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    This document outlines the tariff structure for inpatient services at the Datu Sanggul Hospital in Rantau, Tapin Regency, Indonesia. It lists the fees for different types of rooms, consultations with doctors of various specialties, nursing care classifications, diagnostic tests, radiology, laboratory services, medical equipment, nutrition consultations, physical therapy and other miscellaneous items. The fees range from 10,000/hour for doctor consultations to 75,000/hour for vital sign monitors and bed decubitus equipment rental. The document is addressed to an individual patient providing their name, date of birth, address, medical record number and dates of admission and discharge to detail the services received and calculate the total

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    KELAS 3

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    This document outlines the tariff structure for inpatient services at the Datu Sanggul Hospital in Rantau, Tapin Regency, Indonesia. It lists the fees for different types of rooms, consultations with doctors of various specialties, nursing care classifications, diagnostic tests, radiology, laboratory services, medical equipment, nutrition consultations, physical therapy and other miscellaneous items. The fees range from 10,000/hour for doctor consultations to 75,000/hour for vital sign monitors and bed decubitus equipment rental. The document is addressed to an individual patient providing their name, date of birth, address, medical record number and dates of admission and discharge to detail the services received and calculate the total

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    7 views1 page

    Kelas 3

    Uploaded by

    isolasi datu sanggul
    This document outlines the tariff structure for inpatient services at the Datu Sanggul Hospital in Rantau, Tapin Regency, Indonesia. It lists the fees for different types of rooms, consultations with doctors of various specialties, nursing care classifications, diagnostic tests, radiology, laboratory services, medical equipment, nutrition consultations, physical therapy and other miscellaneous items. The fees range from 10,000/hour for doctor consultations to 75,000/hour for vital sign monitors and bed decubitus equipment rental. The document is addressed to an individual patient providing their name, date of birth, address, medical record number and dates of admission and discharge to detail the services received and calculate the total

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    of 1

    PEMERINTAH KABUPATEN TAPIN

    RUMAH SAKIT DATU SANGGUL RANTAU


    Jln. Brigjend H. Hasan basery km 1 Rantau Kalimantan Selatan 71111

    TARIF PELAYANAN RUANG PENYAKIT DALAM


    (Peraturan Bupati Tapin Nomor 09 Tahun 2013)

    KELAS III

    NAMA : TANGGAL LAHIR :


    ALAMAT : NO MR :
    TGL. MASUK : TGL KELUAR :
    JUMLAH HARI RAWAT : UNIT PERAWATAN :
    NO JENIS LAYANAN TARIF VOLUME JUMLAH BIAYA
    1 Unit Gawat Darurat

    Ruang/Perawatan
    2 a. Akomodasi / kamar 15,000/hr

    b. Visite / konsul dr.solaeman,Sp.B 10.000/hr


    c. Visiter/ konsul dr.Mujiran,Sp.B 10.000/hr
    d. Visiter/ konsul dr.Teguh,Sp.PD 10,000/hr
    e. Visiter/ konsul dr.arif,Sp.PD 10,000/hr
    f. Visiter/ konsul dr.Rezekian,Sp.M 10,000/hr
    g. Visiter/ konsul dr.Anita,Sp.THT 10,000/hr
    h. Visiter/ konsul dr.Panji,Sp.PD 10,000/hr
    i. Visiter/ konsul dr. 10,000/hr
    j. Visiter/ konsul dr. 10,000/hr
    k. VIsite / konsul dr.umum 5,000/hr
    l. ASKEP I 7,500/hr
    m. ASKEP II 10,000/hr
    n. ASKEP III 15,000/hr
    o. ASKEP IV 20,000/hr
    p. Tindakan Keperawatan Dasar 2,000/hr
    (Tindakan Kep Dasar : Aff DC,Irigasi mata, Perawatan WSD, Persiapan Operasi, Aff NGT, GV)

    q. Tindakan keperawatan komplek 5,000/hr


    (Tindakan Kep Komplek : Lavemen, Pasang infus/ DC/Tranfusi,Rawat Luka Kotor,Ganggren/Ulkus,Aff Jahitan)

    3 Diagnostik Elektromedik
    a. EKG 16,000/ x
    b. Nebulizer 12,500/ x
    c. Observasi/jam 20,000/ jam
    d. Vital Sign Monitor 75,000/hr
    e. Bed Decubitus 75,000/hr
    f. Pulse Oxymetri 7,500/x
    g. Syring Pump 30,000/hr
    h. Infus Pump 30,000/hr
    i. Suction 15,000/ x
    j. Oksigen 4,800/ltr/jam
    k. Fungsi Acietes/pleura 60,000/ x
    l. EEG 50,000/ x
    4 RADIOLOGI
    5 UTD
    6 LABORATORIUM
    7 ALKES
    8 KONSULTASI GIZI
    9 FISIOTERAPI
    10 LAIN-LAIN

    JUMLAH

    Rantau,………/……/2020
    KEPALA RUANG PENYAKIT DALAM WANITA

    A N A N G,AMK

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