Professional Documents
Culture Documents
PARU
PARU
Uploaded by
Tria Ayu Ratna Galih0 ratings0% found this document useful (0 votes)
9 views26 pagesCopyright
© © All Rights Reserved
Available Formats
TXT, PDF, TXT or read online from Scribd
Share this document
Did you find this document useful?
Is this content inappropriate?
Report this DocumentCopyright:
© All Rights Reserved
Available Formats
Download as TXT, PDF, TXT or read online from Scribd
Download as txt, pdf, or txt
0 ratings0% found this document useful (0 votes)
9 views26 pagesPARU
PARU
Uploaded by
Tria Ayu Ratna GalihCopyright:
© All Rights Reserved
Available Formats
Download as TXT, PDF, TXT or read online from Scribd
Download as txt, pdf, or txt
You are on page 1of 26
<title>Laporan Pendapatan</title>
<table width="750" border="0" cellpadding="0" cellspacing="0" style="font-
family:Arial, Helvetica, sans-serif; font-size:11px;">
<tr>
<td colspan="2">
<b>RSI GARAM KALIANGET</b>
<br />
Jl. Raya Kalianget No.1 Sumenep - Madura <br />
Telp. (0328) 664340 - 667433, Fax. (0328) 667433 <br />
Website : www.rsigaramkalianget.com <br />
<br /></b>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:center; font-size:14px; text-
transform:uppercase; font-weight:bold;" height="70" valign="top">laporan pendapatan
RAWAT JALAN - Poli Spesialis Paru-Paru<br>Periode : 01 Juni 2020 s/d 10 Juni
2020</td>
</tr>
<tr height="30">
<td width="50%"> <b>Tempat Layanan: Poli Spesialis Paru-
Paru</b></td>
<td width="50%" align="right">Yang Mencetak: <b>Lilik</b> </td>
</tr>
<tr>
<td colspan="2">
<div id="jalan">
<table width="120%" border="0" cellpadding="0"
cellspacing="0" style="font-family:Arial, Helvetica, sans-serif; font-size:11px;">
<tr height="30" style="font-weight:bold;">
<td width="12%" style="padding-left:10px;
border-bottom:1px solid; border-top:1px solid;">Status Pasien</td>
<td width="13%" style="border-bottom:1px solid;
border-top:1px solid;"> Tgl Kunjungan</td>
<td width="10%" style="border-bottom:1px solid;
border-top:1px solid;"> No. RM</td>
<td width="29%" style="border-bottom:1px solid;
border-top:1px solid;"> Nama</td>
<td width="19%" style="border-bottom:1px solid;
border-top:1px solid;"> Umur</td>
<td width="29%" style="border-bottom:1px solid;
border-top:1px solid;"> Alamat</td>
<td width="29%" style="padding-right:10px;
text-align:left; border-bottom:1px solid; border-top:1px
solid;">NamaTindakan </td>
<td width="12%" style="padding-right:10px;
text-align:right; border-bottom:1px solid; border-top:1px solid;">Karcis </td>
<td width="12%" style="padding-right:10px;
text-align:right; border-bottom:1px solid; border-top:1px solid;">Pemeriksaan &
Tindakan </td>
<td width="12%" style="padding-right:10px;
text-align:right; border-bottom:1px solid; border-top:1px
solid;">SewaAlat </td>
<td width="12%" style="padding-right:10px;
text-align:right; border-bottom:1px solid; border-top:1px
solid;">Oksigen </td>
<td width="12%" style="padding-right:10px;
text-align:right; border-bottom:1px solid; border-top:1px solid;">Jaspel </td>
<td width="12%" style="padding-right:10px;
text-align:right; border-bottom:1px solid; border-top:1px solid;">Total </td>
<td width="12%" style="padding-right:10px;
text-align:center; border-bottom:1px solid; border-top:1px
solid;">JS_Tindakan </td>
</tr>
<tr>
<td colspan="7" style="font-weight:bold;
padding-left:10px;">UMUM</td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">1</td>
<td> 02/06/2020</td>
<td> 002903</td>
<td style="text-
transform:uppercase"> ARDANI. SDR</td>
<td> 30 thn 9 bln 13 hr</td>
<td> DSN. DAJA RT 03/01 JELBUDAN
DASUK</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">2</td>
<td> 02/06/2020</td>
<td> 002813</td>
<td style="text-
transform:uppercase"> SUTINA. NY</td>
<td> 54 thn 8 bln 9 hr</td>
<td> DSN. KOKON </td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">3</td>
<td> 03/06/2020</td>
<td> 057303</td>
<td style="text-
transform:uppercase"> ABDUL KADIR. TN</td>
<td> 78 thn</td>
<td> DSN. SAKOLAAN RT 1/2 TALANGO</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">4</td>
<td> 03/06/2020</td>
<td> 003465</td>
<td style="text-
transform:uppercase"> DARUS PRIAHADI. TN.</td>
<td> 26 thn 12 bln</td>
<td> JL. MESJID I / BATUAN SUMENEP</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">5</td>
<td> 03/06/2020</td>
<td> 003295</td>
<td style="text-
transform:uppercase"> SAMANIYAH. NY</td>
<td> 42 thn 7 bln 23 hr</td>
<td> DSN. SAKOLAAN RT 02/02 TALANGO</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">6</td>
<td> 04/06/2020</td>
<td> 003508</td>
<td style="text-
transform:uppercase"> ABDUL WAHED. TN</td>
<td> 66 thn 12 bln 2 hr</td>
<td> DSN. NANGGER RT 4/2 JAMBU
LENTENG</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">7</td>
<td> 04/06/2020</td>
<td> 003517</td>
<td style="text-
transform:uppercase"> LAILATUL FITRIYAH. NN</td>
<td> 19 thn 7 hr</td>
<td> DSN. BARATAN RT 03/2 TALANG
SARONGGI</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">8</td>
<td> 08/06/2020</td>
<td> 003630</td>
<td style="text-transform:uppercase"> MOH.
IBRAHIM FATON. RB. SDR.</td>
<td> 30 thn 13 hr</td>
<td> JL. SELUDANG GG. V/07</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">9</td>
<td> 08/06/2020</td>
<td> 003252</td>
<td style="text-
transform:uppercase"> SAHMABI. TN</td>
<td> 62 thn 1 bln 3 hr</td>
<td> DSN. SP TIMUR </td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">10</td>
<td> 09/06/2020</td>
<td> 003652</td>
<td style="text-transform:uppercase"> ABD.
HALIM. TN</td>
<td> 33 thn 29 hr</td>
<td> JL. ADI PODAY RT.09/05 KOLOR0
SUMENEP.</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">11</td>
<td> 09/06/2020</td>
<td> 056177</td>
<td style="text-
transform:uppercase"> MASBAN. TN</td>
<td> 6 thn 7 bln 16 hr</td>
<td> DSN PAJANGAN </td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Pemeriksaan Poli Dokter
Spesialis<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">93.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">100.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">12</td>
<td> 09/06/2020</td>
<td> 003630</td>
<td style="text-transform:uppercase"> MOH.
IBRAHIM FATON. RB. SDR.</td>
<td> 30 thn 13 hr</td>
<td> JL. SELUDANG GG. V/07</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">13</td>
<td> 09/06/2020</td>
<td> 003649</td>
<td style="text-
transform:uppercase"> SUGITO. TN</td>
<td> 44 thn 11 bln 21 hr</td>
<td> DSN. AENG CELENG RT.04/04 ANGKATAN-
ARJASA</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">14</td>
<td> 10/06/2020</td>
<td> 003644</td>
<td style="text-transform:uppercase"> AGUS
PURWANTO. TN</td>
<td> 41 thn 10 hr</td>
<td> JL. POTRE KONENG II GG.10 PERUMAHAN
BUMI SUMEKAR R</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">15</td>
<td> 10/06/2020</td>
<td> 003666</td>
<td style="text-
transform:uppercase"> AHMAD YASIN. TN</td>
<td> 27 thn 8 bln 17 hr</td>
<td> JL.YOS SUDARSO</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">16</td>
<td> 10/06/2020</td>
<td> 003670</td>
<td style="text-
transform:uppercase"> BUSAIRI. TN.</td>
<td> 34 thn 11 bln 8 hr</td>
<td> DSN. APAL</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">17</td>
<td> 10/06/2020</td>
<td> 003667</td>
<td style="text-
transform:uppercase"> FEBBY DWI MULYANI. NY</td>
<td> 23 thn 4 bln</td>
<td> JL.PELABUHAN KERTASADA RT.04/03</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">18</td>
<td> 10/06/2020</td>
<td> 003665</td>
<td style="text-
transform:uppercase"> SUYITNO. TN</td>
<td> 33 thn 2 bln 25 hr</td>
<td> DSN.ARES TEMOR</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">19</td>
<td> 10/06/2020</td>
<td> 003668</td>
<td style="text-
transform:uppercase"> YANTO. TN</td>
<td> 37 thn 6 bln 3 hr</td>
<td> DSN. MANDUNG RT.02/06</td>
<td style="text-align:left; padding-
right:10px;">
Karcis<br/>- Surat Keterangan Covid<br/>-
</td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">-2.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr height="30"
style="font-weight:bold">
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td valign="top"> </td>
<td valign="top" style="text-align:center;
border-top:1px solid;">TOTAL </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">95.000 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">817.000 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">0 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">0 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">0 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">950.000 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">0 </td>
</tr>
<tr>
<td colspan="7" style="font-weight:bold;
padding-left:10px;">BPJS KESEHATAN </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">1</td>
<td> 02/06/2020</td>
<td> 054243</td>
<td style="text-
transform:uppercase"> JUHAINI. NY</td>
<td> 59 thn 8 bln 19 hr</td>
<td> DSN. SOMOR ALEM GAPURANA-TALANGO</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">2</td>
<td> 02/06/2020</td>
<td> 003267</td>
<td style="text-
transform:uppercase"> JUMRAINI. NY</td>
<td> 60 thn 1 bln 23 hr</td>
<td> DSN. SARPERENG SELATAN RT 1/4 LENTENG
TIMUR</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">3</td>
<td> 02/06/2020</td>
<td> 014943</td>
<td style="text-
transform:uppercase"> NURUL FARIDA. NY</td>
<td> 59 thn 2 bln 13 hr</td>
<td> DSN KEBUN KELAPA</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">4</td>
<td> 02/06/2020</td>
<td> 031686</td>
<td style="text-
transform:uppercase"> RIRIN YULIANTI. NY</td>
<td> 49 thn 11 bln 17 hr</td>
<td> DSN. ASEM NUNGGAL KALIANGET
BARAT</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">5</td>
<td> 02/06/2020</td>
<td> 051695</td>
<td style="text-
transform:uppercase"> SADALI.TN</td>
<td> 53 thn 12 bln</td>
<td> DSN.TEMOR LORONG RT.04/02 KALIAMOOK-
KALIANGET.</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">6</td>
<td> 02/06/2020</td>
<td> 033794</td>
<td style="text-
transform:uppercase"> WAHYUNI. NY</td>
<td> 54 thn 10 hr</td>
<td> DSN KOMBANG RT 02/01 KOMBANG -
TALANGO</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">7</td>
<td> 03/06/2020</td>
<td> 003145</td>
<td style="text-
transform:uppercase"> ABDU. TN</td>
<td> 73 thn 1 bln 27 hr</td>
<td> DSN. SARPERENG SELATAN</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">8</td>
<td> 03/06/2020</td>
<td> 056168</td>
<td style="text-
transform:uppercase"> UMYAH. NY</td>
<td> 53 thn 11 bln 29 hr</td>
<td> DSN BAN-BAN </td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">9</td>
<td> 04/06/2020</td>
<td> 003292</td>
<td style="text-
transform:uppercase"> AHMAD DANI. TN</td>
<td> 15 thn 5 bln 18 hr</td>
<td> JL. PELABUHAN KERTASADA RT 4/3
KERTASADA</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">10</td>
<td> 04/06/2020</td>
<td> 000880</td>
<td style="text-transform:uppercase"> ANNI
ILQIYAH. NY</td>
<td> 24 thn 11 bln 22 hr</td>
<td> RSIGK / GAPURANA TALANGO</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">11</td>
<td> 04/06/2020</td>
<td> 018924</td>
<td style="text-
transform:uppercase"> KUSRIYANI. NY</td>
<td> 49 thn 5 bln 25 hr</td>
<td> DSN. SEMPANGAN RT 4/4 KALIANGET
BARAT</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">12</td>
<td> 04/06/2020</td>
<td> 035129</td>
<td style="text-transform:uppercase"> MOH.
ALIBUDDIN. TN</td>
<td> 73 thn</td>
<td> JL. GERSIK PUTIH TIMUR RT 1/3
KALIANGET TIMUR</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">13</td>
<td> 04/06/2020</td>
<td> 022914</td>
<td style="text-
transform:uppercase"> MUNARIYAH. NY</td>
<td> 76 thn 6 bln 1 hr</td>
<td> DSN. SEMPANGAN RT 1/4 KALIANGET
BARAT</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">33.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">40.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">14</td>
<td> 04/06/2020</td>
<td> 001662</td>
<td style="text-
transform:uppercase"> SUTOMO. TN</td>
<td> 57 thn 5 bln 27 hr</td>
<td> JL. RAYA GAPURA RT 3/2 PABERASAN</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">15</td>
<td> 08/06/2020</td>
<td> 052495</td>
<td style="text-
transform:uppercase"> MORAHMAD. TN</td>
<td> 50 thn 1 bln 10 hr</td>
<td> DSN. TAMBANGAN RT 7/5 KALIANGET
TIMUR</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">16</td>
<td> 08/06/2020</td>
<td> 027851</td>
<td style="text-
transform:uppercase"> SUHARTO. TN</td>
<td> 41 thn 3 bln 15 hr</td>
<td> JL. BRAWIJAYA GG 3 RTB 07 RW 01
KALIANGET TIMUR</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">17</td>
<td> 09/06/2020</td>
<td> 007563</td>
<td style="text-
transform:uppercase"> ACHMAD GUFFRON,A.MA.PD</td>
<td> 61 thn 10 bln 24 hr</td>
<td> DESA PAKONDANG RT1/1</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">18</td>
<td> 09/06/2020</td>
<td> 003363</td>
<td style="text-transform:uppercase"> DWI
HANUN APRILIANTI. NN</td>
<td> 20 thn 1 bln 29 hr</td>
<td> JL.HAYAM WURUK </td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">19</td>
<td> 09/06/2020</td>
<td> 000109</td>
<td style="text-
transform:uppercase"> DWIANA PUTRI PRATIWI. NY.</td>
<td> 34 thn 3 bln</td>
<td> PERUM SATELIT JL. ANTARIKSA NO.
11</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">20</td>
<td> 09/06/2020</td>
<td> 003267</td>
<td style="text-
transform:uppercase"> JUMRAINI. NY</td>
<td> 60 thn 1 bln 23 hr</td>
<td> DSN. SARPERENG SELATAN RT 1/4 LENTENG
TIMUR</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">21</td>
<td> 09/06/2020</td>
<td> 003256</td>
<td style="text-
transform:uppercase"> MISRAWI. TN.</td>
<td> 77 thn</td>
<td> DSN. BATO JEREN</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">22</td>
<td> 09/06/2020</td>
<td> 031686</td>
<td style="text-
transform:uppercase"> RIRIN YULIANTI. NY</td>
<td> 49 thn 11 bln 17 hr</td>
<td> DSN. ASEM NUNGGAL KALIANGET
BARAT</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">23</td>
<td> 09/06/2020</td>
<td> 003427</td>
<td style="text-
transform:uppercase"> SALEH. TN.</td>
<td> 64 thn 5 bln 29 hr</td>
<td> DSN. PESISIR BARAT</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">24</td>
<td> 09/06/2020</td>
<td> 002404</td>
<td style="text-
transform:uppercase"> SAMSIDI. TN</td>
<td> 41 thn 3 bln 9 hr</td>
<td> DSN. BATU AMPAR</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">25</td>
<td> 09/06/2020</td>
<td> 026942</td>
<td style="text-
transform:uppercase"> SATTA. TN</td>
<td> 59 thn 7 bln 18 hr</td>
<td> DSN. BEDDI RT 2/2 MARENGAN LAOK
KALIANGET</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">26</td>
<td> 09/06/2020</td>
<td> 033794</td>
<td style="text-
transform:uppercase"> WAHYUNI. NY</td>
<td> 54 thn 10 hr</td>
<td> DSN KOMBANG RT 02/01 KOMBANG -
TALANGO</td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr>
<td style="text-align:right; padding-
right:30px;">27</td>
<td> 10/06/2020</td>
<td> 056168</td>
<td style="text-
transform:uppercase"> UMYAH. NY</td>
<td> 53 thn 11 bln 29 hr</td>
<td> DSN BAN-BAN </td>
<td style="text-align:left; padding-
right:10px;">
Karcis BPJS<br/>- Pemeriksaan Poli Spesialis
BPJS<br/>- Pemeriksaan Poli<br/>- </td>
<td style="text-align:right; padding-
right:10px;">5.000 </td>
<td style="text-align:right; padding-
right:10px;">53.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
<td style="text-align:right; padding-
right:10px;">2.000 </td>
<td style="text-align:right; padding-
right:10px;">60.000 </td>
<td style="text-align:right; padding-
right:10px;">0 </td>
</tr>
<tr height="30"
style="font-weight:bold">
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td valign="top"> </td>
<td valign="top" style="text-align:center;
border-top:1px solid;">TOTAL </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">135.000 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">1.411.000 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">0 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">0 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">0 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">1.600.000 </td>
<td valign="top" style="text-align:right;
padding-right:10px; border-top:1px solid;">0 </td>
</tr>
<tr height="30"
style="font-weight:bold;">
<td colspan="5" style="border-bottom:1px solid;
border-top:1px solid"> </td>
<td style="border-bottom:1px solid; border-
top:1px solid"> </td>
<td style="border-bottom:1px solid; border-
top:1px solid; text-align:center">GRAND TOTAL </td>
<td valign="middle" style="text-align:right;
padding-right:10px; border-top:1px solid; border-bottom:1px
solid;">140.000 </td>
<td valign="middle" style="text-align:right;
padding-right:10px; border-top:1px solid; border-bottom:1px
solid;">1.464.000 </td>
<td valign="middle" style="text-align:right;
padding-right:10px; border-top:1px solid; border-bottom:1px solid;">0 </td>
<td valign="middle" style="text-align:right;
padding-right:10px; border-top:1px solid; border-bottom:1px solid;">0 </td>
<td valign="middle" style="text-align:right;
padding-right:10px; border-top:1px solid; border-bottom:1px solid;">0 </td>
<td valign="middle" style="text-align:right;
padding-right:10px; border-top:1px solid; border-bottom:1px
solid;">1.660.000 </td>
<td valign="middle" style="text-align:right;
padding-right:10px; border-top:1px solid; border-bottom:1px solid;">0 </td>
</tr>
</table>
</div>
</td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
<tr>
<td colspan="14" style="text-align:right">Tgl Cetak: 11-06-
2020 Jam: 8:59 </td>
</tr>
<tr>
<td colspan="14" height="50" valign="top" style="text-align:right">Yang
Mencetak, </td>
</tr>
<tr>
<td colspan="14" style="text-align:right"><b>Lilik</b> </td>
</tr>
<tr id="trTombol">
<td colspan="10" class="noline" align="center">
</tr>
</table>
<script type="text/JavaScript">
function cetak(tombol){
tombol.style.visibility='hidden';
if(tombol.style.visibility=='hidden'){
window.print();
window.close();
}
}
</script>
You might also like
- The Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good LifeFrom EverandThe Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good LifeRating: 4 out of 5 stars4/5 (5820)
- The Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You AreFrom EverandThe Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You AreRating: 4 out of 5 stars4/5 (1093)
- Never Split the Difference: Negotiating As If Your Life Depended On ItFrom EverandNever Split the Difference: Negotiating As If Your Life Depended On ItRating: 4.5 out of 5 stars4.5/5 (845)
- Grit: The Power of Passion and PerseveranceFrom EverandGrit: The Power of Passion and PerseveranceRating: 4 out of 5 stars4/5 (590)
- Hidden Figures: The American Dream and the Untold Story of the Black Women Mathematicians Who Helped Win the Space RaceFrom EverandHidden Figures: The American Dream and the Untold Story of the Black Women Mathematicians Who Helped Win the Space RaceRating: 4 out of 5 stars4/5 (898)
- Shoe Dog: A Memoir by the Creator of NikeFrom EverandShoe Dog: A Memoir by the Creator of NikeRating: 4.5 out of 5 stars4.5/5 (540)
- The Hard Thing About Hard Things: Building a Business When There Are No Easy AnswersFrom EverandThe Hard Thing About Hard Things: Building a Business When There Are No Easy AnswersRating: 4.5 out of 5 stars4.5/5 (349)
- Elon Musk: Tesla, SpaceX, and the Quest for a Fantastic FutureFrom EverandElon Musk: Tesla, SpaceX, and the Quest for a Fantastic FutureRating: 4.5 out of 5 stars4.5/5 (474)
- Her Body and Other Parties: StoriesFrom EverandHer Body and Other Parties: StoriesRating: 4 out of 5 stars4/5 (822)
- The Sympathizer: A Novel (Pulitzer Prize for Fiction)From EverandThe Sympathizer: A Novel (Pulitzer Prize for Fiction)Rating: 4.5 out of 5 stars4.5/5 (122)
- The Emperor of All Maladies: A Biography of CancerFrom EverandThe Emperor of All Maladies: A Biography of CancerRating: 4.5 out of 5 stars4.5/5 (271)
- The Little Book of Hygge: Danish Secrets to Happy LivingFrom EverandThe Little Book of Hygge: Danish Secrets to Happy LivingRating: 3.5 out of 5 stars3.5/5 (401)
- The World Is Flat 3.0: A Brief History of the Twenty-first CenturyFrom EverandThe World Is Flat 3.0: A Brief History of the Twenty-first CenturyRating: 3.5 out of 5 stars3.5/5 (2259)
- The Yellow House: A Memoir (2019 National Book Award Winner)From EverandThe Yellow House: A Memoir (2019 National Book Award Winner)Rating: 4 out of 5 stars4/5 (98)
- Devil in the Grove: Thurgood Marshall, the Groveland Boys, and the Dawn of a New AmericaFrom EverandDevil in the Grove: Thurgood Marshall, the Groveland Boys, and the Dawn of a New AmericaRating: 4.5 out of 5 stars4.5/5 (266)
- Team of Rivals: The Political Genius of Abraham LincolnFrom EverandTeam of Rivals: The Political Genius of Abraham LincolnRating: 4.5 out of 5 stars4.5/5 (234)
- A Heartbreaking Work Of Staggering Genius: A Memoir Based on a True StoryFrom EverandA Heartbreaking Work Of Staggering Genius: A Memoir Based on a True StoryRating: 3.5 out of 5 stars3.5/5 (231)
- On Fire: The (Burning) Case for a Green New DealFrom EverandOn Fire: The (Burning) Case for a Green New DealRating: 4 out of 5 stars4/5 (74)
- The Unwinding: An Inner History of the New AmericaFrom EverandThe Unwinding: An Inner History of the New AmericaRating: 4 out of 5 stars4/5 (45)
