LAPORAN KESELURUHAN TANGGAL 26 JUNI - 25 JULI 2021

NO NAMA PASIEN TANGGAL STATUS TUSLAH

1 NY. VINA DWI JAYANTI Tuesday, May 25, 2021 IN-HEALTH Rp 166,800
2 TN. MUHAMMAD ILHAMSYAH Wednesday, June 2, 2021 IN-HEALTH Rp 56,400
3 NY. PUJIA NINGSIH Thursday, June 3, 2021 IN-HEALTH Rp 39,000
4 NY. VANILLA FLANI POLIA ANDRESS Thursday, June 3, 2021 GARDA MEDIKA Rp 37,200
5 TN. MAT RADAWI Saturday, June 19, 2021 THM Rp 221,800
6 TN. FIQRI ROSADY Monday, June 21, 2021 UMUM Rp 88,800
7 NY. SITI AISYAH Monday, June 21, 2021 THS Rp 172,800
8 TN. SYAMSUDDIN Tuesday, June 22, 2021 UMUM Rp 65,400
9 AN. M. ARSYA Tuesday, June 22, 2021 UMUM Rp 55,200
10 NY. MUNIROH Tuesday, June 22, 2021 UMUM Rp 184,200
11 NY. LINDA PERMATA SARI Wednesday, June 23, 2021 UMUM Rp 183,600
12 BY. NY. MAULIDA Z Thursday, June 24, 2021 UMUM Rp 20,400
13 NY. NURUL HIKMAH Thursday, June 24, 2021 THM Rp 109,200
14 NY. SYARIFAH MAWARDAH Tuesday, June 29, 2021 UMUM Rp 115,200
15 AN. RAFFASYA ABIDZAR PRIBADI Monday, June 28, 2021 UMUM Rp 91,000
16 AN. NUR SA'DA KAMILA Tuesday, June 29, 2021 UMUM Rp 38,400
17 AN. MUHAMMAD RIZKI Wednesday, June 30, 2021 UMUM Rp 50,400
18 AN. M.IQBAL Wednesday, June 30, 2021 UMUM Rp 58,800
19 NY. HJ. RUSNANI Thursday, July 1, 2021 UMUM Rp 239,800
20 TN. HENDRA Thursday, July 1, 2021 THM Rp 119,400
21 AN. M. NAOUFAL PRATAMA Saturday, July 3, 2021 UMUM Rp 56,800
22 NY. MASRUPAH Saturday, July 3, 2021 THM Rp 99,400
23 BY. DINAN HANINA Saturday, July 3, 2021 UMUM Rp 30,000
24 AN. MUHAMMAD TAUFIK Monday, July 5, 2021 THM Rp 111,800
25 TN. BUHARI Monday, July 5, 2021 THM Rp 101,400
26 NY. RINI HAPSARI Tuesday, July 6, 2021 UMUM Rp 238,400
27 NY. YENNIE BUDHI LESTARI Thursday, July 8, 2021 UMUM Rp 53,000
28 NY. SRIYATUN Thursday, July 8, 2021 UMUM Rp 139,200
29 NY. LAILA NORWAHIDAH Monday, July 12, 2021 THM Rp 154,200
30 AN. FISSILMI YARA HAMIDA Monday, July 12, 2021 UMUM Rp 71,100
31 NY. HJ. FITRIAH Tuesday, July 13, 2021 THM Rp 62,800
32 AN. AKHMAD RIDUAN Tuesday, July 13, 2021 UMUM Rp 55,200
33 TN. H. JOKO BAGUS SUBAGIO Wednesday, July 14, 2021 UMUM Rp 22,200
34 NY. FATIMAH Monday, July 19, 2021 UMUM Rp 64,700
35 NY. HJ.GUSTI RISARINA PURNAMAWATI Wednesday, July 21, 2021 UMUM Rp 796,200
36 NY. JESSICA DWI ARIESTA Friday, July 23, 2021 UMUM Rp 170,400
37 AN. ARDA PRANANDA MUGIAJI Saturday, July 24, 2021 UMUM Rp 52,600
38 RAWAT JALAN + SWAMED 26/6 - 25/7 UMUM Rp 1,370,900
TOTAL Rp 5,764,100
Banjarbaru, 25 JULI 2021
Apt. Henni Selvina, S.Farm.
 PEMBAGIAN TUSLAH
TOTAL Rp 5,764,100
APOTEKER Rp 576,410
TOTAL JP TTK Rp 5,187,690
JP PER TTK Rp 1,296,923
 LAPORAN TUSLAH RAWAT INAP BULAN MEI TANGGAL 25 JUNI - 25 JULI 2021
NO NAMA PASIEN TANGGAL STATUS JUMLAH UMUM TUSLAH UMUM
1 NY. NURUL HIKMAH Friday, June 25, 2021 THM
2 TN. SYAMSUDDIN Monday, June 21, 2021 UMUM Rp 9,339,525 Rp 65,400
3 NY. LINDA PERMATA SARI Wednesday, June 23, 2021 UMUM Rp 6,406,461 Rp 183,600
4 BY. NY. MAULIDA Z Friday, June 25, 2021 UMUM Rp 829,250 Rp 20,400
5 NY. SYARIFAH MAWARDAH Tuesday, June 29, 2021 UMUM Rp 1,590,000 Rp 115,200
6 AN. RAFFASYA ABIDZAR PRIBADI Monday, June 28, 2021 UMUM Rp 718,532 Rp 91,000
7 AN. NUR SA'DA KAMILA Tuesday, June 29, 2021 UMUM Rp 1,611,660 Rp 38,400
8 TN. MAT RADAWI Saturday, June 19, 2021 THM
9 AN. MUHAMMAD RIZKI Wednesday, June 30, 2021 UMUM Rp 1,594,925 Rp 50,400
10 AN. M.IQBAL Wednesday, June 30, 2021 UMUM Rp 2,300,300 Rp 58,800
11 AN. M. NAOUFAL PRATAMA Saturday, July 3, 2021 UMUM Rp 378,544 Rp 56,800
12 NY. YONA ERIZCA HAFSARI Friday, July 2, 2021 IN HEALTH
13 BY. DINAN HANINA Saturday, July 3, 2021 UMUM Rp 482,125 Rp 30,000
14 AN. MUHAMMAD TAUFIK Monday, July 5, 2021 THM
15 NY. HJ. RUSNANI Thursday, July 1, 2021 UMUM Rp 7,380,212 Rp 239,800
16 NY. RINI HAPSARI Tuesday, July 6, 2021 UMUM Rp 5,664,256 Rp 238,400
17 NY. EKA SUJIATI Tuesday, July 6, 2021 KPP
18 NY. MEYADINIYATI Tuesday, July 6, 2021 KPP
19 TN. HENDRA Thursday, July 1, 2021 THM
20 NY. MASRUPAH Saturday, July 3, 2021 THM
21 TN. BUHARI Monday, July 5, 2021 THM
22 NY. NOVI ANTA PINEM Tuesday, July 6, 2021 ASURANSI
23 NY. YENNIE BUDHI LESTARI Thursday, July 8, 2021 UMUM Rp 1,460,875 Rp 53,000
24 NY. SRIYATUN Thursday, July 8, 2021 UMUM Rp 6,608,264 Rp 139,200
25 TN. AJIMI ZULFIKAR Saturday, July 10, 2021 GARDA
26 AN. FISSILMI YARA HAMIDA Monday, July 12, 2021 UMUM Rp 1,882,325 Rp 71,100
27 NY. LAILA NORWAHIDAH Monday, July 12, 2021 THM
28 AN. AKHMAD RIDUAN Tuesday, July 13, 2021 UMUM Rp 3,016,000 Rp 55,200
29 NY. SITI MULKANAH Wednesday, July 14, 2021 GARDA
30 TN. H. JOKO BAGUS SUBAGIO Wednesday, July 14, 2021 UMUM Rp 345,500 Rp 22,200
31 NY. HJ. FITRIAH Tuesday, July 13, 2021 THM
32 AN. ALEXANDRA AGUSTINA SINAGA Friday, July 16, 2021 IN HEALTH
33 NY. FATIMAH Monday, July 19, 2021 UMUM Rp 919,450 Rp 64,700
34 NY. HJ.GUSTI RISARINA PURNAMAWATI Wednesday, July 21, 2021 UMUM Rp 10,224,025 Rp 796,200
35 NY. JESSICA DWI ARIESTA Friday, July 23, 2021 UMUM Rp 8,653,450 Rp 170,400
36 AN. ARDA PRANANDA MUGIAJI Saturday, July 24, 2021 UMUM Rp 275,275 Rp 52,600
TOTAL Rp 51,263,254 Rp 2,612,800

Banjarbaru, 25 JUNI 2021

Apt. Henni Selvina, S.Farm.

I - 25 JULI 2021
JUMLAH ASURANSI TUSLAH ASURANSI TOTAL SWAMEDIKASI BULAN JULI TUSLAH UMUM
Rp 706,225 Rp 109,200 Rp 590,905 Rp 2,612,800

TOTAL RAWAT JALAN BULAN JUNI TUSLAH ASURANSI

Rp 21,751,282 Rp 1,856,000

TOTAL RAWAT INAP UMUM BULAN JUNI Total Tuslah 0

Rp 51,263,254
Rp 21,384,740 Rp 221,800 Tuslah
TOTAL RAWAT ASURANSI BULAN JUNI Tuslah \ Orang 0
Rp 62,492,674

Rp 5,931,191 Rp 177,000

Rp 849,800 Rp 111,800
Rp 5,938,425 Rp 175,200
Rp 6,679,998 Rp 188,400
Rp 1,659,350 Rp 119,400
Rp 1,341,390 Rp 99,400
Rp 1,655,500 Rp 101,400
Rp 9,479,512 Rp 205,600

Rp 618,418 Rp 44,200

Rp 3,307,275 Rp 154,200

Rp 1,641,066 Rp 60,400

Rp 942,625 Rp 62,800
Rp 357,159 Rp 25,200

Rp 62,492,674 Rp 1,856,000
 LAPORAN RAWAT JALAN TANGGAL 25 MEI - 25 JUNI 2022

NO NAMA PASIEN TANGGAL STATUS TOTAL BIAYA

1 TN. M. MUHAMMAD 26/5/22 UMUM Rp 72,932

2 AN. MICHIRU 26/5/22 UMUM Rp 238,614
3 NISMARA ICHIKA 27/5/22 UMUM Rp 51,300
4 YUNI DWI 28/5/22 UMUM Rp 81,690
5 NANIK SITI 28/5/22 UMUM Rp 324,473
6 AN. NUR AFIFAH 31/5/22 UMUM Rp 46,719
7 TN. OCTAFIANUS 31/5/22 UMUM Rp 61,860
8 AN. QIANA 31/5/22 UMUM Rp 75,950
9 AN. AHMAD ZEIN 3-Jun-22 UMUM Rp 97,740
10 AN. DEVIKA 3-Jun-22 UMUM Rp 252,126
11 NY. YUSNANI 3-Jun-22 UMUM Rp 20,250
12 AN. RAFIKA 3-Jun-22 UMUM Rp 58,050
13 NY. NOR AISYAH 3-Jun-22 UMUM Rp 23,290
14 AN. RAFIKA 5-Jun-22 UMUM Rp 363,115
15 M. ARYA SUHENDRI 5-Jun-22 UMUM Rp 46,695
16 M. NASYWALABIB 5-Jun-22 UMUM Rp 15,120
17 NY. SOFIATUN 5-Jun-22 UMUM Rp 46,807
18 AN. SAID FAQIH 5-Jun-22 UMUM Rp 149,835
19 NN. AGHISNA 6-Jun-22 UMUM Rp 43,140
20 NN. ZAENAB ELSACH 6-Jun-22 UMUM Rp 54,341
21 NY. NATALISA 6-Jun-22 UMUM Rp 157,697
22 HJ. SUMIYEM 7-Jun-22 UMUM Rp 140,009
23 TN. DEDDY ROSADI 7-Jun-22 UMUM Rp 18,910
24 M. RAFA ALFARIZI 10-Jun-22 UMUM Rp 96,525
25 TN. HARI SAPTIAJI 10-Jun-22 UMUM Rp 159,316
26 AN. FATHIR HAMIZAN 10-Jun-22 UMUM Rp 60,750
27 NY. NUR NOVIYANA 10-Jun-22 UMUM Rp 269,595
28 AN. ALMIRA 10-Jun-22 UMUM Rp 180,706
29 NY. HJ. ARY 10-Jun-22 UMUM Rp 4,730
30 TN. SALIMAN 11-Jun-22 UMUM Rp 149,459
31 TN. ALI 11-Jun-22 UMUM Rp 181,670
32 AN. ALUNA 12-Jun-22 UMUM Rp 38,745
33 TN. NOVAL 13-Jun-22 UMUM Rp 153,239
34 AN. RHAFA 13-Jun-22 UMUM Rp 40,500
35 NY. EKA 14-Jun-22 UMUM Rp 36,752
36 TN. MOCH 14-Jun-22 UMUM Rp 80,800
37 AN. GT. M. CHIKO 14-Jun-22 UMUM Rp 54,204
38 TN. STEPAHANUS 15-Jun-22 UMUM Rp 70,560
39 TN. HARTOYO 16-Jun-22 UMUM Rp 168,934
40 NY. KHAIRLINA 17-Jun-22 UMUM Rp 43,840
41 M. ALFIANUR 17-Jun-22 UMUM Rp 13,300
42 AN. AHMAD ZEIN 18-Jun-22 UMUM Rp 275,792
43 AN. FATHIYA 18-Jun-22 UMUM Rp 10,130
44 TN. M. AL FATH 18-Jun-22 UMUM Rp 84,740
45 NY. ANITA 18-Jun-22 UMUM Rp 88,410
46 AN. FILLY 18-Jun-22 UMUM Rp 102,330
47 TN. HARIS 19-Jun-22 UMUM Rp 141,750
48 AN. AHMAD FAUZI 19-Jun-22 UMUM Rp 8,505
49 NY. ARENA 21-Jun-22 UMUM Rp 191,439
50 AN. M. DZAKI 22-Jun-22 UMUM Rp 42,188
51 AN. NURZHAFIROH 22-Jun-22 UMUM Rp 64,263
52 AN. NURZHAFIROH 23-Jun-22 UMUM Rp 113,679
53 ANGGI MARISTA 23-Jun-22 UMUM Rp 112,320
54 NY. LILIS SURYANI 23-Jun-22 UMUM Rp 57,837
55 AN. NABILA 24-Jun-22 UMUM Rp 99,023
56 TN. M. ZAINURRAHMAN 24-Jun-22 UMUM Rp 60,690
57 AN. M. ZAHID 25-Jun-22 UMUM Rp 97,135
58 TN. M. AFRIANSYAH 25-Jun-22 UMUM Rp 56,170
59 NY. RASMIWATI 25-Jun-22 UMUM Rp 201,666
60 TN. NESTOR 27-May-22 UMUM Rp 131,625
61 NY. SITI ZAHRA 27-May-22 UMUM Rp 224,760
62 NY. RIANORMANITA 27-May-22 UMUM Rp 184,890
63 NY. FAUZIAH 27/5/22 UMUM Rp 148,500
64 NY. ELY 27/5/22 UMUM Rp 321,510
65 TN. IRFAN 27/5/22 UMUM Rp 82,215
66 NY. LAILA 30/5/22 UMUM Rp 73,575
67 AN. ALMIRA 30/5/22 UMUM Rp 80,560
68 NY. MAS AMAH 30/5/22 UMUM Rp 1,041,800
69 DELILA 30/5/22 UMUM Rp 675,750
70 NY. ENDAH 30/5/22 UMUM Rp 408,450
71 NY, MARFUAH 30/5/22 UMUM Rp 358,140
72 IRWANSYAH 30/5/22 UMUM Rp 74,250
73 NY, LUKITASARI 31/5/22 UMUM Rp 685,396
74 NY, NOR HASANAH 31/5/22 UMUM Rp 408,450
75 NASRULLAH 31/5/22 UMUM Rp 20,925
76 NY. LINTANG 2/6/2022 UMUM Rp 42,525
77 NY. NOVITA 2/6/2022 UMUM Rp 382,110
78 RIJALI HADI 3/6/2022 UMUM Rp 193,170
79 RIZKY BINTANG 3/6/2022 UMUM Rp 79,990
80 SARTO 3/6/2022 UMUM Rp 583,242
81 NY. AULIA HUSNUL 6/6/2022 UMUM Rp 358,140
82 NY. DYANA 6/6/2022 UMUM Rp 94,245
83 NY. MILIDA 6/6/2022 UMUM Rp 204,225
84 NY. SITI NUR HASANAH 6/6/2022 UMUM Rp 408,450
 85 NY. MEITY 6/6/2022 UMUM Rp 44,550
86 NY. RIKA 6/6/2022 UMUM Rp 86,400
87 NY. HAYATUN 7/6/2022 UMUM Rp 10,800
88 NY. NORMALINA 7/6/2022 UMUM Rp 45,210
89 TN. AHMAD NOOR 8/6/2022 UMUM Rp 232,540
90 AN. FAIVEL 8/6/2022 UMUM Rp 43,200
91 NY. OKTARIA 8/6/2022 UMUM Rp 277,950
92 NN. SITI NAPISAH 9/6/2022 UMUM Rp 48,605
93 NY. RIZKA 9/6/2022 UMUM Rp 217,350
94 NY. NETI 10/6/2022 UMUM Rp 77,760
95 NY. LAILA 10/6/2022 UMUM Rp 136,840
96 AN. ARKA DILAN 13/6/22 UMUM Rp 35,340
97 NIDHA 13/6/22 UMUM Rp 295,375
98 TN. SYAFARUDIN 13/6/22 UMUM Rp 278,240
99 AN. M. ZAINI 13/6/22 UMUM Rp 101,115
100 H. JUMBERI 13/6/22 UMUM Rp 265,470
101 NY.FATMI 13/6/22 UMUM Rp 124,740
102 NY.HANA 13/6/22 UMUM Rp 148,350
103 NY. BUDI LINDA 13/6/22 UMUM Rp 43,200
104 TN. ARIF TRIYANTO 15/6/22 UMUM Rp 461,840
105 TN. M. WILDAN 15/6/22 UMUM Rp 158,890
106 AN. M. ROSYAD 15/6/22 UMUM Rp 119,070
107 AQEELA 15/6/22 UMUM Rp 142,425
108 NY. DINA 15/6/22 UMUM Rp 296,700
109 NY. AYU SORAYA 15/6/22 UMUM Rp 78,300
110 NY. NIA 16/6/22 UMUM Rp 44,550
111 NY. ANDI NONI 16/6/22 UMUM Rp 512,325
112 NY. DJARRY 16/6/22 UMUM Rp 414,480
113 NY. AYU GIYATTAMA 17/6/22 UMUM Rp 300,985
114 NY. NOOR SRI 17/6/22 UMUM Rp 350,070
115 SUBARDI 17/6/22 UMUM Rp 576,130
116 AN. ALFINA 20/6/22 UMUM Rp 30,443
117 NY. HOSYAAH 20/6/22 UMUM Rp 47,250
118 NN.TRI MEINAROSA 20/6/22 UMUM Rp 77,970
119 NY. MESLIANA 20/6/22 UMUM Rp 183,129
120 NY. INTAN 21/6/22 UMUM Rp 282,900
121 NN. FELICIA ARUM 22/6/22 UMUM Rp 319,335
122 NY. DWI 22/6/22 UMUM Rp 449,580
123 NY. DWI 22/6/22 UMUM Rp 44,550
124 NY. MAHANI 23/6/22 UMUM Rp 32,880
125 FAJRIAH 23/6/22 UMUM Rp 15,525
126 RIJALI HADI 24/6/22 UMUM Rp 267,773
127 NY. ARNI NUR 24/6/22 UMUM Rp 325,215
128 TN. PARIS 24/6/22 UMUM Rp 120,150
129 NY.BIDURI 24/6/22 UMUM Rp 266,534
130
TOTAL Rp 21,751,282
Banjarbaru, 25 JUNI 2022

Apt. Henni Selvina, S.Farm.

I 2022 PENDAPATAN RAWAT JALAN DOKTER
KODE NO NAMA DOKTER

IKHWAN 1 dr. Adjo Admart, Sp.OG

RYAN 2 dr. Budi Zulhardi , Sp.OG
YOSI 3 dr. Deddy Hermawan, Sp.S.
RYAN 4 dr. Lingga Suryakusumah, Sp.PD
REBECA 5 dr. Juliansyih.,Sp.THT.
TYA 6 dr. Rahmat Ikhwani
TYA 7 dr. Yosi rizal
TYA 8 dr. Ryan Andre
SIDIK 9 dr. Abdurahman Siddiq
RYAN 10 dr. Tia Ajarida
RYAN 11 dr. sibin
TYA 12 dr. datu
IKHWAN 13 dr. renata
SIDIK 14 dr. ardi
SIDIK 15 dr. rebecca
SIDIK 16
RYAN 17
RYAN 18
REBECA TOTAL
IKHWAN
IKHWAN
REBECA
REBECA
YOSI
IKHWAN
IKHWAN
ATJO
IKHWAN
IKHWAN
YOSI
YOSI
IKHWAN
RYAN
RYAN
IKHWAN
IKHWAN
IKHWAN
YOSI
YOSI
RYAN
REBECA
IKHWAN
IKHWAN
IKHWAN
IKHWAN
TYA
TYA
RYAN
YOSI
REBECA
SIDIK
TYA
TYA
RYAN
IKHWAN
TYA
YOSI
YOSI
TYA
JULI
ATJO
ATJO
ATJO
ATJO
DEDDY
EKO
JULI
DEDDY
BUDI
BUDI
BUDI
LINGGA
DEDDY
BUDI
SIBIN
BUDI
BUDI
JULI
JULI
DEDDY
ARDI
JULI
BUDI
BUDI
 BUDI
BUDI
BUDI
BUDI
JULI
JULI
BUDI
LINGGA
BUDI
ATJO
ATJO
JULI
JULI
JULI
JULI
DEDDY
BUDI
BUDI
BUDI
JULI
JULI
JULI
JULI
BUDI
BUDI
BUDI
BUDI
BUDI
JULI
JULI
DEDDY
JULI
JULI
JULI
DEDDY
BUDI
JULI
DEDDY
BUDI
BUDI
BUDI
JULI
JULI
JULI
DEDDY
5 JUNI 2022

vina, S.Farm.
ATAN RAWAT JALAN DOKTER
TOTAL PENDAPATAN KOTOR FEE DOKTER

Rp 1,363,855
Rp 5,608,860
Rp 4,133,496
Rp 122,855
Rp 4,286,816
Rp 1,482,358
Rp 1,063,192
Rp 1,093,243
Rp 586,933
Rp 975,014
Rp 20,925

Rp 431,715
Rp 582,020

Rp 21,751,282
Banjarbaru, 25 JULI 2021

Apt. Henni Selvina, S.Farm.

 ASURANSI CAIR
NO NAMA PASIEN TANGGAL STATUS TOTAL BIAYA TUSLAH

1 NY. VINA DWI JAYANTI Tuesday, May 25, 2021 IN-HEALTH Rp 2,211,398 Rp 166,800
2 NY. VANILLA FLANI POLIA ANDRESS Thursday, June 3, 2021 GARDA MEDIKA Rp 1,305,191 Rp 37,200
3 NY. PUJIA NINGSIH Thursday, June 3, 2021 IN-HEALTH Rp 1,037,578 Rp 39,000
4 TN. MUHAMMAD ILHAMSYAH Wednesday, June 2, 2021 IN-HEALTH Rp 902,790 Rp 56,400
5 NY. SITI AISYAH Monday, June 21, 2021 THS Rp 3,789,335 Rp 172,800
6 TN. MAT RADAWI Saturday, June 19, 2021 THM Rp 21,384,740 Rp 221,800
7 NY. NURUL HIKMAH Friday, June 25, 2021 THM Rp 706,225 Rp 109,200
8 AN. MUHAMMAD TAUFIK Monday, July 5, 2021 THM Rp 849,800 Rp 111,800
9 TN. HENDRA Thursday, July 1, 2021 THM Rp 1,659,350 Rp 119,400
10 NY. MASRUPAH Saturday, July 3, 2021 THM Rp 1,341,390 Rp 99,400
11 TN. BUHARI Monday, July 5, 2021 THM Rp 1,655,500 Rp 101,400
12 NY. LAILA NORWAHIDAH Monday, July 12, 2021 THM Rp 3,307,275 Rp 154,200
13 NY. HJ. FITRIAH Tuesday, July 13, 2021 THM Rp 942,625 Rp 62,800

TOTAL Rp 41,093,197 Rp 1,452,200

Banjarbaru, 25 JULI 2021

Apt. Henni Selvina, S.Farm.

 LAPORAN SWAMEDIKASI TANGGAL 26 MARET - 25 APRIL 2022
NO NAMA PASIEN TANGGAL STATUS TOTAL BIAYA

1 TN. SAYYID HASAN 25-Mar-22 THM Rp 178,158

2 TN. H. MANSYUR 30-Mar-22 THM Rp 202,839
3 TN. H. MANSYUR 30-Mar-22 THM Rp 73,719
4 BU LISA 24-Apr-22 THM Rp 136,189
5
6
7
8
9
10
TOTAL Rp 590,905
 TUNGGAKAN ASURANSI
NO NAMA PASIEN TANGGAL STATUS BIAYA OBAT TUSLAH
1 NY. ARMAYANTI Thursday, April 1, 2021 IN HEALTH Rp 1,196,475 Rp 37,800
2 AN. ESTHER PASKARIA WIBOWO Sunday, May 16, 2021 ADMEDIKA Rp 281,285 Rp 46,320
3 NY. MUSTAIDAH Wednesday, May 19, 2021 ADARO Rp 502,737 Rp 31,800
4 NY. CITA PERMATASARI Tuesday, May 18, 2021 BRI Rp 11,228,000 Rp 186,600
5 TN. M.FAZRI Sunday, May 23, 2021 SINAR MAS Rp 2,281,364 Rp 77,400
6 AN. NISMARA ICHIKA MELODYA Friday, June 11, 2021 GARDA MEDIKA Rp 1,465,078 Rp 30,000
7 NY. YONA ERIZCA HAFSARI Friday, July 2, 2021 IN HEALTH Rp 5,931,191 Rp 177,000
8 NY. EKA SUJIATI Tuesday, July 6, 2021 KPP Rp 5,938,425 Rp 175,200
9 NY. MEYADINIYATI Tuesday, July 6, 2021 KPP Rp 6,679,998 Rp 188,400
10 NY. NOVI ANTA PINEM Tuesday, July 6, 2021 ASURANSI Rp 9,479,512 Rp 205,600
11 TN. AJIMI ZULFIKAR Saturday, July 10, 2021 GARDA Rp 618,418 Rp 44,200
12 NY. SITI MULKANAH Wednesday, July 14, 2021 GARDA Rp 1,641,066 Rp 60,400
13 AN. ALEXANDRA AGUSTINA SINAGA Friday, July 16, 2021 IN HEALTH Rp 357,159 Rp 25,200
TOTAL Rp 47,600,708 Rp 1,285,920
Banjarbaru, 25 JULI 2021

Apt. Henni Selvina, S.Farm.

LAPORAN RINCIAN KEUANGAN KESELURUHAN TAGIHAN PASIEN
TOTAL PERIODE 26 JUNI - 25 JULI 2021
TOTAL PEMAKAIAN OBAT
TUNGGAKAN ASURANSI Rp 47,600,708
ASURANSI CAIR Rp 41,093,197
RAWAT INAP Rp 51,263,254
RAWAT JALAN Rp 21,751,282
SWAMEDIKASI Rp 6,983,148
TOTAL Rp 121,090,881

Banjarbaru, 25 JULI 2021

Apt. Henni Selvina, S.Farm.