(FPK) Pusk - Saradan Ri 2018 Agung

REKAPITULASI PELAYANAN RAWAT INAP
PUSKESMAS : SARADAN
BULAN PELAYANAN : JANUARI 2018
No Nama Peserta No. Kartu BPJS Alamat Peserta No. Telp Diagnosa
Kesehatan Peserta
saradan rt:12 rw: 03

1 mugeni dally 0000104959912 sugigihwaras I21-Acute myocardial infarction
ledokan rt:04/ rw:01

2 sarju 0000736383701 sugiwaras I11-Hypertensive heart disease
3 niky ananda 0001410480437 sebayi rt:04/ rw: 01 K29.7-Gastritis, unspecified

sebayi
I11.9-Hypertensive heart disease without (congestive) heart failure.
4 sukarti 0000737370707 saradan rt:11/ rw:03 E11.9-Non-insulin-dependent diabetes mellitus without
sugihwaras
complications
A09-Diarrhoea and gastroenteritis of presumed infectious
gebangan rt: 001/ rw:
5 seran 0000104935994
001 winong origin. J44.9-Chronic obstructive pulmonary disease,
unspecified
6 mariyem 0000737536015
jambangan rt:31 rw: 10 E10.9-Insulin-dependent diabetes mellitus without
sugihwaras complications. N18-Chronic kidney disease
jambangan rt: 30/rw:09
7 sakiran 0000738361348
sugihwaras N30.0-Acute cystitis. R50.9-Fever, unspecified
8 paijan 0000736794224
nampurejo rt: 27 rw: 08 E11.5-Non-insulin-dependent diabetes mellitus with
sidorejo peripheral circulatory complication
saradan rt: 07 rw: 02
9 sumani 0001045333146 sugihwaras R51-Headache
petung rt: 09/rw: 02

10 tri wiyanti 0001163375662
nampu gemarang K30-Dyspepsia
pepe rt:28. rw:10

11 suwarno 0000736797341
pajaran saradan R50.9-Fever, unspecified
saradan rt: 12. rw : 13

12 sudarsi 0001045332911 sugihwaras saradan R50.9-Fever, unspecified
kopen rt: 16. rw: 05

13 rudi hadi suwarno 0000737617803 sidorejo saradan A01.4-Paratyphoid fever, unspecified
14 atminah 0000104959855 ledokana rt: rw: I11-Hypertensive heart disease

sugihwaras sardan
15 tariyem 0000105065076 setern rt: 25/ rw: 09 M10.09-Idiopathic gout, unspecified site
pajaran saradan
beran rt: 07. rw: 04

16 supono 0002081938634
beran gemarang I11-Hypertensive heart disease. B02.0-Zoster encephalitis
kopen rt 17, rw: 05

17 marmin 0000738226012 A01.4-Paratyphoid fever, unspecified
sidorejo saradan
18 ima corniasari 0001965271263 perum metro serpong K30-Dyspepsia
saradan rt:07. rw: 02

19 katinem
sugihwaras G46.0-Middle cerebral artery syndrome
105064604
ika prasanti saradan rt:12 rw: 03
20 febriani 0000738425586 sugigihwaras R11-Nausea and vomiting
josaren rt; 43. rw : 13

21 sayem 0000738152741
sugihwaras R51-Headache
kampung baru rt;07
22 djupri 0000104959091 rw;02 sugihwaras K29.7-Gastritis, unspecified
saradan
No. Kartu BPJS No. Telp
No Nama Peserta Kesehatan Alamat Peserta Peserta Diagnosa
23 miran 0000738201284 bandunga, rt: 07 rw: 01 D40.9-Neoplasm of uncertain or unknown behavior of male
saradan genital organ, unspecified
24 verruarjovano 0001541208802
manirejo rt ; 33. rw: 09 A09-Diarrhoea and gastroenteritis of presumed infectious
saradan origin
nampu rt : 28. rw: 08.
25 rahmad dani 0000736929865 R50.9-Fever, unspecified
sidorejo sardan
sugihwarasas rt:22. rw:

26 dwi adi susilo 0000737775898 R50.9-Fever, unspecified
07 sugihwaras saradan
sidorejo rt:28. rw: 08

27 taka 0000737357297 sidorejo A01.4-Paratyphoid fever, unspecified
j0ngol rt:2. rw: 01 batok

28 niyem 0000737574693 gemarang R50.9-Fever, unspecified
29 semi 0001702988346
cebe rt:28/rw:08. E11.9-Non-insulin-dependent diabetes mellitus without
sugihwaras saradan complications
30 sawi pepe pajaran A01.4-Paratyphoid fever, unspecified
31 sutaminem saradan R57.9 - Shock, unspecified
32 kartini kedungrejo sugihwaras

A01.4-Paratyphoid fever, unspecified. + K29.7-Gastritis,
unspecified
33 aldi pajaran
origin
34 tami sejan, gemarang

origin
35 amelia prima pepe pajaran A01.4-Paratyphoid fever, unspecified
36 suminem
sidorejo rt:28. rw: 08 A09-Diarrhoea and gastroenteritis of presumed infectious
sidorejo origin
Jumlah Total
PELAYANAN RAWAT INAP
SMAS : SARADAN
YANAN : JANUARI 2018
Jumlah
Tindakan yang Tgl Masuk Tgl Keluar Hari Besaran Jumlah Tagihan
diberikan Tarip
Rawat
Pasang Infus, Injeksi,

Obat Oral 1/15/2018 1/15/2018 0 Rp 180,000 Rp -

Obat Oral 1/6/2018 1/10/2018 4 Rp 180,000 Rp 720,000

Obat Oral
1/3/2018 1/6/2018 3 Rp 180,000 Rp 540,000

Obat Oral
12/31/2017 1/3/2018 3 Rp 180,000 Rp 540,000

Obat Oral
03//1/2018 1/7/2018 4 Rp 180,000 Rp 720,000

Obat Oral
1/13/2018 1/17/2018 4 Rp 180,000 Rp 720,000

Obat Oral
1/8/2018 1/11/2018 3 Rp 180,000 Rp 540,000

Obat Oral 1/12/2018 1/17/2018 5 Rp 180,000 Rp 900,000

Obat Oral 1/11/2018 1/14/2018 4 Rp 180,000 Rp 720,000

Obat Oral
1/15/2018 1/17/2018 2 Rp 180,000 Rp 360,000

Obat Oral
1/15/2018 1/18/2018 3 Rp 180,000 Rp 540,000

Obat Oral 1/12/2018 1/16/2018 4 Rp 180,000 Rp 720,000

Obat Oral 1/12/2018 1/16/2018 4 Rp 180,000 Rp 720,000

Obat Oral
1/5/2018 1/9/2018 3 Rp 180,000 Rp 540,000

Obat Oral
1/10/2018 1/13/2018 3 Rp 180,000 Rp 540,000

Obat Oral
1/11/2018 1/14/2018 3 Rp 180,000 Rp 540,000

1/16/2018 1/20/2018 4 Rp 180,000 Rp 720,000
Obat Oral

Obat Oral
10/16/2018 1/20/2018 4 Rp 180,000 Rp 720,000

Obat Oral
1/21/2018 1/21/2018 0 Rp 180,000 Rp -

Obat Oral 1/20/2018 1/23/2018 3 Rp 180,000 Rp 540,000

Obat Oral
1/20/2018 1/24/2018 4 Rp 180,000 Rp 720,000

Obat Oral
1/22/2018 1/25/2018 3 Rp 180,000 Rp 540,000
Jumlah
Tindakan yang Besaran
diberikan Tgl Masuk Tgl Keluar Hari Tarip Jumlah Tagihan
Rawat

Obat Oral
1/16/2018 1/19/2018 3 Rp 180,000 Rp 540,000

Obat Oral
1/24/2018 1/26/2017 2 Rp 180,000 Rp 360,000

1/21/2018 1/25/2018 4 Rp 180,000 Rp 720,000
Obat Oral

Obat Oral
1/22/2018 1/27/2018 5 Rp 180,000 Rp 900,000

Obat Oral 1/23/2018 1/27/2018 4 Rp 180,000 Rp 720,000

Obat Oral 1/24/2018 1/28/2018 4 Rp 180,000 Rp 720,000

Obat Oral
1/23/2018 1/28/2018 5 Rp 180,000 Rp 900,000
1/19/2018 1/19/2018 1
1/17/2018 1/18/2018 2
1/1/2018 1/3/2018 3
1/15/2018 1/16/2018 1
1/15/2018 1/17/2018 3
1/19/2018 1/20/2018 1
12/29/2017 12/30/2017 2
Jumlah
Rawat
h Total Rp 17,460,000
Madiun,
Kepala Puskesmas Saradan
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002
PUSKESMAS : SARADAN
BULAN PELAYANAN : FEBRUARI 2018
Kesehatan Peserta
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
ESMAS : SARADAN
AYANAN : FEBRUARI 2018
Jumlah
diberikan Tarip
Rawat

Obat Oral Rp 180,000 Rp -
Pasang Infus, Injeksi, Rp 180,000 Rp -

Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral



Obat Oral

Obat Oral


Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
Jumlah
Rawat


Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral


Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral



Obat Oral
ah Total Rp -
Madiun,
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002
REKAPITULASI PELAYANAN RAWAT IN
PUSKESMAS : SARADAN
BULAN PELAYANAN : MARET 2018

10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
LAYANAN RAWAT INAP
MAS : SARADAN
ANAN : MARET 2018
Jumlah
Rawat

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
Jumlah
Rawat

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
otal Rp -
Madiun,
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Jumlah
Tindakan yang
diberikan Tgl Masuk Tgl Keluar Hari
Rawat

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral

Obat Oral
PUSKESMAS : SARADAN
BULAN PELAYANAN : MEI 2018
Kesehatan Peserta
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
ESMAS : SARADAN
ELAYANAN : MEI 2018
Jumlah
diberikan Tarip
Rawat


Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral



Obat Oral

Obat Oral


Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
Jumlah
Rawat


Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral


Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral



Obat Oral

Obat Oral
ah Total Rp -
Madiun,
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002
PUSKESMAS : SARADAN
BULAN PELAYANAN : JUNI 2018

10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
LAYANAN RAWAT INAP
MAS : SARADAN
AYANAN : JUNI 2018
Jumlah
Rawat

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
Jumlah
Rawat

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
otal Rp -
Madiun,
Jumlah
Rawat
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002
PUSKESMAS : SARADAN
BULAN PELAYANAN : JULI 2018

No Nama Peserta Alamat Peserta Diagnosa
Kesehatan Peserta
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
ESMAS : SARADAN
ELAYANAN : JULI 2018
Tindakan yang Jumlah Besaran

Tgl Masuk Tgl Keluar Hari Jumlah Tagihan
diberikan Rawat Tarip



Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral




Obat Oral

Obat Oral


Obat Oral

Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral



Obat Oral

Obat Oral
Jumlah
Rawat

Rp 180,000 Rp -
Obat Oral



Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral



Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral


Obat Oral

Obat Oral
ah Total Rp -
Madiun,
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002
PUSKESMAS : SARADAN
BULAN PELAYANAN : AGUSTUS 2018
Kesehatan Peserta
10
11
12
13
14
15
16
17
18
Kesehatan Peserta
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
Kesehatan Peserta
1
LAYANAN RAWAT INAP
MAS : SARADAN
ANAN : AGUSTUS 2018
Jumlah
diberikan Tarip
Rawat

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
Jumlah
diberikan Tarip
Rawat

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
otal Rp -
Madiun,
Jumlah
diberikan Tarip
Rawat

Rp 180,000 Rp -
Obat Oral
Dr. PORWASIS, MMKES
NIP. 19660214 200212 1 002
PUSKESMAS : SARADAN
BULAN PELAYANAN : SEPTEMBER 201
Kesehatan Peserta
10
11
12
13
14
15
16
17
18
Kesehatan Peserta
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
Kesehatan Peserta
1
LAYANAN RAWAT INAP
MAS : SARADAN
NAN : SEPTEMBER 2018
Jumlah
diberikan Tarip
Rawat

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
Jumlah
diberikan Tarip
Rawat

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral
otal Rp -
Madiun,
Jumlah
diberikan Tarip
Rawat

Rp 180,000 Rp -
Obat Oral
Dr. PORWASIS, MMKES
NIP. 19660214 200212 1 002
PUSKESMAS : SARADAN
BULAN PELAYANAN : OKTOBER 2018
Jumlah
No Nama Peserta No. Kartu BPJS Alamat Peserta No. Telp Diagnosa Tindakan yang Tgl Masuk Tgl Keluar Hari Besaran Jumlah Tagihan
Kesehatan Peserta diberikan Tarip
Rawat

1 Obat Oral Rp 180,000 Rp -
2 Pasang Infus, Injeksi, Rp 180,000 Rp -

Obat Oral

Obat Oral

4 Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral

Obat Oral

8 Rp 180,000 Rp -
Obat Oral

9 Rp 180,000 Rp -
Obat Oral

10 Rp 180,000 Rp -
Obat Oral


Jumlah
No. Kartu BPJS No. Telp Tindakan yang Besaran
No Nama Peserta Kesehatan Alamat Peserta Peserta Diagnosa diberikan Tgl Masuk Tgl Keluar Hari Tarip Jumlah Tagihan
Rawat


Obat Oral

Obat Oral

16 Rp 180,000 Rp -
Obat Oral

17 Rp 180,000 Rp -
Obat Oral

18 Rp 180,000 Rp -
Obat Oral

19 Rp 180,000 Rp -
Obat Oral


21 Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral



Obat Oral

Obat Oral
Jumlah
Rawat


Obat Oral

Obat Oral

31 Rp 180,000 Rp -
Obat Oral

32 Rp 180,000 Rp -
Obat Oral

33 Rp 180,000 Rp -
Obat Oral

34 Rp 180,000 Rp -
Obat Oral

Jumlah Total Rp -
Madiun,
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002
Jumlah
Rawat
PUSKESMAS : SARADAN
BULAN PELAYANAN : NOPEMBER 2018
Kesehatan Peserta
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
ESMAS : SARADAN
YANAN : NOPEMBER 2018
Jumlah
diberikan Tarip
Rawat


Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral



Obat Oral

Obat Oral


Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral
Jumlah
Rawat


Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral


Rp 180,000 Rp -
Obat Oral

Obat Oral

Obat Oral



Obat Oral

Obat Oral

ah Total Rp -
Madiun,
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002
PUSKESMAS : SARADAN
BULAN PELAYANAN : DESEMBER 2018
Kesehatan Peserta
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Jumlah Total
ESMAS : SARADAN
YANAN : DESEMBER 2018
Jumlah
diberikan Tarip
Rawat



Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral



Obat Oral

Obat Oral

Obat Oral


Obat Oral

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral


Rp 180,000 Rp -
Obat Oral
Jumlah
Rawat

Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral



Rp 180,000 Rp -
Obat Oral

Rp 180,000 Rp -
Obat Oral



Obat Oral

Obat Oral


ah Total Rp -
Madiun,
Dr. PORWASIS, MMKES

NIP. 19660214 200212 1 002

(FPK) Pusk - Saradan Ri 2018 Agung

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REKAPITULASI PELAYANAN RAWAT INAP

saradan rt:12 rw: 03

ledokan rt:04/ rw:01

3 niky ananda 0001410480437 sebayi rt:04/ rw: 01 K29.7-Gastritis, unspecified

petung rt: 09/rw: 02

pepe rt:28. rw:10

saradan rt: 12. rw : 13

kopen rt: 16. rw: 05

14 atminah 0000104959855 ledokana rt: rw: I11-Hypertensive heart disease

beran rt: 07. rw: 04

kopen rt 17, rw: 05

18 ima corniasari 0001965271263 perum metro serpong K30-Dyspepsia

saradan rt:07. rw: 02

josaren rt; 43. rw : 13

sugihwarasas rt:22. rw:

sidorejo rt:28. rw: 08

j0ngol rt:2. rw: 01 batok

30 sawi pepe pajaran A01.4-Paratyphoid fever, unspecified

31 sutaminem saradan R57.9 - Shock, unspecified

32 kartini kedungrejo sugihwaras

34 tami sejan, gemarang

35 amelia prima pepe pajaran A01.4-Paratyphoid fever, unspecified

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Pasang Infus, Injeksi,

Pasang Infus, Injeksi, Rp 180,000 Rp -

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Pasang Infus, Injeksi,

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