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PEMERINTAH KABUPATEN BADU

RUMAH SAKIT UMUM DAER


JALAN RAYA KAPAL MENGWI BADUNG BALI
TELP. (0361)9006812-13, FAX. (0361) 4427218

RUMAH
RINCIAN BIAYA KEPANITERAAN KLINIK MADYA (K
MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS
PERIODE JANUARI 2017
DI RSUD KABUPATEN BADUNG MANGUSADA

BIAYA
ORIENTASI PRAKTIK
NO NIM NAMA
Jasa Jasa Jasa
Sarana Pelayanan Sarana

I. SMF. OBSTETRI & GINEKOLOGI

1 1102005014 Aditya Sanjaya 18,000 12,000 80,000


2 1102005109 Febriyani 18,000 12,000 80,000
3 1202005067 Made citra Saraswati 18,000 12,000 80,000
4 1202005094 Putu Gian Mihartari 18,000 12,000 80,000
5 1202005117 Ryuu Damara Parisudha 18,000 12,000 80,000
6 1202005228 Sharmila Rajan Inderan 18,000 12,000 80,000
7 1202005086 Yayang Christian 18,000 12,000 80,000
8 1202005087 Nyoman Damar Widya Dharma 18,000 12,000 80,000
9 1202005110 I Gede Raditya Narayana 18,000 12,000 80,000
10 1202005225 Kuhaneisan Selvaraj 18,000 12,000 80,000
11 1202005233 Khautar Binti Alharsikannil 18,000 12,000 80,000
12 1202005240 Alya Faqihah Binti Jelani 18,000 12,000 80,000
JUMLAH 216,000 144,000 960,000

TOTAL SMF OBSTETRI & GINEKOLOGI JANUARI 2017


BIAYA
ORIENTASI PRAKTIK
NO NIM NAMA
Jasa Jasa Jasa
Sarana Pelayanan Sarana

II. SMF. PENYAKIT DALAM

13 1202006033 Ketut Pramana Adiputra 18,000 12,000 80,000


14 1202006034 Ni Wayan Cahya Rustina 18,000 12,000 80,000
15 1202006035 Ni Putu Ayu Elistya Ning Purwani 18,000 12,000 80,000
16 1202006036 Kadek Dewi Ari Fransisca 18,000 12,000 80,000
17 1202006041 Putu Dania Danirmala gunarsa 18,000 12,000 80,000
18 1202006129 NI Putu Akopita Dewi 18,000 12,000 80,000
19 1202006136 AA. Prama Swari Khrisna 18,000 12,000 80,000
20 1202006155 Nyoman Khrisna Dharmawan 18,000 12,000 80,000
21 1202006157 I Gusti Ngurah Krisna Priyaka 18,000 12,000 80,000
22 1202006159 Muhamad Ramadan 18,000 12,000 80,000
23 1202006161 Putu Pradnyadewi Nataswari 18,000 12,000 80,000
24 1202006169 Putu Satya Pratini 18,000 12,000 80,000
25 1202006239 Gopi Khrisnan 18,000 12,000 80,000
26 1202006158 Putu Sukedana 18,000 12,000 80,000
JUMLAH 252,000 168,000 1,120,000
TOTAL SMF PENYAKIT DALAM JANUARI 2017

III. SMF. PSIKIATRI

27 1102005021 Ketut Ayu Hartarani Prasetya 18,000 12,000 80,000


28 1207006163 NI Gusti Putu Raka Ariani 18,000 12,000 80,000
JUMLAH 36,000 24,000 160,000
TOTAL SMF PSIKIATRI JANUARI 2017
BIAYA
ORIENTASI PRAKTIK
NO NIM NAMA
Jasa Jasa Jasa
Sarana Pelayanan Sarana

IV. SMF. THT-KL

29 1202006194 Ni Putu Belinda Wiraanjani 18,000 12,000 80,000


30 1202006118 Made Elshinta Jayanthi Aksara 18,000 12,000 80,000
JUMLAH 36,000 24,000 160,000
TOTAL SMF THT-KL JANUARI 2017
JUMLAH TOTAL KESELURUHAN
UNTUK PERIODE JANUARI 2017 540,000 360,000 2,400,000
H KABUPATEN BADUNG
KIT UMUM DAERAH
APAL MENGWI BADUNG BALI
1)9006812-13, FAX. (0361) 4427218

RSUDUMUM
RUMAH SAKIT BADUNG
DAERAH BA
ANITERAAN KLINIK MADYA (KKM)
KEDOKTERAN UNIVERSITAS UDAYANA
ODE JANUARI 2017
PATEN BADUNG MANGUSADA

BIAYA
PRAKTIK UJIAN JUMLAH
TOTAL
Jasa Jasa Jasa STASE
Pelayanan Sarana Pelayanan

75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
900,000 0 0
2,220,000
GINEKOLOGI JANUARI 2017
BIAYA
PRAKTIK UJIAN JUMLAH
TOTAL
Jasa Jasa Jasa STASE
Pelayanan Sarana Pelayanan

75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
1,050,000 0 0
T DALAM JANUARI 2017
2,590,000

75,000 0 0 1 185,000
75,000 0 0 1 185,000
150,000 0 0
ATRI JANUARI 2017
370,000
BIAYA
PRAKTIK UJIAN JUMLAH
TOTAL
Jasa Jasa Jasa STASE
Pelayanan Sarana Pelayanan

75,000 0 0 1 185,000
75,000 0 0 1 185,000
150,000 0 0
370,000
KL JANUARI 2017

2,250,000 0 0 1 5,550,000

Mangupura, 17 Juli 2017


Direktur Rumah sakit Umum Daerah
Kabupaten Badung Mangusada

dr. I Nyoman Gunarta, MPH


Pembina
NIP. 19721213 200212 1 005
MUM DAERAH BADUNG
PEMERINTAH KABUPATEN BADUNG
RUMAH SAKIT UMUM DAERAH
JALAN RAYA KAPAL MENGWI BADUNG BALI
TELP. (0361)9006812-13, FAX. (0361) 4427218

RSU
RUMAH SAK
RINCIAN BIAYA KEPANITERAAN KLINIK MADYA (KKM)
MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
PERIODE FEBRUARI 2017
DI RSUD KABUPATEN BADUNG MANGUSADA

BIAYA
ORIENTASI PRAKTIK UJIAN
NO NIM NAMA
Jasa Jasa Jasa Jasa Jasa
Sarana Pelayanan Sarana Pelayanan Sarana

I. SMF. OBSTETRI & GINEKOLOGI

1 1202006072 Christophoroes Jonathan Tansil 18,000 12,000 80,000 75,000 0


2 1202006175 Lusia Nasrani 18,000 12,000 80,000 75,000 0
3 1202006216 Sureshnaidu Applainadu 18,000 12,000 80,000 75,000 0
4 1202006217 Siva Jothiswari Selvanathan 18,000 12,000 80,000 75,000 0
JUMLAH 72,000 48,000 320,000 300,000 0
TOTAL SMF OBSTETRI & GINEKOLOGI FEBRUARI 2017

II. SMF. PSIKIATRI

5 1202006105 Putu Cintya Ratnadi 18,000 12,000 80,000 75,000 0


JUMLAH 18,000 12,000 80,000 75,000 0
TOTAL SMF PSIKIATRI FEBRUARI 2017
BIAYA
ORIENTASI PRAKTIK UJIAN
NO NIM NAMA
Jasa Jasa Jasa Jasa Jasa
Sarana Pelayanan Sarana Pelayanan Sarana

III. SMF. THT-KL

6 1202006082 Ni Nyoman Trisnawardani 18,000 12,000 80,000 75,000 0


7 1202006014 Made Widha Pajaskara 18,000 12,000 80,000 75,000 0
8 1202006181 Dewa Ayu Putri Novita Dewi 18,000 12,000 80,000 75,000 0
9 1202006045 Md Sushmita Dharmasuari 18,000 12,000 80,000 75,000 0
10 1102005019 Krishnaliani Wetarini 18,000 12,000 80,000 75,000 0
JUMLAH 90,000 60,000 400,000 375,000 0
TOTAL SMF THT-KL FEBRUARI 2017
JUMLAH TOTAL KESELURUHAN
UNTUK PERIODE FEBRUARI 2017 180,000 120,000 800,000 750,000 0

Mangupu
Direktur Rumah
Kabupaten B

dr. I Nyoma
P
NIP. 197212
AH KABUPATEN BADUNG
AKIT UMUM DAERAH
A KAPAL MENGWI BADUNG BALI
361)9006812-13, FAX. (0361) 4427218

RSUDUMUM
RUMAH SAKIT BADUNG
DAERAH BA
ANITERAAN KLINIK MADYA (KKM)
KEDOKTERAN UNIVERSITAS UDAYANA
ODE FEBRUARI 2017
PATEN BADUNG MANGUSADA

BIAYA
UJIAN JUMLAH
TOTAL
Jasa STASE
Pelayanan

0 1 185,000
0 1 185,000
0 1 185,000
0 1 185,000
0
740,000
INEKOLOGI FEBRUARI 2017

0 1 185,000
0
185,000
ATRI FEBRUARI 2017
BIAYA
UJIAN JUMLAH
TOTAL
Jasa STASE
Pelayanan

0 1 185,000
0 1 185,000
0 1 185,000
0 1 185,000
0 1 185,000
0
925,000
KL FEBRUARI 2017

0 1 1,850,000

Mangupura, 17 Juli 2017


Direktur Rumah sakit Umum Daerah
Kabupaten Badung Mangusada

dr. I Nyoman Gunarta, MPH


Pembina
NIP. 19721213 200212 1 005
PEMERINTAH KABUPATEN BADUNG
RUMAH SAKIT UMUM DAERAH
JALAN RAYA KAPAL MENGWI BADUNG BALI
TELP. (0361)9006812-13, FAX. (0361) 4427218

RSUDUMUM
RUMAH SAKIT BADUNG
RINCIAN BIAYA KEPANITERAAN KLINIK MADYA (KKM)
DAERAH BADU
MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
PERIODE MARET 2017
DI RSUD KABUPATEN BADUNG MANGUSADA

BIAYA
ORIENTASI PRAKTIK UJIAN JUMLAH
NO NIM NAMA TOTAL
Jasa Jasa Jasa Jasa Jasa Jasa STASE
Sarana Pelayanan Sarana Pelayanan Sarana Pelayanan

I. SMF. OBSTETRI & GINEKOLOGI

1 1202006056 Ketut Mahatma Dharma Wijaya 18,000 12,000 80,000 75,000 0 0 1 185,000
2 1202006096 Made Adinata Purnawijaya 18,000 12,000 80,000 75,000 0 0 1 185,000
3 1202006103 Ngakan Gede Agung Panji Khrisna S. 18,000 12,000 80,000 75,000 0 0 1 185,000
4 1202006210 Kausalya Neelamagam 18,000 12,000 80,000 75,000 0 0 1 185,000
5 1302006118 I Putu Raditya Dananjaya S. 18,000 12,000 80,000 75,000 0 0 1 185,000
6 1302006232 Ni Putu Deby Rathasari 18,000 12,000 80,000 75,000 0 0 1 185,000
7 1202006092 I Putu Putrayasa Wiguna 18,000 12,000 80,000 75,000 0 0 1 185,000
8 1202006170 I Gede Arya Eka Wibawa 18,000 12,000 80,000 75,000 0 0 1 185,000
9 1202006196 Taufan Hendra Wirawan 18,000 12,000 80,000 75,000 0 0 1 185,000
10 1202006223 Vijay Ramachandran 18,000 12,000 80,000 75,000 0 0 1 185,000
11 1302006045 Kadek Budi Juliantari 18,000 12,000 80,000 75,000 0 0 1 185,000
12 1302006202 I Gst. Agung ayu Bella Jayaningrum 18,000 12,000 80,000 75,000 0 0 1 185,000
BIAYA
ORIENTASI PRAKTIK UJIAN JUMLAH
NO NIM NAMA TOTAL
Jasa Jasa Jasa Jasa Jasa Jasa STASE
Sarana Pelayanan Sarana Pelayanan Sarana Pelayanan
JUMLAH 216,000 144,000 960,000 900,000 0 0
2,220,000
TOTAL SMF OBSTETRI & GINEKOLOGI MARET 2017
BIAYA
ORIENTASI PRAKTIK UJIAN JUMLAH
NO NIM NAMA TOTAL
Jasa Jasa Jasa Jasa Jasa Jasa STASE
Sarana Pelayanan Sarana Pelayanan Sarana Pelayanan

II. SMF. PENYAKIT DALAM

13 1202006017 Ni Wayan Saras Sasmita 18,000 12,000 80,000 75,000 0 0 1 185,000


14 1202006086 Yayang Christian 18,000 12,000 80,000 75,000 0 0 1 185,000
15 1202006121 I Made Surya Budikusuma 18,000 12,000 80,000 75,000 0 0 1 185,000
16 1202006207 Kaithri Ramayah 18,000 12,000 80,000 75,000 0 0 1 185,000
17 1202006214 Shobana Raveemdran 18,000 12,000 80,000 75,000 0 0 1 185,000
18 1202006233 Kouthar Binti Aiharsikamil 18,000 12,000 80,000 75,000 0 0 1 185,000
19 1202006237 Dian Fitria Binti Abdul Hadie 18,000 12,000 80,000 75,000 0 0 1 185,000
20 1202006014 Aditya Sanjaya 18,000 12,000 80,000 75,000 0 0 1 185,000
21 1202006121 Oyogi Ryusuke 18,000 12,000 80,000 75,000 0 0 1 185,000
22 1202006130 Pande Komang Gede Bayu Wikrama 18,000 12,000 80,000 75,000 0 0 1 185,000
23 1202006132 Anak Agung Ayu Karina Damayanti 18,000 12,000 80,000 75,000 0 0 1 185,000
24 1202006138 Rengga Septivianti 18,000 12,000 80,000 75,000 0 0 1 185,000
25 1202006225 Kuhanisan Selvaraj 18,000 12,000 80,000 75,000 0 0 1 185,000
26 1202006228 Sarmila Rajan Inderan 18,000 12,000 80,000 75,000 0 0 1 185,000
27 1202006230 Tharsini Raja 18,000 12,000 80,000 75,000 0 0 1 185,000
28 1202006231 Vinoshalmi Jessenggar 18,000 12,000 80,000 75,000 0 0 1 185,000
29 1202006232 Devar Indiran 18,000 12,000 80,000 75,000 0 0 1 185,000
30 1202006235 Roshinee Ummi Krishnan 18,000 12,000 80,000 75,000 0 0 1 185,000
31 1202006240 Alya Faqihah Binti Jelani 18,000 12,000 80,000 75,000 0 0 1 185,000
32 1302006010 Maretta Rosabella Purnamasari 18,000 12,000 80,000 75,000 0 0 1 185,000
33 1302006075 Patricia Dea Hartanto 18,000 12,000 80,000 75,000 0 0 1 185,000
34 1302006076 Ni Luh Raka Mery Hardiani 18,000 12,000 80,000 75,000 0 0 1 185,000
35 1302006153 Sintia Sugiarto Rahmasari 18,000 12,000 80,000 75,000 0 0 1 185,000
36 1302006179 Calvin Jonathan 18,000 12,000 80,000 75,000 0 0 1 185,000
37 1302006192 Tjokorda Dwi Agustyawan Pemayun 18,000 12,000 80,000 75,000 0 0 1 185,000
38 1302006185 Gusti Agung Made Siddhi Putra 18,000 12,000 80,000 75,000 0 0 1 185,000
BIAYA
ORIENTASI PRAKTIK UJIAN JUMLAH
NO NIM NAMA TOTAL
Jasa Jasa Jasa Jasa Jasa Jasa STASE
Sarana Pelayanan Sarana Pelayanan Sarana Pelayanan
39 1302006201 Made Bayu Puradipa 18,000 12,000 80,000 75,000 0 0 1 185,000
40 1302006215 Ni Putu Liza Murtia Margha 18,000 12,000 80,000 75,000 0 0 1 185,000
41 1302006231 Komang Satrya Wiarawan 18,000 12,000 80,000 75,000 0 0 1 185,000
42 1302006248 I Kadek Rai Suardita 18,000 12,000 80,000 75,000 0 0 1 185,000
43 1302006279 Shalini Kalithasan 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 558,000 372,000 2,480,000 2,325,000 0 0
5,735,000
TOTAL SMF PENYAKIT DALAM MARET 2017
BIAYA
ORIENTASI PRAKTIK UJIAN JUMLAH
NO NIM NAMA TOTAL
Jasa Jasa Jasa Jasa Jasa Jasa STASE
Sarana Pelayanan Sarana Pelayanan Sarana Pelayanan

III. SMF. PSIKIATRI

44 1302006136 I Dewa Ayu Citra Kirana 18,000 12,000 80,000 75,000 0 0 1 185,000
45 1302005167 Ayu Nursanti Jahya 18,000 12,000 80,000 75,000 0 0 1 185,000
46 1302006197 Ni Wayan Ari Utami 18,000 12,000 80,000 75,000 0 0 1 185,000
47 1302006004 Ngurah Kade Jaya Wiguna 18,000 12,000 80,000 75,000 0 0 1 185,000
48 1302006025 Putu Eka Buana Sari 18,000 12,000 80,000 75,000 0 0 1 185,000
49 1302006040 Desak Made Suci Nirmala 18,000 12,000 80,000 75,000 0 0 1 185,000
50 1202006032 Risna Dea Pramita 18,000 12,000 80,000 75,000 0 0 1 185,000
51 1202006091 G.A. Ade Cahayani Saraswati 18,000 12,000 80,000 75,000 0 0 1 185,000
52 1302006130 I Gd. Kmg. Agung Tresna R. 18,000 12,000 80,000 75,000 0 0 1 185,000
53 1302006216 Ni Kdk. Dyah Devita Sari 18,000 12,000 80,000 75,000 0 0 1 185,000
54 1302006257 Anak Agung Wira Ryantama 18,000 12,000 80,000 75,000 0 0 1 185,000
55 1302006289 Kogeela Vani Verasingam 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 216,000 144,000 960,000 900,000 0 0
2,220,000
TOTAL SMF PSIKIATRI MARET 2017

IV. SMF. THT-KL

56 1302006256 Ida Bagus Aditya Mayunda 18,000 12,000 80,000 75,000 0 0 1 185,000
57 1302006095 Putu Anggitha Surya Paramitha 18,000 12,000 80,000 75,000 0 0 1 185,000
58 1302006101 Dw. A. Komang Trisya Artha Putri 18,000 12,000 80,000 75,000 0 0 1 185,000
59 1202006043 Putu Dyah Wulandari Putri 18,000 12,000 80,000 75,000 0 0 1 185,000
60 1202006173 Luh Nyoman Ananda Mahayanti 18,000 12,000 80,000 75,000 0 0 1 185,000
61 1202006172 I Wayan Pradnyana Mahardika 18,000 12,000 80,000 75,000 0 0 1 185,000
62 1202006018 I Made Kasmadi Gunawan 18,000 12,000 80,000 75,000 0 0 1 185,000
63 1202006039 Anastasia Anita Rusli 18,000 12,000 80,000 75,000 0 0 1 185,000
64 1202006166 I Gede Putu Widya artha 18,000 12,000 80,000 75,000 0 0 1 185,000
BIAYA
ORIENTASI PRAKTIK UJIAN JUMLAH
NO NIM NAMA TOTAL
Jasa Jasa Jasa Jasa Jasa Jasa STASE
Sarana Pelayanan Sarana Pelayanan Sarana Pelayanan
JUMLAH 162,000 108,000 720,000 675,000 0 0
1,665,000
TOTAL SMF THT-KL MARET 2017
BIAYA
ORIENTASI PRAKTIK UJIAN JUMLAH
NO NIM NAMA TOTAL
Jasa Jasa Jasa Jasa Jasa Jasa STASE
Sarana Pelayanan Sarana Pelayanan Sarana Pelayanan

V. SMF. KULIT & KELAMIN

65 1302006036 Devina Martina Bumi 18,000 12,000 80,000 75,000 0 0 1 185,000


66 1302006209 I Gusti Bagus Teguh Pramana 18,000 12,000 80,000 75,000 0 0 1 185,000
67 1302006133 Anak Agung Gede Waisampayana P. 18,000 12,000 80,000 75,000 0 0 1 185,000
68 1302006067 Gusti Ayu Tika Pitha Loka 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 72,000 48,000 320,000 300,000 0 0
740,000
TOTAL SMF KULIT & KELAMIN MARET 2017

JUMLAH TOTAL KESELURUHAN UNTUK PERIODE MARET 2017 12,580,000

Mangupura, 17 Juli 2017


Direktur Rumah sakit Umum Daerah
Kabupaten Badung Mangusada

dr. I Nyoman Gunarta, MPH


Pembina
NIP. 19721213 200212 1 005
SAKIT UMUM DAERAH BADUNG
PEMERINTAH KABUPATEN BADUNG
RUMAH SAKIT UMUM DAERAH
JALAN RAYA KAPAL MENGWI BADUNG BALI
TELP. (0361)9006812-13, FAX. (0361) 4427218

RSUD BADUNG
RUMAH SAKIT
RINCIAN BIAYA KEPANITRAAN KLINIK MADYA (KKM)
UMUM DAERAH
MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
PERIODE APRIL 2017
DI RSUD KABUPATEN BADUNG MANGUSADA

BIAYA
NO NIM NAMA ORIENTASI PRAKTIK UJIAN JUMLAH STASE TOTAL
Jasa Sarana Jasa Pelayanan Jasa Sarana Jasa Pelayanan Jasa Sarana Jasa Pelayanan

I. SMF. OBSTETRI & GINEKOLOGI

1 1302006074 Ida Ayu Cindy Agririsky 18,000 12,000 80,000 75,000 0 0 1 185,000
2 1302006216 Anak Agung I.A. Detritha S.P. 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 36,000 24,000 160,000 150,000 0 0
TOTAL SMF OBSTETRI & GINEKOLOGI APRIL 2017
370,000

II. SMF. PSIKIATRI

3 1302006031 I Gusti Ayu Ariningrat 18,000 12,000 80,000 75,000 0 0 1 185,000


4 1302006126 Pt. Ayu Adindhya Saraswati 18,000 12,000 80,000 75,000 0 0 1 185,000
5 1302006173 Made Diah Saraswati 18,000 12,000 80,000 75,000 0 0 1 185,000
6 1302006049 Made Yuliantari Dwi Astiti 18,000 12,000 80,000 75,000 0 0 1 185,000
7 1302006099 Gede Benny Setia Wirawan 18,000 12,000 80,000 75,000 0 0 1 185,000
8 1302006265 I.A. Pradnya Paramita 18,000 12,000 80,000 75,000 0 0 1 185,000
9 1302006062 Ni Nyoman Yuliantini 18,000 12,000 80,000 75,000 0 0 1 185,000
10 1302006220 Putu Bihan Surya Kinanta 18,000 12,000 80,000 75,000 0 0 1 185,000
11 1302006146 I G N A Trisnu Kamajaya 18,000 12,000 80,000 75,000 0 0 1 185,000
12 1202006082 Ni Nyoman Trisna Wardani 18,000 12,000 80,000 75,000 0 0 1 185,000
13 1302006014 I Kadek Adi Paramartha 18,000 12,000 80,000 75,000 0 0 1 185,000
14 1302006070 I Putu Nanda Pramadya P. 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 216,000 144,000 960,000 900,000 0 0
TOTAL SMF PSIKIATRI APRIL 2017
2,220,000

III. SMF. THT-KL

15 1202006162 Ida Bagus Gede Hendra Kusuma 18,000 12,000 80,000 75,000 0 0 1 185,000
16 1202006038 Kevin Kristian Putra 18,000 12,000 80,000 75,000 0 0 1 185,000
17 1202006002 Tjokorda Istri Pramitasuri 18,000 12,000 80,000 75,000 0 0 1 185,000
18 1202006054 Yudia Kuntara 18,000 12,000 80,000 75,000 0 0 1 185,000
19 1202006179 I Gede Mahardika 18,000 12,000 80,000 75,000 0 0 1 185,000
20 1302006005 Dewa Ayu sri Agung Suandewi 18,000 12,000 80,000 75,000 0 0 1 185,000
21 1302006021 Ni Luh Indah Suardewi 18,000 12,000 80,000 75,000 0 0 1 185,000
22 1302006241 Gede Dilajaya Robin 18,000 12,000 80,000 75,000 0 0 1 185,000
23 1302006242 Luh Putu Dea Sasmita Pralambari 18,000 12,000 80,000 75,000 0 0 1 185,000
24 1302006168 Annisa Alviariza 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 180,000 120,000 800,000 750,000 0 0
TOTAL SMF THT-KL APRIL 2017
1,850,000

IV. SMF. BEDAH

25 1202006176 Made Ayu Meita Wulandari 18,000 12,000 80,000 75,000 0 0 1 185,000
26 1202006183 Gde Ary Putra Kamajaya 18,000 12,000 80,000 75,000 0 0 1 185,000
27 1202006238 Mohamad Amirol Azizi B.D 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 54,000 36,000 240,000 225,000 0 0
TOTAL SMF BEDAH APRIL 2017
555,000

JUMLAH TOTAL KESELURUHAN UNTUK PERIODE APRIL 2017 4,995,000


JUMLAH TOTAL KESELURUHAN UNTUK PERIODE APRIL 2017 4,995,000
AERAH BADUNG
PEMERINTAH KABUPATEN BADUNG
RUMAH SAKIT UMUM DAERAH
JALAN RAYA KAPAL MENGWI BADUNG BALI
TELP. (0361)9006812-13, FAX. (0361) 4427218

RSUD BADUNG
RUMAH SAKIT
RINCIAN BIAYA KEPANITRAAN KLINIK MADYA (KKM)
UMUM DAERAH
MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
PERIODE MEI 2017
DI RSUD KABUPATEN BADUNG MANGUSADA

BIAYA
NO NIM NAMA ORIENTASI PRAKTIK UJIAN JUMLAH STASE TOTAL
Jasa Sarana Jasa Pelayanan Jasa Sarana Jasa Pelayanan Jasa Sarana Jasa Pelayanan

I. SMF. OBSTETRI & GINEKOLOGI

1 1202006030 Mike Rizki Amalia 18,000 12,000 80,000 75,000 0 0 1 185,000


2 1202006069 Regi Rinaldy Billjudika 18,000 12,000 80,000 75,000 0 0 1 185,000
3 1202006071 Stefanus Soewito Sutnto 18,000 12,000 80,000 75,000 0 0 1 185,000
4 1202006090 Fatqur Rochman 18,000 12,000 80,000 75,000 0 0 1 185,000
5 1202006118 Made Elshinta Jayanti Astara 18,000 12,000 80,000 75,000 0 0 1 185,000
6 1202005017 I Dewa Nyoman adi Suryana 18,000 12,000 80,000 75,000 0 0 1 185,000
7 1202006015 Ida Ayu Sintya Pratiwi 18,000 12,000 80,000 75,000 0 0 1 185,000
8 1202006074 Putu Taradipa Permana 18,000 12,000 80,000 75,000 0 0 1 185,000
9 1202006189 I Gusti Ayu Mahadewi 18,000 12,000 80,000 75,000 0 0 1 185,000
10 1202006091 I Dw.A.Tintyani Rahmani Wikananda 18,000 12,000 80,000 75,000 0 0 1 185,000
11 1202006192 Putu Ayu Paramitha Saraswaty 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 198,000 132,000 880,000 825,000 0 0
TOTAL SMF OBSTETRI & GINEKOLOGI MEI 2017
2,035,000
BIAYA
NO NIM NAMA ORIENTASI PRAKTIK
TOTAL SMF OBSTETRI & GINEKOLOGI MEI 2017
UJIAN JUMLAH STASE 2,035,000
TOTAL

II. SMF. INTERNA

12 1302006132 Ayu Hapsari 18,000 12,000 80,000 75,000 0 0 1 185,000


13 1302006164 Hanan Anwar Rusidi 18,000 12,000 80,000 75,000 0 0 1 185,000
14 1302006191 Kadek Surya Atmaja 18,000 12,000 80,000 75,000 0 0 1 185,000
15 1202006108 Sherryl Elita Tanjaya 18,000 12,000 80,000 75,000 0 0 1 185,000
16 1202006109 Hans Nuari 18,000 12,000 80,000 75,000 0 0 1 185,000
17 1202006196 Taufan Hendra Wirnawan 18,000 12,000 80,000 75,000 0 0 1 185,000
18 1202006209 Ni L.Pt.Wulan Budyawati 18,000 12,000 80,000 75,000 0 0 1 185,000
19 1202006100 Sathyagala Vikraman 18,000 12,000 80,000 75,000 0 0 1 185,000
20 1202006100 I.A.Md. Niki Putri Ashrita 18,000 12,000 80,000 75,000 0 0 1 185,000
21 1202006102 Md. Wirga Wirgunatha 18,000 12,000 80,000 75,000 0 0 1 185,000
22 1202006103 Ngk.Gd.Agung Panji Khrisna S. 18,000 12,000 80,000 75,000 0 0 1 185,000
23 1202006106 A.A.Gd.Ari Nanda Bhaswara 18,000 12,000 80,000 75,000 0 0 1 185,000
24 1202006107 Theresia Fitri Hakna Sihombing 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 234,000 156,000 1,040,000 975,000 0 0
TOTAL SMF INTERNA MEI 2017
2,405,000

III. SMF. PSIKIATRI

25 1302006011 Ni Wayan Ari Arindita Sari 18,000 12,000 80,000 75,000 0 0 1 185,000
26 1302006026 Gusti Ayu Nindia Nirmala Sari 18,000 12,000 80,000 75,000 0 0 1 185,000
27 1202006012 Sherly Yunita 18,000 12,000 80,000 75,000 0 0 1 185,000
28 1302006224 Kadek Adi Suryamulyawan 18,000 12,000 80,000 75,000 0 0 1 185,000
29 1202006003 Ni Made Parmiati Setyaningsih 18,000 12,000 80,000 75,000 0 0 1 185,000
30 1202006047 I Ketut Gde Arya Surya P 18,000 12,000 80,000 75,000 0 0 1 185,000
31 1302006121 Anindia Reina Yolanda 18,000 12,000 80,000 75,000 0 0 1 185,000
32 1302006092 Putu Gd. Agus Surya M 18,000 12,000 80,000 75,000 0 0 1 185,000
33 1202006120 I Putu Pranata Andi Yunarsa 18,000 12,000 80,000 75,000 0 0 1 185,000
BIAYA
NO NIM NAMA ORIENTASI PRAKTIK UJIAN JUMLAH STASE TOTAL

34 1302006142 Padma Permana 18,000 12,000 80,000 75,000 0 0 1 185,000


35 1302006185 I G A Made Sidhi Putra 18,000 12,000 80,000 75,000 0 0 1 185,000
36 1302006074 Ida Ayu Cindy Agririsky 18,000 12,000 80,000 75,000 0 0 1 185,000
37 1302006077 Tjok. Istri Prabhadevi Yudistira P 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 234,000 156,000 1,040,000 975,000 0 0
TOTAL SMF PSIKIATRI MEI 2017
2,405,000

IV. SMF. THT-KL

38 1302006052 Minako Kusumadewi 18,000 12,000 80,000 75,000 0 0 1 185,000


39 1302006067 Gusti Ayu Tika Pitha loka 18,000 12,000 80,000 75,000 0 0 1 185,000
40 1202006068 Josua 18,000 12,000 80,000 75,000 0 0 1 185,000
41 1202006023 Putu Suryawan 18,000 12,000 80,000 75,000 0 0 1 185,000
42 1202006147 Gde Giri Prathiwindya 18,000 12,000 80,000 75,000 0 0 1 185,000
43 1302006068 Ni Putu Devi Purnamayanti 18,000 12,000 80,000 75,000 0 0 1 185,000
44 1302006258 Desak Putu Kunti Wedayanti 18,000 12,000 80,000 75,000 0 0 1 185,000
45 1202006144 Luh Wira Pusvitasari 18,000 12,000 80,000 75,000 0 0 1 185,000
46 1202006035 Ni Putu Ayu Elistya Ning purwani 18,000 12,000 80,000 75,000 0 0 1 185,000
47 1202006159 Muhammad Ramadhan 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 180,000 120,000 800,000 750,000 0 0
TOTAL SMF THT-KL MEI 2017
1,850,000

V. SMF. BEDAH
48 1202006045 Made Sushmita Dharmasuari 18,000 12,000 80,000 75,000 0 0 1 185,000
49 1202006075 A.A.Ngurah Andri Ginesthira 18,000 12,000 80,000 75,000 0 0 1 185,000
50 1202006134 Kadek Dede Frisky Wiyanjana 18,000 12,000 80,000 75,000 0 0 1 185,000
51 1202006002 Tjokorda Istri Pramitasuri 18,000 12,000 80,000 75,000 0 0 1 185,000
52 1202006184 I Komang Aditya Arya Prayoga 18,000 12,000 80,000 75,000 0 0 1 185,000
BIAYA
NO NIM NAMA ORIENTASI PRAKTIK UJIAN JUMLAH STASE TOTAL
53 1202006005 Ni Kadek Ari Puji Astiti 18,000 12,000 80,000 75,000 0 0 1 185,000
54 1202006010 Ni Putu Winda Pradnyawati 18,000 12,000 80,000 75,000 0 0 1 185,000
55 1202006107 Komang Try Parama Anthika 18,000 12,000 80,000 75,000 0 0 1 185,000
56 1202006115 Fransiska Emerland Christy 18,000 12,000 80,000 75,000 0 0 1 185,000
57 1202006119 Ni Putu Prema Rossalia 18,000 12,000 80,000 75,000 0 0 1 185,000
58 1202006149 Ni Putu Ayu Astri Prana Iswara 18,000 12,000 80,000 75,000 0 0 1 185,000
59 1202006059 Gabrielle Alexander K 18,000 12,000 80,000 75,000 0 0 1 185,000
60 1202006065 Pradnya Tika Putri 18,000 12,000 80,000 75,000 0 0 1 185,000
61 1202006177 Ida Bagus Nym. Siwa Suditha 18,000 12,000 80,000 75,000 0 0 1 185,000
JUMLAH 252,000 168,000 1,120,000 1,050,000 0 0
TOTAL SMF BEDAH MEI 2017
2,590,000

JUMLAH TOTAL KESELURUHAN UNTUK PERIODE MEI 2017 11,285,000


H SAKIT UMUM DAERAH BADUNG
PEMERINTAH KABUPATEN BADUNG
RUMAH SAKIT UMUM DAERAH
JALAN RAYA KAPAL MENGWI BADUNG BALI
TELP. (0361)9006812-13, FAX. (0361) 4427218

RUM
RINCIAN BIAYA KEPANITRAAN KLINIK MAD
MAHASISWA FAKULTAS KEDOKTERAN UNIVERS
PERIODE JUNI 2017
DI RSUD KABUPATEN BADUNG MANGU

BIAYA
NO NIM NAMA ORIENTASI PRAKTIK
Jasa Sarana Jasa Pelayanan Jasa Sarana

I. SMF. OBSTETRI & GINEKOLOGI

1 1202006079 Ida Rahmat Permadi 18,000 12,000 80,000


2 1202006081 Lukita Qirotul Ayunin 18,000 12,000 80,000
3 1202006190 Odilia Dea Novena 18,000 12,000 80,000
4 1202006208 Shenbagam Mahalingam 18,000 12,000 80,000
5 1102005164 Made Rahayu Suryapramita Dusak 18,000 12,000 80,000
6 1302006046 Bintang Dwi Oktaviani 18,000 12,000 80,000
7 1302006083 Ni Komang Sri Padmiswari B 18,000 12,000 80,000
8 1302006098 I gusti Agung Indah Pradnyani RS 18,000 12,000 80,000
9 1302006184 I Gde Arya Dharmika Palguna 18,000 12,000 80,000
10 1302006211 Ni Putu Indah Kartika Putri 18,000 12,000 80,000
11 1302006227 Ni Putu Widya Nandasari 18,000 12,000 80,000
12 1302006127 Gede Agastya Pracheta Ewari 18,000 12,000 80,000
13 1302006137 Theodore Dharma Tedjamartono 18,000 12,000 80,000
JUMLAH 234,000 156,000 1,040,000
TOTAL SMF OBSTETRI & GINEKOLOGI JUNI 2

II. SMF. INTERNA

14 1302006004 Ngurah Kade Jaya Wiguna 18,000 12,000 80,000


15 1302006045 Kadek Budi Juliantari 18,000 12,000 80,000
16 1302006091 I Putu dodik Supartha 18,000 12,000 80,000
17 1302006210 Yosep Made Pius Cardia 18,000 12,000 80,000
18 1302006212 I Putu Candra Adi Nugraha 18,000 12,000 80,000
JUMLAH 90,000 60,000 400,000
TOTAL SMF INTERNA JUNI 2017
TOTAL SMF INTERNA JUNI 2017

III. SMF. PSIKIATRI

19 1302006214 Rania Ayu Permata Putri 18,000 12,000 80,000


20 1302006237 I.B. Gede Jayadharma 18,000 12,000 80,000
21 1302006148 Torika Anggi Pradana 18,000 12,000 80,000
22 1202006068 Josua 18,000 12,000 80,000
23 1302006001 Eny Mara Qanita 18,000 12,000 80,000
24 1302006022 Yogi Haditya 18,000 12,000 80,000
25 1302006035 Ni Luh Putu Kristiana Dewi 18,000 12,000 80,000
26 1302006230 Luh Putu Widya Saraswati 18,000 12,000 80,000
27 1302006296 Mahen Isaac Pannir Chelvan 18,000 12,000 80,000
28 1202006164 Angga Dharmayuda 18,000 12,000 80,000
JUMLAH 180,000 120,000 800,000
TOTAL SMF PSIKIATRI JUNI 2017

IV. SMF. THT-KL

29 1202006001 Luh Putu Feby Sriandari 18,000 12,000 80,000


30 1202006012 Sherly Yunita 18,000 12,000 80,000
31 1202006036 Kadek devi Ari Fransiska 18,000 12,000 80,000
32 1302006072 Ni Made Ayu Sri Hartatik 18,000 12,000 80,000
33 1202006111 Putu Aksa Viswanatha 18,000 12,000 80,000
34 1202006024 Ni Nym. Utami Wijayaswari Pande 18,000 12,000 80,000
35 1202006148 Ni Putu Ayu Windari Putri 18,000 12,000 80,000
JUMLAH 126,000 84,000 560,000
TOTAL SMF THT-KL JUNI 2017

V. SMF. KULIT
36 1202006163 Ni Gusti Putu Raka Ariani 18,000 12,000 80,000
37 1202006188 Putu Ayu Gadis Laksmita KY 18,000 12,000 80,000
JUMLAH 36,000 24,000 160,000
TOTAL SMF KULIT JUNI 2017

VI. SMF. BEDAH


38 1202006049 Made Shanti Wardana 18,000 12,000 80,000
39 1202006051 Fitriana Melinda 18,000 12,000 80,000
40 1202006064 Johan Andreasilli 18,000 12,000 80,000
41 1202006049 Ni Made JUNIlani 18,000 12,000 80,000
42 1202006051 Fransiska Lavinia Gracella 18,000 12,000 80,000
43 1202006053 Petrus Grasius Agung 18,000 12,000 80,000
44 1202006131 Ni Kadek Setyawati 18,000 12,000 80,000
45 1202006182 Ni Kadek Nita Utami 18,000 12,000 80,000
46 1202006174 Luh Made Hannisa Sandha 18,000 12,000 80,000
47 1202006179 I Gede Mahardika 18,000 12,000 80,000
48 12020061086 I Wayan Surya Nata 18,000 12,000 80,000
JUMLAH 198,000 132,000 880,000
TOTAL SMF BEDAH JUNI 2017

JUMLAH TOTAL KESELURUHAN UNTUK PERIO


PATEN BADUNG
MUM DAERAH
WI BADUNG BALI
X. (0361) 4427218

RSUD BADUNG
RUMAH SAKIT UMUM DAERAH BA
NITRAAN KLINIK MADYA (KKM)
DOKTERAN UNIVERSITAS UDAYANA
ODE JUNI 2017
TEN BADUNG MANGUSADA

BIAYA
PRAKTIK UJIAN JUMLAH STASE TOTAL
Jasa Pelayanan Jasa Sarana Jasa Pelayanan

75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
975,000 0 0
INEKOLOGI JUNI 2017
2,405,000

75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
375,000 0 0
NA JUNI 2017
925,000
NA JUNI 2017
925,000

75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
750,000 0 0
TRI JUNI 2017
1,850,000

75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
525,000 0 0
KL JUNI 2017
1,295,000

75,000 0 0 1 185,000
75,000 0 0 1 185,000
150,000 0 0
IT JUNI 2017
370,000

75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
75,000 0 0 1 185,000
825,000 0 0
AH JUNI 2017
2,035,000

UNTUK PERIODE JUNI 2017 8,880,000


ERAH BADUNG
PEMERINTAH KABUPATEN B
RUMAH SAKIT UMUM DA
JALAN RAYA KAPAL MENGWI BADUNG
TELP. (0361)9006812-13, FAX. (0361) 44272

DATA JUMLAH MAHASISWA KEDOKT


RUM
DI RSUD KABUPATEN BADUNG MA
TAHUN 2017

BULAN
NO BAGIAN/SMF
JANUARI PEBRUARI MARET APRIL MEI JUNI
1 SMF. INTERNA 14 0 31 0 13 5

2 SMF. OBGIN 12 4 12 2 11 13

3 SMF. PSIKIATRI 2 1 12 12 13 10

4 SMF. THT-KL 2 5 9 10 10 7

5 SMF. KULIT 0 0 4 0 0 2

6 SMF. BEDAH 0 0 0 3 14 11

TOTAL 30 10 68 27 61 48
KABUPATEN BADUNG
T UMUM DAERAH
L MENGWI BADUNG BALI
6812-13, FAX. (0361) 4427218

RSUD UMUM
RUMAH SAKIT BADUNG
AHASISWA KEDOKTERAN KKM
DAERAH B
PATEN BADUNG MANGUSADA
TAHUN 2017

BULAN
TOTAL
JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER
63

54

50

43

28

244
AERAH BADUNG