Anda di halaman 1dari 28

BULAN : JULI

N
TANGGAL
O
PULANG
1
2
3
4
5
6
7
8
9
10

NAMA
PASIEN

RAWAT
INAP

TIND
KPRWTN

SEWA
ALAT

ASKEP

0
0
0
0
0

0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

PERINCIAN PASIEN PULANG

RJP
0
0
0
0
0
0
0
0
0
0
0

TINDAKAN MEDIS
INTUBASI
VENTI
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

CVP

LAB
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

PEMERIKSAAN PENUNJANG
RO
EKG
PMI
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

UNJANG
O2

SPESIALIS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

VISITE
KONSUL
0
0
0
0
0
0
0
0
0
0
0

JUMLAH

UMUM
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

BULAN : JULI
N
TANGGAL
O
PULANG
1
7/23/2016
2
3
4
5

NAMA
PASIEN
WALIM

RAWAT
TIND
INAP
KPRWTN
1,200,000 2,260,000
0
0
0
0
0
0
0
0
1,200,000 2,260,000

ASKEP
40,000
0
0
0
0
40,000

SEWA
ALAT
400,000
0
0
0
0
400,000

PERINCIAN PASIEN PULANG

RJP
0
0
0
0
0
0

TINDAKAN MEDIS
INTUBASI
VENTI
0
0
0
0
0
0
0
0
0
0
0
0

CVP
0
0
0
0
0
0

LAB
698,000
0
0
0
0
698,000

PEMERIKSAAN PENUNJANG
RO
EKG
PMI
0
0 900,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0 900,000

UNJANG
O2
SPESIALIS
156,000 280,000
0
0
0
0
0
0
0
0
156,000 280,000

VISITE
KONSUL
40,000
0
0
0
0
40,000

UMUM
80,000
0
0
0
0
80,000

JUMLAH
6,054,000
0
0
0
0
6,054,000

BULAN : JULI
N
TANGGAL
O
PULANG
1
7/24/2016
2
3
4
5

NAMA
PASIEN
ANISA

RAWAT
TIND
INAP
KPRWTN
300,000
719,000
0
0
0
0
0
0
0
0
300,000
719,000

ASKEP
10,000
0
0
0
0
10,000

SEWA
ALAT
100,000
0
0
0
0
100,000

PERINCIAN PASIEN PULANG

RJP
0
0
0
0
0
0

TINDAKAN MEDIS
INTUBASI
VENTI
0
0
0
0
0
0
0
0
0
0
0
0

CVP

LAB
0
0
0
0
0
0

0
0
0
0
0
0

PEMERIKSAAN PENUNJANG
RO
EKG
PMI
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0

UNJANG
O2
SPESIALIS
84,000
0
0
0
0
0
0
0
0
0
84,000
0

VISITE
KONSUL
0
0
0
0
0
0

UMUM
40,000
0
0
0
0
40,000

JUMLAH
1,253,000
0
0
0
0
1,253,000

P
BULAN : JULI
N
TANGGAL
NAMA
O
PULANG
PASIEN
1
7/1/2016
TJARWAD
2
7/2/2016 DEWI
3
7/3/2016 SUYITNO
4
7/10/2016 THOYIB
5
7/14/2016 UMI.S

RAWAT
INAP
600,000
900,000
300,000
300,000
600,000
2,700,000

TIND
KPRWTN
640,000
1,285,000
320,000
619,000
1,135,000
3,999,000

ASKEP
20,000
30,000
10,000
10,000
20,000
90,000

SEWA
ALAT
200,000
300,000
100,000
100,000
200,000
900,000

PERINCIAN PASIEN PULANG

RJP
400,000
0
400,000
400,000
0
1,200,000

TINDAKAN MEDIS
INTUBASI
VENTI
180,000
600,000
0
0
180,000
600,000
0
0
0
0
360,000 1,200,000

CVP
0
0
0
0
0
0

LAB
293,000
102,000
635,000
0
0
1,030,000

PEMERIKSAAN PENUNJANG
RO
EKG
PMI
50,000
40,000
0
0
50,000
40,000
0
40,000
0
0
100,000 120,000

0
0
0
0
0
0

UNJANG
O2
SPESIALIS
156,000
40,000
216,000 120,000
60,000
0
36,000
0
132,000 120,000
600,000 280,000

VISITE
KONSUL
40,000
160,000
0
0
0
200,000

UMUM
40,000
80,000
20,000
20,000
40,000
200,000

JUMLAH
3,299,000
3,193,000
2,715,000
1,525,000
2,247,000
###

PERINCIAN PASIEN PULANG


BULAN : JULI
N
TANGGAL
NAMA
O
PULANG
PASIEN
1
7/2/2016 SOPEDI
2
7/3/2016 WASMAH
3
7/8/2016 HANA
4
7/2/2016 USMAN
5
7/2/2016 MELANI
6
7/4/2016 SITI
7
7/9/2016 KOTIMAH
8
7/12/2016 ELIS
9
7/16/2016 HENDRIYANA
10
7/16/2016 SALSABILA
11
7/17/2016 WASNAH
12
7/20/2016 RISNANTO
13
7/22/2016 ANISAH
14
7/22/2016 DEWI
15
7/28/2016 SAHADI
16
7/29/2016 GURATNO
17
18
19
20
21
22
23
24
25

RAWAT
INAP
300,000
900,000
300,000
600,000
900,000
300,000
900,000
2,700,000
300,000
2,700,000
300,000
300,000
900,000
600,000
600,000
600,000

TIND
KPRWTN
257,000
2,048,000
168,000
350,000
701,500
261,000
759,000
4,258,000
628,000
3,297,500
125,500
175,000
1,277,000
575,000
981,000
1,021,000

13,200,000

16,882,500

ASKEP
10,000
30,000
10,000
20,000
30,000
10,000
30,000
90,000
10,000
90,000
10,000
10,000
30,000
20,000
20,000
20,000
0
0
0
0
0
0
0
0
0
330,000

SEWA
ALAT
100,000
300,000
100,000
200,000
300,000
100,000
300,000
900,000
100,000
900,000
100,000
100,000
300,000
200,000
200,000
200,000
0
0
0
0
0
0
0
0
0
3,300,000

RJP
0
0
0
0
0
0
0
0
400,000
0

TINDAKAN
INTUBASI
0
0
0
0
0
160,000
0
0
0
0
180,000

MEDIS
VENTI
0
0
0
600,000
0
600,000
0
0
0
0

CVP

LAB
0
0
0
0
0
0
0
0
0
0

0
463,000
0
1,243,000
0
0
532,000
0
272,000
561,500

1,249,000
212,000
799,000

400,000

340,000 1,200,000

PEMERIKSAAN PENUNJANG
RO
EKG
PMI
0
40,000
0
40,000
0
40,000
55,000
0
0
0
0
40,000
0
0
0
0
200,000
40,000
220,000
40,000
40,000

0
0
0
0
0
0
0
0
0
0

50,000

50,000

40,000
40,000

3,071,500 475,000 280,000

NJANG
O2
SPESIALIS
58,000
0
324,000
80,000
48,000
0
30,000
40,000
240,000
80,000
20,000
40,000
0
40,000
516,000
0
66,500
0
123,500 320,000
12,000
120,000
60,000
168,000
108,000

40,000
40,000
120,000

1,438,000

600,000

VISITE
KONSUL
0
40,000
0
80,000
0
0
80,000
0
0
0

120,000

200,000

UMUM
20,000
80,000
0
80,000
80,000
20,000
40,000
120,000
20,000
60,000
40,000
20,000
120,000
40,000
40,000
60,000

840,000

JUMLAH
785,000
4,305,000
666,000
3,298,000
2,331,500
1,551,000
2,681,000
8,584,000
2,036,500
8,312,500
807,500
605,000
4,206,000
1,747,000
2,049,000
3,018,000
0
0
0
0
0
0
0
0
0
34,550,500

PERIN
BULAN : JULI
N
TANGGAL
NAMA
O
PULANG
PASIEN
1
7/2/2016
TOERANGGA
2
7/1/2016 ROHETIN
3
7/7/2016 TUTI
4
7/2/2016 CARSITI
5
7/2/2016 CARTI
6
7/5/2016 ALBI
7
7/3/2016 KASITI
8
7/2/2016 INE
9
7/8/2016 MURYATI
10
7/4/2016 TALITA
11
7/10/2016 YUMNA
12
7/9/2016 ALMIRA
13
7/9/2016 AHMAD.R
14
7/9/2016 DARTAM
15
7/11/2016 ALBYAN
16
7/14/2016 TARKINI
17
7/14/2016 KARSEWI
18
7/14/2016 KARMUN
19
7/12/2016 IYAH
20
7/14/2016 ALDILAH
20
7/12/2016 SAENAH
21
7/13/2016 RAFFI
22
7/12/2016 SAPRUDIN
23
7/13/2016 AEP.S
24
7/18/2016 SUMARJO
25
7/18/2016 SURYANA
26
7/12/2016 KURSINAH
27
7/19/2016 LIZA.A
28
7/20/2016 NURLAELA
29
7/21/2016 CARMA
30
7/21/2016 DEA.A
31
7/22/2016 RASIDI
32
7/22/2016 kusmiyanti
33
7/23/2016 WARTINI
34
7/24/2016 SUSILAWATI
35
7/25/2016 RANTESIH
36
7/25/2016 RIO
37
7/26/2016 GINA JUAN
38
7/24/2016 DAYIMAH
39
7/26/2016 HERU

RAWAT
INAP
1,500,000
300,000
900,000
300,000
300,000
600,000
300,000
1,200,000
1,500,000
1,200,000
2,100,000
3,000,000
1,800,000
1,800,000
900,000
300,000
1,200,000
1,500,000
600,000
300,000
300,000
900,000
3,000,000
300,000
1,200,000
300,000
30,000
1,500,000
1,500,000
300,000
900,000
300,000
2,400,000
3,000,000
300,000
300,000
900,000
1,200,000
3,300,000
300,000

TIND
KPRWTN
3,179,000
362,000
1,318,000
340,000
359,000
1,249,000
341,000
2,299,000
2,378,000
1,608,500
2,853,000
4,267,000
2,942,000
2,845,000
1,180,000
540,000
2,532,000
3,158,000
1,172,000
574,000
386,000
1,438,000
4,721,000
479,000
1,623,000
603,000
411,000
2,612,000
2,659,500
586,000
1,234,000
423,000
4,467,000
6,543,500
483,500
1,659,000
1,723,000
6,701,500
568,500

ASKEP
50,000
10,000
30,000
10,000
10,000
20,000
10,000
40,000
50,000
40,000
70,000
100,000
60,000
60,000
30,000
10,000
40,000
50,000
20,000
10,000
10,000
30,000
100,000
10,000
40,000
10,000
1,000
50,000
50,000
10,000
30,000
10,000
80,000
100,000
10,000
10,000
30,000
40,000
110,000
10,000

SEWA
ALAT
500,000
100,000
300,000
100,000
100,000
200,000
100,000
400,000
500,000
400,000
700,000
1,000,000
600,000
600,000
300,000
100,000
400,000
500,000
200,000
100,000
100,000
300,000
1,000,000
100,000
400,000
100,000
10,000
500,000
500,000
100,000
300,000
100,000
800,000
1,000,000
100,000
100,000
300,000
400,000
1,100,000
100,000

40
41
42
43
44
45
46
47
48
49
50

7/25/2016 TANDUR
7/27/2016 SUPADI
7/27/2016 TIRYAH
7/27/2016 DADANG
7/26/2016 TRIYANA
7/28/2016 MUHAMAD.A

300,000
300,000
300,000
3,600,000
600,000
300,000

440,000
499,000
264,000
5,813,500
1,070,000
146,500

27,630,000 45,157,500

10,000
100,000
10,000
100,000
10,000
100,000
120,000 1,200,000
20,000
200,000
10,000
100,000
0
0
0
0
0
0
0
0
0
0
921,000 9,210,000

PERINCIAN PASIEN PULANG RUANG ICU TAHUN2016

RJP
0
0
0
400,000
400,000
400,000
400,000
400,000
0
0
0
0

TINDAKAN MEDIS
INTUBASI
VENTI
0
0
0
0
0
0
0
0
0
0
180,000
600,000
0
0
0
0
0
0
0
0
0
0
0
0

0
400,000
0
0
0
0
0

0
180,000
0
0
0
0
0

0
600,000
0
0
0
0
0

400,000

180,000

600,000

400,000

400,000
400,000

400,000
400,000

400,000
400,000

180,000

600,000

CVP
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

LAB
930,000
0
247,000
91,000
457,000
183,000
332,000
2,208,000
0
213,000
231,000
1,490,000

PEMERIKSAAN PENUNJANG
RO
EKG
0
0
0
0
0
0
50,000
40,000
50,000
40,000
0
40,000
50,000
40,000
0
40,000
0
40,000
0
0
0
0
45,000
0

587,000
228,000

0
0

25,000
368,000
102,000
227,000
552,000
680,000
1,197,000
227,000
692,000
80,000
376,000
203,000
228,000
111,000
305,000
273,000
524,000
235,000
464,000
652,000
298,000
298,000
558,000
611,000

600,000
0
0
50,000
50,000
45,000
215,000

80,000
40,000
0
0
0
0
40,000
40,000

40,000
40,000
50,000

40,000

105,000
200,000

40,000

100,000

40,000

50,000
45,000
50,000

40,000
80,000

50,000

40,000
40,000

400,000
400,000
400,000

180,000

600,000

510,000
225,000
696,000
51,000
60,000

400,000

3,200,000

540,000 1,800,000

11,723,000

50,000
50,000
45,000

40,000
40,000
40,000
120,000

50,000

40,000

1,205,000 560,000

SAAN PENUNJANG
PMI
0
0
0
0
0
450,000
0
900,000
0
0
0
0
0
0
0
0
0
0
0

1,350,000
900,000

O2
SPESIALIS
276,000 320,000
108,000
40,000
216,000
80,000
48,000
0
60,000
40,000
204,000
40,000
84,000
40,000
324,000
80,000
360,000 160,000
192,000
80,000
288,000
588,000
40,000
312,000 200,000
324,000 240,000
192,000
0
96,000
80,000
312,000 240,000
384,000 200,000
240,000
80,000
76,000
80,000
60,000
312,000
40,000
540,000 360,000
24,000
40,000
240,000 160,000
60,000
80,000
96,000
0
264,000 120,000
204,000 120,000
60,000
40,000
132,000
40,000
60,000
40,000
564,000 720,000
636,000 440,000
84,000
72,000
80,000
84,000
80,000
204,000
80,000
576,000 520,000
60,000
80,000

VISITE
KONSUL
0
0
120,000
0
0
0
0
400,000
0
0
0
0
80,000
0
40,000
0
0
0
0
0
40,000

80,000

160,000
80,000
40,000
40,000
40,000

UMUM
120,000
0
60,000
20,000
40,000
600,000
40,000
80,000
100,000
120,000
140,000
200,000
160,000
120,000
80,000
20,000
20,000
40,000
20,000
40,000
20,000
100,000
160,000
40,000
100,000
40,000
80,000
100,000
60,000
60,000
20,000
140,000
120,000
60,000
60,000
80,000
100,000
140,000
20,000

JUMLAH
6,875,000
920,000
3,271,000
1,399,000
1,856,000
4,766,000
1,737,000
8,371,000
5,088,000
3,853,500
6,382,000
10,730,000
6,154,000
6,656,000
4,170,000
1,146,000
5,369,000
6,200,000
2,434,000
1,497,000
1,518,000
3,885,000
11,293,000
2,440,000
4,495,000
1,233,000
1,454,000
5,329,000
5,546,500
1,907,000
4,351,000
1,766,000
10,755,000
12,154,500
1,991,500
1,839,000
3,521,000
4,045,000
14,315,500
2,189,500

60,000
48,000
24,000
756,000
120,000
36,000

1,350,000

80,000
40,000
600,000
80,000

6,016,000 2,720,000

400,000
40,000

60,000
40,000
20,000
120,000
40,000
20,000

680,000 2,480,000

2,830,000
1,527,000
1,428,000
13,425,500
2,221,000
1,162,500
0
0
0
0
0
115,192,500

LAPORAN PENDAPATAN BULAN


RUANG ICU TAHUN 2016
BULAN : JULI
NO
SUMBER PENDAPATAN
1
RAWAT INAP
2
TINDAKAN KEPERAWATAN
3
ASKEP
4
LABORATORIUM
5
RADIOLOGI
6
EKG
7
VISITE DOKTER
a. SPESIALIS
b. KONSUL ANTAR SPESIALIS
c. UMUM
8
TINDAKAN MEDIS
a. INTUBASI
b. VENTILATOR
c. RJP
d. CVP
9

SEWA ALAT

UMUM
13,200,000
16,882,500
330,000
3,071,500
475,000
280,000

JKN
45,157,500
45,157,500
921,000
11,723,000
1,205,000
560,000

600,000
200,000
840,000

2,720,000
680,000
2,480,000

340,000
1,200,000
400,000
0

540,000
1,800,000
3,200,000
0

3,300,000

9,210,000

41,119,000

125,354,000

LAPORAN PENDAPATAN BULANAN


RUANG ICU TAHUN 2016

SKTM
719,000
10,000
10,000
0
0
0

ASKES
3,999,000
90,000
90,000
1,030,000
100,000
120,000

JR
2,260,000
40,000
40,000
0
0
0

0
0
40,000

280,000
200,000
200,000

0
0
0
0

360,000
1,200,000
1,200,000
0

PG
0
0
0
0
0
0

JUMLAH
65,335,500
62,180,000
1,391,000
15,824,500
1,780,000
960,000

280,000
40,000
80,000

0
0
0

3,880,000
1,120,000
3,640,000

0
0
0
0

0
0
0
0

1,240,000
4,200,000
4,800,000
0

100,000

900,000

400,000

13,910,000

879,000

9,769,000

3,140,000

180,261,000

Visit dokter Spesialis

BULAN : JULI
NO

dr. Iskandar

dr.Dini

dr.Irene

dr. Fariz

dr. Haryo

dr.Aris

dr. Ineu

dr.Miko

dr.Eka

10

dr.Taufik

11

dr.

12
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28

Visit dokter Umum

10

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14

BULAN : JULI
NO

dr.HARI

drTRYSI

dr.AJI

dr. DENOK

dr. GISDA

dr.HENI

dr.ALI

drNURZAMAN

dr.DYAN F

10

dr.DIAN R

11

dr.

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31

JMLH

15

16

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18

19

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21

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31

JMLH