RAWAT JA
1 28-08-2013 Pagi Nn - -
2 28-08-2013 Pagi Apt Sahabat - -
3 28-08-2013 Pagi Nuraidah hj 5,000 80,000
4 28-08-2013 Pagi Yayan - -
5 28-08-2013 Pagi Damanhuri - -
1 28-08-2013 Sore Nn - -
2 28-08-2013 Sore Nurlaela 5,000 70,000
3 28-08-2013 Sore Nancy Arianti 5,000 250,000
4 28-08-2013 Sore Ica Julia 5,000 70,000
5 28-08-2013 Sore Esih 5,000 70,000
6 28-08-2013 Sore Edward 5,000 70,000
7 28-08-2013 Sore Abdurachman 5,000 70,000
8 28-08-2013 Sore Dodo Jimirianto 5,000 70,000
9 28-08-2013 Sore Nn - -
10 28-08-2013 Sore Devi 5,000 70,000
11 28-08-2013 Sore Dede hj 5,000 70,000
12 28-08-2013 Sore Iis tim 5,000 70,000
13 28-08-2013 Sore Nurmala 5,000 70,000
14 28-08-2013 Sore Iis Sumiati 5,000 70,000
15 28-08-2013 Sore Barni 5,000 70,000
16 28-08-2013 Sore Wati 5,000 70,000
17 28-08-2013 Sore Uun Sunarsih 5,000 70,000
18 28-08-2013 Sore Khoeriyah hj - -
19 28-08-2013 Sore Neng Rosti 5,000 70,000
20 28-08-2013 Sore Budi Supriadi 5,000 70,000
21 28-08-2013 Sore Asep popo 5,000 70,000
22 28-08-2013 Sore Nn - -
80,000 1,120,000
1 31-08-2013 Pagi Insi - -
2 31-08-2013 Pagi Siti Nurasri 5,000 70,000
1 31-08-2013 Sore Nn - -
2 31-08-2013 Sore Tan - -
3 31-08-2013 Sore Yano Susilo 5,000 70,000
10,000 140,000
1 1/9/2013 Pagi Nn -
2 1/9/2013 Pagi Nn - -
0 0
105,000 1,480,000
75,000 1,050,000
65,000 910,000
30,000 420,000
90,000 1,260,000
50,000 620,000
1 9/9/2013 Pagi Reni 5,000 70,000
2 9/9/2013 Pagi Mulina 5,000 70,000
3 9/9/2013 Pagi Arif Darma - -
4 9/9/2013 Pagi Eros - -
1 9/9/2013 Sore Munir 5,000 70,000
2 9/9/2013 Sore Rinrin 5,000 70,000
3 9/9/2013 Sore Jaya 5,000 70,000
4 9/9/2013 Sore Putri Zahra 5,000 70,000
5 9/9/2013 Sore Agus Komarudin 5,000 70,000
6 9/9/2013 Sore Sopia 5,000 70,000
7 9/9/2013 Sore Pupu 5,000 70,000
8 9/9/2013 Sore D Najdmudin - -
9 9/9/2013 Sore Eti 5,000 70,000
10 9/9/2013 Sore Heli 5,000 70,000
11 9/9/2013 Sore Herlin 5,000 70,000
12 9/9/2013 Sore Hen Hen 5,000 70,000
13 9/9/2013 Sore Nunung 5,000 70,000
14 9/9/2013 Sore Sutisna 5,000 70,000
15 9/9/2013 Sore Nn - -
16 9/9/2013 Sore Alfarozian 5,000 30,000
17 9/9/2013 Sore Anjar 5,000 70,000
18 9/9/2013 Sore Ajudin 5,000 70,000
90,000 1,220,000
70,000 980,000
1 22-09-2013 Pagi Nn - -
2 22-09-2013 Sore Ayu 5,000 50,000
1 24-09-2013 Pagi Nn - -
2 24-09-2013 Pagi Ai Aisyah 5,000 70,000
3 24-09-20013 Pagi Ela 5,000 70,000
4 24-09-2013 Pagi Fitri 5,000 70,000
1 24-09-2013 Sore Hendra - -
2 24-09-2013 Sore Nn - -
3 24-09-2013 Sore Ahmad 5,000 30,000
4 24-09-2013 Sore Fatimah 5,000 70,000
5 24-09-2013 Sore Fatimah - -
6 24-09-2013 Sore Jubaedah 5,000 70,000
7 24-09-2013 Sore Sutantio 5,000 70,000
8 24-09-2013 Sore Enung 5,000 70,000
9 24-09-2013 Sore Nn - -
10 24-09-2013 Sore Rodiah 5,000 70,000
11 24-09-2013 Sore A Harun 5,000 70,000
12 24-09-2013 Sore Ai Aisyah - -
13 24-09-2013 Sore Indah 5,000 70,000
14 24-09-2013 Sore Hendra - -
15 24-09-2013 Sore Zein 5,000 70,000
ORAN PERHARI KLINIK PERMATA
RAWAT JALAN
- 277,500 - ### -
- 246,500 - ### -
- - - ### -
20,000 - - ### -
- 143,900 - ### -
- 161,000 - ### -
- 233,000 - ### -
- 182,700 - ### -
- 69,000 - ### -
- 411,800 - ### -
- 316,500 - ### -
- 124,000 - ### -
- 326,200 - ### -
- 272,000 - ### -
- 404,700 - ### -
- 80,500 - ### -
20,000 26,500 - ### -
40,000 3,275,800
- - 160,000 - -
- 128,000 - ### -
- 200,500 - ### -
20,000 149,200 - ### -
- 184,500 - ### -
- 85,600 - ### -
- - - ### -
- - - ### -
- - - ### -
- 166,900 - ### -
- 109,000 - ### -
- 318,700 - ### -
1,342,400 160,000
- 132,800 - ### -
100,000 81,000
- 34,800 - ### -
- 41,000 - ### -
- 99,200 - ### -
- 290,000 - ### -
- 196,300 - ### -
20,000 200,900 - ### -
- 400 - ### -
- 4,800 - ### -
- 125,500 - ### -
- 54,000 - ### -
- 11,300 - ### -
- 632,800 - ### -
- 204,600 - ### -
120,000 2,109,400 -
- - 141,000 - -
- 132,000 - ### -
- 124,500 - ### -
- 388,000 - ### 40,000
- 7,100 - ### -
20,000 42,200 - ### -
- 240,200 - ### -
- 97,300 - ### -
- 252,700 - ### -
20,000 138,700 - ### -
- 179,000 - ### -
- 12,900 - ### -
25,000 314,600 100,000 - -
- 184,500 - ### -
- 247,400 105,000 - -
- 151,500 - ### -
- 14,500 - ### -
- - 300,000 - -
20,000 233,500 - ### -
- 272,200 - ### -
- 201,700 - ### -
60,000 178,000 - ### -
122,000
20,000 185,500 - ### -
- 165,700 - ### -
- 115,600 - ### -
20,000 319,000 - ### -
- 106,700 - ### -
- - - ### -
111,500 - ### -
0 199,500 90,000 - -
0 - - 60,000 -
0 194,500 - ### -
0 25,800 - ### -
0 - - ### -
- 673,000 - ### -
- - 60,000 - -
- 364,900 - ### -
20,000 199,000 - ### -
- 64,000 - ### 20,000
- 226,700 - ### -
- 2,400 - ### -
- 107,500 - ### -
- 189,200 - ### -
- - 300,000 - -
- - 60,000 - -
- 10,400 - ### -
- 56,000 - ### -
100,000 169,900 218,000 - -
- 254,200 - ### -
- - - ### 70,000
- - - ### -
- - - ###
- - - ### -
- 13,500 - ### -
100,000 99,000 - ### 75,000
- 54,000 - ### -
- 47,500 - ### -
- 144,200 - ### -
- 199,100 - ### -
20,000 450,100 - ### -
20,000 - - ### -
20,000 33,900 - ### -
- 89,000 - ### -
- 217,400 - ### -
- 107,200 - ### -
60,000 596,000 - ### -
- 2,500 - ### -
- 8,000 - ### -
- - - ### -
- 170,000 - ### -
- 183,500 - ### -
- 121,200 - ### -
- - - ### 70,000
- 19,000 - ### -
- 222,500 - 60,000 -
20,000 253,500 - ### -
- 230,400 - ### -
- 27,500 - ### 70,000
- 192,600 - ### -
- - 135,000 - -
- 174,600 - ### -
- 88,000 - ### -
- 296,200 - ### -
- 24,000 - ### -
- 180,000 - ### -
- - - ### -
- 13,400 - ### -
- 62,200 - ### -
332,000
42000 62,000
- 376,000 - ### -
- 158,200 - ### -
- - 300,000 - -
- 179,400 145,000 - -
- - 270,000 - -
- 130,900 - ### -
- 126,300 - ### -
- 505,000 460,000 - -
- 183,200 - 60,000 -
- 338,000 - ### -
- 285,500 - ### -
- 104,000 - ### -
- - - ### -
- 168,400 - ### -
- - - ### -
- 75,200 300,000 - -
- 126,000 - ### -
- 6,000 - ### -
- - 300,000 - -
- 333,200 - ### -
- 183,000 - ### -
- 166,400 - ### -
- 176,200 - ### -
- 190,000 - 70,000 -
- 121,800 - ### -
- 145,000 - ### -
- 260,000 235,000 - -
- - - ### -
- 151,800 - ### -
20,000 597,100 - ### -
- 106,000 - ### -
20,000 203,400 - ### -
- 10,000 - ### -
- 620,000 - ### -
- 185,400 - ### -
- 153,200 - ### -
- 108,900 - ### -
20,000 - - ### -
- 69,200 - ### -
- 125,000 - ### -
- 58,600 - ### -
- 87,000 300,000 - -
- 442,200 - ### -
- 134,600 - ### -
- 159,000 - ### -
- 58,000 - ### -
- 47,500 - ### 50,000
- 182,500 - 60,000 20,000
- 10,000 - ### -
- 251,000 - ### -
- - 300,000 - -
- 112,200 - ### -
20,000 114,600 - ### -
- 168,500 - ### 50,000
- 122,000 - 60,000 -
- 126,000 - ### -
- 89,000 - ### -
- 204,800 205,000 - -
- 146,200 - ### -
- 151,300 300,000 - -
- 10,000 - ### -
- - 220,000 - -
- 2,000 - ### -
- 116,300 300,000 - -
100,000 240,600 287,000 - -
- 157,000 - 60,000 -
- 118,500 - 120,000 -
- 272,200 - ### -
- 63,800 205,000 - -
- 118,200 - ### -
- 139,200 - ### -
- 130,000 - ### -
- 111,700 - ### -
- 55,300 - ### -
- 129,400 105,000 - -
- 3,000 - ### -
- - 160,000 - -
- - 300,000 - -
- 39,000 - ### -
- 146,800 - ### -
- 80,200 - ### -
- 83,100 - ### -
- 136,000 - ### 30,000
- 67,500 - ### 30,000
- 116,800 20,000 - -
- 10,000 - ### -
- - 20,000 - -
- 361,000 - ### -
- 10,000 - ### -
- 205,000 - ### -
- 42,500 - ### -
- 165,600 - ### -
- 130,600 - 60,000 -
- 93,700 105,000 - -
- 166,100 - ### -
- - 300,000 - -
- 11,700 - ### -
- 46,000 - ### -
- 40,000 - ### -
- 400,500 - ### -
- 157,200 - ### -
- 257,000 - ### -
94,200 - ### -
- 2,000 - ### -
- 97,700 - ### -
- 168,400 - ### -
1,534,500 405,000 0 0
- 152,000 - ### -
- 248,500 413,000 - -
- - 300,000 - -
- 103,500 - ### -
- 118,000 142,000
- 62,200 405,000 - -
- 258,100 - -
- - - ### -
- - - ### -
- 174,000 - ### -
- 140,000 - ### 30,000
- - 132,000 - -
20,000 226,200 - ### -
- 31,000 - ### 50,000
- 174,000 - ### -
- 298,200 - ### -
- - - ### -
20,000 74,000 - ### -
- 13,000 - ### -
- 30,000 - ### -
20,000 - - ### -
- 226,500 - ### -
- - 145,000 - -
- - 15,000 - -
- 171,400 - ### -
- 197,000 - ### -
- 180,000 - ### -
- 286,000 - ### -
- 30,600 - ### -
- 129,700 175,000 - -
- - 300,000 - -
- 138,500 - ### -
- 33,100 - ### -
- 255,800 - ### -
- 210,600 300,000 - -
- 138,700 - ### -
- 194,100 - ### -
- 97,100 - ### -
- 106,200 - ### -
- 360,000 - 60,000 -
- 219,500 - ### -
- 134,800 - ### -
- - 158,000 - -
- 167,000 105,000 - -
- 2,500 - ### -
- 20,000 - ### -
- 152,000 - ### -
20,000 275,600 - ### -
- 73,200 - ### -
60,000 121,500 - ### -
20,000 102,400 - ### -
- 167,600 - 120,000 -
- 157,200 - ### -
263,000
- - - ### -
- 134,000 - ### -
- 141,200 - ### -
- 92,000 - ### -
- 64,000 - ### -
- 34,000 - ### -
- - 300,000 - -
- 3,000 - ### -
- 185,000 - ### 35,000
- 98,000 - ### -
- 86,200 - ### -
- 130,000 - ### -
- 129,500 - ### -
- 219,300 - ### -
60,000 183,600 142,000 60,000 -
- 62,200 - ### -
100,000 82,000 162,000 180,000 -
604,000
- - - ### -
20,000 133,200 - ### 20,000
- 115,000 - ### -
- 293,200 105,000 - -
40,000 193,000 187,000 130,000 -
- 69,400 - ### 30,000
10,000 5,000 - ### -
- 8,400 - ### -
- - 300,000 - -
- 123,500 - ### -
- - - ### -
- - - ### -
- 145,000 - ### -
- 529,200 - ### -
- 124,000 260,000 - -
- 118,200 - ### -
- 159,000 - ### -
20,000 327,000 300,000 - -
- - - ### -
- 98,000 - ### -
60,000 68,600 - ### -
- 82,000 300,000 - -
- 150,000 - 60,000 -
- 211,000 - ### -
- 10,000 - ### -
- 132,600 195,000 - 20,000
- 7,500 - ### -
1,647,000
10,000 - - ### -
- 98,000 - ### -
20,000 263,600 - ### -
- 100,000 - ### -
- 25,500 - ### -
- 73,000 - ### -
- 170,000 - ### -
- 142,400 105,000 - -
- 161,200 - ### -
10,000 - - ### -
- 39,600 155,000 60,000 -
- 20,000 - ### -
260,000
- 20,000 - ### -
- 85,000 - ### -
- 16,500 - ### -
- 24,000 - ### -
- 49,200 155,000 60,000 -
- 2,400 - ### -
- 125,800 - ### -
- 3,000 - ### -
- - - 120,000 -
15,000 10,000 - ### -
- 32,200 - ### -
155,000
- 114,200 - ### 20,000
- 60,400 - ### 20,000
- 175,600 105,000 - -
- 25,500 - ### -
- 109,400 - ### -
- 261,800 - ### -
- 356,000 - ### -
- 178,500 - ### -
- 180,200 - ### -
- 314,000 - ### -
20,000 386,100 - ### -
- 129,000 - ### -
- 297,000 - ### -
- - - ### -
- 36,200 - ### -
20,000 236,200 - ### -
20,000 354,800 - ### -
- 334,700 377,000 - -
482,000
- 435,000 - ### -
- - 20,000 - -
- 70,800 - ### -
20,000 208,500 - ### -
- 55,500 300,000 - -
- 89,200 - ### -
- 237,400 - ### -
150,000 113,000 - ### -
- 182,200 - ### -
25,000 25,600 - ### -
- 74,500 315,000 - -
- 206,200 - ### -
- 23,000 - ### -
- 19,000 - ### -
- 56,300 - ### -
635,000
- - 105,000 - -
- - 100,000 - -
- - - ### -
- - - ### -
- 139,200 - 60,000 -
- 664,000 185,000 - -
- 146,000 - ### -
- 112,600 - ### -
- - - ### -
20,000 267,700 - ### -
- 205,000 - ### -
- 66,500 - ### 70,000
- 231,000 - ### -
- 175,000 - ### -
- 91,600 - ### -
- 446,000 - ### -
20,000 482,000 - ### -
- 186,000 - ### -
- 707,600 - ### -
- 348,000 - ### -
151,000
- 151,000 - ### -
390,000
- 167,000 - ### -
- 6,000 - ### -
- - - ### -
- - - ### -
- 110,200 300,000 - -
20,000 633,600 - ### -
- 105,000 - ### -
- 165,000 - ### -
- - 260,000 - -
- 151,500 - ### -
- - - ### -
- 245,000 - ### -
- 99,200 - ### -
- 52,000 - ### -
- 30,000 - ### -
- - 300,000 - -
- 19,500 - ### -
- - - 60,000 -
- - 285,000 - -
- 105,000 - ### -
- 22,800 - ### -
- 15,600 - ### -
- 188,000 - ### -
- 43,000 - ### -
- 159,000 - ### -
- 112,700 - ### -
- - 275,000 - -
- 72,000 - ### -
15,000 - - ### -
- 158,200 260,000 - -
- 180,100 - ### -
- 89,200 - ### -
- - 147,000 - -
- 27,000 - ### -
- - - ### -
- 344,000 - ### -
30,000 25,600 - ### -
- 278,000 - ### -
- 346,000 - ### -
- 552,000 - ### -
- 357,000 - ### -
- - - ###
- 11,000 - ### -
- 102,500 - ### -
- 10,000 - ### -
- 25,000 - ### -
- 10,000 - ### -
- 168,400 - ### -
- 13,000 - ### -
- 276,000 112,000 - -
- - 60,000 - -
- 80,300 - ### -
163,500 - ### -
- 146,000 - ### -
- 227,000 50,000 - -
- 91,200 - ### -
- 300,000 - ### -
- 104,000 - ### -
- 25,000 - ### -
- - 300,000 - -
- - - ### -
- 340,800 - ### -
- 922,000 430,000 - -
- - - ### -
- 354,200 - ### -
- 261,000 - ### -
- - 300,000 - -
- - - ### -
20,000 46,800 - ### -
20,000 355,000 270,000 - -
15,000 - - ### -
60,000 174,000 - 60,000 -
- 5,500 - ### -
- 177,800 - ### -
20,000 - - ### -
- 100,000 - ### -
- - - ### -
- 16,000 - ### -
- 140,200 - ### -
- - 300,000 - -
170,000 177,600 - ### -
- 16,000 - ### -
- 156,600 116,000 - -
- 83,400 300,000 - -
- 110,700 - ### -
- - 300,000 - -
- 10,800 - ### -
- - - ### -
- 222,000 - ### -
- 155,200 - ### -
- 374,400 - ### -
- 168,800 395,000 - -
- 80,200 300,000 - -
- 4,000 - ### -
- 130,000 - ### 20,000
60,000 172,400 - ### -
- 254,000 - ### -
- 113,000 - ### -
- 188,000 - ### -
- 116,000 - ### -
TOTAL
No Nama Pasien
352,500
321,500 1 Viddy
75,000 2 Ina Rustiana
95,000 3 Irni Heryani
218,900 4 Hermala
236,000 5 Nunuh
308,000 6 D Najmudin
257,700 7 Astia Nuralip
144,000 8 Enung
486,800 9 Tan Eng Nio
391,500 10 Nunuh
199,000 11 Kusnadi
401,200 Bebby Syaqila
347,000 Berliana
479,700 Nurjanah
155,500
121,500
4,590,800
160,000
203,000
275,500
244,200
259,500
160,600
75,000
75,000
75,000
241,900
184,000
393,700
2,347,400
207,800
256,000
34,800
116,000
174,200
365,000
271,300
295,900
400
4,800
200,500
129,000
86,300
707,800
279,600
3,129,400
141,000
207,000
199,500
423,000
7,100
137,200
315,200
172,300
327,700
233,700
254,000
12,900
519,600
2,950,200
259,500
427,400
226,500
14,500
300,000
328,500
347,200
276,700
313,000
197,000
280,500
240,700
190,600
414,000
181,700
75,000
186,500
364,500
135,000
269,500
100,800
75,000
5,204,100
748,000
60,000
439,900
294,000
119,000
301,700
1,962,600
237,100
135,000
203,200
41,700
300,000
75,000
169,000
172,200
224,200
224,200
292,000
190,000
147,000
207,000
179,800
435,200
338,800
275,300
356,000
213,000
272,900
10,000
15,600
4,714,200
647,000
210,000
366,500
15,500
75,000
380,200
830,500
487,700
25,000
225,000
3,262,400
2,400
107,500
274,200
300,000
60,000
10,400
131,000
742,900
329,200
5,000
75,000
75,000
75,000
13,500
199,000
129,000
122,500
219,200
274,100
545,100
95,000
128,900
89,000
292,400
182,200
731,000
2,500
5,211,000
16,500
13,800 1,043,300
300,000
413,000
300,000
5,500
315,000
452,000
60,000 2,941,900
687,000
238,200
276,700
75,000
611,400
221,100
3,985,200
8,000
75,000
245,000
183,500
121,200 632,700
5,000
94,000
357,500
348,500
305,400
32,500
267,600
135,000 2,908,900
249,600
163,000
371,200
24,000
255,000
75,000
88,400
137,200
3,541,600
20,000
75,000 95,000
22,000
150,000 387,000
215,000
482,000
42,000
60,000 102,000
102,000
451,000
233,200
375,000 1,728,600
399,400
270,000
205,900
201,300
1,040,000
318,200
413,000
285,500
104,000
75,000
243,400
75,000
450,200
126,000
6,000
300,000
408,200
258,000 5,337,300
241,400
251,200
335,000
201,800
225,000 426,800
7,492,700
495,000
75,000
226,800 1,488,900
692,100
181,000
298,400
85,000
695,000
260,400
228,200
183,900
95,000
144,200
200,000 3,408,900
58,600
462,000
517,200
4,897,800
209,600 1,207,600
234,000
133,000
72,500
297,500
10,000
251,000
300,000
187,200
209,600
193,500
257,000
201,000
89,000
484,800 2,679,600
221,200
526,300
10,000
3,887,200
220,000
2,000
491,300
702,600
292,000
313,500 2,712,400
347,200
343,800 2,492,400
2,712,400
193,200
214,200
205,000
186,700 1,701,800
130,300
309,400
3,000
160,000
300,000
114,000
221,800
155,200
158,100
181,000
112,500
211,800
10,000
20,000 2,534,100
436,000
10,000
280,000
117,500
240,600
265,600
4,235,900
273,700
241,100
300,000 814,800
11,700
81,000
75,000
475,500
232,200 1,376,600
332,000
169,200
2,000
172,700 418,100
243,400
2,609,500
227,000
736,500
300,000 1,367,000
103,500
335,000
542,200
333,100
75,000
75,000
249,000
185,000
132,000
321,200
56,000
249,000
373,200
75,000
169,000
13,000 3,644,200
65,000
95,000
301,500
5,011,200 5,011,200
145,000
15,000
246,400
272,000
255,000
361,000
30,600 1,704,700
379,700
300,000
213,500
108,100
330,800
585,600
213,700
269,100
172,100 3,088,600
181,200
495,000
219,500
4,793,300
134,800
158,000 639,800
347,000
2,500
2,000
227,000
370,600
108,200
256,500
197,400
362,600 1,759,000
232,200
2,398,800
75,000
209,000
216,200
167,000
667,200
99,000
69,000
300,000
3,000
225,000
173,000
161,200
205,000
129,500
294,300
520,600 2,840,800
62,200
599,000
3,508,000
75,000
208,200
190,000
473,200
625,000 1,709,200
114,400
15,000
8,400
300,000
198,500
75,000
75,000
220,000
604,200
459,000
193,200
234,000
722,000
75,000
98,000
163,600
457,000 4,845,600
285,000
286,000
10,000
382,600
7,500
6,554,800
15,000
98,000
358,600
175,000
100,500
73,000 805,100
245,000
322,400
236,200 803,600
15,000
289,600
55,000 359,600
70,000
190,000
16,500
59,000
299,200
2,400
125,800 765,900
3,000
120,000
60,000
70,200 250,200
169,200
115,400
355,600
25,500
184,400
336,800 1,186,900
431,000
253,500
255,200
389,000
481,100
204,000
372,000
75,000
71,200
331,200
449,800
786,700 4,099,700
5,286,600
510,000
20,000
105,800 635,800
303,500
430,500
164,200
312,400
338,000
257,200
85,600
464,500
281,200
58,000
54,000
91,300 2,840,400
3,476,200
105,000
100,000
75,000
75,000
274,200 629,200
924,000
221,000
187,600
75,000
362,700
280,000
71,500
306,000
250,000
166,600
521,000
577,000
261,000
782,600
423,000
226,000
151,000 5,786,000
6,415,200
242,000
61,000 303,000
35,000
75,000
485,200
728,600
140,000
240,000 1,703,800
2,006,800
260,000
226,500
75,000
320,000
174,200
52,000
65,000
300,000
19,500
60,000
285,000
105,000
22,800
15,600
188,000
43,000
234,000
187,700
275,000
147,000
50,000
493,200
255,100
164,200
182,000
62,000
75,000
419,000
90,600
353,000
721,000
627,000
432,000
11,000
157,500
45,000
60,000
45,000
243,400
13,000
463,000
60,000
155,300
238,500
221,000
352,000
166,200
375,000
179,000
60,000 2,676,400
300,000
75,000
415,800
1,427,000
75,000
429,200
336,000
375,000
75,000
141,800
720,000
50,000
369,000
5,500
252,800
95,000
175,000
75,000
16,000
215,200
300,000
422,600 6,345,900
9,022,300
16,000
347,600
458,400
185,700 1,007,700
300,000
10,800
35,000
297,000
155,200
449,400
638,800
455,200
4,000
185,000
307,400
254,000
188,000
188,000
191,000 3,658,800
4,666,500
Rawat Jalan
Tgl Masuk Tgl Keluar Rawat Inap
Adm Dokter
19-08-2013 23-08-2013 5,000 70,000 600,000
24-08-2013 26-08-2013 0 0 700,000
28-08-2013 29-08-2013 5,000 70,000 400,000
27-08-2013 30-08-2013 5,000 70,000 1,300,000
29-08-2013 31-08-2013 5,000 70,000 500,000
30-08-2013 1/9/2013 5,000 70,000 500,000
30-08-2013 2/9/2013 5,000 70,000 700,000
2/9/2013 4/9/2013 10,000 100,000 537,500
28-08-2013 8/9/2013 5,000 70,000 4,025,000
6/9/2013 10/9/2013 - - 1,207,500
11/9/2013 Observasi 5,000 70,000 107,500
11/9/2013 12/9/2013 - - 500,000
10/9/2013 12/9/2013 - - 687,500
12/9/2013 14-09-2013 5,000 70,000
Laporan Klinik Permata
Rawat Inap
Visite Dokter
Obat Laboratorium Radiologi
Visite Via Telp
50,000 15,000 1,576,000 345,000 -
### - 750,400 92,000 -
### - 1,147,500 452,000 66,000
- - 1,841,600 300,000 -
### - 1,247,300 297,000 -
### - 1,029,000 205,000 -
### - 1,319,800 280,000 -
120,000 - 856,000 358,000 -
### - 7,567,900 538,000 72,000
- - 3,287,500 178,000 -
### - 94,300 20,000 -
### - 1,130,800 316,000 -
### - 1,173,400 502,000 -
3,883,000
AKHP Tindakan Total Disc
100,000
Laporan Kasir
Tanggal : 08 Juni 2015 Sore
Pemasukan Deposit :
Rawat Jalan :
Rawat Inap :
Bensin Rp 15,000
Map Rp 4,000
Total Rp 13,383,211
Penerima Kasir
Rj Sore Rp 6,290,285
Selisih Ri.R.Niske.Ny Rp 7,111,926
Rp 13,402,211
Pengeluaran Rp 19,000
Rp 13,383,211
KLINIK PERMATA
Jl.RA Kosasih No.112 Telp (0266) 219188
Sudah Di Terima Dari : R.Niske Dewintania.Ny
Usia : 30 Tahun
Ruangan : Sahai VIP 1
Total Rp 7,111,926
Rp. 87,000
Rp. 3,200,000
Rp. 880,000
Rp. 140,000
Rp. 7,073,146
Rp. 899,600
Rp. -
Rp. 248,100
Rp. 545,928
Rp. 13,073,774
Rp. 1,134,151
Rp. 14,207,925
Rp. -
Rp. 14,207,925
uni 2015
Admin
Laboratorium
KLINIK RAWAT INAP PERMATA
Jl. RA Kosasih No.112 Telp (0266) 219188
Tanggal Masuk : 1/6/2015
Nama Pasien : R.Niske Dewintania.Ny Umur : 36 Thn
Jenis Pemeriksaan : 7-Jun-15
Hematologi Rutin Rp 68,600
Umur : 36 Thn
7-Jun-15
68,600
68,600
ukabumi, 08 Juni 2015
KLINIK RAWAT INAP PERMATA
USG
228,800
30 Mei 2015
RINCIAN BIAYA AKHP+BHP RAWAT INAP
KLINIK RAWAT INAP PERMATA
No. RM : 0000-0905 Umur :
Nama Pasien : R.Niske Dewintania.Ny Tanggal Masuk :
Ruang Rawat : Sahai VIP 2
Infuset 1 Rp 15,500
Venflon 1 Rp 30,700
Leukomed 2 Rp 15,300
Alkohol Swab 2 Rp 1,050
Spuit 5cc OM 3 Rp 8,200
Spuit 10cc OM 2 Rp 12,300
Kit mandi 1 Rp 120,000
Rp 15,500
Rp 30,700
Rp 30,600
Rp 2,100
Rp 24,600
Rp 24,600
Rp 120,000
Rp 248,100
bumi,08 Juni 2015
RINCIAN BIAYA OBAT RAWAT INAP
KLINIK RAWAT INAP PERMATA
No. RM : 0000-0203
Nama Pasien : Nur Azizah.Ny
Ruang Rawat : Sahai VIP 2
Tanggal Nama Obat Qty
08/03/2015 dextrose 100cc 1
08/03/2015 RL 500ml 1
08/03/2015 terfacef 1
08/03/2015 Ranitidin 1
08/03/2015 ondansentron inj 1
08/03/2015 Pumpisel 1
08/03/2015 trixim200mg 6
08/03/2015 redusec 10
08/03/2015 mucosta 10
AYA OBAT RAWAT INAP
WAT INAP PERMATA
Usia : 36 Thn
Harga Total
Rp 20,100 Rp 20,100
Rp 25,148 Rp 25,148
Rp 281,800 Rp 281,800
Rp 4,500 Rp 4,500
Rp 7,000 Rp 7,000
Rp 179,600 Rp 179,600
Rp 28,875 Rp 173,250
Rp 2,000 Rp 20,000
Rp 5,800 Rp 58,000
Total Rp 769,398
RINCIAN BIAYA OBAT RAWAT INAP
KLINIK RAWAT INAP PERMATA
No. RM : 0000-0905 Umur :
Nama Pasien : R.Niske Dewintania.Ny Tanggal Masuk :
Ruang Rawat : Sahai VIP 2
Tanggal Nama Obat Qty Harga
1/6/2015 Dex 5 100 1 Rp 21,518
1/6/2015 Futrolit 3 Rp 68,595
1/6/2015 Intricef 1 Rp 210,412
1/6/2015 Rantidin 2 Rp 4,568
1/6/2015 Ondansetron 2 Rp 7,105
1/6/2015 Topazol 1 Rp 191,899
1/6/2015 Samnol infus 1 Rp 82,621
1/6/2015 Fluvit-C 3 Rp 1,015
1/6/2015 Episan 1 Rp 60,152
Total
WAT INAP
AP PERMATA
35 thn
1/6/2015
Total
Rp 21,518
Rp 205,785
Rp 210,412
Rp 9,136
Rp 14,210
Rp 191,899
Rp 82,621
Rp 3,045
Rp 60,152
Rp 798,778
Laboratorium
KLINIK PERMATA
Jl. RA Kosasih No.112 Telp (0266) 219188
Tanggal Masuk : 04/06/2015
Nama Pasien : Abdul Kholiq.Sdr Umur : 22 Thn
Jenis Pemeriksaan
Hematologi rutin Rp. 62,000
SGOT Rp. 20,000
SGPT Rp. 20,000
Widal Rp. 45,000
TOTAL Rp 147,000
Sukabumi,07 Juni 2015
TA
9188
Umur : 22 Thn
06/06/2015
62,000
20,000
20,000
45,000
147,000
Sukabumi,07 Juni 2015
RINCIAN BIAYA RAWAT INAP
KLINIK PERMATA
JL.RA Kosasih No. 112 Sukabumi
Telp (0266) 219188 .Fax (0266) 6247781
No Rm : 0000-5648
Nama Pasien : Abdul Kholiq.Sdr Umur
Ruang Rawat : Ranah 1/Kls 2 Tanggal Masuk
Rawat jalan : dr.Yusra Dewita,Sp.PD
Rawat Inap : 4 Hari (per-hari Rp.215.000)
Visite Dokter : dr.Yusra Dewita,Sp.PD
: dr.Husnan
Farmasi / Obat :
Radiologi :
Konsul Gizi :
Laboratorium :
AKHP + BHP :
Tindakan :
Total
Administrasi
Total Transaksi
Deposite
Sisa yang harus dibayar
Sukabumi, 07 Juni 2015
AP
81
: 22 thn
: 04/06/2015
Rp. 80,000
Rp. 860,000
Rp. 210,000
Rp. 100,000
Rp. 1,858,100
Rp. 70,000
Rp. -
Rp. 370,000
Rp. 248,000
Rp. 150,000
Rp. 3,946,100
Rp. 197,900
Rp. 4,144,000
Rp. -
Rp. 4,144,000
mi, 07 Juni 2015
RINCIAN BIAYA TINDAKAN RAWAT INAP
KLINIK PERMATA
No.RM : 0000-5648
Nama Pasien : Abdul Kholiq.Sdr Umur :
Ruang Rawat : Ranah 1/KLS 2 Tanggal masuk :
Infus 2 Rp 25,000 Rp 50
Inject 20 Rp 5,000 Rp 100
Total Rp 150,
Sukabumi,07 Juni 2015
INAP
22 Tahun
4/6/2015
Rp 50,000
Rp 100,000
Rp 150,000
7 Juni 2015
KLINIK PERMATA
Radiologi
Tanggal Pemeriksaan : 4/6/2015
Nama Pasien : Abdul Kholiq.Sdr
Umur : 22 Tahun
Jenis Pemeriksaan :
Thorax Rp. 70,0
70,000
Rp 80,000
Rp 143,000
Rp 65,000
Rp 95,000
Rp 169,000
Rp 275,000
Rp 90,000
Rp 95,000
Rp 117,000
Rp 91,000
Rp 169,000
Rp 260,000
Rp 104,000
Rp 104,000
Rp 117,000
Rp 208,000
Rp 104,000
Rp 130,000
Rp 234,000
Rp 91,000
Rp 156,000
Rp 104,000
Rp 130,000
Rp 195,000
Rp 195,000
Rp 260,000
Rp 175,000
Rp 111,000
Rp 163,000
Rp 91,000
Rp 156,000
Rp 156,000
Rp 98,000
Rp 182,000
Rp 494,000
Rp 624,000
Rp 130,000
KLINIK RAWAT INAP PERMATA KWITANSI
JL.RA. Kosasih (ciaul) no.112 Sukabumi Tanggal Pelayanan :
Telp: (0266) 219188 Nomor Kwitansi :
Fax: (0266) 6247781 Nomor RM :
Terbilang : Tujuh Juta Sembilan Puluh Tujuh Ribu Dua Ratus Enam Puluh Delapan Rup
25-May-2015
0009
0000-4959
27 Tahun
Sahai VIP II
Admin
KLINIK PERMATA
Jl.RA Kosasih No.112 Telp (0266) 219188
KWITANSI PEMBAYARAN RAWAT INAP
No.
Sudah terima dari : Tn. Ruswan
Banyaknya uang : Dua Juta delapan ratus dua puluh dua ribu rupiah
Untuk pembayaran : Rawat inap a/n Tn. Ruswan Tanggal 08/12/2014 s/d 10/12/2014
10 Desember 2014
enerima