<table align="center" width="60%" class='tabel1'>

<tr>
<td align="center" colspan="5">
<big><big><big><span style="font-weight: bold;">
LAPORAN JASA PERAWATAN
</span></big></big></big>
</td>
</tr>
</table>

<table align="center" width="98%" border="1" class='tabel1 bayang'>

<tr class='row1' align="center">
<td width="3%"> No</td>
<td width="8%"> Tanggal</td>
<td > No RM</td>
<td > Pasien</td>
<td > Cara Bayar</td>
<td > Nama Tindakan</td>
<td > Pelaksana</td>
<td > Ruang</td>
<td > Jumlah</td>
<td > Total</td>
<td > JM</td>
<td > BATAL</td>
<td > Terbayar</td>
</tr>
<tr class='font a-font'>
<td >1</td>
<td >28-04-2023</td>
<td >
030718 </td>
<td >
MERVA SALMA RISWA RAMADHANI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG VIP ANYELIR </td>
<td align ="center" >1</td>
<td align ="right" >22500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >2</td>
<td >28-04-2023</td>
<td >
030718 </td>
<td >
MERVA SALMA RISWA RAMADHANI </td>
<td >
BPJS </td>
 <td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG VIP ANYELIR </td>
<td align ="center" >1</td>
<td align ="right" >22500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >3</td>
<td >28-04-2023</td>
<td >
030718 </td>
<td >
MERVA SALMA RISWA RAMADHANI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG VIP ANYELIR </td>
<td align ="center" >1</td>
<td align ="right" >22500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >4</td>
<td >28-04-2023</td>
<td >
064750 </td>
<td >
A. RASYID </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >
 </td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >5</td>
<td >28-04-2023</td>
<td >
065446 </td>
<td >
PAEMAN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >6</td>
<td >28-04-2023</td>
<td >
065132 </td>
<td >
AMARI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >7</td>
<td >28-04-2023</td>
<td >
065432 </td>
<td >
MUCH. HASYIM </td>
 <td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >8</td>
<td >28-04-2023</td>
<td >
016750 </td>
<td >
SUHARNO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >9</td>
<td >28-04-2023</td>
<td >
065443 </td>
<td >
SRI LESTARI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>
 <td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >10</td>
<td >28-04-2023</td>
<td >
017143 </td>
<td >
KARMINING </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >11</td>
<td >28-04-2023</td>
<td >
037735 </td>
<td >
SRI RAHAYU </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >12</td>
<td >28-04-2023</td>
<td >
065165 </td>
 <td >
NOVIANA VITIANA JUMAINI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >13</td>
<td >28-04-2023</td>
<td >
064886 </td>
<td >
MAIKA LUTFIANI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >14</td>
<td >28-04-2023</td>
<td >
063772 </td>
<td >
RINAYANTI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
 <td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >15</td>
<td >28-04-2023</td>
<td >
065365 </td>
<td >
MARATUS SHOLIKHAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >16</td>
<td >28-04-2023</td>
<td >
036146 </td>
<td >
SOLIKIN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >17</td>
<td >28-04-2023</td>
 <td >
065393 </td>
<td >
MUS </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >18</td>
<td >28-04-2023</td>
<td >
065420 </td>
<td >
JUMINTEN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >19</td>
<td >28-04-2023</td>
<td >
037883 </td>
<td >
SUTARDJO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
ICU </td>
 <td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >20</td>
<td >28-04-2023</td>
<td >
037883 </td>
<td >
SUTARDJO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
ICU </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >21</td>
<td >28-04-2023</td>
<td >
065371 </td>
<td >
SITI MASRUROH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
 <td >22</td>
<td >28-04-2023</td>
<td >
038574 </td>
<td >
FIFIN NUR FAIDA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >23</td>
<td >28-04-2023</td>
<td >
065342 </td>
<td >
IKE ROUDOTUL JANAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >24</td>
<td >28-04-2023</td>
<td >
065436 </td>
<td >
MEGA FITRI AULIA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
 <td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >25</td>
<td >28-04-2023</td>
<td >
065436 </td>
<td >
MEGA FITRI AULIA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >26</td>
<td >28-04-2023</td>
<td >
065321 </td>
<td >
SITI MA`RIFAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >27</td>
<td >28-04-2023</td>
<td >
065331 </td>
<td >
ISTIYANATIN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >28</td>
<td >28-04-2023</td>
<td >
065310 </td>
<td >
SRI RATNASARI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >29</td>
<td >28-04-2023</td>
<td >
065316 </td>
<td >
LAILI SOFIYATUL QOMARIYAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
 <td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >30</td>
<td >28-04-2023</td>
<td >
022827 </td>
<td >
ULFA NI`MATI SHOLIKAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >31</td>
<td >28-04-2023</td>
<td >
057946 </td>
<td >
LULUS STYANI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
 <td>
</td>
</tr>
<tr class='font a-font'>
<td >32</td>
<td >28-04-2023</td>
<td >
060982 </td>
<td >
SITI MUNA`IMAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >33</td>
<td >28-04-2023</td>
<td >
065330 </td>
<td >
NILA CITRA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >34</td>
<td >28-04-2023</td>
<td >
043629 </td>
<td >
AHMAD HELMY AHSAN NASHRULLOH </td>
<td >
 BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >35</td>
<td >28-04-2023</td>
<td >
065282 </td>
<td >
NGADISAN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >36</td>
<td >28-04-2023</td>
<td >
065272 </td>
<td >
REFA YULFAN NURIAN </td>
<td >
JASA RAHARJA </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >
 </td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >37</td>
<td >28-04-2023</td>
<td >
065387 </td>
<td >
KASPIN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >38</td>
<td >28-04-2023</td>
<td >
065190 </td>
<td >
SABTI WAKHIDAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >39</td>
<td >28-04-2023</td>
<td >
065181 </td>
<td >
 SUHARJO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >40</td>
<td >28-04-2023</td>
<td >
065284 </td>
<td >
MUDHOFIR </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >41</td>
<td >28-04-2023</td>
<td >
065269 </td>
<td >
MARFUAH </td>
<td >
JASA RAHARJA </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>
 <td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >42</td>
<td >28-04-2023</td>
<td >
065293 </td>
<td >
ALIFIA AZAHRA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG ANAK </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >43</td>
<td >28-04-2023</td>
<td >
065250 </td>
<td >
RISKI PEBRIANTO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG ANAK </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >44</td>
<td >28-04-2023</td>
<td >
 065378 </td>
<td >
SUMINAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >45</td>
<td >28-04-2023</td>
<td >
065334 </td>
<td >
SUHANTO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >46</td>
<td >28-04-2023</td>
<td >
065339 </td>
<td >
MASHUR </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
 <td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >47</td>
<td >28-04-2023</td>
<td >
065315 </td>
<td >
LISTIANA SOFI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >48</td>
<td >28-04-2023</td>
<td >
027119 </td>
<td >
KUNDARI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >49</td>
 <td >28-04-2023</td>
<td >
065062 </td>
<td >
SUGUT </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >50</td>
<td >28-04-2023</td>
<td >
065323 </td>
<td >
SADIG </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >51</td>
<td >28-04-2023</td>
<td >
065177 </td>
<td >
SUWARTI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
 RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >52</td>
<td >28-04-2023</td>
<td >
036498 </td>
<td >
SOEWADJI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >53</td>
<td >28-04-2023</td>
<td >
065262 </td>
<td >
SITI KALIMAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
 <tr class='font a-font'>
<td >54</td>
<td >28-04-2023</td>
<td >
057643 </td>
<td >
MONADJI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >55</td>
<td >28-04-2023</td>
<td >
065217 </td>
<td >
SUBAKIR </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >56</td>
<td >28-04-2023</td>
<td >
065266 </td>
<td >
MADRA`I </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
 </td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >57</td>
<td >28-04-2023</td>
<td >
065216 </td>
<td >
MAT DAWUD </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >58</td>
<td >28-04-2023</td>
<td >
036146 </td>
<td >
SOLIKIN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
 </td>
</tr>
<tr class='font a-font'>
<td >59</td>
<td >28-04-2023</td>
<td >
065420 </td>
<td >
JUMINTEN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >60</td>
<td >28-04-2023</td>
<td >
065393 </td>
<td >
MUS </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >61</td>
<td >28-04-2023</td>
<td >
038574 </td>
<td >
FIFIN NUR FAIDA </td>
<td >
BPJS </td>
 <td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >62</td>
<td >28-04-2023</td>
<td >
065342 </td>
<td >
IKE ROUDOTUL JANAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >63</td>
<td >28-04-2023</td>
<td >
065371 </td>
<td >
SITI MASRUROH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >
 </td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >64</td>
<td >28-04-2023</td>
<td >
065387 </td>
<td >
KASPIN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >65</td>
<td >28-04-2023</td>
<td >
035226 </td>
<td >
EMILIA WARSUMI, S.PD </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG VIP ANYELIR </td>
<td align ="center" >1</td>
<td align ="right" >22500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >66</td>
<td >28-04-2023</td>
<td >
065276 </td>
<td >
KASTUNIK </td>
 <td >
UMUM </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG VIP ANYELIR </td>
<td align ="center" >1</td>
<td align ="right" >22500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
28-04-2023 </td>
</tr>
<tr class='font a-font'>
<td >67</td>
<td >28-04-2023</td>
<td >
065339 </td>
<td >
MASHUR </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >68</td>
<td >28-04-2023</td>
<td >
065339 </td>
<td >
MASHUR </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>
 <td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >69</td>
<td >28-04-2023</td>
<td >
065323 </td>
<td >
SADIG </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >70</td>
<td >28-04-2023</td>
<td >
065323 </td>
<td >
SADIG </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >71</td>
<td >28-04-2023</td>
<td >
065378 </td>
 <td >
SUMINAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >72</td>
<td >28-04-2023</td>
<td >
065378 </td>
<td >
SUMINAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >73</td>
<td >28-04-2023</td>
<td >
032403 </td>
<td >
M. SHOLEH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
 <td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >74</td>
<td >28-04-2023</td>
<td >
032403 </td>
<td >
M. SHOLEH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >75</td>
<td >28-04-2023</td>
<td >
065334 </td>
<td >
SUHANTO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >76</td>
<td >28-04-2023</td>
 <td >
065334 </td>
<td >
SUHANTO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >77</td>
<td >28-04-2023</td>
<td >
065315 </td>
<td >
LISTIANA SOFI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >78</td>
<td >28-04-2023</td>
<td >
065315 </td>
<td >
LISTIANA SOFI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
 <td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >79</td>
<td >28-04-2023</td>
<td >
027119 </td>
<td >
KUNDARI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >80</td>
<td >28-04-2023</td>
<td >
027119 </td>
<td >
KUNDARI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
 <td >81</td>
<td >28-04-2023</td>
<td >
065281 </td>
<td >
SUBKAN ZUHRI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >82</td>
<td >28-04-2023</td>
<td >
065281 </td>
<td >
SUBKAN ZUHRI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >83</td>
<td >28-04-2023</td>
<td >
065062 </td>
<td >
SUGUT </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
 <td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >84</td>
<td >28-04-2023</td>
<td >
065062 </td>
<td >
SUGUT </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >85</td>
<td >28-04-2023</td>
<td >
064750 </td>
<td >
A. RASYID </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >86</td>
<td >28-04-2023</td>
<td >
064750 </td>
<td >
A. RASYID </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >87</td>
<td >28-04-2023</td>
<td >
061410 </td>
<td >
WOTO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >88</td>
<td >28-04-2023</td>
<td >
061410 </td>
<td >
WOTO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
 <td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >89</td>
<td >28-04-2023</td>
<td >
065301 </td>
<td >
RANTI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >90</td>
<td >28-04-2023</td>
<td >
065301 </td>
<td >
RANTI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
 <td>
</td>
</tr>
<tr class='font a-font'>
<td >91</td>
<td >28-04-2023</td>
<td >
065177 </td>
<td >
SUWARTI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >92</td>
<td >28-04-2023</td>
<td >
065177 </td>
<td >
SUWARTI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >93</td>
<td >28-04-2023</td>
<td >
036498 </td>
<td >
SOEWADJI </td>
<td >
 BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >94</td>
<td >28-04-2023</td>
<td >
036498 </td>
<td >
SOEWADJI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >95</td>
<td >28-04-2023</td>
<td >
065262 </td>
<td >
SITI KALIMAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >
 </td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >96</td>
<td >28-04-2023</td>
<td >
065262 </td>
<td >
SITI KALIMAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >97</td>
<td >28-04-2023</td>
<td >
057643 </td>
<td >
MONADJI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >98</td>
<td >28-04-2023</td>
<td >
057643 </td>
<td >
 MONADJI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >99</td>
<td >28-04-2023</td>
<td >
065217 </td>
<td >
SUBAKIR </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >100</td>
<td >28-04-2023</td>
<td >
065217 </td>
<td >
SUBAKIR </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>
 <td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >101</td>
<td >28-04-2023</td>
<td >
065266 </td>
<td >
MADRA`I </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >102</td>
<td >28-04-2023</td>
<td >
065266 </td>
<td >
MADRA`I </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >103</td>
<td >28-04-2023</td>
<td >
 065216 </td>
<td >
MAT DAWUD </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >104</td>
<td >28-04-2023</td>
<td >
065216 </td>
<td >
MAT DAWUD </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG PERAWATAN DEWASA </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >105</td>
<td >28-04-2023</td>
<td >
065387 </td>
<td >
KASPIN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
 <td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >106</td>
<td >28-04-2023</td>
<td >
043629 </td>
<td >
AHMAD HELMY AHSAN NASHRULLOH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >107</td>
<td >28-04-2023</td>
<td >
043629 </td>
<td >
AHMAD HELMY AHSAN NASHRULLOH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >108</td>
 <td >28-04-2023</td>
<td >
065282 </td>
<td >
NGADISAN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >109</td>
<td >28-04-2023</td>
<td >
065282 </td>
<td >
NGADISAN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >110</td>
<td >28-04-2023</td>
<td >
065272 </td>
<td >
REFA YULFAN NURIAN </td>
<td >
JASA RAHARJA </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
 RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >111</td>
<td >28-04-2023</td>
<td >
065272 </td>
<td >
REFA YULFAN NURIAN </td>
<td >
JASA RAHARJA </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >112</td>
<td >28-04-2023</td>
<td >
065190 </td>
<td >
SABTI WAKHIDAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
 <tr class='font a-font'>
<td >113</td>
<td >28-04-2023</td>
<td >
065190 </td>
<td >
SABTI WAKHIDAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >114</td>
<td >28-04-2023</td>
<td >
065181 </td>
<td >
SUHARJO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >115</td>
<td >28-04-2023</td>
<td >
065181 </td>
<td >
SUHARJO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
 </td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >116</td>
<td >28-04-2023</td>
<td >
065269 </td>
<td >
MARFUAH </td>
<td >
JASA RAHARJA </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >117</td>
<td >28-04-2023</td>
<td >
065269 </td>
<td >
MARFUAH </td>
<td >
JASA RAHARJA </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG BEDAH </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
 </td>
</tr>
<tr class='font a-font'>
<td >118</td>
<td >28-04-2023</td>
<td >
065293 </td>
<td >
ALIFIA AZAHRA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG ANAK </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >119</td>
<td >28-04-2023</td>
<td >
065293 </td>
<td >
ALIFIA AZAHRA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG ANAK </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >120</td>
<td >28-04-2023</td>
<td >
065250 </td>
<td >
RISKI PEBRIANTO </td>
<td >
BPJS </td>
 <td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG ANAK </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >121</td>
<td >28-04-2023</td>
<td >
065250 </td>
<td >
RISKI PEBRIANTO </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG ANAK </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >122</td>
<td >28-04-2023</td>
<td >
065276 </td>
<td >
KASTUNIK </td>
<td >
UMUM </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG VIP ANYELIR </td>
<td align ="center" >1</td>
<td align ="right" >22500</td>
<td align ="right" >0</td>

<td >
 </td>
<td>
28-04-2023 </td>
</tr>
<tr class='font a-font'>
<td >123</td>
<td >28-04-2023</td>
<td >
060982 </td>
<td >
SITI MUNA`IMAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >124</td>
<td >28-04-2023</td>
<td >
060982 </td>
<td >
SITI MUNA`IMAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >125</td>
<td >28-04-2023</td>
<td >
065331 </td>
<td >
ISTIYANATIN </td>
 <td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >126</td>
<td >28-04-2023</td>
<td >
065331 </td>
<td >
ISTIYANATIN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >127</td>
<td >28-04-2023</td>
<td >
057946 </td>
<td >
LULUS STYANI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>
 <td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >128</td>
<td >28-04-2023</td>
<td >
057946 </td>
<td >
LULUS STYANI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >129</td>
<td >28-04-2023</td>
<td >
022827 </td>
<td >
ULFA NI`MATI SHOLIKAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >130</td>
<td >28-04-2023</td>
<td >
022827 </td>
 <td >
ULFA NI`MATI SHOLIKAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >131</td>
<td >28-04-2023</td>
<td >
065310 </td>
<td >
SRI RATNASARI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >132</td>
<td >28-04-2023</td>
<td >
065310 </td>
<td >
SRI RATNASARI </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
 <td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >133</td>
<td >28-04-2023</td>
<td >
065316 </td>
<td >
LAILI SOFIYATUL QOMARIYAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >134</td>
<td >28-04-2023</td>
<td >
065316 </td>
<td >
LAILI SOFIYATUL QOMARIYAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >135</td>
<td >28-04-2023</td>
 <td >
065330 </td>
<td >
NILA CITRA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >136</td>
<td >28-04-2023</td>
<td >
065330 </td>
<td >
NILA CITRA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >137</td>
<td >28-04-2023</td>
<td >
065321 </td>
<td >
SITI MA`RIFAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
 <td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >138</td>
<td >28-04-2023</td>
<td >
065321 </td>
<td >
SITI MA`RIFAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG NIFAS </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >139</td>
<td >28-04-2023</td>
<td >
036146 </td>
<td >
SOLIKIN </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
 <td >140</td>
<td >28-04-2023</td>
<td >
065393 </td>
<td >
MUS </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
IGD </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >141</td>
<td >28-04-2023</td>
<td >
065342 </td>
<td >
IKE ROUDOTUL JANAH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >142</td>
<td >28-04-2023</td>
<td >
065371 </td>
<td >
SITI MASRUROH </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
 <td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >143</td>
<td >28-04-2023</td>
<td >
038574 </td>
<td >
FIFIN NUR FAIDA </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
BERSALIN </td>
<td align ="center" >1</td>
<td align ="right" >17500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
<tr class='font a-font'>
<td >144</td>
<td >28-04-2023</td>
<td >
035226 </td>
<td >
EMILIA WARSUMI, S.PD </td>
<td >
BPJS </td>
<td >Makan Minum Pasien</td>
<td >
</td>
<td >
RUANG VIP ANYELIR </td>
<td align ="center" >1</td>
<td align ="right" >22500</td>
<td align ="right" >0</td>

<td >

</td>
<td>
</td>
</tr>
</table>