Laboratorium Diagnostik Hayam Wuruk

Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi Bedah Sentral RS. Muhammadiyah

Periode Agustus 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 2-Aug-23 K.231368 Ny. Istifadah dr. Heru Tri, SpOG Prolaps Uteri 340,000
2 K.231369 Tn. Pairin dr. Ardian Bayu, SpU BPH 280,000
3 K.231370 Tn. Jasman dr. Fitrah Karman, SpB Ca. Colon (6 Block) 400,000
4 K.231371 Ny. Efi Rofiqoh dr. Nikmah E, SpOG AUB 170,000
5 K.231372 Ny. Siti Masrukah dr. Fitrah Karman, SpB Tumor Mamma (D) Susp. Ganas 210,000
6 K.231373 Tn. Sugeng dr. Fitrah Karman, SpB DD : Malignant (5 Block) 340,000
7 K.231374 Ny. Siti Mariyam dr. Ardian Bayu, SpU Cystitis 170,000
8 K.231375 Tn. Jumadi dr. Ardian Bayu, SpU BPH 280,000
9 K.231376 Tn. Riyadi dr. Ardian Bayu, SpU BPH 280,000
10 K.231377 Tn. Rohiman dr. Ardian Bayu, SpU BPH 280,000
11 K.231378 Tn. Sumiran dr. Ardian Bayu, SpU BPH 280,000
12 5-Aug-23 K.231398 Ny. Noviana Herawati dr. Jufri N, SpOT Soft Tissue Tumor Pedis (D) 210,000
13 K.231399 Nn. Nurrahma dr. Edy S., SpB Absces Punggung 210,000
14 K.231400 Ny. Titik Lailatul dr. Ardian Bayu, SpU Cystitis 170,000
15 K.231401 Tn. Riyono dr. Ardian Bayu, SpU BPH 280,000
16 K.231402 Tn. Sumari dr. Ardian Bayu, SpU BPH 280,000
17 K.231403 Ny. Siti Muawanah dr. Heru Tri, SpOG Myoma Uteri (5 Block) 340,000
18 K.231404 Ny. Sukami dr. Edy S., SpB Ca. Mamma (S) (6 Block) 400,000
19 9-Aug-23 K.231425 Ny. Siti Mariatul I dr. Nikmah E, SpOG Myoma Uteri 280,000
20 K.231426 Ny. Sokhihatun dr. Nikmah E, SpOG Ca. Endometrium (5 Block) 340,000
21 K.231427 Tn. Nur Salim dr. Ardian Bayu, SpU BPH 280,000
22 K.231428 Tn. Wahyudi dr. Ardian Bayu, SpU BPH 280,000
23 K.231429 Tn. Gangga Valian A dr. Fitrah Karman, SpB Tumor Femur 210,000
24 K.231430 Ny. Suparmi dr. Fitrah Karman, SpB Ca. Mamma (S) (6 Block) 400,000
25 K.231431 Tn. Kholil Abdillah dr. Edy S., SpB Polip Recti 210,000
26 K.231432 Ny. Suharni dr. S Vika P, SpOG DUB 170,000
27 K.231433 Ny. Denik Sulistyowati dr. S Vika P, SpOG DUB 170,000
28 K.231434 Tn. Purwianto dr. Ardian Bayu, SpU Cystitis 170,000
29 K.231435 Ny. Ro’udya Madinatus S dr. Nikmah E, SpOG Kista Ovarii (S) 280,000
30 12-Aug-23 K.231454 Ny. Sunarsih dr. Fitrah Karman, SpB Tumor Mamma (D) Susp. Ganas 210,000
31 K.231455 Ny. Isti Qomah dr. Fitrah Karman, SpB Soft Tissue Tumor Gluteus (S) 210,000
32 K.231456 Ny. Lie Kwi Hwa dr. Edy S., SpB Soft Tissue Tumor Thorax 210,000
33 K.231457 Tn. Yadi dr. Ardian Bayu, SpU BPH 280,000
34 K.231458 Tn. Jaman dr. Ardian Bayu, SpU BPH 280,000
35 16-Aug-23 K.231477 Ny. Rusmini dr. Heru Tri, SpOG Myoma Uteri (5 Block) 340,000
36 K.231478 Ny. Patonah dr. Fitrah Karman, SpB Tumor Mammae (D) Susp.Ganas 210,000
37 K.231479 Ny. Tri Wulandari dr. Nikmah E, SpOG Myoma Uteri (5 Block) 340,000
38 K.231480 Tn. Matori H, BA dr. Ardian Bayu, SpU BPH 280,000
39 K.231481 Tn. Sabar dr. Ardian Bayu, SpU BPH 280,000
40 K.231482 Tn. Afandi dr. Ardian Bayu, SpU BPH 280,000
41 19-Aug-23 K.231507 Ny. Siti Kalimah dr. Wahyu A, SpOT Soft Tissue 210,000
42 K.231508 Tn. Sardjono dr. Ardian Bayu, SpU BPH 280,000
43 K.231509 Tn. Sudibyo dr. Ardian Bayu, SpU BPH 280,000
44 K.231510 Tn. Suparno dr. Ardian Bayu, SpU Tumor of Bladder 280,000
45 K.231511 Tn. Marwito dr. Ardian Bayu, SpU BPH 280,000
46 K.231512 Ny. Siti Patonah dr. Fitrah Karman, SpB Tumor Mamma (S) Susp. Ganas 210,000
47 23-Aug-23 K.231527 Tn. Abdul Cholil dr. Ardian Bayu, SpU BPH 280,000
48 K.231528 Ny. Sriani dr. S Vika P, SpOG Polyp Endometrium+ D U B 170,000
49 K.231529 Tn. Muhadi dr. Ardian Bayu, SpU BPH 280,000
50 K.231530 Ny. Maghfira Nurbaiti dr. Nikmah E, SpOG Myoma Uteri 280,000
51 26-Aug-23 K.231556 ny. Titin Dwi Astuti dr. Heru Tri, SpOG Myoma Uteri (6 Block) 400,000
52 K.231557 Tn. Jumiran dr. Ardian Bayu, SpU BPH 280,000
53 K.231558 Ny. Winarti dr. Fitrah Karman, SpB Tumor Mamma (D) Susp. Ganas 210,000
54 K.231559 Tn. Rohmad Arifin dr. Agus K, SpTHT Polip Nasi (D) 210,000
55 K.231560 Tn. Ghozali Rusdi dr. Ardian Bayu, SpU BPH 280,000
56 K.231561 Ny. Markatun dr. Ardian Bayu, SpU Cystitis 170,000
57 K.231562 Tn. Mursidi dr. Ardian Bayu, SpU BPH 280,000
58 K.231563 Tn. Sukiran dr. Ardian Bayu, SpU BPH 280,000
59 K.231564 Tn. Sumadi dr. Fitrah Karman, SpB Periappendicitis Abscess 210,000
60 30-Aug-23 K.231579 Ny. Agnis Rindha P. dr. Nikmah E, SpOG Polip Cervix 170,000
61 K.231580 Tn. Jaet dr. Fitrah Karman, SpB Tumor Mamma (D) 210,000
62 K.231581 Ny. Muntiani dr. Heru Tri, SpOG Kistoma Ovarii (6 Block) 400,000
16,280,000

1628000
 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

14,652,000
Malang,

Nonny Yogha Pupita. SE,Ak

1
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 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi RSI Aisyiyah Nganjuk Periode Agustus 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 2-Aug-23 K.231361 Tn. Sukijan dr. Puruhito Eko, SpU BPH 285,000
2 5-Aug-23 K.231387 Tn. Samelan dr. Puruhito Eko, SpU BPH 285,000
3 26-Aug-23 K.231565 NY. Jayantik dr. Jaka Nugraha, SpOG Kista Ovarii Permagna 285,000
4 30-Aug-23 K.231569 Tn. Tn. Suwoto dr. Puruhito Eko, SpU BPH 285,000
1,140,000
114,000
1,026,000
Malang,

Nonny Yogha Pupita. SE,Ak

 Page 4

Tagihan Pemeriksaan Patologi Anatomi Bedah Sentral RS. Bhayangkara Nganjuk

Periode Agustus 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 2-Aug-23 K.231363 Ny. Parmiatun dr. Sulung M, SpOG Susp. Ca. Cervix 165,000
2 K.231364 Tn. Harjono dr. Rahmad K, SpU BPH 280,000
3 K.231365 Tn. Sukarmaji dr. Rahmad K, SpU BPH 280,000
4 5-Aug-23 K.231393 Ny. Rahayu Puji A dr. Elyani, SpOG Erosi Portio 165,000
5 K.231394 Ny. Siti Sofiatun dr. Elyani, SpOG PUA 165,000
6 K.231395 Tn. H. Imam Bisri dr. Rahmad K, SpU BPH 280,000
7 9-Aug-23 K.231421 Ny. Suwarti dr. Elyani, SpOG Polip Endocervix 210,000
8 12-Aug-23 K.231449 Ny. Parida Arjani dr. Elyani, SpOG Cysta Bartholine (D) 210,000
9 K.231450 Ny. Wilis Mutiarani dr. Gazali Rusdi, SpB Myoma Uteri 280,000
10 16-Aug-23 K.231464 Ny. Titik Ismiati dr. Elyani, SpOG Susp. Ca. Cervix 165,000
11 K.231465 Ny. Dian Fika S dr. Elyani, SpOG P U A + Myoma Uteri 165,000
12 K.231466 Ny. Istiqomah dr. Sonia Rahayu, SpOG PUA 165,000
13 K.231467 Tn. Samidin dr. Rahmad K, SpU BPH 280,000
14 K.231468 Tn. Mudjadi dr. Rahmad K, SpU BPH 280,000
15 19-Aug-23 K.231495 Ny. Napsiyah dr. Elyani, SpOG PUA 165,000
16 K.231496 Ny. Titi Lestari dr. Elyani, SpOG PUA 165,000
17 K.231497 Ny. Warni dr. Elyani, SpOG PUA 280,000
18 K.231498 Ny. Tri Hartina dr. Elyani, SpOG KET 280,000
19 K.231499 Ny. Suwarti M dr. Elyani, SpOG Cystoma Ovarii (D) 280,000
20 K.231500 Tn. Siman dr. Rahmad K, SpU BPH 165,000
21 23-Aug-23 K.231524 Ny. Utmanita dr. Elyani, SpOG KET 280,000
22 26-Aug-23 K.231553 Ny. Okvidian K dr. Sonia Rahayu, SpOG Cervicitis Kronis 165,000
23 K.231554 Ny. Suparti dr. Gazali Rusdi, SpB Polip Endometrium 165,000
24 K.231555 Tn. Basar dr. Rahmad K, SpU BPH 280,000
25 30-Aug-23 K.231571 Ny. Beti Dwi Puspita dr. Elyani, SpOG IVA Positif DD : Lesi Pracancer 165,000
26 K.231572 Ny. Sulis Efendi dr. Gazali Rusdi, SpB Sisa Plasenta 165,000
27 K.231573 Tn. Sukari dr. Rahmad K, SpU BPH 280,000
5,925,000

5,925,000
Page 5

4
 Tagihan Pemeriksaan Patologi Anatomi RS DKT
Periode Agustus 2023

Sediaan Reg Nama Nama Diagnosa

No.
diterima PA penderita dokter Klinis
1 2-Aug-23 K.231362 Ny. Siti Aisyah dr. Sulung M, SpOG Hiperplasia Endometrium
2 K.231379 Ny. Sujiarti dr. Ririen Indah, SpOG Susp. Ca. Cervix
3 5-Aug-23 K.231389 Ny. Siti Juwariyah dr. Sulung M, SpOG Cyste Dermoid
4 K.231390 Ny. Nanie Puspita dr. Sulung M, SpOG Hiperplasia Endometrium
5 K.231391 Ny. Novita Nurma dr. Sulung M, SpOG AUB
6 K.231392 Ny. Ayu Catur W dr. Ardi P, SpOG Geborn Myoma
7 9-Aug-23 K.231415 Ny. Azik Fauziatul dr. Ririen Indah, SpOG Kista
8 K.231416 Ny. Eko Widayanti dr. Ardi P, SpOG Myoma Uteri (5 Block)
9 K.231417 Ny. Renita dr. Sulung M, SpOG Abortus Incompletus
10 K.231418 Ny. Luluk Ulfa dr. Sulung M, SpOG Myoma Uteri (5 Block)
11 K.231419 Ny. Siti Muntamah dr. Sulung M, SpOG Kista Coklat
12 K.231420 Tn. Fitri Widaningsih dr. Edy S, SpB Struma Nodusa Non Toxica
13 12-Aug-23 K.231445 Ny. Sulasih dr. Ardi P, SpOG Susp. Ca. Cervix
14 K.231446 Ny. Nani Kartika N dr. Ririen Indah, SpOG Kista Bartholin
15 K.231447 Ny. Miftahul Maulida dr. Sulung M, SpOG Cysta Ovarii
16 K.231448 Ny. Rukiyah dr. Sulung M, SpOG Cysta Ovarii (5 Block)
17 23-Aug-23 K.231520 Ny. Hanani Fadhilah dr. Ardi P, SpOG Cyste Coklat
18 K.231521 Ny. Aulin Nurnawati dr. Ririen Indah, SpOG Myoma Uteri
19 K.231522 Ny. Istiana dr. Sulung M, SpOG Myoma Uteri
20 K.231523 Ny. Nunik Siti F dr. Sulung M, SpOG Adenomyosis (5 Block)
21 26-Aug-23 K.231547 Ny. Siti Mariyah dr. Ardi P, SpOG
22 K.231548 Ny. Siti Nur A dr. Ardi P, SpOG Menometrorhagia
23 K.231549 Ny. Bibit Rohmah dr. Ririen Indah, SpOG DUB
24 K.231550 Ny. Novi Winda Tri dr. Ririen Indah, SpOG Cyste
25 K.231551 Ny. Peni Andriani dr. Sulung M, SpOG Mola
26 K.231552 Ny. Ulul Ulfiantika dr. Sulung M, SpOG Kista Dermoid
27 30-Aug-23 K.231582 Ny. Yuni Lestari dr. Ririen Indah, SpOG DUB
28 K.231583 Ny. Rani Kurniati dr. Edy S, SpB Abscess Mamma (D)
aan Patologi Anatomi RS DKT
de Agustus 2023

Jumlah
(Rp)
170,000
170,000
280,000
170,000
170,000
210,000
280,000
340,000
170,000
340,000
280,000
210,000
170,000
210,000
280,000
340,000
280,000
280,000
280,000
340,000
170,000
170,000
170,000
280,000
170,000
280,000
170,000
170,000
6,550,000
 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi RSUD Kertosono

Periode Agustus 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 2-Aug-23 K.231366 Tn. Amrowi dr. Ardian Bayu, SpU BPH 290,000
2 K.231367 Ny. Niken Aldila S. P dr. R. Imam Muhajirin, SpB F A M (D) 210,000
3 5-Aug-23 K.231396 Ny. Aminur Rohmatin dr. R. Imam Muhajirin, SpB STT DD:Papilloma 180,000
4 K.231397 Nn. Bandara E dr. Woro S, SpTHT-KL Tumor Cavum Nasi 210,000
5 9-Aug-23 K.231422 Ny. Riatun dr. Sunarman, SpB Struma Kistika 210,000
6 K.231423 Ny. Rena Alland K dr. Sunarman, SpB FAM 210,000
7 K.231424 Ny. Novia Wiji dr. R. Imam Muhajirin, SpB Phyloides Tumor (5 Block) 350,000
8 12-Aug-23 K.231451 Tn. Jasminem dr. R. Imam Muhajirin, SpB Tumor Nasofaring (Susp. KNF) 180,000
9 K.231452 Tn. Ilham Saputro dr. Woro S, SpTHT-KL Limfadenitis 210,000
10 K.231453 Tn. Suwarni dr. R. Imam Muhajirin, SpB Susp. Cystitis 180,000
11 16-Aug-23 K.231469 Tn. Hardi Yansa dr. Ardian Bayu, SpU Soft Tissue Tumor DD : Lipoma 210,000
12 K.231470 Ny. Aina Puspita N dr. R. Imam Muhajirin, SpB STT DD : Limfadenopati 210,000
13 K.231471 Nn. Siti Zumrotul dr. R. Imam Muhajirin, SpB FAM 210,000
14 K.231472 Ny. Kasiyem dr. R. Imam Muhajirin, SpB Susp. Ca. Ovarium (6 Block) 410,000
15 K.231473 Tn. Eko Hadi S dr. R. Imam Muhajirin, SpB Soft Tissue Tumor Inguinal 210,000
16 K.231474 Tn. Fernando Ramdhani dr. Sunarman, SpB Soft Tissue Tumor 210,000
17 K.231475 Ny. Erlin Triyana dr. Woro S, SpTHT-KL Tumor Mamma (S) 290,000
18 K.231476 Tn. Tukidi dr. R. Imam Muhajirin, SpB BPH 290,000
19 19-Aug-23 K.231501 Ny. Retnoningsih dr. I Made Saria, SpOG Susp. Ca. Cervix Stad II B 180,000
20 K.231502 Ny. Samsiyah dr. I Made Saria, SpOG Susp. Ca. Cervix Stad II B 180,000
21 K.231503 Ny. Anna Churoh dr. R. Imam Muhajirin, SpB Tumor Mammae (S) (6 Block) 410,000
22 K.231504 Tn. Sumarno dr. R. Imam Muhajirin, SpB Soft Tissue Tumor 210,000
23 K.231505 Ny. Setyowati dr. R. Imam Muhajirin, SpB Appendix 210,000
24 K.231506 Tn. Taniman dr. Ardian Bayu, SpU BPH 290,000
25 23-Aug-23 K.231525 Ny. Didin Dwi P dr. Sunarman, SpB Tumor Mamma (S) 210,000
26 K.231526 Ny. Sumiatin dr. IPK. Yudasmara, SpOG Myoma Uteri 290,000
27 30-Aug-23 K.231574 Ny. Binti Nur Kasanah dr. I Made Saria, SpOG Kista Ovarii Bilateral 290,000
28 K.231575 Ny. Silvya Putri dr. Sunarman, SpB Tumor Kulit 210,000
29 K.231576 Ny. Susiati dr. Sunarman, SpB Tumor Mamma (S) Stad. IIIA 210,000
30 K.231577 Ny. Mellanie Nadya A. H dr. Sunarman, SpB F A M (S) 210,000
31 K.231578 Tn. Samsudi dr. Ardian Bayu, SpU Cystitis 180,000
7,350,000

735000
6,615,000
Malang,

Nonny Yogha Pupita. SE,Ak

1
2
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5
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 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

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 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi RS Ratih Periode Agustus 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 5-Aug-23 K.231388 Ny. Suhariyati dr. Jody Hernanto, SpB Tumor Cruris
2 9-Aug-23 K.231412 Ny. Sunarti dr. Surinto, SpOG Menometrorrhagia
3 K.231413 Ny. Fitri Khoirun N dr. Surinto, SpOG Menometrorrhagia
4 K.231414 Ny. Sylviana Safitri dr. Surinto, SpOG Abortus Incompletus
5 16-Aug-23 K.231494 Ny. Suswati dr. Surinto, SpOG Metrorragia
6 23-Aug-23 K.231518 Ny. Yuliani dr. Surinto, SpOG Menometrorragia
7 K.231519 Ny. Katem dr. Jody Hernanto, SpB Tumor R. Pedis
8 26-Aug-23 K.231546 An. Khayra Arisha dr. Bobby B, SpBBA Tumor Mulut
9 30-Aug-23 K.231570 ny. Indriyani Mayasari dr. Surinto, SpOG Menometrorragia

-
0
0

Malang,

Nonny Yogha Pupita. SE,Ak

 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi RS Melinda Periode Agustus 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1
2
3
4
5
-
0
0

Malang,

Nonny Yogha Pupita. SE,Ak

 Pemeriksaan Patologi Anatomi Tunai
Periode Agustus 2023
Tanggal No Reg Nama Dokter
2-Aug-23 1 K.231358 Tn. Tukimin dr. Dodo Wikanto, Sp. U
2 K.231359 Ny. Wiwik Faridatul A dr. Sujut, Sp. THT-KL
3 K.231360 Ny. Marifatus Sadiyah dr. Erika Kusuma, Sp. B
5-Aug-23 4 K.231380 Ny. Susiati dr. Jonathan Candra, Sp. OG
5 K.231381 Ny. Cici S dr. Dadang W, Sp. OG
6 K.231382 Tn. Sukadi dr. Dodo Wikanto, Sp. U
7 K.231383 Ny. Dewi Nur Farida dr. Jody Hernanto, Sp. B
8 K.231384 Ny. Nur Aini Rahma H dr. Zahruddin Ahmad, Sp. DV
9 K.231385 An. Evi Riana A dr. Zahruddin Ahmad, Sp. DV
10 K.231386 Ny. Winda Dian A dr. Jody Hernanto, Sp. B
9-Aug-23 11 K.231405 Ny. Lia Indri dr. Hamidah TH, Sp. OG
12 K.231406 Ny. Casiavera Lavanda dr. Nikmah Ernawati, Sp. OG
13 K.231407 Ny. Titik Indrawati dr. Nikmah Ernawati, Sp. OG
14 K.231408 Sumartono dr. Dodo Wikanto, Sp. U
15 K.231409 Ny. Hartini dr. Donny Irawan, Sp. OG
16 K.231410 Ny. Yuli Astuti dr. Donny Irawan, Sp. OG
17 K.231411 Ny. Dian Puspitarini dr. Erika Kusuma, Sp. OG
12-Aug-23 18 K.231436 Ny. Tri Lestari dr. I Made Saria, Sp. OG
19 K.231437 Ny. Wiwik Retno dr. Latifa, Sp. OG
20 K.231438 Ny. Listiani dr. Dhamayanti Eka O, Sp. OG
21 K.231439 Ny. Bety Nur Handayani dr. Donny Irawan, Sp. OG
22 K.231440 Tn. Dul Jimun dr. Zahruddin Ahmad, Sp. DV
23 K.231441 Suparman dr. Sunarman, Sp. B
24 K.231442 Ny. Sugiatun dr. Erika Kusuma, Sp. B
25 K.231443 Fatimah Azzahra M dr. Bobby Budiono, Sp. B-BA
26 K.231444 Tn. Imam Wahyudi dr. Dwanda Yuniro, Sp. B
16-Aug-23 27 K.231459 Ny. Finna Henny N Bidan. Rita Dahliana
28 K.231460 Ny. Siswati dr. Fitrah Karman A, Sp. B
29 K.231461 Ny. Ira Nur Farida dr. Erika Kusuma, Sp. B
30 K.231462 Sdr. Afrizal Dahatriya dr. Erika Kusuma, Sp. B
31 K.231463 Ny. Titut Ari S dr. Jonathan Candra, Sp. OG
19-Aug-23 32 K.231483 Ny. Novita Tristiyanti dr. Nikmah Ernawati, Sp. OG
33 K.231484 Ny. Martiah dr. Dhamayanti Eka O, Sp. OG
34 K.231485 Ny. Ponisri dr. Dodo Wikanto, Sp. U
35 K.231486 Tn. Katiran dr. Dodo Wikanto, Sp. U
36 K.231487 Ny. Sukini dr. I Made Saria, Sp. OG
37 K.231488 Ny. Farah Anggraeni dr. Donny Irawan, Sp. OG
38 K.231489 Tn. Suryanto dr. Zahruddin Ahmad, Sp. DV
39 K.231490 Nn. Herfina Bintara M dr. Zahruddin Ahmad, Sp. DV
40 K.231491 Nn. Collin Angelicha dr. Zahruddin Ahmad, Sp. DV
41 K.231492 Nn. Fariha Nailal Muna dr. Jody Hernanto, Sp. B
42 K.231493 Ny. Irawati dr. Darwan T, Sp. M
23-Aug-23 43 K.231513 Ny. Sri Supatminingsih dr. Sulung M, Sp. OG
44 K.231514 Tn. Ngaliman dr. Dodo Wikanto, Sp. U
45 K.231515 Tn. Tukimin dr. Dodo Wikanto, Sp. U
46 K.231516 TN. Kasiran dr. Dodo Wikanto, Sp. U
47 K.231517 Ny. Dewi Kurnia A dr. Donny Irawan, Sp. OG
26-Aug-23 48 K.231531 Rira Dwei Wijayanti dr. Lafita, Sp. OG
 49 K.231532 Nn. Firda Inayati H dr. Erika Kusuma, Sp. B
50 K.231533 Ny. Nur Khosiyah dr. Donny Irawan, Sp. OG
51 K.231534 Ny. Feri Andrias dr. Dhamayanti Eka O, Sp. OG
52 K.231535 Ny. Limpatingsih dr. Zahruddin Ahmad, Sp. DV
53 K.231536 Nn. Febri Lestari dr. Zahruddin Ahmad, Sp. DV
54 K.231537 Ny. Tini dr. Jody Hernanto, Sp. B
55 K.231538 Tn. Bayu Trismawan dr. Jody Hernanto, Sp. B
56 K.231539 Sdr. Rifaldi Risqi A dr. Jody Hernanto, Sp. B
57 K.231540 Sdr. Rifaldi Risqi A dr. Jody Hernanto, Sp. B
58 K.231541 An. Tri Wahyu Angga S dr. Jody Hernanto, Sp. B
59 K.231542 Nn. Tika Anggi S dr. Jody Hernanto, Sp. B
60 K.231543 Ratih Cahyaningrum dr. Zahruddin Ahmad, Sp. DV
61 K.231544 Ny. Mistijani dr. Zahruddin Ahmad, Sp. DV
62 K.231545 Musali dr. Ardian Bayu W, Sp. U
30-Aug-23 63 K.231566 Ny. Endang Perwati dr. Andoko, Sp. OG
64 K.231567 Ny. Nur Hidayati dr. Dhamayanti Eka O, Sp. OG
65 K.231568 Sumali dr. Dodo Wikanto, Sp. U
 logi Anatomi Tunai
gustus 2023
RS Diagnosa Blok Tarip cn nirmala
RS. Wilujeng BPH B2 270,000
RSUM. Daha Husada Susp. KNF 2xK 2 380,000
RS. Aura Syifa Tumor Mamma (D) S1 207,000
RS. Aura Syifa AUB K1 171,000
RS. Wilujeng Kista Bartholine cairan 270,000
RS. Wilujeng BPH B2 270,000
RSU. Daha Husada Tumor Mammae S1 180,000
RSU. Daha Husada Neurofibromatosis S1 180,000
RSU. Daha Husada Tumor r. Scalp S1 180,000
RSU. Daha Husada Ca. Mamma B6 387,000
Jl. HOS. Cokro Aminoto 70 A Pap Smear 81,000
Jl. KH. Hasyim Asyari Pap Smear 81,000
Jl. KH. Hasyim Asyari Pap Smear 81,000
RS. Wilujeng BPH K1 270,000
RSIA. Nirmala AUB B2 190,000 19,000.00
RSIA. Nirmala Myoma Uteri B1 300,000 30,000.00
RS. Aura Syifa Tumor Mamma (D) S1 207,000
RB. Dharma Husada Pap Smear 90,000
RSUM. Surya Melati AUB K1 171,000
RS. Wilujeng Massa Dinding Vagina S1 171,000
RS. Nirmala AUB K1 190,000 19,000.00
RSUD. Daha Husada Basalioma S1 180,000
RSUD. Kertosono Neurofibromatosis S2 216,000
RS. Aura Syifa Tumor Mamma (D) S2 207,000
RS. Aura Syifa Tumor Payudara S1 171,000
RS. Aura Syifa Lipoma S2 270,000
Warujayeng Nganjuk Pap Smear 49,500
RSUM. Surya Melati Limfadenitis Inguinal (S) K1 171,000
RS. Wilujeng Tumor Manus (D) K1 171,000
RS. Wilujeng Tumor Frontal K1 171,000
RS. Aura Syifa AUB K1 171,000
Jl KH. Hasyim Asyari Pap Smear 81,000
RS. Wilujeng DD : lipoma K1 171,000
RS. Wilujeng Tumor Buli B2 270,000
RS. Wilujeng BPH B2 270,000
RSUD. Kertosono Kista Coklat Dextra B2 279,000
RSIA. Nirmala AUB K1 190,000 19,000.00
RSUD. Daha Husada Tumor Fascialis K1 180,000
RSUD. Daha Husada Tumor Manus K1 180,000
RSUD. Daha Husada Condyloma Accuminata K1 180,000
RSUD. Daha Husada Tumor R. Colli K1 180,000
RSUD. Daha Husada Veruka Conjungtiva K1 180,000
Jl. Brigjen Katamso 51 Kdr Susp. Ca. Cervix K1 171,000
RS. Wilujeng BPH B2 270,000
RS. Wilujeng BPH B2 270,000
RS. Wilujeng BPH B2 270,000
RSIA. Nirmala AUB K1 190,000 19,000.00
RSUM. Surya Melati A U B ec Ca. Cervix K1 171,000
RS. Aura Syifa Tumor Inguinal (D) S1 171,000
RSIA. Nirmala AUB K1 190,000 19,000.00
RS. Wilujeng T O A (S) B2 270,000
RSUD. Daha Husada Tumor Fascialis K1 180,000
RSUD. Daha Husada Giant Condyloma K1 180,000
RSUD. Daha Husada Struma Uni Nodusa K1 216,000
RSUD. Daha Husada Tumor Pedis S1 180,000
RSUD. Daha Husada Tumor Antebrachii S2 216,000
RSUD. Daha Husada Tumor Axilla S2 216,000
RSUD. Daha Husada Tumor Axilla S1 216,000
RSUD. Daha Husada Tumor Mamma (S) S1 216,000
RSUD. Daha Husada Neurofibroma S1 180,000
RSUD. Daha Husada Basalioma S1 180,000
RSUD. Kertosono BPH B2 279,000
RS. Aura Syifa Susp. Ca. Cervix K1 171,000
RS. Wilujeng AUB K1 171,000
RS. Wilujeng BPH B2 270,000
13,109,500
125,000.00
CN Nirmala 125,000

Sisa 12,984,500