Retribusi 2024

RETRIBUSI JASA PELAYAN KESEHATAN PKM BARONG TONGKOK JANUARI 2024
Tanggal 2 Januari 2024

SEX JENIS THERAPI
NO TGL NAMA PASIEN ALAMAT UMUR PELAYANANNAMA OBAT/ JML SARANA JASPEL BMHP TOTAL
(L/P)
(Thn) (RJ/RI) BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/2/2024 Darhan S.sari 4/4/1969 L RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Lora 5
ACT 10
Vc 5
Non Racikan 1 Rp 500 Rp 2,000 Rp 500 Rp 3,000
2 Alfaro Br.tongkok 9/25/2022 L RJ PCT 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 3
Bc 3
Racikan 1 Rp 500 Rp 3,500 Rp 1,000 Rp 5,000
3 Christiano Mencimai 6/6/2013 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Dexa 10
Ibu 10
Bc 5
4 Elisabet Ombau 7/23/2021 P RJ Amox 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zinc 10
PCT 3
CTM 3
Bc 3
Genta salep 1
5 Alwairan Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Yogi Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
7 Hanisandi Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
8 Dinosius Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Indri Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 nandini Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
11 Alexander Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 Zidni Br.tongkok P RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 3
CTM 3
Vc 3
13 Erlangga Intu lingau 12/24/2014 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
14 Angga Sb.sari 8/2/2017 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Domp 10
15 Sherlyana Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Ofler M.asa 10/12/1998 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
17 Assyfa Sb.sari 3/23/2021 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
18 Krisna Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Aselina R.basuki 5/4/2017 P RJ PCT sy 1
Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
20 Rupina Ngenyan asa 7/12/1995 P RJ Pil Kombinasi 1 Rp 1,000 Rp 5,500 Rp 5,500 Rp 12,000
21 Andreas Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
22 Razhi Br.tongkok 9/5/2017 L RJ Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
23 Mr x Br.tongkok L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
24 Qiana Belempung 11/3/2023 P RJ Amox 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT sy 1
Genta salep 1
25 Mitiq intu lngau 5/7/1964 P RJ amox 20 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 10
Bc 10
OMZ 10
26 Joko S.darat 3/6/2000 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
27 Noor Balok 6/13/2020 L RJ Cotri sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 5
Bc 5
Act 5
CTM 5
28 Yashiel Damai 6-12018 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
29 Grascila Lay 12/30/2023 P RJ KN3 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
30 Supriadi Sembuan 4/10/1965 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
31 Tamara Juhan asa 9/8/2022 P RJ CTM 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 3
Vc 3
Bc 3
amox sy 1
Chloram slp 1
32 SyAFIRA Br.tongkok 6/11/2022 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
Bc 2
Amox sy 1
33 Yeheskiel s.raya 12/20/2013 L RJ Vc 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 4
DHF Rp 1,000 Rp 20,000 Rp 39,000 Rp 60,000
Darah Rutin 1 Rp 4,000 Rp 7,000 Rp 9,000 Rp 20,000
34 Yudandi Balok 3/8/1996 L RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Attpulgit 6
35 Tamara Juhan asa 9/8/2022 P RJ Amox 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zinc 10
Oralit 10
PCT 1
Bc 1
36 Luhi Benung 11/10/1984 P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Keto 1
Chloram slp 1
Amox 15
37 Qoriah S.raya 4/9/2020 L RJ Keto 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Genta salep 1
CTM 5
PCT 1
38 Vina Br.tongkok 12/19/2020 P RJ dexa 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Lora 5
PCT 1
39 Heni Br.tongkok 5/4/1987 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 10
40 Kristiana Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
41 Laurensius Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
42 annga Sb.sari 8/2/2017 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Dmp 10
43 Rafasya Br.tongkok 9/11/2023 P RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zinc 10
Oralit 10
PCT 1
Bc 1
Jumlah 1 Rp 222,000 Rp 356,200 Rp 172,800 Rp 751,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/3/2024 Marce S.raya 1/1/1970 P RJ Amlo 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Diment 10
Domp 10
OMZ 10
2 erlangga Intu lingau 12/4/2014 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
3 Maria S.raya 11/8/2017 P RJ Ceti sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
4 Indra S.raya 6/26/1993 L RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Dexa 10
OMZ 10
Bc 5
5 Putri S.raya 25-2-006 P RJ Asfolat Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Fe
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000.00
Konseling Catin 1 Rp 1,000 Rp 9,000 Rp 15,000 Rp 25,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
Sifilis 1 Rp 1,000 Rp 12,000 Rp 12,000 Rp 25,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
6 Andreas Gn.rampah 10/7/2006 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
7 Nabila Br.tongkok 10/31/2017 P RJ PCT 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 4
Vc 4
8 Oscar Juaq asa 3/4/1999 L RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 1
Vc 1
9 Ester Br,tongkok 8/24/1988 P RJ Simvas 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Trigliserida 1 Rp 4,000 Rp 11,000 Rp 10,000 Rp 25,000
Chlestrol Total 1 Rp 2,000 Rp 9,000 Rp 9,000 Rp 20,000
10 Gres Ngenyan 12/19/2023 P RJ KN1 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
11 M.daffa Ombau 12/6/2013 L RJ Ceti sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 5
ACT 5
Vc 5
12 Syauqi damai 6/13/2022 L RJ Metro 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 5
Vc 5
Amox sy 1
PCT 2
CTM 2
13 Neni damai 12/31/2001 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 5
Amox 15
14 Indra Damai 7/20/2001 L RJ Nadik 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 5
15 Mardawati damia 9/1/1997 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 5
Diment 10
16 Hariati S.raya 10/10/1993 P RJ OMZ 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
17 Daniel Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Ariska Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Mandasari Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
devi Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Dama;kus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Karen Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Mariana Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Rosmi Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
acok Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Indri Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Kosegiur Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 168,500 Rp 355,100 Rp 281,400 Rp 805,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/4/2024 Susi S,raya 10/14/1996 L RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
bc 10
Antasida 10
DHF Rp 1,000 Rp 20,000 Rp 39,000 Rp 60,000
2 Theresia Ngenyan 9/16/2017 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 6
3 Klein Br.tongkok 8/22/2023 L RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 1
chloram 1
Vc
4 Hariati S.raya 10/10/1993 P RJ Cipro 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Domp 6
Urin stik 1 Rp 1,000 Rp 6,000 Rp 8,000 Rp 15,000
Sedimen 1 Rp 2,000 Rp 4,000 Rp 2,000 Rp 8,000.00
5 Fahzli Br.tongkok 6/16/2023 L RJ Zinc 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Oralit 5
6 Elsa Br.tongkok 12/12/2000 P RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
Dexa 10
ACT 10
7 Ahmad Br.tongkok 7/10/1987 L RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 10
8 Umi S.raya 2/27/2009 P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
ACT 10
Amox 10
9 Darisaa ngenyan 10/12/2021 P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 2
Bc 2
10 Ashana Br.tongkok 5/14/2023 L RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Salbu 2
Bc 2
11 Yuda S.raya 7/29/2003 L RJ Asmef 15
Perawatan luka 1 Rp 4,000 Rp 5,000 Rp 4,000 Rp 13,000.00
12 Victoria R.basuki 11/9/2000 P RJ Nadik 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
13 Veronika L.bagung 3/22/1978 P RJ Cap 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 5
14 Naila Sb.sari 12/31/2021 P RJ ACT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
PCT 2
DHF Rp 1,000 Rp 20,000 Rp 39,000 Rp 60,000
15 askara s.sari 9/12/2017 L RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
16 Rachel S.sari 11/28/2015 L RJ PCT sy 1
Amox sy 1
Tumpat Sementa 1 Rp 5,000 Rp 15,000 Rp 10,000 Rp 30,000.00
17 Arum Br.tongkok p RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Arisnti Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 sista Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
20 Belgita Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
21 Alentinus Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
22 Lindi Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
23 Mustaqim Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
24 Matius Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
25 Mariani Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 136,000 Rp 254,800 Rp 165,200 Rp 556,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/5/2024 Sumitya Ngenyan 7/30/2009 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 5
2 Danissa Ngenyan 10/12/2021 P RJ Amox 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 2
Vc 2
ACT 2
Domp 1
DHF Rp 1,000 Rp 20,000 Rp 39,000 Rp 60,000
3 Jasinta Br.tongkok 1/10/1992 P RJ Amox 15 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 10
CTM 10
Bc 5
4 Mikro Br.tongkok 7/23/2002 L RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Bc 5
5 Ari saputra Gm.asa 5/29/1997 L RJ Anti HM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
6 Devaliano Br.tongkok 10/4/2022 L RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Salbu 2
Vc 2
7 Palentinus Ngenyan 1/14/1996 L RJ HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
Pengobatan 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
8 Beatrik S.raya 10/11/1995 P RJ Kontrol IUD 1 Rp 1,500 Rp 15,500 Rp 8,000 Rp 25,000.00
9 Rosin S.raya 3/11/2000 P RJ Loratadine 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Beta 1
10 M.Hermawan S.raya 8/9/2003 L RJ Asmef 10
Amox 10
Tumpat Sementa 1 Rp 5,000 Rp 15,000 Rp 10,000 Rp 30,000.00
11 Muzafah S.raya 8/18/1985 P RJ Fe
Kalk
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
12 Theodora Engkuni 6/18/1965 P RJ ACT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Amox 10
OMZ 10
13 Karina S.raya 3/14/2016 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
14 Al hafida R.basuki 1/1/2024 L RJ KN2 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
15 Avelina Br.tongkok 10/30/1988 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 10
CTM 10
Bc 5
16 Nufita blintut 4/26/1997 P RJ Pil Kombinasi 1 Rp 1,000 Rp 5,500 Rp 5,500 Rp 12,000
17 Herman S.raya 3/23/1968 L RJ Amlo 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Glimep 30
Bc 10
CTM 10
18 Alexander Br.tongkok 6/22/2023 L RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 1
Vc 1
CTM 1
19 Zaqiyah S.raya 7/1/2010 P RJ Scabimite 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Genta 1
Ceti 10
vc 10
20 Audi Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
21 Kevin RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
22 Anjeli RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
23 Angelika RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
24 Clara RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
25 Dewi RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
26 wiwin RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
27 irwanto RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
28 endi RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
29 Marlina RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
30 Agung RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
31 Heru RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
32 Heni RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
33 Mikael RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
34 Daniel RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
35 Sopian RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
36 Eifen RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
37 Merry RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
38 Veronika RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
39 Hana RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
40 Paulus RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 271,500 Rp 489,600 Rp 316,900 Rp 1,078,000
Rp 3,190,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 6 Jna 2024 Sulpinawati L.amer 8/6/1988 P RJ Depo Progestin 1 Rp 2,000 Rp 3,000 Rp 5,000 Rp 10,000
2 Rava Ngenyan 10/21/2021 L RJ Cotri sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 3
Vc 3
CTM 3
3 Joko S.darat 3/6/2000 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
4 Audrey Br.tongkok 5/12/2022 L RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Salbu 3
5 Tia Mantar 1/4/1997 P RJ Depo Progestin 1 Rp 2,000 Rp 3,000 Rp 5,000 Rp 10,000
6 Gukdo S.raya 9/11/1998 P RJ Konseling Catin 1 Rp 1,000 Rp 9,000 Rp 15,000 Rp 25,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
7 Semianati Br.tongkok 4/24/1986 P RJ Amlo 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
8 Yulikab Br.tongkok 2/21/2005 P RJ Act 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Bc 5
9 Milie S.raya 12/10/2021 P RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 2
CTM 2
Vc 2
10 Hamdani L.iram 6/24/1998 P RJ Pengobatan 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
11 Elvin S.sari 3/10/2023 L RJ Zinc 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 1
Bc 2
Oralit 5
13 Superiadi Sembuan 9/10/1965 L RJ Amlo 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
14 Yulius Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
15 dandi Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Kelvin Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
17 Erlensia Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Yohanes Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Falentinus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 100,500 Rp 312,800 Rp 384,700 Rp 798,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/8/2024 Donni S.raya 9/8/1999 P RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
2 Abiya S.raya 4-4-214 P RJ Amox 15 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 10
Bc 5
3 Suwarno Br.tongkok 2/15/1980 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
4 Anggun Sb.sari 11/20/2017 P RJ amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Dexa 6
I bu 10
Vc 10
5 Affar faleo Sb.sari 8/28/2023 P RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zinc 10
Vc 2
6 M.ibrahim Br.tongkok 5/17/2023 L RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Nystat 1
Vc 2
8 Armelia S.raya 10/10/2002 P RJ Asfolat
Fe
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
TT
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
9 Heldan Damai 7/4/2009 L RJ Acyclovir 7 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 4
CTM 4
Vc 6
Bedak salicil 1
10 Yohanes Ngenyan 12/3/2023 L RJ Konsultasi dokter 1 Rp 4,000 Rp 5,000 Rp 1,000 Rp 10,000
11 Susisuanti S.raya 10/9/1987 P RJ Lora 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Dexa 10
ACT 10
Vc 10
12 Terina Balok asa 1/24/1997 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Vc 5
13 Siti marwiyah S.sari 2/7/1978 P RJ Cotri 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
14 Nafia Sumbersari 4/24/2015 P RJ PCT sy 1
Cabut 2 Rp 4,000 Rp 10,000 Rp 6,000 Rp 20,000
15 susi yanh Sumbersari 6/1/1992 P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
16 Christoper Ngenyan 1/13/2010 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
17 M.taufik S.sari 6/22/1992 L RJ Amlo 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cete 10
Vc 10
PCT 10
18 Milka Empqkuq 10/26/1994 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
Fe 30
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
19 Hamdani Kembaru 1/15/1996 L RJ Angkat jahitan 1 Rp 2,500 Rp 4,500 Rp 6,000 Rp 13,000
20 Yeheskiel 7/7/2018 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
21 Farhan Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
22 Rennei Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
23 Yosefin Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
24 Mahalis Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
25 Messy Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
26 Vanessa Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
27 Natasya Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
28 Nur anisyah Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
29 Alvira Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
30 Alya Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
31 Frista Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
32 Mr Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
33 Risnayati Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 200,500 Rp 281,200 Rp 101,300 Rp 583,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/9/2024 Nizam Sb.sari 11/10/2020 L RJ Amox 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 3
ACT 3
Vc 3
CTM 3
2 Dwi Ngenyan 8/20/1988 P RJ Bc 20 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
B6 20
3 Marlinang Benung 4/16/1995 P RJ Beta 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Amox 10
4 M.Rizal Ngenyan Asa 7/13/2008 L RJ Vc 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 10
Bufa 1
5 Maria Br.tongkok 12/30/1998 P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cotri 10
Domp 10
Omz 10
6 Syafirah Br.tongkok 6/7/2011 P RJ Scabimite 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Genta 1
Lora 10
7 Ermelinda Br.tongkok 3/27/1996 P RJ ACT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Amox 10
PCT 10
OMZ 10
8 Rafka Br.tongkok 7/27/2016 L RJ PCT sy 1
Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
9 Fransiskus Benung 4/20/2001 L RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 10
CTM 10
Bc 10
10 Marvin Jaras 12/21/2019 L RJ Cotri sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zinc sy 1
Domp sy 1
Antasida 10
11 Atianti Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 Harti Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Panasuri Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 46,000 Rp 80,800 Rp 29,200 Rp 156,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/10/2024 Desi Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
2 Suparidi Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
3 Omanilar Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
4 walpitar Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
5 Bonifasius Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Devi Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
7 M.Kaisar Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
8 Hani Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Melki Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 oktavianus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
11 Abraham Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 Fajar Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Daffi Br.tongkok L RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 2
Salbu 2
CTM 2
14 Daffa Br.tongkok 6/1/2017 L RJ PCT 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 4
Bc 4
15 Kamsari S.raya 7/14/1970 L RJ PCT
Amox
Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
16 Stefanus Balok 11/24/2014 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Domp 5
Antasida 5
Bc 5
DHF Rp 1,000 Rp 20,000 Rp 39,000 Rp 60,000
17 Monica S.raya 8/23/1994 P RJ Cap 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Antasida 10
18 Susi S.raya 10/9/1987 P RJ CTM 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
19 Gabriel S.raya 2/18/2017 L RJ PCT 5 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 5
CTM 5
Bc 5
Genta 1
20 Egita Gemuhan 8/9/1999 P RJ Amox 10
PCT 10
Lido 1
Spoit 1
Pencabutan gigi 1 Rp 2,000 Rp 9,000 Rp 9,000 Rp 20,000
21 Alinka Mencimai 11/21/2023 P RJ Tindik Telinga Bay1 Rp 1,500 Rp 7,500 Rp 6,000 Rp 15,000
22 Nurintan R.basuki 11/22/1987 P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
ACT 10
23 Fayes S.sari 12/19/2022 L RJ Cotri sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zinc 1
Domp 1
PCT sy 1
24 Maria Ngenyan 10/1/2016 P RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
Bc 5
Jumlah 1 Rp 151,500 Rp 224,300 Rp 97,200 Rp 473,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/11/2024 Picar Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
2 Antomus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
3 Deby Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
4 Rohana Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
5 M.Rizal Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 antonius Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
7 Valentinus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
8 Risna Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Monika M.asa 3/20/1997 P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
Protein Urine 1 Rp 1,000 Rp 4,000 Rp 5,000 Rp 10,000
Glukosa Urine 1 Rp 1,000 Rp 4,000 Rp 5,000 Rp 10,000
10 Husein Busur 11/2/2018 L RJ Amox 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Lora 5
PCT 1
Genta 1
11 Dani busur 9/9/2010 L RJ Scabimite 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Genta 1
Lora 10
12 Dere Ngenyan 12/12/2022 P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 2
13 Suryadi S.raya 12/4/1981 L RJ Amlo 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Bc 10
Asam Urat 1 Rp 3,000 Rp 9,000 Rp 8,000 Rp 20,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
14 Azharel Ngenyan 5/17/2023 L RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 2
15 Selia Terajuk 10/7/2023 P RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 1
15 Gavariel B.ulaq 11/3/2023 L RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 1
16 Fedellia Br.tongkok 5/9/2019 P RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu sy 1
Genta 1
Jumlah 1 Rp 114,500 Rp 191,100 Rp 88,400 Rp 394,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/12/2024 Hayan Terajuk 10/25/2018 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
2 Mazidatul Br.tongkok 6/6/1999 P RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
3 Bintar Br.tongkok 1/16/2023 L RJ ACT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 3
CTM 3
Bc 3
4 Heldani damai 7/4/2009 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
5 Rosita Br.tongkok 12/2/1978 P RJ Antasida 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
PCT 10
6 Andini Mencimai 7/19/2001 P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
7 Silvester Ngenyan 12/19/2023 L RJ Vc 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
8 Utiya Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Makiem Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 Nadin Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
11 inggrid Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 Gardo Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Suranus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
14 Arif Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
15 Febri Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Susan Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
17 Suprianus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 131,000 Rp 159,300 Rp 35,700 Rp 326,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/13/2024 Yakim Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
2 Yulianti Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
3 Reza Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
4 Angga Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
5 Syamsuding Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Surianus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
7 Lusia Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
8 anita Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Natalian Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 Shakeela S.sari P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 5
11 Annasya Sb.sari 6/20/2020 P RJ ACT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Bc 3
12 Azharel Ngenyan 5/17/2022 L RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 2
CTM 2
Vc 2
13 Adriana S.raya 10/24/2023 P RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 1
14 Novi Br.tongkok 5/4/2003 P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
15 Kristiani Br.tongkok 10/26/2022 P RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 2
ACT 2
16 Javian Gl.baru 5/10/2021 L RJ CTM 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 3
17 Ratu S.raya 1/31/2023 P RJ Tindik Telinga 1 Rp 1,500 Rp 7,500 Rp 6,000 Rp 15,000
18 Syafiludin Br.tongkok 4/21/1972 L RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Bc 10
Jumlah 1 Rp 111,500 Rp 167,400 Rp 54,100 Rp 333,000
Rp 3,063,000
SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/15/2023 Milka Melak 10/26/1994 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
2 Rizky Ngenyan 2/8/2022 L RJ Ibu sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Domp sy 1
ACT 2
CTM 2
Vc 2
Bc 2
3 Lista Tandon 11/12/2000 P RJ Darah Rutin 1 Rp 4,000 Rp 7,000 Rp 9,000 Rp 20,000
4 Christofer Ngenyan 1/13/2010 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
5 Lashira M.asa 11/4/2023 P RJ CTM 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 1
Bc 1
6 Aisyah Br.tongkok 1/5/2023 P RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 2
Dom sy 1
7 Yohana Br.tongkok 7/20/2019 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zink sy 1
8 Dzakayya Busur 7/20/2019 P RJ ACT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 3
9 Rhania Lay 6/18/2023 P RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 2
10 Rita Br.tongkok 3/31/1983 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 10
Bc 10
11 Fransiska M.lawa 2/5/1974 P RJ Amlo 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
Lora 5
Hidro 1
12 Wahidin Juaq asa 12/10/2003 L RJ HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
13 Sri Atik S.raya 5/27/1999 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
14 Haris S.sari 3/24/2019 L RJ Zinc sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Domp sy 1
15 Gidion Ongko 1/18/2020 L RJ Bufa 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 3
Amox sy 1
16 Hayan Terajuk 10/25/2018 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
Salp 1
PCT sy 1
17 Berby Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Ambokur Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Jini Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
20 Livi Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
21 Mr x Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
22 Mr x Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
23 M.haris Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
24 Neli Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 141,000 Rp 222,900 Rp 106,100 Rp 470,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/16/2024 Risha Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
2 Aliyen Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
3 Doretea Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
4 Fransiska Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
5 Romli Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Imanuel Br.tongkok 11/19/1970 L RJ Amlo 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cap 30
Sim10 10
Asmef 10
Amox 10
7 Nur Aeni Br.tongkok 9/5/1981 P RJ CTM 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Beta 1
Chloram 1
8 Syakila Rj.basuki 6/14/2017 P RJ ACT 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 10
Bc 5
9 Risa Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 Selikus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 74,500 Rp 85,600 Rp 8,900 Rp 169,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/17/2024 Joko S.bangun 3/6/2000 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
2 Andrean Gesaliq 11/29/2009 P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Bc 10
Antasida 10
3 Pransius S.sari 1/3/2021 L RJ ACT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
Amox sy 1
Domp sy 1
4 Theresia Busur 5/20/2023 P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
5 Fernanda Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Mantias Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
7 Roni Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 43,000 Rp 57,100 Rp 15,900 Rp 116,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/18/2024 Adeile Br.tongkok 6/14/2023 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
2 Andre Busur 8/31/2019 L RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 3
CTM 3
Vc 3
3 Grizelle S.raya 5/18/2019 P RJ PCT 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 4
CTM 4
Amox sy 1
Genta 1
4 Givero S.oday 4/30/2021 L RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 2
Bufa 1
5 M.valen Mencimai 2/24/2008 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Asmef 10
6 Jacinta Br.tongkok 1/10/1992 P RJ Metro 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
7 Galuh Br.tongkok 2/8/1981 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Vc 10
8 Tori Damai 4/2/1966 L RJ Nadik 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 10
9 Arnoldus Mencimai 3/24/2000 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
Jumlah 1 Rp 13,500 Rp 48,300 Rp 27,200 Rp 89,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/19/2024 Liviola M.lawa 7/22/2022 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
2 Rabiatul Br.tongkok 5/4/2005 P RJ Lido 1
Amox 10
PCT 10
3 Priciliya B.ulaq 11/7/2023 P RJ Mucos 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Apilis 1
4 Hayan Terajuk 10/25/2018 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
5 M.syahlan S.sari 7/2/2003 L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
6 Sinta S.bangun 1/19/2000 P RJ Fe 30
kal 20
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
7 Elisabet Benung 3/15/2023 P RJ Beta 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Genta 1
Ceti 1
8 Wahyuni M.nyaying 9/6/1999 P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
9 Berlian Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 60,000 Rp 131,100 Rp 108,900 Rp 300,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/20/2024 Bianca Ombau 1/26/2018 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
2 Witono S.raya 10/9/1990 L RJ Perawatan luka 1 Rp 4,000 Rp 5,000 Rp 4,000 Rp 13,000.00
3 Mikaela Mencimai 8/14/2022 P RJ CTM 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 3
Bc 3
Amox sy 1
4 Charleline S.tada 3/11/1994 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
5 Oktaheri S.sari 6/21/1992 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
6 Digo S.raya 6/15/2015 L RJ PCt sy 1
Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
7 Rachel Br.tongkok 11/28/2015 L RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 10
ACT 10
Vc 10
8 Devanya Jontai 2/8/2022 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
9 Angelina Br.tongkok 4/11/2022 P RJ Depo Progestin 1 Rp 2,000 Rp 3,000 Rp 5,000 Rp 10,000
10 Chaldi Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
11 Amanda Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 M.alpius Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Erik Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
14 Syara Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 81,500 Rp 106,800 Rp 37,700 Rp 226,000
Rp 1,370,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 22 januari23 Jucha Busur 11/3/2018 L RJ Ceti sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
2 Yobal Intu lingau 12/30/2008 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
3 Defandra J.danum 12/30/2016 L RJ PCT sy 1
Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
4 Alya Br.tongkok 3/3/2016 P RJ CTM 6 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 6
5 Nurwauha Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
5 Metha Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Rinia Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
7 Sugiarto S.sari 11/13/1978 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
8 Fraili Br.tongkok 8/5/2015 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
9 Lusia Lotoq 9/6/2013 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
10 Arsa Intu lingau 8/30/2020 L RJ Bc 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 3
PCT 3
11 Devano Br.tongkok 1/4/2023 L RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Salbu 2
CTM 2
Bc 2
12 Liviola Keay 7/22/2022 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
13 Milka Empakuk 10/26/1994 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
Vc 10
14 M.rizal Ngenyan asa 7/13/2008 L RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 10
CTM 10
Amox 10
Bc 10
15 Cicilia Br.tongkok 11/16/1991 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
16 Hana Terajuk 9/23/2015 P RJ Cotri sy 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 4
Bc 4
CTM 4
17 Jasepin Br.tongkok RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 112,500 Rp 155,900 Rp 70,600 Rp 339,000

SEX JENIS THERAPI
(L/P)
NO TGL NAMA PASIEN ALAMAT SARANA JASPEL BMHP TOTAL
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/23/2023 Semula Ngenyan asa 12/16/1990 P RJ Depo Progestin 1 Rp 2,000 Rp 3,000 Rp 5,000 Rp 10,000
2 Deana S.raya 12/22/2021 P RJ Cotri sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 2
Bc 2
CTM 2
3 Lensi Br.tongkok 3/19/2013 P RJ Lido 1
Spoit 1
PCT 1
Amox 1
4 Yaheskiel Mantar 1/10/2024 L RJ Lido 1
Spoit 1
PCT sy 1
5 Marselinus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Luhat Br.tongkok 3/9/1980 L RJ Metro 60 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
PCT 10
7 Indra Br.tongkok 9/22/1999 L RJ Amox 10
Dexa 20
ibu 10
incici abses 1 Rp 4,000 Rp 10,000 Rp 8,000 Rp 22,000
8 Yuliani Br.tongkok 6/10/1972 P RJ Amlo 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Metfor 10
Gliben 10
Simvas 10
9 Yohanes M.batuq 8/12/1975 L RJ Nadik 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
Simvas 10
10 Eva Sumber sari 7/28/2001 P RJ TT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
11 Witono S.raya 10/19/1990 L RJ Aff heacting 1 Rp 2,500 Rp 4,500 Rp 6,000 Rp 13,000
12 Alvaro Br.tongkok 9/25/2022 L RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Salbu 2
PCT 2
Vc 2
13 Antonius Br.tongkok 1/1/1995 L RJ Sifilis 1 Rp 1,000 Rp 12,000 Rp 12,000 Rp 25,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
14 Reinhard Damai 6/10/2023 L RJ Zinc 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 2
Bc 2
CTM 2
Salbu 2
Jumlah 1 Rp 46,500 Rp 129,400 Rp 112,100 Rp 288,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/24/2023 M.dalen Mencimai 1/24/2023 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
amox 10
Dexa 20
2 P.javelin Ngenyan 3/7/1997 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Asmef 10
3 Sudarsono Br.tongkok 9/10/1975 L RJ Amlo 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
4 Azka Br.tongkok 10/11/2103 L RJ Chloramp slp 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
5 Fraili Br.tongkok 8/5/2015 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
6 Carusa S.darat 1/11/2017 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
7 Chatelina S.tada 3/11/1994 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
8 Syarif S.bangun 3/17/1996 L RJ Antasida 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
OMZ 10
PCT 10
Domp 10
9 Shafu Br.tongkok 1/2/2022 P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Salbu 2
Bc 2
10 M.Dady S.raya 5/27/2001 L RJ Asmef 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 10
11 M.hani Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 Erwin Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Amin Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
14 Lauren Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
15 Ita Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Irma Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
17 Friska Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 106,000 Rp 134,400 Rp 39,600 Rp 280,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/25/2023 Dzahirah Br.tongkok 3/26/2017 P RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Bc 3
Bufa 1
2 Soya Damai 1/2/2022 P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Salbu 2
CTM 2
Bc 2
Domp sy 1
Zink 10
Oralit 10
3 Jorey S.joleq 8/18/2022 L RJ Cotri sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 2
CTM 2
Bc 2
Widal Rp 1,000 Rp 20,000 Rp 39,000 Rp 60,000
4 Khadijah Keay 10/27/2023 P RJ Metro 5 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zink 10
Jumlah 1 Rp 11,000 Rp 51,800 Rp 61,200 Rp 124,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/26/2023 Humaira B.asa 8/9/2016 P RJ PCT 6 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 6
CTM 6
Vc 6
Domp sy 1
2 Misel Damai 1/2/2023 P RJ Zink 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Oralit 10
3 Hara Br.tongkok 5/14/2023 L RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Bc 2
Chloram 1
4 Oldrian Ngenyan 6/22/2018 L RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Domp sy 1
5 Siti S.sari 12/15/2019 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
6 Cici G.asa 2/27/2002 P RJ Ceti 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
dexa 6
Vc 10
Salp 1
7 Liviola Keay 7/22/2022 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
PCt 2
CTM 2
Salbu 2
Vc 2
8 Yuna Br.tongkok 11/19/2023 P RJ CTM 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Salbu 1
Vc 1
Bc 1
9 Zoya Rj.basuki 10/1/2022 P RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Lora 1
10 Sugiarto S.sari 11/13/1978 L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
11 Lusia M.lawa 9/6/2013 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
12 Rina Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Susenius Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
14 Kartika Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
15 Dwi Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Dimas Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 95,000 Rp 132,400 Rp 48,600 Rp 276,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/27/2024 Devi S.raya 6/21/2003 P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000.00
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
2 Yupita Besiq 1/24/2024 P RJ KN3 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
Hbo 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
3 Herlina Melak 3/28/1980 P RJ Lido 1
Spoit 1
Amox 10
Asmef 10
4 Rusmawah Mencimai 12/2/1962 P RJ Metro 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
5 Merry Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Ahmad Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
7 Aditia Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
8 Devilia Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Roni Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 Savitri Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 75,500 Rp 117,900 Rp 44,600 Rp 238,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/29/2024 Carlisa Br.tongkok 1/11/2017 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
2 Bagi S.Bangun 1/26/2024 P RJ KN2 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
3 Nurul Jaras 1/26/2024 L RJ KN2 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
4 Maria S.raya 4/25/2022 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 2
vc 2
5 Musa Melak 7/15/1987 L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu 10
Dexa 10
6 Arsa Intu lingau 8/30/2020 L RJ CTM 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 3
7 Siti Aisyah S.sari 12/15/2019 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
8 Harly S.raya 8/9/2016 L RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 3
CTM 3
Vc 3
Bc 3
Amox sy 1
9 Fabiola Br.tongkok 2/20/2015 P RJ ACT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ceti 10
Vc 10
Amox 10
10 Aurel busur 9/22/2023 P RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ceti 1
Zinc sy 1
11 Jusmiati R.basuki 5/27/1994 P RJ Fe
Bc
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000.00
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
12 Andra Busur 9/8/2018 L RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox sy 1
13 Desty Asa 5/27/1996 P RJ Asmef 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
14 Maria S.raya 17-121-14 P RJ Ibu 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ceti 10
Vc 10
15 Kanza R.basuki 11/20/2016 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
16 Alfaro Br.tongkok 9/25/2022 L RJ PCT sy Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
Bc 2
Acyclovir
Slp genta 1
17 Nur Fahra Gemuhan asa 3/28/2018 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
18 Rona Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Rina Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
20 Dian Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
21 Hilda Br.tongkok P RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 88,000 Rp 176,600 Rp 85,400 Rp 350,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/30/2024 Dwi Prayoga Mencimai 6/23/2023 L RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 1
Salbu 1
Vc 2
2 Mihani S.raya 10/15/1986 P RJ Fe
Kalk
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
3 Arzionatha M.asa 1/27/2024 L RJ KN3 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
4 Melisa Barong tongk 11/13/2000 P RJ Depo Progestin 1 Rp 2,000 Rp 3,000 Rp 5,000 Rp 10,000
5 Cici Gm.asa 2/27/2002 P RJ Amox 15 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Genta 1
CTM 10
6 Farhan Nyuatan 1/16/2021 L RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 3
Bc 3
Amox sy 1
7 Alvaro S.raya 1/30/2024 L RJ pct 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 10
CTM 10
Vc 10
8 Dorothea S.raya 6/18/2016 P RJ Amox sy 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Domp 10
Bc 10
9 Gabriela L.hubung 1/24/2024 P RJ KN2 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
10 Alandyra Br.tongkok 10/5/2020 P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
11 Putri Simpang 3 8/23/2022 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Domp sy 1
12 Siprianus Br.tongkok L RJ Kir Dokter + Isiha 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 36,000 Rp 105,300 Rp 64,700 Rp 206,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/31/2024 Devita S.raya 9/16/2009 P RJ Nadik 6 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
vc 10
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
2 Monica S.raya 8/23/1994 P RJ Cotri 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCt 10
OMZ 10
3 Abner ngenyan 5/26/2022 L RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 2
Bc 2
4 Joanna S.raya 12/21/2021 P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zinc sy 1
Jumlah 1 Rp 8,500 Rp 27,800 Rp 16,700 Rp 53,000
Rp 2,154,000
RETRIBUSI JASA PELAYAN KESEHATAN PKM BARONG TONGKOK FEBRUARI 2024
Tanggal 1 Februari 2024
SEX JENIS THERAPI
NO TGL NAMA PASIEN ALAMAT UMUR PELAYA NAMA OBAT/ JML SARANA JASPEL BMHP TOTAL
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/2/2024 Anggita Rahayu Ngenyan ### P RJ ACT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
Bc 2
Amox sy 1
2 Khogya Jaras ### P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zink sy 1
3 M.rifai Br.tongkok ### L RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
4 Mr x Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
5 Dicky Br.tongkok L RJ Urin stik 1 Rp 1,000 Rp 6,000 Rp 8,000 Rp 15,000
6 Joko S.darat ### L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
Alesha S.raya ### P RJ KN3 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
7 Alenta Damai ### P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
8 Nola S.raya ### P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00

9 Berdi Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 Ellena Juaq asa ### P RJ KN3 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
11 Siprianus Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 Ariel Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Arsy S.sari P RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 3
CTM 3
14 M.rizal Bongan ### L RJ PCT 10
Amox 10
15 Nurul R.basuki ### P RJ Fe 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
16 Asyifa R.basuki ### P RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
Asfolat 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
17 Niko R.basuki ### P RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Pengobatan Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Jumlah 1 Rp 104,500 Rp 392,300 Rp 473,200 Rp 970,000

SEX JENIS THERAPI
(L/P)
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2 Februari 2024Rizda Br.tongkok ### P RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
Fe 30
2 Jailani Br.tongkok ### L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
3 Anastasia Jempang ### L RJ KN2 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
4 M.ameen Busur ### L RJ KN2 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
4 Maryanan Ongkok ### P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
5 Alicia P.asa ### P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 250 10
Bufa 1
Hidro 1
6 Siti S.sari ### P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
7 Khalil Gibran S.sari ### L RJ Darah Rutin 1 Rp 4,000 Rp 7,000 Rp 9,000 Rp 20,000
8 Annisa J.danum ### P RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 1
Ceti sy 1
9 Arsyila Br.tongkok ### P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Zink sy 1
Cotri sy 1
10 Yuliana S.sari ### P RJ Asfolat 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
B6 10
Bcom 10
11 Zora S.raya ### P RJ Zink sy 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Amox 10
12 Melyana S.raya ### P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
Fe 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Kalk 30
Jumlah 1 Rp 61,000 Rp 320,000 Rp 437,000 Rp 818,000
Rp 1,788,000
yg diseor kebank 1.818.000
Tanggal 3 Februari 2024 Lebih setor 30.000
SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/3/2024 Herdi Br.tongkok ### L RJ Amox 15 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibup 10
Lora 5
2 Raisya Br.tongkok ### P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
3 Kristiani Br.tongkok ### P RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Salbu 2
Bc 2
Vc 2
4 Rayhan Br.tongkok ### L RJ Ceti 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 10
Bedak salicil 1
5 Jumarni S.raya ### P RJ Cotri 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
OMZ 10
Domp 10
6 Yandri Br.tongkok ### L RJ Simvas 15 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 10
GDP 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
Chlestrol 1 Rp 2,000 Rp 9,000 Rp 9,000 Rp 20,000
7 Witono S.raya ### L RJ Aff heacting 1 Rp 2,500 Rp 4,500 Rp 6,000 Rp 13,000
8 Yudi S.raya ### L RJ Amlo 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Bc 5
9 Hepi S.raya ### L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 38,000 Rp 88,900 Rp 66,100 Rp 193,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/5/2024 Rudidut Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
2 Soleka S.sari ### P RJ Amlo 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
Nadik 10
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
3 Alvim Terajuk ### L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
4 Melisa S.sari ### P RJ KN3 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
5 Alenta J.danum ### P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
6 Kaif S.sari ### L RJ ACT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 8
Bc 3
Domp sy 1
Amox sy 1
7 M.Zilpa Busur ### L RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu sy 1
8 lilis Busur ### P RJ Amox 12 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
9 Risma Ngenyan ### P RJ Lido 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Spoit 1
Asmef 10
Amox 10
10 Andy M.lawa ### L RJ Nadik 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
11 Yohana Br.tongkok ### P RJ OMZ 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Antasida 10
Simvas 10
CTM 5
12 M.Dwi Br.tongkok ### P RJ Zinc 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Domp 5
Oralit 6
13 Ayu Lendial ### P RJ HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
14 Majid Lendian ### L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
15 Hafizah Kodim ### P RJ PCt sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
16 Nuril S.raya ### L RJ Ibu sy Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Konsultasi dokter 1 Rp 4,000 Rp 5,000 Rp 1,000 Rp 10,000
17 Alfaro Br.tongkok ### L RJ ACT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 8
Bc 4
Amox sy 1
18 Fitri Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Nona Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
20 Mikel Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 122,000 Rp 245,900 Rp 171,100 Rp 539,000
Rp 732,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/6/2024 Benediktus S.raya ### L RJ Cotri 15 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
DHF Rp 1,000 Rp 20,000 Rp 39,000 Rp 60,000
Widal Rp 1,000 Rp 20,000 Rp 39,000 Rp 60,000
2 Nirwana Melak ### P RJ Insisi 1 Rp 2,000 Rp 16,000 Rp 27,000 Rp 45,000.00
Amox 10
Asmef 10
3 Luhat Br.tongkok ### L RJ Metf 60 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
4 Maria Ombau ### P RJ KN2 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
5 Marta Benung ### P RJ Fe 30
Kalk 30
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
USG 1 Rp 12,000 Rp 20,000 Rp 18,000 Rp 50,000.00
6 Wahyuni Balok ### P RJ Nadik 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
7 Agustin Busur ### P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 2
8 Titik S.sari ### P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
9 Fanni Gl.baru ### P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cotri 6
Domp 6
10 Dearen Pegala ### L RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 4
11 Alea Balok ### P RJ Amox sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibu sy 1
12 Noli S.raya ### P RJ PCT sy 1
Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
13 Novenia Gl.baru ### P RJ ACT 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 4
Bc 4
14 Fransiska Busur ### P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
15 Yorika Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Ariel Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
17 Susanto Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Margaritha Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Agus Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
20 Pinkan Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
21 Maksimilianus Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
22 Nursaunah Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 146,500 Rp 312,800 Rp 234,700 Rp 694,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/7/2024 Bathair Br.tongkok ### L RJ Ibu sy 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
Bc 5
2 Florentinus Tibak ### L RJ Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
3 Puspayati K..bentas ### P RJ KN1 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
4 Vincent Ngenyan ### L RJ PCT 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 4
5 Semianati Br.tongkok ### P RJ Amlo 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
6 Nursaida Br.tongkok ### P RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Nadik 10
7 Adam Sb.sari ### L RJ PCt 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 4
Bc 4
8 Karina Ombau ### P RJ KN2 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
9 Gizka Sb.sari ### P RJ ACT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 4
10 Gita Sb.sri ### P RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
ACT 3
Vc 3
11 Abdul Rahim Br.tongkok ### L RJ Bc Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cipro
GDP 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
Urin rutin 1 Rp 1,000 Rp 6,000 Rp 5,000 Rp 12,000
12 Julian Br.tongkok ### L RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 3
Bc 3
13 Midayanti Br.tongkok ### P RJ Diment 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
Domp 10
Antasi 10
14 Aulia Br.tongkok ### P RJ CTM 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 10
15 Andini Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Sri wahyudiayawti Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
17 Sariya Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Kristianto Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Marcelius Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 81,000 Rp 160,300 Rp 68,700 Rp 310,000
Rp 310,000
SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/12/2024 Melsi L.Merimun ### P RJ Asmef
Pemasangan Implant 1 Rp 4,500 Rp 75,000 Rp 120,500 Rp 200,000.00
2 Nur Aini Br.tongkok ### P RJ Asfolat Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 10
3 Annisa Br.tongkok ### P RJ Konsultasi dokter 1 Rp 4,000 Rp 5,000 Rp 1,000 Rp 10,000
4 Hizkia Gl.Baru ### l RJ pct 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
act 10
aMOX 10
5 Aska R.Basuki ### L RJ CTM 4 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 1
Bc 4
Hidro 1
6 Risna Br.tongkok ### P RJ Depo Progestin 1 Rp 2,000 Rp 3,000 Rp 5,000 Rp 10,000
7 Farrel Ngenyan ### L RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vc 2
8 Grizella Sendawar ### P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Vc 2
9 Haradi S.sari ### L RJ Konseling Catin 1 Rp 1,000 Rp 9,000 Rp 15,000 Rp 25,000.00
10 Elyas S.sari ### P RJ Nadik 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 10
11 Zoya R.basuki ### P RJ Skabimid 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vc 3
Bc 3
Amox sy 1
12 Susi S.raya ### P RJ Lido 1
Spoit 1
Amox 10
Asmef 10
13 Sri Mariyani S.raya ### P RJ Depo Progestin 1 Rp 2,000 Rp 3,000 Rp 5,000 Rp 10,000
14 Andreas Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
15 Marselina Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Mona Nurtini Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
17 Aprilianti Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Verdy Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Hengky Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
20 Yorem Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 101,000 Rp 234,900 Rp 196,100 Rp 532,000
Rp 532,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 1/13/2024 Jilliane S.raya ### P RJ PCT sy 1
Cabut 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
2 Jilliane S.raya ### P RJ Beta Slp 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ceti sy 1
3 Pedrikus Menciai ### L RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 10
Bc 10
CTM 10
4 Putri S.raya ### P RJ Fe
Kalk
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
5 Presdiansyah Intu Lingau ### L RJ Amox 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Nadik 10
Amlo 10
6 Keysha Jaras ### P RJ Lido 1
PCT sy 1
7 Hironiwan Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
8 Cade Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Hasbadi Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 Samuel Br.tongkok L RJ Pengobatan Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
11 Aloysia Ngenyan ### P RJ Asfolat 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
Jumlah 1 Rp 69,000 Rp 314,000 Rp 408,000 Rp 791,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/15/2024 Said alif Br.tongkok ### L RJ PCT 5 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 5
CTM 5
2 Said Katha Br.tongkok ### L RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 3
CTM 3
Bc 3
3 Nova Br.tongkok ### P RJ PCT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
ACT 3
Bc 3
Amox 1
4 Nani B.ulaq ### P RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
5 Afdal Belempung ul ### L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
6 Syana Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
7 Enjel Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
8 Irnawati Br.tongkok RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Nindia R.basuki ### P RJ HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
Rhesus 1 Rp 2,000 Rp 3,000 Rp 2,000 Rp 7,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
10 Endang Belintut ### P RJ Fe 20 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
11 Laurensia Belempung ul ### P RJ Pemasangan Implant 1 Rp 4,500 Rp 75,000 Rp 120,500 Rp 200,000.00
Lido 1
Spoit 1
Bisturi 1
Hans 1
12 addin Br.tongkok ### P RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 1
Bc 1
13 Rafasya Br.tongkok ### P RJ PCT sy 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
14 Liviola Damai ### P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Bc 1
15 Geral B.ulaq ### L RJ Cotri 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
PCT 10
Bc 5
Domp 1
16 Sun S.raya ### P RJ Lido 1
Amox 10
Asmef 10
17 Daniel Br.tongkok RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 97,500 Rp 544,500 Rp 748,000 Rp 1,390,000
Rp 2,181,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/16/2024 Anthony Br.tongkok ### L RJ Zink s 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
2 Natalia S.sari ### P RJ PCT 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 2
Bc 2
Amox 3
3 Affan S.raya ### L RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Bc 2
PCT 2
4 Mihani S.raya ### P RJ KN1 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
5 Marbuat R.basuki ### L RJ Cipro Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
6 Hisbas S.raya ### L RJ KN3 1 Rp 1,000 Rp 10,000 Rp 4,000 Rp 15,000
HB0 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
7 Seri Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
8 Yosua Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 33,000 Rp 77,200 Rp 34,800 Rp 145,000 Qriss
SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/17/2024 Kristiani Oktaviana Br.tongkok ### P RJ PCT Syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 1
Vit. B Complex 1
2 Mirnawati Besiq ### P RJ Asam Folat 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Fe 10
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
TT
3 Imam Safii Besiq ### L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
4 Yemima Septiana Temula ### P RJ Metronidazole 15 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Attapulgite 10
Zink 10
5 Siti Maimunah Br.tongkok ### P RJ Pct 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Dimenhidrinate 10
simvastain 20 mg 10
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
6 Novita Sari Sumber Sari ### P RJ Fe 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Kalk 30
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Jumlah 1 Rp 54,500 Rp 323,700 Rp 455,800 Rp 834,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 2/19/2024 Ismi M S.raya ### P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Antasida tab 10
Domperidone 10
Vit. B complex 5
2 Axeliano S S.raya ### L RJ Pct Syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox Syr 125mg 1
ACT 2
CTM 2
Vit.C 3
3 Noor Aida S.raya ### P RJ Nadik 50 mg 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Kalk 10
4 Regina Busur ### P RJ Asam Folat 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
5 Nailis Sa'adah Br.Tongkok ### P RJ Ketokonazole Tab 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Miconazole salp 1
Vit.C 5
6 Christiano U S.raya ### L RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Tumpat Sementara Rp 5,000 Rp 15,000 Rp 10,000 Rp 30,000.00
7 Nur Fahra Gemuhan Asa ### P RJ Pct Syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cabut Gigi Anak 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
8 Rina R S.Sari ### P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
9 Nur Ariyanti Damai ### P RJ Fe 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Asam Folat 10
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
TT
10 Amiruddin Damai ### L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
11 Risna A Br.Tongkok ### P RJ Hidrocortisone 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 1
12 Agus Adyo Engkuni ### L RJ Amox 500 mg 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibuprofen 400 mg 10
13 Yohanes S.raya ### L RJ Amox 500 mg 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ibuprofen 400 mg 10
14 Mairi Lian Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 74,500 Rp 369,400 Rp 461,100 Rp 905,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 20/2/2024 Maria Susanti B Br.tongkok ### P RJ Asmef 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 500 mg 10
Kloram Salep 1
2 Aliyatul Br.Tongkok ### P RJ Pct syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
3 Pebi Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
4 Nur Hasanah Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
5 Cica J Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
6 Canilia A Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 43,000 Rp 49,400 Rp 5,600 Rp 98,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 21/2/2024 Tri Agung B Br.tongkok ### L RJ Omeprazole 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Attapulgite 10
PCT 10
Zink 10
2 Siti Aminah Ngenyan Asa ### P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
3 Arsysha B Br.tongkok ### L RJ PCT syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Domperidone Tab 5
Antasida Syr 1
4 Aska Devano Rejo Basuki ### L RJ CTM 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vit.c 3
ACT 3
5 Kanza Rejo Basuki ### P RJ ACT 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
Vit.c 3
6 Bianca Ombau Asa ### P RJ ACT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 10
PCT 10
7 Jeni Anggraeni Br.tongkok ### P RJ Amox 500mg 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Asmef 10
8 Qiana K Belempung Ul ### P RJ Tindik Telinga Bayi 1 Rp 1,500 Rp 7,500 Rp 6,000 Rp 15,000
9 Latarti Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 Nathasha S Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
11 Adhinda P Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 Kesya Miranda P Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Reky Yohanes P Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
14 Rey Fandi Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
15 Muhammad HafidhBr.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
16 Tunjung P Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
17 Alfiyah Elia L Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Maulida Puteri A Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Karina F Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
20 Br.tongkok RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
21 Amelia Irene G Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
22 Okto Renaldo P Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
23 Mikael G Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
24 Eric Soha P Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
25 Dian Rosali C Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
26 Alin Aristha Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
27 Siti Hadijah Br.tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
28 Ivan Fauzi Br.tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
Jumlah 1 Rp 212,000 Rp 243,400 Rp 26,600 Rp 482,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 22/2/2024 Agustina Rara Melak ### P RJ ACT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox 500mg 10
Vit.B complex 10
OMZ 10
2 Feodara A S.raya ### P RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Domperidone 10
3 Monika Damai ### P RJ PCT 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 1
Vit.B complex 1
4 Modi S.Raya ### L RJ Amox 500mg 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Asmef 500mg 10
5 Susi Susanti S.Raya ### P RJ Betamethasone Salp 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
6 Devita Ananta S.Raya ### P RJ Amox 500mg 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Nadik 50mg 10
7 Fransiska Maynita Ongko Asa ### P RJ Asam Folat 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
FE 10
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
TT
8 Maulana Imam Ongko Asa ### L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
9 Yunita Malo Muara Pahu ### P RJ Ibuprofen 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Ciprofloxacin 10
Gentamisin Salp 1
10 M. Aditya S Sekolaq Joleq ### L RJ PCT 500mg 1 Rp 500 Rp 2,000 Rp 500 Rp 3,000
11 Jumiati Karang Rejo ### P RJ FE 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
12 Elvin Pramdia Karang Rejo ### L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000.00
Golda 1 Rp 500 Rp 4,500 Rp 3,000 Rp 8,000.00
13 Imanuel Br.Tongkok L RJ Urine Rutin 1 Rp 1,000 Rp 6,000 Rp 5,000 Rp 12,000.00
14 Jung Br.Tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
1 Rp 76,000 Rp 184,700 Rp 164,300 Rp 425,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 23/2/2024 Rania Shalika E Sendawar ### P RJ Pct Syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cabut Gigi Anak 1 Rp 2,000 Rp 5,000 Rp 3,000 Rp 10,000
2 Uma Embun M Br.Tongkok ### P RJ CTM 2 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vit.C 2
Miconazole salp 1
3 Arshinta Natania Geleo Baru ### P RJ CTM 3 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vit.C 3
Vit.B Complex 3
Miconazole salp 1
Bufacetin 1
4 Tia Evnis Melak ### P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
5 Mathew T Damai ### L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
6 Selina Damai ### P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
7 Kayla Zahra Damai ### P RJ Amox syr 125mg 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Pct Syr 1
CTM 2
Vit.c 2
Vit.B Complex 2
Bupacetin 1
8 Stevanus Widuri N Br.Tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
9 Marleni Ireni T Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
1 Rp 53,500 Rp 78,300 Rp 35,200 Rp 167,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 24/2/2024 Abner Bio W Ngenyan Asa 25/05/20 L RJ Pct Syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Amox Syr 125 1
ACT 2
CTM 2
Vit.c 2
2 Patmawati Melak Ilir 31/01/1975 P RJ Amox 500mg 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Asmef 10
Lidocain 1
Spuit 1
Pencabutan 3 gigi Rp 27,000 Rp 6,000 Rp 27,000 Rp 60,000
3 Adriana Quenza S.raya 24/10/2024 P RJ Pengobatan Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
4 Zaidan Akbar Rejo Basuki ### L RJ Pct Syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
5 Ignasius Dodi Ngenyan Asa ### L RJ CTM 7 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vit.c 7
Vit.B Complex 7
Pct Syr 1
6 Shinta Ervani Sumber Sari ### P RJ Amox 500mg 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Asmef 10
Bisturi 1
Lidocain 1
Spuit 3 ml 1
Handscoon 1
Lepas Implant Rp 4,000 Rp 100,000 Rp 21,000 Rp 125,000
7 Amos P Temula 19/06/1977 L RJ Pct 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
8 M. Erwin Tering ### L RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
9 Sumarmi Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
10 Nina Rosida Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
11 Hamsiah Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
12 Windi P Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
13 Inni Lalan Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
1 Rp 99,500 Rp 199,900 Rp 74,600 Rp 374,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 26/2/2024 Ferdinand Teri A Br.Tongkok ### L RJ PCT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 10
CTM 10
Vit.B Complex 10
Vit.c 10
2 Nataly Gracia Benung 26/12/2011 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
3 Tia Eunis Melak 18/02/2006 P RJ Var 1 Rp 8,500 Rp 10,000 Rp 6,500 Rp 25,000
4 Fransiskus Emilian Geleo Baru 31/12/2022 L RJ Konsultasi Kesehatan Rp 4,500 Rp 5,500 Rp - Rp 10,000
5 M. Akraim Dzaky S.Raya ### L RJ CTM 7 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
ACT 7
Vit.c 7
Vit.B Complex 7
6 Dikry Hafildah Busur 13/12/2018 L RJ PCT syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
ACT 3
Vit.c 3
Vit.B Complex 3
7 Watini R Ngenyan Asa ### P RJ PCT 15 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Cotri 960 mg 10
8 Eca Ngenyan Asa ### P RJ PCT syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 4
ACT 4
Vit.c 4
Vit.B Complex 4
9 Nur Aini R Br.Tongkok ### P RJ Metronidazole 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
IVA Test 1 Rp 2,500 Rp 7,500 Rp 5,000 Rp 15,000
10 Randika Ivander Br.Tongkok ### L RJ PCT syr 1 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
CTM 3
ACT 3
Vit.c 3
Vit.B Complex 3
11 Novita Ansari Busur ### P RJ ANC 1 Rp 3,000 Rp 10,000 Rp 2,000 Rp 15,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
12 Melati Nur Gemuhan Asa
31/05/2009 P RJ Vit.c 5 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
13 Dicky Chandra Sembuan ### L RJ Vit.c 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
Vit.B Complex 10
14 Priskila Geleo Baru 17/06/1994 P RJ Vit. Asam folat 30 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
HB 1 Rp 500 Rp 5,500 Rp 4,000 Rp 10,000
TT
15 Danu Anwar Geleo Baru 22/10/1999 L RJ GDS 1 Rp 4,000 Rp 6,000 Rp 10,000 Rp 20,000
HBsAg 1 Rp 1,000 Rp 12,000 Rp 22,000 Rp 35,000.00
HIV 1 Rp 1,000 Rp 70,000 Rp 129,000 Rp 200,000.00
16 Eko Prayitno S.Raya ### L RJ ACT 10 Rp 1,000 Rp 2,700 Rp 2,300 Rp 6,000
17 Andre Jonatan Br.Tongkok L RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
18 Yena Rosita Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
19 Katarina Ire N Br.Tongkok P RJ Kir Dokter + Isihara 1 Rp 10,000 Rp 10,000 Rp - Rp 20,000.00
1 Rp 104,500 Rp 359,700 Rp 432,800 Rp 897,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 27/2/2024 Anvlisea Drevizoe Nyuatan 23/06/20 L RJ Pct Syr 1 Rp 8,100 Rp 5,400 Rp - Rp 13,500
ACT 2
CTM 2
Vit.c 2
DL Rp 27,000 Rp 18,000 Rp - Rp 45,000
Racikan 1 Rp 7,200 Rp 4,800 Rp - Rp 12,000
2 Mathew T Damai ### L RJ VAR 1 Rp 36,000 Rp 24,000 Rp - Rp 60,000
3 Lilis Ujang Br.Tongkok 14/07/1980 P RJ Amox 500 mg 10 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Asmef 10
Lidocain 2
Spuit 1
Pencabutan Gigi 1 Rp 27,000 Rp 18,000 Rp - Rp 45,000
Non Racikan 1 Rp 4,500 Rp 3,000 Rp - Rp 7,500
4 M. Ramadan Gesalik 13/04/2022 L RJ Pct Syr 1 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Amox syr 125 1
CTM 2
ACT 2
Vit.c 2
Vit.B Complex 2
DL Rp 27,000 Rp 18,000 Rp - Rp 45,000
5 Antonius Denola Geleo Baru 21/12/1974 L RJ Antihemoroid 3 Rp 8,100 Rp 5,400 Rp - Rp 13,500
6 Monika Pratiwi Rejo Basuki ### P RJ Amox 500 mg 15 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Vit.c 10
7 Petronelia Geleo Asa ### P RJ Asam Folat 30 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Fe 20
GDS 1 Rp 27,000 Rp 18,000 Rp - Rp 45,000
HB 1 Rp 27,000 Rp 18,000 Rp - Rp 45,000
TT
Pelayanan Catin Rp 51,300 Rp 34,200 Rp - Rp 85,500.00
8 Dedi Geleo Asa 14/04/1989 L RJ GDS 1 Rp 27,000 Rp 18,000 Rp - Rp 45,000
Golda 1 Rp 10,800 Rp 7,200 Rp - Rp 18,000.00
Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
9 Toni K Br.Tongkok L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
Kir Dokter + Isihara Rp 29,100 Rp 19,400 Rp - Rp 48,500.00
10 Riansyah Br.Tongkok L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
11 Emanuella A Br.Tongkok P RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
12 Adinda Sisca N S.Raya 15/10/2001 P RJ ANC Rp 20,700 Rp 13,800 Rp - Rp 34,500.00
HB Rp 27,000 Rp 18,000 Rp - Rp 45,000
GDS Rp 27,000 Rp 18,000 Rp - Rp 45,000
Protein Urine Rp 13,500 Rp 9,000 Rp - Rp 22,500.00
Glukosa Urine Rp 13,500 Rp 9,000 Rp - Rp 22,500.00
13 Hery Setiawan Muara Lawa 24/08/1986 L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
Trigliserida Rp 34,200 Rp 22,800 Rp - Rp 57,000.00
14 Riston Br.Tongkok L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
15 Fitria Yuli Br.Tongkok P RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
1 Rp 672,300 Rp 448,200 Rp - Rp 1,120,500

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 28/2/2024 Ersya Callista P Ngenyan Asa 16/11/20 P RJ CTM 1 Rp 8,100 Rp 5,400 Rp - Rp 13,500
ACT 1
Vit.B Complex 1
Vit.c 2
2 Rezildan Quino Br.Tongkok L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
3 Darius Siluq Ngurai 27/12/1973 L RJ Metformin 10 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Amlodipine 5 mg 10
4 Presdiansyah Intu Lingau 28/04/1995 L RJ PCT 10 Rp 8,100 Rp 5,400 Rp - Rp 13,500
ACT 10
Amox 250 mg 10
CTM 10
Vit.B Complex 10
5 Angela Liu Belempung 26/10/1992 P RJ Depo Progestin 1 Rp 16,200 Rp 10,800 Rp - Rp 27,000
Spuit 1
6 Dennis Florentinus Ngenyan Asa14/11/2013 L RJ VAR 1 Rp 36,000 Rp 24,000 Rp - Rp 60,000
7 Klein Rock Br.Tongkok 22/08/2023 L RJ CTM 2 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Vit.B Complex 2
Vit.c 4
Amox 125 mg 1
8 Rendi Geleo Asa ### L RJ Ibuprofen 15 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Vit.B Complex 10
Trigliserida Rp 34,200 Rp 22,800 Rp - Rp 57,000.00
Kolesterol Rp 27,000 Rp 18,000 Rp - Rp 45,000
9 Sesilia Ersha Br.Tongkok P RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
10 Delfiana G Br.Tongkok P RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
11 Taurus Mencimai ### L RJ Amlodipine 5 mg 15 Rp 8,100 Rp 5,400 Rp - Rp 13,500
12 Ersya Calista Piu Ngenyan Asa16/11/2022 P RJ Pct syr 1 Rp 8,100 Rp 5,400 Rp - Rp 13,500
CTM 1
ACT 1
Vit.c 1
Vit.B Complex 1
Widal Rp 81,000 Rp 54,000 Rp - Rp 135,000
DL Rp 27,000 Rp 18,000 Rp - Rp 45,000
13 Arciles Alfori S.Raya 26/09/2017 L RJ Pct syr 1 Rp 8,100 Rp 5,400 Rp - Rp 13,500
CTM 3
ACT 3
Vit.c 3
Vit.B Complex 3
Amox syr 125 1
Widal Rp 81,000 Rp 54,000 Rp - Rp 135,000
DL Rp 27,000 Rp 18,000 Rp - Rp 45,000
14 Debby Elisabet Engkuni Pasek
18/08/1997 P RJ Asam Folat 30 Rp 8,100 Rp 5,400 Rp - Rp 13,500
HB 1 Rp 27,000 Rp 18,000 Rp - Rp 45,000
Golda Resus 1 Rp 22,500 Rp 15,000 Rp - Rp 37,500.00
Injeksi TT 1 Rp 16,200 Rp 10,800 Rp - Rp 27,000
15 Sebastianus Engkuni Pasek
19/12/1996 L RJ GDS Rp 27,000 Rp 18,000 Rp - Rp 45,000
Golda Resus 1 Rp 22,500 Rp 15,000 Rp - Rp 37,500.00
1 Rp 772,800 Rp 515,200 Rp - Rp 1,288,000

SEX JENIS THERAPI
(L/P)
1 2 3 4 5 6 8 9 1 11 12 Rp 13 Rp 13
1 29/2/2024 Hardi N S.Sari ### L RJ PCT 15 Rp 8,100 Rp 5,400 Rp - Rp 13,500
ACT 10
CTM 10
Metformin 10
DL Rp 27,000 Rp 18,000 Rp - Rp 45,000
GDP Rp 21,600 Rp 14,400 Rp - Rp 36,000
Malaria RDT Rp 27,000 Rp 18,000 Rp - Rp 45,000
2 Yuri S.Raya ### P RJ KN3 Rp 20,700 Rp 13,800 Rp - Rp 34,500
3 Damian Zien Linggang Bigu25/09/2023 L RJ Pct syr 1 Rp 8,100 Rp 5,400 Rp - Rp 13,500
4 Kabul Efenndi Long Iram ### L RJ Kloram Salep Mata 1 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Ibuprofen 15
Amox 500 mg 10
5 Yuni S.Sari ### P RJ Amlo 10mg 30 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Antasida 10
PCT 10
Vit.B complex 10
GDS Rp 27,000 Rp 18,000 Rp - Rp 45,000
Asam Urat Rp 27,000 Rp 18,000 Rp - Rp 45,000
Kolesterol Rp 27,000 Rp 18,000 Rp - Rp 45,000
Trigliserida Rp 34,200 Rp 22,800 Rp - Rp 57,000
6 Desi Rahmasari Rejo Basuki 18/12/2005 P RJ PCT 15 Rp 8,100 Rp 5,400 Rp - Rp 13,500
Vit.B complex 10
Omeprazole 10
Domperidone 10
7 Agung Wijaya Mencimai L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
Golda Rp 10,800 Rp 7,200 Rp - Rp 18,000.00
8 Emil Rahman Muara Pahu L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
9 Alimin Br.Tongkok L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
10 Julviandi T Tering L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
11 Hendri K Br.Tongkok L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
12 David Christian W Melak Ulu L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
13 Sulpianus Mencimai L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
14 Seno Adi N Bangun Sari L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
15 Falentinus Utoq Asa L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
16 Iglessias F Asa L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
17 Ambo Dalle Linggang Bigung L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
18 Agus Salim Br.Tongkok L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
19 Obet Wijaya Ombau Asa L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
20 Rinjani Agung S Linggang Bigung L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
21 Deddy Sukarna Melak L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
22 Laurensius Lejau S.Raya L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
23 Fatressius R Muara Mujan L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
24 Onnas P Sumber Sari L RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
25 Nataly Gracia Br.tongkok 26/12/2011 P RJ Pengobatan Umum Rp 8,100 Rp 5,400 Rp - Rp 13,500
VAR Rp 36,000 Rp 24,000 Rp - Rp 60,000.00
1 Rp 1,007,100 Rp 671,400 Rp - Rp 1,678,500
Rp 8,269,000
Pustu 258.000
Tanggal 1 Maret 2024
SEX JENIS THERAPI
NO TGL NAMA PASIEN ALAMAT UMUR PELAY NAMA OBAT/ JML SARANA JASPEL TOTAL
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 1 Maret 2024 Yuni S.sari 12/3/1964 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Non Racikan 1 Rp 4,500 Rp 3,000 Rp 7,500
GDP Rp 21,600 Rp 14,400 Rp 36,000
2 Onnasis S.sari 6/16/1995 P RJ ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Protein Urine Rp 13,500 Rp 9,000 Rp 22,500
Glukosa Urine Rp 13,500 Rp 9,000 Rp 22,500
Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Presdiannsyah Terajuk 4/28/1995 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Bonifasius Gl.asa 6/10/1991 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Pelayanan Catin Rp 51,300 Rp 34,200 Rp 85,500
Golda Resus 1 Rp 22,500 Rp 15,000 Rp 37,500
5 Veronika samare Gl.asa 10/25/1993 P RJ Pelayanan Catin Rp 51,300 Rp 34,200 Rp 85,500
HB Rp 27,000 Rp 18,000 Rp 45,000
6 Desi Nataira S.raya 12/21/1987 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
ANC Rp 20,700 Rp 13,800 Rp 34,500
7 Gabriella Br.tongkok 10/2/2021 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
8 Filemon edicot P.asa 8/25/1978 L RJ Perawatan luka 1 Rp 18,000 Rp 12,000 Rp 30,000
9 Cia Eunis Melak Ulu 2/18/2006 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
10 Bianca Balok asa 3/10/2023 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Umi 2/27/2009 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Natalia sea 12/25/1988 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Kir Dokter + Isihara Rp 29,100 Rp 19,400 Rp 48,500
1 Rp 500,700 Rp 333,800 Rp 834,500

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 2 Maret 2024 Dennis Ngenyan 11/14/2013 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
2 Cinta Asa 2/27/2024 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Leonardus Ngenyan 11/6/2007 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Zaenudin Ngenyan 2/7/1975 L RJ Darah Rutin 1 Rp 27,000 Rp 18,000 Rp 45,000
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
5 Julianto S.raya 7/2/2002 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Eca Ngenyan 10/9/2018 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Prince Manor Bulan 4/22/2023 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
8 Feodora S.raya 8/11/2018 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Darah Rutin 1 Rp 27,000 Rp 18,000 Rp 45,000
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
1 Rp 371,100 Rp 247,400 Rp 618,500

SEX JENIS THERAPI
(L/P)
NO TGL NAMA PASIEN ALAMAT SARANA JASPEL TOTAL
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 4 Maret 2024 Elia Sandra Damai 2/3/2000 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Ajab anwar Br.tongkok 8/18/1993 L RJ Darah Rutin 1 Rp 27,000 Rp 18,000 Rp 45,000
3 Amirudin S.raya 4/23/1979 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Asifa Kelian 12/4/2018 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Yustina Br.tongkok 10/5/1955 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Naran S.raya 12/2/1979 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Irma 7/26/1991 p RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Markahlan Gm.asa 8/27/2023 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
9 Agustin Br.tongkok 8/1/2022 L RJ Darah Rutin 1 Rp 27,000 Rp 18,000 Rp 45,000
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
10 Kezya Damai 2/29/2024 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Konsultasi Dokter 1 Rp 13,500 Rp 9,000 Rp 22,500
11 Eka S.raya 2/2/1984 P RJ Cholestrol 1 Rp 27,000 Rp 18,000 Rp 45,000
GDS stick 1 Rp 27,000 Rp 18,000 Rp 45,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
Trigliserida 1 Rp 34,200 Rp 22,800 Rp 57,000
12 Harnoko Balok 3/28/2000 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Khalid Br.tongkok 2/20/2024 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
14 Nataly Damai 12/26/2011 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
15 Sundari Nyuatan 9/29/2000 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
16 Sundari Nyuatan 9/29/2000 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
17 Jazuli S.raya 5/2/1964 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
18 Natalia S.sari 12/18/2021 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
19 Jordi Br.tongkok 8/22/2001 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
20 Ernawati Br.tongkok 5/8/1986 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
21 Natalia Keay 1/6/2005 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
22 Mentari S.sari 6/24/1998 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
1 Rp 795,900 Rp 530,600 Rp 1,326,500

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 5 Maret 2024 Fransisco B.ulaq 5/23/2023 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
2 Marselina Gl.baru 5/17/1965 P RJ GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
Cholestrol 1 Rp 27,000 Rp 18,000 Rp 45,000
3 Aurel Br.tongkok 9/22/2023 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Pelayanan Informasi oba1 Rp 7,200 Rp 4,800 Rp 12,000
4 Dwi analiah R.basuki 6/2/1990 P RJ ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
5 Sandiraja S.sari 9/6/2002 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Risal Pengtarin S.raya 10/11/2003 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Dedy Aprianto Tering 12/23/1994 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Penanganan Injeksi 1 Rp 13,500 Rp 9,000 Rp 22,500
8 Kristina Gl.baru 12/31/1970 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
9 Tasbina S.raya 3/23/2022 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
10 Suparman Ombau 10/8/1986 L RJ Darah Rutin 1 Rp 27,000 Rp 18,000 Rp 45,000
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
11 Daeren Damai 8/10/2022 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Adelia Br.tongkok 8/17/2022 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Lorema natalia S.raya 5/5/2001 P RJ ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
14 Andi Muhammad Mencimai 3/18/2023 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
15 Sandra Apriliyana Br.tongkok 4/19/1998 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
16 Mathew Damai 5/6/2017 L RJ VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
17 Nana Afriana S.raya 4/14/1979 P RJ VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
18 Keysheva S.sari 12/22/2021 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
19 Jarianus Engkuni Pas 12/12/1990 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
20 Emiliana Nur S.raya 1/6/1996 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
1 Rp 846,300 Rp 564,200 Rp 1,410,500

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 6 Maret 2024 Sandra Aprilyana Br.tongkok 11/19/1998 P RJ Non Racikan 1 Rp 4,500 Rp 3,000 Rp 7,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Protein Urine 1 Rp 13,500 Rp 9,000 Rp 22,500
Glukosa Urine 1 Rp 13,500 Rp 9,000 Rp 22,500
HB 1 Rp 27,000 Rp 18,000 Rp 45,000
USG 1 Rp 67,500 Rp 45,000 Rp 112,500
2 Gloriya Br.tongkok 12/15/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Dhavinda R.Basuki 4/3/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 M.Khoirul akbar Br.tongkok 10/16/2016 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Bonifasius Br.tongkok 6/16/2008 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Rohana Br.tongkok 2/2/1995 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Sunti KB 1 Rp 16,200 Rp 10,800 Rp 27,000
7 Aprilia Dofa Awai 4/16/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Vonisia S.raya 3/2/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Indah Windyanti Busur 5/22/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 Ribka Sp.raya 8/11/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Sesalia R.basuki 12/29/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Freti Lusy S.joleq 11/17/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Erfaoktaviani Mencimai 10/11/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 Agnes Monika S.raya 5/29/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
15 Catarina marcela S.sari 10/5/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
16 Prawira alfa S.raya 12/14/2006 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
17 Hartini Ayu Damai 2/28/1988 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDP Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
18 Ramadhani wijayaBr.tongkok 4/29/2017 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Cabut Anastesi lokal 1 Rp 27,000 Rp 18,000 Rp 45,000
19 Emma Triagni Br.tongkok 7/9/2022 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Nebulizer 1 Rp 34,200 Rp 22,800 Rp 57,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
20 Leonardus Ngenyan 11/6/2007 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
21 Anhar al ala J.danum 11/28/1998 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
22 Annisa Br.tongkok 9/27/2000 P RJ ANC Rp 20,700 Rp 13,800 Rp 34,500
23 Dennis Ngenyan asa 11/14/2013 L RJ VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
24 Revandi Juaq asa 11/1/2017 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
25 Merlin P.asa 5/3/2009 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
26 M.nur Rahman Br.tongkok 9/4/2014 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
27 Nabila DuspitasariBr.tongkok 10/31/2017 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
28 Nabila Asara S.raya 4/12/2013 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
29 Yurrie S.joleq 8/24/2013 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
30 Nuryanti 3/28/1988 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
1 Rp 1,161,000 Rp 774,000 Rp 1,935,000
SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 7 Maret 24 Karolina Br.tongkok 7/6/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Konsultasi dokter 1 Rp 13,500 Rp 9,000 Rp 22,500
2 Marlinawati Dasaq 9/1/1977 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Tresia Damai 10/10/1973 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Beni Gunawan Engkuni 4/11/1996 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Pini olva Juhan asa 4/2/1998 P RJ ANC Rp 20,700 Rp 13,800 Rp 34,500
6 G.Sabrina Husna S.raya 8/8/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Rensa Uraitiana S.sari 2/17/2008 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Dinda aulia Br.tongkok 12/25/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Agnesia Mencimai 8/27/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 Bunga Citra LestarR.Basuki 6/6/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Monika Pratiwi R.Basuki 12/9/1999 P RJ Darah Rutin 1 Rp 27,000 Rp 18,000 Rp 45,000
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
12 Ribka grassia AprilBr.tongkok 4/12/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Mizikco Varendio S.raya 5/15/2008 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 Elisa Susanti Bontang 2/22/1997 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
15 Andi Suryanata k Bongan 8/16/1997 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
16 Rohmawati Br.tongkok 8/20/1997 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
17 Chelomita R.Basuki 6/5/2020 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
18 Moses S.joleq 3/14/1993 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
19 Maria Oktavianti S.joleq 10/23/1996 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
20 Meydia Br.tongkok 5/3/2006 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
21 Verdiana Versalia Engkuni 4/8/2000 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
22 Ariana Noor Bongan 6/8/1999 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
23 Novanto Putra ta Bongan 11/17/1999 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
24 Ayu Putri Paser 2/2/2000 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
25 Ramalian RahmanPaser 12/16/1999 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
26 Kurdino Br.tongkok 1/13/2005 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
27 Nursiana S.joleq 12/28/2004 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
28 Orpa Ombau asa 1/2/1997 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
29 Maria Anggela putL.amer 10/21/1998 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
30 Ridwan Hadi prat Samarinda U 1/23/1996 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
31 Anggraeni arsi Samarinda U 1/14/2000 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Tes Kehamilan 1 Rp 13,500 Rp 9,000 Rp 22,500
32 Imelda Jempang 9/10/1997 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
33 Febri sianrta Jempang 2/11/1998 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
34 Anastasia 2/18/2001 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
35 Donny pahlevan Loa Ipuh 11/1/2001 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
36 Chatarina Ombau asa 4/16/1999 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
37 Sherly Tanah Grogo 6/13/2000 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
38 M.Hidayatullah Tanah Grogo 10/15/2000 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
39 Nuryanti 3/28/1988 P RJ Non Racikan 1 Rp 4,500 Rp 3,000 Rp 7,500
1 Rp 2,692,200 Rp 1,794,800 Rp 4,487,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 3/8/2024 Marhamah Br.tongkok 3/24/1975 P RJ Kir Dokter + Isihara Rp 29,100 Rp 19,400 Rp 48,500
2 Jesika Gl.baru 2/11/2012 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Herlina S.raya 12/1/1950 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 M.Rafardan Mencimai 4/25/2020 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
Malaria RDT 1 Rp 27,000 Rp 18,000 Rp 45,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
5 Tresia Br.tongkok 5/30/1997 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Ambran Saud J.danum 5/7/1980 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Ronal Nangapuli Sendawar 1/20/1993 L RJ Tindakan perawatan luk 1 Rp 18,000 Rp 12,000 Rp 30,000
8 Anila sari Gl.asa 7/20/1998 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Injeksi 1 Rp 16,200 Rp 10,800 Rp 27,000
9 Suplin sius Gl.asa 4/20/2000 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
10 Doni damara Br.tongkok 5/30/1995 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
11 M.salim Azhar S.raya 2/4/2014 L RJ Darah Rutin 1 Rp 27,000 Rp 18,000 Rp 45,000
Pemasangan infus set p 1 Rp 88,200 Rp 58,800 Rp 147,000
12 Ricky Oktafianus S.raya 10/29/1996 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
1 Rp 790,800 Rp 527,200 Rp 1,318,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 9 Maret 24 Sopia S.raya 2/12/1992 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
2 Felisia Br.tongkok 2/12/1998 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Made Khrisna Br.tongkok 11/3/1998 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Idawati S.raya 12/7/1979 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
5 Aisyah pinatinsa Br.tongkok 6/19/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Dimas Gl.asa 9/26/2006 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Mikael Chang P.eheng 10/20/1990 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Javier Balok 5/8/2020 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
9 Beranti Canbora S.raya 7/9/2023 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
10 Sabariah S.sari 8/1/1979 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Asyifa L.iram 12/4/2018 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Aurelia S.raya 6/7/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Razhli Br.tongkok 9/5/2017 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Cabut dgn Ce 1 Rp 13,500 Rp 9,000 Rp 22,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
14 Siti Maszumatu Br.tongkok 5/16/2002 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
15 Abdul Hamid Br.tongkok 11/15/1998 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Pelayanan Catin 1 Rp 51,300 Rp 34,200 Rp 85,500
HB 1 Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
16 Niki asih S.joleq 11/5/2004 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
17 Ferlantia P.eheng 11/14/2008 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
18 Ahmad Azmi Manor Bulan 10/7/2023 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
19 Jihan arya S.sari 1/19/2018 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
1 Rp 831,300 Rp 554,200 Rp 1,385,500

SEX JENIS THERAPI
NO TGL NAMA PASIEN ALAMAT UMUR PELAY NAMA OBAT/ JML SARANA JASPEL BMHP
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 13
20 Nur Rahmadani Pasar Jaras 3/15/2005 P RJ Partus Penyulit 1 Rp 119,000 Rp 500,000 Rp 136,000
Jahit Perineum 1 Rp 5,000 Rp 100,000 Rp 45,000
Visit Dokter 1 Rp 3,000 Rp 7,000 0
HB 1 Rp 500 Rp 5,500 Rp 4,000
GDS 1 Rp 4,000 Rp 6,000 Rp 10,000
Protein Urine 1 Rp 1,000 Rp 4,000 Rp 5,000
1 Rp 132,500 Rp 622,500 Rp 200,000
tgl 11,12 Cuti Bersama

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 8 9 1 11 12 Rp 13
1 13 Maret 2023 Rulli Nere S.sari 6/29/1987 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
2 Kamsiah Empas 6/25/1956 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
3 Chatarina Alicia M.asa 5/3/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Jeni Br.tongkok 12/5/1982 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Tumpat Sementara 1 Rp 40,500 Rp 27,000 Rp 67,500
5 Roy Mundus RafaeB.ulaq 10/10/1959 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Cabut Anastesi lokal 1 Rp 27,000 Rp 18,000 Rp 45,000
6 Ahmad Syaefudin Br.tongkok 8/6/1988 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Afizah Kyuyra Br.tongkok 10/25/2018 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Dika Juniyanta M.asa 6/25/2008 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Endang Lestari S.raya 8/9/1989 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 Latipah S.raya 12/19/2021 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
11 Javier Bill Balok asa 5/8/2020 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
12 Lionnel putera M.asa 7/4/2008 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Febriyanti abrianaBr.tongkok 2/26/1996 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
14 Sasisiya Ngenyan 3/7/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
15 Damianus Hurint S.raya 4/23/1979 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
16 Vincensius Juhan 6/15/2016 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
17 Dorethe Jenny keay 10/25/2007 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
18 Nataly Damai 12/26/2011 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
19 Resin Rakanan S.raya 6/29/1976 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
20 Levi Juhan Asa 8/18/1999 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
21 M.Raffi Ardiansya Ngenyan 12/20/2007 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
22 Iin Ratna Br.tongkok 9/2/1995 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
23 Imanvei S.ngurai 2/16/2023 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
24 M.Zika Mencimai 4/14/2013 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
25 Okta Aurelia B.ulaq 10/5/2023 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Tindik 1 Rp 22,500 Rp 15,000 Rp 37,500
1 Rp 980,700 Rp 653,800 Rp 1,634,500

SEX JENIS THERAPI
NO TGL NAMA PASIEN ALAMAT UMUR PELAY NAMA OBAT/ SARANA JASPEL TOTAL
(L/P)
(Thn) (RJ/RI BHP JML
1 2 3 4 5 6 7 8 9 10 11 12
1 3/14/2024 HERMANUS SP RAYA 9/5/1955 L RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 3/14/2024 SOPIA SILO SP RAYA 2/12/1992 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC 1 Rp 20,700 Rp 13,800 Rp 34,500
USG 1 Rp 67,500 Rp 45,000 Rp 112,500
3 3/14/2024 SINTA DEWI SP RAYA 2/12/2001 P RJ Pengbatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 3/14/2024 MIFTAHUL JANNS.SARI 6/12/2001 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC 1 Rp 20,700 Rp 13,800 Rp 34,500
HB 1 Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
5 3/14/2024 SYAKIRA INAYA S.SARI 11/12/2013 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 3/14/2024 RIKI MASUDIN GL. BARU 7/29/1999 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 3/14/2024 JIMI BT 6/10/1981 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 3/14/2024 AHMAD SOFIAN RJ BASUKI 4/22/2001 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 3/14/2024 GRATIA NATALIABT 12/26/2006 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 3/14/2024 TRIADI CAHYADI BT 8/15/2000 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 3/14/2024 BERTINETA B ULAQ 10/10/1999 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 3/14/2024 UCI AISYAH S.SARI 3/7/2015 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 3/14/2024 SLAMET H S.SARI 2/5/1982 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 3/14/2024 SAINAH BT 7/5/1972 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
15 3/14/2024 YULI FARIDA M.LAWA 7/8/1998 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB 1 Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
16 3/14/2024 CALVIN ROBET M.LAWA 4/14/1998 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB 1 Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
17 3/14/2024 NAUFALYN RJ. BASUKI 5/5/2020 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
18 3/14/2024 MATHEW DAMAI 5/6/2017 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
Rp 839,400 Rp 559,600 Rp 1,399,000
SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/15/2024 WAWAN KURNIAASA 2/14/1996 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 3/15/2024 FRANSISKA CLA SP RAYA 7/31/2009 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 3/15/2024 HELMIDA M. BUTUQ 5/29/2000 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC 1 Rp 20,700 Rp 13,800 Rp 34,500
HB 1 Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
4 3/15/2024 LIORA ANASTAS BT 6/13/2022 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
5 3/15/2024 DANIEL BT 1/7/1993 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 3/15/2024 PUTRI NURUL Z BT 11/1/2001 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB 1 Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
7 3/15/2024 ROBI RAMADHA BT 1/13/1998 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB 1 Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
8 3/15/2024 RESKY AMELIA MENCIMAI 5/23/2007 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Suntik KB 1 Rp 16,200 Rp 10,800 Rp 27,000
9 3/15/2024 THERESIA ASA 2/17/2022 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
10 3/15/2024 ALESHA SP RAYA 1/24/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 3/15/2024 LUSIA DENADA M. ASA 12/22/2007 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 3/15/2024 NUR AIRA BT 4/10/2017 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
Rp 657,600 Rp 438,400 Rp 1,096,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/16/2024 FLARIANUS WIS ASA 1/10/2003 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 3/16/2024 RULLI NERE S.SARI 6/29/1987 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
3 3/16/2024 HERLINA BT 12/20/1956 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 3/16/2024 NATANAEL B. ULAQ 2/15/2024 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 3/16/2024 ENDANG LESTARSP RAYA 4/9/1989 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Pelepasan susuk KB 1 162000 108000 Rp 270,000
6 3/16/2024 ERCILIA ANNA LONG IRAM 10/28/2022 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
7 3/16/2024 ANISA RAHMAWBT 9/17/2001 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 3/16/2024 SITI RUM BT 8/6/1978 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDP Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
9 3/16/2024 ELJIO GL ASA 3/1/2024 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 3/16/2024 KRISTINA NADIL P. EHENG 4/21/2000 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
11 3/16/2024 RUNIAH GL ASA 8/14/1965 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Rp 559,200 Rp 372,800 Rp 932,000
MINGGU, 17 Maret 2024

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 18-Maret 2024 Mikael Christian Keay 11/17/2002 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Bintar Catur Br.tongkok 1/16/2023 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Nebulezer 1 Rp 34,200 Rp 22,800 Rp 57,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
3 Noor Fitriani Intu Lingau 12/31/1999 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
4 Grisslend Elisab Br.tongkok 3/27/2021 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
5 Raditya ananta S.raya 6/21/2020 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Oksigen 1 Rp 27,000 Rp 18,000 Rp 45,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
6 Anggi Br.tongkok 5/8/2002 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Hiburnia S.darat 5/26/1988 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
8 Yohana Ida Br.tongkok 3/5/1994 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Pencabutan gigi 1 Rp 27,000 Rp 18,000 Rp 45,000
9 Javier Balok 5/8/2020 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
10 Mijah Mencimai 5/2/1960 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Samuel M.asa L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Margareta P.asa 11/29/2007 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Merlin Noviani P.asa 5/3/2009 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 Kamsiah Melak 6/25/1956 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
15 Darsono Dastin M.asa 11/29/2005 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
16 Ayla Ilmi S.raya 8/21/2023 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
17 Reski Novianto Busur 301-11-99 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
18 Jiya Aleen Ombau 3/3/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Tindik 1 Rp 22,500 Rp 15,000 Rp 37,500
19 Chlen Nyuatan 4/6/2002 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
20 Desea Sembuan 12/27/2023 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
21 Siti Aisyah Br.tongkok 1/1/2019 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
22 Emilia Nanur S.raya 1/6/1996 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
23 Fransiska A.mah S.raya 11/18/2018 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Perawatan luka 1 Rp 18,000 Rp 12,000 Rp 30,000
24 Santi Veronika S.sari 4/8/1973 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
Rp 882,000 Rp 588,000 Rp 1,470,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 19 Maret 24 Abrina Calista Ombau 11/27/2023 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Nurul S.sari 11/14/1984 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Ade Vytha S.raya 15 thun L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Fhebe roza br.tongkok 5/9/1994 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Esmeralda Dwi Br.tongkok 9/23/2000 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Florensia S.raya 25thun P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Susi S.raya 10/14/1996 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Suntik KB 1 Rp 16,200 Rp 10,800 Rp 27,000
8 Theodora mayo S.raya 3/21/1957 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Glory Leonova Nyuatan 5/5/2021 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
Rp 248,400 Rp 165,600 Rp 414,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/20/2024 Daud Nugroho S.sari 12/6/2002 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Meishira Gm.asa 5/9/2017 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Afifah S.raya 8/11/2016 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
4 M.Alif S.raya 4/19/2021 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Widia M.asa 22 Tahun P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Dina Vanessa M.asa 21 tahun P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Rafassya Br.tongkok 9/11/2023 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Kartina Br.tongkok 36 thun P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 John Albert Ombau 12/26/1981 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 Rulil nere S.sari 6/29/1987 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
11 Darwin Damai 12/2/2004 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Beres Marbun B.ulaq 8/8/1997 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Irwan Lumbun L.bigung 9/7/2002 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 Marselina Ikong Keay 4/2/1972 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Rp 423,300 Rp 282,200 Rp 705,500

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/21/2024 Olivia Octarosal Balok 10/15/2001 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Katarina Balok asa 4/19/2001 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Nurhayati Br.tongkok 11/29/1994 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
4 Alvindra Ombau 12/2/1999 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Yupita Ombau 9/19/1991 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Suntik KB 1 Rp 16,200 Rp 10,800 Rp 27,000
6 Waidan Ombau 5/8/2019 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
7 Samsiah Br.tongkok 2/18/1960 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Reynand Benung 10/10/2023 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Maikel S.raya 5/21/2018 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 Jonathan B.ulaq 10/15/2021 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Helda dayanti S.raya 7/10/2005 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Urin rutin stik 1 Rp 20,700 Rp 13,800 Rp 34,500
Sedimen 1 Rp 10,800 Rp 7,200 Rp 18,000
12 Delicia Asa 7/21/2021 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Rp 443,400 Rp 295,600 Rp 739,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/22/2024 Syamsudin M.asa 2/17/1954 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Ghristiana Aveyl Br.tongkok 3/17/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Kn2 1 Rp 20,700 Rp 13,800 Rp 34,500
3 Ranyta Rahayu S.raya 5/2/2001 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
4 Suhardiman S.raya 6/21/1994 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
5 M.Kellen Abinsa Ngenyan 4/5/2015 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
6 Rusdiana Nyoria S.ngurai 11/4/1963 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
7 Siti Jum Br.tongkok 8/5/1978 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
8 Lusius Febriano Br.tongkok 3/4/2008 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Leora Cheltea Gl.baru 4/6/2023 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 darwin 12/2/2004 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
11 Thiess victoria S.joleq 5/25/2020 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
12 alvan Elvano Br.tongkok 9/11/2021 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
13 Hiburma S.darat 5/26/1988 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
14 Endng Sujiana Keay 2/1/1983 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
15 Dwi Aniliah R.basuki 6/2/1990 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
16 Petrus ngambul Gl.baru 10/25/1980 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Rp 911,100 Rp 607,400 Rp 1,518,500

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/23/2024 Sutrimah Br.tongkok 9/7/1975 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Aryo Adi guna L.bigung 5/17/2001 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Zefanya Manor bula 1/4/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
4 Prince Richel Manor bula 4/22/2023 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
5 Kristiyani Gl.asa 3/27/2002 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 By Ny Ainun S.sari 3/16/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Glory Leanova Dempar 5/5/2021 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
8 Hermanto Br.tongkok 1/26/1982 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Marzean Fready Suakong 3/3/2016 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
VAR 1 Rp 36,000 Rp 24,000 Rp 60,000
Rp 199,800 Rp 133,200 Rp 333,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/25/2024 Jelita Anggia Gl.baru 7/27/2005 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Beni 5/31/2001 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Thomas 6/4/1990 L L Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Micella anya Gl.baru 7/16/2023 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
5 Dina Vanessa M.asa 10/1/2002 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Oktavianus ling S.raya 10/30/1991 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
7 Rosalina S.raya 12/23/1995 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
8 Nazira M S.sari 1/4/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Keisha S.sari 6/19/2018 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
10 Suwarni R.Basuki 5/2/1977 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
11 Yosua Jaras 12/9/2016 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Winansyih S.raya 12/31/1956 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
13 Marianus agung Bp.ulaq 7/17/1984 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 Melviana Damai 7/28/1992 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Rp 675,000 Rp 450,000 Rp 1,125,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/26/2024 Adi Aryo guna L.bigung 5/17/2001 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Yulianus alung Br.tongkok 7/3/2004 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Efriani Gm.asa 1/15/2006 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Nurina Rian Br.tongkok 10/8/1987 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Klemensia epan Benung 10/15/1978 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Yona Juaq asa 12/29/1963 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Urin Rutin 1 Rp 16,200 Rp 10,800 Rp 27,000
7 Karina Ombau 2/4/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Silvanus S.raya 11/27/1962 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Eldasro P.eheng 3/22/2024 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Kn2 1 Rp 20,700 Rp 13,800 Rp 34,500
10 Marsanti Balok 3/7/2000 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Firiantoha sayo Intu lingau 3/3/1993 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Quen Br.tongkok 4/24/2018 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Oksigen 1 Rp 27,000 Rp 18,000 Rp 45,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
13 Berni monalisa Damai 5/31/2001 P RJ Pelayanan Catin Rp 51,300 Rp 34,200 Rp 85,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
14 Thomas b TrionoDamai 6/4/1997 L RJ Pelayanan Catin Rp 51,300 Rp 34,200 Rp 85,500
HB Rp 27,000 Rp 18,000 Rp 45,000
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
15 Adi arya guna L.bigung 5/17/2001 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Perawatan luka penyulit 1 Rp 34,200 Rp 22,800 Rp 57,000
Rp 651,000 Rp 434,000 Rp 1,085,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/27/2024 Riko Frihadi S.raya 12/8/1983 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Ridayana Gm.asa 6/22/1975 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 M.Basnawati Mantar 9/15/2018 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
4 Zea Azkadina Br.tongkok 3/20/2020 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
5 Aisyah Novita Br.tongkok 11/25/2023 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Tindak Telinga Bayi 1 Rp 22,500 Rp 15,000 Rp 37,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
6 Susi susanti S.raya 10/9/1987 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Anisa Nuril Jana Br.tongkok 9/11/2008 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Edy Santoso Br.tongkok 4/18/1979 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 Putra Ganesha Mencimai 5/10/2000 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 Cici Br.tongkok 9/11/2008 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Lilis Lisnawati Br.tongkok 12/2/1975 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Amanda Belempung 9/23/2003 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Saripandy Benung 5/10/2000 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 M.Haris aminudiS.sari 3/24/2019 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
15 Dullah Br.tongkok 4/4/1982 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
16 Fadia dwi Br.tongkok 7/25/2003 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Rp 447,300 Rp 298,200 Rp 745,500

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/28/2024 Maria Sera Tepulang 9/5/1996 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Pemasangan Implan 1 Rp 405,000 Rp 270,000 Rp 675,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
2 M.solihin Benung 8/20/1984 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Febbiyolla agathNgenyan 2/5/1999 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Adi Aryo L.bigung 5/7/2001 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Ahmad Razka Br.tongkok 1/11/2024 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
6 Riska wilda Ngenyan 5/22/1985 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 Dennis Weisen M.asa 1/25/2006 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Aqla Julysa Gl.asa 7/18/2023 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
9 Fatimah S.sari 2/26/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 Selpi J.danum 6/3/2003 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Dede Putri yani Asa 2/3/1999 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Mikael julina Br.tongkok 7/5/2022 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
13 M.Rizqi S.raya 9/18/2006 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 Pascalia Windy Jempang P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
15 Iin Ratna sari Br.tongkok 9/2/1995 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
16 Erilyn Bellyania Balok asa 6/28/2014 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
17 Azka Alvaro Balok asa 7/29/2015 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Rp 898,800 Rp 599,200 Rp 1,498,000

SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 3/30/2024 Rido Ade sanjay Intulingau 12/31/2002 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Riz Qilana 1/21/2023 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Sulastri 4/20/1982 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
4 Antonia Busur 1/26/2002 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
HB Rp 27,000 Rp 18,000 Rp 45,000
5 Alula B.Ulaq 9/16/2022 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
6 Laira S.ngurai 3/28/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Kn2 1 Rp 20,700 Rp 13,800 Rp 34,500
7 Rista Anjeli Br.tongkok 5/2/2000 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
ANC Rp 20,700 Rp 13,800 Rp 34,500
8 Maulana Imam Ongko 9/10/1998 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
9 Raisya Br.tongkok 9/28/2016 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
10 Yudi Wahyudi S.raya 7/9/1973 L RJ Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
11 Raisya Septiana Br.tongkok 9/28/2016 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Cabut denngan Ce 1 Rp 13,500 Rp 9,000 Rp 22,500
12 Sabil S.sari 3/29/2020 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
Rp 597,900 Rp 398,600 Rp 996,500
TOTAL
14
Rp 755,000
Rp 150,000
Rp 10,000
Rp 10,000
Rp 20,000
Rp 10,000
Rp 955,000
SEX JENIS
NO TGL NAMA PASIEN ALAMAT UMUR PELAYANAN
(L/P)
(Thn) (RJ/RI)
1 2 3 4 5 6 8
1 Icuk Penyinggahan 12/13/1986 L RJ
2 Arianto Tering 8/24/1986 L RJ

3 Armansyah Alung Tering 4/28/1972 L RJ
4 Basuki Sumber Sari 4/14/1952 L RJ

5 Harsono Jambuk 2/4/1971 L RJ
6 Dahrudin Bongan 7/12/1981 L RJ
7 Asmuran Bongan 6/7/1982 L RJ

8 Jamal Sumber Sari 5/2/1957 L RJ
9 Junaidi Long Iram 8/5/1963 L RJ

10 Darmo Satimin Sumber Sari 10/14/1941 L RJ
11 Mursalin Bongan 1/5/1968 L RJ

12 Handoko Setia P Mencelew 3/19/1968 L RJ
13 Irawan Bigung 5/2/1975 L RJ

14 Kasmari Long Iram 12/2/1968 L RJ
15 Bakarudin Simpang Raya 8/8/1965 L RJ
16 Bayu Aristiawan Samarinda 1/28/1993 L RJ

17 Sukemi Simpang Raya 8/23/1969 L RJ
18 Syafii Banjarmasin 6/21/1970 L RJ

19 Surya Darma Long Iram 5/5/1983 L RJ
20 Norfitri Penyinggahan 12/4/1994 P RJ
21 Nurhidayah Bigung 12/21/1972 P RJ

22 Ainun Kelian 11/27/1965 P RJ
23 Risnawati Tering 1/29/1990 P RJ
24 Isna Tering 7/3/1983 P RJ

25 Ririn Susanti Tering 11/28/1975 P RJ
26 Tapsiah Sumber Sari 1/19/1953 P RJ

27 Endang Siti H BT 11/14/1988 P RJ
28 Heni Bongan 8/7/1983 P RJ
29 Datiana Bigung 9/5/1970 P RJ

30 Ma'rifah Sumber Sari 3/6/1960 P RJ
31 Murtini Long Iram 5/5/1965 P RJ

32 Te'ne Bongan 7/1/1939 P RJ
33 Andi Syarifah FD Samarinda 5/13/1977 P RJ

34 Nur Kasanah Bigung 3/19/1968 P RJ
35 Dina BT 3/15/1966 P RJ
36 Sartini Parenrengi Bongan 10/12/1968 P RJ

38 Rosilawati Long Iram 4/21/1986 P RJ
THERAPI
NAMA OBAT/ SARANA JASPEL BMHP TOTAL
JML
BHP
9 10 11 12 13 14
Gula Darah Stick 1 4,000 6,000 10,000 20,000
Gula Darah Photometer 1 4,000 7,000 4,000 15,000
Cholesterol Total Photometer 1 2,000 9,000 9,000 20,000
Cholesterol HDL(High Density 1
Lipoprotein 5,000 10,000 10,000 25,000
Cholesterol LDL(Low Density 1
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Asam Urat Photometer 1 3,000 9,000 8,000 20,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
SGPT (SerumnGlutamic 1
Pyruvic Transaminase) 4,000 10,000 11,000 25,000
SGOT (Serum Glutamic 1
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Pelayanan obat non racikan 1 500 2,000 500 3,000
Konsultasi Dokter Umum 1 4,000 5,000 1,000 10,000
Amlodipin 5 30
Simvastatin 30
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 30
Captopril 12,5mg 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 30
Ibuprofen 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Karbogliserin 1
Simvastatin 30
Miconazole 2
Griseofulvin 7
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gliserol ear drop 1
Gula Darah Stick 1 4,000 6,000 10,000 20,000
Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Ibuprofen 10
Vit C 10
Simvastatin 30
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
ctm 4mg 10
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 30
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Metformin 90
Simvastatin 30
Loratadine 5
Vit C 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000

Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Amlodipin 5 mg 30
Gliserol Ear Drop 1
Simvastatin 20
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Amlodipin 10mg 30
Simvastatin 30
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 30
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 20
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Simvastatin 10
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Metformin 60
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Gula Darah Stick 1 4,000 6,000 10,000 20,000

Lipoprotein 5,000 10,000 10,000 25,000
Lipoprotein 3,000 7,000 10,000 20,000
Trigliserida 1 4,000 11,000 10,000 25,000
Ureum 1 4,000 10,000 11,000 25,000
Creatinin 1 5,000 10,000 10,000 25,000
Oxaloacetic) 5,000 10,000 10,000 25,000
Darah Rutin 1 4,000 7,000 9,000 20,000
Laju Endap Darah 1 500 3,000 4,500 8,000
Golongan Darah 1 500 3,000 4,500 8,000
Rhesus 1 2,000 3,000 2,000 7,000
Urin Rutin Stick 1 1000 6000 8000 15,000
Tes Kehamilan 2 6,000 10,000 4,000 20,000
Pengobatan Umum 1 1,000 2,700 2,300 6,000
Loratadine 10
Simvastatin 10
Tes Kehamilan 2 6,000 10,000 4,000 20,000

Pengobatan Umum 1 1,000 2,700 2,300 6,000
2,096,500 4,773,900 4,797,600 11,668,000
6,894,100
5796 cwo
5814 cwe
19
39
11668
Tanggal 1 April 2024
SEX JENIS THERAPI
(L/P)
(Thn) (RJ/RI BHP 10
1 2 3 4 5 6 7 8 9 10 11 12
1 4/1/2024 Devano Carlus S.darat 10/25/2023 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
2 Marisa kusuma Dasaq 5/11/2000 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
3 Bayi Wena S.Ngurai 3/31/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
4 Jose Casey Br.tongkok 5/26/1997 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
5 Marlina busur 11/3/1991 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
6 Sulastri 4/20/1982 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
7 By Sulastri R.basuki 3/30/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
8 Aster Tubun Gl.asa 6/7/1977 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
9 By Milka S.ngurai 3/1/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Kn1 1 Rp 20,700 Rp 13,800 Rp 34,500
10 Dominggas Damai 12/12/2019 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Widal 1 Rp 81,000 Rp 54,000 Rp 135,000
Racikan 1 Rp 7,200 Rp 4,800 Rp 12,000
11 Surahman M.lawa 5/8/1988 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
12 Abu Amar L.bigung 1/2/2006 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
13 Naari engelina Ngenyan 11/15/2011 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
14 Novla Sari Balok 11/10/2001 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
15 Syafii Ujoh Bilang 6/21/1970 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
16 Galuh Rizky R.basuki 3/7/2002 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
17 Eryta 3/17/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
18 Andri Manor Bula 8/18/2005 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
19 Mila S.raya 8/7/2012 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
20 Maulana Ongko 5/10/1998 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
21 Sri Lestari Br.tongkok 3/9/1989 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
22 Bayi Min Fadilla S.raya 3/29/2024 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Kn1 1 Rp 20,700 Rp 13,800 Rp 34,500
23 Joey Marwechio Br.tongkok 3/20/2024 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
24 Harini R.basuki 8/25/1992 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
25 Suwarni R.basuki 6/2/1977 P RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
GDS 1 Rp 21,600 Rp 14,400 Rp 36,000
Asam urat 1 Rp 27,000 Rp 18,000 Rp 45,000
26 Yudi Wahyudi S.raya 7/9/1973 L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Ureum 1 Rp 34,200 Rp 22,800 Rp 57,000
Cretinin 1 Rp 34,200 Rp 22,800 Rp 57,000
27 Daniel Krisna Asa L RJ Pengobatan Umum 1 Rp 8,100 Rp 5,400 Rp 13,500
Rp 1,017,600 Rp 678,400 Rp 1,696,000

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RETRIBUSI JASA PELAYAN KESEHATAN PKM BARONG TONGKOK JANUARI 2024

Tanggal 2 Januari 2024

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Tanggal 30 Januari 2024

Tanggal 31 Januari 2024

Protein Urine 1 Rp 1,000 Rp 4,000 Rp 5,000 Rp 10,000

Tanggal 2 Februari 2024

Tanggal 5 Februari 2024

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Tanggal 2 Maret 2024

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Tanggal 9 Maret 2024

1 Rp 132,500 Rp 622,500 Rp 200,000

tgl 11,12 Cuti Bersama

Tanggal 14 Maret 2024

Tanggal 16 Maret 2024

MINGGU, 17 Maret 2024

Tanggal 19 Maret 2024

Tanggal 20 Maret 2024

Tanggal 21 Maret 2024