Pe

No Tanggal Pembayaran No. Rekam Medik No. Pendaftaran

1 15/11/2019 00:00:00 63291 RJ1911110398

2 15/11/2019 00:00:00 13858 RJ1911130120

3 15/11/2019 00:00:00 12039 RD1911130024

4 15/11/2019 00:00:00 67544 RD1911140017

5 15/11/2019 00:00:00 78716 RJ1911140135

6 15/11/2019 00:00:00 52897 RJ1911140160

7 15/11/2019 00:00:00 120091 RJ1911140164

8 15/11/2019 00:00:00 11836 RJ1911140228

9 15/11/2019 00:00:00 53582 RJ1911140235

10 15/11/2019 00:00:00 52971 RJ1911150047

11 15/11/2019 00:00:00 14079 RJ1911150106

12 15/11/2019 00:00:00 95690 RD1911150011

13 15/11/2019 00:00:00 11357 RJ1911150149

14 15/11/2019 00:00:00 52432 RM1911150006

15 15/11/2019 00:00:00 126520 RD1911080050

16 15/11/2019 00:00:00 21600 RD1911090058
17 15/11/2019 00:00:00 126552 RD1911100047
18 15/11/2019 00:00:00 54249 RD1911110031
19 15/11/2019 00:00:00 85633 RD1911110039
20 15/11/2019 00:00:00 107995 RD1911110045
21 15/11/2019 00:00:00 126621 RD1911110062
22 15/11/2019 00:00:00 126629 RD1911120010
23 15/11/2019 00:00:00 126636 RD1911120016
24 15/11/2019 00:00:00 126645 RD1911120020
25 15/11/2019 00:00:00 97280 RD1911120022
26 15/11/2019 00:00:00 126667 RD1911120034
27 15/11/2019 00:00:00 4792 RD1911120037
28 15/11/2019 00:00:00 126671 RD1911120038
29 15/11/2019 00:00:00 97647 RD1911120043
30 15/11/2019 00:00:00 119976 RD1911120048
31 15/11/2019 00:00:00 126675 RD1911120052
32 15/11/2019 00:00:00 126149 RJ1911130028
33 15/11/2019 00:00:00 4653 RJ1911130109
34 15/11/2019 00:00:00 126699 RJ1911130212
35 15/11/2019 00:00:00 126706 RD1911130030
36 15/11/2019 00:00:00 77990 RD1911130037
37 15/11/2019 00:00:00 126723 RD1911130055
38 15/11/2019 00:00:00 126725 RJ1911140001
39 15/11/2019 00:00:00 126408 RJ1911140017
40 15/11/2019 00:00:00 107440 RJ1911140021
41 15/11/2019 00:00:00 42421 RJ1911140029
42 15/11/2019 00:00:00 83903 RJ1911140031
43 15/11/2019 00:00:00 50998 RJ1911140033
44 15/11/2019 00:00:00 118408 RJ1911140037
45 15/11/2019 00:00:00 4408 RJ1911140041
46 15/11/2019 00:00:00 78955 RJ1911140045
47 15/11/2019 00:00:00 48256 RJ1911140046
48 15/11/2019 00:00:00 53664 RJ1911140052
49 15/11/2019 00:00:00 50108 RJ1911140055
50 15/11/2019 00:00:00 85339 RJ1911140056
51 15/11/2019 00:00:00 109688 RJ1911140057
52 15/11/2019 00:00:00 91099 RJ1911140058
53 15/11/2019 00:00:00 49424 RJ1911140059
54 15/11/2019 00:00:00 107233 RJ1911140061
55 15/11/2019 00:00:00 75773 RJ1911140062
56 15/11/2019 00:00:00 28534 RJ1911140067
57 15/11/2019 00:00:00 125884 RJ1911140074
58 15/11/2019 00:00:00 126728 RJ1911140077
59 15/11/2019 00:00:00 83392 RJ1911140080
60 15/11/2019 00:00:00 99928 RJ1911140092
61 15/11/2019 00:00:00 107248 RJ1911140095
62 15/11/2019 00:00:00 120120 RJ1911140098
 63 15/11/2019 00:00:00 58413 RJ1911140100
64 15/11/2019 00:00:00 39405 RJ1911140106
65 15/11/2019 00:00:00 71151 RJ1911140110
66 15/11/2019 00:00:00 101996 RJ1911140131
67 15/11/2019 00:00:00 126734 RJ1911140148
68 15/11/2019 00:00:00 45307 RJ1911140150
69 15/11/2019 00:00:00 102001 RJ1911140151
70 15/11/2019 00:00:00 92109 RJ1911140154
71 15/11/2019 00:00:00 96221 RJ1911140159
72 15/11/2019 00:00:00 126214 RJ1911140176
73 15/11/2019 00:00:00 41074 RJ1911140183
74 15/11/2019 00:00:00 123314 RD1911140024
75 15/11/2019 00:00:00 123557 RD1911140026
76 15/11/2019 00:00:00 126307 RD1911140027
77 15/11/2019 00:00:00 84609 RJ1911140189
78 15/11/2019 00:00:00 109489 RJ1911140192
79 15/11/2019 00:00:00 63025 RJ1911140200
80 15/11/2019 00:00:00 51274 RJ1911140202
81 15/11/2019 00:00:00 125552 RJ1911140205
82 15/11/2019 00:00:00 49466 RJ1911140208
83 15/11/2019 00:00:00 125162 RJ1911140209
84 15/11/2019 00:00:00 126744 RJ1911140210
85 15/11/2019 00:00:00 126745 RJ1911140211
86 15/11/2019 00:00:00 62723 RJ1911140212
87 15/11/2019 00:00:00 86221 RJ1911140218
88 15/11/2019 00:00:00 73824 RJ1911140225
89 15/11/2019 00:00:00 55611 RJ1911140227
90 15/11/2019 00:00:00 111081 RJ1911140232
91 15/11/2019 00:00:00 126123 RJ1911140239
92 15/11/2019 00:00:00 97684 RJ1911140242
93 15/11/2019 00:00:00 105473 RJ1911140245
94 15/11/2019 00:00:00 65313 RJ1911140251
95 15/11/2019 00:00:00 67111 RJ1911140252
96 15/11/2019 00:00:00 124543 RJ1911140256
97 15/11/2019 00:00:00 90417 RJ1911140259
98 15/11/2019 00:00:00 59226 RJ1911140260
99 15/11/2019 00:00:00 125056 RJ1911140264
100 15/11/2019 00:00:00 123002 RJ1911140274
101 15/11/2019 00:00:00 114752 RJ1911140277
102 15/11/2019 00:00:00 126757 RJ1911140281
103 15/11/2019 00:00:00 28945 RJ1911140283
104 15/11/2019 00:00:00 117845 RJ1911140284
105 15/11/2019 00:00:00 109718 RJ1911140287
106 15/11/2019 00:00:00 97173 RD1911140038
107 15/11/2019 00:00:00 10774 RJ1911140289
108 15/11/2019 00:00:00 33211 RJ1911140303
109 15/11/2019 00:00:00 81237 RD1911140049
110 15/11/2019 00:00:00 104754 RD1911140055
111 15/11/2019 00:00:00 104989 RD1911140059
112 15/11/2019 00:00:00 25867 RD1911140060
113 15/11/2019 00:00:00 89679 RD1911140064
114 15/11/2019 00:00:00 111260 RJ1911150003
115 15/11/2019 00:00:00 110189 RJ1911150018
116 15/11/2019 00:00:00 124264 RJ1911150019
117 15/11/2019 00:00:00 111875 RJ1911150035
118 15/11/2019 00:00:00 44574 RD1911150002
119 15/11/2019 00:00:00 72565 RJ1911150040
120 15/11/2019 00:00:00 27638 RJ1911150046
121 15/11/2019 00:00:00 50673 RJ1911150049
122 15/11/2019 00:00:00 18885 RJ1911150050
123 15/11/2019 00:00:00 126504 RJ1911150052
124 15/11/2019 00:00:00 72368 RJ1911150055
125 15/11/2019 00:00:00 81910 RJ1911150067
126 15/11/2019 00:00:00 126768 RD1911150006
127 15/11/2019 00:00:00 113000 RJ1911150070
128 15/11/2019 00:00:00 97680 RD1911150008
129 15/11/2019 00:00:00 2770 RJ1911150076
130 15/11/2019 00:00:00 124543 RJ1911150079
131 15/11/2019 00:00:00 50492 RJ1911150081
132 15/11/2019 00:00:00 1592 RJ1911150087
133 15/11/2019 00:00:00 122666 RJ1911150088
134 15/11/2019 00:00:00 68510 RJ1911150091
135 15/11/2019 00:00:00 126615 RJ1911150099
136 15/11/2019 00:00:00 119210 RJ1911150103
137 15/11/2019 00:00:00 110888 RJ1911150107
138 15/11/2019 00:00:00 28517 RJ1911150108
139 15/11/2019 00:00:00 109082 RJ1911150111
140 15/11/2019 00:00:00 126497 RJ1911150120
141 15/11/2019 00:00:00 126407 RJ1911150124
142 15/11/2019 00:00:00 115497 RM1911150003
143 15/11/2019 00:00:00 126566 RJ1911150129
144 15/11/2019 00:00:00 44061 RJ1911150131
145 15/11/2019 00:00:00 104871 RJ1911150134
146 15/11/2019 00:00:00 120120 RJ1911150137
147 15/11/2019 00:00:00 75185 RJ1911150138
148 15/11/2019 00:00:00 1789 RJ1911150140
149 15/11/2019 00:00:00 124991 RJ1911150143
150 15/11/2019 00:00:00 125292 RJ1911150144
151 15/11/2019 00:00:00 125593 RJ1911150145
152 15/11/2019 00:00:00 110566 RJ1911150148
153 15/11/2019 00:00:00 114267 RJ1911150151
154 15/11/2019 00:00:00 70440 RJ1911150152
155 15/11/2019 00:00:00 99400 RJ1911150153
156 15/11/2019 00:00:00 18360 RJ1911150154
157 15/11/2019 00:00:00 126774 RJ1911150155
158 15/11/2019 00:00:00 117682 RD1911150016
159 15/11/2019 00:00:00 126775 RD1911150017
160 15/11/2019 00:00:00 52137 RJ1911150161
161 15/11/2019 00:00:00 124750 RJ1911150173
162 15/11/2019 00:00:00 123830 RJ1911150175
163 15/11/2019 00:00:00 126779 RD1911150021
164 15/11/2019 00:00:00 124670 RJ1911150177
165 15/11/2019 00:00:00 124751 RJ1911150178
166 15/11/2019 00:00:00 126782 RJ1911150182
167 15/11/2019 00:00:00 54257 RJ1911150184
168 15/11/2019 00:00:00 125775 RJ1911150188
169 15/11/2019 00:00:00 126786 RJ1911150196
170 15/11/2019 00:00:00 28147 RJ1911150201
171 15/11/2019 00:00:00 125092 RJ1911150210
172 15/11/2019 00:00:00 113952 RJ1911150215
173 15/11/2019 00:00:00 119956 RJ1911150233
174 15/11/2019 00:00:00 123733 RJ1911150237
175 15/11/2019 00:00:00 27290 RJ1911150242
176 15/11/2019 00:00:00 23999 RJ1911150249
177 15/11/2019 00:00:00 121765 RJ1911150252
178 15/11/2019 00:00:00 54785 RJ1911150253
179 15/11/2019 00:00:00 33126 RJ1911150263
180 15/11/2019 00:00:00 104894 RJ1911150264
181 15/11/2019 00:00:00 23242 RD1911150026
182 15/11/2019 00:00:00 96361 RJ1911150266
183 15/11/2019 00:00:00 114352 RJ1911150270
184 15/11/2019 00:00:00 100851 RJ1911150271
185 15/11/2019 00:00:00 101717 RJ1911150272
186 15/11/2019 00:00:00 126422 RJ1911150273
187 15/11/2019 00:00:00 126513 RJ1911150276
188 15/11/2019 00:00:00 89394 RJ1911150284
189 15/11/2019 00:00:00 82084 RJ1911150285
190 15/11/2019 00:00:00 95644 RJ1911150288
191 15/11/2019 00:00:00 126072 RJ1911150291
192 15/11/2019 00:00:00 126796 RJ1911150293
193 15/11/2019 00:00:00 105781 RJ1911150296
194 15/11/2019 00:00:00 92124 RD1911150031
195 15/11/2019 00:00:00 126800 RD1911150033
196 15/11/2019 00:00:00 88937 RD1911150034
197 15/11/2019 00:00:00 84538 RD1911150039
198 15/11/2019 00:00:00 27101 RD1911150053
199 15/11/2019 00:00:00 126804 RD1911150054
 RS AMIRA
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- PENJAMIN P3
d 15 Nop 2019 23:59:59

Ruang Perawatan Tanggal Masuk Tanggal Keluar Total Biaya Pelayanan

Edelweis 11/11/2019 0:00 15/11/2019 00:00:00 3,988,642

Klinik Mata 13/11/2019 00:00:00 13/11/2019 00:00:00 185,834

205 13/11/2019 00:00:00 15/11/2019 00:00:00 2,691,771

Perawatan Rawat Darurat 14/11/2019 00:00:00 14/11/2019 00:00:00 20,000

Klinik THT 14/11/2019 00:00:00 14/11/2019 00:00:00 192,569

KLINIK FISIOTERAPI 14/11/2019 00:00:00 14/11/2019 00:00:00 325,430

Klinik Orthopedi 14/11/2019 00:00:00 14/11/2019 00:00:00 248,360

Klinik Kulit & Kelamin 14/11/2019 00:00:00 14/11/2019 00:00:00 89,602

Klinik Jantung 14/11/2019 00:00:00 14/11/2019 00:00:00 180,320

Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 442,973

Klinik Gigi & Mulut 15/11/2019 00:00:00 15/11/2019 00:00:00 216,500

Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 188,504

Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 245,924

Radiologi 15/11/2019 00:00:00 15/11/2019 00:00:00 409,200

Alamanda 8/11/2019 0:00 15/11/2019 00:00:00 5,070,005

Amarilis 9/11/2019 0:00 15/11/2019 00:00:00 5,756,017
308 10/11/2019 0:00 15/11/2019 00:00:00 5,491,939
Syauki 11/11/2019 0:00 15/11/2019 00:00:00 4,846,091
310 11/11/2019 0:00 15/11/2019 00:00:00 3,462,265
 211 11/11/2019 0:00 15/11/2019 00:00:00 7,376,852
316 11/11/2019 0:00 15/11/2019 00:00:00 3,070,220
214 12/11/2019 0:00 15/11/2019 00:00:00 2,656,966
312 12/11/2019 0:00 15/11/2019 00:00:00 2,664,338
Zaitun 12/11/2019 0:00 15/11/2019 00:00:00 1,861,175
Syauki 12/11/2019 0:00 15/11/2019 00:00:00 2,888,407
Chrissan 12/11/2019 0:00 15/11/2019 00:00:00 2,995,061
318 12/11/2019 0:00 15/11/2019 00:00:00 3,885,935
214 12/11/2019 0:00 15/11/2019 00:00:00 1,996,845
315 12/11/2019 0:00 15/11/2019 00:00:00 3,358,128
305 12/11/2019 0:00 15/11/2019 00:00:00 2,564,806
312 12/11/2019 0:00 15/11/2019 00:00:00 3,525,319
Klinik Saraf 13/11/2019 00:00:00 13/11/2019 00:00:00 103,644
Klinik Jiwa 13/11/2019 00:00:00 13/11/2019 00:00:00 153,279
205 13/11/2019 00:00:00 15/11/2019 00:00:00 6,535,559
Alamanda 13/11/2019 00:00:00 15/11/2019 00:00:00 2,292,597
203 13/11/2019 00:00:00 15/11/2019 00:00:00 2,310,321
310 13/11/2019 00:00:00 15/11/2019 00:00:00 2,062,328
Klinik Mata 14/11/2019 00:00:00 14/11/2019 00:00:00 176,442
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 169,328
Klinik Mata 14/11/2019 00:00:00 14/11/2019 00:00:00 153,560
Klinik Jantung 14/11/2019 00:00:00 14/11/2019 00:00:00 202,710
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 329,100
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 308,758
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 137,480
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 110,153
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 178,132
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 110,892
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 238,464
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 284,553
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 1,071,322
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 212,266
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 440,418
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 209,545
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 424,469
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 434,185
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 192,894
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 114,896
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 126,082
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 237,475
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 87,361
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 248,348
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 362,135
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 356,406
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 263,246
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 118,134
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 343,162
Klinik Kandungan 14/11/2019 00:00:00 14/11/2019 00:00:00 221,800
Hemodialisa 14/11/2019 00:00:00 14/11/2019 00:00:00 912,614
Hemodialisa 14/11/2019 00:00:00 14/11/2019 00:00:00 912,614
Hemodialisa 14/11/2019 00:00:00 14/11/2019 00:00:00 912,614
Klinik Bedah 14/11/2019 00:00:00 14/11/2019 00:00:00 179,218
Klinik THT 14/11/2019 00:00:00 14/11/2019 00:00:00 97,448
Klinik Mata 14/11/2019 00:00:00 14/11/2019 00:00:00 142,540
318 14/11/2019 00:00:00 15/11/2019 00:00:00 5,787,515
Rosella 14/11/2019 00:00:00 15/11/2019 00:00:00 1,541,316
317 14/11/2019 00:00:00 15/11/2019 00:00:00 5,752,941
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 93,874
Klinik Mata 14/11/2019 00:00:00 14/11/2019 00:00:00 178,160
Klinik Urologi 14/11/2019 00:00:00 14/11/2019 00:00:00 210,684
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 121,777
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 168,694
Klinik Mata 14/11/2019 00:00:00 14/11/2019 00:00:00 248,242
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 127,004
Klinik Jantung 14/11/2019 00:00:00 14/11/2019 00:00:00 373,835
Klinik Bedah 14/11/2019 00:00:00 14/11/2019 00:00:00 439,491
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 136,123
Klinik THT 14/11/2019 00:00:00 14/11/2019 00:00:00 103,580
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 87,746
Klinik Saraf 14/11/2019 00:00:00 14/11/2019 00:00:00 113,956
Klinik Mata 14/11/2019 00:00:00 14/11/2019 00:00:00 247,010
208 14/11/2019 00:00:00 15/11/2019 00:00:00 5,357,655
Klinik Orthopedi 14/11/2019 00:00:00 14/11/2019 00:00:00 123,800
Klinik Orthopedi 14/11/2019 00:00:00 14/11/2019 00:00:00 123,600
Klinik Bedah 14/11/2019 00:00:00 14/11/2019 00:00:00 140,770
Klinik Jantung 14/11/2019 00:00:00 14/11/2019 00:00:00 388,362
Klinik Orthopedi 14/11/2019 00:00:00 14/11/2019 00:00:00 123,600
Klinik Kulit & Kelamin 14/11/2019 00:00:00 14/11/2019 00:00:00 180,870
KLINIK FISIOTERAPI 14/11/2019 00:00:00 14/11/2019 00:00:00 95,306
Klinik Jantung 14/11/2019 00:00:00 14/11/2019 00:00:00 150,173
KLINIK FISIOTERAPI 14/11/2019 00:00:00 14/11/2019 00:00:00 93,426
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 260,064
Klinik Mata 14/11/2019 00:00:00 14/11/2019 00:00:00 176,442
Hemodialisa 14/11/2019 00:00:00 14/11/2019 00:00:00 912,614
Hemodialisa 14/11/2019 00:00:00 14/11/2019 00:00:00 912,614
Klinik Jantung 14/11/2019 00:00:00 14/11/2019 00:00:00 179,331
 210 14/11/2019 00:00:00 15/11/2019 00:00:00 5,228,747
Hemodialisa 14/11/2019 00:00:00 14/11/2019 00:00:00 912,614
Klinik Dalam 14/11/2019 00:00:00 14/11/2019 00:00:00 130,922
Perawatan Rawat Darurat 14/11/2019 00:00:00 14/11/2019 00:00:00 45,000
Perawatan Rawat Darurat 14/11/2019 00:00:00 14/11/2019 00:00:00 45,000
Perawatan Rawat Darurat 14/11/2019 00:00:00 14/11/2019 00:00:00 111,099
Perawatan Rawat Darurat 14/11/2019 00:00:00 14/11/2019 00:00:00 78,142
Perawatan Rawat Darurat 14/11/2019 00:00:00 14/11/2019 00:00:00 166,099
Klinik Jiwa 15/11/2019 00:00:00 15/11/2019 00:00:00 120,000
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 179,520
KLINIK FISIOTERAPI 15/11/2019 00:00:00 15/11/2019 00:00:00 172,000
Klinik Jantung 15/11/2019 00:00:00 15/11/2019 00:00:00 117,851
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 155,000
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 479,190
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 122,442
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 328,946
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 103,056
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 104,284
Klinik Jiwa 15/11/2019 00:00:00 15/11/2019 00:00:00 199,728
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
Klinik THT 15/11/2019 00:00:00 15/11/2019 00:00:00 80,000
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 58,900
Klinik THT 15/11/2019 00:00:00 15/11/2019 00:00:00 210,000
Klinik Saraf 15/11/2019 00:00:00 15/11/2019 00:00:00 117,050
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Klinik Gigi & Mulut 15/11/2019 00:00:00 15/11/2019 00:00:00 155,000
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 135,636
Klinik Jiwa 15/11/2019 00:00:00 15/11/2019 00:00:00 207,650
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Klinik Saraf 15/11/2019 00:00:00 15/11/2019 00:00:00 125,830
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 144,723
Klinik Kandungan 15/11/2019 00:00:00 15/11/2019 00:00:00 243,155
Laboratorium Klinis 15/11/2019 00:00:00 15/11/2019 00:00:00 92,000
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 97,604
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 112,175
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 114,387
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 171,310
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 171,905
Klinik Saraf 15/11/2019 00:00:00 15/11/2019 00:00:00 122,101
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 1,006,390
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Klinik Dalam 15/11/2019 00:00:00 15/11/2019 00:00:00 208,728
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
Klinik Gigi & Mulut 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 144,353
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 97,467
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 173,408
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 159,720
Klinik Gigi & Mulut 15/11/2019 00:00:00 15/11/2019 00:00:00 114,720
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Klinik Jantung 15/11/2019 00:00:00 15/11/2019 00:00:00 379,634
KLINIK FISIOTERAPI 15/11/2019 00:00:00 15/11/2019 00:00:00 195,126
Klinik Gigi & Mulut 15/11/2019 00:00:00 15/11/2019 00:00:00 255,000
Klinik Jantung 15/11/2019 00:00:00 15/11/2019 00:00:00 205,885
Klinik Saraf 15/11/2019 00:00:00 15/11/2019 00:00:00 227,840
Klinik Kulit & Kelamin 15/11/2019 00:00:00 15/11/2019 00:00:00 150,801
Klinik Kandungan 15/11/2019 00:00:00 15/11/2019 00:00:00 245,743
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
KLINIK FISIOTERAPI 15/11/2019 00:00:00 15/11/2019 00:00:00 176,140
Klinik Gigi & Mulut 15/11/2019 00:00:00 15/11/2019 00:00:00 255,000
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
KLINIK FISIOTERAPI 15/11/2019 00:00:00 15/11/2019 00:00:00 178,616
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Hemodialisa 15/11/2019 00:00:00 15/11/2019 00:00:00 909,170
Klinik Bedah 15/11/2019 00:00:00 15/11/2019 00:00:00 210,062
Klinik Bedah 15/11/2019 00:00:00 15/11/2019 00:00:00 96,887
Klinik Gigi & Mulut 15/11/2019 00:00:00 15/11/2019 00:00:00 120,000
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Klinik Anak 15/11/2019 00:00:00 15/11/2019 00:00:00 108,660
Klinik Gigi & Mulut 15/11/2019 00:00:00 15/11/2019 00:00:00 108,380
Fisioterapi 15/11/2019 00:00:00 15/11/2019 00:00:00 102,000
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 155,000
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 356,103
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 125,000
Perawatan Rawat Darurat 15/11/2019 00:00:00 15/11/2019 00:00:00 45,000
149.863.494
Total Subsidi Asuransi Total Iur Bayar
P3 Pasien

3,988,642 0

185,834 0

2,691,771 0

20,000 0

192,569 0

325,430 0

248,360 0

89,602 0

180,320 0

442,973 0

216,500 0

188,504 0

245,924 0

409,200 0

5,070,005 0
5,756,017 0
5,491,939 0
4,846,091 0
3,462,265 0
7,376,852 0
3,070,220 0
2,656,966 0
2,664,338 0
1,861,175 0
2,888,407 0
2,995,061 0
3,885,935 0
1,996,845 0
3,358,128 0
2,564,806 0
3,525,319 0
103,644 0
153,279 0
6,535,559 0
2,292,597 0
2,310,321 0
2,062,328 0
176,442 0
169,328 0
153,560 0
202,710 0
329,100 0
308,758 0
137,480 0
110,153 0
178,132 0
110,892 0
238,464 0
284,553 0
1,071,322 0
212,266 0
440,418 0
209,545 0
424,469 0
434,185 0
192,894 0
114,896 0
126,082 0
237,475 0
87,361 0
248,348 0
362,135 0
 356,406 0
263,246 0
118,134 0
343,162 0
221,800 0
912,614 0
912,614 0
912,614 0
179,218 0
97,448 0
142,540 0
5,787,515 0
1,541,316 0
5,752,941 0
93,874 0
178,160 0
210,684 0
121,777 0
168,694 0
248,242 0
127,004 0
373,835 0
439,491 0
136,123 0
103,580 0
87,746 0
113,956 0
247,010 0
5,357,655 0
123,800 0
123,600 0
140,770 0
388,362 0
123,600 0
180,870 0
95,306 0
150,173 0
93,426 0
260,064 0
176,442 0
912,614 0
912,614 0
179,331 0
5,228,747 0
912,614 0
130,922 0
45,000 0
45,000 0
111,099 0
78,142 0
166,099 0
120,000 0
179,520 0
172,000 0
117,851 0
155,000 0
479,190 0
122,442 0
328,946 0
103,056 0
104,284 0
199,728 0
102,000 0
45,000 0
80,000 0
58,900 0
210,000 0
117,050 0
102,000 0
155,000 0
102,000 0
102,000 0
135,636 0
207,650 0
102,000 0
125,830 0
102,000 0
144,723 0
243,155 0
92,000 0
97,604 0
112,175 0
114,387 0
909,170 0
909,170 0
909,170 0
 171,310 0
171,905 0
122,101 0
909,170 0
1,006,390 0
909,170 0
909,170 0
102,000 0
208,728 0
45,000 0
45,000 0
45,000 0
144,353 0
97,467 0
45,000 0
173,408 0
159,720 0
114,720 0
102,000 0
102,000 0
379,634 0
195,126 0
255,000 0
205,885 0
227,840 0
150,801 0
245,743 0
102,000 0
176,140 0
255,000 0
909,170 0
178,616 0
45,000 0
102,000 0
909,170 0
909,170 0
909,170 0
210,062 0
96,887 0
120,000 0
102,000 0
102,000 0
108,660 0
 108,380 0
102,000 0
155,000 0
45,000 0
356,103 0
45,000 0
125,000 0
45,000 0
149.863.494 0
No Nama Pasien

1 A. K. AMIRUDIN
2 AAT ATIAH
3 AAY WAHYU FAUZHI
4 ADIT
5 ADRIANSYAH ISRIN
6 AGUS SUHERMAN
7 AHMAD NURDIN
8 AHMAD PALALI
9 AI MULYATI
10 AI SOFIAH MAWATI
11 ANI NINGSIH
12 ANITA ROSANTY
13 ANNA MARIANNA
14 ARFAN ABDUL HAFIDZ
15 ARIE CHRISTIAN
16 ARSENO RAJENDRA ASSYAUQI
17 ASEP PRIATNA
18 ASEP WAHYU.BA
19 ATIK
20 AYI SARIAH
21 BETI SUSILAWATI
22 BUDI
23 CUCUN SUNARSIH
24 DADANG
25 DARTO
26 DAURI
27 DEDE SOPANDI
28 DEDE SUPRIATNA
29 DEDEH LISNAWATI
30 DEDEN A JUMHATA
31 DEDI SUPARDI
32 DENA AMALIA
33 DENI EKA PERMADI
34 DENIS FERDIAN R
35 DESMAWATI HUSEIN
36 DIASTY NINGRUM SETYOWATI
37 DIDI SUHARDI
38 DIDIN MAHMILUDIN
39 DIDING KURNIAWAN
40 DINO YUDHANTORO
41 DJENAB
42 DODI MULYADI
43 EDI JUNAEDI
44 ELA NURLELA
45 ELLY ASIH
46 EMIN
47 EMPIN
48 ENDA
49 ENEN
50 ENI RUSMINI
51 ENTIN SUMARNI
52 ENUNG
53 ERI DWI ERIANTO
54 ETI MASETI
55 ETI ROHAETI
56 ETI ROHAETI
57 ETIK FITRIYANTO
58 EVI DWI NOVIANTIE
59 EYOH
60 FAJAR ABUBAKAR
61 FEBRIAN EFFENDI
62 FERI RUSTANDI
63 FIQIH MAULANA FAJAR
64 GANDI JUNAEDI
65 H. DEDI SUBAEDI
66 H. HAMID YUSUP
67 HADIJAH
68 HADJARUN
69 HAERUNISA
70 HALIMAH
71 HANA APRIYANTI
72 HASANUDIN
73 HILMI DWI IRAWAN
74 HJ NANI SUMARNI
75 HJ SRI DARYATUN
76 ILIS LISPIANI
77 IMAS SRI SURYANI
78 INA DAMAYANTI
79 INA MARLINA
80 INDRAJATI
81 INTAN AGUSTINA P
82 ISHAK SOPANDI
83 ISUM SUMIYATI
84 IUS YUSTIATIN S.SOS
 85 JAJA ZAINI
86 JULAEHA
87 KAMELIA ANNIDA PUTRI
88 KARIAT
89 KARTINI
90 KEIRA ANASTASYA
91 KELVIN SEPTIAWAN DAMAI SIREGAR
92 KHALIK FAJARUDIN
93 KHASMIR
94 KURNIA
95 LAILY INDAYATI
96 LIAH
97 LULU UDILAH OKTAVIA
98 MACAYLLA MAZAYA
99 MAEMUNAH
100 MAMAH TRESNANINGSIH
101 MAMAT RAHMAT
102 MARYATI
103 METI SUKIATI
104 MIMAH
105 MIMIN AMINAH
106 MOHAMAD BURHAN
107 MUHAMAD GALANG ALFHAEL
108 MUHAMMAD ALFIN
109 MUHAMMAD FATTAN AL - KAUSAR
110 MUHAMMAD MUCHTAR EFENDI
111 MUHAMMAD RIFKY MAULANA
112 MUJAHIDIN
113 MULYADI
114 MULYADI SOSRO
115 MULYANA
116 MULYANA
117 NAIS MARSELA
118 NAJMUDIN
119 NANA MULYANAWATI
120 NANDANG MARIJAN
121 NANI KURNIASIH
122 NANI PRIATNI
123 nenden dewi rahayu
124 NENDEN LIANA NY
125 NEON BIN ABAN
126 NETI CHOERUNISA
127 NIA KURNIA
128 NINA MARLINA
129 NINA SRI RAHAYU MARLINDA
130 NINING ANENGSIH
131 NURCHOLIS MAJID
132 NURHAYAT
133 NURWATI ENI. S
134 NURYADI
135 NYAI SUMIATI
136 OMIH
137 OON
138 PATMAH
139 POPON YULIANTINI
140 R DEDI HIDAYAT
141 RAKA ATHAYA WIRASENA
142 RASMIN HADI SISWANTO
143 RATNA WATI
144 RATU NAYLA NURAZIZAH
145 RENI SUGIARTI
146 RIDWAN MAULANA YUSUF
147 RINI ANGGRAENI
148 RISA AJUNDAWATI
149 RISSA DWI LESTARI
150 RITA SYAHARA
151 RIZKY ADETYA PUTRA
152 RIZQI INDAH FUJIAWATI
153 ROBI NUGRAHA IRIANTO
154 SAFITRIYANI
155 SATRIO DANIEL PUTRA.
156 SAWAJI
157 SELVIANI TIRTA YULIANTI
158 SETIA MULYA
159 SHYFA ALPIANI
160 SITI MASITOH
161 SITI NURAMDONAH
162 SRI HANDAYANI
163 SRI TRESNA FEBRUYANTI H.S
164 SRI UMAMI
165 SUBANA
166 SUBARJONO
167 SUNDAHATI
168 SUPARMAN
169 SUPARMAN
170 SUPARMAN
171 SUSI TOPAYANTI
172 SUTISNA WIJAYA
173 TARMIN
174 TATANG MAMUN
175 TATI DUSTIRAWATI
176 TITA NURHASANAH
177 TITING HARYATIN
178 TUDI HERDIANA
179 TUTI KUSWATI
180 UJANG TABRONI
181 UKAR
182 UNUNG
183 UU UTARDI
184 UWAS
185 WAWAN SETIAWAN
186 WAWAT ROSMAWATI
187 WIDA AWALIYA NURKHALIZA
188 WISNU WIJAYA
189 YADI CAHYADI
190 YAHYA
191 YANA SUTISNA
192 YAYAH
193 YEYET SUKARYATI
194 YONATHAN CHRISTIANTO
195 YULI ROMADONA
196 YULIASIH
197 YUSNA
198 YUSNAINI
199 ZAFRAN A