RSKTM

Yadika Healthcare Group

PENDAFTARAN PASIEN RONTGEN

Setting Jumlah
Data Pasien Paraf
NO Tgl RM Pesawat Film Tarif Keterangan
Petugas
Nama L/P Usia No. Foto Ruang Dr. Pengirim Pemeriksaan KV mAs 35 x 43

MARET 2011

- - - - - - - - - - - - - - -

APRIL 2011

- - - - - - - - - - - - - - -

MEI 2011

- - - - - - - - - - - - - - -

JUNI 2011

- - - - - - - - - - - - - - -

JULI 2011

- - - - - - - - - - - - - - -

AGUSTUS 2011
1. 8/28/2011 Ny. Rogaya P 60 Thn 1 ICU Fariz Thorax AP 60 0.4 1 AS 80,000
80,000

SEP 2011
1 9/17/2011 Ny. Suwarni P 77 Thn 2 IGD Viona Thorax PA 53 4 1 PR 80,000
2 9/19/2011 Ny. Dede P 56 Thn 3 IGD Nully Pedis Bil 45 2 PR 120,000
3 9/21/2011 NY. Dr. Hendrik Sulo P dws 4 rj Thorax PA 52 4 1 as 80,000
4 9/26/2011 Ny. Nienna Oroh P 60 thn 5 ICU Sudin Thorax AP 70 0.6 1 as 120,000 naik 50%
400,000

OKT 2011
1 10/5/2011 Tn. H Abdul Rahim Nasutio L/P 51 Thn 6 UGD Fiona Thorax PA 53 4 1 as 80. 000
2 10/7/2011 Tn. Sutrisno L/P 33 Thn 7 UGD Fiona Manus Dx ( Digit 2 ) 43 2 as 95,000
3 10/10/2011 00 02 41 Tn.Saipul Sidik L 18 Thn 8 306 Dr. Viona Thorax PA 53 3 1 PR 80,000
4 10/20/2011 Tn. Tjki Untung Iskandar L 34 Thn 9 dr. Suryo BNO 56 5 1 Pr klinik Tomang 5667957
5 10/26/2011 Tn. Matali L Thn 10 UGD dr. Fiona LumboSacral 74 12 as 132,000 lat 85 mas 12
6 10/28/2011 Ny. Pinkan P 34 Thn 11 UGD dr. Doddy Sp.OG Thorax PA 50 4 as 88,000
7 10/31/2011 TN. Samsul B L 51 Thn 12 LUAR dr. Nully Thorax PA 60 6 as 88,000 hsl tipis
483,000
 NOV 2011
1. 11/3/2011 Nn. Reni P 19 Thn 13 Luar dr. Toto Thorax PA 55 4 88,000
2 11/4/2011 AYU INDAH LESTARI, NN P 12 THN 14 UGD DR. FIONA THORAX AP 65 16 80000
3 11/4/2011 AGUNG IRAWAN, TN P 31 THN 15 UGD DR. FIONA THORAX AP 78 16 80000 cairan lemah
4 11/7/2011 Ny. Pinkan P 38 Thn 16 VK dr. Doddy Sp.OG Abdomen Polos 74 12 104,500 Cairan Baru
5 11/7/2011 Tn. Aryaditya L 28 Thn 17 Andini dr. Nully Sp.PD Thorax PA 62 6 88,000 pasien gemuk

6 11/7/2011 RIKA WATI, NY p 36 Thn 18 UGD Dr. Nefrida thorax ap 62 4 88,000

19 humerus dex 104,500
20 cruris dex 110,000
7 11/8/2011 Nn. Sri Nastiti P 26 Thn 21 Poly dr. Nefrida Thorax PA 50 4 88,000
8 11/11/2011 Tn. Syeh L 56 Thn 22 ICU dr. Laura Thorax AP 60 0.5 80,000
9 13/;11/2011 Tn. Hartono L 46 Thn 23 UGD dr. Doni Thorax PA 55 5 80,000 hr mgg
10 11/13/2011 Tn. Hartono L 46 thn 24 UGD dr. Doni Thorax PA 57 6 80,000 Kontrol efusi
11 11/13/2011 Nn. Sarah Fadilah P 15 Thn 25 UGD dr. Doni Thorax AP 60 6 80,000 hr mgg mlm
12 11/16/2011 Ny. Pinkan P 38 Thn 26 Poli dr. Doddy Sp.OG BNO IVP 80 26 650,000
13 11/17/2011 Tn. Hartono L 46 Thn 27 Perawatan dr. Nefrida Thorax 80,000 Pr
14 11/17/2011 Tn. Helmi L 28 Thn 28 Perawatan dr. Wira Thorax + Bahu R 210,000
15 11/21/2011 Tn. Helmi L 28 THn 29 ICU dr. Wira Bahu R 80 I 105,000 As
2,196,000
DES 2011
1 12/3/2011 Tn. Muhazir l 47 thn 30 UGD Dr. Nefrida Thorax AP 80,000
2 12/5/2011 Naning Triani, Mrs P 36 THn 31 UGD Dr. Nova cruris dex 115000
3 12/6/2011 Tn. Dado L 30 Thn 32 ICU dr. Sudin Sp.S Thorax AP+Cervical 205,000
4 12/6/2011 Abdurrachman, MR L 21 Thn 33 UGD Dr. Amanda V. Cervical 120000
34 Pedis Sin 95000
5 12/6/2012 Tn. Danu L Thn 35 UGD dr. Fiona Cranium 120,000
6 12/9/2011 Tn. Wira L 28 Thn 36 UGD dr. Wra Thorax PA 80000
7 12/12/2011 Tn. Angga L 17 Thn 37 Ranap dr. Nully Sp.PD Thorax PA 80000
8 12/25/2011 Ny.Puspita P 26 Thn 38 RAnap Dr. Nefrida BNO-IVP 80 26 715000
9 12/25/2011 Ny. Titin K P 28 Thn 39 LUAR APS Lumbo Sacral 80 26 138000
10 12/28/2011 Tn Iwan L 28 Thn 40 UGD dr. Nefrida Manus dextra 95000
12 1,748,000
OKTOBER 2012 PASIEN RONTGEN MG Jasa
Jasa dr.
Jasa dr.Pengi
Data Pasien Rad Pengiri
Tgl RM Tarif KET dr. Rad Radiasi rim
m
Nama L/P Usia Pemeriksaan

10/1/2012 001659 Ny. Saminah P 47 Thorax PA 45,000 MG 13,500 1,350 2,700

10/1/2012 001540 By.Ny.Emma P 13hri Babygram 75,000 MG 22,500 2,250 4,500

10/1/2012 001663 Tn. Irfan N L 27 Thorax PA 45,000 MG 13,500 1,350 2,700

10/1/2012 001665 Tn. Asmadi L 73 Thorax PA 45,000 MG 13,500 1,350 2,700

10/2/2012 001665 Ny. Sinah P 60 Thorax AP 45,000 MG 13,500 1,350 2,700

10/3/2012 001668 An. Akbar Zihad L 15 Thorax PA 45,000 MG 13,500 1,350 2,700

10/4/2012 001673 Ny. Sri Wahyuni P 43 Thorax PA 45,000 MG 13,500 1,350 2,700

10/4/2012 001671 Ny. Wati P 30 Thorax PA 45,000 MG 13,500 1,350 2,700

10/4/2012 001675 By. Ny. Kowimah P 1H Babygram 75,000 MG 22,500 2,250 4,500

10/5/2012 001671 Tn. Cikal Gilang L 20 Thorax PA 45,000 MG 13,500 1,350 2,700

10/6/2012 001681 Ny. Ida P 43 Thorax PA+Lat 45,000 MG 13,500 1,350 2,700

10/7/2012 001686 Tn. Saadih L 26 Thorax AP 45,000 MG 13,500 1,350 2,700

10/8/2012 001695 Tn. Udin L 26 Thorax AP 45,000 MG 13,500 1,350 2,700

Abdomen 50,000 MG 15,000 1,500 3,000

10/8/2012 001690 Tn. Ardawih L 60 Thorax AP 45,000 MG 13,500 1,350 2,700

10/9/2012 001701 Tn. Hasbi M L 23 Thorax PA 45,000 MG 13,500 1,350 2,700

10/10/2012 001704 Tn. Syahrul L 22 Thorax PA + Lat 75,000 MG 22,500 2,250 4,500

Abdomen Polos 50,000 MG 15,000 1,500 3,000

10/11/2012 001713 Ny. Noyah P 59 Thorax PA 45,000 MG 13,500 1,350 2,700

10/11/2012 001710 Ny.Nanih P 39 Thorax AP 45,000 mg 13,500 1,350 2,700

10/11/2012 001711 Ny.Alwiyah P 62 Thorax AP 45,000 MG 13,500 1,350 2,700

Pedis Dex 75,000 MG 22,500 2,250 4,500

10/11/2012 001712 Ny.Muryati P 21 Thorax PA 45,000 MG 13,500 1,350 2,700

10/11/2012 001718 An. Sinta P 11 Thorax PA 45,000 MG 13,500 1,350 2,700

10/11/2012 001720 Tn. Abu L 62 Thorax PA 45,000 MG 13,500 1,350 2,700

10/11/2012 001714 Tn. Bambang L 59 Thorax PA 45,000 MG 13,500 1,350 2,700

10/12/2012 001725 Tn. Sihna L 48 Angkle Join R 75,000 MG 22,500 2,250 4,500

10/12/2012 001724 An. Adinda P 1 Thorax AP+Lat 75,000 MG 22,500 2,250 4,500

10/12/2012 001726 An.Faisal L 8 Bln Abdomen Polos 50,000 MG 15,000 1,500 3,000

10/12/2012 000 Nn. Saniah P 22 Thorax PA 50,000 MG 15,000 1,500 3,000

10/12/2012 001728 Ny. Siti Rumiati P 52 Thorax PA 45,000 MG 13,500 1,350 2,700

10/12/2012 001278 Nn. Eki P 20 Thorax PA 45,000 MG 13,500 1,350 2,700

Abd 3 posisi 140,000 MG 42,000 4,200 8,400

10/12/2012 001706 By. Ny. Nathalia L 0HRI Babygram 75,000 MG 22,500 2,250 4,500

10/13/2012 001277 Ny. Warnah P 63 Thorax AP 45,000 MG 13,500 1,350 2,700

10/13/2012 001734 Ny. Masiyah P 52 Thorax AP 45,000 MG 13,500 1,350 2,700

10/13/2012 001091 Nn. Khadijah P 16 Thorax AP 45,000 MG 13,500 1,350 2,700

10/14/2012 001737 Tn. Burhanudin L 60 Thorax PA 45,000 MG 13,500 1,350 2,700

 abd polos 50,000 MG 15,000 1,500 3,000

10/14/2012 001738 Tn. Lasidjo L 58 Thorax AP 45,000 MG 13,500 1,350 2,700

10/14/2012 001741 Ny. Limah P 50 Thorax AP 45,000 MG 13,500 1,350 2,700

10/15/2012 001747 Ny. Elsih P 40 Abdomen Polos 50,000 MG 15,000 1,500 3,000

10/15/2012 001748 Tn. Rudy Achmad S L 74 Thorax AP 45,000 MG 13,500 1,350 2,700

Antebrachi L 65,000 MG 19,500 1,950 3,900

10/15/2012 001754 Tn. Suparid L 37 Thorax PA 45,000 MG 13,500 1,350 2,700

10/15/2012 001752 Ny. Maimanah P 21 Thorax PA 45,000 MG 13,500 1,350 2,700

10/15/2012 001751 Tn. Suwarto L 56 Thorax PA 45,000 MG 13,500 1,350 2,700

10/16/2012 001755 Tn. Surawan L 70 Thorax PA 45,000 MG 13,500 1,350 2,700

10/16/2012 001747 Ny. Elsih P 40 V. Thoraxalis 80,000 MG 24,000 2,400 4,800

10/16/2012 001756 An. Vivian P 4 Thorax AP 45,000 MG 13,500 1,350 2,700

10/16/2012 001757 Nn. Nurmawaddah P 22 Thorax AP 45,000 MG 13,500 1,350 2,700

10/16/2012 001763 An. Bungsu L 10 Thorax PA 45,000 MG 13,500 1,350 2,700

10/17/2012 001731 Nn. Utami P 24 Thorax PA 45,000 MG 13,500 1,350 2,700

10/17/2012 001756 An. Vivian P 4 Thorax Lat 45,000 MG 13,500 1,350 2,700

10/18/2012 001777 Tn. Eddy L 60 Thorax PA 65,000 MG 19,500 1,950 3,900

10/18/2012 001778 Nn. Fatmadillah P 15 Thorax PA 65,000 MG 19,500 1,950 3,900

10/18/2012 001779 Tn. Sucipto L 37 Thorax PA 65,000 MG 19,500 1,950 3,900

10/18/2012 001782 Ny. Yaminah P 70 Thorax AP 65,000 MG 19,500 1,950 3,900

10/19/2012 001786 Ny. Iis P 29 Thorax PA 65,000 MG 19,500 1,950 3,900

10/19/2012 001613 Ny. Heny Samsidar P 52 Thorax AP + Lat 115,000 MG 34,500 3,450 6,900

Abdomen Polos 85,000 MG 25,500 2,550 5,100

10/19/2012 001578 Tn. Sarman L 55 Thorax AP 65,000 MG 19,500 1,950 3,900

10/19/2012 000696 Tn. Iwan S L 53 Thorax AP 65,000 MG 19,500 1,950 3,900

10/19/2012 001787 Tn. Irwansyah L 37 Thorax AP + Lat 115,000 MG 34,500 3,450 6,900

10/19/2012 001793 Tn. Fahrul Irdan L 29 Thorax PA 65,000 MG 19,500 1,950 3,900

10/20/2012 001795 Nn. Rima P 16 Thorax PA 65,000 MG 19,500 1,950 3,900

10/20/2012 001796 Ny. Limah P 60 Thorax AP 65,000 MG 19,500 1,950 3,900

10/20/2012 001808 Ny.Made P 55 thorax AP 65,000 MG 19,500 1,950 3,900

10/20/2012 001806 Tn. Ahmad Rosadi L 44 Thorax PA 65,000 MG 19,500 1,950 3,900

10/20/2012 001803 Ny. Salma P 67 Thorax AP 65,000 MG 19,500 1,950 3,900

10/20/2012 001802 Tn. Agus L 26 Thorax AP 65,000 MG 19,500 1,950 3,900

10/21/2012 001782 Ny. Yaminah P 73 Thorax 1/2 duduk 65,000 MG 19,500 1,950 3,900

10/21/2012 001807 BY. Ny Heny P 8jam Babygram 75,000 MG 22,500 2,250 4,500

10/21/2012 001811 Tn. Muslim L 30 Thorax 65,000 MG 19,500 1,950 3,900

10/22/2012 001794 Ny. Sri P 50 Thorax PA 65,000 MG 19,500 1,950 3,900

10/22/2012 001814 Tn. Daryunas L 57 Thorax PA 65,000 MG 19,500 1,950 3,900

10/22/2012 001827 Tn. Salya L 32 Thorax PA 65,000 MG 19,500 1,950 3,900

10/22/2012 001824 Nn. Indah Lestari P 17 Thorax PA 65,000 MG 19,500 1,950 3,900
 Abdomen Polos 85,000 MG 25,500 2,550 5,100

10/23/2012 001821 Nn.Rizska P 20 Thorax PA 65,000 MG 19,500 1,950 3,900

10/23/2012 001810 Ny. Sumami P 50 Thorax PA 65,000 MG 19,500 1,950 3,900

10/24/2012 001850 Ny. Nenih S P 45 Thorax AP 65,000 MG 19,500 1,950 3,900

10/25/2012 001277 Ny. Warna P 62 Thorax PA 65,000 MG 19,500 2,275 4,550

10/26/2012 001858 Ny. Khodijah P 46 Thorax AP 65,000 MG 19,500 2,275 4,550

10/26/2012 001091 Nn. Khadijah P 15 Thorax AP 65,000 MG 19,500 2,275 4,550

10/26/2012 001863 Tn. Yudi L 29 Thorax PA 65,000 MG 19,500 2,275 4,550

10/27/2012 001864 Ny. Yatimah P 75 Thorax AP 65,000 MG 19,500 2,275 4,550

5,115,000 ### 155,075 ###

Di buat oleh Mengtahui

Asep AG dr. Hendrik Sulo, M.Kes, Sp.Rad

Radiografer Direktur
 REJECT ANALYSIS
TAHUN : 2012
JAN FEB MAR APR MEI JUN JUL AGUST SEP OKT
12% 5% 6% 5%

GRAFIK REJECT ANLYSIS TAHUN 2012

14%

12%

10%

8% Row 4
6%

4%

2%

0%
JAN FEB MAR APR
 NOP DES

2012

Row 4

APR