INSTALASI FARMASI RSU BUNDA (KASIR)

RS.BUNDA SURABAYA
Tanggal : 04.02.2016 S/d 04.02.2016
User ID : 113 Jenis Pembayaran : TUNAI Page

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

1 U0217100234 04.02.2017 RB BUNDA UMUM APS 532,130 104 URB000 [RB BUNDA]
2 U0217100235 04.02.2017 WULANSARI, NY. UMUM DICKY, DR SpAn 46,390 104 UMM009 [OK]
3 U0217100236 04.02.2017 WULANSARI, NY. UMUM HERU SUTJAHJO A 172,913 104 UMM009 [OK]
4 U0217100237 04.02.2017 WULANSARI, NY. UMUM HERU SUTJAHJO A 656,765 104 UMM009 [OK]
5 U0217100238 04.02.2017 WULANSARI, NY. UMUM HERU SUTJAHJO A 3,408 104 UMM009 [OK]
6 U0217100239 04.02.2017 WULANSARI, NY. UMUM HERU SUTJAHJO A 29,844 104 UMM009 [OK]
7 U0217100240 04.02.2017 MUHAMMAD RICKY SYAHP UMUM ADITYA KUSUMA R 80,850 104 UMM008 [IGD]
8 U0217100241 04.02.2017 H. NASIR, TN. UMUM HENDRATA,dr SpP 77,481 104 UMM002 [RANAP 1]
9 U0217100242 04.02.2017 H. NASIR, TN. UMUM HENDRATA,dr SpP 49,300 104 UMM002 [RANAP 1]
10 U0217100243 04.02.2017 SITI MUTMAINAH L, NY UMUM DWI SETYAWAN, D 157,369 104 UMM002 [RANAP 1]
11 U0217100244 04.02.2017 SOERATI, NY. UMUM EMIL DR SPPD 61,325 104 UMM002 [RANAP 1]
12 U0217100245 04.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 279,995 104 UMM002 [RANAP 1]
13 U0217100246 04.02.2017 GAIFAN AHNAF R R, AN UMUM ADITYA KUSUMA R 20,953 104 UMM008 [IGD]
14 U0217100247 04.02.2017 UBAID YUDHA P, AN. UMUM HARIYZON, DR Sp 73,738 104 UMM002 [RANAP 1]
15 U0217100248 04.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 2,784 106 UMM002 [RANAP 1]
16 U0217100249 04.02.2017 KUKUH ANDHIKA KRISHE UMUM ANDI.THT,DR 146,956 106 UMM008 [IGD]
17 U0217100250 04.02.2017 MUHAMMAD AZKA SYAUQI UMUM ADITYA KUSUMA R 24,856 106 UMM008 [IGD]
18 J0217100251 04.02.2017 WAHYU MEGA DWI S, NN UMUM APS 6,820 106 JMS001 [RAWAT JALAN]
19 U0217100252 04.02.2017 SATRIA DILAGA P, AN. UMUM ADITYA KUSUMA R 65,360 106 UMM008 [IGD]
20 U0217100253 04.02.2017 SATRIA DILAGA P, AN. UMUM ADITYA KUSUMA R 18,125 106 UMM008 [IGD]
21 U0217100254 04.02.2017 SITI UMAROH, BY, NY. UMUM RISKI, DR SPA 47,850 106 UMM002 [RANAP 1]
22 U0217100255 04.02.2017 SITI MUTMAINAH L, NY UMUM DWI SETYAWAN, D 48,669 106 UMM002 [RANAP 1]
23 U0217100256 04.02.2017 SOERATI, NY. UMUM EMIL DR SPPD 224,954 106 UMM002 [RANAP 1]
24 U0217100257 04.02.2017 KIKI FARIANI, NY. UMUM EMIL DR SPPD 271,953 106 UMM002 [RANAP 1]
25 U0217100258 04.02.2017 TABIRH ALZIDHAN I, A UMUM ADENDRA S. dr. 66,453 106 UMM008 [IGD]
26 U0217100259 04.02.2017 UBAID YUDHA P, AN. UMUM HARIYZON, DR Sp 43,718 106 UMM002 [RANAP 1]
27 U0217100260 04.02.2017 AIRA RAMADHANI, AN. UMUM ADENDRA S. dr. 250,316 106 UMM008 [IGD]
28 U0217100261 04.02.2017 AIRA RAMADHANI, AN. UMUM ADENDRA S. dr. 43,500 106 UMM008 [IGD]
29 U0217100262 04.02.2017 SYAFIYYAH KEYLAKHANS UMUM AZWIN, DR SpA 202,517 106 UMM001 [RAWAT JALAN]
30 U0217100263 04.02.2017 PUTRI ARUM NINGTYAS, UMUM AZWIN, DR SpA 160,266 106 UMM001 [RAWAT JALAN]
31 U0217100264 04.02.2017 FAUZAN AMRU ALBAIHAQ UMUM AZWIN, DR SpA 133,758 106 UMM001 [RAWAT JALAN]
32 U0217100265 04.02.2017 SITI ROSIANA, NY. UMUM FEBRI, DR SPKK 133,980 106 UMM001 [RAWAT JALAN]
33 U0217100266 04.02.2017 M. NABIL TSAQIF, AN. UMUM AZWIN, DR SpA 188,457 106 UMM001 [RAWAT JALAN]
34 U0217100267 04.02.2017 MUHAMMAD NIZAR TSAQI UMUM AZWIN, DR SpA 100,086 106 UMM001 [RAWAT JALAN]
35 U0217100268 04.02.2017 M.ALFIANDRA DIRGA AR UMUM AZWIN, DR SpA 114,009 106 UMM001 [RAWAT JALAN]
36 U0217100269 04.02.2017 M. AZIELISTYA DWI A, UMUM AZWIN, DR SpA 63,945 106 UMM001 [RAWAT JALAN]
37 U0217100270 04.02.2017 ZAHRA DIANDRA EKA O, UMUM AZWIN, DR SpA 90,109 106 UMM001 [RAWAT JALAN]
38 U0217100271 04.02.2017 TRI UNTORO, SDR. UMUM FEBRI, DR SPKK 139,632 106 UMM001 [RAWAT JALAN]
39 U0217100272 04.02.2017 ERVITO AZKA NAKHLA P UMUM BIDAN ENI FATMA 81,006 106 UMM001 [RAWAT JALAN]
40 U0217100273 04.02.2017 ZAHRA DIANDRA EKA O, UMUM APS 13,750 106 UMM001 [RAWAT JALAN]
41 U0217100274 04.02.2017 NIYAZ RASYID RAFIQI, UMUM AZWIN, DR SpA 95,533 106 UMM001 [RAWAT JALAN]
42 U0217100275 04.02.2017 NAHDA AZALEA SANTOSO UMUM AZWIN, DR SpA 204,607 106 UMM001 [RAWAT JALAN]
43 U0217100276 04.02.2017 H. NASIR, TN. UMUM REDDY P.SPJP, D 800 106 UMM002 [RANAP 1]
44 U0217100277 04.02.2017 DAVIN ANARGYA T, AN. UMUM FEBRI, DR SPKK 147,924 106 UMM001 [RAWAT JALAN]
45 U0217100278 04.02.2017 ZAHRA DIANDRA EKA O, UMUM AZWIN, DR SpA 77,720 106 UMM001 [RAWAT JALAN]
46 U0217100279 04.02.2017 I.N.P.MANUPUTTY TN. BPJS KESEHATAN ADENDRA S. dr. 29,446 106 UMM008 [IGD]
47 U0217100280 04.02.2017 WIWIN ANI ADINA, NY. UMUM ADENDRA S. dr. 267,126 106 UMM008 [IGD]
48 U0217100281 04.02.2017 SUMARTIK, NY. UMUM RENI SPOG, DR 23,055 106 UMM001 [RAWAT JALAN]
49 U0217100282 04.02.2017 FIRDIANA AYUMANEGARA UMUM RENI SPOG, DR 52,055 106 UMM001 [RAWAT JALAN]
50 U0217100283 04.02.2017 NUNUNG MARISA K, NY. UMUM RENI SPOG, DR 145,377 106 UMM001 [RAWAT JALAN]
51 U0217100284 04.02.2017 NOFEM RINI ASTUTIK, UMUM RENI SPOG, DR 81,193 106 UMM001 [RAWAT JALAN]
52 U0217100285 04.02.2017 APRILIA FIRSTIAUS E, UMUM RENI SPOG, DR 133,897 106 UMM001 [RAWAT JALAN]
53 U0217100286 04.02.2017 WAHYU MEGA DWI S, NN UMUM APS 125,335 106 UMM001 [RAWAT JALAN]
54 U0217100287 04.02.2017 MIA ERNAWATI, NY. UMUM RENI SPOG, DR 144,627 106 UMM001 [RAWAT JALAN]
55 U0217100288 04.02.2017 HENDRA MALONA, TN. UMUM ADENDRA S. dr. 45,675 106 UMM008 [IGD]
56 U0217100289 04.02.2017 SITI NUR HABIBAH, NY UMUM RENI SPOG, DR 696,696 106 UMM001 [RAWAT JALAN]
57 U0217100290 04.02.2017 ZAINAB KUSBANDIAH, N UMUM RENI SPOG, DR 150,945 106 UMM001 [RAWAT JALAN]
58 J0217100291 04.02.2017 LUCKY JULIANTI, NY. BPJS KESEHATAN APS 36,812 105 JMS001 [RAWAT JALAN]
59 U0217100292 04.02.2017 SITI LAILATUL FARIKH UMUM RENI SPOG, DR 149,095 105 UMM001 [RAWAT JALAN]
60 U0217100293 04.02.2017 DESTY MUZAROFATUS S, UMUM RENI SPOG, DR 93,925 105 UMM001 [RAWAT JALAN]
61 U0217100294 04.02.2017 SUPIYATI, NY. UMUM RENI SPOG, DR 252,083 105 UMM001 [RAWAT JALAN]
 62 U0217100295 04.02.2017 SITI MEIWULANDARI, N UMUM RENI SPOG, DR 169,789 105 UMM001 [RAWAT JALAN]
63 U0217100296 04.02.2017 TRI RETNO SUSILOWATI UMUM ANDI.THT,DR 57,998 105 UMM001 [RAWAT JALAN]
64 U0217100297 04.02.2017 CORDELIA CHRISTINA, UMUM RENI SPOG, DR 78,083 105 UMM001 [RAWAT JALAN]
65 U0217100298 04.02.2017 LIA RACHMAWATI, NY. UMUM RENI SPOG, DR 150,945 105 UMM001 [RAWAT JALAN]
66 U0217100299 04.02.2017 SRI WAHYUNINGSIH, BY BPJS KESEHATAN HARIYZON, DR Sp 125,010 105 UMM003 [RANAP 2]
67 U0217100300 04.02.2017 MUHAMMAD THORIQ AL-F UMUM CHRISTIAN ADI N 145,018 105 UMM001 [RAWAT JALAN]
68 U0217100301 04.02.2017 M. ALIF MASHURI, AN. UMUM CHRISTIAN ADI N 78,018 105 UMM001 [RAWAT JALAN]
69 U0217100302 04.02.2017 RIKA SETYANINGSIH, N BPJS KESEHATAN APS 29,563 105 UMM003 [RANAP 2]
70 U0217100303 04.02.2017 NIKEN DHIYAUL AULIYA UMUM CHRISTIAN ADI N 3,924 105 UMM001 [RAWAT JALAN]
71 U0217100304 04.02.2017 KUKUH ANDHIKA KRISHE UMUM ANDI.THT,DR 143,515 105 UMM009 [OK]
72 U0217100305 04.02.2017 MOH QOSIM, AN. UMUM CHRISTIAN ADI N 71,485 105 UMM008 [IGD]
73 U0217100306 04.02.2017 TRY PRASTYA DEWAN TO UMUM CHRISTIAN ADI N 26,909 105 UMM001 [RAWAT JALAN]
74 U0217100307 04.02.2017 KUKUH ANDHIKA KRISHE UMUM ANDI.THT,DR 1,041,106 105 UMM009 [OK]
75 U0217100308 04.02.2017 KUKUH ANDHIKA KRISHE UMUM ANDI.THT,DR 509,722 105 UMM009 [OK]
76 J0217100309 04.02.2017 NANDA SUCI ANI SOLIK UMUM APS 21,014 105 JMS001 [RAWAT JALAN]
77 J0217100310 04.02.2017 RIA NURINA, NY. BPJS KESEHATAN APS 84,493 105 JMS001 [RAWAT JALAN]
78 J0217100311 04.02.2017 LUCKY JULIANTI, NY. BPJS KESEHATAN APS 14,256 105 JMS001 [RAWAT JALAN]
79 U0217100312 04.02.2017 SITI MUTMAINAH L, NY UMUM SUSI DRG 50,881 105 UMM002 [RANAP 1]
80 U0217100313 04.02.2017 KUKUH ANDHIKA KRISHE UMUM DICKY, DR SpAn 46,590 105 UMM009 [OK]
81 U0217100314 04.02.2017 KUKUH ANDHIKA KRISHE UMUM ANDI.THT,DR 171,914 105 UMM009 [OK]
82 U0217100315 04.02.2017 YUDISTIRA DWI PRASET UMUM CHRISTIAN ADI N 46,038 105 UMM001 [RAWAT JALAN]
83 U0217100316 04.02.2017 AZAHRA PUTRI WAHYUNI UMUM CHRISTIAN ADI N 105,978 105 UMM008 [IGD]
84 U0217100317 04.02.2017 M. TAUFIQ FIRJATULLA UMUM CHRISTIAN ADI N 77,897 105 UMM008 [IGD]
85 U0217100318 04.02.2017 NOAH PUTRA PRATAMA, UMUM CHRISTIAN ADI N 50,715 104 UMM001 [RAWAT JALAN]
86 U0217100319 04.02.2017 LUCKY JULIANTI, NY. BPJS KESEHATAN APS 15,105 104 UMM001 [RAWAT JALAN]
87 U0217100320 04.02.2017 SANTI SARTIKA, NY UMUM CHRISTIAN ADI N 3,770 104 UMM008 [IGD]
88 U0217100321 04.02.2017 MACHMUD, TN. UMUM ADITYA KUSUMA R 275,718 104 UMM008 [IGD]
89 U0217100322 04.02.2017 MACHMUD, TN. UMUM ADITYA KUSUMA R 39,150 104 UMM008 [IGD]
90 U0217700189 04.02.2017 DIAN AGUSTINA, NY. BPJS KESEHATAN HERU SUTJAHJO A 115,633 106 UMM003 [RANAP 2]
91 U0217700190 04.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN HERU SUTJAHJO A 105,974 106 UMM003 [RANAP 2]
92 U0217700199 04.02.2017 CALON BAYI NY RAHAYU BPJS KESEHATAN APS 126,749 106 UMM002 [RANAP 1]
93 U0217700208 04.02.2017 ENI APRILIANA, NY. BPJS KESEHATAN APS 283,150 105 UMM003 [RANAP 2]
94 U0217700220 04.02.2017 RIKA SETYANINGSIH, N BPJS KESEHATAN APS 100,195 105 UMM003 [RANAP 2]

Total Seluruh Halaman 12,246,521

Total Penjualan Tunai [LN] : 8,280,117

Total Penjualan Tunai [BB] : 3,434,274
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 532,130
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 INSTALASI FARMASI RSU BUNDA (KASIR)
RS.BUNDA SURABAYA
Tanggal : 04.02.2016 S/d 04.02.2016
User ID : 113 Jenis Pembayaran : NON TUNAI Page

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

1 P0217100044 04.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN DICKY, DR SpAn 42,231 104 JMS008 [OK]
2 P0217100045 04.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN HERU SUTJAHJO A 157,410 104 JMS008 [OK]
3 P0217100046 04.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN HERU SUTJAHJO A 681,293 104 JMS008 [OK]
4 P0217100047 04.02.2017 CALON BAYI NY RAHAYU BPJS KESEHATAN HARIYZON, DR Sp 254,683 104 JMS002 [RANAP 1]
5 P0217100048 04.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN DICKY, DR SpAn 42,231 104 JMS008 [OK]
6 P0217100049 04.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN HERU SUTJAHJO A 157,410 104 JMS008 [OK]
7 P0217100050 04.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN HERU SUTJAHJO A 672,084 104 JMS008 [OK]
8 P0217100051 04.02.2017 ARIS PRATAMA, SDR. BPJS KESEHATAN HENDRATA,dr SpP 9,504 104 JMS002 [RANAP 1]
9 P0217100052 04.02.2017 KRISTINA YENI N, NY. BPJS KESEHATAN EMIL DR SPPD 27,925 104 JMS002 [RANAP 1]
10 P0217100053 04.02.2017 KRISTINA YENI N, NY. BPJS KESEHATAN EMIL DR SPPD 4,950 104 JMS002 [RANAP 1]
11 P0217100054 04.02.2017 FAUZAN DWI ANGGARA, BPJS KESEHATAN RISKI, DR SPA 26,004 104 JMS002 [RANAP 1]
12 P0217100055 04.02.2017 UMIJAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 16,038 106 JMS002 [RANAP 1]
13 P0217100056 04.02.2017 UMIJAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 33,264 106 JMS002 [RANAP 1]
14 P0217100057 04.02.2017 RUSPANDI, TN BPJS KESEHATAN EMIL DR SPPD 7,692 106 JMS002 [RANAP 1]
15 P0217100058 04.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN HERU SUTJAHJO A 10,712 106 JMS003 [RANAP 2]
16 P0217100059 04.02.2017 DIAN AGUSTINA, NY. BPJS KESEHATAN HERU SUTJAHJO A 108,301 106 JMS003 [RANAP 2]
17 P0217100060 04.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN HERU SUTJAHJO A 105,001 106 JMS003 [RANAP 2]
18 P0217100061 04.02.2017 KRISTINA YENI N, NY. BPJS KESEHATAN EMIL DR SPPD 28,736 106 JMS002 [RANAP 1]
19 P0217100062 04.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN HERU SUTJAHJO A 16,500 106 JMS003 [RANAP 2]
20 P0217100063 04.02.2017 CALON BAYI NY RAHAYU BPJS KESEHATAN HARIYZON, DR Sp 898 106 JMS002 [RANAP 1]
21 P0217100064 04.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN HERU SUTJAHJO A 121,679 106 JMS003 [RANAP 2]
22 P0217100065 04.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN HERU SUTJAHJO A 120,419 106 JMS003 [RANAP 2]
23 P0217100066 04.02.2017 DIAN AGUSTINA, NY. BPJS KESEHATAN HERU SUTJAHJO A 157,410 105 JMS008 [OK]
24 P0217100067 04.02.2017 ENI APRILIANA, NY. BPJS KESEHATAN JIMMI SPOG, DR 105,145 105 JMS003 [RANAP 2]
25 P0217100068 04.02.2017 RUSPANDI, TN BPJS KESEHATAN AFIF, DR SPB 37,237 105 JMS002 [RANAP 1]
26 P0217100069 04.02.2017 RUSPANDI, TN BPJS KESEHATAN EMIL DR SPPD 13,565 105 JMS002 [RANAP 1]
27 P0217100070 04.02.2017 ARIS PRATAMA, SDR. BPJS KESEHATAN HENDRATA,dr SpP 29,780 105 JMS002 [RANAP 1]
28 P0217100071 04.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN HERU SUTJAHJO A 157,410 105 JMS008 [OK]
29 P0217100072 04.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN HERU SUTJAHJO A 792 105 JMS003 [RANAP 2]
30 P0217100073 04.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN HERU SUTJAHJO A 850,590 105 JMS008 [OK]
31 P0217100074 04.02.2017 DIAN AGUSTINA, NY. BPJS KESEHATAN HERU SUTJAHJO A 821,111 105 JMS008 [OK]
32 P0217100075 04.02.2017 RIKA SETYANINGSIH, N BPJS KESEHATAN DIDI D. SP.OG,D 37,730 105 JMS003 [RANAP 2]
33 P0217100076 04.02.2017 RIKA SETYANINGSIH, N BPJS KESEHATAN DIDI D. SP.OG,D 66,865 105 JMS003 [RANAP 2]
34 P0217100077 04.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN HERU SUTJAHJO A 42,231 105 JMS008 [OK]
35 P0217100078 04.02.2017 DIAN AGUSTINA, NY. BPJS KESEHATAN HERU SUTJAHJO A 42,231 105 JMS008 [OK]
36 P0217100079 04.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN DICKY, DR SpAn 42,231 105 JMS008 [OK]
37 P0217100080 04.02.2017 DIAN AGUSTINA, NY. BPJS KESEHATAN DICKY, DR SpAn 42,231 105 JMS008 [OK]
38 P0217100081 04.02.2017 AYU PRIATINI, NY. BPJS KESEHATAN AFIF, DR SPB 44,352 104 JMS002 [RANAP 1]
39 C0217700186 04.02.2017 DIAN TIMUR VIKIYANI, GENERALI INDONESIA ADITYA KUSUMA R 212,505 104 COR108 [IGD]
40 J0217700187 04.02.2017 NIZAM PRASETYO B, TN BPJS KESEHATAN EMIL DR SPPD 22,493 106 JMS001 [RAWAT JALAN]
41 C0217700188 04.02.2017 M. SAHLI, TN. MEDICARE ADITYA KUSUMA R 54,854 106 COR108 [IGD]
42 C0217700191 04.02.2017 RAKHA WAHYU ARDANA, PT. ASURANSI ADIRAADENDRA
DINAMI S. dr. 215,035 106 COR108 [IGD]
43 C0217700192 04.02.2017 BINTANG ANDIKA VEDA, PT. ASURANSI ADIRAADENDRA
DINAMI S. dr. 66,643 106 COR108 [IGD]
44 C0217700193 04.02.2017 SIGIT CAHYO RAHMATUL PT. ASURANSI AXA GENERAL
ADENDRA S. dr. 97,395 106 COR108 [IGD]
45 C0217700194 04.02.2017 MIKE NOVITA PASARIBU SINARMAS LIFE FEBRI, DR SPKK 273,265 106 COR100 [RAWAT JALAN]
46 C0217700195 04.02.2017 WIDHI SENO NUGROHO PT. CEMERLANG ADENDRA S. dr. 53,212 106 COR108 [IGD]
47 C0217700196 04.02.2017 WIDHI SENO NUGROHO PT. CEMERLANG ADENDRA S. dr. 7,130 106 COR108 [IGD]
48 C0217700197 04.02.2017 WIDHI SENO NUGROHO PT. CEMERLANG ADENDRA S. dr. 6,278 106 COR108 [IGD]
49 J0217700198 04.02.2017 I.N.P.MANUPUTTY TN. BPJS KESEHATAN ADENDRA S. dr. 26,805 106 JMS007 [IGD]
50 J0217700200 04.02.2017 ALVIAN TEGUH SYAPUTR BPJS KESEHATAN FEBRI, DR SPKK 96,228 106 JMS001 [RAWAT JALAN]
51 J0217700201 04.02.2017 AISYAH MISLA C, NY. BPJS KESEHATAN RENI SPOG, DR 1,432 106 JMS001 [RAWAT JALAN]
52 J0217700202 04.02.2017 EVA FAUZIA HAYATI, N BPJS KESEHATAN RENI SPOG, DR 1,432 106 JMS001 [RAWAT JALAN]
53 J0217700203 04.02.2017 MUTHMAINNAH RIDAHAYA BPJS KESEHATAN RENI SPOG, DR 1,432 106 JMS001 [RAWAT JALAN]
54 J0217700204 04.02.2017 H.M ENDRO SUDJATMOKO BPJS KESEHATAN ADENDRA S. dr. 7,307 106 JMS007 [IGD]
55 J0217700205 04.02.2017 YULIARTI ULFATUROKHM BPJS KESEHATAN RENI SPOG, DR 18,586 106 JMS001 [RAWAT JALAN]
56 J0217700206 04.02.2017 NAUFAL PRABASWARA, A BPJS KESEHATAN ADENDRA S. dr. 2,534 106 JMS007 [IGD]
57 C0217700207 04.02.2017 DWI AMBAR SETYANINGR PT. BNI LIFE INSURANCE
RENI SPOG, DR 392,358 105 COR100 [RAWAT JALAN]
58 J0217700209 04.02.2017 AUFA RASYIDA YASVA, BPJS KESEHATAN ADENDRA S. dr. 3,849 105 JMS001 [RAWAT JALAN]
59 J0217700210 04.02.2017 SANTOSA KURNIAWAN, T BPJS KESEHATAN ANDI.THT,DR 91,753 105 JMS001 [RAWAT JALAN]
60 J0217700211 04.02.2017 SELVIA AK, AN. BPJS KESEHATAN ANDI.THT,DR 24,235 105 JMS001 [RAWAT JALAN]
61 J0217700212 04.02.2017 SOLAMI, NY. BPJS KESEHATAN RENI SPOG, DR 38,458 105 JMS001 [RAWAT JALAN]
 62 J0217700213 04.02.2017 ENDANG PURWATI, NY. BPJS KESEHATAN ANDI.THT,DR 24,235 105 JMS001 [RAWAT JALAN]
63 J0217700214 04.02.2017 SUTARNI, NY. BPJS KESEHATAN ANDI.THT,DR 21,773 105 JMS001 [RAWAT JALAN]
64 J0217700215 04.02.2017 MOCH. YUSUH AL-BASIT BPJS KESEHATAN ANDI.THT,DR 19,806 105 JMS001 [RAWAT JALAN]
65 J0217700216 04.02.2017 ANNISA ZAHRANIE AULI BPJS KESEHATAN CHRISTIAN ADI N 64,038 105 JMS001 [RAWAT JALAN]
66 J0217700217 04.02.2017 TRIATMI SULISTYOWATI BPJS KESEHATAN ROXANTIN, DR Sp 2,534 105 JMS001 [RAWAT JALAN]
67 J0217700218 04.02.2017 HAMIMAH, NY. BPJS KESEHATAN REDDY P.SPJP, D 9,563 105 JMS001 [RAWAT JALAN]
68 J0217700219 04.02.2017 AMIR SUMARSONO, TN. BPJS KESEHATAN REDDY P.SPJP, D 9,563 105 JMS001 [RAWAT JALAN]
69 J0217700221 04.02.2017 TRIATMI SULISTYOWATI BPJS KESEHATAN ROXANTIN, DR Sp 4,752 104 JMS001 [RAWAT JALAN]
70 J0217700222 04.02.2017 NUR LAILI FADILA, AN BPJS KESEHATAN CHRISTIAN ADI N 39,228 104 JMS007 [IGD]
71 J0217700223 04.02.2017 AUFA RASYIDA YASVA, BPJS KESEHATAN ADITYA KUSUMA R 9,108 104 JMS007 [IGD]
72 J0217700224 04.02.2017 KOESNADI, TN. BPJS KESEHATAN CHRISTIAN ADI N 13,272 104 JMS007 [IGD]
73 J0217700225 04.02.2017 EVI RAHMAWATI, NN. BPJS KESEHATAN ADITYA KUSUMA R 39,193 104 JMS007 [IGD]

Total Seluruh Halaman 7,108,160

Total Penjualan Tunai [LN] : 0

Total Penjualan Tunai [BB] : 7,108,160
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 0
: 1

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 LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 04.02.2016 S/d 04.02.2016
User ID : 113 Jenis Pembayaran : TUNAI Page

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

1 R0217100061 04.02.2017 UBAID YUDHA P, AN. UMUM HARIYZON, DR Sp 22,494 106 U0217100080/RI
2 R0217100062 04.02.2017 UBAID YUDHA P, AN. UMUM HARIYZON, DR Sp 1,914 106 U0217100247/RI
3 R0217100063 04.02.2017 UBAID YUDHA P, AN. UMUM ARIYA TEJA S. d 9,500 106 U0217100067/RJ
4 R0217100064 04.02.2017 AIRA RAMADHANI, AN. UMUM ADENDRA S. dr. 72,500 106 U0217100260/RJ
5 R0217100065 04.02.2017 TRI UNTORO, SDR. UMUM FEBRI, DR SPKK 5,450 106 U0217100271/RJ
6 R0217100066 04.02.2017 ZAHRA DIANDRA EKA O, UMUM AZWIN, DR SpA 28,130 106 U0217100270/RJ
7 R0217100067 04.02.2017 M. AZIELISTYA DWI A, UMUM AZWIN, DR SpA 63,945 106 U0217100269/RJ
8 R0217100068 04.02.2017 DAVIN ANARGYA T, AN. UMUM FEBRI, DR SPKK 147,934 106 U0217100277/RJ
9 R0217100069 04.02.2017 I.N.P.MANUPUTTY TN. BPJS KESEHATAN ADENDRA S. dr. 29,444 106 U0217100279/RJ

Total Seluruh Halaman 381,311

 LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 04.02.2016 S/d 04.02.2016
User ID : 113 Jenis Pembayaran : NON TUNAI Page

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

1 R0217100057 04.02.2017 MUHAMMAD AZKA SYAUQI UMUM ADITYA KUSUMA R 20,294 106 J0217700010/RJ
2 R0217100058 04.02.2017 FAUZAN DWI ANGGARA, BPJS KESEHATAN RISKI, DR SPA 5,176 106 J0117701524/RJ
3 R0217100059 04.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN HERU SUTJAHJO A 16,860 106 P0217100030/RI
4 R0217100060 04.02.2017 HERLINDA IEKA SASMIT BPJS KESEHATAN HERU SUTJAHJO A 1,294 106 P0217100032/RI
5 R0217100070 04.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN HERU SUTJAHJO A 119,521 106 J0217700182/RJ
6 R0217100071 04.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN DICKY, DR SpAn 898 106 J0217700183/RJ
7 R0217100072 04.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN HERU SUTJAHJO A 115,079 106 J0217700184/RJ
8 R0217100073 04.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN HERU SUTJAHJO A 6,600 106 J0217700185/RJ
9 R0217100074 04.02.2017 KRISTINA YENI N, NY. BPJS KESEHATAN ADITYA KUSUMA R 11,827 106 J0117701539/RJ
10 R0217100075 04.02.2017 KRISTINA YENI N, NY. BPJS KESEHATAN EMIL DR SPPD 136,858 106 P0117100602/RI
11 R0217100076 04.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN HERU SUTJAHJO A 42,231 105 P0217100077/RI
12 R0217100077 04.02.2017 DIAN AGUSTINA, NY. BPJS KESEHATAN HERU SUTJAHJO A 42,231 105 P0217100078/RI

Total Seluruh Halaman 518,869

 REKAPITULASI INSTALASI FARMASI PER-UNIT (PENJUALAN) TUNAI

Periode : 04.02.2017 S/D 04.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 1,378,449 249,765 0 0 0 5,400 0 1,633,614
2 1 POLI 5,214,493 141,955 0 71,726 0 14,800 70,675 5,513,649
3 2 RAWAT BERSALIN 39,984 123,468 142,800 286,200 0 400 166,673 759,525
4 3 RAWAT INAP UMUM 1,319,783 196,583 0 0 0 1,200 0 1,517,566
5 4 ICU/OK 1,553,810 1,180,057 0 0 0 800 87,500 2,822,167
9,506,519 1,891,828 142,800 357,926 0 22,600 324,848 ########

Surabaya, 03 Februari 2017

Manager F&A Kasir

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

Periode : 04.02.2017 S/D 04.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 808,194 39,305 0 0 0 3,000 0 850,499
2 1 POLI 1,120,585 0 0 0 0 1,200 0 1,121,785
3 2 RAWAT BERSALIN 393,984 299,160 0 0 0 0 0 693,144
4 3 RAWAT INAP UMUM 264,275 270,353 0 0 0 0 0 534,628
5 4 ICU/OK 1,763,764 2,144,340 0 0 0 0 0 3,908,104
4,350,802 2,753,158 0 0 0 4,200 0 7,108,160

Surabaya, 03 Februari 2017

Manager F&A Kasir

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

Periode : 04.02.2017 S/D 04.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 110,247 1,197 0 0 0 0 0 111,444
2 1 POLI 235,469 8,990 0 0 0 1,000 0 245,459
3 2 RAWAT BERSALIN 0 0 0 0 0 0 0 0
4 3 RAWAT INAP UMUM 14,114 10,294 0 0 0 0 0 24,408
5 4 ICU/OK 0 0 0 0 0 0 0 0
359,830 20,481 0 0 0 1,000 0 381,311

Surabaya, 03 Februari 2017

Manager F&A Kasir

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

Periode : 04.02.2017 S/D 04.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 178,390 101,005 0 0 0 0 0 279,395
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 135,960 898 0 0 0 0 0 136,858
5 4 ICU/OK 101,322 1,294 0 0 0 0 0 102,616
415,672 103,197 0 0 0 0 0 518,869

Surabaya, 03 Februari 2017

Manager F&A Kasir

( Primita ) ( )