FORM DATA KINERJA

BULAN : April
UNIT : Ruang Perinatal
KLINIK :
Nama Dokter : dr. Elhant Rigel A, Sp.A
PEMERIKSAAN (Rp) TINDAKAN DOKTER (Rp) TINDAKAN PERAWAT (Rp)
TGL PARAF DOKTER
UMUM BPJS UMUM BPJS UMUM BPJS
1 40,000 460,000
2 40,000 405,000
3 40,000 405,000
4 40,000 405,000
5
6
7 130,000 255,000 1,675,000
8 40,000 75,000 695,000
9 40,000 75,000 695,000
10 40,000 75,000 695,000
11 95,000 75,000 1,585,000
12 40,000 75,000 605,000
13 40,000 130,000 255,000 520,000 1,680,000
14 90,000 75,000 1,510,000
15 25,000 52,000 75,000 405,000 825,000
16 40,000 75,000 795,000
17 104,000 590,000 1,848,000
18 150,000 150,000 2,575,000
19 80,000 150,000 1,690,000
20 40,000 120,000 520,000 230,000 2,070,000
21 80,000 150,000 1,465,000
22 40,000 40,000 75,000 405,000 770,000
23 40,000 75,000 770,000
24 40,000 75,000 665,000
25 120,000 75,000 1,700,000
26 40,000 75,000 630,000
27 25,000 405,000
28 65,000 75,000 918,000
29 90,000 75,000 1,400,000
30 285,000 75,000 3,960,000
31
Jml 250,000 2,031,000 520,000 2,980,000 2,545,000 32,086,000
BULAN : Mei 2022
UNIT : Ruang Perinatal
KLINIK :
Nama Dokter : dr. Elhant Rigel A, Sp.A
PEMERIKSAAN (Rp) TINDAKAN DOKTER (Rp) TINDAKAN PERAWAT (Rp) PARAF
TGL
UMUM BPJS UMUM BPJS UMUM BPJS DOKTER
1
2
3
4 25,000 40,000 408,000 520,000
5
6 65,000 928,000
7 25,000 408,000
8 25,000 408,000
9
10 40,000 520,000
11 65,000 80,000 928,000 1,040,000
12 25,000 75,000 80,000 408,000 1,384,000
13 25,000 127,500 565,000 520,000 2,013,000
14 40,000 115,000 100,000 520,000 1,208,000
15 40,000 100,000 710,000
16 137,000 180,000 1,653,000
17 80,000 1,088,000
18 40,000 160,000 468,000 2,073,000
19 40,000 408,000
20 40,000 520,000
21 25,000 520,000
22
23 25,000 25,000 408,000 408,000
24 40,000 520,000
25 40,000 520,000
26 65,000 928,000
27 145,000 80,000 1,744,000
28 170,000 2,128,000
29 25,000 408,000
30 50,000 433,000
31 25,000 100,000 973,000
Jml 270,000 1,674,500 0 1,205,000 4,068,000 23,055,000
BULAN : Juni 2022
UNIT : Ruang Perinatal
KLINIK :
Nama Dokter : dr. Elhant Rigel A, Sp.A
PEMERIKSAAN (Rp) TINDAKAN DOKTER TINDAKAN PERAWAT (Rp)
TGL (Rp) PARAF
UMUM BPJS UMUM BPJS UMUM BPJS DOKTER
1
2 25,000 25,000 520,000 520,000
3
4 115,000 205,000 1,528,000
5 64,500 235,000 1,606,000
6 190,000 205,000 2,385,000
7 145,000 50,000 1,763,000
8 200,000 3,110,000
9 40,000 130,000 408,000 1,916,000
10 40,000 408,000
11 62,500 80,000 1,240,000
12 77,000 1,033,000
13 25,000 65,000 408,000 625,000
14 25,000 50,000 520,000 816,000
15 180,000 2,896,000
16
17 100,000 360,000 2,141,000
18 105,000 1,173,000
19 114,500 1,521,000
20 210,000 360,000 2,953,000
21 77,500 65,000 870,000 705,000
22 145,000 2,310,000
23 90,000 65,000 80,000 1,005,000 620,000
24 105,000 79,500 790,000 1,130,000
25 40,000 155,000 385,000 225,000 1,981,000
26 52,000 80,000 1,430,000
27 25,000 80,000 408,000 1,605,000
28 25,000 117,500 520,000 1,810,000
29 302,000 180,000 2,403,000
30 142,500 1,793,000
31
Jml 477,500 3,077,000 0 2,628,000 5,266,000 43,421,000
BULAN : SEPTEMBER 2022
UNIT : Ruang Perinatal
KLINIK :
Nama Dokter : dr. Elhant Rigel A, Sp.A
PEMERIKSAAN (Rp) TINDAKAN DOKTER (Rp) TINDAKAN PERAWAT (Rp) PARAF
TGL
UMUM BPJS UMUM BPJS UMUM BPJS DOKTER
1 65,000 157,500 655,000 2,158,000
2 130,000 2,571,000
3 40,000 117,500 80,000 725,000 2,248,000
4 52,500 62,500 235,000 625,000 2,034,000
5 40,000 130,000 230,000 2,436,000
6 182,000 285,000 1,763,000
7 235,000 410,000 4,313,000
8 292,500 5,706,000
9 12,500 135,000 568,000 3,263,000
10 40,000 160,000 400,000 2,538,000
11 29,500 94,000 420,000 219,000
12 80,000 200,000 833,000 2,405,000
13 40,000 120,000 260,000 1,310,000
14 117,500 65,000 80,000 1,163,000 953,000
15 120,000 120,000 1,330,000 1,578,000
16 40,000 120,000 150,000 275,000 2,203,000
17 120,000 1,340,000
18 115,000 1,840,000
19 329,500 230,000 3,981,000
20 200,000 2,049,000
21 160,000 1,883,000
22 102,500 1,120,000
23 80,000 928,000
24 80,000 130,000 988,000 1,545,000
25 117,500 2,463,000
26 37,500 130,000 1,035,000 1,961,000
27 25,000 120,000 370,000 1,620,000
28 52,500 92,500 618,000 1,959,000
29 117,500 40,000 410,000 1,330,000 395,000
30 120,000 120,000 1,332,000 1,224,000
31
Jml 1,109,500 4,178,000 720,000 1,160,000 13,157,000 62,006,000