Umur POLI
Jenis Tgl
No Nama Register (Tahun Diagnosa
Kel Kunjungan Umum Gigi Anak KIA/KB UGD
)
1 2 3 4 5 6 7 8 9 10 11 12
100 putri ayu syaatin nadiy 0002108-2202.2017 6.3 P 3/5/2017 J02 Rp 5,000
277 Ridluan Bin Kamsir 0002145-2201.2017 57.9 L 5/5/2017 E11; E78 Rp 5,000
279 Saiful Bin Mat Tadhi 0005878-2203.2015 54.2 L 5/5/2017 H61.2 Rp 5,000
295 Khoirun Nasih Bin Mutro 0002167-2201.2017 31.8 L 5/5/2017 Z02.7 Rp 5,000
338 Amanda Chuby Hati Nur 0005866-2230.2016 0.8 P 6/5/2017 J02 Rp 5,000
403 Andini Aura Hadi putri 0004194-2201.2016 7.5 P 8/5/2017 J02 Rp 5,000
489 kenzie abyan putra kana 0005212-2230.2016 1.3 L 9/5/2017 Z00 Rp 5,000
500 Amanda Chuby Hati Nur 0005866-2230.2016 0.8 P 9/5/2017 Z00 Rp 5,000
588 TASEMAN bin kasmari 0002416-2201.2012 59.3 L 10/5/2017 M06; K29 Rp 5,000
617 NINDY FERA AZAROH 0002640-2201.2012 11.1 P 12/5/2017 J02; L60 Rp 5,000
684 aisah sakira gilfah 0008283-2228.2015 1.5 P 12/5/2017 Z71; Z27 Rp 5,000
L27;
685 DENDIS PRATAMA 0002018-2201.2011 23.3 L 12/5/2017 M79.1 Rp 5,000
851 aditya naufal arif abiy 0002450-2206.2016 1.1 L 13/05/17 Z71 Rp 5,000
861 ahmad ridho hadi kusuma 0002501-2216.2017 5.8 L 13/05/17 R50.1 Rp 5,000
952 mareta widya eka fatma 0005874-2230.2016 3.2 P 15/05/17 Z00 Rp 5,000
1043 RAFI ROSIDUL ARSAT 0000325-2201.2011 12.7 L 16/05/17 R50.1; J02 Rp 5,000
1117 moh. abit aqilah pranaj 0003674-2202.2016 3.9 L 17/05/17 K02 Rp 5,000
1297 Siti Zumaroh Binti Suro 0002419-2201.2017 47.3 P 20/05/17 R51 Rp 5,000
Umur POLI
Jenis Tgl
No Nama Register (Tahun Diagnosa
Kel Kunjungan Umum Gigi Anak KIA/KB UGD
)
1298 munijah 0002978-2202.2014 63.3 P 20/05/17 Z23.2;
M79.1 Rp 5,000
Z23.2;
1299 Hamba al nur 0001837-2234.2017 0.2 L 20/05/17 Z24.0 Rp 5,000
1321 Zumaroh Binti Ruskan 0002439-2201.2017 52.1 P 22/05/17 I10; J02 Rp 5,000
1385 seliya anindi ridho sep 0008288-2202.2015 1.7 P 23/05/17 R50.1 Rp 5,000
1490 Zainul Arifin Bin Imron 0003802-2205.2015 42.3 L 26/05/17 E78 Rp 5,000
1516 Nur Azizah Binti Madeli 0002512-2201.2017 44.9 P 27/05/17 N91 Rp 5,000
1520 Desi Novita Mayang sari 0002516-2201.2017 21.4 P 27/05/17 Z71 Rp 5,000
1531 Desi Novita Mayang sari 0002516-2201.2017 21.4 P 29/05/17 Z32.1 Rp 5,000
1605 Munziyah Binti Kemisan 0001559-2201.2013 54.4 P 31/05/17 I10; E78 Rp 5,000
1635 Sri Antun Binti Sarkadi 0004004-2230.2015 51.3 P 31/05/17 E11; J02 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 20,000 Rp 15,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 19,000 Rp 14,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 20,000 Rp 15,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 20,000 Rp 15,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 20,000 Rp 15,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 20,000 Rp 15,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 25,000 Rp 20,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 25,000 Rp 20,000
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 25,000 Rp 20,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 19,000 Rp 14,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 12,500 Rp 7,500
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 25,000 Rp 20,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 20,000 Rp 15,000
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 20,000 Rp 15,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,500 Rp 7,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 20,000 Rp 15,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 12,000 Rp 7,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 5,000 Rp -
Rp - Rp 15,000 Rp 10,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 10,000 Rp 5,000
Rp - Rp 10,000 Rp 5,000
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Pemriksaa Keterangan
Total
n Lab Lab/Tindakan
Rp - Rp 7,500 Rp 2,500
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - Rp 5,000 Rp -
Rp - ### Rp 607,000