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  • Pcare Halaman 2

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    Ninic Purwa
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    The document is a list of 30 patients from the Ngempit health facility with their hospital admission dates, total costs, and verification status. It shows patient names, dates of admission and discharge, deadlines for payment, costs of treatment, treating facility, and that all statuses are listed as unverified. The document provides billing details for inpatient treatments at the Ngempit health center in January 2023.

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    PCARE HALAMAN 2

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    The document is a list of 30 patients from the Ngempit health facility with their hospital admission dates, total costs, and verification status. It shows patient names, dates of admission and discharge, deadlines for payment, costs of treatment, treating facility, and that all statuses are listed as unverified. The document provides billing details for inpatient treatments at the Ngempit health center in January 2023.

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    © All Rights Reserved
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    Flag for inappropriate content
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    7 views1 page

    Pcare Halaman 2

    Uploaded by

    Ninic Purwa
    The document is a list of 30 patients from the Ngempit health facility with their hospital admission dates, total costs, and verification status. It shows patient names, dates of admission and discharge, deadlines for payment, costs of treatment, treating facility, and that all statuses are listed as unverified. The document provides billing details for inpatient treatments at the Ngempit health center in January 2023.

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    © All Rights Reserved
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    of 1

    07/03/23, 13.

    37 ECLAIM - Primary Care - PCare

    Bulan Pelayanan

    Januari 2023

    Perawatan

    Rawat Inap

    Status Data

    Baru

    Faskes

    Ngempit (13261102)

     Cari Data

    Daftar Tagihan (Non-Kapitasi)

    NO TGL DATANG TGL PULANG TGL KADALUARSA NAMA PESERTA

    16 15-01-2023 18-01-2023 18-07-2023 LILIK NADIFA (0000716511778) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    17 15-01-2023 17-01-2023 17-07-2023 LANA ATIKAH (0000717577108) Rp. 360.000,- Ngempit (13261102) Blm Verif 

    18 13-01-2023 16-01-2023 16-07-2023 KHOIRUL ANAM (0000717203362) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    19 13-01-2023 16-01-2023 16-07-2023 DIMYATI (0000718171525) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    20 13-01-2023 16-01-2023 16-07-2023 SUWARNI (0002844225865) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    21 12-01-2023 14-01-2023 14-07-2023 FATKHUL FADLI (0000716807766) Rp. 360.000,- Ngempit (13261102) Blm Verif 

    22 12-01-2023 14-01-2023 14-07-2023 CHOLIPAH (0000717131867) Rp. 360.000,- Ngempit (13261102) Blm Verif 

    23 11-01-2023 12-01-2023 12-07-2023 ANGGI PUTRI (0000112715155) Rp. 180.000,- Ngempit (13261102) Blm Verif 

    24 11-01-2023 15-01-2023 15-07-2023 FAISOL (0003018269204) Rp. 720.000,- Ngempit (13261102) Blm Verif 

    NURUL ABIDAH ABDURROHMAN Blm Verif


    25 11-01-2023 12-01-2023 12-07-2023 Rp. 180.000,- Ngempit (13261102) 
    (0003237777573)

    26 10-01-2023 13-01-2023 13-07-2023 DEWI MURNI (0000715771923) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    27 10-01-2023 13-01-2023 13-07-2023 MIFTAHUL JANNAH (0000716683419) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    28 09-01-2023 10-01-2023 10-07-2023 M. SUBADAR (0002808700244) Rp. 180.000,- Ngempit (13261102) Blm Verif 

    29 09-01-2023 11-01-2023 11-07-2023 SALMAN AL HATTA (0002936838971) Rp. 360.000,- Ngempit (13261102) Blm Verif 

    30 08-01-2023 11-01-2023 11-07-2023 SITI SOFEYA (0000715592507) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    Showing 16 to 30 of 42 entries Previous 1 2 3 Next

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