAH Rp8,500.00

07/05/13 TN. DANU SUHARMOKO Rp8,500.00
07/08/13 TN. JUNAEDI Rp8,500.00
07/09/13 NY. ERA NURESA Rp8,500.00
07/09/13 AN. RYAN PRADIPA Rp8,500.00
07/09/13 AN. SURYA PRIMIAJI Rp8,500.00
07/09/13 BY. HAFIZHAH Rp8,500.00
07/13/13 NN. HERLINA M SIBARANI Rp8,500.00
07/13/13 NN. ANGGITA Rp8,500.00
07/13/13 NY.SUGIARTI Rp8,500.00
07/15/13 NY. NIRWANI Rp8,500.00
07/15/13 NY. NUR MARIA Rp8,500.00
07/15/13 TN. TJAHYADI HENDARMAWAN Rp8,500.00
07/16/13 TN. FIRDAUS ALAMSYAH Rp8,500.00
07/17/13 NY. NENENG JULAEHA Rp8,500.00
07/17/13 AN. MUHAMMAD NAUFAL Rp8,500.00
07/25/13 TN. NUGRAH SURANTO Rp8,500.00
07/25/13 TN. BAMBANG SUGENG Rp8,500.00
07/25/13 TN. RUSMIN Rp8,500.00
07/27/13 TN. DHEWANGGA PRATAMA Rp8,500.00
TOTAL 246500

OKTOBER 2013
10/01/13 NY. CLARENTINA WURYANTI Rp8,500.00
10/02/13 TN. KARMITA Rp8,500.00
10/02/13 TN. JHONSON S Rp8,500.00
10/03/13 NY. DIAN PUTRI A Rp8,500.00
10/04/13 TN. HIDAYAT M Rp8,500.00
10/05/13 TN. HASAN BASRI Rp8,500.00
10/05/13 NY. RATNA Rp8,500.00
10/07/13 NY. DWI HANDAYANI Rp8,500.00
10/07/13 NY. NURHASANAH Rp8,500.00
10/07/13 NY. ANI SUSNAENI Rp8,500.00
10/09/13 NY. MARGARETA MARIA Rp8,500.00
10/10/13 NY. RATIH NURAINI Rp8,500.00
10/10/13 NY. PALUPI AGUSTINA D Rp8,500.00
10/12/13 NY. NURSANTI Rp8,500.00
10/12/13 TN. SAMAN Rp8,500.00
10/12/13 NY. SALLY WALLU Rp8,500.00
10/16/13 NY. PUDJI ASTUTI Rp8,500.00
10/17/13 NN. MAHARANI ANNUR Rp8,500.00
10/18/13 AN. VANDZANI FARHAN Rp8,500.00
10/18/13 NY. NURHIDAYATI Rp8,500.00
10/18/13 NY. NURIA D SILITONGA Rp8,500.00
10/19/13 TN. WISNU MALIK PANGESTU Rp8,500.00
10/19/13 NN. AMALIA NURCAHYANI Rp8,500.00
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10/21/13 TN. HERRY SETIYADI Rp8,500.00

10/22/13 TN. YANDA IRIANDA Rp8,500.00
10/23/13 NY. NYAI SYAHIDAH Rp8,500.00
10/24/13 NY. HALIMAH Rp8,500.00
10/24/13 TN. ROBI DARWIS Rp8,500.00
10/24/13 NN. MARTHA SELVI Rp8,500.00
10/26/13 TN. SYAMSU HARSU Rp8,500.00
10/26/13 TN. ROHMAT PAMUNGKAS Rp8,500.00
10/28/13 TN. FARIZ ANWAR Rp8,500.00
10/28/13 AN. MUHAMMAD AHZA Rp8,500.00
10/28/13 NY. NARNI Rp8,500.00
10/28/13 NY. MIRA DAMAYANTI Rp8,500.00
10/29/13 TN. DARWANTO Rp8,500.00
10/30/13 TN. RIO ADE Rp8,500.00
10/30/13 TN. MAMAN SETIAWAN Rp8,500.00
10/31/13 NY. SITI AISYAH Rp8,500.00
TOTAL 331500
LAPORAN PAKET KEMOTERAPI

OKTOBER 2013
TANGGAL NAMA PERAWAT HARGA

10/23/13 ZR. IRMA Rp8,500.00
Page 9
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NOVEMBER 2013
11/01/13 NY. MURINI Rp8,500.00
11/01/13 NY. DIAN YUNINGSIH Rp8,500.00
11/01/13 TN. APRIANSYAH Rp8,500.00
11/01/13 NN. TRESSYA NAFTALI Rp8,500.00
11/01/13 AN. TAHANY NYDIA ZH Rp8,500.00
11/02/13 NN. ANA MARIA Rp8,500.00
11/04/13 NN. GHINA PUTRI UTAMI Rp8,500.00
11/04/13 AN. AISYAH Rp8,500.00
11/04/13 TN. SANDY SATRIA Rp8,500.00
11/04/13 TN. HARYANTO Rp8,500.00
11/09/13 NY. NURNING TYAS Rp8,500.00
11/13/13 TN. EKO SUSANTO Rp8,500.00
11/13/13 NY. NOER ABRIYANI Rp8,500.00
11/13/13 TN. WURNOMO Rp8,500.00
11/14/13 NY. EVA MARLINA Rp8,500.00
11/15/13 NY. ERNIS SYLVINA Rp8,500.00
11/15/13 TN. LAURENSUS SIAHAAN Rp8,500.00
11/16/13 NY. YENNY FITRIAN Rp8,500.00
11/16/13 NY. LESTARI Rp8,500.00
11/18/13 NY. CHRISTINA DINA Rp8,500.00
11/19/13 NY. VERA LUSIANTI Rp8,500.00
11/20/13 TN. HANDRA SAPUTRA Rp8,500.00
11/20/13 TN. SABAR SASONGKO Rp8,500.00
11/21/13 TN. RUSDI ADENANSYAH Rp8,500.00
11/21/13 TN. KARMAN Rp8,500.00
11/25/13 NY. SITI JALIYAH Rp8,500.00
11/25/13 NY. YULIA N Rp8,500.00
TOTAL Rp229,500.00

JANUARI 2014
Page 10
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NO. TANGGAL NAMA PASIEN HARGA

1 01/02/14 TN. FADILLAH ZAEN Rp8,500.00
2 01/02/14 NY. SUMARSI Rp8,500.00
3 01/02/14 AN. NADIA KHAIRUNNISA Rp8,500.00
4 01/02/14 TN. VINSENSIUS Rp8,500.00
5 01/02/14 TN. DIAN AFANDI Rp8,500.00
6 01/04/14 TN. KARSIDI Rp8,500.00
7 01/04/14 NY. ETI RISNAWATI Rp8,500.00
8 01/04/14 NY. FARIA PUTRI Rp8,500.00
9 01/06/14 NY. SRI NOVITRA Rp8,500.00
10 01/06/14 TN. AHMAD SUBADRI Rp8,500.00
11 01/07/14 TN. SUKARNA Rp8,500.00
12 01/08/14 NY. MASROFAH Rp8,500.00
13 01/09/14 NY. YANTI RAHMAWATI Rp8,500.00
14 01/10/14 TN. ROBINGUN Rp8,500.00
15 11/0/2014 TN. DWI SUPRIYANTO Rp8,500.00
16 01/11/14 TN. SUHADI Rp8,500.00
17 01/11/14 TN. SAIFUL RACHMAN Rp8,500.00
18 01/11/14 NY. YENI APRIAN Rp8,500.00
19 01/13/14 NY. IMELSY SYAFRINOOR Rp8,500.00
20 01/13/14 NY. ANASTASYA BERTUA Rp8,500.00
21 01/18/14 NY. YUYUN TANJUNG Rp8,500.00
22 01/18/14 NY. DWI BUDI Rp8,500.00
23 01/18/14 TN. SUROTO Rp8,500.00
24 01/18/14 NN. ANITA Rp8,500.00
25 01/21/14 NY. ANNY KHATUN Rp8,500.00
26 01/22/14 NN. ILFA SURIA NOVIA Rp8,500.00
27 01/22/14 NY. NURLAILA Rp8,500.00
28 01/22/14 NY. SUSANTI R. Rp8,500.00
29 01/23/14 NY. DWI WIJAYANTI Rp8,500.00
30 01/25/14 NY. MILHANAH Rp8,500.00
31 01/28/14 TN. SLAMET KUSWOYO Rp8,500.00
32 01/28/14 NY. ARISTA MEGA UTAMI Rp8,500.00
JUMLAH 272000

MARET 2014
1 03/03/14 TN. SATRIO ARIFIANTO Rp8,500.00
2 03/03/14 NY. WIDIASTUTY Rp8,500.00
3 03/03/14 NY. DIYAH LISTIYOWATI Rp8,500.00
4 03/03/14 AN. HAMMAM MUJADDID Rp8,500.00
5 03/03/14 TN. ARIE SEPTIAN UTAMA Rp8,500.00
6 03/03/14 TN. SETIYANTO Rp8,500.00
7 03/05/14 TN. JOSE OLIVEIRO VIDAL Rp8,500.00
8 03/05/14 TN. TRY Rp8,500.00
9 03/05/14 TN. SUTRISNO Rp8,500.00
10 03/07/14 AN. DAVID CHRISTIANO Rp8,500.00
Page 11
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11 03/07/14 AN. RADHYTIA RIVAN Rp8,500.00

12 03/07/14 TN. FRANSISCO VITO Rp8,500.00
13 03/07/14 TN. CAHYADI Rp8,500.00
14 03/07/14 NY. SITI UMTIANAH Rp8,500.00
15 03/07/14 NY. HERNA AFRYANY Rp8,500.00
16 03/07/14 NY. ETIK SUMIATI Rp8,500.00
17 03/07/14 AN. SANDRA AULIA Rp8,500.00
18 03/08/14 TN. ANDREI MAULANA Rp8,500.00
19 03/15/14 TN. ARIS SUHENDRA Rp8,500.00
20 03/16/14 TN. TONI Rp8,500.00
21 03/16/14 TN. SUMADI Rp8,500.00
22 03/18/14 TN. SHIDQI HABSYI Rp8,500.00
23 03/19/14 TN. AMIN MARIONO Rp8,500.00
24 03/20/14 NY. HANIFAH Rp8,500.00
25 03/21/14 AN. CRISTINE Rp8,500.00
26 03/21/14 NY. YAYAH ROKAYAH Rp8,500.00
27 03/23/14 NY. ROHAENAH Rp8,500.00
28 03/23/14 TN. EKO YULIANTO Rp8,500.00
29 03/23/14 AN. HELEN USWATUN Rp8,500.00
30 03/29/14 NY. HESTY PUSPARINI Rp8,500.00
31 03/29/14 NY. IIN HERLINA Rp8,500.00
32 03/29/14 TN. EDDY PURWITO Rp8,500.00
JUMLAH 272000

09/01/12
1 07/02/14 NY. SAYU NGURAH UTARI Rp8,500.00
2 07/03/14 NY. KHOIRIYAH Rp8,500.00
3 07/03/14 NY. LILI SUPRIANTIN Rp8,500.00
4 07/08/14 TN. DANU ALIF R Rp8,500.00
5 07/08/14 TN. FAREZA R. Rp8,500.00
6 07/08/14 TN. SUTOPOH Rp8,500.00
7 07/09/14 NY. PAIMA SINAGA Rp8,500.00
8 07/09/14 NY. NURBAYASARI Rp8,500.00
9 07/14/14 TN. TJANDRA PUTRA KELANA Rp8,500.00
10 07/15/14 NN. FITRIA NURINDAH Rp8,500.00
11 07/15/14 TN. HERI PERANGIN A. Rp8,500.00
12 07/17/14 NY. YASERITA Rp8,500.00
13 07/17/14 TN. WENDY Rp8,500.00
14 07/18/14 AN. RIZKY NURFADILAH Rp8,500.00
15 07/19/14 NY. SITI KALSUMI Rp8,500.00
16 07/19/14 TN. ANWARI Rp8,500.00
17 07/24/14 AN. DAFFA YUDIS Rp8,500.00
18 07/24/14 NY. MARLIN SOPYA Rp8,500.00
19 07/25/14 TN. KALPIN SITEPU Rp8,500.00
20 07/31/14 NN. ANGGIA NOVANDA Rp8,500.00
21 07/31/14 TN. FACHNAUFAL FAUZI Rp8,500.00
Page 12
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TOTAL Rp178,500.00

OKTOBER 2014

1 10/01/14 NY. SRI Rp8,500.00
2 10/01/14 TN. WENDY Rp8,500.00
3 10/02/14 NY.RUBIYANTI Rp8,500.00
4 10/02/14 NY. NURBAYASARI Rp8,500.00
5 10/03/14 NY. RATIH KUMALADEWI Rp8,500.00
6 10/09/14 NY. EVI MONARIA Rp8,500.00
7 10/10/14 NY. DIANTI PERTIWI Rp8,500.00
8 10/11/14 TN. INDRA SETIAWAN Rp8,500.00
9 10/11/14 NY. NING SUDIARTI Rp8,500.00
10 10/13/14 NY. RUSTINI Rp8,500.00
11 10/14/14 AN. RHAKA RHAMA Rp8,500.00
12 10/15/14 NY. DAISY Rp8,500.00
13 10/25/14 TN. SLAMAT BASUKI Rp8,500.00
14 10/27/14 TN. HELMI MARDIANA Rp8,500.00
15 10/28/14 NY. ENDANG BUDI Rp8,500.00
16 10/28/14 TN. AA SUTANDI Rp8,500.00
17 10/29/14 NY.TERESIA SRI SUGIARNI Rp8,500.00
TOTAL Rp144,500.00

NOVEMBER 2014

1 11/06/14 TN. SUBADRI Rp8,500.00
2 11/06/14 TN. SUBADRI Rp8,500.00
2 11/12/14 NY. INDAH MARWATI Rp8,500.00
3 11/13/14 TN. DIAN TRIANA Rp8,500.00
4 11/13/14 NY. YANI SURYANI Rp8,500.00
5 11/14/14 NN. ERLYN GERYNA W Rp8,500.00
6 11/15/14 NY. ERNI ANDRIYANI Rp8,500.00
7 11/15/14 AN. SALWA HANIFAH Rp8,500.00
8 11/15/14 NY. LESTARI Rp8,500.00
9 11/15/14 TN. ARIF SUJATMIKO Rp8,500.00
10 11/25/14 TN. FRIYANTO Rp8,500.00
11 11/25/14 TN. EKO SUSILO Rp8,500.00
12 11/26/14 NY. RACHMI LIANTIKA Rp8,500.00
13 11/28/14 TN. TEGUH PRIHANTO BASUKI Rp8,500.00
14 11/28/14 TN. ATES SURYANA Rp8,500.00
15 11/29/14 TN. FACHRIE MUHAMMAD Rp8,500.00
16 11/29/14 NN. AVIE MAULIDA Rp8,500.00
Page 13
ODC
TOTAL Rp144,500.00

DESEMBER 2014

1 12/06/14 NY. LUCIANA ISNAENI Rp8,500.00
2 12/06/14 TN. ARI WIDODO Rp8,500.00
2 12/06/14 NY. DIAN NURDIANA Rp8,500.00
3 12/06/14 TN. BUDI RIANTO Rp8,500.00
4 12/11/14 NY. NANA LUCIANA Rp8,500.00
5 12/11/14 TN. SLAMET SANTOSO Rp8,500.00
6 12/13/14 TN. MULYADI Rp8,500.00
7 12/13/14 NY. ENTOY HOTOYAH Rp8,500.00
8 12/15/14 NY. PARGIYANTI Rp8,500.00
9 12/17/14 TN. REYNALDI TRI ADYTIA Rp8,500.00
10 12/18/14 AN. BIMO BRAMANTYO Rp8,500.00
11 12/20/14 AN. FRISCILA GABRIEL Rp8,500.00
12 12/23/14 NN. NURHAYATI Rp8,500.00
13 12/23/14 NY. DINA TODING Rp8,500.00
14 12/23/14 TN. MADE KRISNA Rp8,500.00
15 12/23/14 NY. NURYATI Rp8,500.00
16 12/23/14 NY. NURHAYATI Rp8,500.00
17 12/23/14 TN. CHARLES HUTAPEA Rp8,500.00
18 12/23/14 TN. ENDANG HIRAWAN Rp8,500.00
19 12/23/14 NY. SITI B Rp8,500.00
20 12/26/14 NY. LILIS JURIAH Rp8,500.00
21 12/27/14 TN. BAGUS SURADI Rp8,500.00
22 12/29/14 TN. I NYOMAN ARNAWA Rp8,500.00
23 12/29/14 TN. SUPRIYANTO Rp8,500.00
24 12/29/14 TN. HERBET HUTAURUK Rp8,500.00
25 12/29/14 TN. AMINATUS SA'DIYAH Rp8,500.00
26 12/31/14 NY. KARTINI Rp8,500.00
TOTAL Rp229,500.00

JANUARI 2014

1 01/02/15 AN. FAUZAN RAMBANG P Rp8,500.00
2 01/02/15 NY. NURDJANAH Rp8,500.00
2 01/06/15 NY. RINNI DIAH Rp8,500.00
3 01/06/15 TN. MICHAEL JOSUA Rp8,500.00
4 01/06/15 AN. RAKHA PRAYATA Rp8,500.00
5 01/06/15 NN. GHINA PUTRI UTAMI Rp8,500.00
Page 14
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6 01/07/15 AN. ANGGI ANGGRAINI Rp8,500.00

7 01/07/15 NY. AROH HASAROH Rp8,500.00
8 01/07/15 NY. SHERLY NOVIANTI Rp8,500.00
9 01/07/15 NY. YULI SUSILAWATI Rp8,500.00
10 01/09/15 NY. HERNA PANNGAWATI Rp8,500.00
11 01/09/15 TN. ASEP ARMANSYAH Rp8,500.00
12 01/09/15 TN. MUJIONO Rp8,500.00
13 01/09/15 NY. SRI LESTARI Rp8,500.00
14 01/09/15 NY. ANITA Rp8,500.00
15 01/10/15 NY. LILI HERLINA Rp8,500.00
16 01/10/15 TN. AHMAD ROSYIDI Rp8,500.00
17 01/10/15 NY. NGATMI Rp8,500.00
18 01/12/15 NY. NELTJE Rp8,500.00
19 01/12/15 AN. FARREL ZEVA Rp8,500.00
20 01/12/15 TN. DANU ALIF R Rp8,500.00
21 01/13/15 NY. TRIYANA Rp8,500.00
22 01/13/15 NY. RITA LESTARI Rp8,500.00
23 01/13/15 NY. ANDARWATI Rp8,500.00
24 01/15/15 TN. I PUTU ADI Rp8,500.00
25 01/15/15 TN. MOHAMAD RIZAL Rp8,500.00
26 01/21/15 NN. DOROJATUN Rp8,500.00
27 01/21/15 AN. RAFLYANDI Rp8,500.00
28 01/21/15 NY. SERA SEPTIA SARI Rp8,500.00
29 01/23/15 NY. NURHAYATI Rp8,500.00
30 01/24/15 TN. ASEP KOMARUZAMAN Rp8,500.00
31 01/24/15 NY. FARIDAH Rp8,500.00
32 01/26/15 NY. SISKA GUSTI YANA Rp8,500.00
33 01/29/15 TN. SUMARNO Rp8,500.00
34 01/29/15 NY. SYARIFAH MARYAM Rp8,500.00
35 01/29/15 NN. ENINA Rp8,500.00
36 01/30/15 NY. CICIK WIDIASTUTI Rp8,500.00
Rp314,500.00

FEBRUARI 2014

1 01/02/15 AN. FAUZAN RAMBANG P Rp8,500.00
2 01/02/15 NY. NURDJANAH Rp8,500.00
2 01/06/15 NY. RINNI DIAH Rp8,500.00
3 01/06/15 TN. MICHAEL JOSUA Rp8,500.00
4 01/06/15 AN. RAKHA PRAYATA Rp8,500.00
6 01/07/15 AN. ANGGI ANGGRAINI Rp8,500.00
7 01/07/15 NY. AROH HASAROH Rp8,500.00
8 01/07/15 NY. SHERLY NOVIANTI Rp8,500.00
Page 15
ODC
9 01/07/15 NY. YULI SUSILAWATI Rp8,500.00

10 01/09/15 NY. HERNA PANNGAWATI Rp8,500.00
11 01/09/15 TN. ASEP ARMANSYAH Rp8,500.00
12 01/09/15 TN. MUJIONO Rp8,500.00
13 01/09/15 NY. SRI LESTARI Rp8,500.00
14 01/09/15 NY. ANITA Rp8,500.00
15 01/10/15 NY. LILI HERLINA Rp8,500.00
17 01/10/15 NY. NGATMI Rp8,500.00
18 01/12/15 NY. NELTJE Rp8,500.00
19 01/12/15 AN. FARREL ZEVA Rp8,500.00
20 01/12/15 TN. DANU ALIF R Rp8,500.00
21 01/13/15 NY. TRIYANA Rp8,500.00
22 01/13/15 NY. RITA LESTARI Rp8,500.00
23 01/13/15 NY. ANDARWATI Rp8,500.00
24 01/15/15 TN. I PUTU ADI Rp8,500.00
25 01/15/15 TN. MOHAMAD RIZAL Rp8,500.00
26 01/21/15 NN. DOROJATUN Rp8,500.00
27 01/21/15 AN. RAFLYANDI Rp8,500.00
28 01/21/15 NY. SERA SEPTIA SARI Rp8,500.00
29 01/23/15 NY. NURHAYATI Rp8,500.00
30 01/24/15 TN. ASEP KOMARUZAMAN Rp8,500.00
31 01/24/15 NY. FARIDAH Rp8,500.00
32 01/26/15 NY. SISKA GUSTI YANA Rp8,500.00
33 01/29/15 TN. SUMARNO Rp8,500.00
34 01/29/15 NY. SYARIFAH MARYAM Rp8,500.00
35 01/29/15 NN. ENINA Rp8,500.00
36 01/30/15 NY. CICIK WIDIASTUTI Rp8,500.00
Rp314,500.00

MARET 2015

1 03/03/15 TN. MUHAIL Rp8,500.00
2 03/03/15 TN. AHMAD SOPIYAH Rp8,500.00
2 03/09/15 NY. SRI SUKINI Rp8,500.00
3 03/09/15 TN. LUTHFIANTO IEDHAR Rp8,500.00
4 03/11/15 AN. DZYLGWYN ALFARO Rp8,500.00
5 03/12/15 AN. MUHAMMAD REZA Rp8,500.00
6 03/15/15 NY. NILAM SARI Rp8,500.00
7 03/18/15 TN. ELLIN SUNATRY Rp8,500.00
8 03/20/15 NY. TINA OLIVIA Rp8,500.00
9 03/23/15 NY. ADE KARTINI Rp8,500.00
10 03/25/15 NY. NENIH HJ. Rp8,500.00
11 03/28/15 NY. ANNE DIANA Rp8,500.00
12 03/28/15 NN. KHARIZA Rp8,500.00
Page 16
ODC
13 03/29/15 TN. AHMAD ANGGARA Rp8,500.00

14 03/29/15 TN. ARIEF FADILLAH Rp8,500.00
15 03/30/15 NN. RIANTIE Rp8,500.00
16 03/30/15 TN. TANURI Rp8,500.00
17 03/30/15 NY. SITI AISAH Rp8,500.00
18 03/31/15 TN. HERU HAERUDIN Rp8,500.00
19 03/31/15 NY. NURHAYATI Rp8,500.00
Rp170,000.00

APRIL 2015

1 04/10/15 NY. NOFA FELISA Rp8,500.00
2 04/10/15 TN. SUHARTO Rp8,500.00
2 04/10/15 NY. SUMIYATI DAMANIK Rp8,500.00
3 04/11/15 TN. JOKO Rp8,500.00
4 04/11/15 TN. PUTU ADI Rp8,500.00
5 04/12/15 NY. YENI SAFITRI Rp8,500.00
6 04/14/15 NY. SITI SUBAEDAH Rp8,500.00
7 04/14/15 NY. LAURA OKTAVIA Rp8,500.00
8 04/14/15 TN. RANDY ANG H Rp8,500.00
9 04/14/15 NN. ANISA FITRI Rp8,500.00
10 04/23/15 NY. YANUAR DESTINA Rp8,500.00
11 04/23/15 TN. WILLY SURYADI Rp8,500.00
12 04/25/15 NY. ARMANIH Rp8,500.00
13 04/25/15 TN. AGUNG SUNARTA Rp8,500.00
14 04/27/15 NY. SRI SUHATINI Rp8,500.00
15 04/28/15 TN. BOGI HARYO Rp8,500.00
16 04/28/15 TN. AGUS DWI S Rp8,500.00
Rp144,500.00

MEI 2015

1 05/02/15 NN. YULISMAWANI Rp8,500.00
2 05/02/15 TN. FACHRIE MUHAMMAD Rp8,500.00
3 05/02/15 NY. MESRA PITAWANY Rp8,500.00
4 05/05/15 NY. NOVY FEBRIANI Rp8,500.00
5 05/08/15 NY. ARI FEBRIANI Rp8,500.00
6 05/08/15 TN. YUSUF SARTONO Rp8,500.00
7 05/08/15 NY. ANE PURWASIH Rp8,500.00
8 05/11/15 TN. WILLIYAM Rp8,500.00
Page 17
ODC
9 05/11/15 NY. APRIYANI RAHMAWATI Rp8,500.00

10 05/12/15 NY. NI WAYAN SUARTINI Rp8,500.00
11 05/13/15 NY. IRNIATY NOVITA Rp8,500.00
12 05/13/15 TN. HENDRA WILLYANTO Rp8,500.00
13 05/13/15 NY. KARTIKA N Rp8,500.00
14 05/22/15 NY. DINA HARAHAP Rp8,500.00
15 05/22/15 TN. JOHNY SURYACELI Rp8,500.00
Rp127,500.00

JUNI 2015

1 06/01/15 AN. GUZTAV NADHIR Rp8,500.00
2 06/01/15 NY. INTAN EDI Rp8,500.00
3 06/01/15 TN. WAHYU SANTOSO Rp8,500.00
4 06/03/15 NN. ELFINA Rp8,500.00
5 06/03/15 NY. DJAMILAH Rp8,500.00
6 06/08/15 NY. FATAH HIDAYAT Rp8,500.00
7 06/08/15 NY. INAYAH BANU Rp8,500.00
8 06/13/15 TN. TOMMY WAHYU UTOMO Rp8,500.00
9 06/13/15 NY. KHAERIYAH Rp8,500.00
10 06/13/15 NY. ROSITAH Rp8,500.00
11 06/14/15 NY. WENNY FADJARIATI Rp8,500.00
12 06/15/15 NY. IRNIATY NOVITA Rp8,500.00
13 06/18/15 TN. HENDRA WILLYANTO Rp8,500.00
14 06/22/15 NY. KARTIKA N Rp8,500.00
15 06/25/15 NY. DINA HARAHAP Rp8,500.00
16 06/26/15 TN. JOHNY SURYACELI Rp8,500.00
JUMLAH Rp136,000.00

SEPTEMBER 2015

1 09/01/15 TN. FEBRIAN NATANEL Rp8,500.00
2 09/01/15 TN. AMIR FAUZAN Rp8,500.00
3 09/01/15 NY. SETYARINI Rp8,500.00
4 09/04/15 TN. HAIKAL Rp8,500.00
5 09/05/15 NY. FLORITA YASMINI Rp8,500.00
6 09/07/15 NN. DHAYFI LUTFINA Rp8,500.00
7 09/07/15 TN. TRIKO Rp8,500.00
8 09/12/15 NY. YUYUN WAHYUNI Rp8,500.00
9 09/12/15 AN. ILYAS SHIDDIQ Rp8,500.00
Page 18
ODC
10 09/14/15 NY. TITA ROSITAWATI Rp8,500.00

11 09/17/15 TN.DARWANTO Rp8,500.00
12 09/21/15 TN. WAWAN EDI P Rp8,500.00
13 09/23/15 TN. EKO SUPRIYANTO Rp8,500.00
14 09/28/15 TN. MUHAMAD DIRMANSYAH Rp8,500.00
15 09/28/15 TN. SUHARIADI Rp8,500.00
JUMLAH Rp127,500.00

DESEMBER 2015

1 12/07/16 TN. RIAN MOHAMAD Rp8,500.00
2 12/10/16 NN. DWI RIZKI Rp8,500.00
3 12/11/16 TN. NUR PRABAWA Rp8,500.00
4 12/11/16 TN. BAGAS PRASETYO Rp8,500.00
5 12/14/16 NN. LINDAWATI Rp8,500.00
6 12/15/16 NY. ELIN KARLINAH Rp8,500.00
7 12/15/16 NY. RIRIS Rp8,500.00
8 12/16/16 NY. MARA Rp8,500.00
9 12/16/16 TN. SETO ABDAUL Rp8,500.00
10 12/17/16 NN. FIDELIA DWIKSA Rp8,500.00
11 12/19/16 TN. WAHYUDI Rp8,500.00
12 12/19/16 NY. WIDIASTUTI Rp8,500.00
13 12/21/16 NY. SAYU WINDI Rp8,500.00
14 12/21/16 NY. MASLI ERNIDA Rp8,500.00
15 12/23/16 TN. MOGA PURNAMA Rp8,500.00
16 12/23/16 TN. NUR PRABAWA Rp8,500.00
17 12/23/16 NY. LILIS LISNAWATI Rp8,500.00
18 12/23/16 NY. MAGGIE Rp8,500.00
19 12/23/16 NN. LINA YULIANTI Rp8,500.00
20 12/26/16 NY. FITRIANI Rp8,500.00
21 12/26/16 NY. RISKI HASANAH Rp8,500.00
22 12/26/16 NY. RISKI HASANAH Rp8,500.00
23 12/28/16 NY. SRI KUNTARTI Rp8,500.00
24 12/29/16 TN. CHAIDIR Rp8,500.00
25 12/30/16 NY. LIANA Rp8,500.00
26 12/31/16 TN. AFRIZAL ZAIN Rp8,500.00
27 12/31/16 NY. AMELIA Rp8,500.00
28 12/31/16 NY. ERNI KURNIASARI Rp8,500.00
29 12/31/16 TN. WAYAN SUWENDRA Rp8,500.00
30 12/31/16 NY. NURUL HIKMAH Rp8,500.00
JUMLAH Rp255,000.00
Page 19
ODC
JANUARI 2016
1 01/02/16 TN. HERY HARISMIANTO Rp8,500.00
2 01/04/16 AN. KEVIN GLENARDO Rp8,500.00
3 01/04/16 NN. UMU NURFIANA Rp8,500.00
4 01/04/16 NY. MARHAMAH Rp8,500.00
5 01/05/16 TN. CHANDRA PERMANA Rp8,500.00
6 01/09/16 TN. ZAILANI Rp8,500.00
7 01/09/16 TN. ROSYADI Rp8,500.00
8 01/11/16 TN. JAHARI Rp8,500.00
9 01/11/16 TN. PUTRA RADITYASANI Rp8,500.00
10 01/12/16 NN. LUTHFI FAATIHAH Rp8,500.00
11 01/15/16 AN. SHANTI SUKOCO Rp8,500.00
12 01/18/16 NY. HANDINI PUSPITA Rp8,500.00
13 01/19/16 NY. SOFIAH SHOLEH Rp8,500.00
14 01/19/16 NY. IDA RAHMAWATI Rp8,500.00
15 01/20/16 TN. JAELANI Rp8,500.00
16 01/20/16 TN. MIFTAH NURUL Rp8,500.00
17 01/22/16 TN. HARYANTO Rp8,500.00
18 01/23/16 NY. ERNAWATI Rp8,500.00
19 01/27/16 AN. HAQQY KHULAFAUR Rp8,500.00
20 01/29/16 NY. FLORENTINA SRI RUMINI Rp8,500.00
21 01/29/16 NN. ROMADHONA PUTRI Rp8,500.00
22 01/29/16 NY. ROSA BUDIASTITI Rp8,500.00
JUMLAH 187000

FEBRUARI 2016
1 02/02/16 TN. HARYANTO Rp8,500.00
4 02/04/16 NY. MARHAMAH Rp8,500.00
6 02/07/16 TN. ZAILANI Rp8,500.00
7 02/07/16 TN. ROSYADI Rp8,500.00
8 02/10/16 TN. JAHARI Rp8,500.00
11 02/11/16 TN. HARYANTO Rp8,500.00
12 02/13/16 NY. ERNAWATI Rp8,500.00
13 02/13/16 TN. FEBRIAN NATANEL Rp8,500.00
18 02/22/16 TN. DENI HIKMATLANA Rp8,500.00
Page 20
ODC
19 02/22/16 NY. ERMIYANTI Rp8,500.00

20 02/24/16 NY. ERNAWATI Rp8,500.00
22 02/27/16 TN. JAELANI Rp8,500.00
JUMLAH 187000

JULI 2017
1 07/04/17 NY. AGUSTINA MARIA Rp8,500.00
2 07/04/17 AN. FERNANDIKA ATHIF Rp8,500.00
3 07/06/17 NY. TATI HERAWATI Rp8,500.00
4 07/07/17 NY. SRI WAHYUNINGSIH Rp8,500.00
5 07/08/17 NN. NENTI Rp8,500.00
6 07/10/17 TN. SURONO Rp8,500.00
7 07/11/17 TN. RENDY MARCELINO Rp8,500.00
8 07/13/17 NN. TERENINA Rp8,500.00
9 07/13/17 TN. MUH KHOIRUL ANAM Rp8,500.00
10 07/13/17 NY. SUCIATI Rp8,500.00
11 07/14/17 NN. INTAN GURAT WANGI Rp8,500.00
12 07/14/17 TN. ALI TAUFAN Rp8,500.00
13 07/14/17 TN. HENDRA GUNAWAN Rp8,500.00
14 07/14/17 TN. AQSHA WARDHANA Rp8,500.00
15 07/15/17 NY. RAFI SAUMI R Rp8,500.00
16 07/18/17 TN. NUR BUDIMAN Rp8,500.00
17 07/18/17 NY. PRASTINI Rp8,500.00
18 07/18/17 NN. IRHAM ALFUN AUFA Rp8,500.00
19 07/19/17 NY. NIA HADI Rp8,500.00
20 07/19/17 TN. ALFONSO PARDOSI Rp8,500.00
21 07/22/17 TN. RAHMAWAN Rp8,500.00
22 07/22/17 TN. ARMAN MARZURI Rp8,500.00
23 07/22/17 TN. TITUS YUWONO Rp8,500.00
24 07/22/17 NY. BUDIYATI Rp8,500.00
25 07/22/17 NY. NOVITAMA Rp8,500.00
26 07/26/17 AN. HAIKAL APRIANSYAH Rp8,500.00
27 07/27/17 NY. NARMI Rp8,500.00
28 07/27/17 TN. YUSUF SANIGAP Rp8,500.00
29 07/29/17 AN. RAINA NASYA Rp8,500.00
30 07/29/17 NY. NOVI PURNAMAWATI Rp8,500.00
31 07/29/17 TN. KARTIKO ARIEF Rp8,500.00
32 07/31/17 NN. YUNITA MARNITA Rp8,500.00
JUMLAH 272000

Page 21
ODC
AGUSTUS 2017
1 08/03/17 TN. ARI FEBRIANSYAH Rp8,500.00
2 08/03/17 NY. WINARTI Rp8,500.00
3 08/03/17 NY. EKO SRI SUWARNI Rp8,500.00
4 08/09/17 NY. MINTARSIH Rp8,500.00
5 08/10/17 NY. HANIK RAHMAWATI Rp8,500.00
6 08/10/17 NY. NARULITA Rp8,500.00
7 08/11/17 TN. ASEP HERMAWAN Rp8,500.00
8 08/11/17 TN. IDHAM YAMIN Rp8,500.00
9 08/12/17 NY. DAMARSIH Rp8,500.00
10 08/12/17 TN. DEDI SUPRIADI Rp8,500.00
11 08/12/17 NN. PUSPA AMELIA Rp8,500.00
12 08/16/17 TN. WAHYU WIDODO Rp8,500.00
13 08/18/17 RIDWAN SAPUTRA Rp8,500.00
14 08/19/17 AN. REYNALDI Rp8,500.00
15 08/19/17 TN. ARIEF NUR RAMADHAN Rp8,500.00
16 08/19/17 NY. NENI SURYANI Rp8,500.00
17 08/21/17 TN. IDHAM YAMIN Rp8,500.00
18 08/21/17 NY. ARIYANTI Rp8,500.00
19 08/23/17 NY. MARISKA Rp8,500.00
20 08/24/17 TN. RIAN MAULANA Rp8,500.00
21 08/24/17 TN. I WAYAN SUGIONO Rp8,500.00
22 08/26/17 NN. PRILLIA HAFSARIE Rp8,500.00
23 08/26/17 NN. REZKY WIBISONO Rp8,500.00
24 08/26/17 NY. DEWI ARIYANTI Rp8,500.00
25 08/28/17 TN. AKMAL RAHMILYUS Rp8,500.00
26 08/28/17 NY. KARTINI Rp8,500.00
27 08/31/17 NN. NI LUH NYOMAN Rp8,500.00
28 08/31/17 NN. LIA NOVITASARI Rp8,500.00
JUMLAH 238000

SEPTEMBER 2017
1 09/04/17 NY. AESTHETICA Rp8,500.00
2 09/04/17 AN. GHANIY ALMAS Rp8,500.00
3 09/09/17 NY. RARA PISCA DEWI Rp8,500.00
4 09/09/17 NY. IIN ANGGRAINY Rp8,500.00
5 09/11/17 TN. DAKSINA ARGA PUTRA Rp8,500.00
6 09/13/17 NN. SURYANI Rp8,500.00
7 09/15/17 NY. SUHEMI Rp8,500.00
8 09/15/17 TN. NAYONO Rp8,500.00
9 09/18/17 NY. NURAINI Rp8,500.00
10 09/19/17 NN. FANY ASFARINA Rp8,500.00
11 09/19/17 NY. CATUR YULIANI Rp8,500.00
12 09/19/17 AN. RADITYA ABIMANYU Rp8,500.00
Page 22
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13 09/23/17 TN. ANTONI ERIEK Rp8,500.00

14 09/23/17 NY. MIMIN RUKMINI Rp8,500.00
15 09/23/17 NN. SHERYN NURIYANA Rp8,500.00
16 09/26/17 AN. LANGIT MAHAPUTRA Rp8,500.00
17 09/27/17 NY. AGUSTINA Rp8,500.00
18 09/27/17 NY. ENDANG SETIAWATI Rp8,500.00
19 09/28/17 NY. PATMAWATI Rp8,500.00
JUMLAH 161500

OKTOBER 2017
1 10/04/17 TN. JUDI SAKTI Rp8,500.00
2 10/04/17 NY. IM ROITOH Rp8,500.00
3 10/05/17 NY. JESINTHA Rp8,500.00
4 10/05/17 NY. DAMAYANTI Rp8,500.00
5 10/05/17 NY. DAMAYANTI Rp8,500.00
6 10/05/17 NY. NETTY Rp8,500.00
7 10/06/17 NY. LILIK UTAMI Rp8,500.00
8 10/07/17 NN. LATANIA Rp8,500.00
9 10/07/17 NY. YENI MARYATI Rp8,500.00
10 10/07/17 TN. JOKO ISWORO Rp8,500.00
11 10/09/17 NY. SRI REZEKI Rp8,500.00
12 10/10/17 NN. AFINA Rp8,500.00
13 10/13/17 TN. NURUDIN Rp8,500.00
14 10/18/17 TN. I KOMANG FERIYANTO Rp8,500.00
15 10/18/17 TN. RANDI Rp8,500.00
16 10/18/17 NY. NUR HATINI Rp8,500.00
17 10/18/17 NY. NOVI DIYAH Rp8,500.00
18 10/21/17 NY. TRISILA Rp8,500.00
19 10/23/17 NY. SRI WAHYUNI Rp8,500.00
20 10/24/17 TN. DAFFA Rp8,500.00
21 10/24/17 TN. DADANG Rp8,500.00
JUMLAH 178500

NOVEMBER 2017
1 Rp8,500.00
2 Rp8,500.00
3 Rp8,500.00
4 Rp8,500.00
5 Rp8,500.00
6 Rp8,500.00
Page 23
ODC
7 Rp8,500.00
8 Rp8,500.00
9 Rp8,500.00
10 Rp8,500.00
11 Rp8,500.00
12 Rp8,500.00
13 Rp8,500.00
14 Rp8,500.00
15 Rp8,500.00
16 Rp8,500.00
17 Rp8,500.00
18 Rp8,500.00
19 Rp8,500.00
20 Rp8,500.00
21 Rp8,500.00
JUMLAH 178500

NOVEMBER 2017
1 11/01/17 TN. FUAD BISMAR I Rp8,500.00
2 11/03/17 NY. JUMIYEM Rp8,500.00
3 11/03/17 NY. YONE LINGKE Rp8,500.00
4 11/04/17 NY. YESSY SUCIATI Rp8,500.00
5 11/04/17 TN. EKO KURNIA Rp8,500.00
6 11/08/17 NN. NURLAELA Rp8,500.00
7 11/10/17 NY. TATIK K Rp8,500.00
8 11/10/17 NY. SYAROFAH Rp8,500.00
9 11/13/17 NY. EKOWATI Rp8,500.00
10 11/14/17 NY. SALLY DIYANING Rp8,500.00
11 11/15/17 NAN. SITI DIVA G Rp8,500.00
12 11/16/17 AN. NADHIFA AZKIA Rp8,500.00
13 11/17/17 AN. AIKO SAQY Rp8,500.00
14 11/18/17 AN. FADHEL HUDSAFAH Rp8,500.00
15 11/19/17 NY. RIMAH Rp8,500.00
16 11/20/17 TN. RAJASA NEGARA Rp8,500.00
17 11/21/17 NY. TRI INDAH WAHYU Rp8,500.00
18 11/22/17 NY. NILA SARI Rp8,500.00
19 11/23/17 NY. FATMAWATI Rp8,500.00
20 11/24/17 TN. SAMSI Rp8,500.00
21 11/25/17 NY. MAZIDAH Rp8,500.00
22 11/26/17 NY. NURJANAH Rp8,500.00
23 11/27/17 NY. IDA KURNIAWATI Rp8,500.00
24 11/28/17 NY. TRI W. CIPTADI Rp8,500.00
TOTAL Rp204,000.00
Page 24
ODC

DESEMBER 2017
2 12/04/17 AN. KEVIN GLENARDO Rp8,500.00
4 12/04/17 NY. MARHAMAH Rp8,500.00
6 12/05/17 TN. ZAILANI Rp8,500.00
7 12/05/17 TN. ROSYADI Rp8,500.00
8 12/11/17 TN. JAHARI Rp8,500.00
11 12/15/17 AN. SHANTI SUKOCO Rp8,500.00
12 12/18/17 NY. HANDINI PUSPITA Rp8,500.00
13 12/19/17 NY. SOFIAH SHOLEH Rp8,500.00
15 12/21/17 TN. JAELANI Rp8,500.00
17 12/21/17 TN. HARYANTO Rp8,500.00
18 12/23/17 NY. ERNAWATI Rp8,500.00
19 12/24/17 AN. HAQQY KHULAFAUR Rp8,500.00
JUMLAH 187000

JANUARI 2018
1 01/03/18 NY. PAYONG BR GINTING Rp8,500.00
2 01/03/18 TN. AGUS RIYANTO Rp8,500.00
3 01/06/18 TN. ISTIYANTO Rp8,500.00
4 01/06/18 TN. EVAN HERTANTO Rp8,500.00
5 01/10/18 NY. SRI MEITY H Rp8,500.00
6 01/10/18 TN. ENDI SUBANDI Rp8,500.00
7 01/10/18 TN. ELGAR MARTILAVIAN Rp8,500.00
8 01/12/18 AN. PASCAL ARYA N. Rp8,500.00
9 01/12/18 NN. LUQYANA Rp8,500.00
10 01/12/18 TN. MANAOR HUTAPEA Rp8,500.00
11 01/13/18 NY. LINDAWATI Rp8,500.00
12 01/13/18 NN. SURYANI Rp8,500.00
13 01/15/18 NY. SUHEMI Rp8,500.00
14 01/15/18 TN. NAYONO Rp8,500.00
15 01/18/18 NY. NURAINI Rp8,500.00
Page 25
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16 01/19/18 NN. FANY ASFARINA Rp8,500.00

17 01/19/18 NY. CATUR YULIANI Rp8,500.00
18 01/23/18 NY. ENCIH SUMIATI Rp8,500.00
19 01/23/18 TN. MARGO PITONO Rp8,500.00
20 01/27/18 NN. ARANCXA IRENE Rp8,500.00
21 01/29/18 NY. DWI ERWINA Rp8,500.00
JUMLAH 178500
LAPORAN PERMINTAAN PAKET MCU

JANUARI 2018
*Tidak ada permintan paket MCU pada bulan Januari 2018

MARET 2018
1 01/03/18 NY. TATIK WINARNI Rp8,500.00
2 02/03/18 NY. NADIA Rp8,500.00
3 06/03/18 TN. BAMBANG SUDIARTO Rp8,500.00
4 07/03/18 NN. SURYANI Rp8,500.00
5 08/03/18 NY. SUHEMI Rp8,500.00
6 10/03/18 TN. NAYONO Rp8,500.00
7 11/03/18 NY. NURAINI Rp8,500.00
8 12/03/18 NY. DINI JUNIANTI Rp8,500.00
9 13/03/18 TN. IDEA TRILAKSANA Rp8,500.00
10 13/03/18 NY. NURHASANAH Rp8,500.00
11 14/03/18 NY. HANDAYANI Rp8,500.00
12 16/03/18 NY. DORLYANA Rp8,500.00
13 17/03/18 NY. MARWIYAH Rp8,500.00
14 19/03/18 NY. SRI YUNENGSIH Rp8,500.00
15 20/03/18 NY. LULUK PURWANTI Rp8,500.00
16 22/03/18 AN. YEHEZKIEL ARYA Rp8,500.00
17 23/03/18 NY. MIRIAM RISMA A Rp8,500.00
18 24/03/18 TN. DANIEL DAVIDSON Rp8,500.00
19 24/03/18 TN. WIBAWA PRASETYA Rp8,500.00
20 25/03/18 TN. USUP SUPRIATNA Rp8,500.00
21 27/03/18 NY. TUTI MULYANI Rp8,500.00
22 28/03/18 NN. DITA PURWANTI Rp8,500.00
23 29/03/18 TN. SARIATNA Rp8,500.00
25 31/03/18 TN. ANDREW ADITYA Rp8,500.00
JUMLAH 212500
Page 26
ODC

APRIL 2018
1 04/01/18 NY. MURINI Rp8,500.00
2 04/01/18 NY. DIAN YUNINGSIH Rp8,500.00
3 04/02/18 TN. APRIANSYAH Rp8,500.00
4 04/02/18 NN. TRESSYA NAFTALI Rp8,500.00
5 04/03/18 AN. TAHANY NYDIA ZH Rp8,500.00
6 04/03/18 NN. ANA MARIA Rp8,500.00
8 04/04/18 AN. AISYAH Rp8,500.00
9 04/04/18 TN. SANDY SATRIA Rp8,500.00
10 04/04/18 TN. HARYANTO Rp8,500.00
11 04/05/18 NY.YUWITA QORI A Rp8,500.00
12 04/17/18 NY.TINA KRISTIYANDARI Rp8,500.00
13 04/17/18 NY.MUHAMAD FAHMI I Rp8,500.00
14 04/18/18 NY.TRI AIDIAH S Rp8,500.00
15 04/19/18 NY. VERA LUSIANTI Rp8,500.00
16 04/19/18 TN. HANDRA SAPUTRA Rp8,500.00
17 04/20/18 TN. SABAR SASONGKO Rp8,500.00
18 04/21/18 TN. RUSDI ADENANSYAH Rp8,500.00
19 04/21/18 TN. KARMAN Rp8,500.00
20 04/25/18 NY. SITI JALIYAH Rp8,500.00
JUMLAH 170000

MEI' 2018
*Tidak ada permintan paket MCU pada bulan mei 2018

MEI 2018
1 05/03/18 NY.RINDI ANTIKA Rp8,500.00
Page 27
ODC
2 05/06/18 NY.ADTRID CHRISTINA S Rp8,500.00

3 05/09/18 NY.SITI HINDUN Rp8,500.00
4 05/11/18 NY.KUSWATI Rp8,500.00
5 05/15/18 AN.RAKHA FADIL PUTRA Rp8,500.00
6 05/15/18 NN.KHAIRA AYU AULIA Rp8,500.00
7 05/19/18 NY.OKTAVIANTI Rp8,500.00
8 05/19/18 AN.MUHAMMAD RIZQI A Rp8,500.00
9 05/19/18 NY.EKA NANING S Rp8,500.00
JUMLAH 76500

JUNI' 2018
*Tidak ada permintan paket MCU pada bulan juni 2018

JUNI 2018
1 06/06/18 TN.MUSTARI Rp8,500.00
2 06/12/18 NY.SUMIATI Rp8,500.00
3 06/18/18 NY.ESRA SILALAHI Rp8,500.00
4 06/19/18 TN.TJIE KIAN KIONG Rp8,500.00
5 06/19/18 TN.ARIEF ZACKIARDI Rp8,500.00
6 06/19/18 BERSIANNA SILAEN Rp8,500.00
7 06/19/18 TN.VIVALDI JALEN Rp8,500.00
8 06/19/18 NY.SITI ANNISA Rp8,500.00
9 06/19/18 NY.DESI HERNAWATI Rp8,500.00
10 06/19/18 TN.ROBIN HOOD Rp8,500.00
11 06/19/18 TN.MOCHAMAD ADITYA KUSUMA Rp8,500.00
12 06/21/18 NY.IKAH RAHMAWATI Rp8,500.00
13 06/22/18 TN.NGADIKIN Rp8,500.00
14 06/22/18 NY.INDARWATI Rp8,500.00
15 06/22/18 TN.SENO PRASETIO Rp8,500.00
16 06/22/18 TN.NAMIT BIN SADRI Rp8,500.00
17 06/22/18 TN.ANDI WAHYU SETIAWAN Rp8,500.00
18 06/25/18 NN.PUTRI LENGGO GENI Rp8,500.00
19 06/25/18 NN.ELIS AYU FITRI Rp8,500.00
JUMLAH 161500
Page 28
ODC

JULY 2018
1 07/02/18 TN. ATAM MUSTOPA Rp8,500.00
2 AN. MATAHARI GRACIO Rp8,500.00
3 TN. UDE HERYANA Rp8,500.00
4 TN. LIM KENG HENG Rp8,500.00
5 TN. GOHAN SONY Rp8,500.00
6 07/14/18 NY. ITA EFENDI Rp8,500.00
7 07/18/18 NY. NOVITA HARUM Rp8,500.00
8 NY. KUNTARI Rp8,500.00
9 NY. ANITA Rp8,500.00
10 NY. ERNI DWI Rp8,500.00
11 NY. ALIPAH ROCHAINI Rp8,500.00
12 07/23/18 YN. TATIK WIDARWANTI Rp8,500.00
13 07/30/18 NY. TRI LISTYAWATI Rp8,500.00
14 NY. NOVIDAWATI Rp8,500.00
15 TN. LEO AGUNG Rp8,500.00
16 AN. HAMMAD ALVIN Rp8,500.00
JUMLAH 136000

01/01/19
6 07/14/18 NY. ITA EFENDI Rp8,500.00
Page 29
ODC
JUMLAH 136000

02/01/19
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Rp8,500.00
Page 30
ANGIO

AGUSTUS 2012
08/14/12 TN. IMAM Rp20,000.00
08/30/12 TN. BENIARA S Rp20,000.00
Rp20,000.00
TOTAL 60000

AGUSTUS 2012
08/14/12 TN. IMAM Rp20,000.00
08/30/12 TN. BENIARA S Rp20,000.00
TOTAL Rp40,000.00
LAPORAN PERMINTAAN MAKAN MCU

OKTOBER 2012
10/06/12 NY. SRI NUGRAHENI Rp5,000.00
10/06/12 AN. BANI IKHSAN Rp5,000.00
10/06/12 AN. ADIN BENEDICT Rp5,000.00
10/06/12 NN. GABRIELLA VERONICA Rp5,000.00
10/06/12 TN. DICKY IVAN Rp5,000.00
10/06/12 NY. ADELINA SARAGIH Rp5,000.00
10/06/12 NN. FADILASANI TYAS Rp5,000.00
10/13/12 AN. BALQIS ELOK Rp5,000.00
10/13/12 AN. RAYHAN SAPUTRA Rp5,000.00
10/13/12 NY. INTAN Rp5,000.00
10/13/12 AN. SANIA MUTIARA Rp5,000.00
10/27/12 NY. ISMI N Rp5,000.00
10/27/12 AN. WARDAH FARAH Rp5,000.00
10/27/12 AN. DZAKIR HAFIDZ Rp5,000.00
10/27/12 NY. FERA PIANA YULNI Rp5,000.00
10/27/12 NN. BELLA DWI APRILYZA Rp5,000.00
10/27/12 NN. GHINI MERIZA Rp5,000.00
10/27/12 AN. DAFFA FACHRIZA Rp5,000.00
10/27/12 NY. FIRDA UTAMI Rp5,000.00
10/27/12 AN. KEYZA SALIVA Rp5,000.00
10/27/12 AN. FIKRI AULIA Rp5,000.00
10/27/12 NY. ISNANINGRUM Rp5,000.00
10/27/12 AN. RICKY DWI Rp5,000.00
10/27/12 AN. RIZKY AZIZ Rp5,000.00
10/27/12 NY. PIPIH SURYANI Rp5,000.00
TOTAL 125000
Page 31
ANGIO
NOVEMBER 2012
11/03/12 AN. SYAHLA AULIS Rp5,000.00
11/03/12 AN. MUHAMMAD ALIEF RAFIF Rp5,000.00
11/03/12 AN. MUHAMMAD HAIKAL Rp5,000.00
11/03/12 NY. MAEMUNAH Rp5,000.00
11/16/12 NY. RENI SUNDARI Rp5,000.00
11/17/12 NN. NISYA MAULIDA Rp5,000.00
11/17/12 TN. KOKOT HARTAJI Rp5,000.00
11/17/12 TN. DHYTO PRADANA Rp5,000.00
11/28/12 AN. FROFINABILA SYAFA Rp5,000.00
TOTAL 45000

DESEMBER 2012
12/08/12 AN. KEISYA MALIKHA Rp5,000.00
12/24/12 AN. DEJHAN MUHAMMAD Rp5,000.00
12/24/12 AN. DYANDA ANISAH Rp5,000.00
12/24/12 AN. DEVON R. DELIAN Rp5,000.00
12/24/12 AN. ANGELA PERMATA Rp5,000.00
12/24/12 AN. AYUNI PUTRI Rp5,000.00
12/24/12 NY. NURLAENI Rp5,000.00
12/28/12 TN. YUS YUSUD MAHDAR Rp5,000.00
12/28/12 TN. MARWAN Rp5,000.00
12/28/12 TN. SLAMET Rp5,000.00
12/31/12 TN. AGUS PRIHARTONO Rp5,000.00
TOTAL 55000

SEPTEMBER 2014

10/28/14 TN. HANIF RACHMANSYAH\ Rp10,000.00
09/10/14 NY.NURLAELI Rp6,500.00
09/12/14 TN.AGUS PRIHARTONO Rp6,500.00
TOTAL Rp19,500.00
TOTAL

JANUARI 2013
10/28/14 TN. HANIF RACHMANSYAH\ Rp10,000.00
Page 32
ANGIO

OKTOBER 2013
10/19/13 NY. TRI SUKESAKTIYANI Rp6,000.00
10/19/13 AN. BANI IKHSAN Rp6,000.00
10/31/13 AN. ADELIA Rp6,000.00
10/31/13 NY. EIRENE CHRISTIANE Rp6,000.00
10/31/13 AN. RAVANO Rp6,000.00
66000

OKTOBER 2014

10/28/14 TN. HANIF RACHMANSYAH Rp10,000.00
TOTAL Rp10,000.00

NOVEMBER 2014
11/01/14 AN. DYANDRA ANISAH D Rp10,000.00
11/01/14 AN. DEVON R.DELIAN Rp10,000.00
11/04/14 NY. ISNAWATI Rp10,000.00
11/04/14 AN. KEZIA SANTINAH T Rp10,000.00
11/04/14 AN. MADONNA GONSALLY S Rp10,000.00
11/04/14 NY. SITI RUYATI Rp10,000.00
11/04/14 AN. DINA SEPTIYANI Rp10,000.00
11/04/14 NN. LULU SEPTIYANTI Rp10,000.00
11/08/14 AN. RAVANO Rp10,000.00
Page 33
ANGIO
11/08/14 AN. ADELIA Rp10,000.00

11/15/14 NY. ENUNG NURIAH Rp8,000.00
11/15/14 NN. SITI RIMA A Rp10,000.00
11/15/14 AN. SITI MARYAM Rp10,000.00
11/15/14 AN. FIKRI AULIA Rp10,000.00
11/19/14 NY. RAFIANA Rp8,000.00
11/19/14 AN. IBNU AZKA M Rp10,000.00
11/20/14 TN. RAFID MUHTADIN Rp10,000.00
11/22/14 TN. MARWAN BASIYRUDDIN Rp10,000.00
11/22/14 NY. DESTI Rp8,000.00
11/22/14 NN. FITRI HERDIANTI Rp10,000.00
11/22/14 AN. RICKY DWI Rp10,000.00
11/22/14 AN. RIZKY AZIZ Rp10,000.00
11/22/14 NY. NUNUNG Rp8,000.00
11/22/14 NN. ROSMIA DAMAYANTI Rp10,000.00
11/22/14 TN. KOKO KOMARUDIN Rp10,000.00
11/22/14 NY. PIPIH SURYANI Rp8,000.00
284000

DESEMBER 2014
12/02/14 NY. NUR AINI Rp8,000.00
12/13/14 NY. NURLAENI Rp8,000.00
12/13/14 NN. AYUNI PUTRI Rp10,000.00
12/17/14 NY. LISA INTAN P Rp8,000.00
12/20/14 AN. MUHAMMAD HANIF Rp10,000.00
12/20/14 NY. YUNIA Rp8,000.00
12/20/14 AN. FATEHA H Rp10,000.00
12/20/14 AN. MUHAMMAD ERVIN Rp10,000.00
12/22/14 AN. ADIN BENEDICT Rp10,000.00
12/22/14 NY. ANA NURHASANAH Rp8,000.00
12/22/14 NN. GABRIELLA VERONICA Rp10,000.00
12/27/14 AN. AZIZAH KHAIRUNNISA Rp10,000.00
12/27/14 AN. SHAKILA AMIRAH Rp10,000.00
12/27/14 NY. NANI SUPARNI Rp8,000.00
Page 34
ANGIO
12/27/14 NY. INTAN MAHERAWATI Rp8,000.00

12/27/14 NN. HARNITA Rp10,000.00
12/27/14 AN. MUHAMMAD FAISAL Rp10,000.00
12/27/14 AN. NAISYA A Rp10,000.00
12/27/14 NY. TRI SUKESAKTIYANI Rp8,000.00
12/27/14 AN. NUR FADHLI Rp10,000.00
12/27/14 TN. AHMAD RIYADHI Rp10,000.00
12/27/14 AN. FADLURAHMAN Rp10,000.00
12/27/14 NY. RITA GUSTINA Rp8,000.00
12/30/14 AN. ANTONIUS NUGROHO Rp10,000.00
12/30/14 AN. GREGORIUS DWISETYO Rp10,000.00
12/30/14 AN. ROFINABILA SYAFA Rp10,000.00
12/30/14 NY. ANGELA CANDRA.P Rp8,000.00
12/30/14 NY. RIESMA FERDIANA Rp8,000.00
12/30/14 AN. ANINDYA KHAIRUNNISA Rp10,000.00
12/30/14 AN. ANINDITA KHAIRUNNISA Rp10,000.00
12/31/14 AN. VICKY SYAILENDRA Rp8,000.00
12/31/14 NY. NINA PURNIAWATI Rp8,000.00
322000

MARET 2015

NOVEMBER 2013
11/28/15 NY. NURLAENI Rp11,000.00
11/28/15 NN. AYUNI PUTRI Rp11,000.00
11/28/15 NY. MAEMUNAH Rp11,000.00
11/28/15 TN. MUHAMMAD ALIEF RAFIF Rp11,000.00
11/28/15 AN. SYAHLA AULIA Rp11,000.00
11/28/15 AN. MUHAMMAD HAIKAL Rp11,000.00
77000

DESEMBER 2015
12/12/16 AN. MUHAMMAD DAFFA Rp11,000.00
Page 35
ANGIO

12/15/16 NN. DINA SEPTIYANTI Rp11,000.00
12/15/16 NY. SITI RUYATI Rp11,000.00
12/15/16 NN. LULU SEPTIYANTI Rp11,000.00
12/15/16 AN. FATEHA HANIYA Rp11,000.00
12/19/16 NN. BELLA DWI APRILYZA Rp11,000.00
12/21/16 AN. ADELIA Rp11,000.00
12/21/16 AN. RAVANO Rp11,000.00
12/22/16 TN. RADIX CHANDRA Rp11,000.00
12/22/16 NY. RACHMAWATI Rp11,000.00
12/23/16 TN. A KOKO KOMARUDIN Rp11,000.00
12/23/16 AN. ROSMIA Rp11,000.00
12/23/16 NY. MERY ROSITTA Rp11,000.00
12/23/16 AN. JEFTAYES Rp11,000.00
12/23/16 NY. MERY ROSITTA Rp11,000.00
12/23/16 AN. JANE ROTUA Rp11,000.00
12/28/16 NN. NISYA MAULIDA Rp11,000.00
12/28/16 TN. DHYTO PRADANA Rp11,000.00
286000

MARET 2015

JULI 2017

AGUSTUS 2017
Page 36
ANGIO

SEPTEMBER 2017

MARET 2018
*Tidak ada permintaan makan MCU pada bulan Maret 2018

NOVEMBER 2017
11/30/17 AN. RAFANO Rp.12.000,00
11/30/17 NY. EIRENE CHRISTIANE Rp.12.000,00
11/30/17 AN. ADELIA Rp.12.000,00
TOTAL RP.36.000,00

DESEMBER 2017
12/08/17 NY. YUNIA Rp12,000.00
12/08/17 AN. FATEHA H Rp12,000.00
12/08/17 AN. LATHIFA Rp12,000.00
12/09/17 NY. NURLAENI Rp12,000.00
12/09/17 NN. AYUNI PUTRI Rp12,000.00
12/09/17 AN. CHAIRUL Rp12,000.00
12/11/17 NN. DINA SEPTIYANTI Rp12,000.00
12/11/17 NY. SITI RUYATI Rp12,000.00
12/12/17 NY.NENI Rp12,000.00
12/12/17 AN.AHMAD LIGAR Rp12,000.00
12/12/17 NN.SHEPTIAN Rp12,000.00
12/13/17 NY.HENNY Rp12,000.00
12/13/17 TN.DHYTO Rp12,000.00
12/14/17 AN.BERLIYAN Rp12,000.00
12/14/17 NY.MISIYEM Rp12,000.00
12/16/17 NY.TUTIEK Rp12,000.00
12/16/17 BY.FALISHA Rp12,000.00
12/16/17 AN.FARAH Rp12,000.00
Page 37
ANGIO
12/16/17 AN.JEFTAYES Rp12,000.00

12/16/17 AN.JOAN Rp12,000.00
12/16/17 NY.MERY Rp12,000.00
12/16/17 AN.JANE Rp12,000.00
12/18/17 AN.MUH. HAIKAL Rp12,000.00
12/18/17 AN.SYAHLA Rp12,000.00
12/18/17 AN.MUH. ALIEF Rp12,000.00
12/18/17 NY. MAEMUNAH Rp12,000.00
12/18/17 NN. FITRI HERDIANTI Rp12,000.00
12/18/17 NY. DESTI Rp12,000.00
12/19/17 NY.MUSYAROFAH Rp12,000.00
12/19/17 AN.ARINA Rp12,000.00
12/19/17 AN. AI HALIMAH Rp12,000.00
12/19/17 AN.SITI MARYAM Rp12,000.00
12/21/17 NY.RITA Rp12,000.00
12/21/17 AN.FADHLURRAHMAN Rp12,000.00
12/21/17 AN. NUR FADLI Rp12,000.00
12/21/17 TN. AHMAD RIYADHI Rp12,000.00
12/23/17 AN.DEVON Rp12,000.00
12/23/17 AN.DEJHAN Rp12,000.00
12/23/17 AN.DYANDA Rp12,000.00
12/23/17 NY.SETIYA Rp12,000.00
12/26/17 AN.KEISHA Rp12,000.00
12/26/17 AN.HAFIZAH Rp12,000.00
12/26/17 NY.CARINIH Rp12,000.00
12/26/17 AN.NOVAL Rp12,000.00
12/26/17 AN.ANNISA Rp12,000.00
12/27/17 NY.NUR AINI Rp12,000.00
12/28/17 NY.NANI Rp12,000.00
12/28/17 AN.NAISYA Rp12,000.00
12/28/17 TN. M. FAISAL Rp12,000.00
12/28/17 NN. HARNITA Rp12,000.00
12/29/17 AN. M. IBNU Rp12,000.00
12/29/17 NY. RAFIANA Rp12,000.00
12/29/17 AN. KHAIRA Rp12,000.00
12/29/17 NY. IDA Rp12,000.00
12/30/17 TN. SUNTORO Rp12,000.00
12/30/17 AN. MUH. FEDRO Rp12,000.00
12/30/17 AN. MUH. FETTO Rp12,000.00
12/30/17 AN.ADAM Rp12,000.00
12/30/17 NY. AJENG Rp12,000.00
12/30/17 AN. RAYHAN SAPUTRA Rp12,000.00
12/30/17 NN. BALQIS Rp12,000.00
12/30/17 AN.SANIA Rp12,000.00
12/30/17 AN.RAVANO Rp12,000.00
Page 38
ANGIO
12/30/17 NY.EIRENE Rp12,000.00

12/30/17 AN.ADELIA Rp12,000.00
12/31/17 NY.INTAN Rp12,000.00
12/31/17 AN.AZIZAH Rp12,000.00
12/31/17 AN.SHAKILA Rp12,000.00
TOTAL 900000
Page 39
PARSEL
LAPORAN PARSEL SVIP MEI 2012

TGL MASUK NAMA PASIEN HARGA
05/05/12 NY. ROHANI SIHALOHO Rp75,000.00
05/06/12 AN. EDWARD LAWRENCE Rp75,000.00
05/11/12 NY. WIDI ASTUTI Rp75,000.00
05/18/12 NY. ANITA NOER AIDA Rp75,000.00
05/23/12 AN. ATHAYA ALMIRA ASYA Rp75,000.00
05/24/12 TN. SOETJIPTO Rp75,000.00
05/29/12 AN. ATHAYA ALMIRA ASYA Rp75,000.00
TOTAL 525000
LAPORAN PARSEL REKANAN MARKETING

MEI 2012
05/21/12 TN. I MADE ARYASA Rp75,000.00
TOTAL Rp75,000.00
LAPORAN PARSEL SVIP JUNI 2012

06/05/12 TN. SAADY MUCHSIN Rp75,000.00
06/09/12 TN. AMRAN H. Rp75,000.00
06/12/12 AN. FATTHURAHMAN Rp75,000.00
06/24/12 TN. DHARMAKUSUMA Rp75,000.00
06/28/12 TN. YOURI KAPITAN Rp75,000.00
TOTAL Rp375,000.00
TOTAL 750000
LAPORAN MAKAN PASIEN ODC JUNI 2012

06/01/12 NY. ANI DWI WAHYUNI Rp6,500.00
06/01/12 NY. YOHANA F.I P Rp6,500.00
06/05/12 NY. RISTINA PANCA Rp6,500.00
06/07/12 NY. HJ. HABIBAH Rp6,500.00
06/08/12 NY. FIRMA YENI Rp6,500.00
06/08/12 TN. SUDIRO Rp6,500.00
06/10/12 NY. RINA SYAHFIRA Rp6,500.00
06/11/12 NY. YUNI KRISTINA Rp6,500.00
06/13/12 NY. SRI UTAMI Rp6,500.00
06/13/12 NY. SEPTIANI Rp6,500.00
06/14/12 NY. SUCI SUSANTI Rp6,500.00
06/14/12 NY. ROESTINI Rp6,500.00
Page 40
PARSEL
06/15/12 NY. RIRIS LUHRINCANI Rp6,500.00

06/15/12 NN. SUARSINI Rp6,500.00
06/15/12 TN. JOSEPH ANDRE A. Rp6,500.00
06/15/12 AN. OKKY FAJAR Rp6,500.00
06/19/12 TN. SHERDY GUNARDI Rp6,500.00
06/21/12 NY. HARANI TUAH Rp6,500.00
06/22/12 NY. IIN FIRAMADHANI Rp6,500.00
06/22/12 NY. NINING SUMINAR Rp6,500.00
06/23/12 AN. SITI DIVA G. Rp6,500.00
06/25/12 NY. RUMINAH Rp6,500.00
06/25/12 NY. RATNA DWI SUKMAWATI Rp6,500.00
06/25/12 NY. HARDIANA Rp6,500.00
06/25/12 NY. TIARMA TAMBA Rp6,500.00
06/26/12 NY. DEWI S Rp6,500.00
06/26/12 NY. LIANA SUSANTI Rp6,500.00
06/27/12 NY. ELYSABETH DEWI Rp6,500.00
06/27/12 TN. SUMARNO Rp6,500.00
06/30/12 AN. MARK AIDAN B. Rp6,500.00
06/30/12 AN. IRFAN Rp6,500.00
06/30/12 TN. BUDI NUGROHO Rp6,500.00
TOTAL 208000
TANGGAL KETERANGAN HARGA

06/29/12 JERUK MANDARIN AUSTRALIA 1 DUS Rp240,000.00
LAPORAN PARSEL SVIP JULI 2012

07/03/12 NY. MIRA HOFINA Rp75,000.00
07/05/12 TN. DEBRI FATRINI Rp75,000.00
07/08/12 NY. SITI MARKHAMAH Rp75,000.00
07/22/12 TN. WINARNO Rp75,000.00
07/29/12 NY. LINNA PERNAMASARI Rp75,000.00
TOTAL Rp375,000.00

JULI 2012
'
Page 41
PARSEL

07/26/12 NY. PALUPI AGUSTINA D Rp75,000.00
TOTAL Rp75,000.00
LAPORAN PARSEL SVIP AGUSTUS 2012

08/07/12 TN. IMAM KUSWANTORO Rp75,000.00
08/15/12 TN. ARIF HARJADI Rp75,000.00
TOTAL Rp150,000.00
LAPORAN PARSEL SVIP SEPTEMBER 2012

09/06/12 NN. WIDYA HANGGANA Rp75,000.00
09/10/12 TN. KRIS HANDONO Rp75,000.00
09/10/12 NY. SABINAT Rp75,000.00
09/12/12 TN. JOHANES ABRAHAM ONSU Rp75,000.00
09/19/01 AN. JENAT W. Rp75,000.00
09/28/12 NY. JULIANA Rp75,000.00
TOTAL 450000
LAPORAN PARSEL SVIP OKTOBER 2012

10/07/12 TN. SARIFUDIN KARDIMAN Rp75,000.00
10/07/12 TN. SOEWADJI Rp75,000.00
10/28/12 NY. EVI M Rp75,000.00
TOTAL 225000

OKTOBER 2012
'
10/02/12 NY. NOVIANI Rp75,000.00
TOTAL Rp75,000.00
LAPORAN PARSEL SVIP NOVEMBER 2012

11/04/12 AN. QUEEN RORO CALYSTA Rp75,000.00
11/05/12 NY. SRI HARTATI Rp75,000.00
11/07/12 TN. TATANG SUPYANDI Rp75,000.00
11/17/12 TN. SOEWADJI Rp75,000.00
Page 42
PARSEL
TOTAL Rp300,000.00
LAPORAN PARSEL LAIN-LAIN NOVEMBER 2012

11/21/12 TN. NUR USMAN Rp75,000.00
11/21/12 AN. FARRAS AULIA Rp75,000.00
10/28/12 NY. EVI M Rp75,000.00
TOTAL 225000
LAPORAN PARSEL SVIP DESEMBER 2012

12/02/12 NY. MITA NURLIANA Rp75,000.00
12/23/12 TN. YUDY HARMAWAN Rp75,000.00
12/30/12 TN. SOEWADJI Rp75,000.00
TOTAL Rp225,000.00
LAPORAN PARSEL SVIP JANUARI 2013

01/10/13 NY. GUSNIDAR Rp75,000.00
01/13/13 TN. DOWI Rp75,000.00
01/21/13 TN. WIDI TRIWIBOWO Rp75,000.00
01/22/13 TN. ABDUL HADI H. Rp75,000.00
01/23/13 NY. GINI JULIANA W. Rp75,000.00
04/29/13 NY. NETTY HERAWATI Rp75,000.00
01/30/13 TN. RYAN SEFTRIADI Rp75,000.00
JUMLAH 525000
LAPORAN PARSEL SVIP FEBUARI 2013

02/06/13 NY. JUHERIAH Rp75,000.00
02/06/13 AN. YOSHWA PRASETYA Rp75,000.00
02/14/13 AN. FARELL PUTRA Rp75,000.00
02/16/13 TN. ANDA Rp75,000.00
02/19/13 AN. SEVIANA Rp75,000.00
02/23/13 TN. FAUZI A RIFAI Rp75,000.00
02/23/13 TN. MUHAMMAD RIEFKY Rp75,000.00
JUMLAH 525000

FEBUARI 2013
Page 43
PARSEL
'
02/02/13 TN. DWI ISHWANTO Rp75,000.00
02/05/13 NY. YUNITA Rp75,000.00
JUMLAH 150000
LAPORAN PARSEL SVIP MARET 2013

03/01/13 NN. SUCIANA Rp75,000.00
03/02/13 NY. DESI DERIA Rp75,000.00
03/08/13 TN. ABDURACHMAN Rp75,000.00
03/09/13 NY. BERLIAN DEWI Rp75,000.00
03/11/13 NY. NURMADIYAH Rp75,000.00
03/13/13 NY. SUNARTIK Rp75,000.00
03/16/13 NY. NURAINI Rp75,000.00
03/21/13 TN. SAADY MUCHSIN Rp75,000.00
03/26/13 NY. IKE RATNASARI Rp75,000.00
03/28/13 TN. JALAL ABDUL Rp75,000.00
03/29/13 TN. WARYANTO Rp75,000.00
JUMLAH 825000
LAPORAN PARSEL REKANAN MARKETING MARET 2013

04/19/13 TN. SAMUEL ALVIN Rp75,000.00
04/23/13 DR. MELANIE GULTOM Rp75,000.00
TOTAL Rp150,000.00
LAPORAN PARSEL SVIP APRIL 2013

04/02/13 TN. AYUBITIA YUDHA Rp75,000.00
04/02/13 TN. JOKO BAROTO Rp75,000.00
04/08/13 NY. BONG KIM MIE Rp75,000.00
04/09/13 AN. MUHAMMAD FAARIZ Rp75,000.00
04/13/13 TN. AGUS DARMINTO Rp75,000.00
04/17/13 NY. EUIS MEKAWATI Rp75,000.00
04/25/13 AN. NABIL HS Rp75,000.00
04/25/13 TN. ACHMAD LN Rp75,000.00
04/30/13 AN. FARAH ZALFA Rp75,000.00
JUMLAH 675000

05/01/13 NY. SABINAR Rp75,000.00
05/01/13 AN. FARAH ZALFA Rp75,000.00
Page 44
PARSEL
05/05/13 TN. EDWIN WAHID Rp75,000.00

05/06/13 NN. SALSABILA Rp75,000.00
05/06/13 TN. USMAN Rp75,000.00
05/08/13 NY. INDAH TRI P Rp75,000.00
05/12/13 NY. LIANA RIAWANI Rp75,000.00
05/14/13 AN. AUGUSTINO DONALD Rp75,000.00
05/16/13 NY. NININ DWI LESTARI Rp75,000.00
05/17/13 TN. MUHAMMAD EZZAR Rp75,000.00
05/18/13 TN. JACKSEN TRIMOR Rp75,000.00
05/23/13 NY. SITI MUSLIMAH Rp75,000.00
05/24/13 TN. IFIK SANTOSA Rp75,000.00
05/26/13 NY. ATY DEDEN Rp75,000.00
05/30/13 AN. KIRANI WAHYU Rp75,000.00
TOTAL 1125000

06/02/13 NY. SUNARTIK Rp75,000.00
06/06/13 NY. VANI Rp75,000.00
06/11/13 TN. MUHAMMAD NADJIB Rp75,000.00
06/17/13 TN. SUGENG TRIYONO Rp75,000.00
06/19/13 TN. DAVID LIMBUNAN Rp75,000.00
TOTAL Rp375,000.00

07/05/13 NN. IRENE PURBANDARI Rp75,000.00
07/05/13 TN. SUGENG TRIYONO Rp75,000.00
07/09/13 NY. KUNTI WULANDARI Rp75,000.00
07/10/13 TN. RAHMADI Rp75,000.00
07/13/13 NY. RISA MUSTARI A Rp75,000.00
07/18/13 NY. HARMA L. PAKPAHAN Rp75,000.00
07/20/13 NY. YULIA Rp75,000.00
07/23/13 TN. HARIS NUZUL Rp75,000.00
07/26/13 NY. SOEKINI Rp75,000.00
JUMLAH 675000

09/01/13 TN. KUS HENDARTO Rp75,000.00
09/04/13 NN. AYSA NOVIRA YUNAZ Rp75,000.00
09/09/13 TN. ABRYAN ADAM Rp75,000.00
09/15/13 AN. ATHENA Rp75,000.00
09/21/13 TN. PIETER MARIO Rp75,000.00
09/21/13 AN. BELVA FELISHA Rp75,000.00
Page 45
PARSEL
09/27/13 TN. ABU BAKAR SIDIK Rp75,000.00

09/29/13 NN. KANINA Rp75,000.00
JUMLAH 600000

SEPTEMBER 2013
'
09/20/13 TN. SUBUR CHOIR Rp100,000.00
09/23/13 NY. SITI AHADA Rp75,000.00
09/30/13 TN. ASHAR Rp75,000.00
JUMLAH 250000

10/01/13 NN. KANINA M PUTRI Rp75,000.00
10/03/13 NN. ADIBA FARIHA Rp75,000.00
10/04/13 TN. HARRY S. RIADI Rp75,000.00
10/05/13 AN. AQHILA AZMIRA ASYA Rp75,000.00
10/08/13 NY. CECILIA Rp75,000.00
10/08/13 NY. GUSNIDAR Rp75,000.00
10/13/13 TN. DEDEN RIKI Rp75,000.00
10/21/13 AN. THALITA BRATANDARI Rp75,000.00
10/25/13 TN. ARIES KARTONO Rp75,000.00
JUMLAH 675000

11/03/13 AN. AXEL PUTRA Rp75,000.00
11/16/13 TN. SHINICHI T Rp75,000.00
11/17/13 AN. ANDI RAYDEN Rp75,000.00
11/20/13 NN. SIFNA AUDIA Rp75,000.00
JUMLAH 300000

12/01/13 NY. IIN ADINDA Rp75,000.00
12/06/13 NY. FERIDA ARIYANI Rp75,000.00
12/07/13 NY. AISYAH Rp75,000.00
12/17/13 NY. ADY SETIAWATI Rp75,000.00
12/27/13 NY. DIANTINA NOVIANTI Rp75,000.00
JUMLAH Rp375,000.00
Page 46
PARSEL

NO. TGL MASUK NAMA PASIEN HARGA
1 10/01/14 AN. KALILA Rp75,000.00
2 10/09/14 NY. DJUJU MULYATIE Rp75,000.00
3 10/17/14 NY. IFA YUSFIANI Rp75,000.00
4 10/19/14 TN.YULIANTO TAUFIQ Rp75,000.00
5 10/22/14 NY. ATY DEDEN Rp75,000.00
6 10/26/14 TN. REYNALDI ADITAMA Rp200,000.00
7 10/27/14 NY. UPIT ZAKIYAH Rp75,000.00
8 10/28/14 NN. AZITA ZANDIAN Rp75,000.00
JUMLAH Rp725,000.00

1 07/02/14 NN. MUTIARA CAHYA Rp75,000.00
2 07/12/14 NY. ERIYANA Rp75,000.00
3 07/18/14 NN. PUTRI BENA Rp75,000.00
4 07/21/14 TN. ADHI WIJAYA Rp75,000.00
JUMLAH Rp300,000.00

1 10/01/14 AN.FATHAN SYAHBANA Rp75,000.00
2 10/09/14 NN.FIRSYA KHADIJAH Rp75,000.00
3 10/17/14 AN.VINCENT Rp75,000.00
4 10/19/14 NN.MEGAWATI Rp75,000.00
5 10/22/14 TN.ANDREAS Rp75,000.00
6 10/26/14 AN.AUGUSTINUS DONALD Rp75,000.00
7 10/27/14 TN.IRWAN SETYAWAN Rp75,000.00
JUMLAH Rp525,000.00

10/01/14
1 10/04/14 NY. EUIS SUMARNI Rp150,000.00
JUMLAH 150000
LAPORAN PARSEL
OKTOBER 2014
Page 47
PARSEL
1 10/04/14 TN. HELMI Rp200,000.00

JUMLAH 200000

1 11/06/14 TN. ANDREW JOSHUA Rp75,000.00
2 11/17/14 NY. SWANNY CHANDRA Rp75,000.00
JUMLAH Rp150,000.00

1 12/07/14 TN. DEDEN RIKI Rp75,000.00
2 12/08/14 AN. KANAYA Rp75,000.00
3 12/18/14 NY.TJUNIWATI Rp75,000.00
4 12/28/14 TN. DODDY ARYANTO Rp75,000.00
5 12/30/14 NY. SAKUNTALA Rp75,000.00
JUMLAH 375000

DESEMBER 2014
1 12/10/14 NY. DEWI RETNO Rp150,000.00
JUMLAH 150000

1 01/05/15 NY. GOW A TJANG Rp75,000.00
2 01/06/15 NY. KUBIL HJ Rp75,000.00
3 01/14/15 TN TONY WIJAYA Rp75,000.00
4 01/27/15 TN. DEDI HARYANTO Rp75,000.00
5 01/27/15 NY. MARTINI HARUN Rp75,000.00
JUMLAH 375000
Page 48
PARSEL
LAPORAN PARSEL SVIP FEBRUARI 2014

1 02/06/15 NY. SONDANG Rp75,000.00
2 02/09/15 NY. SUNARTIK Rp75,000.00
3 02/12/15 NN. FIRSYA Rp75,000.00
4 02/21/15 AN. ANGELIKA GABE Rp75,000.00
5 02/25/15 TN. ABU BAKAR SIDIK Rp75,000.00
6 02/28/15 NY. ENTIT RUSTINI Rp75,000.00
JUMLAH 450000

1 03/05/15 AN. AQHILA AZMIRA ASYA Rp75,000.00
2 03/19/15 NY. SUNARTIK Rp75,000.00
3 03/19/15 AN. ALZENA BADZLIN Rp75,000.00
4 03/30/15 NY. NURHASANAH Rp75,000.00
JUMLAH 300000
LAPORAN PARSEL SVIP APRIL 2015

1 04/01/15 NN. GINA GOLDA Rp75,000.00
2 04/08/15 TN. TRIYANA Rp75,000.00
3 04/16/15 TN. FEBRIANSYAH Rp75,000.00
4 04/29/15 AN. NICHOLAS WAHYU Rp75,000.00
5 04/30/15 TN. DHANY MARDANI Rp75,000.00
6 04/30/15 NY. NUR HASANAH Rp75,000.00
JUMLAH 450000

MEI 2015
1 05/06/15 TN. I MADE ARYASA Rp150,000.00
2 05/26/15 NY. GUNARTI Rp250,000.00
3 05/26/15 DR. ISMAN FIRDAUS Rp200,000.00
4 05/06/15 AN. VALERIA Rp150,000.00
JUMLAH Rp750,000.00

Page 49
PARSEL

1 05/12/15 TN. JUNED S.W Rp75,000.00
2 05/15/15 TN. HERIYANTO M Rp75,000.00
3 05/20/15 TN. NUR ROSIDAH Rp75,000.00
4 05/30/15 NY. SAKUNTALA Rp75,000.00
JUMLAH 300000

JUNI 2015
1 06/25/15 NY. ARDITA P DR Rp200,000.00
JUMLAH Rp200,000.00

1 06/01/15 AN. FAJARIKO Rp75,000.00
2 06/02/15 AN. MANIMBUL BENNY Rp75,000.00
3 06/11/15 AN. ARCHANGELA Rp75,000.00
4 06/12/15 TN. SANTI SUBUR Rp75,000.00
5 06/20/15 AN. KIRANIWAHYU Rp75,000.00
6 06/21/15 AN. EDWARD LAWRENCE Rp75,000.00
7 06/25/15 TN. GODDFRI DIHAN Rp75,000.00
JUMLAH 525000

1 07/03/15 TN. SOESETYO BOEDI Rp75,000.00
2 07/27/15 TN. MANIMBUL BENNY Rp75,000.00
3 07/28/15 AN. FELINA JUWITA Rp75,000.00
JUMLAH 225000

1 08/08/15 TN. MANIMBUL BENNY Rp75,000.00
2 08/14/15 NY. DWI SUHERRIYADI Rp75,000.00
3 08/18/15 NY. HANDAYANI Rp75,000.00
Page 50
PARSEL
4 08/26/15 TN. USMAN Rp75,000.00

JUMLAH 300000

AGUSTUS 2015
1 08/11/15 NY. SOEPARIJANI Rp150,000.00
2 08/20/15 TN. SUTOTO, DR Rp100,000.00
3 08/26/15 TN. RIYCKSON DAYAN Rp150,000.00
JUMLAH Rp400,000.00

SEPTEMBER 2015
JUMLAH

1 09/13/15 TN. WINDU AJI Rp75,000.00
2 09/14/15 TN. GALANG ARIA Rp75,000.00
4 09/18/15 TN. TIMBUL PUDJIANTO Rp75,000.00
5 09/19/15 NY. SIEN HJ Rp75,000.00
6 09/19/15 AN. NAURA HASNA Rp75,000.00
JUMLAH 450000

NOVEMBER 2015
JUMLAH
Page 51
PARSEL

1 10/18/15 TN. JUNED S.W Rp75,000.00
2 10/23/15 NY. SAMINAH SIHYADI Rp75,000.00
3 10/29/15 TN. ASEP SOBARI Rp75,000.00
4 10/29/15 TN. SIDI NURALAM Rp75,000.00
JUMLAH 300000

1 11/03/15 TN. TATANG SUPYANDI Rp75,000.00
2 11/06/15 TN. ARWADI Rp75,000.00
3 11/08/15 TN. FIRMAN HARTONO Rp75,000.00
4 11/11/15 NY. AIDA WALDANI Rp75,000.00
5 11/16/15 AN. AISYAH NUR Rp75,000.00
6 11/23/15 TN. FIRSTSON MANSYUR Rp75,000.00
8 11/28/15 TN. ANDI RAZAK Rp75,000.00
JUMLAH 600000

DESEMBER 2015
1 12/30/15 NY. ULWIYAH Rp150,000.00
JUMLAH Rp150,000.00

1 12/02/16 AN. FATTHURAHMAN Rp75,000.00
2 12/12/16 TN. RAYMOND TAMPUBOLON Rp75,000.00
3 12/14/16 NY. LISDIANA Rp75,000.00
4 12/22/16 AN. MUHAMMAD DZAKA Rp75,000.00
4 12/31/16 NY. SONIA Rp75,000.00
JUMLAH 375000
Page 52
PARSEL

1 01/01/16 NY. SONIA TZARINA Rp75,000.00
2 01/15/16 NY.DEWI MURNIATI Rp75,000.00
3 01/15/16 TN TARIDA NAINGGOLAN Rp75,000.00
4 01/16/16 TN. AKBAR GEFFARI Rp75,000.00
5 01/18/16 AN. FARDAN Rp75,000.00
7 01/25/16 NY. ALIDA Rp75,000.00
8 01/27/16 TN. ISROK Rp75,000.00

1 02/04/16 NN. SALMA Rp75,000.00
2 02/05/16 TN. AUDINO Rp75,000.00
3 02/06/16 NY. FITRIANI Rp75,000.00
4 02/06/16 NY. SITI DJATMININGSIH Rp75,000.00
5 02/11/16 TN. DADANG MULYADI Rp75,000.00
6 02/19/16 TN. SUGIARTO Rp75,000.00
7 02/19/16 NY. AAY SUSILAWATI Rp75,000.00
8 02/24/16 AN. QUEEN RORO Rp75,000.00
9 02/24/16 TN. HARIYANTO Rp75,000.00
10 02/25/16 NY. SUPARMI Rp75,000.00
11 02/26/16 TN. SUDJADI Rp75,000.00
JUMLAH 825000

FEBRUARI 2016
Page 53
PARSEL
1 02/06/16 TN RAFI Rp75,000.00

2 02/07/16 DR. OLLY Rp150,000.00
3 02/11/16 NN. FRANSISCA Rp150,000.00
4 02/13/16 AN. FIONA Rp150,000.00
5 02/16/16 DR. SHANTI Rp150,000.00
6 02/22/16 TN. JAMES Rp150,000.00
JUMLAH Rp825,000.00

1 07/15/17 NY, YUSVIANI Rp75,000.00
2 07/21/17 TN. ALARIK MARULI PARAPAT Rp75,000.00
3 07/23/17 BOOKING KAMAR TN. ALARIK Rp75,000.00
JUMLAH 225000
LAPORAN PARSEL VIP JULI 2017

1 07/01/17 AN. GRACELLA PUTRI Rp35,000.00
2 07/04/17 NY. SRI DWI Rp35,000.00
3 07/04/17 NY. GINA NAURA Rp35,000.00
4 07/04/17 TN. SAMSUDIN Rp35,000.00
5 07/04/17 AN. KEYLA ADELLIA Rp35,000.00
6 07/04/17 NN. RAHMA GHAESANI Rp35,000.00
7 07/04/17 NY. SUNDANINGRUM Rp35,000.00
8 07/05/17 AN. LUKY Rp35,000.00
9 07/05/17 NY. MURWATI Rp35,000.00
10 07/05/17 TN. SUDJILAN Rp35,000.00
11 07/05/17 NY. LIETJE WAHYUDI Rp35,000.00
12 07/06/17 NY. RENI NOVIA Rp35,000.00
13 07/06/17 TN. SABIL FADLI Rp35,000.00
14 07/07/17 NY. MAMIK SURATMI Rp35,000.00
15 07/07/17 NN. SHAVIRA RIZKY Rp35,000.00
16 07/10/17 NY. YANI ANRAIYATI Rp35,000.00
17 07/10/17 TN. MUHAMMAD NAIM Rp35,000.00
18 07/10/17 NY. ENIK SUMARLIKAH Rp35,000.00
19 07/11/17 NY. SELVI BENTELU Rp35,000.00
20 07/11/17 NY. MASTA MANIK Rp35,000.00
21 07/12/17 AN. BORNEZIO ADRIEL Rp35,000.00
22 07/12/17 AN. NARENDRA Rp35,000.00
23 07/12/17 NY. KASWATI Rp35,000.00
Page 54
PARSEL
24 07/13/17 AN. MUHAMMAD ALIF Rp35,000.00

25 07/14/17 AN. JAVAS REYHAN Rp35,000.00
26 07/15/17 TN. FLORENTIUS Rp35,000.00
27 07/15/17 AN. REVOLUSIO Rp35,000.00
28 07/16/17 AN. REVAN RADITYA Rp35,000.00
29 07/18/17 TN. HANNY SAKIO Rp35,000.00
30 07/18/17 TN. MUHAMMAD SAINI Rp35,000.00
31 07/18/17 NY. DESFI Rp35,000.00
32 07/18/17 AN. AHMAD ANTONI Rp35,000.00
33 07/18/17 NY. RINTAN SIDABUTAR Rp35,000.00
34 07/18/17 TN. TRI WINARNO Rp35,000.00
35 07/19/17 TN. SENO EKO Rp35,000.00
36 07/20/17 NY. NANIK G Rp35,000.00
37 07/20/17 NN. HARTIKA Rp35,000.00
38 07/21/17 TN. BAMBANG WIDIATMOKO Rp35,000.00
39 07/21/17 TN. RAMIN Rp35,000.00
40 07/21/17 TN. SAMAN SIMANJUNTAK Rp35,000.00
41 07/21/17 NY. EKA ELLYSA Rp35,000.00
42 07/22/17 NY. IDA ROYANI Rp35,000.00
43 07/22/17 BY. FAWWAS BAHRAN Rp35,000.00
44 07/22/17 TN. MOHAMMAD ADNAN Rp35,000.00
45 07/23/17 NY. LULA AINUN Rp35,000.00
46 07/23/17 AN. JA'FAR SHODIQ Rp35,000.00
47 07/23/17 NY. ASTRI DONA Rp35,000.00
48 07/24/17 NY. ERNAWATY Rp35,000.00
49 07/25/17 TN. HAFIDZ MUHAMAD Rp35,000.00
50 07/25/17 NY. ERI HIJRIYATUS Rp35,000.00
51 07/25/17 TN. YOS KURNIAWAN Rp35,000.00
52 07/26/17 NY. SITI MULYANI Rp35,000.00
53 07/26/17 NY. CARNITI Rp35,000.00
54 07/26/17 AN. MUHAMMAD DANIAL Rp35,000.00
55 07/27/17 TN. ADANG Rp35,000.00
56 07/27/17 NY. VIENCY EKEL Rp35,000.00
57 07/27/17 TN. DJUANDA Rp35,000.00
58 07/28/17 TN. AGUS TRIJAYA Rp35,000.00
59 07/28/17 TN. GIMAN Rp35,000.00
60 07/29/17 NY. VENNY Rp35,000.00
61 07/29/17 AN. CLARA NATALLIA Rp35,000.00
62 07/30/17 TN. KURNIA HALILUDDIN Rp35,000.00
63 07/31/17 TN. EDWIN Rp35,000.00
64 07/31/17 NY. TIMORIA SIAGIAN Rp35,000.00
JUMLAH 2240000

JULI 2017
Page 55
PARSEL
1 07/03/17 TN. JAMES DENNY DJOU Rp150,000.00

2 07/18/17 NN. RAHMA GHAESANI Rp150,000.00
JUMLAH Rp300,000.00
LAPORAN PARSEL VIP AGUSTUS 2017

1 08/01/17 NY. AYU NURYANA Rp21,927.00
2 08/01/17 TN. SONY TRINARDI Rp21,927.00
3 08/02/17 NY. SRI PURATMI Rp21,927.00
4 08/02/17 TN. QINMIN Rp21,927.00
5 08/02/17 NY. ROSMULYATI Rp21,927.00
6 08/03/17 TN. LIM YANTO Rp21,927.00
7 08/03/17 TN. LIUS HUSEIN Rp21,927.00
8 08/04/17 TN. TEGUH ASMI Rp21,927.00
9 08/04/17 TN. SUPARMADI Rp21,927.00
10 08/04/17 TN. AHMAD JUWENI Rp21,927.00
11 08/05/17 AN. AUITYA WIGANTARA Rp21,927.00
12 08/05/17 NY. ANISA FADILA Rp21,927.00
13 08/05/17 NY. SRI NUGRAHENI Rp21,927.00
14 08/05/17 NY. NURLAENI Rp21,927.00
15 08/07/17 AN. ALIF FADHILAH Rp21,927.00
16 08/07/17 NY. NAYA DACHNIAR Rp21,927.00
17 08/08/17 NY.IRAMA SUSILAWATI Rp21,927.00
18 08/08/17 AN. FELYCITA Rp21,927.00
19 08/08/17 NN. SARAH NURHIDAYAT Rp21,927.00
20 08/08/17 TN. DAVID LAWRENCE Rp21,927.00
21 08/08/17 NN. ASSYIFA Rp21,927.00
22 08/09/17 TN. TIO KRISTIAN Rp21,927.00
23 08/11/17 NY. NIDYA IKA SARI Rp21,927.00
24 08/11/17 NY. DIAN INDAH Rp21,927.00
25 08/11/17 NY. NURDIAH Rp21,927.00
26 08/13/17 NN. ARUM RAHMASARI Rp21,927.00
27 08/14/17 TN. NENDA SUHANDI Rp21,927.00
28 08/15/17 AN. SHAFA PUTRI Rp21,927.00
29 08/15/17 AN. MALIKA JASMINE Rp21,927.00
30 08/16/17 NY. AMINAH H JOHAN Rp21,927.00
31 08/16/17 AN. SHANUM HANIFA Rp21,927.00
32 08/16/17 NY. ISWATININGSIH Rp21,927.00
33 08/17/17 NY. INDRI YUNIAR Rp21,927.00
34 08/17/17 TN. ZAKARIA Rp21,927.00
35 08/19/17 AN. BANI IKHSAN Rp21,927.00
36 08/21/17 TN. TEDJOLEKMONO Rp21,927.00
37 08/21/17 NY. NURATIKAH Rp21,927.00
38 08/24/17 AN. ANDINA AISHA Rp21,927.00
39 08/25/17 AN. NANA JANEETA Rp21,927.00
40 08/25/17 AN. IZZA SHAKILA Rp21,927.00
Page 56
PARSEL
41 08/25/17 TN. OJAK MANURUNG Rp21,927.00

42 08/25/17 NY. MISIYEM Rp21,927.00
43 08/26/17 NY. MARGARETHA Rp21,927.00
44 08/26/17 NY. ELY FITRI Rp21,927.00
45 08/26/17 AN. KEANO NAWA Rp21,927.00
46 08/26/17 NY. WARATISNI Rp21,927.00
47 08/27/17 NY. LIA HERLIANI Rp21,927.00
48 08/27/17 AN. ALESHA DHIRA Rp21,927.00
49 08/28/17 NY. PRIESTYANTI Rp21,927.00
50 08/28/17 AN. PANDJI SATRIO Rp21,927.00
51 08/28/17 NY. WIDHI YULIAN Rp21,927.00
52 08/28/17 NY. CONNIE THERESYA Rp21,927.00
53 08/29/17 NY. RENI A UTAMI Rp21,927.00
54 08/29/17 BY. JONATHAN Rp21,927.00
55 08/29/17 TN. SOFYAN SETIANA Rp21,927.00
56 08/29/17 NY. RIZAWATI Rp21,927.00
57 08/29/17 TN. MARWANSYAH Rp21,927.00
58 08/30/17 AN. KANYA FADHILLAH Rp21,927.00
59 08/31/17 NY. ANIFAH Rp21,927.00
JUMLAH 1293693

AGUSTUS 2017
1 08/05/17 NY. SUTINAH Rp150,000.00
JUMLAH Rp150,000.00

1 08/03/17 TN. RAMIN S.H Rp51,377.00
2 08/06/17 TN. REVEL FEBRIANO Rp51,377.00
3 08/06/17 TN. MUHAMMAD LINGGAR Rp51,377.00
4 08/10/17 NY. LENASARI Rp51,377.00
5 08/11/17 TN. ANDREAS Rp51,377.00
7 08/16/17 AN. IRHAD FAIZ Rp51,377.00
9 08/26/17 AN. SAVIRA Rp51,377.00
JUMLAH 462393
Page 57
PARSEL
LAPORAN PARSEL VIP SEPTEMBER 2017

1 09/01/17 NY. DESSY HANDAYANI Rp21,927.00
2 09/01/17 NY. DR. JEANE SONDAKH Rp21,927.00
3 09/01/17 NY. ANGELA HARIANI Rp21,927.00
4 09/02/17 BY. JONATHAN Rp21,927.00
5 09/02/17 AN. FAYOLA ANNISA Rp21,927.00
6 09/03/17 NY. SRI WARDANILA Rp21,927.00
7 09/03/17 AN. GHEO HERNANDO Rp21,927.00
8 09/03/17 TN. HADI WIYONO Rp21,927.00
9 09/03/17 NN. KENNI LARASSATI Rp21,927.00
10 09/04/17 NY. DINI SETIAWATI Rp21,927.00
11 09/04/17 AN. MUHAMMAD HAFIZ Rp21,927.00
12 09/05/17 NY. ISTI WIDAYANTI Rp21,927.00
13 09/05/17 TN. RAFIF ABDILLAH Rp21,927.00
14 09/06/17 NY. DEWI YULIANTI Rp21,927.00
15 09/06/17 TN. YANUAR HANDYONO Rp21,927.00
16 09/07/17 NY. REENA CHRISTINE Rp21,927.00
17 09/07/17 NY. SATNAWATI Rp21,927.00
18 09/09/17 NY. AMALIA YUNITA Rp21,927.00
19 09/09/17 TN GIMAN Rp21,927.00
20 09/10/17 BY. IVANDER Rp21,927.00
21 09/12/17 NY. AJENG PURNAMASARI Rp21,927.00
22 09/12/17 NN. NINDYA RIZQI Rp21,927.00
23 09/13/17 NY. SEKARMANIK Rp21,927.00
24 09/13/17 AN. AQILA ZAHIRA Rp21,927.00
25 09/13/17 AN. BUTSAINA Rp21,927.00
26 09/14/17 NY. ANI Rp21,927.00
27 09/14/17 TN. HERMAN WIJAYA Rp21,927.00
28 09/14/17 TN. DODHY PERMADI Rp21,927.00
29 09/14/17 TN. AGUNG DWI SAPUTRO Rp21,927.00
30 09/15/17 TN. HERALDO Rp21,927.00
31 09/17/17 AN. RAISAH AULIANISA Rp21,927.00
32 09/17/17 AN. AIDAN PITRA Rp21,927.00
33 09/17/17 NY. DEA ALVIONITA Rp21,927.00
34 09/17/17 TN. LAMBOK Rp21,927.00
35 09/17/17 TN. PETRUS Rp21,927.00
36 09/18/17 NY. YANNIE PURNAMA SARI Rp21,927.00
37 09/19/17 BY. NI PUTU KARINA Rp21,927.00
38 09/20/17 AN. GENOVEVA Rp21,927.00
39 09/20/17 AN. HENDIKA Rp21,927.00
40 09/21/17 NY. NANDA KUSUMA Rp21,927.00
41 09/22/17 NY. MARGIE M Rp21,927.00
42 09/22/17 NY. TIMORIA SIAGIAN Rp21,927.00
43 09/22/17 NY. SRI KUS Rp21,927.00
44 09/23/17 AN RIFANA Rp21,927.00
45 09/23/17 NN. PRADITA Rp21,927.00
Page 58
PARSEL
46 09/24/17 NY. AYU KURNIA Rp21,927.00

47 09/24/17 AN. ETHAN KEEVAN Rp21,927.00
48 09/26/17 NY. NOR FADILAH Rp21,927.00
49 09/26/17 BY. NAUFAL Rp21,927.00
50 09/26/17 NY. RITA WAHYUNI Rp21,927.00
51 09/26/17 NN. NOVIA DWI Rp21,927.00
52 09/27/17 NY. SITI RAHMAWATI Rp21,927.00
53 09/27/17 AN. DAFFA Rp21,927.00
54 09/27/17 NY. IIS ISTIQOMAH Rp21,927.00
55 09/27/17 NY. VERALITA Rp21,927.00
56 09/28/17 NY. NUR FAUZIYAH Rp21,927.00
57 09/29/17 TN. NURUL ANWAR Rp21,927.00
58 09/30/17 NY. ENDANG SASHERRY Rp21,927.00
59 09/30/17 AN. KHAIZURAN Rp21,927.00
60 09/30/17 TN. ANDHYKA NOVICO Rp21,927.00
Rp21,927.00
JUMLAH 1337547

SEPTEMBER 2017
2 09/02/17 BY. ARKAN BAGUS Rp150,000.00
3 09/02/17 NY. SRI WARDANILA Rp150,000.00
4 09/05/17 NY. SATINAH Rp150,000.00
JUMLAH Rp450,000.00

1 09/01/17 TN. ADHI KUSUMA Rp51,377.00
2 09/06/17 TN. RAMIN Rp51,377.00
3 09/08/17 TN. TULUS WIDODO Rp51,377.00
4 09/13/17 NY. ANI Rp51,377.00
5 09/17/17 TN. TEDDY JOVAN Rp51,377.00
6 09/23/17 NN. JANICE Rp51,377.00
JUMLAH 308262
Page 59
PARSEL

1 10/08/17 NY. MERY ROSITTA Rp51,377.00
2 10/09/17 TN. MILKY SUNASA Rp51,377.00
3 10/20/17 TN. TULUS WIDODO Rp51,377.00
5 10/24/17 NN. KINANTI Rp51,377.00
6 Rp51,377.00
JUMLAH 308262
LAPORAN PARSEL VIP OKTOBER 2017

1 10/01/17 NY. TETI RISNAWATI Rp21,927.00
2 10/01/17 AN. ARJUNA B Rp21,927.00
3 10/01/17 AN. RYANN S Rp21,927.00
4 10/01/17 TN. PAISAL Rp21,927.00
5 10/01/17 AN. MARSHA Rp21,927.00
6 10/02/17 TN. BASRODIN Rp21,927.00
7 10/03/17 NN YOLANDA Rp21,927.00
8 10/03/17 AN NUZUL Rp21,927.00
9 10/03/17 AN. JASON Rp21,927.00
10 10/04/17 NY. ROOSJE Rp21,927.00
11 10/04/17 AN. FALAHTAN Rp21,927.00
12 10/04/17 NY. RIA H Rp21,927.00
13 10/04/17 TN. YAMIN Rp21,927.00
14 10/05/17 NY. SARI Rp21,927.00
15 10/05/17 NY. RITTA A. Rp21,927.00
16 10/05/17 NN. ANGELA Rp21,927.00
17 10/06/17 TN. ARIEF K Rp21,927.00
18 10/06/17 NY. DELIMA E Rp21,927.00
19 10/06/17 NY. ANNIE Rp21,927.00
20 10/07/17 NN. CAROLINE Rp21,927.00
21 10/08/17 NY. AJENG TIA Rp21,927.00
22 10/08/17 AN. M. FAYID Rp21,927.00
23 10/10/17 NY. EVI Rp21,927.00
24 10/10/17 NY. LIA S Rp21,927.00
26 10/10/17 AN. KAZHIM Rp21,927.00
27 10/11/17 TN BAHRUL ULUM Rp21,927.00
28 10/11/17 NN. BELLA FARHAH Rp21,927.00
29 10/12/17 BY. LIAM MALIK Rp21,927.00
30 10/12/17 NY. NI MADE RUSWIATI Rp21,927.00
31 10/12/17 TN. JAPINAL Rp21,927.00
32 10/13/17 NN. FARIDA Rp21,927.00
33 10/13/17 AN. HANIFAH Rp21,927.00
34 10/13/17 TN. MANUEL Rp21,927.00
Page 60
PARSEL
35 10/13/17 TN. GERHARD Rp21,927.00

36 10/13/17 TN. SOFYAN Rp21,927.00
37 10/13/17 AN . CHLOE Rp21,927.00
38 10/13/17 AN. ARLO Rp21,927.00
39 10/13/17 NY. ENOR Rp21,927.00
40 10/14/17 AN. M. REGAN Rp21,927.00
42 10/14/17 AN. KAFKA Rp21,927.00
43 10/14/17 TN . SAHID Rp21,927.00
44 10/14/17 TN. ADEK Rp21,927.00
45 10/15/17 TN. TIO KRISTIAN Rp21,927.00
46 10/17/17 NY. NOOR Rp21,927.00
47 10/17/17 AN. GITA Rp21,927.00
48 10/17/17 NY. DEDEH Rp21,927.00
49 10/17/17 TN. TEJA Rp21,927.00
50 10/18/17 AN. SHAKILA Rp21,927.00
51 10/18/17 NY. NELLY Rp21,927.00
52 10/18/17 AN. ATHARSYAH Rp21,927.00
53 10/18/17 AN. ANDRY Rp21,927.00
54 10/18/17 TN. JAMRI Rp21,927.00
55 10/18/17 NY. SRI NUNING Rp21,927.00
56 10/19/17 NY. ENOR Rp21,927.00
57 10/19/17 AN. DEVAN Rp21,927.00
58 10/19/17 AN. ATHARIZZ Rp21,927.00
59 10/20/17 AN. GITA Rp21,927.00
60 10/21/17 TN. DJOKO Rp21,927.00
61 10/21/17 NY. RETNO Rp21,927.00
62 10/22/17 AN. ANNISA Rp21,927.00
63 10/22/17 AN. CHASKIA Rp21,927.00
64 10/22/17 AN. ATQA Rp21,927.00
65 10/23/17 AN. RAISA Rp21,927.00
66 10/23/17 TN. KOESNANDAR Rp21,927.00
67 10/24/17 TN. JUWARI Rp21,927.00
68 10/24/17 TN. MARZUKI Rp21,927.00
70 10/25/17 AN. M. KHALID Rp21,927.00
71 10/25/17 TN. BAHRUL ULUM Rp21,927.00
72 10/26/17 BY. NAFISA Rp21,927.00
73 10/26/17 NY. DESI Rp21,927.00
74 10/26/17 AN. LUNA Rp21,927.00
75 10/26/17 TN. ESSA Rp21,927.00
77 10/27/17 AN. ARSHAKA Rp21,927.00
78 10/28/17 NY. ANDITA Rp21,927.00
79 10/28/17 NN. DINDA Rp21,927.00
80 10/28/17 NY. ANDI Rp21,927.00
81 10/28/17 TN. NURWIDIO Rp21,927.00
82 10/30/17 AN. ALBERT Rp21,927.00
83 10/30/17 TN. PRASTAWA Rp21,927.00
Page 61
PARSEL
84 10/31/17 NY. NIKE Rp21,927.00

85 10/31/17 AN. KIRANA Rp21,927.00
86 10/31/17 AN. CHAYLIE Rp21,927.00
JUMLAH 1885722

OKTOBER 2017
1 10/07/17 TN. LAIFAR Rp150,000.00
2 10/11/17 TN. MIRZA Rp150,000.00
3 10/19/17 AN. DEVAN Rp150,000.00
JUMLAH Rp450,000.00

1 11/03/17 NY.YAYAN Rp51,377.00
2 11/04/17 TN. SIMON Rp51,377.00
3 11/12/17 NY. WIWI Rp51,377.00
4 11/12/17 NY. ANNIE Rp51,377.00
5 11/24/17 TN. SAWA'I Rp51,377.00
6 11/30/17 AN. WIDYA Rp51,377.00
JUMLAH 308262
LAPORAN PARSEL VIP NOVEMBER 2017

1 11/02/17 NY. AMANDA Rp21,927.00
2 11/02/17 NY. EKA Rp21,927.00
3 11/02/17 AN ADHYASTHA Rp21,927.00
4 11/02/17 AN. JONG AINI Rp21,927.00
5 11/02/17 TN. WIDODO Rp21,927.00
6 11/03/17 NY. SUSI Rp21,927.00
7 11/03/17 NY. AMANDA Rp21,927.00
8 11/03/17 AN. ZAKIYYAH Rp21,927.00
9 11/03/17 NY. SANTI Rp21,927.00
10 11/03/17 TN. RUDIYANA Rp21,927.00
11 11/03/17 TN. SUHARYONO Rp21,927.00
12 11/04/17 AN. ALFATH Rp21,927.00
Page 62
PARSEL
13 11/04/17 NY. GESTI Rp21,927.00

14 11/04/17 AN. FIORENZA Rp21,927.00
15 11/04/17 AN. WIRATAMA Rp21,927.00
16 11/05/17 TN. BUDI Rp21,927.00
17 11/05/17 TN. FAKHRUDIN Rp21,927.00
18 11/05/17 NY. PUTRI Rp21,927.00
19 11/05/17 NN. FADHILA Rp21,927.00
21 11/06/17 NY. LINDA Rp21,927.00
22 11/07/17 NY. IRMAYA Rp21,927.00
23 11/07/17 TN. SUKANTA Rp21,927.00
25 11/08/17 NY. DELIMAYASANTI Rp21,927.00
26 11/08/17 AN. ASSADEL Rp21,927.00
27 11/08/17 TN. MAULANA Rp21,927.00
28 11/08/17 NN. ADINDA Rp21,927.00
29 11/09/17 AN. RADITTYA Rp21,927.00
30 11/09/17 AN. UBAIDILLAH Rp21,927.00
31 11/09/17 NY. RINI Rp21,927.00
32 11/09/17 NY. DYAH Rp21,927.00
33 11/10/17 NY. TAN SU CHENG Rp21,927.00
34 11/10/17 AN. NADYA Rp21,927.00
35 11/10/17 TN. NAFI Rp21,927.00
36 11/11/17 NY. BHARAMISTA Rp21,927.00
37 11/11/17 NY. ANITA Rp21,927.00
38 11/12/17 BY. KLEMENS Rp21,927.00
39 11/12/17 NY. SRI Rp21,927.00
40 11/12/17 NY. APRILISA Rp21,927.00
41 11/13/17 AN. AYUNDA Rp21,927.00
42 11/13/17 TN. TAFIF Rp21,927.00
43 11/14/17 AN. ALMIRA Rp21,927.00
44 11/14/17 TN. KEVIN Rp21,927.00
45 11/14/17 AN. NANDIA Rp21,927.00
46 11/14/17 AN. RAYAKA Rp21,927.00
47 11/14/17 TN. DAMAS Rp21,927.00
48 11/14/17 NN. ILLU ASTARI Rp21,927.00
49 11/15/17 TN. ABDUL GHONIE Rp21,927.00
50 11/15/17 TN. MUHAMMAD BANTA Rp21,927.00
51 11/16/17 AN. KANAYYA Rp21,927.00
52 11/16/17 NY. HENNY Rp21,927.00
53 11/16/17 TN. RAYMOND Rp21,927.00
55 11/18/17 AN . FAIZ Rp21,927.00
56 11/18/17 NN. RIZKY Rp21,927.00
57 11/18/17 TN. TRI Rp21,927.00
58 11/20/17 AN. MUHAMAD FAYID Rp21,927.00
59 11/21/17 NY. NURAENI Rp21,927.00
60 11/21/17 AN. MUHAMMAD RAYHAN Rp21,927.00
61 11/21/17 AN. GRACELLA Rp21,927.00
Page 63
PARSEL
62 11/21/17 NY. SANDRA Y Rp21,927.00

63 11/22/17 AN. ALVIN Rp21,927.00
64 11/22/17 TN. ARIEF R Rp21,927.00
66 11/22/17 TN. ARYA Rp21,927.00
67 11/23/17 AN. SYAHLA Rp21,927.00
68 11/23/17 TN. INDRA Rp21,927.00
69 11/23/17 TN. BANI Rp21,927.00
70 11/25/17 NY. ARI Rp21,927.00
71 11/25/17 NY. NITA Rp21,927.00
72 11/26/17 NY. FRANSISCA Rp21,927.00
73 11/27/17 AN. LUNA Rp21,927.00
74 11/27/17 NY. AMINAH Rp21,927.00
75 11/28/17 TN. AKMAL Rp21,927.00
76 11/29/17 AN. KAISAN Rp21,927.00
77 11/30/17 NN. MITHA Rp21,927.00
JUMLAH 1688379

NOVEMBER 2017
JUMLAH Rp0.00

1 12/05/17 TN.DANIAL Rp51,377.00
2 12/05/17 TN. PAIMAN Rp51,377.00
3 12/10/17 TN. ILHAM Rp51,377.00
4 12/11/17 NY. NURLAILAH Rp51,377.00
5 12/12/17 TN. SIMON Rp51,377.00
6 12/12/17 TN.AYI Rp51,377.00
8 12/17/17 NY. AGNI Rp51,377.00
9 12/19/17 NY.SEFTRIWARTI Rp51,377.00
10 12/20/17 NY.ERMAWATI Rp51,377.00
11 12/22/17 NN.DITA Rp51,377.00
12 12/23/17 AN.RINJANI Rp51,377.00
13 12/28/17 NY.SULISTIJAWATI Rp51,377.00
14 12/30/17 AN.KAZHIM Rp51,377.00
Page 64
PARSEL
JUMLAH 719278
LAPORAN PARSEL VIP DESEMBER 2017

1 12/01/17 TN. M. ILYAS Rp21,927.00
2 12/01/17 TN. FERINALDI Rp21,927.00
3 12/02/17 TN.HERMAN Rp21,927.00
4 12/03/17 NN. IRA Rp21,927.00
5 12/03/17 NY.SAFITRI Rp21,927.00
6 12/03/17 NY.SUCI Rp21,927.00
7 12/03/17 NY.LAILATUL Rp21,927.00
8 12/03/17 NY.IMAS Rp21,927.00
9 12/04/17 NY.SRI WAHYUNI Rp21,927.00
10 12/04/17 NY.BETTY Rp21,927.00
11 12/04/17 NY.LIBRIANA Rp21,927.00
12 12/04/17 TN.AMRULLAH Rp21,927.00
13 12/04/17 AN.INNAYAH Rp21,927.00
14 12/05/17 TN.NIAN Rp21,927.00
15 12/05/17 NY.YULIANI Rp21,927.00
16 12/06/17 NY.LIANITA Rp21,927.00
17 12/06/17 TN.RIYADI Rp21,927.00
18 12/07/17 AN.TABITHA Rp21,927.00
19 12/07/17 TN.ACEP Rp21,927.00
20 12/07/17 NN.JIHAN Rp21,927.00
21 12/08/17 NY.HERWATI Rp21,927.00
22 12/08/17 NY.YUSMA Rp21,927.00
23 12/08/17 AN.FAINE Rp21,927.00
24 12/08/17 TN.NOPRIANDI Rp21,927.00
25 12/09/17 AN.NADINE Rp21,927.00
26 12/09/17 AN.ATILLA Rp21,927.00
27 12/09/17 NY.ASMARA Rp21,927.00
28 12/09/17 TN.GIMBONG Rp21,927.00
29 12/09/17 TN.RACHMAD Rp21,927.00
30 12/10/17 NN.ESTETIKA Rp21,927.00
31 12/10/17 NN.CHRISTINA Rp21,927.00
32 12/10/17 AN.M KEMAL Rp21,927.00
33 12/10/17 AN.INNAYAH Rp21,927.00
34 12/10/17 TN. YUDI Rp21,927.00
35 12/11/17 NY.SARI Rp21,927.00
36 12/11/17 NY.HENNY Rp21,927.00
37 12/12/17 NY.VEILY Rp21,927.00
38 12/12/17 NY.LUSIANI Rp21,927.00
39 12/13/17 AN.NAZWA Rp21,927.00
40 12/13/17 NY.SUHARTI Rp21,927.00
41 12/13/17 TN. HOULWAN Rp21,927.00
Page 65
PARSEL
42 12/13/17 NY. ELDI Rp21,927.00

43 12/14/17 NY.CHANDRAYU Rp21,927.00
44 12/14/17 AN.AUREL Rp21,927.00
45 12/14/17 AN.EZZRA Rp21,927.00
46 12/14/17 NN.IRENE Rp21,927.00
47 12/14/17 NY.LIA Rp21,927.00
48 12/15/17 NY.LISA Rp21,927.00
49 12/15/17 TN.YANI Rp21,927.00
50 12/16/17 BY.AISYAH Rp21,927.00
51 12/16/17 BY.ALBY Rp21,927.00
52 12/16/17 AN.ARIN Rp21,927.00
53 12/16/17 NN. BAIQ Rp21,927.00
54 12/17/17 NY.HENNY Rp21,927.00
55 12/18/17 NN.AJENG Rp21,927.00
56 12/19/17 NY.MELDA Rp21,927.00
57 12/19/17 AN.HELEN Rp21,927.00
58 12/19/17 TN.FATHUR Rp21,927.00
59 12/21/17 AN.M.HOSSEN Rp21,927.00
60 12/21/17 AN.KEISHA Rp21,927.00
61 12/21/17 TN.HADY Rp21,927.00
62 12/21/17 TN.TRIONO Rp21,927.00
63 12/21/17 NY.RINI Rp21,927.00
64 12/22/17 NY.FEBRYAN Rp21,927.00
65 12/22/17 NY.DIAH Rp21,927.00
66 12/22/17 NY.AMINAH Rp21,927.00
67 12/24/17 NY.MEIDIANASARI Rp21,927.00
68 12/24/17 NY.NIKITA Rp21,927.00
69 12/24/17 AN.DELFAIZ Rp21,927.00
70 12/24/17 NY.TINI Rp21,927.00
71 12/24/17 NY.NURHARDJANTI Rp21,927.00
72 12/25/17 NY.HENNY Rp21,927.00
73 12/26/17 NY.APRILIA Rp21,927.00
74 12/26/17 TN.TRI Rp21,927.00
75 12/27/17 BY.DARLENE Rp21,927.00
76 12/27/17 AN.ATHALETA Rp21,927.00
77 12/27/17 NY.OMAH Rp21,927.00
78 12/27/17 TN. FATHUR Rp21,927.00
79 12/28/17 NY.PUDJI Rp21,927.00
80 12/28/17 AN.FAEYZA Rp21,927.00
81 12/28/17 AN.VIAGIO Rp21,927.00
82 12/29/17 AN.CELINE Rp21,927.00
83 12/30/17 AN.AOSRIO Rp21,927.00
84 12/30/17 TN.HANINDYAWAN Rp21,927.00
85 12/31/17 BY.MISHEL Rp21,927.00
86 12/31/17 AN.INNAYAH Rp21,927.00
JUMLAH 1885722
Page 66
PARSEL

DESEMBER 2017
1 12/27/17 BY.DARLENE Rp150,000.00
2 12/27/17 TN.SAMUEL Rp150,001.00
JUMLAH Rp300,001.00
LAPORAN PARSEL VIP JANUARI 2018

1 01/01/18 TN. OKTAVIANUS Rp21,927.00
2 01/02/18 AN. MICHELLE Rp21,927.00
3 01/03/18 NY. FITRI Rp21,927.00
4 01/03/18 NY. LISWENY Rp21,927.00
5 01/04/18 TN. SUTINO Rp21,927.00
6 01/04/18 NY. SYLVIA ERLINA Rp21,927.00
7 01/04/18 AN. PANDJI SATRIO Rp21,927.00
8 01/04/18 BY. MUH. RAFA Rp21,927.00
9 01/04/18 BY. MOH. AKBAR Rp21,927.00
10 01/05/18 TN. RAHADIAN T. AKBAR Rp21,927.00
11 01/05/18 TN. KUKUH Rp21,927.00
12 01/05/18 NN. TSANIYAH MUMTAZ Rp21,927.00
13 01/06/18 NN. MAULIDA Rp21,927.00
14 01/07/18 NN. ANTITIRANI Rp21,927.00
15 01/07/18 BY. SAMARA Rp21,927.00
16 01/07/18 AN. KALEEN Rp21,927.00
17 01/07/18 AN. FADHLAN Rp21,927.00
18 01/07/18 NY. MUSTATI Rp21,927.00
19 01/07/18 NY. FATIMAH Rp21,927.00
20 01/07/18 TN. PENGKY Rp21,927.00
21 01/08/18 AN. SAFFA AQILAH Rp21,927.00
22 01/09/18 NY. PRITHA NANDINI Rp21,927.00
23 01/10/18 TN. SUTARDI Rp21,927.00
24 01/10/18 TN. HARSONO Rp21,927.00
25 01/10/18 NY. NENENG Rp21,927.00
26 01/11/18 AN. RAISYA ADZKIYAH Rp21,927.00
27 01/11/18 TN. MOH. ALIF Rp21,927.00
29 01/12/18 TN. DAFFA RADHYA Rp21,927.00
30 01/12/18 TN. HUSEN HANAFI Rp21,927.00
31 01/14/18 NY. NURUL INDAHWATI Rp21,927.00
32 01/15/18 NY. DWI KURNIA Rp21,927.00
33 01/17/18 TN. LABIB RUSYDI Rp21,927.00
34 01/19/18 NY. METTA TANJUNG Rp21,927.00
Page 67
PARSEL
35 01/19/18 TN. TATANG Rp21,927.00

36 01/19/18 NN. IQLIMA LUTHFIYA Rp21,927.00
37 01/20/18 AN. BRILLIANT RAJENDRA Rp21,927.00
38 01/20/18 NY. APRILIANA Rp21,927.00
39 01/21/18 NY. DEWI CAHYANING Rp21,927.00
40 01/21/18 AN. ERVITO Rp21,927.00
41 01/21/18 NY. KOEN SOEPROBO Rp21,927.00
42 01/22/18 NY. KIKI KOMALA Rp21,927.00
43 01/23/18 NN. SILVIYA WAHYU Rp21,927.00
44 01/24/18 TN. DANNIES Rp21,927.00
45 01/24/18 NN. ADELIA Rp21,927.00
46 01/24/18 TN. VEGA TIO Rp21,927.00
47 01/25/18 NY. JUNITA HOTNAULI Rp21,927.00
48 01/25/18 TN. RAHMAT KHAERULLAH Rp21,927.00
49 01/25/18 TN. INDRA BAYU Rp21,927.00
50 01/27/18 AN. KHANZA AULIA Rp21,927.00
51 01/27/18 AN. NAILA Rp21,927.00
52 01/27/18 AN. WILLIAM Rp21,927.00
54 01/28/18 NY. SUPRICHATUN Rp21,927.00
55 01/29/18 NY. ENDIKA MARDIANA Rp21,927.00
56 01/30/18 NY. IKA KARTIKA Rp21,927.00
57 01/30/18 NY. RINA NURCHAYANI Rp21,927.00
58 01/30/18 TN. TITO DIAKSA Rp21,927.00
59 01/31/18 BY. SKYLAR BRIELLE Rp21,927.00
60 01/31/18 NN. LARASATI Rp21,927.00
JUMLAH 1315620

JANUARI 2018
1 01/05/18 NN. FRANSISCA REGINA Rp150,000.00
2 01/09/18 DR. SABARIA NASUTION Rp150,000.00
3 01/16/18 AN. SALMA Rp150,000.00
JUMLAH Rp450,000.00

1 01/04/18 NN. FETTY NOVERIA Rp51,377.00
3 01/07/18 AN. EZZRA YUSUF RAJENDRA Rp51,377.00
4 01/14/18 TN. EDIKAR Rp51,377.00
5 01/17/18 AN. KAZHIM AHMAD PUTRA Rp51,377.00
6 01/18/18 NY. THAM SAN MIE Rp51,377.00
Page 68
PARSEL
7 01/24/18 BY. AYYUBI ABIMAYU Rp51,377.00

JUMLAH 359639
LAPORAN PARSEL VIP MARET 2018

1 01/03/18 AN. SULTHAN DANU CAHYADI Rp21,927.00
2 03/03/18 NY. SITI KHODIJAH Rp21,927.00
3 03/03/18 NY. IDA FARIDA Rp21,927.00
4 03/03/18 NY. ENDAH HASSANAH Rp21,927.00
5 04/03/18 NY. LUH PUTU SHINTA Rp21,927.00
6 04/03/18 NY. WADIYAH Rp21,927.00
7 04/03/18 NN. JASMIN JANNATANIA Rp21,927.00
8 05/03/18 NY. BYAS JATU OCTADELANI Rp21,927.00
9 05/03/18 NY. RATU ELIYAH Rp21,927.00
10 05/03/18 NY. ROSITA Rp21,927.00
11 05/03/18 TN. PARNINGOTAN Rp21,927.00
12 06/03/18 NY. EBELLINE Rp21,927.00
13 06/03/18 NY. AGUSTINA DYAH Rp21,927.00
14 06/03/18 NY. GALUH PRASASTI Rp21,927.00
15 06/03/18 TN. MAMAN SURYAMAN Rp21,927.00
16 06/03/18 AN. EDWARD LAWRENCE Rp21,927.00
18 07/03/18 NY. ALIPAH ROCHAINI Rp21,927.00
19 07/03/18 NY. SHINTA PERMATA SARI Rp21,927.00
20 08/03/18 NY. SALINA YOSEPHINA Rp21,927.00
21 09/03/18 TN. IYAS ADAM Rp21,927.00
22 10/03/18 TN. TEGUH HERMAWAN Rp21,927.00
23 10/03/18 NY. DIAN ANGGRAINI Rp21,927.00
24 10/03/18 NY. INDAH TARNOWATI Rp21,927.00
25 10/03/18 NY. SEKARMANIK Rp21,927.00
26 11/03/18 NY. TITIN SUPRIHATIN Rp21,927.00
27 11/03/18 AN. AJENG PUSPARAWI Rp21,927.00
28 11/03/18 NY. FADJRI RIZKYANTI Rp21,927.00
29 11/03/18 NY. YULIANTINA Rp21,927.00
30 13/03/18 TN. FAUZI Rp21,927.00
31 13/03/18 TN. ARMEIDI Rp21,927.00
32 14/03/18 AN. FIORENZA Rp21,927.00
33 16/03/18 NY. ERNI AZIZAH Rp21,927.00
34 16/03/18 NY. RATNA WIEDYANTI Rp21,927.00
35 17/03/18 NY. SHEILA AGUSTINA Rp21,927.00
37 17/03/18 TN. SUSANTO GUNAWAN Rp21,927.00
38 18/03/18 NY. ATUY RETNA AYU Rp21,927.00
39 19/03/18 TN. ARIF WIBOWO Rp21,927.00
40 20/03/18 NY. ASMARA MURNI Rp21,927.00
41 20/03/18 NY. ASTRI DONA BARUS Rp21,927.00
Page 69
PARSEL
42 20/03/18 NY. HARDJI Rp21,927.00

43 20/03/18 TN. NOVI SETIA Rp21,927.00
44 21/03/18 NY. MUSTATI Rp21,927.00
45 21/03/18 TN. JOKO SUYONO Rp21,927.00
46 21/03/18 NY. UMI FADHILA Rp21,927.00
47 22/03/18 TN. MILKY SUNASA Rp21,927.00
48 22/03/18 NN. MARSYA Rp21,927.00
49 23/03/18 AN. SALMA HANIFAH Rp21,927.00
50 23/03/18 AN. SABILULHAQ Rp21,927.00
51 24/03/18 TN. ZARKONI Rp21,927.00
52 24/03/18 TN. SUTANTO Rp21,927.00
53 24/03/18 NY. SITI ZUBAIDAH Rp21,927.00
54 24/03/18 TN. OMAN Rp21,927.00
55 25/03/18 AN. ASSYIFA ZAHRA Rp21,927.00
56 26/03/18 NY. ANI Rp21,927.00
57 26/03/18 TN. CIPTADI Rp21,927.00
58 26/03/18 NY. SURTINI Rp21,927.00
59 27/03/18 NY. NINING W Rp21,927.00
60 28/03/18 AN. FAINE HANAN Rp21,927.00
61 28/03/18 NY. ENDANG SRI Rp21,927.00
62 28/03/18 NN. NAUROH Rp21,927.00
63 28/03/18 NY. ELLI EKAWATI Rp21,927.00
64 29/03/18 AN. FAKHRI Rp21,927.00
65 29/03/18 AN. AURELIA KHAIRANI Rp21,927.00
66 29/03/18 BY. YASMIN ALMIRA Rp21,927.00
67 29/03/18 AN. ASSYIFA ZAHRA Rp21,927.00
68 29/03/18 NY. RISTY SILVIA Rp21,927.00
69 29/03/18 AN. MUHAMMAD ARSYAQ Rp21,927.00
70 29/03/18 NY. MURSANIH Rp21,927.00
71 30/03/18 BY. ANTHONY DANIEL Rp21,927.00
72 30/03/18 AN. GHITRAAF MUHAMMAD Rp21,927.00
73 30/03/18 NN. ELISA LINETA Rp21,927.00
74 30/03/18 TN. EFFENDI Rp21,927.00
75 31/03/18 AN. FARRELL ALVARONIZAM Rp21,927.00
76 31/03/18 AN. DANISWARA Rp21,927.00
77 31/03/18 TN. FREDRIK BONAJATI Rp21,927.00
78 31/03/18 NY. ANITA Rp21,927.00
79 31/03/18 TN. IE PHENG Rp21,927.00
JUMLAH 1688379

2 21/03/18 TN. ALARIK MARULI Rp51,377.00
3 23/03/18 NY. NOVI DIYAH Rp51,377.00
JUMLAH 154131
Page 70
PARSEL

MARET 2018
1 28/03/18 TN. JAMES DENNY DJOU Rp150,000.00
JUMLAH Rp150,000.00
LAPORAN PARSEL VIP APRIL 2018

1 04/01/18 NY.ANIFAH Rp21,927.00
2 04/02/18 TN.JUDI SAKTI WIBOWO Rp21,927.00
3 04/02/18 AN.MUHAMMAD RAFI RUSYDI Rp21,927.00
4 04/02/18 NY.WIDHI YULIAN ISMANTI Rp21,927.00
5 04/03/18 NY.SILVIANA Rp21,927.00
6 04/03/18 NY.RATNA HENDRAYANI Rp21,927.00
7 04/04/18 AN.AZ KAYRA NASYIDAH Rp21,927.00
8 04/04/18 AN.RAZKA AFIFI Rp21,927.00
9 04/04/18 NN.FARAHDIKA Rp21,927.00
10 04/05/18 NY.NELLY NAPITUPULU Rp21,927.00
11 04/05/18 NY.RANI HIMIAWATI A Rp21,927.00
12 04/05/18 NY.DIAN UTARI Rp21,927.00
13 04/05/18 NY.DONA PUTRI S Rp21,927.00
14 04/05/18 NN.DINDA NURLITA A.P Rp21,927.00
15 04/06/18 AN.FADHIIL LIANDI S Rp21,927.00
16 04/06/18 TN.ASEP SAHRONI H Rp21,927.00
17 04/07/18 NY.NINA HAPSARI Rp21,927.00
18 04/08/18 NY.SARI Rp21,927.00
19 04/08/18 NY.ZULAEHA Rp21,927.00
20 04/08/18 NY.KUNARTI Rp21,927.00
21 04/09/18 NY.PERTIWI Rp21,927.00
22 04/10/18 TN.HADI M Rp21,927.00
23 04/10/18 NN.HILDA NURFITRIANA Rp21,927.00
24 04/11/18 NY.DEWI AGUSTIQOMAH Rp21,927.00
25 04/11/18 NY.ASIH BUDIYANTO Rp21,927.00
26 04/11/18 TN.DIDIT FAJAR R Rp21,927.00
27 04/12/18 AN.MUHAMAD ARKAN Rp21,927.00
28 04/12/18 NY.JOLANDA FAU Rp21,927.00
29 04/12/18 NY.RENYLAWATI Rp21,927.00
30 04/13/18 TN.JIMMY PASKARIO Rp21,927.00
31 04/13/18 NY.C.SEVINA NURUL A.K Rp21,927.00
32 04/14/18 NY.LAELA HJ Rp21,927.00
33 04/14/18 TN.SAMUEL K.J LAPIAN Rp21,927.00
Page 71
PARSEL
34 04/14/18 NY.NI WAYAN OLEN Rp21,927.00

35 04/15/18 NY.RIA OCTOVIANY Rp21,927.00
36 04/16/18 AN.MELVERN MATHEO Rp21,927.00
37 16/0418 NY.ROKHMATUN Rp21,927.00
38 04/16/18 NY.LIM RIENA Rp21,927.00
39 04/17/18 NY.ROMEN RUMIRIS SOLOITA Rp21,927.00
40 04/17/18 TN.WAWAN RIDWAN Rp21,927.00
41 04/18/18 AN.ARSYILA ZANITHA R Rp21,927.00
42 04/18/18 TN.GIDEON RISSIANTO Rp21,927.00
43 04/18/18 TN.CIPTADI Rp21,927.00
44 04/19/18 NY.SITI MUNIROH HJ Rp21,927.00
45 04/19/18 TN.ARIEF BARANI Rp21,927.00
46 04/19/18 TN.HANDOKO Rp21,927.00
47 04/20/18 NY.KENTAS NURWATI Rp21,927.00
48 04/20/18 NY.DESY SUSILAWATI Rp21,927.00
49 04/20/18 NY.AIDA CHRISTINA Rp21,927.00
50 04/21/18 BY.NOORHAZ LYN CAMILLIA A Rp21,927.00
51 04/21/18 AN.KAELY AIZA PUTRI Rp21,927.00
52 04/21/18 NY.ELISA AYU B Rp21,927.00
53 04/21/18 NY.MUSTATI Rp21,927.00
54 04/21/18 NY.SANTI RIANA DEWI Rp21,927.00
55 04/22/18 NY.DESY SUSILAWATI Rp21,927.00
56 04/22/18 NY.AI HALIMAH Rp21,927.00
57 04/22/18 TN.RAFHAEL KUKUH Rp21,927.00
58 04/23/18 NY.MEGAWATI Rp21,927.00
59 04/23/18 NY.DJAP BUI SAN Rp21,927.00
60 04/24/18 AN.FAHRI YAHYA Rp21,927.00
61 04/24/18 AN.JONATHAN MARCELLO Rp21,927.00
62 04/24/18 TN.ARIEF BARANI Rp21,927.00
63 04/24/18 TN.RIMPUN RAJAB H Rp21,927.00
64 04/26/18 AN.SHAFIRA AULIA MUTTAQINA Rp21,927.00
65 04/26/18 TN.INDRA PRATAMA Rp21,927.00
66 04/26/18 NY.RIKA SUSANTI Rp21,927.00
67 04/26/18 AN.BRIGITTA KANIA O Rp21,927.00
68 04/26/18 NY.AI HALIMAH Rp21,927.00
69 04/26/18 NN.CICILIA ANDITA Rp21,927.00
70 04/26/18 TN.EDWARD Rp21,927.00
71 04/28/18 NY.ANDI BESSE R.C Rp21,927.00
72 04/28/18 NY.DEDEH KURNIAWATI Rp21,927.00
73 04/28/18 NY.RICCA CHAIRUNNISA Rp21,927.00
74 04/28/18 NY.YUSRIANI HARAHAP Rp21,927.00
75 04/29/18 AN.TANGGUH FELIPE A Rp21,927.00
76 04/30/18 TN.JARNUJI Rp21,927.00
JUMLAH 1666452
Page 72
PARSEL

1 04/01/18 NY.TUNING RAHAYU Rp51,377.00
2 04/03/18 NY.PUPU PUSPITA SARI Rp51,377.00
3 04/06/18 NY.NELLY DAMARIA SAMOSIR Rp51,377.00
4 04/06/18 NY.LEVINA Rp51,377.00
5 04/19/18 NY.OPAH MASOPAH Rp51,377.00
6 04/27/18 TN. DWI SUHERRIYADI Rp51,377.00
7 04/27/18 AN. AJENG PUSPARAWI Rp51,377.00
8 04/29/18 TN.ALARIK MARULI PARAPAT Rp51,377.00
9 04/30/18 AN.KHAN ARKHAN PUTRA Rp51,377.00
JUMLAH 462393

MARET 2018
1 04/29/18 BY.DARLENE ELYSIA WIDJAJA Rp150,000.00
JUMLAH Rp150,000.00
LAPORAN PARSEL VIP MEI 2018

1 05/01/18 AN.RANIA ULYA AZIZAH Rp21,927.00
2 05/01/18 TN.YUYU MULYANA Rp21,927.00
3 05/01/18 TN.INDRIA SAMEGO Rp21,927.00
4 05/01/18 NY.BONG NYUN TJIN Rp21,927.00
5 05/03/18 TN.HENDRY DON Rp21,927.00
6 05/03/18 TN.TOGAR M.SIREGAR Rp21,927.00
7 05/03/18 NY.PUTRI AIR PRAWITASARI Rp21,927.00
8 05/03/18 NY.AGUSCIK JOHAR Rp21,927.00
9 05/04/18 NY.MUHAMMAD AL-FATIH Rp21,927.00
10 05/05/18 NY.RISA TRIANI Rp21,927.00
11 05/05/18 TN.HENDI ROHMAN Rp21,927.00
12 05/05/18 NY.MAYA KOMAYULI Rp21,927.00
13 05/06/18 TN.ENDANG SUDARMA Rp21,927.00
14 05/06/18 AN.FACHRY R.ABDULAH M Rp21,927.00
15 05/06/18 TN.PHIONG DJONI Rp21,927.00
16 05/07/18 NY.ANGELINE LUMANAUW Rp21,927.00
17 05/07/18 NY.WIDYA ARDIAN Rp21,927.00
18 05/08/18 NY.DR.RINI ASTRIYANA Rp21,927.00
19 05/08/18 NY.SRI NUGRAHENI Rp21,927.00
20 05/08/18 NY.RIA MARIANA Rp21,927.00
21 05/09/18 TN.ROBY TANU Rp21,927.00
Page 73
PARSEL
22 05/10/18 AN.ERASMUS BEVAN Rp21,927.00

23 05/10/18 TN.NIKO ARI Rp21,927.00
24 05/10/18 NN.SHAYNA ALMA Rp21,927.00
25 05/10/18 NY.SAROH Rp21,927.00
26 05/10/18 TN.CEPI SUHERYANA Rp21,927.00
27 05/11/18 AN.ANTHONY DAVIN Rp21,927.00
28 05/11/18 TN.H.ITOY SUPRIATNA Rp21,927.00
29 05/11/18 NY.DIAN SURYA E Rp21,927.00
30 05/11/18 TN.YUSLIANDI Rp21,927.00
31 05/12/18 WINDAH BEATRIX Rp21,927.00
32 05/12/18 NY.PRAHASTY Rp21,927.00
33 05/12/18 NY.RIA PRATIWI Rp21,927.00
34 05/12/18 NY.NENI TRIANA Rp21,927.00
35 05/12/18 NY.ANNISA HERNANDA KR Rp21,927.00
36 05/13/18 AN.MUHAMMAD AL KEITARO Rp21,927.00
37 05/13/18 TN.CIPTA NUGRAHA Rp21,927.00
38 05/13/18 TN.AHMAD RIZAL Rp21,927.00
39 05/14/18 NY.HELENA SETYAWATI IR Rp21,927.00
40 05/14/18 NY.RULIANA H Rp21,927.00
41 05/15/18 NN.AJENG AYUNING Rp21,927.00
42 05/15/18 NY.MEIDIANASARI Rp21,927.00
43 05/15/18 AN.AMEEERA AURA M Rp21,927.00
44 05/16/18 AN.MUHAMMAD DHAISAN M Rp21,927.00
45 05/16/18 NY.SYLVIA SHERLYCIA Rp21,927.00
46 05/16/18 NY.TRIAN SUSANA Rp21,927.00
47 05/16/18 NY.RIEZKA SARI I Rp21,927.00
48 05/17/18 BY.GEVARIEL ARSENIO N Rp21,927.00
49 05/17/18 AN.I GUSTI AYU ANA PINATIH Rp21,927.00
50 05/17/18 NY.TRI WULANSARI ADLINA Rp21,927.00
51 05/18/18 AN.ADHYASTHA TRISETYO Rp21,927.00
52 05/18/18 AN.ANDIEN NAJWA A Rp21,927.00
53 05/18/18 TN.KEVIN NAULI Rp21,927.00
54 05/19/18 NY.KARYATI Rp21,927.00
55 05/20/18 TN.LASENG H Rp21,927.00
56 05/20/18 TN.WAHYU FIRMANSYAH Rp21,927.00
57 05/20/18 TN.MARIA Rp21,927.00
58 05/21/18 NY.CHARIEL TIN ANGELINA Rp21,927.00
59 05/21/18 NY.SRI NURHAYATI Rp21,927.00
60 05/21/18 NY.JENNY JUNIARTI Rp21,927.00
61 05/22/18 AN.KHANZA AULIA S Rp21,927.00
62 05/22/18 AN.DAFFA HAMONANGAN Rp21,927.00
63 05/22/18 TN.SON EKABIAKTO Rp21,927.00
64 05/23/18 AN.NAYLA NURADIFA I Rp21,927.00
65 05/25/18 BY.KIMORA IZZATUNISSA RAHMAT Rp21,927.00
66 05/26/18 TN.HAERI PARANI Rp21,927.00
67 05/26/18 TN.BASKORO NOTO Rp21,927.00
68 05/27/18 NY.SUSI MAYLINDA Rp21,927.00
69 05/27/18 TN.EDWARD Rp21,927.00
70 05/27/18 TN.JULIATER POHAN Rp21,927.00
Page 74
PARSEL
71 05/27/18 NN.GRACE OLIVIA R Rp21,927.00

72 05/28/18 NY.INTAN FEBRI S Rp21,927.00
73 05/29/18 AN.NAURA KRASIVA Rp21,927.00
74 05/29/18 AN.RADITYA Rp21,927.00
75 05/29/18 NY.RUFINA MOMO Rp21,927.00
76 05/29/18 AN.AMEEERA AURA M Rp21,927.00
77 05/30/18 BY.VENDY RENALDY Rp21,927.00
78 05/30/18 NY.TATIEK Rp21,927.00
79 05/31/18 TN.SAWA'I H Rp21,927.00
JUMLAH 1732233

1 05/14/18 AN.KHAN ARKHAN PUTRA Rp51,377.00
2 05/15/18 NY.WIWI WIHARTI Rp51,377.00
3 05/18/18 NY.SUSIYANI Rp51,377.00
4 05/20/18 TN.DODDY HERPIANA SE Rp51,377.00
5 05/29/18 AN.NABIL HS M Rp51,377.00
JUMLAH 256885

MEI 2018
1 05/15/18 DR.AGNI ANASTASIA Rp150,000.00
2 05/26/18 NY.LASMARIA REVRINA Rp150,000.00
JUMLAH Rp300,000.00
LAPORAN PARSEL VIP JUNI 2018

1 06/01/18 TN.WAHYU TRI P Rp21,927.00
2 06/02/18 TN.DAVID LAWRENCE Rp21,927.00
3 06/02/18 TN.NATAL ARGAWAN Rp21,927.00
4 06/02/18 TN.FRANSISCUS SAIANG SEMBIRING Rp21,927.00
Page 75
PARSEL
5 06/03/18 AN.CAVERO JUNIOR P Rp21,927.00

6 06/03/18 NY.EVIANA FAUZIAH Rp21,927.00
7 06/03/18 TN.ABU BAKAR SIDIK Rp21,927.00
8 06/03/18 NY.MUSTATI Rp21,927.00
9 06/04/18 NY.ANGGRAENI NOVIANA Rp21,927.00
10 06/04/18 NY.NANDIA KARINA Rp21,927.00
11 06/05/18 TN.MUHAMMAD MUSANNIP Rp21,927.00
12 06/06/18 NY.NEWI SUKENGTIAS Rp21,927.00
13 06/06/18 NY.NURUL ARIFIN Rp21,927.00
14 06/06/18 TN.DWIKI DIPO NUGROHO Rp21,927.00
15 06/06/18 NN.DZIKRINA AZKIA.N Rp21,927.00
16 06/07/18 BY.LANG PRABU ABQARY Rp21,927.00
17 06/07/18 NY.TRIANI KOMARIA A Rp21,927.00
18 06/07/18 NY.YENI KOMALA SARI Rp21,927.00
19 06/08/18 AN.WILLIAM RAFAEL SIMANJUNTAK Rp21,927.00
20 06/08/18 NY.SRI NURHASTUTI Rp21,927.00
21 06/08/18 TN.WAHYU FIRMANSYAH Rp21,927.00
22 06/08/18 NY.ELLYANA NURITA Rp21,927.00
23 06/08/18 AN.AUDREY VICTORIA P Rp21,927.00
24 06/08/18 AN.SEPTI LESTARI Rp21,927.00
25 06/09/18 TN.AGUNG TRIYANTO Rp21,927.00
26 06/10/18 NN.RIA NIA SUKMAYANTI Rp21,927.00
27 06/12/18 NN.RADINTA JASMINE Rp21,927.00
28 06/12/18 TN.TEGUH PAMBUDI Rp21,927.00
29 06/12/18 NY.TITA JUWITA Rp21,927.00
30 06/13/18 AN.AYYUBI ABIMAYU Rp21,927.00
31 06/13/18 NN.ANDIRA K.D Rp21,927.00
32 06/14/18 TN.SURYA DHARMA Rp21,927.00
33 06/14/18 TN.HESKAMER MUNTE.C Rp21,927.00
34 06/16/18 AN.GRACELLA PUTRI V Rp21,927.00
35 06/19/18 NY.DEWI WIDIASTUTI Rp21,927.00
36 06/20/18 AN.SEAN MANUEL Rp21,927.00
37 06/20/18 TN.GILANG ANUGRAH Rp21,927.00
38 06/21/18 NY.GAYATRI SUKMANINGTYAS Rp21,927.00
39 06/21/18 NY.RUBIATI Rp21,927.00
40 06/21/18 NY.NURHASANAH Rp21,927.00
41 06/22/18 NY.LAILATUL FADILLAH Rp21,927.00
42 06/22/18 TN.HAEDAR A KARIM Rp21,927.00
43 06/23/18 NN.SHANDRA RESTIANA Rp21,927.00
44 06/23/18 NY.CATHRIEN MARIA R Rp21,927.00
45 06/23/18 NY.JUBAEDAH HJ Rp21,927.00
46 06/24/18 AN.BELLARMINO AKSEL N Rp21,927.00
47 06/24/18 TN.DJOENAEDY SISWO P Rp21,927.00
48 06/25/18 NY.WIDYA ARDIAN Rp21,927.00
49 06/25/18 NN.SHIRA AMALIA Rp21,927.00
50 06/26/18 NY.SITI SUWARSAH Rp21,927.00
51 06/27/18 AN.FLORANESIA MISEZAFA R Rp21,927.00
52 06/27/18 NY.RIA OKTAVIANI Rp21,927.00
53 06/27/18 NY.VINI SISKA Rp21,927.00
Page 76
PARSEL
54 06/28/18 TN.DAVID LAWRENCE Rp21,927.00

55 06/29/18 NY.ENDAH SRI Rp21,927.00
56 06/29/18 NY.PUSPARANI Rp21,927.00
57 06/29/18 NY.ENDAH SRI Rp21,927.00
58 06/29/18 NY.PUSPARANI Rp21,927.00
59 06/30/18 AN.ALIF AQBARUL FAHAB Rp21,927.00
60 06/30/18 AN.CELINE HAURA NUGROHO Rp21,927.00
61 06/30/18 TN.AGUNG DWI SAPUTRO Rp21,927.00
62 06/30/18 TN.SURATNO Rp21,927.00
63 06/30/18 AN.ERICHO SAM.V.P Rp21,927.00
JUMLAH 1381401

1 06/29/18 NY.RUSTI DARMAYANTI Rp51,377.00
2 06/30/18 TN.AGUS MULYANTO Rp51,377.00
JUMLAH 102754

JUNI 2018
JUMLAH Rp0.00
LAPORAN PARSEL VIP JULY 2018

1 07/03/18 An. Irene Sefrina Rp25,000.00
2 Ny. Ruliana Rp25,000.00
3 Ny. Mustati Rp25,000.00
4 07/04/18 Ny. Vini Siska Rp25,000.00
5 Nn. Rizkhi Dewi Rp25,000.00
6 Tn. Rafael Kukuh Rp25,000.00
7 Tn. Achmad Mutashim Rp25,000.00
8 07/05/18 An. Adelle manda Rp25,000.00
Page 77
PARSEL
9 Ny. Jenny Juniarti Rp25,000.00

10 07/06/18 Nn. Annisa Cantika Rp25,000.00
11 Tn. Sukanta Rp25,000.00
12 07/07/18 Tn. Suryadenie Rp25,000.00
13 Nn. Antitirani Rp25,000.00
14 Ny. Tarona Siahaan Rp25,000.00
15 07/08/18 An. Najwa Rahayu Rp25,000.00
16 Tn. Guritno Rp25,000.00
17 07/09/18 Ny. Duma Samosir Rp25,000.00
18 Ny. Lydia Yulianti Rp25,000.00
19 07/10/18 Ny. Nurul Arifin Rp25,000.00
20 Ny. Srie Intan Rp25,000.00
21 Ny. Ermawati Rp25,000.00
22 Ny. Antitirani Rp25,000.00
23 Tn. Ryan Hidayanto Rp25,000.00
24 Ny. Tatiek Rp25,000.00
25 07/11/18 Tn. Muhammad Musannip Rp25,000.00
26 07/12/18 An. Al Rahsya Maliq Rp25,000.00
27 Ny. Lie Fa Lang Rp25,000.00
28 Tn. Harisman Rp25,000.00
29 Tn. Ahmad Gozali Rp25,000.00
30 Tn. Pontjojogo Rp25,000.00
31 An. Irfan Farid Rp25,000.00
32 Tn. Herman Rp25,000.00
33 07/13/18 Ny. Rully Rp25,000.00
34 Nn. Azita Zandian Rp25,000.00
35 07/14/18 Ny. Inung Mundiarti Rp25,000.00
36 Ny. Nita Widiastuti Rp25,000.00
37 Ny. Ang Kang Nio Rp25,000.00
38 07/15/18 Ny. Elly Rp25,000.00
39 Ny. Putri Glareta Rp25,000.00
40 Ny. Nieke Maria Rp25,000.00
41 Ny. Masnah Rp25,000.00
42 07/17/18 An. Fazahra Rp25,000.00
43 Ny. Rully Rp25,000.00
44 Ny. Aprilia Rp25,000.00
45 Ny. Nieke Maria Rp25,000.00
46 Ny. Neneng Rp25,000.00
47 Ny. Antitirani Rp25,000.00
49 07/19/18 Tn. Manaor Hutapea Rp25,000.00
50 07/22/18 Ny. Listia Kusumasari Rp25,000.00
51 Tn. Wisnu Rp25,000.00
52 07/23/18 Tn. Trio Yamad Rp25,000.00
53 07/24/18 An. Rafasya Kenaufal Rp25,000.00
54 Tn. Mustofa Rp25,000.00
55 Tn. Hendro Rp25,000.00
56 07/25/18 Nn. Hafsari Kartika Rp25,000.00
57 Ny. Duma Samosir Rp25,000.00
58 07/26/18 By. Nadhifa Rp25,000.00
Page 78
PARSEL

60 Ny. Nina Herliana Rp25,000.00
61 07/27/18 Ny. Nurita Rp25,000.00
62 Ny. Widhi Yulian Rp25,000.00
63 07/28/18 Ny. Amanah Rp25,000.00
64 Tn. Adrian Rp25,000.00
65 07/29/18 Ny. Ni Luh Putu Rp25,000.00
66 07/31/18 Ny. Fendarni Rp25,000.00
Tn. Herman Rp25,000.00
JUMLAH 1650000
LAPORAN PARSEL SVIP JULY 2018

1 07/13/18 Tn. Hamid Reza Rp55,000.00
2 07/18/18 Tn. Happy Agus Rp55,000.00
3 07/25/18 An. Raffael Rp55,000.00
4 07/30/18 Ny. Nicky Ardhini Rp55,000.00
JUMLAH 220000

JULY 2018
1 07/10/18 dr. Budi hartanto Rp150,000.00
2 07/17/18 Ny. Widya Retno Rp250,000.00
3 07/19/18 An. Devan Widjaya Rp150,000.00
JUMLAH Rp550,000.00
LAPORAN PARSEL VIP AGUSTUS 2018

1 08/01/18 Ny. Duma Samosir Rp25,000.00
2 Ny. Fendarni Rp25,000.00
3 Tn. Herman Rp25,000.00
4 Tn. Ahmad Alqadri Rp25,000.00
5 08/03/18 An. Khaira Nadhifa Rp25,000.00
6 Ny. Ghiashinta Rp25,000.00
7 Ny. Dwi Kurnia Rp25,000.00
8 Ny. Mustati Rp25,000.00
Page 79
PARSEL
9 08/04/18 An. Mohammad Yanuar Rp25,000.00

10 Tn. Firmansyah Rp25,000.00
11 Ny. Euis Resmawati Rp25,000.00
12 08/06/18 Tn. Dudi Suryadi Rp25,000.00
13 Tn. Lucas Lewier Rp25,000.00
14 08/07/18 An. Keyza Charmaraiza Rp25,000.00
15 Ny. Liz Juwita Rp25,000.00
16 Tn. Sabili Rp25,000.00
17 08/08/18 Ny. Anita Sukarno Rp25,000.00
18 Ny. Dewi Cahyaning Rp25,000.00
19 Ny. Riska Bella Rp25,000.00
20 Nn. Clararida Rp25,000.00
21 08/09/18 Ny. Eka Giyanti Rp25,000.00
22 An. Aliya Fitriyanti Rp25,000.00
23 Tn. Adithya Warman Rp25,000.00
24 Tn. Sawawi Rp25,000.00
25 Tn. Minang Oka Rp25,000.00
26 08/10/18 Ny. Nine Firdini Rp25,000.00
27 Tn. Syarifuddinn Rp25,000.00
28 08/11/18 Tn. Linson Kaban Rp25,000.00
29 Tn. Uleys Wailanduw Rp25,000.00
30 Nn. Dwiyani Bunga Rp25,000.00
31 08/12/18 Ny. Tiara Windasari Rp25,000.00
32 08/13/18 An. Delfaiz A Fikri Rp25,000.00
33 Ny. Rima Yeni Rp25,000.00
34 Tn. Bayu Prihatmoko Rp25,000.00
35 08/14/18 Tn. Nursigit Pristiwadji Rp25,000.00
36 Ny. Lisnawati Rp25,000.00
37 08/15/18 An. Ayunda Nirmala Rp25,000.00
38 An. Fachri Tsaqif Rp25,000.00
39 Ny. Megawati Rp25,000.00
40 Ny. Monica Liando Rp25,000.00
41 08/16/18 An. Arsakha Deva Rp25,000.00
42 Tn. Alif Fadhilah Rp25,000.00
43 Tn. Agus Trijaya Rp25,000.00
44 08/17/18 Ny. Sri Alvi Rp25,000.00
45 NY. Neisa Novianti Rp25,000.00
46 Tn. Sukanta Rp25,000.00
47 Tn. Jamaludin Rp25,000.00
49 Tn. Surya Suhadi Rp25,000.00
50 08/18/18 Ny. Ratich Waramurtining Rp25,000.00
51 Tn. Yoyo Sumaryo Rp25,000.00
52 08/19/18 Nn. Antitirani Rp25,000.00
53 08/20/18 An. Queenzha Rp25,000.00
54 Tn. Maksum Rp25,000.00
55 08/21/18 An. Argenta Madani Rp25,000.00
56 An. Afifah Raihanah Rp25,000.00
57 Tn. Widodo Rp25,000.00
58 08/22/18 By. Qiana nuray Rp25,000.00
Page 80
PARSEL
59 08/23/18 An. Hani Zahratunnisa Rp25,000.00

60 08/26/18 An. Alfatih Rayyan Rp25,000.00
61 An. Aisyah Lubis Rp25,000.00
63 08/27/18 Tn. Alfin Nurfadilah Rp25,000.00
64 Tn. Sudiono Pairin Rp25,000.00
65 Nn. Anggita Kumala Rp25,000.00
66 08/28/18 An. Athaya Naradipta Rp25,000.00
67 08/29/18 An. Ammara Dina Rp25,000.00
68 An. Kinaya Adzkia Rp25,000.00
69 Ny. Amalia Fadhila Rp25,000.00
70 Ny. Farida Udiana Rp25,000.00
71 An. Alfin Rp25,000.00
72 Ny. Enon Kurniasih Rp25,000.00
73 dr. Tjuk Dwi Rp25,000.00
74 Ny. Laras Kalbu Rp25,000.00
75 Tn. Endang Rp25,000.00
76 08/30/18 Ny. Rusmiati Rp25,000.00
77 Ny. Helyaningsih Rp25,000.00
78 Nn. Dania Nur Rp25,000.00
79 An. Daffa Hamonangan Rp25,000.00
80 08/31/18 Tn. Abu Bakar Sidik Rp25,000.00
JUMLAH 1975000

1 08/03/18 Tn. Sawai Rp55,000.00
2 08/12/18 Ny. Novita Wahyu Rp55,000.00
3 08/24/18 An. Arsenio Naufan Rp55,000.00
4 Tn. Abu Bakar Sidik Rp55,000.00
5 08/28/18 Ny.Sutini
JUMLAH 220000

AGUSTUS 2018'
1
2
3
JUMLAH Rp0.00
Page 81
PARSEL
LAPORAN PARSEL VIP SEPTEMBER 2018

1 09/01/18 An. Ammara Dina Rp25,000.00
2 Ny. Farida Udiana Rp25,000.00
3 Tn. Abu Bakar Sidik Rp25,000.00
4 Ny. Enon Kurniasih Rp25,000.00
5 Ny. Helyaningsih Rp25,000.00
6 Ny. Laras Kalbu Rp25,000.00
7 Nn. Dania Nur Rp25,000.00
9 09/02/18 An. Athaya Naradipta Rp25,000.00
10 An. Kinaya Adzkia Rp25,000.00
11 Ny. Amalia Fadhila Rp25,000.00
12 Tn. Endang Rp25,000.00
13 An. Daffa Hamonangan Rp25,000.00
14 Tn. Andi Rukma Rp25,000.00
15 Ny. Ming Miryani Rp25,000.00
17 Ny. Liz Juwita Rp25,000.00
18 An. Aliya Fitriyanti Rp25,000.00
19 09/03/18 Tn. Unggul Panca Jaya Rp25,000.00
20 Nn. Rizma Siti Rp25,000.00
21 Tn. Budi Kuncoro Rp25,000.00
22 Tn. Agustinus Rumainum Rp25,000.00
23 09/04/18 Tn. Bambang Rahino Rp25,000.00
24 Ny. Rusmiati Rp25,000.00
25 09/05/18 Ny. Azimatuddar Rp25,000.00
26 Tn. Toni Herriawan Rp25,000.00
27 Tn. Windra Rp25,000.00
28 09/06/18 Tn Surya Suhadi Rp25,000.00
29 Tn. Vega Tio Sandi Rp25,000.00
30 09/07/18 An. Ni Wayan Aulia Rp25,000.00
31 An. Naureen Nayara Rp25,000.00
33 Tn. Suparman Rp25,000.00
34 09/08/18 By. Aldan Darrel Rp25,000.00
35 09/12/18 By. Muhammad Al-Fatih Rp25,000.00
36 Ny. Siti Sulfah Rp25,000.00
37 Nn. Annisa Riri Rp25,000.00
38 Tn. Agus Salim Rp25,000.00
39 09/13/18 Tn. Thomas Aliantono Rp25,000.00
40 By. Shanum Ibnati Rp25,000.00
41 09/14/18 Ny. Dessy Handayani Rp25,000.00
42 Tn. Sriyana Rp25,000.00
43 Ny. Sumarni Rp25,000.00
Page 82
PARSEL
44 09/15/18 Tn. Djoko Prasetya Rp25,000.00

45 Tn. Endang Gunadi Rp25,000.00
46 Ny. Setiyawati Rp25,000.00
47 Ny. Dewi Kusuma Astuti Rp25,000.00
49 09/16/18 Tn. Heryono Rp25,000.00
50 Ny. Ketut Sumertini Rp25,000.00
51 09/17/18 Ny. Pangesti Rp25,000.00
52 09/18/18 Tn. Supriyadi Rp25,000.00
53 09/19/18 An. Faris Abdurrahma Rp25,000.00
54 Ny. Meiana Susanti Rp25,000.00
55 09/20/18 An. Mayesa Kirana Rp25,000.00
56 Tn. Herdianto Rp25,000.00
57 Tn. Dewarian Rp25,000.00
58 09/21/18 An. Arvinov Kenricksf Rp25,000.00
59 09/22/18 Ny. Nike Ariestha Rp25,000.00
60 Tn. Wibowo Pranoto Rp25,000.00
61 Tn. Samuel Andi Rp25,000.00
62 An. Rayhan Akmal Rp25,000.00
63 Ny. Yayah R Maman Rp25,000.00
64 Ny. Tatiek Rp25,000.00
65 Tn. Sudirjo Rp25,000.00
66 09/23/18 An. Miranti Gwen Rp25,000.00
67 Tn. Muin Rp25,000.00
68 Tn. Abdillah Rp25,000.00
69 09/24/18 By. Arzachel Syadid Rp25,000.00
70 Ny. Jenisa Reivana Rp25,000.00
71 09/26/18 An. Nikita Pranata Rp25,000.00
72 Ny. Tiara Windasari Rp25,000.00
73 Tn. Baskoro Noto Rp25,000.00
74 Ny. Fina Lusiana Rp25,000.00
75 Ny. Yuyun Yuningsih Rp25,000.00
76 Tn. Bambang Indriyatmo Rp25,000.00
77 09/27/18 Nn. Zalfana Reynara Rp25,000.00
78 09/28/18 Ny. Eka Mulya Rp25,000.00
79 Nn. Mitha Milenia Rp25,000.00
80 Ny. Iis Warsito Rp25,000.00
81 Tn. Thomas Aliantono Rp25,000.00
82 09/29/18 An. Dhaffa Dhiya Rp25,000.00
83 Tn. Santo Rp25,000.00
84 09/30/18 An. Al Rahsya Maliq Rp25,000.00
85 Ny. Ariani Rp25,000.00
86 Tn. Reyn Bustomi Rp25,000.00
JUMLAH 2125000
Page 83
PARSEL

1 10/01/18 Ny. Sutini Rp55,000.00
4 10/05/18 Tn. Kaleb Surifson Rp55,000.00
5 09/10/18 Nn. Anisa Riri Aprilia Rp55,000.00
6 09/11/18 An. Arief Anggita Rp55,000.00
7 09/19/18 Tn. Supriyadi Rp55,000.00
8 09/24/18 Tn. I Gede Adnyana Rp55,000.00
9 09/26/18 Tn. Wijanarko Rp55,000.00
JUMLAH 495000

SEPTEMBER 2018'
1 09/17/18 Tn. Herdianto Rp150,000.00
2 09/24/18 Tn. Wijanarko Rp150,000.00
3
JUMLAH Rp300,000.00
LAPORAN PARSEL VIP OKTOBER 2018

1 01/10/18 An. Richard Rp25,000.00
2 02/10/18 Ny. Rohayati Rp25,000.00
3 03/10/18 Tn. Samsul Bahri Rp25,000.00
4 Tn. Asep Rp25,000.00
5 An. Quinn Rp25,000.00
6 Ny. Aida Rp25,000.00
7 04/10/18 By. Qiandra Rp25,000.00
8 Ny.Amanda Rp25,000.00
9 05/10/18 An. Dafa Rp25,000.00
10 Ny. Evalia Rp25,000.00
11 Ny. Ari Rp25,000.00
12 Ny. Kapsah Rp25,000.00
13 06/10/18 An. Farhan Rp25,000.00
14 Ny. Widi Rp25,000.00
15 07/10/18 An. Dafa Rp25,000.00
16 Ny. Amanda Rp25,000.00
17 08/10/18 Tn. Didit Rp25,000.00
18 09/10/18 Nn. Bunga Rp25,000.00
Page 84
PARSEL
19 10/10/18 An. M. Galih Rp25,000.00

20 Ny. Margaretha Rp25,000.00
21 Ny. Gia Novita Rp25,000.00
22 Tn. Syamsuri Rp25,000.00
23 Ny. Nunung Rp25,000.00
24 12/10/18 An. Fathan Rp25,000.00
25 13/10/18 An. Zhavira Rp25,000.00
26 Tn. Nadir Rp25,000.00
27 14/10/18 Ny. Wortini Rp25,000.00
28 15/10/18 Tn. Ahmad Rp25,000.00
29 Tn. Aditya Rp25,000.00
30 16/10/18 Ny. Kapsah Rp25,000.00
31 Ny. Euis Rp25,000.00
32 An. M. Parikesit Rp25,000.00
33 17/10/18 Ny. Dwi Rp25,000.00
34 Tn. Tarrant Rp25,000.00
35 Tn. Aditya Rp25,000.00
36 Tn. Adang Rp25,000.00
37 18/10/18 An. M. Al-fatih Rp25,000.00
38 Ny. Era Rp25,000.00
39 Ny. Neny Rp25,000.00
40 19/10/18 Ny. Anugrah Rp25,000.00
41 Tn. Mujahid Rp25,000.00
42 Tn. Dewarian Rp25,000.00
43 21/10/18 Tn. Moh. Indra Rp25,000.00
44 Ny. Suhelah Rp25,000.00
45 23/10/18 An. Sarah Rp25,000.00
46 Ny. Anggraeni Rp25,000.00
47 Tn. Agus Rp25,000.00
48 24/10/18 Tn. Fikri Rp25,000.00
49 Ny. Yumeli Rp25,000.00
50 25/10/18 Ny. Sirida Rp25,000.00
51 26/10/18 Tn. Wahab Rp25,000.00
52 27/10/18 Ny. Anggraeni Rp25,000.00
53 An. Husna Rp25,000.00
54 28/10/18 An. Naura Khalisha Rp25,000.00
55 Ny. Galuh Rp25,000.00
56 29/10/18 By.Abraham Rp25,000.00
57 30/10/18 Ny. Andy Rp25,000.00
58 Ny. Rizka Rp25,000.00
59 Ny. Rita Rp25,000.00
60 Ny. Iis Warsito Rp25,000.00
61 Tn. Naufal Rp25,000.00
62 Ny. Ratu Rp25,000.00
63 31/10/18 Ny. Galuh Rp25,000.00
Ny. Dewi Rp25,000.00
JUMLAH 1600000
Page 85
PARSEL

1 11/10/18 Nn. Bunga Rp55,000.00
2 15/10/18 Tn. Anwar Rp55,000.00
3 1410/18 Tn. Abu Bakar Sidik Rp55,000.00
4 29/10/18 Ny. Novi Rp55,000.00
JUMLAH 220000

OKTOBER 2018
1 18/10/18 Ny. Sri Rp150,000.00
2 10/9/18 Nn. I Gusti Rp150,000.00
JUMLAH Rp300,000.00
LAPORAN PARSEL VIP NOVEMBER 2018

1 01/11/18 An. Akhmad Rp25,000.00
2 Tn. Sugeng Rp25,000.00
3 Tn. Orinovi Rp25,000.00
4 02/11/18 By. Afifa Rp25,000.00
5 Nnn. Iqlima Rp25,000.00
6 Ny. Rahmasari Rp25,000.00
7 Tn. Gatot Rp25,000.00
8 N.n Vinka Rp25,000.00
9 03/11/18 An. Rizky Rp25,000.00
10 04/11/18 Tn. Panji Rp25,000.00
11 Ny. Prilly Rp25,000.00
12 05/11/18 An. Revan Rp25,000.00
13 06/11/18 Ny. Fitri Rp25,000.00
14 07/11/18 Ny. Sabila Rp25,000.00
15 Tn. Fahmi Rp25,000.00
16 09/11/18 An. Syahluma Rp25,000.00
17 Ny. Fatmawati Rp25,000.00
18 Ny. Hamdani Rp25,000.00
19 10/11/18 By. Andi Rp25,000.00
20 By. Alvaro Rp25,000.00
Page 86
PARSEL
21 Ny. Inah Rp25,000.00

23 11/11/18 By. Andifian Rp25,000.00
24 12/11/18 Tn. Rahadian Rp25,000.00
25 Tn. Nadif Rp25,000.00
26 13/11/18 Nn. Anisa Rp25,000.00
27 15/11/18 An. Cederica Rp25,000.00
28 An. Bilqis Rp25,000.00
29 Ny. Ariesta Rp25,000.00
30 Ny. Neni Rp25,000.00
31 An. Damar Rp25,000.00
32 Tn. Sardi Rp25,000.00
33 Tn. Rudy Rp25,000.00
34 16/11/18 Ny. Hastuti Rp25,000.00
35 17/11/18 Ny. Sien Rp25,000.00
36 Ny. Susi Rp25,000.00
37 Ny. Febriani Rp25,000.00
38 Ny. Olivia Rp25,000.00
39 Ny. Terina Rp25,000.00
40 Ny. Marthina Rp25,000.00
41 18/11/18 Ny. Anisa Rp25,000.00
42 Ny. Christina Rp25,000.00
43 Tn. Muin Rp25,000.00
44 Ny. Dinar Rp25,000.00
45 19/11/18 Ny. Euis Rp25,000.00
46 An. Annisa Rp25,000.00
47 20/11/18 Tn. Mujahid Rp25,000.00
48 21/11/18 An. Asher Rp25,000.00
49 Ny. Maezara Rp25,000.00
50 Ny. Nurul Rp25,000.00
51 22/11/18 Tn. Samsuri Rp25,000.00
52 23/11/18 Ny. Omah Rp25,000.00
53 Ny. Listina Rp25,000.00
54 Nn. Mutia Rp25,000.00
55 24/11/18 Ny. Iis Rp25,000.00
56 25/11/18 Ny. Viola Rp25,000.00
57 26/11/18 Ny. Teti Rp25,000.00
58 An. Aulia Rp25,000.00
59 Ny. Cindy Rp25,000.00
60 An. Nadya Rp25,000.00
61 Tn. Surya Rp25,000.00
62 27/11/18 Ny. Nuralia Rp25,000.00
63 An. Emanuel Rp25,000.00
64 28/11/18 Nn. Andarini Rp25,000.00
65 Tn. Darmawan Rp25,000.00
66 Tn. Abdul Rp25,000.00
JUMLAH 1650000
Page 87
PARSEL

1 03/11/18 An. Fajariko Rp55,000.00
2 06/11/18 An. Revan Rp55,000.00
4 17/11/18 Ny. Olivia Rp55,000.00
5 20/11/18 Tn. Mujinan Rp55,000.00
JUMLAH 275000

NOVEMBER 2018
JUMLAH Rp0.00
LAPORAN PARSEL VIP DESEMBER 2018

1 12/04/18 Ny. Herdiana Rp25,000.00
2 12/05/18 By. Qiana Rp25,000.00
3 Tn. Momon Rp25,000.00
4 Tn. Maman Rp25,000.00
5 12/07/18 Tn. Herjuno Rp25,000.00
6 Tn. Mringan Rp25,000.00
7 12/08/18 An. Aisha Rp25,000.00
8 Ny. Agustini Rp25,000.00
9 Ny. Omah Rp25,000.00
10 12/09/18 An. Muh. Rasyid Rp25,000.00
11 12/10/18 Ny. Kuntiwati Rp25,000.00
12 12/11/18 Ny. Litasari Rp25,000.00
13 Ny. Rafaza Rp25,000.00
14 Ny. Yumiarsih Rp25,000.00
15 12/12/18 An. Azzahra Rp25,000.00
16 An. I Gusti Ayu Rp25,000.00
17 Tn. Michael Rp25,000.00
18 12/14/18 Tn. Taufik Rp25,000.00
19 12/15/18 Ny. Novia Rp25,000.00
20 Tn. Satrio Rp25,000.00
21 12/16/18 Tn. Jamri Rp25,000.00
Page 88
PARSEL
22 12/17/18 Tn. Zenrif Rp25,000.00

23 Nn. Wulandari Rp25,000.00
24 12/18/18 An. Muh Bagus Rp25,000.00
25 Ny. Fitriyana Rp25,000.00
26 Ny. Rahmawaty Rp25,000.00
27 Ny. Itoh Rp25,000.00
28 Ny. Euis Rp25,000.00
29 12/19/18 Ny. Dewi Rp25,000.00
30 12/20/18 An. Hanna Rp25,000.00
31 Ny. Erline Rp25,000.00
32 12/21/18 Tn. Sutanto Rp25,000.00
33 Ny. Risty Rp25,000.00
34 Ny. Putri Rp25,000.00
35 12/22/18 Tn. Soemartono Rp25,000.00
36 12/23/18 An. Putri Rp25,000.00
37 12/24/18 By. Nouval Rp25,000.00
38 Tn. Ali Rp25,000.00
39 Ny. Tutik Rp25,000.00
40 12/25/18 An. Ivana Rp25,000.00
41 Nn. Vika Rp25,000.00
42 12/26/18 Tn. Fadli Rp25,000.00
43 An. Kezia Rp25,000.00
44 Tn. Agus Rp25,000.00
46 12/27/18 Tn. Argani Rp25,000.00
47 12/28/18 Tn. James Rp25,000.00
48 12/29/18 Tn. Al amin Rp25,000.00
49 Ny. Suwartini Rp25,000.00
50 Tn. Surya Rp25,000.00
JUMLAH 1250000

1 12/29/18 An. Rafi Rp55,000.00
JUMLAH 55000

DESEMBER 2018
1 12/4/18 Tn. Baskara Rp150,000.00
Page 89
PARSEL
2 12/11/18 Ny. Galuh Rp150,000.00
JUMLAH Rp300,000.00
LAPORAN PARSEL VIP JANUARI 2019

1 01/03/19 317. An. Lioni Rp25,000.00
318. An. Lionel Rp25,000.00
426. Tn.Heru Rp25,000.00
427. Ny. Rahmawati Rp25,000.00
430. Ny. Nurmaningsih Rp25,000.00
433. Nn. Salsabila Rp25,000.00
434. tn. Yana Rp25,000.00
2 01/04/19 306. An. Laurencia Rp25,000.00
336. Ny. Foni Rp25,000.00
3 01/06/19 305. Tn. Natan Rp25,000.00

317. An. Immanuel Rp25,000.00
318. An. Zata Rp25,000.00
429. Ny. Fitri Rp25,000.00
428. Tn. Parnington Rp25,000.00
430. Tn. Indra Rp25,000.00
4 01/08/19 432. Tn. Edi Rp25,000.00
433. Nn. Sofie Rp25,000.00
434. Ny.Sri Rp25,000.00
435. Ny. Wahyuni Rp25,000.00
436. Ny. Calista Rp25,000.00
437. An. Hafizh Rp25,000.00
5 01/10/19 317. An. Afifah Rp25,000.00
426. Tn. Ngurah Rp25,000.00
432. Tn. Budi Rp25,000.00
436. Tn. Maulana Rp25,000.00
6 01/12/19 306. By. Tobbyas Rp25,000.00
427. Ny. Haryanti Rp25,000.00
429. An. Kiera Rp25,000.00
7 01/15/19 426. Tn. Abdul Hayat Rp25,000.00
433. Ny.Euis Rp25,000.00
434. Tn. Farhan Rp25,000.00
435. Ny. Sardi Rp25,000.00
8 01/16/19 428. Ny. Yani Rp25,000.00
429. Tn. Suradi Rp25,000.00
432. Nn. Ni Putu Rp25,000.00
9 01/18/19 435. Ny. Rizka Rp25,000.00

428. An. Kathleen Rp25,000.00
317. An. Calista Rp25,000.00
Page 90
PARSEL
10 01/19/19 306. An. Leander Rp25,000.00

336. Ny. Masita Rp25,000.00
434. An. Freyalora Rp25,000.00
436. Tn. Lahang Rp25,000.00
11 01/20/19 334. Ny.Liananda Rp25,000.00
12 01/21/19 318. An. Labib Rp25,000.00
335. Ny. Hardiana Rp25,000.00
426. Ny. Fitri Rp25,000.00
432. Ny.Neni Rp25,000.00
433. Nn. Intan Rp25,000.00
13 01/22/19 332. An. Patricia Rp25,000.00
14 01/23/19 427. tn. Rizky Rp25,000.00
428. Tn. Abdul Rakhman Rp25,000.00
435. An. David Rp25,000.00
15 01/24/19 429. An. Putri Rp25,000.00
16 01/25/19 426. Tn. Agung Rp25,000.00
430. Nn. Salma Rp25,000.00
432. Nn. Monika Rp25,000.00
17 01/26/19 427. Tn. Judi Rp25,000.00
434. Ny. Ni Ketut Rp25,000.00
432. Nn. Monika Rp25,000.00
18 01/27/19 318. An. Jane Rotua Rp25,000.00
19 01/28/19 305. An. Achmad Zacky Rp25,000.00
317. By. Arfa Rp25,000.00
426. Tn. Dasrizal Rp25,000.00
427. Tn. Chris Sam Rp25,000.00
432. Tn. Rudy Rp25,000.00
20 01/30/19 306. An. Nauli Rp25,000.00
334. Ny.ristiarti Rp25,000.00
1675000

1 01/04/19 431. An. Ryan Rp55,000.00
2 01/19/19 431. Tn. Abu Bakar Rp55,000.00
3 01/31/19 431. Ny. Pebiana Rp55,000.00
JUMLAH 165000
LAPORAN PARSEL VIP FEBRUARI 2019

1 02/02/19 317. An. Jocelyn Rp25,000.00
427. Tn. Edi Effendi Rp25,000.00
428. Tn. Nyoman Rp25,000.00
Page 91
PARSEL
429. An. Qanita Rp25,000.00

434. Ny. Sri Hartaty Rp25,000.00
436. An. Aloysius Rp25,000.00
437. An. Aulia Rp25,000.00
2 02/04/19 306. An. Arsaka Rp25,000.00
426. Ny. Wina Rp25,000.00
427. Tn. Akmal Rp25,000.00
428. Tn. Zot Lisman Rp25,000.00
432. Tn. Jon Panses Rp25,000.00
3 02/05/19 318. By. Muhammad Artanabil Rp25,000.00
432. Ny. Neti Rp25,000.00
433. Ny. Era Rp25,000.00
426. Tn Pratama Rp25,000.00
434. Ny. Debby Rp25,000.00
4 02/07/19 317. An. Mikha Rp25,000.00
306. An. Thirza Rp25,000.00
334. Ny. Tassya Rp25,000.00
427. Nn. Lidya Rp25,000.00
5 02/08/19 305. An. Attala Rp25,000.00
317. An. M. Rasyid Rp25,000.00
335. Ny. Cathrien Rp25,000.00
428. Tn. Raphael Rp25,000.00
429. Tn. Wahyu Rp25,000.00
6 02/09/19 426. Ny. Sumiyati Rp25,000.00
432. Tn. Patkhuri Rp25,000.00
434. Ny. Hotria Rp25,000.00
436. Ny. Galuh Rp25,000.00
437. Ny. Hartini Rp25,000.00
7 02/11/19 317. An. Refat Rp25,000.00
430. Tn. Dwiki Rp25,000.00
433. Tn. Abu Bakar Rp25,000.00
434. Ny. Euis Rp25,000.00
8 02/12/19 335. Ny. Cathrien Rp25,000.00
427. Ny. Sri Mulyani Rp25,000.00
9 02/13/19 306. By. Adeeva Rp25,000.00
336. Ny. Asiah Rp25,000.00
430. An. Almira Rp25,000.00
437. Tn. Bambang Rp25,000.00
10 02/14/19 306. An. Najla Rp25,000.00
318. Nn. Ratu Rp25,000.00
334. Tn. Abdul Rp25,000.00
11 02/16/19 317. An. Jauhar Rp25,000.00
318. An. Emir Rp25,000.00
336. Tn. Nurul Rp25,000.00
426. Nn. Qanitah Rp25,000.00
427. An. Dian Rp25,000.00
428. Ny. Reni Rp25,000.00
434. Tn. Endang Rp25,000.00
437. Tn. Wala Rp25,000.00
Page 92
PARSEL
12 02/17/19 426. Tn. Abdi Rp25,000.00

429. An. Revan Rp25,000.00
433. Ny. Siti Laila Rp25,000.00
13 02/18/19 318. An. Fazahra Rp25,000.00
334. Tn. Yohanes Rp25,000.00
428. Ny. Rika Rp25,000.00
435. Ny. Darmayanti Rp25,000.00
436. Ny. Zuriyati Rp25,000.00
18 02/19/19 305. An. Holy Rp25,000.00
306. An. Rania Rp25,000.00
317. By. Clara Rp25,000.00
432. Nn. Antitirani Rp25,000.00
19 02/20/19 334. An. Refat Rp25,000.00
427. Tn. Haposan Rp25,000.00
429. An. Shakila Rp25,000.00
20 02/21/19 336. Ny. Grenita Rp25,000.00
434. Nn. Nikita Rp25,000.00
435. Ny. Everdtha Rp25,000.00
436. Ny. Ikha Rp25,000.00
21 02/22/19 317. An. Era Rp25,000.00
335. An. Aliya Rp25,000.00
426. Tn . Rizal Rp25,000.00
436. Nn. Ruth Rp25,000.00
22 02/23/19 318. An. Arzanka Rp25,000.00
429. Tn. Surya Rp25,000.00
430. Ny. Dini Rp25,000.00
432. An. Ratu Rp25,000.00
433. Ny. Sektiana Rp25,000.00
437. Tn. Ndaru Rp25,000.00
23 02/25/19 317. An. Humaira Rp25,000.00
336. Ny. Anita Rp25,000.00
427. Nn. Nadinia Rp25,000.00
429. Ny. Ratnawati Rp25,000.00
434. An. Safiya Rp25,000.00
24 02/26/19 305.An. Fathan Rp25,000.00
318. By. Sofiya Rp25,000.00
428. An. Javiero Rp25,000.00
433. Tn. Pamin Rp25,000.00
25 02/28/19 305. An. Fazza Rp25,000.00
317. An. Muh Hafizh Rp25,000.00
334. Ny. Rully Rp25,000.00
335. An. Andre Rp25,000.00
336, An. Aurelius Rp25,000.00
426. Ny. Qaluh Rp25,000.00
427. Tn. Nicholas Rp25,000.00
428. Tn. Saiful Rp25,000.00
430. An. Cut Rp25,000.00
432. Nn. Ratu Rp25,000.00
435. Tn. Nana Rp25,000.00
Page 93
PARSEL
436. Tn. Endong Rp25,000.00

2450000

1 02/04/19 431. An. Daffa Rp55,000.00
2 02/09/19 332. An. Nasya Rp55,000.00
3 02/09/19 431. Ny. Wiwi Rp55,000.00
4 02/13/19 332. Nn. Nurul Rp55,000.00
5 02/16/19 332. An. Daffa Rp55,000.00
6 02/18/19 431. An. Jauhar Rp55,000.00
7 02/20/19 332. Ny. Hapsah Rp55,000.00
8 02/20/19 431. An. Oliviero Rp55,000.00
9 02/23/19 431. Ny. Leanah Rp55,000.00
10 02/24/19 332. Ny. Olivia Rp55,000.00
11 02/28/19 332. An. Annasya Rp55,000.00
605000

FEBRUARI 2019
1 2/12/19 Dr. Sabaria Rp150,000.00
2 2/21/19 433. An. Yasmin (puteri dari Dr. Riana, Spa) Rp150,000.00
3 02/23/19 306. An. Devan (Putera dari Dr. Selvi) Rp150,000.00
4 02/25/19 335. Dr. Ivonne Rp200,000.00
JUMLAH Rp650,000.00
LAPORAN PARSEL VIP MARET 2019

1 03/01/19 332. An. Annasya Rp25,000.00
2 03/02/19 433. Ny. Endah Rp25,000.00
434. Tn. Batara Rp25,000.00
3 03/03/19 429. Tn. Budiono Rp25,000.00
335. Ny. Kartika Rp25,000.00
4 03/04/19 432. Nn. Zefana Rp25,000.00
434. Nn. Sekar Rp25,000.00
435. Tn. Chandra Rp25,000.00
317. by. Sienna Rp25,000.00
318. By. Nattaya Rp25,000.00
305. An. Kiano Rp25,000.00
334. Ny. Risda Rp25,000.00
5 03/05/19 306. An. Muhammad Rp25,000.00
335. Ny. Nora Rp25,000.00
Page 94
PARSEL
336. Ny. Ikha Rp25,000.00

428. Tn. Fikri Rp25,000.00
433. Ny. Veny Rp25,000.00
436. Tn. Dewa Rp25,000.00
6 03/06/19 437. Nn. Syafina Rp25,000.00
7 03/07/19 305. An. Nayla Rp25,000.00
317. An. Salsabila Rp25,000.00
335. Tn. Badrunsyah Rp25,000.00
432. An. Nabeela Rp25,000.00
433. Ny. Laurensia Rp25,000.00
434. By. Tita Rp25,000.00
436. An. Danastri Rp25,000.00
8 03/08/19 317. By. Faradillah Rp25,000.00
318. By. Gevio Rp25,000.00
334. Ny. Reny Rp25,000.00
427. Ny. Ni Made Rp25,000.00
434. Ny. Euis Rp25,000.00
435. Ny. Asiah Rp25,000.00
9 03/12/19 202. An. Aulia Rp25,000.00
305. An. Razka Rp25,000.00
426. Tn. Sutino Rp25,000.00
430. Ny. Sally Rp25,000.00
432. Ny. Devi Rp25,000.00
436. An. Kevin Rp25,000.00
10 03/13/19 334. Ny. Jernih Rp25,000.00
336. By. Dyah Rp25,000.00
432. Ny. Devi Rp25,000.00
435. Tn. Asep Rp25,000.00
11 03/14/19 317. An. Cahaya Rp25,000.00
318. An. Daniella Rp25,000.00
335. Ny. Diana Rp25,000.00
426. Ny. Felicitas Rp25,000.00
427. Tn. Abdul Rp25,000.00
430. Ny. Suzanne Rp25,000.00
436. An. Anandya Rp25,000.00
12 03/15/19 202. Tn. Miarto Rp25,000.00
203. An. Hikmatu Rp25,000.00
334. An. Afiah Rp25,000.00
13 03/16/19 318. By. Kei Rp25,000.00
335. Ny. Usi Rp25,000.00
336. Ny. Elisabeth Rp25,000.00
428. Ny. Kadiira Rp25,000.00
434. Ny. Aeni Rp25,000.00
14 03/18/19 317. An. Feisya Rp25,000.00
318. An. Kei Rp25,000.00
335. Ny. Usi Rp25,000.00
336. By. Rayyan Rp25,000.00
427. An. Kayun Rp25,000.00
432. Ny. Dian Rp25,000.00
Page 95
PARSEL
435. Tn. John Rp25,000.00

15 03/19/19 305. An. Achmad Rp25,000.00
306. By. Abraham Rp25,000.00
335. Ny. Aryani Rp25,000.00
430. Tn. Avandri Rp25,000.00
433. Tn. Velix Rp25,000.00
437. Tn. Putu Rp25,000.00
16 03/21/19 306. An. Vania Rp25,000.00
317. By. Adreena Rp25,000.00
318. An. Trisyandi Rp25,000.00
334. An. Siti Aisyah Rp25,000.00
336. Tn. Asep Rp25,000.00
426. Tn. Yamin Rp25,000.00
427. An. Muh Hafidz Rp25,000.00
429. An. Arvinov Rp25,000.00
434. Tn. Ditya Rp25,000.00
436. Tn. Hendrawan Rp25,000.00
17 03/22/19 305. An. M. Achir Rp25,000.00
334. An. Siti Rp25,000.00
335. Ny. Windy Rp25,000.00
427. An. M. Hafidz Rp25,000.00
428. Tn. Naufal Rp25,000.00
437. Tn. Javierro Rp25,000.00
18 03/23/19 203. An. Rayyan Rp25,000.00
426. Tn. Wahyudi Rp25,000.00
433. tn. Sutino Rp25,000.00
19 03/25/19 334. Ny. Firda Rp25,000.00
428. An. Muh Kaisar Rp25,000.00
429. Ny. Nunuk Rp25,000.00
436. tn. Rudy Rp25,000.00
20 03/26/19 203. Tn. Bagus Rp25,000.00
305. An. Almahyra Rp25,000.00
306. An. Putri Rp25,000.00
336. An. Naula Rp25,000.00
430. Tn. Muh Rasyid Rp25,000.00
436. Ny. Rosa Rp25,000.00
437. Tn. Milky Rp25,000.00
21 03/27/19 426. An. Osya Rp25,000.00
427. Ny. Sri Rp25,000.00
430. Ny. Uci Rp25,000.00
435. Ny. Rita Rp25,000.00
22 03/28/19 434. Ny. Ani Rp25,000.00
435. Tn. Dadang Rp25,000.00
23 03/29/19 305. An. Yasmin Rp25,000.00
306. An. Kaindra Rp25,000.00
318. An. Malika Rp25,000.00
336.2 An. Naufal Rp25,000.00
426. Tn. Arif Rp25,000.00
427. Tn. Muh Farid Rp25,000.00
Page 96
PARSEL
429. Ny. Eka Rp25,000.00

24 03/30/19 335. Ny. Rachel Rp25,000.00
427. Ny. Liz Rp25,000.00
25 03/31/19 430. Ny. Aryani Rp25,000.00
436. Tn. Ojak Rp25,000.00
437. Tn. Marcello Rp25,000.00

1 03/01/19 431. An. Fahmi Rp55,000.00
2 03/05/19 332. An. Kaila Rp55,000.00
431. Ny. Nining Rp55,000.00
3 03/06/19 431. By. Shawqi Rp55,000.00
4 03/07/19 332. Tn. Abdul Rp55,000.00
431. Ny. Winda Rp55,000.00
5 03/12/19 332. Tn. Oesodo Rp55,000.00
6 03/14/19 332. Tn. Karta Rp55,000.00
7 03/18/19 332. Tn. Aliy Rp55,000.00
8 03/25/19 332. Ny. Melda Rp55,000.00

Maret 2019
1 3/11/19 431. Tn. Siprianus (Ayah dari Dr. Yeni, SpoG) Rp150,000.00
2 3/27/19 332. An. Patricia (Puteri dari Dr. Yeni, SpoG) Rp150,000.00
3 Tn. Putera (Rekanan Marketing PT. Koyobo) Rp150,000.00
JUMLAH Rp450,000.00
Page 97
PARSEL
./'
Page 98
PAKET KEMO
LAPORAN PAKET KEMOTERAPI NOVEMBER 2013
NO TANGGAL NAMA PASIEN NAMA PERAWAT PAKET HARGA

1 11/09/13 NY. SURATININGTYAS ZR. IRMA B Rp8,500.00
2 11/10/13 NY. YUNITA ZR. IRMA B Rp8,500.00
3 11/16/13 NY. UMI NURUL ZR. IRMA B Rp8,500.00
4 11/16/13 NY. KUNTI ZR. IRMA B Rp8,500.00
5 11/22/13 NY. DEDEH ZR. IRMA B Rp8,500.00
TOTAL 42500
LAPORAN PAKET KEMOTERAPI DESEMBER 2013
NO. TANGGAL NAMA PASIEN NAMA PERAWAT PAKET HARGA

1 12/07/13 NY. SURYATININGTIAS ZR. YULIA A Rp8,500.00
2 12/07/13 TN. SAREN ZR. YULIA B Rp8,500.00
3 12/09/13 NY. YONITHA ZR. IRMA A Rp8,500.00
4 12/11/13 TN. YUDHA ZR. IRMA A Rp8,500.00
5 12/14/13 NY. MERAIYATI ZR. YULIA A Rp8,500.00
6 12/14/13 NY. KUNTI ZR. YULIA B Rp8,500.00
7 12/17/13 NY. PARTINI ZR. IRMA A Rp8,500.00
8 12/18/13 NY. PARTINI ZR. IRMA B Rp8,500.00
9 12/19/13 TN. NATAL ZR. IRMA A Rp8,500.00
10 12/19/13 TN. MAWHAR ZR. IRMA B Rp8,500.00
11 12/19/13 NY. PARTINI ZR. YULIA B Rp8,500.00
12 12/26/13 TN. AHMAD G. ZR. IRMA A Rp8,500.00
JUMLAH Rp102,000.00
LAPORAN PAKET KEMOTERAPI JANUARI 2014

1 01/04/14 NY. PURWANTI ZR. YULIA A Rp8,500.00
2 01/04/14 NY. DEDEH ZR. YULIA B Rp8,500.00
3 01/09/14 TN. MANISIAR ZR IRMA A Rp8,500.00
4 01/09/14 TN. JOSEN ZR. IRMA B Rp8,500.00
5 01/10/14 TN. NATAL ZR. YULIA A Rp8,500.00
6 01/10/14 NY. YUNITHA ZR. YULIA B Rp8,500.00
7 01/11/14 NY. KUNTI ZR. YULIA A Rp8,500.00
8 01/11/14 NY. PURWANTI ZR. YULIA B Rp8,500.00
9 01/11/14 NY. MARGIATI ZR. IRMA B Rp8,500.00
10 01/18/14 TN. ANWAR ZR. IRMA A Rp8,500.00
13 01/24/14 TN. YUDHA ZR. YULIA B Rp8,500.00
14 01/27/14 NY. NASURAH ZR. IRMA B Rp8,500.00
Page 99
PAKET KEMO
15 01/27/14 NY. PARTINI ZR. IRMA B Rp8,500.00

16 01/27/14 NY. UUN ZR. IRMA A Rp8,500.00
17 01/29/14 NY. MARGIATI ZR. IRMA A Rp8,500.00
JUMLAH 144500
LAPORAN PAKET KEMOTERAPI MARET 2013

1 03/03/14 TN. NATAL ZR. IRMA A Rp8,500.00
2 03/06/14 TN. AHMAD ZR. IRMA A Rp8,500.00
3 03/06/14 NY. MSY ZR. IRMA A Rp8,500.00
4 03/15/14 NY. PURWANTI ZR. YULIA A Rp8,500.00
5 03/15/14 NY. PURWANINGSIH ZR. YULIA B Rp8,500.00
JUMLAH Rp42,500.00
LAPORAN PAKET KEMOTERAPI JULI 2014

1 07/04/14 TN. DJOKO ZR. IRMA B Rp8,500.00
2 07/05/14 TN. HERI ZR. IRMA A Rp8,500.00
3 07/05/14 NY. NUNIK ZR. IRMA A Rp8,500.00
4 07/05/14 NY. AMAH ZR. YULIA B Rp8,500.00
5 07/05/14 NY. HARTATI ZR. YULIA B Rp8,500.00
6 07/21/14 TN. WINETEU ZR. IRMA B Rp8,500.00
7 07/21/14 NY. HERMELINA ZR. IRMA B Rp8,500.00
8 07/21/14 NY. PURWATI ZR. IRMA B Rp8,500.00
9 07/24/14 NY. SURATININGTYAS ZR. IRMA A Rp8,500.00
10 07/24/14 TN. WINETEU ZR. IRMA A Rp8,500.00
JUMLAH Rp85,000.00
LAPORAN PAKET KEMOTERAPI SEPTEMBER 2014

1 10/06/14 NY. SRI ZR. IRMA B Rp8,500.00
2 10/06/14 NY. HARTATI ZR. IRMA A Rp8,500.00
3 10/06/14 NY. NUNIK ZR. IRMA B Rp8,500.00
4 10/15/14 TN. HERI ZR.IRMA B Rp8,500.00
5 09/25/14 NY.PURWATI ZR. YULIA B Rp8,500.00
JUMLAH Rp42,500.00

1 11/08/14 TN. SUKARYANTO ZR. YULIA B Rp8,500.00
Page 100
PAKET KEMO
2 11/08/14 TN. MAMAN ZR. YULIA B Rp8,500.00

3 11/11/14 TN. HERI ZR. YULIA B Rp8,500.00
4 11/11/14 NY. EMIYANI ZR. YULIA B Rp8,500.00
5 11/12/14 TN. MAMAN ZR. YULIA A Rp8,500.00
6 11/13/14 TN. MAMAN ZR. IRMA B Rp8,500.00
JUMLAH Rp51,000.00

2 12/01/14 NY. NARIH ZR. YULIA B Rp8,500.00
3 12/01/14 NY. SURATININGTYAS ZR. YULIA B Rp8,500.00
5 12/19/14 NY. SRI C ZR. IRMA A Rp8,500.00
6 12/19/14 NY. NGALIYEM ZR. IRMA B Rp8,500.00
7 12/20/14 TN. SUKARIYANTO ZR. YULIA A Rp8,500.00
8 12/20/14 NY. NGALIYEM ZR. YULIA B Rp8,500.00
9 12/23/14 TN. JOSEN ZR. YULIA A Rp8,500.00
10 12/27/14 TN. JOSEN ZR IRMA B Rp8,500.00
11 12/27/14 NY. SURATININGTYAS ZR IRMA B Rp8,500.00
JUMLAH Rp102,000.00

3 01/23/15 NY. KOKOM ZR. YULIA B Rp8,500.00
4 01/24/15 TN. JOREN ZR. YULIA B Rp8,500.00
5 01/24/15 NY. EMIYANI ZR. YULIA A Rp8,500.00
JUMLAH Rp42,500.00

Page 101
PAKET KEMO
3 03/18/15 TN. HAFIZ ZR. YULIA A Rp8,500.00

4 03/18/15 NY. KOKOM ZR. YULIA B Rp8,500.00
5 03/23/15 TN. HAFIZ ZR. YULIA B Rp8,500.00
6 03/23/15 NY. GINI ZR IRMA B Rp8,500.00
JUMLAH Rp51,000.00
LAPORAN PAKET KEMOTERAPI MEI 2015

2 05/08/15 TN. HAFIZ ZR. YULIA B Rp8,500.00
3 05/25/15 NY. KOKOM ZR. YULIA A Rp8,500.00
4 05/25/15 NY. GINI ZR. YULIA B Rp8,500.00
JUMLAH Rp25,500.00
LAPORAN PAKET KEMOTERAPI JUNI 2015

1 06/05/15 TN. ROSYADI ZR. YULIA A Rp8,500.00
2 06/05/15 NY. NINIK ZR. YULIA B Rp8,500.00
3 06/05/15 NY. YUNITA ZR. IRMA A Rp8,500.00
5 06/05/15 NY. NINUK ZR. YULIA A Rp8,500.00
JUMLAH Rp42,500.00

1 07/02/15 NY. GINI ZR. YULIA B Rp8,500.00
2 07/03/15 NY. YUNITA ZR. YULIA B Rp8,500.00
3 07/03/15 TN. ROSYADI ZR. YULIA A Rp8,500.00
4 07/03/15 NY. NGALIYEM ZR. YULIA A Rp8,500.00
5 07/24/15 NY. TITA ZR. IRMA B Rp8,500.00
5 07/25/15 NY. TITA ZR. IRMA B Rp8,500.00
JUMLAH Rp51,000.00
LAPORAN PAKET KEMOTERAPI AGUSTUS 2015
Page 102
PAKET KEMO

2 08/12/15 NY.CUCU ZR.YULIA B Rp8,500.00
4 08/15/15 TN.ROSYADI ZR IRMA B Rp8,500.00
5 08/15/15 NY. GINI ZR. YULIA A Rp8,500.00
JUMLAH Rp34,000.00

1 09/11/15 TN. ROSYADI ZR. IRMA A Rp8,500.00
2 09/18/15 TN. ROSYADI ZR.IRMA B Rp8,500.00
JUMLAH Rp17,000.00
LAPORAN PAKET KEMOTERAPI OKTOBER 2015

1 10/10/15 NY. WOENDY ZR. YULIA A Rp8,500.00
2 10/10/15 NY. ANARTHARIA ZR. YULIA B Rp8,500.00
3 10/10/15 NY.TATAN ZR. IRMA B Rp8,500.00
4 10/29/15 NY. LOMFORIDA ZR.YULIA A Rp8,500.00
JUMLAH Rp34,000.00

1 11/10/15 NY. TATAN ZR. IRMA Rp8,500.00
2 11/11/15 NY. WOENDY ZR. YULIA Rp8,500.00
JUMLAH Rp17,000.00

1 12/11/16 NY. WOENDY ZR. YULIA A Rp8,500.00
2 12/11/16 NY. TATAN ZR. YULIA B Rp8,500.00
3 12/12/16 NY. ANASTASIA ZR. IRMA A Rp8,500.00
4 12/12/16 NY. ROSELINA ZR. IRMA B Rp8,500.00
JUMLAH Rp34,000.00
LAPORAN PAKET KEMOTERAPI FEBRUARI 2016
Page 103
PAKET KEMO

1 02/06/16 NY. ANARTHARIA ZR. YULIA A Rp8,500.00
JUMLAH Rp8,500.00
JUMLAH
JUMLAH

1 09/22/17 NY. WIYATI ZR. YOSEFIN A Rp8,500.00
JUMLAH

1 10/25/17 TN. TATAN ZR. DENTY A Rp8,500.00
10/28/17 NN. ANASTASIA ZR. DENTY B Rp8,500.00
JUMLAH Rp17,000.00

Page 104
PAKET KEMO

1 11/24/17 NY. RAME ZR. DENTY A Rp8,500.00
JUMLAH Rp8,500.00

1 12/01/17 NY. SUPRIYASI ZR. YULIE B Rp8,500.00
12/01/17 NY. MASIYEM ZR. YULIE A Rp8,500.00
12/01/17 NY. TUMIRAH ZR. YULIE B Rp8,500.00
12/01/17 NY.DZAKIJAH ZR. YULIE A Rp8,500.00
12/01/17 NY.PRIANA ZR. YULIE B Rp8,500.00
12/01/17 NY.SRI RINA ZR. YULIE B Rp8,500.00
12/01/17 NY. HERAWATI ZR. YULIE B Rp8,500.00
12/02/17 NY. NURAINI ZR. AGUSTIN B Rp8,500.00
12/02/17 NY. SURYATI ZR. AGUSTIN B Rp8,500.00
12/05/17 NY. INA LINDA ZR. DENTI B Rp8,500.00
12/05/17 NY. NURJIATI ZR. DENTI B Rp8,500.00
12/14/17 NY. RAME NN. ANGGA A Rp8,500.00
12/18/17 NY. DZAKIJAH ZR. YULIA A Rp8,500.00
12/18/17 NY. RINA ZR. YULIA B Rp8,500.00
12/18/17 TN. NURUL ZR. YULIA B Rp8,500.00
12/18/17 NY. NUR JATI NINGSIH ZR. SION A Rp8,500.00
12/23/17 NY.SURATINAH ZR.ANGGA B Rp8,500.00
12/23/17 NY. NUR JATI NINGSIH ZR.ANGGA B Rp8,500.00
12/30/17 NY. RAME ZR. AGUSTINE B Rp8,500.00
12/30/17 NY. SURYATI ZR. AGUSTINE A Rp8,500.00
12/30/17 NY. NURAINI ZR. AGUSTINE A Rp8,500.00
JUMLAH Rp178,500.00

2 01/01/18 NY. NARIH ZR. YULIA B Rp8,500.00
3 01/01/18 NY. SURATININGTYAS ZR. YULIA B Rp8,500.00
5 12/19/14 NY. SRI C ZR. IRMA A Rp8,500.00
Page 105
PAKET KEMO
7 12/20/14 TN. SUKARIYANTO ZR. YULIA A Rp8,500.00

9 12/23/14 TN. JOSEN ZR. YULIA A Rp8,500.00
10 12/27/14 TN. JOSEN ZR IRMA B Rp8,500.00
11 12/27/14 NY. SURATININGTYAS ZR IRMA B Rp8,500.00
13 01/30/18 NY. NURJIATI ZR. DENTI A Rp8,500.00
14 01/31/18 NY. SURYATI ZR. DENTI A Rp8,500.00
15 01/31/18 NY. SURATINAH ZR. DENTI A Rp8,500.00
16 01/31/18 NY. INA LINDA ZR. DENTI A Rp8,500.00
JUMLAH Rp136,000.00

1 01/03/18 TN. MAMAN ZR. DENTI A Rp8,500.00
2 02/03/18 NY. NARIH ZR. DENTI A Rp8,500.00
3 02/03/18 TN. SUYANTO ZR. DENTI A Rp8,500.00
4 05/03/18 TN. DERIYANTO ZR. DENTI A Rp8,500.00
5 07/03/18 NY. AMALIA ZR. DENTI A Rp8,500.00
6 10/03/18 NY. NURJIATI ZR. DENTI B Rp8,500.00
7 12/03/18 NY. SURYATI ZR. YULIA B Rp8,500.00
8 15/03/18 NY. SURATINAH ZR. YULIA B Rp8,500.00
9 17/03/18 NY. INA LINDA ZR. YULIA A Rp8,500.00
10 17/03/18 NY. AMALIA ZR IRMA B Rp8,500.00
11 21/03/18 TN. MAMAN ZR IRMA B Rp8,500.00
12 23/03/18 NY. NUR JATI NINGSIH ZR. IRMA B Rp8,500.00
13 24/03/18 NY. RAME ZR IRMA A Rp8,500.00
14 28/03/18 NY. SURYATI ZR IRMA A Rp8,500.00
16 29/03/18 NY. NURAINI ZR. YULIA A Rp8,500.00
JUMLAH Rp127,500.00
LAPORAN PAKET KEMOTERAPI APRIL 2018

1 04/06/18 NY.RAME ZR.DENTI B Rp8,500.00
2 04/06/18 NY.SURYATI ZR.DENTI B Rp8,500.00
3 04/06/18 NY.LINDA ANGGRAENY ZR.AGUSTRIA A Rp8,500.00
4 04/06/18 NY.JAMILAH ZR.AGUSTRIA A Rp8,500.00
6 04/26/18 NY.ATIN MUALIFAH ZR. AGUSTIN A Rp8,500.00
7 04/26/18 NY.MULYATI ZR.AGUSTRIA A Rp8,500.00
Rp8,500.00
JUMLAH Rp68,000.00
Page 106
PAKET KEMO
LAPORAN PAKET KEMOTERAPI MEI 2018

2 05/05/18 NY.NURJIATY ZR.AGUSTRIA A Rp8,500.00
3 05/07/18 NY.RAME ZR.AGUSTRIA A Rp8,500.00
4 05/07/18 NY.YOHANA NIKEN H ZR.AGUSTRIA A Rp8,500.00
5 05/08/18 NY.INA LINDA ZR.DENTI B Rp8,500.00
6 05/09/18 NY.SRI HARYA ZR.DENTI B Rp8,500.00
7 05/11/18 NY.SURATINAH ZR.DENTI B Rp8,500.00
8 05/11/18 NY.JAMILAH ZR.DENTI B Rp8,500.00
9 05/11/18 NY.ELLI ZR.DENTI B Rp8,500.00
10 05/23/18 DR.SABARIA N ZR.DENTI B Rp8,500.00
11 05/23/18 NY.MULYATI ZR.DENTI B Rp8,500.00
12 05/26/18 NY.NURJIATY ZR.AGUSTRIA A Rp8,500.00
13 05/26/18 NY.TRI UMI ZR.AGUSTRIA A Rp8,500.00
14 05/28/18 NY.ATIN MUALIFAH ZR.AGUSTRIA A Rp8,500.00
JUMLAH Rp119,000.00
LAPORAN PAKET KEMOTERAPI JUNI 2018

1 06/02/18 NY.MUSTATI ZR.DENTI B Rp8,500.00
2 06/02/18 NY.ELLI ZR.DENTI B Rp8,500.00
3 06/02/18 NY.TRI UMI ZR.DENTI B Rp8,500.00
4 06/23/18 NY.ELLI EKAWATI ZR. AGUSTIN A Rp8,500.00
5 06/23/18 NY.MULYATI ZR. AGUSTIN B Rp8,500.00
6 06/23/18 NY.TRI UMI ZR.AGUSTIN B Rp8,500.00
7 06/23/18 NY.SURYATI ZR. AGUSTIN A Rp8,500.00
8 06/27/18 NY.JAMILAH ZR.DENTI B Rp8,500.00
JUMLAH Rp68,000.00
LAPORAN PAKET KEMOTERAPI JULY 2018

1 07/02/18 Ny. Mustati DR.Wim / sr.denti B Rp8,500.00
Page 107
PAKET KEMO
2 07/02/18 Ny. Suratinah DR.Wim / sr.denti A Rp8,500.00

3 07/06/18 Ny. Jamilah DR.Wim / sr.denti B Rp8,500.00
4 07/06/18 Ny. Rustiah DR.Wim / sr.denti A Rp8,500.00
5 07/07/18 Ny. Nurjiati DR.Wim / sr.denti B Rp8,500.00
6 07/07/18 Ny. Sri Harya DR.Wim / sr.denti B Rp8,500.00
7 07/14/18 Ny. Tri Umi DR.Wim / sr.irma B Rp8,500.00
8 07/20/18 Tn. Heru DR.Adang / sr.irma B Rp8,500.00
9 07/23/18 Ny. Tri Umi DR.Wim / sr.irma B Rp8,500.00
10 07/23/18 Ny. Suratinah DR.Wim / sr.irma B Rp8,500.00
11 07/23/18 Ny. Tuti DR.Wim / sr.irma B Rp8,500.00
12 07/23/18 Ny. Tuti DR.Wim / sr.irma A Rp8,500.00
13 07/23/18 Ny. Tuti DR.Wim / sr.irma A Rp8,500.00
14 07/26/18 Ny. Elli DR.Wim / sr.irma, sr.denti B Rp8,500.00
15 07/26/18 Ny. Mulyati DR.Wim / sr.irma, sr.denti B Rp8,500.00
16 2607/18 Ny. Soraya DR.Wim / sr.irma, sr.denti A Rp8,500.00
17 2707/18 Ny. Soraya DR.Wim / sr.denti B Rp8,500.00
18 07/27/18 Ny. Tuti DR.Wim / sr.irma B Rp8,500.00
19 07/27/08 Ny. Nurjiati DR.Wim / sr.denti B Rp8,500.00
20 07/28/18 Ny. Soraya DR.Wim / sr.denti, sr.irma A Rp8,500.00
21 07/28/18 Ny. Jamilah DR.Wim / sr.denti, sr.irma A Rp8,500.00
22 07/28/18 Ny. Suryati DR.Wim / sr.denti, sr.irma B Rp8,500.00
23 07/30/18 Ny. Soraya DR.Wim / sr.denti, B Rp8,500.00
24 07/30/18 Ny.Inalinda DR.Wim / sr.denti, A Rp8,500.00
25 07/31/18 Nn. Sabaria DR.Wim / sr.irma A Rp8,500.00
JUMLAH Rp212,500.00

1 08/02/18 Ny. Mustati / 338598 DR.Wim / sr.denti B Rp8,500.00
2 08/04/18 Ny. Suryati / 157155 DR.Wim / sr.denti A Rp8,500.00
3 08/04/18 Ny. Rustiah / 348750 DR.Wim / sr.denti B Rp8,500.00
4 08/06/18 Ny. Jamilah / 285861 DR.Wim / sr.denti A Rp8,500.00
5 08/09/18 Ny. Sri Harya / 059129 DR.Wim / sr.irma B Rp8,500.00
6 08/09/18 Ny.Inalinda / 314281 DR.Wim / sr.denti B Rp8,500.00
7 08/11/18 Ny. Soraya / 338898 DR.Wim / sr.denti B Rp8,500.00
8 08/13/18 Ny. Supartinah/ 320732 DR.Wim / sr.irma B Rp8,500.00
9 08/13/18 Ny. Supartinah/ 320732 DR.Wim / sr.denti B Rp8,500.00
10 08/13/18 Ny. Supartinah/ 320732 DR.Wim / sr.denti, B Rp8,500.00
11 08/16/18 Ny. Elli / 343981 DR.Wim / sr.irma B Rp8,500.00
12 08/16/18 Tn. Heru / 348583 DR.Wim / sr.denti A Rp8,500.00
13 08/18/18 Ny. Sri Harya / 059129 DR.Adang / sr.denti A Rp8,500.00
14 08/18/18 Ny. Tri Umi / 168027 DR.Wim / sr.irma B Rp8,500.00
16 08/23/18 Ny. Tuti / 008480 DR.Wim / sr.irma A Rp8,500.00
Page 108
PAKET KEMO
17 08/25/18 Ny. Tuti / 008480 DR.Wim / sr.irma B Rp8,500.00

18 08/27/18 Ny. Tri Umi / 168027 DR.Wim / sr.denti B Rp8,500.00
19 08/28/18 Ny. Jamilah / 285861 DR.Wim / sr.irma A Rp8,500.00
JUMLAH Rp161,500.00

2 Ny. Narmi / DR.Wim / sr.denti A Rp8,500.00
4 Ny. Taat / 353966 DR.Wim / sr.denti A Rp8,500.00
5 09/06/18 Ny. Yohana /343350 DR.Wim / sr.irma B Rp8,500.00
8 09/08/18 Ny. Iis Siti / 354262 DR.Wim / sr.irma B Rp8,500.00
9 09/08/18 Ny. Elli / 343981 DR.Wim / sr.denti B Rp8,500.00
10 09/08/18 Ny. Iis Siti / 354262 DR.Wim / sr.denti, B Rp8,500.00
11 09/10/18 Ny. Iis Siti / 354262 DR.Wim / sr.irma B Rp8,500.00
12 09/10/18 Ny. Taat / 353966 DR.Wim / sr.denti A Rp8,500.00
13 09/10/18 Ny. Jamilah / 285861 DR.Wim / sr.denti A Rp8,500.00
14 09/08/18 Ny. Dewi / 187107 DR.Wim / sr.irma B Rp8,500.00
15 09/08/18 Ny. Iis Siti / 354262 DR.Wim / sr.denti B Rp8,500.00
16 09/12/18 Ny. Iis Siti / 354262 DR.Wim / sr.irma A Rp8,500.00
17 09/13/18 Tn. Heru / 348583 DR.Wim / sr.irma B Rp8,500.00
19 09/15/18 Ny. Supartinah/ 320732 DR.Wim / sr.irma A Rp8,500.00
20 09/18/18 Ny. Dewi / 187107 DR.Wim / sr.irma A Rp8,500.00
21 09/20/18 Ny. Supartinah/ 320732 DR.Wim / sr.irma A Rp8,500.00
22 09/20/18 Ny. Tuti / 008480 DR.Wim / sr.irma B Rp8,500.00
23 09/21/18 Ny. Tri Umi / 168027 DR.Wim / sr.irma A Rp8,500.00
24 09/20/18 Ny. Tuti / 008480 DR.Wim / sr.denti A Rp8,500.00
25 09/22/18 Ny. Sri Harya / 059129 DR.Wim / sr.denti B Rp8,500.00
JUMLAH 221000

1 04/10/18 Ny. Yohana /343350 DR.Wim / sr.denti B Rp8,500.00
2 Ny. Soraya / 338898 DR.Wim / sr.denti B Rp8,500.00
4 09/10/18 Ny. Soraya / 338898 DR.Wim / sr.irma B Rp8,500.00
5 Ny. Dewi / 187107 DR.Wim / sr.irma B Rp8,500.00
6 10/10/18 Tn. Heru / 348583 DR.Wim / sr.denti B Rp8,500.00
Page 109
PAKET KEMO
8 15/10/18 Ny. Euis / 318775 DR.Wim / sr.denti B Rp8,500.00

9 Ny. Supartinah / 320732 DR.Wim / sr.denti B Rp8,500.00
10 16/10/18 Ny. Euis / 318775 DR.Wim / sr.irma B Rp8,500.00
11 Ny. Dewi / 187107 DR.Wim / sr.irma B Rp8,500.00
12 Ny. Euis / 318775 DR.Wim / sr.irma B Rp8,500.00
13 Ny. Supartinah / 320732 DR.Wim / sr.irma A Rp8,500.00
15 Ny. Tuti / 008480 DR.Wim / sr.denti B Rp8,500.00
17 20/10/18 Ny. Rusmini / DR.Wim / sr.denti, B Rp8,500.00
18 Ny. Sri Harya / 059129 DR.Wim / sr.denti, B Rp8,500.00
19 Ny. Tuti / 008480 DR.Wim / sr.denti, B Rp8,500.00
20 27/10/18 Ny. Supartinah / 320732 DR.Wim / sr.denti, B Rp8,500.00
21 Ny. Sri Harya / 059129 DR.Wim / sr.denti, B Rp8,500.00
22 Ny. Tuti / 008480 DR.Wim / sr.denti, B Rp8,500.00
JUMLAH 187000

1 03/11/18 Ny. Rustiah / 348750 DR.Wim / sr.irma A Rp8,500.00
2 05/10/18 Ny. Wisnu / DR.Wim / sr.denti B Rp8,500.00
3 06/11/18 Ny. Wisnu / DR.Wim / sr.irma A Rp8,500.00
4 08/11/18 Ny. Wisnu / DR.Wim / sr.irma A Rp8,500.00
5 Ny. Tri Umi / 168027 DR.Wim / sr.irma B Rp8,500.00
6 Ny. Yohana /343350 DR.Wim / sr.irma B Rp8,500.00
7 10/10/18 Ny. Soraya / 338898 DR.Wim / sr.irma A Rp8,500.00
9 Ny. Dewi / 187107 DR.Wim / sr.denti B Rp8,500.00
11 Ny. Dewi / 187107 DR.Wim / sr.denti B Rp8,500.00
13 Ny. Rusmini / DR.Wim / sr.denti B Rp8,500.00
16 22/11/18 Ny. Euis / 318775 DR.Wim / sr.denti, B Rp8,500.00
17 Ny. Supartinah / 320732 DR.Wim / sr.denti, B Rp8,500.00
18 Ny. Monica / DR.Wim / sr.denti, B Rp8,500.00
20 Ny. Euis / 318775 DR.Wim / sr.denti, B Rp8,500.00
22 29/11/18 Ny. Tri Umi / 168027 DR.Wim / sr.denti, B Rp8,500.00
JUMLAH 187000
Page 110
PAKET KEMO

1 12/03/18 Ny. Narmi / DR.Wim / sr.denti B Rp8,500.00
2 Ny. Wisnu / DR.Wim / sr.denti B Rp8,500.00
3 Tn. Imam / DR.Wim / sr.denti B Rp8,500.00
4 12/04/18 Ny. Sri Rezeki / DR.Wim / sr.denti B Rp8,500.00
6 Ny. Supartinah / 320732 DR.Wim / sr.denti B Rp8,500.00
15 12/12/18 Ny. Dewi / 187107 DR.Wim / sr.denti B Rp8,500.00
16 12/15/18 Ny. Rusmini / DR.Wim / sr.irma A Rp8,500.00
18 Ny. Santi / DR.Wim / sr.irma B Rp8,500.00
19 12/18/18 Ny. Euis / 318775 DR.Wim / sr.irma A Rp8,500.00
20 Ny. Santi / DR.Wim / sr.irma A Rp8,500.00
22 Ny. Santi / DR.Wim / sr.irma B Rp8,500.00
24 Ny. Monica / DR.Wim / sr.denti B Rp8,500.00
27 Ny. Yohana /343350 DR.Wim / sr.denti B Rp8,500.00
29 Ny. Rianti / DR.Wim / sr.denti B Rp8,500.00
30 Ny. Irmas / DR.Wim / sr.denti B Rp8,500.00
31 12/28/18 Ny. Soraya / 338898 DR.Wim / sr.irma A Rp8,500.00
JUMLAH 263500

1 01/05/19 Ny. Sri Rejeki DR.Wim / sr.denti B Rp8,500.00
2 Ny. Narmi DR.Wim / sr.denti B Rp8,500.00
3 01/09/19 Ny. Wisnu DR.Wim / sr.denti B Rp8,500.00
4 Ny. Santy DR.Wim / sr.denti B Rp8,500.00
5 01/10/19 Ny. Supartinah DR.Wim / sr.denti B Rp8,500.00
6 Ny. Wisnu DR.Wim / sr.denti B Rp8,500.00
01/14/19 Ny. Euis DR.Wim / sr.denti A Rp8,501.00
Page 111
PAKET KEMO

8 Ny.Supartinah DR.Wim / sr.denti B Rp8,500.00
9 Ny. Euis DR.Wim / sr.denti A Rp8,500.00
10 01/16/19 Ny. Euis DR.Wim / sr.denti B Rp8,500.00
11 Ny. Sri DR.Wim / sr.denti B Rp8,500.00
13 Ny. Rusmini DR.Wim / sr.denti A Rp8,500.00
14 01/18/19 Ny. Santi DR.Wim / sr.denti B Rp8,500.00
15 Ny. Euis DR.Wim / sr.denti B Rp8,500.00
16 Ny. Dewi DR.Wim / sr.denti B Rp8,500.00
17 01/21/19 Ny. Woundy DR.Wim / sr.denti B Rp8,500.00
18 Ny. Soraya DR.Wim / sr.denti B Rp8,500.00
19 Ny. santi DR.Wim / sr.denti B Rp8,500.00
20 01/22/19 Ny. Rianti / DR.Wim / sr.denti A Rp8,500.00
21 Ny. Irmas DR.Wim / sr.denti A Rp8,500.00
22 Ny. Susanti DR.Wim / sr.denti B Rp8,500.00
23 Ny. Eva DR.Wim / sr.denti B Rp8,500.00
JUMLAH 204001
LAPORAN PAKET KEMOTERAPI FEBRUARI 2019

1 02/02/19 NY. NURAINI DR.Wim / sr.denti A Rp8,500.00
2 02/04/19 Ny. Wisnu DR.Wim / sr.denti A Rp8,500.00
5 02/06/19 Ny. Sri Rejeki DR.Wim / sr.denti B Rp8,500.00
7 02/07/19 Ny. Dewi DR.Wim / sr.denti B Rp8,500.00
8 02/07/19 Ny. Sri Harya DR.Wim / sr.denti B Rp8,500.00
9 02/07/19 Ny. Narmi DR.Wim / sr.denti B Rp8,500.00
12 02/11/19 NY. NURAINI DR.Wim / sr.denti A Rp8,500.00
13 02/11/19 Ny. Euis DR.Wim / sr.denti A Rp8,500.00
19 02/16/19 Ny. Santi DR.Wim / sr.denti A Rp8,500.00
20 02/16/19 Ny. Irmas DR.Wim / sr.denti A Rp8,500.00
21 02/16/19 Ny. Rianti DR.Wim / sr.denti A Rp8,500.00
23 02/18/19 Ny. Rusmini DR.Wim / sr.denti B Rp8,500.00
25 02/19/19 Ny. Monica DR.Wim / sr.denti B Rp8,500.00
26 02/21/19 Ny. Mara DR.Wim / sr.denti A Rp8,500.00
Page 112
PAKET KEMO
27 02/22/19 Ny. Mara DR.Wim / sr.denti A Rp8,500.00

28 02/23/19 Ny. Mara DR.Wim / sr.denti B Rp8,500.00
29 02/25/19 Ny. Mara DR.Wim / sr.denti B Rp8,500.00
30 02/25/19 Ny. Eva DR.Wim / sr.denti B Rp8,500.00
JUMLAH 280500

1 03/04/19 Ny. Wisnu DR.Wim / sr.Yulia A Rp8,500.00
1 03/05/19 Ny. Wandy DR.Wim / sr.denti B Rp8,500.00
3 03/05/19 Ny. Supani DR.Wim / sr.denti B Rp8,500.00
4 03/06/19 Ny. Wisnu DR.Wim / sr.Yulia A Rp8,500.00
5 03/08/19 Ny. Wisnu DR.Wim / sr.Yulia B Rp8,500.00
6 03/11/19 Ny. Euis DR.Wim / sr.Yulia A Rp8,500.00
7 03/12/19 Ny. Euis DR.Wim / sr.Yulia A Rp8,500.00
8 03/13/19 Ny. Euis DR.Wim / sr.Yulia B Rp8,500.00
9 03/14/19 Ny. Euis DR.Wim / sr.Yulia B Rp8,500.00
10 03/15/19 Ny. Rianti DR.Wim / sr.denti B Rp8,500.00
12 03/16/19 NY. NURAINI DR.Wim / sr.denti B Rp8,500.00
15 03/18/19 Ny. Monica DR.Wim / sr.denti B Rp8,500.00
16 03/18/19 Ny. Rianti DR.Wim / sr.denti B Rp8,500.00
18 JUMLAH 144500
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
Page 113
ODC NEW

NOVEMBER 2013
1 11/01/13 NY. MURINI Rp8,500.00
2 11/01/13 NY. DIAN YUNINGSIH Rp8,500.00
3 11/01/13 TN. APRIANSYAH Rp8,500.00
4 11/01/13 NN. TRESSYA NAFTALI Rp8,500.00
5 11/01/13 AN. TAHANY NYDIA ZH Rp8,500.00
6 11/02/13 NN. ANA MARIA Rp8,500.00
8 11/04/13 AN. AISYAH Rp8,500.00
9 11/04/13 TN. SANDY SATRIA Rp8,500.00
10 11/04/13 TN. HARYANTO Rp8,500.00
11 11/09/13 NY. NURNING TYAS Rp8,500.00
12 11/13/13 TN. EKO SUSANTO Rp8,500.00
13 11/13/13 NY. NOER ABRIYANI Rp8,500.00
14 11/13/13 TN. WURNOMO Rp8,500.00
15 11/14/13 NY. EVA MARLINA Rp8,500.00
16 11/15/13 NY. ERNIS SYLVINA Rp8,500.00
17 11/15/13 TN. LAURENSUS SIAHAAN Rp8,500.00
18 11/16/13 NY. YENNY FITRIAN Rp8,500.00
19 11/16/13 NY. LESTARI Rp8,500.00
20 11/18/13 NY. CHRISTINA DINA Rp8,500.00
21 11/19/13 NY. VERA LUSIANTI Rp8,500.00
22 11/20/13 TN. HANDRA SAPUTRA Rp8,500.00
23 11/20/13 TN. SABAR SASONGKO Rp8,500.00
24 11/21/13 TN. RUSDI ADENANSYAH Rp8,500.00
25 11/21/13 TN. KARMAN Rp8,500.00
26 11/25/13 NY. SITI JALIYAH Rp8,500.00
27 11/25/13 NY. YULIA N Rp8,500.00
TOTAL Rp229,500.00

1 11/03/13 AN. AXEL PUTRA Rp75,000.00
2 11/16/13 TN. SHINICHI T Rp75,000.00
3 11/17/13 AN. ANDI RAYDEN Rp75,000.00
4 11/20/13 NN. SIFNA AUDIA Rp75,000.00
JUMLAH 300000

DESEMBER 2013
1 12/05/13 TN. NOFA PONCO Rp8,500.00
2 12/06/13 NY. NINDA FEBRIYANTI Rp8,500.00
3 12/06/13 NN. MEGA YUNIARTI Rp8,500.00
Page 114
ODC NEW
4 12/07/13 TN. SHINICHI T Rp8,500.00

5 12/07/13 NY. DINNY FITRIASARI Rp8,500.00
6 12/07/13 NY. NIRDUKITA Rp8,500.00
7 12/10/13 TN. DEDE SULAEMAN Rp8,500.00
8 12/10/13 NY. JUMANIH Rp8,500.00
9 12/13/13 NY. HANDAYANI Rp8,500.00
10 12/13/13 NY. DORLYANA Rp8,500.00
11 12/13/13 NY. MARWIYAH Rp8,500.00
12 12/14/13 NY. SRI YUNENGSIH Rp8,500.00
13 12/16/13 NY. LULUK PURWANTI Rp8,500.00
14 12/16/13 AN. YEHEZKIEL ARYA Rp8,500.00
15 12/17/13 NY. MIRIAM RISMA A Rp8,500.00
16 12/17/13 TN. DANIEL DAVIDSON Rp8,500.00
17 12/17/13 TN. WIBAWA PRASETYA Rp8,500.00
18 12/17/13 TN. USUP SUPRIATNA Rp8,500.00
19 12/19/13 NY. INDRI SURYANI Rp8,500.00
20 12/19/13 TN. PARMIN Rp8,500.00
21 12/20/13 TN. ROBERT CRAWFORD Rp8,500.00
22 12/21/13 NY. SRI MARIYANTI Rp8,500.00
23 12/21/13 NY. YANTI BAMBANG Rp8,500.00
24 12/21/13 TN. ARYA TRISUTRISNO Rp8,500.00
25 12/23/13 TN. ALIP MAWARDI Rp8,500.00
26 12/23/13 TN. FRENGKI Rp8,500.00
27 12/23/13 NY. DWI SUSANTI Rp8,500.00
28 12/23/13 AN. NICO Rp8,500.00
29 12/23/13 NY. DWI SUSANTI Rp8,500.00
30 12/24/13 NY. ANGGIA ANGGRAINI Rp8,500.00
31 12/24/13 TN. AJIE ISMAIL Rp8,500.00
32 12/24/13 NY. TRIMURNI SYAM Rp8,500.00
33 12/24/13 NY. HAIRONY Rp8,500.00
34 12/24/13 AN. GERALD BADAR Rp8,500.00
35 12/24/13 TN. AGUM FARIS Rp8,500.00
36 12/26/13 TN. ANTON BUDIARTO Rp8,500.00
37 12/27/13 NY. CHARISSA M. PAKSOAL Rp8,500.00
38 12/27/13 TN. PAULUS CHRISTIE Rp8,500.00
39 12/28/13 TN. ARIO PRADITYA PUTRA Rp8,500.00
40 12/28/13 NY. HENY SULISTYAWATI Rp8,500.00
41 12/28/13 NY. TUTI MULYANI Rp8,500.00
42 12/28/13 NN. DITA PURWANTI Rp8,500.00
43 12/28/13 TN. SARIATNA Rp8,500.00
45 12/30/13 TN. ANDREW ADITYA Rp8,500.00
JUMLAH 382500

FEBRUARI 2013
Page 115
ODC NEW

1 02/04/15 TN. RACHMAN TARA Rp8,500.00
2 02/04/15 NY. WITRI WIDIANTY Rp8,500.00
3 02/04/15 TN. EDWARSYAH Rp8,500.00
4 02/04/15 TN. WELLY Rp8,500.00
5 02/04/15 TN. SAMSUL BAHRI Rp8,500.00
6 02/07/15 NN. ARIS TRIWINARSIH Rp8,500.00
7 02/07/15 NY. NURDANIATI Rp8,500.00
8 02/07/15 TN. WIDODO Rp8,500.00
9 02/08/15 NY. SARI YULIANDANI Rp8,500.00
10 02/10/15 NY. MEI ANITA Rp8,500.00
11 02/10/15 AN. MICHELLE PAULINA Rp8,500.00
12 02/10/15 AN. RAFI Rp8,500.00
13 02/10/15 NY. REGINA CLARISSA Rp8,500.00
14 02/10/15 NY. TETI ROHAYATI Rp8,500.00
15 02/10/15 NN. DORA SHINTA Rp8,500.00
16 02/12/15 NY. NENIH HJ Rp8,500.00
17 02/12/15 TN. SUWARDI Rp8,500.00
18 02/12/15 TN. ADITYA WIBOWO Rp8,500.00
19 02/12/15 NY. HARTATI NURSAHATI Rp8,500.00
20 02/12/15 NY. KHIAD NINGTIYAH Rp8,500.00
21 02/12/15 TN. AMINDO TRIONO Rp8,500.00
22 02/15/15 NN. NIKEN LARASATI Rp8,500.00
23 02/15/15 AN. DEVIKA SHELFI Rp8,500.00
24 02/20/15 TN. AGUS EKA PRIATNA Rp8,500.00
25 02/20/15 AN. AZZURA N AMANY Rp8,500.00
26 02/20/15 NY. TRI REJEKI ASTUTI Rp8,500.00
27 02/21/15 NY.DJAMILAH Rp8,500.00
28 02/21/15 NY. EVI DP Rp8,500.00
29 02/26/15 NY. RIRIN OCTIANOVA Rp8,500.00
30 02/28/15 NY. WIDI WULANDARI Rp8,500.00
31 02/28/15 TN. DODI RUSDIYANTO Rp8,500.00
32 02/28/15 NY. DEWI FITRIANI Rp8,500.00
JUMLAH 272000

JULY 2013
6 07/14/18 NY. ITA EFENDI Rp8,500.00
Page 116
ODC NEW

JUMLAH 136000

AGUSTUS'
1 08/01/18 TN. HAFIZH HADI Rp8,500.00
2 NY. JUMIRAH Rp8,500.00
3 NN. LIDIA CHANDRA Rp8,500.00
4 08/03/18 NN. ANDREA FIRDA Rp8,500.00
5 08/04/18 NY. RUMIRIS IDAWATI Rp8,500.00
6 TN. RAYANDRA Rp8,500.00
7 08/06/18 NN. CHANDRA DWIPUTRI Rp8,500.00
8 08/11/18 TN. ARYKA PRADHANA Rp8,500.00
9 08/13/18 TN. MUHAMMAD PUDJA Rp8,500.00
10 08/15/18 NY. NURUL SITIN Rp8,500.00
11 08/19/18 TN. RUSWANDI Rp8,500.00
12 TN. RUSWANDI Rp8,500.00
13 08/24/18 AN. NAJMU HANIF Rp8,500.00
14 08/30/18 NY. DIAN WINDIASTUTI Rp8,500.00
15 TN. ISROK Rp8,500.00
16 08/27/18 NN. NADIFA RIZKA Rp8,500.00
JUMLAH 136000

SEPTEMBER'
1 09/03/18 NY. HEPPY AMARTA DEWI Rp8,500.00
2 TN. YUSI ENDINO Rp8,500.00
3 TN. DICKY SETIADI Rp8,500.00
4 09/14/18 TN. ADITYA MURTI Rp8,500.00
5 09/19/18 NY. JUMSARI Rp8,500.00
7 NY. MENRITA WARNI Rp8,500.00
8 NY. AMALIA CAHAYA Rp8,500.00
JUMLAH 68000
Page 117
ODC NEW
OKTOBER 2018
1 15/10/18 NY. NENRITA WARNI Rp8,500.00
2 18/10/18 NY. AMALIA CAHAYA Rp8,500.00
JUMLAH 17000

NOVEMBER 2018
1 17/11/18 Nn. Latifahsari Rp8,500.00
2 29/11/18 Tn. Syarif Rp8,500.00
Nn. Yosephine Rp8,500.00
JUMLAH 25500

JANUARI 2019
1 12/11/18 Ny. Nia Rp8,500.00
2 An. Ezio Rp8,500.00
3 Ny. Riyani Rp8,500.00
4 12/12/18 Ny. Evi Rp8,500.00
5 12/15/18 Nn. Rizkyllah Rp8,500.00
6 12/17/18 Tn. Gde Mahera Rp8,500.00
7 12/19/18 An. Rayner Rp8,500.00
8 12/21/18 An. Aryaguna Rp8,500.00
9 12/27/18 An. Albeey Rp8,500.00
10 Tn. Raka Rp8,500.00
11 TN. ARI Rp8,500.00
JUMLAH 93500

JANUARI 2019
NO. TANGGAL NAMA PASIEN MEDREC HARGA
1 01/03/19 Ny. Mintarsih 01-85-50 Rp8,500.00
2 Tn. Rudi 29-87-21 Rp8,500.00
3 Tn. Trisno 05-38-76 Rp8,500.00
4 Tn. Bintang 07/12/93 Rp8,500.00
5 Ny. Viviyani 36-21-15 Rp8,500.00
6 01/15/19 Ny. Riandini 29-38-85 Rp8,500.00
7 Ny. Herlina 31-86-47 Rp8,500.00
8 01/16/19 Tn. Anton 24-89-29 Rp8,500.00
9 01/18/19 Nn. Ratna 36-26-17 Rp8,500.00
Page 118
ODC NEW
10 An. Muh Reyhan 28-89-92 Rp8,500.00

11 01/21/19 Tn. Rusmana 36-21-10 Rp8,500.00
Ny. Sintia 36-27-12 Rp8,500.00
12 01/23/19 Tn. Sandhy 23-47-01 Rp8,500.00
Tn. Sandhy 23-47-01 Rp8,500.00
Tn. Turman 04-79-54 Rp8,500.00
JUMLAH 127500

FEBRUARI 2019
1 02/01/19 Nn. Aryanti 299246 Rp8,500.00
2 An. Azzahra 165956 Rp8,500.00
3 02/02/19 Ny. Yeni 280736 Rp8,500.00
4 Nn. Dinda 99939 Rp8,500.00
5 Ny. Yulia 363606 Rp8,500.00
6 Ny. Tri Arista 363047 Rp8,500.00
7 03/04/19 Nn. Ana 363863 Rp8,500.00
8 03/07/19 Tn. Putra 95997 Rp8,500.00
9 02/10/19 Tn. Bachtiar 265546 Rp8,500.00
10 Ny. Sutinah 218999 Rp8,500.00
11 02/11/19 Tn. Andreas 363912 Rp8,500.00
12 02/12/19 Ny. Ristiyantini 27101 Rp8,500.00
13 02/13/19 Ny. Hanik 148115 Rp8,500.00
14 02/15/19 Tn. Maryana 308937 Rp8,500.00
Tn. Fauzi 364726 Rp8,500.00
Nn. Citra 320529 Rp8,500.00
15 02/16/19 Ny. Siti JALIYAH 309238 Rp8,500.00
An. Christ 53926 Rp8,500.00
16 02/22/19 Ny. Milih 352193 Rp8,500.00
17 02/23/19 Tn. Arie 338847 Rp8,500.00
Ny. Hanah 361997 Rp8,500.00
18 02/26/19 Tn. Hendy 365718 Rp8,500.00
19 02/28/19 Tn. Sugiharto 66898 Rp8,500.00
20 Tn. Sanusi 224930 Rp8,500.00
21 Nn. Lidia CHANDRA 21323 Rp8,500.00
JUMLAH 212500

Maret 2019
1 03/01/19 Tn. Sugeng 270013
Tn. Rudi 358056
ny. Rizka 322827
2 03/02/19 Ny. Riana 109798
Tn. Jumhana 158886
Page 119
ODC NEW
3 03/04/19 Tn. Hendy 366128

Tn. Anugrah 78039
Tn. Saleh 201662
4 03/05/19 Tn. Hafis 14777
Tn. Juan 15279
Tn. Jumhana 158886
5 Tn. sartono 248162
16
17
18
19
20
21
JUMLAH 0
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ODC

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC

08/13/12 NY. EKOWATI Rp6,500.00

LAPORAN MAKAN PASIEN ANGIOGRAFI

LAPORAN MAKAN PASIEN ODC

09/19/12 TN. DEDE Rp6,500.00

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ANGIOGRAFI

LAPORAN MAKAN PASIEN ODC

11/03/12 TN. FATHUR RAHMAN Rp6,500.00

LAPORAN MAKAN PASIEN ODC

12/24/12 NN. DELLA PRADECTA Rp6,500.00

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC

TANGGAL NAMA PASIEN HARGA

LAPORAN MAKAN PASIEN ODC

07/05/13 NY. ELIN KARLINAH Rp8,500.00

LAPORAN MAKAN PASIEN ODC

10/21/13 TN. HERRY SETIYADI Rp8,500.00

LAPORAN PAKET KEMOTERAPI

TANGGAL NAMA PERAWAT HARGA

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

LAPORAN MAKAN PASIEN ODC

11 03/07/14 AN. RADHYTIA RIVAN Rp8,500.00

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

6 01/07/15 AN. ANGGI ANGGRAINI Rp8,500.00

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

9 01/07/15 NY. YULI SUSILAWATI Rp8,500.00

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

13 03/29/15 TN. AHMAD ANGGARA Rp8,500.00

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

9 05/11/15 NY. APRIYANI RAHMAWATI Rp8,500.00

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

10 09/14/15 NY. TITA ROSITAWATI Rp8,500.00

LAPORAN MAKAN PASIEN ODC

NO. TANGGAL NAMA PASIEN HARGA

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC

19 02/22/16 NY. ERMIYANTI Rp8,500.00

LAPORAN MAKAN PASIEN ODC

LAPORAN MAKAN PASIEN ODC