id Waktu Nama Pasien Tindakan No.

Reg NRM Harga Tindakan Jumlah

Total Cara Bayar No.
164 '03/01/2016 NURUL AMINAH ASKEP (Asuhan Keperawatan) 2006889 85882
25000 1 25000 UMUM 1.
165 '03/01/2016 NURUL AMINAH Pasang infus dewasa (transfusi darah)
2006889 85882 14900 1 14900 UMUM 2.
166 '03/01/2016 NURUL AMINAH OBS Rutin/Hari 2006889 85882 25000 1
25000 UMUM 3.
167 '04/01/2016 NURUL AMINAH Injeksi IV/Hari 2006889 85882 5100 1
5100 UMUM 4.
168 '04/01/2016 NURUL AMINAH Pasang Catheter 2006889 85882 14900 1
14900 UMUM 5.
169 '04/01/2016 NURUL AMINAH Skiren 2006889 85882 5100 1 5100
UMUM 6.
170 '04/01/2016 NURUL AMINAH TIndakan Post Operatif (Appendik, SC, Struma,
Laparotomi) 2006889 85882 20000 1 20000 UMUM 7.
171 '04/01/2016 NURUL AMINAH EKG 2006889 85882 13300 1 13300 UMUM
8.
172 '05/01/2016 NURUL AMINAH OBS Rutin/Hari 2006889 85882 25000 1
25000 UMUM 9.
173 '05/01/2016 NURUL AMINAH Injeksi IV/Hari 2006889 85882 5100 1
5100 UMUM 10.
174 '06/01/2016 NURUL AMINAH OBS Rutin/Hari 2006889 85882 25000 1
25000 UMUM 11.
175 '07/01/2016 NURUL AMINAH OBS Rutin/Hari 2006889 85882 25000 1
25000 UMUM 12.
176 '08/01/2016 EMA RIYANTI Pasang infus dewasa (transfusi darah) 2007294
903970 14900 1 14900 IKS 13.
177 '08/01/2016 EMA RIYANTI Injeksi IV/Hari 2007294 903970 5100 1
5100 IKS 14.
178 '08/01/2016 EMA RIYANTI ASKEP (Asuhan Keperawatan) 2007294 903970
25000 1 25000 IKS 15.
179 '08/01/2016 EMA RIYANTI OBS Rutin/Hari 2007294 903970 25000 1
25000 IKS 16.
180 '08/01/2016 EMA RIYANTI TIndakan Post Operatif (Appendik, SC, Struma,
Laparotomi) 2007294 903970 20000 1 20000 IKS 17.
181 '08/01/2016 EMA RIYANTI EKG 2007294 903970 13300 1 13300 IKS
18.
182 '08/01/2016 EMA RIYANTI Skiren 2007294 903970 5100 1 5100
IKS 19.
183 '08/01/2016 EMA RIYANTI Pasang Catheter 2007294 903970 14900 1
14900 IKS 20.
184 '08/01/2016 UMIRIS LAILATIN ASKEP (Asuhan Keperawatan) 2007303 903873
25000 1 25000 BPJS 21.
185 '08/01/2016 UMIRIS LAILATIN TINDAKAN BPJS KELAS I 2007303 903873
100000 1 100000 BPJS 22.
186 '09/01/2016 EMA RIYANTI Injeksi IV/Hari 2007294 903970 5100 1
5100 IKS 23.
187 '09/01/2016 EMA RIYANTI OBS Rutin/Hari 2007294 903970 25000 1
25000 IKS 24.
188 '09/01/2016 EMA RIYANTI Spooling Cateter 2007294 903970 20700 1
20700 IKS 25.
189 10/01/2016 EMA RIYANTI OBS Rutin/Hari 2007294 903970 25000 1
25000 IKS 26.
190 10/01/2016 EMA RIYANTI Injeksi IV/Hari 2007294 903970 5100 1
5100 IKS 27.
191 12/01/2016 ROHMATUN ALIMAH OBS Rutin/Hari 2007527 903872 25000
1 25000 UMUM 28.
192 12/01/2016 ROHMATUN ALIMAH Injeksi IV/Hari 2007527 903872 5100
1 5100 UMUM 29.
193 13/01/2016 ROHMATUN ALIMAH OBS Rutin/Hari 2007527 903872 25000
1 25000 UMUM 30.
194 13/01/2016 ROHMATUN ALIMAH Injeksi IV/Hari 2007527 903872 5100
1 5100 UMUM 31.
195 19/01/2016 RANI AYU PRATITANINGRUM ASKEP (Asuhan Keperawatan)
2008143 904353 25000 1 25000 UMUM 32.
196 19/01/2016 RANI AYU PRATITANINGRUM Pasang infus dewasa (transfusi
darah) 2008143 904353 14900 1 14900 UMUM 33.
197 19/01/2016 RANI AYU PRATITANINGRUM OBS Rutin/Hari 2008143 904353
25000 1 25000 UMUM 34.
198 19/01/2016 RANI AYU PRATITANINGRUM Injeksi IV/Hari 2008143 904353
5100 1 5100 UMUM 35.
201 19/01/2016 ZURAIDA ERFIANA TINDAKAN BPJS KELAS I 2008175 903509
100000 1 100000 BPJS 36.
199 20/01/2016 RANI AYU PRATITANINGRUM OBS Rutin/Hari 2008143 904353
25000 1 25000 UMUM 37.
200 20/01/2016 RANI AYU PRATITANINGRUM Injeksi IV/Hari 2008143 904353
5100 1 5100 UMUM 38.
203 21/01/2016 NURIYA AYATIN OBS Rutin/Hari 2008188 904370 25000
1 25000 UMUM 39.
205 22/01/2016 ZURAIDA ERFIANA ASKEP (Asuhan Keperawatan) 2008175 903509
25000 1 25000 BPJS 40.
Total 842900