KLINIK PRATAMA MUHAMMADIYAH

JL. KH. AHMAD DAHLAN 26 LAMONGAN , TELP. (0322) 321056

: 06/03/2020 : Nova
CustomerName SubLayanan ID
BAKIS COB
Umum
206635
BPJS Kesehatan
Gigi
206572
206594
206636
206619
206602
206611
206653
206638
206640
KIA

206581
206593
206612
Umum
206565
206568
206567
206569
206570
206574

206577

206573

206576

206578

206575

206589

206591

206588

206585
CustomerName SubLayanan ID

206582

206583
206597

206590

206580

206584

206629

206608

206614

206605

206606

206610

206620

206630

206622

206626

206607

206598

206621

206618

206604

206603

206634

206613

206609

206617

206633

206601

206599

206655

206637
 206639

206642

206652

206651

206644

206648

206658

206649

206657
Klinik Hijau
Umum

206631

206659
CustomerName SubLayanan ID

206645
PT KAI
Umum

206587

206586
RSML COB
Gigi

206596
Umum

206563

206615

206665
Telkom COB
Umum

206579
Telkom Kapitasi
Umum

206624
RegNum Nama Karcis Jasa Laborat Radiologi

00.97.58 Nur Farah Dina Nn 8,000.00 8,000.00 0.00 0.00

00.91.46 Alfiyah Ny 4,000.00 8,000.00 0.00 0.00

0.0362962962962963 Marsiti Ny 4,000.00 8,000.00 0.00 0.00
0.0241087962962963 Sufiyah Ny 4,000.00 8,000.00 0.00 0.00
00.71.59 Lasri Ny 4,000.00 8,000.00 0.00 0.00
01.15.82 M Sunardi Tn 4,000.00 8,000.00 0.00 0.00
01.61.40 Asnur Rumiaji Tn 4,000.00 8,000.00 0.00 0.00
00.35.99 Eka Wahyuni Ny 4,000.00 8,000.00 0.00 0.00
00.86.33 Isna Shoimatu Royani Ny 4,000.00 8,000.00 0.00 0.00
05.04.83 M Syaiful Imam Sdr 4,000.00 8,000.00 0.00 0.00

01.75.29 Nabilah Mukarromah Azzahroh 4,000.00 12,000.00 0.00 0.00

05.04.80 Azizatul Masruroh Ny 4,000.00 12,000.00 0.00 0.00
0.0370717592592593 Sri Mulyani Ny 4,000.00 12,000.00 0.00 0.00

0.00545138888888889 Khalishah Nur Afif Ismail An 8,000.00 8,000.00 0.00 0.00

0.0406134259259259 Siti Mar'atus Sholihah Ny 12,000.00 12,000.00 0.00 0.00
0.0733217592592593 Rama Harahap Tn 12,000.00 12,000.00 0.00 0.00
04.73.57 Yuliani Maghfiroh Ny 12,000.00 12,000.00 0.00 0.00
04.96.23 Shafiyyah Azrina An 12,000.00 12,000.00 0.00 0.00
00.88.80 Dani Ny 8,000.00 8,000.00 0.00 0.00

01.08.86 Soekrim Saleh Tn 8,000.00 8,000.00 0.00 0.00

01.11.94 Poppy Faiza Tuna Jiwa Aliffathin 8,000.00 8,000.00 0.00 0.00

01.15.83 Hastuti Priyanti Ny 8,000.00 8,000.00 0.00 0.00

01.94.50 Fuat Hakim Sdr 8,000.00 8,000.00 0.00 0.00

04.90.95 Adeeva Biva Atthaya An 8,000.00 8,000.00 0.00 0.00

0.0270023148148148 Dhafitha Sybilla Salsabila An 8,000.00 8,000.00 0.00 0.00

00.51.91 Nabil Abqari Arsenio Putra Susa 8,000.00 8,000.00 0.00 0.00

00.52.97 Thohir Tn 8,000.00 8,000.00 0.00 0.00

00.65.18 Nur Laili Ittasaq Ny 8,000.00 8,000.00 0.00 0.00

RegNum Nama Karcis Jasa Laborat Radiologi

01.03.79 Rokanah Ny 8,000.00 8,000.00 0.00 0.00

0.0446412037037037 Sukamto Tn 8,000.00 8,000.00 0.00 0.00

0.0602546296296296 Pariadi Tn 8,000.00 8,000.00 0.00 0.00

0.176759259259259 Hana Fajarwati Ny 8,000.00 8,000.00 0.00 0.00

0.198217592592593 Ikhya' Ulumuddin Tn 8,000.00 8,000.00 0.00 0.00

04.76.56 Aqilla Fariza Mufia An 8,000.00 8,000.00 0.00 0.00

0.00865740740740741 Tina Oktaviani Ny 8,000.00 8,000.00 0.00 0.00

0.0292476851851852 Musmin Tn 8,000.00 8,000.00 0.00 0.00

0.0332291666666667 Millatul Ulya An 8,000.00 8,000.00 0.00 0.00

00.52.67 Suyatno Tn 8,000.00 8,000.00 0.00 0.00

00.52.68 Alicia Nurfaizah Putri H An 8,000.00 8,000.00 0.00 0.00

00.56.95 M Rasyafa Athaya An 8,000.00 8,000.00 0.00 0.00

00.71.59 Lasri Ny 8,000.00 8,000.00 0.00 0.00

00.87.40 Ibrahim Fatah Al Boerham An 8,000.00 8,000.00 0.00 0.00

00.90.69 Zuriyah Ny 8,000.00 8,000.00 0.00 0.00

00.93.47 Kholilah Ny 8,000.00 8,000.00 0.00 0.00

00.97.57 Kusnar Tn 8,000.00 8,000.00 0.00 0.00

0.0434722222222222 Suhardi Tn 8,000.00 8,000.00 0.00 0.00

0.0517939814814815 Eko Agung Rahadianto Tn 8,000.00 8,000.00 0.00 0.00

0.0528240740740741 Hana Izzatun Nisa An 8,000.00 8,000.00 0.00 0.00

01.22.76 M Joenoes Joesoef Tn 8,000.00 8,000.00 0.00 0.00

0.0581365740740741 Nurarifah Masry Ny 8,000.00 8,000.00 0.00 0.00

01.85.37 Dwi Shinta Febriyanti An 8,000.00 8,000.00 0.00 0.00

01.88.06 A Farel Satria An 8,000.00 8,000.00 0.00 0.00

0.20181712962963 Buchori Tn 8,000.00 8,000.00 0.00 0.00

0.205347222222222 Ninik Nihayatur Rohmah Ny 8,000.00 8,000.00 0.00 0.00

04.77.82 Siti Maftucha Ny 8,000.00 8,000.00 0.00 0.00

04.94.25 Muarofah Ny 8,000.00 8,000.00 0.00 0.00

04.96.10 Wijayanti Ny 8,000.00 8,000.00 0.00 0.00

00.04.77 Eddy Kustoni Tn 8,000.00 8,000.00 0.00 0.00

0.0138425925925926 M Zahirudin Pribady An 8,000.00 8,000.00 0.00 0.00

00.98.27 Sulastri Ny 8,000.00 8,000.00 0.00 0.00

01.16.62 Harti Indarsih Ny 8,000.00 8,000.00 0.00 0.00

01.39.94 Nur Assyfa Muhendra An 8,000.00 8,000.00 0.00 0.00

01.65.18 Riduwan Tn 8,000.00 8,000.00 0.00 0.00

01.86.72 Ananda Fitria Nn 8,000.00 8,000.00 62,000.00 0.00

01.99.04 Lisdiana Ika R Ny 8,000.00 8,000.00 0.00 0.00

04.21.69 Karni Ny 8,000.00 8,000.00 0.00 0.00

04.42.60 Nur Chomaroh Ny 8,000.00 8,000.00 0.00 0.00

04.92.23 Fazio Rezky Ramadhan An 8,000.00 8,000.00 0.00 0.00

00.40.93 Mudloyatun Ny 8,000.00 8,000.00 0.00 0.00

00.27.64 Agus Priyanto Tn 8,000.00 8,000.00 0.00 0.00

RegNum Nama Karcis Jasa Laborat Radiologi

00.67.40 Hemi Nurkayati Ny 10,000.00 10,000.00 0.00 0.00

00.68.70 Lintang Mafidah Ny 10,000.00 10,000.00 0.00 0.00

04.43.77 Aisyah Farah Adibah Ahmad An 10,000.00 10,000.00 0.00 0.00

00.21.60 Umu Maslahah Ny 4,000.00 8,000.00 0.00 0.00

0.0284722222222222 Hasna Aqilla Samaira R An 8,000.00 8,000.00 0.00 0.00

00.36.73 Ria Anjelina Ny 8,000.00 8,000.00 0.00 0.00

0.00188657407407407 Taufik Yudiantoro Tn 8,000.00 8,000.00 0.00 0.00

0.000763888888888889 Mujiati Ny 10,000.00 10,000.00 0.00 0.00

00.19.77 Tri Hastuti Werdiningsih Ny 10,000.00 10,000.00 0.00 0.00

Err:520 Err:520 Err:520 Err:520

Utilize Tindakan Lain2 Obat TotLine rsTotal

0.00 0.00 0.00 41,500.00 57,500.00 57,500.00

0.00 100,000.00 0.00 0.00 112,000.00 169,500.00

0.00 0.00 0.00 0.00 12,000.00 181,500.00
0.00 40,000.00 0.00 12,500.00 64,500.00 246,000.00
0.00 40,000.00 0.00 0.00 52,000.00 298,000.00
0.00 100,000.00 0.00 0.00 112,000.00 410,000.00
0.00 100,000.00 0.00 0.00 112,000.00 522,000.00
0.00 40,000.00 0.00 0.00 52,000.00 574,000.00
0.00 100,000.00 0.00 0.00 112,000.00 686,000.00
0.00 0.00 0.00 0.00 12,000.00 698,000.00

0.00 15,000.00 0.00 7,300.00 38,300.00 736,300.00

0.00 0.00 0.00 0.00 16,000.00 752,300.00
0.00 0.00 0.00 18,000.00 34,000.00 786,300.00

0.00 0.00 0.00 18,400.00 34,400.00 820,700.00

0.00 0.00 12,000.00 0.00 36,000.00 856,700.00
0.00 0.00 0.00 19,800.00 43,800.00 900,500.00
0.00 0.00 12,100.00 0.00 36,100.00 936,600.00
0.00 0.00 3,200.00 0.00 27,200.00 963,800.00
0.00 0.00 0.00 9,000.00 25,000.00 988,800.00

0.00 0.00 0.00 0.00 16,000.00 1,004,800.00

0.00 0.00 0.00 20,800.00 36,800.00 1,041,600.00

0.00 0.00 0.00 13,000.00 29,000.00 1,070,600.00

0.00 0.00 0.00 0.00 16,000.00 1,086,600.00

0.00 0.00 0.00 18,400.00 34,400.00 1,121,000.00

0.00 0.00 0.00 14,800.00 30,800.00 1,151,800.00

0.00 0.00 0.00 17,000.00 33,000.00 1,184,800.00

0.00 0.00 0.00 17,400.00 33,400.00 1,218,200.00

0.00 0.00 0.00 11,200.00 27,200.00 1,245,400.00

Utilize Tindakan Lain2 Obat TotLine rsTotal

0.00 0.00 0.00 0.00 16,000.00 1,261,400.00

0.00 0.00 0.00 11,000.00 27,000.00 1,288,400.00

 0.00 57,000.00 0.00 5,000.00 78,000.00 1,366,400.00

0.00 0.00 0.00 20,400.00 36,400.00 1,402,800.00

0.00 0.00 0.00 19,200.00 35,200.00 1,438,000.00

0.00 0.00 0.00 10,100.00 26,100.00 1,464,100.00

0.00 0.00 0.00 4,000.00 20,000.00 1,484,100.00

0.00 0.00 0.00 12,600.00 28,600.00 1,512,700.00

0.00 0.00 0.00 7,700.00 23,700.00 1,536,400.00

0.00 21,000.00 0.00 10,000.00 47,000.00 1,583,400.00

0.00 0.00 0.00 16,800.00 32,800.00 1,616,200.00

0.00 0.00 0.00 23,000.00 39,000.00 1,655,200.00

0.00 0.00 0.00 12,100.00 28,100.00 1,683,300.00

0.00 0.00 0.00 20,000.00 36,000.00 1,719,300.00

0.00 0.00 0.00 0.00 16,000.00 1,735,300.00

0.00 0.00 0.00 20,400.00 36,400.00 1,771,700.00

0.00 0.00 0.00 12,600.00 28,600.00 1,800,300.00

0.00 0.00 0.00 16,800.00 32,800.00 1,833,100.00

0.00 0.00 0.00 13,000.00 29,000.00 1,862,100.00

0.00 0.00 0.00 7,200.00 23,200.00 1,885,300.00

0.00 0.00 0.00 16,000.00 32,000.00 1,917,300.00

0.00 0.00 0.00 6,000.00 22,000.00 1,939,300.00

0.00 0.00 0.00 15,400.00 31,400.00 1,970,700.00

2,000.00 12,400.00 0.00 19,700.00 50,100.00 2,020,800.00

0.00 0.00 0.00 12,100.00 28,100.00 2,048,900.00

0.00 0.00 0.00 10,000.00 26,000.00 2,074,900.00

0.00 0.00 0.00 0.00 16,000.00 2,090,900.00

0.00 74,250.00 0.00 16,400.00 106,650.00 2,197,550.00

0.00 0.00 0.00 14,800.00 30,800.00 2,228,350.00

2,500.00 12,400.00 0.00 20,100.00 51,000.00 2,279,350.00

0.00 0.00 0.00 12,000.00 28,000.00 2,307,350.00

 0.00 0.00 0.00 17,400.00 33,400.00 2,340,750.00

0.00 0.00 0.00 0.00 16,000.00 2,356,750.00

0.00 0.00 0.00 21,000.00 37,000.00 2,393,750.00

0.00 0.00 0.00 22,400.00 38,400.00 2,432,150.00

0.00 10,500.00 0.00 19,900.00 108,400.00 2,540,550.00

0.00 0.00 0.00 0.00 16,000.00 2,556,550.00

0.00 0.00 0.00 0.00 16,000.00 2,572,550.00

0.00 0.00 0.00 17,400.00 33,400.00 2,605,950.00

0.00 42,500.00 0.00 6,900.00 65,400.00 2,671,350.00

0.00 0.00 0.00 0.00 16,000.00 2,687,350.00

0.00 0.00 0.00 0.00 16,000.00 2,703,350.00

Utilize Tindakan Lain2 Obat TotLine rsTotal

0.00 0.00 0.00 0.00 20,000.00 2,723,350.00

0.00 0.00 0.00 73,000.00 93,000.00 2,816,350.00

0.00 0.00 0.00 59,500.00 79,500.00 2,895,850.00

0.00 220,000.00 0.00 0.00 232,000.00 3,127,850.00

0.00 0.00 0.00 48,254.00 64,254.00 3,192,104.00

0.00 0.00 0.00 18,509.00 34,509.00 3,226,613.00

0.00 0.00 0.00 0.00 16,000.00 3,242,613.00

0.00 0.00 0.00 0.00 20,000.00 3,262,613.00

0.00 0.00 0.00 19,320.00 39,320.00 3,301,933.00

Err:520 Err:520 Err:520 Err:520 Err:520