INSTALASI FARMASI RSU BUNDA (KASIR)

RS.BUNDA SURABAYA
Tanggal : 03.02.2016 S/d 03.02.2016
UserID : 113 Jenis Pembayaran : TUNAI

NO NO.KWITANSI TANGGAL NAMA Px KATEGORI Px DOKTER TOTAL CID

1 U0217100165 03.02.2017 SUPARNI, NY. UMUM ARIYA TEJA S. d 321,900 121
2 U0217100166 03.02.2017 RINI, NY. UMUM ARIYA TEJA S. d 104,894 121
3 U0217100167 03.02.2017 H. NASIR, TN. UMUM HENDRATA,dr SpP 67,135 121
4 U0217100168 03.02.2017 WIMA SATRIO K, AN. UMUM ARIYA TEJA S. d 58,466 121
5 U0217100169 03.02.2017 SOERATI, NY. UMUM EMIL DR SPPD 135,773 121
6 U0217100170 03.02.2017 SITI MUTMAINAH L, NY UMUM ARIYA TEJA S. d 288,043 121
7 U0217100171 03.02.2017 RB BUNDA UMUM APS 89,640 121
8 U0217100172 03.02.2017 BAGUS CAHAYA SAPUTRA BPJS KESEHATAN WIDIASTI, DR 61,922 116
9 U0217100173 03.02.2017 SUMARNI, NY. UMUM ARIYA TEJA S. d 28,653 116
10 U0217100174 03.02.2017 H. NASIR, TN. UMUM HENDRATA,dr SpP 24,850 116
11 U0217100175 03.02.2017 SITI MUTMAINAH L, NY UMUM WIDIASTI, DR 72,044 116
12 U0217100176 03.02.2017 ENIK ERNAWATI, NY. UMUM WIDIASTI, DR 357,901 116
13 J0217100177 03.02.2017 ELI DWI AMALIYAH, NN BPJS KESEHATAN APS 16,165 116
14 U0217100178 03.02.2017 SITI MUTMAINAH L, NY UMUM WIDIASTI, DR 14,972 116
15 U0217100179 03.02.2017 KIKI FARIANI, NY. UMUM EMIL DR SPPD 197,940 116
16 U0217100180 03.02.2017 SITI MUTMAINAH L, NY UMUM WIDIASTI, DR 62,536 116
17 U0217100181 03.02.2017 MUJIONO, TN. UMUM WIDIASTI, DR 125,074 116
18 U0217100182 03.02.2017 MOCH RAFFA AZKA PUTR UMUM HARIYZON, DR Sp 16,907 116
19 U0217100183 03.02.2017 MASHMUQID MAULANA HA UMUM HARIYZON, DR Sp 102,425 116
20 U0217100184 03.02.2017 YOLANDA NATHANIA S, UMUM HARIYZON, DR Sp 94,758 116
21 U0217100185 03.02.2017 YOLANDA NATHANIA S, UMUM HARIYZON, DR Sp 10,585 116
22 U0217100186 03.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 125,898 116
23 U0217100187 03.02.2017 AYRIN RISKA A, AN. UMUM HARIYZON, DR Sp 92,094 116
24 U0217100188 03.02.2017 HABIB ABDUL FATTAH, UMUM HARIYZON, DR Sp 112,447 116
25 U0217100189 03.02.2017 ALBERN DZAKWAN A, AN UMUM WIDIASTI, DR 77,515 116
26 U0217100190 03.02.2017 FADGHAM NABIHAN G, A UMUM HARIYZON, DR Sp 77,920 116
27 U0217100191 03.02.2017 ENNY KUSUMAWATI, NY. UMUM WIDIASTI, DR 115,058 116
28 U0217100192 03.02.2017 PRINCESS ANASTASIA E UMUM HARIYZON, DR Sp 107,083 116
29 U0217100193 03.02.2017 MOCH RAFFA AZKA PUTR UMUM HARIYZON, DR Sp 149,400 116
30 U0217100194 03.02.2017 JUVANITA ENGRASIA PU UMUM HARIYZON, DR Sp 105,213 116
31 U0217100195 03.02.2017 MUHAMMAD DAFFA PUTRA UMUM WIDIASTI, DR 142,000 116
32 U0217100196 03.02.2017 SHERINE QUEENSAFA PU UMUM HARIYZON, DR Sp 20,953 116
33 U0217100197 03.02.2017 ASKIYA KIRANA ALEXAN UMUM HARIYZON, DR Sp 63,681 116
34 U0217100198 03.02.2017 JUVANITA ENGRASIA PU UMUM HARIYZON, DR Sp 204,618 116
35 J0217100199 03.02.2017 WAHYU MEGA DWI S, NN UMUM APS 6,882 106
36 U0217100200 03.02.2017 SOERATI, NY. UMUM EMIL DR SPPD 39,350 106
37 U0217100201 03.02.2017 UBAID YUDHA P, AN. UMUM HARIYZON, DR Sp 54,706 106
38 U0217100202 03.02.2017 KIKI FARIANI, NY. UMUM EMIL DR SPPD 28,275 106
39 U0217100203 03.02.2017 H. YUSNANI ANDUNG, T UMUM AFIF, DR SPB 8,120 106
40 U0217100204 03.02.2017 MUHAMMAD BARRU ALAM, UMUM ADENDRA S. dr. 26,897 106
41 U0217100205 03.02.2017 KUSTOYO, TN. BPJS KESEHATAN APS 10,810 106
42 U0217100206 03.02.2017 SUCI ANGGRAENI, NY. UMUM ADENDRA S. dr. 24,016 106
43 U0217100207 03.02.2017 ADITYA RIZKY WILDAN UMUM ADENDRA S. dr. 80,048 106
44 U0217100208 03.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 3,335 106
45 U0217100209 03.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 20,300 106
46 U0217100210 03.02.2017 IQBAL HIRZI ROMADHON UMUM ADENDRA S. dr. 80,243 106
 47 U0217100211 03.02.2017 ADI RUSWANDI, SDR. UMUM PAUL S,DR SpOT 32,412 106
48 U0217100212 03.02.2017 SITI MUTMAINAH L, NY UMUM DWI SETYAWAN, D 46,408 106
49 U0217100213 03.02.2017 WULANSARI, NY. UMUM HERU SUTJAHJO A 139,267 106
50 U0217100214 03.02.2017 WULANSARI, NY. UMUM HERU SUTJAHJO A 115,633 106
51 U0217100215 03.02.2017 ALMIRA MASYA ANINDYA UMUM ADENDRA S. dr. 83,374 106
52 U0217100216 03.02.2017 AHMAD BAGUS MUSHLIHI UMUM ADENDRA S. dr. 37,773 106
53 U0217100217 03.02.2017 AHMAD BAGUS MUSHLIHI UMUM ADENDRA S. dr. 11,797 106
54 U0217100218 03.02.2017 ALMIRA MASYA ANINDYA UMUM ADENDRA S. dr. 1,218 106
55 U0217100219 03.02.2017 BAGAS FADHIL DHIAURA UMUM ADENDRA S. dr. 11,797 106
56 J0217100220 03.02.2017 ANA DWI LESTARI, NY. BPJS KESEHATAN APS 94,347 106
57 U0217100221 03.02.2017 DANIAL FARHAN IRHAB, UMUM ADENDRA S. dr. 44,051 104
58 U0217100222 03.02.2017 H. NASIR, TN. UMUM HENDRATA,dr SpP 19,774 104
59 U0217100223 03.02.2017 BAYI NY LOLA AMELIA UMUM ADITYA KUSUMA R 112,775 104
60 U0217100224 03.02.2017 SAFIRA AVILIANI R, N UMUM JIMMI SPOG, DR 50,054 104
61 U0217100225 03.02.2017 INTANIA PUTRI RIANTI UMUM RISKI, DR SPA 9,794 104
62 U0217100226 03.02.2017 TRINI, NY. UMUM JIMMI SPOG, DR 107,771 104
63 U0217100227 03.02.2017 NITA NUR FAIDAH, NY. UMUM JIMMI SPOG, DR 70,989 104
64 U0217100228 03.02.2017 LINA WANTIKA, NY, UMUM JIMMI SPOG, DR 140,070 104
65 U0217100229 03.02.2017 RS BUNDA WADUNGASRI UMUM APS 627,000 104
66 U0217100230 03.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN APS 115,833 104
67 U0217100231 03.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN APS 34,824 104
68 U0217100232 03.02.2017 H. NASIR, TN. UMUM HENDRATA,dr SpP 36,418 104
69 U0217100233 03.02.2017 WULANSARI, NY. UMUM APS 26,705 104
70 U0217700126 03.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN APS 44,083 121
71 U0217700133 03.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN APS 71,550 116
72 U0217700151 03.02.2017 SUSI KRISTANTI, NY. BPJS KESEHATAN APS 153,455 106

Total Seluruh Halaman 6,268,617

Total Penjualan Tunai [LN] : 4,135,282

Total Penjualan Tunai [BB] : 1,416,695
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 716,640
Page : 1

JENIS LAYANAN |
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] LN
UMM008 [IGD] LN
URB000 [RB BUNDA] BB
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] BB
UMM008 [IGD] BB
UMM008 [IGD] BB
JMS001 [RAWAT JALAN] BB
UMM008 [IGD] LN
UMM002 [RANAP 1] LN
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
JMS001 [RAWAT JALAN] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] LN
UMM001 [RAWAT JALAN] BB
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] BB
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM002 [RANAP 1] LN
UMM003 [RANAP 2] BB
UMM003 [RANAP 2] LN
UMM008 [IGD] BB
UMM008 [IGD] BB
UMM008 [IGD] BB
UMM008 [IGD] LN
UMM008 [IGD] LN
JMS001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM002 [RANAP 1] LN
UMM008 [IGD] BB
UMM001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
URB000 [RB BUNDA] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM002 [RANAP 1] LN
UMM001 [RAWAT JALAN] BB
UMM003 [RANAP 2] LN
UMM003 [RANAP 2] LN
UMM003 [RANAP 2] BB
 INSTALASI FARMASI RSU BUNDA (KASIR)
RS.BUNDA SURABAYA
Tanggal : 03.02.2016 S/d 03.02.2016
UserID : 113 Jenis Pembayaran : NON TUNAI

NO NO.KWITANSI TANGGAL NAMA Px KATEGORI Px DOKTER TOTAL CID

1 P0217100024 03.02.2017 FAUZAN DWI ANGGARA, BPJS KESEHATAN RISKI, DR SPA 66,587 121
2 P0217100025 03.02.2017 PURYANI, NY. BPJS KESEHATAN AFIF, DR SPB 8,580 121
3 P0217100026 03.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN HERU SUTJAHJO A 111,487 121
4 P0217100027 03.02.2017 ARIS PRATAMA, SDR. BPJS KESEHATAN HENDRATA,dr SpP 40,603 116
5 P0217100028 03.02.2017 PURYANI, NY. BPJS KESEHATAN AFIF, DR SPB 15,893 116
6 P0217100029 03.02.2017 RUSPANDI, TN BPJS KESEHATAN EMIL DR SPPD 104,400 116
7 P0217100030 03.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN HERU SUTJAHJO A 157,410 116
8 P0217100031 03.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN MORISKA, dr SpA 42,231 116
9 P0217100032 03.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN HERU SUTJAHJO A 882,304 116
10 P0217100033 03.02.2017 PURYANI, NY. BPJS KESEHATAN AFIF, DR SPB 409,925 116
11 P0217100034 03.02.2017 PURYANI, NY. BPJS KESEHATAN MORISKA, dr SpA 42,231 116
12 P0217100035 03.02.2017 SILFIA MARIANA, NY. BPJS KESEHATAN HENDRATA,dr SpP 24,790 116
13 P0217100036 03.02.2017 KARTIAH, NY. BPJS KESEHATAN HENDRATA,dr SpP 43,507 116
14 P0217100037 03.02.2017 SUSI KRISTANTI, NY. BPJS KESEHATAN RENI SPOG, DR 45,351 116
15 P0217100038 03.02.2017 KRISTINA YENI N, NY. BPJS KESEHATAN EMIL DR SPPD 4,800 106
16 P0217100039 03.02.2017 AYU PRIATINI, NY. BPJS KESEHATAN DWI SETYAWAN, D 8,950 106
17 P0217100040 03.02.2017 SUSI KRISTANTI, NY. BPJS KESEHATAN RENI SPOG, DR 144,619 106
18 P0217100041 03.02.2017 PURYANI, NY. BPJS KESEHATAN AFIF, DR SPB 14,065 106
19 P0217100042 03.02.2017 SUSI KRISTANTI, NY. BPJS KESEHATAN RENI SPOG, DR 13,200 106
20 P0217100043 03.02.2017 ARIS PRATAMA, SDR. BPJS KESEHATAN HENDRATA,dr SpP 3,817 104
21 J0217700125 03.02.2017 PURYANI, NY. BPJS KESEHATAN CHRISTIAN ADI N 25,073 121
22 J0217700127 03.02.2017 MOCH.ANDRE FIRMANSYA BPJS KESEHATAN ARIYA TEJA S. d 32,932 121
23 J0217700128 03.02.2017 ANTONIUS HALEH, TN. BPJS KESEHATAN ARIYA TEJA S. d 14,045 121
24 J0217700129 03.02.2017 NI LUH SUNTIAS, NY. BPJS KESEHATAN WIDIASTI, DR 35,436 116
25 C0217700130 03.02.2017 HARTONO, TN. MEDICARE WIDIASTI, DR 167,960 116
26 C0217700131 03.02.2017 KURNIAWAN AGUS S, SD PT. SURINDO TEGU WIDIASTI, DR 8,386 116
27 J0217700132 03.02.2017 RIKA SETYANINGSIH, N BPJS KESEHATAN DIDI D. SP.OG,D 15,206 116
28 C0217700134 03.02.2017 MOHAMMAD ATTHAR ZABR PT. ASTRA AVIVA LIFHARIYZON, DR Sp 343,741 116
29 J0217700135 03.02.2017 LISWATI, NY. BPJS KESEHATAN WIDIASTI, DR 12,985 116
30 J0217700136 03.02.2017 LISWATI, NY. BPJS KESEHATAN WIDIASTI, DR 7,255 116
31 J0217700137 03.02.2017 DAVA PRATAMA P, AN. BPJS KESEHATAN WIDIASTI, DR 23,528 116
32 J0217700138 03.02.2017 MUNTHOLIB, TN. BPJS KESEHATAN WIDIASTI, DR 129,348 116
33 J0217700139 03.02.2017 AYU PRIATINI, NY. BPJS KESEHATAN WIDIASTI, DR 318,623 116
34 J0217700140 03.02.2017 MUNTHOLIB, TN. BPJS KESEHATAN WIDIASTI, DR 66,000 106
35 C0217700141 03.02.2017 LEONORA MARTHA TAHAP MEDICARE ROXANTIN, DR Sp 179,112 106
36 J0217700142 03.02.2017 NURUL CHOTIMAH, NY. BPJS KESEHATAN ROXANTIN, DR Sp 49,276 106
37 J0217700143 03.02.2017 MUJIATI, NY. BPJS KESEHATAN ROXANTIN, DR Sp 15,455 106
38 J0217700144 03.02.2017 MUJIATI, NY. BPJS KESEHATAN ROXANTIN, DR Sp 9,108 106
39 J0217700145 03.02.2017 MUSDRIK BSC, TN. BPJS KESEHATAN DWI SETYAWAN, D 3,643 106
40 J0217700146 03.02.2017 MUKLISHON, TN. BPJS KESEHATAN DWI SETYAWAN, D 3,105 106
41 J0217700147 03.02.2017 MUKLISHON, TN. BPJS KESEHATAN DWI SETYAWAN, D 10,201 106
42 J0217700148 03.02.2017 PUJI KUSUMANING S, N BPJS KESEHATAN ROXANTIN, DR Sp 40,605 106
43 J0217700149 03.02.2017 M. MUJIBUR ROHMAN, T BPJS KESEHATAN PAUL S,DR SpOT 4,213 106
44 C0217700150 03.02.2017 SAYUTI, NY. PT. FELTICO PAUL S,DR SpOT 161,521 106
45 C0217700152 03.02.2017 WAHYU AFANDI, SDR. ASURANSI TELKOMEPAUL S,DR SpOT 234,980 106
46 U0217700153 03.02.2017 ASNAN HAMIM, TN. BPJS KETENAGAKER PAUL S,DR SpOT 191,400 106
 47 J0217700154 03.02.2017 BINTJANG ILYAS, TN. BPJS KESEHATAN DWI SETYAWAN, D 50,989 106
48 J0217700155 03.02.2017 KAMINEM, NY. BPJS KESEHATAN PAUL S,DR SpOT 4,213 106
49 J0217700156 03.02.2017 ASTUTIK, NY. BPJS KESEHATAN DWI SETYAWAN, D 7,762 106
50 J0217700157 03.02.2017 RUDIA SUNDAYANA, TN. BPJS KESEHATAN ADENDRA S. dr. 11,245 106
51 J0217700158 03.02.2017 RATNA SUPARTINIK, NY BPJS KESEHATAN DWI SETYAWAN, D 46,431 106
52 J0217700159 03.02.2017 SITI SUNDARI, NY. BPJS KESEHATAN PAUL S,DR SpOT 52,847 106
53 J0217700160 03.02.2017 SRI SUTARMI, NY. BPJS KESEHATAN PAUL S,DR SpOT 78,414 106
54 J0217700161 03.02.2017 WIGNYO BASUKI, TN. BPJS KESEHATAN AFIF, DR SPB 2,218 106
55 J0217700162 03.02.2017 YATINI, NY. BPJS KESEHATAN DWI SETYAWAN, D 15,108 106
56 J0217700163 03.02.2017 MAMIEK MARIJANI, NY. BPJS KESEHATAN DWI SETYAWAN, D 18,600 106
57 J0217700164 03.02.2017 MAMIEK MARIJANI, NY. BPJS KESEHATAN DWI SETYAWAN, D 10,346 106
58 J0217700165 03.02.2017 KUSTOYO, TN. BPJS KESEHATAN DWI SETYAWAN, D 132,335 106
59 J0217700166 03.02.2017 KUSTOYO, TN. BPJS KESEHATAN DWI SETYAWAN, D 11,323 106
60 J0217700167 03.02.2017 HERY KOESHERNANTO, T BPJS KESEHATAN DWI SETYAWAN, D 54,957 106
61 J0217700168 03.02.2017 HERY KOESHERNANTO, T BPJS KESEHATAN DWI SETYAWAN, D 12,104 106
62 J0217700169 03.02.2017 RAMELAN, TN. BPJS KESEHATAN DWI SETYAWAN, D 23,049 106
63 J0217700170 03.02.2017 RAMELAN, TN. BPJS KESEHATAN DWI SETYAWAN, D 14,876 106
64 U0217700171 03.02.2017 MUHAMMAD NURDIN, TN. BPJS KETENAGAKER PAUL S,DR SpOT 40,238 106
65 J0217700172 03.02.2017 SUYATI, NY. BPJS KESEHATAN DWI SETYAWAN, D 124,037 106
66 J0217700173 03.02.2017 SUYATI, NY. BPJS KESEHATAN DWI SETYAWAN, D 16,709 106
67 J0217700174 03.02.2017 SRI SUTARMI, NY. BPJS KESEHATAN PAUL S,DR SpOT 10,875 106
68 J0217700175 03.02.2017 PUTRI RAHMA, AN. BPJS KESEHATAN ADENDRA S. dr. 26,474 106
69 U0217700176 03.02.2017 KUSTOYO, TN. BPJS KESEHATAN DWI SETYAWAN, D 2,669 106
70 J0217700177 03.02.2017 PARNO, TN. BPJS KESEHATAN ADENDRA S. dr. 17,729 106
71 J0217700178 03.02.2017 ANDINY FARISKHA, NN. BPJS KESEHATAN PAUL S,DR SpOT 32,742 106
72 J0217700179 03.02.2017 UMIJAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 113,112 106
73 J0217700180 03.02.2017 UMIJAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 6,475 106
74 C0217700181 03.02.2017 FARHAN YOGA PRAWIRA, PT. CAR ADITYA KUSUMA R 52,948 104
75 J0217700182 03.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN HERU SUTJAHJO A 119,521 104
76 J0217700183 03.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN DICKY, DR SpAn 898 104
77 J0217700184 03.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN HERU SUTJAHJO A 115,079 104
78 J0217700185 03.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN HERU SUTJAHJO A 6,600 104

Total Seluruh Halaman 5,520,810

Total Penjualan Tunai [LN] : 0

Total Penjualan Tunai [BB] : 5,520,810
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 0
Page : 1

JENIS LAYANAN |
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS003 [RANAP 2] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS008 [OK] BB
JMS008 [OK] BB
JMS008 [OK] BB
JMS008 [OK] BB
JMS008 [OK] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS003 [RANAP 2] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS003 [RANAP 2] BB
JMS002 [RANAP 1] BB
JMS003 [RANAP 2] BB
JMS002 [RANAP 1] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
COR108 [IGD] BB
COR108 [IGD] BB
JMS001 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
COR100 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS007 [IGD] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS007 [IGD] BB
UMM001 [RAWAT JALAN] BB
JMS007 [IGD] BB
JMS001 [RAWAT JALAN] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
COR108 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
 LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 03.02.2016 S/d 03.02.2016
UserID : 113 Jenis Pembayaran : TUNAI

NO NO.KWITANSI TANGGAL Nama Px KATEGORI Px DOKTER TOTAL CID

1 R0217100025 03.02.2017 BAGUS CAHAYA SAPUTRA UMUM WIDIASTI, DR 5,350 116
2 R0217100026 03.02.2017 SITI MUTMAINAH L, NY UMUM ARIYA TEJA S. d 274,195 116
3 R0217100027 03.02.2017 SUKIRMAN, TN. UMUM ROXANTIN, DR Sp 33,495 116
4 R0217100028 03.02.2017 SUKIRMAN, TN. UMUM ADITYA KUSUMA R 17,074 116
5 R0217100029 03.02.2017 SUKIRMAN, TN. UMUM AFIF, DR SPB 4,350 116
6 R0217100041 03.02.2017 MASHMUQID MAULANA HA UMUM HARIYZON, DR Sp 5,220 116
7 R0217100042 03.02.2017 MASHMUQID MAULANA HA UMUM HARIYZON, DR Sp 10,150 116
8 R0217100043 03.02.2017 MASHMUQID MAULANA HA UMUM HARIYZON, DR Sp 24,090 116
9 R0217100044 03.02.2017 MASHMUQID MAULANA HA UMUM HARIYZON, DR Sp 13,775 116
10 R0217100045 03.02.2017 YOLANDA NATHANIA S, UMUM HARIYZON, DR Sp 20,465 116
11 R0217100046 03.02.2017 YOLANDA NATHANIA S, UMUM HARIYZON, DR Sp 52,345 116
12 R0217100051 03.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 3,335 106
13 R0217100055 03.02.2017 AHMAD BAGUS MUSHLIHI UMUM ADENDRA S. dr. 11,799 106

Total Seluruh Halaman 475,643

Page

U0217100172/RJ
U0217100170/RJ
U0117101772/RI
U0117101770/RJ
U0117101962/RI
U0217100011/RI
U0117101929/RI
U0217100085/RI
U0117101935/RI
U0117101871/RJ
U0117101926/RI
U0217100208/RI
U0217100217/RJ
 LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 03.02.2016 S/d 03.02.2016
UserID : 113 Jenis Pembayaran : NON TUNAI

NO NO.KWITANSI TANGGAL Nama Px KATEGORI Px DOKTER TOTAL CID

1 R0217100030 03.02.2017 RUSPANDI, TN BPJS KESEHATAN EMIL DR SPPD 104,400 116
2 R0217100031 03.02.2017 ELLYA RAHAYU, NY. BPJS KESEHATAN HERU SUTJAHJO A 16,860 116
3 R0217100032 03.02.2017 MIRA NUR LESTARI, NY BPJS KESEHATAN HERU SUTJAHJO A 36,875 116
4 R0217100033 03.02.2017 KARTIAH, NY. BPJS KESEHATAN ARIYA TEJA S. d 26,400 116
5 R0217100034 03.02.2017 SILFIA MARIANA, NY. BPJS KESEHATAN ARIYA TEJA S. d 17,160 116
6 R0217100035 03.02.2017 KARTIAH, NY. BPJS KESEHATAN HENDRATA,dr SpP 13,938 116
7 R0217100036 03.02.2017 SILFIA MARIANA, NY. BPJS KESEHATAN HENDRATA,dr SpP 44,880 116
8 R0217100037 03.02.2017 SILFIA MARIANA, NY. BPJS KESEHATAN HENDRATA,dr SpP 11,220 116
9 R0217100038 03.02.2017 SILFIA MARIANA, NY. BPJS KESEHATAN HENDRATA,dr SpP 21,600 116
10 R0217100039 03.02.2017 SILFIA MARIANA, NY. BPJS KESEHATAN HENDRATA,dr SpP 231 116
11 R0217100040 03.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN HERU SUTJAHJO A 192,192 116
12 R0217100047 03.02.2017 MUNTHOLIB, TN. BPJS KESEHATAN WIDIASTI, DR 18,001 106
13 R0217100048 03.02.2017 MUDJIONO, TN. UMUM ARIYA TEJA S. d 17,139 106
14 R0217100049 03.02.2017 MUDJIONO, TN. UMUM ARIYA TEJA S. d 33,000 106
15 R0217100050 03.02.2017 ANA DWI LESTARI, NY. BPJS KESEHATAN ADITYA KUSUMA R 31,789 106
16 R0217100052 03.02.2017 SUSI KRISTANTI, NY. BPJS KESEHATAN RENI SPOG, DR 6,204 106
17 R0217100053 03.02.2017 SRI SUTARMI, NY. BPJS KESEHATAN PAUL S,DR SpOT 56,100 106
18 R0217100054 03.02.2017 KUSTOYO, TN. BPJS KESEHATAN DWI SETYAWAN, D 2,429 106
19 R0217100056 03.02.2017 UMIJAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 12,474 106

Total Seluruh Halaman 662,892

Page

P0217100029/RI
P0217100005/RI
P0217100016/RI
J0117701568/RJ
J0117701566/RJ
P0117100620/RI
J0117701562/RJ
J0117701565/RJ
P0217100013/RI
P0217100008/RI
P0217100032/RI
J0217700138/RJ
J0117701567/RJ
J0117701573/RJ
J0117701526/RJ
P0217100040/RI
J0217700160/RJ
J0217700165/RJ
J0217700179/RJ
 REKAPITULASI INSTALASI FARMASI PER-UNIT (PENJUALAN) TUNAI

Periode : 03.02.2017 S/D 03.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 1,962,770 220,482 0 0 0 13,600 0 2,196,852
2 1 POLI 2,032,952 136,337 0 275,968 0 13,600 80,990 2,539,847
3 2 RAWAT BERSALIN 117,713 78,512 71,400 143,100 0 0 113,263 523,988
4 3 RAWAT INAP UMUM 782,994 223,536 0 0 0 1,400 0 1,007,930
5 4 ICU/OK 0 0 0 0 0 0 0 0
4,896,429 658,867 71,400 419,068 0 28,600 194,253 6,268,617

Surabaya, 03 Februari 2017

Manager F&A Kasir

( Primita ) ( )
 REKAPITULASI INSTALASI FARMASI PER-UNIT (PENJUALAN) NON TUNAI

Periode : 03.02.2017 S/D 03.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 1,054,722 255,130 0 0 0 1,800 0 1,311,652
2 1 POLI 2,021,208 0 0 0 0 3,200 0 2,024,408
3 2 RAWAT BERSALIN 161,680 81,427 0 71,550 0 0 0 314,657
4 3 RAWAT INAP UMUM 328,831 7,161 0 0 0 0 0 335,992
5 4 ICU/OK 550,603 983,498 0 0 0 0 0 1,534,101
4,117,044 1,327,216 0 71,550 0 5,000 0 5,520,810

Surabaya, 03 Februari 2017

Manager F&A Kasir

( Primita ) ( )
 REKAPITULASI RETUR INSTALASI FARMASI PER-UNIT (PENJUALAN) TUNAI

Periode : 03.02.2017 S/D 03.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 320,959 6,924 0 0 0 1,000 0 328,883
2 1 POLI 0 0 0 0 0 0 0 0
3 2 RAWAT BERSALIN 0 0 0 0 0 0 0 0
4 3 RAWAT INAP UMUM 97,025 49,735 0 0 0 0 0 146,760
5 4 ICU/OK 0 0 0 0 0 0 0 0
417,984 56,659 0 0 0 1,000 0 475,643

Surabaya, 03 Februari 2017

Manager F&A Kasir

( Primita ) ( )
 REKAPITULASI RETUR INSTALASI FARMASI PER-UNIT (PENJUALAN) NON TUNAI

Periode : 03.02.2017 S/D 03.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 190,795 21,268 0 0 0 0 0 212,063
2 1 POLI 58,529 0 0 0 0 0 0 58,529
3 2 RAWAT BERSALIN 18,084 24,995 0 0 0 0 0 43,079
4 3 RAWAT INAP UMUM 139,938 231 0 0 0 0 0 140,169
5 4 ICU/OK 16,860 192,192 0 0 0 0 0 209,052
424,206 238,686 0 0 0 0 0 662,892

Surabaya, 03 Februari 2017

Manager F&A Kasir

( Primita ) ( )