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    Laporan Kasir 2023 05 02 2023 05 02

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    Puskesmas Bhaktijaya
    The document is a payment recap report from the Bhaktijaya health center for the period of May 2nd 2023. It includes 30 entries listing patient details like name, gender, service received, amount paid and health center. Some patients received additional services like hematology or urine tests or health certificates.

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    Laporan Kasir 2023 05 02 2023 05 02

    Uploaded by

    Puskesmas Bhaktijaya
    12 views8 pages
    The document is a payment recap report from the Bhaktijaya health center for the period of May 2nd 2023. It includes 30 entries listing patient details like name, gender, service received, amount paid and health center. Some patients received additional services like hematology or urine tests or health certificates.

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    laporan-kasir-2023-05-02-2023-05-02 (1)

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    The document is a payment recap report from the Bhaktijaya health center for the period of May 2nd 2023. It includes 30 entries listing patient details like name, gender, service received, amount paid and health center. Some patients received additional services like hematology or urine tests or health certificates.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
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    12 views8 pages

    Laporan Kasir 2023 05 02 2023 05 02

    Uploaded by

    Puskesmas Bhaktijaya
    The document is a payment recap report from the Bhaktijaya health center for the period of May 2nd 2023. It includes 30 entries listing patient details like name, gender, service received, amount paid and health center. Some patients received additional services like hematology or urine tests or health certificates.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 8

    <table width="400px">

    <tr align="center">
    <td colspan="8">LAPORAN Rekapan Pembayaran</td>
    </tr>
    <tr>
    <td>PKM : BHAKTIJAYA</td>
    </tr>
    <tr>
    <td>Periode : 2023-05-02 s.d 2023-05-02</td>
    </tr>
    <tr>
    <td><b>No.</td>
    <td><b>Tanggal</td>
    <td><b>No. Registrasi</b></td>
    <td><b> Nama</b></td>
    <td><b>Jenis Kelamin</b></td>
    <td><b>Jenis Pelayanan</td>
    <td><b>Jumlah</b></td>
    <td><b>Biaya</b></td>
    <td><b>Puskesmas</b></td>
    </tr>
    </table>

    <table>

    <tr>
    <td> 1</td>
    <td> 2023-05-02 07:50:00 </td>
    <td> 30203026943</td>
    <td> SAFA QOLBI AIBI </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 2</td>
    <td> 2023-05-02 07:56:00 </td>
    <td> 30203005968</td>
    <td> TRIAS PUSPITA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 3</td>
    <td> 2023-05-02 14:38:00 </td>
    <td> 30203005968</td>
    <td> TRIAS PUSPITA </td>
    <td> Perempuan </td>
    <td> Hematologi Rutin </td>
    <td> 1 </td>
    <td> 25000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 4</td>
    <td> 2023-05-02 14:38:00 </td>
    <td> 30203005968</td>
    <td> TRIAS PUSPITA </td>
    <td> Perempuan </td>
    <td> Urine Rutin </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 5</td>
    <td> 2023-05-02 07:57:00 </td>
    <td> 30203045250</td>
    <td> SYAHRIZAL BAKRI </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 6</td>
    <td> 2023-05-02 08:07:00 </td>
    <td> 30203010342</td>
    <td> PERMATA NAZILA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 7</td>
    <td> 2023-05-02 08:07:00 </td>
    <td> 30203022422</td>
    <td> ALFA ZEN </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 8</td>
    <td> 2023-05-02 08:09:00 </td>
    <td> 30203005766</td>
    <td> RUSDIATY </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 9</td>
    <td> 2023-05-02 08:25:00 </td>
    <td> 30203045266</td>
    <td> MASNAH </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 10</td>
    <td> 2023-05-02 08:37:00 </td>
    <td> 30203045267</td>
    <td> KEYLA MAHARANI </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 11</td>
    <td> 2023-05-02 08:40:00 </td>
    <td> 30203027095</td>
    <td> LAYLI QOTHRUN NADA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 12</td>
    <td> 2023-05-02 08:41:00 </td>
    <td> 30203019200</td>
    <td> UNTUNG WINARTO </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 13</td>
    <td> 2023-05-02 08:44:00 </td>
    <td> 30203003295</td>
    <td> HASANUDIN </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 14</td>
    <td> 2023-05-02 08:47:00 </td>
    <td> 30203013256</td>
    <td> ANAH </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 15</td>
    <td> 2023-05-02 08:53:00 </td>
    <td> 30203045269</td>
    <td> MUHAMMAD </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 16</td>
    <td> 2023-05-02 09:02:00 </td>
    <td> 30203045271</td>
    <td> KARMILA DELFITA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 17</td>
    <td> 2023-05-02 09:11:00 </td>
    <td> 30203045272</td>
    <td> RAVELINA MARETHA MANULLANG </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 18</td>
    <td> 2023-05-02 09:14:00 </td>
    <td> 30203045273</td>
    <td> INRI RODDHITA BILLAH </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 19</td>
    <td> 2023-05-02 09:26:00 </td>
    <td> 30203035968</td>
    <td> AKSA FADILLAH </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 20</td>
    <td> 2023-05-02 09:30:00 </td>
    <td> 30203032391</td>
    <td> MULYANA,NY </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 21</td>
    <td> 2023-05-02 09:35:00 </td>
    <td> 30203042513</td>
    <td> DADAN NUR HIDAYAT </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 22</td>
    <td> 2023-05-02 09:40:00 </td>
    <td> 30203011997</td>
    <td> SUPRIHATI </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 23</td>
    <td> 2023-05-02 09:47:00 </td>
    <td> 30203016345</td>
    <td> ISMA BEKTI WAHYUNI </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 24</td>
    <td> 2023-05-02 14:24:00 </td>
    <td> 30203016345</td>
    <td> ISMA BEKTI WAHYUNI </td>
    <td> Perempuan </td>
    <td> Surat Keterangan Sehat (termasuk Tes Ichihara)/Orang </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 25</td>
    <td> 2023-05-02 10:33:00 </td>
    <td> 30203037138</td>
    <td> PUTRI AULIA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 26</td>
    <td> 2023-05-02 14:57:00 </td>
    <td> 30203037138</td>
    <td> PUTRI AULIA </td>
    <td> Perempuan </td>
    <td> Surat Keterangan Sehat (termasuk Tes Ichihara)/Orang </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 27</td>
    <td> 2023-05-02 10:42:00 </td>
    <td> 30203027131</td>
    <td> INDAH NABILAH </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 28</td>
    <td> 2023-05-02 14:56:00 </td>
    <td> 30203027131</td>
    <td> INDAH NABILAH </td>
    <td> Perempuan </td>
    <td> Surat Keterangan Sehat (termasuk Tes Ichihara)/Orang </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 29</td>
    <td> 2023-05-02 10:51:00 </td>
    <td> 30203045275</td>
    <td> SITI HOTIJAH </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 30</td>
    <td> 2023-05-02 14:44:00 </td>
    <td> 30203045275</td>
    <td> SITI HOTIJAH </td>
    <td> Perempuan </td>
    <td> Hematologi Lengkap </td>
    <td> 1 </td>
    <td> 40000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 31</td>
    <td> 2023-05-02 14:46:00 </td>
    <td> 30203045275</td>
    <td> SITI HOTIJAH </td>
    <td> Perempuan </td>
    <td> Golongan Darah + Rhesus </td>
    <td> 1 </td>
    <td> 8000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 32</td>
    <td> 2023-05-02 14:46:00 </td>
    <td> 30203045275</td>
    <td> SITI HOTIJAH </td>
    <td> Perempuan </td>
    <td> Urine Rutin </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> BHAKTIJAYA</td>
    </tr>

    <tr>
    <td> 33</td>
    <td> 2023-05-02 15:29:00 </td>
    <td> 30203030298</td>
    <td> PURWANTO </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> BHAKTIJAYA</td>
    </tr>
    </table>
    <br />
    <br />
    <br />

    <table width="400px">
    <tr align="center">
    <td colspan="8">LAPORAN Rekapan Pembayaran Pelayanan Non
    Kesehatan</td>
    </tr>
    <tr>
    <td><b>No.</td>
    <td><b>Tanggal</td>
    <td><b> Nama</b></td>
    <td><b>Nama Instansi</b></td>
    <td><b>Jenis Pembayaran</b></td>
    <td><b>Harga Satuan</b></td>
    <td><b>Jumlah</b></td>
    <td><b>Biaya</b></td>
    <td><b>Puskesmas</b></td>
    </tr>
    </table>

    <table>
    </table>

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