Billing Ranap Januari 2024

No.
Tgl No.Resep Jenis Resep No.Antrian Pasien RM

1 02-Jan-24 392 MANUAL RANAP 137308
5 02-Jan-24 326 MANUAL RAJAL 232441
10 02-Jan-24 209 MANUAL RANAP 204887
11 02-Jan-24 342 MANUAL RANAP 231469
12 02-Jan-24 331 MANUAL RAJAL 172954
13 02-Jan-24 297 MANUAL RANAP 119863
14 02-Jan-24 339 MANUAL RAJAL 231332
15 02-Jan-24 398 MANUAL RANAP 137308
16 02-Jan-24 333 MANUAL RANAP 232389
17 02-Jan-24 290 MANUAL RANAP 119863
18 02-Jan-24 254 MANUAL RANAP 232432
19 02-Jan-24 193 MANUAL RANAP 119863
20 02-Jan-24 372 MANUAL RANAP 189384
21 02-Jan-24 248 MANUAL RANAP 142084
22 02-Jan-24 337 MANUAL RAJAL 231332
23 02-Jan-24 186 MANUAL RANAP 119863
24 02-Jan-24 320 MANUAL RANAP 232055
25 02-Jan-24 184 MANUAL RAJAL 189384
27 02-Jan-24 162 MANUAL RANAP 232376
28 02-Jan-24 269 MANUAL RANAP 217818
29 02-Jan-24 268 MANUAL RANAP 209196
30 02-Jan-24 267 MANUAL RANAP 231707
31 02-Jan-24 383 MANUAL RANAP 232381
32 02-Jan-24 381 MANUAL RANAP 232444
33 02-Jan-24 272 MANUAL RANAP 149257
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Jumlah Billing BPJS Pagi 33
Rp12,799,736.04
BILLING PAGI
BPJS
Nama Poli / Ruangan Dokter Penjamin Tagihan Depo
Nn. ANEU NISFISANI GURISA (KELAS 3) dr. Santi Maria BPJS Rp47,646.88 Apotik Rawat
NAZWA SYAKIRA A SINOM 1 dr. Retno BudihaBPJS Rp111,810.72 Apotik Rawat
FANNY SHAAQUENA SINOM 3 dr. Retno BudihaBPJS Rp288.60 Apotik Rawat
ALMA AGUSTINA SINOM 2 dr. Retno BudihaBPJS Rp29,487.15 Apotik Rawat
ANI SUMARNI IGD dr. Nifa Hanifa FiBPJS Rp167,267.28 Apotik Rawat
YURISKA NOVIANTI MIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp36,643.96 Apotik Rawat
Ny. OOM ROMLAH PANGKUR 3 dr. Lia SrimuliawBPJS Rp18,671.55 Apotik Rawat
ARMAN MAULANA SMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp169,318.97 Apotik Rawat
ENDANG IGD dr. Nifa Hanifa FiBPJS Rp233,522.64 Apotik Rawat
AI KOKOM PANGKUR 3 dr. Lia SrimuliawBPJS Rp228,882.88 Apotik Rawat
YULIANI FATIMAH GURISA (KELAS 3) dr. Santi Maria BPJS Rp113,776.96 Apotik Rawat
AKBAR SAEPUL M IGD dr. Nifa Hanifa FiBPJS Rp192,034.99 Apotik Rawat
Tn. IMAN SETIAWANMIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp301,690.88 Apotik Rawat
FIRMAN SYAFRIYADI IGD dr. Nifa Hanifa FiBPJS Rp167,952.40 Apotik Rawat
Nn. ANEU NISFISANI GURISA (KELAS 3) dr. Santi Maria BPJS Rp3,135.00 Apotik Rawat
ALMIRA RAMADHANISINOM 2 dr. Retno BudihaBPJS Rp288.60 Apotik Rawat
SITI SYARIFAH GURISA (KELAS 3) dr. Santi Maria BPJS Rp276,106.08 Apotik Rawat
Nn. INDRIANA ULFAHGURISA (KELAS 2) dr. Santi Maria BPJS Rp90,774.24 Apotik Rawat
YANI SURYANI GURISA (KELAS 3) dr. Santi Maria BPJS Rp276,106.08 Apotik Rawat
FIRMAN SYAFRIYADI IGD dr. Nifa Hanifa FiBPJS Rp167,952.40 Apotik Rawat
GUMILAR MUCHAMASINOM 1 dr. Retno BudihaBPJS Rp43,320.52 Apotik Rawat
Nn. INDRIANA ULFAHIGD dr. Alvin Noor HBPJS Rp18,556.29 Apotik Rawat
Ny. FITRIA APRIANI GURISA (KELAS 2) dr. Santi Maria BPJS Rp276,106.08 Apotik Rawat
ETI BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp28,976.08 Apotik Rawat
Ny. KARWATI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp51,499.18 Apotik Rawat
ONENG BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp712.50 Apotik Rawat
HASYBI ASYIDIKI DURMA dr. Lia SrimuliawBPJS Rp13,173.45 Apotik Rawat
YURISKA NOVIANTI MIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp206,040.94 Apotik Rawat
ARMAN MAULANA SMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp10,516.36 Apotik Rawat
Ny. IYOH MARDIYAH BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp51,226.50 Apotik Rawat
Total Billing BPJS Pagi Rp3,968,624.00
Rp2,708,175.09
BILLING PAGI
Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Apt. Ghina Rahimah Az-zahra, S.farm. 02-Jan-24 240 MANUAL RANAP 232411
Apt. Ghina Rahimah Az-zahra, S.farm. 02-Jan-24 279 MANUAL RAJAL 232498
Apt. Ghina Rahimah Az-zahra, S.farm.
Sri Mulyati, A.md.farm.
Rp3,968,624.00 Jumlah Billing Umum Pagi 7
UMUM
Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator
FITRIA BY BAYI RAWAdr. Retno BUMUM Rp9,581.25 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm.
RENI PRAT GURISA (KEdr. Santi UMUM Rp87,030.74 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm.
ATIKAH BALAKBAK dr. Lia Sri UMUM Rp11,181.10 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm.
SUMIATI BALAKBAK dr. Lia Sri CALON BPJ Rp45,338.63 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm.
RENI PRAT IGD dr. Alvin N UMUM Rp18,556.29 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm.
MIMIN TARBALAKBAK dr. Amelia CALON SK Rp50,574.93 Apotik RawSri Mulyati, A.md.farm.
MIMIN TARBALAKBAK dr. Amelia CALON SK Rp66,117.42 Apotik RawSri Mulyati, A.md.farm.
Total Billing Umum Pagi Rp288,380.36
BPJS
Tgl No.Resep Jenis Rese No.AntrianPasien RM Nama Poli / Rua Dokter Penjamin
02-Jan-24 426 MANUAL RAJAL 147140 Ny. INDRI IGD dr. Alvin N CALON BPJ
02-Jan-24 465 MANUAL RANAP 231542 Bayi Ny. IK ASMARANDdr. Retno BBPJS
02-Jan-24 463 MANUAL RANAP 231549 PUTRI AIS SINOM 2 dr. Retno BBPJS
02-Jan-24 460 MANUAL RANAP 231764 NABILA APRSINOM 2 dr. Retno BBPJS
02-Jan-24 456 MANUAL RANAP 231590 M RAFFA ISOLASI A dr. Nuning BPJS
02-Jan-24 518 MANUAL RANAP 2791 Ny. EULIS BALAKBAK dr. Amelia BPJS
02-Jan-24 554 MANUAL RANAP 232427 AGUS HADKINANTI dr. Amelia BPJS
02-Jan-24 545 MANUAL RANAP 139993 TATI BALAKBAK dr. Amelia BPJS
02-Jan-24 553 MANUAL RANAP 204265 VIKA LUNAKINANTI dr. Amelia BPJS
02-Jan-24 528 MANUAL RANAP 232264 IRWAN BALAKBAK dr. Amelia BPJS
02-Jan-24 584 MANUAL RAJAL 232384 UJANG WAIGD dr. Alvin N BPJS
02-Jan-24 558 MANUAL RAJAL 232563 AMUNG IGD dr. Ramdhan BPJS
02-Jan-24 505 MANUAL RANAP 231828 NENGSIH BASMARANDdr. Nuning BPJS
02-Jan-24 551 MANUAL RANAP 232341 YUSUP BACBALAKBAK dr. Amelia BPJS
02-Jan-24 544 MANUAL RANAP 210386 ROBERT BALAKBAK dr. Amelia BPJS
02-Jan-24 549 MANUAL RANAP 230721 Tn. IMAN DANGDANG dr. H. Gus BPJS
02-Jan-24 561 MANUAL RANAP 164362 Ny. IIN KU PANGKUR dr. Amelia BPJS
02-Jan-24 542 MANUAL RANAP 232483 ODANG BALAKBAK dr. Lia Sri BPJS
02-Jan-24 504 MANUAL RANAP 119863 Tn. IMAN MIJIL 1 (IC dr. Lia Sri BPJS
02-Jan-24 586 MANUAL RANAP 231818 MUHAMADSINOM 3 dr. Nuning BPJS
02-Jan-24 34 MANUAL RANAP 2791 Ny. EULIS BALAKBAK dr. Amelia BPJS
02-Jan-24 563 MANUAL OTC bpk olih
02-Jan-24 525 MANUAL RANAP 212658 ANGGI PANGKUR dr. Amelia BPJS
02-Jan-24 560 MANUAL RANAP 231332 FIRMAN SYBALAKBAK dr. Amelia BPJS
02-Jan-24 540 MANUAL RANAP 155924 Ny. KARYATPANGKUR dr. H. Gus BPJS
02-Jan-24 503 MANUAL RANAP 214287 NIA SUNIA DANGDANG dr. Iyan As BPJS
02-Jan-24 547 MANUAL RANAP 232118 RIANTI DANGDANG dr. H. Gus BPJS
02-Jan-24 580 MANUAL RAJAL 219258 SITI SUMIAIGD dr. Ramdhan BPJS
02-Jan-24 559 MANUAL RANAP 178324 Ny. SRI MAPANGKUR dr. Amelia BPJS
02-Jan-24 533 MANUAL RANAP 231019 UNDI ROH DURMA dr. Amelia BPJS
02-Jan-24 502 MANUAL RANAP 214287 NIA SUNIA DANGDANG dr. Iyan As BPJS
02-Jan-24 583 MANUAL RANAP 219746 Tn. ADANGDANGDANG dr. Lia Sri BPJS
02-Jan-24 546 MANUAL RANAP 232336 EMAN SULDURMA dr. Amelia BPJS
02-Jan-24 556 MANUAL RANAP 232344 UGAN SUHBALAKBAK dr. Amelia BPJS
02-Jan-24 531 MANUAL RANAP 232348 ROSI ROS BALAKBAK dr. Amelia BPJS
02-Jan-24 578 MANUAL RANAP 231672 ARSYILA P ASMARANDdr. Retno BBPJS
02-Jan-24 555 MANUAL RANAP 232441 ANI SUMARRUANG TRAdr. Amelia BPJS
02-Jan-24 569 MANUAL RANAP 232381 YURISKA NMIJIL 2 (P dr. Retno BBPJS
02-Jan-24 494 MANUAL RANAP 232393 TIKA KHOI PANGKUR dr. Lia Sri BPJS
02-Jan-24 444 MANUAL RANAP 224834 LAIMA ZIYAISOLASI A dr. Retno BBPJS
02-Jan-24 442 MANUAL RANAP 231765 ELZIO REY ISOLASI A dr. Retno BBPJS
02-Jan-24 498 MANUAL RANAP 139993 TATI BALAKBAK dr. Amelia BPJS
02-Jan-24 437 MANUAL RANAP 232346 ALESHA BILSINOM 2 dr. Retno BBPJS
02-Jan-24 497 MANUAL RANAP 72365 Tn. MUMUBALAKBAK dr. Amelia BPJS
02-Jan-24 495 MANUAL RANAP 188828 Nn. UKA WIRANGR dr. Amelia BPJS
Jumlah Billing BPJS Siang 45 Total Billing BPJS Siang
BILLING SIANG
U
Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien
64171.9 Apotik RawAsep Afrizal, A.md Farm
140229 Apotik RawAsep Afrizal, A.md Farm
30848.38 Apotik RawNeng Cahya Titasari, Amd.farm
0 Apotik RawNeng Cahya Titasari, Amd.farm
2250 Apotik RawZandy Tiaravani, A.md.farm
11635.01 Apotik RawZandy Tiaravani, A.md.farm
Rp2,226,830.32 Jumlah Billing Umum Siang 0
UMUM
RM Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl No.Resep
02-Jan-24 627
02-Jan-24 607
02-Jan-24 616
02-Jan-24 626
02-Jan-24 606
02-Jan-24 615
02-Jan-24 625
02-Jan-24 614
02-Jan-24 624
02-Jan-24 612
02-Jan-24 611
02-Jan-24 610
02-Jan-24 648
02-Jan-24 609
02-Jan-24 620
02-Jan-24 634
02-Jan-24 608
02-Jan-24 617
03-Jan-24 50
03-Jan-24 16
03-Jan-24 79
03-Jan-24 49
03-Jan-24 91
03-Jan-24 60
03-Jan-24 33
03-Jan-24 15
03-Jan-24 23
03-Jan-24 58
03-Jan-24 13
03-Jan-24 22
03-Jan-24 47
03-Jan-24 87
03-Jan-24 56
03-Jan-24 12
03-Jan-24 21
03-Jan-24 46
03-Jan-24 86
03-Jan-24 55
03-Jan-24 11
03-Jan-24 40
03-Jan-24 20
03-Jan-24 53
03-Jan-24 98
03-Jan-24 10
03-Jan-24 39
03-Jan-24 84
03-Jan-24 52
03-Jan-24 64
03-Jan-24 18
03-Jan-24 83
03-Jan-24 51
03-Jan-24 36
02-Jan-24 676
02-Jan-24 674
02-Jan-24 673
02-Jan-24 671
02-Jan-24 652
02-Jan-24 678
02-Jan-24 677
03-Jan-24 32
03-Jan-24 67
03-Jan-24 41
03-Jan-24 31
03-Jan-24 66
03-Jan-24 65
03-Jan-24 27
03-Jan-24 96
03-Jan-24 62
03-Jan-24 38
03-Jan-24 17
03-Jan-24 45
03-Jan-24 24
03-Jan-24 34
03-Jan-24 43
Total Billing Umum Siang Rp0.00 Jumlah Billing BPJS M
2419795 2419794.73
6604282 6604281.72
BPJS
Jenis Rese No.AntrianPasien RM Nama Poli / Rua Dokter Penjamin Tagihan Depo
MANUAL RANAP 232382 FANNY SH SINOM 3 dr. Retno BBPJS 41371.08 Apotik Raw
MANUAL RANAP 213907 VIANDRA ASINOM 3 dr. Retno BBPJS 127888.2 Apotik Raw
MANUAL RANAP 232380 RAFLI SINOM 2 dr. Retno BBPJS 35310.48 Apotik Raw
MANUAL RANAP 232055 GUMILAR SINOM 1 dr. Retno BBPJS 43320.52 Apotik Raw
MANUAL RANAP 224908 AHMAD YUSINOM 2 dr. Retno BBPJS 39151.08 Apotik Raw
MANUAL RANAP 232347 RETANIA YSINOM 2 dr. Retno BBPJS 40930.01 Apotik Raw
MANUAL RANAP 232442 NAZWA SYA SINOM 1 dr. Retno BBPJS 126798.2 Apotik Raw
MANUAL RANAP 231818 MUHAMADSINOM 3 dr. Nuning BPJS 97533.86 Apotik Raw
MANUAL RANAP 149257 Ny. IYOH BALAKBAK dr. Lia Sri BPJS 59718 Apotik Raw
MANUAL RANAP 222238 RAYYA ANISINOM 3 dr. Nuning BPJS 135222.1 Apotik Raw
MANUAL RANAP 213596 KHAIRAN ASINOM 3 dr. Retno BBPJS 47472.47 Apotik Raw
MANUAL RANAP 232407 ALMA AGUSINOM 2 dr. Retno BBPJS 31924.98 Apotik Raw
MANUAL RANAP 210386 ROBERT BALAKBAK dr. Amelia BPJS 242.5 Apotik Raw
MANUAL RANAP 232389 ALMIRA R SINOM 2 dr. Retno BBPJS 42582.37 Apotik Raw
MANUAL RANAP 231829 DESI ANGGISOLASI A dr. Nuning BPJS 61412.46 Apotik Raw
MANUAL RANAP 232381 YURISKA NMIJIL 2 (P dr. Retno BBPJS 16650 Apotik Raw
MANUAL RANAP 187824 NADHIFA HSINOM 2 dr. Retno BBPJS 145456.6 Apotik Raw
MANUAL RANAP 149257 Ny. IYOH BALAKBAK dr. Lia Sri BPJS 45955 Apotik Raw
MANUAL RANAP 141862 An. DAFF DANGDANG dr. H. Gus BPJS 96958.06 Apotik Raw
MANUAL RANAP 183612 Ny. NOVIT PANGKUR dr. Lia Sri BPJS 56162.31 Apotik Raw
MANUAL RANAP 232566 YULI GURISA (KEdr. Yanne BPJS 44677.52 Apotik Raw
MANUAL RANAP 232441 ANI SUMARRUANG TRAdr. Amelia BPJS 167984.8 Apotik Raw
MANUAL RANAP 122418 Ny. RENI HPANGKUR dr. Lia Sri BPJS 40347.89 Apotik Raw
MANUAL RANAP 178324 Ny. SRI MAPANGKUR dr. Amelia BPJS 43567.47 Apotik Raw
MANUAL RANAP 232444 ARMAN MAMIJIL 2 (P dr. Retno BBPJS 79726.34 Apotik Raw
MANUAL RANAP 231332 FIRMAN SYBALAKBAK dr. Amelia BPJS 183908.8 Apotik Raw
MANUAL RANAP 98387 Tn. MAMABALAKBAK dr. Lia Sri BPJS 74861.24 Apotik Raw
MANUAL RANAP 204265 VIKA LUNAKINANTI dr. Amelia BPJS 40605.42 Apotik Raw
MANUAL RANAP 219746 Tn. ADANGDANGDANG dr. Lia Sri BPJS 21245.4 Apotik Raw
MANUAL RANAP 172954 AKBAR SAEBALAKBAK dr. Amelia BPJS 203010.4 Apotik Raw
MANUAL RANAP 232443 ENDANG BALAKBAK dr. Amelia BPJS 179891.7 Apotik Raw
MANUAL RANAP 232502 TITI BALAKBAK dr. Lia Sri BPJS 80431.93 Apotik Raw
MANUAL RANAP 232504 UJANG AMIBALAKBAK dr. Lia Sri BPJS 67399.35 Apotik Raw
MANUAL RANAP 137775 Nn. SELIANBALAKBAK dr. Amelia BPJS 52369.34 Apotik Raw
MANUAL RANAP 203894 TITA AMELDANGDANG dr. Iyan As BPJS 90161.06 Apotik Raw
MANUAL RANAP 232344 UGAN SUHBALAKBAK dr. Amelia BPJS 56329.45 Apotik Raw
MANUAL RANAP 226610 Ny. MIMINRUANG TRAdr. Lia Sri BPJS 87623.97 Apotik Raw
MANUAL RANAP 232427 AGUS HADKINANTI dr. Amelia BPJS 64722.53 Apotik Raw
MANUAL RANAP 102806 An. SALMAISOLASI A dr. Retno BBPJS 242973.4 Apotik Raw
MANUAL RANAP 232342 FARRIZ AH BALAKBAK dr. Amelia BPJS 175739.8 Apotik Raw
MANUAL RANAP 232330 NIK SALATIRUANG TRAdr. Annisa BPJS 131836.8 Apotik Raw
MANUAL RANAP 71364 Tn. DEDEP BALAKBAK dr. Amelia BPJS 44127.86 Apotik Raw
MANUAL RANAP 119863 Tn. IMAN MIJIL 1 (IC dr. Lia Sri BPJS 174234.5 Apotik Raw
MANUAL RANAP 197563 SRI RAHAYSINOM 2 dr. Retno BBPJS 64658.76 Apotik Raw
MANUAL RANAP 164362 Ny. IIN KU PANGKUR dr. Amelia BPJS 78299.98 Apotik Raw
MANUAL RANAP 187758 Ny. RAHM BALAKBAK dr. Lia Sri BPJS 64716.79 Apotik Raw
MANUAL RANAP 232563 AMUNG KINANTI dr. Amelia BPJS 80562.52 Apotik Raw
MANUAL RANAP 134972 WIWIN WIRUANG TRAdr. Amelia BPJS 58343.34 Apotik Raw
MANUAL RANAP 187286 Nn. YULIA PANGKUR dr. Amelia BPJS 42435.59 Apotik Raw
MANUAL RANAP 218035 TUTI HANDBALAKBAK dr. Lia Sri BPJS 50137.17 Apotik Raw
MANUAL RANAP 232384 UJANG WADANGDANG dr. H. Gus BPJS 37463.12 Apotik Raw
MANUAL RANAP 232381 YURISKA NMIJIL 2 (P dr. Retno BBPJS 248596.6 Apotik Raw
MANUAL RANAP 231707 HASYBI ASYDURMA dr. Lia Sri BPJS 75545.68 Apotik Raw
MANUAL RANAP 139993 TATI BALAKBAK dr. Amelia BPJS 165978.5 Apotik Raw
MANUAL RANAP 232483 ODANG BALAKBAK dr. Lia Sri BPJS 61796.83 Apotik Raw
MANUAL RANAP 229547 Tn. WAWABALAKBAK dr. Lia Sri BPJS 92468.56 Apotik Raw
MANUAL RANAP 219258 SITI SUMIAGURISA (KEdr. Yanne BPJS 0 Apotik Raw
MANUAL RANAP 232393 TIKA KHOI PANGKUR dr. Lia Sri BPJS 56949.34 Apotik Raw
MANUAL RANAP 114161 Ny. IAH DURMA dr. Amelia BPJS 2416.94 Apotik Raw
MANUAL RANAP 210386 ROBERT BALAKBAK dr. Amelia BPJS 195875 Apotik Raw
MANUAL RANAP 217818 Ny. KARWABALAKBAK dr. Lia Sri BPJS 50812.81 Apotik Raw
MANUAL RANAP 232126 LINDA MARDANGDANG dr. Iyan As BPJS 133546.8 Apotik Raw
MANUAL RANAP 221590 Tn. II KUS BALAKBAK dr. Amelia BPJS 211099 Apotik Raw
MANUAL RANAP 209196 ONENG BALAKBAK dr. Lia Sri BPJS 69677.98 Apotik Raw
MANUAL RANAP 232336 EMAN SULDURMA dr. Amelia BPJS 76008.08 Apotik Raw
MANUAL RANAP 232430 DIDI GUN DANGDANG dr. Iyan As BPJS 140138.8 Apotik Raw
MANUAL RANAP 227929 NIA TARNI BALAKBAK dr. Lia Sri BPJS 82039.35 Apotik Raw
MANUAL RANAP 149257 Ny. IYOH BALAKBAK dr. Lia Sri BPJS 98560.92 Apotik Raw
MANUAL RANAP 72365 Tn. MUMUBALAKBAK dr. Amelia BPJS 66865.6 Apotik Raw
MANUAL RANAP 189033 Ny. NENAHBALAKBAK dr. Lia Sri BPJS 88503.9 Apotik Raw
MANUAL RANAP 220720 RIA ASTRIABALAKBAK dr. Amelia BPJS 31603.18 Apotik Raw
MANUAL RANAP 184547 ENENG TUTDANGDANG dr. H. Gus BPJS 357497.9 Apotik Raw
MANUAL RANAP 188828 Nn. UKA WIRANGR dr. Amelia BPJS 87241.36 Apotik Raw
MANUAL RANAP 59465 Ny. CICIN BALAKBAK dr. Amelia BPJS 94604.21 Apotik Raw
Rp 6604281.72
Jumlah Billing BPJS Malam 74 Total Billing BPJS Malam
BILLING MALAM
UMUM
Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM Nama
Titan Mulyana, A.md.farm 02-Jan-24 622 MANUAL RANAP 232076 MUHAMAD
Titan Mulyana, A.md.farm 02-Jan-24 621 MANUAL RANAP 232378 ARSHAKA H
Titan Mulyana, A.md.farm 03-Jan-24 80 MANUAL RANAP 232582 YULI BY NY
Titan Mulyana, A.md.farm 03-Jan-24 61 MANUAL RANAP 232489 YAHYA GU
Titan Mulyana, A.md.farm 03-Jan-24 88 MANUAL RANAP 165721 Ny. EDAH
Titan Mulyana, A.md.farm 03-Jan-24 42 MANUAL RANAP 232580 AYU BY NY
Titan Mulyana, A.md.farm 03-Jan-24 28 MANUAL RANAP 232422 M RIZKI N
Titan Mulyana, A.md.farm 03-Jan-24 85 MANUAL RANAP 79571 Ny. LILIS
Titan Mulyana, A.md.farm 03-Jan-24 19 MANUAL RANAP 142426 LIA WIDIA
Titan Mulyana, A.md.farm 03-Jan-24 8 MANUAL RANAP 232574 HAMMADI
Titan Mulyana, A.md.farm 02-Jan-24 672 MANUAL RANAP 232438 MIMIN TAR
Titan Mulyana, A.md.farm 03-Jan-24 26 MANUAL RANAP 232349 SURYANA
Titan Mulyana, A.md.farm 03-Jan-24 95 MANUAL RANAP 232578 AI DETI
Titan Mulyana, A.md.farm 03-Jan-24 25 MANUAL RANAP 232353 AGAN GAN
Titan Mulyana, A.md.farm 03-Jan-24 93 MANUAL RANAP 232586 DESI BY NY
Titan Mulyana, A.md.farm 03-Jan-24 48 MANUAL RANAP 232375 SRI RAHAY
Titan Mulyana, A.md.farm 03-Jan-24 68 MANUAL RANAP 232306 DENI HAM
Titan Mulyana, A.md.farm
Ayidnis Sabiela, A.md.farm
Rp 6604281.72
Jumlah Billing Umum Malam 17 Total Billing U
UMUM
Poli / Rua Dokter Penjamin Tagihan Depo Operator
ISOLASI A dr. Nuning CALON SK 79602.57 Apotik RawTitan Mulyana, A.md.farm
SINOM 3 dr. Retno BUMUM 38862.48 Apotik RawTitan Mulyana, A.md.farm
ASMARANDA dr. Retno BUMUM 19196.13 Apotik RawTitan Mulyana, A.md.farm
BALAKBAK dr. Lia Sri CALON BPJ 333737.4 Apotik RawTitan Mulyana, A.md.farm
ASMARANDA dr. Retno BUMUM 18086.13 Apotik RawTitan Mulyana, A.md.farm
SINOM 2 dr. Retno BCALON SK 204534.7 Apotik RawTitan Mulyana, A.md.farm
PANGKUR dr. Yanne CALON BPJ 21245.4 Apotik RawTitan Mulyana, A.md.farm
SINOM 2 dr. Retno BCALON BPJ 21875.32 Apotik RawTitan Mulyana, A.md.farm
BALAKBAK dr. Amelia CALON SK 167647.3 Apotik RawAyidnis Sabiela, A.md.farm
DANGDANG dr. H. Gus UMUM 489440.6 Apotik RawAyidnis Sabiela, A.md.farm
DURMA dr. Lia Sri CALON BPJ 153251.8 Apotik RawAyidnis Sabiela, A.md.farm
DANGDANG dr. H. Gus UMUM 511315.9 Apotik RawAyidnis Sabiela, A.md.farm
ASMARANDdr. Retno BUMUM 70399.71 Apotik RawAyidnis Sabiela, A.md.farm
WIRANGR dr. Annisa CALON SK 145446.8 Apotik RawAyidnis Sabiela, A.md.farm
BALAKBAK dr. Amelia CALON SK 8596.25 Apotik RawAyidnis Sabiela, A.md.farm
Rp 2419794.73
Total Billing Umum Malam
No. BPJS
11 03-Jan-24 453 MANUAL RANAP 203347
12 03-Jan-24 493 MANUAL RANAP 219258
13 03-Jan-24 140 MANUAL RANAP 203347
14 03-Jan-24 291 MANUAL RANAP 232136
15 03-Jan-24 137 MANUAL RANAP 232330
16 03-Jan-24 133 MANUAL RANAP 230249
17 03-Jan-24 290 MANUAL RANAP 184397
18 03-Jan-24 248 MANUAL RANAP 232502
19 03-Jan-24 305 MANUAL RANAP 232389
20 03-Jan-24 264 MANUAL RANAP 232578
21 03-Jan-24 303 MANUAL RANAP 226610
22 03-Jan-24 442 MANUAL RANAP 232019
23 03-Jan-24 302 MANUAL RANAP 226610
24 03-Jan-24 261 MANUAL RANAP 229547
25 03-Jan-24 282 MANUAL RANAP 232504
26 03-Jan-24 258 MANUAL RANAP 232483
27 03-Jan-24 299 MANUAL RANAP 122418
28 03-Jan-24 312 MANUAL RANAP 231818
29 03-Jan-24 297 MANUAL RANAP 187758
30 03-Jan-24 254 MANUAL RANAP 217818
31 03-Jan-24 310 MANUAL RANAP 222238
32 03-Jan-24 309 MANUAL RANAP 222238
33 03-Jan-24 270 MANUAL RANAP 227929
34 03-Jan-24 213 MANUAL RANAP 137308
35 03-Jan-24 307 MANUAL RANAP 232347
36 03-Jan-24 267 MANUAL RANAP 232393
37 03-Jan-24 378 MANUAL RANAP 227689
38 03-Jan-24 143 MANUAL RANAP 231828
39 03-Jan-24 142 MANUAL RANAP 231542
40 03-Jan-24 357 MANUAL RANAP 232381
41 03-Jan-24 354 MANUAL RANAP 232444
42 03-Jan-24 139 MANUAL RANAP 232009
43 03-Jan-24 167 MANUAL RANAP 229118
44 03-Jan-24 138 MANUAL RANAP 187758
45 03-Jan-24 146 MANUAL RANAP 147140
46 03-Jan-24 145 MANUAL RANAP 147140
47 03-Jan-24 134 MANUAL RANAP 232152
48 03-Jan-24 144 MANUAL RANAP 232067
49
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Rp18,600,906.70 Rp3,223,264.70
BILLING PAGI
BPJS
Nama Poli / Ruangan Dokter Penjamin Tagihan Depo Operator Tgl
SITI SUMIATI GURISA (KELAS 3) dr. Yanne Triha BPJS Rp2,247.80 Apotik RawatSri Mulyati, 03-Jan-24
ONENG BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp90,883.55 Apotik RawatSri Mulyati, 03-Jan-24
Ny. IYOH MAR BALAKBAK 3-D dr. Lia SrimuliawBPJS ### Apotik RawatSri Mulyati, 03-Jan-24
SITI SUMIATI GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik RawatSri Mulyati, 03-Jan-24
Ny. IYOH MAR BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp27,581.61 Apotik RawatSri Mulyati, 03-Jan-24
Ny. NOVITA SRPANGKUR 2 dr. Lia SrimuliawBPJS Rp15,958.95 Apotik RawatSri Mulyati, 03-Jan-24
Tn. HENDAR DANGDANGGULA 3dr. Iyan Asiana BPJS Rp39,062.50 Apotik RawatSri Mulyati, 03-Jan-24
HASYBI ASYIDIKDURMA dr. Lia SrimuliawBPJS Rp12,856.25 Apotik RawatSri Mulyati, 03-Jan-24
Nn. IIS SITI ZA DANGDANGGULA 3dr. Iyan Asiana BPJS ### Apotik RawatSri Mulyati, A.md.farm.
Tn. MAMAT R BALAKBAK 2-A dr. Lia SrimuliawBPJS Rp6,643.00 Apotik RawatSri Mulyati, A.md.farm.
CINDY SUNDARGURISA (KELAS 2) dr. Santi Maria BPJS ### Apotik RawatSri Mulyati, A.md.farm.
SITI SUMIATI GURISA (KELAS 3) dr. Yanne Triha BPJS Rp2,247.80 Apotik RawatSri Mulyati, A.md.farm.
CINDY SUNDARGURISA (KELAS 2) dr. Santi Maria BPJS Rp22,893.76 Apotik RawatLulu Afifah Pradipta, A.md.farm
CUCUM SUMIAPANGKUR 3 dr. Santi Maria BPJS Rp18,237.30 Apotik RawatLulu Afifah Pradipta, A.md.farm
NIK SALATI RUANG TRANSIT dr. Annisa Tri K BPJS Rp41,508.43 Apotik RawatLulu Afifah Pradipta, A.md.farm
Tn. DEDE ROHEDANGDANGGULA 3dr. Iyan Asiana BPJS Rp36,350.00 Apotik RawatLulu Afifah Pradipta, A.md.farm
Tn. RIFKI MUG BALAKBAK 2-A dr. Lia SrimuliawBPJS ### Apotik RawatSri Mulyati, A.md.farm.
TITI BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp28,341.90 Apotik RawatSri Mulyati, A.md.farm.
ALMIRA RAMASINOM 2 dr. Retno BudihaBPJS Rp4,812.50 Apotik RawatSri Mulyati, A.md.farm.
AI DETI DURMA dr. Lia SrimuliawBPJS Rp108.75 Apotik RawatSri Mulyati, A.md.farm.
Ny. MIMIN RUANG TRANSIT dr. Lia SrimuliawBPJS Rp1,140.00 Apotik RawatSri Mulyati, A.md.farm.
Ny. SOPI SITI BAYI RAWAT GABUdr. Yanne Triha BPJS ### Apotik RawatSri Mulyati, A.md.farm.
Ny. MIMIN RUANG TRANSIT dr. Lia SrimuliawBPJS Rp1,140.00 Apotik RawatSri Mulyati, A.md.farm.
Tn. WAWAN DURMA dr. Lia SrimuliawBPJS Rp125.00 Apotik RawatSri Mulyati, A.md.farm.
UJANG AMILUDBALAKBAK 3-C dr. Lia SrimuliawBPJS ### Apotik RawatSri Mulyati, A.md.farm.
ODANG BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp5,655.45 Apotik RawatSri Mulyati, A.md.farm.
Ny. RENI HERL PANGKUR 2 dr. Lia SrimuliawBPJS Rp6,305.00 Apotik RawatSri Mulyati, A.md.farm.
MUHAMAD REISINOM 3 dr. Nuning Indri BPJS Rp84,415.50 Apotik RawatSri Mulyati, A.md.farm.
Ny. RAHMAWABALAKBAK 2-B dr. Lia SrimuliawBPJS Rp39,907.27 Apotik RawatSri Mulyati, A.md.farm.
Ny. KARWATI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp15,963.65 Apotik RawatSri Mulyati, A.md.farm.
RAYYA ANINDYSINOM 3 dr. Nuning Indri BPJS Rp10,982.81 Apotik RawatSri Mulyati, A.md.farm.
RAYYA ANINDYSINOM 3 dr. Nuning Indri BPJS Rp84,415.50 Apotik RawatSri Mulyati, A.md.farm.
NIA TARNIA PANGKUR 3 dr. Lia SrimuliawBPJS Rp32,871.90 Apotik RawatSri Mulyati, A.md.farm.
Nn. ANEU NISFGURISA (KELAS 3) dr. Santi Maria BPJS Rp24,573.73 Apotik RawatSri Mulyati, A.md.farm.
RETANIA YASNSINOM 2 dr. Retno BudihaBPJS Rp9,625.00 Apotik RawatSri Mulyati, A.md.farm.
TIKA KHOIRUN PANGKUR 3 dr. Lia SrimuliawBPJS Rp30,042.14 Apotik RawatSri Mulyati, A.md.farm.
RESA WAHYUNRUANG TRANSIT dr. Retno BudihaBPJS ### Apotik RawatSri Mulyati, A.md.farm.
NENGSIH BY N ASMARANDANA (FO dr. Nuning Indri BPJS Rp86,542.51 Apotik RawatLulu Afifah Pradipta, A.md.farm
Bayi Ny. IKA BYASMARANDANA (2B dr. Retno BudihaBPJS Rp86,542.51 Apotik RawatLulu Afifah Pradipta, A.md.farm
YURISKA NOVI MIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp22,477.50 Apotik RawatLulu Afifah Pradipta, A.md.farm
ARMAN MAULAMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp9,591.79 Apotik RawatLulu Afifah Pradipta, A.md.farm
Bayi Ny. TUTI ASMARANDANA (2B dr. Nuning Indri BPJS Rp95,298.11 Apotik RawatLulu Afifah Pradipta, A.md.farm
RAFI RAMDANIDANGDANGGULA 3dr. Riri Handayan BPJS ### Apotik RawatLulu Afifah Pradipta, A.md.farm
Ny. RAHMAWABALAKBAK 2-B dr. Lia SrimuliawBPJS Rp21,035.00 Apotik RawatLulu Afifah Pradipta, A.md.farm
Ny. INDRI ANGGURISA (KELAS 3) dr. Santi Maria BPJS Rp62,127.07 Apotik RawatLulu Afifah Pradipta, A.md.farm
Ny. INDRI ANGGURISA (KELAS 3) dr. Santi Maria BPJS Rp62,127.07 Apotik RawatLulu Afifah Pradipta, A.md.farm
AYU OPANI BY ASMARANDANA (2A dr. Retno BudihaBPJS Rp86,542.51 Apotik RawatLulu Afifah Pradipta, A.md.farm
SITI SHOFI BY ASMARANDANA (2A dr. Nuning Indri BPJS Rp95,308.55 Apotik RawatLulu Afifah Pradipta, A.md.farm
Total Billing BPJS Pagi Rp4,807,035.39 Jumlah
UMUM
No.Resep Jenis Rese No.AntrianPasien RM Nama Poli / Rua Dokter Penjamin Tagihan
207 MANUAL RANAP 142426 LIA WIDIA PANGKUR dr. Yanne CALON BPJ 18556.29
225 MANUAL RANAP 232630 YULIANI BYBAYI RAWAdr. Retno BUMUM 0
277 MANUAL RANAP 232489 YAHYA GU BALAKBAK dr. Lia Sri CALON BPJ 165405.9
189 MANUAL RANAP 232630 YULIANI BYBAYI RAWAdr. Retno BUMUM 56984.77
295 MANUAL RANAP 79571 Ny. LILIS BALAKBAK dr. Lia Sri UMUM 3162.5
315 MANUAL RAJAL 39487 Tn. AEP S IGD dr. EprianaCALON BPJ 209578.6
216 MANUAL RANAP 232634 INDRI BY NGURISA (KEdr. Retno BUMUM 43312.26
249 MANUAL RANAP 165721 Ny. EDAH BALAKBAK dr. Lia Sri CALON BPJ 7396.25
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Jumlah Billing Umum Pagi 8 Total Billing Umum Pagi Rp504,396.59
BPJS
Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM Nama Poli / Rua
Apotik RawSri Mulyati 03-Jan-24 646 MANUAL RANAP 134972 WIWIN WIRUANG TRA
Apotik RawSri Mulyati 03-Jan-24 679 MANUAL RANAP 219746 Tn. ADANGDANGDANG
Apotik RawSri Mulyati 03-Jan-24 613 MANUAL RANAP 232584 MUZAKKI SSINOM 2
Apotik RawSri Mulyati 03-Jan-24 695 MANUAL RANAP 210386 ROBERT BALAKBAK
Apotik RawSri Mulyati 03-Jan-24 710 MANUAL RAJAL 230237 IMAS IGD
Apotik RawSri Mulyati 03-Jan-24 677 MANUAL RANAP 231922 NURHAYATPANGKUR
Apotik RawSri Mulyati 03-Jan-24 610 MANUAL RANAP 232055 GUMILAR SINOM 1
Apotik RawSri Mulyati 03-Jan-24 692 MANUAL RANAP 232306 DENI HAM BALAKBAK
03-Jan-24 643 MANUAL RANAP 232344 UGAN SUHBALAKBAK
03-Jan-24 573 MANUAL RANAP 232381 YURISKA NMIJIL 2 (P
03-Jan-24 553 MANUAL RAJAL 232633 LIA ANGGAIGD
03-Jan-24 717 MANUAL RANAP 59465 Ny. CICIN BALAKBAK
03-Jan-24 675 MANUAL RANAP 161571 Nn. RISKA PANGKUR
03-Jan-24 691 MANUAL RANAP 220720 RIA ASTRIABALAKBAK
03-Jan-24 639 MANUAL RANAP 71364 Tn. DEDEP BALAKBAK
03-Jan-24 558 MANUAL RANAP 203894 TITA AMELDANGDANG
03-Jan-24 712 MANUAL RANAP 72365 Tn. MUMUBALAKBAK
03-Jan-24 673 MANUAL RANAP 232441 ANI SUMARRUANG TRA
03-Jan-24 585 MANUAL RAJAL 232643 PITRI ANJAIGD
03-Jan-24 687 MANUAL RANAP 188828 Nn. UKA WIRANGR
03-Jan-24 707 MANUAL RANAP 196913 Nn. CEYSA BALAKBAK
03-Jan-24 670 MANUAL RANAP 232443 ENDANG BALAKBAK
03-Jan-24 621 MANUAL RANAP 197563 SRI RAHAYSINOM 2
03-Jan-24 546 MANUAL RANAP 232342 FARRIZ AH BALAKBAK
03-Jan-24 678 MANUAL RAJAL 126058 Ny. DEWI IGD
03-Jan-24 706 MANUAL RANAP 196913 Nn. CEYSA BALAKBAK
03-Jan-24 669 MANUAL RANAP 204265 VIKA LUNAKINANTI
03-Jan-24 684 MANUAL RANAP 227689 RESA WAHRUANG TRA
03-Jan-24 620 MANUAL RANAP 102806 An. SALMAISOLASI A
03-Jan-24 714 MANUAL RAJAL 212267 Ny. NENI IGD
03-Jan-24 541 MANUAL RANAP 224908 AHMAD YUSINOM 2
03-Jan-24 703 MANUAL RAJAL 202498 Ny. JUARIAIGD
03-Jan-24 701 MANUAL RANAP 232336 EMAN SULDURMA
03-Jan-24 651 MANUAL RANAP 164362 Ny. IIN KU PANGKUR
03-Jan-24 683 MANUAL RANAP 227808 M ARSYA ASINOM 2
03-Jan-24 618 MANUAL RANAP 222238 RAYYA ANISINOM 3
03-Jan-24 698 MANUAL RANAP 139993 TATI BALAKBAK
03-Jan-24 649 MANUAL RANAP 232427 AGUS HADKINANTI
03-Jan-24 582 MANUAL RAJAL 232654 DINAR AMEIGD
03-Jan-24 682 MANUAL RANAP 119863 Tn. IMAN MIJIL 1 (IC
03-Jan-24 616 MANUAL RANAP 187824 NADHIFA HSINOM 2
Rp504,396.59 Jumlah Billing BPJS Siang 41 Total Billing BPJS Sia
BILLING SIANG
Dokter Penjamin Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien
dr. Amelia BPJS 133633.4 Apotik RawAsep Afriz 03-Jan-24 502 MANUAL RANAP
dr. Lia Sri BPJS 329202.9 Apotik RawAsep Afriz 03-Jan-24 685 MANUAL RANAP
dr. Retno BBPJS 125554.3 Apotik RawAsep Afriz 03-Jan-24 609 MANUAL RANAP
dr. Agus HaBPJS 237541.4 Apotik RawAsep Afriz 03-Jan-24 26 MANUAL RANAP
dr. Retno BBPJS 4849.99 Apotik RawAsep Afriz 03-Jan-24 720 MANUAL 14 RAJAL
dr. Amelia BPJS 3952.5 Apotik RawAsep Afrizal, A.md Farm
dr. Retno BBPJS 77312.52 Apotik RawAsep Afrizal, A.md Farm
dr. EprianaBPJS 76318.77 Apotik RawAsep Afrizal, A.md Farm
dr. Yanne BPJS 161937.9 Apotik RawAsep Afrizal, A.md Farm
dr. Amelia BPJS 118484 Apotik RawAsep Afrizal, A.md Farm
dr. Iyan As BPJS 57591.18 Apotik RawAsep Afrizal, A.md Farm
dr. EprianaBPJS 44677.52 Apotik RawAsep Afrizal, A.md Farm
dr. Agus HaBPJS 192406.3 Apotik RawAsep Afrizal, A.md Farm
dr. Retno BBPJS 175837 Apotik RawAsep Afrizal, A.md Farm
dr. Nuning BPJS 23188.59 Apotik RawAsep Afrizal, A.md Farm
dr. EprianaBPJS 45575 Apotik RawAsep Afrizal, A.md Farm
dr. Lia Sri BPJS 71129 Apotik RawAsep Afrizal, A.md Farm
Total Billing BPJS Siang Rp3,191,344.79 Jumlah Billing Umum Siang 7
UMUM
RM Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator
142426 LIA WIDIA PANGKUR dr. Yanne CALON BPJ 47738.82 Apotik RawAsep Afrizal, A.md Farm
232593 HANI PADIMIJIL 2 (P dr. Retno BCALON BPJ 65427.97 Apotik RawAsep Afrizal, A.md Farm
232574 HAMMADI SINOM 2 dr. Retno BCALON SK 70700.81 Apotik RawAsep Afrizal, A.md Farm
232422 M RIZKI N SINOM 2 dr. Retno BCALON SK 8312.5 Apotik RawAsep Afrizal, A.md Farm
232349 SURYANA DANGDANG dr. H. Gus UMUM 127187.9 Apotik RawAsep Afrizal, A.md Farm
232349 SURYANA DANGDANG dr. H. Gus UMUM 43748.46 Apotik RawAsep Afrizal, A.md Farm
232617 Ny. SITI N Kebidanandr. Santi UMUM 68750.56 Apotik RawAsep Afrizal, A.md Farm
Total Billing Umum Siang Rp431,867.05
BPJS
04-Jan-24 9 MANUAL RANAP 141862 An. DAFF DANGDANG dr. H. Gus BPJS
04-Jan-24 8 MANUAL RANAP 141862 An. DAFF DANGDANG dr. H. Gus BPJS
04-Jan-24 46 MANUAL RANAP 232584 MUZAKKI SSINOM 2 dr. Retno BBPJS
04-Jan-24 30 MANUAL RANAP 232504 UJANG AMIBALAKBAK dr. Lia Sri BPJS
04-Jan-24 21 MANUAL RANAP 39487 Tn. AEP S RUANG TRAdr. Amelia BPJS
04-Jan-24 37 MANUAL RANAP 232381 YURISKA NMIJIL 2 (P dr. Retno BBPJS
04-Jan-24 20 MANUAL RANAP 178324 Ny. SRI MAPANGKUR dr. Amelia BPJS
04-Jan-24 6 MANUAL RANAP 122418 Ny. RENI HPANGKUR dr. Lia Sri BPJS
04-Jan-24 36 MANUAL RANAP 232444 ARMAN MAMIJIL 2 (P dr. Retno BBPJS
04-Jan-24 19 MANUAL RANAP 218035 TUTI HANDBALAKBAK dr. Lia Sri BPJS
04-Jan-24 17 MANUAL RANAP 226610 Ny. MIMINRUANG TRAdr. Lia Sri BPJS
04-Jan-24 26 MANUAL RANAP 184397 Tn. RIFKI BALAKBAK dr. Lia Sri BPJS
04-Jan-24 18 MANUAL RANAP 187758 Ny. RAHM BALAKBAK dr. Lia Sri BPJS
04-Jan-24 16 MANUAL RANAP 172954 AKBAR SAEBALAKBAK dr. Amelia BPJS
04-Jan-24 25 MANUAL RANAP 232443 ENDANG BALAKBAK dr. Amelia BPJS
04-Jan-24 15 MANUAL RANAP 137775 Nn. SELIANBALAKBAK dr. Amelia BPJS
04-Jan-24 24 MANUAL RANAP 232441 ANI SUMARRUANG TRAdr. Amelia BPJS
04-Jan-24 33 MANUAL RANAP 161571 Nn. RISKA PANGKUR dr. Yanne BPJS
04-Jan-24 14 MANUAL RANAP 231922 NURHAYATPANGKUR dr. Amelia BPJS
04-Jan-24 32 MANUAL RANAP 232384 UJANG WADANGDANG dr. H. Gus BPJS
04-Jan-24 23 MANUAL RANAP 232563 AMUNG KINANTI dr. Amelia BPJS
04-Jan-24 66 MANUAL RANAP 147140 Ny. INDRI GURISA (KEdr. Santi BPJS
04-Jan-24 52 MANUAL RANAP 232126 LINDA MARDANGDANG dr. Iyan As BPJS
04-Jan-24 53 MANUAL RANAP 232611 VERA NUR BAYI RAWAdr. Yanne BPJS
04-Jan-24 89 MANUAL RANAP 217818 Ny. KARWABALAKBAK dr. Lia Sri BPJS
04-Jan-24 51 MANUAL RANAP 232650 EHA BALAKBAK dr. Amelia BPJS
04-Jan-24 87 MANUAL RANAP 230625 ENDEK BALAKBAK dr. Amelia BPJS
04-Jan-24 42 MANUAL RANAP 229547 Tn. WAWADURMA dr. Lia Sri BPJS
04-Jan-24 50 MANUAL RANAP 232502 TITI BALAKBAK dr. Lia Sri BPJS
04-Jan-24 34 MANUAL RANAP 232682 HENI BALAKBAK dr. Amelia BPJS
04-Jan-24 86 MANUAL RANAP 232578 AI DETI DURMA dr. Lia Sri BPJS
04-Jan-24 41 MANUAL RANAP 184547 ENENG TUTDANGDANG dr. H. Gus BPJS
04-Jan-24 84 MANUAL RANAP 137308 Nn. ANEU GURISA (KEdr. Santi BPJS
04-Jan-24 40 MANUAL RANAP 232118 RIANTI DANGDANG dr. H. Gus BPJS
04-Jan-24 48 MANUAL RANAP 189033 Ny. NENAHBALAKBAK dr. Lia Sri BPJS
04-Jan-24 81 MANUAL RANAP 114161 Ny. IAH WIRANGR dr. Amelia BPJS
04-Jan-24 39 MANUAL RANAP 155924 Ny. KARYATDANGDANG dr. H. Gus BPJS
04-Jan-24 47 MANUAL RANAP 232393 TIKA KHOI PANGKUR dr. Lia Sri BPJS
04-Jan-24 80 MANUAL RANAP 232576 M AKHMALDANGDANG dr. H. Gus BPJS
04-Jan-24 78 MANUAL RANAP 232430 DIDI GUN DANGDANG dr. Iyan As BPJS
04-Jan-24 45 MANUAL RANAP 221590 Tn. II KUS BALAKBAK dr. Amelia BPJS
03-Jan-24 67 MANUAL RANAP 217818 Ny. KARWABALAKBAK dr. Lia Sri BPJS
03-Jan-24 66 MANUAL RANAP 209196 ONENG BALAKBAK dr. Lia Sri BPJS
03-Jan-24 17 MANUAL RANAP 189033 Ny. NENAHBALAKBAK dr. Lia Sri BPJS
03-Jan-24 45 MANUAL RANAP 220720 RIA ASTRIABALAKBAK dr. Amelia BPJS
03-Jan-24 24 MANUAL RANAP 184547 ENENG TUTDANGDANG dr. H. Gus BPJS
03-Jan-24 34 MANUAL RANAP 188828 Nn. UKA WIRANGR dr. Amelia BPJS
03-Jan-24 96 MANUAL RANAP 227929 NIA TARNI PANGKUR dr. Lia Sri BPJS
03-Jan-24 43 MANUAL RANAP 59465 Ny. CICIN BALAKBAK dr. Amelia BPJS
03-Jan-24 95 MANUAL RANAP 232578 AI DETI DURMA dr. Lia Sri BPJS
03-Jan-24 62 MANUAL RANAP 149257 Ny. IYOH BALAKBAK dr. Lia Sri BPJS
03-Jan-24 32 MANUAL RANAP 210386 ROBERT BALAKBAK dr. Amelia BPJS
03-Jan-24 777 MANUAL RANAP 231469 YULIANI F GURISA (KEdr. Santi BPJS
03-Jan-24 68 MANUAL RANAP 232306 DENI HAM BALAKBAK dr. Amelia BPJS
03-Jan-24 86 MANUAL RANAP 226610 Ny. MIMINRUANG TRAdr. Lia Sri BPJS
03-Jan-24 55 MANUAL RANAP 232427 AGUS HADKINANTI dr. Amelia BPJS
03-Jan-24 46 MANUAL RANAP 232344 UGAN SUHBALAKBAK dr. Amelia BPJS
03-Jan-24 753 MANUAL RANAP 232382 FANNY SH SINOM 3 dr. Retno BBPJS
03-Jan-24 729 MANUAL RANAP 232380 RAFLI SINOM 2 dr. Retno BBPJS
03-Jan-24 738 MANUAL RANAP 102806 An. SALMAISOLASI A dr. Retno BBPJS
03-Jan-24 104 MANUAL RANAP 204639 REANDRA MIJIL 2 (P dr. Retno BBPJS
03-Jan-24 21 MANUAL RANAP 203894 TITA AMELDANGDANG dr. Iyan As BPJS
03-Jan-24 53 MANUAL RANAP 71364 Tn. DEDEP BALAKBAK dr. Amelia BPJS
03-Jan-24 751 MANUAL RANAP 227808 M ARSYA ASINOM 2 dr. Retno BBPJS
03-Jan-24 728 MANUAL RANAP 227689 RESA WAHRUANG TRAdr. Retno BBPJS
03-Jan-24 40 MANUAL RANAP 232342 FARRIZ AH BALAKBAK dr. Amelia BPJS
03-Jan-24 84 MANUAL RANAP 187758 Ny. RAHM BALAKBAK dr. Lia Sri BPJS
03-Jan-24 20 MANUAL RANAP 232330 NIK SALATIRUANG TRAdr. Annisa BPJS
03-Jan-24 64 MANUAL RANAP 134972 WIWIN WIRUANG TRAdr. Amelia BPJS
BILLING MALAM

71233.83 Apotik RawTitan Mulyana, A.md.farm 04-Jan-24 7 MANUAL RANAP
207347 Apotik RawTitan Mulyana, A.md.farm 04-Jan-24 49 MANUAL RANAP
166136 Apotik RawTitan Mulyana, A.md.farm 03-Jan-24 105 MANUAL RAJAL
199918.3 Apotik RawTitan Mulyana, A.md.farm
16650 Apotik RawAyidnis Sabiela, A.md.farm
123333.5 Apotik RawAyidnis Sabiela, A.md.farm
Rp10,602,526.52 Jumlah Billing Umum Malam 16
UMUM
232489 YAHYA GU BALAKBAK dr. Lia Sri CALON BPJ 365568.7 Apotik RawTitan Mulyana, A.md.farm
79571 Ny. LILIS BALAKBAK dr. Lia Sri UMUM 84181.59 Apotik RawTitan Mulyana, A.md.farm
232593 HANI PADIMIJIL 2 (P dr. Retno BCALON BPJ 51303.47 Apotik RawTitan Mulyana, A.md.farm
118127 DESI PITRI GURISA (KEdr. Santi UMUM 32075 Apotik RawAyidnis Sabiela, A.md.farm
232375 SRI RAHAYDURMA dr. Annisa CALON SK 80364.75 Apotik RawAyidnis Sabiela, A.md.farm
165721 Ny. EDAH BALAKBAK dr. Lia Sri CALON BPJ 33056.98 Apotik RawAyidnis Sabiela, A.md.farm
232583 SAKTI TUB DANGDANG dr. H. Gus CALON BPJ 304561.1 Apotik RawAyidnis Sabiela, A.md.farm
232677 ACIH BALAKBAK dr. Amelia CALON BPJ 61356.4 Apotik RawAyidnis Sabiela, A.md.farm
232353 AGAN GANDANGDANG dr. H. Gus UMUM 511315.9 Apotik RawAyidnis Sabiela, A.md.farm
232422 M RIZKI N SINOM 2 dr. Retno BCALON SK 180452.7 Apotik RawAyidnis Sabiela, A.md.farm
232586 DESI BY NYBAYI RAWAdr. Retno BUMUM 70399.71 Apotik RawAyidnis Sabiela, A.md.farm
232375 SRI RAHAYDURMA dr. Annisa CALON SK 145446.8 Apotik RawAyidnis Sabiela, A.md.farm
232580 AYU BY NYBAYI RAWAdr. Retno BUMUM 18086.13 Apotik RawTitan Mulyana, A.md.farm
118127 DESI PITRI IGD dr. Fandi CALON BPJ 65322.7 Apotik RawTitan Mulyana, A.md.farm
79571 Ny. LILIS BALAKBAK dr. Lia Sri UMUM 78974.43 Apotik RawTitan Mulyana, A.md.farm
232422 M RIZKI N SINOM 2 dr. Retno BCALON SK 204534.7 Apotik RawTitan Mulyana, A.md.farm
Total Billing Umum Malam Rp2,287,001.06
No. BPJ
10 04-Jan-24 211 MANUAL RANAP 232118
11 04-Jan-24 128 MANUAL RANAP 232152
12 04-Jan-24 342 MANUAL RANAP 119863
13 04-Jan-24 313 MANUAL RANAP 232579
14 04-Jan-24 259 MANUAL RANAP 189033
15 04-Jan-24 491 MANUAL RANAP 227808
16 04-Jan-24 441 MANUAL RANAP 231542
17 04-Jan-24 471 MANUAL RANAP 161571
18 04-Jan-24 379 MANUAL RANAP 137308
19 04-Jan-24 340 MANUAL RANAP 231672
20 04-Jan-24 376 MANUAL RANAP 165721
21 04-Jan-24 312 MANUAL RANAP 232579
22 04-Jan-24 412 MANUAL RANAP 114161
23 04-Jan-24 468 MANUAL RANAP 187758
24 04-Jan-24 487 MANUAL RANAP 178573
25 04-Jan-24 375 MANUAL RANAP 232502
26 04-Jan-24 307 MANUAL RANAP 232483
27 04-Jan-24 253 MANUAL RANAP 232393
28 04-Jan-24 335 MANUAL RANAP 147140
29 04-Jan-24 402 MANUAL RANAP 232483
30 04-Jan-24 373 MANUAL RANAP 232375
31 04-Jan-24 332 MANUAL RANAP 147140
32 04-Jan-24 284 MANUAL RANAP 217818
33 04-Jan-24 464 MANUAL RANAP 226610
34 04-Jan-24 483 MANUAL RANAP 231800
35 04-Jan-24 397 MANUAL RANAP 231672
36 04-Jan-24 301 MANUAL RANAP 232643
37 04-Jan-24 326 MANUAL RANAP 231469
38 04-Jan-24 463 MANUAL RANAP 232729
39 04-Jan-24 479 MANUAL RANAP 122418
40 04-Jan-24 394 MANUAL RANAP 199380
41 04-Jan-24 366 MANUAL RANAP 232613
42 04-Jan-24 319 MANUAL RANAP 232566
43 04-Jan-24 273 MANUAL RANAP 229547
44 04-Jan-24 133 MANUAL RANAP 232633
45 04-Jan-24 476 MANUAL RANAP 232504
46 04-Jan-24 363 MANUAL RANAP 187286
47 04-Jan-24 267 MANUAL RANAP 229547
48 04-Jan-24 381 MANUAL RANAP 113914
49 04-Jan-24 350 MANUAL RANAP 232384
50 04-Jan-24 347 MANUAL RAJAL 106790
51 04-Jan-24 263 MANUAL RANAP 232658
52 04-Jan-24 493 MANUAL RANAP 231472
53 04-Jan-24 473 MANUAL RANAP 218035
54 04-Jan-24 263 MANUAL RANAP 232658
55 04-Jan-24 493 MANUAL RANAP 231472
56 04-Jan-24 473 MANUAL RANAP 218035
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp14,452,484.04 Rp2,015,856.63
BILLING PAGI
BPJS
ENENG TUTI DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,550.00 Apotik Rawat
Ny. SOPI SITI BAYI RAWAT GABUdr. Yanne Triha BPJS Rp16,411.63 Apotik Rawat
Ny. KARYATI DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,550.00 Apotik Rawat
Tn. IMAN SET MIJIL 1 (ICU) dr. Lia SrimuliawBPJS ### Apotik Rawat
NIA TARNIA PANGKUR 3 dr. Lia SrimuliawBPJS Rp1,750.00 Apotik Rawat
M ALSHAD ABISINOM 3 dr. Retno BudihaBPJS Rp39,151.08 Apotik Rawat
ENENG TUTI DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp8,078.58 Apotik Rawat
Ny. SRI MARLI PANGKUR 1 dr. Amelia AndriBPJS Rp53,262.65 Apotik Rawat
RIANTI DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,550.00 Apotik Rawat
AYU OPANI BY ASMARANDANA (2A dr. Retno BudihaBPJS Rp81,395.39 Apotik Rawat
AYU LESTARI GURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. NENAH HE BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp78,246.10 Apotik Rawat
M ARSYA ALFASINOM 2 dr. Retno BudihaBPJS Rp47,591.25 Apotik Rawat
Bayi Ny. IKA BYASMARANDANA (2Bdr. Retno BudihaBPJS ### Apotik Rawat
Nn. RISKA PAJRPANGKUR 2 dr. Yanne Triha BPJS Rp25,946.25 Apotik Rawat
Nn. ANEU NISFPANGKUR 3 dr. Santi Maria BPJS ### Apotik Rawat
ARSYILA PRAS ASMARANDANA (FO dr. Retno BudihaBPJS Rp3,595.00 Apotik Rawat
Ny. EDAH JUB BALAKBAK 3-D dr. Lia SrimuliawCALON BPJS Rp76.24 Apotik Rawat
AYU LESTARI GURISA (KELAS 2) dr. Yanne Triha BPJS Rp14,493.80 Apotik Rawat
Ny. IAH WIRANGRONG dr. Amelia AndriBPJS Rp23,221.56 Apotik Rawat
Ny. RAHMAWABALAKBAK 2-B dr. Lia SrimuliawBPJS Rp3,882.50 Apotik Rawat
NURHASANAH PANGKUR 3 dr. Amelia AndriBPJS Rp52,369.34 Apotik Rawat
TITI BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp15,965.00 Apotik Rawat
ODANG BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp4,480.00 Apotik Rawat
TIKA KHOIRUN PANGKUR 3 dr. Lia SrimuliawBPJS Rp1,750.00 Apotik Rawat
Ny. INDRI ANGGURISA (KELAS 3) dr. Santi Maria BPJS ### Apotik Rawat
ODANG BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp1,087.50 Apotik Rawat
SRI RAHAYUNI DURMA dr. Annisa Tri K BPJS Rp4,548.75 Apotik Rawat
Ny. INDRI ANGGURISA (KELAS 3) dr. Santi Maria BPJS Rp34,217.60 Apotik Rawat
Ny. KARWATI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp51,201.20 Apotik Rawat
Ny. MIMIN RUANG TRANSIT dr. Lia SrimuliawBPJS Rp4,717.50 Apotik Rawat
KUNE KUNAERIBALAKBAK 3-B dr. Amelia AndriBPJS Rp69,294.44 Apotik Rawat
ARSYILA PRAS ASMARANDANA (FO dr. Retno BudihaBPJS Rp0.00 Apotik Rawat
PITRI ANJANI BAYI RAWAT GABUdr. Yanne Triha BPJS ### Apotik Rawat
YULIANI FATI GURISA (KELAS 3) dr. Santi Maria BPJS Rp34,217.60 Apotik Rawat
APONG SITI R BALAKBAK 1 dr. Lia SrimuliawBPJS Rp73,464.57 Apotik Rawat
Ny. RENI HERL PANGKUR 2 dr. Lia SrimuliawBPJS Rp275.00 Apotik Rawat
SUSI LAWATI PANGKUR 3 dr. Riri HandayanBPJS ### Apotik Rawat
DIAN HERDIANBALAKBAK 3-B dr. Annisa Tri K BPJS ### Apotik Rawat
YULI GURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
Tn. WAWAN DURMA dr. Lia SrimuliawBPJS Rp761.25 Apotik Rawat
LIA ANGGALENGURISA (KELAS 3) dr. Yanne Triha BPJS Rp37,878.06 Apotik Rawat
UJANG AMILUDBALAKBAK 3-C dr. Lia SrimuliawBPJS Rp6,532.50 Apotik Rawat
Nn. YULIA ZAH PANGKUR 3 dr. Amelia AndriBPJS Rp4,462.50 Apotik Rawat
Tn. WAWAN DURMA dr. Lia SrimuliawBPJS Rp18,150.65 Apotik Rawat
Ny. AI KARWATGURISA (KELAS 3) dr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
UJANG WAHYUDANGDANGGULA 2dr. H. Gus RiyadBPJS Rp15,318.00 Apotik Rawat
ANI HARIDAH IGD dr. Ramdhani FitBPJS Rp44,648.09 Apotik Rawat
DESI DARTIKA PANGKUR 3 dr. Yanne Triha CALON BPJS Rp18,556.29 Apotik Rawat
TUTI HANDINI BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp320.00 Apotik Rawat
DESI DARTIKA PANGKUR 3 dr. Yanne Triha CALON BPJS Rp18,556.29 Apotik Rawat
TUTI HANDINI BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp320.00 Apotik Rawat
BILLING PAGI

Apt. Orysa Rahmaeni Basujata, S.farm. 04-Jan-24 289 MANUAL RANAP 232689
Lulu Afifah Pradipta, A.md.farm
UMUM
FITRI ANJAASMARANDdr. Retno BUMUM 99995.56 Apotik RawLulu Afifah Pradipta, A.md.farm
Ny. LILIS BALAKBAK dr. Lia Sri UMUM 2525.24 Apotik RawLulu Afifah Pradipta, A.md.farm
YANI HAYAASMARANDdr. Retno BUMUM 18086.13 Apotik RawLulu Afifah Pradipta, A.md.farm
SOPI SITI BASMARANDdr. Retno BUMUM 23711.14 Apotik RawLulu Afifah Pradipta, A.md.farm
NENI BY NYASMARANDdr. Retno BUMUM 62716.96 Apotik RawLulu Afifah Pradipta, A.md.farm
VERA NUR A PSMARANDA dr. Retno BUMUM ######## Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
AGAN GANDANGDANG dr. H. Gus UMUM 43748.46 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
LIA ANGGAASMARANDA dr. Retno BUMUM 30383.64 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
SAKTI TUB DANGDANG dr. H. Gus UMUM 5858.58 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
SAKTI TUB DANGDANG dr. H. Gus UMUM 26550 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
AGAN GANDANGDANG dr. H. Gus UMUM 45062.99 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
BPJS
04-Jan-24 643 MANUAL RANAP 231472 M ALSHAD SINOM 3 dr. Retno BBPJS
04-Jan-24 575 MANUAL RANAP 232443 ENDANG BALAKBAK dr. Amelia BPJS
04-Jan-24 617 MANUAL RANAP 188625 Ny. UPIT S BAYI RAWAdr. Santi BPJS
04-Jan-24 595 MANUAL RANAP 113914 Ny. AI KAR GURISA (KEdr. Yanne BPJS
04-Jan-24 561 MANUAL RANAP 231829 DESI ANGGISOLASI A dr. Nuning BPJS
04-Jan-24 645 MANUAL RANAP 199380 SUSI LAWAPANGKUR dr. Riri Ha BPJS
04-Jan-24 653 MANUAL RANAP 232438 MIMIN TARBALAKBAK dr. Amelia BPJS
04-Jan-24 657 MANUAL RANAP 227689 RESA WAHSINOM 3 dr. Retno BBPJS
04-Jan-24 448 MANUAL RANAP 231829 DESI ANGGISOLASI A dr. Nuning BPJS
04-Jan-24 642 MANUAL RANAP 232570 SITI SUMIABAYI RAWAdr. Retno BBPJS
04-Jan-24 561 MANUAL RANAP 232422 M RIZKI N SINOM 2 dr. Retno BBPJS
04-Jan-24 615 MANUAL RANAP 232679 TARYATI PANGKUR dr. Amelia BPJS
04-Jan-24 548 MANUAL RANAP 231818 MUHAMADSINOM 3 dr. Nuning BPJS
04-Jan-24 656 MANUAL RANAP 232422 M RIZKI N SINOM 2 dr. Retno BBPJS
04-Jan-24 695 MANUAL RANAP 232725 UNEN BALAKBAK dr. Lia Sri BPJS
04-Jan-24 641 MANUAL RANAP 232570 SITI SUMIABAYI RAWAdr. Retno BBPJS
04-Jan-24 548 MANUAL RANAP 232347 RETANIA YSINOM 2 dr. Retno BBPJS
04-Jan-24 694 MANUAL RANAP 9857 Ny. YATI PANGKUR dr. Lia Sri BPJS
04-Jan-24 612 MANUAL RANAP 187824 NADHIFA HSINOM 2 dr. Retno BBPJS
04-Jan-24 640 MANUAL RANAP 98051 SITI BALAKBAK dr. Lia Sri BPJS
04-Jan-24 678 MANUAL RANAP 146708 Tn. MAMABALAKBAK dr. Lia Sri BPJS
04-Jan-24 651 MANUAL RANAP 97869 An. M RAFASINOM 2 dr. Retno BBPJS
04-Jan-24 484 MANUAL RANAP 213907 VIANDRA ASINOM 3 dr. Retno BBPJS
04-Jan-24 688 MANUAL RANAP 232574 HAMMADI SINOM 2 dr. Retno BBPJS
04-Jan-24 665 MANUAL RANAP 37897 Tn. ANAN BALAKBAK dr. Lia Sri BPJS
04-Jan-24 528 MANUAL RANAP 232794 SATRIA PUSINOM 2 dr. Retno BBPJS
04-Jan-24 567 MANUAL RANAP 213907 VIANDRA ASINOM 3 dr. Retno BBPJS
04-Jan-24 650 MANUAL RANAP 232777 SURYADI DANGDANG dr. Lia Sri BPJS
04-Jan-24 687 MANUAL RANAP 98051 SITI BALAKBAK dr. Lia Sri BPJS
04-Jan-24 659 MANUAL RANAP 222238 RAYYA ANISINOM 3 dr. Nuning BPJS
04-Jan-24 521 MANUAL RANAP 232380 RAFLI SINOM 2 dr. Retno BBPJS
04-Jan-24 684 MANUAL RANAP 190928 M ABIDZARISOLASI A dr. Retno BBPJS
04-Jan-24 521 MANUAL RANAP 187824 NADHIFA HSINOM 2 dr. Retno BBPJS
04-Jan-24 608 MANUAL RAJAL 232785 SUKANDI IGD dr. Alvin N BPJS
04-Jan-24 648 MANUAL RANAP 199380 SUSI LAWAPANGKUR dr. Riri Ha BPJS
04-Jan-24 661 MANUAL RANAP 232389 ALMIRA R SINOM 2 dr. Retno BBPJS
04-Jan-24 580 MANUAL RANAP 115310 Tn. MOCH BALAKBAK dr. H. Gus BPJS
04-Jan-24 630 MANUAL RANAP 232571 SRI RAHAYBALAKBAK dr. Amelia BPJS
04-Jan-24 646 MANUAL RANAP 153306 Ny. JUJU J DANGDANG dr. H. Gus BPJS
04-Jan-24 476 MANUAL RANAP 229960 An. M ARF DANGDANG dr. H. Gus BPJS
04-Jan-24 682 MANUAL RANAP 232682 HENI BALAKBAK dr. Amelia BPJS
04-Jan-24 654 MANUAL RANAP 232381 YURISKA NSINOM 2 dr. Retno BBPJS
04-Jan-24 660 MANUAL RANAP 230625 ENDEK BALAKBAK dr. Amelia BPJS
04-Jan-24 506 MANUAL RANAP 196913 Nn. CEYSA BALAKBAK dr. Amelia BPJS
04-Jan-24 453 MANUAL RANAP 178573 NURHASANPANGKUR dr. Amelia BPJS
04-Jan-24 606 MANUAL RANAP 178573 NURHASANPANGKUR dr. Amelia BPJS
04-Jan-24 604 MANUAL RANAP 39487 Tn. AEP S BALAKBAK dr. Amelia BPJS
04-Jan-24 603 MANUAL RANAP 137308 Nn. ANEU PANGKUR dr. Santi BPJS
BILLING SIANG
Tagihan Depo Operator Tgl No.Resep Jenis Rese No.Antrian

9098.39 Apotik RawMuhamad Rizky Hidayah, S.Farm 04-Jan-24 613 MANUAL
41220 Apotik RawMuhamad Rizky Hidayah, S.Farm 04-Jan-24 585 MANUAL
2454 Apotik RawMuhamad Rizky Hidayah, S.Farm
86934.49 Apotik RawMuhamad Rizky Hidayah, S.Farm
Rp2,259,541.12 Jumlah Billing Umum Siang
UMUM
Pasien RM Nama Poli / Rua Dokter Penjamin Tagihan Depo
RANAP 232720 SITI NUR L ISOLASI A dr. Retno BCALON BPJ 32195 Apotik Raw
RAJAL 125948 Ny. DEWI IGD dr. Alvin N CALON BPJ 43151.61 Apotik Raw
RANAP 232658 DESI DART PANGKUR dr. Yanne CALON BPJ 14443.2 Apotik Raw
RANAP 232658 DESI DART PANGKUR dr. Yanne CALON BPJ 70262.84 Apotik Raw
RAJAL 232771 PUTRI BY NIGD dr. Alvin N CALON BPJ 64200 Apotik Raw
RAJAL 125948 Ny. DEWI IGD dr. Alvin N CALON BPJ 37743.42 Apotik Raw
RAJAL 220772 AZKA ALDRIGD dr. Alvin N CALON BPJ 54180.89 Apotik Raw
RANAP 232593 HANI PADIMIJIL 2 (P dr. Retno BCALON BPJ 19328.08 Apotik Raw
RANAP 232702 AZRIL PRABMIJIL 2 (P dr. Retno BCALON BPJ 43767.49 Apotik Raw
RANAP 232685 INAYA AZMSINOM 2 dr. Retno BCALON SK 9788.81 Apotik Raw
RANAP 232810 UPIT BY NYBAYI RAWAdr. Retno BUMUM 23885.88 Apotik Raw
RANAP 118127 DESI PITRI GURISA (KEdr. Santi UMUM 40473.8 Apotik Raw
RANAP 232789 SOPI SITI BASMARANDdr. Retno BUMUM 0 Apotik Raw
13 Total Billing Umum Siang Rp453,421.02
BPJS
Muhamad Rizky Hidayah, S.Farm 04-Jan-24 802 MANUAL RANAP 218035
Zandy Tiaravani, A.md.farm 04-Jan-24 801 MANUAL RANAP 187758
04-Jan-24 787 MANUAL RANAP 232729
04-Jan-24 808 MANUAL RAJAL 106790
Jan 2024 7 MANUAL RANAP 219746
Rp453,421.02 Jumlah Billing BPJS Malam 80
BILLING MALAM
BPJS
Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl
TUTI HANDBALAKBAK dr. Lia Sri BPJS 35893.36 Apotik RawAsep Afrizal, A.md Farm 04-Jan-24
M ABIDZARISOLASI A dr. Retno BBPJS 216082.5 Apotik RawAsep Afrizal, A.md Farm 04-Jan-24
MUHAMADISOLASI A dr. Nuning BPJS 79602.57 Apotik RawAsep Afrizal, A.md Farm 04-Jan-24
TARYATI PANGKUR dr. Amelia BPJS 92411.28 Apotik RawAsep Afrizal, A.md Farm 04-Jan-24
GUMILAR SINOM 1 dr. Retno BBPJS 45239.7 Apotik RawAsep Afrizal, A.md Farm 04-Jan-24
Tn. RIFKI BALAKBAK dr. Lia Sri BPJS 66860.67 Apotik RawAsep Afrizal, A.md Farm 04-Jan-24
ARMAN MAMIJIL 2 (P dr. Retno BBPJS 87140.39 Apotik RawAsep Afrizal, A.md Farm 04-Jan-24
Ny. RAHM BALAKBAK dr. Lia Sri BPJS 30663.17 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24
Ny. RENI HPANGKUR dr. Lia Sri BPJS 41212.54 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24
GUMILAR SINOM 1 dr. Retno BBPJS 45239.7 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24
Ny. YATI PANGKUR dr. Lia Sri BPJS 60694.2 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24
UJANG AMIBALAKBAK dr. Lia Sri BPJS 137097.9 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24
M ALSHAD SINOM 3 dr. Retno BBPJS 50812.18 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24
APONG SITBALAKBAK dr. Lia Sri BPJS 71666.37 Apotik RawAsep Afrizal, A.md Farm ###
NAZWA SYA SINOM 1 dr. Retno BBPJS 131289 Apotik RawAsep Afrizal, A.md Farm
NURHAYATPANGKUR dr. Amelia BPJS 177275.3 Apotik RawAsep Afrizal, A.md Farm
SURYADI DANGDANG dr. Lia Sri BPJS 66619.2 Apotik RawAsep Afrizal, A.md Farm
RETANIA YSINOM 2 dr. Retno BBPJS 1896.42 Apotik RawAsep Afrizal, A.md Farm
ANI HARIDIGD dr. Ramdhan BPJS 49827.74 Apotik RawAsep Afrizal, A.md Farm
Tn. MAMABALAKBAK dr. Lia Sri BPJS 17292.14 Apotik RawAsep Afrizal, A.md Farm
Nn. RISKA PANGKUR dr. Yanne BPJS 202946.9 Apotik RawAsep Afrizal, A.md Farm
M ARSYA ASINOM 2 dr. Retno BBPJS 41713.79 Apotik RawAsep Afrizal, A.md Farm
An. M RAFASINOM 2 dr. Retno BBPJS 308265.3 Apotik RawAsep Afrizal, A.md Farm
RETANIA YSINOM 2 dr. Retno BBPJS 41153.45 Apotik RawAsep Afrizal, A.md Farm
UJANG WADANGDANG dr. H. Gus BPJS 361096.9 Apotik RawAsep Afrizal, A.md Farm
SATRIA PUSINOM 2 dr. Retno BBPJS 52810.95 Apotik RawAsep Afrizal, A.md Farm
HAMMADI SINOM 2 dr. Retno BBPJS 32812.5 Apotik RawAsep Afrizal, A.md Farm
An. DAFF DANGDANG dr. H. Gus BPJS 74521.81 Apotik RawAsep Afrizal, A.md Farm
RESA WAHSINOM 3 dr. Retno BBPJS 252274.2 Apotik RawAsep Afrizal, A.md Farm
MUHAMMAD ASMARANDA dr. Retno BBPJS 194190.5 Apotik RawAsep Afrizal, A.md Farm
YURISKA NSINOM 2 dr. Retno BBPJS 282252.7 Apotik RawAsep Afrizal, A.md Farm
An. SALMAISOLASI A dr. Retno BBPJS 278584.6 Apotik RawAsep Afrizal, A.md Farm
Tn. AEP S BALAKBAK dr. Amelia BPJS 200934.6 Apotik RawAsep Afrizal, A.md Farm
MUZAKKI SSINOM 2 dr. Retno BBPJS 181919.3 Apotik RawAsep Afrizal, A.md Farm
VERA NUR BAYI RAWAdr. Yanne BPJS 8040.01 Apotik RawAsep Afrizal, A.md Farm
Tn. ANAN BALAKBAK dr. Lia Sri BPJS 55989.88 Apotik RawAsep Afrizal, A.md Farm
YURISKA NSINOM 2 dr. Retno BBPJS 282252.7 Apotik RawAsep Afrizal, A.md Farm
MUHAMADSINOM 3 dr. Nuning BPJS 160164.2 Apotik RawAsep Afrizal, A.md Farm
SRI RAHAYSINOM 2 dr. Retno BBPJS 60711.46 Apotik RawAsep Afrizal, A.md Farm
DIAN HERDBALAKBAK dr. Annisa BPJS 250581.6 Apotik RawNeng Cahya Titasari, Amd.farm
SRI RAHAYDURMA dr. Annisa BPJS 93749.93 Apotik RawNeng Cahya Titasari, Amd.farm
M AKHMALDANGDANG dr. H. Gus BPJS 66909.92 Apotik RawNeng Cahya Titasari, Amd.farm
NURHASANPANGKUR dr. Amelia BPJS 51792.74 Apotik RawNeng Cahya Titasari, Amd.farm
UNEN BALAKBAK dr. Lia Sri BPJS 56559.88 Apotik RawNeng Cahya Titasari, Amd.farm
Tn. MUMUBALAKBAK dr. Amelia BPJS 48882.51 Apotik RawNeng Cahya Titasari, Amd.farm
Nn. ANEU PANGKUR dr. Santi BPJS 209784.9 Apotik RawNeng Cahya Titasari, Amd.farm
HENI BALAKBAK dr. Amelia BPJS 68936.68 Apotik RawNeng Cahya Titasari, Amd.farm
AI DETI DURMA dr. Lia Sri BPJS 125129.1 Apotik RawNeng Cahya Titasari, Amd.farm
SITI BALAKBAK dr. Lia Sri BPJS 60687.58 Apotik RawNeng Cahya Titasari, Amd.farm
KUNE KUNA BALAKBAK dr. Amelia BPJS 66597.14 Apotik RawNeng Cahya Titasari, Amd.farm
ENDEK BALAKBAK dr. Amelia BPJS 281672.3 Apotik RawNeng Cahya Titasari, Amd.farm
Nn. YULIA PANGKUR dr. Amelia BPJS 46673.33 Apotik RawNeng Cahya Titasari, Amd.farm
ETI BALAKBAK dr. Amelia BPJS 46891.49 Apotik RawNeng Cahya Titasari, Amd.farm
SUKANDI IGD dr. Alvin N BPJS 56559.88 Apotik RawNeng Cahya Titasari, Amd.farm
SRI RAHAYBALAKBAK dr. Amelia BPJS 79426.38 Apotik RawNeng Cahya Titasari, Amd.farm
Nn. CEYSA BALAKBAK dr. Amelia BPJS 61183.76 Apotik RawNeng Cahya Titasari, Amd.farm
SUSI LAWAPANGKUR dr. Riri Ha BPJS 95533.12 Apotik RawNeng Cahya Titasari, Amd.farm
EHA BALAKBAK dr. Amelia BPJS 14457.67 Apotik RawNeng Cahya Titasari, Amd.farm
YUMNA KHO SINOM 2 dr. Retno BBPJS 62905.05 Apotik RawNeng Cahya Titasari, Amd.farm
Ny. IMI M IGD dr. Nifa HanBPJS 361328.6 Apotik RawNeng Cahya Titasari, Amd.farm
SITI BALAKBAK dr. Lia Sri BPJS 788.75 Apotik RawNeng Cahya Titasari, Amd.farm
RAFI RAMDDANGDANG dr. Riri Ha BPJS 187572.8 Apotik RawNeng Cahya Titasari, Amd.farm
Tn. IMAN MIJIL 1 (IC dr. Lia Sri BPJS 152896.6 Apotik RawNeng Cahya Titasari, Amd.farm
Ny. NOVALIGD dr. Nifa HanBPJS 43584.16 Apotik RawNeng Cahya Titasari, Amd.farm
NENI IGD dr. Nifa HanBPJS 40946.32 Apotik RawNeng Cahya Titasari, Amd.farm
ENTIN JUA IGD dr. Nifa HanBPJS 28827.97 Apotik RawNeng Cahya Titasari, Amd.farm
Ny. EUIS IGD dr. Fandi BPJS 37728.58 Apotik RawNeng Cahya Titasari, Amd.farm
Tn. DEDE DURMA dr. Lia Sri BPJS 87292.52 Apotik RawNeng Cahya Titasari, Amd.farm
TITI BALAKBAK dr. Lia Sri BPJS 107454.2 Apotik RawNeng Cahya Titasari, Amd.farm
FIRMAN SYBALAKBAK dr. Amelia BPJS 69226.91 Apotik RawNeng Cahya Titasari, Amd.farm
Ny. AAN BALAKBAK dr. Lia Sri BPJS 74693.38 Apotik RawNeng Cahya Titasari, Amd.farm
Ny. EEN RUANG TRAdr. Annisa BPJS 130197.5 Apotik RawNeng Cahya Titasari, Amd.farm
YUMNA KHO SINOM 2 dr. Retno BBPJS 57380.06 Apotik RawNeng Cahya Titasari, Amd.farm
AEP HIDAYBALAKBAK dr. Lia Sri BPJS 58772.38 Apotik RawNeng Cahya Titasari, Amd.farm
Tn. ADANGDANGDANG dr. Lia Sri BPJS 308981 Apotik RawAsep Afrizal, A.md Farm
AMUNG KINANTI dr. Amelia BPJS 76748.57 Apotik RawAsep Afrizal, A.md Farm
Ny. MIMINRUANG TRAdr. Lia Sri BPJS 91520.07 Apotik RawAsep Afrizal, A.md Farm
ANI SUMARRUANG TRAdr. Amelia BPJS 174161.9 Apotik RawAsep Afrizal, A.md Farm
FIRMAN SYBALAKBAK dr. Amelia BPJS 64852.94 Apotik RawAsep Afrizal, A.md Farm
Nn. SELIANBALAKBAK dr. Amelia BPJS 78909.99 Apotik RawAsep Afrizal, A.md Farm
Total Billing BPJS Malam Rp8,656,232.22 Jumlah Billing Um
UMUM
776 MANUAL RANAP 232720 SITI NUR L ISOLASI A dr. Retno BCALON BPJ 32389.24
760 MANUAL RANAP 232702 AZRIL PRABMIJIL 2 (P dr. Retno BCALON BPJ 37252.5
758 MANUAL RANAP 232593 HANI PADIMIJIL 2 (P dr. Retno BCALON BPJ 80609.63
773 MANUAL RANAP 232685 INAYA AZMSINOM 2 dr. Retno BCALON SK 71353.42
780 MANUAL RAJAL 220772 AZKA ALDRIGD dr. Alvin N CALON BPJ 54180.89
790 MANUAL RANAP 79571 Ny. LILIS BALAKBAK dr. Lia Sri UMUM 77973.19
735 MANUAL RANAP 125948 Ny. DEWI BALAKBAK dr. Lia Sri CALON BPJ 52522.15
5 MANUAL RANAP 165721 Ny. EDAH BALAKBAK dr. Lia Sri CALON BPJ 39651.97
14 MANUAL RAJAL 61926 Ny. ELY W IGD dr. Nifa HanCALON SK 555344.9
12 MANUAL RAJAL 232811 HJ NURAE IGD dr. Nifa HanCALON BPJ 59284.34
18 MANUAL RANAP 232692 NANDAH BALAKBAK dr. Amelia CALON BPJ 41337.79
9 MANUAL RANAP 232677 ACIH BALAKBAK dr. Amelia CALON BPJ 70610.61
25 MANUAL RANAP 61926 Ny. ELY W MIJIL 1 (IC dr. Amelia CALON SK 30436.33
20 MANUAL RANAP 232720 SITI NUR L ISOLASI A dr. Retno BCALON BPJ 850
Jumlah Billing Umum Malam 14 Total Billing Umum Malam Rp1,203,796.91
Depo Operator
Apotik RawAsep Afrizal, A.md Farm
Apotik RawNeng Cahya Titasari, Amd.farm
Rp1,203,796.91
No. BPJS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
3500000
Rp14,522,345.57
BILLING PAGI
BPJS
Nama Poli / Ruangan Dokter Penjamin Tagihan Depo Operator
Total Billing BPJS Pagi Rp0.00
Rp365,315.64
UMUM
Jumlah Billing Umum Pagi 0 Total Billing Umum Pagi
BPJS
Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM Nama
05-Jan-24 504 MANUAL RANAP 232677 ACIH
05-Jan-24 507 MANUAL RANAP 232578 AI DETI
05-Jan-24 563 MANUAL RANAP 232563 AMUNG
05-Jan-24 495 MANUAL RANAP 141862 An. DAFF
05-Jan-24 445 MANUAL RANAP 97869 An. M RAFA
05-Jan-24 436 MANUAL RANAP 102806 An. SALMA
05-Jan-24 518 MANUAL RANAP 230625 ENDEK
05-Jan-24 506 MANUAL RANAP 144601 ETI
05-Jan-24 450 MANUAL RANAP 232055 GUMILAR
05-Jan-24 460 MANUAL RANAP 232685 INAYA AZM
05-Jan-24 513 MANUAL RANAP 231800 KUNE KUNA
05-Jan-24 415 MANUAL RANAP 232633 LIA ANGGA
05-Jan-24 494 MANUAL RANAP 232576 M AKHMAL
05-Jan-24 446 MANUAL RANAP 231771 M AL JUNA
05-Jan-24 471 MANUAL RANAP 227808 M ARSYA A
05-Jan-24 477 MANUAL RANAP 232076 MUHAMAD
05-Jan-24 571 MANUAL RANAP 232584 MUZAKKI S
05-Jan-24 571 MANUAL RANAP 232584 MUZAKKI S
05-Jan-24 499 MANUAL RANAP 232692 NANDAH
05-Jan-24 463 MANUAL RANAP 232442 NAZWA SYA
05-Jan-24 535 MANUAL RANAP 231828 NENGSIH B
05-Jan-24 562 MANUAL RANAP 137775 Nn. SELIAN
05-Jan-24 514 MANUAL RANAP 187286 Nn. YULIA
05-Jan-24 515 MANUAL RANAP 231922 NURHAYAT
05-Jan-24 505 MANUAL RANAP 165721 Ny. EDAH
05-Jan-24 488 MANUAL RANAP 203386 Ny. EEN
05-Jan-24 473 MANUAL RANAP 187753 Ny. NOVAL
05-Jan-24 552 MANUAL RANAP 187758 Ny. RAHM
05-Jan-24 566 MANUAL RANAP 122418 Ny. RENI H
05-Jan-24 479 MANUAL RANAP 229118 RAFI RAMD
05-Jan-24 456 MANUAL RANAP 227689 RESA WAH
05-Jan-24 453 MANUAL RANAP 232347 RETANIA Y
05-Jan-24 457 MANUAL RANAP 232794 SATRIA PU
05-Jan-24 517 MANUAL RANAP 232067 SITI SHOFI
05-Jan-24 522 MANUAL RANAP 232571 SRI RAHAY
05-Jan-24 520 MANUAL RANAP 232679 TARYATI
05-Jan-24 564 MANUAL RANAP 39487 Tn. AEP S
05-Jan-24 545 MANUAL RANAP 198496 Tn. DIDIN
05-Jan-24 458 MANUAL RANAP 119863 Tn. IMAN
05-Jan-24 546 MANUAL RANAP 72365 Tn. MUMU
05-Jan-24 519 MANUAL RANAP 184397 Tn. RIFKI
05-Jan-24 548 MANUAL RANAP 218035 TUTI HAND
05-Jan-24 442 MANUAL RANAP 226018 YUMNA KHO
05-Jan-24 443 MANUAL RANAP 232381 YURISKA N
05-Jan-24 542 MANUAL RANAP 106790 ANI HARID
05-Jan-24 549 MANUAL RANAP 232441 ANI SUMAR
05-Jan-24 543 MANUAL RANAP 232729 APONG SIT
05-Jan-24 502 MANUAL RANAP 232444 ARMAN MA
05-Jan-24 503 MANUAL RANAP 232702 AZRIL PRAB
05-Jan-24 501 MANUAL RANAP 232702 AZRIL PRAB
05-Jan-24 531 MANUAL RANAP 211278 ENTIN JUA
05-Jan-24 539 MANUAL RAJAL 232932 FATIH FIR
05-Jan-24 544 MANUAL RANAP 231332 FIRMAN SY
05-Jan-24 500 MANUAL RANAP 232593 HANI PADI
05-Jan-24 528 MANUAL RANAP 232682 HENI
05-Jan-24 523 MANUAL RANAP 232811 HJ NURAE
05-Jan-24 567 MANUAL RANAP 232875 IWAN KUR
05-Jan-24 534 MANUAL RANAP 137308 Nn. ANEU
05-Jan-24 526 MANUAL RANAP 196913 Nn. CEYSA
05-Jan-24 547 MANUAL RANAP 226610 Ny. MIMIN
05-Jan-24 540 MANUAL RAJAL 232930 SASKIA
05-Jan-24 512 MANUAL RANAP 98051 SITI
05-Jan-24 532 MANUAL RANAP 232785 SUKANDI
05-Jan-24 541 MANUAL RANAP 232777 SURYADI
05-Jan-24 530 MANUAL RANAP 199380 SUSI LAWA
05-Jan-24 538 MANUAL RAJAL 232931 TIAN SEPTI
05-Jan-24 525 MANUAL RANAP 232502 TITI
05-Jan-24 509 MANUAL RANAP 86871 Tn. ODIK S
05-Jan-24 510 MANUAL RANAP 232886 WAHYUDIN
05-Jan-24 524 MANUAL RANAP 232816 WIDYA ANA
Rp0.00 Jumlah Billing BPJS Siang 75 Total Bill
BILLING SIANG
BPJS
Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl No.Resep
BALAKBAK dr. Amelia BPJS 147382.1 Apotik RawMuhamad Rizky Hidayah, S.Farm 05-Jan-24 559
DURMA dr. Lia Sri BPJS 6187.53 Apotik RawMuhamad Rizky Hidayah, S.Farm
KINANTI dr. Amelia BPJS 27172.59 Apotik RawMuhamad Rizky Hidayah, S.Farm
DANGDANG dr. H. Gus BPJS 18327.5 Apotik RawMuhamad Rizky Hidayah, S.Farm
SINOM 2 dr. Retno BBPJS 73873.28 Apotik RawMuhamad Rizky Hidayah, S.Farm
ISOLASI A dr. Retno BBPJS 105.45 Apotik RawMuhamad Rizky Hidayah, S.Farm
BALAKBAK dr. Amelia BPJS 5837.5 Apotik RawMuhamad Rizky Hidayah, S.Farm
GURISA (KEdr. Yanne BPJS 304488.8 Apotik RawMuhamad Rizky Hidayah, S.Farm
DANGDANG dr. H. Gus BPJS 16240 Apotik RawMuhamad Rizky Hidayah, S.Farm
ASMARANDdr. Retno BBPJS 3595 Apotik RawMuhamad Rizky Hidayah, S.Farm
SINOM 2 dr. Retno BBPJS 29975 Apotik RawMuhamad Rizky Hidayah, S.Farm
ISOLASI A dr. Nuning BPJS 193572.1 Apotik RawMuhamad Rizky Hidayah, S.Farm
ASMARANDdr. Nuning BPJS 123553.6 Apotik RawMuhamad Rizky Hidayah, S.Farm
BALAKBAK dr. Amelia BPJS 19525 Apotik RawMuhamad Rizky Hidayah, S.Farm
PANGKUR dr. Amelia BPJS 53262.65 Apotik RawMuhamad Rizky Hidayah, S.Farm
BALAKBAK dr. Lia Sri BPJS 54558.73 Apotik RawMuhamad Rizky Hidayah, S.Farm
RUANG TRAdr. Annisa BPJS 10149.52 Apotik RawMuhamad Rizky Hidayah, S.Farm
PANGKUR dr. Yanne BPJS 304488.8 Apotik RawMuhamad Rizky Hidayah, S.Farm
PANGKUR dr. Lia Sri BPJS 30525 Apotik RawMuhamad Rizky Hidayah, S.Farm
DANGDANG dr. Riri Ha BPJS 15962.62 Apotik RawMuhamad Rizky Hidayah, S.Farm
ASMARANDdr. Nuning BPJS 5453.75 Apotik RawMuhamad Rizky Hidayah, S.Farm
PANGKUR dr. Amelia BPJS 72650 Apotik RawMuhamad Rizky Hidayah, S.Farm
KINANTI dr. Amelia BPJS 24371.87 Apotik RawMuhamad Rizky Hidayah, S.Farm
MIJIL 1 (IC dr. Amelia BPJS 99453.46 Apotik RawMuhamad Rizky Hidayah, S.Farm
MIJIL 1 (IC dr. Lia Sri BPJS 304789.6 Apotik RawMuhamad Rizky Hidayah, S.Farm
DANGDANG dr. Amelia BPJS 4717.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
RUANG TRAdr. Amelia BPJS 3135 Apotik RawMuhamad Fajar Sidik, Amd.farm
DANGDANG dr. Lia Sri BPJS 19875.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
MIJIL 2 (P dr. Retno BBPJS 4675 Apotik RawMuhamad Fajar Sidik, Amd.farm
SINOM 1 dr. Retno BCALON BPJ 77122.57 Apotik RawMuhamad Fajar Sidik, Amd.farm
SINOM 1 dr. Retno BCALON BPJ 39912.12 Apotik RawMuhamad Fajar Sidik, Amd.farm
DURMA dr. Lia Sri BPJS 449.56 Apotik RawMuhamad Fajar Sidik, Amd.farm
IGD dr. HafizhaBPJS 35456.31 Apotik RawMuhamad Fajar Sidik, Amd.farm
BALAKBAK dr. Amelia BPJS 0 Apotik RawMuhamad Fajar Sidik, Amd.farm
MIJIL 2 (P dr. Retno BBPJS 43959.24 Apotik RawMuhamad Fajar Sidik, Amd.farm
BALAKBAK dr. Amelia BPJS 22095.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
PANGKUR dr. Lia Sri BPJS 8325 Apotik RawMuhamad Fajar Sidik, Amd.farm
RUANG TRAdr. Lia Sri BPJS 4850.56 Apotik RawMuhamad Fajar Sidik, Amd.farm
IGD dr. HafizhaBPJS 57834.31 Apotik RawMuhamad Fajar Sidik, Amd.farm
WIRANGR dr. Lia Sri BPJS 29859 Apotik RawMuhamad Fajar Sidik, Amd.farm
WIRANGR dr. Lia Sri BPJS 29859 Apotik RawMuhamad Fajar Sidik, Amd.farm
BALAKBAK dr. Lia Sri BPJS 1205.04 Apotik RawMuhamad Fajar Sidik, Amd.farm
DANGDANG dr. Riri Ha BPJS 33300 Apotik RawMuhamad Fajar Sidik, Amd.farm
IGD dr. HafizhaCALON BPJ 55274.29 Apotik RawMuhamad Fajar Sidik, Amd.farm
KINANTI dr. Amelia BPJS 62520.37 Apotik RawMuhamad Fajar Sidik, Amd.farm
KINANTI dr. Amelia BPJS 8204 Apotik RawMuhamad Fajar Sidik, Amd.farm
Total Billing BPJS Siang Rp3,425,429.99 Jumlah Billing Umum
UMUM
MANUAL RANAP 79571 Ny. LILIS BALAKBAK dr. Lia Sri UMUM 29161.25 Apotik Raw
Jumlah Billing Umum Siang 1 Total Billing Umum Siang Rp29,161.25
BPJS
Muhamad Rizky Hidayah, S.Far 05-Jan-24 641 MANUAL RANAP 86871 Tn. ODIK S
05-Jan-24 20 MANUAL RANAP 232720 SITI NUR L
05-Jan-24 8 MANUAL RANAP 137775 Nn. SELIAN
05-Jan-24 631 MANUAL RANAP 9857 Ny. YATI
05-Jan-24 20 MANUAL RANAP 232720 SITI NUR L
05-Jan-24 640 MANUAL RANAP 5937 Ny. EUIS
05-Jan-24 7 MANUAL RANAP 219746 Tn. ADANG
05-Jan-24 629 MANUAL RANAP 115310 Tn. MOCH
05-Jan-24 6 MANUAL RANAP 232563 AMUNG
05-Jan-24 628 MANUAL RANAP 232504 UJANG AMI
05-Jan-24 638 MANUAL RANAP 146708 Tn. MAMA
05-Jan-24 637 MANUAL RANAP 232815 SINTA BUA
05-Jan-24 636 MANUAL RANAP 161571 Nn. RISKA
05-Jan-24 3 MANUAL RANAP 232441 ANI SUMAR
05-Jan-24 634 MANUAL RANAP 37897 Tn. ANAN
05-Jan-24 607 MANUAL RANAP 70125 Ny. OMAH
05-Jan-24 616 MANUAL RANAP 125948 Ny. DEWI
05-Jan-24 82 MANUAL RANAP 178573 NURHASAN
05-Jan-24 615 MANUAL RANAP 139203 Ny. IMI M
05-Jan-24 22 MANUAL RAJAL 139203 Ny. IMI M
05-Jan-24 19 MANUAL RANAP 93319 Ny. AAN
05-Jan-24 605 MANUAL RANAP 232785 SUKANDI
05-Jan-24 613 MANUAL RANAP 221456 Tn. DEDE
05-Jan-24 17 MANUAL RAJAL 187753 Ny. NOVAL
05-Jan-24 18 MANUAL RANAP 232692 NANDAH
05-Jan-24 612 MANUAL RANAP 93319 Ny. AAN
05-Jan-24 16 MANUAL RAJAL 232796 NENI
05-Jan-24 13 MANUAL RANAP 232588 AEP HIDAY
05-Jan-24 5 MANUAL RANAP 165721 Ny. EDAH
05-Jan-24 31 MANUAL RAJAL 5937 Ny. EUIS
05-Jan-24 15 MANUAL RAJAL 211278 ENTIN JUA
05-Jan-24 619 MANUAL RANAP 232613 DIAN HERD
05-Jan-24 610 MANUAL RANAP 232588 AEP HIDAY
05-Jan-24 618 MANUAL RANAP 232725 UNEN
05-Jan-24 609 MANUAL RANAP 232796 NENI
05-Jan-24 12 MANUAL RAJAL 232811 HJ NURAE
05-Jan-24 617 MANUAL RANAP 232931 TIAN SEPTI
05-Jan-24 580 MANUAL RANAP 232650 EHA
05-Jan-24 608 MANUAL RANAP 232816 WIDYA ANA
05-Jan-24 1 MANUAL RANAP 229118 RAFI RAMD
06-Jan-24 32 MANUAL RANAP 158869 Ny. EEM
06-Jan-24 40 MANUAL RANAP 153306 Ny. JUJU J
06-Jan-24 31 MANUAL RANAP 232924 CECEP RA
06-Jan-24 39 MANUAL RANAP 229960 An. M ARF
06-Jan-24 30 MANUAL RANAP 212823 REVA ANJA
06-Jan-24 29 MANUAL RANAP 232896 MISTAR
06-Jan-24 28 MANUAL RANAP 101498 Ny. LINA
06-Jan-24 34 MANUAL RANAP 232931 TIAN SEPTI
Rp29,161.25 Jumlah Billing BPJS Malam 83 Total Billing
BILLING MALAM
BPJS
KINANTI dr. Amelia BPJS 72637.25 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24 627
SINOM 3 dr. Retno BBPJS 850 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24 626
BALAKBAK dr. Lia Sri BPJS 92484.98 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24 617
BALAKBAK dr. Amelia BPJS 78909.99 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24 616
PANGKUR dr. Lia Sri BPJS 65272.95 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24 12
KINANTI dr. Amelia BPJS 72637.25 Apotik RawAsep Afrizal, A.md Farm 05-Jan-24 25
SINOM 3 dr. Retno BBPJS 850 Apotik RawAsep Afrizal, A.md Farm
BALAKBAK dr. Lia Sri BPJS 92484.98 Apotik RawAsep Afrizal, A.md Farm
RUANG TRAdr. Lia Sri BPJS 37728.58 Apotik RawAsep Afrizal, A.md Farm
BALAKBAK dr. H. Gus BPJS 469311.51 Apotik RawAsep Afrizal, A.md Farm
DANGDANG dr. Lia Sri BPJS 94899.23 Apotik RawAsep Afrizal, A.md Farm
KINANTI dr. Amelia BPJS 76748.57 Apotik RawAsep Afrizal, A.md Farm
PANGKUR dr. Yanne BPJS 89067.8 Apotik RawAsep Afrizal, A.md Farm
RUANG TRAdr. Amelia BPJS 174161.93 Apotik RawAsep Afrizal, A.md Farm
RUANG TRAdr. Annisa BPJS 119179.29 Apotik RawAsep Afrizal, A.md Farm
MIJIL 2 (P dr. Retno BBPJS 64401.4 Apotik RawAsep Afrizal, A.md Farm
BALAKBAK dr. Amelia BPJS 64852.94 Apotik RawAsep Afrizal, A.md Farm
MIJIL 2 (P dr. Retno BBPJS 105807.78 Apotik RawAsep Afrizal, A.md Farm
BALAKBAK dr. Amelia BPJS 35634.9 Apotik RawAsep Afrizal, A.md Farm
BALAKBAK dr. Amelia BPJS 36051.84 Apotik RawNeng Cahya Titasari, Amd.farm
BALAKBAK dr. Lia Sri CALON BPJ 57891.03 Apotik RawNeng Cahya Titasari, Amd.farm
BALAKBAK dr. Lia Sri BPJS 107454.15 Apotik RawNeng Cahya Titasari, Amd.farm
PANGKUR dr. Amelia BPJS 160 Apotik RawNeng Cahya Titasari, Amd.farm
WIRANGR dr. Lia Sri BPJS 48661.64 Apotik RawNeng Cahya Titasari, Amd.farm
DANGDANG dr. H. Gus BPJS 361897.48 Apotik RawNeng Cahya Titasari, Amd.farm
IGD dr. Nifa HanBPJS 361328.6 Apotik RawNeng Cahya Titasari, Amd.farm
PANGKUR dr. Lia Sri BPJS 74693.38 Apotik RawNeng Cahya Titasari, Amd.farm
DURMA dr. Lia Sri BPJS 111369.25 Apotik RawNeng Cahya Titasari, Amd.farm
RUANG TRAdr. Lia Sri BPJS 42776.97 Apotik RawNeng Cahya Titasari, Amd.farm
PANGKUR dr. Amelia BPJS 52361.62 Apotik RawNeng Cahya Titasari, Amd.farm
DURMA dr. Annisa BPJS 92766.36 Apotik RawNeng Cahya Titasari, Amd.farm
RUANG TRAdr. Annisa BPJS 130197.47 Apotik RawNeng Cahya Titasari, Amd.farm
IGD dr. Fandi BPJS 37728.58 Apotik RawNeng Cahya Titasari, Amd.farm
SINOM 2 dr. Retno BBPJS 62905.05 Apotik RawNeng Cahya Titasari, Amd.farm
BALAKBAK dr. Annisa BPJS 236104.38 Apotik RawNeng Cahya Titasari, Amd.farm
DANGDANG dr. Riri Ha BPJS 108199.62 Apotik RawNeng Cahya Titasari, Amd.farm
SINOM 2 dr. Retno BBPJS 57380.06 Apotik RawNeng Cahya Titasari, Amd.farm
MIJIL 1 (IC dr. Lia Sri BPJS 152896.63 Apotik RawNeng Cahya Titasari, Amd.farm
IGD dr. Nifa HanCALON BPJ 59284.34 Apotik RawNeng Cahya Titasari, Amd.farm
DANGDANG dr. Iyan As CALON BPJ 67920.67 Apotik RawNeng Cahya Titasari, Amd.farm
DANGDANG dr. Riri Ha BPJS 187572.79 Apotik RawNeng Cahya Titasari, Amd.farm
DURMA dr. Lia Sri BPJS 123543 Apotik RawNeng Cahya Titasari, Amd.farm
PANGKUR dr. Santi BPJS 67221.4 Apotik RawNeng Cahya Titasari, Amd.farm
DANGDANG dr. Riri Ha BPJS 1675 Apotik RawNeng Cahya Titasari, Amd.farm
DANGDANG dr. Iyan As CALON BPJ 6862.52 Apotik RawNeng Cahya Titasari, Amd.farm
Total Billing BPJS Malam Rp7,596,915.58 Jumlah Billing Umum M
UMUM
MANUAL RANAP 232702 AZRIL PRABMIJIL 2 (P dr. Retno BCALON BPJ 49462.5 Apotik Raw
MANUAL RANAP 220772 AZKA ALDRMIJIL 2 (P dr. Retno BCALON SK 71159.52 Apotik Raw
MANUAL RANAP 232931 TIAN SEPTIDANGDANG dr. Iyan As CALON BPJ 67920.67 Apotik Raw
MANUAL RANAP 125948 Ny. DEWI BALAKBAK dr. Lia Sri CALON BPJ 57891.03 Apotik Raw
MANUAL RAJAL 232811 HJ NURAE IGD dr. Nifa HanCALON BPJ 59284.34 Apotik Raw
MANUAL RANAP 61926 Ny. ELY W MIJIL 1 (IC dr. Amelia CALON SK 30436.33 Apotik Raw
Jumlah Billing Umum Malam 6 Total Billing Umum Malam Rp336,154.39
Operator
Asep Afrizal, A.md Farm
Neng Cahya Titasari, Amd.farm
Rp336,154.39
No. BPJ
10 06-Jan-24 309 MANUAL RANAP 232875
12 06-Jan-24 205 MANUAL RANAP 232504
13 06-Jan-24 257 MANUAL RANAP 232720
14 06-Jan-24 307 MANUAL RANAP 231332
15 06-Jan-24 145 MANUAL RANAP 119863
16 06-Jan-24 319 MANUAL RANAP 232729
17 06-Jan-24 201 MANUAL RANAP 146708
18 06-Jan-24 174 MANUAL RANAP 232152
19 06-Jan-24 257 MANUAL RANAP 232720
20 06-Jan-24 306 MANUAL RANAP 231332
22 06-Jan-24 199 MANUAL RANAP 232347
24 06-Jan-24 253 MANUAL RANAP 232381
25 06-Jan-24 304 MANUAL RANAP 231163
26 06-Jan-24 141 MANUAL RANAP 232729
27 06-Jan-24 316 MANUAL RANAP 232796
28 06-Jan-24 170 MANUAL RANAP 232816
29 06-Jan-24 302 MANUAL RANAP 188625
30 06-Jan-24 214 MANUAL RANAP 226610
31 06-Jan-24 126 MANUAL RAJAL 232928
32 06-Jan-24 247 MANUAL RANAP 198496
34 06-Jan-24 301 MANUAL RANAP 188625
35 06-Jan-24 264 MANUAL RANAP 227689
36 06-Jan-24 121 MANUAL RANAP 229960
37 06-Jan-24 313 MANUAL RANAP 232886
38 06-Jan-24 277 MANUAL RANAP 197563
39 06-Jan-24 210 MANUAL RANAP 232952
40 06-Jan-24 314 MANUAL RANAP 232937
41 06-Jan-24 262 MANUAL RANAP 227689
42 06-Jan-24 118 MANUAL RANAP 212823
43 06-Jan-24 311 MANUAL RANAP 180059
45 06-Jan-24 246 MANUAL RANAP 198496
47 06-Jan-24 115 MANUAL RANAP 153306
49 06-Jan-24 233 MANUAL RANAP 232441
50 06-Jan-24 267 MANUAL RANAP 232930
51 06-Jan-24 346 MANUAL RANAP 232055
52 06-Jan-24 171 MANUAL RANAP 178573
53 06-Jan-24 266 MANUAL RANAP 232930
54 06-Jan-24 196 MANUAL RANAP 232682
55 06-Jan-24 278 MANUAL RANAP 229552
56 06-Jan-24 265 MANUAL RANAP 227808
57 06-Jan-24 169 MANUAL RANAP 232725
58 06-Jan-24 239 MANUAL RANAP 232934
59 06-Jan-24 179 MANUAL RANAP 137308
60 06-Jan-24 165 MANUAL RANAP 232588
61 06-Jan-24 272 MANUAL RANAP 232055
62 06-Jan-24 300 MANUAL RANAP 169298
63 06-Jan-24 177 MANUAL RANAP 232811
64 06-Jan-24 208 MANUAL RANAP 232772
65 06-Jan-24 299 MANUAL RANAP 142144
66 06-Jan-24 260 MANUAL RANAP 231472
68 06-Jan-24 271 MANUAL RANAP 226018
69 06-Jan-24 287 MANUAL RANAP 232593
71 06-Jan-24 175 MANUAL RANAP 211278
72 06-Jan-24 285 MANUAL RANAP 232444
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp14,214,029.12 Rp2,491,317.10
BILLING PAGI
BPJS
CECEP RAHMABALAKBAK 3-B dr. Amelia AndriBPJS Rp34,946.97 Apotik Rawat
Tn. DEDE SUH DURMA dr. Lia SrimuliawBPJS Rp8,801.38 Apotik Rawat
ANI HARIDAH DANGDANGGULA 1dr. Amelia AndriBPJS Rp39,103.14 Apotik Rawat
TITI BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp2,961.94 Apotik Rawat
Ny. EEM ROS BALAKBAK 3-A dr. Amelia AndriBPJS Rp4,717.50 Apotik Rawat
Tn. MOCHAMADANGDANGGULA 2dr. H. Gus RiyadBPJS Rp26,550.00 Apotik Rawat
Ny. OMAH BALAKBAK 3-A dr. Amelia AndriBPJS Rp29,411.91 Apotik Rawat
RASHFIKI SANKMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp46,345.83 Apotik Rawat
MISTAR BALAKBAK 3-B dr. Amelia AndriBPJS Rp24,383.16 Apotik Rawat
IWAN KURNIA BALAKBAK 2-A dr. Amelia AndriBPJS Rp8,862.50 Apotik Rawat
Tn. ODIK SODIKKINANTI dr. Amelia AndriBPJS ### Apotik Rawat
UJANG AMILUDBALAKBAK 3-C dr. Lia SrimuliawBPJS Rp30,578.92 Apotik Rawat
SITI NUR LATIF SINOM 3 dr. Retno BudihaBPJS Rp1,062.50 Apotik Rawat
FIRMAN SYAFRBALAKBAK 1 dr. Amelia AndriBPJS Rp41,927.96 Apotik Rawat
APONG SITI R DANGDANGGULA 1dr. Lia SrimuliawBPJS Rp11,208.74 Apotik Rawat
Tn. MAMAN S BALAKBAK 3-C dr. Lia SrimuliawBPJS Rp29,572.67 Apotik Rawat
AYU OPANI BY ASMARANDANA (2A dr. Retno BudihaBPJS ### Apotik Rawat
SITI NUR LATIF SINOM 3 dr. Retno BudihaBPJS Rp4,849.99 Apotik Rawat
FIRMAN SYAFRBALAKBAK 1 dr. Amelia AndriBPJS Rp475.00 Apotik Rawat
Ny. EUIS SUMARUANG TRANSIT dr. Lia SrimuliawBPJS ### Apotik Rawat
RETANIA YASNSINOM 2 dr. Retno BudihaBPJS Rp10,048.27 Apotik Rawat
Ny. YATI NURHPANGKUR 1 dr. Lia SrimuliawBPJS Rp18,624.39 Apotik Rawat
YURISKA NOVI SINOM 2 dr. Retno BudihaBPJS Rp51,823.12 Apotik Rawat
M LUTHFI NURASMARANDANA (ISdr. Retno BudihaBPJS Rp4,163.88 Apotik Rawat
APONG SITI R DANGDANGGULA 1dr. Lia SrimuliawBPJS Rp59,718.00 Apotik Rawat
NENI BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp14,217.50 Apotik Rawat
WIDYA ANASTAPANGKUR 3 dr. Lia SrimuliawBPJS Rp5,845.00 Apotik Rawat
Ny. UPIT SADI GURISA (KELAS 2) dr. Santi Maria BPJS ### Apotik Rawat
Ny. MIMIN RUANG TRANSIT dr. Lia SrimuliawBPJS Rp23,491.32 Apotik Rawat
IMA SITI ROHI IGD dr. Sartika Prati BPJS Rp63,044.35 Apotik Rawat
Tn. DIDIN JAE MIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
FITRI ANJANI BASMARANDANA (2A dr. Retno BudihaBPJS Rp69,347.23 Apotik Rawat
Ny. UPIT SADI GURISA (KELAS 2) dr. Santi Maria BPJS Rp14,493.80 Apotik Rawat
RESA WAHYUNSINOM 3 dr. Retno BudihaBPJS Rp7,659.00 Apotik Rawat
An. M ARFAN DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp15,375.00 Apotik Rawat
WAHYUDIN HI DANGDANGGULA 2dr. Amelia AndriBPJS Rp760.00 Apotik Rawat
SRI RAHAYU SINOM 2 dr. Retno BudihaBPJS Rp24,792.84 Apotik Rawat
SRI HANDAYANGURISA (KELAS 3) dr. Yanne Triha BPJS Rp44,677.52 Apotik Rawat
KOMALASARI BALAKBAK 2-B dr. Amelia AndriBPJS Rp357.48 Apotik Rawat
RESA WAHYUNSINOM 3 dr. Retno BudihaBPJS Rp13,725.30 Apotik Rawat
REVA ANJANI DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp4,450.00 Apotik Rawat
Nn. ST. E. ARS PANGKUR 1 dr. Amelia AndriBPJS Rp25,296.90 Apotik Rawat
Ny. AAN PANGKUR 3 dr. Lia SrimuliawBPJS Rp20,385.07 Apotik Rawat
Tn. DIDIN JAE MIJIL 1 (ICU) dr. Amelia AndriBPJS Rp32,024.75 Apotik Rawat
Ny. JUJU JUAN DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,550.00 Apotik Rawat
Tn. ODIK SODIKKINANTI dr. Amelia AndriBPJS Rp610.00 Apotik Rawat
ANI SUMARNI RUANG TRANSIT dr. Amelia AndriBPJS Rp40,482.79 Apotik Rawat
SASKIA SINOM 3 dr. Retno BudihaBPJS Rp8,066.93 Apotik Rawat
GUMILAR MUCSINOM 3 dr. Retno BudihaBPJS Rp4,849.99 Apotik Rawat
NURHASANAH WIRANGRONG dr. Amelia AndriBPJS Rp54,088.78 Apotik Rawat
HENI BALAKBAK 3-A dr. Amelia AndriBPJS Rp3,250.00 Apotik Rawat
RASHFIKI SANKMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp4,675.00 Apotik Rawat
UNEN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp30,189.40 Apotik Rawat
NABILAH ULU GURISA (KELAS 3) dr. Santi Maria BPJS Rp44,677.52 Apotik Rawat
Nn. ANEU NISFPANGKUR 3 dr. Lia SrimuliawBPJS Rp28,085.78 Apotik Rawat
AEP HIDAYAT BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp4,717.50 Apotik Rawat
WINDA NURLE DANGDANGGULA 1dr. Iyan Asiana BPJS Rp62,838.04 Apotik Rawat
HJ NURAENAH PANGKUR 3 dr. Lia SrimuliawBPJS Rp9,200.74 Apotik Rawat
VERA NUR PUJIASMARANDANA (2A dr. Retno BudihaBPJS ### Apotik Rawat
Tn. ASEP KUSTIBALAKBAK 3-C dr. Annisa Tri K BPJS Rp58,836.82 Apotik Rawat
ARIANA HERDI DANGDANGGULA 2dr. Iyan Asiana BPJS ### Apotik Rawat
YUMNA KHOLIFSINOM 2 dr. Retno BudihaBPJS Rp18,778.41 Apotik Rawat
HANI PADILAH MIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp37,500.00 Apotik Rawat
Tn. ANAN BALAKBAK 3-C dr. Lia SrimuliawBPJS ### Apotik Rawat
ENTIN JUARIAHDURMA dr. Lia SrimuliawBPJS Rp320.00 Apotik Rawat
ARMAN MAULAMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp37,500.00 Apotik Rawat
BILLING PAGI
UMUM
Titan Mulyana, A.md.farm 06-Jan-24 176 MANUAL RANAP 233031
UMUM
AZKA ALDRMIJIL 2 (P dr. Retno BCALON SK 18731.25 Apotik RawAyidnis Sabiela, A.md.farm 06-Jan-24
AZKA ALDRMIJIL 2 (P dr. Retno BCALON SK 4675 Apotik RawAyidnis Sabiela, A.md.farm 06-Jan-24
IMA SITI ASMARANDdr. Retno BUMUM 47437.36 Apotik RawAyidnis Sabiela, A.md.farm 06-Jan-24
WINDIYANA ISOLASI A dr. Retno BUMUM 8066.93 Apotik RawAyidnis Sabiela, A.md.farm 06-Jan-24
AZRIL PRABSINOM 1 dr. Retno BCALON BPJ 40841.81 Apotik RawAyidnis Sabiela, A.md.farm 06-Jan-24
NABILAH BASMARANDA dr. Retno BUMUM 19480.57 Apotik RawTitan Mulyana, A.md.farm 06-Jan-24
Ny. DEWI BALAKBAK dr. Lia Sri UMUM 23029.9 Apotik RawTitan Mulyana, A.md.farm 06-Jan-24
SRI HANDAASMARANDdr. Retno BUMUM 19480.57 Apotik RawTitan Mulyana, A.md.farm 06-Jan-24
Ny. DEWI BALAKBAK dr. Lia Sri UMUM 114206.5 Apotik RawTitan Mulyana, A.md.farm 06-Jan-24
NIMAS BY ASMARANDA dr. Retno BUMUM 47437.38 Apotik RawTitan Mulyana, A.md.farm 06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
06-Jan-24
Total Billing Umum Pagi Rp343,387.28 Jum
BPJS
No.Resep Jenis Rese No.AntrianPasien RM Nama Poli / Rua Dokter Penjamin
360 MANUAL RANAP 232981 MUHAMMAD DANGDANG dr. H. Gus BPJS
400 MANUAL RANAP 198496 Tn. DIDIN MIJIL 1 (IC dr. Amelia BPJS
357 MANUAL RANAP 232574 HAMMADI SINOM 2 dr. Retno BBPJS
397 MANUAL RANAP 196913 Nn. CEYSA BALAKBAK dr. Amelia BPJS
391 MANUAL RANAP 229925 MUHAMMAD ASMARANDA dr. Retno BBPJS
446 MANUAL RANAP 226018 YUMNA KHO MIJIL 2 (P dr. Retno BBPJS
365 MANUAL RANAP 232347 RETANIA YSINOM 2 dr. Retno BBPJS
435 MANUAL RANAP 86871 Tn. ODIK S KINANTI dr. Amelia BPJS
421 MANUAL RANAP 86871 Tn. ODIK S KINANTI dr. Amelia BPJS
363 MANUAL RANAP 232561 Ny. CICIH DANGDANG dr. H. Gus BPJS
393 MANUAL RANAP 169298 WINDA NUDANGDANG dr. Iyan As BPJS
426 MANUAL RANAP 231472 M ALSHAD SINOM 3 dr. Retno BBPJS
395 MANUAL RANAP 37897 Tn. ANAN BALAKBAK dr. Lia Sri BPJS
424 MANUAL RANAP 158869 Ny. EEM BALAKBAK dr. Amelia BPJS
422 MANUAL RANAP 178573 NURHASANWIRANGR dr. Amelia BPJS
420 MANUAL RANAP 232561 Ny. CICIH DANGDANG dr. H. Gus BPJS
430 MANUAL RANAP 232930 SASKIA SINOM 3 dr. Retno BBPJS
416 MANUAL RANAP 232588 AEP HIDAYBALAKBAK dr. Lia Sri BPJS
429 MANUAL RANAP 232702 AZRIL PRABSINOM 3 dr. Retno BCALON BPJ
401 MANUAL RAJAL 76915 Tn. YAYAT IGD dr. Fajri N BPJS
427 MANUAL RANAP 227808 M ARSYA ASINOM 2 dr. Retno BBPJS
BILLING SIANG

70951.94 Apotik RawMuhamad Rizky Hidayah, S.Farm 06-Jan-24 432 MANUAL RANAP
1750 Apotik RawMuhamad Rizky Hidayah, S.Farm 06-Jan-24 368 MANUAL RANAP
4325.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
100899 Apotik RawMuhamad Fajar Sidik, Amd.farm
UMUM
RM Nama Poli / Rua Dokter Penjamin Tagihan Depo
232943 WINDIYANASINOM 3 dr. Retno BUMUM 29859 Apotik Rawat In
233034 IMA SITI ASMARANDdr. Retno BUMUM 234256.7 Apotik Rawat In
232943 WINDIYANASINOM 3 dr. Retno BUMUM 64524.02 Apotik Rawat In
232943 WINDIYANASINOM 3 dr. Retno BUMUM 72024.01 Apotik Rawat In
233034 IMA SITI ASMARANDdr. Retno BUMUM 36786.37 Apotik Rawat In
BPJS
Muhamad Fajar Sidik, Amd.farm 06-Jan-24 468 MANUAL RANAP 119863 Tn. IMAN
Muhamad Rizky Hidayah, S.Farm 07-Jan-24 69 MANUAL RANAP 232785 SUKANDI
Muhamad Rizky Hidayah, S.Farm 07-Jan-24 77 MANUAL RANAP 175102 Tn. ASEP
Muhamad Rizky Hidayah, S.Farm 07-Jan-24 24 MANUAL RANAP 232725 UNEN
Muhamad Rizky Hidayah, S.Farm 07-Jan-24 58 MANUAL RANAP 232588 AEP HIDAY
07-Jan-24 68 MANUAL RANAP 233054 TAUFIK HI
07-Jan-24 57 MANUAL RANAP 232561 Ny. CICIH
07-Jan-24 67 MANUAL RANAP 233047 HARDIANS
07-Jan-24 21 MANUAL RANAP 158869 Ny. EEM
07-Jan-24 32 MANUAL RANAP 232981 MUHAMMAD
07-Jan-24 74 MANUAL RANAP 232924 CECEP RA
07-Jan-24 46 MANUAL RANAP 233046 YOYOH RO
07-Jan-24 72 MANUAL RANAP 70125 Ny. OMAH
07-Jan-24 63 MANUAL RANAP 101498 Ny. LINA
07-Jan-24 71 MANUAL RANAP 233054 TAUFIK HI
07-Jan-24 52 MANUAL RANAP 232896 MISTAR
07-Jan-24 78 MANUAL RANAP 37369 Ny. INA M
07-Jan-24 70 MANUAL RANAP 97869 An. M RAFA
07-Jan-24 43 MANUAL RANAP 232930 SASKIA
07-Jan-24 27 MANUAL RANAP 219746 Tn. ADANG
07-Jan-24 59 MANUAL RANAP 232384 UJANG WA
07-Jan-24 5 MANUAL RANAP 102806 An. SALMA
07-Jan-24 14 MANUAL RANAP 232384 UJANG WA
06-Jan-24 504 MANUAL RANAP 233048 GIBRAN RA
07-Jan-24 47 MANUAL RANAP 180059 Nn. ST. E.
07-Jan-24 31 MANUAL RAJAL 231880 GIN GIN PU
07-Jan-24 39 MANUAL RANAP 232055 GUMILAR
07-Jan-24 4 MANUAL RANAP 37897 Tn. ANAN
07-Jan-24 13 MANUAL RANAP 232937 KOMALASA
06-Jan-24 503 MANUAL RANAP 232932 FATIH FIR
06-Jan-24 488 MANUAL RANAP 231472 M ALSHAD
07-Jan-24 30 MANUAL RANAP 232796 NENI
07-Jan-24 38 MANUAL RANAP 229552 RASHFIKI S
06-Jan-24 493 MANUAL RANAP 233044 ALDEREZKY
07-Jan-24 12 MANUAL RANAP 76915 Tn. YAYAT
06-Jan-24 502 MANUAL RANAP 76915 Tn. YAYAT
07-Jan-24 53 MANUAL RANAP 169298 WINDA NU
07-Jan-24 37 MANUAL RANAP 190928 M ABIDZAR
06-Jan-24 491 MANUAL RANAP 91617 Ny. IRMA
07-Jan-24 11 MANUAL RANAP 12429 ARIANA HE
06-Jan-24 501 MANUAL RANAP 232794 SATRIA PU
07-Jan-24 44 MANUAL RANAP 202486 AZKIYA RA
07-Jan-24 26 MANUAL RANAP 212475 Ny. OTI
06-Jan-24 490 MANUAL RANAP 233048 GIBRAN RA
06-Jan-24 500 MANUAL RANAP 232347 RETANIA Y
07-Jan-24 35 MANUAL RANAP 180059 Nn. ST. E.
06-Jan-24 509 MANUAL RANAP 142144 Tn. ASEP K
Rp437,450.07 Jumlah Billing BPJS Malam 77 Total B
BILLING MALAM
BPJS
MIJIL 1 (IC dr. Lia Sri BPJS 197108.9 Apotik RawZandy Tiaravani, A.md.farm 06-Jan-24 499
BALAKBAK dr. Lia Sri BPJS 135331.5 Apotik RawZandy Tiaravani, A.md.farm 07-Jan-24 50
BALAKBAK dr. Lia Sri BPJS 155642 Apotik RawZandy Tiaravani, A.md.farm 07-Jan-24 42
PANGKUR dr. Lia Sri BPJS 60160.86 Apotik RawZandy Tiaravani, A.md.farm 07-Jan-24 76
BALAKBAK dr. Amelia BPJS 141129.9 Apotik RawZandy Tiaravani, A.md.farm 06-Jan-24 508
DANGDANG dr. H. Gus BPJS 326817 Apotik RawZandy Tiaravani, A.md.farm 07-Jan-24 33
DANGDANG dr. H. Gus BPJS 42058.35 Apotik RawZandy Tiaravani, A.md.farm 07-Jan-24 41
PANGKUR dr. Lia Sri BPJS 300394.9 Apotik RawZandy Tiaravani, A.md.farm 07-Jan-24 88
BALAKBAK dr. Amelia BPJS 137406 Apotik RawZandy Tiaravani, A.md.farm 07-Jan-24 6
DURMA dr. Lia Sri BPJS 31575.51 Apotik RawZandy Tiaravani, A.md.farm 06-Jan-24 506
DANGDANG dr. H. Gus BPJS 351607.6 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Amelia BPJS 56824.65 Apotik RawZandy Tiaravani, A.md.farm
DURMA dr. Annisa BPJS 96881.53 Apotik RawZandy Tiaravani, A.md.farm
DANGDANG dr. Riri Ha BPJS 113022.3 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Lia Sri BPJS 305077.7 Apotik RawZandy Tiaravani, A.md.farm
DANGDANG dr. H. Gus BPJS 49950 Apotik RawZandy Tiaravani, A.md.farm
WIRANGR dr. Amelia BPJS 168367.7 Apotik RawZandy Tiaravani, A.md.farm
PANGKUR dr. Santi BPJS 90574.63 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Lia Sri BPJS 68043 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Annisa BPJS 131812.5 Apotik RawZandy Tiaravani, A.md.farm
WIRANGR dr. Lia Sri BPJS 28607.4 Apotik RawZandy Tiaravani, A.md.farm
MIJIL 1 (IC dr. Lia Sri BPJS 224400.6 Apotik RawZandy Tiaravani, A.md.farm
SINOM 2 dr. Retno BBPJS 302928.9 Apotik RawSri Mulyati, A.md.farm.
RUANG TRAdr. Lia Sri BPJS 59718 Apotik RawSri Mulyati, A.md.farm.
BALAKBAK dr. Lia Sri BPJS 311303.1 Apotik RawSri Mulyati, A.md.farm.
BALAKBAK dr. H. Gus BPJS 10125.06 Apotik RawSri Mulyati, A.md.farm.
RUANG TRAdr. Lia Sri BPJS 139147.1 Apotik RawSri Mulyati, A.md.farm.
ISOLASI A dr. Nuning BPJS 187525.5 Apotik RawSri Mulyati, A.md.farm.
ISOLASI A dr. Retno BBPJS 69759.35 Apotik RawSri Mulyati, A.md.farm.
DANGDANG dr. Amelia BPJS 40984.35 Apotik RawSri Mulyati, A.md.farm.
BALAKBAK dr. H. Gus BPJS 108322.5 Apotik RawSri Mulyati, A.md.farm.
MIJIL 2 (P dr. Retno BBPJS 187660.7 Apotik RawSri Mulyati, A.md.farm.
PANGKUR dr. Amelia BPJS 117409.6 Apotik RawSri Mulyati, A.md.farm.
IGD dr. Olivia BPJS 33061.36 Apotik RawSri Mulyati, A.md.farm.
SINOM 3 dr. Nuning BPJS 164310.7 Apotik RawSri Mulyati, A.md.farm.
BALAKBAK dr. Amelia BPJS 117871 Apotik RawSri Mulyati, A.md.farm.
BALAKBAK dr. Amelia BPJS 68566.83 Apotik RawSri Mulyati, A.md.farm.
MIJIL 1 (IC dr. Lia Sri BPJS 140484.4 Apotik RawSri Mulyati, A.md.farm.
BALAKBAK dr. Amelia BPJS 59934.67 Apotik RawSri Mulyati, A.md.farm.
DANGDANG dr. Lia Sri BPJS 39405 Apotik RawSri Mulyati, A.md.farm.
DANGDANG dr. Lia Sri BPJS 136789.6 Apotik RawSri Mulyati, A.md.farm.
DANGDANG dr. Iyan As BPJS 86799.66 Apotik RawSri Mulyati, A.md.farm.
DANGDANG dr. Lia Sri BPJS 61474.46 Apotik RawSri Mulyati, A.md.farm.
DANGDANG dr. Iyan As BPJS 98463.33 Apotik RawSri Mulyati, A.md.farm.
PANGKUR dr. Lia Sri BPJS 386548.9 Apotik RawSri Mulyati, A.md.farm.
RUANG TRAdr. Annisa BPJS 122530.9 Apotik RawSri Mulyati, A.md.farm.
MIJIL 2 (P dr. Retno BBPJS 129048 Apotik RawSri Mulyati, A.md.farm.
PANGKUR dr. Amelia BPJS 96630.44 Apotik RawSri Mulyati, A.md.farm.
BALAKBAK dr. Annisa BPJS 214710.4 Apotik RawSri Mulyati, A.md.farm.
Total Billing BPJS Malam Rp9,478,428.53 Jumlah Billing Umum Ma
UMUM
MANUAL RANAP 232931 TIAN SEPTIDANGDANG dr. Iyan As CALON BPJ 334288.9 Apotik Raw
MANUAL RANAP 99597 Ny. TRI SA PANGKUR dr. Annisa CALON BPJ 208567.9 Apotik Raw
MANUAL RANAP 233045 MISRINGA BALAKBAK dr. Annisa CALON BPJ 227165.6 Apotik Raw
MANUAL RANAP 232939 M ALFI ALFSINOM 2 dr. Retno BCALON BPJ 39381.15 Apotik Raw
MANUAL RANAP 232702 AZRIL PRABSINOM 3 dr. Retno BCALON BPJ 49462.5 Apotik Raw
MANUAL RANAP 233056 HERMAN RBALAKBAK dr. Lia Sri CALON BPJ 53935.31 Apotik Raw
MANUAL RANAP 233032 ELSA PUTRBALAKBAK dr. Lia Sri CALON SK 190606.2 Apotik Raw
MANUAL RANAP 226955 ADANG SUBALAKBAK dr. Lia Sri CALON SK 64098.1 Apotik Raw
MANUAL RANAP 220772 AZKA ALDRISOLASI A dr. Retno BCALON SK 68127.62 Apotik Raw
MANUAL RANAP 223900 ARSHAKA ZSINOM 2 dr. Retno BCALON SK 102401.9 Apotik Raw
MANUAL RANAP 233039 NENG FITRSINOM 2 dr. Retno BCALON SK 44717.41 Apotik Raw
MANUAL RANAP 232943 WINDIYANA SINOM 3 dr. Retno BUMUM 276086.5 Apotik Raw
MANUAL RANAP 232943 WINDIYANA SINOM 3 dr. Retno BUMUM 8325 Apotik Raw
MANUAL RANAP 233061 LANI BY NYASMARANDA dr. Retno BUMUM 43315.72 Apotik Raw
Operator
Zandy Tiaravani, A.md.farm
p1,710,479.75
No. BPJS
10 07-Jan-24 130 MANUAL RANAP 158869
11 07-Jan-24 164 MANUAL RANAP 232076
12 07-Jan-24 152 MANUAL RAJAL 233067
14 07-Jan-24 129 MANUAL RANAP 232444
15 07-Jan-24 163 MANUAL RANAP 232347
16 07-Jan-24 123 MANUAL RANAP 231818
17 07-Jan-24 163 MANUAL RANAP 232347
18 07-Jan-24 120 MANUAL RANAP 198496
19 07-Jan-24 171 MANUAL RAJAL 233073
20 07-Jan-24 114 MANUAL RANAP 232902
21 07-Jan-24 160 MANUAL RANAP 232055
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp13,253,575.94 Rp2,772,631.97
BILLING PAGI
BPJS
IMA SITI ROHI GURISA (KELAS 3) dr. Santi Maria BPJS Rp48,292.64 Apotik Rawat
AZRIL PRABU SSINOM 3 dr. Retno BudihaCALON BPJS Rp47,457.39 Apotik Rawat
An. M RAFA JASINOM 2 dr. Retno BudihaBPJS Rp85,322.00 Apotik Rawat
NIMAS EULIS SGURISA (KELAS 3) dr. Santi Maria BPJS ######## Apotik Rawat
Tn. IMAN SET MIJIL 1 (ICU) dr. Lia SrimuliawBPJS ######## Apotik Rawat
YUMNA KHOLIFMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp8,066.93 Apotik Rawat
ARIANA HERDI DANGDANGGULA 2dr. Iyan Asiana BPJS Rp760.00 Apotik Rawat
PITRI YULIAWAIGD dr. Nifa Hanifa FiBPJS Rp44,677.52 Apotik Rawat
UJANG WAHYUBALAKBAK 3-C dr. H. Gus RiyadBPJS ######## Apotik Rawat
Ny. EEM ROS BALAKBAK 3-A dr. Amelia AndriBPJS Rp21,131.25 Apotik Rawat
MUHAMAD JAEISOLASI ANAK dr. Nuning Indri BPJS Rp10,525.01 Apotik Rawat
IMIN IGD dr. Sartika Prati CALON BPJS Rp30,547.59 Apotik Rawat
Ny. OTI PANGKUR 1 dr. Lia SrimuliawBPJS Rp42,794.36 Apotik Rawat
ARMAN MAULAISOLASI ANAK dr. Retno BudihaBPJS Rp4,736.93 Apotik Rawat
MUHAMAD REISINOM 3 dr. Nuning Indri BPJS Rp10,525.01 Apotik Rawat
DINDA LESTARIIGD dr. Sartika Prati CALON BPJS Rp59,872.52 Apotik Rawat
MILA AMALIA GURISA (KELAS 3) dr. Yanne Triha BPJS Rp34,350.00 Apotik Rawat
Ny. EUIS SUMARUANG TRANSIT dr. Lia SrimuliawBPJS ######## Apotik Rawat
Total Billing BPJS Pagi Rp513,959.53
BILLING PAGI
UMUM
Ayidnis Sabiela, A.md.farm 07-Jan-24 167 MANUAL RANAP 233074 PITRI YULI
Ayidnis Sabiela, A.md.farm 07-Jan-24 136 MANUAL RANAP 233034 IMA SITI
Rp513,959.53 Jumlah Billing Umum Pagi 1 Total
UMUM
ASMARANDdr. Retno BUMUM 27547.48 Apotik RawAyidnis Sabiela, A.md.farm 07-Jan-24 244
ASMARANDdr. Retno BUMUM ######## Apotik RawAyidnis Sabiela, A.md.farm 07-Jan-24 200
07-Jan-24 182
07-Jan-24 219
07-Jan-24 230
07-Jan-24 181
07-Jan-24 192
07-Jan-24 251
07-Jan-24 179
07-Jan-24 239
07-Jan-24 233
07-Jan-24 223
07-Jan-24 275
07-Jan-24 177
07-Jan-24 249
07-Jan-24 257
07-Jan-24 237
07-Jan-24 221
07-Jan-24 271
07-Jan-24 256
07-Jan-24 236
07-Jan-24 220
07-Jan-24 246
07-Jan-24 235
07-Jan-24 208
07-Jan-24 232
07-Jan-24 201
07-Jan-24 184
07-Jan-24 186
07-Jan-24 254
07-Jan-24 268
07-Jan-24 245
07-Jan-24 253
07-Jan-24 231
07-Jan-24 267
07-Jan-24 252
07-Jan-24 263
07-Jan-24 277
07-Jan-24 229
07-Jan-24 260
07-Jan-24 240
07-Jan-24 276
07-Jan-24 190
07-Jan-24 228
07-Jan-24 258
07-Jan-24 250
07-Jan-24 189
07-Jan-24 273
07-Jan-24 227
07-Jan-24 188
07-Jan-24 261
07-Jan-24 274
07-Jan-24 248
07-Jan-24 255
07-Jan-24 270
Total Billing Umum Pagi Rp27,547.48 Jumlah Billing BPJS Si
BPJS
MANUAL RANAP 232937 KOMALASABALAKBAK dr. Amelia BPJS 29624.39 Apotik Raw
MANUAL RANAP 232896 MISTAR DURMA dr. Amelia BPJS 125 Apotik Raw
MANUAL RANAP 232934 NABILAH GURISA (KEdr. Santi BPJS 14493.8 Apotik Raw
MANUAL RAJAL 233069 A MAMUNIGD dr. Sartika BPJS 64529.94 Apotik Raw
MANUAL RANAP 198496 Tn. DIDIN MIJIL 1 (IC dr. Amelia BPJS 1931.26 Apotik Raw
MANUAL RANAP 232928 IMA SITI GURISA (KEdr. Santi BPJS 34217.6 Apotik Raw
MANUAL RANAP 221456 Tn. DEDE MIJIL 1 (IC dr. Lia Sri BPJS 99255.37 Apotik Raw
MANUAL RANAP 232729 APONG SITBALAKBAK dr. Lia Sri BPJS 5398.68 Apotik Raw
MANUAL RANAP 232952 SRI HANDAGURISA (KEdr. Yanne BPJS 308470.3 Apotik Raw
MANUAL RANAP 232375 SRI RAHAYDURMA dr. Annisa BPJS 103381.3 Apotik Raw
MANUAL RAJAL 233076 SHILLY MUIGD dr. Sartika BPJS 91418.1 Apotik Raw
MANUAL RANAP 199380 SUSI LAWADANGDANG dr. Riri Ha BPJS 30241.04 Apotik Raw
MANUAL RANAP 232772 VERA NUR A PSMARANDdr. Retno BBPJS 20687.5 Apotik Raw
MANUAL RANAP 232995 NIMAS EULGURISA (KEdr. Santi BPJS 34217.6 Apotik Raw
MANUAL RANAP 232796 NENI BALAKBAK dr. Lia Sri BPJS 25472.5 Apotik Raw
MANUAL RANAP 5937 Ny. EUIS RUANG TRAdr. Lia Sri BPJS 7595 Apotik Raw
MANUAL RANAP 101498 Ny. LINA PANGKUR dr. Santi BPJS 34217.6 Apotik Raw
MANUAL RANAP 233048 GIBRAN RAMIJIL 2 (P dr. Retno BBPJS 8066.93 Apotik Raw
MANUAL RANAP 137308 Nn. ANEU PANGKUR dr. Lia Sri BPJS 10470 Apotik Raw
MANUAL RANAP 232815 SINTA BUABALAKBAK dr. Lia Sri BPJS 37196.95 Apotik Raw
MANUAL RANAP 233030 RINDI TRI ASMARANDdr. Retno BCALON BPJ 2788.88 Apotik Raw
MANUAL RANAP 232886 WAHYUDINDANGDANG dr. Amelia BPJS 5362.5 Apotik Raw
MANUAL RANAP 232682 HENI BALAKBAK dr. Amelia BPJS 18750 Apotik Raw
MANUAL RANAP 119863 Tn. IMAN MIJIL 1 (IC dr. Lia Sri BPJS 114543.2 Apotik Raw
MANUAL RANAP 232785 SUKANDI WIRANGR dr. Lia Sri BPJS 157365.3 Apotik Raw
MANUAL RANAP 232934 NABILAH GURISA (KEdr. Santi BPJS 293976.5 Apotik Raw
MANUAL RANAP 227808 M ARSYA ASINOM 2 dr. Retno BBPJS 9000 Apotik Raw
MANUAL RANAP 233046 YOYOH ROBALAKBAK dr. Lia Sri BPJS 7228.88 Apotik Raw
MANUAL RANAP 232875 IWAN KURBALAKBAK dr. Amelia BPJS 1205.04 Apotik Raw
MANUAL RANAP 59465 Ny. CICIN DANGDANG dr. H. Gus BPJS 294500 Apotik Raw
MANUAL RANAP 233046 YOYOH ROBALAKBAK dr. Lia Sri BPJS 7228.88 Apotik Raw
MANUAL RANAP 232502 TITI BALAKBAK dr. Lia Sri BPJS 668.75 Apotik Raw
MANUAL RANAP 192715 Nn. RATNADANGDANG dr. H. Gus BPJS 80703.77 Apotik Raw
MANUAL RANAP 202486 AZKIYA RA SINOM 2 dr. Retno BBPJS 4749.41 Apotik Raw
MANUAL RANAP 233066 M ELDRIANISOLASI A dr. Retno BCALON BPJ 38151.54 Apotik Raw
MANUAL RANAP 142144 Tn. ASEP K BALAKBAK dr. Annisa BPJS 656.25 Apotik Raw
MANUAL RANAP 232502 TITI BALAKBAK dr. Lia Sri BPJS 190 Apotik Raw
MANUAL RANAP 233066 M ELDRIANISOLASI A dr. Retno BCALON BPJ 100023.2 Apotik Raw
MANUAL RANAP 99597 Ny. TRI SA PANGKUR dr. Annisa CALON BPJ 1048.75 Apotik Raw
MANUAL RANAP 91617 Ny. IRMA DANGDANG dr. Lia Sri BPJS 760 Apotik Raw
MANUAL RANAP 226018 YUMNA KHO MIJIL 2 (P dr. Retno BBPJS 9000 Apotik Raw
MANUAL RANAP 233045 MISRINGA BALAKBAK dr. Annisa CALON BPJ 155 Apotik Raw
MANUAL RANAP 233070 M AZKA DASINOM 3 dr. Retno BBPJS 115311.6 Apotik Raw
MANUAL RANAP 232588 AEP HIDAYBALAKBAK dr. Lia Sri BPJS 110175.6 Apotik Raw
MANUAL RANAP 231472 M ALSHAD SINOM 3 dr. Retno BBPJS 9000 Apotik Raw
MANUAL RANAP 37897 Tn. ANAN BALAKBAK dr. Lia Sri BPJS 1767.5 Apotik Raw
MANUAL RANAP 232613 DIAN HERDBALAKBAK dr. Annisa BPJS 45787.5 Apotik Raw
MANUAL RANAP 232932 FATIH FIR SINOM 1 dr. Retno BBPJS 9000 Apotik Raw
MANUAL RAJAL 27987 Ny. SITI M IGD dr. Sartika BPJS 34100.59 Apotik Raw
MANUAL RANAP 231332 FIRMAN SYBALAKBAK dr. Amelia BPJS 26501.94 Apotik Raw
MANUAL RANAP 233068 ARIS MUN DANGDANG dr. H. Gus BPJS 400640.1 Apotik Raw
MANUAL RANAP 233054 TAUFIK HI BALAKBAK dr. Lia Sri BPJS 760 Apotik Raw
MANUAL RANAP 76915 Tn. YAYAT DANGDANG dr. Lia Sri BPJS 16112.5 Apotik Raw
Jumlah Billing BPJS Siang 55 Total Billing BPJS Siang Rp2,882,086.46
BILLING SIANG
UMUM
Muhamad Rizky Hidayah, S.Farm
Muhamad Fajar Sidik, Amd.farm
Rp2,882,086.46 Jumlah Billing Umum Siang 2 Tota
UMUM
DINDA LESTASMARANDA dr. Retno BUMUM 30648.6 Apotik RawMuhamad Rizky Hidayah, S.Farm 07-Jan-24
WINDIYANA SINOM 3 dr. Retno BUMUM 9000 Apotik RawMuhamad Fajar Sidik, Amd.farm 07-Jan-24
07-Jan-24
07-Jan-24
07-Jan-24
07-Jan-24
07-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
08-Jan-24
Total Billing Umum Siang Rp39,648.60 Jumlah
BPJS
79 MANUAL RANAP 137308 Nn. ANEU PANGKUR dr. Lia Sri BPJS 300394.9
88 MANUAL RANAP 232055 GUMILAR SINOM 3 dr. Retno BBPJS 61839.5
304 MANUAL RANAP 227808 M ARSYA ASINOM 2 dr. Retno BBPJS 59356.2
315 MANUAL RANAP 232932 FATIH FIR SINOM 1 dr. Retno BBPJS 47062.06
316 MANUAL RANAP 212475 Ny. OTI PANGKUR dr. Lia Sri BPJS 386548.9
317 MANUAL RANAP 231472 M ALSHAD SINOM 3 dr. Retno BBPJS 110607.3
326 MANUAL RANAP 232930 SASKIA SINOM 3 dr. Retno BBPJS 79296.55
33 MANUAL RANAP 233048 GIBRAN RAMIJIL 2 (P dr. Retno BBPJS 284728
13 MANUAL RANAP 203386 Ny. EEN RUANG TRAdr. Annisa BPJS 122530.9
121 MANUAL RANAP 233044 ALDEREZKYSINOM 2 dr. Retno BBPJS 15962.49
85 MANUAL RANAP 231466 Tn. YAYAN PANGKUR dr. H. Gus BPJS 35695.59
24 MANUAL RANAP 37369 Ny. INA M BALAKBAK dr. Lia Sri BPJS 80408.81
98 MANUAL RAJAL 233091 ERMAWATIIGD dr. PuspariBPJS 85809.29
74 MANUAL RANAP 211278 ENTIN JUA DURMA dr. Lia Sri BPJS 21983.72
66 MANUAL RANAP 231472 M ALSHAD SINOM 3 dr. Retno BBPJS 110919.8
77 MANUAL RANAP 229161 SYAHILA S SINOM 2 dr. Retno BBPJS 15962.49
57 MANUAL RANAP 232875 IWAN KURBALAKBAK dr. Amelia BPJS 55744.54
40 MANUAL RANAP 37897 Tn. ANAN BALAKBAK dr. Lia Sri BPJS 483433.3
6 MANUAL RANAP 232785 SUKANDI WIRANGR dr. Lia Sri BPJS 168113.8
32 MANUAL RANAP 27987 Ny. SITI M RUANG TRAdr. Amelia BPJS 24939.73
118 MANUAL RANAP 232811 HJ NURAE PANGKUR dr. Lia Sri BPJS 55840.88
84 MANUAL RANAP 190928 M ABIDZARISOLASI A dr. Retno BBPJS 205960.6
23 MANUAL RANAP 232593 HANI PADIMIJIL 2 (P dr. Retno BBPJS 82680.06
97 MANUAL RANAP 233068 ARIS MUN DANGDANG dr. H. Gus BPJS 8325
64 MANUAL RANAP 232384 UJANG WABALAKBAK dr. H. Gus BPJS 376726.4
73 MANUAL RANAP 202486 AZKIYA RA SINOM 2 dr. Retno BBPJS 49412.53
56 MANUAL RANAP 212475 Ny. OTI PANGKUR dr. Lia Sri BPJS 387173.9
39 MANUAL RANAP 194280 SUFRIYA TIBALAKBAK dr. Amelia BPJS 90831.17
31 MANUAL RANAP 232794 SATRIA PUSINOM 2 dr. Retno BBPJS 50869.57
10 MANUAL RANAP 231457 Tn. ADE S PANGKUR dr. H. Gus BPJS 82724.46
110 MANUAL RANAP 233070 M AZKA DASINOM 3 dr. Retno BBPJS 124445
83 MANUAL RANAP 91617 Ny. IRMA DANGDANG dr. Lia Sri BPJS 63244.48
22 MANUAL RANAP 23877 Ny. MIMINPANGKUR dr. Amelia BPJS 172841.3
95 MANUAL RANAP 98051 SITI WIRANGR dr. Lia Sri BPJS 28278.65
72 MANUAL RANAP 229552 RASHFIKI SMIJIL 2 (P dr. Retno BBPJS 70349.02
38 MANUAL RANAP 162391 Tn. UDIN SDANGDANG dr. Amelia BPJS 54578.54
105 MANUAL RANAP 102806 An. SALMAISOLASI A dr. Retno BBPJS 185578.4
82 MANUAL RAJAL 150600 ARIF HIDA IGD dr. PuspariBPJS 50869.57
21 MANUAL RANAP 219746 Tn. ADANGBALAKBAK dr. Lia Sri BPJS 312697.6
93 MANUAL RANAP 233084 SUMPENA BALAKBAK dr. Amelia BPJS 88581.13
71 MANUAL RANAP 233054 TAUFIK HI BALAKBAK dr. Lia Sri BPJS 60378.88
62 MANUAL RANAP 21740 Ny. SETIA RUANG TRAdr. Amelia BPJS 23566.65
45 MANUAL RANAP 232152 AYU OPANIASMARANDdr. Retno BBPJS 71116.31
8 MANUAL RANAP 76915 Tn. YAYAT DANGDANG dr. Lia Sri BPJS 93883.09
104 MANUAL RANAP 232444 ARMAN MAISOLASI A dr. Retno BBPJS 65470.67
81 MANUAL RANAP 138626 An. YULIYAPANGKUR dr. Amelia BPJS 266497.7
37 MANUAL RANAP 232502 TITI BALAKBAK dr. Lia Sri BPJS 159725.8
20 MANUAL RANAP 142144 Tn. ASEP K BALAKBAK dr. Annisa BPJS 131812.5
120 MANUAL RANAP 232932 FATIH FIR SINOM 1 dr. Retno BBPJS 47062.06
91 MANUAL RANAP 169298 WINDA NUDANGDANG dr. Iyan As BPJS 87424.68
29 MANUAL RANAP 231332 FIRMAN SYBALAKBAK dr. Amelia BPJS 87351.64
70 MANUAL RANAP 183149 Tn. SAHIDI DURMA dr. Amelia BPJS 30285.32
61 MANUAL RAJAL 233093 ENTIN IGD dr. PuspariBPJS 54782.67
103 MANUAL RANAP 227808 M ARSYA ASINOM 2 dr. Retno BBPJS 67408.96
79 MANUAL RANAP 226018 YUMNA KHO MIJIL 2 (P dr. Retno BBPJS 58697.65
19 MANUAL RANAP 12429 ARIANA HEDANGDANG dr. Iyan As BPJS 100228.4
124 MANUAL RANAP 180059 Nn. ST. E. PANGKUR dr. Amelia BPJS 118034.6
119 MANUAL RANAP 142144 Tn. ASEP K BALAKBAK dr. Annisa BPJS 84104.12
90 MANUAL RANAP 233096 ARIS BALAKBAK dr. Amelia BPJS 57401.85
28 MANUAL RAJAL 160643 Ny. EULIS IGD dr. PuspariBPJS 22288.07
16 MANUAL RANAP 175102 Tn. ASEP BALAKBAK dr. Lia Sri BPJS 58161.85
69 MANUAL RANAP 233069 A MAMUNDURMA dr. Amelia BPJS 76852.65
60 MANUAL RANAP 232561 Ny. CICIH DANGDANG dr. H. Gus BPJS 328754.5
76 MANUAL RANAP 232725 UNEN BALAKBAK dr. Lia Sri BPJS 75818.61
35 MANUAL RANAP 232613 DIAN HERDBALAKBAK dr. Annisa BPJS 242806
18 MANUAL RANAP 233076 SHILLY MUDANGDANG dr. H. Gus BPJS 64145.4
123 MANUAL RANAP 233047 HARDIANSDANGDANG dr. H. Gus BPJS 42058.35
88 MANUAL RANAP 232924 CECEP RA BALAKBAK dr. Amelia BPJS 71759.65
101 MANUAL RANAP 232896 MISTAR DURMA dr. Amelia BPJS 191686.2
68 MANUAL RANAP 232981 MUHAMMAD DANGDANG dr. H. Gus BPJS 53266.26
80 MANUAL RANAP 233068 ARIS MUN DANGDANG dr. H. Gus BPJS 361094.7
59 MANUAL RANAP 139203 Ny. IMI M DANGDANG dr. H. Gus BPJS 402555.1
42 MANUAL RANAP 233046 YOYOH ROBALAKBAK dr. Lia Sri BPJS 304109.5
14 MANUAL RANAP 232588 AEP HIDAYBALAKBAK dr. Lia Sri BPJS 360903.3
122 MANUAL RANAP 59465 Ny. CICIN DANGDANG dr. H. Gus BPJS 308670.5
86 MANUAL RANAP 70125 Ny. OMAHBALAKBAK dr. Amelia BPJS 46520.33
Jumlah Billing BPJS Malam 77 Total Billing BPJS Malam Rp9,857,5
BILLING MALAM
UMUM
Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM
Apotik RawZandy Tiaravani, A.md.farm 08-Jan-24 100 MANUAL RANAP 233088
Apotik RawSri Mulyati, A.md.farm. 08-Jan-24 75 MANUAL RANAP 233056
Apotik RawSri Mulyati, A.md.farm. 08-Jan-24 67 MANUAL RAJAL 233088
Apotik RawSri Mulyati, A.md.farm.
Apotik RawZandy Tiaravani, A.md.farm
Rp9,857,529.95 Jumlah Billing Umum Malam 25 To
UMUM
ANI MIJIL 1 (IC dr. Amelia CALON BPJ 4856.25 Apotik RawSri Mulyati, A.md.farm.
HERMAN RBALAKBAK dr. Lia Sri CALON BPJ 59139.08 Apotik RawSri Mulyati, A.md.farm.
ANI IGD dr. Nifa HanCALON BPJ 159019.8 Apotik RawSri Mulyati, A.md.farm.
M ALFI ALFSINOM 2 dr. Retno BCALON BPJ 44963.31 Apotik RawSri Mulyati, A.md.farm.
AZRIL PRABSINOM 3 dr. Retno BCALON BPJ 49203.77 Apotik RawSri Mulyati, A.md.farm.
MISRINGA BALAKBAK dr. Annisa CALON BPJ 122135.7 Apotik RawSri Mulyati, A.md.farm.
MUHAMMA SINOM 3 dr. Retno BCALON BPJ 39139.43 Apotik RawSri Mulyati, A.md.farm.
M ELDRIANISOLASI A dr. Retno BCALON BPJ 130960.2 Apotik RawSri Mulyati, A.md.farm.
BARRA ISF IGD dr. PuspariCALON BPJ 31924.98 Apotik RawSri Mulyati, A.md.farm.
ANI IGD dr. Nifa HanCALON BPJ 227870.9 Apotik RawSri Mulyati, A.md.farm.
Ny. TRI SA PANGKUR dr. Annisa CALON BPJ 209044.9 Apotik RawSri Mulyati, A.md.farm.
ANI MIJIL 1 (IC dr. Amelia CALON BPJ 4856.25 Apotik RawSri Mulyati, A.md.farm.
TIAN SEPTIDANGDANG dr. Iyan As CALON BPJ 95628.89 Apotik RawZandy Tiaravani, A.md.farm
TIAN SEPTIDANGDANG dr. Iyan As CALON BPJ 43124.99 Apotik RawZandy Tiaravani, A.md.farm
IMIN PANGKUR dr. Amelia CALON BPJ 26952.07 Apotik RawZandy Tiaravani, A.md.farm
ARSHAKA ZSINOM 2 dr. Retno BCALON SK 106503.3 Apotik RawSri Mulyati, A.md.farm.
AZKA ALDRISOLASI A dr. Retno BCALON SK 68127.62 Apotik RawSri Mulyati, A.md.farm.
NENG FITRSINOM 2 dr. Retno BCALON SK 50869.57 Apotik RawSri Mulyati, A.md.farm.
ELSA PUTRBALAKBAK dr. Lia Sri CALON SK 195184.9 Apotik RawZandy Tiaravani, A.md.farm
ADANG SUBALAKBAK dr. Lia Sri CALON SK 378055.7 Apotik RawZandy Tiaravani, A.md.farm
YESI BY NYASMARANDdr. Retno BUMUM 18086.13 Apotik RawSri Mulyati, A.md.farm.
TIA RAHAYASMARANDdr. Retno BUMUM 18086.13 Apotik RawSri Mulyati, A.md.farm.
LIA BY NY ASMARANDA dr. Retno BUMUM 23711.12 Apotik RawSri Mulyati, A.md.farm.
WINDIYANA SINOM 3 dr. Retno BUMUM 276399 Apotik RawSri Mulyati, A.md.farm.
Ny. LANI GURISA (KEdr. Santi UMUM 321591.9 Apotik RawSri Mulyati, A.md.farm.
No. BPJ
10 08-Jan-24 284 MANUAL RANAP 232152
11 08-Jan-24 243 MANUAL RANAP 232613
12 08-Jan-24 273 MANUAL RAJAL 232902
13 08-Jan-24 363 MANUAL RANAP 139203
14 08-Jan-24 358 MANUAL RANAP 225433
15 08-Jan-24 233 MANUAL RANAP 232811
17 08-Jan-24 256 MANUAL RANAP 233050
20 08-Jan-24 396 MANUAL RANAP 233070
21 08-Jan-24 252 MANUAL RANAP 163965
22 08-Jan-24 393 MANUAL RANAP 102806
23 08-Jan-24 188 MANUAL 24 RAJAL 231044
25 08-Jan-24 378 MANUAL RANAP 233048
26 08-Jan-24 217 MANUAL RANAP 231472
27 08-Jan-24 408 MANUAL RANAP 232593
28 08-Jan-24 178 MANUAL RANAP 232772
30 08-Jan-24 208 MANUAL RANAP 227808
31 08-Jan-24 206 MANUAL RANAP 232932
32 08-Jan-24 405 MANUAL RANAP 226018
33 08-Jan-24 167 MANUAL RANAP 231880
34 08-Jan-24 201 MANUAL RANAP 233096
35 08-Jan-24 403 MANUAL RANAP 226018
36 08-Jan-24 354 MANUAL RANAP 219746
37 08-Jan-24 165 MANUAL RANAP 233143
38 08-Jan-24 351 MANUAL RANAP 212475
39 08-Jan-24 222 MANUAL RANAP 228983
40 08-Jan-24 148 MANUAL RANAP 231238
41 08-Jan-24 414 MANUAL RANAP 232384
42 08-Jan-24 350 MANUAL RANAP 233056
43 08-Jan-24 140 MANUAL RANAP 198496
44 08-Jan-24 349 MANUAL RANAP 142144
45 08-Jan-24 219 MANUAL RANAP 229161
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp15,417,520.94 Rp1,177,176.55
BILLING PAGI
BPJS
NENGSIH BY N ASMARANDANA (FO dr. Nuning Indri BPJS ### Apotik Rawat
MUHAMMAD IHS DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp15,375.00 Apotik Rawat
Ny. IRMA FAT DANGDANGGULA 1dr. Lia SrimuliawBPJS Rp9,643.65 Apotik Rawat
PITRI YULIAWABAYI RAWAT GABUdr. Santi Maria BPJS ### Apotik Rawat
MILA AMALIA IGD dr. Epriana BPJS Rp37,636.67 Apotik Rawat
WIDI SAWITRI GURISA (KELAS 3) dr. Santi Maria BPJS Rp65,585.95 Apotik Rawat
AYU OPANI BY ASMARANDANA (2A dr. Retno BudihaBPJS ### Apotik Rawat
DIAN HERDIANBALAKBAK 3-B dr. Annisa Tri K BPJS ### Apotik Rawat
MILA AMALIA IGD dr. Epriana BPJS Rp39,682.50 Apotik Rawat
Ny. IMI MARYADANGDANGGULA 3dr. H. Gus RiyadBPJS Rp29,560.00 Apotik Rawat
LIA DANIATI GURISA (KELAS 3) dr. Yanne Triha CALON BPJS Rp1,349.38 Apotik Rawat
DIAN HERDIANBALAKBAK 3-B dr. Annisa Tri K BPJS Rp28,188.00 Apotik Rawat
WIDI SAWITRI GURISA (KELAS 3) dr. Santi Maria BPJS Rp53,002.52 Apotik Rawat
SITI WIRANGRONG dr. Lia SrimuliawBPJS Rp45,121.58 Apotik Rawat
MUHAMMAD IHS DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp12,960.01 Apotik Rawat
M AZKA DANIASINOM 3 dr. Retno BudihaBPJS Rp53,504.59 Apotik Rawat
ALMIRA NAJWABALAKBAK 2-B dr. Riri HandayanBPJS ### Apotik Rawat
An. SALMA SEPISOLASI ANAK dr. Retno BudihaBPJS ### Apotik Rawat
PERMANA SIDITHT dr. Riri HandayanBPJS ### Apotik Rawat
Tn. ANAN BALAKBAK 3-C dr. Lia SrimuliawBPJS Rp77,677.18 Apotik Rawat
GIBRAN RAKANMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp39,997.51 Apotik Rawat
HANI PADILAH MIJIL 2 (PIMCU) dr. Retno BudihaBPJS ### Apotik Rawat
VERA NUR PUJIASMARANDANA (2A dr. Retno BudihaBPJS Rp94,489.95 Apotik Rawat
Tn. YAYAT SUDDANGDANGGULA 2dr. Lia SrimuliawBPJS Rp54,478.09 Apotik Rawat
FATIH FIRDAUSSINOM 1 dr. Nuning Indri BPJS Rp17,500.00 Apotik Rawat
YUMNA KHOLIFMIJIL 2 (PIMCU) dr. Retno BudihaBPJS ### Apotik Rawat
GIN GIN PUTRI GURISA (KELAS 2) dr. Santi Maria BPJS Rp63,920.95 Apotik Rawat
ARIS BALAKBAK 3-D dr. Amelia AndriBPJS Rp190.00 Apotik Rawat
YUMNA KHOLIFMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp38,089.04 Apotik Rawat
Tn. ADANG BALAKBAK 3-C dr. Lia SrimuliawBPJS Rp76,184.15 Apotik Rawat
SHIFA SALSABI ASMARANDANA (LEdr. Nuning Indri UMUM Rp43,906.18 Apotik Rawat
Ny. OTI PANGKUR 1 dr. Lia SrimuliawBPJS ### Apotik Rawat
BARRA ISFANDISINOM 2 dr. Retno BudihaCALON BPJS Rp11,250.00 Apotik Rawat
PITRI ARISMAYPANGKUR 3 dr. Yanne Triha BPJS ### Apotik Rawat
UJANG WAHYUBALAKBAK 3-C dr. H. Gus RiyadBPJS Rp3,820.00 Apotik Rawat
HERMAN RANTBALAKBAK 2-A dr. Lia SrimuliawCALON BPJS Rp5,118.90 Apotik Rawat
Tn. ASEP KUSTIBALAKBAK 3-C dr. Annisa Tri K BPJS Rp31,885.76 Apotik Rawat
SYAHILA SHAFISINOM 2 dr. Retno BudihaBPJS Rp11,250.00 Apotik Rawat
BILLING PAGI

Apt. Orysa Rahmaeni Basujata, S.farm.
UMUM
GIN GIN BYASMARANDA dr. Nuning UMUM 48937.25 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
SITI HASA ASMARANDA dr. Nuning UMUM 54374.86 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
SHIFA SALSASMARANDA dr. Nuning UMUM 43906.18 Apotik RawNeng Cahya Titasari, Amd.farm
BPJS
08-Jan-24 672 MANUAL RANAP 231983 RIYADHUL PANGKUR dr. Iyan As BPJS
08-Jan-24 685 MANUAL RANAP 231466 Tn. YAYAN PANGKUR dr. H. Gus BPJS
08-Jan-24 630 MANUAL RANAP 233044 ALDEREZKYSINOM 2 dr. Retno BBPJS
08-Jan-24 694 MANUAL RANAP 221456 Tn. DEDE MIJIL 1 (IC dr. Lia Sri BPJS
08-Jan-24 671 MANUAL RANAP 211278 ENTIN JUA DURMA dr. Lia Sri BPJS
08-Jan-24 683 MANUAL RANAP 160643 Ny. EULIS RUANG TRAdr. Amelia BPJS
08-Jan-24 660 MANUAL RANAP 221590 Tn. II KUS BALAKBAK dr. Lia Sri BPJS
08-Jan-24 642 MANUAL RANAP 232444 ARMAN MAISOLASI A dr. Retno BBPJS
08-Jan-24 628 MANUAL RANAP 233070 M AZKA DASINOM 3 dr. Retno BBPJS
08-Jan-24 682 MANUAL RANAP 162391 Tn. UDIN SDANGDANG dr. Amelia BPJS
08-Jan-24 693 MANUAL RANAP 232306 DENI HAM MIJIL 1 (IC dr. Lia Sri BPJS
08-Jan-24 679 MANUAL RANAP 233076 SHILLY MUDANGDANG dr. H. Gus BPJS
08-Jan-24 657 MANUAL RANAP 232145 An. CHAN DANGDANG dr. Iyan As BPJS
08-Jan-24 521 MANUAL RANAP 233150 BULAN SOPASMARANDdr. Santi BPJS
08-Jan-24 669 MANUAL RANAP 203386 Ny. EEN RUANG TRAdr. Annisa BPJS
08-Jan-24 639 MANUAL RANAP 232931 TIAN SEPTIDANGDANG dr. Iyan As BPJS
08-Jan-24 678 MANUAL RANAP 233067 IMIN BALAKBAK dr. Amelia BPJS
08-Jan-24 656 MANUAL RANAP 231217 ARDELIA R DANGDANG dr. Iyan As BPJS
08-Jan-24 689 MANUAL RANAP 232875 IWAN KURBALAKBAK dr. Amelia BPJS
08-Jan-24 668 MANUAL RANAP 23877 Ny. MIMINPANGKUR dr. Amelia BPJS
08-Jan-24 638 MANUAL RANAP 220772 AZKA ALDRISOLASI A dr. Retno BBPJS
08-Jan-24 675 MANUAL RANAP 74499 Ny. ROSITABALAKBAK dr. Lia Sri BPJS
08-Jan-24 653 MANUAL RANAP 232152 AYU OPANIASMARANDdr. Retno BBPJS
08-Jan-24 688 MANUAL RANAP 233091 ERMAWATIRUANG TRAdr. Amelia BPJS
08-Jan-24 667 MANUAL RANAP 232896 MISTAR DURMA dr. Amelia BPJS
08-Jan-24 18 MANUAL RANAP 232932 FATIH FIR SINOM 1 dr. Nuning BPJS
08-Jan-24 622 MANUAL RANAP 212004 ADZAM PRA SINOM 1 dr. Retno BBPJS
08-Jan-24 634 MANUAL RANAP 233054 TAUFIK HI BALAKBAK dr. Lia Sri BPJS
08-Jan-24 612 MANUAL RANAP 232932 FATIH FIR SINOM 1 dr. Nuning BPJS
08-Jan-24 674 MANUAL RANAP 194280 SUFRIYA TIBALAKBAK dr. Amelia BPJS
08-Jan-24 652 MANUAL RANAP 233099 SOMANTRIBALAKBAK dr. Amelia BPJS
08-Jan-24 687 MANUAL RANAP 21740 Ny. SETIA RUANG TRAdr. Amelia BPJS
08-Jan-24 665 MANUAL RANAP 232902 MILA AMALBAYI RAWAdr. Yanne BPJS
08-Jan-24 646 MANUAL RANAP 198496 Tn. DIDIN MIJIL 1 (IC dr. Amelia BPJS
08-Jan-24 632 MANUAL RANAP 229161 SYAHILA S SINOM 2 dr. Retno BBPJS
08-Jan-24 673 MANUAL RANAP 163965 ALMIRA NABALAKBAK dr. Riri Ha BPJS
08-Jan-24 686 MANUAL RANAP 180059 Nn. ST. E. PANGKUR dr. Amelia BPJS
08-Jan-24 664 MANUAL RANAP 150467 AJANG SU BALAKBAK dr. Lia Sri BPJS
08-Jan-24 619 MANUAL RANAP 232794 SATRIA PUSINOM 2 dr. Retno BBPJS
08-Jan-24 578 MANUAL RANAP 232902 MILA AMALBAYI RAWAdr. Yanne BPJS
08-Jan-24 568 MANUAL RANAP 189137 ENI ROHAEBAYI RAWAdr. Yanne BPJS
08-Jan-24 557 MANUAL RANAP 231542 Bayi Ny. IK ASMARANDdr. Retno BBPJS
08-Jan-24 556 MANUAL RANAP 232689 FITRI ANJAASMARANDdr. Retno BBPJS
08-Jan-24 554 MANUAL RANAP 233034 IMA SITI ASMARANDdr. Retno BBPJS
08-Jan-24 607 MANUAL RANAP 232924 CECEP RA BALAKBAK dr. Amelia BPJS
08-Jan-24 544 MANUAL RANAP 233148 YULI ANGGGURISA (KEdr. Yanne BPJS
08-Jan-24 552 MANUAL RANAP 232771 PUTRI BY NASMARANDdr. Retno BBPJS
08-Jan-24 604 MANUAL RANAP 70125 Ny. OMAHBALAKBAK dr. Amelia BPJS
08-Jan-24 539 MANUAL RANAP 232916 Ny. MAYA GURISA (KEdr. Yanne BPJS
BILLING SIANG

74727.86 Apotik RawAyidnis Sabiela, A.md.farm 08-Jan-24 662 MANUAL RANAP
450 Apotik RawAyidnis Sabiela, A.md.farm 08-Jan-24 621 MANUAL RANAP
UMUM
233073 DINDA LESGURISA (KEdr. Yanne CALON SK 259670.6 Apotik RawAyidnis Sabiela, A.md.farm
233073 DINDA LESGURISA (KEdr. Yanne CALON SK 14493.8 Apotik RawAyidnis Sabiela, A.md.farm
233066 M ELDRIANISOLASI A dr. Retno BCALON BPJ 4675 Apotik RawAyidnis Sabiela, A.md.farm
225433 LIA DANIATGURISA (KEdr. Yanne CALON BPJ 259670.6 Apotik RawAyidnis Sabiela, A.md.farm
233039 NENG FITRSINOM 2 dr. Retno BCALON SK 11919.45 Apotik RawAyidnis Sabiela, A.md.farm
225433 LIA DANIATGURISA (KEdr. Yanne CALON BPJ 14493.8 Apotik RawAyidnis Sabiela, A.md.farm
223900 ARSHAKA ZSINOM 2 dr. Retno BCALON SK 11919.45 Apotik RawAyidnis Sabiela, A.md.farm
232939 M ALFI ALFSINOM 2 dr. Retno BUMUM 13125 Apotik RawAyidnis Sabiela, A.md.farm
233066 M ELDRIANISOLASI A dr. Retno BCALON BPJ 7533.32 Apotik RawAyidnis Sabiela, A.md.farm
BPJS
08-Jan-24 795 MANUAL RANAP 233166 RADIKA AZSINOM 3 dr. Nuning CALON BPJ
08-Jan-24 772 MANUAL RANAP 233066 M ELDRIANISOLASI A dr. Retno BCALON BPJ
08-Jan-24 781 MANUAL RANAP 228983 BARRA ISF SINOM 2 dr. Retno BCALON BPJ
08-Jan-24 763 MANUAL RANAP 232930 SASKIA SINOM 3 dr. Retno BBPJS
08-Jan-24 730 MANUAL RANAP 233091 ERMAWATIRUANG TRAdr. Amelia BPJS
08-Jan-24 722 MANUAL RANAP 219746 Tn. ADANGBALAKBAK dr. Lia Sri BPJS
08-Jan-24 795 MANUAL RANAP 233166 RADIKA AZSINOM 3 dr. Nuning CALON BPJ
08-Jan-24 770 MANUAL RANAP 233081 MUHAMMA SINOM 3 dr. Retno BBPJS
08-Jan-24 729 MANUAL RANAP 162391 Tn. UDIN SDANGDANG dr. Amelia BPJS
08-Jan-24 737 MANUAL RANAP 21740 Ny. SETIA RUANG TRAdr. Amelia BPJS
08-Jan-24 769 MANUAL RANAP 233044 ALDEREZKYSINOM 2 dr. Retno BBPJS
08-Jan-24 748 MANUAL RAJAL 231338 RINA SAPITIGD dr. Nifa HanBPJS
08-Jan-24 720 MANUAL RANAP 233056 HERMAN RBALAKBAK dr. Lia Sri CALON BPJ
08-Jan-24 802 MANUAL RANAP 220031 ZAYYAN ZABALAKBAK dr. Iyan As BPJS
08-Jan-24 778 MANUAL RANAP 150600 ARIF HIDA SINOM 2 dr. Retno BBPJS
08-Jan-24 716 MANUAL RANAP 169298 WINDA NUDANGDANG dr. Iyan As BPJS
08-Jan-24 727 MANUAL RANAP 180059 Nn. ST. E. PANGKUR dr. Amelia BPJS
08-Jan-24 735 MANUAL RANAP 232875 IWAN KURBALAKBAK dr. Amelia BPJS
08-Jan-24 767 MANUAL RANAP 202486 AZKIYA RA SINOM 2 dr. Retno BBPJS
08-Jan-24 801 MANUAL RANAP 231457 Tn. ADE S PANGKUR dr. H. Gus BPJS
08-Jan-24 777 MANUAL RANAP 220772 AZKA ALDRISOLASI A dr. Retno BBPJS
08-Jan-24 726 MANUAL RANAP 74499 Ny. ROSITABALAKBAK dr. Lia Sri BPJS
08-Jan-24 766 MANUAL RANAP 212004 ADZAM PRA SINOM 1 dr. Retno BBPJS
08-Jan-24 800 MANUAL RANAP 231466 Tn. YAYAN PANGKUR dr. H. Gus BPJS
08-Jan-24 714 MANUAL RANAP 37897 Tn. ANAN BALAKBAK dr. Lia Sri BPJS
08-Jan-24 725 MANUAL RANAP 12429 ARIANA HEDANGDANG dr. Iyan As BPJS
08-Jan-24 733 MANUAL RANAP 160643 Ny. EULIS RUANG TRAdr. Amelia BPJS
08-Jan-24 765 MANUAL RANAP 232702 AZRIL PRABSINOM 3 dr. Retno BBPJS
08-Jan-24 732 MANUAL RANAP 76915 Tn. YAYAT DANGDANG dr. Lia Sri BPJS
08-Jan-24 797 MANUAL RANAP 228409 MUHAMMAD SINOM 2 dr. Nuning BPJS
08-Jan-24 712 MANUAL RANAP 27987 Ny. SITI M RUANG TRAdr. Amelia BPJS
08-Jan-24 723 MANUAL RANAP 232384 UJANG WABALAKBAK dr. H. Gus BPJS
08-Jan-24 773 MANUAL RANAP 232588 AEP HIDAYBALAKBAK dr. Lia Sri BPJS
08-Jan-24 731 MANUAL RANAP 232785 SUKANDI WIRANGR dr. Lia Sri BPJS
08-Jan-24 747 MANUAL RANAP 59465 Ny. CICIN DANGDANG dr. H. Gus BPJS
08-Jan-24 738 MANUAL RANAP 138626 An. YULIYAPANGKUR dr. Amelia BPJS
08-Jan-24 762 MANUAL RANAP 226955 ADANG SUBALAKBAK dr. Lia Sri BPJS
08-Jan-24 746 MANUAL RANAP 59465 Ny. CICIN DANGDANG dr. H. Gus BPJS
08-Jan-24 759 MANUAL RANAP 232561 Ny. CICIH DANGDANG dr. H. Gus BPJS
08-Jan-24 721 MANUAL RANAP 232896 MISTAR DURMA dr. Amelia BPJS
08-Jan-24 779 MANUAL RANAP 175102 Tn. ASEP BALAKBAK dr. Lia Sri BPJS
08-Jan-24 718 MANUAL RANAP 183149 Tn. SAHIDI DURMA dr. Amelia BPJS
08-Jan-24 761 MANUAL RANAP 232502 TITI BALAKBAK dr. Lia Sri BPJS
08-Jan-24 728 MANUAL RANAP 211278 ENTIN JUA DURMA dr. Lia Sri BPJS
08-Jan-24 757 MANUAL RANAP 233047 HARDIANSDANGDANG dr. H. Gus BPJS
08-Jan-24 745 MANUAL RANAP 233045 MISRINGA BALAKBAK dr. Annisa CALON BPJ
08-Jan-24 768 MANUAL RANAP 233099 SOMANTRIBALAKBAK dr. Amelia BPJS
08-Jan-24 755 MANUAL RANAP 233069 A MAMUNDURMA dr. Amelia BPJS
08-Jan-24 744 MANUAL RANAP 233046 YOYOH ROBALAKBAK dr. Lia Sri BPJS
08-Jan-24 715 MANUAL RANAP 232725 UNEN BALAKBAK dr. Lia Sri BPJS
08-Jan-24 734 MANUAL RANAP 194280 SUFRIYA TIBALAKBAK dr. Amelia BPJS
08-Jan-24 743 MANUAL RANAP 233096 ARIS BALAKBAK dr. Amelia BPJS
08-Jan-24 776 MANUAL RANAP 233067 IMIN BALAKBAK dr. Amelia BPJS
08-Jan-24 752 MANUAL RANAP 99597 Ny. TRI SA PANGKUR dr. Annisa BPJS
08-Jan-24 742 MANUAL RANAP 233084 SUMPENA BALAKBAK dr. Amelia BPJS
08-Jan-24 713 MANUAL RANAP 150467 AJANG SU BALAKBAK dr. Lia Sri BPJS
08-Jan-24 740 MANUAL RANAP 37369 Ny. INA M PANGKUR dr. Lia Sri BPJS
08-Jan-24 724 MANUAL RANAP 233076 SHILLY MUDANGDANG dr. H. Gus BPJS
09-Jan-24 32 MANUAL RANAP 233182 RANGGA DSINOM 2 dr. Nuning BPJS
09-Jan-24 28 MANUAL RANAP 189137 ENI ROHAEBAYI RAWAdr. Yanne BPJS
09-Jan-24 17 MANUAL RAJAL 233176 CEUCEU SUIGD dr. Nifa HanBPJS
09-Jan-24 5 MANUAL RANAP 231338 RINA SAPITGURISA (KEdr. Yanne BPJS
09-Jan-24 35 MANUAL RANAP 213546 SURYANA BALAKBAK dr. Lia Sri BPJS
09-Jan-24 9 MANUAL RANAP 233069 A MAMUN DURMA dr. Amelia AnBPJS
09-Jan-24 8 MANUAL RANAP 232588 AEP HIDAYATBALAKBAK 3-dr. Lia Srimu BPJS
09-Jan-24 7 MANUAL RANAP 232502 TITI BALAKBAK 3-dr. Lia Srimu BPJS
09-Jan-24 6 MANUAL RANAP 233068 ARIS MUNANDANGDANGGU
dr. H. Gus Ri BPJS
09-Jan-24 14 MANUAL RANAP 231503 Ny. SITI HAS PANGKUR 3 dr. Santi Ma BPJS
09-Jan-24 13 MANUAL RANAP 232896 MISTAR DURMA dr. Amelia AnBPJS
09-Jan-24 41 MANUAL RANAP 233076 SHILLY MUTTDANGDANGGU
dr. H. Gus Ri BPJS
09-Jan-24 4 MANUAL RANAP 228301 SUSILAWATI BALAKBAK 3-dr. Amelia AnBPJS
09-Jan-24 15 MANUAL RAJAL 233178 ERUS RUSTANIGD dr. Nifa HanifBPJS
09-Jan-24 12 MANUAL RANAP 233099 SOMANTRI BALAKBAK 3-dr. Amelia AnBPJS
09-Jan-24 38 MANUAL RANAP 232785 SUKANDI WIRANGRONdr. Lia Srimu BPJS
09-Jan-24 11 MANUAL RANAP 23877 Ny. MIMIN A PANGKUR 3 dr. Amelia AnBPJS
09-Jan-24 10 MANUAL RANAP 226955 ADANG SUH BALAKBAK 3-dr. Lia Srimu BPJS

BILLING MALAM

######## Apotik RawMuhamad Rizky Hidayah, S.Farm
######## Apotik RawMuhamad Rizky Hidayah, S.Farm
4717.5 Apotik RawatMuhamad Fajar Sidik, Amd.farm
155675 Apotik RawatMuhamad Fajar Sidik, Amd.farm
Rp8,277,704.09 Jumlah Billing Umum Malam

UMUM
RAJAL 182659 Ny. IIS AIS IGD dr. Nifa HanUMUM 88803.97 Apotik Raw
RANAP 233169 FEBI SOHI ISOLASI A dr. Retno BUMUM 8325 Apotik Raw
RANAP 232943 WINDIYANA SINOM 3 dr. Retno BUMUM 216453.7 Apotik Raw
RANAP 233169 FEBI SOHI ISOLASI A dr. Retno BUMUM 118874.5 Apotik Raw
4 Total Billing Umum Malam Rp432,457.24
Operator
Rp432,457.24
No. BPJ
10 09-Jan-24 288 MANUAL RANAP 202486
12 09-Jan-24 101 MANUAL RANAP 233047
13 09-Jan-24 368 MANUAL RAJAL 131374
14 09-Jan-24 389 MANUAL RANAP 233090
15 09-Jan-24 319 MANUAL RANAP 140047
16 09-Jan-24 259 MANUAL RANAP 231880
17 09-Jan-24 365 MANUAL RANAP 212004
19 09-Jan-24 172 MANUAL RANAP 233046
21 09-Jan-24 385 MANUAL RANAP 203386
22 09-Jan-24 316 MANUAL RANAP 233056
23 09-Jan-24 363 MANUAL RANAP 229161
24 09-Jan-24 272 MANUAL RANAP 232702
27 09-Jan-24 167 MANUAL RANAP 232561
30 09-Jan-24 315 MANUAL RANAP 233176
31 09-Jan-24 358 MANUAL RANAP 233182
32 09-Jan-24 270 MANUAL RANAP 150467
35 09-Jan-24 203 MANUAL RANAP 232771
37 09-Jan-24 269 MANUAL RANAP 232588
38 09-Jan-24 151 MANUAL RANAP 233090
40 09-Jan-24 200 MANUAL RANAP 233034
41 09-Jan-24 122 MANUAL RANAP 232384
42 09-Jan-24 311 MANUAL RANAP 181836
43 09-Jan-24 353 MANUAL RANAP 228983
44 09-Jan-24 268 MANUAL RANAP 221590
45 09-Jan-24 237 MANUAL RANAP 231542
46 09-Jan-24 148 MANUAL RANAP 189137
48 09-Jan-24 196 MANUAL RANAP 221456
49 09-Jan-24 409 MANUAL RANAP 232902
50 09-Jan-24 372 MANUAL RANAP 232930
51 09-Jan-24 292 MANUAL RANAP 227808
52 09-Jan-24 266 MANUAL RANAP 120425
53 09-Jan-24 146 MANUAL RANAP 231880
55 09-Jan-24 193 MANUAL RANAP 211278
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp10,903,756.71
BILLING PAGI
BPJS
AZKIYA RAHMASINOM 2 dr. Retno BudihaBPJS Rp13,125.00 Apotik Rawat
Tn. ASEP KUSTIBALAKBAK 3-C dr. Annisa Tri K BPJS ######## Apotik Rawat
RIYADHUL ZINAPANGKUR 2 dr. Iyan Asiana BPJS Rp44,963.31 Apotik Rawat
TITI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp27,041.55 Apotik Rawat
SHILLY MUTTASDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,898.60 Apotik Rawat
Ny. ROPI ROB GURISA (KELAS 3) dr. Yanne Triha BPJS ######## Apotik Rawat
ARIS BALAKBAK 3-D dr. Amelia AndriBPJS Rp31,957.59 Apotik Rawat
M AZKA DANIASINOM 3 dr. Retno BudihaBPJS ######## Apotik Rawat
AZKIYA RAHMASINOM 2 dr. Retno BudihaBPJS Rp1,787.40 Apotik Rawat
Tn. DEDE SUH MIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp92,252.82 Apotik Rawat
HARDIANSYAHDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp3,111.45 Apotik Rawat
An. M WAFI A IGD dr. Alvin Noor HBPJS Rp24,663.88 Apotik Rawat
SHIFA SALSABI GURISA (KELAS 2) dr. Santi Maria BPJS Rp34,217.60 Apotik Rawat
FITRI NUR PIANKINANTI dr. Lia SrimuliawBPJS ######## Apotik Rawat
GIN GIN PUTRI MIJIL 1 (ICU) dr. Santi Maria BPJS Rp30,436.33 Apotik Rawat
ADZAM PRADIPSINOM 1 dr. Retno BudihaBPJS Rp4,675.00 Apotik Rawat
YOYOH ROKAY BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp20,906.20 Apotik Rawat
Ny. EEN MAE RUANG TRANSIT dr. Annisa Tri K BPJS ######## Apotik Rawat
HERMAN RANTBALAKBAK 2-A dr. Lia SrimuliawCALON BPJS Rp17,598.39 Apotik Rawat
AZRIL PRABU SSINOM 3 dr. Retno BudihaBPJS Rp64,823.13 Apotik Rawat
Tn. YAYAT SUDDANGDANGGULA 2dr. Lia SrimuliawBPJS Rp5,031.25 Apotik Rawat
YESI LESTARI GURISA (KELAS 2) dr. Yanne Triha BPJS ######## Apotik Rawat
Ny. CICIH CAH DANGDANGGULA 3dr. H. Gus RiyadBPJS ######## Apotik Rawat
Nn. RATNA ANJDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,898.60 Apotik Rawat
Ny. SUPARTINIGURISA (KELAS 2) dr. Yanne Triha BPJS Rp48,648.39 Apotik Rawat
CEUCEU SULIA BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp3,537.50 Apotik Rawat
RANGGA DWILSINOM 2 dr. Nuning Indri BPJS Rp1,567.50 Apotik Rawat
AJANG SUPAR BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp1,807.56 Apotik Rawat
Ny. INA MINA PANGKUR 3 dr. Lia SrimuliawBPJS Rp59,919.50 Apotik Rawat
Ny. CICIN KUR DANGDANGGULA 3dr. H. Gus RiyadBPJS ######## Apotik Rawat
PUTRI BY NY ASMARANDANA (FO dr. Retno BudihaBPJS Rp875.00 Apotik Rawat
ARIANA HERDI DANGDANGGULA 2dr. Iyan Asiana BPJS Rp18,217.50 Apotik Rawat
SHIFA SALSABI GURISA (KELAS 2) dr. Santi Maria BPJS Rp11,325.01 Apotik Rawat
Ny. TIA RAHAY GURISA (KELAS 3) dr. Santi Maria BPJS ######## Apotik Rawat
IMA SITI ROHI ASMARANDANA (FO dr. Retno BudihaBPJS Rp74,924.99 Apotik Rawat
UJANG WAHYUBALAKBAK 3-C dr. H. Gus RiyadBPJS Rp26,898.60 Apotik Rawat
Ny. NESIH DANGDANGGULA 1dr. Lia SrimuliawBPJS ######## Apotik Rawat
BARRA ISFANDISINOM 2 dr. Retno BudihaBPJS Rp1,165.50 Apotik Rawat
Tn. II KUSWENDBALAKBAK 3-B dr. Lia SrimuliawBPJS Rp4,625.00 Apotik Rawat
Bayi Ny. IKA BYASMARANDANA (2B
dr. Retno BudihaBPJS Rp83,094.03 Apotik Rawat
ENI ROHAENI GURISA (KELAS 3) dr. Yanne Triha BPJS Rp39,333.20 Apotik Rawat
Tn. DEDE SUH MIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp31,225.25 Apotik Rawat
MILA AMALIA BAYI RAWAT GABUdr. Yanne Triha BPJS ######## Apotik Rawat
Ny. YETI ROHA BALAKBAK 3-A dr. Lia SrimuliawCALON BPJS Rp62,673.67 Apotik Rawat
GIN GIN PUTRI MIJIL 1 (ICU) dr. Santi Maria BPJS ######## Apotik Rawat
DENI HAMDANIMIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp75,707.14 Apotik Rawat
ENTIN JUARIAHDURMA dr. Lia SrimuliawBPJS ######## Apotik Rawat
Ny. CICIN KUR DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp42,266.00 Apotik Rawat
Rp474,710.42
BILLING PAGI
UM
Neng Cahya Titasari, Amd.farm 09-Jan-24 333 MANUAL RANAP 233247
Neng Cahya Titasari, Amd.farm 09-Jan-24 369 MANUAL RAJAL 233213
UMUM
YULI BY NYASMARANDA dr. Nuning UMUM 57269.19 Apotik RawNeng Cahya Titasari, Amd.farm 09-Jan-24
MAYA MEYS ASMARANDA dr. Nuning UMUM 57269.19 Apotik RawNeng Cahya Titasari, Amd.farm 09-Jan-24
MAULANA IGD dr. Alvin N UMUM 48463.86 Apotik RawNeng Cahya Titasari, Amd.farm 09-Jan-24
WINDIYANA SINOM 3 dr. Retno BUMUM 250 Apotik RawNeng Cahya Titasari, Amd.farm 09-Jan-24
ELSA PUTRBALAKBAK dr. Lia Sri CALON SK 30421.55 Apotik RawNeng Cahya Titasari, Amd.farm 09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
Total Billing Umum Pagi Rp193,673.79 Jumlah B
BPJS
643 MANUAL RANAP 233209 ASEP SANUBALAKBAK dr. Amelia BPJS 108.75
423 MANUAL RANAP 150600 ARIF HIDA SINOM 2 dr. Retno BBPJS 11919.45
626 MANUAL RANAP 233225 TOTOY SU BALAKBAK dr. Amelia BPJS 4717.5
459 MANUAL RANAP 94929 TRIANI SULGURISA (KEdr. Yanne BPJS 119661.3
602 MANUAL RANAP 233081 MUHAMMA SINOM 3 dr. Retno BBPJS 22199.56
559 MANUAL RANAP 181836 Ny. NESIH DANGDANG dr. Lia Sri BPJS 8325
625 MANUAL RANAP 233091 ERMAWATIRUANG TRAdr. Amelia BPJS 1394.44
558 MANUAL RANAP 37897 Tn. ANAN BALAKBAK dr. Lia Sri BPJS 59718
557 MANUAL RANAP 213546 SURYANA BALAKBAK dr. Lia Sri BPJS 81085.5
476 MANUAL RANAP 231338 RINA SAPITGURISA (KEdr. Yanne BPJS 87219.58
648 MANUAL RANAP 228301 SUSILAWATBALAKBAK dr. Amelia BPJS 132743.8
634 MANUAL RAJAL 17963 Tn. IYUNG IGD dr. Alvin N BPJS 3831.24
566 MANUAL RANAP 117880 An. M MU BALAKBAK dr. H. Gus BPJS 77562.96
601 MANUAL RAJAL 226226 RANGGA NIGD dr. Alvin N BPJS 30182.97
550 MANUAL RANAP 233182 RANGGA DSINOM 2 dr. Nuning BPJS 34311.49
646 MANUAL RANAP 232896 MISTAR DURMA dr. Amelia BPJS 25750
434 MANUAL RANAP 233044 ALDEREZKYSINOM 2 dr. Retno BBPJS 11919.45
631 MANUAL RANAP 160643 Ny. EULIS RUANG TRAdr. Amelia BPJS 45787.5
463 MANUAL RANAP 50793 Ny. SANTI GURISA (KEdr. Yanne BPJS 119661.3
522 MANUAL RANAP 232689 FITRI ANJAASMARANDdr. Retno BBPJS 1750
562 MANUAL RANAP 198496 Tn. DIDIN MIJIL 1 (IC dr. Amelia BPJS 188919.1
546 MANUAL RANAP 229552 RASHFIKI SSINOM 2 dr. Retno BBPJS 1562.51
518 MANUAL RANAP 18197 Ny. SUPARTGURISA (KEdr. Yanne BPJS 89638.68
654 MANUAL RANAP 196115 IROD SUG BALAKBAK dr. Amelia BPJS 19549.39
561 MANUAL RANAP 233050 WIDI SAWIBALAKBAK dr. Santi BPJS 7258.38
603 MANUAL RANAP 233091 ERMAWATIRUANG TRAdr. Amelia BPJS 8325
653 MANUAL RANAP 223841 IDING SAR DANGDANG dr. H. Gus BPJS 101.25
586 MANUAL RANAP 138626 An. YULIYAPANGKUR dr. Amelia BPJS 16749.39
599 MANUAL RANAP 233084 SUMPENA BALAKBAK dr. Amelia BPJS 17047.5
583 MANUAL RANAP 223841 IDING SAR DANGDANG dr. H. Gus BPJS 1619276
575 MANUAL RAJAL 61216 An. AMIRAIGD dr. Alvin N BPJS 163689
609 MANUAL RANAP 233093 ENTIN RUANG TRAdr. Amelia BPJS 14724.39
581 MANUAL RANAP 94929 TRIANI SULGURISA (KEdr. Yanne BPJS 61738.69
574 MANUAL RAJAL 231911 EMEH IGD dr. Alvin N BPJS 35282.3
662 MANUAL RANAP 232306 DENI HAM MIJIL 1 (IC dr. Lia Sri BPJS 138396.3
639 MANUAL RANAP 231880 GIN GIN PUMIJIL 1 (IC dr. Santi BPJS 1012506
660 MANUAL RANAP 221456 Tn. DEDE MIJIL 1 (IC dr. Lia Sri BPJS 238841.1
607 MANUAL RANAP 231332 FIRMAN SYBALAKBAK dr. Amelia BPJS 248779.2
633 MANUAL RANAP 233150 BULAN SOPBAYI RAWAdr. Santi BPJS 122904.8
606 MANUAL RANAP 232875 IWAN KURBALAKBAK dr. Amelia BPJS 66737.95
565 MANUAL RANAP 210021 ELIS SETIA DANGDANG dr. H. Gus BPJS 91641.27
655 MANUAL RANAP 12429 ARIANA HEDANGDANG dr. Iyan As BPJS 71993.53
605 MANUAL RANAP 162391 Tn. UDIN SDANGDANG dr. Amelia BPJS 14083.14
613 MANUAL RANAP 27987 Ny. SITI M RUANG TRAdr. Amelia BPJS 35036.68
579 MANUAL RAJAL 233246 E KARTINI IGD dr. Alvin N BPJS 31532.9
615 MANUAL RANAP 231880 GIN GIN PUMIJIL 1 (IC dr. Santi BPJS 67940.33
Jumlah Billing BPJS Siang 56 Total Billing BPJS Siang Rp5,921,19
BILLING SIANG
UMUM
Apotik RawAsep Afrizal, A.md Farm 09-Jan-24 635 MANUAL RANAP 233257
Apotik RawAyidnis Sabiela, A.md.farm
Rp5,921,196.68 Jumlah Billing Umum Siang 4 Tota
UMUM
BULAN SOPASMARANDdr. Nuning UMUM 44188.45 Apotik RawAyidnis Sabiela, A.md.farm 09-Jan-24
Ny. IIS AIS GURISA (KEdr. Santi UMUM 55716.25 Apotik RawAyidnis Sabiela, A.md.farm 09-Jan-24
ENI ROHAEASMARANDdr. Nuning UMUM 57269.19 Apotik RawAsep Afrizal, A.md Farm 09-Jan-24
PITRI ARIS ASMARANDA dr. Nuning UMUM 57269.19 Apotik RawAsep Afrizal, A.md Farm 09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
09-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
10-Jan-24
Total Billing Umum Siang Rp214,443.08 Jumlah Billi
BPJS
703 MANUAL RANAP 212475 Ny. OTI PANGKUR dr. Lia Sri BPJS ########
685 MANUAL RANAP 213546 SURYANA BALAKBAK dr. Lia Sri BPJS ########
744 MANUAL RANAP 233166 RADIKA AZISOLASI A dr. Nuning CALON BPJ 44963.31
54 MANUAL RANAP 220031 ZAYYAN ZABALAKBAK dr. Iyan As BPJS 31100.21
753 MANUAL RANAP 226018 YUMNA KHO SINOM 2 dr. Retno BBPJS 82947.56
731 MANUAL RANAP 233182 RANGGA DSINOM 2 dr. Nuning BPJS 64605.02
702 MANUAL RANAP 212475 Ny. OTI PANGKUR dr. Lia Sri BPJS ########
684 MANUAL RANAP 233056 HERMAN RBALAKBAK dr. Lia Sri CALON BPJ 75984.8
694 MANUAL RANAP 233255 KARTINI GURISA (KEdr. Yanne BPJS 79430.02
28 MANUAL RANAP 189137 ENI ROHAEGURISA (KEdr. Yanne BPJS 8395.7
681 MANUAL RANAP 219746 Tn. ADANGBALAKBAK dr. Lia Sri BPJS ########
51 MANUAL RANAP 169298 WINDA NUDANGDANG dr. Iyan As BPJS 77876.17
734 MANUAL RANAP 228409 MUHAMMAD SINOM 3 dr. Nuning BPJS 15962.49
730 MANUAL RANAP 229552 RASHFIKI SSINOM 2 dr. Retno BBPJS ########
742 MANUAL RANAP 233066 M ELDRIANISOLASI A dr. Retno BCALON BPJ ########
680 MANUAL RANAP 37897 Tn. ANAN BALAKBAK dr. Lia Sri BPJS ########
48 MANUAL RANAP 233093 ENTIN RUANG TRAdr. Amelia BPJS 54782.67
729 MANUAL RANAP 229552 RASHFIKI SSINOM 2 dr. Retno BBPJS ########
700 MANUAL RANAP 74499 Ny. ROSITABALAKBAK dr. Lia Sri BPJS 55009.33
748 MANUAL RAJAL 131374 An. M WAFIGD dr. Alvin N BPJS 32812.5
17 MANUAL RAJAL 233176 CEUCEU SUIGD dr. Nifa HanBPJS 50110.33
5 MANUAL RANAP 231338 RINA SAPITGURISA (KEdr. Yanne BPJS 18556.29
732 MANUAL RANAP 226226 RANGGA NSINOM 3 dr. Nuning BPJS 60365.94
728 MANUAL RANAP 233048 GIBRAN RAMIJIL 2 (P dr. Retno BBPJS ########
691 MANUAL RANAP 231457 Tn. ADE S PANGKUR dr. H. Gus BPJS ########
740 MANUAL RANAP 232444 ARMAN MAISOLASI A dr. Retno BBPJS 50458.56
678 MANUAL RANAP 233050 WIDI SAWIBALAKBAK dr. Santi BPJS 7673.24
749 MANUAL RANAP 220772 AZKA ALDRISOLASI A dr. Retno BBPJS ########
689 MANUAL RANAP 233176 CEUCEU SUBALAKBAK dr. Lia Sri BPJS 49102.89
35 MANUAL RANAP 213546 SURYANA BALAKBAK dr. Lia Sri BPJS ########
747 MANUAL RANAP 228983 BARRA ISF SINOM 2 dr. Retno BBPJS 33090.48
739 MANUAL RANAP 190928 M ABIDZARISOLASI A dr. Retno BBPJS ########
705 MANUAL RANAP 231466 Tn. YAYAN PANGKUR dr. H. Gus BPJS ########
688 MANUAL RANAP 140047 FITRI NUR KINANTI dr. Lia Sri BPJS 54444.63
723 MANUAL RANAP 61216 An. AMIRAMIJIL 2 (P dr. Nuning BPJS 59972.05
687 MANUAL RANAP 181836 Ny. NESIH DANGDANG dr. Lia Sri BPJS ########
32 MANUAL RANAP 233182 RANGGA DSINOM 2 dr. Nuning BPJS ########
745 MANUAL RANAP 212004 ADZAM PRA SINOM 1 dr. Retno BBPJS ########
7 MANUAL RANAP 232502 TITI BALAKBAK dr. Lia Sri BPJS 4717.5
704 MANUAL RANAP 233067 IMIN BALAKBAK dr. Amelia BPJS 15994.33
6 MANUAL RANAP 233068 ARIS MUN DANGDANG dr. H. Gus BPJS ########
14 MANUAL RANAP 231503 Ny. SITI H PANGKUR dr. Santi BPJS 79857
722 MANUAL RANAP 226955 ADANG SUBALAKBAK dr. Lia Sri BPJS ########
695 MANUAL RANAP 196115 IROD SUG BALAKBAK dr. Amelia BPJS 10775
41 MANUAL RANAP 233076 SHILLY MUDANGDANG dr. H. Gus BPJS 33300
672 MANUAL RANAP 231503 Ny. SITI H PANGKUR dr. Santi BPJS 69234.3
13 MANUAL RANAP 232896 MISTAR DURMA dr. Amelia BPJS ########
721 MANUAL RANAP 150467 AJANG SU BALAKBAK dr. Lia Sri BPJS 40171.14
741 MANUAL RANAP 180383 Ny. TUTI Y PANGKUR dr. Amelia BPJS 78374.61
671 MANUAL RANAP 232588 AEP HIDAYBALAKBAK dr. Lia Sri BPJS ########
12 MANUAL RANAP 233099 SOMANTRIBALAKBAK dr. Amelia BPJS 622.29
750 MANUAL RANAP 231880 GIN GIN PUMIJIL 1 (IC dr. Santi BPJS 32325.28
720 MANUAL RANAP 221590 Tn. II KUS BALAKBAK dr. Lia Sri BPJS 57479.16
701 MANUAL RANAP 233099 SOMANTRIBALAKBAK dr. Amelia BPJS 37369.67
683 MANUAL RANAP 23877 Ny. MIMINPANGKUR dr. Amelia BPJS ########
670 MANUAL RANAP 99597 Ny. TRI SA PANGKUR dr. Annisa BPJS ########
15 MANUAL RAJAL 233178 ERUS RUSTIGD dr. Nifa HanBPJS ########
719 MANUAL RANAP 120425 Ny. YETI R BALAKBAK dr. Lia Sri CALON BPJ 60959.68
692 MANUAL RANAP 194280 SUFRIYA TIBALAKBAK dr. Amelia BPJS ########
669 MANUAL RANAP 233209 ASEP SANUBALAKBAK dr. Amelia BPJS ########
10 MANUAL RANAP 226955 ADANG SUBALAKBAK dr. Lia Sri BPJS 7076.25
679 MANUAL RANAP 233178 ERUS RUSTBALAKBAK dr. Lia Sri BPJS ########
699 MANUAL RANAP 175102 Tn. ASEP BALAKBAK dr. Lia Sri BPJS 85256.23
668 MANUAL RANAP 232896 MISTAR DURMA dr. Amelia BPJS ########
746 MANUAL RANAP 198496 Tn. DIDIN MIJIL 1 (IC dr. Amelia BPJS ########
708 MANUAL RANAP 233246 E KARTINI BALAKBAK dr. Amelia BPJS 38255.79
706 MANUAL RAJAL 231911 EMEH IGD dr. Alvin N BPJS 41079.09
756 MANUAL RANAP 233091 ERMAWATIRUANG TRAdr. Amelia BPJS 160
667 MANUAL RANAP 233068 ARIS MUN DANGDANG dr. H. Gus BPJS ########
8 MANUAL RANAP 232588 AEP HIDAYBALAKBAK dr. Lia Sri BPJS 4717.5
697 MANUAL RANAP 232725 UNEN BALAKBAK dr. Lia Sri BPJS 96274.43
43 MANUAL RANAP 219746 Tn. ADANGBALAKBAK dr. Lia Sri BPJS 5100.03
40 MANUAL RANAP 37897 Tn. ANAN BALAKBAK dr. Lia Sri BPJS 131812.5
14 MANUAL RANAP 80837 Ny. ROPI GURISA (KEdr. Yanne BPJS 72321.19
13 MANUAL RANAP 168813 Ny. ENENGPANGKUR dr. Santi BPJS 9537
4 MANUAL RANAP 231044 PERMANA DANGDANG dr. Riri Ha BPJS 243732.63
23 MANUAL RANAP 181092 WINDA AGPANGKUR dr. Amelia BPJS 330500.05
Jumlah Billing BPJS Malam 68 Total Billing BPJS Malam Rp3,63
BILLING MALAM
UMUM
Apotik RawMuhamad Rizky Hidayah, S.Farm 09-Jan-24 736 MANUAL RANAP 233213
Apotik RawMuhamad Rizky Hidayah, S.Farm
Apotik RawMuhamad Fajar Sidik, Amd.farm
UMUM
MAULANA SINOM 2 dr. Nuning UMUM 34713.86 Apotik RawMuhamad Rizky Hidayah, S.Farm
WINDIYANA SINOM 3 dr. Retno BUMUM ######## Apotik RawMuhamad Rizky Hidayah, S.Farm
FEBI SOHI SINOM 2 dr. Retno BUMUM ######## Apotik RawMuhamad Rizky Hidayah, S.Farm
FEBI SOHI SINOM 2 dr. Retno BUMUM ######## Apotik RawMuhamad Rizky Hidayah, S.Farm
Ny. IIS AIS GURISA (KEdr. Santi UMUM 31879.69 Apotik RawMuhamad Rizky Hidayah, S.Farm
Total Billing Umum Malam Rp66,593.55
Hidayah, S.Farm
Hidayah, S.Farm
Hidayah, S.Farm
Hidayah, S.Farm
Hidayah, S.Farm
No. BPJS
11 10-Jan-24 271 MANUAL RANAP 233293
12 10-Jan-24 288 MANUAL RANAP 198496
13 10-Jan-24 230 MANUAL RANAP 226018
16 10-Jan-24 357 MANUAL RANAP 221590
17 10-Jan-24 176 MANUAL RANAP 232140
18 10-Jan-24 109 MANUAL RANAP 212475
19 10-Jan-24 268 MANUAL RANAP 163965
20 10-Jan-24 285 MANUAL RANAP 233182
21 10-Jan-24 226 MANUAL RANAP 231880
22 10-Jan-24 404 MANUAL RANAP 140047
23 10-Jan-24 144 MANUAL RANAP 229161
26 10-Jan-24 265 MANUAL RANAP 190928
27 10-Jan-24 353 MANUAL RANAP 231457
28 10-Jan-24 283 MANUAL RANAP 212004
29 10-Jan-24 219 MANUAL RANAP 231503
30 10-Jan-24 329 MANUAL RANAP 181092
31 10-Jan-24 205 MANUAL RANAP 213546
34 10-Jan-24 169 MANUAL RANAP 150467
35 10-Jan-24 102 MANUAL RANAP 175102
36 10-Jan-24 352 MANUAL RANAP 233091
37 10-Jan-24 282 MANUAL RANAP 232916
38 10-Jan-24 210 MANUAL RANAP 226226
39 10-Jan-24 321 MANUAL RANAP 168813
40 10-Jan-24 261 MANUAL RANAP 233269
41 10-Jan-24 199 MANUAL RANAP 233034
42 10-Jan-24 136 MANUAL RANAP 226955
43 10-Jan-24 163 MANUAL RANAP 226018
44 10-Jan-24 101 MANUAL RANAP 233099
45 10-Jan-24 394 MANUAL RANAP 140047
47 10-Jan-24 280 MANUAL RANAP 231983
48 10-Jan-24 318 MANUAL RANAP 232725
49 10-Jan-24 241 MANUAL RANAP 232145
50 10-Jan-24 194 MANUAL RANAP 181836
51 10-Jan-24 159 MANUAL RANAP 231457
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp14,386,477.57
BILLING PAGI
BPJS
Ny. ENENG HAYATULPANGKUR 3 dr. Santi Maria BPJS Rp18,556.29 Apotik Rawat
ERUS RUSTANDI BALAKBAK 3-B dr. Lia SrimuliawBPJS ### Apotik Rawat
Tn. ADANG BALAKBAK 3-C dr. Lia SrimuliawBPJS ### Apotik Rawat
ERMAWATI RUANG TRANSIT dr. Amelia AndriBPJS Rp10,048.27 Apotik Rawat
BARRA ISFANDIYAR SINOM 2 dr. Retno BudihaBPJS Rp11,250.00 Apotik Rawat
DENI HAMDANI MIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp62,366.08 Apotik Rawat
CEUCEU SULIAH BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp29,937.90 Apotik Rawat
AEP HIDAYAT BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp305.00 Apotik Rawat
RIYADHUL ZINAN Y PANGKUR 2 dr. Iyan Asiana BPJS Rp43,287.70 Apotik Rawat
TRIANI SULASTRI GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
YOYOH ASMARANDANA (FO dr. Santi Maria BPJS ### Apotik Rawat
Tn. DIDIN JAENUDINMIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
YUMNA KHOLIFATULSINOM 2 dr. Retno BudihaBPJS Rp1,562.51 Apotik Rawat
Ny. TRI SANTI MULYPANGKUR 3 dr. Annisa Tri K BPJS Rp91,227.48 Apotik Rawat
KARTINI GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
Tn. II KUSWENDI BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp18,323.75 Apotik Rawat
ENI RUANG TRANSIT dr. Amelia AndriBPJS Rp68,954.05 Apotik Rawat
Ny. OTI PANGKUR 1 dr. Lia SrimuliawBPJS Rp28,293.70 Apotik Rawat
ALMIRA NAJWA KHADANGDANGGULA 3dr. Riri Handayan BPJS Rp15,962.62 Apotik Rawat
RANGGA DWILAGANSINOM 2 dr. Nuning Indri BPJS Rp22,500.00 Apotik Rawat
GIN GIN PUTRI S L MIJIL 1 (ICU) dr. Santi Maria BPJS ### Apotik Rawat
FITRI NUR PIANI KINANTI dr. Lia SrimuliawBPJS ### Apotik Rawat
SYAHILA SHAFIRA A SINOM 2 dr. Retno BudihaBPJS Rp10,937.50 Apotik Rawat
Ny. ROSITA BALAKBAK 2-B dr. Lia SrimuliawBPJS ### Apotik Rawat
M ABIDZAR AL GHIF ISOLASI ANAK dr. Retno BudihaBPJS Rp12,752.51 Apotik Rawat
Tn. ADE SOPANDI BALAKBAK 1 dr. H. Gus RiyadBPJS Rp7,122.50 Apotik Rawat
ADZAM PRADIPTA ASINOM 1 dr. Retno BudihaBPJS ### Apotik Rawat
Ny. SITI HASANAH PANGKUR 3 dr. Santi Maria BPJS Rp34,217.60 Apotik Rawat
WINDA AGUSTIN PANGKUR 1 dr. Amelia AndriBPJS Rp59,718.00 Apotik Rawat
SURYANA FATAH BALAKBAK 3-C dr. Lia SrimuliawBPJS Rp45,787.50 Apotik Rawat
ANA BALAKBAK 3-B dr. Amelia AndriBPJS Rp40,454.45 Apotik Rawat
AJANG SUPARMAN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp42,745.39 Apotik Rawat
Tn. ASEP SURYAMA BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp57,922.05 Apotik Rawat
ERMAWATI RUANG TRANSIT dr. Amelia AndriBPJS Rp59,718.00 Apotik Rawat
Ny. MAYA MEYSHA GURISA (KELAS 2) dr. Yanne Triha BPJS Rp46,097.40 Apotik Rawat
RANGGA NUGRAHA SINOM 3 dr. Nuning Indri BPJS Rp5,029.66 Apotik Rawat
Ny. ENENG HAYATULPANGKUR 3 dr. Santi Maria BPJS Rp90,093.54 Apotik Rawat
RACHMAT BUDIMANDURMA dr. Amelia AndriBPJS ### Apotik Rawat
IMA SITI ROHIMAH BASMARANDANA (FO dr. Retno BudihaBPJS Rp82,458.78 Apotik Rawat
ADANG SUHENDAR BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp27,054.93 Apotik Rawat
YUMNA KHOLIFATULSINOM 2 dr. Retno BudihaBPJS Rp11,250.00 Apotik Rawat
SOMANTRI BALAKBAK 3-D dr. Amelia AndriBPJS Rp5,200.00 Apotik Rawat
FITRI NUR PIANI KINANTI dr. Lia SrimuliawBPJS Rp78,091.27 Apotik Rawat
Tn. MADA HERIYAN PANGKUR 2 dr. Amelia AndriBPJS Rp52,633.84 Apotik Rawat
RIYADHUL ZINAN Y PANGKUR 2 dr. Iyan Asiana BPJS Rp12,187.49 Apotik Rawat
UNEN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp6,324.15 Apotik Rawat
An. CHANDRA MAULDANGDANGGULA 3dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
Ny. NESIH BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp64,731.45 Apotik Rawat
Tn. ADE SOPANDI BALAKBAK 1 dr. H. Gus RiyadBPJS Rp48,375.05 Apotik Rawat
ARDELIA RABANI DANGDANGGULA 3dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
Rp1,906,198.27
BILLING PAGI
UMUM
Apt. Ghina Rahimah Az-zahra, S.fa 10-Jan-24 348 MANUAL RANAP 120425 Ny. YETI R
Zandy Tiaravani, A.md.farm 10-Jan-24 279 MANUAL RANAP 233056 HERMAN R
Zandy Tiaravani, A.md.farm 10-Jan-24 299 MANUAL RANAP 233066 M ELDRIAN
Zandy Tiaravani, A.md.farm 10-Jan-24 238 MANUAL RANAP 233260 M ABDUL A
Zandy Tiaravani, A.md.farm 10-Jan-24 188 MANUAL RANAP 233181 RISKA KHO
Zandy Tiaravani, A.md.farm 10-Jan-24 157 MANUAL RANAP 233260 M ABDUL A
Zandy Tiaravani, A.md.farm 10-Jan-24 81 MANUAL RANAP 233278 LENI SEPTI
Zandy Tiaravani, A.md.farm 10-Jan-24 345 MANUAL RANAP 233311 IIS AISAH
Zandy Tiaravani, A.md.farm 10-Jan-24 275 MANUAL RANAP 182659 Ny. IIS AIS
Zandy Tiaravani, A.md.farm 10-Jan-24 296 MANUAL RANAP 232943 WINDIYANA
Zandy Tiaravani, A.md.farm 10-Jan-24 235 MANUAL RANAP 232943 WINDIYANA
Zandy Tiaravani, A.md.farm 10-Jan-24 78 MANUAL RANAP 233307 TRIANI SUL
Rp3,260,987.51 Jumlah Billing Umum Pagi 12 Total Bil
UMUM
BALAKBAK dr. Lia Sri CALON BPJ 34484 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 562
BALAKBAK dr. Lia Sri CALON BPJ 37396.1 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 510
ISOLASI A dr. Retno BCALON BPJ 11250 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 539
SINOM 2 dr. Nuning CALON SK 30058.58 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 472
MIJIL 2 (P dr. Nuning CALON SK 97605.31 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 471
SINOM 2 dr. Nuning CALON SK 1562.51 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 508
PANGKUR dr. Iva Yul UMUM 241242.9 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 463
ASMARANDA dr. Nuning UMUM 37739.25 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 572
GURISA (KEdr. Santi UMUM 26133.03 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 507
SINOM 3 dr. Retno BUMUM 17367.28 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 435
SINOM 3 dr. Retno BUMUM 11250 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 459
ASMARANDdr. Nuning UMUM 58279.09 Apotik RawZandy Tiaravani, A.md.farm 10-Jan-24 425
10-Jan-24 556
10-Jan-24 569
10-Jan-24 554
10-Jan-24 456
10-Jan-24 425
10-Jan-24 568
10-Jan-24 491
10-Jan-24 534
10-Jan-24 455
10-Jan-24 567
10-Jan-24 489
10-Jan-24 532
10-Jan-24 452
10-Jan-24 566
10-Jan-24 527
10-Jan-24 447
10-Jan-24 548
10-Jan-24 563
10-Jan-24 522
10-Jan-24 444
10-Jan-24 541
10-Jan-24 473
10-Jan-24 538
10-Jan-24 559
10-Jan-24 537
10-Jan-24 561
10-Jan-24 535
10-Jan-24 560
10-Jan-24 557
10-Jan-24 550
Total Billing Umum Pagi Rp604,368.02 Jumlah Billing BPJS Si
BPJS
MANUAL RANAP 121461 Ny. IIS HA KINANTI dr. Lia Sri BPJS 84641.2 Apotik Raw
MANUAL RANAP 114779 ARGHI KEYBALAKBAK dr. Iyan As BPJS 83931.58 Apotik Raw
MANUAL RAJAL 223025 Ny. ERLIS IGD dr. EprianaBPJS 41577.5 Apotik Raw
MANUAL RANAP 232306 DENI HAM MIJIL 1 (IC dr. Lia Sri BPJS 95843.16 Apotik Raw
MANUAL RANAP 233255 KARTINI GURISA (KEdr. Yanne BPJS 19702.5 Apotik Raw
MANUAL RANAP 21740 Ny. SETIA RUANG TRAdr. Amelia BPJS 21228.76 Apotik Raw
MANUAL RANAP 232444 ARMAN MAISOLASI A dr. Retno BBPJS 10525.01 Apotik Raw
MANUAL RANAP 103119 Nn. SILVIA GURISA (KEdr. Yanne BPJS 15845.19 Apotik Raw
MANUAL RANAP 233148 YULI ANGGGURISA (KEdr. Yanne BPJS 85970.52 Apotik Raw
MANUAL RANAP 231828 NENGSIH BASMARANDdr. Nuning BPJS 875 Apotik Raw
MANUAL RANAP 212004 ADZAM PRA SINOM 1 dr. Retno BBPJS 65539.31 Apotik Raw
MANUAL RANAP 231466 Tn. YAYAN PANGKUR dr. H. Gus BPJS 26449.3 Apotik Raw
MANUAL RANAP 226018 YUMNA KHO SINOM 2 dr. Retno BBPJS 58760.62 Apotik Raw
MANUAL RANAP 231044 PERMANA DANGDANG dr. Riri Ha BPJS 29712.73 Apotik Raw
MANUAL RANAP 231828 NENGSIH BASMARANDdr. Nuning BPJS 80648.16 Apotik Raw
MANUAL RANAP 233091 ERMAWATIRUANG TRAdr. Amelia BPJS 80829.01 Apotik Raw
MANUAL RANAP 233182 RANGGA DSINOM 2 dr. Nuning BPJS 18558.8 Apotik Raw
MANUAL RANAP 232896 MISTAR DURMA dr. Amelia BPJS 136422.8 Apotik Raw
MANUAL RANAP 211614 Ny. ETI BALAKBAK dr. Amelia BPJS 1500 Apotik Raw
MANUAL RANAP 232140 ENI RUANG TRAdr. Amelia BPJS 125613.1 Apotik Raw
MANUAL RANAP 229552 RASHFIKI SISOLASI A dr. Retno BBPJS 56682.45 Apotik Raw
MANUAL RANAP 233067 IMIN BALAKBAK dr. Amelia BPJS 24186.68 Apotik Raw
MANUAL RANAP 231880 GIN GIN PUMIJIL 1 (IC dr. Santi BPJS 71906.23 Apotik Raw
MANUAL RANAP 220772 AZKA ALDRISOLASI A dr. Retno BBPJS 12752.51 Apotik Raw
MANUAL RANAP 233181 RISKA KHOMIJIL 2 (P dr. Nuning BPJS 259586.5 Apotik Raw
MANUAL RANAP 231238 PITRI ARI BAYI RAWAdr. Yanne BPJS 89595.52 Apotik Raw
MANUAL RANAP 181092 WINDA AGPANGKUR dr. Amelia BPJS 8282.14 Apotik Raw
MANUAL RANAP 189137 ENI ROHAEGURISA (KEdr. Yanne BPJS 205021.7 Apotik Raw
MANUAL RANAP 231828 NENGSIH BASMARANDdr. Nuning BPJS 31250 Apotik Raw
MANUAL RANAP 233150 BULAN SOPBAYI RAWAdr. Santi BPJS 259239.2 Apotik Raw
MANUAL RANAP 232893 WISNU NUBALAKBAK dr. Iyan As BPJS 230189.1 Apotik Raw
MANUAL RANAP 233288 ANA BALAKBAK dr. Amelia BPJS 8895 Apotik Raw
MANUAL RAJAL 145311 YAKUB IGD dr. Nifa HanBPJS 50064.55 Apotik Raw
MANUAL RANAP 228301 SUSILAWATBALAKBAK dr. Amelia BPJS 0 Apotik Raw
MANUAL RANAP 230255 Tn. DADA DANGDANG dr. Iyan As BPJS 230283 Apotik Raw
MANUAL RANAP 61828 POPON SUBALAKBAK dr. Amelia BPJS 4717.5 Apotik Raw
MANUAL RANAP 231159 MARYANI DANGDANG dr. Iyan As BPJS 245283 Apotik Raw
MANUAL RAJAL 233315 IKA KARTIKIGD dr. Nifa HanBPJS 40527.55 Apotik Raw
MANUAL RAJAL 233312 UJANG MAIGD dr. EprianaBPJS 91834.86 Apotik Raw
BILLING SIANG
UMUM
Sri Mulyati, A.md.farm. 10-Jan-24 502 MANUAL RANAP 233318 KARTINI BY
Sri Mulyati, A.md.farm. 10-Jan-24 551 MANUAL RAJAL 233292 An. TIARA
Sri Mulyati, A.md.farm. 10-Jan-24 486 MANUAL RANAP 233316 ANITA BY
Sri Mulyati, A.md.farm. 10-Jan-24 553 MANUAL RANAP 200351 MUHAMMAD
Sri Mulyati, A.md.farm. 10-Jan-24 461 MANUAL RAJAL 233304 ANITA
Sri Mulyati, A.md.farm. 10-Jan-24 552 MANUAL RANAP 233310 AFGAN
Sri Mulyati, A.md.farm. 10-Jan-24 555 MANUAL RANAP 233310 AFGAN
Rp3,389,526.92 Jumlah Billing Umum Siang 7 Total Billin
UMUM
ASMARANDA dr. Nuning UMUM 23763.62 Apotik RawSri Mulyati, A.md.farm. 10-Jan-24 640
IGD dr. Nifa HanUMUM 14987.77 Apotik RawSri Mulyati, A.md.farm. 10-Jan-24 630
ASMARANDA dr. Nuning UMUM 30685.75 Apotik RawSri Mulyati, A.md.farm. 10-Jan-24 639
SINOM 2 dr. Nuning CALON BPJ 26157.98 Apotik RawSri Mulyati, A.md.farm. 10-Jan-24 629
IGD dr. EprianaCALON SK 8325 Apotik RawSri Mulyati, A.md.farm. 10-Jan-24 599
10-Jan-24 628
10-Jan-24 598
10-Jan-24 588
10-Jan-24 637
10-Jan-24 627
10-Jan-24 597
10-Jan-24 605
10-Jan-24 587
10-Jan-24 636
10-Jan-24 596
10-Jan-24 604
10-Jan-24 582
10-Jan-24 623
10-Jan-24 635
10-Jan-24 644
10-Jan-24 595
10-Jan-24 633
10-Jan-24 603
10-Jan-24 622
10-Jan-24 634
10-Jan-24 643
10-Jan-24 632
10-Jan-24 610
10-Jan-24 593
10-Jan-24 641
10-Jan-24 631
10-Jan-24 601
11-Jan-24 33
11-Jan-24 17
11-Jan-24 25
11-Jan-24 4
11-Jan-24 72
11-Jan-24 24
11-Jan-24 3
11-Jan-24 32
11-Jan-24 46
11-Jan-24 23
11-Jan-24 1
11-Jan-24 31
11-Jan-24 13
11-Jan-24 45
11-Jan-24 38
11-Jan-24 22
11-Jan-24 30
11-Jan-24 12
11-Jan-24 44
11-Jan-24 37
11-Jan-24 21
11-Jan-24 29
11-Jan-24 11
11-Jan-24 43
11-Jan-24 36
11-Jan-24 28
11-Jan-24 10
11-Jan-24 42
11-Jan-24 35
11-Jan-24 19
11-Jan-24 27
11-Jan-24 9
11-Jan-24 60
11-Jan-24 34
11-Jan-24 26
11-Jan-24 5
11-Jan-24 75
11-Jan-24 58
Total Billing Umum Siang Rp185,421.92 Jumlah Billing BPJS M
BPJS
MANUAL RANAP 213546 SURYANA BALAKBAK dr. Lia Sri BPJS 108532.24 Apotik Raw
MANUAL RANAP 223025 Ny. ERLIS DANGDANG dr. Iyan As BPJS 284390 Apotik Raw
MANUAL RANAP 181836 Ny. NESIH BALAKBAK dr. Lia Sri BPJS 324051.18 Apotik Raw
MANUAL RANAP 233166 RADIKA AZSINOM 3 dr. Nuning BPJS 44963.31 Apotik Raw
MANUAL RANAP 131374 An. M WAFSINOM 1 dr. Nuning BPJS 37267.5 Apotik Raw
MANUAL RANAP 233313 FITRI YANI RUANG TRAdr. Lia Sri BPJS 72799.56 Apotik Raw
MANUAL RANAP 121461 Ny. IIS HA KINANTI dr. Lia Sri BPJS 75747.01 Apotik Raw
MANUAL RANAP 233081 MUHAMMA SINOM 3 dr. Retno BBPJS 50095.53 Apotik Raw
MANUAL RANAP 61216 An. AMIRAMIJIL 2 (P dr. Nuning BPJS 80775.24 Apotik Raw
MANUAL RANAP 140047 FITRI NUR KINANTI dr. Lia Sri BPJS 41300.75 Apotik Raw
MANUAL RANAP 233066 M ELDRIANISOLASI A dr. Retno BBPJS 138280.99 Apotik Raw
MANUAL RANAP 232930 SASKIA SINOM 3 dr. Retno BBPJS 70587.6 Apotik Raw
MANUAL RANAP 233048 GIBRAN RAISOLASI A dr. Retno BBPJS 291015.52 Apotik Raw
MANUAL RANAP 17963 Tn. IYUNG BALAKBAK dr. Amelia BPJS 50010.65 Apotik Raw
MANUAL RANAP 226018 YUMNA KHO SINOM 2 dr. Retno BBPJS 115761.9 Apotik Raw
MANUAL RANAP 229161 SYAHILA S SINOM 2 dr. Retno BBPJS 23995.01 Apotik Raw
MANUAL RANAP 233296 SINTA RAHBAYI RAWAdr. Santi BPJS 53002.52 Apotik Raw
MANUAL RANAP 219746 Tn. ADANGBALAKBAK dr. Lia Sri BPJS 84504.05 Apotik Raw
MANUAL RANAP 232140 ENI RUANG TRAdr. Amelia BPJS 77074.77 Apotik Raw
MANUAL RANAP 87099 Tn. MADA PANGKUR dr. Amelia BPJS 56119.54 Apotik Raw
MANUAL RANAP 231880 GIN GIN PUMIJIL 1 (IC dr. Santi BPJS 86484.26 Apotik Raw
MANUAL RANAP 233315 IKA KARTIKBALAKBAK dr. Lia Sri BPJS 160 Apotik Raw
MANUAL RANAP 160643 Ny. EULIS RUANG TRAdr. Amelia BPJS 23368.49 Apotik Raw
MANUAL RANAP 233225 TOTOY SU BALAKBAK dr. Amelia BPJS 32550 Apotik Raw
MANUAL RANAP 181092 WINDA AGPANGKUR dr. Amelia BPJS 70074.7 Apotik Raw
MANUAL RANAP 226226 RANGGA NSINOM 3 dr. Nuning BPJS 64980.74 Apotik Raw
MANUAL RANAP 74499 Ny. ROSITABALAKBAK dr. Lia Sri BPJS 92163.1 Apotik Raw
MANUAL RANAP 183875 Ny. NENG BALAKBAK dr. Amelia BPJS 309010.98 Apotik Raw
MANUAL RANAP 212004 ADZAM PRA SINOM 1 dr. Retno BBPJS 199031.14 Apotik Raw
MANUAL RANAP 61828 POPON SUBALAKBAK dr. Amelia BPJS 88873.49 Apotik Raw
MANUAL RANAP 233178 ERUS RUSTBALAKBAK dr. Lia Sri BPJS 326119.91 Apotik Raw
MANUAL RANAP 233319 ASEP SUG BALAKBAK dr. Lia Sri BPJS 66620.5 Apotik Raw
MANUAL RANAP 231457 Tn. ADE S BALAKBAK dr. H. Gus BPJS 470896.36 Apotik Raw
MANUAL RANAP 120425 Ny. YETI R BALAKBAK dr. Lia Sri BPJS 59797.18 Apotik Raw
MANUAL RANAP 106509 WAWAN HDANGDANG dr. Amelia BPJS 370521.22 Apotik Raw
MANUAL RANAP 23877 Ny. MIMINPANGKUR dr. Amelia BPJS 232483.77 Apotik Raw
MANUAL RANAP 233181 RISKA KHOMIJIL 2 (P dr. Nuning BPJS 1665 Apotik Raw
MANUAL RANAP 233312 UJANG MADANGDANG dr. Iyan As BPJS 95283.78 Apotik Raw
MANUAL RANAP 219746 Tn. ADANGBALAKBAK dr. Lia Sri BPJS 5100.03 Apotik Raw
MANUAL RANAP 233246 E KARTINI BALAKBAK dr. Amelia BPJS 46619.54 Apotik Raw
MANUAL RANAP 233288 ANA BALAKBAK dr. Amelia BPJS 55726.4 Apotik Raw
MANUAL RANAP 223841 IDING SAR DANGDANG dr. H. Gus BPJS 32913.75 Apotik Raw
MANUAL RANAP 233225 TOTOY SU BALAKBAK dr. Amelia BPJS 7076.25 Apotik Raw
MANUAL RANAP 233269 RACHMAT DURMA dr. Amelia BPJS 310557.68 Apotik Raw
MANUAL RANAP 196115 IROD SUG BALAKBAK dr. Amelia BPJS 49846.75 Apotik Raw
MANUAL RANAP 233327 IPAH SITI BALAKBAK dr. Amelia BPJS 48116.5 Apotik Raw
MANUAL RANAP 228301 SUSILAWATBALAKBAK dr. Amelia BPJS 53627.14 Apotik Raw
MANUAL RANAP 180383 Ny. TUTI Y PANGKUR dr. Amelia BPJS 53516.5 Apotik Raw
MANUAL RANAP 233315 IKA KARTIKBALAKBAK dr. Lia Sri BPJS 52062 Apotik Raw
MANUAL RANAP 210021 ELIS SETIA DANGDANG dr. H. Gus BPJS 403023.86 Apotik Raw
MANUAL RANAP 233209 ASEP SANUBALAKBAK dr. Amelia BPJS 111459.86 Apotik Raw
MANUAL RANAP 232785 SUKANDI WIRANGR dr. Lia Sri BPJS 99863.14 Apotik Raw
MANUAL RANAP 233161 YATI ROSTYDANGDANG dr. Lia Sri BPJS 48831.5 Apotik Raw
MANUAL RANAP 145311 YAKUB BALAKBAK dr. Lia Sri BPJS 61599.75 Apotik Raw
MANUAL RANAP 103119 Nn. SILVIA GURISA (KEdr. Yanne BPJS 57822 Apotik Raw
MANUAL RANAP 221590 Tn. II KUS BALAKBAK dr. Lia Sri BPJS 72204.59 Apotik Raw
MANUAL RANAP 231911 EMEH PANGKUR dr. Yanne BPJS 44941.59 Apotik Raw
MANUAL RANAP 233325 DARSONO BALAKBAK dr. Lia Sri BPJS 74086.99 Apotik Raw
MANUAL RANAP 181836 Ny. NESIH BALAKBAK dr. Lia Sri BPJS 30312.44 Apotik Raw
Jumlah Billing BPJS Malam 72 Total Billing BPJS Malam Rp7,735,963.14
BILLING MALAM
UMUM
Ayidnis Sabiela, A.md.farm 10-Jan-24 600 MANUAL RANAP 233169 FEBI SOHI
Ayidnis Sabiela, A.md.farm 10-Jan-24 608 MANUAL RANAP 233292 An. TIARA
Ayidnis Sabiela, A.md.farm 10-Jan-24 590 MANUAL RANAP 200351 MUHAMMAD
Ayidnis Sabiela, A.md.farm 10-Jan-24 592 MANUAL RAJAL 233326 RANTI LIAW
Ayidnis Sabiela, A.md.farm 10-Jan-24 589 MANUAL RANAP 233310 AFGAN
Ayidnis Sabiela, A.md.farm 10-Jan-24 606 MANUAL RANAP 233213 MAULANA
Ayidnis Sabiela, A.md.farm 10-Jan-24 602 MANUAL RANAP 233260 M ABDUL A
Ayidnis Sabiela, A.md.farm 10-Jan-24 609 MANUAL RANAP 232943 WINDIYANA
Ayidnis Sabiela, A.md.farm 11-Jan-24 54 MANUAL RANAP 233332 SINTA BY N
Ayidnis Sabiela, A.md.farm 11-Jan-24 14 MANUAL RANAP 200351 MUHAMMAD
Ayidnis Sabiela, A.md.farm 11-Jan-24 71 MANUAL RANAP 194115 Ny. YUYUN
Ayidnis Sabiela, A.md.farm 11-Jan-24 20 MANUAL RANAP 233278 LENI SEPTI
Ayidnis Sabiela, A.md.farm 11-Jan-24 64 MANUAL RANAP 233332 SINTA BY N
Ayidnis Sabiela, A.md.farm 11-Jan-24 18 MANUAL RANAP 233308 N SUPARM
Rp7,735,963.14 Jumlah Billing Umum Malam 14 Total Billing Um
UMUM
SINOM 2 dr. Retno BUMUM 135147.4 Apotik RawAyidnis Sabiela, A.md.farm
SINOM 3 dr. Nuning UMUM 44963.31 Apotik RawAyidnis Sabiela, A.md.farm
SINOM 2 dr. Nuning CALON BPJ 41145.75 Apotik RawAyidnis Sabiela, A.md.farm
IGD dr. Nifa HanCALON BPJ 0 Apotik RawAyidnis Sabiela, A.md.farm
SINOM 2 dr. Nuning CALON BPJ 31924.98 Apotik RawAyidnis Sabiela, A.md.farm
SINOM 2 dr. Nuning UMUM 36379.98 Apotik RawAyidnis Sabiela, A.md.farm
SINOM 2 dr. Nuning CALON SK 131934.8 Apotik RawAyidnis Sabiela, A.md.farm
SINOM 3 dr. Retno BUMUM 87821.03 Apotik RawAyidnis Sabiela, A.md.farm
ASMARANDdr. Nuning UMUM 27161.13 Apotik RawAyidnis Sabiela, A.md.farm
SINOM 2 dr. Nuning CALON BPJ 850 Apotik RawAyidnis Sabiela, A.md.farm
GURISA (KEdr. Santi CALON BPJ 41178.25 Apotik RawAyidnis Sabiela, A.md.farm
PANGKUR dr. Iva Yul UMUM 204932 Apotik RawAyidnis Sabiela, A.md.farm
ASMARANDdr. Nuning UMUM 286651.8 Apotik RawAyidnis Sabiela, A.md.farm
DURMA dr. Amelia CALON BPJ 46317.86 Apotik RawAyidnis Sabiela, A.md.farm
No. B
10 11-Jan-24 149 MANUAL RANAP 232785
11 11-Jan-24 447 MANUAL RANAP 160643
12 11-Jan-24 253 MANUAL RANAP 223025
13 11-Jan-24 446 MANUAL RANAP 219746
14 11-Jan-24 114 MANUAL RANAP 233315
15 11-Jan-24 312 MANUAL RANAP 157257
16 11-Jan-24 234 MANUAL RANAP 233315
18 11-Jan-24 444 MANUAL RANAP 232588
19 11-Jan-24 439 MANUAL RANAP 233246
21 11-Jan-24 200 MANUAL RANAP 117880
22 11-Jan-24 440 MANUAL RANAP 231457
23 11-Jan-24 437 MANUAL RANAP 233269
25 11-Jan-24 176 MANUAL RANAP 233246
26 11-Jan-24 125 MANUAL RANAP 233312
27 11-Jan-24 436 MANUAL RANAP 233325
28 11-Jan-24 366 MANUAL RANAP 233312
29 11-Jan-24 159 MANUAL RANAP 121461
30 11-Jan-24 450 MANUAL RANAP 183875
31 11-Jan-24 124 MANUAL RANAP 121461
32 11-Jan-24 289 MANUAL RANAP 121461
34 11-Jan-24 338 MANUAL RANAP 213546
35 11-Jan-24 327 MANUAL RANAP 181836
36 11-Jan-24 158 MANUAL RANAP 198496
37 11-Jan-24 294 MANUAL RANAP 145311
38 11-Jan-24 292 MANUAL RANAP 233313
40
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55
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91
92
93
94
95
96
97
98
99
100
Rp14,395,663.42 Rp1,677,989.09
BILLING PAGI
BPJS
ERUS RUSTANDBALAKBAK 3-B dr. Lia SrimuliawBPJS Rp27,509.40 Apotik Rawat
ELIS SETIAWATDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp36,648.60 Apotik Rawat
Tn. AMAT SU BALAKBAK 3-D dr. Amelia AndriBPJS ### Apotik Rawat
Bayi Ny. IKA BYASMARANDANA (2B dr. Retno BudihaBPJS ### Apotik Rawat
GIN GIN PUTRI MIJIL 1 (ICU) dr. Santi Maria BPJS ### Apotik Rawat
TRIANI SULASTGURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. ROPI ROB GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
ASEP SUGAMABALAKBAK 3-B dr. Lia SrimuliawBPJS Rp77,735.37 Apotik Rawat
DENI HAMDANIMIJIL 1 (ICU) dr. Lia SrimuliawBPJS ### Apotik Rawat
SUKANDI BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp62,574.83 Apotik Rawat
Ny. EULIS RUANG TRANSIT dr. Amelia AndriBPJS Rp34,007.39 Apotik Rawat
Ny. ERLIS MUL DANGDANGGULA 1dr. Iyan Asiana BPJS Rp59,107.50 Apotik Rawat
Tn. ADANG BALAKBAK 3-C dr. Lia SrimuliawBPJS Rp13,768.70 Apotik Rawat
IKA KARTIKA BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp8,325.00 Apotik Rawat
SOLIHIN BALAKBAK 3-D dr. Amelia AndriBPJS Rp34,228.74 Apotik Rawat
IKA KARTIKA BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp5,269.72 Apotik Rawat
Ny. YUYUN WI BAYI RAWAT GABUdr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
E KARTINI BALAKBAK 3-A dr. Amelia AndriBPJS Rp18,760.00 Apotik Rawat
Ny. APOY PANGKUR 3 dr. Amelia AndriBPJS Rp54,400.52 Apotik Rawat
An. M MUADZ BALAKBAK 2-A dr. H. Gus RiyadBPJS Rp15,375.00 Apotik Rawat
Tn. ADE SOPANBALAKBAK 1 dr. H. Gus RiyadBPJS Rp26,898.60 Apotik Rawat
RACHMAT BUDDURMA dr. Amelia AndriBPJS ### Apotik Rawat
Ny. EUIS SITI BALAKBAK 3-A dr. Amelia AndriBPJS Rp38,068.93 Apotik Rawat
E KARTINI BALAKBAK 3-A dr. Amelia AndriBPJS Rp8,936.89 Apotik Rawat
UJANG MARDI DANGDANGGULA 3dr. Iyan Asiana BPJS Rp35,031.38 Apotik Rawat
DARSONO BALAKBAK 3-D dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. IIS HALIMAKINANTI dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. NENG SUMIBALAKBAK 2-B dr. Amelia AndriBPJS Rp33,937.50 Apotik Rawat
Ny. IIS HALIMAKINANTI dr. Lia SrimuliawBPJS Rp31,997.75 Apotik Rawat
Ny. IIS HALIMAKINANTI dr. Lia SrimuliawBPJS Rp18,966.25 Apotik Rawat
Ny. SANTI SUS GURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
SURYANA FATABALAKBAK 3-C dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. NESIH BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp60,962.58 Apotik Rawat
YAKUB BALAKBAK 3-B dr. Lia SrimuliawBPJS ### Apotik Rawat
FITRI YANI RUANG TRANSIT dr. Lia SrimuliawBPJS Rp2,525.24 Apotik Rawat
WAWAN HERMDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp44,999.97 Apotik Rawat
BILLING PAGI
UMU
Zandy Tiaravani, A.md.farm 11-Jan-24 290 MANUAL RAJAL 233344
UMUM
INDAH NU BAYI RAWAdr. Santi CALON BPJ96.727,06 Apotik RawZandy Tiaravani, A.md.farm 11-Jan-24
LIEVIA MA IGD dr. Alvin N CALON BPJ67.577,52 Apotik RawZandy Tiaravani, A.md.farm 11-Jan-24
AMAT SUTIBALAKBAK dr. Annisa UMUM 93.076,76 Apotik RawZandy Tiaravani, A.md.farm 11-Jan-24
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11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
Total Billing Umum Pagi Rp0.00 Jumlah Billi
BPJS
532 MANUAL RANAP 233260 M ABDUL ASINOM 2 dr. Nuning BPJS 60377.81
461 MANUAL RANAP 231587 Tn. PURMABALAKBAK dr. H. Gus BPJS 52865.46
473 MANUAL RANAP 231911 EMEH PANGKUR dr. Yanne BPJS 350
460 MANUAL RANAP 192888 DHANY RAPANGKUR dr. H. Gus BPJS 52865.46
558 MANUAL RAJAL 233371 SIVA MAULIGD dr. Fandi BPJS 117775
541 MANUAL RANAP 87099 Tn. MADA PANGKUR dr. Amelia BPJS 39907.27
472 MANUAL RANAP 223841 IDING SAR DANGDANG dr. H. Gus BPJS 102453
507 MANUAL RANAP 196115 IROD SUG BALAKBAK dr. Amelia BPJS 15474.39
448 MANUAL RANAP 212004 ADZAM PRA SINOM 1 dr. Retno BBPJS 17212.5
530 MANUAL RANAP 86479 Ny. ANI M DANGDANG dr. H. Gus BPJS 186323
401 MANUAL RANAP 81236 Ny. YUYUNBAYI RAWAdr. Yanne BPJS 72279.44
540 MANUAL RANAP 233161 YATI ROSTYDANGDANG dr. Lia Sri BPJS 2358.75
471 MANUAL RANAP 232773 Tn. OSKAR DANGDANG dr. H. Gus BPJS 79814.54
567 MANUAL RANAP 233336 WIRA OKT MIJIL 2 (P dr. Nuning BPJS 24697.5
459 MANUAL RANAP 180371 Tn. AKHDI BALAKBAK dr. Amelia BPJS 56517.55
398 MANUAL RANAP 81236 Ny. YUYUNBAYI RAWAdr. Yanne BPJS 18237.3
539 MANUAL RANAP 233327 IPAH SITI BALAKBAK dr. Amelia BPJS 3135
491 MANUAL RANAP 233246 E KARTINI BALAKBAK dr. Amelia BPJS 53262.65
524 MANUAL RANAP 233269 RACHMAT DURMA dr. Amelia BPJS 0
458 MANUAL RANAP 121461 Ny. IIS HA MIJIL 1 (IC dr. Lia Sri BPJS 25750
416 MANUAL RANAP 233324 RANTI LIA GURISA (KEdr. Santi BPJS 11695.04
538 MANUAL RANAP 233351 VITO ADIL BALAKBAK dr. Amelia BPJS 74483.77
550 MANUAL RANAP 208577 ENTJUP PANGKUR dr. Amelia BPJS 8325
521 MANUAL RANAP 78456 Ny. APOY PANGKUR dr. Amelia BPJS 8936.89
456 MANUAL RANAP 223025 Ny. ERLIS DANGDANG dr. Iyan As BPJS 105148.2
479 MANUAL RAJAL 233373 SITI MAES IGD dr. Fandi BPJS 50088.25
549 MANUAL RANAP 208577 ENTJUP PANGKUR dr. Amelia BPJS 39803.58
453 MANUAL RANAP 233365 MITA AMELBAYI RAWAdr. Yanne BPJS 75896.27
498 MANUAL RANAP 211614 Ny. ETI BALAKBAK dr. Amelia BPJS 22174.39
463 MANUAL RANAP 61216 An. AMIRASINOM 3 dr. Nuning BPJS 82701.45
548 MANUAL RANAP 233367 ADITYA M BALAKBAK dr. Amelia BPJS 153591.4
517 MANUAL RANAP 183875 Ny. NENG BALAKBAK dr. Amelia BPJS 31768.7
462 MANUAL RANAP 233351 VITO ADIL BALAKBAK dr. Amelia BPJS 32463.2
560 MANUAL RAJAL 233374 RENALDI AIGD dr. Fandi BPJS 33022.77
546 MANUAL RANAP 233315 IKA KARTIKBALAKBAK dr. Lia Sri BPJS 228693.2
476 MANUAL RANAP 233304 ANITA BAYI RAWAdr. Yanne BPJS 261037.4
514 MANUAL RANAP 17963 Tn. IYUNG BALAKBAK dr. Amelia BPJS 72418.85
409 MANUAL RANAP 103119 Nn. SILVIA GURISA (KEdr. Yanne BPJS 13736.25
BILLING SIANG
UMUM
Apotik RawAsep Afrizal, A.md Farm 11-Jan-24 547 MANUAL RAJAL 233368
Apotik RawAsep Afrizal, A.md Farm 11-Jan-24 369 MANUAL RAJAL 233361
Rp3,851,259.81 Jumlah Billing Umum Siang 10 Tot
UMUM
Ny. IIS AIS GURISA (KEdr. Santi UMUM 27032.13 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
AMAT SUTIBALAKBAK dr. Annisa UMUM 50775.97 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
Ny. IIS AIS GURISA (KEdr. Santi UMUM 34217.6 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
WINDIYANA SINOM 3 dr. Retno BUMUM 18324.3 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
FEBI SOHI SINOM 2 dr. Retno BUMUM 12752.51 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
ASEP SUPRIGD dr. Fandi UMUM 51862.75 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
An. HANA PANGKUR dr. Amelia CALON BPJ 40061.43 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
INTAN BY ASMARANDdr. Nuning CALON BPJ 4232.5 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
YUNISA SRIGD dr. Alvin N CALON SK 119197.1 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
Ny. YUYUNGURISA (KEdr. Santi CALON BPJ 22323.77 Apotik RawAsep Afrizal, A.md Farm 11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
11-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
Total Billing Umum Siang Rp380,780.04 Jumlah Billing BP
BPJS
629 MANUAL RANAP 233371 SIVA MAULISOLASI A dr. Nuning BPJS 54701.38
594 MANUAL RANAP 231880 GIN GIN PUGURISA (KEdr. Santi BPJS 53675.3
644 MANUAL RANAP 233313 FITRI YANI RUANG TRAdr. Lia Sri BPJS 77027.09
628 MANUAL RANAP 61216 An. AMIRASINOM 3 dr. Nuning BPJS 81360.13
643 MANUAL RANAP 213546 SURYANA BALAKBAK dr. Lia Sri BPJS 129065.8
627 MANUAL RANAP 131374 An. M WAFSINOM 1 dr. Nuning BPJS 37267.5
642 MANUAL RANAP 181836 Ny. NESIH BALAKBAK dr. Lia Sri BPJS 64400.76
626 MANUAL RANAP 233260 M ABDUL ASINOM 2 dr. Nuning BPJS 116947
641 MANUAL RANAP 233296 SINTA RAHDANGDANG dr. Santi BPJS 110493.5
625 MANUAL RANAP 233310 AFGAN SINOM 2 dr. Nuning BPJS 31924.98
640 MANUAL RANAP 233351 VITO ADIL DANGDANG dr. Amelia BPJS 51952.06
649 MANUAL RANAP 74499 Ny. ROSITABALAKBAK dr. Lia Sri BPJS 102363.9
639 MANUAL RANAP 232140 ENI RUANG TRAdr. Amelia BPJS 77614.77
648 MANUAL RANAP 180371 Tn. AKHDI BALAKBAK dr. Amelia BPJS 66829.11
646 MANUAL RANAP 233327 IPAH SITI BALAKBAK dr. Amelia BPJS 56206
623 MANUAL RANAP 226226 RANGGA NSINOM 3 dr. Nuning BPJS 66294.7
647 MANUAL RANAP 233367 ADITYA M BALAKBAK dr. Amelia BPJS 154006.3
631 MANUAL RANAP 233374 RENALDI ASINOM 2 dr. Nuning BPJS 48010.54
645 MANUAL RANAP 140047 FITRI NUR KINANTI dr. Lia Sri BPJS 55660.75
21 MANUAL RANAP 78456 Ny. APOY PANGKUR dr. Amelia BPJS 58979.27
30 MANUAL RANAP 145311 YAKUB BALAKBAK dr. Lia Sri BPJS 61599.75
11 MANUAL RANAP 233161 YATI ROSTYDANGDANG dr. Lia Sri BPJS 48831.5
42 MANUAL RANAP 233315 IKA KARTIKBALAKBAK dr. Lia Sri BPJS 81246.07
51 MANUAL RANAP 233386 RINA MARLPANGKUR dr. Yanne BPJS 28611
89 MANUAL RAJAL 158021 UJANG SOPIGD dr. Agus HaBPJS 253616.1
29 MANUAL RANAP 233278 LENI SEPTI PANGKUR dr. Iva Yul BPJS 195407.2
66 MANUAL RANAP 224876 JAJANG JA BALAKBAK dr. Amelia BPJS 19702.5
41 MANUAL RANAP 231911 EMEH PANGKUR dr. Yanne BPJS 49381.6
83 MANUAL RANAP 172740 FURKON F BALAKBAK dr. Annisa BPJS 113469.3
50 MANUAL RANAP 233376 SETIAWATIDURMA dr. Amelia BPJS 36240.54
19 MANUAL RANAP 120425 Ny. YETI R BALAKBAK dr. Lia Sri BPJS 59968.93
28 MANUAL RANAP 233319 ASEP SUG BALAKBAK dr. Lia Sri BPJS 93199.87
9 MANUAL RANAP 87099 Tn. MADA PANGKUR dr. Amelia BPJS 54432.04
64 MANUAL RANAP 224876 JAJANG JA BALAKBAK dr. Amelia BPJS 42234.49
79 MANUAL RANAP 231880 GIN GIN PUGURISA (KEdr. Santi BPJS 9573.75
27 MANUAL RANAP 233288 ANA BALAKBAK dr. Amelia BPJS 55726.4
39 MANUAL RANAP 157257 SOLIHIN BALAKBAK dr. Amelia BPJS 318961
48 MANUAL RANAP 233312 UJANG MADANGDANG dr. Iyan As BPJS 207645.7
61 MANUAL RANAP 110313 Tn. NANANBALAKBAK dr. Amelia BPJS 61603.18
17 MANUAL RANAP 233267 REZA EKA BALAKBAK dr. Amelia BPJS 63969.04
26 MANUAL RANAP 57962 Tn. AMAT BALAKBAK dr. Amelia BPJS 124334.9
5 MANUAL RANAP 223025 Ny. ERLIS PANGKUR dr. Iyan As BPJS 111287.5
76 MANUAL RANAP 233373 SITI MAES GURISA (KEdr. Santi BPJS 44677.52
47 MANUAL RANAP 233325 DARSONO BALAKBAK dr. Lia Sri BPJS 172208.2
57 MANUAL RANAP 233373 SITI MAES GURISA (KEdr. Santi BPJS 61738.69
38 MANUAL RANAP 232785 SUKANDI BALAKBAK dr. Lia Sri BPJS 97092.72
14 MANUAL RANAP 231587 Tn. PURMABALAKBAK dr. H. Gus BPJS 762.5
4 MANUAL RANAP 181092 WINDA AGPANGKUR dr. Amelia BPJS 73718.1
46 MANUAL RANAP 233269 RACHMAT DURMA dr. Amelia BPJS 65882.2
54 MANUAL RANAP 99826 SAEPUDIN BALAKBAK dr. Amelia BPJS 43988.49
37 MANUAL RANAP 223841 IDING SAR DANGDANG dr. H. Gus BPJS 32913.75
1 MANUAL RANAP 233293 YOYOH GURISA (KEdr. Santi BPJS 16613.25
32 MANUAL RANAP 86479 Ny. ANI M DANGDANG dr. H. Gus BPJS 228078.2
74 MANUAL RANAP 207359 Ny. OTIH GURISA (KEdr. Yanne BPJS 44677.52
44 MANUAL RANAP 61828 POPON SUBALAKBAK dr. Amelia BPJS 88873.49
97 MANUAL RANAP 181836 Ny. NESIH BALAKBAK dr. Lia Sri BPJS 262515
35 MANUAL RANAP 106509 WAWAN HDANGDANG dr. H. Gus BPJS 415521.2
23 MANUAL RANAP 221590 Tn. II KUS BALAKBAK dr. Lia Sri BPJS 65128.34
101 MANUAL RANAP 198496 Tn. DIDIN MIJIL 1 (IC dr. Amelia BPJS 238872
31 MANUAL RANAP 45316 Ny. EUIS S BALAKBAK dr. Amelia BPJS 38585.04
12 MANUAL RANAP 233351 VITO ADIL DANGDANG dr. Amelia BPJS 7076.25
43 MANUAL RANAP 233178 ERUS RUSTBALAKBAK dr. Lia Sri BPJS 356953.6
90 MANUAL RAJAL 158021 UJANG SOPIGD dr. Agus HaBPJS 0
Jumlah Billing BPJS Malam 74 Total Billing BPJS Malam Rp7,206,
BILLING MALAM
UMU
Apotik RawTitan Mulyana, A.md.farm 11-Jan-24 592 MANUAL RANAP 233337
Apotik RawTitan Mulyana, A.md.farm
Rp7,206,265.80 Jumlah Billing Umum Malam 16 T
UMUM
INDAH NU BAYI RAWAdr. Santi CALON BPJ 83167.69 Apotik RawTitan Mulyana, A.md.farm
Ny. YUYUNGURISA (KEdr. Santi CALON BPJ 622.29 Apotik RawTitan Mulyana, A.md.farm
LIEVIA M BASMARANDdr. Nuning UMUM 286406 Apotik RawTitan Mulyana, A.md.farm
An. TIARA SINOM 3 dr. Nuning UMUM 29975.54 Apotik RawTitan Mulyana, A.md.farm
MUHAMMAD SINOM 2 dr. Nuning CALON BPJ 43843.05 Apotik RawTitan Mulyana, A.md.farm
An. HANA PANGKUR dr. Amelia CALON BPJ 50173.29 Apotik RawTitan Mulyana, A.md.farm
OTIH BY NYASMARANDdr. Nuning UMUM 65339.45 Apotik RawTitan Mulyana, A.md.farm
AKHANZA SSINOM 2 dr. Nuning CALON BPJ 46025.81 Apotik RawTitan Mulyana, A.md.farm
ASEP SUPRDANGDANG dr. Amelia UMUM 72013.5 Apotik RawTitan Mulyana, A.md.farm
SITI MAES ASMARANDdr. Nuning UMUM 51252.52 Apotik RawTitan Mulyana, A.md.farm
N SUPARMDURMA dr. Amelia CALON BPJ 49749.12 Apotik RawTitan Mulyana, A.md.farm
TIARA PUSGURISA (KEdr. Santi CALON BPJ 44677.52 Apotik RawTitan Mulyana, A.md.farm
AMAT SUTIBALAKBAK dr. Annisa UMUM 124256.8 Apotik RawTitan Mulyana, A.md.farm
OTIH BY NYASMARANDdr. Nuning UMUM 276718.1 Apotik RawTitan Mulyana, A.md.farm
Ny. YUYUNGURISA (KEdr. Santi CALON BPJ 18556.29 Apotik RawTitan Mulyana, A.md.farm
RAISYA FA BALAKBAK dr. Amelia CALON SK 54432.04 Apotik RawTitan Mulyana, A.md.farm
No. BPJS
10 12-Jan-24 345 MANUAL RANAP 226226
11 12-Jan-24 253 MANUAL RANAP 233391
12 12-Jan-24 377 MANUAL RANAP 223025
13 12-Jan-24 232 MANUAL RANAP 229161
14 12-Jan-24 342 MANUAL RANAP 233374
15 12-Jan-24 376 MANUAL RANAP 233336
16 12-Jan-24 213 MANUAL RANAP 233387
17 12-Jan-24 170 MANUAL RANAP 229161
18 12-Jan-24 340 MANUAL RANAP 232785
20 12-Jan-24 206 MANUAL RANAP 233374
21 12-Jan-24 372 MANUAL RANAP 233393
22 12-Jan-24 273 MANUAL RANAP 131374
23 12-Jan-24 391 MANUAL RANAP 233380
24 12-Jan-24 339 MANUAL RANAP 158021
25 12-Jan-24 167 MANUAL RANAP 233332
27 12-Jan-24 197 MANUAL RANAP 233386
28 12-Jan-24 271 MANUAL RANAP 233386
29 12-Jan-24 324 MANUAL RANAP 233374
30 12-Jan-24 442 MANUAL RAJAL 153769
31 12-Jan-24 258 MANUAL RANAP 200351
32 12-Jan-24 189 MANUAL RANAP 207359
33 12-Jan-24 367 MANUAL RANAP 233034
34 12-Jan-24 278 MANUAL RANAP 200351
35 12-Jan-24 384 MANUAL RANAP 233365
36 12-Jan-24 312 MANUAL RANAP 232140
37 12-Jan-24 262 MANUAL RANAP 114779
38 12-Jan-24 384 MANUAL RANAP 230255
39 12-Jan-24 307 MANUAL RANAP 198496
40 12-Jan-24 124 MANUAL RAJAL 158021
41 12-Jan-24 123 MANUAL RANAP 232893
42 12-Jan-24 138 MANUAL RANAP 198496
43 12-Jan-24 122 MANUAL RANAP 172740
44 12-Jan-24 136 MANUAL RANAP 233296
45 12-Jan-24 111 MANUAL RANAP 231159
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp16,823,994.29 Rp1,698,893.44
BILLING PAGI
BPJS
AMAT SUTISNABALAKBAK 3-B dr. Annisa Tri K UMUM Rp1,506.25 Apotik Rawat
Ny. NENDAH BAYI RAWAT GABUdr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
SASKIA SINOM 3 dr. Retno BudihaBPJS ### Apotik Rawat
Bayi Ny. IKA BYASMARANDANA (2B dr. Retno BudihaBPJS Rp89,308.89 Apotik Rawat
YOYOH GURISA (KELAS 3) dr. Santi Maria BPJS Rp45,800.00 Apotik Rawat
Ny. IIS HALIMAMIJIL 1 (ICU) dr. Lia SrimuliawBPJS ### Apotik Rawat
MOCH SAI RUANG TRANSIT dr. Amelia AndriBPJS Rp75,208.49 Apotik Rawat
RANGGA NUGRSINOM 3 dr. Nuning Indri BPJS Rp15,768.88 Apotik Rawat
MAMAT RUHIMKINANTI dr. Amelia AndriBPJS Rp95,045.26 Apotik Rawat
Ny. ERLIS MUL PANGKUR 1 dr. Iyan Asiana BPJS Rp829.72 Apotik Rawat
RENALDI ANSHSINOM 2 dr. Nuning Indri BPJS Rp3,030.30 Apotik Rawat
WIRA OKTAVIAMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp19,345.92 Apotik Rawat
ASEP UUS KUS RUANG TRANSIT dr. Amelia AndriBPJS ### Apotik Rawat
SUKANDI BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp31,957.59 Apotik Rawat
M FAHREZZA SSINOM 3 dr. Nuning Indri BPJS Rp68,430.73 Apotik Rawat
RENALDI ANSHSINOM 2 dr. Nuning Indri BPJS Rp572.07 Apotik Rawat
SITI MAESAROHASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
An. M WAFI A SINOM 3 dr. Nuning Indri BPJS Rp41,366.00 Apotik Rawat
AKHANZA SABHSINOM 2 dr. Nuning Indri BPJS Rp47,608.59 Apotik Rawat
UJANG SOPANDMIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
SINTA BY NY ASMARANDANA (2B dr. Nuning Indri BPJS ### Apotik Rawat
Ny. NENDAH BAYI RAWAT GABUdr. Yanne Triha BPJS Rp91,891.74 Apotik Rawat
RINA MARLINAPANGKUR 3 dr. Yanne Triha BPJS Rp91,891.74 Apotik Rawat
RINA MARLINAPANGKUR 3 dr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
RENALDI ANSHSINOM 2 dr. Nuning Indri BPJS ### Apotik Rawat
Ny. WIWIN WI IGD dr. Agus HariyanBPJS Rp77,757.94 Apotik Rawat
MUHAMMAD AL SINOM 2 dr. Nuning Indri BPJS Rp850.00 Apotik Rawat
Ny. OTIH GURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
IMA SITI ROHI ASMARANDANA (2B dr. Retno BudihaBPJS ### Apotik Rawat
MUHAMMAD AL SINOM 2 dr. Nuning Indri BPJS Rp19,834.99 Apotik Rawat
MITA AMELIA GURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
ENI RUANG TRANSIT dr. Amelia AndriBPJS Rp16,849.39 Apotik Rawat
ARGHI KEYZA BALAKBAK 1 dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
Tn. DADANG S DANGDANGGULA 3dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
UJANG SOPANDIGD dr. Agus HariyanBPJS Rp45,915.15 Apotik Rawat
WISNU NUGRABALAKBAK 2-A dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
Tn. DIDIN JAE MIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
FURKON F BALAKBAK 3-D dr. Annisa Tri K BPJS Rp2,229.96 Apotik Rawat
SINTA RAHAYUDANGDANGGULA 2dr. Santi Maria BPJS Rp34,217.60 Apotik Rawat
MARYANI DANGDANGGULA 3dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
BILLING PAGI
UMUM
Zandy Tiaravani, A.md.farm 12-Jan-24 135 MANUAL RANAP 233388 IWAN GUN
Zandy Tiaravani, A.md.farm 12-Jan-24 116 MANUAL RAJAL 233394 M KHOIRU
Zandy Tiaravani, A.md.farm 12-Jan-24 133 MANUAL RANAP 233423 TIARA BY N
Zandy Tiaravani, A.md.farm 12-Jan-24 113 MANUAL RANAP 233331 AMAT SUTI
Zandy Tiaravani, A.md.farm 12-Jan-24 132 MANUAL RANAP 233426 INDAH BY
Zandy Tiaravani, A.md.farm 12-Jan-24 127 MANUAL RANAP 233423 TIARA BY N
UMUM
Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl
DURMA dr. Amelia CALON BPJ 296717.3 Apotik RawZandy Tiaravani, A.md.farm 12-Jan-24
IGD dr. Agus HaCALON BPJ 165309.6 Apotik RawZandy Tiaravani, A.md.farm 12-Jan-24
BAYI RAWAdr. Nuning UMUM 1750 Apotik RawZandy Tiaravani, A.md.farm 12-Jan-24
BALAKBAK dr. Annisa UMUM 17595 Apotik RawZandy Tiaravani, A.md.farm 12-Jan-24
BAYI RAWAdr. Nuning UMUM 53353.47 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm. 12-Jan-24
BAYI RAWAdr. Nuning UMUM 61781.97 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm. 12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
12-Jan-24
Total Billing Umum Pagi Rp596,507.33 Jumlah Billin
BPJS
575 MANUAL RANAP 233425 RHIYU YUDIASINOM 2 dr. Nuning CALON BPJ 28557.5
526 MANUAL RANAP 231880 GIN GIN PUTRGURISA (KEdr. Santi BPJS 281477.99
457 MANUAL RANAP 233344 LIEVIA MAYL GURISA (KEdr. Yanne BPJS 315708.67
514 MANUAL RANAP 198496 Tn. DIDIN J MIJIL 1 (IC dr. Amelia BPJS 95286.09
595 MANUAL RANAP 232306 DENI HAMDAMIJIL 1 (IC dr. Lia Sri BPJS 144516.21
564 MANUAL RANAP 233308 N SUPARMANDURMA dr. Amelia BPJS 24299.39
549 MANUAL RANAP 233313 FITRI YANI RUANG TRAdr. Lia Sri BPJS 13187.5
612 MANUAL RAJAL 233450 IPAH PATON IGD dr. PuspariBPJS 144855.02
525 MANUAL RANAP 120425 Ny. YETI ROHBALAKBAK dr. Lia Sri BPJS 43233.75
546 MANUAL RANAP 213546 SURYANA FABALAKBAK dr. Lia Sri BPJS 138156.04
573 MANUAL RANAP 233420 AROFI MAULSINOM 2 dr. Nuning CALON BPJ 140308.4
548 MANUAL RANAP 213546 SURYANA FABALAKBAK dr. Lia Sri BPJS 34340.64
540 MANUAL RANAP 181836 Ny. NESIH BALAKBAK dr. Lia Sri BPJS 41714.18
524 MANUAL RANAP 233269 RACHMAT B DURMA dr. Amelia BPJS 20156.89
538 MANUAL RANAP 233288 ANA BALAKBAK dr. Amelia BPJS 23309.69
558 MANUAL RANAP 233161 YATI ROSTYADANGDANG dr. Lia Sri BPJS 33273.1
535 MANUAL RANAP 221590 Tn. II KUSWEBALAKBAK dr. Lia Sri BPJS 52749.39
522 MANUAL RANAP 158021 UJANG SOPAMIJIL 1 (IC dr. Amelia BPJS 296962.55
570 MANUAL RANAP 163877 Tn. EL AZAM SINOM 2 dr. Nuning BPJS 28557.5
533 MANUAL RANAP 233178 ERUS RUSTA BALAKBAK dr. Lia Sri BPJS 62012.65
474 MANUAL RANAP 194115 Ny. YUYUN RGURISA (KEdr. Santi BPJS 72425
520 MANUAL RANAP 61216 An. AMIRA L SINOM 3 dr. Nuning BPJS 11375
581 MANUAL RANAP 87099 Tn. MADA H PANGKUR dr. Amelia BPJS 65709.97
532 MANUAL RANAP 145311 YAKUB BALAKBAK dr. Lia Sri BPJS 13374.39
467 MANUAL RANAP 194115 Ny. YUYUN RGURISA (KEdr. Santi BPJS 86722.64
518 MANUAL RANAP 233294 RASHIFA NAJASMARANDdr. Nuning BPJS 3789.24
578 MANUAL RANAP 74499 Ny. ROSITA BALAKBAK dr. Lia Sri BPJS 53262.65
553 MANUAL RANAP 140047 FITRI NUR PI KINANTI dr. Lia Sri BPJS 32011.75
528 MANUAL RANAP 61828 POPON SURYBALAKBAK dr. Amelia BPJS 13908.07
458 MANUAL RANAP 233344 LIEVIA MAYL GURISA (KEdr. Yanne BPJS 315708.67
517 MANUAL RANAP 233276 MUHAMMADASMARANDdr. Nuning BPJS 3789.24
597 MANUAL RANAP 233327 IPAH SITI AN BALAKBAK dr. Amelia BPJS 14765.77
568 MANUAL RANAP 162386 Ny. ASRI MU BALAKBAK dr. Lia Sri BPJS 148260.78
621 MANUAL RANAP 51962 Ny. DETY PUJBALAKBAK dr. Lia Sri BPJS 57392.75
565 MANUAL RANAP 230159 RAHMAN BALAKBAK dr. Lia Sri BPJS 48200.72
552 MANUAL RANAP 231587 Tn. PURMANBALAKBAK dr. H. Gus BPJS 467377.72
619 MANUAL RANAP 233377 RAISYA FAUZBALAKBAK dr. Amelia CALON SK 3375.02
574 MANUAL RANAP 223841 IDING SARIP DANGDANG dr. H. Gus BPJS 39907.27
610 MANUAL RANAP 233315 IKA KARTIKA WIRANGR dr. Lia Sri BPJS 59375
602 MANUAL RANAP 110313 Tn. NANANGBALAKBAK dr. Amelia BPJS 12307.5
561 MANUAL RANAP 106509 WAWAN HE DANGDANG dr. H. Gus BPJS 32575.72
606 MANUAL RANAP 233443 ENENG SUMIRUANG TRAdr. Amelia BPJS 186803.56
601 MANUAL RANAP 233387 ASEP UUS KURUANG TRAdr. Amelia BPJS 59718
572 MANUAL RANAP 233312 UJANG MARDDANGDANG dr. Iyan As BPJS 244750
592 MANUAL RANAP 233267 REZA EKA N BALAKBAK dr. Amelia BPJS 4717.5
559 MANUAL RANAP 233315 IKA KARTIKA WIRANGR dr. Lia Sri BPJS 35895.27
571 MANUAL RANAP 233068 ARIS MUNANDANGDANG dr. H. Gus BPJS 244750
589 MANUAL RANAP 233407 SUPRIADI BALAKBAK dr. Lia Sri BPJS 60168
599 MANUAL RANAP 224876 JAJANG JALABALAKBAK dr. Amelia CALON BPJ 60093
588 MANUAL RANAP 233351 VITO ADILLA DANGDANG dr. Amelia BPJS 29859
557 MANUAL RANAP 78456 Ny. APOY PANGKUR dr. Amelia BPJS 3135
626 MANUAL RANAP 233442 AYU MIJIL 2 (P dr. Nuning BPJS 77366.81
569 MANUAL RANAP 106509 WAWAN HE DANGDANG dr. H. Gus BPJS 374687.54
555 MANUAL RANAP 233388 IWAN GUNA DURMA dr. Amelia CALON BPJ 6775.04
625 MANUAL RANAP 203797 ARSHINTA KIMIJIL 2 (P dr. Nuning BPJS 118786.41
Jumlah Billing BPJS Siang 58 Total Billing BPJS Siang Rp
BILLING SIANG
Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Apotik RawatMuhamad Rizky Hidayah, S.Farm 12-Jan-24 600 MANUAL RANAP
Apotik RawatMuhamad Rizky Hidayah, S.Farm
Apotik RawatLaila Handayani Hidayat,s.si
UMUM
233453 IPAH PATOASMARANDdr. Nuning UMUM 25023.63 Apotik RawMuhamad Rizky Hidayah, S.Farm
BPJS
13-Jan-24 27 MANUAL RANAP 233452 EUTIK PANGKUR dr. Lia Sri BPJS
12-Jan-24 654 MANUAL RANAP 233292 An. TIARA SINOM 3 dr. Nuning BPJS
12-Jan-24 668 MANUAL RANAP 231880 GIN GIN PUGURISA (KEdr. Santi BPJS
12-Jan-24 644 MANUAL RANAP 217787 MOCH SAI RUANG TRAdr. Amelia BPJS
13-Jan-24 5 MANUAL RANAP 51962 Ny. DETY PBALAKBAK dr. Lia Sri BPJS
13-Jan-24 9 MANUAL RAJAL 225061 MAISHA ADIGD dr. PuspariBPJS
12-Jan-24 691 MANUAL RAJAL 62818 Ny. SITI H IGD dr. PuspariBPJS
13-Jan-24 20 MANUAL RANAP 157257 SOLIHIN BALAKBAK dr. Amelia BPJS
12-Jan-24 715 MANUAL RANAP 233325 DARSONO BALAKBAK dr. Lia Sri BPJS
12-Jan-24 662 MANUAL RANAP 233442 AYU MIJIL 2 (P dr. Nuning BPJS
12-Jan-24 643 MANUAL RANAP 180371 Tn. AKHDI BALAKBAK dr. Amelia BPJS
13-Jan-24 4 MANUAL RANAP 233312 UJANG MADANGDANG dr. Iyan As BPJS
12-Jan-24 700 MANUAL RANAP 158021 UJANG SOPMIJIL 1 (IC dr. Amelia BPJS
13-Jan-24 7 MANUAL RAJAL 233446 UKKASYA AIGD dr. PuspariBPJS
12-Jan-24 714 MANUAL RANAP 153769 Ny. WIWINBALAKBAK dr. Annisa BPJS
12-Jan-24 652 MANUAL RANAP 232930 SASKIA SINOM 3 dr. Retno BBPJS
12-Jan-24 661 MANUAL RANAP 203797 ARSHINTA MIJIL 2 (P dr. Nuning BPJS
12-Jan-24 641 MANUAL RANAP 233391 MAMAT RUKINANTI dr. Amelia BPJS
13-Jan-24 3 MANUAL RANAP 233315 IKA KARTIKWIRANGR dr. Lia Sri BPJS
12-Jan-24 699 MANUAL RANAP 223841 IDING SAR DANGDANG dr. H. Gus BPJS
12-Jan-24 713 MANUAL RANAP 233278 LENI SEPTI PANGKUR dr. Iva Yul BPJS
12-Jan-24 651 MANUAL RANAP 233374 RENALDI ASINOM 2 dr. Nuning BPJS
12-Jan-24 660 MANUAL RANAP 233336 WIRA OKT MIJIL 2 (P dr. Nuning BPJS
12-Jan-24 639 MANUAL RANAP 233367 ADITYA M BALAKBAK dr. Amelia BPJS
13-Jan-24 2 MANUAL RANAP 78456 Ny. APOY PANGKUR dr. Amelia BPJS
12-Jan-24 697 MANUAL RANAP 86479 Ny. ANI M DANGDANG dr. H. Gus BPJS
13-Jan-24 14 MANUAL RANAP 99826 SAEPUDIN BALAKBAK dr. Amelia BPJS
12-Jan-24 712 MANUAL RANAP 233175 MAMAH BALAKBAK dr. Amelia BPJS
13-Jan-24 26 MANUAL RANAP 233451 NENENG SUBALAKBAK dr. Lia Sri BPJS
12-Jan-24 649 MANUAL RANAP 60896 M FAHREZZSINOM 3 dr. Nuning BPJS
12-Jan-24 658 MANUAL RANAP 233371 SIVA MAULISOLASI A dr. Nuning BPJS
12-Jan-24 638 MANUAL RANAP 181092 WINDA AGPANGKUR dr. Amelia BPJS
12-Jan-24 694 MANUAL RANAP 106509 WAWAN HDANGDANG dr. H. Gus BPJS
12-Jan-24 695 MANUAL RANAP 233068 ARIS MUN DANGDANG dr. H. Gus BPJS
12-Jan-24 687 MANUAL RAJAL 233446 UKKASYA AIGD dr. PuspariBPJS
13-Jan-24 13 MANUAL RANAP 20424 An. HANA PANGKUR dr. Amelia BPJS
13-Jan-24 19 MANUAL RAJAL 233322 ANIH MARYIGD dr. Ramdhan BPJS
13-Jan-24 24 MANUAL RANAP 223841 IDING SAR DANGDANG dr. H. Gus BPJS
13-Jan-24 1 MANUAL RANAP 162386 Ny. ASRI MBALAKBAK dr. Lia Sri BPJS
12-Jan-24 657 MANUAL RANAP 233260 M ABDUL ASINOM 2 dr. Nuning BPJS
12-Jan-24 692 MANUAL RANAP 233319 ASEP SUG BALAKBAK dr. Lia Sri BPJS
12-Jan-24 648 MANUAL RANAP 163877 Tn. EL AZA SINOM 2 dr. Nuning BPJS
13-Jan-24 11 MANUAL RANAP 230159 RAHMAN BALAKBAK dr. Lia Sri BPJS
13-Jan-24 17 MANUAL RAJAL 233458 M AZKA ALIGD dr. PuspariBPJS
13-Jan-24 23 MANUAL RANAP 153769 Ny. WIWINBALAKBAK dr. Annisa BPJS
12-Jan-24 723 MANUAL RANAP 231911 EMEH PANGKUR dr. Yanne BPJS
13-Jan-24 30 MANUAL RANAP 192888 DHANY RAPANGKUR dr. H. Gus BPJS
12-Jan-24 656 MANUAL RANAP 233310 AFGAN SINOM 2 dr. Nuning BPJS
12-Jan-24 636 MANUAL RANAP 45316 Ny. EUIS S BALAKBAK dr. Amelia BPJS
12-Jan-24 688 MANUAL RANAP 233374 RENALDI ASINOM 2 dr. Nuning BPJS
12-Jan-24 706 MANUAL RANAP 121461 Ny. IIS HA MIJIL 1 (IC dr. Lia Sri BPJS
13-Jan-24 12 MANUAL RAJAL 62818 Ny. SITI H IGD dr. PuspariBPJS
13-Jan-24 22 MANUAL RANAP 232773 Tn. OSKAR DANGDANG dr. H. Gus BPJS
13-Jan-24 29 MANUAL RANAP 233407 SUPRIADI BALAKBAK dr. Lia Sri BPJS
12-Jan-24 655 MANUAL RANAP 226226 RANGGA NSINOM 3 dr. Nuning BPJS
12-Jan-24 633 MANUAL RANAP 233443 ENENG SUM RUANG TRAdr. Amelia BPJS
13-Jan-24 6 MANUAL RANAP 57962 Tn. AMAT BALAKBAK dr. Amelia BPJS
13-Jan-24 10 MANUAL RAJAL 167788 Tn. AZKA IGD dr. PuspariBPJS
13-Jan-24 21 MANUAL RANAP 233376 SETIAWATIDURMA dr. Amelia BPJS
BILLING MALAM
UMUM
60590.82 Apotik RawAsep Afrizal, A.md Farm 12-Jan-24 707 MANUAL RANAP
18971.79 Apotik RawAsep Afrizal, A.md Farm 12-Jan-24 690 MANUAL RAJAL
UMUM
233464 SAHAT M SRASMARANDdr. Nuning UMUM 45998.86 Apotik RawAsep Afrizal, A.md Farm
233388 IWAN GUNDURMA dr. Amelia CALON BPJ 314226.1 Apotik RawAsep Afrizal, A.md Farm
233459 NENG LIA RUANG TRAdr. Lia Sri CALON BPJ 184513.5 Apotik RawAsep Afrizal, A.md Farm
233420 AROFI MAUSINOM 2 dr. Nuning CALON BPJ 125320.6 Apotik RawAsep Afrizal, A.md Farm
233377 RAISYA FA BALAKBAK dr. Amelia CALON SK 66357.09 Apotik RawAsep Afrizal, A.md Farm
224876 JAJANG JA BALAKBAK dr. Amelia CALON BPJ 235000 Apotik RawAsep Afrizal, A.md Farm
233425 RHIYU YUDSINOM 2 dr. Nuning CALON BPJ 45991.38 Apotik RawAsep Afrizal, A.md Farm
233459 NENG LIA IGD dr. PuspariCALON BPJ 59954.93 Apotik RawAsep Afrizal, A.md Farm
No. BPJS
10 13-Jan-24 220 MANUAL RANAP 233278
11 13-Jan-24 161 MANUAL RANAP 233260
12 13-Jan-24 280 MANUAL RANAP 233451
13 13-Jan-24 233 MANUAL RANAP 203797
14 13-Jan-24 178 MANUAL RANAP 233325
16 13-Jan-24 211 MANUAL RANAP 106509
18 13-Jan-24 277 MANUAL RANAP 233374
19 13-Jan-24 177 MANUAL RANAP 233372
21 13-Jan-24 206 MANUAL RANAP 233367
22 13-Jan-24 157 MANUAL RANAP 233389
23 13-Jan-24 264 MANUAL RANAP 162386
24 13-Jan-24 227 MANUAL RANAP 167788
25 13-Jan-24 175 MANUAL RANAP 233361
26 13-Jan-24 242 MANUAL RANAP 231880
27 13-Jan-24 194 MANUAL RANAP 180371
28 13-Jan-24 146 MANUAL RANAP 233393
30 13-Jan-24 226 MANUAL RANAP 233450
31 13-Jan-24 173 MANUAL RANAP 233068
32 13-Jan-24 240 MANUAL RANAP 230159
33 13-Jan-24 190 MANUAL RANAP 181092
35 13-Jan-24 262 MANUAL RANAP 223562
36 13-Jan-24 260 MANUAL RANAP 233387
37 13-Jan-24 224 MANUAL RANAP 192888
38 13-Jan-24 172 MANUAL RANAP 233458
39 13-Jan-24 239 MANUAL RANAP 231911
40 13-Jan-24 188 MANUAL RANAP 217787
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp16,012,733.03 Rp2,861,691.74
BILLING PAGI
BPJS
SYAKIR M HAS SINOM 3 dr. Nuning Indri BPJS Rp8,872.51 Apotik Rawat
SOLIHIN BALAKBAK 3-D dr. Amelia AndriBPJS ### Apotik Rawat
Tn. PURMAN SBALAKBAK 3-C dr. H. Gus RiyadBPJS Rp60,238.17 Apotik Rawat
An. HANA NABIPANGKUR 3 dr. Amelia AndriBPJS Rp18,691.72 Apotik Rawat
SAEPUDIN BALAKBAK 3-D dr. Amelia AndriBPJS Rp48,082.48 Apotik Rawat
WIRA OKTAVIAMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp1,562.51 Apotik Rawat
MAMAH BALAKBAK 3-A dr. Amelia AndriBPJS Rp50,430.96 Apotik Rawat
LENI SEPTIANI PANGKUR 3 dr. Iva Yulia, Sp BPJS Rp34,519.50 Apotik Rawat
M ABDUL AZIIZSINOM 2 dr. Nuning Indri BPJS Rp17,212.50 Apotik Rawat
NENENG SUSILBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp8,389.98 Apotik Rawat
ARSHINTA KIRAMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp572.07 Apotik Rawat
DARSONO BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp40,022.39 Apotik Rawat
Ny. APOY PANGKUR 3 dr. Amelia AndriBPJS Rp62,620.65 Apotik Rawat
Ny. DETY PUJI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp2,304.72 Apotik Rawat
RENALDI ANSHISOLASI ANAK dr. Nuning Indri BPJS Rp84,615.08 Apotik Rawat
TIARA PUSPITAGURISA (KELAS 3) dr. Santi Maria BPJS ### Apotik Rawat
Tn. AMAT SU BALAKBAK 3-D dr. Amelia AndriBPJS ### Apotik Rawat
ADITYA M SIDI BALAKBAK 3-C dr. Amelia AndriBPJS Rp3,930.28 Apotik Rawat
OTIH BY NY ASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
Ny. ASRI MUSTBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp3,984.96 Apotik Rawat
Tn. AZKA PUTRSINOM 2 dr. Nuning Indri BPJS Rp12,365.38 Apotik Rawat
YUNISA SRI RA GURISA (KELAS 3) dr. Santi Maria BPJS Rp9,993.80 Apotik Rawat
GIN GIN PUTRI GURISA (KELAS 2) dr. Santi Maria BPJS Rp8,872.51 Apotik Rawat
Tn. AKHDI BALAKBAK 3-C dr. Amelia AndriBPJS Rp1,288.75 Apotik Rawat
Ny. EUIS SITI BALAKBAK 3-A dr. Amelia AndriBPJS Rp6,250.00 Apotik Rawat
IPAH PATONAHGURISA (KELAS 3) dr. Santi Maria BPJS Rp44,677.52 Apotik Rawat
ARIS MUNANDDANGDANGGULA 3dr. H. Gus RiyadBPJS ### Apotik Rawat
RAHMAN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp1,475.00 Apotik Rawat
WINDA AGUSTIPANGKUR 1 dr. Amelia AndriBPJS Rp20,568.75 Apotik Rawat
SITI MAESARO GURISA (KELAS 3) dr. Santi Maria BPJS ### Apotik Rawat
NURIL FATHULBALAKBAK 3-C dr. Iyan Asiana BPJS Rp16,661.10 Apotik Rawat
ASEP UUS KUS RUANG TRANSIT dr. Amelia AndriBPJS ### Apotik Rawat
DHANY RAMA PANGKUR 2 dr. H. Gus RiyadBPJS Rp26,898.60 Apotik Rawat
M AZKA ALFAQBALAKBAK 1 dr. Iyan Asiana BPJS Rp1,037.15 Apotik Rawat
EMEH PANGKUR 3 dr. Yanne Triha BPJS Rp3,675.00 Apotik Rawat
MOCH SAI RUANG TRANSIT dr. Amelia AndriBPJS ### Apotik Rawat
Ny. MIMIN AMPANGKUR 3 dr. Amelia AndriBPJS ### Apotik Rawat
BILLING PAGI
UMUM
Zandy Tiaravani, A.md.farm 13-Jan-24 261 MANUAL RANAP 233473 JONI
Zandy Tiaravani, A.md.farm 13-Jan-24 168 MANUAL RANAP 233425 RHIYU YUD
Zandy Tiaravani, A.md.farm 13-Jan-24 222 MANUAL RANAP 224876 JAJANG JA
Zandy Tiaravani, A.md.farm 13-Jan-24 171 MANUAL RANAP 233388 IWAN GUN
Zandy Tiaravani, A.md.farm 13-Jan-24 238 MANUAL RANAP 233420 AROFI MAU
Zandy Tiaravani, A.md.farm 13-Jan-24 182 MANUAL RANAP 233490 AULIA SAM
Zandy Tiaravani, A.md.farm 13-Jan-24 259 MANUAL RANAP 233461 SAHAT MAR
Zandy Tiaravani, A.md.farm 13-Jan-24 166 MANUAL RANAP 233368 ASEP SUPR
UMUM
WIRANGR dr. Lia Sri CALON BPJ 46354.82 Apotik RawZandy Tiaravani, A.md.farm 13-Jan-24 369
SINOM 2 dr. Nuning CALON BPJ 4849.99 Apotik RawZandy Tiaravani, A.md.farm 13-Jan-24 327
BALAKBAK dr. Amelia CALON BPJ 135975 Apotik RawZandy Tiaravani, A.md.farm 13-Jan-24 351
DURMA dr. Amelia CALON BPJ 2081.24 Apotik RawZandy Tiaravani, A.md.farm 13-Jan-24 308
ISOLASI A dr. Nuning CALON BPJ 4675 Apotik RawZandy Tiaravani, A.md.farm 13-Jan-24 368
BAYI RAWAdr. Nuning UMUM 27161.13 Apotik RawZandy Tiaravani, A.md.farm 13-Jan-24 326
GURISA (KEdr. Santi UMUM 320465.4 Apotik RawZandy Tiaravani, A.md.farm 13-Jan-24 349
DANGDANG dr. Amelia UMUM 11567.5 Apotik RawZandy Tiaravani, A.md.farm 13-Jan-24 307
13-Jan-24 332
13-Jan-24 367
13-Jan-24 325
13-Jan-24 346
13-Jan-24 305
13-Jan-24 363
13-Jan-24 323
13-Jan-24 345
13-Jan-24 304
13-Jan-24 361
13-Jan-24 322
13-Jan-24 339
13-Jan-24 344
13-Jan-24 302
13-Jan-24 359
13-Jan-24 319
13-Jan-24 343
13-Jan-24 297
13-Jan-24 358
13-Jan-24 318
13-Jan-24 336
13-Jan-24 342
13-Jan-24 313
13-Jan-24 296
13-Jan-24 357
13-Jan-24 314
Total Billing Umum Pagi Rp553,130.03 Jumlah Billing BPJS Sia
BPJS
MANUAL RANAP 233450 IPAH PAT GURISA (KEdr. Santi BPJS 305971.6 Apotik Raw
MANUAL RANAP 233327 IPAH SITI BALAKBAK dr. Amelia BPJS 162171 Apotik Raw
MANUAL RANAP 219502 SUGIH RA BALAKBAK dr. Amelia BPJS 23171.79 Apotik Raw
MANUAL RANAP 233407 SUPRIADI BALAKBAK dr. Lia Sri BPJS 36378.28 Apotik Raw
MANUAL RANAP 233450 IPAH PAT GURISA (KEdr. Santi BPJS 82140.48 Apotik Raw
MANUAL RANAP 82022 Ny. SITI S PANGKUR dr. Amelia BPJS 52996.61 Apotik Raw
MANUAL RANAP 233479 ALDEN MUSINOM 3 dr. Nuning BPJS 31641.25 Apotik Raw
MANUAL RAJAL 159589 Ny. WATI IGD dr. Olivia BPJS 56754.75 Apotik Raw
MANUAL RANAP 233489 An. MUHA SINOM 3 dr. Nuning BPJS 31924.98 Apotik Raw
MANUAL RANAP 233380 AKHANZA SSINOM 2 dr. Nuning BPJS 637.5 Apotik Raw
MANUAL RANAP 223025 Ny. ERLIS PANGKUR dr. Iyan As BPJS 119436 Apotik Raw
MANUAL RANAP 233375 RAHFAKHAMIJIL 2 (P dr. Nuning BPJS 189775.3 Apotik Raw
MANUAL RANAP 106509 WAWAN HDANGDANG dr. H. Gus BPJS 129937.5 Apotik Raw
MANUAL RANAP 233459 NENG LIA RUANG TRAdr. Lia Sri BPJS 69766.27 Apotik Raw
MANUAL RANAP 226226 RANGGA NSINOM 3 dr. Nuning BPJS 14985 Apotik Raw
MANUAL RAJAL 219502 SUGIH RA IGD dr. Olivia BPJS 110013.8 Apotik Raw
MANUAL RANAP 86479 Ny. ANI M DANGDANG dr. H. Gus BPJS 145500.2 Apotik Raw
MANUAL RANAP 233387 ASEP UUS RUANG TRAdr. Amelia BPJS 212.5 Apotik Raw
MANUAL RANAP 233292 An. TIARA SINOM 2 dr. Nuning BPJS 33300 Apotik Raw
MANUAL RANAP 233034 IMA SITI ASMARANDdr. Retno BBPJS 1750 Apotik Raw
MANUAL RANAP 233337 INDAH NU GURISA (KEdr. Santi BPJS 258544 Apotik Raw
MANUAL RANAP 233459 NENG LIA RUANG TRAdr. Lia Sri BPJS 10048.27 Apotik Raw
MANUAL RAJAL 233486 WINDI RISTIGD dr. Olivia BPJS 17566.18 Apotik Raw
MANUAL RANAP 153769 Ny. WIWINBALAKBAK dr. Annisa BPJS 155 Apotik Raw
MANUAL RANAP 233337 INDAH NU GURISA (KEdr. Santi BPJS 14809 Apotik Raw
MANUAL RANAP 233374 RENALDI AISOLASI A dr. Nuning BPJS 109113 Apotik Raw
MANUAL RANAP 231880 GIN GIN PUGURISA (KEdr. Santi BPJS 13740 Apotik Raw
BILLING SIANG
UMUM
Muhamad Fajar Sidik, Amd.farm 13-Jan-24 370 MANUAL RANAP 233442 AYU
Muhamad Fajar Sidik, Amd.farm 13-Jan-24 338 MANUAL RANAP 233312 UJANG MA
Muhamad Fajar Sidik, Amd.farm 13-Jan-24 311 MANUAL RANAP 233322 ANIH MARY
Rp2,418,129.99 Jumlah Billing Umum Siang 3 Total Bi
UMUM
MIJIL 2 (P dr. Nuning CALON BPJ 4849.99 Apotik RawMuhamad Fajar Sidik, Amd.farm 13-Jan-24 45
DANGDANG dr. Iyan As CALON BPJ 129937.5 Apotik RawMuhamad Fajar Sidik, Amd.farm 13-Jan-24 47
RUANG TRAdr. Lia Sri CALON BPJ 102378.5 Apotik RawMuhamad Fajar Sidik, Amd.farm 13-Jan-24 48
13-Jan-24 50
13-Jan-24 51
13-Jan-24 52
13-Jan-24 55
13-Jan-24 72
13-Jan-24 73
13-Jan-24 76
13-Jan-24 382
13-Jan-24 383
13-Jan-24 384
13-Jan-24 386
13-Jan-24 387
13-Jan-24 388
13-Jan-24 390
13-Jan-24 392
13-Jan-24 393
13-Jan-24 396
13-Jan-24 397
13-Jan-24 398
13-Jan-24 399
13-Jan-24 400
13-Jan-24 402
13-Jan-24 404
13-Jan-24 405
13-Jan-24 406
13-Jan-24 407
13-Jan-24 408
13-Jan-24 409
13-Jan-24 411
13-Jan-24 412
13-Jan-24 413
13-Jan-24 414
13-Jan-24 415
13-Jan-24 416
13-Jan-24 417
13-Jan-24 420
13-Jan-24 424
13-Jan-24 428
13-Jan-24 430
13-Jan-24 431
13-Jan-24 443
13-Jan-24 444
13-Jan-24 445
13-Jan-24 446
13-Jan-24 447
13-Jan-24 448
13-Jan-24 452
13-Jan-24 453
13-Jan-24 454
13-Jan-24 455
13-Jan-24 457
13-Jan-24 458
13-Jan-24 459
13-Jan-24 460
13-Jan-24 461
13-Jan-24 464
13-Jan-24 465
13-Jan-24 466
13-Jan-24 478
13-Jan-24 482
13-Jan-24 485
13-Jan-24 486
14-Jan-24 3
14-Jan-24 4
14-Jan-24 5
14-Jan-24 6
14-Jan-24 7
14-Jan-24 10
14-Jan-24 11
14-Jan-24 13
14-Jan-24 14
14-Jan-24 16
14-Jan-24 17
14-Jan-24 19
14-Jan-24 21
14-Jan-24 23
14-Jan-24 24
14-Jan-24 25
14-Jan-24 32
14-Jan-24 33
14-Jan-24 36
14-Jan-24 38
14-Jan-24 39
14-Jan-24 58
14-Jan-24 58
14-Jan-24 61
14-Jan-24 66

BILLI
BPJS
MANUAL RANAP 233387 ASEP UUS BALAKBAK dr. Amelia BPJS 304692.5 Apotik Raw
MANUAL RANAP 233327 IPAH SITI BALAKBAK dr. Amelia BPJS 55346 Apotik Raw
MANUAL RANAP 208577 ENTJUP PANGKUR dr. Amelia BPJS 63126.03 Apotik Raw
MANUAL RANAP 233351 VITO ADIL DANGDANG dr. Amelia BPJS 56737.34 Apotik Raw
MANUAL RANAP 233267 REZA EKA BALAKBAK dr. Amelia BPJS 66671.46 Apotik Raw
MANUAL RANAP 110313 Tn. NANANBALAKBAK dr. Amelia BPJS 23026.39 Apotik Raw
MANUAL RANAP 223025 Ny. ERLIS PANGKUR dr. Iyan As BPJS 112946.5 Apotik Raw
MANUAL RAJAL 189822 SYAKIR M IGD dr. RamdhanBPJS 44963.31 Apotik Raw
MANUAL RANAP 233374 RENALDI AISOLASI A dr. Nuning BPJS 84615.08 Apotik Raw
MANUAL RAJAL 159589 Ny. WATI IGD dr. Olivia BPJS 33259 Apotik Raw
MANUAL RAJAL 233486 WINDI RISTIGD dr. Olivia BPJS 46592.04 Apotik Raw
MANUAL RANAP 233322 ANIH MARYRUANG TRAdr. Lia Sri BPJS 42750.51 Apotik Raw
MANUAL RANAP 231587 Tn. PURMABALAKBAK dr. H. Gus BPJS 484798 Apotik Raw
MANUAL RANAP 231587 Tn. PURMABALAKBAK dr. H. Gus BPJS 389589.2 Apotik Raw
MANUAL RANAP 217787 MOCH SAI BALAKBAK dr. Amelia BPJS 372865.9 Apotik Raw
MANUAL RANAP 233443 ENENG SUM RUANG TRAdr. Amelia BPJS 360930.5 Apotik Raw
MANUAL RANAP 231880 GIN GIN PUGURISA (KEdr. Santi BPJS 81474.28 Apotik Raw
MANUAL RANAP 219502 SUGIH RA MIJIL 1 (IC dr. Amelia BPJS 121731.8 Apotik Raw
MANUAL RANAP 233391 MAMAT RUKINANTI dr. Amelia BPJS 25790.26 Apotik Raw
MANUAL RANAP 180371 Tn. AKHDI BALAKBAK dr. Amelia BPJS 29611.5 Apotik Raw
MANUAL RANAP 233367 ADITYA M BALAKBAK dr. Amelia BPJS 35453.64 Apotik Raw
MANUAL RANAP 62818 Ny. SITI H BALAKBAK dr. Lia Sri BPJS 67344.84 Apotik Raw
MANUAL RANAP 233442 AYU MIJIL 2 (P dr. Nuning BPJS 44162.47 Apotik Raw
MANUAL RANAP 233375 RAHFAKHAMIJIL 2 (P dr. Nuning BPJS 266127.7 Apotik Raw
MANUAL RANAP 203797 ARSHINTA MIJIL 2 (P dr. Nuning BPJS 15559.84 Apotik Raw
MANUAL RANAP 233336 WIRA OKT MIJIL 2 (P dr. Nuning BPJS 262543 Apotik Raw
MANUAL RANAP 233371 SIVA MAULISOLASI A dr. Nuning BPJS 46821.68 Apotik Raw
MANUAL RANAP 60896 M FAHREZZSINOM 3 dr. Nuning BPJS 85519.73 Apotik Raw
MANUAL RANAP 167788 Tn. AZKA SINOM 2 dr. Nuning BPJS 45178.36 Apotik Raw
MANUAL RANAP 225061 MAISHA ADSINOM 1 dr. Nuning BPJS 32812.98 Apotik Raw
MANUAL RANAP 189822 SYAKIR M SINOM 3 dr. Nuning BPJS 54796.81 Apotik Raw
MANUAL RANAP 233446 UKKASYA ASINOM 1 dr. Nuning BPJS 31924.98 Apotik Raw
MANUAL RANAP 163877 Tn. EL AZA SINOM 2 dr. Nuning BPJS 32812.98 Apotik Raw
MANUAL RANAP 233498 AI SITI PA GURISA (KEdr. Yanne BPJS 163326.8 Apotik Raw
MANUAL RAJAL 233495 ALESHA N IGD dr. Agus HaBPJS 23999.96 Apotik Raw
MANUAL RANAP 233376 SETIAWATIDURMA dr. Amelia BPJS 22537.82 Apotik Raw
MANUAL RANAP 45316 Ny. EUIS S BALAKBAK dr. Amelia BPJS 28868.18 Apotik Raw
MANUAL RANAP 233068 ARIS MUN DANGDANG dr. H. Gus BPJS 1022903 Apotik Raw
MANUAL RANAP 162386 Ny. ASRI MBALAKBAK dr. Lia Sri BPJS 46279.38 Apotik Raw
MANUAL RANAP 230159 RAHMAN BALAKBAK dr. Lia Sri BPJS 46807.11 Apotik Raw
MANUAL RANAP 153769 Ny. WIWINBALAKBAK dr. Annisa BPJS 95270.78 Apotik Raw
MANUAL RANAP 99826 SAEPUDIN BALAKBAK dr. Amelia BPJS 38128.25 Apotik Raw
MANUAL RANAP 86479 Ny. ANI M DANGDANG dr. H. Gus BPJS 250847 Apotik Raw
MANUAL RANAP 232773 Tn. OSKAR DANGDANG dr. H. Gus BPJS 491824.3 Apotik Raw
MANUAL RANAP 223841 IDING SAR DANGDANG dr. H. Gus BPJS 322429.3 Apotik Raw
MANUAL RANAP 233319 ASEP SUG BALAKBAK dr. Lia Sri BPJS 105485.4 Apotik Raw
MANUAL RANAP 233451 NENENG SUBALAKBAK dr. Lia Sri BPJS 69312.8 Apotik Raw
MANUAL RANAP 51962 Ny. DETY PBALAKBAK dr. Lia Sri BPJS 67740.61 Apotik Raw
MANUAL RANAP 82022 Ny. SITI S PANGKUR dr. Amelia BPJS 106294.7 Apotik Raw
MANUAL RANAP 106509 WAWAN HDANGDANG dr. H. Gus BPJS 363543 Apotik Raw
MANUAL RANAP 233315 IKA KARTIKWIRANGR dr. Lia Sri BPJS 44010.25 Apotik Raw
MANUAL RANAP 20424 An. HANA PANGKUR dr. Amelia BPJS 69070.61 Apotik Raw
MANUAL RAJAL 233470 ATEP WAHIGD dr. HafizhaBPJS 42013.29 Apotik Raw
MANUAL RANAP 223424 DAFARA GUSINOM 2 dr. Nuning BPJS 31924.98 Apotik Raw
MANUAL RANAP 161947 An. RAFFI SINOM 2 dr. Nuning BPJS 77709.94 Apotik Raw
MANUAL RANAP 169879 Tn. MARDISINOM 3 dr. Nuning BPJS 58020.82 Apotik Raw
MANUAL RANAP 157257 SOLIHIN BALAKBAK dr. Amelia BPJS 656.25 Apotik Raw
MANUAL RANAP 162386 Ny. ASRI MBALAKBAK dr. Lia Sri BPJS 8325 Apotik Raw
MANUAL RANAP 106509 WAWAN HDANGDANG dr. H. Gus BPJS 8325 Apotik Raw
MANUAL RANAP 139656 Ny. ITA PANGKUR dr. Amelia BPJS 40476.89 Apotik Raw
MANUAL RAJAL 233500 RIKI RIDW IGD dr. Agus HaBPJS 69636.32 Apotik Raw
MANUAL RANAP 121461 Ny. IIS HA BALAKBAK dr. Lia Sri BPJS 79127.67 Apotik Raw
MANUAL RANAP 232306 DENI HAM BALAKBAK dr. Lia Sri BPJS 212440.9 Apotik Raw
MANUAL RANAP 110313 Tn. NANANBALAKBAK dr. Amelia BPJS 30153.74 Apotik Raw
MANUAL RANAP 233327 IPAH SITI BALAKBAK dr. Amelia BPJS 62823.78 Apotik Raw
MANUAL RANAP 233267 REZA EKA BALAKBAK dr. Amelia BPJS 80308.11 Apotik Raw
MANUAL RANAP 233351 VITO ADIL DANGDANG dr. Amelia BPJS 139611.5 Apotik Raw
MANUAL RANAP 233387 ASEP UUS BALAKBAK dr. Amelia BPJS 176263 Apotik Raw
MANUAL RANAP 223025 Ny. ERLIS PANGKUR dr. Iyan As BPJS 112947 Apotik Raw
MANUAL RANAP 189822 SYAKIR M SINOM 3 dr. Nuning BPJS 1275 Apotik Raw
MANUAL RANAP 78456 Ny. APOY PANGKUR dr. Amelia BPJS 85354.29 Apotik Raw
MANUAL RANAP 233452 EUTIK PANGKUR dr. Lia Sri BPJS 61615.1 Apotik Raw
MANUAL RANAP 157257 SOLIHIN BALAKBAK dr. Amelia BPJS 427066.1 Apotik Raw
MANUAL RANAP 233442 AYU MIJIL 2 (P dr. Nuning BPJS 73182.31 Apotik Raw

BILLING MALAM
UMUM
Asep Afrizal, A.md Farm 13-Jan-24 54 MANUAL RANAP 224876 JAJANG JA
Asep Afrizal, A.md Farm 13-Jan-24 463 MANUAL RANAP 233473 JONI
Asep Afrizal, A.md Farm 13-Jan-24 385 MANUAL RANAP 233459 NENG LIA
Asep Afrizal, A.md Farm 13-Jan-24 18 MANUAL RANAP 233388 IWAN GUN
Asep Afrizal, A.md Farm 13-Jan-24 15 MANUAL RANAP 233459 NENG LIA
Asep Afrizal, A.md Farm 14-Jan-24 22 MANUAL RANAP 224876 JAJANG JA
Asep Afrizal, A.md Farm 13-Jan-24 481 MANUAL RANAP 233479 ALDEN MU
Asep Afrizal, A.md Farm 14-Jan-24 37 MANUAL RANAP 233388 IWAN GUN
Asep Afrizal, A.md Farm 13-Jan-24 480 MANUAL RANAP 206778 SHAQUEENA
Asep Afrizal, A.md Farm 13-Jan-24 421 MANUAL RANAP 233420 AROFI MAU
Rp10,050,168.72 Jumlah Billing Umum Malam 10 Total Billing

UMUM
BALAKBAK dr. Amelia CALON BPJ 303968 Apotik RawAsep Afrizal, A.md Farm
WIRANGR dr. Lia Sri CALON BPJ 58531.68 Apotik RawAsep Afrizal, A.md Farm
RUANG TRAdr. Lia Sri CALON BPJ 185537.8 Apotik RawAsep Afrizal, A.md Farm
DURMA dr. Amelia CALON BPJ 314226.1 Apotik RawAsep Afrizal, A.md Farm
RUANG TRAdr. Lia Sri CALON BPJ 184513.5 Apotik RawAsep Afrizal, A.md Farm
BALAKBAK dr. Amelia CALON BPJ 445714.2 Apotik RawAsep Afrizal, A.md Farm
SINOM 3 dr. Nuning CALON BPJ 44982.49 Apotik RawAsep Afrizal, A.md Farm
DURMA dr. Amelia CALON BPJ 317347.9 Apotik RawAsep Afrizal, A.md Farm
ISOLASI A dr. Nuning CALON SK 153426.1 Apotik RawAsep Afrizal, A.md Farm
ISOLASI A dr. Nuning CALON BPJ 63147.86 Apotik RawAsep Afrizal, A.md Farm
No.
10 14-Jan-24 110 MANUAL RANAP 233495
11 14-Jan-24 132 MANUAL RANAP 233336
12 14-Jan-24 142 MANUAL RANAP 233497
13 14-Jan-24 109 MANUAL RANAP 233383
14 14-Jan-24 141 MANUAL RANAP 233374
15 14-Jan-24 108 MANUAL RANAP 233332
16 14-Jan-24 140 MANUAL RANAP 232930
17 14-Jan-24 101 MANUAL RANAP 219502
19 14-Jan-24 115 MANUAL RANAP 198496
20 14-Jan-24 138 MANUAL RANAP 206778
21 14-Jan-24 139 MANUAL RANAP 232624
22 14-Jan-24 173 MANUAL RANAP 233446
23 14-Jan-24 148 MANUAL RANAP 233442
24 14-Jan-24 172 MANUAL RANAP 233446
25 14-Jan-24 166 MANUAL RANAP 161039
26 14-Jan-24 139 MANUAL RANAP 232624
27 14-Jan-24 164 MANUAL RANAP 233508
28 14-Jan-24 159 MANUAL RANAP 233533
29 14-Jan-24 152 MANUAL RANAP 233510
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp12,481,219.97 Rp3,110,586.71
BILLING PAGI
BPJS
Nama Poli / Ruangan Dokter Penjamin Tagihan
OTIH BY NY ASMARANDANA (2A dr. Nuning Indri BPJS Rp85,963.11
DENI HAMDANIBALAKBAK 3-B dr. Lia SrimuliawBPJS Rp76,877.44
Tn. MARDIANSSINOM 3 dr. Nuning Indri BPJS Rp33,749.55
SITI MAESAROHASMARANDANA (2A dr. Nuning Indri BPJS Rp75,009.35
IPAH SITI ANIP BALAKBAK 2-B dr. Amelia AndriBPJS Rp4,410.00
An. RAFFIF J SINOM 2 dr. Nuning Indri BPJS Rp6,142.20
Bayi Ny. IKA BYASMARANDANA (2B dr. Retno BudihaBPJS Rp105,006.29
OTIH BY NY ASMARANDANA (2A dr. Nuning Indri BPJS Rp40,369.31
JAJANG JUMARIGD dr. Hafizhan IlmiBPJS Rp40,549.04
ALESHA NUR ASMARANDANA (2A dr. Nuning Indri BPJS Rp34,102.52
WIRA OKTAVIAMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp13,209.78
M ABDUROHMSINOM 2 dr. Nuning Indri CALON BPJS Rp23,750.77
LIEVIA M BY NYASMARANDANA (2A dr. Nuning Indri BPJS Rp36,795.40
RENALDI ANSHISOLASI ANAK dr. Nuning Indri BPJS Rp5,841.36
SINTA BY NY ASMARANDANA (2B dr. Nuning Indri BPJS Rp100,293.77
SASKIA SINOM 3 dr. Retno BudihaBPJS Rp50,890.08
SUGIH RAMADMIJIL 1 (ICU) dr. Amelia AndriBPJS Rp480.00
SOLIHIN BALAKBAK 3-D dr. Amelia AndriBPJS Rp59,718.00
Tn. DIDIN JAE MIJIL 1 (ICU) dr. Amelia AndriBPJS Rp240,059.50
SHAQUEENA KH ISOLASI ANAK dr. Nuning Indri CALON SKTM Rp43,749.96
DUDUNG BALAKBAK 3-B dr. Amelia AndriBPJS Rp6,600.00
UKKASYA ARKASINOM 1 dr. Nuning Indri BPJS Rp2,227.50
AYU MIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp21,367.50
UKKASYA ARKASINOM 1 dr. Nuning Indri BPJS Rp9,437.80
Tn. ADI FIRMA SINOM 2 dr. Nuning Indri BPJS Rp108,110.05
DUDUNG BALAKBAK 3-B dr. Amelia AndriBPJS Rp6,600.00
JASMINE NUR ASINOM 2 dr. Nuning Indri BPJS Rp59,787.88
IRA SUMIRA BYASMARANDANA (LEdr. Nuning Indri BPJS Rp29,602.80
DONY SAEFUL BALAKBAK 3-D dr. Amelia AndriBPJS Rp49,644.03
Tn. RD MAMIE PANGKUR 2 dr. H. Gus RiyadBPJS Rp65,699.98
BILLING PAGI
Depo Operator Tgl No.Resep Jenis Rese

Apotik Rawat Inap Apt. Orysa Rahmaeni Basujata, S.farm. 14-Jan-24 179 MANUAL
Apotik Rawat Inap Apt. Orysa Rahmaeni Basujata, S.farm. 14-Jan-24 149 MANUAL
Apotik Rawat Inap Apt. Orysa Rahmaeni Basujata, S.farm.
Apotik Rawat Inap Ayidnis Sabiela, A.md.farm
Rp1,436,044.97 Jumlah Billing Umum Pagi
UMUM
No.AntrianPasien RM Nama Poli / Rua Dokter Penjamin Tagihan Depo
RANAP 231880 GIN GIN PUGURISA (KEdr. Santi CALON BPJ 181335 Apotik Raw
RANAP 139360 Ny. ATIT WRUANG TRAdr. Amelia UMUM 54671.88 Apotik Raw
ah Billing Umum Pagi 2 Total Billing Umum Pagi Rp236,006.88
BPJS
Ayidnis Sabiela, A.md.farm 14-Jan-24 240 MANUAL RANAP 62818 Ny. SITI H
Ayidnis Sabiela, A.md.farm 14-Jan-24 184 MANUAL RANAP 233491 NENG YULI
14-Jan-24 219 MANUAL RANAP 232773 Tn. OSKAR
14-Jan-24 259 MANUAL RANAP 231752 MIZZAN
14-Jan-24 239 MANUAL RANAP 219502 SUGIH RA
14-Jan-24 247 MANUAL RANAP 233452 EUTIK
14-Jan-24 272 MANUAL RANAP 231917 HAFID DA
14-Jan-24 202 MANUAL RAJAL 232754 Ny. IDA RO
14-Jan-24 230 MANUAL RANAP 233267 REZA EKA
14-Jan-24 258 MANUAL RANAP 233319 ASEP SUG
14-Jan-24 229 MANUAL RANAP 233351 VITO ADIL
14-Jan-24 214 MANUAL RANAP 45316 Ny. EUIS S
14-Jan-24 200 MANUAL RAJAL 232754 Ny. IDA RO
14-Jan-24 228 MANUAL RANAP 233367 ADITYA M
14-Jan-24 269 MANUAL RAJAL 233133 Ny. LINDA
14-Jan-24 205 MANUAL RANAP 60896 M FAHREZZ
14-Jan-24 260 MANUAL RANAP 233451 NENENG SU
14-Jan-24 267 MANUAL RAJAL 233133 Ny. LINDA
14-Jan-24 223 MANUAL RANAP 233407 SUPRIADI
14-Jan-24 249 MANUAL RANAP 51962 Ny. DETY P
14-Jan-24 261 MANUAL RANAP 146699 Nn. EVA F
14-Jan-24 241 MANUAL RANAP 110313 Tn. NANAN
14-Jan-24 198 MANUAL RANAP 73696 Ny. SARTIN
14-Jan-24 220 MANUAL RANAP 223841 IDING SAR
14-Jan-24 246 MANUAL RANAP 233391 MAMAT RU
14-Jan-24 215 MANUAL RANAP 86479 Ny. ANI M
14-Jan-24 258 MANUAL RANAP 106509 WAWAN H
14-Jan-24 270 MANUAL RANAP 229944 ENDIN
14-Jan-24 245 MANUAL RANAP 208577 ENTJUP
14-Jan-24 271 MANUAL RANAP 230972 Ny. DADAH
14-Jan-24 268 MANUAL RANAP 232791 Tn. ABDUL
14-Jan-24 244 MANUAL RANAP 233486 WINDI RIST
14-Jan-24 257 MANUAL RANAP 157257 SOLIHIN
14-Jan-24 265 MANUAL RANAP 229944 ENDIN
14-Jan-24 243 MANUAL RANAP 217787 MOCH SAI
14-Jan-24 242 MANUAL RANAP 159589 Ny. WATI
14-Jan-24 250 MANUAL RANAP 233443 ENENG SUM
14-Jan-24 206 MANUAL RANAP 220322 ZEA
14-Jan-24 221 MANUAL RANAP 233312 UJANG MA
Rp236,006.88 Jumlah Billing BPJS Siang 41 Total Billin
BILLING SIANG
BPJS
BALAKBAK dr. Lia Sri BPJS 33457.59 Apotik RawMuhamad Rizky Hidayah, S.Farm 14-Jan-24 251
GURISA (KEdr. Santi BPJS 68667 Apotik RawMuhamad Rizky Hidayah, S.Farm 14-Jan-24 224
DANGDANG dr. H. Gus BPJS 18324.3 Apotik RawMuhamad Rizky Hidayah, S.Farm 14-Jan-24 212
ASMARANDdr. Nuning BPJS 8910 Apotik RawMuhamad Rizky Hidayah, S.Farm 14-Jan-24 210
MIJIL 1 (IC dr. Amelia BPJS 12575 Apotik RawMuhamad Rizky Hidayah, S.Farm
PANGKUR dr. Lia Sri BPJS 13224.29 Apotik RawMuhamad Rizky Hidayah, S.Farm
SINOM 2 dr. Nuning CALON BPJ 19442.77 Apotik RawMuhamad Rizky Hidayah, S.Farm
IGD dr. Fandi BPJS 55666.5 Apotik RawMuhamad Rizky Hidayah, S.Farm
DANGDANG dr. Amelia BPJS 11436.89 Apotik RawMuhamad Rizky Hidayah, S.Farm
IGD dr. Fandi BPJS 44777.22 Apotik RawMuhamad Rizky Hidayah, S.Farm
IGD dr. Agus HaBPJS 71786.96 Apotik RawMuhamad Rizky Hidayah, S.Farm
SINOM 3 dr. Nuning BPJS 40841.81 Apotik RawMuhamad Fajar Sidik, Amd.farm
IGD dr. Agus HaBPJS 145899.8 Apotik RawMuhamad Rizky Hidayah, S.Farm
BALAKBAK dr. Lia Sri BPJS 8575 Apotik RawMuhamad Rizky Hidayah, S.Farm
GURISA (KEdr. Yanne BPJS 25194 Apotik RawMuhamad Rizky Hidayah, S.Farm
DANGDANG dr. H. Gus BPJS 104251.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
KINANTI dr. Amelia BPJS 297.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
DANGDANG dr. Iyan As BPJS 42735 Apotik RawMuhamad Fajar Sidik, Amd.farm
PANGKUR dr. Amelia BPJS 101.25 Apotik RawMuhamad Fajar Sidik, Amd.farm
BALAKBAK dr. H. Gus BPJS 80805.18 Apotik RawMuhamad Fajar Sidik, Amd.farm
RUANG TRAdr. Amelia BPJS 16454.28 Apotik RawMuhamad Fajar Sidik, Amd.farm
DANGDANG dr. Iyan As BPJS 213269.8 Apotik RawMuhamad Fajar Sidik, Amd.farm
RUANG TRAdr. Amelia BPJS 762.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
ISOLASI A dr. Nuning CALON BPJ 119488.4 Apotik RawMuhamad Fajar Sidik, Amd.farm
Total Billing BPJS Siang Rp2,419,745.17 Jumlah Billing Umu
UMUM
MANUAL RANAP 233368 ASEP SUPRDANGDANG dr. Amelia UMUM 39604.42 Apotik Raw
MANUAL RANAP 233459 NENG LIA RUANG TRAdr. Lia Sri CALON BPJ 46110.51 Apotik Raw
MANUAL RANAP 233528 DADAN RADANGDANG dr. Iyan As UMUM 101940.7 Apotik Raw
MANUAL RANAP 233527 HENDRO BALAKBAK dr. Lia Sri UMUM 40936.75 Apotik Raw
Jumlah Billing Umum Siang 4 Total Billing Umum Siang Rp228,592.40
BPJS
Muhamad Rizky Hidayah, S.Farm 15-Jan-24 55 MANUAL RANAP 226636 DEWI SUK
Muhamad Rizky Hidayah, S.Farm 15-Jan-24 66 MANUAL RANAP 233486 WINDI RIST
Muhamad Fajar Sidik, Amd.farm 15-Jan-24 46 MANUAL RANAP 82022 Ny. SITI S
Muhamad Fajar Sidik, Amd.farm 15-Jan-24 74 MANUAL RANAP 203797 ARSHINTA
15-Jan-24 15 MANUAL RANAP 233315 IKA KARTIK
15-Jan-24 27 MANUAL RANAP 233443 ENENG SUM
15-Jan-24 7 MANUAL RANAP 233084 SUMPENA
14-Jan-24 290 MANUAL RANAP 233510 DONY SAE
15-Jan-24 91 MANUAL RANAP 223025 Ny. ERLIS
15-Jan-24 35 MANUAL RANAP 162386 Ny. ASRI M
15-Jan-24 65 MANUAL RANAP 233451 NENENG SU
15-Jan-24 44 MANUAL RANAP 169879 Tn. MARDI
15-Jan-24 73 MANUAL RANAP 232930 SASKIA
15-Jan-24 53 MANUAL RANAP 223841 IDING SAR
14-Jan-24 323 MANUAL RANAP 233336 WIRA OKT
15-Jan-24 121 MANUAL RANAP 196738 Ny. AMBIY
15-Jan-24 82 MANUAL RANAP 217787 MOCH SAI
15-Jan-24 26 MANUAL RANAP 20424 An. HANA
15-Jan-24 6 MANUAL RANAP 233470 ATEP WAH
15-Jan-24 90 MANUAL RANAP 99826 SAEPUDIN
15-Jan-24 14 MANUAL RANAP 233371 SIVA MAUL
15-Jan-24 43 MANUAL RANAP 233375 RAHFAKHA
15-Jan-24 72 MANUAL RANAP 161039 Tn. ADI F
15-Jan-24 52 MANUAL RANAP 180371 Tn. AKHDI
14-Jan-24 321 MANUAL RANAP 139360 Ny. ATIT W
15-Jan-24 120 MANUAL RANAP 233541 WANDI
15-Jan-24 81 MANUAL RANAP 121461 Ny. IIS HA
15-Jan-24 25 MANUAL RANAP 233489 An. MUHA
15-Jan-24 5 MANUAL RANAP 189822 SYAKIR M
15-Jan-24 89 MANUAL RANAP 233068 ARIS MUN
15-Jan-24 33 MANUAL RANAP 233442 AYU
15-Jan-24 13 MANUAL RANAP 167788 Tn. AZKA
15-Jan-24 63 MANUAL RANAP 233513 JAJANG JU
15-Jan-24 42 MANUAL RANAP 233387 ASEP UUS
15-Jan-24 71 MANUAL RANAP 99826 SAEPUDIN
15-Jan-24 51 MANUAL RANAP 233322 ANIH MARY
15-Jan-24 80 MANUAL RANAP 159589 Ny. WATI
15-Jan-24 24 MANUAL RANAP 232306 DENI HAM
15-Jan-24 4 MANUAL RANAP 60896 M FAHREZZ
15-Jan-24 32 MANUAL RANAP 233312 UJANG MA
15-Jan-24 12 MANUAL RANAP 225061 MAISHA AD
15-Jan-24 78 MANUAL RANAP 230159 RAHMAN
15-Jan-24 62 MANUAL RANAP 232624 DUDUNG
15-Jan-24 41 MANUAL RANAP 208577 ENTJUP
15-Jan-24 70 MANUAL RANAP 139656 Ny. ITA
15-Jan-24 50 MANUAL RANAP 232754 Ny. IDA RO
14-Jan-24 299 MANUAL RAJAL 233551 NENEH SIT
15-Jan-24 79 MANUAL RANAP 86479 Ny. ANI M
15-Jan-24 23 MANUAL RANAP 233380 AKHANZA S
14-Jan-24 329 MANUAL RANAP 130993 INTAN BAI
15-Jan-24 87 MANUAL RANAP 233500 RIKI RIDW
15-Jan-24 31 MANUAL RANAP 81320 Tn. RD MA
15-Jan-24 77 MANUAL RANAP 231587 Tn. PURMA
15-Jan-24 60 MANUAL RANAP 223424 DAFARA GU
15-Jan-24 40 MANUAL RANAP 161947 An. RAFFI
15-Jan-24 69 MANUAL RANAP 153769 Ny. WIWIN
15-Jan-24 45 MANUAL RAJAL 233547 SUCI DINI
14-Jan-24 297 MANUAL RANAP 233376 SETIAWATI
15-Jan-24 110 MANUAL RANAP 233391 MAMAT RU
15-Jan-24 38 MANUAL RAJAL 233551 NENEH SIT
15-Jan-24 19 MANUAL RANAP 78456 Ny. APOY
14-Jan-24 324 MANUAL RANAP 73696 Ny. SARTIN
15-Jan-24 86 MANUAL RANAP 163877 Tn. EL AZA
15-Jan-24 30 MANUAL RANAP 233374 RENALDI A
15-Jan-24 10 MANUAL RANAP 233446 UKKASYA A
15-Jan-24 76 MANUAL RANAP 232128 Ny. SUSAN
Rp228,592.40 Jumlah Billing BPJS Malam 77 Total B
BILLING MALAM
BPJS
RUANG TRAdr. Amelia BPJS 63046.32 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 68
PANGKUR dr. Amelia BPJS 62588.4 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 48
SINOM 2 dr. Nuning BPJS 45535.38 Apotik RawZandy Tiaravani, A.md.farm 14-Jan-24 293
WIRANGR dr. Lia Sri BPJS 142775.4 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 104
RUANG TRAdr. Amelia BPJS 101803 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 85
PANGKUR dr. Iyan As BPJS 112946.5 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 75
SINOM 3 dr. Nuning BPJS 66893.33 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 67
SINOM 3 dr. Retno BBPJS 84324.4 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 47
MIJIL 2 (P dr. Nuning BPJS 270035.2 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 93
PANGKUR dr. Yanne BPJS 62175.19 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 36
BALAKBAK dr. Amelia BPJS 38057 Apotik RawZandy Tiaravani, A.md.farm 15-Jan-24 8
MIJIL 1 (IC dr. Amelia BPJS 14999.99 Apotik RawZandy Tiaravani, A.md.farm 14-Jan-24 292
ISOLASI A dr. Nuning BPJS 57759.34 Apotik RawZandy Tiaravani, A.md.farm
MIJIL 2 (P dr. Nuning BPJS 270582.1 Apotik RawZandy Tiaravani, A.md.farm
SINOM 2 dr. Nuning BPJS 61952.61 Apotik RawZandy Tiaravani, A.md.farm
RUANG TRAdr. Amelia BPJS 43264.38 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Iyan As BPJS 22200 Apotik RawZandy Tiaravani, A.md.farm
DURMA dr. Amelia BPJS 37470.5 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Amelia BPJS 175993 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Amelia BPJS 38057 Apotik RawZandy Tiaravani, A.md.farm
KINANTI dr. Lia Sri BPJS 52240.01 Apotik RawZandy Tiaravani, A.md.farm
MIJIL 1 (IC dr. Amelia BPJS 1931.26 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Iyan As BPJS 44400 Apotik RawZandy Tiaravani, A.md.farm
DANGDANG dr. Iyan As BPJS 568397 Apotik RawZandy Tiaravani, A.md.farm
PANGKUR dr. Amelia BPJS 71569.04 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Yanne BPJS 44844.07 Apotik RawZandy Tiaravani, A.md.farm
IGD dr. Irvan BPJS 105455.6 Apotik RawZandy Tiaravani, A.md.farm
PANGKUR dr. H. Gus BPJS 99805.99 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. H. Gus BPJS 489859.6 Apotik RawZandy Tiaravani, A.md.farm
BALAKBAK dr. Iyan As BPJS 77812.47 Apotik RawZandy Tiaravani, A.md.farm
DURMA dr. Amelia BPJS 27116.57 Apotik RawZandy Tiaravani, A.md.farm
KINANTI dr. Amelia BPJS 33600.24 Apotik RawZandy Tiaravani, A.md.farm
BAYI RAWAdr. Yanne BPJS 79576.53 Apotik RawZandy Tiaravani, A.md.farm
Total Billing BPJS Malam Rp8,625,429.83 Jumlah Billing Umum Ma
UMUM
MANUAL RANAP 233497 M ABDUR SINOM 2 dr. Nuning CALON BPJ 31170.28 Apotik Raw
MANUAL RANAP 224876 JAJANG JA BALAKBAK dr. Amelia CALON BPJ 186016.7 Apotik Raw
MANUAL RANAP 231917 HAFID DA SINOM 2 dr. Nuning CALON BPJ 38926.04 Apotik Raw
MANUAL RANAP 233479 ALDEN MUSINOM 3 dr. Nuning CALON BPJ 44982.49 Apotik Raw
MANUAL RANAP 233545 YUYUN SOLBALAKBAK dr. Annisa CALON BPJ 292411.3 Apotik Raw
MANUAL RANAP 233388 IWAN GUNDURMA dr. Amelia CALON BPJ 288736.9 Apotik Raw
MANUAL RANAP 233508 JASMINE NSINOM 2 dr. Nuning CALON BPJ 119133.4 Apotik Raw
MANUAL RANAP 233508 JASMINE NSINOM 2 dr. Nuning CALON BPJ 207.43 Apotik Raw
MANUAL RANAP 220322 ZEA ISOLASI A dr. Nuning CALON BPJ 136818.3 Apotik Raw
MANUAL RANAP 233473 JONI WIRANGR dr. Lia Sri CALON BPJ 57031.68 Apotik Raw
MANUAL RANAP 233420 AROFI MAUISOLASI A dr. Nuning CALON SK 192195.9 Apotik Raw
MANUAL RANAP 179651 Ny. YUYUNRUANG TRAdr. Amelia CALON SK 49615.14 Apotik Raw
MANUAL RANAP 233425 RHIYU YUDSINOM 2 dr. Nuning CALON SK 68697 Apotik Raw
MANUAL RANAP 206778 SHAQUEENA ISOLASI A dr. Nuning CALON SK 217950.1 Apotik Raw
MANUAL RANAP 233377 RAISYA FA BALAKBAK dr. Amelia CALON SK 81381.35 Apotik Raw
MANUAL RANAP 233555 EVA BY NY ASMARANDdr. Nuning UMUM 34465.31 Apotik Raw
MANUAL RANAP 233555 EVA BY NY ASMARANDdr. Nuning UMUM 56250 Apotik Raw
MANUAL RANAP 233559 NENEH BY ASMARANDdr. Nuning UMUM 315002.8 Apotik Raw
MANUAL RANAP 233555 EVA BY NY ASMARANDdr. Nuning UMUM 184623.3 Apotik Raw
MANUAL RANAP 233552 SUSAN BY ASMARANDdr. Nuning UMUM 68278.2 Apotik Raw
MANUAL RANAP 233527 HENDRO BALAKBAK dr. Lia Sri UMUM 50888.61 Apotik Raw
MANUAL RANAP 233552 SUSAN BY ASMARANDdr. Nuning UMUM 0 Apotik Raw
MANUAL RANAP 233528 DADAN RADANGDANG dr. Iyan As UMUM 131205.1 Apotik Raw
Operator
p2,645,987.43
No. BP
10 15-Jan-24 456 MANUAL RANAP 233068
11 15-Jan-24 219 MANUAL RANAP 233084
12 15-Jan-24 216 MANUAL RANAP 233315
13 15-Jan-24 345 MANUAL RANAP 233322
14 15-Jan-24 356 MANUAL RANAP 233374
15 15-Jan-24 482 MANUAL RANAP 233375
16 15-Jan-24 461 MANUAL RANAP 233388
17 15-Jan-24 458 MANUAL RANAP 233500
18 15-Jan-24 337 MANUAL RANAP 233548
19 15-Jan-24 214 MANUAL RANAP 233554
20 15-Jan-24 363 MANUAL RANAP 233556
21 15-Jan-24 334 MANUAL RANAP 233556
24 15-Jan-24 394 MANUAL RANAP 146699
25 15-Jan-24 242 MANUAL RANAP 153769
26 15-Jan-24 499 MANUAL RANAP 169879
27 15-Jan-24 317 MANUAL RANAP 203797
28 15-Jan-24 175 MANUAL RANAP 219502
29 15-Jan-24 171 MANUAL RANAP 219502
30 15-Jan-24 247 MANUAL RANAP 223841
31 15-Jan-24 212 MANUAL RANAP 231587
32 15-Jan-24 377 MANUAL RANAP 232754
33 15-Jan-24 381 MANUAL RANAP 232930
34 15-Jan-24 190 MANUAL RANAP 233332
35 15-Jan-24 207 MANUAL RANAP 233375
36 15-Jan-24 406 MANUAL RANAP 233383
37 15-Jan-24 443 MANUAL RANAP 233389
38 15-Jan-24 266 MANUAL RANAP 233393
39 15-Jan-24 147 MANUAL RANAP 233426
40 15-Jan-24 205 MANUAL RANAP 233442
41 15-Jan-24 515 MANUAL RANAP 233442
42 15-Jan-24 181 MANUAL RANAP 233443
43 15-Jan-24 322 MANUAL RANAP 233451
44 15-Jan-24 141 MANUAL RANAP 233491
45 15-Jan-24 269 MANUAL RANAP 233495
46 15-Jan-24 144 MANUAL RANAP 233498
47 15-Jan-24 143 MANUAL RANAP 233498
48 15-Jan-24 469 MANUAL RANAP 233525
49 15-Jan-24 132 MANUAL RANAP 233541
50 15-Jan-24 233 MANUAL RANAP 233546
51 15-Jan-24 420 MANUAL RANAP 233555
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
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74
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77
78
79
80
81
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91
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93
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100
Rp16,956,427.70
BILLING PAGI
BPJS
Ny. HODIJAH RUANG TRANSIT dr. Lia SrimuliawBPJS Rp59,688.48 Apotik Rawat
Ny. HODIJAH RUANG TRANSIT dr. Lia SrimuliawBPJS Rp29,859.00 Apotik Rawat
Ny. SARTINI BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp829.72 Apotik Rawat
Tn. RD MAMIE SYARIPANGKUR 2 dr. H. Gus RiyadBPJS ### Apotik Rawat
Ny. ANI MARYANI DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp7,122.50 Apotik Rawat
An. RAFFIF JANUAR SINOM 1 dr. Nuning Indri BPJS ### Apotik Rawat
Ny. ASRI MUSTIKA BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp5,730.00 Apotik Rawat
Tn. AKHDI BALAKBAK 3-C dr. Amelia AndriBPJS Rp59,718.00 Apotik Rawat
ARIS MUNANDAR DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,250.00 Apotik Rawat
SUMPENA BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp8,815.00 Apotik Rawat
IKA KARTIKA WIRANGRONG dr. Lia SrimuliawBPJS Rp7,255.14 Apotik Rawat
ANIH MARYANI KINANTI dr. Lia SrimuliawBPJS ### Apotik Rawat
RENALDI ANSHARY AISOLASI ANAK dr. Nuning Indri BPJS Rp29,306.16 Apotik Rawat
RAHFAKHA MUHAMAD MIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp30,375.59 Apotik Rawat
IWAN GUNAWAN DURMA dr. Amelia AndriBPJS Rp58,392.94 Apotik Rawat
RIKI RIDWAN BALAKBAK 3-B dr. Amelia AndriBPJS Rp61,738.69 Apotik Rawat
LIA YULIANTI RUANG TRANSIT dr. Lia SrimuliawBPJS ### Apotik Rawat
ELI PANGKUR 3 dr. Lia SrimuliawBPJS Rp2,410.08 Apotik Rawat
OTENG JUHAERI BALAKBAK 3-C dr. Annisa Tri K BPJS Rp93,522.38 Apotik Rawat
OTENG JUHAERI BALAKBAK 3-C dr. Annisa Tri K BPJS ### Apotik Rawat
M FAHREZZA SAPUT SINOM 3 dr. Nuning Indri BPJS Rp14,985.00 Apotik Rawat
Ny. ANI MARYANI DANGDANGGULA 3dr. H. Gus RiyadBPJS ### Apotik Rawat
Nn. EVA FAUZIAH GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. WIWIN WINARTI BALAKBAK 3-A dr. Annisa Tri K BPJS Rp80,202.98 Apotik Rawat
Tn. MARDIANSYAH SINOM 3 dr. Nuning Indri BPJS Rp17,212.50 Apotik Rawat
ARSHINTA KIRANIA PSINOM 2 dr. Nuning Indri BPJS Rp1,144.14 Apotik Rawat
SUGIH RAMADAN MIJIL 1 (ICU) dr. Amelia AndriBPJS Rp44,955.00 Apotik Rawat
SUGIH RAMADAN MIJIL 1 (ICU) dr. Amelia AndriBPJS Rp33,913.00 Apotik Rawat
IDING SARIPUDIN DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,898.60 Apotik Rawat
Tn. PURMAN SUTISNBALAKBAK 3-C dr. H. Gus RiyadBPJS Rp26,898.60 Apotik Rawat
Ny. IDA ROSIDAH BALAKBAK 2-B dr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
SINTA BY NY ASMARANDANA (2B dr. Nuning Indri BPJS ### Apotik Rawat
RAHFAKHA MUHAMAD MIJIL 2 (PIMCU) dr. Nuning Indri BPJS ### Apotik Rawat
LIEVIA M BY NY ASMARANDANA (2A dr. Nuning Indri BPJS Rp10,473.41 Apotik Rawat
OTIH BY NY ASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
SITI MAESAROH BY NASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
INDAH BY NY ASMARANDANA (FO dr. Nuning Indri BPJS ### Apotik Rawat
AYU MIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp18,731.25 Apotik Rawat
AYU MIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp14,985.00 Apotik Rawat
ENENG SUMIATI RUANG TRANSIT dr. Lia SrimuliawBPJS Rp20,687.50 Apotik Rawat
NENENG SUSILAWATIBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp32,212.95 Apotik Rawat
NENG YULIANENGSIHGURISA (KELAS 2) dr. Santi Maria BPJS Rp41,625.00 Apotik Rawat
ALESHA NUR RACHMASMARANDANA (2A dr. Nuning Indri BPJS Rp21,939.71 Apotik Rawat
AI SITI PATIMAH GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
AI SITI PATIMAH GURISA (KELAS 3) dr. Yanne Triha BPJS Rp14,493.80 Apotik Rawat
ETI ROHAETI BAYI RAWAT GABUdr. Yanne Triha BPJS Rp91,891.74 Apotik Rawat
WANDI BALAKBAK 3-D dr. Iyan Asiana BPJS ### Apotik Rawat
ADANG HERMAWANMIJIL 1 (ICU) dr. Lia SrimuliawBPJS ### Apotik Rawat
EVA BY NY ASMARANDANA (FO dr. Nuning Indri BPJS Rp99,739.75 Apotik Rawat
Rp2,053,359.44
BILLING PAGI
U
Rp3,860,825.99 Jumlah Billing Umum Pagi 9 T
UMUM
IMAS MAS DURMA dr. Amelia CALON BPJ 35729.15 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
HENDRO BALAKBAK dr. Lia Sri UMUM 46769.84 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
JONI WIRANGR dr. Lia Sri CALON BPJ 12757.83 Apotik RawTitan Mulyana, A.md.farm
RINDIANI VGURISA (KEdr. Yanne UMUM 11695.04 Apotik RawTitan Mulyana, A.md.farm
NENEH BY ASMARANDdr. Nuning UMUM 122097.9 Apotik RawTitan Mulyana, A.md.farm
ANGGI YANASMARANDA dr. Retno BUMUM 30685.5 Apotik RawTitan Mulyana, A.md.farm
SUCI DINI ASMARANDA dr. Retno BUMUM 61552.01 Apotik RawTitan Mulyana, A.md.farm
SUCI DINI ASMARANDA dr. Retno BUMUM 0 Apotik RawTitan Mulyana, A.md.farm
AMBIYA BYASMARANDA dr. Retno BUMUM 61552.01 Apotik RawTitan Mulyana, A.md.farm
BPJS
15-Jan-24 724 MANUAL RANAP 99826 SAEPUDIN BALAKBAK dr. Amelia BPJS
15-Jan-24 774 MANUAL RANAP 159589 Ny. WATI BALAKBAK dr. Amelia BPJS
15-Jan-24 683 MANUAL RANAP 232754 Ny. IDA ROBALAKBAK dr. Yanne BPJS
15-Jan-24 597 MANUAL RANAP 233551 NENEH SITGURISA (KEdr. Yanne BPJS
15-Jan-24 758 MANUAL RANAP 86479 Ny. ANI M DANGDANG dr. H. Gus BPJS
15-Jan-24 659 MANUAL RANAP 161039 Tn. ADI F SINOM 2 dr. Nuning BPJS
15-Jan-24 712 MANUAL RAJAL 181292 Ny. NUNU IGD dr. Irvan BPJS
15-Jan-24 720 MANUAL RANAP 233377 RAISYA FA BALAKBAK dr. Amelia BPJS
15-Jan-24 734 MANUAL RANAP 233500 RIKI RIDW BALAKBAK dr. Amelia BPJS
15-Jan-24 745 MANUAL RANAP 180371 Tn. AKHDI BALAKBAK dr. Amelia BPJS
15-Jan-24 591 MANUAL RANAP 233615 Ny. NYAI K BAYI RAWAdr. Yanne BPJS
15-Jan-24 711 MANUAL RAJAL 181292 Ny. NUNU IGD dr. Irvan BPJS
15-Jan-24 682 MANUAL RANAP 232144 ENCEP MUDANGDANG dr. Iyan As BPJS
15-Jan-24 718 MANUAL RANAP 178853 Ny. IRA SU GURISA (KEdr. Yanne BPJS
15-Jan-24 732 MANUAL RANAP 233391 MAMAT RUKINANTI dr. Amelia BPJS
15-Jan-24 755 MANUAL RANAP 233388 IWAN GUNDURMA dr. Amelia BPJS
15-Jan-24 681 MANUAL RANAP 138199 Tn. ANDI S DANGDANG dr. Iyan As BPJS
15-Jan-24 699 MANUAL RANAP 219502 SUGIH RA MIJIL 1 (IC dr. Amelia BPJS
15-Jan-24 717 MANUAL RANAP 178853 Ny. IRA SU GURISA (KEdr. Yanne BPJS
15-Jan-24 638 MANUAL RANAP 233578 SITI HINDUBALAKBAK dr. Yanne BPJS
15-Jan-24 703 MANUAL RAJAL 233625 YUSUP PA IGD dr. Ramdhan BPJS
15-Jan-24 765 MANUAL RANAP 159589 Ny. WATI BALAKBAK dr. Amelia BPJS
15-Jan-24 675 MANUAL RANAP 233497 M ABDUR SINOM 2 dr. Nuning BPJS
15-Jan-24 729 MANUAL RANAP 20424 An. HANA PANGKUR dr. Amelia BPJS
15-Jan-24 697 MANUAL RANAP 169699 EKI OKTAVIGURISA (KEdr. Yanne BPJS
15-Jan-24 739 MANUAL RANAP 217787 MOCH SAI BALAKBAK dr. Amelia BPJS
15-Jan-24 716 MANUAL RANAP 233622 Ny. RESTI GURISA (KEdr. Yanne BPJS
15-Jan-24 782 MANUAL RANAP 227374 Ny. RESMADANGDANG dr. Iyan As BPJS
15-Jan-24 694 MANUAL RANAP 121241 Ny. TINA P BAYI RAWAdr. Yanne BPJS
15-Jan-24 635 MANUAL RANAP 124103 Ny. E RUKMBALAKBAK dr. Amelia BPJS
15-Jan-24 671 MANUAL RANAP 233374 RENALDI AISOLASI A dr. Nuning BPJS
15-Jan-24 728 MANUAL RANAP 139656 Ny. ITA PANGKUR dr. Amelia BPJS
15-Jan-24 715 MANUAL RANAP 232306 DENI HAM BALAKBAK dr. Lia Sri BPJS
15-Jan-24 781 MANUAL RANAP 186699 Ny. SARI P DANGDANG dr. Iyan As BPJS
15-Jan-24 689 MANUAL RANAP 232754 Ny. IDA ROBALAKBAK dr. Yanne BPJS
15-Jan-24 633 MANUAL RANAP 233596 ERI RISM BALAKBAK dr. Amelia BPJS
15-Jan-24 726 MANUAL RANAP 82022 Ny. SITI S PANGKUR dr. Amelia BPJS
15-Jan-24 783 MANUAL RAJAL 233627 RANI IGD dr. Ramdhan BPJS
15-Jan-24 710 MANUAL RANAP 194992 Ny. DIAH EBALAKBAK dr. Amelia BPJS
15-Jan-24 688 MANUAL RANAP 80837 Ny. ROPI DANGDANG dr. Amelia BPJS
15-Jan-24 624 MANUAL RANAP 233598 Ny. MEMEIBAYI RAWAdr. Yanne BPJS
15-Jan-24 664 MANUAL RANAP 220322 ZEA ISOLASI A dr. Nuning CALON BPJ
15-Jan-24 749 MANUAL RANAP 233376 SETIAWATIDURMA dr. Amelia BPJS
15-Jan-24 725 MANUAL RANAP 78456 Ny. APOY PANGKUR dr. Amelia BPJS
15-Jan-24 779 MANUAL RAJAL 233627 RANI IGD dr. RamdhanBPJS
15-Jan-24 736 MANUAL RANAP 232624 DUDUNG BALAKBAK dr. Amelia BPJS
15-Jan-24 709 MANUAL RANAP 194992 Ny. DIAH EBALAKBAK dr. Amelia BPJS
15-Jan-24 686 MANUAL RANAP 131169 Ny. DILA T RUANG TRAdr. Amelia BPJS
15-Jan-24 599 MANUAL RANAP 233551 NENEH SITGURISA (KEdr. Yanne BPJS
15-Jan-24 660 MANUAL RANAP 167788 Tn. AZKA SINOM 2 dr. Nuning BPJS
15-Jan-24 756 MANUAL RANAP 233596 ERI RISM BALAKBAK dr. Amelia BPJS
15-Jan-24 768 MANUAL RANAP 225061 MAISHA ADMIJIL 2 (P dr. Nuning BPJS
15-Jan-24 766 MANUAL RANAP 233621 M AZKA PUMIJIL 2 (P dr. Retno BCALON BPJ
15-Jan-24 754 MANUAL RANAP 233486 WINDI RISTRUANG TRAdr. Amelia BPJS
15-Jan-24 752 MANUAL RANAP 80837 Ny. ROPI DANGDANG dr. Amelia BPJS
15-Jan-24 753 MANUAL RANAP 124103 Ny. E RUKMBALAKBAK dr. Amelia BPJS
15-Jan-24 794 MANUAL RANAP 223424 DAFARA GUSINOM 2 dr. Nuning BPJS
15-Jan-24 750 MANUAL RANAP 233470 ATEP WAHPANGKUR dr. Amelia BPJS
15-Jan-24 747 MANUAL RAJAL 233625 YUSUP PA IGD dr. RamdhanBPJS
15-Jan-24 793 MANUAL RANAP 233446 UKKASYA ASINOM 1 dr. Nuning BPJS
15-Jan-24 759 MANUAL RANAP 139360 Ny. ATIT WRUANG TRAdr. Amelia BPJS
BILLING SIANG

UMUM
RANAP 187142 Ny. TATI S BALAKBAK dr. Yanne CALON BPJ 21245.4 Apotik Rawat I
RAJAL 233568 SINTIA SULIGD dr. PuspariCALON BPJ 53002.52 Apotik Rawat I
RANAP 231917 HAFID DA SINOM 2 dr. Nuning UMUM 107814 Apotik Rawat I
BPJS
Rp182,061.94 Jumlah Billing BPJS Malam 88 Tota

BILLING MALAM
BPJS
ENTJUP PANGKUR dr. Amelia BPJS 67972.64 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
ENDIN DANGDANG dr. Iyan As BPJS 94002.48 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
IWAN GUNDURMA dr. Amelia BPJS 56042.33 Apotik RawSri Mulyati, A.md.farm. 15-Jan-24
ENTJUP PANGKUR dr. Amelia BPJS 39590.92 Apotik RawSri Mulyati, A.md.farm. 15-Jan-24
M ABDUR SINOM 2 dr. Nuning BPJS 28045.01 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
Ny. DIAH EBALAKBAK dr. Amelia BPJS 6868.14 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
YUSUP PA BALAKBAK dr. Amelia BPJS 57139.99 Apotik RawSri Mulyati, A.md.farm. 15-Jan-24
DONY SAE BALAKBAK dr. Amelia BPJS 49649.56 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
Ny. ROPI DANGDANG dr. Amelia BPJS 22327.94 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
RAHFAKHAMIJIL 2 (P dr. Nuning BPJS 201224.9 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
SUMPENA BALAKBAK dr. Lia Sri BPJS 146936 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
Ny. MEMEIBAYI RAWAdr. Yanne BPJS 63233.81 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
ERI RISM BALAKBAK dr. Amelia BPJS 54014.61 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
Ny. SARTINBALAKBAK dr. Lia Sri BPJS 150801.2 Apotik RawSri Mulyati, A.md.farm. 15-Jan-24
AKHANZA SSINOM 2 dr. Nuning BPJS 44962.5 Apotik RawSri Mulyati, A.md.farm. 15-Jan-24
WAWAN HDANGDANG dr. H. Gus BPJS 39907.27 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
RENALDI AISOLASI A dr. Nuning BPJS 23749.84 Apotik RawSri Mulyati, A.md.farm. 16-Jan-24
ELI PANGKUR dr. Lia Sri BPJS 57918.09 Apotik RawSri Mulyati, A.md.farm.
Tn. EL AZA SINOM 2 dr. Nuning BPJS 32812.98 Apotik RawSri Mulyati, A.md.farm.
DAFARA GUSINOM 2 dr. Nuning BPJS 66924.98 Apotik RawSri Mulyati, A.md.farm.
RAHMAN BALAKBAK dr. Lia Sri BPJS 15435.2 Apotik RawSri Mulyati, A.md.farm.
Ny. RINI N KINANTI dr. Lia Sri BPJS 149327.7 Apotik RawSri Mulyati, A.md.farm.
WIRA OKT MIJIL 2 (P dr. Nuning BPJS 186967.7 Apotik RawSri Mulyati, A.md.farm.
Ny. AMBIYPANGKUR dr. Yanne BPJS 21245.4 Apotik RawSri Mulyati, A.md.farm.
ENONG IGD dr. Fajri N BPJS 116889.7 Apotik RawSri Mulyati, A.md.farm.
WINDI RISTRUANG TRAdr. Amelia BPJS 68540.79 Apotik RawSri Mulyati, A.md.farm.
WAWAN HDANGDANG dr. H. Gus BPJS 39907.27 Apotik RawSri Mulyati, A.md.farm.
SIVA MAULISOLASI A dr. Nuning BPJS 40941.66 Apotik RawSri Mulyati, A.md.farm.
IKA KARTIKWIRANGR dr. Lia Sri BPJS 2525.24 Apotik RawSri Mulyati, A.md.farm.
Tn. ABDULBALAKBAK dr. H. Gus BPJS 401056.2 Apotik RawSri Mulyati, A.md.farm.
Tn. DIMAS BALAKBAK dr. H. Gus BPJS 400954.9 Apotik RawSri Mulyati, A.md.farm.
BANDI SO WIRANGR dr. Amelia BPJS 59354.94 Apotik RawSri Mulyati, A.md.farm.
Ny. E RUKMBALAKBAK dr. Amelia BPJS 39804.24 Apotik RawSri Mulyati, A.md.farm.
OTENG JUHBALAKBAK dr. Annisa BPJS 207553.3 Apotik RawSri Mulyati, A.md.farm.
Ny. ANI M DANGDANG dr. H. Gus BPJS 219139.5 Apotik RawSri Mulyati, A.md.farm.
SIVA MAULISOLASI A dr. Nuning BPJS 46821.68 Apotik RawSri Mulyati, A.md.farm.
Ny. DADAHDANGDANG dr. H. Gus BPJS 39907.27 Apotik RawSri Mulyati, A.md.farm.
Tn. ADI F SINOM 2 dr. Nuning BPJS 70738.51 Apotik RawSri Mulyati, A.md.farm.
INTAN BAI DANGDANG dr. H. Gus BPJS 400954.9 Apotik RawSri Mulyati, A.md.farm.
Ny. HODIJ RUANG TRAdr. Lia Sri BPJS 41334.95 Apotik RawSri Mulyati, A.md.farm.
MAISHA ADMIJIL 2 (P dr. Nuning BPJS 37267.98 Apotik RawSri Mulyati, A.md.farm.
WANDI BALAKBAK dr. Iyan As BPJS 80409.78 Apotik RawSri Mulyati, A.md.farm.
Ny. E RUKMBALAKBAK dr. Amelia BPJS 119436 Apotik RawSri Mulyati, A.md.farm.
ASEP UUS BALAKBAK dr. Amelia BPJS 49147.62 Apotik RawSri Mulyati, A.md.farm.
SAKIAH PANGKUR dr. Amelia BPJS 137491.9 Apotik RawSri Mulyati, A.md.farm.
Ny. IIS HA BALAKBAK dr. Lia Sri BPJS 74077.9 Apotik RawSri Mulyati, A.md.farm.
ADANG H MIJIL 1 (IC dr. Lia Sri BPJS 133811.6 Apotik RawSri Mulyati, A.md.farm.
SOLIHIN BALAKBAK dr. Amelia BPJS 18126.63 Apotik RawSri Mulyati, A.md.farm.
Tn. AZKA SINOM 2 dr. Nuning BPJS 42611.48 Apotik RawSri Mulyati, A.md.farm.
Ny. DADAHDANGDANG dr. H. Gus BPJS 400954.9 Apotik RawSri Mulyati, A.md.farm.
Ny. IDA ROBALAKBAK dr. Yanne BPJS 69059.26 Apotik RawSri Mulyati, A.md.farm.
INTAN BAI DANGDANG dr. H. Gus BPJS 16685.55 Apotik RawSri Mulyati, A.md.farm.
Ny. ERLIS PANGKUR dr. Iyan As BPJS 137255.7 Apotik RawSri Mulyati, A.md.farm.
ATEP WAHPANGKUR dr. Amelia BPJS 62404.88 Apotik RawSri Mulyati, A.md.farm.
Tn. RD MAPANGKUR dr. H. Gus BPJS 89639.28 Apotik RawSri Mulyati, A.md.farm.
WAWAN HDANGDANG dr. H. Gus BPJS 580889.5 Apotik RawSri Mulyati, A.md.farm.
AKHANZA SSINOM 2 dr. Nuning BPJS 4849.99 Apotik RawSri Mulyati, A.md.farm.
AKHANZA SSINOM 2 dr. Nuning BPJS 45828.43 Apotik RawSri Mulyati, A.md.farm.
NAFISA CI SINOM 3 dr. Nuning BPJS 32812.98 Apotik RawSri Mulyati, A.md.farm.
JAJANG JU DURMA dr. Amelia BPJS 39927.18 Apotik RawSri Mulyati, A.md.farm.
Nn. NENG EPANGKUR dr. Amelia BPJS 50762.16 Apotik RawSri Mulyati, A.md.farm.
AROFI MAUISOLASI A dr. Nuning BPJS 190742.3 Apotik RawSri Mulyati, A.md.farm.
Ny. DILA T RUANG TRAdr. Amelia BPJS 39358.53 Apotik RawSri Mulyati, A.md.farm.
Ny. NURHABALAKBAK dr. Amelia BPJS 46842.38 Apotik RawSri Mulyati, A.md.farm.
ARIS MUN DANGDANG dr. H. Gus BPJS 487579.5 Apotik RawSri Mulyati, A.md.farm.
UJANG MADANGDANG dr. Iyan As BPJS 359312 Apotik RawSri Mulyati, A.md.farm.
DONY SAE BALAKBAK dr. Amelia BPJS 20349.39 Apotik RawSri Mulyati, A.md.farm.
Ny. ASRI MBALAKBAK dr. Lia Sri BPJS 52607.09 Apotik RawSri Mulyati, A.md.farm.
Ny. LINDA DANGDANG dr. Iyan As BPJS 63498.94 Apotik RawSri Mulyati, A.md.farm.
An. RAFFI SINOM 1 dr. Nuning BPJS 91038.56 Apotik RawSri Mulyati, A.md.farm.
Ny. NUNU BALAKBAK dr. Amelia BPJS 14656.08 Apotik RawSri Mulyati, A.md.farm.
SYAKIR M SINOM 3 dr. Nuning BPJS 65633.1 Apotik RawSri Mulyati, A.md.farm.
ELI PANGKUR dr. Lia Sri BPJS 3615.12 Apotik RawSri Mulyati, A.md.farm.
Ny. ATIT WRUANG TRAdr. Amelia BPJS 51473.61 Apotik RawSri Mulyati, A.md.farm.
Ny. DIAH EBALAKBAK dr. Amelia BPJS 60833.3 Apotik RawSri Mulyati, A.md.farm.
IKA KARTIKWIRANGR dr. Lia Sri BPJS 41707.56 Apotik RawSri Mulyati, A.md.farm.
JAJANG JA BALAKBAK dr. Amelia BPJS 54456.02 Apotik RawSri Mulyati, A.md.farm.
RENALDI AISOLASI A dr. Nuning BPJS 294220.3 Apotik RawSri Mulyati, A.md.farm.
Ny. NUNU BALAKBAK dr. Amelia BPJS 120201.9 Apotik RawSri Mulyati, A.md.farm.
UKKASYA ASINOM 1 dr. Nuning BPJS 35780.16 Apotik RawSri Mulyati, A.md.farm.
UKKASYA ASINOM 1 dr. Nuning BPJS 31924.98 Apotik RawSri Mulyati, A.md.farm.
IWAN GUNDURMA dr. Amelia BPJS 5100.03 Apotik RawSri Mulyati, A.md.farm.
WIRA OKT MIJIL 2 (P dr. Nuning BPJS 4419.19 Apotik RawSri Mulyati, A.md.farm.
RAHFAKHAMIJIL 2 (P dr. Nuning BPJS 201224.9 Apotik RawSri Mulyati, A.md.farm.
WANDI BALAKBAK dr. Iyan As BPJS 80409.78 Apotik RawSri Mulyati, A.md.farm.
Ny. E RUKMBALAKBAK dr. Amelia BPJS 119436 Apotik RawSri Mulyati, A.md.farm.
ERI RISM BALAKBAK dr. Amelia BPJS 54014.61 Apotik RawSri Mulyati, A.md.farm.
YUSUP PA BALAKBAK dr. Amelia BPJS 57139.99 Apotik RawSri Mulyati, A.md.farm.
Total Billing BPJS Malam Rp8,744,552.01 Jumlah Billing

UMUM
59 MANUAL RANAP 233479 ALDEN MUSINOM 3 dr. Nuning CALON BPJ 44982.49
43 MANUAL RANAP 233545 YUYUN SOLBALAKBAK dr. Annisa CALON BPJ 80737.08
846 MANUAL RANAP 220322 ZEA ISOLASI A dr. Nuning CALON BPJ 135364.4
824 MANUAL RANAP 233508 JASMINE NSINOM 2 dr. Nuning CALON BPJ 71723.45
68 MANUAL RANAP 233545 YUYUN SOLBALAKBAK dr. Annisa CALON BPJ 7328.04
17 MANUAL RANAP 233621 M AZKA PUMIJIL 2 (P dr. Retno BCALON BPJ 36861.72
855 MANUAL RANAP 233621 M AZKA PUMIJIL 2 (P dr. Retno BCALON BPJ 99952.13
80 MANUAL RANAP 233425 RHIYU YUDSINOM 2 dr. Nuning CALON SK 68697
25 MANUAL RANAP 233640 ARIFIN SA BALAKBAK dr. Amelia CALON SK 40025.86
5 MANUAL RANAP 233544 PURWA PRSINOM 3 dr. Nuning CALON SK 6084.19
50 MANUAL RANAP 233544 PURWA PRSINOM 3 dr. Nuning CALON SK 120376.9
34 MANUAL RANAP 206778 SHAQUEENA ISOLASI A dr. Nuning CALON SK 217101.3
41 MANUAL RANAP 229018 ANAYA SHOSINOM 3 dr. Nuning UMUM 44270.59
841 MANUAL RANAP 231917 HAFID DA SINOM 2 dr. Nuning UMUM 103449.5
805 MANUAL RANAP 233636 RANI BY NYASMARANDdr. Retno BUMUM 20313.38
65 MANUAL RANAP 233527 HENDRO BALAKBAK dr. Lia Sri UMUM 101440.2
49 MANUAL RANAP 233528 DADAN RADANGDANG dr. Iyan As UMUM 289750
Depo Operator
Rp1,488,458.19
No. BP
10 16-Jan-24 261 MANUAL RANAP 187306
11 16-Jan-24 258 MANUAL RANAP 233556
13 16-Jan-24 242 MANUAL RANAP 233554
14 16-Jan-24 253 MANUAL RANAP 135364
15 16-Jan-24 241 MANUAL RANAP 233631
17 16-Jan-24 203 MANUAL RANAP 229944
21 16-Jan-24 270 MANUAL RANAP 233545
22 16-Jan-24 322 MANUAL RANAP 233694
23 16-Jan-24 136 MANUAL RANAP 219502
24 16-Jan-24 235 MANUAL RANAP 130993
25 16-Jan-24 488 MANUAL RANAP 233700
26 16-Jan-24 384 MANUAL RANAP 233295
27 16-Jan-24 111 MANUAL RANAP 233639
28 16-Jan-24 421 MANUAL RANAP 233546
29 16-Jan-24 308 MANUAL RANAP 233694
30 16-Jan-24 483 MANUAL RANAP 233598
31 16-Jan-24 381 MANUAL RANAP 233695
32 16-Jan-24 109 MANUAL RANAP 219502
33 16-Jan-24 228 MANUAL RANAP 232754
34 16-Jan-24 302 MANUAL RANAP 233528
35 16-Jan-24 476 MANUAL RANAP 233677
36 16-Jan-24 105 MANUAL RANAP 224876
37 16-Jan-24 219 MANUAL RANAP 232465
38 16-Jan-24 285 MANUAL RANAP 233578
39 16-Jan-24 370 MANUAL RANAP 232128
40 16-Jan-24 243 MANUAL RANAP 121461
43 16-Jan-24 404 MANUAL RANAP 233698
44 16-Jan-24 284 MANUAL RANAP 151670
45 16-Jan-24 455 MANUAL RANAP 233699
46 16-Jan-24 362 MANUAL RANAP 196738
48 16-Jan-24 253 MANUAL RANAP 233495
49 16-Jan-24 210 MANUAL RANAP 233315
50 16-Jan-24 280 MANUAL RANAP 230159
51 16-Jan-24 353 MANUAL RANAP 233547
53 16-Jan-24 206 MANUAL RANAP 233622
54 16-Jan-24 276 MANUAL RANAP 187142
55 16-Jan-24 333 MANUAL RANAP 233598
56 16-Jan-24 317 MANUAL 107 RAJAL 171171
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp16,302,373.72 Rp742,260.94
BILLING PAGI
BPJS
Ny. LINDA KARDANGDANGGULA 2dr. Iyan Asiana BPJS ### Apotik Rawat
Ny. ANI MARYADANGDANGGULA 3dr. H. Gus RiyadBPJS ### Apotik Rawat
Ny. HODIJAH RUANG TRANSIT dr. Lia SrimuliawBPJS Rp0.00 Apotik Rawat
SUMPENA BALAKBAK 3-B dr. Lia SrimuliawBPJS ### Apotik Rawat
TUTI HANDINI DANGDANGGULA 2dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. RINI NURHKINANTI dr. Lia SrimuliawBPJS Rp59,718.00 Apotik Rawat
Tn. RIVAN MU IGD dr. Alvin Noor HBPJS Rp37,076.58 Apotik Rawat
Ny. NUNUNG NBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp8,914.86 Apotik Rawat
Ny. RINI NURHKINANTI dr. Lia SrimuliawBPJS Rp7,770.00 Apotik Rawat
OTENG JUHAERBALAKBAK 3-C dr. Annisa Tri K BPJS Rp877.50 Apotik Rawat
Tn. RD MAMIE PANGKUR 2 dr. H. Gus RiyadBPJS Rp8,979.28 Apotik Rawat
Ny. ELI PANGKUR 3 dr. Lia SrimuliawBPJS Rp622.29 Apotik Rawat
An. RISMAN A BALAKBAK 3-D dr. Annisa Tri K BPJS Rp42,296.89 Apotik Rawat
BANDI SOMANT WIRANGRONG dr. Amelia AndriBPJS Rp900.00 Apotik Rawat
Tn. AGUS DAYABALAKBAK 3-B dr. Amelia AndriBPJS Rp36,050.40 Apotik Rawat
ENDIN DANGDANGGULA 3dr. Iyan Asiana BPJS Rp7,122.50 Apotik Rawat
Ny. NURHAYATBALAKBAK 3-A dr. Amelia AndriBPJS ### Apotik Rawat
ASEP UUS KUS BALAKBAK 3-C dr. Amelia AndriBPJS Rp18,177.11 Apotik Rawat
YUYUN SOLIHABALAKBAK 3-A dr. Annisa Tri K CALON BPJS Rp19,361.45 Apotik Rawat
EPI ROSTIAWATBAYI RAWAT GABUdr. Nuning Indri UMUM Rp0.00 Apotik Rawat
SUGIH RAMADMIJIL 1 (ICU) dr. Amelia AndriBPJS Rp1,716.21 Apotik Rawat
INTAN BAIDURIDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp33,819.85 Apotik Rawat
TINA PUSPITA SASMARANDANA (FO dr. Nuning Indri UMUM Rp38,414.61 Apotik Rawat
IMAS MASTIKAPANGKUR 3 dr. Santi Maria BPJS Rp99,748.32 Apotik Rawat
ENONG MIJIL 1 (ICU) dr. Annisa Tri K BPJS ### Apotik Rawat
ADANG HERM MIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp1,807.56 Apotik Rawat
EPI ROSTIAWATBAYI RAWAT GABUdr. Nuning Indri UMUM Rp27,250.88 Apotik Rawat
Ny. MEMEI IRI BAYI RAWAT GABUdr. Yanne Triha BPJS Rp91,468.54 Apotik Rawat
SINTIA BY NY ASMARANDANA (LEdr. Nuning Indri UMUM ### Apotik Rawat
SUGIH RAMADMIJIL 1 (ICU) dr. Amelia AndriBPJS Rp33,091.75 Apotik Rawat
Ny. IDA ROSID BALAKBAK 2-B dr. Yanne Triha BPJS Rp90,093.54 Apotik Rawat
DADAN RAMD DANGDANGGULA 3dr. Iyan Asiana BPJS Rp47,023.60 Apotik Rawat
JAJANG NURJ BALAKBAK 1 dr. Amelia AndriBPJS ### Apotik Rawat
JAJANG JALALUBALAKBAK 3-C dr. Amelia AndriBPJS Rp19,629.61 Apotik Rawat
Tn. DIMAS SET BALAKBAK 3-D dr. H. Gus RiyadBPJS Rp26,898.60 Apotik Rawat
SITI HINDUN S BALAKBAK 2-A dr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
Ny. SUSAN SUSGURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. IIS HALIMABALAKBAK 3-A dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. DINI ANDRGURISA (KELAS 3) dr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
Ny. SARTINI BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp12,856.25 Apotik Rawat
EKI OKTAVIANIASMARANDANA (2A dr. Nuning Indri UMUM Rp43,187.12 Apotik Rawat
EULIS ROSITA RUANG TRANSIT dr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
SITI ILMI ALIY ASMARANDANA (LEdr. Nuning Indri UMUM Rp45,414.62 Apotik Rawat
Ny. AMBIYA R GURISA (KELAS 3) dr. Yanne Triha BPJS Rp46,097.40 Apotik Rawat
Ny. EULIS MA BAYI RAWAT GABUdr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
ALESHA NUR ASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
IKA KARTIKA PANGKUR 3 dr. Lia SrimuliawBPJS Rp10,447.50 Apotik Rawat
SUCI DINI ADI GURISA (KELAS 2) dr. Yanne Triha BPJS Rp46,097.40 Apotik Rawat
ANGGI YANI PUGURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. RESTI RES GURISA (KELAS 3) dr. Yanne Triha BPJS Rp2,250.00 Apotik Rawat
Ny. TATI SARIPBALAKBAK 2-A dr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
Ny. MEMEI IRI BAYI RAWAT GABUdr. Yanne Triha BPJS Rp8,880.00 Apotik Rawat
MUGNI ANNAFIAnak dr. Nuning Indri BPJS ### Apotik Rawat
BILLING PAGI
UMUM
Asep Afrizal, A.md Farm 16-Jan-24 249 MANUAL RANAP 233527
UMUM
Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl No.Resep
HENDRO BALAKBAK dr. Lia Sri UMUM 1205.04 Apotik RawAsep Afrizal, A.md Farm 16-Jan-24 711
JASMINE NSINOM 2 dr. Nuning CALON BPJ 27620.07 Apotik RawAsep Afrizal, A.md Farm 16-Jan-24 661
16-Jan-24 725
16-Jan-24 637
16-Jan-24 694
16-Jan-24 652
16-Jan-24 685
16-Jan-24 684
16-Jan-24 660
16-Jan-24 693
16-Jan-24 699
16-Jan-24 706
16-Jan-24 659
16-Jan-24 627
16-Jan-24 651
16-Jan-24 593
16-Jan-24 698
16-Jan-24 681
16-Jan-24 658
16-Jan-24 691
16-Jan-24 668
16-Jan-24 648
16-Jan-24 705
16-Jan-24 577
16-Jan-24 697
16-Jan-24 657
16-Jan-24 649
16-Jan-24 667
16-Jan-24 647
16-Jan-24 704
16-Jan-24 679
16-Jan-24 656
16-Jan-24 717
16-Jan-24 689
16-Jan-24 664
16-Jan-24 643
16-Jan-24 703
16-Jan-24 559
16-Jan-24 677
16-Jan-24 655
16-Jan-24 688
16-Jan-24 642
16-Jan-24 701
16-Jan-24 546
16-Jan-24 676
16-Jan-24 687
16-Jan-24 662
16-Jan-24 640
16-Jan-24 695
16-Jan-24 540
Total Billing Umum Pagi Rp28,825.11 Jumlah Billing B
BPJS
MANUAL RANAP 161039 Tn. ADI F SINOM 2 dr. Nuning BPJS 24946.36 Apotik Raw
MANUAL RANAP 233639 ENONG MIJIL 1 (IC dr. Annisa BPJS 3608.75 Apotik Raw
MANUAL RANAP 171171 MUGNI ANSINOM 2 dr. Nuning BPJS 4849.99 Apotik Raw
MANUAL RANAP 233486 WINDI RISTRUANG TRAdr. Amelia BPJS 4440 Apotik Raw
MANUAL RANAP 187142 Ny. TATI S BALAKBAK dr. Yanne BPJS 71856.24 Apotik Raw
MANUAL RANAP 19143 Tn. AGUS BALAKBAK dr. Amelia BPJS 24330.1 Apotik Raw
MANUAL RANAP 233446 UKKASYA ASINOM 1 dr. Nuning BPJS 49395 Apotik Raw
MANUAL RANAP 139360 Ny. ATIT WRUANG TRAdr. Amelia BPJS 6250 Apotik Raw
MANUAL RAJAL 233693 SITI AISAH IGD dr. Alvin N BPJS 47295.39 Apotik Raw
MANUAL RANAP 144956 BAMBANGBALAKBAK dr. Lia Sri CALON BPJ 117753.5 Apotik Raw
MANUAL RANAP 233420 AROFI MAUISOLASI A dr. Nuning BPJS 59538.83 Apotik Raw
MANUAL RANAP 233165 WIDI BY NYASMARANDdr. Nuning BPJS 32883.75 Apotik Raw
MANUAL RANAP 187142 Ny. TATI S BALAKBAK dr. Yanne BPJS 16600 Apotik Raw
MANUAL RANAP 233479 ALDEN MUSINOM 3 dr. Nuning BPJS 14985 Apotik Raw
MANUAL RAJAL 233691 AAN ROHAIGD dr. Alvin N BPJS 43755.15 Apotik Raw
MANUAL RANAP 232791 Tn. ABDULDANGDANG dr. H. Gus BPJS 7829.4 Apotik Raw
MANUAL RANAP 233544 PURWA PRMIJIL 2 (P dr. Nuning BPJS 5841.36 Apotik Raw
MANUAL RANAP 157272 Ny. DINI A GURISA (KEdr. Yanne BPJS 91106.24 Apotik Raw
MANUAL RANAP 224645 AJANG NU BALAKBAK dr. H. Gus BPJS 52865.62 Apotik Raw
MANUAL RANAP 226636 DEWI SUK BALAKBAK dr. Lia Sri BPJS 7830.02 Apotik Raw
MANUAL RANAP 233270 ROPI ROBI ASMARANDA dr. Nuning BPJS 6382.5 Apotik Raw
MANUAL RAJAL 233687 RUSMANAIGD dr. Alvin N BPJS 66920.07 Apotik Raw
MANUAL RANAP 220322 ZEA ISOLASI A dr. Nuning CALON BPJ 19403.85 Apotik Raw
MANUAL RAJAL 233665 DITA DWI IGD dr. Alvin N BPJS 53002.52 Apotik Raw
MANUAL RANAP 157272 Ny. DINI A GURISA (KEdr. Yanne BPJS 11743.8 Apotik Raw
MANUAL RANAP 199895 AGUS SAE BALAKBAK dr. H. Gus BPJS 63803.28 Apotik Raw
MANUAL RANAP 226503 RIZKYA A DURMA dr. Lia Sri BPJS 136930.1 Apotik Raw
MANUAL RANAP 229908 Ny. AI NU DANGDANG dr. H. Gus BPJS 92023.16 Apotik Raw
MANUAL RANAP 233578 SITI HINDUBALAKBAK dr. Yanne BPJS 71856.24 Apotik Raw
MANUAL RANAP 233650 LILIS MIJIL 1 (IC dr. Amelia CALON BPJ 59107.7 Apotik Raw
MANUAL RANAP 218255 Nn. NENG EPANGKUR dr. Amelia BPJS 8936.89 Apotik Raw
MANUAL RANAP 233631 BANDI SO WIRANGR dr. Amelia BPJS 50128.78 Apotik Raw
MANUAL RANAP 233638 SAKIAH PANGKUR dr. Amelia BPJS 43660.36 Apotik Raw
MANUAL RANAP 233622 Ny. RESTI GURISA (KEdr. Yanne BPJS 47385.9 Apotik Raw
MANUAL RANAP 157257 SOLIHIN WIRANGR dr. Amelia BPJS 241250 Apotik Raw
MANUAL RANAP 233578 SITI HINDUBALAKBAK dr. Yanne BPJS 16600 Apotik Raw
MANUAL RANAP 39682 Ny. NURHABALAKBAK dr. Amelia BPJS 24330.1 Apotik Raw
MANUAL RANAP 233389 OTIH BY NYASMARANDdr. Nuning BPJS 167086.9 Apotik Raw
MANUAL RANAP 124103 Ny. E RUKMBALAKBAK dr. Amelia BPJS 21868.7 Apotik Raw
MANUAL RANAP 151670 EULIS ROSIRUANG TRAdr. Yanne BPJS 88718.54 Apotik Raw
MANUAL RAJAL 233696 SALSABILAIGD dr. Alvin N CALON BPJ 26330.32 Apotik Raw
MANUAL RANAP 209858 IMAS MAS DURMA dr. Amelia CALON BPJ 16264.93 Apotik Raw
MANUAL RANAP 233677 JAJANG N BALAKBAK dr. Amelia BPJS 25296.9 Apotik Raw
MANUAL RANAP 80837 Ny. ROPI DANGDANG dr. Amelia BPJS 14666.53 Apotik Raw
MANUAL RANAP 233607 Ny. EULIS BAYI RAWAdr. Yanne BPJS 104225 Apotik Raw
BILLING SIANG
UMUM
Muhamad Rizky Hidayah, S.Farm 16-Jan-24 680 MANUAL RANAP 231690 NAURA DZA
Muhamad Rizky Hidayah, S.Farm 16-Jan-24 525 MANUAL RANAP 231917 HAFID DA
Muhamad Rizky Hidayah, S.Farm 16-Jan-24 630 MANUAL RANAP 231917 HAFID DA
Rp2,279,212.58 Jumlah Billing Umum Siang 3 Total Bi
UMUM
DANGDANG dr. H. Gus UMUM 80703.93 Apotik RawMuhamad Rizky Hidayah, S.Farm 17-Jan-24 23
SINOM 3 dr. Nuning UMUM 17212.5 Apotik RawMuhamad Rizky Hidayah, S.Farm 17-Jan-24 2
SINOM 3 dr. Nuning UMUM 18181.8 Apotik RawMuhamad Rizky Hidayah, S.Farm 17-Jan-24 73
17-Jan-24 15
16-Jan-24 818
16-Jan-24 780
16-Jan-24 754
17-Jan-24 60
17-Jan-24 43
16-Jan-24 806
17-Jan-24 68
17-Jan-24 52
17-Jan-24 34
17-Jan-24 22
17-Jan-24 1
17-Jan-24 32
17-Jan-24 69
17-Jan-24 14
16-Jan-24 817
16-Jan-24 779
16-Jan-24 753
17-Jan-24 59
17-Jan-24 42
16-Jan-24 803
16-Jan-24 768
17-Jan-24 67
17-Jan-24 33
17-Jan-24 21
16-Jan-24 827
17-Jan-24 12
16-Jan-24 816
16-Jan-24 746
17-Jan-24 58
17-Jan-24 40
16-Jan-24 801
17-Jan-24 50
16-Jan-24 778
17-Jan-24 81
17-Jan-24 20
17-Jan-24 30
17-Jan-24 11
17-Jan-24 39
16-Jan-24 800
16-Jan-24 764
17-Jan-24 65
17-Jan-24 49
16-Jan-24 815
16-Jan-24 777
17-Jan-24 19
16-Jan-24 825
17-Jan-24 29
17-Jan-24 10
17-Jan-24 56
17-Jan-24 38
16-Jan-24 798
17-Jan-24 64
17-Jan-24 48
16-Jan-24 813
16-Jan-24 775
17-Jan-24 18
16-Jan-24 823
17-Jan-24 26
17-Jan-24 9
17-Jan-24 55
17-Jan-24 37
16-Jan-24 762
17-Jan-24 63
17-Jan-24 47
16-Jan-24 811
16-Jan-24 773
17-Jan-24 17
16-Jan-24 822
17-Jan-24 25
17-Jan-24 8
17-Jan-24 36
16-Jan-24 782
16-Jan-24 760
17-Jan-24 62
17-Jan-24 46
16-Jan-24 810
16-Jan-24 772
17-Jan-24 54
16-Jan-24 820
17-Jan-24 3
17-Jan-24 24
17-Jan-24 7
17-Jan-24 76
17-Jan-24 16
Total Billing Umum Siang Rp116,098.23 Jumlah Billing BPJ

BPJS
MANUAL RANAP 230972 Ny. DADAHDANGDANG dr. H. Gus BPJS 100203.9 Apotik Raw
MANUAL RANAP 208303 PINA BALAKBAK dr. Santi BPJS 92198.55 Apotik Raw
MANUAL RANAP 113295 Tn. RIVAN BALAKBAK dr. Lia Sri BPJS 61182.54 Apotik Raw
MANUAL RANAP 233336 WIRA OKT SINOM 2 dr. Nuning BPJS 190029.1 Apotik Raw
MANUAL RANAP 233638 SAKIAH PANGKUR dr. Amelia BPJS 174672 Apotik Raw
MANUAL RANAP 233709 DAFFA FIR DANGDANG dr. H. Gus BPJS 382410.5 Apotik Raw
MANUAL RANAP 80837 Ny. ROPI DANGDANG dr. Amelia BPJS 30285.08 Apotik Raw
MANUAL RANAP 229944 ENDIN DANGDANG dr. Iyan As BPJS 101850.8 Apotik Raw
MANUAL RANAP 126885 Nn. NUR A SINOM 3 dr. Nuning BPJS 21875.32 Apotik Raw
MANUAL RANAP 233687 RUSMANABALAKBAK dr. Annisa BPJS 84299.13 Apotik Raw
MANUAL RANAP 189860 TETI HARYARUANG TRAdr. Amelia BPJS 47504.13 Apotik Raw
MANUAL RANAP 157257 SOLIHIN WIRANGR dr. Amelia BPJS 316568.6 Apotik Raw
MANUAL RANAP 187306 Ny. RINI N KINANTI dr. Lia Sri BPJS 163350.9 Apotik Raw
MANUAL RANAP 218035 TUTI HANDDANGDANG dr. Lia Sri BPJS 31889.86 Apotik Raw
MANUAL RANAP 233375 RAHFAKHAISOLASI A dr. Nuning BPJS 181797.7 Apotik Raw
MANUAL RANAP 189644 Tn. BENI S BALAKBAK dr. Amelia BPJS 88996.38 Apotik Raw
MANUAL RANAP 233714 ADE MASINBALAKBAK dr. Annisa BPJS 187433.1 Apotik Raw
MANUAL RANAP 233677 JAJANG N BALAKBAK dr. Amelia BPJS 191100.5 Apotik Raw
MANUAL RANAP 226636 DEWI SUK BALAKBAK dr. Lia Sri BPJS 73446.13 Apotik Raw
MANUAL RANAP 233388 IWAN GUNDURMA dr. Amelia BPJS 84185.96 Apotik Raw
MANUAL RANAP 229944 ENDIN DANGDANG dr. Iyan As BPJS 59718 Apotik Raw
MANUAL RANAP 233703 RATNI MARBALAKBAK dr. Amelia BPJS 199307.6 Apotik Raw
MANUAL RANAP 131169 Ny. DILA T RUANG TRAdr. Amelia BPJS 8936.89 Apotik Raw
MANUAL RANAP 233548 LIA YULIANRUANG TRAdr. Lia Sri BPJS 152810.5 Apotik Raw
MANUAL RANAP 233541 WANDI DANGDANG dr. Iyan As BPJS 48651.1 Apotik Raw
MANUAL RANAP 233554 Ny. ELI PANGKUR dr. Lia Sri BPJS 63599.51 Apotik Raw
MANUAL RANAP 230972 Ny. DADAHDANGDANG dr. H. Gus BPJS 503856.1 Apotik Raw
MANUAL RANAP 233625 YUSUP PA BALAKBAK dr. Amelia BPJS 50271.85 Apotik Raw
MANUAL RANAP 219137 AI NANIH BALAKBAK dr. Lia Sri BPJS 38089.82 Apotik Raw
MANUAL RANAP 161039 Tn. ADI F SINOM 2 dr. Nuning BPJS 62662.37 Apotik Raw
MANUAL RANAP 233676 DEPIH MULKINANTI dr. Amelia BPJS 123477.3 Apotik Raw
MANUAL RANAP 226503 RIZKYA A DURMA dr. Lia Sri BPJS 59718 Apotik Raw
MANUAL RANAP 233596 ERI RISM BALAKBAK dr. Amelia BPJS 6868.14 Apotik Raw
MANUAL RANAP 135364 An. RISMA BALAKBAK dr. Annisa BPJS 74007.77 Apotik Raw
MANUAL RANAP 233486 WINDI RISTRUANG TRAdr. Amelia BPJS 68540.79 Apotik Raw
MANUAL RANAP 233632 NAFISA CI SINOM 3 dr. Nuning BPJS 33435.27 Apotik Raw
MANUAL RANAP 233691 AAN ROHAPANGKUR dr. Lia Sri BPJS 50861.27 Apotik Raw
MANUAL RANAP 72297 Ny. HODIJ RUANG TRAdr. Lia Sri BPJS 32939.75 Apotik Raw
MANUAL RANAP 189822 SYAKIR M SINOM 3 dr. Nuning BPJS 50645.6 Apotik Raw
MANUAL RANAP 135364 An. RISMA BALAKBAK dr. Annisa BPJS 60480.5 Apotik Raw
MANUAL RANAP 126885 Nn. NUR A SINOM 3 dr. Nuning BPJS 55310.59 Apotik Raw
MANUAL RANAP 233625 YUSUP PA BALAKBAK dr. Amelia BPJS 6868.14 Apotik Raw
MANUAL RANAP 218255 Nn. NENG EPANGKUR dr. Amelia BPJS 55893.17 Apotik Raw
MANUAL RANAP 194992 Ny. DIAH EBALAKBAK dr. Amelia BPJS 69499.64 Apotik Raw
MANUAL RANAP 139360 Ny. ATIT WRUANG TRAdr. Amelia BPJS 45223.61 Apotik Raw
MANUAL RANAP 233693 SITI AISAH BALAKBAK dr. Lia Sri BPJS 61169.66 Apotik Raw
MANUAL RANAP 233497 M ABDUR SINOM 2 dr. Nuning BPJS 18870 Apotik Raw
MANUAL RANAP 233556 OTENG JUHBALAKBAK dr. Annisa BPJS 195318.7 Apotik Raw
MANUAL RANAP 233446 UKKASYA ASINOM 1 dr. Nuning BPJS 31924.98 Apotik Raw
MANUAL RANAP 162386 Ny. ASRI MBALAKBAK dr. Lia Sri BPJS 59718 Apotik Raw
MANUAL RANAP 204095 GHUMAISHSINOM 2 dr. Nuning BPJS 29975 Apotik Raw
MANUAL RANAP 226503 RIZKYA A DURMA dr. Lia Sri BPJS 139627.4 Apotik Raw
MANUAL RANAP 181292 Ny. NUNU BALAKBAK dr. Lia Sri BPJS 73734.76 Apotik Raw
MANUAL RANAP 171171 MUGNI ANSINOM 2 dr. Nuning BPJS 94096.64 Apotik Raw
MANUAL RANAP 231471 HAIDAR AHSINOM 3 dr. Nuning BPJS 31924.98 Apotik Raw
MANUAL RANAP 233596 ERI RISM BALAKBAK dr. Amelia BPJS 47146.47 Apotik Raw
MANUAL RANAP 233425 RHIYU YUDSINOM 2 dr. Nuning BPJS 68697 Apotik Raw
MANUAL RANAP 233687 RUSMANABALAKBAK dr. Annisa BPJS 54024.5 Apotik Raw
MANUAL RANAP 233615 Ny. NYAI K BAYI RAWAdr. Yanne BPJS 8741.25 Apotik Raw
MANUAL RANAP 106509 WAWAN HDANGDANG dr. H. Gus BPJS 964486.1 Apotik Raw
MANUAL RANAP 233621 M AZKA PUMIJIL 2 (P dr. Retno BBPJS 99952.13 Apotik Raw
MANUAL RANAP 162386 Ny. ASRI MBALAKBAK dr. Lia Sri BPJS 323713.5 Apotik Raw
MANUAL RANAP 233497 M ABDUR SINOM 2 dr. Nuning BPJS 13057.51 Apotik Raw
MANUAL RANAP 225061 MAISHA ADSINOM 2 dr. Nuning BPJS 4455 Apotik Raw
MANUAL RANAP 233084 SUMPENA BALAKBAK dr. Lia Sri BPJS 58303.86 Apotik Raw
MANUAL RANAP 61809 Tn. AGUN BALAKBAK dr. Lia Sri BPJS 40717.53 Apotik Raw
MANUAL RANAP 161947 An. RAFFI SINOM 1 dr. Nuning BPJS 61063.56 Apotik Raw
MANUAL RANAP 19143 Tn. AGUS BALAKBAK dr. Amelia BPJS 92787.21 Apotik Raw
MANUAL RANAP 81320 Tn. RD MAPANGKUR dr. H. Gus BPJS 90549.33 Apotik Raw
MANUAL RAJAL 233676 DEPIH MULIGD dr. Alvin N BPJS 249102.5 Apotik Raw
MANUAL RANAP 233546 ADANG H MIJIL 1 (IC dr. Lia Sri BPJS 672.49 Apotik Raw

BILLING MALAM
UMUM
Titan Mulyana, A.md.farm 16-Jan-24 769 MANUAL RANAP 233508 JASMINE N
Titan Mulyana, A.md.farm 17-Jan-24 51 MANUAL RANAP 233696 SALSABILA
Titan Mulyana, A.md.farm 17-Jan-24 31 MANUAL RANAP 209858 IMAS MAS
Titan Mulyana, A.md.farm 16-Jan-24 767 MANUAL RANAP 220322 ZEA
Titan Mulyana, A.md.farm 17-Jan-24 66 MANUAL RANAP 144956 BAMBANG
Titan Mulyana, A.md.farm 16-Jan-24 826 MANUAL RANAP 230202 ARSHAKA F
Titan Mulyana, A.md.farm 17-Jan-24 57 MANUAL RANAP 233640 ARIFIN SA
Titan Mulyana, A.md.farm 17-Jan-24 80 MANUAL RANAP 230202 ARSHAKA F
Titan Mulyana, A.md.farm 16-Jan-24 763 MANUAL RANAP 233696 SALSABILA
Titan Mulyana, A.md.farm 17-Jan-24 78 MANUAL RANAP 233712 IWAN SUR
Titan Mulyana, A.md.farm 16-Jan-24 786 MANUAL RANAP 233708 DITA DWI
Titan Mulyana, A.md.farm 17-Jan-24 77 MANUAL RANAP 218749 WANTI MA
Rp10,267,440.22 Jumlah Billing Umum Malam 12 Total Billing U

UMUM
SINOM 2 dr. Nuning CALON BPJ 80986.61 Apotik RawTitan Mulyana, A.md.farm
DURMA dr. Amelia CALON BPJ 63861.21 Apotik RawTitan Mulyana, A.md.farm
ISOLASI A dr. Nuning CALON BPJ 67694.21 Apotik RawTitan Mulyana, A.md.farm
SINOM 2 dr. Nuning UMUM 38554.76 Apotik RawTitan Mulyana, A.md.farm
BALAKBAK dr. Amelia CALON SK 41339.82 Apotik RawTitan Mulyana, A.md.farm
SINOM 2 dr. Nuning UMUM 46157.44 Apotik RawTitan Mulyana, A.md.farm
BALAKBAK dr. Annisa UMUM 114537.8 Apotik RawTitan Mulyana, A.md.farm
BAYI RAWAdr. Nuning UMUM 1750 Apotik RawTitan Mulyana, A.md.farm
PANGKUR dr. Lia Sri UMUM 43523.01 Apotik RawTitan Mulyana, A.md.farm
No.
10 17-Jan-24 278 MANUAL RANAP 233544
11 17-Jan-24 166 MANUAL RANAP 189860
12 17-Jan-24 120 MANUAL RANAP 232144
13 17-Jan-24 374 MANUAL RANAP 233470
14 17-Jan-24 272 MANUAL RANAP 233687
15 17-Jan-24 115 MANUAL RANAP 138199
16 17-Jan-24 114 MANUAL RANAP 138199
17 17-Jan-24 112 MANUAL RANAP 233596
18 17-Jan-24 317 MANUAL RANAP 233622
19 17-Jan-24 100 MANUAL RANAP 233676
20 17-Jan-24 208 MANUAL RANAP 231542
21 17-Jan-24 134 MANUAL RANAP 220322
22 17-Jan-24 295 MANUAL RANAP 233615
23 17-Jan-24 200 MANUAL RANAP 233546
24 17-Jan-24 290 MANUAL RAJAL 233728
25 17-Jan-24 131 MANUAL RANAP 233654
26 17-Jan-24 194 MANUAL RANAP 233380
27 17-Jan-24 129 MANUAL RANAP 227374
28 17-Jan-24 286 MANUAL RANAP 233495
29 17-Jan-24 257 MANUAL RANAP 225061
30 17-Jan-24 128 MANUAL RANAP 186699
32 17-Jan-24 104 MANUAL RANAP 233608
33 17-Jan-24 125 MANUAL RANAP 233625
34 17-Jan-24 346 MANUAL RANAP 233654
36 17-Jan-24 103 MANUAL RANAP 169699
37 17-Jan-24 153 MANUAL RANAP 233676
38 17-Jan-24 101 MANUAL RANAP 233676
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp16,024,786.40 Rp2,545,162.67
BILLING PAGI
BPJS
Ny. SITI ILMI A GURISA (KELAS 3) dr. Yanne Triha BPJS Rp46,097.40 Apotik Rawat
RANI GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
ENONG MIJIL 1 (ICU) dr. Annisa Tri K BPJS Rp24,534.28 Apotik Rawat
Tn. MAMAN IGD dr. Epriana BPJS Rp67,273.32 Apotik Rawat
EKI OKTAVIANIGURISA (KELAS 2) dr. Yanne Triha BPJS Rp46,097.40 Apotik Rawat
Ny. ROPI ROB DANGDANGGULA 2dr. Amelia AndriBPJS Rp30,696.68 Apotik Rawat
ADE MASIN BALAKBAK 3-D dr. Annisa Tri K BPJS Rp1,501.25 Apotik Rawat
AFDHILLAH BALIGD dr. Epriana BPJS Rp45,788.86 Apotik Rawat
M AZKA PUTRAMIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp43,750.00 Apotik Rawat
PURWA PRATAMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp68,125.60 Apotik Rawat
TETI HARYATI RUANG TRANSIT dr. Amelia AndriBPJS Rp19,425.00 Apotik Rawat
ENCEP MUHDADANGDANGGULA 1dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
ATEP WAHYUDPANGKUR 2 dr. Amelia AndriBPJS Rp6,667.50 Apotik Rawat
RUSMANA BALAKBAK 3-D dr. Annisa Tri K BPJS Rp46,203.26 Apotik Rawat
Tn. ANDI SURYDANGDANGGULA 1dr. Iyan Asiana BPJS Rp80,661.10 Apotik Rawat
Tn. ANDI SURYDANGDANGGULA 1dr. Iyan Asiana BPJS ### Apotik Rawat
ERI RISMAWANBALAKBAK 3-C dr. Amelia AndriBPJS Rp53,262.65 Apotik Rawat
Ny. RESTI RES GURISA (KELAS 3) dr. Yanne Triha BPJS Rp41,625.00 Apotik Rawat
DEPIH MULYADMIJIL 1 (ICU) dr. Amelia AndriBPJS Rp93,301.81 Apotik Rawat
Bayi Ny. IKA BYASMARANDANA (2B dr. Retno BudihaBPJS Rp94,331.97 Apotik Rawat
ZEA ALINA PUTMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp8,066.93 Apotik Rawat
Ny. NYAI KURNBAYI RAWAT GABUdr. Yanne Triha BPJS Rp45,800.00 Apotik Rawat
ADANG HERM MIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp28,670.06 Apotik Rawat
YULIANI IGD dr. Epriana BPJS Rp35,277.19 Apotik Rawat
EPI ROSTIAWATGURISA (KELAS 2) dr. Santi Maria BPJS Rp22,900.00 Apotik Rawat
AKHANZA SABHSINOM 2 dr. Nuning Indri BPJS Rp4,440.00 Apotik Rawat
Ny. RESMA PUJIDANGDANGGULA 3dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
ALESHA NUR ASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
MAISHA ADZKISINOM 2 dr. Nuning Indri BPJS Rp51,510.94 Apotik Rawat
Ny. SARI PUSPIDANGDANGGULA 3dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
DEPIH MULYADMIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
Ny. SITI ILMI A GURISA (KELAS 3) dr. Yanne Triha BPJS Rp48,375.05 Apotik Rawat
YUSUP PAHRUDBALAKBAK 1 dr. Amelia AndriBPJS Rp53,262.65 Apotik Rawat
EPI ROSTIAWATGURISA (KELAS 2) dr. Santi Maria BPJS ### Apotik Rawat
EKI OKTAVIANIGURISA (KELAS 2) dr. Yanne Triha BPJS Rp59,631.84 Apotik Rawat
BILLING PAGI
Operator Tgl No.Resep Jenis Rese No.Antrian

Laila Handayani Hidayat,s.si 17-Jan-24 377 MANUAL
Laila Handayani Hidayat,s.si 17-Jan-24 357 MANUAL 11
Laila Handayani Hidayat,s.si
Rp2,502,958.19 Jumlah Billing Umum Pagi
UMUM
RANAP 233712 IWAN SUR BALAKBAK dr. Annisa UMUM 17501.49 Apotik Raw
RAJAL 233725 M ASQIL Anak dr. Retno BUMUM 82740.19 Apotik Raw
RANAP 233718 GHANIA KEMIJIL 2 (P dr. Nuning CALON SK 84023.04 Apotik Raw
RANAP 233718 GHANIA KEMIJIL 2 (P dr. Nuning CALON SK 13722.5 Apotik Raw
RANAP 233710 AI HASNA GURISA (KEdr. Santi UMUM 101050.1 Apotik Raw
RANAP 233508 JASMINE NSINOM 2 dr. Nuning UMUM 13125 Apotik Raw
RANAP 233508 JASMINE NSINOM 2 dr. Nuning UMUM 2074.3 Apotik Raw
RANAP 233710 AI HASNA GURISA (KEdr. Santi UMUM 47864.77 Apotik Raw
RANAP 233736 IMAS MASTASMARANDdr. Retno BUMUM 51624.51 Apotik Raw
RANAP 233568 SINTIA SULGURISA (KEdr. Yanne UMUM 322657.4 Apotik Raw
10 Total Billing Umum Pagi Rp736,383.23
BPJS
Laila Handayani Hidayat,s.si 17-Jan-24 489 MANUAL RANAP 201808
Rp736,383.23 Jumlah Billing BPJS Siang 62
BILLING SIANG
BPJS
An. HILMAKINANTI dr. Iyan As BPJS 170352.5 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
RIZKYA A DURMA dr. Lia Sri BPJS 4440 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
SILVIANA PDANGDANG dr. Iyan As BPJS 172353.9 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
NAFISA CI SINOM 3 dr. Nuning BPJS 250 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
WINDI RISTRUANG TRAdr. Amelia BPJS 68412.04 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
RIZKYA A DURMA dr. Lia Sri BPJS 8880 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
IWAN GUNDURMA dr. Amelia BPJS 4440 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
JAJANG JU DURMA dr. Amelia BPJS 18919.69 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
Ny. RINI N PANGKUR dr. Lia Sri BPJS 21245.4 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
Ny. HODIJ RUANG TRAdr. Lia Sri BPJS 54540.43 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
TETI HARYARUANG TRAdr. Amelia BPJS 104094.4 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
INDAH BY ASMARANDdr. Nuning BPJS 875 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
Tn. AGUS BALAKBAK dr. Amelia BPJS 8936.89 Apotik RawAsep Afrizal, A.md Farm 17-Jan-24
MAHRUP IGD dr. EprianaBPJS 155 Apotik RawAsep Afrizal, A.md Farm
Ny. ELI PANGKUR dr. Lia Sri BPJS 47114.24 Apotik RawAsep Afrizal, A.md Farm
Ny. NURHABALAKBAK dr. Amelia BPJS 8673.72 Apotik RawAsep Afrizal, A.md Farm
MUGNI ANSINOM 2 dr. Nuning BPJS 23999.96 Apotik RawAsep Afrizal, A.md Farm
Ny. ATIT WRUANG TRAdr. Amelia BPJS 69812.4 Apotik RawAsep Afrizal, A.md Farm
AYRA AMALASMARANDdr. Retno BBPJS 5830 Apotik RawAsep Afrizal, A.md Farm
ARIFIN SA BALAKBAK dr. Amelia BPJS 4440 Apotik RawAsep Afrizal, A.md Farm
ZEA ALINA MIJIL 2 (P dr. Nuning BPJS 18731.25 Apotik RawAsep Afrizal, A.md Farm
Ny. ASRI MBALAKBAK dr. Lia Sri BPJS 20660.65 Apotik RawAsep Afrizal, A.md Farm
M ABDUR SINOM 2 dr. Nuning BPJS 84415.5 Apotik RawAsep Afrizal, A.md Farm
JAJANG N PANGKUR dr. Amelia BPJS 19135 Apotik RawAsep Afrizal, A.md Farm
SUGIH RA BALAKBAK dr. Amelia BPJS 300 Apotik RawAsep Afrizal, A.md Farm
Nn. NENG EPANGKUR dr. Amelia BPJS 15149.39 Apotik RawAsep Afrizal, A.md Farm
IIS DIYANTIGURISA (KEdr. Yanne BPJS 118312.8 Apotik RawAsep Afrizal, A.md Farm
AI NANIH BALAKBAK dr. Lia Sri BPJS 12329.64 Apotik RawAsep Afrizal, A.md Farm
RHIYU YUDSINOM 2 dr. Nuning BPJS 4849.99 Apotik RawAsep Afrizal, A.md Farm
Ny. DILA T RUANG TRAdr. Amelia BPJS 2220 Apotik RawAsep Afrizal, A.md Farm
EDEH DANGDANG dr. Amelia BPJS 74496.3 Apotik RawAsep Afrizal, A.md Farm
TUTI HANDBALAKBAK dr. Lia Sri BPJS 28118.64 Apotik RawAsep Afrizal, A.md Farm
Tn. BENI S BALAKBAK dr. Amelia BPJS 57826.89 Apotik RawAsep Afrizal, A.md Farm
MAHRUP IGD dr. EprianaBPJS 104475 Apotik RawAsep Afrizal, A.md Farm
AKHANZA SSINOM 2 dr. Nuning BPJS 8887.5 Apotik RawAsep Afrizal, A.md Farm
UJANG MADANGDANG dr. Iyan As BPJS 49109.24 Apotik RawAsep Afrizal, A.md Farm
Tn. AGUN BALAKBAK dr. Lia Sri BPJS 153066.1 Apotik RawAsep Afrizal, A.md Farm
Ny. IRA ROGURISA (KEdr. Yanne BPJS 169347 Apotik RawAsep Afrizal, A.md Farm
Ny. DIAH EBALAKBAK dr. Amelia BPJS 10684.82 Apotik RawAsep Afrizal, A.md Farm
SYAKIR M SINOM 3 dr. Nuning BPJS 26330.32 Apotik RawAsep Afrizal, A.md Farm
Tn. NUR BALAKBAK dr. Lia Sri BPJS 25654.38 Apotik RawAsep Afrizal, A.md Farm
Tn. MAMABALAKBAK dr. Amelia BPJS 12487.5 Apotik RawAsep Afrizal, A.md Farm
DEWI SUK BALAKBAK dr. Lia Sri BPJS 14643.65 Apotik RawAsep Afrizal, A.md Farm
BANDI SO WIRANGR dr. Amelia BPJS 14299.39 Apotik RawAsep Afrizal, A.md Farm
ADANG H MIJIL 1 (IC dr. Lia Sri BPJS 4440 Apotik RawAsep Afrizal, A.md Farm
SIVA MAULISOLASI A dr. Nuning BPJS 114633.5 Apotik RawAsep Afrizal, A.md Farm
AAN ROHAPANGKUR dr. Lia Sri BPJS 195412.7 Apotik RawAsep Afrizal, A.md Farm
LIA YULIANRUANG TRAdr. Lia Sri BPJS 13043.95 Apotik RawAsep Afrizal, A.md Farm
RIZKYA A DURMA dr. Lia Sri BPJS 197912.2 Apotik RawAsep Afrizal, A.md Farm
AFDHILLAHDANGDANG dr. Amelia BPJS 4440 Apotik RawAsep Afrizal, A.md Farm
ENONG MIJIL 1 (IC dr. Annisa BPJS 46561.73 Apotik RawAsep Afrizal, A.md Farm
Ny. TINA P GURISA (KEdr. Yanne BPJS 46097.4 Apotik RawAsep Afrizal, A.md Farm
ADANG H MIJIL 1 (IC dr. Lia Sri BPJS 4440 Apotik RawAsep Afrizal, A.md Farm
SIVA MAULISOLASI A dr. Nuning BPJS 114633.5 Apotik RawAsep Afrizal, A.md Farm
AAN ROHAPANGKUR dr. Lia Sri BPJS 195412.7 Apotik RawAsep Afrizal, A.md Farm
LIA YULIANRUANG TRAdr. Lia Sri BPJS 13043.95 Apotik RawAsep Afrizal, A.md Farm
RIZKYA A DURMA dr. Lia Sri BPJS 197912.2 Apotik RawAsep Afrizal, A.md Farm
AFDHILLAHDANGDANG dr. Amelia BPJS 4440 Apotik RawAsep Afrizal, A.md Farm
ENONG MIJIL 1 (IC dr. Annisa BPJS 46561.73 Apotik RawAsep Afrizal, A.md Farm
Ny. TINA P GURISA (KEdr. Yanne BPJS 46097.4 Apotik RawAsep Afrizal, A.md Farm
Total Billing BPJS Siang Rp3,105,459.19 Jumlah Billing Um
G SIANG
UMUM
364 MANUAL RANAP 233718 GHANIA KEMIJIL 2 (P dr. Nuning CALON SK 79460.54
533 MANUAL RAJAL 120011 Ny. SITI N IGD dr. EprianaCALON BPJ 53002.52
476 MANUAL RANAP 198745 NURILLAH PANGKUR dr. Amelia CALON BPJ 84179.14
596 MANUAL RANAP 198745 NURILLAH PANGKUR dr. Amelia CALON BPJ 300
566 MANUAL RANAP 233650 LILIS MIJIL 1 (IC dr. Amelia CALON BPJ 11542.09
496 MANUAL RANAP 233731 ONAH DANGDANG dr. Amelia CALON BPJ 42453.43
604 MANUAL RANAP 209858 IMAS MAS DURMA dr. Amelia CALON BPJ 3335.3
589 MANUAL RANAP 233713 M AQLAN ISOLASI A dr. Retno BCALON BPJ 115625.4
467 MANUAL RANAP 229018 ANAYA SHOSINOM 3 dr. Nuning UMUM 20812.5
488 MANUAL RANAP 212224 Tn. SOLIHI BALAKBAK dr. Amelia UMUM 71698.29
552 MANUAL RANAP 144956 BAMBANGBALAKBAK dr. Lia Sri UMUM 15685.23
568 MANUAL RANAP 218749 WANTI MAPANGKUR dr. Lia Sri UMUM 37398.14
Jumlah Billing Umum Siang 13 Total Billing Umum Siang Rp541,222
BPJS
Rp541,222.21 Jumlah Billing BPJS Malam 90 Tot

BILLING MALAM
BPJS
Ny. SITI J BALAKBAK dr. Annisa BPJS 216656.7 Apotik RawMuhamad Fajar Sidik, Amd.farm 18-Jan-24
SOLIHIN WIRANGR dr. Amelia BPJS 29515.15 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
Ny. NUNU BALAKBAK dr. Lia Sri BPJS 48152.02 Apotik RawMuhamad Fajar Sidik, Amd.farm 18-Jan-24
MAHRUP KINANTI dr. Amelia BPJS 62500 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
Ny. AI NU DANGDANG dr. H. Gus BPJS 405609.6 Apotik RawMuhamad Fajar Sidik, Amd.farm 18-Jan-24
EDEH DANGDANG dr. Amelia BPJS 94759.45 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
NAFISA CI SINOM 3 dr. Nuning BPJS 39164.91 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
OTENG JUHBALAKBAK dr. Annisa BPJS 80173.2 Apotik RawMuhamad Fajar Sidik, Amd.farm 18-Jan-24
Ny. DADAHDANGDANG dr. H. Gus BPJS 467446.7 Apotik RawMuhamad Fajar Sidik, Amd.farm 18-Jan-24
AI NANIH BALAKBAK dr. Lia Sri BPJS 39336.27 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
PURWA PRMIJIL 2 (P dr. Nuning BPJS 252140.9 Apotik RawMuhamad Fajar Sidik, Amd.farm 18-Jan-24
AKHANZA SSINOM 2 dr. Nuning BPJS 1062.5 Apotik RawMuhamad Fajar Sidik, Amd.farm 18-Jan-24
IWAN GUNDURMA dr. Amelia BPJS 5100.03 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
TETI HARYARUANG TRAdr. Amelia BPJS 50287.16 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
RATNI MARBALAKBAK dr. Amelia BPJS 195192.8 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
PINA BALAKBAK dr. Santi BPJS 88423.95 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
ADE MASINBALAKBAK dr. Annisa BPJS 63458.43 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
YULI IGD dr. RamdhanBPJS 52019.8 Apotik RawMuhamad Fajar Sidik, Amd.farm 17-Jan-24
Ny. NURHABALAKBAK dr. Amelia BPJS 71127.46 Apotik RawMuhamad Fajar Sidik, Amd.farm
ZEA ALINA MIJIL 2 (P dr. Nuning BPJS 82681.71 Apotik RawMuhamad Fajar Sidik, Amd.farm
YOYO WIHBALAKBAK dr. Amelia BPJS 20809.18 Apotik RawMuhamad Fajar Sidik, Amd.farm
An. RISMA BALAKBAK dr. Annisa BPJS 762.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
DAFFA FIR DANGDANG dr. H. Gus BPJS 382410.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
HAIDAR AHSINOM 3 dr. Nuning BPJS 38862.48 Apotik RawMuhamad Fajar Sidik, Amd.farm
UKKASYA ASINOM 1 dr. Nuning BPJS 31924.98 Apotik RawMuhamad Fajar Sidik, Amd.farm
AFDHILLAHDANGDANG dr. Amelia BPJS 57704.32 Apotik RawMuhamad Fajar Sidik, Amd.farm
IWAN GUNDURMA dr. Amelia BPJS 97432.35 Apotik RawMuhamad Fajar Sidik, Amd.farm
DITA DWI GURISA (KEdr. Yanne BPJS 2798.76 Apotik RawMuhamad Fajar Sidik, Amd.farm
EMAN SULIGD dr. RamdhanBPJS 62914.39 Apotik RawMuhamad Fajar Sidik, Amd.farm
ARIS MUN DANGDANG dr. H. Gus BPJS 37204.78 Apotik RawMuhamad Fajar Sidik, Amd.farm
RAHFAKHAISOLASI A dr. Nuning BPJS 64524.02 Apotik RawMuhamad Fajar Sidik, Amd.farm
SUGIH RA BALAKBAK dr. Amelia BPJS 1187.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
Ny. RINI N PANGKUR dr. Lia Sri BPJS 79407.64 Apotik RawMuhamad Fajar Sidik, Amd.farm
RENALDI AISOLASI A dr. Nuning BPJS 168537.3 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. MAMABALAKBAK dr. Amelia BPJS 129023.8 Apotik RawMuhamad Fajar Sidik, Amd.farm
ARIFIN SA BALAKBAK dr. Amelia BPJS 40440.72 Apotik RawMuhamad Fajar Sidik, Amd.farm
Ny. DILA T RUANG TRAdr. Amelia BPJS 55078.44 Apotik RawMuhamad Fajar Sidik, Amd.farm
ADANG H BALAKBAK dr. Lia Sri BPJS 70435.39 Apotik RawMuhamad Fajar Sidik, Amd.farm
SOLIHIN WIRANGR dr. Amelia BPJS 762.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
SYAKIR M SINOM 3 dr. Nuning BPJS 62089.25 Apotik RawMuhamad Fajar Sidik, Amd.farm
SINTA BY NASMARANDdr. Nuning BPJS 17173.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
ANI ROHAEDURMA dr. Amelia BPJS 92500.36 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. AGUN BALAKBAK dr. Lia Sri BPJS 59845.56 Apotik RawMuhamad Fajar Sidik, Amd.farm
Ny. ANI M DANGDANG dr. H. Gus BPJS 219139.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. RIVAN BALAKBAK dr. Lia Sri BPJS 59207.58 Apotik RawMuhamad Fajar Sidik, Amd.farm
Nn. NUR A SINOM 2 dr. Nuning BPJS 54688.3 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. SYAHR KINANTI dr. Iyan As BPJS 190158.6 Apotik RawMuhamad Fajar Sidik, Amd.farm
SITI MAES ASMARANDdr. Nuning BPJS 156341.3 Apotik RawMuhamad Fajar Sidik, Amd.farm
SAKIAH PANGKUR dr. Amelia BPJS 25296.9 Apotik RawMuhamad Fajar Sidik, Amd.farm
An. RISMA BALAKBAK dr. Annisa BPJS 73244.79 Apotik RawMuhamad Fajar Sidik, Amd.farm
WAWAN HDANGDANG dr. H. Gus BPJS 964486.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
AJANG NU BALAKBAK dr. H. Gus BPJS 392710.8 Apotik RawMuhamad Fajar Sidik, Amd.farm
MAHRUP KINANTI dr. Amelia BPJS 32834.51 Apotik RawMuhamad Fajar Sidik, Amd.farm
AAN ROHAPANGKUR dr. Lia Sri BPJS 253402.2 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. RD MAPANGKUR dr. H. Gus BPJS 58834.31 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. ABDULDANGDANG dr. H. Gus BPJS 497341.3 Apotik RawMuhamad Fajar Sidik, Amd.farm
GHUMAISHSINOM 2 dr. Nuning BPJS 29975 Apotik RawMuhamad Fajar Sidik, Amd.farm
REVALINA SINOM 2 dr. Nuning BPJS 121483 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. AGUS BALAKBAK dr. Amelia BPJS 170909 Apotik RawMuhamad Fajar Sidik, Amd.farm
Ny. JUA RUANG TRAdr. Amelia BPJS 86764.24 Apotik RawMuhamad Fajar Sidik, Amd.farm
SUMPENA BALAKBAK dr. Lia Sri BPJS 156188 Apotik RawMuhamad Fajar Sidik, Amd.farm
An. RAFFI SINOM 1 dr. Nuning BPJS 58466.36 Apotik RawMuhamad Fajar Sidik, Amd.farm
Bayi Ny. IK ASMARANDdr. Retno BBPJS 64248.9 Apotik RawMuhamad Fajar Sidik, Amd.farm
IMAS MASTPANGKUR dr. Santi BPJS 78518.93 Apotik RawMuhamad Fajar Sidik, Amd.farm
RUSMANABALAKBAK dr. Annisa BPJS 115502.4 Apotik RawMuhamad Fajar Sidik, Amd.farm
MUGNI ANSINOM 2 dr. Nuning BPJS 146799 Apotik RawMuhamad Fajar Sidik, Amd.farm
AGUS SAE BALAKBAK dr. H. Gus BPJS 381773.3 Apotik RawMuhamad Fajar Sidik, Amd.farm
ATEP WAHPANGKUR dr. Amelia BPJS 74393.09 Apotik RawMuhamad Fajar Sidik, Amd.farm
RHIYU YUDSINOM 2 dr. Nuning BPJS 72027 Apotik RawMuhamad Fajar Sidik, Amd.farm
SITI AISAH BALAKBAK dr. Lia Sri BPJS 57918.09 Apotik RawMuhamad Fajar Sidik, Amd.farm
TUTI HANDBALAKBAK dr. Lia Sri BPJS 48796.21 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. ABDULDANGDANG dr. H. Gus BPJS 508189.9 Apotik RawMuhamad Fajar Sidik, Amd.farm
WIRA OKT SINOM 2 dr. Nuning BPJS 127071.6 Apotik RawMuhamad Fajar Sidik, Amd.farm
ROSITA PANGKUR dr. Amelia BPJS 135010.4 Apotik RawMuhamad Fajar Sidik, Amd.farm
SAKIAH PANGKUR dr. Amelia BPJS 181152.2 Apotik RawMuhamad Fajar Sidik, Amd.farm
M AZKA PUMIJIL 2 (P dr. Retno BBPJS 68770.01 Apotik RawMuhamad Fajar Sidik, Amd.farm
M ABDUR SINOM 2 dr. Nuning BPJS 28045.01 Apotik RawMuhamad Fajar Sidik, Amd.farm
RENALDI AISOLASI A dr. Nuning BPJS 168537.3 Apotik RawMuhamad Fajar Sidik, Amd.farm
ADANG H BALAKBAK dr. Lia Sri BPJS 70435.39 Apotik RawMuhamad Fajar Sidik, Amd.farm
SOLIHIN WIRANGR dr. Amelia BPJS 762.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
SYAKIR M SINOM 3 dr. Nuning BPJS 62089.25 Apotik RawMuhamad Fajar Sidik, Amd.farm
SINTA BY NASMARANDdr. Nuning BPJS 17173.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
ANI ROHAEDURMA dr. Amelia BPJS 92500.36 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. AGUN BALAKBAK dr. Lia Sri BPJS 59845.56 Apotik RawMuhamad Fajar Sidik, Amd.farm
Total Billing BPJS Malam Rp10,416,369.02 Jumlah Bill

MALAM
UMUM
677 MANUAL RANAP 233696 SALSABILASINOM 3 dr. Nuning CALON SK 37267.98
5 MANUAL RANAP 218749 WANTI MAPANGKUR dr. Lia Sri UMUM 78006.78
658 MANUAL RANAP 233725 M ASQIL SINOM 2 dr. Retno BUMUM 26900
27 MANUAL RANAP 233766 ASTI PUR PANGKUR dr. Amelia CALON BPJ 188382.9
699 MANUAL RANAP 233527 HENDRO BALAKBAK dr. Lia Sri UMUM 105586
654 MANUAL RANAP 233768 SITI NURLEASMARANDA dr. Retno BUMUM 27160.88
26 MANUAL RANAP 153370 Ny. SUKAETBALAKBAK dr. Amelia CALON BPJ 63593.89
3 MANUAL RANAP 233731 ONAH DANGDANG dr. Amelia CALON BPJ 50266.34
728 MANUAL RANAP 233772 VICI BY NY ASMARANDA dr. Retno BUMUM 64134.13
25 MANUAL RANAP 233650 LILIS BALAKBAK dr. Amelia CALON BPJ 20309.93
45 MANUAL RANAP 138051 Ny. EDAH RUANG TRAdr. Amelia CALON BPJ 50758.65
674 MANUAL RANAP 233713 M AQLAN ISOLASI A dr. Retno BCALON BPJ 119496.5
734 MANUAL RANAP 198745 NURILLAH PANGKUR dr. Amelia CALON BPJ 184193.4
31 MANUAL RANAP 233763 RAIS AKBA SINOM 3 dr. Retno BCALON BPJ 38862.48
672 MANUAL RANAP 230202 ARSHAKA FISOLASI A dr. Nuning UMUM 44238.75
Jumlah Billing Umum Malam 20 Total Billing Umum Malam Rp1,267
Depo Operator
Rp1,267,557.23
No. BP
10 18-Jan-24 296 MANUAL RANAP 233714
11 18-Jan-24 154 MANUAL RANAP 233638
12 18-Jan-24 451 MANUAL RANAP 208303
15 18-Jan-24 227 MANUAL RANAP 233326
16 18-Jan-24 293 MANUAL RANAP 233068
17 18-Jan-24 379 MANUAL RANAP 233790
18 18-Jan-24 429 MANUAL RANAP 233665
19 18-Jan-24 134 MANUAL RANAP 224645
20 18-Jan-24 309 MANUAL RANAP 219502
21 18-Jan-24 225 MANUAL RANAP 199895
22 18-Jan-24 347 MANUAL RANAP 233051
23 18-Jan-24 289 MANUAL RANAP 106509
25 18-Jan-24 418 MANUAL RANAP 233294
27 18-Jan-24 222 MANUAL RANAP 233559
29 18-Jan-24 286 MANUAL RANAP 218749
30 18-Jan-24 373 MANUAL RANAP 177817
31 18-Jan-24 408 MANUAL RANAP 171171
32 18-Jan-24 304 MANUAL RANAP 162784
33 18-Jan-24 203 MANUAL RANAP 233255
34 18-Jan-24 329 MANUAL RANAP 218035
36 18-Jan-24 370 MANUAL RANAP 177817
37 18-Jan-24 396 MANUAL RANAP 233820
39 18-Jan-24 303 MANUAL RANAP 181292
40 18-Jan-24 199 MANUAL RANAP 126842
41 18-Jan-24 328 MANUAL RANAP 199895
42 18-Jan-24 284 MANUAL RANAP 233687
44 18-Jan-24 177 MANUAL RANAP 232791
46 18-Jan-24 327 MANUAL RANAP 113295
47 18-Jan-24 283 MANUAL RANAP 233393
48 18-Jan-24 300 MANUAL RANAP 126842
49 18-Jan-24 322 MANUAL RANAP 233084
50 18-Jan-24 263 MANUAL RANAP 161947
51 18-Jan-24 298 MANUAL RANAP 233709
52 18-Jan-24 165 MANUAL RANAP 230972
53 18-Jan-24 357 MANUAL 177 RAJAL 233793
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp14,737,322.27 Rp1,358,081.80
BILLING PAGI
BPJS
OTENG JUHAERBALAKBAK 3-C dr. Annisa Tri K BPJS ### Apotik Rawat
RUSMANA BALAKBAK 3-D dr. Annisa Tri K BPJS ### Apotik Rawat
ARIS MUNANDDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp44,999.97 Apotik Rawat
OMIS WAHIDINIGD dr. Alvin Noor HCALON BPJS Rp33,300.00 Apotik Rawat
An. RISMAN A BALAKBAK 3-D dr. Annisa Tri K BPJS Rp24,748.98 Apotik Rawat
Bayi Ny. IIS DI ASMARANDANA (2B dr. Retno BudihaUMUM Rp43,187.12 Apotik Rawat
SUGIH RAMADBALAKBAK 3-D dr. Amelia AndriBPJS Rp4,914.52 Apotik Rawat
HADI SAPUTRABALAKBAK 2-A dr. Iyan Asiana BPJS Rp94,070.64 Apotik Rawat
SAKIAH PANGKUR 3 dr. Amelia AndriBPJS Rp74,078.47 Apotik Rawat
PINA BALAKBAK 2-B dr. Santi Maria BPJS Rp5,215.00 Apotik Rawat
RANTI LIAWATIASMARANDANA (FO dr. Nuning Indri BPJS Rp25,530.00 Apotik Rawat
Ny. TUTI MULYBAYI RAWAT GABUdr. Yanne Triha BPJS Rp98,392.71 Apotik Rawat
DITA DWI KANIGURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
AJANG NURDINBALAKBAK 3-C dr. H. Gus RiyadBPJS Rp19,100.00 Apotik Rawat
SUGIH RAMADBALAKBAK 3-D dr. Amelia AndriBPJS Rp4,914.52 Apotik Rawat
AGUS SAEPUL BALAKBAK 3-C dr. H. Gus RiyadBPJS Rp99,525.65 Apotik Rawat
SOLEH SONJAYMIJIL 1 (ICU) dr. Annisa Tri K BPJS ### Apotik Rawat
WAWAN HERMDANGDANGGULA 3dr. H. Gus RiyadBPJS ### Apotik Rawat
RASHIFA NAJWASMARANDANA (2A dr. Retno BudihaBPJS Rp88,453.12 Apotik Rawat
Tn. AGUN GU BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp43,707.84 Apotik Rawat
NENEH BY NY ASMARANDANA (FO dr. Nuning Indri BPJS ### Apotik Rawat
AJANG NURDINBALAKBAK 3-C dr. H. Gus RiyadBPJS ### Apotik Rawat
WANTI MARIA PANGKUR 1 dr. Lia SrimuliawUMUM Rp7,628.81 Apotik Rawat
Ny. FATMAWATBAYI RAWAT GABUdr. Yanne Triha BPJS Rp1,862.50 Apotik Rawat
MUGNI ANNAFISINOM 2 dr. Nuning Indri BPJS ### Apotik Rawat
Tn. NUR ROM BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp320.00 Apotik Rawat
KARTINI GURISA (KELAS 3) dr. Yanne Triha BPJS Rp21,681.67 Apotik Rawat
TUTI HANDINI BALAKBAK 2-B dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. SITI JUBA BALAKBAK 3-A dr. Annisa Tri K BPJS Rp2,431.25 Apotik Rawat
Ny. FATMAWATBAYI RAWAT GABUdr. Yanne Triha BPJS ### Apotik Rawat
IRA ROSTIKA B ASMARANDANA (LEdr. Retno BudihaUMUM Rp50,124.62 Apotik Rawat
Ny. NUNUNG NBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp5,897.50 Apotik Rawat
Ny. WINARSIH DANGDANGGULA 3dr. Riri Handayan BPJS Rp60,703.60 Apotik Rawat
AGUS SAEPUL BALAKBAK 3-C dr. H. Gus RiyadBPJS Rp99,525.65 Apotik Rawat
RUSMANA BALAKBAK 3-D dr. Annisa Tri K BPJS ### Apotik Rawat
Ny. MELAWATIGURISA (KELAS 3) dr. Yanne Triha BPJS Rp63,869.89 Apotik Rawat
Tn. ABDUL HAPDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,740.00 Apotik Rawat
WANTI MARIA PANGKUR 1 dr. Lia SrimuliawUMUM Rp53,140.01 Apotik Rawat
Tn. RIVAN MU BALAKBAK 3-C dr. Lia SrimuliawBPJS Rp12,872.16 Apotik Rawat
SITI MAESAROHASMARANDANA (2A dr. Nuning Indri BPJS Rp79,650.80 Apotik Rawat
SUMPENA BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp48,457.50 Apotik Rawat
An. RAFFIF J SINOM 1 dr. Nuning Indri BPJS Rp16,804.29 Apotik Rawat
DAFFA FIRDAUDANGDANGGULA 3dr. H. Gus RiyadBPJS ### Apotik Rawat
Ny. DADAH DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,740.00 Apotik Rawat
SALSABILA NU Anak dr. Retno BudihaBPJS Rp51,141.31 Apotik Rawat
BILLING PAGI
UM
Ayidnis Sabiela, A.md.farm 18-Jan-24 396 MANUAL RANAP 233820
Ayidnis Sabiela, A.md.farm 18-Jan-24 5 MANUAL RANAP 218749
UMUM
Bayi Ny. II ASMARANDdr. Retno BUMUM 43187.12 Apotik RawAyidnis Sabiela, A.md.farm 18-Jan-24
WANTI MAPANGKUR dr. Lia Sri UMUM 7628.81 Apotik RawAyidnis Sabiela, A.md.farm 18-Jan-24
IRA ROSTIKASMARANDA dr. Retno BUMUM 50124.62 Apotik RawAyidnis Sabiela, A.md.farm 18-Jan-24
WANTI MAPANGKUR dr. Lia Sri UMUM 53140.01 Apotik RawAyidnis Sabiela, A.md.farm 18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
Total Billing Umum Pagi Rp154,080.56 Jumlah Billin
BPJS
560 MANUAL RANAP 233758 Ny. YULIANGURISA (KEdr. Yanne BPJS 90535.32
599 MANUAL RANAP 233650 LILIS BALAKBAK dr. Amelia BPJS 3698.05
666 MANUAL RANAP 233713 M AQLAN MIJIL 2 (P dr. Retno BBPJS 3374.4
512 MANUAL RANAP 229944 ENDIN DANGDANG dr. Iyan As BPJS 70348.6
550 MANUAL RANAP 233640 ARIFIN SA BALAKBAK dr. Amelia BPJS 53262.65
620 MANUAL RANAP 233752 MAHRUP KINANTI dr. Amelia BPJS 887.5
584 MANUAL RANAP 231471 HAIDAR AHSINOM 3 dr. Nuning BPJS 8312.5
646 MANUAL RANAP 131169 Ny. DILA T RUANG TRAdr. Amelia BPJS 53262.65
511 MANUAL RANAP 233336 WIRA OKT SINOM 2 dr. Nuning BPJS 17212.5
582 MANUAL RANAP 212764 YOYO WIHBALAKBAK dr. Amelia BPJS 297.5
630 MANUAL RANAP 212405 Ny. ALIS WIRANGR dr. Amelia BPJS 20021.81
486 MANUAL RANAP 233389 OTIH BY NYASMARANDdr. Nuning BPJS 121015.4
617 MANUAL RANAP 190586 AFDHILLAHDANGDANG dr. Amelia BPJS 13159
579 MANUAL RANAP 233320 ROSITAWAT BALAKBAK dr. Amelia BPJS 47049.02
658 MANUAL RANAP 233470 ATEP WAHPANGKUR dr. Amelia BPJS 53262.65
644 MANUAL RANAP 187306 Ny. RINI N PANGKUR dr. Lia Sri BPJS 59718
607 MANUAL RANAP 233792 ADE SUKI DANGDANG dr. H. Gus BPJS 440294.7
578 MANUAL RANAP 219502 SUGIH RA BALAKBAK dr. Amelia BPJS 16898.25
627 MANUAL RANAP 233714 ADE MASINBALAKBAK dr. Annisa BPJS 59718
478 MANUAL RANAP 126842 Ny. WINARDANGDANG dr. Riri Ha BPJS 25363.75
615 MANUAL RANAP 157257 SOLIHIN WIRANGR dr. Amelia BPJS 41226.43
577 MANUAL RANAP 39682 Ny. NURHABALAKBAK dr. Amelia BPJS 123764.3
626 MANUAL RANAP 233790 Ny. TUTI BAYI RAWAdr. Yanne BPJS 68043
573 MANUAL RANAP 233703 RATNI MARBALAKBAK dr. Amelia BPJS 26090.41
625 MANUAL RANAP 233728 YULIANI GURISA (KEdr. Yanne BPJS 88898.02
602 MANUAL RANAP 61809 Tn. AGUN BALAKBAK dr. Lia Sri BPJS 51226.5
653 MANUAL RANAP 19143 Tn. AGUS BALAKBAK dr. Amelia BPJS 13842.34
532 MANUAL RANAP 233371 SIVA MAULSINOM 3 dr. Nuning BPJS 6401.93
613 MANUAL RAJAL 184381 Ny. YULIA IGD dr. Fandi BPJS 54505.26
564 MANUAL RANAP 19444 Tn. MAMABALAKBAK dr. Amelia BPJS 157486.4
624 MANUAL RANAP 233370 EDEH DANGDANG dr. Amelia BPJS 900
BILLING SIANG
UMUM
UMUM
OMIS WAHMIJIL 1 (IC dr. Amelia CALON BPJ 294144.5 Apotik RawAsep Afrizal, A.md Farm 18-Jan-24
IRA ROSTIKASMARANDA dr. Retno BUMUM 0 Apotik RawAsep Afrizal, A.md Farm 18-Jan-24
ARSHAKA FISOLASI A dr. Nuning UMUM 14985 Apotik RawAsep Afrizal, A.md Farm 18-Jan-24
MELAWATIASMARANDdr. Retno BUMUM 29388.38 Apotik RawAsep Afrizal, A.md Farm 18-Jan-24
Bayi Ny. II ASMARANDdr. Retno BUMUM 0 Apotik RawAsep Afrizal, A.md Farm 18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24
18-Jan-24

BPJS
718 MANUAL RANAP 233380 AKHANZA SSINOM 2 dr. Nuning BPJS 62507.72
726 MANUAL RANAP 204095 GHUMAISHSINOM 2 dr. Nuning BPJS 29975
701 MANUAL RANAP 184381 Ny. YULIA DANGDANG dr. Lia Sri BPJS 76995.24
776 MANUAL RAJAL 134326 Ny. TINTINIGD dr. Fandi BPJS 48392.09
725 MANUAL RANAP 126885 Nn. NUR A SINOM 1 dr. Nuning BPJS 44372.29
709 MANUAL RANAP 218035 TUTI HANDBALAKBAK dr. Lia Sri BPJS 45752.29
780 MANUAL RANAP 19444 Tn. MAMABALAKBAK dr. Amelia BPJS 62500
700 MANUAL RANAP 212224 Tn. SOLIHI BALAKBAK dr. Amelia BPJS 10946.85
750 MANUAL RANAP 120011 Ny. SITI N BAYI RAWAdr. Santi BPJS 318109.4
691 MANUAL RANAP 190586 AFDHILLAHDANGDANG dr. Amelia BPJS 61934.77
775 MANUAL RAJAL 233841 ENENG SINIGD dr. Fandi BPJS 55415
778 MANUAL RANAP 233145 Tn. SYAHR BALAKBAK dr. Iyan As BPJS 564724.3
690 MANUAL RANAP 189860 TETI HARYARUANG TRAdr. Amelia BPJS 99391.7
732 MANUAL RANAP 233374 RENALDI AISOLASI A dr. Nuning BPJS 168537.3
715 MANUAL RANAP 233774 HADI SAPUBALAKBAK dr. Iyan As BPJS 94070.14
744 MANUAL RANAP 189822 SYAKIR M SINOM 3 dr. Nuning BPJS 57040.22
777 MANUAL RANAP 201808 An. HILMABALAKBAK dr. Iyan As BPJS 255401.6
705 MANUAL RANAP 233752 MAHRUP KINANTI dr. Amelia BPJS 11665.2
746 MANUAL RANAP 233446 UKKASYA ASINOM 1 dr. Nuning BPJS 31924.98
730 MANUAL RANAP 233793 SALSABILASINOM 3 dr. Retno BBPJS 54377.25
714 MANUAL RANAP 194209 Ny. JUA RUANG TRAdr. Amelia BPJS 73719.34
722 MANUAL RANAP 233375 RAHFAKHAISOLASI A dr. Nuning BPJS 132260.9
697 MANUAL RANAP 233677 JAJANG N PANGKUR dr. Amelia BPJS 201463.8
704 MANUAL RANAP 233370 EDEH DANGDANG dr. Amelia BPJS 96763.9
729 MANUAL RANAP 233336 WIRA OKT SINOM 2 dr. Nuning BPJS 21925
742 MANUAL RANAP 161039 Tn. ADI F SINOM 2 dr. Nuning BPJS 58835.65
721 MANUAL RANAP 231471 HAIDAR AHSINOM 3 dr. Nuning BPJS 38862.48
728 MANUAL RANAP 233763 RAIS AKBA SINOM 3 dr. Retno BBPJS 38862.48
712 MANUAL RANAP 199895 AGUS SAE BALAKBAK dr. H. Gus BPJS 291154
740 MANUAL RANAP 233767 REVALINA SINOM 2 dr. Nuning BPJS 123268.7
720 MANUAL RANAP 233497 M ABDUR SINOM 2 dr. Nuning BPJS 28045.01
695 MANUAL RANAP 19444 Tn. MAMABALAKBAK dr. Amelia BPJS 220043.3
702 MANUAL RANAP 188487 Ny. ETI H PANGKUR dr. Amelia BPJS 58753.86
738 MANUAL RANAP 233425 RHIYU YUDSINOM 2 dr. Nuning BPJS 68629.26
727 MANUAL RANAP 233632 NAFISA CI SINOM 3 dr. Nuning BPJS 33684.79
786 MANUAL RAJAL 233830 SANTI SUS IGD dr. Fandi BPJS 58540.38
15 MANUAL RANAP 157257 SOLIHIN WIRANGR dr. Amelia BPJS 762.5
686 MANUAL RANAP 202607 ROSITA PANGKUR dr. Amelia BPJS 124818
49 MANUAL RANAP 233380 AKHANZA SSINOM 2 dr. Nuning BPJS 1062.5
18 MANUAL RANAP 233388 IWAN GUNDURMA dr. Amelia BPJS 5100.03
753 MANUAL RANAP 233693 SITI AISAH BALAKBAK dr. Lia Sri BPJS 48553.59
14 MANUAL RANAP 233145 Tn. SYAHR BALAKBAK dr. Iyan As BPJS 190158.6
719 MANUAL RANAP 212405 Ny. ALIS WIRANGR dr. Amelia BPJS 8850.33
67 MANUAL RAJAL 233758 Ny. YULIANIGD dr. EprianaBPJS 52859.54
2 MANUAL RANAP 131169 Ny. DILA T RUANG TRAdr. Amelia BPJS 55078.44
711 MANUAL RANAP 233546 ADANG H BALAKBAK dr. Lia Sri BPJS 74890.39
787 MANUAL RANAP 233639 ENONG BALAKBAK dr. Annisa BPJS 76353.5
701 MANUAL RANAP 233687 RUSMANABALAKBAK dr. Annisa BPJS 334406.4
685 MANUAL RANAP 106509 WAWAN HDANGDANG dr. H. Gus BPJS 546848.4
752 MANUAL RANAP 233709 DAFFA FIR DANGDANG dr. H. Gus BPJS 58973.95
694 MANUAL RANAP 61809 Tn. AGUN BALAKBAK dr. Lia Sri BPJS 104437
737 MANUAL RANAP 187306 Ny. RINI N PANGKUR dr. Lia Sri BPJS 75811.24
13 MANUAL RANAP 194209 Ny. JUA RUANG TRAdr. Amelia BPJS 86764.24
1 MANUAL RANAP 113295 Tn. RIVAN BALAKBAK dr. Lia Sri BPJS 59207.58
65 MANUAL RANAP 233639 ENONG BALAKBAK dr. Annisa BPJS 116206.4
25 MANUAL RANAP 233650 LILIS BALAKBAK dr. Amelia BPJS 20309.93
785 MANUAL RANAP 229908 Ny. AI NU DANGDANG dr. H. Gus BPJS 11459.28
684 MANUAL RANAP 126842 Ny. WINARDANGDANG dr. Riri Ha BPJS 65055.88
751 MANUAL RANAP 181292 Ny. NUNU BALAKBAK dr. Lia Sri BPJS 50452.62
55 MANUAL RANAP 233332 SINTA BY NASMARANDdr. Nuning BPJS 17173.1
24 MANUAL RANAP 218311 ANI ROHAEDURMA dr. Amelia BPJS 92500.36
683 MANUAL RANAP 229908 Ny. AI NU DANGDANG dr. H. Gus BPJS 302091.5
32 MANUAL RANAP 233546 ADANG H BALAKBAK dr. Lia Sri BPJS 70435.39
734 MANUAL RANAP 233792 ADE SUKI DANGDANG dr. H. Gus BPJS 386044
10 MANUAL RANAP 199895 AGUS SAE BALAKBAK dr. H. Gus BPJS 381773.3
716 MANUAL RANAP 233714 ADE MASINBALAKBAK dr. Annisa BPJS 93760.37
54 MANUAL RANAP 233393 SITI MAES ASMARANDdr. Nuning BPJS 156341.3
22 MANUAL RANAP 233638 SAKIAH PANGKUR dr. Amelia BPJS 25296.9
48 MANUAL RAJAL 233771 YULI IGD dr. Ramdhan BPJS 52019.8
30 MANUAL RANAP 233767 REVALINA SINOM 2 dr. Nuning BPJS 121483
689 MANUAL RANAP 233771 YULI DURMA dr. Amelia BPJS 51911.05
53 MANUAL RANAP 231542 Bayi Ny. IK ASMARANDdr. Retno BBPJS 64248.9
743 MANUAL RANAP 218311 ANI ROHAEDURMA dr. Amelia BPJS 81866.11
17 MANUAL RANAP 135364 An. RISMA BALAKBAK dr. Annisa BPJS 762.5
706 MANUAL RANAP 162784 Tn. NUR BALAKBAK dr. Lia Sri BPJS 87972.83
47 MANUAL RAJAL 232336 EMAN SULIGD dr. Ramdhan BPJS 62914.39
756 MANUAL RANAP 233388 IWAN GUNDURMA dr. Amelia BPJS 86182.23
Jumlah Billing BPJS Malam 87 Total Billing BPJS Malam Rp8,43

BILLING MALAM
UMUM
Depo Operator 18-Jan-24 748 MANUAL RANAP 233527

UMUM
HENDRO BALAKBAKdr. Lia Sri UMUM 70121.48 Apotik RawMuhamad Fajar Sidik, Amd.farm
BAMBANGBALAKBAK dr. Lia Sri UMUM 14374.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
NAURA DZADANGDANG dr. H. Gus UMUM 65312.37 Apotik RawMuhamad Fajar Sidik, Amd.farm
M ASQIL SINOM 2 dr. Retno BUMUM 40988.15 Apotik RawMuhamad Rizky Hidayah, S.Farm
IWAN SUR BALAKBAK dr. Annisa UMUM 134044.6 Apotik RawMuhamad Rizky Hidayah, S.Farm
NURILLAH PANGKUR dr. Amelia CALON BPJ 176407.5 Apotik RawMuhamad Rizky Hidayah, S.Farm
ASTI PUR PANGKUR dr. Amelia CALON BPJ 188382.9 Apotik RawMuhamad Fajar Sidik, Amd.farm
ASTI PUR PANGKUR dr. Amelia CALON BPJ 176015.2 Apotik RawMuhamad Fajar Sidik, Amd.farm
NURILLAH PANGKUR dr. Amelia CALON BPJ 6868.14 Apotik RawMuhamad Fajar Sidik, Amd.farm
No. BPJS
10 19-Jan-24 268 MANUAL RANAP 126885
12 19-Jan-24 325 MANUAL RANAP 126842
13 19-Jan-24 263 MANUAL RANAP 233763
15 19-Jan-24 315 MANUAL RANAP 206859
16 19-Jan-24 249 MANUAL RANAP 233718
17 19-Jan-24 288 MANUAL RANAP 204095
18 19-Jan-24 193 MANUAL RANAP 233495
21 19-Jan-24 249 MANUAL RANAP 233718
22 19-Jan-24 193 MANUAL RANAP 233495
24 19-Jan-24 244 MANUAL RANAP 233725
27 19-Jan-24 219 MANUAL RANAP 233420
29 19-Jan-24 309 MANUAL RANAP 233672
30 19-Jan-24 214 MANUAL RANAP 233374
31 19-Jan-24 344 MANUAL RANAP 233881
32 19-Jan-24 140 MANUAL RANAP 233610
33 19-Jan-24 214 MANUAL RANAP 233374
34 19-Jan-24 302 MANUAL RANAP 233583
35 19-Jan-24 129 MANUAL RANAP 233890
38 19-Jan-24 322 MANUAL RANAP 233145
40 19-Jan-24 295 MANUAL RANAP 233380
41 19-Jan-24 207 MANUAL RANAP 233375
42 19-Jan-24 319 MANUAL RANAP 233393
43 19-Jan-24 254 MANUAL RANAP 161039
44 19-Jan-24 102 MANUAL RANAP 233844
46 19-Jan-24 204 MANUAL 96 RAJAL 233898
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp11,941,202.44
BILLING PAGI
BPJS
Nama Poli / Ruangan Dokter Penja Tagihan Depo
HAIDAR AHMAD SYASINOM 3 dr. Nuning Indri BPJS Rp0.00 Apotik Rawat
NURILLAH AGUSTYAPANGKUR 1 dr. Amelia AndriBPJS Rp1,775.00 Apotik Rawat
OTIH BY NY ASMARANDANA (2A dr. Nuning Indri BPJS Rp89,426.43 Apotik Rawat
ADE MASIN BALAKBAK 3-D dr. Annisa Tri K BPJS Rp525.00 Apotik Rawat
HADI SAPUTRA BALAKBAK 2-A dr. Iyan Asiana BPJS Rp8,906.36 Apotik Rawat
MOMO BALAKBAK 3-B dr. Lia Srimuliawati, S Rp15,625.00 Apotik Rawat
NAOMI ZAHIRA CH ISOLASI ANAK dr. Nuning Indri BPJS Rp40,941.66 Apotik Rawat
Tn. IIN SOLIHIN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp762.50 Apotik Rawat
Bayi Ny. IKA BY NY ASMARANDANA (2B dr. Retno BudihaBPJS Rp70,573.78 Apotik Rawat
Nn. NUR AULIA RAF SINOM 1 dr. Nuning Indri BPJS Rp8,312.50 Apotik Rawat
SINTA BY NY ASMARANDANA (2A dr. Nuning Indri BPJS Rp80,987.99 Apotik Rawat
Ny. WINARSIH DANGDANGGULA 3dr. Riri Handayan BPJS Rp675.00 Apotik Rawat
RAIS AKBAR R SINOM 3 dr. Retno BudihaBPJS Rp8,785.65 Apotik Rawat
NENEH BY NY ASMARANDANA (2A dr. Nuning Indri BPJS Rp80,680.50 Apotik Rawat
NAOMI ZAHIRA CH ISOLASI ANAK dr. Nuning Indri BPJS Rp27,750.00 Apotik Rawat
GHANIA KEYSA SINOM 2 dr. Nuning Indri BPJS Rp2,860.35 Apotik Rawat
GHUMAISHA ALMAHSINOM 2 dr. Nuning Indri BPJS Rp63,425.40 Apotik Rawat
ALESHA NUR RACH ASMARANDANA (ISdr. Nuning Indri BPJS Rp1,750.00 Apotik Rawat
SARAH NURPAUZIA GURISA (KELAS 3) dr. Santi Maria Burha Rp39,516.00 Apotik Rawat
SOLEH SONJAYA MIJIL 1 (ICU) dr. Annisa Tri K BPJS ### Apotik Rawat
GHANIA KEYSA SINOM 2 dr. Nuning Indri BPJS Rp16,583.40 Apotik Rawat
ALESHA NUR RACH ASMARANDANA (ISdr. Nuning Indri BPJS Rp51,611.22 Apotik Rawat
Tn. SOLIHIN BALAKBAK 3-C dr. Amelia AndriBPJS Rp4,831.00 Apotik Rawat
M ASQIL MUNAWARSINOM 2 dr. Retno BudihaUMUM Rp26,283.38 Apotik Rawat
M AZKA PUTRA MIJIL 2 (PIMCU) dr. Retno BudihaBPJS Rp24,697.50 Apotik Rawat
An. HILMAN SOBARIKINANTI dr. Iyan Asiana BPJS Rp25,272.60 Apotik Rawat
AROFI MAULANA S ISOLASI ANAK dr. Nuning Indri BPJS Rp1,562.51 Apotik Rawat
ZEA ALINA PUTRI ISOLASI ANAK dr. Nuning Indri BPJS Rp24,697.50 Apotik Rawat
Ny. IRA ROSTIKA DE GURISA (KELAS 2) dr. Yanne Triha BPJS Rp46,094.52 Apotik Rawat
AMELIA BY NY BAYI RAWAT GABUdr. Retno Budihartani, Rp0.00 Apotik Rawat
ANGGI YANI BY NY ASMARANDANA (FO dr. Retno BudihaBPJS Rp19,075.77 Apotik Rawat
IIS DIYANTI GURISA (KELAS 2) dr. Yanne Triha BPJS Rp46,097.40 Apotik Rawat
EPON BY NY ASMARANDANA (LEdr. Retno Budihartani,Rp29,388.38 Apotik Rawat
SOLEH SONJAYA MIJIL 1 (ICU) dr. Annisa Tri K BPJS Rp8,991.00 Apotik Rawat
SILVIANA PUTRI DANGDANGGULA 3dr. Iyan Asiana BPJS Rp36,698.60 Apotik Rawat
Tn. SYAHRUR HIDA KINANTI dr. Iyan Asiana BPJS Rp39,411.10 Apotik Rawat
Ny. VICI SEPTIANI GURISA (KELAS 3) dr. Santi Maria BPJS ### Apotik Rawat
AKHANZA SABHIRA SINOM 2 dr. Nuning Indri BPJS Rp19,834.99 Apotik Rawat
RAHFAKHA MUHAMA ISOLASI ANAK dr. Nuning Indri BPJS Rp63,425.40 Apotik Rawat
SITI MAESAROH BY ASMARANDANA (2B dr. Nuning Indri BPJS Rp43,093.93 Apotik Rawat
Tn. ADI FIRMANSYASINOM 2 dr. Nuning Indri BPJS Rp8,750.00 Apotik Rawat
AZIL ZALAH ISOLASI ANAK dr. Nuning Indri BPJS Rp4,849.99 Apotik Rawat
MAHRUP KINANTI dr. Amelia AndriBPJS Rp5,522.50 Apotik Rawat
Ny. ANNISYA NURULKebidanan & Kand dr. Yanne Triha BPJS ### Apotik Rawat
Rp1,474,076.11
BILLING PAGI

UMUM
OTIH BY NYASMARANDdr. Nuning BPJS 89426.43 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
MOMO BALAKBAK dr. Lia Sri UMUM 15625 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
EPON BY NASMARANDA dr. Retno BUMUM ### Apotik RawLaila Handayani Hidayat,s.si
BPJS
19-Jan-24 473 MANUAL RANAP 56128 Ny. NOVIT GURISA (KEdr. Yanne BPJS
19-Jan-24 475 MANUAL RAJAL 233908 VINKAN APIGD dr. Fajri N BPJS
19-Jan-24 431 MANUAL RANAP 233713 M AQLAN MIJIL 2 (P dr. Retno BBPJS
19-Jan-24 472 MANUAL RANAP 56128 Ny. NOVIT GURISA (KEdr. Yanne BPJS
19-Jan-24 446 MANUAL RANAP 233691 AAN ROHAPANGKUR dr. Lia Sri BPJS
19-Jan-24 460 MANUAL RANAP 233677 JAJANG N PANGKUR dr. Amelia BPJS
19-Jan-24 471 MANUAL RANAP 218035 TUTI HANDBALAKBAK dr. Lia Sri BPJS
19-Jan-24 445 MANUAL RANAP 202607 ROSITA PANGKUR dr. Amelia BPJS
19-Jan-24 428 MANUAL RAJAL 233893 CINTA SAL IGD dr. Olivia BPJS
19-Jan-24 458 MANUAL RANAP 233818 NAZRIEL ALDANGDANG dr. H. Gus BPJS
19-Jan-24 430 MANUAL RANAP 233621 M AZKA PUMIJIL 2 (P dr. Retno BBPJS
19-Jan-24 470 MANUAL RANAP 198745 NURILLAH PANGKUR dr. Amelia BPJS
19-Jan-24 443 MANUAL RANAP 187306 Ny. RINI N PANGKUR dr. Lia Sri BPJS
19-Jan-24 457 MANUAL RANAP 233068 ARIS MUN DANGDANG dr. H. Gus BPJS
19-Jan-24 442 MANUAL RANAP 219137 AI NANIH BALAKBAK dr. Lia Sri BPJS
19-Jan-24 454 MANUAL RANAP 106509 WAWAN HDANGDANG dr. H. Gus BPJS
19-Jan-24 421 MANUAL RANAP 201556 Ny. LUSI GURISA (KEdr. Santi BPJS
19-Jan-24 465 MANUAL RANAP 190586 AFDHILLAHDANGDANG dr. Amelia BPJS
19-Jan-24 441 MANUAL RANAP 181292 Ny. NUNU BALAKBAK dr. Lia Sri BPJS
19-Jan-24 453 MANUAL RANAP 233546 ADANG H BALAKBAK dr. Lia Sri BPJS
19-Jan-24 417 MANUAL RANAP 221806 IKHSAN ABMIJIL 2 (P dr. Nuning BPJS
19-Jan-24 439 MANUAL RANAP 233693 SITI AISAH BALAKBAK dr. Lia Sri BPJS
19-Jan-24 420 MANUAL RAJAL 233904 YULI YANTIIGD dr. Olivia BPJS
19-Jan-24 448 MANUAL RANAP 162784 Tn. NUR BALAKBAK dr. Lia Sri BPJS
19-Jan-24 486 MANUAL RANAP 58965 Ny. MELAWGURISA (KEdr. Yanne BPJS
19-Jan-24 509 MANUAL RANAP 171507 Tn. UJU BALAKBAK dr. Annisa BPJS
19-Jan-24 474 MANUAL RANAP 61809 Tn. AGUN BALAKBAK dr. Lia Sri BPJS
19-Jan-24 463 MANUAL RANAP 233709 DAFFA FIR DANGDANG dr. H. Gus BPJS
19-Jan-24 506 MANUAL RANAP 194209 Ny. JUA RUANG TRAdr. Amelia BPJS
19-Jan-24 487 MANUAL RANAP 153370 Ny. SUKAETBALAKBAK dr. Amelia BPJS
19-Jan-24 432 MANUAL RANAP 195719 An. SHAHI SINOM 2 dr. Retno BBPJS
19-Jan-24 501 MANUAL RANAP 194516 SRI HARTINDANGDANG dr. Lia Sri BPJS
19-Jan-24 500 MANUAL RANAP 233370 EDEH DANGDANG dr. Amelia BPJS
19-Jan-24 485 MANUAL RANAP 212405 Ny. ALIS WIRANGR dr. Amelia BPJS
19-Jan-24 496 MANUAL RANAP 138051 Ny. EDAH RUANG TRAdr. Amelia BPJS
19-Jan-24 424 MANUAL RANAP 233774 HADI SAPUBALAKBAK dr. Iyan As BPJS
19-Jan-24 495 MANUAL RANAP 134326 Ny. TINTINPANGKUR dr. Lia Sri BPJS
19-Jan-24 466 MANUAL RANAP 126842 Ny. WINARDANGDANG dr. Riri Ha BPJS
19-Jan-24 481 MANUAL RANAP 233792 ADE SUKI DANGDANG dr. H. Gus BPJS
19-Jan-24 480 MANUAL RANAP 233830 SANTI SUS BALAKBAK dr. Lia Sri BPJS
19-Jan-24 464 MANUAL RANAP 229908 Ny. AI NU DANGDANG dr. H. Gus BPJS
19-Jan-24 476 MANUAL RANAP 59753 Tn. IIN SOLBALAKBAK dr. Lia Sri BPJS
BILLING SIANG

3500 Apotik RawAsep Afrizal, A.md Farm 19-Jan-24 433 MANUAL RANAP
UMUM
233766 ASTI PUR PANGKUR dr. Amelia UMUM 17950.75 Apotik RawAsep Afrizal, A.md Farm
233835 SARAH NUGURISA (KEdr. Santi UMUM 258938.1 Apotik RawAsep Afrizal, A.md Farm
233835 SARAH NUGURISA (KEdr. Santi UMUM 126187.6 Apotik RawAsep Afrizal, A.md Farm
233527 HENDRO BALAKBAK dr. Lia Sri UMUM 53262.65 Apotik RawAsep Afrizal, A.md Farm
233804 OMIS WAHMIJIL 1 (IC dr. Amelia CALON BPJ 11459.28 Apotik RawAsep Afrizal, A.md Farm
233731 ONAH DANGDANG dr. Amelia CALON SK 28425.75 Apotik RawAsep Afrizal, A.md Farm
233903 QIARA KEISSINOM 3 dr. Retno BCALON BPJ 102467.9 Apotik RawAyidnis Sabiela, A.md.farm
233900 DANI RAMBALAKBAK dr. Lia Sri UMUM 58286 Apotik RawAyidnis Sabiela, A.md.farm
233848 MOMO BALAKBAK dr. Lia Sri UMUM 80118.77 Apotik RawAyidnis Sabiela, A.md.farm
BPJS
19-Jan-24 591 MANUAL RANAP 233639 ENONG PANGKUR dr. Annisa BPJS
19-Jan-24 30 MANUAL RANAP 206859 NAOMI ZA ISOLASI A dr. Nuning BPJS
19-Jan-24 606 MANUAL RANAP 233371 SIVA MAULSINOM 3 dr. Nuning BPJS
19-Jan-24 540 MANUAL RANAP 212764 YOYO WIHBALAKBAK dr. Amelia BPJS
19-Jan-24 16 MANUAL RANAP 233393 SITI MAES ASMARANDdr. Nuning BPJS
19-Jan-24 41 MANUAL RANAP 189860 TETI HARYARUANG TRAdr. Amelia BPJS
19-Jan-24 572 MANUAL RANAP 233793 SALSABILASINOM 3 dr. Retno BBPJS
19-Jan-24 581 MANUAL RANAP 233714 ADE MASINBALAKBAK dr. Annisa BPJS
19-Jan-24 590 MANUAL RANAP 233830 SANTI SUS BALAKBAK dr. Lia Sri BPJS
19-Jan-24 605 MANUAL RANAP 220322 ZEA ALINA ISOLASI A dr. Nuning BPJS
19-Jan-24 40 MANUAL RANAP 233817 EPON ASTUGURISA (KEdr. Santi BPJS
19-Jan-24 601 MANUAL RAJAL 229907 An. ALYSS IGD dr. Fajri N BPJS
19-Jan-24 579 MANUAL RANAP 212405 Ny. ALIS WIRANGR dr. Amelia BPJS
19-Jan-24 571 MANUAL RANAP 233763 RAIS AKBA SINOM 3 dr. Retno BBPJS
19-Jan-24 603 MANUAL RANAP 233544 PURWA PRISOLASI A dr. Nuning BPJS
19-Jan-24 538 MANUAL RANAP 233370 EDEH DANGDANG dr. Amelia BPJS
19-Jan-24 8 MANUAL RANAP 197395 NAURA NUSINOM 2 dr. Retno BBPJS
19-Jan-24 589 MANUAL RANAP 233865 IROH BALAKBAK dr. Amelia BPJS
19-Jan-24 578 MANUAL RANAP 233904 YULI YANTIBAYI RAWAdr. Santi BPJS
19-Jan-24 560 MANUAL RANAP 184381 Ny. YULIA DANGDANG dr. Lia Sri BPJS
19-Jan-24 570 MANUAL RANAP 233336 WIRA OKT SINOM 2 dr. Nuning BPJS
19-Jan-24 549 MANUAL RANAP 233320 ROSITAWAT BALAKBAK dr. Amelia BPJS
19-Jan-24 596 MANUAL RANAP 233687 RUSMANABALAKBAK dr. Annisa BPJS
19-Jan-24 536 MANUAL RANAP 199895 AGUS SAE BALAKBAK dr. H. Gus BPJS
19-Jan-24 7 MANUAL RANAP 233844 AZIL ZALAHISOLASI A dr. Nuning BPJS
19-Jan-24 588 MANUAL RANAP 153370 Ny. SUKAETBALAKBAK dr. Amelia BPJS
19-Jan-24 577 MANUAL RANAP 189822 SYAKIR M SINOM 3 dr. Nuning BPJS
19-Jan-24 559 MANUAL RANAP 134326 Ny. TINTINPANGKUR dr. Lia Sri BPJS
19-Jan-24 586 MANUAL RANAP 229908 Ny. AI NU DANGDANG dr. H. Gus BPJS
19-Jan-24 569 MANUAL RANAP 126885 Nn. NUR A SINOM 1 dr. Nuning BPJS
19-Jan-24 548 MANUAL RANAP 194209 Ny. JUA RUANG TRAdr. Amelia BPJS
19-Jan-24 34 MANUAL RANAP 198745 NURILLAH PANGKUR dr. Amelia BPJS
19-Jan-24 37 MANUAL RANAP 233544 PURWA PRISOLASI A dr. Nuning BPJS
19-Jan-24 615 MANUAL RANAP 233051 SOLEH SONMIJIL 1 (IC dr. Annisa BPJS
19-Jan-24 576 MANUAL RANAP 233844 AZIL ZALAHISOLASI A dr. Nuning BPJS
19-Jan-24 585 MANUAL RANAP 218311 ANI ROHAEDURMA dr. Amelia BPJS
19-Jan-24 567 MANUAL RANAP 195719 An. SHAHI SINOM 2 dr. Retno BBPJS
19-Jan-24 527 MANUAL RANAP 199895 AGUS SAE BALAKBAK dr. H. Gus BPJS
19-Jan-24 33 MANUAL RANAP 233718 GHANIA KESINOM 2 dr. Nuning BPJS
19-Jan-24 575 MANUAL RANAP 233425 RHIYU YUDSINOM 2 dr. Nuning BPJS
19-Jan-24 555 MANUAL RANAP 233898 Ny. ANNIS BALAKBAK dr. Yanne BPJS
19-Jan-24 584 MANUAL RANAP 98299 Ny. SITI J BALAKBAK dr. Annisa BPJS
19-Jan-24 566 MANUAL RANAP 231471 HAIDAR AHSINOM 3 dr. Nuning BPJS
19-Jan-24 32 MANUAL RANAP 233336 WIRA OKT SINOM 2 dr. Nuning BPJS
19-Jan-24 35 MANUAL RANAP 220322 ZEA ALINA ISOLASI A dr. Nuning BPJS
19-Jan-24 19 MANUAL RANAP 233833 WEGA AGUGURISA (KEdr. Santi BPJS
19-Jan-24 554 MANUAL RANAP 233841 ENENG SINBALAKBAK dr. Lia Sri BPJS
19-Jan-24 583 MANUAL RANAP 233829 FIKRI MUHDANGDANG dr. H. Gus BPJS
19-Jan-24 592 MANUAL RANAP 233771 YULI DURMA dr. Amelia BPJS
19-Jan-24 524 MANUAL RANAP 233893 CINTA SAL MIJIL 1 (IC dr. Amelia BPJS
19-Jan-24 31 MANUAL RANAP 233420 AROFI MAUISOLASI A dr. Nuning BPJS
19-Jan-24 541 MANUAL RANAP 188487 Ny. ETI H BALAKBAK dr. Amelia BPJS
19-Jan-24 18 MANUAL RANAP 177817 Ny. FATMAGURISA (KEdr. Yanne BPJS
19-Jan-24 44 MANUAL RANAP 233817 EPON ASTUGURISA (KEdr. Santi BPJS
19-Jan-24 573 MANUAL RANAP 233446 UKKASYA ASINOM 1 dr. Nuning BPJS
19-Jan-24 552 MANUAL RANAP 19444 Tn. MAMABALAKBAK dr. Amelia BPJS
19-Jan-24 582 MANUAL RANAP 61809 Tn. AGUN BALAKBAK dr. Lia Sri BPJS
19-Jan-24 563 MANUAL RANAP 233767 REVALINA SINOM 2 dr. Nuning BPJS
BILLING MALAM

Rp7,665,334.11 Jumlah Billing Umum Malam
UMUM
Pasien RM Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator
RANAP 233804 OMIS WAHMIJIL 1 (IC dr. Amelia CALON BPJ 307447.3 Apotik RawMuhamad Rizky Hidayah, S.Farm
RANAP 233804 OMIS WAHMIJIL 1 (IC dr. Amelia CALON BPJ 134976.9 Apotik RawMuhamad Rizky Hidayah, S.Farm
RANAP 233906 NADYA ALYSINOM 2 dr. Retno BCALON BPJ 29975 Apotik RawMuhamad Rizky Hidayah, S.Farm
RANAP 233903 QIARA KEISSINOM 3 dr. Retno BCALON BPJ 130140.4 Apotik RawMuhamad Rizky Hidayah, S.Farm
4 Total Billing Umum Malam Rp602,539.48
No. BPJS
10 20-Jan-24 201 MANUAL RANAP 195719
11 20-Jan-24 158 MANUAL RANAP 164396
12 20-Jan-24 168 MANUAL RANAP 233687
13 20-Jan-24 212 MANUAL RANAP 233903
14 20-Jan-24 179 MANUAL RANAP 134326
16 20-Jan-24 200 MANUAL RANAP 197395
18 20-Jan-24 142 MANUAL RANAP 156377
20 20-Jan-24 211 MANUAL RANAP 220322
21 20-Jan-24 166 MANUAL RANAP 233917
22 20-Jan-24 176 MANUAL RANAP 171507
23 20-Jan-24 154 MANUAL RANAP 153370
24 20-Jan-24 108 MANUAL RANAP 233932
25 20-Jan-24 210 MANUAL RANAP 233544
26 20-Jan-24 165 MANUAL RANAP 232336
27 20-Jan-24 140 MANUAL RANAP 156377
29 20-Jan-24 164 MANUAL RANAP 204194
30 20-Jan-24 174 MANUAL RANAP 233709
31 20-Jan-24 151 MANUAL RANAP 233824
32 20-Jan-24 206 MANUAL RANAP 233763
33 20-Jan-24 163 MANUAL RANAP 204194
34 20-Jan-24 138 MANUAL RANAP 233923
35 20-Jan-24 149 MANUAL RANAP 233865
36 20-Jan-24 148 MANUAL RANAP 233904
37 20-Jan-24 162 MANUAL RANAP 233935
38 20-Jan-24 135 MANUAL RANAP 233934
39 20-Jan-24 202 MANUAL RANAP 233767
40 20-Jan-24 102 MANUAL RANAP 233051
42 20-Jan-24 133 MANUAL RANAP 233370
43 20-Jan-24 100 MANUAL RANAP 233771
45 20-Jan-24 143 MANUAL RANAP 233389
46 20-Jan-24 178 MANUAL RANAP 233817
47 20-Jan-24 131 MANUAL RANAP 233904
48 20-Jan-24 122 MANUAL RANAP 188487
51 20-Jan-24 126 MANUAL RANAP 233911
52 20-Jan-24 167 MANUAL RANAP 233904
53 20-Jan-24 118 MANUAL RANAP 201556
54 20-Jan-24 191 MANUAL RANAP 233790
56 20-Jan-24 141 MANUAL RANAP 233389
57 20-Jan-24 117 MANUAL RANAP 233904
58 20-Jan-24 187 MANUAL RANAP 233559
60 20-Jan-24 175 MANUAL RANAP 233833
61 20-Jan-24 208 MANUAL RANAP 231471
62 20-Jan-24 112 MANUAL RANAP 189822
64 20-Jan-24 187 MANUAL RANAP 233559
66 20-Jan-24 139 MANUAL RANAP 233904
68 20-Jan-24 184 MANUAL RANAP 177817
71 20-Jan-24 107 MANUAL RANAP 233904
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp18,127,298.74
BILLING PAGI
BPJS
Nama Poli / Ruangan Dokter Penj Tagihan Depo
TETI HARYATI RUANG TRANSIT dr. Amelia AndriBPJS ### Apotik Rawat
SIVA MAULIDA SINOM 3 dr. Nuning Indri BPJS ### Apotik Rawat
ENENG SINTA BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp11,841.10 Apotik Rawat
Tn. DADANG BALAKBAK 3-B dr. Amelia AndriBPJS Rp39,636.52 Apotik Rawat
ENONG PANGKUR 3 dr. Annisa Tri K BPJS Rp33,022.50 Apotik Rawat
Ny. EMPON PANGKUR 3 dr. Amelia AndriBPJS Rp35,069.09 Apotik Rawat
Ny. YULIA MAULUDIN DANGDANGGULA 1dr. Lia SrimuliawBPJS Rp33,234.35 Apotik Rawat
OMIS WAHIDIN MIJIL 1 (ICU) dr. Amelia AndriCALORp60,018.87 Apotik Rawat
An. SHAHIA ULAYYA HSINOM 2 dr. Retno BudihaBPJS Rp4,749.41 Apotik Rawat
Tn. DADANG BALAKBAK 3-B dr. Amelia AndriBPJS Rp14,210.79 Apotik Rawat
RUSMANA BALAKBAK 3-D dr. Annisa Tri K BPJS Rp29,859.00 Apotik Rawat
QIARA KEISYA B MIJIL 2 (PIMCU) dr. Retno BudihaCALO Rp9,591.79 Apotik Rawat
Ny. TINTIN SUPRIATINIPANGKUR 1 dr. Lia SrimuliawBPJS ### Apotik Rawat
NAURA NUR GHASSANSINOM 2 dr. Retno BudihaBPJS Rp4,849.99 Apotik Rawat
Ny. MIMI BALAKBAK 3-A dr. Amelia AndriBPJS Rp62,235.50 Apotik Rawat
Tn. OMAN SUHERMANBALAKBAK 3-D dr. Amelia AndriBPJS Rp21,245.40 Apotik Rawat
Tn. MAMAN BALAKBAK 2-A dr. Amelia AndriBPJS Rp12,500.00 Apotik Rawat
UNEH PANGKUR 3 dr. Amelia AndriBPJS Rp21,749.06 Apotik Rawat
Tn. UJU BALAKBAK 3-C dr. Annisa Tri K BPJS Rp155.00 Apotik Rawat
Ny. SUKAETI BALAKBAK 3-A dr. Amelia AndriBPJS Rp22,504.13 Apotik Rawat
YULI YULIANTI BY NY ASMARANDANA (LEdr. Nuning Indri UMURp62,966.47 Apotik Rawat
PURWA PRATAMA ISOLASI ANAK dr. Nuning Indri BPJS Rp9,591.79 Apotik Rawat
EMAN SULAEMAN DURMA dr. Amelia AndriBPJS Rp63,046.76 Apotik Rawat
Tn. OMAN SUHERMANBALAKBAK 3-D dr. Amelia AndriBPJS Rp9,526.73 Apotik Rawat
Ny. SITI NURJANAH BALAKBAK 3-A dr. Amelia AndriBPJS Rp3,457.08 Apotik Rawat
Tn. DIDI ROSADI BALAKBAK 3-B dr. Amelia AndriBPJS Rp4,950.00 Apotik Rawat
DAFFA FIRDAUS DANGDANGGULA 3dr. H. Gus RiyadBPJS ### Apotik Rawat
RANI BALAKBAK 3-A dr. Amelia AndriBPJS Rp7,830.02 Apotik Rawat
Tn. DIDI ROSADI BALAKBAK 3-B dr. Amelia AndriBPJS Rp22,716.86 Apotik Rawat
YATI MULYATI PANGKUR 3 dr. Amelia AndriBPJS Rp42,772.85 Apotik Rawat
IROH BALAKBAK 3-A dr. Amelia AndriBPJS Rp7,830.02 Apotik Rawat
YULI YANTI NURLELA SMIJIL 1 (ICU) dr. Santi Maria BPJS Rp30,386.25 Apotik Rawat
LUSI BY NY ASMARANDANA (LEdr. Nuning Indri UMURp58,635.00 Apotik Rawat
VINKAN BY NY ASMARANDANA (LEdr. Nuning Indri UMURp51,183.38 Apotik Rawat
REVALINA JIHAN M SINOM 2 dr. Nuning Indri BPJS Rp14,985.00 Apotik Rawat
EDEH DANGDANGGULA 2dr. Amelia AndriBPJS Rp6,466.18 Apotik Rawat
YULI DURMA dr. Amelia AndriBPJS Rp5,869.30 Apotik Rawat
OMIS WAHIDIN MIJIL 1 (ICU) dr. Amelia AndriCALO ### Apotik Rawat
EPON ASTUTI GURISA (KELAS 3) dr. Santi Maria BPJS Rp34,217.60 Apotik Rawat
YULI YANTI NURLELA SMIJIL 1 (ICU) dr. Santi Maria BPJS ### Apotik Rawat
Ny. ETI HANDAYANI BALAKBAK 2-B dr. Amelia AndriBPJS Rp33,412.00 Apotik Rawat
MOMO BALAKBAK 3-B dr. Lia SrimuliawUMURp17,607.33 Apotik Rawat
ALDI PUTRA PRATAMAMIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
Ny. LUSI RAHMAWATIGURISA (KELAS 2) dr. Santi Maria BPJS Rp63,042.41 Apotik Rawat
Ny. TUTI MULYANI BAYI RAWAT GABUdr. Yanne Triha BPJS ### Apotik Rawat
SANTI SUSANTI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp43,071.39 Apotik Rawat
Ny. SITI JUBAEDAH BALAKBAK 3-A dr. Annisa Tri K BPJS ### Apotik Rawat
WEGA AGUSTIAWATI GURISA (KELAS 3) dr. Santi Maria BPJS ### Apotik Rawat
HAIDAR AHMAD SYAKIISOLASI ANAK dr. Nuning Indri BPJS Rp17,212.50 Apotik Rawat
SYAKIR M HASAN SINOM 3 dr. Nuning Indri BPJS Rp17,460.00 Apotik Rawat
YOYO WIHANA BALAKBAK 3-C dr. Amelia AndriBPJS Rp24,895.43 Apotik Rawat
NENEH BY NY ASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
SRI HARTINI DANGDANGGULA 1dr. Lia SrimuliawBPJS Rp8,977.50 Apotik Rawat
Ny. FATMAWATI GURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. NOVITA MARDIANGURISA (KELAS 2) dr. Santi Maria BPJS Rp91,846.74 Apotik Rawat
YULI YANTI NURLELA SMIJIL 1 (ICU) dr. Santi Maria BPJS ### Apotik Rawat
Rp5,467,119.32
BILLING PAGI

UMUM
Nama Poli / Rua Dokter Penjamin Tagihan Depo
LUSI BY NYASMARANDA dr. Nuning UMUM ### Apotik Raw
VINKAN BYASMARANDA dr. Nuning UMUM ### Apotik Raw
YULI YULIAASMARANDA dr. Nuning UMUM ### Apotik Raw
MOMO BALAKBAK dr. Lia Sri UMUM ### Apotik Raw
Operator Tgl No.Resep Jenis Rese No.AntrianPasien
Apt. Orysa Rahmaeni Basujata, S.farm. RANAP
Apt. Orysa Rahmaeni Basujata, S.farm. 20-Jan-24 326 MANUAL RANAP
Laila Handayani Hidayat,s.si 20-Jan-24 303 MANUAL RANAP
Apt. Orysa Rahmaeni Basujata, S.farm. 20-Jan-24 273 MANUAL RANAP
20-Jan-24 246 MANUAL RANAP
20-Jan-24 301 MANUAL RAJAL
BILLING SIANG
BPJS
233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 258628.1 Apotik RawZandy Tiaravani, A.md.farm
233933 RAZIQ FRIGDANGDANG dr. H. Gus BPJS 46150.14 Apotik RawZandy Tiaravani, A.md.farm
233898 Ny. ANNIS BALAKBAK dr. Yanne BPJS 3375 Apotik RawZandy Tiaravani, A.md.farm
126842 Ny. WINARDANGDANG dr. Riri Ha BPJS 116345.3 Apotik RawZandy Tiaravani, A.md.farm
233921 AL FARZANSINOM 2 dr. Nuning BPJS 101924 Apotik RawZandy Tiaravani, A.md.farm
233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 266550 Apotik RawZandy Tiaravani, A.md.farm
104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 125766.2 Apotik RawZandy Tiaravani, A.md.farm
156377 Tn. OMAN BALAKBAK dr. Amelia BPJS 239527.5 Apotik RawZandy Tiaravani, A.md.farm
233938 LIA YULIANIGD dr. Agus HaBPJS 84570.02 Apotik RawZandy Tiaravani, A.md.farm
139946 Tn. JEJE BALAKBAK dr. Amelia BPJS 42735 Apotik RawZandy Tiaravani, A.md.farm
76646 Ny. WITA BALAKBAK dr. Lia Sri BPJS 72242.7 Apotik RawZandy Tiaravani, A.md.farm
233763 RAIS AKBA SINOM 3 dr. Retno BBPJS 83458.12 Apotik RawZandy Tiaravani, A.md.farm
233051 SOLEH SONMIJIL 1 (IC dr. Annisa BPJS 88749.96 Apotik RawZandy Tiaravani, A.md.farm
64300 GANDI BALAKBAK dr. Amelia BPJS 102453 Apotik RawZandy Tiaravani, A.md.farm
7137 Ny. JUARIABALAKBAK dr. Lia Sri BPJS 46064.5 Apotik RawZandy Tiaravani, A.md.farm
233774 HADI SAPUBALAKBAK dr. Iyan As BPJS 11738.25 Apotik RawZandy Tiaravani, A.md.farm
166601 ATI SULASTIGD dr. Agus HaBPJS 80114.99 Apotik RawZandy Tiaravani, A.md.farm
233927 ASEP SARI DANGDANG dr. H. Gus BPJS 248168.5 Apotik RawZandy Tiaravani, A.md.farm
233910 REYHAN A MIJIL 2 (P dr. Retno BBPJS 18731.25 Apotik RawZandy Tiaravani, A.md.farm
19444 Tn. MAMABALAKBAK dr. Amelia BPJS 33913.4 Apotik RawZandy Tiaravani, A.md.farm
202842 DILLA NURBALAKBAK dr. Lia Sri BPJS 199906.1 Apotik RawZandy Tiaravani, A.md.farm
233371 SIVA MAULSINOM 3 dr. Nuning BPJS 13437.49 Apotik RawZandy Tiaravani, A.md.farm
231752 MIZZAN ASMARANDdr. Retno BBPJS 16318.12 Apotik RawZandy Tiaravani, A.md.farm
199895 AGUS SAE BALAKBAK dr. H. Gus BPJS 18324.3 Apotik RawZandy Tiaravani, A.md.farm
Total Billing BPJS Siang Rp3,147,365.09
BILLING SIANG
UMUM
20-Jan-24 278 MANUAL RANAP 233804 OMIS WAHBALAKBAK dr. Amelia CALON BPJ
20-Jan-24 262 MANUAL RANAP 233903 QIARA KEISMIJIL 2 (P dr. Retno BCALON BPJ
20-Jan-24 235 MANUAL RAJAL 233939 LALA YUSUIGD dr. Agus HaCALON SK
20-Jan-24 307 MANUAL RANAP 233906 NADYA ALYSINOM 3 dr. Retno BUMUM
20-Jan-24 287 MANUAL RAJAL 233936 SANTI NURIGD dr. Agus HaUMUM
20-Jan-24 254 MANUAL RANAP 233922 NOVI NOVIABAYI RAWAdr. Retno BUMUM
20-Jan-24 332 MANUAL RANAP 233922 NOVI NOVIABAYI RAWAdr. Retno BUMUM
20-Jan-24 304 MANUAL RANAP 233932 YULI YANTIASMARANDA dr. Nuning UMUM
20-Jan-24 287 MANUAL RANAP 233932 YULI YANTIASMARANDA dr. Nuning UMUM
Jumlah Billing Umum Siang 10 Total Billing Umum Siang
87291.79 Apotik RawZandy Tiaravani, A.md.farm 21-Jan-24 40 MANUAL RANAP
1655646 Apotik RawZandy Tiaravani, A.md.farm 21-Jan-24 48 MANUAL RANAP
1625 Apotik RawZandy Tiaravani, A.md.farm 20-Jan-24 425 MANUAL RAJAL
2625 Apotik RawZandy Tiaravani, A.md.farm 20-Jan-24 385 MANUAL RANAP
Rp2,014,142.88 Jumlah Billing BPJS Malam 80
BILLING MALAM
BPJS
233824 RANI BALAKBAK dr. Amelia BPJS 82433.11 Apotik RawAsep Afrizal, A.md Farm
233917 UNEH PANGKUR dr. Amelia BPJS 50073.22 Apotik RawAsep Afrizal, A.md Farm
233844 AZIL ZALAHSINOM 1 dr. Nuning BPJS 32812.5 Apotik RawAsep Afrizal, A.md Farm
233850 RAHMAT BALAKBAK dr. Lia Sri BPJS 56548.22 Apotik RawAsep Afrizal, A.md Farm
104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 123605.4 Apotik RawAsep Afrizal, A.md Farm
233544 PURWA PRISOLASI A dr. Nuning BPJS 254572 Apotik RawAsep Afrizal, A.md Farm
233952 FAISAL ARIIGD dr. HafizhaBPJS 78347.25 Apotik RawAsep Afrizal, A.md Farm
233927 ASEP SARI DANGDANG dr. H. Gus BPJS 160600.4 Apotik RawAsep Afrizal, A.md Farm
233911 ALDI PUTR MIJIL 1 (IC dr. Amelia BPJS 59241.4 Apotik RawAsep Afrizal, A.md Farm
218311 ANI ROHAEDURMA dr. Amelia BPJS 46446.85 Apotik RawAsep Afrizal, A.md Farm
233829 FIKRI MUHDANGDANG dr. H. Gus BPJS 18324.3 Apotik RawAsep Afrizal, A.md Farm
233911 ALDI PUTR MIJIL 1 (IC dr. Amelia BPJS 260831.5 Apotik RawAsep Afrizal, A.md Farm
138051 Ny. EDAH RUANG TRAdr. Amelia BPJS 38365.06 Apotik RawAsep Afrizal, A.md Farm
233865 IROH BALAKBAK dr. Amelia BPJS 85525.84 Apotik RawAsep Afrizal, A.md Farm
195719 An. SHAHI SINOM 2 dr. Retno BBPJS 61135.87 Apotik RawAsep Afrizal, A.md Farm
233923 YATI MULYPANGKUR dr. Amelia BPJS 52534.21 Apotik RawAsep Afrizal, A.md Farm
104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 6802.06 Apotik RawAsep Afrizal, A.md Farm
76646 Ny. WITA BALAKBAK dr. Lia Sri BPJS 73487.28 Apotik RawAsep Afrizal, A.md Farm
126842 Ny. WINARDANGDANG dr. Riri Ha BPJS 97013.1 Apotik RawAsep Afrizal, A.md Farm
233320 ROSITAWAT BALAKBAK dr. Amelia BPJS 58083.63 Apotik RawAsep Afrizal, A.md Farm
8385 Ny. YANI KINANTI dr. Lia Sri BPJS 255326.1 Apotik RawAsep Afrizal, A.md Farm
233921 AL FARZANSINOM 2 dr. Nuning BPJS 850 Apotik RawAsep Afrizal, A.md Farm
156377 Tn. OMAN BALAKBAK dr. Amelia BPJS 288441.5 Apotik RawAsep Afrizal, A.md Farm
233371 SIVA MAULSINOM 3 dr. Nuning BPJS 219518.4 Apotik RawAsep Afrizal, A.md Farm
96695 Ny. EMPO PANGKUR dr. Amelia BPJS 44830.45 Apotik RawAsep Afrizal, A.md Farm
229908 Ny. AI NU DANGDANG dr. H. Gus BPJS 18324.3 Apotik RawAsep Afrizal, A.md Farm
233051 SOLEH SONMIJIL 1 (IC dr. Annisa BPJS 266784.3 Apotik RawAsep Afrizal, A.md Farm
232888 ARIP HIDA DANGDANG dr. Iyan As BPJS 351602.7 Apotik RawAsep Afrizal, A.md Farm
89282 Ny. SITI N BALAKBAK dr. Amelia BPJS 90608.98 Apotik RawAsep Afrizal, A.md Farm
233497 M ABDUR SINOM 2 dr. Nuning BPJS 13057.51 Apotik RawAsep Afrizal, A.md Farm
233933 RAZIQ FRIGDANGDANG dr. H. Gus BPJS 57436.75 Apotik RawAsep Afrizal, A.md Farm
233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 443990 Apotik RawAsep Afrizal, A.md Farm
233774 HADI SAPUBALAKBAK dr. Iyan As BPJS 147971.5 Apotik RawAsep Afrizal, A.md Farm
231037 RIZKI AL IGD dr. Irvan BPJS 127454 Apotik RawAsep Afrizal, A.md Farm
233841 ENENG SINBALAKBAK dr. Lia Sri BPJS 62940.14 Apotik RawAsep Afrizal, A.md Farm
189860 TETI HARYARUANG TRAdr. Amelia BPJS 92131.14 Apotik RawAsep Afrizal, A.md Farm
161165 Ny. NINA IGD dr. Irvan BPJS 37878.06 Apotik RawAsep Afrizal, A.md Farm
212405 Ny. ALIS WIRANGR dr. Amelia BPJS 40577.34 Apotik RawAsep Afrizal, A.md Farm
233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 613925.6 Apotik RawAsep Afrizal, A.md Farm
232336 EMAN SULDURMA dr. Amelia BPJS 66147.13 Apotik RawAsep Afrizal, A.md Farm
61809 Tn. AGUN BALAKBAK dr. Lia Sri BPJS 134647.3 Apotik RawAsep Afrizal, A.md Farm
233425 RHIYU YUDSINOM 2 dr. Nuning BPJS 73029.74 Apotik RawAsep Afrizal, A.md Farm
233713 M AQLAN ISOLASI A dr. Retno BBPJS 80914.37 Apotik RawAsep Afrizal, A.md Farm
233943 LATIFA GH ISOLASI A dr. Nuning BPJS 94466.52 Apotik RawAsep Afrizal, A.md Farm
171507 Tn. UJU BALAKBAK dr. Annisa BPJS 83710.51 Apotik RawAsep Afrizal, A.md Farm
233687 RUSMANABALAKBAK dr. Annisa BPJS 239358.2 Apotik RawAsep Afrizal, A.md Farm
233639 ENONG PANGKUR dr. Annisa BPJS 72052.14 Apotik RawAsep Afrizal, A.md Farm
164396 Tn. DADANBALAKBAK dr. Amelia BPJS 81266.74 Apotik RawAsep Afrizal, A.md Farm
233763 RAIS AKBA SINOM 3 dr. Retno BBPJS 47648.38 Apotik RawAsep Afrizal, A.md Farm
233727 ASEP RIJALBALAKBAK dr. Lia Sri BPJS 253663.1 Apotik RawAsep Afrizal, A.md Farm
7137 Ny. JUARIABALAKBAK dr. Lia Sri BPJS 36597.6 Apotik RawAsep Afrizal, A.md Farm
221099 AURELIA S SINOM 1 dr. Nuning BPJS 40805.01 Apotik RawAsep Afrizal, A.md Farm
184381 Ny. YULIA DANGDANG dr. Lia Sri BPJS 100565.5 Apotik RawAsep Afrizal, A.md Farm
81821 Ny. MIMI BALAKBAK dr. Amelia BPJS 42197.97 Apotik RawAsep Afrizal, A.md Farm
233910 REYHAN A MIJIL 2 (P dr. Retno BBPJS 109997.3 Apotik RawAsep Afrizal, A.md Farm
156377 Tn. OMAN BALAKBAK dr. Amelia BPJS 16625.03 Apotik RawAsep Afrizal, A.md Farm
202842 DILLA NURBALAKBAK dr. Lia Sri BPJS 201621.8 Apotik RawAsep Afrizal, A.md Farm
233938 LIA YULIANPANGKUR dr. Lia Sri BPJS 81115.22 Apotik RawAsep Afrizal, A.md Farm
229907 An. ALYSS ISOLASI A dr. Retno BBPJS 69360.9 Apotik RawAsep Afrizal, A.md Farm
184290 Ny. EUIS S KINANTI dr. Lia Sri BPJS 57830.49 Apotik RawAsep Afrizal, A.md Farm
64300 GANDI BALAKBAK dr. Amelia BPJS 109791.9 Apotik RawAsep Afrizal, A.md Farm
197395 NAURA NUSINOM 2 dr. Retno BBPJS 21875 Apotik RawAsep Afrizal, A.md Farm
233905 DICKRI HA SINOM 2 dr. Nuning BPJS 280865.8 Apotik RawAsep Afrizal, A.md Farm
134326 Ny. TINTINPANGKUR dr. Lia Sri BPJS 35511.01 Apotik RawAsep Afrizal, A.md Farm
120767 Ny. AMINAIGD dr. Irvan BPJS 85687.65 Apotik RawAsep Afrizal, A.md Farm
204194 Tn. DIDI R BALAKBAK dr. Amelia BPJS 38812.8 Apotik RawAsep Afrizal, A.md Farm
233621 M AZKA PUMIJIL 2 (P dr. Retno BBPJS 103236.2 Apotik RawAsep Afrizal, A.md Farm
59753 Tn. IIN SOLBALAKBAK dr. Lia Sri BPJS 51316.79 Apotik RawAsep Afrizal, A.md Farm
233921 AL FARZANSINOM 2 dr. Nuning BPJS 99294.22 Apotik RawAsep Afrizal, A.md Farm
233950 SANDRA G BALAKBAK dr. Lia Sri BPJS 57792.8 Apotik RawAsep Afrizal, A.md Farm
220322 ZEA ALINA ISOLASI A dr. Nuning BPJS 127626.5 Apotik RawAsep Afrizal, A.md Farm
194209 Ny. JUA RUANG TRAdr. Amelia BPJS 51613.75 Apotik RawAsep Afrizal, A.md Farm
233792 ADE SUKI DANGDANG dr. H. Gus BPJS 414547.3 Apotik RawAsep Afrizal, A.md Farm
224291 AI ROSALI DANGDANG dr. Amelia BPJS 48159.21 Apotik RawAsep Afrizal, A.md Farm
189860 TETI HARYARUANG TRAdr. Amelia BPJS 134019.5 Apotik RawAsep Afrizal, A.md Farm
153370 Ny. SUKAETBALAKBAK dr. Amelia BPJS 63006.93 Apotik RawAsep Afrizal, A.md Farm
139946 Tn. JEJE BALAKBAK dr. Amelia BPJS 88518.01 Apotik RawAsep Afrizal, A.md Farm
233958 CASMINAHKINANTI dr. Lia Sri BPJS 351353.8 Apotik RawAsep Afrizal, A.md Farm
233793 SALSABILASINOM 3 dr. Retno BBPJS 39804.86 Apotik RawAsep Afrizal, A.md Farm
233709 DAFFA FIR DANGDANG dr. H. Gus BPJS 817381.1 Apotik RawAsep Afrizal, A.md Farm
Total Billing BPJS Malam Rp9,874,268.06
G MALAM
UMUM
20-Jan-24 420 MANUAL RANAP 233944 AZKIYA RA SINOM 2 dr. Nuning CALON SK
21-Jan-24 66 MANUAL RAJAL 233966 HEPPY AFFIGD dr. Irvan CALON BPJ
20-Jan-24 418 MANUAL RANAP 233924 DINA DAVISINOM 2 dr. Nuning CALON SK
20-Jan-24 417 MANUAL RANAP 233941 INTAN FITRSINOM 3 dr. Nuning CALON BPJ
21-Jan-24 33 MANUAL RANAP 233939 LALA YUSUWIRANGR dr. Annisa CALON SK
20-Jan-24 367 MANUAL RANAP 233907 SAFIRA YU SINOM 2 dr. Retno BCALON SK
21-Jan-24 56 MANUAL RANAP 233941 INTAN FITRSINOM 3 dr. Nuning CALON BPJ
21-Jan-24 42 MANUAL RANAP 144956 BAMBANGBALAKBAK dr. Lia Sri UMUM
21-Jan-24 62 MANUAL RANAP 233968 SINTA BY NASMARANDdr. Nuning UMUM
20-Jan-24 386 MANUAL RANAP 233900 DANI RAMBALAKBAK dr. Lia Sri UMUM
20-Jan-24 375 MANUAL RANAP 233712 IWAN SUR BALAKBAK dr. Annisa UMUM
20-Jan-24 374 MANUAL RANAP 233936 SANTI NURDANGDANG dr. Lia Sri UMUM
21-Jan-24 38 MANUAL RANAP 233967 NINA BY N ASMARANDdr. Nuning UMUM
21-Jan-24 72 MANUAL RANAP 233971 LIES BY NY ASMARANDdr. Nuning UMUM
21-Jan-24 65 MANUAL RANAP 233900 DANI RAMBALAKBAK dr. Lia Sri UMUM
Jumlah Billing Umum Malam 22 Total Billing Umum Malam
Tagihan Depo Operator
Rp3,262,584.26
No.
10 21-Jan-24 167 MANUAL RANAP 184381
11 21-Jan-24 183 MANUAL RANAP 201556
12 21-Jan-24 165 MANUAL RANAP 233320
13 21-Jan-24 181 MANUAL RANAP 233908
14 21-Jan-24 123 MANUAL RANAP 233559
15 21-Jan-24 163 MANUAL RANAP 233841
17 21-Jan-24 162 MANUAL RANAP 134326
18 21-Jan-24 118 MANUAL RANAP 233904
19 21-Jan-24 188 MANUAL RANAP 166601
20 21-Jan-24 173 MANUAL RANAP 194209
21 21-Jan-24 186 MANUAL RANAP 233904
22 21-Jan-24 172 MANUAL RANAP 138051
23 21-Jan-24 185 MANUAL RANAP 190905
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp12,998,617.58
BILLING PAGI
BPJS
PURWA PRATAMA ISOLASI ANAK dr. Nuning Indri BPJS Rp17,212.50 Apotik Rawat
TETI HARYATI RUANG TRANSIT dr. Amelia AndriBPJS ### Apotik Rawat
CASMINAH KINANTI dr. Lia SrimuliawBPJS Rp26,558.83 Apotik Rawat
NAURA NUR GHASSSINOM 2 dr. Retno BudihaBPJS ### Apotik Rawat
AL FARZAN ZULFIKASINOM 2 dr. Nuning Indri BPJS Rp4,812.50 Apotik Rawat
AURELIA SABRINA SINOM 1 dr. Nuning Indri BPJS Rp9,625.00 Apotik Rawat
Ny. AMINAH BALAKBAK 2-B dr. Annisa Tri K BPJS Rp47,345.66 Apotik Rawat
Ny. YULIA MAULUDDANGDANGGULA 1dr. Lia SrimuliawBPJS Rp22,467.70 Apotik Rawat
Ny. LUSI RAHMAWAGURISA (KELAS 2) dr. Santi Maria BPJS Rp32,067.60 Apotik Rawat
ROSITAWATI BALAKBAK 2-B dr. Amelia AndriBPJS Rp34,766.31 Apotik Rawat
VINKAN APRILIA SABAYI RAWAT GABUdr. Santi Maria BPJS Rp32,067.60 Apotik Rawat
ENENG SINTA BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp17,955.95 Apotik Rawat
Ny. WIWIS ROHAYAPANGKUR 2 dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. TINTIN SUPRIATPANGKUR 1 dr. Lia SrimuliawBPJS Rp10,027.50 Apotik Rawat
YULI YANTI NURLELMIJIL 1 (ICU) dr. Santi Maria BPJS ### Apotik Rawat
ATI SULASTRI GURISA (KELAS 3) dr. Santi Maria BPJS Rp9,607.49 Apotik Rawat
Ny. JUA RUANG TRANSIT dr. Amelia AndriBPJS Rp19,287.20 Apotik Rawat
Ny. EDAH JUARIAH RUANG TRANSIT dr. Amelia AndriBPJS Rp7,548.95 Apotik Rawat
SARI PANGKUR 2 dr. Lia SrimuliawBPJS ### Apotik Rawat
Rp2,519,894.29
BILLING PAGI
UM
Operator Tgl No.Resep Jenis Rese No.AntrianPasien
Neng Cahya Titasari, Amd.farm 21-Jan-24 65 MANUAL RANAP
Neng Cahya Titasari, Amd.farm 21-Jan-24 137 MANUAL RANAP
Apt. Ghina Rahimah Az-zahra, S.farm. 21-Jan-24 192 MANUAL RANAP
Apt. Ghina Rahimah Az-zahra, S.farm. 21-Jan-24 176 MANUAL RAJAL
UMUM
RM Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl No.Resep
233900 DANI RAMBALAKBAK dr. Lia Sri UMUM 244750 Apotik RawMuhamad Fa21-Jan-24 198
233712 IWAN SUR BALAKBAK dr. Annisa UMUM 84789.25 Apotik RawMuhamad Fa21-Jan-24 245
233978 ATIK PANGKUR dr. Amelia UMUM 57482.21 Apotik RawMuhamad Fa21-Jan-24 243
233900 DANI RAMBALAKBAK dr. Lia Sri UMUM 41723.6 Apotik RawMuhamad Fa21-Jan-24 288
233973 ADIN BALAKBAK dr. Annisa CALON BPJ 210425.7 Apotik RawApt. Ghina 21-Jan-24 252
233966 HEPPY AFFIGD dr. Irvan CALON BPJ 48549.49 Apotik RawApt. Ghina 21-Jan-24 242
218688 NOVI NOVIGURISA (KEdr. Yanne CALON BPJ 234362.7 Apotik RawMuhamad Fa 21-Jan-24 287
233903 QIARA KEISMIJIL 2 (P dr. Retno BCALON BPJ 4812.5 Apotik RawMuhamad Fa 21-Jan-24 251
218688 NOVI NOVIGURISA (KEdr. Yanne CALON BPJ 14493.8 Apotik RawMuhamad Fa 21-Jan-24 291
21-Jan-24 286
21-Jan-24 249
21-Jan-24 290
21-Jan-24 285
21-Jan-24 248
21-Jan-24 283
21-Jan-24 247
21-Jan-24 284
21-Jan-24 246
21-Jan-24 276
21-Jan-24 296
21-Jan-24 304
21-Jan-24 258
21-Jan-24 274
21-Jan-24 237
21-Jan-24 303
21-Jan-24 271
21-Jan-24 234
21-Jan-24 269
21-Jan-24 232
21-Jan-24 266
21-Jan-24 230
21-Jan-24 261
21-Jan-24 225
21-Jan-24 281
21-Jan-24 301
21-Jan-24 256
21-Jan-24 222
Total Billing Umum Pagi Rp941,389.24 Jumlah Billing BPJS Sia
BPJS
MANUAL RANAP 233371 SIVA MAULSINOM 3 dr. Nuning BPJS 108399 Apotik Raw
MANUAL RANAP 211930 Ny. LILIS RUANG TRAdr. Amelia BPJS 124034.2 Apotik Raw
MANUAL RANAP 233982 DEDEH RUANG TRAdr. Amelia BPJS 45925.52 Apotik Raw
MANUAL RAJAL 233735 Ny. NENG IGD dr. Sartika BPJS 69985.19 Apotik Raw
MANUAL RANAP 132308 M REZA DANGDANG dr. H. Gus BPJS 112583.5 Apotik Raw
MANUAL RANAP 231037 RIZKI AL ISOLASI A dr. Nuning BPJS 23494.96 Apotik Raw
MANUAL RAJAL 79621 Tn. APUY IGD dr. Sartika BPJS 274752 Apotik Raw
MANUAL RANAP 233984 UNEN BALAKBAK dr. Amelia BPJS 152214.3 Apotik Raw
MANUAL RANAP 233425 RHIYU YUDSINOM 2 dr. Nuning BPJS 30471.38 Apotik Raw
MANUAL RANAP 233958 CASMINAHKINANTI dr. Lia Sri BPJS 43646.19 Apotik Raw
MANUAL RANAP 221099 AURELIA S SINOM 1 dr. Nuning BPJS 53302.55 Apotik Raw
MANUAL RANAP 233943 LATIFA GH ISOLASI A dr. Nuning BPJS 22419.16 Apotik Raw
MANUAL RANAP 233727 ASEP RIJALBALAKBAK dr. Lia Sri BPJS 32277.14 Apotik Raw
MANUAL RANAP 187627 FURI RATNBAYI RAWAdr. Santi BPJS 58668.74 Apotik Raw
MANUAL RAJAL 231144 Ny. ISAH IGD dr. Sartika BPJS 91641.27 Apotik Raw
MANUAL RANAP 7137 Ny. JUARIABALAKBAK dr. Lia Sri BPJS 61600.51 Apotik Raw
MANUAL RANAP 59753 Tn. IIN SOLBALAKBAK dr. Lia Sri BPJS 37143.75 Apotik Raw
MANUAL RANAP 227967 Ny. SHIFA GURISA (KEdr. Santi BPJS 58668.74 Apotik Raw
MANUAL RANAP 204194 Tn. DIDI R BALAKBAK dr. Amelia BPJS 19255.59 Apotik Raw
MANUAL RANAP 218311 ANI ROHAEDURMA dr. Amelia BPJS 43819.28 Apotik Raw
MANUAL RANAP 89282 Ny. SITI N BALAKBAK dr. Amelia BPJS 45140.75 Apotik Raw
MANUAL RANAP 233940 M RIAN ASMARANDdr. Nuning BPJS 7427.5 Apotik Raw
MANUAL RANAP 232336 EMAN SULDURMA dr. Amelia BPJS 6248.08 Apotik Raw
MANUAL RANAP 111594 Tn. SARIPUBALAKBAK dr. Amelia BPJS 66375.52 Apotik Raw
MANUAL RANAP 126842 Ny. WINARDANGDANG dr. Riri Ha BPJS 55624.26 Apotik Raw
MANUAL RANAP 164396 Tn. DADANBALAKBAK dr. Amelia BPJS 66.85 Apotik Raw
MANUAL RANAP 139946 Tn. JEJE BALAKBAK dr. Amelia BPJS 62288.74 Apotik Raw
MANUAL RANAP 121843 An. RAFA DANGDANG dr. H. Gus BPJS 102723.9 Apotik Raw
MANUAL RANAP 233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 434981.3 Apotik Raw
MANUAL RANAP 233850 RAHMAT BALAKBAK dr. Lia Sri BPJS 101.25 Apotik Raw
MANUAL RANAP 233876 M ZIAN RAASMARANDdr. Retno BBPJS 3602.5 Apotik Raw
MANUAL RANAP 233393 SITI MAES ASMARANDdr. Nuning BPJS 27451.69 Apotik Raw
MANUAL RANAP 233393 SITI MAES ASMARANDdr. Nuning BPJS 9990 Apotik Raw
BILLING SIANG
UMUM
Zandy Tiaravani, A.md.farm 21-Jan-24 280 MANUAL RANAP 233977 M AL RASY
Zandy Tiaravani, A.md.farm 21-Jan-24 203 MANUAL RAJAL 233966 HEPPY AFF
Zandy Tiaravani, A.md.farm 21-Jan-24 295 MANUAL RANAP 233907 SAFIRA YU
Zandy Tiaravani, A.md.farm 21-Jan-24 254 MANUAL RANAP 233907 SAFIRA YU
Zandy Tiaravani, A.md.farm 21-Jan-24 216 MANUAL RANAP 163795 An. GHANI
Zandy Tiaravani, A.md.farm 21-Jan-24 278 MANUAL RAJAL 233953 TINI KARTI
Rp2,763,700.46 Jumlah Billing Umum Siang 6 Total Billin
UMUM
SINOM 3 dr. Retno BCALON BPJ 214195.5 Apotik RawZandy Tiaravani, A.md.farm 21-Jan-24 370
IGD dr. Irvan CALON BPJ 43646.19 Apotik RawZandy Tiaravani, A.md.farm 21-Jan-24 367
SINOM 2 dr. Retno BCALON SK 29859 Apotik RawZandy Tiaravani, A.md.farm 21-Jan-24 366
SINOM 2 dr. Retno BCALON SK 29859 Apotik RawZandy Tiaravani, A.md.farm 21-Jan-24 365
SINOM 2 dr. Retno BUMUM 48048.8 Apotik RawZandy Tiaravani, A.md.farm 21-Jan-24 364
IGD dr. HafizhaUMUM 13698.8 Apotik RawSri Mulyati, A.md.farm. 21-Jan-24 362
21-Jan-24 360
21-Jan-24 355
21-Jan-24 354
21-Jan-24 350
21-Jan-24 348
21-Jan-24 346
21-Jan-24 344
21-Jan-24 343
21-Jan-24 339
21-Jan-24 323
21-Jan-24 308
22-Jan-24 2
22-Jan-24 4
22-Jan-24 7
22-Jan-24 9
22-Jan-24 11
22-Jan-24 12
22-Jan-24 13
22-Jan-24 15
22-Jan-24 18
22-Jan-24 21
22-Jan-24 27
22-Jan-24 28
22-Jan-24 30
22-Jan-24 31
22-Jan-24 33
22-Jan-24 34
22-Jan-24 36
22-Jan-24 39
22-Jan-24 41
22-Jan-24 51
22-Jan-24 59
22-Jan-24 72
22-Jan-24 40
22-Jan-24 50
22-Jan-24 24
22-Jan-24 58
22-Jan-24 3
22-Jan-24 49
22-Jan-24 32
22-Jan-24 74
22-Jan-24 56
22-Jan-24 39
22-Jan-24 48
22-Jan-24 1
22-Jan-24 45
22-Jan-24 21
22-Jan-24 44
22-Jan-24 54
22-Jan-24 29
22-Jan-24 37
22-Jan-24 20
22-Jan-24 43
22-Jan-24 53
22-Jan-24 61
22-Jan-24 8
22-Jan-24 42
22-Jan-24 52
22-Jan-24 60
22-Jan-24 35
Total Billing Umum Siang Rp379,307.32 Jumlah Billing BPJS
BILLIN
BPJS
MANUAL RANAP 233984 UNEN BALAKBAK dr. Amelia BPJS 58576.46 Apotik Raw
MANUAL RANAP 184290 Ny. EUIS S KINANTI dr. Lia Sri BPJS 65292.81 Apotik Raw
MANUAL RANAP 8385 Ny. YANI KINANTI dr. Lia Sri BPJS 69298.46 Apotik Raw
MANUAL RANAP 120767 Ny. AMINABALAKBAK dr. Annisa BPJS 116706 Apotik Raw
MANUAL RANAP 189860 TETI HARYARUANG TRAdr. Amelia BPJS 160674 Apotik Raw
MANUAL RANAP 233774 HADI SAPUBALAKBAK dr. Iyan As BPJS 143587.3 Apotik Raw
MANUAL RANAP 224291 AI ROSALI DANGDANG dr. Amelia BPJS 43964.53 Apotik Raw
MANUAL RAJAL 234002 UYUN IGD dr. Fajri N BPJS 95072.77 Apotik Raw
MANUAL RANAP 79621 Tn. APUY BALAKBAK dr. H. Gus BPJS 191126.7 Apotik Raw
MANUAL RANAP 190905 SARI PANGKUR dr. Lia Sri BPJS 253445.2 Apotik Raw
MANUAL RANAP 233982 DEDEH RUANG TRAdr. Amelia BPJS 47069.27 Apotik Raw
MANUAL RANAP 76646 Ny. WITA BALAKBAK dr. Lia Sri BPJS 75714.78 Apotik Raw
MANUAL RANAP 79122 Ny. WIWISPANGKUR dr. Lia Sri BPJS 405308.5 Apotik Raw
MANUAL RAJAL 233415 LIA MASRI IGD dr. Sartika BPJS 56613 Apotik Raw
MANUAL RAJAL 222994 IMAS LINDIGD dr. Sartika BPJS 13386.3 Apotik Raw
MANUAL RANAP 233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 478731.3 Apotik Raw
MANUAL RANAP 229907 An. ALYSS ISOLASI A dr. Retno BBPJS 68648.79 Apotik Raw
MANUAL RANAP 233713 M AQLAN ISOLASI A dr. Retno BBPJS 149107.3 Apotik Raw
MANUAL RANAP 233793 SALSABILASINOM 3 dr. Retno BBPJS 60104.86 Apotik Raw
MANUAL RANAP 233763 RAIS AKBA SINOM 3 dr. Retno BBPJS 52561.28 Apotik Raw
MANUAL RANAP 195719 An. SHAHI SINOM 2 dr. Retno BBPJS 76661.27 Apotik Raw
MANUAL RANAP 197395 NAURA NUSINOM 2 dr. Retno BBPJS 58661.3 Apotik Raw
MANUAL RANAP 233921 AL FARZANSINOM 2 dr. Nuning BPJS 98095.42 Apotik Raw
MANUAL RANAP 233621 M AZKA PUISOLASI A dr. Retno BBPJS 63322.48 Apotik Raw
MANUAL RANAP 233943 LATIFA GH ISOLASI A dr. Nuning BPJS 112466.5 Apotik Raw
MANUAL RANAP 233371 SIVA MAULSINOM 3 dr. Nuning BPJS 298540.7 Apotik Raw
MANUAL RANAP 233905 DICKRI HA SINOM 2 dr. Nuning BPJS 276168.4 Apotik Raw
MANUAL RANAP 233425 RHIYU YUDSINOM 2 dr. Nuning BPJS 77397.58 Apotik Raw
MANUAL RANAP 233844 AZIL ZALAHSINOM 1 dr. Nuning BPJS 32812.5 Apotik Raw
MANUAL RANAP 221099 AURELIA S SINOM 1 dr. Nuning BPJS 56095 Apotik Raw
MANUAL RANAP 233497 M ABDUR SINOM 2 dr. Nuning BPJS 34170 Apotik Raw
MANUAL RANAP 233952 FAISAL ARISINOM 2 dr. Nuning BPJS 71409.75 Apotik Raw
MANUAL RANAP 231037 RIZKI AL ISOLASI A dr. Nuning BPJS 125888.2 Apotik Raw
MANUAL RANAP 233910 REYHAN A MIJIL 2 (P dr. Retno BBPJS 66247.29 Apotik Raw
MANUAL RANAP 212405 Ny. ALIS WIRANGR dr. Amelia BPJS 57054.33 Apotik Raw
MANUAL RANAP 104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 136459.9 Apotik Raw
MANUAL RAJAL 112748 EULIS IGD dr. Fandi BPJS 174735.1 Apotik Raw
MANUAL RANAP 233865 IROH BALAKBAK dr. Amelia BPJS 100941 Apotik Raw
MANUAL RANAP 233792 ADE SUKI DANGDANG dr. H. Gus BPJS 366617.5 Apotik Raw
MANUAL RANAP 233724 JESSICA OKDANGDANG dr. Iyan As BPJS 131257.5 Apotik Raw
MANUAL RANAP 232888 ARIP HIDA DANGDANG dr. Iyan As BPJS 84034.79 Apotik Raw
MANUAL RANAP 64300 GANDI BALAKBAK dr. Amelia BPJS 116850.4 Apotik Raw
MANUAL RANAP 36248 Tn. AHA E BALAKBAK dr. Amelia BPJS 23368.49 Apotik Raw
MANUAL RANAP 156377 Tn. OMAN BALAKBAK dr. Amelia BPJS 285957.6 Apotik Raw
MANUAL RANAP 233917 UNEH PANGKUR dr. Amelia BPJS 56636.79 Apotik Raw
MANUAL RANAP 164396 Tn. DADANBALAKBAK dr. Amelia BPJS 87509.53 Apotik Raw
MANUAL RANAP 177774 Nn. ROSI ADANGDANG dr. Iyan As BPJS 131257.5 Apotik Raw
MANUAL RANAP 81821 Ny. MIMI BALAKBAK dr. Amelia BPJS 48149.54 Apotik Raw
MANUAL RANAP 233927 ASEP SARI DANGDANG dr. H. Gus BPJS 243807.1 Apotik Raw
MANUAL RANAP 202842 DILLA NURBALAKBAK dr. Lia Sri BPJS 200996.8 Apotik Raw
MANUAL RANAP 153370 Ny. SUKAETBALAKBAK dr. Amelia BPJS 90353.39 Apotik Raw
MANUAL RANAP 96695 Ny. EMPO PANGKUR dr. Amelia BPJS 45784.58 Apotik Raw
MANUAL RANAP 233950 SANDRA G BALAKBAK dr. Lia Sri BPJS 53910.68 Apotik Raw
MANUAL RANAP 233824 RANI BALAKBAK dr. Amelia BPJS 98437.76 Apotik Raw
MANUAL RANAP 204194 Tn. DIDI R BALAKBAK dr. Amelia BPJS 55230.3 Apotik Raw
MANUAL RANAP 61809 Tn. AGUN BALAKBAK dr. Lia Sri BPJS 148756.7 Apotik Raw
MANUAL RANAP 233923 YATI MULYPANGKUR dr. Amelia BPJS 48964.6 Apotik Raw
MANUAL RANAP 7137 Ny. JUARIABALAKBAK dr. Lia Sri BPJS 37855.09 Apotik Raw
MANUAL RANAP 233933 RAZIQ FRIGDANGDANG dr. H. Gus BPJS 64804.65 Apotik Raw
MANUAL RANAP 233639 ENONG PANGKUR dr. Annisa BPJS 68568.84 Apotik Raw
MANUAL RANAP 233938 LIA YULIANPANGKUR dr. Lia Sri BPJS 102390.2 Apotik Raw
BILLING MALAM
UMUM
Asep Afrizal, A.md Farm 21-Jan-24 353 MANUAL RANAP 233804 OMIS WAH
Asep Afrizal, A.md Farm 21-Jan-24 352 MANUAL RAJAL 233966 HEPPY AFF
Asep Afrizal, A.md Farm 21-Jan-24 341 MANUAL RANAP 233973 ADIN
Asep Afrizal, A.md Farm 21-Jan-24 359 MANUAL RANAP 233936 SANTI NUR
Asep Afrizal, A.md Farm 21-Jan-24 358 MANUAL RANAP 233978 ATIK
Asep Afrizal, A.md Farm 21-Jan-24 96 MANUAL RAJAL 233953 TINI KARTI
Asep Afrizal, A.md Farm 22-Jan-24 10 MANUAL RANAP 233907 SAFIRA YU
Asep Afrizal, A.md Farm 22-Jan-24 23 MANUAL RANAP 233924 DINA DAVI
Asep Afrizal, A.md Farm 22-Jan-24 25 MANUAL RANAP 233944 AZKIYA RA
Asep Afrizal, A.md Farm 22-Jan-24 16 MANUAL RANAP 163795 An. GHANI
Asep Afrizal, A.md Farm 22-Jan-24 47 MANUAL RANAP 233939 LALA YUSU
Asep Afrizal, A.md Farm 22-Jan-24 57 MANUAL RANAP 144956 BAMBANG
Rp7,996,190.49 Jumlah Billing Umum Malam 12 Total Billing Um
UMUM
BALAKBAK dr. Amelia CALON BPJ 232065.3 Apotik RawAsep Afrizal, A.md Farm
IGD dr. Irvan CALON BPJ 125453.7 Apotik RawAsep Afrizal, A.md Farm
BALAKBAK dr. Annisa CALON BPJ 204740.6 Apotik RawAsep Afrizal, A.md Farm
DANGDANG dr. Lia Sri UMUM 58525.12 Apotik RawAsep Afrizal, A.md Farm
PANGKUR dr. Amelia UMUM 68359.55 Apotik RawAsep Afrizal, A.md Farm
IGD dr. HafizhaUMUM 18323.82 Apotik RawAsep Afrizal, A.md Farm
SINOM 2 dr. Retno BCALON SK 52448.79 Apotik RawAsep Afrizal, A.md Farm
SINOM 3 dr. Nuning CALON SK 123556.5 Apotik RawAsep Afrizal, A.md Farm
SINOM 2 dr. Nuning CALON SK 38862.48 Apotik RawAsep Afrizal, A.md Farm
SINOM 2 dr. Retno BUMUM 63036.3 Apotik RawAsep Afrizal, A.md Farm
WIRANGR dr. Annisa CALON SK 110567.7 Apotik RawAyidnis Sabiela, A.md.farm
BALAKBAK dr. Lia Sri UMUM 103258 Apotik RawAyidnis Sabiela, A.md.farm
No. BPJS
10 22-Jan-24 394 MANUAL RANAP 197395
11 22-Jan-24 263 MANUAL RANAP 233950
12 22-Jan-24 393 MANUAL RANAP 233497
13 22-Jan-24 250 MANUAL RANAP 233709
14 22-Jan-24 405 MANUAL RANAP 233921
15 22-Jan-24 405 MANUAL RANAP 233921
16 22-Jan-24 328 MANUAL RANAP 233425
17 22-Jan-24 407 MANUAL RANAP 233793
18 22-Jan-24 121 MANUAL RANAP 233895
19 22-Jan-24 297 MANUAL RANAP 233905
20 22-Jan-24 258 MANUAL RANAP 233869
21 22-Jan-24 363 MANUAL RANAP 201337
22 22-Jan-24 119 MANUAL RANAP 166601
23 22-Jan-24 437 MANUAL RANAP 221099
24 22-Jan-24 170 MANUAL RANAP 233895
25 22-Jan-24 168 MANUAL RANAP 234002
26 22-Jan-24 118 MANUAL RANAP 166601
27 22-Jan-24 315 MANUAL RANAP 229907
28 22-Jan-24 248 MANUAL RANAP 233969
29 22-Jan-24 433 MANUAL RANAP 233671
30 22-Jan-24 166 MANUAL RANAP 234002
31 22-Jan-24 404 MANUAL RANAP 231880
32 22-Jan-24 355 MANUAL RANAP 233895
35 22-Jan-24 352 MANUAL RANAP 233904
37 22-Jan-24 304 MANUAL RANAP 233763
38 22-Jan-24 279 MANUAL RANAP 233850
39 22-Jan-24 155 MANUAL RANAP 233933
40 22-Jan-24 191 MANUAL RANAP 234004
41 22-Jan-24 343 MANUAL RANAP 206878
42 22-Jan-24 101 MANUAL RANAP 233911
43 22-Jan-24 236 MANUAL RANAP 161165
44 22-Jan-24 142 MANUAL RANAP 202842
45 22-Jan-24 176 MANUAL RANAP 233904
46 22-Jan-24 301 MANUAL RANAP 233904
47 22-Jan-24 328 MANUAL RANAP 233425
48 22-Jan-24 100 MANUAL RAJAL 161165
49 22-Jan-24 127 MANUAL RANAP 206878
50 22-Jan-24 174 MANUAL RANAP 233904
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp15,695,387.15
BILLING PAGI
BPJS
DEDEH RUANG TRANSIT dr. Amelia AndriBPJS Rp475.00 Apotik Rawat
LATIFA GHANIYAH ISOLASI ANAK dr. Nuning Indri BPJS Rp88,453.12 Apotik Rawat
ASEP RIJAL BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp66,378.00 Apotik Rawat
NAURA NUR GHASSSINOM 2 dr. Retno BudihaBPJS Rp34,011.81 Apotik Rawat
Tn. AI NENA PANGKUR 3 dr. Lia SrimuliawBPJS Rp30,435.77 Apotik Rawat
Ny. JUARIAH BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp25,188.75 Apotik Rawat
SAFIRA YUNIAR SINOM 2 dr. Retno BudihaBPJS Rp23,883.50 Apotik Rawat
LIA YULIANTI PANGKUR 3 dr. Lia SrimuliawBPJS Rp60,547.72 Apotik Rawat
NAURA NUR GHASSSINOM 2 dr. Retno BudihaBPJS Rp8,880.00 Apotik Rawat
SANDRA GUMILAR BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp64,435.50 Apotik Rawat
M ABDUROHMAN SINOM 2 dr. Nuning Indri BPJS Rp23,494.96 Apotik Rawat
DAFFA FIRDAUS DANGDANGGULA 3dr. H. Gus RiyadBPJS ### Apotik Rawat
AL FARZAN ZULFIKASINOM 2 dr. Retno BudihaBPJS Rp5,999.99 Apotik Rawat
AL FARZAN ZULFIKASINOM 2 dr. Retno BudihaBPJS Rp5,999.99 Apotik Rawat
RHIYU YUDIANA PUSINOM 2 dr. Nuning Indri BPJS Rp32,633.50 Apotik Rawat
SALSABILA NURFALSINOM 3 dr. Retno BudihaBPJS Rp19,834.99 Apotik Rawat
Ny. ATIS NURHAYATBAYI RAWAT GABUdr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
DICKRI HARVI RA SINOM 2 dr. Nuning Indri BPJS Rp44,816.28 Apotik Rawat
SINTA NURIYANI GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
RAIHAN AL LATIF ISOLASI ANAK dr. Retno BudihaBPJS ### Apotik Rawat
AURELIA SABRINA SINOM 1 dr. Nuning Indri BPJS Rp17,212.50 Apotik Rawat
UYUN GURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
An. ALYSSA INARA ISOLASI ANAK dr. Retno BudihaBPJS Rp5,422.68 Apotik Rawat
LIES NURSA ADAH GURISA (KELAS 3) dr. Santi Maria BPJS ### Apotik Rawat
RIZKI RAHMAT BALAKBAK 3-C dr. Riri HandayanBPJS Rp27,621.65 Apotik Rawat
UYUN GURISA (KELAS 2) dr. Yanne Triha BPJS Rp12,743.80 Apotik Rawat
GIN GIN PUTRI S L BALAKBAK 2-B dr. Santi Maria BPJS ### Apotik Rawat
Ny. WITA NURMALBALAKBAK 2-B dr. Lia SrimuliawBPJS Rp53,262.65 Apotik Rawat
Tn. AGUN GUNAW BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp39,751.57 Apotik Rawat
YULI YANTI NURLELMIJIL 1 (ICU) dr. Santi Maria BPJS Rp77,250.00 Apotik Rawat
Ny. YANI MULYANI KINANTI dr. Lia SrimuliawBPJS Rp20,687.50 Apotik Rawat
RAHMAT BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp50,781.88 Apotik Rawat
RAZIQ FRIGIAN S DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp14,739.16 Apotik Rawat
UYUN BY NY ASMARANDANA (2B dr. Retno BudihaBPJS ### Apotik Rawat
LISNAWATI BAYI RAWAT GABUdr. Yanne Triha BPJS Rp84,532.04 Apotik Rawat
ALDI PUTRA PRAT MIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
Ny. NINA HERLINA GURISA (KELAS 2) dr. Santi Maria BPJS ### Apotik Rawat
DILLA NURBAETI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp5,362.50 Apotik Rawat
YULI YANTI NURLELMIJIL 1 (ICU) dr. Santi Maria BPJS Rp37,374.95 Apotik Rawat
RHIYU YUDIANA PUSINOM 2 dr. Nuning Indri BPJS Rp4,375.00 Apotik Rawat
Ny. NINA HERLINA IGD dr. Irvan Fathu BPJS Rp6,870.00 Apotik Rawat
LISNAWATI BAYI RAWAT GABUdr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
Rp2,889,927.69
BILLING PAGI
UMUM
UMUM
Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl No.Resep Jenis Rese
NENG NENIASMARANDA dr. Retno BUMUM 56647.38 Apotik RawLulu Afifah 22-Jan-24 511 MANUAL
IMAS BY N ASMARANDdr. Retno BUMUM 87746.76 Apotik RawLulu Afifah 22-Jan-24 621 MANUAL
TINI BY NY ASMARANDdr. Retno BUMUM 112684.8 Apotik RawLulu Afifah 22-Jan-24 579 MANUAL
SHIFA G2 BASMARANDdr. Retno BUMUM 351486.9 Apotik RawLulu Afifah 22-Jan-24 632 MANUAL
SHIFA G1 BASMARANDA dr. Retno BUMUM 53197.39 Apotik RawLulu Afifah 22-Jan-24 605 MANUAL
INTAN FITRSINOM 3 dr. Nuning UMUM 14985 Apotik RawLulu Afifah 22-Jan-24 618 MANUAL
TINI KARTI GURISA (KEdr. Santi UMUM 199407.6 Apotik RawLulu Afifah 22-Jan-24 604 MANUAL
FURI RATNASMARANDdr. Retno BUMUM 53197.39 Apotik RawLulu Afifah 22-Jan-24 565 MANUAL
NANI SURYDANGDANG dr. Riri Ha UMUM 148979 Apotik RawLulu Afifah 22-Jan-24 617 MANUAL
HEPPY AFFDANGDANG dr. Annisa CALON BPJ 6675 Apotik RawMuhamad Ri 22-Jan-24 602 MANUAL
SANTI NURDANGDANG dr. Lia Sri UMUM 72594 Apotik RawMuhamad Ri 22-Jan-24 544 MANUAL
DINA DAVISINOM 3 dr. Nuning CALON SK 35780.16 Apotik RawMuhamad Ri 22-Jan-24 616 MANUAL
LALA YUSUWIRANGR dr. Annisa CALON SK 6323.75 Apotik RawMuhamad Ri 22-Jan-24 629 MANUAL
DINA DAVISINOM 3 dr. Nuning CALON SK 1562.51 Apotik RawMuhamad Ri 22-Jan-24 538 MANUAL
22-Jan-24 611 MANUAL
Total Billing Umum Pagi Rp1,201,267.57 Jumlah Billing BPJS Siang
BPJS
RANAP 233774 HADI SAPUBALAKBAK dr. Iyan As BPJS 26198.18 Apotik Raw
RANAP 164396 Tn. DADANBALAKBAK dr. Amelia BPJS 160896.8 Apotik Raw
RANAP 233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 82397.68 Apotik Raw
RANAP 211930 Ny. LILIS RUANG TRAdr. Amelia BPJS 102453 Apotik Raw
RANAP 94327 Tn. ADE DEBALAKBAK dr. Iyan As BPJS 108875.2 Apotik Raw
RANAP 204194 Tn. DIDI R BALAKBAK dr. Amelia BPJS 37763.4 Apotik Raw
RANAP 58497 IIN RUSTA BALAKBAK dr. Iyan As BPJS 130704.5 Apotik Raw
RANAP 233921 AL FARZANSINOM 2 dr. Retno BBPJS 137500 Apotik Raw
RANAP 233923 YATI MULYPANGKUR dr. Amelia BPJS 42610.12 Apotik Raw
RANAP 234054 MOHAMMAD DANGDANG dr. Iyan As BPJS 76727.7 Apotik Raw
RANAP 233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 15717.5 Apotik Raw
RANAP 233917 UNEH PANGKUR dr. Amelia BPJS 83880.07 Apotik Raw
RANAP 79621 Tn. APUY BALAKBAK dr. H. Gus BPJS 262515 Apotik Raw
RANAP 232888 ARIP HIDA DANGDANG dr. Iyan As BPJS 39410.68 Apotik Raw
RANAP 233824 RANI BALAKBAK dr. Amelia BPJS 13187.2 Apotik Raw
RANAP 233671 RIZKI RAH BALAKBAK dr. Riri Ha BPJS 18715.72 Apotik Raw
RANAP 233713 M AQLAN ISOLASI A dr. Retno BBPJS 2858.88 Apotik Raw
RANAP 211930 Ny. LILIS RUANG TRAdr. Amelia BPJS 350 Apotik Raw
RANAP 104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 70965.5 Apotik Raw
RANAP 233865 IROH BALAKBAK dr. Amelia BPJS 24925.45 Apotik Raw
RANAP 231880 GIN GIN PUBALAKBAK dr. Santi BPJS 167040 Apotik Raw
RANAP 233713 M AQLAN ISOLASI A dr. Retno BBPJS 61827 Apotik Raw
RANAP 233984 UNEN BALAKBAK dr. Amelia BPJS 14140.64 Apotik Raw
RANAP 227046 AYU NURTIBALAKBAK dr. Amelia BPJS 25296.9 Apotik Raw
RANAP 153370 Ny. SUKAETBALAKBAK dr. Amelia BPJS 160283.5 Apotik Raw
RANAP 212405 Ny. ALIS WIRANGR dr. Amelia BPJS 24925.45 Apotik Raw
RANAP 224291 AI ROSALI DANGDANG dr. Amelia BPJS 16175.45 Apotik Raw
RANAP 233984 UNEN BALAKBAK dr. Amelia BPJS 102453 Apotik Raw
RANAP 233804 OMIS WAHBALAKBAK dr. Amelia BPJS 125944.8 Apotik Raw
RANAP 233587 Ny. CUCU DANGDANG dr. Iyan As BPJS 217198.3 Apotik Raw
RANAP 189860 TETI HARYARUANG TRAdr. Amelia BPJS 70421.27 Apotik Raw
RANAP 234001 MARNI HABALAKBAK dr. Amelia BPJS 29859 Apotik Raw
RANAP 64300 GANDI BALAKBAK dr. Amelia BPJS 887.5 Apotik Raw
RANAP 233497 M ABDUR SINOM 2 dr. Nuning BPJS 58760.62 Apotik Raw
RANAP 234001 MARNI HABALAKBAK dr. Amelia BPJS 66088.58 Apotik Raw
RANAP 111594 Tn. SARIPUBALAKBAK dr. Amelia BPJS 31157.42 Apotik Raw
RANAP 52622 Tn. UWO BALAKBAK dr. Lia Sri BPJS 56966.44 Apotik Raw
RANAP 81821 Ny. MIMI BALAKBAK dr. Amelia BPJS 900 Apotik Raw
RANAP 115406 Tn. ENDANBALAKBAK dr. Lia Sri BPJS 58437.7 Apotik Raw
RANAP 233727 ASEP RIJALBALAKBAK dr. Lia Sri BPJS 59718 Apotik Raw
RANAP 233415 LIA MASRI BALAKBAK dr. Amelia BPJS 26738.23 Apotik Raw
RANAP 233903 QIARA KEISMIJIL 2 (P dr. Retno BBPJS 44704.68 Apotik Raw
RANAP 7137 Ny. JUARIABALAKBAK dr. Lia Sri BPJS 59718 Apotik Raw
RANAP 203797 ARSHINTA MIJIL 2 (P dr. Retno BBPJS 48706.52 Apotik Raw
RAJAL 217361 JIAN ANJANIGD dr. Sartika BPJS 43997.49 Apotik Raw
RANAP 233938 LIA YULIANPANGKUR dr. Lia Sri BPJS 89577 Apotik Raw
mlah Billing BPJS Siang 46 Total Billing BPJS Siang Rp3,100,575.83
BILLING SIANG
UMUM
Titan Mulyana, A.md.farm 22-Jan-24 631 MANUAL RANAP 233966 HEPPY AFF
Titan Mulyana, A.md.farm 22-Jan-24 575 MANUAL RANAP 144956 BAMBANG
Titan Mulyana, A.md.farm 22-Jan-24 626 MANUAL RANAP 234014 ANDRI
Titan Mulyana, A.md.farm 22-Jan-24 584 MANUAL RANAP 233977 M AL RASY
Titan Mulyana, A.md.farm 22-Jan-24 567 MANUAL RANAP 230258 YUNIARTI
Titan Mulyana, A.md.farm 22-Jan-24 587 MANUAL RANAP 234059 ABDULLOH
Titan Mulyana, A.md.farm 22-Jan-24 644 MANUAL RANAP 233939 LALA YUSU
Rp3,100,575.83 Jumlah Billing Umum Siang 7 Total B
UMUM
DANGDANG dr. Annisa CALON BPJ 124.88 Apotik RawTitan Mulyana, A.md.farm 23-Jan-24
BALAKBAK dr. Lia Sri UMUM 53775.01 Apotik RawTitan Mulyana, A.md.farm 23-Jan-24
DANGDANG dr. Iyan As UMUM 39410.68 Apotik RawTitan Mulyana, A.md.farm 23-Jan-24
SINOM 3 dr. Retno BUMUM 17358.74 Apotik RawMuhamad Fajar Sidik, Amd.farm 23-Jan-24
DANGDANG dr. Iyan As CALON BPJ 217198.3 Apotik RawMuhamad Fajar Sidik, Amd.farm 23-Jan-24
SINOM 3 dr. Nuning CALON SK 15392.5 Apotik RawMuhamad Fajar Sidik, Amd.farm 23-Jan-24
WIRANGR dr. Annisa CALON SK 59718 Apotik RawMuhamad Fajar Sidik, Amd.farm 23-Jan-24
23-Jan-24
22-Jan-24
22-Jan-24
23-Jan-24
22-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
23-Jan-24
22-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
22-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
23-Jan-24
22-Jan-24
23-Jan-24
BPJS
53 MANUAL RANAP 233907 SAFIRA YU SINOM 2 dr. Retno BBPJS 74323.79
35 MANUAL RANAP 79122 Ny. WIWISPANGKUR dr. Lia Sri BPJS 403137.1
15 MANUAL RANAP 112748 EULIS BALAKBAK dr. Amelia BPJS 888
43 MANUAL RANAP 132308 M REZA DANGDANG dr. H. Gus BPJS 75210.09
27 MANUAL RANAP 233973 ADIN BALAKBAK dr. Annisa BPJS 201001.5
71 MANUAL RANAP 233903 QIARA KEISMIJIL 2 (P dr. Retno BBPJS 267829.1
13 MANUAL RANAP 111594 Tn. SARIPUBALAKBAK dr. Amelia BPJS 11516.25
54 MANUAL RANAP 231037 RIZKI AL ISOLASI A dr. Nuning BPJS 125888.7
687 MANUAL RANAP 233938 LIA YULIANPANGKUR dr. Lia Sri BPJS 101407.3
651 MANUAL RANAP 233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 270838.3
63 MANUAL RANAP 201337 RAIHAN ALISOLASI A dr. Retno BBPJS 70250.23
699 MANUAL RANAP 81821 Ny. MIMI BALAKBAK dr. Amelia BPJS 49493.54
679 MANUAL RANAP 233982 DEDEH RUANG TRAdr. Amelia BPJS 54032.83
52 MANUAL RANAP 156377 Tn. OMAN BALAKBAK dr. Amelia BPJS 20465
34 MANUAL RANAP 79621 Tn. APUY BALAKBAK dr. H. Gus BPJS 631259.6
14 MANUAL RANAP 233804 OMIS WAHBALAKBAK dr. Amelia BPJS 208633.5
42 MANUAL RANAP 203797 ARSHINTA MIJIL 2 (P dr. Retno BBPJS 47784.67
26 MANUAL RANAP 233727 ASEP RIJALBALAKBAK dr. Lia Sri BPJS 4717.5
70 MANUAL RANAP 233950 SANDRA G BALAKBAK dr. Lia Sri BPJS 67333.16
12 MANUAL RANAP 233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 0
686 MANUAL RANAP 233910 REYHAN A SINOM 3 dr. Retno BBPJS 33434.79
92 MANUAL RANAP 234001 MARNI HABALAKBAK dr. Amelia BPJS 66088.58
62 MANUAL RANAP 112748 EULIS BALAKBAK dr. Amelia BPJS 174735.1
697 MANUAL RANAP 233943 LATIFA GH ISOLASI A dr. Nuning BPJS 110901
677 MANUAL RANAP 231880 GIN GIN PUBALAKBAK dr. Santi BPJS 331719.7
50 MANUAL RANAP 120767 Ny. AMINABALAKBAK dr. Annisa BPJS 156264.4
33 MANUAL RANAP 7630 Tn. ASEP PANGKUR dr. Lia Sri BPJS 303688.1
41 MANUAL RANAP 233921 AL FARZANSINOM 2 dr. Retno BBPJS 96530.17
25 MANUAL RANAP 96695 Ny. EMPO PANGKUR dr. Amelia BPJS 4625
69 MANUAL RANAP 156377 Tn. OMAN BALAKBAK dr. Amelia BPJS 30502.01
685 MANUAL RANAP 58497 IIN RUSTA DANGDANG dr. Iyan As BPJS 73639.94
60 MANUAL RANAP 227757 ARSYA MUSINOM 1 dr. Nuning BPJS 38862.48
695 MANUAL RANAP 189860 TETI HARYARUANG TRAdr. Amelia BPJS 111648.9
676 MANUAL RANAP 190905 SARI PANGKUR dr. Lia Sri BPJS 250132
49 MANUAL RANAP 211930 Ny. LILIS RUANG TRAdr. Amelia BPJS 131108.2
32 MANUAL RANAP 197395 NAURA NUSINOM 2 dr. Retno BBPJS 80502.67
40 MANUAL RANAP 104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 20765.64
24 MANUAL RANAP 233927 ASEP SARI DANGDANG dr. H. Gus BPJS 258306.8
68 MANUAL RANAP 197395 NAURA NUSINOM 2 dr. Retno BBPJS 4849.99
10 MANUAL RANAP 104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 157039.3
684 MANUAL RANAP 233709 DAFFA FIR DANGDANG dr. H. Gus BPJS 964265.4
79 MANUAL RANAP 233984 UNEN BALAKBAK dr. Amelia BPJS 72717.1
59 MANUAL RANAP 233415 LIA MASRI BALAKBAK dr. Amelia BPJS 74140.93
694 MANUAL RANAP 195719 An. SHAHI SINOM 2 dr. Retno BBPJS 82662.07
674 MANUAL RANAP 208507 Ny. IIN WI BALAKBAK dr. Lia Sri BPJS 100042
48 MANUAL RANAP 7137 Ny. JUARIABALAKBAK dr. Lia Sri BPJS 69646.34
31 MANUAL RANAP 233944 AZKIYA RA SINOM 2 dr. Nuning BPJS 38862.48
39 MANUAL RANAP 64300 GANDI BALAKBAK dr. Amelia BPJS 117737.9
23 MANUAL RANAP 233792 ADE SUKI DANGDANG dr. H. Gus BPJS 376685.1
67 MANUAL RANAP 79621 Tn. APUY BALAKBAK dr. H. Gus BPJS 14999.99
9 MANUAL RANAP 227046 AYU NURTIBALAKBAK dr. Amelia BPJS 71879.26
683 MANUAL RANAP 94327 Tn. ADE DEBALAKBAK dr. Iyan As BPJS 136057.3
78 MANUAL RANAP 64300 GANDI BALAKBAK dr. Amelia BPJS 11738.25
58 MANUAL RANAP 123836 SOLEHAH BALAKBAK dr. Lia Sri BPJS 25903.35
692 MANUAL RANAP 115406 Tn. ENDANBALAKBAK dr. Lia Sri BPJS 74281.46
671 MANUAL RANAP 84517 Ny. ENJUMPANGKUR dr. Lia Sri BPJS 95982.28
46 MANUAL RANAP 233844 AZIL ZALAHSINOM 1 dr. Nuning BPJS 32812.5
30 MANUAL RANAP 96695 Ny. EMPO PANGKUR dr. Amelia BPJS 45784.58
38 MANUAL RANAP 111594 Tn. SARIPUBALAKBAK dr. Amelia BPJS 107626.4
19 MANUAL RANAP 234054 MOHAMMAD DANGDANG dr. Iyan As BPJS 90597.29
66 MANUAL RANAP 184290 Ny. EUIS S KINANTI dr. Lia Sri BPJS 98022.75
8 MANUAL RANAP 233950 SANDRA G BALAKBAK dr. Lia Sri BPJS 7076.25
682 MANUAL RANAP 233621 M AZKA PUISOLASI A dr. Retno BBPJS 92629.18
77 MANUAL RANAP 5091 NENG NENBALAKBAK dr. Lia Sri BPJS 141150.3
690 MANUAL RANAP 233497 M ABDUR SINOM 2 dr. Nuning BPJS 34170.27
669 MANUAL RANAP 36248 Tn. AHA E BALAKBAK dr. Amelia BPJS 13831.49
45 MANUAL RANAP 234001 MARNI HABALAKBAK dr. Amelia BPJS 3544.5
29 MANUAL RANAP 233958 CASMINAHKINANTI dr. Lia Sri BPJS 95257.33
37 MANUAL RANAP 233639 ENONG PANGKUR dr. Annisa BPJS 67392.54
18 MANUAL RANAP 116415 NENI RUKMPANGKUR dr. Lia Sri BPJS 34384.6
65 MANUAL RAJAL 217361 JIAN ANJANIGD dr. Sartika BPJS 41089.98
7 MANUAL RANAP 233952 FAISAL ARISINOM 2 dr. Nuning BPJS 71409.75
681 MANUAL RANAP 52622 Tn. UWO BALAKBAK dr. Lia Sri BPJS 68273.38
56 MANUAL RANAP 58497 IIN RUSTA DANGDANG dr. Iyan As BPJS 32812.5
Jumlah Billing BPJS Malam 76 Total Billing BPJS Malam Rp8,890,7
BILLING MALAM
UMUM
UMUM
HEPPY AFFDANGDANG dr. Annisa CALON BPJ 89858.47 Apotik RawZandy Tiaravani, A.md.farm
WULAN BALAKBAK dr. Lia Sri CALON BPJ 102117.5 Apotik RawZandy Tiaravani, A.md.farm
ABDULLOHSINOM 3 dr. Nuning CALON SK 26330 Apotik RawZandy Tiaravani, A.md.farm
LALA YUSUWIRANGR dr. Annisa CALON SK 95016.44 Apotik RawZandy Tiaravani, A.md.farm
DINA DAVISINOM 3 dr. Nuning CALON SK 121991.2 Apotik RawZandy Tiaravani, A.md.farm
NIDA ALH SINOM 2 dr. Retno BCALON SK 58662.11 Apotik RawZandy Tiaravani, A.md.farm
Tn. JAYA BALAKBAK dr. Amelia CALON SK 247422.5 Apotik RawZandy Tiaravani, A.md.farm
NANI SURYDANGDANG dr. Riri Ha UMUM 111506 Apotik RawZandy Tiaravani, A.md.farm
SANTI NURDANGDANG dr. Lia Sri UMUM 59775.26 Apotik RawZandy Tiaravani, A.md.farm
M AL RASYSINOM 3 dr. Retno BUMUM 4849.99 Apotik RawZandy Tiaravani, A.md.farm
M AL RASYSINOM 3 dr. Retno BUMUM 238302.2 Apotik RawZandy Tiaravani, A.md.farm
ATIK PANGKUR dr. Amelia UMUM 66813.22 Apotik RawZandy Tiaravani, A.md.farm
An. GHANISINOM 2 dr. Retno BUMUM 63037.11 Apotik RawZandy Tiaravani, A.md.farm
No. BPJS
10 23-Jan-24 419 MANUAL RANAP 201337
11 23-Jan-24 221 MANUAL RANAP 231144
12 23-Jan-24 448 MANUAL RANAP 227967
13 23-Jan-24 360 MANUAL RANAP 227046
15 23-Jan-24 208 MANUAL RANAP 132308
16 23-Jan-24 173 MANUAL RANAP 234079
17 23-Jan-24 417 MANUAL RANAP 233907
18 23-Jan-24 443 MANUAL RANAP 195719
19 23-Jan-24 359 MANUAL RANAP 120767
20 23-Jan-24 205 MANUAL RANAP 227701
21 23-Jan-24 162 MANUAL RANAP 121843
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp17,660,918.77 Rp2,657,274.34
BILLING PAGI
BPJS
Nama Poli / Ruangan Dokter Penjamin Tagihan Depo Operator Tgl
Ny. LIRA APRIL GURISA (KELAS 3) dr. Santi Maria BPJS Rp22,931.29 Apotik RawatLulu Afifah P 23-Jan-24
Nn. ROSI ANJA DANGDANGGULA 3dr. Iyan Asiana BPJS Rp39,618.11 Apotik RawatLulu Afifah P 23-Jan-24
JIAN ANJANI SINOM 3 dr. Retno BudihaBPJS ### Apotik RawatLulu Afifah P 23-Jan-24
FAISAL ARIFIN SINOM 2 dr. Nuning Indri BPJS Rp737.50 Apotik RawatMuhamad Rizk 23-Jan-24
YULI YANTI NUMIJIL 1 (ICU) dr. Santi Maria BPJS ### Apotik RawatLulu Afifah Pradipta, A.md.farm
YULI YANTI NUMIJIL 1 (ICU) dr. Santi Maria BPJS Rp10,438.16 Apotik RawatLulu Afifah Pradipta, A.md.farm
DINAR AMELIABAYI RAWAT GABUdr. Yanne Triha BPJS ### Apotik RawatLulu Afifah Pradipta, A.md.farm
ASEP RIJAL BALAKBAK 3-D dr. Lia SrimuliawBPJS ### Apotik RawatMuhamad Rizky Hidayah, S.Farm
ASEP SARIPUDIDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp4,356.03 Apotik RawatLulu Afifah Pradipta, A.md.farm
RAIHAN AL LATISOLASI ANAK dr. Retno BudihaBPJS Rp4,578.75 Apotik RawatLulu Afifah Pradipta, A.md.farm
Ny. ISAH DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp27,106.03 Apotik RawatLulu Afifah Pradipta, A.md.farm
Ny. SHIFA LES GURISA (KELAS 3) dr. Santi Maria BPJS Rp21,749.06 Apotik RawatLulu Afifah Pradipta, A.md.farm
AYU NURTIKASPANGKUR 2 dr. Amelia AndriBPJS Rp13,320.00 Apotik RawatMuhamad Rizky Hidayah, S.Farm
Ny. JUARIAH BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp59,718.00 Apotik RawatMuhamad Rizky Hidayah, S.Farm
M REZA DANGDANGGULA 1dr. H. Gus RiyadBPJS Rp19,834.99 Apotik RawatLulu Afifah Pradipta, A.md.farm
SITI MARIAM BAYI RAWAT GABUdr. Santi Maria BPJS Rp84,532.04 Apotik RawatLulu Afifah Pradipta, A.md.farm
SAFIRA YUNIARSINOM 2 dr. Retno BudihaBPJS Rp45,762.51 Apotik RawatLulu Afifah Pradipta, A.md.farm
An. SHAHIA ULSINOM 2 dr. Retno BudihaBPJS Rp85,710.50 Apotik RawatLulu Afifah Pradipta, A.md.farm
Ny. AMINAH BALAKBAK 2-B dr. Annisa Tri K BPJS Rp414.86 Apotik RawatMuhamad Rizky Hidayah, S.Farm
An. M ALBIAN MIJIL 2 (PIMCU) dr. Retno BudihaBPJS ### Apotik RawatMuhamad Rizky Hidayah, S.Farm
An. RAFA HER DANGDANGGULA 3dr. H. Gus RiyadBPJS ### Apotik RawatLulu Afifah Pradipta, A.md.farm
Total Billing BPJS Pagi Rp1,742,890.04 Jumlah
UMUM
220 MANUAL RANAP 214589 M GIBRAN MIJIL 2 (P dr. Retno BCALON SK 230500.4
295 MANUAL RANAP 234029 IMAS BY N BAYI RAWAdr. Retno BUMUM 0
292 MANUAL RANAP 234059 ABDULLOHSINOM 3 dr. Nuning CALON SK 120895.1
258 MANUAL RANAP 233939 LALA YUSUWIRANGR dr. Annisa CALON SK 59718
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
izky Hidayah, S.Farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Pradipta, A.md.farm
Jumlah Billing Umum Pagi 4 Total Billing Umum Pagi Rp411
Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien
Apotik RawMuhamad Rizky Hidayah, S.Farm 23-Jan-24 675 MANUAL RAJAL
Apotik RawLulu Afifah Pradipta, A.md.farm 23-Jan-24 614 MANUAL RANAP
Apotik RawMuhamad Rizky Hidayah, S.Farm 23-Jan-24 556 MANUAL RANAP
Apotik RawMuhamad Rizky Hidayah, S.Farm 23-Jan-24 681 MANUAL RANAP
BILLING SIANG
BPJS
233315 IKA KARTIKIGD dr. RamdhanBPJS 311566.6 Apotik RawTitan Mulyana, A.md.farm
112748 EULIS BALAKBAK dr. Amelia BPJS 20675.45 Apotik RawTitan Mulyana, A.md.farm
234088 ENURJANABAYI RAWAdr. Yanne BPJS 69682.04 Apotik RawTitan Mulyana, A.md.farm
231037 RIZKI AL ISOLASI A dr. Nuning BPJS 4419.19 Apotik RawTitan Mulyana, A.md.farm
184290 Ny. EUIS S KINANTI dr. Lia Sri BPJS 81599.04 Apotik RawTitan Mulyana, A.md.farm
81821 Ny. MIMI BALAKBAK dr. Amelia BPJS 23096.7 Apotik RawTitan Mulyana, A.md.farm
64300 GANDI BALAKBAK dr. Amelia BPJS 28384.2 Apotik RawTitan Mulyana, A.md.farm
234110 Ny. TRISNADANGDANG dr. H. Gus BPJS 141664.4 Apotik RawTitan Mulyana, A.md.farm
234032 ENENG YENGURISA (KEdr. Santi BPJS 121452.9 Apotik RawTitan Mulyana, A.md.farm
234088 ENURJANABAYI RAWAdr. Yanne BPJS 16600 Apotik RawTitan Mulyana, A.md.farm
234001 MARNI HABALAKBAK dr. Amelia BPJS 8937.2 Apotik RawTitan Mulyana, A.md.farm
79122 Ny. WIWISPANGKUR dr. Lia Sri BPJS 28125.02 Apotik RawTitan Mulyana, A.md.farm
227967 Ny. SHIFA GURISA (KEdr. Santi BPJS 162562 Apotik RawTitan Mulyana, A.md.farm
36248 Tn. AHA E BALAKBAK dr. Amelia BPJS 34039.25 Apotik RawTitan Mulyana, A.md.farm
234052 SHIFA G2 BASMARANDdr. Retno BBPJS 147613.7 Apotik RawTitan Mulyana, A.md.farm
211930 Ny. LILIS RUANG TRAdr. Amelia BPJS 13040.55 Apotik RawTitan Mulyana, A.md.farm
233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 44400 Apotik RawTitan Mulyana, A.md.farm
233938 LIA YULIANPANGKUR dr. Lia Sri BPJS 32627.5 Apotik RawTitan Mulyana, A.md.farm
189860 TETI HARYARUANG TRAdr. Amelia BPJS 137504 Apotik RawTitan Mulyana, A.md.farm
49927 NENI NURAASMARANDdr. Yanne BPJS 85122.95 Apotik RawTitan Mulyana, A.md.farm
207351 ANISA RUANG TRAdr. Yanne BPJS 69682.04 Apotik RawTitan Mulyana, A.md.farm
207351 ANISA RUANG TRAdr. Yanne BPJS 16600 Apotik RawTitan Mulyana, A.md.farm
234004 UYUN BY NASMARANDdr. Retno BBPJS 89789.7 Apotik RawTitan Mulyana, A.md.farm
111594 Tn. SARIPUBALAKBAK dr. Amelia BPJS 96118.59 Apotik RawTitan Mulyana, A.md.farm
187627 FURI RATNGURISA (KEdr. Santi BPJS 68490.82 Apotik RawTitan Mulyana, A.md.farm
17469 Ny. TATI R IGD dr. RamdhanBPJS 0 Apotik RawTitan Mulyana, A.md.farm
170341 Ny. SEPTI ISOLASI A dr. Yanne BPJS 229291 Apotik RawTitan Mulyana, A.md.farm
222994 IMAS LINDGURISA (KEdr. Santi BPJS 34141.9 Apotik RawTitan Mulyana, A.md.farm
17469 Ny. TATI R IGD dr. RamdhanBPJS 68369.06 Apotik RawTitan Mulyana, A.md.farm
96695 Ny. EMPO PANGKUR dr. Amelia BPJS 71175.45 Apotik RawTitan Mulyana, A.md.farm
201337 RAIHAN ALISOLASI A dr. Retno BBPJS 100659.7 Apotik RawTitan Mulyana, A.md.farm
233982 DEDEH RUANG TRAdr. Amelia BPJS 60661.75 Apotik RawMuhamad Fajar Sidik, Amd.farm
5091 NENG NENBALAKBAK dr. Lia Sri BPJS 3375.02 Apotik RawMuhamad Fajar Sidik, Amd.farm
208507 Ny. IIN WI BALAKBAK dr. Lia Sri BPJS 51063.24 Apotik RawMuhamad Fajar Sidik, Amd.farm
188827 Tn. MAMADANGDANG dr. H. Gus BPJS 136397 Apotik RawMuhamad Fajar Sidik, Amd.farm
52622 Tn. UWO BALAKBAK dr. Lia Sri BPJS 276987 Apotik RawMuhamad Fajar Sidik, Amd.farm
54947 An. INA SOBALAKBAK dr. H. Gus BPJS 110562.8 Apotik RawMuhamad Fajar Sidik, Amd.farm
28018 ERNA SULISBALAKBAK dr. H. Gus BPJS 80703.77 Apotik RawMuhamad Fajar Sidik, Amd.farm
234083 YOYOH KINANTI dr. Annisa BPJS 212315.2 Apotik RawMuhamad Fajar Sidik, Amd.farm
79621 Tn. APUY BALAKBAK dr. H. Gus BPJS 29999.98 Apotik RawMuhamad Fajar Sidik, Amd.farm
234110 Ny. TRISNADANGDANG dr. H. Gus BPJS 681089.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
233792 ADE SUKI DANGDANG dr. H. Gus BPJS 59718 Apotik RawMuhamad Fajar Sidik, Amd.farm
116415 NENI RUKMPANGKUR dr. Lia Sri BPJS 3375.02 Apotik RawMuhamad Fajar Sidik, Amd.farm
104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 209519.1 Apotik RawMuhamad Fajar Sidik, Amd.farm
123836 SOLEHAH BALAKBAK dr. Lia Sri BPJS 15187.49 Apotik RawMuhamad Fajar Sidik, Amd.farm
188827 Tn. MAMADANGDANG dr. H. Gus BPJS 1308079 Apotik RawMuhamad Fajar Sidik, Amd.farm
233804 OMIS WAHBALAKBAK dr. Amelia BPJS 33300 Apotik RawNeng Cahya Titasari, Amd.farm
BILLING SIANG
UMUM
23-Jan-24 585 MANUAL RANAP 233924 DINA DAVISINOM 3 dr. Nuning CALON SK
23-Jan-24 597 MANUAL RANAP 234125 Bayi Ny. S ASMARANDdr. Nuning UMUM
23-Jan-24 576 MANUAL RANAP 233936 SANTI NURDANGDANG dr. Lia Sri UMUM
23-Jan-24 633 MANUAL RANAP 85263 Tn. JAYA BALAKBAK dr. Amelia CALON SK
23-Jan-24 591 MANUAL RANAP 234095 SITI SUMA GURISA (KEdr. Yanne UMUM
23-Jan-24 563 MANUAL RANAP 221002 DEWI SUSIRUANG TRAdr. Yanne CALON BPJ
23-Jan-24 683 MANUAL RANAP 234067 NIDA ALH SINOM 2 dr. Retno BCALON SK
23-Jan-24 561 MANUAL RANAP 221002 DEWI SUSIRUANG TRAdr. Yanne CALON BPJ
23-Jan-24 649 MANUAL RANAP 233991 NANI SURYDANGDANG dr. Riri Ha CALON SK
23-Jan-24 599 MANUAL RANAP 234061 WULAN BALAKBAK dr. Lia Sri CALON BPJ
Jumlah Billing Umum Siang 10 Total Billing Umum Siang
11738.25 Apotik RawMuhamad Fajar Sidik, Amd.farm 24-Jan-24 39 MANUAL RANAP
208122.8 Apotik RawMuhamad Fajar Sidik, Amd.farm 24-Jan-24 47 MANUAL RANAP
Rp538,985.94 Jumlah Billing BPJS Malam 79
BILLING MALAM
BPJS
233944 AZKIYA RA SINOM 2 dr. Nuning BPJS 38862.48 Apotik RawSri Mulyati, A.md.farm.
203797 ARSHINTA SINOM 2 dr. Retno BBPJS 164338.1 Apotik RawSri Mulyati, A.md.farm.
234078 SITI SARIP GURISA (KEdr. Santi BPJS 54293.74 Apotik RawSri Mulyati, A.md.farm.
233950 SANDRA G BALAKBAK dr. Lia Sri BPJS 7076.25 Apotik RawSri Mulyati, A.md.farm.
233792 ADE SUKI DANGDANG dr. H. Gus BPJS 621435.1 Apotik RawSri Mulyati, A.md.farm.
123836 SOLEHAH BALAKBAK dr. Lia Sri BPJS 34814.51 Apotik RawSri Mulyati, A.md.farm.
233903 QIARA KEISSINOM 3 dr. Retno BBPJS 267829.1 Apotik RawSri Mulyati, A.md.farm.
233973 ADIN BALAKBAK dr. Annisa BPJS 201001.5 Apotik RawSri Mulyati, A.md.farm.
233371 SIVA MAULSINOM 3 dr. Nuning BPJS 312059.7 Apotik RawSri Mulyati, A.md.farm.
233910 REYHAN A SINOM 3 dr. Retno BBPJS 48039.6 Apotik RawSri Mulyati, A.md.farm.
84517 Ny. ENJUMPANGKUR dr. Lia Sri BPJS 97852.62 Apotik RawSri Mulyati, A.md.farm.
94327 Tn. ADE DEDANGDANG dr. Iyan As BPJS 99369.76 Apotik RawSri Mulyati, A.md.farm.
234127 NONOH JUBALAKBAK dr. Amelia BPJS 25430 Apotik RawSri Mulyati, A.md.farm.
52622 Tn. UWO BALAKBAK dr. Lia Sri BPJS 57133.56 Apotik RawSri Mulyati, A.md.farm.
115406 Tn. ENDANBALAKBAK dr. Lia Sri BPJS 75480.26 Apotik RawSri Mulyati, A.md.farm.
234083 YOYOH KINANTI dr. Annisa BPJS 24458.75 Apotik RawSri Mulyati, A.md.farm.
234110 Ny. TRISNADANGDANG dr. H. Gus BPJS 19425 Apotik RawSri Mulyati, A.md.farm.
233804 OMIS WAHBALAKBAK dr. Amelia BPJS 310844.8 Apotik RawSri Mulyati, A.md.farm.
233943 LATIFA GH ISOLASI A dr. Nuning BPJS 140207.1 Apotik RawSri Mulyati, A.md.farm.
215338 RIVANIA FEMIJIL 2 (P dr. Nuning BPJS 302923.1 Apotik RawSri Mulyati, A.md.farm.
52622 Tn. UWO BALAKBAK dr. Lia Sri BPJS 335592.2 Apotik RawSri Mulyati, A.md.farm.
73991 Ny. MOMOKINANTI dr. Amelia BPJS 79649.42 Apotik RawSri Mulyati, A.md.farm.
233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 886491.5 Apotik RawSri Mulyati, A.md.farm.
7630 Tn. ASEP PANGKUR dr. Lia Sri BPJS 136588.6 Apotik RawSri Mulyati, A.md.farm.
234085 M GAFFI A ISOLASI A dr. Nuning BPJS 156972.9 Apotik RawSri Mulyati, A.md.farm.
234133 SONIA SELVRUANG TRAdr. Amelia BPJS 61628.18 Apotik RawSri Mulyati, A.md.farm.
234070 INGGRIA NSINOM 2 dr. Retno BBPJS 54824.97 Apotik RawSri Mulyati, A.md.farm.
234110 Ny. TRISNADANGDANG dr. H. Gus BPJS 72473.98 Apotik RawSri Mulyati, A.md.farm.
227701 An. M ALB MIJIL 2 (P dr. Retno BBPJS 304581.4 Apotik RawSri Mulyati, A.md.farm.
234110 Ny. TRISNADANGDANG dr. H. Gus BPJS 343475.2 Apotik RawSri Mulyati, A.md.farm.
5091 NENG NENBALAKBAK dr. Lia Sri BPJS 161041.1 Apotik RawSri Mulyati, A.md.farm.
211930 Ny. LILIS RUANG TRAdr. Amelia BPJS 27242.29 Apotik RawSri Mulyati, A.md.farm.
233727 ASEP RIJALBALAKBAK dr. Lia Sri BPJS 249.76 Apotik RawSri Mulyati, A.md.farm.
233727 ASEP RIJALBALAKBAK dr. Lia Sri BPJS 99605.16 Apotik RawSri Mulyati, A.md.farm.
227757 ARSYA MUSINOM 1 dr. Nuning BPJS 38862.48 Apotik RawSri Mulyati, A.md.farm.
233911 ALDI PUTR BALAKBAK dr. Amelia BPJS 59168.58 Apotik RawSri Mulyati, A.md.farm.
54190 HENDAYANIGD dr. Fandi BPJS 54073.58 Apotik RawSri Mulyati, A.md.farm.
227431 ADAH SAA DANGDANG dr. Riri Ha BPJS 112997.7 Apotik RawSri Mulyati, A.md.farm.
51678 HAERUL NIDURMA dr. Amelia BPJS 63783.58 Apotik RawSri Mulyati, A.md.farm.
7137 Ny. JUARIABALAKBAK dr. Lia Sri BPJS 69816.44 Apotik RawSri Mulyati, A.md.farm.
190905 SARI PANGKUR dr. Lia Sri BPJS 151319.5 Apotik RawSri Mulyati, A.md.farm.
232654 DINAR AMEBAYI RAWAdr. Yanne BPJS 187706.7 Apotik RawSri Mulyati, A.md.farm.
104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS 176105 Apotik RawSri Mulyati, A.md.farm.
234054 MOHAMMAD PANGKUR dr. Iyan As BPJS 56041.79 Apotik RawSri Mulyati, A.md.farm.
217361 JIAN ANJANSINOM 3 dr. Retno BBPJS 74611.8 Apotik RawSri Mulyati, A.md.farm.
227046 AYU NURTIPANGKUR dr. Amelia BPJS 263399.4 Apotik RawSri Mulyati, A.md.farm.
231037 RIZKI AL ISOLASI A dr. Nuning BPJS 125888.7 Apotik RawSri Mulyati, A.md.farm.
116415 NENI RUKMPANGKUR dr. Lia Sri BPJS 35227.62 Apotik RawSri Mulyati, A.md.farm.
233966 HEPPY AFFBALAKBAK dr. Annisa BPJS 87801.07 Apotik RawSri Mulyati, A.md.farm.
233639 ENONG PANGKUR dr. Annisa BPJS 28564.96 Apotik RawSri Mulyati, A.md.farm.
233639 ENONG PANGKUR dr. Annisa BPJS 3163.5 Apotik RawSri Mulyati, A.md.farm.
58497 IIN RUSTA DANGDANG dr. Iyan As BPJS 74585.24 Apotik RawSri Mulyati, A.md.farm.
79621 Tn. APUY BALAKBAK dr. H. Gus BPJS 644583.1 Apotik RawSri Mulyati, A.md.farm.
201337 RAIHAN ALISOLASI A dr. Retno BBPJS 64670.24 Apotik RawSri Mulyati, A.md.farm.
233415 LIA MASRI BALAKBAK dr. Amelia BPJS 83677.93 Apotik RawSri Mulyati, A.md.farm.
233952 FAISAL ARISINOM 2 dr. Nuning BPJS 72516 Apotik RawSri Mulyati, A.md.farm.
233709 DAFFA FIR DANGDANG dr. H. Gus BPJS 461890.2 Apotik RawSri Mulyati, A.md.farm.
197395 NAURA NUSINOM 2 dr. Retno BBPJS 84855.42 Apotik RawSri Mulyati, A.md.farm.
233958 CASMINAHKINANTI dr. Lia Sri BPJS 95257.33 Apotik RawSri Mulyati, A.md.farm.
156377 Tn. OMAN BALAKBAK dr. Amelia BPJS 30502.01 Apotik RawSri Mulyati, A.md.farm.
17469 Ny. TATI R DURMA dr. Amelia BPJS 69607.14 Apotik RawSri Mulyati, A.md.farm.
234054 MOHAMMAD PANGKUR dr. Iyan As BPJS 94972.29 Apotik RawSri Mulyati, A.md.farm.
156377 Tn. OMAN BALAKBAK dr. Amelia BPJS 20465 Apotik RawSri Mulyati, A.md.farm.
233984 UNEN BALAKBAK dr. Amelia BPJS 67565.88 Apotik RawSri Mulyati, A.md.farm.
233497 M ABDUR SINOM 2 dr. Nuning BPJS 34170.27 Apotik RawSri Mulyati, A.md.farm.
208507 Ny. IIN WI BALAKBAK dr. Lia Sri BPJS 121730.9 Apotik RawSri Mulyati, A.md.farm.
233907 SAFIRA YU SINOM 2 dr. Retno BBPJS 54461.3 Apotik RawSri Mulyati, A.md.farm.
206682 BELLVANIASINOM 2 dr. Nuning BPJS 85227.53 Apotik RawSri Mulyati, A.md.farm.
233950 SANDRA G BALAKBAK dr. Lia Sri BPJS 67333.16 Apotik RawSri Mulyati, A.md.farm.
233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS 93656.24 Apotik RawSri Mulyati, A.md.farm.
233315 IKA KARTIKBALAKBAK dr. Amelia BPJS 311895.3 Apotik RawSri Mulyati, A.md.farm.
233982 DEDEH RUANG TRAdr. Amelia BPJS 55214.08 Apotik RawSri Mulyati, A.md.farm.
233921 AL FARZANSINOM 2 dr. Retno BBPJS 96530.17 Apotik RawSri Mulyati, A.md.farm.
120767 Ny. AMINABALAKBAK dr. Annisa BPJS 80941.63 Apotik RawSri Mulyati, A.md.farm.
233844 AZIL ZALAHSINOM 1 dr. Nuning BPJS 32812.5 Apotik RawSri Mulyati, A.md.farm.
Total Billing BPJS Malam Rp10,288,263.98
MALAM
UMUM
24-Jan-24 57 MANUAL RANAP 234061 WULAN BALAKBAK dr. Lia Sri CALON BPJ
24-Jan-24 41 MANUAL RANAP 7437 Nn. DEWI PANGKUR dr. Yanne CALON BPJ
24-Jan-24 25 MANUAL RANAP 234059 ABDULLOHMIJIL 2 (P dr. Nuning CALON SK
24-Jan-24 33 MANUAL RANAP 233991 NANI SURYDANGDANG dr. Riri Ha CALON SK
23-Jan-24 738 MANUAL RANAP 234067 NIDA ALH SINOM 2 dr. Retno BCALON SK
23-Jan-24 745 MANUAL RANAP 214589 M GIBRAN MIJIL 2 (P dr. Retno BCALON SK
24-Jan-24 15 MANUAL RANAP 234143 ALIS NIRWAASMARANDA dr. Nuning UMUM
23-Jan-24 756 MANUAL RANAP 234139 NENI NURAASMARANDA dr. Nuning UMUM
24-Jan-24 56 MANUAL RANAP 234131 DARA DINABALAKBAK dr. Yanne UMUM
24-Jan-24 40 MANUAL RANAP 79133 Tn. IWAN MIJIL 1 (IC dr. Lia Sri UMUM
24-Jan-24 48 MANUAL RANAP 233977 M AL RASYSINOM 3 dr. Retno BUMUM
Jumlah Billing Umum Malam 15 Total Billing Umum Malam
Tagihan Depo Operator
163062.1 Apotik RawSri Mulyati, A.md.farm.
177645 Apotik RawSri Mulyati, A.md.farm.
Rp1,707,174.90
No. BPJS
10 24-Jan-24 188 MANUAL RANAP 233973
11 24-Jan-24 194 MANUAL RANAP 233982
12 24-Jan-24 227 MANUAL RANAP 233904
13 24-Jan-24 268 MANUAL RANAP 233907
14 24-Jan-24 268 MANUAL RANAP 233907
15 24-Jan-24 281 MANUAL RANAP 233910
16 24-Jan-24 296 MANUAL RANAP 234034
17 24-Jan-24 329 MANUAL RANAP 233903
18 24-Jan-24 329 MANUAL RANAP 233903
19 24-Jan-24 352 MANUAL RANAP 232452
20 24-Jan-24 356 MANUAL RANAP 233678
21 24-Jan-24 369 MANUAL 170 RAJAL 102129
22 24-Jan-24 374 MANUAL 173 RAJAL 234182
23 24-Jan-24 391 MANUAL RANAP 234004
24 24-Jan-24 411 MANUAL RANAP 234182
25 24-Jan-24 415 MANUAL RANAP 233242
26 24-Jan-24 423 MANUAL RANAP 234110
27 24-Jan-24 434 MANUAL RANAP 234170
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp17,575,940.58
BILLING PAGI
BPJS
IKKA SINTIA GURISA (KELAS 3) dr. Santi Maria BPJS Rp40,895.05 Apotik Rawat
Ny. JUARIAH BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp70,417.90 Apotik Rawat
SANDRA GUMILARBALAKBAK 3-B dr. Lia SrimuliawBPJS Rp65,966.95 Apotik Rawat
YUNIARTI DANGDANGGULA 3dr. Iyan Asiana BPJS Rp59,557.38 Apotik Rawat
Ny. CUCU DANGDANGGULA 3dr. Iyan Asiana BPJS Rp36,698.60 Apotik Rawat
NENI RUKMINI PANGKUR 3 dr. Lia SrimuliawBPJS Rp93,160.08 Apotik Rawat
Tn. OMAN SUHER BALAKBAK 3-D dr. Amelia AndriBPJS Rp25,973.29 Apotik Rawat
SARI PANGKUR 2 dr. Lia SrimuliawBPJS Rp55,031.90 Apotik Rawat
ADIN BALAKBAK 3-C dr. Annisa Tri K BPJS ### Apotik Rawat
DEDEH RUANG TRANSIT dr. Amelia AndriBPJS Rp17,718.54 Apotik Rawat
SAFIRA YUNIAR SINOM 2 dr. Retno BudihaBPJS Rp657.50 Apotik Rawat
SAFIRA YUNIAR SINOM 2 dr. Retno BudihaBPJS Rp2,839.75 Apotik Rawat
REYHAN AHMAD FSINOM 3 dr. Retno BudihaBPJS Rp15,572.25 Apotik Rawat
IKKA SINTIA GURISA (KELAS 3) dr. Santi Maria BPJS Rp91,407.04 Apotik Rawat
QIARA KEISYA B ISOLASI ANAK dr. Retno BudihaBPJS Rp66,676.99 Apotik Rawat
QIARA KEISYA B ISOLASI ANAK dr. Retno BudihaBPJS Rp1,912.50 Apotik Rawat
DIDIN SARIPUDIN DANGDANGGULA 3dr. Riri Handayan BPJS ### Apotik Rawat
RAFKHA SHIDIQ A BALAKBAK 2-A dr. Riri HandayanBPJS ### Apotik Rawat
ARINA SITI FEBRIY Anak dr. Retno BudihaBPJS ### Apotik Rawat
ABELIA PUTRI Kebidanan & Kand dr. Santi Maria BPJS Rp62,784.19 Apotik Rawat
UYUN BY NY ASMARANDANA (2B dr. Retno BudihaBPJS Rp89,709.41 Apotik Rawat
ABELIA PUTRI BAYI RAWAT GABUdr. Santi Maria BPJS Rp68,043.00 Apotik Rawat
SUSI KUSMIATI DE GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. TRISNA DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp4,736.93 Apotik Rawat
Ny. ERUM DANGDANGGULA 3dr. Iyan Asiana BPJS ### Apotik Rawat
Rp3,039,811.79
BILLING PAGI
UMU
Lulu Afifah Pradipta, A.md.farm 24-Jan-24 93 MANUAL RANAP 234149
Lulu Afifah Pradipta, A.md.farm 24-Jan-24 373 MANUAL 10 RAJAL 234151
Rp2,825,484.41 Jumlah Billing Umum Pagi 8 Tot
UMUM
SEPTI SRI BAYI RAWAdr. Nuning UMUM ### Apotik RawLulu Afifah Pradipta, A.md.farm
ENENG YENBAYI RAWAdr. Retno BUMUM ### Apotik RawLulu Afifah Pradipta, A.md.farm
SITI SARIP ASMARANDdr. Retno BUMUM 419952.6 Apotik RawLulu Afifah Pradipta, A.md.farm
Tn. IWAN MIJIL 1 (IC dr. Lia Sri UMUM 30312.44 Apotik RawLulu Afifah Pradipta, A.md.farm
DARA DINABALAKBAK dr. Yanne UMUM 18556.29 Apotik RawLulu Afifah Pradipta, A.md.farm
M FAIZ ASMARANDA dr. Nuning CALON BPJ 220945.2 Apotik RawLulu Afifah Pradipta, A.md.farm
MOCH RAYAnak dr. Retno BUMUM 114091.6 Apotik RawLulu Afifah Pradipta, A.md.farm
BPJS
24-Jan-24 539 MANUAL RANAP 189765 RAMDANI BALAKBAK dr. Iyan As BPJS
24-Jan-24 573 MANUAL RANAP 233315 IKA KARTIKBALAKBAK dr. Amelia BPJS
24-Jan-24 605 MANUAL RANAP 38349 Ny. AISAH RUANG TRAdr. Amelia BPJS
24-Jan-24 537 MANUAL RANAP 233755 ASEP KURNBALAKBAK dr. Iyan As BPJS
24-Jan-24 572 MANUAL RANAP 234178 ALDI RUST BALAKBAK dr. Amelia BPJS
24-Jan-24 604 MANUAL RANAP 73991 Ny. MOMORUANG TRAdr. Amelia BPJS
24-Jan-24 600 MANUAL RAJAL 234188 WAHIDIN IGD dr. Agus HaBPJS
24-Jan-24 555 MANUAL RANAP 102129 ARINA SITI ISOLASI A dr. Retno BBPJS
24-Jan-24 532 MANUAL RANAP 227431 ADAH SAA DANGDANG dr. Riri Ha BPJS
24-Jan-24 599 MANUAL RAJAL 94837 An. ADE PI IGD dr. Agus HaBPJS
24-Jan-24 536 MANUAL RAJAL 102557 Tn. E SUT IGD dr. EprianaBPJS
24-Jan-24 583 MANUAL RANAP 41761 Nn. EKA K BALAKBAK dr. Amelia BPJS
24-Jan-24 598 MANUAL RAJAL 1541 JAHRI IGD dr. Agus HaBPJS
24-Jan-24 535 MANUAL RAJAL 140053 Ny. WIWI IGD dr. EprianaBPJS
24-Jan-24 570 MANUAL RANAP 17469 Ny. TATI R DURMA dr. Amelia BPJS
24-Jan-24 529 MANUAL RANAP 54947 An. INA SOBALAKBAK dr. H. Gus BPJS
24-Jan-24 465 MANUAL RANAP 234182 ABELIA PUTBAYI RAWAdr. Santi BPJS
24-Jan-24 614 MANUAL RANAP 227701 An. M ALB MIJIL 2 (P dr. Retno BBPJS
24-Jan-24 560 MANUAL RANAP 234052 SHIFA G2 BASMARANDdr. Retno BBPJS
24-Jan-24 534 MANUAL RANAP 234053 FURI RATNASMARANDdr. Retno BBPJS
24-Jan-24 556 MANUAL RANAP 233904 YULI YANTIMIJIL 1 (IC dr. Santi BPJS
24-Jan-24 577 MANUAL RANAP 215338 RIVANIA FEMIJIL 2 (P dr. Nuning BPJS
24-Jan-24 612 MANUAL RANAP 217361 JIAN ANJANSINOM 3 dr. Retno BBPJS
24-Jan-24 576 MANUAL RANAP 234059 ABDULLOHMIJIL 2 (P dr. Nuning BPJS
24-Jan-24 607 MANUAL RANAP 233952 FAISAL ARISINOM 2 dr. Nuning BPJS
24-Jan-24 488 MANUAL RANAP 94327 Tn. ADE DEDANGDANG dr. Iyan As BPJS
24-Jan-24 558 MANUAL RAJAL 234177 NUNUNG NIGD dr. Agus HaBPJS
24-Jan-24 542 MANUAL RANAP 234029 IMAS BY N ASMARANDdr. Retno BBPJS
24-Jan-24 588 MANUAL RANAP 211930 Ny. LILIS RUANG TRAdr. Amelia BPJS
24-Jan-24 569 MANUAL RANAP 233966 HEPPY AFFBALAKBAK dr. Annisa BPJS
24-Jan-24 586 MANUAL RANAP 233911 ALDI PUTR BALAKBAK dr. Amelia BPJS
24-Jan-24 566 MANUAL RANAP 7630 Tn. ASEP PANGKUR dr. Lia Sri BPJS
24-Jan-24 527 MANUAL RANAP 188827 Tn. MAMAWIRANGR dr. H. Gus BPJS
BILLING SIANG

227342 Apotik RawLaila Handayani Hidayat,s.si 24-Jan-24 561 MANUAL RAJAL
25000 Apotik RawLaila Handayani Hidayat,s.si 24-Jan-24 582 MANUAL RANAP
414.86 Apotik RawLaila Handayani Hidayat,s.si 24-Jan-24 521 MANUAL RANAP
112653.1 Apotik RawLaila Handayani Hidayat,s.si
158632 Apotik RawLaila Handayani Hidayat,s.si
1524094 Apotik RawTitan Mulyana, A.md.farm
UMUM
229308 RAINA MA IGD dr. Agus HaCALON BPJ 100233.1 Apotik RawLaila Handayani Hidayat,s.si
234175 YOYOH BALAKBAK dr. Amelia CALON BPJ 137190.1 Apotik RawLaila Handayani Hidayat,s.si
233861 AI NENI N GURISA (KEdr. Yanne CALON SK 111341 Apotik RawTitan Mulyana, A.md.farm
234122 M FAIZ ASMARANDA dr. Nuning CALON BPJ 56266.74 Apotik RawTitan Mulyana, A.md.farm
229308 RAINA MA SINOM 2 dr. Nuning CALON BPJ 85175.16 Apotik RawTitan Mulyana, A.md.farm
234190 Bayi Ny. A ASMARANDdr. Retno BUMUM 50935 Apotik RawTitan Mulyana, A.md.farm
233991 NANI SURYDANGDANG dr. Riri Ha CALON SK 26943.55 Apotik RawTitan Mulyana, A.md.farm
234131 DARA DINABALAKBAK dr. Yanne UMUM 72234.44 Apotik RawTitan Mulyana, A.md.farm
234095 SITI SUMA GURISA (KEdr. Yanne UMUM 201435 Apotik RawTitan Mulyana, A.md.farm
79133 Tn. IWAN MIJIL 1 (IC dr. Lia Sri UMUM 47103.68 Apotik RawTitan Mulyana, A.md.farm
234131 DARA DINABALAKBAK dr. Yanne UMUM 14850 Apotik RawTitan Mulyana, A.md.farm
234186 NINA MARLASMARANDA dr. Retno BUMUM 350905 Apotik RawTitan Mulyana, A.md.farm
234175 YOYOH BALAKBAK dr. Amelia CALON BPJ 33750.1 Apotik RawTitan Mulyana, A.md.farm
234186 NINA MARLASMARANDA dr. Retno BUMUM 246410.5 Apotik RawTitan Mulyana, A.md.farm
Total Billing Umum Siang Rp1,534,773.30
BPJS
24-Jan-24 639 MANUAL RANAP 227046 AYU NURTIDANGDANG dr. Amelia BPJS
24-Jan-24 711 MANUAL RANAP 234067 NIDA ALH SINOM 2 dr. Retno BBPJS
24-Jan-24 693 MANUAL RANAP 233921 AL FARZANSINOM 2 dr. Retno BBPJS
24-Jan-24 638 MANUAL RANAP 233415 LIA MASRI BALAKBAK dr. Amelia BPJS
24-Jan-24 710 MANUAL RANAP 234199 REJKI YUDIPANGKUR dr. Lia Sri BPJS
24-Jan-24 650 MANUAL RANAP 234133 SONIA SELVRUANG TRAdr. Amelia BPJS
24-Jan-24 708 MANUAL RANAP 85632 RANGGA JABALAKBAK dr. Lia Sri BPJS
24-Jan-24 692 MANUAL RANAP 203797 ARSHINTA SINOM 2 dr. Retno BBPJS
24-Jan-24 673 MANUAL RAJAL 222822 KEYSA PUTIGD dr. Ramdhan BPJS
24-Jan-24 637 MANUAL RANAP 233966 HEPPY AFFBALAKBAK dr. Annisa BPJS
24-Jan-24 674 MANUAL RANAP 225061 MAISHA ADSINOM 1 dr. Nuning BPJS
24-Jan-24 709 MANUAL RANAP 233972 RAHIDAH ABALAKBAK dr. Lia Sri BPJS
24-Jan-24 675 MANUAL RANAP 231350 AQILLA FA SINOM 2 dr. Retno BBPJS
24-Jan-24 636 MANUAL RANAP 140053 Ny. WIWI PANGKUR dr. Amelia BPJS
24-Jan-24 648 MANUAL RANAP 227431 ADAH SAA DANGDANG dr. Riri Ha BPJS
24-Jan-24 657 MANUAL RANAP 233958 CASMINAHKINANTI dr. Lia Sri BPJS
24-Jan-24 706 MANUAL RANAP 93317 An. IRGI F RUANG TRAdr. Amelia BPJS
24-Jan-24 635 MANUAL RANAP 102557 Tn. E SUT BALAKBAK dr. Amelia BPJS
24-Jan-24 689 MANUAL RANAP 234070 INGGRIA NSINOM 2 dr. Retno BBPJS
24-Jan-24 681 MANUAL RANAP 231037 RIZKI AL ISOLASI A dr. Nuning BPJS
24-Jan-24 643 MANUAL RANAP 54947 An. INA SOBALAKBAK dr. H. Gus BPJS
24-Jan-24 655 MANUAL RANAP 79621 Tn. APUY BALAKBAK dr. H. Gus BPJS
24-Jan-24 696 MANUAL RANAP 233943 LATIFA GH ISOLASI A dr. Nuning BPJS
24-Jan-24 680 MANUAL RANAP 234085 M GAFFI A ISOLASI A dr. Nuning BPJS
24-Jan-24 642 MANUAL RANAP 233984 UNEN BALAKBAK dr. Amelia BPJS
24-Jan-24 653 MANUAL RANAP 120767 Ny. AMINABALAKBAK dr. Annisa BPJS
24-Jan-24 695 MANUAL RANAP 195164 An. M TO SINOM 3 dr. Nuning BPJS
24-Jan-24 679 MANUAL RANAP 206682 BELLVANIASINOM 2 dr. Nuning BPJS
24-Jan-24 640 MANUAL RANAP 233804 OMIS WAHBALAKBAK dr. Amelia BPJS
24-Jan-24 652 MANUAL RANAP 54190 HENDAYANPANGKUR dr. Amelia BPJS
24-Jan-24 684 MANUAL RANAP 233639 ENONG PANGKUR dr. Annisa BPJS
24-Jan-24 691 MANUAL RANAP 58497 IIN RUSTA DANGDANG dr. Iyan As BPJS
24-Jan-24 682 MANUAL RANAP 52622 Tn. UWO BALAKBAK dr. Lia Sri BPJS
24-Jan-24 697 MANUAL RANAP 232654 DINAR AMEDANGDANG dr. Yanne BPJS
24-Jan-24 705 MANUAL RANAP 234188 WAHIDIN BALAKBAK dr. Lia Sri BPJS
24-Jan-24 670 MANUAL RANAP 5091 NENG NENBALAKBAK dr. Lia Sri BPJS
24-Jan-24 704 MANUAL RANAP 208507 Ny. IIN WI BALAKBAK dr. Lia Sri BPJS
24-Jan-24 669 MANUAL RANAP 94837 An. ADE PI BALAKBAK dr. Lia Sri BPJS
24-Jan-24 703 MANUAL RANAP 208507 Ny. IIN WI BALAKBAK dr. Lia Sri BPJS
24-Jan-24 687 MANUAL RANAP 51678 HAERUL NIPANGKUR dr. Amelia BPJS
24-Jan-24 668 MANUAL RANAP 233727 ASEP RIJALBALAKBAK dr. Lia Sri BPJS
24-Jan-24 667 MANUAL RANAP 1541 JAHRI DURMA dr. Lia Sri BPJS
24-Jan-24 701 MANUAL RANAP 123836 SOLEHAH BALAKBAK dr. Lia Sri BPJS
24-Jan-24 666 MANUAL RANAP 115406 Tn. ENDANBALAKBAK dr. Lia Sri BPJS
25-Jan-24 15 MANUAL RANAP 234110 Ny. TRISNADANGDANG dr. H. Gus BPJS
25-Jan-24 14 MANUAL RANAP 104983 Tn. AI NENPANGKUR dr. Lia Sri BPJS
25-Jan-24 12 MANUAL RANAP 234163 RAHMAT RWIRANGR dr. Annisa BPJS
25-Jan-24 10 MANUAL RANAP 212716 NINA MARLBAYI RAWAdr. Santi BPJS
25-Jan-24 9 MANUAL RANAP 78456 Ny. APOY PANGKUR dr. Lia Sri BPJS
25-Jan-24 20 MANUAL RANAP 234170 Ny. ERUM DANGDANG dr. Iyan As BPJS
25-Jan-24 8 MANUAL RANAP 78456 Ny. APOY PANGKUR dr. Lia Sri BPJS
25-Jan-24 7 MANUAL RANAP 234163 RAHMAT RWIRANGR dr. Annisa BPJS
25-Jan-24 18 MANUAL RANAP 84517 Ny. ENJUMPANGKUR dr. Lia Sri BPJS
25-Jan-24 25 MANUAL RANAP 233939 LALA YUSUBALAKBAK dr. Annisa BPJS
BILLING MALAM
U
247466.7 Apotik RawMuhamad Rizky Hidayah, S.Farm 24-Jan-24 626 MANUAL RAJAL
UMUM
234194 BULAN SARIGD dr. Agus HaCALON BPJ 3773.76 Apotik RawMuhamad Rizky Hidayah, S.Farm
234061 WULAN BALAKBAK dr. Lia Sri CALON BPJ 62102.18 Apotik RawMuhamad Rizky Hidayah, S.Farm
229308 RAINA MA SINOM 2 dr. Nuning CALON BPJ 58322.5 Apotik RawMuhamad Rizky Hidayah, S.Farm
234175 YOYOH BALAKBAK dr. Amelia CALON BPJ 222142.7 Apotik RawAyidnis Sabiela, A.md.farm
7437 Nn. DEWI PANGKUR dr. Yanne CALON BPJ 63116.28 Apotik RawAyidnis Sabiela, A.md.farm
146833 Tn. YUSUP BALAKBAK dr. Lia Sri CALON BPJ 220595.5 Apotik RawAyidnis Sabiela, A.md.farm
Hidayah, S.Farm
Hidayah, S.Farm
Hidayah, S.Farm
No. BPJ
10 25-Jan-24 400 MANUAL RANAP 233972
11 25-Jan-24 360 MANUAL RANAP 234188
13 25-Jan-24 232 MANUAL RANAP 208507
15 25-Jan-24 327 MANUAL RANAP 233727
16 25-Jan-24 440 MANUAL RANAP 233972
21 25-Jan-24 380 MANUAL RANAP 234199
22 25-Jan-24 249 MANUAL RANAP 234170
23 25-Jan-24 221 MANUAL RANAP 233966
26 25-Jan-24 213 MANUAL RANAP 140053
27 25-Jan-24 243 MANUAL RANAP 234188
28 25-Jan-24 436 MANUAL RANAP 234070
30 25-Jan-24 154 MANUAL RANAP 234078
31 25-Jan-24 463 MANUAL RANAP 234032
33 25-Jan-24 178 MANUAL RANAP 233939
34 25-Jan-24 126 MANUAL RANAP 234122
35 25-Jan-24 305 MANUAL RANAP 234233
37 25-Jan-24 182 MANUAL RANAP 233639
39 25-Jan-24 424 MANUAL RANAP 233921
40 25-Jan-24 358 MANUAL RANAP 212716
41 25-Jan-24 123 MANUAL RANAP 232654
42 25-Jan-24 303 MANUAL RANAP 234226
43 25-Jan-24 152 MANUAL RANAP 234032
47 25-Jan-24 248 MANUAL RANAP 215338
48 25-Jan-24 447 MANUAL RANAP 206682
49 25-Jan-24 418 MANUAL RANAP 197395
50 25-Jan-24 281 MANUAL RANAP 215338
51 25-Jan-24 136 MANUAL RANAP 103270
53 25-Jan-24 197 MANUAL RANAP 233639
54 25-Jan-24 415 MANUAL RANAP 197395
55 25-Jan-24 116 MANUAL RANAP 170341
56 25-Jan-24 368 MANUAL RANAP 234078
57 25-Jan-24 441 MANUAL RANAP 227431
58 25-Jan-24 190 MANUAL RANAP 233709
59 25-Jan-24 113 MANUAL RANAP 170341
60 25-Jan-24 341 MANUAL RANAP 208507
61 25-Jan-24 210 MANUAL RANAP 234110
62 25-Jan-24 129 MANUAL RANAP 153816
65 25-Jan-24 155 MANUAL RANAP 153816
66 25-Jan-24 108 MANUAL RANAP 188954
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp20,581,009.77 Rp2,471,186.86
BILLING PAGI
BPJS
NENG NENGSIHBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp61,874.97 Apotik Rawat
Ny. ENJUM DURMA dr. Lia SrimuliawBPJS Rp124.88 Apotik Rawat
IKA KARTIKA BALAKBAK 3-A dr. Amelia AndriBPJS Rp14,375.00 Apotik Rawat
Tn. MAMAN S WIRANGRONG dr. H. Gus RiyadBPJS Rp21,875.00 Apotik Rawat
JAHRI DURMA dr. Lia SrimuliawBPJS Rp52,169.17 Apotik Rawat
SONIA SELVIANRUANG TRANSIT dr. Amelia AndriBPJS Rp14,375.00 Apotik Rawat
SOLEHAH BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp14,375.00 Apotik Rawat
RAHIDAH APRI BALAKBAK 1 dr. Lia SrimuliawBPJS ### Apotik Rawat
WAHIDIN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp1,244.58 Apotik Rawat
Ny. MOMOH RUANG TRANSIT dr. Amelia AndriBPJS Rp14,375.00 Apotik Rawat
Ny. IIN WINARTBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp14,375.00 Apotik Rawat
Tn. ASEP TATA PANGKUR 1 dr. Lia SrimuliawBPJS Rp26,214.47 Apotik Rawat
ASEP RIJAL BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp4,193.75 Apotik Rawat
RAHIDAH APRI BALAKBAK 1 dr. Lia SrimuliawBPJS ### Apotik Rawat
IIN RUSTANDI DANGDANGGULA 3dr. Iyan Asiana BPJS Rp36,912.44 Apotik Rawat
NENG NENGSIHBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp14,375.00 Apotik Rawat
RANGGA JAYA BALAKBAK 2-A dr. Lia SrimuliawBPJS Rp23,557.50 Apotik Rawat
Ny. TATI RUSMDURMA dr. Amelia AndriBPJS Rp14,375.00 Apotik Rawat
REJKI YUDI TR PANGKUR 1 dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. ERUM DANGDANGGULA 3dr. Iyan Asiana BPJS Rp14,375.00 Apotik Rawat
HEPPY AFFIFAHBALAKBAK 1 dr. Annisa Tri K BPJS ### Apotik Rawat
Ny. ENJUM DURMA dr. Lia SrimuliawBPJS Rp14,375.00 Apotik Rawat
An. ADE PITRI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp16,875.00 Apotik Rawat
Ny. WIWI PANGKUR 2 dr. Amelia AndriBPJS Rp72,594.00 Apotik Rawat
WAHIDIN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp14,375.00 Apotik Rawat
INGGRIA NAZWSINOM 2 dr. Retno BudihaBPJS Rp42,735.00 Apotik Rawat
HEPPY AFFIFAHBALAKBAK 1 dr. Annisa Tri K BPJS Rp7,122.50 Apotik Rawat
SITI SARIPAH GURISA (KELAS 2) dr. Santi Maria BPJS Rp49,889.69 Apotik Rawat
ENENG YENI GURISA (KELAS 2) dr. Santi Maria BPJS Rp32,067.60 Apotik Rawat
Tn. UWO BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp24,781.13 Apotik Rawat
LALA YUSUP BALAKBAK 3-B dr. Annisa Tri K BPJS ### Apotik Rawat
M FAIZ ASMARANDANA (ISdr. Nuning Indri BPJS ### Apotik Rawat
Ny. AAM SITI GURISA (KELAS 3) dr. Yanne Triha BPJS Rp40,895.05 Apotik Rawat
Ny. DEWI SAR BAYI RAWAT GABUdr. Santi Maria BPJS Rp18,556.29 Apotik Rawat
An. INA SOLEH BALAKBAK 2-B dr. H. Gus RiyadBPJS Rp27,106.03 Apotik Rawat
AL FARZAN ZULSINOM 2 dr. Retno BudihaBPJS Rp27,750.00 Apotik Rawat
NINA MARLINAPANGKUR 3 dr. Santi Maria BPJS Rp32,067.60 Apotik Rawat
DINAR AMELIADANGDANGGULA 3dr. Yanne Triha BPJS Rp69,405.90 Apotik Rawat
WENI ROHAZNIBAYI RAWAT GABUdr. Yanne Triha BPJS Rp64,283.24 Apotik Rawat
ENENG YENI GURISA (KELAS 2) dr. Santi Maria BPJS Rp49,889.69 Apotik Rawat
ERNA SULISTIADANGDANGGULA 1dr. H. Gus RiyadBPJS Rp27,106.03 Apotik Rawat
HAERUL NISA PANGKUR 3 dr. Amelia AndriBPJS Rp17,738.25 Apotik Rawat
NENI NURAENIGURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
RIVANIA FEBRI MIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp13,363.01 Apotik Rawat
BELLVANIA RAFSINOM 2 dr. Nuning Indri BPJS Rp41,625.00 Apotik Rawat
NAURA NUR GHSINOM 2 dr. Retno BudihaBPJS Rp657.50 Apotik Rawat
RIVANIA FEBRI MIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp93,656.24 Apotik Rawat
Ny. DEWI SAR BAYI RAWAT GABUdr. Santi Maria BPJS Rp88,504.44 Apotik Rawat
YULI YANTI NUMIJIL 1 (ICU) dr. Santi Maria BPJS ### Apotik Rawat
ENONG PANGKUR 3 dr. Annisa Tri K BPJS Rp874.16 Apotik Rawat
NAURA NUR GHSINOM 2 dr. Retno BudihaBPJS Rp27,804.79 Apotik Rawat
Ny. SEPTI SRI GURISA (KELAS 3) dr. Yanne Triha BPJS Rp22,900.00 Apotik Rawat
SITI SARIPAH GURISA (KELAS 2) dr. Santi Maria BPJS Rp32,067.60 Apotik Rawat
ADAH SAADAHDANGDANGGULA 1dr. Riri Handayan BPJS Rp23,756.40 Apotik Rawat
DAFFA FIRDAUDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp24,824.30 Apotik Rawat
Ny. SEPTI SRI GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. IIN WINARTBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp46,940.24 Apotik Rawat
Ny. TRISNA DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp27,106.03 Apotik Rawat
Ny. NASTRI R GURISA (KELAS 3) dr. Yanne Triha BPJS Rp18,556.29 Apotik Rawat
LUTFI ZAENAL BALAKBAK 3-D dr. Amelia AndriBPJS Rp42,276.28 Apotik Rawat
Nn. DEWI RATIPANGKUR 3 dr. Yanne Triha BPJS Rp22,931.29 Apotik Rawat
Ny. NASTRI R GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
Ny. ALIS NIRW GURISA (KELAS 2) dr. Santi Maria BPJS ### Apotik Rawat
BILLING PAGI

UMUM
WULAN BALAKBAK dr. Lia Sri UMUM 1807.56 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
Tn. YUSUP BALAKBAK dr. Lia Sri CALON BPJ 175 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
Tn. YUSUP BALAKBAK dr. Lia Sri CALON BPJ 7659 Apotik RawApt. Orysa Rahmaeni Basujata, S.farm.
NUNUNG BBAYI RAWAdr. Nuning UMUM 39924.38 Apotik RawLulu Afifah Pradipta, A.md.farm
NINA MARLASMARANDdr. Retno BUMUM 127157.9 Apotik RawLulu Afifah Pradipta, A.md.farm
SUSI KUSMIASMARANDA dr. Nuning UMUM 45622.28 Apotik RawLulu Afifah Pradipta, A.md.farm
BULAN SARGURISA (KEdr. Santi UMUM 10470.04 Apotik RawLulu Afifah Pradipta, A.md.farm
M AL RASYSINOM 3 dr. Retno BUMUM 66808.12 Apotik RawLulu Afifah Pradipta, A.md.farm
BPJS
25-Jan-24 466 MANUAL RANAP 234233 Ny. AAM S GURISA (KEdr. Yanne BPJS
25-Jan-24 468 MANUAL RANAP 234233 Ny. AAM S GURISA (KEdr. Yanne BPJS
25-Jan-24 485 MANUAL RANAP 222822 KEYSA PUTSINOM 2 dr. Retno BBPJS
25-Jan-24 587 MANUAL RANAP 234249 IIS ISNAWADANGDANG dr. Iyan As BPJS
25-Jan-24 591 MANUAL RANAP 234246 YUDI PRAYDANGDANG dr. Amelia BPJS
25-Jan-24 594 MANUAL RAJAL 222136 Ny. OOM SIGD dr. Alvin N BPJS
25-Jan-24 618 MANUAL RANAP 233659 IDA FARID DANGDANG dr. H. Gus BPJS
25-Jan-24 621 MANUAL RANAP 227849 Tn. DEDI DANGDANG dr. H. Gus BPJS
25-Jan-24 622 MANUAL RANAP 231462 Tn. ENDANDANGDANG dr. H. Gus BPJS
25-Jan-24 625 MANUAL RAJAL 234251 Tn. DIDI IGD dr. Alvin N BPJS
25-Jan-24 626 MANUAL RAJAL 234129 ASNI IGD dr. Alvin N BPJS
25-Jan-24 629 MANUAL RAJAL 234192 TARSA SETIGD dr. Nifa HanBPJS
25-Jan-24 633 MANUAL RAJAL 228210 INA PUNARIGD dr. Alvin N BPJS
25-Jan-24 635 MANUAL RAJAL 234254 ROSITA IGD dr. Nifa HanBPJS
25-Jan-24 639 MANUAL RANAP 84517 Ny. ENJUMDURMA dr. Lia Sri BPJS
25-Jan-24 656 MANUAL RANAP 88825 SIFA NURUMIJIL 2 (P dr. Nuning BPJS
25-Jan-24 660 MANUAL RANAP 195164 An. M TO SINOM 2 dr. Nuning BPJS
25-Jan-24 661 MANUAL RANAP 71910 An. MUHA SINOM 2 dr. Nuning BPJS
25-Jan-24 668 MANUAL RAJAL 84231 Ny. SOFIANIGD dr. Nifa HanBPJS
25-Jan-24 677 MANUAL RANAP 7437 Nn. DEWI PANGKUR dr. Yanne BPJS
25-Jan-24 678 MANUAL RANAP 7437 Nn. DEWI PANGKUR dr. Yanne BPJS
25-Jan-24 686 MANUAL RANAP 58497 IIN RUSTA DANGDANG dr. Iyan As BPJS
25-Jan-24 687 MANUAL RANAP 234257 YANI ROHAGURISA (KEdr. Yanne BPJS
25-Jan-24 470 MANUAL RANAP 234226 WENI ROHA BAYI RAWAdr. Yanne BPJS
25-Jan-24 474 MANUAL RANAP 234177 NUNUNG NGURISA (KEdr. Santi BPJS
25-Jan-24 508 MANUAL RANAP 215338 RIVANIA FEMIJIL 2 (P dr. Nuning BPJS
25-Jan-24 526 MANUAL RANAP 217745 LUTFI ZAE BALAKBAK dr. Amelia BPJS
25-Jan-24 535 MANUAL RANAP 234182 ABELIA PUTGURISA (KEdr. Santi BPJS
25-Jan-24 550 MANUAL RANAP 234118 M SALMANASMARANDdr. Nuning BPJS
25-Jan-24 558 MANUAL RANAP 233984 UNEN BALAKBAK dr. Amelia BPJS
25-Jan-24 567 MANUAL RANAP 161584 Nn. RAHM ASMARANDA dr. Santi BPJS
25-Jan-24 570 MANUAL RANAP 195520 Ny. WULANBAYI RAWAdr. Santi BPJS
25-Jan-24 573 MANUAL RANAP 227046 AYU NURTIDANGDANG dr. Amelia BPJS
25-Jan-24 577 MANUAL RANAP 226398 MEIDA PANGKUR dr. Yanne BPJS
25-Jan-24 586 MANUAL RANAP 233804 OMIS WAHBALAKBAK dr. Amelia BPJS
25-Jan-24 600 MANUAL RANAP 234245 SYAMSIAHBAYI RAWAdr. Yanne BPJS
25-Jan-24 601 MANUAL RANAP 76690 Nn. ASRI DASMARANDdr. Yanne BPJS
25-Jan-24 604 MANUAL RANAP 226398 MEIDA PANGKUR dr. Yanne BPJS
BILLING SIANG

14850 Apotik RawTitan Mulyana, A.md.farm 25-Jan-24 643 MANUAL
72279.44 Apotik RawTitan Mulyana, A.md.farm 25-Jan-24 663 MANUAL
UMUM
RANAP 146833 Tn. YUSUP BALAKBAK dr. Lia Sri CALON BPJ 235000 Apotik Raw
RANAP 234241 ALVIANA RSINOM 3 dr. Nuning UMUM 39519.99 Apotik Raw
RAJAL 122686 An. M ABRIIGD dr. Nifa HanCALON BPJ 219553.3 Apotik Raw
BPJS
Titan Mulyana, A.md.farm 25-Jan-24 58 MANUAL RANAP 233678 RAFKHA SH
Titan Mulyana, A.md.farm 25-Jan-24 65 MANUAL RAJAL 233293 YOYOH
Titan Mulyana, A.md.farm 25-Jan-24 76 MANUAL RANAP 233371 SIVA MAUL
Titan Mulyana, A.md.farm 25-Jan-24 728 MANUAL RANAP 38349 Ny. AISAH
Titan Mulyana, A.md.farm 25-Jan-24 37 MANUAL RANAP 54190 HENDAYAN
25-Jan-24 789 MANUAL RANAP 203797 ARSHINTA
25-Jan-24 755 MANUAL RANAP 234085 M GAFFI A
25-Jan-24 779 MANUAL RANAP 214589 M GIBRAN
25-Jan-24 704 MANUAL RANAP 85632 RANGGA JA
25-Jan-24 796 MANUAL RAJAL 20212 Tn. SAEPU
25-Jan-24 57 MANUAL RANAP 140053 Ny. WIWI
25-Jan-24 742 MANUAL RANAP 233966 HEPPY AFF
25-Jan-24 36 MANUAL RANAP 233415 LIA MASRI
25-Jan-24 788 MANUAL RANAP 234067 NIDA ALH
25-Jan-24 754 MANUAL RANAP 223264 KHALISA SA
25-Jan-24 778 MANUAL RANAP 227701 An. M ALB
25-Jan-24 703 MANUAL RANAP 234246 YUDI PRAY
25-Jan-24 96 MANUAL RANAP 233904 YULI YANTI
25-Jan-24 734 MANUAL RANAP 140053 Ny. WIWI
25-Jan-24 43 MANUAL RANAP 28018 ERNA SULIS
25-Jan-24 713 MANUAL RANAP 234249 IIS ISNAWA
25-Jan-24 726 MANUAL RANAP 7630 Tn. ASEP
25-Jan-24 35 MANUAL RANAP 233966 HEPPY AFF
25-Jan-24 787 MANUAL RANAP 102129 ARINA SITI
25-Jan-24 752 MANUAL RANAP 234177 NUNUNG N
25-Jan-24 767 MANUAL RANAP 234257 YANI ROHA
25-Jan-24 733 MANUAL RANAP 234133 SONIA SELV
25-Jan-24 42 MANUAL RANAP 227701 An. M ALB
25-Jan-24 724 MANUAL RANAP 73991 Ny. MOMO
25-Jan-24 34 MANUAL RANAP 79621 Tn. APUY
25-Jan-24 766 MANUAL RANAP 234203 NENDEN SE
25-Jan-24 786 MANUAL RANAP 225061 MAISHA AD
25-Jan-24 41 MANUAL RANAP 214589 M GIBRAN
25-Jan-24 711 MANUAL RANAP 102557 Tn. E SUT
25-Jan-24 739 MANUAL RANAP 79621 Tn. APUY
25-Jan-24 68 MANUAL RANAP 234182 ABELIA PUT
25-Jan-24 722 MANUAL RANAP 120767 Ny. AMINA
25-Jan-24 795 MANUAL RANAP 234261 UCOK T
25-Jan-24 765 MANUAL RANAP 234203 NENDEN SE
25-Jan-24 785 MANUAL RANAP 233943 LATIFA GH
25-Jan-24 738 MANUAL RANAP 233958 CASMINAH
25-Jan-24 66 MANUAL RANAP 234177 NUNUNG N
25-Jan-24 731 MANUAL RANAP 234199 REJKI YUDI
25-Jan-24 40 MANUAL RANAP 234059 ABDULLOH
25-Jan-24 710 MANUAL RANAP 54190 HENDAYAN
25-Jan-24 792 MANUAL RANAP 222822 KEYSA PUT
25-Jan-24 782 MANUAL RANAP 195164 An. M TO
25-Jan-24 737 MANUAL RANAP 93317 An. IRGI F
25-Jan-24 64 MANUAL RANAP 234067 NIDA ALH
25-Jan-24 746 MANUAL RANAP 231350 AQILLA FA
25-Jan-24 730 MANUAL RANAP 233972 RAHIDAH A
25-Jan-24 39 MANUAL RANAP 215338 RIVANIA FE
25-Jan-24 781 MANUAL RANAP 231037 RIZKI AL
25-Jan-24 706 MANUAL RANAP 233415 LIA MASRI
25-Jan-24 748 MANUAL RANAP 71910 An. MUHA
25-Jan-24 62 MANUAL RANAP 197395 NAURA NU
25-Jan-24 716 MANUAL RANAP 222136 Ny. OOM S
25-Jan-24 38 MANUAL RANAP 195164 An. M TO
25-Jan-24 790 MANUAL RANAP 201337 RAIHAN AL
25-Jan-24 756 MANUAL RANAP 217361 JIAN ANJAN
25-Jan-24 780 MANUAL RANAP 234151 MOCH RAY
25-Jan-24 720 MANUAL RANAP 1541 JAHRI
25-Jan-24 744 MANUAL RAJAL 234129 ASNI
25-Jan-24 761 MANUAL RANAP 123836 SOLEHAH
25-Jan-24 698 MANUAL RANAP 84517 Ny. ENJUM
25-Jan-24 749 MANUAL RANAP 234192 TARSA SET
25-Jan-24 717 MANUAL RANAP 94837 An. ADE PI
25-Jan-24 757 MANUAL RANAP 5091 NENG NEN
25-Jan-24 697 MANUAL RANAP 41761 Nn. EKA K
25-Jan-24 737 MANUAL RANAP 234251 Tn. DIDI
25-Jan-24 729 MANUAL RANAP 233315 IKA KARTIK
25-Jan-24 707 MANUAL RANAP 234178 ALDI RUST
25-Jan-24 705 MANUAL RANAP 115406 Tn. ENDAN
25-Jan-24 714 MANUAL RANAP 234170 Ny. ERUM
25-Jan-24 727 MANUAL RANAP 104983 Tn. AI NEN
25-Jan-24 741 MANUAL RANAP 228210 INA PUNAR
25-Jan-24 702 MANUAL RANAP 234188 WAHIDIN
25-Jan-24 740 MANUAL RANAP 217745 LUTFI ZAE
25-Jan-24 712 MANUAL RANAP 233727 ASEP RIJAL
25-Jan-24 701 MANUAL RANAP 188827 Tn. MAMA
25-Jan-24 751 MANUAL RANAP 234254 ROSITA
25-Jan-24 700 MANUAL RANAP 234175 YOYOH
Rp513,090.76 Jumlah Billing BPJS Malam 85 Total Billing B

BILLING MALAM
BPJS
BALAKBAK dr. Riri Ha BPJS 40941.66 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
IGD dr. Ramdhan BPJS 24762.5 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
SINOM 3 dr. Nuning BPJS 120000 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
RUANG TRAdr. Amelia BPJS 26204.39 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
PANGKUR dr. Amelia BPJS 7076.25 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
SINOM 2 dr. Retno BBPJS 208064.3 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
ISOLASI A dr. Nuning BPJS 255509.9 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
MIJIL 2 (P dr. Retno BBPJS 210143.9 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
BALAKBAK dr. Lia Sri BPJS 73985.58 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
IGD dr. Nifa HanBPJS 220139 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
PANGKUR dr. Amelia BPJS 20096.54 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
BALAKBAK dr. Annisa BPJS 178943.1 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
BALAKBAK dr. Amelia BPJS 7187.25 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
SINOM 2 dr. Retno BBPJS 59084.75 Apotik RawMuhamad Rizky Hidayah, S.Farm 25-Jan-24
SINOM 3 dr. Nuning BPJS 46105 Apotik RawMuhamad Rizky Hidayah, S.Farm
MIJIL 2 (P dr. Retno BBPJS 274879.1 Apotik RawMuhamad Rizky Hidayah, S.Farm
MIJIL 1 (IC dr. Santi BPJS 1650740 Apotik RawMuhamad Rizky Hidayah, S.Farm
DANGDANG dr. H. Gus BPJS 480886.4 Apotik RawMuhamad Rizky Hidayah, S.Farm
DANGDANG dr. Iyan As BPJS 93921.87 Apotik RawMuhamad Rizky Hidayah, S.Farm
BALAKBAK dr. Annisa BPJS 19687.25 Apotik RawMuhamad Rizky Hidayah, S.Farm
GURISA (KEdr. Santi BPJS 12500 Apotik RawMuhamad Rizky Hidayah, S.Farm
GURISA (KEdr. Yanne BPJS 69865.02 Apotik RawMuhamad Rizky Hidayah, S.Farm
RUANG TRAdr. Amelia BPJS 58617.6 Apotik RawMuhamad Rizky Hidayah, S.Farm
BALAKBAK dr. H. Gus BPJS 537265 Apotik RawMuhamad Rizky Hidayah, S.Farm
SINOM 1 dr. Nuning BPJS 62894.97 Apotik RawMuhamad Rizky Hidayah, S.Farm
BALAKBAK dr. H. Gus BPJS 606174.9 Apotik RawMuhamad Rizky Hidayah, S.Farm
GURISA (KEdr. Santi BPJS 12500 Apotik RawMuhamad Rizky Hidayah, S.Farm
BALAKBAK dr. Annisa BPJS 77009.16 Apotik RawMuhamad Rizky Hidayah, S.Farm
KINANTI dr. Lia Sri BPJS 83776.32 Apotik RawMuhamad Rizky Hidayah, S.Farm
GURISA (KEdr. Santi BPJS 30312.44 Apotik RawMuhamad Rizky Hidayah, S.Farm
MIJIL 2 (P dr. Nuning BPJS 392380.4 Apotik RawMuhamad Rizky Hidayah, S.Farm
MIJIL 2 (P dr. Nuning BPJS 102690.8 Apotik RawMuhamad Rizky Hidayah, S.Farm
IGD dr. Alvin N BPJS 29359.99 Apotik RawMuhamad Fajar Sidik, Amd.farm
PANGKUR dr. Lia Sri BPJS 194754.7 Apotik RawMuhamad Fajar Sidik, Amd.farm
DURMA dr. Amelia BPJS 37499.98 Apotik RawMuhamad Fajar Sidik, Amd.farm
BALAKBAK dr. Lia Sri BPJS 62326 Apotik RawMuhamad Fajar Sidik, Amd.farm
WIRANGR dr. H. Gus BPJS 358185.2 Apotik RawMuhamad Fajar Sidik, Amd.farm
PANGKUR dr. Amelia BPJS 124027.5 Apotik RawMuhamad Fajar Sidik, Amd.farm
Total Billing BPJS Malam Rp11,866,326.84 Jumlah Billing Um

UMUM
776 MANUAL RAJAL 162547 FITRI NUR IGD dr. Nifa HanCALON BPJ 21875
775 MANUAL RAJAL 162547 FITRI NUR IGD dr. Nifa HanCALON BPJ 0
745 MANUAL RANAP 122686 An. M ABRISINOM 2 dr. Nuning CALON BPJ 236002.2
75 MANUAL RANAP 79133 Tn. IWAN BALAKBAK dr. Lia Sri UMUM 22477.5
791 MANUAL RANAP 229308 RAINA MA SINOM 2 dr. Nuning UMUM 47742.51
736 MANUAL RANAP 234136 HERMAN ABALAKBAK dr. H. Gus UMUM 282302
715 MANUAL RANAP 234061 WULAN BALAKBAK dr. Lia Sri UMUM 84817.94
743 MANUAL RANAP 234241 ALVIANA RMIJIL 2 (P dr. Nuning UMUM 46457.49
732 MANUAL RANAP 234195 M FAIZAL DANGDANG dr. Iyan As UMUM 73349.51
735 MANUAL RANAP 234220 TESA PITRI PANGKUR dr. Yanne CALON BPJ 94179.83
709 MANUAL RANAP 146833 Tn. YUSUP BALAKBAK dr. Lia Sri CALON BPJ 398599
Depo Operator
Rp1,620,513.14
No. B
10 26-Jan-24 384 MANUAL RANAP 201337
11 26-Jan-24 188 MANUAL RANAP 234257
12 26-Jan-24 395 MANUAL RANAP 203797
13 26-Jan-24 357 MANUAL RANAP 188827
14 26-Jan-24 287 MANUAL RANAP 122686
15 26-Jan-24 184 MANUAL RANAP 195164
16 26-Jan-24 232 MANUAL RANAP 234286
17 26-Jan-24 393 MANUAL RANAP 233242
18 26-Jan-24 356 MANUAL RANAP 234177
19 26-Jan-24 287 MANUAL RANAP 122686
20 26-Jan-24 181 MANUAL RANAP 120767
21 26-Jan-24 392 MANUAL RANAP 234004
22 26-Jan-24 263 MANUAL RANAP 234281
24 26-Jan-24 163 MANUAL RAJAL 234297
25 26-Jan-24 172 MANUAL RAJAL 234126
26 26-Jan-24 285 MANUAL RANAP 218901
27 26-Jan-24 390 MANUAL RANAP 234004
28 26-Jan-24 284 MANUAL RANAP 233943
29 26-Jan-24 209 MANUAL RANAP 222136
30 26-Jan-24 262 MANUAL RANAP 234241
31 26-Jan-24 284 MANUAL RANAP 233943
32 26-Jan-24 389 MANUAL RANAP 232452
33 26-Jan-24 312 MANUAL RANAP 234297
34 26-Jan-24 197 MANUAL RANAP 231037
35 26-Jan-24 255 MANUAL RANAP 234257
36 26-Jan-24 160 MANUAL RANAP 234203
37 26-Jan-24 363 MANUAL RANAP 234309
38 26-Jan-24 170 MANUAL RAJAL 234126
39 26-Jan-24 278 MANUAL RANAP 228845
40 26-Jan-24 194 MANUAL RANAP 223264
41 26-Jan-24 254 MANUAL RANAP 234257
42 26-Jan-24 385 MANUAL RANAP 201337
43 26-Jan-24 292 MANUAL RANAP 162547
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp17,117,852.68
BILLING PAGI
BPJS
RAHMAH BY NY ASMARANDANA (LEdr. Retno BudihaBPJS ### Apotik Rawat
RAHMAH BY NY ASMARANDANA (LEdr. Retno BudihaBPJS Rp51,252.50 Apotik Rawat
Ny. OOM SITI LOMRARUANG TRANSIT dr. Amelia AndriBPJS Rp27,437.51 Apotik Rawat
IDA FARIDA DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp4,035.00 Apotik Rawat
ASEP RIJAL BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp12,834.38 Apotik Rawat
IKA KARTIKA BALAKBAK 3-A dr. Amelia AndriBPJS ### Apotik Rawat
ARSHINTA KIRANIA P SINOM 2 dr. Retno BudihaBPJS Rp3,432.42 Apotik Rawat
Ny. NASTRI RACHMA PANGKUR 3 dr. Yanne Triha BPJS Rp92,304.43 Apotik Rawat
RAIHAN AL LATIF ISOLASI ANAK dr. Retno BudihaBPJS Rp90,397.00 Apotik Rawat
YANI ROHAENI GURISA (KELAS 3) dr. Yanne Triha BPJS Rp12,750.02 Apotik Rawat
ARSHINTA KIRANIA P SINOM 2 dr. Retno BudihaBPJS Rp10,525.01 Apotik Rawat
Tn. MAMAN SUPARMWIRANGRONG dr. H. Gus RiyadBPJS Rp66,705.35 Apotik Rawat
An. M ABRIL RAFISQYSINOM 2 dr. Nuning Indri BPJS Rp50,647.05 Apotik Rawat
An. M TOHA AMANUSINOM 2 dr. Nuning Indri BPJS Rp14,985.00 Apotik Rawat
OJI BALAKBAK 3-C dr. Amelia AndriCALON BPJS Rp34,471.62 Apotik Rawat
SUSI KUSMIATI DEWIGURISA (KELAS 3) dr. Yanne Triha BPJS Rp48,327.60 Apotik Rawat
NUNUNG NURJANAHGURISA (KELAS 2) dr. Santi Maria BPJS Rp32,067.60 Apotik Rawat
An. M ABRIL RAFISQYSINOM 2 dr. Nuning Indri BPJS ### Apotik Rawat
Ny. AMINAH BALAKBAK 2-B dr. Annisa Tri K BPJS Rp96,706.61 Apotik Rawat
MUHAMMAD SYAKELSINOM 2 dr. Nuning Indri BPJS Rp49,692.49 Apotik Rawat
RANGGA JAYA S BALAKBAK 2-A dr. Lia SrimuliawBPJS ### Apotik Rawat
NENDEN DEVINA IGD dr. Olivia BPJS Rp18,556.29 Apotik Rawat
NISA WULANSARI IGD dr. Fajri Nugrah BPJS Rp4,375.00 Apotik Rawat
An. NAADHIRA YUMINMIJIL 2 (PIMCU) dr. Nuning Indri BPJS ### Apotik Rawat
LATIFA GHANIYAH SUISOLASI ANAK dr. Nuning Indri BPJS Rp34,289.84 Apotik Rawat
Ny. OOM SITI LOMRARUANG TRANSIT dr. Amelia AndriBPJS Rp20,276.92 Apotik Rawat
ALVIANA RIANTI MIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp15,962.49 Apotik Rawat
LATIFA GHANIYAH SUISOLASI ANAK dr. Nuning Indri BPJS Rp13,049.78 Apotik Rawat
DIDIN SARIPUDIN DANGDANGGULA 3dr. Riri Handayan BPJS Rp36,875.00 Apotik Rawat
NENDEN DEVINA GURISA (KELAS 3) dr. Santi Maria BPJS Rp87,304.44 Apotik Rawat
RIZKI AL MUNTAHA ISOLASI ANAK dr. Nuning Indri BPJS Rp12,752.51 Apotik Rawat
NENDEN SETIAWATI MIJIL 1 (ICU) dr. Amelia AndriBPJS Rp97,465.00 Apotik Rawat
Ny. RIMA WULANDARKINANTI dr. Santi Maria BPJS ### Apotik Rawat
NISA WULANSARI IGD dr. Fajri Nugrah BPJS Rp18,556.29 Apotik Rawat
M FADIL ARDHANI MIJIL 2 (PIMCU) dr. Nuning Indri BPJS ### Apotik Rawat
KHALISA SALSABILA ZSINOM 3 dr. Nuning Indri BPJS Rp10,525.01 Apotik Rawat
RAIHAN AL LATIF ISOLASI ANAK dr. Retno BudihaBPJS Rp90,397.00 Apotik Rawat
FITRI NUR FADILA SINOM 2 dr. Nuning Indri CALON BPJS ### Apotik Rawat
Rp2,576,499.54
BILLING PAGI
U
UMUM
YOYOH BY ASMARANDdr. Retno BUMUM 53287.39 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm.
M FAIZAL DANGDANG dr. Iyan As UMUM 35741.2 Apotik RawApt. Ghina Rahimah Az-zahra, S.farm.
LINDA BY NASMARANDdr. Retno BUMUM 67094.2 Apotik RawLulu Afifah Pradipta, A.md.farm
RAINA MA SINOM 2 dr. Nuning UMUM 12752.51 Apotik RawLulu Afifah Pradipta, A.md.farm
M RAHSYA SINOM 2 dr. Nuning UMUM 38862.48 Apotik RawLulu Afifah Pradipta, A.md.farm
WULANDARI ASMARANDdr. Retno BUMUM 58117.39 Apotik RawLulu Afifah Pradipta, A.md.farm
Bayi Ny. S ASMARANDdr. Retno BUMUM 51969.89 Apotik RawLulu Afifah Pradipta, A.md.farm
TESA PITRI PANGKUR dr. Yanne UMUM 3375 Apotik RawLulu Afifah Pradipta, A.md.farm
BPJS
26-Jan-24 514 MANUAL RANAP 233610 NAUZAN ASMARANDA dr. Retno BBPJS
26-Jan-24 470 MANUAL RANAP 20212 Tn. SAEPU DANGDANG dr. Amelia BPJS
26-Jan-24 479 MANUAL RANAP 234276 LINDA PU RUANG TRAdr. Yanne BPJS
26-Jan-24 459 MANUAL RANAP 234126 NISA WULABAYI RAWAdr. Santi BPJS
26-Jan-24 422 MANUAL RANAP 234188 WAHIDIN BALAKBAK dr. Lia Sri BPJS
26-Jan-24 480 MANUAL RAJAL 208707 ENENG IGD dr. EprianaBPJS
26-Jan-24 469 MANUAL RANAP 228210 INA PUNARDURMA dr. Amelia BPJS
26-Jan-24 478 MANUAL RANAP 234186 NINA MARLASMARANDdr. Retno BBPJS
26-Jan-24 437 MANUAL RANAP 234199 REJKI YUDIBALAKBAK dr. Lia Sri BPJS
26-Jan-24 512 MANUAL RANAP 233736 IMAS MASTASMARANDdr. Retno BBPJS
26-Jan-24 467 MANUAL RANAP 234251 Tn. DIDI BALAKBAK dr. Amelia BPJS
26-Jan-24 495 MANUAL RAJAL 234292 ALYA NISA IGD dr. Olivia BPJS
26-Jan-24 499 MANUAL RANAP 226398 MEIDA GURISA (KEdr. Yanne BPJS
26-Jan-24 494 MANUAL RAJAL 227664 ALFIAN RI IGD dr. Olivia BPJS
26-Jan-24 475 MANUAL RANAP 183646 Tn. ELI SUTBALAKBAK dr. Amelia BPJS
26-Jan-24 504 MANUAL RAJAL 234324 RINA LESTAIGD dr. Yohani A
BPJS
26-Jan-24 432 MANUAL RANAP 234185 NAZIRA ALASMARANDdr. Nuning BPJS
26-Jan-24 446 MANUAL RANAP 233415 LIA MASRI BALAKBAK dr. Amelia BPJS
26-Jan-24 416 MANUAL RANAP 115406 Tn. ENDANBALAKBAK dr. Lia Sri BPJS
26-Jan-24 458 MANUAL RAJAL 227845 WENTI YUNIGD dr. Olivia BPJS
26-Jan-24 522 MANUAL RAJAL 73421 Tn. YOYO IGD dr. Olivia BPJS
26-Jan-24 503 MANUAL RAJAL 234319 ARISHA ZAIGD dr. Olivia BPJS
26-Jan-24 498 MANUAL RANAP 231752 MIZZAN ASMARANDdr. Retno BBPJS
26-Jan-24 413 MANUAL RANAP 234175 YOYOH BALAKBAK dr. Amelia BPJS
26-Jan-24 429 MANUAL RANAP 214589 M GIBRAN SINOM 3 dr. Retno BBPJS
26-Jan-24 521 MANUAL RAJAL 224978 AWAN IGD dr. Olivia BPJS
26-Jan-24 490 MANUAL RANAP 234241 ALVIANA RMIJIL 2 (P dr. Nuning BPJS
26-Jan-24 443 MANUAL RANAP 234203 NENDEN SEMIJIL 1 (IC dr. Amelia BPJS
26-Jan-24 462 MANUAL RANAP 234261 UCOK T DANGDANG dr. Amelia BPJS
26-Jan-24 426 MANUAL RANAP 233678 RAFKHA SHBALAKBAK dr. Riri Ha BPJS
26-Jan-24 472 MANUAL RANAP 125529 Tn. INDRA BALAKBAK dr. Lia Sri BPJS
26-Jan-24 442 MANUAL RANAP 140053 Ny. WIWI PANGKUR dr. Amelia BPJS
26-Jan-24 461 MANUAL RANAP 233966 HEPPY AFFDANGDANG dr. Annisa BPJS
26-Jan-24 425 MANUAL RANAP 222951 Ny. ELI RO MIJIL 1 (IC dr. Lia Sri BPJS
26-Jan-24 471 MANUAL RANAP 211093 CACA BALAKBAK dr. Amelia BPJS
BILLING SIANG

5830 Apotik RawAsep Afrizal, A.md Farm 26-Jan-24 516 MANUAL RAJAL
105490.9 Apotik RawAsep Afrizal, A.md Farm 26-Jan-24 515 MANUAL RAJAL
UMUM
234321 ARASYA DZIGD dr. Yohani A
CALON BPJ 8325 Apotik RawAsep Afrizal, A.md Farm
234322 ARSYAKA KIGD dr. Yohani A
CALON BPJ 8325 Apotik RawAsep Afrizal, A.md Farm
234286 OJI BALAKBAK dr. Amelia CALON BPJ 116697.1 Apotik RawAsep Afrizal, A.md Farm
79133 Tn. IWAN BALAKBAK dr. Lia Sri UMUM 31457.69 Apotik RawAsep Afrizal, A.md Farm
234061 WULAN BALAKBAK dr. Lia Sri UMUM 4440 Apotik RawAsep Afrizal, A.md Farm
234187 KHYRA AWLASMARANDdr. Nuning UMUM 5830 Apotik RawAsep Afrizal, A.md Farm
79133 Tn. IWAN BALAKBAK dr. Lia Sri UMUM 14925.57 Apotik RawAsep Afrizal, A.md Farm
BPJS
26-Jan-24 614 MANUAL RANAP 234129 ASNI BALAKBAK dr. Amelia BPJS
27-Jan-24 16 MANUAL RANAP 230752 UYAT BALAKBAK dr. Lia Sri BPJS
26-Jan-24 643 MANUAL RANAP 20212 Tn. SAEPU DANGDANG dr. Amelia BPJS
26-Jan-24 633 MANUAL RANAP 234126 NISA WULABAYI RAWAdr. Santi BPJS
27-Jan-24 24 MANUAL RANAP 234330 FIKA KHAI BALAKBAK dr. Iyan As BPJS
27-Jan-24 8 MANUAL RANAP 233293 YOYOH DANGDANG dr. Santi BPJS
26-Jan-24 568 MANUAL RANAP 122686 An. M ABRISINOM 2 dr. Nuning BPJS
26-Jan-24 577 MANUAL RANAP 234266 TATI SUHADURMA dr. Amelia BPJS
26-Jan-24 642 MANUAL RANAP 234246 YUDI PRAYPANGKUR dr. Amelia BPJS
27-Jan-24 23 MANUAL RANAP 234273 ADE PANGKUR dr. Amelia BPJS
27-Jan-24 56 MANUAL RANAP 234257 YANI ROHAGURISA (KEdr. Yanne BPJS
26-Jan-24 576 MANUAL RANAP 88825 SIFA NURUSINOM 3 dr. Nuning BPJS
26-Jan-24 558 MANUAL RANAP 227664 ALFIAN RI SINOM 2 dr. Retno BBPJS
26-Jan-24 611 MANUAL RANAP 94837 An. ADE PI BALAKBAK dr. Lia Sri BPJS
26-Jan-24 639 MANUAL RANAP 79621 Tn. APUY BALAKBAK dr. H. Gus BPJS
26-Jan-24 627 MANUAL RANAP 73421 Tn. YOYO BALAKBAK dr. Lia Sri BPJS
27-Jan-24 22 MANUAL RANAP 6533 Ny. TITIN BALAKBAK dr. Lia Sri BPJS
27-Jan-24 5 MANUAL RANAP 234246 YUDI PRAYPANGKUR dr. Amelia BPJS
26-Jan-24 628 MANUAL RAJAL 224978 AWAN IGD dr. Olivia BPJS
27-Jan-24 53 MANUAL RANAP 226398 MEIDA GURISA (KEdr. Yanne BPJS
26-Jan-24 557 MANUAL RANAP 227701 An. M ALB ISOLASI A dr. Retno BBPJS
26-Jan-24 625 MANUAL RANAP 234169 SONI SHAHBALAKBAK dr. Lia Sri BPJS
27-Jan-24 21 MANUAL RANAP 234192 TARSA SETBALAKBAK dr. Amelia BPJS
27-Jan-24 3 MANUAL RANAP 234249 IIS ISNAWADANGDANG dr. Yanne BPJS
26-Jan-24 565 MANUAL RANAP 227849 Tn. DEDI DANGDANG dr. H. Gus BPJS
26-Jan-24 574 MANUAL RANAP 228210 INA PUNARDURMA dr. Amelia BPJS
26-Jan-24 554 MANUAL RANAP 218901 An. NAADHMIJIL 2 (P dr. Nuning BPJS
26-Jan-24 607 MANUAL RANAP 188827 Tn. MAMADANGDANG dr. H. Gus BPJS
26-Jan-24 584 MANUAL RANAP 234251 Tn. DIDI BALAKBAK dr. Amelia BPJS
27-Jan-24 38 MANUAL RANAP 233293 YOYOH DANGDANG dr. Santi BPJS
26-Jan-24 569 MANUAL RAJAL 226133 GAYATRI DIGD dr. Yohani ABPJS
26-Jan-24 637 MANUAL RANAP 102557 Tn. E SUT BALAKBAK dr. Amelia BPJS
26-Jan-24 620 MANUAL RANAP 234276 LINDA PU RUANG TRAdr. Yanne BPJS
26-Jan-24 595 MANUAL RANAP 125529 Tn. INDRA BALAKBAK dr. Lia Sri BPJS
26-Jan-24 564 MANUAL RANAP 217361 JIAN ANJANSINOM 3 dr. Retno BBPJS
26-Jan-24 624 MANUAL RAJAL 217564 NAISA NURIGD dr. Yohani ABPJS
26-Jan-24 573 MANUAL RANAP 234281 MUHAMMAD SINOM 2 dr. Nuning BPJS
26-Jan-24 583 MANUAL RANAP 71910 An. MUHA SINOM 2 dr. Nuning BPJS
27-Jan-24 19 MANUAL RANAP 183646 Tn. ELI SUTWIRANGR dr. Amelia BPJS
26-Jan-24 606 MANUAL RANAP 123836 SOLEHAH WIRANGR dr. Lia Sri BPJS
26-Jan-24 623 MANUAL RAJAL 196306 AZZAHRA ZIGD dr. Yohani ABPJS
26-Jan-24 550 MANUAL RANAP 231462 Tn. ENDANDANGDANG dr. H. Gus BPJS
26-Jan-24 563 MANUAL RANAP 234151 MOCH RAYSINOM 3 dr. Retno BBPJS
26-Jan-24 593 MANUAL RANAP 234203 NENDEN SEMIJIL 1 (IC dr. Amelia BPJS
27-Jan-24 18 MANUAL RANAP 228845 M FADIL A MIJIL 2 (P dr. Nuning BPJS
26-Jan-24 571 MANUAL RANAP 233943 LATIFA GH ISOLASI A dr. Nuning BPJS
26-Jan-24 561 MANUAL RANAP 234319 ARISHA ZASINOM 1 dr. Nuning BPJS
26-Jan-24 615 MANUAL RANAP 234192 TARSA SETBALAKBAK dr. Amelia BPJS
26-Jan-24 563 MANUAL RANAP 234151 MOCH RAYSINOM 3 dr. Retno BBPJS
26-Jan-24 624 MANUAL RAJAL 217564 NAISA NURIGD dr. Yohani A
BPJS

BILLING MALAM


UMUM
234322 ARSYAKA KSINOM 2 dr. Nuning CALON BPJ 132239 Apotik RawTitan Mulyana, A.md.farm
162547 FITRI NUR SINOM 2 dr. Nuning CALON BPJ 277086.8 Apotik RawTitan Mulyana, A.md.farm
146833 Tn. YUSUP BALAKBAK dr. Lia Sri CALON BPJ 274286.5 Apotik RawTitan Mulyana, A.md.farm
234286 OJI DURMA dr. Amelia CALON BPJ 34999.96 Apotik RawTitan Mulyana, A.md.farm
234262 M RAHSYA SINOM 2 dr. Nuning UMUM 38862.48 Apotik RawTitan Mulyana, A.md.farm
234322 ARSYAKA KSINOM 2 dr. Nuning CALON BPJ 15869.53 Apotik RawTitan Mulyana, A.md.farm
234321 ARASYA DZSINOM 2 dr. Nuning CALON BPJ 18870 Apotik RawTitan Mulyana, A.md.farm
234328 CICIH BALAKBAK dr. Lia Sri CALON SK 61973.59 Apotik RawTitan Mulyana, A.md.farm
211349 AJIZAH M BALAKBAK dr. Lia Sri CALON BPJ 83121.65 Apotik RawTitan Mulyana, A.md.farm
234343 RIMA BY NASMARANDA dr. Retno BUMUM 0 Apotik RawTitan Mulyana, A.md.farm
234292 ALYA NISA MIJIL 2 (P dr. Retno BUMUM 229300.2 Apotik RawTitan Mulyana, A.md.farm
234061 WULAN BALAKBAK dr. Lia Sri UMUM 76578.7 Apotik RawTitan Mulyana, A.md.farm
234286 OJI DURMA dr. Amelia CALON BPJ 47144.2 Apotik RawTitan Mulyana, A.md.farm
162961 Ny. IMAS RPANGKUR dr. Amelia CALON SK 133488.1 Apotik RawTitan Mulyana, A.md.farm
234343 RIMA BY NASMARANDA dr. Retno BUMUM 53096.46 Apotik RawTitan Mulyana, A.md.farm
234321 ARASYA DZSINOM 2 dr. Nuning CALON BPJ 132239 Apotik RawTitan Mulyana, A.md.farm
174837 Nn. SITI F GURISA (KEdr. Santi CALON BPJ 44677.52 Apotik RawTitan Mulyana, A.md.farm
146833 Tn. YUSUP BALAKBAK dr. Lia Sri CALON BPJ 39405 Apotik RawTitan Mulyana, A.md.farm
234343 RIMA BY NASMARANDA dr. Retno BUMUM 53096.46 Apotik RawTitan Mulyana, A.md.farm
174837 Nn. SITI F GURISA (KEdr. Santi CALON BPJ 44677.52 Apotik RawTitan Mulyana, A.md.farm
146833 Tn. YUSUP BALAKBAK dr. Lia Sri CALON BPJ 274286.5 Apotik RawTitan Mulyana, A.md.farm
No. BPJS
10 27-Jan-24 236 MANUAL RANAP 218901
11 27-Jan-24 125 MANUAL RANAP 125529
12 27-Jan-24 105 MANUAL RANAP 234126
13 27-Jan-24 216 MANUAL RANAP 233659
14 27-Jan-24 190 MANUAL RANAP 224978
15 27-Jan-24 207 MANUAL RANAP 228845
16 27-Jan-24 169 MANUAL RANAP 234276
18 27-Jan-24 150 MANUAL RANAP 102129
19 27-Jan-24 115 MANUAL RANAP 234122
20 27-Jan-24 284 MANUAL RANAP 195520
22 27-Jan-24 123 MANUAL RANAP 228845
23 27-Jan-24 102 MANUAL RANAP 211093
25 27-Jan-24 215 MANUAL RANAP 234303
26 27-Jan-24 189 MANUAL RAJAL 234368
27 27-Jan-24 205 MANUAL RANAP 233371
28 27-Jan-24 165 MANUAL RANAP 234241
30 27-Jan-24 213 MANUAL RANAP 146833
31 27-Jan-24 148 MANUAL RANAP 234122
32 27-Jan-24 114 MANUAL RAJAL 133542
33 27-Jan-24 280 MANUAL RANAP 234203
35 27-Jan-24 101 MANUAL RANAP 218901
36 27-Jan-24 276 MANUAL RANAP 208707
37 27-Jan-24 255 MANUAL RANAP 234133
39 27-Jan-24 187 MANUAL RANAP 228845
40 27-Jan-24 203 MANUAL RANAP 183646
41 27-Jan-24 161 MANUAL RANAP 234336
42 27-Jan-24 143 MANUAL RANAP 225061
43 27-Jan-24 112 MANUAL RANAP 183646
44 27-Jan-24 275 MANUAL RANAP 233966
45 27-Jan-24 232 MANUAL RANAP 228210
46 27-Jan-24 121 MANUAL RANAP 233943
48 27-Jan-24 251 MANUAL RANAP 226014
50 27-Jan-24 223 MANUAL RANAP 234203
51 27-Jan-24 202 MANUAL RANAP 231350
53 27-Jan-24 212 MANUAL RANAP 226398
54 27-Jan-24 269 MANUAL RANAP 234169
55 27-Jan-24 230 MANUAL RANAP 234254
57 27-Jan-24 120 MANUAL RANAP 233943
59 27-Jan-24 248 MANUAL RANAP 234261
60 27-Jan-24 136 MANUAL RANAP 234067
61 27-Jan-24 222 MANUAL RANAP 234203
62 27-Jan-24 200 MANUAL RANAP 234203
63 27-Jan-24 157 MANUAL RANAP 161584
64 27-Jan-24 211 MANUAL RANAP 102557
66 27-Jan-24 269 MANUAL RANAP 234257
67 27-Jan-24 229 MANUAL RANAP 234338
68 27-Jan-24 156 MANUAL RANAP 222951
69 27-Jan-24 119 MANUAL RANAP 234245
72 27-Jan-24 245 MANUAL RANAP 234203
73 27-Jan-24 132 MANUAL RANAP 156840
74 27-Jan-24 109 MANUAL RANAP 218901
75 27-Jan-24 221 MANUAL RANAP 233315
76 27-Jan-24 197 MANUAL RANAP 234151
77 27-Jan-24 210 MANUAL RANAP 234004
78 27-Jan-24 179 MANUAL RANAP 234203
79 27-Jan-24 265 MANUAL RANAP 234324
80 27-Jan-24 227 MANUAL RANAP 233958
81 27-Jan-24 154 MANUAL RANAP 227664
82 27-Jan-24 118 MANUAL RANAP 234203
83 27-Jan-24 295 MANUAL RANAP 233727
84 27-Jan-24 243 MANUAL RANAP 217564
85 27-Jan-24 108 MANUAL RANAP 233958
86 27-Jan-24 220 MANUAL RANAP 234324
87 27-Jan-24 191 MANUAL RANAP 234203
88 27-Jan-24 209 MANUAL RANAP 234324
89
90
91
92
93
94
95
96
97
98
99
100
Rp20,876,666.34 Rp1,643,766.02
BILLING PAGI
BPJS
Tn. APUY SUM BALAKBAK 3-C dr. H. Gus RiyadBPJS Rp32,462.18 Apotik Rawat
IWAN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp44,563.13 Apotik Rawat
ALVIANA RIANTMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp5,625.01 Apotik Rawat
NISA WULANSAKINANTI dr. Santi Maria BPJS Rp37,982.79 Apotik Rawat
MUHAMMAD SY SINOM 2 dr. Nuning Indri BPJS Rp12,752.51 Apotik Rawat
YOYOH DANGDANGGULA 3dr. Santi Maria BPJS Rp34,218.20 Apotik Rawat
LINDA PURNA DANGDANGGULA 3dr. Yanne Triha BPJS Rp533.68 Apotik Rawat
Tn. MAMAN S DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp72,445.00 Apotik Rawat
TATI SUHARTI DURMA dr. Amelia AndriBPJS ### Apotik Rawat
An. NAADHIRA MIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp43,432.02 Apotik Rawat
Tn. INDRA SUPBALAKBAK 3-D dr. Lia SrimuliawBPJS Rp20,320.36 Apotik Rawat
NISA WULANSAKINANTI dr. Santi Maria BPJS Rp91,584.43 Apotik Rawat
IDA FARIDA DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp29,451.52 Apotik Rawat
AWAN BALAKBAK 3-C dr. Lia SrimuliawBPJS Rp33,985.09 Apotik Rawat
M FADIL ARDHMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp10,124.59 Apotik Rawat
LINDA PURNA DANGDANGGULA 3dr. Yanne Triha BPJS Rp48,327.60 Apotik Rawat
Ny. TITIN CUMIBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp2,358.75 Apotik Rawat
ARINA SITI FEBISOLASI ANAK dr. Retno BudihaBPJS ### Apotik Rawat
Ny. WULANDARBAYI RAWAT GABUdr. Santi Maria BPJS Rp34,218.20 Apotik Rawat
SIFA NURUL C SINOM 3 dr. Nuning Indri BPJS Rp3,131.25 Apotik Rawat
CACA BALAKBAK 3-D dr. Amelia AndriBPJS Rp4,650.90 Apotik Rawat
Nn. ASRI DWI GURISA (KELAS 2) dr. Yanne Triha BPJS ### Apotik Rawat
RAHMAH BY N ASMARANDANA (LEdr. Retno BudihaBPJS ### Apotik Rawat
RESKA PUTRIYAIGD dr. Yohani ApriliBPJS Rp62,715.02 Apotik Rawat
SIVA MAULIDASINOM 3 dr. Nuning Indri BPJS Rp10,525.01 Apotik Rawat
ALVIANA RIANTMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp4,419.19 Apotik Rawat
Tn. EDANG SE PANGKUR 1 dr. H. Gus RiyadBPJS ### Apotik Rawat
Tn. YUSUP HA BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp5,031.25 Apotik Rawat
M FAIZ ASMARANDANA (ISdr. Nuning Indri BPJS Rp79,451.28 Apotik Rawat
An. NAURA SYAIGD dr. Yohani ApriliBPJS Rp52,137.20 Apotik Rawat
NENDEN SETIAMIJIL 1 (ICU) dr. Amelia AndriBPJS Rp89,577.00 Apotik Rawat
JAHRI DURMA dr. Lia SrimuliawBPJS Rp124.88 Apotik Rawat
ENENG BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp6,512.50 Apotik Rawat
SONIA SELVIANRUANG TRANSIT dr. Amelia AndriBPJS ### Apotik Rawat
RANGGA JAYA BALAKBAK 2-A dr. Lia SrimuliawBPJS Rp35,063.63 Apotik Rawat
Tn. ELI SUTARLWIRANGRONG dr. Amelia AndriBPJS Rp22,727.25 Apotik Rawat
DEDI BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp12,123.75 Apotik Rawat
MAISHA ADZKISINOM 1 dr. Nuning Indri BPJS Rp12,752.51 Apotik Rawat
Tn. ELI SUTARLWIRANGRONG dr. Amelia AndriBPJS Rp67,686.22 Apotik Rawat
HEPPY AFFIFAHDANGDANGGULA 1dr. Annisa Tri K BPJS Rp36,715.25 Apotik Rawat
INA PUNARA SADURMA dr. Amelia AndriBPJS Rp64,795.46 Apotik Rawat
LATIFA GHANI ISOLASI ANAK dr. Nuning Indri BPJS Rp13,049.78 Apotik Rawat
Tn. DIDI BALAKBAK 3-B dr. Amelia AndriBPJS Rp8,990.97 Apotik Rawat
MITA RIANI SA BAYI RAWAT GABUdr. Yanne Triha BPJS ### Apotik Rawat
Ny. FITRI SARAGURISA (KELAS 2) dr. Santi Maria BPJS Rp18,556.29 Apotik Rawat
AQILLA FARIZASINOM 3 dr. Retno BudihaBPJS Rp13,000.01 Apotik Rawat
Ny. FITRI SARAGURISA (KELAS 2) dr. Santi Maria BPJS Rp91,584.43 Apotik Rawat
MEIDA GURISA (KELAS 3) dr. Yanne Triha BPJS Rp32,051.25 Apotik Rawat
SONI SHAHRONBALAKBAK 2-A dr. Lia SrimuliawBPJS Rp4,717.50 Apotik Rawat
ROSITA PANGKUR 3 dr. Amelia AndriBPJS ### Apotik Rawat
Ny. SOFIANI GURISA (KELAS 3) dr. Santi Maria BPJS Rp41,625.00 Apotik Rawat
LATIFA GHANI ISOLASI ANAK dr. Nuning Indri BPJS Rp61,827.00 Apotik Rawat
LUTFI ZAENAL BALAKBAK 3-D dr. Amelia AndriBPJS Rp20,934.76 Apotik Rawat
UCOK T DANGDANGGULA 2dr. Amelia AndriBPJS Rp32,079.00 Apotik Rawat
NIDA ALHUZNASINOM 2 dr. Retno BudihaBPJS ### Apotik Rawat
NENDEN SETIAMIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
Nn. RAHMAH GURISA (KELAS 2) dr. Santi Maria BPJS Rp34,218.20 Apotik Rawat
Tn. E SUTARM BALAKBAK 2-A dr. Amelia AndriBPJS Rp8,216.04 Apotik Rawat
An. ADE PITRI BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp64,803.97 Apotik Rawat
YANI ROHAENIGURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
WAWAT KARWA PANGKUR 3 dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. ELI ROSMIAMIJIL 1 (ICU) dr. Lia SrimuliawBPJS ### Apotik Rawat
SYAMSIAH NU BAYI RAWAT GABUdr. Yanne Triha BPJS Rp48,327.60 Apotik Rawat
TARSA SETIAWBALAKBAK 3-D dr. Amelia AndriBPJS Rp5,420.01 Apotik Rawat
Tn. SAEPULOH DANGDANGGULA 2dr. Amelia AndriBPJS ### Apotik Rawat
Tn. SYAMSUL BPANGKUR 2 dr. Amelia AndriBPJS ### Apotik Rawat
IKA KARTIKA BALAKBAK 3-A dr. Amelia AndriBPJS Rp31,173.69 Apotik Rawat
MOCH RAYYANSINOM 3 dr. Retno BudihaBPJS Rp71,255.74 Apotik Rawat
RINA LESTARI PANGKUR 3 dr. Santi Maria BPJS Rp91,584.43 Apotik Rawat
CASMINAH KINANTI dr. Lia SrimuliawBPJS ### Apotik Rawat
ALFIAN RIZQIE SINOM 2 dr. Retno BudihaBPJS Rp19,949.98 Apotik Rawat
ASEP RIJAL BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp221.25 Apotik Rawat
NAISA NURCAHISOLASI ANAK dr. Retno BudihaBPJS Rp29,859.00 Apotik Rawat

BILLING PAGI
UMUM
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 173 MANUAL RANAP 234322 ARSYAKA K
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 262 MANUAL RANAP 234321 ARASYA DZ
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 117 MANUAL RANAP 211349 AJIZAH M
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 286 MANUAL RANAP 196306 AZZAHRA Z
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 237 MANUAL RANAP 162961 Ny. IMAS R
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 126 MANUAL RANAP 234328 CICIH
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 107 MANUAL RANAP 234285 MITA BY N
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 73 MANUAL RANAP 234285 MITA BY N
Lulu Afifah Pradipta, A.md.farm 27-Jan-24 72 MANUAL RANAP 234286 OJI

UMUM
SINOM 2 dr. Nuning CALON BPJ 45836.47 Apotik RawLulu Afifah Pradipta, A.md.farm 27-Jan-24 350
BALAKBAK dr. Lia Sri CALON BPJ 357.48 Apotik RawLulu Afifah Pradipta, A.md.farm 27-Jan-24 349
SINOM 3 dr. Retno BCALON BPJ 9974.99 Apotik RawLulu Afifah Pradipta, A.md.farm 27-Jan-24 392
PANGKUR dr. Amelia CALON SK 14999.98 Apotik RawLulu Afifah Pradipta, A.md.farm 27-Jan-24 394
BALAKBAK dr. Lia Sri CALON SK 3250 Apotik RawLulu Afifah Pradipta, A.md.farm 27-Jan-24 386
BAYI RAWAdr. Nuning UMUM 8910 Apotik RawLulu Afifah Pradipta, A.md.farm 27-Jan-24 347
BAYI RAWAdr. Nuning UMUM 39273.19 Apotik RawLulu Afifah Pradipta, A.md.farm 27-Jan-24 3
DURMA dr. Amelia UMUM 26206.96 Apotik RawLulu Afifah Pradipta, A.md.farm 27-Jan-24 372
27-Jan-24 400
27-Jan-24 346
27-Jan-24 356
27-Jan-24 321
27-Jan-24 344
27-Jan-24 398
27-Jan-24 345
27-Jan-24 353
27-Jan-24 396
27-Jan-24 352
27-Jan-24 342
27-Jan-24 395
27-Jan-24 303
Total Billing Umum Pagi Rp206,103.05 Jumlah Billing BP
BPJS
Jenis Rese No.AntrianPasien RM Nama Poli / Ruangan
MANUAL RANAP 123836 SOLEHAH WIRANGRONG
MANUAL RAJAL 208603 NINA HERLINA IGD
MANUAL RANAP 123836 SOLEHAH WIRANGRONG
MANUAL RANAP 234241 ALVIANA RIANTI MIJIL 2 (PIMCU)
MANUAL RANAP 183646 Tn. ELI SUTARLI WIRANGRONG
MANUAL RANAP 156840 Tn. SYAMSUL BAHRI PANGKUR 2
MANUAL RAJAL 116415 NENI RUKMINI IGD
MANUAL RANAP 234203 NENDEN SETIAWATI MIJIL 1 (ICU)
MANUAL RANAP 233966 HEPPY AFFIFAH DANGDANGGULA 1
MANUAL RANAP 234249 IIS ISNAWATI DANGDANGGULA 1
MANUAL RANAP 234249 IIS ISNAWATI DANGDANGGULA 1
MANUAL RANAP 234203 NENDEN SETIAWATI MIJIL 1 (ICU)
MANUAL RANAP 234370 UJANG RUKANDA DANGDANGGULA 3-B
MANUAL RANAP 141189 Tn. AGUS HERMAWAN BALAKBAK 3-C
MANUAL RAJAL 85923 Ny. SISKA WANDA IGD
MANUAL RANAP 224155 YUNI SHARA RUANG TRANSIT
MANUAL RANAP 234369 UKIR BALAKBAK 3-C
MANUAL RANAP 179990 ZAFRAN MALIK ARRASYID SINOM 3
MANUAL RANAP 234370 UJANG RUKANDA DANGDANGGULA 3-B
MANUAL RANAP 227684 ENI SUYENI RUANG TRANSIT
MANUAL RAJAL 234373 IRAH IGD
MANUAL RANAP 234122 M FAIZ ASMARANDANA (ISOLASI)
Jumlah Billing BPJS Siang 24
BILLING
BPJS
Dokter Penjamin Tagihan Depo
dr. Lia Srimuliawati, Sp.PD BPJS 157373.41 Apotik Rawat Inap
dr. Yohani Aprilia T. BPJS 75505.44 Apotik Rawat Inap
dr. Lia Srimuliawati, Sp.PD BPJS 8325 Apotik Rawat Inap
dr. Nuning Indriyani, Sp.A, M.Kes BPJS 28071.93 Apotik Rawat Inap
dr. Amelia Andriani, M.Kes, Sp.PD BPJS 174141.5 Apotik Rawat Inap
dr. Amelia Andriani, M.Kes, Sp.PD BPJS 97125 Apotik Rawat Inap
dr. Annisa Tri Kusuma, Sp.N BPJS 49861.9 Apotik Rawat Inap
dr. Yanne Trihapsari NM, Sp.OG,M.Kes BPJS 19845.91 Apotik Rawat Inap
dr. Yanne Trihapsari NM, Sp.OG,M.Kes BPJS 2415 Apotik Rawat Inap
dr. H. Gus Riyadi, Sp.B, M.Kes BPJS 397174.96 Apotik Rawat Inap
dr. Annisa Tri Kusuma, Sp.N BPJS 353213.36 Apotik Rawat Inap
dr. Yanne Trihapsari NM, Sp.OG,M.Kes BPJS 39217.36 Apotik Rawat Inap
dr. Retno Budihartani, Sp.A BPJS 22899.99 Apotik Rawat Inap
dr. H. Gus Riyadi, Sp.B, M.Kes BPJS 11247.5 Apotik Rawat Inap
dr. Nuning Indriyani, Sp.A, M.Kes BPJS 61827 Apotik Rawat Inap
BILLING SIANG

Asep Afrizal, A.md Farm 27-Jan-24 354 MANUAL RAJAL 234371
UMUM
Nama Poli / Ruangan Dokter
AZZAHRA ZAAHIRA SINOM 3 dr. Retno Budihartani, Sp.A
AAN BY NY ASMARANDANA (2A) dr. Nuning Indriyani, Sp.A, M.Kes
RESKA PUTRIYANI BY NY ASMARANDANA (LEVEL 1) dr. Nuning Indriyani, Sp.A, M.Kes
ADELIA RIZQIA PUTRI IGD dr. Yohani Aprilia T.
Tn. NAZMI ZAYINUL MUHTAR BALAKBAK 3-C dr. Amelia Andriani, M.Kes, Sp.PD
Total Billing Umum Siang
Penjamin Tagihan Depo Operator Tgl No.Resep
CALON BPJS 8577.52 Apotik Rawat Inap Asep Afrizal, A.md Farm 28-Jan-24 38
UMUM 50791.08 Apotik Rawat Inap Asep Afrizal, A.md Farm 27-Jan-24 458
UMUM 37141.65 Apotik Rawat Inap Asep Afrizal, A.md Farm 27-Jan-24 437
CALON SKTM 21875 Apotik Rawat Inap Asep Afrizal, A.md Farm 28-Jan-24 47
CALON SKTM 45020.96 Apotik Rawat Inap Asep Afrizal, A.md Farm 27-Jan-24 479
27-Jan-24 445
28-Jan-24 104
27-Jan-24 488
28-Jan-24 26
28-Jan-24 3
28-Jan-24 12
27-Jan-24 436
28-Jan-24 45
27-Jan-24 478
28-Jan-24 102
28-Jan-24 37
27-Jan-24 457
28-Jan-24 25
28-Jan-24 1
28-Jan-24 83
28-Jan-24 35
28-Jan-24 11
27-Jan-24 487
28-Jan-24 44
27-Jan-24 476
27-Jan-24 443
28-Jan-24 85
27-Jan-24 485
27-Jan-24 455
28-Jan-24 22
27-Jan-24 494
28-Jan-24 82
28-Jan-24 34
28-Jan-24 10
27-Jan-24 428
27-Jan-24 486
27-Jan-24 475
27-Jan-24 442
28-Jan-24 56
27-Jan-24 484
27-Jan-24 453
28-Jan-24 21
28-Jan-24 9
27-Jan-24 427
28-Jan-24 42
27-Jan-24 474
28-Jan-24 53
27-Jan-24 483
27-Jan-24 449
28-Jan-24 20
27-Jan-24 492
28-Jan-24 32
28-Jan-24 8
27-Jan-24 425
28-Jan-24 41
27-Jan-24 440
28-Jan-24 51
27-Jan-24 482
27-Jan-24 448
28-Jan-24 17
28-Jan-24 7
28-Jan-24 40
27-Jan-24 467
28-Jan-24 18
28-Jan-24 50
27-Jan-24 481
27-Jan-24 447
28-Jan-24 16
27-Jan-24 490
28-Jan-24 30
28-Jan-24 6
28-Jan-24 39
27-Jan-24 466
27-Jan-24 438
28-Jan-24 49
27-Jan-24 480
27-Jan-24 446
28-Jan-24 13
27-Jan-24 489
28-Jan-24 28
28-Jan-24 5
Total Billing Umum Siang Rp163,406.21 Jumlah Billing BPJS Mala
BPJS
MANUAL RANAP 6533 Ny. TITIN BALAKBAK dr. Lia Sri BPJS 104017.9 Apotik Raw
MANUAL RANAP 218901 An. NAADHMIJIL 2 (P dr. Nuning BPJS 78601.02 Apotik Raw
MANUAL RANAP 217361 JIAN ANJANSINOM 3 dr. Retno BBPJS 70574.71 Apotik Raw
MANUAL RANAP 123836 SOLEHAH WIRANGR dr. Lia Sri BPJS 80460.46 Apotik Raw
MANUAL RANAP 141189 Tn. AGUS KINANTI dr. Annisa BPJS 347437.6 Apotik Raw
MANUAL RANAP 122686 An. M ABRISINOM 2 dr. Nuning BPJS 271580.6 Apotik Raw
MANUAL RANAP 156840 Tn. SYAMSPANGKUR dr. Amelia BPJS 423.75 Apotik Raw
MANUAL RANAP 208798 OOM RUANG TRAdr. Amelia BPJS 72150.42 Apotik Raw
MANUAL RANAP 125529 Tn. INDRA BALAKBAK dr. Lia Sri BPJS 87315.9 Apotik Raw
MANUAL RANAP 233972 RAHIDAH ABALAKBAK dr. Lia Sri BPJS 90242.26 Apotik Raw
MANUAL RANAP 226133 GAYATRI DDANGDANG dr. H. Gus BPJS 522877.5 Apotik Raw
MANUAL RANAP 234085 M GAFFI A ISOLASI A dr. Nuning BPJS 218350.2 Apotik Raw
MANUAL RANAP 230752 UYAT BALAKBAK dr. Lia Sri BPJS 219224.5 Apotik Raw
MANUAL RANAP 224155 YUNI SHARRUANG TRAdr. Yanne BPJS 58431.46 Apotik Raw
MANUAL RANAP 234251 Tn. DIDI BALAKBAK dr. Amelia BPJS 71334.69 Apotik Raw
MANUAL RANAP 228845 M FADIL A MIJIL 2 (P dr. Nuning BPJS 299900.5 Apotik Raw
MANUAL RANAP 217745 LUTFI ZAE BALAKBAK dr. Amelia BPJS 62354.11 Apotik Raw
MANUAL RANAP 73421 Tn. YOYO BALAKBAK dr. Lia Sri BPJS 58580 Apotik Raw
MANUAL RAJAL 59902 Ny. AAM IGD dr. PuspariBPJS 188455 Apotik Raw
MANUAL RANAP 234254 ROSITA PANGKUR dr. Amelia BPJS 162601.1 Apotik Raw
MANUAL RANAP 234370 UJANG RU DANGDANG dr. H. Gus BPJS 455761.4 Apotik Raw
MANUAL RANAP 227684 ENI SUYENIRUANG TRAdr. Amelia BPJS 48881.42 Apotik Raw
MANUAL RANAP 234129 ASNI BALAKBAK dr. Amelia BPJS 53832.91 Apotik Raw
MANUAL RANAP 227664 ALFIAN RI SINOM 2 dr. Retno BBPJS 50587.96 Apotik Raw
MANUAL RANAP 222951 Ny. ELI RO MIJIL 1 (IC dr. Lia Sri BPJS 387043.4 Apotik Raw
MANUAL RANAP 234261 UCOK T DANGDANG dr. Amelia BPJS 164272.5 Apotik Raw
MANUAL RANAP 234241 ALVIANA RMIJIL 2 (P dr. Nuning BPJS 29384.43 Apotik Raw
MANUAL RANAP 208707 ENENG BALAKBAK dr. Lia Sri BPJS 50756.19 Apotik Raw
MANUAL RANAP 234133 SONIA SELVRUANG TRAdr. Amelia BPJS 125819.6 Apotik Raw
MANUAL RAJAL 229172 SUHAYA IGD dr. PuspariBPJS 31184.78 Apotik Raw
MANUAL RANAP 234273 ADE PANGKUR dr. Amelia BPJS 13970.2 Apotik Raw
MANUAL RANAP 227849 Tn. DEDI DANGDANG dr. H. Gus BPJS 482332.5 Apotik Raw
MANUAL RANAP 234203 NENDEN SEMIJIL 1 (IC dr. Amelia BPJS 15717.5 Apotik Raw
MANUAL RANAP 156840 Tn. SYAMSPANGKUR dr. Amelia BPJS 376304 Apotik Raw
MANUAL RANAP 233966 HEPPY AFFDANGDANG dr. Annisa BPJS 188786.6 Apotik Raw
MANUAL RANAP 222822 KEYSA PUTSINOM 2 dr. Retno BBPJS 39389.75 Apotik Raw
MANUAL RANAP 133542 An. NAURABALAKBAK dr. Amelia BPJS 52775.44 Apotik Raw
MANUAL RANAP 234067 NIDA ALH SINOM 2 dr. Retno BBPJS 75304.52 Apotik Raw
MANUAL RANAP 234192 TARSA SETBALAKBAK dr. Amelia BPJS 89125 Apotik Raw
MANUAL RANAP 231462 Tn. ENDANDANGDANG dr. H. Gus BPJS 482332.5 Apotik Raw
MANUAL RANAP 222951 Ny. ELI RO MIJIL 1 (IC dr. Lia Sri BPJS 45132.82 Apotik Raw
MANUAL RANAP 234330 FIKA KHAI BALAKBAK dr. Iyan As BPJS 174057 Apotik Raw
MANUAL RANAP 234336 DEDI BALAKBAK dr. Lia Sri BPJS 52481.64 Apotik Raw
MANUAL RANAP 20212 Tn. SAEPU DANGDANG dr. Amelia BPJS 119196 Apotik Raw
MANUAL RANAP 217564 NAISA NURISOLASI A dr. Retno BBPJS 69037.49 Apotik Raw
MANUAL RANAP 146833 Tn. YUSUP BALAKBAK dr. Lia Sri BPJS 38372.47 Apotik Raw
MANUAL RANAP 208603 NINA HERLBALAKBAK dr. Amelia BPJS 66891.84 Apotik Raw
MANUAL RANAP 211093 CACA BALAKBAK dr. Amelia BPJS 135819 Apotik Raw
MANUAL RANAP 234169 SONI SHAHDANGDANG dr. Lia Sri BPJS 7076.25 Apotik Raw
MANUAL RANAP 234203 NENDEN SEMIJIL 1 (IC dr. Amelia BPJS 256399.7 Apotik Raw
MANUAL RANAP 234262 M RAHSYA SINOM 2 dr. Nuning BPJS 38862.48 Apotik Raw
MANUAL RANAP 85923 Ny. SISKA PANGKUR dr. Yanne BPJS 54362.38 Apotik Raw
MANUAL RANAP 234169 SONI SHAHDANGDANG dr. Lia Sri BPJS 51519.68 Apotik Raw
MANUAL RANAP 1541 JAHRI DURMA dr. Lia Sri BPJS 165595.2 Apotik Raw
MANUAL RANAP 227845 WENTI YUNBALAKBAK dr. Iyan As BPJS 3742.5 Apotik Raw
MANUAL RANAP 234338 WAWAT KAPANGKUR dr. Lia Sri BPJS 173752.6 Apotik Raw
MANUAL RANAP 6533 Ny. TITIN BALAKBAK dr. Lia Sri BPJS 8325 Apotik Raw
MANUAL RAJAL 234381 GUGUN G IGD dr. Fajri N BPJS 165157.4 Apotik Raw
MANUAL RANAP 217304 IWAN BALAKBAK dr. Lia Sri BPJS 70811.21 Apotik Raw
MANUAL RANAP 227701 An. M ALB ISOLASI A dr. Retno BBPJS 145144.3 Apotik Raw
MANUAL RANAP 234266 TATI SUHADURMA dr. Amelia BPJS 362893.6 Apotik Raw
MANUAL RANAP 224978 AWAN BALAKBAK dr. Lia Sri BPJS 213959.3 Apotik Raw
MANUAL RANAP 230469 MAMAN BALAKBAK dr. Amelia BPJS 45747.69 Apotik Raw
MANUAL RANAP 234373 IRAH RUANG TRAdr. Amelia BPJS 40286.2 Apotik Raw
MANUAL RANAP 228210 INA PUNARDURMA dr. Amelia BPJS 56839.88 Apotik Raw
MANUAL RANAP 234266 TATI SUHADURMA dr. Amelia BPJS 147168.5 Apotik Raw
MANUAL RANAP 179990 ZAFRAN MA SINOM 3 dr. Retno BBPJS 54824.97 Apotik Raw
MANUAL RANAP 208096 Ny. AAN K BALAKBAK dr. Amelia BPJS 67601.04 Apotik Raw
MANUAL RANAP 171175 Tn. EDANGPANGKUR dr. H. Gus BPJS 358232 Apotik Raw
MANUAL RANAP 234319 ARISHA ZASINOM 1 dr. Nuning BPJS 128210.4 Apotik Raw
MANUAL RANAP 188827 Tn. MAMADANGDANG dr. H. Gus BPJS 380057.5 Apotik Raw
MANUAL RANAP 116415 NENI RUKMRUANG TRAdr. Amelia BPJS 35590.18 Apotik Raw
MANUAL RANAP 233315 IKA KARTIKBALAKBAK dr. Amelia BPJS 112634.9 Apotik Raw
MANUAL RANAP 234369 UKIR BALAKBAK dr. Amelia BPJS 357259.6 Apotik Raw
BILLING MALAM
UMUM
Neng Cahya Titasari, Amd.farm 27-Jan-24 444 MANUAL RANAP 196306 AZZAHRA Z
Neng Cahya Titasari, Amd.farm 28-Jan-24 36 MANUAL RANAP 162961 Ny. IMAS R
Neng Cahya Titasari, Amd.farm 27-Jan-24 435 MANUAL RANAP 234321 ARASYA DZ
Neng Cahya Titasari, Amd.farm 28-Jan-24 43 MANUAL RANAP 234286 OJI
Neng Cahya Titasari, Amd.farm 27-Jan-24 434 MANUAL RANAP 234321 ARASYA DZ
Neng Cahya Titasari, Amd.farm 27-Jan-24 493 MANUAL RANAP 234061 WULAN
Neng Cahya Titasari, Amd.farm 28-Jan-24 33 MANUAL RANAP 234328 CICIH
Neng Cahya Titasari, Amd.farm 27-Jan-24 441 MANUAL RANAP 162547 FITRI NUR
Neng Cahya Titasari, Amd.farm 27-Jan-24 472 MANUAL RANAP 234136 HERMAN A
Neng Cahya Titasari, Amd.farm 28-Jan-24 19 MANUAL RAJAL 234386 FAZILLA AN
Neng Cahya Titasari, Amd.farm 27-Jan-24 491 MANUAL RANAP 131512 Tn. NAZMI
Neng Cahya Titasari, Amd.farm 28-Jan-24 31 MANUAL RANAP 211349 AJIZAH M
Neng Cahya Titasari, Amd.farm 27-Jan-24 439 MANUAL RANAP 234371 ADELIA RIZ
Rp11,212,993.52 Jumlah Billing Umum Malam 13 Total Billing
UMUM
SINOM 3 dr. Retno BCALON BPJ 69174.96 Apotik RawNeng Cahya Titasari, Amd.farm
PANGKUR dr. Amelia CALON SK 144455.6 Apotik RawNeng Cahya Titasari, Amd.farm
SINOM 2 dr. Nuning CALON BPJ 138080.4 Apotik RawNeng Cahya Titasari, Amd.farm
DURMA dr. Amelia UMUM 59387.68 Apotik RawNeng Cahya Titasari, Amd.farm
BALAKBAK dr. Lia Sri UMUM 73450.12 Apotik RawNeng Cahya Titasari, Amd.farm
BALAKBAK dr. Lia Sri CALON SK 58395.89 Apotik RawNeng Cahya Titasari, Amd.farm
BALAKBAK dr. H. Gus UMUM 23402.72 Apotik RawNeng Cahya Titasari, Amd.farm
IGD dr. PuspariCALON BPJ 144279 Apotik RawNeng Cahya Titasari, Amd.farm
BALAKBAK dr. Amelia CALON SK 66266.36 Apotik RawNeng Cahya Titasari, Amd.farm
BALAKBAK dr. Lia Sri CALON BPJ 72735.55 Apotik RawNeng Cahya Titasari, Amd.farm
SINOM 3 dr. Nuning CALON SK 32812.5 Apotik RawNeng Cahya Titasari, Amd.farm
No. B
10 28-Jan-24 156 MANUAL RANAP 122686
11 28-Jan-24 107 MANUAL RANAP 234203
12 28-Jan-24 167 MANUAL RANAP 156840
14 28-Jan-24 154 MANUAL RANAP 234203
15 28-Jan-24 152 MANUAL RANAP 226513
16 28-Jan-24 132 MANUAL RANAP 229310
18 28-Jan-24 166 MANUAL RANAP 218901
19 28-Jan-24 130 MANUAL RANAP 213840
20 28-Jan-24 147 MANUAL RANAP 222951
21 28-Jan-24 162 MANUAL RANAP 234394
22 28-Jan-24 125 MANUAL RANAP 234384
23 28-Jan-24 140 MANUAL RANAP 226513
24 28-Jan-24 161 MANUAL RANAP 234394
25 28-Jan-24 123 MANUAL RANAP 156840
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
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75
76
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79
80
81
82
83
84
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86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp18,854,549.24 Rp2,344,467.99
BILLING PAGI
BPJS
RAHMAH BY N ASMARANDANA (LEdr. Retno BudihaBPJS ### Apotik Rawat
ARISHA ZAINA SINOM 1 dr. Nuning Indri BPJS Rp10,525.01 Apotik Rawat
Tn. AI NENA MIJIL 1 (ICU) dr. Lia SrimuliawBPJS ### Apotik Rawat
KEYSA PUTRI RSINOM 2 dr. Retno BudihaBPJS Rp80,848.93 Apotik Rawat
NIDA ALHUZNASINOM 2 dr. Retno BudihaBPJS Rp10,525.01 Apotik Rawat
An. ANDRE TR IGD dr. Pusparini NoBPJS ### Apotik Rawat
SALSA ZEA RA MIJIL 2 (PIMCU) dr. Nuning Indri CALON BPJS ### Apotik Rawat
An. M ABRIL R SINOM 2 dr. Nuning Indri BPJS Rp84,559.50 Apotik Rawat
An. AZILA M A SINOM 2 dr. Nuning Indri BPJS Rp61,191.19 Apotik Rawat
DEDE MULYANIDURMA dr. Amelia AndriBPJS Rp30,459.36 Apotik Rawat
KABIR RADEYA SINOM 3 dr. Nuning Indri CALON BPJS Rp62,301.21 Apotik Rawat
Tn. SAEPULOH DANGDANGGULA 2dr. Amelia AndriBPJS Rp19,425.00 Apotik Rawat
ENENG SULIMAGURISA (KELAS 3) dr. Yanne Triha BPJS Rp42,561.45 Apotik Rawat
YULLI YULIANTIASMARANDANA (LEdr. Nuning Indri CALON BPJS Rp56,299.75 Apotik Rawat
SALSA ZEA RA MIJIL 2 (PIMCU) dr. Nuning Indri CALON BPJS Rp5,999.99 Apotik Rawat
DEDE MULYANIDURMA dr. Amelia AndriBPJS Rp48,892.72 Apotik Rawat
YULLI YULIANTIASMARANDANA (LEdr. Nuning Indri CALON BPJS Rp56,299.75 Apotik Rawat
Tn. SYAMSUL BPANGKUR 2 dr. Amelia AndriBPJS Rp46,828.12 Apotik Rawat
BILLING PAGI
UMUM
UMUM
Nama Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl No.Resep Jenis Rese
Total Billing Umum Pagi Rp0.00 Jumlah Billing BPJS Siang
BIL
BPJS
RANAP 228845 M FADIL A MIJIL 2 (P dr. Nuning BPJS 6084.19 Apotik Raw
RANAP 234397 DEDI SUPRBALAKBAK dr. Lia Sri BPJS 267681.9 Apotik Raw
RANAP 233958 CASMINAHKINANTI dr. Lia Sri BPJS 737.5 Apotik Raw
RANAP 233972 RAHIDAH ABALAKBAK dr. Lia Sri BPJS 9400.05 Apotik Raw
RANAP 234396 SUKARSIH KINANTI dr. Lia Sri BPJS 79351.56 Apotik Raw
RANAP 146833 Tn. YUSUP BALAKBAK dr. Lia Sri BPJS 20041.81 Apotik Raw
RANAP 126176 Ny. SITI U PANGKUR dr. Lia Sri BPJS 78872.58 Apotik Raw
RANAP 59902 Ny. AAM BALAKBAK dr. Amelia BPJS 88346.13 Apotik Raw
RANAP 59902 Ny. AAM BALAKBAK dr. Amelia BPJS 23749.84 Apotik Raw
RANAP 224978 AWAN BALAKBAK dr. Lia Sri BPJS 2218.6 Apotik Raw
RANAP 227849 Tn. DEDI DANGDANG dr. H. Gus BPJS 48496.92 Apotik Raw
RAJAL 231103 KAIRA IGD dr. Sartika BPJS 15962.49 Apotik Raw
RANAP 133542 An. NAURABALAKBAK dr. Amelia BPJS 1700.01 Apotik Raw
RANAP 234251 Tn. DIDI BALAKBAK dr. Amelia BPJS 5022.5 Apotik Raw
RANAP 234241 ALVIANA RSINOM 2 dr. Nuning BPJS 56540.62 Apotik Raw
RANAP 234368 RESKA PUTGURISA (KEdr. Yanne BPJS 322612.3 Apotik Raw
RANAP 234169 SONI SHAHDANGDANG dr. Lia Sri BPJS 14649.7 Apotik Raw
RANAP 188827 Tn. MAMADANGDANG dr. H. Gus BPJS 79434.42 Apotik Raw
RAJAL 46089 Ny. NENAHIGD dr. Nifa HanBPJS 226580.9 Apotik Raw
RANAP 217304 IWAN BALAKBAK dr. Lia Sri BPJS 65458.08 Apotik Raw
RANAP 211093 CACA BALAKBAK dr. Amelia BPJS 48938.25 Apotik Raw
RANAP 234261 UCOK T DANGDANG dr. Amelia BPJS 62300.45 Apotik Raw
RANAP 231462 Tn. ENDANDANGDANG dr. H. Gus BPJS 48496.92 Apotik Raw
RAJAL 234399 NOVA TISNIGD dr. Sartika BPJS 348672.2 Apotik Raw
RAJAL 232820 MINTARSIHIGD dr. Nifa HanBPJS 226580.9 Apotik Raw
RANAP 222951 Ny. ELI RO MIJIL 1 (IC dr. Lia Sri BPJS 11182.46 Apotik Raw
RANAP 156840 Tn. SYAMSMIJIL 1 (IC dr. Amelia BPJS 260105.2 Apotik Raw
RAJAL 163189 Tn. DADA IGD dr. Nifa HanBPJS 38446.13 Apotik Raw
RANAP 183646 Tn. ELI SUTWIRANGR dr. Amelia BPJS 101250.3 Apotik Raw
RANAP 20212 Tn. SAEPU DANGDANG dr. Amelia BPJS 109420.4 Apotik Raw
RANAP 183646 Tn. ELI SUTWIRANGR dr. Amelia BPJS 0 Apotik Raw
RAJAL 11723 Ny. LILIS IGD dr. Nifa HanBPJS 226580.9 Apotik Raw
RANAP 230752 UYAT BALAKBAK dr. Lia Sri BPJS 14999.98 Apotik Raw
RANAP 234374 AAN SUMAGURISA (KEdr. Yanne BPJS 322612.3 Apotik Raw
RANAP 10477 OON SAODBALAKBAK dr. H. Gus BPJS 82724.46 Apotik Raw
RANAP 234129 ASNI BALAKBAK dr. Amelia BPJS 31957.59 Apotik Raw
RAJAL 4640 Tn. DJUHE IGD dr. Sartika BPJS 132211.3 Apotik Raw
RANAP 125529 Tn. INDRA BALAKBAK dr. Lia Sri BPJS 175 Apotik Raw
RANAP 217745 LUTFI ZAE BALAKBAK dr. Amelia BPJS 42142.87 Apotik Raw
RANAP 173049 KURNIA SAPANGKUR dr. Iyan As BPJS 217664.1 Apotik Raw
RANAP 208707 ENENG BALAKBAK dr. Lia Sri BPJS 27833.75 Apotik Raw
RANAP 230469 MAMAN BALAKBAK dr. Amelia BPJS 320 Apotik Raw
RANAP 234330 FIKA KHAI BALAKBAK dr. Iyan As BPJS 50222 Apotik Raw
RANAP 234192 TARSA SETBALAKBAK dr. Amelia BPJS 45350 Apotik Raw
RANAP 233662 Nn. RESA FBALAKBAK dr. H. Gus BPJS 82724.46 Apotik Raw
RANAP 234273 ADE PANGKUR dr. Amelia BPJS 6921.25 Apotik Raw
RANAP 234370 UJANG RU DANGDANG dr. H. Gus BPJS 244750 Apotik Raw
RANAP 217304 IWAN BALAKBAK dr. Lia Sri BPJS 89577 Apotik Raw
mlah Billing BPJS Siang 49 Total Billing BPJS Siang Rp4,373,177.20
BILLING SIANG
UMUM
Zandy Tiaravani, A.md.farm 28-Jan-24 244 MANUAL RANAP 162547 FITRI NUR
Zandy Tiaravani, A.md.farm 28-Jan-24 309 MANUAL RANAP 229310 KABIR RAD
Zandy Tiaravani, A.md.farm 28-Jan-24 261 MANUAL RANAP 162961 Ny. IMAS R
Zandy Tiaravani, A.md.farm 28-Jan-24 234 MANUAL RANAP 234328 CICIH
Zandy Tiaravani, A.md.farm 28-Jan-24 205 MANUAL RANAP 234061 WULAN
Rp4,373,177.20 Jumlah Billing Umum Siang 5 Total Billing
UMUM
PANGKUR dr. Amelia CALON SK 16738.25 Apotik RawZandy Tiaravani, A.md.farm 29-Jan-24 40
BALAKBAK dr. Lia Sri CALON SK 99900 Apotik RawZandy Tiaravani, A.md.farm 29-Jan-24 39
BALAKBAK dr. Lia Sri UMUM 64519.05 Apotik RawZandy Tiaravani, A.md.farm 29-Jan-24 36
29-Jan-24 35
29-Jan-24 34
29-Jan-24 32
29-Jan-24 31
29-Jan-24 30
29-Jan-24 29
29-Jan-24 28
29-Jan-24 27
29-Jan-24 23
29-Jan-24 22
29-Jan-24 21
29-Jan-24 20
29-Jan-24 19
29-Jan-24 17
29-Jan-24 16
29-Jan-24 15
29-Jan-24 13
29-Jan-24 12
29-Jan-24 11
29-Jan-24 10
29-Jan-24 9
29-Jan-24 8
29-Jan-24 6
29-Jan-24 5
29-Jan-24 3
29-Jan-24 1
28-Jan-24 422
28-Jan-24 418
28-Jan-24 417
28-Jan-24 415
28-Jan-24 414
28-Jan-24 413
28-Jan-24 411
28-Jan-24 410
28-Jan-24 409
28-Jan-24 405
28-Jan-24 402
28-Jan-24 400
28-Jan-24 399
28-Jan-24 396
28-Jan-24 395
28-Jan-24 393
28-Jan-24 392
28-Jan-24 391
28-Jan-24 389
28-Jan-24 388
28-Jan-24 386
28-Jan-24 384
28-Jan-24 383
28-Jan-24 382
28-Jan-24 381
28-Jan-24 378
28-Jan-24 377
28-Jan-24 376
28-Jan-24 375
28-Jan-24 374
28-Jan-24 372
28-Jan-24 370
28-Jan-24 369
28-Jan-24 368
28-Jan-24 367
28-Jan-24 365
28-Jan-24 364
28-Jan-24 360
28-Jan-24 359
28-Jan-24 357
28-Jan-24 356
28-Jan-24 355
28-Jan-24 354
28-Jan-24 352
28-Jan-24 350
28-Jan-24 329
28-Jan-24 324
28-Jan-24 323
28-Jan-24 319
28-Jan-24 317
BILLING
BPJS
MANUAL RANAP 156840 Tn. SYAMSMIJIL 1 (IC dr. Amelia BPJS 30386.2 Apotik Raw
MANUAL RAJAL 231606 GANI MUHIGD dr. Nifa HanBPJS 60031.97 Apotik Raw
MANUAL RAJAL 231759 DADAN IGD dr. Nifa HanBPJS 32476.96 Apotik Raw
MANUAL RAJAL 234415 KIKI PAJARIGD dr. Nifa HanBPJS 113029.4 Apotik Raw
MANUAL RAJAL 163655 Ny. YAYAHIGD dr. Nifa HanBPJS 77367.73 Apotik Raw
MANUAL RAJAL 216666 CUCU HAE IGD dr. Nifa HanBPJS 16227.19 Apotik Raw
MANUAL RANAP 234338 WAWAT KAPANGKUR dr. Lia Sri BPJS 249399.9 Apotik Raw
MANUAL RAJAL 150600 ARIF HIDA IGD dr. Agus HaBPJS 61956.26 Apotik Raw
MANUAL RAJAL 234414 ALINA KHALIGD dr. Nifa HanBPJS 58418.74 Apotik Raw
MANUAL RANAP 234412 RIKA AGUSBALAKBAK dr. Lia Sri BPJS 38675.88 Apotik Raw
MANUAL RAJAL 3759 An. ANIS S IGD dr. Agus HaBPJS 137671.3 Apotik Raw
MANUAL RANAP 116595 Ny. FARID DANGDANG dr. Lia Sri BPJS 119814.5 Apotik Raw
MANUAL RAJAL 118458 Ny. DEDEHIGD dr. Agus HaBPJS 212505 Apotik Raw
MANUAL RANAP 234381 GUGUN G BALAKBAK dr. Amelia BPJS 165767.1 Apotik Raw
MANUAL RANAP 229172 SUHAYA PANGKUR dr. Amelia BPJS 18026.26 Apotik Raw
MANUAL RANAP 133542 An. NAURABALAKBAK dr. Amelia BPJS 20077.35 Apotik Raw
MANUAL RANAP 234369 UKIR BALAKBAK dr. Amelia BPJS 344106.9 Apotik Raw
MANUAL RANAP 116415 NENI RUKMRUANG TRAdr. Amelia BPJS 22291.23 Apotik Raw
MANUAL RANAP 227684 ENI SUYENIRUANG TRAdr. Amelia BPJS 35686.22 Apotik Raw
MANUAL RANAP 234133 SONIA SELVRUANG TRAdr. Amelia BPJS 132172.9 Apotik Raw
MANUAL RANAP 208603 NINA HERLBALAKBAK dr. Amelia BPJS 66599.34 Apotik Raw
MANUAL RANAP 234373 IRAH RUANG TRAdr. Amelia BPJS 37791.24 Apotik Raw
MANUAL RANAP 59902 Ny. AAM BALAKBAK dr. Amelia BPJS 238786.4 Apotik Raw
MANUAL RANAP 141189 Tn. AGUS KINANTI dr. Annisa BPJS 235000 Apotik Raw
MANUAL RANAP 233966 HEPPY AFFDANGDANG dr. Annisa BPJS 195204.1 Apotik Raw
MANUAL RANAP 224155 YUNI SHARRUANG TRAdr. Yanne BPJS 57452.71 Apotik Raw
MANUAL RANAP 171175 Tn. EDANGPANGKUR dr. H. Gus BPJS 357647 Apotik Raw
MANUAL RAJAL 163189 Tn. DADA IGD dr. Nifa HanBPJS 39430.11 Apotik Raw
MANUAL RANAP 4640 Tn. DJUHE PANGKUR dr. Lia Sri BPJS 99952.53 Apotik Raw
MANUAL RANAP 234396 SUKARSIH KINANTI dr. Lia Sri BPJS 82983.93 Apotik Raw
MANUAL RANAP 73421 Tn. YOYO BALAKBAK dr. Lia Sri BPJS 58287.5 Apotik Raw
MANUAL RANAP 231103 KAIRA SINOM 2 dr. Nuning BPJS 45799.98 Apotik Raw
MANUAL RANAP 234241 ALVIANA RSINOM 2 dr. Nuning BPJS 40955.95 Apotik Raw
MANUAL RANAP 98596 An. ANDRESINOM 2 dr. Nuning BPJS 64869.96 Apotik Raw
MANUAL RANAP 156771 Nn. MELYSSINOM 3 dr. Nuning BPJS 44962.5 Apotik Raw
MANUAL RANAP 97294 An. AZILA SINOM 2 dr. Nuning BPJS 61044.94 Apotik Raw
MANUAL RANAP 179990 ZAFRAN MA SINOM 3 dr. Retno BBPJS 38862.48 Apotik Raw
MANUAL RANAP 234262 M RAHSYA SINOM 2 dr. Nuning BPJS 38862.48 Apotik Raw
MANUAL RANAP 234085 M GAFFI A ISOLASI A dr. Nuning BPJS 169153.4 Apotik Raw
MANUAL RANAP 217564 NAISA NURISOLASI A dr. Retno BBPJS 42787.49 Apotik Raw
MANUAL RANAP 227701 An. M ALB ISOLASI A dr. Retno BBPJS 153426.5 Apotik Raw
MANUAL RANAP 227664 ALFIAN RI SINOM 2 dr. Retno BBPJS 98475.43 Apotik Raw
MANUAL RANAP 222822 KEYSA PUTSINOM 2 dr. Retno BBPJS 54377.25 Apotik Raw
MANUAL RANAP 217361 JIAN ANJANSINOM 3 dr. Retno BBPJS 55587.21 Apotik Raw
MANUAL RANAP 234399 NOVA TISNMIJIL 2 (P dr. Nuning BPJS 328383.9 Apotik Raw
MANUAL RANAP 228845 M FADIL A MIJIL 2 (P dr. Nuning BPJS 306662.6 Apotik Raw
MANUAL RANAP 226133 GAYATRI DDANGDANG dr. H. Gus BPJS 536405 Apotik Raw
MANUAL RANAP 234336 DEDI BALAKBAK dr. Lia Sri BPJS 52481.64 Apotik Raw
MANUAL RANAP 183646 Tn. ELI SUTWIRANGR dr. Amelia BPJS 124698.4 Apotik Raw
MANUAL RANAP 227849 Tn. DEDI DANGDANG dr. H. Gus BPJS 131512.5 Apotik Raw
MANUAL RANAP 6533 Ny. TITIN BALAKBAK dr. Lia Sri BPJS 104017.9 Apotik Raw
MANUAL RANAP 228210 INA PUNARDURMA dr. Amelia BPJS 70964.91 Apotik Raw
MANUAL RANAP 1541 JAHRI DURMA dr. Lia Sri BPJS 165595.2 Apotik Raw
MANUAL RANAP 233315 IKA KARTIKBALAKBAK dr. Amelia BPJS 112634.9 Apotik Raw
MANUAL RANAP 226513 DEDE MULDURMA dr. Amelia BPJS 20611.22 Apotik Raw
MANUAL RANAP 123836 SOLEHAH WIRANGR dr. Lia Sri BPJS 142960.5 Apotik Raw
MANUAL RANAP 125529 Tn. INDRA BALAKBAK dr. Lia Sri BPJS 87490.9 Apotik Raw
MANUAL RANAP 126176 Ny. SITI U PANGKUR dr. Lia Sri BPJS 80149.06 Apotik Raw
MANUAL RANAP 208096 Ny. AAN K BALAKBAK dr. Amelia BPJS 66851.04 Apotik Raw
MANUAL RANAP 234397 DEDI SUPRBALAKBAK dr. Lia Sri BPJS 183119.4 Apotik Raw
MANUAL RANAP 188827 Tn. MAMADANGDANG dr. H. Gus BPJS 359865 Apotik Raw
MANUAL RANAP 234254 ROSITA PANGKUR dr. Amelia BPJS 159272.4 Apotik Raw
MANUAL RANAP 230469 MAMAN BALAKBAK dr. Amelia BPJS 35444.99 Apotik Raw
MANUAL RANAP 85923 Ny. SISKA PANGKUR dr. Yanne BPJS 48855.17 Apotik Raw
MANUAL RANAP 217304 IWAN BALAKBAK dr. Lia Sri BPJS 85049.03 Apotik Raw
MANUAL RANAP 231462 Tn. ENDANDANGDANG dr. H. Gus BPJS 471890 Apotik Raw
MANUAL RAJAL 178559 Ny. ATING IGD dr. Nifa HanBPJS 270996.3 Apotik Raw
MANUAL RANAP 222951 Ny. ELI RO MIJIL 1 (IC dr. Lia Sri BPJS 186738 Apotik Raw
MANUAL RAJAL 234416 DEDE IGD dr. Nifa HanBPJS 188964.3 Apotik Raw
MANUAL RANAP 232820 MINTARSIHDANGDANG dr. Iyan As BPJS 762.5 Apotik Raw
MANUAL RAJAL 234416 DEDE IGD dr. Nifa HanBPJS 44677.52 Apotik Raw
BILLING MALAM
UMUM
Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM Nama Poli / Rua
Asep Afrizal, A.md Farm 29-Jan-24 42 MANUAL RAJAL 234408 MAMAY IGD
Asep Afrizal, A.md Farm 29-Jan-24 38 MANUAL RAJAL 234413 PUJI ASTUTIGD
Asep Afrizal, A.md Farm 29-Jan-24 14 MANUAL RANAP 131512 Tn. NAZMIBALAKBAK
Asep Afrizal, A.md Farm 28-Jan-24 407 MANUAL RANAP 234386 FAZILLA ANISOLASI A
Asep Afrizal, A.md Farm 28-Jan-24 406 MANUAL RANAP 234371 ADELIA RIZSINOM 3
Asep Afrizal, A.md Farm 28-Jan-24 404 MANUAL RANAP 234322 ARSYAKA KSINOM 2
Asep Afrizal, A.md Farm 28-Jan-24 403 MANUAL RANAP 234321 ARASYA DZSINOM 2
Asep Afrizal, A.md Farm 28-Jan-24 401 MANUAL RANAP 162547 FITRI NUR SINOM 2
Asep Afrizal, A.md Farm 28-Jan-24 398 MANUAL RANAP 196306 AZZAHRA ZSINOM 3
Asep Afrizal, A.md Farm 28-Jan-24 390 MANUAL RANAP 234384 SALSA ZEA MIJIL 2 (P
Asep Afrizal, A.md Farm 28-Jan-24 366 MANUAL RANAP 211349 AZIZAH M BALAKBAK
Asep Afrizal, A.md Farm 28-Jan-24 361 MANUAL RANAP 234328 CICIH BALAKBAK
Asep Afrizal, A.md Farm 29-Jan-24 4 MANUAL RANAP 234136 HERMAN ABALAKBAK
Asep Afrizal, A.md Farm 28-Jan-24 419 MANUAL RANAP 234432 SITI HODIJ BAYI RAWA
Asep Afrizal, A.md Farm 28-Jan-24 380 MANUAL RANAP 234286 OJI DURMA
Asep Afrizal, A.md Farm 28-Jan-24 321 MANUAL RANAP 234420 DEDE BY NASMARAND
Rp10,260,337.98 Jumlah Billing Umum Malam 16 Total Billing Umum
Dokter Penjamin Tagihan Depo Operator
dr. Nifa HanCALON SK 74431.05 Apotik RawAsep Afrizal, A.md Farm
dr. Nifa HanCALON BPJ 113029.4 Apotik RawAsep Afrizal, A.md Farm
dr. Amelia CALON SK 65973.86 Apotik RawAsep Afrizal, A.md Farm
dr. Nuning CALON BPJ 141409.1 Apotik RawAsep Afrizal, A.md Farm
dr. Nuning CALON SK 32812.5 Apotik RawAsep Afrizal, A.md Farm
dr. Retno BCALON BPJ 254209.5 Apotik RawAsep Afrizal, A.md Farm
dr. Lia Sri CALON BPJ 72735.55 Apotik RawAsep Afrizal, A.md Farm
dr. Lia Sri CALON SK 203870.7 Apotik RawAsep Afrizal, A.md Farm
dr. H. Gus UMUM 306870.6 Apotik RawAsep Afrizal, A.md Farm
dr. Nuning UMUM 40897.75 Apotik RawAsep Afrizal, A.md Farm
dr. Amelia UMUM 64177.68 Apotik RawAsep Afrizal, A.md Farm
dr. Nuning UMUM 18085.88 Apotik RawAsep Afrizal, A.md Farm
No. BPJS
11 29-Jan-24 132 MANUAL RANAP 156840
12 29-Jan-24 169 MANUAL RANAP 234338
13 29-Jan-24 285 MANUAL RANAP 170917
14 29-Jan-24 341 MANUAL RANAP 234004
16 29-Jan-24 130 MANUAL RANAP 156840
17 29-Jan-24 163 MANUAL RANAP 116595
18 29-Jan-24 284 MANUAL RANAP 234040
19 29-Jan-24 210 MANUAL RANAP 224155
21 29-Jan-24 117 MANUAL RANAP 234394
22 29-Jan-24 225 MANUAL RANAP 163655
23 29-Jan-24 160 MANUAL RANAP 234412
24 29-Jan-24 279 MANUAL RANAP 234444
26 29-Jan-24 102 MANUAL RANAP 234415
28 29-Jan-24 157 MANUAL RANAP 163189
29 29-Jan-24 242 MANUAL RANAP 188827
30 29-Jan-24 101 MANUAL RANAP 234415
32 29-Jan-24 156 MANUAL RANAP 234396
33 29-Jan-24 240 MANUAL RANAP 234413
34 29-Jan-24 200 MANUAL RANAP 125529
35 29-Jan-24 219 MANUAL RANAP 216666
37 29-Jan-24 237 MANUAL RANAP 231606
38 29-Jan-24 295 MANUAL RANAP 228845
40 29-Jan-24 152 MANUAL RANAP 233958
41 29-Jan-24 184 MANUAL RANAP 234336
42 29-Jan-24 290 MANUAL RANAP 234399
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp20,892,875.32 Rp1,532,536.79
BILLING PAGI
BPJS
KIKI PAJAR BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp41,533.42 Apotik Rawat
Tn. DEDI DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,212.40 Apotik Rawat
Ny. DEDEH HARBALAKBAK 2-B dr. Lia SrimuliawBPJS Rp8,529.66 Apotik Rawat
NOVA TISNA GISOLASI ANAK dr. Nuning Indri BPJS Rp8,325.00 Apotik Rawat
SOLEHAH WIRANGRONG dr. Lia SrimuliawBPJS ### Apotik Rawat
Nn. SELVYNA DANGDANGGULA 3dr. Riri Handayan BPJS ### Apotik Rawat
Tn. ENDANG DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp49,450.86 Apotik Rawat
Tn. SYAMSUL BMIJIL 1 (ICU) dr. Amelia AndriBPJS Rp4,419.19 Apotik Rawat
WAWAT KARWA PANGKUR 3 dr. Lia SrimuliawBPJS Rp11,274.58 Apotik Rawat
Nn. SELVYNA DANGDANGGULA 3dr. Riri Handayan BPJS ### Apotik Rawat
Ny. ATING DANGDANGGULA 2dr. Lia SrimuliawBPJS Rp46,114.46 Apotik Rawat
Ny. FARIDA BUDANGDANGGULA 1dr. Lia SrimuliawBPJS Rp18,778.42 Apotik Rawat
KANZUL ARASYDANGDANGGULA 2dr. Riri Handayan BPJS ### Apotik Rawat
YUNI SHARA RUANG TRANSIT dr. Yanne Triha BPJS Rp3,375.00 Apotik Rawat
YULLI YULIANTIASMARANDANA (2Adr. Nuning Indri BPJS ### Apotik Rawat
Ny. YAYAH KO BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp91,996.80 Apotik Rawat
RIKA AGUSTIN BALAKBAK 1 dr. Lia SrimuliawBPJS Rp28,493.70 Apotik Rawat
M AKBAR FEBRSINOM 3 dr. Retno BudihaBPJS ### Apotik Rawat
Tn. SYAMSUL BMIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
Ny. TITIN CUMIBALAKBAK 3-A dr. Lia SrimuliawBPJS Rp9,776.75 Apotik Rawat
Tn. DADANG PANGKUR 2 dr. Lia SrimuliawBPJS Rp16,998.05 Apotik Rawat
Tn. MAMAN S DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp81,629.90 Apotik Rawat
KIKI PAJAR BALAKBAK 3-B dr. Lia SrimuliawBPJS ### Apotik Rawat
JAHRI DURMA dr. Lia SrimuliawBPJS ### Apotik Rawat
SUKARSIH KINANTI dr. Lia SrimuliawBPJS Rp8,901.67 Apotik Rawat
PUJI ASTUTI MIJIL 1 (ICU) dr. Lia SrimuliawCALON BPJS Rp85,012.90 Apotik Rawat
Tn. INDRA SUPBALAKBAK 3-D dr. Lia SrimuliawBPJS Rp54,453.90 Apotik Rawat
CUCU HAERUDBALAKBAK 3-D dr. Lia SrimuliawBPJS Rp36,912.44 Apotik Rawat
Tn. DJUHEN PANGKUR 2 dr. Lia SrimuliawBPJS ### Apotik Rawat
GANI MUHAM BALAKBAK 3-D dr. Lia SrimuliawBPJS Rp4,162.50 Apotik Rawat
M FADIL ARDHMIJIL 2 (PIMCU) dr. Nuning Indri BPJS ### Apotik Rawat
RAHMAH BY N ASMARANDANA (2B dr. Retno BudihaBPJS Rp75,257.99 Apotik Rawat
DEDI BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp79,301.04 Apotik Rawat
BILLING PAGI
UMUM
Muhamad Rizky Hidayah, S.Farm 29-Jan-24 70 MANUAL RANAP 234432 SITI HODIJ
Rp5,887,466.53 Jumlah Billing Umum Pagi 1 Total
UMUM
Poli / Rua Dokter Penjamin Tagihan Depo Operator Tgl No.Resep Jenis Rese No.Antrian
BAYI RAWAdr. Nuning UMUM 1750 Apotik RawLulu Afifah 29-Jan-24 429 MANUAL
Total Billing Umum Pagi Rp1,750.00 Jumlah Billing BPJS Siang
BILLING
BPJS
RANAP 233315 IKA KARTIKBALAKBAK dr. Amelia BPJS 32425.45 Apotik Raw
RANAP 208096 Ny. AAN K BALAKBAK dr. Amelia BPJS 8937.2 Apotik Raw
RANAP 228845 M FADIL A MIJIL 2 (P dr. Nuning BPJS 75131.74 Apotik Raw
RANAP 233958 CASMINAHKINANTI dr. Lia Sri BPJS 10812.5 Apotik Raw
RANAP 204801 An. AMIRAMIJIL 2 (P dr. Nuning BPJS 134966.9 Apotik Raw
RANAP 10477 OON SAODBALAKBAK dr. H. Gus BPJS 401113.6 Apotik Raw
RANAP 116415 NENI RUKMRUANG TRAdr. Amelia BPJS 3106.04 Apotik Raw
RANAP 234262 M RAHSYA SINOM 2 dr. Nuning BPJS 58257.66 Apotik Raw
RANAP 3759 An. ANIS S BALAKBAK dr. Riri Ha BPJS 33300 Apotik Raw
RANAP 104983 Tn. AI NENMIJIL 1 (IC dr. Lia Sri BPJS 507598.7 Apotik Raw
RAJAL 234482 ELGA WULIGD dr. Nifa HanBPJS 44677.52 Apotik Raw
RANAP 150600 ARIF HIDA SINOM 1 dr. Nuning BPJS 108502.5 Apotik Raw
RANAP 84429 Tn. TATANG DANGDANG dr. Lia Sri BPJS 79703.66 Apotik Raw
RANAP 227684 ENI SUYENIRUANG TRAdr. Amelia BPJS 24902.43 Apotik Raw
RANAP 133542 An. NAURABALAKBAK dr. Amelia BPJS 56634.35 Apotik Raw
RANAP 228210 INA PUNARDURMA dr. Amelia BPJS 26688.7 Apotik Raw
RANAP 234373 IRAH RUANG TRAdr. Amelia BPJS 139105.6 Apotik Raw
RANAP 116415 NENI RUKMRUANG TRAdr. Amelia BPJS 92081.78 Apotik Raw
RANAP 234133 SONIA SELVRUANG TRAdr. Amelia BPJS 34806.8 Apotik Raw
RANAP 230469 MAMAN BALAKBAK dr. Amelia BPJS 16884.2 Apotik Raw
RANAP 208603 NINA HERLBALAKBAK dr. Amelia BPJS 18275.45 Apotik Raw
RANAP 178559 Ny. ATING DANGDANG dr. Lia Sri BPJS 102285 Apotik Raw
RANAP 234254 ROSITA PANGKUR dr. Amelia BPJS 53262.65 Apotik Raw
RANAP 234394 YULLI YULI ASMARANDdr. Nuning BPJS 4750 Apotik Raw
RAJAL 209936 MARIAM IGD dr. Nifa HanBPJS 18320 Apotik Raw
RANAP 3759 An. ANIS S BALAKBAK dr. Riri Ha BPJS 22200 Apotik Raw
RANAP 234401 ETI ROHAETPANGKUR dr. Amelia BPJS 56962.42 Apotik Raw
RANAP 217304 IWAN BALAKBAK dr. Lia Sri BPJS 59718 Apotik Raw
RANAP 216666 CUCU HAE BALAKBAK dr. Lia Sri BPJS 59718 Apotik Raw
RAJAL 212035 TAUFIK YUIGD dr. Nifa HanBPJS 125857.6 Apotik Raw
RANAP 226513 DEDE MULDURMA dr. Amelia BPJS 26738.23 Apotik Raw
RAJAL 234480 AI ROHAE IGD dr. Yohani ABPJS 369369.1 Apotik Raw
RANAP 234397 DEDI SUPRBALAKBAK dr. Lia Sri BPJS 60923.04 Apotik Raw
RAJAL 70575 Tn. WAWAIGD dr. Nifa HanBPJS 186374 Apotik Raw
RANAP 230752 UYAT BALAKBAK dr. Lia Sri BPJS 64343 Apotik Raw
RANAP 234381 GUGUN G BALAKBAK dr. Amelia BPJS 8512.38 Apotik Raw
RANAP 234369 UKIR BALAKBAK dr. Amelia BPJS 462.5 Apotik Raw
RAJAL 234484 ARSYA AR IGD dr. Nifa HanBPJS 114753.7 Apotik Raw
RANAP 141189 Tn. AGUS KINANTI dr. Annisa BPJS 868.75 Apotik Raw
RANAP 126176 Ny. SITI U PANGKUR dr. Lia Sri BPJS 69766.27 Apotik Raw
42 Total Billing BPJS Siang Rp3,859,468.15
BILLING SIANG
UMUM
Muhamad Fajar Sidik, Amd.farm 29-Jan-24 424 MANUAL RANAP 234386
Muhamad Fajar Sidik, Amd.farm 29-Jan-24 467 MANUAL RAJAL 201576
Rp3,859,468.15 Jumlah Billing Umum Siang 7 Total
UMUM
FAZILLA ANISOLASI A dr. Nuning CALON BPJ 4419.19 Apotik RawMuhamad Fajar Sidik, Amd.farm
Tn. NAZMIBALAKBAK dr. Amelia CALON SK 42575.3 Apotik RawMuhamad Fajar Sidik, Amd.farm
CICIH BALAKBAK dr. Lia Sri CALON SK 126116.4 Apotik RawZandy Tiaravani, A.md.farm
NAURA TRIIGD dr. Nifa HanCALON SK 31981.26 Apotik RawZandy Tiaravani, A.md.farm
FITRI NUR SINOM 2 dr. Nuning UMUM 61827 Apotik RawMuhamad Fajar Sidik, Amd.farm
OJI DURMA dr. Amelia UMUM 19617.6 Apotik RawMuhamad Fajar Sidik, Amd.farm
ELGA WULAASMARANDA dr. Nuning UMUM 38815.88 Apotik RawMuhamad Fajar Sidik, Amd.farm
BPJS
30-Jan-24 17 MANUAL RANAP 11723 Ny. LILIS DANGDANG dr. H. Gus BPJS
30-Jan-24 51 MANUAL RANAP 163655 Ny. YAYAHBALAKBAK dr. Lia Sri BPJS
30-Jan-24 33 MANUAL RANAP 226133 GAYATRI DDANGDANG dr. H. Gus BPJS
30-Jan-24 42 MANUAL RANAP 234381 GUGUN G BALAKBAK dr. Amelia BPJS
30-Jan-24 50 MANUAL RANAP 70575 Tn. WAWABALAKBAK dr. Amelia BPJS
30-Jan-24 32 MANUAL RANAP 216666 CUCU HAE BALAKBAK dr. Lia Sri BPJS
30-Jan-24 40 MANUAL RANAP 211349 AZIZAH M BALAKBAK dr. Lia Sri BPJS
30-Jan-24 21 MANUAL RANAP 234485 DEDI ACHMBALAKBAK dr. Amelia BPJS
30-Jan-24 4 MANUAL RANAP 179298 LAILATUL SINOM 2 dr. Retno BBPJS
30-Jan-24 15 MANUAL RANAP 227845 WENTI YUNBALAKBAK dr. Iyan As BPJS
30-Jan-24 49 MANUAL RANAP 234370 UJANG RU DANGDANG dr. H. Gus BPJS
30-Jan-24 31 MANUAL RANAP 234397 DEDI SUPRBALAKBAK dr. Lia Sri BPJS
30-Jan-24 20 MANUAL RANAP 234198 NOVIANTI BALAKBAK dr. Amelia BPJS
30-Jan-24 3 MANUAL RANAP 234486 RIDAN RA SINOM 2 dr. Retno BBPJS
30-Jan-24 14 MANUAL RANAP 121547 Tn. MAMATDANGDANG dr. NarizkaBPJS
30-Jan-24 29 MANUAL RANAP 234480 AI ROHAE PANGKUR dr. Amelia BPJS
30-Jan-24 19 MANUAL RANAP 233341 Tn. DIDI DANGDANG dr. H. Gus BPJS
30-Jan-24 48 MANUAL RANAP 188827 Tn. MAMADANGDANG dr. H. Gus BPJS
30-Jan-24 2 MANUAL RANAP 210932 ATHARAZKA SINOM 3 dr. Retno BBPJS
30-Jan-24 13 MANUAL RANAP 29236 Tn. ATIK A DURMA dr. Amelia BPJS
30-Jan-24 63 MANUAL RANAP 156840 Tn. SYAMSMIJIL 1 (IC dr. Amelia BPJS
30-Jan-24 37 MANUAL RANAP 231759 DADAN BALAKBAK dr. Lia Sri BPJS
30-Jan-24 28 MANUAL RANAP 126176 Ny. SITI U PANGKUR dr. Lia Sri BPJS
30-Jan-24 9 MANUAL RANAP 92165 Tn. AANG BALAKBAK dr. Lia Sri BPJS
30-Jan-24 62 MANUAL RANAP 213840 ENENG SU GURISA (KEdr. Yanne BPJS
30-Jan-24 45 MANUAL RANAP 123836 SOLEHAH WIRANGR dr. Lia Sri BPJS
30-Jan-24 27 MANUAL RANAP 226513 DEDE MULDURMA dr. Amelia BPJS
30-Jan-24 8 MANUAL RANAP 187351 Ny. NURHABALAKBAK dr. Amelia BPJS
30-Jan-24 35 MANUAL RANAP 231606 GANI MUHBALAKBAK dr. Lia Sri BPJS
30-Jan-24 44 MANUAL RANAP 234401 ETI ROHAETPANGKUR dr. Amelia BPJS
30-Jan-24 26 MANUAL RANAP 217304 IWAN BALAKBAK dr. Lia Sri BPJS
30-Jan-24 7 MANUAL RANAP 179298 LAILATUL SINOM 2 dr. Retno BBPJS
30-Jan-24 18 MANUAL RANAP 162339 Tn. UNDA DANGDANG dr. Iyan As BPJS
30-Jan-24 52 MANUAL RANAP 6533 Ny. TITIN BALAKBAK dr. Lia Sri BPJS
30-Jan-24 34 MANUAL RANAP 212035 TAUFIK YUBALAKBAK dr. Amelia BPJS
30-Jan-24 25 MANUAL RANAP 85923 Ny. SISKA PANGKUR dr. Yanne BPJS
29-Jan-24 579 MANUAL RANAP 208798 OOM RUANG TRAdr. Amelia BPJS
29-Jan-24 578 MANUAL RANAP 208798 OOM RUANG TRAdr. Amelia BPJS
29-Jan-24 577 MANUAL RANAP 178559 Ny. ATING DANGDANG dr. Lia Sri BPJS
29-Jan-24 576 MANUAL RANAP 3759 An. ANIS S BALAKBAK dr. Riri Ha BPJS
29-Jan-24 575 MANUAL RANAP 10477 OON SAODBALAKBAK dr. H. Gus BPJS
29-Jan-24 574 MANUAL RANAP 233662 Nn. RESA FBALAKBAK dr. H. Gus BPJS
29-Jan-24 573 MANUAL RANAP 84429 Tn. TATANG DANGDANG dr. Lia Sri BPJS
29-Jan-24 572 MANUAL RANAP 234412 RIKA AGUSBALAKBAK dr. Lia Sri BPJS
29-Jan-24 571 MANUAL RANAP 234369 UKIR BALAKBAK dr. Amelia BPJS
29-Jan-24 570 MANUAL RANAP 141189 Tn. AGUS KINANTI dr. Annisa BPJS
29-Jan-24 569 MANUAL RANAP 118458 Ny. DEDEHBALAKBAK dr. Lia Sri BPJS
29-Jan-24 567 MANUAL RANAP 4640 Tn. DJUHE PANGKUR dr. Lia Sri BPJS
29-Jan-24 566 MANUAL RANAP 59902 Ny. AAM BALAKBAK dr. Amelia BPJS
29-Jan-24 564 MANUAL RANAP 73421 Tn. YOYO BALAKBAK dr. Lia Sri BPJS
29-Jan-24 563 MANUAL RANAP 116595 Ny. FARID DANGDANG dr. Lia Sri BPJS
29-Jan-24 561 MANUAL RANAP 234396 SUKARSIH KINANTI dr. Lia Sri BPJS
29-Jan-24 560 MANUAL RANAP 163189 Tn. DADA PANGKUR dr. Lia Sri BPJS
29-Jan-24 557 MANUAL RANAP 171175 Tn. EDANGPANGKUR dr. H. Gus BPJS
29-Jan-24 554 MANUAL RANAP 156840 Tn. SYAMSMIJIL 1 (IC dr. Amelia BPJS
29-Jan-24 552 MANUAL RANAP 227845 WENTI YUNBALAKBAK dr. Iyan As BPJS
29-Jan-24 549 MANUAL RANAP 156771 Nn. MELYSSINOM 2 dr. Nuning BPJS
29-Jan-24 548 MANUAL RANAP 231103 KAIRA SINOM 2 dr. Nuning BPJS
29-Jan-24 546 MANUAL RANAP 234444 M AKBAR FSINOM 3 dr. Retno BBPJS
29-Jan-24 545 MANUAL RANAP 234262 M RAHSYA SINOM 2 dr. Nuning BPJS
29-Jan-24 542 MANUAL RANAP 97294 An. AZILA SINOM 2 dr. Nuning BPJS
29-Jan-24 541 MANUAL RANAP 150600 ARIF HIDA SINOM 1 dr. Nuning BPJS
29-Jan-24 540 MANUAL RANAP 98596 An. ANDRESINOM 2 dr. Nuning BPJS
29-Jan-24 538 MANUAL RANAP 227701 An. M ALB ISOLASI A dr. Retno BBPJS
29-Jan-24 537 MANUAL RANAP 234241 ALVIANA RSINOM 3 dr. Nuning BPJS
29-Jan-24 535 MANUAL RANAP 234484 ARSYA AR SINOM 3 dr. Nuning BPJS
29-Jan-24 534 MANUAL RANAP 217564 NAISA NURISOLASI A dr. Retno BBPJS
29-Jan-24 532 MANUAL RANAP 234399 NOVA TISNISOLASI A dr. Nuning BPJS
29-Jan-24 530 MANUAL RANAP 218901 An. NAADHMIJIL 2 (P dr. Nuning BPJS
BILLING MALAM
UMUM
531345 Apotik RawAsep Afrizal, A.md Farm 30-Jan-24 6 MANUAL RANAP
UMUM
234408 MAMAY BALAKBAK dr. Lia Sri CALON SK 77023.73 Apotik RawAsep Afrizal, A.md Farm
234328 CICIH BALAKBAK dr. Lia Sri CALON SK 57193.01 Apotik RawAsep Afrizal, A.md Farm
234491 ROHMAN SBALAKBAK dr. Annisa CALON SK 57265.79 Apotik RawAsep Afrizal, A.md Farm
234481 EULIS PANGKUR dr. Iyan As CALON BPJ 155471.2 Apotik RawAsep Afrizal, A.md Farm
234491 ROHMAN SBALAKBAK dr. Annisa CALON SK 1931.26 Apotik RawAsep Afrizal, A.md Farm
234492 YUSUP BALAKBAK dr. Amelia UMUM 83977.06 Apotik RawAsep Afrizal, A.md Farm
234504 NENENG SITASMARANDA dr. Retno BUMUM 32522.82 Apotik RawAsep Afrizal, A.md Farm
234386 FAZILLA ANISOLASI A dr. Nuning CALON BPJ 136643.4 Apotik RawAsep Afrizal, A.md Farm
234321 ARASYA DZSINOM 2 dr. Nuning CALON BPJ 134882.2 Apotik RawAsep Afrizal, A.md Farm
234371 ADELIA RIZSINOM 3 dr. Nuning CALON SK 32812.5 Apotik RawAsep Afrizal, A.md Farm
234322 ARSYAKA KSINOM 2 dr. Nuning CALON BPJ 134882.2 Apotik RawAsep Afrizal, A.md Farm
201576 NAURA TRISINOM 3 dr. Nuning CALON SK 46969.31 Apotik RawAsep Afrizal, A.md Farm
234384 SALSA ZEA MIJIL 2 (P dr. Nuning CALON BPJ 253859.7 Apotik RawAsep Afrizal, A.md Farm
No. B
10 30-Jan-24 340 MANUAL RAJAL 184226
11 30-Jan-24 437 MANUAL RANAP 234416
12 30-Jan-24 233 MANUAL RANAP 206304
13 30-Jan-24 151 MANUAL RANAP 233341
14 30-Jan-24 124 MANUAL RANAP 156840
15 30-Jan-24 398 MANUAL RANAP 206304
16 30-Jan-24 331 MANUAL RANAP 134823
19 30-Jan-24 116 MANUAL RANAP 222951
20 30-Jan-24 307 MANUAL RANAP 222951
21 30-Jan-24 202 MANUAL RANAP 226133
22 30-Jan-24 431 MANUAL RANAP 222951
25 30-Jan-24 273 MANUAL RANAP 121547
27 30-Jan-24 345 MANUAL RANAP 234507
28 30-Jan-24 226 MANUAL RANAP 232820
30 30-Jan-24 330 MANUAL RAJAL 234512
31 30-Jan-24 109 MANUAL RANAP 104983
32 30-Jan-24 132 MANUAL RANAP 234461
33 30-Jan-24 339 MANUAL RANAP 222951
34 30-Jan-24 133 MANUAL RANAP 234303
35 30-Jan-24 363 MANUAL RANAP 156840
36 30-Jan-24 108 MANUAL RANAP 104983
37 30-Jan-24 131 MANUAL RANAP 234394
38 30-Jan-24 423 MANUAL RANAP 234490
39 30-Jan-24 337 MANUAL RANAP 141189
41 30-Jan-24 130 MANUAL RANAP 234180
42 30-Jan-24 105 MANUAL RANAP 173049
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp23,616,194.69 Rp1,388,522.39
BILLING PAGI
BPJS
Ny. AAM NUR BALAKBAK 2-A dr. Amelia AndriBPJS Rp17,345.38 Apotik Rawat
FADEUL ZAELABALAKBAK 3-C dr. Amelia AndriBPJS ### Apotik Rawat
Ny. SITI HODIJ GURISA (KELAS 3) dr. Santi Maria BPJS ### Apotik Rawat
MARIAM BAYI RAWAT GABUdr. Santi Maria BPJS Rp53,247.19 Apotik Rawat
GUGUN GUNA DURMA dr. Amelia AndriBPJS Rp624.40 Apotik Rawat
RISMAN PURN DANGDANGGULA 2dr. Amelia AndriBPJS ### Apotik Rawat
Tn. NANA SUP IGD dr. Fajri Nugrah BPJS ### Apotik Rawat
DEDE GURISA (KELAS 3) dr. Santi Maria BPJS ### Apotik Rawat
Ny. SITI AISAH BAYI RAWAT GABUdr. Yanne Triha BPJS Rp40,895.05 Apotik Rawat
Tn. DIDI DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp5,651.75 Apotik Rawat
Tn. SYAMSUL BMIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
Ny. SITI AISAH BAYI RAWAT GABUdr. Yanne Triha BPJS Rp86,846.37 Apotik Rawat
Ny. IMAS IPAH BALAKBAK 2-A dr. Lia SrimuliawBPJS ### Apotik Rawat
Ny. LILIS ROHADANGDANGGULA 3dr. H. Gus RiyadBPJS Rp26,212.40 Apotik Rawat
Tn. ATIK A KOSDURMA dr. Amelia AndriBPJS Rp5,651.75 Apotik Rawat
GAYATRI DEWIDANGDANGGULA 3dr. H. Gus RiyadBPJS Rp12,773.24 Apotik Rawat
Ny. ELI ROSMIAMIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp54,749.20 Apotik Rawat
Ny. TUTI SUMABAYI RAWAT GABUdr. Santi Maria BPJS Rp80,615.17 Apotik Rawat
Ny. NENAH DANGDANGGULA 3dr. Iyan Asiana BPJS Rp36,012.40 Apotik Rawat
Tn. MAMAT Z DANGDANGGULA 3dr. Narizka Civi BPJS ### Apotik Rawat
Ny. SISKA WA PANGKUR 3 dr. Yanne Triha BPJS Rp39,882.29 Apotik Rawat
RISMAN PURN DANGDANGGULA 2dr. Amelia AndriBPJS Rp4,717.50 Apotik Rawat
MINTARSIH DANGDANGGULA 3dr. Iyan Asiana BPJS Rp38,724.48 Apotik Rawat
Ny. TIRANIKA DANGDANGGULA 3dr. H. Gus RiyadBPJS Rp762.50 Apotik Rawat
WULAN IGD dr. Fajri Nugrah BPJS ### Apotik Rawat
ANAYYA PUTRIASMARANDANA (FO dr. Retno BudihaBPJS Rp5,538.88 Apotik Rawat
Ny. ELI ROSMIAMIJIL 1 (ICU) dr. Lia SrimuliawBPJS Rp72,235.95 Apotik Rawat
RAHMAH BY N ASMARANDANA (2B dr. Retno BudihaBPJS ### Apotik Rawat
YULLI YULIANTIASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
AI NURAENI GURISA (KELAS 2) dr. Yanne Triha BPJS Rp86,846.37 Apotik Rawat
Tn. AGUS HE KINANTI dr. Annisa Tri K BPJS Rp16,455.74 Apotik Rawat
Ny. TUTI SUMABAYI RAWAT GABUdr. Santi Maria BPJS Rp18,556.29 Apotik Rawat
SITI SARIPAH BASMARANDANA (2B dr. Retno BudihaBPJS ### Apotik Rawat
KURNIA SANDIPANGKUR 2 dr. Iyan Asiana BPJS Rp38,897.60 Apotik Rawat
BILLING PAGI

UMUM
ENENG SULASMARANDA dr. Nuning UMUM 50488.59 Apotik RawLulu Afifah Pradipta, A.md.farm 30-Jan-24
SUCIANTI BASMARANDA dr. Nuning UMUM 54260.76 Apotik RawLulu Afifah Pradipta, A.md.farm 30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
30-Jan-24
Total Billing Umum Pagi Rp104,749.35 Jumlah
BPJS
511 MANUAL RANAP 231606 GANI MUHBALAKBAK dr. Lia Sri BPJS 5880.2
632 MANUAL RAJAL 234509 ARDI MAULIGD dr. Fajri N BPJS 21875
613 MANUAL RANAP 234512 WULAN BALAKBAK dr. Lia Sri BPJS 692.48
554 MANUAL RANAP 156840 Tn. SYAMSMIJIL 1 (IC dr. Amelia BPJS 149932.8
510 MANUAL RANAP 6533 Ny. TITIN BALAKBAK dr. Lia Sri BPJS 26348.75
624 MANUAL RAJAL 39884 Ny. ENTIN IGD dr. Fajri N BPJS 94306.66
612 MANUAL RANAP 4640 Tn. DJUHE PANGKUR dr. Lia Sri BPJS 75345.07
619 MANUAL RANAP 234507 RISMAN P DANGDANG dr. Amelia BPJS 5924.64
508 MANUAL RANAP 234321 ARASYA DZSINOM 2 dr. Nuning BPJS 63221.44
623 MANUAL RAJAL 234552 NANA IGD dr. Fajri N BPJS 527457.2
611 MANUAL RANAP 201765 FADEUL ZABALAKBAK dr. Amelia BPJS 4717.5
525 MANUAL RANAP 234300 USUP MULDANGDANG dr. Riri Ha BPJS 21425.45
541 MANUAL RANAP 126176 Ny. SITI U PANGKUR dr. Lia Sri BPJS 8162.2
551 MANUAL RANAP 213840 ENENG SU GURISA (KEdr. Yanne BPJS 272905.6
618 MANUAL RANAP 234396 SUKARSIH KINANTI dr. Lia Sri BPJS 5063.74
536 MANUAL RANAP 1541 JAHRI DURMA dr. Lia Sri BPJS 17304.85
507 MANUAL RANAP 231103 KAIRA SINOM 2 dr. Nuning BPJS 6143.85
523 MANUAL RANAP 234180 SITI SARIP ASMARANDdr. Retno BBPJS 1750
539 MANUAL RANAP 163189 Tn. DADA PANGKUR dr. Lia Sri BPJS 63301.58
534 MANUAL RANAP 234394 YULLI YULI ASMARANDdr. Nuning BPJS 30876.45
506 MANUAL RANAP 227664 ALFIAN RI SINOM 2 dr. Retno BBPJS 11375
522 MANUAL RANAP 116595 Ny. FARID DANGDANG dr. Lia Sri BPJS 32589.2
590 MANUAL RANAP 234482 ELGA WULGURISA (KEdr. Yanne BPJS 285995.7
626 MANUAL RANAP 208798 OOM RUANG TRAdr. Amelia BPJS 5286.38
518 MANUAL RANAP 211349 AZIZAH M BALAKBAK dr. Lia Sri BPJS 4006
636 MANUAL RANAP 104983 Tn. AI NENMIJIL 1 (IC dr. Lia Sri BPJS 244750
616 MANUAL RANAP 84429 Tn. TATANG PANGKUR dr. Lia Sri BPJS 268912.2
533 MANUAL RANAP 163655 Ny. YAYAHBALAKBAK dr. Lia Sri BPJS 24094.9
589 MANUAL RANAP 98596 An. ANDRESINOM 2 dr. Nuning BPJS 11375
625 MANUAL RANAP 213346 TIKA SULASRUANG TRAdr. Amelia BPJS 177348.4
517 MANUAL RANAP 3759 An. ANIS S BALAKBAK dr. Riri Ha BPJS 24278.9
615 MANUAL RANAP 134823 Ny. IMAS I BALAKBAK dr. Lia Sri BPJS 20000
532 MANUAL RANAP 234542 NATASHA BAYI RAWAdr. Santi BPJS 177705.6
515 MANUAL RANAP 73421 Tn. YOYO BALAKBAK dr. Lia Sri BPJS 175294.8
635 MANUAL RAJAL 234515 GIBRAN NUIGD dr. Fajri N BPJS 90740.76
614 MANUAL RANAP 178559 Ny. ATING RUANG TRAdr. Lia Sri BPJS 11185.01
530 MANUAL RANAP 123424 SITI AMIN GURISA (KEdr. Santi BPJS 115615
457 MANUAL RANAP 188827 Tn. MAMADANGDANG dr. H. Gus BPJS 29712.4
545 MANUAL RANAP 234369 UKIR BALAKBAK dr. Amelia BPJS 14559.2
559 MANUAL RANAP 234401 ETI ROHAETPANGKUR dr. Amelia BPJS 19875.1
547 MANUAL RANAP 1057 Ny. TIRANIDANGDANG dr. H. Gus BPJS 102960.5
634 MANUAL RANAP 234399 NOVA TISNISOLASI A dr. Nuning BPJS 9022.5
557 MANUAL RANAP 217304 IWAN BALAKBAK dr. Lia Sri BPJS 525
546 MANUAL RANAP 234353 ASEP DANGDANG dr. H. Gus BPJS 91641.27
633 MANUAL RANAP 234484 ARSYA AR SINOM 3 dr. Nuning BPJS 8123.81
622 MANUAL RANAP 234481 EULIS DANGDANG dr. Iyan As BPJS 110625
556 MANUAL RANAP 230752 UYAT BALAKBAK dr. Lia Sri BPJS 96174.98
631 MANUAL RANAP 234085 M GAFFI A ISOLASI A dr. Nuning BPJS 1562.51
621 MANUAL RANAP 123836 SOLEHAH WIRANGR dr. Lia Sri BPJS 5287.5
600 MANUAL RANAP 123836 SOLEHAH WIRANGR dr. Lia Sri BPJS 31250
570 MANUAL RANAP 121547 Tn. MAMATDANGDANG dr. NarizkaBPJS 89495.96
544 MANUAL RANAP 234397 DEDI SUPRBALAKBAK dr. Lia Sri BPJS 4330.24
599 MANUAL RANAP 183646 Tn. ELI SUTWIRANGR dr. Amelia BPJS 1243125
630 MANUAL RANAP 234241 ALVIANA RSINOM 3 dr. Nuning BPJS 16650
553 MANUAL RANAP 231759 DADAN BALAKBAK dr. Lia Sri BPJS 286083.1
568 MANUAL RANAP 212035 TAUFIK YUBALAKBAK dr. Amelia BPJS 4717.5
542 MANUAL RANAP 216666 CUCU HAE BALAKBAK dr. Lia Sri BPJS 24308.1
597 MANUAL RANAP 226513 DEDE MULDURMA dr. Amelia BPJS 81085.5
629 MANUAL RANAP 201576 NAURA TRISINOM 3 dr. Nuning BPJS 4749.41
594 MANUAL RANAP 234328 CICIH BALAKBAK dr. Lia Sri BPJS 60075.48
566 MANUAL RANAP 70575 Tn. WAWABALAKBAK dr. Amelia BPJS 87.5
628 MANUAL RANAP 201576 NAURA TRISINOM 3 dr. Nuning BPJS 9625
593 MANUAL RANAP 234328 CICIH BALAKBAK dr. Lia Sri BPJS 19425
563 MANUAL RANAP 234485 DEDI ACHMBALAKBAK dr. Amelia BPJS 64987.6
549 MANUAL RANAP 233811 Nn. JULIANDANGDANG dr. H. Gus BPJS 91641.27
627 MANUAL RANAP 179298 LAILATUL SINOM 2 dr. Retno BBPJS 60501.85
561 MANUAL RANAP 29236 Tn. ATIK A DURMA dr. Amelia BPJS 5681.25
548 MANUAL RANAP 1057 Ny. TIRANIDANGDANG dr. H. Gus BPJS 102960.5
487 MANUAL RANAP 121547 Tn. MAMATDANGDANG dr. NarizkaBPJS 14421
Jumlah Billing BPJS Siang 71 Total Billing BPJS Siang Rp5,86
BILLING SIANG

UMUM
MARIAM BY
BAYI RAWAdr. Nuning UMUM 35991.57 Apotik RawMuhamad Rizky Hidayah, S.Farm 31-Jan-24
YUSUP BALAKBAK dr. Amelia UMUM 450 Apotik RawMuhamad Rizky Hidayah, S.Farm 31-Jan-24
31-Jan-24
30-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
30-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
31-Jan-24
Total Billing Umum Siang Rp36,441.57 Jumlah
BPJS
87 MANUAL RANAP 216666 CUCU HAE BALAKBAK dr. Lia Sri BPJS 92890.64
71 MANUAL RANAP 233341 Tn. DIDI DANGDANG dr. H. Gus BPJS 367620
19 MANUAL RANAP 134823 Ny. IMAS I BALAKBAK dr. Lia Sri BPJS 147680.8
659 MANUAL RANAP 156840 Tn. SYAMSMIJIL 1 (IC dr. Amelia BPJS 137066.8
79 MANUAL RANAP 92165 Tn. AANG BALAKBAK dr. Lia Sri BPJS 53548.68
27 MANUAL RANAP 194857 SUKMANA PANGKUR dr. Amelia BPJS 444634.6
9 MANUAL RANAP 171175 Tn. EDANGPANGKUR dr. H. Gus BPJS 355276.6
53 MANUAL RANAP 70575 Tn. WAWABALAKBAK dr. Amelia BPJS 96311
37 MANUAL RANAP 213346 TIKA SULASRUANG TRAdr. Amelia BPJS 65645.41
61 MANUAL RANAP 150600 ARIF HIDA SINOM 1 dr. Nuning BPJS 59896.38
45 MANUAL RANAP 179298 LAILATUL SINOM 2 dr. Retno BBPJS 211104.5
86 MANUAL RANAP 234198 NOVIANTI BALAKBAK dr. Amelia BPJS 160747.3
70 MANUAL RANAP 230752 UYAT BALAKBAK dr. Lia Sri BPJS 273047.2
18 MANUAL RANAP 114446 Ny. MIMINBALAKBAK dr. Amelia BPJS 56357.1
78 MANUAL RANAP 217304 IWAN BALAKBAK dr. Lia Sri BPJS 90207.17
26 MANUAL RANAP 184226 Tn. NANA BALAKBAK dr. Annisa BPJS 116623.8
8 MANUAL RANAP 84429 Tn. TATANG PANGKUR dr. Lia Sri BPJS 377384
52 MANUAL RANAP 227701 An. M ALB ISOLASI A dr. Retno BBPJS 140796.3
36 MANUAL RANAP 81042 YATI SURYADANGDANG dr. Amelia BPJS 54762.49
60 MANUAL RANAP 234399 NOVA TISNISOLASI A dr. Nuning BPJS 303695.2
44 MANUAL RANAP 234515 GIBRAN NUISOLASI A dr. Nuning BPJS 103238.1
33 MANUAL RAJAL 54864 An. QITHR IGD dr. Fandi BPJS 83066.36
85 MANUAL RANAP 234485 DEDI ACHMBALAKBAK dr. Amelia BPJS 125875
69 MANUAL RANAP 231759 DADAN BALAKBAK dr. Lia Sri BPJS 187545.9
17 MANUAL RANAP 234412 RIKA AGUSBALAKBAK dr. Lia Sri BPJS 97718.36
25 MANUAL RANAP 4640 Tn. DJUHE PANGKUR dr. Lia Sri BPJS 94098.03
7 MANUAL RANAP 234444 M AKBAR FSINOM 3 dr. Retno BBPJS 74785.9
51 MANUAL RANAP 201576 NAURA TRISINOM 3 dr. Nuning BPJS 44908.88
35 MANUAL RANAP 97294 An. AZILA SINOM 2 dr. Nuning BPJS 56676.2
59 MANUAL RAJAL 39884 Ny. ENTIN IGD dr. Fajri N BPJS 75860.16
43 MANUAL RANAP 29236 Tn. ATIK A DURMA dr. Amelia BPJS 86589.73
16 MANUAL RANAP 234322 ARSYAKA KSINOM 2 dr. Nuning BPJS 129199
84 MANUAL RANAP 201765 FADEUL ZABALAKBAK dr. Amelia BPJS 61883.71
68 MANUAL RANAP 183646 Tn. ELI SUTWIRANGR dr. Amelia BPJS 138817.7
14 MANUAL RANAP 141189 Tn. AGUS KINANTI dr. Annisa BPJS 124895.7
76 MANUAL RANAP 118458 Ny. DEDEHBALAKBAK dr. Lia Sri BPJS 55837.72
24 MANUAL RANAP 170917 Nn. SELVY DANGDANG dr. Riri Ha BPJS 77362.51
6 MANUAL RANAP 234348 YOGI RUSTPANGKUR dr. Lia Sri BPJS 78866.48
50 MANUAL RANAP 234484 ARSYA AR SINOM 3 dr. Nuning BPJS 128225.2
34 MANUAL RANAP 234568 FAHIRA AUSINOM 2 dr. Nuning BPJS 132333.9
664 MANUAL RAJAL 234552 NANA IGD dr. Fajri N BPJS 502496.7
58 MANUAL RANAP 234371 ADELIA RIZSINOM 3 dr. Nuning BPJS 32812.5
42 MANUAL RANAP 10477 OON SAODBALAKBAK dr. H. Gus BPJS 471205
15 MANUAL RANAP 234328 CICIH BALAKBAK dr. Lia Sri BPJS 141312.5
67 MANUAL RANAP 227845 WENTI YUNBALAKBAK dr. Iyan As BPJS 79514.36
13 MANUAL RANAP 234512 WULAN BALAKBAK dr. Lia Sri BPJS 351279.6
75 MANUAL RANAP 123836 SOLEHAH WIRANGR dr. Lia Sri BPJS 87592.96
23 MANUAL RANAP 234564 AI ADAWIYGURISA (KEdr. Yanne BPJS 44677.52
5 MANUAL RANAP 234509 ARDI MAULSINOM 2 dr. Nuning BPJS 32812.5
83 MANUAL RANAP 218901 An. NAADHMIJIL 2 (P dr. Nuning BPJS 108537.1
32 MANUAL RANAP 210932 ATHARAZKA SINOM 3 dr. Retno BBPJS 50061
57 MANUAL RANAP 121547 Tn. MAMATDANGDANG dr. NarizkaBPJS 146143.8
41 MANUAL RANAP 234507 RISMAN P DANGDANG dr. Amelia BPJS 75552.94
49 MANUAL RANAP 178559 Ny. ATING RUANG TRAdr. Lia Sri BPJS 114364.5
74 MANUAL RANAP 234397 DEDI SUPRBALAKBAK dr. Lia Sri BPJS 283887
22 MANUAL RANAP 234386 FAZILLA ANISOLASI A dr. Nuning BPJS 133020.7
4 MANUAL RANAP 233662 Nn. RESA FBALAKBAK dr. H. Gus BPJS 482142.5
82 MANUAL RANAP 234561 DEDI RUSEBALAKBAK dr. Amelia BPJS 320950
66 MANUAL RANAP 234040 KANZUL ARDANGDANG dr. Riri Ha BPJS 250991.1
12 MANUAL RANAP 234486 RIDAN RA SINOM 2 dr. Retno BBPJS 45584.75
31 MANUAL RANAP 234370 UJANG RU DANGDANG dr. H. Gus BPJS 746932.5
48 MANUAL RANAP 228845 M FADIL A SINOM 2 dr. Nuning BPJS 229882.7
73 MANUAL RANAP 234414 ALINA KHALSINOM 1 dr. Nuning BPJS 46245.38
21 MANUAL RANAP 234085 M GAFFI A ISOLASI A dr. Nuning BPJS 207938.8
3 MANUAL RANAP 234571 M HARUN DANGDANG dr. Lia Sri BPJS 50951.82
81 MANUAL RANAP 234401 ETI ROHAETPANGKUR dr. Amelia BPJS 96672.84
65 MANUAL RANAP 234481 EULIS DANGDANG dr. Iyan As BPJS 179461.2
11 MANUAL RANAP 208798 OOM RUANG TRAdr. Amelia BPJS 54807.46
55 MANUAL RANAP 234577 EKA BY NY ASMARANDdr. Nuning BPJS 73957.03
39 MANUAL RANAP 234480 AI ROHAE PANGKUR dr. Amelia BPJS 319223.1
63 MANUAL RANAP 234505 AGUNG NUBALAKBAK dr. Amelia BPJS 174885.5
47 MANUAL RANAP 234241 ALVIANA RSINOM 3 dr. Nuning BPJS 55272.18
30 MANUAL RANAP 234396 SUKARSIH KINANTI dr. Lia Sri BPJS 84326.58
88 MANUAL RANAP 234384 SALSA ZEA SINOM 2 dr. Nuning BPJS 138491.5
72 MANUAL RANAP 233966 HEPPY AFFDANGDANG dr. Annisa BPJS 214873.7
20 MANUAL RAJAL 232064 SYIFA NADIGD dr. Fandi BPJS 86815.86
1 MANUAL RANAP 212035 TAUFIK YUBALAKBAK dr. Amelia BPJS 231947.4
80 MANUAL RANAP 104983 Tn. AI NENMIJIL 1 (IC dr. Lia Sri BPJS 414547.1
28 MANUAL RANAP 234550 MURI ISMABALAKBAK dr. Lia Sri BPJS 51389.83
Jumlah Billing BPJS Malam 82 Total Billing BPJS Malam Rp13,091,
BILLING MALAM
UMUM
Apotik RawZandy Tiaravani, A.md.farm 31-Jan-24 10 MANUAL RAJAL 113340
UMUM
JUNAIDI BALAKBAK dr. Lia Sri CALON BPJ 61300.76 Apotik RawZandy Tiaravani, A.md.farm
Ny. EKA HEIGD dr. Ramdhan
CALON BPJ 132252 Apotik RawZandy Tiaravani, A.md.farm
MAMAY BALAKBAK dr. Lia Sri CALON SK 74755.75 Apotik RawZandy Tiaravani, A.md.farm
Ny. NURHABALAKBAK dr. Amelia CALON SK 182712.6 Apotik RawZandy Tiaravani, A.md.farm
ROHMAN SBALAKBAK dr. Annisa CALON SK 57265.79 Apotik RawZandy Tiaravani, A.md.farm
AI ADAWIYASMARANDdr. Nuning UMUM 327086.6 Apotik RawZandy Tiaravani, A.md.farm
YUSUP BALAKBAK dr. Amelia UMUM 83977.06 Apotik RawZandy Tiaravani, A.md.farm
CIAH BALAKBAK dr. Lia Sri UMUM 327981 Apotik RawZandy Tiaravani, A.md.farm
No. BPJS
10 31-Jan-24 187 MANUAL RANAP 234571
11 31-Jan-24 295 MANUAL RANAP 234568
12 31-Jan-24 331 MANUAL RANAP 234586
13 31-Jan-24 262 MANUAL RANAP 234551
14 31-Jan-24 214 MANUAL RANAP 234480
15 31-Jan-24 132 MANUAL RANAP 118458
16 31-Jan-24 183 MANUAL RANAP 234348
17 31-Jan-24 180 MANUAL RAJAL 234584
18 31-Jan-24 328 MANUAL RANAP 234586
19 31-Jan-24 260 MANUAL RANAP 234328
20 31-Jan-24 129 MANUAL RAJAL 113340
21 31-Jan-24 207 MANUAL RANAP 234464
22 31-Jan-24 125 MANUAL RANAP 234464
23 31-Jan-24 181 MANUAL RANAP 134823
24 31-Jan-24 293 MANUAL RANAP 234509
27 31-Jan-24 205 MANUAL RANAP 234512
28 31-Jan-24 121 MANUAL RANAP 162339
29 31-Jan-24 173 MANUAL RANAP 234564
30 31-Jan-24 323 MANUAL RANAP 234527
32 31-Jan-24 119 MANUAL RANAP 217304
34 31-Jan-24 318 MANUAL RANAP 227701
35 31-Jan-24 252 MANUAL RANAP 228845
36 31-Jan-24 116 MANUAL RANAP 234042
38 31-Jan-24 198 MANUAL RANAP 178559
39 31-Jan-24 302 MANUAL RANAP 234515
40 31-Jan-24 250 MANUAL RANAP 228845
41 31-Jan-24 278 MANUAL RANAP 170917
42 31-Jan-24 242 MANUAL RANAP 182641
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Rp17,644,858.93 Rp554,500.67
BILLING PAGI
BPJS
KANZUL ARASYDANGDANGGULA 2dr. Riri Handayan BPJS Rp21,400.23 Apotik Rawat
NAURA TRISHASINOM 3 dr. Nuning Indri BPJS Rp63,037.00 Apotik Rawat
SUKARSIH KINANTI dr. Lia SrimuliawBPJS Rp22,787.19 Apotik Rawat
NANA BALAKBAK 1 dr. Lia SrimuliawBPJS Rp83,212.05 Apotik Rawat
RIDAN RAMDASINOM 2 dr. Retno BudihaBPJS Rp70,800.66 Apotik Rawat
DEDI RUSENDI BALAKBAK 3-C dr. Amelia AndriBPJS Rp33,313.17 Apotik Rawat
M GAFFI A ISOLASI ANAK dr. Nuning Indri BPJS Rp1,562.51 Apotik Rawat
M HARUN ARRA DANGDANGGULA 2dr. Lia SrimuliawBPJS Rp6,270.88 Apotik Rawat
FAHIRA AULIA SINOM 2 dr. Nuning Indri BPJS Rp2,455.87 Apotik Rawat
ADE IIN MIJIL 1 (ICU) dr. Amelia AndriBPJS Rp77,250.00 Apotik Rawat
JUNAIDI BALAKBAK 3-D dr. Lia SrimuliawCALON BPJS ### Apotik Rawat
AI ROHAENAH PANGKUR 3 dr. Amelia AndriBPJS Rp42,735.00 Apotik Rawat
Ny. DEDEH HARBALAKBAK 2-B dr. Lia SrimuliawBPJS Rp6,913.64 Apotik Rawat
YOGI RUSTANDPANGKUR 2 dr. Lia SrimuliawBPJS Rp1,807.56 Apotik Rawat
ENENG RINA MIGD dr. Fandi Dwi C BPJS Rp39,290.40 Apotik Rawat
ADE IIN MIJIL 1 (ICU) dr. Amelia AndriBPJS ### Apotik Rawat
CICIH BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp52,385.00 Apotik Rawat
Ny. EKA HERLI IGD dr. Ramdhani FitCALON BPJS Rp36,553.37 Apotik Rawat
NENENG SITI GURISA (KELAS 2) dr. Santi Maria BPJS Rp87,346.37 Apotik Rawat
NENENG SITI GURISA (KELAS 2) dr. Santi Maria BPJS Rp45,270.05 Apotik Rawat
Ny. IMAS IPAH BALAKBAK 2-A dr. Lia SrimuliawBPJS Rp1,038.72 Apotik Rawat
ARDI MAULANASINOM 2 dr. Nuning Indri BPJS Rp8,312.50 Apotik Rawat
Ny. NENENG SIGURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
An. QITHRIN N BALAKBAK 3-A dr. Lia SrimuliawBPJS Rp2,882.72 Apotik Rawat
WULAN BALAKBAK 2-B dr. Lia SrimuliawBPJS Rp20,582.00 Apotik Rawat
Tn. UNDANG DANGDANGGULA 3dr. Iyan Asiana BPJS Rp36,012.40 Apotik Rawat
AI ADAWIYAH GURISA (KELAS 3) dr. Yanne Triha BPJS ### Apotik Rawat
ENENG SULIMAASMARANDANA (2A dr. Nuning Indri BPJS ### Apotik Rawat
Tn. AANG SUL BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp5,651.24 Apotik Rawat
IWAN BALAKBAK 3-B dr. Lia SrimuliawBPJS Rp53,851.43 Apotik Rawat
Ny. ENTIN RUANG TRANSIT dr. Lia SrimuliawBPJS Rp5,756.22 Apotik Rawat
An. M ALBIAN ISOLASI ANAK dr. Retno BudihaBPJS Rp11,919.45 Apotik Rawat
M FADIL ARDHSINOM 2 dr. Nuning Indri BPJS Rp1,210.00 Apotik Rawat
Ny. RISMA RA DANGDANGGULA 3dr. Iyan Asiana BPJS Rp38,897.60 Apotik Rawat
Tn. DJUHEN PANGKUR 2 dr. Lia SrimuliawBPJS Rp9,226.84 Apotik Rawat
Ny. ATING RUANG TRANSIT dr. Lia SrimuliawBPJS Rp7,783.88 Apotik Rawat
GIBRAN NUR HISOLASI ANAK dr. Nuning Indri BPJS Rp4,675.00 Apotik Rawat
M FADIL ARDHSINOM 2 dr. Nuning Indri BPJS ### Apotik Rawat
Nn. SELVYNA DANGDANGGULA 3dr. Riri Handayan BPJS Rp19,625.00 Apotik Rawat
M DEAN ADZIKMIJIL 2 (PIMCU) dr. Nuning Indri BPJS Rp41,459.41 Apotik Rawat
Tn. DJUHEN PANGKUR 2 dr. Lia SrimuliawBPJS Rp35,408.54 Apotik Rawat
Tn. TATANG SET
PANGKUR 1 dr. Lia SrimuliawBPJS ### Apotik Rawat
BILLING PAGI
UMUM
Lulu Afifah Pradipta, A.md.farm 31-Jan-24 157 MANUAL RANAP 234596 SITI AMINA
Lulu Afifah Pradipta, A.md.farm 31-Jan-24 113 MANUAL RANAP 194857 SUKMANA
Lulu Afifah Pradipta, A.md.farm 31-Jan-24 294 MANUAL RANAP 234600 NATASHA B
Lulu Afifah Pradipta, A.md.farm 31-Jan-24 109 MANUAL RAJAL 234581 AISYAH
Rp2,891,629.30 Jumlah Billing Umum Pagi 6 Total Bi
UMUM
31-Jan-24 411
31-Jan-24 377
31-Jan-24 394
ASMARANDA dr. Retno BUMUM 52905.2 Apotik RawLulu Afifah Pradipta, A.md.farm 31-Jan-24 351
MIJIL 1 (IC dr. Amelia UMUM 44538.75 Apotik RawLulu Afifah Pradipta, A.md.farm 31-Jan-24 363
ASMARANDA dr. Retno BUMUM 61980.2 Apotik RawLulu Afifah Pradipta, A.md.farm 31-Jan-24 409
MIJIL 1 (IC dr. Amelia UMUM 105659.1 Apotik RawLulu Afifah Pradipta, A.md.farm 31-Jan-24 410
MIJIL 1 (IC dr. Amelia UMUM 58420 Apotik RawLulu Afifah Pradipta, A.md.farm 31-Jan-24 391
IGD dr. Fandi UMUM 67576.9 Apotik RawLulu Afifah Pradipta, A.md.farm 31-Jan-24 342
31-Jan-24 362
31-Jan-24 407
31-Jan-24 375
31-Jan-24 418
31-Jan-24 386
31-Jan-24 340
31-Jan-24 401
31-Jan-24 415
31-Jan-24 382
31-Jan-24 399
31-Jan-24 371
31-Jan-24 414
31-Jan-24 328
31-Jan-24 84
31-Jan-24 381
31-Jan-24 398
31-Jan-24 367
31-Jan-24 413
31-Jan-24 396
31-Jan-24 359
31-Jan-24 365
31-Jan-24 412
31-Jan-24 364
Total Billing Umum Pagi Rp391,080.15 Jumlah Billing BP
BPJS
MANUAL RANAP 234552 NANA BALAKBAK dr. Lia Sri BPJS 346.24 Apotik Raw
MANUAL RAJAL 126979 ETI KARWAIGD dr. EprianaBPJS 82767.07 Apotik Raw
MANUAL RANAP 234461 ANAYYA PUASMARANDdr. Retno BBPJS 4163.88 Apotik Raw
MANUAL RANAP 234481 EULIS DANGDANG dr. Iyan As BPJS 42135.1 Apotik Raw
MANUAL RAJAL 167914 Ny. NURAEIGD dr. Fajri N BPJS 21245.4 Apotik Raw
MANUAL RANAP 234401 ETI ROHAETPANGKUR dr. Amelia BPJS 31803.04 Apotik Raw
MANUAL RANAP 121547 Tn. MAMATDURMA dr. NarizkaBPJS 124.88 Apotik Raw
MANUAL RANAP 234053 M UBAIDAH ASMARANDdr. Retno BBPJS 4163.88 Apotik Raw
MANUAL RANAP 231874 KOMALASAGURISA (KEdr. Santi BPJS 86208.65 Apotik Raw
MANUAL RAJAL 14784 Ny. DEDAHIGD dr. EprianaBPJS 66327.5 Apotik Raw
MANUAL RANAP 183646 Tn. ELI SUTWIRANGR dr. Amelia BPJS 43965.94 Apotik Raw
MANUAL RANAP 207658 YUSUF AL PANGKUR dr. Iyan As BPJS 116475.8 Apotik Raw
MANUAL RANAP 182641 M DEAN ADMIJIL 2 (P dr. Nuning BPJS 120878.1 Apotik Raw
MANUAL RANAP 184226 Tn. NANA BALAKBAK dr. Annisa BPJS 762.5 Apotik Raw
MANUAL RANAP 234589 GANIA SUCGURISA (KEdr. Santi BPJS 114047 Apotik Raw
MANUAL RANAP 234505 AGUNG NUBALAKBAK dr. Amelia BPJS 37660.43 Apotik Raw
MANUAL RANAP 29236 Tn. ATIK A DURMA dr. Amelia BPJS 21634.1 Apotik Raw
MANUAL RAJAL 234597 WAWAN SU IGD dr. EprianaBPJS 119368 Apotik Raw
MANUAL RANAP 76512 Nn. SUCIA GURISA (KEdr. Yanne BPJS 67156.66 Apotik Raw
MANUAL RANAP 231874 KOMALASAGURISA (KEdr. Santi BPJS 15193.14 Apotik Raw
MANUAL RANAP 212035 TAUFIK YUBALAKBAK dr. Amelia BPJS 37660.43 Apotik Raw
MANUAL RANAP 234586 ADE IIN MIJIL 1 (IC dr. Amelia BPJS 499407 Apotik Raw
MANUAL RANAP 29236 Tn. ATIK A DURMA dr. Amelia BPJS 45651.7 Apotik Raw
MANUAL RAJAL 174588 Ny. AI SUMIGD dr. EprianaBPJS 238520.4 Apotik Raw
MANUAL RANAP 234589 GANIA SUCGURISA (KEdr. Santi BPJS 15193.14 Apotik Raw
MANUAL RANAP 154029 Ny. ETI MADANGDANG dr. Iyan As BPJS 111326.5 Apotik Raw
MANUAL RANAP 234198 NOVIANTI BALAKBAK dr. Amelia BPJS 25643.14 Apotik Raw
MANUAL RANAP 209936 MARIAM GURISA (KEdr. Santi BPJS 296786.5 Apotik Raw
MANUAL RAJAL 218509 Ny. WAHY IGD dr. EprianaBPJS 276844.3 Apotik Raw
MANUAL RANAP 222320 CITRA DIA PANGKUR dr. Iyan As BPJS 229690.9 Apotik Raw
MANUAL RAJAL 167914 Ny. NURAEIGD dr. Fajri N BPJS 48758.22 Apotik Raw
BILLING SIANG
UMUM
Muhamad Rizky Hidayah, S.Farm 31-Jan-24 356 MANUAL RANAP 234605 Bayi Ny. A
Muhamad Rizky Hidayah, S.Farm 31-Jan-24 402 MANUAL RANAP 194857 SUKMANA
Muhamad Rizky Hidayah, S.Farm 31-Jan-24 417 MANUAL RANAP 194857 SUKMANA
Muhamad Rizky Hidayah, S.Farm 31-Jan-24 379 MANUAL RANAP 234588 M ZAM ZA
Muhamad Rizky Hidayah, S.Farm 31-Jan-24 335 MANUAL RANAP 113340 Ny. EKA HE
Rp2,860,435.44 Jumlah Billing Umum Siang 5 Total
UMUM
ASMARANDdr. Retno BUMUM 33222.13 Apotik RawMuhamad Rizky Hidayah, S.Farm 01-Feb-24 104
MIJIL 1 (IC dr. Amelia UMUM 58275 Apotik RawMuhamad Rizky Hidayah, S.Farm 01-Feb-24 21
MIJIL 1 (IC dr. Amelia UMUM 23373.82 Apotik RawMuhamad Rizky Hidayah, S.Farm 01-Feb-24 4
MIJIL 2 (P dr. Retno BCALON BPJ 47133.32 Apotik RawMuhamad Rizky Hidayah, S.Farm 01-Feb-24 126
GURISA (KEdr. Yanne CALON BPJ 1416.25 Apotik RawNeng Cahya Titasari, Amd.farm 01-Feb-24 12
01-Feb-24 102
01-Feb-24 82
01-Feb-24 55
01-Feb-24 61
01-Feb-24 39
01-Feb-24 90
01-Feb-24 70
01-Feb-24 47
01-Feb-24 31
01-Feb-24 103
01-Feb-24 20
31-Jan-24 454
01-Feb-24 125
01-Feb-24 11
01-Feb-24 101
01-Feb-24 81
01-Feb-24 54
01-Feb-24 60
01-Feb-24 38
01-Feb-24 89
01-Feb-24 69
01-Feb-24 46
01-Feb-24 30
01-Feb-24 19
31-Jan-24 445
01-Feb-24 143
01-Feb-24 124
01-Feb-24 10
01-Feb-24 80
01-Feb-24 53
01-Feb-24 37
01-Feb-24 88
01-Feb-24 68
01-Feb-24 45
01-Feb-24 29
01-Feb-24 100
01-Feb-24 18
31-Jan-24 438
01-Feb-24 122
01-Feb-24 9
01-Feb-24 52
01-Feb-24 36
01-Feb-24 87
01-Feb-24 67
01-Feb-24 44
01-Feb-24 28
01-Feb-24 98
01-Feb-24 79
01-Feb-24 17
31-Jan-24 436
01-Feb-24 120
01-Feb-24 8
01-Feb-24 35
01-Feb-24 86
01-Feb-24 59
01-Feb-24 65
01-Feb-24 43
01-Feb-24 27
01-Feb-24 96
01-Feb-24 75
01-Feb-24 51
31-Jan-24 435
01-Feb-24 117
01-Feb-24 24
01-Feb-24 7
01-Feb-24 16
01-Feb-24 85
01-Feb-24 58
01-Feb-24 64
01-Feb-24 42
01-Feb-24 25
01-Feb-24 94
01-Feb-24 73
01-Feb-24 50
01-Feb-24 34
01-Feb-24 110
01-Feb-24 23
01-Feb-24 6
01-Feb-24 128
01-Feb-24 15
31-Jan-24 459
01-Feb-24 84
01-Feb-24 57
01-Feb-24 63
01-Feb-24 41
01-Feb-24 92
01-Feb-24 72
01-Feb-24 49
01-Feb-24 33
Total Billing Umum Siang Rp163,420.52 Jumlah Billing BPJS

BILLI
BPJS
MANUAL RANAP 226513 DEDE MULDURMA dr. Amelia BPJS 43078.72 Apotik Raw
MANUAL RANAP 234399 NOVA TISNISOLASI A dr. Nuning BPJS 298833.9 Apotik Raw
MANUAL RANAP 234394 YULLI YULI ASMARANDdr. Nuning BPJS 89156.81 Apotik Raw
MANUAL RANAP 210932 ATHARAZKA SINOM 3 dr. Retno BBPJS 50061 Apotik Raw
MANUAL RANAP 123836 SOLEHAH WIRANGR dr. Lia Sri BPJS 118843 Apotik Raw
MANUAL RANAP 233341 Tn. DIDI DANGDANG dr. H. Gus BPJS 365167.5 Apotik Raw
MANUAL RANAP 134823 Ny. IMAS I BALAKBAK dr. Lia Sri BPJS 59913.24 Apotik Raw
MANUAL RANAP 140929 An. M HIJ SINOM 2 dr. Retno BBPJS 44962.5 Apotik Raw
MANUAL RANAP 167914 Ny. NURAEPANGKUR dr. Santi BPJS 31868.1 Apotik Raw
MANUAL RANAP 10477 OON SAODBALAKBAK dr. H. Gus BPJS 471205 Apotik Raw
MANUAL RANAP 234601 NANA BALAKBAK dr. Amelia BPJS 24556.44 Apotik Raw
MANUAL RANAP 54864 An. QITHR BALAKBAK dr. Lia Sri BPJS 83586.44 Apotik Raw
MANUAL RANAP 234486 RIDAN RA SINOM 2 dr. Retno BBPJS 45584.75 Apotik Raw
MANUAL RANAP 234397 DEDI SUPRBALAKBAK dr. Lia Sri BPJS 96949.24 Apotik Raw
MANUAL RANAP 121547 Tn. MAMATDURMA dr. NarizkaBPJS 149939.6 Apotik Raw
MANUAL RANAP 234348 YOGI RUSTPANGKUR dr. Lia Sri BPJS 79842.66 Apotik Raw
MANUAL RANAP 234512 WULAN BALAKBAK dr. Lia Sri BPJS 372133.3 Apotik Raw
MANUAL RANAP 218509 Ny. WAHY BALAKBAK dr. Amelia BPJS 181735.6 Apotik Raw
MANUAL RANAP 213346 TIKA SULASRUANG TRAdr. Amelia BPJS 50156.49 Apotik Raw
MANUAL RANAP 75567 NENG METIPANGKUR dr. Amelia BPJS 118509.4 Apotik Raw
MANUAL RANAP 234484 ARSYA AR SINOM 3 dr. Nuning BPJS 137253.9 Apotik Raw
MANUAL RANAP 234484 ARSYA AR SINOM 3 dr. Nuning BPJS 19075.77 Apotik Raw
MANUAL RANAP 974 Ny. YANTI GURISA (KEdr. Santi BPJS 22931.29 Apotik Raw
MANUAL RANAP 234303 RAHMAH BASMARANDdr. Retno BBPJS 125623.2 Apotik Raw
MANUAL RANAP 179298 LAILATUL SINOM 2 dr. Retno BBPJS 211104.5 Apotik Raw
MANUAL RANAP 126979 ETI KARWAKINANTI dr. Amelia BPJS 21917.48 Apotik Raw
MANUAL RANAP 234619 DEDE SOPIDURMA dr. Amelia BPJS 49180.68 Apotik Raw
MANUAL RANAP 81042 YATI SURYADANGDANG dr. Amelia BPJS 55218.61 Apotik Raw
MANUAL RANAP 234491 ROHMAN SBALAKBAK dr. Annisa BPJS 61322.87 Apotik Raw
MANUAL RANAP 204430 Ny. TITINGPANGKUR dr. Amelia BPJS 65488.1 Apotik Raw
MANUAL RANAP 92165 Tn. AANG BALAKBAK dr. Lia Sri BPJS 62739.72 Apotik Raw
MANUAL RANAP 234515 GIBRAN NUISOLASI A dr. Nuning BPJS 103238.1 Apotik Raw
MANUAL RANAP 1057 Ny. TIRANIDANGDANG dr. H. Gus BPJS 132414.3 Apotik Raw
MANUAL RANAP 55493 ERLANGGASINOM 3 dr. Retno BBPJS 62833.25 Apotik Raw
MANUAL RANAP 234597 WAWAN SU DANGDANG dr. Amelia BPJS 170289.2 Apotik Raw
MANUAL RANAP 234590 DEDE HAS DANGDANG dr. Iyan As BPJS 88862.3 Apotik Raw
MANUAL RANAP 114446 Ny. MIMINBALAKBAK dr. Amelia BPJS 50210.72 Apotik Raw
MANUAL RANAP 178559 Ny. ATING RUANG TRAdr. Lia Sri BPJS 122598.8 Apotik Raw
MANUAL RANAP 234571 M HARUN DANGDANG dr. Lia Sri BPJS 58888.82 Apotik Raw
MANUAL RANAP 234322 ARSYAKA KSINOM 2 dr. Nuning BPJS 136628.5 Apotik Raw
MANUAL RANAP 104983 Tn. AI NENDANGDANG dr. Lia Sri BPJS 297490.4 Apotik Raw
MANUAL RANAP 234509 ARDI MAULSINOM 2 dr. Nuning BPJS 32812.5 Apotik Raw
MANUAL RANAP 150600 ARIF HIDA SINOM 1 dr. Nuning BPJS 17625 Apotik Raw
MANUAL RANAP 233811 Nn. JULIANDANGDANG dr. H. Gus BPJS 132414.3 Apotik Raw
MANUAL RANAP 154029 Ny. ETI MADANGDANG dr. Iyan As BPJS 49944.87 Apotik Raw
MANUAL RANAP 70575 Tn. WAWABALAKBAK dr. Amelia BPJS 85206.36 Apotik Raw
MANUAL RANAP 234584 ENENG RINBALAKBAK dr. Lia Sri BPJS 40329.12 Apotik Raw
MANUAL RANAP 39884 Ny. ENTIN RUANG TRAdr. Lia Sri BPJS 81616.38 Apotik Raw
MANUAL RANAP 234561 DEDI RUSEBALAKBAK dr. Amelia BPJS 344615.1 Apotik Raw
MANUAL RANAP 234386 FAZILLA ANISOLASI A dr. Nuning BPJS 137951 Apotik Raw
MANUAL RANAP 234480 AI ROHAE PANGKUR dr. Amelia BPJS 54288.1 Apotik Raw
MANUAL RANAP 234507 RISMAN P DANGDANG dr. Amelia BPJS 80097.17 Apotik Raw
MANUAL RANAP 180109 Nn. HESTI GURISA (KEdr. Santi BPJS 22727.25 Apotik Raw
MANUAL RANAP 234353 ASEP DANGDANG dr. H. Gus BPJS 132414.3 Apotik Raw
MANUAL RANAP 234384 SALSA ZEA SINOM 2 dr. Nuning BPJS 138502.7 Apotik Raw
MANUAL RANAP 234408 MAMAY BALAKBAK dr. Lia Sri BPJS 76421.87 Apotik Raw
MANUAL RANAP 234552 NANA BALAKBAK dr. Lia Sri BPJS 479700.5 Apotik Raw
MANUAL RANAP 233662 Nn. RESA FBALAKBAK dr. H. Gus BPJS 482142.5 Apotik Raw
MANUAL RANAP 97294 An. AZILA SINOM 2 dr. Nuning BPJS 57509.26 Apotik Raw
MANUAL RANAP 231759 DADAN BALAKBAK dr. Lia Sri BPJS 75540.51 Apotik Raw
MANUAL RANAP 216666 CUCU HAE BALAKBAK dr. Lia Sri BPJS 86364.8 Apotik Raw
MANUAL RANAP 234594 ASTRI PUTRPANGKUR dr. Iyan As BPJS 88516.06 Apotik Raw
MANUAL RANAP 234414 ALINA KHALSINOM 1 dr. Nuning BPJS 48744.56 Apotik Raw
MANUAL RANAP 234394 YULLI YULI ASMARANDdr. Nuning BPJS 14038.73 Apotik Raw
MANUAL RANAP 234568 FAHIRA AUSINOM 2 dr. Nuning BPJS 136005.2 Apotik Raw
MANUAL RAJAL 234615 SITI SOPIA IGD dr. Ramdhan BPJS 2948.76 Apotik Raw
MANUAL RANAP 234485 DEDI ACHMBALAKBAK dr. Amelia BPJS 122876.5 Apotik Raw
MANUAL RANAP 234412 RIKA AGUSBALAKBAK dr. Lia Sri BPJS 90634.48 Apotik Raw
MANUAL RANAP 184226 Tn. NANA BALAKBAK dr. Annisa BPJS 29261.25 Apotik Raw
MANUAL RANAP 171175 Tn. EDANGPANGKUR dr. H. Gus BPJS 361676.6 Apotik Raw
MANUAL RANAP 201765 FADEUL ZABALAKBAK dr. Amelia BPJS 61883.71 Apotik Raw
MANUAL RANAP 163355 Tn. WAWADURMA dr. Amelia BPJS 53630.92 Apotik Raw
MANUAL RANAP 150600 ARIF HIDA SINOM 1 dr. Nuning BPJS 62395.56 Apotik Raw
MANUAL RANAP 182641 M DEAN ADMIJIL 2 (P dr. Nuning BPJS 43159.1 Apotik Raw
MANUAL RANAP 234004 UYUN BY NASMARANDdr. Retno BBPJS 128573.2 Apotik Raw
MANUAL RANAP 234444 M AKBAR FSINOM 3 dr. Retno BBPJS 87243.79 Apotik Raw
MANUAL RANAP 234198 NOVIANTI BALAKBAK dr. Amelia BPJS 161266.7 Apotik Raw
MANUAL RANAP 233341 Tn. DIDI DANGDANG dr. H. Gus BPJS 365167.5 Apotik Raw
MANUAL RANAP 167914 Ny. NURAEPANGKUR dr. Santi BPJS 31868.1 Apotik Raw
MANUAL RANAP 10477 OON SAODBALAKBAK dr. H. Gus BPJS 471205 Apotik Raw

BILLING MALAM
UMUM
Rp11,892,794.19 Jumlah Billing Umum Malam 0 Total Billing U

UMUM
Total Billing Umum Malam Rp0.00

Billing Ranap Januari 2024

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No.

Tgl No.Resep Jenis Resep No.Antrian Pasien RM

Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.Antrian

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Jumlah Billing BPJS Malam 85 Total Billing BPJS Malam

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.Antrian

Rp8,277,704.09 Jumlah Billing Umum Malam

Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Total Billing Umum Siang Rp237,166.05 Jumlah Billing BPJS M

Jumlah Billing BPJS Malam 90 Total Billing BPJS Malam Rp10,050,168.72

Rp10,050,168.72 Jumlah Billing Umum Malam 10 Total Billing

Depo Operator Tgl No.Resep Jenis Rese

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.Antrian

Rp182,061.94 Jumlah Billing BPJS Malam 88 Tota

Total Billing BPJS Malam Rp8,744,552.01 Jumlah Billing

Total Billing Umum Siang Rp116,098.23 Jumlah Billing BPJ

Jumlah Billing BPJS Malam 88 Total Billing BPJS Malam Rp10,267,440.22

Rp10,267,440.22 Jumlah Billing Umum Malam 12 Total Billing U

Operator Tgl No.Resep Jenis Rese No.Antrian

Rp541,222.21 Jumlah Billing BPJS Malam 90 Tot

Total Billing BPJS Malam Rp10,416,369.02 Jumlah Bill

Total Billing Umum Siang Rp338,517.86 Jumlah Billing BP

Jumlah Billing BPJS Malam 87 Total Billing BPJS Malam Rp8,43

Rp8,430,642.01 Jumlah Billing Umum Malam 10

Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.Antrian

Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.Antrian

Rp513,090.76 Jumlah Billing BPJS Malam 85 Total Billing B

Total Billing BPJS Malam Rp11,866,326.84 Jumlah Billing Um

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Jumlah Billing BPJS Malam 90 Total Billing BPJS Malam

Tagihan Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien

Rp11,262,226.55 Jumlah Billing Umum Malam 21

Total Billing BPJS Pagi Rp7,427,469.39

Rp7,427,469.39 Jumlah Billing Umum Pagi 11 Total Bil

Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Depo Operator Tgl No.Resep Jenis Rese No.AntrianPasien RM

Total Billing Umum Siang Rp163,420.52 Jumlah Billing BPJS

Jumlah Billing BPJS Malam 94 Total Billing BPJS Malam Rp11,892,794.19

Rp11,892,794.19 Jumlah Billing Umum Malam 0 Total Billing U

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