Fix Rujukan

Data Rujukan FKTP Klinik Dilla Data R
No Nama Pasien Tanggal Masuk Pembayaran Fee No

1 Neti Linsa BPJS Rp 200,000 1
2 Rany Noviurti BPJS Rp 200,000 T
3 Elvi Rahma 1/5/2016 BPJS Rp 200,000
4 Roide 1/4/2016 BPJS Rp 200,000
Total Rp 800,000
Nama Penerima
Data
Data Rujukan FKTP Klinik UWA Medika No

1
No Nama Pasien Tanggal Masuk Pembayaran Fee 2
1 Rahmawati BPJS Rp 200,000 3
2 Nizar BPJS Rp 200,000 T
Total Rp 400,000
Nama Penerima
Data Rujukan FKTP PKM Tenayan Raya Da
No Nama Pasien Tanggal Masuk Pembayaran Fee No

1 Yanti Putri BPJS Rp 200,000 1
2 Nurma Yanti BPJS Rp 200,000 2
3 Nova Riza BPJS Rp 200,000 3
Total Rp 600,000 4
T
Nama Penerima
Data
Data Rujukan FKTP PKM RI Sidomulyo No

1
No Nama Pasien Tanggal Masuk Pembayaran Fee 2
1 Elvina 3/10/2016 BPJS Rp 200,000 3
2 Zuraida Falhani 2/17/2016 BPJS Rp 200,000 4
3 Evi Sofiati 3/24/2016 BPJS Rp 200,000 5
4 BPJS Rp 200,000 6
5 BPJS Rp 200,000 7
6 BPJS Rp 200,000 8
Total Rp 1,200,000 T
Nama Penerima
Data Rujukan FKTP PKM RI Sidomulyo
No Nama Pasien Tanggal Masuk Pembayaran Fee

1 Yuliati 2/19/2016 BPJS Rp 200,000 Syamsuarni
2 Nurjanah 3/4/2016 BPJS Rp 200,000
3 Elsi Manalu 3/17/2016 BPJS Rp 200,000
4 Meslin Hutasoid 3/31/2016 BPJS Rp 200,000
5 Kasria Laila 4/2/2016 BPJS Rp 200,000
6 Ratna Dewi 4/18/2016 BPJS Rp 200,000
7 Elfi Yanti 4/21/2016 BPJS Rp 200,000
8 Merry 6/13/2016 BPJS Rp 200,000
9 Masinia 6/15/2016 BPJS Rp 200,000
10 Hermi 6/17/2016 BPJS Rp 200,000
11 Ade Dwiyana 6/20/2016 BPJS Rp 200,000
Total Rp 2,200,000
Nama Penerima
Data Rujukan FKTP Klinik Pekanbaru Sehat
Nama Pasien Tanggal Masuk Pembayaran Fee

Arlena Yanti BPJS Rp 200,000
Total Rp 200,000
Nama Penerima
Data Rujukan FKTP PKM Karya Wanita

Ayeni Wati BPJS Rp 200,000
Yeti JKD Rp 50,000
Friska 1/19/2016 BPJS Rp 200,000
Total Rp 450,000
Nama Penerima
Data Rujukan FKTP Klinik Annisa II

Maria Olivia 2/2/2016 BPJS Rp 200,000
Mardalena 6/9/2016 BPJS Rp 200,000
BPJS Rp 200,000
BPJS Rp 200,000
Total Rp 800,000
Nama Penerima
Data Rujukan FKTP Klinik Doktor Bastian

Dermawati Pane BPJS Rp 200,000
Rani Astuti BPJS Rp 200,000
Rita Anggraini BPJS Rp 200,000
Ferliana T BPJS Rp 200,000
Mila Gusti 12/4/2016 BPJS Rp 200,000
Tri Ratna 12/4/2016 BPJS Rp 200,000
Rinda Oktaviani 12/5/2016 BPJS Rp 200,000
Lasmi Hartini 12/11/2016 BPJS Rp 200,000
Total Rp 1,600,000
Nama Penerima
Data Rujukan PKM RI Sidomulyo
No Nama Pasien Tanggal Masuk Pembayaran Fee

1 Yuliati 2/19/2016 BPJS Rp 200,000
2 Nurjanah 3/4/2016 BPJS Rp 200,000
3 Elsi Manalu 3/17/2016 BPJS Rp 200,000
4 Meslin Hutasoid 3/31/2016 BPJS Rp 200,000
5 Kasria Laila 4/2/2016 BPJS Rp 200,000
6 Ratna Dewi 4/18/2016 BPJS Rp 200,000
7 Elfi Yanti 4/21/2016 BPJS Rp 200,000
8 Merry 6/13/2016 BPJS Rp 200,000
9 Masinia 6/15/2016 BPJS Rp 200,000
10 Hermi 6/17/2016 BPJS Rp 200,000
11 Ade Dwiyana 6/20/2016 BPJS Rp 200,000
Total Rp 2,200,000
Nama Penerima
Syamsuarni
Elmawati (Vacum)
No Nama Pasien Tanggal Masuk Pembayaran Nama Faskes
1 Novita Sari Annisa Medika
2 Ernawati Annisa Medika
3 Sri Okta Yesa Annisa Medika
4 Sri Wahyuni Annisa Medika
5 Eva Triani H Annisa Medika
6 Wernawati Annisa Medika
7 Yulia Zalma BP Labuh Baru
8 Rani Febrianti Dadan Ropian
9 Diga Silna Dadan Ropian
10 Neti Linsa Dilla
11 Ranny Noviurti Dilla
12 Juni Novita Putri Doktor Bastian
13 Dermawati Pane Doktor Bastian
14 Rani Astuti Doktor Bastian
15 Rita Anggraini Doktor Bastian
16 Ferliana T Doktor Bastian
17 Sri Devi Dr Elvi Azrianti
18 Rosiati Dr Junaidi
19 Yulimarti Ellya Husada
20 Siti Masito Fellita
21 Sri Lestari Indi Medika
22 Yati Kampar Kiri
23 Ayeni Wati Karya Wanita
24 Ira Elfiza Klinik D'Batas Kota
25 Gus Marini Klinik Sansani
26 Erlina Klinik Sansani
27 Linda Wanita Klinik Sansani
28 Surianti Kualu
29 Aprianis Paus Medika
30 Juliana Payung Sekaki
31 Sri Wahyuni Payung Sekaki
32 Yuliana Pekanbaru Sehat
33 Arlena Yanti Pekanbaru Sehat
34 Sumiati Pelita Hati
35 Niki Ermaini RI Sidomulyo
36 Yanti RI Sidomulyo
37 Hotnita Batubara RI Sidomulyo
38 Desi Nerilla Dewi RI Sidomulyo
39 Radita Suci A RI Sidomulyo
40 Ira Agustina RI Sidomulyo
41 Meri Ridayani RI Sidomulyo
42 Yulita Herlina Selvia Medika
43 Isuuryani Selvia Medika
44 Nurma Yanti Tenayan Raya
45 Nova Riza Tenayan Raya
46 Yanti Putri Tenayan Raya
47 Rahmawati Uwa Medika
48 Nizar Uwa Medika
49
50
Total
Fee
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 9,600,000
1 Jamidar 12/8/2015 BPJS Annisa Medika II
2 Nur Asmanidar 12/28/2015 BPJS Apotik Keluarga
3 Silvia Sulistia 12/16/2015 BPJS Bid.Deliana
4 Nova Andriani 12/22/2015 Umum Bid.Ida
5 Jesi Maharani 12/14/2015 Umum Bid.Riri
6 Ari Widia 12/16/2015 Umum Bid.Rosneti
7 Yuliana 12/13/2015 Umum Bid.Siti Juleha
8 Nia Daniati Umum Bid.Tampubolon
9 Yuliani 12/13/2015 Umum Bid.Yanti
10 Rika Rahim 12/23/2015 BPJS Dadan Ropian
11 Mila Gusti 12/4/2015 BPJS Doktor Bastian
12 Tri Ratna 12/4/2015 BPJS Doktor Bastian
13 Rinda Oktaviani 12/5/2015 BPJS Doktor Bastian
14 Lasmi Hartini 12/11/2015 BPJS Doktor Bastian
15 Lia 12/16/2015 BPJS Indi Medika
16 Yulia Ardani 12/3/2015 BPJS Klinik Sansani
17 Desi Delisma 12/4/2015 BPJS Kualu
18 Nelda Fitri 12/3/2015 Umum Kualu
19 Dwi Ningsih 12/27/2015 Umum Kualu
20 Rosmaini 12/2/2015 BPJS Raudha
21 Neneng 12/24/2015 BPJS RI Sidomulyo
22 Lelen Dewi 12/4/2015 Umum Rini Yuniarti
23 Yuliana 12/8/2015 BPJS Rini Yuniarti
24 Mawaddah 12/17/2015 BPJS Swadaya
Total
Fee
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 1,000,000
Rp 1,000,000
Rp 1,000,000
Rp 1,000,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 12,000,000
1 Roide 1/5/2016 BPJS Dilla
2 Elvi Rahma 1/5/2016 BPJS Dilla
3 Elfrida 1/12/2016 BPJS Doktor Bastian
4 Jumiati 1/13/2016 Umum Ernidawati
5 Ria Susanti 1/23/2016 BPJS Famela Jaya
6 Mardianis 1/24/2016 BPJS Famela Jaya
7 Wati 1/9/2016 Umum Insani
8 Yeti 1/4/2016 JKD Karya Wanita
9 Friska 1/21/2016 BPJS Karya Wanita
10 Rosmiati 1/2/2016 BPJS Kualu
11 Rini Rianti 1/9/2016 BPJS Kualu
12 Roza 1/9/2016 BPJS Kualu
13 Yeni Rahmayani 1/1/2016 JKD RI Sidomulyo
14 Yayuk Okrina 1/14/2016 BPJS RI Sidomulyo
15 Rika Sasnita 1/14/2016 BPJS RI Sidomulyo
16 Fitri Rahmadani 1/28/2016 Umum Rini Yuniarti
17 Ceria Utami 31/01/20156 Umum Rini Yuniarti
Total
Fee
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 1,000,000
Rp 6,300,000
1 Nelvi Susanti 3/14/2016 BPJS Bid.Ernita
2 Eka Wahyu 3/22/2016 Umum Bid.Rina
3 Nurfazila 3/26/2016 Umum Bid.Azizah
4 Siti Aminah 3/16/2016 BPJS
5 Meri Susanti 3/16/2016 BPJS
6 Salahin 3/16/2016 BPJS
7 Lisa 3/17/2016 BPJS
8 Neti Susanti 3/17/2016 BPJS
9 Susi Susanti 3/17/2016 BPJS
10 Suryanti Prima 3/18/2016 BPJS
11 Susilawati 3/18/2016 BPJS
12 Elsi Manalu 3/18/2016 BPJS
13 Yuliarti 3/18/2016 BPJS
14 Yusmaniar 3/18/2016 BPJS
15 Rialis Sinta 3/19/2016 BPJS
16 Yunela 3/26/2016 BPJS
17 Nurkhasanah 3/28/2016 BPJS
18 Fitriani 3/28/2016 BPJS
19 Lina Sari 3/28/2016 Umum
20 Suriani 3/29/2016 BPJS
21 Ev Margiot 3/29/2016 BPJS
22 Andrayani 3/29/2016 BPJS
23 Risnawati 3/29/2016 BPJS
24 Yosi Kartika 3/30/2016 BPJS
25 Cindy 3/31/2016 BPJS
26 Johan 3/31/2016 Umum
27 Nur Aisyah 3/31/2016 BPJS
Total
Fee
Rp 200,000
Rp 1,000,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 8,600,000
1 Siti Rofiqoh 4/2/2016 BPJS Bid.Deliana
2 Yenita 4/3/2016 BPJS Uwa Medika
3 Noverilla 4/3/2016 BPJS Bid.Hasna Dewi
4 Hemi 4/1/2016 BPJS
5 Siti Naliyah 4/1/2016 JKD
6 Omeyda 4/1/2016 BPJS
7 Kristo 4/2/2016 BPJS
8 Herlina 4/2/2016 BPJS
9 Pelviana 4/2/2016 BPJS
10 Melda Gusria 4/2/2016 BPJS
11 Yenita 4/3/2016 BPJS
12 Arisan 4/3/2016 BPJS
13 Tete 4/4/2016 BPJS
14 Rosmala D 4/3/2016 BPJS
15 Lastari 4/4/2016 BPJS
16 Ratna Dewi 4/4/2016 BPJS
17 Nuraini 4/4/2016 BPJS
18 Fet Armanta 4/4/2016 BPJS
19 Reni 4/6/2016 UMUM
20 Sri 4/6/2016 BPJS
21 Mutiara 4/6/2016 BPJS
22 Nurliana 4/6/2016 BPJS
23 Sirai 4/6/2016 BPJS
24 Wiwik Sulistyo 4/6/2016 BPJS
25 Eva Royani 4/7/2016 BPJS
26 Sumarrian 4/6/2016 BPJS
27 Wati 4/6/2016 JKD
28 Deviana 4/6/2016 BPJS
29 Siska 4/6/2016 BPJS
30 Listri 4/7/2016 BPJS
31 Muntinga 4/7/2016 BPJS
32 Natal 4/7/2016 BPJS
33 Rahmawati 4/7/2016 BPJS
34 Sari Yannati 4/7/2016 BPJS
35 Rini BPJS
36 Camelia BPJS
37 Lia BPJS
38 Nella BPJS
39 Yunita 4/10/2016 BPJS
40 Rosmawati 4/11/2016 BPJS
41 Meri Agustina 4/11/2016 BPJS
42 Vidia Wati 4/12/2016 BPJS
43 Samini 4/12/2016 BPJS
44 Mira 4/12/2016 BPJS
45 Putri 4/12/2016 BPJS
46 Desi 4/12/2016 BPJS
47 Nurhasanah 4/12/2016 BPJS
48 Wenny Sulvia 4/13/2016 BPJS
49 Wurasiah 4/13/2016 BPJS
50 Riski Hasanah 4/13/2016 UMUM
51 Febby Anggraini 4/13/2016 BPJS
52 Rahmita 4/14/2016 UMUM
53 Kasmintro 4/14/2016 BPJS
54 Safitri 4/14/2016 BPJS
55 Fitri Anita 4/15/2016 JKD
56 Dina 4/15/2016 BPJS
57 Elsofia 4/15/2016 BPJS
58 Ria Yulia 4/15/2016 BPJS
59 Misnayati 4/15/2016 JKD
60 Keni Sartika 4/15/2016 BPJS
61 Seni Wati 4/16/2016 BPJS
62 Ratna Dewi 4/16/2016 BPJS
63 Dina Fitriyani 4/16/2016 BPJS
64 Herlina Juni 4/16/2016 BPJS
65 Agusnia 4/16/2016 UMUM Kualu
66 Ayu 4/16/2016 JKD
67 Oktavia Silvia 4/18/2016 BPJS
68 Ika Novita 4/18/2016 BPJS
69 Fera Gustiana 4/19/2016 BPJS
70 Elviyanti 4/19/2016 BPJS
71 Heldinar 4/19/2016 BPJS
72 Liana 4/20/2016 BPJS
73 Maida Royani 4/20/2016 BPJS
74 Tika 4/20/2016 UMUM
75 Yusriani 4/20/2016 BPJS
76 Eka Petriyani 4/20/2016 BPJS
77 Indah Endrawati 4/21/2016 BPJS
78 Elvianti 4/21/2016 BPJS
79 Popi 4/21/2016 UMUM
80 Katiyem 4/22/2016 BPJS
81 Samaini 4/22/2016 BPJS
82 Jumarnita 4/22/2016 BPJS
83 Depa Sundari 4/22/2016 BPJS
84 Rita Ulandari 4/22/2016 BPJS
85 Armani 4/22/2016 BPJS
86 Rayani 4/23/2016 BPJS
87 Afri Yeni 4/23/2016 BPJS
88 Ramadhani 4/23/2016 BPJS
89 Neni 4/23/2016 BPJS
90 Novi Yanti 4/25/2016 BPJS
91 Jusmawati 4/25/2016 BPJS
93 Susi Hendro 4/25/2016 BPJS
94 Desrina 4/26/2016 BPJS
95 Arnayulita 4/26/2016 BPJS
96 Maya 4/26/2016 BPJS
97 Indah Trikotimah 4/26/2016 BPJS
98 Widiana 4/26/2016 BPJS
99 Sri Waningsih 4/26/2016 BPJS
100 Lili Nur Indah Sari 4/28/2016 BPJS
101 Anis Darmawati 4/28/2016 BPJS
102 Dewi Ana 4/28/2016 BPJS
103 Elfiyati 4/28/2016 BPJS
104 Suriani 4/29/2016 UMUM Kualu
105 Sari Maulana 4/29/2016 UMUM
106 Sri Rahayu 4/29/2016 BPJS
107 Sindy Juliarmi 4/29/2016 BPJS
108 Ela 4/30/2016 BPJS
109 Upik Mardani 4/30/2016 UMUM
110
111
112
113
Total
Fee RM
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000 Belum Lunas
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 28,250,000
1 Yeni Elpita 5/2/2016 JKD
2 Mardianis 5/2/2016 UMUM
3 Nora Feri 5/2/2016 BPJS
4 Mutiani 5/2/2016 BPJS
5 Zia Fitri 5/3/2016 BPJS
6 Irawati 5/4/2016 BPJS
7 Maqdalena 5/4/2016 BPJS
8 Cici Winda 5/4/2016 BPJS
9 Martina 5/5/2016 BPJS
10 Bunga Anggur 5/5/2016 BPJS
11 Yusnita 5/6/2016 BPJS
12 Mery Ramadhani 5/6/2016 BPJS
13 Dewi Sukma 5/6/2016 BPJS
14 Gicana Adelina 5/6/2016 BPJS
15 Titi 5/6/2016 BPJS
16 Denita 5/6/2016 BPJS
17 Maysuri 5/7/2016 BPJS
18 Aini 5/8/2016 BPJS
19 Leli 5/8/2016 BPJS
20 Titin Andriani 5/8/2016 UMUM
21 Neni 5/8/2016 BPJS
22 Ermawati 5/9/2016 UMUM
23 Nurrasidah 5/9/2016 JKD
24 Fera Mardiani 5/9/2016 UMUM
25 Mardamena 5/10/2016 BPJS
26 Wastrami 5/10/2016 BPJS
27 Fauziah Nor 5/10/2016 BPJS
28 Irmawati 5/11/2016 BPJS
29 Mery 5/11/2016 BPJS
30 Ria Mustika 5/11/2016 BPJS
31 Siti A 5/11/2016 UMUM
32 Riswanti 5/12/2016 UMUM
33 Tiara 5/12/2016 BPJS
34 Wita 5/12/2016 BPJS
35 Karmila 5/13/2016 BPJS
36 Juli Mira 5/13/2016 UMUM
37 Victoria 5/13/2016 BPJS
38 Nilawati 5/13/2016 BPJS
39 Riska 5/14/2016 BPJS
40 Rosmaniar 5/14/2016 BPJS
41 Sri Yulina 5/15/2016 UMUM
42 Srysuprapti 5/15/2016 UMUM
43 Afnimar 5/16/2016 BPJS
44 Nova Suryani 5/16/2016 UMUM
45 Mona Fitria Sari 5/16/2016 JKD
46 Warliana 5/16/2016 BPJS
47 Nurul 5/16/2016 BPJS
48 Umi Untifa 5/16/2016 JKD
49 Herlita 5/17/2016 UMUM
50 Yeftir 5/17/2016 BPJS
51 Herlina Yenti 5/17/2016 BPJS
52 Eva Tamala 5/17/2016 BPJS
53 Weni 5/18/2016 BPJS
54 Wulan 5/18/2016 UMUM
55 Meli 5/18/2016 BPJS
56 Liza 5/18/2016 BPJS
57 Rezi 5/20/2016 BPJS
58 Weni 5/20/2016 BPJS
59 Yuni 5/20/2016 BPJS
60 Iramaya Sari 5/20/2016 BPJS
61 Iche Krisna 5/20/2016 BPJS
62 Ramadhona 5/20/2016 JKD
63 Azizah 5/20/2016 BPJS
64 Yurina 5/22/2016 UMUM
65 Yunita Sri Wulan 5/22/2016 BPJS
66 Rosmadanis 5/23/2016 BPJS
67 Desi Afriany 5/23/2016 BPJS
68 Sari 5/23/2016 BPJS
69 Nila P.S 5/23/2016 BPJS
70 Herlina Yenti 5/23/2016 BPJS
71 Siti Maesaroh 5/23/2016 BPJS
72 Ropita Sari 5/23/2016 UMUM
73 Nurhamidah 5/23/2016 UMUM
74 Lastiur Maduma 5/24/2016 BPJS
75 Rinda 5/24/2016 BPJS
76 Sri Wahyuni 5/25/2016 UMUM
77 Sri Yanti 5/25/2016 BPJS
78 Leli 5/25/2016 BPJS
79 Gusti Putri 5/25/2016 JKD
80 Elli 5/26/2016 BPJS
81 Ainun 5/26/2016 UMUM
82 Nova Desri 5/26/2016 BPJS
83 Aziz 5/27/2016 BPJS
84 Rifaida 5/27/2016 BPJS
85 Yustita 5/27/2016 BPJS
86 Yuni Rahmawati 5/29/2016 BPJS
87 Mayang Marlina 5/29/2016 BPJS
88 Citra Mulia Sari 5/30/2016 BPJS
89 Yuni Andriati 5/30/2016 BPJS
90 Happy Siregar 5/30/2016 BPJS
91 Catria Sari 5/30/2016 BPJS
92 Yurnita Wilis 5/30/2016 BPJS
93 Sarina 5/30/2016 BPJS
94 Dwi Wijayani 5/30/2016 BPJS
95 Lutraful 5/30/2016 BPJS
96 Desi 5/31/2016 BPJS
97 Anggraini 5/31/2016 UMUM
98 Rinita 5/31/2016 BPJS
99 Lastri 6/1/2016 BPJS
100 Juminah Suharti 6/1/2016 BPJS
101 Herma Sari Rahayu 6/1/2016 BPJS
102 Elda Roza 6/2/2016 BPJS
103 Asmara Murni 6/2/2016 BPJS
104 Desrita 6/2/2016 BPJS
105 Sri Wahyuni 6/2/2016 BPJS
106 Mutakiah 6/2/2016 BPJS
107 Supriatna 6/2/2016 BPJS
108 Reni Mardianis 6/2/2016 BPJS
109 Yurlina 6/3/2016 JKD
110 Denok 6/3/2016 BPJS
112 Eka Susilawati 6/5/2016 BPJS
113 Yossy Elva 6/5/2016 BPJS
114 Mayfriyenti 6/6/2016 BPJS
115 Yanda 6/6/2016 BPJS
116 Efi Marfin 6/6/2016 BPJS
117 Riza Susanti 6/6/2016 BPJS
118 Epa Risma 6/6/2016 BPJS
119 Evi Artati 6/6/2016 BPJS
120 Muslaini 1 6/6/2016 BPJS
122 Romaini 6/6/2016 BPJS
124 Elmawati 6/7/2016 BPJS
125 Agustina 6/7/2016 JKD
126 Yuliana 6/7/2016 BPJS
127 A.Hasni 6/7/2016 BPJS
128 Sarinem 6/7/2016 BPJS
129 Fera 6/7/2016 BPJS
130 Nurmayanti 6/8/2016 UMUM
131 Siti Famyar 6/8/2016 BPJS
132 Delvian 6/8/2016 BPJS
133 Rika Wulandari 6/8/2016 BPJS
134 Yanti 6/8/2016 JKD
135 Nurlena 6/8/2016 JKD
136 Sunarbiah 6/8/2016 UMUM
137 Jumiati 6/8/2016 JKD
138 Putri 6/8/2016 BPJS
139 Mardalena 6/9/2016 BPJS
140 Hirma Herlinda 6/9/2016 BPJS
141 Novembra 6/9/2016 BPJS
142 Kholija BPJS
143 Fitri Sandra Y BPJS
144 Rahma Yuli BPJS
145 Shalawati BPJS
146 Darma Wilis 6/13/2016 BPJS
147 Indah 6/13/2016 BPJS
148 Istiah 6/13/2016 BPJS
149 Rahma Lestari 6/13/2016 UMUM
150 Sherlina Zamasi 6/14/2016 BPJS
151 Serlina Zamsani 6/14/2016 BPJS
152 Sri M 6/14/2016 BPJS
153 Fitri Novayanti 6/15/2016 BPJS
154 Hermi Saputri 6/15/2016 BPJS
155 Iit Sunarti 6/15/2016 BPJS
156 Nurliza 6/15/2016 BPJS
157 Sri Mulyati 6/15/2016 JKD
158 Santi 6/16/2016 BPJS
159 Yonelita 6/16/2016 BPJS
160 Asmilia 6/16/2016 BPJS
161 Marisa 6/16/2016 BPJS
162 Aida Fitri 6/16/2016 BPJS
163 Ria Verolina 6/16/2016 BPJS
164 Eli Hariani 6/16/2016 UMUM
165 Maria Ulfa 6/16/2016 BPJS
166 Arnita 6/16/2016 JKD
167 Fitri Sri Utami 6/16/2016 JKD
168 Hebrina 6/17/2016 BPJS
169 Reni 6/17/2016 JKD
170 Herlina 6/18/2016 UMUM
171 Idasari 6/19/2016 BPJS
172 Mukayah 6/19/2016 BPJS
173 Tuti. P 6/19/2016 UMUM
174 Ermayenti 6/19/2016 BPJS
Total
Fee RM
Rp -
1 Lastri 6/1/2016 BPJS
2 Juminah Suharti 6/1/2016 BPJS
3 Herma Sari Rahayu 6/1/2016 BPJS
4 Elda Roza 6/2/2016 BPJS
5 Asmara Murni 6/2/2016 BPJS
6 Desrita 6/2/2016 BPJS
8 Mutakiah 6/2/2016 BPJS
9 Supriatna 6/2/2016 BPJS
10 Reni Mardianis 6/2/2016 BPJS
11 Yurlina 6/3/2016 JKD
12 Denok 6/3/2016 BPJS
14 Eka Susilawati 6/5/2016 BPJS
15 Yossy Elva 6/5/2016 BPJS
16 Mayfriyenti 6/6/2016 BPJS
17 Yanda 6/6/2016 BPJS
18 Efi Marfin 6/6/2016 BPJS
19 Riza Susanti 6/6/2016 BPJS
20 Epa Risma 6/6/2016 BPJS
21 Evi Artati 6/6/2016 BPJS
24 Romaini 6/6/2016 BPJS
26 Elmawati 6/7/2016 BPJS
27 Agustina 6/7/2016 JKD
28 Yuliana 6/7/2016 BPJS
29 A.Hasni 6/7/2016 BPJS
30 Sarinem 6/7/2016 BPJS
31 Fera 6/7/2016 BPJS
32 Nurmayanti 6/8/2016 UMUM
33 Siti Famyar 6/8/2016 BPJS
34 Delvian 6/8/2016 BPJS
35 Rika Wulandari 6/8/2016 BPJS
36 Yanti 6/8/2016 JKD
37 Nurlena 6/8/2016 JKD
38 Sunarbiah 6/8/2016 UMUM
39 Jumiati 6/8/2016 JKD
40 Putri 6/8/2016 BPJS
41 Mardalena 6/9/2016 BPJS
42 Hirma Herlinda 6/9/2016 BPJS
43 Novembra 6/9/2016 BPJS
44 Kholija BPJS
45 Fitri Sandra Y BPJS
46 Rahma Yuli BPJS
47 Shalawati BPJS
48 Darma Wilis 6/13/2016 BPJS
49 Indah 6/13/2016 BPJS
50 Istiah 6/13/2016 BPJS
51 Rahma Lestari 6/13/2016 UMUM
52 Sherlina Zamasi 6/14/2016 BPJS
53 Serlina Zamsani 6/14/2016 BPJS
54 Sri M 6/14/2016 BPJS
55 Fitri Novayanti 6/15/2016 BPJS
56 Hermi Saputri 6/15/2016 BPJS
57 Iit Sunarti 6/15/2016 BPJS
58 Nurliza 6/15/2016 BPJS
59 Sri Mulyati 6/15/2016 JKD
60 Santi 6/16/2016 BPJS
61 Yonelita 6/16/2016 BPJS
62 Asmilia 6/16/2016 BPJS
63 Marisa 6/16/2016 BPJS
64 Aida Fitri 6/16/2016 BPJS
65 Ria Verolina 6/16/2016 BPJS
66 Eli Hariani 6/16/2016 UMUM
67 Maria Ulfa 6/16/2016 BPJS
68 Arnita 6/16/2016 JKD
69 Fitri Sri Utami 6/16/2016 JKD
70 Hebrina 6/17/2016 BPJS
71 Reni 6/17/2016 JKD
72 Herlina 6/18/2016 UMUM
73 Idasari 6/19/2016 BPJS
74 Mukayah 6/19/2016 BPJS
75 Tuti. P 6/19/2016 UMUM
76 Ermayenti 6/19/2016 BPJS
Total
Fee RM
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 50,000
Rp 1,000,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 50,000
Rp 50,000
Rp 200,000
Rp 50,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 18,650,000
1 Herlina 6/18/2016 Umum Bid.Azizah
2 Mukayah 6/19/2016 BPJS Klinik Dilla
3 Ida Sari 6/18/2016 BPJS Tenayan Raya
4 Erma Yenti 6/19/2016 BPJS Doktor Bastian
5 Mis Mediawati 6/18/2016 BPJS Karya Wanita
6 Ruri Chairina 6/20/2016 BPJS Doktor Bastian
7 Nining Riskiyanti 6/20/2016 Umum Bid.Ria
8 Nuraisyah 6/20/2016 BPJS
9 Ade Dwi ana 6/21/2016 BPJS RI Sidomulyo
10 Eva Susanti 6/21/2016 BPJS Karya Wanita
11 Desi Citra Hayati 6/21/2016 BPJS
12 Robiati 6/21/2016 BPJS Bid.Nia Daniati
13 Rafikah Ismayanti 6/21/2016 BPJS Bid.Azizah
14 Yani 6/22/2016 BPJS
15 Fita Baya 6/21/2016 BPJS RI Lipat Kain
16 Hedi Citra 6/22/2016 JKD PKM Rejosari
17 Novi Arizma 6/22/2016 BPJS
18 Nur Aini Wardani 6/23/2016 BPJS
19 Lia Puryati 6/24/2016 BPJS
20 Maria Septiana 6/24/2016 BPJS
21 Arma Yulia 6/24/2016 BPJS
22 Yulianti 6/24/2016 BPJS
23 Reza Septidiningsih 6/24/2016 BPJS
24 Sunarti 6/25/2016 BPJS
25 Eka Karla 6/25/2016 BPJS Bidan Dewi Triana
26 Santi Manda Sari 6/27/2016 BPJS Klinik Sansani
27 Siti Kiptiyah 6/28/2016 BPJS Uwa Medika
28 Lamria Siburian 6/28/2016 BPJS Bidan Hwtyka
30 Mai Fiyanti 6/29/2016 BPJS
31 Dina Marcelina 6/29/2016 BPJS Tenayan Raya
32 Yeni Yuliati 6/29/2016 BPJS
33 Nurhasanah 6/30/2016 BPJS
34 Pira diana 6/30/2016 BPJS Raudha
35 Khotijah 6/30/2016 BPJS Bidan Ade Martalena
36 Revi Gusti Randa 6/30/2016 BPJS Apotik Keluarga
37 Elia Lana 6/30/2016 Umum RI Sidomulyo
38 Reni Sri Muliati 6/30/2016 BPJS
39 Arikem 6/30/2016 BPJS Bidan Rosmerianti
40 Soleha 6/30/2016 Umum Kualu
Total
Fee Keterangan
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 50,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 11,050,000
63 Yuliarni 7/18/2016 BPJS Annisa II
123 Mimi Syafri 7/30/2016 BPJS Bidan Eci Apriyantii
122 Fitra Yanti 7/30/2016 UMUM Bidan Berti Dwi Yanti
36 Delnawati 7/11/2016 BPJS Bidan Dewi Triana
44 Ratih Kumala 7/12/2016 BPJS Bidan Dewi Triana
121 Nurul Ngaini 7/30/2016 BPJS Bidan Dewi Triana
96 Parwanti 7/25/2016 BPJS bidan Dina Anggina
65 Jumaita 7/19/2016 UMUM Bidan Eci
12 Dinda Natalia 7/3/2016 BPJS Bidan Elmi Yanti
32 Satimi 7/9/2016 BPJS Bidan Elmi Yanti
73 Nurlaila K 7/20/2016 BPJS Bidan Ermi
6 Rika Wati 7/2/2016 BPJS Bidan Ernita
89 Yusnizar Saragih 7/24/2016 BPJS Bidan Ernita
31 Purwaningsih 7/9/2016 BPJS Bidan Fatmawati
109 Khairuni 7/30/2016 UMUM Bidan Fina
131 Rosmaini 7/31/2016 BPJS Bidan Hasnah Dewi
95 Siti Halimah 7/24/2016 BPJS Bidan Hasnah Dewi Fitria sari
21 Nur Asia 7/5/2016 UMUM Bidan Lilis Suhelmi
127 Helmida S 7/31/2016 BPJS Bidan Lilis Suhelmi
49 Lala Puspita Sari 7/14/2016 UMUM Bidan Niyet
82 Siti Khuzaimah 7/22/2016 BPJS Bidan Niyet
113 Armaini 7/31/2016 UMUM Bidan Novita
72 Nurita 7/20/2016 BPJS Bidan Rosita
106 Ayu Purnama Sari 7/27/2016 BPJS Bidan Rosita
116 Nun siana ulfa 7/28/2016 BPJS Bidan Sri Wahyuni
17 Nengsiswati 7/4/2016 BPJS Bidan Suyanti
112 Rina Elfiani 7/30/2016 BPJS Bidan Syahira
55 Sari Sartika 7/15/2016 BPJS Bidan Tampubolon
83 Mawarni 7/23/2016 UMUM Bidan Tampubolon
86 Debi Safitri 7/14/2016 BPJS Bidan Tampubolon
110 Henny Br 7/29/2016 BPJS Bidan Tince Titin
85 Husnah Mardiah 7/23/2016 UMUM Bidan Wiwit
45 Selvy 7/12/2016 BPJS Bidan Yelni
108 Fitri Indri Yani 7/29/2106 BPJS Bidan Yelni
50 Febrika 7/14/2016 UMUM Bidan Yulia
57 Netizer 7/15/2016 BPJS Bidan Yulia
24 Herli Elisabet 7/7/2016 BPJS Doktor Bastian
37 Arina 7/11/2016 BPJS Doktor Bastian
120 Nurhayati 7/30/2016 BPJS Doktor Dini Ariesta
97 Eva Krisna 7/27/2016 UMUM Doktor Eka
94 Rahayu Lubis 7/24/2016 BPJS Famela Jaya medika
2 Nur Aisyah Hrhp 7/1/2016 BPJS Famela Jaya Medika
18 Mis Ratna Dewi 7/4/2016 BPJS Famela Jaya Medika
80 Suci lestari 7/22/2016 BPJS Famela Jaya Medika
25 Winda Aryani 7/7/2016 UMUM Klinik Annisa Medika
125 Lenni Pangabean 7/30/2016 BPJS Klinik dr. Dadan
103 Suryani 7/27/2016 BPJS klinik desi medica
100 Ristiana 7/27/2016 UMUM Klinik Desi Medika
13 Dwi Wijayanti 7/3/2016 BPJS Klinik Dilla
66 Dyah Priti Wulandari 7/19/2016 BPJS Klinik Dilla
1 Sri Astuti 7/1/2016 UMUM klinik kualu
7 Nurliza 7/2/2016 UMUM klinik kualu
19 Dina Mustika 7/4/2016 BPJS klinik kualu
70 Nora Novita 7/19/2016 BPJS klinik kualu
71 Rospita 7/20/2016 BPJS klinik kualu
102 Efrida Yanti 7/27/2016 BPJS klinik Kualu
105 Ambia Sani 7/27/2016 BPJS klinik Kualu
126 Siti Salbiah 7/30/2016 BPJS klinik kualu
130 Sandiawati 7/31/2016 BPJS Klinik Pratamma Pekanbaru Sehat
132 Nelly 7/31/2016 BPJS PKM Kampar Kiri
129 Tilawati H 7/31/2016 BPJS Puskesmas Simpang Tiga
8 Putri Rosa 7/2/2016 JKD RI Sidomulyo
20 Mulyati 7/4/2016 BPJS RI Sidomulyo
40 Esi Silvia 7/12/2016 BPJS RI Sidomulyo
51 Weni Yulia 7/14/2016 BPJS RI Sidomulyo
124 Apriani 7/5/2016 BPJS RI Sidomulyo
133 Sri Kurniasih 7/29/2016 UMUM RI Sidomulyo
41 Putri Marysa Hana 7/12/2016 BPJS Selvia Medika
67 Juliani 7/19/2016 BPJS Selvia Medika
14 Intan Permata Sari 7/3/2016 UMUM Tenayan Raya
42 T.Amelia 7/12/2016 BPJS Tenayan Raya
64 Eka Nurjanah 7/18/2016 BPJS UPTP Baserah
27 Dewi Indrayani 7/8/2016 BPJS Uwa Medika
3 Yetri yani 7/1/2016 BPJS
4 Yesi Oknita 7/1/2016 UMUM
5 Rika Yunanda 7/1/2016 BPJS
9 Yuhana 7/2/2016 BPJS
10 Yani Suryani 7/2/2016 BPJS
11 Desi Oktavia 7/2/2016 BPJS
15 Sri Rivini Yeti 7/3/2016 BPJS
16 Yulianis 7/3/2016 UMUM
22 Lastaida 7/5/2016 BPJS
23 Masni 7/5/2016 UMUM
26 Ratna Juwita 7/7/2016 BPJS
28 Ani Robbica 7/8/2016 BPJS
29 Dewi Ardila 7/8/2016 UMUM
30 Sri Lasmida 7/8/2016 BPJS
33 Nurhayati 7/9/2016 BPJS
34 Elsa Ana 7/10/2016 BPJS
35 Sulastri 7/10/2016 BPJS
38 Zuraidah 7/11/2016 BPJS
39 Nirawati siregar 7/11/2016 BPJS
43 Yusra Devi 7/12/2016 BPJS
46 Perawati 7/13/2016 BPJS
47 Adlin Nasution 7/13/2016 BPJS
48 Lasma Ramayana 7/13/2016 BPJS
52 Rosida 7/14/2016 BPJS
53 Syeftilenina 7/14/2016 BPJS
54 Widia 7/14/2016 BPJS
58 Ramaiya 7/15/2016 BPJS
59 Putri Elpisa 7/15/2016 BPJS
60 Lenni 7/15/2016 BPJS
61 Santi 7/16/2016 UMUM
62 Mulyati 7/17/2016 BPJS
68 Yuliani 7/19/2016 BPJS
69 Ayu Lisna 7/19/2016 BPJS
74 Suliyah 7/20/2016 BPJS Bidan Fatmawati
75 Mifta 7/20/2016 BPJS
76 Wan Novaly 7/20/2016 BPJS
77 Suliyah 7/20/2016 BPJS
78 Dewi Sariana 7/21/2016 JKD
79 Yuyun Komla Sari UMUM
81 Susilawati 7/22/2016 BPJS
84 Encih 7/23/2016 UMUM
87 Susi Mulyati 7/24/2016 BPJS
88 Erita Pondan 1/24/2016 UMUM
90 Dewi Purwati 7/26/2016 UMUM
91 susi Melda Putri 7/24/2016 UMUM
92 Narti 7/24/2016 BPJS
93 Nurjanah 7/25/2016 BPJS
98 Nofrika 7/26/2016 UMUM
99 Agustin 7/26/2016 UMUM
101 Indah Setiawati 7/27/2016 BPJS
104 Debi Erita 7/27/2016 BPJS
111 Farah Mita Rahayu 7/29/2016 BPJS
114 Susi P. Tambunan 7/28/2016 BPJS
115 Riska Dewi 7/28/2016 BPJS
117 Dinna Apriana 7/28/2016 BPJS
118 Fitria Rahma 7/28/2016 BPJS
119 Suyatnawati 7/28/2016 BPJS
128 Nurjannah 7/31/2016 BPJS
Sri Wahyu 7/7/2016 BPJS
Total
Fee Keterangan
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000 SC
Rp 200,000 Partus Normal
Rp 200,000
Rp 200,000 SC Sudah dihubungi (11 okt 2016)
Rp 200,000
Rp 200,000
Rp 200,000 curet
Rp 200,000 tidak bisa di hub (11 okt 2016)
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000 Manual Plasenta
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000 SC
curet
Rp 200,000
Rp 1,000,000
Rp 200,000 curet
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000 diambil 1 september 2016 ke kasir
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000 Curet
Rp 200,000
Rp 200,000 SC
Rp 200,000 SC
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000 curet nurhayati
Rp 200,000 SC
Rp 200,000
Rp. 200.000 Partus Normal
Rp 1,000,000 SC
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000 sc 12/26/2016 tf pak jamil
Rp 200,000
Rp 50,000 SC
Rp 200,000
Rp 200,000
Rp 200,000
Manual+Curratege
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 1,000,000 SC
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000 SC
Rp 1,000,000 SC
Partus Normal
Rp 200,000 SC
Rp 200,000 SC
Rp 200,000 SC
Rp 200,000 SC
Rp 1,000,000 SC
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 1,000,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Rp 200,000
Normal
Curet
Partus patologis
Rp 34,050,000
7/30/2016 bpjs klinik pratama raudah
102 Senja Puspita 8/26/2016 BPJS patologis
103 Prima Afriweni 8/26/2016 BPJS
104 Morita 8/26/2016 BPJS
106 Santi Novita 8/27/2016 BPJS
110 Dina Akmalia 8/27/2016 BPJS
111 Yanti Simanjuntak 8/20/2016 UMUM curet
112 Herda 8/20/2016 BPJS
113 Lisa Wati 8/28/2016 BPJS
116 Zulimar 8/28/2016 BPJS
119 Nurma yunita 8/29/2016 BPJS
129 Dornauly Saputri 8/31/2016 BPJS
Data Rujukan Bidan Ruhaida
No Nama Pasien Tanggal Masuk Pembayaran Tindakan Fee
1 Rosa Lini 7/10/2016 UMUM SC Rp 200,000
Total Rp 200,000
Pekanbaru, 2016
Mengetahui
Resi Wahyunita, Amd

Ket
2016
unita, Amd
No Nama Pasien Tgl Masuk Pembayaran Nama Faskes Fee
11 Jasminar 9/2/2016 BPJS Bidan Azizah / Eka Permata Bunda
93 Iis Sridayanti 9/20/2016 BPJS Bidan Azizah / Eka Permata Bunda
107 Febri Enti 9/25/2016 UMUM Bidan Azizah / Eka Permata Bunda
64 Sulstri 9/14/2016 BPJS Bidan Berti Dwiyanti
15 Sutijayanti 9/5/2016 UMUM Bidan Debi Asbar
92 Arjuna 9/20/2016 UMUM Bidan Efrina
27 Dewi Yunita 9/7/2016 BPJS Bidan Endrawana
22 Desmita 9/6/2016 BPJS Bidan Ernita
2 jumiati 9/1/2016 BPJS Bidan Ernita Rp 200,000
54 Siti Saropah 9/12/2016 UMUM
71 Nirawati 9/16/2016 BPJS Bidan Weni dr fifi
53 Dewi Elmiza 9/11/2016 BPJS Bidan Hasna Dewi
101 Yulia Syafri Yeni 9/23/2016 BPJS Bidan Hasna Dewi
41 Sri Adona 9/9/2016 BPJS Bidan Meri Amelia
40 Widya Fiernas Maya Putri 9/9/2016 BPJS Bidan Mira
8 Juliani 9/3/2016 BPJS Bidan Mutia Varina Rp 200,000
82 Ranti Lestari 9/19/2016 BPJS bidan Nasriani
18 Aryu Liza 9/7/2016 UMUM Bidan Niyet
20 Dewi Arianti 9/6/2016 BPJS Bidan Niyet
98 Desi Iryani 9/22/2016 BPJS Bidan Niyet
104 Irmawati 9/24/2016 BPJS Bidan Niyet
109 Yeni Angela 9/27/2016 UMUM Bidan Niyet
115 Yasma Deliza 9/27/2016 BPJS Bidan Niyet
127 Zetti Erlina 9/29/2016 BPJS Bidan Niyet
85 Weni Novita 9/19/2016 BPJS Bidan Novita Tanko
72 Ayu Rinalti 9/16/2016 BPJS Bidan Rima Atfianti
21 Eva Rani 9/6/2016 BPJS Bidan Rosita
34 Herlinda 9/9/2016 BPJS Bidan Rosita
56 Sri Kurnia 9/13/2016 BPJS Bidan Rosita
50 Kartika 9/10/2016 BPJS Bidan Rosmeriati Anwar
105 Winda Ariani 9/24/2016 UMUM Bidan Ruhaida
5 Putri Hari Yanti 9/2/2016 BPJS bidan Tince titin Rp 200,000
111 Juliana Fransiska 9/26/2016 BPJS bidan Tince titin
126 Larisma Nainggolan 9/29/2016 BPJS bidan Tince titin
133 Endang Nababan 9/29/2016 BPJS bidan Tince titin
91 Nidar 9/20/2016 UMUM Bidan Vera
1 Magdalena 9/1/2016 BPJS Bidan Winarni Rp 200,000
23 Nurhidayati 9/6/2016 BPJS Bidan Wiwit
38 Lola Handayani 9/9/2016 BPJS Bidan Yannie Zulieni
128 Elpia 9/29/2016 BPJS Bidan Yulia
12 Wilma Desnita 9/5/2016 BPJS Bidan Yurna Ningsih
32 Sri Indra Yani 9/9/2016 BPJS Bidan Yusmasrni
100 Deti Puspasari 9/22/2016 UMUM Bidn Elidawati
45 Poniyem 9/11/2016 UMUM dr. Fadlur UNRI
17 Rina Kandi 9/5/2016 BPJS Klinik Bastian
60 Meri Andani 9/13/2016 BPJS Klinik Dilla
108 Gusni Mirna 9/25/2016 BPJS Klinik Dilla
83 Kasniati 9/19/2016 BPJS Klinik dr. Dadan
131 Suridayati 9/29/2016 UMUM klinik dr. Rini
106 Gatini Waruwu 9/25/2016 BPJS Klinik Famela Jaya Medika
65 cici rahayu 9/15/2016 BPJS Klinik Felita
24 Liyarwati 9/6/2016 BPJS Klinik Indi Medika
4 Rinza Anggraini 9/2/2016 BPJS Klinik kualu Rp 200,000
14 Lidia Amrina 9/5/2016 BPJS Klinik Kualu Rp 200,000
43 Ernawati 9/10/2016 BPJS Klinik Kualu Rp 200,000
95 Fitra Yeni 9/20/2016 BPJS Klinik Kualu Rp 200,000
138 dewi sartika 9/30/2016 BPJS Klinik Kualu
84 Rosdiana Sitohang 9/19/2016 BPJS Klinik Pelita Hati Rp 200,000
137 Ratna wati 9/30/2016 BPJS Klinik Pelita Hati
57 Rahma Fitri 9/13/2016 BPJS Klinik Pratama Pku Sehat Rp 200,000
49 Anisah 9/11/2016 BPJS Klinik Pratama Selvia Medika Rp 200,000
96 Rini Silvia 9/22/2016 BPJS Klinik Pratama Selvia Medika Rp 200,000
42 Fatima Sari Dewi 9/9/2016 BPJS Klinik Raudah Rp 200,000
87 Siti Syafiah 9/20/2016 BPJS Klinik Raudah Rp 200,000
112 Nurhidayah 9/26/2016 BPJS klinik sahabat ibu & anak bidan (Bid Rp 200,000
48 Nesa Gevani 9/11/2016 BPJS Klinik Sarinah Rp 200,000
123 Yeyen Lestari 9/28/2016 BPJS Klinik Sarinah
122 Yulia Fitri Yeni 9/28/2016 BPJS Klinik Tsabita (depan coca cola arah Rp 200,000
F Ernalis 9/11/2016 BPJS Pkm Kampar Kiri Rp 200,000
44 Rahma Oktaria 9/10/2016 BPJS PKM Karya Wanita Rp 200,000
59 Anita Roza 9/13/2016 BPJS PKM Karya Wanita Rp 200,000
78 Mella Indriyani 9/20/2016 UMUM PKM Karya Wanita Rp 1,000,000
80 Jalin yuyun 9/19/2016 BPJS PKM Karya Wanita Rp 200,000
117 Tasriah 9/28/2016 BPJS PKM Karya Wanita Rp 200,000
132 Rina Mandasari 9/29/2016 BPJS PKM Karya Wanita
10 Swaniyah 9/3/2016 BPJS Pkm RI Karya Wanita Rp 200,000
113 Herlinda 9/26/2016 BPJS Pkm RI Karya Wanita Rp 200,000
67 Mellisa 9/15/2016 BPJS Pkm RI Sidomulyo Rp 200,000
94 Desmawati 9/20/2016 BPJS Pkm RI Sidomulyo Rp 200,000
125 Nurhayati 9/29/2016 BPJS Pkm RI Sidomulyo
134 Rismawati Sinaga 9/30/2016 BPJS Pkm RI Sidomulyo
135 Khairunisa 9/29/2016 BPJS Pkm RI Sidomulyo
33 Kasminar 9/9/2016 BPJS Pkm RI Simpang Tiga Rp 200,000
66 Silvia Eka Putri 9/15/2016 BPJS Pkm RI Simpang Tiga Rp 200,000
77 Pepen Erlina 9/18/2016 BPJS Pkm RI Simpang Tiga Rp 200,000
86 Desriyani 9/20/2016 BPJS Pkm RI Simpang Tiga Rp 200,000
102 Siana Pasarigu 9/23/2016 JKD Pkm RI Simpang Tiga #VALUE!
116 Mutia Dini 9/27/2016 BPJS Pkm RI Simpang Tiga Rp 200,000
19 Erni 9/6/2016 BPJS Pkm Siak Hulu II Rp 200,000
68 suridayati 9/15/2016 BPJS Pkm Tenayan Raya Rp 200,000
26 Esther Theresia 9/7/2016 BPJS RI Sidomulyo Rp 200,000
3 Friska 9/2/2016 BPJS Rp 200,000
6 Nurhayati 9/2/2016 BPJS
7 Demak 9/2/2016 UMUM
9 Desvin 9/3/2016 BPJS
13 Silvia Angraini 9/5/2016 BPJS
16 Efa Agustini 9/5/2016 BPJS
25 Elis Yunita 9/6/2016 BPJS
28 Nurbaiti 9/7/2016 BPJS
29 Betti Astuti 9/8/2016 BPJS
30 Sari Darmayuni 9/8/2016 BPJS
31 Fitri Yani 9/7/2016 UMUM
35 Desi Ratna Sari 9/9/2016 BPJS
36 Nur Aisah 9/9/2016 JKD
37 Hayatun Hupus 9/9/2016 BPJS
39 Imelda Santi Situmpul 9/9/2016 BPJS
46 Liana Hesti 9/10/2016 BPJS
47 Rahmanita 9/10/2016 BPJS
51 Nervita Hutasoit 9/11/2016 BPJS
55 Nova Yuliani 9/14/2016 UMUM
58 Sri Hidayati 9/13/2016 BPJS
61 Firli Ayu 9/13/2016 BPJS
62 Lina 9/14/2016 BPJS
63 Marni Suryanti 9/14/2016 BPJS
69 Yusrian 9/16/2016 BPJS
70 Reni Widyawani 9/15/2016 BPJS
73 Heni Sugiastuti 9/17/2016 UMUM
74 Handayani 9/17/2016 UMUM
75 Fitriani 9/17/2016 BPJS
76 Rimbun Simamora 9/17/2016 UMUM
79 Leli Dayani 9/19/2016 BPJS
81 Merliana 9/19/2016 BPJS
88 Nova Haryati 9/20/2016 BPJS
89 Binti Khoriyah 9/20/2016 BPJS
90 Arisah 9/20/2016 UMUM
97 Rayi Susanti 9/22/2016 BPJS
99 Syahrian Julaiha 9/18/2016 UMUM
103 Roiyah 9/24/2016 BPJS
110 Dian kemala sari 9/26/2016 BPJS
114 Matri Winda 9/26/2016 BPJS
118 Yuliani 9/28/2016 BPJS
119 Yani Yantini 9/28/2016 BPJS
120 Fitri Indriyani 9/28/2016 BPJS
121 Merdiana 9/28/2016 UMUM
124 Titik Haryani 9/29/2016 BPJS
129 Ismiyati 9/30/2016 UMUM
130 Eprina 9/29/2016 BPJS
136 Rahma Dini 9/30/2016 BPJS
Keterangan
manual
curet
curet
Curet
normal partus
sc
tidak ada fee
curet
curet
laparatomi
curet
No Nama Pasien Pembayaran Faskes tanggal masuk
68 Yuniati Daulay BPJS Apotek keluarga (dr.ichsan) 15/10/2016
69 Emma Nita BPJS Apotek keluarga (dr.ichsan) 15/10/2016
119 Ade Ika BPJS Apotik Keluarga / dr.ichsan 10/25/2016
35 Yesi Febrina BPJS Bidan Ade Irma 8/10/2016
92 Indrawati BPJS bidan ade irma 10/22/2016
47 ririn Helti Helmi Umum Bidan Ade irma suryani 11/10/2016
14 Amelia BPJS Bidan Ade Martalena 3/10/2016
1 Sarina Fitri Yani Umum Bidan Berty dwiyanti 1/10/2016
96 Ratih Kumala Dewi BPJS Bidan Berty dwiyanti 10/22/2016
41 Rahmi Elfitri BPJS Bidan Deliana 10/10/2016
43 Ninta Nirwana BPJS Bidan Deliana 10/10/2016
120 Noverlina BPJS Bidan Deliana 10/29/2016
2 Dina Oktavia BPJS Bidan Erna Kualu 1/10/2016
4 Masrayati BPJS Bidan Erna Kualu 2/10/2016
87 Romaulina BPJS / currate Bidan erna kualu 10/22/2016
60 Yeyen Firnanda BPJS Bidan Ernita (kata perawat lt.2) 13/10/2016
17 Anik Poniati Umum Bidan Fatmawati 26/9/2016
65 Susiliana BPJS Bidan Fatmawati 15/10/2016
56 Puja Rahayu Umum Bidan Fera 13/10/2016
61 Yulmade Umum Bidan Fera 14/10/2016
89 Hazrina BPJS bidan hasnah 10/21/2016
121 Kevin RI UMUM Bidan Hayati 10/11/2016
3 Hetty Isma Umum Bidan herlin Nasution 1/10/2016
20 Herfinda BPJS Bidan Hernidawati 5/10/2016
122 Heni Widia BPJS Bidan Husnah/ syarifah medika 10/27/2016
97 Indrawati JKD bidan khairani asnita 10/25/2016
53 Ranti Lestari Umum Bidan Mira Kuswati 12/10/2016
51 Sholihah Umum Bidan Nelly Maryanti 11/10/2016
40 faradila Susanti JKD Bidan Niyet 9/10/2016
123 Rika Yana BPJS Bidan Nurbaini 10/25/2016
144 Rosnita BPJS Bidan Rena & Neli Pkm Tambang 10/30/2016
37 Trimaya Wulansari Umum Bidan Rosmeriati anwar 7/10/2016
80 Erna Susanti TDS / BPJS Bidan Rosmeriati anwar 19/10/2016
95 Nur Asia BPJS Bidan Rosmeriati anwar 10/21/2016
36 Rosa Lini Umum Bidan Ruhaida 7/10/2016
12 Rika Novriyanti BPJS Bidan Siti Jualaiha 2/10/2016
6 Devitri Arnis BPJS Bidan Siti Julaihah 1/10/2016
102 Yeni Kusmiati Umum bidan sri lindawati 10/23/2016
75 Nurliza Umum Bidan Tampubolon 17/10/2016
34 Sertina Nurmawati BPJS Bidan Tince Titin 7/10/2016
88 Siti Currate / BPJS Bidan Tince Titin 10/22/2016
124 Yulifitri nengsih BPJS bidan tince titin 10/30/2016
133 Kadinda manulang UMUM Bidan Weni 10/28/2016
91 Hariati BPJS bidan widiawati 10/22/2016
52 Nosa kazida BPJS Bidan Windi 11/10/2016
79 Sri Rahayu BPJS Bidan Windi 18/10/2016
99 Soleka Umum / curet Bidan Windi 10/24/2016
13 Imas Mastoah BPJS Bidan Yetri Yanti 3/10/2016
77 Sri Atun Umum Bidan Yeyen (sungai pagar) 19/10/2016
125 Ulfa Hasnah BPJS Bidan Yovita 10/25/2016
73 Indrawati Umum Bidan Yulia 13/10/2016
84 Depi Notapia BPJS bidan yulia 10/20/2016
108 Hendrawati siragih BPJS dr. Dadan Ropian(kampar Medical 10/24/2016
94 Jelita Herdiana BPJS klinik dilla 10/21/2016
21 Hesti Gusti BPJS Klinik dr. bastian 4/10/2016
145 devia meilani BPJS Klinik dr. bastian 10/31/2016
7 Restilia Liza BPJS Klinik famela jaya medika 2/10/2016
116 Supiani BPJS Klinik Famela Jaya Medika 10/25/2016
126 Reni Herlina BPJS Klinik Famela Jaya medika 10/25/2016
18 Nining BPJS klinik Indi medika (dr.ida pyg sekaki) 4/10/2016
25 Nelda Harianti BPJS Klinik Pratama Selvia Medika 4/10/2016
28 Raidil Jannah BPJS Klinik Pratama Selvia Medika 6/10/2016
85 Oktavia Elsya BPJS klinik sansani 19/10/2016
127 Eva Yanti BPJS Klinik Sansani 10/25/2016
22 Cut Yanti BPJS Klinik Uwa Medika 4/10/2016
146 atri manda sari BPJS Klinik Uwa Medika 10/31/2016
64 Lina Wenita UMUM Curet Pkm Kampar Kiri 14/10/2016
33 Henni BPJS Pkm Karya Wanita 7/10/2016
38 Tengku Gusmayunita BPJS Pkm Karya Wanita 8/10/2016
54 Syafitriani JKD Pkm Karya Wanita 12/10/2016
67 Vivi Wenita JKD Pkm Karya Wanita 15/10/2016
78 Sri Devi BPJS Pkm Karya Wanita 18/10/2016
93 Sanrinda BPJS Pkm Karya Wanita 10/22/2016
98 Nova Wardana JKD Pkm Karya Wanita 10/22/2016
100 Ferlisa Martina BPJS Pkm Karya Wanita 10/23/2016
104 Amita Susanti BPJS Pkm Karya Wanita 10/24/2016
115 Noviyanti BPJS Pkm Karya Wanita 10/25/2016
128 Umi Ariana BPJS Pkm Karya Wanita 10/25/2016
129 Rasinih Br.Surya JKD Pkm Karya Wanita 10/25/2016
130 widia BPJS Pkm Karya Wanita 10/31/2016
105 Marlina Yanti JKD Pkm Payung Sekaki 10/24/2016
15 Yuli Marni BPJS Pkm RI Karya Wanita 3/10/2016
16 Sapitriana Eva BPJS Pkm RI Karya Wanita 3/10/2016
10 Rahmi Juwita BPJS Pkm RI Sidomulyo 3/10/2016
31 Nova susanti BPJS Pkm RI Sidomulyo 5/10/2016
131 Maryati UMUM Curet Pkm RI Sidomulyo 10/27/2016
132 Milawati BPJS Pkm RI Sidomulyo 10/27/2016
9 Nurmalia BPJS Pkm RI Simpang Tiga 2/10/2016
134 Rahma Dini BPJS Pkm RI Simpang Tiga 10/29/2016
70 Junita Siagian JKD Pkm RI Tenayan Raya 15/10/2016
135 Sarida Tiopugun BPJS Pkm Rumbai / dr.Vella 10/28/2016
50 Marsellyna BPJS Pkm Siak Hulu II 12/10/2016
83 Sartika BPJS Pkm Siak Hulu II 10/20/2016
62 Martin Loexmy BPJS Pkm Simpang Tiga 14/10/2016
63 Fitri yati BPJS Pkm Simpang Tiga 14/10/2016
82 Wiliyani BPJS Pkm Simpang Tiga 10/20/2016
48 Rofiqoh BPJS Pkm Tenayan Raya 11/10/2016
58 Samsinar BPJS Pkm Tenayan Raya 13/10/2016
114 Laela Sari BPJS Pkm Tenayan Raya 10/25/2016
118 Efni Riana BPJS Pkm Tenayan Raya 10/25/2016
136 Nurbaini JKD Pkm Tenayan Raya 10/26/2016
90 Lidya BPJS uptd marpoyan 10/21/2016
86 Aan Susilawati BPJS / currate uptd tampan 10/22/2016
66
5 Yuli Triya BPJS 2/10/2016
8 Srii Ningsih BPJS 2/10/2016
11 Andriani S BPJS 3/10/2016
19 marlina Susta BPJS 4/10/2016
23 Maslina BPJS 5/10/2016
24 Yosi Amelia BPJS 5/10/2016
26 Hesti rahmadani BPJS 6/10/2016
27 agustina BR Pane BPJS 6/10/2016
29 Misri astuti BPJS 6/10/2016
30 Anatasia Marliza BPJS 6/10/2016
32 Riska Juliani BPJS 7/10/2016
39 Seniati darel BPJS 9/10/2016
42 Yulfitri BPJS 10/10/2016
44 Lia Dahlia BPJS 10/10/2016
45 Nurhayati BPJS 10/10/2016
46 Rina Febriana BPJS 10/10/2016
49 Siti Romlah BPJS 11/10/2016
55 Fitri Novita BPJS 13/10/2016
57 Elia Yunita Umum 13/10/2016
59 Vicky Septiani Umum 12/10/2016
71 Suci Ramadani BPJS 17/10/2016
72 Herlin Darmayuli JKD 17/10/2016
74 Desi Safitri BPJS 17/10/2016
76 Ayuna Sesrita BPJS 19/10/2016
81 Novia JKD 10/20/2016
101 Loli Putri BPJS 10/23/2016
103 Desi Syahroni BPJS 10/23/2016
106 Siti Aisyah BPJS 10/24/2016
107 Tuti Marni BPJS 10/24/2016
109 Diana Wati BPJS 10/24/2016
110 Silvia Dona BPJS 10/24/2016
111 Anggi Wahyuni BPJS 10/25/2016
112 Fitriani BPJS 10/25/2016
113 Afrina Yanti BPJS 10/25/2016
117 Gemala rifa BPJS 10/25/2016
137 Anisa Wulandari BPJS 10/25/2016
138 Nurul BPJS 10/25/2016
139 Nur Asiyah Jjamil BPJS 10/28/2016
140 Resma wati BPJS Curet 10/29/2016
141 Linda Marlina BPJS 10/28/2016
142 Lili Suryani BPJS 10/28/2016
143 Siti Mulyati BPJS Curet 10/28/2016
147 sri faryati JKD 10/31/2016
ket
normal partus
XXXXXXXXXXXX
Rp 200,000
Rp 200,000
Rp 200,000
acc
12/26/2016
partus
No Nama Pasien Pembayaran Faskes
1 rahmawati hasibuan BPJS Sc Annisa medika 2
2 Fitra Melza BPJS Annisa medika 2
3 novi susanti BPJS Apotik Keluarga / dr. ichsan
4 Nelvi Mindara BPJS Apotik Keluarga/dr.ichsan
5 Jumirah Umum Manual Bd. Yeyen
6 rosita BPJS Sc Bd.Niyet
7 marnlinda wati BPJS bd.prapti
8 Eki BPJS Sc bd.prapti
9 mela rotuah BPJS bidan tampubolon
10 roda nofus BPJS bidan ade irma
11 juliani UMUM TDS bidan ade martalena
12 Nurafni BPJS Bidan Azizah / Eka Permata Bunda
13 nur hidayati BPJS Bidan Azizah / Eka Permata Bunda
14 lestari mandalena BPJS bidan deliana
15 winarti UMUM bidan dewi anitasari
16 kuniyah BPJS bidan dewi triana
17 trini wati gulo BPJS bidan elda purwaningsih
18 rubiati BPJS bidan endrawana
19 rosmani siregar BPJS bidan ernidawati
20 Ilma Yulida JKD Bidan fatma Susanti
21 irma indri yani CURET / BPJS bidan fera susanti
22 Desy Arisandi UMUM / CURET Bidan Fera Z
23 ade suryani BPJS / CURET bidan fucia
24 lisma wati BPJS bidan fucia yulivel
25 dani BPJS bidan gessa nastria
26 nurma yanti BPJS bidan gina astarina
27 febhaida UMUM/ VACUM bidan gusrida dahri
28 rice fitria BPJS bidan hasna dewi fitria sari
29 eka fitri susanti BPJS bidan hasna dewi fitria sari
30 dara febrika BPJS bidan ledi anggraini
31 Nurhanita UMUM Bidan Maranis
32 fitri yunita BPJS bidan meri amelia
33 rosie BPJS bidan merry
34 jelita ayu BPJS bidan mira
35 Yulita BPJS Bidan nelly maryanti
36 Suri yanti BPJS bidan niyet
37 ropita BPJS bidan niyet
38 kia gusputri BPJS bidan novita tanko
39 erma yelis BPJS bidan rika nasriarti
40 Seni Lingga BPJS Bidan Rosita
41 neltidawati BPJS Bidan Rosita
42 rodiana siregar BPJS bidan rosita
43 dian ratu rumpas BPJS bidan rosita
44 rina BPJS bidan rosmeriati anwar
45 vivi yunita UMUM bidan tampubolon
46 nurlinda siregar UMUM Bidan tince
47 susilawati UMUM / manual plasenta bidan tince
48 Meiza Putri Juita BPJS Bidan Tugina/sinta medika
49 suci anggraini BPJS Bidan Tugina/sinta medika
50 ernawilis BPJS bidan widiawati
51 lusi desfitra darwin BPJS bidan winda dina astuti
52 zul aprida BPJS bidan wiwid
53 Suminar UMUM / CURET Bidan Yani Gustimar
54 nutriana yuliastuti BPJS bidan yeyen yuni
55 usmarni Bpjs partus patologis bidan yosi
56 Rosita bpjs sc Bidan Yusmarni
57 Melani UMUM Bidan Yusriani
58 eka sartika BPJS dr. dadan ropian
59 lorenta BPJS klinik bastian

60 Rapika Aprilia BPJS Klinik Deliana
61 Rina Bpjs Klinik Dilla
62 mariani BPJS SC Klinik Dilla
63 saprina UMUM curet Klinik Dilla
64 santi br. Siburian BPJS klinik dr. dadan
65 budilina humendru BPJS Klinik Famela jaya medika
66 Darmayanti BPJS klinik felita
67 budilina humendru BPJS klinik jelita
68 Anisa Tomy UMUM klinik keluarga sakinah
69 Desrita Apriani BPJS klinik kualu
70 Riza Pahlawan BPJS Klinik Kualu
71 delly BPJS klinik kualu
72 isa mulyati BPJS klinik kualu
73 Nekawati Handayani UMUM / manual plasenta Klinik Kualu
74 elda yanti BPJS Klinik Lilis Suhelmi
75 samirah CURET BPJS klinik marpoyan maedika
desliana amrela BPJS SC klinik nadin
76 ruth diana RI BIASA BPJS klinik pratama aisyiyah
77 yeni suryani BPJS klinik pratama indi medika
78 magdalena harahap BPJS klinik pratama mulya
79 uun BPJS klinik raudah
80 nina dewi BPJS klinik sansani
81 Yunita Anki BPJS klinik selvia medika
82 Suci Anggreyeni BPJS Sc klinik selvia medika
83 Lastaria Br Purb BPJS klinik sevia medika
84 yendra wati BPJS klinik tsabita
85 zul ain marunduri BPJS klinik uwa medika
86 delvia marya sari Manual Plasnta / BPJS novita tanko
87 elsy BPJS Pelita Hati
88 Fitri Yani BPJS Pkm Harapan raya
89 santi Juniati BPJS PKM karya wanita
90 Suryatik BPJS PKM karya wanita
91 novi andriani BPJS PKM karya wanita
92 arnalis nasution BPJS PKM karya wanita
93 fitriani BPJS PKM karya wanita
94 hikmah fajrianti BPJS PKM karya wanita
95 yenny marlina JKD PKM karya wanita
96 sari BPJS Pkm Pantai Cermin
97 maisita RI BIASA BPJS pkm siak hulu I
98 siti mundrika BPJS pkm simpang tiga
99 gusnawati BPJS pkm simpang tiga
100 fitri wahyuni BPJS pkm simpang tiga
101 kamila mahmuda BPJS pkm simpang tiga
102 Arbiati Pasaribu JKD pkm simpang tiga
103 Yulita Wulandari BPJS PKM Tenayan Raya
104 efrida wani BPJS PKM Tenayan Raya
105 jojor sagita siregar BPJS PKM Tenayan Raya
106 khairunisa JKD PKM Tenayan Raya
107 fatimah BPJS RB Taman Sari 3
108 Mega Evianti BPJS RI Sidomulyo
109 r BPJS RI Sidomulyo
110 Eva Amalinda BPJS RI Sidomulyo
111 guslinda BPJS RI Sidomulyo
112 endanita BPJS RI Sidomulyo
113 eki oktavia BPJS RI Sidomulyo
114 yesniwati BPJS RI Sidomulyo
115 rica sofyana BPJS RI Sidomulyo
116 indrawati BPJS / CURET RI Sidomulyo
117 Suryani BPJS Siak Hulu 1
118 Nurlina siregar UMUM curet Tince
119 Marni Yanti BPJS
120 Putri Kurnia Anna BPJS
121 Fitriani BPJS
122 nuraini BPJS
123 Afni BPJS
124 desmawati BPJS
125 Tri Utami BPJS
126 Ernawati BPJS
127 dewi prasetiawati BPJS
128 yulismawati BPJS
129 elli yanti BPJS
130 lina andri yani BPJS
131 nuri yantini BPJS
132 lusi musrita sari BPJS
133 elpiana BPJS
134 santi br sigurian BPJS
135 elfiana syahrida BPJS
136 ridha waty BPJS
137 indra rizani BPJS
138 yaniawati BPJS
139 rusmaini rumapea BPJS
140 maryeni BPJS
141 jumini BPJS
142 zaheruita ningsih BPJS
143 rubini BPJS
144 filma fitri BPJS
145 fitra dewi BPJS
146 mastura BPJS
147 ria rahayu BPJS
148 riama BR manik BPJS
149 gusniar BPJS
150 masriah BPJS
151 rita purnama sari BPJS / CURET
152 yuni hesti wijayanti CURET / UMUM
153 Nofri Yanti JKD
154 rini erina Partus normal
155 leni marlina UMUM
156 rezy primasih UMUM
157 Indah bunga hati UMUM / CURET
158 saprah UMUM / CURET
tanggal masuk tanggal keluar ket cp. Bidan / klinik Rujukan
26-Nov-16 Rp 200,000 14/01/2017
29-Nov-16
14-Nov-16
7-Nov-16
9-Nov-16 Rp 200,000 ada
28-Nov-16 Rp 200,000
24-Nov-16 Rp 200,000 ada rujukan acc 1/30/2017
23-Nov-16 Rp 200,000 ada rujukan acc 1/30/2017
28-Nov-16
25-Nov-16
18-Nov-16
3-Nov-16
11-Nov-16
21-Nov-16
25-Nov-16 Rujukan ad
13-Nov-16 sudah dihubungi Rujukan ad
27-Nov-16 ada rujukan acc
18-Nov-16 Rp 200,000 ada rujukan acc
11-Nov-16
1-Nov-16
16-Nov-16
9-Nov-16
14-Nov-16
27-Nov-16
23-Nov-16
27-Nov-16 transfer dg pak jamil
14-Nov-16
12-Nov-16 12/20/2016
28-Nov-16 12/20/2016
21-Nov-16
7-Nov-16
21-Nov-16
22-Nov-16
25-Nov-16
10-Nov-16
4-Nov-16
17-Nov-16
21-Nov-16
17-Nov-16
5-Nov-16
10-Nov-16
24-Nov-16
25-Nov-16
11-Nov-16
19-Nov-16
28-Nov-16 Rp 1,000,000 13/01/2017
12-Nov-16 Rp 200,000 13/01/2017
2-Nov-16
9-Nov-16 transfer dg pak jamil
11-Nov-16 tidak bisa dihubungi
16-Nov-16
16-Nov-16
9-Nov-16
18-Nov-16 tidak ada kontak,
21-Nov-16
28-Nov-16 Rp 200,000 6/1/2017
5-Nov-16 Rp 1,000,000 Pak Jamil
25-Nov-16
12-Nov-16 acc
1-Nov-16
10-Nov-16 Rp 200,000 11/1/2017
19-Nov-16
29-Nov-16 Rp 200,000 11/1/2017
17-Nov-16
30-Nov-16
3-Nov-16
3-Nov-16 ftitin
2-Nov-16
2-Nov-16
8-Nov-16
20-Nov-16
22-Nov-16
8-Nov-16
30-Nov-16
14-Nov-16
11/30/2017 Rp 200,000 28/2/2017 acc
19-Nov-16
22-Nov-16 Rp 200,000 2/9/2017 adarujukan acc
17-Nov-16 Rp 200,000 acc
15-Nov-16
24-Nov-16
3-Nov-16
9-Nov-16 Rp 200,000 Rujukan ada acc
5-Nov-16
17-Nov-16
27-Nov-16
28-Nov-16
29-Nov-16
8-Nov-16
4-Nov-16
5-Nov-16
16-Nov-16
18-Nov-16
23-Nov-16
27-Nov-16
15-Nov-16
28-Nov-16 Rp 200,000 Rujukan ada acc
15-Nov-16 acc
9-Nov-16
10-Nov-16
15-Nov-16
18-Nov-16
3-Nov-16
9-Nov-16
27-Nov-16
28-Nov-16
14-Nov-16
6-Nov-16
2-Nov-16
5-Nov-16
6-Nov-16
10-Nov-16
15-Nov-16
23-Nov-16
23-Nov-16
24-Nov-16
15-Nov-16
1-Nov-16
11/28/2016 Rp 1,000,000 11/13/2016
1-Nov-16
1-Nov-16
4-Nov-16
4-Nov-16
5-Nov-16
8-Nov-16
9-Nov-16
9-Nov-16
10-Nov-16
8-Nov-16
11-Nov-16
16-Nov-16
16-Nov-16
16-Nov-16
17-Nov-16
16-Nov-16
18-Nov-16
18-Nov-16
18-Nov-16
21-Nov-16
21-Nov-16
24-Nov-16
26-Nov-16
26-Nov-16
27-Nov-16
27-Nov-16
28-Nov-16
28-Nov-16
30-Nov-16
30-Nov-16
30-Nov-16
13-Nov-16
17-Nov-16
3-Nov-16
18-Nov-16
12-Nov-16
30-Nov-16
11-Nov-16
11-Nov-16
acc
acc
No Nama Pasien Pembayaran Faskes tanggal masuk tanggal keluar fee
1 Neneng Fitri Widia BPJS Sc bd deswita 12/29/2016 12/31/2016 Rp 200,000
2 Erieni BPJS sc Bd Ernita 12/16/2016 12/18/2016 Rp 200,000
3 Berti Setiawati bpjs sc Bd Hasna Dewi Fitri Sari 12/24/2016 12/26/2016 Rp 200,000
4 evi tanola wijaya bpjs sc bd. Ade martalena 12/1/2016 12/3/2016 Rp 200,000
5 Binarti Umum Sc bd. Arisma Jufriani 12/14/2016 12/16/2016 Rp 1,000,000
6 Suci Ramadani BPJS Curet Bd. Asma Juwita 12/30/2016 1/1/2017 -
7 Marini BPJS sc Bd. Dewi Triana 12/16/2016 12/18/2016 Rp 200,000
8 Tati sumira BPJS sc Bd. Husna Yunita 11/30/2016 12/2/2016 Rp 200,000
9 Deliana Umum SC Bd. Lubuk Sakai 12/22/2016 12/24/2016 Rp 1,000,000
10 Rosalia BPJS sc bd. Mira 12/14/2016 12/16/2016 Rp 200,000
11 Marisa BPJS Sc Bd. Niyet 12/30/2016 1/2/2017 Rp 200,000
12 Nofia Marlina BPJS sc Bd. Niyet 19/12/2017 21/12/2017 Rp 200,000
13 Susi Marina BPJS SC Bd. Rosmerianti 12/1/2016 12/1/2016 Rp 200,000
14 Normasari Siregar UMUM Bd. Sri Winarti 12/13/2016 12/16/2016 Rp 1,000,000
15 Salmawati Umum Manual Bd. Tince Titin 25/12/1016 12/25/2016 Rp 200,000
16 Rima Kamila Umum Sc Bd. Yusmarni 12/21/2016 12/23/2016 Rp 1,000,000
17 Intan UMUM Bd. Yusriani 12/16/2016 12/18/2016 Rp 1,000,000
18 jumini bpjs sc bd.asni 12/4/2016 12/8/2016 Rp 200,000
19 Pulung Ambarsari Umum Patologis Bd.Deswita 12/23/2016 12/24/2016 Rp 200,000
20 ita nofita umum sc bd.dewi anitasari 12/3/2016 12/5/2016 Rp 1,000,000
21 muasih bpjs sc bd.dina anggina 12/7/2016 12/9/2016 Rp 200,000
22 Aisah umumcuret Bd.dwi 21/12/2016 21/12/2016 Rp 200,000
23 Nurhayati Umum sc/TDS Bd.Fatmawati 1/2/2017 1/2/2017 Rp 1,000,000
24 Nurhayati Umum Sc Bd.Fatmawati 1/2/2017 1/2/2017 udh dimbil dipoto
25 shofi ana bpjs sc bd.fera 12/3/2016 12/5/2016 Rp 200,000
26 amin rahmatina bpjs sc bd.Fuchia Yanivel 12/3/2016 12/5/2016 Rp 200,000
27 Gusri Ramalina BPJS sc Bd.ledi Anggraini 12/20/2016 12/22/2016 Rp 200,000
28 Laspitria Ningsih BPJS Sc Bd.Meri amelia 12/22/2016 12/24/2016 Rp 200,000
29 Nurmidar dachi BPJS sc Bd.Rachmi lisa 12/9/2017 1/11/2017 Rp 200,000
30 susi merlina bpjs sc bd.rosmerianti 12/1/2016 12/3/2016 Rp 200,000
31 afrina syafitri bpjs sc bd.rosmerianti 12/4/2016 12/6/2016 Rp 200,000
32 roslina bpjs sc bd.rosmerianti 12/5/2016 12/7/2016 Rp 200,000
33 Irma Suryani BPJS sc bd.widiawati 12/19/2016 12/22/2016 Rp 200,000
34 silviarti bpjs sc bd.winarni 12/6/2016 12/8/2016 Rp 200,000
35 inka adriana yuka umum sc bd.yefri yanti 12/1/2016 12/3/2016 Rp 1,000,000
36 Yuli Gusnita Umum Sc Bd.Yelni 12/26/2016 12/28/2016 Rp 1,000,000
37 Bayura Sari BPJS Sc Bd.Yetri 12/29/2016 12/31/2016 Rp 200,000
38 Dewi Mulya Sari BPJS Sc Bd.Yetri 12/29/2016 1/1/2017 Rp 200,000
39 tessa prismiani bpjs sc bd.yeyen 12/3/2016 12/5/2016 Rp 200,000
40 Cici Wisdalona BPJS Sc Bd.yulia 12/31/2016 1/2/2017 Rp 200,000
41 Ermiah wati Umum/ Manual PlBd.Yulia 12/17/2016 12/17/2016 Rp 200,000
42 Robiati Patologis BPJS Desi medika 12/16/2016 12/16/2016 -
43 Atik Maimah SC BPJS + Steril dr.Eri Raldi/PKM Siak Hulu II 12/12/2016 12/14/2016 Rp 200,000
44 Aisah Umum Curetage Dwi wahyuni 12/21/2016 12/21/2016 Rp 200,000
45 Ayu Mentapa BPJS sc klinik dadan 12/9/2016 12/11/2016 -
46 Mona BPJS Sc klinik dadan 12/29/2016 1/1/2017 -
47 Budi Lina Humendru BPJS sc Klinik Famela Jaya Medika 11/30/2016 12/2/2016 Rp 200,000
48 Riri Yulia BPJS sc Klinik Famela Jaya Medika 12/12/2016 12/14/2016 Rp 200,000
49 Wenny Novita BPJS sc Klinik Famela Jaya Medika 12/19/2016 12/21/2016 Rp 200,000
50 susilawati Umum klinik kualu 12/1/2016 12/2/2016 Rp 1,000,000
51 Sri Maya afrina BPJS Sc Klinik Kualu 12/16/2016 12/18/2016 Rp 200,000
52 Zasmita BPJS curet klinik kualu 12/20/2016 12/22/2016 -
53 Desi Fitri Zain Umum Sc Klinik Kualu 12/22/2016 12/24/2016 Rp 1,000,000
54 Rina safitri BPJS Sc klinik kualu 12/25/2016 12/28/2016 Rp 200,000
55 Sartika BPJS Sc klinik kualu 12/30/2016 1/2/2017 Rp 200,000
56 rafika duri bpjs klinik kualu 12/3/2016 12/5/2016 Rp 200,000
57 nita fransiska bpjs klinik kualu 12/9/2016 12/11/2017 Rp 200,000
58 Narita BPJS sc klinik marpoyan medika 12/20/2016 12/22/2016 Rp 200,000
59 Deslina BPJS sc Klinik Nadin medika 11/30/2016 12/2/2016 Rp 200,000
60 fuji ayu lestari bpjs Klinik Nadin medika 12/4/2016 12/6/2016 Rp 200,000
61 nuraini pulungan bpjs sc klinik pelita hati 12/6/2016 12/8/2016 Rp 200,000
62 Darmawati bpjs sc klinik Pratama selvia medika 12/24/2016 12/27/2016 Rp 200,000
63 Ngadira Umum curet PKM KAMPAR KIRI 12/13/2016 12/14/2016 Rp 200,000
64 siti nurmaidah BPJS sc Pkm Kampar Kiri Tengah 12/17/2016 12/19/2016 Rp 200,000
65 Febriani BPJS Curet Pkm Kampar Kiri Tengah 12/19/2016 12/20/2016 -
66 marisa bpjs sc Pkm Karya Wanita 12/1/2016 12/4/2016 Rp 200,000
67 Pitrawatigus BPJS Pkm Karya Wanita 12/15/2016 12/17/2016 Rp 200,000
68 Restina Wati BPJS Vacum &CPkm Karya Wanita 12/18/2016 12/20/2016 -
69 lidya wahyuni BPJS sc Pkm Karya Wanita 12/17/2016 12/20/2016 Rp 200,000
70 Afrilia bpjs sc Pkm Karya Wanita 12/24/2016 12/26/2016 Rp 200,000
71 Yessy Alfi Delti BPJS Sc Pkm Karya Wanita 12/28/2016 12/30/2016 Rp 200,000
72 Monica A BPJS sc pkm RI Sidomulyo 12/11/2016 12/13/2016 Rp 200,000
73 Fitri yani BPJS sc pkm RI Sidomulyo 12/14/2016 12/16/2016 Rp 200,000
74 Jelita BPJS sc pkm RI Sidomulyo 12/17/2016 12/19/2016 Rp 200,000
75 Rinna JKD pkm sidomulyo 12/2/2016 12/3/2016 -
76 mustainah bpjs sc PKM Simpang Tiga 12/21/2016 12/23/2016 Rp 200,000
77 Dian Fatimamaharani BPJS Sc PKM Simpang Tiga 12/22/2016 12/24/2016 Rp 200,000
78 Desmawati BPJS Sc PKM Simpang Tiga 12/26/2016 12/28/2016 Rp 200,000
79 Yuswati Laia BPJS Sc PKM Simpang Tiga 12/30/2016 1/2/2017 Rp 200,000
80 Misriani BPJS Curet PKM Simpang Tiga 12/30/2016 1/2/2017 -
81 reno dwi suryanti bpjs pkm tenayan raya 12/1/2016 12/3/2016 Rp 200,000
82 Irmayeni BPJS pkm tenayan raya 12/14/2016 12/16/2016 Rp 200,000
83 Sukma BPJS curet Pkm tenayan raya 12/21/2016 12/22/2016 -
84 Muhaira JKD sc Pkm tenayan raya 12/20/2016 12/22/2016 -
85 Desrawati JKD sc Pkm tenayan raya 12/20/2016 12/22/2016 -
86 Mardiana JKD sc Pkm tenayan raya 12/20/2016 12/22/2016 -
87 Jumiati JKD SC PKM tenayan raya 12/27/2016 12/28/2016
88 Wati Sudarimi Umum Sc RB.Eka Permata Bunda 12/30/2016 1/2/2017 Rp 1,000,000
89 Eva Wahyuni Umum Sc RB.SYAHIRA 12/19/2016 12/21/2016 Rp 1,000,000
90 yuliarni bpjs saripatul asma 12/2/2016 12/4/2016 Rp 200,000
91 Erni Maria bpjs sc UPT. Puskes kampar Kiri 12/21/2016 12/23/2016 Rp 200,000
92 Mela Sari Bpjs Sc UPT. Puskes kampar Kiri 12/23/2016 12/25/2016 Rp 200,000
93 Roza Lena Umum curet 12/2/2016 12/2/2016
94 Rezi Primarsih umum 11/30/2016 12/2/2016
95 ria rahayu umum 12/2/2016 12/3/2016
96 syarifah maria ulfa bpjs 12/3/2016 12/5/2016
97 saputri desiana bpjs 12/3/2016 12/5/2016
98 Fatima sari patologis bpjs 12/4/2016 12/5/2016
99 lisa ampina bpjs 12/3/2016 12/5/2016
100 dwi susanti JKD SC 12/3/2016 12/5/2016
101 rosa manalu bpjs 12/4/2016 12/6/2016
102 neke astria bpjs 12/4/2016 12/6/2016
103 gine bpjs 12/4/2016 12/6/2016
104 maslena bpjs 12/6/2016 12/8/2016
105 Rosliana BR pasaribua BPJS 12/9/2016 12/11/2016
106 hasna denita bpjs 12/9/2016 12/11/2016
107 nurmidar darni bpjs 12/9/2016 12/11/2016
108 Rajun Umum curet 12/12/2016 12/13/2016
109 Nirmawati BPJS 12/10/2016 12/13/2016
110 Hobby Situmorang BPJS 12/12/2016 12/14/2016
111 Dati Sopian BPJS 12/12/2016 12/14/2016
112 Elwizul Fitri BPJS 12/13/2016 12/15/2016
113 Risna Wati BPJS 12/14/2016 12/16/2016
114 marni BPJS 12/15/2016 12/17/2016
115 Tini Marlina UMUM 12/15/2016 12/17/2016
116 zakiyah BPJS 12/17/2016 12/19/2016
117 Sri wahyuni BPJS 12/18/2016 12/20/2016
118 Desi Natalia Umum Sc 12/19/2016 12/21/2016
119 Herawati Ayustina Umum Curet 12/19/2016 12/21/2016
120 Tri Puspa BPJS sc 12/19/2016 12/21/2016
121 Ayu Asnaita bpjs sc 12/21/2016 12/23/2016
122 Yusmaneli bpjs sc 12/21/2016 12/23/2016
123 Eka Suryani bpjs sc 12/21/2016 12/23/2016
124 Sefri Yulia Umum Sc 12/21/2016 12/23/2016
125 Marlisa Bpjs Sc 12/22/2016 12/24/2016
126 Lisy Nevit ayaha Bpjs sc 12/22/2016 12/24/2016
127 Meilani Ginti Murai Umum Curet 12/23/2016 12/24/2016
128 Yuliana Dewi bpjs sc 12/24/2016 12/26/2016
129 Kasmira JKD sc 12/24/2016 12/27/2016
130 Nofriza Lusiana BPJS Sc 12/26/2016 12/28/2016
131 Ismarini BPJS Sc 12/26/2016 12/28/2016
132 Ida Fitria Dewi BPJS Sc 12/26/2016 12/28/2016
133 Diana Chandra BPJS Sc 12/30/2016 1/2/2017
134 Karina Iskandi BPJS Sc 12/30/2016 1/2/2017
135 Siska Binti SaharuddinBPJS Sc 12/30/2016 1/2/2017
136 Mawar Delima BPJS Sc 12/30/2016 1/2/2017
137 Dewi Mulya Sari BPJS Sc 12/30/2016 1/2/2017
138 Merisa Ulfa BPJS Sc 12/30/2016 1/2/2017
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
cp. Bidan / klinik Rujukan fix
28/2/2017 acc
transfer dengan pak jamil
Rujukan ada acc
1/6/2017
6/1/2017
13/01/2017
1/6/2017
rujukan ada 1/31/2017
ada rujukan 1/30/2017
dewi kasir
12/27/2016
2/14/2017 Rujukan ada acc
082381758134 ada acc

ada acc
1/30/2017 Rujukan ad
12/1/2017
12/1/2017
ada acc
Rujukan ad acc
082390060100 ada
11/1/2017
11/1/2017
11/1/2017
28/2/2017 acc
6-Jan-17 acc
6-Jan-17
6-Jan-17
6-Jan-17 acc
28/2/2017 ada acc
28/2/2017 ada acc
11/1/2017
28/12/2016 dgn pak jamil
28/2/2017 ada acc
tf dgn pak jamil
11/1/2017 12/26/2016
9/1/1017
9/1/1017
9/1/1017
9/1/1017
9/1/1017
1/12/2017
1/12/2017
1/12/2017
acc
acc
6/1/2017
14/1/2017 81275533585
tf dgn pak jamil 12/26/2016
tf dgn pak jamil 12/26/2016
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
No Nama Pasien Pembayaran Faskes tanggal masuk tanggal keluar fee cp. Bidan / klinik Rujukan acc Dibayarkan
1 Mega Andira bpjs sc apotek keluarga 1/30/2017 2/1/2017 ada
2 darsi bpjs sc apotek keluarga 1/30/2017 2/1/2017 ada
3 winda BPJS Sc apotek keluarga 1/29/2017 1/31/2017 ada
4 mesi fintalia bpjs Sc bd yanti gunimar 17/1/2017 19/1/2017 Rp 350,000 85265915223 ada acc 4/2/2017
5 Riri Indrayani Umum Sc bd Yulia 04/01/17 06/01/17 Rp 1,000,000 081365286666 ada acc
6 sumiati bpjs sc bd Yulia 1/25/2017 1/27/2017 Rp 350,000 081365286666 ada acc
7 Wiyata Arieffebrina Bpjs Sc Bd. Gessa Nastria 06/01/17 08/01/17 Rp 200,000 85278742787 ada acc 10-Jan-17
8 Widratul Jannah BPJS Curet Bd. Widiawati 01/01/17 03/01/17 -
9 Junicha Lispika Bpjs Sc Bd. Yosi Febrina 07/01/17 09/01/17 Rp 200,000 81365333114 ada acc
10 sri damayanti bpjs Sc Bd.Deliana 17/1/2017 19/1/2017 Rp 350,000 82288218095 ada acc 1/28/2017
11 Yenni Enzelina Bpjs sc Bd.Dewi Triana 1/30/2017 2/1/2017 Rp 350,000 085363806176 ada acc 28/2/2017 tf .
12 susilawati bpjs Sc bd.erni dawani 1/23/2017 25/1/2017 Rp 350,000 81365428779 ada acc 81365428779 2/24/2017
13 Renata violenta bpjs sc Bd.ernita 17/1/2017 19/1/2017 Rp 350,000 08126838552 ada acc 2/2/2017
14 Yesi Oktaviani Umum Sc Bd.Gina astarina 1/16/2017 1/18/2017 Rp 1,000,000 85265536902 ada acc 1/30/2017
15 Fitri yulinda bpjs Sc bd.hasna dewi 17/1/2017 19/1/2017 Rp 350,000 085263208998 ada acc 2/2/2017
16 Leni susanti bpjs Sc bd.Hasna dewi 1/16/2017 1/18/2017 Rp 350,000 085263208998 ada acc 2/2/2017 .
17 Desi agdasari Bpjs sc Bd.ilawati amd.keb 1/12/2017 1/15/2017 Rp 350,000
18 junita lestari sc umum Bd.Jernilan 1/19/2017 1/22/2017 Rp 1,000,000 82284713292 ada acc
19 Septia Lonawati bpjs sc Bd.Ledy Angraini 1/16/2017 1/18/2017 Rp 350,000 ada acc 2/14/2017
20 Ema yuliana Umum Sc bd.Meri amelia 1/18/2017 1/20/2017 Rp 1,000,000 82386968065 ada acc 1/27/2017 1
21 widia wiyanti bpjs sc bd.mira kuswanti 1/14/2017 1/16/2017 Rp 350,000 823875754733 ada acc 1/28/2017
22 sri mardona bpjs Sc bd.mira kuswanti 1/21/2017 1/23/2017 Rp 350,000 823875754733 ada acc 1/29/2017
23 nopiana fitriani bpjs Sc Bd.niyet 1/22/2017 1/24/2017 Rp 350,000 085363746320 ada acc 1/27/2017
24 Juli Dewi Astuti Umum Sc Bd.Niyet 1/30/2017 2/1/2017 Rp 1,000,000 085363746320 ada acc 2/27/2017 .
25 iin lestari Umum patologis bd.oni dilla 1/19/2017 1/22/2017 Rp 200,000 08126877918 ada acc 1/27/2017
26 marlena Umum Sc bd.oni dilla 1/30/2017 2/1/2017 Rp 1,000,000 08126877918 ada acc 1/27/2017 .
27 Irna Ningsih Bpjs Sc Bd.Prapti 08/01/17 08/01/17 Rp 200,000 81378738288 ada acc 1/30/2017
28 Fitri rahmadani bpjs sc Bd.Rachmi lisa 1/12/2017 1/14/2017 Rp 200,000 82381758134 ada acc 2/6/2017 tf
29 Sri Elfiani sc umum Bd.Ria Fitriani 1/26/2017 1/28/2017 Rp 1,000,000 081378235716 ada acc .
30 Fitri Inriyani Bpjs Sc Bd.Sri Winarti 1/9/2017 1/11/2017 Rp 200,000 8126868083 ada acc 13-Jan-17
31 Sri Mardiati BPJS Sc Bd.Tince 01/01/17 03/01/17 Rp 200,000 ada acc 13-Jan-17
32 anika marjuni bpjs Sc bd.tugina 1/23/2017 1/25/2017 Rp 350,000 081365639252 ada acc 2/2/2017
33 Wirdatul Jannah Bpjs Curatage Bd.Widiawati 02/01/17 04/01/17 -
34 SuWelmi BPJS sc Bd.Winarni 04/01/17 05/01/17 Rp 200,000 81371734673 ada
35 Riska eka sari bpjs Sc bd.yannie zulieni/ klinik nadin 1/23/2017 1/25/2017 Rp 350,000 28/2/2017 ada acc d byrkn klinik Nadin Medika .
36 ratih jumiati Umum Sc bd.yasmita nora 1/23/2017 1/25/2017 Rp 1,000,000 085356814864 ada acc 1/27/2017
37 Neneng sukaesih Umum Sc bd.yasmita nora 1/29/2017 1/31/2017 Rp 1,000,000 085356814864 ada acc 28/2/2017
38 Surti Bpjs Sc Bd.Yelni 1/11/2017 1/13/2017 Rp 350,000 81397643054 ada acc 1/30/2017 .
39 Fitri yani bpjs sc bd.yetri 1/6/2017 1/8/2017 Rp 200,000 08127517620 ada acc 1/12/2017 .
40 Dwi yuliani bpjs sc bd.yeyen 1/27/2017 1/29/2017 Rp 350,000 085375248077 ada acc
41 Zuryawati bpjs sc Bp. Syahira 1/26/2017 1/28/2017 Rp 350,000 081267560910 ada acc 28/2/2017 tf
42 Marisah Bpjs Sc dr.fitri 1/12/2017 1/15/2017 Rp 350,000 85275473810
43 eva herlin bpjs Sc klinik bersalin maria medika 17/1/2017 19/1/2017 Rp 350,000 ada acc
44 Yurnalis Umum Sc Klinik Bidan Efrina 03/01/17 05/01/17 tds 81365676912
45 Nichi amalia bpjs sc Klinik dadan 1/13/2017 1/16/2017
46 irfa yet bpjs Sc Klinik dadan 1/30/2017 2/1/2017 ada
47 Sri rahayu bpjs Sc klinik dokter bastian 17/1/2017 19/1/2017 Rp 350,000 085271009336 ada acc 2/16/2017
48 meriawati bpjs Sc klinik fellita 1/21/2017 1/23/2017 Rp 350,000 82391559519 ada acc 4/1/2017
49 Jariah Pulungan BPJS sc Klinik Kualu 04/01/17 06/01/17 Rp 200,000 81378222144 ada acc 8/2/2017
50 Sulastri bpjs Sc Klinik Kualu 1/18/2017 1/20/2017 Rp 350,000 081378222144 ada acc 8/2/2017
51 yanti kusuma bpjs Sc Klinik Kualu 1/19/2017 1/21/2017 Rp 350,000 081378222144 ada acc 8/2/2017
52 mia darmiati bpjs Klinik Kualu 19/1/2017 22/1/2017 Rp 350,000 081378222144 ada acc 8/2/2017
53 delfi putri yeni Bpjs Sc Klinik Kualu 1/1/2017 1/3/2017 Rp 200,000 ada acc 28/2/2017
54 Esteria Sihombing Umum Sc Klinik marpoyan Medika 1/25/2017 1/27/2017 Rp 1,000,000 ada acc 28/2/2017 .
55 Suraidah bpjs Sc Klinik pelita hati 1/28/2017 1/30/2017 Rp 350,000 ada acc .
56 Elia Rahmah yanti bpjs Sc klinik selvia medika 1/11/2017 1/13/2017 Rp 350,000 ada acc 2/2/2017
57 Dahliana nasution bpjs sc klinik syarifah medika 1/14/2017 1/16/2017 Rp 350,000 82161315393 ada acc 2/2/2017
58 jerni hati bpjs Sc klinik tsabita 17/1/2017 19/1/2017 Rp 350,000 081365798183 ada acc 1/30/2017
59 Afrianti bpjs Sc Pkm Kampar Kiri 1/31/2017 1/2/2017 Rp 350,000 ada acc 1/7/2017 dgn pak jamil
60 Rini Ridwan Bpjs Sc PKM Karya Wanita 06/01/17 08/01/17 Rp 200,000 ada acc 13/02/2017
61 Azmi Ayu Natasari JKD sc PKM Karya Wanita 06/01/17 08/01/17 Rp 100,000 ada acc 13/02/2017
62 Gusnawati bpjs Sc PKM Karya Wanita 1/20/2017 1/22/2017 Rp 350,000 ada acc 13/02/2017
63 nelmawati bpjs sc PKM Karya Wanita 1/30/2017 2/1/2017 Rp 350,000 ada acc 13/02/2017
64 yona viotalina JKD sc PKM Karya Wanita 1/21/2017 1/23/2017 Rp 100,000 ada acc 13/02/2017
65 nova mariance JKD sc PKM Karya Wanita 21/12/1017 1/23/2017 Rp 100,000 ada acc 13/02/2017
66 Yuniarti bpjs sc Pkm ri sidomulyo 1/11/2017 1/13/2017 Rp 350,000 ada acc 8/2/2017
67 Masliani (Ani) Bpjs Sc Pkm ri sidomulyo 1/12/2017 1/14/2017 Rp 350,000 ada acc 8/2/2017
68 Helmi mayunita bpjs sc Pkm ri sidomulyo 1/12/2017 1/15/2017 Rp 350,000 ada acc 8/2/2017
69 ummul arifah Bpjs Sc pkm ri sidomulyo 1/12/2017 1/15/2017 Rp 350,000 ada acc 8/2/2017
70 Reni sulastri JKD sc Pkm ri sidomulyo 1/23/2017 1/25/2017 Rp 100,000 ada acc 8/2/2017
71 novita sari JKD sc Pkm ri sidomulyo 1/21/2017 1/23/2017 Rp 100,000 ada acc 8/2/2017
72 Oktavia Sidabutar bpjs sc pkm ri simpang tiga 1/10/2017 1/12/2017 Rp 350,000 ada acc 8/2/2017
73 henny yulia bpjs Sc pkm ri simpang tiga 1/20/2017 1/22/2017 Rp 350,000 ada acc 8/2/2017
74 desi rafika JKD sc pkm ri simpang tiga 1/20/2017 1/22/2017 Rp 100,000 ada acc 8/2/2017
75 Nurdalilah bpjs sc pkm ri simpang tiga 1/26/2017 1/27/2017 Rp 350,000 ada acc 8/2/2017
76 muriati JKD SC pkm ri simpang tiga 1/27/2017 1/29/2017 Rp 100,000 ada acc 8/2/2017
77 Puspa Dewi JKD sc pkm ri simpang tiga 04/01/17 06/01/17 Rp 100,000 ada acc 8/2/2017
78 Siti rahmah JKd sc pkm ri simpang tiga 1/13/2017 1/15/2017 Rp 100,000 ada acc 8/2/2017
79 nurhayati bpjs Sc pkm tambang/bd yurna ningsih 20/1/017 1/22/2017 Rp 350,000 081365286800 ada acc
80 Romslah Bpjs Sc PKM Tenayan Raya 06/01/17 08/01/17 Rp 200,000 ada ac 10-Jan-17
81 Fitriana Bpjs sc Pkm Tenayan raya 1/10/2017 1/12/2017 Rp 200,000 ada ac 2/14/2017
82 Yulia Ermita Bpjs Sc Pkm Tenayan raya 1/11/2017 1/14/2017 Rp 350,000 ada ac 2/14/2017
83 Fifrotun fauziah bpjs Sc RS LANUD ROSMIN NURJADIN 17/1/2017 19/1/2017 Rp 350,000 ada acc
84 Mariyani Bpjs sc Tapung hilir II 1/10/2017 1/12/2017 Rp 200,000
85 Rosmanelli Curatage bpjs Uwamedika 1/9/2017 1/11/2017 -
86 mailiza bpjs Sc klinik Uwamedika 1/29/2017 1/31/2017 Rp 350,000 ada acc .
87 Juni Nauli BPJS sc 04/01/17 06/01/17
88 Rini Hemayani BPJS sc 04/01/17 06/01/17
89 Watdrina Yanti JKD sc 04/01/17 06/01/17
90 Salbiah BPJS Sc 05/01/17 07/01/17
91 Mira Yanita BPJS sc 05/01/17 07/01/17
92 Melisa Umum Sc 05/01/17 07/01/17
93 Leni Marlina Bpjs Sc 05/01/17 07/01/17
94 Adria Eka Putri Bpjs Sc 06/01/17 08/01/17
95 Novia Agestina Bpjs Sc 06/01/17 08/01/17
96 Fitriyani Bpjs Sc 06/01/17 08/01/17
97 Syahniar Bpjs Sc 07/01/17 08/01/17
98 Sutri Wati Jkd Curetage 07/01/17 09/01/17
99 Rahma Fitri Bpjs Sc 08/01/17 08/01/17
100 Lestari Bpjs Sc 08/01/17 08/01/17
101 Melidawati Bpjs Sc 11/10/2017 1/11/2017
102 Devi kumalasari Umum Sc 1/11/2017 1/12/2017
103 Mari Saugi bpjs sc 11/10/2017 1/11/2017
104 Suraya siregar bpjs sc 11/10/2017 1/11/2017
105 Rusmeri Bpjs curete 1/13/2017 1/13/2017
106 Fitriani bpjs sc 1/14/2017 1/16/2017
107 Tita oktaviani bpjs sc 1/14/2017 1/16/2017
108 zulbaida bpjs sc 1/14/2017 1/16/2017
109 eni widiarti Bpjs Sc 1/15/2017 1/16/2017
110 Siti radika bpjs sc 1/15/2017 1/16/2017
111 Mediana sarah bpjs Sc 1/16/2017 1/18/2017
112 Nur hariyana bpjs Sc 1/16/2017 1/18/2017
113 zahwa alifa Curatage bpjs 1/19/2017 1/20/2017
114 melidawati bpjs Sc 1/19/2017 1/20/2017
115 debi sayfriani Curatage bpjs 1/19/2017 1/20/2017
116 marlis bpjs sc 1/19/2017 1/22/2017
117 eka septi bpjs Sc 1/20/2017 1/22/2017
118 Atiqah Bpjs Curatage 1/21/2017 1/22/2017
119 nurhastati bpjs Sc 1/20/2017 1/22/2017
120 ermawati bpjs Sc 1/19/2017 1/22/2017
121 Arina Pramudita bpjs Sc 1/27/2017 1/29/2017
122 Lega Putri Utami bpjs Sc 1/27/2017 1/29/2017
123 Neti sri Permata bpjs Sc 1/27/2017 1/29/2017
124 Fradika Yulia Bpjs Sc 1/27/2017 1/29/2017
125 Sumiarti Bpjs Sc 1/27/2017 1/29/2017
126 Herni Yanti bpjs vakum 1/26/2017 1/29/2017
127 Nuryana bpjs curet 1/26/2017 1/29/2017
128 Ria Susanti bpjs Sc 1/28/2017 1/30/2017
No Nama Pasien Pembayaran Faskes
1 Ibni Nurhabibina Bpjs Sc apotek keluarga
2 yulianti Bpjs Sc apotek keluarga
3 asiah Bpjs Sc apotek keluarga
4 neni afrida umum sc bd ade irma suryani
5 santi tovia umum sc bd ade martelana
6 nurdiana umum patologis bd afirna
7 nancy agustin bpjs sc bd deliana
8 Yusmiati tds bd Desi Medika
9 wartini. Bpjs Sc bd desi sisilawati
10 nurzarifah bpjs curete bd desi sisilawati
11 lia saputri. Bpjs Sc bd deswita
12 devi cristina Bpjs Sc bd deswita
13 herlinda bpjs sc bd eci apriyanti
14 rosleni. bpjs partial bd eka suyanti
15 fitrina. Bpjs Sc bd ernita
16 nur akma fireya. Bpjs Sc bd ernita
17 fitri yeni. Bpjs Sc bd ernita
18 dewi sumarni umum sc bd fera
19 desi fitriani. umum sc bd Fina
20 siti nurjannah Bpjs Sc bd ilawati
21 yurlianis. Bpjs Sc bd ledy angraini
22 Anerina umum sc bd Mardiyah
23 nelfia jkd Sc bd marlina wati
24 asmalina Bpjs Sc bd meli andria
25 windi amanda umum spontan bd mira
26 Miarni TDS Bd Neni Afriyanti
27 kris monika dona bpjs patologis Bd Neni Afriyanti
28 junita wulansari. Bpjs Sc bd niyet
29 dedek saprina. Bpjs Sc bd Niyet
30 jumiati. bpjs sc bd niyet
31 adica altrini Bpjs Sc bd onni dilla
32 sri nartika Bpjs Sc bd prapti
33 mujiani Bpjs Sc bd prapti
34 sundari. umum sc bd Rahayu
35 eva norma fitri. bpjs sc bd rani
36 marianis bpjs patologis bd ria fitriani
37 rusmiati. Bpjs Sc bd rika
38 desican Bpjs Sc bd rosita
39 rofiah. Bpjs sc bd suminarti
40 ernita umum sc bd T.Tampubolon
41 dew fitri umum spontan bd umi kalsum
42 nurhasanah. Bpjs Sc bd widiawati
43 era azizah. TDS Bd Windi
44 murni darlena umum sc bd yetri
45 Masliati. umum sc bd yetri
46 ayu indrawati bpjs vacum bd yetri yanti
47 rafika dewi sari. Bpjs Sc bd yeyen
48 sri wahyuningsih. bpjs sc bd yulia
49 erni umum sc bd yulia
50 anggelina Janingsih. umum sc Bd Yulia
51 wenny angraini. BPJS Sc bd Yurna Ningih
52 nilara enjelina Bpjs Sc bd Yurna Ningih
53 silvia yeni. umum sc bd yusmiati
54 rosleni. bpjs patologis bd.eka susanti
55 yeni hartati umum sc bd.erni dawani
56 paryanti bpjs partil care bd.jernilan
57 reza indriani Bpjs Sc bd.winarni
58 suri handayani. Bpjs Sc bidan gusrida gasri
59 siti wahiroh. Bpjs Sc bp uwa medika
60 dewi binti dermasyah Bpjs Sc famela jaya medika
61 desmawati. Bpjs Sc hj maramis
62 dermi boru t. Bpjs Sc klinik dadan
63 riana Bpjs Sc klinik Dadan
64 siti nafaah Bpjs sc klinik dadan
65 rosdiana Bpjs Sc klinik dadan
66 sri wahyuni Bpjs Sc klinik dadan
67 mey sembiring Bpjs Sc klinik dadan
68 nova yanti. Bpjs Sc klinik fellita
69 yulia safitri bpjs sc klinik indi medika
70 dewi saputri bpjs sc klinik indi medika
71 rina safitri. Bpjs rwt inap klinik kualu
72 tioda Br Tumeang. Bpjs Sc klinik pelita hati
73 ermina umum sc klinik pelita hati
74 hartati. Bpjs sc klinik raudah
75 sri wahyuni bpjs sc klinik sansani
76 nike juliamira Bpjs sc klinik sansani
77 Robi Awalia. bpjs sc pkm kampar kiri
78 ninik komaria. Bpjs Sc pkm kampar kiri
79 risna sari wulansari. Bpjs Sc pkm kampar kiri
80 Ny Indra bpjs manual pkm kampar kiri
81 hayatul maini bpjs sc pkm kampar kiri
82 mira binti buyung bpjs curete pkm kampar kiri
83 Nurhayati bpjs curete pkm kampar kiri
84 yusnefi. jkd Sc pkm karyawanita
85 delpiya. jkd sc pkm karyawanita
86 rosi indrawati jkd Sc pkm pekanbaru kota
87 sarah deliana. jkd sc pkm ri sidomulyo
88 nurmaisah siregar. jkd sc pkm ri sidomulyo
89 wuri handayani. Bpjs Sc pkm ri sidomulyo
90 irda berliana jkd Sc pkm ri sidomulyo
91 nesa febrianti Bpjs Sc pkm ri sidomulyo
92 warnida jkd Sc pkm ri sidomulyo
93 suryaningsih. jkd sc pkm Simpang tiga
94 nurlatifah situmorang. jkd Sc pkm simpang tiga
95 nurasiyah hanum. jkd Sc pkm simpang tiga
96 rika elfinda. jkd Sc pkm simpang tiga
97 atika yuniarti. jkd Sc pkm simpang tiga
98 rika susanti. Bpjs Sc pkm Simpang tiga
99 Sri wiyanti. jkd Sc pkm Simpang tiga
100 novi nisti jkd Sc pkm Simpang tiga
101 desi arisandi bpjs patologis pkm Simpang tiga
102 odorina br tobing jkd Sc pkm Simpang tiga
103 lisa angraini. Bpjs Sc pkm tambang
104 yusneli. Bpjs Sc pkm tenayan raya
105 reva septriani. Bpjs Sc pkm tenayan raya
106 febra eka sari jkd Sc pkm tenayan raya
107 yuniarti syari jkd Sc pkm tenayan raya
108 riska. Bpjs Sc RB Eka Permata Bunda
109 desi afri susanti Bpjs Sc RB Eka Permata Bunda
110 nurdahlia. Bpjs Sc saripatul asma
111 mira murni. jkd sc uptd harapan raya
112 wahyuni Bpjs Sc uptd siak hulu II /bd nia
113 hermawati. Bpjs SC UPTD tambang/bidan rena
114 wirdatul jannah Bpjs Sc
115 khairani Ummah Bpjs Sc
116 febrika Bpjs Sc
117 sri denada Bpjs Sc
118 lia karmila Bpjs Sc
119 sri sulastri Bpjs Sc
120 sari fitria bpjs curete
121 olza safitri Bpjs Sc
122 indah permata Bpjs Sc
123 Rusfah Bpjs Sc
124 sri wahyuni jkd Sc
125 mirawati jkd Sc
126 widodowati Bpjs Sc
127 hasniati bpjs sc
128 resmita siregar bpjs sc
129 nuri novita sari bpjs sc
130 yuliar bpjs sc
131 tetty sari nauli bpjs sc
132 upik supiyani bpjs sc
133 desmiati bpjs sc
134 darmawita bpjs sc
135 silvia angraini Bpjs
136 rosliana br baru umum curet
137 siti khadijah Bpjs Sc
138 wiwit ermina Bpjs Sc
139 yeli novia Bpjs Sc
140 misrawati Bpjs Sc
ratnasih bpjs sc bd elda purwaningsih
dzakiatul adibah umum manual bd niyet
tanggal masuk tanggal keluar fee cp. Bidan / klinik Dibayarkan
2/1/2017 2/3/2017
2/8/2017 2/10/2017
2/14/2017 2/16/2017
2/21/2017 2/23/2017 Rp 1,000,000 082382645621 2/27/2012
2/20/2017 2/22/2017 Rp 1,000,000 081365416322 2/27/2017
2/20/2017 2/22/2017 Rp 200,000
2/17/2017 2/19/2017 Rp 350,000
2/2/2017 2/4/2017 tds
2/5/2017 2/7/2017 Rp 350,000 085272773580
2/15/2017 2/17/2017
2/15/2017 2/17/2017 Rp 350,000 081365251597 28/2/2017
2/22/2017 2/24/2017 Rp 350,000 081365251597 28/2/2017
2/18/2017 2/20/2017 Rp 350,000 085274711955 28/2/2017
2/4/2017 2/5/2017
2/5/2017 2/7/2017 Rp 350,000 08126838552
2/8/2017 2/10/2017 Rp 350,000 08126838552
2/8/2017 2/10/2017 Rp 350,000 08126838552
2/17/2017 2/19/2017 Rp 1,000,000 081378293655
2/9/2017 11/2/2017 Rp 1,000,000 08127608946 2/27/2017
2/18/2017 2/20/2017 Rp 350,000 085376306904
2/15/2017 2/17/2017 Rp 350,000 081374469914
2/14/2017 2/16/2017 Rp 1,000,000 082169849891 2/27/2017
2/24/2017 2/26/2017 Rp 100,000
2/9/2017 2/11/2017 Rp 350,000 081371131811 2/28/2017
2/19/2017 2/21/2017 Rp 200,000 085274711955 2/28/2017
2/16/2017 2/18/2017
2/19/2017 2/21/2017
2/7/2017 2/9/2017 Rp 350,000 085363746320 2/27/2017
2/6/2017 2/8/2017 Rp 350,000 085363746320 2/28/2017
2/8/2017 2/10/2017 Rp 350,000 085363746320 3/1/2017
2/22/2017 2/24/2017 Rp 350,000 08126877918 2/27/2017
2/18/2017 2/20/2017 Rp 350,000 081378738288 28/2/2017 tf
2/19/2017 2/21/2017 Rp 350,000 081378738288 28/2/2017 tf
2/16/2017 2/18/2017 Rp 1,000,000 081361332161
2/12/2017 2/15/2017 Rp 350,000 081268523049 2/28/2017
2/6/2017 2/7/2017 081378235716
2/9/2017 2/11/2017 Rp 350,000 081378077947 27/2/2017 tf
2/18/2017 2/20/2017 Rp 350,000 81378366648 28/2/2017
2/13/2017 2/15/2017 Rp 350,000 081378366648
2/21/2017 2/23/2017 Rp 1,000,000 082283477803
2/19/2017 2/21/2017 Rp 200,000 085374951515
2/4/2017 2/6/2017 Rp 350,000 085374469724
2/6/2017 2/8/2017
2/21/2017 2/23/2017 Rp 1,000,000 08127517620 2/27/2017
2/2/2017 2/4/2017 Rp 1,000,000 08127517620 2/27/2017
2/20/2017 2/22/2017 08127517620
2/15/2017 2/17/2017 Rp 350,000 085375248077
2/17/2017 2/19/2017 Rp 350,000 081365286666
21/2/2017 2/23/2017 Rp 1,000,000 081365286666
2/9/2017 2/13/2017 Rp 1,000,000 081365286666
2/1/2017 2/3/2017 Rp 350,000 081365286800
2/18/2017 2/20/2017 Rp 350,000
2/20/2017 2/22/2017 Rp 1,000,000 08127683649 27/2/2017 tf
2/7/2017 2/9/2017 Rp 15,000
1/2/2/2017 2/3/2017 Rp 1,000,000 2/27/2017
2/5/2017 2/7/2017 Rp 15,000
2/22/2017 2/24/2017 Rp 350,000 081371734673
2/13/2017 2/15/2017 Rp 350,000 081365520025
2/12/2017 2/15/2107 Rp 350,000
2/12/2017 2/15/2017 Rp 350,000
2/9/2017 2/10/2017 Rp 350,000 081365482220
2/6/2017 2/8/2017
2/6/2017 2/8/2017
2/11/2017 15/02/107
2/17/2017 2/19/2017
2/18/2017 2/20/2017
2/20/2017 2/22/2017
2/9/2017 2/11/2017 Rp 350,000
2/20/2017 2/22/2017 Rp 350,000
2/23/2017 2/25/2017 Rp 350,000
2/8/2017 2/10/2017
2/4/2017 2/6/2017 Rp 350,000
15/2/2/2017 2/17/2017 Rp 1,000,000
2/12/2017 2/15/2017 Rp 350,000
2/16/2017 2/19/2017
2/23/2017 2/25/2017
2/5/2017 2/7/2017 Rp 350,000
2/6/2017 2/8/2017 Rp 350,000
2/7/2017 2/9/2017 Rp 350,000
2/16/2017 2/17/2017
2/21/2017 2/23/2017 Rp 350,000
2/22/2017 2/22/2017
1/20/2017 2/22/2017
2/3/2017 2/5/2017 Rp 100,000
2/6/2017 2/9/2017 Rp 100,000
2/18/2017 2/20/2017 Rp 100,000
2/2/2017 1/5/2017 Rp 100,000
2/1/2017 2/3/2017 Rp 100,000
2/14/2017 2/16/2017 Rp 350,000
2/17/2017 2/19/2017 Rp 100,000
2/24/2017 2/26/2017 Rp 350,000
2/23/2017 2/26/2017 Rp 100,000
2/3/2017 1/5/2017 Rp 100,000
2/11/2017 2/13/2017 Rp 100,000
2/10/2017 2/12/2017 Rp 100,000
2/14/2017 2/15/2017 Rp 100,000
2/11/2017 2/15/2017 Rp 100,000
2/10/2017 2/12/2017 Rp 350,000
2/15/2017 2/17/2017 Rp 100,000
2/20/2017 2/22/2017 Rp 100,000
2/20/2017 2/22/2017
2/24/2017 2/26/2017 Rp 100,000
2/2/2017 1/5/2017 Rp 350,000
2/4/2017 1/6/2017 Rp 350,000
2/14/2017 2/16/2017 Rp 350,000
2/18/2017 2/20/2017 Rp 100,000
2/21/2017 2/23/2017 Rp 100,000
2/14/2017 2/16/2017 Rp 350,000
2/21/2017 2/23/2017 Rp 350,000
2/6/2017 2/9/2017 Rp 350,000
2/1/2017 2/3/2017 Rp 100,000
2/14/2017 2/16/2017 Rp 350,000 08127627123 27/2/2017 tf
2/13/2017 2/15/2017 Rp 350,000 085271470230
2/2/2017 1/5/2017
2/3/2017 1/5/2017
2/3/2017 1/5/2017
2/5/2017 2/7/2017
2/5/2017 2/7/2017
2/5/2017 2/7/2017
2/7/2017 2/9/2017
2/7/2017 2/9/2017
2/8/2017 2/10/2017
2/9/2017 2/11/2017
2/11/2017 2/13/2017
2/11/2017 2/13/2017
2/11/2017 2/13/2017
2/13/2017 2/15/2017
2/12/2017 2/15/2017
2/12/2017 2/15/2017
2/16/2017 2/19/2017
2/17/2017 2/19/2017
2/17/2017 2/19/2017
2/17/2017 2/19/2017
2/20/2017 2/22/2017
2/20/2017 2/22/2017
2/22/2017 22/2/2/2017
2/20/2017 2/22/2017
2/20/2017 2/22/2017
2/21/2017 2/23/2017
2/23/2017 2/25/2017
2/4/2017 2/6/2017 Rp 350,000
2/21/2017 2/21/2017
Rujukan acc cp
ada
ada
ada
ada acc
ada acc
ada
ada
ada acc
ada acc
ada acc
ada acc
ada
ada acc
ada acc
ada acc
ada acc
ada acc
ada acc
ada acc
ada acc
ada
ada acc
ada acc
ada acc
ada acc
ada acc
ada
ada acc
ada acc
ada acc
ada acc 81361332161
ada acc
ada acc
ada acc
ada
ada acc
ada acc
ada acc
ada acc
ada
ada acc
ada acc
ada 85375248077
ada acc
ada acc
ada acc
ada
ada
ada
ada
ada acc Rawat inap lntai 2
ada acc
ada acc
8136548220
ada
ada acc
ada acc
ada
ada
ada acc
ada acc
ada acc
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada
ada acc
ada
ada acc
ada
ada
ada acc
85271470230
ada acc 18/2/2017

Data Rujukan PKM Kampar Kiri
1 Afrianti bpjs Sc Pkm Kampar Kiri 1/31/2017
Total
Pekanbaru,
Data Rujukan PKM Karya Wanita

1 Rini Ridwan Bpjs Sc PKM Karya Wanita 1/6/2017
2 Gusnawati bpjs Sc PKM Karya Wanita 1/20/2017
3 nelmawati bpjs sc PKM Karya Wanita 1/30/2017
4 Azmi Ayu Natasari JKD sc PKM Karya Wanita 1/6/2017
5 yona viotalina JKD sc PKM Karya Wanita 1/21/2017
6 nova mariance JKD sc PKM Karya Wanita 21/12/1017
Total
Pekanbaru,
Data Rujukan PKM RI Sidomulyo

1 Yuniarti bpjs sc Pkm ri sidomulyo 1/11/2017
2 Masliani (Ani) Bpjs Sc Pkm ri sidomulyo 1/12/2017
3 Helmi mayunita bpjs sc Pkm ri sidomulyo 1/12/2017
4 ummul arifah Bpjs Sc pkm ri sidomulyo 1/12/2017
5 Reni sulastri JKD sc Pkm ri sidomulyo 1/23/2017
6 novita sari JKD sc Pkm ri sidomulyo 1/21/2017
Total
Pekanbaru,
Data Rujukan PKM RI Simpang Tiga

1 Oktavia Sidabutar bpjs sc pkm ri simpang tiga 1/10/2017
2 henny yulia bpjs Sc pkm ri simpang tiga 1/20/2017
3 Nurdalilah bpjs sc pkm ri simpang tiga 1/26/2017
4 Siti rahmah JKd sc pkm ri simpang tiga 1/13/2017
5 Puspa Dewi JKD sc pkm ri simpang tiga 04/01/17
6 desi rafika JKD sc pkm ri simpang tiga 1/20/2017
7 muriati JKD sc pkm ri simpang tiga 1/27/2017
Total
Pekanbaru,
Data Rujukan Tenayan Raya

1 Fitriana Bpjs sc Pkm Tenayan raya 1/10/2017
2 Yulia Ermita Bpjs Sc Pkm Tenayan raya 1/11/2017
Total
Pekanbaru,
fee
Rp 350,000
Rp 350,000
fee
Rp 200,000
Rp 350,000
Rp 350,000
Rp 100,000
Rp 100,000
Rp 100,000
Rp 1,200,000
fee
Rp 350,000
Rp 350,000
Rp 350,000
Rp 350,000
Rp 100,000
Rp 100,000
Rp 1,600,000
fee
Rp 350,000
Rp 350,000
Rp 350,000
Rp 100,000
Rp 100,000
Rp 100,000
Rp 100,000
Rp 1,450,000
fee
Rp 200,000
Rp 350,000
Rp 550,000
1 Yenni Enzelina Bpjs sc Bd.Dewi Triana 1/30/2017
2 junita lestari Umum Sc Bd.Jernilan 1/19/2017
3 Juli Dewi Astuti Umum Sc Bd.Niyet 1/30/2017
4 marlena Umum Sc bd.oni dilla 1/30/2017
5 Sri Elfiani Umum Sc Bd.Ria Fitriani 1/26/2017
6 Neneng sukaesih Umum Sc bd.yasmita nora 1/29/2017
7 Dwi yuliani bpjs sc bd.yeyen 1/27/2017
8 Zuryawati bpjs sc Bp. Syahira 1/26/2017
9 Esteria Sihombing Umum Sc Klinik marpoyan Medika 1/25/2017
10 Suraidah bpjs Sc Klinik pelita hati 1/28/2017
11 sumiati bpjs sc bd lia 1/25/2017
12 Riri Indrayani Umum Sc bd Yulia 1/4/2017
13 mailiza bpjs Sc Uwamedika 1/29/2017
14 fitrina. Bpjs Sc bd.ernita 2/5/2017
15 nur akma fireya. Bpjs Sc bd.ernita 2/8/2017
16 fitri yeni. Bpjs Sc bd.ernita 2/8/2017
17 nurhasanah. Bpjs Sc bd.widiawati 2/4/2017
18 Masliati. umum sc bd.yetri 2/2/2017
19 wenny angraini. BPJS Sc bd.Yurna Ningih 2/1/2017
20 tioda Br Tumeang. Bpjs Sc klinik pelita hati 2/4/2017
21 Delfi putri yeni Bpjs sc klinik kualu 1/1/2017
22 Nita fransiska Bpjs sc klinik kualu 12/9/2016
23 susilawati Umum sc klinik kualu 12/1/2016
24 Rafika duri Bpjs sc klinik kualu 12/3/2016
desliana amrela bpjs sc Klinik Nadin medika 11/30/2016
fuji ayu lestari bpjs sc Klinik Nadin medika 12/4/2016
riska eka sari bpjs sc Klinik Nadin medika 1/23/2017
38 Dwi yuliani bpjs sc bd.yeyen 1/27/2017
tanggal keluar fee cp. Bidan / klinik Rujukan acc Dibayarkan
2/1/2017 Rp 350,000 085363806176 ada
1/22/2017 Rp 1,000,000 82284713292 ada
2/1/2017 Rp 1,000,000 ada
2/1/2017 Rp 1,000,000 ada
1/28/2017 Rp 1,000,000 081378235716 ada
1/31/2017 Rp 1,000,000 ada
1/29/2017 Rp 350,000 085375248077 ada
1/28/2017 Rp 350,000 081267560910 ada
1/27/2017 Rp 1,000,000 ada
1/30/2017 Rp 350,000 ada
1/27/2017 Rp 350,000 ada
1/6/2017 Rp 1,000,000 ada
1/31/2017 Rp 350,000 ada
2/7/2017 Rp 350,000 ada
2/10/2017 Rp 350,000 ada
2/10/2017 Rp 350,000 ada
2/6/2017 Rp 350,000 ada
2/4/2017 Rp 1,000,000 ada
2/3/2017 Rp 350,000 ada
2/6/2017 Rp 350,000 ada
1/3/2017 Rp 200,000 ada
12/12/2016 Rp 200,000 ada
12/3/2016 Rp 1,000,000 ada
12/5/2016 Rp 200,000 ada
12/4/2016 Rp 200,000 ada
12/6/2016 Rp 200,000 ada
1/25/2017 Rp 350,000 ada
1/29/2017 Rp 350,000 085375248077 ada
.
nama pasien rujukan januari
21/2/2/2017
No Nama Pasien Pembayaran Faskes tanggal masuk tanggal keluar fee rujukan Disetujui
1 Neneng Fitri Widia BPJS Sc bd deswita 12/29/2016 12/31/2016 Rp 200,000 ada acc
2 desliana amrela bpjs sc Klinik Nadin medika 11/30/2016 12/4/2016 Rp 200,000 ada acc
3 fuji ayu lestari bpjs sc Klinik Nadin medika 12/4/2016 12/6/2016 Rp 200,000 ada acc
4 riska eka sari bpjs sc Klinik Nadin medika 1/23/2017 1/25/2017 Rp 350,000 ada acc
5 wenny angraini. BPJS Sc bd.Yurna Ningih 2/1/2017 2/3/2017 Rp 350,000 ada acc
6 Suraidah bpjs Sc Klinik pelita hati 1/28/2017 1/30/2017 Rp 350,000 ada acc
7 junita lestari sc umum Bd.Jernilan 1/19/2017 1/22/2017 Rp 1,000,000 ada acc
8 Juli Dewi Astuti Umum Sc Bd.Niyet 1/30/2017 2/1/2017 Rp 1,000,000 ada acc
9 marlena Umum Sc bd.oni dilla 1/30/2017 2/1/2017 Rp 1,000,000 ada acc
10 Yenni Enzelina Bpjs sc Bd.Dewi Triana 1/30/2017 2/1/2017 Rp 350,000 ada acc
11 Esteria Sihombing Umum Sc Klinik marpoyan Medika 1/25/2017 1/27/2017 Rp 1,000,000 ada acc
12 Neneng sukaesih Umum Sc bd.yasmita nora 1/29/2017 1/31/2017 Rp 1,000,000 ada acc
13 mailiza bpjs Sc Uwamedika 1/29/2017 1/31/2017 Rp 350,000 ada acc
14 Sri Elfiani sc umum Bd.Ria Fitriani 1/26/2017 1/28/2017 Rp 1,000,000 ada acc
15 Zuryawati bpjs sc Bp. Syahira 1/26/2017 1/28/2017 Rp 350,000 ada acc
Rp 8,700,000
Nama pasien rujukan bidan/klinik februari 2017
Tanggal : 22 februari 2017

No Nama Pasien Pembayaran Faskes tanggal masuk tanggal keluar fee Rujukan
1 wartini. Bpjs Sc bd desi sisilawati 2/5/2017 2/7/2017 Rp 350,000 ada
2 nurhasanah. Bpjs Sc bd.widiawati 2/4/2017 2/6/2017 Rp 350,000 ada
3 Irma Suryani Bpjs Sc bd.widiawati 12/19/2016 12/22/2016 Rp 200,000 ada
4 delfi putri yeni Bpjs Sc Klinik Kualu 1/1/2017 1/3/2017 Rp 200,000 ada
5 nita fransiska Bpjs Sc Klinik Kualu 12/9/2016 12/11/2016 Rp 200,000 ada
6 susilawati Umum sc Klinik Kualu 12/1/2016 12/2/2016 Rp 1,000,000 ada
7 rafika duri bpjs Klinik Kualu 12/3/2016 12/5/2016 Rp 200,000 ada
8 fitrina. Bpjs Sc bd.ernita 2/5/2017 2/7/2017 Rp 350,000 ada
9 nur akma fireya. Bpjs Sc bd.ernita 2/8/2017 2/10/2017 Rp 350,000 ada
10 fitri yeni. Bpjs Sc bd.ernita 2/8/2017 2/10/2017 Rp 350,000 ada
11 Riri Indrayani Umum Sc bd Yulia 1/4/2017 1/6/2017 Rp 1,000,000 ada
12 cici wisdalona Bpjs sc bd yulia 12/31/2016 1/2/2017 Rp 200,000 ada
13 tioda Br Tumeang. Bpjs Sc klinik pelita hati 2/4/2017 2/6/2017 Rp 350,000 ada
14 Masliati. umum sc bd.yetri 2/2/2017 2/4/2017 Rp 1,000,000 ada
15 siti wahiroh. Bpjs Sc bp uwa medika 2/12/2017 2/15/2107 Rp 350,000 ada
16 hartati. Bpjs sc klinik raudah 2/12/2017 2/15/2017 Rp 350,000 ada
17 yurlianis. Bpjs Sc bd ledy angraini 2/15/2017 2/17/2017 Rp 350,000 ada
18 riska. Bpjs Sc RB Eka Permata Bunda 2/14/2017 2/16/2017 Rp 350,000 ada
19 eva norma fitri. bpjs sc bd rani 2/12/2017 2/15/2017 Rp 350,000 ada
20 nova yanti. Bpjs Sc klinik fellita 2/9/2017 2/11/2017 Rp 350,000 ada
21 rusmiati. Bpjs Sc bd.rika 2/9/2017 2/11/2017 Rp 350,000 ada
22 nurdahlia. Bpjs Sc saripatul asma 2/6/2017 2/9/2017 Rp 350,000 ada
23 desmawati. Bpjs Sc hj maramis 2/9/2017 2/10/2017 Rp 350,000 ada
24 anggelina Janingsih. umum sc Bd lia 2/9/2017 2/13/2017 Rp 1,000,000 ada
25 sumiati bpjs sc Bd lia 1/25/2017 1/27/2017 Rp 350,000 ada
26 sri wahyuningsih bpjs sc Bd lia 2/17/2017 2/19/2017 Rp 350,000 ada
27 suri handayani. bpjs sc bidan gusrida gasri 2/13/2017 2/15/2017 Rp 350,000 ada
28 rofiah. Bpjs sc bd suminarti 2/13/2017 2/15/2017 Rp 350,000 ada
29 hermawati. Bpjs sc UPTD tambang/bidan rena 2/13/2017 2/15/2017 Rp 350,000 ada
30 sundari. umum sc bd Rahayu 2/16/2017 2/18/2017 Rp 1,000,000 ada
31 desi fitriani. umum sc bd Fina 2/9/2017 11/2/2017 Rp 1,000,000 ada
32 Juli Dewi Astuti Umum Sc Bd.Niyet 1/30/2017 2/1/2017 Rp 1,000,000 ada
33 dedek saprina. Bpjs Sc bd Niyet 2/6/2017 2/8/2017 Rp 350,000 ada
34 jumiati. bpjs sc bd niyet 2/8/2017 2/10/2017 Rp 350,000 ada
35 rafika dewi sari. Bpjs Sc bd yeyen 2/15/2017 2/17/2017 Rp 350,000 ada
36 lia saputri. Bpjs Sc bd deswitA 2/15/2017 2/17/2017 Rp 350,000 ada
37 dewi sumarni umum sc bd fera 2/17/2017 2/19/2017 Rp 1,000,000 ada
38 Anerina umum sc bd.Mardiyah 2/14/2017 2/16/2017 Rp 1,000,000 ada
39 dewi sumarni umum sc bd fera 2/17/2017 2/19/2017 Rp 1,000,000 ada
40 siti nurjannah Bpjs Sc bd ilawati 2/18/2017 2/20/2017 Rp 350,000 ada
41 sri nartika Bpjs Sc bd.prapti 2/18/2017 2/20/2017 Rp 350,000 ada
42 mujiani Bpjs Sc bd prapti 2/19/2017 2/21/2017 Rp 350,000 ada
43 desican Bpjs Sc bd rosita 2/18/2017 2/20/2017 Rp 350,000 ada
44 herlinda bpjs sc bd eci apriyanti 2/18/2017 2/20/2017 Rp 350,000 ada
45 yulia safitri bpjs sc klinik indi meika 2/20/2017 2/22/2017 Rp 350,000 ada
46 windi amanda umum spontan bd mira 2/19/2017 2/21/2017 Rp 200,000 ada
47 dewi fitri umum spontan bd umi kalsum 2/19/2017 2/21/2017 Rp 200,000 ada
48 ermina umum sc klinik pelita hati 15/2/2/2017 2/17/2017 Rp 1,000,000 ada
49 wahyuni. Bpjs Sc bd nia 2/14/2017 2/16/2017 Rp 350,000 ada
50 reza indriani. Bpjs Sc bd winarni 2/22/2017 2/24/2017 Rp 350,000 ada
51 suwelmi. Bpjs Sc bd winarni 1/4/2017 1/6/2017 Rp 200,000 ada
52 silvia yeni. umum sc bd yusmiati 2/20/2017 2/22/2017 Rp 1,000,000 ada
53 adica altrini. Bpjs Sc bd onni dilla 2/22/2017 2/24/2017 Rp 350,000 ada
54 neni afrida. umum sc bd ade irma suryani 2/21/2017 2/23/2017 Rp 1,000,000 ada
55 santi tovia. umum sc bd ade martelana 2/20/2017 2/22/2017 Rp 1,000,000 ada
56 erni. umum sc bd yulia 2/22/2017 2/24/2017 Rp 1,000,000 ada
57 ernita gultom. umum sc bd.T.Tampubolon 2/21/2017 2/23/2017 Rp 1,000,000 ada
58 murni darlena. umum sc bd yetri 2/21/2017 2/23/2017 Rp 1,000,000 ada
59 desi afri susanti. Bpjs Sc RB Eka Permata Bunda 2/21/2017 2/23/2017 Rp 350,000 ada
60 yeni hartati. umum sc bd.erni dawani 1/2/2/2017 2/3/2017 Rp 1,000,000 ada
61 asmalina. Bpjs Sc bd meli andria 2/9/2017 2/11/2017 Rp 350,000 ada
62 devi cristina. Bpjs Sc bd deswitA 2/22/2017 2/24/2017 Rp 350,000 ada
63 dewi saputri. bpjs sc klinik indi medika 2/23/2017 2/25/2017 Rp 350,000 ada
64 nelfia. jkd Sc bd marlina wati 2/24/2017 2/26/2017 Rp 100,000 ada
65 nilara enjelina. Bpjs Sc bd Yurna Ningih 2/18/2017 2/20/2017 Rp 350,000 ada
66 nancy agustin. bpjs sc bd deliana 2/17/2017 2/19/2017 Rp 350,000 ada
Rp 33,350,000
Disetujui
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc
acc

Fix Rujukan

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Fix Rujukan

Diunggah oleh

Hak Cipta:

Format Tersedia

Data Rujukan FKTP Klinik Dilla Data R

No Nama Pasien Tanggal Masuk Pembayaran Fee No

Data Rujukan FKTP Klinik UWA Medika No

Data Rujukan FKTP PKM Tenayan Raya Da

No Nama Pasien Tanggal Masuk Pembayaran Fee No

Data Rujukan FKTP PKM RI Sidomulyo No

Data Rujukan FKTP PKM RI Sidomulyo

No Nama Pasien Tanggal Masuk Pembayaran Fee

Nama Pasien Tanggal Masuk Pembayaran Fee

Data Rujukan FKTP PKM Karya Wanita

Nama Pasien Tanggal Masuk Pembayaran Fee

Data Rujukan FKTP Klinik Annisa II

Nama Pasien Tanggal Masuk Pembayaran Fee

Data Rujukan FKTP Klinik Doktor Bastian

Nama Pasien Tanggal Masuk Pembayaran Fee

No Nama Pasien Tanggal Masuk Pembayaran Fee

Resi Wahyunita, Amd

tidak ada fee

59 lorenta BPJS klinik bastian

transfer dengan pak jamil

Rujukan ada acc

rujukan ada 1/31/2017

ada rujukan 1/30/2017

2/14/2017 Rujukan ada acc

082381758134 ada acc

ada acc 18/2/2017

Data Rujukan PKM Karya Wanita

Data Rujukan PKM RI Sidomulyo

No Nama Pasien Pembayaran Faskes tanggal masuk

Data Rujukan PKM RI Simpang Tiga

No Nama Pasien Pembayaran Faskes tanggal masuk

Data Rujukan Tenayan Raya

Tanggal : 22 februari 2017

Anda mungkin juga menyukai