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    Aas Prastiani
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    This document summarizes diabetes screening services provided in September 2018 at the Purwokerto Utara II Health Center in Banyumas Regency. It lists 60 patients who received screening, including their name, ID number, screening date, test results of blood sugar, body weight, and body mass index. All patients were charged Rp20,000, for a total billing of Rp1,200,000.

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    Sosialisasi

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    This document summarizes diabetes screening services provided in September 2018 at the Purwokerto Utara II Health Center in Banyumas Regency. It lists 60 patients who received screening, including their name, ID number, screening date, test results of blood sugar, body weight, and body mass index. All patients were charged Rp20,000, for a total billing of Rp1,200,000.

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    7 views2 pages

    Sosialisasi

    Uploaded by

    Aas Prastiani
    This document summarizes diabetes screening services provided in September 2018 at the Purwokerto Utara II Health Center in Banyumas Regency. It lists 60 patients who received screening, including their name, ID number, screening date, test results of blood sugar, body weight, and body mass index. All patients were charged Rp20,000, for a total billing of Rp1,200,000.

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    of 2

    REKAPITULASI PELAYANAN LABORATORIUM DIABETES MELITUS TIPE 2

    PESERTA PROLANIS / PRB


    PUSKESMAS PURWOKERTO UTARA II KABUPATEN/KOTA BANYUMAS
    BULAN SEPTEMBER TAHUN 2018

    HASIL
    TANGGAL PEMERIKSAAN JUMLAH
    NO NAMA PASIEN NO KARTU PELAYANAN TB BB GDN BIAYA
    1 NAISAH 0000529677009 9/13/2018 150 52 174 Rp 20,000
    2 SARIMIN 0000082203827 9/13/2018 160 50 105 Rp 20,000
    3 DARSINI 0002043778779 9/13/2018 150 48 209 Rp 20,000
    4 M. SUDARMO 0000082200161 9/13/2018 169 55 167 Rp 20,000
    5 HADI SUNARSO 0001797196386 9/13/2018 172 67 112 Rp 20,000
    6 RATINAH 0001845048374 9/13/2018 153 65 186 Rp 20,000
    7 DARIWEN 0002212447443 9/13/2018 155 59 161 Rp 20,000
    8 SALIMAH 0000529646049 9/13/2018 153 51 186 Rp 20,000
    9 KATIJAH 0001813025823 9/13/2018 160 71 114 Rp 20,000
    10 KARTIM 0000082199575 9/13/2018 163 88 136 Rp 20,000
    11 WARSITI 0000158228684 9/13/2018 155 67 299 Rp 20,000
    12 WARSINAH 0000529408361 9/13/2018 155 60 145 Rp 20,000
    13 SUPARWI 0000082199619 9/13/2018 156 66 423 Rp 20,000
    14 RESMIYATI HANDAYANI 0002041621053 9/13/2018 160 63 151 Rp 20,000
    15 SUPARTI 0000082207451 9/13/2018 152 54 152 Rp 20,000
    16 SUMIYATI 0000082113377 9/13/2018 158 67 247 Rp 20,000
    17 RUSMIASIH 0000082030915 9/13/2018 150 44 228 Rp 20,000
    18 SOEMARDI 0000082576449 9/13/2018 160 54 233 Rp 20,000
    19 MOMON SUPARMAN 0000082200892 9/13/2018 161 70 86 Rp 20,000
    20 TIWAN B MUCHIDIN 0000081937146 9/13/2018 163 72 221 Rp 20,000
    21 ENDANG PRIYATNI 0001275398335 9/13/2018 152 61 178 Rp 20,000
    22 F. SUSILOWATI 0000082511212 9/13/2018 153 72 99 Rp 20,000
    23 SARWONO 0000082204018 9/13/2018 168 68 147 Rp 20,000
    24 SUDARSO 0001311951385 9/13/2018 160 63 149 Rp 20,000
    25 SUWARSO 0000082464816 9/13/2018 165 77 189 Rp 20,000
    26 SRI WAHYUNI 0000081621415 9/13/2018 157 59 219 Rp 20,000
    27 TARSIWEN 0001204188827 9/13/2018 155 55 488 Rp 20,000
    28 RASYID DJUMADI 0000081934727 9/13/2018 167 64 129 Rp 20,000
    29 NARDEM 0000081934738 9/13/2018 150 66 279 Rp 20,000
    30 ANING SUMARNININGSIH 0000082509221 9/13/2018 155 75 153 Rp 20,000
    31 SITI AMINAH 0000082420154 9/13/2018 165 73 369 Rp 20,000
    32 SAMINGAN 0001895959765 9/13/2018 162 78 89 Rp 20,000
    33 KASTAM 0000082235226 9/13/2018 170 83 127 Rp 20,000
    34 SUSTJAHWATI 0000081936819 9/13/2018 150 54 133 Rp 20,000
    35 NARSITI 0001189060659 9/13/2018 154 63 120 Rp 20,000
    36 ROBERTUS SRI HADI 0001800156093 9/13/2018 169 70 148 Rp 20,000
    37 ROCHIMAH 0001085017375 9/13/2018 157 65 185 Rp 20,000
    38 LASINAH 0000081983057 9/13/2018 150 50 176 Rp 20,000
    39 ENDANG SUPRIYATIN 0000082205368 9/13/2018 150 47 164 Rp 20,000
    40 SAINAH 0000529589676 9/13/2018 155 58 412 Rp 20,000
    41 EKO PRIYO LEKSONO 0001795296003 9/13/2018 170 70 157 Rp 20,000
    42 MASITOH 0001903729948 9/13/2018 155 50 457 Rp 20,000
    43 JUSRIYAH 0000081738472 9/13/2018 150 44 546 Rp 20,000
    44 SARTINI 0002058745375 9/13/2018 160 67 152 Rp 20,000
    45 WARSIDAH 0001017006568 9/13/2018 150 80 272 Rp 20,000
    46 JOKO NURHADI 0001078512557 9/13/2018 165 75 128 Rp 20,000
    47 TRI IRAWAN RAHARDJO 0001444881341 9/13/2018 165 60 142 Rp 20,000
    48 MUSRIYATI 0000082198023 9/13/2018 155 70 278 Rp 20,000
    49 SLAMET RYADIE 0000082204716 9/13/2018 155 52 116 Rp 20,000
    50 FATIMAH 0000082204727 9/13/2018 150 55 117 Rp 20,000
    51 ENDANG SETIYATI 0000082157152 9/13/2018 153 58 210 Rp 20,000
    52 SRI SUBINGAH 0000082197191 9/13/2018 153 51 311 Rp 20,000
    53 SITI NGAISAH 0000081621303 9/13/2018 157 76 227 Rp 20,000
    54 ROMISAH 0000530362901 9/13/2018 150 73 184 Rp 20,000
    55 CHRISTIEN SUPRIHATIN 0000082378754 9/13/2018 143 44 112 Rp 20,000
    56 SUDARJANTO 0000082205943 9/13/2018 159 52 171 Rp 20,000
    57 DARSIH 0001017002002 9/13/2018 153 60 397 Rp 20,000
    58 GAFAR ISMAIL,B.SC 0000149917577 9/13/2018 165 72 110 Rp 20,000
    59 BUDIYONO 0000082474659 9/13/2018 158 69 138 Rp 20,000
    60 RAMISAH 0001084945825 9/13/2018 150 53 122 Rp 20,000
    JUMLAH TAGIHAN Rp 1,200,000

    Mengetahui,

    (…………………………………………..)

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