Data Pasien Radiology Bulan Oktober 2019

Jenis Keterangan
No Tanggal Nama Pasien Umur
L P RJ OP
1 1/10/2019 Pangihutan Manulang 1 1
2 4/10/2019 Neraca Tarigan 1 1
3 7/10/2019 Barita Cibro 1 1
4 7/10/2019 Romi Irawan 1 1
5 8/10/2019 Tommat Siboro 1 1
6 8/10/2019 Karem Hasugian 1 1
7 12/10/2019 Sabam 1 1
8 12/10/2019 Kartini 1 1
9 14/10/2019 Perinta Simbolon 1 1
10 14/10/2019 Tonel Purba 1 1
11 14/10/2019 Anggiat Sitanggan 1 1
12 14/10/2019 Warna Tarigan 1 1
13 15/10/2019 Syarwan 1 1
14 15/10/2019 Nadrian 1 1
15 15/10/2019 Sabbam Sembiring 1 1
16 16/10/2019 Aroni Talembanua 1 1
17 16/10/2019 Sariah 1 1
18 16/10/2019 Kriawati br Sembiring 1 1
19 16/10/2019 Henni Pretty 1 1
20 17/10/2019 Agnes Medianta 1 1
21 18/10/2019 Supardi Simarmata 1 1
22 18/10/2019 Umi Kalsum 1 1
23 18/10/2019 Muhammad Arif 1 1
24 18/10/2019 Mbantu 1 1
25 21/10/2019 Nikson Sihombing 1 1
26 21/10/2019 Siti 1 1
27 21/10/2019 Dina Yunita 1 1
28 23/10/2019 Dio 1 1
29 24/10/2019 Chairuddin 1 1
30 24/10/2019 Rondang br Silalahi 1 1
31 26/10/2019 Elisyah Pasaribu 1 1
32 28/10/2019 Mulyadi 1 1
33 28/10/2019 Hasanuddin 1 1
34 28/10/2019 Fonda 1 1
35 28/10/2019 Hj Nuraidah 1 1
36 29/10/2019 Lebat Ginting 1 1
37 30/10/2019 Anisa 1 1
38 30/10/2019 Fahruq 1 1
39 30/10/2019 Diono 1 1
40 30/10/2019 Radina 1 1
41 31/10/2019 Rosiana 1 1
Total 26 15 29 12
ulan Oktober 2019

Status
Dokter Pemeriksaan Jumlah Biaya
Umum BPJS
1 Thorax Rp 150,000
1 Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 Thorax Rp 150,000
1 Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Setia Putra Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Amira Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Rizky Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Setia Putra Sp P Thorax Rp 150,000
1 dr. Setia Putra Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Amira Sp P Thorax Rp 150,000
1 Thorax Rp 150,000
1 dr. Setia Putra Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Dira Sp P Thorax Rp 150,000
1 Thorax Rp 150,000
1 dr. Ismailita Sp A Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Hillaudin Sp P Thorax Rp 150,000
1 dr. Rizky Sp P Thorax Rp 150,000
1 dr. Amira Sp P Thorax Rp 150,000
1 Thorax Rp 150,000
1 Thorax Rp 150,000
1 Thorax Rp 150,000
1 Thorax Rp 150,000
1 Thorax Rp 150,000
1 Thorax Rp 150,000
13 28 Rp 6,150,000
 Data Pasien Radiology Bulan No

Jenis
No Tanggal Nama Pasien Umur
L P
1 1/11/2019 Rosdiana br Purba 1
2 4/11/2019 Fila Delfia 1
3 4/11/2019 Serti br Hutasoit 1
4 4/11/2019 Josie Valeriena 1
5 4/11/2019 Edisman 1
6 5/11/2019 Riani 1
7 5/11/2019 Nur M Ridho 1
8 6/11/2019 Rosivada 1
9 7/11/2019 Indah Permatasari 1
10 8/11/2019 T. Marlina 1
11 11/11/2019 Rifai 1
12 11/11/2019 Jojon Tampubolon 1
13 12/11/2019 Absyar Abby 1
14 12/11/2019 Asyifa 1
15 13/11/2019 Mangasa Gurning 1
16 14/11/2019 M. Andri 1
17 15/11/2019 Sulastri 1
18 15/11/2019 Daulat Sembiring 1
19 15/11/2019 Ruslianto 1
20 18/11/2019 Flori 1
21 18/11/2019 Roni Irawan 1
22 19/11/2019 M. Arif handaya 1
23 19/11/2019 Royka Cibro 1

Total 12 11
en Radiology Bulan November 2019

Keterangan Status
Dokter Pemeriksaan
RJ OP Umum BPJS
1 1 Thorax
1 1 dr. Amira Sp P Thorax
1 1 dr. Nuryunita Sp P Thorax
1 1 dr. Setia Puta Sp P Thorax
1 1 dr. Rizky Sp P Thorax
1 1 dr. Rizky Sp P Thorax
1 1 dr. Dina Thorax
1 1 dr. Rizky Sp P Thorax
1 1 dr. Dina Thorax
1 1 dr. Dina Thorax
1 1 dr. Hillaludin Sp P Thorax
1 1 dr. Hillaludin Sp P Thorax
1 1 dr. Ismailita Sp A Thorax
1 1 dr. Ismailita Sp A Thorax
1 1 dr. Rizky Sp P Thorax
1 1 dr. Nuryunita Sp P Thorax
1 1 dr. Nuryunita Sp P Thorax
1 1 dr. Hillaludin Sp P Thorax
1 1 dr. Hillaludin Sp P Thorax
1 1 dr. Dina Thorax
1 1 dr. Hillaludin Sp P Thorax
1 1 dr. Nuryunita Sp P Thorax
1 1 dr. Nuryunita Sp P Thorax

11 12 4 19
 Jumlah Biaya

Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000
Rp 150,000

Rp 3,450,000
 Data Pasien Radiology Bulan Desember 2019

Jenis kelamin Keterangan

No Tanggal Nama pasien TL RM
L P RAJAL RANAP
1 3/12/2019 Salomo Sinuraya 202020 1 1
2 5/12/2019 Abdul Surbakti 1 1
3 6/12/2019 Novita 1 1
4 10/12/2019 Elvianus Agustin 1 1
5 10/12/2019 Asiyah 1 1
6 11/12/2019 M. Arif 1 1
7 12/12/2019 Drs. Purba Tarigan 1 1
8 13/12/19 Sabar Karo-karo 1 1
9 16/12/19 Yesaya Pandia 1 1
10 16/12/19 Riswan Efendi 1 1
11 18/12/19 Samiun 1 1
12 18/12/19 Terem Ginting 1 1
13 19/12/19 Sutrisno 1 1
14 19/12/19 Debi 1 1
15 20/12/19 Terkelin 1 1
16 23/12/19 Nuriyanto 1
17 23/12/19 Siti Aminah 1 1
18 24/12/19 Samsul 1 1
19 24/12/19 Niko 1 1
20 24/12/19 Anggia Putra 1 1
Total 16 4 16 3
lan Desember 2019

Status
Dokter Pemeriksaan Harga
Umum Bpjs
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Nuryunita Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Nuryunita Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Amira Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Amira Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
6 14 Rp 3,000,000
 Data Pasien Radiology Bulan Januari 2020

Jenis kelamin Keterangan

Ç Tanggal Nama pasien TL RM
L P RAJAL RANAP
1 1/3/2020 Imam 022722 1 1
2 1/6/2020 Tamin Ginting 012498 1 1
3 1/6/2020 Febri 1 1
4 1/8/2020 Fadliati 1 1
5 1/9/2020 Targin Tarigan 023294 1 1
6 1/9/2020 Makmur Ginting 021907 1 1
7 1/10/2020 Setiawati 024297 1 1
8 1/10/2020 Kriawati 023033 1 1
9 1/31/2020 Manuarang 024419 1 1

Total 8 1
Bulan Januari 2020

Status
Dokter Pemeriksaan Harga
Umum Bpjs
1 Dr.Setia Putra Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Nuryunita Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr.Nuryunita Sp P Thorax Rp 150,000
1 Dr.Setia Putra Sp P Thorax Rp 150,000
1 Dr.Nuryunita Sp P Thorax Rp 150,000
3 6 Rp 1,350,000
 Data Pasien Radiology Bulan Febuari 2020

Jenis kelamin Keterangan

No Tanggal Nama pasien TL RM
L P RAJAL RANAP
1 3/2/2020 M Syaifullah 18/6/1988 024439 1 1
2 6/2/2020 Sugiem 1/8/1953 024498 1 1
3 7/2/2020 Jara Paji 19/9/1955 021735 1 1
4 10/2/2020 Irja Kusuma 22/7/1983 1 1
5 12/2/2020 Rosliana 25/03/1970 1 1
6 12/2/2020 Sakban sembiring 020232 1 1
7 14/2/2020 Matius 5/6/1996 1 1
8 17/2/2020 Rosmauli 11/2/1957 1 1
9 17/2/2020 Robinson 7/12/1954 017085 1 1
10 17/2/2020 Anggiat 15/8/1958 21733 1 1
11 18/2/2020 Hamidah 2/4/1968 24514 1 1
12 18/2/2020 Feri 13/01/1997 1 1
13 20/2/2020 Raswa 4/3/2005 20233 1 1
14 20/2/2020 Rosmauli 1/12/1968 24524 1 1
15 21/2/2020 Mhd Sodiq 12/8/1978 24525 1 1
16 24/2/2020 Delfideria 8/11/1950 23238 1 1
17 24/2/2020 Zakia 20/2/2001 24541 1 1
18 24/2/2020 Pelat br karo 6/6/1965 24545 1 1
19 25/2/2020 Sopan Ginting 23/9/1972 1 1
20 27/2/2020 Joko Setio 19/10/1978 24561 1 1
21 28/2/2020 Sumiati 2/12/1980 24560 1 1

Total 7 14 16 5
ulan Febuari 2020

Status
Dokter Pemeriksaan Harga
Umum Bpjs
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Nuryunita Sp P Thorax Rp 150,000
1 Dr. Arfah Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Risky Thorax Rp 150,000
1 Dr.Hilaluddin Sp P Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Arfah Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Thorax Rp 150,000
1 Dr. Amira Sp P Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Nuryunita Sp P Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Hilalluddin Sp P Thorax Rp 150,000
1 Dr. Amira Sp P Thorax Rp 150,000
1 Dr. Amira Sp P Thorax Rp 150,000

10 11 Rp 3,150,000