INSTALASI FARMASI RSU BUNDA (KASIR)

RS.BUNDA SURABAYA
Tanggal : 07.02.2016 S/d 07.02.2016
UserID : 113 Jenis Pembayaran : TUNAI

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

1 J0217100453 07.02.2017 WIDI HIDAYAT, TN. BPJS KESEHATAN ARIYA TEJA S. d 14,625 118
2 U0217100454 07.02.2017 ACH.ROFIQ, TN UMUM ARIYA TEJA S. d 120,523 118
3 U0217100455 07.02.2017 RS BUNDA WADUNGASRI UMUM APS 123,750 118
4 U0217100456 07.02.2017 TRI SULASTRI, NY UMUM DIDI D. SP.OG,D 87,218 118
5 U0217100457 07.02.2017 TRI SULASTRI, NY UMUM DIDI D. SP.OG,D 49,300 118
6 U0217100458 07.02.2017 TRI SULASTRI, NY UMUM DIDI D. SP.OG,D 117,901 118
7 U0217100459 07.02.2017 TRI SULASTRI, NY UMUM DIDI D. SP.OG,D 17,980 118
8 U0217100460 07.02.2017 TRI SULASTRI, NY UMUM HARIYZON, DR Sp 238,143 118
9 U0217100461 07.02.2017 TRI SULASTRI, NY UMUM HARIYZON, DR Sp 58,906 118
10 U0217100462 07.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 276,660 118
11 J0217100463 07.02.2017 TRI SULASTRI, NY UMUM HARIYZON, DR Sp 23,760 118
12 U0217100464 07.02.2017 WIWIK IDAYATI NUR IM UMUM ARIYA TEJA S. d 212,860 118
13 U0217100465 07.02.2017 MACHMUD, TN. UMUM HENDRATA,dr SpP 117,640 118
14 J0217100466 07.02.2017 ARIYA TEJA S, DR. UMUM APS 240,000 118
15 U0217100467 07.02.2017 MUHAMMAD ASROR R, AN UMUM CHRISTIAN ADI N 86,803 114
16 U0217100468 07.02.2017 WIWIK IDAYATI NUR IM UMUM EMIL DR SPPD 412,827 114
17 U0217100469 07.02.2017 H. NASIR, TN. UMUM HENDRATA,dr SpP 63,717 114
18 U0217100470 07.02.2017 SHINTA ALATHIVA, AN. UMUM CHRISTIAN ADI N 66,103 114
19 U0217100471 07.02.2017 SHINTA ALATHIVA, AN. UMUM CHRISTIAN ADI N 52,200 114
20 U0217100472 07.02.2017 MOCHAMMAD TRISTAN JA UMUM HARIYZON, DR Sp 99,795 114
21 U0217100473 07.02.2017 ARSAKHA DENALI SETYA UMUM HARIYZON, DR Sp 114,174 114
22 U0217100474 07.02.2017 ARSYTA ANASTASYA N, UMUM HARIYZON, DR Sp 68,172 114
23 U0217100475 07.02.2017 GIZA NURHIDAYAH WAHY UMUM HARIYZON, DR Sp 143,238 114
24 U0217100476 07.02.2017 ICA RAHMAWATI, NN. UMUM CHRISTIAN ADI N 203,418 114
25 U0217100477 07.02.2017 M. IHZA NUGRAHA, AN. UMUM HARIYZON, DR Sp 198,945 114
26 U0217100478 07.02.2017 NAAILAH NUR H, AN. UMUM HARIYZON, DR Sp 210,053 114
27 U0217100479 07.02.2017 WIWIK IDAYATI NUR IM UMUM EMIL DR SPPD 13,120 114
28 U0217100480 07.02.2017 MOCHAMMAD FAREL DWI UMUM CHRISTIAN ADI N 227,528 114
29 U0217100481 07.02.2017 SAFA NUR RAMADHANI, UMUM HARIYZON, DR Sp 627,167 114
30 U0217100482 07.02.2017 FEBRIO NUR C, AN. UMUM CHRISTIAN ADI N 89,376 114
31 U0217100483 07.02.2017 MOCHAMMAD FAREL DWI UMUM AFIF, DR SPB 68,032 114
32 U0217100484 07.02.2017 ICA RAHMAWATI, NN. UMUM DWI SETYAWAN, D 179,580 114
33 U0217100485 07.02.2017 RS BUNDA WADUNGASRI UMUM APS 1,278,200 106
34 U0217100486 07.02.2017 LUSIANA MUJIATIN, NY ASURANSI RASAPAL CHRISTIAN ADI N 64,780 106
35 U0217100487 07.02.2017 MOHAMMAD PANDU TITO UMUM ADITYA KUSUMA R 9,465 106
36 U0217100488 07.02.2017 ACHMAD BINTANG THANU UMUM ADITYA KUSUMA R 33,838 106
37 U0217100489 07.02.2017 ELLYA RAHAYU, NY. BPJS KESEHATAN A P S 55,100 106
38 U0217100490 07.02.2017 TATI AGUSTIN, NY UMUM HERU SUTJAHJO A 83,955 106
39 U0217100491 07.02.2017 SUMI, NY. BPJS KESEHATAN A P S 205,558 106
40 U0217100492 07.02.2017 APRILIA RIZKYANA, NY UMUM DIDI D. SP.OG,D 371,748 106
41 U0217100493 07.02.2017 SUKOCO, TN. UMUM ADITYA KUSUMA R 74,045 106
42 U0217100494 07.02.2017 MUHAMMAD ABINAWA RAF UMUM AZWIN, DR SpA 47,850 106
43 U0217100495 07.02.2017 ARI JULIANTO, AN. UMUM ADITYA KUSUMA R 201,550 106
44 U0217100496 07.02.2017 NIKMAL ALFARID, AN. UMUM ADITYA KUSUMA R 69,963 106
45 U0217100497 07.02.2017 RS BUNDA WADUNGASRI UMUM APS 99,000 106
46 U0217100498 07.02.2017 WIDODO RASIONO, TN. UMUM DWI SETYAWAN, D 27,840 106
 47 U0217100499 07.02.2017 SOLICHAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 111,056 106
48 U0217100500 07.02.2017 RAMELI, TN. UMUM ARIES SUBIANTO, 209,645 106
49 U0217100501 07.02.2017 ANNA FRANSISCA U, NN UMUM ADITYA KUSUMA R 29,711 106
50 U0217100502 07.02.2017 MARIYONO, TN. UMUM ARIES SUBIANTO, 53,592 106
51 U0217100503 07.02.2017 WIWIK IDAYATI NUR IM UMUM DWI SETYAWAN, D 122,820 106
52 U0217100504 07.02.2017 APRILIA RIZKYANA, NY UMUM DIDI D. SP.OG,D 97,948 106
53 U0217100505 07.02.2017 DWI FEBY P, NN. UMUM ADITYA KUSUMA R 45,023 106
54 U0217100506 07.02.2017 SANARI, TN. UMUM AMIR, SPM 96,541 106
55 U0217100507 07.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 2,175 106
56 U0217100508 07.02.2017 ANISA USWATUN C, BY, UMUM HARIYZON, DR Sp 52,744 106
57 U0217100509 07.02.2017 SUSWANTI, NY. UMUM HENDRATA,dr SpP 2,593 106
58 U0217100510 07.02.2017 SRIYAHMI VITASARI, N UMUM AMIR, SPM 50,569 105
59 U0217100511 07.02.2017 SULAMI, NY. BPJS KESEHATAN APS 18,016 105
60 U0217100512 07.02.2017 AGUSTIN DAMAYANTI, N BPJS KESEHATAN DIDI D. SP.OG,D 159,700 105
61 U0217100513 07.02.2017 MUHAMMAD RADITYA HAI UMUM ARIYA TEJA S. d 5,153 105
62 U0217100514 07.02.2017 DESY ANGGELA PUTRI, UMUM DIDI D. SP.OG,D 28,052 105
63 U0217100515 07.02.2017 SRIATIN, NY. UMUM ARIYA TEJA S. d 262,088 105
64 U0217100516 07.02.2017 APRILIA RIZKYANA, NY UMUM DIDI D. SP.OG,D 272,775 105
65 U0217100517 07.02.2017 APRILIA RIZKYANA, NY UMUM DIDI D. SP.OG,D 1,316,770 105
66 U0217100518 07.02.2017 APRILIA RIZKYANA, NY UMUM DICKY, DR SpAn 46,390 105
67 U0217100519 07.02.2017 APRILIA RIZKYANA, NY UMUM DIDI D. SP.OG,D 25,883 105
68 U0217100520 07.02.2017 ARIE SURYA KUSUMAWAT UMUM APS 17,618 105
69 U0217100521 07.02.2017 SITI FATIMAH, NY. UMUM ARIYA TEJA S. d 59,842 105
70 U0217700350 07.02.2017 NURAINI, NY. BPJS KESEHATAN HARIYZON, DR Sp 71,800 118

Total Seluruh Halaman 10,404,910

Total Penjualan Tunai [LN] : 3,918,773

Total Penjualan Tunai [BB] : 4,985,187
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 1,500,950
Page : 1

JENIS LAYANAN |
JMS007 [IGD] BB
UMM008 [IGD] LN
URB000 [RB BUNDA] BB
UMM008 [IGD] BB
UMM008 [IGD] BB
UMM003 [RANAP 2] BB
UMM003 [RANAP 2] BB
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] LN
JMS002 [RANAP 1] LN
UMM008 [IGD] BB
UMM002 [RANAP 1] LN
JMS001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] LN
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM002 [RANAP 1] BB
UMM008 [IGD] LN
UMM008 [IGD] BB
UMM008 [IGD] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] LN
URB000 [RB BUNDA] BB
UMM008 [IGD] BB
UMM001 [RAWAT JALAN] BB
UMM008 [IGD] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] BB
UMM003 [RANAP 2] BB
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM008 [IGD] BB
URB000 [RB BUNDA] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] BB
UMM002 [RANAP 1] BB
UMM003 [RANAP 2] BB
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] BB
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM009 [OK] BB
UMM009 [OK] BB
UMM009 [OK] BB
UMM009 [OK] BB
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] LN
 INSTALASI FARMASI RSU BUNDA (KASIR)
RS.BUNDA SURABAYA
Tanggal : 07.02.2016 S/d 07.02.2016
UserID : 113 Jenis Pembayaran : NON TUNAI

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

1 P0217100103 07.02.2017 NURAINI, NY. BPJS KESEHATAN DIDI D. SP.OG,D 157,410 118
2 P0217100104 07.02.2017 NURAINI, NY. BPJS KESEHATAN MORISKA, dr SpA 42,231 118
3 P0217100105 07.02.2017 NURAINI, NY. BPJS KESEHATAN DIDI D. SP.OG,D 801,671 118
4 P0217100106 07.02.2017 NURAINI, NY. BPJS KESEHATAN DIDI D. SP.OG,D 31,920 118
5 P0217100107 07.02.2017 ANISA USWATUN CHASAN PT ASURANSI ASTR RENI SPOG, DR 479,043 118
6 P0217100108 07.02.2017 SITI KHOLIFAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 104,400 106
7 J0217700348 07.02.2017 KARTIAH, NY. BPJS KESEHATAN HENDRATA,dr SpP 3,062 118
8 J0217700349 07.02.2017 KHASAN, TN. BPJS KESEHATAN ARIYA TEJA S. d 27,753 118
9 C0217700351 07.02.2017 WIWIK IDAYATI NUR IM UMUM ARIYA TEJA S. d 227,540 118
10 C0217700352 07.02.2017 SAWAL LUDI, TN. PT. CAR CHRISTIAN ADI N 39,268 114
11 J0217700353 07.02.2017 ACHMAD NURUDDIN F, A BPJS KESEHATAN ARIYA TEJA S. d 29,877 114
12 J0217700354 07.02.2017 SIAU TIE, NY. PT. CAR CHRISTIAN ADI N 25,514 114
13 C0217700355 07.02.2017 SIAU TIE, NY. PT. CAR CHRISTIAN ADI N 29,674 114
14 J0217700356 07.02.2017 IQBAL SATRIA ABDILLA BPJS KESEHATAN ARIYA TEJA S. d 17,820 114
15 C0217700357 07.02.2017 NINING SULISTYANINGS GENERALI INDONESICHRISTIAN ADI N 98,114 114
16 C0217700358 07.02.2017 M. HENRY FATUR R, SD PT. ABDA INSURANCCHRISTIAN ADI N 163,073 114
17 C0217700359 07.02.2017 M. SAHLI, TN. MEDICARE CHRISTIAN ADI N 67,663 114
18 C0217700360 07.02.2017 YASMINE SYAHIRA HUSN PT. CHUBB GENERALHARIYZON, DR Sp 240,505 114
19 C0217700361 07.02.2017 MUHAMMAD RAMADHAN ZA MEDICARE HARIYZON, DR Sp 132,269 114
20 C0217700362 07.02.2017 CARISSA KAYLA AZZAHR PT. GREAT EASTERN H
L ARIYZON, DR Sp 165,660 114
21 J0217700363 07.02.2017 HERY KOESHERNANTO, T BPJS KESEHATAN DWI SETYAWAN, D 63,331 114
22 C0217700364 07.02.2017 LUSIANA MUJIATIN, NY ASURANSI RASAPAL CHRISTIAN ADI N 69,420 106
23 J0217700365 07.02.2017 SITI SUNDARI, NY. BPJS KESEHATAN EMIL DR SPPD 9,637 106
24 J0217700366 07.02.2017 SITI SUNDARI, NY. BPJS KESEHATAN EMIL DR SPPD 31,665 106
25 J0217700367 07.02.2017 FATONAH SARONI, NY. BPJS KESEHATAN EMIL DR SPPD 28,912 106
26 J0217700368 07.02.2017 FATONAH SARONI, NY. BPJS KESEHATAN EMIL DR SPPD 94,996 106
27 J0217700369 07.02.2017 RAMELAN, TN. BPJS KESEHATAN DWI SETYAWAN, D 31,665 106
28 J0217700370 07.02.2017 KUSTOYO, TN. BPJS KESEHATAN DWI SETYAWAN, D 31,665 106
29 J0217700371 07.02.2017 MASULAH, NY. BPJS KESEHATAN EMIL DR SPPD 9,637 106
30 J0217700372 07.02.2017 MASULAH, NY. BPJS KESEHATAN EMIL DR SPPD 31,665 106
31 J0217700373 07.02.2017 NASIKAN, TN. BPJS KESEHATAN EMIL DR SPPD 9,637 106
32 J0217700374 07.02.2017 NASIKAN, TN. BPJS KESEHATAN EMIL DR SPPD 31,665 106
33 J0217700375 07.02.2017 UCIK KURNIAWATI, NY. BPJS KESEHATAN HERU SUTJAHJO A 55,625 106
34 J0217700376 07.02.2017 RICHA APRIYA SARI, N BPJS KESEHATAN HERU SUTJAHJO A 17,206 106
35 J0217700377 07.02.2017 ELLYA RAHAYU, NY. BPJS KESEHATAN HERU SUTJAHJO A 15,332 106
36 C0217700378 07.02.2017 NOVILYA GANEFI SE, N PT. ASURANSI MNC LADITYA KUSUMA R 90,831 106
37 J0217700379 07.02.2017 ANIDIA DEWI AYU, NY. BPJS KESEHATAN HERU SUTJAHJO A 10,712 106
38 J0217700380 07.02.2017 NURAINI IKAYANTI, NY BPJS KESEHATAN HERU SUTJAHJO A 68,478 106
39 J0217700381 07.02.2017 ARTINING KASIH, NY. BPJS KESEHATAN DWI SETYAWAN, D 30,866 106
40 J0217700382 07.02.2017 ARTINING KASIH, NY. BPJS KESEHATAN DWI SETYAWAN, D 119,416 106
41 J0217700383 07.02.2017 KUSTOYO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 12,936 106
42 J0217700384 07.02.2017 KUSTOYO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 21,252 106
43 J0217700385 07.02.2017 UMIJAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 174,992 106
44 C0217700386 07.02.2017 NINIK AGUSTIN, NY. MEDICARE ADITYA KUSUMA R 92,621 106
45 J0217700387 07.02.2017 NUR HIDAYANI, NY. BPJS KESEHATAN ROXANTIN, DR Sp 74,354 106
46 J0217700388 07.02.2017 NUR HIDAYANI, NY. BPJS KESEHATAN ROXANTIN, DR Sp 5,768 106
47 J0217700389 07.02.2017 ENY SETYONINGRUM, NY BPJS KESEHATAN ROXANTIN, DR Sp 24,997 106
48 J0217700390 07.02.2017 KUSTOYO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 13,490 106
49 J0217700391 07.02.2017 NINIK AGUSTIN, NY. MEDICARE ADITYA KUSUMA R 25,080 106
50 C0217700392 07.02.2017 NINIK AGUSTIN, NY. MEDICARE ADITYA KUSUMA R 29,450 106
51 J0217700393 07.02.2017 BUDI SANTOSO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 43,533 106
52 J0217700394 07.02.2017 BUDI SANTOSO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 12,118 106
53 J0217700395 07.02.2017 ELISABETH JULIANA, N BPJS KESEHATAN ROXANTIN, DR Sp 87,452 106
54 J0217700396 07.02.2017 ELISABETH JULIANA, N BPJS KESEHATAN ROXANTIN, DR Sp 68,613 106
55 J0217700397 07.02.2017 ABDUL ROKHIM, TN. BPJS KESEHATAN DWI SETYAWAN, D 30,693 106
56 J0217700398 07.02.2017 ABDUL ROKHIM, TN. BPJS KESEHATAN DWI SETYAWAN, D 79,556 106
57 C0217700399 07.02.2017 HENDRO PUJIONO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 47,551 106
58 J0217700400 07.02.2017 TIMOTEUS FURA, TN. BPJS KESEHATAN ROXANTIN, DR Sp 24,740 106
59 J0217700401 07.02.2017 SUNARTIK, NY. BPJS KESEHATAN DWI SETYAWAN, D 25,133 106
60 J0217700402 07.02.2017 HENDRO PUJIONO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 40,556 106
61 J0217700403 07.02.2017 SOEDJARNO, TN. BPJS KESEHATAN DWI SETYAWAN, D 105,640 106
62 J0217700404 07.02.2017 SOEDJARNO, TN. BPJS KESEHATAN DWI SETYAWAN, D 314,322 106
63 J0217700405 07.02.2017 SOLICHAH, NY. BPJS KESEHATAN ROXANTIN, DR Sp 68,952 106
64 J0217700406 07.02.2017 SOLICHAH, NY. BPJS KESEHATAN ROXANTIN, DR Sp 65,061 106
65 J0217700407 07.02.2017 MUSIKAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 14,553 106
66 J0217700408 07.02.2017 DINI AGUSTINA, NY. BPJS KESEHATAN ROXANTIN, DR Sp 39,332 106
67 C0217700409 07.02.2017 HANDAYANI, TN. PT. FELTICO ARIES SUBIANTO, 612,366 106
68 J0217700410 07.02.2017 ISTI NINGRUM, NY. BPJS KESEHATAN ROXANTIN, DR Sp 88,239 106
69 J0217700411 07.02.2017 BUDI SUHARDJO, TN. BPJS KESEHATAN DWI SETYAWAN, D 13,805 106
70 C0217700412 07.02.2017 MUHAMMAD ALI AZHAR A PT. CHUBB GENERALADITYA KUSUMA R 316,940 106
71 J0217700413 07.02.2017 SUMI, NY. BPJS KESEHATAN DWI SETYAWAN, D 73,184 106
72 J0217700414 07.02.2017 SUMI, NY. BPJS KESEHATAN DWI SETYAWAN, D 185,946 106
73 J0217700415 07.02.2017 ZULAIKAH, NY. BPJS KESEHATAN ARIES SUBIANTO, 175,203 106
74 J0217700416 07.02.2017 SRI SUKASIANI, NY. BPJS KESEHATAN DWI SETYAWAN, D 105,611 106
75 J0217700417 07.02.2017 SRI SUKASIANI, NY. BPJS KESEHATAN DWI SETYAWAN, D 46,332 106
76 J0217700418 07.02.2017 SRI SUKASIANI, NY. BPJS KESEHATAN DWI SETYAWAN, D 102,000 106
77 J0217700419 07.02.2017 SRI SUKASIANI, NY. BPJS KESEHATAN DWI SETYAWAN, D 204,001 106
78 C0217700420 07.02.2017 MUHAMMAD ALI AZHAR A PT. CHUBB GENERALADITYA KUSUMA R 78,198 106
79 C0217700421 07.02.2017 ENDANG WATI, NY. PT. BNI LIFE INSUR ADITYA KUSUMA R 7,899 106
80 C0217700422 07.02.2017 HANDAYANI, TN. PT. FELTICO ARIES SUBIANTO, 49,833 106
81 J0217700423 07.02.2017 MUHAMMAD FARHAN SYAI BPJS KESEHATAN ADITYA KUSUMA R 21,915 106
82 J0217700424 07.02.2017 WULYO, TN. BPJS KESEHATAN ARIES SUBIANTO, 102,070 106
83 J0217700425 07.02.2017 SRI SUKASIANI, NY. BPJS KESEHATAN DWI SETYAWAN, D 3,260 106
84 J0217700426 07.02.2017 SUMI, NY. BPJS KESEHATAN DWI SETYAWAN, D 8,804 106
85 J0217700427 07.02.2017 MUSIKAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 8,804 106
86 J0217700428 07.02.2017 MUNTHOLIB, TN. BPJS KESEHATAN ARIES SUBIANTO, 54,632 106
87 J0217700429 07.02.2017 MUNTHOLIB, TN. BPJS KESEHATAN ARIES SUBIANTO, 25,753 106
88 J0217700430 07.02.2017 ABDUL ROKHIM, TN. BPJS KESEHATAN DWI SETYAWAN, D 867 106
89 J0217700431 07.02.2017 SUYONO, TN. BPJS KESEHATAN ARIES SUBIANTO, 76,008 106
90 J0217700432 07.02.2017 BINTJANG ILYAS, TN. BPJS KESEHATAN ARIES SUBIANTO, 160,453 106
91 J0217700433 07.02.2017 ARTINING KASIH, NY. BPJS KESEHATAN DWI SETYAWAN, D 1,451 106
92 J0217700434 07.02.2017 ARTINING KASIH, NY. BPJS KESEHATAN DWI SETYAWAN, D 4,767 106
93 J0217700435 07.02.2017 RYANO APRAMADA PUTRA BPJS KESEHATAN AMIR, SPM 57,420 106
94 J0217700436 07.02.2017 TUMINEM, NY. BPJS KESEHATAN AMIR, SPM 59,565 106
95 J0217700437 07.02.2017 FRANSISCA SUWANDI, A BPJS KESEHATAN AMIR, SPM 57,420 105
96 C0217700438 07.02.2017 NICO ARDINE FAADIHIL MEDICARE AMIR, SPM 107,338 105
97 J0217700439 07.02.2017 ARI KRIS HARDIAN, TN BPJS KESEHATAN ARIYA TEJA S. d 27,047 105
98 J0217700440 07.02.2017 ALIR RIZKY TIRTO L, BPJS KESEHATAN AMIR, SPM 29,700 105
99 J0217700441 07.02.2017 SIYANAH, NY. BPJS KESEHATAN ROXANTIN, DR Sp 27,075 105
100 J0217700442 07.02.2017 SIYANAH, NY. BPJS KESEHATAN ROXANTIN, DR Sp 17,068 105
101 J0217700443 07.02.2017 SULAMI, NY. BPJS KESEHATAN HENDRATA,dr SpP 137,974 105
102 J0217700444 07.02.2017 RETNO WULANDARI, NY. BPJS KESEHATAN DIDI D. SP.OG,D 8,493 105
103 J0217700445 07.02.2017 ARI KRIS HARDIAN, TN BPJS KESEHATAN ARIYA TEJA S. d 12,540 105

Total Seluruh Halaman 8,349,554

Total Penjualan Tunai [LN] : 0

Total Penjualan Tunai [BB] : 8,349,554
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 0
Page : 1

JENIS LAYANAN |
JMS008 [OK] BB
JMS008 [OK] BB
JMS008 [OK] BB
JMS008 [OK] BB
COR102 [RANAP 2] BB
JMS002 [RANAP 1] BB
JMS001 [RAWAT JALAN] BB
JMS007 [IGD] BB
COR108 [IGD] BB
COR108 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
COR108 [IGD] BB
JMS007 [IGD] BB
COR108 [IGD] BB
COR108 [IGD] BB
COR108 [IGD] BB
COR100 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
COR108 [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
COR108 [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
COR108 [IGD] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS007 [IGD] BB
COR108 [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
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
JMS001 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
COR108 [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
COR108 [IGD] BB
COR108 [IGD] BB
COR100 [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
JMS001 [RAWAT JALAN] BB
COR100 [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
JMS007 [IGD] BB
 LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 07.02.2016 S/d 07.02.2016
UserID : 113 Jenis Pembayaran : TUNAI

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

1 R0217100110 07.02.2017 KHASAN, TN. BPJS KESEHATAN ARIYA TEJA S. d 27,759 118
2 R0217100115 07.02.2017 LUSIANA MUJIATIN, NY ASURANSI RASAPAL CHRISTIAN ADI N 64,780 106
3 R0217100116 07.02.2017 MOHAMMAD PANDU TITO UMUM ADITYA KUSUMA R 3,132 106
4 R0217100120 07.02.2017 RAMELI, TN. UMUM ARIES SUBIANTO, 34,140 106
5 R0217100124 07.02.2017 SANARI, TN. UMUM AMIR, SPM 44,180 106

Total Seluruh Halaman 173,991

Page

J0217100444/RJ
U0217100486/RJ
U0217100487/RJ
U0217100500/RJ
U0217100506/RJ
 LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 07.02.2016 S/d 07.02.2016
UserID : 113 Jenis Pembayaran : NON TUNAI

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

1 R0217100109 07.02.2017 KARTIAH, NY. BPJS KESEHATAN HENDRATA,dr SpP 3,064 118
2 R0217100111 07.02.2017 WIWIK IDAYATI NUR IM UMUM ARIYA TEJA S. d 227,541 118
3 R0217100112 07.02.2017 QURROTA AYUN NISA AS UMUM AMIR, SPM 155,775 114
4 R0217100113 07.02.2017 SIAU TIE, NY. PT. CAR CHRISTIAN ADI N 25,510 114
5 R0217100114 07.02.2017 DWI ESTI RAHAYU, NY. BPJS KESEHATAN ADITYA KUSUMA R 40,859 114
6 R0217100117 07.02.2017 SITI KHOLIFAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 104,400 106
7 R0217100118 07.02.2017 NINIK AGUSTIN, NY. MEDICARE ADITYA KUSUMA R 25,080 106
8 R0217100119 07.02.2017 HENDRO PUJIONO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 47,550 106
9 R0217100122 07.02.2017 ELISABETH JULIANA, N BPJS KESEHATAN ROXANTIN, DR Sp 7,920 106
10 R0217100123 07.02.2017 HANDAYANI, TN. PT. FELTICO ARIES SUBIANTO, 38,910 106
11 R0217100125 07.02.2017 SRI SUKASIANI, NY. BPJS KESEHATAN DWI SETYAWAN, D 2,640 106
12 R0217100126 07.02.2017 NUR HIDAYANI, NY. BPJS KESEHATAN ROXANTIN, DR Sp 6,216 106
13 R0217100127 07.02.2017 KUSTOYO, TN. BPJS KESEHATAN ROXANTIN, DR Sp 1,928 106
14 R0217100128 07.02.2017 BINTJANG ILYAS, TN. BPJS KESEHATAN ARIES SUBIANTO, 3,960 106
15 R0217100129 07.02.2017 SUYONO, TN. BPJS KESEHATAN ARIES SUBIANTO, 13,068 106
16 R0217100130 07.02.2017 MUNTHOLIB, TN. BPJS KESEHATAN ARIES SUBIANTO, 6,388 106
17 R0217100131 07.02.2017 BINTJANG ILYAS, TN. BPJS KESEHATAN ARIES SUBIANTO, 44,522 106

Total Seluruh Halaman 755,331

Page

J0217700324/RJ
C0217700351/RJ
C0217700342/RJ
J0217700354/RJ
J0217700299/RJ
P0217100108/RI
J0217700391/RJ
C0217700399/RJ
J0217700395/RJ
C0217700409/RJ
J0217700416/RJ
J0217700387/RJ
J0217700390/RJ
J0217700432/RJ
J0217700431/RJ
J0217700429/RJ
J0217700432/RJ
 REKAPITULASI INSTALASI FARMASI PER-UNIT (PENJUALAN) TUNAI

Periode : 07.02.2017 S/D 07.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 1,820,234 765,524 0 0 0 5,400 0 2,591,158
2 1 POLI 3,376,949 454,484 0 0 0 13,000 0 3,844,433
3 2 RAWAT BERSALIN 299,867 209,063 0 71,550 0 0 25,097 605,577
4 3 RAWAT INAP UMUM 1,133,453 495,271 71,400 0 0 1,800 0 1,701,924
5 4 ICU/OK 657,759 1,004,059 0 0 0 0 0 1,661,818
7,288,262 2,928,401 71,400 71,550 0 20,200 25,097 10,404,910

Surabaya, 08 Februari 2017

Manager F&A Kasir

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

Periode : 07.02.2017 S/D 07.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 1,300,995 192,642 0 0 0 4,600 0 1,498,237
2 1 POLI 5,078,374 135,718 0 0 0 6,800 13,750 5,234,642
3 2 RAWAT BERSALIN 479,043 0 0 0 0 0 0 479,043
4 3 RAWAT INAP UMUM 104,400 0 0 0 0 0 0 104,400
5 4 ICU/OK 390,232 643,000 0 0 0 0 0 1,033,232
7,353,044 971,360 0 0 0 11,400 13,750 8,349,554

Surabaya, 08 Februari 2017

Manager F&A Kasir

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

Periode : 07.02.2017 S/D 07.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 91,050 1,089 0 0 0 400 0 92,539
2 1 POLI 81,452 0 0 0 0 0 0 81,452
3 2 RAWAT BERSALIN 0 0 0 0 0 0 0 0
4 3 RAWAT INAP UMUM 0 0 0 0 0 0 0 0
5 4 ICU/OK 0 0 0 0 0 0 0 0
172,502 1,089 0 0 0 400 0 173,991

Surabaya, 08 Februari 2017

Manager F&A Kasir

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

Periode : 07.02.2017 S/D 07.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 146,885 171,605 0 0 0 500 0 318,990
2 1 POLI 331,941 0 0 0 0 0 0 331,941
3 2 RAWAT BERSALIN 0 0 0 0 0 0 0 0
4 3 RAWAT INAP UMUM 104,400 0 0 0 0 0 0 104,400
5 4 ICU/OK 0 0 0 0 0 0 0 0
583,226 171,605 0 0 0 500 0 755,331

Surabaya, 08 Februari 2017

Manager F&A Kasir

( Primita ) ( )