BPJS KESEHATAN
JL LETJEN SUPRAPTO KAV 20 NO 14
RT:000, RW:000.
Kel:CEMPAKA PUTIH, Kec:Cempaka
Putih., INDONESIA
10510
To :
Mr/Mrs. BPJS KESEHATAN - ASET DJS KC
BARABAI
bnidirectbarabai@gmail.com
We have debited your account for the following transaction :
Date
Transaction Type
Remitter Name
Remitter Account Number
Transaction Amount
Remark
Beneficiary Name
Beneficiary Account Number
Reference No.
Remitter Reference No.
Beneficiary Reference No.
This advice is printed by computer and require no signature from bank officer
Advice Date : 14 February 2022
Advice No. : 202202141175328158
Page : 1
Full Debit Advice
: 14 February 2022
: Bulk Payment - LLG
: BPJS KESEHATAN - ASET DJS KC BARABAI
: *******436 (IDR)
KRAMAT
: IDR 200,000.00
: Puskesmas Wirang Klaim RJTP Septe
: Bend Penerimaan BLUD Puskesmas Wirang
: **********882 (IDR)
BPD Kalimantan Selatan,BPD Kalimantan Selatan,
: 20220214091206124973
: -
: Puskesmas Wirang
PT Bank Negara Indonesia (Persero) Tbk
Divisi Transactional Banking Services
Gedung Wisma 46 lt.3
Jl. Jend. Sudirman Kav.1
Jakarta 10220
Telp: +62-21-29946046
Fax: +62-21-5728874