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JURNAL UMUM RAWAT JALAN

RS PALANG BIRU GOMBONG


TGL. 01 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

1-Jan-11 1 093659 Pr. Paulus Hendro 6,355 191,400


2 001022 Yuli Gestati 909 2,000 17,000 4,000 5,000
3 006139 Sr. Silvi 1,877 4,130 16,520
4 072513 Atit Yuni S 2,273 25,000
5 035889 Sartini 2,073 22,800
6 104579 Fr. Ambrosius Bille - 84,188 28,062 4,000 20,000 10,000
7 014836 Juwarto 116,950 4,268 4,000 30,000 15,000 3,500
8 100016 Sumadi 56,125 2,011 4,000 30,000
9 016928 Sarjono 120,925 10,993
10 096706 Ice Yovita 52,000 -
11 071156 Sasmita 180,500 -
12 104569 Sadiyem 151,000 - 4,000 20,000 10,000
13 104570 Arif Fajar Saputra 142,200 - 4,000 20,000 10,000
14 071726 Suparno 51,750 - 4,000 20,000 10,000
15 104571 Sutrisno 52,750 - 4,000 20,000 10,000
16 104572 Miftahul Huda 52,750 - 4,000 20,000 10,000
17 104578 Ragil Mustika 51,900 - 4,000 20,000 10,000
18 104577 Kade Arsani 99,050 - 4,000 20,000 10,000
19 104575 Andang Purwedi 81,000 - 4,000 20,000 10,000
20 054154 Aris Saptoro 87,000 - 4,000 20,000 10,000
21 104570 Fransiska 20,000 -
22 008949 Suniah 12,140 -
23 030863 Titin Rohanah 83,250 - 4,000 20,000 10,000
24 104580 Diva Selebrina 48,900 - 4,000 20,000 10,000
25 010994 Sutanti 144,100 -
26 101531 Muriyah 80,750 - 4,000 20,000 10,000
27 065844 Dewi H 54,500 -
28 104567 Cahyaningrum 50,750 - 4,000 20,000 10,000
29 104573 Niko Atis - 98,230 4,000 20,000 13,500 10,000
30 089691 Istanto - 101,800 4,000 20,000 27,500

1,790,290 - 30,759 338,148 - 252,982 76,000 - 320,000 60,000 28,500 186,000

Jurnal Umum 1,790,290


Kas dari Kassa 1,790,700
Selisih Kas 410
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 02 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

2-Jan-11 1 Manisri 100,000 - (100,000)


2 104573 Niko Atis 28,300 - 28,300
3 054946 Dwi Sumanti - 24,100
4 084073 Supriyadi - 10,200 74,800 4,000 20,000 10,000
5 061198 Robertus Eko W 9,000 - 70,350 4,000 20,000 10,000
6 019803 Marwito 13,500 -
7 104590 Yuliyanti 126,350 - 4,000 20,000 10,000
8 029412 Ponikem 152,850 - 4,000 20,000 10,000
9 000831 Setiawan 8,000 -
10 104588 Janto 65,250 - 4,000 20,000 10,000
11 016928 Sarjono 23,250 -
12 096500 Nasiran 27,400 -
13 065844 Vani 54,500 -
14 099565 Darmi 91,228 - 4,000 20,000 10,000
15 082931 Ana Rohyani 81,650 - 4,000 20,000 10,000
16 043293 Sutarman 118,395 - 4,000 20,000 13,500 13,500
17 104596 Warisno 100,640 - 4,000 20,000 7,000 10,000
18 080779 Reni Argustia 139,950 - 4,000 20,000 10,000
19 005867 Sudiyono 111,000 -
20 148124 Ayu 87,800 -
21 038782 Lutfi Ubaidillah 25,500 -
22 066014 Tuti 35,000 -
23 021595 Arif 51,300 -
24 Yuli G 7,850 -
25 000084 Agus Setiawan 34,500 -
26 008401 Milu Wahyu 81,650 4,000 20,000 10,000

1,393,213 100,000 - 115,950 28,300 145,150 (56,000) - 220,000 - 20,500 113,500

Jurnal Umum 1,293,213


Kas dari Kassa 1,293,600
Selisih Kas 387

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 03 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

3-Jan-11 1 098920 Dhoni Widiyanto - 173,700 4,000 20,000 10,000


2 100661 Riska Aidha Putri Nasokha 7,064 133,200 3,000 12,500 8,500 3,750
3 006090 Kasianti 2,068 4,600 33,650 3,000 12,500
4 068719 Amanda Aprilianti Saputri 2,582 5,680 38,220 3,000 12,500
5 061197 Ety Yuniarsih 1,523 16,750
6 083842 Wahyu Dwi A 818 9,000
7 005976 Alipah 795 8,750
8 087960 Ambrosius Richardo - 123,835 4,000 20,000 7,000 10,000
9 061198 Robertus Eko W 8,000 - 66,000 4,000 20,000 10,000
10 093659 Rm Paulus Hendra P - 149,000
11 Niko Atis 50,000 - 50,000
12 Milu Wahyu 81,700 - 81,700
13 Yosepha Iswidya 11,100 - 11,100
14 Istanto 101,800 - 101,800
15 104555 Faiz Nur Alif 101,400 2,355 47,000 3,000 12,500 3,000
16 Sr. Theresina 22,000 - 22,000
17 Fr. Marfel 18,700 - 18,700
18 104602 Adino Syam 66,940 - 4,000 20,000 10,000
19 043293 Sutarman 55,000 - 4,000 20,000 10,000
20 104601 Dodo Sutanto 62,000 - 4,000 20,000 10,000
21 148128 Neni 5,000 -
22 104599 Yasinta Sri W 127,630 - 4,000 20,000 13,500 13,500
23 104600 Sarijo 76,425 - 4,000 20,000 10,000
24 096745 Marlina 16,500 -
25 083957 Heri Wiyanto 99,000 -
26 098118 Maghfiroh 16,500 - 2,000
27 063698 Dwi Jalu 19,000 - 2,000
28 104610 Sugiyarti 63,182 4,244 3,000 12,500 500
29 072972 Warno 13,500 -
30 090195 Heni Laniwati 282,585 - 8,000 40,000 20,000
31 104606 Nur Aisah 23,500 -
32 102493 Farida Nur H 59,900 4,036 3,000 12,500
33 104447 Sri Utari 22,500 - 4,000 5,000
34 104608 Maryati 71,900 5,036 3,000 12,500 500
35 Meterai 36,000 - 36,000
36 104616 Amyati 51,500 -
37 104281 Yuniarti 20,000 - 4,000 8,500
38 070250 Sukinah 18,000 - 2,000
39 095219 Kasro 94,600 7,100 3,000 12,500 500
40 104445 Darsinah 9,000 - 4,000 5,000
41 104612 Yuni Astuti 104,150 3,332 3,000 12,500
42 029137 Supriyo 75,500 5,455 3,000 12,500
43 060136 Soderi 126,250 3,977 3,000 12,500 10,500 5,500
44 086872 Alin Wisaka 50,650 3,195 3,000 12,500
45 104615 Andrew 107,250 8,341 3,000 12,500
46 104614 Samini 125,750 6,559 3,000 17,000 8,000
47 083479 Saminah 97,000 2,591 4,000 30,000
48 056240 Painah 107,800 6,709 4,000 30,000
49 059570 Marsinah 140,500 9,682 4,000 30,000
50 055589 Kasinem 13,500 -
51 101882 Sayum 92,075 5,189 4,000 30,000 500
52 100582 Manisah Edi 147,000 7,082 4,000 36,500 3,000
53 104564 Mujiarti 58,900 2,264 4,000 30,000
54 035906 Kasta Pawira 34,000 - 4,000 30,000
55 104604 Romelan 183,900 10,436 4,000 36,500 3,000
56 102973 Juminah 164,000 9,136 4,000 30,000
57 046734 Monalisa 97,050 5,732 4,000 30,000
58 074564 Mulyakin 332,300 17,664 4,000 39,500 4,750
59 058244 Tasman 34,000 - 4,000 30,000
60 104611 Dulah 69,500 - 2,500 10,500 5,500
61 086648 Ika Ernawati 145,125 10,102 4,000 30,000
62 104465 Ponirah 55,600 5,055
63 AGH Gombong 200,000 -
64 080254 Sapen 57,000 2,000 4,000 30,000 500
65 043535 Paryati 113,200 7,109 4,000 30,000 500
66 104436 Tarmin 169,800 12,345 4,000 30,000
67 104609 Sulastri 302,500 -
68 092596 Alifah 148,700 12,109 3,000 12,500
69 063102 Titik Suwarni 47,500 - 4,000 30,000
70 092459 Kartinem 91,000 6,864 3,000 12,500
71 104617 Sakto Aga Kusuma 172,550 12,595 4,000 30,000
72 104620 Tarmuni 202,325 - 4,000 20,000 10,000
73 103107 Dasinem 266,500 19,909 4,000 30,000
74 104430 Parjem 164,300 11,845 4,000 30,000
75 048106 Iin Indra 34,000 - 4,000 30,000
76 000351 Lasiyah 47,500 - 4,000 30,000
77 104619 Anggita P 63,600 4,373 3,000 12,500
78 096993 Sukardi 76,600 2,055 4,000 30,000
79 101669 Jamadi 89,900 5,082 4,000 30,000
80 076817 Sakono 57,000 2,091 4,000 30,000
81 067507 Ponarsih 137,400 9,400 4,000 30,000
82 098895 Parmi 114,850 6,123 4,000 30,000
83 148135 Margi 29,600 2,691
84 090480 Sudarni 122,500 -
85 104460 Roma Hadi 289,125 22,193 4,000 30,000 3,500
86 104622 Hadi San Suwarto 84,750 - 4,000 20,000 10,000
87 050363 Sagimin 34,000 - 4,000 30,000
88 091687 Wahyu Widodo 213,200 15,291 4,000 30,000 3,500
89 103185 Saikem 61,000 1,455 4,000 30,000 3,500

7,457,062 - 315,651 475,515 332,300 286,870 279,500 217,000 240,000 982,000 20,500 192,000

Jurnal Umum 7,457,062


Kas dari Kassa 7,457,600
Selisih Kas 538

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 04 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

4-Jan-11 1 020580 Yusiva Sumarni 3,773 41,500


2 034744 Ita Dwi R 5,909 65,000
3 148137 Sr. Marieta 10,945 60,200 60,200
4 101136 Rm. Paul Suparno 6,773 74,500
5 066905 Nathania Kayla Y 9,032 19,870 94,980 3,000 12,500
6 055627 Dominikus Dato 19,709 497,300 4,000 65,000
7 013242 Mangun Darmo S 14,836 197,200 4,000 30,000
8 005745 Kristanti 49,377 108,600 468,550 4,000 30,000
9 046357 Sawiyem 12,505 172,550 4,000 30,000 500
10 005980 Chatarina - 3,000 42,000 6,000
11 104624 Lin Rostialina - 70,550 4,000 20,000 10,000
12 104613 Fitria Yuni 6,500 -
13 104623 Sarimun 119,500 - 4,000 20,000 10,000
14 104625 Ichtiono 203,550 - 4,000 20,000 10,000
15 090480 Sudarni 141,625 9,784 4,000 30,000
16 104536 Kasimin 258,000 19,364 4,000 30,000 3,500
17 017702 Decorine Lumintang 895,600 29,509 7,000 30,000 325,000
18 148140 Nofika 5,300 482
19 003803 Palupiningsih 164,825 - 4,000 20,000 10,000
20 104626 Nabila Aulia 136,200 - 4,000 20,000 10,000
21 104631 Emianingsih 52,000 -
22 104630 Nur Fara 51,500 -
23 000873 Evi Mariana 79,500 -
24 104632 Ari Dwi Oktaviananta 53,350 3,441 3,000 12,500
25 063698 Dwi Jalu 19,000 - 2,000
26 102870 Siti Nur Fatimah 94,350 8,577
27 089999 Bambang Prestiwanto 109,500 -
28 104638 Feriska Ristiana 64,800 4,482 3,000 12,500
29 101171 Suwarti 64,375 3,216 3,000 12,500
30 101803 Munareja 34,450 1,723 3,000 12,500
31 066012 Susiantoro 45,500 -
32 104628 Atri Widiastuti 146,525 10,230 4,000 30,000
33 005350 Slamet Agus 185,300 13,664 4,000 30,000 500
34 091414 Mukhidin 81,375 4,216 4,000 30,000 500
35 075426 Barjo Atmojo 18,500 - 2,000
36 091069 Sumiyarti 120,880 7,898 4,000 30,000
37 028735 Sumaryono 124,700 8,245 4,000 30,000
38 059384 Sutini 153,850 10,895 4,000 30,000
39 104123 Sunu 52,750 1,705 4,000 30,000
40 104629 Siti Ngaisyah 52,000 -
41 026228 Martana 193,825 14,439 4,000 30,000 500
42 104610 Eka Yuliyanti 12,000 - 4,000 5,000
43 104489 Dwi Julio 36,875 1,034 3,000 12,500 2,500
44 17375 Zulva Aska 16,500 - 2,000
45 012346 Ahmad M 26,000 -
46 098648 Sukarsih 142,100 9,827 4,000 30,000
47 095024 Sukarni 118,975 7,725 4,000 30,000
48 016505 Marto Laksana 136,500 6,127 4,000 36,500 3,000
49 17378 Go You Lam 18,000 - 2,000
50 102849 Pariyah 89,375 5,034 4,000 30,000
51 074564 Mulyakin 253,800 19,073 4,000 30,000
52 058435 Surati 74,700 3,700 4,000 30,000
53 104471 Manisem 84,400 4,582 4,000 30,000
54 079477 Susmini 158,150 11,195 4,000 30,000 500
55 041579 Adi Sutarso 51,750 1,614 4,000 30,000
56 091645 Pagem 181,625 13,420 4,000 30,000
57 104644 Sutarno 97,950 5,814 4,000 30,000
58 104645 Anisa Lidaul Husna 97,975 - 4,000 20,000 10,000
59 024536 Suharto 63,850 2,714 4,000 30,000
60 068818 Dwi Ariyani 3,675 334
61 061812 Sri Sukarmi 60,300 4,073 3,000 12,500
62 057156 Marto Dikromo 61,910 4,219 3,000 12,500
63 104341 Samini 169,075 12,280 4,000 30,000
64 029385 Sunarsih 114,000 7,273 4,000 30,000
65 052428 Tindraweni 34,000 - 4,000 30,000
66 043293 Sutarman 260,625 - 4,000 20,000 13,500
67 005068 Kiem Mei Lan 13,500 -
68 094284 Annis Sakinah 158,150 - 4,000 20,000 10,000
69 088235 Slamet Budi Aji 78,800 - 4,000 20,000 10,000
70 104599 Yasinta Sri W 45,000 - 4,000 20,000 13,500
71 104260 M Toha 169,175 8,834 6,000 50,000
72 000937 Gani Lukito 116,000 -
73 104642 Memet Riyadi 48,330 1,303 4,000 30,000
74 069767 Sudarno 92,000 5,273 4,000 30,000
75 038954 Sakimin 116,900 7,445 4,000 30,000 500
76 104646 Watini 121,835 7,985 4,000 30,000
77 104648 Siran 44,500 -
78 104564 Mutiarti 55,500 - 9,500 4,750
79 060261 Tri Hartono 146,500 10,227 4,000 30,000
80 042574 Muhamad Sukur 103,950 6,268 4,000 30,000 500
81 065912 Awalia 57,700 2,155 4,000 30,000
82 062499 Sriyono 136,975 9,361 4,000 30,000
83 061237 Suwarni 62,400 5,114 27,850 4,000 30,000
84 104495 Rodiah 90,850 5,168 4,000 30,000
85 048750 Lidia Linda 269,000 - 63,500 13,500
86 104651 Sri Sugiyarti 152,650 10,786 4,000 30,000
87 098735 Kusmiyati 133,600 7,827 4,000 30,000
88 Meterai 24,000 24,000
89 104647 Rudi 72,850 4,000 20,000 10,000

8,330,555 - 492,512 1,238,420 - 838,280 287,000 100,000 220,000 1,424,500 325,000 152,750

Jurnal Umum 8,330,555


Kas dari Kassa 8,331,300
Selisih Kas 745

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 05 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

5-Jan-11 1 102723 Sri Lestari 5,091 140,000 4,000 45,000


2 104664 Peni Eka Wati 27,400 6,968 64,750 3,000 12,500
3 104678 Rida Pratiwi 3,650 74,150 4,000 30,000
4 148149 Aisyah 9,450 103,950
5 087327 Indrawati 1,945 21,400
6 001823 Sr. Bernada 855 9,400
7 062365 Susteran 273 3,000
8 104507 Umi Chamidah 5,812 97,930 4,000 30,000
9 021088 Bernadine Frida 8,782 19,320 111,280 4,000 30,000
10 099289 Lutfina Elya Rameyza 498 39,475 4,000 30,000
11 010691 Supadi 69,550 3,232 4,000 30,000
12 000095 Nurngaeni 2,545 73,000 4,000 30,000 3,500
13 056267 Raditya Akbar P - 13,770 89,080 4,000 20,000 10,000
14 003061 Umi Wadingah 2,000 - 43,750 4,000 20,000 10,000
15 087324 Nia Purwati - 3,900 49,500 4,000 20,000 10,000
16 023327 Waluyo 11,400 - 79,500 4,000 20,000 10,000
17 001096 Sumargiyono - 10,200 74,800 4,000 20,000 10,000
18 101136 Rm Paul S - 20,000
19 068321 Tris Kuswardani 133,100 8,009 4,000 30,000 3,500
20 095928 Slamet 150,000 - 21,000 11,000
21 102732 Feri Kurniasih 109,500 - 4,000 20,000 10,000
22 009051 Indra 89,500 -
23 006137 dr. Harnowo 55,400 5,036
24 035097 Misawati 105,000 -
25 074564 Mulyakin 10,000 -
26 016928 Sarjono 274,800 24,982
27 17380 Sudarni 18,500 - 2,000
28 104663 Kenia Atma P 88,750 6,659 3,000 12,500
29 063698 Dwi Jalu 19,000 - 2,000
30 085990 Sutanto Henrywan 56,500 - 4,000 30,000
31 092612 Sukardi 94,500 7,182 3,000 12,500
32 024772 Sujimah 99,000 7,500 3,000 12,500 500
33 033137 Poniyah 197,320 13,529 4,000 30,000 500
34 094435 Sumarni 69,100 - 4,000 36,500 3,000
35 003387 Warjan 84,600 7,691
36 043293 Sutarman 41,500 - 4,000 20,000 10,000
37 104665 Sarikin 97,750 7,477 3,000 12,500
38 00602 Bambang S 5,000 - 5,000
39 086246 Munirah 137,975 6,261 4,000 36,500 3,000
40 100234 Warisno 34,000 - 4,000 30,000
41 Pengobatan dokter 113,000 - 113,000
42 076490 Heru Sucipto 28,200 2,564
43 087764 Miftahudin 23,450 2,132
44 104504 Atmo Suwito 121,675 7,970 4,000 30,000
45 104197 Banun Tri W 111,500 7,045 4,000 30,000
46 017884 Mingan Kromo W 34,000 - 4,000 30,000
47 104405 Ahmad Untung 102,800 6,255 4,000 30,000
48 078616 Unjiah 263,600 20,873 4,000 30,000
49 01545 Catarina Rubilah 123,000 8,091 4,000 30,000
50 048890 Rosidah 235,375 18,307 4,000 30,000
51 041473 Umi Napsiah 153,000 10,818 4,000 30,000
52 065909 Kaminem 80,500 3,636 4,000 30,000
53 060815 Oey Jiok Fung 116,500 -
54 101562 Hadi Winoto 38,500 409 4,000 30,000
55 011136 Yosepha Iswidya 6,600 600
56 104655 Sadem 66,550 6,050
57 148148 Gizi 33,800 3,073
58 104635 Puji Astuti 73,600 3,600 4,000 30,000
59 104283 Poniyem 126,000 3,818 4,000 45,000
60 104633 Harjinah 145,700 10,155 4,000 30,000
61 104674 Aditiya Tri W 108,600 6,782 4,000 30,000
62 094802 Ristyahana 39,600 3,600
63 104457 Arifiatun 102,000 1,636 4,000 45,000
64 104281 Yuniarti 6,700 609
65 094798 Widi Handayani 39,600 3,600
66 100917 Lia Yuniarti 114,200 10,382
67 101065 Dina Marlin 82,600 7,509
68 074644 Chaelani 185,476 13,771 4,000 30,000
69 104634 Jumiati 99,600 5,964 4,000 30,000
70 148150 Nur Alifiatun 39,600 3,600
71 050363 Sagimin 47,000 -
72 104636 Sukinah 113,200 7,200 4,000 30,000
73 104094 Nadianisa 166,026 12,002 4,000 30,000
74 104641 Eka Yulianti 109,500 2,318 4,000 45,000
75 103493 Yatinah 39,600 3,600
76 060483 Yulaika Ratna 39,600 3,600
77 103364 Rusmiyah 104,600 9,509
78 66909 Indah 39,600 3,600
79 029832 Wimbuh Rahayu 65,850 5,986
80 099899 Eem Prihartini 144,200 13,109
81 103980 Margaretha 39,600 3,600
82 017834 Jenita 210,250 16,023 4,000 30,000
83 104661 Sumirah 138,600 9,509 4,000 30,000
84 104466 Ratmini 102,000 1,636 4,000 45,000
85 001996 Sandiyasa 168,976 12,271 4,000 30,000
86 064926 Fisita Komaryati 118,000 3,091 4,000 45,000
87 047873 Kusumaningtyas 113,200 7,200 4,000 30,000
88 104657 Desi Purwaningsih 114,600 7,327 4,000 30,000
89 025439 Tutik 93,700 4,427 4,000 30,000 3,500
90 104347 Tusinem 164,000 7,273 4,000 45,000
91 029046 Ruswendh 39,600 3,600
92 098094 Parimi 39,600 3,600
93 047022 Karyati 39,600 3,600
94 103960 Feriyani 45,600 4,145
95 102731 Riris Winarni 74,600 6,782
96 104281 Yuniarti 45,000 - 4,000 30,000 3,500
97 063777 Budi Astuti 84,000 - 4,000 45,000
98 067117 Amanah 84,000 - 4,000 45,000
99 058749 Priskila 84,000 - 4,000 45,000
100 100781 Sri Hartati 126,000 3,818 4,000 45,000
101 047189 Kukuh Margi M 39,600 3,600
102 057720 Nurul Endarti 39,600 3,600
103 103968 Ari Wahyuni 39,600 3,600
104 095862 Budiman 39,600 3,600
105 097948 Iin Trimalasari 39,600 3,600
106 087263 Pingah 39,600 3,600
107 041010 Sri Yuliati 185,600 9,509 4,000 30,000
108 102063 Rusmiyati 39,600 3,600
109 067193 Sanreja 133,026 9,002 4,000 30,000
110 104096 Sri Wahyuningsih 79,200 7,200
111 055908 Isti Amalia 174,276 12,752 4,000 30,000
112 100647 Sumar 39,600 3,600
113 104668 Farah Agustina P 86,500 4,773 4,000 30,000
114 088744 Ricky Veranata 120,600 7,873 4,000 30,000
115 089789 Mulyani 39,600 3,600
116 101641 Mustolih 45,600 4,145
117 094935 Isnilawati 86,600 7,873
118 100918 Suparmi 39,600 3,600
119 104672 Saiful Siswantoro 86,500 4,773 4,000 30,000
120 104673 Tularsih 138,600 9,509 4,000 30,000
121 058110 Tuginah 73,600 3,600 4,000 30,000
122 100933 Sudarti 39,600 3,600
123 104670 Sri Suheni 211,726 16,157 4,000 30,000
124 026138 Septian Bayu A 80,600 7,327
125 034801 Galih Indira G 88,500 4,955 4,000 30,000
126 103366 Supardi 201,776 15,252 4,000 30,000
127 102564 Muji Hartati 39,600 3,600
128 039639 Iriani 39,600 3,600
129 016558 Masijah 39,600 3,600
130 042027 Suri Putri P 74,600 6,782
131 093239 Herni W 74,600 6,782
132 104387 Solihatiningsih 39,600 3,600
133 019740 Poniyah 79,200 7,200
134 045741 Wiwi Pridiastuti 168,976 12,271 4,000 30,000
135 103079 Punti Bera A 74,600 6,782
136 098033 Rodiyah 39,600 3,600
137 104384 Suminah 39,600 3,600
138 104675 Kustiyah 73,600 3,600 4,000 30,000
139 047209 Hartini 39,600 3,600
140 076598 Dullah Aspar 139,700 9,518 4,000 30,000 500
141 104381 Desi Natalia 58,000 3,455 4,000 8,500
142 104600 Hasna Aulia 90,000 5,091 4,000 30,000
143 101764 Agatha Lilian 90,000 5,091 4,000 30,000
144 061969 Arindra 34,000 - 4,000 30,000
145 088413 Aurelia H 122,515 8,047 4,000 30,000
146 104031 Satria P 34,000 - 4,000 30,000
147 100733 Flory Meisa 34,000 - 4,000 30,000
148 097847 Ilham Yusup 100,600 6,055 4,000 30,000
149 100816 Daffa Drajad 34,000 - 4,000 30,000
150 104611 Dullah 34,000 - 4,000 30,000
151 104379 Bimo sambudi 52,500 - 4,000 30,000 6,000
152 098623 Wagiyem 129,075 7,643 4,000 30,000 3,500
153 099140 Alexander 109,900 6,900 4,000 30,000
154 103033 Alif 152,600 6,236 4,000 80,000
155 104676 Aldian Kuncoro 224,026 17,275 4,000 30,000
156 096858 Eni Widiastuti 39,600 3,600
157 073470 Suparjo 227,900 17,627 4,000 30,000
158 66916 Musripah 39,600 3,600
159 100816 By Reniasih 64,412 5,856
160 043901 Tegar 132,525 12,048
161 66911 Sartini 56,800 5,164
162 104679 Rafi Rifaldi 166,575 - 4,000 20,000 7,000 10,000
163 050363 Sagimin 1,958,130 53,307 3,000 575,000
164 039056 Daffa Muhammad R - 158,250 4,000 20,000 10,000
165 104647 Rudi - 45,000 4,000 20,000 13,500

14,866,111 - 884,531 868,095 113,000 477,310 - 370,000 62,500 200,000 2,529,000 582,000 159,000

Jurnal Umum 14,866,111


Kas dari Kassa 14,866,600
Selisih Kas 489

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 06 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

6-Jan-11 1 090120 Riwati 11,791 163,700 4,000 30,000


2 088769 Kirana Nareswari 5,691 96,600 4,000 30,000
3 006137 dr. Harnowo 15,536 170,900
4 001759 Tri Soendarwati 15,136 166,500
5 090195 Heni Laniwati 49,600 (4,509)
6 087324 Nia Purwati 3,900 - 3,900
7 100916 Paidah - 54,000
8 005980 Chatarina - 2,000 13,000 2,000
9 064106 Wahyudi 122,950 - 4,000 20,000 10,000
10 037876 Hiantoro 106,550 - 4,000 20,000 10,000
11 104680 Rizal 138,230 - 4,000 20,000 13,500 13,500
12 66920 dr. Rebuwa 7,000 636
13 055284 Jun Wahyudiyanto 65,850 - 4,000 20,000 10,000
14 100259 San Murni 101,050 - 4,000 20,000 13,500
15 057673 Sri Wirastinah 12,000 -
16 070250 Sukinah 18,000 - 2,000
17 104683 Supriyono 93,848 7,032 3,000 12,500 500
18 104682 Herlangga Aditya 83,475 6,180 3,000 12,500
19 101824 Ahmad Sahudi 15,500 - 3,000 12,500
20 104685 Sutowo 76,000 5,409 3,000 12,500 500
21 009839 Cipto Utomo 33,000 3,000
22 Alexander Cahyo S 20,000 - 20,000
23 036059 Supardi 47,000 -
24 063423 Simin 68,000 - 4,000 30,000
25 103731 Endang Adistiyani 86,950 4,814 4,000 30,000
26 000084 Agus Setiawan 52,000 -
27 058292 Jaenab 63,450 2,586 4,000 30,000 500
28 075378 Sri Handayani 127,500 8,500 4,000 30,000
29 102304 Sobari 107,775 6,707 4,000 30,000
30 001391 Suwarti 174,500 12,682 4,000 30,000 500
31 Florentinus D 275,940 - 275,940
32 104258 Sabitah 110,100 6,918 4,000 30,000
33 102810 Sukarmi 174,235 8,203 4,000 80,000
34 043293 Sutarman 45,000 - 4,000 20,000 13,500
35 104496 San Marta 72,625 3,511 4,000 30,000
36 103177 Surip 179,800 13,255 4,000 30,000
37 029922 Laelatul Rosidah 154,000 4,273 3,000 12,500
38 053363 Sutaryo 98,500 4,636 4,000 30,000
39 104684 Tasikem 215,500 16,500 4,000 30,000
40 104686 Suratmi 173,950 12,723 4,000 30,000
41 055096 Kasinah 145,800 10,073 4,000 30,000 500
42 060113 Maemunah 96,950 5,632 4,000 30,000 500
43 084594 Hun Suparno 58,000 - 2,500 9,500 4,750
44 095885 Tugiman 58,000 - 2,500 9,500 4,750
45 100675 Meli Gandi P 92,500 5,318 4,000 30,000
46 103930 Radikin 73,000 3,545 4,000 30,000
47 042629 Pindika Desi 67,400 - 4,000 20,000 10,000
48 094916 Wagirah 58,000 - 2,500 9,500 4,750
49 004690 Sukinem 58,000 - 2,500 9,500 4,750
50 104640 Lusin 144,000 - 28,500 13,500
51 081423 PKU Gombong 379,100 34,464
52 104691 Agus S 58,000 - 2,500 9,500 4,750
53 058941 Agustina 7,500 682
54 100733 Flory Nafisa 130,000 - 4,000 49,000 9,000
55 104689 Sumiyati 578,280 - 4,000 20,000 13,500 10,000
56 66923 RSU Purbowangi 79,050 7,186
57 055827 Petrus Walgito 67,500 1,091 4,000 30,000 7,000
58 098714 Ernawati 84,750 - 4,000 20,000 10,000
59 100501 Danis Aslam 145,250 13,205
60 102767 Sariman 77,125 3,920 4,000 30,000
61 104693 Florentina Jesica 82,300 4,391 4,000 30,000
62 099764 Jeremy Evans 38,050 368 4,000 30,000
63 Rudi 117,850 - 117,850
64 000831 Setiawan 8,000 -
65 104694 Rachmi Dian 34,000 - 4,000 30,000
66 090751 Daniswara 34,000 - 4,000 30,000
67 101357 Christabela 90,000 5,091 4,000 30,000
68 096458 Muh Kaysan 34,000 - 4,000 30,000
69 104687 Septi Winda 89,500 4,000 39,500 4,750

6,020,583 49,600 266,176 743,200 397,690 13,000 - 183,500 62,500 180,000 1,044,500 27,000 161,500

Jurnal Umum 5,970,983


Kas dari Kassa 5,971,500
Selisih Kas 517

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 07 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

7-Jan-11 1 103511 Murdiati - 84,000 4,000 45,000


2 006090 Kasianti 20,131 44,300 211,145 4,000 30,000
3 104707 Slamet Sutarman 9,173 244,900 4,000 39,500 4,750
4 093659 Rm. Paulus - 70,500
5 068975 Sr. Theresina 6,236 34,300 34,300
6 099467 Demetrius Tristan W 2,009 37,600 3,000 12,500
7 026162 Suparni 7,300 - 58,200 3,000 12,500 8,500 4,750
8 093293 Astrina Hidayah 168 9,900 67,450 3,000 12,500 25,000
9 023327 Waluyo 1,636 3,600 29,900 3,000 12,500
10 016698 Robertus Eka W 14,000 - 89,650 4,000 20,000 10,000
11 002156 Tasini 15,800 - 96,950 4,000 20,000 10,000
12 001246 Marsudi - 11,000 78,400 4,000 20,000 10,000
13 075096 Agus Dwi N - 22,400 123,400 4,000 20,000 10,000
14 096487 Sri Daryati - 10,300 75,200 4,000 20,000 10,000
15 026169 Yohana Yuni K - 15,800 97,150 4,000 20,000 10,000
16 026974 Sugianto 13,500 -
17 104699 Defan 53,750 - 4,000 20,000 10,000
18 064623 RSU Purwogondo 366,400 33,309
19 096458 Muhamad Kaysan 60,050 5,459
20 104599 Yasinta Sri W 48,000 - 4,000 20,000 13,500
21 013543 Mega Riyani 18,500 - 2,000
22 Nabilah Khaerunisa 10,000 - 10,000
23 104692 Daniel Tyasmoko 15,850 1,441
24 071946 Nuriyah 88,550 6,550 3,000 12,500 500
25 051652 Edi Sujiyono 13,500 -
26 000865 Ning Suci 13,500 -
27 075426 Barjo Atmojo 18,500 - 2,000
28 104708 Sadilah 87,250 4,295 3,000 12,500 3,000
29 060057 Asminah 164,750 11,886 4,000 30,000
30 102740 Zulva Azka 16,500 - 2,000
31 000878 Anastasia Kristiati 17,000 7,773 84,000 3,000 12,500
32 043138 Titi Mulyo 47,500 - 4,000 30,000
33 102968 Flora Damayanti 19,500 955 4,000 5,000
34 Septi Winda 89,500 - 89,500
35 104637 Suripto 76,500 3,864 4,000 30,000
36 076688 Sakimin 19,250 1,750
37 104526 Satini 70,625 3,330 4,000 30,000
38 099358 Mairah 75,075 3,643 4,000 30,000 500
39 104341 Samini 41,150 650 4,000 30,000
40 083479 Saminah 88,550 1,823 4,000 30,000
41 002127 Budianto Pranoto 34,000 - 4,000 30,000
42 Meterai 6,000 - 6,000
43 043293 Sutarman 44,000 - 4,000 20,000 10,000
44 104582 San Ropingi 106,400 6,582 4,000 30,000
45 104463 Suheri 139,150 8,332 4,000 30,000
46 053975 Sarijan 34,000 - 4,000 30,000
47 055827 Petrus Walgito 265,500 20,455 4,000 30,000
48 099732 Meta Septiyasih 164,950 11,905 4,000 30,000
49 079913 Nana Diana sari 34,000 - 4,000 30,000
50 097575 Nadimi 26,000 2,364
51 104502 Musiri 107,450 6,586 4,000 30,000 500
52 099852 Toni Sugiarto 74,500 3,682 4,000 30,000
53 034313 Sri Yuniarti 68,800 2,936 3,000 12,500 10,000
54 103589 Rasino 116,175 7,380 4,000 30,000 500
55 052365 Rita 127,650 10,195 3,000 12,500
56 104558 Tofik Bayu 202,250 13,023 6,000 30,000
57 098146 Ruslan 92,500 273 4,000 39,500 4,750
58 075652 Walyanti 13,500 -
59 100186 Aprilia intan 126,000 3,818 4,000 45,000
60 064623 Samini 121,400 11,036
61 104715 Aning Pratiningsih 84,000 - 4,000 45,000
62 056399 Fita Martiya 84,000 - 4,000 45,000
63 080872 Lastriyah 84,000 - 4,000 45,000
64 104714 Wiwi Tri 84,000 - 4,000 45,000
65 104713 Samini 84,000 - 4,000 45,000
66 104281 Yuniarti 44,000 - 4,000 30,000 3,000
67 036357 Mad Sastro 49,600 4,509
68 074577 Siti F 13,500 -
69 104460 Roma Hadi 324,125 25,375 4,000 30,000 3,500
70 072319 Waginah 128,700 - 4,000 20,000 10,000
71 086237 Rio Cahyo 32,400 2,945
72 104381 Desi Natalia 188,250 - 4,000 20,000 10,000
73 056397 Fita Martiyana 39,250 3,568

4,714,400 - 271,045 518,100 89,500 1,116,245 - 209,000 75,000 230,000 1,070,000 35,000 144,250

Jurnal Umum 4,714,400


Kas dari Kassa 4,714,600
Selisih Kas 200

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 08 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

8-Jan-11 1 100544 Lusia Ary Nugraheni 5,493 151,425 6,000 12,500 12,500 25,000
2 098539 Callista Nayla OR 14,868 197,550 4,000 30,000
3 104740 Haris Bintang L - 34,000 4,000 30,000
4 100661 Riska Aidha Putri N - 105,550 4,000 20,000 10,000
5 104741 Eny Sulistiyaningsih - 67,000 4,000 20,000 10,000
6 098981 Wirayudha Astaman 491 1,100 38,302 4,000 30,000
7 044844 Asty Aerommachi C 3,811 8,400 67,525 4,000 30,000
8 013242 Mangun Darmo S 18,420 236,625 4,000 30,000
9 011136 Yosepha Iswidya 909 2,000 17,000 4,000 5,000
10 087322 Dwi Indra A 168 29,400 177,950 3,000 12,500 90,000
11 062365 Susteran 4,773 52,500
12 026162 Suparni 38,400 - 187,600 4,000 20,000 10,000
13 040718 Yohanes Juan A - 3,600 48,150 4,000 20,000 10,000
14 029630 dr. Inawati - 165,000
15 073175 Pasien Luar 18,275 1,661
16 061179 Joko 30,650 2,786
17 104719 Saiful 34,000 - 4,000 20,000 10,000
18 104717 Yesika 59,250 - 4,000 20,000 10,000
19 104549 Lusiah 88,500 4,545 6,000 8,500
20 104728 Lulu Prianjani 114,600 - 4,000 20,000 10,000
21 104729 Nindita 396,000 -
22 070036 Eko Purwanto 85,000 - 4,000 20,000 10,000
23 090480 Sudarni 18,500 - 2,000
24 063537 Wisnu 5,000 455
25 099432 Ngawiyatun 18,500 - 2,000
26 056280 Tumin 127,000 11,545
27 66937 Alipah 10,000 909
28 064623 RSU Purwogondo 92,500 8,409
29 102573 Veni Agung 162,500 -
30 008871 Angelina 7,000 -
31 091069 Sumiyati 46,000 -
32 049165 Rahmayani 34,000 - 4,000 30,000
33 083481 Sri Supriyatiningsih 75,050 3,732 4,000 30,000
34 001022 Yuli Gestati 11,350 1,032
35 dr. Harnowo 408,450 17,859 212,000
36 Novisiat Karanganyar 477,000 - 477,000
37 SMP PIUS Gombong 1,014,300 - 1,014,300
38 063388 Arif Pujianto 50,000 - 8,500 3,750
39 094473 Sri Aminah 12,000 -
40 66945 Tasini 42,500 3,864
41 104734 Samsini 172,000 - 4,000 50,000 10,000
42 104735 Oki Wicaksono 43,250 1,614 3,000 12,500 2,500
43 098776 Novianti W 43,750 1,932 3,000 12,500 3,500
44 062396 Sapari 189,750 14,159 4,000 30,000
45 022524 dr. Nrimanto 65,030 5,912
46 026478 Jasiyah 145,875 10,170 4,000 30,000
47 026049 Ristanti 10,600 964
48 049474 Syukur P 16,500 - 2,000
49 078229 Teguh Ruswanto 98,600 - 3,000 17,000 8,500 7,750
50 100423 Tulus Wiryawan 75,000 3,727 4,000 30,000
51 104732 Savana 50,500 - 2,500 9,500 4,500
52 046734 Monalisa 65,500 2,864 4,000 30,000
53 102666 Sanata 22,500 - 3,000 12,500 3,500
54 Pairah 54,000 - 54,000
55 104724 Rohyati 152,625 10,784 4,000 30,000
56 005277 Ginawati 91,500 -
57 104730 Eni Setyowati 369,500 14,091 4,000 30,000
58 068871 Engelina 34,000 - 4,000 30,000
59 077445 Murtiyah 162,100 13,236 3,000 12,500 500
60 104726 Erfiana 92,250 6,977 3,000 12,500
61 093589 Wasinah 106,850 6,532 4,000 30,000 500
62 104592 Suwandi 88,600 4,964 4,000 30,000
63 043293 Sutarman 212,250 - 4,000 20,000 12,500
64 102185 Sunarti 32,500 - 2,000
65 036946 Sri Hanaditiya 52,000 -
66 104501 Bintang Alika 76,200 3,836 4,000 30,000
67 103871 Muji 88,000 - 4,000 20,000 10,000
68 1047 Nabila 38,500 409 4,000 30,000
69 103331 Leon Hart 90,000 5,091 4,000 30,000
70 Meterai 12,000 - 12,000

6,228,055 - 212,994 1,054,150 1,757,300 536,527 - 179,500 92,000 200,000 671,500 115,000 152,500

Jurnal Umum 6,228,055


Kas dari Kassa 6,228,400
Selisih Kas 345

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 09 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

9-Jan-11 1 070645 Erika Tara Marsela - 79,900 4,000 20,000 10,000


2 075096 Agus Dwi N - 86,000
3 034744 Ita Dwi R - 44,900
4 001022 Yuli Gestati - 120,000
5 104753 Enika - 128,400 4,000 20,000 10,000
6 045956 Paskalia - 113,050 4,000 20,000 10,000
7 061198 Robertus Eka W - 5,200 54,425 4,000 20,000 10,000
8 096482 Niken Kristianti 13,515 -
9 10437 Emilda Yusana 600,250 3,932 7,000 30,000 325,000
10 073175 Pasien Luar 8,600 782
11 38054 Arindra 3,000 273
12 016928 Sarjono 93,300 -
13 66950 Atar 2,250 205
14 66949 RSU Purbowangi 79,200 7,200
15 104744 Dewi N 8,000 -
16 Saring 45,000 -
17 086952 Sudiarso 180,000 - 4,000 20,000 10,000
18 087260 Mad Raji 96,900 - 4,000 20,000 10,000
19 000979 Iwan Wijaya 66,500 -
20 092295 By Utrajah Nurul H 84,000 -
21 100519 Nur Soliah 52,000 -
22 164829 Ana 93,000 -
23 104749 Sofianah 101,500 - 4,000 20,000 10,000
24 102573 Veni Agung 13,000 -
25 104754 Mujiah 88,900 - 4,000 20,000 10,000
26 030526 Ika Purwanti 11,500 -
27 104759 Sutiyah 138,225 - 4,000 20,000 10,000
28 099326 Akbar Yoga P 97,950 - 4,000 20,000 10,000

1,876,590 - 12,391 577,450 - 54,425 - 47,000 - 200,000 30,000 325,000 100,000

Jurnal Umum 1,876,590


Kas dari Kassa 1,876,800
Selisih Kas 210

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 10 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

10-Jan-11 1 001022 Yuli Gestati 24,000 5,136 40,000 24,000 176,000 3,000 12,500
2 38059 Eti 273 3,000
3 004219 Agustina Pratiwi 14,291 31,500 159,700 4,000 30,000
4 104767 Rosiana 58,500 - 4,000 20,000 10,000
5 073175 Pasien Luar 17,250 1,568
6 028035 Wirasti 125,650 - 4,000 20,000 10,000
7 104381 Desi Natalia 129,650 - 4,000 20,000 10,000
8 104252 Sastro Wiatmo 231,001 - 4,000 20,000 10,000
9 104762 Samingun 15,000 -
10 104760 Eka Rozando 149,715 - 4,000 20,000 13,500 10,000
11 016465 Yovita 87,925 - 4,000 20,000 10,000
12 088255 Anita Krisna 97,275 - 4,000 20,000 10,000
13 00603 Litiong 5,000 - 5,000
14 064768 Sukini 15,500 - 3,000 12,500
15 016871 Min Sumini 27,500 2,500
16 099432 Ngawiyatun 18,500 - 2,000
17 104768 Marta Dikrama 62,658 4,196 3,000 12,500 500
18 Sudarni 18,500 - 2,000
19 095400 Andreas 16,500 - 2,000
20 103760 Dede Indra hidayat 254,600 21,736 3,000 12,500
21 104772 Al Faroh Anggit 55,150 3,605 3,000 12,500
22 104775 Novi Kurniati 165,300 9,982 3,000 12,500 8,500 3,750
23 012110 Meilina 6,500 -
24 053318 Ramen 51,522 3,184 3,000 12,500 500
25 100259 San Murni 302,584 26,008 3,000 12,500 500
26 104708 Sadilah 72,750 4,295 3,000 12,500 2,500
27 075426 Barjo Utomo 18,500 - 2,000
28 Bintang Alika 20,000 - 20,000
29 090899 Mutmainah 34,000 - 4,000 30,000
30 053607 Sulimah 161,250 10,886 4,000 30,000 500
31 074564 Mulyakin 258,500 18,364 4,000 30,000
32 102538 Basuki 86,250 4,750 4,000 30,000
33 104780 Riswandi 55,350 2,714 3,000 12,500 2,500
34 052059 Carolus Suwarmin 228,200 17,655 4,000 30,000
35 101645 Suwartiyah 135,850 9,259 4,000 30,000
36 104779 Rahmatul Arifin 200,900 11,127 3,000 12,500 9,500 4,500
37 090480 Sudarni 68,300 (6,209)
38 38058 Sudarni 12,000 1,091
39 096993 Sukardi 63,300 845 4,000 30,000
40 028735 Sumaryono 58,250 2,205 4,000 30,000
41 104058 Saminah 157,975 11,270 4,000 30,000
42 099053 Martoyo 127,200 8,473 4,000 30,000
43 Barkah Anwar 20,000 - 20,000
44 104461 Disun 25,500 - 2,000
45 090468 Sutarto 13,500 -
46 082618 Hadi Astuti 59,000 -
47 045956 Paskalia 42,850 - 4,000 20,000 10,000
48 00604 Mad Suparto 5,000 - 5,000
49 067761 Edi Praptomo 88,400 4,945 4,000 30,000
50 104276 Supiyah 239,675 17,470 4,000 30,000
51 000401 Suparman 68,500 - 4,000 30,000
52 076430 Lia Sri 32,500 -
53 093286 Dian Novrita 7,350 668
54 104783 Slamet Mulyadi 77,650 - 4,000 20,000 13,500
55 043293 Sutarman 45,000 - 4,000 20,000 13,500
56 104784 Nur Khasanah 58,000 - 2,500 9,500 4,750
57 104782 Jasim Umayah 58,000 - 2,500 9,500 4,750
58 104781 Ervina Wulandari 139,125 9,557 4,000 30,000
59 102897 Sutaryo 102,750 4,023 4,000 30,000 3,500
60 104777 Sukrisno 170,500 12,409 4,000 30,000
61 080915 Suminah 50,700 700 4,000 30,000
62 104590 Yuliyanti 331,950 15,359 4,000 39,500 4,750
63 016928 Sarjono 16,750 1,523
64 102888 Sugiyanto 130,450 - 4,000 20,000 10,000
65 104785 Adhy Sutrisno 145,500 - 3,000 12,500 65,000
66 Keisha Christiana 85,000 - 85,000
67 050363 Sagimin 62,750 1,614 4,000 30,000 3,500
68 103254 Erma Wati 47,000 1,182 4,000 30,000
69 104786 Sigit 99,500 - 4,000 30,000
70 081691 Maskuri Rafi 97,750 - 4,000 20,000 10,000
71 104750 Like 40,550 - 4,000 20,000 10,000
72 017702 Decorine Lumintang 200,450 13,450 4,000 30,000 6,000
73 104769 Sartinem 61,040 - 4,000 20,000 10,000
74 104790 Suhartinah 48,750 1,341 4,000 30,000
75 104787 Noto Sumadi 51,750 1,614 4,000 30,000
76 Meterai 6,000 - 6,000
77 102467 Nandias 28,500 2,591
78 029396 Koko Hadi 49,500 -
79 022300 Reni Nur A 49,500 -
80 38061 dr. Rebuwa 17,500 1,591
81 080873 Suparman 216,140 - 4,000 20,000 13,500 13,500
82 38060 Amin 18,000 1,636
83 104326 Muhamad Idris 81,250 4,295 4,000 30,000
84 104788 Alif Maulana 34,000 - 4,000 30,000
85 104536 Kasimin 360,100 27,373 4,000 30,000 8,000
86 090480 Sudarni 34,000 - 4,000 30,000

7,243,735 68,300 312,544 74,500 109,000 335,700 - 233,000 137,500 300,000 969,000 92,000 221,000

Jurnal Umum 7,175,435


Kas dari Kassa 7,176,900
Selisih Kas 1,465

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 11 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

11-Jan-11 1 055627 Dominikus Dato 10,391 148,300 4,000 30,000


2 046357 Sawiyem 6,173 102,900 4,000 30,000 500
3 084915 Timi - 34,000 4,000 30,000
4 005980 Chatarina Sri Wahyuni 10,743 23,700 128,475 4,000 30,000
5 Yosepha Iswidya 2,000 - 2,000
6 004037 Agus Lukito 3,684 8,100 47,925 3,000 12,500
7 104813 Fr. Guntur 1,477 29,813 9,937 3,000 12,500
8 093414 Gabriel Dwiki Candra 7,900 3,591 47,100 3,000 12,500
9 020580 Yusiva Sumarni - 24,400 131,200 4,000 20,000 10,000
10 055373 Suminah 32,000 -
11 104799 Subagyo 20,000 -
12 054251 Supriyati 64,500 -
13 104796 Suradi 187,500 -
14 Sari Erawati 10,000 - 10,000
15 044079 Wisnu 7,500 682
16 032269 Riyanti 57,000 -
17 104795 Deddy Indri 168,400 - 4,000 20,000 10,000
18 104802 Moh Jamil 67,000 -
19 042612 Sri Mayawati 78,500 -
20 000728 Hendratno 88,500 -
21 082479 Musinah 34,000 - 4,000 30,000
22 069679 Risem 98,000 5,727 4,000 30,000 500
23 104798 Marta Pawira 244,700 12,382 4,000 30,000 500
24 054351 Puji Wahyuni 138,030 9,366 4,000 30,000 500
25 042829 Lasim 30,650 2,786
26 073920 Paulina Sukarni 34,000 - 4,000 30,000
27 103543 Yamiati 34,000 - 4,000 30,000
28 057840 Rasini 82,200 1,245 4,000 30,000
29 Aldino Syam Aulia 10,000 - 10,000
30 104688 Yatiman 34,000 - 4,000 30,000
31 062742 Yuli Tantiani 34,000 - 4,000 30,000
32 104801 Sugiri Hadi S 105,200 6,473 4,000 30,000
33 104706 Untung Raswan 56,250 2,023 4,000 30,000
34 104805 Sadiman 81,226 5,975 3,000 12,500
35 38062 dr. Harnowo 16,550 1,505
36 087331 San Mureja 82,300 4,391 4,000 30,000
37 104800 Uningsih 52,000 -
38 040080 Lampen 173,695 12,609 4,000 30,000 500
39 104564 Mujiati 69,900 3,264 4,000 30,000
40 104806 Novi Susilowati 143,625 9,966 4,000 30,000
41 004617 Theresia Trisnowati 153,900 10,900 4,000 30,000
42 104496 San Marta 180,600 13,327 4,000 30,000
43 104599 Yasinta Sri W 89,290 5,799 3,000 12,500 2,500
44 100583 Sunanto Efendi 126,625 7,193 4,000 30,000
45 096959 Ponidi 109,750 6,886 4,000 30,000
46 102014 Rakiyem 94,750 4,295 4,000 30,000
47 104809 Fitri 88,750 4,977 4,000 30,000
48 104811 Ahmad Muhrodin 42,540 2,458 3,000 12,500
49 104814 Ngadimin 53,500 - 4,000 20,000 10,000
50 070601 Nunung Endang 137,135 7,558 4,000 50,000
51 070250 Sukinah 171,625 10,875 6,000 30,000
52 104817 Tri Mulyani 34,000 - 4,000 20,000 10,000
53 028096 Saminah 169,010 10,501 6,000 30,000 500
54 064106 Wahyudi 58,000 - 2,500 9,500 4,500
55 096482 Niken Kristianti 11,100 1,009
56 104558 Tofik Bayu 164,980 9,635 6,000 30,000
57 104816 Tuti Nasiati 71,100 3,373 4,000 30,000
58 104815 Musrih 200,300 6,300 4,000 49,000 9,500
59 042574 Muhamad Sukur 124,300 8,209 4,000 30,000
60 104549 Lusiah 128,900 6,945 6,000 30,000
61 104642 Memet Riyadi 35,700 155 4,000 30,000
62 104819 Danuri Sairun 116,585 5,690 4,000 50,000
63 071320 Wisnu 18,500 - 2,000
64 057973 Sakimin 150,500 10,591 4,000 30,000
65 104803 Madaspar 154,150 10,832 4,000 30,000 500
66 054251 Supriyati 192,950 14,359 4,000 30,000 500
67 070722 Rabinah 173,300 11,027 6,000 30,000

5,396,966 - 287,347 268,313 2,000 467,537 - 204,500 75,000 100,000 1,238,500 - 60,500

Jurnal Umum 5,396,966


Kas dari Kassa 5,397,700
Selisih Kas 734

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 12 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

12-Jan-11 1 102666 Sanata 58,260 5,296


2 104170 Endah Yuli Budi By 864 1,900 16,600 4,000 5,000
3 013119 Nofika Tri Lestari 682 1,500 15,000 4,000 5,000
4 085298 Cunduk Astuti 182 400 10,600 4,000 5,000
5 000345 Sr. Theresia 3,118 17,150 17,150
6 005934 Titi Lestari 2,727 6,000 39,500 3,000 12,500
7 078016 Eli Wustriasih 6,395 85,850 3,000 12,500
8 104837 Noni Endriyani 3,523 54,250 3,000 12,500
9 104842 Herlina Fajar H 22,591 332,500 4,000 45,000
10 095925 Naura Anindya S - 209,200 4,000 20,000 10,000
11 104507 Umi Khamidah 20,659 380,350 8,000 81,500 3,000
12 005979 Titis Eko W 10,636 30,400 170,600 4,000 45,000
13 096488 Desi Handayani 28,418 69,500 327,100 4,000 45,000
14 005746 Kristanti 19,977 44,000 209,750 4,000 30,000
15 100934 RM. Hubertus Berry 3,205 123,900 41,350 4,000 49,000 9,000
16 102407 Fr. Novri - 25,500 8,500 4,000 30,000
17 104762 Samingun Priyatin - 34,000 4,000 30,000
18 104786 Widi Prihantoro - 62,810 4,000 20,000 10,000
19 004219 Agustina Pratiwi - 23,500 128,100 4,000 20,000 10,000
20 101551 Sr. Avilla - 27,250 61,250 4,000 20,000 10,000
21 048364 Astiani Nur Alista 11,200 - 78,500 4,000 20,000 10,000
22 021224 Senoponda Widi M 7,200 - 62,850 4,000 20,000 10,000
23 087308 Imam Santoso 9,800 - 73,575 4,000 20,000 10,000
24 104824 Esti Pangestuti 8,000 -
25 104810 Sigit 185,000 -
26 001132 Eko Wahyudiono 15,400 1,400
27 035889 Sartini 33,000 3,000
28 068321 Tris Kuswardani 45,000 - 4,000 30,000 3,500
29 104044 Muryati 103,600 - 4,000 20,000 9,500 14,750
30 042996 Tuti Haryani 13,500 -
31 104715 Aning Praptiningsih 145,350 5,577 4,000 45,000
32 104790 Suhartinah 125,000 - 35,000
33 063388 Arif Pujianto 45,250 2,705 3,000 12,500
34 058356 Tri Robiyanto 20,000 -
35 099432 Ngawiyatun 18,500 - 2,000
36 079923 Tasirah 15,000 - 2,000
37 080873 Suparman 21,500 - 4,000 12,500
38 008949 Suniah 12,140 1,104
39 104829 Saiman 52,000 -
40 066811 Kevin Fernando 128,100 - 4,000 20,000 10,000
41 012535 Mutiara Maemunah 21,000 - 2,000
42 097753 Poniman 113,500 7,227 4,000 30,000
43 102544 Darsini 83,650 4,514 4,000 30,000
44 104644 Sutarno 89,500 3,000 4,000 30,000
45 011137 dr. Harnowo 18,800 (1,709)
46 022092 Sumarno Hadi 93,000 - 4,000 30,000
47 042985 Marsiyatun 18,500 - 5,000
48 082624 Sarijem 140,425 9,675 4,000 30,000
49 043928 Jamiati 159,030 11,275 4,000 30,000 500
50 104704 Siran 54,750 1,886 4,000 30,000
51 062738 Sajem 159,600 10,100 4,000 30,000 500
52 104833 Marsilah 66,500 4,636 3,000 12,500
53 103310 Rohayati 38,500 409 4,000 30,000
54 078229 Teguh Ruswanto 15,500 - 3,000 12,500
55 104659 Haryati 66,700 2,973 4,000 30,000
56 050661 Elly 20,000 -
57 028202 Darminah 58,000 2,091 4,000 30,000 500
58 104686 Suratmi 202,125 15,284 4,000 30,000
59 102128 Suhartini 91,750 4,023 4,000 30,000
60 104832 Sakiyah 169,525 12,320 4,000 30,000
61 088771 Tri Setyo W 228,625 17,693 4,000 30,000
62 043293 Sutarman 62,200 - 4,000 20,000 10,000
63 100190 Enrico Luis 18,500 864 4,000 5,000
64 104431 Afni Lengkong 18,500 864 4,000 5,000
65 104652 Dina Rusini 18,500 864 4,000 5,000
66 104566 Destian 18,500 864 4,000 5,000
67 104157 Dhian Fitria 18,500 864 4,000 5,000
68 104738 Mustanginah 18,500 864 4,000 5,000
69 104560 Supriyati 18,500 864 4,000 5,000
70 101875 Kukuh S 18,500 864 4,000 5,000
71 104448 Sri Utari 18,500 864 4,000 5,000
72 104830 Naufal A 18,500 864 4,000 5,000
73 104168 Sri Warasti 18,500 864 4,000 5,000
74 102595 Alvian Adrian 11,000 182 4,000 5,000
75 101728 Aurelia 11,000 182 4,000 5,000
76 104742 Nabila 11,000 182 4,000 5,000
77 101391 Amarlika 11,000 182 4,000 5,000
78 098290 Saripah 132,000 11,182 4,000 5,000
79 100240 Dominikus R 16,500 682 4,000 5,000
80 074154 Ambar Tyas 170,500 14,682 4,000 5,000
81 101784 Darmadi 16,500 682 4,000 5,000
82 104375 Jaroah 18,500 864 4,000 5,000
83 104551 Supriyati 9,000 - 4,000 5,000
84 103231 Leon Hart 11,000 182 4,000 5,000
85 090627 Gesti Oktaviani 38,500 409 4,000 30,000
86 033515 Sakri 157,375 11,216 4,000 30,000
87 104724 Rohyati 148,925 10,448 4,000 30,000
88 101619 Sri Mulyani 39,600 3,600
89 098776 Novianti W 60,500 2,409 4,000 30,000
90 104828 Dartinah 73,600 3,600 4,000 30,000
91 104827 Widya Erna 108,600 6,782 4,000 30,000
92 062740 Nasim Abdulah 142,726 9,884 4,000 30,000
93 104677 Hasna Aulia 11,000 182 4,000 5,000
94 046832 Surip Sukuriyah 39,600 3,600
95 098631 Sri Wiji Astuti 39,600 3,600
96 104237 Andi Yuliarsih 79,200 7,200
97 100929 Fatonah 39,600 3,600
98 098965 Arlinda Kinanti 62,230 - 4,000 20,000 10,000
99 104146 Yustina Natalia 18,500 864 4,000 5,000
100 098304 Maria Titi 80,400 - 4,000 20,000 10,000
101 38077 Asti 2,000 182
102 091645 Pagem 210,025 16,002 4,000 30,000
103 101508 Daryati 13,500 -
104 38076 Noni 34,250 3,114
105 001022 Yuli Gestati 7,000 636
106 102820 Mastur 99,500 5,955 4,000 30,000
107 038897 Fitri Ida Nursanti 19,000 909 4,000 5,000
108 104712 Kusmiyati 66,700 2,973 4,000 30,000
109 092820 Ngaliyah 87,750 4,886 4,000 30,000
110 037003 Satem 74,750 3,614 4,000 30,000 500
111 104587 Ken Tepi 146,500 7,727 4,000 30,000
112 098899 Noto Miarjo 47,500 - 4,000 30,000
113 104862 Eli Trisnawati 8,000 -
114 017601 Sri Rejeki 79,200 7,200
115 067760 Sri Budiati 39,600 3,600
116 016928 Sarjono 31,000 2,818
117 027158 Kurnia 39,600 3,600
118 098623 Wagiyem 77,625 2,284 4,000 30,000 6,000
119 104857 Agus 173,500 - 4,000 20,000 10,000
120 096748 Hilmi Nafis 86,250 4,750 4,000 30,000
121 103982 Maemunah Iskomsatu 34,000 - 4,000 30,000
122 095166 Joko Purwanto 51,500 -
123 096854 Atik Yuliana 51,150 195 4,000 45,000
124 029924 Lasiani 52,000 -
125 095400 Andreas Zen Mikael 112,025 7,093 4,000 30,000
126 091281 Veronica Puan Widi 110,500 - 4,000 30,000
127 050363 Sagimin 45,000 - 4,000 30,000 3,500
128 088413 Aurela Hazna 34,000 - 4,000 30,000
129 092846 Ichiro Asrafe 120,100 7,827 4,000 30,000
130 064623 RSU Purwogondo 24,000 2,182
131 101948 Nadia Rahma 115,520 7,411 4,000 30,000
132 096858 Eni Widyastuti 39,600 3,600
133 039554 Hana Gunawan 232,375 18,034 4,000 30,000
134 002053 Benyamin CD 127,000 8,455 4,000 30,000
135 000810 Sri Waginingsih 67,350 - 4,000 20,000 10,000
136 104807 Agus Suwarlan 127,000 8,455 4,000 30,000
137 103966 Rusmini 175,500 8,318 4,000 45,000
138 096861 Rinda Widiyana 39,600 3,600
139 104245 Sopiyah 39,600 3,600
140 104466 Ratmini 184,300 9,118 4,000 45,000
141 020421 Setianingsih 76,500 -
142 104847 Yuni Astuti 192,750 9,886 4,000 45,000
143 104856 Regita Almaera 73,100 3,555 4,000 30,000
144 088258 Alexander Cahyo 120,900 6,900 4,000 30,000 3,500
145 100350 Herlina 34,000 - 4,000 30,000
146 000441 Turida 108,600 6,782 4,000 30,000
147 104065 Suparjo 134,700 9,155 4,000 30,000
148 048039 Dewi Damayanti 39,600 3,600
149 100937 Puji Rahayu 39,600 3,600
150 104851 Rafka Ibrahim P 79,400 4,127 4,000 30,000
151 075294 Vita Nurlaela 272,250 14,023 8,000 75,000
152 104834 Tia Reva 108,600 6,782 4,000 30,000
153 104853 Mahar Adi W 108,600 6,782 4,000 30,000
154 104852 Imam Rosyadi 126,100 8,373 4,000 30,000
155 104850 Faid A Fani 211,700 16,155 4,000 30,000
156 104845 Suryanti 114,600 7,327 4,000 30,000
157 077309 Hartati 201,100 15,191 4,000 30,000
158 104519 Lusiah 65,100 5,918
159 104844 Tri Wahyuni 108,600 6,782 4,000 30,000
160 101508 Daryati 113,200 7,200 4,000 30,000
161 104819 Wiji Purwolestari 108,600 6,782 4,000 30,000
162 103975 Raniyah 74,600 6,782
163 103074 Siti Fatonah 39,600 3,600
164 094473 Sri Aminah 80,600 7,327
165 081530 Puji 39,600 3,600
166 099917 Sumaryati 39,600 3,600
167 084322 Ari Setyoningrum 131,700 11,973
168 104840 Ning Verayanti 145,125 5,557 4,000 45,000
169 104843 Alvian 145,500 10,136 4,000 30,000
170 039094 Atgiah 168,976 12,271 4,000 30,000
171 104385 Jum Juwariyah 74,600 6,782
172 104841 Daidi Junior 266,200 21,109 4,000 30,000
173 102875 Edi Sutrisno 191,100 14,282 4,000 30,000
174 080873 Suparman 142,300 4,209 3,000 12,500 40,000
175 069892 Siti Nur Khasanah 114,200 10,382
176 098787 Musripah 114,200 10,382
177 104825 Afif Pramitasari 108,600 6,782 4,000 30,000
178 104846 Eka Sulistyarini 122,000 11,091
179 104733 Rahayu 143,625 5,420 4,000 45,000
180 101895 Feriyana 265,000 16,455 4,000 45,000
181 104835 Siti Nur Mumfarida 81,600 4,327 4,000 30,000
182 091253 Sugiarti 108,600 6,782 4,000 30,000
183 104854 Atsfur Jannah 108,600 6,782 4,000 30,000
184 103231 Leon Hart Theo 34,000 - 4,000 30,000
185 104848 Liston 159,925 - 4,000 20,000 10,000
186 102560 Samingun 142,726 9,884 4,000 30,000
187 104836 Winda Aira Loka 7,000 -
188 100788 Endah Wening 74,600 6,782
189 057700 Ani Setyowati 39,600 3,600
190 084412 Wasino 122,800 8,073 4,000 30,000
191 096482 Niken Kristianti 1,500 136
192 099446 Natania Calista 64,800 - 4,000 20,000 10,000
193 104838 Murtijah 136,625 4,784 4,000 45,000
194 075563 Musngidah 39,600 3,600
195 078296 Reni Komariah 3,500 - 48,250 4,000 20,000 10,000
196 099751 Wajib 67,000 3,000 4,000 30,000
197 104839 Saminah 73,600 3,600 4,000 30,000
198 071876 Triani 84,000 - 4,000 45,000
199 104014 Rosdiyanti 84,000 - 4,000 45,000
200 104013 Kristina 84,000 - 4,000 45,000
201 104641 Eka Yuliyanti 84,000 - 4,000 45,000
202 104816 Eka Sulistyorini 84,000 - 4,000 45,000
203 103179 Adesti 84,000 - 4,000 45,000
204 074154 Ambar Tyas 84,000 - 4,000 45,000
205 098290 Saripah 84,000 - 4,000 45,000
206 104549 Lusiyah 45,000 - 4,000 30,000 3,500
207 104513 Dwi Wahyu 84,000 - 4,000 45,000
208 101261 Syva Aulia 34,000 - 4,000 30,000
209 098444 Felicia S 38,500 409 4,000 30,000
210 103127 Inge 41,500 682 4,000 30,000
211 101465 Muh Alfa 36,000 182 4,000 30,000
212 103459 Garhit Puji H 36,000 182 4,000 30,000
213 103519 Fadlan Adis 36,000 182 4,000 30,000
214 100091 Ristia Ayza 92,000 5,273 4,000 30,000
215 104043 Ria Ariyanti 92,500 5,318 4,000 30,000
216 104517 Zikra Akmalia 92,500 5,318 4,000 30,000
217 104164 Revel Yehezkiel 90,000 5,091 4,000 30,000
218 103103 Almira 90,000 5,091 4,000 30,000
219 104831 Robiyati 5,750 78,750 3,000 12,500

15,502,808 18,800 926,973 1,608,710 - 1,308,675 - 658,000 87,500 340,000 3,757,500 40,000 366,250

Jurnal Umum 15,484,008


Kas dari Kassa 15,484,500
Selisih Kas 492

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 13 JANUARI 2011
Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

13-Jan-11 1 104875 Kasmirah 20,000 2,648 43,125 4,000 30,000


2 027284 MG Netty Indarwati 5,286 11,700 61,950 3,000 12,500
3 017493 Sumarkis 750 23,750 3,000 12,500
4 097858 Eka Purwanti 7,200 79,200
5 104761 Bariyah - 83,000 10,500 5,500
6 084630 Rm. Samuel - 134,000 21,000 11,000
7 035788 Desi Aiwa T - 12,000
8 093814 Tugiyo 51,000 -
9 018821 Sri Endang 13,500 -
10 104867 Sutrisno 125,200 - 4,000 20,000 10,000
11 090480 Sudarni 18,000 - 2,000
12 102769 Aidan 33,850 1,668 3,000 12,500
13 104871 Muhamad Lutfi 123,475 2,952 3,000 12,500 8,500 3,750
14 102666 Sanata 36,200 1,882 3,000 12,500
15 104461 Disun 25,500 - 2,000
16 097904 Sartiyah 120,000 9,500 3,000 12,500
17 104869 Mulyadi 86,750 6,477 3,000 12,500
18 104775 Novi Kurniati 15,500 - 3,000 12,500
19 104874 Eko Priyanto 27,300 1,073 3,000 12,500
20 100001 Kasiyah 58,000 - 2,500 9,500 4,750
21 104872 Sri harti 58,000 - 2,500 9,500 4,750
22 033137 Poniyah 75,660 2,560 4,000 30,000
23 104877 Farohmi 59,250 - 4,000 20,000 10,000
24 043523 Heni 39,600 3,600
25 104662 Ratna Lupita 43,000 - 4,000 30,000
26 091281 Veronika Puan 101,000 - 9,500 4,750
27 032269 Riyanti 150,300 10,573 4,000 30,000
28 104873 Lusia Kusuma 173,900 12,718 4,000 30,000
29 Susteran Gombong 3,260,800 - 3,260,800
30 099358 Mairah 83,250 4,477 4,000 30,000
31 104878 Evril Nur 48,450 - 4,000 20,000 10,000
32 057156 Marto Dikromo 258,500 22,091 3,000 12,500
33 054831 Darsinah 202,525 15,320 4,000 30,000
34 104681 Galuh Anggasari 100,625 6,057 4,000 30,000
35 024100 Suripto 256,650 15,105 4,000 39,500 5,000
36 056331 Slamet 90,250 5,114 4,000 30,000
37 104879 Raden Sunardi 137,140 6,513 3,000 12,500 8,500 4,750
38 014512 Indah W 18,000 - 2,000
39 Slamet Sutarman 97,000 - 97,000
40 17424 dr. Prio 10,000 - 2,000
41 071320 Wisnu 18,500 - 2,000
42 104883 Eni 25,000 - 2,000
43 104868 Sastro Miarjo 125,000 - 35,000
44 104886 Maya Finariyah 234,500 - 4,000 25,000 9,500 14,750
45 067700 Cicilia Rusyanti 34,000 - 4,000 30,000
46 098663 Yulispy Rini 38,500 409 4,000 30,000
47 104343 Priyanti 69,400 3,218 4,000 30,000

6,563,075 - 147,191 252,775 3,357,800 195,950 - 118,000 137,500 85,000 521,000 - 89,000

Jurnal Umum 6,563,075


Kas dari Kassa 6,563,600
Selisih Kas 525

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 14 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

14-Jan-11 1 104717 Slamet Sutarman 5,727 97,000 4,000 30,000


2 072747 Widi Handayani 336 60,200 3,000 12,500 20,000
3 100502 Fitria Dwi Cahyani 14,757 321,325 4,000 65,000
4 103511 Murdiati 9,818 192,000 4,000 45,000
5 103750 Purwanto 645 53,600 3,000 12,500 20,000
6 084630 Rm. Samuel 13,695 184,650 4,000 30,000
7 005747 Evita Inda R 3,227 9,800 54,700 3,000 12,500
8 093250 Caroline Chika WS 10,836 119,200
9 38056 Ika Purwanti 318 3,500
10 026173 Ida Irmayanti 818 9,000
11 087322 Dwi Indra A - 10,300 75,100 4,000 20,000 10,000
12 002156 Tasini - 22,400 123,500 4,000 20,000 10,000
13 087308 Imam santoso 14,900 - 93,400 4,000 20,000 10,000
14 026604 Kevin 23,450 2,132
15 104861 Watini 81,450 - 4,000 20,000 10,000
16 028008 Turini 92,000 - 4,000 20,000 10,000
17 104692 Daniel Tyasmoko 113,950 7,268 4,000 30,000
18 104381 Desi Natalia 190,000 11,455 8,000 30,000 11,500
19 029924 Lasiyani 8,000 -
20 103718 Winas Adiatama 22,800 2,073
21 052572 Satiyah 74,000 3,636 4,000 30,000
22 086246 Munirah 91,325 5,120 4,000 30,000 500
23 033902 Maryati 94,750 5,523 4,000 30,000
24 057427 Harifsah H 20,000 -
25 104669 Tasmini 107,900 5,491 4,000 30,000
26 079477 Susmini 75,000 3,636 4,000 30,000 500
27 102345 Yael 12,000 -
28 038782 Lutfi Ubaidilah 13,000 1,182
29 38089 dr. Harnowo 11,000 1,000
30 104898 Riyanti 72,650 3,377 3,000 12,500
31 17427 Sukinah 18,000 - 2,000
32 080873 Sutarman 59,150 3,059 3,000 12,500 2,500
33 000084 Agus S 34,500 -
34 043229 Parmin 276,290 3,620 8,000 20,000 30,000 13,500 10,500
35 103179 Adesti 216,500 - 4,000 45,000
36 023375 Warsinah 139,500 9,500 4,000 30,000 500
37 084644 Kasiran 34,000 - 4,000 30,000
38 104899 Sarifudin 56,250 2,023 4,000 30,000
39 060885 Suratmi 159,600 11,418 4,000 30,000
40 009723 Iwan Yudistira 34,000 - 4,000 30,000
41 008243 Sumarsih 68,500 - 4,000 30,000
42 100504 Saisem 141,250 9,750 4,000 30,000
43 104902 Deni Kurniawan 15,500 - 3,000 12,500
44 104905 Hari Sumarsono 15,500 - 3,000 12,500
45 104904 Aditya Purwadi 15,500 - 3,000 12,500
46 104903 Eko Riyanto 15,500 - 3,000 12,500
47 104901 Dhian Purwa 15,500 - 3,000 12,500
48 000842 Enggar Rohmi 77,700 - 4,000 20,000 10,000
49 104662 Ratna Lupita 47,850 4,350
50 021760 Tego Gunawan 41,000 - 4,000 20,000 13,500
51 104870 Katinah 58,000 - 2,500 9,500 4,750
52 079923 Tasirah 15,000 - 2,000
53 095400 Andreas 16,500 - 2,000
54 074408 Tarwija 300,000 -
55 Kasmirah 43,125 - 43,125
56 048826 Yuniarti 110,500 - 4,000 20,000 10,000
57 101630 Nurbeti 228,000 13,091 4,000 45,000
58 100987 Raymon Bastian 102,475 - 4,000 20,000 10,000
59 032691 Robi Setiawan 34,000 - 4,000 20,000 10,000
60 080873 Suparman 65,150 3,605 3,000 12,500 2,500
61 103750 Purwanto 7,100 645
62 090807 Murniati 148,550 5,868 4,000 45,000
63 053470 Ika Isdiana Dewi 292,500 18,955 4,000 45,000
64 104727 Tiara Celestine 139,200 - 4,000 20,000 10,000
65 104347 Tusinem 98,000 8,909
66 104906 Reli Diah 422,825 - 4,000 20,000 7,000 10,000
67 077624 Supangat 150,970 - 4,000 20,000 10,000
68 000890 MM Sri Sugiarti 126,750 3,886 4,000 45,000
69 104907 Kosiyah 196,400 10,218 4,000 45,000
70 022524 dr. Nrimanto 99,900 9,082
71 104908 Sutiyah 84,000 - 4,000 45,000
72 101378 Dyah Ayu 84,000 - 4,000 45,000
73 100160 Dwi Ari 84,000 - 4,000 45,000
74 104013 Kristina 84,000 - 4,000 45,000
75 104347 Tusinem 84,000 - 4,000 45,000
76 058749 Priskila Yeniwati 84,000 - 4,000 45,000
77 104909 Ika Fiana 52,000 - 4,000 20,000 10,000
78 043928 Jamiati 538,550 17,823 45,000 27,000

6,349,260 - 247,875 898,325 43,125 531,350 - 229,500 112,500 300,000 1,239,500 60,500 203,750

Jurnal Umum 6,349,260


Kas dari Kassa 6,350,500
Selisih Kas 1,240

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 15 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

15-Jan-11 1 052052 Yuni Widianingsih - 99,400 4,000 20,000 10,000


2 072747 Widi Handayani 336 79,200 3,000 12,500 50,000
3 092314 Sr. Teresina 6,236 68,600
4 001826 Sr. Mikaela 8,325 91,575
5 104118 Sr. Felisitas 11,175 61,463 61,462
6 38098 Yuli Gestati 1,214 13,350
7 004219 Agustina Pratiwi 2,182 24,000
8 061200 Catur Aiwa U 2,182 24,000
9 018915 Rosdiana Sitorus 4,127 45,400
10 073175 Sari 4,432 48,750
11 087296 Reni Komariyah 3,123 18,200 104,650 3,000 12,500 9,500 7,000
12 009432 Herry Kurniawan 7,241 16,000 79,150 3,000 12,500
13 005934 Titi Lestari 3,723 10,100 46,350 3,000 12,500
14 017195 Sr. Lucia 168 19,175 19,175 3,000 12,500 10,000
15 092808 Gentasela P 91 34,000 3,000 12,500 10,000
16 066959 Olivia Atmaja 155 4,600 33,600 3,000 12,500 10,000
17 051797 Anasthasya Y - 4,000 31,500 3,000 12,500 10,000
18 013858 Martha Ajeng LK - 286,900 4,000 20,000 10,000
19 104912 Murwati 90,600 - 4,000 20,000 10,000
20 048070 Diska Asani 179,600 - 4,000 20,000 10,000
21 104970 Suhartinah 59,500 2,318 4,000 30,000
22 104911 Mugiman 34,000 - 4,000 30,000
23 043928 Jamiati 112,100 - 4,000 20,000 10,000
24 104917 Azizah 52,700 - 4,000 20,000 10,000
25 046734 Monalisa 76,500 5,545 3,000 12,500
26 104916 Dian M 18,000 818 4,000 5,000
27 104915 Sukamti 58,000 - 2,500 9,500 4,750
28 083062 Giok Lie 219,000 -
29 104913 Winarto 82,505 2,819 3,000 26,000 2,500
30 099432 Ngawiyatun 18,500 - 2,000
31 104914 Irnia 73,500 -
32 075652 Walyanti 35,500 -
33 013160 Titik Lestari 7,500 - 64,100 4,000 20,000 10,000
34 060439 San Muhid 94,900 7,218 3,000 12,500
35 045956 Paskalia 146,300 - 4,000 20,000 15,000 10,000
36 104909 Ika Fiana 167,350 1,532 3,000 12,500 100,000
37 17431 Syukur P 16,500 - 2,000
38 104918 Nur Syamsiyah 93,300 2,527 3,000 12,500 8,500 4,750
39 022524 dr. Nrimanto 62,500 5,682
40 035541 Fani Veliana 285,000 24,500 3,000 12,500
41 071320 Wisnu 18,500 - 2,000
42 104735 Oki Wicaksono 58,000 2,955 3,000 12,500 2,500
43 032057 Sunaryo 3,300 300
44 083597 Sofiana 39,600 3,600
45 078472 Steven M 78,000 -
46 054819 Supriyanto 97,650 - 4,000 20,000 10,000
47 38099 Suwanti 6,000 545

2,284,405 - 115,069 857,138 - 531,562 - 101,500 126,000 180,000 162,500 205,000 116,500

Jurnal Umum 2,284,405


Kas dari Kassa 2,284,500
Selisih Kas 95

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 16 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M
16-Jan-11 1 020580 Yusiva Sumarni 3,691 40,600
2 058699 Elisabeth Glory 15,200 6,914 94,850 4,000 30,000
3 093414 Gabriel Dwiki 8,600 3,880 68,085 4,000 30,000
4 101368 Nacita Gilda 5,091 11,200 78,800 4,000 30,000
5 104923 Satini - 110,215 4,000 20,000 8,500 13,500
6 104921 Charissa Azahra 59,900 2,355 4,000 30,000
7 104920 Bastul Biri 34,000 - 4,000 30,000
8 099768 Alifa Widiyanti 128,180 8,562 4,000 30,000
9 104618 Chaerul Hanan 80,530 4,230 4,000 30,000
10 100543 Levino Ardiansyah 101,185 6,108 4,000 30,000
11 086213 Febe Maurin 112,780 - 4,000 30,000 8,500
12 102925 Dominikus 41,500 682 4,000 30,000
13 043663 Wawan Setiawan 44,000 -
14 001802 Rini 39,600 3,600
15 104919 Karto Wikromo 386,740 - 4,000 20,000 10,000
16 045226 Imam Sudiyono 149,925 - 4,000 20,000 10,000
17 104930 Irwan Triyono 155,665 - 4,000 20,000 20,000 10,000
18 066400 Sri Mulyaningsih 148,500 - 4,000 20,000 10,000
19 104931 Sri Wahyu W 6,500 -
20 023329 Riyani 1,525 -
21 002156 Tasini 14,000 - 90,000 4,000 20,000 10,000
22 104933 Parisno 67,750 - 4,000 20,000 10,000
23 019967 Mufti Hidayat 10,925 -
24 043663 Wawan S 52,000 -
25 109573 Harry 32,000 -
26 101382 Asifa Anayah 105,900 - 4,000 20,000 10,000
27 104925 Rasim Muh Musin 145,665 4,000 20,000 13,500 13,500

1,796,905 - 45,112 307,680 - 331,735 - 76,000 - 180,000 300,000 50,500 97,000

Jurnal Umum 1,796,905


Kas dari Kassa 1,797,200
Selisih Kas 295

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 17 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

17-Jan-11 1 096530 Bagus Gendro W 6,673 88,900 3,000 12,500


2 104934 Yanto 250,000 - 164,160 4,000 20,000 20,000 14,500
3 103750 Purwanto - 58,900 4,000 20,000 10,000
4 048481 Ari Wahyu S - 3,200 46,550 4,000 20,000 10,000
5 006091 Wiji Suparmi 818 1,800 16,200 4,000 5,000
6 004219 Agustina Pratiwi 3,523 7,800 64,950 4,000 30,000
7 083842 Wahyu Dwi Antoro 1,727 19,000
8 005976 Alipah 3,000 33,000
9 060749 Amsiyah 20,804 228,840
10 095166 Joko 13,500 -
11 043663 Wawan Setiawan 78,400 7,127
12 104937 Ilham Nur Faudzin 161,180 - 4,000 20,000 8,500 13,500
13 028008 Turini 175,050 - 4,000 20,000 10,000
14 104935 Bastiyah 339,050 - 4,000 25,000 10,000
15 104938 Aminah 124,900 - 4,000 20,000 10,000
16 064623 RSU Purwogondo 37,500 3,409
17 016928 Sarjono 92,500 8,409
18 104943 Tan Swat Hao 62,000 -
19 Sartinah 2,300 209
20 083226 Murwanti 116,450 - 4,000 20,000 10,000
21 077544 Koza Pratama Aji 89,350 - 4,000 20,000 8,500 10,000
22 018640 Edi Budiarto 92,450 - 4,000 20,000 10,000
23 038621 Rahmat Wibowo 39,600 3,600
24 074156 Riyanto 58,450 2,223 4,000 30,000
25 104948 Samiharjo 160,460 13,087 3,000 12,500 500
26 104947 Solinah 149,000 5,409 4,000 39,500 4,750
27 104949 Martaiska 195,100 14,191 3,000 12,500 2,500
28 004221 Runti Asih 96,400 6,127 3,000 12,500
29 104516 Naujal Agila 7,000 -
30 104952 Wardinem 195,900 11,527 4,000 36,500 3,000
31 104946 Siti Aminah 37,150 286 4,000 30,000
32 17436 Sukinah 18,000 - 2,000
33 090480 Sudarni 18,000 - 2,000
34 079923 Tasirah 15,000 - 2,000
35 099489 Harjo Suwito 112,000 7,091 4,000 30,000
36 090470 Siti Roisah 98,100 7,509 3,000 12,500
37 104721 Mustanginah 71,600 5,100 3,000 12,500
38 104821 Siti Sari Nurani 55,000 1,909 4,000 30,000
39 083481 Sri Supriyatiningsih 92,250 5,295 4,000 30,000
40 101279 Mahmudi 34,000 - 4,000 30,000
41 099848 Suwito 79,450 4,041 4,000 30,000 500
42 003578 Farlin Hanif 62,650 4,286 3,000 12,500
43 006137 dr. Harnowo 25,000 2,273
44 104745 Erik Harsoyo 109,000 6,818 4,000 30,000
45 104804 Budi Prayitno 78,400 4,036 4,000 30,000
46 074564 Mulyakin 246,050 17,459 4,000 30,000
47 096993 Sukardi 61,200 655 4,000 30,000
48 104958 Lasimin 70,600 5,009 3,000 12,500
49 001749 Paula 13,500 -
50 104957 Didi Parmianto 139,500 -
51 104590 Yuliyanti 57,650 2,150 4,000 30,000
52 014848 Rudi Novandi 34,000 - 4,000 30,000
53 067701 Siani Lokajaya 67,000 - 10,500 5,500
54 098899 Noto Miarjo 47,500 - 4,000 30,000
55 104950 Iswati 211,950 6,359 4,000 39,500 4,750
56 038943 Yuniarti 34,000 - 4,000 30,000
57 104709 Tayinah 91,650 5,241 4,000 30,000
58 104582 San Rapingi 137,700 9,427 4,000 30,000
59 061386 Maryuni 27,000 - 2,000
60 104953 Kastiyah 18,500 - 2,000
61 104959 Beri Pramono 52,400 - 4,000 20,000 10,000
62 104960 Niken Verity 82,000 - 4,000 20,000 9,500 14,500
63 066256 Dawud 116,000 - 4,000 20,000 13,500
64 Paskalia 113,050 - 113,050
65 078929 Marijo 88,500 - 4,000 20,000 10,000
66 061680 Titi Suryani 27,500 2,500
67 100037 Samini 7,500 682
68 030668 Cipto 22,000 2,000
69 104961 Anton Setiono 57,300 - 4,000 20,000 10,000
70 104879 Raden Sunardi 97,850 6,577 3,000 12,500
71 TK PIUS BU 124,600 - 124,600
72 Susteran Kota Baru 316,000 - 316,000
73 104942 Subroto 276,410 4,000 20,000 5,000 10,000

5,804,640 - 218,568 882,010 553,650 127,700 - 189,000 112,500 325,000 675,500 42,000 202,500

Jurnal Umum 5,804,640


Kas dari Kassa 5,805,000
Selisih Kas 360

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 18 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

18-Jan-11 1 104944 Fani Yuliani 52,000 -


2 061201 Fery Dwi A - 34,000 4,000 30,000
3 016717 Uni Erwati - 34,000 4,000 30,000
4 046357 Sawiyem 13,650 185,150 4,000 30,000 500
5 011136 Yosepha Iswidya 12,105 26,700 121,950 3,000 12,500
6 021051 Sartinah 6,150 13,500 69,650 3,000 12,500
7 086205 Puji Astuti - 59,500 4,000 20,000 10,000
8 004963 Panggih Bagas PS - 59,000 4,000 20,000 10,000
9 035715 Siti Maftukhah 22,300 - 157,850 8,000 40,000 20,000
10 030574 Liliy Mutiara 12,800 1,164
11 083671 Arif 52,000 -
12 026835 Suwardjo 13,500 -
13 40110 Istiyani 25,400 2,309
14 029924 Lasiyani 8,000 -
15 104810 Sigit 70,500 2,318 4,000 30,000 3,500
16 104081 Faozathus Salamah 74,000 - 4,000 38,500 3,750
17 104536 Kasimin 34,000 - 4,000 30,000
18 067701 Siani Lokajaya 1,977,875 25,125 7,000 30,000 870,000
19 082218 Alvira Rahmawati 128,350 - 4,000 20,000 10,000
20 104968 Solehudin 150,850 - 4,000 20,000 10,000
21 032495 Lili Mutiara Sari 164,500 - 3,000 12,500
22 104920 Bastul Biri 188,000 - 9,500 4,750
23 000018 Marjoko 81,000 - 4,000 20,000 10,000
24 045956 Paskalia 99,390 6,717 3,000 12,500 2,500
25 104971 Sugeng Madiharjo 111,985 2,544 4,000 30,000 50,000
26 Meterai 6,000 - 6,000
27 104994 Ike Mardiana 137,500 9,409 4,000 30,000
28 104926 Teresia Istiani 25,500 - 3,000 12,500 2,500
29 098366 Dalimin 34,000 - 4,000 30,000
30 047618 Dimas Setyawan 49,000 3,045 3,000 12,500
31 104969 Ari Wibowo 747,630 - 39,000 20,000 20,000 10,000
32 104996 Karkam 170,200 12,382 4,000 30,000
33 057840 Rasini 83,450 1,359 4,000 30,000
34 098649 Kamsitah 112,585 1,371 4,000 30,000 50,000
35 093654 Brina Agatha C 44,550 2,641 3,000 12,500
36 055827 Petrus Walgito 263,000 20,818 4,000 30,000
37 40114 dr. Harnowo 11,300 1,027
38 104995 Suryati 166,200 12,018 4,000 30,000
39 067553 Handoyo Wijiyanto 159,000 - 4,000 65,000
40 068526 Antonius Setiawan 49,000 3,045 3,000 12,500
41 104797 Agus Sutowo 167,400 12,127 4,000 30,000
42 100492 Rustono 96,250 614 4,000 39,500 4,750
43 104974 Alvi Noviyanti 50,500 1,500 4,000 30,000
44 104973 Atma Reja 33,800 1,664 3,000 12,500
45 009263 Sudarso 79,750 5,841 3,000 12,500
46 104913 Winarto 44,500 1,727 3,000 12,500 2,500
47 021760 Tego Gunawan 17,500 - 4,000 10,000
48 104949 Martaiska 45,000 - 4,000 20,000 13,500
49 024772 Sujimah 117,435 7,494 4,000 30,000 500
50 Subroto 276,410 - 276,410
51 063698 Dwi Jalu 19,000 - 2,000
52 019803 Marwito 13,500 -
53 104974 Alfi 8,500 -
54 103109 Sus Kartina 76,700 - 4,000 20,000 10,000
55 003387 Warjan 102,960 4,633 6,000 30,000
56 032406 Endah Nur Iklas 102,700 6,245 4,000 30,000
57 104558 Tofik Bayu 164,980 9,635 6,000 30,000
58 104490 Arifin 87,250 4,841 4,000 30,000
59 038954 Sakimin 58,375 2,216 4,000 30,000
60 083011 Kuswandani 141,850 9,714 4,000 30,000 500
61 042156 Slamet Riyanto 73,000 - 4,000 20,000 10,000
62 079592 Siswo Susanto 128,000 8,545 4,000 30,000
63 104998 Rohatuni 302,500 -
64 104868 Sastro Miarjo 59,500 - 4,000 20,000 10,000
65 004912 Y Murti 117,600 7,509 4,000 30,000 500
66 042109 Valentina Febi 82,450 - 4,000 20,000 10,000
67 104925 Rasim Muh Musin 2,636 44,500 3,000 12,500

7,792,775 - 226,140 203,200 276,410 602,600 - 254,000 150,000 260,000 902,500 990,000 169,750

Jurnal Umum 7,792,775


Kas dari Kassa 7,792,900
Selisih Kas 125

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 19 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

19-Jan-11 1 071125 Rosid Kendarto - 51,325 4,000 20,000 10,000


2 056919 Sr. Christine 555 3,050 3,050
3 001823 Sr. Bernada 12,341 135,750
4 068975 Sr. Theresina 68,600 6,236 68,600 68,600
5 006178 Tyasmini 682 7,500
6 40119 Davin 1,091 12,000
7 003995 Sr. Caritas 148,700 817,850 851,850 4,000 30,000
8 005980 Chatarina Sri W 5,377 11,900 81,250 4,000 30,000
9 031939 Astiani Nuralia 1,586 3,500 29,450 3,000 12,500
10 104924 Abdul Rokhim - 120,000 25,500 11,250
11 005747 Evita Maria - 13,500
12 104918 Nur Syamsiah 168,800 12,255 10,000 4,000 30,000
13 Rasim Muh M 190,200 - 190,200
14 104999 Wasilah 84,800 - 4,000 20,000 10,000
15 086213 Febe Maurin 71,200 - 4,000 20,000 10,000
16 100016 Sumadi 571,365 45,124 4,000 50,000 3,500
17 098391 Dzaki Raditya 45,000 - 4,000 30,000 3,500
18 104997 Revisa Putri 38,050 368 4,000 30,000
19 104128 Dullah Ripto 89,250 5,023 4,000 30,000
20 043726 Nadia Santoso 34,000 - 4,000 30,000
21 097307 Damiyati 24,650 2,241
22 096508 Sugito 73,750 - 4,000 25,000 10,000
23 085283 Davin Haidar 50,400 - 4,000 20,000 10,000
24 066123 Nibras Aska 42,900 - 4,000 20,000 10,000
25 105004 Widiya Putri R 84,350 - 4,000 20,000 10,000
26 105002 Nikolas Hendriawan 95,000 - 4,000 20,000 10,000
27 104975 Deska 352,425 - 4,000 20,000 38,500 13,750
28 083785 Sri Muryani 19,500 955 4,000 5,000
29 Fani Yuliani 52,000 - 52,000
30 104968 Solehudin 137,776 10,389 3,000 12,500
31 104926 Teresia Istiani 25,500 - 3,000 12,500 2,500
32 053687 Titik K 79,500 -
33 104818 Sri Wahyuningtyastuti 9,000 - 4,000 5,000
34 104930 Irwan Triyono 58,850 3,032 3,000 12,500 2,500
35 003062 Eko Priyanto 41,500 2,364 3,000 12,500
36 087876 Salwa 78,450 5,723 3,000 12,500
37 104504 Atmo Suwito 121,675 7,970 4,000 30,000
38 104044 Muryati 26,000 955 3,000 12,500
39 104833 Marsilah 77,150 4,286 5,000 12,500
40 043663 Wawan 8,000 -
41 081531 Soeprijanto 128,905 5,437 4,000 36,500 3,000
42 062738 Sajem 92,200 3,973 4,000 30,000 500
43 016974 Heri Prasetyo 83,400 6,173 3,000 12,500
44 100041 Juniyanto 62,500 2,591 4,000 30,000
45 028792 Pujo Sumarto 71,700 3,427 4,000 30,000
46 058941 Agustina 13,600 1,236
47 016871 Min Sumini 122,625 7,966 4,000 30,000 500
48 070989 Darimin 34,000 - 4,000 30,000
49 104587 Ken Tepi 73,500 1,091 4,000 30,000
50 105013 Teresia Yayi 30,850 1,395 3,000 12,500
51 086739 Sidah 98,000 5,727 4,000 30,000 500
52 098097 Kuatno 111,000 7,000 4,000 30,000
53 009839 Cipto Utomo 15,500 - 3,000 12,500
54 104739 Kastareja 161,630 11,603 4,000 30,000
55 104812 Tofik Pustofa 145,300 10,118 4,000 30,000
56 105021 Tutut Handayani 73,600 3,600 4,000 30,000
57 105014 Marsiyem 153,800 4,936 4,000 39,500 4,750
58 042775 Hevi Kristiani 39,600 3,600
59 064696 Maria Setyaningsih 34,000 - 4,000 30,000
60 105023 Supartono 100,300 - 4,000 20,000 8,500 10,000
61 104854 Atsfur Jannah 82,000 - 4,000 20,000 9,500 14,500
62 042648 Farida Agustin 102,000 1,636 4,000 45,000
63 061862 Jenny 39,600 3,600
64 105024 Suwarni 138,600 9,509 4,000 30,000
65 105025 Sri Yuniarti 108,600 6,782 4,000 30,000
66 105005 Juniarsih 112,600 7,145 4,000 30,000
67 105026 MG Ponah 216,026 16,548 4,000 30,000
68 067847 Andina 79,200 7,200
69 065232 Triana C 39,600 3,600
70 104101 Sutirah 108,150 5,741 4,000 30,000 3,500
71 034168 Dwi Wahyuningsih 126,100 8,373 4,000 30,000
72 105008 Triogo 179,450 13,223 4,000 30,000
73 103362 Fitri yuniarti 79,200 7,200
74 039936 Widi Tri Y 39,600 3,600
75 027285 Yonathan 39,600 3,600
76 105009 Retno Lianwati 106,100 6,555 4,000 30,000
77 101376 Supardi 96,250 5,659 4,000 30,000
78 084006 Sri Anggraeni 231,000 13,364 4,000 45,000
79 095012 Fajar Fangky 112,750 7,159 4,000 30,000
80 103955 Mai Junariyah 39,600 3,600
81 077624 Supangat 274,000 21,818 4,000 30,000
82 104850 Faida Fani 93,000 5,364 4,000 30,000
83 105029 Theresia Ponirah 144,800 5,527 4,000 45,000
84 105033 Buriyah 73,600 3,600 4,000 30,000
85 035889 Sartini 27,500 2,500
86 105017 Galang 153,750 10,886 4,000 30,000
87 057720 Nurul Endarti 158,400 14,400
88 102717 Ayu Sekar 80,600 7,327
89 081421 Bunga Patria 39,600 3,600
90 105031 Naiyla Masya 118,076 7,643 4,000 30,000
91 065997 Widi Utami 39,600 3,600
92 104748 Maria Silaen 135,750 8,250 4,000 30,000 3,500
93 105028 Danu Adi N 73,600 3,600 4,000 30,000
94 044652 Endang Supriyati 39,600 3,600
95 086490 Sri Wijayanti 79,200 7,200
96 105034 Dean Setiawan 64,700 2,791 4,000 30,000
97 103316 Ayu Setya Utami 39,600 3,600
98 086944 Suharmi 39,600 3,600
99 029504 Tri Erna W 39,600 3,600
100 103061 Masrifah 39,600 3,600
101 005130 Paula Painah 39,600 3,600
102 076598 Dullah Aspar 169,450 12,223 4,000 30,000 500
103 034585 Inayah 39,600 3,600
104 058255 Susana Irawati 74,600 6,782
105 104934 Yanto 211,660 - 164,160 4,000 20,000 10,000
106 105027 Sendang Pertiwi 198,000 10,364 4,000 45,000
107 024772 Sujimah 50,500 1,500 4,000 30,000
108 104141 Pacela Agustina 131,250 4,295 4,000 45,000
109 104757 Siti Halwiyah 127,000 7,455 4,000 30,000 3,500
110 105030 Ika Candra 88,500 - 4,000 20,000 10,000
111 098785 Dwi Isnanto 39,600 3,600
112 105022 Tupinah 109,500 2,318 4,000 45,000
113 105020 Partini 109,500 2,318 4,000 45,000
114 078089 Darsih 247,750 19,432 4,000 30,000
115 102563 Siti Nuryani 39,600 3,600
116 088302 Puji Suryani 118,000 3,091 4,000 45,000
117 100916 Paidah 39,600 3,600
118 101456 Masiyah 67,000 3,000 4,000 30,000
119 041010 Sri Yuliati 104,600 9,509
120 063092 Esa Delisa 231,000 13,364 4,000 45,000
121 079456 Yusmiatun 98,250 1,295 4,000 45,000
122 104380 Rina Mariana 72,750 6,614
123 059383 Tunsiyah 65,600 5,964
124 105036 Rina Ayuningtyas 69,000 3,182 4,000 30,000
125 105032 Katini 94,400 945 4,000 45,000
126 000055 Tri Kusuma 39,600 3,600
127 086323 Pudyaning Imas 39,600 3,600
128 098891 Hafiz 87,250 4,841 4,000 30,000
129 091977 Lukas Handoyo 179,450 13,223 4,000 30,000
130 105037 Sawal Mugiyanto 58,000 - 2,500 9,500 4,750
131 032693 Beni Adi 55,500 - 9,500 4,750
132 025439 Tutik 104,725 6,430 4,000 30,000
133 098887 Yuliani Veri 155,800 6,527 4,000 45,000
134 104611 Dullah 219,000 15,818 4,000 30,000 3,500
135 104641 Eka Yulianti 84,000 - 4,000 45,000
136 035936 Yehu Paula 84,000 - 4,000 45,000
137 088188 Riyanah 84,000 - 4,000 45,000
138 028749 Priskila Yeniwati 84,000 - 4,000 45,000
139 105011 Julinah 84,000 - 4,000 45,000
140 104517 Zikra Akmalia 34,000 - 4,000 30,000
141 099454 Naura Azhar 38,500 409 4,000 30,000
142 097754 M Wildan 41,500 682 4,000 30,000
143 104830 Naufal 90,000 5,091 4,000 30,000
144 104157 Quinza Lindhia 90,000 5,091 4,000 30,000
145 104043 Ria Ariyanti 38,500 409 4,000 30,000
146 105010 Fauzy Risquloh 34,000 - 4,000 30,000
147 101465 M Alfa 34,000 - 4,000 30,000
148 100091 Ristin Aisyah 34,000 - 4,000 30,000
149 102874 Asyam Alana 34,000 - 4,000 30,000
150 099029 Syarafi 34,000 - 4,000 30,000
151 105035 Eka Tilar 34,000 - 4,000 30,000
152 104770 Maria Silaen 34,000 - 4,000 30,000
153 104823 Sri Wahyuningtuti 34,000 - 4,000 30,000
154 104343 Yonatan 90,000 5,091 4,000 30,000

12,933,588 52,000 819,787 1,171,225 422,960 1,101,350 - 429,500 137,500 265,000 2,873,500 8,500 204,750

Jurnal Umum 12,881,588


Kas dari Kassa 12,881,700
Selisih Kas 112

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 20 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

20-Jan-11 1 104170 Alfiesya Rahmania P 5,091 11,200 78,800 4,000 30,000


2 093250 Caroline Chika WS 25,200 600 23,900 39,300 4,000 30,000
3 070944 Rm. Yitno Puspo 256,949 2,826,435
4 001022 Yuli Gestati 3,486 38,350
5 104854 Arsfur Jannah 3,136 34,500
6 046332 Nur Hanifah 3,600 39,600
7 004219 Agustina Pratiwi 3,600 39,600
8 093290 Desi Iriyani 21,850 274,350 4,000 30,000
9 Astiani Nuralia 3,500 - 3,500
10 Ita Dwi Rachmanti 109,900 - 109,900
11 002156 Tasini 20,000 -
12 Meterai 6,000 - 6,000
13 041472 Evi 39,600 3,600
14 105010 Faozi Risqolah 115,150 10,468
15 097754 Muhammad Wildan 12,950 1,177
16 104379 Bimo Sambudi 34,000 - 4,000 30,000
17 032693 Beni Ardi 68,500 - 4,000 20,000 10,000
18 096854 Atik Yuliana 49,000 - 4,000 40,000
19 013111 Sukino 110,500 -
20 105042 Soni Widianto 34,000 - 4,000 20,000 10,000
21 032495 Lili M 13,000 -
22 105041 Saini 58,000 - 2,500 9,500 4,750
23 042027 Suri Puri 39,600 3,600
24 046420 Kenna Ashanti 269,700 - 4,000 20,000 10,000
25 003907 Surtini 57,720 3,838 3,000 12,500
26 035412 Hyaniwati 87,500 -
27 105037 Sawal Mugiyanto 25,500 - 3,000 12,500
28 104871 Muhammad Lutfi 20,150 423 3,000 12,500
29 104949 Martaiska 91,350 5,623 3,000 12,500 3,500
30 105023 Supartono 28,500 - 3,000 12,500 3,000
31 100837 Kaairana Adzra 77,500 5,636 3,000 12,500
32 008124 Reben 173,100 12,555 4,000 30,000 500
33 104765 Kaniyem 34,000 - 4,000 30,000
34 043391 Mad Noto 93,700 5,336 4,000 30,000 500
35 104197 Banun Wijayanti 128,000 8,545 4,000 30,000
36 028735 Sumaryono 34,000 - 4,000 30,000
37 105047 Sarto 84,600 3,691 4,000 30,000
38 104380 Rina Mariana 34,000 - 4,000 30,000
39 044690 Karto Diharjo 52,550 3,277 3,000 12,500 500
40 105051 Doni Setiawan 60,150 - 4,000 20,000 10,000
41 014729 Dewi Mindyahwati 182,500 - 4,000 20,000 10,000
42 018461 Sukarti 173,100 12,555 4,000 30,000 500
43 100235 Sri Utari 163,800 3,564 4,000 46,000 7,750
44 40126 Sairin 75,400 6,855
45 100675 Meli Gandi Puspita 92,500 5,318 4,000 30,000
46 032549 Sartinah 71,200 3,382 4,000 30,000
47 104876 Tuminah 113,530 7,230 4,000 30,000
48 097680 Adminah 178,200 13,018 4,000 30,000 500
49 065912 Awalia 24,000 2,182
50 060439 San Muhid 73,100 6,645
51 036342 Feny Ratna Yuliani 39,600 3,600
52 045806 Lili Suryani 118,800 10,800
53 40128 Gesfri 39,600 3,600
54 105048 Choirul Abidin 110,000 - 30,000
55 105054 Ahmad Suryono 181,500 - 4,000 20,000 21,000 21,000
56 105059 Budiyono 69,750 - 4,000 20,000 10,000
57 098118 Maghfiroh H 76,400 3,855 4,000 30,000
58 103762 Fargas Defana 84,100 4,555 4,000 30,000
59 1050 Daniswara 38,500 409 4,000 30,000
60 103519 Fadlan Adis 90,000 5,091 4,000 30,000
61 101261 Syua Aulia 34,000 - 4,000 30,000
62 103459 Garhit 90,000 5,091 4,000 30,000
63 101728 Aurelia 34,000 - 4,000 30,000
64 101563 Fadilah Rizky 90,000 5,091 4,000 30,000
65 105058 Saodah - 60,690 4,000 20,000 10,000

4,334,500 - 468,921 498,290 137,300 2,944,535 - 165,500 87,500 160,000 866,500 - 112,500

Jurnal Umum 4,334,500


Kas dari Kassa 4,334,800
Selisih Kas 300

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 21 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

21-Jan-11 1 089265 Tri Atmoko Aji 3,568 54,750 3,000 12,500


2 006137 dr. JB Harnowo 11,300 4,785 8,268 33,072
3 076837 dr. Palupi Widiasih 5,136 56,500
4 005646 Sri Susilowati - 36,000 159,500 3,000 12,500 75,000
5 025234 Sr. Clara 1,364 7,500 23,000 3,000 12,500
6 100446 Nimasayu Q 264 36,900 4,000 30,000
7 093293 Astrina Hidayah 955 2,100 17,400 4,000 5,000
8 093290 Desi Iriani 48,000 - 48,000
9 042860 Ruswati - 287,130 4,000 20,000 15,000 10,000
10 087296 Reni Komariyah 5,700 - 56,800 4,000 20,000 10,000
11 063319 Hybriani Riztina 39,600 3,600
12 016928 Sarjono 94,300 6,755
13 045098 Istilah 124,950 - 4,000 20,000 10,000
14 40131 Agus Lukito 22,500 2,045
15 105063 Sanis 86,450 - 4,000 20,000 10,000
16 086213 Febe Maurin 86,100 - 4,000 20,000 10,000
17 105061 Tristan Fiky Y 100,650 6,059 4,000 30,000
18 008949 Suniah 12,140 1,104
19 070870 Sunarsih 18,000 818 4,000 5,000
20 064623 RSU Purwogondo 116,000 -
21 000084 Agus 34,500 -
22 104895 Satinah 9,000 - 4,000 5,000
23 069014 Slamet Budiman 45,000 2,682 3,000 12,500
24 105066 Sefri Nuryanto 69,600 3,736 3,000 12,500
25 038791 Esti Handayani 53,500 1,773 4,000 30,000
26 103731 Endang Aristiyani 44,000 - 4,000 30,000
27 Pengobatan Karyawa 1,394,500 - 1,394,500
28 Saodah 60,690 - 60,690
29 Robertus Eko W 500,000 - 500,000
30 Sartini 687,000 - 687,000
31 028806 Hasto 32,000 -
32 105064 Adminah 49,900 1,309 3,000 12,500 10,000
33 003403 Daryanti 238,500 18,591 4,000 30,000
34 024112 Sri Sulistiowati 34,000 - 4,000 30,000
35 092327 Satinem 147,575 10,325 4,000 30,000
36 099852 Toni Sugiarto 74,500 3,682 4,000 30,000
37 090480 Sudarni 162,550 6,641 4,000 39,500 4,750
38 077544 Koza Pratama 44,200 1,700 3,000 12,500 2,500
39 105067 Dasiyem 174,600 11,555 4,000 30,000
40 105068 Ajeng Tanti 73,500 -
41 070839 Tuyem 172,500 12,591 4,000 30,000
42 051793 Naufal Putra 120,950 - 4,000 20,000 10,000
43 104925 Rasim Moh Musim 76,790 4,663 3,000 12,500 2,500
44 104764 Sunarni 87,450 2,723 4,000 30,000
45 104913 Winarto 89,500 5,818 3,000 12,500 2,500
46 105065 Indri Astuti 134,575 6,416 4,000 60,000
47 104262 Setiani Prabowo 74,125 3,648 4,000 30,000
48 008243 Sumarsih 83,000 - 4,000 30,000 4,500
49 099528 Sri Isnaeni 154,800 8,709 3,000 27,500
50 104941 Rosdiana A 131,500 4,318 4,000 45,000
51 105071 Gus Cipto 57,975 - 4,000 20,000 10,000
52 105072 Suryana 311,000 20,636 4,000 45,000
53 105070 Mila Tiyah 240,250 14,205 4,000 45,000
54 022524 dr. Nrimanto 72,500 6,591
55 104879 Raden Sunardi 64,925 4,493 3,000 12,500
56 067117 Amanah 268,200 16,745 4,000 45,000
57 014848 Rudi Novandi 64,500 -
58 104549 Lusiah 138,000 4,909 4,000 45,000
59 105073 Nur Solihin 100,775 - 4,000 20,000 10,000
60 104884 Amanah I 9,000 - 4,000 5,000
61 104882 Amanah II 9,000 - 4,000 5,000
62 032500 Christina Yanuar 84,000 - 4,000 45,000
63 060565 Sri Rahayu 84,000 - 4,000 45,000
64 100186 Aprilia Intan 84,000 - 4,000 45,000
65 104757 Siti Halwiyah 45,000 - 4,000 30,000 3,500
66 105069 Sri Kuatmi 84,000 - 4,000 45,000
67 102917 Desi Puspita Sari 84,000 - 4,000 45,000
68 104748 Marisilan 84,000 - 4,000 45,000
7,705,120 - 214,911 545,948 2,690,190 232,972 - 193,000 127,500 160,000 1,039,500 100,000 125,250

Jurnal Umum 7,705,120


Kas dari Kassa 7,705,800
Selisih Kas 680

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 22 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

22-Jan-11 1 104748 Marisilan 84,000 - (4,000) (45,000)


2 104748 Marisilan 45,000 - 4,000 30,000 3,500
3 090776 Herlina Fajar Hidayah 14,882 288,700 4,000 30,000
4 102996 Athaya Adikari - 182,950 4,000 20,000 10,000
5 097545 Refi Marshall A - 11,000 88,100 4,000 30,000 10,000
6 084942 Raniyah - 85,075 4,000 20,000 10,000
7 034043 Adi Susetyo - 237,540 4,000 20,000 10,000
8 104117 Sakir - 50,000 8,500 4,750
9 104999 Wasilah - 10,500
10 004197 Cicilia Yanti 50,000 2,086 7,950 4,000 30,000 500
11 061201 Fery Dwi A - 34,000 4,000 30,000
12 005747 Evita Indah R 2,086 4,600 27,350 4,000 5,000
13 40146 Yuli Gestati 1,182 13,000
14 072513 Atit Yuni S 1,500 16,500
15 005976 Alipah 873 9,600
16 005745 Kristanti 4,500 49,500
17 061197 Ety Yuniarsih 7,086 77,950
18 060779 Erwin 7,500 682
19 045241 Budiman 68,000 - 8,000 60,000
20 083842 Wahyu Dwi 38,000 1,727 19,000
21 075095 Agus Dwi N 7,000 636
22 002156 Tasini 17,500 -
23 104790 Suhartinah 59,500 2,318 4,000 30,000
24 103254 Ernawati 48,250 1,295 4,000 30,000
25 105040 Anggi Wardani 173,820 - 4,000 20,000 15,000 13,500
26 080779 Reni 125,000 - 35,000
27 105079 H Suparno 22,000 -
28 007306 Nining 44,700 4,064
29 Agus Matori 20,000 - 20,000
30 104949 Martaiska 28,500 - 3,000 12,500 3,000
31 105078 Partiman 163,000 7,636 3,000 12,500 8,500 4,750
32 064623 RSU Purwogondo 582,000 52,909
33 105081 Kasirah 52,682 1,607 4,000 30,000 500
34 043928 Jamiati 79,450 4,041 4,000 30,000 500
35 069679 Risem 86,600 - 4,000 36,500 3,000
36 Ruswati 287,130 - 287,130
37 096869 Gita Yestiana 8,000 -
38 054904 Sudarti 47,000 -
39 070228 Nia Kurniawati 10,000 - 4,000 5,500
40 105080 Ibrahim 80,950 4,177 4,000 30,000 500
41 076430 Lia Sri Hartati 89,000 5,000 4,000 30,000
42 105083 Sutanti 71,800 2,073 3,000 12,500
43 104745 Erik Harsoyo 123,700 8,155 4,000 30,000
44 105082 Kiki Leni 170,750 12,432 4,000 30,000
45 095616 Rasimah 145,750 6,068 4,000 30,000
46 102494 Srini Hastuti 70,500 5,000 3,000 12,500
47 104944 Fani Yuliani 172,800 12,618 4,000 30,000
48 066413 Widi Prihartono 176,300 12,936 4,000 30,000
49 105085 Satirin 131,350 - 4,000 20,000 14,500
50 016928 Sarjono 103,100 9,373
51 062203 Pariyah 317,700 9,200 4,000 65,000
52 010229 Sugiarti 13,500 -
53 039554 Hana Gunawan 83,000 - 10,500 5,500
54 105090 Marsini 127,500 - 2,500 35,000
55 105088 Eka Safitri 102,350 - 4,000 20,000 10,000
56 105086 Sanli Kusnadi 74,650 - 4,000 20,000 10,000
57 032648 Aminudin 17,450 1,586
58 105087 Meri Fitriyani 148,495 - 4,000 20,000 10,500 15,500
59 Alin Raihanah 20,000 - 20,000
60 Melin 200,000 -
61 050293 Widarti 13,500 -
62 105092 Yuni Kusuma Dewi 52,000 -
63 029863 Diana Kusuma 52,000 -
64 043185 Arvin 39,600 3,600
65 009716 Lilis 13,500 -
66 Robiyati 78,750 - 78,750
67 Meterai 6,000 - 6,000
68 049564 Didik Adi - 106,790 4,000 20,000 10,000
69 092952 Mas Priobudi - 103,000

4,766,627 84,000 203,330 1,254,655 384,880 149,450 - 140,500 50,000 180,000 744,500 15,000 150,500

Jurnal Umum 4,682,627


Kas dari Kassa 4,683,300
Selisih Kas 673

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 23 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

23-Jan-11 1 090151 Nathania Aura Cinta 1,677 52,450 4,000 30,000


2 066413 Widi P - 43,000
3 020580 Yusiva Sumarni - 24,500 78,222 4,000 20,000 10,000
4 005616 Tursiyem - 12,650 84,600 4,000 20,000 10,000
5 034822 Yuniarsih - 3,600 48,300 4,000 20,000 10,000
6 090227 Komunitas Kebumen - 83,250
7 072513 Atit Yuni - 62,500
8 068975 Sr. Theresina - 34,300
9 016928 Sarjono 16,150 -
10 018640 Edi Budiarto 101,700 - 4,000 20,000 10,000
11 40148 dr. Nrimanto 15,000 -
12 104930 Irwan Triyono 79,050 - 4,000 20,000 10,000
13 40150 Tegar 33,000 -
14 105093 Tuniyah 192,950 - 4,000 20,000 10,000
15 105094 Marinah 137,350 - 4,000 20,000 10,000
16 035889 Sartini 154,440 -
17 105096 Indro 92,300 - 4,000 20,000 13,500
18 054805 Multijo 312,160 - 4,000 20,000 10,000
19 028036 Ferdiansah 49,500 -
20 015646 Daryani 395,250 -
21 104842 Budi Winarso - 88,500 4,000 20,000 10,000
22 057043 Ismiyati - 167,900 4,000 30,000 10,000

1,578,850 - 1,677 572,650 - 211,122 - 48,000 - 200,000 60,000 - 113,500

Jurnal Umum 1,578,850


Kas dari Kassa 1,579,100
Selisih Kas 250

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 24 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

24-Jan-11 1 006137 dr. JB Harnowo 9,395 20,670 82,680


2 075716 Roger Bastian K 7,664 84,300
3 003237 Sri Pujiastuti 1,809 4,000 31,400 3,000 12,500
4 046050 Sistanto 220,000 17,209 25,800 4,000 30,000
5 083319 Lia Setiarini - 152,300 4,000 20,000 10,500 15,500
6 105013 Teresia Yayi - 119,500 4,000 20,000 10,000
7 083841 Nurwidayati - 15,400 95,550 4,000 20,000 10,000
8 008773 Martiyem 185,000 - 40,350 4,000 20,000 45,000 14,500
9 Sukamto 360,000 - 170,000
10 Sujiati 360,000 - 170,000
11 66956 Agus Lukito 22,500 2,045
12 045226 Imam Sudiyono 161,675 - 4,000 20,000 10,000
13 020775 Suryowati 168,650 - 4,000 20,000 10,000
14 090480 Sudarni 56,226 5,111
15 105100 Novan A 8,000 -
16 105098 Siti Nurjanah 138,650 - 4,000 20,000 8,500 13,500
17 105112 Laksmi 100,300 7,709 3,000 12,500
18 075910 Darisah 58,000 - 2,500 9,500 4,750
19 104722 Kwong ay Ting 140,500 -
20 039999 Muslimah 32,000 -
21 079923 Tasirah 15,000 - 2,000
22 104461 Disun 25,500 - 2,000
23 011136 Yosepha Iswidya 26,850 2,441
24 072513 Atit Yuni S 18,500 1,682
25 104379 Bimo 101,000 - 4,000 40,500 5,500
26 104949 Martaiska 98,150 6,605 3,000 12,500 2,500
27 17451 Sukinah 18,000 - 2,000
28 105116 Riana Susilowati 33,600 1,645 3,000 12,500
29 105115 Wahyudi 137,900 10,218 3,000 12,500 2,500
30 105118 Karsinah 70,500 5,000 3,000 12,500
31 100622 Sukarno 177,925 9,893 4,000 36,500 3,000
32 105117 Satini 118,375 4,480 4,000 36,500 3,000
33 105113 Karyo Wiharjo 88,120 4,920 4,000 30,000
34 068381 Sartini 102,800 6,255 4,000 30,000
35 Tindraweni 34,000 - 4,000 30,000
36 105120 Mustakim 121,550 2,914 4,000 39,500 4,750
37 079321 Liantini 14,500 -
38 104950 Iswati 57,900 1,582 4,000 30,000
39 100235 Sri Utari 164,775 11,889 4,000 30,000
40 062579 dr. Cholid 8,000 727
41 104952 Wardinem 242,650 18,968 4,000 30,000
42 042074 Sri Sugiarti 47,500 - 4,000 30,000
43 074564 Mulyakin 263,200 18,791 4,000 30,000
44 105014 Marsiyem 40,750 614 4,000 30,000
45 034857 Turmin 122,050 8,005 4,000 30,000
46 105122 Siti Masitoh 94,500 - 4,000 20,000 27,500
47 105124 Sino Prabowo 88,500 - 4,000 20,000 10,000
48 098899 Noto Miarjo 58,500 - 4,000 30,000 3,500
49 098895 Parmi 124,600 7,009 4,000 30,000
50 058292 Jaenab 94,000 409 4,000 39,500 4,750
51 079858 Karsono 58,000 - 2,500 9,500 4,750
52 66959 Ita 35,800 3,255
53 103107 Dasinem 348,500 27,364 4,000 30,000
54 001130 Sastro Diharjo 47,500 - 4,000 30,000
55 096993 Sukardi 49,150 559 4,000 30,000
56 104669 Tasmini 157,900 10,036 4,000 30,000
57 00606 Salikem 5,000 - 5,000
58 102304 Sobari 118,975 7,725 4,000 30,000
59 105119 Asya Sahita 46,150 2,786 3,000 12,500
60 100416 Izam Aditya P 45,670 2,743 3,000 12,500
61 095143 Ari Setia Budi 71,900 5,127 3,000 12,500
62 102606 Sumarti 97,000 - 4,000 39,500 4,500
63 38631 Narti 50,000 - 8,500 4,750
64 103397 Puji Ade N 335,000 21,636 4,000 39,500 4,500
65 105126 Sunarto 51,500 -
66 044424 Candra Y 34,000 -
67 104859 Munah 354,750 29,159 4,000 30,000
68 095928 Slamet 34,000 - 4,000 30,000
69 104536 Kasimin 266,000 21,091 4,000 30,000
70 039554 Hana Gunawan 158,250 11,295 4,000 30,000
71 Pengob. Karyawan 50,000 - 50,000

7,035,741 - 317,765 462,320 50,000 209,630 - 530,000 112,500 180,000 969,500 53,500 178,750

Jurnal Umum 7,035,741


Kas dari Kassa 7,036,600
Selisih Kas 859

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 25 JANUARI 2011
Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

25-Jan-11 1 104992 Indra Handoko - 135,000 3,000 12,500 8,500 4,750


2 104977 Candra Radika - 135,000 3,000 12,500 8,500 4,750
3 104985 Hendrawan Indrianto - 135,000 3,000 12,500 8,500 4,750
4 104976 Trias Kurniawan - 135,000 3,000 12,500 8,500 4,750
5 104991 Ika Fitiani - 147,000 3,000 12,500 8,500 4,750
6 104978 Army Eka Januari - 147,000 3,000 12,500 8,500 4,750
7 105016 Agus Arifin - 135,000 3,000 12,500 8,500 4,750
8 104983 Catur Sepharyono - 135,000 3,000 12,500 8,500 4,750
9 104993 Farikhatul Hidayah - 147,000 3,000 12,500 8,500 4,750
10 104982 Veronika Tri H - 147,000 3,000 12,500 8,500 4,750
11 104988 Yuniar Setiani - 147,000 3,000 12,500 8,500 4,750
12 104987 Fitriyani - 147,000 3,000 12,500 8,500 4,750
13 104990 Sugiarsih - 147,000 3,000 12,500 8,500 4,750
14 105015 Susiani - 147,000 3,000 12,500 8,500 4,750
15 104981 Septiria Wulandari - 147,000 3,000 12,500 8,500 4,750
16 104975 Heni Kriswanti - 147,000 3,000 12,500 8,500 4,750
17 105143 Hendito Catur 12,045 148,000 3,000 12,500
18 006295 Ani Widyastuti 3,084 6,800 42,625 3,000 12,500
19 000607 Purwanti 3,036 6,700 42,200 3,000 12,500
20 66960 dr. Nrimanto 682 7,500
21 148232 dr. B Suryanto 13,155 28,940 115,760
22 148230 Dwi Aryanti 1,500 16,500
23 006178 Tyasmini 955 2,100 17,400 4,000 5,000
24 105128 Samsudin - 987,175 4,000 20,000 20,000 14,500
25 165538 Sr. Bonifasia - 53,750 53,750
26 Budi Winarso 88,500 - 88,500
27 Sr. Theresina 34,300 - 34,300
28 66962 Sartini 5,300 482
29 105131 Titi Sunarti 116,000 -
30 105130 Sunarti 116,000 -
31 165539 Marwito 13,500 -
32 064215 Susanto 52,000 -
33 105132 Bambang Agus 59,500 - 4,000 20,000 10,000
34 105135 Ngadiyem 147,675 - 4,000 20,000 10,000
35 66963 Wahyu 168,650 - 4,000 20,000 10,000
36 012004 Oey Kwan 121,350 9,623 3,000 12,500
37 105138 Sunami 56,250 3,705 3,000 12,500
38 165541 Siti Umiyati 13,500 -
39 105139 Yohanes Agung 63,900 2,582 3,000 12,500
40 078548 Christiana Dewi 16,500 - 2,000
41 103543 Yamiati 34,000 - 4,000 30,000
42 000810 Sri Wahyuningsih 62,400 4,264 3,000 12,500
43 087331 San Murja 105,350 6,395 4,000 30,000 500
44 023826 Sulastri Ichwan 34,000 - 4,000 30,000
45 061527 Kaminem 122,750 8,068 4,000 30,000
46 103765 Theresia S 109,700 5,655 4,000 30,000
47 165565 Dafi Aslam 83,500 -
48 094953 Muh Khayatul 139,900 400 3,000 12,500 25,500 11,250
49 029895 Tursinem 88,050 4,823 4,000 30,000 500
50 043575 Gunarso 96,000 5,636 4,000 30,000
51 104971 Sugeng Madiharjo 119,100 3,191 4,000 30,000 50,000
52 101563 Fadilah Riski 72,300 5,164 3,000 12,500
53 089008 Suharyanto 34,000 - 4,000 30,000
54 17459 Wiyanti 18,000 - 2,000
55 079477 Susmini 78,050 3,914 4,000 30,000 500
56 095378 Siti Maemunah 112,000 2,045 4,000 39,500 4,750
57 042904 Kasiyem 92,200 5,291 4,000 30,000
58 053318 Ramen 124,800 8,255 4,000 30,000
59 027413 Sariyah 84,600 4,509 4,000 30,000 500
60 062203 Pariyah 34,000 - 4,000 30,000
61 087423 Kainah 77,500 3,955 4,000 30,000
62 101562 Hadi Winoto 38,500 409 4,000 30,000
63 148225 dr. Harnowo 11,300 1,027
64 005000 San Karso 101,000 6,091 4,000 30,000
65 075845 Ami Lestari 176,550 10,232 4,000 30,000 30,000
66 105145 Supiyah 161,750 11,614 4,000 30,000
67 102014 Rakiyem 138,500 7,273 4,000 30,000 3,500
68 104962 Kartini 142,700 9,882 4,000 30,000
69 096950 Ponidi 107,500 6,682 4,000 30,000
70 148240 Alipah 69,700 6,336
71 165540 Alin Setyo 10,500 -
72 148229 Ika 1,300 236 1,300
73 024772 Sujimah 86,900 6,491 3,000 12,500
74 148241 Sri Sukengsi 6,300 573
75 38652 Miaki 58,000 - 2,500 9,500 4,500
76 105148 Sri Aryati 127,500 - 2,500 35,000
77 165582 Parsini 16,500 -
78 148242 Waluyo 22,500 2,045
79 026149 Wagimin 31,500 - 4,000 10,000
80 Ismiyati 167,900 - 167,900
81 Adi Susetyo 237,540 - 237,540

4,509,065 - 191,302 3,538,765 528,240 271,735 - 203,000 325,000 80,000 905,500 100,000 161,500

Jurnal Umum 4,509,065


Kas dari Kassa 4,509,200
Selisih Kas 135

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 26 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

26-Jan-11 1 Indra Handoko 135,000 - 135,000


2 Candra Radika 135,000 - 135,000
3 Hendrawan Indrianto 135,000 - 135,000
4 Trias Kurniawan 135,000 - 135,000
5 Ika Fitiani 147,000 - 147,000
6 Army Eka Januari 147,000 - 147,000
7 Agus Arifin 135,000 - 135,000
8 Catur Sepharyono 135,000 - 135,000
9 Farikhatul Hidayah 147,000 - 147,000
10 Veronika Tri H 147,000 - 147,000
11 Yuniar Setiani 147,000 - 147,000
12 Fitriyani 147,000 - 147,000
13 Sugiarsih 147,000 - 147,000
14 Susiani 147,000 - 147,000
15 Septiria Wulandari 147,000 - 147,000
16 Heni Kriswanti 147,000 - 147,000
17 098981 Wirayudha 605 1,400 39,250 4,000 30,000
18 099541 Frenza Effa - 34,000 4,000 30,000
19 099954 Lorenza P - 34,000 4,000 30,000
20 025234 Clara Adi - 34,000 4,000 30,000
21 070931 Alberto P - 34,000 4,000 30,000
22 085298 Cunduk Astuti - 9,000 4,000 5,000
23 148263 Reni Komariyah 7,932 87,250
24 148252 Indriyana 2,359 25,950
25 148253 Wahyu Dwi A 1,727 19,000
26 148254 Mutmainah 609 6,700
27 148248 dr. Harnowo 1,045 11,500
28 004197 Cicilia Yanti 55,000 - 28,850 8,000 30,000 10,500
29 Sujiati 140,000 -
30 105150 Supardi 315,100 - 4,000 20,000 22,000 10,000
31 105130 Sunarti 7,000 -
32 165587 Wawan S 8,000 -
33 039639 Iriana 13,500
34 148250 Tegar 126,000 11,455
35 008535 Hendrawan 18,000 - 2,000
36 075652 Walyanti 13,500 -
37 148251 Sri Hartini 140,000 12,727
38 17466 Tarsini 18,000 - 2,000
39 040636 Suparmin 58,000 - 2,500 9,500 4,750
40 081531 Soeprijanto 135,850 9,259 4,000 30,000
41 105162 Tugino 58,000 - 2,500 9,500 4,750
42 17463 Yanto 17,000 - 2,000
43 072345 Minarjo 34,000 - 4,000 30,000
44 104930 Irwan 71,250 5,068 3,000 12,500
45 105160 Marsikun 150,400 4,627 4,000 39,500 4,750
46 105165 Wardoyo 85,850 1,850 3,000 12,500 8,500 4,750
47 028792 Pujo Sumarto 83,200 4,382 4,000 30,000 500
48 073914 Saryanti 255,500 20,045 4,000 30,000 500
49 054946 Dwi Sumanti 7,000 3,177 43,450 3,000 12,500
50 104705 Tayinah 138,950 9,541 4,000 30,000
51 080915 Suminah 59,700 1,518 4,000 30,000
52 065909 Kaminem 111,000 6,318 4,000 30,000 500
53 062788 Sajem 47,500 - 4,000 30,000
54 102544 Darsini 83,650 4,514 4,000 30,000
55 17468 Wiyanti 27,000 - 2,000
56 17469 Wellani 18,500 - 2,000
57 148272 Alipah 35,700 3,245
58 104860 Sunarti 118,000 6,409 4,000 30,000
59 056240 Painah 134,800 9,073 4,000 30,000 500
60 086837 Dirin 194,900 9,582 4,000 39,500 4,750
61 070989 Darimin 34,000 - 4,000 30,000
62 062486 Kartinah 19,000 909 4,000 5,000
63 042389 Ginawati 96,500 -
64 006484 Norman 102,800 5,891 3,000 12,500
65 148278 Cecilia 43,100 3,918
66 028911 Jimmy 66,500 - 4,000 20,000 10,000
67 103828 Rasiyah 158,300 11,209 4,000 30,000 500
68 014512 Indah W 18,000 - 2,000
69 064215 Susanto 8,000 -
70 Eka Roshandi 10,000 - 10,000
71 148279 Kamsiyatun 104,600 9,509
72 148281 Sri Wahyuningsih 39,600 3,600
73 148305 Ambar 79,200 7,200
74 030973 Wiji Endarwati 132,500 4,409 4,000 45,000
75 148304 Inti 39,600 3,600
76 087527 Irham 111,600 7,055 4,000 30,000
77 104511 Partiyah 112,500 2,591 4,000 45,000
78 064926 Fisita 138,750 4,977 4,000 45,000
79 105157 Nikolas 118,200 7,655 4,000 30,000
80 105170 Nenti 73,600 3,600 4,000 30,000
81 105158 Puji S 197,550 14,868 4,000 30,000
82 105169 Lulus Anggun 108,600 6,782 4,000 30,000
83 105168 Tin Daryatun 92,500 5,318 4,000 30,000
84 064926 Fisda Komayati 13,500 -
85 012867 Marini 93,600 5,418 4,000 30,000
86 105153 Tri Mulyani 218,500 2,818 4,000 45,000
87 148290 Sutini Ida 39,600 3,600
88 104841 Daidi 86,500 4,773 4,000 30,000
89 148286 Jasmirah 79,200 7,200
90 148287 Pingah 39,600 3,600
91 073382 Nasih 184,000 13,636 4,000 30,000
92 068020 Riyanti 97,500 1,227 4,000 45,000
93 105174 Rohyati 120,500 - 4,000 45,000
94 018640 Edi Budianto 77,500 - 4,000 20,000 10,000
95 105173 Agustini 217,000 4,955 4,000 45,000
96 105163 Eti Yuniarti 121,750 7,977 4,000 30,000
97 Andri 28,500 2,591
98 008462 Sutadi 112,750 7,159 4,000 30,000
99 148309 Lintang 39,600 3,600
100 098629 Destiyana 229,750 17,795 4,000 30,000
101 148307 Sri Indah 39,600 3,600
102 105182 Martati 108,600 6,782 4,000 30,000
103 148337 Rodiyah 39,600 3,600
104 148336 Sri yati 39,600 3,600
105 148335 Septian 74,600 6,782
106 148332 Aprilisa 74,600 6,782
107 006391 Eka Purwati 113,200 7,200 4,000 30,000
108 040213 Wiwin 99,000 5,909 4,000 30,000
109 092601 Dwi Agus 119,000 7,727 4,000 30,000
110 148324 Sri Yanti 79,200 7,200
111 102963 Kusuma Rini 147,000 5,727 4,000 45,000
112 105181 Qori 92,200 5,291 4,000 30,000
113 148325 Parsini 39,600 3,600
114 148323 Muji 39,600 3,600
115 102247 Suminah 172,950 12,632 4,000 30,000
116 Kurnia Putri 79,200 7,200
117 148320 Margareta 39,600 3,600
118 056397 Fita Martiyana 236,000 13,818 4,000 45,000
119 148318 Meita 79,200 7,200
120 148319 Titin Budi 39,600 3,600
121 074168 Suprapto 127,500 8,500 4,000 30,000
122 25145 Sari Dewi 34,000 - 4,000 30,000
123 105176 Uus Wahyu 166,400 12,036 4,000 30,000
124 104164 Revel 34,000 - 4,000 30,000
125 105060 Daniswara 90,000 5,091 4,000 30,000
126 000082 Aan Sri 217,600 9,418 4,000 67,500 2,000
127 034786 Sri Surtini 25,000 1,909 30,000 4,000 30,000
128 105185 Lilik 52,000 -
129 105184 Fridayana 138,350 - 4,000 20,000 25,000 10,000
130 051025 Rosmaniar 138,500 4,955 4,000 45,000
131 105175 Popy Ekawati 34,000 - 4,000 30,000
132 037318 Ismiarsih 44,500 955 4,000 30,000
133 082234 Erni Susanti 84,000 - 4,000 45,000
134 051028 Kuatmi 84,000 - 4,000 45,000
135 103125 Tri Setyaningsih 84,000 - 4,000 45,000
136 100981 Sri Hartati 84,000 - 4,000 45,000
137 104911 Mugiman 81,750 3,341 4,000 30,000 3,500
138 105018 Jumadi 66,600 1,009 4,000 30,000 7,000
139 080384 Indriyani 84,000 - 4,000 45,000
140 105171 Didik Adi 12,777 174,550 4,000 30,000

12,186,350 - 511,950 389,200 2,280,000 223,700 - 321,000 50,000 90,000 2,289,000 47,000 99,250

Jurnal Umum 12,186,350


Kas dari Kassa 12,187,500
Selisih Kas 1,150

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 27 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

27-Jan-11 1 105604 Agustina Eka 58,750 - 40,800 4,000 20,000 10,000


2 092773 Muhammad Chabibi 6,218 83,900 3,000 12,500
3 105172 Siti Khasanah 6,191 152,100 4,000 45,000
4 102723 Sri Lestari 2,909 116,000 4,000 45,000
5 101654 Dian Rosdiana 182 87,500 3,000 12,500 40,000
6 008773 Martiyem 280,350 - 11,050 40,350 4,000 20,000 13,500
7 070931 Alberto 4,114 9,000 36,250
8 099954 Lorenza 3,559 7,800 31,350
9 148357 Cicilia Yanti 3,059 33,650
10 148387 Tri Sundarwati 1,514 16,650
11 148381 Radikun 132 1,450
12 148366 Alipah 11,441 125,850
13 095828 Dede Dwi 2,486 5,500 37,350 3,000 12,500
14 104854 Aspur 3,545 54,500 3,000 12,500
15 061186 Wardani 1,364 51,500 3,000 12,500 10,000
16 013119 Nofika 13,000 35,600 191,400 4,000 45,000
17 020580 Yusiva Sumarni 955 2,100 17,400 4,000 5,000
18 17460 Sawiyem - 18,000 2,000
19 165647 Sr. Theresina - 105,000
20 069785 Dhuta - 24,500 132,050 4,000 20,000 10,000
21 105191 Rini - 132,500 4,000 20,000 10,500 15,500
22 068975 Sr. Theresia - 33,125 67,125 4,000 20,000 10,000
23 009451 Sr. Bonifasia - 28,000 62,000 4,000 20,000 10,000
24 067701 Siani Lokajaya 34,000 - 4,000 30,000
25 148353 Cipto Utomo 15,400 1,400
26 148350 Sumaryati 39,600 3,600
27 105188 Sugiyarti 100,000 -
28 080419 Lukman 34,000 - 4,000 30,000
29 105489 Marisa 93,400 - 4,000 20,000 10,000
30 148358 Yuli Gestati 13,000 1,182
31 018640 Edi Budianto 55,500 - 9,500 4,500
32 148363 Sri Hartini 69,750 6,341
33 101175 Ety Purwaningsih 101,000 6,000 4,000 30,000 500
34 105193 Hendro Joko 147,000 - 3,000 12,500 8,500 4,750
35 056168 Tuniyah 224,800 17,255 4,000 30,000 500
36 105194 Dede Amalia 106,500 1,500 3,000 12,500 8,500 4,750
37 105115 Wahyudi 106,000 7,227 3,000 12,500 3,500
38 Susteran Gombong 683,300 - 683,300
39 094757 Sukini 127,450 8,405 4,000 30,000 500
40 105047 Sarto 89,500 - 4,000 39,500 4,750
41 097680 Adminah 73,850 3,532 4,000 30,000 500
42 098912 Asiyah 86,500 4,773 4,000 30,000
43 099358 Mairah 111,250 7,023 4,000 30,000
44 105119 Asya Sahita 15,500 - 3,000 12,500
45 076420 Lia Sri H 34,000 - 4,000 30,000
46 100416 Izam Aditya 55,900 3,673 3,000 12,500
47 036896 Warsamin 30,750 1,386 3,000 12,500
48 105105 Dwi Puspita 45,000 - 4,000 20,000 10,000
49 105192 Mad Yasir 34,500 1,727 3,000 12,500
50 105177 Sumarni 9,000 - 4,000 5,000
51 058749 Priskila Yeni 9,000 - 4,000 5,000
52 165651 Surati 45,000 -
53 038943 Yuniarti 34,000 - 4,000 30,000
54 102820 Mastur 168,000 12,182 4,000 30,000
55 105197 Kasmi 110,500 6,955 4,000 30,000
56 053975 Sarijan 34,000 - 4,000 30,000
57 105196 Tofik Solihin 75,350 4,441 3,000 12,500 3,500
58 040842 Sri Purwati 20,000 -
59 088771 Tri Setyo Winarni 241,150 18,832 4,000 30,000
60 104876 Tuminah 94,400 5,491 4,000 30,000
61 Samsudin 987,175 - 987,175
62 105198 Anindrawati 124,700 7,927 3,000 19,500 2,500
63 105188 Sugiyanti 34,000 - 4,000 30,000
64 105200 Saolah Vita 126,450 5,586 4,000 20,000 13,500
65 102897 Sutaryo 85,350 2,441 4,000 30,000 3,500
66 104879 Raden Sunardi 23,000 682 3,000 12,500
67 105201 Dwi Raharjo 143,150 - 4,000 20,000 25,000 13,500
68 105203 Leonis 52,700 - 4,000 20,000 10,000
69 062740 Nasim Abdillah 232,500 - 2,500 44,500 4,500
70 051025 Rosmaniar 66,500 -
71 093080 Audia Vivian 34,000 - 4,000 30,000
72 105179 Syafira 34,000 - 4,000 30,000
73 105045 Priskila Yeni 34,000 - 4,000 30,000
74 058699 Elisabeth Glory 5,964 13,200 86,400 4,000 30,000
75 093414 Gabriel Dwiki 8,745 19,300 110,900 4,000 30,000

5,684,475 - 214,936 1,208,575 1,710,825 772,225 - 209,500 169,500 220,000 941,000 88,500 165,750

Jurnal Umum 5,684,475


Kas dari Kassa 5,685,100
Selisih Kas 625

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 28 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

28-Jan-11 1 072747 Wiwi Handayani 364 64,500 3,000 12,500 25,000


2 090961 Andreas Asmara 3,545 54,500 3,000 12,500
3 366959 Olivia Atmaja 1,514 7,400 44,750 3,000 12,500 10,000
4 067827 Sariyanti 1,364 6,000 44,500 3,000 12,500 10,000
5 001186 Wardani 591 43,000 3,000 12,500 10,000
6 087324 Nia Purwati 10,000 - 75,500 3,000 12,500 40,000
7 002133 Yoane 9,555 21,020 99,580 3,000 12,500
8 068719 Amanda 7,077 15,570 77,780 3,000 12,500
9 148421 Mufti hidayat 255 2,800
10 148419 Fitri 1,805 19,850
11 148463 Sr. Marieta 1,500 16,500
12 148443 Alipah 6,309 69,400
13 082402 Ratna - 26,000
14 Elisabeth Glory 13,200 - 13,200
15 Gabriel 19,300 - 19,300
16 Sujiati 140,000 -
17 102995 Fabrizio 114,900 7,355 4,000 30,000
18 104431 Afni Lengkong 90,000 5,091 4,000 30,000
19 054571 Myra Kristanti 123,900 8,173 4,000 30,000
20 103158 Lilis Lestari 34,000 - 4,000 30,000
21 100816 Daffa Drajad 41,550 686 4,000 30,000
22 148404 Nathan Tri 42,950 3,905
23 148411 Hesti 30,000 2,727
24 105205 Siran 159,000 - 4,000 65,000
25 104920 Bastul Biri 93,750 5,432 4,000 30,000
26 105056 Suprapto 104,750 5,432 4,000 30,000 3,500
27 067700 Cicilia 112,750 5,432 4,000 30,000 6,500
28 014945 Dul Laspar 87,000 3,818 4,000 30,000 3,500
29 096238 Sri Rohwanti 111,750 5,432 4,000 30,000 6,000
30 001759 Tri Soendarwati 2,100 955 17,400 4,000 5,000
31 105211 Putri 57,000 -
32 148417 Widi 65,450 5,950
33 089449 Nur Habib 102,600 - 4,000 20,000 10,000
34 148415 Sarjono 66,950 6,086
35 105208 Siti Amanah 62,000 -
36 148420 dr. Nrimanto 119,000 10,818
37 086144 Taminah 18,000 - 2,000
38 008535 Hendrawan 18,000 - 2,000
39 105196 Tofik Solihin 19,200 473 3,000 3,500
40 026974 Sugiyanto 13,500 -
41 045369 Parsini 18,000 - 2,000
42 105215 Mulyo Pawiro 107,000 6,091 3,000 12,500 3,500
43 060523 Josephin 52,350 168 3,000 12,500 20,000
44 090627 Gesti Oktaviani 38,500 409 4,000 30,000
45 089999 Bambang 59,500 182 3,000 12,500 15,000
46 105102 Nansiyah 68,200 3,109 4,000 30,000
47 028735 Sumaryono 34,000 - 4,000 30,000
48 014567 Sartinah 9,000 - 4,000 5,000
49 105115 Wahyudi 15,500 - 3,000 12,500
50 17474 Susanto 18,500 - 2,000
51 094953 Moh Kayatun 48,850 3,032 3,000 12,500
52 148431 dr. Harnowo 11,200 1,018
53 067836 Kasadi 71,900 3,445 4,000 30,000
54 105216 Kohari 116,150 5,514 3,000 12,500 8,500 3,750
55 062746 Nasim Abdo 34,000 - 4,000 30,000
56 104764 Sunarni 93,250 3,250 4,000 30,000
57 105217 Amirudin 199,150 11,823 4,000 36,500 3,000
58 17476 Weiliani 18,500 - 2,000
59 17475 Wiyanti 27,000 - 2,000
60 053363 Sutaryo 116,350 6,259 4,000 30,000
61 042601 Tan Ye Ying 188,150 14,014 4,000 20,000 10,000
62 010612 Salinah 238,000 18,455 4,000 30,000 500
63 105067 Dasiyem 185,250 13,750 4,000 30,000
64 015182 Tugimin 34,000 - 4,000 30,000
65 105219 Saitah 72,200 5,155 3,000 12,500
66 085836 Tariyem 180,800 13,255 4,000 30,000 500
67 17477 Priyo 10,000 - 2,000
68 056280 Tumin 117,800 7,618 4,000 30,000
69 051667 Esti 132,000 4,364 4,000 45,000
70 000896 MM Sri Sugiarti 201,000 10,636 4,000 45,000
71 059854 Rinawidi 136,000 4,727 4,000 45,000
72 105220 Mulyani S 84,000 - 4,000 45,000
73 088188 Riyanah 136,500 4,773 4,000 45,000
74 100186 Aprilia Intan 84,000 - 4,000 45,000
75 103179 Adesti 193,000 13,455 4,000 30,000 3,500
76 105218 Towo 154,350 - 4,000 20,000 20,000 10,000
77 148453 Anton 39,600 3,600
78 104707 Slamet 94,750 5,523 4,000 30,000
79 148451 Suwarno 144,500 13,136
80 014512 Indah W 18,000 - 2,000
81 105202 Tumini 521,000 17,500 2,500 45,000 27,000
82 104558 Tofik Bayu 172,050 12,550 4,000 30,000
83 089130 Siti Yulianti 173,950 5,177 4,000 40,500 5,500
84 101563 Siti Nur 58,800 - 4,000 20,000 10,000
85 165708 Briyan Kurniawan 20,000 -
86 Didik Adi 281,340 - 281,340
87 041826 Hesti 91 10,200 76,300 3,000 12,500 40,000
88 063319 Hybriyani R 6,591 21,500 135,000 4,000 45,000

6,700,540 - 330,309 378,240 313,840 570,810 - 233,500 100,000 80,000 1,360,500 190,000 120,250

Jurnal Umum 6,700,540


Kas dari Kassa 6,701,500
Selisih Kas 960

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 29 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

29-Jan-11 1 072747 Widi Handayani 255 78,300 3,000 12,500 25,000


2 101084 Dliya Aqwa Priyadi 509 38,600 3,000 12,500 10,000
3 080816 Ikhwan Nurhadi 12,732 275,550 4,000 30,000
4 148502 Fitriyani 10,491 115,400
5 006091 Wiji Suparmi 4,341 9,550 53,700 3,000 12,500
6 148485 Sr. Silvi 17,668 194,350
7 148476 dr. Haryadi 1,727 19,000
8 148470 Ida Irmayanti 236 2,600
9 148478 Ety W 991 10,900
10 148471 Waginah 1,909 21,000
11 148468 Sr. Kristine 7,614 41,875 41,875
12 001633 MF Budiyanti 3,773 57,000 3,000 12,500
13 069301 Sukoco 4,545 157,000 3,000 12,500
14 061280 Dasirah 6,864 91,000 3,000 12,500
15 033079 Adelia Indah - 1,400 21,100 3,000 12,500
16 056267 Raditya 91 2,700 31,300 3,000 12,500 10,000
17 092137 A Gamarahdi 91 34,000 3,000 12,500 10,000
18 098947 Theodora Regitha 632 1,400 39,550 4,000 30,000
19 082667 Damiyanto - 113,550 4,000 20,000 13,500 10,000
20 082666 Yustina Setia - 177,050 4,000 20,000 10,500 15,500
21 082296 Reni K 2,600 - 44,400 4,000 20,000 10,000
22 Purwati 360,000 - 170,000
23 Hesti 10,200 - 10,200
24 Hybriyani 21,560 - 21,560
25 148484 Riyati 27,000 2,455
26 105231 Saiful 103,700 - 4,000 20,000 8,500 10,000
27 148475 Partini 16,500 1,500
28 105230 Wagiman 104,500 - 4,000 30,000
29 099081 Rahma Putri 45,000 - 4,000 30,000 3,500
30 148474 Tegar 123,400 11,218
31 103717 Tijah 86,450 3,768 4,000 30,000 3,500
32 148489 Kuatmi 142,500 12,955
33 105234 Yuli Setyaningsih 71,200 - 4,000 20,000 10,000
34 105240 Go Kim Swan 13,000 - 3,000 2,500
35 045369 Parsini 18,000 - 2,000
36 105237 Lukmanul Hakim 100,900 - 4,000 20,000 10,000
37 105239 Nurhayati 183,000 15,227 3,000 12,500
38 105198 Anindarwati 43,500 1,636 3,000 12,500 2,500
39 092646 Suharti 144,500 10,045 3,000 12,500 5,000
40 097534 Sabatino 86,100 6,418 3,000 12,500
41 105246 Rasiyem 112,300 7,118 4,000 30,000
42 059361 Mairan 127,250 8,477 4,000 30,000
43 105243 Sapon 56,750 705 3,000 12,500 20,000
44 092352 Priyo Budi 34,000 - 4,000 30,000
45 054904 Sudarti 59,000 -
46 037752 Manisem 154,450 10,859 4,000 30,000 500
47 083095 Djana Riana 76,500 91 3,000 12,500 25,000
48 082751 Surtawi 124,050 8,095 4,000 30,000 500
49 098128 Sayimah 75,900 3,718 4,000 30,000 500
50 026462 Sumiati 159,400 5,945 4,000 30,000 500
51 105201 Dwi Raharjo 110,450 6,723 3,000 12,500 8,500
52 105242 Didi Kusmono 30,000 - 3,000 12,500 4,500
53 057427 Haritsan 20,000 -
54 000084 Agus Setiyawan 22,500 -
55 Edi Rubiyanto 10,000 - 10,000
56 023566 Bety Utari 18,500 - 2,000
57 17483 Widanti 18,500 - 2,000
58 063698 Dwi Jalu 19,000 - 2,000
59 148515 Uti 79,200 7,200
60 148516 Sartini 62,400 5,673
61 090751 Daniswhara 34,000 - 4,000 30,000
62 092693 Pramudya Irawan 93,450 5,405 4,000 30,000
63 17485 Wiyanti 27,000 - 2,000
64 104732 Savana 54,750 1,886 4,000 30,000
65 102890 Atik Latifah 34,000 - 4,000 30,000
66 148522 dr. Cecilia 28,500 2,591
67 046810 Angela 104,750 5,432 4,000 30,000 3,500
68 148521 Sasi Kirana 3,100 282
69 043011 Hening 263,000 12,000 4,000 20,000 40,500 15,500
70 100016 Sumadi 45,000 - 4,000 30,000 3,500
71 105251 Chatarina 189,750 - 4,000 20,000 10,000
72 103205 Siran 75,250 3,750 4,000 30,000
73 105020 Rokyan 483,450 6,768 4,000 30,000 375,000
74 Meterai 6,000 6,000

4,515,760 - 242,409 999,875 31,760 674,275 - 352,000 137,500 170,000 726,000 497,000 130,000

Jurnal Umum 4,515,760


Kas dari Kassa 4,516,200
Selisih Kas 440
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 30 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

30-Jan-11 1 099289 Lutfina 950 10,450


2 148534 Niken 400 4,400
3 148561 Amin - 2,000
4 148566 Ninik Ekowaty - 9,500
5 105249 Wagiyo - 120,100 4,000 20,000 13,500 13,500
6 67281 Nurwidayati - 5,450 55,800 4,000 20,000 10,000
7 065395 Ika W - 8,150 66,600 4,000 20,000 10,000
8 105233 Wiwik - 162,200 4,000 20,000 13,500 13,500
9 105253 Winda - 38,500 4,000 20,000 10,000
10 008015 Abidafa Putra - 21,840 121,360 4,000 20,000 10,000
11 072384 Yokhebed 68,550 - 4,000 20,000 10,000
12 056350 Mutia Sari 85,250 - 4,000 20,000 10,000
13 148542 Atit 6,000 -
14 148540 Beti 6,500 -
15 105255 Sariman 52,000 -
16 105230 Wagiman 185,000 -
17 071726 Suparno 46,750 - 4,000 20,000 10,000
18 148529 Sartini 368,500 -
19 105200 Dwita Sari 45,000 - 4,000 20,000 13,500
20 105183 Jahri 152,500 - 4,000 20,000 10,000
21 165777 Setyaningsih 121,500 -
22 038585 Rahayu 91,500 -
23 105247 Yuda 49,500 -
24 000401 Suparman 95,300 - 4,000 20,000 12,000
25 033266 Warsin 73,000 - 4,000 20,000 10,000
26 148555 Leni 2,600 -
27 148554 Indah S 4,600 -
28 148557 Umu Salamah 39,600 -
29 105201 Dwi Raharjo 41,500 - 4,000 20,000 10,000
30 013119 Nofika 19,000 -
31 Sujiati 175,000 -
32 013160 Titik Lestari - 21,440 119,760 4,000 20,000 10,000

1,729,150 - 1,350 404,030 - 363,520 - 60,000 - 300,000 - 27,000 162,500

Jurnal Umum 1,729,150


Kas dari Kassa 1,729,400
Selisih Kas 250
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 31 JANUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind. Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter Para M

31-Jan-11 1 094705 Bambang - 215,150 4,000 20,000 10,000


2 023337 Sri Cahyanti - 4,800 53,050 4,000 20,000 10,000
3 148567 Catur Aiwa U 645 19,100
4 148579 Sr. Marieta 10,945 60,200 60,200
5 148572 Dwi Aryani 10,925 2,666 18,400
6 089267 Mara Krisna - 93,500 3,000 12,500 9,500 4,500
7 046050 Sistanto 175,800 20,936 136,800 25,800 4,000 30,000
8 025234 Sr. Clara 12,695 134,800 561,850 7,000 30,000 325,000
9 000875 Darsinah 2,700 - 44,800 4,000 20,000 10,000
10 Titik Lestari 21,440 - 21,440
11 100229 Taufik Hidayat 162,150 - 4,000 20,000 27,000 10,000
12 105261 Agus P 138,300 - 4,000 20,000 10,000
13 088439 Triyanti 160,600 - 4,000 20,000 10,000
14 096745 Wayuniati 16,500 -
15 148575 Hesti 15,350 1,395
16 148571 Tasini 31,000 2,818
17 148573 Parti 19,800 1,800
18 105262 Winarti 87,200 - 4,000 20,000 10,000
19 019803 Marwito 13,500 -
20 091537 Purwanti 13,500 -
21 17492 Sudarni 18,500 - 2,000
22 045369 Parsini 18,000 - 2,000
23 008535 Hendrawan 18,000 - 2,000
24 105284 Nabila 8,000 -
25 096745 Septia Utami 48,000 -
26 105269 Sudarmanto 107,900 - 4,000 20,000 10,000
27 093757 Tony A 106,500 -
28 066388 Yanto Dwi 18,500 - 2,000
29 103511 Murdiati 9,000 - 4,000 5,000
30 045856 Sri Kuspiyah 74,000 -
31 Purwati 140,000 -
32 Dwi Puspitasari 10,000 - 10,000
33 17493 Dwi Jalu 19,000 - 2,000
34 17494 Sukinah 18,000 - 2,000
35 073863 Yusman Hadi 105,000 5,227 3,000 12,500
36 104768 Marta Dikrama 55,506 3,637 3,000 12,500
37 105273 Herlina 20,000 -
38 072149 Ponirah 48,790 3,026 3,000 12,500
39 068810 Bina Husada 29,000 -
40 097927 MG Sri Kaheru 148,000 - 4,000 30,000
41 105267 Augianto 115,000 2,318 4,000 39,500 4,750
42 105194 Dede Amalia 126,500 10,091 3,000 12,500
43 105271 Mohamad Dimyati 220,500 3,227 4,000 39,500 4,750
44 074564 Mulyakin 253,200 17,882 4,000 30,000
45 096993 Sukardi 53,500 955 4,000 30,000
46 057840 Rasini 198,000 11,773 4,000 30,000
47 105268 Utoro 193,175 14,470 4,000 30,000
48 049671 Sandi Karto 53,382 1,671 4,000 30,000 500
49 095378 Siti Maemunah 97,875 5,807 4,000 30,000
50 104922 Salamah 58,250 1,295 4,000 30,000
51 17495 Wiyanti 27,000 - 2,000
52 104950 Iswati 115,750 6,341 4,000 30,000
53 041916 Sukesi 210,500 14,818 4,000 30,000
54 098899 Noto Miharjo 58,500 - 4,000 30,000 3,500
55 105140 Tata Floroska 60,900 2,445 4,000 30,000
56 105197 Kasmi 108,450 6,677 4,000 30,000 500
57 103310 Rohayanti 38,500 409 4,000 30,000
58 105231 Saiful 29,550 368 3,000 12,500 2,500
59 086274 Untung Satiman 105,500 6,500 4,000 30,000
60 105120 Mustakim 60,950 2,359 4,000 30,000 500
61 104189 Ibnu Azri A 52,500 3,364 3,000 12,500
62 001022 Yuli Gestati 10,500 955
63 024741 Miah 6,700 609
64 002321 Yulianus sarwono 9,000 818
65 105274 Sutarno 105,875 6,852 3,000 12,500
66 148582 Alipah 41,500 3,773
67 148581 dr. Cecilia 13,000 1,182
68 105276 Bambang Ismu 209,500 - 4,000 20,000 9,500 14,750
69 Wagiyo 120,100 - 120,100
70 103717 Tijah 135,950 7,586 4,000 30,000 6,000
71 067917 Karto Suripto 132,500 7,273 4,000 30,000 6,000
72 105270 Eka Lukmana 34,000 - 4,000 30,000
73 148583 dr. Nrimanto 77,500 7,045
74 025361 Purwati 309,400 28,127
75 148584 Agus 2,000 182
76 105278 Retno 34,000 - 4,000 30,000

5,367,468 - 242,966 682,750 167,340 719,900 - 177,000 100,000 190,000 758,000 352,000 133,250
Jurnal Umum 5,367,468
Kas dari Kassa 5,368,000
Selisih Kas 532
Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

63,545 121,500 191,400


9,091 19,000
18,773 20,650
22,727 25,000
20,727 22,800
78,250 112,250
17,500 42,682 116,950
20,114 56,125
109,932 120,925
52,000 52,000
180,500 180,500
65,000 52,000 151,000
108,200 142,200
17,750 51,750
18,750 52,750
18,750 52,750
17,900 51,900
65,050 99,050
47,000 81,000
53,000 87,000
20,000 20,000
12,140 12,140
49,250 83,250
14,900 48,900
144,100 144,100
46,750 80,750
54,500 54,500
16,750 50,750
22,500 28,230 98,230
20,000 30,300 101,800
-
- - 20,000 - 40,000 - - - - - 307,591 832,070 480,500 - - 2,381,420

Jurnal 1,790,290 Total


Piutang 338,148 Pendapatan
Subsidi 252,982
2,381,420 2,381,420
1
Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

(100,000)
-
24,100 24,100
51,000 85,000
45,350 79,350
13,500 13,500
92,350 126,350
118,850 152,850
8,000 8,000
17,750 13,500 65,250
23,250 23,250
27,400 27,400
54,500 54,500
57,228 91,228
47,650 81,650
35,000 32,395 118,395
9,500 50,140 100,640
105,950 139,950
111,000 111,000
87,800 87,800
25,500 25,500
35,000 35,000
51,300 51,300
7,850 7,850
34,500 34,500
47,650 81,650
-
- - - - 44,500 - - - - - - 1,059,513 124,000 - - 1,526,013

Jurnal 1,293,213 Total


Piutang 87,650 Pendapatan
Subsidi 145,150
1,526,013 1,526,013
-
Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

139,700 173,700
27,750 70,636 133,200
20,682 38,250
25,818 43,900
15,227 16,750
8,182 9,000
7,955 8,750
5,000 77,835 123,835
40,000 74,000
149,000 149,000
-
-
-
-
10,000 23,545 54,400
-
-
32,940 66,940
21,000 55,000
28,000 62,000
5,000 5,000
30,000 46,630 127,630
42,425 76,425
16,500 16,500
99,000 99,000
11,500 3,000 16,500
9,500 7,500 19,000
500 42,438 63,182
13,500 13,500
214,585 282,585
23,500 23,500
40,364 59,900
13,500 22,500
500 50,364 71,900
36,000
51,500 51,500
7,500 20,000
9,500 6,500 18,000
500 71,000 94,600
9,000
33,318 52,000 104,150
54,545 75,500
51,000 39,773 126,250
31,955 50,650
83,409 107,250
25,600 65,591 125,750
25,909 34,500 97,000
67,091 107,800
96,818 140,500
13,500 13,500
500 51,886 92,075
25,600 70,818 147,000
22,636 58,900
34,000
25,600 104,364 183,900
91,364 29,500 164,000
57,318 97,050
41,250 176,636 48,500 332,300
34,000
51,000 69,500
101,023 145,125
50,545 55,600
200,000 200,000
500 20,000 57,000
500 71,091 113,200
123,455 169,800
302,500 302,500
121,091 148,700
13,500 47,500
68,636 91,000
125,955 172,550
168,325 202,325
199,091 13,500 266,500
118,455 164,300
34,000
13,500 47,500
43,727 63,600
20,545 20,000 76,600
50,818 89,900
20,909 57,000
94,000 137,400
61,227 13,500 114,850
26,909 29,600
122,500 122,500
7,500 221,932 289,125
50,750 84,750
34,000
7,500 152,909 213,200
7,500 14,545 61,000
-
30,500 - - - - 78,000 17,000 - 76,800 171,000 - 3,156,506 1,067,190 1,043,500 - - 7,887,147

Jurnal 7,457,062 Total


Piutang 143,215 Pendapatan
Subsidi 286,870
7,887,147 7,887,147
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

37,727 41,500
59,091 65,000
109,455 120,400
67,727 74,500
90,318 114,850
90,000 197,091 121,500 497,300
148,364 197,200
493,773 577,150
500 125,045 172,550
24,000 15,000 45,000
36,550 70,550
6,500 6,500
85,500 119,500
87,050 82,500 203,550
97,841 141,625
7,500 193,636 258,000
65,000 81,250 62,750 295,091 895,600
4,818 5,300
130,825 164,825
102,200 136,200
52,000 52,000
51,500 51,500
79,500 79,500
34,409 53,350
9,500 7,500 19,000
85,773 94,350
109,500 109,500
44,818 64,800
32,159 13,500 64,375
17,227 34,450
45,500 45,500
102,295 146,525
500 136,636 185,300
500 42,159 81,375
9,500 7,000 18,500
78,982 120,880
82,455 124,700
108,955 153,850
17,045 52,750
52,000 52,000
500 144,386 193,825
3,000 12,000
7,500 10,341 36,875
11,500 3,000 16,500
26,000 26,000
98,273 142,100
77,250 118,975
25,600 61,273 136,500
9,500 6,500 18,000
50,341 89,375
190,727 10,000 253,800
37,000 74,700
45,818 84,400
500 111,955 158,150
16,136 51,750
134,205 181,625
58,136 97,950
63,975 97,975
27,136 63,850
3,341 3,675
40,727 60,300
42,191 61,910
122,795 169,075
72,727 114,000
34,000
7,500 202,125 13,500 260,625
13,500 13,500
124,150 158,150
44,800 78,800
7,500 45,000
9,500 6,500 88,341 169,175
116,000 116,000
13,027 48,330
52,727 92,000
500 74,455 116,900
79,850 121,835
44,500 44,500
41,250 55,500
102,273 146,500
500 62,682 103,950
21,545 57,700
93,614 136,975
51,136 90,250
51,682 90,850
90,000 102,000 269,000
107,864 152,650
78,273 13,500 133,600
24,000
38,850 72,850
-
73,500 65,000 81,250 - - 99,250 45,500 180,000 25,600 143,250 - 4,925,118 916,025 851,000 - - 10,407,255

Jurnal 8,330,555 Total


Piutang 1,238,420 Pendapatan
Subsidi 838,280
10,407,255 10,407,255

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Anesthesi

35,000 50,909 140,000


69,682 92,150
36,500 74,150
94,500 103,950
19,455 21,400
8,545 9,400
2,727 3,000
58,118 97,930
87,818 130,600
4,977 39,475
32,318 69,550
7,500 25,455 73,000
68,850 102,850
11,750 45,750
19,400 53,400
56,900 90,900
51,000 85,000
20,000 20,000
7,500 80,091 133,100
118,000 150,000
75,500 109,500
89,500 89,500
50,364 55,400
105,000 105,000
10,000 10,000
249,818 274,800
9,500 7,000 18,500
66,591 88,750
9,500 7,500 19,000
22,500 56,500
71,818 94,500
500 75,000 99,000
500 135,291 13,500 197,320
25,600 69,100
76,909 84,600
7,500 41,500
74,773 97,750
5,000
25,600 62,614 137,975
34,000
-
25,636 28,200
21,318 23,450
79,705 121,675
70,455 111,500
34,000
62,545 102,800
208,727 263,600
80,909 123,000
183,068 235,375
108,182 153,000
36,364 6,500 80,500
116,500 116,500
4,091 38,500
6,000 6,600
60,500 66,550
30,727 33,800
36,000 73,600
35,000 38,182 126,000
101,545 145,700
67,818 108,600
36,000 39,600
35,000 16,364 102,000
6,091 6,700
36,000 39,600
103,818 114,200
75,091 82,600
137,705 185,476
59,636 99,600
36,000 39,600
47,000 47,000
72,000 113,200
120,024 166,026
35,000 23,182 109,500
36,000 39,600
36,000 39,600
95,091 104,600
36,000 39,600
59,864 65,850
131,091 144,200
36,000 39,600
160,227 210,250
95,091 138,600
35,000 16,364 102,000
122,705 168,976
35,000 30,909 118,000
72,000 113,200
73,273 114,600
7,500 44,273 93,700
35,000 72,727 164,000
36,000 39,600
36,000 39,600
36,000 39,600
41,455 45,600
67,818 74,600
7,500 45,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 38,182 126,000
36,000 39,600
36,000 39,600
36,000 39,600
36,000 39,600
36,000 39,600
36,000 39,600
95,091 47,000 185,600
36,000 39,600
90,024 133,026
72,000 79,200
127,524 174,276
36,000 39,600
47,727 86,500
78,727 120,600
36,000 39,600
41,455 45,600
78,727 86,600
36,000 39,600
47,727 86,500
95,091 138,600
36,000 73,600
36,000 39,600
161,569 211,726
73,273 80,600
49,545 88,500
152,524 201,776
36,000 39,600
36,000 39,600
36,000 39,600
67,818 74,600
67,818 74,600
36,000 39,600
72,000 79,200
122,705 168,976
67,818 74,600
36,000 39,600
36,000 39,600
36,000 73,600
36,000 39,600
500 95,182 139,700
7,500 34,545 58,000
50,909 90,000
50,909 90,000
34,000
80,468 122,515
34,000
34,000
60,545 100,600
34,000
34,000
12,500 52,500
7,500 76,432 129,075
69,000 109,900
62,364 152,600
172,751 224,026
36,000 39,600
176,273 227,900
36,000 39,600
58,556 64,412
120,477 132,525
51,636 56,800
5,000 120,575 166,575
115,000 230,000 146,250 533,073 15,000 287,500 1,958,130
124,250 158,250
7,500 45,000
-
19,000 115,000 230,000 - - 225,250 14,500 385,000 51,200 118,000 - 8,845,310 543,225 477,500 - 287,500 16,098,516

Jurnal 14,866,111 Total


Piutang 755,095 Pendapatan
Subsidi 477,310
16,098,516 16,098,516
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Jasa Rever

117,909 163,700
56,909 96,600
155,364 170,900
151,364 166,500
(45,091) (49,600)
-
54,000 54,000
8,000 5,000 15,000
88,950 122,950
72,550 106,550
32,500 54,730 138,230
6,364 7,000
31,850 65,850
7,500 56,050 101,050
12,000 12,000
9,500 6,500 18,000
500 70,316 93,848
61,795 83,475
15,500
500 54,091 76,000
30,000 33,000
20,000
47,000 47,000
34,000 68,000
48,136 86,950
52,000 52,000
500 25,864 63,450
85,000 127,500
67,068 107,775
500 126,818 174,500
-
69,182 110,100
82,032 174,235
7,500 45,000
35,114 72,625
132,545 179,800
42,727 91,500 154,000
46,364 13,500 98,500
165,000 215,500
127,227 173,950
500 100,727 145,800
500 56,318 96,950
41,250 58,000
41,250 58,000
53,182 92,500
35,455 73,000
33,400 67,400
41,250 58,000
41,250 58,000
102,000 144,000
344,636 379,100
41,250 58,000
6,818 7,500
68,000 130,000
228,000 25,000 242,780 35,000 578,280
71,864 79,050
14,500 10,909 67,500
50,750 84,750
132,045 145,250
39,205 77,125
43,909 82,300
3,682 38,050
-
8,000 8,000
34,000
34,000
50,909 90,000
34,000
41,250 89,500
-
17,500 - - - 228,000 90,000 11,500 - - 417,500 - 2,661,757 631,060 312,000 - 35,000 6,329,493

Jurnal 5,970,983 Total


Piutang 345,510 Pendapatan
Subsidi 13,000
6,329,493 6,329,493

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

35,000 84,000
201,314 255,445
41,250 91,727 54,500 244,900
70,500 70,500
62,364 68,600
20,091 37,600
36,750 65,500
35,000 1,682 77,350
16,364 33,500
69,650 103,650
78,750 112,750
55,400 89,400
111,800 145,800
51,500 85,500
78,950 112,950
13,500 13,500
19,750 53,750
333,091 366,400
54,591 60,050
7,500 3,000 48,000
9,500 7,000 18,500
10,000
14,409 15,850
500 65,500 88,550
13,500 13,500
13,500 13,500
9,500 7,000 18,500
8,000 42,955 13,500 87,250
118,864 164,750
11,500 3,000 16,500
77,727 101,000
13,500 47,500
9,545 19,500
-
38,636 76,500
17,500 19,250
33,295 70,625
500 36,432 75,075
6,500 41,150
18,227 34,500 88,550
34,000
6,000
10,000 44,000
65,818 106,400
83,318 13,500 139,150
34,000
204,545 6,500 265,500
119,045 164,950
34,000
23,636 26,000
500 65,864 107,450
36,818 74,500
11,000 29,364 68,800
500 73,795 116,175
101,955 127,650
16,500 6,500 130,227 202,250
41,250 2,727 92,500
13,500 13,500
35,000 38,182 126,000
110,364 121,400
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
7,000 44,000
45,091 49,600
13,500 13,500
7,500 253,750 324,125
94,700 128,700
29,455 32,400
154,250 188,250
35,682 39,250
-
47,000 - - - - 88,000 23,500 245,000 - 119,250 - 2,710,450 717,750 274,000 - - 6,259,245

Jurnal 4,714,400 Total


Piutang 428,600 Pendapatan
Subsidi 1,116,245
6,259,245 6,259,245
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

35,000 54,932 151,425


148,682 197,550
34,000
71,550 105,550
33,000 67,000
4,911 39,402
38,114 75,925
184,205 236,625
9,091 19,000
100,000 1,682 207,350
47,727 52,500
95,500 96,500 226,000
17,750 51,750
165,000 165,000
16,614 18,275
27,864 30,650
34,000
7,500 17,750 59,250
9,500 7,500 7,000 45,455 88,500
80,600 114,600
396,000 396,000
51,000 85,000
9,500 7,000 18,500
4,545 5,000
9,500 7,000 18,500
115,455 127,000
9,091 10,000
84,091 92,500
162,500 162,500
7,000 7,000
46,000 46,000
34,000
37,318 75,050
10,318 11,350
178,591 196,450
-
-
37,750 50,000
12,000 12,000
38,636 42,500
108,000 172,000
7,500 16,136 43,250
3,500 19,318 43,750
141,591 189,750
59,118 65,030
101,705 145,875
9,636 10,600
11,500 3,000 16,500
25,600 36,750 98,600
37,273 75,000
34,000 50,500
28,636 65,500
3,500 22,500
-
107,841 152,625
91,500 91,500
140,909 180,500 369,500
34,000
500 132,364 162,100
69,773 92,250
500 65,318 106,850
49,636 88,600
12,500 163,250 212,250
9,500 7,500 13,500 32,500
52,000 52,000
38,364 76,200
54,000 88,000
4,091 38,500
50,909 90,000
12,000
-
49,500 - - - - 178,000 31,500 - 25,600 216,500 - 2,129,938 584,400 1,222,500 - - 6,061,432

Jurnal 6,228,055 Total


Piutang (703,150) Pendapatan
Subsidi 536,527
6,061,432 6,061,432
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Set Mandi

45,900 79,900
86,000 86,000
44,900 44,900
120,000 120,000
94,400 128,400
79,050 113,050
25,625 59,625
13,515 13,515
65,000 81,250 48,750 39,318 600,250
7,818 8,600
2,727 3,000
93,300 93,300
2,045 2,250
72,000 79,200
8,000 8,000
45,000 45,000
22,500 123,500 180,000
62,900 96,900
66,500 66,500
84,000 84,000
52,000 52,000
93,000 93,000
67,500 101,500
13,000 13,000
54,900 88,900
11,500 11,500
104,225 138,225
63,950 97,950
-
- 65,000 81,250 - - 48,750 - - - - 22,500 123,909 1,091,165 316,500 - 45,000 2,508,465

Jurnal 1,876,590 Total


Piutang 577,450 Pendapatan
Subsidi 54,425
2,508,465 2,508,465
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

51,364 144,000 216,000


2,727 3,000
142,909 191,200
24,500 58,500
15,682 17,250
91,650 125,650
95,650 129,650
197,001 231,001
15,000 15,000
27,500 74,715 149,715
33,925 20,000 87,925
63,275 97,275
5,000
15,500
25,000 27,500
9,500 7,000 18,500
500 41,962 62,658
9,500 7,000 18,500
11,500 3,000 16,500
217,364 254,600
36,045 55,150
27,750 99,818 165,300
6,500 6,500
500 31,838 51,522
500 260,076 302,584
7,500 42,955 72,750
9,500 7,000 18,500
20,000
34,000
500 108,864 6,500 161,250
183,636 22,500 258,500
47,500 86,250
7,500 27,136 55,350
176,545 228,200
92,591 135,850
49,000 111,273 200,900
(62,091) (68,300)
10,909 12,000
8,455 20,000 63,300
22,045 58,250
112,705 157,975
84,727 127,200
20,000
16,500 7,000 25,500
13,500 13,500
59,000 59,000
8,850 42,850
5,000
49,455 88,400
174,705 13,500 239,675
34,500 68,500
32,500 32,500
6,682 7,350
7,500 32,650 77,650
7,500 45,000
41,250 58,000
41,250 58,000
95,568 139,125
7,500 40,227 13,500 102,750
124,091 170,500
7,000 9,000 50,700
41,250 153,591 73,500 331,950
15,227 16,750
96,450 130,450
65,000 145,500
-
7,500 16,136 62,750
11,818 47,000
65,500 99,500
44,250 19,500 97,750
6,550 40,550
12,500 134,500 200,450
27,040 61,040
13,409 48,750
16,136 51,750
6,000
25,909 28,500
49,500 49,500
49,500 49,500
15,909 17,500
27,500 137,640 216,140
16,364 18,000
42,955 81,250
34,000
17,000 273,727 360,100
34,000
-
56,500 - - - - 196,500 31,000 - - 200,500 - 3,125,444 934,146 667,500 - - 7,476,635

Jurnal 7,175,435 Total


Piutang (34,500) Pendapatan
Subsidi 335,700
7,476,635 7,476,635
(0)

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

103,909 148,300
500 61,727 102,900
34,000
107,432 152,175
-
36,841 56,025
14,773 8,000 39,750
35,909 55,000
121,600 155,600
32,000 32,000
20,000 20,000
64,500 64,500
187,500 187,500
10,000
6,818 7,500
57,000 57,000
134,400 168,400
67,000 67,000
78,500 78,500
88,500 88,500
34,000
500 57,273 98,000
500 123,818 73,500 244,700
500 93,664 138,030
27,864 30,650
34,000
34,000
12,455 34,500 82,200
10,000
34,000
34,000
64,727 105,200
20,227 56,250
59,751 81,226
15,045 16,550
43,909 82,300
52,000 52,000
500 126,086 173,695
32,636 69,900
99,659 143,625
109,000 153,900
133,273 180,600
7,500 57,991 89,290
71,932 13,500 126,625
68,864 109,750
42,955 13,500 94,750
49,773 88,750
24,582 42,540
19,500 53,500
75,577 137,135
9,500 6,500 108,750 171,625
34,000
9,500 500 7,000 105,009 169,010
41,500 58,000
10,091 11,100
16,500 6,500 96,345 164,980
33,727 71,100
500 68,000 63,000 200,300
82,091 124,300
9,500 7,000 69,455 128,900
1,545 35,700
56,895 116,585
9,500 7,000 18,500
105,909 150,500
500 108,318 154,150
500 143,591 192,950
9,500 6,500 110,273 173,300
-
64,000 - - - - 12,000 40,500 - - 109,500 - 2,873,469 275,500 790,000 - - 6,130,816

Jurnal 5,396,966 Total


Piutang 266,313 Pendapatan
Subsidi 467,537
6,130,816 6,130,816
1

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

52,964 58,260
8,636 18,500
6,818 16,500
1,818 11,000
31,182 34,300
27,273 45,500
63,955 85,850
35,227 54,250
35,000 225,909 332,500
175,200 209,200
35,000 25,600 206,591 380,350
35,000 106,364 201,000
35,000 284,182 396,600
199,773 253,750
68,000 32,045 165,250
34,000
34,000
28,810 62,810
117,600 151,600
54,500 88,500
55,700 89,700
36,050 70,050
49,375 83,375
8,000 8,000
185,000 185,000
14,000 15,400
30,000 33,000
7,500 45,000
41,250 14,100 103,600
13,500 13,500
35,000 55,773 145,350
90,000 125,000
27,045 45,250
20,000 20,000
9,500 7,000 18,500
8,000 5,000 15,000
5,000 21,500
11,036 12,140
52,000 52,000
94,100 128,100
11,000 8,000 21,000
72,273 113,500
45,136 83,650
30,000 22,500 89,500
(17,091) (18,800)
59,000 93,000
13,500 18,500
96,750 140,425
500 112,755 159,030
18,864 54,750
500 101,000 13,500 159,600
46,364 66,500
4,091 38,500
15,500
29,727 66,700
20,000 20,000
500 20,909 58,000
152,841 202,125
40,227 13,500 91,750
123,205 169,525
176,932 228,625
7,500 20,700 62,200
8,636 18,500
8,636 18,500
8,636 18,500
8,636 18,500
8,636 18,500
8,636 18,500
8,636 18,500
8,636 18,500
8,636 18,500
8,636 18,500
8,636 18,500
1,818 11,000
1,818 11,000
1,818 11,000
1,818 11,000
111,818 132,000
6,818 16,500
146,818 170,500
6,818 16,500
8,636 18,500
9,000
1,818 11,000
4,091 38,500
112,159 157,375
104,477 148,925
36,000 39,600
24,091 60,500
36,000 73,600
67,818 108,600
98,842 142,726
1,818 11,000
36,000 39,600
36,000 39,600
72,000 79,200
36,000 39,600
28,230 62,230
8,636 18,500
46,400 80,400
1,818 2,000
160,023 210,025
13,500 13,500
31,136 34,250
6,364 7,000
59,545 99,500
9,091 19,000
29,727 66,700
48,864 87,750
500 36,136 74,750
77,273 27,500 146,500
13,500 47,500
8,000 8,000
72,000 79,200
36,000 39,600
28,182 31,000
36,000 39,600
12,500 22,841 77,625
139,500 173,500
47,500 86,250
34,000
51,500 51,500
1,955 51,150
52,000 52,000
70,932 112,025
76,500 110,500
7,500 45,000
34,000
78,273 120,100
21,818 24,000
74,109 115,520
36,000 39,600
180,341 232,375
84,545 127,000
33,350 67,350
84,545 127,000
35,000 83,182 175,500
36,000 39,600
36,000 39,600
35,000 91,182 184,300
76,500 76,500
35,000 98,864 192,750
35,545 73,100
7,500 69,000 120,900
34,000
67,818 108,600
91,545 134,700
36,000 39,600
36,000 39,600
41,273 79,400
35,000 140,227 272,250
67,818 108,600
67,818 108,600
83,727 126,100
161,545 211,700
73,273 114,600
151,909 201,100
59,182 65,100
67,818 108,600
72,000 113,200
67,818 108,600
67,818 74,600
36,000 39,600
73,273 80,600
36,000 39,600
36,000 39,600
119,727 131,700
35,000 55,568 145,125
101,364 145,500
122,705 168,976
67,818 74,600
211,091 266,200
142,818 191,100
27,000 42,091 13,500 142,300
103,818 114,200
103,818 114,200
67,818 108,600
110,909 122,000
35,000 54,205 143,625
35,000 164,545 265,000
43,273 81,600
67,818 108,600
67,818 108,600
34,000
7,500 118,425 159,925
98,842 142,726
7,000 7,000
67,818 74,600
36,000 39,600
80,727 122,800
1,364 1,500
30,800 64,800
35,000 47,841 136,625
36,000 39,600
17,750 51,750
30,000 67,000
36,000 73,600
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
7,500 45,000
35,000 84,000
34,000
4,091 38,500
6,818 41,500
1,818 36,000
1,818 36,000
1,818 36,000
52,727 92,000
53,182 92,500
53,182 92,500
50,909 90,000
50,909 90,000
57,500 78,750
-
28,500 - - - - 91,500 20,000 860,000 25,600 109,250 - 9,269,730 1,060,590 760,000 - - 18,401,393

Jurnal 15,484,008 Total


Piutang 1,608,710 Pendapatan
Subsidi 1,308,675
18,401,393 18,401,393
(0)
Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

26,477 63,125
52,864 73,650
7,500 23,750
72,000 79,200
67,000 83,000
102,000 134,000
12,000 12,000
51,000 51,000
13,500 13,500
91,200 125,200
9,500 6,500 18,000
16,682 33,850
27,750 29,523 35,500 123,475
18,818 36,200
16,500 7,000 25,500
95,000 120,000
64,773 86,750
15,500
10,727 27,300
41,250 58,000
41,250 58,000
25,600 13,500 75,660
7,500 17,750 59,250
36,000 39,600
9,000 43,000
41,250 45,500 101,000
105,727 150,300
127,182 173,900
-
44,773 83,250
7,500 6,950 48,450
220,909 258,500
153,205 202,525
60,568 100,625
500 41,500 151,045 256,650
51,136 90,250
36,750 65,127 137,140
9,500 6,500 18,000
-
4,500 3,500 10,000
9,500 7,000 18,500
16,500 6,500 25,000
90,000 125,000
17,500 41,250 122,500 234,500
34,000
4,091 38,500
32,182 69,400
-
66,000 - - - - 15,500 37,000 90,000 17,500 440,000 - 1,471,909 115,900 302,500 - - 3,654,000

Jurnal 6,563,075 Total


Piutang (3,105,025) Pendapatan
Subsidi 195,950
3,654,000 3,654,000
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

57,273 97,000
21,000 3,364 60,200
90,000 147,568 321,325
35,000 98,182 192,000
11,000 6,455 53,600
136,955 184,650
32,273 13,500 64,500
108,364 119,200
3,182 3,500
8,182 9,000
51,400 85,400
111,900 145,900
74,300 108,300
21,318 23,450
47,450 81,450
58,000 92,000
72,682 113,950
14,500 114,545 190,000
8,000 8,000
20,727 22,800
36,364 74,000
500 51,205 91,325
55,227 94,750
20,000 20,000
54,909 13,500 107,900
500 36,364 75,000
12,000 12,000
11,818 13,000
10,000 11,000
33,773 20,000 72,650
9,500 6,500 18,000
7,500 30,591 59,150
34,500 34,500
28,000 36,205 126,465 276,290
35,000 132,500 216,500
500 95,000 139,500
34,000
20,227 56,250
114,182 159,600
34,000
34,500 68,500
97,500 141,250
15,500
15,500
15,500
15,500
15,500
43,700 77,700
43,500 47,850
3,500 41,000
41,250 58,000
8,000 5,000 15,000
11,500 3,000 16,500
300,000 300,000
-
76,500 110,500
35,000 130,909 228,000
68,475 102,475
34,000
7,500 36,045 65,150
6,455 7,100
35,000 58,682 148,550
35,000 189,545 292,500
105,200 139,200
89,091 98,000
5,000 376,825 422,825
116,970 150,970
35,000 38,864 126,750
35,000 102,182 196,400
90,818 99,900
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
18,000 52,000
239,000 178,227 31,500 538,550
-
29,000 - - - - 99,500 14,500 545,000 - 280,250 - 2,478,750 1,275,185 620,000 - - 7,735,810

Jurnal 6,349,260 Total


Piutang 855,200 Pendapatan
Subsidi 531,350
7,735,810 7,735,810
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

65,400 99,400
10,000 3,364 79,200
62,364 68,600
83,250 91,575
111,750 122,925
12,136 13,350
21,818 24,000
21,818 24,000
41,273 45,400
44,318 48,750
7,500 49,000 31,227 122,850
72,409 95,150
37,227 56,450
11,000 1,682 38,350
7,500 909 34,000
11,000 1,545 38,200
10,000 35,500
60,900 192,000 286,900
56,600 90,600
145,600 179,600
23,182 59,500
34,000
78,100 112,100
18,700 52,700
55,455 76,500
8,182 18,000
41,250 58,000
219,000 219,000
20,000 28,186 82,505
9,500 7,000 18,500
73,500 73,500
35,500 35,500
37,600 71,600
72,182 94,900
15,000 82,300 146,300
35,000 15,318 167,350
11,500 3,000 16,500
36,750 25,273 93,300
56,818 62,500
245,000 285,000
9,500 7,000 18,500
7,500 29,545 58,000
3,000 3,300
36,000 39,600
78,000 78,000
63,650 97,650
5,455 6,000
-
30,500 - - - - 134,500 17,000 - - 127,000 - 1,150,686 608,850 598,000 - - 3,673,105

Jurnal 2,284,405 Total


Piutang 857,138 Pendapatan
Subsidi 531,562
3,673,105 3,673,105
1

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA
36,909 40,600
69,136 110,050
38,805 76,685
50,909 90,000
22,500 41,715 110,215
23,545 59,900
34,000
85,618 128,180
42,300 80,530
61,077 101,185
15,000 55,280 112,780
6,818 41,500
44,000 44,000
36,000 39,600
352,740 386,740
115,925 149,925
42,500 59,165 155,665
114,500 148,500
6,500 6,500
1,525 1,525
70,000 104,000
33,750 67,750
10,925 10,925
52,000 52,000
32,000 32,000
71,900 105,900
32,500 62,165 145,665
-
- - - - - 112,500 - - - - - 451,118 989,590 134,500 - - 2,436,320

Jurnal 1,796,905 Total


Piutang 307,680 Pendapatan
Subsidi 331,735
2,436,320 2,436,320
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

66,727 88,900
53,000 295,160 7,500 414,160
11,400 13,500 58,900
15,750 49,750
8,182 18,000
35,227 72,750
17,273 19,000
30,000 33,000
208,036 228,840
13,500 13,500
71,273 78,400
15,000 100,180 161,180
141,050 175,050
17,500 282,550 339,050
77,400 13,500 124,900
34,091 37,500
84,091 92,500
62,000 62,000
2,091 2,300
30,450 52,000 116,450
12,500 34,350 89,350
58,450 92,450
36,000 39,600
22,227 58,450
500 130,873 160,460
41,250 54,091 149,000
7,500 141,909 13,500 195,100
61,273 13,500 96,400
7,000 7,000
25,600 115,273 195,900
2,864 37,150
9,500 6,500 18,000
9,500 6,500 18,000
8,000 5,000 15,000
70,909 112,000
75,091 98,100
51,000 71,600
19,091 55,000
52,955 92,250
34,000
500 40,409 79,450
42,864 62,650
22,727 25,000
68,182 109,000
40,364 78,400
174,591 20,000 246,050
6,545 20,000 61,200
50,091 70,600
13,500 13,500
139,500 139,500
21,500 57,650
34,000
51,000 67,000
13,500 47,500
41,250 63,591 52,500 211,950
34,000
52,409 91,650
94,273 137,700
14,000 11,000 27,000
9,500 7,000 18,500
18,400 52,400
34,000 82,000
7,500 57,500 13,500 116,000
-
54,500 88,500
25,000 27,500
6,818 7,500
20,000 22,000
23,300 57,300
65,773 10,000 97,850
-
-
37,500 199,910 276,410
-
50,500 - - - - 134,000 36,000 - 43,100 167,500 - 2,185,682 1,400,350 478,500 - - 6,260,700

Jurnal 5,804,640 Total


Piutang 328,360 Pendapatan
Subsidi 127,700
6,260,700 6,260,700
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Anesthesi

52,000 52,000
34,000
34,000
500 136,500 185,150
121,045 148,650
61,500 83,150
25,500 59,500
25,000 59,000
112,150 180,150
11,636 12,800
52,000 52,000
13,500 13,500
23,091 25,400
8,000 8,000
7,500 23,182 70,500
27,750 74,000
34,000
174,000 130,500 50,000 251,250 5,000 435,000 1,977,875
94,350 128,350
92,850 24,000 150,850
149,000 164,500
41,250 132,500 188,000
47,000 81,000
7,500 67,173 99,390
25,441 111,985
6,000
94,091 137,500
7,500 25,500
34,000
30,455 49,000
330,000 32,500 296,130 747,630
123,818 170,200
13,591 34,500 83,450
13,714 13,500 112,585
26,409 44,550
208,182 263,000
10,273 11,300
120,182 166,200
90,000 159,000
30,455 49,000
121,273 167,400
41,250 6,136 96,250
15,000 50,500
16,636 33,800
58,409 79,750
7,500 17,273 44,500
3,500 17,500
7,500 45,000
500 74,941 117,435
-
9,500 7,500 19,000
13,500 13,500
8,500 8,500
42,700 76,700
9,500 6,500 46,327 102,960
62,455 102,700
16,500 6,500 96,345 164,980
48,409 87,250
22,159 58,375
500 97,136 141,850
39,000 73,000
85,455 128,000
302,500 302,500
25,500 59,500
500 75,091 117,600
48,450 82,450
26,364 44,500
-
35,500 174,000 130,500 - 380,000 75,500 20,500 90,000 - 110,250 - 2,261,395 853,630 803,500 - 435,000 8,322,165

Jurnal 7,792,775 Total


Piutang (73,210) Pendapatan
Subsidi 602,600
8,322,165 8,322,165
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

17,325 51,325
5,545 6,100
123,409 135,750
62,364 68,600
6,818 7,500
10,909 12,000
1,487,000 1,669,700
53,773 93,150
15,864 32,950
83,250 120,000
13,500 13,500
122,545 10,000 178,800
-
50,800 84,800
7,500 29,700 71,200
17,500 451,241 571,365
7,500 45,000
3,682 38,050
50,227 89,250
34,000
22,409 24,650
17,500 17,250 73,750
16,400 50,400
8,900 42,900
50,350 84,350
61,000 95,000
27,750 192,425 56,000 352,425
9,545 19,500
-
103,887 8,000 137,776
7,500 25,500
79,500 79,500
9,000
7,500 30,318 58,850
23,636 41,500
57,227 78,450
79,705 121,675
9,545 26,000
8,000 4,500 42,864 77,150
8,000 8,000
25,600 54,368 128,905
500 39,727 13,500 92,200
61,727 83,400
25,909 62,500
34,273 71,700
12,364 13,600
500 79,659 122,625
34,000
10,909 27,500 73,500
13,955 30,850
500 57,273 98,000
70,000 111,000
15,500
116,027 161,630
101,182 145,300
36,000 73,600
41,250 49,364 10,000 153,800
36,000 39,600
34,000
17,500 40,300 100,300
34,000 82,000
35,000 16,364 102,000
36,000 39,600
95,091 138,600
67,818 108,600
71,455 112,600
165,478 216,026
72,000 79,200
36,000 39,600
7,500 57,409 108,150
83,727 126,100
132,227 179,450
72,000 79,200
36,000 39,600
36,000 39,600
65,545 106,100
56,591 96,250
35,000 133,636 231,000
71,591 112,750
36,000 39,600
218,182 274,000
53,636 93,000
35,000 55,273 144,800
36,000 73,600
25,000 27,500
108,864 153,750
144,000 158,400
73,273 80,600
36,000 39,600
76,433 118,076
36,000 39,600
7,500 82,500 135,750
36,000 73,600
36,000 39,600
72,000 79,200
27,909 64,700
36,000 39,600
36,000 39,600
36,000 39,600
36,000 39,600
36,000 39,600
500 122,227 169,450
36,000 39,600
67,818 74,600
13,500 47,500
35,000 103,636 198,000
15,000 50,500
35,000 42,955 131,250
7,500 74,545 127,000
54,500 88,500
36,000 39,600
35,000 23,182 109,500
35,000 23,182 109,500
194,318 247,750
36,000 39,600
35,000 30,909 118,000
36,000 39,600
30,000 67,000
95,091 104,600
35,000 133,636 231,000
35,000 12,955 98,250
66,136 72,750
59,636 65,600
31,818 69,000
35,000 9,455 94,400
36,000 39,600
36,000 39,600
48,409 87,250
132,227 179,450
41,250 58,000
41,250 55,500
64,295 104,725
35,000 65,273 155,800
7,500 158,182 219,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
34,000
4,091 38,500
6,818 41,500
50,909 90,000
50,909 90,000
4,091 38,500
34,000
34,000
34,000
34,000
34,000
34,000
34,000
34,000
50,909 90,000
-
8,000 - - - - 97,000 4,500 595,000 43,100 268,750 - 8,197,866 552,450 226,000 - - 14,731,203

Jurnal 12,881,588 Total


Piutang 748,265 Pendapatan
Subsidi 1,101,350
14,731,203 14,731,203
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

50,909 90,000
6,000 40,600
2,569,486 2,826,435
34,864 38,350
31,364 34,500
36,000 39,600
36,000 39,600
218,500 274,350
-
-
20,000 20,000
6,000
36,000 39,600
104,682 115,150
11,773 12,950
34,000
34,500 68,500
5,000 49,000
110,500 110,500
34,000
13,000 13,000
41,250 58,000
36,000 39,600
27,200 208,500 269,700
38,382 57,720
87,500 87,500
10,000 25,500
4,227 20,150
10,500 56,227 91,350
10,000 28,500
56,364 77,500
500 125,545 173,100
34,000
500 53,364 93,700
85,455 128,000
34,000
36,909 10,000 84,600
34,000
500 32,773 52,550
26,150 60,150
148,500 182,500
500 125,545 173,100
25,600 41,250 35,636 163,800
68,545 75,400
53,182 92,500
33,818 71,200
72,300 113,530
500 130,182 178,200
21,818 24,000
66,455 73,100
36,000 39,600
108,000 118,800
36,000 39,600
80,000 110,000
102,000 13,500 181,500
35,750 69,750
38,545 76,400
45,545 84,100
4,091 38,500
50,909 90,000
34,000
50,909 90,000
34,000
50,909 90,000
26,690 60,690
-
- - - - - 28,000 - 80,000 25,600 184,500 - 4,689,214 298,790 473,000 - - 7,640,025

Jurnal 4,334,500 Total


Piutang 360,990 Pendapatan
Subsidi 2,944,535
7,640,025 7,640,025
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

35,682 54,750
47,855 52,640
51,364 56,500
105,000 195,500
13,636 30,500
2,636 36,900
9,545 19,500
-
20,000 48,000 5,000 60,000 89,630 15,500 287,130
28,500 62,500
36,000 39,600
67,545 20,000 94,300
90,950 124,950
20,455 22,500
52,450 86,450
7,500 44,600 86,100
60,591 100,650
11,036 12,140
8,182 18,000
116,000 116,000
34,500 34,500
9,000
26,818 45,000
37,364 13,000 69,600
17,727 53,500
10,000 44,000
-
-
-
-
32,000 32,000
10,000 13,091 49,900
185,909 238,500
34,000
103,250 147,575
36,818 74,500
41,250 66,409 162,550
7,500 17,000 44,200
115,545 13,500 174,600
73,500 73,500
125,909 172,500
22,500 64,450 120,950
7,500 46,627 76,790
27,227 23,500 87,450
7,500 58,182 89,500
64,159 134,575
36,477 74,125
10,000 34,500 83,000
15,000 87,091 13,500 154,800
35,000 43,182 131,500
23,975 57,975
35,000 206,364 311,000
35,000 142,045 240,250
65,909 72,500
44,932 64,925
35,000 167,455 268,200
64,500 64,500
35,000 49,091 138,000
66,775 100,775
9,000
9,000
35,000 84,000
35,000 84,000
35,000 84,000
7,500 45,000
35,000 84,000
35,000 84,000
35,000 84,000
-
- - - 20,000 48,000 205,000 - 385,000 - 41,250 60,000 2,149,109 461,330 464,000 - - 5,793,850

Jurnal 7,705,120 Total


Piutang (2,144,242) Pendapatan
Subsidi 232,972
5,793,850 5,793,850
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Jasa Formalin

(35,000) (84,000)
7,500 45,000
148,818 91,000 288,700
69,950 79,000 182,950
55,100 99,100
51,075 85,075
170,540 33,000 237,540
36,750 50,000
10,500 10,500
500 20,864 57,950
34,000
20,864 31,950
11,818 13,000
15,000 16,500
8,727 9,600
45,000 49,500
70,864 77,950
6,818 7,500
68,000
17,273 19,000
6,364 7,000
17,500 17,500
23,182 59,500
12,955 48,250
22,500 98,820 173,820
90,000 125,000
22,000 22,000
40,636 44,700
20,000
10,000 28,500
36,750 76,364 13,500 163,000
529,091 582,000
500 16,075 52,682
500 40,409 79,450
25,600 17,500 86,600
-
8,000 8,000
47,000 47,000
500 10,000
500 41,773 80,950
50,000 89,000
20,727 33,500 71,800
81,545 123,700
124,318 170,750
60,682 45,000 145,750
50,000 70,500
126,182 172,800
129,364 176,300
10,000 82,850 131,350
93,727 103,100
90,000 92,000 57,500 317,700
13,500 13,500
67,000 83,000
90,000 127,500
68,350 102,350
40,650 74,650
15,864 17,450
51,000 47,495 148,495
20,000
150,000 50,000 200,000
13,500 13,500
52,000 52,000
52,000 52,000
36,000 39,600
13,500 13,500
-
6,000
55,290 17,500 106,790
103,000 103,000
-
- - - - - 52,500 - 235,000 25,600 191,500 - 2,033,302 890,120 740,000 - 50,000 5,701,852

Jurnal 4,682,627 Total


Piutang 869,775 Pendapatan
Subsidi 149,450
5,701,852 5,701,852
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

16,773 52,450
43,000 43,000
22,722 46,000 102,722
63,250 97,250
17,900 51,900
83,250 83,250
62,500 62,500
34,300 34,300
16,150 16,150
67,700 101,700
15,000 15,000
7,500 37,550 79,050
33,000 33,000
145,450 13,500 192,950
87,850 15,500 137,350
154,440 154,440
7,500 47,300 92,300
278,160 312,160
49,500 49,500
395,250 395,250
54,500 88,500
123,900 167,900
-
- - - - - 15,000 - - - - - 16,773 1,740,172 167,500 - - 2,362,622

Jurnal 1,578,850 Total


Piutang 572,650 Pendapatan
Subsidi 211,122
2,362,622 2,362,622
-
Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

93,955 103,350
76,636 84,300
18,091 35,400
172,091 22,500 245,800
51,000 51,300 152,300
85,500 119,500
76,950 110,950
50,500 91,350 225,350
50,000 140,000 360,000
50,000 140,000 360,000
20,455 22,500
127,675 161,675
134,650 168,650
51,115 56,226
8,000 8,000
22,500 70,150 138,650
77,091 100,300
41,250 58,000
140,500 140,500
32,000 32,000
8,000 5,000 15,000
16,500 7,000 25,500
24,409 26,850
16,818 18,500
51,000 101,000
7,500 66,045 98,150
9,500 6,500 18,000
16,455 33,600
7,500 102,182 137,900
50,000 70,500
25,600 98,932 177,925
25,600 44,795 118,375
49,200 88,120
62,545 102,800
34,000
41,250 29,136 121,550
14,500 14,500
15,818 6,500 57,900
118,886 164,775
7,273 8,000
189,682 242,650
13,500 47,500
187,909 22,500 263,200
6,136 40,750
80,045 122,050
43,000 94,500
54,500 88,500
7,500 13,500 58,500
70,091 13,500 124,600
41,250 4,091 94,000
41,250 58,000
32,545 35,800
273,636 13,500 348,500
13,500 47,500
5,591 9,000 49,150
100,364 13,500 157,900
5,000
77,250 118,975
27,864 46,150
27,427 45,670
51,273 71,900
49,000 97,000
36,750 50,000
49,000 216,364 335,000
51,500 51,500
34,000 34,000
291,591 354,750
34,000
210,909 266,000
112,955 158,250
-
-
34,000 - - - - 195,500 18,500 - 51,200 401,750 - 3,177,651 1,015,075 422,000 - - 7,657,691

Jurnal 7,035,741 Total


Piutang 412,320 Pendapatan
Subsidi 209,630
7,657,691 7,657,691
-
Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

36,750 69,500 135,000


36,750 69,500 135,000
36,750 69,500 135,000
36,750 69,500 135,000
36,750 81,500 147,000
36,750 81,500 147,000
36,750 69,500 135,000
36,750 69,500 135,000
36,750 81,500 147,000
36,750 81,500 147,000
36,750 81,500 147,000
36,750 81,500 147,000
36,750 81,500 147,000
36,750 81,500 147,000
36,750 81,500 147,000
36,750 81,500 147,000
120,455 148,000
30,841 49,425
30,364 48,900
6,818 7,500
131,545 144,700
15,000 16,500
9,545 19,500
228,000 17,500 613,175 70,000 987,175
107,500 107,500
-
-
4,818 5,300
116,000 116,000
116,000 116,000
13,500 13,500
52,000 52,000
7,500 18,000 59,500
113,675 147,675
134,650 168,650
96,227 121,350
37,045 56,250
13,500 13,500
25,818 20,000 63,900
11,500 3,000 16,500
34,000
42,636 62,400
500 63,955 105,350
34,000
80,682 122,750
56,545 13,500 109,700
83,500 83,500
83,250 4,000 139,900
500 48,227 88,050
56,364 96,000
31,909 119,100
51,636 72,300
34,000
9,000 7,000 18,000
500 39,136 78,050
41,250 20,455 112,000
52,909 92,200
82,545 124,800
500 45,091 84,600
34,000
39,545 77,500
4,091 38,500
10,273 11,300
60,909 101,000
102,318 176,550
116,136 161,750
7,500 72,727 13,500 138,500
98,818 142,700
66,818 107,500
63,364 69,700
10,500 10,500
2,364 2,600
64,909 86,900
5,727 6,300
41,500 58,000
90,000 127,500
16,500 16,500
20,455 22,500
17,500 31,500
-
-
-
20,500 - - - 228,000 27,000 17,500 90,000 17,500 754,000 - 1,913,023 879,500 1,808,000 - 70,000 7,791,325

Jurnal 4,509,065 Total


Piutang 3,010,525 Pendapatan
Subsidi 271,735
7,791,325 7,791,325
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6,045 40,650
34,000
34,000
34,000
34,000
9,000
79,318 87,250
23,591 25,950
17,273 19,000
6,091 6,700
10,455 11,500
500 22,500 12,350 83,850
140,000 140,000
82,500 176,600 315,100
7,000 7,000
8,000 8,000
13,500 13,500
114,545 126,000
9,500 6,500 18,000
13,500 13,500
127,273 140,000
9,500 6,500 18,000
41,250 58,000
92,591 135,850
41,250 58,000
11,500 3,500 17,000
34,000
50,682 71,250
41,250 46,273 10,000 150,400
36,750 18,500 85,850
500 43,818 83,200
500 200,455 255,500
31,773 50,450
95,409 138,950
15,182 9,000 59,700
500 63,182 6,500 111,000
13,500 47,500
45,136 83,650
14,000 11,000 27,000
9,500 7,000 18,500
32,455 35,700
64,091 13,500 118,000
500 90,727 134,800
41,250 95,818 194,900
34,000
9,091 19,000
96,500 96,500
22,500 58,909 102,800
39,182 43,100
32,500 66,500
500 112,091 158,300
9,500 6,500 18,000
8,000 8,000
10,000
95,091 104,600
36,000 39,600
72,000 79,200
35,000 44,091 132,500
36,000 39,600
70,545 111,600
35,000 25,909 112,500
35,000 49,773 138,750
76,545 118,200
36,000 73,600
148,682 197,550
67,818 108,600
53,182 92,500
13,500 13,500
54,182 93,600
35,000 28,182 103,500 218,500
36,000 39,600
47,727 86,500
72,000 79,200
36,000 39,600
136,364 184,000
35,000 12,273 97,500
35,000 36,500 120,500
43,500 77,500
35,000 49,545 78,500 217,000
79,773 121,750
25,909 28,500
71,591 112,750
36,000 39,600
177,955 229,750
36,000 39,600
67,818 108,600
36,000 39,600
36,000 39,600
67,818 74,600
67,818 74,600
72,000 113,200
59,091 99,000
77,273 119,000
72,000 79,200
35,000 57,273 147,000
52,909 92,200
36,000 39,600
36,000 39,600
126,318 172,950
72,000 79,200
36,000 39,600
35,000 138,182 236,000
72,000 79,200
36,000 39,600
85,000 127,500
34,000
120,364 166,400
34,000
50,909 90,000
5,500 35,000 94,182 217,600
19,091 55,000
52,000 52,000
22,500 56,850 138,350
35,000 49,545 138,500
34,000
9,545 44,500
35,000 84,000
35,000 84,000
35,000 84,000
35,000 84,000
7,500 33,409 81,750
14,500 10,091 66,600
35,000 84,000
127,773 174,550
-
63,500 - - - - 130,000 46,500 560,000 - 201,750 45,000 5,119,500 429,300 515,500 - - 10,519,250

Jurnal 12,186,350 Total


Piutang (1,890,800) Pendapatan
Subsidi 223,700
10,519,250 10,519,250
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

65,550 99,550
62,182 83,900
35,000 61,909 152,100
35,000 29,091 116,000
30,000 1,818 87,500
7,500 206,050 251,050
41,136 45,250
35,591 39,150
30,591 33,650
15,136 16,650
1,318 1,450
114,409 125,850
24,864 42,850
35,455 54,500
11,000 13,636 51,500
35,000 130,000 227,000
9,545 19,500
9,500 6,500 18,000
105,000 105,000
122,550 156,550
51,000 31,500 132,500
66,250 100,250
56,000 90,000
34,000
14,000 15,400
36,000 39,600
100,000 100,000
34,000
59,400 93,400
11,818 13,000
41,500 55,500
63,409 69,750
500 60,000 101,000
36,750 81,500 147,000
500 172,545 224,800
36,750 15,000 24,500 106,500
7,500 72,273 106,000
-
500 84,045 127,450
41,250 89,500
500 35,318 73,850
47,727 86,500
70,227 111,250
15,500
34,000
36,727 55,900
13,864 30,750
11,000 45,000
17,273 34,500
9,000
9,000
45,000 45,000
34,000
121,818 168,000
69,545 110,500
34,000
7,500 44,409 75,350
20,000 20,000
188,318 241,150
54,909 94,400
-
12,500 79,273 124,700
34,000
27,500 55,864 126,450
7,500 24,409 13,500 85,350
6,818 23,000
22,500 58,150 143,150
18,700 52,700
90,000 41,500 49,500 232,500
66,500 66,500
34,000
34,000
34,000
59,636 99,600
87,455 130,200
-
9,500 - - - - 135,500 6,500 195,000 - 248,750 - 2,149,364 695,150 505,500 - - 5,954,450

Jurnal 5,684,475 Total


Piutang (502,250) Pendapatan
Subsidi 772,225
5,954,450 5,954,450
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

20,000 3,636 64,500


35,455 54,500
10,000 15,136 52,150
10,000 13,636 50,500
11,000 5,909 43,000
30,000 85,500
95,545 120,600
70,773 93,350
2,545 2,800
18,045 19,850
15,000 16,500
63,091 69,400
26,000 26,000
-
-
140,000 140,000
73,545 114,900
50,909 90,000
81,727 123,900
34,000
6,864 41,550
39,045 42,950
27,273 30,000
90,000 159,000
54,318 93,750
7,500 54,318 104,750
12,500 54,318 112,750
7,500 38,182 87,000
12,000 54,318 111,750
9,545 19,500
57,000 57,000
59,500 65,450
68,600 102,600
60,864 66,950
62,000 62,000
108,182 119,000
9,500 6,500 18,000
9,500 6,500 18,000
7,500 4,727 19,200
13,500 13,500
9,500 6,500 18,000
7,500 60,909 13,500 107,000
15,000 1,682 52,350
4,091 38,500
27,000 1,818 59,500
31,091 68,200
34,000
9,000
15,500
9,500 7,000 18,500
30,318 48,850
10,182 11,200
34,455 71,900
27,750 55,136 116,150
34,000
32,500 23,500 93,250
25,600 118,227 199,150
9,500 7,000 18,500
14,000 11,000 27,000
62,591 13,500 116,350
140,136 188,150
500 184,545 238,000
137,500 185,250
34,000
51,545 72,200
500 132,545 180,800
4,500 3,500 10,000
76,182 117,800
35,000 43,636 132,000
35,000 106,364 201,000
35,000 47,273 136,000
35,000 84,000
35,000 47,727 136,500
35,000 84,000
7,500 134,545 193,000
50,000 50,350 154,350
36,000 39,600
55,227 94,750
131,364 144,500
9,500 6,500 18,000
239,000 175,000 15,000 521,000
125,500 172,050
67,000 51,773 173,950
24,800 58,800
20,000 20,000
-
30,000 909 86,500
35,000 65,909 156,500
-
75,500 - - - - 266,000 54,500 335,000 25,600 333,750 - 3,303,091 283,750 244,000 - - 7,335,750

Jurnal 6,700,540 Total


Piutang 64,400 Pendapatan
Subsidi 570,810
7,335,750 7,335,750
-
Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

35,000 2,545 78,300


7,500 5,091 38,600
127,318 101,500 275,550
104,909 115,400
43,409 63,250
176,682 194,350
17,273 19,000
2,364 2,600
9,909 10,900
19,091 21,000
76,136 83,750
37,727 57,000
45,455 91,500 157,000
68,636 91,000
7,000 22,500
7,500 909 34,000
7,500 909 34,000
6,318 40,950
20,000 46,050 113,550
51,000 76,050 177,050
13,000 47,000
50,000 140,000 360,000
-
-
24,545 27,000
15,000 46,200 103,700
15,000 16,500
70,500 104,500
7,500 45,000
112,182 123,400
7,500 37,682 86,450
129,545 142,500
37,200 71,200
7,500 13,000
9,500 6,500 18,000
7,500 59,400 100,900
152,273 183,000
7,500 16,364 43,500
100,455 13,500 144,500
64,182 86,100
71,182 112,300
84,773 127,250
13,500 7,045 56,750
34,000
59,000 59,000
500 108,591 154,450
35,000 909 76,500
500 80,955 124,050
500 37,182 75,900
500 59,455 59,000 159,400
12,500 67,227 110,450
10,000 30,000
20,000 20,000
22,500 22,500
10,000
9,500 7,000 18,500
9,500 7,000 18,500
9,500 7,500 19,000
72,000 79,200
56,727 62,400
34,000
54,045 93,450
14,000 11,000 27,000
18,864 54,750
34,000
25,909 28,500
7,500 54,318 104,750
2,818 3,100
51,000 120,000 263,000
7,500 45,000
11,750 144,000 189,750
37,500 75,250
67,682 483,450
6,000
-
52,000 - - - - 268,000 39,000 - - 102,000 - 2,424,091 429,650 588,500 - - 6,158,150

Jurnal 4,515,760 Total


Piutang 968,115 Pendapatan
Subsidi 674,275
6,158,150 6,158,150
-
Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

9,500 10,450
4,000 4,400
2,000 2,000
9,500 9,500
27,500 41,600 120,100
27,250 61,250
40,750 74,750
32,500 78,700 162,200
4,500 38,500
109,200 143,200
34,550 68,550
22,500 28,750 85,250
6,000 6,000
6,500 6,500
52,000 52,000
185,000 185,000
12,750 46,750
368,500 368,500
7,500 45,000
118,500 152,500
121,500 121,500
91,500 91,500
49,500 49,500
5,000 54,300 95,300
39,000 73,000
2,600 2,600
4,600 4,600
39,600 39,600
7,500 41,500
19,000 19,000
175,000 175,000
107,200 141,200
-
- - - - 175,000 80,000 - - - - 22,500 13,500 1,155,350 499,500 - - 2,496,700

Jurnal 1,729,150 Total


Piutang 404,030 Pendapatan
Subsidi 363,520
2,496,700 2,496,700
-

Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
FT Operasi Jenazah Kendr. Poli IGD PA Js Rever

181,150 215,150
23,850 57,850
6,455 12,000 19,100
109,455 120,400
26,659 29,325
64,000 93,500
209,364 22,500 286,800
65,000 81,250 48,750 126,955 696,650
13,500 47,500
-
32,500 68,650 162,150
104,300 138,300
126,600 160,600
16,500 16,500
13,955 15,350
28,182 31,000
18,000 19,800
53,200 87,200
13,500 13,500
13,500 13,500
9,500 7,000 18,500
9,500 6,500 18,000
9,500 6,500 18,000
8,000 8,000
48,000 48,000
73,900 107,900
106,500 106,500
9,500 7,000 18,500
9,000
74,000 74,000
140,000 140,000
10,000
9,500 7,500 19,000
9,500 6,500 18,000
52,273 32,000 105,000
36,369 55,506
20,000 20,000
30,264 48,790
29,000 29,000
114,000 148,000
41,250 23,182 115,000
100,909 126,500
41,250 32,273 95,500 220,500
178,818 22,500 253,200
9,545 9,000 53,500
117,727 34,500 198,000
144,705 193,175
500 16,711 53,382
58,068 97,875
12,955 10,000 58,250
14,000 11,000 27,000
63,409 12,000 115,750
148,182 13,500 210,500
7,500 13,500 58,500
24,455 60,900
500 66,773 108,450
4,091 38,500
7,500 3,682 29,550
65,000 105,500
500 23,591 60,950
33,636 52,500
9,545 10,500
6,091 6,700
8,182 9,000
68,523 15,000 105,875
37,727 41,500
11,818 13,000
41,250 88,000 32,000 209,500
-
12,500 75,864 135,950
12,500 72,727 132,500
34,000
70,455 77,500
281,273 309,400
1,818 2,000
34,000
-
71,000 65,000 81,250 - - 122,750 52,000 - - 187,750 - 2,429,662 873,150 767,000 - - 6,602,778
Jurnal 5,367,468 Total
Piutang 515,410 Pendapatan
Subsidi 719,900
6,602,778 6,602,778
-
1 IGD Poli DPP Utang PPN Visite

191,400 0
19,000 -
20,650 -
25,000 -
22,800 -
112,250 (1)
116,950 -
56,125 -
120,925 -
52,000 -
180,500 -
151,000 -
142,200 -
51,750 -
52,750 -
52,750 -
51,900 -
99,050 -
81,000 -
87,000 -
20,000 -
12,140 -
83,250 -
48,900 -
144,100 -
80,750 -
54,500 -
50,750 -
98,230 -
101,800 -
- -
2,381,420 (1) 307,591 408,500
2,381,420
1

- 100,000
28,300 28,300
24,100 -
85,000 -
79,350 -
13,500 -
126,350 -
152,850 -
8,000 -
65,250 -
23,250 -
27,400 -
54,500 -
91,228 -
81,650 -
118,395 -
100,640 -
139,950 -
111,000 -
87,800 -
25,500 -
35,000 -
51,300 -
7,850 -
34,500 -
81,650 -
- -
1,654,313 240,500
1,444,363
1

173,700 -
133,200 -
38,250 -
43,900 -
16,750 -
9,000 -
8,750 -
123,835 -
74,000 -
149,000 -
50,000 50,000
81,700 81,700
11,100 11,100
101,800 101,800 - -
101,400 47,000
22,000 22,000
18,700 18,700
66,940 -
55,000 -
62,000 -
5,000 -
127,630 -
76,425 -
16,500 -
99,000 -
16,500 -
19,000 -
63,182 -
13,500 -
282,585 -
23,500 -
59,900 -
22,500 -
71,900 -
36,000 -
51,500 -
20,000 -
18,000 -
94,600 -
9,000 -
104,150 -
75,500 -
126,250 -
50,650 -
107,250 -
125,750 -
97,000 -
107,800 -
140,500 -
13,500 -
92,075 -
147,000 -
58,900 -
34,000 -
183,900 -
164,000 -
97,050 -
332,300 -
34,000 -
69,500 -
145,125 -
55,600 -
200,000 -
57,000 -
113,200 -
169,800 -
302,500 -
148,700 -
47,500 -
91,000 -
172,550 -
202,325 -
266,500 -
164,300 -
34,000 -
47,500 -
63,600 -
76,600 -
89,900 -
57,000 -
137,400 -
114,850 -
29,600 -
122,500 -
289,125 -
84,750 -
34,000 -
213,200 -
61,000 -
- -
7,887,147 0 1,242,500
7,887,147

41,500 -
65,000 -
120,400 -
74,500 -
114,850 -
497,300 -
197,200 -
577,150 -
172,550 -
45,000 -
70,550 -
6,500 -
119,500 -
203,550 -
141,625 -
258,000 -
895,600 -
5,300 -
164,825 -
136,200 -
52,000 -
51,500 -
79,500 -
53,350 -
19,000 -
94,350 -
109,500 -
64,800 -
64,375 -
34,450 -
45,500 -
146,525 -
185,300 -
81,375 -
18,500 -
120,880 -
124,700 -
153,850 -
52,750 -
52,000 -
193,825 -
12,000 -
36,875 -
16,500 -
26,000 -
142,100 -
118,975 -
136,500 -
18,000 -
89,375 -
253,800 -
74,700 -
84,400 -
158,150 -
51,750 -
181,625 -
97,950 -
97,975 -
63,850 -
3,675 -
60,300 -
61,910 -
169,075 -
114,000 -
34,000 -
260,625 -
13,500 -
158,150 -
78,800 -
45,000 -
169,175 -
116,000 -
48,330 -
92,000 -
116,900 -
121,835 -
44,500 -
55,500 -
146,500 -
103,950 -
57,700 -
136,975 -
90,250 -
90,850 -
269,000 -
152,650 -
133,600 -
24,000 -
72,850 -
- -
10,407,255 1,969,500
10,310,405

140,000 -
92,150 -
74,150 -
103,950 -
21,400 -
9,400 -
3,000 -
97,930 -
130,600 -
39,475 -
69,550 - -
73,000 -
102,850 -
45,750 -
53,400 -
90,900 -
85,000 -
20,000 -
133,100 -
150,000 -
109,500 -
89,500 -
55,400 -
105,000 -
10,000 -
274,800 -
18,500 -
88,750 -
19,000 -
56,500 -
94,500 -
99,000 -
197,320 -
69,100 -
84,600 -
41,500 -
97,750 -
5,000 -
137,975 -
34,000 -
113,000 113,000
28,200 -
23,450 -
121,675 -
111,500 -
34,000 -
102,800 -
263,600 -
123,000 -
235,375 -
153,000 -
80,500 -
116,500 -
38,500 -
6,600 -
66,550 -
33,800 -
73,600 -
126,000 -
145,700 -
108,600 -
39,600 -
102,000 -
6,700 -
39,600 -
114,200 -
82,600 -
185,476 -
99,600 -
39,600 -
47,000 -
113,200 -
166,026 -
109,500 -
39,600 -
39,600 -
104,600 -
39,600 -
65,850 -
144,200 -
39,600 -
210,250 -
138,600 -
102,000 -
168,976 -
118,000 -
113,200 -
114,600 -
93,700 -
164,000 -
39,600 -
39,600 -
39,600 -
45,600 -
74,600 -
45,000 -
84,000 -
84,000 -
84,000 -
126,000 -
39,600 -
39,600 -
39,600 -
39,600 -
39,600 -
39,600 -
185,600 -
39,600 -
133,026 -
79,200 -
174,276 -
39,600 -
86,500 -
120,600 -
39,600 -
45,600 -
86,600 -
39,600 -
86,500 -
138,600 -
73,600 -
39,600 -
211,726 -
80,600 -
88,500 -
201,776 -
39,600 -
39,600 -
39,600 -
74,600 -
74,600 -
39,600 -
79,200 -
168,976 -
74,600 -
39,600 -
39,600 -
73,600 -
39,600 -
139,700 -
58,000 -
90,000 -
90,000 -
34,000 -
122,515 -
34,000 -
34,000 -
100,600 -
34,000 -
34,000 -
52,500 -
129,075 -
109,900 -
152,600 -
224,026 -
39,600 -
227,900 -
39,600 -
64,412 -
132,525 -
56,800 -
166,575 -
1,958,130 -
158,250 -
45,000 -
- -
16,098,516 3,311,000
12,733,379

163,700 -
96,600 -
170,900 -
166,500 -
- 49,600
3,900 3,900
54,000 -
15,000 -
122,950 -
106,550 -
138,230 -
7,000 -
65,850 -
101,050 -
12,000 -
18,000 -
93,848 -
83,475 -
15,500 -
76,000 -
33,000 -
20,000 -
47,000 -
68,000 -
86,950 -
52,000 -
63,450 -
127,500 -
107,775 -
174,500 -
275,940 275,940
110,100 -
174,235 -
45,000 -
72,625 0
179,800 -
154,000 -
98,500 -
215,500 -
173,950 -
145,800 -
96,950 -
58,000 -
58,000 -
92,500 -
73,000 -
67,400 -
58,000 -
58,000 -
144,000 -
379,100 -
58,000 -
7,500 -
130,000 -
578,280 -
79,050 -
67,500 -
84,750 -
145,250 -
77,125 -
82,300 -
38,050 -
117,850 117,850
8,000 -
34,000 -
34,000 -
90,000 -
34,000 -
89,500 -
- -
6,329,493 1,251,500
6,239,993

11425

84,000 -
255,445 -
244,900 -
70,500 -
68,600 -
37,600 -
65,500 -
77,350 -
33,500 -
103,650 -
112,750 -
89,400 -
145,800 -
85,500 -
112,950 -
13,500 -
53,750 -
366,400 -
60,050 -
48,000 -
18,500 -
10,000 -
15,850 -
88,550 -
13,500 -
13,500 -
18,500 -
87,250 -
164,750 -
16,500 -
101,000 -
47,500 -
19,500 -
89,500 89,500
76,500 -
19,250 -
70,625 -
75,075 -
41,150 -
88,550 -
34,000 -
6,000 -
44,000 -
106,400 -
139,150 -
34,000 -
265,500 -
164,950 -
34,000 -
26,000 -
107,450 -
74,500 -
68,800 -
116,175 -
127,650 -
202,250 -
92,500 -
13,500 -
126,000 -
121,400 -
84,000 -
84,000 -
84,000 -
84,000 -
84,000 -
44,000 -
49,600 -
13,500 -
324,125 -
128,700 -
32,400 -
188,250 -
39,250 -
- -
6,259,245 1,335,000
6,259,245

34075
139650

- -
151,425 -
197,550 -
34,000 -
105,550 -
67,000 -
39,402 -
75,925 -
236,625 -
19,000 -
207,350 -
52,500 -
226,000 -
51,750 -
165,000 -
18,275 -
30,650 -
34,000 -
59,250 -
88,500 -
114,600 -
396,000 -
85,000 -
18,500 -
5,000 -
18,500 -
127,000 -
10,000 -
92,500 -
162,500 -
7,000 -
46,000 -
34,000 -
75,050 -
11,350 -
408,450 212,000
477,000 477,000
1,014,300 1,014,300
50,000 -
12,000 -
42,500 -
172,000 -
43,250 -
43,750 -
189,750 -
65,030 -
145,875 -
10,600 -
16,500 -
98,600 -
75,000 -
50,500 -
65,500 -
22,500 -
54,000 54,000
152,625 -
91,500 -
369,500 -
34,000 -
162,100 -
92,250 -
106,850 -
88,600 -
212,250 -
32,500 -
52,000 -
76,200 -
88,000 -
38,500 -
90,000 -
12,000 -
- -
6,061,432 986,500
6,061,432

1
35180
79,900 -
86,000 -
44,900 -
120,000 -
128,400 -
113,050 -
59,625 -
13,515 -
600,250 -
8,600 -
3,000 -
93,300 -
2,250 -
79,200 -
8,000 -
45,000 -
180,000 -
96,900 -
66,500 -
84,000 -
52,000 -
93,000 -
101,500 -
13,000 -
88,900 -
11,500 -
138,225 -
97,950 -
- -
2,508,465 555,000
2,508,465

240,000 24,000
3,000 -
191,200 -
58,500 -
17,250 -
125,650 -
129,650 -
231,001 -
15,000 -
149,715 -
87,925 -
97,275 -
5,000 -
15,500 -
27,500 -
18,500 -
62,658 -
18,500 -
16,500 -
254,600 -
55,150 -
165,300 -
6,500 -
51,522 -
302,584 -
72,750 -
18,500 -
20,000 -
34,000 -
161,250 -
258,500 -
86,250 -
55,350 -
228,200 -
135,850 -
200,900 -
- 68,300
12,000 -
63,300 -
58,250 -
157,975 -
127,200 -
20,000 -
25,500 -
13,500 -
59,000 -
42,850 -
5,000 -
88,400 -
239,675 -
68,500 -
32,500 -
7,350 -
77,650 -
45,000 -
58,000 -
58,000 -
139,125 -
102,750 -
170,500 -
50,700 -
331,950 -
16,750 -
130,450 -
145,500 -
85,000 85,000
62,750 -
47,000 -
99,500 -
97,750 -
40,550 -
200,450 -
61,040 -
48,750 -
51,750 0
6,000 -
28,500 -
49,500 -
49,500 -
17,500 -
216,140 -
18,000 -
81,250 -
34,000 -
360,100 -
34,000 -
- -
7,476,635 1,361,000
7,476,635

148,300 -
102,900 -
34,000 -
152,175 -
2,000 2,000
56,025 -
39,750 (1)
55,000 -
155,600 -
32,000 -
20,000 -
64,500 -
187,500 -
10,000 -
7,500 -
57,000 -
168,400 -
67,000 -
78,500 -
88,500 -
34,000 -
98,000 -
244,700 -
138,030 -
30,650 -
34,000 -
34,000 -
82,200 -
10,000 -
34,000 -
34,000 -
105,200 -
56,250 -
81,226 -
16,550 -
82,300 -
52,000 -
173,695 -
69,900 -
143,625 -
153,900 -
180,600 -
89,290 -
126,625 - 34250
109,750 -
94,750 -
88,750 -
42,540 -
53,500 -
137,135 -
171,625 -
34,000 - 9000
169,010 -
58,000 -
11,100 -
164,980 0
71,100 -
200,300 -
124,300 -
128,900 -
35,700 -
116,585 -
18,500 -
150,500 -
154,150 -
192,950 -
173,300 -
- -
6,130,816 1,338,500
6,130,816

58,260 -
18,500 -
16,500 -
11,000 -
34,300 -
45,500 -
85,850 -
54,250 -
332,500 -
209,200 -
380,350 -
201,000 -
396,600 -
253,750 -
165,250 -
34,000 -
34,000 -
62,810 -
151,600 -
88,500 -
89,700 -
70,050 -
83,375 -
8,000 -
185,000 -
15,400 -
33,000 -
45,000 -
103,600 -
13,500 -
145,350 -
125,000 -
45,250 -
20,000 -
18,500 -
15,000 -
21,500 -
12,140 -
52,000 -
128,100 -
21,000 -
113,500 -
83,650 -
89,500 -
- 18,800
93,000 -
18,500 -
140,425 -
159,030 -
54,750 -
159,600 -
66,500 -
38,500 -
15,500 -
66,700 -
20,000 -
58,000 -
202,125 -
91,750 -
169,525 -
228,625 -
62,200 -
18,500 -
18,500 -
18,500 -
18,500 -
18,500 -
18,500 -
18,500 -
18,500 -
18,500 -
18,500 -
18,500 -
11,000 -
11,000 -
11,000 -
11,000 -
132,000 -
16,500 -
170,500 -
16,500 -
18,500 -
9,000 -
11,000 -
38,500 -
157,375 -
148,925 -
39,600 -
60,500 -
73,600 -
108,600 -
142,726 -
11,000 -
39,600 -
39,600 -
79,200 -
39,600 -
62,230 -
18,500 -
80,400 -
2,000 -
210,025 -
13,500 -
34,250 -
7,000 -
99,500 -
19,000 -
66,700 -
87,750 -
74,750 -
146,500 -
47,500 -
8,000 -
79,200 -
39,600 -
31,000 -
39,600 -
77,625 -
173,500 -
86,250 -
34,000 -
51,500 -
51,150 -
52,000 -
112,025 -
110,500 -
45,000 -
34,000 -
120,100 -
24,000 -
115,520 -
39,600 -
232,375 -
127,000 -
67,350 -
127,000 -
175,500 -
39,600 -
39,600 -
184,300 -
76,500 -
192,750 -
73,100 -
120,900 -
34,000 -
108,600 -
134,700 -
39,600 -
39,600 -
79,400 -
272,250 -
108,600 -
108,600 -
126,100 -
211,700 -
114,600 -
201,100 -
65,100 -
108,600 -
113,200 -
108,600 -
74,600 -
39,600 -
80,600 -
39,600 -
39,600 -
131,700 -
145,125 -
145,500 -
168,976 -
74,600 -
266,200 -
191,100 -
142,300 -
114,200 -
114,200 -
108,600 -
122,000 -
143,625 -
265,000 -
81,600 -
108,600 -
108,600 -
34,000 -
159,925 -
142,726 -
7,000 -
74,600 -
39,600 -
122,800 -
1,500 -
64,800 -
136,625 -
39,600 -
51,750 -
67,000 -
73,600 -
84,000 -
84,000 -
84,000 -
84,000 -
84,000 -
84,000 -
84,000 -
84,000 -
45,000 -
84,000 -
34,000 -
38,500 -
41,500 -
36,000 -
36,000 -
36,000 -
92,000 -
92,500 -
92,500 -
90,000 -
90,000 -
78,750 -
- -
18,401,393 4,137,500
18,401,393
1

63,125 -
73,650 -
23,750 -
79,200 -
83,000 -
134,000 -
12,000 -
51,000 -
13,500 -
125,200 -
18,000 -
33,850 -
123,475 -
36,200 -
25,500 -
120,000 -
86,750 -
15,500 -
27,300 -
58,000 -
58,000 -
75,660 -
59,250 -
39,600 -
43,000 -
101,000 -
150,300 -
173,900 -
3,260,800 3,260,800
83,250 -
48,450 -
258,500 -
202,525 -
100,625 -
256,650 -
90,250 -
137,140 -
18,000 -
97,000 97,000
10,000 -
18,500 -
25,000 -
125,000 -
234,500 -
34,000 -
38,500 -
69,400 -
- -
3,654,000 606,000
3,654,000

97,000 -
60,200 -
321,325 - -
192,000 -
53,600 - -
184,650 -
64,500 -
119,200 -
3,500 -
9,000 -
85,400 -
145,900 -
108,300 -
23,450 -
81,450 -
92,000 -
113,950 -
190,000 -
8,000 -
22,800 -
74,000 -
91,325 -
94,750 -
20,000 -
107,900 -
75,000 -
12,000 -
13,000 -
11,000 -
72,650 -
18,000 -
59,150 -
34,500 -
276,290 -
216,500 -
139,500 -
34,000 -
56,250 -
159,600 -
34,000 -
68,500 -
141,250 -
15,500 -
15,500 -
15,500 -
15,500 -
15,500 -
77,700 -
47,850 -
41,000 -
58,000 -
15,000 -
16,500 -
300,000 -
43,125 43,125
110,500 -
228,000 -
102,475 -
34,000 -
65,150 -
7,100 -
148,550 -
292,500 -
139,200 -
98,000 -
422,825 -
150,970 -
126,750 -
196,400 -
99,900 -
84,000 -
84,000 -
84,000 -
84,000 -
84,000 -
84,000 -
52,000 -
538,550 -
- -
7,735,810 1,600,000
7,735,810

99,400 -
79,200 -
68,600 -
91,575 -
122,925 (1)
13,350 -
24,000 -
24,000 -
45,400 -
48,750 -
122,850 -
95,150 -
56,450 -
38,350 -
34,000 -
38,200 -
35,500 -
286,900 -
90,600 -
179,600 -
59,500 -
34,000 -
112,100 -
52,700 -
76,500 -
18,000 -
58,000 -
219,000 -
82,505 -
18,500 -
73,500 -
35,500 -
71,600 -
94,900 -
146,300 -
167,350 -
16,500 -
93,300 -
62,500 -
285,000 -
18,500 -
58,000 -
3,300 -
39,600 -
78,000 -
97,650 -
6,000 -
- -
3,673,105 547,500
3,673,105
9400

71115

1
40,600 0
110,050 -
76,685 -
90,000 -
110,215 -
59,900 -
34,000 -
128,180 -
80,530 -
101,185 -
112,780 -
41,500 -
44,000 -
39,600 -
386,740 - - -
149,925 -
155,665 - -
148,500 -
6,500 -
1,525 -
104,000 -
67,750 -
10,925 -
52,000 -
32,000 -
105,900 -
145,665 -
- -
2,436,320 530,500
2,436,320

88,900 -
414,160 -
58,900 -
49,750 -
18,000 -
72,750 -
19,000 -
33,000 -
228,840 -
13,500 -
78,400 -
161,180 -
175,050 -
339,050 -
124,900 -
37,500 -
92,500 -
62,000 -
2,300 -
116,450 -
89,350 -
92,450 -
39,600 -
58,450 -
160,460 -
149,000 -
195,100 -
96,400 -
7,000 -
195,900 -
37,150 -
18,000 -
18,000 -
15,000 -
112,000 -
98,100 -
71,600 -
55,000 -
92,250 -
34,000 -
79,450 -
62,650 -
25,000 -
109,000 -
78,400 -
246,050 -
61,200 -
70,600 -
13,500 -
139,500 -
57,650 -
34,000 -
67,000 -
47,500 -
211,950 -
34,000 -
91,650 -
137,700 -
27,000 -
18,500 -
52,400 -
82,000 -
116,000 -
113,050 113,050
88,500 -
27,500 -
7,500 -
22,000 -
57,300 -
97,850 -
124,600 124,600
316,000 316,000
276,410 -
- -
6,260,700 1,042,500
6,260,700

52,000 -
34,000 -
34,000 -
185,150 -
148,650 -
83,150 -
59,500 -
59,000 -
180,150 -
12,800 -
52,000 -
13,500 -
25,400 -
8,000 -
70,500 -
74,000 -
34,000 -
1,977,875 -
128,350 -
150,850 -
164,500 -
188,000 -
81,000 -
99,390 -
111,985 -
6,000 -
137,500 -
25,500 -
34,000 -
49,000 -
747,630 -
170,200 -
83,450 -
112,585 -
44,550 -
263,000 -
11,300 -
166,200 -
159,000 -
49,000 -
167,400 -
96,250 -
50,500 -
33,800 -
79,750 -
44,500 -
17,500 - - - -
45,000 -
117,435 -
276,410 276,410
19,000 -
13,500 -
8,500 -
76,700 -
102,960 -
102,700 -
164,980 -
87,250 -
58,375 -
141,850 -
73,000 -
128,000 -
302,500 -
59,500 -
117,600 -
82,450 -
44,500 (0)
- -
8,322,165 2,152,500
8,322,165

54250

51,325 -
6,100 -
135,750 -
137,200 68,600
7,500 -
12,000 -
1,669,700 -
93,150 -
32,950 -
120,000 -
13,500 -
178,800 -
190,200 190,200
84,800 -
71,200 -
571,365 -
45,000 -
38,050 -
89,250 -
34,000 -
24,650 -
73,750 -
50,400 -
42,900 -
84,350 -
95,000 -
352,425 -
19,500 -
52,000 52,000
137,776 -
25,500 -
79,500 -
9,000 -
58,850 -
41,500 -
78,450 -
121,675 -
26,000 -
77,150 -
8,000 -
128,905 -
92,200 -
83,400 -
62,500 -
71,700 -
13,600 -
122,625 -
34,000 -
73,500 -
30,850 -
98,000 -
111,000 -
15,500 -
161,630 -
145,300 -
73,600 -
153,800 -
39,600 -
34,000 -
100,300 -
82,000 -
102,000 -
39,600 -
138,600 -
108,600 -
112,600 -
216,026 -
79,200 -
39,600 -
108,150 -
126,100 -
179,450 -
79,200 -
39,600 -
39,600 -
106,100 -
96,250 -
231,000 -
112,750 -
39,600 -
274,000 -
93,000 -
144,800 -
73,600 -
27,500 -
153,750 -
158,400 -
80,600 -
39,600 -
118,076 -
39,600 -
135,750 -
73,600 -
39,600 -
79,200 -
64,700 -
39,600 -
39,600 -
39,600 -
39,600 -
39,600 -
169,450 -
39,600 -
74,600 -
211,660 164,160
198,000 -
50,500 -
131,250 -
127,000 -
88,500 -
39,600 -
109,500 -
109,500 -
247,750 -
39,600 -
118,000 -
39,600 -
67,000 -
104,600 -
231,000 -
98,250 -
72,750 -
65,600 -
69,000 -
94,400 -
39,600 -
39,600 -
87,250 -
179,450 -
58,000 -
55,500 -
104,725 -
155,800 -
219,000 -
84,000 -
84,000 -
84,000 -
84,000 -
84,000 -
34,000 -
38,500 -
41,500 -
90,000 -
90,000 -
38,500 -
34,000 -
34,000 -
34,000 -
34,000 -
34,000 -
34,000 -
34,000 -
34,000 -
90,000 -
- -
14,731,203 3,147,000
14,731,203

90,000 -
64,500 23,900
2,826,435 -
38,350 -
34,500 -
39,600 -
39,600 -
274,350 -
3,500 3,500
109,900 109,900
20,000 -
6,000 -
39,600 -
115,150 -
12,950 -
34,000 -
68,500 -
49,000 -
110,500 -
34,000 -
13,000 -
58,000 -
39,600 -
269,700 -
57,720 -
87,500 -
25,500 -
20,150 -
91,350 -
28,500 -
77,500 -
173,100 -
34,000 -
93,700 -
128,000 -
34,000 -
84,600 -
34,000 -
52,550 -
60,150 -
182,500 -
173,100 -
163,800 -
75,400 -
92,500 -
71,200 -
113,530 -
178,200 -
24,000 -
73,100 -
39,600 -
118,800 -
39,600 -
110,000 -
181,500 -
69,750 -
76,400 -
84,100 -
38,500 -
90,000 -
34,000 -
90,000 -
34,000 -
90,000 -
60,690 -
- -
7,640,025 1,026,500
7,640,025

54,750 -
52,640 -
56,500 -
195,500 -
30,500 -
36,900 -
19,500 -
48,000 48,000
287,130 -
62,500 -
39,600 -
94,300 -
124,950 -
22,500 -
86,450 -
86,100 -
100,650 -
12,140 -
18,000 -
116,000 -
34,500 -
9,000 -
45,000 -
69,600 -
53,500 -
44,000 -
1,394,500 1,394,500
60,690 60,690
500,000 500,000
687,000 687,000
32,000 -
49,900 -
238,500 -
34,000 -
147,575 -
74,500 -
162,550 -
44,200 -
174,600 -
73,500 -
172,500 -
120,950 -
76,790 -
87,450 -
89,500 -
134,575 -
74,125 -
83,000 -
154,800 -
131,500 -
57,975 -
311,000 -
240,250 -
72,500 -
64,925 -
268,200 -
64,500 -
138,000 -
100,775 -
9,000 -
9,000 -
84,000 -
84,000 -
84,000 -
45,000 -
84,000 -
84,000 -
84,000 -
- -
5,793,850 1,299,500
5,793,850

- 84,000
45,000 -
288,700 -
182,950 -
99,100 -
85,075 -
237,540 -
50,000 -
10,500 -
57,950 -
34,000 -
31,950 -
13,000 -
16,500 -
9,600 -
49,500 -
77,950 -
7,500 -
68,000 -
38,000 19,000
7,000 0
17,500 -
59,500 -
48,250 -
173,820 -
125,000 -
22,000 -
44,700 -
20,000 -
28,500 -
163,000 -
582,000 -
52,682 -
79,450 -
86,600 -
287,130 287,130
8,000 -
47,000 -
10,000 -
80,950 -
89,000 -
71,800 -
123,700 -
170,750 -
145,750 -
70,500 -
172,800 -
176,300 -
131,350 -
103,100 -
317,700 -
13,500 -
83,000 -
127,500 -
102,350 -
74,650 -
17,450 -
148,495 -
20,000 -
200,000 -
13,500 -
52,000 -
52,000 -
39,600 -
13,500 -
78,750 78,750
6,000 -
106,790 -
103,000 -
- -
6,170,732 468,880 939,500
5,701,852
1

52,450 -
43,000 -
102,722 -
97,250 -
51,900 -
83,250 -
62,500 -
34,300 -
16,150 -
101,700 -
15,000 -
79,050 -
33,000 -
192,950 -
137,350 -
154,440 -
92,300 -
312,160 -
49,500 -
395,250 -
88,500 -
167,900 -
- -
2,362,622 260,000
2,362,622
1

103,350 -
84,300 -
35,400 -
245,800 -
152,300 -
119,500 -
110,950 -
225,350 -
360,000 -
360,000 -
22,500 -
161,675 -
168,650 -
56,226 -
8,000 -
138,650 -
100,300 -
58,000 -
140,500 -
32,000 -
15,000 -
25,500 -
26,850 -
18,500 -
101,000 -
98,150 -
18,000 -
33,600 -
137,900 -
70,500 -
177,925 -
118,375 -
88,120 -
102,800 -
34,000 -
121,550 -
14,500 -
57,900 -
164,775 -
8,000 -
242,650 -
47,500 -
263,200 -
40,750 -
122,050 -
94,500 -
88,500 -
58,500 -
124,600 -
94,000 -
58,000 -
35,800 -
348,500 -
47,500 -
49,150 -
157,900 -
5,000 -
118,975 -
46,150 -
45,670 -
71,900 -
97,000 -
50,000 -
335,000 -
51,500 -
34,000 -
354,750 -
34,000 -
266,000 -
158,250 -
50,000 50,000
- -
7,657,691 1,203,000
7,657,691
1

135,000 -
135,000 -
135,000 -
135,000 -
147,000 -
147,000 -
135,000 -
135,000 -
147,000 -
147,000 -
147,000 -
147,000 -
147,000 -
147,000 -
147,000 -
147,000 -
148,000 -
49,425 -
48,900 -
7,500 -
144,700 -
16,500 -
19,500 -
987,175 -
107,500 -
88,500 88,500
34,300 34,300
5,300 -
116,000 -
116,000 -
13,500 -
52,000 -
59,500 -
147,675 -
168,650 -
121,350 -
56,250 -
13,500 -
63,900 -
16,500 -
34,000 -
62,400 0
105,350 -
34,000 -
122,750 -
109,700 -
83,500 -
139,900 -
88,050 -
96,000 -
119,100 -
72,300 -
34,000 -
18,000 -
78,050 -
112,000 -
92,200 -
124,800 -
84,600 -
34,000 -
77,500 -
38,500 -
11,300 -
101,000 -
176,550 -
161,750 -
138,500 -
142,700 -
107,500 -
69,700 -
10,500 -
2,600 -
86,900 -
6,300 -
58,000 -
127,500 -
16,500 -
22,500 0
31,500 -
167,900 167,900
237,540 237,540
- -
7,791,325 1,085,500
7,791,325
1

135,000 135,000
135,000 135,000
135,000 135,000
135,000 135,000
147,000 147,000
147,000 147,000
135,000 135,000
135,000 135,000
147,000 147,000
147,000 147,000
147,000 147,000
147,000 147,000
147,000 147,000
147,000 147,000
147,000 147,000
147,000 147,000
40,650 -
34,000 -
34,000 -
34,000 -
34,000 -
9,000 -
87,250 -
25,950 -
19,000 -
6,700 -
11,500 -
83,850 -
140,000 -
315,100 -
7,000 -
8,000 -
13,500 -
126,000 -
18,000 -
13,500 -
140,000 -
18,000 -
58,000 -
135,850 -
58,000 -
17,000 -
34,000 -
71,250 -
150,400 -
85,850 -
83,200 -
255,500 -
50,450 -
138,950 -
59,700 -
111,000 -
47,500 -
83,650 -
27,000 -
18,500 -
35,700 -
118,000 -
134,800 -
194,900 -
34,000 -
19,000 -
96,500 -
102,800 -
43,100 -
66,500 -
158,300 -
18,000 -
8,000 -
10,000 -
104,600 -
39,600 -
79,200 -
132,500 -
39,600 -
111,600 -
112,500 -
138,750 -
118,200 -
73,600 -
197,550 -
108,600 -
92,500 -
13,500 -
93,600 -
218,500 -
39,600 -
86,500 -
79,200 -
39,600 -
184,000 -
97,500 -
120,500 -
77,500 -
217,000 -
121,750 -
28,500 -
112,750 -
39,600 -
229,750 -
39,600 -
108,600 -
39,600 -
39,600 -
74,600 -
74,600 -
113,200 -
99,000 -
119,000 -
79,200 -
147,000 -
92,200 -
39,600 -
39,600 -
172,950 -
79,200 -
39,600 -
236,000 -
79,200 -
39,600 -
127,500 -
34,000 -
166,400 -
34,000 -
90,000 -
217,600 -
55,000 -
52,000 -
138,350 -
138,500 -
34,000 -
44,500 -
84,000 -
84,000 -
84,000 -
84,000 -
81,750 -
66,600 -
84,000 -
174,550 -
- -
10,519,250 2,426,000
10,519,250

99,550 -
83,900 -
152,100 -
116,000 -
87,500 -
291,400 40,350
45,250 -
39,150 -
33,650 -
16,650 -
1,450 -
125,850 -
42,850 -
54,500 -
51,500 -
227,000 -
19,500 -
18,000 -
105,000 -
156,550 -
132,500 -
100,250 -
90,000 -
34,000 -
15,400 -
39,600 -
100,000 -
34,000 -
93,400 -
13,000 -
55,500 -
69,750 -
101,000 -
147,000 -
224,800 -
106,500 -
106,000 -
683,300 683,300
127,450 -
89,500 -
73,850 -
86,500 -
111,250 -
15,500 -
34,000 -
55,900 -
30,750 -
45,000 -
34,500 -
9,000 -
9,000 -
45,000 -
34,000 -
168,000 -
110,500 -
34,000 -
75,350 -
20,000 -
241,150 -
94,400 -
987,175 987,175
124,700 -
34,000 -
126,450 -
85,350 -
23,000 -
143,150 -
52,700 -
232,500 -
66,500 -
34,000 -
34,000 -
34,000 -
99,600 -
130,200 -
- -
5,954,450 1,249,500
5,954,450

64,500 0
54,500 -
52,150 -
50,500 -
43,000 -
85,500 -
120,600 -
93,350 -
2,800 -
19,850 -
16,500 -
69,400 -
26,000 -
13,200 13,200
19,300 19,300
140,000 -
114,900 -
90,000 -
123,900 -
34,000 -
41,550 -
42,950 -
30,000 -
159,000 -
93,750 -
104,750 -
112,750 -
87,000 -
111,750 -
19,500 -
57,000 -
65,450 -
102,600 -
66,950 -
62,000 -
119,000 -
18,000 -
18,000 -
19,200 -
13,500 -
18,000 -
107,000 -
52,350 -
38,500 -
59,500 -
68,200 -
34,000 -
9,000 -
15,500 -
18,500 -
48,850 -
11,200 -
71,900 -
116,150 -
34,000 -
93,250 -
199,150 -
18,500 -
27,000 -
116,350 -
188,150 -
238,000 -
185,250 -
34,000 -
72,200 -
180,800 -
10,000 -
117,800 -
132,000 -
201,000 -
136,000 -
84,000 -
136,500 -
84,000 -
193,000 -
154,350 -
39,600 -
94,750 -
144,500 -
18,000 -
521,000 -
172,050 -
173,950 -
58,800 -
20,000 -
281,340 281,340
86,500 -
156,500 -
- -
7,335,750 1,630,500
7,335,750
1

78,300 -
38,600 -
275,550 -
115,400 -
63,250 -
194,350 -
19,000 -
2,600 -
10,900 -
21,000 -
83,750 -
57,000 -
157,000 -
91,000 -
22,500 -
34,000 -
34,000 -
40,950 -
113,550 -
177,050 -
47,000 -
360,000 -
10,200 10,200
21,560 21,560
27,000 -
103,700 -
16,500 -
104,500 -
45,000 -
123,400 -
86,450 -
142,500 -
71,200 -
13,000 -
18,000 -
100,900 -
183,000 -
43,500 -
144,500 -
86,100 -
112,300 -
127,250 -
56,750 -
34,000 -
59,000 -
154,450 -
76,500 -
124,050 -
75,900 -
159,400 -
110,450 -
30,000 -
20,000 -
22,500 -
10,000 -
18,500 -
18,500 -
19,000 -
79,200 -
62,400 -
34,000 -
93,450 -
27,000 -
54,750 -
34,000 -
28,500 -
104,750 -
3,100 -
263,000 -
45,000 -
189,750 -
75,250 -
483,450 -
6,000 -
- -
6,189,910 31,760 1,393,000
6,158,150
1

10,450 -
4,400 -
2,000 -
9,500 -
120,100 -
61,250 -
74,750 -
162,200 -
38,500 -
143,200 -
68,550 -
85,250 -
6,000 -
6,500 -
52,000 -
185,000 -
46,750 -
368,500 -
45,000 -
152,500 -
121,500 -
91,500 -
49,500 -
95,300 -
73,000 -
2,600 -
4,600 -
39,600 -
41,500 -
19,000 -
175,000 -
141,200 -

2,496,700 327,000
2,496,700
1

215,150 -
57,850 -
19,100 -
120,400 -
29,325 -
93,500 -
312,600 (25,800)
696,650 -
47,500 -
21,440 (21,440)
162,150 -
138,300 -
160,600 -
16,500 -
15,350 -
31,000 -
19,800 -
87,200 -
13,500 -
13,500 -
18,500 -
18,000 -
18,000 -
8,000 -
48,000 -
107,900 -
106,500 -
18,500 -
9,000 -
74,000 -
140,000 -
10,000 -
19,000 -
18,000 -
105,000 -
55,506 -
20,000 -
48,790 -
29,000 -
148,000 -
115,000 -
126,500 -
220,500 -
253,200 -
53,500 -
198,000 -
193,175 -
53,382 -
97,875 -
58,250 -
27,000 -
115,750 -
210,500 -
58,500 -
60,900 -
108,450 -
38,500 -
29,550 -
105,500 -
60,950 -
52,500 -
10,500 -
6,700 -
9,000 -
105,875 -
41,500 -
13,000 -
209,500 -
120,100 (120,100)
135,950 -
132,500 -
34,000 -
77,500 -
309,400 -
2,000 -
34,000 -
- -
6,602,778 1,300,000
6,602,778
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 01 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

1-Feb-11 1 105291 Trinung Naingsih - 99,400 4,000 20,000


2 022732 Andreas Budi - 110,515 4,000 20,000
3 068975 Sr. Theresina 3,564 39,200
4 087296 Reni Komariyah 545 6,000
5 020580 Yusiva Sumarni 1,100 12,100
6 084942 Raniyah 2,455 61,000 4,000 30,000
7 046357 Sawiyem 6,492 106,410 4,000 30,000
8 085478 Apri Bagus Rianto 81,450 - 4,000 20,000
9 085767 Ariyanto 105,190 - 4,000 20,000
10 148585 Radikun 2,900 264
11 004110 Marsini 8,000 -
12 008018 Aditya 8,000 -
13 012931 Candrawati 70,300 - 4,000 25,000
14 093660 Tukiman 106,800 - 4,000 20,000
15 100356 Mochamad Munasir 94,200 - 4,000 20,000
16 066113 Bustari 92,600 - 4,000 20,000
17 148588 Sartini 317,200 28,836
18 041591 dr. Cecilia 22,700 2,064
19 105123 Tan Ming Tjoo 20,000 -
20 045369 Parsini 52,000 - 6,000 30,000
21 101434 Olivia 40,000 - 8,500
22 060956 Sukiyem 69,500 - 2,500 10,500
23 105184 Fridayana 52,950 2,495 3,000 12,500
24 105285 Dasim 72,100 5,145 3,000 12,500
25 105288 Miran 127,000 10,045 3,000 12,500
26 105287 Meta Salsabila 61,200 4,155 3,000 12,500
27 105293 Farid Mustolih 47,350 2,895 3,000 12,500
28 099463 Ervan 32,050 1,505 3,000 12,500
29 101139 Yatimah 68,000 3,091 4,000 30,000
30 100234 Warisno 34,000 - 4,000 30,000
31 105286 Dita Pratiwi 163,100 11,736 4,000 30,000
32 098638 Suminah 149,125 7,275 4,000 36,500
33 100622 Sukarno 118,975 7,725 4,000 30,000
34 094611 Dwi Nuryati 58,000 3,864 3,000 12,500
35 101434 Olivia Sulistya 49,000 3,045 3,000 12,500
36 102128 Suhartini 128,250 7,341 4,000 30,000
37 105290 Sumarni 58,000 - 2,500 9,500
38 051004 Antonius Agus 58,000 - 2,500 9,500
39 100248 Sely Yesenia 50,500 - 2,500 9,500
40 105284 Pujiah 112,800 7,164 4,000 30,000
41 030526 Ika Purwantiningsih 30,215 2,747
42 095111 Nasrowi 122,500 6,818 4,000 30,000
43 105295 Rosita 98,000 - 3,000 12,500 8,500
44 010262 Sukirdi 133,450 9,041 4,000 30,000
45 105294 Suwarni 59,325 3,984 3,000 12,500
46 005000 San Karso 194,590 14,599 4,000 30,000
47 105160 Marsikun 84,900 4,627 4,000 30,000
48 104971 Sugeng Madiharjo 180,485 4,044 6,000 40,500
49 148591 dr. Harnowo 11,200 1,018
50 050293 Widarti 130,500 8,773 4,000 30,000
51 105205 Siran 55,500 - 9,500
52 028096 Saminah 155,500 9,273 6,000 30,000
53 083011 Kuswandani 161,500 11,591 4,000 30,000
54 019430 Yekti Resati 120,325 7,848 4,000 30,000
55 105283 Slamet 101,900 6,173 4,000 30,000
56 076490 Heru Sucipto 98,650 3,605 6,000 30,000
57 068064 Samiyah 155,260 4,933 4,000 40,500
58 Sujiati 100,000 - (100,000)
59 Sukamto 100,000 - (100,000)
60 057973 Sakimin 56,825 2,075 4,000 30,000
61 089130 Siti Yulianingsih 92,780 4,435 6,000 30,000
62 060678 Fitri Wiji 146,500 10,227 4,000 30,000
63 104495 Rodiah 77,850 3,986 4,000 30,000
64 008949 Suniah 68,190 3,108 4,000 30,000
65 062499 Sriyono 100,000 4,773 4,000 30,000
66 148598 Hybriyani 39,600 3,600
67 099958 Prasasti 24,500 -
68 092304 Sartini 74,250 3,659 4,000 30,000
69 100016 Sumadi 527,500 44,864 4,000 30,000
70 080768 Sri Utami 101,500 6,136 4,000 30,000

5,734,535 200,000 308,737 328,215 - 106,410 - 6,000 125,000 165,000 1,023,000 -

Jurnal Umum 5,534,535


Kas dari Kassa 5,534,600
Selisih Kas 65

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 02 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

2-Feb-11 1 098444 Felicia Cindy N 5,593 95,526 4,000 30,000


2 103511 Murdiati 5,134 101,475 4,000 30,000
3 148602 dr. Cecilia 2,968 32,650
4 060461 Sr. Marieta 6,409 35,250 35,250
5 148600 Alipah 1,000 11,000
6 Sistanto 50,000 - 50,000
7 034822 Yuniarsih 8,400 3,818 67,600 4,000 30,000
8 005646 Sri Susilowati 955 2,100 17,400 4,000
9 028453 Suratmi - 7,000 77,000 4,000 45,000
10 025174 Sr. Rahayu - 37,000 37,000
11 072513 Atit Yuni Susanti 60,400 10,509 257,700 3,000 12,500
12 000816 Eri Yuniati 5,600 - 56,400 4,000 20,000
13 011695 Wagiyati 8,945 19,700 94,200 3,000 12,500
14 069868 Leny Sulistyowati 2,227 4,900 35,100 3,000 12,500
15 105233 Wiwit 4,345 73,300 3,000 12,500
16 005068 Kiem Mei Lan 33,500 -
17 148599 dr. Nrimanto 15,000 1,364
18 105200 Shaula Dwitasari 96,000 - 4,000 20,000
19 105298 Suci Nurhayati 56,800 - 4,000 20,000
20 101004 Sami 275,555 - 4,000 20,000 13,500
21 013811 Sri S 51,500 -
22 105304 Maryono 59,500 -
23 008535 Hendrawan 18,000 - 2,000
24 105310 Admini 85,500 - 2,500 10,500
25 105306 Agus Nono 160,500 8,455 3,000 12,500
26 045369 Parsini 18,000 - 2,000
27 105305 Satiyah 177,250 12,932 4,000 30,000
28 104930 Irwan Triyono 38,550 1,186 3,000 12,500
29 082283 Hanan Fatih 50,500 - 2,500 9,500
30 080172 Agus S 18,500 - 2,000
31 103159 Isrofi 98,500 - 2,500 19,000
32 071850 Rohyati 41,032 2,230 3,000 12,500
33 105313 Rafli Apriana 125,305 - 4,000 20,000 13,500
34 105307 Subaryadi 57,000 -
35 105309 Darinah 88,000 6,591 3,000 12,500
36 052903 Tri Haryanto 34,000 - 4,000 30,000
37 104504 Atmo Suwito 156,925 11,175 4,000 30,000
38 105218 Towo 56,950 2,859 3,000 12,500
39 008066 Subarjo 34,000 - 4,000 30,000
40 073449 Kafa Bihi Zaki 44,550 2,641 3,000 12,500
41 002431 Wilda Ayu 207,000 12,182 3,000 12,500
42 039995 Kusmiatun 173,385 10,126 4,000 30,000
43 105237 Lukmatul Hakim 53,800 2,573 3,000 12,500
44 001877 Utami Palupi 67,800 3,073 4,000 30,000
45 105315 Rasinah 118,326 9,348 3,000 12,500
46 071491 Suti 113,300 5,982 4,000 30,000
47 104444 Muryati 10,000 -
48 028202 Darminah 57,000 2,000 4,000 30,000
49 104883 Eni Budi 25,000 - 2,000
50 062203 Pariyah 62,250 2,568 4,000 30,000
51 104044 Muryati 52,750 3,386 3,000 12,500
52 105082 Kiki Leni 161,800 11,618 4,000 30,000
53 101758 Dwi Aningsih 40,750 614 4,000 30,000
54 091281 Veronika Puan 50,500 -
55 095576 Supiyati 128,650 8,605 4,000 30,000
56 105317 Mufidun 45,500 2,727 3,000 12,500
57 105276 Bambang Ismu 151,500 4,273 4,000 30,000
58 061550 Slamet 47,000 -
59 148610 Irna 12,000 1,091
60 009839 Cipto Utomo 44,000 4,000
61 006054 Sartini 174,050 15,823
62 042648 Farida Agustin 188,000 9,455 4,000 45,000
63 104720 Purwati 366,200 33,291
64 105077 Irna Priyani 279,300 17,755 4,000 45,000
65 100229 Tofik Hidayat 88,850 - 4,000 20,000
66 105158 Puji Setyaningsih 226,350 17,486 4,000 30,000
67 038924 Rosiana Faradisa 74,600 6,782
68 103805 Dewi Riyanti 39,600 3,600
69 103960 Feriyani 39,600 3,600
70 102731 Riris Winarni 39,600 3,600
71 103955 Mai Junariyah 39,600 3,600
72 105070 Milatiyah 82,500 2,727 4,000 30,000
73 105303 Marestu Yusup P 153,250 10,841 4,000 30,000
74 105227 Titin Budi H 35,000 3,182
75 095542 Rusmiyati 39,600 3,600
76 105107 Erlina 126,750 3,886 4,000 45,000
77 098631 Sri Wiji Astuti 39,600 3,600
78 080620 Napsiyah 174,500 15,864
79 100929 Fatonah 39,600 3,600
80 105322 Fatimah 126,100 8,373 4,000 30,000
81 105321 Sri Mistianti 187,350 13,941 4,000 30,000
82 105027 Sendang Pertiwi 126,750 3,886 4,000 45,000
83 099899 Eem Prihartini 79,200 7,200
84 042629 Pindika Desi 74,000 - 4,000 20,000 8,500
85 105319 Sugeng 175,000 6,500 4,000 30,000
86 084952 Marni 98,250 1,295 4,000 45,000
87 105320 Juminah 188,000 9,455 4,000 45,000
88 099780 Sukarsih 58,000 - 2,500 9,500
89 105108 Nunung Siti 163,000 10,727 4,000 30,000
90 063777 Budi Astuti 45,000 - 4,000 30,000
91 105227 Admini 221,300 12,482 4,000 45,000
92 105111 Nunung Siti By 9,000 - 4,000
93 105323 Tri Asih 34,000 - 4,000 30,000
94 032500 Christiana 34,000 - 4,000 30,000
95 080620 Marsiyah 84,000 - 4,000 45,000
96 105173 Agustini 137,850 4,895 4,000 45,000
97 100203 Eka Ari Suwanti 207,000 11,182 4,000 45,000
98 105329 Siti Altiyah 141,000 5,182 4,000 45,000
99 105328 Siti Fatimah 216,000 12,000 4,000 45,000
100 051025 Rosmaniar 84,000 - 4,000 45,000
101 064926 Fisita Komaryati 84,000 - 4,000 45,000
102 100816 Dafa Drajad 34,000 - 4,000 30,000
103 102920 Kirana Kusuma 90,000 5,091 4,000 30,000
104 095966 Rahma 34,000 - 4,000 30,000
105 101728 Aurelia R 90,000 5,091 4,000 30,000
106 105146 Miftahudin 126,000 8,364 4,000 30,000
107 067917 Karto Suripto 52,500 - 4,000 30,000
108 103717 Tijah 80,500 2,545 4,000 30,000
109 148611 Sarjono 75,350 6,850
110 105230 Wagiman 76,500 2,864 4,000 30,000
111 100816 Reniasih 56,650 5,150
112 032756 Sakiman 13,500 -
113 010567 Lindawati 39,600 3,600
114 105123 Alvian Eka 53,500 1,773 4,000 30,000
115 105327 Arena Yogi 139,000 9,545 4,000 30,000
116 032077 Sukini 39,600 3,600
117 072624 Rahayu Jati 79,200 7,200
118 103079 Punti Bela 39,600 3,600
119 104246 Dian Anggraeni 39,600 3,600
120 094473 Sri Aminah 174,450 12,768 4,000 30,000
121 092148 Retno Dwi 39,600 3,600
122 104675 Kustiyah 39,600 3,600
123 103968 Ari Wahyuni 39,600 3,600
124 046832 Surip Sukuriyah 39,600 3,600
125 095862 Budiman 39,600 3,600
126 098788 Astrit Tri W 39,600 3,600
127 073780 Alfian Rosano 146,026 10,184 4,000 30,000
128 093458 Kurnia Sulistya 113,200 7,200 4,000 30,000
129 1053247 Sartimah 99,000 5,909 4,000 30,000
130 083592 Ngadinah 113,200 7,200 4,000 30,000
131 104834 Tia Reva 79,200 7,200
132 104237 Andi Yuliarsih 39,600 3,600
133 077124 Gempita Oktaviana 74,600 6,782
134 057700 Ani Setyowati 39,600 3,600
135 074890 Sri Lestari 39,600 3,600
136 032102 Yamsiyah 39,600 3,600
137 029832 Wimbuh Rahayu 39,600 3,600
138 105031 Naiyla Masya 178,152 13,105 4,000 30,000
139 105318 Yuli Astuti 73,600 3,600 4,000 30,000
140 104973 Mumung M 108,600 6,782 4,000 30,000
141 105326 Novian Azna 106,449 6,586 4,000 30,000
142 020401 Ismanto 39,600 3,600
143 105311 Rima Aryani 73,600 3,600 4,000 30,000
144 105312 Kasinawati 99,600 5,964 4,000 30,000
145 067594 Linda Sri 108,600 6,782 4,000 30,000
146 075778 Siti Aisiyah 79,200 7,200
147 105308 Nurul Frasiska 108,600 6,782 4,000 30,000
148 103364 Rusmiyah 39,600 3,600

11,866,955 - 688,227 419,901 50,000 677,650 - 355,000 187,500 140,000 2,202,000 27,000

Jurnal Umum 11,866,955


Kas dari Kassa 11,867,700
Selisih Kas 745

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 03 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

3-Feb-11 1 096009 Laeli Hikmawati 8,700 - 68,700 4,000 20,000


2 066037 Rafi Safi R 19,400 - 111,300 4,000 20,000
3 013160 Titik Lestari W 10,900 - 77,350 4,000 20,000
4 066413 Widi Prihartono - 122,290 4,000 20,000
5 006137 dr. Harnowo - 29,070 116,280
6 148615 dr. Nrimanto - 15,000
7 085283 Davin Haidar Y - 103,550
8 009451 Sr. Boni - 74,500 74,500
9 105334 Sarti 113,000 - 4,000 20,000
10 047873 Kusumaningtyas 74,500 -
11 148614 Daryono 3,000 -
12 070144 Farah 56,500 -
13 065634 Khanan 106,700 - 4,000 20,000
14 104955 Sumedi 402,250 31,795 4,000 30,000
15 105330 Sumirah 89,472 - 4,000 20,000
16 005976 Alipah 94,450 -
17 103177 Surip 276,800 - 4,000 30,000
18 105335 Nafis Ahnaf 34,000 - 4,000 20,000
19 104874 Eko Riyanto 113,750 - 4,000 20,000
20 008596 Kartini 131,250 - 4,000 25,000
21 104641 Eko Yuliyanti 10,000 - 4,000
22 070705 Tyas 93,900 -
23 025361 Purwati 178,750 -
24 148620 Sartini 16,500 -
25 105337 Arman Fredianto 116,915 - 4,000 20,000 13,500

1,950,737 - 31,795 344,410 - 448,130 - 56,000 - 225,000 60,000 13,500

Jurnal Umum 1,950,737


Kas dari Kassa 1,951,000
Selisih Kas 263

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 04 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

4-Feb-11 1 006139 Sr. Silvi - 33,190


2 148634 dr. Harnowo 11,200 3,541 27,750
3 005980 Chatarina Sri W 2,786 30,650
4 025174 Sr. Rahayu 29,727 163,500 163,500
5 096488 Desi Handayani 23,727 59,200 285,800 4,000 45,000
6 006071 Rovian Yudi N - 9,600 72,500 4,000 20,000
7 022084 Rosiana - 68,750 4,000 25,000
8 007433 Sarijo - 165,650 4,000 20,000
9 035889 Sartini 203,200 18,473
10 148623 Umi W 2,000 182
11 075983 Wiyono 51,000 -
12 077183 Siti 13,500 -
13 148622 Amir 4,500 409
14 069357 Vina Anggraeni 83,150 - 4,000 20,000
15 148621 Fitri 79,200 7,200
16 105338 Een Ratnadewi 140,095 - 4,000 20,000 20,000
17 076530 Warsih 130,972 - 4,000 20,000
18 073175 Pasien Luar 16,800 1,527
19 022524 dr. Nrimanto 83,750 7,614
20 148624 Purbarani 50,500 4,591
21 105339 Kimbiyono 56,000 - 4,000 20,000
22 095166 Joko S 13,500 -
23 016928 Sarjono 9,500 864
24 103403 Juan Lutfi 16,500 - 2,000
25 062238 Adminah 63,675 4,698
26 056889 Sunarti 13,500 -
27 105345 Warsini 79,200 - 4,000 20,000
28 090480 Sudarni 18,000 - 2,000
29 105346 Uci Tri Kunanti 58,000 - 2,500 9,500
30 105210 Tri Ratnawati 9,000 - 4,000
31 045369 Parsini 18,000 - 2,000
32 105347 Yunita 47,000 -
33 075060 Reynar 192,000 -
34 073449 Kafa Bihi Zaki 27,500 -
35 105180 Mujiarsih 10,000 - 4,000
36 105217 Amirudin 152,500 2,455 4,000 30,000
37 100781 Sri Hartati 10,000 - 4,000
38 045241 Budiman 74,500 - 4,000 30,000
39 166007 Sulastri 32,000 -
40 105113 Karyo Miharjo 104,200 6,291 4,000 30,000
41 038051 Sutinah 18,500 - 2,000
42 080106 Parmo S 18,500 - 2,000
43 070191 Yeremia 63,000 - 9,500
44 026056 Suwarno 47,500 - 4,000 30,000
45 105348 Suparjo 159,600 8,136 4,000 36,500
46 101279 Mahmudi 34,000 - 4,000 30,000
47 002127 Budianto Pranoto 138,000 - 4,000 20,000
48 103154 Isrofi 18,500 - 2,000
49 007502 Yohana Pariyem 96,450 5,586 4,000 30,000
50 105103 Hasanudin 102,250 6,205 4,000 30,000
51 091562 Aris Dwi Prayitno 64,750 4,477 3,000 12,500
52 073357 Munarja 139,475 9,498 4,000 30,000
53 023375 Warsinah 111,000 6,909 4,000 30,000
54 040636 Suparmin 59,000 1,364 4,000 30,000
55 080915 Suminah 54,000 1,000 4,000 30,000
56 105351 Melisa 78,950 5,768 3,000 12,500
57 101563 Fadilah Riski 95,100 6,736 3,000 12,500
58 080572 Nur Aisyah 115,875 2,216 4,000 30,000
59 016871 Min Sumini 112,705 7,064 4,000 30,000
60 106675 Meli Gandi P 92,500 5,318 4,000 30,000
61 103272 Anggita W 16,500 - 2,000
62 099780 Surasih 18,500 - 2,000
63 105349 Abia 87,600 6,555 3,000 12,500
64 089825 Khoerul Abidin 151,600 7,500 4,000 36,500
65 105352 Dani Setyanto 67,300 - 4,000 20,000
66 068186 Elisabeth Karyanti 75,000 5,409 3,000 12,500
67 059825 Yuniarti 181,045 5,040 4,000 36,500
68 099852 Toni Sugiyarto 78,600 4,055 4,000 30,000
69 063102 Titi Suwarni 408,215 10,247 4,000 30,000
70 105053 Rikem 189,700 12,836 4,000 30,000
71 Pengobatan dokter 246,600 - 246,600
72 065634 Khanan 188,450 13,950 4,000 30,000
73 065912 Awalia 24,000 2,182
74 104720 Purwati 133,500 12,136
75 032500 Christina 34,000 - 4,000 30,000
76 000054 Priyanti 44,500 955 4,000 30,000
77 105361 Sugiyarti 84,000 - 4,000 45,000
78 027294 Sri Sudarmi 84,000 - 4,000 45,000
79 105358 Eny Retno P 84,000 - 4,000 45,000
80 104714 Wiwi Tri S 84,000 - 4,000 45,000
81 105354 Tri Mega 84,000 - 4,000 45,000
82 104014 Rosdiyanti 84,000 - 4,000 45,000
83 105153 Tri Mulyani 45,000 - 4,000 30,000
84 103860 Tursini 34,000 - 4,000 30,000
85 105357 Sumini 125,500 8,318 4,000 30,000
86 105221 Tri Mulyani By 9,000 - 4,000
87 001701 Partini 19,800 1,800
88 103765 Theresia Setyarini 55,100 5,009

6,231,607 - 280,354 525,100 246,600 554,990 - 221,500 62,500 205,000 1,133,500 20,000

Jurnal Umum 6,231,607


Kas dari Kassa 6,231,700
Selisih Kas 93

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 05 PEBRUARI 2011
Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

5-Feb-11 1 027692 Anita Hendrawan 10,564 150,200 4,000 30,000


2 105355 Heru Nugroho 14,018 217,700 4,000 30,000
3 105377 Akhdan Nur Prayoga 1,723 111,950 3,000 12,500 35,000
4 087338 Nita Ratnasari 1,023 11,250
5 001022 Yuli Gestati 5,818 64,000
6 087296 Reni Komariyah 6,614 72,750
7 011136 Yosepha Iswidya 909 2,000 17,000 4,000
8 044342 Rusmini 2,936 47,800 3,000 12,500
9 Desi Handayani 59,200 - 59,200
10 068719 Amanda - 5,550 34,450 8,500
11 084073 Supriyadi - 5,300 55,100 4,000 20,000
12 096487 Sri Daryanti - 2,700 44,800 4,000 20,000
13 105367 Wulan - 89,400 4,000 20,000
14 105362 Adip Mutakim - 268,140 4,000 20,000 8,500
15 Meterai 6,000 - 6,000
16 CV Rama 1,095,700 - 1,095,700
17 034786 Sri Surtini 103,175 6,289 4,000 30,000
18 105097 Fitri Andriyani 49,000 1,364 4,000 30,000
19 105200 Shaula Dwitasari 49,650 - 4,000 20,000
20 105363 Santiyem 97,400 - 4,000 20,000
21 105361 Sugiarti 118,200 10,745
22 027294 Sri Sudarmi 114,500 10,409
23 104014 Rosdiyanti 144,000 13,091
24 105360 Simad 222,875 - 4,000 20,000 7,000
25 105354 Tri Mega Agustina 116,500 10,591
26 034685 Purwati 81,000 7,364
27 005976 Alipah 42,550 3,868
28 023743 Alvianto 67,525 - 4,000 20,000
29 105371 Suparman 135,350 - 4,000 20,000
30 016928 Sarjono 118,500 10,773
31 The Mo Swe 200,000 - 50,000
32 105372 Parimin 593,400 - 4,000 20,000
33 039995 Kusmiatun 16,650 1,514
34 105374 Yeni Astuti 19,000 909 4,000
35 106375 Suesti 19,000 909 4,000
36 084721 Sri Warsini 19,000 909 4,000
37 Pengobatan Karyaw 40,000 - 40,000
38 006137 dr. Harnowo 70,200 3,855 27,800
39 026462 Sumiati 29,500 1,273 3,000 12,500
40 105376 Mohamad Ansori 80,250 1,341 3,000 12,500 8,500
41 105265 Hadi Yuwono 69,100 4,145 3,000 12,500
42 070432 Mohamad Toha 162,750 8,659 3,000 12,500
43 089130 Siti Yulianingsih 18,500 - 2,000
44 105310 Admini 18,500 - 2,000
45 008535 Hendrawan 18,000 - 2,000
46 045369 Parsini 18,000 - 2,000
47 099780 Sukasih 18,500 - 2,000
48 073622 Eni Budi 25,000 - 2,000
49 105239 Nurhayati 137,101 11,055 3,000 12,500
50 096559 Heni Retno W 39,600 3,600
51 105378 Mahirin 105,950 8,132 3,000 12,500
52 105223 Ismiyatun 10,000 - 4,000
53 066647 Huning Purwati 54,750 3,568 3,000 12,500
54 001497 Hadirejo 140,950 - 4,000 20,000
55 17534 dr. Priyo 10,000 - 2,000
56 105381 Ibnu Gunawan 34,000 - 4,000 20,000
57 105380 Deni Andriawan 34,000 - 4,000 20,000
58 065218 Kembar K 10,000 - 2,000
59 023566 Bety Utari 18,500 - 2,000
60 099464 Tri Hidayatul 82,335 7,485
61 079140 dr. Haryadi 303,400 27,582
62 105379 San Marji 127,500 - 2,500 35,000
63 064623 Sakinem 25,000 -
64 064623 Dedi S 54,000 -
65 064623 Kasmidi 54,000 -
66 148641 dr. Nrimanto 15,000 1,364

5,312,561 - 204,396 1,048,740 1,222,700 151,350 - 191,500 100,000 260,000 184,500 50,500

Jurnal Umum 5,312,561


Kas dari Kassa 5,313,000
Selisih Kas 439

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 06 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

6-Feb-11 1 148647 dr. Palupi - 113,000


2 032624 Marsinta Manik - 11,200 78,950 4,000 20,000
3 099954 Lorenza P - 400 35,450 4,000 20,000
4 045698 Gunarso Wiwoho 197,550 - 4,000 25,000
5 105340 Purbarani 52,000 -
6 148643 Sartini 56,350 3,050 22,800
7 105385 Mulyani 228,890 - 4,000 20,000 20,000
8 064204 Marsini 76,500 -
9 064264 Satirah 25,000 -
10 038422 Sanaryo 93,250 4,705 4,000 30,000
11 103383 Sarifatun Nikmah 154,500 3,409 4,000 40,500
12 102767 Sariman 47,750 4,341
13 105384 Maryanto 284,075 - 4,000 20,000 19,000
14 016928 Sarjono 12,000 1,091
15 105389 Satino 170,700 - 4,000 20,000
16 148644 Hesti Sulastri 2,100 191
17 001022 Yuli Gestati 14,000 1,273
18 100239 Puji Purwati 132,400 - 4,000 20,000
19 104720 Purwati 350,975 -
20 028806 Hasto S 13,500 -
21 087345 Roman Firsa 54,330 - 4,000 20,000
22 148648 Ratna 14,500 -
23 148650 Beti 10,500 -
24 105393 Roto Aji 117,140 - 4,000 20,000
25 072993 Rahima Ghaitsha 72,750 - 4,000 20,000
26 Sistanto 86,800 - 86,800
27 042027 Suri Putri Pertami 39,600 -
28 105394 Hendrawan Prasetyo 120,250 - 4,000 20,000
29 068615 Sutrisno 79,100 - 4,000 20,000

2,506,510 - 18,059 124,600 109,600 114,400 - 56,000 - 245,000 109,500 -

Jurnal Umum 2,506,510


Kas dari Kassa 2,506,800
Selisih Kas 290

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 07 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

7-Feb-11 1 015732 Eni Kurniasih 3,600 39,600


2 083842 Wahyu Dwi Antoro 318 3,500
3 007433 Sarijo 2,450 26,950
4 104590 Yuliyanti 4,432 48,750
5 026173 Ida Irmayanti 2,000 909 17,000 4,000
6 011136 Yosepha Iswidya 1,009 11,100
7 014848 Rudi Novandi - 91,500
8 093414 Gabriel Dwiki 9,800 - 73,050 4,000 20,000
9 069096 Kidung Sih S 6,700 - 60,850 4,000 20,000
10 013160 Titik Lestari W 4,400 - 51,700 4,000 20,000
11 068396 Drevina Laurensia - 8,500 67,900 4,000 20,000
12 006039 Sukiman - 21,000 118,140 4,000 20,000
13 035889 Sartini 33,000 3,000
14 016544 Sanis 68,100 6,191
15 104720 Purwati 157,050 14,277
16 061258 Alam Mukti 80,300 - 4,000 20,000
17 104932 Gheriya 16,500 - 2,000
18 004221 Runti Asih 102,900 5,400 5,000 12,500
19 105310 Admini 18,500 - 2,000
20 028055 Tuminem 58,000 - 2,500 9,500
21 064623 RSU Purwogondo 10,000 909
22 002159 Cris Tinowarti 18,000 - 2,000
23 072993 Rokhimah 144,000 - 28,500
24 105274 Sutarno 67,400 3,355 3,000 12,500
25 105402 Maesaroh 58,000 - 2,500 9,500
26 103272 Anggita W 16,500 - 2,000
27 099780 Sukasih 18,500 - 2,000
28 105403 Yeni S 58,000 - 2,500 9,500
29 105313 Rafli Apriana 25,500 - 3,000 12,500
30 105398 Muslih 49,500 -
31 105404 Sri Sulastri 13,500 -
32 093230 Budi Sugeng 146,615 - 4,000 20,000 7,000
33 CV Rama 499,800 - 499,800
34 014951 Marsini 25,000 -
35 101171 Suwarti 50,000 - 8,500
36 041916 Sukesi 112,500 5,909 4,000 30,000
37 105171 Suwarsono 55,000 1,909 4,000 30,000
38 064942 Brozilia 74,500 - 2,500 9,500
39 038051 Sutinah 18,500 - 2,000
40 000106 Parmo S 18,500 - 2,000
41 043391 Mad Noto 34,000 - 4,000 30,000
42 105376 Muhamad Ansori 86,650 3,877 4,000 30,000
43 101824 Ahmad Sahudi 18,500 273 3,000 12,500
44 105406 Muksin 113,100 5,864 3,000 17,000
45 000374 Yusman 122,200 8,018 4,000 30,000
46 105281 Muh Nurul Anwar 71,000 3,273 4,000 30,000
47 104587 Ken Tepi 61,500 - 4,000 30,000
48 105407 Kurniasih 107,650 3,832 3,000 12,500 8,500
49 105238 Sri Rahayu 94,350 5,395 4,000 30,000
50 105405 Siti Aminah 87,200 1,645 4,000 36,500
51 105267 Augianto 43,000 818 4,000 30,000
52 029710 The Kiem Keng 34,000 - 4,000 30,000
53 060312 Rita Sainem 34,000 - 4,000 30,000
54 069628 Sumini 13,500 -
55 098899 Noto Miarjo 47,500 - 4,000 30,000
56 105401 Ike Juwita Sari 66,000 - 4,000 30,000
57 105411 Rinten 48,600 - 3,000 17,000
58 080776 Sudartiningsih 34,000 - 4,000 30,000
59 052548 Kurdi 67,900 3,082 4,000 30,000
60 054831 Darsinah 262,600 17,591 4,000 36,500
61 105214 Tugirah 86,880 4,807 4,000 30,000
62 095025 Sukarni 146,975 10,270 4,000 30,000
63 070563 Siyam 34,000 - 4,000 30,000
64 039995 Kusmiatun 133,200 6,791 4,000 30,000
65 074564 Mulyakin 245,000 17,136 4,000 30,000
66 104971 Sugeng Madiharjo 52,500 - 6,000 30,000
67 101150 Sugiyanto 83,450 1,359 4,000 30,000
68 105332 Rofingi 151,000 10,636 4,000 30,000
69 105257 Suyati 34,000 - 4,000 30,000
70 037471 Bariman 47,500 - 4,000 30,000
71 105368 Tian Sunarti 65,000 5,091 4,000
72 050264 Atmareja 64,000 2,727 4,000 30,000
73 058580 Widi Kurniani 100,000 6,000 4,000 30,000
74 105261 Agus Purwanto 34,000 - 4,000 30,000
75 096437 Sujiyah 135,700 8,018 4,000 30,000
76 033137 Poniyah 170,475 9,725 4,000 30,000
77 105014 Marsiyem 40,750 614 4,000 30,000
78 105408 Waris Wardoyo 116,950 7,450 4,000 30,000
79 022467 Sri Sumarti 65,000 - 4,000 30,000
80 104876 Tuminah 127,600 8,509 4,000 30,000
81 104922 Salamah 53,000 1,727 4,000 30,000
82 105395 Tumi 136,700 - 4,000 20,000
83 060486 Juwita Agnimaya 53,125 - 4,000 20,000
84 105413 Mariyam 182,125 - 4,000 20,000
85 105414 Reisya Adelia 112,400 - 4,000 20,000
86 103717 Tijah 298,750 22,386 4,000 30,000
87 102925 Dominikus Mahestya 52,400 4,000 20,000
88 002225 Sri Suhardanti 62,150 4,000 20,000

6,253,895 - 230,585 365,450 499,800 388,640 - 261,000 96,500 260,000 1,236,500 7,000

Jurnal Umum 6,253,895


Kas dari Kassa 6,254,500
Selisih Kas 605

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 08 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

8-Feb-11 1 105431 Hendra - 132,125 4,000 20,000


2 006071 Rovian Yudi N - 2,700 44,800 4,000 20,000
3 026173 Ida Irmayanti - 2,700 44,800 4,000 20,000
4 001096 Sumargiyono - 5,600 56,410 4,000 20,000
5 004541 Umi Heni 9,700 - 72,800 4,000 20,000
6 003400 Sr. Veronika 67,200 439,600 473,600 4,000 30,000
7 068719 Amanda Aprilianti S 2,318 5,100 35,900 3,000 12,500
8 010500 Kristina 8,418 108,100 3,000 12,500
9 061200 Catur Aiwa U 1,177 12,950
10 087327 Indrawati 2,786 30,650
11 021021 Kristianus Sulistiono 69,300 - 4,000 20,000
12 070661 Dwi Intari 93,625 5,420 4,000 30,000
13 105207 Sofiatun 360,625 29,011 4,000 30,000
14 044652 Endang 39,600 3,600
15 089267 Mara Krisna 161,000 10,545 4,000 30,000
16 006137 dr. Harnowo 83,750 7,614
17 043293 Sutarman 180,000 4,955 4,000 40,500
18 105412 Heni Elsiany 688,800 8,345 7,000 30,000 325,000
19 025361 Purwati 203,200 18,473
20 068615 Sutrisno 56,722 - 4,000 20,000
21 Dominikus Mahestya 52,400 - 52,400
22 Sri Suhardanti 62,150 - 62,150
23 Yosepha Iswidya 11,100 - 11,100
24 055957 Liem 78,450 7,132
25 105419 Hendri Kuskarel 99,400 - 4,000 20,000 13,500
26 105418 Meika Dias H 59,500 - 4,000 20,000
27 045824 Vincentius Ariawan 291,600 - 4,000 20,000 20,000
28 105421 Kartinem 382,750 - 4,000 20,000
29 037129 Liem Adiyono 111,105 10,100
30 084394 Ganjar Hisna 52,000 -
31 045098 Istilah 28,500 - 4,000
32 098118 Maghfiroh 16,500 - 2,000
33 075868 Yusman 66,650 2,832 3,000 12,500
34 104343 Yonathan 16,500 - 2,000
35 061237 Suwarni 56,250 5,114
36 105428 Reza Yogi 93,150 - 4,000 20,000
37 036254 Edi Darsono 183,000 -
38 100582 Manisah 17,500 -
39 055300 Prilina Arini 76,500 -
40 101171 Suwarti 64,000 3,182 3,000 12,500
41 045369 Parsini 18,000 - 2,000
42 101803 Munareja 51,800 3,300 3,000 12,500
43 105429 Ahmad Suwito 99,100 - 4,000 20,000
44 093286 Dian Novrita 7,350 668
45 105427 Tusilah 94,500 1,409 3,000 12,500 8,500
46 033116 Rasiyem 183,550 13,595 4,000 30,000
47 098638 Suminah 189,250 14,114 4,000 30,000
48 105097 Fitri Andriyani 67,000 - 10,500
49 087331 San Mureja 163,750 11,795 4,000 30,000
50 077809 Kinem 200,925 15,084 4,000 30,000
51 105426 Turiyah 125,250 8,205 4,000 30,000
52 064623 RSU Purwogondo 133,500 3,182
53 084522 Susanto 85,500 - 2,500 10,500
54 105433 Firman Jian N 43,600 2,555 3,000 12,500
55 101244 Pangestuti 105,000 727 5,500 12,500 9,500
56 014848 Rudi Noviandi 125,500 - 91,500 4,000 30,000
57 105434 Agil Mahendra 43,500 - 4,000 20,000
58 060386 Sukaryo 165,350 8,750 4,000 36,500
59 105275 Anjas Rusma 121,000 7,909 4,000 30,000
60 038943 Yuniarti 47,500 - 4,000 30,000
61 086837 Dirin 177,200 12,927 4,000 30,000
62 105155 Saminem 182,250 12,159 4,000 30,000
63 045387 Willy Lumintang 217,900 16,718 4,000 30,000
64 105435 Mari Lontho 158,000 10,045 4,000 30,000
65 084394 Ganjar Wisnugroho 167,600 12,268 2,350 4,000 30,000
66 100631 Suparmi 80,650 4,241 4,000 30,000
67 073622 Eni Budi 25,000 - 2,000
68 087500 Dewi Indah Sari 37,690 2,017 3,000 12,500
69 103765 Theresia Setyatni 34,000 - 4,000 30,000
70 007398 Maria Sri 81,800 4,345 4,000 30,000
71 098366 Dalimin 34,000 - 4,000 30,000
72 105430 Sodiyah 224,425 15,993 4,000 30,000
73 Tukinem 20,000 - 20,000
74 023626 Sulastri Ichwan 34,000 - 4,000 30,000
75 105436 Saminem 100,100 - 4,000 20,000
76 102576 Parilah 106,400 6,491 4,000 30,000
77 104932 Evi Nurita 16,500 - 2,000
78 068064 Samiyah 110,785 5,162 4,000 50,000
79 062806 Tusiyam 137,500 7,727 6,000 30,000
80 022196 Dwi Purwanto 150,900 10,627 4,000 30,000
81 105241 Saniyem 72,500 3,500 4,000 30,000
82 103159 Isrofi 52,500 - 6,000 30,000
83 003387 Warjan 110,350 5,305 6,000 30,000
84 105437 Tuginah 196,715 - 4,000 20,000 38,500
85 022524 dr. Nrimanto 62,500 5,682
86 104558 Tofik Bayu 232,010 15,728 6,000 30,000
87 100891 Corry Catarina 233,425 18,130 4,000 30,000
88 097856 Muhamad Fahri 105,600 - 4,000 20,000

8,998,552 - 458,583 741,875 217,150 728,310 - 265,000 112,500 340,000 1,146,000 397,000

Jurnal Umum 8,998,552


Kas dari Kassa 8,998,600
Selisih Kas 48

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 09 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit Pkeb PU IGD Sps Dokter

9-Feb-11 1 104370 Valentina Yulia Olga - 52,000 4,000 20,000


2 049716 Ajeng Fitri - 14,630 92,520 4,000 20,000
3 019967 Mufti Hidayat 1,527 16,800
4 054909 Kurnianto 1,236 13,600
5 060461 Sr. Marieta 7,909 43,500 43,500
6 148669 Agnes Herna 3,245 35,700
7 104170 Alfiesya Rahmania P 864 1,900 24,100 4,000 12,500
8 028453 Suratmi - 7,000 77,000 4,000 45,000
9 Sr. Lusi 80,500 - 80,500
10 SMP PIUS 596,300 - 596,300
11 026974 Sugiyanto 13,500 -
12 148672 Valentin 34,250 3,114
13 079810 Purwati 299,750 27,250
14 148671 Sartini 14,400 1,309
15 105077 Irna Priyani 134,000 7,000
16 100016 Sumadi 525,250 44,659 4,000 30,000
17 068069 Eni Supriyanti 51,600 4,691
18 148670 Alipah 52,100 4,736
19 Budi Handoyo 100,000 -
20 105439 Saosan 75,950 - 4,000 20,000
21 094448 Kurnia P 55,150 - 4,000 20,000
22 104930 Irwan Triyono 60,300 3,164 3,000 12,500
23 098118 Maghfiroh 16,500 - 2,000
24 064623 RSU Purwogondo 197,000 -
25 073175 Pasien Luar 31,800 2,891
26 104566 Destian Aditia 47,800 2,391 4,000 12,500
27 089130 Siti Yulianingsih 18,500 - 2,000
28 105331 Aprilia Intan 33,000 1,136 3,000 12,500
29 Maria Sri H 13,500 -
30 000084 Agus Setiawan 34,500 -
31 104971 Sugeng M 19,000 - 2,000
32 105341 Winda Tri M 31,000 864 4,000 12,500
33 102275 Risma Septiana 31,000 864 4,000 12,500
34 105209 Mujiarsih By 34,858 1,214 4,000 12,500
35 105180 Mujiarsih 9,000 - 4,000
36 105222 Tri Ratnawati 31,000 864 4,000 12,500
37 105074 Murdiati 31,000 864 4,000 12,500
38 100190 Enrico Luis 26,000 864 4,000 12,500
39 059046 Winarti 13,500 -
40 033116 Rasiyem 55,500 - 9,500
41 062203 Pariyah 34,000 - 4,000 30,000
42 105258 Sandiharjo 52,000 1,636 4,000 30,000
43 105443 Yoso Miharjo 81,305 4,300 4,000 30,000
44 080419 Lukman Al Hakim 98,400 5,855 4,000 30,000
45 101669 Jamadi 94,000 409 4,000 39,500
46 075096 Agus Dwi N 7,000 636
47 105197 Kasmi 116,700 7,427 4,000 30,000
48 035182 Inah Supinah 203,000 15,364 4,000 30,000
49 101948 Nadia Rahma 16,800 1,527
50 101528 Fani Ramadhani 42,800 2,391 4,000 12,500
51 082054 Mohamad sahid 34,000 - 4,000 30,000
52 096959 Ponidi 107,500 6,682 4,000 30,000
53 062738 Sajem 47,500 - 4,000 30,000
54 072859 Ridem 380,500 31,409 4,000 30,000
55 105446 Yuyun Sulistyowati 61,300 3,255 3,000 12,500
56 057840 Rasini 68,500 - 4,000 30,000
57 105271 Mohamad Dimyati 87,250 4,841 4,000 30,000
58 104116 Firli Aditya 124,550 2,641 3,000 12,500 17,000
59 105218 Towo 47,000 2,864 3,000 12,500
60 072345 Minarjo 34,000 - 4,000 30,000
61 103731 Endang Aristiyani 38,500 409 4,000 30,000
62 038051 Sutinah 18,500 - 2,000
63 000106 Parmo 18,500 - 2,000
64 104077 Yustina 19,500 955 4,000
65 103127 Inge By 24,000 682 4,000 12,500
66 105045 Priskila 26,000 864 4,000 12,500
67 101948 Naura R 26,000 864 4,000 12,500
68 104146 Yustina 26,000 864 4,000 12,500
69 105292 Moh Mansur 64,100 2,736 4,000 30,000
70 023327 Waluyo 33,750 3,068
71 105451 Siti Romelah 188,000 9,455 4,000 45,000
72 044690 Karto Diharjo 73,000 - 4,000 20,000
73 078548 Christiana Dewi 16,500 - 2,000
74 039638 Iriani 53,100 3,600
75 105450 Retno Sudrajat 119,500 - 4,000 20,000
76 105099 Sarimin 81,000 2,318 4,000 30,000
77 003096 Salmunah 142,500 5,318 4,000 45,000
78 104668 Farah Agustina 73,600 3,600 4,000 30,000
79 055904 Rosika Nur Imama 39,600 3,600
80 100916 Paidah 39,600 3,600
81 103493 Yatinah 39,600 3,600
82 100917 Lia Yuniarti 205,300 15,573 4,000 30,000
83 060483 Yulaika Ratna 39,600 3,600
84 100918 Suparmi 39,600 3,600
85 105425 Monika Ati 108,600 6,782 4,000 30,000
86 105444 Teresa Paramita 108,600 6,782 4,000 30,000
87 094798 Wini Handayani 39,600 3,600
88 074154 Ambar Tyas 131,000 -
89 068069 Eni Supriyanti 84,000 - 4,000 45,000
90 105442 Endang Winarni 108,600 6,782 4,000 30,000
91 067527 Irham Estiawan 79,200 7,200
92 098789 Wahyu Dewi 39,600 3,600
93 088188 Riyanah 39,600 3,600
94 105454 Waryanti 153,000 9,818 4,000 30,000
95 104822 Tegar Sahru 133,700 9,064 4,000 30,000
96 100987 Raymon Bastian 60,250 - 4,000 20,000
97 105456 Rafikah Khoerul 119,800 7,800 4,000 30,000
98 093239 Herni Widyawati 74,600 6,782
99 025927 Maryati 39,600 3,600
100 074629 Eliyanti Sidabalok 79,200 7,200
101 103217 Dwi Astuti 39,600 3,600
102 101388 Bimalina S 39,600 3,600
103 063814 Sukarsih 79,200 7,200
104 082330 Wening Widiasih 79,200 7,200
105 100933 Sudarti 39,600 3,600
106 092460 Marla 74,600 6,782
107 087263 Pingah 39,600 3,600
108 100784 Sri Asfirotun 39,600 3,600
109 022524 dr. Nrimanto 35,000 3,182
110 105455 Arjuna Bagas 153,200 10,836 4,000 30,000
111 105447 Anugrah Dwi Setyo 198,700 14,973 4,000 30,000
112 105445 Muhayah 161,100 11,555 4,000 30,000
113 105464 Sofian Efendi 108,600 6,782 4,000 30,000
114 083668 Kasimi 84,000 - 4,000 45,000
115 105174 Rohyati 84,000 - 4,000 45,000
116 105460 Iin 84,000 - 4,000 45,000
117 092065 Dewi Suryani 206,000 11,091 4,000 45,000
118 105442 Siti Kurniawati 84,000 - 4,000 45,000
119 103066 Titin Antini 84,000 - 4,000 45,000
120 105173 Agustini 84,000 - 4,000 45,000
121 104106 Dina 84,000 - 4,000 45,000
122 056377 Fita Martiyana 84,000 - 4,000 45,000
123 105357 Sumini 34,000 - 4,000 30,000
124 062232 Tyas Satria 108,600 6,782 4,000 30,000
125 062401 Tri Murtiningsih 126,100 8,373 4,000 30,000
126 036773 Tri Sami Astuti 124,200 8,200 4,000 30,000
127 054686 Suharti 39,600 3,600
128 064623 Ramelan 107,000 -
129 103552 Siti Asiyah 84,000 - 4,000 45,000
130 105453 Herwin W 108,600 6,782 4,000 30,000
131 047189 Kukuh Margi 39,600 3,600
132 006391 Eka Purwanti 65,600 5,964
133 105471 Fano 54,340 - 4,000 20,000
134 101832 Yulianti 41,500 682 4,000 30,000
135 097362 Gabriella 70,300 3,300 4,000 30,000
136 104742 Nabila 92,000 5,273 4,000 30,000
137 104049 Devita 34,000 - 4,000 30,000
138 104652 Galang 92,000 5,273 4,000 30,000
139 003387 Warjan 70,990 - 4,000
140 043293 Sutarman 63,500 1,682 4,000 30,000
141 104146 Yustina Natalia 16,800 1,527
142 105412 Heni Elsiany 57,600 1,145 4,000 30,000
143 105333 Saryati 70,500 2,318 4,000 30,000
144 105462 Khumairoh 152,226 10,748 4,000 30,000
145 073175 Ajek 31,800 2,891
146 105154 Damar Bahtiar 73,800 1,618 4,000 30,000
147 041010 Sri Yuliati 39,600 3,600
148 079147 Feni Damayanti 39,600 3,600
149 105468 Muhlisin 139,000 9,545 4,000 30,000
150 097783 Ponasih 108,600 6,782 4,000 30,000
151 099095 Siti Hamidah 108,600 6,782 4,000 30,000
152 104245 Sopiyah 39,600 3,600
153 105466 Cahya aminah 266,476 21,134 4,000 30,000
154 103589 Rasino 100,000 6,000 4,000 30,000
155 037601 Nunung S 104,600 9,509
156 105467 Saisah 146,500 10,227 4,000 30,000
157 105459 Galuh K 73,600 3,600 4,000 30,000
158 105458 Susi Puspitasari 108,600 6,782 4,000 30,000
159 086944 Suharmi 39,600 3,600
160 088014 Stefani Susantoli 108,600 6,782 4,000 30,000
161 105461 Mundirin 180,976 13,361 4,000 30,000
162 100905 William 108,600 6,782 4,000 30,000
163 105465 Astuti 151,500 10,682 4,000 30,000
164 105025 Sri Yuniarti 114,200 10,382
165 083162 Suprapto 202,476 15,316 4,000 30,000
166 105024 Suwarni 39,600 3,600
167 097615 Sri Wahyunita 39,600 3,600
168 093087 Evit 74,600 6,782
169 081530 Puji 35,000 3,182
170 100925 Indraswari 39,600 3,600
171 095141 Sri Haryati 154,750 10,977 4,000 30,000
172 105097 Fitri Andriyani 190,000 20,757 137,330 4,000 30,000 50,000
173 105463 Meilivana Senja 2,455 111,000 4,000 45,000
174 Hybriyani R 500 5,500

13,828,047 - 755,682 438,960 676,800 237,120 - 423,000 175,000 50,000 205,000 2,466,000 50,000

Jurnal Umum 13,828,047


Kas dari Kassa 13,828,300
Selisih Kas 253

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 10 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

10-Feb-11 1 100661 Riska Aidha Putri N 4,523 83,750 4,000 30,000


2 098920 Dhoni Widiyanto - 85,700 4,000 20,000
3 105473 Nelva 13,705 707,750 7,000 30,000 325,000
4 098498 Albertus Aditya 1,000 409 37,500 4,000 30,000
5 105496 Sukamto - 99,500 4,000 20,000
6 065627 Dominikus Dato 23,636 294,000 4,000 30,000
7 054909 Kurnianto - 15,700 96,850 4,000 20,000
8 045088 Tri Muryani 7,200 - 62,950 4,000 20,000
9 013160 Titik Lestari W 11,000 - 77,950 4,000 20,000
10 024910 Budi Setyanto - 44,500
11 069301 Sukoco - 91,500
12 084630 Rm. Samuel - 68,625 22,875
13 096459 Siti Tursinah 6,864 75,500
14 008949 Suniah 1,104 12,140
15 082402 Ratna Yuni A 739 8,125
16 001022 Yuli Gestati 3,486 38,350
17 005743 Mutmainah 6,177 67,950
18 063319 Hybriyani 11,000 500 5,500
19 Fitri Andriyani 137,400 - 137,400
20 021054 On On Bernat 76,500 -
21 005976 Alipah 73,200 6,655
22 025361 Purwati 230,450 20,950
23 016928 Sarjono 9,000 818
24 074841 Endang Puji L 67,300 - 4,000 20,000
25 105470 Sultoniah 2,517,365 54,897 7,000 30,000 870,000
26 105469 Turman 2,380,880 46,080 7,000 30,000 870,000
27 098899 Noto Miarjo 45,000 - 4,000 30,000
28 096854 Atik Yuliana 53,150 377 4,000 30,000 15,000
29 105482 Candra Maulana 56,050 - 4,000 20,000
30 105483 Hesti Widyaningsih 43,450 - 4,000 20,000
31 105479 Fika 95,000 - 4,000 20,000
32 103046 Latif 78,250 - 4,000 25,000
33 079140 dr. Haryadi 405,400 36,855
34 075652 Waliyanti 13,500 -
35 007076 Sulasto 17,750 - 4,000
36 002159 Cris Tinuwarti 18,000 - 2,000
37 087210 Raditya 20,000 -
38 103272 Anggita Wulan 16,500 - 2,000
39 055589 Kanisem 13,500 -
40 084522 Susanto 18,500 - 2,000
41 010467 Muji R 58,000 - 2,500 9,500
42 083913 Susi Windarti 15,500 - 3,000 12,500
43 105313 Rafli Apriana 25,500 - 3,000 12,500
44 105487 Darinah 131,922 10,493 3,000 12,500
45 105407 Kurniasih 15,500 - 3,000 12,500
46 052678 Sulistyowati 155,700 11,064 4,000 30,000
47 105488 Walijah 228,250 14,468 4,000 36,500
48 105489 Satijem 203,025 - 4,000 20,000 15,500
49 17572 Sukinah 18,000 - 2,000
50 105415 Suyatno 24,000 - 4,000
51 078929 Marijo 134,150 9,014 4,000 30,000
52 087440 Sutriyati 116,900 4,309 4,000 30,000
53 045824 Vincentius Ariawan 99,500 - 4,000 20,000 9,500
54 104049 Devita 96,000 - 19,000
55 105331 Aprilia Intan 1,000 91
56 105490 Asrisah 79,450 - 4,000 20,000
57 021767 Andri Dwi Susanto 285,600 9,591 4,000 55,500
58 086282 Firdaus saputra 114,250 - 4,000 20,000
59 010933 Nuryani 19,500 955 4,000
60 097765 Lili Kurniawati 89,500 - 4,000 39,500
61 061294 Mardan 105,200 - 4,000 20,000
62 105336 Suratman 56,250 2,023 4,000 30,000
63 055518 Wagirah 119,000 9,409 3,000 12,500
64 054603 Felix Adi 50,500 - 2,500 9,500
65 100816 Reniasih 16,800 1,527
66 047669 Khoging Tijan 127,500 - 2,500 35,000
67 105342 Alifah 124,470 8,225 4,000 30,000
68 022954 Fitri 39,600 3,600
69 087922 Mad Salim 58,000 - 2,500 9,500
70 022524 dr. Nrimanto 44,000 4,000
71 097779 Jesselyn Vajra 69,400 3,218 4,000 30,000
72 101563 Fadilah 80,750 4,250 4,000 30,000
73 101315 Haris Subianto 162,800 11,709 4,000 30,000
74 104403 Karisma Indah S 70,650 3,332 4,000 30,000
75 105492 Titin 81,800 - 4,000 20,000
76 105493 Sifa 62,800 - 4,000 20,000
77 100816 Daffa Drajad 92,000 5,273 4,000 30,000
78 099854 Constantine 38,500 409 4,000 30,000
79 103519 Fadlan Adi S 36,000 182 4,000 30,000
80 103286 Jasmine 36,000 182 4,000 30,000
81 099292 Amadeo F 38,500 409 4,000 30,000
82 102890 Sasi Kirana 34,000 - 4,000 30,000
83 104163 Derita W 34,000 4,000 30,000

9,906,112 - 345,505 1,601,590 142,900 389,625 - 230,000 62,500 345,000 943,500 2,095,500

Jurnal Umum 9,906,112


Kas dari Kassa 9,906,700
Selisih Kas 588

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 11 PEBRUARI 2011
Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

11-Feb-11 1 004437 Sugiyanto - 145,500 4,000 20,000


2 074916 Antonius Priyo J - 214,900 4,000 20,000 10,500
3 105515 Marsiman - 149,665 4,000 20,000 8,500
4 020580 Yusiva Sumarni - 12,000 82,000 4,000 20,000
5 011106 Wasri - 21,500 119,650 4,000 20,000
6 016928 Sarjono 6,900 - 61,350 4,000 20,000
7 063454 Eliana Shafiqa 24,700 9,300 148,100 7,000 12,500 20,000
8 101368 Nacita Gilda 3,082 6,780 61,120 4,000 30,000
9 013160 Titik Lestari 12,600 - 10,200 141,300 4,000 20,000 10,500
10 076611 Flora salsabila 5,655 12,440 65,260 3,000 12,500
11 004219 Agustina Pratiwi 10,755 23,660 128,640 4,000 30,000
12 079140 dr. P Haryadi 6,700 1,473 9,500
13 001823 Sr. Bernada 11,636 128,000
14 105497 Budiyanti 707,125 13,648 7,000 30,000 325,000
15 105499 Yosep Anugerah 80,050 - 4,000 20,000
16 105498 Linda Ade safitri 126,250 - 4,000 20,000
17 012538 Mad Sukarto 34,000 - 4,000 30,000
18 092864 Sarmiyati 98,000 4,136 4,000 30,000
19 105486 Kristiana Puspita S 34,000 - 4,000 30,000
20 104735 Oki Wicaksono 71,775 - 4,000 20,000
21 Suniah 12,140 - 12,140
22 070722 Robinah 18,000 - 2,000
23 062806 Tusiyam 18,500 - 2,000
24 062806 Tusiyam 22,000 -
25 057869 Budianto 8,000 -
26 078844 San Kasdi 44,000 4,000
27 105504 Vita Nur Kristian 18,400 264 3,000 12,500
28 105502 Eko Budi 18,000 - 2,000
29 073357 Munarja 145,975 9,498 4,000 30,000
30 050264 Atmareja 93,250 5,295 4,000 30,000
31 090706 Somadi Purwo A 105,775 5,116 3,000 12,500
32 038897 Fitri ida 19,500 955 4,000
33 Pengobatan Suster2 1,358,600 - 1,358,600
34 148692 Sugiyanto 34,250 3,114
35 038364 Admi Paryati 205,300 12,891 4,000 30,000
36 105103 Hasanudin 138,750 9,523 4,000 30,000
37 054152 Manisem 122,350 4,841 4,000 36,500
38 086337 Prianto 110,000 6,227 4,000 30,000
39 024100 Suripto 34,000 - 4,000 30,000
40 030557 Zaenudin 161,100 11,464 4,000 30,000
41 040636 Suparmin 59,500 2,318 4,000 30,000
42 071986 Monika Sumini 164,950 11,814 4,000 30,000
43 104038 Karsini 34,000 - 4,000 30,000
44 066045 Surati 71,000 3,364 4,000 30,000
45 001022 Yuli Gestati 39,600 3,600
46 101434 Olivia Sulistya 41,000 2,318 3,000 12,500
47 105505 Kuncoro Adi 61,000 3,227 3,000 19,000
48 068526 Antonius Setiawan 44,550 2,641 3,000 12,500
49 076185 Sumarno 169,850 - 4,000 20,000
50 093654 Brina Agatha 44,550 2,641 3,000 12,500
51 041701 Sukarti 97,550 7,459 3,000 12,500
52 000082 Aan Sri W 111,875 5,852 4,000 30,000
53 053470 Ika Isdiana 181,500 8,864 4,000 45,000
54 042648 Farida Agustin 102,000 1,636 4,000 45,000
55 105341 Winda tri 87,750 3,886 4,000 30,000
56 105508 Lilis Maryani 137,250 4,841 4,000 45,000
57 104147 Dewi 79,200 7,200
58 105364 Tian Sunarti 117,000 6,545 4,000 30,000
59 105507 Lilik Muryani 177,750 8,523 4,000 45,000
60 105510 Suwarsih 192,000 9,818 4,000 45,000
61 103159 Isrofi 18,500 - 2,000
62 104707 Slamet Sutarman 42,750 795 4,000 30,000
63 Nelva 707,750 - 707,750
64 089085 Sumaryo 821,300 - 4,000 20,000 20,000
65 047618 Dimas Setyawan 104,000 8,045 3,000 12,500
66 105358 Eny Retno 164,500 7,318 4,000 45,000
67 105177 Sumarni 112,500 2,591 4,000 45,000
68 074154 Ambar Tyas 228,000 13,091 4,000 45,000
69 090400 Sudarmi 74,500 -
70 105512 Esti Utami 225,500 17,409 4,000 30,000
71 102447 Dian Sapto 158,800 6,800 4,000 45,000
72 105511 Ajeng Puspita 98,250 1,295 4,000 45,000
73 105514 Sulastri 168,000 7,636 4,000 45,000
74 105513 Venti 147,550 - 4,000 20,000
75 040425 Mursiti 54,500 - 4,000 20,000
76 105517 Sutinah 54,500 - 4,000 20,000
77 105518 Eri Triantoro 89,400 - 4,000 20,000
78 105516 Masih 288,500 - 4,000 20,000 28,500
79 004988 Wagiyarti 84,000 - 4,000 45,000
80 000898 Sri Sugiarti 84,000 - 4,000 45,000
81 100694 Yohana Trisnawati 84,000 - 4,000 45,000
82 105454 Waryanti 45,000 - 4,000 30,000

9,759,665 - 294,400 606,145 2,078,490 935,420 - 269,000 131,500 360,000 1,406,000 353,500

Jurnal Umum 9,759,665


Kas dari Kassa 9,760,400
Selisih Kas 735

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 12 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

12-Feb-11 1 014848 Rudi Novandi - 69,100 4,000 36,500


2 097418 Priyo Purwono 336 51,200 3,000 12,500 15,000
3 006265 dr. Lucy julianti 1,318 14,500
4 148698 dr. Harnowo 1,027 11,300
5 083846 Fitriyani 1,827 20,100
6 011136 Yosepha Iswidya 2,445 26,900
7 082402 Ratna Yuni A 2,091 23,000
8 068975 Sr. Theresina 3,564 39,200
9 031770 drg. Dina Herlina 1,700 18,700
10 093414 Gabriel Dwiki c 1,909 4,200 32,300 3,000 12,500
11 066959 Olivia Atmaja 91 3,200 33,300 3,000 12,500 10,000
12 087313 Lugiati 91 10,200 76,300 3,000 12,500 40,000
13 035715 Siti Maftukhah - 1,100 78,400 7,000 12,500 30,000 22,500
14 061280 Dasirah - 91,500
15 038168 Indriana - 184,500
16 046023 dr. U Linda Maria - 143,500
17 085283 Davin - 12,000
18 105524 Lifi - 83,950 4,000 20,000
19 055322 Maria Yulianti 110,350 3,750 4,000 36,500
20 103178 Supiyah 187,200 13,836 4,000 30,000
21 105399 Bambang Hartoyo 77,900 3,900 4,000 30,000
22 084942 Raniyah 67,750 3,068 4,000 30,000
23 081531 Soeprijanto 111,475 7,043 4,000 30,000
24 027368 Mohammad Soedadi 203,900 14,764 4,000 30,000
25 063102 Titi Suwarni 34,000 - 4,000 30,000
26 105093 Tuniyah 47,500 - 4,000 30,000
27 022092 Sumarno Hadi W 110,500 - 4,000 30,000
28 053363 Sutaryo 98,500 4,636 4,000 30,000
29 100454 Tukimin 51,500 - 4,000 30,000
30 105077 Irna Priyani 77,000 7,000
31 022524 dr. Nrimanto 46,000 4,182
32 105273 Herlina Abriyani 126,900 8,445 4,000 30,000
33 105408 Waris Wardoyo 79,400 4,036 4,000 30,000
34 012538 Mad Sukarto 48,000 - 9,500
35 104932 Gheriya 16,500 - 2,000
36 034721 Tukijo 127,500 - 2,500 35,000
37 025179 Nani Triyani 127,500 - 2,500 35,000
38 040283 Sri Budiarti 36,500 -
39 105534 Tri Utami S 191,250 9,750 4,000 45,000
40 101764 Agatha Lilian 34,000 - 4,000 30,000
41 148699 Nani 39,600 3,600
42 103717 Tijah 193,200 13,473 4,000 30,000
43 069468 Ria Septianawari 49,000 1,364 4,000 30,000
44 105356 Jaman 139,000 7,864 4,000 30,000
45 105440 Suparti 8,000 -
46 056497 Jumiati 34,000 - 4,000 30,000
47 105525 Indah Dwi Astuti 55,750 2,932 3,000 12,500
48 021760 Tego Gunawan 69,040 - 4,000
49 000865 Ning Suci 34,000 -
50 051652 Edi S 34,000 -
51 056280 Tumin 94,400 8,582
52 044234 Puji Rahayu 39,600 3,600
53 079241 Asti Ismayanti 94,370 - 4,000 20,000
54 105527 Nita Ikhmawati 83,500 6,182 3,000 12,500
55 075464 Nur Khusnul K 86,550 6,459 3,000 12,500
56 009464 Sri Kundari 19,000 909 4,000
57 047873 Kusumaningtyas 27,500 -
58 099464 Tri Hidayatul 9,000 -
59 105427 Tusilah 35,000 545 3,000 12,500
60 094910 Mawar Febriana 63,000 4,318 3,000 12,500
61 000106 Sutirah 18,500 - 2,000
62 038051 Sutinah 18,500 - 2,000
63 103272 Anggita 16,500 - 2,000
64 062336 Jonathan Frenatta 50,900 3,218 3,000 12,500
65 105530 Fajar Agung 98,840 1,849 3,000 12,500 9,500
66 093667 Ambar Puspitaningrum 6,500 155,500 4,000 45,000

3,421,875 - 172,206 872,150 - 311,800 - 153,000 100,000 40,000 842,000 87,500

Jurnal Umum 3,421,875


Kas dari Kassa 3,422,200
Selisih Kas 325
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 13 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

13-Feb-11 1 105543 H Yulianto - 209,225 4,000 25,000


2 036518 Saminem - 200,000 4,000 25,000
3 008906 Raswita Amelia 6,600 106,600 4,000 30,000
4 105419 Hendri Kuskarel 46,050 - 4,000 20,000
5 084921 Fiki Frida P 139,200 - 4,000 20,000
6 148708 Yoga 30,650 2,786
7 148707 Sudarmi 6,500 591
8 090480 Sudarni 13,000 -
9 105539 Dewi Ratnasari 91,000 - 4,000 20,000
10 035889 Sartini 81,150 3,868
11 075096 Agus Dwi 7,500 - 64,000 4,000 20,000
12 105205 Siran 1,750 159
13 099464 Tri Hidayatul 72,000 3,455 4,000 30,000
14 105537 Fathi Sabbaha 74,500 3,682 4,000 30,000
15 002321 Yulianus Sarwono 10,200 927
16 087920 Benedick Pascal 84,400 4,582 4,000 30,000
17 103748 Akbar Dwi A 34,000 - 4,000 30,000
18 104031 Satria Pratama 90,000 5,091 4,000 30,000
19 105385 Mulyani 123,000 8,091 4,000 30,000
20 105546 Suwarni 28,000 -
21 028372 Jayi 113,025 - 4,000 20,000
22 029066 Rustriningsih 64,190 5,835
23 001022 Yuli Gestati 6,750 614
24 075166 Joko Suwarno 13,500 -
25 039495 Dirah 105,600 -
26 105548 Samini 49,750 - 4,000 20,000
27 Lifi 83,950 - 83,950
28 005976 Alipah 21,550 -
29 007600 Endang Hari Utami 127,900 - 4,000 20,000
30 103251 Mira 39,600 -
31 103490 Rasti 32,000 -
32 104951 Tadikrama 32,500 -
33 094757 Sukini 102,675 - 4,000 20,000
34 105551 Paryono 62,600 - 4,000 20,000
35 038258 Bernadus nanda 73,025 - 4,000 20,000
36 083311 Nani Nuraeni 79,550 - 4,000 20,000
37 105552 Kessya 182,415 - 4,000 20,000 13,500
38 105074 Murdiyati 76,700 - 4,000 20,000
39 019969 Sri Subekti 5,850 -
40 063102 Titi Suwarni 44,125 -
41 148718 Nenti 39,600 -
42 148717 Ika P 17,600 -
43 097779 Jesselyn 7,000 -

2,314,355 - 46,281 515,825 83,950 64,000 - 88,000 - 310,000 210,000 13,500

Jurnal Umum 2,314,355


Kas dari Kassa 2,314,800
Selisih Kas 445

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 14 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

14-Feb-11 1 105558 Devin Aqila Pratama - 87,800 4,000 20,000


2 004437 Sugiyanto 12,000 166,000 4,000 30,000
3 097418 Priyo Purwono 336 51,200 3,000 12,500 15,000
4 105580 Risiyanto - 197,990 4,000 20,000 7,000
5 087322 Dwi Indra A 2,427 10,600 58,100 3,000 12,500
6 001022 Yuli Gestati 3,982 43,800
7 001826 Sr. Mikaela 1,632 17,950
8 001246 Marsudi - 10,400 75,350 4,000 20,000
9 005745 Kristanti - 17,780 105,120 4,000 20,000
10 074713 Prima Forta A - 6,100 58,300 4,000 20,000
11 097545 Refi Marshall A - 5,200 54,800 4,000 20,000
12 015500 Setyaningsih 30,300 2,755 11,800 81,150 4,000 20,000
13 087308 Imam Santoso 14,200 - 90,350 4,000 20,000
14 105563 Budi Kurniawan - 828,975 4,000 20,000
15 105564 Priadi Hartono - 53,000 4,000 20,000
16 105562 Sutrisno 81,800 - 4,000 20,000
17 094887 Widodo S 52,000 -
18 016928 Sarjono 2,800 255
19 054442 Tri Wiyono 91,500 - 4,000 20,000
20 105559 Dewi S 75,500 -
21 030930 Sudarmi 71,200 6,473
22 148719 Agus 13,250 1,205
23 105555 Dini Gananjar 46,950 - 4,000 20,000
24 003794 Lina Mulyadi 13,500 -
25 104461 Disun 25,500 - 2,000
26 Novisiat Karanganya 547,500 - 547,500
27 105565 Sawinah 118,000 8,000 3,000 12,500
28 105541 Weni 142,326 10,302 3,000 12,500
29 080048 Didit 13,500 -
30 088119 Diyan 104,000 9,455
31 002159 Cris Tinuwanti 18,000 - 2,000
32 105569 Maria Lusinah 153,000 12,500 3,000 12,500
33 059513 Satinem 82,900 6,127 3,000 12,500
34 103272 Anggita 16,500 - 2,000
35 049899 Supeni 95,500 - 3,000 12,500 8,500
36 105319 Sugeng 34,000 - 4,000 30,000
37 105502 Eko Budi 18,000 - 2,000
38 Antonius Priyo J 214,900 - 214,900
39 105567 Untung 85,500 - 2,500 10,500
40 041130 Walyono 13,500 -
41 104722 Kwong Ay Ting 32,500 -
42 091645 Pagem 97,900 5,809 4,000 30,000
43 096993 Sukardi 55,500 955 4,000 30,000
44 048890 Rosidah 140,975 9,043 4,000 30,000
45 075288 Sukarman 130,315 1,983 4,000 30,000
46 105570 Aldi 128,876 10,307 3,000 12,500
47 105364 Tian Sunarti 53,300 2,527 3,000 12,500
48 105341 Winda Tri M 36,500 1,000 3,000 12,500
49 H Yulianto 209,200 - 209,200
50 Saminem 200,000 - 200,000
51 074564 Mulyakin 245,000 17,136 4,000 30,000
52 059361 Mairan 133,225 9,020 4,000 30,000
53 000359 Wiwik Haryanti 19,500 955 4,000
54 104197 Banun Tri 64,250 1,841 4,000 30,000
55 101562 Hadi Winoto 94,000 409 4,000 39,500
56 045088 Tri Muryani 6,600 2,982 41,700 3,000 12,500
57 090627 Gesti Oktaviani 38,500 409 4,000 30,000
58 17586 Priyo N 10,000 - 2,000
59 052428 Tindarweni 34,000 - 4,000 30,000
60 033116 Rasiyem 96,700 5,700 4,000 30,000
61 024772 Sujimah 34,000 - 4,000 30,000
62 045524 Suparman 15,500 - 3,000 12,500
63 104922 Salamah 40,750 614 4,000 30,000
64 105568 Pariyem 99,500 - 4,000 39,500
65 105289 Dul Haris 180,800 13,255 4,000 30,000
66 098899 Noto Miarjo 125,500 - 4,000 40,500
67 105387 Sukirah 297,250 23,841 4,000 30,000
68 005846 Heni Purwatiningsih 131,400 8,855 4,000 30,000
69 048177 Sri Ariani S 42,900 2,491 3,000 12,500
70 105530 Fajar Agung T 66,050 - 4,000 20,000
71 105214 Tugirah 82,200 4,382 4,000 30,000
72 104950 Iswati 139,750 9,614 4,000 30,000
73 148724 dr. Harnowo 11,300 1,027
74 148723 dr. Nrimanto 37,500 3,409
75 105571 Aminin 320,150 - 4,000 20,000
76 105353 Muhamad Jikri 49,450 - 4,000 20,000
77 105569 Maria Yosira 166,500 - 28,500
78 148725 Sartini 5,300 482
79 105579 Gerardus Guntur 136,850 - 4,000 20,000
80 105569 Maria Lusinah 34,000 - 4,000 30,000
81 105574 Neni Haryanti 34,000 - 4,000 30,000
82 105260 Dul Kusni 74,000 2,636 4,000 30,000
83 069468 Ria Septianawati 34,000 - 4,000 30,000
84 077455 Maya Indrasari 52,000 -
85 067701 Siani Lokajaya 149,000 - 4,000 30,000 100,000
86 035197 Muhamad Chandra 162,350 - 4,000 20,000 7,000
87 105578 Wena Kristina 34,000 - 4,000 20,000
88 060956 Sukiyem 315,500 23,909 4,000 30,000
89 105333 Saryati 200,700 13,473 4,000 30,000
90 105207 Sofiatun 427,000 35,727 4,000 30,000
91 105572 Sakini 63,000 1,636 4,000 30,000
92 105417 Heri Warastuti 190,000 14,182 4,000 30,000
93 105415 Suyatno 69,300 1,527 4,000 30,000
94 104536 Kasimin 194,250 12,614 4,000 30,000
95 002453 Sumiyati 56,650 - 4,000

8,074,867 - 321,197 1,508,595 1,171,600 564,870 - 271,500 25,000 125,000 380,000 1,109,500 129,000

Jurnal Umum 8,074,867


Kas dari Kassa 8,075,300
Selisih Kas 433

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 15 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter
15-Feb-11 1 090911 Satya Fipi Astuti - 117,400 4,000 20,000
2 006137 dr. Harnowo - 20,670 82,680
3 061197 Ety Yuniarsih - 115,800
4 072513 Atit yuni s - 8,000
5 Budi Kurniawan 828,975 - 828,975
6 Priadi Hartono 53,000 - 53,000
7 105589 Wartinah 63,000 - 4,000 20,000
8 022196 Dwi Purwanto 157,500 - 4,000 20,000
9 025084 Sukarti 88,600 - 4,000 20,000
10 148728 Sartini 5,300 -
11 073868 Yusman 20,000 -
12 105586 Arif Wahyudin 89,610 - 4,000 20,000
13 022524 dr. Nrimanto 46,000 -
14 066533 Subagyo 20,000 -
15 016034 Puryastuti 51,500 -
16 079140 dr. Paulus Haryadi 213,100 -
17 105585 Poan Djun Ming 99,100 - 4,000 20,000
18 053044 Diah Kurniawati 115,750 - 4,000 20,000
19 105592 Agus Supriyanto 184,750 - 4,000 20,000
20 070036 Eko Purwanto 77,250 - 4,000 20,000
21 045922 Kintan Nurhafifa 85,850 - 4,000 20,000
22 105595 Pambudiono 108,882 - 4,000 20,000
23 038954 Sakimin 116,100 - 4,000 20,000
24 105594 Sukarnen 93,015 - 4,000 20,000 8,500
25 031134 Lucia Setiawati 293,010 -

2,517,282 293,010 - 261,870 881,975 82,680 - 52,000 - 260,000 - 8,500

Jurnal Umum 2,224,272


Kas dari Kassa 2,224,300
Selisih Kas 28

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 16 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

16-Feb-11 1 098444 Felicia Cindy N 7,055 111,600 4,000 30,000


2 100502 Fitria Dwi Cahyani 10,759 152,350 4,000 30,000
3 040718 Yohanes Juan A 7,327 16,200 98,400 4,000 30,000
4 001773 Radikun Hadi W 8,755 19,260 111,040 4,000 30,000
5 105632 Wasidah 96,100 8,373 30,000 4,000 30,000
6 026173 Ida Irmayanti 782 8,600
7 069785 Dhuta Ariq W 16,000 - 97,800 4,000 20,000
8 073175 Pasien Luar 14,500 1,318
9 003901 Aris 12,400 1,127
10 105598 Marfin 38,050 - 4,000 20,000
11 085454 Javiar 104,150 - 4,000 20,000
12 148733 Feri Dwi 900 82
13 100006 Ahmad Sumardi 85,400 - 4,000 20,000
14 080245 Alip S 13,500 -
15 047239 Ivan Gunawan 73,500 -
16 104116 Firli Aditya 93,250 7,068 3,000 12,500
17 104930 Irwan Triyono 53,250 2,523 3,000 12,500
18 105618 Miah 18,000 - 2,000
19 105572 Sakini 349,750 16,705 4,000 39,500
20 089846 Waginah 18,500 - 2,000
21 068810 Bina Husada 29,000 -
22 105617 cindy Mela R 56,850 2,577 3,000 12,500
23 105615 Agus Priyo W 59,050 - 4,000 20,000
24 105575 Kaswan 250,430 - 4,000 20,000 13,500
25 062806 Siyam 18,500 - 2,000
26 013811 Sri Suharti 18,000 - 2,000
27 105616 Minem 85,500 6,273 3,000 12,500
28 105611 Andre Febri 42,450 2,450 3,000 12,500
29 105613 Rajino 63,925 - 4,000 20,000
30 057093 Debora 58,000 - 2,500 9,500
31 Ambar Puspitaningsi 155,500 - 155,500
32 Yosepha Iswidya 53,600 - 53,600
33 065909 Kaminem 110,000 6,227 4,000 30,000
34 040277 Muinah 110,500 6,864 4,000 30,000
35 073868 Yusman Hadi 33,500 1,636 3,000 12,500
36 060113 Maemunah 105,200 6,382 4,000 30,000
37 105280 Sukiyem 89,000 5,000 4,000 30,000
38 064587 Sutono 190,800 13,027 4,000 30,000
39 080048 Didit Rujito 31,500 - 4,000
40 104504 Atmo Suwito 132,025 8,911 4,000 30,000
41 022626 Rosiana 137,200 7,200 2,500 9,500
42 073193 Siti Asliyah 69,100 - 4,000 36,500
43 102538 Basuki 34,000 - 4,000 30,000
44 148736 Nofika 13,600 1,236
45 104044 Muryati 33,000 1,591 3,000 12,500
46 105567 Untung 18,500 - 2,000
47 105384 Maryanto 107,500 6,682 4,000 30,000
48 105630 Triyono 27,500 -
49 087122 Sri Hadiyasih 40,500 - 4,000 30,000
50 104262 Setiani Prabowo 34,000 - 4,000 30,000
51 105410 Edy Suryanto 113,500 6,500 4,000 30,000
52 105605 Nugraheni Dwi 246,250 12,341 4,000 30,000
53 095111 Nasrowi 91,750 4,023 4,000 30,000
54 105619 Yatiningsih 153,200 10,745 4,000 30,000
55 025940 Tumiyah 143,760 9,887 4,000 30,000
56 105625 Siti Asiyah 143,148 9,832 4,000 30,000
57 105631 Purwaningtyas 84,000 - 4,000 45,000
58 105416 Sainah 108,250 6,750 4,000 30,000
59 038537 Sri Haryani 102,000 1,636 4,000 45,000
60 067761 Edi Praptomo 66,600 2,964 4,000 30,000
61 099917 Sumaryati 39,600 3,600
62 099751 Wajib 47,500 1,227 4,000 30,000
63 102564 Muji Hartati 79,200 7,200
64 105636 Dariyem 186,750 9,341 4,000 45,000
65 105072 Suryana 153,500 6,318 4,000 45,000
66 030923 Wiji Endarwati 137,250 4,841 4,000 45,000
67 105391 Tusirah 45,000 - 4,000 30,000
68 103967 Sri Wijayati 84,000 - 4,000 45,000
69 082171 Nur Intan 84,000 - 4,000 45,000
70 105631 Siti Hartati 191,250 9,750 4,000 45,000
71 101630 Nurbaeti 204,750 10,977 4,000 45,000
72 105397 Martini 84,000 - 4,000 45,000
73 048138 Ojo Sutarjo 197,100 14,827 4,000 30,000
74 105607 Kasirah 114,100 7,282 4,000 30,000
75 105610 Viko Ardi 108,600 6,782 4,000 30,000
76 101508 Daryati 79,200 7,200
77 098094 Parimi 39,600 3,600
78 095546 Retno Suprihartini 79,200 7,200
79 100929 Fatonah 39,600 3,600
80 105391 Tujirah 113,475 10,316
81 082171 Nurintan 42,750 3,886
82 105633 Sri Hartiningsih 137,100 9,373 4,000 30,000
83 105629 Irianingsih 73,600 3,600 4,000 30,000
84 104633 Harjinah 79,200 7,200
85 104661 Sumirah 39,600 3,600
86 067628 Yatno Miarto 230,100 16,600 4,000 30,000
87 105533 Turinem 156,800 6,618 4,000 45,000
88 034278 Yuni Budiarti 116,500 7,500 4,000 30,000
89 103765 Theresia Setiyatni 34,000 - 4,000 30,000
90 105397 Martini 29,000 2,636
91 102416 Warisah 113,200 7,200 4,000 30,000
92 058255 Susana Irawati 39,600 3,600
93 044171 Tri Kusuma Dewi 39,600 3,600
94 077567 Heti Sugiyarni 220,550 12,414 4,000 30,000 50,000
95 055091 Purwati 108,600 6,782 4,000 30,000
96 047022 Karyati 39,600 3,600
97 059192 Herlina Widiastuti 34,000 - 4,000 20,000
98 101069 Suryono 333,900 27,264 4,000 30,000
99 061776 Angela Yurista 74,600 6,782
100 041369 Tasiyah 39,600 3,600
101 070250 Sukinah 159,800 11,436 4,000 30,000
102 105621 Sopiah 112,750 7,159 4,000 30,000
103 080317 Isnaeni 39,600 3,600
104 105642 Tri Maningsih 34,000 - 4,000 30,000
105 105643 Tri Suciati 63,650 - 4,000 20,000
106 099913 Isdariyah 97,100 5,736 4,000 30,000
107 038791 Esti Handayani 113,200 7,200 4,000 30,000
108 105627 Stefani 127,300 5,982 4,000 30,000
109 105623 Rafa Fajar 140,100 9,645 4,000 30,000
110 105634 Nadila Raharusun 86,500 4,773 4,000 30,000
111 105620 Tunut 165,850 11,986 4,000 30,000
112 104973 Mumung Murniasih 74,600 6,782
113 091077 Suprapti 39,600 3,600
114 105637 Saparudin 257,450 20,314 4,000 30,000
115 105638 Nugraheni 113,200 7,200 4,000 30,000
116 105005 Juniarsih 79,200 7,200
117 105640 Sunarti 262,665 - 4,000 20,000 9,500 13,500
118 095688 Herlina 39,600 3,600
119 105644 Zada Efania 180,030 - 4,000 20,000 13,500
120 100930 Riska Apriani 74,600 6,782
121 039495 Dirah 105,600 9,600
122 103814 Kartini 32,500 2,955
123 088554 Suminah 157,950 11,268 4,000 30,000
124 105639 Arif Inandar 246,626 19,330 4,000 30,000
125 098787 Musripah 79,200 7,200
126 105646 Shaila Sukma W 108,600 6,782 4,000 30,000
127 105635 Litza Nilil Amali 104,450 6,405 4,000 30,000
128 105447 Anugrah Dwi S 104,000 6,364 4,000 30,000
129 085729 Sandikarto 80,000 4,182 4,000 30,000
130 105641 Norma Puji Astuti 74,500 3,682 4,000 30,000
131 104384 Suminah 98,100 8,918
132 087523 Hatif Humayun 53,400 1,764 4,000 30,000
133 099456 Aira Putri M 38,500 409 4,000 30,000
134 103231 Lian Hart 34,000 - 4,000 30,000
135 104163 Devita W 34,000 - 4,000 30,000
136 105645 Nabil Zaki 166,600 12,055 4,000 30,000
12,316,334 - 686,430 338,010 209,100 307,240 - 376,000 87,500 220,000 2,399,500 90,500

Jurnal Umum 12,316,334


Kas dari Kassa 12,317,300
Selisih Kas 966

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 17 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

17-Feb-11 1 104370 Valentina Yulia Olga - 52,000 4,000 20,000


2 166473 Arifin - 47,000
3 166472 Yuli - 52,000
4 092314 Sr. Theresina 10,245 112,700
5 079140 dr. P Haryadi 9,698 21,300 85,375
6 022524 dr. Nrimanto 3,182 35,000
7 065537 dr. Lilik Karsono 18,609 204,700
8 087296 Reni Komariyah 6,318 69,500
9 008787 Sr. Anastasia 26,141 171,525 205,525 4,000 39,500
10 071986 Monika Sumini 170,150 11,468 55,500 4,000 39,500
11 066959 Olivia Atmaja 4,527 10,000 73,800 4,000 30,000
12 003995 Sr. Caritas 100,492 552,708 586,707 4,000 30,000
13 016717 Uni Erwati 9,900 4,500 86,100 4,000 12,500 30,000
14 035715 Siti Maftukhah 20,000 - 114,000 4,000 20,000
15 015732 Eni Kurniasih - 8,500 68,000 4,000 20,000
16 102399 Fr. Roy Sugianto - 117,255 39,085 4,000 20,000 33,500
17 082402 Ratna Yuni A - 34,900 173,600 4,000 20,000
18 012734 Indah Suliatin 2,136 40,300 101,500 4,000 20,000
19 017996 Lisawati 103,500 -
20 148747 Imam Santoso 6,600 600
21 148746 Katrin 4,300 391
22 104536 Kasimin 46,950 1,177 4,000 30,000
23 103717 Tijah 82,500 2,727 4,000 30,000
24 105650 Imin Supriyanto 86,250 - 4,000 20,000
25 105097 Fitri Indriyani 34,000 - 4,000 30,000
26 098899 Noto Miarjo 48,500 - 4,000 30,000
27 013811 Sri Suharti 18,000 - 2,000
28 105657 Rochadi 85,970 4,543 5,000 12,500
29 105658 Sami 88,550 6,641 3,000 12,500
30 089467 Sulami 15,500 - 3,000 12,500
31 105565 Sawinah 106,000 6,909 5,000 12,500
32 049899 Supeni 15,500 - 3,000 12,500
33 091463 Firza Amelia 171,750 - 4,000 20,000
34 103758 Eka Safitri 25,700 927 3,000 12,500
35 082624 Sarijem 132,325 8,939 4,000 30,000
36 041916 Sukesi 130,000 7,500 4,000 30,000
37 099852 Toni S 113,000 - 9,500
38 099965 Diana Cesar 50,500 - 2,500 9,500
39 089130 Siti Yulianingsih 18,500 - 2,000
40 104971 Sugeng 19,000 - 2,000
41 082479 Musinah 34,000 - 4,000 30,000
42 029922 Laelatul Rosidah 91,100 6,873 3,000 12,500
43 056036 Dwi Susilowati 3,625 330
44 035182 Inah supinah 175,300 12,845 4,000 30,000
45 105500 Mawireja 66,100 2,918 4,000 30,000
46 105197 Kasmi 130,700 8,700 4,000 30,000
47 039862 Moch Seno 88,750 4,977 4,000 30,000
48 100675 Meli Gandi P 34,000 - 4,000 30,000
49 105488 Walijah 190,500 14,136 4,000 30,000
50 039094 Atgiah 109,000 6,818 4,000 30,000
51 105501 Susi 89,000 5,000 4,000 30,000
52 105542 Olvie Lentji 136,300 9,300 4,000 30,000
53 100622 Sukarno 108,575 6,780 4,000 30,000
54 102304 Sobari 156,000 11,000 4,000 30,000
55 105121 Paulus Djiarto 162,700 6,745 4,000 30,000
56 105661 Turyanto 61,000 - 4,000 30,000
57 105503 Sadem 76,400 2,264 4,000 30,000
58 103598 Jasin 270,250 19,432 4,000 30,000
59 105407 Kurniasih 51,500 3,273 3,000 12,500
60 078548 Christina Dewi 16,500 - 2,000
61 102185 Sunarti 32,500 - 2,000
62 103159 Isrofi 18,500 - 2,000
63 105662 Razi Bazir 339,100 - 4,000 20,000 9,500 13,500
64 105663 Sartimah 278,250 22,114 4,000 30,000
65 105398 Muslih 127,500 - 2,500 35,000
66 105670 Hanun 50,500 - 2,500 9,500
67 105627 Stefani 125,000 - 35,000
68 094850 Sainah 127,500 - 2,500 35,000
69 105665 Slamet 127,500 - 2,500 35,000
70 105664 Satini 58,000 - 2,500 9,500
71 073868 Yusman Hadi 110,000 - 30,000
72 105667 Oktarudin Kurniawan 127,750 - 4,000 20,000
73 054803 Sujirah 1,172,005 - 4,000 20,000
74 101261 Sulva Aulia 90,000 5,091 4,000 30,000
75 104157 Quinza 90,000 5,091 4,000 30,000
76 104049 Devita 34,000 - 4,000 30,000
77 097119 Rifai Fatir 34,000 - 4,000 30,000
78 100091 Ristin Ayza 34,000 - 4,000 30,000
79 104830 Naufal 34,000 - 4,000 30,000
80 092806 Farah 34,000 - 4,000 30,000
81 073264 Zulfasah 34,000 - 4,000 30,000
82 104738 Mustanginah 34,000 - 4,000 30,000

6,766,350 - 391,358 1,584,888 - 1,533,692 - 247,000 112,500 220,000 1,346,500 47,000

Jurnal Umum 6,766,350


Kas dari Kassa 6,766,800
Selisih Kas 450

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 18 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

18-Feb-11 1 093077 Yudi Tri Wismadi 9,121 115,826 3,000 12,500


2 007433 Sarijo 5,159 95,750 3,000 12,500
3 006090 Kasianti 7,309 16,000 79,900 3,000 12,500
4 054803 Sujirah - 174,500
5 102707 By Tuti Waningsih - 29,500
6 104922 Salamah - 10,000
7 008787 Sr. Anastasia - 50,250 50,250
8 105673 Sr. Virginia - 57,000 57,000
9 086607 Sr. Giovani - 57,000 57,000
10 Meterai 6,000 - 6,000
11 094887 Widodo 8,000 -
12 049580 Kusmiati 394,100 35,827
13 148758 Sarjono 124,550 11,323
14 Rahmatul Arifin 10,000 - 10,000
15 104738 Mustanginah 55,315 5,029
16 092806 Aniy Widiyawati 14,845 1,350
17 073264 Zulfa Sahl Salam 45,745 4,159
18 105495 Purwanto 104,750 5,432 4,000 30,000
19 0125838 Mad Sukarto 104,750 5,432 4,000 30,000
20 105205 Siran 640,400 53,445 4,000 30,000
21 105486 Kristiana Puspitasari 45,000 - 4,000 30,000
22 097119 Rifai Fathir A 54,100 4,918
23 105535 Sarono 115,250 6,386 4,000 30,000
24 002492 Anton 39,600 3,600
25 101261 Suri Widowati 36,300 3,300
26 148760 Alipah 15,000 1,364
27 000293 Tri Hidayat 13,500 -
28 100356 Mochamad Munasir 105,300 - 4,000 20,000
29 038782 Lutfi Ubaidillah 15,000 1,364
30 105674 Satirah 183,350 - 4,000 25,000
31 055758 Saliyem 100,000 - 4,000 20,000
32 032178 Sumilah 13,500 -
33 040362 Ahmad Sakirin 81,900 6,036 3,000 12,500
34 105679 Sutirah 100,750 7,750 3,000 12,500
35 105682 Iwan Ariyanto 18,500 - 2,000
36 000684 Agus 34,500 -
37 013811 Sri Suharti 18,000 - 2,000
38 105683 Sri Widarti 117,600 - 4,000 36,500
39 105502 Eko Budi 18,000 - 2,000
40 105684 Chendri Riski S 21,500 -
41 096238 Sri Rohwanti 34,000 - 4,000 30,000
42 062806 Tusiyem 18,500 - 2,000
43 073357 Munarja 157,625 10,557 4,000 30,000
44 082049 Elvira Astri 19,500 955 4,000
45 045387 Willy Lumintang 118,400 7,673 4,000 30,000
46 009179 Siti Ngafiah 116,300 9,164 3,000 12,500
47 105532 Dewi Ana Rohayati 102,400 6,218 4,000 30,000
48 105586 Arif Wahyudin 90,500 6,818 3,000 12,500
49 039995 Kusmiatun 159,700 9,200 4,000 30,000
50 016871 Min Sumini 114,500 7,227 4,000 30,000
51 105484 San Kardi 123,000 8,091 4,000 30,000
52 105691 Evi Safila 174,950 14,495 3,000 12,500
53 105408 Waris Wardoyo 84,950 4,541 4,000 30,000
54 092275 Arya Pandita 43,150 2,514 3,000 12,500
55 099358 Mairah 109,050 6,823 4,000 30,000
56 105276 Bambang Isnu 188,300 5,982 4,000 30,000
57 105688 Mustika 58,000 - 2,500 9,500
58 099852 Toni Sugiarto 34,000 - 4,000 30,000
59 087331 San Mureja 64,800 2,709 4,000 30,000
60 105383 Yasa Wikarto 284,400 22,764 4,000 30,000
61 105103 Hasanudin 139,900 9,627 4,000 30,000
62 105689 Satinah 134,965 - 4,000 20,000 13,500
63 105594 Sukarnen 51,000 - 4,000 20,000
64 100418 Warsun 67,000 3,000 4,000 30,000
65 105258 Sandiharjo 82,800 4,345 4,000 30,000
66 105690 Anisa 62,000 - 4,000 20,000
67 105687 Sariman 153,450 - 6,000 20,000
68 105388 Sumirah 134,975 8,180 4,000 30,000
69 105692 Nuryati 74,000 6,727
70 006137 dr. Harnowo 84,500 7,682
71 148764 Awalia 22,200 2,018
72 018461 Sukarti 142,750 9,795 4,000 30,000
73 105678 Harjo 20,000 -
74 104674 Aditya 74,600 6,782
75 105419 Hendri Kuskarel 74,400 - 4,000 20,000
76 105077 Irna Priyani 181,650 8,877 4,000 45,000
77 104013 Risti 79,200 7,200
78 105696 Tarsini 156,000 6,545 4,000 45,000
79 105177 Sumarni 84,000 - 4,000 45,000
80 000890 MM Sri Sugiyarti 84,000 - 4,000 45,000
81 027294 Sri Sudarmi 188,250 9,477 4,000 45,000
82 105280 Sukiyem 241,200 6,518 4,000 45,000 80,000
83 042648 Farida 84,000 - 4,000 45,000
84 105534 Tri Utami 84,000 - 4,000 45,000
85 083500 Yuliana Satri 227,000 13,000 4,000 45,000
86 080620 Napsiyah 223,000 12,636 4,000 45,000
87 064926 Fisita Komaryah 84,000 - 4,000 45,000
88 105692 Muryati 84,000 - 4,000 45,000
89 053470 Ika Isdiyana 84,000 - 4,000 45,000
90 105371 Suparman 71,250 - 4,000 20,000
91 104846 Eka Sulistyarini 9,000 - 4,000
92 062365 Susteran 10,159 111,750
-
8,034,220 - 436,603 717,576 - 244,150 - 237,500 112,500 195,000 1,321,000 93,500

Jurnal Umum 8,034,220


Kas dari Kassa 8,034,400
Selisih Kas 180

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 19 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

19-Feb-11 1 105703 Alfa Regita Putri 4,682 67,000 3,000 12,500


2 096530 Bagus Gendro W 2,516 43,175 3,000 12,500
3 004437 Sugiyanto 14,455 193,000 4,000 30,000
4 072747 Widi Handayani - 178,400 4,000 20,000
5 072513 Atit Yuni Susanti - 10,000 74,350 4,000 20,000
6 017195 Sr. Lucia - 4,000 38,000 4,000 20,000
7 063431 Marsono - 60,000 4,000 20,000
8 083846 Fitriyani - 13,700 88,800 4,000 20,000
9 105680 Suharti - 34,000 4,000 30,000
10 006091 Wiji Suparmi 909 2,000 17,000 4,000
11 148771 Mingan 545 6,000
12 148772 dr. Nrimanto 3,409 37,500
13 004219 Agustina Pratiwi 2,182 24,000
14 054941 Istri Wening 1,909 21,000
15 060461 Sr. Marieta 1,500 8,250 8,250
16 065480 dr. B Suryanto 13,155 28,940 115,760
17 005646 Sri Susilowati 205 450 17,300 3,000 12,500
18 102399 Fr. Roy Sugianto 205 20,813 6,937 3,000 12,500
19 032624 Marsinta Manik 7,000 1,273 43,500 3,000 12,500 10,000
20 058699 Elisabeth Glory 7,000 3,182 43,500 3,000 12,500
21 023495 Sutarsih 9,300 4,227 52,700 3,000 12,500
22 105701 Puguh Wiyono - 64,500
23 105700 Petrus 83,150 - 4,000 20,000
24 096745 Klinik Harapan Bund 137,050 12,459
25 096744 wiwik 16,500 -
26 105699 Wihartati 95,200 - 4,000 20,000
27 096616 Suminah 3,400 309
28 105697 Tri Pujianto 47,900 1,264 4,000 30,000
29 075901 Lasimin 70,500 2,318 4,000 30,000
30 006137 dr. Harnowo 65,000 5,909
31 035889 Sartini 92,400 8,400
32 148768 Aminudin 7,750 705
33 095166 Joko S 13,500 -
34 078604 Aan Linda 8,000 -
35 dr. P Haryadi 106,675 - 106,675
36 000831 Setiawan Hidayat 8,000 -
37 044716 Andewi 165,500 -
38 105667 Oktarudin 165,500 -
39 105618 Miah 18,000 - 2,000
40 059368 Sulistyowati 153,000 -
41 017884 Mingan Kromo 94,500 - 4,000 20,000
42 038480 Gatot Sumarsono 141,000 - 4,000 20,000
43 094323 Sukarti 175,400 10,309 4,000 30,000
44 087251 Supirah 58,500 - 4,000 30,000
45 105662 Razi Basil 44,500 1,727 3,000 12,500
46 097713 Ahmad Faizal 74,000 5,318 3,000 12,500
47 105702 Lorensius Wahyudi 63,600 1,327 3,000 12,500 20,000
48 105053 Rikem 201,350 13,895 4,000 30,000
49 093727 Edi Purwanto 96,290 1,617 3,000 12,500 9,500
50 105422 Mulyati 131,400 8,855 4,000 30,000
51 023626 Sulastri Ichwan 34,000 - 4,000 30,000
52 033340 Isnaeni 39,600 3,600
53 105575 Kaswan 160,500 1,727 3,000 12,500 19,000
54 105680 Suharti 70,500 -
55 148775 yuli 28,800 2,618
56 148774 Fery 12,600 1,145
57 073622 Eni Budi P 25,000 - 2,000
58 105627 Stefani 136,000 9,273 4,000 30,000
59 049474 syukur P 16,500 - 2,000
60 079187 Basriyah 222,000 - 2,500 9,500
61 046050 Sistanto 93,300 - 4,000 20,000
62 000082 Aan Sri Wuryanti 121,500 6,727 4,000 30,000
63 148776 Riyati 21,700 1,973
64 38844 Aspur 40,000 - 8,500
65 105708 Slamet 12,000 -
66 105707 Rafiq 35,500 -
67 105419 Hendri Kuskarel 25,000 - 4,000
68 087831 Septi 69,900 - 4,000 20,000
69 Meterai 18,000 - 18,000
-
3,543,265 - 155,829 816,728 106,675 506,097 - 158,500 112,500 220,000 414,000 30,000

Jurnal Umum 3,543,265


Kas dari Kassa 3,543,400
Selisih Kas 135

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 20 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

20-Feb-11 1 087338 Nita Ratnasari - 30,650


2 084073 Supriyadi - 11,075
3 021054 On On Bernat Irawa 64,500 - 178,700 4,000 20,000
4 Nurahyar 250,000 -
5 060466 Rakyan Kama 70,500 2,000 4,000 30,000 7,500
6 104854 Atsfur Jannah 59,000 2,273 4,000 30,000
7 092029 Farah 8,000 -
8 148777 dr. Harnowo 23,000 2,091
9 166627 Suharti 190,000 -
10 090480 Sudarni 11,550 -
11 038168 Indriana 212,000 - 184,500
12 096268 Ade Yulia 53,500 - 4,000 20,000
13 094739 Saikem 69,000 -
14 148779 Sarjono 122,400 -
15 166630 Sugiarti 13,500 -
16 088672 Azam Fauzan 57,000 - 4,000 20,000
17 038258 Bernadus Nanda 85,400 - 4,000 20,000
18 148778 Amin 4,000 -
19 101538 Mami Sumarni 70,000 -
20 038168 Indriyana 57,500 -
21 100646 Lia Maratus 39,600 -
22 032648 Aminudin 19,200 -
23 148784 Yuli 9,150 -
24 105718 Napsiyah 137,025 - 4,000 20,000
25 031795 Gama Traya Aktifa 225,025 - 4,000 20,000 13,500
26 105720 Samirat 83,950 - 4,000 20,000 7,000
27 094142 Agus Sutardi 147,150 - 4,000 25,000
28 000918 Dwi Ernawati 64,500 -
29 092247 Lutfi Aziz 77,550 - 4,000 20,000
-
2,224,000 - 6,364 220,425 184,500 - - 44,000 - 185,000 60,000 28,000

Jurnal Umum 2,224,000


Kas dari Kassa 2,224,300
Selisih Kas 300

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 21 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

21-Feb-11 1 104209 Nur Arif - 71,075 4,000 20,000


2 001022 Yuli Gestati - 15,900 97,600 4,000 20,000
3 006579 Sunarto 8,100 123,100 4,000 30,000
4 029630 Inawati,dr. - 13,400 72,100 2,500 10,500
5 011106 Wasri 545 6,000
6 011136 Yosepha Iswidya 4,000 364
7 098981 Wirayudha A 591 6,500
8 Sri Sukengsi 106,700 - 106,700
9 Pengobatan Karyaw 1,703,000 - 1,703,000
10 105728 MikaYuditara 148,950 - 4,000 20,000
11 105726 Novita Soraya 123,690 - 4,000 20,000 8,000
12 105721 Novanto Fauzi 67,740 - 4,000 20,000
13 094265 Marsum Sumarjo 116,820 - 4,000 20,000
14 070881 Nani Suryani 130,875 - 4,000 20,000
15 070090 Mad Mulya 34,300 -
16 083842 Wahyu Dwi Antoro 10,500 955
17 016928 Sarjono 75,050 6,823
18 063102 Titi Suwarni 74,675 -
19 008949 Suniah 11,140 -
20 105274 Sudarno 15,000 -
21 079594 Lihar Panto Aji 45,500 -
22 105740 Marjuki 58,000 - 2,500 9,500
23 052217 Eli Setyo Prabowo 133,300 10,709 3,000 12,500
24 105723 By Chomsatun 56,000 5,091
25 070870 Sunarsih 19,000 909 4,000
26 105520 Murtinah 20,000 - 4,000
27 105737 Edi Wasino 112,310 8,710 3,000 12,500
28 044690 Karto Diharjo 81,970 5,952 3,000 12,500
29 089846 Waginah 18,500 - 2,000
30 102995 Fabriza 16,500 - 2,000
31 104590 Yuliyanti 82,750 4,432 4,000 30,000
32 105736 Suratman 34,000 - 4,000 30,000
33 087251 Supirah 58,500 - 4,000 30,000
34 105735 Muslikhudin 218,800 11,573 4,000 30,000
35 083411 Sodiyah 85,000 4,636 4,000 30,000
36 105640 Sunarti 54,750 2,659 3,000 12,500
37 076305 Amanda Fika 50,500 - 2,500 9,500
38 105739 Rasini 156,250 7,923 4,000 36,500
39 104400 Dwi Priyanti 58,000 - 2,500 9,500
40 068289 Caecilia 154,600 7,773 4,000 36,500
41 094317 Sri Harjani 92,300 6,982 3,000 12,500
42 075464 Nur Khusnul Kotima 92,801 7,027 3,000 12,500
43 064623 RS Purwogondo 51,000 -
44 105734 Sumirah Hasanto 219,550 10,450 4,000 36,500
45 105738 Tisman 180,100 9,782 3,000 12,500
46 079019 Valencia Felix 66,100 4,600 3,000 12,500
47 078092 Sumiyati 168,072 13,779 3,000 12,500
48 105570 Aldi Firmansyah 54,796 3,572 3,000 12,500
49 085411 Maryono 240,500 18,682 4,000 30,000
50 071221 Eka Maryati 188,200 14,018 4,000 30,000
51 074335 Wasini 97,700 7,473 3,000 12,500
52 081596 Sakinem 145,500 7,364 4,000 30,000
53 105674 Satirah 82,025 4,366 4,000 30,000
54 095025 Sukarni 156,275 11,116 4,000 30,000
55 095616 Rasimah 132,000 5,773 4,000 30,000
56 Anif Setiawan 10,000 - 10,000
57 105014 Marsiyem 41,500 682 4,000 30,000
58 066413 Widi Prihantoro 66,000 2,909 4,000 30,000
59 053975 Sarijan 34,000 - 4,000 30,000
60 105485 Sukarmin 107,500 6,682 4,000 30,000
61 062043 Eli Yuniarti 81,000 4,273 4,000 30,000
62 080254 Sapen 56,000 2,000 4,000 30,000
63 102128 Suhartini 91,750 4,023 4,000 30,000
64 101150 Sugiyanto 68,500 - 4,000 30,000
65 030526 Ika Purwantiningsih 12,950 1,177
66 050544 Darsini 75,248 - 4,000 20,000
67 044310 Agustina 8,000 727
-
6,756,037 - 235,200 112,875 1,809,700 292,800 - 179,000 137,500 170,000 748,500 8,000

Jurnal Umum 6,756,037


Kas dari Kassa 6,756,500
Selisih Kas 463

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 22 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

22-Feb-11 1 100096 Wuri Hidayah 7,818 120,000 4,000 30,000


2 058345 Sr. Vincentia 7,982 43,900 77,900 4,000 30,000
3 046357 Sawiyem 3,245 70,700 4,000 30,000
4 004545 Ponimin 5,045 21,500 101,500 3,000 12,500
5 003400 Sr. Veronika 7,227 39,750 39,750
6 005747 Evita Maria - 13,500
7 088896 Saroji 106,540 6,595 4,000 20,000
8 104081 Faozahtus Salamah 61,000 - 4,000 50,000
9 009839 Cipto Utomo 16,100 1,464
10 077761 Suyatmarja 81,000 4,273 4,000 30,000
11 103185 Saikem 34,000 - 4,000 30,000
12 105278 Gus Alif Akmal 34,000 - 4,000 30,000
13 060956 Sukiyem 534,500 43,818 4,000 30,000
14 105573 Sunardi 45,000 - 4,000 30,000
15 062806 Tusiyam 18,500 - 2,000
16 102995 Fabrizio Gustav 16,500 - 2,000
17 084106 Lusiana Anggraeni 47,500 -
18 105756 Eni Nur Karomah 58,000 - 2,500 9,500
19 087251 Supirah 16,000 - 3,000
20 105753 Ruminah 51,500 - 4,000 20,000
21 054224 Hartati 86,300 - 4,000 20,000
22 031363 Harti 134,750 10,750 3,000 12,500
23 096934 Sukirman 114,140 8,876 3,000 12,500
24 105754 Hilman 123,000 9,773 3,000 12,500
25 105764 Doho 127,500 - 2,500 35,000
26 100037 Samini 132,950 8,905 4,000 30,000
27 062043 Eli Yuniarti 125,000 - 35,000
28 104558 Tofik Bayu 184,100 11,373 6,000 30,000
29 032406 Endah Nur 78,250 4,023 4,000 30,000
30 082062 Sukamto 127,500 - 2,500 35,000
31 057973 Sakimin 55,800 1,982 4,000 30,000
32 148790 dr. Harnowo 11,000 1,000
33 008347 Tukijah 34,000 - 4,000 30,000
34 105765 Sudi 112,850 3,977 4,000 36,500
35 105689 Satinah 74,200 4,427 3,000 12,500
36 014437 Prio N 10,000 - 2,000
37 105502 Eko Budi 18,000 - 2,000
38 Tri Darmadi 320,000 - 50,000
39 073622 Eni Budi 25,000 - 2,000
40 105589 Wartinah 63,250 2,659 4,000 30,000
41 105760 Khomsiyani 155,300 11,027 4,000 30,000
42 105759 Suparti 148,650 7,232 4,000 36,500
43 105766 Slamet 17,600 191 3,000 12,500
44 051811 Sunaryo 122,350 4,841 4,000 36,500
45 105155 Saminem 197,650 13,559 4,000 30,000
46 023689 Waginem 212,700 16,155 4,000 30,000
47 038233 Subandi 107,500 - 4,000 30,000
48 098638 Suminah 169,000 12,273 4,000 30,000
49 087545 Yatinah 94,250 5,386 4,000 30,000
50 105762 Kasih 223,750 7,295 3,000 12,500 18,000
51 105625 Siti Asiyah 178,200 13,018 4,000 30,000
52 105763 Poningsih 19,500 955 4,000
53 105032 Katini 19,500 955 4,000
54 080915 Suminah 43,000 - 4,000 30,000
55 095783 Suripto 102,500 6,227 4,000 30,000
56 105761 Agus Trimono 95,425 2,720 3,000 12,500 8,500
57 105383 Yasa Wikarto 298,300 23,936 4,000 30,000
58 090899 Mutmainah 34,000 - 4,000 30,000
59 105662 Razi Basil 35,200 882 3,000 12,500
60 105758 Satria Afgani 55,500 - 3,000 12,500 8,500
61 105757 Puji Wigati 121,045 8,368 3,000 12,500
62 Meterai 6,000 - 6,000
-
5,534,650 - 290,232 238,650 - 289,850 - 247,500 137,500 60,000 1,059,000 -

Jurnal Umum 5,534,650


Kas dari Kassa 5,535,200
Selisih Kas 550

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 23 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

23-Feb-11 1 105463 Meiliviana Senja T 2,591 112,500 4,000 45,000


2 005934 Titi Lestari 7,455 16,400 81,100 3,000 12,500
3 105781 Suyatno 4,068 110,250 3,000 12,500 8,500
4 003061 Umi Wadingah 7,300 17,000 93,300 5,000 12,500
5 032648 Aminudin 455 5,000
6 055480 dr. B Suryanto 2,150 23,650
7 070944 Rm. FX Yitno Puspo 201,177 2,212,950
8 001024 Tri gunarti 3,209 35,300
9 082396 Dwi Wahyu Setya 182 2,000
10 105214 Tugirah - 82,025 4,000 30,000
11 105774 Icun Samsiar - 213,680 4,000 20,000 8,500
12 102856 Fr. Marfel 6,932 82,688 27,562 4,000 20,000
13 dr. Lilik Karsono 204,700 - 204,700
14 Wiwit 162,200 - 162,200
15 Rini 132,500 - 132,500
16 105700 Petrus Purnomo 94,150 - 4,000 20,000
17 086028 Tunggul Jalu 66,125 - 4,000 20,000
18 083913 Susi Windarti 135,650 7,559 4,000 30,000
19 105506 Moh Jaelani 87,000 3,136 4,000 30,000
20 105429 Ahmad Suwito 112,250 5,432 4,000 30,000
21 105546 Suwarni 121,535 6,640 4,000 30,000
22 105768 Rio Anjas 68,000 - 4,000 20,000
23 098805 Khawa Kwa King 34,000 -
24 054235 Arif Efendi 13,500 -
25 102995 Fabrizio E 16,500 - 2,000
26 105778 Ngatiyem 6,500 -
27 087251 Supirah 13,000 - 3,000
28 105292 Moh Mansur 66,350 2,941 4,000 30,000
29 105594 Sukarnen 33,650 741 3,000 12,500
30 105618 Miah 18,000 - 2,000
31 093757 Tony A 18,500 - 2,000
32 105653 Mariti 79,000 6,364 4,000
33 103159 Isrofi 18,500 - 2,000
34 042388 Sudilah 107,970 3,997 4,000 30,000 30,000
35 105776 Kasbani 182,705 10,700 4,000 30,000 30,000
36 028202 Darminah 55,900 1,900 4,000 30,000
37 041130 Walyono 102,000 4,955 4,000 30,000
38 071986 Monika Sumini 207,500 15,773 4,000 30,000
39 105547 Sularti 124,600 8,145 4,000 30,000
40 075264 Saminah 226,975 17,452 4,000 30,000
41 105787 Mulyati 105,115 - 4,000 20,000 8,500
42 080451 Mahmudin 71,460 - 4,000 20,000
43 074313 Yatiyah 231,150 17,832 4,000 30,000
44 032352 Waginah 85,650 4,605 4,000 30,000
45 039048 Marta Sentana 184,850 13,623 4,000 30,000
46 076777 Jumirah 130,100 10,418 3,000 12,500
47 105526 Fitriyah 171,500 10,000 4,000 30,000
48 088302 Puji Saryani 169,500 7,773 4,000 45,000
49 103185 Salikem 163,000 - 9,500
50 105520 Murtinah 165,750 10,977 4,000 30,000
51 104514 Ainiyah 48,250 1,295 4,000 30,000
52 082309 Septi Wahyuningrum 138,600 9,509 4,000 30,000
53 056288 Kamsiyatun 39,600 3,600
54 166764 Ely 132,500 -
55 105772 Putri Hilda W 108,600 6,782 4,000 30,000
56 004622 Basuki Dwijo 111,149 7,014 4,000 30,000
57 101630 Nurbeti 162,000 7,091 4,000 45,000
58 105789 Warso 102,500 5,000 4,000 30,000
59 105197 Kasmi 104,550 6,323 4,000 30,000
60 053318 Ramen 95,500 5,591 4,000 30,000
61 062043 Eli Yuniarti 204,250 15,477 4,000 30,000
62 105604 Kidem 112,225 7,111 4,000 30,000
63 105622 Parsiyah 154,800 10,982 4,000 30,000
64 059245 Sri Pujiati 205,400 15,491 4,000 30,000
65 098776 Novanti Wulandari 129,250 8,659 4,000 30,000
66 105797 Asih 73,600 3,600 4,000 30,000
67 104636 Sukinah 39,600 3,600
68 105777 Haniah Ulfa 116,600 7,509 4,000 30,000
69 001802 Rini 39,600 3,600
70 066772 Salikem 106,600 6,600 4,000 30,000
71 029504 Tri Erna W 39,600 3,600
72 105767 Inah Aryati 16,500 1,500
73 104634 Jumiati 39,600 3,600
74 088744 Ricky Veranata 39,600 3,600
75 074551 Jimmy Alexander 201,350 10,668 4,000 30,000 50,000
76 047873 Kusumaningtyas 39,600 3,600
77 105800 Sarijo 107,700 - 4,000 20,000
78 097787 Ponasih 39,600 3,600
79 103803 Eli Yuliani 39,600 3,600
80 105680 Suharti 59,500 1,636 4,000 30,000
81 105223 Ismiyatun 93,900 8,536
82 096138 Sunarsih 43,890 3,990
83 105762 Kasih 34,000 - 4,000 30,000
84 097366 Ngatiyah 212,000 16,182 4,000 30,000
85 072521 Eni Rosita 89,000 5,000 4,000 30,000
86 105810 Dwi Septiawan 59,200 - 4,000 20,000
87 081174 Tyas Asri T 34,000 - 4,000 30,000
88 105808 Wagiyah 34,000 - 4,000 30,000
89 017037 Turiyah 86,000 4,727 4,000 30,000
90 103717 Tijah 75,000 2,727 4,000 30,000
91 092118 Sri Sukesti 126,100 8,373 4,000 30,000
92 104822 Tegar Zahru 200,700 15,155 4,000 30,000
93 105796 Ajeng Resti 108,600 6,782 4,000 30,000
94 105801 Saijem 73,600 3,600 4,000 30,000
95 105803 Puji Astuti 73,600 3,600 4,000 30,000
96 105804 Diah Rusiani 73,600 3,600 4,000 30,000
97 105802 Jumi Suliasih 142,600 9,873 4,000 30,000
98 105805 Fenti Nugraheni 34,000 - 4,000 30,000
99 104242 Wanda Septiana 86,500 4,773 4,000 30,000
100 105799 Theresia Yesi 126,100 8,373 4,000 30,000
101 105792 Faezol 249,850 19,623 4,000 30,000
102 105795 Rizal Rizki 108,600 6,782 4,000 30,000
103 105785 Elis Susanti 200,700 15,155 4,000 30,000
104 105788 Sriyati 138,600 9,509 4,000 30,000
105 089737 Saliyah 112,000 5,864 4,000 30,000
106 105783 Handasah 108,600 6,782 4,000 30,000
107 104822 Tegar Zahru 200,700 15,155 4,000 30,000
108 105784 Tiara Vanesa 100,526 6,048 4,000 30,000
109 105791 Wasim 140,000 9,636 4,000 30,000
110 105806 Andini 153,449 10,859 4,000 30,000
111 105779 Ahmad Kusybi 114,000 7,273 4,000 30,000
112 092065 Dewi Suryani 84,000 - 4,000 45,000
113 105798 Ely Lesmanawati 84,000 - 4,000 45,000
114 105070 Milatiyah 34,000 - 4,000 30,000
115 102917 Desi Puspita 84,000 - 4,000 45,000
116 104106 Dina 45,000 - 4,000 30,000
117 105767 Inah Aryati 34,000 - 4,000 30,000
118 104012 Kusmiati 84,000 - 4,000 45,000
119 037318 Ismiarsih 44,500 955 4,000 30,000
120 104517 Zikra Akmalia 34,000 - 4,000 30,000
121 099029 Syarafi Azhar 90,000 5,091 4,000 30,000
122 105045 Priskila 90,000 5,091 4,000 30,000
123 102874 Dita Ratri 90,000 5,091 4,000 30,000
124 099596 Ricardo 38,500 409 4,000 30,000
125 091278 Meiza Keiki 91,350 5,214 4,000 30,000
126 101704 Naresya 34,000 - 4,000 30,000
127 096198 Dea Firda 34,000 - 4,000 30,000
128 104677 Hasna Aulia 34,000 - 4,000 30,000
129 090458 Restanti 34,000 - 4,000 30,000
130 104830 Naufal Abinaya 90,000 5,091 4,000 30,000
131 104732 Savana 78,700 4,064 4,000 30,000
132 092846 Ichiro Asraf 46,950 1,177 4,000 30,000
133 096138 Diana Alfredo 34,000 - 4,000 30,000
134 103748 Akbar Dwi 90,000 5,091 4,000 30,000
135 148805 Alipah 15,000 1,364
136 105642 Tri Maningsih 524,250 6,114 7,000 30,000 250,000
137 148804 Nana 5,500 500
138 105581 Bondhan Surya 64,440 5,858
139 105170 Nenti Kusuma 39,600 3,600
140 022524 dr. Nrimanto 143,500 13,045
141 062401 Tri Murtiningsih 39,600 3,600
142 062232 Tyas Satria 39,600 3,600
143 056001 Kun Marfuah 39,600 3,600
144 104675 Kustiyah 39,600 3,600
145 100905 William 74,600 6,782
146 079192 Selli Febriani 34,000 - 4,000 20,000
147 093239 Herni Widyawati 39,600 3,600
148 074632 Ambar Ari Asih 79,200 7,200
149 017940 Sarni 66,600 6,055
150 082330 Wening Widiasih 79,200 7,200
151 102565 Parsini 39,600 3,600
152 067762 Sudarmi 39,600 3,600
153 087263 Pingah 39,600 3,600
154 031364 Darsih 39,600 3,600
155 096861 Rinda Widiyana 39,600 3,600
156 067594 Linda Sri Puji 39,600 3,600
157 097381 Prisca Widya 74,600 6,782
158 100789 Siti Nur Hasanah 114,200 10,382
159 105182 Martati 74,600 6,782
160 103079 Runti Bela 39,600 3,600
161 097958 Siti Rejeki 79,200 7,200
162 057720 Nurul Endarti 39,600 3,600
163 015646 Daryani 305,000 27,727
164 090458 Jesika Renata 44,250 4,023
165 105775 Bondhan Siswanto 744,230 - 4,000 20,000 13,500
166 105780 Basuki 185,000 -
-
14,933,344 - 999,379 700,493 499,400 2,414,912 - 439,000 62,500 220,000 2,823,000 390,500

Jurnal Umum 14,933,344


Kas dari Kassa 14,934,500
Selisih Kas 1,156

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 24 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

24-Feb-11 1 105581 Bondhan surya 34,000 - 4,000 30,000


2 104822 Tegar Zahru 200,700 (15,155) (4,000) (30,000)
3 090151 Nathania Aura Cinta 1,732 53,050 4,000 30,000
4 071403 Waginah 1,182 13,000
5 069868 Leny Sulistiowati 659 7,250
6 004219 Agustina Pratiwi 3,600 39,600
7 061200 Catur aiwa U 2,182 24,000
8 055480 dr. B Suryanto 2,845 31,300
9 005980 Chatarina Sri W 15,250 33,600 168,150 4,000 30,000
10 056267 Raditya Akbar 1,273 2,800 45,200 4,000 30,000
11 102369 Wina Indriyani 5,111 90,226 4,000 30,000
12 099467 Demetrius Tristan W 409 38,500 4,000 30,000
13 013119 Nofika Tri L 11,700 32,800 179,900 4,000 45,000
14 029630 dr. Inawati - 34,000 4,000 30,000
15 099541 Ferenza Effa F - 34,000 4,000 30,000
16 099289 Lutfina Elya R - 34,000 4,000 30,000
17 105224 Ismiyatun - 34,000 4,000 30,000
18 105819 Suratin - 246,900 4,000 20,000 7,000
19 087213 Turnip - 104,700 4,000 20,000
20 062999 Tegar Dwi P 108,600 6,782 4,000 30,000
21 062486 Kartinah 18,000 818 4,000
22 087251 Supirah 16,000 - 3,000
23 008343 Sintawati 87,000 -
24 031795 Gama Traya 16,000 - 3,000
25 103200 Irwanto 13,500 -
26 097366 Ngatiyah 83,000 - 10,500
27 047873 Kusumaningtyas 27,500 -
28 105818 Keyza 50,500 - 2,500 9,500
29 102995 Fabrizio 16,500 - 2,000
30 105407 Kurniasih 45,800 2,755 3,000 12,500
31 103598 Jasin 122,300 5,982 4,000 30,000
32 053422 Tan Tjan Yan 21,000 - 2,000
33 105821 Noval Fahri 135,000 - 2,500 9,500
34 076286 Sadiyem 170,800 8,391 3,000 12,500 9,500
35 Darsinah 25,000 - 25,000
36 CV Rama 1,020,300 - 1,020,300
37 Meterai 6,000 - 6,000
38 097172 Teguh Wiyono 44,550 2,641 3,000 12,500
39 105718 Napsiyah 70,050 3,732 3,000 12,500
40 067606 Hadi Winoto 119,050 9,323 3,000 12,500
41 042027 Suri Putri P 39,600 3,600
42 016027 Winarsih 123,750 8,159 4,000 30,000
43 063102 Titi Suwarni 34,000 - 4,000 30,000
44 104876 Tuminah 130,600 8,782 4,000 30,000
45 033137 Poniyah 166,325 9,348 4,000 30,000
46 028735 Sumaryono 70,300 3,300 4,000 30,000
47 105822 Sugeng Priyono 209,926 17,675 3,000 12,500
48 096959 Ponidi 109,750 6,886 4,000 30,000
49 098935 Nining Setyaningsih 143,500 - 4,000 20,000
50 081596 Sakinem 45,500 -
51 102820 Mastur 203,500 15,409 4,000 30,000
52 089152 Leni Runawang 216,550 14,095 4,000 30,000
53 104879 Raden Sunardi 18,750 295 3,000 12,500
54 070043 Yusup Cahyono 95,665 2,788 4,000 30,000 30,000
55 078026 Marmin San M 139,275 9,480 4,000 30,000
56 105825 Nur Laeliya 99,000 -
57 095616 Rasiman 125,000 - 35,000
58 035893 Kusmiyati 25,400 2,309
59 105587 Aziz Diara 76,000 3,818 4,000 30,000
60 105827 Alvino Raditia 79,300 4,118 4,000 30,000
61 101528 Fani Ramadhani 133,680 9,062 4,000 30,000
62 091952 Naftan 80,450 4,223 4,000 30,000
63 103103 Almira Yasmin 34,000 - 4,000 30,000
64 105225 Ismiyatun II 90,000 5,091 4,000 30,000
65 105828 Turimin 64,000 - 4,000 20,000
66 105205 Siran 632,215 52,156 4,000 40,000
-
5,436,486 200,700 251,806 785,726 1,045,300 461,250 - 178,000 87,500 80,000 969,000 37,000

Jurnal Umum 5,235,786


Kas dari Kassa 5,236,100
Selisih Kas 314

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 25 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

25-Feb-11 1 027235 Marsiti - 84,000 4,000 45,000


2 063794 Ardama Nur R 7,723 17,000 101,950 4,000 30,000
3 085298 Cunduk Astuti 2,727 6,000 33,000 4,000
4 067827 Sariyanti 330 3,625
5 070944 Rm. FX Yitno Puspo - 52,100 4,000 20,000
6 005976 Alipah 2,000 - 41,600 4,000 20,000
7 066413 Widi Prihartono 82,000 2,909 8,500
8 105719 Widi Agung N 89,000 5,000 4,000 30,000
9 064215 Susanto W 70,500 -
10 105778 Ngatinem 6,500 -
11 070214 Laras Putri 6,500 -
12 075096 Agus Dwi N 10,500 955
13 102995 Fabrizio 16,500 - 2,000
14 105841 Subur Makmur 25,000 - 5,000
15 105845 Nanang 25,000 - 5,000
16 105839 Tri Mulyo 25,000 - 5,000
17 105837 Rohmat 25,000 - 5,000
18 105836 Kriswan 25,000 - 5,000
19 105834 Khossin 25,000 - 5,000
20 105832 Dami Yatno 25,000 - 5,000
21 105835 Bangkit s 25,000 - 5,000
22 105031 Endri Prabowo 25,000 - 5,000
23 105840 M Arif 25,000 - 5,000
24 105833 Puji Haryanto 25,000 - 5,000
25 105843 Candra 25,000 - 5,000
26 105844 Istianto 25,000 - 5,000
27 105838 Budi Hartanto 25,000 - 5,000
28 105842 Lukman 25,000 - 5,000
29 000084 Agus Setiawan 48,500 -
30 105700 Petrus Purnomo 50,000 - 8,500
31 090586 San Dikrama 101,095 7,690 3,000 12,500
32 105846 Sudiarti 94,250 - 4,000 20,000
33 105662 Razi Basil 58,200 2,973 3,000 12,500
34 105848 Ratim 65,350 1,486 3,000 12,500 20,000
35 087251 Supirah 62,000 - 4,000 30,000
36 105207 Sofiatun 85,000 - 2,000 10,500
37 105502 Eko Budi 18,000 - 2,000
38 148812 dr. Harnowo 12,000 1,091
39 102494 Srini Hastuti 70,500 5,000 3,000 12,500
40 059325 Rigi Siti Maryam 112,000 7,000 4,000 30,000
41 105594 Sukarnen 79,550 2,777 4,000 20,000
42 Fitri Andriyani 20,000 - 20,000
43 105668 Untung Raharjo 116,955 5,950 4,000 30,000
44 095616 Rasimah 97,500 3,955 4,000 30,000
45 081221 Eka Maryati 128,500 8,591 4,000 30,000
46 031795 Gama Traya A 43,500 1,636 3,000 12,500
47 023375 Warsinah 71,000 3,273 4,000 30,000
48 105103 Hasanudin 198,500 9,909 4,000 39,500
49 062738 Sajem 47,500 - 4,000 30,000
50 030763 Nadia R 12,000 -
51 040200 Yohanes Is Suharsa 116,700 6,291 4,000 30,000
52 092375 Yusup 118,600 7,691 4,000 30,000
53 105339 Kimbiyono 64,100 - 4,000 20,000
54 105284 Pujiah 34,000 - 4,000 30,000
55 040636 Suparmin 51,250 1,568 4,000 30,000
56 039995 Kusmiatun 72,500 955 4,000 30,000
57 094323 Sukarti 150,750 8,068 4,000 30,000
58 105705 Lis Sugiarti 164,600 11,873 4,000 30,000
59 074856 Suti Umiyati 13,500 -
60 031464 Tuminem 82,850 4,350 4,000 30,000
61 037360 Suprapti 140,150 2,241 3,000 12,500 100,000
62 105514 Sulastri 217,500 12,136 4,000 45,000
63 063616 Siti Jamzanah 196,500 10,227 4,000 45,000
64 035936 Yehu Paula 233,000 13,545 4,000 45,000
65 105681 Rista Agustina 180,000 8,727 4,000 45,000
66 105853 Istingatin 84,000 - 4,000 45,000
67 105852 Kasriyani 84,000 - 4,000 45,000
68 105696 Tarsini 84,000 - 4,000 45,000
69 105851 Diah Restisari 84,000 - 4,000 45,000
70 105590 Lia Kusmawati 155,750 10,159 4,000 30,000
71 148815 Amin 8,400 764
72 105748 Siti Habibah 12,000 -
73 105850 Eko Supriyanto 12,000 -
74 105520 Murtinah 45,000 - 4,000 30,000
75 042648 Farida Agustin 84,000 - 4,000 45,000
76 027235 Marsini 108,750 9,886
77 100694 Yohana Trisnawati 84,000 - 4,000 45,000
78 016928 Sarjono 45,500 4,136
79 043293 Sutarman 60,000 1,364 4,000 30,000
80 050293 Widarti 48,250 4,386
81 101827 Esti Y 13,000 -
82 012398 Fitri Kusmiati 34,000 - 4,000 20,000
83 092693 Pramudya Irawan 118,950 7,723 4,000 30,000
-
5,252,000 - 207,066 110,625 - 228,650 - 184,000 50,000 120,000 1,312,000 120,000

Jurnal Umum 5,252,000


Kas dari Kassa 5,252,400
Selisih Kas 400

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 26 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

26-Feb-11 1 004988 Wagiyarti 84,000 - 4,000 45,000


2 093458 Kurnia Sulistya D 3,932 58,750 3,000 12,500
3 083500 Yuliana Satri W - 84,000 4,000 45,000
4 004581 Sr. Yohani 43,545 166,370 723,230 4,000 46,000
5 105862 Marsinah 1,682 34,000 3,000 12,500
6 105819 Suratin - 25,500 3,000 12,500
7 017195 Sr. Lucia 182 1,000 16,500 3,000 12,500
8 025234 Sr. Clara 182 1,000 16,500 3,000 12,500
9 005646 Sri Susilowati 182 2,400 35,100 3,000 12,500 20,000
10 105849 Sr. Avilla 336 21,850 67,350 3,000 12,500 40,000
11 006090 Kasianti 336 7,000 72,200 3,000 12,500 25,000
12 003061 Umi Wadingah 19,000 - 19,000
13 011136 Yosepha Iswidya 3,905 42,950
14 055480 dr. B Suryanto 2,923 32,150
15 022524 dr. Nrimanto 4,182 46,000
16 060461 Sr. Marieta 9,150 50,325 50,325
17 061812 Sri Sukarmi - 39,500
18 067530 Fred Patikaret 68,200 - 4,000 20,000
19 045583 Gatot Samudra 87,000 - 4,000 20,000
20 105859 Petrus Warsono 101,650 - 4,000 20,000
21 105858 Minggriana 20,000 -
22 105618 Miah 18,000 - 2,000
23 078663 Wiyanto 10,000 - 2,000
24 104461 Disun 25,000 - 2,000
25 064623 Hudoyo 90,000 -
26 064623 Umar Nasis 90,000 -
27 079140 dr. Haryadi 4,300 391
28 021020 Thio Min Tjen 76,500 -
29 042811 Veronika 29,500 -
30 087251 Supirah 13,000 - 3,000
31 105865 Rehan 16,500 - 2,000
32 105864 Susanto 87,000 -
33 019426 Suparmi 207,100 14,509 4,000 30,000
34 105758 Satria Algani 15,500 - 3,000 12,500
35 089854 Mad Daspar 74,100 5,236 3,000 12,500
36 103684 Kurningsih 57,000 3,773 3,000 12,500
37 071395 Febri Santoso 101,026 6,866 3,000 12,500
38 105666 Yatiman 279,700 22,245 4,000 30,000
39 052052 Yuni W 17,500 -
40 053422 Tan Tjeng Jan 21,000 - 2,000
41 105863 Hadi Suwito 169,000 12,273 4,000 30,000
42 049671 Sandi Karto 118,825 7,620 4,000 30,000
43 086337 Prianto 125,500 7,636 4,000 30,000
44 105575 Kaswan 207,600 15,645 3,000 22,500
45 105868 Moh Sofwan 65,500 4,545 3,000 12,500
46 087423 Kainah 96,550 5,595 4,000 30,000
47 019833 Ika Nindya Irianti 223,325 5,211 3,000 12,500
48 029876 Sutati 64,500 -
49 105867 Iwan Safingi 200,200 8,427 4,000 30,000
50 085926 Gabriel Susrianto 64,500 -
51 105787 Mulyati 54,200 1,700 3,000 22,500
52 061503 Ponimin 104,000 4,773 4,000 30,000
53 073622 Eni Budi 25,000 - 2,000
54 105866 Ido Suyono 100,000 -
55 090480 Sudarni 206,800 18,800
56 061862 Jenny 39,600 3,600
57 105870 Yatinem 183,700 7,918 4,000 36,500
58 105872 Adminem 148,520 - 4,000 20,000
59 17659 Syukur P 16,500 - 2,000
60 102767 Sariman 168,400 12,218 4,000 30,000
61 092795 Giovani 85,000 4,636 4,000 30,000
62 101371 Rasya Artanti 75,050 3,732 4,000 30,000
63 075464 Nur Khusnul K 50,500 1,500 4,000 30,000
64 097172 Teguh Wiyono 66,750 2,977 4,000 30,000
65 104402 Ariadi 41,500 - 4,000 30,000
66 105506 Moh Jaelani 67,250 1,341 4,000 30,000
67 074289 Panji Nugroho 65,750 5,977
68 148821 dr. Lucy 22,000 2,000
69 026283 Satiyem 210,650 - 4,000 20,000 20,000
70 67310 Murni 19,500 955 4,000
71 102995 Fabrizio 34,000 - 4,000 30,000
72 074289 Pami Nugroho 34,000 - 4,000 30,000
73 103103 Almira 34,000 - 4,000 30,000
-
4,800,746 - 262,639 612,795 19,000 981,205 - 177,000 157,500 100,000 795,000 85,000

Jurnal Umum 4,800,746


Kas dari Kassa 4,800,600
Selisih Kas (146)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 27 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

27-Feb-11 1 100544 Lusia Ary Nugraheni - 63,250 4,000 20,000


2 073121 Rovina Bunga C 6,436 14,200 90,600 4,000 30,000
3 013119 Nofika Tri L - 34,000 4,000 30,000
4 103651 Siti Sofiati - 100,750 4,000 20,000
5 148827 Sr. Yohani 3,136 17,250 17,250
6 001823 Sr. Bernada - 39,000
7 105880 Galih Puji Saputro 121,830 - 4,000 20,000 13,500
8 067827 Sariyanti 5,425 493
9 148828 Umi 2,500 227
10 105877 Mad Supyan 149,575 - 4,000 20,000 13,500
11 069843 Muntarni 43,000 - 4,000 20,000
12 148820 San Wikrama 4,800 436
13 038646 Suparni 136,700 - 4,000 20,000
14 038295 Anas Mustakim 139,700 - 4,000 20,000
15 092118 Sri Sukesti 173,450 - 4,000 20,000
16 092118 Sino 24,500 2,227
17 031795 Gama Traya 46,500 - 4,000 20,000 5,000
18 073175 Pasien Luar 65,500 -
19 105891 Sri Hati 97,500 - 4,000 20,000
20 038782 Lutfi Ubaidillah 18,000 -
21 105893 Bagus David Maulan 283,900 - 4,000 20,000
-
1,312,880 - 12,957 195,450 - 180,850 - 52,000 - 220,000 60,000 32,000

Jurnal Umum 1,312,880


Kas dari Kassa 1,313,000
Selisih Kas 120

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 28 PEBRUARI 2011

Tgl. No. No. Nota Nama Kas Utang Piutang Subsidi Pasien Pemeriksaan Dokter Tind.
Adm.
No. RM. Debet Kredit PPn Debet Kredit Debet Kredit PU IGD Sps Dokter

28-Feb-11 1 099715 Atmadeva Aghali 22,500 - 98,750 4,000 20,000


2 104146 Mikael Henata RS 7,000 1,955 30,000 3,000 12,500
3 088728 Yanuardy Ikhsan P 3,759 8,300 48,550 3,000 12,500
4 006090 Kasianti 15,241 33,600 168,050 4,000 30,000
5 148841 Sr. Marieta 2,000 11,000 11,000
6 074713 Prima Forta A - 2,300 43,050 4,000 20,000
7 024910 Budi Setyanto - 87,072 4,000 20,000
8 Pengobatan Suster 179,200 - 179,200
9 105897 Juni Sukani 51,250 - 4,000 20,000
10 148834 Deni 8,100 736
11 008282 Sanasmad 16,400 1,491
12 005068 Kiem Mei Lan 34,000 -
13 083028 Erlina 6,500 -
14 066123 Nibras Aska 143,750 - 4,000 20,000
15 066113 Bustari 93,190 - 4,000 20,000 7,000
16 091537 Purwati 13,500 -
17 064623 RS Purwogondo 26,000 -
18 087251 Supirah 13,000 - 3,000
19 105779 Kasbani 18,500 - 2,000
20 022524 dr. Nrimanto 67,500 6,136
21 016928 Sarjono 61,500 1,682
22 065384 Ngadiyah 58,000 - 2,500 9,500
23 148837 Sunarmi 15,000 1,364
24 105899 Alvin 199,080 - 4,000 20,000 20,000
25 013811 Sri Suharti 18,000 - 2,000
26 078663 Wiyanto 10,000 - 2,000
27 089092 Moro Morelia 67,100 4,691 3,000 12,500
28 105901 Tumini 111,950 8,677 3,000 12,500
29 045051 Suwarni 15,500 - 3,000 12,500
30 105900 Samini 237,750 12,650 3,000 17,000 8,500
31 105902 Yoso Menawi 93,350 7,077 3,000 12,500
32 105674 Satirah 73,500 3,591 4,000 30,000
33 105640 Sunarti 66,500 4,636 3,000 12,500
34 018271 Pratiknya 137,000 -
35 081531 Soeprijanto 34,000 - 4,000 30,000
36 105590 Lia Kusmawati 20,000 - 4,000
37 105767 Inah Aryati 20,000 - 4,000
38 105906 Ernita Wati 129,750 - 4,000 20,000
39 065683 Wisnu Murtiaji 38,700 2,109 3,000 12,500
40 083698 Suwarsiyah 34,000 - 4,000 30,000
41 105207 Sofiatun 260,300 18,936 6,000 30,000
42 105907 Lilis Marsiyatun 92,800 4,118 4,000 30,000
43 100418 Warsun 52,750 1,705 4,000 30,000
44 105909 Widodo 119,400 4,900 3,000 12,500 8,500
45 105443 Yoso Miharjo 141,675 9,789 4,000 30,000
46 105759 Suparti 145,850 10,168 4,000 30,000
47 105903 Tursinah 156,800 11,618 3,000 12,500
48 103276 Salum 109,000 6,818 4,000 30,000
49 105911 Hendro 93,950 - 4,000 20,000
50 007502 Yohana Pariyem 159,750 11,341 4,000 30,000
51 104707 Slamet Sutarman 34,000 - 4,000 30,000
52 105912 Ahmad Tri 34,000 - 4,000 20,000
53 105905 Nur Subhan 171,650 12,423 4,000 30,000
54 085839 Wadiron 77,500 3,955 4,000 30,000
55 105675 Partini 332,500 25,091 4,000 30,000
56 105289 Dul Haris 143,450 9,859 4,000 30,000
57 102538 Basuki 34,000 - 4,000 30,000
58 104950 Iswati 242,100 15,736 4,000 30,000
59 105733 Solihin 100,000 6,000 4,000 30,000
60 105732 Sakiman 139,000 9,545 4,000 30,000
61 080375 Imam Sutrisno 97,750 2,605 4,000 36,500
62 000752 Hendrikus Jeni 43,000 2,500 3,000 12,500
63 015182 Tugimin 66,500 2,955 4,000 30,000
64 103731 Endang A 40,750 614 4,000 30,000
65 104922 Salamah 46,000 1,091 4,000 30,000
66 105502 Eko Budi 18,000 - 2,000
67 087213 Turnip 104,700 - 104,700
68 105917 Ilham Al Aro 144,900 - 4,000 20,000 13,500
69 104519 Octa Affan 76,290 - 4,000 20,000
70 105915 Tatik Nuryati 200,400 - 4,000 20,000
71 105765 Sudi 142,000 9,818 4,000 30,000
72 105913 Heri Santoso 236,205 - 4,000 20,000 13,500
73 105914 Lujino 58,000 - 2,500 9,500
74 105918 Samiyem 34,000 - 4,000 30,000
75 105916 Erna Kuswati 56,500 2,045 4,000 30,000
76 105680 Suharti 45,000 - 4,000 30,000
77 039301 Sukoco 3,841 57,750 3,000 12,500
78 105910 Solikun 85,500 - 2,500 10,500
79 105780 Basuki 63,000 1,636 4,000 30,000
80 105695 Desi Agustina 97,090 5,735 4,000 30,000
81 096609 Sofingah 92,275 - 4,000 20,000
82 105920 Dwi Hartono 119,100 - 4,000 20,000
-
6,648,505 - 272,638 271,022 283,900 328,400 - 251,500 167,000 320,000 953,000 54,000

Jurnal Umum 6,648,505


Kas dari Kassa 6,648,900
Selisih Kas 395
Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 65,400
10,000 76,515
35,636
5,455
11,000
24,545
500 500 64,918
10,000 47,450
13,500 3,500 64,190
2,636
8,000
8,000
10,000 17,500 13,800
10,000 72,800
10,000 22,500 37,700
10,000 58,600
288,364
20,636
20,000
9,500 6,500
3,750 27,750
5,500 51,000
2,500 7,500 24,955
51,455
500 500 100,455
41,545
28,955
15,045
30,909

117,364
3,000 25,600 72,750
77,250
38,636
30,455
73,409 13,500
4,750 41,250
4,750 41,250
4,500 34,000
71,636
27,468
68,182 13,500
4,750 36,750 32,500
90,409
39,841
145,991
46,273
5,500 9,500 7,500 67,000 40,441
10,182
87,727
4,750 41,250
500 9,500 500 7,000 92,727
115,909
78,477
61,727
16,500 6,500 36,045
5,500 51,000 49,327

20,750
4,500 3,500 44,345
102,273
39,864
31,082
47,727 13,500
36,000
24,500
36,591
448,636
61,364

134,250 49,500 - - - - 12,500 31,000 - 43,100 391,250 22,500 3,087,368 436,455 133,500 - -

Jurnal 5,534,535 Total


Piutang 328,215 Pendapatan
Subsidi 106,410
5,969,160 5,969,160
-
Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

55,933
3,500 7,500 51,341
29,682
64,091
10,000

38,182
5,000 9,545
35,000
74,000
105,091 187,000
10,000 28,000
89,455
22,273
2,500 7,500 43,455
33,500
13,636
10,000 7,500 54,500
10,000 22,800
10,000 27,500 184,055 16,500
51,500
59,500
9,500 6,500
5,500 67,000
84,545 52,000
9,500 6,500
500 500 129,318
2,500 7,500 11,864
4,500 34,000
9,500 7,000
9,000 68,000
500 500 22,302
13,500 32,500 41,805
57,000
65,909

111,750
2,500 7,500 28,591

26,409
121,818 57,500
4,500 10,000 101,259 13,500
2,500 7,500 25,727
30,727
93,478
59,818 13,500
10,000
500 500 20,000
6,500 16,500
25,682
33,864
116,182
6,136
50,500
86,045
27,273
42,727 70,500
47,000
10,909
40,000
158,227
35,000 94,545
332,909
35,000 177,545
10,000 7,500 47,350
174,864
67,818
36,000
36,000
36,000
36,000
27,273 18,500
108,409
31,818
36,000
35,000 38,864
36,000
158,636
36,000
83,727
139,409
35,000 38,864
72,000
13,750 27,750
65,000 69,500
35,000 12,955
35,000 94,545
4,750 41,250
3,500 7,500 107,273
3,500 7,500
35,000 124,818
5,000

35,000
35,000 48,955
35,000 111,818
35,000 51,818
35,000 120,000
35,000
35,000

50,909

50,909
83,636
6,000 12,500
6,000 12,500 25,455
68,500
3,500 7,500 28,636
51,500
13,500
36,000
17,727
95,455
36,000
72,000
36,000
36,000
127,682
36,000
36,000
36,000
36,000
36,000
36,000
101,842
72,000
59,091
72,000
72,000
36,000
67,818
36,000
36,000
36,000
36,000
131,047
36,000
67,818
65,863
36,000
36,000
59,636
67,818
72,000
67,818
36,000

153,000 35,000 - - - - 171,500 36,500 525,000 - 238,000 - 6,882,269 378,510 895,000 - -

Jurnal 11,866,955 Total


Piutang 369,901 Pendapatan
Subsidi 677,650
12,914,506 12,914,506
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 43,400
10,000 96,700
10,000 54,250
10,000 88,290
145,350
15,000
74,050 29,500
149,000
10,000 79,000
74,500
3,000
56,500
10,000 72,700
6,000 12,500 317,955
10,000 41,472 14,000
94,450
10,000 232,800
10,000
10,000 79,750
10,000 17,500 61,250 13,500
5,500 500
93,900
178,750
16,500
10,000 20,000 49,415

131,500 - - - - - 33,000 - - 17,500 - - 317,955 1,576,527 280,500 - -

Jurnal 1,950,737 Total


Piutang 344,410 Pendapatan
Subsidi 448,130
2,743,277 2,743,277
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

33,190
35,409
27,864
297,273
35,000 237,273
10,000 48,100
10,000 17,500 12,250
10,000 131,650
184,727
1,818
51,000
13,500
4,091
10,000 49,150
72,000
10,000 34,500 51,595
10,000 96,972
15,273
76,136
45,909
10,000 22,000
13,500
8,636
11,500 3,000
46,977 12,000
13,500
10,000 45,200
9,500 6,500
4,750 41,250
5,000
9,500 6,500
47,000
192,000
27,500
5,500 500
24,545 91,500
5,500 500
40,500
32,000
500 500 62,909
9,500 7,000
9,500 7,000
4,500 49,000
13,500
3,500 500 25,600 81,364

10,000 104,000
9,500 7,000
500 500 55,864
62,045
44,773
500 500 94,977
500 500 69,091
13,636 10,000
10,000 9,000
57,682
2,500 3,000 67,364
22,159 57,500
500 500 70,641
53,182
11,500 3,000
9,500 7,000
65,545
3,000 25,600 75,000
10,000 33,300
54,091
3,000 25,600 50,405 56,500
40,545
4,000 240,000 4,000 102,468 13,500
500 500 128,364 13,500

500 500 139,500


21,818
121,364

9,545
35,000
35,000
35,000
35,000
35,000
35,000
3,500 7,500

83,182
5,000
18,000
50,091

153,250 80,000 - - - 240,000 54,000 47,000 245,000 94,300 90,250 - 2,803,536 627,407 707,500 - -

Jurnal 6,231,607 Total


Piutang 278,500 Pendapatan
Subsidi 554,990
7,065,097 7,065,097
-
Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

105,636
140,182 29,500
42,500 17,227
10,227
58,182
66,136
5,000 9,091
29,364

3,750 27,750
10,000 26,400
10,000 13,500
10,000 55,400
13,500 22,500 199,640

62,886
13,636
13,500 7,500 4,650
10,000 49,900 13,500
107,455
104,091
130,909
10,000 5,000 176,875
105,909
73,636
38,682
10,000 33,525
10,000 101,350
107,727
150,000
31,000 330,000 7,500 165,900 35,000
15,136
5,000 9,091
5,000 9,091
5,000 9,091

38,545
12,727
4,750 36,750 13,409
41,455 8,000
86,591 52,000
9,500 7,000
9,500 7,000
9,500 6,500
9,500 6,500
9,500 7,000
16,500 6,500
110,546
36,000
500 500 81,318
5,500 500
35,682
10,000 93,450 13,500
4,500 3,500
10,000
10,000
4,500 3,500
9,500 7,000
74,850
275,818
90,000
25,000
54,000
54,000
13,636

192,500 82,500 - - - 330,000 86,000 54,500 90,000 - 64,500 - 2,043,965 1,070,590 249,500 - 35,000

Jurnal 5,312,561 Total


Piutang (173,960) Pendapatan
Subsidi 151,350
5,289,951 5,289,951
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

113,000
10,000 56,150
10,000 1,850
10,000 17,500 141,050
52,000
30,500
20,250 108,250 56,390
76,500
25,000
2,500 5,000 47,045
5,500 67,000 34,091
43,409
19,500 82,500 139,075
10,909
10,000 136,700
1,909
12,727
10,000 79,400 19,000
350,975
13,500
10,000 20,330
14,500
10,500
10,000 83,140
27,500 21,250

39,600
10,000 86,250
10,000 45,100

165,250 - - - - - 5,000 - - 17,500 257,750 - 180,591 1,395,260 186,000 - -

Jurnal 2,506,510 Total


Piutang 15,000 Pendapatan
Subsidi 114,400
2,635,910 2,635,910
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

36,000
3,182
24,500
44,318
5,000 9,091
10,091
91,500
10,000 48,850
10,000 33,550
10,000 22,100
10,000 42,400
10,000 105,140
30,000
61,909
142,773
10,000 46,300
11,500 3,000
8,000 4,500 54,000 13,500
9,500 7,000
4,750 41,250
9,091
9,500 6,500
13,500 102,000
33,545 15,000
4,750 41,250
11,500 3,000
9,500 7,000
4,750 41,250
2,500 7,500
49,500
13,500
10,000 11,000 94,615

25,000
4,750 36,750
59,091 13,500
19,091
4,500 34,000 24,000
9,500 7,000
9,500 7,000

38,773 10,000
2,727
3,000 25,600 58,636
80,182
500 500 32,727
27,500
4,750 36,750 38,318
500 500 53,955
3,000 25,600 16,455
8,182

13,500
13,500
32,000
3,000 25,600

30,818
3,000 25,600 175,909
48,073
102,705

3,500 7,500 67,909 13,500


171,364 22,500
9,500 7,000
13,591 34,500
106,364

13,500
5,000 50,909
27,273
60,000

80,182 13,500
97,250 29,500
6,136
500 500 74,500
31,000
85,091
17,273
10,000 102,700
10,000 19,125
10,000 148,125
10,000 78,400
6,000 12,500 223,864
10,000 18,400
10,000 28,150

207,250 88,000 - - - - 40,000 52,000 - 102,400 333,250 - 2,305,845 787,855 500,000 - -

Jurnal 6,253,895 Total


Piutang (134,350) Pendapatan
Subsidi 388,640
6,508,185 6,508,185
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

12,500 5,000 90,625


10,000 13,500
10,000 13,500
10,000 28,010
10,000 48,500
672,000 140,000
23,182
84,182
11,773
27,864
10,000 35,300
54,205
2,500 5,000 290,114
36,000
3,500 7,500 105,455
76,136
9,000 7,500 51,000 49,545 13,500
65,000 81,250 88,750 83,455
184,727
10,000 22,722

71,318
10,000 20,000 31,900
10,000 25,500
10,000 35,000 202,600
10,000 348,750
101,005
52,000
14,500 10,000
11,500 3,000
28,318 20,000
11,500 3,000
51,136
10,000 59,150
183,000
17,500
76,500
31,818 13,500
9,500 6,500
33,000
10,000 65,100
6,682
4,750 36,750 14,091 13,500
135,955
141,136
5,500 51,000
117,955
500 500 150,841
500 500 82,045
31,818 98,500
5,500 67,000
25,545
4,750 41,250 7,273 23,500

10,000 9,500
3,000 25,600 87,500
79,091
13,500
500 500 129,273
500 500 121,591 13,500
167,182
100,455 13,500
500 500 122,682
42,409
16,500 6,500
20,173

43,455

500 500 159,932 13,500

10,000 66,100
500 500 64,909
11,500 3,000
51,623
9,500 7,000 77,273
106,273
35,000
9,500 7,000
9,500 6,500 53,045
10,000 47,500 76,715
56,818
16,500 6,500 157,282
181,295
10,000 71,600

229,000 105,500 65,000 81,250 - - 229,750 49,000 - 25,600 247,000 - 4,585,832 1,209,072 705,500 - -

Jurnal 8,998,552 Total


Piutang 524,725 Pendapatan
Subsidi 728,310
10,251,587 10,251,587
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 18,000
10,000 73,150
15,273
12,364
79,091
32,455
8,636
35,000

13,500
31,136
272,500
13,091
70,000 57,000
446,591
46,909
47,364
100,000
10,000 41,950
10,000 21,150
2,500 7,500 31,636
11,500 3,000
197,000
28,909
5,000 23,909
9,500 7,000
5,000 11,364
13,500
34,500
9,500 7,500
5,000 8,636
5,000 8,636
5,000 12,144
5,000
5,000 8,636
5,000 8,636
8,636
13,500
4,500 41,500

16,364
43,005
58,545
4,750 41,250 4,091
6,364
500 500 74,273
153,636
15,273
23,909

66,818
13,500
500 500 314,091
2,500 7,500 32,545
34,500
48,409
7,500 55,500 26,409
28,636

4,091
9,500 7,000
9,500 7,000
5,000 9,545
6,818
8,636
8,636
8,636
27,364
30,682
35,000 94,545
10,000 39,000
11,500 3,000
36,000 13,500
27,500 20,000 48,000
7,000 14,500 23,182
35,000 53,182
36,000
36,000
36,000
36,000
155,727
36,000
36,000
67,818
67,818
36,000
131,000
35,000
67,818
72,000
36,000
36,000
3,500 7,500 98,182
90,636
10,000 5,750 20,500
78,000
67,818
36,000
72,000
36,000
36,000
72,000
72,000
36,000
67,818
36,000
36,000
31,818
108,364
149,727
115,545
67,818
35,000
35,000
35,000
35,000 110,909
35,000
35,000
35,000
35,000
35,000

67,818
83,727
82,000
36,000
107,000
35,000
67,818
36,000
59,636
10,000 20,340
6,818
33,000
52,727

52,727
13,500 3,500 49,990
3,500 7,500 16,818
15,273
3,500 7,500 11,455
3,500 7,500 23,182
107,478
28,909
7,500 14,500 16,182
36,000
36,000
95,455
67,818
67,818
36,000
211,342
60,000
95,091
102,273
36,000
67,818
36,000
67,818
133,615
67,818
106,818
103,818
153,160
36,000
36,000
67,818
31,818
36,000
109,773
15,000 207,573
35,000 24,545
5,000

207,250 61,000 - - 20,000 148,000 93,500 34,500 525,000 - 138,250 - 7,556,815 269,330 649,000 - -

Jurnal 13,828,047 Total


Piutang (237,840) Pendapatan
Subsidi 237,120
13,827,327 13,827,327
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Anesthesi

45,227
10,000 51,700
65,000 81,250 48,750 137,045
4,091
13,500 7,500 54,500
236,364
10,000 78,550
10,000 36,150
10,000 54,950
44,500
91,500
91,500
68,636
11,036
7,386
34,864
61,773
5,000

76,500
66,545
209,500
8,182
10,000 33,300
174,000 347,500 40,000 548,968 10,000 435,000
174,000 348,000 460,800 10,000 435,000
3,500 7,500
3,773
10,000 22,050
10,000 9,450
10,000 61,000
10,000 17,500 21,750
368,545
13,500
10,000 3,750
9,500 6,500
20,000
11,500 3,000
13,500
9,500 7,000
4,750 41,250

2,500 7,500
500 500 104,929

110,636
3,000 25,600 144,682
10,000 25,000 128,525
9,500 6,500
10,000 10,000
500 500 90,136
500 500 43,091 34,500
14,750 10,000 41,250
9,000 68,000
909
10,000 45,450
12,250 25,600 82,750 95,909
10,000 80,250
5,000 9,545
4,750 41,250
10,000 71,200
20,227
94,091
4,500 34,000
15,273
90,000
82,245
36,000
4,750 41,250
40,000
32,182
42,500
117,091
33,318
10,000 47,800
10,000 28,800
52,727
4,091
1,818
1,818
4,091

253,750 40,000 413,000 776,750 - - 157,750 23,000 90,000 68,700 349,750 - 3,455,047 849,175 385,500 - 870,000

Jurnal 9,906,112 Total


Piutang 1,458,690 Pendapatan
Subsidi 389,625
11,754,427 11,754,427
-
Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 59,500 52,000


15,500 51,000 113,900
10,000 15,000 92,165
10,000 60,000
10,000 107,150
10,000 34,250
10,000 93,000 21,000
30,818
15,500 51,000 63,100
56,545
107,545
14,727
116,364
65,000 81,250 48,750 136,477
10,000 46,050
10,000 40,250 52,000

6,000 12,500 41,364

10,000 37,775

9,500 6,500
9,500 7,000
22,000
8,000
40,000
2,636
9,500 6,500
500 500 94,977 6,500
500 500 52,955
51,159 34,000
5,000 9,545

31,136
128,909 29,500
95,227
3,000 25,600 48,409
500 500 62,273 6,500

500 500 114,636


23,182
500 500 118,136
33,636
36,000
23,182
3,500 32,273
26,409
10,000 122,350 13,500
26,409
74,591
58,523 13,500
35,000 88,636
35,000 16,364
3,500 7,500 38,864
35,000 48,409
72,000
3,500 7,500 65,455
35,000 85,227
35,000 98,182
9,500 7,000
7,955

32,000 228,000 52,500 394,800 70,000


80,455
35,000 73,182
35,000 25,909
35,000 130,909
74,500
174,091
35,000 68,000
35,000 12,955
35,000 76,364
10,000 46,550 67,000
10,000 20,500
10,000 20,500
10,000 55,400
23,500 102,000 110,500
35,000
35,000
35,000
3,500 7,500

253,500 38,000 65,000 81,250 - 228,000 157,250 27,000 490,000 25,600 204,000 - 2,944,000 1,445,740 379,000 - 70,000

Jurnal 9,759,665 Total


Piutang (1,472,345) Pendapatan
Subsidi 935,420
9,222,740 9,222,740
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

3,000 25,600
17,000 3,364
13,182
10,273
18,273
24,455
20,909
35,636
17,000
19,091
10,000 909
30,000 909
2,000 5,500
91,500
184,500
143,500
12,000
10,000 49,950
3,000 25,600 37,500
500 500 138,364
500 500 39,000
30,682
70,432
147,636 7,500

13,500
76,500
46,364 13,500
17,500
70,000
41,818
84,455
500 500 40,364
4,500 34,000
11,500 3,000
90,000
90,000
36,500
35,000 97,500

36,000
3,500 7,500 134,727
13,636
6,000 12,500 78,636
8,000

29,318 8,000
10,000 3,500 51,540
34,000
34,000
85,818
36,000
10,000 60,370
61,818
64,591
5,000 9,091
27,500
9,000
5,455 13,500
43,182
9,500 7,000
9,500 7,000
11,500 3,000
32,182
4,500 49,000 18,491
35,000 65,000

63,000 42,000 - - - - 87,500 20,000 250,000 51,200 83,000 - 1,722,059 169,360 723,000 - -

Jurnal 3,421,875 Total


Piutang 872,150 Pendapatan
Subsidi 311,800
4,605,825 4,605,825
-
Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

27,500 20,000 48,000 17,500 51,725 15,500


27,500 20,000 48,000 17,500 42,500 15,500
66,000
10,000 7,500 4,550
10,000 97,200 8,000
27,864
5,909
13,000
10,000 43,500 13,500
38,682 38,600
10,000 37,500
1,591
34,545
36,818
9,273
45,818

50,909
80,909
28,000
10,000 79,025
58,355
6,136
13,500
105,600
10,000 15,750

21,550
10,000 93,900
39,600
32,000
32,500
10,000 68,675
10,000 28,600
10,000 39,025
10,000 45,550
10,000 30,000 104,915
10,000 42,700
5,850
44,125
39,600
17,600
7,000

185,000 - - - 40,000 96,000 37,500 - - 35,000 - - 462,809 1,107,640 178,500 - -

Jurnal 2,314,355 Total


Piutang 431,875 Pendapatan
Subsidi 64,000
2,810,230 2,810,230
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 53,800
120,000
17,000 3,364
10,000 5,000 151,990
24,273 26,500
39,818
16,318
10,000 51,750
10,000 88,900
10,000 30,400
10,000 26,000
10,000 27,545 58,950
10,000 70,550
27,500 330,000 412,475 35,000
10,000 19,000
10,000 47,800
52,000
2,545
10,000 48,500 9,000
75,500
64,727
12,045
10,000 12,950
13,500
16,500 7,000

500 500 80,000 13,500


103,024 13,500
13,500
94,545
9,500 6,500
125,000
61,273
11,500 3,000
4,750 36,750 30,000

9,500 6,500

5,500 67,000
13,500
32,500
58,091
9,545 11,000
500 500 90,432 6,500
500 500 19,832 73,500
103,069
2,500 7,500 25,273
2,500 7,500 10,000

171,364 22,500
90,205
5,000 9,545
18,409 10,000
4,750 41,250 4,091
29,818
4,091
4,500 3,500

57,000

6,136
4,750 41,250 10,000
500 500 132,545
9,000 7,500 51,000 13,500
500 500 238,409
88,545
24,909
10,000 32,050
43,818
96,136
10,273
34,091
10,000 243,650 42,500
10,000 15,450
13,500 124,500
4,818
10,000 102,850

3,500 7,500 26,364

52,000
15,000
10,000 5,000 116,350
10,000
6,000 12,500 239,091
6,000 12,500 134,727
357,273
3,500 7,500 16,364
141,818
6,000 12,500 15,273
7,000 14,500 126,136
10,000 42,650

304,250 51,500 - - - 330,000 134,000 26,500 - - 361,750 - 3,211,970 1,626,065 534,500 - 35,000

Jurnal 8,074,867 Total


Piutang 336,995 Pendapatan
Subsidi 564,870
8,976,732 8,976,732
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever
10,000 83,400
103,350
115,800
8,000

10,000 29,000
10,000 123,500
10,000 54,600
5,300
20,000
13,500 7,500 44,610
46,000
20,000
51,500
213,100
10,000 65,100
10,000 81,750
10,000 93,750 57,000
10,000 29,750 13,500
10,000 51,850
10,000 74,882
10,000 82,100
10,000 22,500 28,015
(293,010)

133,500 - - - - - 30,000 - - - - - - 1,032,847 170,000 - -

Jurnal 2,224,272 Total


Piutang (620,105) Pendapatan
Subsidi 82,680
1,686,847 1,686,847
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

70,545
107,591
73,273
87,545
83,727
7,818
10,000 79,800
13,182
11,273
10,000 4,050
10,000 70,150
818
10,000 51,400
13,500
73,500
70,682
2,500 7,500 25,227
9,500 6,500
8,250 7,500 41,250 167,045 65,500
9,500 7,000
29,000
3,000 10,000 25,773
10,000 25,050
13,500 47,500 151,930
9,500 7,000
9,000 7,000
500 500 62,727
24,500
10,000 29,925
4,750 41,250

500 500 62,273 6,500


500 500 68,636
16,364
500 500 63,818
50,000
130,273 13,500
10,000 17,500
89,114
4,750 41,250 72,000
3,000 25,600

12,364
15,909
9,500 7,000
66,818
27,500
6,500

65,000 8,000
123,409 76,500
40,227 13,500
500 500 107,455
500 500 98,873
500 500 98,316
35,000
67,500
35,000 16,364
29,636
36,000
12,273
72,000
35,000 93,409
35,000 63,182
35,000 48,409
3,500 7,500
35,000
35,000
35,000 97,500
35,000 109,773
35,000
148,273
72,818
67,818
72,000
36,000
72,000
36,000
103,159
38,864
93,727
36,000
72,000
36,000
166,000 13,500
35,000 66,182
75,000

26,364
72,000
36,000
36,000
124,136
67,818
36,000
10,000
272,636
67,818
36,000
114,364
71,591
36,000

10,000 29,650
57,364
72,000
59,818 27,500
96,455
47,727
119,864
67,818
36,000
203,136
72,000
72,000
9,250 32,500 41,250 132,665
36,000
10,000 27,500 105,030
67,818
96,000
29,545
112,682
193,296
72,000
67,818
64,045
63,636
41,818
36,818
89,182
17,636
4,091

120,545
156,000 47,000 - - - - 143,500 34,500 385,000 43,100 165,000 - 6,864,304 679,650 374,500 - -

Jurnal 12,316,334 Total


Piutang 128,910 Pendapatan
Subsidi 307,240
12,752,484 12,752,484
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 18,000
47,000
52,000
102,455
96,977
31,818
186,091
63,182
4,750 41,250 261,409
4,750 41,250 114,682 10,000
45,273
1,004,923
45,000
10,000 100,000
10,000 42,500
10,000 10,000 78,840
10,000 174,500
10,000 21,364 84,300
103,500
6,000
3,909
11,773
6,000 12,500 27,273
10,000 52,250

4,500 10,000
9,000 7,000
14,000 4,500 45,427
66,409

8,000 4,500 69,091

10,000 137,750
9,273
89,386
75,000 13,500
4,750 41,250 57,500
4,500 34,000
9,500 7,000
9,500 7,500

68,727
3,295
128,455
29,182
500 500 87,000
49,773

500 500 141,364


68,182
50,000
93,000
67,795
500 500 110,000
3,500 7,500 67,455 43,500
27,000
22,636 17,500
194,318 22,500
32,727
11,500 3,000
9,500 7,500 13,500
9,500 7,000
14,500 22,500 34,000 221,100
500 500 221,136
90,000
4,500 34,000
90,000
90,000
90,000
4,750 41,250
80,000
10,000 93,750
27,500 20,000 72,000 1,028,505
50,909
50,909

176,000 80,500 - - 20,000 72,000 64,500 48,000 440,000 - 267,000 - 3,913,577 2,031,495 407,500 - -

Jurnal 6,766,350 Total


Piutang 1,584,888 Pendapatan
Subsidi 1,533,692
9,884,930 9,884,930
1

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

91,205
2,500 7,500 51,591 13,500
73,091
174,500
29,500
10,000
100,500
114,000
114,000

8,000
358,273
113,227

50,286
13,495
41,586
3,500 7,500 54,318
3,500 7,500 54,318
6,000 12,500 534,455
3,500 7,500
49,182
3,500 7,500 63,864
36,000
33,000
13,636
13,500
10,000 22,500 48,800
13,636
10,000 17,500 126,850
10,000 66,000
13,500
60,364
77,500
9,500 7,000
34,500
9,000 7,000
3,000 25,600 48,500
9,500 6,500
21,500

9,500 7,000
500 500 105,568 6,500
5,000 9,545
76,727
91,636
62,182
68,182
3,500 7,500 92,000 13,500
500 500 72,273
80,909
144,955
500 500 45,409
25,136
68,227
59,818 88,500
4,750 41,250

500 500 27,091


227,636
96,273
13,500 27,500 56,465
10,000 7,500 9,500
30,000
500 500 43,455
13,500 7,500 17,000
10,000 9,500 7,000 100,950
3,500 7,500 81,795
67,273
76,818
20,182
500 500 97,955
20,000
67,818
10,000 40,400
35,000 88,773
72,000
35,000 65,455
35,000
35,000
35,000 94,773
5,500 35,000 65,182
35,000
35,000
35,000 130,000
35,000 126,364
35,000
35,000
35,000
10,000 37,250
5,000
101,591

147,250 47,000 - - - - 138,500 34,500 455,000 43,100 41,250 - 4,366,028 503,215 824,000 - -

Jurnal 8,034,220 Total


Piutang 717,576 Pendapatan
Subsidi 244,150
8,995,946 8,995,946
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

46,818
25,159
144,545
10,000 77,400 67,000
10,000 50,350
10,000 8,000
10,000 26,000
10,000 68,500

5,000 9,091
5,455
34,091
21,818
19,091
15,000
131,545
2,045
2,500 7,500 2,045
11,000 12,727
31,818
42,273
64,500
10,000 49,150
124,591
16,500
10,000 61,200
3,091
12,636
3,500 7,500 23,182
59,091
84,000
7,045
13,500
8,000

8,000
165,500
165,500
9,500 6,500
153,000
10,000 60,500
10,000 107,000
4,500 10,000 103,091 13,500
3,500 7,500 13,500
2,500 7,500 17,273
53,182
13,500 13,273
500 500 138,955 13,500
4,500 49,000 16,173
88,545

36,000
9,000 98,000 17,273
70,500
26,182
11,455
16,500 6,500
92,727
11,500 3,000
4,750 41,250 164,000
10,000 59,300
67,273 13,500
19,727
3,750 27,750
12,000
35,500
13,500 7,500
10,000 35,900

167,500 37,500 - - - - 72,500 16,000 - - 216,000 - 1,558,286 603,300 997,500 - -

Jurnal 3,543,265 Total


Piutang 710,053 Pendapatan
Subsidi 506,097
4,759,415 4,759,415
1
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

30,650
11,075
10,000 144,700 64,500
250,000
7,000 20,000
22,727
8,000
20,909
190,000
11,550
27,500
10,000 19,500
69,000
122,400
13,500
10,000 23,000
10,000 51,400
4,000
70,000
57,500
39,600
19,200
9,150
10,000 103,025
10,000 20,000 157,525
10,000 5,000 37,950
10,000 17,500 90,650
64,500
10,000 43,550

90,000 - - - - 250,000 32,000 - - 17,500 - - 63,636 1,057,925 425,500 - -

Jurnal 2,224,000 Total


Piutang 35,925 Pendapatan
Subsidi -
2,259,925 2,259,925
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 37,075
10,000 79,500
81,000
5,500 67,000
5,455
3,636
5,909

10,000 114,950
10,000 3,500 78,190
10,000 33,740
10,000 82,820
10,000 83,375 13,500
34,300
9,545
68,227
74,675
11,140
15,000
45,500
4,750 41,250
107,091
50,909
5,000 9,091
8,500 7,500
500 500 87,100
500 500 59,518
9,500 7,000
11,500 3,000
44,318

3,500 7,500 13,500


115,727 57,500
46,364
2,500 7,500 26,591
4,500 34,000
3,000 25,600 79,227
4,750 41,250
3,000 25,600 77,727
69,818
70,274
51,000
3,500 500 25,600 104,500 34,500
97,818 57,000
46,000
500 500 137,793
35,724
500 500 186,818
140,182
74,727
500 500 73,636 29,500
43,659
111,159
57,727 34,500

6,818
29,091

66,818
42,727
20,000
40,227 13,500
34,500
11,773
10,000 41,248
7,273

131,000 21,000 - - - - 29,000 10,000 - 76,800 183,500 - 2,351,999 671,013 399,500 - -

Jurnal 6,756,037 Total


Piutang (1,696,825) Pendapatan
Subsidi 292,800
5,352,012 5,352,012
-
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

78,182
79,818
500 500 32,455
50,455 52,000
72,273
13,500
10,000 65,945
7,000
14,636
42,727

6,000 12,500 438,182


3,500 7,500
9,500 7,000
11,500 3,000
47,500
4,750 41,250
3,000 10,000
10,000 17,500
10,000 52,300
500 500 107,500
500 500 88,764
97,727
90,000
500 500 89,045
90,000
16,500 6,500 113,727
40,227
90,000
19,818
10,000

3,000 25,600 39,773


2,500 7,500 44,273
4,500 3,500
9,500 6,500
120,000 150,000
16,500 6,500
26,591
110,273
3,000 25,600 72,318
1,909
3,000 25,600 48,409
500 500 135,591 13,500
500 500 161,545
73,500
122,727
500 500 53,864
9,250 100,750 72,955
500 500 130,182
5,000 9,545
5,000 9,545
9,000
62,273
4,750 36,750 27,205
500 500 239,364

2,500 7,500 8,818


3,750 27,750
83,677 13,500

93,500 68,000 - - - 120,000 56,500 33,000 270,000 76,800 206,500 - 2,902,318 219,800 222,500 - -

Jurnal 5,534,650 Total


Piutang 238,650 Pendapatan
Subsidi 289,850
6,063,150 6,063,150
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

35,000 25,909
74,545
4,750 36,750 40,682
8,000 4,500 73,000
4,545
21,500
2,011,773
32,091
1,818
48,025
10,000 15,000 156,180
10,000 69,318

10,000 60,150
10,000 32,125
6,000 12,500 75,591
6,000 12,500 31,364
6,000 12,500 54,318
4,500 10,000 66,395
10,000 34,000
34,000
13,500
11,500 3,000
6,500
2,500 7,500
29,409
2,500 7,500 7,409
9,500 6,500
9,500 7,000
5,000 63,636
9,500 7,000
39,973
500 500 107,005
500 500 19,000
49,545 13,500
157,727
500 500 81,455
500 500 174,523
13,500 20,000 39,115
10,000 37,460
500 500 178,318
500 500 46,045
500 500 136,227
104,182
100,000 27,500
35,000 77,727
4,750 41,250 107,500
3,500 7,500 109,773
12,955
95,091
36,000
132,500
67,818
70,135
35,000 70,909
50,000 13,500
500 500 63,227
55,909
154,773
71,114
109,818
500 500 154,909
86,591
36,000
36,000
75,091
36,000
66,000
36,000
15,000
36,000
36,000
106,682
36,000
10,000 73,700
36,000
36,000
2,500 5,000 16,364
85,364
39,900

161,818
50,000
10,000 25,200

47,273
3,500 7,500 27,273
83,727
151,545
67,818
36,000
36,000
36,000
98,727

47,727
83,727
196,227
67,818
151,545
95,091
3,500 10,000 58,636
67,818
151,545
60,478
96,364
108,590
72,727
35,000
35,000

35,000
3,500 7,500

35,000
9,545

50,909
50,909
50,909
4,091
52,136

50,909
40,636
11,773

50,909
13,636
50,000 62,500 57,500 61,136
5,000
58,582
36,000
130,455
36,000
36,000
36,000
36,000
67,818
10,000
36,000
72,000
60,545
72,000
36,000
36,000
36,000
36,000
36,000
36,000
67,818
103,818
67,818
36,000
72,000
36,000
277,273
40,227
27,500 228,000 27,500 374,730 14,000 35000
185,000

194,000 48,000 50,000 62,500 - 228,000 224,500 28,000 245,000 - 78,000 - 9,993,785 846,685 581,500 - 35,000

Jurnal 14,933,344 Total


Piutang 201,093 Pendapatan
Subsidi 2,414,912
17,549,349 17,549,349
1

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

(151,545)
17,318
11,818
6,591
36,000
21,818
28,455
152,500
12,727
51,115
4,091
35,000 117,000
10,000 3,500 202,400
10,000 70,700
67,818
5,000 8,182
3,000 10,000
87,000
3,000 10,000
13,500
5,500 67,000
27,500
4,500 34,000
11,500 3,000
27,545
59,818 22,500
11,000 8,000
4,500 34,000 84,500
4,500 49,000 83,909

26,409
37,318 13,500
500 500 93,227
36,000
81,591

87,818
93,477 29,500
33,000
176,751
68,864
10,000 109,500
45,500
154,091
140,955 27,500
2,955
500 500 27,877
500 500 94,795
99,000
90,000
23,091
38,182
41,182
90,618
42,227

50,909
10,000 30,000
3,500 11,000 521,559

75,000 22,500 - - - - 36,000 11,000 125,000 - 184,000 - 2,518,057 412,600 450,000 - -

Jurnal 5,235,786 Total


Piutang (259,574) Pendapatan
Subsidi 461,250
5,437,462 5,437,463
1

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

35,000
77,227
5,000 27,273
3,295
10,000 18,100
10,000 9,600
4,750 36,750 29,091
50,000
70,500
6,500
6,500
9,545
11,500 3,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
20,000
48,500
4,750 36,750
500 500 76,905
10,000 60,250
2,500 7,500 29,727
13,500 14,864
4,500 10,000 13,500
5,500 9,500 6,500 51,000
9,500 6,500
10,909
50,000
500 500 70,000
12,500 12,500 27,773

59,505 17,500
39,545 20,000
85,909
2,500 7,500 16,364
500 500 32,727
4,750 41,250 99,091
13,500
12,000
62,909 13,500
76,909
10,000 30,100

15,682
4,500 10,000 9,545 13,500
4,500 10,000 80,682 13,500
118,727
13,500
500 500 43,500
22,409
35,000 121,364
35,000 102,273
35,000 135,455
35,000 87,273
35,000
35,000
35,000
35,000
3,000 7,000 101,591
7,636
12,000
12,000
3,500 7,500
35,000
98,864
35,000
41,364
3,500 7,500 13,636
43,864
13,000
10,000
77,227

117,750 30,500 - - - - 95,000 16,000 385,000 300,000 165,750 - 2,070,659 118,050 299,500 - -

Jurnal 5,252,000 Total


Piutang 110,625 Pendapatan
Subsidi 228,650
5,591,275 5,591,275
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

35,000
39,318
35,000
7,750 25,600 41,250 435,455 286,000
16,818
2,500 7,500
1,818
1,818
1,818
30,000 3,364
35,000 3,364
39,045
29,227
41,818
91,500
39,500
10,000 34,200
10,000 53,000
10,000 67,650
20,000
9,500 6,500
4,500 3,500
16,500 6,500
90,000
90,000
3,909
76,500
29,500
2,500 7,500
11,500 3,000
87,000
145,091 13,500

500 500 52,364


37,727
2,500 7,500 68,660
500 500 222,455
17,500
11,000 8,000
122,727
500 500 76,205
500 500 76,364 6,500
2,500 7,500 156,455
45,455
500 500 55,955
52,114 150,500
64,500
84,273 73,500
64,500
2,500 7,500 17,000
47,727 17,500
16,500 6,500
100,000
188,000
36,000
3,000 25,600 79,182 27,500
10,000 114,520
11,500 3,000
122,182
46,364
37,318
15,000
29,773
2,500 5,000
6,000 12,500 13,409
59,773
20,000
20,250 108,250 38,150
5,000 9,545

99,500 81,000 - - - - 122,500 37,000 70,000 51,200 149,500 - 2,626,387 307,520 1,254,000 - -

Jurnal 4,800,746 Total


Piutang 593,795 Pendapatan
Subsidi 981,205
6,375,746 6,375,746
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 29,250
64,364

10,000 66,750
31,364
39,000
10,000 20,000 54,330
4,932
2,273
13,500 37,000 61,575
10,000 9,000
4,364
10,000 102,700
14,500 10,000 91,200
10,000 139,450
22,273
10,000 7,500
65,500
10,000 24,500 39,000
18,000
10,000 187,900 62,000

118,000 - - - - - 74,500 - - - - - 129,568 889,155 101,000 - -

Jurnal 1,312,880 Total


Piutang 195,450 Pendapatan
Subsidi 180,850
1,689,180 1,689,180
-

Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI Lain-Lain
Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA Js Rever

10,000 87,250
19,545
37,591
152,409
20,000
10,000 11,350
10,000 53,072

10,000 17,250
7,364
14,909
34,000
6,500
10,000 47,750 62,000
10,000 3,500 48,690
13,500
26,000
2,500 7,500
9,500 7,000
61,364
16,818 43,000
4,750 41,250
13,636
10,000 43,000 102,080
9,000 7,000
4,500 3,500
46,909
500 500 86,773

7,750 25,600 36,750 126,500


70,773
35,909
46,364
137,000

8,500 7,500
8,500 7,500
10,000 95,750
21,091

9,500 6,500 189,364


41,182 13,500
17,045
4,750 36,750 49,000
97,886
101,682
116,182 13,500
68,182
10,000 59,950
500 500 113,409

10,000
500 500 124,227
39,545
250,909 22,500
500 500 98,591

157,364 35,000
60,000
95,455
3,000 25,600 26,045
25,000
29,545
6,136
10,909
9,500 6,500

13,500 35,000 58,900


10,000 42,290
10,000 166,400
98,182
13,500 32,500 152,705
4,750 41,250

20,455
3,500 7,500
38,409
5,500 67,000
3,500 7,500 16,364
57,355
10,000 22,500 35,775
10,000 71,600 13,500

226,000 42,000 - - - - 153,500 30,500 - 51,200 223,000 22,500 2,726,377 1,050,812 420,000 - -

Jurnal 6,648,505 Total


Piutang (12,878) Pendapatan
Subsidi 328,400
6,964,027 6,964,027
-
1

99,400 99,400 -
110,515 110,515 -
39,200 39,200 -
6,000 6,000 -
12,100 12,100 -
61,000 61,000 -
106,410 106,410 -
81,450 81,450 -
105,190 105,190 -
2,900 2,900 -
8,000 8,000 -
8,000 8,000 -
70,300 70,300 -
106,800 106,800 -
94,200 94,200 -
92,600 92,600 -
317,200 317,200 -
22,700 22,700 -
20,000 20,000 -
52,000 52,000 -
40,000 40,000 -
69,500 69,500 -
52,950 52,950 -
72,100 72,100 -
127,000 127,000 -
61,200 61,200 -
47,350 47,350 -
32,050 32,050 -
68,000 68,000 -
34,000 34,000 -
163,100 163,100 -
149,125 149,125 -
118,975 118,975 -
58,000 58,000 -
49,000 49,000 -
128,250 128,250 -
58,000 58,000 -
58,000 58,000 -
50,500 50,500 -
112,800 112,800 -
30,215 30,215 -
122,500 122,500 -
98,000 98,000 -
133,450 133,450 -
59,325 59,325 -
194,590 194,590 -
84,900 84,900 -
180,485 180,485 -
11,200 11,200 -
130,500 130,500 -
55,500 55,500 -
155,500 155,500 -
161,500 161,500 -
120,325 120,325 -
101,900 101,900 -
98,650 98,650 -
155,260 155,260 -
(100,000) - 100,000
(100,000) - 100,000
56,825 56,825 -
92,780 92,780 -
146,500 146,500 -
77,850 77,850 -
68,190 68,190 -
100,000 100,000 -
39,600 39,600 -
24,500 24,500 -
74,250 74,250 -
527,500 527,500 -
101,500 101,500 -
- - -
5,969,160 5,969,160
5,969,160

patan
1

95,526 95,526 -
101,475 101,475 -
32,650 32,650 -
70,500 70,500 -
11,000 11,000 -
- 50,000 50,000
76,000 76,000 -
19,500 19,500 -
84,000 84,000 -
74,000 74,000 -
318,100 318,100 -
62,000 62,000 -
113,900 113,900 -
40,000 40,000 -
73,300 73,300 -
33,500 33,500 -
15,000 15,000 -
96,000 96,000 -
56,800 56,800 -
275,555 275,555 -
51,500 51,500 -
59,500 59,500 -
18,000 18,000 -
85,500 85,500 -
160,500 160,500 -
18,000 18,000 -
177,250 177,250 -
38,550 38,550 -
50,500 50,500 -
18,500 18,500 -
98,500 98,500 -
41,032 41,032 -
125,305 125,305 -
57,000 57,000 -
88,000 88,000 -
34,000 34,000 -
156,925 156,925 -
56,950 56,950 -
34,000 34,000 -
44,550 44,550 -
207,000 207,000 -
173,385 173,385 -
53,800 53,800 -
67,800 67,800 -
118,326 118,326 -
113,300 113,300 -
10,000 10,000 -
57,000 57,000 -
25,000 25,000 -
62,250 62,250 -
52,750 52,750 -
161,800 161,800 -
40,750 40,750 -
50,500 50,500 -
128,650 128,650 -
45,500 45,500 -
151,500 151,500 -
47,000 47,000 -
12,000 12,000 -
44,000 44,000 -
174,050 174,050 -
188,000 188,000 -
366,200 366,200 -
279,300 279,300 -
88,850 88,850 -
226,350 226,350 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
82,500 82,500 -
153,250 153,250 -
35,000 35,000 -
39,600 39,600 -
126,750 126,750 -
39,600 39,600 -
174,500 174,500 -
39,600 39,600 -
126,100 126,100 -
187,350 187,350 -
126,750 126,750 -
79,200 79,200 -
74,000 74,000 -
175,000 175,000 -
98,250 98,250 -
188,000 188,000 -
58,000 58,000 -
163,000 163,000 -
45,000 45,000 -
221,300 221,300 -
9,000 9,000 -
34,000 34,000 -
34,000 34,000 -
84,000 84,000 -
137,850 137,850 -
207,000 207,000 -
141,000 141,000 -
216,000 216,000 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
90,000 90,000 -
34,000 34,000 -
90,000 90,000 -
126,000 126,000 -
52,500 52,500 -
80,500 80,500 -
75,350 75,350 -
76,500 76,500 -
56,650 56,650 -
13,500 13,500 -
39,600 39,600 -
53,500 53,500 -
139,000 139,000 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
174,450 174,450 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
146,026 146,026 -
113,200 113,200 -
99,000 99,000 -
113,200 113,200 -
79,200 79,200 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
178,152 178,152 -
73,600 73,600 -
108,600 108,600 -
106,449 106,449 -
39,600 39,600 -
73,600 73,600 -
99,600 99,600 -
108,600 108,600 -
79,200 79,200 -
108,600 108,600 -
39,600 39,600 -
- - -
12,914,506 12,914,506
12,914,506

patan

77,400 77,400 -
130,700 130,700 -
88,250 88,250 -
122,290 122,290 -
145,350 145,350 -
15,000 15,000 -
103,550 103,550 -
149,000 149,000 -
113,000 113,000 -
74,500 74,500 -
3,000 3,000 -
56,500 56,500 -
106,700 106,700 -
402,250 402,250 -
89,472 89,472 -
94,450 94,450 -
276,800 276,800 -
34,000 34,000 -
113,750 113,750 -
131,250 131,250 -
10,000 10,000 -
93,900 93,900 -
178,750 178,750 -
16,500 16,500 -
116,915 116,915 -
-
2,743,277 2,743,277
2,743,277

patan

33,190 33,190 -
38,950 38,950 -
30,650 30,650 -
327,000 327,000 -
345,000 345,000 -
82,100 82,100 -
68,750 68,750 -
165,650 165,650 -
203,200 203,200 -
2,000 2,000 -
51,000 51,000 -
13,500 13,500 -
4,500 4,500 -
83,150 83,150 -
79,200 79,200 -
140,095 140,095 -
130,972 130,972 -
16,800 16,800 -
83,750 83,750 -
50,500 50,500 -
56,000 56,000 -
13,500 13,500 -
9,500 9,500 -
16,500 16,500 -
63,675 63,675 -
13,500 13,500 -
79,200 79,200 -
18,000 18,000 -
58,000 58,000 -
9,000 9,000 -
18,000 18,000 -
47,000 47,000 -
192,000 192,000 -
27,500 27,500 -
10,000 10,000 -
152,500 152,500 -
10,000 10,000 -
74,500 74,500 -
32,000 32,000 -
104,200 104,200 -
18,500 18,500 -
18,500 18,500 -
63,000 63,000 -
47,500 47,500 -
159,600 159,600 -
34,000 34,000 -
138,000 138,000 -
18,500 18,500 -
96,450 96,450 -
102,250 102,250 -
64,750 64,750 -
139,475 139,475 -
111,000 111,000 -
59,000 59,000 -
54,000 54,000 -
78,950 78,950 -
95,100 95,100 -
115,875 115,875 -
112,705 112,705 -
92,500 92,500 -
16,500 16,500 -
18,500 18,500 -
87,600 87,600 -
151,600 151,600 -
67,300 67,300 -
75,000 75,000 -
181,045 181,045 (0)
78,600 78,600 -
408,215 408,215 -
189,700 189,700 -
- 246,600 246,600
188,450 188,450 -
24,000 24,000 -
133,500 133,500 -
34,000 34,000 -
44,500 44,500 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
45,000 45,000 -
34,000 34,000 -
125,500 125,500 -
9,000 9,000 -
19,800 19,800 -
55,100 55,100 -
-
7,065,097 7,065,097
7,065,097

patan
1

150,200 150,200 -
217,700 217,700 -
111,950 111,950 -
11,250 11,250 -
64,000 64,000 -
72,750 72,750 -
19,000 19,000 -
47,800 47,800 -
- 59,200 59,200
40,000 40,000 -
60,400 60,400 -
47,500 47,500 -
89,400 89,400 -
268,140 268,140 -
6,000 6,000 -
- 1,095,700 1,095,700
103,175 103,175 -
49,000 49,000 -
49,650 49,650 -
97,400 97,400 -
118,200 118,200 -
114,500 114,500 -
144,000 144,000 -
222,875 222,875 -
116,500 116,500 -
81,000 81,000 -
42,550 42,550 -
67,525 67,525 -
135,350 135,350 -
118,500 118,500 -
200,000 200,000 -
593,400 593,400 -
16,650 16,650 -
19,000 19,000 -
19,000 19,000 -
19,000 19,000 -
- 40,000 40,000
42,400 70,200 27,800
29,500 29,500 -
80,250 80,250 -
69,100 69,100 -
162,750 162,750 -
18,500 18,500 -
18,500 18,500 -
18,000 18,000 -
18,000 18,000 -
18,500 18,500 -
25,000 25,000 -
137,101 137,101 -
39,600 39,600 -
105,950 105,950 -
10,000 10,000 -
54,750 54,750 -
140,950 140,950 -
10,000 10,000 -
34,000 34,000 -
34,000 34,000 -
10,000 10,000 -
18,500 18,500 -
82,335 82,335 -
303,400 303,400 -
127,500 127,500 -
25,000 25,000 -
54,000 54,000 -
54,000 54,000 -
15,000 15,000 -
- - -
5,289,951 5,289,951
5,289,951

patan

113,000 113,000 -
90,150 90,150 -
35,850 35,850 -
197,550 197,550 -
52,000 52,000 -
33,550 56,350 22,800
228,890 228,890 -
76,500 76,500 -
25,000 25,000 -
93,250 93,250 -
154,500 154,500 -
47,750 47,750 -
284,075 284,075 -
12,000 12,000 -
170,700 170,700 -
2,100 2,100 -
14,000 14,000 -
132,400 132,400 -
350,975 350,975 -
13,500 13,500 -
54,330 54,330 -
14,500 14,500 -
10,500 10,500 -
117,140 117,140 -
72,750 72,750 -
- 86,800 86,800
39,600 39,600 -
120,250 120,250 -
79,100 79,100 -
- - -
2,635,910 2,635,910
2,635,910

patan

39,600 39,600 -
3,500 3,500 -
26,950 26,950 -
48,750 48,750 -
19,000 19,000 -
11,100 11,100 -
91,500 91,500 -
82,850 82,850 -
67,550 67,550 -
56,100 56,100 -
76,400 76,400 -
139,140 139,140 -
33,000 33,000 -
68,100 68,100 -
157,050 157,050 -
80,300 80,300 -
16,500 16,500 -
102,900 102,900 -
18,500 18,500 -
58,000 58,000 -
10,000 10,000 -
18,000 18,000 -
144,000 144,000 -
67,400 67,400 -
58,000 58,000 -
16,500 16,500 -
18,500 18,500 -
58,000 58,000 -
25,500 25,500 -
49,500 49,500 -
13,500 13,500 -
146,615 146,615 -
- 499,800 499,800
25,000 25,000 -
50,000 50,000 -
112,500 112,500 -
55,000 55,000 -
74,500 74,500 -
18,500 18,500 -
18,500 18,500 -
34,000 34,000 -
86,650 86,650 -
18,500 18,500 -
113,100 113,100 -
122,200 122,200 -
71,000 71,000 -
61,500 61,500 -
107,650 107,650 -
94,350 94,350 -
87,200 87,200 -
43,000 43,000 -
34,000 34,000 -
34,000 34,000 -
13,500 13,500 -
47,500 47,500 -
66,000 66,000 -
48,600 48,600 -
34,000 34,000 -
67,900 67,900 -
262,600 262,600 -
86,880 86,880 -
146,975 146,975 -
34,000 34,000 -
133,200 133,200 -
245,000 245,000 -
52,500 52,500 -
83,450 83,450 -
151,000 151,000 -
34,000 34,000 -
47,500 47,500 -
65,000 65,000 -
64,000 64,000 -
100,000 100,000 -
34,000 34,000 -
135,700 135,700 -
170,475 170,475 -
40,750 40,750 -
116,950 116,950 -
65,000 65,000 -
127,600 127,600 -
53,000 53,000 -
136,700 136,700 -
53,125 53,125 -
182,125 182,125 -
112,400 112,400 -
298,750 298,750 -
52,400 52,400 -
62,150 62,150 -
- - -
6,508,185 6,508,185
6,508,185

patan
1

132,125 132,125 -
47,500 47,500 -
47,500 47,500 -
62,010 62,010 -
82,500 82,500 -
913,200 913,200 -
41,000 41,000 -
108,100 108,100 -
12,950 12,950 -
30,650 30,650 -
69,300 69,300 -
93,625 93,625 -
360,625 360,625 -
39,600 39,600 -
161,000 161,000 -
83,750 83,750 -
180,000 180,000 -
688,800 688,800 -
203,200 203,200 -
56,722 56,722 -
- 52,400 52,400
- 62,150 62,150
- 11,100 11,100
78,450 78,450 -
99,400 99,400 -
59,500 59,500 -
291,600 291,600 -
382,750 382,750 -
111,105 111,105 -
52,000 52,000 -
28,500 28,500 -
16,500 16,500 -
66,650 66,650 -
16,500 16,500 -
56,250 56,250 -
93,150 93,150 -
183,000 183,000 -
17,500 17,500 -
76,500 76,500 -
64,000 64,000 -
18,000 18,000 -
51,800 51,800 -
99,100 99,100 -
7,350 7,350 -
94,500 94,500 -
183,550 183,550 -
189,250 189,250 -
67,000 67,000 -
163,750 163,750 -
200,925 200,925 -
125,250 125,250 -
133,500 133,500 -
85,500 85,500 -
43,600 43,600 -
105,000 105,000 -
34,000 125,500 91,500
43,500 43,500 -
165,350 165,350 -
121,000 121,000 -
47,500 47,500 -
177,200 177,200 -
182,250 182,250 -
217,900 217,900 -
158,000 158,000 -
169,950 169,950 -
80,650 80,650 -
25,000 25,000 -
37,690 37,690 -
34,000 34,000 -
81,800 81,800 -
34,000 34,000 -
224,425 224,425 -
20,000 20,000 -
34,000 34,000 -
100,100 100,100 -
106,400 106,400 -
16,500 16,500 -
110,785 110,785 -
137,500 137,500 -
150,900 150,900 -
72,500 72,500 -
52,500 52,500 -
110,350 110,350 -
196,715 196,715 -
62,500 62,500 -
232,010 232,010 -
233,425 233,425 -
105,600 105,600 -
- - -
10,251,587 10,251,587
10,251,587

patan

52,000 52,000 -
107,150 107,150 -
16,800 16,800 -
13,600 13,600 -
87,000 87,000 -
35,700 35,700 -
26,000 26,000 -
84,000 84,000 -
- 80,500 80,500
- 596,300 596,300
13,500 13,500 -
34,250 34,250 -
299,750 299,750 -
14,400 14,400 -
134,000 134,000 -
525,250 525,250 -
51,600 51,600 -
52,100 52,100 -
100,000 100,000 -
75,950 75,950 -
55,150 55,150 -
60,300 60,300 -
16,500 16,500 -
197,000 197,000 -
31,800 31,800 -
47,800 47,800 -
18,500 18,500 -
33,000 33,000 -
13,500 13,500 -
34,500 34,500 -
19,000 19,000 -
31,000 31,000 -
31,000 31,000 -
34,858 34,858 -
9,000 9,000 -
31,000 31,000 -
31,000 31,000 -
26,000 26,000 -
13,500 13,500 -
55,500 55,500 -
34,000 34,000 -
52,000 52,000 -
81,305 81,305 -
98,400 98,400 -
94,000 94,000 -
7,000 7,000 -
116,700 116,700 -
203,000 203,000 -
16,800 16,800 -
42,800 42,800 -
34,000 34,000 -
107,500 107,500 -
47,500 47,500 -
380,500 380,500 -
61,300 61,300 -
68,500 68,500 -
87,250 87,250 -
124,550 124,550 -
47,000 47,000 -
34,000 34,000 -
38,500 38,500 -
18,500 18,500 -
18,500 18,500 -
19,500 19,500 -
24,000 24,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
64,100 64,100 -
33,750 33,750 -
188,000 188,000 -
73,000 73,000 -
16,500 16,500 -
53,100 53,100 -
119,500 119,500 -
81,000 81,000 -
142,500 142,500 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
205,300 205,300 -
39,600 39,600 -
39,600 39,600 -
108,600 108,600 -
108,600 108,600 -
39,600 39,600 -
131,000 131,000 -
84,000 84,000 -
108,600 108,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
153,000 153,000 -
133,700 133,700 -
60,250 60,250 -
119,800 119,800 -
74,600 74,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
35,000 35,000 -
153,200 153,200 -
198,700 198,700 -
161,100 161,100 -
108,600 108,600 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
206,000 206,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
108,600 108,600 -
126,100 126,100 -
124,200 124,200 -
39,600 39,600 -
107,000 107,000 -
84,000 84,000 -
108,600 108,600 -
39,600 39,600 -
65,600 65,600 -
54,340 54,340 -
41,500 41,500 -
70,300 70,300 -
92,000 92,000 -
34,000 34,000 -
92,000 92,000 -
70,990 70,990 -
63,500 63,500 -
16,800 16,800 -
57,600 57,600 -
70,500 70,500 -
152,226 152,226 -
31,800 31,800 -
73,800 73,800 -
39,600 39,600 -
39,600 39,600 -
139,000 139,000 -
108,600 108,600 -
108,600 108,600 -
39,600 39,600 -
266,476 266,476 -
100,000 100,000 -
104,600 104,600 -
146,500 146,500 -
73,600 73,600 -
108,600 108,600 -
39,600 39,600 -
108,600 108,600 -
180,976 180,976 -
108,600 108,600 -
151,500 151,500 -
114,200 114,200 -
202,476 202,476 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
35,000 35,000 -
39,600 39,600 -
154,750 154,750 -
327,330 327,330 -
111,000 111,000 -
5,500 5,500 -
- - -
13,827,327 13,827,327
13,827,327

patan

83,750 83,750 (0)


85,700 85,700 -
707,750 707,750 -
38,500 38,500 -
99,500 99,500 -
294,000 294,000 -
112,550 112,550 -
70,150 70,150 -
88,950 88,950 -
44,500 44,500 -
91,500 91,500 -
91,500 91,500 -
75,500 75,500 -
12,140 12,140 -
8,125 8,125 -
38,350 38,350 -
67,950 67,950 -
5,500 11,000 5,500
- 137,400 137,400
76,500 76,500 -
73,200 73,200 -
230,450 230,450 -
9,000 9,000 -
67,300 67,300 -
2,517,365 2,517,365 -
2,380,880 2,380,880 -
45,000 45,000 -
53,150 53,150 -
56,050 56,050 -
43,450 43,450 -
95,000 95,000 -
78,250 78,250 -
405,400 405,400 -
13,500 13,500 -
17,750 17,750 -
18,000 18,000 -
20,000 20,000 -
16,500 16,500 -
13,500 13,500 -
18,500 18,500 -
58,000 58,000 -
15,500 15,500 -
25,500 25,500 -
131,922 131,922 -
15,500 15,500 -
155,700 155,700 -
228,250 228,250 -
203,025 203,025 -
18,000 18,000 -
24,000 24,000 -
134,150 134,150 -
116,900 116,900 -
99,500 99,500 -
96,000 96,000 -
1,000 1,000 -
79,450 79,450 -
285,600 285,600 -
114,250 114,250 -
19,500 19,500 -
89,500 89,500 -
105,200 105,200 -
56,250 56,250 -
119,000 119,000 -
50,500 50,500 -
16,800 16,800 -
127,500 127,500 -
124,470 124,470 -
39,600 39,600 -
58,000 58,000 -
44,000 44,000 -
69,400 69,400 -
80,750 80,750 -
162,800 162,800 -
70,650 70,650 -
81,800 81,800 -
62,800 62,800 -
92,000 92,000 -
38,500 38,500 -
36,000 36,000 -
36,000 36,000 -
38,500 38,500 -
34,000 34,000 -
34,000 34,000 -
- - -
11,754,427 11,754,427
11,754,427

patan
1

145,500 145,500 -
214,900 214,900 -
149,665 149,665 -
94,000 94,000 -
141,150 141,150 -
68,250 68,250 -
172,800 172,800 -
67,900 67,900 -
164,100 164,100 -
77,700 77,700 -
152,300 152,300 -
16,200 16,200 -
128,000 128,000 -
707,125 707,125 -
80,050 80,050 -
126,250 126,250 -
34,000 34,000 -
98,000 98,000 -
34,000 34,000 -
71,775 71,775 -
- 12,140 12,140
18,000 18,000 -
18,500 18,500 -
22,000 22,000 -
8,000 8,000 -
44,000 44,000 -
18,400 18,400 -
18,000 18,000 -
145,975 145,975 -
93,250 93,250 -
105,775 105,775 -
19,500 19,500 -
- 1,358,600 1,358,600
34,250 34,250 -
205,300 205,300 -
138,750 138,750 -
122,350 122,350 -
110,000 110,000 -
34,000 34,000 -
161,100 161,100 -
59,500 59,500 -
164,950 164,950 -
34,000 34,000 -
71,000 71,000 -
39,600 39,600 -
41,000 41,000 -
61,000 61,000 -
44,550 44,550 -
169,850 169,850 -
44,550 44,550 -
97,550 97,550 -
111,875 111,875 -
181,500 181,500 -
102,000 102,000 -
87,750 87,750 -
137,250 137,250 -
79,200 79,200 -
117,000 117,000 -
177,750 177,750 -
192,000 192,000 -
18,500 18,500 -
42,750 42,750 -
- 707,750 707,750
821,300 821,300 -
104,000 104,000 -
164,500 164,500 -
112,500 112,500 -
228,000 228,000 -
74,500 74,500 -
225,500 225,500 -
158,800 158,800 -
98,250 98,250 -
168,000 168,000 -
147,550 147,550 -
54,500 54,500 -
54,500 54,500 -
89,400 89,400 -
288,500 288,500 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
45,000 45,000 -
- - -
9,222,740 9,222,740
9,222,740

patan
1

69,100 69,100 -
51,200 51,200 -
14,500 14,500 -
11,300 11,300 -
20,100 20,100 -
26,900 26,900 -
23,000 23,000 -
39,200 39,200 -
18,700 18,700 -
36,500 36,500 -
36,500 36,500 -
86,500 86,500 -
79,500 79,500 -
91,500 91,500 -
184,500 184,500 -
143,500 143,500 -
12,000 12,000 -
83,950 83,950 -
110,350 110,350 -
187,200 187,200 -
77,900 77,900 -
67,750 67,750 -
111,475 111,475 -
203,900 203,900 -
34,000 34,000 -
47,500 47,500 -
110,500 110,500 -
98,500 98,500 -
51,500 51,500 -
77,000 77,000 -
46,000 46,000 -
126,900 126,900 -
79,400 79,400 -
48,000 48,000 -
16,500 16,500 -
127,500 127,500 -
127,500 127,500 -
36,500 36,500 -
191,250 191,250 -
34,000 34,000 -
39,600 39,600 -
193,200 193,200 -
49,000 49,000 -
139,000 139,000 -
8,000 8,000 -
34,000 34,000 -
55,750 55,750 -
69,040 69,040 -
34,000 34,000 -
34,000 34,000 -
94,400 94,400 -
39,600 39,600 -
94,370 94,370 -
83,500 83,500 -
86,550 86,550 -
19,000 19,000 -
27,500 27,500 -
9,000 9,000 -
35,000 35,000 -
63,000 63,000 -
18,500 18,500 -
18,500 18,500 -
16,500 16,500 -
50,900 50,900 -
98,840 98,840 -
155,500 155,500 -
- - -
4,605,825 4,605,825
4,605,825

patan
1

209,225 209,225 -
200,000 200,000 -
106,600 106,600 -
46,050 46,050 -
139,200 139,200 -
30,650 30,650 -
6,500 6,500 -
13,000 13,000 -
91,000 91,000 -
81,150 81,150 -
71,500 71,500 -
1,750 1,750 -
72,000 72,000 -
74,500 74,500 -
10,200 10,200 -
84,400 84,400 -
34,000 34,000 -
90,000 90,000 -
123,000 123,000 -
28,000 28,000 -
113,025 113,025 -
64,190 64,190 -
6,750 6,750 -
13,500 13,500 -
105,600 105,600 -
49,750 49,750 -
- 83,950 83,950
21,550 21,550 -
127,900 127,900 -
39,600 39,600 -
32,000 32,000 -
32,500 32,500 -
102,675 102,675 -
62,600 62,600 -
73,025 73,025 -
79,550 79,550 -
182,415 182,415 -
76,700 76,700 -
5,850 5,850 -
44,125 44,125 -
39,600 39,600 -
17,600 17,600 -
7,000 7,000 -
- - -
2,810,230 2,810,230
2,810,230

patan

87,800 87,800 -
166,000 166,000 -
51,200 51,200 -
197,990 197,990 -
68,700 68,700 -
43,800 43,800 -
17,950 17,950 -
85,750 85,750 -
122,900 122,900 -
64,400 64,400 -
60,000 60,000 -
123,250 123,250 -
104,550 104,550 -
828,975 828,975 -
53,000 53,000 -
81,800 81,800 -
52,000 52,000 -
2,800 2,800 -
91,500 91,500 -
75,500 75,500 -
71,200 71,200 -
13,250 13,250 -
46,950 46,950 -
13,500 13,500 -
25,500 25,500 -
- 547,500 547,500
118,000 118,000 -
142,326 142,326 -
13,500 13,500 -
104,000 104,000 -
18,000 18,000 -
153,000 153,000 -
82,900 82,900 -
16,500 16,500 -
95,500 95,500 -
34,000 34,000 -
18,000 18,000 -
- 214,900 214,900
85,500 85,500 -
13,500 13,500 -
32,500 32,500 -
97,900 97,900 -
55,500 55,500 -
140,975 140,975 -
130,315 130,315 -
128,876 128,876 -
53,300 53,300 -
36,500 36,500 -
- 209,200 209,200
- 200,000 200,000
245,000 245,000 -
133,225 133,225 -
19,500 19,500 -
64,250 64,250 -
94,000 94,000 -
48,300 48,300 -
38,500 38,500 -
10,000 10,000 -
34,000 34,000 -
96,700 96,700 -
34,000 34,000 -
15,500 15,500 -
40,750 40,750 -
99,500 99,500 -
180,800 180,800 -
125,500 125,500 -
297,250 297,250 -
131,400 131,400 -
42,900 42,900 -
66,050 66,050 -
82,200 82,200 -
139,750 139,750 -
11,300 11,300 -
37,500 37,500 -
320,150 320,150 -
49,450 49,450 -
166,500 166,500 -
5,300 5,300 -
136,850 136,850 -
34,000 34,000 -
34,000 34,000 -
74,000 74,000 -
34,000 34,000 -
52,000 52,000 -
149,000 149,000 -
162,350 162,350 -
34,000 34,000 -
315,500 315,500 -
200,700 200,700 -
427,000 427,000 -
63,000 63,000 -
190,000 190,000 -
69,300 69,300 -
194,250 194,250 -
56,650 56,650 -
- - -
8,976,732 8,976,732
8,976,732

patan

1
117,400 117,400 -
103,350 103,350 -
115,800 115,800 -
8,000 8,000 -
- 828,975 828,975
- 53,000 53,000
63,000 63,000 -
157,500 157,500 -
88,600 88,600 -
5,300 5,300 -
20,000 20,000 -
89,610 89,610 -
46,000 46,000 -
20,000 20,000 -
51,500 51,500 -
213,100 213,100 -
99,100 99,100 -
115,750 115,750 -
184,750 184,750 -
77,250 77,250 -
85,850 85,850 -
108,882 108,882 -
116,100 116,100 -
93,015 93,015 -
(293,010) - 293,010
-
1,686,847 1,686,847
1,686,847

patan

111,600 111,600 -
152,350 152,350 -
114,600 114,600 -
130,300 130,300 -
126,100 126,100 -
8,600 8,600 -
113,800 113,800 -
14,500 14,500 -
12,400 12,400 -
38,050 38,050 -
104,150 104,150 -
900 900 -
85,400 85,400 -
13,500 13,500 -
73,500 73,500 -
93,250 93,250 -
53,250 53,250 -
18,000 18,000 -
349,750 349,750 -
18,500 18,500 -
29,000 29,000 -
56,850 56,850 -
59,050 59,050 -
250,430 250,430 -
18,500 18,500 -
18,000 18,000 -
85,500 85,500 -
42,450 42,450 -
63,925 63,925 -
58,000 58,000 -
- 155,500 155,500
- 53,600 53,600
110,000 110,000 -
110,500 110,500 -
33,500 33,500 -
105,200 105,200 -
89,000 89,000 -
190,800 190,800 -
31,500 31,500 -
132,025 132,025 -
137,200 137,200 -
69,100 69,100 -
34,000 34,000 -
13,600 13,600 -
33,000 33,000 -
18,500 18,500 -
107,500 107,500 -
27,500 27,500 -
40,500 40,500 -
34,000 34,000 -
113,500 113,500 -
246,250 246,250 -
91,750 91,750 -
153,200 153,200 -
143,760 143,760 -
143,148 143,148 -
84,000 84,000 -
108,250 108,250 -
102,000 102,000 -
66,600 66,600 -
39,600 39,600 -
47,500 47,500 -
79,200 79,200 -
186,750 186,750 -
153,500 153,500 -
137,250 137,250 -
45,000 45,000 -
84,000 84,000 -
84,000 84,000 -
191,250 191,250 -
204,750 204,750 -
84,000 84,000 -
197,100 197,100 -
114,100 114,100 -
108,600 108,600 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
113,475 113,475 -
42,750 42,750 -
137,100 137,100 -
73,600 73,600 -
79,200 79,200 -
39,600 39,600 -
230,100 230,100 -
156,800 156,800 -
116,500 116,500 -
34,000 34,000 -
29,000 29,000 -
113,200 113,200 -
39,600 39,600 -
39,600 39,600 -
220,550 220,550 -
108,600 108,600 -
39,600 39,600 -
34,000 34,000 -
333,900 333,900 -
74,600 74,600 -
39,600 39,600 -
159,800 159,800 -
112,750 112,750 -
39,600 39,600 -
34,000 34,000 -
63,650 63,650 -
97,100 97,100 -
113,200 113,200 -
127,300 127,300 -
140,100 140,100 -
86,500 86,500 -
165,850 165,850 -
74,600 74,600 -
39,600 39,600 -
257,450 257,450 -
113,200 113,200 -
79,200 79,200 -
262,665 262,665 -
39,600 39,600 -
180,030 180,030 -
74,600 74,600 -
105,600 105,600 -
32,500 32,500 -
157,950 157,950 -
246,626 246,626 -
79,200 79,200 -
108,600 108,600 -
104,450 104,450 -
104,000 104,000 -
80,000 80,000 -
74,500 74,500 -
98,100 98,100 -
53,400 53,400 -
38,500 38,500 -
34,000 34,000 -
34,000 34,000 -
166,600 166,600 -
- - -
12,752,484 12,752,484
12,752,484

patan

52,000 52,000 -
47,000 47,000 -
52,000 52,000 -
112,700 112,700 -
106,675 106,675 -
35,000 35,000 -
204,700 204,700 -
69,500 69,500 -
377,050 377,050 -
225,650 225,650 -
83,800 83,800 -
1,139,415 1,139,415 (1)
96,000 96,000 -
134,000 134,000 -
76,500 76,500 -
156,340 156,340 -
208,500 208,500 -
141,800 141,800 -
103,500 103,500 -
6,600 6,600 -
4,300 4,300 -
46,950 46,950 -
82,500 82,500 -
86,250 86,250 -
34,000 34,000 -
48,500 48,500 -
18,000 18,000 -
85,970 85,970 -
88,550 88,550 -
15,500 15,500 -
106,000 106,000 -
15,500 15,500 -
171,750 171,750 -
25,700 25,700 -
132,325 132,325 -
130,000 130,000 -
113,000 113,000 -
50,500 50,500 -
18,500 18,500 -
19,000 19,000 -
34,000 34,000 -
91,100 91,100 -
3,625 3,625 -
175,300 175,300 -
66,100 66,100 -
130,700 130,700 -
88,750 88,750 -
34,000 34,000 -
190,500 190,500 -
109,000 109,000 -
89,000 89,000 -
136,300 136,300 -
108,575 108,575 -
156,000 156,000 -
162,700 162,700 -
61,000 61,000 -
76,400 76,400 -
270,250 270,250 -
51,500 51,500 -
16,500 16,500 -
32,500 32,500 -
18,500 18,500 -
339,100 339,100 -
278,250 278,250 -
127,500 127,500 -
50,500 50,500 -
125,000 125,000 -
127,500 127,500 -
127,500 127,500 -
58,000 58,000 -
110,000 110,000 -
127,750 127,750 -
1,172,005 1,172,005 -
90,000 90,000 -
90,000 90,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
-
9,884,930 9,884,930
9,884,930

patan

115,826 115,826 -
95,750 95,750 -
95,900 95,900 -
174,500 174,500 -
29,500 29,500 -
10,000 10,000 -
100,500 100,500 -
114,000 114,000 -
114,000 114,000 -
6,000 6,000 -
8,000 8,000 -
394,100 394,100 -
124,550 124,550 -
10,000 10,000 -
55,315 55,315 -
14,845 14,845 -
45,745 45,745 -
104,750 104,750 -
104,750 104,750 -
640,400 640,400 -
45,000 45,000 -
54,100 54,100 -
115,250 115,250 -
39,600 39,600 -
36,300 36,300 -
15,000 15,000 -
13,500 13,500 -
105,300 105,300 -
15,000 15,000 -
183,350 183,350 -
100,000 100,000 -
13,500 13,500 -
81,900 81,900 -
100,750 100,750 -
18,500 18,500 -
34,500 34,500 -
18,000 18,000 -
117,600 117,600 -
18,000 18,000 -
21,500 21,500 -
34,000 34,000 -
18,500 18,500 -
157,625 157,625 -
19,500 19,500 -
118,400 118,400 -
116,300 116,300 -
102,400 102,400 -
90,500 90,500 -
159,700 159,700 -
114,500 114,500 -
123,000 123,000 -
174,950 174,950 -
84,950 84,950 -
43,150 43,150 -
109,050 109,050 -
188,300 188,300 -
58,000 58,000 -
34,000 34,000 -
64,800 64,800 -
284,400 284,400 -
139,900 139,900 -
134,965 134,965 -
51,000 51,000 -
67,000 67,000 -
82,800 82,800 -
62,000 62,000 -
153,450 153,450 -
134,975 134,975 -
74,000 74,000 -
84,500 84,500 -
22,200 22,200 -
142,750 142,750 -
20,000 20,000 -
74,600 74,600 -
74,400 74,400 -
181,650 181,650 -
79,200 79,200 -
156,000 156,000 -
84,000 84,000 -
84,000 84,000 -
188,250 188,250 -
241,200 241,200 -
84,000 84,000 -
84,000 84,000 -
227,000 227,000 -
223,000 223,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
71,250 71,250 -
9,000 9,000 -
111,750 111,750 -
- - -
8,995,946 8,995,946
8,995,946

patan

67,000 67,000 -
43,175 43,175 -
193,000 193,000 -
178,400 178,400 -
84,350 84,350 -
42,000 42,000 -
60,000 60,000 -
102,500 102,500 -
34,000 34,000 -
19,000 19,000 -
6,000 6,000 -
37,500 37,500 -
24,000 24,000 -
21,000 21,000 -
16,500 16,500 -
144,700 144,700 -
17,750 17,750 -
27,750 27,750 (1)
50,500 50,500 -
50,500 50,500 -
62,000 62,000 -
64,500 64,500 -
83,150 83,150 -
137,050 137,050 -
16,500 16,500 -
95,200 95,200 -
3,400 3,400 -
47,900 47,900 -
70,500 70,500 -
65,000 65,000 -
92,400 92,400 -
7,750 7,750 -
13,500 13,500 -
8,000 8,000 -
- 106,675 106,675
8,000 8,000 -
165,500 165,500 -
165,500 165,500 -
18,000 18,000 -
153,000 153,000 -
94,500 94,500 -
141,000 141,000 -
175,400 175,400 -
58,500 58,500 -
44,500 44,500 -
74,000 74,000 -
63,600 63,600 -
201,350 201,350 -
96,290 96,290 -
131,400 131,400 -
34,000 34,000 -
39,600 39,600 -
160,500 160,500 -
70,500 70,500 -
28,800 28,800 -
12,600 12,600 -
25,000 25,000 -
136,000 136,000 -
16,500 16,500 -
222,000 222,000 -
93,300 93,300 -
121,500 121,500 -
21,700 21,700 -
40,000 40,000 -
12,000 12,000 -
35,500 35,500 -
25,000 25,000 -
69,900 69,900 -
18,000 18,000 -
- - -
4,759,415 4,759,415
4,759,415

patan

30,650 30,650 -
11,075 11,075 -
243,200 243,200 -
250,000 250,000 -
70,500 70,500 -
59,000 59,000 -
8,000 8,000 -
23,000 23,000 -
190,000 190,000 -
11,550 11,550 -
27,500 212,000 184,500
53,500 53,500 -
69,000 69,000 -
122,400 122,400 -
13,500 13,500 -
57,000 57,000 -
85,400 85,400 -
4,000 4,000 -
70,000 70,000 -
57,500 57,500 -
39,600 39,600 -
19,200 19,200 -
9,150 9,150 -
137,025 137,025 -
225,025 225,025 -
83,950 83,950 -
147,150 147,150 -
64,500 64,500 -
77,550 77,550 -
-
2,259,925 2,259,925
2,259,925

patan

71,075 71,075 -
113,500 113,500 -
123,100 123,100 -
85,500 85,500 -
6,000 6,000 -
4,000 4,000 -
6,500 6,500 -
- 106,700 106,700
- 1,703,000 1,703,000
148,950 148,950 -
123,690 123,690 -
67,740 67,740 -
116,820 116,820 -
130,875 130,875 -
34,300 34,300 -
10,500 10,500 -
75,050 75,050 -
74,675 74,675 -
11,140 11,140 -
15,000 15,000 -
45,500 45,500 -
58,000 58,000 -
133,300 133,300 -
56,000 56,000 -
19,000 19,000 -
20,000 20,000 -
112,310 112,310 -
81,970 81,970 -
18,500 18,500 -
16,500 16,500 -
82,750 82,750 -
34,000 34,000 -
58,500 58,500 -
218,800 218,800 -
85,000 85,000 -
54,750 54,750 -
50,500 50,500 -
156,250 156,250 -
58,000 58,000 -
154,600 154,600 -
92,300 92,300 -
92,801 92,801 -
51,000 51,000 -
219,550 219,550 -
180,100 180,100 -
66,100 66,100 -
168,072 168,072 -
54,796 54,796 -
240,500 240,500 -
188,200 188,200 -
97,700 97,700 -
145,500 145,500 -
82,025 82,025 -
156,275 156,275 -
132,000 132,000 -
10,000 10,000 -
41,500 41,500 -
66,000 66,000 -
34,000 34,000 -
107,500 107,500 -
81,000 81,000 -
56,000 56,000 -
91,750 91,750 -
68,500 68,500 -
12,950 12,950 -
75,248 75,248 -
8,000 8,000 0
-
5,352,012 5,352,012
5,352,012

patan

120,000 120,000 -
121,800 121,800 -
70,700 70,700 -
123,000 123,000 -
79,500 79,500 -
13,500 13,500 -
106,540 106,540 -
61,000 61,000 -
16,100 16,100 -
81,000 81,000 -
34,000 34,000 -
34,000 34,000 -
534,500 534,500 -
45,000 45,000 -
18,500 18,500 -
16,500 16,500 -
47,500 47,500 -
58,000 58,000 -
16,000 16,000 -
51,500 51,500 -
86,300 86,300 -
134,750 134,750 -
114,140 114,140 -
123,000 123,000 -
127,500 127,500 -
132,950 132,950 -
125,000 125,000 -
184,100 184,100 -
78,250 78,250 -
127,500 127,500 -
55,800 55,800 -
11,000 11,000 -
34,000 34,000 -
112,850 112,850 -
74,200 74,200 -
10,000 10,000 -
18,000 18,000 -
320,000 320,000 -
25,000 25,000 -
63,250 63,250 -
155,300 155,300 -
148,650 148,650 -
17,600 17,600 -
122,350 122,350 -
197,650 197,650 -
212,700 212,700 -
107,500 107,500 -
169,000 169,000 -
94,250 94,250 -
223,750 223,750 -
178,200 178,200 -
19,500 19,500 -
19,500 19,500 -
43,000 43,000 -
102,500 102,500 -
95,425 95,425 -
298,300 298,300 -
34,000 34,000 -
35,200 35,200 -
55,500 55,500 -
121,045 121,045 -
6,000 6,000 -
- - -
6,063,150 6,063,150
6,063,150

patan

112,500 112,500 -
97,500 97,500 -
110,250 110,250 -
110,300 110,300 -
5,000 5,000 -
23,650 23,650 -
2,212,950 2,212,950 -
35,300 35,300 -
2,000 2,000 -
82,025 82,025 -
213,680 213,680 -
110,250 110,250 (0)
- 204,700 204,700
- 162,200 162,200
- 132,500 132,500
94,150 94,150 -
66,125 66,125 -
135,650 135,650 -
87,000 87,000 -
112,250 112,250 -
121,535 121,535 -
68,000 68,000 -
34,000 34,000 -
13,500 13,500 -
16,500 16,500 -
6,500 6,500 -
13,000 13,000 -
66,350 66,350 -
33,650 33,650 -
18,000 18,000 -
18,500 18,500 -
79,000 79,000 -
18,500 18,500 -
107,970 107,970 -
182,705 182,705 -
55,900 55,900 -
102,000 102,000 -
207,500 207,500 -
124,600 124,600 -
226,975 226,975 -
105,115 105,115 -
71,460 71,460 -
231,150 231,150 -
85,650 85,650 -
184,850 184,850 -
130,100 130,100 -
171,500 171,500 -
169,500 169,500 -
163,000 163,000 -
165,750 165,750 -
48,250 48,250 -
138,600 138,600 -
39,600 39,600 -
132,500 132,500 -
108,600 108,600 -
111,149 111,149 -
162,000 162,000 -
102,500 102,500 -
104,550 104,550 -
95,500 95,500 -
204,250 204,250 -
112,225 112,225 -
154,800 154,800 -
205,400 205,400 -
129,250 129,250 -
73,600 73,600 -
39,600 39,600 -
116,600 116,600 -
39,600 39,600 -
106,600 106,600 -
39,600 39,600 -
16,500 16,500 -
39,600 39,600 -
39,600 39,600 -
201,350 201,350 -
39,600 39,600 -
107,700 107,700 -
39,600 39,600 -
39,600 39,600 -
59,500 59,500 -
93,900 93,900 -
43,890 43,890 -
34,000 34,000 -
212,000 212,000 -
89,000 89,000 -
59,200 59,200 -
34,000 34,000 -
34,000 34,000 -
86,000 86,000 -
75,000 75,000 -
126,100 126,100 -
200,700 200,700 -
108,600 108,600 -
73,600 73,600 -
73,600 73,600 -
73,600 73,600 -
142,600 142,600 -
34,000 34,000 -
86,500 86,500 -
126,100 126,100 -
249,850 249,850 -
108,600 108,600 -
200,700 200,700 -
138,600 138,600 -
112,000 112,000 -
108,600 108,600 -
200,700 200,700 -
100,526 100,526 -
140,000 140,000 -
153,449 153,449 -
114,000 114,000 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
84,000 84,000 -
45,000 45,000 -
34,000 34,000 -
84,000 84,000 -
44,500 44,500 -
34,000 34,000 -
90,000 90,000 -
90,000 90,000 -
90,000 90,000 -
38,500 38,500 -
91,350 91,350 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
90,000 90,000 -
78,700 78,700 -
46,950 46,950 -
34,000 34,000 -
90,000 90,000 -
15,000 15,000 -
524,250 524,250 -
5,500 5,500 -
64,440 64,440 -
39,600 39,600 -
143,500 143,500 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
34,000 34,000 -
39,600 39,600 -
79,200 79,200 -
66,600 66,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
114,200 114,200 -
74,600 74,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
305,000 305,000 -
44,250 44,250 -
744,230 744,230 -
185,000 185,000 -
- - -
17,549,349 17,549,349
17,549,349

patan

34,000 34,000 -
(200,700) - 200,700
53,050 53,050 -
13,000 13,000 -
7,250 7,250 -
39,600 39,600 -
24,000 24,000 -
31,300 31,300 -
201,750 201,750 -
48,000 48,000 -
90,226 90,226 -
38,500 38,500 -
212,700 212,700 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
246,900 246,900 -
104,700 104,700 -
108,600 108,600 -
18,000 18,000 -
16,000 16,000 -
87,000 87,000 -
16,000 16,000 -
13,500 13,500 -
83,000 83,000 -
27,500 27,500 -
50,500 50,500 -
16,500 16,500 -
45,800 45,800 -
122,300 122,300 -
21,000 21,000 -
135,000 135,000 -
170,800 170,800 -
- 25,000 25,000
- 1,020,300 1,020,300
6,000 6,000 -
44,550 44,550 -
70,050 70,050 -
119,050 119,050 -
39,600 39,600 -
123,750 123,750 -
34,000 34,000 -
130,600 130,600 -
166,325 166,325 -
70,300 70,300 -
209,926 209,926 -
109,750 109,750 -
143,500 143,500 -
45,500 45,500 -
203,500 203,500 -
216,550 216,550 -
18,750 18,750 -
95,665 95,665 (0)
139,275 139,275 -
99,000 99,000 -
125,000 125,000 -
25,400 25,400 -
76,000 76,000 -
79,300 79,300 -
133,680 133,680 -
80,450 80,450 -
34,000 34,000 -
90,000 90,000 -
64,000 64,000 -
632,215 632,215 -
- - -
5,437,463 5,437,463
5,437,463

patan

84,000 84,000 -
118,950 118,950 -
39,000 39,000 -
3,625 3,625 -
52,100 52,100 -
43,600 43,600 -
82,000 82,000 -
89,000 89,000 -
70,500 70,500 -
6,500 6,500 -
6,500 6,500 -
10,500 10,500 -
16,500 16,500 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
25,000 25,000 -
48,500 48,500 -
50,000 50,000 -
101,095 101,095 -
94,250 94,250 -
58,200 58,200 -
65,350 65,350 -
62,000 62,000 -
85,000 85,000 -
18,000 18,000 -
12,000 12,000 -
70,500 70,500 -
112,000 112,000 -
79,550 79,550 -
20,000 20,000 -
116,955 116,955 -
97,500 97,500 -
128,500 128,500 -
43,500 43,500 -
71,000 71,000 -
198,500 198,500 -
47,500 47,500 -
12,000 12,000 -
116,700 116,700 -
118,600 118,600 -
64,100 64,100 -
34,000 34,000 -
51,250 51,250 -
72,500 72,500 -
150,750 150,750 -
164,600 164,600 -
13,500 13,500 -
82,850 82,850 -
140,150 140,150 -
217,500 217,500 -
196,500 196,500 -
233,000 233,000 -
180,000 180,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
155,750 155,750 -
8,400 8,400 -
12,000 12,000 -
12,000 12,000 -
45,000 45,000 -
84,000 84,000 -
108,750 108,750 -
84,000 84,000 -
45,500 45,500 -
60,000 60,000 -
48,250 48,250 -
13,000 13,000 -
34,000 34,000 -
118,950 118,950 -
- - -
5,591,275 5,591,275
5,591,275

patan

84,000 84,000 -
58,750 58,750 -
84,000 84,000 -
889,600 889,600 -
34,000 34,000 -
25,500 25,500 -
17,500 17,500 -
17,500 17,500 -
37,500 37,500 -
89,200 89,200 -
79,200 79,200 -
- 19,000 19,000
42,950 42,950 -
32,150 32,150 -
46,000 46,000 -
100,650 100,650 -
39,500 39,500 -
68,200 68,200 -
87,000 87,000 -
101,650 101,650 -
20,000 20,000 -
18,000 18,000 -
10,000 10,000 -
25,000 25,000 -
90,000 90,000 -
90,000 90,000 -
4,300 4,300 -
76,500 76,500 -
29,500 29,500 -
13,000 13,000 -
16,500 16,500 -
87,000 87,000 -
207,100 207,100 -
15,500 15,500 -
74,100 74,100 -
57,000 57,000 -
101,026 101,026 -
279,700 279,700 -
17,500 17,500 -
21,000 21,000 -
169,000 169,000 -
118,825 118,825 -
125,500 125,500 -
207,600 207,600 -
65,500 65,500 -
96,550 96,550 -
223,325 223,325 -
64,500 64,500 -
200,200 200,200 -
64,500 64,500 -
54,200 54,200 -
104,000 104,000 -
25,000 25,000 -
100,000 100,000 -
206,800 206,800 -
39,600 39,600 -
183,700 183,700 -
148,520 148,520 -
16,500 16,500 -
168,400 168,400 -
85,000 85,000 -
75,050 75,050 -
50,500 50,500 -
66,750 66,750 -
41,500 41,500 -
67,250 67,250 -
65,750 65,750 -
22,000 22,000 -
210,650 210,650 -
19,500 19,500 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
- - -
6,375,746 6,375,746
6,375,746

patan

63,250 63,250 -
104,800 104,800 -
34,000 34,000 -
100,750 100,750 -
34,500 34,500 -
39,000 39,000 -
121,830 121,830 -
5,425 5,425 -
2,500 2,500 -
149,575 149,575 -
43,000 43,000 -
4,800 4,800 -
136,700 136,700 -
139,700 139,700 -
173,450 173,450 -
24,500 24,500 -
46,500 46,500 -
65,500 65,500 -
97,500 97,500 -
18,000 18,000 -
283,900 283,900 -
- - -
1,689,180 1,689,180
1,689,180

patan

121,250 121,250 -
37,000 37,000 -
56,850 56,850 -
201,650 201,650 -
22,000 22,000 -
45,350 45,350 -
87,072 87,072 -
- 179,200 179,200
51,250 51,250 -
8,100 8,100 -
16,400 16,400 -
34,000 34,000 -
6,500 6,500 -
143,750 143,750 -
93,190 93,190 -
13,500 13,500 -
26,000 26,000 -
13,000 13,000 -
18,500 18,500 -
67,500 67,500 -
61,500 61,500 -
58,000 58,000 -
15,000 15,000 -
199,080 199,080 -
18,000 18,000 -
10,000 10,000 -
67,100 67,100 -
111,950 111,950 -
15,500 15,500 -
237,750 237,750 -
93,350 93,350 -
73,500 73,500 -
66,500 66,500 -
137,000 137,000 -
34,000 34,000 -
20,000 20,000 -
20,000 20,000 -
129,750 129,750 -
38,700 38,700 -
34,000 34,000 -
260,300 260,300 -
92,800 92,800 -
52,750 52,750 -
119,400 119,400 -
141,675 141,675 -
145,850 145,850 -
156,800 156,800 -
109,000 109,000 -
93,950 93,950 -
159,750 159,750 -
34,000 34,000 -
34,000 34,000 -
171,650 171,650 -
77,500 77,500 -
332,500 332,500 -
143,450 143,450 -
34,000 34,000 -
242,100 242,100 -
100,000 100,000 -
139,000 139,000 -
97,750 97,750 -
43,000 43,000 -
66,500 66,500 -
40,750 40,750 -
46,000 46,000 -
18,000 18,000 -
- 104,700 104,700
144,900 144,900 -
76,290 76,290 -
200,400 200,400 -
142,000 142,000 -
236,205 236,205 -
58,000 58,000 -
34,000 34,000 -
56,500 56,500 -
45,000 45,000 -
57,750 57,750 -
85,500 85,500 -
63,000 63,000 -
97,090 97,090 -
92,275 92,275 -
119,100 119,100 -
- - -
6,964,027 6,964,027
6,964,027

patan
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 01 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU PoliKeb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

1 1 093458 Kurnia Sulistya Dewi 3,545 54,500 3,000 12,500


2 148843 Heppy 909 10,000
3 148842 dr. Nrimanto 1,364 15,000
4 062365 Susteran 5,102 56,125
5 003061 Umi Wadingah 3,791 41,700
6 001096 Sumargiyono 1,045 11,500
7 006137 dr. Harnowo 17,000 10,941 20,670 82,680
8 096483 Ika Endang P 1,514 16,650
9 044164 Yohanes Mardiyanto 4,045 8,900 69,600 4,000
10 105819 Suratin 2,273 53,500 3,000 12,500
11 102593 Ifana Alice 3,300 - 13,200 2,000
12 038233 Subandi 34,000 - 4,000
13 054251 Supriyati 115,850 2,341 26,000 4,000
14 105924 Jeminah 53,750 3,477 3,000 12,500
15 105899 Alvin 144,000 -
16 087210 Raditya 66,500 -
17 053470 Ika Isdiana Dewi 10,000 - 4,000
18 000053 Aprilia 19,500 955 4,000
19 011136 Yosepha Iswidya 5,750 523
20 061812 Sri Sukarmi 39,500 -
21 000875 Evi Mariana 79,500 -
22 006041 Sri Samiyatun 2,900 264
23 031742 Kayem 152,100 10,645 4,000
24 013811 Sri Suharti 18,000 - 2,000
25 103310 Rohayati 38,500 409 4,000
26 105925 Sucipto 149,000 7,409 3,000 12,500
27 096993 Sukardi 73,600 2,782 4,000
28 105662 Razi Basil 28,500 273 3,000 12,500
29 095876 Rum Hartati 99,100 2,727 4,000
30 105069 Sri Kuatmi 147,400 7,118 4,000
31 105926 Muji Hari P 258,750 15,386 4,000
32 098366 Dalimin 34,000 - 4,000
33 073622 Eni Budi 25,000 - 2,000
34 090525 Wijiati 328,400 20,173 10,000
35 105930 Yuni Munarsih 129,350 6,295 3,000 17,000
36 097322 Dwi Indra A 15,000 1,364
37 105928 Rosmini 340,200 21,064 4,000
38 105918 Samiyem 101,750 4,477 4,000
39 105933 Yatwi 110,500 - 4,000
40 009839 Cipto Utomo 115,750 7,432 4,000
41 056280 Tumin 129,250 8,659 4,000
42 041527 Tri Mulyani 125,980 5,635 4,000
43 044498 Taufik Eko S 67,000 -
44 105649 Murasih 77,750 3,977 4,000
45 032710 Ari 90,250 5,114 4,000
46 008949 Suniah 45,140 1,013 4,000
47 020178 Ramunatun 127,500 - 2,500
48 105880 Galih Puji S 75,150 - 4,000
49 105934 Mardi 225,160 - 4,000
50 105935 Boy Setiawan 127,500 - 2,500
51 105859 Warsono 127,500 - 2,500
52 078633 Tawirya 125,700 - 4,000
-
4,100,330 - 174,040 260,045 - - - 54,500 - 165,480 - 137,500 79,500 -

Jurnal Umum 4,100,330


Kas dari Kassa 4,100,900
Selisih Kas 570

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 02 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

2 1 105172 Siti Khasanah 13,636 234,000 4,000


2 093363 Akhmad Khaofid Ami 34,250 5,227 38,750 3,000 12,500
3 070943 drg. Agus Wiatma 17,932 197,250
4 148849 Sr. Anna 5,682 31,250 31,250
5 148860 Pairah 2,045 22,500
6 026169 Yohana yuni K 545 6,000
7 055480 dr. B Suryanto 2,786 30,650
8 006071 Rovian Yudi N 5,523 12,200 64,050 3,000 12,500
9 004219 Agustina Pratiwi 4,773 10,500 76,000 4,000
10 105949 Saikun 180,000 12,451 40,960 4,000
11 024910 Budi Setyanto - 52,000
12 105940 Sudarmanto 58,500 - 4,000
13 019203 Rilia Kartika 83,720 - 4,000
14 067553 Handoyo Wijiyanto 103,900 - 4,000
15 022524 dr. Nrimanto 115,000 10,455
16 034335 Riyana 38,650 3,514
17 105938 Abdul Kodir 140,682 - 4,000
18 099715 Atmadeva 214,000 -
19 006137 dr. Harnowo 104,000 9,455
20 000348 Niken 13,500 -
21 105618 Miah 18,000 - 2,000
22 087251 Supirah 13,000 - 3,000
23 105946 Surati 13,500 -
24 063947 Maria S 34,000 -
25 090586 San Dikrama 90,200 6,700 3,000 12,500
26 105950 Diandra 58,000 - 2,500
27 105947 Nur Windiati 66,450 4,632 3,000 12,500
28 013811 Sri Suharti 18,000 - 2,000
29 095141 Sri Haryati 26,250 2,386
30 078663 Wiyanto 10,000 - 2,000
31 048277 Sukiman 98,500 - 4,000
32 042388 Sudilah 98,500 - 4,000
33 167026 Sudiro 59,000 -
34 105877 Mad Supyan 53,800 2,573 3,000 12,500
35 104504 Atmo Suwito 147,825 10,348 4,000
36 026301 Budi H 116,500 -
37 105734 Sumrah Hasanto 157,400 9,900 4,000
38 007086 Sriyati 115,100 6,045 3,000 17,000
39 105702 Lorensius Wahyudi 61,500 2,500 4,000
40 105928 Rosmini 51,300 (4,664)
41 104735 Oki Wicaksono 60,600 3,191 3,000 12,500
42 096715 Sinem 145,850 7,123 3,000 12,500
43 022092 Sumarno 206,000 10,273 4,000
44 105526 Fitriah 171,500 10,000 4,000
45 010423 Samini 77,950 3,905 4,000
46 105811 Fx Sumadi 178,000 13,091 4,000
47 105625 Siti Asiyah 145,500 10,045 4,000
48 100006 Ahmad Sumardi 34,000 - 4,000
49 105954 Siti Suwarsih 72,800 - 4,000
50 052176 Angga Hermawan 81,050 5,959 3,000 12,500
51 082730 Ongko Dwi Laksono 91,100 6,782 3,000 12,500
52 105776 Kasbani 159,975 9,770 6,000
53 100504 Saisem 34,000 - 4,000
54 101562 Hadi Winoto 38,500 409 4,000
55 105745 Slamet 64,000 2,727 4,000
56 105705 Iis Sugiarti 162,600 11,691 4,000
57 105542 Olvie Lentji 34,000 - 4,000
58 005000 San Karso 175,800 12,891 4,000
59 105817 Lusimin 89,000 5,000 4,000
60 087719 Neneng Sulastri 71,500 5,091 3,000
61 105955 Dedi Trianto 209,590 - 4,000
62 097128 Partini 183,000 9,000 4,000
63 026301 Budi Hendrawan 150,500 - 4,000
64 103159 Isrofi 18,500 - 2,000
65 016928 Sarjono 16,750 1,523
66 105959 Fitri Andriani 161,100 11,555 4,000
67 085458 Siti Chomsiyah 191,950 14,359 4,000
68 048138 Ojo Sutarjo 73,600 3,600 4,000
69 105958 Eni Meiyanti 113,200 7,200 4,000
70 062742 Yuli Tantiani 278,826 22,257 4,000
71 101894 Diajeng Anestya 195,750 10,159 4,000
72 105312 Kasinawati 39,600 3,600
73 054669 Puji Wahyunigsih 39,600 3,600
74 105961 Agus Widianto 147,750 10,341 4,000
75 105948 Sifa Anggi O 103,626 6,330 4,000
76 104673 Tularsih 39,600 3,600
77 100933 Sudiarti 39,600 3,600
78 101741 Setyoko Andra 108,600 6,782 4,000
79 105963 Mariyah 105,100 6,464 4,000
80 105767 Inah aryati 60,000 2,364 4,000
81 049647 Sri Robiyatun 39,600 3,600
82 058110 Tuginah 79,200 7,200
83 037381 Bob Darius 108,600 6,782 4,000
84 105966 Rizki Suniarti 108,600 6,782 4,000
85 105967 Apris Rohmadini 108,600 6,782 4,000
86 096559 Heni Retno 39,600 3,600
87 057921 Guntur P 39,600 3,600
88 105968 Kunaenah 165,700 11,973 4,000
89 028305 Cahya Puji A 108,600 6,782 4,000
90 105969 Poniyah 126,100 8,373 4,000
91 103061 Masrifah 39,600 3,600
92 38924 Wahyu H 254,000 1,818 2,500
93 083061 Budi 94,440 - 4,000
94 079147 Feni Damayanti 79,200 7,200
95 105026 MG Ponah 39,600 3,600
96 103069 Dwi Rina 39,600 3,600
97 104384 Suminah 39,600 3,600
98 105329 Siti Alfiah 84,000 - 4,000
99 105852 Kasriyani 84,000 - 4,000
100 042648 Farida A 84,000 - 4,000
101 103967 Sri Wijayati 122,500 7,045 4,000
102 105517 Esti Utami 34,000 - 4,000
103 000890 MM Sri Sugiarti 34,000 - 4,000
104 105956 Tri Haryanti 84,000 - 4,000
105 105749 Karyati 97,500 1,227 4,000
106 105782 Irma Soraya 84,000 - 4,000
107 083668 Kasini 84,000 - 4,000
108 046832 Surip Sukuriyah 39,600 3,600
109 103103 Almira Y 110,600 6,964 4,000
110 104237 Andi Yuliarsih 79,200 7,200
111 095542 Rusmiyati 39,600 3,600
112 094473 Siti Aminah 39,600 3,600
113 105716 Areta Jeni 118,150 7,650 4,000
114 104096 Sri Wahyuningsih 39,600 3,600
115 103074 Siti Fatonah 79,200 7,200
116 105965 Lury 73,600 3,600 4,000
117 089616 Tri Ningsih 39,600 3,600
118 087009 Liong Fie Tjoe 39,600 3,600
119 105329 Siti Altiyah 111,750 10,159
120 038924 Rosiana 39,600 3,600
121 105922 Amanah 3,000 273
122 088384 Iis Sugiarti 39,600 3,600
123 034585 Inayah 39,600 3,600
124 057390 Kurnia Putri 74,600 6,782
125 105783 Handasah 39,600 3,600
126 105931 Lilis Eka 73,600 3,600 4,000
127 105960 Yeremias Boilebuan 404,000 33,636 4,000
128 105964 Wisnu Ginanjar 125,500 - 3,000
129 077567 Heti Sugiarni 70,300 1,936 4,000
130 044171 Tri Kusuma Dewi 39,600 3,600
131 104973 Mumung Murniasih 74,600 6,782
132 105962 Khotimah 267,150 8,695 4,000
133 099152 Rayhanisa Yumina 113,440 7,222 4,000
134 102614 Antonia Tri P 100,515 6,047 4,000
135 099768 Alifa Widiyanti 136,550 9,323 4,000
136 105331 Aprilia 90,000 5,091 4,000
137 098720 Nathanael 34,000 - 4,000
138 101391 Amarlika Putri A 123,840 8,167 4,000
139 101261 Siva Aulia 34,000 - 4,000
140 105724 Sri Sugiarti 66,000 - 4,000
141 095966 Rahma 34,000 - 4,000
142 102920 Kirana Kusuma Z 39,530 503 4,000
143 090751 Daniswara Jati 91,550 5,232 4,000
144 058400 Slamet Untung 34,000 - 4,000
145 105972 Subur 34,000 - 4,000
146 105857 Irfan Bramantyo 137,500 9,409 4,000
147 087591 Minarso 34,000 - 4,000
148 098649 Kamsitah 113,062 - 4,000
149 075707 Rodiyah 39,600 3,600
150 105974 Karsiyem 292,250 11,295 4,000
151 026283 Satiyem 158,250 11,295 4,000
152 105859 Petrus Warsono 34,000 - 4,000
153 105856 Amad 105,000 6,455 4,000
154 148874 Sudarmi 36,000 3,273
155 018543 Rosiana Kristianti 74,600 6,782
-
13,070,471 51,300 713,658 362,350 - - - 272,750 - 212,260 - 394,000 129,500
Jurnal Umum 13,019,171
Kas dari Kassa 13,020,100
Selisih Kas 929

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 03 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU PoliKeb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

3 1 098382 Ika Ardiani Wulansari - 70,200 4,000


2 105973 Naajiy Fathur 9,705 140,750 4,000
3 102740 Zulva Aska Satria 7,145 112,600 4,000
4 057653 Yustina - 34,000
5 006090 Kasianti - 73,500
6 011136 Yosepha Iswidya 45,000 986 2,000 45,000 17,850 4,000
7 026173 Ida Irmayanti 609 6,700
8 105949 Saikun 60,000 - 41,000 2,000
9 Eni Sulistiyaningsih 67,000 - 67,000
10 096854 Atik Yuliana 56,825 257 4,000
11 096939 Razyano Helmi 52,150 - 4,000
12 001176 Kusbandini 160,250 - 4,000
13 000890 MM Sri Sugiarti 123,075 11,189
14 043950 Aryanto 850 77
15 099917 Sumaryati 39,600 3,600
16 101261 Suri Widowati 99,280 9,025
17 105859 Petrus 533,500 17,364
18 030125 Suyanto 3,115,600 - 4,000
19 051486 Basirun Karto 50,000 4,545
20 016928 Sarjono 42,100 3,827
21 032666 Evi Gunarti 39,600 3,600
22 032178 Sumilah 13,500 -
23 045856 Sri K 62,000 -
24 004221 Runti Asih 60,000 2,818 3,000 12,500
25 105979 Parto Sudarno 58,000 - 2,500
26 033707 Sulastri 13,500 -
27 105899 Alvin 82,500 - 4,000
28 105981 Wasinah 53,000 2,182 3,000 12,500
29 105917 Ilham Al Aro 15,500 - 3,000 12,500
30 055666 Tan Hwa Nio 102,500 -
31 105900 Samini 162,800 13,391 3,000 12,500
32 105983 Aditya Fajri 50,500 - 2,500
33 105980 Sumarliyah 97,250 2,886 3,000 12,500
34 038168 Indriana 27,500 -
35 105666 Yatiman 138,100 9,464 4,000
36 077865 Kenzi Tiara 50,500 - 2,500
37 094323 Sukarti 192,950 12,223 4,000
38 098895 Parmi 154,000 9,591 4,000
39 Budi Hendrawan 116,500 -
40 105747 Bambang 97,000 5,727 4,000
41 024387 Tuminah 1,000 91
42 105770 Salmi 80,325 4,211 4,000
43 059361 Mairan 173,525 12,684 4,000
44 105846 Sugiarti 113,250 7,205 4,000
45 105502 Eko Budi 18,000 - 2,000
46 105686 Mami Suratmi 122,300 7,936 4,000
47 010814 Suryono 58,000 2,091 4,000
48 105383 Yasa Wikarto 155,195 8,290 4,000
49 105547 Sularti 108,950 6,723 4,000
50 105500 Mawireja 89,650 4,968 4,000
51 100675 Meli Gandi P 62,050 2,550 4,000
52 105984 Wahyu 155,500 -
53 084718 Purwadi 154,250 9,614 4,000
54 105982 Karsilah 149,945 4,622 4,000
55 148876 Yuli Gestati 24,600 2,236 5,300 55,600 4,000
56 087251 Supirah 58,500 - 4,000
57 17686 Syukur 16,500 - 2,000
58 105972 Subur 70,500 -
59 006137 dr. Harnowo 5,260 478
60 044498 Taufik 127,500 - 2,500
61 082730 Ongko Dwi L 98,000 - 4,000
62 105205 Siran 564,000 48,182 4,000
63 058400 Slamet Untung 198,500 7,500
64 105991 Sudirman 127,500 - 2,500
65 099292 Amadeo 90,000 5,091 4,000
66 105989 Farizahtus Zahrah 76,500 3,864 4,000
67 093422 Berlian Nitya 184,380 13,671 4,000
68 105990 Fairus Azzam 113,140 7,195 4,000
69 105373 Monika Septia N 64,000 2,727 4,000
70 063047 Suyatno 92,900 4,355 4,000
71 Meterai 6,000 - 6,000
72 Pengobatan dokter 186,800 - 186,800
73 105985 Sitatiani 58,000 - 2,500
74 105556 Devin Aqilla 34,000 4,000
-
9,520,450 116,500 296,495 121,500 339,800 - - 357,550 - 73,450 - 182,000 62,500 -

Jurnal Umum 9,403,950


Kas dari Kassa 9,404,500
Selisih Kas 550

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 04 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU PoliKeb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

4 1 106001 Jenny Ilyas - 34,000 4,000


2 096495 Budi Setyoko 4,950 10,890 59,060 3,000 12,500
3 095828 Dede Dwi A 10,232 22,500 105,550 3,000 12,500
4 061200 Catur Aiwa U 4,282 9,400 53,200 3,000 12,500
5 066905 Nathania Kayla Y 4,055 9,000 51,100 3,000 12,500
6 062365 Susteran 6,477 71,250
7 072513 Atit Yuni S 345 3,800
8 088728 Yanuardy Ikhsan P 3,168 7,000 61,850 4,000
9 045088 Tri Muryani 7,159 22,800 139,950 4,000
10 069201 Sr. Adriana - 16,650 50,650 4,000
11 Yuli Gestati 5,300 - 5,300
12 087338 Nita Ratnasari 6,000 - 57,700 4,000
13 Meterai 6,000 - 6,000
14 087251 Supirah 13,000 - 3,000
15 105999 Hana Aulia B 81,050 - 4,000
16 081951 Wiely Shayadi 134,250 - 4,000
17 074577 Siti Fatimah 13,500 -
18 148880 Indah 8,950 814
19 102551 Iqbal Maulana 35,500 -
20 013811 Sri Suharti 18,000 - 2,000
21 076289 Lindawati 111,500 -
22 105739 Said Hasan 50,500 - 2,500
23 099517 Tisem Maryanti 19,500 955 4,000
24 078663 Wiyanto 10,000 - 2,000
25 031882 Kusnadi 84,600 6,191 3,000 12,500
26 089854 Mad Daspar 138,350 11,077 3,000 12,500
27 073622 Eni Budi 25,000 - 2,000
28 101630 Nurbeti 49,400 3,582 4,000
29 105851 Diah Restisari 36,690 2,426 4,000
30 106004 Fitriyani 18,000 -
31 090899 Mutmainah 34,000 - 4,000
32 106006 Hana Salsabila 178,235 14,794 3,000 12,500
33 076994 Witri Suwardini 41,000 636 4,000
34 071455 San Mireja 97,750 5,705 4,000
35 016871 Min Sumini 94,750 5,432 4,000
36 062043 Eli Yuniarti 204,250 15,477 4,000
37 105820 Parnis 157,500 10,227 4,000
38 076490 Heru Sucipto 31,500 2,864
39 105830 By Parnis 9,000 - 4,000
40 104846 Sugiarti 156,750 10,159 4,000
41 105767 Inah Aryati 52,800 1,709 4,000
42 106011 Pujiatun 34,000 - 4,000
43 105534 Tri Utami 144,000 - 4,000
44 051028 Kuatmi 209,250 11,386 4,000
45 104714 Wiwi Tri S 84,000 - 4,000
46 106012 Hana Sagita 84,000 - 4,000
47 106009 Sarsih 196,500 10,227 4,000
48 106010 Ratri Sahwati 84,000 - 4,000
49 035936 Yehu Paula 84,000 - 4,000
50 106017 Marsinah 84,000 - 4,000
51 104249 Tria Angelina 178,500 8,591 4,000
52 148892 Sudarni 23,000 2,091
53 061515 Yuningsih 31,500 -
54 105995 Fardha Listiana 16,500 682 4,000
55 106016 Latif Amrulloh 98,500 - 2,500
56 Anif Setiawan 10,000 -
57 058853 Wagiman 178,915 - 4,000
58 105197 Kasmi 89,000 5,000 4,000
59 075096 Agus Dwi N 45,500 4,136
60 019426 Suparmi 117,600 6,373 4,000
61 105800 Sarijo 199,000 15,000 4,000
62 105103 Hasanudin 143,000 9,909 4,000
63 085836 Tariyem 183,000 13,455 4,000
64 105869 Agus Wiyanto 84,695 4,609 4,000
65 065585 Sri Hartini 209,250 19,023
66 056292 Sri Muji Rahayu 43,750 886 4,000
67 105883 Teguh Hastoro 116,200 7,473 4,000
68 044387 Rasini 128,275 8,570 4,000
69 105668 Untung Raharjo 84,825 3,030 4,000
70 037471 Bariman 47,500 - 4,000
71 079350 Ibnu Abdul Rahman 49,900 3,127 3,000 12,500
72 087331 San Mureja 84,550 4,595 4,000
73 103430 Adman 55,000 1,909 4,000
74 105727 Misri Hartati 95,750 5,614 4,000
75 105895 Amsori 59,950 2,359 4,000
76 060386 Sukaryo 101,875 6,170 4,000
77 091645 Pagem 105,400 6,491 4,000
78 106015 Wiwi Andarwati 34,000 - 4,000
79 44498 Taufik Eko 5,000 -
80 003260 Warnoto 87,575 4,870 4,000
81 039995 Kusmiatun 77,200 1,382 4,000
82 105746 Lami 137,175 9,289 4,000
83 106002 Partono 201,950 7,859 3,000 12,500
84 105696 Tarsini 50,700 3,791 4,000
85 012345 Sarijan 29,000 2,636
86 105871 Dartiyah 75,300 3,755 4,000
87 106007 Rasini 132,500 10,636 3,000 12,500
88 076294 Andika 16,500 - 2,000
89 106003 Yunisa 113,400 4,355 3,000 12,500
90 106005 Munirah 167,100 4,000
-
6,467,610 - 341,995 340,390 5,300 - - 34,000 - 579,060 - 275,000 137,500 -

Jurnal Umum 6,467,610


Kas dari Kassa 6,468,300
Selisih Kas 690

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 05 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

5 1 148899 Agus - 6,600


2 055480 dr. B Suryanto - 37,500
3 105819 Suratin - 128,650 4,000
4 081042 Margaretha Yoshe G - 13,000 85,700 4,000
5 063454 Eliana Shafiqa 6,200 - 58,450 4,000
6 018640 Edi Budiarto 148,300 - 4,000
7 106023 Santa Wirana 81,000 - 4,000
8 077528 Sumarti 103,350 9,395
9 063319 Hybriyani Riztina 17,000 1,545
10 090480 Sudarni 17,550 1,595
11 105680 Suharti 41,500 682 4,000
12 105858 Irwan Bramantyo 72,300 1,800 4,000
13 105859 Petrus Warsono 34,000 - 4,000
14 105780 Basuki 70,500 1,636 4,000
15 105224 Ismiyatun 93,900 8,536
16 058400 Slamet Untung 34,000 - 4,000
17 106014 Maria Pristy 72,500 3,500 4,000
18 029009 Suratman 89,300 - 4,000
19 103190 Renol 96,775 - 4,000
20 105019 Adesti Prastika 93,200 - 4,000
21 081817 Kiflan Zaky 89,800 - 4,000
22 106025 Yuli 48,000 -
23 055589 Kanisem 13,500 -
24 106029 Dava Rasik 143,200 - 4,000
25 087223 Rumiyah 127,150 - 4,000
26 033902 Maryati 442,600 - 4,000
27 105899 Alvin 47,050 - 4,000
28 019803 Marwito 13,500 -
29 106026 Tukijo 68,500 -
30 105917 Ilham Al Aro 132,800 - 4,000
31 106028 Rifaldi Riyanto 200,530 - 4,000
32 005976 Alipah 35,000 -
33 075096 Agus Dwi N 13,250 -
34 032648 Aminudin 15,250 -
35 094154 Titik 12,950 -
36 106032 Halim S 13,500 -
37 Munirah 167,100 - 167,100
38 083500 Yuliana Satri W 1,045 155,500 4,000
39 022229 Titik Dwiyanti - 268,300 4,000
40 106020 Rakai Hino Arimaradana - 95,200 4,000
-
2,655,055 - 29,736 185,750 167,100 - - 519,000 - 144,150 - 96,000 -

Jurnal Umum 2,655,055


Kas dari Kassa 2,655,300
Selisih Kas 245

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 06 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU PoliKeb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

6 1 070645 Erika Tara Marsela - 78,800 4,000


2 105662 Razi - 9,500
3 101827 Esti - 6,500
4 061201 Fery Dwi A - 4,700
5 000345 Sr. Theresia - 34,300
6 013160 Titik Lestari W 4,400 - 51,300 4,000
7 095528 Joko Maryanto 214,950 - 4,000
8 106034 Sartini 81,100 - 4,000
9 087350 Edi Hartono 144,600 - 4,000
10 018904 Ali Subagyo 175,900 - 4,000
11 148901 Kim 3,000 -
12 083026 Westrianto 7,250 -
13 106033 Bintang 8,000 -
14 148900 Maria Ulfa 3,400 -
15 Devin Aqila P 34,000 - 34,000
16 005976 Alipah 19,400 -
17 105258 Sandiharjo 34,000 - 4,000
18 073175 Pasien Luar 7,180 -
19 096745 Klinik Harapan Bund 10,000 -
20 106035 Sarijo 247,600 - 4,000
21 044498 Taufik Eko 22,500 -
22 009839 Cipto Utomo 56,175 -
23 011851 Sariman 39,900 -
24 032648 Aminudin 14,525 -
25 094123 Aryo 35,500 -
26 075096 Agus Dwi N 18,100 -
27 106038 Johanes Parulian 200,000 - 800 4,000
28 068980 Kaminem 135,250 - 4,000
29 083035 Teguh Ambarwati 47,500 - 4,000
30 106040 Mesti 83,500 - 4,000
-
1,647,730 - - 55,800 34,000 - - 78,800 - 51,300 - 48,000 - -

Jurnal Umum 1,647,730


Kas dari Kassa 1,647,900
Selisih Kas 170

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 07 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

7 1 096363 Arif Supriyanto - 79,225 4,000


2 007433 Sarijo 7,036 135,900 4,000
3 Yosepha Iswidya 2,900 - 2,900
4 000345 Sr. Theresia 3,118 17,150 17,150
5 098947 Teodora Regitha A 3,464 7,600 46,000 3,000 12,500
6 003061 Umi Wadingah 3,523 38,750
7 Tri Muryani 22,800 - 22,800
8 002321 Yulianus Sarwono 15,000 1,364
9 022524 dr. Nrimanto 255,600 23,236
10 074916 Antonius Priyo 67,000 6,091
11 014729 Dewi Mindyahwati 65,600 - 4,000
12 106045 Eni Sukarningsih 94,050 - 4,000
13 096333 Gregorius Samudra 141,000 - 4,000
14 106043 Suwarni 104,450 - 4,000
15 187106 Parimin 80,000 -
16 104741 Eni Sulistyaningsih 16,500 -
17 087251 Supirah 13,000 - 3,000
18 013811 Sri Suharti 18,000 - 2,000
19 38953 Suwandi 58,000 - 2,500
20 38958 Alif Latufudin 50,500 - 2,500
21 101824 Ahmad Sahudi 50,000 -
22 106028 Rifaldi 91,600 6,009 3,000 12,500
23 106050 Kasem 90,000 5,545 3,000 12,500
24 105901 Turmini 74,800 5,300 3,000 12,500
25 059245 Pujiati 6,500 -
26 106049 Tamsih 171,250 12,841 3,000 12,500
27 106051 Supriyono 78,500 - 3,000 12,500
28 105980 Sumarliyah 97,750 7,477 3,000 12,500
29 004221 Runti Asih 79,000 5,773 3,000 12,500
30 104846 Sugiarti 20,000 - 4,000
31 009839 Cipto Utomo 46,940 2,858 3,000 12,500
32 67248 Hartono 77,425 5,630 3,000 12,500
33 101803 Munareja 50,000 -
34 053422 Tan Tjeng Yan 21,000 - 2,000
35 106057 Putra Zaki 50,500 - 2,500
36 000865 Ning Suci 13,500 -
37 051652 Edi S 13,500 -
38 105900 Samini 147,300 11,982 3,000 12,500
39 Maya Indrasari 10,000 -
40 078663 Wiyanto P 10,000 - 2,000
41 105407 Kurniasih 71,800 5,118 3,000 12,500
42 106056 Susi Estri 75,800 5,482 3,000 12,500
43 089130 Sri Yunasih 18,500 - 2,000
44 105949 Saikun 19,000 - 2,000
45 106059 Naufal E 50,500 - 2,500
46 101560 Hadi Miharjo 168,522 12,138 4,000
47 067242 Tuminah 89,400 3,809 4,000
48 106061 Warni 165,650 11,514 3,000 12,500
49 105820 Parnis 20,000 - 4,000
50 096437 Sujiyah 161,750 8,932 4,000
51 047545 Iswandiyah 76,800 5,573 3,000 12,500
52 105258 Sandiharjo 84,000 4,455 4,000
53 106062 Ratinah 117,900 9,218 3,000 12,500
54 051486 Karto Dimulyo 94,500 5,500 4,000
55 089467 Sulami 34,000 - 4,000
56 054251 Supriyati 99,350 5,941 4,000
57 044498 Taufik Eko S 81,220 1,102 4,000
58 082881 Kwinarti 34,000 - 4,000
59 078972 Warno 13,500 -
60 105675 Partini 337,500 25,091 4,000
61 104262 Setiani 34,000 - 4,000
62 043008 Wahyuni Nur 47,200 1,200 4,000
63 026731 Suwarso 134,400 3,436 4,000
64 105656 Ahmad Sukarjo 156,300 11,118 4,000
65 105319 Sugeng 34,000 - 4,000
66 105053 Rikem 159,850 10,123 4,000
67 090899 Mutmainah 34,000 - 4,000
68 106060 Kasem 123,970 9,861 3,000 12,500
69 106066 Setyo Nugroho 34,000 - 4,000
70 106065 Ahmad Khasifudin 34,000 - 4,000
71 106063 Ardiansyah 62,975 - 4,000
72 105982 Karsilah 220,100 11,873 4,000
73 035182 Inah Supinah 168,000 12,182 4,000
74 148910 dr. Harnowo 75,600 6,873
75 105422 Mulyati 136,100 9,282 4,000
76 104709 Tayinah 141,775 9,798 4,000
77 063102 Titi Suwarni 63,000 2,636 4,000
78 078577 Kartip 139,875 9,625 4,000
79 089368 Rafi Gunarto 17,000 - 2,000
80 001022 Yuli Gestati 6,750 614
81 058853 Wagiman 60,500 - 4,000
82 095166 Djoko Suwarno 13,500 -
83 104189 Ibnu 7,000 -
84 106067 Yahya Indra 68,750 - 4,000
85 074408 PKU Sruweng 26,400 2,400
-
6,016,702 - 316,139 199,400 25,700 - - 79,225 - 63,150 - 220,000 212,500 -

Jurnal Umum 6,016,702


Kas dari Kassa 6,017,400
Selisih Kas 698

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 08 MARET 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

8 1 103261 Ismail - 316,200 4,000


2 081396 Okta Affan Ramadha 7,700 905 17,750 3,000 12,500
3 061200 Catur Aiwa U 182 2,000
4 061201 Fery Dwi A 2,255 24,800
5 021051 Sartinah 127 1,400
6 042243 Waginah 945 10,400
7 046357 Sawiyem 3,086 100,950 4,000
8 052482 Arumsari 8,200 124,200 4,000
9 018606 Galih Yuta PN 4,039 8,885 51,040 3,000 12,500
10 106083 Sr. Regina - 15,500 3,000 12,500
11 083842 Wahyu Dwi A - 19,200 110,800 4,000
12 012734 Indah Suliatin - 10,500 75,750 4,000
13 081042 Margaretha Yoshe G - 10,300 75,000 4,000
14 050470 Marsinem 106,350 - 4,000
15 105097 Fitri Andriyani 141,000 - 4,000
16 099081 Rahma Putri 117,000 - 4,000
17 042037 Fitri Haryati 39,000 -
18 106074 Ulfah 6,500 -
19 106072 Supriyati 69,000 -
20 100299 Sartim 58,000 - 2,500
21 106070 Frida Rosmeivita 46,000 - 4,000
22 043138 Titi Mulyo 47,500 - 4,000
23 001214 Heru W 39,500 -
24 106082 Siti Khotimah 6,500 -
25 075652 Walyanti 13,500 -
26 087251 Supirah 13,000 - 3,000
27 106080 Kwee Ay Lan 59,000 -
28 015744 Salem 170,950 12,450 4,000
29 013811 Sri Suharti 18,000 - 2,000
30 101803 Munareja 39,000 2,136 3,000 12,500
31 105502 Eko Budi 18,000 - 2,000
32 106086 Musyarofah 321,300 14,391 4,000
33 105267 Augianto 40,000 545 4,000
34 095111 Nasrowi 100,500 4,818 4,000
35 060934 Latif Aulia 104,750 - 4,000
36 096029 Nurul Hidayah 160,600 11,509 4,000
37 105789 Warso 135,000 7,500 4,000
38 105926 Muji Hari 203,250 15,386 4,000
39 011484 Emi Muryani 47,500 - 4,000
40 064861 Sawiyem 221,000 15,773 4,000
41 105881 Sairah 134,500 9,136 4,000
42 105286 Dita Pratiwi 55,000 1,909 4,000
43 053422 Tan Tjeng Yan 21,000 - 2,000
44 106084 Wiwik Sundari 40,950 2,314 3,000 12,500
45 101931 Untung Susilo 34,000 - 4,000
46 105913 Heri Santoso 104,800 - 4,000
47 105570 Aldi Firmansyah 94,000 7,136 3,000 12,500
48 103175 Sukinem 114,500 7,318 4,000
49 031489 Tursilah 154,000 9,682 4,000
50 097900 Marsono 77,000 2,227 4,000
51 106082 Siti Khotiah 37,100 1,964 3,000 12,500
52 064623 RSU Purwogondo 52,000 -
53 065912 Awalia 57,625 2,148 4,000
54 105927 Siti Khotimah 49,750 1,432 4,000
55 057973 Sakimin 74,450 3,677 4,000
56 106089 Daanish Kemal 84,200 - 4,000
57 008646 Suparni 110,000 -
58 106091 Widodo Kustiyono 163,282 - 4,000
59 096931 Alifia 47,500 -
60 105752 Ade Nur Hidayat 111,900 7,082 4,000
61 105205 Siran 102,300 5,209 4,000
62 106062 Ratinah 110,000 -
63 104558 Tofik Bayu 213,700 14,064 6,000
64 016928 Sarjono 61,250 5,568
65 003387 Warjan 93,300 3,755 6,000
66 073747 Kaiman 95,200 - 4,000
67 100891 Corry Catarina 373,625 30,875 4,000
68 061862 Jenny 222,570 15,325 4,000
69 090525 Wijiati 343,050 21,868 6,000
70 052047 Mujinah 121,310 7,846 4,000
71 103159 Isrofi 18,500 - 2,000
72 106090 Titi R 127,500 - 2,500
73 053501 Sutikno 127,500 - 2,500
74 106092 Dewi Ambarwati 6,500 -
75 087250 Edi Hartono 110,000 -
-
6,093,262 - 264,782 211,685 - - - 333,950 - 429,040 - 213,500 87,500

Jurnal Umum 6,093,262


Kas dari Kassa 6,093,800
Selisih Kas 538

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 09 MARET 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

9 1 095925 Naura Anindya S - 168,350 4,000


2 071125 Rosid Kendarto - 259,800 4,000
3 095223 Dedy Suryono 2,505 43,050 3,000 12,500
4 078855 Susanti 85,000 6,645 26,100 3,000 12,500
5 102603 Fr. Jakry 4,327 47,325 15,775 3,000 12,500
6 058699 Elisabeth Glory 5,000 2,223 53,450 4,000
7 093414 Gabriel Dwiki C 8,600 3,882 68,100 4,000
8 099954 Lorenza P - 34,000 4,000
9 105628 Atminah - 16,000
10 SMP PIUS GMB 38,500 - 38,500
11 071266 Arining B 155,880 9,398 6,000
12 064040 Elywati 58,000 - 2,500
13 013811 Sri Suharti 18,000 - 2,000
14 106098 Revita R 93,200 7,064 3,000 12,500
15 063047 Suyatno 27,000 136 3,000 12,500
16 104044 Muryati 18,500 273 3,000 12,500
17 028974 Sugiyanto 39,500 -
18 092419 Supangat 211,165 11,560 4,000
19 066164 Michael Y 93,850 - 4,000
20 052530 Alvin 81,000 - 4,000
21 103383 Sarifatun N 142,000 2,273 4,000
22 034301 Sukiman 103,000 6,273 4,000
23 093589 Wasinah 21,000 - 2,000
24 105618 Miah 18,000 - 2,000
25 093095 Fahri 50,500 - 2,500
26 105877 Mad Supyan 37,750 1,114 3,000 12,500
27 106096 Kasih 39,500 2,182 3,000 12,500
28 089368 Rafi G 17,000 - 2,000
29 105944 Deni Irwanto 96,000 7,318 3,000 12,500
30 021235 Nasiyem 69,750 4,932 3,000 12,500
31 084718 Purwadi 47,500 - 4,000
32 078663 Wiyanto P 10,000 - 2,000
33 079913 Nana Diana S 34,000 - 4,000
34 103127 Jenever Vanesa 24,000 682 4,000 12,500
35 101350 Kasini II 24,000 682 4,000 12,500
36 101350 Kasini I 24,000 682 4,000 12,500
37 100190 Enrico Lois 24,000 682 4,000 12,500
38 106041 By Suwarni 24,000 682 4,000 12,500
39 106011 By Satini 80,000 5,773 4,000 12,500
40 103459 Garhit 18,500 182 4,000 12,500
41 105826 By Sugiarti 18,500 182 4,000 12,500
42 105319 By Winda Tri 18,500 182 4,000 12,500
43 102731 Riris Winarni 39,600 3,600
44 103960 Feriyani 39,600 3,600
45 105785 Elis Susanti 39,600 3,600
46 148927 Paedah 39,600 3,600
47 105784 Tiara Vanesa 123,600 8,145 4,000
48 106095 Ratri Faedah 158,600 11,327 4,000
49 029046 Ruswendah 39,600 3,600
50 106097 Arianto 152,200 10,745 4,000
51 105777 Haniah Ulfa 39,600 3,600
52 100916 Paidah 79,200 7,200
53 106094 Amal Prayogi 100,700 - 4,000
54 106079 Roni Wiranto 177,500 13,045 4,000
55 089999 Bambang Prestiwant 73,000 1,136 3,000
56 105995 Farida L 26,000 864 4,000 12,500
57 104652 Galang 26,000 864 4,000 12,500
58 105706 Sri Wijayati 26,000 864 4,000 12,500
59 101875 Nerilyan 26,000 864 4,000 12,500
60 105824 By Parnis 26,000 864 4,000 12,500
61 105942 By Sartiningsih 26,000 864 4,000 12,500
62 105730 By Ika Isdiana 26,000 864 4,000 12,500
63 105979 By Tri Haryati 26,000 864 4,000 12,500
64 105876 By Tarsini 49,000 2,955 4,000 12,500
65 105860 Rafa Alvaro 26,000 864 4,000 12,500
66 106071 Duhana Erika 26,000 864 4,000 12,500
67 105536 By Leli Masdiana 26,000 864 4,000 12,500
68 105882 By Dian 26,000 864 4,000 12,500
69 105930 Yuni Munarsih 140,175 6,461 4,000
70 105526 Fitriyah 171,500 10,000 4,000
71 088771 Tri Setyo Winarni 153,700 10,791 4,000
72 105847 Siti Khoirul B 178,375 13,125 4,000
73 062384 Widodo Edi D 138,500 9,500 4,000
74 104652 By Dina Rusini 16,800 1,527
75 105292 Mohamad Mansur 67,000 3,000 4,000
76 106100 Raman 186,250 13,841 4,000
77 080375 Imam Sutrisno 125,100 8,282 4,000
78 045688 Suyati 153,895 8,172 4,000
79 101875 By Kukuh Susilo 52,200 4,745
80 105604 Kidem 113,875 7,261 4,000
81 094374 Salbiyah 113,350 7,214 4,000
82 093095 Fahri Romadhan 16,500 - 2,000
83 104146 Mikael Henata 26,000 864 4,000 12,500
84 105724 MM Sri Sugiarti By 26,000 864 4,000 12,500
85 102447 Dian Sapto S 126,750 3,886 4,000
86 000890 MM Sri Sugiarti 79,500 4,136 4,000
87 106019 Puji Lestari 100,850 - 4,000
88 103216 Lintang Jati 39,600 3,600
89 086944 Suharmi 39,600 3,600
90 106108 Aisya Shafira A 166,500 7,500 4,000
91 105021 Tutut Handayani 39,600 3,600
92 105799 Theresia Yesi 39,600 3,600
93 072848 Lulus 39,600 3,600
94 031200 Kristin 39,600 3,600
95 093239 Herni Widyawati 79,200 7,200
96 106112 Hestuti Anti 85,500 - 3,000
97 105922 Amanah 126,750 3,886 4,000
98 074551 Jimmy Alexander 193,750 9,977 4,000
99 105168 Tin Daryatun 39,600 3,600
100 104242 Wanda Septiana 176,350 12,941 4,000
101 060723 Admini 42,750 3,886
102 042775 Hevi Kristiani 39,600 3,600
103 106117 Haning Anggunira 62,500 - 4,000
104 057700 Ani Setyawati 65,000 5,909
105 048039 Dewi Damayanti 39,600 3,600
106 100937 Puji Rahayu 39,600 3,600
107 102416 Warisah 39,600 3,600
108 106107 Nur Hidayati 171,100 12,464 4,000
109 106113 Wahyu Trisnadi 108,600 6,782 4,000
110 097610 Evi Indria Sari 39,600 3,600
111 105303 Marestu Yusup 162,100 11,645 4,000
112 106110 Ima Nuria 129,000 - 4,000
113 105607 Kasirah 39,600 3,600
114 101619 Sri Mulyani 39,600 3,600
115 062401 Tri Murtiningsih 79,200 7,200
116 062232 Tyas Satria 114,200 10,382
117 106104 Sri Nuryanti 125,250 11,386
118 105638 Nugraheni 39,600 3,600
119 106109 Wara Arindya 81,600 4,327 4,000
120 106099 Esti Rahayu 79,200 7,200
121 065232 Triana Cahyaningtya 39,600 3,600
122 105610 Viko Ardi 149,200 13,564
123 066187 Dani 89,500 - 4,000
124 105786 Lastri 87,750 3,886 4,000
125 099913 Isdariyah 322,350 26,214 4,000
126 067762 Sudarmi 39,600 3,600
127 101508 Daryati 103,100 8,145
128 105936 Sartiningsih 112,750 7,159 4,000
129 148928 Yeni 39,600 3,600
130 056397 Fita Martiyana 123,000 3,545 4,000
131 104945 Suryati 55,500 -
132 105796 Ajeng Resti 39,600 3,600
133 106121 Sulastri 211,050 11,550 4,000
134 167245 Sri Purwanti 100,000 -
135 035893 Kusmiati 47,000 -
136 105534 Tri Utami S 195,750 10,159 4,000
137 087350 Edi Hartono 101,500 -
138 104995 Suryati 108,600 6,782 4,000
139 106115 Fathan 148,600 10,418 4,000
140 062999 Tegar Dwi Permata 39,600 3,600
141 022524 dr. Nrimanto 115,000 10,455
142 106114 Harti 84,000 4,545 4,000
143 057390 Kurnia Putri 39,600 3,600
144 106106 Nauval M 108,600 6,782 4,000
145 082317 Lilis Yustina 39,600 3,600
146 103968 Ari Wahyuni 39,600 3,600
147 106103 Admini 138,000 9,455 4,000
148 081421 Bunga Patria 39,600 3,600
149 104245 Sopiyah 50,000 4,545
150 104822 Tegar Sahru 109,000 6,818 4,000
151 105442 Endang Winarni 79,200 7,200
152 100242 Rangga 67,550 3,050 4,000
153 074629 Eliyanti Sidobalok 39,600 3,600
154 106116 Sri yul Wiharningsih 173,300 - 4,000
155 101388 Bimalina Sidabalok 74,600 6,782
156 086441 By Inge Setyowati 84,540 7,685
157 105919 Samirah 428,750 34,886 4,000
158 103501 Ardika Rifqi 126,280 8,389 4,000
159 078633 Tawirya 122,850 - 4,000
160 090458 Jesica Renata 56,290 2,026 4,000
161 101578 By Suparti 75,290 3,754 4,000
162 009648 Sri Purwati 56,500 - 4,000
163 105962 Khotimah 94,000 909 4,000
164 095812 Masinem 84,000 - 4,000
165 100694 Yohana 144,000 - 4,000
166 106105 Firdaus 84,000 - 4,000
167 060723 Admini 84,000 - 4,000
168 106111 Sugiarti 84,000 - 4,000
169 105357 Sumini 34,000 - 4,000
170 074154 Ambar Tyas 84,000 - 4,000
171 035936 Yehu Paula 84,000 - 4,000
172 106104 Sri Muryati 84,000 - 4,000
173 105451 Siti Romelah 84,000 - 4,000
174 042648 Farida A 84,000 - 4,000
175 105807 By Lastri 26,000 864 4,000 12,500
176 103231 Leon Hart 36,000 182 4,000
177 104189 Ibnu Azri 98,300 5,845 4,000
178 101764 Agatha 38,500 409 4,000
179 104031 Satria Pratama 34,000 - 4,000
180 105222 Tri Rahmawati 92,000 5,273 4,000
181 099902 Tegar Putra 38,500 409 4,000
182 104742 Nabila 36,000 182 4,000
183 104343 Yonathan 36,000 182 4,000
184 086441 Gilang 34,000 - 4,000
185 102614 Putri 34,000 - 4,000
186 105225 Ismiyatun 36,000 182 4,000
187 106118 Moh Chandida 92,000 5,273 4,000
188 102920 Kirana Kusuma 34,000 - 4,000
189 Umi Wadingah 38,750 - 38,750
190 106119 Slamet Sumedi 145,000 - 4,000
191 102614 Antonia Tri P 4,550 414
192 105684 Chendri Riski 34,000 - 4,000
193 Meterai 3,000 - 3,000
-
14,186,965 - 732,624 89,425 77,250 - - 471,200 - 171,325 - 518,000 125,000 312,500

Jurnal Umum 14,186,965


Kas dari Kassa 14,188,100
Selisih Kas 1,135

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 10 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

10 1 103723 Adi Broto 3,127 49,900 3,000 12,500


2 025174 Sr. Rahayu 36,545 201,000 201,000
3 008906 Raswita Amelia 12,455 137,000
4 006391 Eka Purwanti 3,600 39,600
5 035715 Siti Maftukhah 227 2,500
6 006137 dr. Harnowo 49,675 20,730 35,670 142,680
7 022524 dr. Nrimanto 5,682 12,500 50,000
8 001759 Tri Soendarwati 1,000 11,000
9 004219 Ag Pratiwi 10,250 22,600 124,150 4,000
10 050431 Agung Riswanto - 34,000 4,000
11 104170 Alfiesya Rahmania 182 400 18,100 4,000 12,500
12 001077 Singga Mahaputra 6,863 90,995 3,000 12,500
13 105480 By Suratmi 864 1,900 24,100 4,000 12,500
14 003741 Turiman 7,300 500 57,200 3,000
15 034744 Ita Dwi R 27,000 12,277 123,550 3,000 12,500
16 Margaretha Yoshe 23,300 - 23,300
17 093250 Caroline Chika 16,600 - 100,450 4,000
18 106125 Rafel Manik - 52,500 4,000
19 098894 Ignatius Edy 66,200 2,836 4,000
20 093589 Wasinah 21,000 - 2,000
21 106129 Nining Yuningsih 293,600 16,145 4,000
22 106061 Warni 89,700 5,836 3,000 12,500
23 013811 Sri Suharti 18,000 - 2,000
24 057653 Yustina 34,000 -
25 106130 Sabda Aji 98,500 - 2,500
26 095876 Rum Hartati 59,150 2,286 4,000
27 105883 Teguh Hastoro 122,800 8,073 4,000
28 087251 Supirah 58,500 - 4,000
29 031882 Kusnadi 101,100 6,100 4,000
30 030917 Lie Liem Liem 21,000 - 2,000
31 085572 Karsih 81,550 5,914 3,000 12,500
32 097904 Sartiyah 94,150 7,150 3,000 12,500
33 083062 Giok Lie 27,000 -
34 027996 Lisawati 51,500 -
35 106122 Yesika 49,150 - 4,000
36 038782 Lutfi Ubaidilah 75,000 6,818
37 105224 Ismiyatun 93,700 8,518
38 105686 Mami Suratmi 138,900 9,445 4,000
39 106128 Wahyu Febri 146,000 - 4,000
40 105988 Nasem 114,300 5,164 4,000
41 021371 Siti Astuti 18,500 - 2,000
42 105869 Agus Wiyanto 34,000 - 4,000
43 Suminar 275,000 - 50,000
44 099090 Belly S 76,500 -
45 089168 Indrawati 76,500 -
46 106134 Azizah 94,700 7,200 3,000 12,500
47 038897 Fitri Ida Nursanti 19,000 909 4,000
48 106132 Winarsih 89,450 5,041 4,000
49 106019 Puji Lestari 219,900 16,900 4,000
50 106119 Slamet Sumedi 78,900 3,173 4,000
51 105993 Adi Sumarno 113,500 6,500 4,000
52 148938 Poniyah 39,250 3,568
53 38992 Rico 69,500 - 2,500
54 105949 Saikun 19,000 - 2,000
55 106062 Rasinah 59,000 3,864 3,000 12,500
56 067559 Dedi Triyanto 25,500 - 3,000 12,500
57 101824 Ahmad sahudi 51,500 3,273 3,000 12,500
58 074916 Antonius priyo 46,500 4,227
59 105742 Tri Agung U 228,500 - 4,000
60 037876 Hiantoro 127,500 - 2,500
61 106139 Dasih Wijayanti 115,250 - 4,000
62 106138 Ulfah Darojati 69,500 - 2,500
63 106137 Riska Permatasari 130,600 - 4,000
64 068818 Dwi Aryanti 14,500 1,318
65 089748 Rajiv Marciano 69,300 3,209 4,000
66 098521 Nibros 51,450 1,586 4,000
67 095430 Nadia Sheryn 115,450 7,405 4,000
68 093644 Alvian Putra R 106,440 6,585 4,000
69 095729 Mei Rismawati 128,350 8,577 4,000
70 104157 Quinza Lindhia 34,000 - 4,000
71 104164 Rovel Y 34,000 - 4,000
72 101948 Nadia Rahma 34,000 - 4,000
73 102874 Asyam A 34,000 - 4,000
74 101528 Fani Ramadhani 34,000 - 4,000
-
4,711,715 - 281,924 641,665 23,300 - - 49,900 - 841,230 - 243,000 125,000 25,000

Jurnal Umum 4,711,715


Kas dari Kassa 4,712,200
Selisih Kas 485

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 11 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

11 1 094505 Djoko Pramono 10,773 276,600 4,000


2 149010 dr. Haryadi 2,300 1,023 8,950
3 066905 Nathania Kayla Y - 2,500 30,500 3,000
4 051797 Anasthasya Yudantari - 3,000 32,500 3,000
5 017195 Sr. Lucia - 15,500 3,000
6 001910 Susi Haryati 4,636 10,200 56,300 3,000 12,500
7 098947 Teodora Regitha A 15,391 33,860 169,440 4,000
8 026173 Ida Irmayanti 909 2,000 17,000 4,000
9 068818 Dwi Aryani 955 2,100 17,400 4,000
10 149026 Agus Dwi N 2,582 34,600 58,450 4,000
11 149009 Suniah 1,145 12,600
12 061201 Fery Dwi A 1,077 11,850
13 060451 Sr. Marieta 7,991 43,950 43,950
14 006071 Rovian Yudi N - 23,500 128,150 4,000
15 036689 Giovani Pradita - 130,800 4,000
16 003061 Umi Wadingah 22,000 - 122,350 4,000
17 087251 Supirah 16,000 273 3,000
18 030917 Lie Liem Liem 21,000 - 2,000
19 022524 dr. Nrimanto 52,500 4,773
20 149005 Pujiatun 18,750 1,705
21 167291 Tasirin 190,000 -
22 093589 Wasinah 21,000 - 2,000
23 013811 Sri Suhartini 18,000 - 2,000
24 006137 dr. Harnowo 50,000 4,545
25 049365 Risni Aditya 82,000 - 4,000
26 093095 Fahri 30,000 - 2,000
27 106146 Shinta Dewi 51,750 3,295 3,000 12,500
28 080056 Alif Aulia 98,500 - 2,500
29 018897 Tinah 43,000 - 4,000
30 106021 Atmo Sutoyo 90,900 5,082 4,000
31 056240 Painah 205,800 15,527 4,000
32 070563 Siyam 69,500 3,227 4,000
33 Meterai 6,000 - 6,000
34 149004 Erna 36,000 3,273
35 106150 Nova Putri 82,250 6,068 3,000 12,500
36 103278 Syukur Prasetyo 52,300 164 3,000
37 058853 Wagiman 43,000 1,591 3,000 12,500
38 074759 Munisah 34,000 - 4,000
39 Eka Purwanti 39,600 - 39,600
40 105630 Triyono 27,500 -
41 105347 Bambang Surip 34,000 - 4,000
42 007674 Sri Rahayu 25,500 - 10,000 3,000
43 090627 Gesti O 38,500 409 4,000
44 149014 Sunarto 77,700 5,564 3,000 12,500
45 105976 Sakem 85,000 4,636 4,000
46 005913 Heri santoso 25,500 - 3,000 12,500
47 105877 Mad Supyan 25,500 - 3,000 12,500
48 064623 RS Purwogondo 25,000 -
49 049103 Sulasih 127,500 - 2,500
-
1,867,850 - 106,614 310,960 39,600 - - 276,600 - 710,490 - 126,000 87,500

Jurnal Umum 1,867,850


Kas dari Kassa 1,867,300
Selisih Kas (550)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 12 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

12 1 086702 Nursiyani 13,500 1,030 45,325 4,000


2 149036 Nanik Retnoningsih 3,573 39,300
3 149041 Alipah 3,182 35,000
4 149038 dr. Onggo 2,786 6,130 24,520
5 001323 Sumarto 5,773 63,500
6 068975 Sr. Theresina 3,118 6,860 27,440
7 093414 Gabriel Dwiki C 3,045 6,700 42,300 3,000 12,500
8 059682 Vincentius Yanuar 5,100 2,318 35,900 3,000 12,500
9 106157 Partini 2,355 41,400 3,000 12,500
10 106152 Aan - 88,400 4,000
11 106125 Rafel Manik - 361,700 4,000
12 071266 Arining Bagiyanti 18,500 - 78,000 2,000
13 Meterai 6,000 - 6,000
14 073175 Pasien Luar 95,800 8,709
15 167525 Halim Sujoyo 13,500 -
16 106154 Amarjaser 91,550 - 4,000
17 106153 Kodrat Dwi 95,400 - 4,000
18 089751 Riko 600,775 11,366 7,000
19 149031 Nurdi 14,500 1,318
20 105680 Suharti 69,000 2,182 4,000
21 098244 San Wirana 81,650 4,332 4,000
22 105972 Subur 48,500 1,318 4,000
23 106149 Slamet Widodo 277,750 22,159 4,000
24 098244 San Warto 59,500 - 4,000
25 106148 Tri Astuti 34,000 - 4,000
26 035600 Samidi 85,950 - 4,000
27 093589 Wasinah 21,000 - 2,000
28 091544 Sumito 58,000 - 2,500
29 087251 Supirah 13,000 - 3,000
30 030917 Lie Liem Liem 21,000 - 2,000
31 064623 Sarjono 26,000 -
32 098363 Firzal Yasid 47,850 2,941 3,000 12,500
33 099464 Tri Hidayatul 20,000 -
34 024951 Endang Sri 91,500 4,864 3,000 12,500
35 106158 Mei Astuti 86,950 - 4,000
36 105870 Yatinem 34,000 - 4,000
37 035528 Paini 153,000 10,818 4,000
38 106160 Ari Retnaningsih 15,500 - 3,000 12,500
39 075779 Putri Anastasya 112,500 8,818 3,000 12,500
40 040636 Suparmin 50,500 1,500 4,000
41 106159 Yoga Ristandi 202,530 - 4,000
42 106044 Agus Setiawan 62,750 2,614 4,000
43 063102 Titik Suwarni 34,000 - 4,000
44 106155 Sukempi 92,150 5,195 4,000
45 018271 Pratiknya 78,700 3,291 4,000
46 075395 San Mohari 169,750 9,023 4,000
47 053363 Sutaryo 106,000 5,318 4,000
48 097713 Ahmad Faizal 44,550 2,641 3,000 12,500
49 047618 Dimas S 73,450 5,268 3,000 12,500
50 074787 Amelia Desegy 81,350 168 3,000
51 008090 Intani 239,950 14,677 3,000 12,500
52 105618 Miah 18,000 - 2,000
53 101844 Arif Prasetyo 92,500 5,318 4,000
54 Suniah 12,600 - 12,600
55 068526 Antonius Setiawan 113,450 5,268 3,000 12,500
56 106154 Sanusmin 55,200 - 4,000
57 149073 dr. Nrimanto 115,000 10,455
58 106164 Sukati 58,000 - 2,500
59 106162 Kasmi 78,400 - 4,000
60 051793 Naufal Putra P 131,400 - 4,000
61 078492 Tjiong Lian Hoo 34,000 -
62 049474 Syukur 17,000 - 2,000
63 Rini 39,600 3,600
64 105765 Sudi 47,000 -
65 073622 Eni Budi 25,000 - 2,000
66 098655 Harti Sulistyandari 19,500 955 4,000
67 106166 Eno Wahyudin 87,000 - 4,000
68 106169 Hikmah Nur Azizah 157,900 - 4,000
69 106170 Ahsan Fathurohman 104,900 6,445 4,000
70 096458 Muh Kaysan 43,350 850 4,000
71 100816 Dafa Drajad 81,350 4,305 4,000
72 149072 Gabriel Ganang 96,100 8,736
-
4,974,205 - 201,632 726,990 12,600 45,325 - - - 130,160 - 201,000 137,500 -

Jurnal Umum 4,974,205


Kas dari Kassa 4,975,000
Selisih Kas 795

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 13 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

13 1 149089 Sr. Theresina 3,364 37,000 37,000


2 088769 Kirana Nareswari 4,332 81,650 4,000
3 026173 Ida Irmayanti - 9,200 70,800 4,000
4 096500 Nasiran 12,400 - 83,600 4,000
5 078673 Piere S 110,400 - 4,000
6 057161 Susiani 120,750 - 4,000
7 149045 Afif 11,500 -
8 069007 Ekapti Yuda 58,000 - 4,000
9 Slamet Widodo 612,825 6,348 3,000
10 149082 Ismiyatun 93,900 -
11 106174 Leni 8,000 -
12 149083 Bintang 57,950 5,268
13 106165 Wiji Raharjo 267,000 - 4,000
14 167561 Yani 72,500 -
15 063047 Suyatno 68,300 1,436 4,000
16 096170 Bintang Baraq 34,000 - 4,000
17 099464 Tri Hidayatul 53,800 1,800 4,000
18 149165 Fitri 3,000 -
19 022423 Kuswintoro 108,300 - 4,000
20 103185 Saikem 25,000 - 4,000
21 097534 Sabatino D 162,650 - 4,000
22 106186 Jihan 35,500 -
23 091883 Kirendita Salsabila 72,800 - 4,000
24 106185 Anar Nainggolan 180,320 - 4,000
25 Meterai 33,000 - 33,000
-
2,201,895 - 22,548 127,850 - - - - - 191,400 - 96,000 -

Jurnal Umum 2,201,895


Kas dari Kassa 2,202,200
Selisih Kas 305

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 14 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

14 1 106204 Parinem - 78,000


2 001022 Yuli Gestati 105 1,150
3 149122 Damar 3,809 41,900
4 149107 Rafel Manik (3,341) 36,750
5 070931 Alberto Priartha 12,605 27,800 126,350 3,000 12,500
6 011136 Yosepha Iswidya 6,084 13,400 69,025 3,000 12,500
7 052482 Arumsari 11,491 160,400 4,000
8 008906 Raswita Amelia - 34,000 4,000
9 007433 Sarijo 6,959 124,050 4,000
10 106208 Cipto - 91,500 4,000
11 096009 Laeli Hikmawati - 11,200 78,800 4,000
12 066959 Olivia - 18,500 107,900 4,000
13 075096 Agus Dwi N 44,100 864 34,600
14 096745 Hidayatun 16,500 -
15 106190 Arif Guntur 52,900 - 4,000
16 106191 Zaenal A 52,900 - 4,000
17 106189 Sastro Suwarto 164,700 - 4,000
18 081691 Maskuri Rafi 75,400 - 4,000
19 149109 Sani 13,150 -
20 087345 Roman Firsa 112,550 - 4,000
21 149105 Sarjoo 1,500 -
22 063815 Sobari 98,000 - 4,000
23 106197 Yuli Cahyo 58,000 - 2,500
24 093095 Fahri Romadhon 16,500 - 2,000
25 Irwan Bramantyo 10,000 -
26 050293 Widarti 13,500 -
27 106061 Warni 84,125 4,330 3,000 18,500
28 106204 Parinem 105,000 8,136 3,000 12,500
29 058853 Wagiman 29,700 382 3,000 12,500
30 106199 Susilowati 72,650 5,195 3,000 12,500
31 030917 Lie Liem 21,000 - 2,000
32 105488 Walijah 140,050 9,641 4,000
33 044498 Taufik Eko S 128,750 1,250 4,000
34 106200 Saiful Anwar 15,500 - 3,000 12,500
35 045051 Suwarni 15,500 - 3,000 12,500
36 093589 Wasinah 21,000 - 2,000
37 087251 Supirah 13,000 - 3,000
38 Kasinem 245,700 -
39 106206 Suripah 188,000 13,909 4,000
40 094374 Salbiyah 95,600 2,409 4,000
41 106210 Viona Cantika 22,450 632 3,000 12,500
42 021371 Siti Astuti 18,500 - 2,000
43 105502 Eko Budi 18,000 - 2,000
44 106132 Winarsih 34,000 - 4,000
45 104950 Iswati 151,000 10,636 4,000
46 096959 Ponidi 105,250 6,477 4,000
47 106207 Yanti 49,000 1,136 3,000
48 005998 Emianti 19,500 955 4,000
49 024310 Sopiyah 152,700 10,791 4,000
50 014151 Rasilah 92,000 5,273 4,000
51 062738 Sajem 47,500 - 4,000
52 103731 Endang Aristiyani 38,500 409 4,000
53 105982 Karsilah 34,000 - 4,000
54 078327 Kasbun 71,900 5,127 3,000 12,500
55 101758 Dwi Aningsih 96,250 614 4,000
56 106054 Hartono 42,410 2,355 3,000 12,500
57 030557 Zaenudin 270,600 13,273 4,000
58 103303 Damar Bekti 199,650 - 6,000
59 008243 Sumarsih 160,450 7,041 4,000
60 105289 Dul Haris 205,950 15,632 4,000
61 072859 Ridem 130,200 8,655 4,000
62 004639 Sugiyem 127,650 7,923 4,000
63 100418 Warsun 81,750 4,341 4,000
64 051486 Basirun Karto 97,750 5,795 4,000
65 083817 Rusnadi 34,000 - 4,000
66 056605 Daniel Dodi 83,900 6,218 3,000 12,500
67 064623 RS Purwogondo 26,000 -
68 106201 Renita 43,500 864 4,000
69 090032 San Miarto 42,172 2,425 3,000 12,500
70 098638 Suminah 139,525 9,593 4,000
71 103297 Sri Wahyuningsih 220,300 14,436 4,000
72 009839 Cipto Utomo 34,500 3,136
73 106211 Yusman 104,500 - 4,000
74 106212 Cicilia Endang 93,800 - 4,000
75 106018 Warti 52,500 - 4,000
76 025811 M Waryono 254,000 1,818 2,500
77 091536 San Dikrama 89,700 - 4,000
78 103185 Saikem 61,000 500 4,000
79 105887 Kasmidi 101,250 4,432 4,000
80 105921 San Warto 81,750 2,659 4,000
81 105913 Heri Santoso 82,500 - 4,000
82 149124 Robertus Eko 7,300 664
83 058400 Slamet Untung 70,750 3,341 4,000
84 086237 Rio Cahyo 32,400 2,945
-
5,581,882 245,700 243,923 567,900 71,350 - - - - 416,075 - 250,000 168,500 -

Jurnal Umum 5,336,182


Kas dari Kassa 5,336,900
Selisih Kas 718

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 15 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

15 1 103845 Edy Raharjo 9,484 245,925 4,000 17,000


2 018248 Sabarman 562,300 10,936 174,000
3 011136 Yosepha Iswidya 2,177 23,950
4 001823 Sr. Bernada 27,000 493,000
5 001096 Sumargiyono 1,286 14,150
6 035882 MY Ngadinem 2,100 955 17,400 4,000
7 087313 Lugiati - 4,800 52,900 4,000
8 044164 Yohanes Mardiyanto - 123,220 564,380 4,000
9 015732 Eni Kurniasih - 4,600 52,400 4,000
10 087251 Supirah 13,000 - 3,000
11 095166 Joko 13,500 -
12 009132 Daryono 6,600 600
13 073175 Pasien Luar 112,900 10,264
14 106216 Dani 52,000 -
15 022524 dr, Nrimanto 115,000 10,455
16 045956 Paskalia 73,500 - 4,000
17 048773 Puji Winarni 31,500 - 4,000
18 017080 Trusti Kusuma 107,050 - 4,000
19 008275 Eni Sunarsih 58,000 - 2,500
20 100832 Darmono 106,500 -
21 106223 Sukamto 108,500 - 2,500
22 041701 Sukarti 136,300 10,982 3,000 12,500
23 106227 Ngadikem 201,950 11,223 3,000 12,500
24 093589 Wasinah 21,000 - 2,000
25 082657 Ristiyanto 57,000 -
26 106222 Dawikrama 102,550 - 4,000
27 106226 Ahmad Darminto 74,000 773 3,000 12,500
28 106229 Narso 54,050 3,505 3,000 12,500
29 106231 Mariyem 108,100 8,418 3,000 12,500
30 005277 Ginawati 96,500 -
31 103276 Salum 160,825 11,439 4,000
32 103435 Lina Mirnawati 56,650 3,741 3,000 12,500
33 081815 Wagini 168,375 12,216 4,000
34 105998 Kasmini 227,250 17,568 4,000
35 105702 Lorensius Wahyudi 75,250 3,750 4,000
36 100504 Saisem 127,000 11,545
37 106237 Naila Murni Kristanti 81,300 2,345 3,000 12,500
38 073622 Eni Budi 25,000 - 2,000
39 106235 Nazala 138,500 -
40 106236 Munarsih 76,100 5,509 3,000 12,500
41 092275 Arya Pandita 92,800 3,391 3,000 12,500
42 106150 Nova Putri P 49,350 3,077 3,000 12,500
43 090525 Wijiati 344,900 21,673 10,000
44 040080 Lampen 93,550 5,323 4,000
45 095616 Rasimah 47,500 - 4,000
46 023375 Warsinah 83,500 4,409 4,000
47 103159 Isrofi 18,500 - 2,000
48 105155 Saminem 250,800 16,482 4,000
49 062499 Sriyono 109,100 5,600 4,000
50 028096 Saminah 129,700 6,927 6,000
51 106225 Sumiati 82,000 4,364 4,000
52 069767 Sudarno 125,850 8,350 4,000
53 105949 Saikun 104,700 6,427 4,000
54 075096 Agus Dwi N 1,500 136
55 073747 Kaiman 81,750 4,341 4,000
56 106228 Sarmi 250,925 16,439 4,000
57 106128 Wahyu Febri A 34,000 - 4,000
58 060116 Tumino 98,000 5,818 4,000
59 039995 Kusmiatun 103,650 3,786 4,000
60 106221 Ahmad Kholik 122,450 7,950 4,000
61 030917 Lie Liem 21,000 - 2,000
62 013811 Sri Suharti 18,000 - 2,000
63 057885 Imam S 13,500 -
64 106169 Hikmah Nur 41,800 1,482 3,000 12,500
65 Heri Santoso 10,000 -
66 106239 Stevani Dwi A 309,400 7,582 4,000
67 106245 Tumpuk 83,100 - 4,000
68 058782 Daud S 127,500 - 2,500
69 SD PIUS Gombong 74,500 - 74,500
70 Susteran Gombong 1,500,000 - 1,500,000
-
7,773,475 - 309,727 170,720 1,574,500 - - 245,925 - 1,180,080 - 359,500 154,500

Jurnal Umum 7,773,475


Kas dari Kassa 7,773,500
Selisih Kas 25

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 16 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

16 1 035595 Sr. Yasinta - 14,200 48,200 4,000


2 052952 Suprapti 20,000 -
3 026835 Suwarjo 13,500 -
4 061198 Robertus Eko 4,165 379
5 041626 Tusimin 112,250 5,432 4,000
6 107920 Bastul Biri 89,250 5,023 4,000
7 106247 Zhavia Dena 139,100 - 4,000
8 018640 Edi Budiarto 140,500 - 4,000
9 007601 Sudiati 64,500 -
10 093589 Wasinah 21,000 - 2,000
11 074284 Robert Fernando 68,050 - 4,000
12 067606 Hadi Winoto 97,700 6,245 3,000 12,500
13 106226 Ahmad D 10,000 -
14 Ari Guntur 10,000 -
15 Zaenal Azar 10,000 -
16 013811 Sri Suharti 18,000 - 2,000
17 105949 Saikem 19,000 - 2,000
18 105618 Miah 18,000 - 2,000
19 106255 Meilina 56,550 - 4,000
20 104205 Karsiman 58,000 - 2,500
21 087251 Supirah 13,000 - 3,000
22 106185 Anar Nainggolan 77,900 - 4,000
23 106257 Rohmatulloh 50,050 3,141 3,000 12,500
24 041002 Parsiyah 109,550 8,459 3,000 12,500
25 065013 Eny Setiawati 58,000 - 2,500
26 024435 Surtiyah 118,900 7,627 4,000
27 077385 Robingah 81,100 4,191 4,000
28 101359 Rumini 92,400 5,218 4,000
29 001130 Sastro Diharjo 47,500 - 4,000
30 104504 Atmo Suwito 121,825 7,984 4,000
31 102128 Suhartini 181,750 7,159 4,000
32 049419 Wasini 146,800 10,255 4,000
33 106133 Kartinah 149,850 10,532 4,000
34 106037 Munarji Rebin 63,500 2,682 4,000
35 106253 Catur Wiji P 94,800 5,436 4,000
36 044690 Karto Diharjo 55,200 3,518 3,000 12,500
37 106061 Warni 78,350 4,805 3,000 12,500
38 011517 Amir 34,000 - 4,000
39 075900 Sainem 85,850 4,623 4,000
40 028202 Darminah 109,500 2,000 8,000
41 059384 Sutini 113,250 6,614 4,000
42 001701 Partini 111,750 10,159
43 059361 Mairan 143,125 9,920 4,000
44 106119 Slamet Sumedi 38,500 409 4,000
45 078111 Wijem 159,700 11,427 4,000
46 105207 Sofiatun 91,600 3,600 6,000
47 105956 Tri Haryanti 195,750 10,159 4,000
48 106259 Warsinah 175,850 12,895 4,000
49 052428 Tindraweni 34,000 - 4,000
50 106055 Mahfur Walyono 156,630 11,148 4,000
51 100505 Mad Kasimin 200,200 15,109 4,000
52 100675 Meli Gandi 34,000 - 4,000
53 106268 Marsiyem 108,600 6,782 4,000
54 106251 Prima Habibah 108,600 6,782 4,000
55 098631 Sri Wiji Astuti 39,600 3,600
56 105796 Ajeng Resti 74,600 6,782
57 053538 Christin Melyana 168,750 7,705 4,000
58 087503 Arya Dzaky 156,600 11,145 4,000
59 103493 Yatinah 79,200 7,200
60 106274 Parniyah 205,750 15,614 4,000
61 106275 Wahyu Budi 123,600 8,145 4,000
62 106265 Iyan Adi 200,000 15,091 4,000
63 103364 Rusmiyah 39,600 3,600
64 106269 Ajeng Ratna 57,000 5,182
65 100918 Suparmi 39,600 3,600
66 098789 Wahyu Dewi 39,600 3,600
67 092710 Nur Intan 57,000 5,182
68 099899 Eem Prihartini 39,600 3,600
69 057720 Nurul Endarti 158,400 14,400
70 050935 Dalu Rahayu 74,600 6,782
71 002106 Sutrisno 172,400 12,582 4,000
72 106250 Hanry Supriyono 160,500 11,500 4,000
73 106273 Khuswatun K 123,600 8,145 4,000
74 106256 Erna Waningsih 108,600 6,782 4,000
75 104787 Noto Suwadi 173,600 12,691 4,000
76 099913 Isdariyah 158,500 11,318 4,000
77 054574 Surya Rama 103,100 6,282 4,000
78 106271 Wahyu Fatimah 147,650 4,741 3,000 12,500
79 077567 Heti Sugiyarni 208,275 11,298 4,000
80 106277 Rahmat Husni 321,000 26,091 4,000
81 058255 Susana Irawati 39,600 3,600
82 044652 Endang S 39,600 3,600
83 106042 Kholifah 200,350 14,123 4,000
84 106011 Pujiatun 99,975 5,998 4,000
85 057390 Kurnia Putri 74,600 6,782
86 106267 Galih Prasanti 103,150 6,286 4,000
87 106266 Elok Pratiwi 134,000 9,091 4,000
88 106258 Satirah 156,850 11,168 4,000
89 106262 Dewi Wulan 195,200 13,655 4,000
90 094660 Farah Aqilla 127,526 8,502 4,000
91 105779 Ahmad Kusyadi 228,200 17,655 4,000
92 039936 Widi Tri Yuningsih 39,600 3,600
93 025197 Romiyati 39,600 3,600
94 105767 Inah Aryati 64,000 2,727 4,000
95 106105 Firdaus 216,500 - 4,000
96 104973 Mumung Murniasih 79,200 7,200
97 101633 Sri Wahyuningsih 39,600 3,600
98 041010 Sri Yuliati 71,100 6,464
99 054686 Suhartini 39,600 3,600
100 037601 Nunung S 39,600 3,600
101 105968 Kunaenah 39,600 3,600
102 101642 Meita Ardiani 79,200 7,200
103 098633 Anton Yuniarto 39,600 3,600
104 094802 Ristiyahana 39,600 3,600
105 106048 Putiara 89,500 5,045 4,000
106 041010 Pingah 39,600 3,600
107 017873 Erna Yuniasih 126,750 3,886 4,000
108 063420 Sriyati 150,600 10,600 4,000
109 007756 Septian Saputra 108,600 6,782 4,000
110 105908 Bagus Rafika 175,000 12,818 4,000
111 106280 Sinung Waluyo 113,200 7,200 4,000
112 105802 Jumi Suliasih 39,600 3,600
113 103079 Punti Bela 74,600 6,782
114 047895 Sukini 39,600 3,600
115 016558 Masijah 79,200 7,200
116 077365 Endang 39,600 3,600
117 000810 Sri Waginingsih 290,250 18,750 4,000
118 105072 Suryana 109,400 2,309 4,000
119 041010 Sri Yulianti 22,000 -
120 019803 Marwito 13,500 -
121 049431 Hikmah Nur A 84,000 4,545 4,000
122 106278 Umi Nurjanah 73,600 3,600 4,000
123 076307 Praptiwi 123,600 8,145 4,000
124 106279 Teguh Rahayu 113,200 7,200 4,000
125 026138 Septian Bayu 74,600 6,782
126 080620 Napsiah 212,000 11,636 4,000
127 106283 Elysia Anindia 41,803 709 4,000
128 106000 Masiyah 116,550 7,505 4,000
129 106263 Dedi Asna 34,000 - 4,000
130 087288 Almira 78,645 4,059 4,000
131 105975 Erik Setiawan 392,250 31,568 4,000
132 106281 Angel Meci 114,215 7,292 4,000
133 106120 Van Weldam 45,000 - 4,000
134 106282 Lia Fientina 34,000 - 4,000
135 097935 Daffa Raditiya 89,050 5,005 4,000
136 103185 Saikem 55,500 - 4,000
137 101382 Asifa Anayah 100,650 6,059 4,000
138 105919 Samirah 527,500 42,727 4,000
139 105716 Areta Jeni 34,000 - 4,000
140 060723 Admini 84,000 - 4,000
141 105534 Tri Utami 84,000 - 4,000
142 106272 Titi Nuryati 84,000 - 4,000
143 106012 Nova Sagita 84,000 - 4,000
144 101894 Diajeng 84,000 - 4,000
145 106269 Ajeng 84,000 - 4,000
146 106143 Farida By 57,000 4,364 4,000
147 042648 Farida 45,000 - 4,000
148 106278 Parmiyati 84,000 - 4,000
149 082171 Nur Intan 84,000 - 4,000
150 097128 Partini 84,000 - 4,000
151 106071 By Putiara 9,000 - 4,000
-
14,589,684 - 842,189 14,200 - - - - - 48,200 - 424,000 75,000

Jurnal Umum 14,589,684


Kas dari Kassa 14,590,600
Selisih Kas 916

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 17 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

17 1 103511 Murdiati - 34,000 4,000


2 098200 Wahyu Saptono 1,618 33,300 3,000 12,500
3 149143 dr. Harnowo 2,055 22,600
4 079140 dr. P Haryadi 2,900 1,318 11,600
5 004219 Agustina Pratiwi 2,091 23,000
6 055480 dr. B Suryanto 13,155 28,940 115,760
7 011136 Yosepha I 532 5,850
8 005934 Titi Lestari 4,409 9,700 54,300 3,000 12,500
9 082403 Agus Sumarno 6,668 14,670 74,180 3,000 12,500
10 035715 Siti Maftukhah 15,114 40,300 209,950 4,000
11 097545 Refi Marshall 850 1,700 41,645 4,000
12 093250 Caroline Chika 13,200 5,961 86,370 4,000
13 093414 Gabriel Dwiki 10,300 6,036 9,600 6,700 87,195 4,000
14 106305 Lusiyanti - 113,700 4,000
15 002225 Sri Suhardanti - 98,000 4,000
16 031262 Purwanto - 36,500 4,000
17 012734 Indah Suliatin - 8,800 69,200 4,000
18 096487 Sri Daryanti - 5,500 56,000 4,000
19 016928 Sarjono 16,250 1,477
20 106287 Lasikun 568,900 - 4,000
21 106289 Mei 8,000 -
22 096854 Atik Yuliana 44,000 - 4,000
23 106001 Jenny Ilyas 85,000 4,636 4,000
24 042027 Suri Putri P 39,600 3,600
25 099147 Condro Rini 39,600 3,600
26 106299 Aksa Muafi 16,500 - 2,000
27 17763 Nazwa Aizi 16,500 - 2,000
28 106300 Fiktor B 75,000 - 4,000
29 106304 Ramini 54,000 3,500 3,000 12,500
30 106302 Hastuti 94,900 7,218 3,000 12,500
31 077407 Sastro Miharjo 46,450 2,814 3,000 12,500
32 105980 Sumarliyah 88,050 6,595 3,000 12,500
33 000089 Agus 108,000 -
34 093589 Wasinah 21,000 - 2,000
35 101542 Asih Maryani 19,500 955 4,000
36 087251 Supirah 47,500 - 4,000
37 005068 Kiem Mei Lan 25,500 - 3,000 12,500
38 013811 Sri Suharti 18,000 - 2,000
39 103435 Lina Mirawati 17,600 191 3,000 12,500
40 106306 Ahmad Subakhi 57,500 -
41 069698 Walem 83,650 4,423 4,000
42 031882 Kusnadi 34,000 - 4,000
43 028735 Sumaryono 34,000 - 4,000
44 095545 Aynita Kurniawan 39,600 3,600
45 097753 Poniman 113,500 7,227 4,000
46 042388 Sudilah 75,900 3,627 4,000
47 073175 Uti 39,600 3,600
48 104379 Bimo Sambudi 67,000 -
49 020178 Ramunatun 13,000 - 3,000
50 106313 Madrohim 207,500 - 4,000
51 104879 Raden Sunardi 172,500 12,591 4,000
52 066835 Yahno 217,775 12,289 4,000
53 026301 Budi Hendrawan 69,100 - 4,000
54 044639 Kamisah 54,100 1,827 4,000
55 091243 Suharto 96,350 5,668 4,000
56 106088 Poniman 104,100 6,373 4,000
57 042071 Ruslan 172,150 12,559 4,000
58 106286 Iwan 31,000 -
59 106204 Parinem 298,200 17,291 78,000 5,000 12,500
60 022524 dr. Nrimanto 147,500 13,409
61 103179 Adesti 20,670 1,879
62 079364 Tri Minarsih 24,000 -
63 106297 Bella FM 58,000 - 2,500
64 087920 Benedick Pascal 70,300 3,300 4,000
65 047044 Kusriyatun 94,300 - 4,000
66 098659 Raul Abrar 109,900 6,900 4,000
67 089577 Rico 34,000 - 4,000
68 102614 Putri Anastasya 41,500 682 4,000
-
4,056,945 - 211,637 382,360 84,700 36,500 - 67,300 - 806,200 - 181,500 125,000

Jurnal Umum 4,056,945


Kas dari Kassa 4,057,200
Selisih Kas 255
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 18 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

18 1 106314 Nursiam - 115,000 4,000


2 018915 Rosdiana Sitorus - 15,800 96,950 4,000
3 002588 Gatot Sumarno - 10,800 77,000 4,000
4 093292 Ety Wahyuningsih - 12,900 85,600 4,000
5 002156 Tasini - 17,500
6 052482 Arumsari 11,945 165,400 4,000
7 003996 Sr. Caritas 72,709 399,900 433,900 4,000
8 149157 Fanesi 1,418 15,600
9 149155 Endarti 2,045 22,500
10 005934 Titi Lestari 5,045 55,500
11 087327 Indrawati 1,591 17,500
12 068975 Sr. Theresina 3,118 6,900 27,400
13 149127 Endarti (473) 5,200
14 102995 Fabrizio G 16,500 - 2,000
15 089090 Nazwa Arzi 16,500 - 2,000
16 087251 Supirah 13,000 - 3,000
17 105951 Lilis Eka F 79,200 7,200
18 074551 Jimmy Alexander 236,500 - 4,000
19 058941 Agustina 7,500 682
20 149153 Dwi 1,500 136
21 105205 Siran 34,000 - 4,000
22 105530 Fajar Agung T 34,000 - 4,000
23 022524 dr. Nrimanto 30,000 2,727
24 022075 Indriyani 91,500 -
25 001773 Radikun Hadi 24,800 2,255
26 013811 Sri Suharti 18,000 - 2,000
27 106324 Widi Hartono 136,500 - 2,500
28 093589 Wasinah 21,000 - 2,000
29 105949 Saikun 19,000 - 2,000
30 038233 Subandi 34,000 - 4,000
31 000570 Sumarni 114,350 4,114 4,000
32 Rafel Manik 377,500 - 377,500
33 Meterai 6,000 - 6,000
34 013242 Mangun Darmo 268,400 21,218 4,000
35 086337 Prianto 100,500 5,455 4,000
36 041130 Walyono 47,500 - 4,000
37 105860 Rafa Alvaro K 98,250 7,523 3,000 12,500
38 106323 Nuryadi 92,300 3,664 3,000 12,500
39 075264 Saminah 75,125 3,739 4,000
40 087331 San Mureja 84,550 4,595 4,000
41 036447 Siyo Ngatimin 62,450 2,495 4,000
42 106325 Eni Setyowati 278,315 11,938 4,000
43 105207 Sofiatun 18,000 - 2,000
44 049474 Syukur 16,500 - 2,000
45 105502 Eko Budi 18,000 - 2,000
46 105930 Yuni Munarsih 187,025 13,911 4,000
47 032886 Sakiyem 169,050 9,277 4,000
48 104014 Rosdiyanti 141,000 5,182 4,000
49 035936 Yehu Paula 111,750 6,068 4,000
50 106327 Sugiyanto 127,500 - 2,500
51 034477 C Hindrayani 127,500 - 2,500
52 106156 Parniati 100,000 6,000 4,000
53 104457 Arifiatun 116,250 2,932 4,000
54 082330 Wening Widiasih 114,900 2,809 4,000
55 106207 Yanti 60,500 - 3,000
56 106153 By Yehu Paula 9,000 - 4,000
57 106042 Kholifah 45,000 - 4,000
58 042648 Farida 45,000 - 4,000
59 105512 Esti Utami 34,000 - 4,000
60 106052 Marti 84,000 - 4,000
61 074154 Ambar Tyas 84,000 - 4,000
62 104714 Wiwi Tri S 84,000 - 4,000
63 106328 Sulistyo 84,000 - 4,000
64 106336 Samiyah 84,000 - 4,000
65 105514 Sulastri 84,000 - 4,000
66 105630 Triyono 47,000 -
67 106018 Warti 190,500 6,682 4,000
68 105887 Kasmidi 72,750 1,841 4,000
69 106332 Yosephine 65,000 - 4,000
-
4,738,965 - 229,842 855,300 382,700 - - - - 720,850 - 193,500 25,000

Jurnal Umum 4,738,965


Kas dari Kassa 4,739,300
Selisih Kas 335

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 19 MARET 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

19 1 105973 Naajiy Fathur 3,650 74,150 4,000


2 101084 Dliya Aqwa Priyadi 732 58,550 3,000
3 103511 Murdiati 9,891 652,800 4,000
4 060461 Sr. Marieta 7,909 43,500 43,500
5 005976 Alipah 18,520 203,715
6 149161 Sr. Ana 5,682 31,250 31,250
7 065395 Ika Widyastuti 13,000 5,909 67,500 3,000 12,500
8 096488 Desi Handayani 14,023 37,900 200,350 4,000
9 016717 Uni Erwati 25,500 11,600 146,100 4,000
10 032648 Aminudin - 4,300 51,100 4,000
11 17779 Al Watiyah - 10,000 2,000
12 001758 Suwanti Haloho 59,050 - 4,000
13 086427 Chadiqul Anwar 145,085 - 4,000
14 097616 Tri Septi Susiana 39,600 3,600
15 106284 Putra Jati P 16,500 1,500
16 106336 Maryam 28,000 -
17 074135 Sudi 47,000 -
18 087251 Supirah 13,000 - 3,000
19 106339 Radimun 98,600 7,464 3,000 12,500
20 003270 Manirah 10,550 141 4,000
21 106161 Eri Karniawati 9,000 - 4,000
22 106082 Siti Khotiah 62,000 4,227 3,000 12,500
23 105949 Saikun 19,000 - 2,000
24 106299 Aksa Mu'afi 16,500 - 2,000
25 013811 Sri Suharti 18,000 - 2,000
26 106340 Rasya 98,500 - 2,500
27 105618 Miah 18,000 - 2,000
28 093589 Wasinah 21,000 - 2,000
29 102945 Fabrizio 16,500 - 2,000
30 032195 Parjo 76,300 5,527 3,000 12,500
31 Umi Wadingah 41,700 - 41,700
32 Meterai 6,000 - 6,000
33 071266 Arining Bagiyanti 18,500 - 2,000
34 064675 Tumin 127,000 11,545
35 106169 Hikmah Nur Azizah 48,000 2,318 3,000 12,500
36 067761 Edi Praptomo 55,600 1,964 4,000
37 042335 Aminah 51,250 3,250 3,000 12,500
38 106237 Naila Murni K 49,000 3,045 3,000 12,500
39 054251 Supriyati 107,750 6,705 4,000
40 071545 Suparmi 93,000 5,909 3,000 12,500
41 089130 Siti Y 18,500 - 2,000
42 026947 Sugiyanto 13,500 -
43 100007 Haryati 117,950 7,541 4,000
44 094757 Sukini 110,400 6,855 4,000
45 106145 Prima Aprilia 10,000 - 4,000
46 057540 Rasini 153,500 -
47 106344 Sulyati 167,950 8,995 3,000 12,500
48 103303 Dian P 16,500 - 2,000
49 083190 Anitawati 93,000 7,045 3,000 12,500
50 106346 Ayu Safitri 110,000 -
51 106345 Sri Haryati 35,500 - 3,000 12,500
52 102897 Sutaryo 47,500 - 4,000
53 106342 Suryadi 238,850 18,532 4,000
54 025179 Nani Turyani 127,500 - 2,500
55 105479 Fika Pramesti 68,450 4,814 3,000 12,500
56 093354 Sumini 203,900 12,255 4,000
57 092275 Arya Pandita 82,600 6,100 3,000 12,500
58 106348 Suratman 34,000 - 4,000
59 149162 Jono 15,600 1,418
60 044498 Taufik Eko S 91,500 -
61 105790 Sobirin 525,250 44,659 4,000
62 041626 Tusimin 52,500 - 4,000
63 012110 Meilina 6,500 -
64 106349 Fatiya Azka 115,440 7,404 4,000
65 103103 Almira Yasmine 37,450 314 4,000
66 096458 Muhamad Kaysa 84,660 4,605 4,000
67 106347 Angelita Cahya 154,600 10,964 4,000
68 106170 Ahsan Fathurohman 58,675 2,243 4,000
006296 Poniman 818 5,000 40,500 3,000
-
4,240,260 - 279,672 335,665 41,700 - - 785,500 - 580,300 - 179,000 162,500 -

Jurnal Umum 4,240,260


Kas dari Kassa 4,240,700
Selisih Kas 440

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 20 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

20 1 000875 Darsinah - 31,400 159,500 4,000


2 047299 Angelica Krisanta - 120,380 4,000
3 017195 Sr. Lucia 868 4,775 20,275 3,000
4 Poniman 5,000 - 5,000
5 055480 dr. B Suryanto - 35,120 140,480
6 004219 Agustina Pratiwi - 12,500
7 106354 Sriyono 137,650 - 4,000
8 093290 Desi Iriyani 1,200 109
9 106353 Diyah Rahmawati 200,300 - 4,000
10 027267 Sri Rejeki 8,000 -
11 028806 Hasto 13,500 -
12 091815 Suharti 266,200 - 4,000
13 017996 Lisawati 20,000 -
14 106359 Hesti Prasetia 68,000 - 4,000
15 081596 Sarinem 5,000 -
16 018825 Puspitasari 51,500 -
17 073175 Pasien Luar 159,250 -
18 093778 Mad Kusni 74,144 - 4,000
19 106360 Kanaya Hanum 100,800 - 4,000
20 106363 Anis Rahmawati 43,600 - 4,000
21 106364 Satiyah 67,100 - 4,000
22 014437 Prio Nurono 20,000 -
23 149168 Miyah 3,000 -
24 Materai 12,000 - 12,000
-
1,256,244 - 977 204,175 5,000 - - - - 320,255 - 55,000 -

Jurnal Umum 1,256,244


Kas dari Kassa 1,256,100
Selisih Kas (144)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 21 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

21 1 009760 Teguh Prihanto - 15,500 3,000 12,500


2 094757 Sukini 512,600 18,327 31,500
3 003272 Saliyo Budi 3,591 104,000 3,000 12,500
4 086285 Yudi Pratama 1,364 15,000
5 006137 dr. Harnowo 3,182 7,000 28,000
6 005934 Titi Lestari - 14,000 89,700 4,000
7 001022 Yuli Gestati - 9,600 72,050 4,000
8 058509 Sr. Suharti - 52,600 86,600 4,000
9 105371 Sawikin 88,700 - 4,000
10 106370 Yuli Sunarto 52,500 - 4,000
11 106367 Mugiyono 139,250 - 4,000
12 100515 Yahmin 66,640 - 4,000
13 106369 Siti Eka Sari 69,300 - 4,000
14 074551 Jimmy Alexander 77,050 - 4,000
15 098297 Mutiara 77,000 -
16 149170 Sarjono 8,000 -
17 067609 Saliyah 128,100 - 5,500
18 092304 Sartini 166,500 -
19 004221 Runti Asih 15,500 - 3,000 12,500
20 083500 Yuliana Satri 9,000 - 4,000
21 060956 Sukiyem 67,000 -
22 017884 Mingan Kromo 101,375 - 4,000
23 087251 Supirah 13,000 - 3,000
24 008949 Suniah 12,140 1,104
25 Heppy 10,000 - 10,000
26 106372 Salsabila 109,190 - 4,000
27 093589 Wasinah 21,000 - 2,000
28 105407 Kurniasih 70,000 4,045 3,000 12,500
29 059578 Ponirah 15,500 - 3,000 12,500
30 106579 Nisih 58,000 - 2,500
31 Novisiat Karanganya 289,400 - 289,400
32 Pengobatan Karyaw 1,468,600 - 1,468,600
33 035122 Hadi Sumarto 44,100 2,600 3,000 12,500
34 106345 Sri Haryati 50,000 -
35 106378 Dea Puspitasari 39,775 2,207 3,000 12,500
36 105949 Saikun 55,100 3,282 2,000
37 106353 Diyah Rahmawati 65,400 5,945
38 060396 Sukaryo 34,000 - 4,000
39 106374 Nyana 192,900 11,945 4,000
40 074408 PKU Sruweng 475,200 43,200
41 106375 Syukur 135,850 6,068 4,000
42 098726 San wiradi 64,550 368 4,000
43 097424 Pairah 103,500 6,318 4,000
44 058244 Tasman 34,000 - 4,000
45 096783 Anggraeni 8,000 -
46 074313 Yatiyah 239,050 18,550 4,000
47 016871 Min Sumini 110,575 6,870 4,000
48 060778 Ningkem 168,122 12,102 4,000
49 078451 Saniyem 94,000 5,455 4,000
50 084143 Saminem 99,550 5,868 4,000
51 02713 Yayah Sariyah 122,200 7,927 4,000
52 106180 Wakijo 77,825 3,893 4,000
53 013494 Sri Suhartinah 197,800 14,891 4,000
54 066009 Santi 89,500 - 4,000
55 105014 Marsiyem 96,500 5,682 4,000
56 106140 Manggi 48,500 409 4,000
57 049419 Wasini 150,500 10,500 4,000
58 091645 Pagem 34,000 - 4,000
59 106382 Maryanti 45,500 - 3,000 12,500
60 035936 Yehu Paula 20,000 - 4,000
61 106171 Ambarwati 108,800 6,800 4,000
62 106384 Amalia Adriyanti 73,000 - 4,000
63 091536 San Dikrama 80,700 4,155 4,000
64 102538 Basuki 34,000 - 4,000
65 099965 Diana 96,500 -
66 106383 Purwani Kristi 85,500 - 3,000
67 066537 Rico Harahap 7,350 668
68 102014 Rakiyem 43,500 -
69 103185 Saikem 42,250 750 4,000
70 058400 Slamet Untung R 81,750 2,659 4,000
71 005976 Alipah 189,350 17,214
72 106213 Nasroji 186,850 12,895 4,000
73 106018 Warti 34,000 - 4,000
74 106001 Jenny Ilyas 120,700 7,882 4,000
75 106388 Parsinem 151,100 - 4,000
76 106263 Edi Asta 184,350 10,941 4,000
77 106218 Sapto Dwi 241,500 17,864 4,000
78 026056 Suwarno 13,500 -
79 106387 Rosmawati 101,450 - 4,000
80 097982 Moh Abiyas 7,000 -
81 101990 Ardan D 85,500 -
82 105417 Heri W 101,000 - 4,000
83 035889 Sartini 12,950 1,177
84 106000 Masiyah 73,000 3,545 4,000
85 060956 Sukiyem 212,000 16,182 4,000
86 104379 Bimo Sambudi 34,000 - 4,000
87 103397 Puji Ade A 101,000 - 4,000
-
9,043,942 - 308,426 233,700 1,768,000 - - 15,500 - 276,350 - 242,000 100,000

Jurnal Umum 9,043,942


Kas dari Kassa 9,044,700
Selisih Kas 758

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 22 MARET 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

22 1 100096 Wuri Hidayah 1,645 33,600 3,000 12,500


2 100678 Yasyfin Maulana S 1,727 34,500 3,000 12,500
3 042781 Alfonsius Antero 4,618 66,300 3,000 12,500
4 098981 Wirayudha A 1,241 2,700 26,450 3,000 12,500
5 006090 Kasianti 3,273 7,200 44,300 3,000 12,500
6 052836 Maria Mulatmay M - 15,500 3,000 12,500
7 046357 Sawiyem 3,309 71,400 4,000
8 149180 Tofik Bayu 139,250 7,841 6,000 6,000
9 149177 Eti (bidan) 1,545 17,000
10 006265 dr. Lucy julianti 7,455 16,400 65,600
11 105970 Rustiati 2,285,175 24,061 3,000
12 074408 PKU Sruweng 475,200 43,200
13 062486 Kartinah 19,000 909 4,000
14 082019 Sukarso 69,500 - 2,500
15 087251 Supirah 13,000 - 3,000
16 022524 dr. Nrimanto 147,500 13,409
17 041425 Gunawan 239,900 -
18 036259 Edi Darsono 116,500 -
19 093589 Wasinah 21,000 - 2,000
20 047468 Budi Setyanto 57,500 1,227 4,000
21 070870 Sunarsih 19,000 909 4,000
22 106395 Setyo Astuti 293,300 6,073 3,000 12,500
23 106202 Sumarni 84,100 2,055 4,000
24 106205 Subandi 79,500 4,136 4,000
25 106398 Iswarni 79,250 5,795 3,000 12,500
26 074087 Tulus Wangsa 169,450 3,950 4,000
27 039995 Kusmiatun 204,650 6,605 4,000
28 105625 Siti asiyah 130,450 8,677 4,000
29 106397 Mainah 87,250 6,523 3,000 12,500
30 105955 Aryani 50,500 1,500 4,000
31 017674 Suwarno 176,125 12,920 4,000
32 105672 Turino 91,400 4,627 4,000
33 106345 Sri Haryati 225,500 19,091 3,000 12,500
34 106188 H Abdul Rohman 119,450 7,677 4,000
35 106228 Sarmi 266,825 21,075 4,000
36 051871 Sumiyah 109,425 3,666 4,000
37 106055 Mahfur Walyono 53,020 1,729 4,000
38 068064 Samiyah 49,000 -
39 069706 Yatinem 34,000 - 4,000
40 104709 Tayinah 140,575 9,689 4,000
41 095576 Supiyati 66,800 2,982 4,000
42 050293 Widarti 153,450 9,632 4,000
43 106177 Mulwandi 123,450 7,450 4,000
44 033137 Poniyah 151,625 8,011 4,000
45 106401 Ayu Safitri 62,900 4,309 3,000 12,500
46 094757 Sukini 73,000 682 31,500 4,000
47 106400 Pariyah 302,500 -
48 094594 Lasinah 172,300 12,482 4,000
49 106388 Parsinem 116,950 4,350 4,000
50 105155 Saminem 106,300 3,345 4,000
51 051649 Karsiyah 100,350 6,032 4,000
52 105847 Siti Khoirul B 138,875 9,534 4,000
53 098895 Parmi 148,700 9,109 4,000
54 018248 Sabarman 114,750 7,341 4,000
55 105207 Sofiatun 18,500 - 2,000
56 106402 Tarmi 66,700 1,645 3,000 17,000
57 101828 Ganang Swahardhan 181,065 - 4,000
58 057973 Sakimin 91,450 5,132 4,000
59 105310 Admini 150,450 8,814 6,000
60 106030 Mad Jumeri 159,750 9,068 6,000
61 086427 Chadiqul Anwar 56,100 - 4,000
62 003387 Warjan 141,250 8,114 6,000
63 097692 Tasripah 66,600 2,964 4,000
64 106239 Stevani Dwi A 89,660 3,151 6,000
65 100037 Samini 142,650 9,786 4,000
66 032406 Endah Nur Iklas 101,200 6,109 4,000
67 106404 Nasirin 112,650 5,377 6,000
68 106405 Sukisem 136,200 - 4,000
69 084838 Sudihartono 127,500 - 2,500
70 106385 Cicilia Gita 127,500 - 2,500
71 101658 Sairah 127,500 - 2,500
-
9,774,970 - 387,578 131,100 31,500 - - 68,100 - 207,750 - 240,000 154,500

Jurnal Umum 9,774,970


Kas dari Kassa 9,775,800
Selisih Kas 830

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 23 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

23 1 106232 Widodo 44,659 108,750 435,000 4,000


2 098981 Wirayudha A 5,000 995 2,800 42,750 4,000
3 008693 Dwi Rosalina 4,823 21,000 99,550 3,000 12,500
4 001749 Paula Wakinah - 13,500
5 106408 Hadi Mustafa 50,000 - 86,165 4,000
6 060906 Robert Sumanto 7,000 -
7 Uswatun 195,000 -
8 022524 dr. Nrimanto 30,000 2,727
9 103167 Zidan 23,450 2,132
10 102746 Sutiyono 112,250 5,432 4,000
11 106141 Asma Wiyadi Sirin 46,500 1,136 4,000
12 092304 Sartini 189,200 14,109 4,000
13 106149 Slamet Widodo 543,750 44,659 4,000
14 018271 Pratiknya 27,500 -
15 026743 Maria Fransiska 66,000 -
16 084106 Lusiana Anggraeni 87,500 -
17 105949 Saikun 19,000 - 2,000
18 080542 Beryl F 99,500 -
19 096745 Narsih 28,000 -
20 106219 Sri Nurmeiningsih 21,000 - 4,000
21 106416 Dyah Sugiarti 52,500 1,682 4,000
22 106304 Ramini 145,265 6,797 3,000 62,500
23 000831 Setiawan 8,000 -
24 105618 Miah 18,000 - 2,000
25 106367 Mugiyono 98,850 6,668 3,000 12,500
26 051486 Basirun Karto 34,000 - 4,000
27 106298 Hadi Panuju 100,000 6,000 4,000
28 106142 Ramelan 93,450 5,314 4,000
29 103310 Rohayati 38,500 409 4,000
30 053332 Maria Miem 34,000 - 4,000
31 074156 Riyanto 93,945 2,722 4,000
32 106419 Erlina 51,800 - 4,000
33 075378 Fang Ay 7,000 -
34 106418 Andira Kirana 133,300 3,436 3,000 12,500
35 078659 Osti Ramantika 24,850 850 3,000 12,500
36 011517 Amir 17,000 - 2,000
37 106239 M Stevani 21,000 - 2,000
38 106308 Uswatun Hasanah 119,000 7,727 4,000
39 103122 Sakinah 133,875 4,034 4,000
40 106132 Winarsih 126,050 8,368 4,000
41 106422 Sri S 20,000 -
42 106420 Tri Puji Lestari 103,600 8,009 3,000 12,500
43 083348 Sutopo 123,050 6,095 4,000
44 104197 Banun Tri 144,000 10,000 4,000
45 069890 Martoni 34,000 - 4,000
46 106424 Permadi 16,500 - 2,000
47 106421 Lasmini 160,750 8,477 3,000 12,500
48 065912 Awalia 23,700 2,155
49 088302 Puji Suryani 141,000 5,182 4,000
50 084006 Sri Anggraeni 173,250 7,023 4,000
51 043830 Anggun Tyaswari 125,550 8,323 4,000
52 021375 Anita Kusumawati 74,100 5,327 3,000 12,500
53 095480 Tuningsih 134,100 6,055 3,000 12,500
54 017996 Lisawati 37,000 -
55 105502 Eko Budi 18,000 - 2,000
56 106429 Ani Susanti 48,250 1,295 4,000
57 042648 Farida Agustini 60,250 1,386 4,000
58 042037 Fitri Haryati 108,200 - 4,000
59 094798 Wini Handayani 39,600 3,600
60 106428 Ana Warastuti 138,600 9,509 4,000
61 106417 Azril Ilham 98,000 5,818 4,000
62 103066 Titin Antini 90,500 - 4,000
63 100929 Fatonah 39,600 3,600
64 071551 Jimmy Alexander 90,450 586 4,000
65 066772 Salikem 149,200 10,473 4,000
66 067762 Sudarmi 39,600 3,600
67 103814 Kartini 39,600 3,600
68 100502 Fitria Dwi 39,600 3,600
69 105799 Theresia Yesi 74,600 6,782
70 075563 Musngidah 79,200 7,200
71 075707 Rodiyah 39,600 3,600
72 073651 Sukinem 284,600 22,782 4,000
73 106432 Ekky Fitri Diadi 138,600 9,509 4,000
74 062999 Tegar Dwi Permata 39,600 3,600
75 105324 Sartimah 89,600 8,145
76 073062 Suwarti 99,226 5,930 4,000
77 099917 Sumaryati 39,600 3,600
78 106415 Yuda 159,926 11,448 4,000
79 101904 Dewi Purnama 39,600 3,600
80 104246 Dian Anggraeni 39,600 3,600
81 101456 Masiyah 50,500 1,500 4,000
82 086894 Wafirotul Chasanah 164,226 11,839 4,000
83 026386 Astrid 39,600 3,600
84 104096 Sri Wahyuningsih 39,600 3,600
85 038791 Esti Handayani 64,600 5,873
86 074890 Sri Lestari 39,600 3,600
87 088744 Ricky Veranata 79,200 7,200
88 105772 Putri Hilda 74,600 6,782
89 098787 Musripah 79,200 7,200
90 038005 Tuminah 117,850 7,532 4,000
91 106431 Yasman 174,250 - 4,000
92 080317 Isnaeni 79,200 7,200
93 079147 Feni Damayanti 39,600 3,600
94 106434 Junelis Maris 73,600 3,600 4,000
95 106439 Siti Rohana 89,600 8,145
96 106430 Irnia Widia 133,600 9,055 4,000
97 097959 Siti Nurhayati 64,600 5,873
98 092148 Retno Dwi Mulyani 79,200 7,200
99 105182 Martati 39,600 3,600
100 106438 Siti Laenatun 108,600 6,782 4,000
101 106437 Yuliani 123,600 8,145 4,000
102 037601 Nunung Suryaningsi 75,000 6,818
103 095688 Herlina 79,200 7,200
104 106433 Putri Titik 244,000 - 4,000
105 037318 Ismiasih 44,500 955 4,000
106 106203 By Martina 59,000 4,545 4,000
107 106293 Martina 45,000 - 4,000
108 057980 Eti Kusmiati 154,000 - 4,000
109 106276 By Tri Lianingsih 9,000 - 4,000
110 102918 Saidah 84,000 - 4,000
111 106252 Tri Lianingsih 45,000 - 4,000
112 092065 Dewi Suryani 84,000 - 4,000
113 073175 Pasien Luar 39,600 3,600
114 106406 By Bidani Sin Hadia 34,000 - 4,000
115 028190 Ester Liani 39,600 3,600
116 106441 Shafa Nahmatuljana 131,258 8,842 4,000
117 106435 Azril Tri P 160,495 11,500 4,000
118 085432 Wiyoto 173,400 - 4,000
119 106118 M Chandida 34,000 - 4,000
120 104732 Savana 34,000 - 4,000
121 096332 Fadilah 178,430 13,130 4,000
122 100943 Quensha 34,000 - 4,000
123 101728 Aurelia 69,520 3,229 4,000
124 106378 Dea Puspitasari 36,350 214 4,000
125 099902 Tegar Putra 34,000 - 4,000
126 103286 Jasmine 90,000 5,091 4,000
127 105730 Ika Isdiana 90,000 5,091 4,000
128 149200 Lutfi 5,500 500
129 106333 Erpin Marbun 34,000 - 4,000
130 Yuli Gestati (4,332) 47,650
-
10,230,116 - 570,097 229,415 50,450 - - 435,000 - 142,300 - 311,000 162,500

Jurnal Umum 10,230,116


Kas dari Kassa 10,231,000
Selisih Kas 884

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 24 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

24 1 094304 Aries Hendriyana 3,355 52,400 3,000 12,500


2 065419 Kafka Ridho R 4,327 9,500 72,100 4,000
4 004219 Agustina Pratiwi 1,705 3,800 48,950 4,000
5 025234 Sr. Clara - 20,750 20,750 4,000
6 006091 Wiji Suparmi 909 2,000 18,000 4,000
7 048481 Ari Wahyu S 5,482 12,000 63,800 3,000 12,500
8 148951 Hepi 1,855 20,400
9 068975 Sr. Theresina 3,118 34,300
10 076610 Bonifasia Evi YA - 67,900 4,000
11 105823 Ido P 55,500 -
12 085839 Wadiron 106,900 - 4,000
13 024435 Surtiyah 38,100 1,373 3,000
14 100727 Santaris 335,000 - 4,000
15 106448 Purwati 58,400 - 4,000
16 106445 Aidil 162,750 - 4,000
17 074551 Jimmy Alexander 122,950 - 4,000
18 106454 Fajar Ashari 124,300 9,891 3,000 12,500
19 074997 Riswanto 129,700 5,836 3,000 12,500
20 106444 Hergita 97,400 - 4,000
21 104732 Savana Diandra 39,685 3,608
22 007405 Yoga Ardiyanto 123,480 - 4,000
23 106442 Sendi 38,650 - 4,000
24 09895 Arlinda Kinanti 66,100 4,600 3,000 12,500
25 050470 Marsinem 57,328 - 4,000
26 106107 Nur Hidayati 39,600 3,600
27 106293 Ariasih 10,000 - 4,000
28 087251 Supirah 58,500 - 4,000
29 106378 Dea Puspitasari 16,500 - 2,000
30 057933 Natun 56,500 -
31 089805 Rustiyati 123,600 - 4,000
32 106246 Tee Giok Swat 25,500 - 3,000 12,500
33 020178 Ramunatun 39,500 1,273 3,000 12,500
34 106459 Rakimun 34,900 1,764 3,000 12,500
35 104349 Santaja 150,800 10,527 4,000
36 106457 Nunung Riyani 145,250 10,114 4,000
37 105747 Bambang Suripto 34,000 - 4,000
38 098366 Dalimin 34,000 - 4,000
39 024772 Sujimah 117,500 7,591 4,000
40 073747 Kaiman 55,000 1,909 4,000
41 106317 Sajio 223,000 16,273 4,000
42 036447 Siyo Ngatimin 61,950 2,541 4,000
43 068763 Ramelan 34,000 - 4,000
44 106290 Yitno Yuwono 104,500 6,409 4,000
45 031882 Kusnadi 53,700 1,700 4,000
46 087671 Wasiyah 60,250 2,386 4,000
47 060113 Maemunah 116,950 7,450 4,000
48 084942 Raniyah 69,400 3,218 4,000
49 040277 Muinah 76,175 3,743 4,000
50 045630 Gimah 169,600 11,009 4,000
51 090422 Any Indriyastuti 141,500 - 3,000 12,500
52 084718 Purwadi 107,050 4,505 4,000
53 106060 Kasem 301,100 16,827 4,000
54 051226 Rasmini 34,000 - 4,000
55 106455 Saniyah 106,525 6,593 4,000
56 095876 Rum Hartati 82,900 4,445 4,000
57 034301 Sukiman 103,000 6,273 4,000
58 102304 Sobari 119,425 7,766 4,000
59 106239 Stevani 21,000 - 2,000
60 106460 Sawon 113,700 - 4,000
61 106418 Andira Kirana 36,860 - 4,000
62 093422 Berlian 34,000 - 4,000
63 104404 Nathanael 34,000 - 4,000
64 106384 Putra Jati 80,270 4,206 4,000
65 076415 Fanesi Nur 73,550 3,595 4,000
66 101391 Amarlika 132,600 8,964 4,000
67 092693 Pramudya 34,000 - 4,000
68 095966 Rahma W 105,680 6,516 4,000
69 106466 Wina Khaerani 34,000 - 4,000
70 106463 Dhani 120,953 7,905 4,000
71 106461 Khiandra 69,425 3,220 4,000
72 104343 Yonathan 90,000 5,091 4,000
73 105074 Naufal Azzan 34,000 - 4,000
74 38224 Parsiyem 127,500 - 2,500
-
5,603,956 - 223,472 170,650 - - - 52,400 - 223,600 - 252,500 112,500

Jurnal Umum 5,603,956


Kas dari Kassa 5,604,400
Selisih Kas 444

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 25 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

25 1 066959 Olivia Atmaja 4,077 9,000 51,350 3,000 12,500


2 096483 Ika Endang P 895 9,850
3 007515 Anastasia Suryaningsih 3,364 37,000
4 148963 Sr. Felicitas 18,373 101,050 101,050
5 060461 Sr. Marieta 7,000 38,500 38,500
6 068975 Sr. Theresina 6,236 68,600
7 006139 Sr. Silvi 15,182 83,500 83,500
8 017195 Sr. Lucia - 55,800 55,800 4,000
9 002009 Ninik Ekowaty D - 19,000 110,500 4,000
10 022524 dr. Nrimanto 125,000 11,364
11 011136 Yosepha Iswidya 25,750 2,341
12 055373 Suminah 20,000 -
13 106468 Rayhan Nuraiz 131,950 - 4,000
14 076777 Jumirah 208,200 - 4,000
15 096965 Christine Amelia 108,800 - 4,000
16 068697 Yonathan Rendi 95,500 - 4,000
17 050617 Florencia Via F 257,250 - 4,000
18 106462 Tri Legiyati 193,465 - 4,000
19 106453 Prahyono 10,000 -
20 093763 Evan 122,900 9,764 3,000 12,500
21 091977 Lukas Handoyo 55,226 5,021
22 106350 Kevin 16,500 - 2,000
23 098118 Maghfirah 16,500 - 2,000
24 087251 Supirah 13,000 - 3,000
25 016097 Salva Anisa 39,550 - 4,000
26 063815 Sobari 113,500 - 4,000
27 030762 Gideon 91,500 -
28 106378 Dea Puspitasari 16,500 - 2,000
29 009839 Cipto Utomo 33,000 3,000
30 000293 Tri H 13,500 -
31 105534 Tri Utami 9,000 - 4,000
32 105823 Ido Palti Junianto 89,500 5,045 4,000
33 106417 Waginah 46,000 1,091 4,000
34 053975 Sarijan 34,000 - 4,000
35 106307 Painem 68,500 3,136 4,000
36 097680 Adminah 172,750 12,523 4,000
37 103731 Endang Aristiyani 34,000 - 4,000
38 007502 Yohana Pariyem 111,700 6,973 4,000
39 106326 Repini 56,250 2,023 4,000
40 100027 Arjono 113,600 7,236 4,000
41 056240 Painah 223,700 17,155 4,000
42 081815 Wagini 63,100 2,645 4,000
43 089552 Sumarti 108,100 6,736 4,000
44 002156 Tasini 32,500 2,955
45 057390 Kurnia Putri 79,200 7,200
46 092693 Pramudya Irawan 26,625 2,420
47 106473 Rasino 162,850 - 4,000
48 106474 Yuliyanto 192,755 16,023 3,000 12,500
49 106344 Sulyati 65,750 477 3,000
50 106207 Yanti 125,500 - 3,000
51 054761 Diah Lukmana Sari 34,000 1,682 3,000
52 106382 Maryanti 151,500 6,136 4,000
53 047385 Neni Purwanuri 127,500 - 2,500
54 106239 Stevani 21,000 - 2,000
55 016143 Trisno S 64,500 -
56 148962 Sulasmi 28,000 2,545
57 106254 Murah 165,700 10,655 4,000
58 Zulva Aska S 20,000 -
59 106480 Aji Purnomo 8,000 -
60 106479 Dedi Sutopo 57,500 - 4,000
61 106457 Tasimi 34,000 - 4,000
62 106000 Masiyah 71,400 3,400 4,000
63 106303 Fahmi Faturahman 34,000 - 4,000
64 106233 Tumirah 114,000 2,727 4,000
65 106315 Munarti 131,250 4,295 4,000
66 083668 Kasini 84,000 - 4,000
67 106249 Sri Desmi Anawati 126,750 3,886 4,000
68 104714 Wiwi Tri S 84,000 - 4,000
69 106475 Siti Mariyah 195,750 10,159 4,000
70 106108 Aisyla Shafira 84,000 - 4,000
71 074154 Ambar Tyas 84,000 - 4,000
72 106477 Ning Rahayu 180,000 8,727 4,000
73 086726 Dwi Kartika S 140,250 5,114 4,000
74 004988 Wagiarti 88,500 409 4,000
75 106583 Firdaus 71,250 2,386 4,000
76 106219 Sri Murmaningsih 45,000 - 4,000
77 106252 Tri Lianingsih 144,000 9,000 4,000
-
5,912,821 - 251,378 422,300 - - - - - 440,700 - 207,500 37,500

Jurnal Umum 5,912,821


Kas dari Kassa 5,913,500
Selisih Kas 679

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 26 MARET 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

26 1 Widodo 108,800 - 108,800


2 087573 Artiko Jalu Pratomo 14,807 178,375 3,000 12,500
3 103511 Murdiati - 84,000 4,000
4 054946 Dwi Sumanti 45,400 17,455 230,600 4,000
5 016717 Uni Erwati 13,000 5,895 95,850 4,000
6 004988 Wagiarti 409 4,500
7 025174 Sr. Rahayu 74,000 -
8 001071 Nanik Nuristiyati 13,500 3,923 77,150 3,000
9 000607 Purwanti 4,500 659 38,250 3,000
10 004541 Umi Heni - 9,500 66,000 3,000
11 034741 Dwi Aryani - 1,500 24,000 3,000
12 Jenny Ilyas 20,000 -
13 079140 dr. Paulus Haryadi 130,400 11,855
14 106485 Nurma Eka P 36,000 1,864 3,000 12,500
15 105207 Sofiatun 18,000 - 2,000
16 105618 Miah 18,000 - 2,000
17 086272 Lusmiati 130,200 - 4,000
18 148967 Lusinah 49,600 4,509
19 105999 Saikun 19,000 - 2,000
20 074135 Sudiri 47,000 -
21 087251 Supirah 13,000 - 3,000
22 044079 Wisnu 10,000 909
23 099207 Indra 148,900 - 4,000
24 015048 Titik 12,950 1,177
25 106239 M Stevani 21,000 - 2,000
26 098297 Mutiara 154,000 14,000
27 106481 Heri Widayati 194,950 - 4,000
28 074135 Sudi 110,600 3,773 4,000
29 086272 Dejan Azani 92,025 6,230 3,000 12,500
30 086427 Chadiqul Anwar 21,500 - 4,000
31 012734 Indah Suliatin 4,500 409
32 015731 Endarti 2,250 205
33 106237 Naila Murni K 15,500 - 3,000 12,500
34 092275 Arya Pandita 15,500 - 3,000 12,500
35 106488 Isnu Nurono 142,505 11,546 3,000 12,500
36 106487 Suparman 179,250 3,386 3,000 12,500
37 106486 Naifa Murni 84,550 2,641 3,000 12,500
38 17840 Syukur P 16,500 - 2,000
39 009762 Hadi Wahyonoarto 67,200 2,927 4,000
40 100504 Saisem 34,000 - 4,000
41 105765 Merta 128,050 5,359 4,000
42 104799 Subagyo 34,000 - 4,000
43 085839 Wadirun 90,000 5,091 4,000
44 016143 Trisno Slamet 34,000 - 4,000
45 106264 Kamisah 76,000 2,636 4,000
46 106489 Tasinah 82,800 - 4,000
47 106493 Rifki 66,680 - 4,000
48 106490 Lampen 107,200 - 4,000
49 106492 Wahyudi 163,700 - 4,000
50 104517 Zikra 34,000 - 4,000
51 102614 Putri Anasya 34,000 - 4,000
52 104770 Maria F 74,395 3,672 4,000
53 104164 Revel Yenes 34,000 - 4,000
54 096153 Christopher 34,000 - 4,000
55 106494 Kiki Cipta L 52,900 - 4,000
56 009716 Lilis 13,500 -
57 Meterai 12,000 - 12,000
-
3,139,305 - 125,336 15,500 108,800 - - 262,375 - 531,850 - 161,000 100,000

Jurnal Umum 3,139,305


Kas dari Kassa 3,140,200
Selisih Kas 895

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 27 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

27 1 012734 Indah Suliatin 14,200 - 73,200 4,000


2 015731 Endarti 20,400 - 125,350 4,000
3 041826 Hesti Sulastri - 6,300 58,950 4,000
4 083842 Wahyu Dwi A - 72,675
5 003400 Sr. Veronika - 39,750 39,750
6 068975 Sr. Theresina - 34,300
7 003237 Sri Pujiastuti - 39,600
8 087296 Reni Komariyah - 22,800
9 Sabarman 140,000 -
10 106449 Sugiyanti 54,100 -
11 022524 dr. Nrimanto 140,000 -
12 096500 Nasiran 9,200 -
13 010691 Supadi 37,200 -
14 100446 Nimasayu 31,000 -
15 102614 Antonia Tri 18,070 -
16 059392 Fathan 79,500 -
17 106246 Tee Giok Swat 38,000 - 4,000
18 081423 Darwe 300,000 -
19 065585 Sri Hartini 139,500 -
20 090151 Nathania Aura - 34,000 4,000
-
1,021,170 - - 215,425 - - - 34,000 - 297,250 - 20,000 - -

Jurnal Umum 1,021,170


Kas dari Kassa 1,021,100
Selisih Kas (70)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 28 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

28 1 105556 Devin Aqila Pratama - 35,500 4,000


2 087308 Imam Santoso 12,700 - 84,500 4,000
3 096496 Listeti 9,600 - 72,400 4,000
4 034764 Rizkania Rifta 8,900 - 69,450 4,000
5 096487 Sri Daryanti - 11,500 79,750 4,000
6 094575 Raminah - 49,500
7 070025 Siti Solihatun 955 2,100 17,400 4,000
8 000345 Sr. Theresia 9,355 102,900
9 148978 Nina 2,000 182
10 106507 Yudi Wibowo 86,250 - 4,000
11 015646 Daryani 263,500 23,955
12 106515 Pratikno 165,000 - 2,500
13 063873 Surip 58,000 - 2,500
14 042005 Rudianto 130,500 -
15 106336 Kevin 16,500 - 2,000
16 087251 Supirah 13,000 - 3,000
17 148979 Tuminah 1,600 145
18 000170 Lukito 89,500 -
19 148981 Neni 12,950 1,177
20 001630 Tan Gwat Len 27,000 -
21 105949 Saikun 19,000 - 2,000
22 148980 Eni K 12,000 1,091
23 058244 Tasman 34,000 - 4,000
24 066009 Santi 110,000 6,909 4,000
25 104950 Iswati 123,250 8,114 4,000
26 097927 MG Sri Kaheru 208,150 9,741 4,000
27 060723 Admini 20,000 - 4,000
28 106503 Winarsih 119,100 4,545 4,000
29 098726 San Wiradi 47,050 368 4,000
30 042335 Aminah 61,500 4,182 3,000 12,500
31 102250 Amiata Wahmiyah 35,700 1,836 3,000 12,500
32 005000 San Karso 58,000 - 2,500
33 100462 Andi Prayitno 84,000 4,545 4,000
34 024435 Surtiyah 86,625 2,557 4,000
35 105789 Warso 47,500 - 4,000
36 106521 Marno 97,300 2,891 3,000 12,500
37 106381 Kumalasari 109,500 6,864 4,000
38 084718 Purwadi 56,500 - 4,000
39 106526 Aan Darmawan 84,500 5,364 3,000
40 027975 Karyasa 67,500 1,682 3,000
41 106522 Pardi 64,726 4,475 3,000 12,500
42 049069 Suratiyah 287,350 22,941 4,000
43 106389 Wagiyem 179,575 13,143 4,000
44 043902 Adi Suwarno 34,000 - 4,000
45 100418 Warsum 55,250 1,841 4,000
46 097988 San Rustomo 223,400 17,127 4,000
47 106514 Turasih 147,250 10,295 4,000
48 106471 Waginah 75,600 3,691 4,000
49 035452 Suwarti 42,700 700 4,000
50 106519 Abdullah Supandi 122,600 8,055 4,000
51 106517 Susmiati 65,150 2,741 4,000
52 106516 Yuni 137,750 9,432 4,000
53 106515 Marsum 154,750 10,977 4,000
54 066014 Tuti 72,250 1,705 4,000
55 106512 Antonius 47,500 - 4,000
56 032598 Kartini 13,500 -
57 014848 Rudi Novandi 64,500 -
58 101658 Sairah 31,500 -
59 148982 Dwi 2,000 182
60 106524 Indra Nur Hasim 58,000 - 2,500
61 105502 Eko B 18,000 - 2,000
62 106518 Uti Wijayanti 123,400 - 4,000
63 033874 San Wiardi 104,450 - 4,000
64 090225 Iqoh Dini Yunita 76,150 - 4,000
65 087743 Kasinem 42,400 2,445 3,000 12,500
66 106523 Toni Gunawan 264,276 22,616 3,000 12,500
67 106527 Ari Puji 35,500 - 3,000
68 Hadi Mustofa 86,200 - 86,200
69 074551 Jimmy Alexander 117,400 - 4,000
70 064623 Purwogondo 26,000 -
-
5,151,302 - 228,823 166,000 86,200 - - 35,500 - 323,500 - 194,000 75,000

Jurnal Umum 5,151,302


Kas dari Kassa 5,151,900
Selisih Kas 598

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 29 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

29 1 148987 Yuli Gestati 1,382 15,200


2 148983 dr. Onggo 182 2,000
3 106408 Hadi Mustafa 2,536 53,400 3,000 12,500
4 099467 Demetrius Tristan W 4,268 62,450 3,000 12,500
5 067827 Sariyanti 6,100 636 49,900 3,000
6 002156 Tasini 26,700 - 140,700 4,000
7 065395 Ika Widyastuti 1,000 - 38,000 4,000
8 Kafka Ridho R 9,500 - 9,500
9 106537 Dwi Fajar 105,450 - 4,000
10 016928 Sarjono 17,500 1,591
11 101539 Waluyo 108,400 5,445 4,000
12 084057 Budi Risanto 251,400 8,991 6,500
13 106001 Jenny Ilyas 118,700 7,700 4,000
14 106480 Aji Purnomo 8,000 -
15 106533 Tariyem 124,350 - 4,000
16 106530 Ahmad Miftahul 219,680 - 4,000
17 106368 Parlan 52,500 - 4,000
18 106531 Wasiyem 97,400 - 4,000
19 106528 Madisan 74,250 2,659 4,000
20 041369 Tasiyah 48,500 1,318 4,000
21 105974 Karsiyem 202,750 15,341 4,000
22 105975 Erik Setiawan 408,000 32,045 4,000
23 106218 Sapto Dwi C 219,000 15,818 4,000
24 101658 Sairah 515,100 18,327 2,500
25 100727 Santaris 34,000 - 4,000
26 092515 Nurul Khasanah 339,750 26,795 4,000
27 106529 Faizal Kurniawan 34,000 - 4,000
28 106486 Naifa 44,550 2,641 3,000 12,500
29 148990 dr. Cecilia 9,700 882
30 106331 Muhadi 175,275 12,843 4,000
31 047468 Budi Setyanto 67,000 3,000 4,000
32 106411 Supri Miardi 129,300 8,664 4,000
33 106560 Ramah 62,700 4,291 3,000 12,500
34 106492 Wahyudi 43,300 1,618 3,000 12,500
35 106541 Yuni Dwi Kartika 41,000 2,318 3,000 12,500
36 087251 Supirah 13,000 - 3,000
37 065844 Dargono 35,500 -
38 106223 Sukamto 50,500 -
39 011517 Amir 17,000 - 2,000
40 071946 Nuriyah 91,400 6,809 3,000 12,500
41 106202 Sumarni 61,500 - 4,000
42 105672 Turino 69,000 2,591 4,000
43 090627 Gesti Oktaviani 38,500 409 4,000
44 106180 Wakijo 96,625 5,693 4,000
45 106561 Satinem 130,500 3,864 3,000 12,500
46 029818 Sudadi 34,000 - 4,000
47 106317 Sajio 69,600 3,236 4,000
48 105155 Saminem 99,300 2,709 4,000
49 102149 Avijah Nur 12,000 -
50 106566 Fauzan 58,000 - 2,500
51 106394 Kasiyem 116,000 7,455 4,000
52 045054 Destar Fajar 53,800 - 4,000
53 095111 Nasrowi 100,500 4,818 4,000
54 062738 Sajem 47,500 - 4,000
55 106460 Sawon 87,800 - 4,000
56 024704 Heri Purwono 75,250 3,750 4,000
57 008949 Suniah 43,540 867 4,000
58 106301 Muh Damiri 221,700 12,655 4,000
59 022524 dr. Nrimanto 62,500 5,682
60 076445 Sawon Marto 323,350 - 4,000
61 106222 Dawikrama 214,600 16,418 4,000
62 090909 Cipto Diarjo 46,500 -
63 000211 Go You Lam 85,500 - 2,500
64 023327 Waluyo 33,750 3,068
65 055976 Haryanto 57,000 -
66 106541 Yuli Dwi 110,000 -
67 106562 Moh Dargono 127,500 - 2,500
-
6,278,070 - 261,317 133,050 9,500 - - - - 228,600 - 196,500 100,000

Jurnal Umum 6,278,070


Kas dari Kassa 6,278,700
Selisih Kas 630
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 30 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

30 1 104928 Evi Nurita 13,727 196,000 4,000


2 095223 Dedy Suryono - 103,500 4,000
3 087271 M Agus Priyadi 12,232 150,050 3,000 12,500
4 106598 Sri Kundari - 34,000 4,000
5 105172 Siti Khasanah - 84,000 4,000
6 105973 Naajiy Fathur 5,195 91,150 4,000
7 103806 Danu Bimo Nugroho 1,386 49,250 4,000
8 093414 Gabriel Dwiki C 4,318 9,500 72,000 4,000
9 106552 Fr. Agustinus budiman - 59,625 19,875
10 104579 Fr. Ambrosius Bille - 59,625 19,875
11 106551 Fr. Andreas Buanlele - 59,625 19,875
12 106550 Fr. Dionisius Aruno - 59,625 19,875
13 106558 Fr. Emanuel - 59,625 19,875
14 106549 Fr. Jacky Marsiano - 59,625 19,875
15 106553 Fr. Ignatius Marvel - 59,625 19,875
16 106542 Fr. Lois Atoba - 59,625 19,875
17 106544 Fr. Matias Batvian - 59,625 19,875
18 106548 Fr. Novri Dien - 59,625 19,875
19 106546 Fr. Triadi Sastra D - 59,625 19,875
20 106547 Fr. Stev Adi Bud - 59,625 19,875
21 069628 Sumini - 49,500
22 022249 Djamingah - 98,000
23 106501 Erlangga - 40,000
24 149202 Wahyu Dwi (3,155) 34,700
25 063454 Eliana Shafiqa 9,400 - 71,300 4,000
26 061200 Catur Aiwa U 9,200 - 70,800 4,000
27 013160 Titik Lestari W 15,800 - 130,550 8,000
28 013119 Nofika Tri L 37,000 13,636 197,000 4,000
29 006071 Rovian Yudi N 4,900 2,214 34,950 3,000 12,500
30 005934 Titi Lestari 2,750 6,000 39,750 3,000 12,500
31 001022 Yuli Gestati 5,864 12,900 67,100 3,000 12,500
32 085719 Zaimatu Azzahro 4,240 9,400 71,240 4,000
33 085298 Cunduk astuti 2,727 6,000 33,000 4,000
34 106590 Sr. Verona 6,236 34,300 34,300
35 Sr. Rahayu 74,000 - 37,000 37,000
36 Haryanto 10,000 -
37 105870 Yatinem 60,000 2,364 4,000
38 106355 Rasmi 104,750 5,432 4,000
39 106392 Uswatun 112,250 5,432 4,000
40 106465 Ris Budi Santoso 104,750 5,432 4,000
41 102746 Sutiyono 107,750 5,023 4,000
42 063102 Titi Suwarni 29,000 2,636
43 090149 Surip 64,700 - 4,000
44 098869 Yokarolin 117,500 - 4,000
45 070771 Wagiso 98,500 - 4,000
46 106536 Asmiyati 1,778,250 - 4,000
47 037210 Suratman 33,400 3,036
48 105618 Mirah 18,000 - 2,000
49 081362 Supriyo 20,000 -
50 148995 Sarjono 99,000 9,000
51 098118 Maghfiroh 16,500 - 2,000
52 106569 Suryadi 510,000 - 4,000
53 016696 Yuni Irawati 121,500 -
54 076898 Theresia Sutin 79,500 -
55 106576 Nyo Gun Wa 91,500 -
56 066037 Rafi Safi R 26,000 - 138,150 4,000
57 063949 Stevani 21,000 - 2,000
58 055377 Saiful Ahyarwahid 160,200 2,245 3,000 12,500
59 105949 Saikun 19,000 - 2,000
60 106582 Sarwono 49,000 3,045 3,000 12,500
61 069698 Walem 72,500 3,409 4,000
62 096557 Samsul Hadi 73,750 3,614 4,000
63 106304 Ramini 40,000 1,318 3,000 12,500
64 Meterai 6,000 - 6,000
65 Susteran Gombong 465,200 - 465,200
66 Sr.Clara 389,200 - 389,200
67 101229 Dul Japar 104,500 6,409 4,000
68 105927 Siti Khotimah 93,500 5,409 4,000
69 106579 Pujiati 237,250 16,023 4,000
70 106357 Supomo 89,000 5,000 4,000
71 059384 Sutini 117,750 7,023 4,000
72 106402 Tarmi 85,750 4,705 4,000
73 043535 Paryati 206,300 15,573 4,000
74 072416 Robiyah 131,000 5,773 3,000 12,500
75 053422 Tan Tjen Yan 21,000 - 2,000
76 105289 Dul Haris 193,250 14,386 4,000
77 105930 Yuni Munarsih 40,650 605 4,000
78 039995 Kusmiatun 132,250 7,705 4,000
79 106583 Endri Paryono 107,500 - 4,000
80 096556 Tujianti 47,500 - 4,000
81 071962 Suparti 103,900 7,945 3,000 12,500
82 106418 Andira Kirana 53,610 3,465 3,000 12,500
83 060744 Ahmad Firdaus 54,550 3,550 3,000 12,500
84 081596 Sakinem 97,050 4,505 4,000
85 17867 Go You Lam 18,500 - 2,000
86 051871 Sumiyah 112,500 7,136 4,000
87 106119 Slamet Sumedi 60,250 2,386 4,000
88 106524 Parsin 58,000 - 2,500
89 103828 Rasiyah 192,625 14,330 4,000
90 045075 Farid Muhamad 101,300 7,800 3,000 12,500
91 105502 Eko B 18,000 - 2,000
92 106577 Sumarmi 173,200 11,336 4,000
93 096437 Sujiyah 107,050 5,414 4,000
94 084718 Purwadi 56,500 - 4,000
95 106592 Hayun Nur G 108,600 6,782 4,000
96 026409 Siwi Winasis 113,200 7,200 4,000
97 106593 Siti Nur S 113,200 7,200 4,000
98 106585 Siti Aminah 73,600 3,600 4,000
99 074632 Ambar Ari Asih 79,200 7,200
100 106584 Manis 72,900 - 4,000
101 019740 Poniyah 79,200 7,200
102 106011 Pujiatun 48,250 1,295 4,000
103 104384 Suminah 39,600 3,600
104 098094 Parimi 39,600 3,600
105 017940 Sarni 171,600 15,600
106 038924 Rosiana Fadisa 79,200 7,200
107 103805 Dewi Riyanti 39,600 3,600
108 105783 Handasah 39,600 3,600
109 048127 Umi Sumarah 105,900 6,536 4,000
110 060723 Admini 85,000 3,636 4,000
111 001633 MF Budiyati 124,000 3,636 4,000
112 090907 Maryati 39,600 3,600
113 038103 Heni Sulistiawati 233,000 13,545 4,000
114 104675 Kustiyah 39,600 3,600
115 106105 Firdaus 51,700 609 4,000
116 077124 Gempita Oktaviana 74,600 6,782
117 068946 Dwi Haryani 45,600 4,145
118 105453 Herwin W 114,200 10,382
119 105958 Eni Meiyanti 39,600 3,600
120 079964 Ananda Azaria 73,600 3,600 4,000
121 050935 Dalu Rahayu 39,600 3,600
122 056288 Kamsiyatun 39,600 3,600
123 105788 Sriyati 73,600 3,600 4,000
124 105797 Asih 39,600 3,600
125 104636 Sukinah 39,600 3,600
126 106562 Tika 73,600 3,600 4,000
127 104634 Jumiati 39,600 3,600
128 062401 Tri Murtiningsih 39,600 3,600
129 106329 Admini By 9,000 - 4,000
130 027235 Marsini 84,000 - 4,000
131 106597 Nofiyanti 84,000 - 4,000
132 106803 Erlin 259,000 - 4,000
133 093087 Evit 95,900 8,718
134 097615 Sri Wahyunita 74,600 6,782
135 082900 Anjar Prasetyo 34,000 - 4,000
136 098927 Yogi Apriyanto 37,500 -
137 106114 Harti 39,600 3,600
138 106599 Mutiarti 108,600 6,782 4,000
139 106600 Khulyatul Kiromah 116,600 7,509 4,000
140 105465 Astuti 39,600 3,600
141 101388 Bimalina S 114,200 10,382
142 100916 Paidah 39,600 3,600
143 105637 Saparudin 84,000 4,545 4,000
144 086666 Rumijah 36,000 - 4,000
145 103217 Dwi Astuti 79,200 7,200
146 079960 Diesta 12,000 -
147 106603 Eflin 72,750 6,614
148 106581 M Wili Mugi 108,400 6,764 4,000
149 106589 Tri Aryani 73,000 - 4,000
150 102614 Antonia Tri Pratiwi 46,180 4,198
151 104834 Tia Reva 39,600 3,600
152 106378 Dea Puspitasari 76,250 3,841 4,000
153 046832 Surip Sukariyah 39,600 3,600
154 029504 Tri Erna Wahyu 39,600 3,600
155 099913 Isdariyah 144,000 8,545 4,000
156 027235 Marsini 64,500 5,864
157 099306 Benediktus 38,500 409 4,000
158 095666 Rahma 93,503 5,409 4,000
159 106605 Naufal Mirsa 38,500 409 4,000
160 106604 Kahla Maitsu 82,045 4,368 4,000
161 102614 Putri Anasty 34,000 - 4,000
162 106303 Fahmi Faturahman 55,500 - 4,000
163 106263 Edi Asta S 66,825 257 4,000
164 106607 Wini Utami 14,700 291 30,000 4,000
165 101539 Waluyo 45,000 - 4,000
166 084322 Ari Setyaningrum 39,600 3,600
167 067847 Andina 39,600 3,600
168 087263 Pingah 39,600 3,600
169 007756 Septian Saputra 74,600 6,782
170 105025 Sri Yuniarti 74,600 6,782
171 012867 Marini 97,700 8,882
172 101061 Sri Subekti 294,100 23,645 4,000
173 106606 Guntur Adidaya 183,600 13,600 4,000
174 106586 Sarinem 113,200 7,200 4,000
175 106602 Imah Wuryanti 113,200 7,200 4,000
176 106587 Sus Hartiti 113,200 7,200 4,000
177 106601 Wiwin Sriyani 100,600 6,055 4,000
178 149214 Titi 30,000 2,727
179 022524 dr. Nrimanto 147,500 13,409
-
14,268,738 84,000 684,753 1,018,100 889,100 - - 707,950 - 1,265,640 - 410,500 150,000

Jurnal Umum 14,184,738


Kas dari Kassa 14,185,400
Selisih Kas 662

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 31 MARET 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

31 1 106546 Fr. Triadi S - 37,500 12,500


2 106548 Fr. Novridien - 37,500 12,500
3 106547 Fr. Stef Adi - 37,500 12,500
4 106558 Fr. Emanuel - 37,500 12,500
5 106550 Fr. Dionisius - 37,500 12,500
6 104579 Fr. Ambrosius - 37,500 12,500
7 106542 Fr. Luis atoba - 37,500 12,500
8 106544 Fr. Matias - 37,500 12,500
9 106553 Fr. Ignatius - 37,500 12,500
10 106549 Fr. Jackry - 37,500 12,500
11 106556 Fr. Yerinto Pen Texio - 97,125 32,375
12 106555 Fr. Yanuarius - 97,125 32,375
13 106557 Fr. Yohanes Antonius - 97,125 32,375
14 106545 Fr. Los Haris Ruban - 97,125 32,375
15 106543 Fr. Yustinus Lerebulan - 97,125 32,375
16 106554 Fr. Wensislaus - 97,125 32,375
17 106551 Fr. Andreas - 70,875 23,625
18 106552 Fr. Agustinus Budiman - 70,875 23,625
19 084630 Rm. Samuel - 68,625 22,875
20 106590 Sr. Verona 6,682 36,750 36,750
21 106613 Sr. Emerensiana - 41,288 41,287 4,000
22 099044 Lukas Krisna P 4,223 93,450 4,000
23 003061 Umi Wadingah - 6,500
24 030526 Ika Purwantiningsih - 37,000
25 17874 Rafansyah - 16,500 2,000
26 096009 Laeli Hikmawati - 34,200 170,400 4,000
27 075096 Agus Dwi N 109 1,200
28 087308 Imam Santoso 13,600 - 88,300 4,000
29 149216 dr. Cecilia 8,750 795
30 Gabriel Dwiki 9,500 - 9,500
31 082402 Ratna Yuni A 21,700 - 120,700 4,000
32 149219 dr. Haryadi 5,400 2,445 21,500
33 Sr. Theresina 417,000 - 417,000
34 106350 Kevin 16,500 - 2,000
35 104381 Desi Natalia 80,700 - 4,000
36 081531 Soeprijanto 34,000 - 4,000
37 087251 supirah 47,500 - 4,000
38 011517 Amir 17,000 - 2,000
39 001261 Gani 27,000 -
40 054441 Suradi 90,950 6,768 3,000 12,500
41 086001 Partini 373,290 13,299 3,000 12,500
42 106342 Suryadi 161,700 11,518 4,000
43 071948 Slamet Gunawan 34,000 - 4,000
44 053422 Tan Tjeng Yan 43,000 - 2,000
45 106621 Novitasari 77,800 5,664 3,000 12,500
46 149218 Dewi 102,550 9,323
47 100675 Meli Gandi 90,250 5,114 4,000
48 106619 Sijem 180,100 11,964 4,000
49 099389 Suryati 61,950 2,450 4,000
50 105407 Kurniasih 32,550 1,550 3,000 12,500
51 106616 Suparmin 56,190 3,699 3,000 12,500
52 095576 Supiyati 112,300 7,118 4,000
53 106614 Sugiyanto 274,800 14,436 4,000
54 106521 Marno 164,690 11,881 4,000
55 040636 Suparmin 50,500 1,500 4,000
56 106062 Ratinah 42,650 2,377 3,000 12,500
57 106612 Suripno 34,000 - 4,000
58 063102 Titi Suwarni 34,000 - 4,000
59 106455 Saniyah 156,125 11,102 4,000
60 100887 Sodirah 112,925 7,175 4,000
61 106615 Jumadi Ahyat 189,100 10,909 4,000
62 106413 Muwiyanto 100,000 6,000 4,000
63 097982 Muhamad abiyas 7,000 -
64 097988 San Rustomo 125,000 -
65 106622 Parijan 149,710 - 4,000
66 000211 Go You Lam 159,000 - 2,500
67 106395 Setyo Astuti 61,250 2,477 4,000
68 073175 Permata Medika 69,500 6,318
69 106623 Budiono 56,000 2,000 4,000
70 106624 Sujarwo 34,000 - 4,000
71 097383 Wasis 137,250 8,068 4,000
72 106625 Harun Rosid 212,140 - 4,000
73 000875 Darsinah - 39,500 192,000 4,000
74 096483 Ika Endang P - 16,300 98,950 4,000
-
4,284,920 - 176,965 1,397,363 426,500 - - 93,450 - 1,159,262 - 152,500 75,000
Jurnal Umum 4,284,920
Kas dari Kassa 4,285,200
Selisih Kas 280
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

35,455
9,091
13,636
51,023
37,909
10,455
109,409
15,136
30,000 40,455
3,000 10,000 22,727
11,500 3,000
30,000
36,500 3,000 25,600 23,409 47,000
34,773
28,500 13,500 102,000
66,500
5,500 500
5,000 9,545
5,227
39,500
79,500
2,636
30,000 500 500 106,455
9,000 7,000
30,000 4,091
74,091 52,000
30,000 27,818 9,000
2,500 7,500 2,727
36,500 3,000 25,600 27,273
36,500 3,000 25,600 71,182
39,500 4,750 41,250 153,864
30,000
16,500 6,500
60,000 16,500 6,500 201,727 13,500
3,000 25,600 62,955 11,500
13,636
30,000 210,636 74,500
30,000 5,000 44,773 13,500
20,000 10,000 76,500
30,000 74,318
30,000 86,591
30,000 30,000 56,345
67,000
30,000 39,773
30,000 51,136
30,000 10,127
35,000 90,000
20,000 13,500 7,500 30,150
20,000 20,000 10,000 85,000 86,160
35,000 90,000
35,000 90,000
20,000 10,000 22,500 69,200

80,000 762,500 50,000 95,250 53,500 - - - - 133,500 23,000 270,000 102,400 143,250 - 1,740,405 262,010 473,500

Jurnal 4,100,330
Piutang 314,545
Subsidi 165,480
4,580,355

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

45,000 35,000 136,364


52,273
179,318
56,818
20,455
5,455
27,864
55,227
30,000 47,727
80,000 124,509
52,000
20,000 10,000 24,500
20,000 10,000 49,720
25,000 10,000 17,500 47,400
104,545
35,136
20,000 10,000 54,682 52,000
214,000
94,545
13,500
9,500 6,500
2,500 7,500
13,500
34,000
500 500 67,000
9,500 4,750 41,250
46,318
9,000 7,000
23,864
4,500 3,500
30,000 64,500
30,000 64,500
59,000
2,500 7,500 25,727
30,000 103,477
116,500
30,000 500 500 99,000 13,500
3,000 25,600 60,455
30,000 25,000
(46,636)
2,500 7,500 31,909
71,227 52,000
30,000 102,727 59,000
30,000 100,000 27,500
30,000 500 500 39,045
30,000 130,909
30,000 500 500 100,455
30,000
20,000 10,000 38,800
59,591
500 500 67,818
30,000 9,500 7,000 97,705
30,000
30,000 4,091
30,000 27,273
30,000 116,909
30,000
30,000 128,909
30,000 50,000
12,500 50,909
20,000 13,500 10,000 27,500 134,590
45,000 35,000 90,000
30,000 116,500
9,500 7,000
15,227
30,000 115,545
30,000 143,591
30,000 36,000
30,000 72,000
30,000 222,569
45,000 35,000 101,591
36,000
36,000
30,000 103,409
30,000 63,296
36,000
36,000
30,000 67,818
30,000 64,636
30,000 23,636
36,000
72,000
30,000 67,818
30,000 67,818
30,000 67,818
36,000
36,000
30,000 119,727
30,000 67,818
30,000 83,727
36,000
37,500 22,500 171,500 18,182
20,000 7,000 10,000 5,000 48,440
72,000
36,000
36,000
36,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000 3,500 7,500 70,455
30,000
30,000
45,000 35,000
45,000 35,000 12,273
45,000 35,000
45,000 35,000
36,000
30,000 69,636
72,000
36,000
36,000
30,000 76,500
36,000
72,000
30,000 36,000
36,000
36,000
101,591
36,000
2,727
36,000
36,000
67,818
36,000
30,000 36,000
30,000 336,364
12,500 75,000 35,000
30,000 15,000 19,364
36,000
67,818
45,000 80,000 2,000 5,500 35,000 86,955
30,000 72,218
30,000 60,468
30,000 93,227
30,000 50,909
30,000
30,000 81,673
30,000
30,000 32,000
30,000
30,000 5,027
30,000 52,318
30,000
30,000
30,000 94,091
30,000
20,000 10,000 79,062
36,000
51,000 11,000 102,000 112,955
30,000 112,955
30,000
30,000 64,545
32,727
67,818

165,000 2,618,000 190,500 136,750 42,000 - - - - 105,500 31,000 385,000 43,100 314,750 - 7,136,579 477,194 984,000
Jurnal 13,019,171
Piutang 635,100
Subsidi 212,260
13,866,531

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 36,200


30,000 97,045
30,000 71,455
34,000
73,500
5,000 9,864
6,091
9,500 7,500

30,000 15,000 5,000 2,568


20,000 10,000 18,150
20,000 10,000 126,250
111,886
773
36,000
90,255
45,000 27,000 239,000 173,636 31,500
25,000 10,000 2,400,000 17,500 204,600 204,500
45,455
38,273
36,000
13,500
62,000
28,182 13,500
9,500 4,750 41,250
13,500
20,000 10,000 7,500 41,000
21,818 13,500

102,500
133,909
9,500 4,500 34,000
8,500 4,750 36,750 28,864
27,500
30,000 94,636
9,500 4,500 34,000
30,000 3,500 7,500 122,227 13,500
30,000 500 500 95,909 13,500
(116,500)
30,000 57,273
909
30,000 42,114
30,000 126,841
30,000 72,045
9,500 6,500
30,000 500 500 79,364
30,000 500 500 20,909
60,000 82,905
30,000 500 500 67,227
30,000 500 500 49,682
30,000 25,500
155,500
30,000 500 500 96,136 13,500
66,500 3,000 25,600 46,223
20,000 10,000 22,364 26,900
30,000 3,500 7,500 13,500
11,500 3,000
70,500
4,782
35,000 90,000
20,000 10,000 12,000 52,000
30,000 481,818
25,000 15,000 76,000 75,000
35,000 90,000
30,000 50,909
30,000 38,636
30,000 136,709
30,000 71,945
30,000 27,273
30,000 3,500 7,500 43,545

9,500 4,750 41,250


30,000

145,000 1,063,000 15,000 156,750 30,500 - - - 2,400,000 38,000 17,000 180,000 43,100 502,250 - 2,964,955 348,600 921,500

Jurnal 9,403,950
Piutang 139,250
Subsidi 73,450
9,616,650

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

30,000
49,500
102,318
42,818
40,545
64,773
3,455
30,000 31,682
45,000 35,000 71,591
20,000 10,000 33,300

20,000 10,000 29,700

2,500 7,500
20,000 10,000 47,050
20,000 10,000 100,250
13,500
8,136
35,500
9,000 7,000
111,500
9,500 4,500 34,000
5,000 9,545
4,500 3,500
500 500 61,909
500 500 110,773
16,500 6,500
5,500 500 35,818
5,500 500 24,264
18,000
30,000
147,941
30,000 6,364
30,000 500 500 57,045
30,000 500 500 54,318
30,000 154,773
30,000 3,500 7,500 102,273
28,636
5,000
30,000 3,500 7,500 101,591
30,000 17,091
30,000
45,000 60,000 35,000
45,000 35,000 113,864
45,000 35,000
45,000 35,000
45,000 35,000 102,273
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000 85,909
20,909
31,500
5,000 6,818
19,000 9,000 68,000
10,000
20,000 13,500 13,500 32,500 95,415
30,000 50,000
41,364
30,000 63,727 13,500
30,000 150,000
30,000 99,091
30,000 500 500 134,545
30,000 46,086
190,227
30,000 8,864
30,000 74,727
30,000 85,705
30,000 30,295 17,500
30,000 13,500
31,273
30,000 45,955
30,000 19,091
30,000 56,136
30,000 23,591
30,000 61,705
30,000 64,909
30,000
5,000
30,000 48,705
30,000 4,500 10,000 13,818 13,500
30,000 500 500 92,886
17,000 8,500 74,500 78,591
5,000 37,909
26,364
30,000 37,545
106,364
11,500 3,000
8,500 3,750 37,750 43,545
20,000 9,500 14,750 41,250 77,600

130,000 1,503,500 73,500 147,000 41,500 - - - - 69,000 20,000 350,000 - 255,500 - 3,419,950 383,315 268,000

Jurnal 6,467,610
Piutang 369,090
Subsidi 579,060
7,415,760

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

6,600
37,500
20,000 2,500 10,000 12,500 79,650
20,000 10,000 64,700
20,000 10,000 30,650
20,000 10,000 114,300
20,000 10,000 47,000
93,955
15,455
15,955
30,000 6,818
30,000 6,000 12,500 18,000
30,000
30,000 6,000 12,500 16,364
85,364
30,000
30,000 35,000
20,000 10,000 55,300
20,000 10,000 62,775
20,000 10,000 59,200
20,000 10,000 55,800
48,000
13,500
20,000 10,000 109,200
20,000 10,000 93,150
20,000 10,000 408,600
20,000 10,000 7,500 5,550
13,500
68,500
20,000 10,000 7,500 91,300
20,000 20,000 13,500 40,000 103,030
35,000
13,250
15,250
12,950
13,500

45,000 60,000 35,000 10,455


20,000 10,000 155,300 79,000
20,000 10,000 61,200

340,000 225,000 82,500 185,500 - - - - - 92,500 - 35,000 - - - 297,364 1,717,255 236,000

Jurnal 2,655,055
Piutang 537,650
Subsidi 144,150
3,336,855

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 44,800


9,500
6,500
4,700
34,300
20,000 10,000 21,700
20,000 10,000 180,950
20,000 10,000 47,100
20,000 10,000 110,600
20,000 10,000 62,400 79,500
3,000
7,250
8,000
3,400

19,400
20,000 10,000
7,180
10,000
20,000 15,500 10,000 17,500 180,600
22,500
56,175
39,900
14,525
35,500
18,100
20,000 10,000 93,300 73,500
20,000 10,000 101,250
20,000 10,000 13,500
20,000 10,000 49,500

240,000 - 15,500 120,000 - - - - - 17,500 - - - - - - 1,113,630 245,000

Jurnal 1,647,730
Piutang 100,600
Subsidi 51,300
1,799,630

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 45,225


30,000 3,500 7,500 70,364 13,500

31,182
34,636
35,227

13,636
232,364
60,909
20,000 10,000 31,600
20,000 10,000 60,050
20,000 10,000 107,000
20,000 10,000 70,450
80,000
16,500
2,500 7,500
9,000 7,000
9,500 4,750 41,250
9,500 4,500 34,000
8,500 4,750 36,750
2,500 7,500 60,091
55,455 13,500
500 500 53,000
6,500
500 500 128,409 13,500
9,500 4,500 49,000
74,773
57,727
8,500 7,500
28,582
56,295
8,500 4,750 36,750
11,000 8,000
9,500 4,500 34,000
13,500
13,500
119,818
10,000
4,500 3,500
51,182
54,818
9,500 7,000
9,500 7,500
9,500 4,500 34,000
30,000 500 500 121,384
30,000 38,091 13,500
5,000 5,000 115,136 13,500
8,500 7,500
30,000 89,318 29,500
55,727
30,000 500 500 44,545
500 500 92,182
30,000 55,000
30,000
30,000 59,409
36,500 3,000 25,600 11,018
30,000
13,500
30,000 250,909 27,500
30,000
30,000 12,000
36,500 3,000 25,600 34,364 27,500
30,000 111,182
30,000
30,000 500 500 101,227 13,500
30,000
98,609
20,000 10,000
20,000 10,000
20,000 10,000 28,975
39,500 4,750 41,250 118,727
30,000 121,818
68,727
30,000 92,818
30,000 97,977
30,000 26,364
30,000 96,250
11,500 3,500
6,136
20,000 10,000 7,500 19,000
13,500
7,000
20,000 10,000 34,750
24,000

210,000 807,000 - 176,500 55,000 - - - - 53,000 36,500 - 51,200 307,000 - 3,161,388 397,050 329,500

Jurnal 6,016,702
Piutang 252,925
Subsidi 63,150
6,332,777
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 282,200


9,045
1,818
22,545
1,273
9,455
30,000 500 500 30,864 32,000
30,000 82,000
40,386

20,000 10,000 96,000


20,000 10,000 52,250
20,000 10,000 51,300
20,000 12,500 3,000 66,850
30,000 100,000 7,000
40,500 5,500 67,000
39,000
6,500
69,000
9,500 4,750 41,250
20,000 10,000 12,000
30,000 13,500
39,500
6,500
13,500
2,500 7,500
59,000
30,000 124,500
9,000 7,000
21,364
9,500 6,500
39,500 4,750 41,250 143,909 73,500
30,000 5,455
30,000 48,182 13,500
20,000 10,000 7,500 63,250
30,000 115,091
30,000 5,000 75,000 13,500
30,000 153,864
30,000 13,500
30,000 157,727 13,500
30,000 91,364
30,000 19,091
11,000 8,000
23,136
30,000
20,000 10,000 70,800
71,364
30,000 73,182
30,000 96,818 13,500
30,000 22,273 18,500
19,636
52,000
30,000 21,477
30,000 14,318
30,000 36,773
20,000 10,000 50,200
30,000 80,000
20,000 10,000 77,282 52,000
47,500
30,000 70,818
30,000 3,500 7,500 52,091
30,000 80,000
30,000 16,500 6,500 140,636
55,682
30,000 9,500 6,500 37,545
20,000 10,000 61,200
30,000 308,750
50,000 153,245
60,000 16,500 6,500 218,682 13,500
30,000 500 500 78,464
9,500 7,000
35,000 90,000
35,000 90,000
6,500
30,000 80,000

220,000 1,169,500 100,000 139,500 81,500 - - - - 33,500 48,000 420,000 - 149,500 - 2,647,823 871,332 621,500

Jurnal 6,093,262
Piutang 545,635
Subsidi 429,040
7,067,937
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 134,350


20,000 10,000 135,800 90,000
25,045
22,500 66,455
43,273
30,000 22,227
30,000 38,818
30,000
16,000

30,000 9,500 7,000 93,982


9,500 4,750 41,250
9,000 7,000
70,636
2,500 7,500 1,364
2,727
39,500
80,000 115,605
20,000 10,000 59,850
20,000 10,000 7,500 39,500
40,500 5,500 67,000 22,727
30,000 62,727
11,000 8,000
9,500 6,500
9,500 4,500 34,000
2,500 7,500 11,136
21,818
11,500 3,500
73,182
49,318
30,000 13,500
4,500 3,500
30,000
6,818
6,818
6,818
6,818
6,818
57,727
1,818
1,818
1,818
36,000
36,000
36,000
36,000
30,000 81,455
30,000 113,273
36,000
30,000 107,455
36,000
72,000
20,000 10,000 66,700
30,000 130,455
12,500 35,000 10,000 11,364
8,636
8,636
8,636
8,636
8,636
8,636
8,636
8,636
29,545
8,636
8,636
8,636
8,636
36,500 3,000 25,600 64,614
30,000 100,000 27,500
30,000 500 500 107,909
30,000 131,250
30,000 95,000
15,273
30,000 30,000
30,000 138,409
30,000 82,818
60,000 81,723
47,455
30,000 72,614
30,000 72,136
11,500 3,000
8,636
8,636
45,000 35,000 38,864
30,000 41,364
20,000 10,000 66,850
36,000
36,000
45,000 35,000 75,000
36,000
36,000
36,000
36,000
72,000
12,500 35,000 35,000
45,000 35,000 38,864
80,000 99,773
36,000
30,000 129,409
38,864
36,000
20,000 10,000 28,500
59,091
36,000
36,000
36,000
30,000 124,636
30,000 67,818
36,000
30,000 116,455
20,000 10,000 95,000
36,000
36,000
72,000
103,818
113,864
36,000
30,000 43,273
72,000
36,000
135,636
20,000 9,500 14,500 41,500
30,000 3,500 7,500 38,864
30,000 262,136
36,000
81,455 13,500
30,000 71,591
36,000
45,000 35,000 35,455
9,500 4,750 41,250
36,000
45,000 35,000 115,500
100,000
47,000
45,000 35,000 101,591
101,500
30,000 67,818
30,000 104,182
36,000
104,545
30,000 45,455
36,000
30,000 67,818
36,000
36,000
30,000 94,545
36,000
45,455
30,000 68,182
72,000
30,000 30,500
36,000
20,000 10,000 125,800 13,500
67,818
76,855
30,000 3,500 7,500 348,864
30,000 83,891
20,000 10,000 22,500 66,350
30,000 20,264
30,000 37,536
30,000 15,000 7,500
45,000 35,000 9,091
45,000 35,000
45,000 20,000 40,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
8,636
30,000 1,818
30,000 58,455
30,000 4,091
30,000
30,000 52,727
30,000 4,091
30,000 1,818
30,000 1,818
30,000
30,000
30,000 1,818
30,000 52,727
30,000

49,000 9,250 82,750


4,136
30,000

220,000 2,854,000 105,000 163,250 62,000 - - - - 156,500 35,000 595,000 25,600 307,750 22,500 7,326,241 818,700 462,000

Jurnal 14,186,965
Piutang 483,375
Subsidi 171,325
14,841,665

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

31,273
365,455
124,545
36,000
2,273
207,295
56,818
10,000
30,000 102,500
30,000
1,818
68,632
8,636
12,500 25,000 18,500 5,000
122,773

20,000 10,000 83,050


20,000 10,000 18,500
30,000 500 500 28,364
11,000 8,000
30,000 161,455 82,000
2,500 7,500 58,364
9,000 7,000
34,000
19,000 9,000 68,000
30,000 22,864
30,000 80,727
30,000 3,500 7,500 13,500
30,000 61,000
8,000 11,000
500 500 59,136
71,500
27,000
51,500
20,000 10,000 15,150
68,182
85,182
30,000 500 500 94,455
30,000 112,000
30,000 51,636 23,500
9,500 7,000
30,000
75,000 150,000
76,500
76,500
72,000
5,000 9,091
30,000 50,409
30,000 169,000
30,000 31,727 10,000
30,000 65,000 8,000
35,682
10,500 5,500 51,000
9,500 7,500
500 500 38,636
2,500 7,500
32,727
42,273
20,000 15,500 10,000 17,500 161,500
35,000 90,000
20,000 10,000 81,250
10,500 5,500 51,000
20,000 10,000 39,600 57,000
13,182
30,000 32,091
30,000 15,864
30,000 74,045
30,000 65,855
30,000 85,773
30,000
30,000
30,000
30,000
30,000

120,000 867,500 40,500 95,500 47,000 - - - 75,000 53,000 48,000 90,000 - 170,000 - 2,819,236 549,050 571,500

Jurnal 4,711,715
Piutang 668,265
Subsidi 841,230
6,221,210

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

36,500 3,000 25,600 107,727 89,000


10,227
12,500 10,000 7,500
12,500 10,000 10,000
12,500
46,364
30,000 153,909
5,000 9,091
5,000 9,545
20,000 10,000 25,818 30,650
11,455
10,773
79,909
20,000 10,000 117,650
20,000 8,500 10,000 15,000 73,300
20,000 10,000 110,350
2,500 7,500 2,727
11,000 8,000
47,727
17,045
190,000
11,000 8,000
9,000 7,000
45,455
20,000 10,000 48,000
11,500 3,000 13,500
32,955
19,000 9,000 68,000
30,000 9,000
30,000 500 500 50,818
30,000 500 500 155,273
30,000 32,273

32,727
60,682
12,500 20,000 15,000 1,636
2,500 7,500 15,909
30,000

27,500
30,000
12,500 10,000 10,000
30,000 4,091
500 500 55,636
30,000 46,364
2,500 7,500
2,500 7,500
25,000
35,000 90,000

100,000 423,000 58,500 83,500 42,500 - - - - 89,000 26,000 90,000 25,600 68,000 - 1,066,136 379,950 354,000

Jurnal 1,867,850
Piutang 547,960
Subsidi 710,490
3,126,300

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

30,000 10,295 13,500


35,727
31,818
27,864
57,727
31,182
30,455
23,182
23,545
20,000 10,000 54,400
20,000 10,000 250,700 77,000
9,500 4,500 9,500 7,000 64,000

87,091
13,500
20,000 10,000 57,550
20,000 10,000 61,400
30,000 325,000 65,000 48,750 113,659
13,182
30,000 3,500 7,500 21,818
30,000 43,318
30,000 13,182
30,000 221,591
30,000 9,500 16,000
30,000
20,000 10,000 51,950
11,000 8,000
9,500 4,750 41,250
2,500 7,500
11,000 8,000
26,000
29,409
20,000
22,500 48,636
20,000 10,000 52,950
30,000
30,000 108,182

88,182
30,000 15,000
20,000 20,000 10,000 47,500 101,030
30,000 26,136
30,000
30,000 500 500 51,955
30,000 1,000 1,000 32,909 6,500
30,000 90,227 36,500
30,000 53,182 13,500
26,409
52,682
12,500 30,000 34,000 1,682
9,500 4,500 49,000 146,773
9,500 6,500
30,000 53,182

8,500 3,750 27,750 52,682


20,000 10,000 7,700 13,500
104,545
9,500 4,750 41,250
20,000 20,000 10,000 5,000 19,400
20,000 10,000 22,500 74,900
34,000
11,500 3,500
36,000
47,000
16,500 6,500
5,000 9,545
25,000 10,000 17,500 30,500
20,000 8,500 10,000 12,500 102,900
30,000 64,455
30,000 8,500
30,000 43,045
87,364

245,000 689,000 403,500 164,250 69,000 65,000 48,750 - - 131,500 39,500 - 17,500 223,250 45,000 2,016,318 834,880 331,500

Jurnal 4,974,205
Piutang 759,715
Subsidi 130,160
5,864,080

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

33,636 37,000
30,000 43,318
20,000 10,000 46,000
20,000 10,000 62,000
20,000 10,000 76,400
20,000 10,000 86,750
11,500
20,000 10,000 24,000
325,000 65,000 81,250 68,750 63,477
93,900
8,000
52,682
20,000 44,500 14,500 90,000 41,500 52,500
72,500
30,000 6,000 12,500 14,364
30,000
30,000 18,000
3,000
20,000 10,000 74,300
13,500 7,500
20,000 10,000 128,650
35,500
20,000 10,000 38,800
20,000 20,000 10,000 45,000 81,320

200,000 164,500 345,000 124,000 - 65,000 81,250 - - 133,750 - 90,000 - 41,500 - 225,477 754,120 178,000

Jurnal 2,201,895
Piutang 127,850
Subsidi 191,400
2,521,145

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

9,500 4,500 64,000


1,045
38,091
(33,409)
126,045
60,841
30,000 114,909
30,000
30,000 69,591 13,500
20,000 10,000 5,000 52,500
20,000 10,000 56,000
20,000 10,000 92,400
8,636
16,500
20,000 10,000 18,900
20,000 10,000 18,900
20,000 10,000 130,700
20,000 10,000 41,400
13,150
20,000 10,000 78,550
1,500
25,000 10,000 17,500 41,500
9,500 4,750 41,250
11,500 3,000
10,000
13,500
2,500 12,500 43,295
81,364
2,500 7,500 3,818
51,955
11,000 8,000
30,000 96,409
30,000 12,500 81,000

11,000 8,000
2,500 7,500
(245,700)
30,000 500 500 139,091
36,500 3,000 25,600 24,091
6,318
9,500 7,000
9,500 6,500
30,000
30,000 106,364
30,000 64,773
12,500 10,000 11,000 11,364
5,000 9,545
30,000 107,909
30,000 52,727
30,000 13,500
30,000 4,091
30,000
51,273
39,500 4,750 41,250 6,136
500 500 23,555
46,000 7,750 25,600 41,250 132,727
20,000 17,000 17,500 11,500 3,000 55,500 69,150
30,000 4,500 10,000 70,409 34,500
30,000 156,318
30,000 500 500 86,545
30,000 79,227 6,500
30,000 43,409
30,000 57,955
30,000
62,182
26,000
30,000 8,636
24,247
30,000 95,932
30,000 144,364 27,500
31,364
20,000 10,000 13,500 57,000
20,000 10,000 59,800
30,000 6,000 12,500
37,500 22,500 171,500 18,182
20,000 10,000 55,700
30,000 7,000 14,500 5,000
30,000 6,000 12,500 44,318
30,000 6,000 12,500 26,591
20,000 12,500 5,000 41,000
6,636
30,000 33,409
29,455

295,000 1,078,000 10,000 240,750 64,000 - - - - 112,000 35,500 - 68,700 414,750 - 2,439,234 482,950 345,500

Jurnal 5,336,182
Piutang 496,550
Subsidi 416,075
6,248,807

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

46,000 7,750 25,600 41,250 94,841


30,000 48,000 50,000 109,364 140,000
21,773
9,500 4,750 41,250 270,000 140,500
12,864
5,000 9,545
20,000 10,000 23,700
20,000 27,500 20,000 616,100
20,000 10,000 23,000
2,500 7,500
13,500
6,000
102,636
52,000
104,545
20,000 10,000 39,500
10,000 17,500
20,000 27,500 55,550
9,500 4,750 41,250
106,500
9,500 4,750 41,250 50,500
109,818
9,500 4,500 49,000 112,227
11,000 8,000
57,000
20,000 10,000 68,550
8,500 4,750 36,750 7,727
35,045
84,182
96,500
30,000 500 500 114,386
37,409
30,000 122,159
30,000 175,682
30,000 37,500
115,455
8,500 3,750 27,750 23,455
16,500 6,500
20,000 10,250 108,250
55,091
8,500 3,750 27,750 33,909
30,773
60,000 16,500 6,500 216,727 13,500
30,000 500 500 53,227
30,000 13,500
30,000 500 500 44,091
9,500 7,000
30,000 500 500 164,818 34,500
30,000 56,000 13,500
30,000 500 9,500 500 7,000 69,273
30,000 43,636
30,000 83,500
30,000 64,273
1,364
30,000 43,409
36,500 3,500 500 25,600 164,386
30,000
30,000 58,182
30,000 4,500 10,000 37,864 13,500
30,000 500 500 79,500
11,000 8,000
9,000 7,000
13,500
2,500 7,500 14,818
10,000
68,000 18,000 136,000 75,818
20,000 10,000 49,100
35,000 90,000

150,000 899,000 - 203,000 83,000 - - - 48,000 98,500 50,000 90,000 68,700 550,500 - 3,097,273 1,015,500 618,500

Jurnal 7,773,475
Piutang (1,157,855)
Subsidi 1,180,080
7,795,700

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 28,400


20,000
13,500
3,786
30,000 6,000 12,500 54,318
30,000 50,227
20,000 10,000 105,100
20,000 10,000 86,500 20,000
64,500
11,000 8,000
20,000 15,000 10,000 15,000 4,050
62,455 13,500
10,000
10,000
10,000
9,000 7,000
9,500 7,500
9,500 6,500
20,000 25,000 3,500 4,050
9,500 4,750 41,250
2,500 7,500
20,000 13,500 7,500 32,900
31,409
500 500 84,591
9,500 4,750 41,250
30,000 500 500 76,273
30,000 500 500 41,909
30,000 500 500 52,182
30,000 13,500
30,000 79,841
39,500 4,750 41,250 71,591 13,500
30,000 102,545
30,000 105,318
30,000 26,818
30,000 500 500 54,364
500 500 35,182
2,500 7,500 48,045
30,000
30,000 500 500 46,227
60,000 15,000 500 4,000 20,000
30,000 66,136 6,500
101,591
30,000 99,205
30,000 4,091
30,000 114,273
30,000 9,500 6,500 36,000
45,000 35,000 101,591
30,000 128,955
30,000
30,000 111,482
30,000 151,091
30,000
30,000 67,818
30,000 67,818
36,000
67,818
45,000 35,000 77,045
30,000 111,455
72,000
30,000 156,136
30,000 81,455
30,000 150,909
36,000
51,818
36,000
36,000
51,818
36,000
144,000
67,818
30,000 125,818
30,000 115,000
30,000 81,455
30,000 67,818
30,000 126,909
30,000 113,182
30,000 62,818
17,000 7,500 55,500 47,409
30,000 50,000 112,977
30,000 260,909
36,000
36,000
30,000 3,500 7,500 141,227
30,000 59,977
67,818
30,000 62,864
30,000 90,909
30,000 111,682
30,000 3,500 7,500 136,545
30,000 85,024
30,000 176,545
36,000
36,000
30,000 27,273
45,000 35,000 132,500
72,000
36,000
64,636
36,000
36,000
36,000
72,000
36,000
36,000
30,000 50,455
36,000
45,000 35,000 38,864
30,000 106,000
30,000 67,818
30,000 128,182
30,000 72,000
36,000
67,818
36,000
72,000
36,000
45,000 35,000 187,500
45,000 35,000 23,091
22,000
13,500
30,000 45,455
30,000 36,000
30,000 81,455
30,000 72,000
67,818
45,000 35,000 116,364
30,000 7,094
30,000 75,045
30,000
30,000 40,586
30,000 3,500 7,500 315,682
30,000 72,923
30,000 3,500 7,500
30,000
30,000 50,045
30,000 7,000 14,500
30,000 60,591
30,000 8,000 15,500 427,273
30,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
5,000 43,636
30,000 3,500 7,500
45,000 35,000
45,000 35,000
45,000 35,000
5,000
140,000 2,955,500 105,000 132,750 48,500 - - - - 128,500 35,500 560,000 - 179,250 - 8,421,895 261,000 343,000

Jurnal 14,589,684
Piutang 14,200
Subsidi 48,200
14,652,084

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

30,000
16,182
20,545
13,182
20,909
131,545
5,318
44,091
66,682
45,000 35,000 151,136
30,000 8,495
30,000 59,609
30,000 60,359
20,000 12,500 5,000 72,200
20,000 10,000 52,500 11,500
20,000 10,000 2,500
20,000 10,000 44,000
20,000 10,000 27,500
14,773
20,000 30,000 7,000 10,000 12,500 485,400
8,000
30,000 10,000
30,000 46,364
36,000
36,000
11,500 3,000
11,500 3,000
20,000 10,000 41,000
35,000
72,182
28,136
65,955
108,000
11,000 8,000
5,000 9,545
30,000 13,500
2,500 7,500
9,000 7,000
1,909
57,500
30,000 500 500 44,227
30,000
30,000
36,000
30,000 72,273
30,000 1,000 1,000 36,273
36,000
10,500 5,500 51,000
2,500 7,500
20,000 7,000 10,000 5,000 161,500
30,000 125,909
36,500 3,000 25,600 122,886 13,500
36,500 3,000 25,600
30,000 18,273
30,000 56,682
30,000 63,727
30,000 125,591
31,000
8,000 4,500 172,909
134,091
18,791
24,000
9,500 4,750 41,250
30,000 33,000
20,000 10,000 60,300
30,000 69,000
30,000
30,000 6,818

180,000 798,000 24,000 120,250 51,000 - - - - 39,000 25,500 35,000 51,200 92,250 - 2,116,368 946,900 267,000

Jurnal 4,056,945
Piutang 401,460
Subsidi 806,200
5,264,605
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 7,500 73,500


20,000 10,000 78,750
20,000 10,000 53,800
20,000 10,000 64,500
17,500
30,000 119,455
30,000 727,091
14,182
20,455
50,455
15,909
31,182
(4,727)
11,500 3,000
11,500 3,000
2,500 7,500
72,000
20,000 48,500 10,000 22,500 131,500
6,818
1,364
30,000
30,000
27,273
91,500
22,545
9,000 7,000
21,000 11,000 102,000
11,000 8,000
9,500 7,500
30,000
36,500 3,000 25,600 41,136

30,000 500 500 212,182


30,000 54,545 6,500
30,000 13,500
75,227
5,000 36,636 31,500
30,000 37,386
30,000 45,955
30,000 500 500 24,955
40,500 30,000 5,500 67,000 119,377
9,500 6,500
11,500 3,000
9,500 6,500
30,000 139,114
30,000 500 500 92,773 32,000
45,000 35,000 51,818
30,000 3,500 7,500 60,682
35,000 90,000
35,000 90,000
30,000 60,000
45,000 35,000 29,318
45,000 35,000 28,091
12,500 35,000 10,000
5,000
30,000 3,500 7,500
30,000 3,500 7,500
30,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
47,000
40,500 5,500 67,000 66,818
30,000 6,000 12,500 18,409
20,000 10,000 11,000 20,000

120,000 1,196,000 113,500 115,500 83,000 - - - - 84,000 44,500 495,000 25,600 236,000 - 2,298,423 413,050 259,500

Jurnal 4,738,965
Piutang 472,600
Subsidi 720,850
5,932,415
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

30,000 36,500
12,500 20,000 15,000 7,318
30,000 500,000 10,000 98,909
79,091
185,195
56,818
59,091
45,000 35,000 140,227
30,000 10,000 116,000
20,000 10,000 21,400
8,000
20,000 10,000 25,050
20,000 13,500 14,500 35,000 58,085
36,000
15,000
28,000
47,000
2,500 7,500
500 500 74,636
5,000 1,409
5,000
42,273
9,500 7,500
11,500 3,000
9,000 7,000
19,000 9,000 68,000
9,500 6,500
11,000 8,000
11,500 3,000
55,273

9,500 7,000
115,455
2,000 5,000 23,182
30,000 19,636
32,500
30,455
30,000 67,045
59,091 12,500
9,500 7,000
13,500
30,000 500 500 75,409
30,000 500 500 68,545
5,500 500
153,500
12,500 20,000 21,000 89,955
11,500 3,000
70,455
30,000 80,000
20,000
30,000 13,500
30,000 500 500 185,318
35,000 90,000
48,136
36,500 3,000 25,600 122,545
61,000
30,000
14,182
91,500
30,000 446,591
30,000 6,000 12,500
6,500
30,000 74,036
30,000 3,136
30,000 46,055
30,000 109,636
30,000 22,432
12,500 10,000 11,000 8,182

60,000 713,000 573,500 74,500 100,500 - - - - 119,500 52,000 205,000 25,600 68,000 - 2,796,718 104,535 386,000

Jurnal 4,240,260
Piutang 1,079,465
Subsidi 580,300
5,900,025

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 156,900


20,000 13,500 13,500 27,500 41,880
12,500 8,682
175,600
12,500
20,000 10,000 103,650
1,091
20,000 7,000 10,000 5,000 154,300
8,000
13,500
25,000 10,000 17,500 124,200 85,500
20,000
20,000 10,000 34,000
5,000
51,500
159,250
20,000 10,000 40,144
20,000 10,000 66,800
20,000 10,000 9,600
20,000 10,000 33,100
20,000
3,000

205,000 12,500 20,500 103,500 - - - - - 32,500 - - 17,500 - - 9,773 1,080,924 237,500

Jurnal 1,256,244
Piutang 199,175
Subsidi 320,255
1,775,674

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

45,000 27,000 239,000 183,273 31,500


35,909 49,000
13,636
31,818
20,000 10,000 69,700
20,000 10,000 47,650
20,000 10,000 105,200
20,000 10,000 54,700
20,000 10,000 18,500
20,000 15,000 12,500 35,000 52,750
20,000 10,000 32,640
20,000 10,000 35,300
20,000 13,500 7,500 32,050
77,000
8,000
9,500 7,750 25,600 41,250 38,500
28,500 13,750 124,250

5,000
10,500 5,500 51,000
25,000 10,000 17,500 44,875
2,500 7,500
11,036

20,000 12,500 3,000 69,690


11,000 8,000
40,455 10,000

9,500 4,750 41,250

26,000
8,500 3,750 37,750
22,068
9,500 7,500 32,818
59,455
30,000
30,000 119,455 27,500
432,000
36,500 3,000 25,600 60,682
30,000 3,682 26,500
30,000 63,182
30,000
8,000
30,000 500 500 185,500
30,000 500 500 68,705
30,000 500 500 121,020
30,000 54,545
30,000 500 500 58,682
30,000 500 500 79,273
30,000 500 500 38,932
30,000 148,909
39,500 4,750 41,250
30,000 56,818
30,000 4,091 10,000
30,000 500 500 105,000
30,000
30,000
8,500 7,500
30,000 68,000
25,000 10,000 17,500 16,500
30,000 500 500 41,545
30,000
96,500
12,500 40,000 30,000
6,682
43,500
30,000 7,500
30,000 6,000 12,500 26,591
172,136
30,000 3,500 7,500 128,955
30,000
30,000 78,818
36,500 3,000 25,600 82,000
30,000 30,000 109,409
30,000 3,500 7,500 178,636
13,500
25,000 10,000 17,500 44,950
7,000
85,500
40,500 5,500 51,000
11,773
30,000 35,455
30,000 161,818
30,000
40,500 5,500 51,000

250,000 1,242,500 85,000 255,750 20,500 - - - - 122,000 15,500 - 129,300 677,750 - 3,084,261 709,505 559,000

Jurnal 9,043,942
Piutang (1,518,800)
Subsidi 276,350
7,801,492
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

16,455
17,273
46,182
12,409
32,727

30,000 500 500 33,091


30,000 16,500 6,500 78,409
15,455
74,545
870,000 174,000 348,000 50,000 130,500 240,614 10,000
432,000
5,000 9,091
10,500 5,500 51,000
2,500 7,500
134,091
239,900
116,500
11,000 8,000
30,000 12,273 10,000
5,000 9,091
39,000 19,000 153,000 60,727
30,000 20,545 27,500
30,000 41,364
57,955
30,000 500 500 39,500 91,000
30,000 66,045 98,000
30,000 500 500 86,773
65,227
30,000 15,000
30,000 129,205
30,000 46,273 6,500
190,909
30,000 500 500 76,773
30,000 500 500 210,750
36,500 3,000 25,600 36,659
30,000 17,291
49,000
30,000
30,000 96,886
30,000 29,818
30,000 96,318 13,500
30,000 500 500 74,500 6,500
30,000 80,114 29,500
43,091
30,000 6,818
302,500
30,000 500 500 124,818
36,500 3,000 25,600 43,500
30,000 500 500 33,455 34,500
30,000 60,318
30,000 95,341
30,000 500 500 91,091 13,500
30,000 73,409
9,500 7,000
3,000 25,600 16,455
20,000 13,500 13,500 30,000 100,065
30,000 500 500 51,318
30,000 500 9,500 500 7,000 88,136
30,000 500 16,500 500 6,500 90,682
20,000 10,000 22,100
30,000 9,500 6,500 81,136
30,000 29,636
30,000 11,000 8,000 31,509
30,000 500 500 97,864
30,000 61,091
30,000 500 9,500 500 7,000 53,773
20,000 10,000 102,200
35,000 90,000
35,000 90,000
35,000 90,000

60,000 1,307,500 883,500 86,500 93,000 174,000 348,000 - 50,000 175,000 56,500 270,000 76,800 204,000 - 3,875,777 234,365 1,038,400

Jurnal 9,774,970
Piutang 167,700
Subsidi 207,750
10,150,420

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

30,000 6,000 12,500 446,591


30,000 9,955
48,227 52,000
13,500
20,000 25,000 10,000 77,165
7,000
195,000
27,273
21,318
30,000 6,000 12,500 54,318
30,000 11,364
30,000 141,091
30,000 6,000 12,500 446,591
27,500
66,000
87,500
9,500 7,500
99,500
28,000
9,000 8,000
20,000 10,000 16,818
5,000 67,968
8,000
9,500 6,500
2,500 7,500 66,682
30,000
30,000 60,000
30,000 500 500 53,136
30,000 4,091
30,000
60,000 27,223
20,000 10,000 17,800
7,000
17,000 7,500 55,500 34,364
8,500
11,500 3,500
11,000 8,000
30,000 77,273
39,500 4,750 41,250 40,341
30,000 83,682
20,000
80,091
30,000 60,955 22,000
30,000 100,000
30,000
11,500 3,000
84,773 52,000
21,545
45,000 35,000 51,818
45,000 35,000 70,227 12,000
30,000 83,227
53,273
60,545 52,000
37,000
9,500 6,500
30,000 12,955
30,000 3,500 7,500 13,864
20,000 10,000 74,200
36,000
30,000 95,091
30,000 58,182
45,000 35,000 6,500
36,000
80,000 5,864
30,000 104,727
36,000
36,000
36,000
67,818
72,000
36,000
30,000 227,818
30,000 95,091
36,000
81,455
30,000 59,296
36,000
30,000 114,478
36,000
36,000
30,000 15,000
30,000 118,387
36,000
36,000
58,727
36,000
72,000
67,818
72,000
30,000 500 500 75,318
25,000 10,000 17,500 44,250 73,500
72,000
36,000
30,000 36,000
81,455
30,000 90,545
58,727
72,000
36,000
30,000 67,818
30,000 81,455
68,182
72,000
45,000 150,000 10,000 35,000
30,000 9,545
5,000 45,455
30,000 3,500 7,500
45,000 20,000 50,000 35,000
5,000
45,000 35,000
30,000 3,500 7,500
45,000 35,000
36,000
30,000
36,000
30,000 88,416
30,000 114,995
20,000 13,500 7,500 101,400 27,000
30,000
30,000
30,000 131,300
30,000
30,000 32,291
30,000 2,136
30,000
30,000 50,909
30,000 50,909
5,000
30,000
(43,318)

125,000 1,981,500 195,000 126,750 62,500 - - - - 149,000 35,000 245,000 17,500 96,750 - 5,700,969 314,815 893,000

Jurnal 10,230,116
Piutang 613,965
Subsidi 142,300
10,986,381
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

33,545
30,000 43,273
30,000 17,045
30,000 2,500 5,000
5,500 500 9,091
54,818
18,545
31,182
20,000 10,000 33,900
9,500 4,500 41,500
25,000 10,000 17,500 50,400
5,000 15,000 13,727
50,000 10,250 108,250 162,500
20,000 10,000 24,400
20,000 10,000 128,750
20,000 10,000 7,500 81,450
98,909
8,500 4,750 36,750 58,364
20,000 10,000 63,400
36,077
20,000 10,000 10,000 5,000 74,480
20,000 10,000 4,650
46,000
20,000 12,500 3,000 17,828
36,000
5,500 500
30,000 3,500 7,500 13,500
11,500 3,000
56,500
36,500 3,000 25,600 54,500
2,500 7,500
2,500 7,500 12,727
17,636
30,000 500 500 105,273
30,000 101,136
30,000
30,000
30,000 75,909
30,000 19,091
30,000 162,727 10,000
30,000 25,409
30,000
30,000 64,091
30,000 500 500 17,000
30,000 23,864
30,000 500 500 74,500
30,000 32,182
30,000 500 500 37,432
30,000 500 500 110,091 13,500
19,000 9,000 98,000
30,000 500 500 45,045 22,500
30,000 168,273 82,000
30,000
30,000 65,932
30,000 44,455
30,000 62,727
30,000 77,659
11,000 8,000
20,000 12,500 5,000 72,200
20,000 10,000 2,860
30,000
30,000
30,000 42,064
30,000 35,955
30,000 89,636
30,000
30,000 65,164
30,000
30,000 79,048
30,000 32,205
30,000 50,909
30,000
35,000 90,000

225,000 1,328,500 10,000 176,500 22,500 - - - - 67,000 11,000 90,000 43,100 284,500 - 2,234,716 554,318 415,000

Jurnal 5,603,956
Piutang 223,050
Subsidi 223,600
6,050,606

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

40,773
8,955
33,636
183,727
70,000
62,364
151,818
20,000 10,000 77,600
20,000 10,000 95,500
113,636
23,409
20,000
20,000 10,000 97,950
20,000 10,000 174,200
20,000 10,000 74,800
20,000 10,000 7,500 54,000
20,000 10,000 36,250 187,000
20,000 8,500 14,500 25,000 121,465
10,000
97,636
50,205
11,500 3,000
11,500 3,000
2,500 7,500
20,000 10,000 5,550
20,000 10,000 79,500
91,500
11,500 3,000
30,000
13,500
5,000
30,000 50,455
30,000 10,909
30,000
30,000 31,364
30,000 500 500 125,227
30,000
30,000 500 500 69,727
30,000 20,227
30,000 72,364
30,000 500 500 171,545
30,000 26,455
30,000 67,364
29,545
72,000
24,205
20,000 10,000 76,850 52,000
500 500 160,232
12,500 35,000 10,000 4,773
12,500 75,000 35,000
12,500 16,818
45,000 35,000 61,364
35,000 90,000
11,000 8,000
64,500
25,455
30,000 500 500 106,545 13,500
20,000
8,000
20,000 12,500 3,000 18,000
30,000
30,000 34,000
30,000
45,000 35,000 27,273
45,000 35,000 42,955
45,000 35,000
45,000 35,000 38,864
45,000 35,000
45,000 35,000 101,591
45,000 35,000
45,000 35,000
45,000 35,000 87,273
45,000 35,000 51,136
45,000 35,000 4,091
30,000 3,500 7,500 23,864
30,000 3,500 7,500
30,000 3,500 7,500 90,000

240,000 1,202,500 118,500 147,500 45,500 - - - - 113,000 17,000 510,000 - - - 2,513,778 911,665 460,000

Jurnal 5,912,821
Piutang 422,300
Subsidi 440,700
6,775,821
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

148,068
45,000 35,000
45,000 35,000 174,545
30,000 10,000 58,955
4,091
74,000
12,500 15,000 17,000 39,227
12,500 10,000 10,000 6,591
12,500 25,000 35,000
12,500 5,000 5,000
20,000
118,545
18,636
9,500 6,500
9,500 6,500
20,000 13,500 7,500 85,200
45,091
9,500 7,500
47,000
2,500 7,500
9,091
20,000 10,000 108,400 6,500
11,773
11,000 8,000
140,000
20,000 10,000 103,950 57,000
36,500 3,000 25,600 37,727
62,295 8,000
12,500 5,000
4,091
2,045

115,459
33,864 126,500
8,500 3,750 27,750 26,409
11,500 3,000
30,000 500 500 29,273
30,000
36,500 3,000 25,600 53,591
30,000
30,000 50,909
30,000
30,000 26,364 13,000
20,000 10,000 48,800
20,000 10,000 32,680
20,000 10,000 73,200
20,000 10,500 15,500 51,000 62,700
30,000
30,000
30,000 36,723
30,000
30,000
20,000 10,000 18,900
13,500

196,500 575,500 65,000 114,250 51,000 - - - - 87,500 31,500 70,000 51,200 78,750 - 1,253,364 533,830 345,500

Jurnal 3,139,305
Piutang 169,075
Subsidi 531,850
3,840,230

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 53,400


30,000 10,000 101,750
20,000 10,000 31,250
72,675
79,500
34,300
39,600
22,800
140,000
54,100
140,000
9,200
37,200
31,000
18,070
79,500
14,000 20,000
300,000
139,500
30,000

40,000 60,000 - 44,000 - - - - - 20,000 - - - - - - 1,004,345 379,500

Jurnal 1,021,170
Piutang 249,425
Subsidi 297,250
1,567,845

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 1,500


20,000 10,000 63,200
20,000 10,000 48,000
20,000 10,000 44,350
20,000 10,000 57,250
49,500
5,000 9,545
93,545
1,818
20,000 10,000 52,250
239,545
29,000 14,500 119,000
9,500 4,750 41,250
130,500
11,500 3,000
2,500 7,500
1,455
89,500
11,773
27,000
9,500 7,500
10,909
30,000
30,000 69,091
30,000 81,136
20,000 10,500 15,500 51,000 97,409
8,500 7,500
36,500 3,000 25,600 45,455
30,000 3,682 9,000
41,818
18,364
9,500 4,750 41,250
30,000 45,455
30,000 3,500 7,500 25,568 13,500
30,000 13,500
8,500 4,750 36,750 28,909
30,000 68,636
30,000 22,500
12,500 5,000 5,000 53,636
12,500 20,000 13,500 16,818
44,751
30,000 500 500 229,409
30,000 500 500 131,432
30,000
30,000 500 500 18,409
30,000 500 500 171,273
30,000 102,955
30,000 500 500 36,909
30,000 500 500 7,000
30,000 80,545
30,000 500 500 27,409
30,000 94,318
30,000 109,773
30,000 500 500 17,045 18,500
30,000 13,500
13,500
64,500
31,500
1,818
9,500 4,750 41,250
9,500 6,500
20,000 10,000 75,900 13,500
20,000 10,000 70,450
20,000 10,000 42,150
24,455
226,160
12,500 10,000 10,000

20,000 13,500 7,500 72,400


26,000
220,000 840,500 35,000 179,000 30,500 - - - - 62,500 17,000 - 25,600 330,500 - 2,288,229 527,450 536,000

Jurnal 5,151,302
Piutang 115,300
Subsidi 323,500
5,590,102

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

13,818
1,818
2,500 7,500 25,364
42,682
12,500 20,000 13,500 6,364
20,000 10,000 133,400
20,000 10,000 5,000

20,000 10,000 71,450


15,909
30,000 4,500 10,000 54,455
55,000 15,000 76,000 89,909
30,000 77,000
8,000
25,000 10,000 17,500 67,850
20,000 8,500 10,000 22,500 154,680
30,000 6,000 12,500
20,000 10,000 63,400
30,000 3,500 7,500 26,591
30,000 13,182
30,000 153,409
30,000 7,000 14,500 320,455
30,000 3,500 7,500 158,182
45,000 27,000 239,000 183,273
30,000
30,000 3,500 7,500 267,955
30,000
26,409
8,818
30,000 128,432
30,000 30,000
30,000 86,636
42,909
2,500 7,500 16,182
23,182
2,500 7,500
35,500
50,500
11,500 3,500
500 500 68,091
30,000 27,500
30,000 25,909 6,500
30,000 4,091
30,000 56,932
8,500 4,750 36,750 22,500 38,636
30,000
30,000 32,364
30,000 500 500 27,091 34,500
12,000
9,500 4,750 41,250
30,000 74,545
20,000 10,000 19,800
30,000 48,182 13,500
30,000 13,500
20,000 14,500 10,000 39,300
30,000 37,500
30,000 8,673
30,000 126,545 48,500
56,818
25,000 10,000 20,000 72,000 17,500 174,850
30,000 164,182
46,500
10,500 5,500 67,000
30,682
57,000
30,000 80,000
35,000 90,000

190,000 1,046,000 28,500 188,000 11,500 - - 20,000 72,000 132,500 - 170,000 35,000 460,000 22,500 2,613,173 729,730 353,500

Jurnal 6,278,070
Piutang 123,550
Subsidi 228,600
6,630,220
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

30,000 3,500 7,500 137,273


20,000 10,000 69,500
122,318
30,000
45,000 35,000
30,000 51,955
30,000 13,864
30,000 43,182
79,500
79,500
79,500
79,500
79,500
79,500
79,500
79,500
79,500
79,500
79,500
79,500
49,500
98,000
8,500 3,750 27,750
(31,545)
20,000 10,000 46,700
20,000 10,000 46,000
40,000 20,000 78,350
45,000 35,000 136,364
22,136
27,500
58,636
30,000 42,400
5,000 27,273
62,364

(10,000)
30,000 23,636
30,000 3,500 7,500 54,318
30,000 6,000 12,500 54,318
30,000 3,500 7,500 54,318
30,000 6,000 12,500 50,227
26,364
20,000 10,000 30,700
20,000 10,000 83,500
20,000 10,000 64,500
20,000 10,000 20,000 1,720,000 4,250
30,364
9,500 6,500
20,000
90,000
11,500 3,000
39,500 4,750 41,250 420,500
121,500
79,500
91,500
20,000 10,000 130,150
11,000 8,000
25,500 11,250 83,250 22,455
9,500 7,500
30,455
30,000 500 500 34,091
30,000 36,136
2,500 7,500 13,182

30,000 64,091
30,000 54,091
30,000 160,227 27,000
30,000 50,000
30,000 70,227 6,500
30,000 47,045
30,000 500 500 155,727
57,727 52,000
11,000 8,000
30,000 500 500 143,864
30,000 6,045
30,000 77,045 13,500
30,000 73,500
30,000 13,500
500 500 79,455
34,645
35,500
30,000 45,045 13,500
9,500 7,000
30,000 71,364
30,000 23,864
9,500 4,750 41,250
30,000 500 500 143,295
78,000
9,500 6,500
30,000 500 500 113,364 13,500
30,000 54,136 13,500
30,000 22,500
30,000 67,818
30,000 72,000
30,000 72,000
30,000 36,000
72,000
20,000 10,000 38,900
72,000
30,000 12,955
36,000
36,000
156,000
72,000
36,000
36,000
30,000 65,364
30,000 3,500 7,500 36,364
45,000 35,000 36,364
36,000
45,000 35,000 135,455
36,000
30,000 3,500 7,500 6,091
67,818
41,455
103,818
36,000
30,000 36,000
36,000
36,000
30,000 36,000
36,000
36,000
30,000 36,000
36,000
36,000
5,000
45,000 35,000
45,000 35,000
45,000 175,000 35,000
87,182
67,818
30,000
37,500
36,000
30,000 67,818
30,000 75,091
36,000
103,818
36,000
30,000 45,455
20,000 10,000 2,000
72,000
12,000
66,136
30,000 67,636
20,000 10,000 7,500 31,500
41,982
36,000
30,000 38,409
36,000
36,000
30,000 6,000 10,000 85,455
58,636
30,000 4,091
30,000 54,094
30,000 4,091
30,000 43,677
30,000
30,000 7,000 14,500
30,000 30,000 2,568
30,000 2,500 5,000 2,909
30,000 3,500 7,500
36,000
36,000
36,000
67,818
67,818
88,818
30,000 236,455
30,000 136,000
30,000 72,000
30,000 72,000
30,000 72,000
30,000 60,545
27,273
134,091
260,000 2,348,000 205,000 218,500 71,500 - - 20,000 1,720,000 117,500 46,500 245,000 - 193,500 - 6,847,526 626,050 2,123,000

Jurnal 14,184,738
Piutang 836,950
Subsidi 1,265,640
16,287,328

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

8,500 4,750 36,750


8,500 4,750 36,750
8,500 4,750 36,750
8,500 4,750 36,750
8,500 4,750 36,750
8,500 4,750 36,750
8,500 4,750 36,750
8,500 4,750 36,750
8,500 4,750 36,750
8,500 4,750 36,750
8,500 4,750 36,750 79,500
8,500 4,750 36,750 79,500
8,500 4,750 36,750 79,500
8,500 4,750 36,750 79,500
8,500 4,750 36,750 79,500
8,500 4,750 36,750 79,500
8,500 4,750 36,750 44,500
8,500 4,750 36,750 44,500
91,500
66,818
20,000 10,000 48,575
20,000 10,000 42,227 13,000
6,500
37,000
11,500 3,000
20,000 10,000 170,600
1,091
20,000 10,000 67,900
7,955
20,000 10,000 108,400
24,455

11,500 3,000
20,000 10,000 46,700
30,000
30,000 13,500
11,500 3,500
27,000
500 500 67,682
32,500 19,500 159,500 132,991
30,000 500 500 115,182
30,000
11,000 8,000 22,000
56,636
93,227
30,000 51,136
30,000 500 500 119,636 13,500
30,000 500 500 24,500
15,500
36,991
30,000 71,182
30,000 144,364 82,000
30,000 118,809
30,000 15,000
500 500 23,773
30,000
30,000
30,000 111,023
30,000 71,750
36,500 3,000 25,600 109,091
30,000 60,000
7,000
35,000 90,000
20,000 20,000 10,000 36,000 59,710
35,000 90,000 31,500
30,000 24,773
63,182
30,000 20,000
30,000
30,000 4,500 10,000 80,682
20,000 7,000 10,000 5,000 166,140
20,000 10,000 197,500
20,000 10,000 81,250

200,000 892,000 27,000 215,000 45,500 - - - - 53,500 17,500 180,000 25,600 821,000 - 1,769,655 946,775 910,500
Jurnal 4,284,920
Piutang 1,064,313
Subsidi 1,159,262
6,508,495
PMI Lain-Lain
Js Rever 1
Pendp(V) Visite

54,500 54,500 -
10,000 10,000 -
15,000 15,000 -
56,125 56,125 -
41,700 41,700 -
11,500 11,500 -
120,350 120,350 -
16,650 16,650 -
78,500 78,500 -
53,500 53,500 -
16,500 16,500 -
34,000 34,000 -
141,850 141,850 -
53,750 53,750 -
144,000 144,000 -
66,500 66,500 -
10,000 10,000 -
19,500 19,500 -
5,750 5,750 -
39,500 39,500 -
79,500 79,500 -
2,900 2,900 -
152,100 152,100 -
18,000 18,000 -
38,500 38,500 -
149,000 149,000 -
73,600 73,600 -
28,500 28,500 -
99,100 99,100 -
147,400 147,400 -
258,750 258,750 -
34,000 34,000 -
25,000 25,000 -
328,400 328,400 -
129,350 129,350 -
15,000 15,000 -
340,200 340,200 -
101,750 101,750 -
110,500 110,500 -
115,750 115,750 -
129,250 129,250 -
125,980 125,980 -
67,000 67,000 -
77,750 77,750 -
90,250 90,250 -
45,140 45,140 -
127,500 127,500 -
75,150 75,150 -
225,160 225,160 -
127,500 127,500 -
127,500 127,500 -
125,700 125,700 -
- - -
- - 4,580,355 4,580,355 3,687,855 892,500 4,580,355
4,580,355
Total
Pendapatan

4,580,355
-

PMI Lain-Lain
Js Rever 1

234,000 234,000 -
73,000 73,000 -
197,250 197,250 -
62,500 62,500 -
22,500 22,500 -
6,000 6,000 -
30,650 30,650 -
76,250 76,250 -
86,500 86,500 -
220,960 220,960 -
52,000 52,000 -
58,500 58,500 -
83,720 83,720 -
103,900 103,900 -
115,000 115,000 -
38,650 38,650 -
140,682 140,682 -
214,000 214,000 -
104,000 104,000 -
13,500 13,500 -
18,000 18,000 -
13,000 13,000 -
13,500 13,500 -
34,000 34,000 -
90,200 90,200 -
58,000 58,000 -
66,450 66,450 -
18,000 18,000 -
26,250 26,250 -
10,000 10,000 -
98,500 98,500 -
98,500 98,500 -
59,000 59,000 -
53,800 53,800 -
147,825 147,825 -
116,500 116,500 -
157,400 157,400 -
115,100 115,100 -
61,500 61,500 -
(51,300) - 51,300
60,600 60,600 -
145,850 145,850 -
206,000 206,000 -
171,500 171,500 -
77,950 77,950 -
178,000 178,000 -
145,500 145,500 -
34,000 34,000 -
72,800 72,800 -
81,050 81,050 -
91,100 91,100 -
159,975 159,975 -
34,000 34,000 -
38,500 38,500 -
64,000 64,000 -
162,600 162,600 -
34,000 34,000 -
175,800 175,800 -
89,000 89,000 -
71,500 71,500 -
209,590 209,590 -
183,000 183,000 -
150,500 150,500 -
18,500 18,500 -
16,750 16,750 -
161,100 161,100 -
191,950 191,950 -
73,600 73,600 -
113,200 113,200 -
278,826 278,826 -
195,750 195,750 -
39,600 39,600 -
39,600 39,600 -
147,750 147,750 -
103,626 103,626 -
39,600 39,600 -
39,600 39,600 -
108,600 108,600 -
105,100 105,100 -
60,000 60,000 -
39,600 39,600 -
79,200 79,200 -
108,600 108,600 -
108,600 108,600 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
165,700 165,700 -
108,600 108,600 -
126,100 126,100 -
39,600 39,600 -
254,000 254,000 -
94,440 94,440 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
122,500 122,500 -
34,000 34,000 -
34,000 34,000 -
84,000 84,000 -
97,500 97,500 -
84,000 84,000 -
84,000 84,000 -
39,600 39,600 -
110,600 110,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
118,150 118,150 -
39,600 39,600 -
79,200 79,200 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
111,750 111,750 -
39,600 39,600 -
3,000 3,000 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
73,600 73,600 -
404,000 404,000 -
125,500 125,500 -
70,300 70,300 -
39,600 39,600 -
74,600 74,600 -
267,150 267,150 -
113,440 113,440 -
100,515 100,515 -
136,550 136,550 -
90,000 90,000 -
34,000 34,000 -
123,840 123,840 -
34,000 34,000 -
66,000 66,000 -
34,000 34,000 -
39,530 39,530 -
91,550 91,550 -
34,000 34,000 -
34,000 34,000 -
137,500 137,500 -
34,000 34,000 -
113,062 113,062 -
39,600 39,600 -
292,250 292,250 -
158,250 158,250 -
34,000 34,000 -
105,000 105,000 -
36,000 36,000 -
74,600 74,600 -
- - -
- - 13,866,531 13,866,531 10,893,031 2,973,500 13,866,531
13,866,531
Total
Pendapatan

13,866,531
0

PMI Lain-Lain
Js Rever 1

70,200 70,200 -
140,750 140,750 -
112,600 112,600 -
34,000 34,000 -
73,500 73,500 -
19,850 64,850 45,000
6,700 6,700 -
19,000 60,000 41,000
- 67,000 67,000
56,825 56,825 -
52,150 52,150 -
160,250 160,250 -
123,075 123,075 -
850 850 -
39,600 39,600 -
99,280 99,280 -
533,500 533,500 -
250,000 3,115,600 3,115,600 -
50,000 50,000 -
42,100 42,100 -
39,600 39,600 -
13,500 13,500 -
62,000 62,000 -
60,000 60,000 -
58,000 58,000 -
13,500 13,500 -
82,500 82,500 -
53,000 53,000 -
15,500 15,500 -
102,500 102,500 -
162,800 162,800 -
50,500 50,500 -
97,250 97,250 -
27,500 27,500 -
138,100 138,100 -
50,500 50,500 -
192,950 192,950 -
154,000 154,000 -
(116,500) - 116,500
97,000 97,000 -
1,000 1,000 -
80,325 80,325 -
173,525 173,525 -
113,250 113,250 -
18,000 18,000 -
122,300 122,300 -
58,000 58,000 -
155,195 155,195 -
108,950 108,950 -
89,650 89,650 -
62,050 62,050 -
155,500 155,500 -
154,250 154,250 -
149,945 149,945 -
85,500 85,500 -
58,500 58,500 -
16,500 16,500 -
70,500 70,500 -
5,260 5,260 -
127,500 127,500 -
98,000 98,000 -
564,000 564,000 -
198,500 198,500 -
127,500 127,500 -
90,000 90,000 -
76,500 76,500 -
184,380 184,380 -
113,140 113,140 -
64,000 64,000 -
92,900 92,900 -
6,000 6,000 -
- 186,800 186,800
58,000 58,000 -
34,000 34,000 -
- - -
- 250,000 9,616,650 9,616,650 8,393,650 1,223,000 9,616,650
9,616,650
Total
Pendapatan

9,616,650
-

PMI Lain-Lain
Js Rever 1

34,000 34,000 -
69,950 69,950 -
128,050 128,050 -
62,600 62,600 -
60,100 60,100 -
71,250 71,250 -
3,800 3,800 -
68,850 68,850 -
162,750 162,750 -
67,300 67,300 -
- 5,300 5,300
63,700 63,700 -
6,000 6,000 -
13,000 13,000 -
81,050 81,050 -
134,250 134,250 -
13,500 13,500 -
8,950 8,950 -
35,500 35,500 -
18,000 18,000 -
111,500 111,500 -
50,500 50,500 -
19,500 19,500 -
10,000 10,000 -
84,600 84,600 -
138,350 138,350 -
25,000 25,000 -
49,400 49,400 -
36,690 36,690 -
18,000 18,000 -
34,000 34,000 -
178,235 178,235 -
41,000 41,000 -
97,750 97,750 -
94,750 94,750 -
204,250 204,250 -
157,500 157,500 -
31,500 31,500 -
9,000 9,000 -
156,750 156,750 -
52,800 52,800 -
34,000 34,000 -
144,000 144,000 -
209,250 209,250 -
84,000 84,000 -
84,000 84,000 -
196,500 196,500 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
178,500 178,500 -
23,000 23,000 -
31,500 31,500 -
16,500 16,500 -
98,500 98,500 -
10,000 10,000 -
178,915 178,915 -
89,000 89,000 -
45,500 45,500 -
117,600 117,600 -
199,000 199,000 -
143,000 143,000 -
183,000 183,000 -
84,695 84,695 -
209,250 209,250 -
43,750 43,750 -
116,200 116,200 -
128,275 128,275 -
84,825 84,825 -
47,500 47,500 -
49,900 49,900 -
84,550 84,550 -
55,000 55,000 -
95,750 95,750 -
59,950 59,950 -
101,875 101,875 -
105,400 105,400 -
34,000 34,000 -
5,000 5,000 -
87,575 87,575 -
77,200 77,200 -
137,175 137,175 -
201,950 201,950 -
50,700 50,700 -
29,000 29,000 -
75,300 75,300 -
132,500 132,500 -
16,500 16,500 -
113,400 113,400 -
167,100 167,100 -
- - -
- - 7,415,760 7,415,760 5,708,760 1,707,000 7,415,760
7,415,760
Total
Pendapatan

7,415,760
-

PMI Lain-Lain
Js Rever 1

6,600 6,600 -
37,500 37,500 -
128,650 128,650 -
98,700 98,700 -
64,650 64,650 -
148,300 148,300 -
81,000 81,000 -
103,350 103,350 -
17,000 17,000 -
17,550 17,550 -
41,500 41,500 -
72,300 72,300 -
34,000 34,000 -
70,500 70,500 -
93,900 93,900 -
34,000 34,000 -
72,500 72,500 -
89,300 89,300 -
96,775 96,775 -
93,200 93,200 -
89,800 89,800 -
48,000 48,000 -
13,500 13,500 -
143,200 143,200 -
127,150 127,150 -
442,600 442,600 -
47,050 47,050 -
13,500 13,500 -
68,500 68,500 -
132,800 132,800 -
200,530 200,530 -
35,000 35,000 -
13,250 13,250 -
15,250 15,250 -
12,950 12,950 -
13,500 13,500 -
- 167,100 167,100
155,500 155,500 -
268,300 268,300 -
95,200 95,200 -
- - -
- - 3,336,855 3,336,855 2,689,355 647,500 3,336,855
3,336,855
Total
Pendapatan

3,336,855
-

PMI Lain-Lain
Js Rever 1

78,800 78,800 -
9,500 9,500 -
6,500 6,500 -
4,700 4,700 -
34,300 34,300 -
55,700 55,700 -
214,950 214,950 -
81,100 81,100 -
144,600 144,600 -
175,900 175,900 -
3,000 3,000 -
7,250 7,250 -
8,000 8,000 -
3,400 3,400 -
- 34,000 34,000
19,400 19,400 -
34,000 34,000 -
7,180 7,180 -
10,000 10,000 -
247,600 247,600 -
22,500 22,500 -
56,175 56,175 -
39,900 39,900 -
14,525 14,525 -
35,500 35,500 -
18,100 18,100 -
200,800 200,800 -
135,250 135,250 -
47,500 47,500 -
83,500 83,500 -
- - -
- - 1,799,630 1,799,630 1,544,130 255,500 1,799,630
1,799,630
Total
Pendapatan

1,799,630
-

PMI Lain-Lain
Js Rever 1

79,225 79,225 -
135,900 135,900 -
- 2,900 2,900
34,300 34,300 -
53,600 53,600 -
38,750 38,750 -
- 22,800 22,800
15,000 15,000 -
255,600 255,600 -
67,000 67,000 -
65,600 65,600 -
94,050 94,050 -
141,000 141,000 -
104,450 104,450 -
80,000 80,000 -
16,500 16,500 -
13,000 13,000 -
18,000 18,000 -
58,000 58,000 -
50,500 50,500 -
50,000 50,000 -
91,600 91,600 -
90,000 90,000 -
74,800 74,800 -
6,500 6,500 -
171,250 171,250 -
78,500 78,500 -
97,750 97,750 -
79,000 79,000 -
20,000 20,000 -
46,940 46,940 -
77,425 77,425 -
50,000 50,000 -
21,000 21,000 -
50,500 50,500 -
13,500 13,500 -
13,500 13,500 -
147,300 147,300 -
10,000 10,000 -
10,000 10,000 -
71,800 71,800 -
75,800 75,800 -
18,500 18,500 -
19,000 19,000 -
50,500 50,500 -
168,522 168,522 -
89,400 89,400 -
165,650 165,650 -
20,000 20,000 -
161,750 161,750 -
76,800 76,800 -
84,000 84,000 -
117,900 117,900 -
94,500 94,500 -
34,000 34,000 -
99,350 99,350 -
81,220 81,220 -
34,000 34,000 -
13,500 13,500 -
337,500 337,500 -
34,000 34,000 -
47,200 47,200 -
134,400 134,400 -
156,300 156,300 -
34,000 34,000 -
159,850 159,850 -
34,000 34,000 -
123,970 123,970 -
34,000 34,000 -
34,000 34,000 -
62,975 62,975 -
220,100 220,100 -
168,000 168,000 -
75,600 75,600 -
136,100 136,100 -
141,775 141,775 -
63,000 63,000 -
139,875 139,875 -
17,000 17,000 -
6,750 6,750 -
60,500 60,500 -
13,500 13,500 -
7,000 7,000 -
68,750 68,750 -
26,400 26,400 -
-
- - 6,332,777 6,332,777 5,315,777 1,017,000 6,332,777
6,332,777
Total
Pendapatan

6,332,777
-
PMI Lain-Lain
Js Rever 1

316,200 316,200 -
25,450 25,450 -
2,000 2,000 -
24,800 24,800 -
1,400 1,400 -
10,400 10,400 -
100,950 100,950 -
124,200 124,200 -
59,925 59,925 -
15,500 15,500 -
130,000 130,000 -
86,250 86,250 -
85,300 85,300 -
106,350 106,350 -
141,000 141,000 -
117,000 117,000 -
39,000 39,000 -
6,500 6,500 -
69,000 69,000 -
58,000 58,000 -
46,000 46,000 -
47,500 47,500 -
39,500 39,500 -
6,500 6,500 -
13,500 13,500 -
13,000 13,000 -
59,000 59,000 -
170,950 170,950 -
18,000 18,000 -
39,000 39,000 -
18,000 18,000 -
321,300 321,300 -
40,000 40,000 -
100,500 100,500 -
104,750 104,750 -
160,600 160,600 -
135,000 135,000 -
203,250 203,250 -
47,500 47,500 -
221,000 221,000 -
134,500 134,500 -
55,000 55,000 -
21,000 21,000 -
40,950 40,950 -
34,000 34,000 -
104,800 104,800 -
94,000 94,000 -
114,500 114,500 -
154,000 154,000 -
77,000 77,000 -
37,100 37,100 -
52,000 52,000 -
57,625 57,625 -
49,750 49,750 -
74,450 74,450 -
84,200 84,200 -
110,000 110,000 -
163,282 163,282 -
47,500 47,500 -
111,900 111,900 -
102,300 102,300 -
110,000 110,000 -
213,700 213,700 -
61,250 61,250 -
93,300 93,300 -
95,200 95,200 -
373,625 373,625 -
222,570 222,570 -
343,050 343,050 -
121,310 121,310 -
18,500 18,500 -
127,500 127,500 -
127,500 127,500 -
6,500 6,500 -
110,000 110,000 -
- - -
- - 7,067,937 7,067,937 5,578,437 1,489,500 7,067,937
7,067,937
Total
Pendapatan

7,067,937
-
PMI Lain-Lain
Js Rever 1

168,350 168,350 -
259,800 259,800 -
43,050 43,050 -
111,100 111,100 -
63,100 63,100 -
58,450 58,450 -
76,700 76,700 -
34,000 34,000 -
16,000 16,000 -
- 38,500 38,500
155,880 155,880 -
58,000 58,000 -
18,000 18,000 -
93,200 93,200 -
27,000 27,000 -
18,500 18,500 -
39,500 39,500 -
211,165 211,165 -
93,850 93,850 -
81,000 81,000 -
142,000 142,000 -
103,000 103,000 -
21,000 21,000 -
18,000 18,000 -
50,500 50,500 -
37,750 37,750 -
39,500 39,500 -
17,000 17,000 -
96,000 96,000 -
69,750 69,750 -
47,500 47,500 -
10,000 10,000 -
34,000 34,000 -
24,000 24,000 -
24,000 24,000 -
24,000 24,000 -
24,000 24,000 -
24,000 24,000 -
80,000 80,000 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
123,600 123,600 -
158,600 158,600 -
39,600 39,600 -
152,200 152,200 -
39,600 39,600 -
79,200 79,200 -
100,700 100,700 -
177,500 177,500 -
73,000 73,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
49,000 49,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
26,000 26,000 -
140,175 140,175 -
171,500 171,500 -
153,700 153,700 -
178,375 178,375 -
138,500 138,500 -
16,800 16,800 -
67,000 67,000 -
186,250 186,250 -
125,100 125,100 -
153,895 153,895 -
52,200 52,200 -
113,875 113,875 -
113,350 113,350 -
16,500 16,500 -
26,000 26,000 -
26,000 26,000 -
126,750 126,750 -
79,500 79,500 -
100,850 100,850 -
39,600 39,600 -
39,600 39,600 -
166,500 166,500 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
85,500 85,500 -
126,750 126,750 -
193,750 193,750 -
39,600 39,600 -
176,350 176,350 -
42,750 42,750 -
39,600 39,600 -
62,500 62,500 -
65,000 65,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
171,100 171,100 -
108,600 108,600 -
39,600 39,600 -
162,100 162,100 -
129,000 129,000 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
114,200 114,200 -
125,250 125,250 -
39,600 39,600 -
81,600 81,600 -
79,200 79,200 -
39,600 39,600 -
149,200 149,200 -
89,500 89,500 -
87,750 87,750 -
322,350 322,350 -
39,600 39,600 -
103,100 103,100 -
112,750 112,750 -
39,600 39,600 -
123,000 123,000 -
55,500 55,500 -
39,600 39,600 -
211,050 211,050 -
100,000 100,000 -
47,000 47,000 -
195,750 195,750 -
101,500 101,500 -
108,600 108,600 -
148,600 148,600 -
39,600 39,600 -
115,000 115,000 -
84,000 84,000 -
39,600 39,600 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
138,000 138,000 -
39,600 39,600 -
50,000 50,000 -
109,000 109,000 -
79,200 79,200 -
67,550 67,550 -
39,600 39,600 -
173,300 173,300 -
74,600 74,600 -
84,540 84,540 -
428,750 428,750 -
126,280 126,280 -
122,850 122,850 -
56,290 56,290 -
75,290 75,290 -
56,500 56,500 -
94,000 94,000 -
84,000 84,000 -
144,000 144,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
26,000 26,000 -
36,000 36,000 -
98,300 98,300 -
38,500 38,500 -
34,000 34,000 -
92,000 92,000 -
38,500 38,500 -
36,000 36,000 -
36,000 36,000 -
34,000 34,000 -
34,000 34,000 -
36,000 36,000 -
92,000 92,000 -
34,000 34,000 -
- 38,750 38,750
145,000 145,000 -
4,550 4,550 -
34,000 34,000 -
3,000 3,000 -
- - -
- - 14,841,665 14,841,665 11,662,665 3,179,000 14,841,665
14,841,665 (0)
Total
Pendapatan

14,841,665
-

PMI Lain-Lain
Js Rever 1

49,900 49,900 -
402,000 402,000 -
137,000 137,000 -
39,600 39,600 -
2,500 2,500 -
228,025 228,025 -
62,500 62,500 -
11,000 11,000 -
146,750 146,750 -
34,000 34,000 -
18,500 18,500 -
90,995 90,995 -
26,000 26,000 -
64,500 64,500 -
150,550 150,550 -
- 23,300 23,300
117,050 117,050 -
52,500 52,500 -
66,200 66,200 -
21,000 21,000 -
293,600 293,600 -
89,700 89,700 -
18,000 18,000 -
34,000 34,000 -
98,500 98,500 -
59,150 59,150 -
122,800 122,800 -
58,500 58,500 -
101,100 101,100 -
21,000 21,000 -
81,550 81,550 -
94,150 94,150 -
27,000 27,000 -
51,500 51,500 -
49,150 49,150 -
75,000 75,000 -
93,700 93,700 -
138,900 138,900 -
146,000 146,000 -
114,300 114,300 -
18,500 18,500 -
34,000 34,000 -
275,000 275,000 -
76,500 76,500 -
76,500 76,500 -
94,700 94,700 -
19,000 19,000 -
89,450 89,450 -
219,900 219,900 -
78,900 78,900 -
113,500 113,500 -
39,250 39,250 -
69,500 69,500 -
19,000 19,000 -
59,000 59,000 -
25,500 25,500 -
51,500 51,500 -
46,500 46,500 -
228,500 228,500 -
127,500 127,500 -
115,250 115,250 -
69,500 69,500 -
130,600 130,600 -
14,500 14,500 -
69,300 69,300 -
51,450 51,450 -
115,450 115,450 -
106,440 106,440 -
128,350 128,350 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
- - -
- - 6,221,210 6,221,210 5,193,210 1,028,000 6,221,210
6,221,210
Total
Pendapatan

6,221,210 3,650,210
-

PMI Lain-Lain
Js Rever 1

276,600 276,600 -
11,250 11,250 -
33,000 33,000 -
35,500 35,500 -
15,500 15,500 -
66,500 66,500 -
203,300 203,300 -
19,000 19,000 -
19,500 19,500 -
93,050 93,050 -
12,600 12,600 -
11,850 11,850 -
87,900 87,900 -
151,650 151,650 -
130,800 130,800 -
144,350 144,350 -
16,000 16,000 -
21,000 21,000 -
52,500 52,500 -
18,750 18,750 -
190,000 190,000 -
21,000 21,000 -
18,000 18,000 -
50,000 50,000 -
82,000 82,000 -
30,000 30,000 -
51,750 51,750 -
98,500 98,500 -
43,000 43,000 -
90,900 90,900 -
205,800 205,800 -
69,500 69,500 -
6,000 6,000 -
36,000 36,000 -
82,250 82,250 -
52,300 52,300 -
43,000 43,000 -
34,000 34,000 -
- 39,600 39,600
27,500 27,500 -
34,000 34,000 -
35,500 35,500 -
38,500 38,500 -
77,700 77,700 -
85,000 85,000 -
25,500 25,500 -
25,500 25,500 -
25,000 25,000 -
127,500 127,500 -
- - -
- - 3,126,300 3,126,300 2,544,800 581,500 3,126,300
3,126,300
Total
Pendapatan

3,126,300
-

PMI Lain-Lain
Js Rever 1

58,825 58,825 -
39,300 39,300 -
35,000 35,000 -
30,650 30,650 -
63,500 63,500 -
34,300 34,300 -
49,000 49,000 -
41,000 41,000 -
41,400 41,400 -
88,400 88,400 -
361,700 361,700 -
96,500 96,500 -
6,000 6,000 -
95,800 95,800 -
13,500 13,500 -
91,550 91,550 -
95,400 95,400 -
600,775 600,775 -
14,500 14,500 -
69,000 69,000 -
81,650 81,650 -
48,500 48,500 -
277,750 277,750 -
59,500 59,500 -
34,000 34,000 -
85,950 85,950 -
21,000 21,000 -
58,000 58,000 -
13,000 13,000 -
21,000 21,000 -
26,000 26,000 -
47,850 47,850 -
20,000 20,000 -
91,500 91,500 -
86,950 86,950 -
34,000 34,000 -
153,000 153,000 -
15,500 15,500 -
112,500 112,500 -
50,500 50,500 -
202,530 202,530 -
62,750 62,750 -
34,000 34,000 -
92,150 92,150 -
78,700 78,700 -
169,750 169,750 -
106,000 106,000 -
44,550 44,550 -
73,450 73,450 -
81,350 81,350 -
239,950 239,950 -
18,000 18,000 -
92,500 92,500 -
- 12,600 12,600
113,450 113,450 -
55,200 55,200 -
115,000 115,000 -
58,000 58,000 -
78,400 78,400 -
131,400 131,400 -
34,000 34,000 -
17,000 17,000 -
39,600 39,600 -
47,000 47,000 -
25,000 25,000 -
19,500 19,500 -
87,000 87,000 -
157,900 157,900 -
104,900 104,900 -
43,350 43,350 -
81,350 81,350 -
96,100 96,100 -
- - -
- - 5,864,080 5,864,080 4,526,580 1,337,500 5,864,080
5,864,080
Total
Pendapatan

5,864,080
-

PMI Lain-Lain
Js Rever 1

74,000 74,000 -
81,650 81,650 -
80,000 80,000 -
96,000 96,000 -
110,400 110,400 -
120,750 120,750 -
11,500 11,500 -
58,000 58,000 -
612,825 612,825 -
93,900 93,900 -
8,000 8,000 -
57,950 57,950 -
267,000 267,000 -
72,500 72,500 -
68,300 68,300 -
34,000 34,000 -
53,800 53,800 -
3,000 3,000 -
108,300 108,300 -
25,000 25,000 -
162,650 162,650 -
35,500 35,500 -
72,800 72,800 -
180,320 180,320 -
33,000 33,000 -
- - -
- - 2,521,145 2,521,145 1,811,645 709,500 2,521,145
2,521,145
Total
Pendapatan

2,521,145
-

PMI Lain-Lain
Js Rever 1

78,000 78,000 -
1,150 1,150 -
41,900 41,900 -
(36,750) - 36,750
154,150 154,150 -
82,425 82,425 -
160,400 160,400 -
34,000 34,000 -
124,050 124,050 -
91,500 91,500 -
90,000 90,000 -
126,400 126,400 -
9,500 44,100 34,600
16,500 16,500 -
52,900 52,900 -
52,900 52,900 -
164,700 164,700 -
75,400 75,400 -
13,150 13,150 -
112,550 112,550 -
1,500 1,500 -
98,000 98,000 -
58,000 58,000 -
16,500 16,500 -
10,000 10,000 -
13,500 13,500 -
84,125 84,125 -
105,000 105,000 -
29,700 29,700 -
72,650 72,650 -
21,000 21,000 -
140,050 140,050 -
128,750 128,750 -
15,500 15,500 -
15,500 15,500 -
21,000 21,000 -
13,000 13,000 -
(245,700) - 245,700
188,000 188,000 -
95,600 95,600 -
22,450 22,450 -
18,500 18,500 -
18,000 18,000 -
34,000 34,000 -
151,000 151,000 -
105,250 105,250 -
49,000 49,000 -
19,500 19,500 -
152,700 152,700 -
92,000 92,000 -
47,500 47,500 -
38,500 38,500 -
34,000 34,000 -
71,900 71,900 -
96,250 96,250 -
42,410 42,410 -
270,600 270,600 -
199,650 199,650 -
160,450 160,450 -
205,950 205,950 -
130,200 130,200 -
127,650 127,650 -
81,750 81,750 -
97,750 97,750 -
34,000 34,000 -
83,900 83,900 -
26,000 26,000 -
43,500 43,500 -
42,172 42,172 -
139,525 139,525 -
220,300 220,300 -
34,500 34,500 -
104,500 104,500 -
93,800 93,800 -
52,500 52,500 -
254,000 254,000 -
89,700 89,700 -
61,000 61,000 -
101,250 101,250 -
81,750 81,750 -
82,500 82,500 -
7,300 7,300 -
70,750 70,750 -
32,400 32,400 -
- - -
- - 6,248,807 6,248,807 4,865,807 1,383,000 6,248,807
6,248,807
Total
Pendapatan

6,248,807
0

PMI Lain-Lain
Js Rever 1

245,925 245,925 -
562,300 562,300 -
23,950 23,950 -
493,000 493,000 -
14,150 14,150 -
19,500 19,500 -
57,700 57,700 -
687,600 687,600 -
57,000 57,000 -
13,000 13,000 -
13,500 13,500 -
6,600 6,600 -
112,900 112,900 -
52,000 52,000 -
115,000 115,000 -
73,500 73,500 -
31,500 31,500 -
107,050 107,050 -
58,000 58,000 -
106,500 106,500 -
108,500 108,500 -
136,300 136,300 -
201,950 201,950 -
21,000 21,000 -
57,000 57,000 -
102,550 102,550 -
74,000 74,000 -
54,050 54,050 -
108,100 108,100 -
96,500 96,500 -
160,825 160,825 -
56,650 56,650 -
168,375 168,375 -
227,250 227,250 -
75,250 75,250 -
127,000 127,000 -
81,300 81,300 -
25,000 25,000 -
138,500 138,500 -
76,100 76,100 -
92,800 92,800 -
49,350 49,350 -
344,900 344,900 -
93,550 93,550 -
47,500 47,500 -
83,500 83,500 -
18,500 18,500 -
250,800 250,800 -
109,100 109,100 -
129,700 129,700 -
82,000 82,000 -
125,850 125,850 -
104,700 104,700 -
1,500 1,500 -
81,750 81,750 -
250,925 250,925 -
34,000 34,000 -
98,000 98,000 -
103,650 103,650 -
122,450 122,450 -
21,000 21,000 -
18,000 18,000 -
13,500 13,500 -
41,800 41,800 -
10,000 10,000 -
309,400 309,400 -
83,100 83,100 -
127,500 127,500 -
- 74,500 74,500
- 1,500,000 1,500,000
- - -
- - 7,795,700 7,795,700 6,746,700 1,049,000 7,795,700
7,795,700
Total
Pendapatan

7,795,700
-

PMI Lain-Lain
Js Rever 1

62,400 62,400 -
20,000 20,000 -
13,500 13,500 -
4,165 4,165 -
112,250 112,250 -
89,250 89,250 -
139,100 139,100 -
140,500 140,500 -
64,500 64,500 -
21,000 21,000 -
68,050 68,050 -
97,700 97,700 -
10,000 10,000 -
10,000 10,000 -
10,000 10,000 -
18,000 18,000 -
19,000 19,000 -
18,000 18,000 -
56,550 56,550 -
58,000 58,000 -
13,000 13,000 -
77,900 77,900 -
50,050 50,050 -
109,550 109,550 -
58,000 58,000 -
118,900 118,900 -
81,100 81,100 -
92,400 92,400 -
47,500 47,500 -
121,825 121,825 -
181,750 181,750 -
146,800 146,800 -
149,850 149,850 -
63,500 63,500 -
94,800 94,800 -
55,200 55,200 -
78,350 78,350 -
34,000 34,000 -
85,850 85,850 -
109,500 109,500 -
113,250 113,250 -
111,750 111,750 -
143,125 143,125 -
38,500 38,500 -
159,700 159,700 -
91,600 91,600 -
195,750 195,750 -
175,850 175,850 -
34,000 34,000 -
156,630 156,630 -
200,200 200,200 -
34,000 34,000 -
108,600 108,600 -
108,600 108,600 -
39,600 39,600 -
74,600 74,600 -
168,750 168,750 -
156,600 156,600 -
79,200 79,200 -
205,750 205,750 -
123,600 123,600 -
200,000 200,000 -
39,600 39,600 -
57,000 57,000 -
39,600 39,600 -
39,600 39,600 -
57,000 57,000 -
39,600 39,600 -
158,400 158,400 -
74,600 74,600 -
172,400 172,400 -
160,500 160,500 -
123,600 123,600 -
108,600 108,600 -
173,600 173,600 -
158,500 158,500 -
103,100 103,100 -
147,650 147,650 -
208,275 208,275 -
321,000 321,000 -
39,600 39,600 -
39,600 39,600 -
200,350 200,350 -
99,975 99,975 -
74,600 74,600 -
103,150 103,150 -
134,000 134,000 -
156,850 156,850 -
195,200 195,200 -
127,526 127,526 -
228,200 228,200 -
39,600 39,600 -
39,600 39,600 -
64,000 64,000 -
216,500 216,500 -
79,200 79,200 -
39,600 39,600 -
71,100 71,100 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
89,500 89,500 -
39,600 39,600 -
126,750 126,750 -
150,600 150,600 -
108,600 108,600 -
175,000 175,000 -
113,200 113,200 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
290,250 290,250 -
109,400 109,400 -
22,000 22,000 -
13,500 13,500 -
84,000 84,000 -
73,600 73,600 -
123,600 123,600 -
113,200 113,200 -
74,600 74,600 -
212,000 212,000 -
41,803 41,803 -
116,550 116,550 -
34,000 34,000 -
78,645 78,645 -
392,250 392,250 -
114,215 114,215 -
45,000 45,000 -
34,000 34,000 -
89,050 89,050 -
55,500 55,500 -
100,650 100,650 -
527,500 527,500 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
57,000 57,000 -
45,000 45,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
9,000 9,000 -
- - -
- - 14,652,084 14,652,084 11,451,584 3,200,500 14,652,084
14,652,084
Total
Pendapatan

14,652,084
-

PMI Lain-Lain
Js Rever 1

34,000 34,000 -
33,300 33,300 -
22,600 22,600 -
14,500 14,500 -
23,000 23,000 -
144,700 144,700 -
5,850 5,850 -
64,000 64,000 -
88,850 88,850 -
250,250 250,250 -
43,345 43,345 -
99,570 99,570 -
100,395 100,395 -
113,700 113,700 -
98,000 98,000 -
36,500 - (36,500)
78,000 78,000 -
61,500 61,500 -
16,250 16,250 -
568,900 568,900 -
8,000 8,000 -
44,000 44,000 -
85,000 85,000 -
39,600 39,600 -
39,600 39,600 -
16,500 16,500 -
16,500 16,500 -
75,000 75,000 -
54,000 54,000 -
94,900 94,900 -
46,450 46,450 -
88,050 88,050 -
108,000 108,000 -
21,000 21,000 -
19,500 19,500 -
47,500 47,500 -
25,500 25,500 -
18,000 18,000 -
17,600 17,600 -
57,500 57,500 -
83,650 83,650 -
34,000 34,000 -
34,000 34,000 -
39,600 39,600 -
113,500 113,500 -
75,900 75,900 -
39,600 39,600 -
67,000 67,000 -
13,000 13,000 -
207,500 207,500 -
172,500 172,500 -
217,775 217,775 -
69,100 69,100 -
54,100 54,100 -
96,350 96,350 -
104,100 104,100 -
172,150 172,150 -
31,000 31,000 -
220,200 298,200 78,000
147,500 147,500 -
20,670 20,670 -
24,000 24,000 -
58,000 58,000 -
70,300 70,300 -
94,300 94,300 -
109,900 109,900 -
34,000 34,000 -
41,500 41,500 -
- - -
- - 5,264,605 5,264,605 4,262,605 1,002,000 5,264,605
5,264,605
Total
Pendapatan

5,264,605
-
PMI Lain-Lain
Js Rever 1

115,000 115,000 -
112,750 112,750 -
87,800 87,800 -
98,500 98,500 -
17,500 17,500 -
165,400 165,400 -
833,800 833,800 -
15,600 15,600 -
22,500 22,500 -
55,500 55,500 -
17,500 17,500 -
34,300 34,300 -
(5,200) - 5,200
16,500 16,500 -
16,500 16,500 -
13,000 13,000 -
79,200 79,200 -
236,500 236,500 -
7,500 7,500 -
1,500 1,500 -
34,000 34,000 -
34,000 34,000 -
30,000 30,000 -
91,500 91,500 -
24,800 24,800 -
18,000 18,000 -
136,500 136,500 -
21,000 21,000 -
19,000 19,000 -
34,000 34,000 -
114,350 114,350 -
- 377,500 377,500
6,000 6,000 -
268,400 268,400 -
100,500 100,500 -
47,500 47,500 -
98,250 98,250 -
92,300 92,300 -
75,125 75,125 -
84,550 84,550 -
62,450 62,450 -
278,315 278,315 -
18,000 18,000 -
16,500 16,500 -
18,000 18,000 -
187,025 187,025 -
169,050 169,050 -
141,000 141,000 -
111,750 111,750 -
127,500 127,500 -
127,500 127,500 -
100,000 100,000 -
116,250 116,250 -
114,900 114,900 -
60,500 60,500 -
9,000 9,000 -
45,000 45,000 -
45,000 45,000 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
47,000 47,000 -
190,500 190,500 -
72,750 72,750 -
65,000 65,000 -
- - -
- - 5,932,415 5,932,415 4,502,915 1,429,500 5,932,415
5,932,415
Total
Pendapatan

5,932,415
0
PMI Lain-Lain
Js Rever 1

74,150 74,150 -
58,550 58,550 -
652,800 652,800 -
87,000 87,000 -
203,715 203,715 -
62,500 62,500 -
80,500 80,500 -
238,250 238,250 -
171,600 171,600 -
55,400 55,400 -
10,000 10,000 -
59,050 59,050 -
145,085 145,085 -
39,600 39,600 -
16,500 16,500 -
28,000 28,000 -
47,000 47,000 -
13,000 13,000 -
98,600 98,600 -
10,550 10,550 -
9,000 9,000 -
62,000 62,000 -
19,000 19,000 -
16,500 16,500 -
18,000 18,000 -
98,500 98,500 -
18,000 18,000 -
21,000 21,000 -
16,500 16,500 -
76,300 76,300 -
- 41,700 41,700
6,000 6,000 -
18,500 18,500 -
127,000 127,000 -
48,000 48,000 -
55,600 55,600 -
51,250 51,250 -
49,000 49,000 -
107,750 107,750 -
93,000 93,000 -
18,500 18,500 -
13,500 13,500 -
117,950 117,950 -
110,400 110,400 -
10,000 10,000 -
153,500 153,500 -
167,950 167,950 -
16,500 16,500 -
93,000 93,000 -
110,000 110,000 -
35,500 35,500 -
47,500 47,500 -
238,850 238,850 -
127,500 127,500 -
68,450 68,450 -
203,900 203,900 -
82,600 82,600 -
34,000 34,000 -
15,600 15,600 -
91,500 91,500 -
525,250 525,250 -
52,500 52,500 -
6,500 6,500 -
115,440 115,440 -
37,450 37,450 -
84,660 84,660 -
154,600 154,600 -
58,675 58,675 -
45,500 45,500 -
- - -
- - 5,900,025 5,900,025 4,553,525 1,346,500 5,900,025
5,900,025
Total
Pendapatan

5,900,025
-

PMI Lain-Lain
Js Rever 1

190,900 190,900 -
120,380 120,380 -
25,050 25,050 -
- 5,000 5,000
175,600 175,600 -
12,500 12,500 -
137,650 137,650 -
1,200 1,200 -
200,300 200,300 -
8,000 8,000 -
13,500 13,500 -
266,200 266,200 -
20,000 20,000 -
68,000 68,000 -
5,000 5,000 -
51,500 51,500 -
159,250 159,250 -
74,144 74,144 -
100,800 100,800 -
43,600 43,600 -
67,100 67,100 -
20,000 20,000 -
3,000 3,000 -
12,000 12,000 -
- - -
- - 1,775,674 1,775,674 1,537,674 238,000 1,775,674
1,775,674
Total
Pendapatan

1,775,674
-

PMI Lain-Lain
Js Rever 1

15,500 15,500 -
544,100 544,100 -
104,000 104,000 -
15,000 15,000 -
35,000 35,000 -
103,700 103,700 -
81,650 81,650 -
139,200 139,200 -
88,700 88,700 -
52,500 52,500 -
139,250 139,250 -
66,640 66,640 -
69,300 69,300 -
77,050 77,050 -
77,000 77,000 -
8,000 8,000 -
128,100 128,100 -
166,500 166,500 -
15,500 15,500 -
9,000 9,000 -
67,000 67,000 -
101,375 101,375 -
13,000 13,000 -
12,140 12,140 -
- 10,000 10,000
109,190 109,190 -
21,000 21,000 -
70,000 70,000 -
15,500 15,500 -
58,000 58,000 -
- 289,400 289,400
- 1,468,600 1,468,600
44,100 44,100 -
50,000 50,000 -
39,775 39,775 -
55,100 55,100 -
65,400 65,400 -
34,000 34,000 -
192,900 192,900 -
475,200 475,200 -
135,850 135,850 -
64,550 64,550 -
103,500 103,500 -
34,000 34,000 -
8,000 8,000 -
239,050 239,050 -
110,575 110,575 -
168,122 168,122 -
94,000 94,000 -
99,550 99,550 -
122,200 122,200 -
77,825 77,825 -
197,800 197,800 -
89,500 89,500 -
96,500 96,500 -
48,500 48,500 -
150,500 150,500 -
34,000 34,000 -
45,500 45,500 -
20,000 20,000 -
108,800 108,800 -
73,000 73,000 -
80,700 80,700 -
34,000 34,000 -
96,500 96,500 -
85,500 85,500 -
7,350 7,350 -
43,500 43,500 -
42,250 42,250 -
81,750 81,750 -
189,350 189,350 -
186,850 186,850 -
34,000 34,000 -
120,700 120,700 -
151,100 151,100 -
184,350 184,350 -
241,500 241,500 -
13,500 13,500 -
101,450 101,450 -
7,000 7,000 -
85,500 85,500 -
101,000 101,000 -
12,950 12,950 -
73,000 73,000 -
212,000 212,000 -
34,000 34,000 -
101,000 101,000 -
-
- - 7,801,492 7,801,492 6,223,992 1,577,500 7,801,492
7,801,492
Total
Pendapatan

7,801,492
-
PMI Lain-Lain
Anesthesi 1

33,600 33,600 -
34,500 34,500 -
66,300 66,300 -
29,150 29,150 -
51,500 51,500 -
15,500 15,500 -
71,400 71,400 -
145,250 145,250 -
17,000 17,000 -
82,000 82,000 -
435,000 2,285,175 2,285,175 -
475,200 475,200 -
19,000 19,000 -
69,500 69,500 -
13,000 13,000 -
147,500 147,500 -
239,900 239,900 -
116,500 116,500 -
21,000 21,000 -
57,500 57,500 -
19,000 19,000 -
293,300 293,300 -
84,100 84,100 -
79,500 79,500 -
79,250 79,250 -
169,450 169,450 -
204,650 204,650 -
130,450 130,450 -
87,250 87,250 -
50,500 50,500 -
176,125 176,125 -
91,400 91,400 -
225,500 225,500 -
119,450 119,450 -
266,825 266,825 -
109,425 109,425 -
53,020 53,020 -
49,000 49,000 -
34,000 34,000 -
140,575 140,575 -
66,800 66,800 -
153,450 153,450 -
123,450 123,450 -
151,625 151,625 -
62,900 62,900 -
41,500 73,000 31,500
302,500 302,500 -
172,300 172,300 -
116,950 116,950 -
106,300 106,300 -
100,350 100,350 -
138,875 138,875 -
148,700 148,700 -
114,750 114,750 -
18,500 18,500 -
66,700 66,700 -
181,065 181,065 -
91,450 91,450 -
150,450 150,450 -
159,750 159,750 -
56,100 56,100 -
141,250 141,250 -
66,600 66,600 -
89,660 89,660 -
142,650 142,650 -
101,200 101,200 -
112,650 112,650 -
136,200 136,200 -
127,500 127,500 -
127,500 127,500 -
127,500 127,500 -
- - -
- 435,000 10,150,420 10,150,420 7,899,420 2,251,000 10,150,420
10,150,420
Total
Pendapatan

10,150,420
-

PMI Lain-Lain
Anesthesi 1

543,750 543,750 -
44,950 47,750 2,800
120,550 120,550 -
13,500 13,500 -
136,165 136,165 -
7,000 7,000 -
195,000 195,000 -
30,000 30,000 -
23,450 23,450 -
112,250 112,250 -
46,500 46,500 -
189,200 189,200 -
543,750 543,750 -
27,500 27,500 -
66,000 66,000 -
87,500 87,500 -
19,000 19,000 -
99,500 99,500 -
28,000 28,000 -
21,000 21,000 -
52,500 52,500 -
145,265 145,265 -
8,000 8,000 -
18,000 18,000 -
98,850 98,850 -
34,000 34,000 -
100,000 100,000 -
93,450 93,450 -
38,500 38,500 -
34,000 34,000 -
93,945 93,945 -
51,800 51,800 -
7,000 7,000 -
133,300 133,300 -
24,850 24,850 -
17,000 17,000 -
21,000 21,000 -
119,000 119,000 -
133,875 133,875 -
126,050 126,050 -
20,000 20,000 -
103,600 103,600 -
123,050 123,050 -
144,000 144,000 -
34,000 34,000 -
16,500 16,500 -
160,750 160,750 -
23,700 23,700 -
141,000 141,000 -
173,250 173,250 -
125,550 125,550 -
74,100 74,100 -
134,100 134,100 -
37,000 37,000 -
18,000 18,000 -
48,250 48,250 -
60,250 60,250 -
108,200 108,200 -
39,600 39,600 -
138,600 138,600 -
98,000 98,000 -
90,500 90,500 -
39,600 39,600 -
90,450 90,450 -
149,200 149,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
79,200 79,200 -
39,600 39,600 -
284,600 284,600 -
138,600 138,600 -
39,600 39,600 -
89,600 89,600 -
99,226 99,226 -
39,600 39,600 -
159,926 159,926 -
39,600 39,600 -
39,600 39,600 -
50,500 50,500 -
164,226 164,226 -
39,600 39,600 -
39,600 39,600 -
64,600 64,600 -
39,600 39,600 -
79,200 79,200 -
74,600 74,600 -
79,200 79,200 -
117,850 117,850 -
174,250 174,250 -
79,200 79,200 -
39,600 39,600 -
73,600 73,600 -
89,600 89,600 -
133,600 133,600 -
64,600 64,600 -
79,200 79,200 -
39,600 39,600 -
108,600 108,600 -
123,600 123,600 -
75,000 75,000 -
79,200 79,200 -
244,000 244,000 -
44,500 44,500 -
59,000 59,000 -
45,000 45,000 -
154,000 154,000 -
9,000 9,000 -
84,000 84,000 -
45,000 45,000 -
84,000 84,000 -
39,600 39,600 -
34,000 34,000 -
39,600 39,600 -
131,258 131,258 -
160,495 160,495 -
173,400 173,400 -
34,000 34,000 -
34,000 34,000 -
178,430 178,430 -
34,000 34,000 -
69,520 69,520 -
36,350 36,350 -
34,000 34,000 -
90,000 90,000 -
90,000 90,000 -
5,500 5,500 -
34,000 34,000 -
(47,650) - 47,650
- - -
- - 10,986,381 10,986,381 8,684,881 2,301,500 10,986,381
10,986,381
Total
Pendapatan

10,986,381
0
PMI Lain-Lain
Anesthesi 1

52,400 52,400 -
81,600 81,600 -
52,750 52,750 -
41,500 41,500 -
20,000 20,000 -
75,800 75,800 -
20,400 20,400 -
34,300 34,300 -
67,900 67,900 -
55,500 55,500 -
106,900 106,900 -
38,100 38,100 -
335,000 335,000 -
58,400 58,400 -
162,750 162,750 -
122,950 122,950 -
124,300 124,300 -
129,700 129,700 -
97,400 97,400 -
39,685 39,685 -
123,480 123,480 -
38,650 38,650 -
66,100 66,100 -
57,328 57,328 -
39,600 39,600 -
10,000 10,000 -
58,500 58,500 -
16,500 16,500 -
56,500 56,500 -
123,600 123,600 -
25,500 25,500 -
39,500 39,500 -
34,900 34,900 -
150,800 150,800 -
145,250 145,250 -
34,000 34,000 -
34,000 34,000 -
117,500 117,500 -
55,000 55,000 -
223,000 223,000 -
61,950 61,950 -
34,000 34,000 -
104,500 104,500 -
53,700 53,700 -
60,250 60,250 -
116,950 116,950 -
69,400 69,400 -
76,175 76,175 -
169,600 169,600 -
141,500 141,500 -
107,050 107,050 -
301,100 301,100 -
34,000 34,000 -
106,525 106,525 -
82,900 82,900 -
103,000 103,000 -
119,425 119,425 -
21,000 21,000 -
113,700 113,700 -
36,860 36,860 -
34,000 34,000 -
34,000 34,000 -
80,270 80,270 -
73,550 73,550 -
132,600 132,600 -
34,000 34,000 -
105,680 105,680 -
34,000 34,000 -
120,953 120,953 -
69,425 69,425 -
90,000 90,000 -
34,000 34,000 -
127,500 127,500 -
- - -
- - 6,050,606 6,050,606 4,487,106 1,563,500 6,050,606
6,050,606
Total
Pendapatan

6,050,606
-

PMI Lain-Lain
Anesthesi 1

60,350 60,350 -
9,850 9,850 -
37,000 37,000 -
202,100 202,100 -
77,000 77,000 -
68,600 68,600 -
167,000 167,000 -
111,600 111,600 -
129,500 129,500 -
125,000 125,000 -
25,750 25,750 -
20,000 20,000 -
131,950 131,950 -
208,200 208,200 -
108,800 108,800 -
95,500 95,500 -
257,250 257,250 -
193,465 193,465 -
10,000 10,000 -
122,900 122,900 -
55,226 55,226 -
16,500 16,500 -
16,500 16,500 -
13,000 13,000 -
39,550 39,550 -
113,500 113,500 -
91,500 91,500 -
16,500 16,500 -
33,000 33,000 -
13,500 13,500 -
9,000 9,000 -
89,500 89,500 -
46,000 46,000 -
34,000 34,000 -
68,500 68,500 -
172,750 172,750 -
34,000 34,000 -
111,700 111,700 -
56,250 56,250 -
113,600 113,600 -
223,700 223,700 -
63,100 63,100 -
108,100 108,100 -
32,500 32,500 -
79,200 79,200 -
26,625 26,625 -
162,850 162,850 -
192,755 192,755 -
65,750 65,750 -
125,500 125,500 -
34,000 34,000 -
151,500 151,500 -
127,500 127,500 -
21,000 21,000 -
64,500 64,500 -
28,000 28,000 -
165,700 165,700 -
20,000 20,000 -
8,000 8,000 -
57,500 57,500 -
34,000 34,000 -
71,400 71,400 -
34,000 34,000 -
114,000 114,000 -
131,250 131,250 -
84,000 84,000 -
126,750 126,750 -
84,000 84,000 -
195,750 195,750 -
84,000 84,000 -
84,000 84,000 -
180,000 180,000 -
140,250 140,250 -
88,500 88,500 -
71,250 71,250 -
45,000 45,000 -
144,000 144,000 -
- - -
- - 6,775,821 6,775,821 5,214,821 1,561,000 6,775,821
6,775,821
Total
Pendapatan

6,775,821
-
PMI Lain-Lain
Anesthesi 1

- 108,800 108,800
178,375 178,375 -
84,000 84,000 -
276,000 276,000 -
108,850 108,850 -
4,500 4,500 -
74,000 74,000 -
90,650 90,650 -
42,750 42,750 -
75,500 75,500 -
25,500 25,500 -
20,000 20,000 -
130,400 130,400 -
36,000 36,000 -
18,000 18,000 -
18,000 18,000 -
130,200 130,200 -
49,600 49,600 -
19,000 19,000 -
47,000 47,000 -
13,000 13,000 -
10,000 10,000 -
148,900 148,900 -
12,950 12,950 -
21,000 21,000 -
154,000 154,000 -
194,950 194,950 -
110,600 110,600 -
92,025 92,025 -
21,500 21,500 -
4,500 4,500 -
2,250 2,250 -
15,500 15,500 -
15,500 15,500 -
142,505 142,505 -
179,250 179,250 -
84,550 84,550 -
16,500 16,500 -
67,200 67,200 -
34,000 34,000 -
128,050 128,050 -
34,000 34,000 -
90,000 90,000 -
34,000 34,000 -
76,000 76,000 -
82,800 82,800 -
66,680 66,680 -
107,200 107,200 -
163,700 163,700 -
34,000 34,000 -
34,000 34,000 -
74,395 74,395 -
34,000 34,000 -
34,000 34,000 -
52,900 52,900 -
13,500 13,500 -
12,000 12,000 -
- - -
- - 3,840,230 3,840,230 3,003,230 837,000 3,840,230
3,840,230
Total
Pendapatan

3,840,230
-

PMI Lain-Lain
Anesthesi 1

87,400 87,400 -
145,750 145,750 -
65,250 65,250 -
72,675 72,675 -
79,500 79,500 -
34,300 34,300 -
39,600 39,600 -
22,800 22,800 -
140,000 140,000 -
54,100 54,100 -
140,000 140,000 -
9,200 9,200 -
37,200 37,200 -
31,000 31,000 -
18,070 18,070 -
79,500 79,500 -
38,000 38,000 -
300,000 300,000 -
139,500 139,500 -
34,000 34,000 -
- - -
- - 1,567,845 1,567,845 1,467,845 100,000 1,567,845
1,567,845
Total
Pendapatan

1,567,845
-

PMI Lain-Lain
Anesthesi 1

35,500 35,500 -
97,200 97,200 -
82,000 82,000 -
78,350 78,350 -
91,250 91,250 -
49,500 49,500 -
19,500 19,500 -
102,900 102,900 -
2,000 2,000 -
86,250 86,250 -
263,500 263,500 -
165,000 165,000 -
58,000 58,000 -
130,500 130,500 -
16,500 16,500 -
13,000 13,000 -
1,600 1,600 -
89,500 89,500 -
12,950 12,950 -
27,000 27,000 -
19,000 19,000 -
12,000 12,000 -
34,000 34,000 -
110,000 110,000 -
123,250 123,250 -
208,150 208,150 -
20,000 20,000 -
119,100 119,100 -
47,050 47,050 -
61,500 61,500 -
35,700 35,700 -
58,000 58,000 -
84,000 84,000 -
86,625 86,625 -
47,500 47,500 -
97,300 97,300 -
109,500 109,500 -
56,500 56,500 -
84,500 84,500 -
67,500 67,500 -
64,726 64,726 -
287,350 287,350 -
179,575 179,575 -
34,000 34,000 -
55,250 55,250 -
223,400 223,400 -
147,250 147,250 -
75,600 75,600 -
42,700 42,700 -
122,600 122,600 -
65,150 65,150 -
137,750 137,750 -
154,750 154,750 -
72,250 72,250 -
47,500 47,500 -
13,500 13,500 -
64,500 64,500 -
31,500 31,500 -
2,000 2,000 -
58,000 58,000 -
18,000 18,000 -
123,400 123,400 -
104,450 104,450 -
76,150 76,150 -
42,400 42,400 -
264,276 264,276 -
35,500 35,500 -
- 86,200 86,200
117,400 117,400 -
26,000 26,000 -
- - -
- - 5,590,102 5,590,102 4,494,602 1,095,500 5,590,102
5,590,102
Total
Pendapatan

5,590,102
-

PMI Lain-Lain
Anesthesi 1

15,200 15,200 -
2,000 2,000 0
53,400 53,400 -
62,450 62,450 -
56,000 56,000 -
167,400 167,400 -
39,000 39,000 -
- 9,500 9,500
105,450 105,450 -
17,500 17,500 -
108,400 108,400 -
251,400 251,400 -
118,700 118,700 -
8,000 8,000 -
124,350 124,350 -
219,680 219,680 -
52,500 52,500 -
97,400 97,400 -
74,250 74,250 -
48,500 48,500 -
202,750 202,750 -
408,000 408,000 -
219,000 219,000 -
515,100 515,100 -
34,000 34,000 -
339,750 339,750 -
34,000 34,000 -
44,550 44,550 -
9,700 9,700 -
175,275 175,275 -
67,000 67,000 -
129,300 129,300 -
62,700 62,700 -
43,300 43,300 -
41,000 41,000 -
13,000 13,000 -
35,500 35,500 -
50,500 50,500 -
17,000 17,000 -
91,400 91,400 -
61,500 61,500 -
69,000 69,000 -
38,500 38,500 -
96,625 96,625 -
130,500 130,500 -
34,000 34,000 -
69,600 69,600 -
99,300 99,300 -
12,000 12,000 -
58,000 58,000 -
116,000 116,000 -
53,800 53,800 -
100,500 100,500 -
47,500 47,500 -
87,800 87,800 -
75,250 75,250 -
43,540 43,540 -
221,700 221,700 -
62,500 62,500 -
323,350 323,350 -
214,600 214,600 -
46,500 46,500 -
85,500 85,500 -
33,750 33,750 -
57,000 57,000 -
110,000 110,000 -
127,500 127,500 -
- - -
- - 6,630,220 6,630,220 5,365,720 1,264,500 6,630,220
6,630,220
Total
Pendapatan

6,630,220
-
PMI Lain-Lain
Anesthesi

196,000 196,000 -
103,500 103,500 -
150,050 150,050 -
34,000 34,000 -
84,000 84,000 -
91,150 91,150 -
49,250 49,250 -
81,500 81,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
79,500 79,500 -
49,500 49,500 -
98,000 98,000 -
40,000 40,000 -
(34,700) - 34,700
80,700 80,700 -
80,000 80,000 -
146,350 146,350 -
234,000 234,000 -
39,850 39,850 -
45,750 45,750 -
80,000 80,000 -
80,640 80,640 -
39,000 39,000 -
68,600 68,600 -
- 74,000 74,000
(10,000) - 10,000
60,000 60,000 -
104,750 104,750 -
112,250 112,250 -
104,750 104,750 -
107,750 107,750 -
29,000 29,000 -
64,700 64,700 -
117,500 117,500 -
98,500 98,500 -
1,778,250 1,778,250 -
33,400 33,400 -
18,000 18,000 -
20,000 20,000 -
99,000 99,000 -
16,500 16,500 -
510,000 510,000 -
121,500 121,500 -
79,500 79,500 -
91,500 91,500 -
164,150 164,150 -
21,000 21,000 -
160,200 160,200 -
19,000 19,000 -
49,000 49,000 -
72,500 72,500 -
73,750 73,750 -
40,000 40,000 -
6,000 6,000 -
- 465,200 465,200
- 389,200 389,200
104,500 104,500 -
93,500 93,500 -
237,250 237,250 -
89,000 89,000 -
117,750 117,750 -
85,750 85,750 -
206,300 206,300 -
131,000 131,000 -
21,000 21,000 -
193,250 193,250 -
40,650 40,650 -
132,250 132,250 -
107,500 107,500 -
47,500 47,500 -
103,900 103,900 -
53,610 53,610 -
54,550 54,550 -
97,050 97,050 -
18,500 18,500 -
112,500 112,500 -
60,250 60,250 -
58,000 58,000 -
192,625 192,625 -
101,300 101,300 -
18,000 18,000 -
173,200 173,200 -
107,050 107,050 -
56,500 56,500 -
108,600 108,600 -
113,200 113,200 -
113,200 113,200 -
73,600 73,600 -
79,200 79,200 -
72,900 72,900 -
79,200 79,200 -
48,250 48,250 -
39,600 39,600 -
39,600 39,600 -
171,600 171,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
105,900 105,900 -
85,000 85,000 -
124,000 124,000 -
39,600 39,600 -
233,000 233,000 -
39,600 39,600 -
51,700 51,700 -
74,600 74,600 -
45,600 45,600 -
114,200 114,200 -
39,600 39,600 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
9,000 9,000 -
84,000 84,000 -
84,000 84,000 -
259,000 259,000 -
95,900 95,900 -
74,600 74,600 -
34,000 34,000 -
37,500 37,500 -
39,600 39,600 -
108,600 108,600 -
116,600 116,600 -
39,600 39,600 -
114,200 114,200 -
39,600 39,600 -
84,000 84,000 -
36,000 36,000 -
79,200 79,200 -
12,000 12,000 -
72,750 72,750 -
108,400 108,400 -
73,000 73,000 -
46,180 46,180 -
39,600 39,600 -
76,250 76,250 -
39,600 39,600 -
39,600 39,600 -
144,000 144,000 -
64,500 64,500 -
38,500 38,500 -
93,503 93,503 -
38,500 38,500 -
82,045 82,045 -
34,000 34,000 -
55,500 55,500 -
66,825 66,825 -
44,700 44,700 -
45,000 45,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
74,600 74,600 -
97,700 97,700 -
294,100 294,100 -
183,600 183,600 -
113,200 113,200 -
113,200 113,200 -
113,200 113,200 -
100,600 100,600 -
30,000 30,000 -
147,500 147,500 -
- - -
- - 16,287,329 16,287,329 13,474,329 2,813,000 16,287,329
16,287,329
Total
Pendapatan

16,287,329
1

PMI Lain-Lain
Anesthesi 1

50,000 50,000 -
50,000 50,000 -
50,000 50,000 -
50,000 50,000 -
50,000 50,000 -
50,000 50,000 -
50,000 50,000 -
50,000 50,000 -
50,000 50,000 -
50,000 50,000 -
129,500 129,500 -
129,500 129,500 -
129,500 129,500 -
129,500 129,500 -
129,500 129,500 -
129,500 129,500 -
94,500 94,500 -
94,500 94,500 -
91,500 91,500 -
73,500 73,500 -
82,575 82,575 (1)
93,450 93,450 -
6,500 6,500 -
37,000 37,000 -
16,500 16,500 -
204,600 204,600 -
1,200 1,200 -
101,900 101,900 -
8,750 8,750 -
- 9,500 9,500
142,400 142,400 -
26,900 26,900 -
- 417,000 417,000
16,500 16,500 -
80,700 80,700 -
34,000 34,000 -
47,500 47,500 -
17,000 17,000 -
27,000 27,000 -
90,950 90,950 -
373,290 373,290 -
161,700 161,700 -
34,000 34,000 -
43,000 43,000 -
77,800 77,800 -
102,550 102,550 -
90,250 90,250 -
180,100 180,100 -
61,950 61,950 -
32,550 32,550 -
56,190 56,190 -
112,300 112,300 -
274,800 274,800 -
164,690 164,690 -
50,500 50,500 -
42,650 42,650 -
34,000 34,000 -
34,000 34,000 -
156,125 156,125 -
112,925 112,925 -
189,100 189,100 -
100,000 100,000 -
7,000 7,000 -
125,000 125,000 -
149,710 149,710 -
159,000 159,000 -
61,250 61,250 -
69,500 69,500 -
56,000 56,000 -
34,000 34,000 -
137,250 137,250 -
212,140 212,140 -
231,500 231,500 -
115,250 115,250 -
- - -
- - 6,508,495 6,508,495 5,389,495 1,119,000 6,508,495
6,508,495
Total
Pendapatan

6,508,495
1 173,176,147
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 01 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

1 1 089658 Fitri Wulandari - 154,000 4,000


2 105172 Siti Khasanah - 204,500 4,000
3 106627 Nita Juwita S 7,586 98,950 3,000 12,500
4 106578 Siti Rahayuningsih 34,000 4,973 54,700 4,000
5 149228 dr. V Onggo 1,232 13,550
6 025174 Sr. Rahayu 24,673 135,700 135,700
7 000546 Sr. Maria 38,686 212,775 212,775
8 074615 Arvin Aditama S - 90,800 4,000
9 014729 Dewi Mindyahwati 154,325 - 4,000
10 105637 Saparudin 79,000 (4,091) (4,000)
11 106626 Marsimun 95,800 - 4,000
12 096483 Ika Endang P 16,300 - 98,950 4,000
13 106240 Sri Normeningsih 79,750 - 4,000
14 149223 dr. Cecilia 5,400 491
15 Darsinah 39,500 - 39,500
16 048725 Waryanto 62,250 - 4,000
17 Yosepha I 43,200 - 43,200
18 032624 Marsinta Manik 2,900 - 45,600 4,000
19 089337 Tan San Hwa 13,500 -
20 064193 Davi nasib 50,500 - 2,500
21 055322 Maria Yulianti 134,000 10,773 3,000 12,500
22 060683 Karto Diharjo 171,100 12,373 4,000
23 072443 Damiri 83,500 3,818 4,000
24 103242 Tugiman 52,200 4,745
25 071438 Rusminah 85,500 - 2,500
26 106630 Enci Fatonah 93,400 7,082 3,000 12,500
27 028253 Tugiman 62,000 -
28 106618 Sandikrama 53,370 3,352 3,000 12,500
29 106629 Sarijan 124,150 9,786 3,000 12,500
30 106334 Rafansyah 16,500 - 2,000
31 087251 Supirah 13,000 - 3,000
32 106628 Maria Goretty 58,350 168 3,000
33 106344 Sulyati 230,350 5,577 3,000
34 051485 Basirun Karto D 42,700 700 4,000
35 100287 Rasmini 33,300 2,073 30,000 4,000
36 106025 Yuli 86,000 4,727 4,000
37 097988 San Rustomo 92,700 5,245 4,000
38 Obat Karyawan 40,000 - 40,000
39 073833 Indratno Claudius 160,875 7,116 4,000
40 099780 Sukasih 49,500 -
41 007674 Sri Rahayu 45,500 - 3,000
42 038258 Bernadus Nanda 50,500 - 2,500
43 106471 Waginah 94,700 5,518 4,000
44 102494 Srini Hastuti 57,000 3,773 3,000 12,500
45 087331 San Mureja 107,550 6,595 4,000
46 102968 Flora Damayanti 19,500 955 4,000
47 106193 Martina Eka 201,700 14,245 4,000
48 106632 Silah 264,500 4,591 4,000
49 075133 Suwito Pawiro 49,000 -
50 072087 Ribut Kasiyani 180,000 8,727 4,000
51 106449 Sugiyanti 79,500 3,136 4,000
52 106636 Tarso 133,145 8,922 4,000
53 085165 Rina Dwi s 70,500 -
54 074154 Ambar Tyas 84,000 - 4,000
55 106328 Sulistyo 84,000 - 4,000
56 105767 Inah Aryati 108,750 2,250 4,000
57 027443 Ririn Purwantini 84,000 - 4,000
58 106633 Warsiti 154,000 - 4,000
59 106450 Tri Hastuti 9,000 - 4,000
60 095113 Ratni 84,000 - 4,000
61 104714 Wiwi Tri S 84,000 - 4,000
62 064146 Lusiana Kurniawati 106,530 - 4,000
63 149229 Uni Erwati 8,950 814
64 084370 Pandu Eka 50,500 - 2,500
65 106446 Tri Hastuti 45,000 - 4,000
-
4,535,745 79,000 210,613 482,825 122,700 - - 512,150 - 493,025 - 178,000 75,000 -

Jurnal Umum 4,456,745


Kas dari Kassa 4,457,500
Selisih Kas 755

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 02 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

2 1 149233 dr. V Onggo 182 2,000


2 106542 Fr. Luis Atoba 891 181,838 60,612 7,000 12,500
3 099932 Kartilah - 330,000 3,000 12,500
4 106549 Fr. Jackry Marsiano - 11,625 3,875 3,000 12,500
5 106550 Fr. Dionisius Arung - 11,625 3,875 3,000 12,500
6 106551 Fr. Andreas Buarlele - 11,625 3,875 3,000 12,500
7 106547 Fr. Stefanus Adi Budi K - 11,625 3,875 3,000 12,500
8 106548 Fr. Novri Dien 3,636 41,625 13,875 3,000 12,500
9 106546 Fr. Triadi Sastradiputra - 11,625 3,875 3,000 12,500
10 106553 Fr. Ignatius Marvel - 11,625 3,875 3,000 12,500
11 106558 Fr. Emanuel Narahawari - 11,625 3,875 3,000 12,500
12 104579 Fr. Ambrosius Bille - 11,625 3,875 3,000 12,500
13 106552 Fr. Agustinus Budiman - 11,625 3,875 3,000 12,500
14 106555 Fr. Yanuarius Suka - 11,625 3,875 3,000 12,500
15 106557 Fr. Yohanes Antonius - 11,625 3,875 3,000 12,500
16 106545 Fr. Yos Haris Ruban - 11,625 3,875 3,000 12,500
17 106556 Fr. Yerinto Penteno - 11,625 3,875 3,000 12,500
18 106543 Fr. Yustinus L - 11,625 3,875 3,000 12,500
19 106554 Fr. Wensislaus B - 11,625 3,875 3,000 12,500
20 106544 Fr. Matias Batvian - 11,625 3,875 3,000 12,500
21 106646 Sunarwan 400,000 - 47,000 4,000
22 074135 Sudi 47,000 -
23 101539 Waluyo 112,500 6,136 4,000
24 016717 Uni Erwati 8,800 - 35,200 4,000
25 032648 Aminudin 600 55
26 106401 Ayu Safitri 142,350 8,850 4,000
27 106303 Fahmi Faturahman 45,000 - 4,000
28 106000 Masiyah 152,950 10,814 4,000
29 049397 Rembun 93,050 - 4,000
30 026774 Sugiyanto 13,500 -
31 030796 Rizki 30,650 2,786
32 106639 Sukartini 80,550 - 4,000
33 106640 Ni Kapini 122,450 - 4,000
34 106624 Sujarwo 176,000 -
35 097680 Adminah 41,550 2,368 3,000 12,500
36 106624 Satinem 40,000 2,227 3,000 12,500
37 106647 dr. Cecilia Estrelia 69,500 6,318
38 064965 Lucia Natalia 70,100 4,964 3,000 12,500
39 105618 Miah 18,000 - 2,000
40 106649 Rangga Adi S 53,500 - 4,000
41 106648 Susanti 200,350 5,486 3,000
42 101691 Sukasih 47,500 - 3,000
43 000607 Purwanti 7,000 - 28,500 3,000
44 054235 Arif Efendi 144,800 4,664 3,000 12,500
45 106645 Rasam 61,750 4,205 3,000 12,500
46 105207 Sofiatun 18,000 - 2,000
47 047867 Mugiyah 550,200 - 4,000
48 106644 Saliyem 152,200 - 4,000
49 106334 Rafansyah 16,500 - 2,000
50 087251 Supirah 13,000 - 3,000
51 054946 Dwi Sumanti 2,550 232
52 022524 dr. Nrimanto 117,500 10,682
53 106653 Muhamad Rayhan 64,000 - 4,000
54 106651 Wahyu Supriyanto 210,395 - 4,000
55 106654 Bangkit M 98,550 - 4,000
56 075359 Ivan Oktavianus 120,390 10,945
57 106656 Santareja 76,000 - 4,000
58 106655 Hamzah Rabani 132,675 - 4,000
59 061972 Harsono 184,780 - 4,000
60 097119 Rifai Fathir 44,500 4,045
61 097936 Mario Imam 15,350 1,395
62 106638 Widiarto 205,150 4,000
-
3,996,040 - 90,881 788,463 - - - 205,150 - 200,187 - 170,000 300,000 -

Jurnal Umum 3,996,040


Kas dari Kassa 3,996,600
Selisih Kas 560

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 03 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

3 1 106646 Sunarwan - 368,500


2 006139 Sr. Silvi - 110,000
3 106650 Naufal Najwa R - 34,000 4,000
4 099467 Demetrius Tristan W 4,886 69,250 3,000 12,500
5 106670 Ade Heri - 75,000 4,000
6 100543 Levino Ardiansyah 43,000 818 4,000
7 106658 Adinda 119,090 7,735 4,000
8 106607 Wini Utami 466,600 7,145 325,000 3,000
9 106170 Ahsan Faturahman 40,040 549 4,000
10 073349 Stevanus Andrew 134,700 9,155 4,000
11 106467 Lutfiana Lunetta 76,200 3,836 4,000
12 104677 Hasna Aulia 80,080 4,189 4,000
13 075359 Ivan Okto 34,000 - 4,000
14 097119 Rifai 34,000 - 4,000
15 097936 Mario Imam 34,000 - 4,000
16 106659 Revalia 90,000 5,091 4,000
17 066959 Olivia atmaja 91,550 5,232 4,000
18 106660 Sarijem 43,000 - 4,000
19 106663 Gatot Wijayanto 137,800 - 4,000
20 168324 Rijal Atholik 190,000 -
21 087319 Nurida Fitrianti 2,200 -
22 149240 Nanik 3,500 -
23 106671 Sainem 74,925 - 4,000
24 106331 Muhadi 49,625 -
25 106669 Suhartono 90,525 - 4,000
26 078844 San Kasdi 22,000 -
27 016928 Sarjono 19,200 -
28 004437 Sugiyanto 11,291 315,200 3,000 12,500
-
1,876,035 - 59,928 546,750 - - - 315,200 - 435,000 - 77,000 25,000 -

Jurnal Umum 1,876,035


Kas dari Kassa 1,875,300
Selisih Kas (735)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 04 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

4 1 004437 Sugiyanto - 171,500 4,000


2 087213 Turnip - 137,000 4,000
3 074824 Ruswanto - 641,900 4,000
4 061718 Hadi Lusin - 634,430 4,000
5 105013 Teresia Yayi - 102,150 4,000
6 106590 Sr. Verona 6,236 34,300 34,300
7 058345 Sr. Vincentia 891 4,900 4,900
8 055777 Kusmiyati 500 5,500
9 104799 Subagyo 78,000 - 4,000
10 097362 Gabriela 226,750 - 4,000
11 085356 Septian Bagus 65,400 - 4,000
12 069890 Martuni 112,750 - 4,000
13 074551 Jimmy Alexander 82,500 - 4,000
14 002009 Ninik Ekowaty 1,000 -
15 149243 Rosdiningsih 2,000 -
16 106676 Agung Wibowo 216,250 - 4,000
17 106672 Tasiyem 76,700 - 4,000
18 013790 Lani Irawati 101,500 -
19 106504 Darmiyati 10,000 - 4,000
20 106345 Sri Haryati 178,500 16,227
21 106687 Tarsilah 113,965 8,860 3,000 12,500
22 106299 Aksa M 16,500 - 2,000
23 075434 Wahyu 16,500 - 2,000
24 106690 Watinah 15,500 - 3,000 12,500
25 106689 A Eka Cahya 15,500 - 3,000 12,500
26 042211 Aris Santoso 52,500 - 4,000
27 061198 Robertus Eko W 3,000 273
28 021054 On on B 95,000 - 2,000
29 087251 Supirah 13,000 - 3,000
30 086001 Partini 90,600 6,827 3,000 12,500
31 046808 Murtini 81,550 4,777 3,000 12,500
32 085720 Sodikin 87,350 - 4,000
33 106446 Tri Hastuti 105,350 8,168 3,000 12,500
34 106694 Suwarsih 49,500 - 7,000 12,500
35 100501 Danis Aslam 50,500 - 2,500
36 047637 Maderis 58,000 - 2,500
37 091645 Pagem 34,000 - 4,000
38 003285 Dwi Sugiarti 47,500 -
39 106140 Manggi 40,750 614 4,000
40 090627 Gesti Oktaviani 58,450 2,223 4,000
41 002225 Sri Suhardanti 77,250 7,023
42 007142 Deddy Suwardi 34,000 - 4,000
43 094682 Sarinah 180,275 13,207 4,000
44 106334 Rafansyah 16,500 - 2,000
45 096993 Sukardi 116,000 - 4,000
46 025785 Wangsa Wikarta 116,400 6,855 4,000
47 105765 Merta 92,875 5,261 4,000
48 022249 Jamingah 88,000 4,818 4,000
49 050431 Agung Riswanto 34,000 - 4,000
50 106254 Murah 95,450 4,268 4,000
51 013978 Maryatun 133,450 5,850 4,000
52 105258 Sandiharjo 82,800 4,345 4,000
53 045856 Sri Kuspiah 123,000 -
54 106700 Dwi Asih Pertiwi 36,250 977 3,000
55 019141 Sumeri 211,000 11,045 4,000
56 007156 Sarikin 123,750 8,159 4,000
57 106697 Kristiya 89,500 - 4,000
58 040123 Carolus Basuki 62,000 -
59 106698 Agus Muji 152,100 7,545 4,000
60 106055 Mahfur Walyono 80,400 4,218 4,000
61 059361 Mairan 117,925 7,630 4,000
62 054251 Supriyati 34,000 - 4,000
63 075612 Marsinem 159,600 11,418 4,000
64 106691 Tuti Suwarti 216,100 - 4,000
65 055589 Kanisem 13,500 -
66 106614 Sugiyanto 190,000 14,182 4,000
67 070563 Siyam 85,750 4,705 4,000
68 105702 Lorensius Wahyudi 95,750 5,523 4,000
69 106517 Susmiati 78,250 3,932 4,000
70 Hepi 20,400 - 20,400
71 106465 Ris Budi Santoso 55,500 - 4,000
72 105790 Sobirin 37,000 273 4,000
73 106001 Jenny Ilyas 125,350 8,305 4,000
74 000153 Ami 12,950 1,177
75 105256 Chaerul 26,400 2,400
76 106703 Alan Kliftian 81,000 5,045 3,000
77 106083 Siti Khotiah 12,055 148,100 3,000 12,500
-
5,490,840 - 215,813 1,708,280 20,400 - - 171,500 - 39,200 - 226,000 100,000 -

Jurnal Umum 5,490,840


Kas dari Kassa 5,491,400
Selisih Kas 560

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 05 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

5 1 106638 Widiarto - 118,000 4,000


2 106727 Dasikin 100,000 - 11,950 4,000
3 106731 Supriyasih - 122,665 4,000
4 046357 Sawiyem 6,655 108,200 4,000
5 106542 Fr. Luis Atoba 36,373 561,825 187,275 4,000 12,500
6 106670 Ade Heri 3,364 62,500 3,000 12,500
7 106590 Verona 3,118 34,300
8 062365 Susteran 9,509 104,600
9 149253 dr. Eko Medio 664 7,300
10 102128 Suhartini 100,750 6,068 13,500 4,000
11 006139 Sr. Silvi - 23,700 94,800
12 074646 Yustina Retnowati 81,250 - 4,000
13 092515 Nurul Khasanah 91,000 2,909 4,000
14 078881 Valen 49,600 4,509
15 072653 Resma 107,450 - 4,000
16 096854 Atik Yuliana 46,825 257 4,000
17 089751 Riko 118,000 1,545 4,000
18 105260 Dul Kusni 126,000 818 4,000
19 038782 Lutfi Ubaidillah 13,500 1,227
20 088896 Saroji 134,800 - 4,000
21 106716 Alden 98,500 - 2,500
22 007601 Sudiyati 64,500 -
23 082479 Musinah 34,000 - 4,000
24 102768 Indrawati 83,000 -
25 034417 Solikin 18,000 - 2,000
26 67562 Saliyah 120,000 -
27 087251 Supirah 13,000 - 3,000
28 062278 Cindrawati 132,500 -
29 Hadi Lusin 634,430 - 634,430
30 066164 Michael Yuliadi 50,500 - 2,500
31 106565 Pariyem 79,745 4,068 4,000
32 028202 Darminah 57,000 2,000 4,000
33 106725 Supardi Supriyanto 85,500 - 2,500
34 149251 Ita 2,000 182
35 094682 Sarinah 98,600 3,736 4,000
36 106724 Siti 58,000 - 2,500
37 063949 Stevani 21,000 - 2,000
38 106718 Suhargo 141,800 9,709 4,000
39 053291 Sri Silah 154,882 3,126 4,000
40 049069 Suratiyah 162,310 11,574 4,000
41 047468 Budi Setyanto 88,500 4,955 4,000
42 106722 Sri Sulastri 74,000 -
43 106721 Sanaji 74,000 -
44 042335 Aminah 74,200 5,336 3,000 12,500
45 102995 Fabrizio 16,500 - 2,000
46 106720 Nurnaningsih 139,300 3,618 4,000
47 026301 Budi Hendrawan 62,000 -
48 023375 Warsinah 58,000 2,091 4,000
49 106264 Kamisah 81,450 3,132 4,000
50 106411 Supri Miardi 134,100 9,100 4,000
51 106344 Sulyati 34,110 1,692 3,000 12,500
52 011517 Amir 17,000 - 2,000
53 016871 Min Sumini 113,000 7,091 4,000
54 029018 Yaman 166,750 10,841 4,000
55 106497 San Wiarjo 102,500 6,136 4,000
56 106712 Eni Andriani 126,076 - 4,000
57 Seraphine 295,000 - 295,000
58 Pengobatan dokter 441,800 - 441,800
59 Sunarwan 100,000 - 100,000
60 105014 Marsiyem 64,855 2,805 4,000
61 053363 Sutaryo 113,600 5,918 4,000
62 106729 Yohanes 50,500 - 2,500
63 105155 Saminem 104,000 3,136 4,000
64 106508 Kasinah 45,250 1,023 4,000
65 105319 Sugeng 34,000 - 4,000
66 070859 Marwito 34,000 - 4,000
67 103148 Meriana Yeni A 106,500 3,727 3,000 12,500
68 106733 Maryani 85,500 - 2,500
69 056280 Tumin 141,750 9,795 4,000
70 064146 Lusiana Kurniawati 45,000 318 4,000
71 041002 Parsiyah 92,632 - 4,000
72 001323 Sumarto 102,745 4,431 4,000
73 Wahyudi 10,000 -
74 17908 Rafansyah 16,500 - 2,000
75 106710 Martoyo 110,650 6,968 4,000
76 076490 Heru Sucipto 65,500 2,864 4,000
77 106726 Bambang Riyanto 212,650 9,423 6,000
78 068980 Kaminem 180,700 5,791 4,000
79 104558 Tofik Bayu 156,300 8,845 6,000
80 002156 Tasini 37,500 3,409
81 106030 Mad Jumeri 169,200 9,927 6,000
82 083657 Tsalsa Rahma S 139,950 4,905 4,000
83 095166 Joko Suwarno 13,500 -
84 088023 Eti Haryanti 98,850 5,895 4,000
85 102576 Parilah 115,450 7,314 4,000
86 106711 Asmuni 195,950 13,086 6,000
87 003387 Warjan 92,950 3,723 6,000
88 057973 Sakimin 74,000 3,636 4,000
89 106734 Ita Nur Khotijah 8,000 -
90 069890 Martuni 125,000 -
91 005976 Alipah 7,500 682
92 087213 Turnip 145,200 745 137,000
93 074055 San Kardi 21,700 -
94 105870 Yatinem 161,000 11,545 4,000
95 006579 Sunarto 172,175 - 4,000
96 106569 Suryadi 197,100 13,827 4,000
97 042154 Nisrina 100,700 - 4,000
98 106355 Rasmi 112,250 5,432 4,000
99 106624 Sujarwo 104,750 5,432 4,000
100 106409 Poniran 177,000 11,045 4,000
101 052675 Lusmiati 155,250 11,023 4,000
102 105752 Ade Nur H 54,000 - 4,000
103 106732 Ginem 223,940 - 4,000
104 39108 Mujiati 127,500 - 2,500
105 052305 Warisman 66,600 2,964 4,000
-
9,946,375 - 345,038 942,340 1,608,230 - - 118,000 - 390,275 - 300,500 62,500 -

Jurnal Umum 9,946,375


Kas dari Kassa 9,947,500
Selisih Kas 1,125

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 06 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

6 1 052052 Yuni Widyaningsih - 47,222 4,000


2 070645 Erika Tara Marsela - 57,450 4,000
3 106772 Celine Nathania 10,109 145,200 4,000
4 005743 Mutmainah 1,536 16,900
5 095862 Budiman 3,600 39,600
6 106756 Saiful - 231,225 4,000
7 106570 Darti 98,150 5,741 13,500 4,000
8 070191 Yeremia 97,000 -
9 106299 Aska M 16,500 - 2,000
10 022524 dr. Nrimanto 140,000 12,727
11 106737 Yoel 7,000 -
12 149262 sarjono 10,500 955
13 002138 Muhdi 1,232,000 - 4,000
14 084838 Sudihartono 20,000 -
15 105618 Miah 18,000 - 2,000
16 106334 Rafansyah 16,500 - 2,000
17 104044 Muryati 83,800 6,209 3,000 12,500
18 106645 Rasam 97,200 7,336 3,000 12,500
19 095697 Daroji 77,200 5,518 3,000 12,500
20 033137 Poniyah 97,750 2,659 4,000
21 17927 Haninan 16,500 - 2,000
22 106582 Sarwono 43,150 2,514 3,000 12,500
23 097212 Kasini 98,500 5,864 4,000
24 077809 Kinem 225,750 17,341 4,000
25 105847 Siti Khoirul B 139,950 9,632 4,000
26 105625 Siti Asiyah 155,200 10,927 4,000
27 106746 Sarisah 73,725 5,293 3,000 12,500
28 043138 Titi Mulyo 47,500 - 4,000
29 106744 Rira 118,900 2,400 3,000 12,500
30 106443 Marinten 206,800 14,482 4,000
31 065912 Awalia 23,625 2,148
32 106636 Sutarso 91,100 2,000 4,000
33 106733 Maryani 18,500 - 2,000
34 003526 Cipto Sudarmo 216,250 15,341 4,000
35 071115 Natiyah 175,625 12,875 4,000
36 017884 Mingan Kromo 34,000 - 4,000
37 072530 Supiyah 188,400 13,945 4,000
38 067194 Sukoco 239,850 11,114 4,000
39 105289 Dul Haris 85,400 4,673 4,000
40 106743 Dewi Puji Utami 201,400 15,218 4,000
41 103276 Salum 139,150 9,559 4,000
42 105930 Yuni Munarsih 119,425 7,766 4,000
43 023144 Sujiyah 120,250 7,750 4,000
44 106574 Anggun Rosiana 130,000 8,727 4,000
45 080962 Suratmi 104,150 5,059 4,000
46 106700 Dwi Asih Pertiwi 40,500 364 3,000
47 106742 Sakem 57,000 2,091 4,000
48 106275 Wahyu Budi 39,600 3,600
49 105033 Buriyah 39,600 3,600
50 106495 Esti Khoriah 180,000 8,727 4,000
51 092118 Sri Sukesti 39,600 3,600
52 105638 Nugraheni 39,600 3,600
53 023206 Erna Susanti 64,600 5,873
54 075434 Wahyu Nurhayati 117,000 - 4,000
55 062742 Yuli Tantiani 305,600 24,691 4,000
56 105329 Siti Altiyah 42,750 3,886
57 056397 Fita Martiyana 195,750 10,159 4,000
58 102250 Amiata Wahmiyah 192,000 9,818 4,000
59 101642 Meita Ardiani 79,200 7,200
60 104237 Andi Yuliarsih 114,200 10,382
61 105635 Litza Nailil 128,100 8,555 4,000
62 106534 Ruswanti 117,600 3,055 4,000
63 103359 Nur Afiatun 74,600 6,782
64 106739 Juniasih 114,600 7,327 4,000
65 037561 Dewi 39,600 3,600
66 022954 Fitri 79,200 7,200
67 105799 Theresia Yesi 39,600 3,600
68 098096 Wahid Firman 115,700 7,427 4,000
69 088963 Sugeng Haryanto 70,750 3,341 4,000
70 106430 Irnia Widia 39,600 3,600
71 106759 Siti Miftahoroh 110,250 2,386 4,000
72 101061 Sri Subekti 196,350 14,759 4,000
73 100788 Endah Wening 39,600 3,600
74 106749 Nofal Fiar 141,426 9,766 4,000
75 106428 Ana Warastuti 74,600 6,782
76 063616 Siti Jamizanah 196,500 10,227 4,000
77 067847 Andina 39,600 3,600
78 067762 Sudarmi 39,600 3,600
79 045588 Eti Rustiani 97,926 5,811 4,000
80 088188 Riyanah 39,600 3,600
81 106750 Heni Rahmawati 108,600 6,782 4,000
82 059150 Yani Riyana 158,600 11,327 4,000
83 106752 Mia Puspita 108,600 6,782 4,000
84 105795 Rizal Rizki 74,600 6,782
85 106753 Rahayu 113,200 7,200 4,000
86 031364 Darsih 39,600 3,600
87 095545 Aynita Kurniawan 79,200 7,200
88 106748 Sri Sunarsih 123,600 8,145 4,000
89 106728 Risem 225,000 - 4,000
90 105802 Jumi Suliasih 39,600 3,600
91 106755 Bekti Puspitasari 103,150 6,286 4,000
92 106762 Arti Purwatiningsih 113,200 7,200 4,000
93 106754 Catur Fitrianti 113,200 7,200 4,000
94 106763 Rayfana Ika 79,050 - 4,000
95 094473 Sri Aminah 79,200 7,200
96 105442 Endang Winarni 39,600 3,600
97 041979 Sri Budiati 39,600 3,600
98 106767 Ambardi 22,000 -
99 106760 Fauzan Ali Manaf 92,800 5,345 4,000
100 106766 Ria Pangestika 34,000 - 4,000
101 041010 Sri Yuliati 39,600 3,600
102 106765 Sulastri 126,750 3,886 4,000
103 106439 Siti Rohana 74,600 6,782
104 079311 Dewi Sri Handayani 108,600 6,782 4,000
105 106761 Isdina Farha 103,150 6,286 4,000
106 048039 Dewi Damayanti 39,600 3,600
107 100937 Puji Rahayu 39,600 3,600
108 104673 Tularsih 39,600 3,600
109 106438 Siti Laenatun 74,600 6,782
110 067594 Linda Sri P 39,600 3,600
111 106757 Hikmah Wahyuni 108,600 6,782 4,000
112 059854 Rina Widi 196,500 10,227 4,000
113 106764 Windi Astuti 84,000 - 4,000
114 106446 Tri Astuti 44,000 - 4,000
115 105357 Sumini 34,000 - 4,000
116 080384 Andriyani 84,000 - 4,000
117 106758 Binti Rohman 84,000 - 4,000
118 068946 Dwi Haryani 84,000 - 4,000
119 105329 Siti A 84,000 - 4,000
120 106743 Yuli Priyastuti 84,000 - 4,000
121 099260 Barisah 84,000 - 4,000
122 074154 Ambar Tyas 124,000 - 30,000 4,000
123 106432 Ekky Fitri 74,600 6,782
124 106263 Edi Asta Saputra 48,150 377 4,000
125 101539 Waluyo 137,785 8,435 4,000
126 106520 Maryati 157,750 11,250 4,000
127 085165 Rina Dwi S 95,350 3,895 4,000
128 103109 Bayu Aji 41,495 3,772
129 106769 Nuri 262,275 - 4,000
130 100966 Mutia Yunita 131,030 8,821 4,000
131 079483 Wisnu Ramadan 80,700 4,245 4,000
132 098498 Albertus Aditya 68,050 3,095 4,000
133 099764 Jeremy Evans 109,900 6,900 4,000
134 106000 Masiyah 115,900 7,445 4,000
135 063359 Sutadi 127,850 - 4,000
136 106771 Sudarmi 85,500 - 2,500
137 075434 Wahyu Nurhayati 34,000 - 4,000
138 068208 Setiawan Arif 113,700 7,245 4,000
139 098785 Dwi Isnato 39,600 3,600
140 096076 Ratmi 107,700 6,700 4,000
141 106768 Fendi Darmawan 121,400 7,945 4,000
142 149266 Ahmad 15,000 1,364
143 105749 Karyati 39,600 3,600
144 101563 Fadillah 34,000 - 4,000
145 103109 Sus Kartina 34,000 - 4,000
146 076462 Nawval Egi 44,500 - 4,000
147 149269 Yuni 27,000 2,455
148 104928 Evi Nurita - 45,000 4,000
149 Sr. Rahayu (12,336) 135,700
150 Sr. Maria - 425,550 425,550
-
14,080,537 - 710,197 331,225 561,250 - - 294,872 - 425,550 - 385,500 75,000 -

Jurnal Umum 14,080,537


Kas dari Kassa 14,080,900
Selisih Kas 363

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 07 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

7 1 095223 Dedy Suryono 9,182 162,500 4,000


2 095345 Aris Bayu Suseno - 158,900 4,000
3 093290 Desi Iriyani 1,218 13,400
4 106781 Khalifi - 51,500
5 087251 Supirah 45,000 - 13,500 4,000
6 006056 Widiasih Ciptanti 1,673 17,000 16,900 3,000 12,500
7 Meterai 6,000 - 6,000
8 106771 Suparmi 18,500 - 2,000
9 149270 Imam 9,500 864
10 168509 Risem 190,000 -
11 074577 Siti F 13,500 -
12 106778 Shakira Azahra 52,000 -
13 064623 RS Purwogondo 317,000 26,455
14 011291 Retno Sundari 244,500 -
15 106334 Rafansyah 16,500 - 2,000
16 097616 Tri Septi Susiana 39,600 3,600
17 106775 Suwarti 84,622 - 4,000
18 098935 Nining Setyaningsih 49,050 - 4,000
19 063401 Sastro Yuwono 93,950 - 4,000
20 091946 Ema Widyaningrum 68,700 - 4,000
21 082424 San Mukmin 100,175 7,607 3,000 12,500
22 045051 Suwarni 15,500 - 3,000 12,500
23 050522 Sigit Arbiantoro 43,800 2,573 3,000 12,500
24 091731 Turmadi 15,500 - 3,000 12,500
25 106401 Ayu Safitri 95,800 8,709
26 106780 Andriani 101,500 -
27 056889 Sumarti 13,500 -
28 106783 Afriyanto 85,500 - 2,500
29 106202 Sumarni 61,500 - 4,000
30 057582 Ratiyem 191,650 14,241 4,000
31 097941 Ngasiyah 96,950 5,632 4,000
32 100887 Sodirah 120,925 7,902 4,000
33 106484 Sumitri 80,050 4,186 4,000
34 017674 Suwarno 176,125 12,920 4,000
35 063102 Titi Suwarni 34,000 - 4,000
36 060386 Sukaryo 34,000 - 4,000
37 086609 Wasimun 139,950 9,632 4,000
38 105672 Turino 59,500 1,727 4,000
39 104346 Satinem 152,000 10,136 4,000
40 014151 Rasilah 141,000 9,636 4,000
41 106785 Kustiyah 58,000 - 2,500
42 078229 Teguh Ruswanto 84,500 4,591 4,000
43 106782 Sunarti 34,500 1,727 3,000 12,500
44 101244 Pangestuti 104,500 - 2,500
45 105407 Kurniasih 24,500 818 3,000 12,500
46 082657 Ristijanto 36,500 -
47 038233 Subandi 34,000 - 4,000
48 106579 Pujiati 257,250 14,023 4,000
49 104707 Slamet Sutarman 70,000 3,273 4,000
50 149213 dr. Harnowo 32,500 2,955
51 106787 Saminah 198,500 11,818 4,000
52 106788 Tasiyem 136,700 8,018 4,000
53 106651 Wahyu Supriyanto 112,750 - 4,000
54 Dasikin 11,950 - 11,950
55 064146 Lusiana Kurniawati 43,750 - 4,000
56 067283 Nova Saputri 78,250 - 4,000
57 106791 Wardoyo 127,500 - 2,500
58 106617 Rijal Atthoriq 59,500 2,318 4,000
59 106559 Edi Setiawan 593,800 50,891 4,000
60 106784 Suparno 127,500 - 2,500
61 106743 Dewi Puji 566,000 20,318
62 106790 Nur Fatimah 127,500 - 2,500
63 072530 Supiyah 125,000 -
64 042154 Nisrina 98,700 - 4,000
65 Astrina 10,300 936
66 106789 Kasno 111,100 7,782 3,000 12,500
67 Tuyem 45,000 4,091
68 092808 Gentasela 88,700 - 4,000
69 102595 Alvin adrian 97,350 5,759 4,000
70 101382 Asifa Anayah 82,350 4,395 4,000
71 082600 Nisa Dwi 161,800 11,618 4,000
-
6,747,597 - 293,225 416,800 11,950 - - - - 16,900 - 189,000 100,000 -

Jurnal Umum 6,747,597


Kas dari Kassa 6,748,100
Selisih Kas 503

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 08 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

8 1 013503 Vicky Yuvita 179,000 - 4,000


2 106801 Cindy Antika 81,250 - 4,000
3 Ganang 10,000 -
4 089144 Fera 79,500 -
5 079140 dr. P Haryadi 8,000 3,623 31,850
6 149290 Ika 2,400 218
7 106793 San Wardi 30,000 - 41,150 4,000
8 106796 Tri Wahyu 109,950 - 4,000
9 106795 Fauzan Adi 266,250 - 4,000
10 149293 Supriyati 15,200 1,382
11 149294 dr. Nrimanto 125,000 11,364
12 106515 Narsum 232,100 12,873 4,000
13 075264 Saminah 100,000 6,000 4,000
14 100007 Haryati 157,725 11,157 4,000
15 106025 Yuli 50,500 1,500 4,000
16 064623 Amsiyah 90,000 -
17 106733 Maryani 18,500 - 2,000
18 080254 sapen 74,250 3,568 4,000
19 085839 Wadiron 90,000 5,091 4,000
20 081532 Mad Sumarto 225,200 17,291 4,000
21 098456 ambar Rini 52,100 1,645 4,000
22 051486 Basirun Karto D 34,000 - 4,000
23 011517 Amiran 17,000 - 2,000
24 069890 Martuni 97,450 7,359 3,000 12,500
25 067646 Erni 26,500 - 2,000
26 106732 Waginem 73,900 - 4,000
27 102509 Ardianto 50,500 - 2,500
28 001391 Suwarti 97,700 5,700 4,000
29 083245 Theresia Septerina 61,500 - 4,000
30 Meterai 6,000 - 6,000
31 149298 Niken 19,150 1,741
32 105962 Khotimah 19,000 909 4,000
33 149297 Alipah 5,000 455
34 076813 Sutriyaningsih 118,100 3,100 4,000
35 001633 MF Budiyati 226,750 12,386 4,000
36 085003 Kusminah 153,000 6,273 4,000
37 102918 saidah 78,400 3,036 4,000
38 106807 Sugiarti 188,250 9,477 4,000
39 106496 Trimaningsih 106,000 2,000 4,000
40 106809 Nur Apsaroh 54,500 500 3,000
41 106806 Nunung Riyani 187,500 9,409 4,000
42 104014 Rosdiyanti 125,000 3,727 4,000
43 106269 Ajeng Ratna D 141,000 5,182 4,000
44 060565 Sri Rahayu 84,000 - 4,000
45 104714 Wiwi Tri S 154,000 - 4,000
46 106808 Siti Roisah 84,000 - 4,000
47 106446 Tri Hastuti 45,000 - 4,000
48 106099 Sarsih 84,000 - 4,000
49 106010 Ratri Sahwan 84,000 - 4,000
50 074646 Yustina 67,000 -
51 106702 San Marja 173,500 12,682 4,000
52 106700 Dwi Asih P 35,500 - 3,000
53 006137 dr. Harnowo 10,600 964
54 106301 Muhamad Damiri 194,800 13,391 4,000
55 168585 Te Thian Sian 51,500 -
56 098935 Nining Setyaningsih 114,550 2,186 4,000
57 106804 Sartinah 112,700 6,700 3,000 12,500
58 060461 Sr. Marieta 6,409 35,250 35,250
59 015732 Eni Kurniasih 1,741 19,150
60 076611 Flora salsabila SP - 49,600 49,550 4,000
-
5,178,275 - 191,039 145,150 - - - - - 116,650 - 174,500 25,000 -

Jurnal Umum 5,178,275


Kas dari Kassa 5,178,700
Selisih Kas 425

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 09 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

9 1 106756 Saiful - 45,000 4,000


2 106817 Fr. Mathias B - 60,375 20,125 4,000
3 069301 Sukoco - 13,500
4 029956 Sr. Yuli 4,109 22,600 22,600
5 149304 Sr. Marieta 1,500 8,250 8,250
6 006139 Sr. Silvi 12,000 26,400 105,600
7 104118 Sr.Felisitas 7,286 59,825 59,825 3,000 18,500
8 058345 Sr. Vincentia 11,068 68,625 68,625 3,000 12,500
9 106083 Sr. Regina 1,686 17,025 17,025 3,000 12,500
10 106731 Supriyasih 4,909 79,500 3,000 12,500
11 149300 Sarjono 117,850 7,123
12 Sudarni 14,000 1,273
13 073503 Triyatna 20,000 -
14 106818 Kavinda 20,000 -
15 106011 Parini 68,000 - 4,000
16 106814 Lasno 196,850 - 4,000
17 106815 Risan 61,450 - 4,000
18 106812 Purwati 74,800 - 4,000
19 106819 San Wiarta 70,000 - 4,000
20 106822 Slamet 91,100 - 4,000
21 076308 Jhonatan Aiwa 78,650 - 4,000
22 015949 Sugiyati 13,500 -
23 084560 Slamet 212,000 19,273
24 099464 Tri Hidayatul 9,000 -
25 038897 Fitri Ida Nursanti 19,000 909 4,000
26 097713 Ahmad Faizal 58,150 3,877 3,000 12,500
27 149316 Wari 47,200 4,291
28 087251 Supirah 13,000 - 3,000
29 106055 Mahfur Walyono 256,750 18,068 3,000 12,500
30 022524 dr. Nrimanto 110,000 10,000
31 168835 San Mikarto 90,000 -
32 106835 FL. Resomulyo 85,500 - 2,500
33 106834 Jamaludin 95,500 - 3,000
34 106648 Susanti 89,200 336 3,000
35 047618 Dimas setyawan 15,500 - 3,000 12,500
36 Sri Kundari 34,000 - 34,000
37 002321 Yulianus Sarwono 14,500 1,318
38 019173 Agustinus Suripto 177,500 -
39 106641 Eka Fitri 10,000 - 4,000
40 149317 Sutini 8,100 736
41 093414 Gabriel Dwiki C 15,500 - 3,000 12,500
42 106837 Ana Susianti 266,920 - 4,000
43 101261 Suri Widawati 104,200 - 4,000
44 106840 Painah 121,200 - 4,000
45 106839 Slamet 59,750 - 4,000
46 020306 Bintang 57,950 -
-
2,796,620 - 109,764 387,600 34,000 - - - - 315,550 - 95,500 106,000 -

Jurnal Umum 2,796,620


Kas dari Kassa 2,797,100
Selisih Kas 480

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 10 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

10 1 076611 Flora Salsabila S - 110,125 110,125 4,000


2 011136 Yosepha I 24,000 - 9,500 38,000 3,000
3 099457 Demetrius Tristan W - 120,800 4,000
4 Meterai 12,000 - 12,000
5 Siti Khotiah 148,100 - 148,100
6 Dedy Suryono 101,000 - 101,000
7 001132 Eko Wahyudiono 10,150 923
8 106841 San Kurdi 82,200 - 4,000
9 106844 Samsul Arifin 88,900 - 4,000
10 106846 Rian 91,500 - 4,000
11 079350 Ibnu Abdulrohman 128,700 - 4,000
12 079140 dr. P Haryadi 116,550 10,595
13 149324 Watiyah 7,000 636
14 149322 Sarjono 139,650 6,636
15 106691 Tuti Sunarti 20,000 -
16 106595 By Saidah I 15,500 - 3,000 12,500
17 106596 By Saidah II 15,500 - 3,000 12,500
18 106848 Tugiyem 76,300 - 4,000
19 106847 Reva Vita 8,000 -
20 Alipah 70,000 -
21 097501 Isnaeni Desta 90,150 - 4,000
22 006091 Wiji Suparmi 36,175 -
23 106849 Adinda Desta 144,850 - 4,000
24 098981 Wirayudha A 7,900 -
25 104189 Ibnu Azri 7,000 -
26 064623 RSU Purwogondo 67,000 -
27 014729 Dewi Mindyawati 126,600 - 4,000
28 085283 Davin Haidar Y 100,550 - 4,000
29 044498 Taufik Eko S 36,500 -
30 099029 By Wagini 125,550 - 4,000
31 106850 Danu Sambogo 182,750 - 4,000
-
2,080,075 - 18,791 240,425 249,100 - - - - 148,125 - 73,000 - 25,000

Jurnal Umum 2,080,075


Kas dari Kassa 2,080,400
Selisih Kas 325

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 11 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

11 1 084972 Angger Krismana - 46,950 4,000


2 058792 Suparyanto 6,209 102,300 4,000
3 005976 Alipah 2,273 25,000
4 149338 Sr.Ana 3,800 41,800
5 098521 Nibros Cliste 104,150 - 4,000
6 000282 Sudarmi 12,000 1,091
7 068818 Dwi Aryani 18,500 1,682
8 082396 Dwi Wahyu Setya 15,850 1,441
9 102748 Kiyatno 7,500 682
10 149336 dr. Cecilia 14,500 1,318
11 Pasien Luar 100,000 -
12 050617 Florencia 52,000 -
13 026974 Sugiyanto 13,500 -
14 100481 Priska Aurelia 46,050 - 4,000
15 051006 Kasdi 193,000 - 4,000
16 070122 Indarto 129,650 - 4,000
17 054759 Rasinah 109,450 - 4,000
18 149333 dr. Haryadi 4,800 436
19 092459 Kartinem 67,400 4,718 3,000 12,500
20 106837 Anna Susianti 72,200 4,245 3,000 12,500
21 106862 Fahri 50,500 - 2,500
22 023421 Wasimin 13,500 -
23 050470 Marsinem 98,505 - 4,000
24 100582 Manisah Edi 47,300 2,891 3,000 12,500
25 060676 Agus budiarto 47,900 2,945 3,000 12,500
26 106866 Tiska Suryani 58,600 3,918 3,000 12,500
27 033623 Nuri Anggraeni 47,700 2,018 3,000 12,500
28 106870 Emi Elisa 113,500 - 2,500
29 102918 saidah 9,000 - 4,000
30 Susteran Gombong 1,131,600 - 1,131,600
31 105292 Muhamad Mansur 90,000 5,091 4,000
32 102304 Sobari 120,625 7,875 4,000
33 086771 Devira A 16,500 - 2,000
34 104052 David Triono 34,000 - 4,000
35 106874 Nabila Nurul F 89,800 6,755 3,000 12,500
36 043884 Ritem 196,250 14,750 4,000
37 057489 Martinem 47,122 2,784 3,000 12,500
38 106871 Putut Lenggono 60,726 4,111 3,000 12,500
39 105765 Merta 68,075 3,098 4,000
40 022524 dr. Nrimanto 177,500 16,136
41 106873 Fajar Wisnu R 16,500 - 2,000
42 106636 Sutarso 94,550 5,505 4,000
43 106142 Ramelan 79,550 4,050 4,000
44 106835 FL Rejomulyo 18,500 - 2,000
45 001076 Tuningsih 198,700 14,882 4,000
46 106869 Satinah 78,325 3,939 4,000
47 106859 Sutiman 188,500 10,764 4,000
48 106861 Siti Choliyah 57,000 2,000 4,000
49 106471 Waginah 139,750 9,614 4,000
50 106864 Kasminah 238,625 13,557 4,000
51 089378 Inem Kasinem 62,325 2,575 4,000
52 099358 Mairah 87,250 4,841 4,000
53 094682 Sarinah 66,575 2,870 4,000
54 106720 Nurnaningsih 82,300 4,391 4,000
55 106865 Karsinah 160,250 10,159 4,000
56 105759 Suparti 80,100 4,191 4,000
57 095025 Sukarni 155,975 11,089 4,000
58 070839 Tuyem 187,000 13,818 4,000
59 073175 Pasien Luar 35,000 3,182
60 095444 Nasrowi 105,000 5,227 4,000
61 104950 Iswati 172,750 9,705 4,000
62 051509 Cipto Sunarmo 155,950 9,768 4,000
63 085836 Tariyem 159,700 11,336 4,000
64 106869 Mad Murni 111,225 3,830 4,000
65 075612 Marsinem 73,500 3,591 4,000
66 106563 Hardinan 16,500 - 2,000
67 097454 Sukarsih 119,000 7,727 4,000
68 040659 Pangestuti 126,500 8,409 4,000
69 106872 Mad Supyan 124,750 3,205 4,000
70 004219 Agustina Pratiwi 4,000 436 16,300 3,000 12,500
71 106860 Sukardi 127,250 - 4,000
72 106429 Ani Susanti 252,800 4,800
73 106876 Ngadimin 121,000 - 4,000
74 106701 Sariyem 407,000 32,591 4,000
75 106677 Salbiyah 43,000 818 4,000
76 Meterai 6,000 - 6,000
77 016318 Sr. Herwida 13,773 177,050 177,050 4,000
78 032624 Marsinta Manik 2,484 27,325
-
7,631,953 - 339,393 420,425 1,131,600 - - - - 193,350 - 225,000 125,000 -

Jurnal Umum 7,631,953


Kas dari Kassa 7,632,700
Selisih Kas 747

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 12 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

12 1 016318 Sr. Herwida - 94,500 94,500


2 106731 Supriyasih 1,586 42,950 3,000 12,500
3 074551 Jimmy Alexander - 25,000 4,000
4 105155 Saminem 3,136 104,000 4,000
5 001773 Radikun Hadiwinoto 4,341 38,350 43,400 4,000
6 106880 Tugino - 252,760 4,000
7 041369 Tasiyah 34,000 - 4,000
8 106642 Priyatni 37,000 273 4,000
9 106694 Suwarsih 34,000 - 4,000
10 094269 Rifai Andika 157,900 6,900 4,000
11 106476 Tasimi 162,000 9,682 4,000
12 103185 Saikem 52,500 682 4,000
13 106877 Suryadi 34,000 - 4,000
14 106001 Jenny Ilyas 55,750 1,977 4,000
15 106715 Eka Purwati 641,250 7,659 7,000
16 101190 Pupit Sarga 164,350 10,941 4,000
17 106867 Muhamad Raihan 123,285 6,435 4,000
18 102564 Muji Hartati 277,750 22,159 4,000
19 101539 Waluyo 105,000 5,455 4,000
20 Sabarman 140,000 -
21 058750 Mungin 67,600 - 4,000
22 061200 Catur 13,450 1,223
23 087345 Roman Firsa 41,100 2,327 3,000 12,500
24 081782 Martinus Suwono 69,100 - 4,000
25 043476 Meri Magdalena 103,900 6,355 4,000
26 069698 Walem 62,300 2,482 4,000
27 098363 Firzal Yazid 33,955 1,678 3,000 12,500
28 052217 Elisetyo Prabowo 98,500 - 2,500
29 106744 Rira 127,500 10,182 3,000 12,500
30 074335 Warsini 125,102 9,964 3,000 12,500
31 057597 Nourmalia Hidayah 131,700 4,882 3,000 12,500
32 106884 Nasywa 16,500 - 2,000
33 106733 Maryani 18,500 - 2,000
34 027807 Tugino 33,000 3,000
35 106710 Martoyo 77,350 7,032
36 106881 Siti Aminah 61,378 3,671 3,000 12,500
37 106771 Suparmi 18,500 - 2,000
38 39163 Mujiyo 85,500 - 2,500
39 Marsinta Manik 27,325 - 27,325
40 106879 Atika Fitrianingrum 82,950 - 4,000
41 106675 Darun San Wikarto 144,600 10,055 4,000
42 106533 Tariyem 164,000 11,727 4,000
43 068810 Bina Husada 53,000 -
44 105872 Adminem 132,000 8,909 4,000
45 071641 Tuyem 128,500 8,591 4,000
46 104709 Tayinah 174,525 12,775 4,000
47 057386 Slamet Suharso 203,600 18,145 30,000 4,000
48 001323 Sumarto 50,250 4,568
49 106885 David Setiawan 70,050 4,959 3,000 12,500
50 067194 Sukoco 65,500 1,636 4,000
51 Savero Mulyatama 20,000 -
52 106774 Tasih 84,950 4,632 4,000
53 103310 Rohayati 72,500 3,500 4,000
54 083348 Sutopo 56,000 - 4,000
55 063096 Ramini 84,700 6,291 3,000 12,500
56 102538 Basuki 69,100 - 4,000
57 103731 Endang Aristiyani 43,000 818 4,000
58 079639 Angga Ardiansyah 121,000 5,955 3,000 27,500
59 050763 Nadila 12,000 -
60 062652 Surati 90,600 682 3,000
61 053553 Krispina Heni R 75,600 - 4,000
62 022092 Sumarno Hadi W 126,000 3,000 4,000
63 028735 Sumaryono 140,000 4,273 10,000
64 149346 Miyah 3,000 273
65 094839 Murah 84,100 3,327 4,000
66 Ade Nur H 20,000 -
67 030526 Ika Purwantiningsih 36,875 3,352
68 096603 Sumiyah 127,500 - 2,500
69 076866 Sarono 203,250 - 4,000
70 106888 Kasimin 127,500 - 2,500
71 106887 Tariyah 127,500 - 2,500
72 106055 Tri Mahfur 110,000 -
73 089854 Mad Daspar 110,000 -
74 106822 Slamet 109,200 - 4,000
75 106886 Tini 58,722 - 4,000
76 026173 Ida Irmayanti 9,600 873
77 087308 Imam Santoso 12,500 1,136
78 106860 Sukardi 21,500 - 4,000
79 106769 Tri Widarti 23,636 364,500 4,000
-
6,656,717 - 277,134 557,560 27,325 - - 364,500 - 167,900 - 232,500 140,000 -

Jurnal Umum 6,656,717


Kas dari Kassa 6,657,300
Selisih Kas 583

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 13 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

13 1 100103 Kuntoro Setiadi - 151,450 4,000


2 095223 Dedy Suryono 9,182 162,500 4,000
3 104830 Naufal Abinaya K - 34,000 4,000
4 105172 Siti Khasanah 3,886 87,750 4,000
5 050935 Dalu Rahayu E 6,782 74,600
6 006391 Eka Purwanti 3,600 39,600
7 008949 Suniah 867 9,540
8 054946 Dwi Sumanti 9,886 66,550 126,200 4,000
9 104170 Alfiesya Rahmania P 864 3,700 14,800 4,000
10 064313 Sarjono 9,432 119,250 3,000 12,500
11 058345 Sr. Vincentia 12,227 75,000 75,000 3,000 12,500
12 106905 Geraldus Ricard H - 15,500 3,000 12,500
13 079925 cici Iswati - 15,500 3,000 12,500
14 054955 Ivan Hendrawan - 15,500 3,000 12,500
15 102536 Natania - 15,500 3,000 12,500
16 099467 Demetrius Tristan W 5,632 77,450 3,000 12,500
17 001759 Tri Seondarwati - 40,300 37,850 4,000
18 083842 Wahyu Dwi Antoro - 96,800 41,200 4,000
19 106900 Parsini 69,000 4,864 3,000 12,500
20 105618 Miah 18,000 - 2,000
21 078472 Stevani 16,500 - 2,000
22 065895 Painem 13,500 -
23 001989 Rasinem 91,250 - 4,000
24 106883 Misiyo 18,500 - 2,000
25 075096 Agus Dwi 9,400 855
26 106893 Sumiyah 90,150 - 4,000
27 078472 Steven Marcelius 17,250 - 20,000 4,000
28 000701 Slamet 9,000 818
29 106891 Sugeng Riyadi 49,450 - 4,000
30 106890 A Supandiah 66,850 - 4,000
31 106889 Febrilia 53,500 -
32 087308 Imam santoso 9,500 864
33 016143 Trisno Slamet P 120,650 - 4,000
34 083785 Sri Muryani 18,000 818 4,000
35 044536 Listriyani 101,500 6,136 4,000
36 064623 RSU Purwogondo 133,700 12,155
37 105486 Kristiana Puspitasari 525,250 44,659 4,000
38 106395 Setyo Astuti 96,750 5,023 4,000
39 106728 Risem 129,000 6,955 4,000
40 106706 Valentina Putri 124,950 7,268 4,000
41 050293 Widarti 111,250 5,795 4,000
42 Novisiat Karanganya 1,931,000 - 1,931,000
43 103644 Suwarso 34,000 - 4,000
44 106746 Sarisah 160,750 13,205 3,000 12,500
45 072282 Erna 18,000 - 2,000
46 106732 Waginem 59,500 - 4,000
47 098930 suryanto 168,100 - 4,000
48 106835 Rejo Mulyo 18,500 - 2,000
49 090624 Gesti Oktaviani 38,500 409 4,000
50 087441 samiyah 81,000 3,500 4,000
51 073020 Lani Herawati 47,500 - 4,000
52 105529 Retno Palupi 12,300 1,118
53 029922 Laelatul Rosidah 69,100 - 4,000
54 047192 Sarilah 104,700 6,427 4,000
55 106511 Saring 58,650 2,241 4,000
56 018248 Sabarman 79,250 4,114 4,000
57 106906 Oki Novitarini 162,500 13,364 3,000 12,500
58 106436 Suparno 157,500 11,227 4,000
59 106688 Satinem 56,500 2,045 4,000
60 005979 Titis Eko W 8,500 773
61 062742 Yuli Tantiani 34,000 - 4,000
62 104346 Satinem 178,500 9,545 4,000
63 106609 Dewi A 18,500 864 4,000
64 106194 Yuiana 18,500 864 4,000
65 106659 Revalina 18,500 864 4,000
66 106153 Yehu Paula 18,500 864 4,000
67 106901 Tasem 18,500 864 4,000
68 106666 Bekti Anggraeni 18,500 864 4,000
69 106826 Sutini 18,500 864 4,000
70 106358 Amiata 18,500 864 4,000
71 106704 Fitri Wulandari 18,500 864 4,000
72 106505 Darmiati 18,500 864 4,000
73 105045 Priskila 18,500 864 4,000
74 105529 Eny Retno 18,500 864 4,000
75 106821 Diajeng 18,500 864 4,000
76 106694 Siti Khasanah 18,500 864 4,000
77 106589 Aisya 18,500 864 4,000
78 106823 Ambar Tyas 18,500 864 4,000
79 106318 Yohana 18,500 864 4,000
80 106637 Tukiyem 18,500 864 4,000
81 106696 Fitriyani 18,500 864 4,000
82 106903 Siti Asiyah 26,000 1,545 4,000
83 106608 Dewi Andriyani 9,000 - 4,000
84 074154 Ambar Tyas 9,000 - 4,000
85 106108 Aisyla Shafira 9,000 - 4,000
86 106813 Satini 9,000 - 4,000
87 106652 Bekti Anggraeni 9,000 - 4,000
88 089658 Fitri Wulandari 9,000 - 4,000
89 101884 Diajeng 59,000 - 4,000
90 065395 Ika Widiastuti 81,400 - 63,750 4,000
91 Radikun 38,400 - 38,400
92 024772 Sujimah 64,000 2,727 4,000
93 016280 Tukiyem 87,750 3,886 4,000
94 103552 Siti Asiyah 123,000 3,545 4,000
95 106686 Fitriyani 76,750 3,886 4,000
96 106681 Tasmun 246,250 16,932 6,000
97 106915 Yayuk Febri 73,600 3,600 4,000
98 100784 Sri Asfirotun 39,600 3,600
99 098633 Anton Yuniarto 39,600 3,600
100 075778 Siti Aisiyah 79,200 7,200
101 105936 Sartiningsih 213,750 15,341 4,000
102 060606 Ratri Faedah 39,600 3,600
103 106667 Puri Astuti 87,750 3,886 4,000
104 106910 Wahyu Susilowati 81,100 4,282 4,000
105 106095 Wiryoto 74,000 3,636 4,000
106 106909 Hendi Kuswanti 203,726 15,430 4,000
107 106911 Panji Pranantya 73,600 3,600 4,000
108 106913 Nur Hasanah 88,000 4,909 4,000
109 099751 Wajib 156,000 11,091 4,000
110 106897 Sinar Wulan 113,200 7,200 4,000
111 106742 Sakem 191,000 14,273 4,000
112 062401 Tri Murtiningsih 39,600 3,600
113 062232 Tyas Satria 74,600 6,782
114 106109 Wara Anindya 79,200 7,200
115 033575 Ria 39,600 3,600
116 078854 Wahyu 39,600 3,600
117 105951 Lilis Eka 39,600 3,600
118 106119 Slamet Sumedi 96,250 5,659 4,000
119 081596 Sakinem 47,500 - 4,000
120 073651 Sukinem 324,200 26,382 4,000
121 099917 Sumaryati 39,600 3,600
122 098776 Novianti Wulandari 146,500 10,227 4,000
123 104293 Arif Sujatmiko 1,500 136
124 106446 Tri Hastuti 46,300 118 4,000
125 056862 Ratih W 58,750 2,250 4,000
126 106745 Sipar 74,000 3,636 4,000
127 048127 Umi Sumarah 157,250 6,659 4,000
128 106908 Sainah 84,000 - 4,000
129 080620 Napsiyah 126,750 3,886 4,000
130 025416 Indah Marini 154,250 6,386 4,000
131 106899 Indro Prasetyo 175,200 12,836 4,000
132 105026 MG Ponah 39,600 3,600
133 104096 Sri Wahyuningsih 39,600 3,600
134 098788 Astrit tri 39,600 3,600
135 071868 Tri Wijayati 39,600 3,600
136 103364 Rusmiyah 169,600 15,418
137 106865 Karsinah 254,000 1,818
138 106902 Rohmah Khasanah 158,700 11,336 4,000
139 044171 Tri Kusuma Dewi 39,600 3,600
140 058255 Susana Irawati 39,600 3,600
141 106912 Gunawan ariyono 175,000 12,818 4,000
142 057720 Nurul Endarti 39,600 3,600
143 057001 Lani Herawati 52,500 - 4,000
144 106258 Satirah 188,200 14,018 4,000
145 037601 Nunung 39,600 3,600
146 105804 Diah Rusianti 39,600 3,600
147 046209 Wiji Suwarni 74,600 6,782
148 103960 Feriyani 39,600 3,600
149 102731 Riris Winarni 39,600 3,600
150 074551 Jimmy Alexander 220,700 10,155 25,000 4,000
151 105181 Qori 66,200 2,927 4,000
152 106700 Dwi Asih P 84,500 818 3,000
153 079147 Feni Damayanti 79,200 7,200
154 047895 Sukini 39,600 3,600
155 106916 Tanti Setyo 120,650 - 4,000
156 096000 Diah Tirta Puri 39,600 3,600
157 093421 Rustinah 79,200 7,200
158 047873 Kusumanintyas 79,200 7,200
159 039639 Iriani 39,600 3,600
160 106914 Edi Handoyo 79,600 4,145 4,000
161 106907 Pariyah 73,600 3,600 4,000
162 104822 Tegar sahru 84,000 4,545 4,000
163 093239 Herni Widyawati 114,200 10,382
164 Sanginatun 40,000 -
165 104031 Satria P 92,000 5,273 4,000
166 104404 Nathanael 92,000 5,273 4,000
167 103519 Fadlan 92,000 5,273 4,000
168 105995 Faridha 92,000 5,273 4,000
169 100091 Ristin 92,000 5,273 4,000
170 103103 Almira 90,000 5,091 4,000
171 106118 Moh Candra 71,300 3,391 4,000
172 101728 Aurelia 36,000 182 4,000
173 105331 Aprilia 55,800 1,982 4,000
174 102614 Putri Anastasya 41,500 682 4,000
175 106918 Ibnu Warid 115,380 7,398 4,000
176 099464 Tri Hidayatul 61,450 2,495 4,000
177 104189 Ibnu Azri 86,000 4,727 4,000
178 000084 Agus Setiawan 48,500 -
179 106800 Siswanto 46,500 1,136 4,000
180 106476 Tasimi 55,500 - 4,000
181 090476 Danendra Fathan 168,800 11,255 4,000
182 032624 Marsinta Manik 4,000 364
183 044847 Aloysius Ivanio 37,250 - 4,000
184 106770 Fitri 530,500 43,455 4,000
185 042027 Suri Putri 39,600 3,600
186 099464 Rahma Putri 117,000 - 4,000
187 106707 Tarsih 71,500 3,409 4,000
188 106923 Sinta 150,400 - 4,000
189 102716 Inayat Hanum 79,200 7,200
190 044722 Drita Maryanawati 34,800 3,164
191 149349 Umi 17,000 1,545
192 105074 Naufal 90,000 5,091 4,000
193 Erna 8,500 773
-
15,241,806 - 794,941 664,790 1,994,400 - - 435,700 - 378,800 - 537,000 125,000 -

Jurnal Umum 15,241,806


Kas dari Kassa 15,243,500
Selisih Kas 1,694

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 14 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

14 1 106942 Hanif - 256,025 4,000


2 106893 Sumiyah - 131,500 4,000
3 055480 dr. B suryanto 4,905 53,950
4 Rumijah 25,000 - 25,000
5 149361 Ita Dwi R 4,000 364
6 106929 Nastiti 92,900 7,036 3,000 12,500
7 046655 Bambang Edi 58,000 - 2,500
8 000348 Niken Sumekar 13,500 -
9 Suniah 9,540 - 9,540
10 061200 Catur Aiwa U 3,000 273
11 Yosepha I 9,500 - 9,500
12 022524 dr. Nrimanto 62,500 5,682
13 106924 Asianto 101,300 - 4,000
14 097904 Sartiyah 118,250 9,341 3,000 12,500
15 106837 Anna Susianti 57,700 2,927 3,000 12,500
16 106931 Satimin 66,670 4,652 3,000 12,500
17 106933 Neneng Hasanah 49,500 - 7,000 12,500
18 025514 Sadinah 70,350 3,305 4,000
19 033623 Nuri Anggraeni 25,500 - 3,000 12,500
20 042689 Nistam 65,700 2,791 4,000
21 099746 Anna Fiky 20,000 -
22 091567 Rauf Noval 50,500 - 2,500
23 098327 Nur Adinda 50,500 - 2,500
24 087689 Sanisah 131,900 6,036 3,000 12,500
25 106865 Karsinah 34,000 - 4,000
26 106934 Anggun Noviana 83,500 4,500 4,000
27 070657 Joko Priyanto 120,000 -
28 042923 Anastasia Siti H 172,375 9,389 4,000
29 106936 Suroso 91,100 5,100 4,000
30 029710 The Kiem Keng 34,000 - 4,000
31 106484 Sumitri 112,950 7,177 4,000
32 106792 Sartinem 286,600 22,964 4,000
33 014848 Rudi Novandi 76,500 -
34 106802 Sumeru 167,500 12,045 4,000
35 063102 Titi Suwarni 34,000 - 4,000
36 106940 Surtiyah 48,600 - 3,000 17,000
37 083245 Theresia Septerina 61,500 - 4,000
38 078633 Tawirya 90,775 5,070 4,000
39 045524 Suparman 54,950 3,586 3,000 12,500
40 048617 Siswantoro 39,600 3,600
41 098895 Parmi 144,550 8,823 4,000
42 087251 Supirah 69,500 - 4,000
43 100675 Meli Gandi P 127,000 3,409 4,000
44 106833 Pariyem 160,500 11,409 4,000
45 106394 Kasiyem 112,500 7,045 4,000
46 098366 Dalimin 34,000 - 4,000
47 102921 Semi Rahayu 34,000 - 4,000
48 055322 Maria Yulianti 147,000 10,273 4,000
49 031979 Setiawan 129,250 6,432 4,000
50 San Wardi 41,200 - 41,200
51 102576 Parilah 35,500 3,227
52 010229 Sugiyarti 13,500 -
53 092275 Arya Pandita 51,650 - 4,000
54 149364 Sarwono 2,000 182
55 041010 Sri Yuliati 76,500 -
56 106877 Suryadi 538,100 17,782
57 106789 Kasno 112,250 5,432 4,000
58 106075 By Kholifah 58,320 2,211 4,000
59 097961 Kevin Rafi 142,590 9,872 4,000
60 106683 Puri Astuti 34,000 - 4,000
61 101948 Nadia Rahma 34,000 - 4,000
62 103231 Leon Hart 34,000 - 4,000
63 100816 Dafa D 34,000 - 4,000
64 098118 Maghtirah 34,000 - 4,000
65 106946 Chechi D 34,000 - 4,000
66 106945 Fadila 34,000 - 4,000
67 104154 Quinza 90,000 5,091 4,000
68 104742 Nabila 90,000 5,091 4,000
69 104164 Revel Yehezkiel 92,000 5,273 4,000
70 103286 Jasmine Anindia 36,000 182 4,000
-
5,169,670 - 222,475 441,475 85,240 - - - - - - 198,500 117,000 -
Jurnal Umum 5,169,670
Kas dari Kassa 5,170,200
Selisih Kas 530

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 15 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

15 1 106893 Sumiyah 185,925 - 131,500


2 104928 Evi Nurita - 45,000 4,000
3 080517 Keisya Ayuning - 51,000 4,000
4 097673 Wiwi Hastuti 5,859 98,450 4,000
5 090327 Ika Rizkaningsih 4,095 112,550 3,000 12,500
6 105172 Siti Khasanah 609 51,700 4,000
7 106963 Rahmat - 199,875 4,000
8 106756 Saiful - 69,250 4,000
9 070944 Fx. Yitno Puspo - 252,650 4,000
10 064313 Sarjono - 110,000
11 001749 Paula Wakinah - 10,000
12 106880 Tugino 7,600 109,100 3,000 12,500
13 005747 Evita Indah R 955 3,900 15,600 4,000
14 106590 Sr. Verona 3,564 19,600 19,600
15 006139 Sr. Silvi 9,086 49,975 49,975
16 050580 Yusiva Sumarni 264 2,900
17 005979 Titis Eko W 1,136 12,500
18 149368 Sarjono 58,200 5,291
19 022524 dr. Nrimanto 66,000 6,000
20 106951 Siti aminah 105,000 - 4,000
21 096771 Kamila 46,300 - 4,000
22 106919 Hadi Suparto 190,000 -
23 106949 Pranoto 189,850 - 4,000
24 032573 Hilda 93,000 -
25 106947 Hermanto 52,010 - 4,000
26 106946 Chelci Oktavia 60,920 5,538
27 036780 Novelin 52,000 -
28 106945 Fadila Puspita 11,500 1,045
29 029626 Melly 31,900 2,900
30 Priyatno 10,000 -
31 006178 Tyasmini 5,900 536
32 076294 Andika R 16,500 - 2,000
33 081531 Soeprijanto 34,000 - 4,000
34 106429 Ani Susanti 48,250 1,295 4,000
35 067689 Riyanti 27,750 2,523
36 067689 Sakinah 71,000 6,455
37 106962 Andriyanto 77,900 - 4,000
38 106667 Puri Astuti 51,700 609 4,000
39 082171 Nurintan 152,250 6,205 4,000
40 106959 Reni Tri 165,600 7,418 4,000
41 016280 Tukiyem 51,700 609 4,000
42 106958 Supini 162,000 7,091 4,000
43 106964 Sumarni 84,000 - 4,000
44 106961 Puryanti 84,000 - 4,000
45 066142 Sakinah 84,000 - 4,000
46 064904 Clara 84,000 - 4,000
47 106446 Tri Hastuti 45,000 - 4,000
48 106686 Fitriyani 45,000 - 4,000
49 056862 Ratih Wulandari 52,500 - 4,000
50 106957 Endah P 84,000 - 4,000
51 Kuncoro Setiadi 30,300 - 30,300
52 090476 Danendra 45,000 - 4,000
53 094269 Rifai Andika 34,000 - 4,000
54 102564 Muji Hartati 34,000 - 4,000
55 106965 Rohmia 34,000 - 4,000
56 101368 Nacita Gilda 72,300 - 4,000
57 106239 M Stevani 21,000 - 2,000
58 SMP PIUS 298,800 - 298,800
59 039544 Elisabeth 11,750 1,068
60 106523 Toni Gunawan 34,000 - 4,000
61 016717 Uni Erwati 12,500 1,136
62 106827 Sunarya 146,000 9,273 4,000
63 106563 Handinah 16,500 - 2,000
64 024772 Sujimah 34,000 - 4,000
65 063303 Irma Wahyu 210,600 17,736 3,000 12,500
66 088672 Azam Fauzan 32,900 1,582 3,000 12,500
67 102535 Sadikem 112,700 5,836 4,000
68 073622 Eni Budi 25,000 - 2,000
69 106835 Rejo Mulyo 18,500 - 2,000
70 Meterai 6,000 - 6,000
71 011484 Emi Muryani 16,905 246,950 4,000
-
3,809,505 - 140,220 834,050 460,600 - - 358,700 - 337,825 - 180,000 50,000 -

Jurnal Umum 3,809,505


Kas dari Kassa 3,809,700
Selisih Kas 195

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 16 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

16 1 017195 Sr. Lucia 168 18,675 18,675 3,000


2 092686 Sr. Felisitas 168 24,700 24,650 3,000
3 044417 Yudo Wiratmoko - 49,000 3,000
4 051797 Anasthasya Y - 47,500 3,000
5 005934 Titi Lestari - 15,500 62,000 3,000
6 069073 Valentina Purwasari 2,509 43,100 3,000 12,500
7 087322 Dwi Indra A 6,727 81,750 7,750 3,000 12,500
8 149371 Sundarwati 1,355 14,900
9 076252 Noviantini - 12,600 50,400
10 106963 Rahmat - 67,000
11 106942 Hanif - 41,500 4,000
12 046376 Titin Mardiyanti - 59,350 4,000
13 000979 Iwan Wijaya 13,500 -
14 106969 Teguh Prasetyo 135,350 - 4,000
15 029529 Myra Rubyani 58,300 - 4,000
16 003061 Umi Wadingah 11,700 1,064
17 097575 Nadimi 11,000 1,000
18 002156 Tasini 4,500 409
19 051006 Kasdi 68,522 - 4,000
20 001782 Sri Sulastri 76,500 -
21 087251 Supirah 13,000 - 3,000
22 095166 Joko S 13,500 -
23 031979 Setiawan 13,000 - 3,000
24 106967 Sarijan 111,400 - 4,000
25 106673 Heri Kurniawan 196,000 12,773 4,000
26 054066 Tugino 117,750 5,159 4,000
27 046837 Basuki Wibowo 34,000 - 4,000
28 106955 Bakhtiar Adi N 66,500 - 4,000
29 106733 Maryani 18,500 - 2,000
30 100671 MM Dwi Maryati 19,500 955 4,000
31 067646 Erni 26,500 - 2,000
32 106972 Kadiyah 111,850 4,214 3,000 12,500
33 106883 Misiyo 18,500 - 2,000
34 064623 RSU Purwogondo 158,400 14,400
35 106929 Nastiti 5,500 (1,909) 3,000 12,500
36 106971 Isnaeni 103,500 8,000 3,000 12,500
37 075606 Kresna 112,000 - 2,500
38 105618 Miah 18,000 - 2,000
39 078472 Steven 16,500 - 2,000
40 069355 dr. Novita 67,000 -
41 106648 Susanti 58,350 259 3,000
42 Meterai 12,000 - 12,000
43 106974 Muchsonah 150,900 - 4,000
44 Paula Wakinah 10,000 - 10,000
45 036780 Novelina 8,000 -
46 17984 Syukur 16,500 - 2,000
47 17982 Muhith 16,500 - 2,000
48 067375 Cesa Kurnia 67,551 3,823 3,000 12,500
49 016717 Uni Erwati 3,000 - 12,500 3,000 12,500
50 149373 Agus Dwi 9,400 855
51 149374 Indah Suliatin 19,300 1,755
52 037774 Yunus Al Marto 96,900 - 4,000
53 106977 Velita 34,000 - 4,000
54 092846 Ichiro 97,500 5,773 4,000
55 106610 Nur Soleh 87,800 4,891 4,000
56 100350 Fransisco 45,450 1,041 4,000
57 100543 Levino 38,500 409 4,000
58 100307 Aulia Ashanti 38,500 409 4,000
59 101465 Muh Alfa 38,500 409 4,000
60 063600 Ngadimi 29,000 2,636
61 104678 Rida Pratiwi 51,250 1,568 4,000
62 098498 Albertus Aditya 39,600 509 4,000
63 094220 Yusuf Abqari 34,000 - 4,000
-
2,617,273 5,500 81,327 475,575 10,000 - - - - 175,975 - 165,500 87,500 -

Jurnal Umum 2,611,773


Kas dari Kassa 2,612,100
Selisih Kas 327

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 17 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

17 1 149397 Lucia - 6,900


2 009008 Wasiyah - 254,150 4,000
3 39876 Juan 153,300 - 4,000
4 106943 Marsiti 190,000 -
5 106933 Neneng Hasanah 111,700 - 4,000
6 149381 dr. Nrimanto 116,000 10,545
7 087345 Roman Firsa 56,200 - 4,000
8 101417 Rasimin 134,300 - 4,000
9 106088 Poniman 246,175 - 4,000
10 016928 Sarjono 12,000 -
11 072972 Warno 13,500 -
12 048570 Lana Indri 154,240 - 4,000
13 106942 Hani 99,000 - 4,000
14 106989 Dean Wajar 201,500 - 4,000
15 106988 Anabila Aji 188,950 - 4,000
16 149398 Mutmainah 4,150 -
17 106987 Lusia Indriyati 1,132,800 - 4,000
18 149401 Maryati 141,800 -
19 106994 Rido Anggoro 235,850 - 4,000
20 103716 Arif Hidayat 102,800 - 4,000
21 088842 Sumaryani - 51,000 4,000
22 Supinah - 46,000
-
3,294,265 - 10,545 358,050 - - - - - - - 56,000 - -

Jurnal Umum 3,294,265


Kas dari Kassa 3,294,500
Selisih Kas 235

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 18 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
18 1 107005 Wahid Nurhidayat 2,327 41,100 3,000 12,500
2 106880 Tugino 5,382 84,700 3,000 12,500
3 060461 Sr. Marieta 7,909 43,500 43,500
4 106705 Nayla Pratiwi - 16,500 2,000
5 006139 Sr. Silvi 27,955 61,500 246,000
6 102463 Lois Nurcahyono - 164,800 4,000
7 055666 Tan Hwa Nio 145,000 -
8 Ruswanto 641,900 - 641,900
9 031979 Setiawan 13,000 - 3,000
10 107000 Tegar Fauzi 120,400 9,536 3,000 12,500
11 106999 Sugiono 143,500 - 4,000
12 094041 Adyaksa Erlan 68,400 - 4,000
13 107003 Samiah 15,500 - 3,000 12,500
14 149410 dr. Nrimanto 30,000 2,727
15 169161 Wiji Hartati 52,000 -
16 149406 Dwi Sumanti 2,200 200
17 149408 Maria Ngadinem 2,200 200
18 106996 Triyati 84,350 - 4,000
19 Yuvi 300,000 -
20 106972 Kadiyah 68,750 4,841 3,000 12,500
21 106837 Anna Susianti 145,200 3,791 3,000 12,500
22 Wasiyah 254,150 - 254,150
23 099550 Kusriyanto 99,600 - 4,000
24 107006 Sangun Dwijo S 140,600 - 4,000
25 106446 Tri Hastuti 20,000 - 4,000
26 106239 M Stevani 21,000 - 2,000
27 072282 Erna 18,000 - 2,000
28 100599 Adam sakti 66,700 4,655 3,000 12,500
29 Sunarwan 315,500 - 315,500
30 096482 Niken Kristianti 13,515 1,229
31 107010 Marto Suwarno 15,500 - 3,000 12,500
32 051486 Basirun Karto 34,000 - 4,000
33 095321 Rudi 60,100 4,055 3,000 12,500
34 106872 Mad Supyan 67,800 2,982 4,000
35 106140 Manggi 41,000 545 4,000
36 025785 Wangsa Wikarta 34,000 - 4,000
37 107001 Yusmariyah 231,350 14,750 4,000
38 107009 Kursiyati 85,500 - 2,500
39 106818 Kavinda Razaq 20,000 -
40 097927 MG Sri Kaheru 148,000 - 4,000
41 090524 San Murto 63,950 2,632 4,000
42 085572 Karsih 39,432 2,176 3,000 12,500
43 100462 Andi Prayitno 61,500 - 4,000
44 107004 Sumiyati 168,000 4,591 4,000
45 059361 Mairan 132,625 8,966 4,000
46 054991 Ari Kristiani 165,000 15,000
47 094374 Salbiyah 34,000 - 4,000
48 107002 Satiman 155,750 11,068 4,000
49 086116 Sugiharti 97,950 5,814 4,000
50 Emi Muryani 246,950 - 246,950
51 080347 Ahmad Saeri 59,950 2,268 4,000
52 032337 Nuryati 15,500 - 3,000 12,500
53 106859 Sutiman 136,450 9,223 4,000
54 086492 Nurhayati 76,000 3,818 4,000
55 052428 Tindraweni 34,000 - 4,000
56 086337 Prianto 100,500 5,455 4,000
57 057340 Arcel Cahya 167,500 - 4,000
58 075812 Sukarni 116,250 6,250 4,000
59 042629 Pindika Desi 49,200 - 4,000
60 023375 Warsinah 130,750 8,705 4,000
61 105672 Turino 90,000 4,500 4,000
62 088771 Tri Setya Winarni 245,525 19,139 4,000
63 098935 Nining Setyaningsih 137,950 5,314 4,000
64 106254 Murah 73,450 2,268 4,000
65 106702 San Marja 137,875 9,443 4,000
66 106869 Satinah 34,000 - 4,000
67 106508 Kasinah 45,250 1,023 4,000
68 106407 Tugiyem 102,375 6,216 4,000
69 106436 Suparno 34,000 - 4,000
70 106858 Sunarmin 136,750 9,250 4,000
71 043476 Meri Magdalena 89,250 5,023 4,000
72 096556 Tujianti 47,500 - 4,000
73 107011 Ramini 58,000 - 2,500
74 149417 dr. Cecilia 6,700 609
75 037774 Yunus Almafto 45,000 - 4,000
76 Evi Nurita 45,000 - 45,000
-
6,898,597 - 241,832 412,100 1,503,500 - - - - 289,500 - 215,000 137,500 -

Jurnal Umum 6,898,597


Kas dari Kassa 6,899,500
Selisih Kas 903

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 19 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

19 1 046857 Sawiyem 3,127 69,400 4,000


2 003995 Sr. Caritas 5,986 32,925 32,925
3 087296 Reni Komariyah 2,050 22,550
4 107017 Ayie Mustofa - 88,000 4,000
5 101190 Pupit Satiya 34,000 - 4,000
6 091883 Kirendita Salsabila 134,600 - 4,000
7 107016 Tri Farida 20,000 -
8 088518 Stanislaw 52,000 -
9 019803 Marwito 13,500 -
10 028806 Hasto 13,500 -
11 106715 Eka Purwati 71,800 1,482 4,000
12 106673 Heri Kurniawan 55,500 - 4,000
13 100646 Lia Maratus 39,600 3,600
14 068229 Lisa Nur Fita 58,750 2,250 4,000
15 105975 Erik Setiawan 171,000 2,364 4,000
16 106863 Roy Setiawan 52,500 - 4,000
17 106406 Azam al Fauadzi 34,000 - 4,000
18 107013 Dikem 230,425 - 4,000
19 104928 Evi nurita 20,000 - 4,000
20 026934 Sugiyanto 13,500 -
21 000918 Dwi Ernawati 76,500 -
22 107019 Paramita 144,000 -
23 149419 dr. Nrimanto 30,000 2,727
24 003439 Rosdingsih 15,425 1,402
25 057386 Slamet s 69,500 -
26 071462 Alfa 12,000 -
27 1070247 Marsiyem 59,100 3,964 3,000 12,500
28 092066 Surya 124,700 8,155 4,000
29 106882 Supono 123,895 8,172 4,000
30 082693 Taryono 138,700 9,427 4,000
31 106733 Maryani 18,500 - 2,000
32 106830 Satimi 155,500 9,727 4,000
33 106511 Saring 86,750 4,795 4,000
34 107010 Manto 50,000 -
35 073622 Eni Budi 25,000 - 2,000
36 067963 Firdaus Azrilla 12,000 -
37 057386 Slamet Suharso 83,500 7,227 30,000 4,000
38 038233 Subandi 34,000 - 4,000
39 097713 Ahmad Faizal 49,000 3,045 3,000 12,500
40 106835 Rejomulyo 18,500 - 2,000
41 057001 Lani Herawati 47,500 - 4,000
42 058244 Tasman 34,000 - 4,000
43 107022 Suparman 76,750 4,341 3,000 12,500
44 106710 Martoyo 77,350 7,032
45 050470 Marsinem 45,855 - 4,000
46 044690 Karto Diharjo 79,510 5,819 3,000 12,500
47 022733 Dartomo 141,900 9,718 4,000
48 106831 Rista Nurjanah 87,500 4,045 4,000
49 063815 Sobari 252,300 14,800 4,000
50 105155 Saminem 201,550 2,550 104,000 4,000
51 107021 Supangat 360,500 - 2,500
52 106816 Parini 126,400 8,400 4,000
53 106954 Nikmatun Badingah 124,500 8,227 4,000
54 065225 Ida Nainggolan 122,475 - 4,000
55 107027 Yulianti 100,500 3,182 3,000 12,500
56 100631 Suparmi 82,150 4,377 4,000
57 107026 Kasih 132,000 7,136 4,000
58 031979 Setiawan 158,050 9,050 4,000
59 007502 Yohana Pariyem 75,732 3,703 4,000
60 107025 Yasa Dikrama 166,750 11,977 4,000
61 106937 Warsini 153,100 10,827 4,000
62 107023 Umi 115,100 7,373 4,000
63 040636 Suparmin 50,500 1,500 4,000
64 106538 Marsitah 196,700 14,791 4,000
65 Sumaryani 51,000 - 51,000
66 086253 Rizki Ramadhan 200,750 - 4,000
67 107029 Sartiyah 127,500 - 2,500
68 106030 Mad Sumeri 138,450 7,132 6,000
69 074632 Ambar Ari Asih 132,700 8,973 4,000
70 106746 Sarisah 144,500 10,045 4,000
71 091606 Sari Erawati 176,000 12,909 4,000
72 106944 Sunarti 104,750 5,432 4,000
73 106919 Hadi Suprapto 570,750 47,795 4,000
74 002156 Tasini 22,000 2,000
75 106933 Neneng Hasanah 48,500 - 4,000
76 106948 Andreas Subekti 73,250 1,341 4,000
77 106728 Risem 112,250 5,432 4,000
78 097383 Wasis 75,000 2,727 4,000
79 107004 Sumiyati 125,000 -
80 057973 Sakimin 129,950 8,632 4,000
81 106906 Oki Novitarini 117,050 7,550 4,000
82 009839 Cipto Utomo 133,450 8,950 4,000
83 090422 Ani Indriastuti 18,000 - 2,000
84 106711 Asmuni 203,750 13,795 6,000
85 029314 Tuminah - 99,200 4,000
86 106769 Sri Widarti 22,341 298,250 4,000
87 Fery 318 3,500
-
8,054,517 - 383,724 246,175 155,000 - - 298,250 - 132,325 - 252,000 62,500 -

Jurnal Umum 8,054,517


Kas dari Kassa 8,055,300
Selisih Kas 783

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 20 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

20 1 107036 Gyda Rafiqa Dewani - 236,450 4,000


2 018915 Rosdiana Sitorus 2,864 31,500
3 061200 Catur Aiwa U 545 6,000
4 Agus Dwi 360,000 - 170,000
5 Fery Dwi A 3,500 - 3,500
6 016928 Sarjono 33,500 273
7 107029 Satiyah 57,500 -
8 107033 Ngadinem 239,900 - 4,000
9 092354 Umi Zakiah 184,050 - 4,000
10 101243 Widi Atmoko 112,800 - 4,000
11 107021 Supangkat 282,100 2,591 8,000
12 Susteran Kebumen 62,000 - 62,000
13 Pengobatan Karyaw 1,610,000 - 1,610,000
14 105618 Miah 18,000 - 2,000
15 062486 Kartinah 19,500 955 4,000
16 017408 Petrus Anna W 12,000 - 47,800 4,000
17 000153 Aminah 93,975 5,452 4,000
18 090899 Mutmainah 34,000 - 4,000
19 054966 Sukarti 176,000 9,718 4,000
20 105847 Siti Khoirul B 185,500 13,773 4,000
21 107044 Ahmad Subur 155,760 11,069 4,000
22 016871 Min Sumini 99,500 5,864 4,000
23 106688 Satinem 66,200 2,927 4,000
24 106866 Tiska Suryani 63,050 4,323 3,000 12,500
25 107047 Fikih Daiyanto 49,900 3,127 3,000 12,500
26 005277 Ginawati 174,335 1,258 4,000
27 Budi Setianto 34,000 - 4,000
28 063102 Titi Suwarni 34,000 - 4,000
29 104346 Satinem 211,000 13,091 4,000
30 106036 Rasminah 34,000 - 4,000
31 106827 Sunarya 147,000 10,273 4,000
32 082657 Ristijanto 54,000 -
33 040375 Riman 34,000 - 4,000
34 081532 Mad Sumarto 152,700 10,700 4,000
35 106966 Ngadini 59,170 2,288 4,000
36 054251 Supriyati 34,000 - 4,000
37 Ruswanto 10,000 -
38 106599 Murtiarti 12,000 -
39 011517 Amiran 17,000 - 2,000
40 107059 Rifki Pratama 103,315 - 4,000
41 104674 Aditya Tri W 39,600 3,600
42 032102 Yamsiyah 39,600 3,600
43 107053 Ani Sumarti 162,000 7,091 4,000
44 107055 Marno 51,800 - 4,000
45 102576 Parilah 35,500 3,227
46 106538 Marsitah 103,300 5,300 4,000
47 044715 Agnes Herna 61,300 5,573
48 107050 Suhartiningsih 220,550 15,959 4,000
49 105930 Yuni Munarsih 119,425 7,766 4,000
50 087331 San Mureja 105,300 6,391 4,000
51 069357 Vina Anggraeni 50,650 3,195 3,000 12,500
52 084412 Wasino 162,400 11,673 4,000
53 087263 Pingah 39,600 3,600
54 074632 Ambar Ari 79,200 7,200
55 107058 Fatimah 186,452 13,859 4,000
56 107060 Puput Fitriyani 164,226 11,839 4,000
57 029832 Wimbuh Rahayu 39,600 3,600
58 027693 Aryani 111,000 2,455 4,000
59 105958 Eni Meiyanti 39,600 3,600
60 105772 Putri Hilda 39,600 3,600
61 029504 Tri Erna 39,600 3,600
62 100918 Suparmi 39,600 3,600
63 106825 Sumini 87,750 3,886 4,000
64 086223 Marto Diharjo 122,752 8,068 4,000
65 017819 Darma Suryanto 69,000 3,182 4,000
66 002156 Tasini 16,900 1,536
67 104633 Harjinah 39,600 3,600
68 105388 Sumirah 39,600 3,600
69 067527 Irham Estiawan 39,600 3,600
70 106896 Kusnaeni 48,600 327 4,000
71 038791 Esti Handayani 39,600 3,600
72 067762 Sudarmi 39,600 3,600
73 095542 Rusmiyati 39,600 3,600
74 Lois Nurcahyono 164,800 - 164,800
75 107049 Eva yuniati 108,600 6,782 4,000
76 106748 Sri Sunarsih 74,600 6,782
77 099913 Isdariyah 156,000 10,091 4,000
78 022626 Rosiana Indah 79,200 7,200
79 105607 Kasirah 39,600 3,600
80 052285 Ratna Desi 107,250 9,750
81 073503 Triyatna 146,900 10,173 4,000
82 107045 Kholifah 73,600 3,600 4,000
83 107043 Emi Nugraheni 108,600 6,782 4,000
84 088302 Puji Suryani 126,750 3,886 4,000
85 095012 Fajar Fangki 114,600 7,327 4,000
86 102977 Dewi Sepsiana 73,600 3,600 4,000
87 082330 Wening Widiasih 158,400 14,400
88 106952 Wasirah 149,125 10,466 4,000
89 101456 Masiyah 103,000 6,273 4,000
90 061739 Arfin Hendrawan 172,400 12,582 4,000
91 015836 Eni Wahyuni 148,600 10,418 4,000
92 037318 Ismiasih 97,500 1,227 4,000
93 107061 Retno Widiastuti 73,600 3,600 4,000
94 083035 Teguh Ambarwati 128,900 8,627 4,000
95 103814 Kartini 39,600 3,600
96 098785 Dwi Isnanto 39,600 3,600
97 107051 Siti Rohani 113,200 7,200 4,000
98 096559 Heni Retno 79,200 7,200
99 038103 Heni Sulistiawati 192,000 9,818 4,000
100 066142 Sakinah 76,750 3,886 4,000
101 105005 Juniarsih 224,700 20,427
102 107042 Triyan 163,700 11,791 4,000
103 107067 Wahyuni 96,600 5,691 4,000
104 107062 Elys Ermawati 169,500 7,773 4,000
105 107063 Eka Puji A 61,350 2,486 4,000
106 055091 Purwati 74,600 6,782
107 083329 Agnes Lies 39,600 3,600
108 103061 Masrifah 79,200 7,200
109 105629 Irianingsih 79,200 7,200
110 060885 Suratmi 157,750 11,250 4,000
111 001633 MF Budiyati 84,000 - 4,000
112 079582 Sri Rejeki 84,000 - 4,000
113 052285 Ranti Desi 84,000 - 4,000
114 107056 Sumarni 84,000 - 4,000
115 107054 Leni Sarlinah 84,000 - 4,000
116 107057 Teguh Ari 34,000 - 4,000
117 106961 Riyanti 34,000 - 4,000
118 106809 By Sumini 9,000 - 4,000
119 106917 By Kusnaeni 9,000 - 4,000
120 041369 Tasiyah 62,600 5,691
121 105968 Kunaenah 114,200 10,382
122 107066 Silvia Evelin 113,200 7,200 4,000
123 106280 Sinung Waluyo 39,600 3,600
124 062999 Tegar Dwi P 39,600 3,600
125 081421 Bunga Patria 39,600 3,600
126 076307 Praptiwi 39,600 3,600
127 107064 Riski Faturohman 232,926 18,084 4,000
128 103803 Eli Yuliani 39,600 3,600
129 026409 Siwi Winasis 39,600 3,600
130 105802 Jumi Suliasih 80,100 7,282
131 060651 Wahyuni 108,526 9,866
132 099546 Ricardo 105,600 6,509 4,000
133 098118 Magfirah 34,000 - 4,000
134 096747 Rido Nur 158,540 11,322 4,000
135 103127 Jenifer 34,000 - 4,000
136 104830 Naufal Abindya 35,940 176 4,000
137 101357 Christabela 34,000 - 4,000
138 106786 Nabila 38,050 368 4,000
139 099110 Naufil Ikhsan 95,750 5,614 4,000
140 101528 Fani Ramadhani 34,000 - 4,000
141 103158 Nathan Tri 34,000 - 4,000
142 106157 Yehu Paula 90,000 5,091 4,000
143 101371 Rasya Arfanti 74,430 3,675 4,000
144 102901 Azilia 85,900 4,718 4,000
145 101021 Wahyu Hidayat 85,000 4,636 4,000
146 089718 Meli Werdiasih 117,000 - 4,000
147 078345 Harsa Cipto 187,000 -
148 027285 Yonathan 39,600 3,600
149 103158 Lilis Lestari 56,180 5,107
150 107065 Rino Agma 48,800 1,345 4,000
151 149439 Uni Erwati 7,500 682
152 106753 Rahayu 39,600 3,600
153 Meterai 6,000 - 6,000
-
14,529,977 - 673,237 273,950 1,840,300 - - - - 47,800 - 549,000 37,500 -

Jurnal Umum 14,529,977


Kas dari Kassa 14,530,700
Selisih Kas 723

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 21 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

21 1 104667 Noval 360,990 - 4,000


2 095223 Dedy Suryadi 6,886 137,250 4,000
3 100502 Fitria Dwi C 6,782 108,600 4,000
4 106194 Yuliana Satri W 5,091 90,000 4,000
5 087322 Dwi Indra A 10,773 123,500 10,500 3,000 12,500
6 058345 Sr. Vincentia 6,636 64,250 64,250 3,000 12,500
7 069301 Sukoco 4,955 133,000 3,000 12,500
8 085719 Zaimatu Azzahro 2,327 41,100 3,000 12,500
9 106880 Tugino 10,259 128,350 3,000 12,500
10 149443 dr. Onggo 341 3,750
11 106599 Mutiarti 3,600 39,600
12 006178 Tyasmini 955 19,500 4,000
13 038783 Tutik Nurhayati - 62,800 27,200 4,000
14 107096 Fais - 224,275 4,000
15 033712 Agnes Petra K 97,500 - 4,000
16 149444 Pasien Luar 6,600 600
17 169298 Takari 34,000 -
18 101357 Christabela Angel 47,050 4,277
19 004435 Septian Dwi 76,000 - 4,000
20 062442 Afifah Nur Aeni 105,300 - 10,000 4,000
21 001071 Nanik Nuristiyati 3,050 277
22 032148 Oriza Sativa 39,600 3,600
23 038544 Tri Astuti 281,650 7,423
24 090217 Fajar 34,000 - 4,000
25 106263 Edi Asta 48,150 377 4,000
26 107082 Rasini 52,322 3,257 3,000 12,500
27 106835 Rejomulyo 18,500 - 2,000
28 087251 Supirah 58,500 - 4,000
29 39252 Rido Nur 48,000 -
30 107081 Sumiyarti 69,300 - 4,000
31 Meterai 6,000 - 6,000
32 Pengobatan Karyaw 689,800 - 689,800
33 Arifin 47,000 - 47,000
34 Yuli 52,000 - 52,000
35 106837 Anna Susianti 116,200 8,245 3,000 12,500
36 107084 Cecilia Setyorini 108,150 - 4,000
37 049526 Patricia Citra 41,100 2,327 3,000 12,500
38 107086 Nazif Rasendriya 50,500 - 2,500
39 106985 Lana Indriyani 34,000 - 4,000
40 028735 Sumaryono 34,000 - 4,000
41 084834 Sutini 34,000 - 4,000
42 107085 Sainem 204,500 15,409 4,000
43 017674 Suwarno 179,875 13,261 4,000
44 094682 Sarinah 15,500 - 3,000 12,500
45 100887 Sodirah 178,425 13,130 4,000
46 094657 Rudiyati 146,000 10,091 4,000
47 106803 Suharti 187,450 12,359 4,000
48 107091 Ika Marita 89,000 3,591 4,000
49 105765 Merta 104,200 6,291 4,000
50 084560 Slamet 108,500 818 4,000
51 105289 Dul Haris 147,325 10,211 4,000
52 107087 Samsudin 190,086 14,099 4,000
53 095321 Rudi 53,100 3,418 3,000 12,500
54 107090 Sakimin 282,952 24,314 3,000 12,500
55 022249 Jamingah 69,550 3,232 4,000
56 105683 Sri Widarti 96,250 1,250 4,000
57 071115 Natiyah 174,425 12,766 4,000
58 093946 Sugeng Riyanto 101,950 6,177 4,000
59 106802 Sumeru 164,000 11,727 4,000
60 079639 angga Ardiansyah 109,750 6,886 4,000
61 066225 Atmorejo 94,600 5,509 4,000
62 064450 Printis Poniyem 34,000 - 4,000
63 065912 Awalia 23,700 2,155
64 107095 Roisah 57,000 -
65 093727 Edi Purwanto 68,250 - 4,000
66 018787 Siti Marfungah 96,450 - 4,000
67 107010 Tri Marto S 110,000 -
68 088769 Kirana Nareswari 76,000 3,818 4,000
69 102995 Fabrizio Gustav 90,000 5,091 4,000
70 104677 Hasna Aulia 90,000 5,091 4,000
71 107097 Lisa Arifin 59,000 -
72 073175 Pasien Luar 6,000 545
73 101817 Dwi Wahyuni 155,050 - 4,000
74 103823 Arjuna Saputra 91,300 5,209 4,000
75 090180 Faizal 52,000 -
76 Tuminah 99,200 - 99,200
77 107098 Zaenal Abdul R 123,050 8,095 4,000
78 105973 Naji Catur 6,818 109,000 4,000
79 Agus Dwi 7,273 80,000
-
6,521,700 - 307,624 906,125 888,000 - - 335,850 - 234,950 - 223,500 137,500 -

Jurnal Umum 6,521,700


Kas dari Kassa 6,522,200
Selisih Kas 500

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 22 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

22 1 Agus Dwi N 310,000 - 170,000


2 Agus Dwi N 150,000 - (100,000)
3 087338 Nita Ratnasari 1,032 11,350
4 39880 Ar. Ana 7,564 83,200
5 104118 Sr. Felisitas 609 6,700
6 069452 Sudardi 121,750 - 4,000
7 107100 Nurul 176,565 - 4,000
8 006579 Sunarto 151,115 - 4,000
9 046467 Tugino 33,000 3,000
10 096992 Asti Rofiana 1,000 91
11 088518 Stanislaus Christo 8,000 -
12 39881 Nurida 3,000 273
13 021021 Kristianus S 81,000 - 4,000
14 022524 dr. Nrimanto 132,500 -
15 107105 Tasriyah 111,200 - 4,000
16 106825 Sumini 20,000 - 4,000
17 106896 Kusnaeni 9,000 - 4,000
18 052428 Tindraweni 142,515 - 4,000
19 107107 Maria Noverina 34,000 - 4,000
20 085089 Rafael Butar B 140,935 - 4,000
21 39884 Sarjono 50,400 -
22 006265 dr. Lucy 4,600 -
23 035959 Elisabeth lilis 48,400 - 4,000
24 034744 Ita Dwi R 114,250 -
25 058434 Bayu Nuswantara 76,250 - 4,000
26 107108 Lucia Enik 107,100 - 4,000
-
1,876,580 150,000 12,568 101,250 - - - - - - - 122,000 - -

Jurnal Umum 1,726,580


Kas dari Kassa 1,726,800
Selisih Kas 220

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 23 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

23 1 107122 Habli Wilatikta 4,500 65,000 3,000 12,500


2 006002 V Sudarman - 14,100 37,200 4,000
3 39892 Wahyu Dwi 3,141 34,550
4 006137 dr. Harnowo 11,864 26,100 104,400
5 003400 Sr. Veronika 7,227 112,500 112,500
6 106875 Pang Aliuk 31,000 -
7 002079 Supardi 2,500 -
8 Agus dwi 152,200 - 80,000
9 075519 Maryanto 12,500 -
10 051420 Fani Novita 52,000 -
11 073175 Kombet Supriyadi 62,000 -
12 107113 FX Suradi 110,500 - 4,000
13 39888 sarjono 21,650 -
14 101338 Nurlita 121,150 - 4,000
15 096609 Safingah 136,800 - 4,000
16 107110 Polis Pancayana 1,371,500 - 4,000
17 051652 Edi S 160,500 -
18 000865 Ning Suci R 51,500 -
19 101817 Dwi Wahyuni 55,500 -
20 002263 Suratmi 35,000 3,182
21 042335 Aminah 66,450 4,632 3,000 12,500
22 107121 Marsinem 213,500 - 2,500
23 074135 Sudi 147,100 7,091 4,000
24 106980 Rasminah 124,550 8,232 4,000
25 058990 Bariyah 34,000 - 4,000
26 077385 Robingah 77,850 3,895 4,000
27 023689 Waginem MS 84,350 4,486 4,000
28 104262 Setiani Prabowo 34,000 - 4,000
29 009051 MM Indra Rusmurti 15,500 - 3,000 12,500
30 092275 Arya Pandita 44,550 2,641 3,000 12,500
31 068853 Nadia Priskila 28,000 - 3,000 12,500
32 107123 Riski Okta 137,350 168 3,000
33 102494 Srini Hastuti 75,250 - 4,000
34 107124 Wahyu M Riski 26,750 1,023 3,000 12,500
35 107059 Rifki Pratama 31,000 500 3,000 12,500
36 107022 Suparman 64,400 2,264 3,000 18,500
37 107125 Ekalis Susanto 36,250 1,886 3,000 12,500
38 025927 Maryati 144,100 13,100
39 107120 Diyah Edyawati 147,100 7,091 4,000
40 087441 Samiyah 87,050 4,141 4,000
41 001553 Sarti 65,000 1,000 4,000
42 080234 Adman 142,250 7,341 4,000
43 078322 Maryono 76,775 2,570 4,000
44 033137 Poniyah 114,250 4,159 4,000
45 107027 Yulianti 51,450 3,268 3,000 12,500
46 080915 Suminah 43,000 - 4,000
47 061732 Endang Sri W 82,600 - 4,000
48 011978 Suriah 59,000 -
49 040200 Yohanes IS 13,500 -
50 044498 Taufik Eko S 36,500 -
51 39260 Brian Giat 58,000 - 2,500
52 056280 Tumin 139,500 12,682
53 106421 Lasmini 57,000 3,773 3,000 12,500
54 095112 Hamdan 50,500 - 2,500
55 084711 Tasmini 67,900 4,764 3,000 12,500
56 106986 Kustina 180,300 13,300 4,000
57 106950 Darwono 195,725 14,702 4,000
58 054152 Manisem 89,500 5,045 4,000
59 106648 Susanti 57,350 168 3,000
60 040759 Misni 58,000 - 2,500
61 107131 Fanann Nayotta 41,080 644 4,000
62 107130 Venda 88,900 - 4,000
63 072502 Zafanya Bindy 128,450 8,586 4,000
64 062797 Florentina 91,500 -
65 106904 Rista Prihatin 85,850 4,714 4,000
66 107129 Hasna Haanifah 73,600 3,600 4,000
67 100350 Francisco 96,290 5,663 4,000
68 096747 Rido Nur Arifin 68,000 3,091 4,000
69 107098 Zaenal abdul 85,300 4,664 4,000
70 084911 Indriyani 34,000 -
71 085479 Tanti 13,500 -
72 Suyadi 190,000 - 190,000
73 107020 Faizi Nur 117,350 7,577 4,000
74 107127 Sukamto 267,445 - 4,000
75 Meterai 6,000 - 6,000
-
7,020,765 - 202,375 187,250 80,000 - - 65,000 - 254,100 - 380,000 156,000 -

Jurnal Umum 7,020,765


Kas dari Kassa 7,021,100
Selisih Kas 335

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 24 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

24 1 107141 Muhamad Riski - 92,850 4,000


2 100661 Riska Aidha Putri N 12,075 166,830 4,000
3 105556 Devin Aqila Pratama - 105,100 4,000
4 096495 Budi Setyoko 6,634 44,238 44,237 3,000 12,500
5 000875 Darsinah 3,250 10,250 41,000 3,000 12,500
6 003400 Sr. Veronika 40,118 255,200 255,200 4,000
7 073121 Rovina Bunga C 4,991 88,900 4,000
8 006071 Rovian Yudi N 523 39,750 4,000
9 036447 Siyo Ngatimin 1,977 37,250 3,000 12,500
10 67588 Mutmainah - 2,300
11 67583 Hesti - 8,950
12 106738 V Onggo W - 18,500
13 034741 Dwi Aryani - 8,900 35,800 4,000
14 104170 Alfiesya Rahmania P - 30,225 17,925 4,000
15 061201 Fery Dwi A 1,000 -
16 096992 Asti Rofiana P 3,000 -
17 016928 Sarjono 20,400 -
18 107136 Satimin 89,250 - 4,000
19 061732 Endang 27,500 -
20 Liem Cyin Hai 350,000 -
21 036158 Rizki Jasmin 73,300 - 4,000
22 088518 Stanilaus 8,000 -
23 104732 Savana Diandra 57,300 2,118 4,000
24 084942 Raniyah 48,700 - 4,000
25 39797 Dwi Indra A 1,450 132
26 032540 Neti 1,500 -
27 092693 Pramudya Irawan 210,100 16,009 4,000
28 049195 San Rois 105,450 - 4,000
29 107140 Kayla Cahya S 61,600 - 4,000
30 100504 Saisem 82,500 -
31 106943 Marsiti 95,800 -
32 022524 dr. Nrimanto 140,000 -
33 00371 Turiman 18,000 - 33,600 4,000
34 107145 Slamet 119,215 - 4,000
-
1,514,065 - 87,828 544,463 - - - 364,780 - 427,762 - 77,000 37,500 -

Jurnal Umum 1,514,065


Kas dari Kassa 1,514,200
Selisih Kas 135

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 25 APRIL 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

25 1 104370 Valentina Yulia O - 111,250 4,000


2 103839 Agus Setiawan 2,945 47,900 3,000 12,500
3 000052 Anastasia Surati 2,591 16,600 27,400 3,000 12,500
4 011136 Yosepha Iswidya 3,732 39,400 17,150 3,000 12,500
5 087322 Dwi Indra A 15,045 173,300 7,700 3,000 12,500
6 106880 Tugino 6,491 96,900 3,000 12,500
7 106142 Ramelan 2,177 58,950 4,000
8 061200 Catur Aiwa U - 28,100 58,500 4,000
9 107146 Yosua Dimas 85,900 - 4,000
10 063013 Sutiwen 170,900 - 4,000
11 107148 Aufa Falisha 62,400 - 4,000
12 104133 Kamisah 213,150 - 4,000
13 028094 Dian Susanti 76,700 - 4,000
14 107147 Pramono 170,900 - 4,000
15 096975 Maijan 118,700 - 4,000
16 107149 Wildan Bagus 515,725 - 4,000
17 022524 dr. Nrimanto 3,625 -
18 106711 Asmuni 18,000 - 2,000
19 67590 Agus S 35,100 -
20 107155 Aisyah 16,500 - 2,000
21 107151 Riska Rahmawati 107,500 8,364 3,000 12,500
22 078166 Parsiyem 15,500 - 3,000 12,500
23 079074 Sutarmi 219,950 6,859 3,000 12,500
24 107154 Ponimah 58,000 - 2,500
25 022733 Dartomo 155,000 10,909 4,000
26 103015 Cindra 109,000 5,591 4,000
27 072282 Erna 18,000 - 2,000
28 104950 Iswati 119,000 7,727 4,000
29 106837 Anna Susianti 61,400 3,264 3,000 12,500
30 106882 Supono 108,350 6,759 4,000
31 085009 Karto Utomo 60,350 2,395 4,000
32 054946 Dwi Sumanti 3,100 - 12,400 3,000 12,500
33 107157 Rudi Eko P 160,000 10,127 3,000 17,000
34 030213 Budi Setiawan 34,000 - 4,000
35 107161 Parsono 98,995 3,181 4,000
36 064623 RSU Purwogondo 29,000 2,636
37 001214 Heru W 18,500 - 2,000
38 107021 Supangkat 87,500 4,864 4,000
39 106037 Munarji 74,750 3,705 4,000
40 053834 Kasinah 34,000 - 4,000
41 100462 Andi P 61,500 - 4,000
42 014151 Rasilah 15,500 - 3,000 12,500
43 107156 Oko Prasetyo 94,322 6,166 3,000 12,500
44 107100 Nurul Meliswati 40,400 1,355 3,000 12,500
45 074856 Siti U 13,500 -
46 105014 Marsiyem 40,000 545 4,000
47 006579 Sunarto 79,500 4,909 3,000 12,500
48 105679 Sutirah 95,500 7,273 3,000 12,500
49 107169 Sukinem 96,000 - 4,000
50 100583 Sunanto Efendi 91,800 2,118 4,000
51 084942 Raniyah 70,500 3,318 4,000
52 107172 Sri Hartati 69,100 - 4,000
53 085804 Evi Siswanto 97,500 5,773 4,000
54 106880 Tugino 71,400 6,491
55 028504 Suparlan 140,650 - 4,000
56 090422 Any Indriastuti 18,000 - 2,000
57 107170 Ike Insan Aryanti 194,150 16,150 3,000 12,500
58 107168 Anastasia Budi H 15,500 - 3,000 12,500
59 084034 Sarwan Wanto P 147,000 4,318 4,000
60 107159 Kusen 120,000 - 4,000
61 107163 Sri Novianti 159,550 6,959 4,000
62 106964 Sumarni 102,000 4,955 4,000
63 107166 Sukarman 140,750 9,705 4,000
64 029922 Laelatul Rosidah 34,000 - 4,000
65 67599 Ika P 30,000 2,727
66 Meterai 15,000 - 15,000
-
5,077,517 35,100 192,124 413,250 - - - 159,150 - 123,150 - 221,500 229,500 -

Jurnal Umum 5,042,417


Kas dari Kassa 5,042,400
Selisih Kas (17)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 26 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

26 1 066511 Manisah 150,000 11,273 145,500 5,000 12,500


2 079640 Kasdi 100,000 - 27,500 2,500
3 005743 Mutmainah 309 3,400
4 106738 V onggo W 773 8,500
5 006091 Wiji Suparmi 909 19,000 4,000
6 003995 Sr. Caritas 78,059 446,325 446,325 4,000
7 024238 Kevin Juan W - 60,000 4,000
8 107178 Tri Subekti - 125,930 4,000
9 103212 dr. B Setiawan - 126,000
10 089337 Tan San Hwa 119,900 - 4,000
11 005976 Alipah 317,475 28,861
12 077431 Robi 6,700 609
13 Yani Budi W 72,500 -
14 073175 Wings 38,000 3,455
15 096487 Sri Daryanti 12,000 -
16 046837 Basuki Wibowo 687,250 10,023 7,000
17 023959 Accel Profithio 52,000 -
18 068818 Dwi Aryani 11,250 1,023
19 055337 Betty Utari 111,900 - 4,000
20 67501 Gabriel 1,550 141
21 107151 Riza Rahmawati 52,000 -
22 089751 Riko 82,100 1,191 4,000
23 106401 Ayu Safitri 34,000 - 4,000
24 105417 Heri Warastuti 48,500 - 4,000
25 100004 Wasidi 36,050 186 4,000
26 026056 Suwarno 13,500 -
27 002659 Diki Dwi P 37,500 3,727 37,500 4,000
28 102995 Fabrizio 16,500 - 2,000
29 082313 Sulastri 12,000 -
30 084711 Tasmini 41,400 2,355 3,000 12,500
31 104014 Rosdiyanti 9,000 - 4,000
32 086869 Ilham Anwar 47,150 2,877 3,000 12,500
33 107182 Sukur Pujiono 72,800 5,209 3,000 12,500
34 Yuliana Satri 90,000 - 90,000
35 084721 Sri Warsini 19,500 955 4,000
36 105375 Suesti 19,500 955 4,000
37 105374 Yeni Astati 19,500 955 4,000
38 031146 Suwarsih 22,500 2,445 19,900 3,000 12,500
39 050935 Dalu Rahayu 35,000 3,182
40 106025 Yuli 34,000 - 4,000
41 052548 Kurdi 90,250 5,114 4,000
42 097927 MG Sri Kaheru 61,500 - 4,000
43 040375 Riman 34,000 - 4,000
44 107181 Jumadi 156,800 8,164 4,000
45 107179 Manisah 147,750 4,295 4,000
46 078245 Agus Setiawan 151,750 4,750 4,000
47 106831 Rista Nurjanah 147,350 5,623 4,000
48 060820 Tugiman 42,250 750 4,000
49 010229 Sugiyarti 13,500 -
50 099244 Arsa Pawira 119,500 5,727 4,000
51 040659 Pangestuti 101,250 6,114 4,000
52 107059 Rifki Pratama 34,750 841 3,000 12,500
53 095111 Nasrowi 100,500 4,818 4,000
54 053363 Sutaryo 103,750 5,114 4,000
55 106681 Tasmun 260,700 20,609 4,000
56 052428 Tindraweni 25,500 - 3,000 12,500
57 107183 Sadikem 110,450 6,495 3,000 12,500
58 066510 Tukijo 68,845 4,759 3,000 12,500
59 107184 Nani Setyowati 29,900 1,309 3,000 12,500
60 107185 Lebuh 180,450 13,223 4,000
61 000701 Slamet 14,550 1,323
62 099919 Kusnadi 124,750 8,250 4,000
63 107164 Kalem 114,100 - 4,000
64 107188 Slamet 55,400 - 4,000
65 107189 Cahyaningrum 56,200 - 4,000
66 008949 Suniah 9,540 867
67 106733 Maryani 201,150 13,423 6,000
68 001022 Yuli Gestati 38,900 3,536
69 052675 Lusmiati 183,650 13,514 4,000
70 107186 Subarsih 175,775 11,070 4,000
71 028096 Saminah 162,400 9,900 6,000
72 106851 Suyadi 198,600 13,145 6,000
73 003387 Warjan 111,250 5,386 6,000
74 066325 Tri Handayani 115,805 5,619 4,000
75 106906 Oki Novitarimi 141,800 9,800 4,000
76 106710 Martoyo 144,500 10,045 4,000
77 102804 Amin Hamdi 140,350 - 4,000
78 107187 Loan Ing 96,600 5,691 4,000
79 060261 Tri Hartono 152,500 10,773 4,000
80 060678 Fitri Wiji A 146,500 10,227 4,000
81 024310 Sopiyah 282,150 9,877 4,000
82 107190 Warsiti 120,250 6,614 4,000
83 107130 Venda 65,500 - 4,000
-
7,255,990 - 406,235 962,155 90,000 - - - - 503,725 - 251,500 125,000 -

Jurnal Umum 7,255,990


Kas dari Kassa 7,256,800
Selisih Kas 810

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 27 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

27 1 071125 Rosid Kendarto - 131,900 4,000


2 061200 Catur Aiwa U 7,427 95,200 54,000 3,000 12,500
3 044417 Yudo Wiratmoko 14,391 237,800 4,000
4 001022 Yuli Gestati 1,745 19,200
5 091462 Abdul Kafi 59,000 -
6 083842 Wahyu Dwi A 6,650 605
7 105072 Suryana 161,200 - 8,000
8 67510 Dwi 6,500 591
9 016928 Sarjono 60,350 5,486
10 072676 Stella Ika Putri 127,750 - 4,000
11 106944 Sunarti 112,250 5,432 4,000
12 107034 Tasilah 104,750 5,432 4,000
13 106889 Febrilia 53,500 -
14 107192 Rusminatun 180,000 - 4,000
15 005646 Sri Susilowati 10,300 936
16 107504 Dwi Ambarsari 117,650 - 4,000
17 025318 Soendoro 6,500 -
18 Kasdi 27,500 - 27,500
19 107183 Sadikem 13,000 - 3,000
20 107024 Kasih 78,000 -
21 066511 Manisah 160,000 - 145,500 2,000
22 079130 Sucipto 58,000 - 2,500
23 105618 Miah 18,000 - 2,000
24 107207 Nur Cahyono 43,000 1,591 3,000 12,500
25 107001 Yusmariyah 148,750 10,341 4,000
26 022092 Sumarno Hadi 166,500 - 4,000
27 107210 Eli Purwaningsih 69,100 - 4,000
28 028202 Darminah 57,000 2,000 4,000
29 107203 Wiryo Suwito 34,000 - 4,000
30 106418 Andira Kirana 54,810 3,574 3,000 12,500
31 Sugiarto 13,500 -
32 061732 Endang 13,500 -
33 106976 Sulastri 162,500 9,182 4,000
34 107217 Rohyati 93,000 - 4,000
35 029018 Yaman 43,000 818 4,000
36 105759 Suparti 80,100 4,191 4,000
37 101299 Situr 64,200 2,064 4,000
38 106869 Satinah 55,000 1,909 4,000
39 069698 Walem 75,950 3,723 4,000
40 075388 Supono 103,750 5,114 4,000
41 106688 Satinem 60,950 2,450 4,000
42 001749 Paula 39,500 -
43 18017 Steven 16,500 - 2,000
44 094372 Samsi 255,600 - 3,000 17,000
45 094354 Dwi Sasana 98,350 - 4,000
46 107145 Slamet 69,500 4,909 3,000 12,500
47 107015 Karsini 172,750 12,614 4,000
48 104346 Satinem 212,800 13,891 4,000
49 107209 Ngazizi 140,500 9,682 4,000
50 086143 Timah 34,000 - 4,000
51 107206 Minarjo 230,400 16,218 6,000
52 105507 Lilik Muryani 144,000 5,455 4,000
53 045387 Willy Lumintang 53,500 1,773 4,000
54 078577 Kartip 137,875 9,352 4,000
55 106237 Naila Murni 44,550 2,641 3,000 12,500
56 107044 Ahmad Subur 141,725 9,793 4,000
57 106486 Naifa Murni 44,550 2,641 3,000 12,500
58 106239 Stevani 21,000 - 2,000
59 054966 Sukarti 143,450 9,859 4,000
60 101947 Jihan Puri 38,150 - 4,000
61 107214 Petrus 136,600 - 4,000
62 107201 Siti Badriyah 227,800 10,073 4,000
63 107127 Sukamto 117,500 8,364 3,000 12,500
64 103364 Rusminah 39,600 3,600
65 104383 Sri Indah 39,600 3,600
66 107220 Sariyah 220,000 12,364 4,000
67 055904 Rosika Nur 39,600 3,600
68 107223 Siti Sofingah 59,200 - 4,000
69 107222 Rifansyah Aufa 85,400 4,673 4,000
70 104242 Wanda Septiana 108,600 6,782 4,000
71 107217 Rohyati 107,250 9,750
72 050935 Dalu Rahayu 39,600 3,600
73 105803 Puji Astuti 39,600 3,600
74 105804 Diah Rusianti 39,600 3,600
75 104928 Evi Nurita 45,000 - 4,000
76 027235 Marsini 206,000 11,091 4,000
77 106495 Esti Khoriah 126,750 3,886 4,000
78 107216 Suratno 233,050 18,095 4,000
79 104675 Kustiyah 39,600 3,600
80 025154 Jaitun 74,425 3,675 4,000
81 106269 Ajeng Ratna 140,475 5,134 4,000
82 064439 Sumini 39,600 3,600
83 105796 Ajeng Resti 39,600 3,600
84 106975 Cicil Dwi 206,000 11,091 4,000
85 107215 Natem 206,325 11,120 4,000
86 059150 Yani Riyani 74,600 6,782
87 106430 Irnia Widia 39,600 3,600
88 106599 Mutiarti 206,000 11,091 4,000
89 086944 Suharmi 39,600 3,600
90 106328 Sulistyo Widi 245,500 8,318 4,000
91 103216 Lintang Jati 39,600 3,600
92 107230 Siti Komariyah 148,600 10,418 4,000
93 103074 Siti Fatonah 79,200 7,200
94 094473 Sri Aminah 79,200 7,200
95 057921 Guntur Pranowo 39,600 3,600
96 105788 Sriyati 39,600 3,600
97 104384 Suminah 39,600 3,600
98 105324 Sartimah 39,600 3,600
99 046832 Surip Sukur 39,600 3,600
100 107224 Minarto 73,600 3,600 4,000
101 107225 Restanti 108,600 6,782 4,000
102 095976 Rum Hartanti 123,600 8,145 4,000
103 098787 Musripah 158,400 14,400
104 107237 Esti Budriyah 192,000 9,818 4,000
105 107212 Heri Sunarna 227,500 17,591 4,000
106 107213 Ratna Dewi 108,600 6,782 4,000
107 105207 Sofiatun 39,600 3,600
108 107236 Supono 117,750 - 4,000
109 103279 Sarasti 161,250 7,023 4,000
110 002159 Chris Tri Nur 39,600 3,600
111 044652 Endang S 39,600 3,600
112 107228 Ririn A 175,500 8,318 4,000
113 107205 Ponisah 123,600 8,145 4,000
114 106586 Sarinem 39,600 3,600
115 070165 Supriyati 73,600 3,600 4,000
116 018543 Rosiana 79,200 7,200
117 031790 Neni Triasih 34,000 - 4,000
118 107208 Ari Yulida 106,750 6,614 4,000
119 107239 Fahmida 103,150 6,286 4,000
120 107231 Noni Oktiana 108,600 6,782 4,000
121 107218 Putri Oktia 73,600 3,600 4,000
122 103493 Yatinah 74,600 6,782
123 060483 Yulaika Ratna 39,600 3,600
124 107233 Latifa Kadam 73,600 3,600 4,000
125 107232 Maryatun 108,600 6,782 4,000
126 107227 Anggia 125,000 8,273 4,000
127 081797 Satiyah 39,600 3,600
128 049116 Sigit Tri 108,600 6,782 4,000
129 025197 Rohmiyati 39,600 3,600
130 103487 Amanda Bunga 98,600 5,873 4,000
131 105799 Theresia 74,600 6,782
132 087009 Liong Fie 39,600 3,600
133 084838 Sudihartono 254,000 1,818 2,500
134 017080 Trusti 112,050 - 4,000
135 107238 Siti Masngadah 157,250 6,659 4,000
136 107234 Silvi Fitri 79,100 4,100 4,000
137 104404 Nathanael 34,000 - 4,000
138 100091 Ristin 34,000 - 4,000
139 103103 almira Yasmine 34,000 - 4,000
140 106984 Faiz 34,000 - 4,000
141 106990 Ghaitsaa 34,000 - 4,000
142 106509 Denira 34,000 - 4,000
143 095400 Andreas 34,000 - 4,000
144 105724 Sri Sugiarti 41,500 682 4,000
145 061138 Agustiyanah 84,000 - 4,000
146 080384 Andriani 84,000 - 4,000
147 106825 Sumini 45,000 - 4,000
148 106952 Wasirah 45,000 - 4,000
149 106943 Marsiti 45,000 - 4,000
150 106958 Supini 34,000 - 4,000
151 037318 Ismiarsih 44,500 955 4,000
-
12,937,985 - 628,708 352,200 173,000 - - 131,900 - 54,000 - 406,000 104,500 -

Jurnal Umum 12,937,985


Kas dari Kassa 12,938,500
Selisih Kas 515

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 28 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

28 1 107248 Moh Saeful Amri 2,655 44,700 3,000 12,500


2 095223 Dedy Suryono 8,164 151,300 4,000
3 104860 Naufal Abinaya Kenzie - 34,000 4,000
4 092773 Muhamad Habibi 9,055 115,100 3,000 12,500
5 101816 Subiyati 3,164 34,800
6 001022 Yuli Gestati 3,600 39,600
7 087322 Dwi Indra A 16,450 1,250 12,500 7,700 2,000
8 001823 Sr. Bernada 1,091 12,000
9 005976 Alipah 6,318 69,500
10 005934 Titi Lestari 2,936 9,600 38,200 3,000 12,500
11 106880 Tugino 5,677 87,950 3,000 12,500
12 082398 Herlin Anggita 3,591 123,500 4,000
13 065419 Kafka Ridho R - 34,000 4,000
14 038782 Lutfi Ubaidillah 13,500 1,227
15 015949 Sugiyati 13,500 -
16 107242 Riyan Bagus 109,950 - 4,000
17 096745 Klinik Harapan bund 12,400 1,127
18 169631 Sakinah 110,000 -
19 67517 Sarjono 62,500 5,682
20 087338 Nita Ratna Sari 2,400 218
21 054066 Tugino 6,500 -
22 106647 Cecilia Estrelia 32,500 2,955
23 106992 Bambang Suparto 66,500 6,045
24 106993 Sutoyo 411,000 32,591 4,000
25 106707 Tarsih 41,500 682 4,000
26 046467 Tugino 74,250 2,659 4,000
27 105724 MM Sri Sugiarti 12,950 1,177
28 106509 Denira 15,655 1,423
29 107240 San Warjo 132,235 - 4,000
30 104379 Bimo Sambudi 34,000 - 4,000
31 106528 Madisan 74,250 2,659 4,000
32 107197 Candra Ariyanto 227,150 - 4,000
33 095400 Andreas 61,870 5,625
34 106990 Gaitsaa Alia 37,350 3,395
35 064623 RSU Purwogondo 47,500 -
36 106432 Ekky Fitri T 82,600 7,509
37 021979 Setiawan 13,500 -
38 079074 Sutarmi 142,150 10,195 5,000 12,500
39 67519 Laeli 900 82
40 102995 Fabrizio 16,500 - 2,000
41 047078 Celine Velina 77,750 5,659 3,000 12,500
42 107183 Sadikem 105,434 7,267 3,000 12,500
43 107170 Ike Insan Aryanti 43,800 2,482 3,000 12,500
44 072282 Erna 18,000 - 2,000
45 107048 Vina Widianingrum 54,000 - 4,000
46 107100 Nurul Melisawati 57,900 2,945 3,000 12,500
47 107244 Wasirah 117,680 9,289 3,000 12,500
48 107059 Rifki Pratama 33,700 745 3,000 12,500
49 066511 Manisah 145,900 9,309 5,000 12,500
50 064942 RSU Purbowangi 116,200 10,564
51 107243 Misem 176,800 9,791 4,000
52 101931 Untung Susilo 34,000 - 4,000
53 081531 Supriyanto 34,000 - 4,000
54 072258 Taminah 142,900 6,709 4,000
55 107072 Saimi 94,250 5,477 4,000
56 078577 Kartip 83,600 4,509 4,000
57 107245 Sulasnimiati 181,375 8,261 4,000
58 075812 Sukarni 113,250 5,977 4,000
59 106803 Suharti 189,350 13,532 4,000
60 066014 Tuti 178,500 11,818 4,000
61 090145 Gani Eka 117,650 6,923 4,000
62 058530 Widi K 56,500 -
63 085479 Tanti 13,500 -
64 084911 Indriyani 13,500 -
65 039567 Poniyem 173,500 -
66 061732 Endang S 13,500 -
67 107249 Harjo Sugino 5,000 -
68 106835 Rejomulyo 18,500 - 2,000
69 107247 Rafa 16,500 - 2,000
70 006579 Sunarto 96,400 - 4,000
71 063102 Titi Suwarni 14,550 1,323
72 106466 Wina Khaerani 196,750 - 4,000
73 081691 Maskuri Rafi 118,500 - 4,000
74 107253 Hilmi Dzaki 81,800 4,345 4,000
75 093644 Alvian Putra 167,050 12,095 4,000
76 107246 Bambang 127,500 - 2,500
77 022524 dr. Nrimanto 162,500 14,773
78 107203 Wiryo Suwito 125,000 -
79 087322 Dwi Indra A (15,046) 165,500
-
5,388,149 - 271,501 411,450 173,200 - - 345,100 - 50,200 - 168,500 150,000 -

Jurnal Umum 5,388,149


Kas dari Kassa 5,388,900
Selisih Kas 751

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
TGL. 29 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

29 1 107122 Habli Wilatikta 7,373 96,600 3,000 12,500


2 098947 Teodora Regitha A 1,082 13,700 13,700 3,000 12,500
3 055480 dr. B Suryanto 12,682 27,900 111,600
4 016717 Uni Erwati 2,255 24,800
5 105267 Augianto - 34,000 4,000
6 107028 Martono 131,150 7,832 4,000
7 Rohyati 190,000 -
8 107170 Ike Insan Aryanti 154,500 - 4,000
9 058941 Agustina 7,500 682
10 025798 Dea Tri K 187,000 -
11 Wahyu Dwi 34,550 - 34,550
12 Dwi Indra A 12,500 - 12,500
13 107263 Veronika Tan Kiem 43,000 1,591 3,000 12,500
14 107262 Turisman 108,550 5,450 3,000 17,000
15 016928 Sarjono 39,500 -
16 062916 Kunariyah 175,350 - 4,000
17 062740 Nasim 18,500 - 2,000
18 090879 Rusmiyati 107,150 - 4,000
19 107259 Jumari 85,500 - 2,500
20 106803 Suharti 91,750 - 4,000
21 084034 Sarwan Wanto 93,350 5,395 4,000
22 102535 Sadikem 136,450 7,995 4,000
23 107151 Riza Rahmawati 261,300 20,664 4,000
24 000937 Gani Lukito 67,000 -
25 106732 Waginem 33,000 1,591 3,000 12,500
26 100879 Diyem 13,500 -
27 057489 Martinem 69,950 4,859 3,000 12,500
28 073175 Pasien Luar 39,600 3,600
29 031363 Harti 171,682 12,426 4,000
30 031256 Samsudin 150,200 10,564 4,000
31 107111 Ari Setyo 116,500 7,500 4,000
32 67530 Tasini 101,000 9,182
33 107264 Almahira 94,850 7,214 3,000 12,500
34 107133 Agung Hadi 109,750 6,886 4,000
35 106966 Sumarni 125,000 -
36 039092 Wasiman 118,400 - 4,000
37 107272 Mustiyono 101,400 - 4,000
38 107271 Ramadani 127,500 - 2,500
39 107208 Ari Yulida 309,000 - 4,000
40 107269 Nur Aisyah 61,200 2,473 4,000
41 107267 Renny Kumala 192,800 9,891 4,000
42 106382 Maryanti 126,750 3,886 4,000
43 107258 Suminah 123,350 4,486 3,000
44 086726 Dwi Kartika Sari 141,000 5,182 4,000
45 106825 Sumini 125,800 7,345 4,000
46 107266 Berliana 206,250 11,114 4,000
47 001633 Budiyati 74,000 3,636 4,000
48 107268 Kasimin 108,150 - 4,000
49 67532 Ita 2,000 182
50 090422 Any Indriyastuti 18,500 - 2,000
51 107265 Sumarni 84,000 - 4,000
52 092065 Dewi Suryani 84,000 - 4,000
53 169713 Poniyah 190,000 -
54 107254 Jamil - 166,500 4,000
-
5,163,732 - 185,017 100,400 47,050 - - 263,100 - 125,300 - 141,000 92,000 -

Jurnal Umum 5,163,732


Kas dari Kassa 5,164,400
Selisih Kas 668
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 30 APRIL 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

30 1 105927 Siti Khotimah - 383,750 4,000


2 107178 Tri subekti - 132,900 8,000
3 020580 Yusiva Sumarni - 19,200 35,450 4,000
4 107254 Jamil - 82,500
5 058345 Sr. Vincentia 13,455 81,750 81,750 3,000 12,500
6 011136 Yosepha Iswidya 909 19,000 4,000
7 67534 Sr. Marieta 29,160 160,380 160,380
8 019803 Marwito 106,750 6,614 13,500 4,000
9 107152 Rohyati 53,950 4,905
10 096500 Nasiran 11,825 1,075
11 005976 Alipah 184,250 10,432 69,500
12 67536 Sarjono 130,800 11,891
13 022524 dr.Nrimanto 73,050 6,641
14 107279 Muslimah 10,000 -
15 092299 Arif Supriyatno 116,000 -
16 106980 Rasminah 160,200 - 4,000
17 052978 Antonius Rudi H 105,700 - 4,000
18 096009 Laeli Hikmawati 39,800 - 17,000 4,000
19 107278 Rino Prasetyo 473,500 5,645 8,000
20 107277 Kurnia Rizki 105,070 - 4,000
21 107115 Fasriyaningsih 99,250 477 7,000
22 107116 Nuron Lukman B 61,000 2,455 4,000
23 106328 Sulistyo Widiawanti 30,000 2,727
24 067646 Erni 26,500 - 2,000
25 107135 Siti Lestari H 28,000 1,727 4,000
26 107138 Siti Lestari H By 9,000 - 4,000
27 107280 Suwartinah 15,500 - 3,000 12,500
28 105683 Sri Widarti 82,500 - 4,000
29 Teodora Regitha 13,700 - 13,700
30 Uni Erwati 24,800 - 24,800
31 106407 Tugiyem 121,750 7,977 4,000
32 107163 Yulianti 93,800 2,118 4,000
33 107286 Saini 251,750 2,614 4,000
34 079074 Sukarni 14,500 - 2,000
35 107172 Sri Hartati 86,750 4,795 4,000
36 022733 Dartomo 197,200 14,745 4,000
37 063102 Titi Suwarni 34,000 - 4,000
38 107285 Sutrisno 47,760 2,933 3,000 12,500
39 038233 Subandi 89,000 - 4,000
40 106964 Sumarni 112,000 5,864 4,000
41 106142 Ramelan 34,000 - 4,000
42 106733 Maryani 18,500 - 2,000
43 107082 Rasini 154,450 10,859 4,000
44 107203 Wiryo Suwito 34,000 - 4,000
45 107283 Darti 70,000 2,364 4,000
46 107240 San Warjo 46,900 1,945 3,000 12,500
47 073833 Indriatno Claudius 34,000 - 4,000
49 090899 Mutmainah 34,000 - 4,000
50 068818 Dwi Aryani 1,000 91
51 107089 Sukarmin 52,750 1,705 4,000
52 Yuniarsih 20,000 - 20,000
53 107187 Leon Ing 35,400 3,218
54 107287 Ade Yasinta 70,000 4,955 3,000 12,500
55 107247 Rafa Alfarizi 80,130 4,194 4,000
56 107288 Awang Choirul M 700,650 13,059 7,000
57 103978 Muh Amin 34,000 - 4,000
58 076415 Fanesi Nur 34,000 - 4,000
59 107290 Fadhil Yudha 34,000 - 4,000
60 089514 Sulastri 34,000 - 4,000
61 103459 Garhit Puji 34,000 - 4,000
62 096153 Christopher 34,000 - 4,000
63 Meterai 30,000 - 30,000
64 090961 Andreas Asmara A 1,255 49,300 3,000 12,500
65 088325 Ridwan Hidayat 5,892 80,315 3,000 12,500
66 107284 Ettyk Haryati 19,727 302,500 4,000
67 080816 Ikhwan Nurhadi 18,841 310,250 4,000
68 016928 Sarjono 5,232 57,550
-
4,629,435 - 232,495 868,030 128,000 - - 824,865 - 294,580 - 231,000 87,500 -

Jurnal Umum 4,629,435


Kas dari Kassa 4,629,900
Selisih Kas 465
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

65,000 50,000 35,000


45,000 35,000 120,500
75,864
30,000 49,727
12,318
246,727
386,864
20,000 10,000 56,800
20,000 10,000 120,325
(30,000) (40,909)
20,000 10,000 61,800
20,000 10,000 81,250
20,000 10,000 45,750
4,909

20,000 10,000 28,250

20,000 10,000 14,500


13,500
9,500 4,500 34,000
107,727
30,000 500 500 123,727
30,000 500 500 38,182 6,500
47,455
10,500 5,500 67,000
70,818
62,000
500 500 33,518
500 500 97,864
11,500 3,000
2,500 7,500
12,500 30,000 11,000 1,682
38,000 20,000 11,250 13,500 83,250 55,773
30,000 500 500 7,000
30,000 20,727 6,500
30,000 47,273
30,000 500 500 52,455

36,500 3,000 25,600 71,159 13,500


49,500
12,500 10,000 20,000
9,500 4,500 34,000
30,000 55,182
37,727
30,000 500 500 65,955
5,000 9,545
30,000 3,500 7,500 142,455
45,000 130,000 35,000 45,909
49,000
45,000 35,000 87,273
30,000 3,500 7,500 31,364
30,000 500 500 89,223
70,500
45,000 35,000
45,000 35,000
45,000 35,000 22,500
45,000 35,000
45,000 20,000 50,000 35,000
5,000
45,000 35,000
45,000 35,000
20,000 8,500 10,000 15,000 49,030
8,136
9,500 4,500 34,000
30,000 3,500 7,500

160,000 1,013,500 218,500 140,250 11,500 - - - - 193,500 3,000 385,000 25,600 252,250 - 2,106,127 457,705 391,500

Jurnal 4,456,745
Piutang 872,275
Subsidi 493,025
5,822,045

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

1,818
20,000 9,500 14,500 41,500 8,909 44,650 83,000
314,500

36,364

20,000 18,500 27,500 377,000


47,000
30,000 3,500 7,500 61,364
40,000
545
30,000 3,500 7,500 88,500
30,000 3,500 7,500
30,000 108,136
25,000 10,000 17,500 36,550
13,500
27,864
20,000 10,000 46,550
20,000 10,000 22,500 65,950
9,500 4,750 41,250 120,500
23,682
22,273
63,182
49,636
9,500 6,500
20,000 10,000 19,500
12,500 70,000 54,500 54,864
12,500 15,000 17,000
12,500 10,000 10,000
9,500 4,500 64,000 46,636
42,045
9,500 6,500
25,000 10,000 330,000 17,500 79,700 49,000
20,000 9,500 14,750 41,250 62,700
11,500 3,000
2,500 7,500
2,318
106,818
60,000
20,000 20,000 13,500 50,000 102,895
20,000 10,000 64,550
109,445
25,000 10,000 17,500 6,000 13,500
20,000 10,000 98,675
20,000 13,500 13,500 36,000 97,780
40,455
13,955
20,000 10,000 171,150

295,000 295,500 147,000 196,000 30,500 - - - 330,000 197,500 16,000 - 52,500 188,000 22,500 908,809 1,273,650 641,000

Jurnal 3,996,040
Piutang 993,613
Subsidi 200,187
5,189,840

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

67,500 32,500 226,500 42,000


30,000 80,000
30,000
48,864
20,000 10,000 41,000
30,000 8,182
30,000 77,355
325,000 65,000 81,250 48,750 71,455 190,000
30,000 5,491
30,000 91,545
30,000 38,364
30,000 41,891
30,000
30,000
30,000
30,000 50,909
30,000 52,318
20,000 10,000 9,000
20,000 10,000 103,800
190,000
2,200
3,500
20,000 10,000 40,925
49,625
20,000 10,000 56,525
22,000
19,200
30,000 80,000 112,909 65,500

100,000 487,500 325,000 82,500 - 65,000 81,250 - - 48,750 - 160,000 - 226,500 - 599,282 347,775 487,500

Jurnal 1,876,035
Piutang 861,950
Subsidi 435,000
3,172,985

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 137,500


20,000 8,500 14,750 36,750 53,000
20,000 27,500 228,000 10,000 317,400
20,000 20,000 27,500 20,000 75,000 22,500 445,430
20,000 10,000 68,150
62,364
8,909
5,000
20,000 10,000 44,000
20,000 10,000 22,500 170,250
20,000 10,000 31,400
20,000 10,000 78,750
20,000 10,000 7,500 41,000
1,000
2,000
20,000 7,000 10,000 12,500 162,750
20,000 10,000 42,700
101,500
5,500 500
162,273
500 500 88,605
11,500 3,000
11,500 3,000

20,000 10,000 18,500


2,727
9,500 7,000 76,500
2,500 7,500
68,273
47,773 13,500
20,000 10,000 53,350
81,682
30,000
9,500 4,500 34,000
9,500 4,750 41,250
30,000
47,500
30,000 6,136
30,000 22,227
70,227
30,000
30,000 500 500 132,068
11,500 3,000
30,000 82,000
30,000 3,500 3,500 68,545
30,000 500 500 52,614
30,000 500 500 48,182
30,000
30,000 500 500 42,682 13,500
36,500 3,000 25,600 58,500
30,000 500 500 43,455
123,000
12,500 5,000 5,000 9,773
39,500 4,750 41,250 110,455
30,000 81,591
39,500 4,750 41,250
62,000
36,500 3,000 25,600 75,455
30,000 42,182
30,000 76,295
30,000
30,000 114,182
46,000 7,750 25,600 41,250 91,500
13,500
30,000 141,818
30,000 47,045
30,000 500 500 55,227
30,000 500 500 39,318

30,000 7,000 14,500


30,000 2,727
30,000 83,045
11,773
24,000
12,500 5,000 5,000 50,455
120,545

280,000 1,000,500 37,000 234,750 44,000 - - 20,000 303,000 92,500 16,000 - 76,800 235,750 22,500 2,158,127 1,667,180 624,500

Jurnal 5,490,840
Piutang 1,859,380
Subsidi 39,200
7,389,420

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 27,000 57,000


27,000 10,000 5,000 65,950
20,000 8,500 10,000 7,500 72,665
30,000 500 500 66,545
70,000 24,000 222,000 363,727 16,500
2,500 7,500 33,636
31,182
95,091
6,636
30,000 60,682 13,500
118,500
20,000 10,000 47,250
30,000 8,000 17,000 29,091
45,091
20,000 10,000 73,450
30,000 10,000 2,568
40,500 5,500 51,000 15,455
40,500 5,500 67,000 8,182
12,273
20,000 10,000 100,800
19,000 9,000 68,000
64,500
30,000
83,000
9,500 6,500
120,000
2,500 7,500
132,500

9,500 4,500 34,000


30,000 500 500 40,677
30,000 500 500 20,000
10,500 5,500 67,000
1,818
30,000 500 23,000 37,364
9,500 4,750 41,250
11,000 8,000
30,000 500 500 97,091
30,000 500 500 31,256 85,500
30,000 500 500 115,736
30,000 49,545
74,000
74,000
53,364
11,500 3,000
39,500 4,750 41,250 36,182 10,000
62,000
30,000 500 500 20,909
30,000 31,318 13,000
30,000 91,000
16,918
11,500 3,500
30,000 500 500 70,909
30,000 108,409 13,500
30,000 500 500 61,364
20,000 10,000 92,076
30,000 28,050
30,000 500 500 59,182 13,500
9,500 4,500 34,000
30,000 500 500 31,364 34,500
30,000 10,227
30,000
30,000
8,500 4,750 36,750 37,273
10,500 5,500 67,000
30,000 97,955
20,000 12,500 5,000 3,182
20,000 10,000 58,632
50,000 44,314
10,000
11,500 3,000
30,000 69,682
30,000 28,636
30,000 16,500 50,000 6,500 94,227
40,500 5,500 67,000 57,909
30,000 16,500 6,500 88,455
34,091
30,000 500 16,500 500 6,500 99,273
20,000 10,000 49,045 52,000
13,500
30,000 58,955
30,000 500 500 73,136
30,000 9,500 6,500 130,864
30,000 9,500 6,500 37,227
30,000 36,364
8,000
35,000 90,000
6,818
7,455
21,700
30,000 115,455
20,000 10,000 138,175
30,000 3,500 7,500 138,273
20,000 10,000 66,700
30,000 6,000 12,500 54,318
30,000 3,500 7,500 54,318
30,000 7,000 14,500 110,455
30,000 110,227
50,000
20,000 113,500 13,500 27,500 45,440
35,000 90,000
30,000 29,636
277,000 1,738,000 132,000 259,750 123,500 - - - 50,000 148,500 56,500 180,000 - 796,250 - 3,450,384 809,838 1,059,000

Jurnal 9,946,375
Piutang (547,890)
Subsidi 390,275
9,788,760

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 13,222


20,000 10,000 23,450
30,000 101,091
15,364
36,000
20,000 23,500 10,000 27,500 146,225
30,000 500 500 57,409 13,500
97,000
11,500 3,000
127,273
7,000
9,545
20,000 27,500 20,000 710,000 450,500
20,000
9,500 6,500
11,500 3,000
62,091
500 500 73,364
500 500 55,182
30,000 26,591 34,500
11,500 3,000
25,136
30,000 58,636
30,000 500 500 173,409
30,000 96,318
30,000 500 500 109,273
52,932
30,000 13,500
24,000 77,000
30,000 144,818 13,500
21,477
36,500 3,000 25,600 20,000
9,500 7,000
30,000 153,409 13,500
30,000 128,750
30,000
30,000 500 500 139,455
36,500 3,000 25,600 111,136 48,500
30,000 46,727
30,000 152,182
30,000 95,591
30,000 77,659
30,000 500 500 77,500
30,000 87,273
30,000 500 500 50,591 13,500
12,500 10,000 11,000 3,636
30,000 20,909
36,000
36,000
45,000 35,000 87,273
36,000
36,000
58,727
20,000 10,500 15,500 67,000
30,000 246,909
38,864
45,000 35,000 101,591
45,000 35,000 98,182
72,000
103,818
30,000 85,545
45,000 35,000 30,545
67,818
30,000 73,273
36,000
72,000
36,000
30,000 74,273
30,000 33,409
36,000
45,000 35,000 23,864
30,000 147,591
36,000
30,000 97,660
67,818
45,000 35,000 102,273
36,000
36,000
30,000 58,115
36,000
30,000 67,818
30,000 113,273
30,000 67,818
67,818
30,000 72,000
36,000
72,000
30,000 81,455
39,500 4,750 41,250 135,500
36,000
30,000 62,864
30,000 72,000
30,000 72,000
20,000 10,000 45,050
72,000
36,000
36,000
22,000
30,000 53,455
30,000
36,000
45,000 35,000 38,864
67,818
30,000 67,818
30,000 62,864
36,000
36,000
36,000
67,818
36,000
30,000 67,818
45,000 35,000 102,273
45,000 35,000
30,000 3,000 7,000
30,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 20,000 50,000 35,000
67,818
30,000 10,000 3,773
30,000 3,500 7,500 84,350
30,000 112,500
30,000 6,000 12,500 38,955
37,723
20,000 13,500 13,500 35,000 176,275
30,000 88,209
30,000 42,455
30,000 30,955
30,000 69,000
30,000 74,455
20,000 10,000 78,350 15,500
10,500 5,500 67,000
30,000
30,000 72,455
36,000
30,000 67,000
30,000 79,455
13,636
36,000
30,000
30,000
20,000 7,000 10,000 3,500
24,545
30,000 3,500 7,500
(123,364)

180,000 2,666,000 84,000 152,750 53,500 - - 20,000 710,000 165,500 22,500 560,000 51,200 175,250 - 7,101,965 933,072 524,500

Jurnal 14,080,537
Piutang 64,847
Subsidi 425,550
14,570,934

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

30,000 91,818 27,500


25,000 10,000 17,500 102,400
12,182
51,500
30,000 3,500 7,500 13,500
16,727

9,500 7,000
8,636
190,000
13,500
52,000
264,545 26,000
244,500
11,500 3,000
36,000
20,000 10,000 50,622
20,000 10,000 15,050
25,000 10,000 17,500 37,450
20,000 10,000 34,700
500 500 76,068

25,727

87,091
101,500
13,500
10,500 5,500 67,000
30,000 27,500
30,000 500 500 142,409
30,000 500 500 56,318
30,000 79,023
30,000 41,864
30,000 129,205
30,000
30,000
30,000 96,318
30,000 17,273 6,500
30,000 101,364 6,500
30,000 500 500 96,364
9,500 4,750 41,250
30,000 45,909
17,273
9,500 4,750 41,250 46,500
8,182
36,500
30,000
39,500 4,750 41,250 140,227 13,500
30,000 32,727
29,545
30,000 118,182 34,500
30,000 500 500 80,182 13,500
20,000 10,000 5,000 73,750
20,000 12,500 5,000 2,250
20,000 10,000 44,250
35,000 90,000
30,000 23,182
30,000 508,909
35,000 90,000
45,000 27,000 239,000 203,182 31,500
35,000 90,000
35,000 90,000
20,000 10,000 64,700
9,364
2,500 7,500 77,818
40,909
20,000 10,000 54,700
30,000 57,591
30,000 43,955
30,000 116,182

210,000 974,000 - 157,750 21,000 - - - - 27,500 10,000 360,000 35,000 429,750 - 2,932,250 479,872 950,000

Jurnal 6,747,597
Piutang 404,850
Subsidi 16,900
7,169,347

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

65,000 90,000 20,000


20,000 10,000 47,250
10,000
79,500
36,227
2,182
20,000 10,000 37,150
20,000 10,000 75,950
20,000 10,000 160,750 71,500
13,818
113,636
39,500 5,250 500 41,250 128,727
30,000 60,000
30,000 500 500 111,568
30,000 15,000
90,000
9,500 7,000
30,000 500 500 35,682
30,000 50,909
30,000 500 500 172,909
30,000 16,455
30,000
11,500 3,500
500 500 73,591
14,000 10,500
20,000 10,000 7,500 32,400
9,500 4,500 34,000
30,000 500 500 57,000
30,000 27,500

17,409
5,000 9,091
4,545
45,000 35,000 31,000
45,000 35,000 123,864 6,500
45,000 35,000 62,727
30,000 3,500 7,500 30,364
45,000 35,000 94,773
45,000 35,000 20,000
12,500 20,000 13,500 5,000
45,000 35,000 94,091
45,000 35,000 37,273
45,000 35,000 51,818
45,000 35,000
45,000 20,000 50,000 35,000
45,000 35,000
30,000 3,500 7,500
45,000 35,000
45,000 35,000
10,500 5,500 51,000
30,000 126,818
12,500 10,000 10,000
9,636
30,000 133,909 13,500
51,500
30,000 21,864 56,500
2,500 7,500 67,000 13,500
64,091
17,409
20,000 10,000 65,150

130,000 1,184,500 50,000 92,250 35,000 - - - - 106,500 21,000 545,000 - 126,250 - 1,910,386 418,650 430,000

Jurnal 5,178,275
Piutang 145,150
Subsidi 116,650
5,440,075

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 13,500 7,500


20,000 10,000 46,500
13,500
41,091
15,000
120,000
2,500 15,500 72,864
110,682
16,864
2,500 7,500 49,091
71,227 39,500
12,727
20,000
20,000
20,000 10,000 34,000
20,000 13,500 10,000 10,000 139,350
20,000 10,000 27,450
20,000 10,000 40,800
20,000 10,000 36,000
20,000 10,000 57,100
20,000 10,000 44,650
13,500
192,727
9,000
5,000 9,091
38,773
42,909
2,500 7,500
180,682 42,500
100,000
90,000
10,500 5,500 67,000
12,500 35,000 45,000
12,500 40,000 30,000 3,364

13,182
177,500
5,500 500
7,364

20,000 22,000 10,000 90,000 120,920


20,000 10,000 70,200
20,000 10,000 87,200
25,000 10,000 17,500 3,250
57,950

265,000 35,500 110,500 157,000 - - - - - 213,500 - - 17,500 67,000 - 1,097,636 765,370 425,500

Jurnal 2,796,620
Piutang 353,600
Subsidi 315,550
3,465,770

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 186,250


12,500 15,000 17,000 24,000
20,000 10,000 86,800
9,227
20,000 10,000 48,200
20,000 10,000 54,900
20,000 10,000 57,500
20,000 10,000 94,700
105,955
6,364
66,364 66,650
20,000

20,000 10,000 42,300


8,000
70,000
20,000 10,000 56,150
36,175
20,000 10,000 110,850
7,900
7,000
67,000
20,000 12,500 5,000 85,100
20,000 10,000 66,550
36,500
20,000 10,000 91,550
25,000 27,500 17,500 108,750

265,000 12,500 15,000 150,000 - - - - - 22,000 - - 17,500 - - 187,909 1,337,325 95,500

Jurnal 2,080,075
Piutang (8,675)
Subsidi 148,125
2,219,525

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 12,950


30,000 62,091
22,727
38,000
20,000 10,000 70,150
10,909
16,818
14,409
6,818
13,182
100,000
52,000
13,500
20,000 10,000 12,050
25,000 10,000 17,500 136,500
20,000 10,000 95,650
20,000 10,000 75,450
4,364
47,182
2,500 7,500 42,455
9,500 4,500 34,000
13,500
20,000 10,000 64,505
28,909
29,455
39,182
2,500 7,500 20,182
19,000 9,250 82,750
5,000

30,000 50,909
30,000 78,750
11,500 3,000
30,000
67,545
30,000 147,500
500 500 27,838
41,115
30,000 30,977
161,364
11,500 3,000
30,000 55,045
30,000 500 500 40,500
9,500 7,000
30,000 500 500 148,818
30,000 500 500 39,386
36,500 3,500 500 25,600 107,636
30,000 500 500 20,000
30,000 96,136
39,500 4,750 41,250 135,568
30,000 25,750
30,000 48,409
30,000 500 500 28,705
30,000 43,909
30,000 500 500 101,591 13,500
30,000 41,909
30,000 110,886
30,000 500 500 138,182
31,818
30,000 52,273 13,500
30,000 97,045 32,000
30,000 500 500 97,682 13,500
30,000 500 500 113,364
36,500 3,000 25,600 38,295
30,000 35,909
11,500 3,000
30,000 77,273
30,000 84,091
39,500 4,750 41,250 32,045
4,364
25,000 10,000 7,500 17,500 63,250
35,000 15,000 150,000 48,000
20,000 9,500 14,750 41,250 31,500
30,000 4,500 10,000 325,909
30,000 8,182

36,500 3,000 25,600 137,727 133,500


24,841

190,000 1,131,500 - 162,000 44,000 - - - 100,000 38,000 16,000 - 111,800 390,500 - 3,393,930 562,005 285,000

Jurnal 7,631,953
Piutang (711,175)
Subsidi 193,350
7,114,128

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

9,500 4,750 41,250 133,500


2,500 7,500 15,864
13,500 7,500
30,000 500 500 31,364 34,500
30,000 43,409
20,000 20,000 10,000 62,500 136,260
30,000
30,000 2,727
30,000
39,500 4,500 34,000 69,000
30,000 7,000 14,500 96,818
30,000 3,500 7,500 6,818
30,000
30,000 19,773
30,000 325,000 65,000 81,250 48,750 76,591
30,000 10,000 109,409
30,000 6,000 12,500 64,350
30,000 221,591
30,000 3,500 7,500 54,545
140,000
20,000 10,000 33,600
12,227
23,273
36,500 3,000 25,600
30,000 63,545
30,000 500 500 24,818
16,777
19,000 9,000 68,000
101,818
99,638
8,500 3,750 27,750 22,500 48,818
11,500 3,000
9,500 7,000
30,000
70,318
2,500 3,000 36,707
9,500 7,000
10,500 5,500 67,000

20,000 10,000 48,950


30,000 100,545
30,000 500 500 117,273
53,000
30,000 89,091
30,000 85,909
30,000 127,750
30,000 181,455
45,682
49,591
30,000 16,364 13,500
20,000
30,000 46,318
30,000 35,000
30,000 22,000
62,909
36,500 3,000 25,600
30,000 8,182
2,500 22,500 59,545
12,000
3,000 25,600 6,818 51,500
20,000 10,000 41,600
30,000 30,000 59,000
60,000 16,500 6,500 42,727
2,727
30,000 33,273 13,500
20,000
33,523
35,000 90,000
20,000 10,000 169,250
35,000 90,000
35,000 90,000
30,000 80,000
30,000 80,000
20,000 10,000 75,200
20,000 10,000 24,722
8,727
11,364
10,000 7,500
30,000 236,364 70,500

140,000 1,325,000 355,000 159,000 47,000 65,000 81,250 - - 202,750 23,500 430,000 76,800 238,000 22,500 2,771,336 669,582 463,000

Jurnal 6,656,717
Piutang 894,735
Subsidi 167,900
7,719,352

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 117,450


30,000 91,818 27,500
30,000
30,000 3,500 7,500 38,864
67,818
36,000
8,673
45,000 35,000 98,864
5,000 8,636
94,318
122,273

56,318
25,000 10,000 17,500 21,650
20,000 9,500 14,500 41,500 48,500
48,636
9,500 6,500
11,500 3,000
13,500
20,000 10,000 57,250
9,500 7,000
8,545
20,000 10,000 56,150
20,000 10,000 3,250
8,182
20,000 10,000 15,450
20,000 10,000 32,850
53,500
8,636
20,000 10,000 86,650
5,000 8,182
30,000 61,364
121,545
30,000 446,591
30,000 2,500 5,000 50,227
30,000 6,000 12,500 69,545
30,000 3,500 7,500 72,682
30,000 57,955 13,500

30,000
132,045
9,500 6,500
20,000 12,000 5,000 18,500
36,500 3,000 25,600 99,000
9,500 7,000
30,000 4,091
30,000 500 500 35,000 7,500
30,000 13,500
11,182
36,500 3,000 25,600
30,000 64,273
30,000 22,409
30,000 41,136
133,636
30,000 112,273
30,000 20,455
7,727
30,000
30,000 95,455 39,500
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 15,455
5,000
5,000
5,000
5,000
5,000
5,000
15,000 5,000 35,000
20,000 10,000 49,150 62,000

30,000 27,273
30,000 3,500 7,500 38,864
45,000 35,000 35,455
30,000 38,864
30,000 500 16,500 500 6,500 169,318
30,000 36,000
36,000
36,000
72,000
30,000 3,500 7,500 153,409
36,000
30,000 3,500 7,500 38,864
30,000 42,818
30,000 36,364
30,000 154,296
30,000 36,000
30,000 49,091
30,000 110,909
30,000 72,000
30,000 142,727
36,000
67,818
72,000
36,000
36,000
36,000
30,000 56,591
30,000 13,500
30,000 263,818
36,000
30,000 102,273
1,364
30,000 3,500 7,500 1,182
30,000 22,500
30,000 36,364
45,000 35,000 66,591
45,000 35,000
45,000 35,000 38,864
45,000 35,000 63,864
30,000 128,364
36,000
36,000
36,000
36,000
154,182
35,000 21,000 178,000 18,182
30,000 113,364
36,000
36,000
30,000 128,182
36,000
45,000 3,500
30,000 140,182
36,000
36,000
67,818
36,000
36,000
30,000 50,000 101,545
30,000 29,273
12,500 25,000 35,000 8,182
72,000
36,000
20,000 10,000 86,650
36,000
72,000
72,000
36,000
30,000 41,455
30,000 36,000
30,000 45,455
103,818
40,000
30,000 52,727
30,000 52,727
30,000 52,727
30,000 52,727
30,000 52,727
30,000 50,909
30,000 33,909
30,000 1,818
30,000 19,818
30,000 6,818
30,000 73,982
30,000 24,955
30,000 47,273
48,500
30,000 11,364
30,000 7,000 14,500
30,000 3,500 7,500 112,545
3,636
20,000 10,000 3,250
30,000 6,000 12,500 434,545
36,000
40,500 5,500 67,000
30,000 34,091
20,000 10,000 116,400
72,000
31,636
15,455
30,000 50,909
7,727

285,000 2,600,500 75,000 371,000 66,000 - - - 40,000 141,500 36,500 245,000 68,700 286,500 - 7,949,405 713,150 391,500

Jurnal 15,241,806
Piutang (893,910)
Subsidi 378,800
14,726,696

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 13,500 13,500 30,000 175,025


25,000 37,500 27,500 20,000 17,500
49,045

3,636
70,364
9,500 4,750 41,250
13,500

2,727

56,818
25,000 10,000 17,500 31,300 13,500
93,409
2,500 7,500 29,273
46,518
30,000
30,000 33,045
2,500 7,500
30,000 500 500 27,909
20,000
9,500 4,500 34,000
9,500 4,500 34,000
8,500 4,750 36,750 60,364
30,000
30,000 45,000
25,500 11,250 83,250
36,500 3,000 25,600 93,886
30,000 500 500 51,000
30,000
30,000 71,773
30,000 229,636
76,500
30,000 500 500 120,455
30,000
3,000 25,600
30,000 27,500
30,000 500 500 50,705
35,864
36,000
30,000 88,227 13,500
30,000 7,000 15,000 13,500
39,500 4,750 41,250 34,091
30,000 500 500 114,091
30,000 500 500 70,455
30,000
30,000
30,000 102,727
30,000 3,500 7,500 64,318 13,500

32,273
13,500
20,000 10,000 17,650
1,818
76,500
45,000 27,000 239,000 177,818 31,500
30,000 6,000 12,500 54,318
30,000 22,109
30,000 98,718
30,000
30,000
30,000
30,000
30,000
30,000
30,000
30,000 50,909
30,000 50,909
30,000 52,727
30,000 1,818

90,000 1,271,000 13,500 153,000 - - - 20,000 - 83,000 - - 86,200 509,500 - 2,224,755 223,975 313,000
Jurnal 5,169,670
Piutang 356,235
Subsidi -
5,525,905

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

54,425
30,000 3,500 7,500
20,000 10,000 17,000
30,000 58,591
40,955 52,000
30,000 3,500 7,500 6,091
20,000 10,000 165,875
20,000 16,000 12,500 16,750
20,000 10,000 127,150 91,500
30,000 80,000
10,000
2,500 7,500 76,000
5,000 9,545
35,636
90,864
2,636
11,364
52,909
60,000
20,000 10,000 71,000
20,000 10,000 12,300
190,000
20,000 8,500 14,750 36,750 66,350 39,500
93,000
20,000 10,000 18,010
55,382
52,000
10,455
29,000
10,000
5,364
11,500 3,000
30,000
30,000 12,955
25,227
64,545
20,000 10,000 43,900
30,000 3,500 7,500 6,091
45,000 35,000 62,045
45,000 35,000 74,182
30,000 3,500 7,500 6,091
45,000 35,000 70,909
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000 3,500 7,500
30,000 3,500 7,500
30,000 15,000 3,500
45,000 35,000

30,000 3,500 7,500


30,000
30,000
30,000
30,000 10,000 28,300
11,000 8,000

10,682
30,000
11,364
30,000 92,727 10,000
11,500 3,000
30,000
177,364
15,818
30,000 500 500 58,364 13,500
16,500 6,500
9,500 7,000

30,000 169,045 27,000

190,000 998,500 15,000 143,250 60,000 - - - - 76,500 27,500 360,000 - 36,750 - 1,402,200 621,060 578,500

Jurnal 3,809,505
Piutang 732,150
Subsidi 337,825
4,879,480

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

12,500 10,000 10,000 1,682


12,500 15,000 17,000 1,682
12,500 20,000 13,500
12,500 15,000 17,000
12,500 45,000 17,000
25,091
67,273
13,545
9,500 4,500 49,000
10,500 5,500 51,000
20,000 10,000 7,500
20,000 10,000 25,350
13,500
20,000 13,500 10,000 27,500 60,350
20,000 10,000 24,300
10,636
10,000
4,091
20,000 10,000 34,522
76,500
2,500 7,500
13,500
2,500 7,500
20,000 9,500 14,750 41,250 11,900 10,000
30,000 7,000 14,500 127,727
30,000 9,000 18,000 51,591
30,000
30,000 15,000 17,500
9,500 7,000
5,000 9,545
14,000 10,500
8,500 4,750 36,750 42,136
9,500 7,000
144,000
(19,091)
80,000
9,500 4,500 34,000 61,500
9,500 6,500
11,500 3,000
67,000
12,500 30,000 10,000 2,591

20,000 10,000 116,900

8,000
11,500 3,000
11,500 3,000
2,500 7,500 38,228

8,545
17,545
20,000 10,000 62,900
30,000
30,000 57,727
30,000 48,909
30,000 10,409
30,000 4,091
30,000 4,091
30,000 4,091
26,364
30,000 15,682
30,000 5,091
30,000

160,000 542,500 148,500 147,500 77,000 - - - - 192,000 40,000 - - 212,000 - 813,274 336,222 250,000

Jurnal 2,611,773
Piutang 465,575
Subsidi 175,975
3,253,323
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

6,900
20,000 27,500 20,000 182,650
20,000 10,000 119,300
190,000
25,000 10,000 17,500 55,200
105,455
20,000 10,000 22,200
20,000 13,500 10,000 27,500 59,300
20,000 20,000 10,000 32,500 159,675
12,000
13,500
30,000 10,000 110,240
20,000 10,000 65,000
20,000 10,000 94,000 73,500
20,000 10,000 63,950 91,000
4,150
20,000 20,000 14,500 702,000 50,000 247,300
141,800
20,000 10,000 201,850
20,000 10,000 68,800
20,000 10,000 17,000
46,000

265,000 30,000 53,500 162,000 - - - 20,000 702,000 110,000 - - 17,500 - - 105,455 1,665,315 380,000

Jurnal 3,294,265
Piutang 358,050
Subsidi -
3,652,315

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA
23,273
2,500 7,500 53,818
79,091
11,500 3,000
279,545
20,000 27,500 20,000 93,300
145,000

2,500 7,500
95,364
20,000 10,000 67,000 42,500
20,000 10,000 34,400

27,273
52,000
2,000
2,000
20,000 10,000 50,350
100,000 150,000
48,409
9,500 7,000 7,500 64,000 37,909

20,000 10,000 65,600


20,000 10,000 106,600
8,500 7,500
11,000 8,000
9,500 6,500
46,545

12,286

30,000
40,545
30,000 500 500 29,818
30,000 500 500 5,455
30,000
36,500 3,000 25,600 147,500
10,500 5,500 67,000
20,000
30,000 114,000
30,000 500 500 26,318
21,756
30,000 27,500
30,000 45,909 83,500
30,000 89,659
150,000
30,000
30,000 110,682
30,000 58,136

30,000 500 500 22,682

30,000 500 500 92,227


30,000 38,182
30,000
30,000 54,545 6,500
20,000 20,000 20,000 85,000 18,500
30,000 62,500 13,500
20,000 10,000 15,200
30,000 500 500 87,045
30,000 45,000 6,500
30,000 500 500 191,386
30,000 53,136 45,500
30,000 500 500 22,682 13,500
30,000 94,432
30,000
30,000 10,227
30,000 62,159
30,000
30,000 500 500 92,500
30,000 50,227
30,000 13,500
9,500 4,750 41,250
6,091
20,000 10,000 11,000

180,000 1,016,000 - 155,750 32,000 - - 20,000 100,000 34,500 17,500 - 25,600 257,250 - 2,418,315 611,950 583,500

Jurnal 6,898,597
Piutang (1,091,400)
Subsidi 289,500
6,096,697

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA
30,000 500 500 31,273
59,864
20,500
20,000 10,000 54,000
30,000
20,000 10,000 100,600
20,000
52,000
13,500
13,500
30,000 7,000 14,500 14,818
30,000 7,000 14,500
36,000
30,000 22,500
30,000 100,000 3,500 7,500 23,636
30,000 6,000 12,500
30,000
20,000 10,000 196,425
8,500 7,500
13,500
76,500
144,000
27,273
14,023
69,500
12,000
39,636
30,000 500 500 81,545
30,000 81,723
30,000 500 500 94,273
9,500 7,000
30,000 500 500 97,273 13,500
30,000 47,955
8,500 3,750 37,750
16,500 6,500
12,000
30,000 72,273
30,000
30,455
9,500 7,000
30,000 13,500
30,000
43,409 13,500
70,318
20,000 10,000 3,000 8,855
58,191
30,000 500 500 97,182
30,000 40,455 9,000
39,500 4,750 41,250 148,000
30,000 500 500 25,500 34,500
9,500 4,750 41,250 302,500
30,000 84,000
30,000 82,273
20,000 10,000 22,500 65,975
8,500 4,750 36,750 31,818
30,000 43,773
30,000 71,364 19,500
30,000 3,500 7,500 90,500 13,500
30,000 500 500 37,029
30,000 500 500 119,773
30,000 108,273
30,000 73,727
30,000 15,000
30,000 147,909

20,000 10,000 166,750


35,000 90,000
30,000 500 16,500 500 6,500 71,318
30,000 89,727
30,000 100,455
30,000 129,091
30,000 3,500 7,500 54,318
30,000 3,500 7,500 477,955
20,000
30,000 4,500 10,000
30,000 3,500 7,500 13,409 13,500
30,000 6,000 12,500 54,318
30,000 3,500 7,500 27,273
35,000 90,000
30,000 500 500 86,318
30,000 75,500
30,000 500 500 89,500
9,000 7,000
30,000 9,500 6,500 137,955
25,000 10,000 17,500 42,700
30,000 6,000 12,500 223,409
3,182

145,000 1,516,000 100,000 159,500 70,500 - - - - 137,500 40,500 180,000 17,500 157,000 22,500 3,837,238 635,305 859,500

Jurnal 8,054,517
Piutang 389,425
Subsidi 132,325
8,576,267

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 128,950 73,500


28,636
5,455
50,000 140,000

2,727 30,500
57,500
20,000 35,000 10,000 90,000 80,900
20,000 13,500 7,500 139,050
20,000 10,000 78,800
96,500 3,000 25,600 25,909 120,500

9,500 6,500
5,000 9,545
20,000 10,000 25,800
30,000 54,523
30,000
36,500 3,000 25,600 97,182
30,000 137,727
30,000 110,691
30,000 500 500 58,636
30,000 29,273
43,227
31,273
60,000 12,577 96,500
30,000
30,000
30,000 130,909 33,000
30,000
30,000 102,727
54,000
30,000
30,000 500 500 107,000
30,000 22,882
30,000
10,000
12,000
11,500 3,500
20,000 13,500 13,500 27,500 24,815
36,000
36,000
45,000 35,000 70,909
20,000 10,000 17,800
32,273
30,000 3,500 7,500 53,000
55,727
30,000 3,500 7,500 159,591
30,000 77,659
30,000 500 500 63,909
31,955
30,000 116,727
36,000
72,000
30,000 138,593
30,000 118,387
36,000
45,000 35,000 24,545
36,000
36,000
36,000
36,000
30,000 3,500 7,500 38,864
30,000 80,684
30,000 31,818
15,364
36,000
36,000
36,000
30,000 3,500 7,500 3,273
36,000
36,000
36,000

30,000 67,818
67,818
30,000 3,500 7,500 100,909
72,000
36,000
97,500
30,000 500 500 101,727
30,000 36,000
30,000 67,818
45,000 35,000 38,864
30,000 73,273
30,000 36,000
144,000
30,000 104,659
30,000 62,727
30,000 125,818
30,000 104,182
45,000 35,000 12,273
30,000 36,000
30,000 86,273
36,000
36,000
30,000 72,000
72,000
45,000 35,000 98,182
30,000 38,864
204,273
30,000 117,909
30,000 56,909
45,000 35,000 77,727
30,000 24,864
67,818
36,000
72,000
72,000
30,000 112,500
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000
30,000
5,000
5,000
56,909
103,818
30,000 72,000
36,000
36,000
36,000
36,000
30,000 180,842
36,000
36,000
72,818
98,660
30,000 65,091
30,000
30,000 113,218
30,000
30,000 1,764
30,000
30,000 3,682
30,000 56,136
30,000
30,000
30,000 50,909
30,000 36,755
30,000 47,182
30,000 46,364
40,500 5,500 67,000
187,000
36,000
51,073
30,000 13,455
6,818
36,000

246,500 2,587,000 13,500 123,000 21,000 - - - - 124,500 10,000 475,000 51,200 67,000 - 6,732,375 636,115 664,500

Jurnal 14,529,977
Piutang (1,566,350)
Subsidi 47,800
13,011,427

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 20,000 100,000 206,990


30,000 68,864 27,500
30,000 67,818
30,000 50,909
107,727
8,500 3,750 27,750 66,364
9,500 4,500 49,000 49,545
23,273
102,591
3,409
36,000
5,000 9,545
20,000 10,000 56,000
20,000 10,000 190,275
20,000 10,000 63,500
6,000
34,000
42,773
20,000 15,000 10,000 15,000 12,000
20,000 10,000 81,300
2,773
36,000
35,000 15,000 150,000 74,227
30,000
40,000 3,773
500 500 32,565
9,500 7,000
30,000 3,500 7,500 13,500
9,500 4,500 34,000
20,000 10,000 35,300

2,500 7,500 82,455


20,000 10,000 74,150
23,273
9,500 4,500 34,000
30,000
30,000
30,000
30,000 500 500 154,091
30,000 132,614

30,000 131,295
30,000 500 500 100,909
30,000 3,500 7,500 123,591 6,500
20,000 10,000 35,909 15,500
30,000 500 500 62,909
39,500 4,750 41,250 8,182 10,000
30,000 500 500 102,114
30,000 500 500 140,987
34,182
243,138
30,000 32,318
30,000 12,500 48,500
30,000 127,659
30,000 61,773
30,000 500 500 117,273
30,000 68,864
30,000 55,091
30,000
21,545
57,000
25,000 10,000 17,500 11,750
20,000 10,000 62,450
30,000 80,000
30,000 38,182
30,000 50,909
30,000 50,909
59,000
5,455
20,000 10,000 121,050
30,000 52,091
52,000

30,000 80,955
30,000 68,182
72,727

245,000 1,081,500 15,000 175,000 9,500 - - 20,000 100,000 41,000 7,000 80,000 17,500 336,000 - 3,076,236 914,765 323,500

Jurnal 6,521,700
Piutang 353,975
Subsidi 234,950
7,110,625

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

140,000
(50,000)
10,318
75,636
6,091
20,000 10,000 87,750
20,000 13,500 10,000 25,000 104,065
20,000 8,500 10,000 15,000 93,615
30,000
909
8,000
2,727
20,000 10,000 47,000
132,500
20,000 10,000 77,200
8,500 7,500
5,000
20,000 8,500 10,000 15,000 85,015
20,000 10,000
20,000 10,000 106,935
50,400
4,600
20,000 10,000 14,400
114,250
20,000 10,000 42,250
20,000 10,000 73,100

220,000 - 30,500 123,500 - - - - - 12,500 - - - - - 125,682 1,173,080 8,000

Jurnal 1,726,580
Piutang 101,250
Subsidi -
1,827,830

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

45,000
20,000 10,000 17,300
31,409
118,636
72,273 145,500
11,000 20,000
2,500
72,200
12,500
52,000
62,000
20,000 10,000 76,500
21,650
20,000 10,000 87,150
20,000 10,000 22,500 80,300
20,000 27,500 20,000 1,100,000 150,000
160,500
51,500
9,500 4,500 41,500
31,818
46,318
9,500 4,750 41,250 155,500
36,500 3,000 25,600 70,909
30,000 82,318
30,000
30,000 500 500 38,955
30,000 500 500 44,864
30,000

26,409
12,500
12,500 50,000 70,000 1,682
20,000 10,000 41,250
10,227
2,500 7,500 5,000
3,000 15,000 22,636
18,864
131,000
36,500 3,000 25,600 70,909
30,000 500 500 41,409 6,500
30,000 10,000 20,000
30,000 73,409 27,500
30,000 500 500 25,705 13,500
30,000 41,591 34,500
32,682
30,000 9,000
36,500 3,000 25,600 13,500
59,000
13,500
36,500
9,500 4,750 41,250
126,818
37,727
9,500 4,500 34,000
47,636
30,000 133,000
30,000 147,023
30,000 50,455
12,500 30,000 10,000 1,682
9,500 4,750 41,250
30,000 6,436
20,000 10,000 54,900
30,000 85,864
91,500
30,000 47,136
30,000 36,000
30,000 56,627
30,000 30,909
30,000 46,636
34,000
13,500

30,000 75,773
20,000 22,000 14,500 75,000 131,945

160,000 854,500 102,000 141,750 - - - 20,000 1,100,000 179,500 - - 76,800 199,250 22,500 2,023,745 821,195 957,500

Jurnal 7,020,765
Piutang 172,250
Subsidi 254,100
7,447,115

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 3,500 55,350


30,000 120,755
20,000 10,000 71,100
66,341
32,500
36,500 3,000 25,600 401,182
30,000 49,909
30,000 5,227
19,773
2,300
8,950
18,500
20,000 10,000 10,700
20,000 10,000 14,150
1,000
3,000
20,400
20,000 10,000 55,250
27,500
150,000 150,000
20,000 10,000 39,300
8,000
30,000 21,182
20,000 10,000 14,700
1,318
1,500
30,000 160,091
20,000 7,000 13,500 12,500 48,450
20,000 10,000 27,600
82,500
95,800
140,000
20,000 10,000 17,600
20,000 13,500 13,500 27,500 40,715

220,000 186,500 20,500 120,000 - - - - 150,000 43,500 - - 25,600 - - 878,277 918,865 35,500

Jurnal 1,514,065
Piutang 909,243
Subsidi 427,762
2,851,070
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 77,250


29,455
25,909
37,318
150,455
2,500 7,500 64,909
30,000 500 500 21,773
20,000 10,000 52,600
20,000 10,000 51,900
20,000 10,000 136,900
20,000 10,000 28,400
20,000 10,000 179,150
20,000 10,000 42,700
20,000 10,000 136,900
25,000 10,000 17,500 62,200
20,000 27,500 228,000 166,225
3,625
9,500 6,500
(35,100)
11,500 3,000
83,636

18,000 9,750 500 100,750 68,591


9,500 4,750 41,250
30,000 500 500 109,091
30,000 55,909 13,500
9,500 6,500
30,000 77,273
2,500 7,500 32,636
30,000 67,591
30,000 23,955

3,000 25,600 101,273


30,000
60,000 31,814
26,364
9,500 7,000
30,000 48,636
30,000 37,045
30,000
30,000 27,500
3,000 8,000 61,656
2,500 7,500 13,545
13,500
30,000 5,455
2,500 7,500 49,091
72,727
39,500 4,750 41,250 6,500
30,000 21,182 34,500
30,000 33,182
36,500 3,000 25,600
30,000 57,727
64,909
20,000 9,500 14,750 41,250 51,150
9,000 7,000
500 500 161,500

39,500 4,750 41,250 43,182 10,000


30,000 86,000
30,000 69,591 49,000
30,000 49,545 13,500
30,000 97,045
30,000
27,273

225,000 812,500 - 176,750 49,000 - - - 228,000 40,000 30,000 - 68,700 265,750 - 1,921,243 953,900 254,000

Jurnal 5,042,417
Piutang 572,400
Subsidi 123,150
5,737,967

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

18,000 9,250 8,000 4,500 100,750 112,727 13,500


35,000 90,000
3,091
7,727
5,000 9,091
30,000 780,591
20,000 10,000 26,000
20,000 13,500 10,000 32,500 45,930
126,000
20,000 10,000 72,400 13,500
288,614
6,091
72,500
34,545
12,000
30,000 325,000 65,000 81,250 68,750 100,227
52,000
10,227
20,000 10,000 22,500 55,400
1,409
52,000
30,000 20,000 15,000 11,909
30,000
30,000 7,500 7,000
30,000 1,864
13,500
30,000 37,273
11,500 3,000
12,000
23,545
5,000
28,773
52,091

5,000 9,545
5,000 9,545
5,000 9,545
24,455
31,818
30,000
30,000 51,136
30,000 27,500
30,000
30,000 500 500 81,636 32,000
39,500 5,250 500 41,250 42,955 10,000
39,500 4,750 41,250 47,500 10,000
30,000 56,227 51,500
30,000 7,500
13,500
30,000 57,273 22,500
30,000 61,136
2,500 7,500 8,409
30,000 48,182 13,500
30,000 51,136 13,500
30,000 206,091
2,500 7,500
2,500 7,500 64,955 13,500
500 500 47,586
13,091
30,000 500 500 132,227
13,227
30,000 82,500
20,000 10,000 80,100
20,000 10,000 21,400
20,000 10,000 22,200
8,673
30,000 500 9,500 500 7,000 134,227
35,364
30,000 500 500 135,136
50,000 110,705
30,000 500 9,500 500 7,000 99,000
30,000 500 9,500 500 7,500 131,455
30,000 9,500 6,500 53,864
50,000 56,186
30,000 98,000
30,000 100,455
20,000 13,500 10,000 32,500 60,350
30,000 56,909
30,000 107,727
30,000 102,273
50,000 10,750 500 108,250 98,773
30,000 66,136 13,500
20,000 10,000 31,500

180,000 1,242,000 379,500 156,000 57,500 65,000 81,250 - - 182,750 35,500 90,000 - 291,500 22,500 4,062,355 415,280 588,000

Jurnal 7,255,990
Piutang 872,155
Subsidi 503,725
8,631,870

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 10,000 26,400 71,500


74,273 52,000
30,000 143,909 45,500
17,455
59,000
6,045
20,000 45,000 10,000 35,000 43,200
5,909
54,864
20,000 10,000 93,750
30,000 6,000 12,500 54,318
30,000 3,500 7,500 54,318
53,500
39,500 4,750 41,250 90,500
9,364
20,000 10,000 83,650
6,500

2,500 7,500
78,000
8,000 4,500
9,500 4,750 41,250
9,500 6,500
2,500 7,500 15,909
30,000 500 500 103,409
30,000 132,500
36,500 3,000 25,600
30,000 500 500 20,000
30,000
35,736
13,500
13,500
30,000 91,818 27,500
45,000 35,000 9,000
30,000 8,182
30,000 41,909
30,000 500 500 20,636 6,500
30,000 19,091
30,000 500 500 37,227
30,000 51,136 13,500
30,000 24,500
39,500
11,500 3,000
8,500 7,750 25,600 36,750 157,000
20,000 10,000 64,350
49,091
30,000 126,136
30,000 138,909 26,000
30,000 96,818
30,000
30,000 9,500 6,500 162,182
45,000 35,000 54,545
30,000 17,727
30,000 500 500 93,523
26,409
30,000 97,932
26,409
11,000 8,000
30,000 500 500 98,591
20,000 10,000 4,150
25,000 10,000 17,500 80,100
40,500 5,500 67,000 100,727
2,500 7,500 83,636
36,000
36,000
45,000 35,000 123,636
36,000
20,000 10,000 25,200
30,000 46,727
30,000 67,818
97,500
36,000
36,000
36,000
30,000 3,500 7,500
45,000 35,000 110,909
45,000 35,000 38,864
30,000 180,955
36,000
30,000 36,750
45,000 35,000 51,341
36,000
36,000
45,000 35,000 110,909
30,000 50,000 111,205
67,818
36,000
45,000 35,000 110,909
36,000
45,000 20,000 50,000 35,000 83,182
36,000
30,000 104,182
72,000
72,000
36,000
36,000
36,000
36,000
36,000
30,000 36,000
30,000 67,818
30,000 81,455
144,000
45,000 35,000 98,182
30,000 175,909
30,000 67,818
36,000
20,000 10,000 26,750 57,000
45,000 35,000 70,227
36,000
36,000
45,000 35,000 83,182
30,000 81,455
36,000
30,000 36,000
72,000
30,000
30,000 66,136
30,000 62,864
30,000 67,818
30,000 36,000
67,818
36,000
30,000 36,000
30,000 67,818
30,000 82,727
36,000
30,000 67,818
36,000
30,000 58,727
67,818
36,000
37,500 22,500 171,500 18,182
20,000 10,000 22,500 55,550
45,000 35,000 66,591
30,000 41,000
30,000
30,000
30,000
30,000
30,000
30,000
30,000
30,000 6,818
45,000 35,000
45,000 35,000
30,000 3,500 7,500
30,000 3,500 7,500
30,000 3,500 7,500
30,000
30,000 9,545

205,000 2,752,000 70,000 182,250 49,500 - - - - 125,500 28,500 560,000 68,700 357,750 22,500 6,287,077 503,100 952,000

Jurnal 12,937,985
Piutang 311,100
Subsidi 54,000
13,303,085

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

26,545
30,000 81,636 27,500
30,000
90,545
31,636
36,000
5,500 12,500
10,909
63,182
29,364
2,500 7,500 56,773
45,000 35,000 35,909
30,000
12,273
13,500
20,000 10,000 75,950
11,273
110,000
56,818
2,182
6,500
29,545
60,455
30,000 6,000 12,500 325,909
30,000 6,818
30,000 3,500 7,500 26,591
11,773
14,232
20,000 13,500 10,000 22,500 62,235
30,000
30,000 3,500 7,500 26,591
20,000 10,500 20,000 15,500 42,500 51,000 63,650
56,245
33,955
47,500
75,091
13,500
8,000 4,500 101,955
818
11,500 3,000
56,591
2,500 7,500 72,667
500 500 24,818
9,500 6,500
50,000
2,500 7,500 29,455
92,891
2,500 7,500 7,455
8,000 4,500 93,091 13,500
105,636
36,500 3,000 25,600 97,909
30,000
30,000
36,500 3,000 25,600 67,091
30,000 54,773
30,000 45,091
39,500 5,250 500 41,250 82,614
30,000 59,773 13,500
30,000 135,318 6,500
30,000 500 500 118,182 13,500
30,000 69,227 7,500
56,500
13,500
13,500
173,500
13,500
5,000
9,500 7,000
11,500 3,000
20,000 12,500 5,000 54,900
13,227
20,000 10,000 162,750
20,000 10,000 84,500
30,000 43,455
30,000 120,955
35,000 90,000
147,727
35,000 90,000
(150,455)

120,000 828,000 33,500 108,250 63,500 - - - - 129,000 28,500 215,000 51,200 92,250 - 2,715,012 503,985 543,500

Jurnal 5,388,149
Piutang 583,350
Subsidi 50,200
6,021,699

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

73,727
10,818
126,818
22,545
30,000
30,000 3,500 7,500 78,318
190,000
30,000 120,500
6,818
187,000

2,500 7,500 15,909


3,000 25,600 54,500
39,500
20,000 10,500 13,500 19,000 30,000 51,000 27,350
9,500 7,000
20,000 7,000 10,000 5,000 61,150
10,500 5,500 67,000
20,000 13,500 3,500 50,750
30,000 53,955
30,000 500 500 79,955 13,500
30,000 206,636
67,000
15,909
13,500
500 500 48,591
36,000
30,000 500 500 124,256
30,000 105,636
30,000 75,000
91,818
72,136
30,000 68,864
35,000 90,000
20,000 7,000 10,000 5,000 72,400
20,000 10,000 12,500 54,900
35,000 90,000
30,000 100,000 175,000
30,000 24,727
45,000 35,000 98,909
45,000 35,000 38,864
12,500 45,000 13,500 44,864
45,000 35,000 51,818
30,000 3,500 7,500 73,455
45,000 35,000 111,136
30,000 36,364
20,000 10,000 74,150
1,818
9,500 7,000
45,000 35,000
45,000 35,000
190,000
30,000 132,500

120,000 823,500 172,500 92,000 19,000 - - - - 93,500 14,000 390,000 25,600 118,000 - 1,850,165 340,700 1,128,500

Jurnal 5,163,732
Piutang 316,450
Subsidi 125,300
5,605,482
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat,
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD PA

20,000 27,500 20,000 80,000 232,250


20,000 20,000 12,500 72,400
20,000 10,000 20,650
9,500 4,750 41,250 27,000
134,545
5,000 9,091
291,600
30,000 66,136 13,500
49,045
10,750
104,318
118,909
66,409
10,000
116,000
20,000 10,000 126,200
20,000 10,000 71,700
20,000 10,000 22,800
20,000 40,500 250,000 15,500 7,500 51,000 56,455 18,900
20,000 10,000 71,070
42,500 20,000 3,500 21,000 4,773
30,000 24,545
27,273
14,000 10,500
5,000 17,273
5,000

30,000 48,500

30,000 79,773
30,000 21,182 36,500
30,000 26,136 189,000
8,000 4,500
30,000 47,955
30,000 500 500 147,455
30,000
29,327
30,000 55,000
30,000 58,636 13,500
30,000
9,500 7,000
30,000 500 500 108,591
30,000
30,000 23,636 10,000
2,500 7,500 19,455
30,000
30,000
909
30,000 17,045

32,182
49,545
30,000 41,936
30,000 325,000 65,000 81,250 48,750 130,591
30,000
30,000
30,000
30,000
30,000
30,000

12,545 20,000
58,923
30,000 197,273 51,500
30,000 188,409 69,000
52,318

160,000 932,500 595,000 139,750 31,500 65,000 81,250 20,000 80,000 98,250 22,000 - - 92,250 - 2,324,945 635,970 659,500

Jurnal 4,629,435
Piutang 1,564,895
Subsidi 294,580
6,488,910
PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

154,000 154,000 -
204,500 204,500 -
98,950 98,950 -
88,700 88,700 -
13,550 13,550 -
271,400 271,400 -
425,550 425,550 -
90,800 90,800 -
154,325 154,325 -
(79,000) - 79,000
95,800 95,800 -
115,250 115,250 -
79,750 79,750 -
5,400 5,400 -
- 39,500 39,500
62,250 62,250 -
- 43,200 43,200
48,500 48,500 -
13,500 13,500 -
50,500 50,500 -
134,000 134,000 -
171,100 171,100 -
83,500 83,500 -
52,200 52,200 -
85,500 85,500 -
93,400 93,400 -
62,000 62,000 -
53,370 53,370 -
124,150 124,150 -
16,500 16,500 -
13,000 13,000 -
58,350 58,350 -
230,350 230,350 -
42,700 42,700 -
63,300 63,300 -
86,000 86,000 -
92,700 92,700 -
- 40,000 40,000
160,875 160,875 -
49,500 49,500 -
45,500 45,500 -
50,500 50,500 -
94,700 94,700 -
57,000 57,000 -
107,550 107,550 -
19,500 19,500 -
201,700 201,700 -
264,500 264,500 -
49,000 49,000 -
180,000 180,000 -
79,500 79,500 -
133,145 133,145 -
70,500 70,500 -
84,000 84,000 -
84,000 84,000 -
108,750 108,750 -
84,000 84,000 -
154,000 154,000 -
9,000 9,000 -
84,000 84,000 -
84,000 84,000 -
106,530 106,530 -
8,950 8,950 -
50,500 50,500 -
45,000 45,000 -
- - -
- - 5,822,045 5,822,045 4,430,045 3,065,500 1,392,000
5,822,045
Total
Pendapatan

5,822,045
0

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

2,000 2,000 -
242,450 242,450 (1)
330,000 330,000 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
55,500 55,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
447,000 447,000 -
47,000 47,000 -
112,500 112,500 -
44,000 44,000 -
600 600 -
142,350 142,350 -
45,000 45,000 -
152,950 152,950 -
93,050 93,050 -
13,500 13,500 -
30,650 30,650 -
80,550 80,550 -
122,450 122,450 -
176,000 176,000 -
41,550 41,550 -
40,000 40,000 -
69,500 69,500 -
70,100 70,100 -
18,000 18,000 -
53,500 53,500 -
200,350 200,350 -
47,500 47,500 -
35,500 35,500 -
144,800 144,800 -
61,750 61,750 -
18,000 18,000 -
35,000 550,200 550,200 -
152,200 152,200 -
16,500 16,500 -
13,000 13,000 -
2,550 2,550 -
117,500 117,500 -
64,000 64,000 -
210,395 210,395 -
98,550 98,550 -
120,390 120,390 -
76,000 76,000 -
132,675 132,675 -
184,780 184,780 -
44,500 44,500 -
15,350 15,350 -
205,150 205,150 -
- - -
- 35,000 5,189,840 5,189,840 4,452,340 3,259,100 737,500
5,189,840
Total
Pendapatan

5,189,840
1

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

368,500 368,500 -
110,000 110,000 -
34,000 34,000 -
69,250 69,250 -
75,000 75,000 -
43,000 43,000 -
119,090 119,090 -
791,600 791,600 -
40,040 40,040 -
134,700 134,700 -
76,200 76,200 -
80,080 80,080 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
90,000 90,000 -
91,550 91,550 -
43,000 43,000 -
137,800 137,800 -
190,000 190,000 -
2,200 2,200 -
3,500 3,500 -
74,925 74,925 -
49,625 49,625 -
90,525 90,525 -
22,000 22,000 -
19,200 19,200 -
315,200 315,200 (0)
- - -
- - 3,172,985 3,172,985 2,260,485 962,800 912,500
3,172,985
Total
Pendapatan

3,172,985
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

171,500 171,500 -
137,000 137,000 -
35,000 641,900 641,900 -
634,430 634,430 -
102,150 102,150 -
68,600 68,600 -
9,800 9,800 -
5,500 5,500 -
78,000 78,000 -
226,750 226,750 -
65,400 65,400 -
112,750 112,750 -
82,500 82,500 -
1,000 1,000 -
2,000 2,000 -
216,250 216,250 -
76,700 76,700 -
101,500 101,500 -
10,000 10,000 -
178,500 178,500 -
113,965 113,965 -
16,500 16,500 -
16,500 16,500 -
15,500 15,500 -
15,500 15,500 -
52,500 52,500 -
3,000 3,000 -
95,000 95,000 -
13,000 13,000 -
90,600 90,600 -
81,550 81,550 -
87,350 87,350 -
105,350 105,350 -
49,500 49,500 -
50,500 50,500 -
58,000 58,000 -
34,000 34,000 -
47,500 47,500 -
40,750 40,750 -
58,450 58,450 -
77,250 77,250 -
34,000 34,000 -
180,275 180,275 -
16,500 16,500 -
116,000 116,000 -
116,400 116,400 -
92,875 92,875 -
88,000 88,000 -
34,000 34,000 -
95,450 95,450 -
133,450 133,450 -
82,800 82,800 -
123,000 123,000 -
36,250 36,250 -
211,000 211,000 -
123,750 123,750 -
89,500 89,500 -
62,000 62,000 -
152,100 152,100 -
80,400 80,400 -
117,925 117,925 -
34,000 34,000 -
159,600 159,600 -
216,100 216,100 -
13,500 13,500 -
190,000 190,000 -
85,750 85,750 -
95,750 95,750 -
78,250 78,250 -
- 20,400 20,400
55,500 55,500 -
37,000 37,000 -
125,350 125,350 -
12,950 12,950 -
26,400 26,400 -
81,000 81,000 -
148,100 148,100 -
- - -
- 35,000 7,389,420 7,389,420 6,071,920 4,173,900 1,317,500
7,389,420
Total
Pendapatan

7,389,420
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

118,000 118,000 -
111,950 111,950 -
122,665 122,665 -
108,200 108,200 -
749,100 749,100 -
62,500 62,500 -
34,300 34,300 -
104,600 104,600 -
7,300 7,300 -
114,250 114,250 -
118,500 118,500 -
81,250 81,250 -
91,000 91,000 -
49,600 49,600 -
107,450 107,450 -
46,825 46,825 -
118,000 118,000 -
126,000 126,000 -
13,500 13,500 -
134,800 134,800 -
98,500 98,500 -
64,500 64,500 -
34,000 34,000 -
83,000 83,000 -
18,000 18,000 -
120,000 120,000 -
13,000 13,000 -
132,500 132,500 -
- 634,430 634,430
50,500 50,500 -
79,745 79,745 -
57,000 57,000 -
85,500 85,500 -
2,000 2,000 -
98,600 98,600 -
58,000 58,000 -
21,000 21,000 -
141,800 141,800 -
154,882 154,882 -
162,310 162,310 -
88,500 88,500 -
74,000 74,000 -
74,000 74,000 -
74,200 74,200 -
16,500 16,500 -
139,300 139,300 -
62,000 62,000 -
58,000 58,000 -
81,450 81,450 -
134,100 134,100 -
34,110 34,110 -
17,000 17,000 -
113,000 113,000 -
166,750 166,750 -
102,500 102,500 -
126,076 126,076 -
- 295,000 295,000
- 441,800 441,800
- 100,000 100,000
64,855 64,855 -
113,600 113,600 -
50,500 50,500 -
104,000 104,000 -
45,250 45,250 -
34,000 34,000 -
34,000 34,000 -
106,500 106,500 -
85,500 85,500 -
141,750 141,750 -
45,000 45,000 -
92,632 92,632 -
102,745 102,745 -
10,000 10,000 -
16,500 16,500 -
110,650 110,650 -
65,500 65,500 -
212,650 212,650 -
180,700 180,700 -
156,300 156,300 -
37,500 37,500 -
169,200 169,200 -
139,950 139,950 -
13,500 13,500 -
98,850 98,850 -
115,450 115,450 -
195,950 195,950 -
92,950 92,950 -
74,000 74,000 -
8,000 8,000 -
125,000 125,000 -
7,500 7,500 -
8,200 145,200 137,000
21,700 21,700 -
161,000 161,000 -
172,175 172,175 -
197,100 197,100 -
100,700 100,700 -
112,250 112,250 -
104,750 104,750 -
177,000 177,000 -
155,250 155,250 -
54,000 54,000 -
223,940 223,940 -
127,500 127,500 -
66,600 66,600 -
- - -
- - 9,788,760 9,788,760 7,641,760 7,800,500 2,147,000
9,788,760
Total
Pendapatan

9,788,760
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

47,222 47,222 -
57,450 57,450 -
145,200 145,200 -
16,900 16,900 -
39,600 39,600 -
231,225 231,225 -
111,650 111,650 -
97,000 97,000 -
16,500 16,500 -
140,000 140,000 -
7,000 7,000 -
10,500 10,500 -
1,232,000 1,232,000 -
20,000 20,000 -
18,000 18,000 -
16,500 16,500 -
83,800 83,800 -
97,200 97,200 -
77,200 77,200 -
97,750 97,750 -
16,500 16,500 -
43,150 43,150 -
98,500 98,500 -
225,750 225,750 -
139,950 139,950 -
155,200 155,200 -
73,725 73,725 -
47,500 47,500 -
118,900 118,900 -
206,800 206,800 -
23,625 23,625 -
91,100 91,100 -
18,500 18,500 -
216,250 216,250 -
175,625 175,625 -
34,000 34,000 -
188,400 188,400 -
239,850 239,850 -
85,400 85,400 -
201,400 201,400 -
139,150 139,150 -
119,425 119,425 -
120,250 120,250 -
130,000 130,000 -
104,150 104,150 -
40,500 40,500 -
57,000 57,000 -
39,600 39,600 -
39,600 39,600 -
180,000 180,000 -
39,600 39,600 -
39,600 39,600 -
64,600 64,600 -
117,000 117,000 -
305,600 305,600 -
42,750 42,750 -
195,750 195,750 -
192,000 192,000 -
79,200 79,200 -
114,200 114,200 -
128,100 128,100 -
117,600 117,600 -
74,600 74,600 -
114,600 114,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
115,700 115,700 -
70,750 70,750 -
39,600 39,600 -
110,250 110,250 -
196,350 196,350 -
39,600 39,600 -
141,426 141,426 -
74,600 74,600 -
196,500 196,500 -
39,600 39,600 -
39,600 39,600 -
97,926 97,926 -
39,600 39,600 -
108,600 108,600 -
158,600 158,600 -
108,600 108,600 -
74,600 74,600 -
113,200 113,200 -
39,600 39,600 -
79,200 79,200 -
123,600 123,600 -
225,000 225,000 -
39,600 39,600 -
103,150 103,150 -
113,200 113,200 -
113,200 113,200 -
79,050 79,050 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
22,000 22,000 -
92,800 92,800 -
34,000 34,000 -
39,600 39,600 -
126,750 126,750 -
74,600 74,600 -
108,600 108,600 -
103,150 103,150 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
108,600 108,600 -
196,500 196,500 -
84,000 84,000 -
44,000 44,000 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
154,000 154,000 -
74,600 74,600 -
48,150 48,150 -
137,785 137,785 -
157,750 157,750 -
95,350 95,350 -
41,495 41,495 -
262,275 262,275 -
131,030 131,030 -
80,700 80,700 -
68,050 68,050 -
109,900 109,900 -
115,900 115,900 -
127,850 127,850 -
85,500 85,500 -
34,000 34,000 -
113,700 113,700 -
39,600 39,600 -
107,700 107,700 -
121,400 121,400 -
15,000 15,000 -
39,600 39,600 -
34,000 34,000 -
34,000 34,000 -
44,500 44,500 -
27,000 27,000 -
45,000 45,000 -
(135,700) - 135,700
- 425,550 425,550
- - -
- - 14,570,934 14,570,934 11,640,934 11,150,900 2,930,000
14,570,934
Total
Pendapatan

14,570,934
(0)

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

162,500 162,500 -
158,900 158,900 -
13,400 13,400 -
51,500 51,500 -
58,500 58,500 -
33,900 33,900 -
6,000 6,000 -
18,500 18,500 -
9,500 9,500 -
190,000 190,000 -
13,500 13,500 -
52,000 52,000 -
317,000 317,000 -
244,500 244,500 -
16,500 16,500 -
39,600 39,600 -
84,622 84,622 -
49,050 49,050 -
93,950 93,950 -
68,700 68,700 -
100,175 100,175 -
15,500 15,500 -
43,800 43,800 -
15,500 15,500 -
95,800 95,800 -
101,500 101,500 -
13,500 13,500 -
85,500 85,500 -
61,500 61,500 -
191,650 191,650 -
96,950 96,950 -
120,925 120,925 -
80,050 80,050 -
176,125 176,125 -
34,000 34,000 -
34,000 34,000 -
139,950 139,950 -
59,500 59,500 -
152,000 152,000 -
141,000 141,000 -
58,000 58,000 -
84,500 84,500 -
34,500 34,500 -
104,500 104,500 -
24,500 24,500 -
36,500 36,500 -
34,000 34,000 -
257,250 257,250 -
70,000 70,000 -
32,500 32,500 -
198,500 198,500 -
136,700 136,700 -
112,750 112,750 -
- 11,950 11,950
43,750 43,750 -
78,250 78,250 -
127,500 127,500 -
59,500 59,500 -
593,800 593,800 -
127,500 127,500 -
566,000 566,000 -
127,500 127,500 -
125,000 125,000 -
98,700 98,700 -
10,300 10,300 -
111,100 111,100 -
45,000 45,000 -
88,700 88,700 -
97,350 97,350 -
82,350 82,350 -
161,800 161,800 -
- - -
- - 7,169,347 7,169,347 5,985,347 5,564,100 1,184,000
7,169,347
Total
Pendapatan

7,169,347
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

179,000 179,000 -
81,250 81,250 -
10,000 10,000 -
79,500 79,500 -
39,850 39,850 -
2,400 2,400 -
71,150 71,150 -
109,950 109,950 -
266,250 266,250 -
15,200 15,200 -
125,000 125,000 -
232,100 232,100 -
100,000 100,000 -
157,725 157,725 -
50,500 50,500 -
90,000 90,000 -
18,500 18,500 -
74,250 74,250 -
90,000 90,000 -
225,200 225,200 -
52,100 52,100 -
34,000 34,000 -
17,000 17,000 -
97,450 97,450 -
26,500 26,500 -
73,900 73,900 -
50,500 50,500 -
97,700 97,700 -
61,500 61,500 -
6,000 6,000 -
19,150 19,150 -
19,000 19,000 -
5,000 5,000 -
118,100 118,100 -
226,750 226,750 -
153,000 153,000 -
78,400 78,400 -
188,250 188,250 -
106,000 106,000 -
54,500 54,500 -
187,500 187,500 -
125,000 125,000 -
141,000 141,000 -
84,000 84,000 -
154,000 154,000 -
84,000 84,000 -
45,000 45,000 -
84,000 84,000 -
84,000 84,000 -
67,000 67,000 -
173,500 173,500 -
35,500 35,500 -
10,600 10,600 -
194,800 194,800 -
51,500 51,500 -
114,550 114,550 -
112,700 112,700 -
70,500 70,500 -
19,150 19,150 -
99,150 99,150 -
- - -
- - 5,440,075 5,440,075 4,075,575 3,814,200 1,364,500
5,440,075
Total
Pendapatan

5,440,075
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

45,000 45,000 -
80,500 80,500 -
13,500 13,500 -
45,200 45,200 -
16,500 16,500 -
132,000 132,000 -
119,650 119,650 -
137,250 137,250 -
34,050 34,050 -
79,500 79,500 -
117,850 117,850 -
14,000 14,000 -
20,000 20,000 -
20,000 20,000 -
68,000 68,000 -
196,850 196,850 -
61,450 61,450 -
74,800 74,800 -
70,000 70,000 -
91,100 91,100 -
78,650 78,650 -
13,500 13,500 -
212,000 212,000 -
9,000 9,000 -
19,000 19,000 -
58,150 58,150 -
47,200 47,200 -
13,000 13,000 -
256,750 256,750 -
110,000 110,000 -
90,000 90,000 -
85,500 85,500 -
95,500 95,500 -
89,200 89,200 -
15,500 15,500 -
- 34,000 34,000
14,500 14,500 -
177,500 177,500 -
10,000 10,000 -
8,100 8,100 -
15,500 15,500 -
266,920 266,920 -
104,200 104,200 -
121,200 121,200 -
59,750 59,750 -
57,950 57,950 -
- - -
- - 3,465,770 3,465,770 3,054,770 2,386,100 411,000
3,465,770
Total
Pendapatan

3,465,770
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

220,250 220,250 -
71,500 71,500 -
120,800 120,800 -
12,000 12,000 -
- 148,100 148,100
- 101,000 101,000
10,150 10,150 -
82,200 82,200 -
88,900 88,900 -
91,500 91,500 -
128,700 128,700 -
116,550 116,550 -
7,000 7,000 -
139,650 139,650 -
20,000 20,000 -
15,500 15,500 -
15,500 15,500 -
76,300 76,300 -
8,000 8,000 -
70,000 70,000 -
90,150 90,150 -
36,175 36,175 -
144,850 144,850 -
7,900 7,900 -
7,000 7,000 -
67,000 67,000 -
126,600 126,600 -
100,550 100,550 -
36,500 36,500 -
125,550 125,550 -
182,750 182,750 -
- - -
- - 2,219,525 2,219,525 1,927,025 1,787,900 292,500
2,219,525
Total
Pendapatan

2,219,525
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

46,950 46,950 -
102,300 102,300 -
25,000 25,000 -
41,800 41,800 -
104,150 104,150 -
12,000 12,000 -
18,500 18,500 -
15,850 15,850 -
7,500 7,500 -
14,500 14,500 -
100,000 100,000 -
52,000 52,000 -
13,500 13,500 -
46,050 46,050 -
193,000 193,000 -
129,650 129,650 -
109,450 109,450 -
4,800 4,800 -
67,400 67,400 -
72,200 72,200 -
50,500 50,500 -
13,500 13,500 -
98,505 98,505 -
47,300 47,300 -
47,900 47,900 -
58,600 58,600 -
47,700 47,700 -
113,500 113,500 -
9,000 9,000 -
- 1,131,600 1,131,600
90,000 90,000 -
120,625 120,625 -
16,500 16,500 -
34,000 34,000 -
89,800 89,800 -
196,250 196,250 -
47,122 47,122 -
60,726 60,726 -
68,075 68,075 -
177,500 177,500 -
16,500 16,500 -
94,550 94,550 -
79,550 79,550 -
18,500 18,500 -
198,700 198,700 -
78,325 78,325 -
188,500 188,500 -
57,000 57,000 -
139,750 139,750 -
238,625 238,625 -
62,325 62,325 -
87,250 87,250 -
66,575 66,575 -
82,300 82,300 -
160,250 160,250 -
80,100 80,100 -
155,975 155,975 -
187,000 187,000 -
35,000 35,000 -
105,000 105,000 -
172,750 172,750 -
155,950 155,950 -
159,700 159,700 -
111,225 111,225 -
73,500 73,500 -
16,500 16,500 -
119,000 119,000 -
126,500 126,500 -
124,750 124,750 -
20,300 20,300 -
127,250 127,250 -
252,800 252,800 -
121,000 121,000 -
407,000 407,000 -
43,000 43,000 -
6,000 6,000 -
354,100 354,100 -
27,325 27,325 0
- - -
- - 7,114,128 7,114,128 5,792,628 6,311,200 1,321,500
7,114,128
Total
Pendapatan

7,114,128
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

189,000 189,000 -
42,950 42,950 -
25,000 25,000 -
104,000 104,000 -
81,750 81,750 -
252,760 252,760 -
34,000 34,000 -
37,000 37,000 -
34,000 34,000 -
157,900 157,900 -
162,000 162,000 -
52,500 52,500 -
34,000 34,000 -
55,750 55,750 -
641,250 641,250 -
164,350 164,350 -
123,285 123,285 -
277,750 277,750 -
105,000 105,000 -
140,000 140,000 -
67,600 67,600 -
13,450 13,450 -
41,100 41,100 -
69,100 69,100 -
103,900 103,900 -
62,300 62,300 -
33,955 33,955 -
98,500 98,500 -
127,500 127,500 -
125,102 125,102 -
131,700 131,700 -
16,500 16,500 -
18,500 18,500 -
33,000 33,000 -
77,350 77,350 -
61,378 61,378 -
18,500 18,500 -
85,500 85,500 -
- 27,325 27,325
82,950 82,950 -
144,600 144,600 -
164,000 164,000 -
53,000 53,000 -
132,000 132,000 -
128,500 128,500 -
174,525 174,525 -
233,600 233,600 -
50,250 50,250 -
70,050 70,050 -
65,500 65,500 -
20,000 20,000 -
84,950 84,950 -
72,500 72,500 -
56,000 56,000 -
84,700 84,700 -
69,100 69,100 -
43,000 43,000 -
121,000 121,000 -
12,000 12,000 -
90,600 90,600 -
75,600 75,600 -
126,000 126,000 -
140,000 140,000 -
3,000 3,000 -
84,100 84,100 -
20,000 20,000 -
36,875 36,875 -
127,500 127,500 -
203,250 203,250 -
127,500 127,500 -
127,500 127,500 -
110,000 110,000 -
110,000 110,000 -
109,200 109,200 -
58,722 58,722 -
9,600 9,600 -
12,500 12,500 -
21,500 21,500 -
364,500 364,500 -
- - -
- - 7,719,352 7,719,352 5,899,352 4,837,300 1,820,000
7,719,352
Total
Pendapatan

7,719,352
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

151,450 151,450 -
162,500 162,500 -
34,000 34,000 -
87,750 87,750 -
74,600 74,600 -
39,600 39,600 -
9,540 9,540 -
192,750 192,750 -
18,500 18,500 -
119,250 119,250 -
150,000 150,000 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
15,500 15,500 -
77,450 77,450 -
78,150 78,150 -
138,000 138,000 -
69,000 69,000 -
18,000 18,000 -
16,500 16,500 -
13,500 13,500 -
91,250 91,250 -
18,500 18,500 -
9,400 9,400 -
90,150 90,150 -
37,250 37,250 -
9,000 9,000 -
49,450 49,450 -
66,850 66,850 -
53,500 53,500 -
9,500 9,500 -
120,650 120,650 -
18,000 18,000 -
101,500 101,500 -
133,700 133,700 -
525,250 525,250 -
96,750 96,750 -
129,000 129,000 -
124,950 124,950 -
111,250 111,250 -
- 1,931,000 1,931,000
34,000 34,000 -
160,750 160,750 -
18,000 18,000 -
59,500 59,500 -
168,100 168,100 -
18,500 18,500 -
38,500 38,500 -
81,000 81,000 -
47,500 47,500 -
12,300 12,300 -
69,100 69,100 -
104,700 104,700 -
58,650 58,650 -
79,250 79,250 -
162,500 162,500 -
157,500 157,500 -
56,500 56,500 -
8,500 8,500 -
34,000 34,000 -
178,500 178,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
26,000 26,000 -
9,000 9,000 -
9,000 9,000 -
9,000 9,000 -
9,000 9,000 -
9,000 9,000 -
9,000 9,000 -
59,000 59,000 -
145,150 145,150 -
- 38,400 38,400
64,000 64,000 -
87,750 87,750 -
123,000 123,000 -
76,750 76,750 -
246,250 246,250 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
213,750 213,750 -
39,600 39,600 -
87,750 87,750 -
81,100 81,100 -
74,000 74,000 -
203,726 203,726 -
73,600 73,600 -
88,000 88,000 -
156,000 156,000 -
113,200 113,200 -
191,000 191,000 -
39,600 39,600 -
74,600 74,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
96,250 96,250 -
47,500 47,500 -
324,200 324,200 -
39,600 39,600 -
146,500 146,500 -
1,500 1,500 -
46,300 46,300 -
58,750 58,750 -
74,000 74,000 -
157,250 157,250 -
84,000 84,000 -
126,750 126,750 -
154,250 154,250 -
175,200 175,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
169,600 169,600 -
254,000 254,000 -
158,700 158,700 -
39,600 39,600 -
39,600 39,600 -
175,000 175,000 -
39,600 39,600 -
52,500 52,500 -
188,200 188,200 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
195,700 220,700 25,000
66,200 66,200 -
84,500 84,500 -
79,200 79,200 -
39,600 39,600 -
120,650 120,650 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
39,600 39,600 -
79,600 79,600 -
73,600 73,600 -
84,000 84,000 -
114,200 114,200 -
40,000 40,000 -
92,000 92,000 -
92,000 92,000 -
92,000 92,000 -
92,000 92,000 -
92,000 92,000 -
90,000 90,000 -
71,300 71,300 -
36,000 36,000 -
55,800 55,800 -
41,500 41,500 -
115,380 115,380 -
61,450 61,450 -
86,000 86,000 -
48,500 48,500 -
46,500 46,500 -
55,500 55,500 -
168,800 168,800 -
4,000 4,000 -
37,250 37,250 -
530,500 530,500 -
39,600 39,600 -
117,000 117,000 -
71,500 71,500 -
150,400 150,400 -
79,200 79,200 -
34,800 34,800 -
17,000 17,000 -
90,000 90,000 -
8,500 8,500 -
- - -
- - 14,726,696 14,726,696 11,766,196 12,283,000 2,960,500
14,726,696
Total
Pendapatan

14,726,696
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

256,025 256,025 -
131,500 131,500 -
53,950 53,950 -
- 25,000 25,000
4,000 4,000 -
92,900 92,900 -
58,000 58,000 -
13,500 13,500 -
- 9,540 9,540
3,000 3,000 -
- 9,500 9,500
62,500 62,500 -
101,300 101,300 -
118,250 118,250 -
57,700 57,700 -
66,670 66,670 -
49,500 49,500 -
70,350 70,350 -
25,500 25,500 -
65,700 65,700 -
20,000 20,000 -
50,500 50,500 -
50,500 50,500 -
131,900 131,900 -
34,000 34,000 -
83,500 83,500 -
120,000 120,000 -
172,375 172,375 -
91,100 91,100 -
34,000 34,000 -
112,950 112,950 -
286,600 286,600 -
76,500 76,500 -
167,500 167,500 -
34,000 34,000 -
48,600 48,600 -
61,500 61,500 -
90,775 90,775 -
54,950 54,950 -
39,600 39,600 -
144,550 144,550 -
69,500 69,500 -
127,000 127,000 -
160,500 160,500 -
112,500 112,500 -
34,000 34,000 -
34,000 34,000 -
147,000 147,000 -
129,250 129,250 -
- 41,200 41,200
35,500 35,500 -
13,500 13,500 -
51,650 51,650 -
2,000 2,000 -
76,500 76,500 -
538,100 538,100 -
112,250 112,250 -
58,320 58,320 -
142,590 142,590 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
90,000 90,000 -
90,000 90,000 -
92,000 92,000 -
36,000 36,000 -
- - -
- - 5,525,905 5,525,905 4,151,405 3,795,700 1,374,500
5,525,905
Total
Pendapatan

5,525,905
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

54,425 185,925 131,500


45,000 45,000 -
51,000 51,000 -
98,450 98,450 -
112,550 112,550 -
51,700 51,700 -
199,875 199,875 -
69,250 69,250 -
252,650 252,650 -
110,000 110,000 -
10,000 10,000 -
109,100 109,100 -
19,500 19,500 -
39,200 39,200 -
99,950 99,950 -
2,900 2,900 -
12,500 12,500 -
58,200 58,200 -
66,000 66,000 -
105,000 105,000 -
46,300 46,300 -
190,000 190,000 -
189,850 189,850 -
93,000 93,000 -
52,010 52,010 -
60,920 60,920 -
52,000 52,000 -
11,500 11,500 -
31,900 31,900 -
10,000 10,000 -
5,900 5,900 -
16,500 16,500 -
34,000 34,000 -
48,250 48,250 -
27,750 27,750 -
71,000 71,000 -
77,900 77,900 -
51,700 51,700 -
152,250 152,250 -
165,600 165,600 -
51,700 51,700 -
162,000 162,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
45,000 45,000 -
45,000 45,000 -
52,500 52,500 -
84,000 84,000 -
- 30,300 30,300
45,000 45,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
72,300 72,300 -
21,000 21,000 -
- 298,800 298,800
11,750 11,750 -
34,000 34,000 -
12,500 12,500 -
146,000 146,000 -
16,500 16,500 -
34,000 34,000 -
210,600 210,600 -
32,900 32,900 -
112,700 112,700 -
25,000 25,000 -
18,500 18,500 -
6,000 6,000 -
246,950 246,950 0
- - -
- - 4,879,480 4,879,480 3,675,980 2,606,200 1,203,500
4,879,480
Total
Pendapatan

4,879,480
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

37,350 37,350 -
49,350 49,350 -
49,000 49,000 -
47,500 47,500 -
77,500 77,500 -
43,100 43,100 -
89,500 89,500 -
14,900 14,900 -
63,000 63,000 -
67,000 67,000 -
41,500 41,500 -
59,350 59,350 -
13,500 13,500 -
135,350 135,350 -
58,300 58,300 -
11,700 11,700 -
11,000 11,000 -
4,500 4,500 -
68,522 68,522 -
76,500 76,500 -
13,000 13,000 -
13,500 13,500 -
13,000 13,000 -
111,400 111,400 -
196,000 196,000 -
117,750 117,750 -
34,000 34,000 -
66,500 66,500 -
18,500 18,500 -
19,500 19,500 -
26,500 26,500 -
111,850 111,850 -
18,500 18,500 -
158,400 158,400 -
(5,500) - 5,500
103,500 103,500 -
112,000 112,000 -
18,000 18,000 -
16,500 16,500 -
67,000 67,000 -
58,350 58,350 -
12,000 12,000 -
150,900 150,900 -
- 10,000 10,000
8,000 8,000 -
16,500 16,500 -
16,500 16,500 -
67,551 67,551 -
15,500 15,500 -
9,400 9,400 -
19,300 19,300 -
96,900 96,900 -
34,000 34,000 -
97,500 97,500 -
87,800 87,800 -
45,450 45,450 -
38,500 38,500 -
38,500 38,500 -
38,500 38,500 -
29,000 29,000 -
51,250 51,250 -
39,600 39,600 -
34,000 34,000 -
- - -
- - 3,253,323 3,253,323 2,402,323 1,761,100 851,000
3,253,323
Total
Pendapatan

3,253,323
(0)
PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

6,900 6,900 -
254,150 254,150 -
153,300 153,300 -
190,000 190,000 -
111,700 111,700 -
116,000 116,000 -
56,200 56,200 -
134,300 134,300 -
246,175 246,175 -
12,000 12,000 -
13,500 13,500 -
154,240 154,240 -
99,000 99,000 -
201,500 201,500 -
188,950 188,950 -
4,150 4,150 -
75,000 1,132,800 1,132,800 -
141,800 141,800 -
235,850 235,850 -
102,800 102,800 -
51,000 51,000 -
46,000 46,000 -
- - -
- 75,000 3,652,315 3,652,315 3,303,815 2,946,000 348,500
3,652,315
Total
Pendapatan

3,652,315
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter
41,100 41,100 -
84,700 84,700 -
87,000 87,000 -
16,500 16,500 -
307,500 307,500 -
164,800 164,800 -
145,000 145,000 -
- 641,900 641,900
13,000 13,000 -
120,400 120,400 -
143,500 143,500 -
68,400 68,400 -
15,500 15,500 -
30,000 30,000 -
52,000 52,000 -
2,200 2,200 -
2,200 2,200 -
84,350 84,350 -
50,000 300,000 300,000 -
68,750 68,750 -
145,200 145,200 -
- 254,150 254,150
99,600 99,600 -
140,600 140,600 -
20,000 20,000 -
21,000 21,000 -
18,000 18,000 -
66,700 66,700 -
- 315,500 315,500
13,515 13,515 -
15,500 15,500 -
34,000 34,000 -
60,100 60,100 -
67,800 67,800 -
41,000 41,000 -
34,000 34,000 -
231,350 231,350 -
85,500 85,500 -
20,000 20,000 -
148,000 148,000 -
63,950 63,950 -
39,432 39,432 -
61,500 61,500 -
168,000 168,000 -
132,625 132,625 -
165,000 165,000 -
34,000 34,000 -
155,750 155,750 -
97,950 97,950 -
- 246,950 246,950
59,950 59,950 -
15,500 15,500 -
136,450 136,450 -
76,000 76,000 -
34,000 34,000 -
100,500 100,500 -
167,500 167,500 -
116,250 116,250 -
49,200 49,200 -
130,750 130,750 -
90,000 90,000 -
245,525 245,525 -
137,950 137,950 -
73,450 73,450 -
137,875 137,875 -
34,000 34,000 -
45,250 45,250 -
102,375 102,375 -
34,000 34,000 -
136,750 136,750 -
89,250 89,250 -
47,500 47,500 -
58,000 58,000 -
6,700 6,700 -
45,000 45,000 -
- 45,000 45,000
- - -
- 50,000 6,096,697 6,096,697 4,900,697 5,703,500 1,196,000
6,096,697
Total
Pendapatan

6,096,697
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

69,400 69,400 -
65,850 65,850 -
22,550 22,550 -
88,000 88,000 -
34,000 34,000 -
134,600 134,600 -
20,000 20,000 -
52,000 52,000 -
13,500 13,500 -
13,500 13,500 -
71,800 71,800 -
55,500 55,500 -
39,600 39,600 -
58,750 58,750 -
171,000 171,000 -
52,500 52,500 -
34,000 34,000 -
230,425 230,425 -
20,000 20,000 -
13,500 13,500 -
76,500 76,500 -
144,000 144,000 -
30,000 30,000 -
15,425 15,425 -
69,500 69,500 -
12,000 12,000 -
59,100 59,100 -
124,700 124,700 -
123,895 123,895 -
138,700 138,700 -
18,500 18,500 -
155,500 155,500 -
86,750 86,750 -
50,000 50,000 -
25,000 25,000 -
12,000 12,000 -
113,500 113,500 -
34,000 34,000 -
49,000 49,000 -
18,500 18,500 -
47,500 47,500 -
34,000 34,000 -
76,750 76,750 -
77,350 77,350 -
45,855 45,855 -
79,510 79,510 -
141,900 141,900 -
87,500 87,500 -
252,300 252,300 -
97,550 201,550 104,000
360,500 360,500 -
126,400 126,400 -
124,500 124,500 -
122,475 122,475 -
100,500 100,500 -
82,150 82,150 -
132,000 132,000 -
158,050 158,050 -
75,732 75,732 -
166,750 166,750 -
153,100 153,100 -
115,100 115,100 -
50,500 50,500 -
196,700 196,700 -
- 51,000 51,000
200,750 200,750 -
127,500 127,500 -
138,450 138,450 -
132,700 132,700 -
144,500 144,500 -
176,000 176,000 -
104,750 104,750 -
570,750 570,750 -
22,000 22,000 -
48,500 48,500 -
73,250 73,250 -
112,250 112,250 -
75,000 75,000 -
125,000 125,000 -
129,950 129,950 -
117,050 117,050 -
133,450 133,450 -
18,000 18,000 -
203,750 203,750 -
99,200 99,200 -
298,250 298,250 (0)
3,500 3,500 0
- - -
- - 8,576,267 8,576,267 6,815,267 6,294,300 1,761,000
8,576,267
Total
Pendapatan
8,576,267
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

236,450 236,450 -
31,500 31,500 -
6,000 6,000 -
360,000 360,000 -
- 3,500 3,500
33,500 33,500 -
57,500 57,500 -
239,900 239,900 -
184,050 184,050 -
112,800 112,800 -
282,100 282,100 -
- 62,000 62,000
- 1,610,000 1,610,000
18,000 18,000 -
19,500 19,500 -
59,800 59,800 -
93,975 93,975 -
34,000 34,000 -
176,000 176,000 -
185,500 185,500 -
155,760 155,760 -
99,500 99,500 -
66,200 66,200 -
63,050 63,050 -
49,900 49,900 -
174,335 174,335 -
34,000 34,000 -
34,000 34,000 -
211,000 211,000 -
34,000 34,000 -
147,000 147,000 -
54,000 54,000 -
34,000 34,000 -
152,700 152,700 -
59,170 59,170 -
34,000 34,000 -
10,000 10,000 -
12,000 12,000 -
17,000 17,000 -
103,315 103,315 -
39,600 39,600 -
39,600 39,600 -
162,000 162,000 -
51,800 51,800 -
35,500 35,500 -
103,300 103,300 -
61,300 61,300 -
220,550 220,550 -
119,425 119,425 -
105,300 105,300 -
50,650 50,650 -
162,400 162,400 -
39,600 39,600 -
79,200 79,200 -
186,452 186,452 -
164,226 164,226 -
39,600 39,600 -
111,000 111,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
87,750 87,750 -
122,752 122,752 -
69,000 69,000 -
16,900 16,900 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
48,600 48,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
- 164,800 164,800
108,600 108,600 -
74,600 74,600 -
156,000 156,000 -
79,200 79,200 -
39,600 39,600 -
107,250 107,250 -
146,900 146,900 -
73,600 73,600 -
108,600 108,600 -
126,750 126,750 -
114,600 114,600 -
73,600 73,600 -
158,400 158,400 -
149,125 149,125 -
103,000 103,000 -
172,400 172,400 -
148,600 148,600 -
97,500 97,500 -
73,600 73,600 -
128,900 128,900 -
39,600 39,600 -
39,600 39,600 -
113,200 113,200 -
79,200 79,200 -
192,000 192,000 -
76,750 76,750 -
224,700 224,700 -
163,700 163,700 -
96,600 96,600 -
169,500 169,500 -
61,350 61,350 -
74,600 74,600 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
157,750 157,750 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
34,000 34,000 -
9,000 9,000 -
9,000 9,000 -
62,600 62,600 -
114,200 114,200 -
113,200 113,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
232,926 232,926 -
39,600 39,600 -
39,600 39,600 -
80,100 80,100 -
108,526 108,526 -
105,600 105,600 -
34,000 34,000 -
158,540 158,540 -
34,000 34,000 -
35,940 35,940 -
34,000 34,000 -
38,050 38,050 -
95,750 95,750 -
34,000 34,000 -
34,000 34,000 -
90,000 90,000 -
74,430 74,430 -
85,900 85,900 -
85,000 85,000 -
117,000 117,000 -
187,000 187,000 -
39,600 39,600 -
56,180 56,180 -
48,800 48,800 -
7,500 7,500 -
39,600 39,600 -
6,000 6,000 -
- - -
- - 13,011,427 13,011,427 10,164,427 11,683,700 2,847,000
13,011,427
Total
Pendapatan

13,011,427
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

360,990 360,990 -
137,250 137,250 -
108,600 108,600 -
90,000 90,000 -
134,000 134,000 -
128,500 128,500 -
133,000 133,000 -
41,100 41,100 -
128,350 128,350 -
3,750 3,750 -
39,600 39,600 -
19,500 19,500 -
90,000 90,000 -
224,275 224,275 -
97,500 97,500 -
6,600 6,600 -
34,000 34,000 -
47,050 47,050 -
76,000 76,000 -
115,300 115,300 -
3,050 3,050 -
39,600 39,600 -
281,650 281,650 -
34,000 34,000 -
48,150 48,150 -
52,322 52,322 -
18,500 18,500 -
58,500 58,500 -
48,000 48,000 -
69,300 69,300 -
6,000 6,000 -
- 689,800 689,800
- 47,000 47,000
- 52,000 52,000
116,200 116,200 -
108,150 108,150 -
41,100 41,100 -
50,500 50,500 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
204,500 204,500 -
179,875 179,875 -
15,500 15,500 -
178,425 178,425 -
146,000 146,000 -
187,450 187,450 -
89,000 89,000 -
104,200 104,200 -
108,500 108,500 -
147,325 147,325 -
190,086 190,086 -
53,100 53,100 -
282,952 282,952 -
69,550 69,550 -
96,250 96,250 -
174,425 174,425 -
101,950 101,950 -
164,000 164,000 -
109,750 109,750 -
94,600 94,600 -
34,000 34,000 -
23,700 23,700 -
57,000 57,000 -
68,250 68,250 -
96,450 96,450 -
110,000 110,000 -
76,000 76,000 -
90,000 90,000 -
90,000 90,000 -
59,000 59,000 -
6,000 6,000 -
155,050 155,050 -
91,300 91,300 -
52,000 52,000 -
- 99,200 99,200
123,050 123,050 -
109,000 109,000 -
80,000 80,000 -
- - -
- - 7,110,625 7,110,625 5,769,125 5,180,700 1,341,500
7,110,625
Total
Pendapatan

7,110,625
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

310,000 310,000 -
(150,000) - 150,000
11,350 11,350 -
83,200 83,200 -
6,700 6,700 -
121,750 121,750 -
176,565 176,565 -
151,115 151,115 -
33,000 33,000 -
1,000 1,000 -
8,000 8,000 -
3,000 3,000 -
81,000 81,000 -
132,500 132,500 -
111,200 111,200 -
20,000 20,000 -
9,000 9,000 -
142,515 142,515 -
34,000 34,000 -
140,935 140,935 -
50,400 50,400 -
4,600 4,600 -
48,400 48,400 -
114,250 114,250 -
76,250 76,250 -
107,100 107,100 -
- - -
- - 1,827,830 1,827,830 1,577,330 1,476,300 250,500
1,827,830
Total
Pendapatan

1,827,830
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

65,000 65,000 -
51,300 51,300 -
34,550 34,550 -
130,500 130,500 -
225,000 225,000 -
31,000 31,000 -
2,500 2,500 -
72,200 152,200 80,000
12,500 12,500 -
52,000 52,000 -
62,000 62,000 -
110,500 110,500 -
21,650 21,650 -
121,150 121,150 -
136,800 136,800 -
50,000 1,371,500 1,371,500 -
160,500 160,500 -
51,500 51,500 -
55,500 55,500 -
35,000 35,000 -
66,450 66,450 -
213,500 213,500 -
147,100 147,100 -
124,550 124,550 -
34,000 34,000 -
77,850 77,850 -
84,350 84,350 -
34,000 34,000 -
15,500 15,500 -
44,550 44,550 -
28,000 28,000 -
137,350 137,350 -
75,250 75,250 -
26,750 26,750 -
31,000 31,000 -
64,400 64,400 -
36,250 36,250 -
144,100 144,100 -
147,100 147,100 -
87,050 87,050 -
65,000 65,000 -
142,250 142,250 -
76,775 76,775 -
114,250 114,250 -
51,450 51,450 -
43,000 43,000 -
82,600 82,600 -
59,000 59,000 -
13,500 13,500 -
36,500 36,500 -
58,000 58,000 -
139,500 139,500 -
57,000 57,000 -
50,500 50,500 -
67,900 67,900 -
180,300 180,300 -
195,725 195,725 -
89,500 89,500 -
57,350 57,350 -
58,000 58,000 -
41,080 41,080 -
88,900 88,900 -
128,450 128,450 -
91,500 91,500 -
85,850 85,850 -
73,600 73,600 -
96,290 96,290 -
68,000 68,000 -
85,300 85,300 -
34,000 34,000 -
13,500 13,500 -
190,000 190,000 -
117,350 117,350 -
267,445 267,445 -
6,000 6,000 -
- - -
- 50,000 7,447,115 7,447,115 6,330,615 5,904,600 1,116,500
7,447,115
Total
Pendapatan

7,447,115
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

92,850 92,850 -
166,830 166,830 -
105,100 105,100 -
88,475 88,475 (1)
51,250 51,250 -
510,400 510,400 -
88,900 88,900 -
39,750 39,750 -
37,250 37,250 -
2,300 2,300 -
8,950 8,950 -
18,500 18,500 -
44,700 44,700 -
48,150 48,150 -
1,000 1,000 -
3,000 3,000 -
20,400 20,400 -
89,250 89,250 -
27,500 27,500 -
50,000 350,000 350,000 -
73,300 73,300 -
8,000 8,000 -
57,300 57,300 -
48,700 48,700 -
1,450 1,450 -
1,500 1,500 -
210,100 210,100 -
105,450 105,450 -
61,600 61,600 -
82,500 82,500 -
95,800 95,800 -
140,000 140,000 -
51,600 51,600 -
119,215 119,215 -
- - -
- 50,000 2,851,070 2,851,070 2,424,070 1,087,200 427,000
2,851,070
Total
Pendapatan

2,851,070
1
PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

111,250 111,250 -
47,900 47,900 -
44,000 44,000 -
56,550 56,550 -
181,000 181,000 -
96,900 96,900 -
58,950 58,950 -
86,600 86,600 -
85,900 85,900 -
170,900 170,900 -
62,400 62,400 -
213,150 213,150 -
76,700 76,700 -
170,900 170,900 -
118,700 118,700 -
70,000 515,725 515,725 -
3,625 3,625 -
18,000 18,000 -
(35,100) - 35,100
16,500 16,500 -
107,500 107,500 -
15,500 15,500 -
219,950 219,950 -
58,000 58,000 -
155,000 155,000 -
109,000 109,000 -
18,000 18,000 -
119,000 119,000 -
61,400 61,400 -
108,350 108,350 -
60,350 60,350 -
15,500 15,500 -
160,000 160,000 -
34,000 34,000 -
98,995 98,995 -
29,000 29,000 -
18,500 18,500 -
87,500 87,500 -
74,750 74,750 -
34,000 34,000 -
61,500 61,500 -
15,500 15,500 -
94,322 94,322 -
40,400 40,400 -
13,500 13,500 -
40,000 40,000 -
79,500 79,500 -
95,500 95,500 -
96,000 96,000 -
91,800 91,800 -
70,500 70,500 -
69,100 69,100 -
97,500 97,500 -
71,400 71,400 -
140,650 140,650 -
18,000 18,000 -
194,150 194,150 -
15,500 15,500 -
147,000 147,000 -
120,000 120,000 -
159,550 159,550 -
102,000 102,000 -
140,750 140,750 -
34,000 34,000 -
30,000 30,000 -
15,000 15,000 -
- - -
- 70,000 5,737,967 5,737,967 4,700,467 4,004,900 1,037,500
5,737,967
Total
Pendapatan

5,737,967
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

295,500 295,500 -
127,500 127,500 -
3,400 3,400 -
8,500 8,500 -
19,000 19,000 -
892,650 892,650 -
60,000 60,000 -
125,930 125,930 -
126,000 126,000 -
119,900 119,900 -
317,475 317,475 -
6,700 6,700 -
72,500 72,500 -
38,000 38,000 -
12,000 12,000 -
687,250 687,250 -
52,000 52,000 -
11,250 11,250 -
111,900 111,900 -
1,550 1,550 -
52,000 52,000 -
82,100 82,100 -
34,000 34,000 -
48,500 48,500 -
36,050 36,050 -
13,500 13,500 -
75,000 75,000 -
16,500 16,500 -
12,000 12,000 -
41,400 41,400 -
9,000 9,000 -
47,150 47,150 -
72,800 72,800 -
- 90,000 90,000
19,500 19,500 -
19,500 19,500 -
19,500 19,500 -
42,400 42,400 -
35,000 35,000 -
34,000 34,000 -
90,250 90,250 -
61,500 61,500 -
34,000 34,000 -
156,800 156,800 -
147,750 147,750 -
151,750 151,750 -
147,350 147,350 -
42,250 42,250 -
13,500 13,500 -
119,500 119,500 -
101,250 101,250 -
34,750 34,750 -
100,500 100,500 -
103,750 103,750 -
260,700 260,700 -
25,500 25,500 -
110,450 110,450 -
68,845 68,845 -
29,900 29,900 -
180,450 180,450 -
14,550 14,550 -
124,750 124,750 -
114,100 114,100 -
55,400 55,400 -
56,200 56,200 -
9,540 9,540 -
201,150 201,150 -
38,900 38,900 -
183,650 183,650 -
175,775 175,775 -
162,400 162,400 -
198,600 198,600 -
111,250 111,250 -
115,805 115,805 -
141,800 141,800 -
144,500 144,500 -
140,350 140,350 -
96,600 96,600 -
152,500 152,500 -
146,500 146,500 -
282,150 282,150 -
120,250 120,250 -
65,500 65,500 -
- - -
- - 8,631,870 8,631,870 6,830,370 5,455,300 1,801,500
8,631,870
Total
Pendapatan

8,631,870
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

131,900 131,900 -
149,200 149,200 -
237,800 237,800 -
19,200 19,200 -
59,000 59,000 -
6,650 6,650 -
161,200 161,200 -
6,500 6,500 -
60,350 60,350 -
127,750 127,750 -
112,250 112,250 -
104,750 104,750 -
53,500 53,500 -
180,000 180,000 -
10,300 10,300 -
117,650 117,650 -
6,500 6,500 -
- 27,500 27,500
13,000 13,000 -
78,000 78,000 -
14,500 160,000 145,500
58,000 58,000 -
18,000 18,000 -
43,000 43,000 -
148,750 148,750 -
166,500 166,500 -
69,100 69,100 -
57,000 57,000 -
34,000 34,000 -
54,810 54,810 -
13,500 13,500 -
13,500 13,500 -
162,500 162,500 -
93,000 93,000 -
43,000 43,000 -
80,100 80,100 -
64,200 64,200 -
55,000 55,000 -
75,950 75,950 -
103,750 103,750 -
60,950 60,950 -
39,500 39,500 -
16,500 16,500 -
255,600 255,600 -
98,350 98,350 -
69,500 69,500 -
172,750 172,750 -
212,800 212,800 -
140,500 140,500 -
34,000 34,000 -
230,400 230,400 -
144,000 144,000 -
53,500 53,500 -
137,875 137,875 -
44,550 44,550 -
141,725 141,725 -
44,550 44,550 -
21,000 21,000 -
143,450 143,450 -
38,150 38,150 -
136,600 136,600 -
227,800 227,800 -
117,500 117,500 -
39,600 39,600 -
39,600 39,600 -
220,000 220,000 -
39,600 39,600 -
59,200 59,200 -
85,400 85,400 -
108,600 108,600 -
107,250 107,250 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
45,000 45,000 -
206,000 206,000 -
126,750 126,750 -
233,050 233,050 -
39,600 39,600 -
74,425 74,425 -
140,475 140,475 -
39,600 39,600 -
39,600 39,600 -
206,000 206,000 -
206,325 206,325 -
74,600 74,600 -
39,600 39,600 -
206,000 206,000 -
39,600 39,600 -
245,500 245,500 -
39,600 39,600 -
148,600 148,600 -
79,200 79,200 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
73,600 73,600 -
108,600 108,600 -
123,600 123,600 -
158,400 158,400 -
192,000 192,000 -
227,500 227,500 -
108,600 108,600 -
39,600 39,600 -
117,750 117,750 -
161,250 161,250 -
39,600 39,600 -
39,600 39,600 -
175,500 175,500 -
123,600 123,600 -
39,600 39,600 -
73,600 73,600 -
79,200 79,200 -
34,000 34,000 -
106,750 106,750 -
103,150 103,150 -
108,600 108,600 -
73,600 73,600 -
74,600 74,600 -
39,600 39,600 -
73,600 73,600 -
108,600 108,600 -
125,000 125,000 -
39,600 39,600 -
108,600 108,600 -
39,600 39,600 -
98,600 98,600 -
74,600 74,600 -
39,600 39,600 -
254,000 254,000 -
112,050 112,050 -
157,250 157,250 -
79,100 79,100 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
41,500 41,500 -
84,000 84,000 -
84,000 84,000 -
45,000 45,000 -
45,000 45,000 -
45,000 45,000 -
34,000 34,000 -
44,500 44,500 -
- - -
- - 13,303,085 13,303,085 10,276,085 9,911,500 3,027,000
13,303,085
Total
Pendapatan

13,303,085
-

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

44,700 44,700 -
151,300 151,300 -
34,000 34,000 -
115,100 115,100 -
34,800 34,800 -
39,600 39,600 -
21,250 28,950 7,700
12,000 12,000 -
69,500 69,500 -
47,800 47,800 -
87,950 87,950 -
123,500 123,500 -
34,000 34,000 -
13,500 13,500 -
13,500 13,500 -
109,950 109,950 -
12,400 12,400 -
110,000 110,000 -
62,500 62,500 -
2,400 2,400 -
6,500 6,500 -
32,500 32,500 -
66,500 66,500 -
411,000 411,000 -
41,500 41,500 -
74,250 74,250 -
12,950 12,950 -
15,655 15,655 -
132,235 132,235 -
34,000 34,000 -
74,250 74,250 -
227,150 227,150 -
61,870 61,870 -
37,350 37,350 -
47,500 47,500 -
82,600 82,600 -
13,500 13,500 -
142,150 142,150 -
900 900 -
16,500 16,500 -
77,750 77,750 -
105,434 105,434 -
43,800 43,800 -
18,000 18,000 -
54,000 54,000 -
57,900 57,900 -
117,680 117,680 -
33,700 33,700 -
145,900 145,900 -
116,200 116,200 -
176,800 176,800 -
34,000 34,000 -
34,000 34,000 -
142,900 142,900 -
94,250 94,250 -
83,600 83,600 -
181,375 181,375 -
113,250 113,250 -
189,350 189,350 -
178,500 178,500 -
117,650 117,650 -
56,500 56,500 -
13,500 13,500 -
13,500 13,500 -
173,500 173,500 -
13,500 13,500 -
5,000 5,000 -
18,500 18,500 -
16,500 16,500 -
96,400 96,400 -
14,550 14,550 -
196,750 196,750 -
118,500 118,500 -
81,800 81,800 -
167,050 167,050 -
127,500 127,500 -
162,500 162,500 -
125,000 125,000 -
(165,501) - 165,501
- - -
- - 6,021,699 6,021,699 5,040,199 4,407,400 981,500
6,021,699
Total
Pendapatan

6,021,699
(1)

PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

96,600 96,600 -
27,400 27,400 -
139,500 139,500 -
24,800 24,800 -
34,000 34,000 -
131,150 131,150 -
190,000 190,000 -
154,500 154,500 -
7,500 7,500 -
187,000 187,000 -
- 34,550 34,550
- 12,500 12,500
43,000 43,000 -
108,550 108,550 -
39,500 39,500 -
175,350 175,350 -
18,500 18,500 -
107,150 107,150 -
85,500 85,500 -
91,750 91,750 -
93,350 93,350 -
136,450 136,450 -
261,300 261,300 -
67,000 67,000 -
33,000 33,000 -
13,500 13,500 -
69,950 69,950 -
39,600 39,600 -
171,682 171,682 -
150,200 150,200 -
116,500 116,500 -
101,000 101,000 -
94,850 94,850 -
109,750 109,750 -
125,000 125,000 -
118,400 118,400 -
101,400 101,400 -
127,500 127,500 -
309,000 309,000 -
61,200 61,200 -
192,800 192,800 -
126,750 126,750 -
123,350 123,350 -
141,000 141,000 -
125,800 125,800 -
206,250 206,250 -
74,000 74,000 -
108,150 108,150 -
2,000 2,000 -
18,500 18,500 -
84,000 84,000 -
84,000 84,000 -
190,000 190,000 -
166,500 166,500 -
- - -
- - 5,605,482 5,605,482 4,489,482 4,048,400 1,116,000
5,605,482
Total
Pendapatan

5,605,482
-
PMI Lain-Lain
Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

383,750 383,750 -
132,900 132,900 -
54,650 54,650 -
82,500 82,500 -
163,500 163,500 -
19,000 19,000 -
320,760 320,760 -
120,250 120,250 -
53,950 53,950 -
11,825 11,825 -
114,750 184,250 69,500
130,800 130,800 -
73,050 73,050 -
10,000 10,000 -
116,000 116,000 -
160,200 160,200 -
105,700 105,700 -
56,800 56,800 -
473,500 473,500 -
105,070 105,070 -
99,250 99,250 -
61,000 61,000 -
30,000 30,000 -
26,500 26,500 -
28,000 28,000 -
9,000 9,000 -
15,500 15,500 -
82,500 82,500 -
- 13,700 13,700
- 24,800 24,800
121,750 121,750 -
93,800 93,800 -
251,750 251,750 -
14,500 14,500 -
86,750 86,750 -
197,200 197,200 -
34,000 34,000 -
47,760 47,760 -
89,000 89,000 -
112,000 112,000 -
34,000 34,000 -
18,500 18,500 -
154,450 154,450 -
34,000 34,000 -
70,000 70,000 -
46,900 46,900 -
34,000 34,000 -
34,000 34,000 -
1,000 1,000 -
52,750 52,750 -
- 20,000 20,000
35,400 35,400 -
70,000 70,000 -
80,130 80,130 -
700,650 700,650 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
30,000 30,000 -
49,300 49,300 -
80,315 80,315 -
302,500 302,500 -
310,250 310,250 -
57,550 57,550 -
- - -
- - 6,488,910 6,488,910 4,801,410 2,942,400 1,687,500
6,488,910
Total
Pendapatan

6,488,910
-
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
TGL. 01 MEI 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

1 1 094220 Yusuf Abqary Z 6,714 107,850 4,000


2 107301 Ani Lestari - 189,000 4,000
3 67546 Mutmainah - 4,750
4 67542 dr. Onggo 182 2,000
5 093659 dr. P Haryadi 2,386 26,250
6 061200 Catur Aiwa - 8,000
7 020580 Yusiva Sumarni 955 19,500 4,000
8 107298 Krisbiantoro - 331,240 4,000
9 Rumijah 25,000 - 25,000
10 016928 Sarjono 95,150 - 57,550
11 005746 Mutmainah 9,000 -
12 066905 Nathania Kayla P 73,150 3,559 4,000
13 Rosid Kendarto 71,500 - 71,500
14 103978 Muhamad Amin B 49,200 4,473
15 076415 Fanesi Nur Y 7,200 655
16 107292 Virya Andri P 116,540 7,504 4,000
17 67543 Sendi 4,000 364
18 107290 Fadhil Yudha 45,550 4,141
19 089514 By Sulastri 24,400 2,218
20 001022 Yuli Gestati 50,800 -
21 67545 By Juniyati 52,150 -
22 106992 Bambang Suparto 91,500 -
23 107299 Ratino 85,000 - 4,000
24 092828 Hanif Rofi A 80,850 - 4,000
25 016409 Silah 113,850 - 4,000
26 000054 Priyanti 19,500 955 4,000
27 101243 Widi Atmoko 124,300 - 4,000
28 051109 Mireja 79,150 - 4,000
29 Meterai 6,000 - 6,000
30 061200 Catur Aiwa (7,427) 81,700
-
1,223,790 - 26,676 391,740 235,750 - - 296,850 - - - 54,000 - -

Jurnal Umum 1,223,790


Kas dari Kassa 1,224,200
Selisih Kas 410
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 02 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

2 1 107005 Wahid Nurhidayat 9,918 124,600 3,000 12,500


2 107036 Gyda Rafiqa D - 108,750 4,000
3 073121 Rovina Bunga C 1,764 19,400
4 005743 Mutmainah 6,177 67,950
5 001071 Nanik Nuristiyati 1,236 13,600
6 006139 Sr. Silvi 6,682 14,700 58,800
7 061200 Catur Aiwa U 2,091 23,000
8 106880 Tugino 2,182 49,500 3,000 12,500
9 107178 Tri Subekti 2,709 55,300 3,000 12,500
10 107303 Yuni Astuti 3,077 67,850 4,000
11 026056 Suwarno 13,500 -
12 083842 Wahyu Dwi A 27,000 -
13 009839 Cipto Utomo 42,500 - 2,000
14 67550 Dwi 33,850 -
15 107304 Mustanginah 85,000 - 4,000
16 107302 Sunarti 72,200 - 4,000
17 107306 Nina Agustina 155,280 - 4,000
18 107310 Agnes Laela 71,700 - 4,000
19 096100 Ahdiyaka Zalika 123,800 - 4,000
20 107326 Iksan Wibisono 98,500 - 2,500
21 107322 Sujangi 32,700 1,564 3,000 12,500
22 107319 Sariyem 179,128 14,784 3,000 12,500
23 107156 Oko Prasetyo 57,100 2,873 3,000 12,500
24 107327 Samino 58,000 - 2,500
25 107320 Nadila Salsabila 164,000 6,636 3,000 12,500
26 001630 Tan Gwat In 19,000 - 2,000
27 107263 Veronika Tan Kiem 45,900 1,855 3,000 12,500
28 107325 Wasiyem 76,200 5,518 3,000 12,500
29 107331 Wuwung Dwi 58,000 - 2,500
30 107244 Wasirah 43,880 2,580 3,000 12,500
31 107329 Saminah 58,000 - 2,500
32 CV Rama 734,800 - 734,800
33 Siti Khotimah 383,800 - 383,800
34 105765 Merta 97,625 5,693 4,000
35 001214 Heru Winarso 42,000 -
36 033837 Aditya Dili Pamuji 78,000 1,500 4,000
37 107299 Ratino 67,000 -
38 013811 Sri Suharti 51,500 -
39 057001 Lani Herawati 47,500 - 4,000
40 107323 Deni 178,500 8,091 4,000
41 104197 Banun Tri Wijayanti 88,500 4,955 4,000
42 072859 Ridem 42,700 700 4,000
43 103310 Rohayati 94,000 409 4,000
44 100583 Sunarto Efendi 68,500 - 4,000
45 106859 Sutiman 174,250 10,205 4,000
46 107330 Anisa Sukmawati 64,300 4,436 3,000 12,500
47 057885 Iman Sujadi 13,500 -
49 035890 Supiyah 58,000 - 2,500
50 107321 Painah 58,000 - 2,500
51 008596 Kartini 47,500 - 4,000
52 107283 Darti 122,400 2,991 4,000
53 061503 Ponimin 101,750 3,477 4,000
54 034065 Sri Murni 161,150 11,468 4,000
55 107328 Samiasto 131,750 8,886 4,000
56 107324 Simen 137,600 9,418 4,000
57 102304 Sobari 192,622 14,329 4,000
58 001732 Mijan 56,000 1,909 4,000
59 105292 Mohamad Mansur 88,000 4,909 4,000
60 107286 Saini 59,900 2,355 4,000
61 052428 Tindraweni 55,300 2,709 3,000 12,500
62 107184 Nani Setyawati 30,500 1,364 3,000 12,500
63 084560 Slamet 67,750 3,068 4,000
64 098146 Ruslan 73,950 3,632 4,000
65 072345 Minarjo 34,000 - 4,000
66 048245 Agus Setiawan 85,500 4,682 4,000
67 107169 Sukinem 34,000 - 4,000
68 107132 Mujiyah 68,250 3,114 4,000
69 053975 Sarijan 34,000 - 4,000
70 068159 Mulyani 59,750 977 3,000
71 040493 Estiningsih 58,000 - 2,500
72 073162 Ester Yuliana 39,600 3,600
73 016717 uni Erwati 6,200 564
74 083774 Sutini 129,150 - 4,000
75 083678 Lewi 50,500 - 2,500
76 107160 Ngadimin 80,250 2,250 4,000
77 107152 Rohyati 55,500 - 4,000
-
5,918,585 - 193,337 311,300 1,118,600 - - 233,350 - 58,800 - 210,000 162,500 -
Jurnal Umum 5,918,585
Kas dari Kassa 5,919,000
Selisih Kas 415

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 03 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

3 1 088325 Ridwan Hidayat 4,809 68,400 3,000 12,500


2 100096 Wuri Hidayah 15,955 209,500 4,000
3 046357 Sawiyem 9,255 136,800 4,000
4 107340 Saryono 170,900 - 4,000
5 149656 Kus Bandiyah 32,200 2,927
6 002659 Diki Dwi Prabowo 29,000 2,182 29,000 4,000
7 105632 Wasidah 39,600 3,600
8 107070 Takari 253,250 23,023
9 103584 Dwi Yuliyanto 135,625 9,239 4,000
10 016717 Uni Erwati 8,000 564 32,200 4,000
11 105237 Lukmatul Hakim 222,750 16,159 4,000
12 038540 Sudarno 89,650 8,150
13 060175 Lucia Indriati 60,328 - 4,000
14 102235 Slamet Riyanto 163,500 10,773 4,000
15 054066 Tugino 125,750 6,386 4,000
16 081691 Maskuri Rafi Bagus 77,650 - 4,000
17 075096 Agus Dwi 3,000 273
18 060873 Evi Mariang 79,500 -
19 Nuron Lukman 20,000 -
20 Fasrianingsih 20,000 -
21 107344 Astuti 121,610 - 4,000
22 064623 San Wikarto 105,000 -
23 001630 Tan Gwat 19,000 - 2,000
24 049950 Hendratno 105,000 -
25 018248 Sabarman 200,250 2,386 4,000
26 107343 Amiyah 148,950 6,405 3,000 12,500
27 037644 Yesi Mira 86,050 5,686 3,000 12,500
28 107119 Manisah 88,250 4,841 4,000
29 107341 Nur Sidik 135,600 6,045 4,000
30 003305 Sumiyati 156,100 7,909 4,000
31 107179 Manisah 71,500 3,409 4,000
32 107206 Minarjo 18,000 - 2,000
33 079074 Sukarmi 14,500 - 2,000
34 065315 Misroji 69,500 3,136 4,000
35 060386 Sukaryo 34,000 - 4,000
36 071491 Suti 100,550 4,732 4,000
37 084834 Sutini 128,500 8,591 4,000
38 047618 Dimas 40,000 -
39 041838 Sri Mulyani 113,950 7,268 4,000
40 107346 Sagiman 124,450 8,223 4,000
41 105155 Saminem 87,500 1,636 4,000
42 107202 Siti Badriyah 34,000 - 4,000
43 106882 Supono 125,300 8,300 4,000
44 047468 Budi Setianto 38,500 409 4,000
45 055006 Parto Pawiro 34,000 - 4,000
46 079423 Hermawan 90,500 5,136 4,000
47 106831 Rista Nurjanah 70,400 2,491 4,000
49 003160 Sukarjo 116,750 7,432 4,000
50 061812 Sri Sukarni 50,250 3,159 3,000 12,500
51 103731 Endang Ari 43,000 818 4,000
52 059361 Mairan 150,900 10,627 4,000
53 106976 Sulastri 187,050 11,414 4,000
54 107206 Minarjo 211,750 16,068 4,000
55 010423 Samini 115,850 7,350 4,000
56 090422 Any 18,000 - 2,000
57 057973 Sakimin 152,450 10,677 4,000
58 107349 Walidin 71,500 3,409 4,000
59 107306 Nina Agustiana 78,000 - 4,000
60 052675 Lusmiati 104,300 4,709 6,000
61 106030 Mad Sumeri 166,950 9,723 6,000
62 079191 Yasidin 169,750 12,341 4,000
63 107186 Subarsih 155,495 9,227 4,000
64 065912 Awalia 59,650 2,332 4,000
65 100147 Wasiran 112,700 - 4,000
66 028806 Hasto 32,500 -
67 010229 Sugiyarti 13,500 -
68 107348 Saimin 117,800 9,300 3,000 12,500
69 Meterai 6,000 - 6,000
-
6,025,808 - 318,484 - - - - 277,900 - 198,000 - 213,000 62,500 -

Jurnal Umum 6,025,808


Kas dari Kassa 6,026,600
Selisih Kas 792

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 04 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

4 1 093077 Yudi Tri Wismadi 5,091 71,500 3,000 12,500


2 093018 Abdul Latif AW 8,627 90,550 19,850 3,000 12,500
3 067827 Sariyanti - 9,800 39,200 3,000
4 006265 dr. Lucy Julianti 3,286 36,150
5 107356 Parniah - 108,415 4,000
6 107353 Trisno - 77,700 4,000
7 008787 Sr. Anastasia - 67,750 67,750
8 102302 Sr. Elisabeth - 67,750 67,750
9 107352 Yuni Nur Utami 84,100 - 4,000
10 106944 Sunarti 65,000 1,136 4,000
11 107034 Tasilah 112,250 5,432 4,000
12 006137 dr. Harnowo 2,215 201
13 030768 Budianto 96,100 - 4,000
14 095162 Purwo Fito 60,640 - 4,000
15 031121 Denok Kusharyanti 101,600 9,236
16 085069 Serafim Bona 73,500 -
17 029944 Tjong Ket 47,000 -
18 001630 Tan Gwat In 19,000 - 2,000
19 105618 Miah 18,000 - 2,000
20 001773 Radikun H 24,600 2,236
21 107044 Ahmad Subur 165,000 11,909 4,000
22 107362 Suwarno 124,600 8,236 4,000
23 107361 Kartiyah 69,100 - 4,000
24 107365 Samirah 85,500 - 2,500
25 000084 Agus S 22,500 -
26 036254 Edi Darsono 99,000 -
27 045856 Sri Kuspiah 74,000 -
28 107363 Tyas 85,500 - 2,500
29 Alexander 10,000 -
30 097330 Viandika 50,500 - 2,500
31 104044 Muryati 115,000 9,045 3,000 12,500
32 107035 Siti Anifah 100,150 6,786 3,000 12,500
33 097753 Poniman 83,250 4,477 4,000
34 106924 Asianto 78,100 4,009 4,000
35 024112 Sri Susilowati 34,000 - 4,000
36 098895 Parmi 176,575 11,643 4,000
37 106511 Saring 50,300 1,482 4,000
38 023689 Waginem 372,500 30,682 4,000
39 106861 Siti Choliyah 57,000 2,000 4,000
40 087331 San Mureja 105,300 6,391 4,000
41 107252 Sri Ernawati 42,700 700 4,000
42 107370 Okfita 84,300 6,255 3,000 12,500
43 107369 Muhamad Azril 100,300 6,436 5,000 12,500
44 106254 Murah 82,000 3,136 4,000
45 106688 Satinem 56,500 2,045 4,000
46 089008 Suharyanto 34,000 - 4,000
47 103276 Salum 136,900 9,355 4,000
49 106508 Kasinah 49,750 1,432 4,000
50 107368 Marsiyem 236,990 - 4,000
51 065585 Sri Hartini 139,500 12,682
52 037807 Ributri Budiarti 3,000 273
53 097858 Eka Purwanti 39,600 3,600
54 107158 Sri Oksiatun 9,000 - 4,000
55 107379 Arni 92,150 877 3,000
56 100916 Paidah 39,600 3,600
57 107049 Eva Yuniarti 39,600 3,600
58 086223 Marto Diharjo 84,600 4,600 4,000
59 107371 Mulyoreja Sari 193,226 14,475 4,000
60 107357 Dian Wijayanti 34,000 - 4,000
61 107280 Suwartinah 307,825 20,348 4,000
62 077802 Dewi Restyaningsih 348,225 24,020 4,000
63 105795 Rizal Rizki 74,600 6,782
64 066142 Sakinah 112,750 7,159 4,000
65 105329 Siti Altiyah 141,000 5,182 4,000
66 067594 Linda Sri Pujiartuti 39,600 3,600
67 099899 Eem Sri Hartini 39,600 3,600
68 106748 Sri Sunarsih 39,600 3,600
69 106762 Arti Purwatiningsih 39,600 3,600
70 104973 Mumung Munarsih 39,600 3,600
71 106585 Siti Aminah 39,600 3,600
72 074551 Jimmy Alexander 102,025 1,639 4,000
73 107358 Yunizal Ismail 140,200 9,655 4,000
74 025421 Wuri Rustiyani 113,200 7,200 4,000
75 075434 Wahyu 117,000 - 4,000
76 107375 Huni Feri Astuti 98,250 1,295 4,000
77 099917 Sumaryati 79,200 7,200
78 107269 Nur Aisyah A 46,000 1,091 4,000
79 079311 Dewi Sri A 39,600 3,600
80 067762 Sudarmi 39,600 3,600
81 107381 Hartinah 111,750 2,523 4,000
82 106750 Heni Rahmawati 39,600 3,600
83 057720 Nurul Endarti 193,400 17,582
84 107376 Aritin 191,250 9,750 4,000
85 101388 Bimalina Sidabalok 39,600 3,600
86 037601 Nunug Suryaningsih 39,600 3,600
87 104096 Sri Wahyu N 39,600 3,600
88 038103 Heni Sulistiawati 141,150 5,195 4,000
89 063814 Sukarsih 79,200 7,200
90 054686 Suharti 39,600 3,600
91 057390 Kurnia Putri 79,200 7,200
92 044510 Parimi 39,600 3,600
93 101642 Meita Ardiani 39,600 3,600
94 103368 Titin Budi H 74,600 6,782
95 101619 Sri Mulyani 39,600 3,600
96 062401 Tri Murtiningsih 39,600 3,600
97 062232 Tyas Satria 74,600 6,782
98 072624 Rahayu Jati 39,600 3,600
99 105785 Elis Susanti 39,600 3,600
100 087263 Pingah 39,600 3,600
101 105783 Handasah 39,600 3,600
102 066772 Salikem 107,000 6,636 4,000
103 069012 Pariyah 73,600 3,600 4,000
104 107374 Partijan 109,000 6,818 4,000
105 107373 Umiyati 113,200 7,200 4,000
106 107367 Dwi Harto 123,600 8,145 4,000
107 106427 Sri Yuliati A 108,600 6,782 4,000
108 107366 Mulyani 113,200 7,200 4,000
109 107380 Farham 94,526 5,502 4,000
110 107385 Umiyati 34,000 - 4,000
111 107382 Ani Idiastuti 73,600 3,600 4,000
112 107383 Puji Hastuti 224,650 17,332 4,000
113 107393 Muhamad Fajar M 12,300 1,118
114 105442 Endang Winarni 39,600 3,600
115 105025 Sri Yuniarti 79,200 7,200
116 048039 Dewi Damayanti 79,200 7,200
117 105182 Martati 39,600 3,600
118 100937 Puji Rahayu 39,600 3,600
119 106757 Hikmah Wahyuni 39,600 3,600
120 106439 Siti Rohana 39,600 3,600
121 097615 Sri Wahyunita 39,600 3,600
122 094798 Wini Handayani 39,600 3,600
123 006705 Tuginah 39,600 3,600
124 105312 Kasinawati 74,600 6,782
125 026871 Dariyah 50,800 4,618
126 104928 Evi Nurita 45,000 - 4,000
127 106806 Nunung Riyani 84,000 - 4,000
128 087719 Neneng 84,000 - 4,000
129 095113 Ratini 84,000 - 4,000
130 083668 Kasini 84,000 - 4,000
131 056397 Fita Martiyana 84,000 - 4,000
132 063616 Siti Jamzanah 84,000 - 4,000
133 004988 Wagiyarti 84,000 - 4,000
134 027443 Ririn Purwantini 84,000 - 4,000
135 107391 Laeli Dini 164,226 11,839 4,000
136 107064 Riski Faturahman 202,726 15,339 4,000
137 017249 Prabowo 104,000 6,364 4,000
138 103487 Amanda Bunga A 107,176 6,652 4,000
139 083035 Teguh ambarwati 39,600 3,600
140 085575 Retno maya 39,600 3,600
141 103079 Punti Bela Antika 39,600 3,600
142 101570 Navitalia Sugara 94,526 5,502 4,000
143 107386 Nining Asgiya 108,600 6,782 4,000
144 103069 Dwi Rina 39,600 3,600
145 082317 Lilis Yustina 39,600 3,600
146 107395 Supartiningsih 108,600 6,782 4,000
147 107388 Jona 77,000 3,909 4,000
148 107394 Rahma 71,726 3,430 4,000
149 091977 Lukas Handoyo 157,676 11,243 4,000
150 107384 Dewi Fortuna 198,926 14,993 4,000
151 107205 Ponisah 224,926 17,357 4,000
152 107393 Moh Fajar 41,500 682 4,000
153 092795 Giovani Scarpati 34,000 - 4,000
154 107073 Lalu Fadil 37,050 277 4,000
155 107392 Azka Azwar 131,430 8,857 4,000
156 107396 Davin P 34,000 - 4,000
157 091278 Meiza Keiki 57,050 2,095 4,000
158 107247 Rafa Alfarizi 48,400 1,309 4,000
159 022524 dr. Nrimanto 140,000 12,727
160 093537 Siti Fatimah 63,000 4,318 3,000 12,500
161 107398 Admin Mangku 216,825 - 4,000
162 037580 Mia 1,450 132
163 107152 Rohyati 77,250 2,250 4,000
164 106263 Edi Asta 48,150 377 4,000
165 101539 Waluyo 69,250 3,205 4,000
166 106071 Putiara 7,000 -
167 107350 Cicilia 55,750 1,977 4,000
168 085592 Sarmiati 34,000 - 4,000
169 054066 Tugino 52,500 - 4,000
170 107397 Bowo 65,550 - 4,000
171 050293 Widarti 61,750 2,523 4,000
172 107142 Miharto 45,000 - 4,000
173 035271 Sukiran 45,000 - 4,000
174 089718 Meli Werdiasih 271,000 21,545 4,000
175 106770 Fitri 82,000 - 4,000
176 107158 By Sri Oksiatun 9,000 4,000
-
13,667,510 - 754,160 458,115 - - - 71,500 - 194,550 - 420,500 87,500 -

Jurnal Umum 13,667,510


Kas dari Kassa 13,668,400
Selisih Kas 890

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 05 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

5 1 098469 Inaya Cyrendina 6,900 109,900 4,000


2 088314 Radix Agung - 349,000 4,000
3 107417 Teguh Riyanto 27,100 - 108,400 4,000
4 073121 Rovina Bunga C 7,468 116,150 4,000
5 006071 Rovian Yudi N 1,909 55,000 4,000
6 087338 Sr. Felisitas 40,218 238,200 238,200 4,000
7 107178 Tri Subekti 2,436 52,300 3,000 12,500
8 087332 Anna Satriyaningsih 2,764 35,750 10,150 3,000 12,500
9 149699 dr. Onggo 227 2,500
10 087338 Nita Ratnasari 3,182 35,000
11 101642 Meita Ardiani 3,600 39,600
12 005976 Alipah 76,400 6,945
13 067 Budi Kusuma 91,500 -
14 149692 Asti 4,000 364
15 080378 Soberi 121,600 - 4,000
16 096745 Nur Cholifah 16,500 -
17 056884 Samijem 72,750 - 4,000
18 107408 Melia 58,000 - 2,500
19 102820 Mastur 124,000 8,182 4,000
20 107283 darti 84,500 4,591 4,000
21 012734 Indah Suliatin 33,850 3,077
22 105471 Fano 64,800 4,482 3,000 12,500
23 084942 Raniyah 79,250 4,114 4,000
24 107405 Sigit Kurniawan 92,500 7,000 3,000 12,500
25 022318 Sukamti Asih 9,000 - 4,000
26 076490 Heru Sucipto 31,500 2,864
27 053834 Kasinah 34,000 - 4,000
28 107156 Oko Prasetyo 39,000 955 3,000 12,500
29 105407 Kurniasih 15,500 - 3,000 12,500
30 001630 Tan Gwat 19,000 - 2,000
31 107412 Purwanto 163,550 10,550 4,000
32 036447 Siya Ngatimin 113,200 2,495 37,250 4,000
33 052428 Tindraweni 31,700 564 3,000 12,500
34 107409 Siratman 167,600 12,145 4,000
35 107411 Katinem 124,100 - 4,000
36 107320 Nadila salsabila 15,500 - 3,000 12,500
37 107403 Suyudi 120,150 - 4,000
38 107402 Marsinah 98,500 - 2,500
39 016928 Sarjono 8,000 -
40 085839 Wadiron 56,000 5,091
41 107404 Sulis Mutianingsih 73,700 5,291 3,000 12,500
42 008949 suniah 10,200 927
43 107413 Maya Dwi Andini 175,800 11,482 7,000 12,500
44 107410 Riyanto 88,350 5,714 3,000 12,500
45 064623 RSU Purwogondo 224,500 20,409
46 071115 Natiyah 175,625 12,875 4,000
47 032406 Endah Nur Iklas 67,200 6,109
49 000082 Aan Sri Wuryanti 79,175 - 4,000
50 107378 Rasini 127,500 - 2,500
51 034065 Sri Murni 125,000 -
52 107418 Isba Mayi 127,500 - 2,500
53 107416 Padikarya 46,250 - 4,000
54 Pengobatan dokter 399,000 - 399,000
55 107419 Sakiyo 118,350 - 4,000
56 033511 Basuki 6,000 545
57 107422 Muh Waseeluragil 182,280 - 4,000
58 107421 Bagus Nugrah F 54,450 1,859 4,000
59 106071 Putiara Erika 43,850 895 4,000
60 092693 Pramudya 34,000 - 4,000
61 087523 Hanif H 34,000 - 4,000
62 098498 Albertus 34,000 - 4,000
63 102614 Puri anastya 34,000 - 4,000
64 095375 Gian Deska 97,250 5,750 4,000
65 040973 Maryanto 11,000 1,000
66 102920 Kirana Kusuma 90,000 5,091 4,000
67 021121 Katrin Agung 88,450 - 4,000
68 107021 Supangkat 68,000 1,136 4,000
69 107192 Rusminatun 104,750 5,432 4,000
70 102614 Antonia Tri P 20,740 1,885
-
4,733,970 - 228,524 574,500 436,250 - - 567,300 - 248,350 - 185,000 137,500 -

Jurnal Umum 4,733,970


Kas dari Kassa 4,734,800
Selisih Kas 830

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 06 Mei 201

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

6 1 003400 Sr. Veronika 34,373 251,800 251,800 4,000


2 088258 Alexander Cahyo 131,350 - 4,000
3 101827 Esti Yuningsih 29,500 -
4 107425 Yani 59,100 - 4,000
5 022524 dr. nrimanto 147,500 13,409
6 065061 Dimas Adi 163,750 - 4,000
7 104157 Dhian Fitria 68,400 - 4,000
8 044424 Candra Yohan 206,550 - 4,000
9 107429 Zeni Zenifer 16,500 - 2,000
10 067646 Erni 26,500 - 2,000
11 107428 Ringga Pramudya 152,000 12,409 3,000 12,500
12 001630 Tan Gwat 19,000 - 2,000
13 095374 Fadilah 122,150 9,695 3,000 12,500
14 000728 Hendratno 27,000 -
15 030176 Tasirah 109,032 6,730 4,000
16 043138 Titi Mulyo 47,500 - 4,000
17 103015 Cindra 47,500 - 4,000
18 009464 Sri Kundari 19,500 955 4,000
19 093414 Gabriel 40,000 -
20 107425 Tri Haryati 34,000 - 4,000
21 049226 Kwam Wha 21,000 - 2,000
22 072859 Ridem 44,450 859 4,000
23 106275 Wahyu Budi 140,500 9,682 4,000
24 107433 Juminem 107,350 5,341 3,000 17,000
25 107172 Sri Hartati 104,500 6,409 4,000
26 016871 Min Sumini 122,625 7,966 4,000
27 035182 Inah Supinah 196,800 14,709 4,000
28 015182 Tugimin 139,500 7,909 4,000
29 084034 Sarwan Wanto 151,800 10,618 4,000
30 023375 Warsinah 124,500 8,136 4,000
31 107431 Karsareja 198,400 14,855 4,000
32 086246 Munirah 73,600 3,509 4,000
33 107050 Suhartiningsih 106,600 4,373 4,000
34 101645 Suwartiyah 146,450 10,223 4,000
35 057885 Imam 13,500 -
36 099547 Anisaul Fitriyah 128,750 8,614 4,000
37 008419 drg. Carolina 203,500 - 2,500
38 091101 Nuryani 19,500 955 4,000
39 090422 Ani Indriyastuti 18,000 - 2,000
40 106964 Sumarni 224,050 16,050 4,000
41 041130 Walyono 47,500 - 4,000
42 149604 Komsatun 39,900 3,627
43 059932 Sartini 115,850 7,441 4,000
44 078065 Yuliah 51,000 4,636
45 047239 Ivan Gunawan 67,000 -
46 107437 Sri Mulyati 43,500 2,545 3,000 12,500
47 107236 supono 186,000 - 4,000
49 107440 Maria Noto S 56,500 - 4,000
50 106958 Supini 112,750 2,614 4,000
51 107053 Ani Sumarti 126,750 3,886 4,000
52 087469 Ratna Yuni 11,600 1,055
53 025416 Indah Marini 45,000 - 4,000
54 107436 Yuliyanti 84,000 - 4,000
55 106009 Sarsih 84,000 - 4,000
56 106010 Ratri Wahwan 84,000 - 4,000
57 106269 Ajeng ratna 84,000 - 4,000
58 107438 Siti Fatimah 84,000 - 4,000
59 016928 Sarjono 1,845 20,300
-
5,075,557 - 235,428 272,100 - - - - - 251,800 - 176,500 54,500 -

Jurnal Umum 5,075,557


Kas dari Kassa 5,076,100
Selisih Kas 543
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 07 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

7 1 098920 Dhoni Widiyanto 17,045 292,000 4,000


2 104209 Nur Arif 8,682 111,000 3,000 12,500
3 105556 Devin Aqila Pratama - 105,450 4,000
4 017493 Sumarkis 4,600 66,100 3,000 12,500
5 066959 Olivia Atmaja 4,005 78,050 4,000
6 093290 Desi Iriyani 30,500 7,500 99,500 17,000 4,000
7 055480 dr. B Suryanto 13,232 29,110 116,440
8 093250 Caroline Chika - 34,000 4,000
9 003400 Sr. Veronika (4,473) 49,200
10 105530 Fajar 101,000 - 4,000
11 099464 Tri Hidayatun 9,000 -
12 Takari 253,250 23,023
13 001630 Tan Gwat 19,000 - 2,000
14 057001 Lani H 13,500 -
15 064623 RS Purwogondo 105,000 -
16 106710 Martoyo 110,500 10,045
17 Danu Sambogo 10,000 -
18 107313 Dani Kurniawan 12,300 1,118
19 091813 Endang Susilawati 123,250 - 4,000
20 149612 Sarjono 154,700 12,218 20,300
21 075096 Agus Dwi N 2,800 255
22 149610 Devin 29,050 2,641
23 107142 Miharto 54,300 164 4,000
24 087251 Supirah 58,500 - 4,000
25 107163 Yulianti 88,850 1,668 4,000
26 105683 Sri Widarti 101,450 2,814 4,000
27 038051 Sutinah 18,500 - 2,000
28 000106 Parmo S 18,500 - 2,000
29 107010 Marto Suwarno 52,500 - 4,000
30 044424 Candra Yohan 104,800 - 4,000
31 084838 Sudihartono 34,000 - 4,000
32 106218 Sapto Dwi C 144,500 - 4,000
33 054066 Tugino 112,250 4,841 4,000
34 107443 Tjan Ek Nio 195,100 - 4,000
35 105260 Dul Khusni 43,000 818 4,000
36 107444 Yuni Purwaningsih 286,550 - 4,000
37 104928 Evi Nurita 1,572,715 49,156 7,000
38 107452 Rodiyah 345,250 11,705 4,000
39 044553 Gunawan 127,500 - 2,500
40 078472 Steven 16,500 - 2,000
41 18063 Syukur P 16,500 - 2,000
42 149616 Wahyu Dwi P 18,900 1,718
43 050456 Agil Ayu 246,400 7,309 3,000 12,500
44 Fitria Dwi 108,600 - 108,600
45 079074 Sukarmi 18,500 - 2,000
46 100631 Suparmi 80,650 4,241 4,000
47 106976 Sulastri 203,500 12,909 4,000
49 107454 Bilal 146,300 6,164 3,000 12,500
50 107455 Dul Ikhsan 190,000 14,091 4,000
51 047618 Dimas S 61,050 4,141 3,000 12,500
52 098366 Dalimin 34,000 - 4,000
53 107365 Samirah 18,500 - 2,000
54 107368 Marsiyem 32,350 623 3,000 12,500
55 100583 Sunanto Efensi 68,500 - 4,000
56 093414 Gabriel Dwiki 38,900 2,127 3,000 12,500
57 106051 Supriyono 78,500 - 3,000 12,500
58 032648 Aminudin 15,500 1,409
59 040636 Suparmin 84,000 4,545 4,000
60 107275 Basir 116,500 7,500 4,000
61 107306 Nina Agustiana 52,400 - 4,000
62 038943 Yuniarti 82,600 - 4,000
63 105542 Olvie Lentji 34,000 - 4,000
64 107451 Turmudi 92,750 6,932 3,000 12,500
65 054251 Supriyati 34,000 - 4,000
66 107450 Sarjono 36,500 1,909 3,000 12,500
67 107453 Watinah 35,000 1,773 3,000 12,500
68 023337 Sri Cahyanti 47,900 4,355
69 103265 By Ermawati 111,880 7,080 4,000
70 106946 Chelchi Oktavia 53,400 1,764 4,000
71 099464 Tri Hidayatul 94,700 5,518 4,000
72 041791 Sugiyanti 31,500 - 4,000
73 103978 Muh Amin 43,000 818 4,000
74 005976 Alipah 33,686 370,550
-
6,675,395 - 301,668 677,310 178,100 - - 508,450 - 133,440 - 200,500 137,500 -

Jurnal Umum 6,675,395


Kas dari Kassa 6,675,800
Selisih Kas 405
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 08 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

8 1 149619 Istri Wening 182 2,000


2 107460 Suwarman 172,715 - 4,000
3 107461 Basiran 204,595 - 4,000
4 107459 Titi Suwarni 83,900 - 4,000
5 107456 Ratmono 98,100 - 4,000
6 107458 Sudarto 88,000 - 4,000
7 107457 Sofian 165,630 - 4,000
8 103231 Leon Hart 260,950 814 4,000
9 047781 Sikem 70,500 -
10 005976 Alipah 619,300 - 370,550
11 087298 Indriyana 1,525 139
12 104118 Deven Dias 72,850 - 4,000
13 093746 Mijil Noviantoro 121,600 7,964 4,000
14 015646 Daryani 305,000 -
15 107468 Sunaryo 65,200 - 4,000
16 089525 Denis 73,525 - 4,000
17 105479 Fika Pramesti 68,300 - 4,000
18 107463 Teguh Widodo 75,382 - 4,000
19 107472 Lika Romadhoni 48,900 - 4,000
20 149625 Imam 2,500 -
21 107470 Dian Pertiwi 87,950 - 4,000
22 096745 Klinik Harapan 16,500 -
23 062916 Kunariyah 60,000 - 4,000
24 079802 Mudiarto 124,950 - 4,000
25 098482 Rindang 51,600 - 4,000
26 064870 Sukardi 82,000 - 4,000
-
3,021,472 - 9,098 2,000 370,550 - - - - - - 76,000 - -

Jurnal Umum 3,021,472


Kas dari Kassa 3,021,600
Selisih Kas 128
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 09 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

9 1 046357 Sawiyem 3,545 39,000


2 042243 Waginah 330 3,625
3 031262 Purwanto 37,000 - 34,000 4,000
4 107178 Tri Subekti - 52,500 4,000
5 020580 Yusiva Sumarni - 41,300 27,150 4,000
6 035882 MY Ngadinem - 10,400 29,900 4,000
7 020580 Yusiva Sumarni - 17,300 31,200 4,000
8 015500 Setyaningsih - 41,500 37,750 4,000
9 105618 Miah 18,000 - 2,000
10 044694 Ristati 96,500 -
11 Yosepha Iswidya 39,400 - 39,400
12 057001 Lani Herawati 61,000 - 4,000
13 016908 Sarjono 167,800 15,255
14 005277 Ginawati 91,500 -
15 024041 Sri Mulyono 202,000 - 2,500
16 107418 Isbanayi 18,000 - 2,000
17 060941 Stefanus Arga 52,000 -
18 102014 Rakiyem 12,000 -
19 Caroline Chika 34,000 - 34,000
20 001630 Tan Gwat In 19,000 - 2,000
21 107319 Sariyem 205,422 17,266 3,000 12,500
22 107410 Riyanto 102,700 7,018 3,000 12,500
23 093710 Sandiharjo 64,255 4,432 3,000 12,500
24 107315 Nito Joyo 114,975 7,270 4,000
25 106140 Manggi 70,250 2,386 4,000
26 107112 Ratal 81,450 4,223 4,000
27 000084 Agus S 113,000 -
28 107305 Tuginah 121,525 6,730 4,000
29 032604 Tuyem 58,000 - 2,500
30 054479 Darius Sudarsono 34,000 - 4,000
31 100091 Ristin Ayza 75,600 5,464 3,000 12,500
32 Sabarman 100,000 - (100,000)
33 107343 Amiyah 65,750 - 4,000
34 107479 Ponimin 106,700 8,291 3,000 12,500
35 038051 Sutinah 18,500 - 2,000
36 000106 Darmo S 18,500 - 2,000
37 107156 Oko Prasetyo 53,400 2,536 3,000 12,500
38 107297 Poniyem 34,000 - 4,000
39 105289 Dul Haris 42,700 700 4,000
40 107001 Yusmariyah 176,500 12,864 4,000
41 104950 Iswati 140,750 9,705 4,000
42 016717 Uni Erwati 7,250 659
43 107482 Wisnu 59,000 - 4,000
44 107475 Ani 235,000 18,273 4,000
45 103175 Sukinem 113,250 7,114 4,000
46 038897 Fitri Ida N 19,000 909 4,000
47 087441 Samiyah 57,000 1,500 4,000
49 025972 Priska 64,500 -
50 107478 Suparmi 94,905 2,810 4,000
51 078472 Stevani 16,500 - 2,000
52 023626 Sulastri Ichwan 34,000 - 4,000
53 081824 Rusman 204,050 10,323 4,000
54 090627 Gesti Okaviani 38,500 409 4,000
55 107337 Sainem 66,550 2,959 4,000
56 107317 Marsinem 83,950 3,723 4,000
57 053687 Titik 91,500 -
58 107477 Manisem 145,250 3,432 4,000
59 041834 Sri Mulyani 175,000 12,818 4,000
60 089008 Suharyatno 34,000 - 4,000
61 105770 Salmi 58,825 2,257 4,000
62 069357 Vina Anggraeni 111,200 - 4,000
63 078431 Ida Susiana 34,000 - 4,000
64 071499 Daniel Subroto 34,000 - 4,000
65 105672 Turino 90,000 4,500 4,000
66 035165 Suryani 34,000 - 4,000
67 034065 Sri Mulyani 87,000 4,818 4,000
68 107483 Suratmi 118,622 - 4,000
69 106119 Slamet Sumedi 83,450 4,495 4,000
70 106407 Tugiyem 165,625 11,966 4,000
71 016409 Silah 162,900 11,627 4,000
72 107169 Sukinem 34,000 - 4,000
73 022732 Andreas Budi 129,200 - 4,000
74 045521 Sukma Aji 134,200 9,109 4,000
75 063102 Titi Suwarni 42,225 3,839
76 107484 Tasimin 63,722 - 4,000
77 005976 Alipah 77,500 7,045
78 002321 Yulianus sarwono 16,000 1,455
79 107010 Marto Suwarno 77,250 2,250 4,000
80 107443 Tjan Ek Nio 34,000 - 4,000
81 105237 Lukmanul Hakim 57,500 - 4,000
82 107299 Ratino 376,500 29,455 4,000
83 098799 Riyanto 34,000 - 4,000
84 050470 Marsinem 39,500 - 4,000
85 030526 Ika Purwatiningsih 12,250 1,114
86 107485 Asep Aditya 8,000 -
87 107481 Aidil Gasa 3,150,500 89,909 7,000
88 Meterai 6,000 - 6,000
89 030562 Nida Hanifah 8,000 -
-
9,365,351 100,000 356,780 166,625 73,400 34,000 - - - 165,000 - 156,000 75,000 -

Jurnal Umum 9,265,351


Kas dari Kassa 9,268,000
Selisih Kas 2,649

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 10 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

10 1 087332 Anna Satriyaningsih 3,045 40,300 8,700 3,000 12,500


2 149636 Yusiva - 4,500
3 001071 Nanik Nuristiyati 1,009 11,100
4 107471 Munirah - 94,000 4,000
5 011136 Yosepha I 2,100 191
6 033997 Tuju 182,780 - 4,000
7 075096 Agus Dwi N 13,500 1,227
8 025540 Supriyono 16,500 1,500
9 057317 San Mamad 98,450 7,541 3,000 12,500
10 107492 Muchamad Nur 74,550 5,368 3,000 12,500
11 107368 Marsiyem 35,350 895 3,000 12,500
12 095828 Dede Dwi A 24,500 -
13 001630 Tan Gwat In 19,000 - 2,000
14 107488 Sarli Simbolon 45,500 - 4,000
15 107490 Karya Leksana 169,750 9,750 4,000
16 106202 Sumarni 61,500 - 4,000
17 107494 Sugiyono 115,500 - 3,000 12,500
18 107498 Suwarni 56,600 3,736 3,000 12,500
19 107499 Ernawati 28,000 1,136 4,000
20 030002 Didit Setya Eli S 34,000 - 4,000
21 099509 Watmawati 101,300 6,118 4,000
22 062834 Sandriansah 12,000 -
23 107491 Riski Aditya 12,000 -
24 106830 Satimi 125,450 6,995 4,000
25 107274 Marsini 76,500 2,636 4,000
26 107495 Mursini 172,250 4,614 4,000
27 069698 Walem 107,900 6,627 4,000
28 005976 Alipah 96,600 8,782
29 078472 Steven 16,500 - 2,000
30 040659 Pangestuti 169,500 10,636 4,000
31 074632 Ambar Ari Asih 177,350 13,032 4,000
32 017884 Mingan Kromo 34,000 - 4,000
33 106127 Nasekhudin 34,000 - 4,000
34 106831 Rista Nurjanah 83,850 3,714 4,000
35 067812 Budi Kusuma 129,000 8,636 4,000
36 084385 Supardi 108,750 6,795 4,000
37 106906 Oki Novitarini 240,400 18,764 4,000
38 107187 Loan Ing 87,250 3,205 6,000
39 003387 Warjan 97,000 4,091 6,000
40 102576 Parilah 118,450 7,586 4,000
41 089557 Dul Jalal 103,140 - 4,000
42 107501 Parijan 285,125 12,284 4,000
43 107186 Subarsih 97,750 5,795 4,000
44 056280 Tumin 159,000 10,364 4,000
45 100037 Samini 161,500 11,591 4,000
46 062499 Sriyono 115,000 6,136 4,000
47 054310 Sopiyah 313,000 23,591 6,000
49 066802 Ahmad Ludiono 61,000 2,455 4,000
50 008949 Suniah 53,507 1,773 4,000
51 085787 Poniyati 69,500 - 4,000
52 010871 Lindawati 7,000 -
53 107500 Agung Mudantoko 106,500 -
54 060461 Sr. Marieta 2,250 12,375 12,375
-
4,509,652 - 223,871 157,775 4,500 - - - - 21,075 - 160,000 75,000 -

Jurnal Umum 4,509,652


Kas dari Kassa 4,510,400
Selisih Kas 748
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 11 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

11 1 031262 Purwanto 41,382 - 40,750 4,000


2 107511 Arif Rahmadani - 105,850 4,000
3 098469 Inaya Cyrendina 3,077 67,850 4,000
4 107524 Budi Waluyo 6,314 84,950 3,000 12,500
5 090151 Nathania Aura 3,209 69,300 4,000
6 107514 Sarinah 15,164 221,800 4,000
7 084180 Sr. Hendrika 7,495 229,725 229,725 4,000
8 107530 Jaenah - 117,850 4,000
9 029710 The Kiem Keng - 321,650 54,000
10 017408 Petrus Anna - 43,700 98,800 4,000
11 093881 Fatih Fauzan 12,000 -
12 107510 Manisah 100,680 - 4,000
13 030526 Ika Purwatiningsih 12,700 1,155
14 107508 Ita Rahmatika 52,000 -
15 057882 Dwi Ambar 18,500 1,682
16 095010 Cornelius 12,000 -
17 098981 Wirayuda A 30,000 2,727
18 083785 Sri Mulyani 19,000 909 4,000
19 107507 Heru Apriyanto 62,800 - 4,000
20 107513 Beres 109,000 8,500 3,000 12,500
21 107418 Isdaniah 18,000 - 2,000
22 Munirah 94,000 - 94,000
23 107518 Ratna Sari Dewi 62,800 4,300 3,000 12,500
24 068818 Dwi Aryani 35,300 3,209
25 001630 Tan Gwat In 19,000 - 2,000
26 Setyaningsih 41,500 - 41,500
27 107516 Fransiska 110,050 3,323 5,500 12,500
28 082049 Elvira Asti 19,000 909 4,000
29 000359 Wiwik Haryanti 19,500 955 4,000
30 105730 Ika Isdiana 12,300 1,118
31 079074 Sukarmi 14,500 - 2,000
32 049226 Kam Wha 21,000 - 2,000
33 008656 Indriyati 56,500 - 4,000
34 105847 Siti Khoirul B 164,000 11,818 4,000
35 090899 Mutmainah 34,000 - 4,000
36 028735 Sumaryono 125,410 7,674 4,000
37 018248 Adman 13,500 -
38 104146 Mikael Henata 18,500 864 4,000
39 107519 Sarinatun 117,800 - 4,000
40 Meterai 12,000 - 12,000
41 106153 Yehu Paula 11,000 182 4,000
42 107421 Bagus Nugrah 11,000 182 4,000
43 107393 Muh Fajar 11,000 182 4,000
44 105045 Priskila Y 18,500 864 4,000
45 107435 Suratmi 18,500 864 4,000
46 105979 Tri Haryanti 18,500 864 4,000
47 105730 Ika Isdiana 18,500 864 4,000
48 107073 Lalu Fadhil 18,500 864 4,000
49 105724 MM Sri Sugiarti 11,000 182 4,000
50 107312 Asri Haryani 18,500 864 4,000
51 029110 Wijil Sumirat 181,000 - 4,000
52 080042 Painah 146,000 9,182 4,000
53 002887 Suwarti 191,250 14,205 4,000
54 076996 Sadikem 155,450 11,041 4,000
55 040277 Muinah 85,122 4,557 4,000
56 061527 Kaminem 108,025 6,730 4,000
57 106688 Satinem 34,000 - 4,000
58 107432 Mungalim 68,800 3,164 4,000
59 060113 Maemunah 140,500 9,591 4,000
60 107517 Suyatno 123,400 3,082 4,000
61 107521 Supriyono 82,900 5,218 3,000 19,000
62 078245 Agus Setiawan 63,250 2,659 4,000
63 042000 Suratmi 34,000 - 4,000
64 032921 Kamisah 178,450 13,132 4,000
65 094958 Sakiyem 151,450 10,677 4,000
66 107522 Sariyah 116,625 4,320 4,000
67 107434 Pasikem 297,150 22,286 6,000
68 084834 Sutini 34,000 - 4,000
69 083774 Sutini 157,322 11,120 4,000
70 054831 Darsinah 53,072 1,643 4,000
71 107325 Wasiyem 104,950 6,450 4,000
72 014848 Rudi Novandi 76,500 -
73 014141 Kasman 40,500 - 4,000
74 107217 Rohyatin 192,000 9,818 4,000
75 034859 Suparniasih 34,000 - 4,000
76 106775 Suwarti 157,550 11,232 4,000
77 026871 Dariyah 116,000 6,545 4,000
78 107316 Puri Handayani 168,800 11,345 4,000
79 057722 Triyono 245,000 19,182 4,000
80 050935 Dalu Rahayu 39,600 3,600
81 039936 Widi Tri Yuningsih 39,600 3,600
82 106279 Teguh Rahayu 74,600 6,782
83 104636 Sukinah 83,600 7,600
84 105797 Asih 39,600 3,600
85 056288 Kamsiyatun 138,600 9,509 4,000
86 107293 Asri Haryani 141,750 8,795 4,000
87 107526 Supriyah 114,600 7,327 4,000
88 104634 Jumiati 39,600 3,600
89 105357 Sumini 162,200 7,109 4,000
90 107523 Sumiati 183,500 9,045 4,000
91 071986 Monika Sumini 207,250 15,750 4,000
92 104346 Satinem 226,700 14,518 4,000
93 044171 Tri Kusuma Dewi 39,600 3,600
94 058255 Susana Irawati 39,600 3,600
95 107372 Sumarmiasih 73,600 3,600 4,000
96 102977 Dewi Sepsiana 79,200 7,200
97 080620 Napsiyah 141,000 5,182 4,000
98 047022 Karyati 39,600 3,600
99 046832 Surip Sukuriyah 39,600 3,600
100 051061 Dika Valentino 204,226 15,475 4,000
101 098776 Novianti W 86,000 4,727 4,000
102 107534 Latifah 94,500 - 4,000
103 107045 Kholifah 39,600 3,600
104 107043 Emi Nugraheni 74,600 6,782
105 107533 Jafarudin 134,450 - 4,000
106 105638 Nugraheni 39,600 3,600
107 049647 Sri Rubiyatun 39,600 3,600
108 106807 Sugiarti 166,500 7,500 4,000
109 031369 Alvina Rahmawati 109,000 6,818 4,000
110 107525 Bima Hidayatulah 91,250 1,159 3,000 12,500
111 105158 Puji Setyaningsih 114,970 2,815 4,000
112 026974 Sugiyanto 13,500 -
113 083329 Agnes Lies Tami 39,600 3,600
114 029046 Ruswendah 74,600 6,782
115 100505 Fitria Dwi C 79,200 7,200
116 099751 Wajib 83,500 4,500 4,000
117 036849 Rodiyah 39,600 3,600
118 098633 Anton Yuniarto 39,600 3,600
119 074890 Sri Lestari 79,200 7,200
120 077124 Gempita Oktaviana 157,350 8,486 4,000
121 107347 Rohyatin 18,500 864 4,000
122 107333 Puri Handayani 18,500 864 4,000
123 008821 Lili Supriyatin 90,250 5,114 4,000
124 107528 Fajarwati 34,000 - 4,000
125 106269 Ajeng Ratna 154,000 - 4,000
126 052285 Ranti Desi 84,000 - 4,000
127 074150 Ivon 84,000 - 4,000
128 098222 Lina Aristin 84,000 - 4,000
129 038103 Heni Sulistyowati 84,000 - 4,000
130 080915 Suminah 84,000 - 4,000
131 107535 Soleh Kurniawan 168,100 12,191 4,000
132 106432 Ekky Fitri 74,600 6,782
133 089492 Muh Fakhrus 82,000 4,364 4,000
134 092118 Sri Sukesti 39,600 3,600
135 073470 Suparjo 229,226 17,748 4,000
136 107531 Indraspuri 108,600 6,782 4,000
137 104236 Indah Fitriyani 74,600 6,782
138 106275 Wahyu Budi Utami 39,600 3,600
139 106599 Mutiarti 74,600 6,782
140 105951 Lilis Eka 79,200 7,200
141 105799 Theresia Yesi 74,600 6,782
142 096004 Tabita Najwa 94,526 5,502 4,000
143 103957 Wiwi Sumanti 164,226 11,839 4,000
144 106263 Edi Asta Saputra 108,600 6,782 4,000
145 091977 Lukas Handoyo 44,000 909 4,000
146 073162 Ester Yuliana 39,600 3,600
147 107527 Sugeng 197,226 14,839 4,000
148 079248 Arya Bagas S 114,226 7,293 4,000
149 107539 Niero Gavin P 78,610 4,055 4,000
150 096014 Muslihudin 78,850 4,077 4,000
151 099764 Jeremy Evans 77,950 3,995 4,000
152 106605 Naufal Mirsa S 96,900 5,718 4,000
153 002718 Sri Wahyuni 39,600 3,600
154 078066 I Wayan Hernowo 89,600 8,145
155 107537 Bernadus Beni A 168,100 12,191 4,000
156 085926 Gabriel Subianto 213,600 16,327 4,000
157 107536 Ferdila Iga Candra 108,600 6,782 4,000
158 107532 Prasetyo 191,826 14,348 4,000
159 105802 Jumi Suliasih 56,100 5,100
160 107538 Eni 156,100 11,100 4,000
161 068208 Setiawan Arif W 39,600 3,600
162 107273 Devano Rafif 39,200 473 4,000
163 107509 Parsini 30,000 2,727
164 105706 Sri Wijayati 52,700 1,700 4,000
165 060941 Stefanus Arga 8,000 -
166 093100 Christoper Yapto 106,200 6,564 4,000
167 107414 Intan Tri Nurani 89,000 5,000 4,000
168 042027 Suri Putri P 39,600 3,600
169 107541 Nindya Desti 64,700 - 4,000
170 106118 Moh Candida 92,000 5,273 4,000
171 106821 Katarina 92,000 5,273 4,000
172 105331 Alfath Berlin 43,500 864 4,000
173 104343 Yonathan 36,000 182 4,000
174 102920 Kirana K 36,000 182 4,000
175 104404 Nathanael R 36,000 182 4,000
176 106460 Wina Kairani 36,000 182 4,000
177 035069 Sudaryadi 34,000 - 4,000
178 106707 Tarsih 57,500 818 4,000
179 089718 Meli Werdiasih 52,500 - 4,000
180 022524 dr. Nrimanto 155,000 14,091
181 016928 Sarjono 63,850 5,805
182 035271 Sukiran 88,500 3,955 4,000
183 040136 Retno Kuntari 125,600 - 4,000
184 038812 Bernadet Lani 189,226 14,111 4,000
-
14,419,526 - 829,988 934,725 135,500 40,750 - 327,950 - 328,525 - 580,500 81,500 -

Jurnal Umum 14,419,526


Kas dari Kassa 14,420,800
Selisih Kas 1,274

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 12 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

12 1 103420 Rijal Okta Maulana 2,327 41,100 3,000 12,500


2 107553 Riska Ariati 2,945 47,900 3,000 12,500
3 003995 Sr. Caritas 78,014 446,075 446,075 4,000
4 011136 Yosepha I 1,000 11,000
5 051967 Endang P 3,600 39,600
6 106590 Sr. Verona 3,118 34,300
7 069301 Sukoco - 105,500
8 061280 Dasirah - 163,500 2,500
9 038782 Lutfi Ubaidilah 11,000 1,000
10 107545 Surip 50,750 - 4,000
11 074289 Panji Nugroho 80,800 - 4,000
12 079366 Andi S 25,000 -
13 081746 Hapsari 57,000 -
14 001630 Tan Gwat 19,000 - 2,000
15 005277 Ginawati 87,000 -
16 028451 Sutini 185,105 11,737 3,000 19,500
17 Wijil Sumirat 73,500 -
18 080724 Yatinah 15,000 - 4,000
19 107460 Suwarman 87,050 5,595 3,000 12,500
20 107461 Basiran 115,600 8,191 3,000 12,500
21 107550 Denis Setyorini 93,250 7,068 3,000 12,500
22 084911 Indriyani 34,000 -
23 085479 Tanti 13,500 -
24 107551 Daryatun 55,800 3,664 3,000 12,500
25 100887 Sodirah 119,425 7,766 4,000
26 019430 Yekti Resati 52,500 4,773
27 107437 Sri Mulyati 50,000 -
28 107050 Suhartiningsih 134,750 6,932 4,000
29 107519 Samsudin 211,100 12,909 4,000
30 099183 Guspa Budiman 187,100 11,418 4,000
31 149512 Imam 5,000 455
32 069144 Putu Herawati 260,650 18,786 4,000
33 149511 Ida 3,300 300
34 014112 Sri Sulistiowati 34,000 - 4,000
35 072258 Taminah 107,650 6,695 4,000
36 107452 Rodiyah 104,500 6,409 4,000
37 107072 Saimi 117,250 7,477 4,000
38 107542 Eni Puji A 247,505 16,682 4,000
39 063102 Titi Suwarni 34,000 - 4,000
40 097109 Kevin Habiyal 135,150 9,195 4,000
41 104742 Nabila 112,700 7,155 4,000
42 097986 Iin Handayani 173,465 - 4,000
43 101261 Syva Aulia 51,450 1,586 4,000
44 081423 PKU Gombong 89,850 8,168
45 016928 Sarjono 66,800 6,073
46 107420 Mujianah 107,850 - 4,000
47 106659 Revalivia 11,000 182 4,000
48 104163 Devita Winarti 156,730 11,157 4,000
49 098891 Hafizh Muhadzib 59,900 2,355 4,000
50 107514 Sarinah 229,800 - 221,800
51 030247 Agus Riyanto 127,500 - 2,500
52 078844 San Kasdi 22,000 2,000
53 083457 Tugiyem 127,500 - 2,500
54 001022 Yuli Gestati 31,500 2,864
55 18085 Steven 16,500 - 2,000
56 104157 Quinza 38,500 409 4,000
57 106071 Daffa Fiull R 11,000 182 4,000
58 097779 Jeselyn 34,000 - 4,000
59 101391 Amarlika 38,500 409 4,000
60 100240 Dominikus 38,500 409 4,000
61 107554 Darren Arthur 34,000 - 4,000
62 106823 Ambar Tyas 92,000 5,273 4,000
63 101728 Aurelia 36,000 182 4,000
64 087260 Madraji 44,550 - 4,000
-
4,485,330 73,500 286,460 530,975 221,800 - - 89,000 - 715,075 - 160,500 94,500 -

Jurnal Umum 4,411,830


Kas dari Kassa 4,412,300
Selisih Kas 470

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 13 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

13 1 107574 Mariyana 9,477 188,250 4,000


2 103474 Kabul - 115,000 4,000
3 063257 Heni Endarwati 9,936 124,800 3,000 12,500
4 107 Jaenah - 25,500 3,000 12,500
5 107554 Darren Arthur 67,050 6,095
6 030526 Ika Purwatiningsih 3,300 300
7 050470 Marsinem 38,428 - 4,000
8 047832 Ari Martani 82,600 - 4,000
9 100226 Nuryani 144,915 - 4,000
10 107561 Nurhayati 58,000 - 4,000
11 107560 Slamet Wardoyo 102,000 - 4,000
12 102925 Dominikus 59,850 - 4,000
13 107565 Sultan Yusup 27,500 -
14 061732 Endang Sri 13,500 -
15 053470 Ika Isdiana D 19,000 909 4,000
16 001630 Tan Gwat 19,000 - 2,000
17 107564 Zahwa Aulia 108,865 - 4,000
18 107562 Sunarsih 58,250 3,886 3,000 12,500
19 033997 Tuju 43,000 1,591 3,000 12,500
20 149517 Heru 24,800 2,255
21 086246 Munirah 34,000 - 4,000
22 056889 Sunarti 13,500 -
23 107344 Astuti 34,000 - 4,000
24 058750 Mungin 61,250 4,159 3,000 12,500
25 107360 Sumarsan Hadipriyo 224,750 17,341 4,000
26 107437 Sri Mulyati 59,000 - 4,000
27 089276 Widianti Agustin 70,500 5,000 3,000 12,500
28 068526 Antonius Setiawan 117,250 9,250 3,000 12,500
29 095162 Purwo Fito H 60,700 4,109 3,000 12,500
30 107563 Suryanto 120,950 3,486 4,000
31 008180 Mintarsih 8,000 -
32 003797 Lina Mulyadi 27,000 -
33 083333 Nurhayati Lestari 132,500 8,955 4,000
34 085836 Tariyem 159,700 11,336 4,000
35 079423 Hernawan 105,000 6,455 4,000
36 090422 Any Indriyastuti 18,000 - 2,000
37 107163 Yulianti 76,550 550 4,000
38 107567 Nabila Dwi 110,850 8,668 3,000 12,500
39 107365 Samirah 18,500 - 2,000
40 Pengobatan Seraphi 271,700 - 271,700
41 094568 Husen 58,000 - 2,500
42 107571 Ilyasa Bilal 78,300 5,709 3,000 12,500
43 107573 Nasinem 58,000 - 2,500
44 009263 Sudarso 34,000 - 4,000
45 107572 Supriyanto 90,700 - 4,000
46 107570 Siti Soimah 73,500 3,591 4,000
47 107568 Wati Astri 77,375 5,625 3,000 12,500
48 081531 Supriyanto 54,000 - 4,000
49 103633 Ika Ida Rohyani 58,000 - 2,500
50 058244 Tasman 34,000 - 4,000
51 107569 Slamet 190,250 15,886 3,000 12,500
52 104928 Evi Nurita 45,000 - 4,000
53 059854 Rina Widi 84,000 - 4,000
54 104140 Reni W 192,000 9,818 4,000
55 107293 Asri Haryani 51,700 609 4,000
56 095428 Hartati 108,750 2,250 4,000
57 026871 Dariyah 45,000 - 4,000
58 106010 Ratri Sahwan 84,000 - 4,000
59 027692 Anita Hendrawan 12,000 -
60 033837 Aditya 32,500 -
61 022524 dr. Nrimanto 140,000 12,727
62 The Kiem Keng 321,650 - 321,650
63 149526 dr. Haryadi 19,850 1,805
-
4,536,333 - 171,780 25,500 593,350 - - 428,050 - - - 173,500 150,000 -

Jurnal Umum 4,536,333


Kas dari Kassa 4,537,000
Selisih Kas 667

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 14 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

14 1 006178 Tyasmini 568 6,250


2 149528 dr. Onggo 227 2,500
3 020580 Yusiva Sumarni - 12,850 32,800 4,000
4 002815 Samirah - 27,040 108,160 4,000
5 107576 Rafli Krisna Puspa 87,400 - 4,000
6 091537 Purwanti 13,500 -
7 001022 Yuli Gestati 13,150 1,195
8 Petrus Anna 43,700 - 43,700
9 107580 Agung Bangun 56,500 -
10 18090 Yulianti 7,500 - 2,000
11 001630 Tan Gwat 19,000 - 2,000
12 095166 Joko S 51,500 -
13 006729 Dini Nuryani 79,500 -
14 107851 Sumiyati 85,500 - 2,500
15 077809 Kinem 266,550 21,050 4,000
16 099226 Ananda Adi 40,000 -
17 107244 Wasirah 137,750 9,432 4,000
18 081510 Sandiarjo 81,650 4,241 4,000
19 051109 Mireja 148,050 7,177 4,000
20 050382 Lasini 151,250 10,568 4,000
21 028451 Sutini 46,900 1,945 3,000 12,500
22 107368 Marsiyem 35,000 864 3,000 12,500
23 065315 Misroji 58,000 2,091 4,000
24 107344 Astuti 14,000 1,273
25 107486 Aris Gunarto 101,350 6,123 4,000
26 107586 Daeri 102,700 6,155 4,000
27 107584 Siti Ngaisah 69,100 - 4,000
28 107585 Kasimin 128,950 8,541 4,000
29 085831 Pawitno 56,200 - 4,000
30 107583 Sigit Trianto 227,215 - 4,000
31 062512 Suratmi 9,000 - 4,000
32 Risti 35,000 3,182
33 107518 Ratna Sari D 52,000 -
34 004880 Ranti 135,200 3,327 3,000 17,000
35 039480 Jose Prima S 50,500 - 2,500
36 107518 Sukirman 205,875 - 4,000
37 014848 Rudi Novandi 34,000 - 4,000
38 106237 Naila Murni K 47,450 2,905 3,000 12,500
39 18991 Syukur P 16,500 - 2,000
40 092275 Arya Pandita 50,500 3,182 3,000 12,500
41 106486 Naifa Murni 25,100 873 3,000 12,500
42 058893 Kartijah 54,050 2,277 3,000 12,500
43 047618 Dimas Setyawan 15,500 - 3,000 12,500
44 107582 Aprilia Khoerul M 33,000 - 3,000
45 046312 Siti Martiyah 58,000 - 2,500
46 107431 Karsareja 352,200 17,473 4,000
47 105349 Asia 127,500 - 2,500
48 149532 Wahyu 18,900 1,718
49 104677 Hasna Aulia W 36,000 182 4,000
50 106441 Shafa Najmatul 90,650 5,150 4,000
51 103256 Safira Kafalera 96,400 5,673 4,000
52 102614 Antonia Tri P 72,080 3,462 4,000
53 107555 Sugiarti 8,000 -
54 078455 Sinita Triska H 83,030 4,457 4,000
55 107591 Christian Setiawan 119,650 7,786 4,000
56 104031 Satria Pratama 35,680 153 4,000
57 106071 Daffa Fiull R 34,000 - 4,000
58 107592 Mohammad Ilyas 76,750 3,886 4,000
59 106659 Revalivia 90,000 5,091 4,000
-
4,184,430 - 152,226 48,640 43,700 - - - - 140,960 - 159,000 104,500 -

Jurnal Umum 4,184,430


Kas dari Kassa 4,184,800
Selisih Kas 370
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 15 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

15 1 017408 Petrus Anna - 6,500


2 149536 Sr. Caritas 5,432 29,875 29,875
3 098935 Nining Setiyaningsih 7,482 82,300
4 070944 Rm. FX Yitno Puspo - 152,500 4,000
5 023337 Sri Cahyanti 11,300 - 45,000 4,000
6 005976 Alipah 50,550 -
7 052622 Susilowati 205,200 - 4,000
8 094057 Galastia Felik 268,450 - 4,000
9 104381 Desi Natalia 315,150 - 4,000
10 107593 Sunardi 20,000 -
11 073175 Pasien Luar 10,000 -
12 107594 Mujiono 8,000 -
13 038782 Lutfi Ubaidillah 13,500 -
14 025595 Sri Hartati 67,500 - 4,000
15 019803 Marwito 13,500 -
16 005277 Ginawati 27,000 -
17 107602 Komatun 155,350 - 4,000
18 075096 Agus Dwi N 7,500 -
19 036960 Cecilia GA 7,050 -
20 016928 Sarjono 107,900 -
21 020704 Sudarsih 25,500 -
22 149539 Dwi 6,000 -
23 107601 Danuri 464,150 - 39,000
24 087380 Man Kardi 63,082 - 4,000
25 107599 Zulfa 12,000 -
26 096745 Klinik Harapan Bund 16,500 -
27 034473 Heru 2,375 -
28 107604 Naswan 96,850 - 4,000
29 Pengobatan kary Se 226,700 - 226,700
-
2,201,107 - 12,914 118,675 226,700 - - - - 227,375 - 75,000 - -

Jurnal Umum 2,201,107


Kas dari Kassa 2,201,400
Selisih Kas 293
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 16 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

16 1 099467 Demetrius Tristan 3,591 55,000 3,000 12,500


2 004748 Sr. Andreani 1,318 2,900 11,600
3 019969 Sri Subekti 18,250 -
4 107608 Ali Utomo 60,700 - 4,000
5 102112 Yasinta Puspa D 58,900 - 4,000
6 107606 Alisa 104,550 - 4,000
7 073726 Rohati 13,500 -
8 004219 Agustina Pratiwi 4,150 -
9 016063 Pangestuti 13,500 -
10 004714 Tumini 103,000 - 4,000
11 107609 Beny Susantyo 67,075 - 4,000
12 089557 Dul Jalal 73,310 4,665 3,000 12,500
13 012689 Tri Tugiyati 19,500 955 4,000
14 107581 Sumiyati 18,500 - 2,000
15 105618 Miah 18,000 - 2,000
16 107588 Sukirman 25,500 - 3,000 12,500
17 014151 Rasilah 15,500 - 3,000 12,500
18 18004 Go You Lam 18,000 - 2,000
19 028451 Sutini 47,500 2,000 3,000 12,500
20 107617 Saidah 55,600 2,418 3,000 12,500
21 035069 Sudaryadi 323,000 -
22 107620 Titin Rahayu 115,100 8,145 3,000 12,500
23 107427 Sulastri 70,800 4,618 4,000
24 102265 Gani Andra 16,500 - 2,000
25 107583 Sigit Riyanto 102,700 7,018 3,000 12,500
26 149543 Mufti 42,500 3,864
27 Meterai 6,000 - 6,000
28 105443 Yoso Miharjo 113,750 7,250 4,000
29 107621 Suyatiningsih 65,750 4,568 3,000 12,500
30 107623 Moh Fajar 16,500 - 2,000
31 107496 Suryati 109,750 6,886 4,000
32 039944 Surati 46,650 2,832 3,000 12,500
33 107506 Suparno 123,800 8,164 4,000
34 107466 Nurulis Fida 34,000 - 4,000
35 095111 Nasrowi 105,000 5,227 4,000
36 063102 Titi Suwarni 30,215 2,747
37 107432 Mungalim 34,000 - 4,000
38 024699 Maria 82,500 -
39 001784 Kustini 180,500 13,318 4,000
40 030002 Didit Setia 34,000 - 4,000
41 107477 Manisem 65,750 2,886 4,000
42 033997 Tuju 43,000 1,591 3,000 12,500
43 095321 Rudi 67,250 3,023 4,000
44 034301 Sukiman 100,750 6,068 4,000
45 074204 Ester Sri H 121,625 5,966 4,000
46 070563 Siyam 34,000 - 4,000
47 105014 Marsiyem 40,000 545 4,000
48 106538 Marsitah 122,800 8,073 4,000
49 047468 Budi Setyanto 41,500 682 4,000
50 102538 Basuki 20,000 -
51 107236 Supono 105,900 8,218 3,000 12,500
52 007502 Yohana Pariyem 88,200 4,836 4,000
53 107619 Ahmad Rosidin 82,195 1,654 4,000
54 015575 Sani 108,300 4,200 3,000 17,000
55 099509 Watmawati 34,000 - 4,000
56 106859 Sutiman 119,425 7,766 4,000
57 025818 Lasikun 93,500 - 3,000 12,500
58 069502 Mad Jopari 113,250 7,114 4,000
59 097927 Sri Kaheru 61,500 - 4,000
60 080347 Ahmad Saeri 62,150 2,468 4,000
61 093283 Chika Putri 49,500 - 4,000
62 006729 Dini Nurani 18,000 -
63 026056 Suwarno 58,500 - 4,000
64 066145 Martina Novi 80,900 - 4,000
65 106803 Suharti 130,500 8,182 4,000
66 107618 Suradi 69,100 - 4,000
67 061929 Sumiyah 111,450 6,950 4,000
68 107627 Latifah 100,500 - 3,000
69 149545 Cecilia 3,000 273
70 040973 Maryanto 12,500 1,136
71 073175 Salamah 39,600 3,600
72 013811 Sri Suharti 66,490 - 4,000
73 022524 dr. Nrimanto 191,250 17,386
74 107634 Tyas Rosi 96,750 - 4,000
75 107254 Jamil H 294,000 - 249,000 4,000
76 096854 Atik Yuliana 48,150 377 4,000
77 107512 Giyono 70,000 1,591 4,000
78 104014 Rosdiyanti 9,000 - 4,000
79 107633 Hepi Surya 106,850 - 4,000
80 044933 Sutriani 34,000 - 4,000
81 107629 Prayit 59,400 5,400
82 086511 Christian 57,000 -
-
5,619,585 - 199,570 57,900 249,000 - - - - 11,600 - 237,000 179,500 -

Jurnal Umum 5,619,585


Kas dari Kassa 5,620,300
Selisih Kas 715

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 17 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

17 1 082583 Viktorina Zana Y - 104,600 16,950 4,000


2 107630 Suwardi - 85,900 4,000
3 149546 Sr. Ana - 31,250 31,250
4 015500 Setyaningsih - 24,800
5 083842 Wahyu Dwi A - 10,350
6 107620 Titin R - 13,500
7 080497 Nuri Sapto B - 144,000
8 004935 Sr. Yosita - 40,750 40,750
9 170438 A Wagiyati - 12,000
10 019028 Sarinah 190,000 -
11 107640 Yohanes Wagiman 190,000 - 4,000
12 107632 Sangkut Triyono 236,040 - 4,000
13 078105 Phoa Kiem Liem 58,300 - 4,000
14 105877 Mad Supyan 78,050 - 4,000
15 001096 Sumargiyono 39,450 -
16 016717 Uni Erwati 8,800 - 35,200 4,000
17 107635 Agus Riyanto 34,000 - 4,000
18 107636 Kori Prisilia 52,900 - 4,000
19 106966 Ngadini 75,722 - 4,000
20 107637 Radikin 95,860 - 4,000
21 082657 Ristijanto 27,000 -
22 096745 Harapan Bunda 20,000 -
23 003794 Lina Mulyadi 27,000 -
24 063947 Maryani 242,500 -
25 106645 Rasam 223,200 - 4,000
26 107642 Enjel 98,600 - 4,000
27 107645 Bogi Noviyandi 137,375 - 4,000
28 032648 Aminudin 8,330 -
29 107644 Asyiah Wada 45,250 - 4,000
30 079906 Kunjono 176,545 - 4,000
31 075984 FX Pristiono 64,500 -
32 149549 Sarinem 306,250 -
-
2,129,422 306,250 - 467,150 - - - - - 124,150 - 64,000 - -

Jurnal Umum 1,823,172


Kas dari Kassa 1,823,100
Selisih Kas (72)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 18 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

18 1 107643 Viona Wangsa N - 85,450 4,000


2 004437 Sugiyanto - 60,000 4,000
3 002156 Tasini - 42,300 27,200 4,000
4 105314 Diana Komalasari 81,000 7,364 34,000 4,000
5 054946 Dwi Sumanti - 84,000 4,000
6 082398 Herlin Anggita - 84,000 4,000
7 040200 Yohanes Is S 7,682 176,500 3,000 12,500
8 060461 Sr. Marieta 17,409 95,750 95,750
9 034005 Sawiyem 336 3,700
10 149552 Titis 300 3,300
11 107465 Lusiana Sri A - 13,500
12 107050 Suhartiningsih 134,250 8,114 13,500 4,000
13 006391 Eka Purwanti 39,600 3,600
14 107661 Aldi Aprilia 96,850 6,123 5,000 12,500
15 107561 Nurhayati 77,250 4,705 3,000 12,500
16 103387 Sabrina 50,500 - 2,500
17 095321 Rudi 10,000 -
18 106418 Andira Kirana 49,220 3,065 3,000 12,500
19 083301 Tasih 52,600 3,282 3,000 12,500
20 000211 Go You Lam 18,500 - 2,000
21 068810 Bina Husada 29,000 -
22 062486 Kartinah 19,000 909 4,000
23 106504 Darmiyati 19,500 955 4,000
24 107623 Moch fajar 16,500 - 2,000
25 101021 Wahyu 20,000 -
26 102303 Tunijah 31,500 -
27 003439 Rosdiningsih 7,600 691
28 085787 Poniyati 57,250 - 4,000
29 031907 Nabil 37,200 3,382
30 107656 Jumadi 37,750 - 4,000
31 107657 Yosep Arofah 52,500 - 4,000
32 025524 Mutiara 112,900 -
33 107650 Ade Sudrajat 148,825 - 4,000
34 107473 Suparmi 102,228 - 4,000
35 149550 Sugiyanto 34,250 -
36 107474 Sopandi 221,200 17,018 4,000
37 107647 Ariani Pangestuti 34,000 - 4,000
38 087380 Man Kardi 230,900 17,218 4,000
39 107549 Samsudin 185,000 13,727 4,000
40 105683 Sri Widarti 83,000 1,136 4,000
41 107659 Maria Susanto 195,850 10,295 4,000
42 107658 Hadi Turyatno 81,250 4,295 4,000
43 028202 Darminah 57,000 2,000 4,000
44 107663 Pardiman 61,400 4,173 3,000 12,500
45 107662 Ahmad Nursalim 132,300 6,027 3,000 12,500
46 030247 Agus Riyanto 34,000 - 4,000
47 106511 Saring 63,250 2,659 4,000
48 107660 Yami 200,300 13,073 4,000
49 107465 Luciana Sri A 34,000 - 4,000
50 066787 Roesminah 34,000 - 4,000
51 077775 Supo Hadi 118,100 7,555 4,000
52 106831 Rista 125,250 7,477 4,000
53 107544 Sudirman 34,000 - 4,000
54 023689 Waginem MS 97,950 5,723 4,000
55 107666 Tri Puji 106,100 6,555 4,000
56 106254 Murah 73,450 2,268 4,000
57 107280 Suwartinah 219,550 12,323 4,000
58 106036 Rasminah 119,500 7,773 4,000
59 107061 Retno Widiastuti 39,600 3,600
60 107049 Eva Yuniarti 39,600 3,600
61 056288 Kamsiyatun 39,600 3,600
62 099070 Tursiyah 51,750 3,295 3,000 12,500
63 081278 Ari Setyaningrum 79,200 7,200
64 107227 Anggia Pangesti 118,352 7,668 4,000
65 019928 Ambar 79,200 7,200
66 106600 Khulyatul 39,600 3,600
67 106606 Guntur Adidaya 39,600 3,600
68 099899 Eem Prihartini 79,200 7,200
69 107675 Ahmad 167,250 12,114 4,000
70 104346 Satinem 108,400 4,309 4,000
71 104733 Rahayu 39,600 3,600
72 107169 Sukinem 34,000 - 4,000
73 107520 Tularsih 125,750 3,795 4,000
74 085019 Ari Wiji Astuti 179,250 8,659 4,000
75 107667 Reni Susanti 34,000 - 4,000
76 101731 Ranareja 147,550 10,323 4,000
77 098789 Wahyu Dewi 39,600 3,600
78 098788 Astrit Tri 39,600 3,600
79 106861 Siti Choliyah 34,000 - 4,000
80 107668 Sugeng 133,100 9,009 4,000
81 096556 Tujianti 47,500 - 4,000
82 107480 Neti Irawati 84,000 3,545 4,000
83 001802 Riris 39,600 3,600
84 093239 Herni Widyawati 114,200 10,382
85 096481 Feriyani 39,600 3,600
86 106897 Sinar Wulan 79,200 7,200
87 031452 Astuti 74,600 6,782
88 034585 Inayah 74,600 6,782
89 082171 Nurintan 141,000 5,182 4,000
90 107383 Puji Hastuti 129,226 8,657 4,000
91 077802 Dewi R 92,950 5,359 4,000
92 062892 Feni 79,200 7,200
93 105026 Ponah 39,600 3,600
94 026706 Kasirah 39,600 3,600
95 107217 Rohyatin 107,500 6,682 4,000
96 001215 Sarni 39,600 3,600
97 106423 Siwi 79,200 7,200
98 101388 Tegar 39,600 3,600
99 042817 Christiana Wijaya 34,000 - 4,000
100 032378 Esti 114,200 10,382
101 011203 Sudarmi 79,200 7,200
102 082330 Wening Widiasih 158,400 14,400
103 028065 Dasirah 178,200 13,109 4,000
104 033830 Erlina 113,200 7,200 4,000
105 105772 Putri Hilda 74,600 6,782
106 101388 Bimalina Sidabalok 79,200 7,200
107 087536 Farumi 74,600 6,782
108 035244 Noni 79,200 7,200
109 075718 Yuyun 154,000 - 4,000
110 105933 Yatmi 84,000 - 4,000
111 038103 Heni Sulistiawati 84,000 - 4,000
112 106269 Ajeng Ratna 84,000 - 4,000
113 149567 Tia Revi 39,600 3,600
114 149568 Maya 39,600 3,600
115 107464 Agung S 73,000 3,545 4,000
116 149570 Dwi Isnanto 79,200 7,200
117 107672 Okta 44,300 936 4,000
118 107671 Athaya Khanza 38,500 409 4,000
119 104517 Zikra akmalia 90,000 5,091 4,000
120 107575 Zaki Amar 35,000 91 4,000
121 093100 Christoper 34,000 - 4,000
122 104404 Natanael 34,000 - 4,000
123 106823 Azzura 34,000 - 4,000
124 095966 Rahma 34,000 - 4,000
125 107489 Agung Tri 34,000 - 4,000
126 107546 Aril Ferdian 67,500 3,045 4,000
127 074289 Panji Nugroho 112,850 7,168 4,000
128 103814 Kartini 39,600 3,600
129 Meterai 18,000 - 18,000
130 037873 Dewi 79,500
-
9,223,151 - 533,895 546,850 - - - 145,450 - 126,650 - 330,500 100,000 -

Jurnal Umum 9,223,151


Kas dari Kassa 9,224,400
Selisih Kas 1,249

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 19 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

19 1 072747 Widi Handayani - 145,000 4,000


2 018216 Adi Setiawan 6,818 109,000 4,000
3 013902 Tri Apriani 2,223 58,450 4,000
4 002321 Sarwono 30,000 4,555 18,100 17,500 3,000 12,500
5 149589 dr. eko Medio 423 4,650
6 149484 Waginah 1,023 11,250
7 149584 Sr. Felicitas 3,832 21,075 21,075
8 149483 Istri Wening 691 7,600
9 092351 Tasya Nira 57,000 5,182
10 008948 Riswanto 74,932 - 4,000
11 105530 Fajar Agung 271,000 21,545 4,000
12 035069 Sudaryadi 118,500 7,682 4,000
13 107299 Ratino 282,000 21,545 4,000
14 071946 Nuriyah 63,000 818 4,000
15 107682 Wagiyanto 230,500 636 4,000
16 106263 Edi Asta 48,100 373 4,000
17 107450 Sarjono 34,500 45 4,000
18 098200 Wahyu Sapto 36,400 218 4,000
19 149576 Alipah 98,150 8,923
20 149572 Azzura 38,200 3,473
21 149587 Feri 6,000 545
22 000937 Gani Lukito 67,000 -
23 000936 Listiani 62,000 -
24 149592 Samsul 4,700 427
25 097784 Putri Eka P 386,450 - 4,000
26 107620 Titin Rahayu 141,700 8,973 3,000 18,500
27 055666 Tan Hwa Nio 165,000 -
28 063698 Dwi Jalu 19,000 - 2,000
29 107650 Yatiningsih 78,150 - 4,000
30 107581 Sumiyati 18,500 - 2,000
31 004221 Runti Asih 15,500 - 3,000 12,500
32 033140 Anna Roswita 46,000 2,773 3,000 12,500
33 107688 Purnomo 59,500 2,318 4,000
34 107687 Simpen 256,350 18,986 4,000
35 107692 Tugini 58,000 - 2,500
36 042216 Riyanto 181,000 13,364 4,000
37 104262 Setiani 34,000 - 4,000
38 105304 Maryono 168,150 13,877 3,000 12,500
39 105289 Dul Haris 128,950 8,541 4,000
40 107202 Komarudin 27,500 -
41 099358 Mairah 83,000 4,455 4,000
42 105737 Edi Wasino 47,900 2,945 3,000 12,500
43 097904 Sartiyah 93,250 7,068 3,000 12,500
44 107689 Hutomo 109,100 8,418 3,000 12,500
45 107691 Yulianto 34,000 - 4,000
46 083251 Supirah 58,500 - 4,000
47 107694 Inge 58,000 - 2,500
48 107163 Yulianti 93,800 2,118 4,000
49 087331 San Mureja 76,300 3,845 4,000
50 107583 Sigit Trianto 95,650 6,286 3,000 12,500
51 028078 Yasimin 86,450 4,677 4,000
52 107697 Sumiyati 191,000 14,182 4,000
53 059361 Mairan 118,875 7,716 4,000
54 107505 Turasih 198,050 14,914 4,000
55 084560 Slamet 67,750 3,068 4,000
56 035165 Suryani 34,000 - 4,000
57 046055 Suparno 47,100 2,873 3,000 12,500
58 107696 Aganza 81,600 6,009 3,000 12,500
59 107695 Kasmi 34,000 - 4,000
60 055315 Sukinah 199,650 13,332 6,000
61 107585 Kasmin 34,000 - 4,000
62 069106 Tri Sundari 127,400 8,491 4,000
63 093550 Darti 108,100 4,509 4,000
64 107570 Siti Soimah 34,000 - 4,000
65 107605 Adi Supriyanto 100,000 6,000 4,000
66 107602 Komarun 50,000 1,455 4,000
67 004880 Ranti 15,500 - 3,000 12,500
68 099183 Guspa Budiman 161,500 9,091 4,000
69 107698 Sri Sarkono 210,400 - 4,000
70 000865 Ning Suci Rahayu 166,200 13,609 3,000 12,500
71 026228 Martana 72,350 5,077 3,000 12,500
72 107633 Hepi Surya 25,500 - 3,000 12,500
73 055589 Kanisem 13,500 -
74 094244 Tuminah 63,000 -
75 098165 San Wikarto 101,360 - 4,000
76 149485 Lidia 9,000 818
77 149552 Titis 3,300 300
78 107693 Kristina 127,500 - 2,500
79 045181 Siran 127,500 - 2,500
80 024041 Sri Mulyono 127,500 - 2,500
81 107701 Akromah 12,000 -
82 104706 Untung Raswan 117,250 5,432 4,000
83 107420 Mujianah 112,250 5,432 4,000
84 107475 Ani 298,000 24,000 4,000
85 082398 Herlin Anggita 3,886 42,750
86 022524 dr. Nrimanto 14,773 162,500
-
7,330,817 - 364,589 326,375 - - - 254,000 - 38,575 - 239,500 193,500 -

Jurnal Umum 7,330,817


Kas dari Kassa 7,331,600
Selisih Kas 783
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 20 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

20 1 100049 Flas Eko Suprianto - 65,500 3,000 12,500


2 107722 Supriyati - 34,000 4,000
3 107699 Diah Winarsih - 34,000 4,000
4 093550 Darti - 20,000 3,000
5 003272 Saliyo Budi 2,205 39,750 3,000 12,500
6 075096 Agus Dwi N 2,455 27,000
7 020580 Yusiva Sumarni 3,673 40,400
8 106738 dr. V Onggo Willianto 7,064 77,700
9 001759 Tri Soendarwati 205 2,250
10 092686 Sr. Felisitas 600 3,300 3,300
11 006178 Tyasmini - 40,300 72,800 4,000
12 107709 Sie Yong Hwa - 290,000 54,000
13 107192 Rusminatun 34,000 - 4,000
14 107673 Karyono 85,750 4,705 4,000
15 002156 Tasini 54,300 1,091 42,300
16 100308 Ngazam Farokh 129,300 - 4,000
17 107702 Fioleta Cahya 110,800 - 4,000
18 102112 Yasinta Puspa 208,350 - 4,000
19 022524 dr. Nrimanto 162,500 14,773
20 149490 RS Purwogondo 132,000 12,000
21 149489 Poniyah 39,600 3,600
22 045956 Paskalia 18,500 -
23 Ginawati 13,500 -
24 000979 Iwan Wijaya 13,500 -
25 005601 Rustinah 39,600 3,600
26 107706 Priyo Atmaji 64,500 - 2,500
27 Mufti 28,900 2,627
28 102265 Gani Andra 16,500 - 2,000
29 095166 Joko Suwarno 58,500 - 4,000
30 107705 Naura Zilfa 148,350 6,350 3,000 12,500
31 082051 Hesti Parwati 13,500 -
32 107707 Edi Setiadi 59,500 - 3,000 12,500
33 107135 Siti Lestari 9,000 - 4,000
34 058750 Mungin 70,775 4,934 3,000 12,500
35 050470 Marsinem 220,900 16,900 4,000
36 090899 Mutmainah 34,000 - 4,000
37 107567 Nabila Dwi R 168,950 13,950 3,000 12,500
38 102613 Puji Margiati 75,400 1,036 3,000
39 Nuriyadin 20,000 -
40 107557 Maniyah 156,525 7,948 4,000
41 107365 Samirah 18,500 - 2,000
42 086337 Prianto 100,500 5,455 4,000
43 107708 Nasem 100,000 3,136 3,000 12,500
44 074787 Amelia Desegi 50,650 3,195 3,000 12,500
45 040280 Yoga 71,500 91 3,000
46 088216 Teguh Santoso 94,500 - 60,000 4,000
47 103272 Anggita 67,350 1,532 2,500
48 Pengobatan Karyaw 3,022,100 - 3,022,100
49 Susteran Gombong 189,300 - 189,300
50 SMP PIUS Gombong 474,800 - 474,800
51 074408 PKU Sruweng 26,400 2,400
52 107561 Nurhayati 46,500 91 3,000
53 104146 Mikael Henata 20,800 391 2,000
54 097458 Yudi 21,500 -
55 102843 Sarimin 34,000 - 4,000
56 107577 San Roji 62,850 2,623 4,000
57 088745 Satir 77,450 3,859 4,000
58 052428 Tindraweni 34,000 - 4,000
59 080375 Imam Sutrisno 92,500 4,091 4,000
60 106394 Kasiyem 96,900 5,627 4,000
61 Sarwono 18,000 - 18,000
62 013490 Mingin 155,550 9,823 4,000
63 107558 Sumarsih 123,000 8,091 4,000
64 036340 Sudarsih 232,750 18,068 4,000
65 079906 Kunjono 180,500 8,091 3,000 12,500
66 105292 Mohamad Mansur 78,550 4,050 4,000
67 103367 Sutijah 188,250 9,477 4,000
68 107710 Osiyah 214,000 11,818 4,000
69 107712 Rini Kembar Buana 221,450 12,495 4,000
70 107715 Basuni 62,650 - 4,000
71 107509 Parsini 87,750 3,886 4,000
72 107266 Berliana Simarmata 188,250 9,477 4,000
73 107714 Hesti Pratiwi 188,250 9,477 4,000
74 107717 Agus Riyadi 199,930 - 4,000
75 068231 Dwi Sulistyowati 135,950 4,723 4,000
76 107710 Murmi 84,000 - 4,000
77 107718 Panggung Riyanti 84,000 - 4,000
78 103860 Tursini 34,000 - 4,000
79 107607 Siti Rokhimah 154,000 - 4,000
80 107493 Iin Ristiyorini 45,000 - 4,000
81 107480 Neti Irawati 45,000 - 4,000
82 106009 Sarsih 84,000 - 4,000
83 107559 By Parsini 10,000 - 4,000
84 107503 By Iin Ristiyorini 57,900 4,355 4,000
85 107682 Wagiyanto 34,000 - 4,000
-
9,795,830 - 256,036 608,700 3,746,500 - - 65,500 - 136,100 - 280,000 112,500 -

Jurnal Umum 9,795,830


Kas dari Kassa 9,796,500
Selisih Kas 670

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 21 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

21 1 097192 Nurhayati 473 73,700 3,000


2 103723 Adi Broto 5,632 34,250 43,200 3,000 12,500
3 015500 Setyaningsih - 63,000
4 061836 Parinah - 78,000
5 058345 Sr. Vincentia 91 8,250 8,250 3,000
6 036447 Siyo Ngatimin 2,182 39,500 3,000 12,500
7 107726 Sardi Idris 3,336 36,700
8 070944 Rm. FX. Yitno Puspo 2,386 26,250
9 101803 Munareja 41,350 2,259 3,000 12,500
10 106645 Rasam 116,200 9,155 3,000 12,500
11 107654 Zidan Abdul Rasid 12,950 1,177
12 107730 Septian Adi S 39,200 - 4,000
13 18110 Go You Lam 18,500 - 2,000
14 107540 Mutia Mega H 80,250 7,295
15 107723 Yuda Adi S 93,650 - 4,000
16 094057 Galastia Felik 113,450 - 4,000
17 107684 Riswanto 79,000 - 4,000
18 107725 Kisem 127,200 - 4,000
19 107726 Sardi 40,000 - 4,000
20 001257 Achyar Mahruri 472,875 - 4,000
21 107732 Faqih 274,500 -
22 107724 Deni Andreas 165,500 -
23 170652 RS PKU Gombong 29,000 -
24 068452 Sugianto 66,500 -
25 39825 Nolisa 10,000 909
26 107733 Sarifudin 58,000 - 2,500
27 085479 Tanti 18,500 - 2,000
28 102820 Mastur 149,450 10,495 4,000
29 008124 Reben 121,500 7,955 4,000
30 017534 Sri Rejeki 215,150 16,468 4,000
31 099190 Wasirah 104,350 6,395 4,000
32 099509 Watimawati 34,000 - 4,000
33 107244 Wasirah 142,250 9,841 4,000
34 107584 Siti Ngaisah 34,000 - 4,000
35 107431 Karsareja 194,000 14,545 4,000
36 071115 Natiyah 226,500 17,500 4,000
37 094909 Musni 168,000 12,182 4,000
38 014141 Kasman 34,000 - 4,000
39 016871 Min sumini 98,250 5,750 4,000
40 103437 Sartinem 56,500 - 4,000
41 107735 Saliyem 154,600 9,736 4,000
42 102112 Yasinta 8,000 -
43 097713 Ahmad Faizal 78,050 5,686 3,000 12,500
44 056265 Tasmi 163,675 79,600 - 4,000
45 106269 Ajeng Ratna 9,000 - 4,000
46 022524 dr. Nrimanto 110,000 10,000
47 107741 Faiza Farah 84,900 - 4,000
48 100481 Priska Aurelia 79,550 - 4,000
49 100504 Saisem 88,000 8,000
50 060846 Dodi Hermawan 190,500 -
51 39832 Eka 39,600 (3,600)
52 095575 Gian Deska 157,800 11,255 4,000
53 104131 satria P 34,000 - 4,000
54 049398 Arif Hidayat 34,000 - 4,000
55 106946 Chelci 43,500 864 4,000
56 092693 Pramudya I 34,000 - 4,000
57 103519 Fadlan AS 34,000 - 4,000
58 104742 Nabila 34,000 - 4,000
59 101948 Nadia 34,000 - 4,000
60 67626 Sebastian 34,000 - 4,000
61 107372 Dimas Arya 55,500 1,955 4,000
62 013118 Arif Kurniawan 4,500 409
63 009716 Lilis 13,500 -
64 107745 Fasef Anverta D 113,950 7,268 4,000
65 107746 Basuki 34,000 - 4,000
66 407747 Sumiyati 34,000 - 4,000
67 107744 Utari Ayu Putri 113,700 - 4,000
68 081423 PKU Gombong 62,500 5,682
69 064623 RSU Purwogondo 202,950 18,450
70 011484 Emi Muryani - 107,500 4,000
-
5,474,750 119,200 211,732 367,200 - - - 116,900 - 34,500 - 187,500 62,500 -

Jurnal Umum 5,355,550


Kas dari Kassa 5,355,500
Selisih Kas (50)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 22 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

22 1 107748 Naullani Khanaya 1,395 49,350 4,000


2 107723 Yuda Ari - 92,500
3 034744 Ita Dwi R 1,377 15,150
4 056919 Sr. Christine 5,915 32,530 32,530
5 011106 Wasri - 53,300 32,776 4,000
6 049398 Arif Hidayat 58,450 5,314
7 032648 Aminudin 12,400 1,127
8 064942 RSU Purbowangi 311,250 28,295
9 39840 Ubed 33,000 3,000
10 107752 Man Ngali 156,150 - 4,000
11 065594 Fitria Nita 12,800 - 51,200 4,000
12 092693 Sulistyo Widodo 28,400 2,582
13 39837 Margiono 20,550 1,868
14 107472 Lika Romadhoni 114,350 - 4,000
15 102788 Isman Krisdiyanto 231,450 - 4,000
16 104031 Satria Pratama 107,540 9,776
17 170806 Ambrosius Hariadi 4,000 -
18 170807 Sarjono 9,000 -
19 170808 Ester Yuliana 9,000 -
20 170809 Titin 9,000 -
21 170810 Sr. Lemensia 9,000 -
22 170811 Widayati, Paiti 8,000 -
23 170802 Suwandi 13,000 -
24 170803 Bambang Tri 9,000 -
25 170804 Wahyu Widoretno 9,000 -
26 170805 Ngatun 9,000 -
27 170812 Munjiah 9,000 -
28 170813 Imas 9,000 -
29 170814 Lilik 9,000 -
30 170801 Yatino 9,000 -
31 170815 Sinta 9,000 -
32 170816 Sigit 9,000 -
33 170817 Paula 9,000 -
34 170818 Lilik 9,000 -
35 170819 Candra 9,000 -
36 170820 Yuli 9,000 -
37 170821 Kamsiyah 9,000 -
38 170822 Tini 9,000 -
39 170823 Maria Kartika 4,000 -
40 008066 Subarjo 91,450 - 4,000
41 39842 Mufti 27,100 -
42 038782 Lufti Ubaidilah 25,000 -
43 065844 RS DKT Gombong 327,100 -
44 106922 Riyani 4,400 -
45 105877 Mad Supyan 57,100 - 4,000
46 107763 Rahayu Siwi 76,726 - 4,000
47 107762 Kasmini 34,000 - 4,000
48 107761 Manisem 59,000 -
49 041010 Sri Yulianti 59,000 -
50 107760 Delita Saputri 103,476 - 4,000
51 083842 Wahyu Dwi A - 24,800
-
2,150,692 - 60,650 218,280 - - - 49,350 - 116,506 - 44,000 - -

Jurnal Umum 2,150,692


Kas dari Kassa 2,151,100
Selisih Kas 408

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 23 Mei 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

23 1 107788 Muharir Tomi 6,618 88,300 3,000 12,500


2 107036 Gyda Rafiqa - 226,400 4,000
3 107779 Asih Prayitno - 180,100 3,000 17,000
4 107780 Iwan Adhi W - 180,100 3,000 17,000
5 003400 Sr. Veronika 38,945 214,200 214,200
6 060461 Sr. Marieta 7,500 41,250 41,250
7 106590 Sr. Verona 3,118 34,300
8 39955 Mulyadi 186 2,050
9 005976 Alipah 43,800 -
10 107768 Ririn Febrianti 151,975 - 4,000
11 045956 Paskalia 88,500 - 4,000
12 064365 Irma Mega 52,000 -
13 107771 Mulyadi 40,500 - 4,000
14 105994 Farida 52,000 -
15 019967 Mufti Hidayat 11,100 -
16 100481 Priska 51,000 -
17 087296 Reni Komariyah 15,250 -
18 007254 Sukirman 136,450 - 4,000
19 085125 Ziva Maharani 47,800 - 4,000
20 170845 Santoso 13,000 -
21 170841 Martono 13,000 -
22 170858 Purwanti 9,000 -
23 170857 Tri 9,000 -
24 170854 Sr. Mikaela 9,000 -
25 170853 Sr. Clara 9,000 -
26 170852 Robertus 9,000 -
27 170849 Joko 9,000 -
28 170848 Poniyah 9,000 -
29 170847 Anastasia 9,000 -
30 170844 Sr. Bernada 9,000 -
31 170840 Suryaningsih 9,000 -
32 170837 Christiani S 9,000 -
33 170836 Yuliana 9,000 -
34 170827 Desi 9,000 -
35 170826 Yudi 9,000 -
36 170824 Sri Suhardanti 9,000 -
37 170859 Gunawan 4,000 -
38 170856 Juge 4,000 -
39 170855 Cici 4,000 -
40 170851 Ling Ling 4,000 -
41 170850 Marsa 4,000 -
42 170846 Mikael Yohan 4,000 -
43 170843 Murniati 4,000 -
44 170842 Yesi 4,000 -
45 170839 Christine Muryana 4,000 -
46 170838 Ctevani 4,000 -
47 170835 Eva 4,000 -
48 170834 Yohana 4,000 -
49 170833 Tabita 4,000 -
50 170832 Sutriyani 9,000 -
51 170831 Siti Pujiati 4,000 -
52 170830 Yuni Kristanti 4,000 -
53 170829 Sumarni Joni 4,000 -
54 170828 Sabatina Ersa 4,000 -
55 170825 RG Sumardi 4,000 -
56 050470 Marsinem 44,000 - 4,000
57 080736 Riyan Hanafi 118,950 9,350 - 4,000
58 085479 Tanti 19,000 - 2,000
59 029727 Pilinah 19,522 275 3,000 12,500
60 107509 Parsini 20,000 - 4,000
61 107781 Fauzal 16,500 - 2,000
62 107640 Yohanes Wagiman 105,000 - 4,000
63 105618 Miah 18,000 - 2,000
64 107789 Tri Wiyanti 184,700 4,745 4,000
65 104707 Slamet sutarman 89,500 - 4,000
66 001022 Yuli Gestati 9,150 832
67 026056 Suwarno 58,500 - 4,000
68 089537 Pujo Waluyo 103,250 5,705 4,000
69 106140 Manggi 77,750 3,068 4,000
70 107782 Fransiska 248,700 10,564 4,000
71 015182 Tugimin 139,500 7,909 4,000
72 107274 Marsini 73,200 2,336 4,000
73 087421 Tuminah 271,500 16,545 4,000
74 107785 Said 169,000 6,318 4,000
75 107747 Sumiyati 55,500 -
76 39442 Gian Deska 48,000 -
77 39958 Titi Suwarni 40,025 3,639
78 107784 Wendi 7,000 -
79 104461 Disun 25,000 - 2,000
80 080100 Puspa Rini 19,000 - 2,000
81 18120 Go You Lam 18,500 - 2,000
82 061836 Parinah 18,500 - 2,000
83 101857 Samikarta 52,420 - 4,000
84 107493 iin Ristiyorini 68,000 4,364 4,000
85 071946 Nuriyah 203,515 14,183 3,000 18,500
86 096459 Siti Tursinah 148,750 2,477 5,000 12,500
87 107699 Diah Winarti 176,000 -
88 107633 Hepi Surya 55,200 2,700 3,000 12,500
89 107717 Agus Riyadi 47,700 2,018 3,000 12,500
90 102494 Srini Hastuti 37,500 2,000 3,000 12,500
91 098695 Alfiah 50,600 3,191 3,000 12,500
92 107583 Sigit Riyanto 55,300 2,709 3,000 12,500
93 027117 Sam Muhdi 81,050 4,277 4,000
94 083011 Kuswandani 30,350 2,759
95 016409 Silah 165,900 11,900 4,000
96 034065 Sri Murni 172,700 12,518 4,000
97 079423 Hernawan 118,750 7,705 4,000
98 107786 Katijem 134,000 9,091 4,000
99 004714 Tumini 132,725 8,975 4,000
100 107344 Astuti 34,000 - 4,000
101 083333 Nurhayati lestari 168,000 12,182 4,000
102 104950 Iswati 166,000 12,000 4,000
103 107776 Kusmiyati 126,500 8,318 4,000
104 040277 Muinah 72,700 3,427 4,000
105 107764 Syakirin 303,000 - 70,000
106 107595 Sarinem 141,600 9,691 4,000
107 103731 Endang Aristiyani 40,750 614 4,000
108 107778 Wasikan 129,850 5,523 4,000
109 098425 Muhamad Solikin 212,200 - 4,000
110 Poli Gizi 27,000 -
111 065912 Awalia 24,750 2,250
112 107669 Wahyu Sapto 45,000 - 4,000
113 088156 Sunarti 34,000 - 4,000
114 149703 Margareta 15,500 1,409
115 107797 Cahya Suhardi 82,582 - 4,000
116 101563 Fadilah Riski 122,200 - 4,000
117 088023 Eti Haryanti 76,750 - 4,000
118 107790 Yatiningsih 1,159 131,750 3,000
-
6,502,464 9,350 265,744 783,750 - - - 314,700 - 325,450 - 220,000 152,500 -

Jurnal Umum 6,493,114


Kas dari Kassa 6,493,300
Selisih Kas 186

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 24 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

24 1 093363 Akhmad Khaofid Amin - 56,625 4,000


2 107804 Didi Wahyudi 3,332 214,900 7,000 12,500
3 107808 Dihyan Wahyu W - 217,600 4,000 17,000
4 107807 Achmad Fadillah - 180,100 3,000 17,000
5 062365 Susteran 3,386 37,250
6 106738 dr. Onggo 773 8,500
7 022524 dr. nrimanto 172,500 15,682
8 003061 Umi wadingah 1,590 145
9 107637 Radikin 58,050 - 4,000
10 149704 Sarjono 4,400 400
11 006539 Risnawati 44,340 4,031
12 044776 Kuwati 1,500 136
13 107800 Ratinah 66,750 2,977 4,000
14 107793 Any 913,700 13,336 7,000
15 107722 Supriyati 739,900 14,809 7,000
16 Ita dwi R 15,150 - 15,150
17 106277 Rahmat Husin 44,500 - 4,000
18 106237 Naila Murni K 15,500 - 3,000 12,500
19 106486 Naifa Murni 44,550 2,641 3,000 12,500
20 107822 Rizal Alfadilla 95,300 4,845 3,000 12,500
21 023327 Waluyo 47,600 4,327
22 006178 Tyasmini 11,100 1,009
23 107819 Wasirah 237,400 - 4,000
24 107820 Kiki Prasetyo 108,000 - 4,000
25 107818 Gusri Handayani 161,250 11,568 4,000
26 031257 Dani Fauzi 135,500 - 4,000
27 106831 Rista Nurjanah 81,750 3,523 4,000
28 040335 Suhartinah 34,000 - 4,000
29 102808 Nares Fani 35,500 -
30 000084 Agus S 48,500 -
31 061836 Parinah 18,500 - 2,000
32 107809 Sumadi 50,000 -
33 003794 Lena Mulyadi 27,000 -
34 000053 Aprilia 19,500 955 4,000
35 076418 Sudarsih 91,500 -
36 091180 Sukirno Broto 208,350 - 4,000
37 062738 Sajem 79,700 2,836 4,000
38 074135 Sudi 47,000 -
39 107501 Parijan 111,000 7,000 4,000
40 107462 Ho Yung Fa 47,500 - 4,000
41 107815 Supriyati 199,800 14,982 4,000
42 088061 Sawinata 71,222 3,293 4,000
43 103828 Rasiyah 178,325 13,030 4,000
44 101244 Suparno Karto 53,450 2,541 3,000 12,500
45 068763 Ramelan 34,000 - 4,000
46 107472 Lika Romadhoni 92,500 3,364 3,000 12,500
47 107813 Endang Sri 192,800 14,436 4,000
48 068917 Sakirin 131,600 10,555 3,000 12,500
49 048250 Lidia Linda 47,500 - 4,000
50 107816 Lutfi 20,000 -
51 018904 Ali Subagyo 69,100 - 4,000
52 079906 Kunjono 53,750 2,568 3,000 12,500
53 100087 Haryati 57,000 2,000 4,000
54 107365 Samirah 18,500 - 2,000
55 082369 Wartin Dwi 106,750 8,295 3,000 12,500
56 051109 Mireja 130,525 8,684 4,000
57 048250 Lydia 88,000 -
58 041130 Walyono 47,500 - 4,000
59 107187 Loan Ing 91,750 3,614 6,000
60 106647 Cecilia Estrelia 7,250 659
61 003387 Warjan 66,440 1,313 6,000
62 107821 Anindita Singgih 12,000 -
63 026283 Satiyem 85,800 4,709 4,000
64 062499 Sriyono 134,500 9,136 4,000
65 106681 Tasmun 241,000 16,545 6,000
66 107823 Igi Andrianto 160,340 - 4,000
67 057973 Sakimin 154,750 10,977 4,000
-
6,364,532 - 228,413 658,350 15,150 - - 56,625 - - - 190,000 146,500 -

Jurnal Umum 6,364,532


Kas dari Kassa 6,365,000
Selisih Kas 468

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 25 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
25 1 098469 Inaya Cyrendina 29,050 11,523 131,700 4,000
2 046357 Sawiyem 5,132 91,450 4,000
3 107810 Suswanti 10,000 2,173 29,400 3,000 12,500
4 149714 Iswidya 682 7,500
5 149713 Rafi 7,750 1,291 7,100 14,850 3,000 12,500
6 005976 Alipah 3,477 38,250
7 061280 Dasirah - 127,500 2,500
8 107831 Lina Susanti 127,900 - 4,000
9 002127 Budianto Pranoto 44,900 - 4,000
10 107830 Tutur Walijah 80,500 - 4,000
11 107792 Acip 190,000 -
12 040136 Retno Kuntari 69,000 - 4,000
13 Dzaki Amar 20,000 -
14 022602 Sri Hardiningsih 86,000 -
15 016928 Sarjono 74,600 6,782
16 107825 Tuminah 127,500 - 2,500
17 035425 Mariyem 127,500 - 2,500
18 058122 Yani Aryanti 127,500 - 2,500
19 065844 Zunaedi 59,000 -
20 026974 Sugiyanto 13,500 -
21 086237 Rio Cahyo 44,740 976 4,000
22 094057 Galastia Felik 85,790 - 4,000
23 083842 Wahyu Dwi A 34,300 3,118
24 008949 Suniah 11,140 1,013
25 036447 Siyo Ngatimin 140,500 6,864 39,500 3,000 12,500
26 079522 TK PIUS Gombong 49,600 4,509
27 071005 Lasmin 34,000 - 4,000
28 107617 Saidah 88,400 4,218 3,000 12,500
29 045588 Eti Rustiyani 20,000 -
30 056889 Sunarti 13,500 -
31 106817 Tarsiyem 190,000 -
32 065844 Junaedi 58,000 - 2,500
33 085069 Serafim 16,500 - 2,000
34 096437 Sujiyah 103,750 5,114 4,000
35 107835 Nasiyem 265,150 15,968 4,000
36 098895 Parmi 143,150 8,695 4,000
37 107843 Ridho Faha 45,350 2,714 3,000 12,500
38 053975 Sarijan 34,000 - 4,000
39 040487 Mad Sumarto 139,575 9,598 4,000
40 104287 Dian Pradipta 221,890 - 4,000
41 107050 Suhartiningsih 76,400 1,264 4,000
42 048588 Turasmi 79,000 -
43 100750 Tesa Lonika 16,500 - 2,000
44 107845 Sus Haryani 69,100 - 4,000
45 107844 Saringun 127,326 10,166 3,000 12,500
46 062742 Yuli Tantiani 34,000 - 4,000
47 107836 Eka Puji R 165,500 - 4,000
48 080254 Sapen 57,000 2,000 4,000
49 105788 Sriyati 39,600 3,600
50 107837 Azizah 84,000 4,545 4,000
51 107169 Sukinem 34,000 - 4,000
52 106958 Supini 40,000 3,636
53 107589 Siti Munasihatun 98,750 4,977 4,000
54 029504 Tri Erna 39,600 3,600
55 057720 Nurul Endarti 39,600 3,600
56 006391 Eka Purwanti 39,600 3,600
57 107851 Yuana 138,600 9,509 4,000
58 107852 Arifudin 113,200 7,200 4,000
59 088302 Puji Saryani 127,000 3,909 4,000
60 107855 Ngabdul Syukur 59,200 - 4,000
61 047389 Jasmirah 79,200 7,200
62 107850 Musriah 138,600 9,509 4,000
63 000979 Iwan Wijaya 188,200 14,018 4,000
64 107523 Sumiati 151,650 6,150 4,000
65 107523 Puji Astuti 39,600 3,600
66 105804 Diah Rusianti 39,600 3,600
67 060651 Wahyuni 184,900 13,718 4,000
68 106585 Siti Aminah 39,600 3,600
69 107395 Supartiningsih 39,600 3,600
70 100916 Paidah 39,600 3,600
71 106748 Sri Sunarsih 74,600 6,782
72 055904 Rosika Nur 39,600 3,600
73 061862 Jenny 39,600 3,600
74 061981 Riptinah 79,200 7,200
75 099913 Isdariyah 120,300 6,845 4,000
76 107838 Teguh Budiarto 76,600 3,873 4,000
77 017819 Darma Suryanto 93,500 5,409 4,000
78 107849 Umi Salamah 157,250 6,659 4,000
79 107509 Parsini 54,700 882 4,000
80 027235 Marsini 191,250 9,750 4,000
81 107857 Bambang suyono 170,826 12,439 4,000
82 104096 Sri Wahyuningsih 39,600 3,600
83 031790 Neni Triasih 39,600 3,600
84 079311 Dewi Sri 109,600 9,964
85 037601 Nunung Surya 39,600 3,600
86 070165 Supriyati 39,600 3,600
87 107839 Devi Nurlela 73,600 3,600 4,000
88 038924 Rosiana Faradisa 39,600 3,600
89 103805 Dewi Iriyanti 39,600 3,600
90 107840 Firqin 154,226 10,930 4,000
91 000865 Ning Suci 271,500 20,364 4,000
92 107225 Restanti 114,200 10,382
93 031902 Eki Fitritiadi 99,100 9,009
94 107043 Emi Nugraheni 39,600 3,600
95 104675 Kustijah 79,200 7,200
96 105796 Ajeng Desti 39,600 3,600
97 107373 Umiyati 39,600 3,600
98 066142 Sakinah 63,250 2,659 4,000
99 100918 Suparmi 39,600 3,600
100 105021 Tutut Handayani 39,600 3,600
101 107297 Poniyem 109,000 6,818 4,000
102 107228 Ririn Andriyani 191,250 9,750 4,000
103 107358 Yunizal Ismail 158,400 14,400
104 060035 Marliana Woro 126,750 3,886 4,000
105 080915 Supinah 28,500 2,591
106 107858 Sofiatun 192,000 9,818 4,000
107 092148 Retno Dwi 39,600 3,600
108 097619 Kristianingsih 163,200 11,745 4,000
109 000865 Wiji Suwarni 74,600 6,782
110 023206 Erna Susanti 39,600 3,600
111 062232 Tyas Satria 39,600 3,600
112 104384 Suminah 39,600 3,600
113 106434 Junelis maris 39,600 3,600
114 091077 Suprapti 39,600 3,600
115 073290 Endah Sudarsih 148,600 10,418 4,000
116 105958 Eni Meiyanti 39,600 3,600
117 087263 Pingah 39,600 3,600
118 106432 Supriatin 113,200 7,200 4,000
119 107848 Linda sulistyo 113,200 7,200 4,000
120 098776 Novianti W 147,100 10,282 4,000
121 099292 Amadeo 102,650 6,241 4,000
122 060489 Panca Aiwa 141,250 5,205 4,000
123 107670 Supinah By 59,900 2,355 4,000
124 097803 Farah Anindia 46,112 1,101 4,000
125 052830 Yonathan Poris 39,600 3,600
126 Yatiningsih 131,750 - 131,750
127 095575 Gian Deska 34,000 - 4,000
128 100350 Fransisco 38,500 409 4,000
129 101357 Christabela 38,500 409 4,000
130 107859 Fanya 38,500 409 4,000
132 103127 Jenifer Vanessa 34,000 - 4,000
133 105074 Naufal 34,000 - 4,000
134 107566 Tyas Selviana 58,700 2,245 4,000
135 104732 Savana Diandra 34,000 - 4,000
136 107590 Siti Munasihatun 9,000 - 4,000
137 107493 Iin Ristyorini 45,000 - 4,000
138 025416 Indah Marini 34,000 - 4,000
139 106958 Supini 34,000 - 4,000
140 037318 Ismiasih 44,500 955 4,000
141 080915 Supinah 45,000 - 4,000
142 027443 Ririn Purwantini 84,000 - 4,000
143 107854 Sri utari 84,000 - 4,000
144 079582 Sri Rejeki 84,000 - 4,000
145 104249 Tria Angelina 84,000 - 4,000
146 107853 Dwi Puji 84,000 - 4,000
147 104262 Setiani Prabowo 84,000 - 4,000
148 107847 Tri Hastuti 84,000 - 4,000
149 098222 Lina Aristin 84,000 - 4,000
150 107265 Sumarni 84,000 - 4,000
151 038103 Henry Sulistyo 84,000 - 4,000
152 -
-
11,615,825 - 557,413 82,250 171,250 - - 131,700 - 233,800 - 350,500 75,000 -

Jurnal Umum 11,615,825


Kas dari Kassa 11,616,700
Selisih Kas 875

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 26 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

26 1 046357 Sawiyem 9,000 208,400 8,000


2 021088 Bernadine Frida - 87,675 4,000
3 101368 Nacita Gilda 409 38,500 4,000
4 149723 Indra 545 6,000
5 015732 Eni Kurniasih 3,600 39,600
6 086789 Hepy Yuniartiningsih 7,085 77,935
7 083841 Nurwidayati 4,041 44,450
8 005646 Sri susilowati 109 1,200
9 106590 Sr. Verona 3,118 34,300
10 107807 Ahmad F - 47,000
11 107869 Aditya Widodo 49,600 - 4,000
12 040659 Pangestuti 156,750 9,932 4,000
13 107870 Wijianto 15,500 - 3,000 12,500
14 072258 Taminah 91,250 5,205 4,000
15 051105 Fatika 65,200 4,518 3,000 12,500
16 023375 Warsinah 75,000 3,636 4,000
17 063102 Titi Suwarni 34,000 - 4,000
18 092164 Fitri Rahmasari 81,500 4,318 4,000
19 008596 Kartini 47,500 - 4,000
20 091813 Endang Susilowati 75,750 2,568 4,000
21 106407 Tugiyem 165,625 11,966 4,000
22 105407 Kurniasih 42,000 2,409 3,000 12,500
23 107603 Eko Suparyanto 62,500 2,591 4,000
24 062050 Sartun 109,442 8,449 3,000 12,500
25 050360 Narendra Brahmanty 29,900 1,309 3,000 12,500
26 103810 Sunarjo 58,500 - 4,000
27 086246 Munirah 69,100 - 4,000
28 107628 Moh Kodiran 146,325 10,120 4,000
29 083817 Rusnadi 34,000 - 4,000
30 107583 Sigit Riyanto 130,700 2,927 3,000 22,500
31 107570 Siti Soimah 34,000 - 4,000
32 106127 Nasekhudin 82,195 1,654 4,000
33 040636 Suparmin 84,000 4,545 4,000
34 107867 Fransiska 104,000 - 4,500
35 106803 Suharti 161,500 11,000 4,000
36 083301 Tasih 85,600 6,373 3,000 12,500
37 Novisiat Karanganya 1,748,500 - 1,748,500
38 Sie Yong Hwa 290,000 - 290,000
39 106647 dr. Cecilia E 39,000 3,545
40 107866 Sudiyah 58,000 - 2,500
41 071946 Nuriyah 119,500 8,545 3,000 12,500
42 014848 Rudi Novandi 85,500 - 2,000
43 099214 Nursahid 88,660 6,651 3,000 12,500
44 019208 Parmi 58,000 - 2,500
45 048530 Wulan Tri 110,050 8,595 3,000 12,500
46 064623 Muwahib 26,000 -
47 098165 San Wikarto 139,610 - 4,000
48 105924 Jeminah 84,350 6,168 3,000 12,500
49 054142 Mudiarjo 19,650 286 3,000 12,500
50 075652 Walyanti 32,000 -
51 107826 Atmareja 720,200 - 4,000
52 034744 Ita Dwi R 4,000 364
53 107743 suwarsih 83,700 7,609
54 104674 Aditiya Tri W 39,600 3,600
55 075096 Agus Dwi N 11,700 1,064
56 023329 Riyani 6,400 582
57 107861 Slamet M 34,000 - 4,000
58 035069 Sudaryadi 34,000 - 4,000
59 107705 Naura Zilfa 34,000 - 4,000
60 107443 Tan Ek Nio 34,000 - 4,000
61 068730 Dwi sulis 73,500 -
62 038782 Lutfi Ubaidillah 10,000 909
63 025818 Lasikun 163,500 10,773 4,000
64 098470 Mugiyah 34,000 - 4,000
65 104034 Adam Taruna 93,100 - 4,000
66 012734 Indah Suliatin 12,300 - 27,200 4,000
67 107793 Any 105,200 5,155 4,000
68 107721 Tri Suparyatini 45,000 - 4,000
69 107800 Ratinah 34,000 - 4,000
70 019028 Sarinah 187,500 12,955 4,000
71 090484 Abdul hadi 13,000 -
72 016928 Sarjono 135,600 12,327
73 104732 Savana Diandra 22,140 2,013
74 107688 Purnomo 193,600 8,509 4,000
75 100481 Priska Aurelia 117,408 7,583 4,000
76 104164 Revel Yehezekiel 34,000 - 4,000
77 107876 Rossa Agustina 102,150 6,195 4,000
78 101563 Fadilah Rizki 139,050 9,550 4,000
79 022522 Sumino 122,700 - 4,000
80 107742 Supono 92,200 4,291 4,000
81 107747 Sumiyati 45,000 - 4,000
82 103417 Tasmiyah 127,500 - 2,500
83 107876 Fitrianingsih 127,500 - 2,500
84 102873 Marlan 45,500 -
85 107786 Kartijem 125,000 -
86 107872 Suswantono 127,500 - 2,500
87 107450 Sarjono 76,100 1,873 4,000
88 Nasrip 1,973 51,700
-
8,395,905 - 252,544 428,360 2,038,500 - - - - 235,600 - 235,000 160,000 -

Jurnal Umum 8,395,905


Kas dari Kassa 8,396,100
Selisih Kas 195
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 27 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

27 1 097191 Salsabila Ainun 6,500 105,500 4,000


2 080517 Keisya Ayuning PR 1,455 50,000 4,000
3 003995 Sr. Caritas 81,350 464,425 464,425 4,000
4 100446 Nimasayu Queenanty 2,218 58,400 4,000
5 000816 Eri Yuniati 91 7,300 29,200 3,000
6 149734 Umi 864 9,500
7 083841 Nurwidayati 91 1,000
8 020580 Yusiva Sumarni 1,518 16,700
9 019053 Tan Jing Ling 47,000 -
10 005976 Alipah 190,750 9,164 89,950
11 022522 Sumino 46,500 - 4,000
12 107879 Waginah 120,600 - 4,000
13 021088 Bernadine frida 29,900 2,345 29,900 4,000
14 107781 Latifatul M 157,950 8,077 4,000
15 107561 Nurhayati 78,200 245 3,000
16 107687 Jasiman 139,000 - 6,500
17 000211 Go You Lam 18,500 - 2,000
18 014561 Albertus Fery 49,500 - 3,000 12,500
19 049784 Mohamad Dimyati 204,900 15,082 3,000 12,500
20 102265 Gani Andra 16,500 - 2,000
21 084663 Fauzal 16,500 - 2,000
22 080100 Pusparini 19,000 - 2,000
23 017611 Suratmi 58,000 - 2,500
24 091977 Lukas Handoyo 27,676 2,516
25 Rafi Safi 7,100 - 7,100
26 080915 Supinah 43,000 - 4,000
27 107713 Rumlah 199,750 14,477 4,000
28 013490 Mingin 182,350 12,259 4,000
29 107885 Valda 98,700 7,564 3,000 12,500
30 078245 Agus Setiawan 74,500 3,682 4,000
31 107674 Sukijem 34,000 - 4,000
32 100750 Tesa L 16,500 - 2,000
33 029018 Yaman 47,500 - 4,000
34 107579 Parwati 255,250 17,523 4,000
35 036173 Simpen 178,850 11,941 4,000
36 103090 Panca Adi P 107,500 - 4,000
37 106859 Sutiman 233,250 18,114 4,000
38 107736 Maslahah 34,000 - 4,000
39 036340 Sudarsih 216,000 16,545 4,000
40 105625 Siti Asiyah 149,750 10,432 4,000
41 107886 Agustina Maya 6,500 -
42 107887 Herlan 6,500 -
43 149739 Sumarno 5,850 532
44 107243 Misem 141,700 9,791 4,000
45 022092 Sumarno Hadi 103,850 3,532 4,000
46 099517 Tisem Maryanti 19,500 955 4,000
47 1055443 Yoso Miharjo 34,000 - 4,000
48 107890 Esa Mesiana 286,545 - 4,000
49 022227 Desierita andrian 88,000 - 4,000
50 107889 Lutfi 88,000 - 4,000
51 107474 Sopandi 109,425 6,857 4,000
52 Moh Saeful 9,000 - 9,000
53 107522 Sariyah 141,775 9,798 4,000
54 107785 Said 89,575 5,052 4,000
55 107894 Edi Purwanto 134,950 - 4,000
56 024699 Maria Budiman 114,300 - 4,000
57 107892 Desy Ferawati 154,000 - 4,000
58 106009 Sarsih 84,000 - 4,000
59 107053 Ani sumarti 182,600 8,964 4,000
60 101895 Feriyana 204,100 10,918 4,000
61 080915 Supinah 50,700 609 4,000
62 107589 Siti Munasihatun 44,000 - 4,000
63 039544 Elisabeth 23,500 2,136
64 012278 Indah purnama s 185,700 - 4,000
65 017609 FX satrio 93,500 -
66 030526 Ika Purwantiningsih 11,000 1,000
67 055666 Tan Hwa Nio 13,500 -
68 Meterai 6,000 - 6,000
69 016928 Sarjono 8,445 92,900
70 Nurida 636 7,000
-
5,530,546 - 313,277 657,225 106,050 - - 155,500 - 523,525 - 200,000 37,500 -

Jurnal Umum 5,530,546


Kas dari Kassa 5,531,200
Selisih Kas 654
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 28 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

28 1 098382 Ika Ardiani W 168 87,350 3,000


2 025234 Sr. Clara 14,909 132,500 132,500 4,000
3 015500 Setyaningsih 3,659 43,400 12,350 3,000 12,500
4 001071 Nanik Nuristiyati 1,009 11,100
5 106590 Sr. Verona 3,118 34,300
6 101857 Samikarta 43,600 1,645 13,500 3,000 12,500
7 016928 Sarjono 178,000 7,736 92,900
8 106647 dr. Cecilia E 16,750 1,523
9 021088 Bernadine frida 70,700 - 70,700
10 074577 Siti F 13,500 -
11 Nurida 7,000 - 7,000
12 097717 Dinar 6,500 -
13 061198 Robertus Eka 33,600 3,055
14 107897 Erni 34,000 - 4,000
15 093814 Tugiyo 68,700 - 4,000
16 031766 Anjar Pratama 88,800 - 4,000
17 107905 Sugito 97,700 - 4,000
18 102221 Arya Dewangga 92,500 - 4,000
19 099313 Widya Ayu 90,800 - 4,000
20 043503 Didik Lukanto 88,375 - 4,000
21 103417 Tasmiyah 20,000 -
22 107867 Fransiska 18,500 - 2,000
23 036447 Siyo Ngatimin 29,250 341 3,000 12,500
24 034744 Ita Dwi R 1,350 123
25 083229 Tursinem 68,600 3,509 3,000 12,500
26 014437 dr. Prio 10,000 - 2,000
27 096556 Tujianti 47,500 - 4,000
28 107891 Ponirah 94,300 4,118 3,000
29 107907 Siti M 38,000 - 2,000
30 048575 Asih Andresari 69,276 4,798 3,000 12,500
31 078003 Haryanto 172,015 - 4,000
32 107658 Hadi Turyanto 44,000 - 4,000
33 107906 Kami 80,000 3,955 3,000 12,500
34 107910 Al Bani 47,550 2,914 3,000 12,500
35 105683 Sri Widarti 89,000 591 4,000
36 030002 Didit Setyo 34,000 - 4,000
37 019767 Sugeng 58,000 2,091 4,000
38 074787 Amelia 104,950 8,132 3,000 12,500
39 068917 Sakirin 48,600 3,009 3,000 12,500
40 081531 Supriyanto 34,000 - 4,000
41 000816 Eri Yuniati 7,300 - 15,100 7,300 60,400 3,000
42 060542 Edi Haryanto 169,915 10,401 3,000 27,500
43 107044 Ahmad Subur 192,600 12,600 4,000
44 Aditya 10,000 -
45 049474 Syukur 16,500 - 2,000
46 098382 Ika Ardiani W 23,000 2,091
47 049020 Ika Prihatiningsih 131,750 8,886 4,000
48 038329 Samiatun 29,050 2,641
49 107365 Samirah 18,500 - 2,000
50 102613 Puji Margiati 42,600 645 3,000
51 107789 Sri Wiyanti 34,000 - 4,000
52 107911 Agus Riyanto 115,915 - 4,000
53 097692 Tasripah 88,000 4,909 4,000
54 101976 Faiz 16,500 - 2,000
55 061836 Parinah 18,500 - 2,000
56 095794 Miah 3,000 273
57 107678 Mursiyah 166,505 9,319 4,000
58 083077 Jumin 127,000 11,545
59 107912 Herlina Dwi W 67,000 - 4,000
60 107913 Admin 239,500 - 4,000
61 022524 dr. Nrimanto 177,500 16,136
62 Nimasayu Q 58,400 - 58,400
63 Nurwidayati 45,450 - 45,450
64 107914 Warsiti 222,450 - 4,000
65 098522 Lulu Khairunisa 34,000 - 4,000
66 105724 Marcelinus 34,000 - 4,000
67 075818 Albertus 34,000 - 4,000
68 096170 Bintang B 34,000 - 4,000
69 100816 Daffa Drajad 38,500 409 4,000
70 103617 Maica Bunga 92,500 5,318 4,000
-
4,327,351 - 155,577 249,900 281,750 - - 87,350 - 205,250 - 176,000 140,000 -

Jurnal Umum 4,327,351


Kas dari Kassa 4,327,800
Selisih Kas 449
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 29 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

29 1 107915 Adinda Salsabila AP 4,159 79,750 4,000


2 066959 Olivia Atmaja 4,373 24,800 57,300 4,000
3 096483 Ika Endang P - 21,500 51,900 4,000
4 107822 Rizal Alfadilla - 64,000 4,000
5 015732 Eni Kurniasih - 17,370
6 106590 Sr. Verona - 39,200
7 091535 San Wardi - 31,000
8 003995 Sr. Caritas - 17,250 17,250
9 107919 Namira 76,400 - 4,000
10 073175 Dwi 2,200 200
11 149755 Wahyu 15,000 1,364
12 100446 Nimasayu Q 48,250 4,386
13 087296 Reni Komariah 565 51
14 107916 Siti Parlinah 178,200 - 4,000
15 099375 Harun 52,000 -
16 107917 Kuati 31,500 - 4,000
17 105724 Marcelinus 4,600 418
18 075818 Albertus G 44,100 4,009
19 029956 Yuli 4,000 364
20 098522 Ade Kristiani 68,150 6,195
21 100816 Daffa D 12,950 1,177
22 090064 Giri Kuwata 121,200 - 4,000
23 039062 Mega Putri 136,450 - 4,000
24 107920 Rini Atika 127,700 - 4,000
25 087298 Indriyana 1,525 -
26 094995 Buang Riyanto 134,300 - 4,000
27 006907 Kho Hay Lan 59,500 -
28 Eri Yunati 15,100 - 15,100
29 100091 Rintin ayza R 63,270 - 4,000
30 090947 Marsimin 82,300 - 4,000
31 107921 Komari 102,200 - 4,000
32 019426 Suparmi 143,500 - 4,000
33 103529 San Rusdi 58,200 - 4,000
34 Umi 9,500 - 9,500
35 075718 Yuyun Rahmawati 85,350 - 4,000
36 043586 Sustriyantono 97,600 - 4,000
37 008066 Subarjo 7,000 -
38 107927 Riani 6,500 -
39 096153 Christoper 8,000 -
40 074284 Robert 6,500 -
41 052369 Haryoto - 59,000
-
1,803,610 - 26,697 274,120 24,600 - - 79,750 - 126,450 - 72,000 - -

Jurnal Umum 1,803,610


Kas dari Kassa 1,803,800
Selisih Kas 190

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 30 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

30 1 066959 Olivia atmaja - 29,300 17,300 4,000


2 002659 Diki Dwi P 42,500 - 35,000 4,000
3 084630 Rm. Samuel - 114,000
4 149776 Sukinah 2,000 22,000
5 001022 Yuli Gestati 1,300 14,300
6 149761 Ruli 182 2,000
7 055480 dr. B Suryanto 13,155 28,940 115,760
8 106738 dr. V onggo 77 850
9 005976 Alipah 3,295 36,250
10 067830 Damayanti 1,964 21,600
11 005743 Mutmainah 2,355 25,900
12 082398 Herlin Anggita 741 8,150
13 015949 Sugiyati 13,500 -
14 041485 Rustini 102,850 - 4,000
15 094995 Buang Riyan 97,350 - 4,000
16 107933 Dariman 80,900 - 4,000
17 038782 Lutfi Ubaidillah 25,000 -
18 016420 Aldila 27,500 -
19 104274 Sarinah 42,800 - 4,000
20 107930 Demas T 119,100 - 4,000
21 084663 Fauzal leo 16,500 - 2,000
22 107611 Sainah 9,000 - 4,000
23 107934 Muhamad Reyhan 189,300 - 4,000
24 105618 Miah 18,000 - 2,000
25 057885 Imam S 13,500 -
26 102907 Siti Maryani 38,000 - 2,000
27 107822 Rizal 55,500 -
28 093354 Ridho 50,500 - 2,500
29 010612 Salinah 67,900 4,764 3,000 12,500
30 07800 Haryanto 25,500 - 3,000 12,500
31 107754 Endah Sutriyani 9,000 - 4,000
32 107942 Karso Diharjo 160,970 13,225 3,000 12,500
33 107938 Endah Kurniasih 194,200 7,473 3,000 12,500
34 098323 Hanan Zul Hilri 50,500 - 2,500
35 107583 Sigit Riyanto 51,100 2,327 3,000 12,500
36 103344 Rivanda Al G 97,900 7,491 3,000 12,500
37 107916 Abdul Hamid 94,600 6,282 3,000 12,500
38 107244 Wasirah 119,425 7,766 4,000
39 062742 Yuli Tantiani 34,000 - 4,000
40 107626 Karto Suwito 107,650 6,695 4,000
41 032886 Sakiyem 84,300 4,482 4,000
42 107941 Puji Astuti 34,000 - 4,000
43 107937 Misin 105,300 6,391 4,000
44 107948 Budi Santoso 58,000 - 2,500
45 034741 Dwi aryani 19,500 955 4,000
46 107945 Tuwinah 75,500 -
47 100887 Sodirah 141,500 9,682 4,000
48 107786 Katijem 236,000 13,318 4,000
49 107805 Wantiyem 192,600 14,418 4,000
50 103835 Nesya Ade 50,500 - 2,500
51 107558 Sumarsih 34,000 - 4,000
52 106508 Kasinah 70,500 3,318 4,000
53 107867 Fransiska 18,500 - 2,000
54 100750 Tesa 16,500 - 2,000
55 100960 Samini 239,600 18,600 4,000
56 107944 Turasih 80,900 5,945 3,000 12,500
57 050412 Sumaryo 58,000 - 2,500
58 000211 Go You Lam 18,500 - 2,000
59 107947 Budhi Waluyo 68,000 -
60 047047 Sumarto 78,500 - 3,000 12,500
61 080599 Paiman 116,500 -
62 102185 Sunarti 32,500 - 2,000
63 107589 Siti Munasihatun 20,000 - 4,000
64 097574 Kusnadi 34,000 - 4,000
65 099313 Windya Ayu 33,600 3,055
66 107940 Siti Murniati 118,500 - 4,000
67 075984 FX. Pristiono 64,500 -
68 073774 Sumini 110,850 3,795 4,000
69 003526 Cipto Sudarmo 248,100 18,236 4,000
70 107299 Ratino 134,000 - 4,000
71 107722 Supriyati 71,800 1,482 4,000
72 101190 Pupit Satiya 45,000 - 4,000
73 045903 Payem 48,900 1,355 4,000
74 107683 Prayitno 129,400 8,673 4,000
75 105530 Fajar Agung 173,000 3,545 4,000
76 061732 Endah 13,500 -
77 Rizal Alfadilla 64,000 - 64,000
78 107583 Sigit Riyanto 65,000 - 4,000
79 028806 Hasto Santoso 13,500 -
80 016928 Sarjono 9,000 818
81 004445 Sudarti 425,800 - 4,000
82 096459 Siti Tursinah 44,500 4,045
83 107953 Joko Prasetyo 185,550 - 4,000
84 107955 Dewi 58,000 - 2,500
85 107949 Purba 129,850 8,714 4,000
86 036551 Surip 167,450 12,132 4,000
87 095025 Sukarni 171,875 12,534 4,000
88 035056 Abdul Suhud 161,945 8,904 4,000
89 106119 Slamet Sumedi 51,250 1,568 4,000
90 042629 Pindika Desi 89,800 - 4,000
91 098366 Dalimin 34,000 - 4,000
92 095321 Rudi 63,250 2,659 4,000
93 107325 Wasiyem 165,550 11,868 4,000
94 107952 Anindita 106,350 - 4,000
95 097717 Dinar Ardi 52,000 -
96 149777 Ika P 3,900 355
97 016928 Sarjono 38,800 3,527
98 106741 Dapur Susteran 39,200 3,564
99 107793 Any 96,350 3,395 4,000
100 107463 Teguh Widodo 8,500 773
101 063102 Titi Suwarni 19,250 1,750
102 011757 Waginah 35,300 3,209
103 106647 dr. Cecilia E 32,500 2,955
-
7,361,365 - 281,110 189,290 64,000 - - - - 282,060 - 248,000 112,500 -

Jurnal Umum 7,361,365


Kas dari Kassa 7,362,100
Selisih Kas 735
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 31 Mei 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

31 1 091992 Wahyu Saptono - 116,000 4,000


2 097066 Resa Purnama P 6,673 670,400 7,000
3 004935 Sr. Yosita - 30,250 30,250 4,000
4 107969 Pambo Wahyudi - 906,570 74,000
5 061836 Parinah - 18,500 2,000
6 001604 Samsiah - 15,100 12,400 3,000 12,500
7 149784 Sr. Verona 3,364 37,000
8 001759 Tri Soendarwati 1,514 16,650
9 006071 Rovian Yudi 1,741 19,150
10 101961 Anita 20,000 -
11 048692 Septi Andari 126,850 - 4,000
12 093839 Margaretha Ambar 130,700 - 4,000
13 060036 Lafri Lingga L 90,750 - 4,000
14 104799 Subagyo 172,050 - 4,000
15 Susteran Gombong 1,762,000 - 1,762,000
16 006137 dr. JB Harnowo 23,300 2,118
17 064623 RS Purwogondo 55,075 5,007
18 107907 Siti Muryani 38,000 - 2,000
19 107966 Paijah 58,000 - 2,500
20 Sukarsih 11,300 1,027
21 107968 Han Ley 58,000 - 2,500
22 107963 Edi Mulyono 36,500 -
23 029030 Slamet 93,500 - 3,000 12,500
24 051700 Sutiyono 107,500 4,727 3,000 27,500
25 066014 Tuti 90,700 2,836 4,000
26 105672 Turino 90,000 4,500 4,000
27 107462 Ho Yung Fa 47,500 - 4,000
28 047149 Her Utami 18,500 - 2,000
29 026056 Suwarno 58,500 - 4,000
30 027748 Y Sukir 69,100 - 4,000
31 10936 Sukawati 19,500 955 4,000
32 087380 Man Kardi 224,700 16,745 4,000
33 042648 Farida Agustin 216,900 9,945 4,000
34 107818 Gusri Handayani 197,950 14,905 4,000
35 107651 Rusman Budi 60,500 1,500 4,000
36 107749 Sugeng Bmujiono 34,000 - 4,000
37 106831 Rista Nurjanah 88,500 4,136 4,000
38 Pengobatan Kary. 550,000 - 550,000
39 069767 Sudarno 106,750 6,614 4,000
40 106906 Oki Novitarini 149,850 10,532 4,000
41 107967 Dwi Eko 113,750 7,250 4,000
42 068017 Eliawati 89,500 -
43 042025 Rudiyanto 89,500 -
44 107972 Sarpono 198,600 14,873 4,000
45 107072 Saimi 117,250 7,477 4,000
46 107729 Rubisah 64,000 - 4,000
47 026283 Satiyem 100,800 5,982 4,000
48 107973 Renaldi 39,625 511 4,000
49 084057 Budi Risanto 81,250 4,295 4,000
50 106966 Ngadini 86,000 - 4,000
51 107747 Sumiyati 52,500 - 4,000
52 149789 Puji 2,200 200
53 107799 Bangkit Dwi 70,250 1,341 4,000
54 005555 Wagiyati 36,200 3,291
55 107773 Puji Supangat 93,750 5,432 4,000
56 056952 Catur Sambodo 124,950 7,268 4,000
57 106647 dr. Cecilia E 13,250 1,205
58 107970 Daryani 50,250 1,477 4,000
59 107974 Niah 112,000 7,091 4,000
60 022524 dr. nrimanto 220,000 20,000
61 149790 Sarjono 18,800 1,709
62 101950 Regi 75,500 -
-
6,656,400 - 188,241 1,713,620 2,312,000 - - 116,000 - 42,650 - 237,000 52,500 -

Jurnal Umum 6,656,400


Kas dari Kassa 6,656,700
Selisih Kas 300
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD

30,000 67,136
20,000 10,000 155,000
4,750
1,818
23,864

5,000 9,545
20,000 20,000 10,000 10,000 267,240

37,600

30,000 35,591

44,727
6,545
30,000 75,036
3,636
41,409
22,182
50,800
52,150
91,500
20,000 10,000 51,000
20,000 10,000 46,850
25,000 10,000 17,500 57,350
5,000 9,545
20,000 10,000 22,500 67,800
20,000 10,000 45,150

(74,273)

145,000 90,000 20,000 80,000 - - - - - 10,000 - - 17,500 - 22,500 266,763 927,190

Jurnal 1,223,790
Piutang 452,840
Subsidi -
1,676,630

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD

99,182
20,000 10,000 74,750
17,636
61,773
12,364
66,818
20,909
2,500 7,500 21,818
2,500 7,500 27,091
20,000 10,000 30,773

27,000
9,500 7,000 24,000
33,850
20,000 10,000 51,000
20,000 10,000 38,200
20,000 8,500 10,000 15,000 97,780
20,000 10,000 37,700
20,000 10,000 89,800
19,000 9,000 68,000
15,636
500 500 147,844
2,500 7,500 28,727
9,500 4,750 41,250
8,500 3,750 27,750 66,364
9,500 7,500
2,500 7,500 18,545
55,182
9,500 4,500 41,500
25,800
9,500 4,750 41,250
30,000 500 500 56,932

30,000 15,000
10,500 5,500 51,000

30,000
39,500 4,750 41,250 80,909
30,000 49,545
30,000 500 500 7,000
39,500 4,750 41,250 4,091
30,000
30,000 500 500 102,045
44,364

9,500 4,750 41,250


9,500 4,750 41,250
30,000
39,500 4,750 41,250 29,909
30,000 34,773
30,000 500 500 114,682
30,000 88,864
30,000 94,182
30,000 500 500 143,293
30,000 500 500 19,091
30,000 49,091
30,000 23,545
2,500 7,500 27,091
13,636
30,000 30,682
30,000 36,318
30,000
30,000 46,818
30,000
30,000 31,136
30,000
12,500 20,000 13,500 9,773
9,500 4,500 41,500
36,000
5,636
20,000 10,000 95,150
9,500 4,500 34,000
30,000 7,000 14,500 22,500
30,000 7,000 14,500

160,000 985,500 28,500 175,000 19,000 - - - - 98,500 14,500 - - 552,500 - 1,933,368 569,230
Jurnal 5,918,585
Piutang (573,950)
Subsidi 58,800
5,403,435

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD

48,091
30,000 159,545
30,000 500 500 92,545
20,000 10,000 136,900
29,273
30,000 21,818
36,000
230,227
30,000 92,386
30,000 5,636
30,000 3,500 7,500 161,591
81,500
20,000 10,000 10,500 15,828
30,000 3,500 7,500 107,727
30,000 7,000 14,500 63,864
20,000 10,000 43,650
2,727

20,000
20,000
20,000 10,000 87,610

9,500 7,500

30,000 23,864 140,000


9,500 4,500 49,000 64,045
56,864
30,000 500 500 48,409
36,500 3,000 25,600 60,455
36,500 3,000 25,600 79,091
30,000 34,091
9,500 6,500
8,000 4,500
30,000 500 500 31,364
30,000
30,000 500 500 47,318
30,000 85,909
8,500 3,750 27,750
30,000 72,682
30,000 82,227
30,000 500 500 16,364
30,000
30,000 83,000
30,000 4,091
30,000
30,000 51,364
30,000 24,909
30,000 500 500 74,318
31,591
30,000 8,182
30,000 106,273
30,000 114,136
30,000 500 500 160,682
30,000 500 500 73,500
9,000 7,000
30,000 500 500 106,773
30,000 34,091
20,000 10,000 7,500 36,500
30,000 9,500 7,000 47,091
30,000 500 16,500 500 6,500 97,227
30,000 123,409
30,000 20,000 92,268
30,000 23,318
20,000 9,500 14,750 41,250 23,200

93,000

120,000 1,250,500 20,000 98,000 62,000 - - - - 52,500 39,000 - 51,200 118,000 - 3,184,836 483,688

Jurnal 6,025,808
Piutang 277,900
Subsidi 198,000
6,501,708

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD

50,909
86,273
12,500 20,000 13,500
32,864
20,000 15,000 10,000 15,000 44,415
20,000 10,000 43,700

20,000 10,000 50,100


30,000 6,000 12,500 11,364
30,000 6,000 12,500 54,318
2,014
20,000 10,000 62,100
20,000 10,000 26,640
92,364

9,500 7,500
9,500 6,500
22,364
30,000 119,091
30,000 82,364
36,500 3,000 25,600
10,500 5,500 67,000

10,500 5,500 67,000


10,000
9,500 4,500 34,000
90,455
2,500 7,500 67,864
30,000 44,773
30,000 40,091
30,000
30,000 500 500 116,432
30,000 14,818
30,000 500 500 306,818
30,000 500 500 20,000
30,000 500 500 63,909
30,000 500 500 7,000
62,545
9,500 2,500 64,364
30,000 31,364
30,000 20,455
30,000
30,000 93,545
30,000 14,318
20,000 20,000 14,500 55,000 123,490
126,818
2,727
36,000
5,000
12,500 40,000 27,000 8,773
36,000
36,000
30,000 46,000
30,000 144,751
30,000
30,000 50,000 203,477
30,000 50,000 240,205
67,818
30,000 71,591
45,000 35,000 51,818
36,000
36,000
36,000
36,000
36,000
36,000
30,000 50,000 16,386
30,000 96,545
30,000 72,000
40,500 5,500 67,000
45,000 35,000 12,955
72,000
30,000 10,909
36,000
36,000
45,000 35,000 25,227
36,000
175,818
45,000 35,000 97,500
36,000
36,000
36,000
45,000 35,000 51,955
72,000
36,000
72,000
36,000
36,000
67,818
36,000
36,000
67,818
36,000
36,000
36,000
36,000
30,000 66,364
30,000 36,000
30,000 68,182
30,000 72,000
30,000 81,455
30,000 67,818
30,000 72,000
30,000 55,024
30,000
30,000 36,000
30,000 173,318
11,182
36,000
72,000
72,000
36,000
36,000
36,000
36,000
36,000
36,000
36,000
67,818
46,182
30,000 3,500 7,500
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000 118,387
30,000 153,387
30,000 63,636
30,000 66,524
36,000
36,000
36,000
30,000 55,024
30,000 67,818
36,000
36,000
30,000 67,818
30,000 39,091
30,000 34,296
30,000 112,433
30,000 149,933
30,000 173,569
30,000 6,818
30,000
30,000 2,773
30,000 88,573
30,000
30,000 20,955
30,000 13,091
127,273
43,182
20,000 7,000 10,000 5,000 170,825
1,318
30,000 6,000 12,500 22,500
30,000 10,000 3,773
30,000 32,045

30,000 19,773
30,000
30,000 6,000 12,500
20,000 10,000 31,550
30,000 25,227
30,000 3,500 7,500
30,000 3,500 7,500
30,000 215,455
39,500 4,500 34,000
5,000

170,000 2,827,000 262,000 162,500 28,500 - - - - 198,000 16,500 455,000 25,600 269,000 - 7,541,595 552,820

Jurnal 13,667,510
Piutang 529,615
Subsidi 194,550
14,391,675

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD

30,000 69,000
20,000 10,000 241,500
20,000 10,000 101,500
30,000 74,682
30,000 19,091
30,000 402,182
2,500 7,500 24,364
27,636
2,273
31,818
36,000
69,455

3,636
20,000 10,000 87,600

20,000 10,000 38,750


9,500 4,750 41,250
30,000 81,818
30,000 45,909
30,773
44,818
30,000 41,136
70,000
5,000
28,636
30,000
3,000 10,000 9,545

9,500 7,500
30,000 105,500
30,000 500 500 24,955
2,500 7,500 5,636
30,000 121,455
20,000 10,000 90,100

20,000 10,000 86,150


19,000 9,000 68,000

50,909
52,909
9,273
30,000 114,818
2,500 7,500 57,136
204,091
30,000 128,750
61,091
20,000 10,000 31,675
35,000 90,000
35,000 90,000
35,000 90,000
20,000 10,000 12,250

20,000 10,000 84,350


5,455
20,000 13,500 13,500 32,500 98,780
30,000 18,591
30,000 8,955
30,000
30,000
30,000
30,000
30,000 57,500
10,000
30,000 50,909
20,000 10,000 54,450
30,000 7,000 14,500 11,364
30,000 3,500 7,500 54,318
18,855

220,000 823,500 13,500 153,750 9,500 - - - - 87,500 7,500 270,000 - 109,250 - 2,285,241 927,105

Jurnal 4,733,970
Piutang 705,550
Subsidi 248,350
5,687,870

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD

30,000 343,727
20,000 10,000 97,350

20,000 10,000 25,100


134,091
20,000 10,000 129,750
20,000 10,000 34,400
20,000 57,000 10,000 10,000 105,550
11,500 3,000
14,000 10,500
124,091
9,500 7,500
96,955

30,000 500 500 67,302


30,000
30,000
5,000 9,545
8,500 3,750 27,750
30,000
11,000 8,000
30,000 500 500 8,591
30,000 96,818
3,000 25,600 53,409
30,000 64,091
30,000 500 500 79,659
30,000 500 500 147,091
30,000 79,091
30,000 500 500 106,182
30,000 500 500 81,364
30,000 500 500 148,545
30,000 500 500 35,091
30,000 3,500 7,500 43,727
30,000 102,227

30,000 86,136
31,500 16,500 153,000
5,000 9,545
9,000 7,000
30,000 160,500
30,000
36,273
30,000 74,409
46,364
10,500 5,500 51,000
25,455
20,000 10,000 152,000
25,000 10,000 17,500
45,000 35,000 26,136
45,000 35,000 38,864
10,545
30,000 3,500 7,500
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
18,455

145,000 1,025,500 57,000 119,750 55,000 - - - - 29,000 36,000 245,000 43,100 231,750 - 2,354,279 544,150

Jurnal 5,075,557
Piutang 272,100
Subsidi 251,800
5,599,457

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

30,000 170,455
86,818
20,000 10,000 71,450
46,000
30,000 40,045
30,000 75,000
132,318
30,000
(44,727)
40,500 5,500 51,000

230,227
9,500 7,500

100,455
10,000
11,182
20,000 10,000 89,250
122,182
2,545
26,409
30,000 6,000 12,500 1,636
30,000 3,500 7,500
30,000 16,682
30,000 28,136
9,500 7,000
9,500 7,000
30,000 6,000 12,500
20,000 10,000 70,800
30,000
30,000 100,000 3,500 7,000
30,000 8,000 17,000 48,409
20,000 20,000 20,250 108,250 22,600
30,000 8,182
20,000 21,000 21,000 118,000 102,550
30,000 400,000 80,000 160,000 50,000 100,000 491,559 5,000
65,000 90,000 117,045
35,000 90,000
11,500 3,000
11,500 3,000
17,182
73,091

9,500 7,000
30,000 42,409
30,000 129,091
9,500 4,500 49,000 61,636
30,000 500 500 140,909
41,409
30,000
9,500 7,000
2,500 7,500 6,227
30,000
21,273
9,500 4,500 49,000
14,091
30,000 45,455
30,000 75,000
20,000 10,000 10,000 7,500 900
36,500 3,000 25,600
30,000
500 500 69,318
30,000
19,091
17,727
43,545
30,000 70,800
30,000 17,636
30,000 55,182
10,000 17,500
30,000 8,182
336,864

130,000 1,047,000 510,000 139,250 70,500 80,000 160,000 - 50,000 172,500 41,500 180,000 43,100 375,250 - 3,016,678 362,550

Jurnal 6,675,395
Piutang 1,007,660
Subsidi 133,440
7,816,495

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Anesth. Operasi Jenazah Kendr. Poli IGD

1,818
20,000 13,500 13,500 27,500 94,215
20,000 13,500 13,500 35,000 118,595
20,000 10,000 49,900
20,000 10,000 64,100
20,000 10,000 54,000
20,000 13,500 10,000 22,500 95,630
30,000 8,136

248,750
1,386
20,000 10,000 38,850
30,000 79,636
305,000
20,000 10,000 5,000 26,200
20,000 10,000 39,525
20,000 10,000 34,300
20,000 10,000 41,382
20,000 10,000 14,900
2,500
20,000 10,000 53,950

20,000 16,000 20,000


20,000 10,000 90,950
20,000 10,000 17,600
20,000 10,000 48,000

340,000 60,000 40,500 183,000 - - - - 48,000 110,000 - - - - - 90,977 1,390,347

Jurnal 3,021,472
Piutang (368,550)
Subsidi -
2,652,922

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

35,455
3,295
20,000 10,000 37,000
20,000 16,000 12,500
20,000 10,000 34,450
20,000 10,000 6,300
20,000 10,000 14,500
20,000 10,000 45,250
9,500 6,500

30,000
152,545

10,500 5,500 67,000


9,500 6,500

9,500 7,500
172,656
2,500 7,500 70,182
44,323
30,000 500 500 72,705
30,000 23,864
30,000 500 500 42,227

30,000 67,295
9,500 4,750 41,250
30,000
54,636

20,000 10,000 31,750


82,909
9,500 7,000
9,500 7,000
2,500 7,500 25,364
30,000
30,000 500 500 7,000
30,000 500 500 128,636
30,000 97,045
6,591
20,000 20,000 10,000 5,000
30,000 182,727
30,000 500 500 71,136
5,000 9,091
30,000 15,000

30,000 30,000 28,095


11,500 3,000
30,000
39,500 5,250 500 41,250 103,227
30,000 4,091
30,000 29,591
30,000 37,227

30,000 34,318
30,000 128,182
30,000
30,000 22,568
20,000 10,000 77,200
30,000
30,000
30,000 45,000
30,000
30,000 48,182
20,000 10,000 27,622
30,000 44,955
30,000 119,659
30,000 500 500 116,273
30,000
20,000 10,000 95,200
30,000 91,091
38,386
20,000 10,000 29,722
70,455
14,545
30,000 6,000 12,500 22,500
30,000
30,000 8,000 15,500
30,000 6,000 12,500 294,545
30,000
20,000 12,500 3,000
11,136

20,000 38,500 870,000 13,750 174,000 348,000 50,000 170,000 27,750 899,091 7,500

280,000 1,208,000 920,000 200,750 59,000 174,000 348,000 - 50,000 249,500 37,500 - - 177,250 - 3,567,802 406,494

Jurnal 9,265,351
Piutang 127,225
Subsidi 165,000
9,557,576

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

30,455
(4,500)
10,091
20,000 10,000 20,000 40,000
1,909
20,000 35,000 10,000 15,000 98,780
12,273
15,000
75,409
53,682
2,500 7,500 8,955

9,500 7,500
20,000 10,000 11,500
30,000 500 500 97,500
30,000
17,000 8,500 74,500
37,364
5,000 11,364
30,000
30,000 61,182

30,000 500 500 69,955


30,000 26,364
30,000 500 500 46,136
30,000 500 500 66,273
87,818
11,500 3,000
30,000 5,000 106,364
30,000 130,318
30,000
30,000
30,000 37,136
30,000 86,364
30,000 67,955
30,000 187,636
30,000 9,500 6,500 32,045
30,000 9,500 6,500 40,909
30,000 500 500 75,864
20,000 13,500 3,500 62,140
49,000 20,000 9,000 68,000 122,841
30,000 57,955
30,000 3,500 7,500 103,636
30,000 115,909
30,000 61,364
30,000 500 9,500 500 7,000 235,909
30,000 24,545
30,000 17,734
20,000 10,000 35,500

22,500

100,000 846,000 55,000 89,500 50,000 - - 20,000 40,000 36,500 30,500 - - 142,500 - 2,238,711 203,420

Jurnal 4,509,652
Piutang 153,275
Subsidi 21,075
4,684,002
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

20,000 10,000 48,132


20,000 10,000 71,850
30,000 30,773
63,136
30,000 32,091
30,000 151,636
45,000 35,000 74,955
20,000 8,500 10,000 15,000 60,350
20,000 27,500 20,000 40,000 160,150
20,000 10,000 56,500

20,000 10,000 66,680


11,545

16,818

27,273
5,000 9,091
20,000 10,000 28,800
85,000
9,500 6,500

43,000
32,091
9,500 7,500

9,500 4,750 41,250 33,227


5,000 9,091
5,000 9,545
11,182
8,000 4,500
11,000 8,000
25,000 10,000 17,500
30,000 118,182
30,000
30,000 3,500 3,500 76,736

5,000 8,636
20,000 9,500 14,750 41,250 28,300

5,000 1,818
5,000 1,818
5,000 1,818
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 1,818
5,000 8,636
30,000
30,000 3,500 7,500 91,818
30,000 500 500 142,045
30,000 110,409
30,000 500 500 45,565
30,000 67,295
30,000
30,000 31,636
30,000 500 500 95,909
39,500 4,750 41,250 30,818
3,500 52,182
30,000 26,591
30,000
30,000 131,318
30,000 106,773
36,500 3,000 25,600 43,205
30,000 9,000 7,000 222,864
30,000
30,000 500 500 111,202
30,000 500 500 16,429
30,000 64,500

30,000
45,000 35,000 98,182
30,000
30,000 112,318
30,000 3,000 7,000 65,455
30,000 3,000 7,000 113,455
30,000 191,818
36,000
36,000
67,818
76,000
36,000
30,000 95,091
30,000 3,500 7,500 87,955
30,000 73,273
36,000
45,000 35,000 71,091
45,000 35,000 90,455
30,000 157,500
30,000 145,182
36,000
36,000
30,000 36,000
72,000
45,000 35,000 51,818
36,000
36,000
30,000 154,751
30,000 47,273
20,000 10,000 60,500
36,000
67,818
20,000 10,000 100,450
36,000
36,000
45,000 35,000 75,000
30,000 68,182
9,500 4,500 49,000 11,591
30,000 50,000 28,155

36,000
67,818
72,000
30,000 45,000
36,000
36,000
72,000
30,000 30,000 84,864
5,000 8,636
5,000 8,636
30,000 51,136
30,000
45,000 20,000 50,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000 121,909
67,818
30,000 43,636
36,000
30,000 177,478
30,000 67,818
67,818
36,000
67,818
72,000
67,818
30,000 55,024
30,000 118,387
30,000 67,818
30,000 9,091
36,000
30,000 148,387
30,000 72,933
30,000 40,555
30,000 40,773
30,000 39,955
30,000 57,182
36,000
81,455
30,000 121,909
30,000 163,273
30,000 67,818
30,000 143,478
51,000
30,000 111,000
36,000
30,000 4,727
27,273
30,000 17,000

30,000 65,636
30,000 50,000
36,000
20,000 10,000 30,700
30,000 52,727
30,000 52,727
30,000 8,636
30,000 1,818
30,000 1,818
30,000 1,818
30,000 1,818
30,000
30,000 7,500 7,000 8,182
30,000 6,000 12,500
140,909
58,045
30,000 3,500 7,500 39,545
20,000 10,000 22,500 69,100
30,000 141,115

265,000 3,014,500 116,000 277,750 47,000 - - 20,000 40,000 130,500 33,500 420,000 43,100 172,750 22,500 8,299,876 781,512

Jurnal 14,419,526
Piutang 1,167,925
Subsidi 328,525
15,915,976

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

23,273
29,455
30,000 780,136
10,000
36,000
31,182

9,500 4,750 41,250


10,000
20,000 10,000 16,750
20,000 10,000 46,800
9,500 7,500

2,500 17,500 117,368

3,500 7,500
2,500 7,500 55,955
2,500 7,500 81,909
70,682

36,636
30,000 77,659
47,727
8,500 4,750 36,750
30,000 3,500 7,500 69,318
36,500 3,000 25,600 129,091
30,000 114,182
4,545
30,000 187,864
3,000
30,000
30,000 66,955
30,000 64,091
30,000 500 500 74,773
30,000 30,000 166,823
30,000
30,000 91,955
30,000 71,545
20,000 13,500 10,000 30,000 95,965
30,000 15,864
81,682
60,727
20,000 10,000 73,850
5,000 1,818
30,000 111,573
30,000 23,545

35,000 90,000
20,000
35,000 90,000
28,636
11,500 3,000
30,000 4,091
5,000 1,818
30,000
30,000 4,091
30,000 4,091
30,000
30,000 52,727
30,000 1,818
20,000 10,000 10,550

100,000 814,500 43,500 87,500 21,000 - - - - 78,000 10,500 180,000 25,600 78,000 - 2,864,605 243,915

Jurnal 4,411,830
Piutang 398,175
Subsidi 715,075
5,525,080

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

45,000 35,000 94,773


20,000 10,000 81,000
99,364
2,500 7,500
60,955
3,000
20,000 10,000 4,428
20,000 10,000 48,600
20,000 8,500 10,000 22,500 79,915
20,000 10,000 24,000
20,000 13,500 7,500 57,000
20,000 10,000 25,850

5,000 9,091
9,500 7,500
20,000 8,500 10,000 15,000 51,365
38,864
2,500 7,500 15,909
22,545
30,000

30,000
41,591
30,000 173,409
20,000 10,000 25,000
50,000
92,500
41,091
36,500 3,000 25,600 34,864

30,000 89,545
30,000 500 500 113,364
30,000 64,545
9,000 7,000
30,000 5,500
86,682
9,500 7,000

9,500 4,750 41,250


57,091
9,500 4,750 41,250
30,000
20,000 20,000 10,000 36,700
30,000 35,909
56,250
30,000
9,500 4,750 41,250
30,000
158,864
30,000 3,500 7,500
45,000 35,000
45,000 35,000 98,182
30,000 3,500 7,500 6,091
45,000 35,000 22,500
30,000 3,500 7,500
45,000 35,000

127,273

18,045
200,000 710,000 37,000 141,750 28,000 - - - - 83,000 21,500 175,000 25,600 123,750 - 1,717,795 433,858

Jurnal 4,536,333
Piutang (139,800)
Subsidi -
4,396,533

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

5,682
2,273
20,000 10,000 11,650
20,000 10,000 39,200
20,000 10,000 53,400

11,955

3,500 2,000
9,500 7,500

10,500 5,500 67,000


30,000 500 500 210,500
8,500 3,750 27,750
30,000 94,318
30,000 500 500 42,409
36,500 3,000 25,600 71,773
30,000 500 500 105,682
2,500 7,500 19,455
2,500 7,500 8,636
30,000 500 500 20,909
12,727
30,000 61,227
30,000 500 500 61,545
36,500 3,000 25,600
30,000 500 500 85,409
20,000 10,000 22,200
20,000 28,500 10,000 50,000 114,715
5,000
31,818

8,500 7,750 25,600 36,750 33,273


9,500 4,500 34,000
20,000 7,000 13,500 12,500 148,875
30,000
29,045
11,500 3,000
31,818
8,727
22,773

12,500 10,000 7,500


9,500 4,750 41,250
65,000 500 500 90,000 174,727
35,000 90,000
17,182
30,000 1,818
30,000 51,500
30,000 56,727
30,000 34,618

30,000 44,573
30,000 77,864
30,000 1,527
30,000
30,000 38,864
30,000 50,909

120,000 802,000 45,500 109,250 24,500 - - - - 88,500 12,500 180,000 76,800 206,750 - 1,522,264 390,040

Jurnal 4,184,430
Piutang 4,940
Subsidi 140,960
4,330,330
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

54,318
74,818
20,000 10,000 118,500
20,000 10,000 7,500 14,800
50,550
20,000 10,000 10,000 147,700
20,000 10,000 140,950
20,000 10,000 187,650

10,000

13,500
20,000 10,000 22,500 11,000

20,000 10,000 22,850


7,500
7,050
107,900

6,000
25,000 10,000 330,000 17,500 42,650
20,000 10,000 29,082

2,375
20,000 10,000 62,850

205,000 - - 100,000 - - - - 330,000 17,500 - - 17,500 - 22,500 129,136 982,907

Jurnal 2,201,107
Piutang (108,025)
Subsidi 227,375
2,320,457
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

35,909
13,182
18,250
20,000 10,000 26,700
20,000 10,000 24,900
20,000 10,000 70,550

4,150

20,000 10,000 69,000


20,000 10,000 33,075
3,000 3,500 46,645
5,000 9,545
9,500 7,000
9,500 6,500
2,500 7,500

9,500 6,500
2,500 7,500 20,000
24,182
20,000 10,250 108,250
2,500 7,500 81,455
8,500 7,500 46,182
11,500 3,000
2,500 7,500 70,182
38,636

30,000 72,500
45,682
11,500 3,000
30,000 68,864
28,318
30,000 81,636
30,000
30,000 52,273
27,468
30,000

30,000 133,182
30,000
30,000 28,864
2,500 7,500 15,909
30,000 30,227
30,000 60,682
30,000 59,659
30,000
30,000 5,455
30,000 80,727
30,000 6,818

82,182
30,000 500 500 48,364
30,000 30,000 16,541
3,000 25,600 42,000
30,000
30,000 77,659
9,500 4,500 64,000
30,000 500 500 71,136
30,000
30,000 500 500 24,682
20,000 10,000 15,500

30,000 3,500 7,500


20,000 10,000 22,500 24,400
30,000 81,818
36,500 3,000 25,600
30,000 500 500 69,500
12,500 50,000 35,000
2,727
11,364
36,000
20,000 10,000 32,490
173,864
20,000 10,000 62,750
30,000 3,500 7,500
30,000 10,000 3,773
30,000 6,000 12,500 15,909
5,000
20,000 8,500 10,000 20,000 44,350
30,000
54,000
200,000 978,500 98,500 169,750 51,500 - - - - 133,000 26,000 - 51,200 172,250 22,500 1,995,700 426,115

Jurnal 5,619,585
Piutang (191,100)
Subsidi 11,600
5,440,085

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

20,000 10,000 87,550


20,000 7,000 10,000 5,000 39,900
62,500
24,800
10,350

25,000 10,000 17,500 57,000


20,000 13,500 10,000 35,000 153,540
20,000 10,000 24,300
20,000 10,000 44,050
39,450
30,000 10,000
30,000
20,000 10,000 18,900
20,000 10,000 41,722
20,000 13,500 3,500 54,860
20,000 10,000 100,700
20,000 10,000 64,600
20,000 8,500 10,000 20,000 74,875
8,330
20,000 10,000 11,250
20,000 20,000 10,000 40,000 82,545

(306,250)

285,000 60,000 59,000 143,500 - - - - - 103,500 - - 17,500 - - - 694,972

Jurnal 1,823,172
Piutang 467,150
Subsidi 124,150
2,414,472

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

20,000 10,000 51,450


20,000 10,000 26,000
20,000 10,000 35,500
30,000 73,636
45,000 35,000
45,000 35,000
9,500 4,500 49,000 76,818
174,091
3,364
3,000

30,000 3,500 7,500 81,136


36,000
9,500 2,500 61,227
2,500 7,500 47,045
9,500 4,500 34,000
30,655
500 500 32,818
9,500 7,000

5,000 9,091
5,000 9,545
11,500 3,000

6,909
20,000 10,000 23,250
33,818
20,000 10,000 3,750
20,000 10,000 18,500
112,900
20,000 10,000 10,000 77,825
20,000 10,000 68,228
34,250
30,000 170,182
30,000
30,000 500 500 172,182
30,000 137,273
30,000 11,364
36,500 3,000 25,600 102,955
30,000 42,955
30,000 500 500 20,000
41,727
60,273
30,000
30,000 26,591
30,000 22,500 130,727
30,000
30,000
30,000 500 500 75,545
30,000 74,773
30,000
30,000 500 500 57,227
30,000 65,545
30,000 500 500 22,682
30,000 50,000 123,227
30,000 77,727
36,000
36,000
36,000
32,955
72,000
30,000 76,684
72,000
36,000
36,000
72,000
30,000 121,136
30,000 43,091
36,000
30,000
45,000 35,000 37,955
45,000 35,000 86,591
30,000
30,000 103,227
36,000
36,000
30,000
30,000 90,091
30,000
30,000 3,500 7,500 35,455
36,000
103,818
36,000
72,000
67,818
67,818
45,000 35,000 51,818
30,000 86,569
30,000 53,591
72,000
36,000
36,000
30,000 66,818
36,000
72,000
36,000
30,000
103,818
72,000
144,000
30,000 131,091
30,000 72,000
67,818
72,000
67,818
72,000
45,000 20,000 50,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
36,000
36,000
30,000 35,455
72,000
30,000 9,364
30,000 4,091
30,000 50,909
30,000 909
30,000
30,000
30,000
30,000
30,000
30,000 30,455
30,000 71,682
36,000

160,000 1,960,500 70,000 114,500 30,500 - - - - 89,250 12,500 315,000 25,600 83,000 22,500 5,338,953 447,903

Jurnal 9,223,151
Piutang 692,300
Subsidi 126,650
10,042,101

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

20,000 10,000 111,000


30,000 68,182
30,000 22,227
45,545
4,227
10,227
38,318
6,909
51,818
20,000 10,000 40,932
30,000 215,455
30,000 76,818
30,000 3,500 7,500 215,455
30,000 8,182
65,000 90,000 6,364
30,000 10,000 3,727
30,000 455
30,000 2,182
89,227
34,727
5,455

4,273
20,000 27,500 120,950
8,000 89,727

9,500 7,500
20,000 10,000 44,150
9,500 7,000

27,727
30,000 23,182
30,000 189,864
9,500 4,750 41,250
30,000 133,636
30,000
138,773
30,000 500 500 85,409

30,000 44,545
29,455
70,682
500 500 84,182
30,000
30,000 3,500 7,500
9,500 4,750 41,250
30,000 21,182
30,000 38,455
3,500 7,500 62,864
30,000 500 500 46,773
30,000 500 500 141,818
30,000 77,159
30,000 149,136
30,000 30,682
30,000
28,727
60,091
30,000
30,000 500 9,500 500 6,500 133,318
30,000
30,000 84,909
30,000 3,500 7,500 45,091
30,000
30,000 60,000
20,000 10,000 14,545

30,000 90,909
20,000 6,000 10,000 15,500 154,900
500 500 136,091
500 500 50,773
2,500 7,500

9,500 4,500 49,000


20,000 10,000 67,360
8,182
3,000
35,000 90,000
35,000 90,000
35,000 90,000

30,000 8,000 15,500 54,318


30,000 6,000 12,500 54,318
30,000 240,000
38,864
147,727

140,000 1,278,500 16,000 135,500 28,500 - - - - 92,500 21,000 360,000 - 131,500 - 3,645,886 539,292

Jurnal 7,330,817
Piutang 580,375
Subsidi 38,575
7,949,767
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

8,500 4,750 36,750


30,000
30,000
3,000 14,000
22,045
24,545
36,727
70,636
2,045
6,000
20,000 10,000 79,100
25,000 10,000 20,000 17,500 150,000
30,000
30,000 47,045
10,909
20,000 10,000 95,300
20,000 10,000 76,800
20,000 10,000 122,350
147,727
120,000
36,000

36,000
9,500 4,750 41,250
26,273
11,500 3,000
30,000 3,500 7,500
9,500 4,500 49,000 63,500

5,000
500 500 49,341
30,000 500 500 169,000
30,000
139,500
12,500 30,000 18,500 10,364
20,000
36,500 3,000 25,600 79,477
9,500 7,000
30,000 54,545
8,500 3,750 37,750 31,364
31,955
12,500 40,000 15,000 909
30,000
9,500 4,500 34,000 15,318

24,000
12,500 20,000 10,000 909
11,500 3,000 3,909

30,000
30,000 26,227
30,000 500 500 38,591
30,000
30,000 40,909
30,000 500 500 56,273

30,000 98,227
30,000 80,909
30,000 180,682
9,500 7,500 10,000 49,000 80,909
30,000 40,500
45,000 35,000 94,773
45,000 35,000 118,182
45,000 35,000 124,955
20,000 10,000 28,650
30,000 3,500 7,500 38,864
45,000 35,000 94,773
45,000 35,000 94,773
20,000 50,000 10,000 55,000 60,930
45,000 35,000 47,227
45,000 35,000
45,000 35,000
30,000
45,000 20,000 50,000 35,000
30,000 3,500 7,500
30,000 3,500 7,500
45,000 35,000
5,500 500
5,500 500 43,545
30,000

145,000 1,319,000 160,000 137,750 32,500 - - 20,000 - 205,500 13,000 350,000 43,100 247,750 - 2,560,364 613,130

Jurnal 9,795,830
Piutang (3,072,300)
Subsidi 136,100
6,859,630

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

12,500 25,000 28,000 4,727


56,318
9,500 4,500 49,000
9,500 4,500 64,000
12,500 909
21,818
33,364
23,864
500 500 22,591
91,545
11,773
20,000 10,000 5,200
9,500 7,000
72,955
20,000 10,000 59,650
20,000 10,000 79,450
20,000 10,000 45,000
20,000 10,000 93,200
20,000 10,000 6,000
60,500 5,500 100,500 63,375

9,091
9,500 4,750 41,250
9,500 7,000
30,000 104,955
30,000 79,545
30,000 164,682
30,000 63,955
30,000
30,000 98,409
30,000
30,000 145,455
30,000 175,000
30,000 121,818
30,000
30,000 500 500 57,500
30,000
30,000 97,364

56,864
20,000 13,500 3,500 43,075
5,000
100,000
20,000 10,000 50,900
20,000 10,000 45,550
80,000

(36,000)
30,000 112,545
30,000
30,000
30,000 8,636
30,000
30,000
30,000
30,000
30,000
30,000 19,545
4,091

30,000 72,682
30,000
30,000
20,000 10,000 79,700
56,818
184,500
20,000 10,000 60,000

220,000 924,000 25,000 138,750 19,000 - - - - 32,500 14,000 - - 254,750 - 2,117,318 631,100

Jurnal 5,355,550
Piutang 484,100
Subsidi 34,500
5,874,150

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

30,000 13,955
10,500 5,500 76,500
13,773
59,145
20,000 10,000 52,076
53,136
11,273
282,955
30,000
20,000 27,500 80,000 11,150
20,000 10,000 30,000
25,818
18,682
20,000 10,000 50,850
20,000 10,000 197,450
97,764
20,000 10,000 57,450
27,100
25,000
327,100
4,400
20,000 13,500 3,500 16,100
20,000 10,000 42,726
20,000 10,000

20,000 10,000 69,476


24,800

200,000 40,500 - 126,500 - - - - 80,000 3,500 - - - 76,500 - 606,500 935,678

Jurnal 2,150,692
Piutang 267,630
Subsidi 116,506
2,534,828
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

66,182
20,000 10,000 192,400
8,500 7,750 25,600 36,750
8,500 7,750 25,600 36,750
389,455
75,000
31,182
1,864
43,800
20,000 27,000 10,000 5,000 85,975
20,000 10,000 24,000

20,000 10,000 6,500

11,100

15,250
25,000 10,000 17,500 66,450
10,000 33,800
20,000 12,500 3,000 4,500
20,000 10,000 75,600
9,500 7,500
500 500 2,747
8,500 7,500
11,500 3,000
20,000 10,000 57,500
9,500 6,500
30,000 47,455
39,500 4,750 41,250
8,318
30,000 3,500 7,500
30,000 57,045
30,000 30,682
30,000 105,636
30,000 79,091
30,000 23,364
39,500 4,750 41,250 165,455
39,500 4,750 41,250 63,182
9,500 4,750 41,250
9,500 4,500 34,000
36,386

16,500 6,500
9,500 7,500
9,500 7,000
9,500 7,000
20,000 10,000 18,420
8,500 7,500 43,636
12,500 141,832
9,500 4,500 8,000 4,500 64,000 24,773
9,500 4,750 41,250
2,500 7,500 27,000
2,500 7,500 20,182
20,000
31,909
2,500 7,500 27,091
20,000 10,000 42,773
27,591
30,000 500 500 119,000
30,000 500 500 125,182
30,000 77,045
30,000 90,909
30,000 89,750
30,000
30,000 121,818
30,000 120,000
30,000 500 500 83,182
30,000 500 500 34,273

30,000 500 500 96,909


30,000 6,136
36,500 3,000 25,600 55,227
20,000 10,500 15,500 67,000 95,200
27,000
22,500
30,000 3,500 7,500
30,000
14,091
20,000 10,000 48,582
20,000 10,000 88,200
20,000 10,000 42,750
12,500 60,000 43,500 11,591

285,000 863,000 87,000 270,750 83,500 - - - - 119,500 49,500 - 94,300 444,750 - 2,657,443 910,027

Jurnal 6,493,114
Piutang 1,098,450
Subsidi 325,450
7,917,014
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

20,000 10,000 22,625


20,000 10,500 18,000 7,500 51,000 33,318 51,750
45,000 7,750 25,600 36,750
8,500 7,750 25,600 36,750
33,864
7,727
156,818
1,445
20,000 13,500 3,500 17,050
4,000
40,309
1,364
30,000 29,773
30,000 325,000 65,000 81,250 68,750 133,364
30,000 325,000 65,000 81,250 68,750 148,091

20,000 7,000 10,000 3,500

26,409
48,455
43,273
10,091
20,000 10,500 15,500 67,000 120,400
20,000 9,500 14,500 41,500 18,500
30,000 115,682
20,000 10,500 15,500 67,000 18,500
30,000 35,227
30,000

9,500 7,000
8,500 4,750 36,750

5,000 9,545

25,000 10,000 17,500 138,350


30,000 500 500 28,364

30,000 70,000
30,000
30,000 500 500 149,818
30,000 500 500 32,929
30,000 500 500 130,295
2,500 7,500 25,409
30,000
8,500 3,750 27,750 33,636
30,000 144,364
105,545
20,000 10,000

36,500 3,000 25,600


2,500 7,500 25,682
30,000 500 500 20,000
9,500 7,000
82,955
30,000 500 500 86,841

30,000
30,000 9,500 6,500 36,136
6,591
30,000 9,500 6,500 13,127

30,000 47,091
30,000 91,364
30,000 16,500 6,500 165,455
20,000 8,500 10,000 15,000 102,840
30,000 109,773

205,000 838,000 665,500 167,000 54,500 130,000 162,500 - - 185,000 33,500 - 94,300 364,500 - 2,284,129 490,015

Jurnal 6,364,532
Piutang 699,825
Subsidi -
7,064,357

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD
30,000 115,227
30,000 500 500 51,318
21,727
6,818
12,909
34,773
35,000 90,000
20,000 10,000 93,900
20,000 10,000 10,900
20,000 10,000 46,500

20,000 10,000 22,500 12,500


20,000

67,818
35,000 90,000
35,000 90,000
35,000 90,000

30,000 9,764
20,000 10,000 51,790
31,182
10,127
2,500 7,500 68,636
45,091
30,000
42,182

9,500 4,750 41,250


11,500 3,000
30,000 51,136
39,500 4,750 41,250 159,682
30,000 86,955
27,136
30,000
30,000 95,977
20,000 13,500 13,500 32,500 138,390
30,000 5,000 10,000 12,636

11,500 3,000
36,500 3,000 25,600
101,660
30,000
20,000 10,000 131,500
30,000 500 500 20,000
36,000
30,000 45,455
30,000
36,364
30,000 3,000 7,000 49,773
36,000
36,000
36,000
30,000 95,091
30,000 72,000
45,000 35,000 39,091
20,000 10,000 25,200
72,000
30,000 95,091
30,000 140,182
45,000 35,000 61,500
36,000
36,000
30,000 137,182
36,000
36,000
36,000
67,818
36,000
36,000
72,000
30,000 3,500 7,500 68,455
30,000 38,727
30,000 54,091
45,000 35,000 66,591
30,000 3,500 7,500 8,818
45,000 35,000 97,500
30,000 124,387
36,000
36,000
99,636
36,000
36,000
30,000 36,000
36,000
36,000
30,000 109,296
30,000 203,636
103,818
90,091
36,000
72,000
36,000
36,000
30,000 26,591
36,000
36,000
30,000 68,182
45,000 35,000 97,500
144,000
45,000 35,000 38,864
25,909
45,000 35,000 98,182
36,000
30,000 117,455
67,818
36,000
36,000
36,000
36,000
36,000
30,000 104,182
36,000
36,000
30,000 72,000
30,000 72,000
30,000 102,818
30,000 62,409
45,000 35,000 52,045
30,000 23,545
30,000 11,011
36,000

30,000
30,000 4,091
30,000 4,091
30,000 4,091
30,000
30,000
30,000 22,455
30,000
5,000
30,000 3,500 7,500
30,000
30,000
30,000 9,545
30,000 3,500 7,500
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000

160,000 2,555,500 13,500 126,500 23,000 - - - - 88,000 6,000 990,000 25,600 82,500 22,500 5,574,132 510,680

Jurnal 11,615,825
Piutang 42,700
Subsidi 233,800
11,892,325

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

20,000 36,500 13,000 25,600 90,000 6,300


20,000 10,000 53,675
30,000 4,091
5,455
36,000
70,850
40,409
1,091
31,182

20,000 10,000 15,600


30,000 99,318

30,000 52,045
45,182
30,000 500 500 36,364
30,000
30,000 43,182
30,000
30,000 25,682
30,000 119,659
24,091
30,000 25,909
500 500 84,493
13,091
30,000 3,500 7,500
36,500 3,000 25,600
30,000 500 500 101,205
30,000
9,500 7,000 7,500 49,000 29,273
30,000
30,000 30,000 16,541
30,000 45,455
10,500 5,500 9,500 7,000 67,000
30,000 110,000
63,727

35,455
9,500 4,750 41,250
2,500 7,500 85,455
9,500 7,000
66,509
9,500 4,750 41,250
85,955

20,000 10,000 105,610


500 500 61,682
500 500 2,864

20,000 27,500 20,000 160,000 319,200


3,636
76,091
36,000
10,636
5,818
30,000
30,000
30,000
30,000

9,091
30,000 3,500 7,500 107,727
30,000
20,000 10,000 22,500 36,600
20,000 10,000 5,500
30,000 4,500 10,000 51,545
30,000 3,500 7,500
30,000
30,000 3,500 7,500 129,545

123,273
20,127
30,000 10,000 85,091
30,000 75,825
30,000
30,000 61,955
30,000 95,500
20,000 10,000 22,500 66,200
30,000 3,500 7,500 42,909
30,000 3,500 7,500
35,000 90,000
35,000 90,000

35,000 90,000
35,000 90,000
30,000 7,000 14,500 18,727
19,727

160,000 1,302,000 30,000 173,000 19,000 - - 20,000 160,000 87,000 14,000 360,000 51,200 198,500 45,000 2,525,436 608,685

Jurnal 8,395,905
Piutang (1,610,140)
Subsidi 235,600
7,021,365
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

30,000 65,000
30,000 14,545
30,000 813,500
30,000 22,182
12,500 10,000 10,000 909
8,636
909
15,182

91,636
20,000 10,000 12,500
20,000 10,000 86,600
30,000 23,455
36,500 3,000 25,600 80,773
10,000 12,500 30,000 20,000 2,455
39,500 4,750 41,250
9,500 7,000

2,500 7,500 150,818


11,500 3,000
11,500 3,000
9,500 7,500
9,500 4,750 41,250
25,160

30,000
30,000 144,773
30,000 122,591
75,636
30,000 36,818
30,000
11,500 3,000
30,000
30,000 5,000 10,000 175,227
30,000 119,409
30,000
30,000 181,136
30,000
30,000 165,455
30,000 500 500 104,318

5,318
30,000 97,909
20,000 30,000 10,500 500 35,318
5,000 9,545
30,000
20,000 10,500 43,500 19,000 35,000 51,000 103,545
20,000 10,000 54,000
20,000 10,000 54,000
30,000 68,568

30,000 97,977
30,000 50,523
20,000 10,000 64,450
20,000 12,500 3,000 74,800
45,000 20,000 50,000 35,000
45,000 35,000
45,000 35,000 89,636
45,000 35,000 109,182
30,000 3,000 7,000 6,091
30,000 3,000 7,000
21,364
20,000 10,000 7,500 58,700

10,000

84,455
6,364

190,000 1,081,000 103,500 133,500 53,500 - - - - 158,000 23,500 140,000 25,600 133,500 - 3,132,774 508,595

Jurnal 5,530,546
Piutang 706,675
Subsidi 523,525
6,760,746
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

12,500 40,000 30,000 1,682


40,500 5,500 51,000 149,091
36,591
10,091
31,182
2,500 7,500 16,455
77,364
15,227

30,545
20,000 10,000
20,000 10,000 34,700
20,000 10,000 54,800
20,000 10,000 63,700
20,000 10,000 58,500
20,000 10,000 48,800
20,000 10,000 54,375

9,500 7,000
2,500 7,500 3,409
1,227
35,091
4,500 3,500
30,000
12,500 20,000 13,500 41,182
20,500 15,500
500 500 47,978
20,000 13,500 13,500 35,000 86,015
30,000
4,000 3,500 39,545
29,136
30,000 5,909
30,000
30,000 500 500 20,909
81,318
30,091
30,000
12,500 25,000 35,000
2,500 22,500 104,014
30,000 126,000
10,000
11,500 3,000
20,909
30,000 88,864
26,409
9,500 7,000
12,500 10,000 10,000 6,455
30,000
20,000 13,500 10,000 25,000 43,415
30,000 49,091
11,500 3,000
9,500 7,000
2,727
30,000 30,000 93,186
115,455
20,000 20,000 10,000 1,000
20,000 10,000 122,000
161,364

20,000 27,500 97,450


30,000
30,000
30,000
30,000
30,000 4,091
30,000 53,182

250,000 600,500 172,000 159,000 76,500 - - - - 190,500 46,000 - - 51,000 - 1,555,769 664,755

Jurnal 4,327,351
Piutang 55,500
Subsidi 205,250
4,588,101
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

30,000 41,591
30,000 43,727
20,000 10,000 39,400
20,000 10,000 30,000
17,370
39,200

20,000 10,000 42,400


2,000
13,636
43,864
514
20,000 10,000 50,700

10,000 17,500
4,182
40,091
3,636
61,955
11,773
20,000 10,000 73,700
20,000 10,000 22,500 79,950
20,000 10,000 93,700
1,525
20,000 10,000 100,300

20,000 10,000 29,270


20,000 10,000 48,300
20,000 10,000 54,700
20,000 10,000 96,000
20,000 10,000 24,200

20,000 10,000 35,850


20,000 10,000 63,600
300,000 60,000 - 160,000 - - - - - - - - 17,500 - 22,500 266,968 920,165

Jurnal 1,803,610
Piutang 329,270
Subsidi 126,450
2,259,330

meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

20,000 10,000 12,600


20,000 10,000 43,500

20,000
13,000
1,818
131,545
773
32,955
19,636
23,545
7,409

20,000 10,000 68,850


20,000 10,000 63,350
20,000 10,000 46,900
25,000

20,000 10,000 8,800


20,000 10,000 85,100
11,500 3,000
5,000
20,000 10,000 155,300
9,500 6,500

20,500 15,500
9,500 4,500 41,500
9,500 4,500 34,000
47,636
2,500 7,500
5,000
132,245
8,500 4,750 36,750 74,727
9,500 4,500 34,000
2,500 7,500 23,273
74,909
2,500 7,500 62,818
30,000 77,659
30,000
30,000 66,955
30,000 500 500 44,818
30,000
30,000 500 500 63,909
9,500 4,750 41,250
5,000 9,545

30,000 500 500 96,818


39,500 4,750 41,250 133,182
30,000 144,182
9,500 4,500 34,000
30,000
30,000 33,182
9,500 7,000
11,500 3,000
30,000 500 500 186,000
59,455
9,500 4,750 41,250
9,500 7,000

9,500 4,500 49,000

9,500 7,500
8,500 7,500
30,000
30,545
30,000

36,500 3,000 25,600 37,955


30,000 182,364
30,000 100,000
30,000 7,000 14,500 14,818
30,000 3,500 7,500
30,000 13,545
30,000 86,727
30,000 100,000 35,455

50,000 3,500 7,500

8,182
45,000 10,000 17,500 262,800
40,455
20,000 35,000 13,500 22,500 77,050
9,500 4,750 41,250
30,000 87,136
30,000 121,318
30,000 125,341
30,000 30,000 89,041
30,000 15,682
20,000 10,000 55,800
30,000
30,000 26,591
30,000 500 500 118,682
20,000 10,000 72,350

3,545
35,273
35,636
30,000 8,000 17,000 33,955
7,727
17,500
32,091
29,545

265,000 1,080,500 265,000 223,250 81,500 - - - - 106,500 49,500 - 43,100 394,250 - 2,811,105 977,400

Jurnal 7,361,365
Piutang 125,290
Subsidi 282,060
7,768,715
meriksaan Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2
IGD Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD

20,000 10,000 82,000


38,500 325,000 3,750 65,000 81,250 48,750 27,750 66,727
20,000 10,000 26,500
20,000 44,000 36,500 228,000 130,000 332,070
9,500 7,000

33,636
15,136
17,409

20,000 10,000 92,850


20,000 10,000 96,700
20,000 10,000 56,750
20,000 10,000 138,050

21,182
50,068
20,500 15,500
9,500 4,750 41,250
10,273
9,500 4,750 41,250

9,500 4,500 64,000


2,500 22,500 47,273
30,000 4,000 8,000 28,364
30,000 45,000
30,000
9,500 7,000
30,000 3,500 7,500
36,500 3,000 25,600
5,000 9,545
30,000 167,455
30,000 99,455
30,000 149,045
30,000 15,000
30,000
30,000 41,364

30,000 66,136
30,000 105,318
30,000 72,500

30,000 500 500 148,727


30,000 500 500 74,773
30,000
30,000 500 500 59,818
20,000 10,000 5,114
30,000 42,955
20,000 10,000 52,000
30,000 6,000 12,500
2,000
30,000 7,000 14,500 13,409
32,909
30,000 54,318
30,000 3,500 7,500 72,682
12,045
30,000 14,773
30,000 70,909
200,000
17,091
8,500 3,750 27,750

180,000 832,000 369,000 174,000 39,500 65,000 81,250 - 228,000 252,750 29,500 - 25,600 202,000 - 1,882,409 876,920

Jurnal 6,656,400
Piutang (482,380)
Subsidi 42,650
6,216,670
Laborat, PMI Lain-Lain
PA Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

107,850 107,850 -
189,000 189,000 -
4,750 4,750 -
2,000 2,000 -
26,250 26,250 -
8,000 8,000 8,000 -
19,500 19,500 -
331,240 331,240 -
- 25,000 25,000
37,600 95,150 57,550
9,000 9,000 9,000 -
73,150 73,150 -
- 71,500 71,500
49,200 49,200 -
7,200 7,200 -
116,540 116,540 -
4,000 4,000 -
45,550 45,550 -
24,400 24,400 -
50,800 50,800 -
52,150 52,150 -
91,500 91,500 -
85,000 85,000 -
80,850 80,850 -
113,850 113,850 -
19,500 19,500 -
124,300 124,300 -
79,150 79,150 -
6,000 6,000 -
(81,700) - 81,700
- - -
17,000 - - 1,676,630 1,676,630 1,421,630 969,200 255,000
1,676,630
Total
Pendapatan
1,676,630
(0)

Laborat, PMI Lain-Lain


PA Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

124,600 124,600 -
108,750 108,750 -
19,400 19,400 -
67,950 67,950 -
13,600 13,600 -
73,500 73,500 -
23,000 23,000 -
49,500 49,500 -
55,300 55,300 -
67,850 67,850 -
13,500 13,500 13,500 -
27,000 27,000 -
42,500 42,500 -
33,850 33,850 -
85,000 85,000 -
72,200 72,200 -
155,280 155,280 -
71,700 71,700 -
123,800 123,800 -
98,500 98,500 -
32,700 32,700 -
179,128 179,128 -
57,100 57,100 -
58,000 58,000 -
35,500 164,000 164,000 -
19,000 19,000 -
45,900 45,900 -
76,200 76,200 -
58,000 58,000 -
43,880 43,880 -
58,000 58,000 -
- 734,800 734,800
- 383,800 383,800
97,625 97,625 -
42,000 42,000 42,000 -
27,500 78,000 78,000 -
67,000 67,000 -
51,500 51,500 51,500 -
13,500 47,500 47,500 -
178,500 178,500 -
88,500 88,500 -
42,700 42,700 -
94,000 94,000 -
34,500 68,500 68,500 -
27,000 174,250 174,250 -
64,300 64,300 -
13,500 13,500 13,500 -
58,000 58,000 -
58,000 58,000 -
13,500 47,500 47,500 -
122,400 122,400 -
29,500 101,750 101,750 -
161,150 161,150 -
131,750 131,750 -
137,600 137,600 -
192,622 192,622 -
56,000 56,000 -
88,000 88,000 -
59,900 59,900 -
55,300 55,300 -
30,500 30,500 -
67,750 67,750 -
73,950 73,950 -
34,000 34,000 -
85,500 85,500 -
34,000 34,000 -
68,250 68,250 -
34,000 34,000 -
59,750 59,750 -
58,000 58,000 -
39,600 39,600 -
6,200 6,200 -
129,150 129,150 -
50,500 50,500 -
80,250 80,250 -
55,500 55,500 -
- - -
301,500 - - 5,403,435 5,403,435 4,229,435 4,745,000 1,174,000
5,403,435
Total
Pendapatan

5,403,435
-

Laborat, PMI Lain-Lain


PA Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

68,400 68,400 -
209,500 209,500 -
136,800 136,800 -
170,900 170,900 -
32,200 32,200 -
58,000 58,000 -
39,600 39,600 -
253,250 253,250 -
135,625 135,625 -
40,200 40,200 -
222,750 222,750 -
89,650 89,650 -
60,328 60,328 -
163,500 163,500 -
125,750 125,750 -
77,650 77,650 -
3,000 3,000 -
79,500 79,500 79,500 -
20,000 20,000 -
20,000 20,000 -
121,610 121,610 -
105,000 105,000 105,000 -
19,000 19,000 -
105,000 105,000 105,000 -
200,250 200,250 -
148,950 148,950 -
8,000 86,050 86,050 -
88,250 88,250 -
135,600 135,600 -
156,100 156,100 -
71,500 71,500 -
18,000 18,000 -
14,500 14,500 -
69,500 69,500 -
34,000 34,000 -
13,500 100,550 100,550 -
128,500 128,500 -
40,000 40,000 -
113,950 113,950 -
124,450 124,450 -
34,500 87,500 87,500 -
34,000 34,000 -
125,300 125,300 -
38,500 38,500 -
34,000 34,000 -
90,500 90,500 -
9,000 70,400 70,400 -
116,750 116,750 -
50,250 50,250 -
43,000 43,000 -
150,900 150,900 -
27,500 187,050 187,050 -
211,750 211,750 -
115,850 115,850 -
18,000 18,000 -
152,450 152,450 -
71,500 71,500 -
78,000 78,000 -
104,300 104,300 -
166,950 166,950 -
169,750 169,750 -
155,495 155,495 -
59,650 59,650 -
112,700 112,700 -
32,500 32,500 32,500 -
13,500 13,500 13,500 -
117,800 117,800 -
6,000 6,000 -
- - -
428,000 - - 6,501,708 6,501,708 5,111,208 4,636,100 1,390,500
6,501,708
Total
Pendapatan
6,501,708
-

Laborat, PMI Lain-Lain


PA Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

71,500 71,500 -
110,400 110,400 -
49,000 49,000 -
36,150 36,150 -
108,415 108,415 -
77,700 77,700 -
135,500 135,500 135,500 -
135,500 135,500 135,500 -
84,100 84,100 -
65,000 65,000 -
112,250 112,250 -
2,215 2,215 -
96,100 96,100 -
60,640 60,640 -
101,600 101,600 -
73,500 73,500 73,500 -
47,000 47,000 47,000 -
19,000 19,000 -
18,000 18,000 -
24,600 24,600 -
165,000 165,000 -
124,600 124,600 -
69,100 69,100 -
85,500 85,500 -
22,500 22,500 22,500 -
99,000 99,000 99,000 -
74,000 74,000 74,000 -
85,500 85,500 -
10,000 10,000 -
50,500 50,500 -
115,000 115,000 -
100,150 100,150 -
83,250 83,250 -
78,100 78,100 -
34,000 34,000 -
13,500 176,575 176,575 -
50,300 50,300 -
372,500 372,500 -
57,000 57,000 -
105,300 105,300 -
42,700 42,700 -
84,300 84,300 -
100,300 100,300 -
13,500 82,000 82,000 -
56,500 56,500 -
34,000 34,000 -
136,900 136,900 -
49,750 49,750 -
236,990 236,990 -
139,500 139,500 -
3,000 3,000 -
39,600 39,600 -
9,000 9,000 -
92,150 92,150 -
39,600 39,600 -
39,600 39,600 -
84,600 84,600 -
193,226 193,226 -
34,000 34,000 -
307,825 307,825 -
348,225 348,225 -
74,600 74,600 -
112,750 112,750 -
141,000 141,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
102,025 102,025 -
140,200 140,200 -
113,200 113,200 -
117,000 117,000 -
98,250 98,250 -
79,200 79,200 -
46,000 46,000 -
39,600 39,600 -
39,600 39,600 -
111,750 111,750 -
39,600 39,600 -
193,400 193,400 -
191,250 191,250 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
141,150 141,150 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
107,000 107,000 -
73,600 73,600 -
109,000 109,000 -
113,200 113,200 -
123,600 123,600 -
108,600 108,600 -
113,200 113,200 -
94,526 94,526 -
34,000 34,000 -
73,600 73,600 -
224,650 224,650 -
12,300 12,300 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
50,800 50,800 -
45,000 45,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
164,226 164,226 -
202,726 202,726 -
104,000 104,000 -
107,176 107,176 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
94,526 94,526 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
108,600 108,600 -
77,000 77,000 -
71,726 71,726 -
157,676 157,676 -
198,926 198,926 -
224,926 224,926 -
41,500 41,500 -
34,000 34,000 -
37,050 37,050 -
131,430 131,430 -
34,000 34,000 -
57,050 57,050 -
48,400 48,400 -
140,000 140,000 -
63,000 63,000 -
216,825 216,825 -
1,450 1,450 -
77,250 77,250 -
48,150 48,150 -
69,250 69,250 -
7,000 7,000 7,000 -
55,750 55,750 -
34,000 34,000 -
52,500 52,500 -
65,550 65,550 -
61,750 61,750 -
45,000 45,000 -
45,000 45,000 -
271,000 271,000 -
82,000 82,000 -
9,000 9,000 -
- - -
621,000 - - 14,391,675 14,391,675 11,132,675 10,409,400 3,259,000
14,391,675
Total
Pendapatan

14,391,675
-

Laborat, PMI Lain-Lain


PA Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

109,900 109,900 -
73,500 349,000 349,000 -
135,500 135,500 -
116,150 116,150 -
55,000 55,000 -
476,400 476,400 -
52,300 52,300 -
45,900 45,900 -
2,500 2,500 -
35,000 35,000 -
39,600 39,600 -
76,400 76,400 -
91,500 91,500 91,500 -
4,000 4,000 -
121,600 121,600 -
16,500 16,500 16,500 -
72,750 72,750 -
58,000 58,000 -
124,000 124,000 -
84,500 84,500 -
33,850 33,850 -
64,800 64,800 -
79,250 79,250 -
92,500 92,500 -
9,000 9,000 -
31,500 31,500 -
34,000 34,000 -
39,000 39,000 -
15,500 15,500 -
19,000 19,000 -
13,500 163,550 163,550 -
13,500 75,950 113,200 37,250
31,700 31,700 -
167,600 167,600 -
124,100 124,100 -
15,500 15,500 -
120,150 120,150 -
98,500 98,500 -
8,000 8,000 8,000 -
56,000 56,000 -
73,700 73,700 -
10,200 10,200 -
175,800 175,800 -
88,350 88,350 -
224,500 224,500 -
175,625 175,625 -
67,200 67,200 -
13,500 79,175 79,175 -
127,500 127,500 -
125,000 125,000 -
127,500 127,500 -
46,250 46,250 -
- 399,000 399,000
118,350 118,350 -
6,000 6,000 -
182,280 182,280 -
54,450 54,450 -
43,850 43,850 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
97,250 97,250 -
11,000 11,000 -
90,000 90,000 -
88,450 88,450 -
68,000 68,000 -
104,750 104,750 -
20,740 20,740 -
- - -
230,000 - - 5,687,870 5,687,870 4,630,870 3,677,800 1,057,000
5,687,870
Total
Pendapatan

5,687,870
-

Laborat, PMI Lain-Lain


PA Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

91,500 503,600 503,600 -


131,350 131,350 -
29,500 29,500 29,500 -
59,100 59,100 -
147,500 147,500 -
163,750 163,750 -
68,400 68,400 -
206,550 206,550 -
16,500 16,500 -
26,500 26,500 -
152,000 152,000 -
19,000 19,000 -
122,150 122,150 -
27,000 27,000 27,000 -
109,032 109,032 -
13,500 47,500 47,500 -
13,500 47,500 47,500 -
19,500 19,500 -
40,000 40,000 -
34,000 34,000 -
21,000 21,000 -
44,450 44,450 -
140,500 140,500 -
107,350 107,350 -
104,500 104,500 -
122,625 122,625 -
196,800 196,800 -
18,500 139,500 139,500 -
151,800 151,800 -
124,500 124,500 -
198,400 198,400 -
73,600 73,600 -
13,500 106,600 106,600 -
146,450 146,450 -
13,500 13,500 13,500 -
128,750 128,750 -
203,500 203,500 -
19,500 19,500 -
18,000 18,000 -
13,500 224,050 224,050 -
13,500 47,500 47,500 -
39,900 39,900 -
115,850 115,850 -
51,000 51,000 -
67,000 67,000 -
43,500 43,500 -
186,000 186,000 -
56,500 56,500 -
112,750 112,750 -
126,750 126,750 -
11,600 11,600 -
45,000 45,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
20,300 20,300 0
- - -
247,500 - - 5,599,457 5,599,457 4,371,957 3,848,600 1,227,500
5,599,457
Total
Pendapatan
5,599,457
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

70,500 292,000 292,000 -


111,000 111,000 -
105,450 105,450 -
66,100 66,100 -
78,050 78,050 -
30,500 147,000 147,000 -
145,550 145,550 -
34,000 34,000 -
(49,200) - 49,200
101,000 101,000 -
9,000 9,000 9,000 -
253,250 253,250 -
19,000 19,000 -
13,500 13,500 13,500 -
105,000 105,000 105,000 -
110,500 110,500 -
10,000 10,000 -
12,300 12,300 -
123,250 123,250 -
134,400 154,700 20,300
2,800 2,800 -
29,050 29,050 -
54,300 54,300 -
13,500 58,500 58,500 -
36,500 88,850 88,850 -
36,500 101,450 101,450 -
18,500 18,500 -
18,500 18,500 -
52,500 52,500 -
104,800 104,800 -
34,000 34,000 -
144,500 144,500 -
112,250 112,250 -
195,100 195,100 -
43,000 43,000 -
286,550 286,550 -
200,000 1,572,715 1,572,715 -
57,500 345,250 345,250 -
127,500 127,500 -
16,500 16,500 -
16,500 16,500 -
18,900 18,900 -
150,500 246,400 246,400 -
- 108,600 108,600
18,500 18,500 -
80,650 80,650 -
27,500 203,500 203,500 -
146,300 146,300 -
190,000 190,000 -
61,050 61,050 -
34,000 34,000 -
18,500 18,500 -
32,350 32,350 -
34,500 68,500 68,500 -
38,900 38,900 -
78,500 78,500 -
15,500 15,500 -
84,000 84,000 -
116,500 116,500 -
52,400 52,400 -
13,500 82,600 82,600 -
34,000 34,000 -
92,750 92,750 -
34,000 34,000 -
36,500 36,500 -
35,000 35,000 -
47,900 47,900 -
111,880 111,880 -
53,400 53,400 0
94,700 94,700 -
31,500 31,500 -
43,000 43,000 -
370,550 370,550 -
- - -
598,500 - 200,000 7,816,495 7,816,495 5,929,495 4,788,800 1,687,000 200,000
7,816,495
Total
Pendapatan
7,816,495
0

Laborat, PMI Lain-Lain


PA Js Rever 1
Pendp-(visite+PMI) Setor ke KB Visite dokter

2,000 2,000 -
172,715 172,715 -
204,595 204,595 -
83,900 83,900 -
98,100 98,100 -
88,000 88,000 -
165,630 165,630 -
218,000 260,950 260,950 -
70,500 70,500 70,500 -
248,750 619,300 370,550
1,525 1,525 -
72,850 72,850 -
121,600 121,600 -
305,000 305,000 -
65,200 65,200 -
73,525 73,525 -
68,300 68,300 -
75,382 75,382 -
48,900 48,900 -
2,500 2,500 -
87,950 87,950 -
16,500 16,500 16,500 -
60,000 60,000 -
124,950 124,950 -
51,600 51,600 -
82,000 82,000 -
- - -
305,000 - - 2,652,922 2,652,922 2,212,422 2,581,100 440,500
2,652,922
Total
Pendapatan
2,652,922
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

39,000 39,000 -
3,625 3,625 -
71,000 71,000 -
52,500 52,500 -
68,450 68,450 -
40,300 40,300 -
48,500 48,500 -
79,250 79,250 -
18,000 18,000 -
96,500 96,500 96,500 -
- 39,400 39,400
27,000 61,000 61,000 -
167,800 167,800 -
91,500 91,500 91,500 -
116,500 202,000 202,000 -
18,000 18,000 -
52,000 52,000 52,000 -
12,000 12,000 12,000 -
- 34,000 34,000
19,000 19,000 -
205,422 205,422 -
102,700 102,700 -
64,255 64,255 -
114,975 114,975 -
10,000 70,250 70,250 -
81,450 81,450 -
113,000 113,000 113,000 -
13,500 121,525 121,525 -
58,000 58,000 -
34,000 34,000 -
75,600 75,600 -
(100,000) - 100,000
65,750 65,750 -
106,700 106,700 -
18,500 18,500 -
18,500 18,500 -
53,400 53,400 -
34,000 34,000 -
42,700 42,700 -
176,500 176,500 -
140,750 140,750 -
7,250 7,250 -
59,000 59,000 -
235,000 235,000 -
113,250 113,250 -
19,000 19,000 -
6,500 57,000 57,000 -
64,500 64,500 64,500 -
94,905 94,905 -
16,500 16,500 -
34,000 34,000 -
204,050 204,050 -
38,500 38,500 -
66,550 66,550 -
9,000 83,950 83,950 -
91,500 91,500 91,500 -
73,500 145,250 145,250 -
175,000 175,000 -
34,000 34,000 -
58,825 58,825 -
111,200 111,200 -
34,000 34,000 -
34,000 34,000 -
6,500 90,000 90,000 -
34,000 34,000 -
87,000 87,000 -
57,000 118,622 118,622 -
83,450 83,450 -
165,625 165,625 -
162,900 162,900 -
34,000 34,000 -
129,200 129,200 -
134,200 134,200 -
42,225 42,225 -
63,722 63,722 -
77,500 77,500 -
16,000 16,000 -
77,250 77,250 -
34,000 34,000 -
57,500 57,500 -
376,500 376,500 -
34,000 34,000 -
39,500 39,500 -
12,250 12,250 -
8,000 8,000 8,000 -
435,000 3,150,500 3,150,500 -
6,000 6,000 -
8,000 8,000 8,000 -
- - -
856,500 - 435,000 9,557,576 9,557,576 6,714,576 6,425,000 2,408,000 435,000
9,557,576
Total
Pendapatan

9,557,576
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

49,000 49,000 -
(4,500) - 4,500
11,100 11,100 -
94,000 94,000 -
2,100 2,100 -
182,780 182,780 -
13,500 13,500 -
16,500 16,500 -
98,450 98,450 -
74,550 74,550 -
35,350 35,350 -
24,500 24,500 24,500 -
19,000 19,000 -
45,500 45,500 -
27,500 169,750 169,750 -
27,500 61,500 61,500 -
115,500 115,500 -
56,600 56,600 -
6,500 28,000 28,000 -
34,000 34,000 -
101,300 101,300 -
12,000 12,000 12,000 -
12,000 12,000 12,000 -
13,500 125,450 125,450 -
13,500 76,500 76,500 -
86,500 172,250 172,250 -
107,900 107,900 -
96,600 96,600 -
16,500 16,500 -
13,500 169,500 169,500 -
177,350 177,350 -
34,000 34,000 -
34,000 34,000 -
9,000 83,850 83,850 -
129,000 129,000 -
108,750 108,750 -
240,400 240,400 -
87,250 87,250 -
97,000 97,000 -
118,450 118,450 -
103,140 103,140 -
285,125 285,125 -
97,750 97,750 -
159,000 159,000 -
161,500 161,500 -
13,500 115,000 115,000 -
313,000 313,000 -
61,000 61,000 -
53,507 53,507 -
69,500 69,500 -
7,000 7,000 7,000 -
106,500 106,500 106,500 -
24,750 24,750 -
- - -
373,000 - - 4,684,002 4,684,002 3,683,002 3,509,400 1,001,000 -
4,684,002
Total
Pendapatan

4,684,002
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

82,132 82,132 -
105,850 105,850 -
67,850 67,850 -
84,950 84,950 -
69,300 69,300 -
21,000 221,800 221,800 -
293,000 459,450 459,450 -
117,850 117,850 -
321,650 321,650 -
52,000 142,500 142,500 -
12,000 12,000 12,000 -
100,680 100,680 -
12,700 12,700 -
52,000 52,000 52,000 -
18,500 18,500 -
12,000 12,000 12,000 -
30,000 30,000 -
19,000 19,000 -
62,800 62,800 -
109,000 109,000 -
18,000 18,000 -
- 94,000 94,000
62,800 62,800 -
35,300 35,300 -
19,000 19,000 -
- 41,500 41,500
110,050 110,050 -
19,000 19,000 -
19,500 19,500 -
12,300 12,300 -
14,500 14,500 -
21,000 21,000 -
56,500 56,500 -
164,000 164,000 -
34,000 34,000 -
125,410 125,410 -
13,500 13,500 13,500 -
18,500 18,500 -
117,800 117,800 -
12,000 12,000 -
11,000 11,000 -
11,000 11,000 -
11,000 11,000 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
11,000 11,000 -
18,500 18,500 -
147,000 181,000 181,000 -
146,000 146,000 -
191,250 191,250 -
155,450 155,450 -
85,122 85,122 -
108,025 108,025 -
34,000 34,000 -
68,800 68,800 -
140,500 140,500 -
123,400 123,400 -
82,900 82,900 -
63,250 63,250 -
34,000 34,000 -
178,450 178,450 -
151,450 151,450 -
116,625 116,625 -
297,150 297,150 -
34,000 34,000 -
157,322 157,322 -
53,072 53,072 -
104,950 104,950 -
76,500 76,500 76,500 -
6,500 40,500 40,500 -
192,000 192,000 -
34,000 34,000 -
157,550 157,550 -
116,000 116,000 -
168,800 168,800 -
245,000 245,000 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
83,600 83,600 -
39,600 39,600 -
138,600 138,600 -
141,750 141,750 -
114,600 114,600 -
39,600 39,600 -
162,200 162,200 -
183,500 183,500 -
207,250 207,250 -
33,000 226,700 226,700 -
39,600 39,600 -
39,600 39,600 -
73,600 73,600 -
79,200 79,200 -
141,000 141,000 -
39,600 39,600 -
39,600 39,600 -
204,226 204,226 -
86,000 86,000 -
94,500 94,500 -
39,600 39,600 -
74,600 74,600 -
134,450 134,450 -
39,600 39,600 -
39,600 39,600 -
166,500 166,500 -
109,000 109,000 -
91,250 91,250 -
114,970 114,970 -
13,500 13,500 13,500 -
39,600 39,600 -
74,600 74,600 -
79,200 79,200 -
83,500 83,500 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
157,350 157,350 -
18,500 18,500 -
18,500 18,500 -
90,250 90,250 -
34,000 34,000 -
154,000 154,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
168,100 168,100 -
74,600 74,600 -
82,000 82,000 -
39,600 39,600 -
229,226 229,226 -
108,600 108,600 -
74,600 74,600 -
39,600 39,600 -
74,600 74,600 -
79,200 79,200 -
74,600 74,600 -
94,526 94,526 -
164,226 164,226 -
108,600 108,600 -
44,000 44,000 -
39,600 39,600 -
197,226 197,226 -
114,226 114,226 -
78,610 78,610 -
78,850 78,850 -
77,950 77,950 -
96,900 96,900 -
39,600 39,600 -
89,600 89,600 -
168,100 168,100 -
213,600 213,600 -
108,600 108,600 -
191,826 191,826 -
56,100 56,100 -
156,100 156,100 -
39,600 39,600 -
39,200 39,200 -
30,000 30,000 -
52,700 52,700 -
8,000 8,000 8,000 -
106,200 106,200 -
89,000 89,000 -
39,600 39,600 -
64,700 64,700 -
92,000 92,000 -
92,000 92,000 -
43,500 43,500 -
36,000 36,000 -
36,000 36,000 -
36,000 36,000 -
36,000 36,000 -
34,000 34,000 -
57,500 57,500 -
52,500 52,500 -
155,000 155,000 -
63,850 63,850 -
88,500 88,500 -
125,600 125,600 -
189,226 189,226 -
- - -
740,000 - - 15,915,976 15,915,976 12,520,476 11,025,300 3,395,500 -
15,915,976
Total
Pendapatan

15,915,976
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

41,100 41,100 -
47,900 47,900 -
892,150 892,150 -
11,000 11,000 -
39,600 39,600 -
34,300 34,300 -
105,500 105,500 105,500 -
105,500 163,500 163,500 -
11,000 11,000 -
50,750 50,750 -
80,800 80,800 -
25,000 25,000 25,000 -
57,000 57,000 57,000 -
19,000 19,000 -
87,000 87,000 87,000 -
13,500 185,105 185,105 -
(73,500) (73,500) - 73,500
15,000 15,000 -
87,050 87,050 -
115,600 115,600 -
93,250 93,250 -
34,000 34,000 34,000 -
13,500 13,500 13,500 -
55,800 55,800 -
119,425 119,425 -
52,500 52,500 -
50,000 50,000 -
13,500 134,750 134,750 -
211,100 211,100 -
27,500 187,100 187,100 -
5,000 5,000 -
20,000 260,650 260,650 -
3,300 3,300 -
34,000 34,000 -
107,650 107,650 -
104,500 104,500 -
117,250 117,250 -
247,505 247,505 -
34,000 34,000 -
135,150 135,150 -
112,700 112,700 -
173,465 173,465 -
51,450 51,450 -
89,850 89,850 -
66,800 66,800 -
107,850 107,850 -
11,000 11,000 -
156,730 156,730 -
59,900 59,900 -
8,000 8,000 229,800 221,800
127,500 127,500 -
22,000 22,000 -
127,500 127,500 -
31,500 31,500 -
16,500 16,500 -
38,500 38,500 -
11,000 11,000 -
34,000 34,000 -
38,500 38,500 -
38,500 38,500 -
34,000 34,000 -
92,000 92,000 -
36,000 36,000 -
44,550 44,550 -
- - -
436,500 - - 5,525,080 5,525,080 4,567,080 3,454,300 958,000 -
5,525,080
Total
Pendapatan

5,525,080
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

188,250 188,250 -
115,000 115,000 -
124,800 124,800 -
25,500 25,500 -
67,050 67,050 -
3,300 3,300 -
38,428 38,428 -
82,600 82,600 -
144,915 144,915 -
58,000 58,000 -
102,000 102,000 -
59,850 59,850 -
27,500 27,500 27,500 -
13,500 13,500 13,500 -
19,000 19,000 -
19,000 19,000 -
108,865 108,865 -
58,250 58,250 -
43,000 43,000 -
24,800 24,800 -
34,000 34,000 -
13,500 13,500 13,500 -
34,000 34,000 -
61,250 61,250 -
224,750 224,750 -
59,000 59,000 -
70,500 70,500 -
117,250 117,250 -
60,700 60,700 -
13,500 120,950 120,950 -
8,000 8,000 8,000 -
27,000 27,000 27,000 -
132,500 132,500 -
159,700 159,700 -
105,000 105,000 -
18,000 18,000 -
36,500 76,550 76,550 -
110,850 110,850 -
18,500 18,500 -
- 271,700 271,700
58,000 58,000 -
78,300 78,300 -
58,000 58,000 -
34,000 34,000 -
90,700 90,700 -
73,500 73,500 -
77,375 77,375 -
20,000 54,000 54,000 -
58,000 58,000 -
34,000 34,000 -
190,250 190,250 -
45,000 45,000 -
84,000 84,000 -
192,000 192,000 -
51,700 51,700 -
108,750 108,750 -
45,000 45,000 -
84,000 84,000 -
12,000 12,000 12,000 -
32,500 32,500 32,500 -
140,000 140,000 -
- 321,650 321,650
19,850 19,850 -
- - -
204,000 - - 4,396,533 4,396,533 3,449,533 3,590,000 947,000 -
4,396,533
Total
Pendapatan

4,396,533
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

6,250 6,250 -
2,500 2,500 -
45,650 45,650 -
62,000 135,200 135,200 -
87,400 87,400 -
13,500 13,500 13,500 -
13,150 13,150 -
- 43,700 43,700
56,500 56,500 56,500 -
7,500 7,500 -
19,000 19,000 -
51,500 51,500 51,500 -
79,500 79,500 79,500 -
85,500 85,500 -
266,550 266,550 -
40,000 40,000 -
137,750 137,750 -
81,650 81,650 -
148,050 148,050 -
151,250 151,250 -
46,900 46,900 -
35,000 35,000 -
58,000 58,000 -
14,000 14,000 -
101,350 101,350 -
102,700 102,700 -
69,100 69,100 -
128,950 128,950 -
56,200 56,200 -
227,215 227,215 -
9,000 9,000 -
35,000 35,000 -
52,000 52,000 52,000 -
135,200 135,200 -
50,500 50,500 -
205,875 205,875 -
34,000 34,000 -
47,450 47,450 -
16,500 16,500 -
50,500 50,500 -
25,100 25,100 -
13,500 54,050 54,050 -
15,500 15,500 -
33,000 33,000 -
58,000 58,000 -
352,200 352,200 -
127,500 127,500 -
18,900 18,900 -
36,000 36,000 -
90,650 90,650 -
96,400 96,400 -
72,080 72,080 -
8,000 8,000 8,000 -
83,030 83,030 -
119,650 119,650 -
35,680 35,680 -
34,000 34,000 -
76,750 76,750 -
90,000 90,000 -
- - -
336,500 - - 4,330,330 4,330,330 3,362,830 3,217,300 967,500 -
4,330,330
Total
Pendapatan

4,330,330
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

6,500 6,500 6,500 -


59,750 59,750 -
82,300 82,300 -
152,500 152,500 -
56,300 56,300 -
50,550 50,550 -
13,500 205,200 205,200 -
93,500 268,450 268,450 -
93,500 315,150 315,150 -
20,000 20,000 20,000 -
10,000 10,000 -
8,000 8,000 8,000 -
13,500 13,500 -
67,500 67,500 -
13,500 13,500 13,500 -
27,000 27,000 27,000 -
98,500 155,350 155,350 -
7,500 7,500 -
7,050 7,050 -
107,900 107,900 -
25,500 25,500 25,500 -
6,000 6,000 -
464,150 464,150 -
63,082 63,082 -
12,000 12,000 12,000 -
16,500 16,500 16,500 -
2,375 2,375 -
96,850 96,850 -
- 226,700 226,700
- - -
428,000 - - 2,320,457 2,320,457 2,115,457 1,996,400 205,000 -
2,320,457
Total
Pendapatan

2,320,457
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

55,000 55,000 -
14,500 14,500 -
18,250 18,250 -
60,700 60,700 -
58,900 58,900 -
104,550 104,550 -
13,500 13,500 13,500 -
4,150 4,150 -
13,500 13,500 13,500 -
103,000 103,000 -
67,075 67,075 -
73,310 73,310 -
19,500 19,500 -
18,500 18,500 -
18,000 18,000 -
25,500 25,500 -
15,500 15,500 -
18,000 18,000 -
47,500 47,500 -
13,500 55,600 55,600 -
184,500 323,000 323,000 -
115,100 115,100 -
70,800 70,800 -
16,500 16,500 -
102,700 102,700 -
42,500 42,500 -
6,000 6,000 -
113,750 113,750 -
65,750 65,750 -
16,500 16,500 -
109,750 109,750 -
46,650 46,650 -
123,800 123,800 -
34,000 34,000 -
13,500 105,000 105,000 -
30,215 30,215 -
34,000 34,000 -
82,500 82,500 82,500 -
180,500 180,500 -
34,000 34,000 -
65,750 65,750 -
43,000 43,000 -
67,250 67,250 -
100,750 100,750 -
22,000 121,625 121,625 -
34,000 34,000 -
40,000 40,000 -
122,800 122,800 -
41,500 41,500 -
20,000 20,000 20,000 -
105,900 105,900 -
88,200 88,200 -
82,195 82,195 -
13,500 108,300 108,300 -
34,000 34,000 -
119,425 119,425 -
93,500 93,500 -
113,250 113,250 -
27,500 61,500 61,500 -
62,150 62,150 -
49,500 49,500 -
18,000 18,000 18,000 -
13,500 58,500 58,500 -
80,900 80,900 -
6,500 130,500 130,500 -
69,100 69,100 -
111,450 111,450 -
100,500 100,500 -
3,000 3,000 -
12,500 12,500 -
39,600 39,600 -
66,490 66,490 -
191,250 191,250 -
96,750 96,750 -
45,000 294,000 249,000
48,150 48,150 -
70,000 70,000 -
9,000 9,000 -
106,850 106,850 -
34,000 34,000 -
59,400 59,400 -
57,000 57,000 57,000 -
- - -
499,000 - - 5,440,085 5,440,085 4,163,085 4,343,300 1,277,000 -
5,440,085
Total
Pendapatan

5,440,085
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

121,550 121,550 -
85,900 85,900 -
62,500 62,500 -
24,800 24,800 -
10,350 10,350 -
13,500 13,500 13,500 -
144,000 144,000 144,000 -
81,500 81,500 81,500 -
12,000 12,000 12,000 -
190,000 190,000 190,000 -
76,500 190,000 190,000 -
236,040 236,040 -
58,300 58,300 -
78,050 78,050 -
39,450 39,450 -
44,000 44,000 -
34,000 34,000 -
52,900 52,900 -
75,722 75,722 -
95,860 95,860 -
27,000 27,000 27,000 -
20,000 20,000 20,000 -
27,000 27,000 27,000 -
242,500 242,500 242,500 -
88,500 223,200 223,200 -
98,600 98,600 -
137,375 137,375 -
8,330 8,330 -
45,250 45,250 -
176,545 176,545 -
64,500 64,500 64,500 -
(306,250) - 306,250
- - -
987,000 - - 2,414,472 2,414,472 2,010,472 1,419,100 404,000 -
2,414,472
Total
Pendapatan

2,414,472
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

85,450 85,450 -
60,000 60,000 -
69,500 69,500 -
115,000 115,000 -
84,000 84,000 -
84,000 84,000 -
13,500 176,500 176,500 -
191,500 191,500 -
3,700 3,700 -
3,300 3,300 -
13,500 13,500 13,500 -
13,500 147,750 147,750 -
39,600 39,600 -
96,850 96,850 -
77,250 77,250 -
50,500 50,500 -
10,000 10,000 10,000 -
49,220 49,220 -
52,600 52,600 -
18,500 18,500 -
29,000 29,000 29,000 -
19,000 19,000 -
19,500 19,500 -
16,500 16,500 -
20,000 20,000 20,000 -
31,500 31,500 31,500 -
7,600 7,600 -
57,250 57,250 -
37,200 37,200 -
37,750 37,750 -
52,500 52,500 -
112,900 112,900 -
27,000 148,825 148,825 -
102,228 102,228 -
34,250 34,250 -
221,200 221,200 -
34,000 34,000 -
6,500 230,900 230,900 -
185,000 185,000 -
36,500 83,000 83,000 -
13,500 195,850 195,850 -
81,250 81,250 -
57,000 57,000 -
61,400 61,400 -
50,500 132,300 132,300 -
34,000 34,000 -
63,250 63,250 -
200,300 200,300 -
34,000 34,000 -
34,000 34,000 -
118,100 118,100 -
9,000 125,250 125,250 -
34,000 34,000 -
97,950 97,950 -
106,100 106,100 -
13,500 73,450 73,450 -
219,550 219,550 -
119,500 119,500 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
51,750 51,750 -
79,200 79,200 -
118,352 118,352 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
167,250 167,250 -
27,000 108,400 108,400 -
39,600 39,600 -
34,000 34,000 -
125,750 125,750 -
179,250 179,250 -
34,000 34,000 -
147,550 147,550 -
39,600 39,600 -
39,600 39,600 -
34,000 34,000 -
133,100 133,100 -
13,500 47,500 47,500 -
84,000 84,000 -
39,600 39,600 -
114,200 114,200 -
39,600 39,600 -
79,200 79,200 -
74,600 74,600 -
74,600 74,600 -
141,000 141,000 -
129,226 129,226 -
92,950 92,950 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
107,500 107,500 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
34,000 34,000 -
114,200 114,200 -
79,200 79,200 -
158,400 158,400 -
178,200 178,200 -
113,200 113,200 -
74,600 74,600 -
79,200 79,200 -
74,600 74,600 -
79,200 79,200 -
154,000 154,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
39,600 39,600 -
39,600 39,600 -
73,000 73,000 -
79,200 79,200 -
44,300 44,300 -
38,500 38,500 -
90,000 90,000 -
35,000 35,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
67,500 67,500 -
112,850 112,850 -
39,600 39,600 -
18,000 18,000 -
79,500 79,500 79,500 -
- - -
407,500 - - 10,042,101 10,042,101 7,851,601 7,033,900 2,190,500 -
10,042,101
Total
Pendapatan

10,042,101
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

145,000 145,000 -
109,000 109,000 -
58,450 58,450 -
65,600 65,600 -
4,650 4,650 -
11,250 11,250 -
42,150 42,150 -
7,600 7,600 -
57,000 57,000 -
74,932 74,932 -
271,000 271,000 -
118,500 118,500 -
282,000 282,000 -
20,000 63,000 63,000 -
64,500 230,500 230,500 -
48,100 48,100 -
34,500 34,500 -
36,400 36,400 -
98,150 98,150 -
38,200 38,200 -
6,000 6,000 -
67,000 67,000 67,000 -
62,000 62,000 62,000 -
4,700 4,700 -
214,000 386,450 386,450 -
13,500 141,700 141,700 -
165,000 165,000 165,000 -
19,000 19,000 -
78,150 78,150 -
18,500 18,500 -
15,500 15,500 -
46,000 46,000 -
59,500 59,500 -
13,500 256,350 256,350 -
58,000 58,000 -
181,000 181,000 -
34,000 34,000 -
168,150 168,150 -
128,950 128,950 -
27,500 27,500 27,500 -
83,000 83,000 -
47,900 47,900 -
93,250 93,250 -
109,100 109,100 -
34,000 34,000 -
13,500 58,500 58,500 -
58,000 58,000 -
36,500 93,800 93,800 -
76,300 76,300 -
95,650 95,650 -
86,450 86,450 -
191,000 191,000 -
118,875 118,875 -
198,050 198,050 -
67,750 67,750 -
34,000 34,000 -
47,100 47,100 -
81,600 81,600 -
34,000 34,000 -
199,650 199,650 -
34,000 34,000 -
127,400 127,400 -
13,500 108,100 108,100 -
34,000 34,000 -
100,000 100,000 -
50,000 50,000 -
15,500 15,500 -
27,500 161,500 161,500 -
210,400 210,400 -
166,200 166,200 -
72,350 72,350 -
25,500 25,500 -
13,500 13,500 13,500 -
63,000 63,000 -
101,360 101,360 -
9,000 9,000 -
3,300 3,300 -
127,500 127,500 -
127,500 127,500 -
127,500 127,500 -
12,000 12,000 12,000 -
117,250 117,250 -
112,250 112,250 -
298,000 298,000 -
42,750 42,750 -
162,500 162,500 -
- - -
763,500 - - 7,949,767 7,949,767 6,515,267 5,897,100 1,434,500 -
7,949,767
Total
Pendapatan

7,949,767
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

65,500 65,500 -
34,000 34,000 -
34,000 34,000 -
20,000 20,000 -
39,750 39,750 -
27,000 27,000 -
40,400 40,400 -
77,700 77,700 -
2,250 2,250 -
6,600 6,600 -
113,100 113,100 -
13,500 290,000 290,000 -
34,000 34,000 -
85,750 85,750 -
12,000 54,300 42,300
129,300 129,300 -
110,800 110,800 -
52,000 208,350 208,350 -
162,500 162,500 -
132,000 132,000 -
39,600 39,600 -
18,500 18,500 18,500 -
13,500 13,500 13,500 -
13,500 13,500 13,500 -
39,600 39,600 -
6,500 64,500 64,500 -
28,900 28,900 -
16,500 16,500 -
13,500 58,500 58,500 -
148,350 148,350 -
13,500 13,500 13,500 -
44,000 59,500 59,500 -
9,000 9,000 -
70,775 70,775 -
220,900 220,900 -
34,000 34,000 -
168,950 168,950 -
75,400 75,400 -
20,000 20,000 -
156,525 156,525 -
18,500 18,500 -
6,500 100,500 100,500 -
100,000 100,000 -
50,650 50,650 -
71,500 71,500 -
120,500 154,500 154,500 -
67,350 67,350 -
- 3,022,100 3,022,100
- 189,300 189,300
- 474,800 474,800
26,400 26,400 -
46,500 46,500 -
20,800 20,800 -
21,500 21,500 21,500 -
34,000 34,000 -
62,850 62,850 -
77,450 77,450 -
34,000 34,000 -
13,500 92,500 92,500 -
96,900 96,900 -
- 18,000 18,000
13,500 155,550 155,550 -
123,000 123,000 -
232,750 232,750 -
180,500 180,500 -
78,550 78,550 -
188,250 188,250 -
214,000 214,000 -
221,450 221,450 -
62,650 62,650 -
87,750 87,750 -
188,250 188,250 -
188,250 188,250 -
199,930 199,930 -
135,950 135,950 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
154,000 154,000 -
45,000 45,000 -
45,000 45,000 -
84,000 84,000 -
10,000 10,000 -
57,900 57,900 -
34,000 34,000 -
- - -
364,000 - - 6,859,630 6,859,630 5,235,630 8,172,500 1,624,000 -
6,859,630
Total
Pendapatan

6,859,630
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

73,700 73,700 -
77,450 77,450 -
63,000 63,000 -
78,000 78,000 -
16,500 16,500 -
39,500 39,500 -
36,700 36,700 -
26,250 26,250 -
41,350 41,350 -
116,200 116,200 -
12,950 12,950 -
39,200 39,200 -
18,500 18,500 -
80,250 80,250 -
93,650 93,650 -
113,450 113,450 -
79,000 79,000 -
127,200 127,200 -
40,000 40,000 -
239,000 472,875 472,875 -
274,500 274,500 274,500 -
165,500 165,500 165,500 -
29,000 29,000 29,000 -
66,500 66,500 66,500 -
10,000 10,000 -
58,000 58,000 -
18,500 18,500 -
149,450 149,450 -
121,500 121,500 -
215,150 215,150 -
104,350 104,350 -
34,000 34,000 -
142,250 142,250 -
34,000 34,000 -
194,000 194,000 -
226,500 226,500 -
168,000 168,000 -
34,000 34,000 -
98,250 98,250 -
22,500 56,500 56,500 -
13,500 154,600 154,600 -
8,000 8,000 8,000 -
78,050 78,050 -
84,075 163,675 79,600
9,000 9,000 -
110,000 110,000 -
84,900 84,900 -
79,550 79,550 -
88,000 88,000 -
190,500 190,500 190,500 -
(39,600) - 39,600
157,800 157,800 -
34,000 34,000 -
34,000 34,000 -
43,500 43,500 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
55,500 55,500 -
4,500 4,500 -
13,500 13,500 13,500 -
113,950 113,950 -
34,000 34,000 -
34,000 34,000 -
113,700 113,700 -
62,500 62,500 -
202,950 202,950 -
13,500 107,500 107,500 -
- - -
1,036,000 - - 5,874,150 5,874,150 4,705,150 4,186,500 1,169,000 -
5,874,150
Total
Pendapatan

5,874,150
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

49,350 49,350 -
92,500 92,500 -
15,150 15,150 -
65,060 65,060 -
86,076 86,076 -
58,450 58,450 -
12,400 12,400 -
311,250 311,250 -
33,000 33,000 -
13,500 156,150 156,150 -
64,000 64,000 -
28,400 28,400 -
20,550 20,550 -
29,500 114,350 114,350 -
231,450 231,450 -
107,540 107,540 -
4,000 4,000 4,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
8,000 8,000 8,000 -
13,000 13,000 13,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
4,000 4,000 4,000 -
91,450 91,450 -
27,100 27,100 -
25,000 25,000 -
327,100 327,100 -
4,400 4,400 -
57,100 57,100 -
76,726 76,726 -
34,000 34,000 -
59,000 59,000 59,000 -
59,000 59,000 59,000 -
103,476 103,476 -
24,800 24,800 -
- - -
361,000 - - 2,534,828 2,534,828 2,294,328 1,910,600 240,500 -
2,534,828
Total
Pendapatan

2,534,828
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

88,300 88,300 -
226,400 226,400 -
81,500 180,100 180,100 -
81,500 180,100 180,100 -
428,400 428,400 -
82,500 82,500 -
34,300 34,300 -
2,050 2,050 -
43,800 43,800 -
151,975 151,975 -
30,500 88,500 88,500 -
52,000 52,000 52,000 -
40,500 40,500 -
52,000 52,000 52,000 -
11,100 11,100 -
51,000 51,000 51,000 -
15,250 15,250 -
13,500 136,450 136,450 -
47,800 47,800 -
13,000 13,000 13,000 -
13,000 13,000 13,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
9,000 9,000 9,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
9,000 9,000 9,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
4,000 4,000 4,000 -
44,000 44,000 -
109,600 118,950 9,350
19,000 19,000 -
19,522 19,522 -
20,000 20,000 -
16,500 16,500 -
13,500 105,000 105,000 -
18,000 18,000 -
98,500 184,700 184,700 -
89,500 89,500 -
9,150 9,150 -
13,500 58,500 58,500 -
6,500 103,250 103,250 -
10,000 77,750 77,750 -
98,500 248,700 248,700 -
18,500 139,500 139,500 -
13,500 73,200 73,200 -
271,500 271,500 -
10,000 169,000 169,000 -
55,500 55,500 -
48,000 48,000 -
40,025 40,025 -
7,000 7,000 7,000 -
25,000 25,000 -
19,000 19,000 -
18,500 18,500 -
18,500 18,500 -
52,420 52,420 -
68,000 68,000 -
13,500 203,515 203,515 -
13,500 148,750 148,750 -
120,500 176,000 176,000 -
55,200 55,200 -
47,700 47,700 -
37,500 37,500 -
50,600 50,600 -
55,300 55,300 -
81,050 81,050 -
30,350 30,350 -
165,900 165,900 -
172,700 172,700 -
118,750 118,750 -
134,000 134,000 -
132,725 132,725 -
34,000 34,000 -
168,000 168,000 -
166,000 166,000 -
126,500 126,500 -
72,700 72,700 -
373,000 373,000 373,000 -
141,600 141,600 -
40,750 40,750 -
129,850 129,850 -
212,200 212,200 -
27,000 27,000 -
24,750 24,750 -
45,000 45,000 -
34,000 34,000 -
15,500 15,500 -
82,582 82,582 -
122,200 122,200 -
76,750 76,750 -
131,750 131,750 -
- - -
1,414,000 - - 7,917,014 7,917,014 6,682,014 5,258,300 1,235,000 -
7,917,014
Total
Pendapatan

7,917,014
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

56,625 56,625 -
214,900 214,900 -
81,500 217,600 217,600 -
81,500 180,100 180,100 -
37,250 37,250 -
8,500 8,500 -
172,500 172,500 -
1,590 1,590 -
58,050 58,050 -
4,400 4,400 -
44,340 44,340 -
1,500 1,500 -
66,750 66,750 -
190,000 913,700 913,700 -
739,900 739,900 -
- 15,150 15,150
44,500 44,500 -
15,500 15,500 -
44,550 44,550 -
26,500 95,300 95,300 -
47,600 47,600 -
11,100 11,100 -
237,400 237,400 -
108,000 108,000 -
161,250 161,250 -
135,500 135,500 -
9,000 81,750 81,750 -
34,000 34,000 -
35,500 35,500 35,500 -
48,500 48,500 48,500 -
18,500 18,500 -
50,000 50,000 -
27,000 27,000 27,000 -
19,500 19,500 -
91,500 91,500 91,500 -
13,500 208,350 208,350 -
13,500 79,700 79,700 -
47,000 47,000 47,000 -
111,000 111,000 -
13,500 47,500 47,500 -
199,800 199,800 -
71,222 71,222 -
178,325 178,325 -
53,450 53,450 -
34,000 34,000 -
92,500 92,500 -
192,800 192,800 -
131,600 131,600 -
13,500 47,500 47,500 -
20,000 20,000 20,000 -
69,100 69,100 -
53,750 53,750 -
57,000 57,000 -
18,500 18,500 -
106,750 106,750 -
130,525 130,525 -
88,000 88,000 88,000 -
13,500 47,500 47,500 -
91,750 91,750 -
7,250 7,250 -
66,440 66,440 -
12,000 12,000 12,000 -
85,800 85,800 -
134,500 134,500 -
241,000 241,000 -
160,340 160,340 -
154,750 154,750 -
- - -
825,500 - - 7,064,357 7,064,357 5,355,857 4,656,500 1,708,500 -
7,064,357
Total
Pendapatan

7,064,357
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
160,750 160,750 -
91,450 91,450 -
39,400 39,400 -
7,500 7,500 -
29,700 29,700 -
38,250 38,250 -
127,500 127,500 -
127,900 127,900 -
44,900 44,900 -
80,500 80,500 -
190,000 190,000 190,000 -
69,000 69,000 -
20,000 20,000 -
86,000 86,000 86,000 -
74,600 74,600 -
127,500 127,500 -
127,500 127,500 -
127,500 127,500 -
59,000 59,000 59,000 -
13,500 13,500 13,500 -
44,740 44,740 -
85,790 85,790 -
34,300 34,300 -
11,140 11,140 -
101,000 140,500 39,500
49,600 49,600 -
34,000 34,000 -
26,500 88,400 88,400 -
20,000 20,000 20,000 -
13,500 13,500 13,500 -
190,000 190,000 190,000 -
58,000 58,000 -
16,500 16,500 -
13,500 103,750 103,750 -
265,150 265,150 -
13,500 143,150 143,150 -
45,350 45,350 -
34,000 34,000 -
139,575 139,575 -
221,890 221,890 -
13,500 76,400 76,400 -
79,000 79,000 79,000 -
16,500 16,500 -
69,100 69,100 -
127,326 127,326 -
34,000 34,000 -
165,500 165,500 -
57,000 57,000 -
39,600 39,600 -
84,000 84,000 -
34,000 34,000 -
40,000 40,000 -
98,750 98,750 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
138,600 138,600 -
113,200 113,200 -
127,000 127,000 -
59,200 59,200 -
79,200 79,200 -
138,600 138,600 -
188,200 188,200 -
151,650 151,650 -
39,600 39,600 -
39,600 39,600 -
184,900 184,900 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
120,300 120,300 -
76,600 76,600 -
93,500 93,500 -
157,250 157,250 -
54,700 54,700 -
191,250 191,250 -
170,826 170,826 -
39,600 39,600 -
39,600 39,600 -
109,600 109,600 -
39,600 39,600 -
39,600 39,600 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
154,226 154,226 -
13,500 271,500 271,500 -
114,200 114,200 -
99,100 99,100 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
63,250 63,250 -
39,600 39,600 -
39,600 39,600 -
109,000 109,000 -
191,250 191,250 -
158,400 158,400 -
126,750 126,750 -
28,500 28,500 -
192,000 192,000 -
39,600 39,600 -
163,200 163,200 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
148,600 148,600 -
39,600 39,600 -
39,600 39,600 -
113,200 113,200 -
113,200 113,200 -
147,100 147,100 -
102,650 102,650 -
141,250 141,250 -
59,900 59,900 -
46,112 46,112 -
39,600 39,600 -
- 131,750 131,750
34,000 34,000 -
38,500 38,500 -
38,500 38,500 -
38,500 38,500 -
34,000 34,000 -
34,000 34,000 -
58,700 58,700 -
34,000 34,000 -
9,000 9,000 -
45,000 45,000 -
34,000 34,000 -
34,000 34,000 -
44,500 44,500 -
45,000 45,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -

- - -
731,500 - - 11,892,325 11,892,325 9,163,325 8,887,700 2,729,000 -
11,892,325
Total
Pendapatan

11,892,325
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

208,400 208,400 -
87,675 87,675 -
38,500 38,500 -
6,000 6,000 -
39,600 39,600 -
77,935 77,935 -
44,450 44,450 -
1,200 1,200 -
34,300 34,300 -
47,000 47,000 47,000 -
49,600 49,600 -
13,500 156,750 156,750 -
15,500 15,500 -
91,250 91,250 -
65,200 65,200 -
75,000 75,000 -
34,000 34,000 -
81,500 81,500 -
13,500 47,500 47,500 -
13,500 75,750 75,750 -
165,625 165,625 -
42,000 42,000 -
62,500 62,500 -
109,442 109,442 -
29,900 29,900 -
13,500 58,500 58,500 -
69,100 69,100 -
146,325 146,325 -
34,000 34,000 -
130,700 130,700 -
34,000 34,000 -
82,195 82,195 -
84,000 84,000 -
104,000 104,000 -
6,500 161,500 161,500 -
85,600 85,600 -
- 1,748,500 1,748,500
- 290,000 290,000
39,000 39,000 -
58,000 58,000 -
119,500 119,500 -
67,000 85,500 85,500 -
88,660 88,660 -
58,000 58,000 -
110,050 110,050 -
26,000 26,000 26,000 -
139,610 139,610 -
84,350 84,350 -
19,650 19,650 -
32,000 32,000 32,000 -
169,500 720,200 720,200 -
4,000 4,000 -
83,700 83,700 -
39,600 39,600 -
11,700 11,700 -
6,400 6,400 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
73,500 73,500 73,500 -
10,000 10,000 -
163,500 163,500 -
34,000 34,000 -
93,100 93,100 -
39,500 39,500 -
105,200 105,200 -
45,000 45,000 -
34,000 34,000 -
187,500 187,500 -
13,000 13,000 13,000 -
135,600 135,600 -
22,140 22,140 -
56,000 193,600 193,600 -
117,408 117,408 -
34,000 34,000 -
102,150 102,150 -
139,050 139,050 -
122,700 122,700 -
92,200 92,200 -
45,000 45,000 -
127,500 127,500 -
127,500 127,500 -
45,500 45,500 45,500 -
125,000 125,000 -
127,500 127,500 -
76,100 76,100 -
30,000 51,700 51,700 -
- - -
620,000 - - 7,021,365 7,021,365 5,529,365 6,904,100 1,492,000 -
7,021,365
Total
Pendapatan

7,021,365
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

105,500 105,500 -
50,000 50,000 -
928,850 928,850 -
58,400 58,400 -
36,500 36,500 -
9,500 9,500 -
1,000 1,000 -
16,700 16,700 -
47,000 47,000 47,000 -
100,800 190,750 89,950
46,500 46,500 -
120,600 120,600 -
59,800 59,800 -
157,950 157,950 -
78,200 78,200 -
47,000 139,000 139,000 -
18,500 18,500 -
34,000 49,500 49,500 -
13,500 204,900 204,900 -
16,500 16,500 -
16,500 16,500 -
19,000 19,000 -
58,000 58,000 -
27,676 27,676 -
- 7,100 7,100
9,000 43,000 43,000 -
6,500 199,750 199,750 -
13,500 182,350 182,350 -
98,700 98,700 -
74,500 74,500 -
34,000 34,000 -
16,500 16,500 -
13,500 47,500 47,500 -
13,500 255,250 255,250 -
13,500 178,850 178,850 -
73,500 107,500 107,500 -
233,250 233,250 -
34,000 34,000 -
216,000 216,000 -
149,750 149,750 -
6,500 6,500 6,500 -
6,500 6,500 6,500 -
5,850 5,850 -
141,700 141,700 -
103,850 103,850 -
19,500 19,500 -
34,000 34,000 -
286,545 286,545 -
88,000 88,000 -
88,000 88,000 -
109,425 109,425 -
- 9,000 9,000
141,775 141,775 -
89,575 89,575 -
36,500 134,950 134,950 -
114,300 114,300 -
154,000 154,000 -
84,000 84,000 -
182,600 182,600 -
204,100 204,100 -
50,700 50,700 -
44,000 44,000 -
23,500 23,500 -
85,500 185,700 185,700 -
93,500 93,500 93,500 -
11,000 11,000 -
13,500 13,500 13,500 -
6,000 6,000 -
92,900 92,900 -
7,000 7,000 0
- - -
526,500 - - 6,760,746 6,760,746 5,386,246 4,156,700 1,374,500 -
6,760,746
Total
Pendapatan

6,760,746
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

87,350 87,350 -
265,000 265,000 -
55,750 55,750 -
11,100 11,100 -
34,300 34,300 -
13,500 57,100 57,100 -
85,100 178,000 92,900
16,750 16,750 -
- 70,700 70,700
13,500 13,500 13,500 -
- 7,000 7,000
6,500 6,500 6,500 -
33,600 33,600 -
34,000 34,000 -
68,700 68,700 -
88,800 88,800 -
97,700 97,700 -
92,500 92,500 -
8,000 90,800 90,800 -
88,375 88,375 -
20,000 20,000 20,000 -
18,500 18,500 -
29,250 29,250 -
1,350 1,350 -
14,500 68,600 68,600 -
10,000 10,000 -
13,500 47,500 47,500 -
94,300 94,300 -
38,000 38,000 -
69,276 69,276 -
172,015 172,015 -
10,000 44,000 44,000 -
13,500 80,000 80,000 -
47,550 47,550 -
48,500 89,000 89,000 -
34,000 34,000 -
58,000 58,000 -
104,950 104,950 -
48,600 48,600 -
34,000 34,000 -
75,500 82,800 7,300
169,915 169,915 -
20,000 192,600 192,600 -
10,000 10,000 -
16,500 16,500 -
23,000 23,000 -
131,750 131,750 -
29,050 29,050 -
18,500 18,500 -
42,600 42,600 -
34,000 34,000 -
115,915 115,915 -
88,000 88,000 -
16,500 16,500 -
18,500 18,500 -
3,000 3,000 -
166,505 166,505 -
127,000 127,000 -
12,000 67,000 67,000 -
83,500 239,500 239,500 -
177,500 177,500 -
- 58,400 58,400
- 45,450 45,450
73,500 222,450 222,450 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
38,500 38,500 -
92,500 92,500 -
- - -
350,500 - - 4,588,101 4,588,101 3,565,601 3,305,300 1,022,500 -
4,588,101
Total
Pendapatan

4,588,101
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

79,750 79,750 -
82,100 82,100 -
73,400 73,400 -
64,000 64,000 -
17,370 17,370 -
39,200 39,200 -
31,000 31,000 31,000 -
34,500 34,500 34,500 -
76,400 76,400 -
2,200 2,200 -
15,000 15,000 -
48,250 48,250 -
565 565 -
93,500 178,200 178,200 -
52,000 52,000 52,000 -
31,500 31,500 -
4,600 4,600 -
44,100 44,100 -
4,000 4,000 -
68,150 68,150 -
12,950 12,950 -
13,500 121,200 121,200 -
136,450 136,450 -
127,700 127,700 -
1,525 1,525 -
134,300 134,300 -
59,500 59,500 59,500 -
- 15,100 15,100
63,270 63,270 -
82,300 82,300 -
13,500 102,200 102,200 -
13,500 143,500 143,500 -
58,200 58,200 -
- 9,500 9,500
15,500 85,350 85,350 -
97,600 97,600 -
7,000 7,000 7,000 -
6,500 6,500 6,500 -
8,000 8,000 8,000 -
6,500 6,500 6,500 -
59,000 59,000 59,000 -
- - -
413,500 - - 2,259,330 2,259,330 1,899,330 1,443,800 360,000 -
2,259,330
Total
Pendapatan

2,259,330
-

Laborat, PMI Lain-Lain


PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

46,600 46,600 -
77,500 77,500 -
114,000 114,000 114,000 -
22,000 22,000 -
14,300 14,300 -
2,000 2,000 -
144,700 144,700 -
850 850 -
36,250 36,250 -
21,600 21,600 -
25,900 25,900 -
8,150 8,150 -
13,500 13,500 13,500 -
102,850 102,850 -
97,350 97,350 -
80,900 80,900 -
25,000 25,000 -
27,500 27,500 27,500 -
42,800 42,800 -
119,100 119,100 -
16,500 16,500 -
9,000 9,000 -
189,300 189,300 -
18,000 18,000 -
13,500 13,500 13,500 -
38,000 38,000 -
55,500 55,500 -
50,500 50,500 -
67,900 67,900 -
25,500 25,500 -
9,000 9,000 -
160,970 160,970 -
46,500 194,200 194,200 -
50,500 50,500 -
51,100 51,100 -
97,900 97,900 -
94,600 94,600 -
119,425 119,425 -
34,000 34,000 -
107,650 107,650 -
84,300 84,300 -
34,000 34,000 -
105,300 105,300 -
58,000 58,000 -
19,500 19,500 -
75,500 75,500 75,500 -
141,500 141,500 -
236,000 236,000 -
192,600 192,600 -
50,500 50,500 -
34,000 34,000 -
70,500 70,500 -
18,500 18,500 -
16,500 16,500 -
239,600 239,600 -
80,900 80,900 -
58,000 58,000 -
18,500 18,500 -
68,000 68,000 68,000 -
78,500 78,500 -
116,500 116,500 116,500 -
13,500 32,500 32,500 -
20,000 20,000 -
34,000 34,000 -
33,600 33,600 -
84,500 118,500 118,500 -
64,500 64,500 64,500 -
110,850 110,850 -
13,500 248,100 248,100 -
134,000 134,000 -
71,800 71,800 -
45,000 45,000 -
48,900 48,900 -
129,400 129,400 -
173,000 173,000 -
13,500 13,500 13,500 -
- 64,000 64,000
65,000 65,000 -
13,500 13,500 13,500 -
9,000 9,000 -
86,500 425,800 425,800 -
44,500 44,500 -
13,500 185,550 185,550 -
58,000 58,000 -
129,850 129,850 -
167,450 167,450 -
171,875 171,875 -
161,945 161,945 -
51,250 51,250 -
89,800 89,800 -
34,000 34,000 -
63,250 63,250 -
165,550 165,550 -
106,350 106,350 -
52,000 52,000 52,000 -
3,900 3,900 -
38,800 38,800 -
39,200 39,200 -
96,350 96,350 -
8,500 8,500 -
19,250 19,250 -
35,300 35,300 -
32,500 32,500 -
- - -
830,000 - - 7,768,715 7,768,715 6,158,215 5,751,600 1,610,500 -
7,768,715
Total
Pendapatan

7,768,715
-
Laborat, PMI Lain-Lain
PA Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

116,000 116,000 -
670,400 670,400 -
60,500 60,500 -
42,000 906,570 906,570 -
18,500 18,500 -
12,000 27,500 27,500 -
37,000 37,000 -
16,650 16,650 -
19,150 19,150 -
20,000 20,000 20,000 -
126,850 126,850 -
130,700 130,700 -
90,750 90,750 -
172,050 172,050 -
- 1,762,000 1,762,000
23,300 23,300 -
55,075 55,075 -
38,000 38,000 -
58,000 58,000 -
11,300 11,300 -
58,000 58,000 -
36,500 36,500 36,500 -
93,500 93,500 -
107,500 107,500 -
13,500 90,700 90,700 -
6,500 90,000 90,000 -
13,500 47,500 47,500 -
18,500 18,500 -
13,500 58,500 58,500 -
69,100 69,100 -
19,500 19,500 -
6,500 224,700 224,700 -
73,500 216,900 216,900 -
197,950 197,950 -
10,000 60,500 60,500 -
34,000 34,000 -
9,000 88,500 88,500 -
- 550,000 550,000
106,750 106,750 -
149,850 149,850 -
113,750 113,750 -
89,500 89,500 89,500 -
89,500 89,500 89,500 -
198,600 198,600 -
117,250 117,250 -
30,000 64,000 64,000 -
100,800 100,800 -
39,625 39,625 -
81,250 81,250 -
86,000 86,000 -
52,500 52,500 -
2,200 2,200 -
70,250 70,250 -
36,200 36,200 -
93,750 93,750 -
124,950 124,950 -
13,250 13,250 -
50,250 50,250 -
112,000 112,000 -
220,000 220,000 -
18,800 18,800 -
35,500 75,500 75,500 -
- - -
501,000 - - 6,216,670 6,216,670 4,835,670 5,275,700 1,381,000 -
6,216,670
Total
Pendapatan

6,216,670
-
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 01 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

1 1 089658 Fitri Wulandari 5,386 93,250 4,000


2 098003 Sugeng Riyadi 4,318 63,000 3,000 12,500
3 102678 Kartinah 6,545 156,000 4,000
4 082398 Herlin Anggita - 59,500 24,500 4,000
5 001604 Samsiah 14,000 238,000 4,000
6 101882 Sayum - 34,000 4,000
7 066905 Nathania Kayla Y 2,200 27,500 12,200 3,000 12,500
8 070944 RM. Fx Yitno 162,273 1,785,000
9 060461 Sr. Marieta 1,909 10,500 10,500
10 006139 Sr. Silvi 23,045 50,700 202,800
11 012734 Indah Suliatin 400 4,400
12 066959 Olivia Atmaja - 88,000 4,000 20,000
13 100784 Sri Asfirotun 7,200 79,200
14 075096 Agus Dwi N 1,105 12,150
15 022733 Dartomo 221,250 16,932 4,000
16 107659 Maria Susanto 90,250 5,114 4,000
17 107984 Muhamad Fadel 180,500 15,000 3,000 12,500
18 106495 Esti Khoriah 9,000 - 4,000
19 075288 Sukarman 34,000 - 4,000
20 090899 Mutmainah 34,000 - 4,000
21 107907 Siti Maryani 38,000 - 2,000
22 104329 Marfungah 58,000 - 2,500
23 009842 Daniel Wage 91,500 -
24 107981 Sukijah 119,500 -
25 107977 Jumiati 13,500 -
26 042216 Riyanti 156,000 11,091 4,000
27 107985 Sukirno 115,000 4,500 3,000 12,500
28 082803 Bambang Sumarji 151,050 - 4,000 25,000
29 107628 Moh Kodiran 69,900 3,173 4,000
30 080497 Nuri Sapto B 170,100 12,373 4,000
31 103090 Panca Adi 34,000 - 4,000
32 058417 Tri Astuti 47,500 - 4,000
33 107050 Suhartiningsih 58,500 - 4,000
34 107989 Dono Wilopo 115,876 9,125 3,000 12,500
35 104044 Muryati 53,750 3,477 3,000 12,500
36 105847 Siti Khoirul 113,500 7,227 4,000
37 107992 Suwarti 32,000 -
38 087423 Kainah 86,200 4,655 4,000
39 107827 Turyono 290,450 23,223 4,000
40 107987 Mustinah 87,475 6,543 3,000 12,500
41 028096 Saminah 18,500 - 2,000
42 005979 Titis Eko 19,500 955 4,000
43 105014 Marsiyem 40,000 545 4,000
44 017739 Bambang S 13,500 -
45 107727 Jasiman 220,750 15,750 4,000
46 104516 Naufal Aqila 39,150 - 4,000 20,000
47 107997 Eko Wahyu 132,850 5,941 3,000 12,500
48 083842 Wahyu Dwi 9,000 818
49 107994 Iwan Darmawan 214,915 - 4,000 20,000
50 107995 Udin Prayitno 206,065 - 4,000 20,000
51 107993 Sugeng Riyadi 122,400 - 4,000 20,000
52 016928 Sarjono 20,000 -
53 019740 Poniyah 39,600 3,600
54 108009 Judit Fairus 138,900 9,536 4,000
55 107996 Cokro Suwito 63,850 - 4,000 20,000
56 075718 Yuyun R 192,900 13,445 4,000
57 095862 Budiman 39,600 3,600
58 059150 Yani Riyani 74,600 6,782
59 093087 Evit 39,600 3,600
60 107978 Dika Fajar 134,000 9,091 4,000
61 095575 Gian Deska 231,500 -
62 108007 Dulah Hadi 140,500 9,682 4,000
63 102869 Ratminah 165,600 11,964 4,000
64 106907 Indriati 153,150 10,832 4,000
65 045903 Payem 51,500 1,591 4,000
66 089519 Suparman 123,600 8,145 4,000
67 100675 Meli Gandi 108,600 6,782 4,000
68 105799 Theresia Yesi 39,600 3,600
69 108006 Miswan 73,360 3,578 4,000
70 107574 Mariyana 145,000 5,545 4,000
71 064623 RSU Purwogondo 125,400 9,127
72 105919 Samirah 67,000 -
73 057390 Kurnia Putri 118,800 10,800
74 108005 Ruliati 108,600 6,782 4,000
75 108003 Karni 98,700 5,882 4,000
76 107389 Desi Ekasari 113,200 7,200 4,000
77 107996 Nining Agiya 74,600 6,782
78 107868 Citra Puspitasari 111,000 2,455 4,000
79 107982 Umi Ngatikoh 98,700 5,882 4,000
80 077802 Dewi Restya 246,695 14,790 4,000
81 103079 Punti Bela 39,600 3,600
82 064439 Sumini 39,600 3,600
83 107381 Hartinah 281,650 7,423
84 046832 Surip Sukuriyah 39,600 3,600
85 105308 Nurul Fransiska 39,600 3,600
86 081421 Bunga Patria 39,600 3,600
87 098200 Saras Anggraeni 221,100 17,009 4,000
88 060651 Wahyuni 35,000 3,182
89 101642 Meita Ardiani 79,200 7,200
90 069012 Pariyah 39,600 3,600
91 088188 Riyanah 39,600 3,600
92 107728 Lia Indriyani 188,500 13,045 4,000
93 083035 Teguh Ambarwati 39,600 3,600
94 107988 Supli efendi 103,150 6,286 4,000
95 080317 Isnaeni 79,200 7,200
96 098787 Musripah 39,600 3,600
97 107986 As Rizal 138,600 9,509 4,000
98 107380 Farham Ibnu 102,700 6,245 4,000
99 105329 Siti Altiyah 126,750 3,886 4,000
100 103493 Yatinah 39,600 3,600
101 060483 Yulaika Ratna 79,200 7,200
102 106430 Irnia Widia 39,600 3,600
103 084322 Ari Setyoningrum 89,600 8,145
104 107589 Siti Munasihatun 94,450 4,495 4,000
105 062232 Tyas Satria 74,600 6,782
106 062401 Tri Murtiningsih 79,200 7,200
107 035979 Siti Murwani 113,200 7,200 4,000
108 107980 Andri Kurniawan 108,600 6,782 4,000
109 107739 Natalia Wasis 156,000 10,091 4,000
110 107999 Hesy Indah 176,600 8,418 4,000
111 108001 Ulfa Alfanila 138,600 9,509 4,000
112 108004 Restu Zaika 138,050 - 4,000 20,000
113 107979 Suparni 138,600 9,509 4,000
114 108002 Ika Indriani 56,050 - 4,000 20,000
115 107998 Suswati 126,750 3,886 4,000
116 107718 Panggung Riyanti 87,750 3,886 4,000
117 047873 Kusumoningtyas 39,600 3,600
118 039639 Iriani 79,200 7,200
119 074669 Fitriyani 39,600 3,600
120 094473 Sri Aminah 79,200 7,200
121 106750 Heni Rahmawati 39,600 3,600
122 103074 Siti Fatonah 79,200 7,200
123 088302 Puji Saryani 124,250 3,659 4,000
124 107280 Suswartinah 207,650 11,241 4,000
125 106599 Mutiarti 126,750 3,886 4,000
126 076418 Sudiarsih 396,100 1,555 4,000
127 107847 Tri Hastuti 84,000 - 4,000
128 075859 Susilowati 34,000 - 4,000
129 052285 Ranti Desi 84,000 - 4,000
130 074150 Ivon 84,000 - 4,000
131 095113 Ratni 84,000 - 4,000
132 Meterai 6,000 - 6,000
133 071715 Banyu S 52,000 -
134 107443 Tjan Ek Nio 147,500 8,636 4,000
135 082614 Risa Nurlina 119,022 - 4,000 20,000
136 025818 Lasikun 338,000 21,545 4,000
137 107834 Trisna Sucipto 222,750 16,159 4,000
138 106733 Maryani 162,000 11,636 4,000
139 107721 Tri Suparyantini 73,000 3,545 4,000
140 107791 Yuyun 9,000 - 4,000
141 Rambo Wahyudi 906,600 - 906,600
142 108010 Sarijem 51,500 1,591 4,000
143 107626 Karto Suwito 58,500 273 4,000
144 107751 Natalia 9,000 - 4,000
145 011757 Wagiyah 55,525 5,048
146 108008 Lili Windarwati 22,000 -
147 108011 Tursiyah 53,132 - 4,000 20,000
148 107731 Panggung Riyanti 9,000 - 4,000
149 048171 Satiyem 78,000 - 4,000 20,000
150 107792 Acip Permana 87,750 3,886 4,000
151 100350 Francisco 192,650 14,423 4,000
152 107990 Anton Kuswantoro 5,341 74,250 3,000 12,500
153 107991 Sodiatun 4,477 64,750 3,000 12,500
-
14,328,365 - 918,889 742,950 906,600 - - 312,250 - 2,035,000 - 390,500 125,000 - 245,000

Jurnal Umum 14,328,365


Kas dari Kassa 14,329,000
Selisih Kas 635

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 02 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
2 1 108014 Putri Nayla - 179,300 4,000 20,000
2 046357 Sawiyem - 37,300 4,000 20,000
3 008949 Suniah - 11,140
4 076610 Bonifasia Evi - 6,950
5 Sakinem 360,000 - 170,000
6 Sri Asrilotun 79,200 - 79,200
7 055536 Musinah 102,900 - 4,000 20,000
8 108021 Winardi 83,800 - 4,000 20,000
9 076490 Heru Sucipto 31,500 -
10 108020 Lanita Kuwina 175,050 - 4,000 20,000
11 108018 Rizal F 48,500 - 4,000 20,000
12 108017 Maulana Rahmat 48,500 - 4,000 20,000
13 108019 Edi Susanto 92,450 - 4,000 20,000
14 108016 Yono 169,350 - 4,000 20,000
15 103529 San Rusdi 84,050 - 4,000 20,000
16 171319 Joko S 13,500 -
17 097865 Mardikem 139,082 - 4,000 20,000
18 Agus Dwi N 12,150 - 12,150
19 Meterai 24,000 - 24,000
20 016928 Sarjono - 4,600
-
1,464,032 - - 201,990 91,350 - - - - 37,300 - 238,000 - - 220,000

Jurnal Umum 1,464,032


Kas dari Kassa 1,464,000
Selisih Kas (32)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 03 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

3 1 106598 Sri Kundari 2,455 1,353,500 4,000


2 086791 Aji Purwono 11,441 253,850 3,000
3 086790 Rahmat Subagyo 259 88,350 3,000
4 022229 Titik Dwiyanti 3,941 58,850 3,000
5 011136 Yosepha I 986 19,850 4,000
6 107303 Yuni A 8,168 105,350 3,000 12,500
7 087322 Dwi Indra A - 84,000 4,000
8 108025 Limaya - 193,850 4,000 20,000
9 084663 Fauza Leo 16,500 - 2,000
10 108028 Asmiatun 111,600 - 4,000 20,000
11 016928 Sarjono 13,200 782 4,600
12 087338 Nita Ratnasari 16,500 1,500
13 096745 Elin 16,500 -
14 107916 Siti Parlinah 75,450 - 4,000 20,000
15 005646 Sri Susilowati 6,000 545
16 108024 Fajriani Celina 93,150 - 4,000 20,000
17 083359 Adelia Indah 100,750 - 4,000 20,000
18 Puji Supangat 20,000 -
19 098655 Harti Sulistyodari 19,500 955 4,000
20 Suniah 11,140 - 11,140
21 050935 Dalu Rahayu E 39,600 3,600
22 107863 Nela Destina 9,000 - 4,000
23 107864 Nela Destina By 9,000 - 4,000
24 107907 Siti Maryani 38,000 - 2,000
25 102265 Gani A 16,500 - 2,000
26 061652 Beti subekti 18,000 - 2,000
27 000211 Go You Lam 18,500 - 2,000
28 108030 Karsinah 105,000 8,136 3,000 12,500
29 107756 Sudarmi 83,380 1,762 4,000
30 105625 Siti asiyah 116,250 7,386 4,000
31 049784 Mohamad Dimyati 84,950 3,314 4,000
32 107718 Panggung Riyanti 51,700 609 4,000
33 104141 Pacela Agustina 95,100 1,009 4,000
34 108039 Adminah 210,750 11,523 4,000
35 107596 Cokro 31,500 -
36 090565 Antonius Rudi 86,250 - 4,000 20,000
37 015732 Eni Kurniasih 3,050 277
38 009648 Sri Purwanti 34,000 - 4,000
39 044550 Sulaswi 61,700 4,200 3,000 12,500
40 046323 Werdiasih 85,500 - 2,500
41 106269 Ajeng Ratna 76,000 3,818 4,000
42 107728 Lia Indriyani 76,500 2,864 4,000
43 107589 Siti Munasihatun 51,700 609 4,000
44 079770 Hartati 222,500 12,591 4,000
45 103131 Sunardi 111,200 7,018 4,000
46 068075 Wiji Indah 34,000 - 4,000
47 106254 Murah 71,750 2,114 4,000
48 107880 Rasini 216,000 16,545 4,000
49 022524 dr. Nrimanto 156,750 14,250
50 040636 Suparmin 98,500 - 2,500
51 108041 Marsiti 84,000 - 4,000
52 056397 Fita Martiyana 84,000 - 4,000
53 086726 Dewi Kartikasari 84,000 - 4,000
54 060565 Sri Rahayu 84,000 - 4,000
55 100426 Hayu Lestari 84,000 - 4,000
56 075718 Yuyun R 45,000 - 4,000
57 108035 Sainah 87,500 4,864 4,000
58 042648 Farida Agustin 148,850 10,441 4,000
59 108037 Herlina Novi 146,750 11,932 3,000
60 017609 Fx. Satriyo 196,700 14,791 4,000
61 108033 Kartuti 84,750 4,614 4,000
62 086511 Christian 50,500 - 2,500
63 107243 Misem 221,100 11,964 4,000
64 103810 Sunarjo 58,500 - 4,000
65 108042 Fadila 50,500 - 2,500
66 108038 Yusnia Cahyani 60,000 4,045 3,000 12,500
67 096482 Niken Kristianti 5,500 500
68 108043 Melisa 47,900 - 4,000 20,000
69 056267 Raditya Akbar 16,500 - 16,500 3,000
70 108010 Sarijem 138,500 -
71 107878 Sudiyati 34,000 - 4,000
72 107895 Pinuji Rahayu 102,350 6,214 4,000
73 024772 Sujimah 34,000 - 4,000
74 107939 Aminah 269,350 20,168 4,000
75 087331 San Mureja 105,300 6,391 4,000
76 057001 Lani Herawati 47,500 - 4,000
77 049069 Suratiyah 90,275 5,025 4,000
78 013490 Mingin 181,750 12,205 4,000
79 108036 Sri Rejeki 59,000 - 4,000
80 101972 Kustio Wanto 34,000 - 4,000
81 Pengobatan dokte 88,400 - 88,400
82 Suratmin 360,000 - 170,000
83 Meterai 6,000 - 6,000
-
6,003,395 - 245,810 403,050 104,140 - - 1,754,550 - 16,500 - 423,000 50,000 - 140,000

Jurnal Umum 6,003,395


Kas dari Kassa 6,004,200
Selisih Kas 805

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 04 Juni 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

4 1 095981 Sri Kusumaningsih 1,582 32,900 3,000 12,500


2 063622 dr. Daroji 1,318 14,500
3 083846 Fitriyani 2,000 22,000
4 046023 Linda Marca - 118,500
5 107948 Budi Santoso 10,000 -
6 094316 Sakti Andika 119,325 - 4,000 20,000
7 Wiwi 14,500 1,318
8 073175 Pasien Luar 1,500 136
9 088095 Rahman Ardiansy 85,400 - 4,000 20,000
10 108016 Sarijem 190,000 -
11 003061 Umi Wadingah 22,800 2,073
12 108045 Tri Anti Dewi 88,900 - 4,000 20,000
13 108035 Sainah 55,500 -
14 046504 Stephanus 116,500 -
15 108036 Sri Rejeki 13,000 - 3,000
16 Natalia Wasis 70,000 -
17 106263 Edi Asta 163,025 10,820 4,000
18 078376 Wilson Ivan 81,750 - 4,000 20,000
19 007546 Eri A 12,000 -
20 087338 Nita Ratna 2,900 264
21 106961 Riyanti 281,650 7,423
22 108029 Beni Sanota 320,850 25,077 4,000
23 107793 Any 242,500 - 4,000
24 107617 Saidah 110,000 -
25 108040 Ripnondo 127,500 - 2,500
26 060799 Wagiyah 36,200 3,291
27 108031 Dodik Wahyu 66,500 -
28 107996 Cokro 512,500 18,318
29 016928 Sarjono 52,850 4,805
30 088826 Budi Winoto 235,200 18,200 4,000
31 080080 Honefran Dresco 46,950 - 4,000 20,000
32 096876 Satijo 34,000 - 4,000
33 107997 Eko Wahyu 8,000 -
34 107902 Manisah 111,050 7,005 4,000
35 055666 Tan Hwa Nio 194,775 - 4,000 20,000
36 100843 Daliyah 18,500 - 2,000
37 005629 Kusnowati 34,000 - 4,000
38 107953 Joko Prasetyo 74,150 4,423 3,000 12,500
39 005980 Chatarina Sri W 10,600 964
40 099464 Tri Hidayatul 20,000 -
41 101976 Faiz Putra 16,500 - 2,000
42 108056 Muhamad Nurdin 73,750 1,659 3,000 12,500
43 107867 Fransisco 18,500 - 2,000
44 093778 Mad Kusni 90,050 6,777 3,000 12,500
45 000084 Agus 61,000 -
46 107994 Iwan Darmawan 51,650 2,377 3,000 12,500
47 107365 Samirah 19,000 - 2,000
48 003578 Farlin Hanif 85,400 6,355 3,000 12,500
49 107907 Siti Muryani 38,000 - 2,000
50 100583 Sunanto Efendi 75,750 659 4,000
51 108054 Mujiono 136,520 4,275 4,000
52 108055 Ami Kustriyati 165,225 3,693 4,000
53 Sakinem 100,000 - (100,000)
54 149819 Fitri 39,600 3,600
55 078003 Haryanto 46,500 - 4,000 20,000
56 014437 H Prio N 10,000 - 2,000
57 Syukur P 16,500 - 2,000
58 107703 Saliyem 131,375 8,852 4,000
59 008124 Reben 206,625 15,602 4,000
60 39839 Adi Broto 34,250 3,114
61 061836 Parinah 18,500 - 2,000
62 107549 Samsudin 97,625 5,784 4,000
63 047832 Ari Martani 74,550 - 4,000 20,000
64 149820 Dwi 7,250 659
65 149821 Sholeh 39,600 3,600
66 149822 dr. Nrimanto 68,500 6,227
67 Sodiatun 64,750 - 64,750
68 Anton Kuswantoro 74,250 - 74,250
69 035541 Fani Veliana 59,100 - 4,000 20,000
70 108062 Asep Priyanto 109,850 - 4,000 20,000
71 Meterai 3,000 - 3,000
-
5,518,045 100,000 182,250 155,000 139,000 - - 32,900 - - - 34,500 75,000 - 200,000

Jurnal Umum 5,418,045


Kas dari Kassa 5,418,800
Selisih Kas 755

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 05 Juni 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

5 1 108058 Darmadi - 187,000


2 061200 Catur Aiwa U - 25,500
3 047299 Angelica Krisanta - 60,150 4,000 20,000
4 108071 Wury Rezeki W 34,000 - 4,000 20,000
5 108070 Firza 100,250 - 4,000 20,000
6 Siti M 11,050 -
7 085666 Findi 31,500 - 4,000
8 149826 Lely 4,200 382
9 104404 Natanael Rafel 143,900 6,900 8,000
10 095575 Gian Deska A 146,300 7,118 8,000
11 099464 Tri Hidayatul 71,500 3,409 4,000
12 011757 Wagiyah 36,200 3,291
13 105384 Maryanto 25,000 2,273
14 074284 Robert 34,000 - 4,000
15 107794 Ajeng Ratna By 34,000 - 4,000
16 104031 Satria Pratama 34,000 - 4,000
17 100816 Daffa Drajad 34,000 - 4,000
18 059865 Suhartini 139,500 -
19 059351 Sangadi 64,100 - 4,000 20,000
20 Kusmiyati 850,000 -
21 005976 Alipah 6,000 -
22 028175 Imam Arifin 85,450 -
23 027361 Samini 44,250 -
24 079055 Fregard 191,040 - 4,000 20,000
25 108076 Supinah 84,800 - 4,000 20,000
26 108075 Dini M 87,950 - 4,000 20,000
27 108080 Tofik 478,150 - 4,000 20,000
-
2,771,140 - 23,373 272,650 - - - - - - - 72,000 - - 160,000

Jurnal Umum 2,771,140


Kas dari Kassa 2,771,300
Selisih Kas 160

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 06 Juni 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

6 1 108104 Ari Setiawan - 79,200 4,000 20,000


2 054941 Istri Wening 1,311 71,425
3 149825 Dwi /Kebersihan 3,027 33,300
4 005934 Titi Lestari 3,414 37,550
5 003995 Sr. Caritas 10,591 58,250 58,250
6 015500 Setyaningsih 1,591 17,500
7 106738 dr. V Onggo 1,773 19,500
8 011136 Yosepha I 49,850 232 2,550 49,850
9 005646 Sri Susilowati 5,523 59,000 17,250 3,000 12,500
10 065895 Painem 13,500 -
11 108036 Sri Rejeki 13,000 - 3,000
12 065585 Sri Hartini 139,500 12,682
13 038585 Rahayu 91,500 -
14 040364 Sri Rejeki 54,600 - 4,000 20,000
15 107907 Sri Maryani 38,000 - 2,000
16 095528 Joko Maryanto 72,375 - 4,000 20,000
17 096992 Asti Rofiana 900 82
18 108081 Mukhani 40,000 -
19 105618 Miah 18,000 - 2,000
20 107938 Endah Kurniasih 84,250 6,250 3,000 12,500
21 108095 Mesita 12,000 -
22 107937 Misin 34,000 - 4,000
23 108020 Lanita Kuwina 55,050 2,686 3,000 12,500
24 108089 Sanis 34,000 - 4,000
25 108035 Sainah 109,350 6,759 4,000
26 108025 Limaya 67,500 3,818 3,000 12,500
27 068325 Sri Haryati 18,500 - 2,000
28 017534 Sri Rejeki 64,900 2,809 4,000
29 108097 Sandi Dwi Cahyo 176,450 9,905 3,000 12,500
30 107794 Ajeng Ratna 96,000 -
31 Esa Mosiana 10,000 - 10,000
32 Desi Erita 10,000 - 10,000
33 Lutfi Mutmainah 10,000 - 10,000
34 016871 Min Sumini 122,625 7,966 4,000
35 107603 Eko Suparyanto 76,750 3,886 4,000
36 104262 Setiani 34,000 - 4,000
37 078739 Slamet Marto 25,000 - 2,000
38 108092 Ngafifudin 87,150 1,968 3,000 12,500
39 108105 Iqbal Afrizal 68,000 4,773 3,000 12,500
40 087380 Man Kardi 84,000 3,955 4,000
41 092666 Tunut 134,500 7,909 4,000
42 034857 Turmin 126,500 8,409 4,000
43 107651 Rusmin Budi 61,000 2,455 4,000
44 034065 Sri Murni 58,000 2,091 4,000
45 006265 dr. Lucy J 15,000 1,364
46 108103 Santosa 15,500 - 3,000 12,500
47 098648 Kamsitah 47,500 - 4,000
48 055666 Tan Hwa Nio 198,000 5,136 4,000
49 079423 Hernawan 133,750 9,068 4,000
50 086202 Sofia 79,200 7,200
51 096033 Rasikin 140,500 9,682 4,000
52 084560 Slamet Raharjo 64,000 2,727 4,000
53 108101 Yasidi 114,250 5,968 3,000 17,000
54 083245 Theresia Septerin 61,500 - 4,000
55 108102 Elisa K 137,500 -
56 107896 Hadi Minarto 255,150 19,514 4,000
57 Parwati 7,650 695
58 107713 Rumlah 78,600 3,464 4,000
59 036173 Simpen 154,750 9,750 4,000
60 108099 Sherly Suriyo 58,000 3,864 3,000 12,500
61 106140 Manggi 88,000 4,909 4,000
62 102304 Sobari 207,250 15,750 4,000
63 069698 Walem 99,900 5,900 4,000
64 034243 Adman 130,000 - 4,000
65 108094 Minah 245,500 9,273 3,000 12,500
66 104950 Iswati 138,850 9,532 4,000
67 107903 Wagiyah 36,200 3,291
68 065912 Awalia 24,750 2,250
69 022524 dr. Nrimanto 140,000 12,727
70 082402 Ratna Yuni 23,500 2,136
71 108112 Setyawan tri S 51,500 1,591 4,000
72 108110 Mely Herawati 34,000 - 4,000
-
4,971,050 - 261,655 378,275 49,850 - - - - 75,500 - 168,000 142,000 - 90,000

Jurnal Umum 4,971,050


Kas dari Kassa 4,971,800
Selisih Kas 750

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 07 Juni 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

7 1 098920 Dhoni Widiyanto 8,950 113,950 3,000 12,500


2 108118 Kristianingsih - 205,425 4,000 20,000
3 108064 Ayu - 86,900 4,000 20,000
4 046357 Sawiyem 2,515 62,660 4,000
5 065419 Kafka Ridho R 7,823 83,500 36,550 4,000
6 066905 Nathania Kayla Y 6,705 89,250 3,000 12,500
7 149855 Nita 1,032 11,350
8 062365 Susteran 1,473 16,200
9 106590 Sr. Verona 3,118 34,300
10 070944 Rm. Fx Yitno P 1,636 18,000
11 003794 Lina M 13,500 -
12 040364 Sri Rejeki 240,400 - 4,000 20,000
13 016928 Sarjono 28,500 1,364
14 108115 Fitri Yayu I 115,882 - 4,000 20,000
15 108117 Imam Wahid 34,000 - 4,000
16 Limaya 190,000 - 190,000
17 107943 Bayu Fandi 253,000 18,227 4,000
18 105530 Fajar Agung 73,000 3,545 4,000
19 081423 PKU Gombong 129,100 11,736
20 101190 Pupit Satiya 77,500 2,955 4,000
21 105260 Dul Kusni 101,000 - 4,000
22 061652 Beti S 18,000 - 2,000
23 055666 Tan Hwa Nio 13,000 - 3,000
24 108036 Sri Rejeki 13,000 - 3,000
25 Herlina Dwi 10,000 - 10,000
26 107994 Iwan Darmawan 50,500 2,273 3,000 12,500
27 104084 Suwarni 58,600 2,691 3,000 12,500
28 068325 Sri Haryati 18,500 - 2,000
29 105292 Mohammad Mansu 77,800 3,982 4,000
30 108123 Riar Anggita 55,350 3,623 3,000 12,500
31 107786 Katijem 176,000 12,909 4,000
32 107729 Rubisah 47,500 - 4,000
33 076185 Sumarmo 58,000 2,091 4,000
34 007819 Nurhayati 221,700 17,064 4,000
35 108094 Minal 15,500 - 3,000 12,500
36 084663 Fauzal Leo 16,500 - 2,000
37 101931 Untung Susilo 34,000 - 4,000
38 107907 Siti maryani 38,000 - 2,000
39 038897 Fitri Ida Nursani 19,000 909 4,000
40 107931 Samiyati 106,100 6,555 4,000
41 097865 Mardikem 209,250 15,841 4,000
42 006075 Harni Mulyani 219,100 11,236 4,000
43 026414 Nila Sariningsih 122,700 2,836 4,000
44 107678 Mursiyah 122,200 7,927 4,000
45 149830 Ridho 20,550 1,868
46 034378 Tumini 108,750 - 4,000 20,000
47 101656 Moh Abdulah Faqi 128,550 5,550 3,000 12,500
48 068763 Ramelan 34,000 - 4,000
49 104197 Banun Tri W 165,500 6,909 4,000
50 108125 Sunarti 174,750 12,705 4,000
51 000211 Go You Lam 18,500 - 2,000
52 072734 Suyatmi 79,050 4,095 4,000
53 082304 Lasimah 96,250 5,659 4,000
54 087811 Sutarno 74,370 2,261 4,000
55 063075 Sri Murdaningsih 150,550 8,914 4,000
56 016472 Endang Rusmings 34,000 - 4,000
57 108056 Muhamad Nurdin 66,200 4,609 3,000 12,500
58 108128 Sigit Ananta 75,500 5,455 3,000 12,500
59 061836 Parinah 18,500 - 2,000
60 106831 Rista Nurjanah 90,800 4,345 4,000
61 005998 Emianti 19,500 955 4,000
62 035882 Maria Yosephine 19,500 955 4,000
63 046323 Wardiasih 18,500 - 2,000
64 003387 Warjan 111,250 5,386 6,000
65 008347 Tukijah 34,000 - 4,000
66 102576 Parilah 119,350 7,668 4,000
67 106681 Tasmun 212,500 16,227 4,000
68 032406 Endah Nur Iklas 90,250 5,114 4,000
69 108133 Midan 14,500 -
70 108132 Warti 109,900 - 4,000 20,000
71 108129 Linda 127,500 - 2,500
72 108130 Nikmah 55,200 - 4,000 20,000
73 098029 Sugiono 111,000 -
74 100995 Wiliam 127,500 - 2,500
75 108134 Wahyudi 161,250 - 4,000 20,000
76 007502 Yohana Pariyem 3,591 39,500
-
5,643,702 - 263,280 584,425 190,000 - - 113,950 - 99,210 - 226,000 112,500 - 170,000

Jurnal Umum 5,643,702


Kas dari Kassa 5,644,300
Selisih Kas 598
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 08 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

8 1 108146 Imam Yuniarto - 109,900 4,000 20,000


2 006178 Tyasmini 4,041 24,700 53,750 4,000
3 062365 Susteran 1,009 11,100
4 Agus Dwi N 100,000 - (100,000)
5 108137 Jaenal Arifin 166,600 - 4,000 20,000
6 101816 Subiyati 16,650 1,514
7 022524 dr. Nrimanto 127,200 11,564
8 Yohana Pariyem 39,500 - 39,500
9 029609 Sugeng 13,500 -
10 039153 Eli Retnoningsih 128,950 - 4,000 20,000
11 107817 Tarsiyem 146,600 8,282 4,000
12 108135 Prapto Tukir 34,000 - 4,000 20,000
13 056952 Catur sembodo 132,450 7,268 4,000
14 050501 Hadi Prayanto 48,750 1,341 4,000
15 107958 Sukarman 118,250 5,705 4,000
16 108141 Yatin 65,600 - 4,000
17 108049 Mitroreja 18,975 1,725
18 028202 Darminah 57,000 2,000 4,000
19 108144 Sutirah 259,250 7,423 3,000 17,000
20 102058 Paimin 127,325 8,120 3,000 12,500
21 086139 Pujo Rumekso 155,500 - 4,000
22 149859 dr. Harnowo 32,900 2,991
23 107658 Hadi Turyatno 111,750 2,023 4,000
24 068325 Sri Haryati 18,000 - 500 2,000
25 107907 Siti Maryani 38,000 - 2,000
26 090590 Julia R 35,500 -
27 108036 Sri Rejeki 45,000 - 4,000
28 088771 Tri Setyo Winarni 211,675 16,061 4,000
29 103310 Rohayati 89,000 5,000 4,000
30 082743 Waginah 36,200 3,291
31 075288 Sukarman 42,700 700 4,000
32 097901 Suratmin 109,000 6,818 4,000
33 100561 Widi Yus A 35,000 -
34 107050 Suhartiningsih 58,500 - 4,000
35 107243 Misem 198,500 14,955 4,000
36 026731 Suwarso 34,000 - 4,000
37 073774 Sumini 162,200 11,564 4,000
38 049784 Moh Dimyati 241,355 8,987 4,000
39 108148 Warjan Aris 86,950 6,405 3,000 12,500
40 Amisah 40,000 -
41 107727 Jasiman 113,750 6,023 4,000
42 107832 Ghonimah 351,350 28,759 4,000
43 107827 Turyono 165,250 6,886 4,000
44 012891 Sri Isnaeni 177,150 11,695 4,000
45 103731 Endang Aris 38,500 409 4,000
46 026936 Dedy Heri 34,000 - 4,000
47 108139 Rini Widiya 113,200 7,200 4,000
48 105795 Rizal Rizki 39,600 3,600
49 108152 Nerika 108,600 6,782 4,000
50 103138 Masih 163,200 11,745 4,000
51 108140 Santi 108,600 6,782 4,000
52 094798 Wini Handayani 39,600 3,600
53 104634 Jumiati 39,600 3,600
54 105797 Asih 39,600 3,600
55 107049 Eva Yuniarti 39,600 3,600
56 104636 Sukinah 39,600 3,600
57 024161 Suyatin 148,600 7,227 4,000
58 084646 Septian 58,000 - 2,500
59 065634 Khanan 86,950 6,405 3,000 12,500
60 Khanan -
61 057720 Nurul Endarti 118,800 10,800
62 057921 Guntur Pranowo 39,600 3,600
63 100784 Sri Asfirotun 39,600 3,600
64 106915 Yayuk Febri 39,600 3,600
65 101619 Sri Mulyani 39,600 3,600
66 105005 Juniarsih 39,600 3,600
67 072624 Rahayu Jati 79,200 7,200
68 047389 Jasmirah 79,200 7,200
69 Fanbo Wahyudi 10,000 - 10,000
70 097615 Sri Wahyunita 39,600 3,600
71 086944 Suharmi 39,600 3,600
72 067762 Sudarmi 39,600 3,600
73 108151 Wadi Wirya 177,150 12,923 4,000
74 039094 Adgiyah 202,400 15,309 4,000
75 026813 Sofiatun 39,600 3,600
76 102063 Rusmiyati 39,600 3,600
77 108154 Tina Suswati 138,700 9,518 4,000
78 107531 Indraspuri 74,600 6,782
79 087263 Pingah 39,600 3,600
80 025421 Wuri Rustiyani 39,600 3,600
81 066233 Kuswatun 79,200 7,200
82 106439 Siti Rohana 39,600 3,600
83 096559 Heni Retno 39,600 3,600
84 103054 Darsinah 42,750 3,886
85 107056 Sumarni 126,750 3,886 4,000
86 090907 Maryati 39,600 3,600
87 108160 Dwi Catur 113,200 7,200 4,000
88 108157 Joko Pitoyo 109,000 6,818 4,000
89 075707 Rodiyah 39,600 3,600
90 058255 Susana Irawati 74,600 6,782
91 108150 Indah Wahyu 188,250 9,477 4,000
92 106757 Hikmah Wahyuni 74,600 6,782
93 108155 Ayu Fadana 124,800 8,255 4,000
94 108159 Dasinah 73,600 3,600 4,000
95 108156 Liman 123,600 8,145 4,000
96 108158 Suwarni 108,600 6,782 4,000
97 094802 Rityahana 39,600 3,600
98 101633 Sri Wahyuningsih 39,600 3,600
99 041010 Sri Yuliati 178,300 13,118 4,000
100 103100 Nonik Dyah 79,200 7,200
101 105743 Andewi 242,400 18,945 4,000
102 108163 Meysin 113,200 7,200 4,000
103 087536 Farumi 39,600 3,600
104 099132 Saminem 102,000 1,636 4,000
105 037601 Nunung 39,600 3,600
106 025197 Romiyati 39,600 3,600
107 099917 Sumaryati 39,600 3,600
108 032359 Ningsih 202,800 15,345 4,000
109 031902 Eki Fitriadi 74,600 6,782
110 105636 Dariyem 126,750 3,886 4,000
111 108145 Tuty 108,600 6,782 4,000
112 002156 Tasini 25,000 2,273
113 105802 Jumi Suliasih 39,600 3,600
114 105772 Putri Hilda 39,600 3,600
115 108167 Erly 73,600 3,600 4,000
116 070578 Ergowati 136,700 9,336 4,000
117 085330 Masriah 79,200 7,200
118 106961 Riyanti 48,250 1,295 4,000
119 086323 Pudyaning Imas 39,600 3,600
120 101388 Bimalina 114,200 10,382
121 067594 Linda Sri 74,600 6,782
122 072625 Nasmi 39,600 3,600
123 108161 Hantari 108,600 6,782 4,000
124 108153 Kartika 123,600 8,145 4,000
125 025585 Ranti 84,000 - 4,000
126 080384 Andriyani 84,000 - 4,000
127 004988 Wagiyati 84,000 - 4,000
128 105072 Suryana 84,000 - 4,000
129 106009 Sarsih 84,000 - 4,000
130 095113 Ratni 84,000 - 4,000
131 101266 Berliana 84,000 - 4,000
132 106908 Sainah 84,000 - 4,000
133 034313 Sri Yuniati 84,000 - 4,000
134 108149 Novi Amelia 84,000 - 4,000
135 106759 Siti miftahonah 84,000 - 4,000
136 088302 Puji Suryani 84,000 - 4,000
137 071047 Desi Kusumawati 84,000 - 4,000
138 103054 Darsinah 132,000 4,364 4,000
139 105045 Famanus 34,000 - 4,000
140 062562 Elsa Ridah 34,000 - 4,000
141 104146 Mikael 34,000 - 4,000
142 108166 Rhama Pasya 34,000 - 4,000
143 108168 Fadhil Dwi 34,000 - 4,000
144 107489 Agung Tri 34,000 - 4,000
145 101553 Farhan 38,500 409 4,000
146 101528 Fani R 38,500 409 4,000
147 103459 Garhit Puji 90,000 5,091 4,000
148 105357 Sumini 34,000 - 4,000
-
11,976,280 100,000 649,407 146,200 39,500 - - - - 53,750 - 242,500 54,500 - 90,000

Jurnal Umum 11,876,280


Kas dari Kassa 11,877,300
Selisih Kas 1,020

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 09 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

9 1 108186 Muhammad Mufti 17,400 9,127 98,500 3,000 12,500


2 108185 Suratmi Duljafar 27,500 15,227 155,500 3,000 12,500
3 102678 Kartinah 10,364 198,000 4,000
4 108118 Kristianingsih 1,855 48,900 3,000 12,500
5 106690 Sr. Verona 3,564 39,200
6 104170 Alfiesya RP 500 2,900 11,600 4,000
7 149839 Sr. Yosita 2,409 13,250 13,250
8 107393 Muhamad Fajar 1,177 12,950
9 095541 Siti Rofingah 3,600 39,600
10 096223 Tuningsih - 69,500
11 108188 Keri - 69,500
12 044847 Aloysius Ivanio - 29,500 24,700 4,000 20,000
13 Suratmin 100,000 - (100,000)
14 034313 Sri Yuniarti 34,500 3,136
15 108165 Mad Solikhin 45,000 - 4,000
16 149872 Sarjono 48,350 4,395
17 107834 Trisna Sucipto 68,450 1,177 4,000
18 071047 Desi Kusumawati 42,750 3,886
19 032177 Sukini 39,600 3,600
20 096965 Christin Amelia 145,100 - 4,000 20,000
21 107489 Agung Tri P 82,050 7,459
22 106823 Azzura Naura 34,000 - 4,000
23 108168 Fadil Dwi S 85,000 7,727
24 108169 Krisna Nur F 154,600 - 4,000 20,000
25 062562 Elsa Endah 75,335 6,849
26 108022 Siti Solehatin 345,750 27,341 4,000
27 107684 Riswanto 80,650 - 4,000 20,000
28 080384 Andriyani 51,750 4,705
29 075133 Suwito 31,500 -
30 068325 Sri Haryati 18,500 - 2,000
31 Turiman 3,000 273
32 067772 Agus 19,000 - 2,000
33 108092 Ngafifudin 30,750 477 3,000 12,500
34 107907 Siti Maryani 38,000 - 2,000
35 108177 Suparmi 8,000 -
36 105979 Callista Amelia P 28,800 1,800 4,000
37 021026 Subagyo 79,000 -
38 107365 Samirah 19,000 - 2,000
39 003794 Lina Mulyadi 27,000 -
40 068575 Septi Ambarwati 15,500 - 3,000 12,500
41 106153 Kayla Misaelle 12,300 1,118
42 105331 Alfath Berlian 28,800 1,800 4,000
43 107617 Saidah 56,600 3,736 3,000 12,500
44 058507 Wartini 134,200 10,791 3,000 12,500
45 108183 Atika Lutfia 64,400 4,445 3,000 12,500
46 106903 Siti Asiyah 28,800 1,800 4,000
47 107073 Lalu Fadil 71,200 4,973 4,000 12,500
48 108182 By Yuniati 23,200 1,291 4,000
49 171622 Sugiyanto 13,500 -
50 009343 Sandikraya 113,722 7,157 4,000
51 107882 Karjono Dipo 134,200 9,018 4,000
52 101931 untung Susilo 34,000 - 4,000
53 105706 Sekar Kinasih 71,200 4,973 4,000 12,500
54 107939 Aminah 210,500 14,818 4,000
55 108079 Siti Jamzanah 16,500 682 4,000
56 106539 Aisyla Sharsa 16,500 682 4,000
57 108181 Dara Puspita 16,500 682 4,000
58 107791 Yuyun 16,500 682 4,000
59 106153 Yehu Paula 16,500 682 4,000
60 108047 Hayu Lestari 16,500 682 4,000
61 108180 Meilani 16,500 682 4,000
62 107393 Moh Fajar 16,500 682 4,000
63 108179 Danendra R 16,500 682 4,000
64 106358 Amiata 11,000 182 4,000
65 108032 Yuniati 104,250 7,977 4,000 12,500
66 108044 Yuniati By 36,300 1,800 4,000 12,500
67 104023 Untung 34,000 - 4,000
68 106127 Nasekhudin 84,000 4,545 4,000
69 100887 Sodirah 149,875 10,443 4,000
70 107628 Moh Kodiran 110,875 6,898 4,000
71 024741 Miah 3,000 273
72 044671 Agus Rudiyanto 245,450 10,986 4,000
73 035528 Paini 153,750 10,886 4,000
74 052040 Puji Rahayu 79,200 7,200
75 048039 Dewi Damayanti 39,600 3,600
76 087273 Sandireja 102,500 6,136 4,000
77 030173 Sartinem 98,700 5,882 4,000
78 39672 Maryana 58,000 - 2,500
79 107976 Damarko Susilo 34,000 - 4,000
80 108191 Tasiyem 57,900 - 4,000 20,000
81 108192 Satria Rahmadani 140,750 - 4,000 20,000
82 108105 Iqbal Afrizal 95,700 7,291 3,000 12,500
83 108184 Alfi Muharom 150,800 10,618 4,000
84 089686 Gono Purwo 319,500 13,364 4,000
85 149841 Satrio 15,200 1,382
86 107996 Cokro Suwito 110,600 - 4,000 20,000
87 094282 Syafira 54,845 1,895 4,000
88 106888 Kasimin 58,000 - 2,500
89 070992 Parsino 287,925 - 4,000 20,000
90 107421 Bagus Nugrah 53,800 1,800 4,000
91 101350 Ervina Wisnu 54,450 1,859 4,000
92 107916 Siti Parlinah 103,200 - 4,000 20,000
93 108194 Sindon 127,500 - 2,500
94 036875 Citra Dewi 127,500 - 2,500
95 107691 Yulianto 127,500 - 2,500
96 063044 Eko Partomo 127,500 - 2,500
97 108196 Sezha Amun 34,000 - 4,000
98 107859 Fanya Nathania 92,000 5,273 4,000
99 083785 Sri Muryani 19,000 909 4,000
100 101728 Aurelia 90,000 5,091 4,000
101 101349 Ervana Wisnu 41,500 682 4,000
102 105730 Kayra Rifli 43,500 864 4,000
103 106659 Revalina 36,000 182 4,000
104 101948 Nadia Rahma 43,500 864 4,000
105 107671 Athaya 90,000 5,091 4,000
106 107012 Rosdiyati 92,000 5,273 4,000
107 106590 Sr. Veronika 3,564 19,600 19,600
-
6,779,627 100,000 335,514 344,900 - - - 452,000 - 69,150 - 194,000 112,500 50,000 180,000

Jurnal Umum 6,679,627


Kas dari Kassa 6,680,300
Selisih Kas 673

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 10 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

10 1 096616 Suminah 148 1,630


2 105074 Naufal Azzan K 5,273 92,000 4,000
3 004437 Sugiyanto - 226,150 4,000 20,000
4 090151 Nathania Aura - 89,350 4,000 20,000
5 106194 Sebastian Nayottama 5,273 92,000 4,000
6 020580 Yusiva sumarni - 17,990 37,960 4,000 20,000
7 001823 Sr. Bernada 12,415 200,570 4,000
8 003995 Sr. Caritas 78,014 446,075 446,075 4,000
9 055430 dr. B Suryanto 114 1,250
10 087313 Lugiati 1,600 17,600
11 006137 dr. Harnowo 24,000 7,409 11,500 46,000
12 149875 Yosepha 1,427 15,700
13 149844 Keriyati 1,986 21,850
14 149880 Sr. Veronika 19,636 108,000 108,000
15 038868 Misran - 13,500
16 106598 Sri Kundari 1,353,500 39,150 1,353,500 464,650 4,000
17 103979 Nisrina Nur Aulia 63,400 - 67,850 4,000 20,000
18 105724 Marcelius Giardi 43,500 864 4,000
19 149841 Ratna 9,500 864
20 108196 Sezha A 33,600 3,055
21 035715 Siti Maftukhah 4,650 423
22 066917 Suwono 98,650 - 4,000 20,000
23 108197 Surdjaningsih 81,282 - 4,000 25,000
24 003439 Rosdiningsih 6,000 545
25 002321 Yulianus Sarwono 10,200 927
26 108200 Mulyono 69,500 - 2,500
27 000369 Sutoyo 59,000 -
28 108199 Tasino 131,610 - 4,000 20,000
29 078739 Slamet Marvito 25,000 - 2,000
30 107907 Siti Maryani 38,000 - 2,000
31 104461 Disun 25,500 - 2,000
32 068325 Sri Haryati 18,500 - 2,000
33 083841 Nurwidayati 12,000 -
34 102265 Gani 16,500 - 2,000
35 108201 Watiyah 23,500 - 2,000
36 108033 Kartuti 129,000 8,636 4,000
37 108203 Siti Ngaisah 197,200 14,745 4,000
38 107902 Manisah 166,000 12,000 4,000
39 013490 Mingin 181,500 12,182 4,000
40 091535 San Wardi 187,300 11,709 4,000
41 068507 Wartini 8,950 (596) 3,000 12,500
42 083333 Nurhayati Lestari 193,250 14,477 4,000
43 102494 Srini Hastuti 43,000 2,500 3,000 12,500
44 107470 Sopandi 121,825 7,984 4,000
45 Pengobatan kary 804,900 - 804,900
46 013543 Mega Riyani 148,250 5,841 4,000
47 105185 Lilik 79,200 7,200
48 079071 Natalia 189,900 17,264
49 083841 Nur Widayati 134,250 4,568 4,000
50 080620 Napsiyah 110,250 2,386 4,000
51 107847 Tri Hastuti 18,750 1,705
52 104457 Arifiatun 98,250 1,295 4,000
53 103054 Darsinah 76,200 2,927 4,000
54 064623 RSU Purwogondo 52,290 4,754
55 084235 Lusini 93,000 - 4,000
56 100426 Hayu Lestari 135,500 8,318 4,000
57 102768 Indrawati 52,500 -
58 106807 Sugiarti 198,000 10,364 4,000
59 074290 Tusmiyah 82,700 3,518 4,000
60 038103 Heni Sulistiawati 95,750 4,705 4,000
61 106538 Marsitah 60,100 2,145 3,000
62 108208 Pujiati 135,500 4,682 4,000
63 077401 Sri Sarjono 7,000 -
64 108134 Wahyudi 25,000 - 4,000
65 108204 Agung Mahardika 173,150 13,423 3,000 12,500
66 108061 Wika Purwaningsi 104,500 6,409 4,000
67 101027 Sukadi Hadi 94,150 5,468 4,000
68 089467 Sulami 34,000 - 4,000
69 108015 Subur Rochadi 118,200 7,564 4,000
70 108211 Sri Hayati 20,000 - 4,000
71 101704 Natasya Orlin 135,450 - 4,000 20,000
72 084584 Katarina 55,500 -
73 097574 Kusnadi 106,000 - 4,000
74 108206 Sri Rahayuningsih 84,000 - 4,000
75 108205 Winda Rahayu 84,000 - 4,000
76 080086 Saginem 44,000 - 4,000
77 076418 Sudiarsih 34,000 - 4,000
78 027443 Ririn P 92,500 4,409 4,000
79 108151 Suginem 10,000 - 4,000
80 107739 Natalia Wasis 44,000 - 4,000
81 038103 Heni Sulistiawati 58,500 4,409 4,000
-
7,264,657 - 386,115 655,095 2,158,400 - - 1,032,000 - 838,605 - 214,500 37,500 - 165,000

Jurnal Umum 7,264,657


Kas dari Kassa 7,265,300
Selisih Kas 643

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 11 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
11 1 088636 Faiq Adiyatma P - 62,400 4,000 20,000
2 108224 Darsikin - 244,675 4,000 20,000
3 082583 Viktorina Zana - 57,000 28,200 4,000 20,000
4 069201 Sr. Adriana - 74,900 74,900 4,000 20,000
5 108216 Mad Surat - 73,400 20,000 4,000 20,000
6 096495 Budi Setyoko 2,314 25,575 15,375 3,000 12,500
7 005934 Titi Lestari 6,982 79,900 12,400 3,000 12,500
8 149886 dr. Harnowo 1,441 15,850
9 108213 Didi Arifin 173,600 - 4,000 20,000
10 022524 dr. Nrimanto 155,000 14,091
11 043293 Sutarman 13,500 -
12 005068 Kiem mei Lan 13,500 -
13 107834 Trisna Sucipto 46,250 4,205
14 107705 Naura Zilfa 70,800 3,345 4,000
15 106733 Maryani 330,500 26,955 4,000
16 075434 Wahyu Nur H 117,000 - 4,000
17 107684 Riswanto 44,400 - 4,000 20,000
18 108010 Sarijem 70,000 1,591 4,000
19 061189 Dinda Arista 34,000 - 4,000
20 107956 Ngaisah 119,500 5,818 4,000
21 024655 Sudiro 34,000 - 4,000
22 Suminah 1,630 - 1,630
23 041198 Robertus Eka 113,800 10,345
24 000348 Niken Sumekar 13,500 -
25 096603 Sumiyah 26,500 -
26 108215 Kevin S 144,000 -
27 107907 Siti Maryani 38,000 - 2,000
28 092275 Arya Pandita 49,000 3,045 3,000 12,500
29 068325 Sri Haryati 18,500 - 2,000
30 059532 Riski Junika 66,800 4,664 3,000 12,500
31 078929 Marijo 78,950 5,677 3,000 12,500
32 101656 Moh abdul Faqih 88,500 6,636 3,000 12,500
33 066989 Siam 62,400 4,264 3,000 12,500
34 051109 Mireja 141,975 9,725 4,000
35 087441 Samiyah 94,500 4,909 4,000
36 043138 Titi Mulyo 47,500 - 4,000
37 053470 Ika Isdiana 19,000 909 4,000
38 108218 Nahma Devi 126,450 - 4,000 20,000
39 085479 Tanti S 18,500 - 2,000
40 108219 Sunarjo 58,000 - 2,500
41 068980 Kaminem 275,570 19,234 4,000
42 001323 Sumarto 113,170 4,470 4,000
43 038954 Sakimin 163,675 11,789 4,000
44 021466 Tukiyah 104,000 5,136 4,000
45 041701 Sukarti 52,000 1,636 4,000
46 034243 Adman 34,000 - 4,000
47 069649 Sagimin Marto 156,750 11,159 4,000
48 095111 Nasrowi 142,750 3,614 4,000
49 082049 Elvira Astri Y 19,000 909 4,000
50 011136 Yosepha I 23,000 2,091
51 014437 dr. Priyo 10,000 - 2,000
52 18247 Syukur P 16,500 - 2,000
53 108221 Sri Kusbandiyah 85,400 6,355 3,000 12,500
54 106407 Tugiyem 165,625 11,966 4,000
55 108220 Sudarningsih 121,300 - 4,000 25,000
56 108222 Fudhail K 50,850 - 4,000 20,000
57 108223 Ahmad Watoni 99,500 -
58 089089 Afifah 1,000 91
59 108226 Muhroji 84,600 - 4,000 20,000
60 104261 Een Zuhriyah 120,100 - 4,000 20,000
61 149890 Karto Diarjo 20,750 1,886
62 099464 Tri Hidayatul 45,000 1,000 4,000
63 079334 Raka Reswara 74,400 3,673 4,000
64 097935 Daffa Raditiya 188,600 14,055 4,000
65 055091 Purwati 94,050 - 4,000 20,000
66 095882 Shafa Kamila 34,000 - 4,000
67 092846 Ichiro 34,000 - 4,000
68 108121 Ivon 34,000 - 4,000
69 107971 Henny S 38,500 409 4,000
70 034559 Rasinah 155,675 4,000 20,000
-
4,831,645 - 216,388 726,975 1,630 - - 62,400 - 150,875 - 204,500 100,000 - 285,000

Jurnal Umum 4,831,645


Kas dari Kassa 4,831,900
Selisih Kas 255

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 12 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
12 1 108225 Anang Maula A 9,418 137,600 4,000
2 098020 Yuna - 121,500 4,000 20,000
3 149895 dr. Harnowo - 12,000
4 149896 Catur - 800
5 096482 Niken Kristianti - 10,000
6 096009 Laeli Hikmawati - 4,650
7 001823 Sr. Bernada - 554,400
8 032624 Marsinta Manik - 1,060
9 108232 Yuswanto 46,750 - 4,000 20,000
10 016928 Sarjono 11,200 -
11 086028 Tunggul Jalu 112,900 - 4,000 20,000
12 105546 Suwarni 25,000 -
13 005976 Alipah 15,600 1,418
14 003701 Supriyadi 15,250 1,386
15 038783 Tutik Nurhayati 2,250 205
16 054948 Wiwin Wignyo 79,200 7,200
17 Sakti Andika 20,000 -
18 Heru 320,000 -
19 108233 Pujiono 123,400 - 4,000 20,000
20 108235 Siti Aminah 56,200 - 4,000 20,000
21 067454 Arif Suroyan 141,450 - 4,000 20,000
22 108134 Wahyudi 65,400 - 4,000 20,000
23 108236 Karsih 96,375 - 4,000 20,000
24 149897 Nita 800 -
25 107133 Agung Hadi 79,850 - 4,000 20,000
26 087267 Sifa Vica B 42,650 - 4,000 20,000
27 Meterai 12,000 - 12,000
28 016717 Uni Erwati 14,500
-
1,266,275 - 19,627 164,510 - - - 137,600 - 554,400 - 56,000 - - 200,000

Jurnal Umum 1,266,275


Kas dari Kassa 1,266,500
Selisih Kas 225

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 13 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
13 1 108252 Wihara Rangga P 2,700 45,200 3,000 12,500
2 025972 Priska Nunik Arnita - 200,000 4,000
3 086489 Eko Edi S - 25,500 3,000 12,500
4 005934 Titi Lestari 12,286 138,300 12,350 3,000 12,500
5 001823 Sr. Bernada 7,682 84,500
6 070944 RM. FX Yitno P 1,523 16,750
7 006265 dr. Lucy J 9,000 19,800 79,200
8 010580 Yusiva Sumarni - 43,900 39,950 4,000 20,000
9 082583 Viktorina Zana - 29,000 17,000 4,000 20,000
10 108254 Kundori - 141,400 4,000 20,000
11 075096 Agus Dwi 6,200 564
12 055373 Suminah 39,500 -
13 001758 Suwanti Haloho 77,700 - 4,000 20,000
14 149902 Agus 27,200 -
15 096992 Asti Rofiana 2,250 -
16 063102 Titi Suwarni 27,500 -
17 096223 Tuningsih 77,500 - 69,500
18 Keri 69,500 - 69,500
19 Keriyati 21,850 - 21,850
20 019969 Sri Subekti 3,750 -
21 107557 Maniyah 162,950 - 4,000 25,000
22 Ita 6,500 591
23 068325 Sri Haryanti 18,500 - 2,000
24 055665 Tan Hwa Nio 104,000 -
25 099313 Widya Ayu 41,550 - 4,000 20,000
26 Nofika 1,300 118
27 105618 Miah 18,000 - 2,000
28 103379 Westri Listriyani 70,900 - 4,000 20,000
29 103411 Resvita Yasib 110,000 - 2,500
30 079905 Junaedi 106,702 8,200 3,000 12,500
31 108245 Wagiman 37,100 1,964 3,000 12,500
32 108105 Iqbal Afrizal 82,100 6,055 3,000 12,500
33 107236 Supono 116,922 7,447 4,000
34 107880 Rasini 145,200 10,018 4,000
35 106511 Saring 45,550 1,050 4,000
36 104503 Tugino 58,000 - 2,500
37 098895 Parmi 142,950 8,586 4,000
38 038103 Heni Sulistiawati 19,000 - 4,000
39 038233 Subandi 34,000 - 4,000
40 007502 Yohana Pariyem 133,700 8,973 4,000
41 107244 Wasirah 109,425 6,857 4,000
42 002569 Kasini 198,400 14,855 4,000
43 107931 Samiyati 79,300 2,800 4,000
44 100426 Hayu Lestari 20,000 - 4,000
45 108243 Rahmat Mujiono 231,190 12,881 4,000
46 105289 Dul Haris 87,125 4,739 4,000
47 108065 Murniati 120,200 7,745 4,000
48 093049 Sambi 69,000 3,182 4,000
49 Meterai 6,000 - 6,000
50 Ivander Latif 20,000 -
51 108248 Rahmat Puji W 52,000 -
52 18251 Andika Raditya 16,500 - 2,000
53 108201 Watiyah 27,500 - 2,000
54 087811 Sutarno 47,500 - 4,000
55 071115 Natiyah 123,425 8,130 4,000
56 062742 Yuli Tantiani 84,570 1,870 4,000
57 108251 Supini 160,400 11,491 4,000
58 108057 Marliyah 113,250 7,205 4,000
59 025676 Sarmi 66,200 2,836 4,000
60 108036 Sri Rejeki 45,000 - 4,000
61 108250 Eka Nurhasanah 52,500 - 4,000 20,000
62 108246 Dewi Romadanita 38,050 2,050 3,000 12,500
63 106616 Suparmin 109,700 8,564 3,000 12,500
64 070992 Parsino 49,900 2,218 3,000 12,500
65 000878 Anastasia Kristiati 3,050 277
66 032648 Aminudin 12,400 1,127
67 040636 Suparmin 50,500 1,500 4,000
68 060757 Murdinah 108,950 - 4,000 20,000
69 063616 Siti Jamzanah 20,000 - 4,000
70 108010 Sarijem 52,500 - 4,000
71 010229 Sugiyarti 13,500 -
72 022524 dr. Nrimanto 110,000 10,000
73 016420 Aldila 27,500 -
74 015500 Setyaningsih 5,500 500
75 026974 Sugiyanto 13,500 -
-
4,152,409 - 197,583 597,900 160,850 - - 45,200 - 249,750 - 186,000 112,500 - 185,000

Jurnal Umum 4,152,409


Kas dari Kassa 4,152,800
Selisih Kas 391

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 14 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

14 1 031163 Windar Nugroho - 185,900 4,000 20,000


2 028453 Suratmi 1,818 19,100 16,400 3,000 12,500
3 105480 By Suratmi 4,359 55,700 7,750 3,000 12,500
4 084630 RM. Samuel 2,636 154,500 3,000 12,500
5 069868 Leny Sulistyowati 11,950 139,200 7,750 3,000 12,500
6 060461 Sr. Marieta 7,909 43,500 43,500
7 006265 dr. Lucy J 2,000 22,000
8 003190 Sugiyanti 2,786 30,650
9 001022 Yuli Gestati 11,100 1,009
10 108144 Sutirah 37,750 3,432
11 027563 Andi Dwi Atmoko 123,300 - 4,000 20,000
12 003237 Sri Puji A 21,400 1,945
13 017884 Mingan Kromo W 167,800 - 4,000 20,000
14 023523 Sagimin 110,650 - 4,000 20,000
15 108257 Indrato 8,000 -
16 107721 Tri Suparyantini 155,500 - 4,000
17 005976 Alipah 12,500 1,136
18 032624 Marsinta Manik 8,560 682 1,060
19 004419 Fifi 101,500 -
20 008949 Suniah 12,140 1,104
21 083301 Tasih 118,300 7,664 4,000
22 053291 Sri Silah 117,450 7,495 4,000
23 002569 Kasini 55,500 -
24 108262 Wiji 85,500 - 2,500
25 108266 Dwilya 85,500 - 2,500
26 097575 Nadimi 141,000 -
27 083598 Sartiyah 61,500 -
28 107729 Rubisah 47,500 - 4,000
29 049784 Mohamad Dimyati 129,555 6,460 4,000
30 108239 Harjanto 57,800 3,845 3,000 12,500
31 056505 Kasmi 74,575 3,461 3,000 18,500
32 108267 Arsa Megananda 15,500 - 3,000 12,500
33 081423 PKU Gombong 81,500 7,409
34 044639 Kamisah 34,000 - 4,000
35 Priska Nunik 200,000 - 200,000
36 068325 Sri Haryanti 18,500 - 2,000
37 107365 samirah 19,000 - 2,000
38 108264 Aris 39,500 -
39 108265 Sidak Mustofa 50,500 - 2,500
40 108056 Muh Nurdin 25,900 945 3,000 12,500
41 108074 Prayitno 68,050 3,095 4,000
42 095321 Rudi 63,250 2,659 4,000
43 Rasinah 155,675 - 155,675
44 107626 Karto Suwito 107,650 6,695 4,000
45 066256 Dawud 170,750 11,977 3,000 12,500
46 084073 Supriyadi 42,150 3,832
47 107558 Sumarsih 34,000 - 4,000
48 005976 Alipah 14,000 1,273
49 108242 Tri Suranto 49,600 4,509
50 057278 Sugeng Prayitno 99,200 6,382 3,000 12,500
51 078739 Marto Utomo 25,000 - 2,000
52 106831 Rista Nurjanah 90,800 4,345 4,000
53 088826 Budi Winoto 156,025 11,093 4,000
54 087423 Kainah 82,300 4,391 4,000
55 004658 Krisna Murti 99,200 5,836 4,000
56 103334 Mira Miryanti 94,300 4,255 4,000
57 107883 Suratno 126,625 8,420 4,000
58 108084 Wasitah 80,400 4,127 4,000
59 108263 Yurista Gian 72,150 3,468 4,000
60 108272 Kasmi 148,630 8,603 4,000
61 056280 Tumin 129,250 8,659 4,000
62 104461 Disun 161,200 7,427 6,000
63 107557 Mariyah 110,000 -
64 022524 dr. Nrimanto 140,000 12,727
65 083598 Satiyah 127,500 - 2,500
66 106906 Oki Novitarini 115,850 10,532
67 108276 Rizky Dwi A 60,200 - 4,000 20,000
-
4,852,535 - 214,355 310,150 356,735 - - 185,900 - 229,900 - 152,000 131,000 - 100,000

Jurnal Umum 4,852,535


Kas dari Kassa 4,853,100
Selisih Kas 565

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 15 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
15 1 004437 Sugiyanto - 101,550 4,000 20,000
2 052052 Yuni Widyaningsih 15,475 204,226 4,000
3 097191 Salsabila Ainun - 34,000 4,000
4 108287 Salud - 157,900 4,000 20,000
5 046357 Sawiyem 8,423 108,150 3,000 12,500
6 103231 Leon Hart Tho 182 11,000 4,000
7 097575 Nadimi - 34,000 4,000
8 060097 Beatrice Devana - 34,000 4,000
9 082583 Viktorina Zana Y 359 21,000 16,950 4,000 20,000
10 092118 Sri Sukesti 3,600 39,600
11 073175 Theresia 6,545 72,000
12 001826 Sr. Mikaela 12,645 139,100
13 011136 Yosepha I 307 3,375
14 149915 Istri Wening 1,091 12,000
15 107462 Ho Yung Fa 69,100 - 13,500 4,000
16 Susteran Gombon 155,000 - 155,000
17 019967 Mufti Hidayat 9,500 864
18 049683 Nasiran Kusmedi 42,500 3,864
19 Samiati 15,000 1,364
20 016928 Sarjono 366,598 33,327
21 086468 Waluyo 57,500 -
22 Yuni Astuti 126,300 - 126,300
23 FX Satriyo 20,000 -
24 075464 Nur Khusnul K 113,950 7,268 4,000
25 107822 Rizal Alfadilla 69,700 - 4,000 20,000
26 018821 Sri Endang 13,500 -
27 084665 Fauzal Leo 16,500 - 2,000
28 18259 Christoper 16,500 - 2,000
29 108262 Wiji 18,500 - 2,000
30 037873 Dewi Kristianti 94,000 - 4,000 20,000
31 004545 Ponimin 2,900 264
32 106418 Andira Kirana 51,140 3,240 3,000 12,500
33 080552 Michael 50,500 - 2,500
34 090899 Mutmainah 34,000 - 4,000
35 006137 dr. JB Harnowo 31,800 2,891
36 017500 Spika Bawono 80,600 5,918 3,000 12,500
37 083292 Sri Riyayati 128,450 10,268 3,000 12,500
38 075288 Sukarman 42,700 700 4,000
39 078507 Satinah 262,200 20,745 4,000
40 002569 Kasini 80,700 4,155 4,000
41 107050 Suhartiningsih 62,000 - 4,000
42 107652 Budianto 167,150 11,105 4,000
43 085479 Tanti 32,000 - 2,000
44 084911 Indriyani 34,000 -
45 029018 Yaman 52,000 409 4,000
46 106827 Sunaryo 106,750 6,614 4,000
47 108125 Sunarti 112,750 7,159 4,000
48 022627 Andreas Agus 164,700 2,836 4,000
49 108285 Harun Al Rosid 217,035 - 4,000 20,000
50 106599 Mutiarti 12,000 -
51 Yuni 10,200 927
52 025972 Priska Nunik 34,000 - 4,000
53 107847 Tri Hastuti 109,500 9,955
54 104262 Setiani Prabowo 206,000 11,091 4,000
55 028202 Darminah 120,475 7,861 4,000
56 039829 Kasimin 159,000 - 4,000 20,000
57 107839 Devi Nurlaela 39,600 3,600
58 105796 Ajeng Resti amali 39,600 3,600
59 107280 Suwartinah 205,545 11,050 4,000
60 001214 Heru Winarso 22,000 -
61 108291 Evi Karina 140,152 9,650 4,000
62 108282 Siti Mubarokah 108,600 6,782 4,000
63 107818 Gustri Handayani 222,950 12,632 4,000
64 074644 Chaelani 150,700 10,609 4,000
65 082171 Nurintan 192,750 9,886 4,000
66 104242 Wanda Septiana 94,000 5,455 4,000
67 104096 Sri Wahyuningsih 39,600 3,600
68 098788 Astrit Tri 74,600 6,782
69 098789 Wahyu Dewi 39,600 3,600
70 107373 Umiyati 39,600 3,600
71 107372 Sumarmiasih 39,600 3,600
72 100788 Endah Wening 39,600 3,600
73 106762 Arti Purwatiningsi 39,600 3,600
74 107854 Sri Utari 190,000 9,636 4,000
75 077889 Jadmo Suprabo 102,100 - 4,000 20,000
76 100966 Mutia Yunita 51,450 1,586 4,000
77 108088 Tri Hastuti 34,000 - 4,000
78 108067 Fitri Puji R 34,000 - 4,000
79 102614 Putri Anastya 34,000 - 4,000
80 078455 Cininta Triska 34,000 - 4,000
81 106281 Angel Meci 59,900 2,355 4,000
82 108168 Fadil Dwi S 87,080 4,825 4,000
83 107489 Agung Tri Prasojo 44,700 973 4,000
84 101190 Pupit Satiya 85,000 2,955 4,000
85 107890 Esa Mesiana 113,250 - 4,000 20,000
86 012867 Marini 68,650 6,241
87 104787 Noto Sumadi 99,500 5,955 4,000
88 106772 Cheline N 34,000 - 4,000
89 017940 Sarni 39,600 3,600
90 062999 Tegar Dwi P 39,600 3,600
91 108304 Anisa Istiqomah 148,200 10,382 4,000
92 094277 Monika Setya 162,226 11,657 4,000
93 097248 Prima Arika 73,600 3,600 4,000
94 100350 Fransisco 130,400 8,764 4,000
95 035999 Suparti 195,926 14,721 4,000
96 108300 Wahyu Kurniawan 108,600 6,782 4,000
97 106114 Harti 39,600 3,600
98 107362 Ani Idiastuti 39,600 3,600
99 063814 Sukarsih 79,200 7,200
100 106602 Imah Wuryanti 39,600 3,600
101 104384 Suminah 39,600 3,600
102 108303 Mahfudotun 108,600 6,782 4,000
103 105324 Sartimah 39,600 3,600
104 106427 Sri Yuliati 79,200 7,200
105 108299 Sri Sunantyo 214,926 16,448 4,000
106 108301 Angger Restu 127,550 8,505 4,000
107 072734 Suyatmi 83,950 7,632
108 032378 Esti 39,600 3,600
109 071493 Martinus Yudantor 546,600 18,327 2,500
110 108294 Sugiyanto 95,226 5,566 4,000
111 108296 Danang Santoso 73,600 3,600 4,000
112 108298 Tukinah 188,600 14,055 4,000
113 108305 Sarmiati 99,000 - 4,000
114 105788 Sriyati 39,600 3,600
115 105783 Handasah 118,800 10,800
116 032102 Yamsiyah 39,600 3,600
117 054686 Suharti 39,600 3,600
118 060605 Ratri Faedah 74,600 6,782
119 108289 Sumi Andriyani 108,600 6,782 4,000
120 108288 Yuyun Wiriyati 108,600 6,782 4,000
121 100981 Ratna Hartani 117,000 - 4,000
122 108293 Parni 108,600 6,782 4,000
123 104247 Dewi Ani 39,600 3,600
124 025197 Romiyati 39,600 3,600
125 077802 Dewi Restyaningsi 142,950 5,359 4,000
126 108006 Miswan 145,000 10,091 4,000
127 098633 Anton Yuniarto 39,600 3,600
128 103803 Eli Yuliani 39,600 3,600
129 065949 Sri Haryati 108,600 6,782 4,000
130 073651 Sukinem 196,600 14,782 4,000
131 029832 Wimbuh Rahayu 39,600 3,600
132 Linda 30,000 2,727
133 074632 Ambar Ari A 79,200 7,200
134 108302 Agil Febrianto 58,000 - 2,500
135 107395 Supartiningsih 39,600 3,600
136 087691 Susi Indrawati 123,600 8,145 4,000
137 105459 Galuh Puspaningt 174,226 12,748 4,000
138 087092 Ervin Febri 137,300 9,391 4,000
139 047022 Karyati 39,600 3,600
140 100646 Lia Maratus 39,600 3,600
141 108295 Siti Masruroh 145,000 5,545 4,000
142 039936 Widi Tri Yuningsih 39,600 3,600
143 087719 Neneng Sulastri 162,000 7,091 4,000
144 082330 Wening W 79,200 7,200
145 106748 Sri Sunarsih 39,600 3,600
146 037818 Novita Purnama 73,600 3,600 4,000
147 107384 Dewi Fortuna 178,300 13,118 4,000
148 107847 Tri Hastuti 45,000 - 4,000
149 060565 Sri Rahayu 93,500 4,409 4,000
150 106247 Zhavia Dena 34,000 - 4,000
151 074150 Ivon 34,000 - 4,000
152 108211 Sri Hayati 180,000 12,273 4,000
153 108297 Linda Suwati 34,000 - 4,000
154 098222 Lina Ariestin 84,000 - 4,000
155 105933 Yatwi 84,000 - 4,000
156 052285 Ranti Desi Ari 84,000 - 4,000
157 102447 Diyan Sapto 84,000 - 4,000
158 017590 Sri Agustin 84,000 - 4,000
159 104249 Tria Angelina 84,000 - 4,000
160 014892 Supriyadi 1,550 141
161 003061 Umi Wadingah 39,600 3,600
162 108230 Watimin 737,300 67,027
163 107834 Trisna Sucipto 55,500 - 4,000
164 025818 Lasikun 34,000 - 4,000
165 099081 Ratna Putri A 34,000 - 4,000
166 087008 Megawati 78,000 - 4,000 20,000
167 092148 Retno Dwi M 39,600 3,600
168 149930 Tri Suranto 31,500 2,864
169 052052 Yuni Widyaningsih 15,475 204,226 4,000
-
13,960,755 - 825,536 398,375 281,300 - - 544,002 - 264,200 - 399,500 50,000 - 200,000

Jurnal Umum 13,960,755


Kas dari Kassa 13,961,600
Selisih Kas 845
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 16 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

16 1 108323 Isak Ismail 4,391 63,800 3,000 12,500


2 103845 Edy Raharjo 6,727 89,500 3,000 12,500
3 005934 Titi Lestari 14,127 34,180 136,720 3,000 12,500
4 020580 Yusiva Sumarni 12,655 34,640 138,560 4,000
5 054941 Istri Wening 841 9,250
6 106741 Dapur Susteran 3,118 34,300
7 149937 Nadimi 16,727 184,000
8 046357 Sawiyem - 110,000
9 062486 Kartinah 19,000 909 4,000
10 149935 Sarjono 13,000 1,182
11 055785 Fitri 39,600 3,600
12 004219 Agustina Pratiwi 20,500 1,864
13 108317 Dullah affandi 85,500 - 2,500
14 021764 Rusti 39,600 3,600
15 18262 Budi Susanto 21,000 - 2,000
16 016717 Uni Erwati 54,100 4,918
17 106947 Hermanto Wijaya 157,350 - 4,000 20,000
18 042035 Iwan Sutarjo 82,000 - 4,000 20,000
19 076185 Sumarmo 34,000 - 4,000
20 108318 Masnieyaning 123,750 5,295 3,000 12,500
21 072258 Taminah 125,000 8,273 4,000
22 096458 Muhamad Kaysa 140,660 - 4,000 20,000
23 108320 Anastasya Putri 44,600 2,645 3,000 12,500
24 108092 Ngafifudin 47,550 2,914 3,000 12,500
25 108178 Siti Khotijah 79,000 4,091 4,000
26 108316 Suwardi 106,500 8,273 3,000 12,500
27 032156 Suwarti 191,250 15,068 3,000 12,500
28 097904 Sartiyah 100,400 7,718 3,000 12,500
29 003797 Lina M 27,000 -
30 011136 Yosepha I 8,000 727
31 074015 Uti Wijayanti 141,700 9,700 4,000
32 108322 Sarimun 107,801 8,300 3,000 12,500
33 108321 Ismuyati 73,500 5,273 3,000 12,500
34 106119 Slamet Sumedi 40,000 545 4,000
35 107944 Turasih 68,572 4,734 3,000 12,500
36 063319 Hibriyani 16,800 - 9,550 4,000
37 032648 Aminudin 9,300 845
38 107996 Cokro Suwito 72,272 - 4,000 20,000
39 108324 Supriyanto 99,500 - 4,000 20,000
40 002156 Tasini 9,900 900
41 080118 Fatah 52,000 -
42 104991 Ika Fifiani 78,500 - 3,000 12,500
43 Lina 3,750 341
44 063020 Kodar 125,000 -
45 108327 Nanda Julianto 110,700 - 4,000 20,000
46 107940 Siti Murniati 127,500 - 2,500
47 108325 Yusup 186,482 - 4,000 20,000
48 Sri Sukesti 39,600 - 39,600
49 107939 Aminah 125,000 -
50 106071 Daffa Fiul 90,000 5,091 4,000
51 104652 Galang 41,500 682 4,000
52 093833 Kenan Listyanto 34,000 - 4,000
53 104146 Mikael Hinata 34,000 - 4,000
54 104677 Hasna Aulia 34,000 - 4,000
55 108230 Watimin 737,300 67,027
-
4,018,037 - 233,102 296,370 39,600 - - 153,300 - 394,830 - 126,000 162,500 - 140,000

Jurnal Umum 4,018,037


Kas dari Kassa 4,017,900
Selisih Kas (137)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 17 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

17 1 087191 Ismu Basuki 12,745 155,700 3,000 12,500


2 108284 Sutarmi - 505,360 4,000 20,000
3 046357 Sawiyem 2,527 43,300 3,000 12,500
4 107804 Didi Wahyudi 3,405 62,950 3,000 12,500
5 087322 Dwi Indra A 3,209 35,300
6 061200 Catur Aiwa U 3,600 39,600
7 Nining Setyanings 360,000 - 170,000
8 008124 Reben 188,500 13,955 4,000
9 096556 Tujianti 191,000 10,318 4,000
10 001096 Sumargiono 5,100 464
11 000293 Tri Hidayat 13,500 -
12 102265 Gani Andra 16,500 - 2,000
13 SMP PIUS 94,800 - 94,800
14 108334 Karel Herminah 84,700 4,382 3,000
15 008448 Indrawati 74,000 -
16 062278 Cindrawati 79,500 -
17 016928 Sarjono 20,500 1,409
18 022524 dr. Nrimanto 132,500 12,045
19 026414 Nila sari 104,450 - 4,000 20,000
20 099163 Mad Ngisa 87,950 - 4,000 20,000
21 108330 Nadia Intan 67,850 - 4,000 20,000
22 104991 Ika Fifiani 52,200 4,386 30,050 4,000
23 149941 dr. Cecilia 6,000 545
24 021466 Tukiyah 112,250 5,432 4,000
25 107817 Tarsiyem 112,250 5,432 4,000
26 108328 Lia Erlina 34,000 - 4,000
27 108063 Puspa Dwi 69,100 3,191 4,000
28 099536 Suminem 58,000 - 2,500
29 085836 Tariyem 180,750 13,250 4,000
30 108333 Mustaman 134,800 9,073 4,000
31 107236 Supono 34,000 - 4,000
32 000211 Go You Lam 18,500 - 2,000
33 108332 Dwi Wahyuningsih 155,700 2,736 4,000
34 087331 San Mureja 82,300 4,391 4,000
35 079642 Kasih 139,000 8,318 4,000
36 108083 Sitem 114,200 7,200 4,000
37 066224 Marsinah 111,275 7,025 4,000
38 106508 Kasinah 34,000 - 4,000
39 107939 Aminah 154,350 9,714 4,000
40 064623 RSU Purwogondo 85,500 7,773
41 108336 Tursiyem 209,950 15,905 4,000
42 023375 Warsinah 53,650 1,695 4,000
43 106254 Murah 81,500 3,000 4,000
44 042216 Riyanti 156,500 11,136 4,000
45 108210 Siti Nurhayati 34,000 - 4,000
46 107916 Siti Parlinah 129,150 8,650 4,000
47 Titi L 6,000 - 6,000
48 108174 Noviyanti 167,000 11,091 4,000
49 108175 Lestari Hartati By 9,000 - 4,000
50 108173 Lestari Hartati 228,100 16,645 4,000
51 077686 Lianita Risqi 93,500 4,409 4,000
52 108341 Eni Amiatun 84,000 - 4,000
53 060565 Sri Rahayu 45,000 - 4,000
54 107847 Tri Hastuti 51,700 609 4,000
55 108211 Tri Haryati 45,000 - 4,000
56 108337 Painem 99,000 - 4,000
57 108339 Florentina 181,500 8,864 4,000
58 106009 Sarsih 34,000 - 4,000
59 107739 Natalia Wasis 131,500 8,864 4,000
60 098222 Lina Ariestin 34,000 - 4,000
61 084225 Lusini 84,000 - 4,000
62 108176 By Noviyanti 9,000 - 4,000
63 072244 Sumadi 110,200 - 4,000 20,000
64 037875 Dewi 110,000 -
65 108340 Nur Sodik 136,450 - 4,000 20,000
66 078472 Steven 16,500 - 2,000
67 Suroto 10,000 - 10,000
68 104799 Kadem 153,200 9,609 4,000
69 106344 Sulyati 70,750 3,341 4,000
70 105129 Yulianti 37,150 286 4,000
71 101727 Risky Dwi S 133,200 7,064 3,000 12,500
72 014848 Rudi Novandi 34,000 - 4,000
73 108054 Mujiono 37,000 273 4,000
74 068064 Samiyah 600,400 - 39,000 20,000
75 Nurida 814 8,950
-
6,624,925 - 268,780 652,160 94,800 - - 155,700 - 73,350 - 434,500 50,000 - 150,000

Jurnal Umum 6,624,925


Kas dari Kassa 6,625,600
Selisih Kas 675

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 18 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

18 1 108314 Marjuki - 100,550 4,000 20,000


2 066959 Olivia Atmaja - 29,900 29,900 4,000 20,000
3 003400 Sr. Veronika 77,155 501,600 501,600 4,000
4 149962 dr. Onggo 227 2,500
5 081423 PKU Gombong 81,500 7,409
6 108108 Nita Yulia 43,000 - 4,000
7 108249 Siswanto 122,100 7,918 4,000
8 073914 Saryanti 165,000 11,818 4,000
9 102139 Wasiyem 95,900 5,536 4,000
10 061836 Parinah 18,500 - 2,000
11 108346 Suharti 91,500 -
12 105625 Siti Asiyah 107,732 6,612 4,000
13 040200 Yohanes Is S 176,500 - 176,500
14 066256 Dawud 157,750 10,795 3,000 12,500
15 106210 Viona Cantika 46,950 2,859 3,000 12,500
16 097713 Ahmad Faizal 62,600 4,282 3,000 12,500
17 096458 Mohamad Kaysan 45,200 2,700 3,000 12,500
18 085198 Akhsani Fauziah 58,100 3,873 3,000 12,500
19 002766 Rina Y 86,000 -
20 101594 Winarno 18,500 - 2,000
21 108262 Wiji 18,500 - 2,000
22 Arie 6,700 609
23 080100 Puspa Rini 27,500 - 2,000
24 Fanbo Wahyudi 10,000 - 10,000
25 Sarjono 42,500 3,864
26 Nurida 12,550 327 8,950
27 010691 Supadi 35,550 3,232
28 149959 Yuli G 27,900 2,536
29 044746 Sukiman 99,300 6,391 3,000 12,500
30 108349 Muntanom 80,150 - 4,000 20,000
31 094527 Dian Sih 98,500 - 2,500
32 18271 Syukur P 16,500 - 2,000
33 108347 Indah Pratiwi 88,900 5,355 3,000 12,500
34 066720 Supriyati 27,500 1,091 3,000 12,500
35 009727 Sodiyah 78,600 5,736 3,000 12,500
36 Indarmanto 20,000 -
37 18270 H Prio 7,500 - 2,000
38 Agus Sulis 1,000 91
39 FX, Satriyo 20,000 -
40 015731 Endarti 4,300 391
41 057386 dr. Slamet Suhars 57,500 -
42 108190 Lia Nita Risqi 9,000 - 4,000
43 083841 Nurwidayati 18,500 1,682
44 Umi 1,227 13,500
-
2,165,282 20,000 173,717 648,050 185,450 - - - - 531,500 - 81,500 112,500 - 70,000
Jurnal Umum 2,145,282
Kas dari Kassa 2,145,500
Selisih Kas 218

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 20 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

20 1 100544 Lusia Ary Nugraheni - 75,000 4,000 20,000


2 108352 Juli Suprastyo - 693,250 74,000 20,000
3 001759 Tri Soendarwati 1,514 16,650
4 006139 Sr. Silvi 36,000 79,200 316,800
5 101594 Winarno 67,500 - 4,000 20,000
6 108354 Hendrika 193,500 - 4,000 20,000
7 094974 Meta Eka Sari 98,250 - 4,000 20,000
8 Umi 13,500 - 13,500
9 080724 Yatinah 50,500 4,591
10 038120 Misbah 151,600 13,782
11 108356 Desi Larasati 100,550 - 4,000 20,000
12 095166 Joko S 13,500 -
13 108357 Selly A 82,000 -
14 107928 Hana Nur Halisa 55,100 - 4,000 20,000
15 108359 Saikun 53,300 - 4,000 20,000
16 002009 Ninik Ekowati 11,100 1,009
17 Yosepha I 13,250 - 13,250
18 065419 Kafka Ridho R 47,900 95 17,000 30,850 7,000 12,500 20,000
19 013806 Tri Wardiyono 13,500 -
20 011484 Emi Muryani 89,222 - 4,000 20,000
21 042588 Sulis Dwi A 94,250 - 4,000 20,000
22 073175 Pasien Luar 10,350 941
23 108362 Kurniawan Eko 243,650 - 4,000 20,000
24 000979 Iwan Wijaya 47,500 - 4,000
25 107243 Misem 191,500 14,318 4,000
26 024112 Sri Sulistiowati 52,500 - 4,000
27 104950 Iswati 166,000 12,000 4,000
28 108174 Noviyanti 20,000 - 4,000
29 106859 Sutiman 125,425 6,311 4,000
30 108239 Poniah 63,250 2,659 4,000
31 108211 Sri Hayati 20,000 - 4,000
32 108285 Rifai Hilmi 27,800 209 3,000 12,500
33 029767 Sugeng 42,700 700 4,000
34 108366 Sidik Mulyo 79,126 5,784 3,000 12,500
35 108201 Watiyah 27,500 - 2,000
36 100147 Wasiran Samsudi 139,200 6,609 3,000 32,500
37 18272 Miah 18,000 - 2,000
38 095917 Nadia Fidan 97,350 7,441 3,000 12,500
39 Pengobatan Kary 415,300 - 415,300
40 102614 Putri Anastasia 101,550 - 4,000 20,000
41 093414 Gabriel Dwiki 40,000 - 40,150 4,000 20,000
42 108371 Ida Purwati 45,050 - 4,000 20,000
43 091977 Lukas Handoyo 123,676 11,243
44 108372 Dwi Sigit P 121,800 2,755 4,000
45 Nadimi 218,000 - 218,000
46 052428 Tindraweni 34,000 - 4,000
47 096482 Niken Kristianti 36,500 2,864 5,000
48 Sutarmi 505,400 - 505,400
49 108370 Indah Tri W 62,900 1,718 4,000
50 065225 Ida Nainggolan 98,150 - 4,000 20,000
51 107044 Ahmad Subur 34,000 - 4,000
52 066741 Siti Rohmah 191,750 14,341 4,000
53 035182 Indah Supinah 143,750 9,977 4,000
54 108347 Indah P 14,500 -
55 003907 Surtini 143,500 9,955 4,000
56 108368 Soliyah 233,350 18,032 4,000
57 068507 Wartini 116,100 7,464 4,000
58 108197 Surdjaningsih 130,200 8,745 4,000
59 102768 Indrawati 77,000 -
60 029922 Laelatul Rosidah 34,000 - 4,000
61 078245 Agus Setiawan 66,500 2,045 4,000
62 091645 Pagem 34,000 - 4,000
63 149975 Ida 8,950 814
64 090627 Gesti Oktaviani 116,500 7,500 4,000
65 035498 Sutarsih 34,000 - 4,000
66 108338 Rasinem 392,610 35,692
67 050470 Marsinem 38,428 - 4,000 20,000
68 049621 Sri Haryati 66,000 6,000
69 060765 Rini Puji R 179,050 - 4,000 20,000
-
6,376,887 - 253,108 789,100 1,187,450 - - 75,000 - 387,800 - 257,000 82,500 - 360,000

Jurnal Umum 6,376,887


Kas dari Kassa 6,377,500
Selisih Kas 613
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 21 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

21 1 018216 Adi Setiawan 6,364 104,000 4,000


2 025234 Sr. Clara 12,886 87,875 87,875 4,000
3 005934 Titi Lestari 2,068 7,650 30,600 3,000 12,500
4 106738 dr. V Onggo 1,000 11,000
5 006139 Sr. Silvi 7,655 16,840 67,360
6 062365 Susteran 5,182 57,000
7 066959 Olivia Atmaja 3,209 35,300
8 062365 Susteran Kebumen 2,318 25,500
9 075096 Agus Dwi N 964 10,600
10 001022 Yuli Gestati 2,664 29,300
11 002659 Diki Dwi P 17,000 - 17,000 4,000
12 098470 Mugiyah 34,000 - 4,000
13 105530 Fajar Agung TW 51,000 - 6,000
14 108109 Tursinah 192,750 12,295 4,000
15 032156 Suwarti 81,250 4,295 4,000
16 108378 Sunarti 115,450 - 4,000 20,000
17 108379 Kevin Kristoper 157,050 - 4,000 20,000
18 108396 Tuginah 106,950 - 4,000 20,000
19 016928 Sarjono 22,800 845
20 108381 Martini 22,000 -
21 149979 Hybriani 7,500 682
22 104140 Reni Wahyuningsi 43,900 3,991
23 032624 Marsinta Manik 3,000 273
24 007502 Yohana Pariyem 30,550 2,777
25 Vincentius Yanuar 5,100 -
26 074126 Nadia 19,000 909 4,000
27 102576 Parilah 68,000 6,182
28 063698 Dwi Jalu 19,000 - 2,000
29 108382 Yaniatun 189,100 10,909 4,000
30 105345 Warsini 105,150 6,468 4,000
31 047468 Budi Setyanto 34,000 - 4,000
32 107729 Rubisah 47,500 - 4,000
33 Pengobatan kary 2,206,000 - 2,206,000
34 108387 Sarip 151,100 5,509 4,000
35 100632 Suratno 151,625 10,693 4,000
36 106127 Nasekhudin 34,000 - 4,000
37 106831 Rista Nurjanah 108,000 5,909 4,000
38 107651 Rusman Budi 38,500 409 4,000
39 000348 Niken Sumekar 145,500 7,682 4,000
40 065009 Sumarto 106,150 5,650 4,000
41 016871 Min Sumini 101,250 6,023 4,000
42 108384 Karni 196,850 13,486 4,000
43 050761 Jihan Elisa 15,500 - 3,000 12,500
44 108386 Indriyani 74,200 5,336 3,000 12,500
45 096458 Muhamad Kaysan 51,000 2,318 3,000 12,500
46 108383 Wasito 41,500 1,455 3,000 12,500
47 038868 Misran 46,750 4,250
48 065912 Awalia 24,750 2,250
49 102820 Mastur 214,000 16,364 4,000
50 106237 Naila Murni K 15,500 - 3,000 12,500
51 106486 Naifa Murni 15,500 - 3,000 12,500
52 103262 Sarinah 18,500 - 2,000
53 105289 Dul Haris 116,450 7,405 4,000
54 108054 Mujiono 117,000 7,545 4,000
55 004639 Sugiyem 112,400 6,536 4,000
56 149982 Reni 37,000 3,364
57 107603 Eko Suparyanto 34,000 - 4,000
58 104461 Disun 226,100 15,145 6,000
59 008949 Suniah 46,800 1,164 4,000
60 019430 Yekti Resati 176,500 12,955 4,000
61 061862 Jenny 150,600 10,600 4,000
62 Heppy Yuniarti 77,935 - 77,935
63 108284 Sutarmi 10,000 - 4,000
64 108390 Najla 144,310 - 4,000 20,000
65 035498 Sutarsih 125,000 -
66 022524 dr. Nrimanto 140,000 12,727
-
6,637,220 5,100 258,711 281,065 2,283,935 - - 104,000 - 202,835 - 169,000 87,500 - 80,000

Jurnal Umum 6,632,120


Kas dari Kassa 6,632,500
Selisih Kas 380
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 22 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

22 1 091992 Wahyu Saptono 10,632 206,450 4,000


2 107915 Adinda Salsabila 29,050 - 48,900 4,000 20,000
3 108408 Berlin Maria 39,600 3,600 34,000 4,000
4 107804 Didi Wahyudi 1,591 43,000 3,000 12,500
5 001022 Yuli Gestati 29,300 3,786 41,650 29,300
6 10818 Keri - 18,000
7 108394 Sutikno 109,600 - 4,000 20,000
8 108391 Novi Indah 89,500 - 4,000
9 068064 Samiyah 43,500 - 4,000 20,000
10 106840 Painah 242,250 - 4,000 20,000
11 108392 Lukman 318,925 - 4,000 20,000
12 037017 Siti Solekah 14,500 1,318
13 026744 Yuliana Dwi 27,500 -
14 018915 Rosdiana sitorus 30,900 2,809
15 149988 Agus Lukito 3,000 273
16 062896 Reni 8,500 773
17 073175 Pasien Luar 6,700 609
18 108400 Daryo Martono 13,000 - 3,000
19 018313 Sopiah 39,600 3,600
20 011136 Yosepha I 27,575 773 19,075
21 104164 Reval Y 16,500 - 2,000
22 108402 Trisma Yunita 18,000 - 2,000
23 063698 Dwi Jalu 19,000 - 2,000
24 107701 Naura 67,000 -
25 099358 Mairah 86,125 4,739 4,000
26 108406 Hana Afifah 104,450 4,450 3,000 12,500
27 105847 Siti Khoirul B 166,000 12,000 4,000
28 108403 Dwi Setyowati 165,000 4,773 7,000 12,500
29 075288 Sukarman 42,700 700 4,000
30 149989 Partareja 40,300 -
31 108401 Sadinah 184,370 10,479 4,000
32 000153 Aminah 196,825 14,711 4,000
33 107488 Sarli Simbolon 27,000 -
34 108407 Suparmi 73,250 3,568 4,000
35 070839 Tuyem 211,250 16,114 4,000
36 105014 Marsiyem 39,500 409 4,000
37 076917 Suminah 76,000 3,818 4,000
38 035498 Sutarsih 34,000 - 4,000
39 108256 San Musdi 198,650 14,968 4,000
40 108292 Iwan Sutrisna 189,050 14,095 4,000
41 108315 Muhroni 34,000 - 4,000
42 108035 Sainah 110,000 6,818 4,000
43 107939 Aminah 116,250 6,250 4,000
44 107050 Suhartiningsih 58,500 - 4,000
45 003387 Warjan 59,250 5,386
46 105292 Moh Mansur 73,300 3,573 4,000
47 058244 Tasman 34,000 - 4,000
48 033545 Satem 30,000 2,727
49 105804 Diah Rusianti 39,600 3,600
50 Uni Erwati 20,000 - 20,000
51 104633 Harjinah 39,600 3,600
52 105388 Sumirah 39,600 3,600
53 107386 Nining Asgiya 74,600 6,782
54 107531 Indraspuri 39,600 3,600
55 078104 Tegar Rizky 74,600 6,782
56 107852 Arifudin 79,200 7,200
57 106430 Irnia Widia 39,600 3,600
58 106585 Siti Aminah 79,200 7,200
59 062232 Tyas Satria 114,200 10,382
60 108397 Parsiti 100,000 6,000 4,000
61 108395 Dafa 92,526 5,321 4,000
62 107225 Restanti 74,600 6,782
63 105459 Galuh Puspa 118,800 10,800
64 084322 Ari Setyo 79,200 7,200
65 149993 Mumung 39,600 3,600
66 024760 Adi Triyanto 50,500 - 2,500
67 107979 Suparni 39,600 3,600
68 098776 Novianti 60,000 2,364 4,000
69 172148 Erdiani 393,000 1,273 4,000
70 108411 Muh Rickza 109,000 6,818 4,000
71 108335 Siti Nuryani 160,050 11,459 4,000
72 080384 Andriyani 93,000 - 4,000
73 108271 Karminah 134,000 4,545 4,000
74 051282 Dwi Retnowati 138,600 9,509 4,000
75 044510 Parimi 39,600 3,600
76 105465 Astuti 79,200 7,200
77 104673 Tularsih 39,600 3,600
78 108412 Priskila 198,000 10,364 4,000
79 085019 Ari Wiji Astuti 184,000 9,091 4,000
80 027235 Marsini 192,000 9,818 4,000
81 108174 Noviyanti 51,700 609 4,000
82 108414 Sri Maryani 73,600 3,600 4,000
83 106437 Yuliani 39,600 3,600
84 106275 Wahyu Budi 39,600 3,600
85 064439 Sumini 79,200 7,200
86 051253 Sugiarti 39,600 3,600
87 052285 Ranti Desi 185,700 9,245 4,000
88 104834 Tia Reva 39,600 3,600
89 034585 Inayah 114,200 10,382
90 038791 Esti Handayani 39,600 3,600
91 108298 Tukinah 39,600 3,600
92 092565 Jasiyem 240,200 14,200 4,000
93 108415 Nurhasanah 108,600 6,782 4,000
94 108416 Nita 108,600 6,782 4,000
95 108151 Wadi Wirya 83,000 4,455 4,000
96 108413 Rian Presti 123,600 8,145 4,000
97 107838 Teguh Budiarto 117,600 7,600 4,000
98 097948 Iin Trimala 79,200 7,200
99 087263 Pingah 39,600 3,600
100 105802 Jumi Suliasih 39,600 3,600
101 104245 Sopiyah 39,600 3,600
102 046832 Surip 39,600 3,600
103 103364 Rusmiyah 39,600 3,600
104 031790 Neni Triasih 39,600 3,600
105 100929 Fatonah 74,600 6,782
106 108409 Leni Riyanti 114,600 7,327 4,000
107 150000 Ainita 79,200 7,200
108 050935 Dalu Rahayu 39,600 3,600
109 058909 Tutik 63,000 2,636 4,000
110 072021 Siswoyo 54,750 205 4,000
111 108418 Sugesti 218,350 12,214 4,000
112 075818 Albertus Giardi 62,880 2,625 4,000
113 Leon Hart 11,000 - 11,000
114 025406 Tuti 74,600 6,782
115 097616 Tri Septi 39,600 3,600
116 103079 Punti Bela A 74,600 6,782
117 103217 Dwi Astuti 79,200 7,200
118 108109 Tursinah 52,500 - 4,000
119 107536 Ferdila Iga 39,600 3,600
120 053831 Afdana Rizal 69,000 3,182 4,000
121 105799 Theresia Yesi 79,200 7,200
122 044171 Tri Kusuma 39,600 3,600
123 070165 Supriyati 39,600 3,600
124 105968 Kunaenah 39,600 3,600
125 084584 Chatarina 73,000 3,545 4,000
126 107705 Naura Silva 34,000 - 4,000
127 087345 Roman Virsa 57,400 - 4,000 20,000
128 094277 Monika Setya 98,452 5,859 4,000
129 107428 Ringga Pramudya 195,500 14,682 4,000
130 108417 Sugito 139,150 9,559 4,000
131 108190 Lianita Rizqi 38,500 409 4,000
132 100091 Ristin ayza 38,500 409 4,000
133 102925 Dominikus 34,000 - 4,000
134 107228 Ririn Andriyani 84,000 - 4,000
135 052902 Ambar 84,000 - 4,000
136 060035 Marliana 84,000 - 4,000
137 106733 Maryani 34,000 - 4,000
138 077680 Lianita Rizqi 45,000 - 4,000
139 016928 Sarjono 3,418 37,600
-
10,762,628 60,300 597,648 194,250 59,375 - - 255,350 - - - 296,500 37,500 - 120,000

Jurnal Umum 10,702,328


Kas dari Kassa 10,702,800
Selisih Kas 472

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 23 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

23 1 104830 Naufal Abinaya K - 34,000 4,000


2 020580 Yusiva Sumarni 3,455 72,000 4,000
3 006090 Kasianti 1,455 6,300 25,200 3,000 12,500
4 150003 Sr. Felisitas 3,482 19,150 19,150
5 150004 Susteran Gombong 4,045 44,500
6 150005 Sr. Marieta 1,500 8,250 8,250
7 150018 Tasini 17,523 192,750
8 006391 Eka Purwanti 3,600 39,600
9 044715 Agnes Herna P 500 5,500
10 093414 Gabriel Dwiki 48,500 3,118 19,800 4,000
11 005743 Mutmainah - 36,000
12 Nining Setyaningsih 100,000 - (100,000)
13 108426 Budiarto 200,000 - 107,950 4,000 20,000
14 016928 Sarjono 80,100 3,864 37,600
15 Maryani 728,250 14,386
16 108420 Siman 77,950 - 4,000 20,000
17 079427 Silam 83,350 - 4,000 20,000
18 dr. Nrimanto 62,500 5,682
19 105530 Fajar 17,000 - 2,000
20 107365 Samirah 19,000 - 2,000
21 107658 Hadi Turyatno 34,000 - 4,000
22 070395 Sukimin 34,000 - 4,000
23 010229 Sugiyarti 13,500 -
24 086402 Khansa Kusuma P 121,000 - 4,000 20,000
25 065528 Romadona Adi P 99,900 7,673 3,000 12,500
26 074368 Maryati 56,150 3,695 3,000 12,500
27 071928 Stefani Nindya 135,550 - 6,500 20,000
28 150016 dr. Harnowo 43,800 3,982
29 009648 Sri Purwanti 69,100 - 4,000
30 098366 Dalimin 34,000 - 4,000
31 053975 Sarijan 34,000 - 4,000
32 105924 Jeminah 276,300 21,936 4,000
33 084143 Saminem 67,108 2,919 4,000
34 046036 Sugiarti 162,990 11,726 4,000
35 004584 Edi Wibowo 77,000 - 4,000
36 108431 Sugiyah 65,250 - 4,000 20,000
37 063401 Sastro Yuwono 121,540 - 4,000 20,000
38 150013 Rasinah 3,500 318
39 089467 Sulami 34,000 - 4,000
40 107628 Moh Kodiran 138,275 9,480 4,000
41 073175 Pasien Luar 37,500 3,409
42 108428 Dafa Nasruloh 87,700 4,882 4,000 20,000
43 108277 Muhajir 40,750 614 4,000
44 108423 Hamdi 185,060 12,415 4,000
45 063698 Dwi Jalu 19,000 - 2,000
46 097753 Poniman 90,250 5,114 4,000
47 108338 Rasinem 97,450 5,677 4,000
48 105407 Kurniasih 25,500 - 3,000 12,500
49 108425 Setyarini 90,700 6,836 3,000 12,500
50 108285 Rifai Hilmi 27,100 145 3,000 12,500
51 107944 Turasih 49,500 - 7,000 12,500
52 055589 Kanisem 34,000 - 4,000
53 108402 Trisma Yunita 18,000 - 2,000
54 108400 Daryo Martono 13,000 - 3,000
55 001022 Yuli Gestati 17,800 1,618
56 107955 Dewi Fortuna 228,826 20,802
57 108432 Bungkus Nisetiaw 57,200 - 4,000 20,000
58 095966 Rahma Widiasmar 34,000 - 4,000
59 107791 Yuyun R 90,000 5,091 4,000
60 101728 Aurelia Ramadhan 38,500 409 4,000
61 000816 Eri Yuniati 7,000 - 28,500 4,000 20,000
62 087907 Riski Alam 110,750 6,977 4,000
63 039673 Robertus Sadjikoe 112,250 5,432 4,000
64 092976 Tunjiah 216,785 15,617 4,000
65 CV Rama 2,208,300 - 2,208,300
66 Naufal Azzam - 34,000 4,000
67 052052 Yuni Widyaningsih (15,475) 204,226 (4,000)
-
6,874,534 100,000 203,902 566,000 2,450,126 - - 34,000 - 100,900 - 78,500 87,500 - 200,000

Jurnal Umum 6,774,534


Kas dari Kassa 6,775,200
Selisih Kas 666

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 24 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

24 1 061200 Catur Aiwa U 2,091 23,000


2 054946 Dwi Sumanti 4,364 92,800 39,200 4,000
3 001604 Samsiah 17,864 213,500 67,000 4,000
4 025595 Sri Hartati 205,050 - 8,000 40,000
5 055512 Martoyo 135,600 - 4,000 20,000
6 083841 Nurwidayati 8,000 727
7 014567 Sartinah 1,200 109
8 043293 Sutarman 59,000 -
9 005068 Kiem Mei Lan 59,000 -
10 104732 Savana Diandra 59,400 2,309 4,000
11 Sugiyanti 30,650 - 30,650
12 021088 Bernadine Frida 25,800 2,345
13 104404 Nathanael Rafel 37,280 298 4,000
14 092625 Sunyak 62,000 - 4,000 20,000
15 075295 Hendro Sutomo 161,200 - 4,000 20,000
16 063020 Qodar 32,250 2,932
17 150024 Ika 6,450 586
18 060035 Marliana Woro 216,000 19,636
19 108400 Daryo Martoyo 13,000 - 3,000
20 035715 Siti Maftukhah 16,650 1,514
21 105924 Jeminah 55,500 -
22 108440 Tri Astuti 53,750 - 4,000 20,000
23 39792 Pariasih 69,500 - 2,500
24 18298 Fauzal 18,000 - 2,000
25 108438 Siti A 32,000 -
26 063698 Dwi Jalu 19,000 - 2,000
27 107989 Dono Wilopo 19,522 275 3,000 12,500
28 081531 Supriyanto 34,000 - 4,000
29 104044 Muryati 25,500 - 3,000 12,500
30 108333 Mustaman 107,250 6,568 4,000
31 108402 Trisma 18,000 - 2,000
32 108178 Siti Khotijah 85,000 4,636 4,000
33 104262 Setiani Prabowo 118,000 - 8,000
34 086227 Prianto 100,500 5,455 4,000
35 103262 Sarinah 18,500 - 2,000
36 108444 Basinem 44,650 2,650 3,000 12,500
37 108443 Sungi 126,350 2,523 3,000 17,000
38 088302 Puji Saryani 166,500 11,045 4,000
39 108311 Saini 126,750 3,886 4,000
40 108261 Sulastri 172,500 11,591 4,000
41 108297 Linda Suwati 222,900 16,173 4,000
42 106538 Marsitah 122,500 8,818 3,000
43 107714 Hesti Pratiwi 156,500 6,591 4,000
44 108425 Setyarini 225,850 12,895 4,000
45 107474 Sopandi 110,925 6,993 4,000
46 108351 Tugi 184,250 13,659 4,000
47 108446 Trismania Deby 46,000 - 4,000
48 086962 Cipto Waluyo 179,800 10,064 4,000
49 106518 Ridem 110,500 6,955 4,000
50 094288 Wasem 76,525 3,775 4,000
51 061198 Robertus Eko W 5,100 464
52 Sri Muryani 20,000 -
53 025110 Rosna Hariawati 191,250 9,750 4,000
54 Budiarto 107,950 - 107,950
55 108313 Rina Widi 9,000 - 4,000
56 108310 Linda Suwati 9,000 - 4,000
57 108280 Puji Saryani 9,000 - 4,000
58 108448 Padmi 84,000 - 4,000
59 059854 Rina Widi 45,000 - 4,000
60 080384 Andriyani 34,000 - 4,000
61 106959 Reni Tri 84,000 - 4,000
62 108430 Tusinah 154,000 - 4,000
63 108231 Rusinah 34,000 - 4,000
64 108445 Erna Indahwati 46,800 2,845 3,000 12,500
65 062954 Sakem 60,750 2,432 4,000
66 070563 Siyam 34,000 - 4,000
67 097454 Sukarsih 34,000 - 4,000
68 108390 Najla 21,500 - 4,000
-
4,958,402 - 204,818 329,300 138,600 - - - - 106,200 - 199,500 67,000 - 120,000

Jurnal Umum 4,958,402


Kas dari Kassa 4,959,300
Selisih Kas 898

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 25 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

25 1 108104 Ari Setiawan - 199,450 4,000 20,000


2 004037 Agus Lukito 1,023 12,400 14,350 3,000 12,500
3 052902 Ambar Rukmini 955 10,500
4 017156 Sr. Yustina 3,200 17,600 17,600
5 000052 Anastasia Surati 2,191 24,100
6 096483 Ika Endang P 1,373 15,100
7 031770 drg. Dina Herlina 2,045 22,500
8 018915 Rosdiana Sitorus 2,091 23,000
9 023327 Waluyo 141 1,550
10 073175 Pasien Luar 5,550 505
11 022524 dr. Nrimanto 220,000 20,000
12 075295 Hendro Sutomo 67,500 - 4,000 20,000
13 108420 Siman 72,000 - 4,000 20,000
14 072021 Siswoyo 77,250 2,250 4,000
15 108442 Valih Qofan 34,000 - 4,000
16 097493 Petrus Sidarta 133,500 -
17 016928 Sarjono 20,000 -
18 108457 Tri Rohyani 184,700 15,382 3,000
19 108400 Daryo Martono 13,000 - 3,000
20 096458 Muh Kaysan 39,600 1,282 3,000 12,500
21 108459 Sumarni 108,600 6,782 4,000
22 106565 Pariyem 203,630 12,694 4,000
23 107243 Misem 194,300 14,573 4,000
24 108461 Toto Sri Hartono 98,500 - 2,500
25 101356 Supardi 88,500 -
26 100887 Sodirah 120,925 7,902 4,000
27 067271 Tabah Gandi 164,350 13,532 3,000 12,500
28 108383 Wasito 46,450 1,905 3,000 12,500
29 107584 Siti Ngaisah 34,000 - 4,000
30 108406 Hana Afifah 76,300 - 4,000 20,000
31 085479 Tanti 13,500 -
32 098242 Ponirah 201,700 14,018 4,000
33 087441 Samiyah 40,500 - 4,000
34 150037 Tyasmini 3,000 273
35 104799 Kadem 205,000 14,318 4,000
36 061500 Nasiyem 66,300 4,618 3,000 12,500
37 065955 Sri Rahayu 40,825 2,302 3,000 12,500
38 106818 Kavinda 12,000 -
39 108464 Nasiyem 170,900 - 4,000 20,000
40 108465 Yuyun Hendriyati 170,900 - 4,000 20,000
41 108466 Misko 58,000 - 2,500
42 107209 Ngazizi 125,000 -
43 108396 Tuginah 88,700 - 4,000 20,000
44 078196 Tugiman 116,500 -
45 Meterai 6,000 - 6,000
-
3,321,480 - 145,353 326,200 - - - - - 31,950 - 103,000 75,000 - 140,000

Jurnal Umum 3,321,480


Kas dari Kassa 3,321,700
Selisih Kas 220

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 26 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
26 1 034744 Ita Dwi Rachmanti - 61,950
2 108460 Kasmadi 17,100 -
3 024741 Miah 3,000 -
4 108481 Febi 67,000 - 4,000 20,000
5 150039 Ali Kuntara 39,600 -
6 090536 Sri Suryani 96,500 -
7 106653 M Reyhan Noval 124,200 7,200 4,000
8 001127 Susetyo 64,500 -
9 150038 Suradi 2,000 -
10 150040 Dede 1,600 -
11 026974 Sugiyanto 13,500 -
12 096992 Asti Rofiana P 3,000 -
-
432,000 - 7,200 61,950 - - - - - - - 8,000 - - 20,000

Jurnal Umum 432,000


Kas dari Kassa 432,000
Selisih Kas -

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 27 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

27 1 027692 Anita Hendrawan - 133,200 4,000 20,000


2 105074 Naufal Azzan K 6,900 109,900 4,000
3 075096 Agus dwi N 3,300 36,300
4 055480 dr. B Suryanto 15,245 33,540 134,160
5 022524 dr. Nrimanto 273 3,000
6 061198 Robertus Eka W 41,300 5,245 16,400
7 013806 Tri Wardiyono - 410,950 4,000 20,000
8 108467 Nur Afikasari 190,000 -
9 Pasien Luar 10,700 973
10 055666 Tan Nino 13,500 -
11 108484 Solikhah 84,500 -
12 150044 Vinansius 40,200 3,655
13 050907 Adi Martono 91,500 - 4,000 20,000
14 032624 Marsinta Manik 500 45
15 076611 Flora Salsabila 12,500 1,136
16 088896 Saroji 139,200 - 4,000 25,000
17 063401 Sastro Yuwono 61,855 - 4,000 20,000
18 108483 Addina Aqlina 113,700 - 4,000 20,000
19 096500 Nasiran 15,500 1,409
20 150042 Warsidi 271,500 -
21 082402 Ratna Yuni A 3,000 273
22 107244 Wasirah 148,000 10,364 4,000
23 107805 Wantiyem 97,550 5,777 4,000
24 108490 Firgi Walaur 84,900 6,309 3,000 12,500
25 034936 Ega Rizki 78,500 - 3,000 12,500
26 007905 Sutarman 56,500 - 4,000 20,000
27 059854 Rina Widi A 16,500 - 4,000 12,500
28 099565 Darmi 153,400 12,445 3,000 12,500
29 072859 Ridem 58,000 2,091 4,000
30 103731 Endang Aristiyani 40,750 614 4,000
31 050265 Misngan 124,600 - 4,000
32 108399 Marisah 72,750 3,523 4,000
33 108370 Indah Tri Wahyuni 38,500 409 4,000
34 106407 Tugiyem 165,625 11,966 4,000
35 105345 Warsini 111,250 7,023 4,000
36 080254 Sapen 79,750 4,068 4,000
37 100933 Sudarti 222,700 10,473 4,000
38 058552 Sumirah 98,950 5,814 4,000
39 108493 Maryati 69,950 4,859 3,000 12,500
40 090938 Elya Retno 79,685 - 4,000 25,000
41 108492 Jangi Yulianto 41,500 - 4,000 20,000
42 108349 Muntanom 90,900 5,082 4,000
43 066607 Sri Haryati 34,000 - 4,000
44 108108 Nita Yulia 43,000 - 4,000
45 108367 Chaerudin 68,450 3,132 4,000
46 108494 Kusiyono 60,000 - 4,000 20,000
47 002321 Yulianus Sarwono 10,500 955
48 108368 Soliyah 108,750 6,795 4,000
49 108344 Widhy Hidayat 62,500 2,591 4,000
50 108488 Turniyah 89,500 - 4,000
51 079642 Kasih 189,000 12,773 4,000
52 Marjuki 100,500 - 100,500
53 015732 Eni Kurniasih 28,500 2,591
54 085715 Sudarsih 48,000 1,136 3,000
55 002355 W Nurhadi 106,000 4,727 4,000
56 073589 Januar Adi N 38,650 - 4,000 20,000
57 106538 Marsitah 146,000 8,682 3,000
58 074577 Siti F 13,500 -
59 107488 Sarli Simbolon 58,000 - 2,500
60 108442 Valih Qofan Ahma 34,000 - 4,000
-
3,987,065 271,500 172,652 500,190 100,500 - - 243,100 - 134,160 - 160,500 50,000 12,500 230,000

Jurnal Umum 3,715,565


Kas dari Kassa 3,716,700
Selisih Kas 1,135

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 28 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

28 1 058750 Mungin 29,050 1,232 50,000 3,000 12,500


2 100934 Hubertus Berry 12,564 115,275 38,425 3,000 12,500
3 069301 Sukoco - 101,650 8,000 40,000
4 063401 Sastro Yuwono 62,360 - 4,000
5 150051 Sarjono 42,500 3,864
6 150052 Heru 26,800 2,436
7 018915 Rosdiana Sitorus 20,600 1,873
8 030526 Ika Purwatiningsih 18,975 1,725
9 039760 Maryani 39,000 3,545
10 014004 Trisno Sudarno 73,750 - 4,000 20,000
11 002156 Tasini 56,000 5,091
12 049069 Suratiyah 122,700 7,973 4,000
13 065779 Lia Sarasati 91,500 - 4,000
14 108503 Sena Lintang 50,500 - 2,500
15 010229 Sugiyarti 13,500 -
16 150054 dr. Nrimanto 5,300 482
17 150053 Stevani 50,000 4,545
18 108400 Daryo Martono 16,000 - 3,000
19 108505 Alya Suci 12,000 -
20 150055 Ani 2,400 218
21 095321 Rudi 52,000 1,636 4,000
22 079153 Kasno Marto H 82,000 4,364 4,000
23 030002 Didit Setia Eli 34,000 - 4,000
24 107939 Aminah 188,320 10,075 4,000
25 028202 Darminah 57,000 2,000 4,000
26 097758 Emi Srianah 90,782 - 4,000 20,000
27 104140 Reni Wahyuningsi 9,000 - 4,000
28 015949 Sugiati 13,500 -
29 029726 Anggit Dwi J 48,600 - 3,000 17,000
30 108504 Tursiyah 148,980 7,725 4,000
31 108383 Wasito 34,100 782 3,000 12,500
32 042970 Waridi 103,100 7,964 3,000 12,500
33 108464 Nasiyem 127,700 10,200 3,000 12,500
34 106710 Martoyo 110,500 10,045
35 074856 Siti Umiyati 47,500 - 4,000
36 065009 Sumarto 45,250 1,023 4,000
37 108421 Painah 75,600 3,782 4,000
38 027463 Sarinem 112,500 7,136 4,000
39 057973 Sakimin 128,575 8,598 4,000
40 057001 Lani Herawati 47,500 - 4,000
41 108427 Riyan Hidayat 116,500 7,500 4,000
42 068682 Wiryo Suwito 48,250 1,295 4,000
43 108361 Ahmad Saiful 91,170 5,197 4,000
44 108507 Tugirah 220,290 11,890 4,000
45 055976 Haryanto 59,750 - 4,000 25,000
46 098257 Edi Rubiyanto 161,350 - 4,000 20,000
47 087327 Indrawati 8,750 795
48 150057 Yuli G 22,750 2,068
49 010933 Nuryani 19,500 955 4,000
50 015646 Daryani 305,000 27,727
51 101707 Watiyah 32,250 2,932
52 103263 Kuswanto Handoy 91,000 -
53 009839 Cipto Utomo 56,000 2,000 4,000
54 073175 Pasien Luar 74,600 6,782
55 108510 Thalita Yusli Alivia 34,000 - 4,000 20,000
56 053687 Titi Komsiatun 52,000 -
57 032778 Mad Siyam 127,500 - 2,500
58 016928 Pasiennya Sarjon 27,500 -
-
3,837,602 - 190,019 165,275 - - - - - 140,075 - 142,000 79,500 - 145,000

Jurnal Umum 3,837,602


Kas dari Kassa 3,837,700
Selisih Kas 98

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 29 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

29 1 038589 Misran 1,791 19,700


2 011136 Yosepha I 955 19,500 4,000
3 108520 Dewi Ramadani G - 95,100 4,000 20,000
4 067078 Stevanus Yoki - 248,580 4,000 25,000
5 098094 Partomo 139,000 8,545 4,000
6 108391 Nov Indah Dwi L 75,000 2,727 4,000
7 107773 Puji Supangat 83,000 1,409 4,000
8 108403 Dwi Setyowati 442,400 36,127 4,000
9 063020 Qodar 90,000 3,136 4,000
10 072729 Yuda Ari Y 70,000 3,273 4,000
11 086540 Mahmud Karto D 123,900 7,491 4,000
12 073354 Rasman 68,000 1,136 4,000
13 063401 Sastro Yuwono 37,000 273 4,000
14 108512 Slamet Joyo 608,200 - 8,000 40,000
15 108515 Egista Putri 62,800 - 4,000 20,000
16 016928 Sarjono 430,900 32,855
17 070025 Siti Solihatun 29,000 2,636
18 013118 Arif Kurniawan 22,500 2,045
19 150063 dr. Nrimanto 125,000 11,364
20 150062 Sarelo 16,500 1,500
21 041010 Sri Yuliati 47,000 -
22 150067 Susi 2,500 -
23 150066 Desi 6,600 -
24 066256 Dawud 96,550 - 4,000 20,000
25 073175 Muslimah 61,500 - 4,000 20,000
26 029103 Rasiyem 56,800 - 4,000 20,000
27 099565 Darmi 67,000 - 4,000 20,000
-
2,761,150 - 117,264 382,880 - - - - - - - 76,000 - - 185,000

Jurnal Umum 2,761,150


Kas dari Kassa 2,761,200
Selisih Kas 50

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 30 Juni 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

30 1 055480 Cicilia Yanti - 69,000 4,000 20,000


2 004192 dr. B Suryanto 15,018 33,040 132,160
3 108521 Erli Kristanti 100,850 - 4,000 20,000
4 032162 Andrean 134,750 - 4,000 20,000
5 108523 Minarto 413,575 - 4,000 20,000
6 016683 Sri Retno Sugiriwa 339,140 - 4,000 25,000
7 073726 Rohati 13,500 -
8 150069 Ika P 14,550 1,323
9 089372 Sujinah 89,000 8,091
10 150072 Ela 51,500 4,682
11 150074 Sarjono 99,000 9,000
12 041930 Adriel 106,000 - 4,000 20,000
13 001749 Paula W 13,500 -
14 150075 Yuli Gestati 13,600 1,236
15 005068 Kiem Mei Lan 43,928 - 4,000 20,000
16 108531 Sapto Rahir 55,500 - 3,000 12,500
17 090899 Mutmainah 34,000 - 4,000
18 056665 Dul Muis 81,000 5,364 3,000 12,500
19 105924 Jeminah 34,000 - 4,000
20 024415 Mustakim 73,275 5,252 3,000 12,500
21 107944 Turasih 58,000 - 2,500
22 010229 Sugiyarti 13,500 -
23 102303 Tunjiah 31,500 -
24 108529 Sudaryadi 80,700 - 4,000 20,000
25 060113 Maemunah 123,700 8,064 4,000
26 107880 Rasini 102,000 6,182 4,000
27 040277 Muinah 139,500 9,500 4,000
28 082043 Martini 58,000 - 2,500
29 107827 Turyono 208,950 15,814 4,000
30 107577 San Roji 34,000 - 4,000
31 015437 Kuswatun Hasana 91,000 5,182 4,000
32 106511 Saring 45,250 1,023 4,000
33 057973 Sakimin 79,500 4,136 4,000
34 071115 Natiyah 148,000 10,364 4,000
35 068912 Surtijah 157,500 11,227 4,000
36 108534 Arin Fendriana 95,700 7,291 3,000 12,500
37 108536 Sutar 85,700 6,382 3,000 12,500
38 108533 Sagiman 200,000 15,091 4,000
39 108315 Muh Roni 34,000 - 4,000
40 014601 Nawawi 116,525 2,457 4,000
41 108532 Kusdana 132,700 3,927 4,000
42 Karyawan Honore 50,000 - 50,000
43 108540 Rajem 58,000 - 2,500
44 Misran 19,700 - 19,700
45 Susteran Kebume 173,300 - 173,300
46 108537 Hesti Nur Setia 316,000 15,091 4,000
47 064587 Sutono 229,700 16,564 4,000
48 108360 suparno 34,000 - 4,000
49 070025 Siti Solihatun 19,500 955 4,000
50 089092 Moro Morelia 67,935 4,767 3,000 12,500
51 083842 Wahyu Dwi Antoro 10,500 955
52 108542 Kenzi amani 170,490 12,408 4,000
53 082402 Ratna Yuni 3,050 277
54 096771 Kamila Vidiasal 34,000 - 4,000
55 095844 Aisyah Aurel 34,000 - 4,000
56 097361 Suwarni 34,000 - 4,000
57 063401 Sastro Yuwono 125,000 -
58 Riski Alam 20,000 -
59 Meterai 6,000 6,000
-
5,151,568 - 207,620 102,040 243,000 - - - - 132,160 - 159,500 75,000 - 165,000

Jurnal Umum 5,151,568


Kas dari Kassa 5,152,000
Selisih Kas 432
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 53,864
43,182
45,000 35,000 65,455
45,000 35,000
45,000 35,000 140,000
30,000
22,000
1,622,727
19,091
230,455
4,000
10,000 2,000 52,000
72,000
11,045
30,000 500 500 169,318
30,000 51,136
150,000
5,000
30,000
30,000
20,500 15,500
9,500 4,750 41,250
91,500
119,500
13,500
30,000 110,909
8,500 4,750 36,750 45,000
10,000 17,500 94,550
30,000 500 500 31,727
30,000 123,727
30,000
30,000 13,500
30,000 3,500 7,500 13,500
91,251
34,773
30,000 72,273
32,000
30,000 500 500 46,545
30,000 500 500 232,227
65,432
9,500 7,000
5,000 9,545
30,000 5,455
13,500
30,000 157,500 13,500
10,000 5,150
59,409 52,000
8,182
13,500 10,000 25,000 142,415
8,500 10,000 20,000 143,565
10,500 15,500 51,000 21,400
20,000
36,000
30,000 95,364
10,000 29,850
30,000 3,500 7,500 134,455
36,000
67,818
36,000
30,000 90,909
37,500 22,500 171,500
30,000 96,818
30,000 119,636
30,000 108,318
30,000 15,909
30,000 81,455
30,000 67,818
36,000
30,000 35,782
45,000 35,000 55,455
91,273 25,000
10,500 5,500 51,000
108,000
30,000 67,818
30,000 58,818
30,000 72,000
67,818
45,000 35,000 24,545
30,000 58,818
30,000 50,000 147,905
36,000
36,000
35,000 15,000 150,000 74,227
36,000
36,000
36,000
30,000 170,091
31,818
72,000
36,000
36,000
30,000 3,500 7,500 130,455
36,000
30,000 62,864
72,000
36,000
30,000 95,091
30,000 62,455
45,000 35,000 38,864
36,000
72,000
36,000
81,455
30,000 3,500 7,500 44,955
67,818
72,000
30,000 72,000
30,000 67,818
30,000 3,500 7,500 100,909
45,000 35,000 84,182
30,000 95,091
10,000 104,050
30,000 95,091
10,000 22,050
45,000 35,000 38,864
30,000 3,500 7,500 38,864
36,000
72,000
36,000
72,000
36,000
72,000
45,000 35,000 36,591
30,000 50,000 112,409
45,000 35,000 38,864
30,000 150,000 15,545 195,000
45,000 35,000
30,000
45,000 35,000
45,000 35,000
45,000 35,000

52,000
30,000 6,000 12,500 86,364
10,000 85,022
40,500 5,500 51,000 215,455
30,000 3,500 7,500 161,591
30,000 116,364
30,000 35,455
5,000

30,000 15,909
30,000 7,000 14,500 2,727
5,000
50,477
22,000
10,000 19,132
5,000
10,000 44,000
30,000 3,500 7,500 38,864
30,000 144,227
53,409
44,773

2,432,000 272,000 251,500 30,000 - - - - 134,000 22,500 490,000 17,500 552,500 - 9,188,892 713,184 728,500 -

Jurnal 14,328,365
Piutang 148,600
Subsidi 2,035,000
16,511,965

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
10,000 145,300
10,000 3,300
11,140
6,950
50,000 140,000

10,000 68,900
10,000 49,800
31,500
13,500 10,000 22,500 105,050
10,000 14,500
10,000 14,500
10,000 58,450
13,500 10,000 20,000 101,850
10,000 50,050
13,500
10,000 105,082

4,600

- 27,000 110,000 - - - - - 92,500 - - - - - - 910,972 13,500 -

Jurnal 1,464,032
Piutang 110,640
Subsidi 37,300
1,611,972

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 24,545 1,292,500


12,500 55,000 57,500 114,409
12,500 40,000 30,000 2,591
12,500 39,409
5,000 9,864
81,682
45,000 35,000
28,500 13,500 22,500 105,350
11,500 3,000
10,000 77,600
7,818
15,000
16,500
10,000 41,450
5,455
10,000 59,150
10,000 66,750
20,000
5,000 9,545

36,000
5,000
5,000
20,500 15,500
11,500 3,000
9,500 6,500
9,500 7,000
81,364
30,000 30,000 17,618
30,000 500 500 73,864
30,000 500 500 33,136 13,500
30,000 3,500 7,500 6,091
45,000 35,000 10,091
45,000 35,000 115,227
31,500
10,000 52,250
2,773
30,000
42,000
10,500 5,500 67,000
30,000 38,182
30,000 3,500 7,500 28,636
30,000 3,500 7,500 6,091
45,000 35,000 125,909
30,000 70,182
30,000
30,000 500 500 21,136 13,500
30,000 165,455
142,500
19,000 9,000 68,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000 3,500 7,500
30,000 48,636
30,000 104,409
12,500 119,318
30,000 147,909
30,000 46,136
9,500 4,500 34,000
39,500 4,750 41,250 119,636
30,000 3,500 7,500 13,500
9,500 4,500 34,000
40,455
5,000
10,000 13,900
12,500 10,000 7,500
9,500 4,750 41,250 83,000
30,000
30,000 62,136
30,000
30,000 201,682 13,500
30,000 500 500 63,909
30,000 13,500
30,000 500 500 50,250
30,000 122,045 13,500
30,000 10,000 5,000 10,000
30,000

50,000 140,000

1,455,000 173,500 151,500 62,500 - - - - 217,500 35,000 315,000 - 285,500 - 2,458,095 556,450 1,504,500 -

Jurnal 6,003,395
Piutang 2,053,460
Subsidi 16,500
8,073,355
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

15,818
13,182
20,000
118,500
10,000
10,000 85,325
13,182
1,364
10,000 51,400
190,000
20,727
10,000 54,900
9,500 4,500 41,500
116,500
2,500 7,500
70,000
30,000 10,000 108,205
10,000 47,750
12,000
2,636
35,000 15,000 150,000 74,227
30,000 3,500 7,500 250,773
30,000 6,000 12,500 190,000
30,000 80,000
35,000 90,000
32,909
66,500
45,000 27,000 239,000 183,182
48,045
30,000 500 500 182,000
10,000 12,950
30,000
8,000
30,000 70,045
10,000 160,775
9,500 7,000
30,000
2,500 7,500 44,227
9,636
20,000
11,500 3,000
8,500 3,750 27,750 16,591
9,500 7,000
67,773
61,000
2,500 7,500 23,773
9,500 7,500
63,545
20,500 15,500
30,000 6,591 34,500
39,500 4,750 41,250 42,745
46,000 7,750 25,600 41,250 36,932

36,000
10,000 12,500
4,500 3,500
11,500 3,000
30,000 88,523
30,000 500 500 156,023
31,136
9,500 7,000
30,000 57,841
10,000 28,550 12,000
6,591
36,000
62,273

10,000 25,100
13,500 10,000 20,000 42,350

578,500 23,500 180,750 86,000 - - - 70,000 76,000 53,500 170,000 25,600 540,750 - 1,822,495 509,100 839,000 -

Jurnal 5,418,045
Piutang 48,900
Subsidi -
5,466,945
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

187,000
25,500
10,000 26,150
10,000
10,000 66,250
11,050
10,000 17,500
3,818
60,000 69,000
60,000 71,182
30,000 34,091
32,909
22,727
30,000
30,000
30,000
30,000
139,500
10,000 30,100
850,000
6,000
85,450
44,250
65,000 10,000 15,000 77,040
10,000 50,800
10,000 53,950
40,000 10,000 5,000 399,150

270,000 105,000 90,000 - - - - 850,000 20,000 - - 17,500 - - 233,727 1,015,190 187,000 -

Jurnal 2,771,140
Piutang 272,650
Subsidi -
3,043,790
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 45,200
13,114 57,000
30,273
34,136
105,909
15,909
17,727
2,318
55,227
13,500
2,500 7,500
126,818
91,500
10,000 20,600
20,500 15,500
10,000 38,375
818
40,000
9,500 6,500
62,500
12,000
30,000
2,500 7,500 26,864
30,000
30,000 500 500 67,591
2,500 7,500 38,182
9,500 7,000
30,000 28,091
99,045 52,000
19,000 9,000 68,000

30,000 500 500 79,659


30,000 38,864
30,000
16,500 6,500
8,500 4,750 36,750 19,682
47,727
30,000 39,545 6,500
30,000 79,091 13,500
30,000 84,091
30,000 24,545
30,000 500 500 20,909
13,636

30,000 13,500
40,500 9,000 7,500 67,000 51,364 13,500
30,000 90,682
72,000
30,000 96,818
30,000 27,273
3,000 25,600 59,682
30,000 27,500
137,500
30,000 195,136 6,500
6,955
30,000 34,636 6,500
30,000 97,500 13,500
38,636
30,000 49,091
30,000 157,500
30,000 500 500 59,000
49,000 9,000 68,000
18,000 9,250 100,750 92,727
30,000 95,318
32,909
22,500
127,273
21,364
30,000 15,909
30,000

915,000 - 83,500 56,000 - - - - 32,000 35,500 - 25,600 340,500 - 2,616,545 104,175 504,500 -

Jurnal 4,971,050
Piutang 328,425
Subsidi 75,500
5,374,975
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

89,500
8,500 10,000 22,500 140,425
10,000 52,900
30,000 500 500 25,145
30,000 78,227
67,045
10,318
14,727
31,182
16,364
13,500
10,000 160,900 45,500
13,636 13,500
10,000 29,882 52,000
30,000

30,000 6,000 12,500 182,273


30,000 35,455
117,364
30,000 3,500 7,500 29,545
40,500 5,500 51,000
9,500 6,500
2,500 7,500
2,500 7,500

2,500 7,500 22,727


26,909 13,500
9,500 7,000
30,000 39,818
36,227
30,000 129,091
30,000 13,500
30,000 500 500 20,909
30,000 170,636

11,500 3,000
30,000
20,500 15,500
5,000 9,091
30,000 65,545
30,000 500 500 158,409
30,000 112,364 61,500
30,000 500 500 28,364 56,500
30,000 500 500 79,273
18,682
10,000 74,750
55,500 52,000
30,000
39,500 4,750 41,250 69,091
30,000 500 500 127,045
9,500 7,000
30,000 40,955
30,000 56,591
30,000 1,000 1,000 22,609 13,500
30,000 89,136 18,500
30,000
46,091
54,545
9,500 7,000
30,000 43,455 9,000
5,000 9,545
5,000 9,545
9,500 7,000
30,000 9,500 6,500 53,864
30,000
30,000 500 500 76,682
30,000 162,273
30,000 51,136
14,500
10,000 62,400 13,500
35,000 90,000
7,000 10,000 5,000 9,200
111,000
35,000 90,000
8,500 10,000 22,500 96,250
35,909

1,050,000 24,000 126,750 89,000 - - - - 97,000 59,500 180,000 - 92,250 - 2,632,800 626,707 501,500 -

Jurnal 5,643,702
Piutang 508,375
Subsidi 99,210
6,251,287
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

8,500 13,500 20,000 43,900


30,000 40,409
10,091

9,500 14,500 41,500 77,100


15,136
115,636

13,500
10,000 94,950
30,000 7,000 14,500 82,818
10,000
30,000 6,000 12,500 72,682
30,000 13,409
30,000 7,000 14,500 57,045
13,500 3,500 44,600
17,250
30,000 500 500 20,000
18,000 12,750 500 25,600 100,750 74,227
22,500 81,205
30,000 121,500
29,909
39,500 4,750 41,250 20,227
9,500 7,000
20,500 15,500
35,500
30,000 3,500 7,500
30,000 500 500 160,614
30,000 50,000
32,909
30,000 500 500 7,000
30,000 68,182
35,000
30,000 3,500 7,500 13,500
30,000 149,545
30,000
30,000 500 500 115,636
40,500 9,500 8,000 67,000 89,868 13,500
500 500 64,045
40,000
30,000 60,227 13,500
30,000 500 500 287,591
39,500 4,500 41,500 68,864
30,000 500 500 116,955 13,500
30,000 4,091
30,000
30,000 72,000
36,000
30,000 67,818
30,000 117,455
30,000 67,818
36,000
36,000
36,000
36,000
36,000
36,500 3,000 25,600 72,273
9,500 4,750 41,250
500 500 64,045

108,000
36,000
36,000
36,000
36,000
36,000
72,000
72,000

36,000
36,000
36,000
30,000 500 500 129,227
30,000 153,091
36,000
36,000
30,000 95,182
67,818
36,000
36,000
72,000
36,000
36,000
38,864
45,000 35,000 38,864
36,000
30,000 72,000
30,000 68,182
36,000
67,818
45,000 35,000 94,773
67,818
30,000 82,545
30,000 36,000
30,000 81,455
30,000 67,818
36,000
36,000
30,000 131,182
72,000
30,000 189,455
30,000 72,000
36,000
45,000 35,000 16,364
36,000
36,000
36,000
30,000 153,455
67,818
45,000 35,000 38,864
30,000 67,818
22,727
36,000
36,000
30,000 36,000
30,000 93,364
72,000
30,000 12,955
36,000
103,818
67,818
36,000
30,000 67,818
30,000 81,455
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000 43,636
30,000
30,000
30,000
30,000
30,000
30,000
30,000 4,091
30,000 4,091
30,000 50,909
30,000

2,623,000 8,500 132,250 30,000 - - - 40,000 93,000 22,500 630,000 51,200 333,250 22,500 6,494,073 260,550 259,500 -

Jurnal 11,876,280
Piutang 106,700
Subsidi 53,750
12,036,730

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

91,273
152,273
45,000 35,000 103,636
3,000 10,000 18,545
35,636
5,000 5,000
24,091
11,773
36,000
69,500
69,500
10,000 20,200

31,364
30,000 3,500 7,500
43,955
30,000 7,000 14,500 11,773
38,864
36,000
10,000 81,600 29,500
74,591
30,000
77,273
10,000 3,000 117,600
68,486
30,000 3,500 7,500 273,409
10,000 46,650
47,045
31,500
9,500 7,000
2,727
9,500 7,500
4,773 10,000
20,500 15,500
8,000
5,000 18,000
79,000
9,500 7,500
27,000

11,182
5,000 18,000
37,364
107,909
44,455
5,000 18,000
49,727
5,000 12,909
13,500
30,000 500 500 71,565
30,000 500 500 90,182
30,000
49,727
30,000 148,182 13,500
5,000 6,818
5,000 6,818
5,000 6,818
5,000 6,818
5,000 6,818
5,000 6,818
5,000 6,818
5,000 6,818
5,000 6,818
5,000 1,818
79,773
18,000
30,000
30,000 45,455
30,000 500 500 104,432
30,000 500 500 68,977
2,727
46,000 7,750 25,600 41,250 109,864
30,000 108,864
72,000
36,000
30,000 500 500 61,364
30,000 58,818
9,500 4,750 41,250
30,000
10,000 23,900
10,000 106,750
72,909
30,000 106,182
50,000 10,250 108,250 133,636
13,818
10,000 76,600
30,000 18,950
9,500 4,750 41,250
13,500 13,500 35,000 201,925
30,000 18,000
30,000 18,591
10,000 69,200
35,000 90,000
35,000 90,000
35,000 90,000
35,000 90,000
30,000
30,000 52,727
5,000 9,091
30,000 50,909
30,000 6,818
30,000 8,636
30,000 1,818
30,000 8,636
30,000 50,909
30,000 52,727
35,636

1,170,000 13,500 220,500 49,000 - - - - 80,000 37,500 395,000 25,600 232,000 - 3,355,138 744,425 351,000 -

Jurnal 6,679,627
Piutang 796,900
Subsidi 69,150
7,545,677

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

1,482
30,000 52,727
10,000 192,150
10,000 55,350
30,000 52,727
10,000 21,950
60,000 124,155
30,000 780,136
1,136
16,000
74,091
14,273
19,864
196,364
13,500
30,000 391,500
10,000 97,250
30,000 8,636
8,636
30,545
4,227
10,000 64,650
10,000 17,500 24,782
5,455
9,273
10,500 5,500 51,000
59,000
20,000 10,000 40,000 37,610
16,500 6,500
20,500 15,500
16,500 7,000
9,500 7,000
12,000
11,500 3,000
14,500 7,000
30,000 86,364
30,000 500 500 147,455
30,000 120,000
30,000 121,818 13,500
30,000 3,500 7,500 117,091 13,500
(5,955)
30,000 144,773
25,000
30,000 79,841

45,000 35,000 58,409


72,000
172,636
45,000 35,000 45,682
45,000 35,000 23,864
17,045
45,000 35,000 12,955
30,000 3,000 7,000 29,273
47,536
45,000 35,000 9,000
30,000 3,000 7,000 83,182
52,500
45,000 35,000 103,636
30,000 3,000 7,000 35,182
30,000 3,000 7,000 47,045
12,500 10,000 11,000 21,455
45,000 35,000 46,818
7,000
13,500 7,500
2,500 7,500 134,227
30,000 64,091
30,000 54,682
30,000
30,000 500 500 75,636
8,500 7,500
10,000 101,450
9,500 4,750 41,250
30,000 72,000
45,000 35,000
45,000 35,000
30,000 3,000 7,000
30,000
30,000 3,000 7,000 44,091
5,500 500
30,000 3,000 7,000
5,500 500 44,091

1,247,500 30,000 151,250 89,000 - - - - 132,000 46,000 315,000 17,500 92,250 - 3,861,150 595,192 252,000 -

Jurnal 7,264,657
Piutang (471,305)
Subsidi 838,605
7,631,957

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
10,000 28,400
7,000 13,500 12,500 187,675
10,000 51,200
10,000 115,800
10,000 59,400
23,136
69,818
14,409
20,000 10,000 32,500 87,100
140,909
13,500
13,500
42,045
30,000 33,455
30,000 269,545
40,500 5,500 67,000
10,000 10,400
30,000 6,000 12,500 15,909
30,000
30,000 7,000 14,500 58,182
30,000

103,455
13,500
26,500
144,000
20,500 15,500
30,455
9,500 7,000
46,636
500 500 56,773
66,364
42,636
30,000 500 500 97,250
30,000 49,091 6,500
30,000 13,500
5,000 9,091
10,500 15,500 51,000 25,450
9,500 7,000
9,500 4,750 41,250
30,000 30,000 192,336
30,000 30,000 44,700
30,000 117,886
30,000 51,364 13,500
30,000 16,364
30,000
30,000 111,591
39,500 4,750 41,250 36,136 13,500
5,000 9,091
20,909
4,500 3,500
11,500 3,000
63,545
30,000 119,659
10,000 17,500 64,800
10,000 16,850
99,500
909
10,000 50,600
10,000 86,100
18,864
30,000 10,000
30,000 36,727
30,000 140,545
10,000 60,050
30,000
30,000
30,000
30,000 4,091
10,000 121,675

820,000 87,000 188,000 55,500 - - - - 73,000 36,000 - 17,500 200,500 - 2,163,877 965,500 357,500 -

Jurnal 4,831,645
Piutang 787,745
Subsidi 150,875
5,770,265

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
30,000 94,182
10,000 87,500
12,000
800
10,000
4,650
554,400
1,060
10,000 12,750
11,200
10,000 78,900
25,000
14,182
13,864
2,045
72,000
20,000
320,000
8,500 13,500 15,000 62,400
10,000 22,200
10,000 107,450
12,500 12,500 16,400
10,000 62,375
800
10,000 45,850
10,000 8,650

14,500

50,000 8,500 106,000 - - - - 320,000 27,500 - - - - - 196,273 1,113,885 25,000 -

Jurnal 1,266,275
Piutang 302,110
Subsidi 554,400
2,122,785

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
27,000
40,500 5,500 51,000 99,000
2,500 7,500
122,864
76,818
15,227
90,000
10,000 36,350 13,500
10,000 12,000
10,500 15,500 10,000 76,500 4,900
5,636
39,500
10,000 43,700
27,200
2,250
27,500
8,000

3,750
27,500 17,500 74,950 14,000
5,909
9,500 7,000
104,000
10,000 7,550
1,182
9,500 6,500
10,000 36,900
9,500 4,750 41,250 52,000
500 500 82,002
19,636
60,545
30,000 500 500 74,475
30,000 500 500 100,182
30,000 10,500
9,500 4,750 41,250
30,000 500 500 85,864 13,500
8,000 7,000
30,000
30,000 500 500 89,727
30,000 68,568
30,000 500 500 148,545
30,000 500 500 28,000 13,500
8,500 7,500
39,500 4,750 41,250 128,809
30,000 500 500 47,386
30,000 500 500 77,455
30,000 31,818

20,000
52,000
11,500 3,000
14,500 11,000
30,000 13,500
30,000 81,295
30,000 30,000 18,700
30,000 114,909
30,000 72,045
30,000 500 500 28,364
30,000 3,500 7,500
10,000 18,500
20,500
85,636
2,500 7,500 22,182
2,773
11,273
30,000 15,000
10,000 74,950
8,500 7,500
30,000 6,000 12,500
13,500
100,000
27,500
5,000
13,500

759,500 30,000 177,250 45,000 - - - - 72,000 27,500 - 17,500 251,250 - 1,975,826 370,500 477,000 -

Jurnal 4,152,409
Piutang 482,250
Subsidi 249,750
4,884,409
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,500 20,000 19,000 40,000 51,000 21,400


18,182
43,591
30,000 80,000 26,364
119,500
79,091
20,000
27,864
10,091
34,318
10,000 22,500 66,800
19,455
10,000 133,800
10,000 76,650
8,000
30,000 100,000 7,000 14,500
11,364
6,818
101,500
11,036
30,000 76,636
30,000 500 500 74,955
9,500 4,500 41,500
10,500 5,500 67,000
10,500 5,500 67,000
19,000 9,000 113,000
61,500
30,000 13,500
30,000 3,500 7,500 64,595 13,500
38,455
2,500 12,500 34,614

74,091
30,000

9,500 7,000
9,500 7,500
39,500
9,500 4,500 34,000
9,455
30,000 30,955
30,000 26,591

30,000 66,955
2,500 7,500 119,773 13,500
38,318
30,000
12,727
45,091
63,818 13,500
16,500 6,500
30,000 43,455 9,000
30,000 110,932
30,000 43,909
30,000 500 500 58,364
30,000 42,545 13,500
30,000 84,205
30,000 500 500 41,273
30,000 34,682
30,000 20,000 86,027
30,000 86,591
30,000 20,000 16,500 7,000 74,273
30,000 80,000
127,273
35,000 90,000
105,318
10,000 26,200

794,500 160,000 105,000 52,000 - - - - 83,500 28,000 250,000 - 373,500 22,500 2,143,545 324,850 287,000 -

Jurnal 4,852,535
Piutang 139,315
Subsidi 229,900
5,221,750

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
10,000 67,550
30,000 154,751
30,000
10,000 123,900
84,227
5,000 1,818
30,000
30,000
10,000 3,591
36,000
65,455
126,455
3,068
10,909
36,500 3,000 25,600 13,500

8,636
38,636
13,636
333,271
57,500

20,000
30,000 72,682
10,000 35,700
13,500
11,500 3,000
11,500 3,000
9,500 7,000
10,000 60,000
2,636
32,400
9,500 4,500 34,000
30,000
28,909
59,182
102,682
30,000 500 500 7,000
30,000 207,455
30,000 500 500 41,545
30,000 4,500 10,000 13,500
30,000 3,500 7,500 111,045
9,500 7,000 13,500
34,000
30,000 4,091 13,500
30,000 66,136
30,000 71,591
30,000 500 500 28,364 98,500
13,500 13,500 32,500 133,535
12,000
9,273
30,000
99,545
45,000 35,000 110,909
30,000 78,614
10,000 125,000
36,000
36,000
30,000 50,000 110,495
22,000
30,000 96,502
30,000 67,818
45,000 35,000 126,318
30,000 106,091
45,000 35,000 98,864
30,000 54,545
36,000
67,818
36,000
36,000
36,000
36,000
36,000
45,000 35,000 96,364
10,000 22,500 45,600
30,000 15,864
30,000
30,000
30,000
30,000
30,000 23,545
30,000 48,255
30,000 9,727
30,000 6,000 12,500 29,545
13,500 10,000 27,500 38,250
62,409
30,000 59,545
30,000
36,000
36,000
30,000 103,818
30,000 116,569
30,000 36,000
30,000 87,636
30,000 147,205
30,000 67,818
36,000
36,000
72,000
36,000
36,000
30,000 67,818
36,000
72,000
30,000 164,478
30,000 85,045
76,318
36,000
45,000 27,000 239,000 183,273 31,500
30,000 55,660
30,000 36,000
30,000 140,545
60,000 35,000
36,000
108,000
36,000
36,000
67,818
30,000 67,818
30,000 67,818
40,500 5,500 67,000
30,000 67,818
36,000
36,000
30,000 50,000 53,591
30,000 100,909
36,000
36,000
30,000 67,818
30,000 147,818
36,000
27,273
72,000
9,500 4,750 41,250
36,000
30,000 81,455
30,000 127,478
30,000 93,909
36,000
36,000
45,000 35,000 55,455
36,000
45,000 35,000 70,909
72,000
36,000
30,000 36,000
30,000 131,182
30,000 3,500 7,500
30,000 3,500 7,500 44,091
30,000
30,000
30,000 3,500 7,500 122,727
30,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
1,409
36,000
670,273
30,000 7,000 14,500
30,000
30,000
10,000 44,000
36,000
28,636
30,000 154,751

2,771,000 127,000 186,250 42,000 - - - - 128,500 20,000 455,000 25,600 381,250 22,500 8,255,361 613,535 383,000 -

Jurnal 13,960,755
Piutang 661,077
Subsidi 264,200
14,886,032
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

43,909
67,273
141,273
30,000 126,545
8,409
31,182
167,273
30,000 80,000
5,000 9,091
11,818
36,000
18,636
10,500 5,500 67,000
36,000
11,000 8,000
49,182
10,000 123,350
10,000 22,500 25,500
30,000
8,500 4,750 36,750 52,955
30,000 82,727
13,500 13,500 27,500 62,160
26,455
29,136
30,000 40,909
82,727
2,500 7,500 150,682
77,182
27,000
7,273
30,000 500 500 97,000
500 500 83,001
52,727
30,000 5,455
500 500 47,338
10,000 12,350
8,455
10,000 38,272
13,500 3,500 58,500
9,000
52,000
9,500 4,500 49,000
3,409
35,000 90,000
7,000 10,000 12,500 57,200
35,000 90,000
10,000 73,482 79,000

35,000 90,000
30,000 50,909
30,000 6,818
30,000
30,000
30,000
670,273

493,500 20,500 110,750 11,000 - - - - 52,500 8,000 350,000 - 152,750 22,500 2,331,021 450,814 158,000 -

Jurnal 4,018,037
Piutang 410,070
Subsidi 394,830
4,822,937

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

127,455
27,500 20,000 75,000 265,360 93,500
25,273
2,500 7,500 34,045
32,091
36,000
50,000 140,000
30,000 500 500 139,545
30,000 30,000 103,182 13,500
4,636
13,500
11,500 3,000

12,500 10,000 11,000 43,818


74,000
79,500
14,091 5,000
120,455
10,000 70,450
13,500 3,500 46,950
10,000 33,850
30,000 43,864
5,455
30,000 6,000 12,500 54,318
30,000 6,000 12,500 54,318
30,000
30,000 31,909
9,500 4,750 41,250
30,000 500 500 132,500
30,000 500 500 90,727
30,000
9,500 7,000
36,500 3,000 25,600 27,364 56,500
30,000 43,909
30,000 83,182 13,500
30,000 500 500 72,000
30,000 70,250
30,000
30,000 97,136 13,500
77,727
30,000 500 500 159,045
30,000 500 500 16,955
30,000 500 500 30,000 13,500
30,000 111,364
30,000
30,000 86,500

30,000 3,500 7,500 110,909


5,000
30,000 3,500 7,500 166,455
30,000 3,500 7,500 44,091
45,000 35,000
30,000 3,500 7,500
30,000 3,500 7,500 6,091
30,000 3,500 7,500
45,000 15,000 35,000
45,000 35,000 88,636
30,000
30,000 88,636
30,000
45,000 35,000
5,000
10,000 76,200
30,000 80,000
10,000 7,500 81,450 13,500
11,500 3,000

30,000 96,091 13,500


30,000 33,409
30,000 2,864
8,500 3,750 27,750 70,636
30,000
30,000 2,727
10,000 228,000 303,400
8,136

1,357,000 55,000 151,500 32,500 - - 20,000 303,000 153,000 13,000 220,000 25,600 69,000 - 2,687,795 1,017,660 403,000 -

Jurnal 6,624,925
Piutang 713,060
Subsidi 73,350
7,411,335

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

27,500 49,050
10,000 25,800
30,000 771,545 120,500
2,273
74,091
30,000 9,000
30,000 500 500 79,182
30,000 500 500 118,182
30,000 500 500 55,364
9,500 7,000
91,500
30,000 500 500 66,120

2,500 7,500 107,955 13,500


28,591
42,818
27,000
38,727
86,000
9,500 7,000
9,500 7,000
6,091
14,500 11,000

38,636
3,273
32,318
25,364
63,909 13,500
10,000 46,150
19,000 9,000 68,000
11,500 3,000
53,545 14,500
10,909
57,364
20,000
3,500 2,000
909
(20,000)
3,909
57,500
5,000
16,818
12,273

199,000 - 66,000 58,000 - - - - 9,500 37,000 - - 68,000 - 1,737,165 121,000 406,000 -


Jurnal 2,145,282
Piutang 462,600
Subsidi 531,500
3,139,382

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 41,000
27,500 228,000 343,750
15,136
360,000
10,000 33,500
10,000 159,500
10,000 64,250

45,909
137,818
10,000 22,500 44,050
13,500
82,000
10,000 21,100
10,000 19,300
10,091

10,000 955 11,200


13,500
10,000 41,722 13,500
10,000 60,250
9,409
13,500 10,000 25,000 171,150
30,000 13,500
30,000 143,182
30,000 18,500
30,000 120,000
8,500 7,500
30,000 63,114 22,000
30,000 26,591
8,500 7,500
2,500 7,500 2,091
30,000 500 500 7,000
57,842
14,500 11,000
2,500 15,000 66,091 13,500
9,500 6,500
74,409

10,000 37,050 30,500


10,000 37,150 9,000
13,500 3,500 4,050
112,433
30,000 27,545 57,500

30,000
28,636

30,000 17,182 10,000


10,000 22,500 41,650
30,000
30,000 143,409
30,000 99,773
14,500
30,000 99,545
30,000 500 500 180,318
30,000 74,636
30,000 87,455
77,000
30,000
30,000 20,455 10,000
30,000
8,136
30,000 75,000
30,000
356,918
10,000 4,428
60,000
10,500 15,500 51,000 78,050

670,500 13,500 229,500 24,000 - - - 228,000 67,000 17,500 - - 51,000 45,000 2,531,079 1,213,150 398,500 -

Jurnal 6,376,887
Piutang (323,350)
Subsidi 387,800
6,441,337

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 63,636
30,000 128,864
20,682
10,000
76,545
51,818
32,091
23,182
9,636
26,636
30,000
30,000
30,000 11,500 3,500
30,000 8,000 15,500 122,955
30,000 42,955
10,000 81,450
10,000 123,050
10,000 72,950
8,455 13,500
22,000
6,818
39,909
2,727
27,773
(5,100)
5,000 9,091
61,818
9,500 7,500
36,500 3,000 25,600 109,091
30,000 64,682
30,000
30,000 13,500
39,500 5,000 500 41,500 55,091
30,000 106,932
30,000
30,000 59,091 9,000
30,000 4,091
30,000 76,818 27,000
30,000 56,500 10,000
30,000 500 500 60,227
30,000 500 500 134,864 13,500

53,364
2,500 7,500 23,182
2,500 7,500 14,545
42,500
22,500
30,000 163,636

9,500 7,000
30,000 500 500 74,045
30,000 75,455
30,000 65,364 6,500
33,636
30,000
30,000 16,500 7,000 151,455
30,000 11,636
30,000 129,545
30,000 106,000

5,500 500
13,500 27,500 13,500 65,810
35,000 90,000
127,273

921,000 13,500 90,500 47,000 - - - - 46,500 25,000 90,000 25,600 41,500 - 2,587,114 338,160 115,000 -

Jurnal 6,632,120
Piutang (1,898,870)
Subsidi 202,835
4,936,085
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

39,500 4,750 41,250 106,318


10,000 43,950
30,000 36,000
2,500 7,500 15,909
37,864
18,000
10,000 75,600
39,500 4,750 41,250
10,000 7,500 2,000
10,000 208,250
22,000 10,000 77,500 185,425
13,182
27,500
28,091
2,727
7,727
6,091
2,500 7,500
36,000
7,727
11,500 3,000
9,500 6,500
9,500 7,500
10,500 5,500 51,000
30,000 47,386
8,500 3,750 27,750 44,500
30,000 120,000
39,500 4,500 49,000 47,727
30,000 500 500 7,000
(40,300)
36,500 3,000 25,600 104,791
30,000 500 500 147,114
27,000
30,000 35,682
30,000 161,136
30,000 500 500 4,091
30,000 38,182
30,000
30,000 149,682
30,000 140,955
30,000
30,000 500 500 68,182
30,000 62,500 13,500
30,000 3,500 7,500 13,500
53,864
30,000 35,727
30,000
27,273
36,000

36,000
36,000
67,818
36,000
67,818
72,000
36,000
72,000
103,818
30,000 60,000
30,000 53,205
67,818
108,000
72,000
36,000
9,500 4,500 34,000
36,000
30,000 23,636
30,000 150,000 12,727 195,000
30,000 68,182
30,000 114,591
45,000 35,000 9,000
45,000 35,000 45,455
30,000 95,091
36,000
72,000
36,000
45,000 35,000 103,636
45,000 35,000 90,909
45,000 35,000 98,182
30,000 3,500 7,500 6,091
30,000 36,000
36,000
36,000
72,000
36,000
45,000 35,000 92,455
36,000
103,818
36,000
36,000
45,000 35,000 142,000
30,000 67,818
30,000 67,818
30,000 44,545
30,000 81,455
30,000 76,000
72,000
36,000
36,000
36,000
36,000
36,000
36,000
67,818
30,000 73,273
72,000
36,000
30,000 26,364
30,000 6,000 12,500 2,045
45,000 35,000 122,136
30,000 26,255

67,818
36,000
67,818
72,000
30,000 6,000 12,500
36,000
30,000 31,818
72,000
36,000
36,000
36,000
30,000 35,455
30,000
10,000 23,400
30,000 58,593
30,000 146,818
30,000 95,591
30,000 4,091
30,000 4,091
30,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000
30,000 3,500 7,500
34,182

2,118,500 172,000 120,250 30,500 - - - - 149,500 17,000 385,000 25,600 244,250 - 5,976,480 498,325 303,500 -

Jurnal 10,702,328
Piutang 390,225
Subsidi -
11,092,553

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000
30,000 34,545
14,545
34,818
40,455
15,000
175,227
36,000
5,000
30,000 31,182
36,000

20,000 20,250 50,000 108,250 85,450


38,636
570,000 143,864
10,000 43,950
13,500 3,500 42,350
56,818
11,500 3,500
9,500 7,500
30,000
30,000
13,500
13,500 10,000 35,500 38,000
76,727
36,955
10,500 15,500 51,000 32,050
39,818
36,500 3,000 25,600
30,000
30,000
30,000 500 500 219,364
30,000 500 500 29,189
30,000 117,264
30,000 43,000
10,000 31,250
10,000 87,540
3,182
30,000
30,000 94,795
34,091
10,000 48,818
30,000 6,136
30,000 500 500 124,145 13,500
9,500 7,500
30,000 51,136
30,000 500 500 56,773
10,000
68,364
2,500 7,500 1,455
30,000
30,000
9,500 6,500
2,500 7,500
16,182
208,024
10,000 23,200
30,000
30,000 50,909
30,000 4,091
10,000 1,500
30,000 69,773
30,000 6,000 12,500 54,318
30,000 3,500 7,500 156,168

30,000
(30,000) (154,751)

817,000 583,500 138,750 40,000 - - - 50,000 76,000 25,000 - 25,600 159,250 - 2,039,016 385,290 116,000 -

Jurnal 6,774,534
Piutang (1,850,126)
Subsidi 100,900
5,025,308

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

20,909
45,000 35,000 43,636
45,000 35,000 178,636
20,000 22,500 114,550
10,000 101,600
7,273
1,091
59,000
59,000
30,000 23,091

23,455
30,000 2,982
10,000 28,000
10,000 127,200
29,318
5,864
196,364
2,500 7,500
15,136
9,500 4,500 41,500
10,000 19,750
10,500 5,500 51,000
9,500 6,500
32,000
9,500 7,500
500 500 2,747
30,000
10,000
30,000 500 500 65,682
9,500 6,500
30,000 46,364
75,000 35,000
30,000 54,545 6,500
9,500 7,000
26,500
8,500 7,750 25,600 36,750 25,227
30,000 3,500 7,500 110,455
45,000 35,000 38,864
30,000 3,500 7,500 115,909
30,000 3,500 7,500 161,727
12,500 5,000 5,000 88,182
45,000 35,000 65,909
45,000 35,000 128,955
30,000 69,932
30,000 136,591
30,000 12,000
36,500 3,000 25,600 100,636
30,000 69,545
30,000 500 500 37,750
4,636
20,000
45,000 35,000 97,500

5,000
5,000
5,000
45,000 35,000
30,000 3,500 7,500
30,000
45,000 35,000
65,000 50,000 35,000
30,000
28,455
30,000 24,318
30,000
30,000
10,000 7,500

1,197,500 5,000 123,750 38,000 - - - - 101,500 27,500 350,000 51,200 129,250 22,500 2,048,184 391,100 178,500 -

Jurnal 4,958,402
Piutang 190,700
Subsidi 106,200
5,255,302

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,500 15,500 76,500 72,950


10,227
9,545
32,000
21,909
13,727
20,455
20,909
1,409
5,045
200,000
10,000 22,500 11,000
10,000 38,000
30,000 6,000 12,500 22,500
30,000
133,500
20,000
12,500 153,818
2,500 7,500
2,500 7,500 12,818
30,000 67,818
30,000 30,000 126,936
30,000 145,727
19,000 9,000 68,000
88,500
30,000 79,023
135,318
2,500 7,500 19,045
30,000
10,000 42,300
13,500
30,000 140,182 13,500
30,000 6,500
2,727
30,000 143,182 13,500
46,182
23,023
12,000
10,000 136,900
10,000 136,900
9,500 4,750 41,250
35,000 90,000
10,000 54,700
10,500 5,500 100,500

397,000 30,000 108,250 - - - - - 57,500 - 90,000 - 286,250 - 1,453,527 492,750 301,000 -

Jurnal 3,321,480
Piutang 326,200
Subsidi 31,950
3,679,630

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
61,950
17,100
3,000
10,000 33,000
39,600
96,500
30,000 3,500 7,500 72,000
64,500
2,000
1,600
13,500
3,000

30,000 - 13,500 - - - - - 7,500 - - - - - 72,000 161,250 174,500 -

Jurnal 432,000
Piutang 61,950
Subsidi -
493,950

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 99,200
30,000 69,000
33,000
152,455
2,727
52,455
10,000 7,500 369,450
190,000
9,727
13,500
84,500
36,545
10,000 57,500
455
11,364
10,000 17,500 82,700
12,500 3,000 22,355
10,000 79,700
14,091
(271,500)
2,727
30,000 103,636
30,000 57,773
63,091
9,500 4,500 49,000
10,000 22,500

500 500 124,455


30,000 500 500 20,909
30,000 6,136
46,000 7,750 25,600 41,250
30,000 35,227
30,000 4,091
30,000 119,659
30,000 70,227
30,000 500 500 40,682
30,000 104,727 73,500
30,000 500 500 58,136
500 500 48,591
10,000 17,500 23,185
10,000 7,500
30,000 500 500 50,818
30,000
30,000 9,000
30,000 31,318
10,000 7,500 18,500
9,545
30,000 67,955
30,000 25,909
39,500 4,750 41,250
30,000 500 500 127,727 13,500

25,909
12,500 10,000 10,000 11,364
30,000 47,273 20,000
10,000 4,650
12,500 30,000 5,000 86,818
13,500
9,500 4,500 41,500
30,000
759,500 40,000 137,500 - - - - - 44,000 - - 60,600 173,000 - 1,726,523 508,240 417,500 -

Jurnal 3,715,565
Piutang 642,790
Subsidi 134,160
4,492,515

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

8,500 4,750 36,750 12,318


125,636
20,000 33,650
13,500 3,500 41,360
38,636
24,364
18,727
17,250
35,455
10,000 39,750
50,909
30,000 500 500 79,727
30,000 57,500
9,500 4,500 34,000
13,500
4,818
45,455
3,000 10,000
12,000
2,182
30,000 16,364
30,000 43,636
30,000
30,000 30,000 100,745 13,500
30,000 500 500 20,000
10,000 56,782
5,000
13,500
3,000 25,600
30,000 30,000 77,255
2,500 7,500 7,818
79,636
102,000
100,455
30,000 13,500
30,000 10,227
30,000 37,818
30,000 71,364
30,000 85,977
30,000 13,500
30,000 75,000
30,000 12,955
30,000 51,973
39,500 4,750 41,250 118,900
10,000 17,500 3,250
10,500 15,500 51,000 60,350
7,955
20,682
5,000 9,545
277,273
29,318
91,000
30,000 20,000
67,818
10,000
52,000
35,000 90,000
27,500

643,000 60,000 122,500 - - - - - 22,000 - 90,000 43,100 163,000 - 1,900,191 235,142 307,500 -

Jurnal 3,837,602
Piutang 165,275
Subsidi 140,075
4,142,952
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

17,909
5,000 9,545
10,000 49,100 12,000
10,000 17,500 192,080
30,000 3,500 7,500 85,455
30,000 3,500 7,500 27,273
30,000 10,000 6,000 17,500 14,091
30,000 3,500 7,500 361,273
30,000 7,000 14,500 31,364
30,000 32,727
30,000 2,500 5,000 74,909
30,000 7,000 14,500 11,364
30,000 2,727
51,000 31,000 153,000 192,700 132,500
10,000 28,800
328,545 19,500 50,000
26,364
20,455
113,636
15,000
47,000
2,500
6,600
10,000 7,500 41,550 13,500
10,000 27,500
10,000 22,800
10,000 33,000

321,000 10,000 139,000 - - - - - 81,500 - - 17,500 153,000 - 1,172,636 616,130 255,000 -

Jurnal 2,761,150
Piutang 382,880
Subsidi -
3,144,030
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 22,500 12,500


150,182
10,000 66,850
10,000 48,750 52,000
38,500 14,500 38,000 298,575
10,000 17,500 282,640
13,500
13,227
80,909
46,818
90,000
10,000 72,000
13,500
12,364
12,500 3,000 4,428
8,500 3,750 27,750
30,000
53,636 6,500
30,000
52,523
9,500 4,750 41,250
13,500
31,500
10,000 46,700
30,000 500 500 80,636
30,000 61,818
30,000 500 500 95,000
9,500 4,750 41,250
30,000 500 500 158,136
30,000
30,000 51,818
30,000 10,227
30,000 41,364
30,000 103,636
30,000 112,273
72,909
63,818
30,000 150,909
30,000
39,500 4,750 41,250 24,568
39,500 4,750 41,250 39,273

9,500 4,750 41,250

30,000 150,909 116,000


30,000 165,636 13,500
30,000
5,000 9,545
47,668
9,545
30,000 124,082
2,773
30,000
30,000
30,000
35,000 90,000
20,000

801,000 38,500 121,000 - - - - - 42,500 - 90,000 17,500 234,000 22,500 2,076,205 832,443 260,000 -

Jurnal 5,151,568
Piutang (140,960)
Subsidi 132,160
5,142,768
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

93,250 93,250 -
63,000 63,000 -
156,000 156,000 -
84,000 84,000 -
238,000 238,000 -
34,000 34,000 -
39,700 39,700 -
1,785,000 1,785,000 -
21,000 21,000 -
253,500 253,500 -
4,400 4,400 -
88,000 88,000 -
79,200 79,200 -
12,150 12,150 -
221,250 221,250 -
90,250 90,250 -
180,500 180,500 -
9,000 9,000 -
34,000 34,000 -
34,000 34,000 -
38,000 38,000 -
58,000 58,000 -
91,500 91,500 -
119,500 119,500 -
13,500 13,500 -
156,000 156,000 -
115,000 115,000 -
151,050 151,050 -
69,900 69,900 -
170,100 170,100 -
34,000 34,000 -
47,500 47,500 -
58,500 58,500 -
115,876 115,876 -
53,750 53,750 -
113,500 113,500 -
32,000 32,000 -
86,200 86,200 -
290,450 290,450 -
87,475 87,475 -
18,500 18,500 -
19,500 19,500 -
40,000 40,000 -
13,500 13,500 -
220,750 220,750 -
39,150 39,150 -
132,850 132,850 -
9,000 9,000 -
214,915 214,915 -
206,065 206,065 -
122,400 122,400 -
20,000 20,000 -
39,600 39,600 -
138,900 138,900 -
63,850 63,850 -
192,900 192,900 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
134,000 134,000 -
231,500 231,500 -
140,500 140,500 -
165,600 165,600 -
153,150 153,150 -
51,500 51,500 -
123,600 123,600 -
108,600 108,600 -
39,600 39,600 -
73,360 73,360 -
145,000 145,000 -
125,400 125,400 -
67,000 67,000 -
118,800 118,800 -
108,600 108,600 -
98,700 98,700 -
113,200 113,200 -
74,600 74,600 -
111,000 111,000 -
98,700 98,700 -
246,695 246,695 -
39,600 39,600 -
39,600 39,600 -
281,650 281,650 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
221,100 221,100 -
35,000 35,000 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
188,500 188,500 -
39,600 39,600 -
103,150 103,150 -
79,200 79,200 -
39,600 39,600 -
138,600 138,600 -
102,700 102,700 -
126,750 126,750 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
89,600 89,600 -
94,450 94,450 -
74,600 74,600 -
79,200 79,200 -
113,200 113,200 -
108,600 108,600 -
156,000 156,000 -
176,600 176,600 -
138,600 138,600 -
138,050 138,050 -
138,600 138,600 -
56,050 56,050 -
126,750 126,750 -
87,750 87,750 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
124,250 124,250 -
207,650 207,650 -
126,750 126,750 -
396,100 396,100 -
84,000 84,000 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
6,000 6,000 -
52,000 52,000 -
147,500 147,500 -
119,022 119,022 -
338,000 338,000 -
222,750 222,750 -
162,000 162,000 -
73,000 73,000 -
9,000 9,000 -
- 906,600 906,600
51,500 51,500 -
58,500 58,500 -
9,000 9,000 -
55,525 55,525 -
22,000 22,000 -
53,132 53,132 -
9,000 9,000 -
78,000 78,000 -
87,750 87,750 -
192,650 192,650 -
74,250 74,250 -
64,750 64,750 -
- - -
- 16,511,965 16,511,965 13,562,965 11,380,000 2,949,000 -
16,511,965
Total
Pendapatan

16,511,965
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
179,300 179,300 -
37,300 37,300 -
11,140 11,140 -
6,950 6,950 -
360,000 360,000 -
- 79,200 79,200
102,900 102,900 -
83,800 83,800 -
31,500 31,500 -
175,050 175,050 -
48,500 48,500 -
48,500 48,500 -
92,450 92,450 -
169,350 169,350 -
84,050 84,050 -
13,500 13,500 -
139,082 139,082 -
- 12,150 12,150
24,000 24,000 -
4,600 4,600 -
- - -
- 1,611,972 1,611,972 1,364,972 1,217,000 247,000 -
1,611,972
Total
Pendapatan

1,611,972
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

1,353,500 1,353,500 -
253,850 253,850 -
88,350 88,350 -
58,850 58,850 -
19,850 19,850 -
105,350 105,350 -
84,000 84,000 -
193,850 193,850 -
16,500 16,500 -
111,600 111,600 -
8,600 13,200 4,600
16,500 16,500 -
16,500 16,500 -
75,450 75,450 -
6,000 6,000 -
93,150 93,150 -
100,750 100,750 -
20,000 20,000 -
19,500 19,500 -
- 11,140 11,140
39,600 39,600 -
9,000 9,000 -
9,000 9,000 -
38,000 38,000 -
16,500 16,500 -
18,000 18,000 -
18,500 18,500 -
105,000 105,000 -
83,380 83,380 -
116,250 116,250 -
84,950 84,950 -
51,700 51,700 -
95,100 95,100 -
210,750 210,750 -
31,500 31,500 -
86,250 86,250 -
3,050 3,050 -
34,000 34,000 -
61,700 61,700 -
85,500 85,500 -
76,000 76,000 -
76,500 76,500 -
51,700 51,700 -
222,500 222,500 -
111,200 111,200 -
34,000 34,000 -
71,750 71,750 -
216,000 216,000 -
156,750 156,750 -
98,500 98,500 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
45,000 45,000 -
87,500 87,500 -
148,850 148,850 -
146,750 146,750 -
196,700 196,700 -
84,750 84,750 -
50,500 50,500 -
221,100 221,100 -
58,500 58,500 -
50,500 50,500 -
60,000 60,000 -
5,500 5,500 -
47,900 47,900 -
33,000 33,000 -
138,500 138,500 -
34,000 34,000 -
102,350 102,350 -
34,000 34,000 -
269,350 269,350 -
105,300 105,300 -
47,500 47,500 -
90,275 90,275 -
181,750 181,750 -
59,000 59,000 -
34,000 34,000 -
- 88,400 88,400
360,000 360,000 -
6,000 6,000 -
- - -
- 8,073,355 8,073,355 6,304,855 4,235,700 1,768,500 -
8,073,355
Total
Pendapatan

8,073,355
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

32,900 32,900 -
14,500 14,500 -
22,000 22,000 -
118,500 118,500 -
10,000 10,000 -
119,325 119,325 -
14,500 14,500 -
1,500 1,500 -
85,400 85,400 -
190,000 190,000 -
22,800 22,800 -
88,900 88,900 -
55,500 55,500 -
116,500 116,500 -
13,000 13,000 -
70,000 70,000 -
163,025 163,025 -
81,750 81,750 -
12,000 12,000 -
2,900 2,900 -
281,650 281,650 -
320,850 320,850 -
242,500 242,500 -
110,000 110,000 -
127,500 127,500 -
36,200 36,200 -
66,500 66,500 -
512,500 512,500 -
52,850 52,850 -
235,200 235,200 -
46,950 46,950 -
34,000 34,000 -
8,000 8,000 -
111,050 111,050 -
194,775 194,775 -
18,500 18,500 -
34,000 34,000 -
74,150 74,150 -
10,600 10,600 -
20,000 20,000 -
16,500 16,500 -
73,750 73,750 -
18,500 18,500 -
90,050 90,050 -
61,000 61,000 -
51,650 51,650 -
19,000 19,000 -
85,400 85,400 -
38,000 38,000 -
75,750 75,750 -
136,520 136,520 -
165,225 165,225 -
(100,000) - 100,000
39,600 39,600 -
46,500 46,500 -
10,000 10,000 -
16,500 16,500 -
131,375 131,375 -
206,625 206,625 -
34,250 34,250 -
18,500 18,500 -
97,625 97,625 -
74,550 74,550 -
7,250 7,250 -
39,600 39,600 -
68,500 68,500 -
- 64,750 64,750
- 74,250 74,250
59,100 59,100 -
109,850 109,850 -
3,000 3,000 -
- - -
- 5,466,945 5,466,945 4,664,945 4,616,800 802,000 -
5,466,945
Total
Pendapatan

5,466,945
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI)

187,000 187,000 -
25,500 25,500 -
60,150 60,150 -
34,000 34,000 -
100,250 100,250 -
11,050 11,050 -
31,500 31,500 -
4,200 4,200 -
143,900 143,900 -
146,300 146,300 -
71,500 71,500 -
36,200 36,200 -
25,000 25,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
139,500 139,500 -
64,100 64,100 -
850,000 850,000 -
6,000 6,000 -
85,450 85,450 -
44,250 44,250 -
191,040 191,040 -
84,800 84,800 -
87,950 87,950 -
478,150 478,150 -
- - -
- 3,043,790 3,043,790 2,508,790 535,000
3,043,790
Total
Pendapatan

3,043,790
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

79,200 79,200 -
71,425 71,425 -
33,300 33,300 -
37,550 37,550 -
116,500 116,500 -
17,500 17,500 -
19,500 19,500 -
2,550 52,400 49,850
76,250 76,250 -
13,500 13,500 -
13,000 13,000 -
139,500 139,500 -
91,500 91,500 -
54,600 54,600 -
38,000 38,000 -
72,375 72,375 -
900 900 -
40,000 40,000 -
18,000 18,000 -
84,250 84,250 -
12,000 12,000 -
34,000 34,000 -
55,050 55,050 -
34,000 34,000 -
109,350 109,350 -
67,500 67,500 -
18,500 18,500 -
64,900 64,900 -
176,450 176,450 -
96,000 96,000 -
10,000 10,000 -
10,000 10,000 -
10,000 10,000 -
122,625 122,625 -
76,750 76,750 -
34,000 34,000 -
25,000 25,000 -
87,150 87,150 -
68,000 68,000 -
84,000 84,000 -
134,500 134,500 -
126,500 126,500 -
61,000 61,000 -
58,000 58,000 -
15,000 15,000 -
15,500 15,500 -
47,500 47,500 -
198,000 198,000 -
133,750 133,750 -
79,200 79,200 -
140,500 140,500 -
64,000 64,000 -
114,250 114,250 -
61,500 61,500 -
137,500 137,500 -
255,150 255,150 -
7,650 7,650 -
78,600 78,600 -
154,750 154,750 -
58,000 58,000 -
88,000 88,000 -
207,250 207,250 -
99,900 99,900 -
130,000 130,000 -
245,500 245,500 -
138,850 138,850 -
36,200 36,200 -
24,750 24,750 -
140,000 140,000 -
23,500 23,500 -
51,500 51,500 -
34,000 34,000 -
- - -
- 5,374,975 5,374,975 4,369,975 3,966,800 1,005,000 -
5,374,975
Total
Pendapatan

5,374,975
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

113,950 113,950 -
205,425 205,425 -
86,900 86,900 -
62,660 62,660 -
120,050 120,050 -
89,250 89,250 -
11,350 11,350 -
16,200 16,200 -
34,300 34,300 -
18,000 18,000 -
13,500 13,500 -
240,400 240,400 -
28,500 28,500 -
115,882 115,882 -
34,000 34,000 -
- 190,000 190,000
253,000 253,000 -
73,000 73,000 -
129,100 129,100 -
77,500 77,500 -
101,000 101,000 -
18,000 18,000 -
13,000 13,000 -
13,000 13,000 -
10,000 10,000 -
50,500 50,500 -
58,600 58,600 -
18,500 18,500 -
77,800 77,800 -
55,350 55,350 -
176,000 176,000 -
47,500 47,500 -
58,000 58,000 -
221,700 221,700 -
15,500 15,500 -
16,500 16,500 -
34,000 34,000 -
38,000 38,000 -
19,000 19,000 -
106,100 106,100 -
209,250 209,250 -
219,100 219,100 -
122,700 122,700 -
122,200 122,200 -
20,550 20,550 -
108,750 108,750 -
128,550 128,550 -
34,000 34,000 -
165,500 165,500 -
174,750 174,750 -
18,500 18,500 -
79,050 79,050 -
96,250 96,250 -
74,370 74,370 -
150,550 150,550 -
34,000 34,000 -
66,200 66,200 -
75,500 75,500 -
18,500 18,500 -
90,800 90,800 -
19,500 19,500 -
19,500 19,500 -
18,500 18,500 -
111,250 111,250 -
34,000 34,000 -
119,350 119,350 -
212,500 212,500 -
90,250 90,250 -
14,500 14,500 -
109,900 109,900 -
127,500 127,500 -
55,200 55,200 -
111,000 111,000 -
127,500 127,500 -
161,250 161,250 -
39,500 39,500 0
- - -
- 6,251,287 6,251,287 5,007,287 4,400,300 1,244,000 -
6,251,287
Total
Pendapatan

6,251,287
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

109,900 109,900 -
78,450 78,450 -
11,100 11,100 -
(100,000) - 100,000
166,600 166,600 -
16,650 16,650 -
127,200 127,200 -
- 39,500 39,500
13,500 13,500 -
128,950 128,950 -
146,600 146,600 -
34,000 34,000 -
132,450 132,450 -
48,750 48,750 -
118,250 118,250 -
65,600 65,600 -
18,975 18,975 -
57,000 57,000 -
259,250 259,250 -
127,325 127,325 -
155,500 155,500 -
32,900 32,900 -
111,750 111,750 -
18,500 18,500 -
38,000 38,000 -
35,500 35,500 -
45,000 45,000 -
211,675 211,675 -
89,000 89,000 -
36,200 36,200 -
42,700 42,700 -
109,000 109,000 -
35,000 35,000 -
58,500 58,500 -
198,500 198,500 -
34,000 34,000 -
162,200 162,200 -
241,355 241,355 -
86,950 86,950 -
40,000 40,000 -
113,750 113,750 -
351,350 351,350 -
165,250 165,250 -
177,150 177,150 -
38,500 38,500 -
34,000 34,000 -
113,200 113,200 -
39,600 39,600 -
108,600 108,600 -
163,200 163,200 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
148,600 148,600 -
58,000 58,000 -
86,950 86,950 -
- - -
118,800 118,800 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
10,000 10,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
177,150 177,150 -
202,400 202,400 -
39,600 39,600 -
39,600 39,600 -
138,700 138,700 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
42,750 42,750 -
126,750 126,750 -
39,600 39,600 -
113,200 113,200 -
109,000 109,000 -
39,600 39,600 -
74,600 74,600 -
188,250 188,250 -
74,600 74,600 -
124,800 124,800 -
73,600 73,600 -
123,600 123,600 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
178,300 178,300 -
79,200 79,200 -
242,400 242,400 -
113,200 113,200 -
39,600 39,600 -
102,000 102,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
202,800 202,800 -
74,600 74,600 -
126,750 126,750 -
108,600 108,600 -
25,000 25,000 -
39,600 39,600 -
39,600 39,600 -
73,600 73,600 -
136,700 136,700 -
79,200 79,200 -
48,250 48,250 -
39,600 39,600 -
114,200 114,200 -
74,600 74,600 -
39,600 39,600 -
108,600 108,600 -
123,600 123,600 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
132,000 132,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
38,500 38,500 -
38,500 38,500 -
90,000 90,000 -
34,000 34,000 -
- - -
- 12,036,730 12,036,730 9,315,230 9,155,800 2,721,500 -
12,036,730
Total
Pendapatan

12,036,730
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

115,900 115,900 -
183,000 183,000 -
198,000 198,000 -
48,900 48,900 -
39,200 39,200 -
14,500 14,500 -
26,500 26,500 -
12,950 12,950 -
39,600 39,600 -
69,500 69,500 -
69,500 69,500 -
54,200 54,200 -
(100,000) - 100,000
34,500 34,500 -
45,000 45,000 -
48,350 48,350 -
68,450 68,450 -
42,750 42,750 -
39,600 39,600 -
145,100 145,100 -
82,050 82,050 -
34,000 34,000 -
85,000 85,000 -
154,600 154,600 -
75,335 75,335 -
345,750 345,750 -
80,650 80,650 -
51,750 51,750 -
31,500 31,500 -
18,500 18,500 -
3,000 3,000 -
19,000 19,000 -
30,750 30,750 -
38,000 38,000 -
8,000 8,000 -
28,800 28,800 -
79,000 79,000 -
19,000 19,000 -
27,000 27,000 -
15,500 15,500 -
12,300 12,300 -
28,800 28,800 -
56,600 56,600 -
134,200 134,200 -
64,400 64,400 -
28,800 28,800 -
71,200 71,200 -
23,200 23,200 -
13,500 13,500 -
113,722 113,722 -
134,200 134,200 -
34,000 34,000 -
71,200 71,200 -
210,500 210,500 -
16,500 16,500 -
16,500 16,500 -
16,500 16,500 -
16,500 16,500 -
16,500 16,500 -
16,500 16,500 -
16,500 16,500 -
16,500 16,500 -
16,500 16,500 -
11,000 11,000 -
104,250 104,250 -
36,300 36,300 -
34,000 34,000 -
84,000 84,000 -
149,875 149,875 -
110,875 110,875 -
3,000 3,000 -
245,450 245,450 -
153,750 153,750 -
79,200 79,200 -
39,600 39,600 -
102,500 102,500 -
98,700 98,700 -
58,000 58,000 -
34,000 34,000 -
57,900 57,900 -
140,750 140,750 -
95,700 95,700 -
150,800 150,800 -
319,500 319,500 -
15,200 15,200 -
110,600 110,600 -
54,845 54,845 -
58,000 58,000 -
287,925 287,925 -
53,800 53,800 -
54,450 54,450 -
103,200 103,200 -
127,500 127,500 -
127,500 127,500 -
127,500 127,500 -
127,500 127,500 -
34,000 34,000 -
92,000 92,000 -
19,000 19,000 -
90,000 90,000 -
41,500 41,500 -
43,500 43,500 -
36,000 36,000 -
43,500 43,500 -
90,000 90,000 -
92,000 92,000 -
39,200 39,200 -
- - -
- 7,545,677 7,545,677 6,182,177 5,316,800 1,363,500 -
7,545,677
Total
Pendapatan

7,545,677
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

1,630 1,630 -
92,000 92,000 -
226,150 226,150 -
89,350 89,350 -
92,000 92,000 -
55,950 55,950 -
200,570 200,570 -
892,150 892,150 -
1,250 1,250 -
17,600 17,600 -
81,500 81,500 -
15,700 15,700 -
21,850 21,850 -
216,000 216,000 -
13,500 13,500 -
464,650 1,818,150 1,353,500
131,250 131,250 -
43,500 43,500 -
9,500 9,500 -
33,600 33,600 -
4,650 4,650 -
98,650 98,650 -
81,282 81,282 -
6,000 6,000 -
10,200 10,200 -
69,500 69,500 -
59,000 59,000 -
131,610 131,610 -
25,000 25,000 -
38,000 38,000 -
25,500 25,500 -
18,500 18,500 -
12,000 12,000 -
16,500 16,500 -
23,500 23,500 -
129,000 129,000 -
197,200 197,200 -
166,000 166,000 -
181,500 181,500 -
187,300 187,300 -
8,950 8,950 1
193,250 193,250 -
43,000 43,000 -
121,825 121,825 -
- 804,900 804,900
148,250 148,250 -
79,200 79,200 -
189,900 189,900 -
134,250 134,250 -
110,250 110,250 -
18,750 18,750 -
98,250 98,250 -
76,200 76,200 -
52,290 52,290 -
93,000 93,000 -
135,500 135,500 -
52,500 52,500 -
198,000 198,000 -
82,700 82,700 -
95,750 95,750 -
60,100 60,100 -
135,500 135,500 -
7,000 7,000 -
25,000 25,000 -
173,150 173,150 -
104,500 104,500 -
94,150 94,150 -
34,000 34,000 -
118,200 118,200 -
20,000 20,000 -
135,450 135,450 -
55,500 55,500 -
106,000 106,000 -
84,000 84,000 -
84,000 84,000 -
44,000 44,000 -
34,000 34,000 -
92,500 92,500 -
10,000 10,000 -
44,000 44,000 -
58,500 58,500 -
- - -
- 7,631,957 7,631,957 6,189,457 5,822,800 1,442,500 -
7,631,957
Total
Pendapatan

7,631,957
(1)

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
62,400 62,400 -
244,675 244,675 -
85,200 85,200 -
149,800 149,800 -
93,400 93,400 -
40,950 40,950 -
92,300 92,300 -
15,850 15,850 -
173,600 173,600 -
155,000 155,000 -
13,500 13,500 -
13,500 13,500 -
46,250 46,250 -
70,800 70,800 -
330,500 330,500 -
117,000 117,000 -
44,400 44,400 -
70,000 70,000 -
34,000 34,000 -
119,500 119,500 -
34,000 34,000 -
- 1,630 1,630
113,800 113,800 -
13,500 13,500 -
26,500 26,500 -
144,000 144,000 -
38,000 38,000 -
49,000 49,000 -
18,500 18,500 -
66,800 66,800 -
78,950 78,950 -
88,500 88,500 -
62,400 62,400 -
141,975 141,975 -
94,500 94,500 -
47,500 47,500 -
19,000 19,000 -
126,450 126,450 -
18,500 18,500 -
58,000 58,000 -
275,570 275,570 -
113,170 113,170 -
163,675 163,675 -
104,000 104,000 -
52,000 52,000 -
34,000 34,000 -
156,750 156,750 -
142,750 142,750 -
19,000 19,000 -
23,000 23,000 -
10,000 10,000 -
16,500 16,500 -
85,400 85,400 -
165,625 165,625 -
121,300 121,300 -
50,850 50,850 -
99,500 99,500 -
1,000 1,000 -
84,600 84,600 -
120,100 120,100 -
20,750 20,750 -
45,000 45,000 -
74,400 74,400 -
188,600 188,600 -
94,050 94,050 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
38,500 38,500 -
155,675 155,675 -
- - -
- 5,770,265 5,770,265 4,578,265 3,639,900 1,192,000 -
5,770,265
Total
Pendapatan

5,770,265
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
137,600 137,600 -
121,500 121,500 -
12,000 12,000 -
800 800 -
10,000 10,000 -
4,650 4,650 -
554,400 554,400 -
1,060 1,060 -
46,750 46,750 -
11,200 11,200 -
112,900 112,900 -
25,000 25,000 -
15,600 15,600 -
15,250 15,250 -
2,250 2,250 -
79,200 79,200 -
20,000 20,000 -
320,000 320,000 -
123,400 123,400 -
56,200 56,200 -
141,450 141,450 -
65,400 65,400 -
96,375 96,375 -
800 800 -
79,850 79,850 -
42,650 42,650 -
12,000 12,000 -
14,500 14,500 -
- - -
- 2,122,785 2,122,785 1,864,285 1,008,000 258,500 -
2,122,785
Total
Pendapatan

2,122,785
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
45,200 45,200 -
200,000 200,000 -
25,500 25,500 -
150,650 150,650 -
84,500 84,500 -
16,750 16,750 -
99,000 99,000 -
83,850 83,850 -
46,000 46,000 -
141,400 141,400 -
6,200 6,200 -
39,500 39,500 -
77,700 77,700 -
27,200 27,200 -
2,250 2,250 -
27,500 27,500 -
8,000 77,500 69,500
- 69,500 69,500
- 21,850 21,850
3,750 3,750 -
162,950 162,950 -
6,500 6,500 -
18,500 18,500 -
104,000 104,000 -
41,550 41,550 -
1,300 1,300 -
18,000 18,000 -
70,900 70,900 -
110,000 110,000 -
106,702 106,702 -
37,100 37,100 -
82,100 82,100 -
116,922 116,922 -
145,200 145,200 -
45,550 45,550 -
58,000 58,000 -
142,950 142,950 -
19,000 19,000 -
34,000 34,000 -
133,700 133,700 -
109,425 109,425 -
198,400 198,400 -
79,300 79,300 -
20,000 20,000 -
231,190 231,190 -
87,125 87,125 -
120,200 120,200 -
69,000 69,000 -
6,000 6,000 -
20,000 20,000 -
52,000 52,000 -
16,500 16,500 -
27,500 27,500 -
47,500 47,500 -
123,425 123,425 -
84,570 84,570 -
160,400 160,400 -
113,250 113,250 -
66,200 66,200 -
45,000 45,000 -
52,500 52,500 -
38,050 38,050 -
109,700 109,700 -
49,900 49,900 -
3,050 3,050 -
12,400 12,400 -
50,500 50,500 -
108,950 108,950 -
20,000 20,000 -
52,500 52,500 -
13,500 13,500 -
110,000 110,000 -
27,500 27,500 -
5,500 5,500 -
13,500 13,500 -
- - -
- 4,884,409 4,884,409 3,909,909 3,178,300 974,500 -
4,884,409
Total
Pendapatan

4,884,409
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

185,900 185,900 -
35,500 35,500 -
63,450 63,450 -
154,500 154,500 -
146,950 146,950 -
87,000 87,000 -
22,000 22,000 -
30,650 30,650 -
11,100 11,100 -
37,750 37,750 -
123,300 123,300 -
21,400 21,400 -
167,800 167,800 -
110,650 110,650 -
8,000 8,000 -
155,500 155,500 -
12,500 12,500 -
7,500 8,560 1,060
101,500 101,500 -
12,140 12,140 -
118,300 118,300 -
117,450 117,450 -
55,500 55,500 -
85,500 85,500 -
85,500 85,500 -
141,000 141,000 -
61,500 61,500 -
47,500 47,500 -
129,555 129,555 -
57,800 57,800 -
74,575 74,575 -
15,500 15,500 -
81,500 81,500 -
34,000 34,000 -
- 200,000 200,000
18,500 18,500 -
19,000 19,000 -
39,500 39,500 -
50,500 50,500 -
25,900 25,900 -
68,050 68,050 -
63,250 63,250 -
- 155,675 155,675
107,650 107,650 -
170,750 170,750 -
42,150 42,150 -
34,000 34,000 -
14,000 14,000 -
49,600 49,600 -
99,200 99,200 -
25,000 25,000 -
90,800 90,800 -
156,025 156,025 -
82,300 82,300 -
99,200 99,200 -
94,300 94,300 -
126,625 126,625 -
80,400 80,400 -
72,150 72,150 -
148,630 148,630 -
129,250 129,250 -
161,200 161,200 -
110,000 110,000 -
140,000 140,000 -
127,500 127,500 -
115,850 115,850 -
60,200 60,200 -
- - -
- 5,221,750 5,221,750 4,167,250 3,798,600 1,054,500 -
5,221,750
Total
Pendapatan

5,221,750
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
101,550 101,550 -
204,226 204,226 -
34,000 34,000 -
157,900 157,900 -
108,150 108,150 -
11,000 11,000 -
34,000 34,000 -
34,000 34,000 -
37,950 37,950 -
39,600 39,600 -
72,000 72,000 -
139,100 139,100 -
3,375 3,375 -
12,000 12,000 -
82,600 82,600 -
- 155,000 155,000
9,500 9,500 -
42,500 42,500 -
15,000 15,000 -
366,598 366,598 -
57,500 57,500 -
- 126,300 126,300
20,000 20,000 -
113,950 113,950 -
69,700 69,700 -
13,500 13,500 -
16,500 16,500 -
16,500 16,500 -
18,500 18,500 -
94,000 94,000 -
2,900 2,900 -
51,140 51,140 -
50,500 50,500 -
34,000 34,000 -
31,800 31,800 -
80,600 80,600 -
128,450 128,450 -
42,700 42,700 -
262,200 262,200 -
80,700 80,700 -
62,000 62,000 -
167,150 167,150 -
32,000 32,000 -
34,000 34,000 -
52,000 52,000 -
106,750 106,750 -
112,750 112,750 -
164,700 164,700 -
217,035 217,035 -
12,000 12,000 -
10,200 10,200 -
34,000 34,000 -
109,500 109,500 -
206,000 206,000 -
120,475 120,475 -
159,000 159,000 -
39,600 39,600 -
39,600 39,600 -
205,545 205,545 -
22,000 22,000 -
140,152 140,152 -
108,600 108,600 -
222,950 222,950 -
150,700 150,700 -
192,750 192,750 -
94,000 94,000 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
190,000 190,000 -
102,100 102,100 -
51,450 51,450 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
59,900 59,900 -
87,080 87,080 -
44,700 44,700 -
85,000 85,000 -
113,250 113,250 -
68,650 68,650 -
99,500 99,500 -
34,000 34,000 -
39,600 39,600 -
39,600 39,600 -
148,200 148,200 -
162,226 162,226 -
73,600 73,600 -
130,400 130,400 -
195,926 195,926 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
108,600 108,600 -
39,600 39,600 -
79,200 79,200 -
214,926 214,926 -
127,550 127,550 -
83,950 83,950 -
39,600 39,600 -
546,600 546,600 -
95,226 95,226 -
73,600 73,600 -
188,600 188,600 -
99,000 99,000 -
39,600 39,600 -
118,800 118,800 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
108,600 108,600 -
108,600 108,600 -
117,000 117,000 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
142,950 142,950 -
145,000 145,000 -
39,600 39,600 -
39,600 39,600 -
108,600 108,600 -
196,600 196,600 -
39,600 39,600 -
30,000 30,000 -
79,200 79,200 -
58,000 58,000 -
39,600 39,600 -
123,600 123,600 -
174,226 174,226 -
137,300 137,300 -
39,600 39,600 -
39,600 39,600 -
145,000 145,000 -
39,600 39,600 -
162,000 162,000 -
79,200 79,200 -
39,600 39,600 -
73,600 73,600 -
178,300 178,300 -
45,000 45,000 -
93,500 93,500 -
34,000 34,000 -
34,000 34,000 -
180,000 180,000 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
1,550 1,550 -
39,600 39,600 -
737,300 737,300 -
55,500 55,500 -
34,000 34,000 -
34,000 34,000 -
78,000 78,000 -
39,600 39,600 -
31,500 31,500 -
204,226 204,226 -
- - -
- 14,886,032 14,886,032 11,788,032 10,863,600 3,098,000 -
14,886,032
Total
Pendapatan

14,886,032
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

63,800 63,800 -
89,500 89,500 -
170,900 170,900 -
173,200 173,200 -
9,250 9,250 -
34,300 34,300 -
184,000 184,000 -
110,000 110,000 -
19,000 19,000 -
13,000 13,000 -
39,600 39,600 -
20,500 20,500 -
85,500 85,500 -
39,600 39,600 -
21,000 21,000 -
54,100 54,100 -
157,350 157,350 -
82,000 82,000 -
34,000 34,000 -
123,750 123,750 -
125,000 125,000 -
140,660 140,660 -
44,600 44,600 -
47,550 47,550 -
79,000 79,000 -
106,500 106,500 -
191,250 191,250 -
100,400 100,400 -
27,000 27,000 -
8,000 8,000 -
141,700 141,700 -
107,801 107,801 -
73,500 73,500 -
40,000 40,000 -
68,572 68,572 -
26,350 26,350 -
9,300 9,300 -
72,272 72,272 -
99,500 99,500 -
9,900 9,900 -
52,000 52,000 -
78,500 78,500 -
3,750 3,750 -
125,000 125,000 -
110,700 110,700 -
127,500 127,500 -
186,482 186,482 -
- 39,600 39,600
125,000 125,000 -
90,000 90,000 -
41,500 41,500 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
737,300 737,300 -
- - -
- 4,822,937 4,822,937 4,168,937 3,363,900 654,000 -
4,822,937
Total
Pendapatan

4,822,937
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

155,700 155,700 -
505,360 505,360 -
43,300 43,300 -
62,950 62,950 -
35,300 35,300 -
39,600 39,600 -
360,000 360,000 -
188,500 188,500 -
191,000 191,000 -
5,100 5,100 -
13,500 13,500 -
16,500 16,500 -
- 94,800 94,800
84,700 84,700 -
74,000 74,000 -
79,500 79,500 -
20,500 20,500 -
132,500 132,500 -
104,450 104,450 -
87,950 87,950 -
67,850 67,850 -
82,250 82,250 -
6,000 6,000 -
112,250 112,250 -
112,250 112,250 -
34,000 34,000 -
69,100 69,100 -
58,000 58,000 -
180,750 180,750 -
134,800 134,800 -
34,000 34,000 -
18,500 18,500 -
155,700 155,700 -
82,300 82,300 -
139,000 139,000 -
114,200 114,200 -
111,275 111,275 -
34,000 34,000 -
154,350 154,350 -
85,500 85,500 -
209,950 209,950 -
53,650 53,650 -
81,500 81,500 -
156,500 156,500 -
34,000 34,000 -
129,150 129,150 -
6,000 6,000 -
167,000 167,000 -
9,000 9,000 -
228,100 228,100 -
93,500 93,500 -
84,000 84,000 -
45,000 45,000 -
51,700 51,700 -
45,000 45,000 -
99,000 99,000 -
181,500 181,500 -
34,000 34,000 -
131,500 131,500 -
34,000 34,000 -
84,000 84,000 -
9,000 9,000 -
110,200 110,200 -
110,000 110,000 -
136,450 136,450 -
16,500 16,500 -
10,000 10,000 -
153,200 153,200 -
70,750 70,750 -
37,150 37,150 -
133,200 133,200 -
34,000 34,000 -
37,000 37,000 -
600,400 600,400 -
8,950 8,950 -
- - -
- 7,411,335 7,411,335 5,849,335 5,063,600 1,562,000 -
7,411,335
Total
Pendapatan

7,411,335
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

100,550 100,550 -
59,800 59,800 -
1,003,200 1,003,200 -
2,500 2,500 -
81,500 81,500 -
43,000 43,000 -
122,100 122,100 -
165,000 165,000 -
95,900 95,900 -
18,500 18,500 -
91,500 91,500 -
107,732 107,732 -
- 176,500 176,500
157,750 157,750 -
46,950 46,950 -
62,600 62,600 -
45,200 45,200 -
58,100 58,100 -
86,000 86,000 -
18,500 18,500 -
18,500 18,500 -
6,700 6,700 -
27,500 27,500 -
10,000 10,000 -
42,500 42,500 -
3,600 12,550 8,950
35,550 35,550 -
27,900 27,900 -
99,300 99,300 -
80,150 80,150 -
98,500 98,500 -
16,500 16,500 -
88,900 88,900 -
27,500 27,500 -
78,600 78,600 -
20,000 20,000 -
7,500 7,500 -
1,000 1,000 -
(20,000) - 20,000
4,300 4,300 -
57,500 57,500 -
9,000 9,000 -
18,500 18,500 -
13,500 13,500 -
- - -
- 3,139,382 3,139,382 2,870,382 1,876,500 269,000 -
3,139,382
Total
Pendapatan

3,139,382
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

75,000 75,000 -
693,250 693,250 -
16,650 16,650 -
396,000 396,000 -
67,500 67,500 -
193,500 193,500 -
98,250 98,250 -
- 13,500 13,500
50,500 50,500 -
151,600 151,600 -
100,550 100,550 -
13,500 13,500 -
82,000 82,000 -
55,100 55,100 -
53,300 53,300 -
11,100 11,100 -
- 13,250 13,250
61,750 78,750 17,000
13,500 13,500 -
89,222 89,222 -
94,250 94,250 -
10,350 10,350 -
243,650 243,650 -
47,500 47,500 -
191,500 191,500 -
52,500 52,500 -
166,000 166,000 -
20,000 20,000 -
125,425 125,425 0
63,250 63,250 -
20,000 20,000 -
27,800 27,800 -
42,700 42,700 -
79,126 79,126 -
27,500 27,500 -
139,200 139,200 -
18,000 18,000 -
97,350 97,350 -
- 415,300 415,300
101,550 101,550 -
80,150 80,150 -
45,050 45,050 -
123,676 123,676 -
121,800 121,800 -
- 218,000 218,000
34,000 34,000 -
31,500 36,500 5,000
- 505,400 505,400
62,900 62,900 -
98,150 98,150 -
34,000 34,000 -
191,750 191,750 -
143,750 143,750 -
14,500 14,500 -
143,500 143,500 -
233,350 233,350 -
116,100 116,100 -
130,200 130,200 -
77,000 77,000 -
34,000 34,000 -
66,500 66,500 -
34,000 34,000 -
8,950 8,950 -
116,500 116,500 -
34,000 34,000 -
392,610 392,610 -
38,428 38,428 -
66,000 66,000 -
179,050 179,050 -
- - -
- 6,441,337 6,441,337 5,397,337 5,333,500 1,044,000 -
6,441,337
Total
Pendapatan
6,441,337
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

104,000 104,000 -
175,750 175,750 -
38,250 38,250 -
11,000 11,000 -
84,200 84,200 -
57,000 57,000 -
35,300 35,300 -
25,500 25,500 -
10,600 10,600 -
29,300 29,300 -
34,000 34,000 -
34,000 34,000 -
51,000 51,000 -
192,750 192,750 -
81,250 81,250 -
115,450 115,450 -
157,050 157,050 -
106,950 106,950 -
22,800 22,800 -
22,000 22,000 -
7,500 7,500 -
43,900 43,900 -
3,000 3,000 -
30,550 30,550 -
(5,100) - 5,100
19,000 19,000 -
68,000 68,000 -
19,000 19,000 -
189,100 189,100 -
105,150 105,150 -
34,000 34,000 -
47,500 47,500 -
- 2,206,000 2,206,000
151,100 151,100 -
151,625 151,625 -
34,000 34,000 -
108,000 108,000 -
38,500 38,500 -
145,500 145,500 -
106,150 106,150 -
101,250 101,250 -
196,850 196,850 -
15,500 15,500 -
74,200 74,200 -
51,000 51,000 -
41,500 41,500 -
46,750 46,750 -
24,750 24,750 -
214,000 214,000 -
15,500 15,500 -
15,500 15,500 -
18,500 18,500 -
116,450 116,450 -
117,000 117,000 -
112,400 112,400 -
37,000 37,000 -
34,000 34,000 -
226,100 226,100 -
46,800 46,800 -
176,500 176,500 -
150,600 150,600 -
- 77,935 77,935
10,000 10,000 -
144,310 144,310 -
125,000 125,000 -
140,000 140,000 -
- - -
- 4,936,085 4,936,085 3,921,585 5,618,000 1,014,500 -
4,936,085
Total
Pendapatan

4,936,085
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

206,450 206,450 -
77,950 77,950 -
73,600 73,600 -
43,000 43,000 -
41,650 70,950 29,300
18,000 18,000 -
109,600 109,600 -
89,500 89,500 -
43,500 43,500 -
242,250 242,250 -
318,925 318,925 -
14,500 14,500 -
27,500 27,500 -
30,900 30,900 -
3,000 3,000 -
8,500 8,500 -
6,700 6,700 -
13,000 13,000 -
39,600 39,600 -
8,500 27,575 19,075
16,500 16,500 -
18,000 18,000 -
19,000 19,000 -
67,000 67,000 -
86,125 86,125 -
104,450 104,450 -
166,000 166,000 -
165,000 165,000 -
42,700 42,700 -
(40,300) - 40,300
184,370 184,370 -
196,825 196,825 -
27,000 27,000 -
73,250 73,250 -
211,250 211,250 -
39,500 39,500 -
76,000 76,000 -
34,000 34,000 -
198,650 198,650 -
189,050 189,050 -
34,000 34,000 -
110,000 110,000 -
116,250 116,250 -
58,500 58,500 -
59,250 59,250 -
73,300 73,300 -
34,000 34,000 -
30,000 30,000 -
39,600 39,600 -
- 20,000 20,000
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
74,600 74,600 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
114,200 114,200 -
100,000 100,000 -
92,526 92,526 -
74,600 74,600 -
118,800 118,800 -
79,200 79,200 -
39,600 39,600 -
50,500 50,500 -
39,600 39,600 -
60,000 60,000 -
393,000 393,000 -
109,000 109,000 -
160,050 160,050 -
93,000 93,000 -
134,000 134,000 -
138,600 138,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
198,000 198,000 -
184,000 184,000 -
192,000 192,000 -
51,700 51,700 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
185,700 185,700 -
39,600 39,600 -
114,200 114,200 -
39,600 39,600 -
39,600 39,600 -
240,200 240,200 -
108,600 108,600 -
108,600 108,600 -
83,000 83,000 -
123,600 123,600 -
117,600 117,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
114,600 114,600 -
79,200 79,200 -
39,600 39,600 -
63,000 63,000 -
54,750 54,750 -
218,350 218,350 -
62,880 62,880 -
- 11,000 11,000
74,600 74,600 -
39,600 39,600 -
74,600 74,600 -
79,200 79,200 -
52,500 52,500 -
39,600 39,600 -
69,000 69,000 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
73,000 73,000 -
34,000 34,000 -
57,400 57,400 -
98,452 98,452 -
195,500 195,500 -
139,150 139,150 -
38,500 38,500 -
38,500 38,500 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
45,000 45,000 -
37,600 37,600 -
- - -
- 11,092,553 11,092,553 8,682,053 8,292,300 2,410,500 -
11,092,553
Total
Pendapatan

11,092,553
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

34,000 34,000 -
72,000 72,000 -
31,500 31,500 -
38,300 38,300 -
44,500 44,500 -
16,500 16,500 -
192,750 192,750 -
39,600 39,600 -
5,500 5,500 -
68,300 68,300 -
36,000 36,000 -
(100,000) - 100,000
307,950 307,950 -
42,500 80,100 37,600
728,250 728,250 -
77,950 77,950 -
83,350 83,350 -
62,500 62,500 -
17,000 17,000 -
19,000 19,000 -
34,000 34,000 -
34,000 34,000 -
13,500 13,500 -
121,000 121,000 -
99,900 99,900 -
56,150 56,150 -
135,550 135,550 -
43,800 43,800 -
69,100 69,100 -
34,000 34,000 -
34,000 34,000 -
276,300 276,300 -
67,108 67,108 -
162,990 162,990 -
77,000 77,000 -
65,250 65,250 -
121,540 121,540 -
3,500 3,500 -
34,000 34,000 -
138,275 138,275 -
37,500 37,500 -
87,700 87,700 -
40,750 40,750 -
185,060 185,060 -
19,000 19,000 -
90,250 90,250 -
97,450 97,450 -
25,500 25,500 -
90,700 90,700 -
27,100 27,100 -
49,500 49,500 -
34,000 34,000 -
18,000 18,000 -
13,000 13,000 -
17,800 17,800 -
228,826 228,826 -
57,200 57,200 -
34,000 34,000 -
90,000 90,000 -
38,500 38,500 -
35,500 35,500 -
110,750 110,750 -
112,250 112,250 -
216,785 216,785 -
- 2,208,300 2,208,300
34,000 34,000 -
(204,226) - 204,226
- - -
- 5,025,308 5,025,308 3,424,808 5,174,700 1,600,500 -
5,025,308
Total
Pendapatan

5,025,308
(0)

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

23,000 23,000 -
132,000 132,000 -
280,500 280,500 -
205,050 205,050 -
135,600 135,600 -
8,000 8,000 -
1,200 1,200 -
59,000 59,000 -
59,000 59,000 -
59,400 59,400 -
- 30,650 30,650
25,800 25,800 -
37,280 37,280 -
62,000 62,000 -
161,200 161,200 -
32,250 32,250 -
6,450 6,450 -
216,000 216,000 -
13,000 13,000 -
16,650 16,650 -
55,500 55,500 -
53,750 53,750 -
69,500 69,500 -
18,000 18,000 -
32,000 32,000 -
19,000 19,000 -
19,522 19,522 -
34,000 34,000 -
25,500 25,500 -
107,250 107,250 -
18,000 18,000 -
85,000 85,000 -
118,000 118,000 -
100,500 100,500 -
18,500 18,500 -
44,650 44,650 -
126,350 126,350 -
166,500 166,500 -
126,750 126,750 -
172,500 172,500 -
222,900 222,900 -
122,500 122,500 -
156,500 156,500 -
225,850 225,850 -
110,925 110,925 -
184,250 184,250 -
46,000 46,000 -
179,800 179,800 -
110,500 110,500 -
76,525 76,525 -
5,100 5,100 -
20,000 20,000 -
191,250 191,250 -
- 107,950 107,950
9,000 9,000 -
9,000 9,000 -
9,000 9,000 -
84,000 84,000 -
45,000 45,000 -
34,000 34,000 -
84,000 84,000 -
154,000 154,000 -
34,000 34,000 -
46,800 46,800 -
60,750 60,750 -
34,000 34,000 -
34,000 34,000 -
21,500 21,500 -
- - -
- 5,255,302 5,255,302 3,932,802 3,636,800 1,322,500 -
5,255,302
Total
Pendapatan

5,255,302
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

199,450 199,450 -
26,750 26,750 -
10,500 10,500 -
35,200 35,200 -
24,100 24,100 -
15,100 15,100 -
22,500 22,500 -
23,000 23,000 -
1,550 1,550 -
5,550 5,550 -
220,000 220,000 -
67,500 67,500 -
72,000 72,000 -
77,250 77,250 -
34,000 34,000 -
133,500 133,500 -
20,000 20,000 -
184,700 184,700 -
13,000 13,000 -
39,600 39,600 -
108,600 108,600 -
203,630 203,630 -
194,300 194,300 -
98,500 98,500 -
88,500 88,500 -
120,925 120,925 -
164,350 164,350 -
46,450 46,450 -
34,000 34,000 -
76,300 76,300 -
13,500 13,500 -
201,700 201,700 -
40,500 40,500 -
3,000 3,000 -
205,000 205,000 -
66,300 66,300 -
40,825 40,825 -
12,000 12,000 -
170,900 170,900 -
170,900 170,900 -
58,000 58,000 -
125,000 125,000 -
88,700 88,700 -
116,500 116,500 -
6,000 6,000 -
- - -
- 3,679,630 3,679,630 3,112,630 2,754,700 567,000 -
3,679,630
Total
Pendapatan

3,679,630
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
61,950 61,950 -
17,100 17,100 -
3,000 3,000 -
67,000 67,000 -
39,600 39,600 -
96,500 96,500 -
124,200 124,200 -
64,500 64,500 -
2,000 2,000 -
1,600 1,600 -
13,500 13,500 -
3,000 3,000 -
- - -
- 493,950 493,950 443,950 382,000 50,000 -
493,950
Total
Pendapatan

493,950
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

133,200 133,200 -
109,900 109,900 -
36,300 36,300 -
167,700 167,700 -
3,000 3,000 -
57,700 57,700 -
410,950 410,950 -
190,000 190,000 -
10,700 10,700 -
13,500 13,500 -
84,500 84,500 -
40,200 40,200 -
91,500 91,500 -
500 500 -
12,500 12,500 -
139,200 139,200 -
61,855 61,855 -
113,700 113,700 -
15,500 15,500 -
(271,500) - 271,500
3,000 3,000 -
148,000 148,000 -
97,550 97,550 -
84,900 84,900 -
78,500 78,500 -
56,500 56,500 -
16,500 16,500 -
153,400 153,400 -
58,000 58,000 -
40,750 40,750 -
124,600 124,600 -
72,750 72,750 -
38,500 38,500 -
165,625 165,625 -
111,250 111,250 -
79,750 79,750 -
222,700 222,700 -
98,950 98,950 -
69,950 69,950 -
79,685 79,685 -
41,500 41,500 -
90,900 90,900 -
34,000 34,000 -
43,000 43,000 -
68,450 68,450 -
60,000 60,000 -
10,500 10,500 -
108,750 108,750 -
62,500 62,500 -
89,500 89,500 -
189,000 189,000 -
- 100,500 100,500
28,500 28,500 -
48,000 48,000 -
106,000 106,000 -
38,650 38,650 -
146,000 146,000 -
13,500 13,500 -
58,000 58,000 -
34,000 34,000 -
- - -
- 4,492,515 4,492,515 3,463,015 2,687,200 1,029,500 -
4,492,515
Total
Pendapatan

4,492,515
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

79,050 79,050 -
153,700 153,700 -
101,650 101,650 -
62,360 62,360 -
42,500 42,500 -
26,800 26,800 -
20,600 20,600 -
18,975 18,975 -
39,000 39,000 -
73,750 73,750 -
56,000 56,000 -
122,700 122,700 -
91,500 91,500 -
50,500 50,500 -
13,500 13,500 -
5,300 5,300 -
50,000 50,000 -
16,000 16,000 -
12,000 12,000 -
2,400 2,400 -
52,000 52,000 -
82,000 82,000 -
34,000 34,000 -
188,320 188,320 -
57,000 57,000 -
90,782 90,782 -
9,000 9,000 -
13,500 13,500 -
48,600 48,600 -
148,980 148,980 -
34,100 34,100 -
103,100 103,100 -
127,700 127,700 -
110,500 110,500 -
47,500 47,500 -
45,250 45,250 -
75,600 75,600 -
112,500 112,500 -
128,575 128,575 -
47,500 47,500 -
116,500 116,500 -
48,250 48,250 -
91,170 91,170 -
220,290 220,290 -
59,750 59,750 -
161,350 161,350 -
8,750 8,750 -
22,750 22,750 -
19,500 19,500 -
305,000 305,000 -
32,250 32,250 -
91,000 91,000 -
56,000 56,000 -
74,600 74,600 -
34,000 34,000 -
52,000 52,000 -
127,500 127,500 -
27,500 27,500 -
- - -
- 4,142,952 4,142,952 3,294,952 2,989,700 848,000 -
4,142,952
Total
Pendapatan

4,142,952
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

19,700 19,700 -
19,500 19,500 -
95,100 95,100 -
248,580 248,580 -
139,000 139,000 -
75,000 75,000 -
83,000 83,000 -
442,400 442,400 -
90,000 90,000 -
70,000 70,000 -
123,900 123,900 -
68,000 68,000 -
37,000 37,000 -
608,200 608,200 -
62,800 62,800 -
430,900 430,900 -
29,000 29,000 -
22,500 22,500 0
125,000 125,000 -
16,500 16,500 -
47,000 47,000 -
2,500 2,500 -
6,600 6,600 -
96,550 96,550 -
61,500 61,500 -
56,800 56,800 -
67,000 67,000 -
- - -
- 3,144,030 3,144,030 2,628,030 2,245,200 516,000 -
3,144,030
Total
Pendapatan

3,144,030
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

69,000 69,000 -
165,200 165,200 -
100,850 100,850 -
134,750 134,750 -
413,575 413,575 -
339,140 339,140 -
13,500 13,500 -
14,550 14,550 -
89,000 89,000 -
51,500 51,500 -
99,000 99,000 -
106,000 106,000 -
13,500 13,500 -
13,600 13,600 -
43,928 43,928 -
55,500 55,500 -
34,000 34,000 -
81,000 81,000 -
34,000 34,000 -
73,275 73,275 -
58,000 58,000 -
13,500 13,500 -
31,500 31,500 -
80,700 80,700 -
123,700 123,700 -
102,000 102,000 -
139,500 139,500 -
58,000 58,000 -
208,950 208,950 0
34,000 34,000 -
91,000 91,000 -
45,250 45,250 -
79,500 79,500 -
148,000 148,000 -
157,500 157,500 -
95,700 95,700 -
85,700 85,700 -
200,000 200,000 -
34,000 34,000 -
116,525 116,525 -
132,700 132,700 -
- 50,000 50,000
58,000 58,000 -
- 19,700 19,700
- 173,300 173,300
316,000 316,000 -
229,700 229,700 0
34,000 34,000 -
19,500 19,500 -
67,935 67,935 -
10,500 10,500 -
170,490 170,490 -
3,050 3,050 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
125,000 125,000 -
20,000 20,000 -
6,000 6,000 -
- - -
- 5,142,768 5,142,768 4,138,268 4,147,500 1,004,500 -
5,142,768
Total
Pendapatan

5,142,768
-
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 01 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

1 1 102678 Kartinah 2,455 111,000 4,000


2 038954 Karjo - 219,900 4,000 20,000
3 108567 Ratih Handiana 7,227 163,500 4,000
4 087322 Dwi Indra 8,264 290,900
5 108523 Minarto 7,000 -
6 072319 Waginah 108,250 4,023 40,000 4,000
7 104170 Alfiesya Rahmania - 17,000 17,000 4,000
8 150077 Siti Maftukhah 1,964 21,600
9 004219 Agustina Pratiwi 1,909 21,000
10 084663 Fauzal Leo 16,500 - 2,000
11 049069 Suratiyah 52,200 4,745
12 075418 Sudiarsih 64,500 -
13 032624 Marsinta Manik 18,050 1,641
14 107488 Sarli Simbolon 264,000 1,818
15 108546 Saryani 124,000 - 4,000 20,000
16 097900 Marsono 40,500 - 4,000
17 108556 Romlah 133,000 8,909 4,000
18 013490 Mingin 248,500 18,273 4,000
19 108560 Marina Hardiyanti 15,500 - 3,000 12,500
20 087331 San Mureja 105,300 6,391 4,000
21 108405 Sukardi 206,200 15,564 4,000
22 067402 Yohanes Satrio 15,500 - 3,000 12,500
23 000348 Niken Sumekar 189,750 12,932 4,000
24 108558 Kayun Agustin 171,950 7,405 3,000 50,000
25 105555 Hendri 185,500 -
26 Yohana Pariyem 8,600 - 8,600
27 107522 Sariyah 141,775 9,798 4,000
28 034936 Ega R 17,000 - 2,000
29 000979 Iwan Wijaya 94,100 4,236 4,000
30 085804 Evi Siswanto 151,000 10,636 4,000
31 108565 Agustinah 106,400 - 4,000 20,000
32 074251 Fara 1,300 118
33 105530 Fajar 17,000 - 2,000
34 016928 Sarjono 93,200 8,473
35 108247 Ratiyah 168,350 12,214 4,000
36 030002 Didit Setia 34,000 - 4,000
37 086589 Happy Santoso 60,400 2,991 3,000 18,500
38 091185 Gunadi 160,800 8,800 4,000
39 079582 Sri Rejeki 84,000 - 4,000
40 108339 Florentina 162,000 7,091 4,000
41 165072 Suryana 84,000 - 4,000
42 108569 Lasiyem 152,250 6,205 4,000
43 108563 Sairuroh 172,500 8,045 4,000
44 108568 Wari Trianingsih 176,250 8,386 4,000
45 042379 Salamah 212,250 11,659 4,000
46 108566 Entin Kartini 100,400 1,491 4,000
47 088302 Puji Saryani 130,450 7,768 4,000
48 039073 Sukiyem 91,700 4,245 4,000
49 108373 Novita Anggraeni 45,000 - 4,000
50 108297 Linda Suwati 45,000 - 4,000
51 095113 Ratni 143,950 8,995 4,000
52 108433 Desi Sri M 107,200 5,655 4,000
53 108564 Pariyem 70,000 3,273 4,000
54 108335 Siti Nuryani 94,000 5,455 4,000
55 108342 Yuniatun 157,250 8,932 4,000
56 108570 Rusiyah 101,300 - 4,000 20,000
60 050637 Dul Jalil 67,700 - 4,000 20,000
61 022524 dr. Nrimanto 202,500 18,409
62 108552 Sri Pangestuti 174,300 4,000 20,000
-
5,419,825 - 266,393 784,700 8,600 - - 274,500 - 17,000 - 174,000 93,500 - 120,000

Jurnal Umum 5,419,825


Kas dari Kassa 5,420,200
Selisih Kas 375

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 02 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

2 1 105377 Akhdan Nur Prayoga 6,427 104,700 4,000


2 108572 Sarwono - 119,650 4,000 20,000
3 108575 Mafrudin - 401,900 4,000 20,000
4 080816 Ikhwan Nurhadi 21,161 357,375 4,000
5 003400 Sr. Veronika 245 54,600 54,600 3,000
6 096223 Tuningsih 1,036 11,400
7 044715 Agnes Herna P 391 4,300
8 060461 Sr. Marieta 7,909 43,500 43,500
9 150083 Entin 30,000 2,727
10 108578 Charolin Syefiana 98,500 - 2,500
11 080100 Pusparini 27,500 - 2,000
12 034936 Ega R 17,000 - 2,000
13 Karjo 219,900 - 219,900
14 014437 dr. Prio 10,000 - 2,000
15 099464 Tri Hidayatul 32,100 2,100
16 108523 Minarto 43,300 1,618 3,000 12,500
17 108573 Ngesti Rahayu 91,750 - 4,000 20,000
18 077994 Tejo Warno 75,000 - 4,000 20,000
19 150081 Agus 23,000 2,091
20 001071 Nanik Nuristiyarti 11,100 1,009
21 108373 Novita Anggraeni 268,000 7,168 4,000 20,000
22 042428 Ngadisah 49,250 4,477
23 005976 Alipah 6,700 2,723 23,250
24 046504 Stephanus 20,000 -
25 073310 Reni Ayu 22,700 655 3,000 12,500
26 059854 Rina Widi 20,000 - 4,000
27 108383 Wasito 32,500 636 3,000 12,500
28 056755 Selvia Hendra 46,150 1,877 3,000 12,500
29 108576 Bagus Budi 60,700 1,836 3,000
30 074408 PKU Sruweng 52,800 4,800
31 108488 Turniyah 34,000 - 4,000
32 022524 dr. Nrimanto 140,000 12,727
33 042074 Sri Sugiarti 13,500 -
34 058750 Mungin 125,250 - 50,000 4,000 20,000
35 081615 Mujiran 159,000 - 4,000
36 106049 Tamsih 127,500 - 2,500
37 095166 Joko Suwarno 82,600 - 4,000
38 108588 Purimin 53,525 2,457 3,000 18,500
39 103262 Sarinah 18,500 - 2,000
40 107623 Moh Fajar 16,500 - 2,000
41 108584 Ratim 58,400 2,173 3,000 12,500
42 064675 Tumin 127,000 11,545
43 073926 Muji Supriyatin 131,750 8,886 4,000
44 079130 Sucipto 144,450 9,950 4,000
45 150084 Agus Dwi 29,400 2,673
46 108468 Inayah Nur 84,500 4,591 4,000
47 040636 Suparmin 78,000 4,000 4,000
48 081815 Wagini 34,000 - 4,000
49 108582 Sustriani 34,000 - 4,000
50 108449 Widiarso 94,500 3,364 4,000
51 108482 Daliyah 142,000 9,818 4,000
52 108583 Lorissa 16,500 - 2,000
53 030529 Mutmainah 18,500 - 2,000
54 108436 Nurfenti 20,000 - 4,000
55 108580 Haikal Faiz 35,550 1,823 3,000 12,500
56 037471 Bariman 47,500 - 4,000
57 099764 Jeremy Evans 7,420 675
58 Tri Pangestuti 174,300 - 174,300
59 108591 Sairah 46,000 - 4,000 20,000
-
3,352,095 - 145,570 658,600 444,200 - - 462,075 - 98,100 - 138,000 93,500 - 140,000

Jurnal Umum 3,352,095


Kas dari Kassa 3,352,600
Selisih Kas 505

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 03 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

3 1 105172 Siti Khasanah 1,227 109,500 4,000


2 108610 Sulis Riptiono - 50,000 4,000 20,000
3 106664 Fadhil Hidayat 3,364 71,000 4,000
4 004037 Agus Lukito - 45,200 129,550 4,000 20,000
5 005743 Mutmainah - 22,000 30,500 4,000 20,000
6 150102 Ika Purwantiningsih - 29,050
7 150103 Siti Maftukhah - 21,600
8 150104 Anastasia - 23,000
9 106738 dr. V Onggo 1,000 55,900
10 150106 Kafka - 25,400
11 150109 Waginah - 24,000
12 003061 Umi Wadingah 4,336 47,700
13 108600 Siti Maulana 476,700 - 39,000 20,000
14 108599 Nizar 438,200 - 39,000 20,000
15 093080 Audina 34,000 - 4,000
16 099464 Tri Hidayatul 34,000 - 4,000
17 099764 Jeremy 34,000 - 4,000
18 150095 Sarjono 246,750 9,677
19 060523 Joesephin Manika 262,800 - 4,000 20,000
20 042654 Rafaela Ervina 151,700 - 4,000 20,000
21 044746 Sukiman 54,500 - 4,000 20,000
22 108597 Dlimin 54,500 - 4,000 20,000
23 102535 Sadikem 108,600 - 4,000 20,000
24 054602 Kasmin 124,050 - 4,000 20,000
25 005976 Alipah 43,800 3,982
26 010229 Sugiyarti 13,500 -
27 Imam S 10,400 -
28 Arif 78,000 -
29 150097 Novita 98,700 -
30 108611 Sarilah 77,200 - 4,000 20,000
31 078289 Poniah 76,500 - 4,000 20,000
32 150101 dr. Harnowo 4,150 -
33 108608 Naufal 49,000 - 4,000 20,000
34 Meterai 6,000 - 6,000
35 005976 Alipah (2,114) 23,250
-
2,477,050 - 21,473 293,850 23,250 - - 230,500 - 160,050 - 152,000 - - 280,000

Jurnal Umum 2,477,050


Kas dari Kassa 2,477,000
Selisih Kas (50)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 04 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

4 1 108627 Rohimah - 210,425 4,000 20,000


2 081042 Margaretha Yoshe - 40,750 17,750 4,000 20,000
3 108572 Sarwono - 25,500 3,000 12,500
4 001132 Eko Wahyudiono 2,114 23,250
5 067830 Damayanti 50,300 5,573 11,000
6 040142 Endang 105,500 -
7 108621 Romlan 58,000 - 2,500
8 034936 Ega R 17,000 - 2,000
9 105618 Miah 18,000 - 2,000
10 108583 Larissa 16,500 - 2,000
11 080100 Puspa Rini 27,500 - 2,000
12 045856 Sri Kuspiah 62,000 -
13 000170 Lukito 137,000 -
14 103382 Ponirah 80,100 - 4,000 20,000
15 025667 Herlina 97,560 - 4,000 20,000
16 150115 Nasiran 52,800 4,800
17 108613 Firmansyah 66,400 - 4,000 20,000
18 011455 Sulastri 13,500 -
19 097769 Angelica P 77,600 - 4,000 20,000
20 Yosepha I 25,000 -
21 092057 Sabingatun 68,000 - 4,000 20,000
22 107549 Samsudin 80,800 4,164 4,000
23 107050 Suhartiningsih 82,500 - 4,000
24 002067 sartini 139,925 9,539 4,000
25 108620 Parimin 95,000 1,500 3,000 12,500
26 108622 Mad Sukarto 116,550 9,095 3,000 12,500
27 105288 Miran 54,932 3,494 3,000 12,500
28 013119 Nofika Tri L 26,400 2,400
29 082043 Martini 256,900 21,945 3,000 12,500
30 047907 Minem Riyanti 78,450 - 4,000 20,000
31 108614 Rimo 65,500 -
32 104021 Nur Afni Woro 37,100 1,964 3,000 12,500
33 105530 Fajar 17,000 - 2,000
34 049784 Mohamad Dimyati 174,350 11,441 4,000
35 104126 Fransisca Ariyani 63,500 - 4,000
36 105345 Warsini 108,200 6,655 4,000
37 062068 Tati Samiati 58,500 - 4,000
38 107209 Ngazizi 227,200 17,473 4,000
39 092607 Jami 64,250 1,841 4,000
40 073847 Nurhadi Paimin 182,750 10,841 4,000
41 061836 Parinah 18,500 - 2,000
42 042216 Riyanti 91,500 5,227 4,000
43 095980 Tasirun Zaenal A 34,000 - 4,000
44 099391 Sukardi 73,850 3,623 4,000
45 002355 W Nurhadi 124,500 5,364 4,000
46 108083 Sitem 171,700 12,427 4,000
47 067365 Ahmad 6,500 -
48 108626 Putri S 6,500 -
49 104950 Iswati 63,250 2,659 4,000
50 083301 Tasih 52,000 1,636 4,000
51 108624 Suparni 108,600 2,918 4,000
52 069040 Suwarti 159,972 11,361 4,000
53 048360 Astiani Nur 36,250 - 36,250 4,000 20,000
54 108630 Mei Sundari 59,100 - 4,000 20,000
55 024741 Miah 3,000 273
56 009800 Fitri Yulianingsih 39,600 3,600
57 099650 Kristi Riris N 39,600 3,600
58 108558 Kayun Agustin 45,300 1,800 3,000 12,500
59 108631 Paulus Agus S 63,750 - 4,000 20,000
60 068825 Saini 115,700 - 4,000 20,000
61 081423 PKU Gombong 125,000 11,364
62 005601 Rustinah 39,600 3,600
63 108539 Aditya Agus S 130,800 - 4,000 20,000
64 008949 Suniah 12,140 1,104
65 108623 Yudas 7,977 103,250 3,000 12,500
66 108628 Rahmawati - 58,000 4,000 20,000
67 106928 Sarjono 20,527 225,800
-
4,523,279 - 213,897 697,975 - - - - - 54,000 - 170,500 100,000 - 280,000

Jurnal Umum 4,523,279


Kas dari Kassa 4,524,000
Selisih Kas 721

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 05 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

5 1 086790 Rahmat Subagyo 4,691 117,100 3,000 12,500


2 025234 Sr. Clara 4,168 40,425 40,425 4,000
3 005747 Evita Indah R 3,882 42,700
4 150129 Wahyu 4,091 45,000
5 39878 Desi - 72,500
6 024773 Sujimah 56,000 - 4,000 20,000
7 016928 Sarjono 308,000 7,473 225,800
8 105579 Gerardus Guntur 34,000 -
9 Yudas 103,250 - 103,250
10 150126 Margi 50,200 4,564
11 018640 Edi Budiarto 83,150 - 4,000 20,000
12 108474 Parwito 87,750 2,659 4,000
13 103717 Tijah 50,000 1,455 4,000
14 108496 Abas 106,350 5,577 4,000
15 108489 Devi Novita 130,350 7,759 4,000
16 108491 Tugini 95,350 2,668 4,000
17 150123 Agus Sulis 3,750 341
18 104021 Nur Afni Woro 34,000 - 4,000
19 108406 Hanna Afifah 16,500 - 2,000
20 107395 Supartiningsih 39,600 3,600
21 021021 Cristian 7,000 -
22 108638 Wasiyem 130,450 - 4,000 20,000
23 Pengobatan dokter 167,700 - 167,700
24 108383 Wasito 43,700 1,655 3,000 12,500
25 068871 Engelina 34,000 - 4,000
26 108464 Nasiyem 213,500 16,318 4,000
27 009460 Tukinem 148,350 11,986 3,000 12,500
28 108645 Haryanto 117,900 9,218 3,000 12,500
29 073175 Pasien Luar 74,600 6,782
30 108523 Minarto 41,750 1,477 3,000 12,500
31 108640 Zainal Abidin 40,850 2,305 3,000 12,500
32 085009 Karto Utomo 80,410 4,219 4,000
33 108108 Nita Yulia 43,000 - 4,000
34 065779 Lia Sarasati 34,000 - 4,000
35 108643 Tendi Danang 55,500 3,636 3,000 12,500
36 009116 Sunardi 58,500 - 4,000
37 107365 Samirah 19,000 - 2,000
38 108263 Yurista Gian 15,500 - 3,000 12,500
39 034936 Ega R 17,000 - 2,000
40 076490 Heru Sucipto 117,000 2,864 4,000
41 049474 Syukur P 16,500 - 2,000
42 108583 Lorissa 16,500 - 2,000
43 108491 Tugini 123,000 6,864 4,000
44 108475 Yasa Menawi 400,400 30,218 8,000
45 060848 Widonari 62,695 2,609 4,000
46 107651 Rusman Budi R 70,000 3,273 4,000
47 107603 Eko Suparyanto 34,000 - 4,000
48 057973 Sakimin 93,575 5,416 4,000
49 108591 Sairah 137,000 9,364 4,000
50 104461 Disun 189,250 12,295 4,000
51 108646 Sarju 79,200 - 4,000 20,000
52 065912 Awalia 58,750 2,250 4,000
53 006391 Eka Purwanti 39,600 3,600
54 074408 PKU Sruweng 26,400 2,400
55 107652 Budianto 115,640 6,785 4,000
56 108590 Rasminah 127,500 - 2,500
57 012110 Meilina 6,500 -
58 Siti Maftukhah 21,600 - 21,600
59 003387 Warjan 81,200 2,655 6,000
60 108639 Nendyo 183,000 - 2,500
61 057330 Sally Utami 134,400 9,127 4,000
62 052329 Daniel Tri Adi 189,200 12,427 4,000
63 150130 Rasinah 7,500 682
64 -
-
4,871,370 - 223,352 200,625 518,350 - - 117,100 - 40,425 - 169,000 100,000 - 80,000

Jurnal Umum 4,871,370


Kas dari Kassa 4,872,000
Selisih Kas 630

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 06 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

6 1 072025 Susilowati 9,155 116,200 3,000 12,500


2 150133 Margareta 945 10,400
3 083319 Lia Setiarini 3,927 58,700 3,000 12,500
4 108663 Marsidah - 46,000 4,000 20,000
5 087148 Pingah 39,600 3,600
6 099899 Eem Prihartini 79,200 7,200
7 048876 Yuli S 112,500 -
8 Yosepha I 19,500 - 19,500
9 150131 Sukinah 21,000 1,909
10 038782 Lutfi Ubaidillah 156,150 14,195
11 093290 Desi Iriyani 24,000 2,182
12 039385 Titik 27,500 2,500
13 039336 Noviati 179,400 13,218 4,000
14 073354 Rasman 112,250 5,432 4,000
15 086540 Mahmud Karto 112,250 5,432 4,000
16 006090 Kasianti 15,250 1,386
17 108467 Nur Atikasari 112,250 5,432 4,000
18 068771 Riska Apriani 35,000 3,182
19 103099 Galuh Candra 69,500 4,909 3,000 12,500
20 108655 San Wiarjo 172,700 14,200 3,000 12,500
21 105312 Kasinawati 39,600 3,600
22 064623 RSU Purwogondo 25,000 2,273
23 108293 Parni 39,600 3,600
24 034936 Ega R 17,000 - 2,000
25 105756 Eni Nur 58,000 - 2,500
26 035788 Desi Aiwa 20,700 1,064 4,000
27 168583 Lorissa 16,500 - 2,000
28 108548 Satinem 70,000 4,545 4,000
29 106127 Nasekhudin 34,000 - 4,000
30 108456 Stefani Sutiah 20,000 - 4,000
31 016871 Min Sumini 114,500 7,227 4,000
32 106702 San Marja 176,125 12,920 4,000
33 089718 Meli Werdiasih 72,250 5,159 3,000 12,500
34 106140 Manggi 61,000 2,455 4,000
35 088369 Toni Setiawan 212,850 16,259 4,000
36 100960 Parti 45,200 2,609 3,000 12,500
37 082847 Sumaryo Hadi 93,100 4,464 4,000
38 075288 Sukarman 34,000 - 4,000
39 108656 Rasam Ari 222,500 5,955 3,000 12,500
40 108657 Tuyani 72,000 5,136 3,000 12,500
41 099917 Sumaryati 39,600 3,600
42 108661 Ilhan Fahrizal 122,900 9,764 3,000 12,500
43 108347 Indah 39,600 3,600
44 108462 Ciptati 123,650 8,150 4,000
45 107474 Sopandi 202,000 15,273 4,000
46 105847 Siti Khoirul 172,750 12,614 4,000
47 061836 Parinah 18,500 - 2,000
48 055666 Tan Hwa Nio 58,500 - 4,000
49 041010 Sri Yuliati 79,200 7,200
50 150136 Kamsiyati 6,000 545
51 105182 Martati 39,600 3,600
52 100916 Paidah 39,600 3,600
53 091858 Azzahrawaani 114,200 10,382
54 105026 MG ponah 39,600 3,600
55 101318 Yunizar 158,400 14,400
56 104973 Mumung Murniasih 118,800 10,800
57 041381 Muhartati 20,000 - 4,000
58 108473 By Muhartati 9,000 - 4,000
59 096500 Nasiran 53,950 4,905
60 080048 Didit Rujito 98,500 - 2,500
61 065589 Puji 39,600 3,600
62 150135 Rian 79,200 7,200
63 076307 Pratiwi 39,600 3,600
64 39997 Putri Hilda 74,600 6,782
65 108664 Buya Fajar 114,700 - 4,000 20,000
66 108470 Lisa Rahmi 20,000 - 4,000
67 089225 Sustiani 94,750 3,386 4,000
68 105663 Sartimah 182,450 13,495 4,000
69 108582 Sustriani 89,500 - 4,000
70 006003 Wahyu 28,100 2,555
71 108662 Ahmad David 108,450 6,768 4,000
72 031525 Rahayu 39,600 3,600
73 032648 Aminudin 18,600 1,691
74 105796 Ajeng Resti A 39,600 3,600
75 048039 Dewi Damayanti 39,600 3,600
76 023375 Warsinah 57,000 2,000 4,000
77 052417 Dhini Arumahani 19,000 909 4,000
78 108196 Sesha A 34,000 - 4,000
79 106318 Yohana 34,000 - 4,000
80 108127 Jeniver 34,000 - 4,000
81 098118 Maghrifah 43,000 818 4,000
82 108665 Eka Nazilatul 51,450 1,586 4,000
83 092148 Retno Dwi 79,200 7,200
84 022524 dr. Nrimanto 235,000 21,364
-
5,881,325 - 381,857 115,100 19,500 - - 116,200 - - - 174,000 112,500 - 40,000

Jurnal Umum 5,881,325


Kas dari Kassa 5,881,900
Selisih Kas 575

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 07 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

7 1 003995 Sr. Caritas 100,018 567,100 567,100 4,000


2 108572 Sarwono 3,200 60,700 3,000 12,500
3 020580 Yusiva Sumarni 659 7,250
4 061200 Catur Aiwa U 5,691 62,600
5 000875 Darsinah - 16,600 66,300 4,000 20,000
6 016928 Sarjono 308,000 28,000
7 108583 Lorissa 16,500 - 2,000
8 076125 Dian Nurani 146,500 - 2,500
9 39999 Adminah 323,000 - 35,000 18,500
10 096745 Ratih 16,500 -
11 172818 Mada 190,000 -
12 055666 Tan Hwa Nio 13,000 - 3,000
13 108196 Sezha Ainun 100,730 9,157
14 104021 Nur Afni Woro 67,200 3,018 4,000
15 108489 Devi Novita 52,500 - 4,000
16 108666 Hastu Widiastuti 34,000 - 4,000
17 108403 Dwi Setyowati 446,000 36,455 4,000
18 108230 Watimin 358,250 27,341 4,000
19 106733 Maryani 250,000 19,636 4,000
20 108667 Margono Yanuar 86,000 4,727 4,000
21 076734 Warsimin 82,700 - 4,000 20,000
22 034381 Uti 79,200 7,200
23 087263 Pingah 39,600 3,600
24 030668 Cipto 33,000 3,000
25 108679 Akhmad Syaifudin 65,500 - 4,000 20,000
26 106859 Sutiman 113,425 7,220 4,000
27 107628 Moh Kodiran 196,200 14,655 4,000
28 108277 Muhajir 38,500 409 4,000
29 008596 Kartini 13,500 -
30 034936 Ega R 17,000 - 2,000
31 108677 Andra Dwi Dafa 147,000 - 2,500
32 097904 Sartiyah 86,300 6,436 3,000 12,500
33 065086 Eprini Endah Sari 12,000 -
34 108439 Lasno 112,850 4,941 4,000
35 061913 Rami 149,450 9,177 4,000
36 068682 Wiryo Suwito 65,500 2,864 4,000
37 090627 Gesti Oktaviani 89,500 - 4,000
38 000084 Agus Setiawan 95,000 - 4,000
39 18343 Tanti 18,500 - 2,000
40 081531 Supriyanto 34,000 - 4,000
41 108674 Kasun 177,100 6,909 4,000
42 106062 Ratinah 20,382 353 3,000 12,500
43 094839 Mirah Pujiwati 118,300 6,345 4,000
44 067960 Sri Yuni Puspasari 182,700 10,473 3,000 12,500
45 Margareta 10,400 - 10,400
46 108401 Sadinah 260,750 20,614 4,000
47 108678 Suhardi 290,450 23,223 4,000
48 108532 Kusdana 34,000 - 4,000
49 106518 Ridem 60,000 2,364 4,000
50 013118 Arif Kurniawan 70,000 6,364
51 18345 Fajar 17,000 - 2,000
52 106508 Kasinah 40,000 545 4,000
53 108286 Sastro Wiyono K 69,450 3,223 4,000
54 098242 Ponirah 252,600 18,645 4,000
55 105744 Tri Ernawati 39,600 3,600
56 150141 Yuli Gestati 18,900 1,718
60 052529 Endang W 91,500 -
61 047020 Dinda 17,000 - 17,000 4,000
62 105050 By Titis Eko W 17,000 - 17,000 4,000
63 Rahmawati 58,000 - 58,000
64 064282 Maryono 115,250 5,432 4,000
65 036937 Zain Fai Zisna 59,500 - 17,000 4,000 20,000
66 103263 Kuswanto 266,500 1,818 2,500
67 Meterai 18,000 - 18,000
-
6,201,287 - 409,031 714,250 68,400 - - - - 684,400 - 215,500 50,000 - 98,500

Jurnal Umum 6,201,287


Kas dari Kassa 6,201,600
Selisih Kas 313

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 08 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

8 1 108567 Ratih Handiana 2,659 113,250 4,000


2 108706 Tri Gunarsih 8,318 175,500 4,000
3 055627 Dominikus Dato 16,182 212,000 4,000
4 003400 Sr. Veronika 67,155 369,350 369,350
5 000875 Darsinah 16,600 1,827 20,100 16,600
6 001096 Sumargiyono 682 7,500
7 005976 Alipah 11,200 1,018
8 108683 Maridun 62,360 - 4,000
9 108684 Anesia Megasari 74,000 - 4,000 20,000
10 150145 Umi 8,500 773
11 150144 Laeli 6,000 545
12 150143 Indah 39,600 3,600
13 108657 Tuyani 58,500 3,909 3,000 12,500
14 055666 Tan Hwa Nio 13,000 - 3,000
15 108687 Karsini 103,180 - 4,000
16 108686 Artan Trianto 138,500 - 4,000 20,000
17 172887 Yani Astuti 38,000 -
18 017833 Jumiran 79,500 -
19 108583 Lorissa 16,500 - 2,000
20 043293 Sutarman 27,000 -
21 108689 Maskur 98,110 - 4,000 20,000
22 011255 Purwadi 58,000 - 2,500
23 080100 Pusparini 27,500 - 2,000
24 082049 Elvira Astri 19,000 909 4,000
25 089854 Mad Daspar 95,650 7,195 3,000 12,500
26 033373 Suripto 88,000 6,591 3,000 12,500
27 108690 Gina Salsabila 120,500 - 4,000 20,000
28 67701 Jawad 42,650 - 4,000 20,000
29 065407 Dwi Atmo 34,000 - 4,000
30 106127 Nasekhudin 34,000 - 4,000
31 108692 Rubiyati 13,500 -
32 065779 Lia Sarasati 34,000 - 4,000
33 053470 Ika Isdiana 19,000 909 4,000
34 034936 Ega R 17,000 - 2,000
35 067772 Agus 19,000 - 2,000
36 108121 Briyan 7,000 -
37 084663 Fauza Leo 16,500 - 2,000
38 103131 Sunardi 34,000 - 4,000
39 010055 Ngadeno 88,950 4,905 4,000
40 065088 Mad Nakim 166,200 11,927 4,000
41 030903 Watiyem 93,325 4,166 4,000
42 097900 Marsono 40,500 - 4,000
43 049069 Suratiyah 169,560 12,233 4,000
44 107658 Hadi Turyatno 80,500 4,227 4,000
45 070601 Nunung Endah 451,250 11,523 4,000
46 108545 Sunarto 165,750 11,386 4,000
47 053949 Siti Chotijah 272,300 17,982 8,000
48 032778 Mad Siyam 34,000 - 4,000
49 036883 Bagiono 160,500 11,500 4,000
50 106119 Slamet Sumedi 34,000 - 4,000
51 076485 Tuniyah 266,900 16,755 4,000
52 042904 Kasiyem 34,000 - 4,000
53 108541 Kartiyus Widodo 105,950 6,541 4,000
54 042216 Riyanti 34,000 - 4,000
55 108587 Kemi 78,500 3,045 4,000
56 102865 Dini Latipah 65,450 - 4,000 20,000
57 108456 Stefani Sutiah 151,000 9,636 4,000
58 037678 Ajeng 35,000 3,182
59 003439 Rosdiningsih 13,900 1,264
60 108696 Mairah 118,200 - 4,000 20,000
61 006265 dr. Lucy J 10,000 909
62 108695 Supriatin 280,500 17,864 4,000
63 108470 Lisa Rahmi Y 152,250 9,750 4,000
64 108694 Findyana 186,250 9,295 4,000
65 072319 Waginah 131,000 5,182 40,000 4,000
66 041381 Muhartati 190,500 13,227 4,000
67 108699 Siti Maryam 58,000 - 2,500
68 071901 Alek Damianus 22,000 -
69 103860 Tursini 382,400 8,718 6,500
70 080384 Andriyani 229,250 16,750 4,000
71 107267 Renny Kumalasari 192,750 9,886 4,000
72 108701 Nuraeni 198,000 10,364 4,000
73 108704 Priyono Budi 34,000 - 4,000
74 092498 Rusiyanti Tjong 198,500 10,409 4,000
75 054066 Tugino 34,000 - 4,000
76 048484 Zagi Prima M 34,000 - 4,000
77 108410 Erdiani 34,000 - 4,000
78 108697 Evi Yuniarti 84,000 - 4,000
79 108700 Yulis Febriana 84,000 - 4,000
80 038810 Lidia Eni K 255,000 15,545 4,000
81 079582 Sri Rejeki 84,000 - 4,000
82 105361 Sugiarti 84,000 - 4,000
83 108702 Silvia Ruth 84,000 - 4,000
84 108524 Dwi Astuti 90,000 4,091 4,000
85 108705 Siwen 98,000 1,273 4,000
86 104141 Pasela agustina 113,000 1,273 4,000
87 050293 Widarti 13,500 -
88 078196 Tugiman 86,750 2,841 4,000
89 106703 Petrus Rendra 202,500 - 4,000
90 056755 Selvia Hendra 163,550 7,277 4,000 20,000
91 Meterai 6,000 - 6,000
92 108681 Fiona Wangsa 3,118 68,295 4,000
-
7,945,285 - 400,316 608,950 56,600 - - 357,045 - 369,350 - 291,500 37,500 - 160,000

Jurnal Umum 7,945,285


Kas dari Kassa 7,946,100
Selisih Kas 815
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 9 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

9 1 005747 Evita Indah R 955 19,500 4,000


2 67717 Ita 864 9,500
3 085479 Tanti S 18,500 - 2,000
4 06772 Agus 19,000 - 2,000
5 102303 Tunjiyah 31,500 -
6 005976 Alipah 103,550 9,414
7 107802 Gameleen Robena 119,625 - 4,000 20,000
8 108705 Siwen 46,400 4,218
9 035315 Musripah 198,000 18,000
10 108709 Hadi Suwito 74,500 - 4,000 20,000
11 021021 Kristianus Sulistion 50,650 - 4,000 20,000
12 108715 Kartinah 22,250 614 3,000 12,500
13 108664 Buya Fajar Nugroho 36,750 1,023 3,000 12,500
14 Novisiat Karangany 231,200 - 231,200
15 092275 Arya Pandita 65,850 4,577 3,000 12,500
16 108523 Minarto 50,250 2,250 3,000 12,500
17 108585 Dina Novita 15,850 532 4,000
18 108717 Stevani Alvarisa 134,000 - 2,500
19 108054 Mujiono 34,190 1,699 3,000 12,500
20 057653 Yustina Murwani 34,000 -
21 Meterai 6,000 - 6,000
22 67715 Wahyu 72,600 2,509 45,000
23 030546 Bayu Nur Hendra 75,000 - 4,000 20,000
24 18361 Sarinah 18,500 - 2,000
25 097899 Sati 55,050 2,777 3,000 12,500
26 006178 Tyasmini 3,000 273
27 014437 dr. Prio 10,000 - 2,000
28 18360 Syukur P 16,500 - 2,000
29 67711 dr. Harnowo 56,700 5,155
30 108406 Hana A 16,500 - 2,000
31 108716 Fadil Alvian 80,900 5,945 3,000 12,500
32 001391 Suwarti 77,286 5,526 3,000 12,500
33 099464 Tri Hidayatul 32,100 2,100
34 034936 Ega R 17,000 - 2,000
35 073175 Pasien Luar 79,200 7,200
36 108566 Entin Kartini 67,000 - 4,000 20,000
37 108721 Nadia Vega 48,500 -
38 022524 dr. Nrimanto 240,000 21,818
39 099602 Kusmiyatun 25,000 - 4,000
40 039554 Hana Gunawan 133,850 - 4,000 20,000
41 67714 Wahyu 35,400 (3,218)
-
2,416,751 35,400 94,230 29,000 276,200 - - - - - - 82,500 100,000 - 120,000

Jurnal Umum 2,381,351


Kas dari Kassa 2,381,800
Selisih Kas 449

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 10 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

10 1 103723 Adi Broto 3,268 51,450 3,000 12,500


2 069301 Sukoco - 89,200 4,000 20,000
3 106738 dr. Onggo 8,741 105,950
4 67720 Wahyu 909 10,000
5 006178 Tyasmini - 11,200
6 006265 dr. Lucy J - 13,500
7 108129 Linda W 20,000 -
8 021021 Kristianus S 45,000 - 4,000 20,000
9 108726 Sular 150,850 - 4,000 20,000
10 035715 Siti Maftukhah 37,950 3,450
11 042189 Umu Salamah 39,600 3,600
12 083785 Sri Muryani 19,000 909 4,000
13 000875 Darsinah 9,400 - 37,600 4,000 20,000
14 092057 Sabngatun 34,000 - 4,000 20,000
15 104950 Iswati 17,250 -
16 061767 Sudarto 119,250 -
17 019163 Tan Hway Liam 111,500 -
18 67730 Indrawati 2,000 182
19 004541 Umi Heni 16,650 -
20 017025 Adi 6,500 -
21 108731 Dariman 144,000 - 4,000 20,000
22 108730 Rosid Sugiyono 175,075 - 4,000 20,000
23 059392 Fathan Galaky 127,300 - 4,000 20,000
24 029177 Ajeng Ratna 123,300 - 4,000 20,000
25 055497 Aisyah Amalia 44,350 - 4,000 20,000
26 028806 Hasto 13,500 -
27 018640 Edi Budiarto 69,000 - 4,000 20,000
28 089291 Esti Mekar - 47,000 4,000 20,000
-
1,325,475 - 21,059 187,650 - - - 51,450 - 126,800 - 55,000 12,500 - 240,000

Jurnal Umum 1,325,475


Kas dari Kassa 1,325,700
Selisih Kas 225

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 11 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

11 1 030526 Ika Purwantiningsih - 77,900 47,350 4,000 20,000


2 108755 Yuni suprihati - 57,500 3,000
3 005980 Chatarina Sri W 4,182 46,000
4 093290 Desi Iriyani 2,291 25,200
5 108740 Iwan K 76,500 -
6 108737 Oyong 113,700 - 4,000 20,000
7 028451 Sutini 103,100 - 4,000 20,000
8 108736 Tugimin 73,000 -
9 026974 Sugiyanto 106,000 - 4,000 20,000
10 67733 Agus Dwi 12,000 1,091
11 108734 Rianingsih 121,600 - 4,000 20,000
12 034936 Ega R 17,000 - 2,000
13 005976 Alipah 124,050 11,277
14 000084 Agus Setiawan 48,500 -
15 000170 Lukito 68,500 -
16 108721 Nadia Vega 98,500 - 2,500
17 105618 Miah 18,000 - 2,000
18 108742 Fatimah 85,500 - 2,500
19 056755 Selvia Hendra P 174,550 - 4,000 20,000
20 059643 Gendi Prima 15,500 - 3,000 12,500
21 010229 Sugiyarti 13,500 -
22 108746 Pariyah 85,500 - 2,500
23 082043 Martini 249,300 21,255 3,000 12,500
24 105069 Sri Kuatmi 18,500 - 2,000
25 105530 Fajar A 17,000 - 2,000
26 037130 Rudiyanto 140,356 11,260 3,000 12,500
27 108612 Samilah 195,150 14,559 4,000
28 077175 Suparjo 146,200 3,345 7,000 12,500 20,000
29 108506 Salam 105,450 6,405 4,000
30 073193 Siti Asliyah 67,450 3,041 4,000
31 097901 Suratmin 121,900 7,991 4,000
32 071499 Daniel Subroto 34,000 - 4,000
33 077184 Suharti 110,200 6,927 4,000
34 007502 Yohana Pariyem 34,000 - 4,000
35 108470 Lisa Rahmi Yuslisa 21,000 - 4,000
36 108741 Kasinah 161,500 4,636 4,000
37 067772 Agus 19,000 - 2,000
38 069515 Taurusianita 166,750 12,068 4,000
39 084834 Sutini 34,000 - 4,000
40 108752 Azahra Sucianti 99,100 7,600 3,000 12,500
41 108751 Adisa Ayu 82,400 6,082 3,000 12,500
42 108750 Catur Juliyanti 107,300 8,345 3,000 12,500
43 099562 Tio Rizki Putra 57,150 3,786 3,000 12,500
44 108054 Mujiono 80,500 4,227 4,000
45 095321 Rudi 38,500 409 4,000
46 092607 Jami 43,000 818 4,000
47 108753 Ong Po Siang 34,000 - 4,000
48 108582 Sustriani 40,750 614 4,000
49 108405 Sukardi 217,450 16,586 4,000
50 105014 Marsiyem 94,000 409 4,000
51 108744 Supomo 114,500 8,091 3,000
52 108757 Parmi 44,250 - 4,000 20,000
53 012278 Indah 79,200 7,200
54 104034 Adam Taruna Wibo 50,600 3,191 3,000 12,500
55 042216 Riyanti 37,500 318 4,000
56 108760 Alfi Hidayatul 73,000 3,545 4,000
57 101888 Deni Setiawan 79,200 7,200
58 108758 Risma Salimatun 24,500 -
59 042154 Nisrina Dwi C 61,500 - 4,000 20,000
60 056109 Dede 8,500 773
61 068728 Habib Filah Akbar 172,200 - 4,000 20,000
62 Meterai 6,000 - 6,000
63 108756 Chris mery W - 75,500 3,000
-
4,641,856 - 189,523 282,100 - - - - - 47,350 - 179,500 112,500 - 200,000

Jurnal Umum 4,641,856


Kas dari Kassa 4,642,100
Selisih Kas 244

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 12 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

12 1 108767 Brahmono Suryo 16,059 192,150 3,000 12,500


2 108765 Slamet - 120,100 4,000 20,000
3 086790 Rahmat Subagyo 19,005 224,550 3,000 12,500
4 108763 Joko Setiady 200,000 - 71,450
5 073121 Rovina Bunga C 12,118 140,800 8,000 3,000 12,500
6 095828 Dede Dwi A 7,868 93,900 8,150 3,000 12,500
7 67741 Umi 691 7,600
8 065594 Fitria Nita Y 532 5,850
9 026173 Ida Irmayanti - 40,700 27,150 4,000 20,000
10 078196 Tugiman 45,000 - 4,000
11 038782 Lutfi Ubaidillah 22,000 2,000
12 062068 Tati Samiati 13,000 - 3,000
13 089467 Sulami 64,100 - 4,000 20,000
14 Chris Mery W 75,500 - 75,500
15 108689 Maskur 38,500 1,409 3,000 12,500
16 108762 Dwi Eka 74,500 2,773 4,000
17 056497 Jumiati 92,000 -
18 67743 Wahyu 50,200 4,564
19 67742 Nasiran 9,600 873
20 086557 Heri Sutrisno 540,600 17,782 2,500
21 034936 Ega R 17,000 - 2,000
22 067646 Erni 172,000 -
23 107808 Dihyan Wahyu 69,100 - 4,000
24 108766 Sukarso 157,500 11,227 4,000
25 108178 Siti Khotijah 139,450 9,495 4,000
26 108108 Nita Yulia 43,000 - 4,000
27 078633 Tawirya 77,050 3,823 4,000
28 108055 Ami Kustriyati 129,350 5,477 4,000
29 083842 Wahyu Dwi A 135,900 12,355
30 108618 Kaswasih 158,375 6,989 8,000
31 103546 Anggraheni Krisnaw 34,000 - 4,000
32 067936 Surati 122,600 8,055 4,000
33 108591 Sairah 34,000 - 4,000
34 057973 Sakimin 148,500 10,409 4,000
35 021466 Tukiyah 251,000 13,955 8,000
36 050832 Saiman 34,000 - 4,000
37 108647 Sakir 72,925 3,539 4,000
38 108601 Sami 147,200 10,200 4,000
39 108056 Muhamad Nurdin 54,950 3,586 3,000 12,500
40 093763 Muhamad Fajriyan 141,900 4,809 3,000 12,500
41 037004 Septi Candra Dewi 52,900 3,400 3,000 12,500
42 066524 Wiryo Darsono 122,180 - 4,000 20,000
43 108755 Yuni Suprihati 187,000 4,909 57,500 3,000
44 108632 Muhaeri 127,500 - 2,500
45 043774 Fransiska Novi M 96,100 - 4,000 20,000
46 092118 Sri Sukesti 39,600 3,600
47 101320 Purwanto 127,500 - 2,500
48 009839 Cipto Utomo 226,400 4,900 4,000
49 055322 Maria Yulianti 143,500 8,136 4,000
50 064942 RSU Purbowangi 311,250 28,295
51 106710 Martoyo 99,000 5,909 4,000
52 102576 Parilah 133,700 8,973 4,000
53 074408 PKU Sruweng 49,820 4,529
54 043101 Teguh W 18,500 - 2,000
55 087907 Rizki Alam Asidiq 59,500 2,318 4,000
56 108672 Agus Budiyanto 46,500 1,136 4,000
57 099981 Satrio Dwi K 34,000 - 4,000
58 020178 Ramunatun 138,500 5,545 4,000
59 Meterai 6,000 - 6,000
60 107652 Budianto 6,514 112,650 4,000
-
5,384,250 - 277,756 593,050 133,000 - - 416,700 - 43,300 - 179,500 100,000 - 100,000

Jurnal Umum 5,384,250


Kas dari Kassa 5,384,300
Selisih Kas 50
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 13 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

13 1 075096 Agus Dwi 42,550 3,868


2 087298 Indriyana 1,525 139
3 001132 Eko Wahyudiono 13,200 1,200
4 083842 Wahyu Dwi A 11,250 1,023
5 005976 Alipah 11,100 1,009
6 029706 Sarman 82,632 - 4,000 20,000
7 108774 Irsyad Arfatulah 55,325 - 4,000 20,000
8 108723 Nawikarto 34,300 3,118
9 022524 dr. Nrimanto 110,000 10,000
10 108671 Septi Ribika 124,950 7,268 4,000
11 107652 Budianto 205,650 5,364 112,650 4,000
12 020178 Ramunatun 125,000 -
13 Stevanus 248,580 - 248,580
14 005934 Titi Lestari 39,600 3,600
15 036764 Reza 198,000 18,000
16 000918 Dwi E 64,500 -
17 062068 Tati S 13,500 - 3,000
18 108406 Hana A 16,500 - 2,000
19 108782 Untung pribadi 58,000 - 2,500
20 108664 Buya Fajar N 29,500 364 3,000 12,500
21 108655 San Wiarjo 189,760 14,933 3,000 12,500
22 052285 Rati Desi A 10,000 - 4,000
23 090899 Mutmainah 34,000 - 4,000
24 034936 Ega R 17,000 - 2,000
25 081423 PKU Gombong 65,200 5,927
26 108637 Kamisah 69,100 - 4,000
27 107243 Misem 164,950 11,905 4,000
28 103310 Rohayati 89,000 5,000 4,000
29 108685 Satijah 118,000 7,636 4,000
30 108781 Marto Wasono 150,000 -
31 108791 Rusminah 58,000 - 2,500
32 107939 Aminah 92,500 4,091 4,000
33 064623 RS Purwogondo 106,700 9,700
34 103262 Sarinah 18,500 - 2,000
35 105346 Warsini 99,750 5,977 4,000
36 010814 Suryono 60,200 2,291 4,000
37 108423 Hamdi 224,900 16,036 4,000
38 107072 Saimi 34,000 - 4,000
39 108678 Suhardi 202,500 15,227 4,000
40 065009 Sumarto 100,000 6,000 4,000
41 108659 Widodo 34,000 - 4,000
42 108642 Sumarni 165,950 11,905 4,000
43 108726 Sular 43,000 1,591 3,000 12,500
44 104636 Sukinah 79,200 7,200
45 104674 Aditiya Tri W 39,600 3,600
46 104634 Jumiati 39,600 3,600
47 105797 Asih 39,600 3,600
48 016928 Sarjono 66,450 6,041
49 108796 Ardian Hamim 34,000 - 4,000 20,000
50 041130 Walyono 47,500 - 4,000
51 108788 Sarmi 246,950 14,314 4,000
52 108449 Widiarso 86,000 4,045 4,000
53 106906 Oki Novitarini 69,500 4,909 3,000 12,500
54 106256 Erna Waningsih 39,600 3,600
55 107049 Eva Yuniarti 39,600 3,600
56 103960 Feriyani 39,600 3,600
57 079147 Feni Damayanti 39,600 3,600
58 108304 Anisa Istiqomah 39,600 3,600
59 000112 Sri Lestari 74,600 6,782
60 106915 Yayuk Febri 39,600 3,600
61 100784 Sri Asfirotun 39,600 3,600
62 102731 Riris Winarni 39,600 3,600
63 103814 Kartini 39,600 3,600
64 108157 Joko Pitoyo 148,600 10,418 4,000
65 107280 Suwartinah 102,070 1,643 4,000
66 105134 Erni Setyorini 108,600 6,782 4,000
67 108776 Nurul Habibah 163,200 11,745 4,000
68 108795 Wahyuni 165,700 11,973 4,000
69 108645 Haryanto 99,750 4,977 4,000
70 108794 Sarjan 144,600 10,055 4,000
71 108282 Siti Mubarokah 74,600 6,782
72 104635 Puji Astuti 39,600 3,600
73 101456 Masiyah 54,500 1,864 4,000
74 108289 Sumi Andriyani 35,000 3,182
75 106897 Sinar Wulan 39,600 3,600
76 108783 Rohidah 142,000 9,818 4,000
77 047389 Jasmirah 118,200 10,745
78 108779 Alwan Fauzi 140,176 9,652 4,000
79 105788 Sriyati 39,600 3,600
80 027235 Marsini 5,000 -
81 086944 Suharmi 39,600 3,600
82 067594 Linda Sri Puji 39,600 3,600
83 108159 Dasinah 39,600 3,600
84 101223 Elis Kristiani 188,600 14,055 4,000
85 105610 Viko Ardi 74,600 6,782
86 105607 Kasirah 39,600 3,600
87 079311 Dewi Sri 39,600 3,600
88 107372 Sumarmiasih 39,600 3,600
89 018543 Rosiana K 39,600 3,600
90 064623 RS Purwogondo 53,350 (4,850)
91 108300 Wahyu K 39,600 3,600
92 057720 Nurul Endarti 118,800 10,800
93 060651 Wahyuni 163,200 11,745 4,000
94 051125 Rizki Yuan P 92,526 5,321 4,000
95 108425 Setyarini 96,250 5,659 4,000
96 150165 Ahmad Subur 18,500 1,682
97 093239 Herni Widyawati 114,200 10,382
98 Aisyah 185,000 -
99 106434 Junelis Maris 39,600 3,600
100 091077 Suprapti 39,600 3,600
101 103061 Masrifah 118,800 10,800
102 024772 Sujimah 123,250 8,114 4,000
103 037601 Nunung Suryanings 81,600 7,418
104 069012 Pariyah 104,600 9,509
105 062536 Solihah 123,600 8,145 4,000
106 099913 Isdariyah 188,000 14,000 4,000
107 080384 Andriyani 51,700 609 4,000
108 108607 Riyani 190,000 9,636 4,000
109 041381 Muhartati 71,000 2,364 4,000
110 108548 Satinem 154,500 9,955 4,000
111 108787 Fanezza Nur 165,300 11,936 4,000
112 038791 Esti Handayani 79,200 7,200
113 106748 Sri Sunarsih 74,600 6,782
114 108786 Defita Nilasari 73,600 3,600 4,000
115 104096 Sri Wahyuningsih 39,600 3,600
116 098789 Wahyu Dewi R 39,600 3,600
117 039936 Widi Tri Yuningish 39,600 3,600
118 107061 Retno Widiastuti 39,600 3,600
119 081421 Bunga Patria 39,600 3,600
120 078844 San Kasdi 44,000 4,000
121 108792 Sumarni 253,500 - 4,000
122 108668 Latiman 122,500 8,045 4,000
123 018892 Linawati 140,000 3,545 4,000
124 055672 Samirun 172,400 12,582 4,000
125 055666 Tan Hwa Nio 45,000 - 4,000
126 108660 Endah Sulistyorini 242,000 18,227 4,000
127 108805 Ngadino 106,250 - 4,000 20,000
128 091977 Lukas Handoyo 182,302 13,482 4,000
129 108596 Mada Surya 120,900 6,900 4,000
130 107266 Berliana Simarmata 206,000 11,091 4,000
131 106599 Mutiarti 176,250 8,386 4,000
132 086870 Windi Novitasari 183,000 9,000 4,000
133 089446 Fellayati 108,600 6,782 4,000
134 074629 Eliyanti Sidabalok 39,600 3,600
135 008066 Subarjo 34,000 - 4,000
136 085575 Retno Maya 39,600 3,600
137 077365 Endang Sumaryati 39,600 3,600
138 105465 Astuti 39,600 3,600
139 036769 Frederika Pamela 73,600 3,600 4,000
140 100981 Ratna Hartami 52,500 - 4,000
141 092147 Sriyanti 79,200 7,200
142 106914 Edi Handoyo 74,600 6,782
143 101388 Bimalina Sidabalok 114,200 10,382
144 025818 Lasikun 101,000 - 4,000
145 108798 Anisa 108,600 6,782 4,000
146 108799 Novianti 108,600 6,782 4,000
147 108800 Ika Setyaningsih 123,600 8,145 4,000
148 107380 Farham Ibnu 88,700 4,973 4,000
149 025197 Romiyati 39,600 3,600
150 080620 Napsiyah 176,250 8,386 4,000
151 108298 Tukinah 39,600 3,600
152 150168 Pariyem 26,150 2,377
153 104384 Suminah 39,600 3,600
154 108793 Risti K 108,600 6,782 4,000
155 102889 Galih Rizki 73,600 3,600 4,000
156 108804 Risa Kus 140,700 9,700 4,000
157 103074 Siti Fatonah 79,200 7,200
158 094473 Sri Aminah 79,200 7,200
159 108564 Pariyem 106,750 6,614 4,000
160 059150 Yani Riyani 207,500 15,773 4,000
161 106099 Esti Rahayu 39,600 3,600
162 033752 Tri anita W 108,600 6,782 4,000
163 108803 Sutarmi 73,600 3,600 4,000
164 027235 Marsini 155,500 5,318 4,000
165 108802 Surtinah 113,600 7,236 4,000
166 108006 Miswan 135,360 9,215 4,000
167 108341 Eni Amiatun 84,000 - 4,000
168 107228 Ririn Andriyani 84,000 - 4,000
169 094917 Sefira 34,000 - 4,000
170 108412 Priskila Rahma 84,000 - 4,000
171 086726 Dwi Kartika 84,000 - 4,000
172 056397 Fita Martiyana 84,000 - 4,000
173 098222 Lina Aristin 84,000 - 4,000
174 032077 Sukini 39,600 3,600
175 018915 Rosdiana Sitorus 18,750 1,705
-
15,237,356 53,350 886,315 - 361,230 - - - - - - 366,000 50,000 - 80,000

Jurnal Umum 15,184,006


Kas dari Kassa 15,185,000
Selisih Kas 994

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 14 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

14 1 031163 Windar Nugroho 3,145 60,100 3,000 12,500


2 096482 Niken Kristianti 4,800 3,382 34,500 13,400 3,000 12,500
3 108690 Gina salsabila 777 24,050 3,000 12,500
4 060489 Panca Aiwa Yuni H 8,318 175,500 4,000
5 061197 Ety Yuniarsih 33,300 3,027
6 006137 dr. JB Harnowo 9,986 21,970 87,880
7 096009 Laeli Hikmawati 455 5,000
8 150178 dr. Lucy 2,273 25,000
9 Sumarsan 360,000 - 170,000
10 Joko Setiady 71,450 - 71,450
11 083842 Wahyu Dwi A 5,000 455
12 062068 Tati Samiati 13,000 - 3,000
13 062486 Kartinah 19,000 909 4,000
14 008949 Suniah 12,140 1,104
15 108812 Leli afifah 114,100 - 4,000 20,000
16 012122 Kanis 56,550 - 4,000 20,000
17 108720 Slamet Riyadi 111,300 - 4,000 20,000
18 100981 Ratna Hartami 102,050 - 4,000 20,000
19 086726 Dwi Kartika Sari 92,250 8,386
20 096482 Sarjono 46,200 4,200
21 108498 Deni Anisa 9,000 - 4,000
22 107938 Endah Kurniasih 57,700 3,836 3,000 12,500
23 102535 Sadikem 107,450 5,359 4,000
24 150174 Abizar 33,900 3,082
25 106358 Amiata Wahmiyah 30,800 1,982 4,000
26 002355 W Nurhadi 91,900 3,445 4,000
27 094403 Umi Artiti 69,100 - 4,000
28 108558 Kayun Agustin 25,500 - 3,000 12,500
29 108682 Kustri Widodo 74,000 3,636 4,000
30 075064 Slamet Subandi 98,250 5,750 4,000
31 Meterai 6,000 - 6,000
32 108650 Hesti Pratiwi 18,500 864 4,000
33 105706 Sekar Kinasih 18,500 864 4,000
34 108822 Nathanael 18,500 864 4,000
35 108654 Marsiti 18,500 864 4,000
36 108710 Pasela Agustina 18,500 864 4,000
37 108313 Rina Widi Astuti 18,500 864 4,000
38 108280 Puji Saryani 18,500 864 4,000
39 107393 M Fajar 18,500 864 4,000
40 108495 Arvia Felicia 18,500 864 4,000
41 106903 Fina Dwi 18,500 864 4,000
42 106539 Aisyah Syafira 18,500 864 4,000
43 108310 Linda Siswati 18,500 864 4,000
44 105730 Kayra 18,500 864 4,000
45 106153 Kayla Misaelle 18,500 864 4,000
46 108198 Sarsih 16,500 682 4,000
47 108284 Azkania Kissa 13,500 409 4,000
48 107791 Yuyun 11,000 182 4,000
49 101728 Aurelia 11,000 182 4,000
50 108120 Lianita 11,000 182 4,000
51 108650 Hesti Pratiwi 9,000 - 4,000
52 108823 Priyanto 73,500 4,364 3,000 12,500
53 095225 Abdul Ghofur 66,500 4,636 3,000 12,500
54 095956 Sumarsono 34,000 - 4,000
55 030903 Watiyem 108,850 5,577 4,000
56 108816 Supir Batin 89,500 4,955 4,000
57 075395 San Mohari 161,700 10,927 4,000
58 108737 Oyong 75,550 - 4,000 20,000
59 108820 Agus Sunarso 62,175 - 4,000 20,000
60 108525 Rumilah 141,700 9,700 4,000
61 108815 Sarmo 145,200 10,018 4,000
62 086470 Prayitno 138,920 9,447 4,000
63 108818 Fadilah 16,500 - 2,000
64 102304 Sobari 278,100 22,100 4,000
65 108439 Lasno 160,000 9,227 4,000
66 108817 Partinah 57,000 3,773 3,000 12,500
67 108092 Ngafifudin 15,500 - 3,000 12,500
68 105530 Fajar 17,000 - 2,000
69 033615 Sutinah 127,500 - 2,500
70 108828 Agus 127,500 - 2,500
71 039495 Dirah 316,800 28,800
72 108766 Sukarso 125,000 -
73 108826 Sri Haryati 127,500 - 2,500
74 032359 Ningsih tri R 39,600 3,600
75 036147 Harjono 12,000 -
76 073175 Pasien Luar 139,500 12,682
77 104914 Irnia 79,200 7,200
78 087925 Evan Cahyono 111,300 - 4,000 20,000
79 108827 Gracia Jasmine 118,650 - 4,000 20,000
80 108119 Sanarto 65,000 1,136 4,000
81 108509 Tuminah 149,950 9,541 4,000
82 108581 Endang Sukenti 57,200 1,109 4,000
83 104830 Naufal Abinaya 11,000 182 4,000
84 106823 Azzura Naura 11,000 182 4,000
-
5,236,135 - 246,392 286,020 71,450 - - 60,100 - 101,280 - 421,500 112,500 - 160,000

Jurnal Umum 5,236,135


Kas dari Kassa 5,236,600
Selisih Kas 465

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 15 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

15 1 106598 Sri Kundari 39,232 465,550 4,000


2 108567 Ratih Handiana 41,500 5,273 100,500 4,000
3 086791 Aji purwono 10,086 144,950 4,000
4 108814 Husen - 1,927,375 304,000 20,000
5 005646 Sri Susilowati - 57,300 107,400 4,000 20,000
6 060461 Sr. Marieta 7,909 43,500 43,500
7 005934 Titi Lestari 2,318 25,500
8 Ety Yuniarsih 33,300 - 33,300
9 087319 Nurida Fitrianti 1,500 136
10 016926 Sarjono 41,250 3,750
11 038782 Lutfi Ubaidillah 11,000 1,000
12 032624 Marsinta Manik 35,750 3,250
13 062068 Tati samiati 13,000 - 3,000
14 108499 Githa Aiwa 18,500 864 4,000
15 108832 Alifah 52,000 -
16 108831 Dede Dwi 151,610 - 4,000 20,000
17 108836 Agus Wijayanto 52,900 - 4,000 20,000
18 108837 Ngatimin 96,925 - 4,000 20,000
19 084663 Fauza Leo 16,500 - 2,000
20 102265 Gani Andra 16,500 - 2,000
21 014437 dr. prio 10,000 - 2,000
22 108843 Suseno 88,000 - 4,000 20,000
23 086830 Satimin 51,500 -
24 105630 Triyono 83,500 -
25 078929 Marijo 111,700 7,882 3,000 12,500
26 081423 PKU Gombong 81,500 7,409
27 015437 Kuswatun Hasanah 34,000 - 4,000
28 107522 Sariyah 100,675 6,061 4,000
29 103018 Sony Palapa 34,000 - 4,000
30 087331 San Mureja 82,300 4,391 4,000
31 099358 Mairah 62,210 2,565 4,000
32 089864 Sudi 34,000 - 4,000
33 065088 Mad Nakim 160,230 8,748 4,000
34 106418 Andira Kirana 79,540 5,822 3,000 12,500
35 108676 Muhedi Saikin 72,300 3,482 4,000
36 071929 Jatim 27,000 -
37 106239 Stevani Dwi 34,000 - 4,000
38 108845 Ngaisah 161,058 11,096 3,000 12,500
39 079642 Kasih 189,000 12,773 4,000
40 108846 Muhamad Fatir 59,900 - 4,000 20,000
41 034936 Ega 17,000 - 2,000
42 18388 Tanti 18,500 - 2,000
43 099589 Stefanof Bramuda 112,200 8,791 3,000 12,500
44 108848 Moh Khoirul 205,500 6,364 3,000 12,500
45 108691 Tugiman 70,700 2,427 4,000
46 150183 Yuli 45,000 4,091
47 108808 Agnes Hetty 387,700 - 4,000
48 082171 Nurintan 176,250 8,386 4,000
49 108851 Samini 176,250 8,386 4,000
50 108041 Marsiti 106,500 6,591 4,000
51 067785 Jefri 9,900 900
52 108853 Tri Asih 34,000 - 4,000
53 108852 Arsa Putra 50,500 - 2,500
54 045801 Agus Cahyono 67,500 - 4,000 20,000
55 083846 Fitriyani 4,000 364
56 050293 Widarti 89,800 - 4,000 20,000
57 092065 Dewi Suryani 84,000 - 4,000
58 079582 Sri Rejeki 84,000 - 4,000
59 108548 Satinem 45,000 - 4,000
60 108524 Dwi Astuti 45,000 - 4,000
61 103367 Sutijah 99,000 - 4,000
62 105357 Sumini 84,000 - 4,000
63 108850 Mulyanti 84,000 - 4,000
64 038554 Hana Gunawan 112,150 - 4,000 20,000
65 049145 Erni 14,250 1,295
66 108856 Maiman 34,000 - 4,000
67 022524 dr. Nrimanto 250,000 22,727
68 045583 Gatot Samudra 91,500 - 4,000 20,000
69 108855 Triasi Anggrayanti 338,150 - 4,000 20,000
70 Agus Dwi 6,000 545
71 108849 Manisah 164,600 4,000 20,000
-
5,047,698 33,300 214,915 2,251,575 - - - 711,000 - 150,900 - 494,500 62,500 - 260,000

Jurnal Umum 5,014,398


Kas dari Kassa 5,014,400
Selisih Kas 2

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 16 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

16 1 150191 Sr. ana 5,727 31,500 31,500


2 093290 Desi Iriyani 6,435 70,785
3 069301 Sukoco 7,295 96,750 3,000 12,500
4 067547 Asmoro 215,600 - 4,000 20,000
5 107267 Renny Kumalasari 35,400 1,809 3,000 12,500
6 108861 Sriyani 216,000 16,455 4,000
7 097713 Ahmad Faizal 49,000 3,045 3,000 12,500
8 043101 Teguh W 18,500 - 2,000
9 078472 Steven 16,500 - 2,000
10 082152 Rasem 85,500 - 2,500
11 099464 Tri Hidayatul 43,000 - 4,000
12 107285 Sutrino 70,000 4,955 3,000 12,500
13 052817 Paulus Widhi 153,300 5,345 5,000 12,500
14 108863 Emi Asih 375,500 -
15 065844 Yusro 13,500 -
16 103018 Soni Palapa 55,500 -
17 066498 Karisih 96,325 5,575 4,000
18 062068 Tati Samiati 58,500 - 4,000
19 Manisah 164,600 - 164,600
20 107462 Ho Yung Fa 47,500 - 4,000
21 108860 Pujiyono 81,700 - 4,000 20,000
22 108857 Heni 8,000 -
23 041130 Walyono 13,500 -
24 037471 Bariman 47,500 - 4,000
25 098366 Dalimin 34,000 - 4,000
26 108625 Arisa Yuningsih 56,000 2,000 4,000
27 000348 Niken sumekar 139,750 8,386 4,000
28 108865 Yolanda Dwi 75,500 5,455 3,000 12,500
29 043138 Titi Mulyo 47,500 - 4,000
30 107050 Suhartiningsih 58,500 - 4,000
31 068810 Saidah 105,000 -
32 059361 Mairah 118,875 7,716 4,000
33 107025 Yasa Dikrama 135,200 9,109 4,000
34 071266 Arining Bagiyanti 146,980 7,544 4,000
35 082847 Sumaryo Hadi 97,100 5,736 4,000
36 066524 Wiryo Darsono 82,150 4,014 3,000 12,500
37 097680 Adminah 138,800 9,436 4,000
38 103262 Sarinah 18,500 - 2,000
39 18395 Syukur 16,500 - 2,000
40 105663 Sartimah 269,700 21,336 4,000
41 016928 Sarjono 32,875 2,989
42 150189 Agus 12,000 1,091
43 065836 Salsabila 131,950 - 4,000 20,000
44 108693 Jawad Akrom 163,500 10,773 4,000
45 063515 Rubinah 502,000 22,818 4,000
46 108868 Kus Umiyati 19,500 955 4,000
47 107421 Bagus 43,500 864 4,000
48 106825 Azzuhra 34,000 - 4,000
49 107859 Fanya Nathania 36,000 182 4,000
50 104157 Quinza 36,000 182 4,000
51 108179 Danendra 43,500 864 4,000
52 093100 Christopher 34,000 - 4,000
53 104404 Nathanael 36,000 182 4,000
54 107671 Athaya 36,000 182 4,000
55 108652 Yulham 34,000 - 4,000
56 104343 Yonathan 36,000 182 4,000
57 095917 Nadia Fidah 34,000 - 4,000
-
4,669,805 - 178,635 102,285 164,600 - - - - 128,250 - 169,500 87,500 - 60,000

Jurnal Umum 4,669,805


Kas dari Kassa 4,669,800
Selisih Kas (5)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 17 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

17 1 087213 Turnip - 112,740 4,000 20,000


2 005130 Paula Painah 1,795 33,750 56,000 3,000
3 073121 Rovina Bunga C - 12,750 12,750 3,000
4 092686 Felisitas 168 8,675 8,675 3,000
5 003400 Sr. Veronika 259 44,175 44,175 3,000
6 000345 Sr. Theresia 2,091 46,000 46,000 3,000
7 056167 Sunaryo 5,818 146,600 4,000
8 005976 Alipah 10,700 117,700
9 150187 Eti 545 6,000
10 006137 dr. Harnowo 9,464 29,300 74,800
11 019969 Sri Subekti 3,750 341
12 108870 Asang 31,500 - 4,000
13 108871 Ariani Dewi 30,500 -
14 106037 Munarji Rebin 84,350 - 4,000 20,000
15 108866 Dedi Prasetyo 193,750 - 4,000 20,000
16 Anastasia 23,000 - 23,000
17 070319 Afin Riski 684,350 11,577 7,000
18 004110 Marsini 31,500 - 4,000
19 095917 Nadia Fidan 112,300 10,209
20 099464 Tri Hidayatul R 40,500 3,682
21 103709 Sariyah 22,500 -
22 108652 Yulham akbar M 57,395 5,218
23 108179 Danendra R 12,300 1,118
24 150195 Christoper 100,300 9,118
25 021466 Tukiyah 62,400 1,264 4,000
26 009716 Lilis 13,500 -
27 050293 Widarti 45,000 - 4,000 20,000
28 068103 Kasidi 78,650 - 4,000 20,000
29 Estri Mekar 47,000 - 47,000
30 Sarjono 100,000 - (100,000)
31 108857 Yatinah 145,100 - 4,000 20,000
32 056267 Raditya AP 17,000 91 17,000 3,000
33 058699 Elisabeth Glory 11,200 477 44,550 3,000
34 002517 Haryadi 132,500 -
35 073175 Pasien Luar 4,700 427
36 150198 Imam 4,800 436
37 050470 Marsinem 20,428 - 4,000
38 001773 Radikun H 8,000 -
39 055351 Rias 4,700 -
40 Isti 6,700 -
41 034583 Yenti 133,200 - 4,000 20,000
42 108847 Puspita Ardiningsih 47,600 -
43 062855 Felisia Nur 118,450 - 4,000 20,000
44 108881 Heni Wulandari 83,650 - 4,000 20,000
45 007807 Kamsiyah 14,100 -
46 002139 Winda Kumalasari 61,250 4,000 20,000
-
2,426,673 100,000 74,800 618,940 70,000 - - - - 303,950 - (12,000) - - 200,000

Jurnal Umum 2,326,673


Kas dari Kassa 2,326,900
Selisih Kas 227

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 18 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

18 1 061166 Antini - 360,450 4,000 20,000


2 015500 Setyaningsih - 34,900 33,550 4,000 20,000
3 150211 Yudha P 2,650 29,150
4 095789 Ikhsan Yola M 151,100 - 4,000 20,000
5 108876 Sugito 93,650 - 4,000 20,000
6 037469 Prayogi 68,500 - 4,000 20,000
7 091430 Surani 88,000 - 4,000 20,000
8 004110 Marsini 91,500 -
9 076298 Theresia Sutini 79,500 -
10 108840 Supangat 119,600 - 4,000 20,000
11 090641 Yuli 76,550 - 4,000 25,000
12 046840 Mardiyah 196,200 - 4,000 20,000
13 108831 Dede Dwi H 71,050 - 4,000 20,000
14 056090 Hesti Murti L 8,600 -
15 064623 RS Purwogondo 105,000 -
16 064959 Suparmin 101,300 - 4,000 20,000
17 Partini 40,000 -
18 062068 Tati samiati 13,000 - 3,000
19 108885 Soliah 387,375 - 4,000 20,000
20 000170 Lukito 68,500 -
21 086275 Dianisius 50,500 - 2,500
22 108889 Wahyu Widodo 80,300 5,891 3,000 12,500
23 108887 Mad Gusni 45,900 2,764 3,000 12,500
24 108823 Priyanto 95,000 7,227 3,000 12,500
25 107705 Naura Zilfa 67,000 -
26 105618 Miah 18,000 - 2,000
27 105374 Yeni Astati 19,500 955 4,000
28 105375 Suesti 19,500 955 4,000
29 082043 Martini 277,150 23,786 3,000 12,500
30 107705 Sartini 58,000 - 2,500
31 080713 Suyatmi 137,600 6,864 3,000 17,000
32 010229 Sugiyanti 13,500 -
33 103731 Endang Aristiyani 96,250 614 4,000
34 104950 Iswati 199,000 9,955 4,000
35 107244 Wasirah 135,500 9,227 4,000
36 108891 Keizar Alifian 50,500 - 2,500
37 012254 Kami 34,000 - 4,000
38 098638 suminah 183,150 13,559 4,000
39 008124 Reben 40,500 - 4,000
40 103175 Sukinem 113,250 7,114 4,000
41 013490 Mingin 47,500 - 4,000
42 077328 Bagas 13,200 1,200
43 108616 Marsiyah 149,500 10,500 4,000
44 105530 Fajar A 17,000 - 2,000
45 102608 Sadimin 80,000 - 14,000 20,000
46 108890 Kaidah 53,200 - 4,000 20,000
47 087441 Samiyah 117,750 7,023 4,000
48 097900 Marsono 40,500 - 4,000
49 024772 Sujimah 34,000 - 4,000
50 108582 Sustriani 75,310 3,665 4,000
51 007502 Yohana Pariyem 34,000 - 4,000
52 083161 Tumini 183,250 13,477 4,000
53 108766 Sukarso 216,700 16,609 4,000
54 108888 Waginem 221,700 11,200 4,000
55 108286 Sastrowiyono K 62,950 2,541 4,000
56 Agus Dwi N 49,150 4,468
57 100469 Eni Nur Aeni 102,650 - 4,000 20,000
58 106402 Tarmi 55,200 - 4,000 20,000
59 150210 Yuli Gestati 21,700 1,973
60 108877 Madijono 752,580 - 4,000 20,000
61 150214 Titi L 10,650 968
62 006137 dr. Harnowo 67,250 6,114
63 003373 Soepinah 117,750 10,705
64 108668 Latiman 177,000 13,000 4,000
65 108893 Masiran 34,000 - 4,000
66 108895 Turiyah 268,425 - 4,000 20,000
67 072169 Dede 9,250 841
68 103262 Sarinah 133,000 9,000 4,000
69 053280 Osean Prasetyo 12,000 -
70 108759 Sarmiyati 34,000 - 4,000
71 108894 Pujo Ahmad 128,200 - 4,000 20,000
72 087213 Turnip 55,500
-
6,812,890 - 204,842 480,000 - - - - - 33,550 - 211,500 67,000 - 385,000

Jurnal Umum 6,812,890


Kas dari Kassa 6,813,600
Selisih Kas 710

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 19 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
19 1 108914 Tri Hidayat - 56,200 4,000 20,000
2 150220 dr. Harnowo 2,055 22,600
3 150226 dr. Nrimanto 964 10,600
4 095828 Dede Dwi Anugrah 4,145 53,400 7,700 3,000 12,500
5 013494 Sri Suhartinah 11,107 156,182 4,000
6 011136 Yosepha I 1,377 15,325 15,325 3,000 12,500
7 067192 Sutino - 34,000 4,000
8 108902 Ari Puji Astuti 105,500 - 4,000 20,000
9 108898 Mulyono 192,950 - 4,000 20,000
10 005980 Chatarina Sri W 9,400 855
11 005976 Alipah 162,400 4,064 117,700
12 150216 Sarjono 7,500 682
13 108906 Nanjar Murti 56,500 -
14 062068 Tati Samiati 13,000 - 3,000
15 108905 Iyus Setyaningsih 104,550 - 4,000 20,000
16 Winda Kumalasari 61,250 - 61,250
17 108910 Tungki Saski P 31,050 1,414 3,000 12,500
18 108909 Fajar Saputra 63,780 - 4,000 20,000
19 102544 Darsini 85,300 4,664 4,000
20 042216 Riyanti 127,000 8,455 4,000
21 107729 Rubisah 47,500 - 4,000
22 080572 Nur Aisa 49,500 - 3,000 12,500
23 065844 Darto 146,500 - 2,500
24 108867 Yatinah 89,550 - 4,000 20,000
25 028202 Darminah 57,000 2,000 4,000
26 106831 Rista 113,400 6,400 4,000
27 106237 Naila 15,500 - 3,000 12,500
28 106486 Naifa Murni 32,000 1,500 3,000 12,500
29 108769 Sandimulya 149,250 10,477 4,000
30 074650 Sakirah 114,200 7,291 4,000
31 087133 Tunjung Kusnanto 34,000 - 4,000
32 108838 Ratinem 125,100 8,282 4,000
33 108625 Arisa Yuningsih 171,500 12,500 4,000
34 103262 Sarinah 18,500 - 2,000
35 085009 Karto Utomo 101,350 6,123 4,000
36 108904 Kadis 191,750 9,068 4,000
37 Turnip 168,250 - 168,250
38 108907 Maryono 118,000 2,591 4,000
39 085479 Tanti 18,500 - 2,000
40 104543 Tan Swat Hao 10,000 - 2,000
41 105891 Sri Hati 56,000 - 4,000
42 052047 Mujinah 143,950 9,905 4,000
43 103016 Sony Palapa 92,000 5,273 4,000
44 108916 Risqa Fitrianti 15,500 - 3,000 12,500
45 108915 Maya Dewi 15,500 - 3,000 12,500
46 108911 Robiyati 136,600 9,236 4,000
47 107603 Eko Suparyanto 34,000 - 4,000
48 108908 Wahyu Cahyono 150,500 2,773 4,000
49 096993 Sukardi 101,000 - 4,000
50 023689 Waginem Suryani 96,950 5,723 4,000
51 106127 Nasekhudin 34,000 - 4,000
52 150218 Naura 34,800 3,164
53 107365 Samirah 19,000 - 2,000
54 009839 Cipto Utomo 34,000 - 4,000
55 069767 Sudarno 123,650 8,150 4,000
56 086237 Rio Cahyo 54,000 1,818 4,000
57 100037 Samini 199,500 15,045 4,000
58 101497 Suparmi 70,700 - 4,000 20,000
59 012122 Kanisah 127,500 - 2,500
60 108917 Sulastri 63,700 - 4,000 20,000
61 067880 Sukiyem 127,500 - 2,500
62 033425 Mariyem 380,000 -
-
4,901,880 - 167,098 348,307 347,200 - - - - 23,025 - 186,500 100,000 - 160,000

Jurnal Umum 4,901,880


Kas dari Kassa 4,901,400
Selisih Kas (480)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 20 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

20 1 103420 Rijal Okta Maulana 555 21,600 3,000 12,500


2 104209 Nur Arif 791 24,200 3,000 12,500
3 103261 Ismail 5,227 123,000 3,000 12,500
4 108945 Endah Setyaningsih - 81,000 4,000
5 005646 Sri Susilowati 1,236 11,500 36,100 4,000
6 069301 Sukoco - 50,750 4,000 20,000
7 004935 Sr. Yosita - 48,191 48,191 4,000 20,000
8 084630 Rm. Samuel - 123,500
9 018915 Rosdiana 9,300 845
10 100282 Zahra 69,100 - 4,000 20,000
11 013858 Martha Ajeng 7,300 664
12 108671 Septi Ribika 135,350 7,532 4,000
13 108770 Resa Dimulyo 68,000 1,136 4,000
14 009839 Cipto Utomo 33,000 3,000
15 073354 Rasman 93,750 5,432 4,000
16 099981 Satrio Dwi K 124,950 7,268 4,000
17 Niken K 34,500 - 34,500
18 Mariyem 45,000 -
19 076084 Sri Wahyuni 79,090 5,781 3,000 12,500
20 081691 Maskuri 63,900 4,400 3,000 12,500
21 025070 Siman 43,635 2,467 3,000 12,500
22 Agnes Hetty 10,000 - 10,000
23 062068 Tuti Samiati 13,000 - 3,000
24 107977 Jumiati 13,500 -
25 108928 Sumiati 20,000 -
26 150230 Eko S 3,000 273
27 044231 Ngatiyah 205,900 - 4,000 20,000
28 000084 Agus S 125,500 -
29 034585 Inayah 74,600 6,782
30 Pengobatan karyaw 2,779,700 - 2,779,700
31 108952 Rido Ariansyah 58,265 - 4,000 20,000
32 094798 Wini Handayani 39,600 3,600
33 095542 Rusmiyati 39,600 3,600
34 108943 Dewi Kartika 108,600 6,782 4,000
35 108931 Heri Kurniawan 125,000 8,273 4,000
36 108953 Arif Kurniawan 43,250 - 4,000 20,000
37 038798 Sihanudin 18,500 - 2,000
38 108675 Erni Sulastri 130,450 7,768 4,000
39 108945 Jemi 126,750 3,886 4,000
40 108950 Saijan Umar Said 53,750 - 4,000 20,000
41 108941 Miftahudin 284,880 7,489 4,000
42 107979 Suparni 79,200 7,200
43 105958 Eni Meiyanti 39,600 3,600
44 108847 Puspita Ardiningsih 126,750 3,886 4,000
45 108727 Eria Wulandari 141,000 5,182 4,000
46 105021 Tutut Handayani 39,600 3,600
47 098788 Astrit Tri W 39,600 3,600
48 047873 Kusumaningtyas 39,600 3,600
49 105134 Erni Setyorini 47,600 4,327
50 060812 Puput Budi Aji 98,600 5,873 4,000
51 055582 Slamet Hartono 123,600 8,145 4,000
52 099751 Wajib 97,000 5,727 4,000
53 103364 Rusmiyah 39,600 3,600
54 101354 Edya Tyas Prihanti 79,200 7,200
55 049647 Sri Rubiyatun 39,600 3,600
56 029046 Ruswendah 39,600 3,600
57 062401 Tri Murtiningsih 39,600 3,600
58 023206 Erna Susanti 39,600 3,600
59 062232 Tyas Satria I 79,200 7,200
60 108951 Lasiyem 228,050 12,005 4,000
61 030838 Tri Widarningsih 108,600 6,782 4,000
62 100788 Endah Wening 114,200 10,382
63 068165 Nurul Yantiani 146,250 5,659 4,000
64 002159 cris Trinurwati 171,600 15,600
65 107373 Umiyati 39,600 3,600
66 096559 Heni Retno W 79,200 7,200
67 106647 dr. Cecilia 28,400 2,582
68 108150 Indah Wahyu 206,000 11,091 4,000
69 093421 Rustinah 79,200 7,200
70 039073 Sukiyem 85,750 4,705 4,000
71 105638 Nugraheni 39,600 3,600
72 055947 Wakinem 140,850 9,623 4,000
73 108949 Rahman Arifin 116,850 - 4,000 20,000
74 108948 Arif Santoso 288,775 - 4,000 20,000
75 100478 Nurul Bariyah 79,200 7,200
76 037601 Nunung Suryanings 50,000 4,545
77 104845 Suryanti 39,600 3,600
78 108293 Parni 39,600 3,600
79 082540 Shannon Angelina 73,600 3,600 4,000
80 101619 Sri Mulyani 39,600 3,600
81 108793 Risti Kusyanansi 39,600 3,600
82 043444 Sohibun 34,000 - 4,000
83 108955 Ruth Natania 73,600 3,600 4,000
84 067762 Sudarmi 39,600 3,600
85 106439 Siti Rohana 39,600 3,600
86 050935 Dalu Rahayu 39,600 3,600
87 044510 Parimi 79,200 7,200
88 083330 Eri Dwi P 39,600 3,600
89 108960 Uphie Supriyati 73,600 3,600 4,000
90 108940 Teguh Pramono 108,600 6,782 4,000
91 105802 Jumi Sutiasih 39,600 3,600
92 108954 Parti 46,700 4,245
93 108933 Bernalia 108,600 6,782 4,000
94 024772 Sujimah 76,750 3,886 4,000
95 016558 Masijah 39,600 3,600
96 106688 Satinem 34,000 - 4,000
97 150239 Siwi 39,600 3,600
98 108958 Siti Maksuroh 108,600 6,782 4,000
99 036336 Bayu 39,600 3,600
100 043609 Ani Suryani 73,600 3,600 4,000
101 075351 Ihwan Legowo 159,000 11,364 4,000
102 106246 Tee Giok Swat 69,430 - 4,000 20,000
103 108935 Benita Sekar 73,600 3,600 4,000
104 108939 Pusparini 73,600 3,600 4,000
105 108797 Jaiman 356,250 27,341 4,000
106 108963 Ika Wonarti 73,600 3,600 4,000
107 078104 Tegar Rizky 39,600 3,600
108 108403 Dwi Setyowati 101,000 - 4,000
109 107386 Nining Asgiya 39,600 3,600
110 108961 Sulastri 73,600 3,600 4,000
111 108693 Jawad Akrom 94,500 3,545 4,000
112 093087 Evit 79,200 7,200
113 106273 Khuswatun Khasan 39,600 3,600
114 097615 Sri Wahyunita 39,600 3,600
115 101904 Dewi Purnama 39,600 3,600
116 108962 Yanti Setyawati 108,600 6,782 4,000
117 062999 Tegar Dwi P 39,600 3,600
118 106258 Satirah 160,926 11,539 4,000
119 108957 Rini Palupi 73,600 3,600 4,000
120 023974 Sulis Mutianingsih 91,500 8,318
121 107267 Renny Kumalasari 96,750 8,795
122 036769 Frederica Pamela 207,650 11,241 4,000
123 108831 Dede Dwi Handoko 39,150 - 4,000
124 026409 Siwi Winasis 35,000 3,182
125 106909 Hendi Kiswanto 149,800 10,527 4,000
126 105530 Fajar Agung 34,000 - 4,000
127 108964 Siti Ngaisah 154,250 2,432 4,000
128 036287 Juni Puspito 89,000 5,000 4,000
129 040636 Suparmin 139,500 4,545 4,000
130 105847 Siti Khoirul B 172,750 12,614 4,000
131 057973 Sakimin 73,500 3,591 4,000
132 108936 Sukesti 172,800 5,255 4,000
133 042364 Sumiyah 78,500 4,045 4,000
134 108899 Citra Cahya 7,500 682
135 085605 Toko Edi R 119,250 7,750 4,000
136 108935 Karta Leksana 72,600 3,418 4,000
137 108944 Wibi Atma 87,100 - 4,000 20,000
138 108942 Agata Diah ayu 130,200 - 4,000 20,000
139 108741 Kasinah 80,700 4,155 4,000
140 108674 Kasun 119,200 7,655 4,000
141 078105 Phoa Kiem Lien 99,100 6,282 3,000 12,500
142 054947 sutrisno 3,450 314
143 108809 Pariyo 34,000 - 4,000
144 106511 Saring 45,250 1,023 4,000
145 108934 Darmojo 176,500 12,864 4,000
146 150231 Alipah 86,500 7,864
147 108954 Parti 45,000 - 4,000
148 108675 Reni tri Rahayu 34,000 - 4,000
149 108669 Aisyah 34,000 - 4,000
150 104249 Tria Angelina 84,000 - 4,000
151 107267 Reni Kumalasari 84,000 - 4,000
152 023974 Sules m 84,000 - 4,000
153 089327 Nur Faida 84,000 - 4,000
154 077686 Lia Nita 84,000 - 4,000
155 102510 Rosna Heryawati 84,000 - 4,000
156 107056 Sumarni 84,000 - 4,000
157 1089 Susana 84,000 - 4,000
158 108700 Yulis Febriana 84,000 - 4,000
159 083668 Kasini 84,000 - 4,000
160 108977 Yeni Erawati 84,000 - 4,000
161 098304 Maria Titi 84,000 - 4,000
162 106071 Daffa Fiul 34,000 - 4,000
163 105331 Alfath 34,000 - 4,000
164 104146 Mikael 34,000 - 4,000
165 107671 Athaya 34,000 - 4,000
166 105045 Fabianus 34,000 - 4,000
167 098118 Mahfirah 34,000 - 4,000
168 102614 Putri Anastya 38,500 409 4,000
169 108604 Dira Novita 38,500 409 4,000
170 104677 Hasna aulia 90,000 5,091 4,000
171 107005 Wahid Nurhidayat 6,114 82,750 3,000 12,500
-
15,499,451 - 637,921 223,441 2,814,200 - - 168,800 - 258,541 - 417,000 100,000 - 250,000

Jurnal Umum 15,499,451


Kas dari Kassa 15,501,600
Selisih Kas 2,149

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 21 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
21 1 097192 Nurhayati 10,057 175,132 4,000
2 104830 Naufal abinaya K - 34,000 4,000
3 103511 Murdiati - 84,000 4,000
4 108706 Tri Gunarsih 9,091 184,000 4,000
5 031262 Purwanto 35,300 - 33,950 4,000 20,000
6 001604 Samsiah 13,864 236,500 4,000
7 020580 Yusiva sumarni 5,700 96,700 4,000
8 003260 Warnoto - 34,000 4,000
9 108763 Joko Setiady 143,700 27,341 345,750 143,700 4,000
10 107404 Budi Irawan - 13,500
11 150244 Titis 45 500
12 082583 Viktorina Zana 1,336 14,700
13 074632 Ambar Ari asih 3,600 39,600
14 054946 Dwi Sumanti 3,600 39,600
15 026589 Eko sulistyawan 1,000 11,000
16 005646 Sri Susilowati 936 10,300
17 104034 Adam Taruna 104,170 - 8,000 40,000
18 Agus Sulis 1,000 91
19 003190 Sugiyanti 14,500 1,318
20 021088 Bernadine Frida 25,800 2,345
21 061124 Petra 139,226 9,566 4,000
22 018787 Siti Marfungah 58,600 - 4,000 20,000
23 098118 Magfirah 44,040 4,004
24 Elisabeth Glory 16,700 - 16,700
25 108902 Ari Puji A 21,500 - 4,000
26 150245 Linda 135,500 -
27 062068 Tati Samiati 13,000 - 3,000
28 087536 Farumi 35,000 3,182
29 108969 Daryanti 58,000 - 2,500
30 075133 Suwito 31,500 -
31 150247 suharti 9,000 818
32 150248 Heri 32,300 2,936
33 107807 Ahmad Fadilah 20,000 -
34 058048 Tri Kuat Prasada 127,040 - 4,000 20,000
35 107808 Dihyan Wahyu 69,100 - 4,000
36 077184 Suharti 94,200 5,473 4,000
37 034744 Ita Dwi R 9,000 818
38 106140 Manggi 49,750 1,432 4,000
39 108973 Marsudi 60,500 - 2,000
40 108976 Petrus Sukiswanto 25,500 - 3,000 12,500
41 106292 Heru Pranoto 119,100 - 4,000 20,000
42 108974 Yoga Sura W 15,500 - 3,000 12,500
43 101218 Pratama Rizki 55,000 3,591 3,000 12,500
44 006718 Oktina Sari S 107,350 8,350 3,000 12,500
45 078929 Marijo 52,782 3,298 3,000 12,500
46 083110 Irma Setyaningsih 93,500 - 3,000 12,500
47 083110 W Nurhadi 60,400 1,582 4,000
48 068682 Wiryo Suwito 123,500 8,136 4,000
49 075328 CH Sutini 131,750 8,886 4,000
50 108817 Partinah 59,300 3,982 3,000 12,500
51 108905 Iyus Setyaningsih 110,700 2,018 3,000 12,500
52 016871 Min Sumini 122,625 7,966 4,000
53 18406 Fajar 17,000 - 2,000
54 038864 Paulina Purwati 132,550 7,732 4,000
55 108972 Seno Pujo H 358,150 - 4,000 20,000
56 108893 Masiran 70,500 -
57 016063 Puryastuti 34,000 -
58 029210 Dwi Budi Lestari 151,800 10,709 4,000
59 060165 salamah 100,750 4,750 4,000
60 030903 Watiyem 133,500 7,818 4,000
61 052428 Tindraweni 34,000 - 4,000
62 108462 Ciptati 212,500 16,227 4,000
63 065912 Awalia 25,050 2,277
64 086479 Ahmad Fadilah 116,500 4,000
65 108977 Eka Putut Haryanto 87,250 4,841 4,000
66 046974 Wakem 216,950 16,541 4,000
67 Agnes Hetty 10,000 - 10,000
68 108829 Sarwi 183,320 10,847 4,000
69 081531 Supriyanto 34,000 - 4,000
70 071115 Natiyah 151,500 10,682 4,000
71 108980 Chesa 72,850 - 4,000 20,000
72 022524 dr. Nrimanto 140,000 12,727
73 013858 Martha ajeng 10,150 923
74 106223 Ambar Tyas 90,000 5,091 4,000
75 102995 Fabrisio 38,500 409 4,000
76 108190 Kenji Prasetyo 90,000 5,091 4,000
-
4,800,753 135,500 273,030 842,150 160,400 33,950 - 477,132 - - - 193,500 100,000 - 170,000

Jurnal Umum 4,665,253


Kas dari Kassa 4,665,700
Selisih Kas 447

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 22 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

22 1 006071 Rovian Yudi N 5,618 89,050 61,750 3,000 12,500


2 150807 Nita 373 4,100
3 150806 Wahyu 2,350 25,850
4 006265 dr. Lucy J 2,786 30,650
5 037411 Yoshepiera Christina - 37,750 37,750 3,000
6 108985 Ratmini 95,200 - 4,000 20,000
7 038371 Antonia Tri P 60,100 - 4,000 20,000
8 073244 Rifki Maryadi 57,400 - 4,000 20,000
9 108983 Markhumah 117,000 - 4,000 20,000
10 005976 Alipah 25,550 2,323
11 087313 Lugiati 3,000 273
12 063622 dr. Daroji 7,000 636
13 016928 Sarjono 7,500 682
14 006137 dr. Harnowo 177,650 1,441 161,800
15 067998 Sarti 78,150 - 4,000 25,000
16 150803 Marta Ipung 10,150 (923)
17 108872 Kariman 142,700 8,882 4,000
18 039336 Noviati 100,750 6,068 4,000
19 021466 Tukiyah 74,750 1,750 4,000
20 108581 Endang Sukenti 117,250 5,432 4,000
21 099981 Satrio Dwi K 34,000 - 4,000
22 108990 Darisno 86,815 - 4,000 20,000
23 108876 Sugito 22,800 664 3,000 12,500
24 062068 Tati Samiati 13,000 - 3,000
25 108989 Saefuroh 65,200 4,518 3,000 12,500
26 105030 Triyono 80,500 -
27 108902 Ari Puji Astuti 86,000 5,500 3,000 12,500
28 028227 Nanda 26,400 2,400
29 150812 Amin 21,700 1,973
30 108991 Riki Irawan 175,910 - 4,000 20,000
31 000865 Ning Suci R 51,500 -
32 051652 Edi Sugiyono 51,500 -
33 107939 aminah 47,500 - 4,000
34 015437 Kuswatun Hasanah 34,000 - 4,000
35 059361 Mairan 34,000 - 4,000
36 108277 Muhajir 38,500 409 4,000
37 039981 Nurlaila 50,250 477 4,000
38 108992 Riswanto 182,500 4,909 3,000 12,500
39 091645 Pagem 113,600 7,145 4,000
40 029018 Yaman 110,500 - 4,000
41 041700 Mukiyem 34,000 - 4,000
42 Suwarni 180,000 -
43 088514 Sutiyono 119,600 9,464 3,000 12,500
44 108790 Siti Halimah 66,150 4,195 4,000
45 108792 Sumarni 88,500 - 4,000 20,000
46 056280 Tumin 47,250 2,886 3,000 12,500
47 108990 Darisno 345,700 5,200 3,000
48 Lukas Budi 10,000 - 10,000
49 Gracia Jasmine 10,000 - 10,000
50 Agus Riyanto 190,000 -
51 108993 Agus Budi S 87,650 - 4,000 20,000
52 108691 Tugiman 100,000 6,000 4,000
53 108881 Heni Wulandari 193,475 14,498 4,000
54 108601 Sami 199,450 14,950 4,000
55 104982 Veronika Tri H 35,000 3,182
56 150814 Mariyem 50,000 4,545
57 108631 Paulus Bagus 84,750 3,614 4,000
58 150821 Tumirah 6,200 564
59 108994 Trianto 129,050 - 4,000 20,000
-
4,366,950 10,150 134,784 187,400 161,800 - - - - 99,500 - 142,000 87,500 - 225,000

Jurnal Umum 4,356,800


Kas dari Kassa 4,357,300
Selisih Kas 500

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 23 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

23 1 025174 Sr. Rahayu - 29,500 29,500


2 008787 Sr. Anastasia - 38,250 38,250
3 017156 Sr. Yustina - 53,250 53,250
4 173545 Rm. Amatus 182 77,625 25,875
5 001910 Susi Haryati 3,645 31,000 24,600 3,000 12,500
6 087313 Lugiati 173 1,900
7 106738 dr. V Onggo W 1,000 11,000
8 001024 Tri Gunarti 1,009 11,100
9 008949 Suniah 1,013 11,140
10 109011 Vita 100,000 - 34,000 2,500
11 001022 Yuli Gestati 4,500 409
12 108682 Kustri Widodo 147,450 - 4,000 20,000
13 108998 Nurul Eka 112,700 - 4,000 20,000
14 005976 Alipah 70,700 6,427
15 016928 Sarjono 96,325 8,757
16 096500 Nasiran 236,600 21,509
17 150825 Sri Budiarti 3,000 273
18 150824 Sukiman 2,000 182
19 099992 Minarto Marsimin 178,150 - 4,000 20,000
20 109002 Parimin 23,500 -
21 004944 Suprobo 51,500 -
22 150827 Ika 118,800 10,800
23 017833 Jumiran 79,500 -
24 104790 Suhartinah 85,500 - 2,500
25 076084 Sri Wahyuni 136,825 11,030 3,000 12,500
26 109005 Widiyo Handono 41,250 2,341 3,000 12,500
27 109004 Parsiyah 73,500 727 3,000 12,500
28 055589 Kanisem 34,000 - 4,000
29 108976 Petrus Sukiswanto 89,350 5,805 3,000 12,500
30 109007 Reza Syafrial 55,500 3,636 3,000
31 080528 Endang Pamularsih 34,000 - 4,000
32 108854 Sukarmi 152,175 10,743 4,000
33 107025 Yasa Dikrama 157,700 11,155 4,000
34 108108 Nita Yulia 43,000 - 4,000
35 108582 Sustriani 90,750 5,068 4,000
36 089490 Diman 105,000 3,591 3,000 12,500
37 109006 Rudi Setiawan 175,700 - 6,000 20,000
38 026173 Ida Irmayanti 28,000 2,545
39 066498 Karisih 86,825 4,711 4,000
40 085479 Tanti S 18,500 - 2,000
41 104943 Tan Swat Hao 10,000 - 2,000
42 107658 Hadi Turyatno 34,000 - 4,000
43 014437 dr. Prio 10,000 - 2,000
44 107584 Siti Ngaisah 80,250 4,205 4,000
45 107651 Rusman Budi R 38,500 409 4,000
46 062068 Tati Samiati 58,500 - 4,000
47 034301 Sukiman 100,750 6,068 4,000
48 073926 Muji Supriyatin 110,250 6,932 4,000
49 085826 Yanuar Raka 33,900 1,673 3,000 12,500
50 069158 Darman 18,500 - 2,000
51 003387 Warjan 29,500 2,682
52 Syukur 16,500 - 2,000
53 150832 Titis 4,000 364
54 109010 Andre setiawan 80,000 -
55 067827 Sariyanti 4,000 364
56 108903 Azalia Putri 71,000 3,364 4,000
57 022524 dr. Nrimanto 62,500 5,682
58 104094 Nadianisa 69,300 3,209 4,000
59 108873 Heri Ardion 34,000 - 4,000
60 098659 Raul akbar 69,300 3,209 4,000
61 054282 San Karto 64,732 - 4,000 20,000
62 108987 Adi Priyanto 222,060 - 14,000 20,000
63 104742 Nabila 34,000 - 4,000
64 106194 Sebastian Nayotta 34,000 - 4,000
65 101528 Fani Ramadhan 34,000 - 4,000
-
3,955,842 - 154,890 298,765 - - - - - 171,475 - 155,000 87,500 - 120,000

Jurnal Umum 3,955,842


Kas dari Kassa 3,956,300
Selisih Kas 458

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 24 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

24 1 109016 Almah Nugroho - 99,800 4,000 20,000


2 150840 Sr. Marieta 34,605 190,325 190,325
3 020580 Yusiva Sumarni 955 19,500 4,000
4 087319 Nurida Fitrianti 14,850 1,350
5 109014 Partini 249,725 - 4,000 20,000
6 109015 Safitri 57,900 - 4,000 20,000
7 072513 Atit Yuni S 12,500 1,136
8 038249 Prabowo Setiadi 34,000 - 4,000 20,000
9 109018 Laman 119,200 - 4,000 20,000
10 085185 Teguh Prio 98,500 - 4,000 20,000
11 109019 Lukito 199,175 - 4,000 25,000
12 073321 Pujiyati 128,500 - 4,000 20,000
13 018543 Rosiana 62,000 -
14 150021 Desi 4,000 364
15 032648 Aminudin 29,000 -
16 150836 Saryo 6,200 564
17 150835 Gumirah 6,200 564
-
1,021,750 - 39,536 209,825 - - - 99,800 - 190,325 - 36,000 - - 165,000

Jurnal Umum 1,021,750


Kas dari Kassa 1,021,800
Selisih Kas 50

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 25 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

25 1 107807 Achmad Fadillah - 35,500 3,000 12,500


2 107808 Dihyan Wahyu W - 48,600 3,000 17,000
3 053609 Yael Hera 236,500 - 4,000 20,000
4 109031 Sofiah 72,300 - 4,000 20,000
5 109028 Didik Tri 208,950 - 4,000 20,000
6 057597 Nourmalia 105,300 - 4,000 20,000
7 000106 Stefanus Parmo 62,650 - 4,000 20,000
8 092275 Arya Pandita 38,575 - 4,000 20,000
9 109922 Nikem 12,000 -
10 005976 Alipah 195,950 17,814
11 067002 Wahyu Tavip 75,950 - 4,000 20,000
12 038032 Nurohim 50,100 - 4,000 20,000
13 Suniah 11,140 - 11,140
14 109014 Partini 24,800 2,255
15 032648 Aminudin 11,550 1,050
16 109024 Donna 18,000 -
17 019803 Marwito 13,500 -
18 150847 Wahyu 26,600 2,418
19 109025 Titi Herewati 79,000 - 4,000 20,000
20 109026 Kustini 44,500 - 4,000 20,000
21 023786 Miyah 3,000 273
22 003741 Turiman 3,000 273
23 062068 Tati Samiati 13,000 - 3,000
24 108992 Riswanto 46,500 2,818 3,000 12,500
25 109035 Budiharjo 158,850 13,032 3,000 12,500
26 108902 Ari Puji A 82,500 5,182 3,000 12,500
27 035247 Miswati 120,500 8,818 3,000 12,500
28 097434 Idah 65,100 2,827 4,000
29 109040 Cahyono 122,750 7,932 3,000 12,500
30 108054 Mujiono 156,250 11,114 4,000
31 107628 Moh Kodiran 144,825 9,984 4,000
32 026731 Suwarso 34,000 - 4,000
33 108907 Maryono 141,250 9,750 4,000
34 108867 Yatinah 67,750 3,841 3,000 12,500
35 109006 Rudi S 18,500 - 2,000
36 108625 Arisa Yuningsih 291,000 23,273 4,000
37 109033 Suparlan 178,775 13,070 4,000
38 092820 Ngaliyah 181,800 13,436 4,000
39 105530 Fajar A 17,000 - 2,000
40 109038 M Mustofa 85,000 6,318 3,000 12,500
41 082043 Martini 181,750 15,114 3,000 12,500
42 109037 Suhartinah 18,500 - 2,000
43 097013 Saiyah 13,500 -
44 004221 Runti Asih 15,500 - 3,000 12,500
45 081943 Muhammad Ngaeni 57,482 3,726 3,000 12,500
46 068231 Dwi Sulistyowati 10,000 - 4,000
47 105407 Kurniasih 15,500 - 3,000 12,500
48 061836 Parinah 18,500 - 2,000
49 055973 Yohana titi R 31,500 -
50 081012 Sutiyem 209,400 14,718 4,000
51 109032 Kisem 290,750 15,795 4,000
52 077454 Tri Astuti 63,950 - 4,000 20,000
53 108834 Suradi 134,750 9,159 4,000
54 108941 Miftahudin 152,820 8,075 4,000
55 109043 Muhamad Taslim 253,000 12,364 4,000
56 007142 Dedy 47,000 -
57 Lois Nurcahyo 10,000 - 10,000
58 047468 Budi Setyanto 34,000 - 4,000
59 105881 Sairah 183,250 12,341 4,000
60 085836 Tariyem 180,750 13,250 4,000
61 036173 Simpen 47,500 - 4,000
62 109046 Sariyani 73,000 -
63 109045 Yulia Budi P 50,300 - 4,000 20,000
64 109044 Melani 230,225 - 4,000 20,000
65 082402 Ratna Yuni A 21,750 1,977
66 109047 Tuminah 93,250 977 3,000
67 108990 Darisno 59,750 977 3,000
68 109048 Tri Sugiarti 62,850 1,259 3,000
69 108993 Agus Budi S 41,500 - 4,000 20,000
70 022524 dr. Nrimanto 140,000 12,727
71 Vita 34,000 - 34,000
72 108842 Kemi 222,750 16,159 4,000
73 082396 Dwi Wahyu 57,950 5,268
74 083110 Irma Setyaningsih 34,000 - 4,000
75 019969 Sri Subekti 9,500 864
76 103397 Puji Ade N 101,000 - 4,000
77 108893 Masiran 155,750 10,068 4,000
78 005218 Sandireja 34,000 - 4,000
79 109052 Dwi Eriyanto 60,750 2,432 4,000
80 109051 Sri Nurahayati 65,250 2,841 4,000
81 107705 Naura zilfa 45,000 - 4,000
82 150255 dr. Cholid 13,000 1,182
-
6,793,692 - 316,750 84,100 45,140 - - - - - - 219,000 167,000 - 290,000

Jurnal Umum 6,793,692


Kas dari Kassa 6,794,800
Selisih Kas 1,108

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 26 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

26 1 093077 Yudi Tri Wismadi - 108,150 4,000 20,000


2 100096 Wuri Hidayah 13,523 182,750 4,000
3 005646 Sri Susilowati 455 4,100 16,400 3,000
4 006090 Kasianti 1,036 14,500 12,400 3,000 12,500
5 096483 Ika Endang P 2,909 34,300 13,200 3,000 12,500
6 025234 Sr. Clara 10,673 81,200 81,200 6,000
7 046357 sawiyem 5,759 98,350 4,000
8 087322 Dwi Indra A 3,900 47,400 11,000 3,000 12,500
9 083842 Wahyu Dwi Antoro 10,109 111,200
10 150265 TK PIUS 4,236 46,600
11 150262 dr. Lucy (2,273) 25,000
12 079522 SMP PIUS Gombong 3,859 42,450
13 044715 Agnes Herna P 1,323 14,550
14 004219 Agustina Pratiwi 2,091 23,000
15 062068 Tati Samiati 13,000 - 3,000
16 Susi Haryati 31,000 - 31,000
17 150261 Indriyana 35,700 (3,246)
18 150258 Sari 9,000 818
19 015578 Budi Sutrisno 195,750 - 4,000 20,000
20 150259 Indriyana 89,250 8,114
21 106647 dr. Cecilia E 15,500 1,409
22 040536 Andreas Willy K 120,150 - 4,000 20,000
23 087296 Reni Komariyah 530 48
24 150257 Yudi 27,000 2,455
25 003237 Sri Puji Astuti 6,400 582
26 109055 Ignatius Lalo 93,500 - 4,000 20,000
27 016544 Sanis 104,700 8,291
28 106710 Martoyo 65,000 5,909
29 109059 Musinem 41,010 2,228 3,000 12,500
30 000170 Lukito Suryono 31,500 -
31 104487 Vrizza 50,500 - 2,500
32 109038 Mustofa 50,000 -
33 084663 Fauzal Leo 16,500 - 2,000
34 105618 Miah 18,000 - 2,000
35 064835 Anna 20,000 -
36 013811 Sri Suharti 51,500 -
37 089490 Diman 61,750 4,205 3,000 12,500
38 108883 Retno Prasanty 10,000 - 4,000
39 053891 Parsiyah 51,750 3,295 3,000 12,500
40 Meterai 6,000 - 6,000
41 107252 Sri Ernawati 13,000 - 3,000
42 061732 Endang Sri W 13,500 -
43 108913 Said Sumarto 88,275 4,843 4,000
44 034936 Ega R 17,000 - 2,000
45 109062 Pamiaji 176,250 12,841 4,000
46 Antini 360,450 - 360,450
47 068388 Iskak Mad Supeno 226,650 9,277 4,000
48 066969 Samirah 255,300 18,800 4,000
49 053975 sarijan 34,000 - 4,000
50 081616 Mujiran 34,000 - 4,000
51 109060 Kamsiyati 213,600 10,236 4,000
52 108908 Wahyu Cahyono 135,000 9,182 4,000
53 023375 Warsinah 57,000 2,000 4,000
54 106831 Rista Nurjanah 115,200 6,564 4,000
55 108978 Sarmiyah 245,400 19,127 4,000
56 027653 Satimin 143,750 9,295 4,000
57 065009 Sumarto 46,000 1,091 4,000
58 108934 Darmojo 151,250 10,568 4,000
59 084622 Supriyadi 57,000 2,000 4,000
60 108858 Widati 10,000 - 4,000
61 108664 Buya Fajar N 61,500 3,273 3,000 12,500
62 Susteran Kebumen 131,400 - 131,400
63 109066 Nina Indriyani 34,000 - 4,000 20,000
64 109065 Lis Setyowati 34,000 - 4,000 20,000
65 060678 Fitri Wiji Astuti 64,850 2,805 4,000
66 109081 Tasilah 114,750 5,568 6,000
67 039216 Andi 327,100 29,736
68 026283 Satiyem 127,750 8,432 4,000
69 056280 Tumin 129,250 8,659 4,000
70 073400 Tan Ming Swie 69,000 - 4,000
71 108657 Tuyani 148,600 10,418 4,000
72 106940 Surtiyah 229,000 17,727 4,000
73 109068 Sunarjo 127,500 - 2,500
74 109067 Afan Zain 7,000 -
75 CV Rama (Mei) 1,118,900 - 1,118,900
76 CV Rama (Juni) 1,405,200 - 1,405,200
-
7,701,715 35,700 294,151 419,300 3,071,950 - - 290,900 - 232,550 - 183,000 87,500 - 120,000

Jurnal Umum 7,666,015


Kas dari Kassa 7,666,700
Selisih Kas 685

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 27 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

27 1 005130 Paula Painah 1,432 12,700 18,550 3,000 12,500


2 001910 Susi Haryati 3,768 42,400 66,550 3,000 12,500
3 096482 Niken Kristianti 1,659 18,250
4 005976 Alipah 5,414 59,550
5 150270 Wahyu 2,273 25,000
6 055480 dr. B Suryanto 15,941 35,070 140,280
7 001826 Sr. Mikaela - 2,700 10,800 2,000
8 106468 Rehan 112,900 - 4,000 20,000
9 093198 Dea 112,950 - 4,000 20,000
10 108900 Nuning 50,200 - 4,000 20,000
11 009132 Daryono 6,600 600
12 099992 Minarto 105,300 - 4,000 20,000
13 041153 Serlina Rahma 82,850 - 4,000 20,000
14 096448 Alpedro Basvian 154,500 - 4,000 20,000
15 150268 Ika 118,800 10,800
16 108641 Joenus 141,750 9,795 4,000
17 108830 Toyiban 59,750 1,341 4,000
18 108917 Sulastri 90,800 4,164 4,000
19 073106 Sugeng Mustolih 70,500 3,318 4,000
20 109024 Donna 11,500 -
21 041130 Walyono 13,500 -
22 107252 Sri Ernawati 13,000 - 3,000
23 150277 Sumargiono 9,500 864
24 025595 Sri Hartati 83,350 - 4,000 20,000
25 109038 M Mustofa 38,000 2,045 3,000 12,500
26 073400 Tan Ming Suie 55,500 -
27 Meterai 12,000 - 12,000
28 108858 Widati 20,400 1,855
29 109076 Siti Musyarofah 145,300 - 4,000 20,000
30 109077 M Nur Imam F 52,500 - 4,000 20,000
31 038798 Sihabudin 18,500 - 2,000
32 106508 Kasinah 56,500 2,045 4,000
33 102538 Basuki 34,000 - 4,000
34 107735 Saliyem 85,000 4,636 4,000
35 065779 Lia Sarasati 34,000 - 4,000
36 108647 Sakir 103,000 6,273 4,000
37 095321 Rudi 34,000 - 4,000
38 078245 Agus Setiawan 34,000 - 4,000
39 109082 Imam T 18,500 - 2,000
40 107243 Misem 182,500 13,500 4,000
41 108401 Sadinah 192,300 14,300 4,000
42 018892 Linawati 129,530 3,048 4,000
43 108370 Indah Tri w 34,000 - 4,000
44 108965 Mad Solikin 80,700 4,155 4,000
45 Siti Solekhatun 20,000 -
46 097901 Suratmin 66,500 - 4,000
47 061836 Parinah 18,500 - 2,000
48 108741 Kasinah 101,850 6,077 4,000
49 093710 Sandiharjo 210,450 9,223 5,000 12,500
50 104123 Sunu 135,000 7,500 4,000
51 108926 Surati 119,450 7,768 4,000
52 104736 Suwarsih 34,000 - 4,000
53 108897 Citra Cahya 10,000 - 4,000
54 078929 Marijo 118,582 9,371 3,000 12,500
55 109078 Muhammad Tegar 91,500 - 4,000 20,000
56 109087 Aisyah Kurniasari 83,450 - 4,000 20,000
57 Umi Wadingah 55,300 - 55,300
58 106430 Irnia Widia 118,800 10,800
59 109095 Hendro Sugiyanto 34,000 - 4,000
60 108140 Santi 74,600 6,782
61 108298 Tukinah 104,600 9,509
62 088384 Iis Sugiarti 39,600 3,600
63 108939 Pusparini 39,600 3,600
64 105134 Erni Setyorini 39,600 3,600
65 107999 Hesy Indah 216,750 12,068 4,000
66 150288 Karmiyah 30,000 2,727
67 109084 Suparno 203,849 15,441 4,000
68 109075 Putri Noviyanti 262,502 19,773 4,000
69 109088 Ika Nurul H 108,600 6,782 4,000
70 108956 Umi Fitria 108,600 6,782 4,000
71 109089 Saptanti Irma 108,600 6,782 4,000
72 025667 Herlina Retno 49,000 - 4,000
73 150285 dr. Dwi 35,700 3,245
74 060483 Yulaika Ratna 79,200 7,200
75 103493 Yatinah 39,600 3,600
76 107043 Emi Nugraheni 79,200 7,200
77 109096 Nur Indah 108,600 6,782 4,000
78 105444 Teresa Paramita 39,600 3,600
79 106762 Arti Purwatiningsih 39,600 3,600
80 100788 Endah Wening 79,200 7,200
81 105796 Ajeng Resti 39,600 3,600
82 104675 Kustiyah 79,200 7,200
83 088188 Riyanah 79,200 7,200
84 077336 Suti Rahayu 39,600 3,600
85 108409 Leni Riyanti 74,600 6,782
86 099913 Isdariyah 164,750 11,886 4,000
87 108869 Wijayanti 136,500 8,318 4,000
88 108792 Sumarni 123,000 7,091 4,000
89 087263 Pingah 79,200 7,200
90 109092 Septi Mariana 108,600 6,782 4,000
91 075351 Ihwan Legowo 175,100 12,827 4,000
92 017940 Sarni 39,600 3,600
93 003968 Puji Astuti 113,200 7,200 4,000
94 032102 Yamsiyah 39,600 3,600
95 150292 Puji R 39,600 3,600
96 052972 Bernadinus Andri 175,000 12,818 4,000
97 103217 Dwi Astuti 79,200 7,200
98 048039 Dewi Damayanti 79,200 7,200
99 100937 Puji Rahayu 79,200 7,200
100 109090 Sarilah 73,600 3,600 4,000
101 107045 Kholifah 79,200 7,200
102 105772 Putri Hilda 79,200 7,200
103 108878 Tari Wijiati 186,250 9,295 4,000
104 108802 Surtinah 35,000 3,182
105 108803 Sutarmi 39,600 3,600
106 071868 Tri Wijayati 39,600 3,600
107 031790 Neni Triasih 39,600 3,600
108 108693 Jawad Akrom 134,000 - 4,000
109 061282 Rinanti 34,000 - 4,000
110 083110 Irma Setyaningsih 200,000 - 4,000
111 079147 Feni Damayanti 79,200 7,200
112 109081 Siti Khotimah 113,200 7,200 4,000
113 105442 Endang Minarni 39,600 3,600
114 057720 Nurul Endarti 79,200 7,200
115 062724 Delima Nawang 79,200 7,200
116 074632 ambar Ari Asih 39,600 3,600
117 082330 Wening Widiasih 158,400 14,400
118 099917 Sumaryati 79,200 7,200
119 109099 Nofianti 161,649 11,604 4,000
120 109074 Tursinah 191,850 14,350 4,000
121 109098 Nurul Hidayah 114,600 7,327 4,000
122 084412 Wasino 136,000 9,273 4,000
123 109094 Herning 108,600 6,782 4,000
124 060035 Marliana 273,000 17,182 4,000
125 109097 Yenifah 159,750 6,886 4,000
126 108564 Pariyem 85,750 4,705 4,000
127 105072 Suryana 134,500 4,591 4,000
128 150294 Eka Putri 30,000 2,727
129 109102 Saniah 73,600 3,600 4,000
130 109101 Tri Retnoningsih 137,600 9,418 4,000
131 092493 Muhamad Hadi 75,000 3,727 4,000
132 109100 Aksal Aziz 109,000 6,818 4,000
133 101694 Indra Kurniawan 108,600 6,782 4,000
134 054686 Suharti 39,600 3,600
135 083350 Sofiana Hikmah 39,600 3,600
136 067847 Andina 39,600 3,600
137 103805 Dewi Iriyanti 39,600 3,600
138 038924 Rosiana Faradisa 35,000 3,182
139 108797 Jaiman 358,250 27,341 4,000
140 150295 Umi Heni 500 45
141 106246 Tee Giok Swat 48,510 - 4,000
142 100981 Ratna Hartami 236,000 17,364 4,000
143 082524 Nurbaya 30,500 -
144 038032 Nurohim 47,250 1,205 4,000
145 104529 Bunga Aulia 104,200 6,382 4,000
146 103103 Almira Yasmin 38,500 409 4,000
147 102920 Kirana Kusuma 38,500 409 4,000
148 103286 Jasmine Anindya 38,500 409 4,000
149 109103 Arya Setyo 34,000 - 4,000
150 107791 Raffa Fadilah 34,000 - 4,000
151 104732 Savana Diandra 34,000 - 4,000
152 104404 Nathanael 34,000 - 4,000
153 108761 Abizar Ghifari 34,000 - 4,000
154 108790 Siti Halimah 45,000 - 4,000
155 108954 Parti 45,000 - 4,000
156 056862 Ratih Wulandari 59,000 - 4,000
157 109086 Irmayanti 84,000 - 4,000
158 109083 Dian Nur 84,000 - 4,000
159 100176 Setyawati 84,000 - 4,000
160 109091 Fitriati 84,000 - 4,000
161 082171 Nurintan 84,000 - 4,000
162 107267 Reny Kumalasari 84,000 - 4,000
163 108412 Priskila 84,000 - 4,000
-
12,994,172 - 724,537 195,670 55,300 - - - - 236,180 - 408,000 62,500 - 220,000

Jurnal Umum 12,994,172


Kas dari Kassa 12,992,500
Selisih Kas (1,672)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 28 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

28 1 109117 Shindu Roeswin D - 124,700 4,000 20,000


2 109121 Sanam 20,700 8,934 117,075 3,000 18,500
3 109120 Supartomo 16,100 3,455 91,000 4,000
4 106107 Nur Hidayati 8,536 127,900 4,000
5 005646 Sri Susilowati 986 20,700 39,150 3,000
6 054946 Dwi Sumanti - 44,800 39,200 4,000
7 074109 Saptania Pukasari - 84,000 4,000
8 003995 Sr. Caritas 99,930 566,613 566,612 4,000
9 108412 Priskila Rahma D 2,727 30,000
10 015732 Eni Kurniasih 3,600 39,600
11 087322 Dwi Indra A 3,900 42,900
12 044727 Waginah 2,318 25,500
13 083842 Wahyu Dwi Antoro 2,059 22,650
14 109110 Sr. Hedwig 7,273 40,000 40,000
15 173745 Tukijah - 610,000
16 109109 Ahmad Suwito 37,000 - 4,000 20,000
17 109108 Ponimin 152,350 - 4,000 20,000
18 109107 Anita Nursanti 180,675 - 4,000 20,000
19 065711 Erni Setyorini 35,000 3,182
20 109105 Tofik Hidayat 35,500 - 4,000 20,000
21 108763 Joko Setiadi 152,750 9,114 4,000
22 150298 Agus 6,000 545
23 006041 Sri Samiyatun 33,850 3,077
24 034744 Ita Dwi R 230,800 16,909 39,200 4,000
25 064942 RSU Purbowangi 11,500 -
26 Endah Setyaningsih 101,000 - 81,000
27 107267 Renny Kumalasari 114,000 10,364
28 104404 Natanael Rafael 6,450 586
29 109103 Arya Satya 130,380 11,853
30 097263 Rahma Rizquilloh 144,350 - 4,000 20,000
31 109086 Irmayani 92,250 8,386
32 102185 Sunarti 32,500 - 2,000
33 069698 Walem 96,900 5,627 4,000
34 109126 Haryati 12,000 -
35 043928 Jamiati 121,050 9,595 3,000 12,500
36 109119 Suwarso 82,022 5,957 3,000 12,500
37 097904 Sartiyah 137,000 11,045 3,000 12,500
38 109118 Siti Rukoyah 130,400 8,673 4,000
39 097609 Nur Khamidah 99,000 7,591 3,000 12,500
40 002355 W Nurhadi 61,200 1,655 4,000
41 108769 San Dimulya 196,750 14,795 4,000
42 104790 Suhartinah 18,500 - 2,000
43 104197 Banun Tri W 192,800 14,436 4,000
44 097434 Idah 56,600 5,145
45 084189 Sarlan 227,750 20,341 30,000 4,000
46 109129 Lutfiana 61,800 - 4,000 20,000
47 106119 Slamet Sumedi 89,000 5,000 4,000
48 108678 Suhardi 187,000 13,909 4,000
49 109003 Jasinem 103,250 6,295 4,000
50 083370 Afri Tri Wibowo 199,852 16,759 3,000 12,500
51 109115 Westi Rini 84,250 4,477 4,000
52 105530 Fajar A 17,000 - 2,000
53 069158 Darman P 18,500 - 2,000
54 107365 Samirah 19,000 - 2,000
55 109113 Rasikem 63,500 4,364 3,000 12,500
56 109122 Ruswantoro 125,300 - 4,000 20,000
57 109123 Suwarti 58,710 - 4,000 20,000
58 109044 Melani 25,500 - 3,000 12,500
59 096482 Niken Kristianti 13,515 1,229
60 104021 Nur Afni 31,500 -
61 067691 Pipit Susanti 49,500 - 3,000 12,500
62 049621 Sri Haryati 39,600 3,600
63 107252 Sri Ernawati 13,000 - 3,000
64 078577 Kartip 37,500 3,409
65 045088 Tri Mulyani 23,500 1,182 23,500 4,000 20,000
66 150303 dr. cecilia 7,000 636
67 085479 Tanti Setya 32,000 - 2,000
68 104943 Tan Swat Hao 10,000 - 2,000
69 022524 dr. Nrimanto 250,000 22,727
70 109132 Mohamad Syahril 88,750 - 4,000 20,000
71 107167 Vixoseno Fadhila 161,900 11,627 4,000 20,000
72 106738 dr. Onggo 3,995 43,950
-
4,775,554 - 411,806 1,698,613 81,000 - - 332,775 - 777,662 - 163,000 118,500 - 240,000

Jurnal Umum 4,775,554


Kas dari Kassa 4,776,100
Selisih Kas 546

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 29 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

29 1 109133 Andira Sri Ayuningtyas 3,935 77,280 4,000


2 109158 Sekar Margareta 7,159 162,750 4,000
3 069301 Sukoco 21,159 353,750 3,000 12,500
4 150307 Yusiva 1,091 12,000
5 005976 Alipah 2,868 31,550
6 150323 dr. Onggo 140,100 227 2,500 140,100
7 109117 Shindu Roeswin D 2,909 32,000
8 104762 Samingun 191,500 -
9 109660 Kansiyah 110,000 -
10 098892 Suwarno 125,000 -
11 104343 Yonathan 90,000 5,091 4,000
12 095917 Nadia Fidah 34,000 - 4,000
13 109137 Rafli Multy 34,000 - 4,000
14 092463 Naftali 154,700 10,973 4,000
15 106071 Daffa 90,000 5,091 4,000
16 030526 Ika Purwatiningsih 10,400 945
17 108581 Endang Sukenti 117,250 5,432 4,000
18 108807 Sudarsih 165,000 11,909 4,000
19 039336 Noviati 64,000 2,727 4,000
20 108997 Sulhuda 59,000 2,273 4,000
21 108689 Maskur 46,500 1,136 4,000
22 109135 Michael Kalis 113,250 - 4,000 20,000
23 087345 Roman Virsa 56,300 - 4,000 20,000
24 109143 Parman 160,550 - 4,000 20,000
25 150313 By Ida 52,000 4,727
26 109145 Murwati 52,000 - 4,000 20,000
27 067285 Septi 39,600 3,600
28 109147 Kusmiyati 31,500 -
29 108981 By Esti Irawati 9,000 - 4,000
30 108968 Esti Irawati 9,000 - 4,000
31 031243 Sri Indah yulianti 79,200 7,200
32 020504 Ludini 72,000 - 4,000 20,000
33 150310 Musidiantoro 15,200 1,382
34 044540 Aulia Risky 55,250 - 4,000 20,000
35 038889 Lucia Esti S 46,250 - 4,000 20,000
36 109150 Marginus Ragta 55,500 -
37 40063 Irma Wahyuni 50,000 -
38 032624 Marsinta Manik 130,300 11,845
39 108869 Wijayanti 20,000 - 4,000
40 080048 Didit 18,500 - 2,000
41 Marsidah 46,000 - 46,000
42 083149 Sugini 93,500 - 3,000 12,500
43 039493 Rasman 22,000 -
44 109000 Fadli Kurniawan 32,245 1,522 3,000 12,500
45 022524 dr. Nrimanto 51,500 4,682
46 109150 Martinus R 128,800 - 4,000 20,000
47 063303 Irma Wahyuningsih 28,150 1,150 3,000 12,500
48 108570 Rusiyah 10,000 - 4,000
49 009464 Sri Kundari 19,500 955 4,000
50 150315 Titi 57,600 5,236
51 109148 Sailah 107,250 8,341 3,000 12,500
52 109146 Satinah 25,500 - 3,000 12,500
53 108902 Ari Puji A 98,550 6,641 3,000 12,500
54 090899 Mutmainah 34,000 - 4,000
55 108725 Satiyem 124,000 3,636 4,000
56 109155 Nila Ika W 100,500 1,500 4,000
57 108990 Darisno 59,750 977 3,000
58 104146 Mikael Henata 9,100 827
59 035528 Paini 141,750 9,795 4,000
60 067093 Arjo Suwito 385,750 - 4,000 20,000
61 001022 Yuli Gestati 23,250 2,114
62 105014 Marsiyem 59,450 2,314 4,000
63 107939 Aminah 47,500 - 4,000
64 080683 Dariyah 196,500 14,773 4,000
65 020178 Ramunatun 136,200 9,291 4,000
66 Isak Ismail 63,800 - 63,800
67 067936 Surati 158,650 11,332 4,000
68 062068 Tati Samiati 58,500 - 4,000
69 086870 Windi Novitasari 135,750 4,705 4,000
70 093063 Elly Septiani 146,250 5,659 4,000
71 006581 Rumiyati 114,500 7,318 4,000
72 074632 Ambar Ari Asih 147,000 10,273 4,000
73 033425 Mariyem 87,750 3,886 4,000
74 106807 Sugiarti 22,000 2,000
75 105292 Mohamad Mansur 89,500 5,045 4,000
76 107050 Suhartiningsih 58,500 - 4,000
77 108315 Muhroni 49,500 1,409 4,000
78 032333 Then Nana 84,000 - 4,000
79 092498 Kusiyanti 84,000 - 4,000
80 106807 Sugiyarti 84,000 - 4,000
81 002139 Winda Kumalasari 84,000 - 4,000
82 109157 Wulan Natalia 84,000 - 4,000
83 108920 Yuliyanti 45,000 - 4,000
84 108607 Riyami 45,000 - 4,000
85 082494 Mujiasih 127,500 - 2,500
86 150322 Aminudin 5,000 455
87 109142 Siswo Suparto 97,100 5,645 4,000
88 074659 Sumiyati 34,000 - 4,000
89 086937 Delvina Sekar 92,650 7,014 3,000 12,500
90 105261 Augianto 94,000 409 4,000
91 109144 Retno Fajar 220,750 11,932 4,000
92 007502 Yohana Pariyem 57,000 2,000 4,000
93 082847 Sumaryo Hadi 111,850 6,986 4,000
94 108545 Sunarto 189,750 13,477 4,000
95 086540 Mahmud Kartodimej 182,250 13,386 4,000
96 093286 Dian Novrita 2,000 182
97 109152 Haryanto 134,250 9,568 3,000 12,500
98 Herlin anggita 500,000 - 500,000
99 087331 San Mureja 105,300 6,391 4,000
100 108449 Widiarso 86,000 4,045 4,000
101 075288 Sukarman 57,000 2,000 4,000
102 109017 San Muhidi 191,925 14,357 4,000
103 150308 dr. Onggo 49,550 (4,505)
104 109153 Dedi Prasetyo 254,500 - 4,000 20,000
105 014116 Suparni 39,600 3,600
106 025816 Evelin 79,200 7,200
107 040536 Andreas Willy K 59,250 - 4,000 20,000
108 109160 Dika Kumalasari 88,000 - 4,000 20,000
109 089289 Poniyem 34,000 - 4,000
110 109143 Parman 134,000 - 4,000
111 Seraphine ( Sr. Adri 74,900 - 74,900
-
9,228,670 49,550 343,205 78,050 824,800 - - 240,030 - 353,750 - 306,500 112,500 - 240,000

Jurnal Umum 9,179,120


Kas dari Kassa 9,179,900
Selisih Kas 780

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 30 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

30 1 003400 Sr. Veronika 80,282 441,550 441,550


2 006090 Kasianti 2,882 30,000 17,200 3,000 12,500
3 109136 Herman Arya - 666,050 54,000 25,000
4 105806 Andewi 39,600 3,600
5 004944 Suprobo 32,000 -
6 049676 Siti Ngatipah 56,750 - 4,000 20,000
7 150325 Laeli 90,300 8,209
8 109049 Masimun 45,000 - 4,000
9 108893 Masiran 55,500 - 4,000
10 109161 Agus Supriono 157,000 - 4,000 20,000
11 109004 Parsiyah 34,500 1,727 3,000 12,500
12 109166 Viki Yuliastuti 106,200 6,564 4,000
13 109169 Ibnu Mustofa 58,000 - 2,500
14 035145 Suroso 85,500 - 2,500
15 Dwi Ayu Retno 20,000 -
16 109168 Kanem 58,000 - 2,500
17 099464 Tri Hidayatul 68,050 - 4,000 20,000
18 055666 Tan Hwa Nio 13,500 -
19 096009 Laeli Hikmawati 11,850 1,077
20 100091 Ristin 70,050 3,686 5,000 12,500
21 033137 Poniyah 448,000 33,500 4,000
22 108567 Ratih Handiana 20,000 1,000 4,000
23 105625 Siti Asiyah 144,000 9,909 4,000
24 074156 Riyanto 83,380 1,762 4,000
25 109170 Paryati 40,500 1,364 3,000 12,500
26 078929 Marijo 126,050 8,368 4,000
27 107531 Indraspuri 79,200 7,200
28 109082 Imam T 18,500 - 2,000
29 103079 Punti Bela A 79,200 7,200
30 150331 Novi 5,300 482
31 020365 Agnes Vani R 106,500 8,273 3,000 12,500
32 108774 Irsyad Arfatulah R 65,950 4,586 3,000 12,500
33 Niken Kristianti 18,250 - 18,250
34 014437 dr. Prio 10,000 - 2,000
35 107484 Tasimin 7,000 -
36 108976 Marsinah 47,500 1,227 4,000
37 080193 Samikem 163,150 11,741 4,000
38 085479 tanti S 18,500 - 2,000
39 109173 Riska Putri ayu 40,350 2,259 3,000 12,500
40 109108 Ponimin 67,650 3,559 3,000 12,500
41 107474 Sopandi 169,300 12,300 4,000
42 105881 sairah 162,500 11,682 4,000
43 109174 Andi 69,500 - 2,500
44 087423 Kainah 68,500 3,045 4,000
45 095769 Endah Ari W 159,000 - 4,000
46 107677 Erlina Elsa s 74,600 6,782
47 109171 Wisnu S 123,200 - 4,000 20,000
48 109176 Minarto 58,000 - 2,500
49 000054 Priyanti 19,500 955 4,000
50 150332 Marsudi 7,500 682
51 104424 Restu Barokah 24,500 -
52 101388 Bimalina Sidabalok 79,200 7,200
53 107395 Supartiningsih 39,600 3,600
54 Meterai 6,000 - 6,000
-
3,651,680 - 256,703 1,137,600 18,250 - - - - 458,750 - 180,500 100,000 - 105,000

Jurnal Umum 3,651,680


Kas dari Kassa 3,651,800
Selisih Kas 120

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 31 Juli 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

31 1 150339 Wahyu - 17,000


2 004219 Agustina Pratiwi - 7,250
3 075096 Agus Dwi N - 216,250
4 042302 Tasmi 500 -
5 109107 Anita Nursanti 54,500 -
6 064623 RSU Purwogondo 21,500 -
7 109178 Ahmad s 82,000 -
8 150334 Sri 2,500 -
9 108923 Agus Riyanto 120,000 6,136 4,000
10 109180 Nabila Khairunisa 44,500 - 4,000 20,000
11 109182 Nila Puspita 97,500 - 4,000 20,000
12 106059 Naufal Edra 125,750 - 4,000 20,000
13 056341 Maryono 168,200 - 4,000 20,000
14 051006 Kasdi 127,982 - 4,000 20,000
15 010229 Sugiyarti 13,500 -
16 024772 Sujimah 69,000 - 4,000 20,000
17 150336 Agus 18,000 -
18 150337 Iin 42,600 -
19 054946 Dwi Sumanti 2,000 -
20 081695 Ahmad Soderi 49,382 - 4,000 20,000
21 109187 Kanisem 97,800 - 4,000 20,000
22 083842 Wahyu Dwi A - 77,050
-
1,137,214 - 6,136 317,550 - - - - - - - 36,000 - - 160,000
Jurnal Umum 1,137,214
Kas dari Kassa 1,137,200
Selisih Kas (14)
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

45,000 35,000 24,545


10,000 20,000 130,000 35,900
45,000 35,000 72,273
35,000 15,000 150,000 82,636
7,000
90,000 10,000 40,227
30,000
19,636
19,091
11,500 3,000
47,455
64,500
16,409
50,000 22,500 171,500 18,182
10,000 90,000
30,000 6,500
30,000 500 500 89,091
30,000 182,727 13,500

30,000 500 500 63,909


30,000 500 500 155,636

30,000 129,318 13,500


37,500 74,045
185,500

30,000 97,977
11,500 3,500
30,000 42,364 13,500
30,000 106,364
10,000 72,400
1,182
11,500 3,500
84,727
30,000 122,136
30,000
6,000 29,909
30,000 30,000 88,000
45,000 35,000
45,000 35,000 70,909
45,000 35,000
45,000 35,000 62,045
45,000 35,000 80,455
45,000 35,000 83,864
45,000 35,000 116,591
45,000 35,000 14,909
30,000 3,500 7,500 77,682
30,000 3,500 7,500 42,455
30,000 3,500 7,500
30,000 3,500 7,500
30,000 3,500 7,500 89,955
30,000 3,500 7,500 56,545
30,000 32,727
30,000 54,545
30,000 15,000 10,000 89,318
10,000 67,300
10,000 33,700
184,091
10,000 140,300

1,285,000 45,000 120,000 34,500 - - 20,000 130,000 110,000 10,000 350,000 - 321,500 - 2,663,932 439,600 304,000 -

Jurnal 5,419,825
Piutang 1,050,600
Subsidi 17,000
6,487,425

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 64,273
13,500 10,000 27,500 44,650
43,500 10,000 27,500 296,900
46,000 7,750 25,600 41,250 211,614
12,500 15,000 17,000 2,455 59,000
10,364
3,909
79,091
27,273
19,000 9,000 68,000
14,500 11,000
11,500 3,500

4,500 3,500
21,000 9,000
2,500 7,500 16,182
10,000 57,750
10,000 41,000
20,909
10,091
10,000 71,682 60,150 95,000
44,773
27,227
20,000
6,545
8,500 7,500
2,500 7,500 6,364
2,500 7,500 18,773
12,500 17,000 8,000 18,364
48,000
30,000
127,273
13,500
10,000 41,250
65,000 90,000
35,000 90,000
36,500 3,000 25,600 13,500
5,000 24,568
9,500 7,000
11,500 3,000
21,727 19,000
115,455
30,000 88,864
30,000 500 500 99,500
26,727
30,000 45,909
30,000 40,000
30,000
30,000
30,000 500 500 33,636 22,500
30,000 98,182
11,500 3,000
9,500 7,000
8,500 7,500
18,227
30,000 13,500
6,745

10,000 12,000

556,500 89,000 115,250 72,500 - - - - 123,500 38,000 180,000 51,200 109,250 - 1,455,700 553,700 265,000 -

Jurnal 3,352,095
Piutang 676,475
Subsidi 98,100
4,126,670

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

45,000 35,000 12,273 12,000


10,000 16,000
30,000 33,636
10,000 47,250 93,500
10,000 18,500
29,050
21,600
23,000
10,000 44,900
25,400
24,000
43,364
10,500 33,000 228,000 100,500 45,700
10,500 33,000 228,000 76,500 31,200
30,000
30,000
30,000
96,773 140,300
10,000 155,300 73,500
10,000 117,700
10,000 20,500
10,000 20,500
10,000 61,100 13,500
10,000 76,550 13,500
39,818
13,500
10,400
78,000
98,700
10,000 43,200
10,000 42,500
4,150
15,000 10,000

(21,136)

186,000 15,000 186,000 - - - - 456,000 - - 35,000 - 177,000 - 214,728 1,195,500 219,500 -

Jurnal 2,477,050
Piutang 501,100
Subsidi 160,050
3,138,200

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

13,500 10,000 22,500 140,425


10,000 24,500
2,500 7,500
21,136
55,727
105,500
9,500 4,750 41,250
11,500 3,500
9,500 6,500
11,500 3,000
14,500 11,000
62,000
137,000
10,000 46,100
10,000 22,500 41,060
48,000
10,000 32,400
13,500
10,000 43,600
25,000
10,000 34,000
30,000 500 500 41,636
30,000 4,500 10,000 34,000
30,000 500 500 95,386
9,500 4,500 49,000 15,000
500 500 90,955
500 500 34,938
24,000
219,455
10,000 22,500 21,950
65,500
19,636
11,500 3,500
30,000 500 500 114,409 13,500
30,000 29,500
30,000 500 500 66,545
30,000 3,500 7,500 13,500
30,000 500 500 174,727
30,000 18,409 10,000
30,000 108,409 29,500
9,500 7,000
30,000 52,273
30,000
30,000 36,227
30,000 53,636 31,500
30,000 500 500 124,273
6,500
6,500
30,000 26,591
30,000 16,364
30,000 29,182 42,500
30,000 500 500 113,611
10,000 38,500
10,000 25,100
2,727
36,000
36,000
2,500 7,500 18,000
10,000 29,750
10,000 81,700
113,636
36,000
10,000 96,800
11,036
79,773
10,000 24,000
205,273

589,000 13,500 166,750 68,000 - - - - 59,500 34,500 - - 90,250 45,000 2,138,972 670,885 634,500 -

Jurnal 4,523,279
Piutang 697,975
Subsidi 54,000
5,275,254

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

8,500 4,750 36,750 46,909


30,000 500 500 41,682
38,818
40,909
19,000 4,500 49,000
10,000 22,000
74,727
34,000
45,636
10,000 49,150
30,000 3,500 7,500 26,591 13,500
30,000 14,545
30,000 3,500 7,500 55,773
30,000 3,500 7,500 77,591
30,000 26,682 32,000
3,409
30,000
11,500 3,000
36,000
7,000
8,500 10,000 20,000 67,950

2,500 7,500 16,545


30,000
30,000 163,182
500 500 119,864
500 500 92,182
67,818
2,500 7,500 14,773
23,045
30,000 42,191
30,000 9,000
30,000
36,364
30,000 3,500 7,500 13,500
9,500 7,500

11,500 3,500
30,000 28,636 51,500
11,500 3,000
11,500 3,000
30,000 68,636 13,500
60,000 302,182
30,000 26,086
30,000 32,727
30,000
30,000 54,159
30,000 93,636
30,000 20,000 122,955
10,000 45,200
30,000 22,500
36,000
24,000
30,000 3,500 3,500 67,855
35,000 90,000
6,500

30,000 9,500 6,500 26,545


44,500 4,750 90,000 41,250
30,000 91,273
30,000 6,000 12,500 124,273
6,818

947,000 28,500 84,000 65,000 - - - - 82,500 26,500 180,000 - 127,000 - 2,233,518 184,300 180,500 -

Jurnal 4,871,370
Piutang (200,625)
Subsidi 40,425
4,711,170

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

91,545
9,455
39,273
10,000 12,000
36,000
72,000
112,500

19,091
141,955
21,818
25,000
30,000 132,182
30,000 6,000 12,500 54,318
30,000 6,000 12,500 54,318
13,864
30,000 6,000 12,500 54,318
31,818
49,091
500 500 142,000
36,000
22,727
36,000
11,500 3,500
9,500 4,750 41,250
5,000 10,636
11,500 3,000
8,500 7,500 45,455
30,000
8,500 7,500
30,000 500 500 72,273
30,000 129,205
51,591
30,000 24,545
30,000 162,591
500 500 26,091
30,000 44,636 10,000
30,000
18,000 9,250 100,750 59,545 13,500
51,364
36,000
97,636
36,000
30,000 81,500
30,000 152,727
30,000 126,136
9,500 7,000
30,000 3,500 7,500 13,500
72,000
5,455
36,000
36,000
103,818
36,000
144,000
108,000
8,500 7,500
5,000
49,045
19,000 9,000 68,000
36,000
72,000
36,000
67,818
8,500 10,000 15,000 57,200
8,500 7,500
30,000 33,864 23,500
30,000 134,955
39,500 4,750 41,250
25,545
30,000 67,682
36,000
16,909
36,000
36,000
30,000 500 500 20,000
5,000 9,091
30,000
30,000
30,000
30,000 8,182
30,000 15,864
72,000
213,636

806,000 8,500 120,250 32,500 - - - - 92,000 13,500 - - 251,250 - 3,818,568 57,200 185,000 -

Jurnal 5,881,325
Piutang 211,800
Subsidi -
6,093,125

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 1,000,182
2,500 7,500 32,000
6,591
56,909
10,000 48,900
280,000
11,500 3,000
28,500 13,500 102,000
228,000 4,000 37,500
16,500
190,000
2,500 7,500
91,573
30,000 30,182
30,000 6,000 12,500
30,000
30,000 3,500 7,500 364,545
30,000 8,000 15,500 273,409
30,000 196,364
30,000 47,273
10,000 48,700
72,000
36,000
30,000
10,000 31,500
30,000 72,205
30,000 500 500 146,545
30,000 4,091
13,500
11,500 3,500
19,000 9,000 68,000 48,500
64,364
12,000
30,000 3,500 7,500 49,409 13,500
30,000 500 500 91,773 13,500
30,000 28,636
39,500 4,750 41,250
30,000 61,000
9,500 7,000
30,000
36,500 3,000 25,600 69,091 32,000
500 500 3,529
30,000 500 500 63,455 13,500
104,727 52,000

30,000 206,136
30,000 500 500 232,227
30,000
30,000 23,636
63,636
11,500 3,500
30,000 5,455
30,000 32,227
30,000 186,455 13,500
36,000
17,182
91,500
30,000
30,000

30,000 7,000 14,500 54,318


10,000 42,500
50,000 22,500 171,500 18,182

983,500 - 128,250 44,000 - - - 228,000 79,000 17,000 - 25,600 382,750 - 4,090,306 209,100 571,000 -

Jurnal 6,201,287
Piutang 645,850
Subsidi 684,400
7,531,537

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

45,000 35,000 26,591


45,000 35,000 83,182
30,000 161,818
671,545
18,273
6,818
10,182
13,500 3,500 41,360
10,000 40,000
7,727
5,455
36,000
39,091
2,500 7,500
10,000 22,500 66,680
10,000 104,500
38,000
79,500
11,500 3,000
27,000
13,500 3,500 57,110
9,500 4,750 41,250
14,500 11,000
5,000 9,091
500 500 71,955
65,909
10,000 86,500
10,000 8,650
30,000
30,000
13,500
30,000
5,000 9,091
11,500 3,500
9,500 7,500
7,000
11,500 3,000
30,000
30,000 500 500 49,045
30,000 500 500 119,273
30,000 41,659 13,500
30,000 6,500
30,000 500 500 122,327
30,000 42,273
30,000 150,000 10,000 115,227 130,500
30,000 113,864 6,500
60,000 179,818 6,500
30,000
30,000 115,000
30,000
36,500 3,000 25,600 167,545 13,500
30,000
30,000 65,409
30,000
30,000 3,500 7,500 30,455
10,000 31,450
30,000 3,500 7,500 96,364
31,818
12,636
10,000 84,200
9,091
45,000 35,000 178,636
30,000 3,500 7,500 97,500
45,000 35,000 92,955
30,000 51,818
30,000 3,500 7,500 132,273
9,500 4,750 41,250
22,000
80,000 15,000 35,000 150,000 87,182
30,000 3,500 7,500 167,500
45,000 35,000 98,864
45,000 35,000 103,636
30,000
45,000 35,000 104,091
30,000
30,000
30,000
45,000 35,000
45,000 35,000
45,000 35,000 155,455
45,000 35,000
45,000 35,000
45,000 35,000
30,000 3,500 7,500 40,909
45,000 35,000 12,727
45,000 15,000 35,000 12,727
13,500
30,000 7,000 14,500 28,409
50,000 30,000 10,250 108,250
13,500 13,500 32,500 72,773

30,000 31,177

1,880,500 208,500 190,750 58,500 - - - - 118,500 28,000 560,000 25,600 340,750 22,500 4,003,164 520,450 377,500 -

Jurnal 7,945,285
Piutang 909,395
Subsidi 369,350
9,224,030
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

5,000 9,545
8,636
9,500 7,000
9,500 7,500
31,500
94,136
10,000 85,625
42,182
180,000
10,000 40,500
10,000 16,650
6,136
2,500 7,500 10,227

45,773
2,500 7,500 22,500
5,500 500 5,318
19,000 9,000 68,000 35,500
16,991
34,000

25,091
10,000 41,000
9,500 7,000
27,773 9,000
2,727
4,500 3,500
11,500 3,000
51,545
11,500 3,000
59,455
500 500 55,260
21,000 9,000
11,500 3,500
72,000
15,000 10,000 18,000
48,500
218,182
15,000 6,000
27,500 82,350
(32,182)

19,000 - 122,500 67,500 - - - - 32,000 34,500 - - 68,000 - 942,296 284,125 167,500 -

Jurnal 2,381,351
Piutang (247,200)
Subsidi -
2,134,151

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

32,682
10,000 55,200
87,409 9,800
9,091
11,200
13,500
20,000
10,000 11,000
50,000 10,000 37,500 29,350
34,500
36,000
5,000 9,091
10,000 13,000
10,000
17,250
119,250
111,500
1,818
16,650
6,500
10,000 36,500 73,500
10,000 141,075
10,000 93,300
10,000 22,500 66,800
10,000 10,350
13,500
10,000 35,000
10,000 13,000

- 50,000 125,000 - - - - - 37,500 - - - - 22,500 210,591 692,225 225,000 -

Jurnal 1,325,475
Piutang 239,100
Subsidi 126,800
1,691,375

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 91,250
12,500 20,000 22,000
41,818
22,909
76,500
10,000 79,700
10,000 69,100
73,000
10,000 72,000
10,909
10,000 87,600
11,500 3,500
112,773
48,500
68,500
19,000 9,000 68,000
9,500 6,500
10,500 5,500 67,000
10,000 7,500 133,050
13,500
10,500 5,500 67,000
212,545
9,500 7,000
11,500 3,500
500 500 112,596
30,000 500 500 145,591
10,000 22,500 33,455 37,400
30,000 500 500 64,045
30,000 30,409
30,000 79,909
30,000
30,000 69,273
30,000
9,000 8,000
30,000 46,364 76,500
9,500 7,500
30,000 120,682
30,000
76,000
60,818
83,455
37,864
30,000 42,273
30,000 4,091
30,000 8,182
30,000
30,000 6,136
30,000 500 500 165,864
39,500 4,750 41,250 4,091
12,500 5,000 5,000 80,909
10,000 10,250
72,000
31,909
30,000 3,182
30,000 35,455
72,000
24,500
10,000 27,500
7,727
10,000 64,700 73,500

12,500 25,000 35,000


657,000 50,000 135,750 51,500 - - - - 79,500 28,000 - - 243,250 22,500 1,895,233 672,550 454,500 -

Jurnal 4,641,856
Piutang 282,100
Subsidi 47,350
4,971,306

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

160,591
10,000 86,100
190,045
271,450
121,182
78,682
6,909
5,318
10,000 33,850
30,000 3,500 7,500
20,000
2,500 7,500
10,000 30,100

4,000 3,500 14,091


30,000 10,000 27,727
92,000
45,636
8,727
45,000 27,000 239,000 177,818 31,500
11,500 3,500
172,000
36,500 3,000 25,600
30,000 112,273
30,000 500 500 94,955
30,000 9,000
30,000 500 500 38,227
36,500 3,000 25,600 54,773
123,545
60,000 69,886 13,500
30,000
30,000 80,545
30,000
30,000 104,091
60,000 3,500 7,500 139,545 18,500
30,000
30,000 35,386
30,000 500 500 102,000
35,864
48,091 73,500
34,000
10,000 22,500 52,180 13,500
12,500 25,000 35,000 49,091
35,000 90,000
10,000 32,100 30,000
36,000
35,000 90,000
50,000 10,250 108,250 49,000
30,000 20,000 81,364
282,955
30,000 59,091
30,000 500 500 89,727
45,291
9,500 7,000
30,000 23,182
30,000 11,364
30,000
30,000 55,455 43,500

30,000 3,500 3,500 65,136

1,000,500 45,000 122,250 21,000 - - - - 89,000 10,500 180,000 51,200 347,250 - 2,777,564 505,780 497,000 -

Jurnal 5,384,250
Piutang 876,750
Subsidi 43,300
6,304,300
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

38,682
1,386
12,000
10,227
10,091
13,500 7,500 37,632
10,000 21,325
31,182
100,000
30,000 3,500 7,500 72,682
30,000 53,636
35,000 90,000

36,000
180,000
64,500
3,500 7,000
11,500 3,000
9,500 4,750 41,250
2,500 7,500 3,636
2,500 7,500 149,327
5,500 500
30,000
11,500 3,500
59,273
36,500 3,000 25,600
30,000 119,045
30,000 50,000
30,000 76,364
21,000 11,000 118,000
9,500 4,750 41,250
30,000 40,909 13,500
97,000
9,500 7,000
30,000 59,773
30,000 500 500 22,909
30,000 500 500 160,364 13,500
30,000
30,000 500 500 152,273
30,000 60,000
30,000
30,000 500 500 119,045
2,500 7,500 15,909
72,000
36,000
36,000
36,000
60,409
10,000
30,000 13,500
39,500 4,750 41,250 143,136
30,000 500 500 40,455 6,500
49,091
36,000
36,000
36,000
36,000
36,000
67,818
36,000
36,000
36,000
36,000
30,000 104,182
30,000 50,000 16,427
30,000 67,818
30,000 117,455
30,000 119,727
30,000 3,500 7,500 49,773
30,000 100,545
67,818
36,000
30,000 18,636
31,818
36,000
30,000 98,182
107,455
30,000 96,524
36,000
5,000
36,000
36,000
36,000
30,000 140,545
67,818
36,000
36,000
36,000
36,000
(48,500)
36,000
108,000
30,000 117,455
30,000 53,205
30,000 56,591
16,818
103,818
185,000
36,000
36,000
108,000
30,000 81,136
74,182
95,091
30,000 81,455
30,000 140,000
30,000 3,500 7,500 6,091
45,000 35,000 96,364
30,000 3,500 7,500 23,636
30,000 3,500 7,500 99,545
30,000 119,364
72,000
67,818
30,000 36,000
36,000
36,000
36,000
36,000
36,000
40,000
54,500 4,750 35,000 41,250 114,000
30,000 80,455
40,500 5,500 51,000 35,455
30,000 125,818
30,000 3,500 7,500
30,000 2,500 5,000 182,273
10,000 72,250
30,000 134,820
30,000 3,500 7,500 69,000
45,000 35,000 110,909
45,000 35,000 83,864
45,000 35,000 90,000
30,000 67,818
36,000
30,000
36,000
36,000
36,000
30,000 36,000
30,000 6,000 12,500
72,000
67,818
103,818
40,500 5,500 51,000
30,000 67,818
30,000 67,818
30,000 81,455
30,000 49,727
36,000
45,000 35,000 83,864
36,000
23,773
36,000
30,000 67,818
30,000 36,000
30,000 97,000
72,000
72,000
30,000 66,136
30,000 157,727
36,000
30,000 67,818
30,000 36,000
45,000 35,000 53,182 13,000
30,000 72,364
30,000 92,145
45,000 35,000
45,000 35,000
30,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
36,000
17,045

2,716,500 50,000 139,500 32,500 - - - - 110,000 13,500 545,000 25,600 385,000 - 8,863,154 131,207 428,500 -

Jurnal 15,184,006
Piutang (361,230)
Subsidi -
14,822,776

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

2,500 7,500 31,455


33,818
7,773
45,000 35,000 83,182
30,273
99,864
4,545
22,727
50,000 140,000

4,545
2,500 7,500
5,000 9,091
11,036
10,000 80,100
10,000 22,550
10,000 77,300
10,000 7,500 60,550
83,864
42,000
5,000
38,364
30,000 500 500 53,591 13,500
30,818
5,000 19,818
30,000 34,455 20,000
36,500 3,000 25,600
2,500 7,500
30,000 36,364
30,000 500 500 57,500

5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 6,818
5,000 4,091
5,000 1,818
5,000 1,818
5,000 1,818
5,000
2,500 7,500 43,636
46,364
30,000
30,000 55,773 13,500
30,000 500 500 49,545
30,000 500 500 109,273 6,500
10,000 41,550
10,000 28,175
30,000 500 500 97,000
30,000 500 500 100,182
30,000 500 500 94,473
11,500 3,000
30,000 500 500 221,000
30,000 3,500 7,500 92,273 13,500
37,727
11,500 3,500
35,000 90,000
35,000 90,000
288,000
35,000 90,000
35,000 90,000
36,000
12,000
126,818
72,000
10,000 77,300
10,000 84,650
30,000 6,000 12,500 11,364
30,000 3,500 7,500 95,409
30,000 3,500 7,500 11,091
5,000 1,818
5,000 1,818

701,500 - 238,500 23,000 - - - - 126,500 6,500 395,000 25,600 - - 2,463,918 612,175 79,000 -

Jurnal 5,236,135
Piutang 274,670
Subsidi 101,280
5,612,085

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 392,318
45,000 35,000 52,727
30,000 100,864
10,500 15,500 1,050,000 51,000 476,375
10,000 26,700 104,000
79,091
23,182
1,364
37,500
10,000
32,500
2,500 7,500
5,000 8,636
52,000
13,500 10,000 27,500 76,610
10,000 18,900
10,000 62,925
11,500 3,000
11,500 3,000
4,500 3,500
10,000 54,000
51,500
83,500
5,500 4,000 78,818
74,091
30,000
30,000 60,614
30,000
30,000 43,909
30,000 25,645
30,000
30,000 30,000 87,482
58,218
30,000 34,818
27,000
30,000
2,500 7,500 110,962 13,500
30,000 500 500 127,727 13,500
10,000 25,900
11,500 3,500
9,500 7,000
87,909
25,500 11,250 83,250 63,636
30,000 24,273 10,000
40,909
27,500 150,000 206,200
45,000 35,000 83,864
45,000 35,000 83,864
30,000 65,909
9,000
30,000
9,500 4,500 34,000
10,000 22,500 11,000
3,636
10,000 55,800
45,000 35,000
45,000 35,000
30,000 3,500 7,500
30,000 3,500 7,500
60,000 35,000
45,000 35,000
45,000 35,000
10,000 34,150 44,000
12,955
30,000
227,273
10,000 57,500
19,000 19,000 68,000 208,150
5,455
19,500 10,000 111,100

979,500 43,500 220,250 48,500 - - 150,000 1,050,000 72,000 20,000 280,000 - 236,250 22,500 2,149,148 1,425,310 399,000 -

Jurnal 5,014,398
Piutang 2,962,575
Subsidi 150,900
8,127,873

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

57,273
64,350
500 500 72,955
10,000 181,600
18,091
30,000 500 500 164,545
30,455
9,500 7,000
11,500 3,000
10,500 5,500 67,000
30,000 9,000
49,545
8,000 4,500 53,455 64,500
375,500
13,500
9,500 4,500 41,500
30,000 500 500 55,750
30,000 3,500 7,500 13,500

30,000 13,500
10,000 47,700
8,000
13,500
30,000 13,500
30,000
30,000 20,000
30,000 83,864 13,500
54,545
30,000 13,500
30,000 3,500 7,500 13,500
105,000
30,000 77,159
30,000 500 500 91,091
30,000 30,000 75,436
30,000 57,364
22,500 40,136
30,000 500 500 94,364
9,500 7,000
11,500 3,000
30,000 500 500 213,364
29,886
10,909
10,000 97,950
30,000 3,500 7,500 107,727
61,500 16,500 169,000 228,182
5,000 9,545
30,000 8,636
30,000
30,000 1,818
30,000 1,818
30,000 8,636
30,000
30,000 1,818
30,000 1,818
30,000
30,000 1,818
30,000

951,500 30,000 75,000 50,000 - - - - 25,500 24,500 - - 277,500 22,500 1,786,355 327,250 670,000 -

Jurnal 4,669,805
Piutang (62,315)
Subsidi 128,250
4,735,740

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 78,740
12,500 30,000 24,500 17,955
12,500 5,000 5,000
12,500 1,682
12,500 40,000 30,000 2,591
12,500 30,000 23,500 20,909
36,500 3,000 25,600 58,182 13,500
107,000
5,455
94,636
3,409
10,000 17,500
30,500
10,000 50,350
10,000 80,250 79,500

30,000 325,000 65,000 81,250 48,750 115,773


10,000 17,500
102,091
36,818
22,500
52,177
11,182
91,182
30,000 4,500 10,000 12,636
13,500
10,000 11,000
7,000 10,000 3,500 34,150

60,000 10,000 12,500 38,600


12,500 10,000 7,500 909
12,500 20,000 15,000 4,773
132,500
4,273
4,364
10,000 6,428
8,000
4,700
6,700
10,000 99,200
47,600
10,000 84,450
10,000 49,650
14,100
10,000 27,250

184,000 527,000 137,500 - 65,000 81,250 - - 180,250 - - 60,600 - - 747,995 641,168 292,000 -

Jurnal 2,326,673
Piutang 548,940
Subsidi 303,950
3,179,563

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 326,450
10,000 34,450
26,500
10,000 22,500 94,600
10,000 59,650
10,000 34,500
10,000 54,000
91,500
79,500
10,000 85,600
10,000 17,500 20,050
10,000 22,500 139,700
10,000 5,000 32,050
8,600
105,000
10,000 67,300
40,000
2,500 7,500
10,500 22,000 15,500 89,000 51,000 175,375
68,500
9,500 4,500 34,000
58,909
27,636
72,273
10,500 5,500 51,000
9,500 6,500
5,000 9,545
5,000 9,545
237,864
9,500 4,750 41,250
3,000 25,600 68,636 13,500
13,500
39,500 4,750 41,250 6,136
39,500 4,750 41,250 99,545
30,000 92,273
9,500 4,500 34,000
30,000
30,000 135,591
30,000 6,500
30,000 500 500 71,136
30,000 13,500
12,000
30,000 105,000
11,500 3,500
10,000 36,000
10,000 5,700 13,500
30,000 70,227 6,500
30,000 6,500
30,000
30,000 500 500 36,645
30,000
30,000 500 500 134,773
30,000 166,091
30,000 500 500 112,000 63,500
30,000 500 500 25,409
44,682
10,000 68,650
10,000 21,200
19,727
27,500 20,000 72,000 609,080
9,682
61,136
107,045
30,000 130,000
30,000
15,500 10,000 27,500 177,925 13,500
8,409
30,000 90,000
12,000
30,000
13,500 10,000 22,500 58,200
9,500 4,500 41,500

738,000 51,000 264,250 21,000 - - 20,000 112,000 154,000 10,000 - 43,100 335,250 45,000 2,048,418 2,073,080 543,000 -

Jurnal 6,812,890
Piutang 480,000
Subsidi 33,550
7,326,440

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
10,000 22,200
20,545
9,636
41,455
30,000 111,075
13,773
30,000
10,000 71,500
65,000 10,000 22,500 71,450
8,545
40,636
6,818
56,500
2,500 7,500
8,500 10,000 22,500 39,550

14,136
10,000 7,500 22,280
30,000 46,636
30,000 84,545
30,000 13,500
34,000
28,500 13,500 102,000
10,000 10,000 45,550
30,000 500 500 20,000
30,000 64,000 9,000

15,000
30,000 104,773
30,000 72,909
30,000
30,000 82,818
30,000 125,000
9,500 7,000
30,000 61,227
30,000 90,682 58,000

39,500 4,750 41,250 25,909


9,500 7,000
4,500 3,500
30,000 22,000
30,000 500 500 99,045
30,000 52,727
30,000 500 500 92,364
30,000
30,000 27,727 86,000
30,000 67,000
30,000 57,227
30,000
31,636
9,500 7,500
30,000
30,000 81,500
30,000 18,182
30,000 150,455
10,000 36,700
35,000 90,000
10,000 7,500 22,200
35,000 90,000
380,000

948,000 73,500 102,250 33,000 - - - - 79,000 25,000 180,000 - 143,250 - 1,670,984 331,430 726,000 -

Jurnal 4,901,880
Piutang 1,107
Subsidi 23,025
4,926,012

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, KP
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

5,545
7,909
8,500 4,750 36,750 52,273
55,000 10,000 12,000
30,000 12,364
10,000 16,750
10,000 62,382
123,500
8,455
10,000 35,100
6,636
30,000 6,000 12,500 75,318
30,000 7,000 14,500 11,364
30,000
30,000 54,318
30,000 3,500 7,500 72,682

45,000
57,809
44,000
500 500 24,668

2,500 7,500
13,500
20,000
2,727
19,000 19,000 68,000 75,900
125,500
67,818

10,000 24,265
36,000
36,000
30,000 67,818
30,000 82,727
10,000 9,250
9,500 7,000
30,000 3,500 7,500 77,682
45,000 35,000 38,864
10,000 19,750
80,000 10,250 108,250 74,891
72,000
36,000
45,000 35,000 38,864
45,000 35,000 51,818
36,000
36,000
36,000
43,273
30,000 58,727
30,000 81,455
30,000 57,273
36,000
72,000
36,000
36,000
36,000
36,000
72,000
45,000 35,000 120,045 12,000
30,000 67,818
103,818
45,000 35,000 56,591
156,000
36,000
72,000
25,818
45,000 35,000 110,909
72,000
30,000 47,045
36,000
30,000 500 500 96,227
13,500 12,500 27,500 39,350
22,000 14,500 71,500 156,775
72,000
45,455
36,000
36,000
30,000 36,000
36,000
36,000
30,000
30,000 36,000
36,000
36,000
36,000
72,000
36,000
30,000 36,000
30,000 67,818
36,000
42,455
30,000 67,818
30,000 38,864
36,000
30,000
36,000
30,000 67,818
36,000
30,000 36,000
30,000 113,636
10,000 35,430
30,000 36,000
30,000 36,000
30,000 7,000 14,500 273,409
30,000 36,000
36,000
40,500 5,500 51,000
36,000
30,000 36,000
30,000 7,000 14,500 35,455
72,000
36,000
36,000
36,000
30,000 67,818
36,000
30,000 115,387
30,000 36,000
83,182
87,955
30,000 50,000 112,409
16,000 12,500 6,650
31,818
30,000 105,273
30,000
30,000 3,500 7,500 24,318 82,500
30,000 50,000
39,500 4,750 41,250 45,455
30,000 126,136
30,000 35,909
30,000 52,545 81,000
30,000 40,455
6,818
30,000 77,500
30,000 500 500 34,182
8,500 10,000 15,000 29,600
10,000 96,200
30,000 500 500 41,545
30,000 500 500 76,545
62,818 14,500
3,136
30,000
30,000 10,227
30,000 500 500 128,636
78,636
30,000 3,500 7,500
30,000
30,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000
30,000
30,000
30,000
30,000
30,000
30,000 4,091
30,000 4,091
30,000 50,909
61,136

2,912,500 94,000 223,750 9,500 - - - - 233,000 7,000 630,000 - 305,250 - 6,379,210 607,402 484,500 45,000

Jurnal 15,499,451
Piutang (2,421,959)
Subsidi 258,541
13,336,033

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
30,000 500 500 100,575 29,500
30,000
45,000 35,000
45,000 35,000 90,909
10,000 35,250
45,000 35,000 138,636
30,000 57,000
30,000
30,000 3,500 7,500 273,409
13,500
455
13,364
36,000
36,000
10,000
9,364
20,000 22,500 13,670
909
13,182
23,455
30,000 95,660
10,000 24,600
40,036

10,000 7,500
(135,500)
2,500 7,500
31,818
9,500 4,750 41,250
31,500
8,182
29,364
20,000
13,500 10,000 20,000 59,540
36,500 3,000 25,600
30,000 54,727
8,182
30,000 14,318
9,500 7,000 42,000
2,500 7,500
10,000 85,100

35,909
83,500
500 500 32,984
9,500 4,500 64,000
30,000 15,818 9,000
30,000 81,364
30,000 88,864
39,818
9,500 7,000 7,500 49,000 20,182
30,000 500 500 79,659
11,500 3,500
30,000 77,318 13,500
10,500 19,000 7,500 51,000 163,150 83,000
70,500
34,000
30,000 107,091
30,000 500 500 47,500 13,500
30,000 78,182 13,500
30,000
30,000 162,273
22,773
30,000 82,500
30,000 48,409
30,000 500 500 165,409

30,000 30,000 108,473


30,000
30,000 106,818
10,000 38,850
127,273
9,227
30,000 50,909
30,000 4,091
30,000 50,909

1,020,500 43,500 129,250 21,000 - - - - 67,500 10,500 105,000 25,600 205,250 22,500 2,730,295 284,660 456,000 -

Jurnal 4,665,253
Piutang 1,192,832
Subsidi -
5,858,085
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

56,182 73,500
3,727
23,500
27,864
12,500 25,000 35,000
10,000 61,200
10,000 26,100
10,000 23,400
10,000 22,500 60,500
23,227
2,727
6,364
6,818
14,409
10,000 17,500 21,650
(9,227)
30,000 3,500 7,500 88,818
30,000 60,682
30,000 7,000 14,500 17,500
30,000 8,000 15,500 54,318
30,000
10,000 52,815
6,636
2,500 7,500
45,182
80,500
2,500 7,500 55,000
24,000
19,727
43,500 13,500 27,500 67,410
51,500
51,500
30,000 13,500
30,000
30,000
30,000 4,091
30,000 3,500 7,500 4,773
18,000 9,250 85,750 49,091
30,000 500 500 71,455
30,000 76,500
30,000
180,000
94,636
8,500 7,500 41,955
10,000 54,500
28,864
12,500 250,000 23,000 52,000

190,000
8,500 13,500 15,000 26,650
30,000 60,000
30,000 144,977
30,000 500 500 149,500
31,818
45,455
30,000 3,500 7,500 36,136
5,636
28,500 10,000 22,500 44,050

553,000 355,500 156,250 - - - - 180,000 199,000 - - 17,500 85,750 22,500 1,347,841 438,275 537,000 -

Jurnal 4,356,800
Piutang 25,600
Subsidi 99,500
4,481,900

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

59,000
76,500
106,500
1,818 101,500
36,455
1,727
10,000
10,091
10,127
19,000 9,000 68,000 35,500
4,091
10,000 113,450
10,000 78,700
64,273
87,568
215,091
2,727
1,818
10,000 144,150
23,500
51,500
108,000
79,500
10,500 5,500 67,000
110,295
23,409
8,500 4,750 36,750 7,273
30,000
2,500 7,500 58,045
12,500 36,364
30,000
30,000 107,432
30,000 500 500 111,545
30,000 9,000
30,000 500 500 50,682
8,500 4,750 36,750 35,909
10,000 9,500 7,000 123,200
25,455
30,000 500 500 47,114
9,500 7,000
4,500 3,500
30,000
4,500 3,500
30,000 42,045
30,000 4,091
30,000 3,500 7,500 13,500
30,000 60,682
30,000 69,318
16,727
9,500 7,000
26,818
11,500 3,000
3,636
17,000 7,500 55,500
3,636
30,000 33,636
56,818
30,000 32,091
30,000
30,000 32,091
10,000 30,732
10,500 15,500 51,000 111,060
30,000
30,000
30,000

686,500 - 104,500 49,000 - - - - 16,500 31,000 - - 315,000 - 1,548,900 601,292 556,000 -

Jurnal 3,955,842
Piutang 298,765
Subsidi 171,475
4,426,082

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 65,800
346,045
5,000 9,545
13,500
22,000 10,000 65,000 128,725
10,000 5,000 18,900
11,364
10,000
10,000 85,200
7,000 10,000 3,500 54,000
10,000 17,500 142,675
10,000 94,500
62,000
3,636
29,000
5,636
5,636

- 29,000 85,000 - - - - - 73,500 - - 17,500 - - 395,364 618,800 62,000 -

Jurnal 1,021,750
Piutang 309,625
Subsidi 190,325
1,521,700

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

20,000
3,000 25,600
8,500 14,750 36,750 85,000 67,500
10,000 38,300
27,500 157,450
10,000 22,500 48,800
10,000 28,650
10,000 4,575
12,000
178,136
10,000 41,950
10,000 16,100

22,545
10,500
18,000
13,500
24,182
10,000 45,000
10,000 10,500
2,727
2,727
2,500 7,500
28,182
130,318
2,500 7,500 51,818
88,182 8,000
30,000 28,273
79,318 20,000
30,000 111,136
30,000 500 500 99,841
30,000
30,000 97,500
2,500 7,500 38,409
9,500 7,000
30,000 500 500 232,727
30,000 500 500 130,705
30,000 134,364
11,500 3,500
63,182
151,136
9,500 7,000
13,500

500 500 37,256


5,500 500

9,500 7,000
31,500
30,000 147,182 13,500
39,500 4,750 41,250 157,955 27,500
10,000 5,000 24,950
30,000 91,591
30,000 30,000 80,745
40,500 5,500 67,000 123,636
47,000

30,000
30,000 123,409 13,500
30,000 500 500 132,500
30,000 13,500
73,000
10,000 16,300
8,500 10,000 22,500 165,225
19,773
12,500 40,000 27,000 9,773
12,500 20,000 13,500 9,773
12,500 20,000 13,500 12,591
10,000 7,500
127,273

30,000 3,500 7,500 161,591


52,682
30,000
8,636
40,500 5,500 51,000
30,000 3,500 7,500 100,682
30,000
30,000 24,318
30,000 28,409
30,000 3,500 7,500
11,818

826,500 118,500 207,000 40,000 - - - - 137,000 24,500 - 25,600 196,000 22,500 3,167,502 682,800 392,000 -

Jurnal 6,793,692
Piutang 38,960
Subsidi -
6,832,652

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 74,150
30,000 135,227
12,500 4,545
10,364
29,091
30,000 500 4,500 500 3,500 106,727
30,000 500 500 57,591
39,000
101,091
42,364
(22,727)
38,591
13,227
20,909
2,500 7,500

(32,455)
8,182
10,000 161,750
81,136
14,091
8,500 10,000 17,500 60,150
482
24,545
5,818
10,000 59,500
82,909 13,500
59,091
500 500 22,282
31,500
9,500 4,500 34,000
8,500 3,750 37,750
11,500 3,000
9,500 6,500
20,000
51,500
42,045
5,500 500
32,955

2,500 7,500
13,500
30,000 500 500 48,432
11,500 3,500
30,000 500 500 128,409

46,000 7,750 25,600 41,250 92,773


30,000 500 500 188,000 13,500
30,000
30,000
30,000 102,364 67,000
30,000 91,818
30,000 500 500 20,000
30,000 65,636 9,000
30,000 500 500 191,273
30,000 500 500 92,955 6,500
30,000 10,909
30,000 500 500 105,682
30,000 500 500 20,000
5,500 500
2,500 7,500 32,727

10,000
10,000
30,000 28,045
30,000 500 9,500 500 7,000 55,682
297,364
30,000 500 500 84,318
30,000 86,591
37,500 10,000 17,500
30,000 104,182
30,000 177,273
35,000 90,000
7,000

839,000 8,500 111,000 46,500 - - - - 30,000 23,500 90,000 60,600 113,000 - 2,941,513 355,550 233,000 -

Jurnal 7,666,015
Piutang (2,361,750)
Subsidi 232,550
5,536,815

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

14,318
37,682 52,000
16,591
54,136
22,727
159,409
9,500 2,000
10,000 78,900
10,000 22,500 56,450
10,000 16,200
6,000
10,000 71,300
10,000 48,850
10,000 120,500
108,000
30,000 97,955
30,000 3,500 7,500 13,409
30,000 3,500 7,500 41,636
30,000 33,182
11,500
13,500
2,500 7,500
8,636
10,000 22,500 26,850
20,455
9,500 4,750 41,250

18,545
10,000 111,300
10,000 18,500
9,500 7,000
30,000 20,455
30,000
30,000 46,364
30,000
30,000 62,727
30,000
30,000
9,500 7,000
30,000 135,000
30,000 500 500 143,000
30,000 30,000 30,482 32,000
30,000
30,000 500 500 41,545
20,000
30,000 32,500
9,500 7,000
30,000 500 500 60,773
9,500 5,000 8,000 500 4,500 64,000 92,227
30,000 500 500 75,000 17,500
30,000 77,682
30,000
5,500 500
93,711
13,500 10,000 20,000 24,000
10,000 49,450

108,000
30,000
67,818
95,091
36,000
36,000
36,000
45,000 35,000 120,682
27,273
30,000 154,408
30,000 3,500 7,500 197,729
30,000 67,818
30,000 67,818
30,000 67,818
10,000 22,500 12,500
32,455
72,000
36,000
72,000
30,000 67,818
36,000
36,000
72,000
36,000
72,000
72,000
36,000
67,818
30,000 118,864
30,000 3,500 7,500 83,182
30,000 3,500 7,500 70,909
72,000
30,000 67,818
30,000 128,273
36,000
30,000 72,000
36,000
36,000
30,000 128,182
72,000
72,000
72,000
30,000 36,000
72,000
72,000
45,000 35,000 92,955
31,818
36,000
36,000
36,000
30,000 100,000
30,000
51,000 11,000 134,000
72,000
30,000 72,000
36,000
72,000
72,000
36,000
144,000
72,000
30,000 116,045
30,000 143,500
30,000 73,273
30,000 92,727
30,000 67,818
45,000 35,000 171,818
45,000 35,000 68,864
30,000 47,045
45,000 35,000 45,909
27,273
30,000 36,000
30,000 94,182
30,000 37,273
30,000 68,182
30,000 67,818
36,000
36,000
36,000
36,000
31,818
30,000 8,000 15,500 273,409
455
10,000 34,510
30,000 3,500 7,500 173,636
30,500
30,000 12,045
30,000 63,818
30,000 4,091
30,000 4,091
30,000 4,091
30,000
30,000
30,000
30,000
30,000
30,000 3,500 7,500
30,000 3,500 7,500
30,000 15,000 10,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000

2,580,000 158,500 196,750 46,000 - - - - 116,000 27,500 420,000 - 239,250 67,500 7,245,375 669,310 189,500 -

Jurnal 12,994,172
Piutang 140,370
Subsidi 236,180
13,370,722

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 90,700
2,500 15,500 89,341
36,500 3,000 25,600 34,545
30,000 85,364
12,500 20,000 13,500 9,864
45,000 35,000
45,000 35,000
30,000 999,295
27,273
36,000
39,000
23,182
20,591
72,727
610,000
10,000 3,000
20,000 10,000 45,500 52,850
10,000 133,175 13,500
31,818
10,000 1,500
30,000 6,000 12,500 91,136
5,455
30,773
45,000 35,000 169,091
11,500
20,000
103,636
5,864
118,527
33,500 10,000 32,500 44,350
83,864
9,500 7,500 13,500
30,000 500 500 56,273
12,000
95,955
500 500 59,565
110,455
30,000 500 500 86,727
75,909
30,000 16,545 9,000
30,000 147,955
9,500 7,000
30,000 144,364
51,455
30,000 203,409
10,000 27,800
30,000 50,000
30,000 139,091
30,000 62,955
167,593
30,000 500 500 44,773
11,500 3,500
9,500 7,000
9,500 7,500
43,636
13,500 13,500 30,000 44,300
10,000 24,710
2,500 7,500
12,286
31,500
34,000
36,000
2,500 7,500
34,091
10,000 11,818
6,364
9,500 7,000 13,500
4,500 3,500
227,273
10,000 54,750
10,000 116,273
39,955

594,000 87,000 142,000 63,500 - - - - 166,500 43,000 105,000 25,600 - - 4,118,063 477,135 748,500 -

Jurnal 4,775,554
Piutang 1,950,388
Subsidi 777,662
7,503,604

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 39,345
45,000 35,000 71,591
211,591 105,500
10,909
28,682
2,273
29,091
38,500 3,750 80,000 37,750 31,500
30,000 80,000
35,000 90,000
30,000 50,909
30,000
30,000
30,000 109,727
30,000 50,909
9,455
30,000 8,000 15,500 54,318
30,000 119,091
30,000 27,273
30,000 22,727
30,000 11,364
28,500 10,000 15,000 35,750
10,000 22,300
9,500 8,500 14,500 15,000 34,000 55,050
47,273
10,000 18,000
36,000
31,500
5,000
5,000
72,000
10,000 38,000
13,818
10,000 21,250
10,000 12,250
9,500 4,500 41,500
8,500 4,750 36,750
118,455
8,500 7,500
9,500 7,000

9,500 4,500 64,000


22,000
15,223
46,818
10,000 94,800
11,500
5,500 500
5,000 9,545
52,364
83,409
2,500 7,500
2,500 7,500 66,409
30,000
45,000 35,000 36,364
45,000 35,000 15,000
12,500 20,000 13,500 9,773
8,273
30,000 97,955
10,000 351,750
21,136
30,000 23,136
30,000 13,500
30,000 147,727
30,000 92,909

30,000 113,318
30,000 3,500 7,500 13,500
45,000 35,000 47,045
45,000 35,000 56,591
30,000 73,182
30,000 102,727
30,000 3,500 7,500 38,864
20,000
30,000 50,455
30,000 3,500 7,500 13,500
30,000 14,091
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000 3,500 7,500
30,000 3,500 7,500
35,000 90,000
4,545
30,000 500 500 56,455
30,000
70,136
39,500 4,750 41,250 4,091
39,500 4,750 41,250 119,318
30,000 500 500 20,000
30,000 500 500 69,864
30,000 500 500 134,773 6,500
30,000 500 500 133,864
1,818
95,682 13,500

30,000 500 500 63,909


30,000 500 500 40,455 6,500
30,000 500 500 20,000
30,000 143,568
(45,045)
28,500 23,750 124,250 54,000
36,000
72,000
10,000 10,000 15,250
10,000 54,000
30,000
30,000 100,000

1,915,500 157,000 228,750 9,500 - - - - 133,500 7,000 690,000 - 420,750 - 3,432,046 772,400 257,500 -

Jurnal 9,179,120
Piutang (506,720)
Subsidi 353,750
9,026,150

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

802,818
28,818
27,500 20,000 17,500 522,050
36,000
32,000
10,000 22,750
82,091
30,000 3,500 7,500
30,000 7,000 14,500
10,000 49,500 73,500
17,273
30,000 65,636
9,500 4,750 41,250
10,500 5,500 67,000
20,000
9,500 4,750 41,250
10,000 25,050 9,000
13,500
10,773
9,500 2,500 36,864
30,000 3,500 7,500 335,000 34,500
5,000 10,000
30,000 500 500 99,091
30,000 30,000 17,618
2,500 7,500 13,636
30,000 83,682
72,000
9,500 7,000
72,000
4,818
82,727
45,864

4,500 3,500
7,000
30,000 12,273
30,000 117,409
9,500 7,000
22,591
3,000 10,000 35,591
30,000 123,000
30,000 116,818
10,500 5,500 51,000
30,000 500 500 30,455
65,000 90,000
67,818
8,500 10,000 22,500 58,200
9,500 4,750 41,250
5,000 9,545
6,818
24,500
72,000
36,000
494,500 38,500 123,250 33,000 - - 20,000 - 70,500 20,000 90,000 17,500 241,750 - 2,567,027 677,550 194,000 -

Jurnal 3,651,680
Piutang 1,119,350
Subsidi 458,750
5,229,780

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

17,000
7,250
216,250
500
54,500
21,500
82,000
2,500
30,000 6,000 12,500 61,364
7,000 10,000 3,500
10,000 22,500 41,000
10,000 22,500 69,250
10,000 134,200
10,000 93,982
13,500
10,000 35,000
18,000
42,600
2,000
10,000 15,382
10,000 63,800
77,050

30,000 7,000 86,000 - - - - - 16,000 - - - - 45,000 61,364 835,764 171,500 -


Jurnal 1,137,214
Piutang 317,550
Subsidi -
1,454,764
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

111,000 111,000 -
219,900 219,900 -
163,500 163,500 -
290,900 290,900 -
7,000 7,000 -
148,250 148,250 -
34,000 34,000 -
21,600 21,600 -
21,000 21,000 -
16,500 16,500 -
52,200 52,200 -
64,500 64,500 -
18,050 18,050 -
264,000 264,000 -
124,000 124,000 -
40,500 40,500 -
133,000 133,000 -
248,500 248,500 -
15,500 15,500 -
105,300 105,300 -
206,200 206,200 -
15,500 15,500 -
189,750 189,750 -
171,950 171,950 -
185,500 185,500 -
- 8,600 8,600
141,775 141,775 -
17,000 17,000 -
94,100 94,100 0
151,000 151,000 -
106,400 106,400 -
1,300 1,300 -
17,000 17,000 -
93,200 93,200 -
168,350 168,350 -
34,000 34,000 -
60,400 60,400 -
160,800 160,800 -
84,000 84,000 -
162,000 162,000 -
84,000 84,000 -
152,250 152,250 -
172,500 172,500 -
176,250 176,250 -
212,250 212,250 -
100,400 100,400 -
130,450 130,450 -
91,700 91,700 -
45,000 45,000 -
45,000 45,000 -
143,950 143,950 -
107,200 107,200 -
70,000 70,000 -
94,000 94,000 -
157,250 157,250 -
101,300 101,300 -
67,700 67,700 -
202,500 202,500 -
174,300 174,300 -
- - -
- 6,487,425 6,487,425 5,037,425 3,970,200 1,450,000 -
6,487,425
Total
Pendapatan

6,487,425
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

104,700 104,700 -
119,650 119,650 -
401,900 401,900 -
357,375 357,375 -
109,200 109,200 -
11,400 11,400 -
4,300 4,300 -
87,000 87,000 -
30,000 30,000 -
98,500 98,500 -
27,500 27,500 -
17,000 17,000 -
- 219,900 219,900
10,000 10,000 -
32,100 32,100 -
43,300 43,300 -
91,750 91,750 -
75,000 75,000 -
23,000 23,000 -
11,100 11,100 -
268,000 268,000 -
49,250 49,250 -
29,950 29,950 -
20,000 20,000 -
22,700 22,700 -
20,000 20,000 -
32,500 32,500 -
46,150 46,150 -
60,700 60,700 (0)
52,800 52,800 -
34,000 34,000 -
140,000 140,000 -
13,500 13,500 -
75,250 125,250 50,000
159,000 159,000 -
127,500 127,500 -
82,600 82,600 -
53,525 53,525 -
18,500 18,500 -
16,500 16,500 -
58,400 58,400 -
127,000 127,000 -
131,750 131,750 -
144,450 144,450 -
29,400 29,400 -
84,500 84,500 -
78,000 78,000 -
34,000 34,000 -
34,000 34,000 -
94,500 94,500 -
142,000 142,000 -
16,500 16,500 -
18,500 18,500 -
20,000 20,000 -
35,550 35,550 -
47,500 47,500 -
7,420 7,420 -
- 174,300 174,300
46,000 46,000 -
- - -
- 4,126,670 4,126,670 3,341,170 2,567,100 785,500 -
4,126,670
Total
Pendapatan

4,126,670
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

109,500 109,500 -
50,000 50,000 -
71,000 71,000 -
174,750 174,750 -
52,500 52,500 -
29,050 29,050 -
21,600 21,600 -
23,000 23,000 -
55,900 55,900 -
25,400 25,400 -
24,000 24,000 -
47,700 47,700 -
476,700 476,700 -
438,200 438,200 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
246,750 246,750 -
262,800 262,800 -
151,700 151,700 -
54,500 54,500 -
54,500 54,500 -
108,600 108,600 -
124,050 124,050 -
43,800 43,800 -
13,500 13,500 -
10,400 10,400 -
78,000 78,000 -
98,700 98,700 -
77,200 77,200 -
76,500 76,500 -
4,150 4,150 -
49,000 49,000 -
6,000 6,000 -
(23,250) - 23,250
- - -
- 3,138,200 3,138,200 2,657,200 1,996,000 481,000 -
3,138,200
Total
Pendapatan

3,138,200
0

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

210,425 210,425 -
58,500 58,500 -
25,500 25,500 -
23,250 23,250 -
61,300 61,300 -
105,500 105,500 -
58,000 58,000 -
17,000 17,000 -
18,000 18,000 -
16,500 16,500 -
27,500 27,500 -
62,000 62,000 -
137,000 137,000 -
80,100 80,100 -
97,560 97,560 -
52,800 52,800 -
66,400 66,400 -
13,500 13,500 -
77,600 77,600 -
25,000 25,000 -
68,000 68,000 -
80,800 80,800 -
82,500 82,500 -
139,925 139,925 -
95,000 95,000 -
116,550 116,550 -
54,932 54,932 -
26,400 26,400 -
256,900 256,900 -
78,450 78,450 -
65,500 65,500 -
37,100 37,100 -
17,000 17,000 -
174,350 174,350 -
63,500 63,500 -
108,200 108,200 -
58,500 58,500 -
227,200 227,200 -
64,250 64,250 -
182,750 182,750 -
18,500 18,500 -
91,500 91,500 -
34,000 34,000 -
73,850 73,850 -
124,500 124,500 -
171,700 171,700 -
6,500 6,500 -
6,500 6,500 -
63,250 63,250 -
52,000 52,000 -
108,600 108,600 -
159,972 159,972 -
72,500 72,500 -
59,100 59,100 -
3,000 3,000 -
39,600 39,600 -
39,600 39,600 -
45,300 45,300 -
63,750 63,750 -
115,700 115,700 -
125,000 125,000 -
39,600 39,600 -
130,800 130,800 -
12,140 12,140 -
103,250 103,250 0
58,000 58,000 -
225,800 225,800 -
- - -
- 5,275,254 5,275,254 4,392,754 3,641,500 882,500 -
5,275,254
Total
Pendapatan

5,275,254
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

117,100 117,100 -
80,850 80,850 -
42,700 42,700 -
45,000 45,000 -
72,500 72,500 -
56,000 56,000 -
82,200 308,000 225,800
34,000 34,000 -
- 103,250 103,250
50,200 50,200 -
83,150 83,150 -
87,750 87,750 -
50,000 50,000 -
106,350 106,350 -
130,350 130,350 -
95,350 95,350 -
3,750 3,750 -
34,000 34,000 -
16,500 16,500 -
39,600 39,600 -
7,000 7,000 -
130,450 130,450 -
- 167,700 167,700
43,700 43,700 -
34,000 34,000 -
213,500 213,500 -
148,350 148,350 -
117,900 117,900 -
74,600 74,600 0
41,750 41,750 -
40,850 40,850 -
80,410 80,410 -
43,000 43,000 -
34,000 34,000 -
55,500 55,500 -
58,500 58,500 -
19,000 19,000 -
15,500 15,500 -
17,000 17,000 -
117,000 117,000 -
16,500 16,500 -
16,500 16,500 -
123,000 123,000 -
400,400 400,400 -
62,695 62,695 -
70,000 70,000 -
34,000 34,000 -
93,575 93,575 -
137,000 137,000 -
189,250 189,250 -
79,200 79,200 -
58,750 58,750 -
39,600 39,600 -
26,400 26,400 -
115,640 115,640 -
127,500 127,500 -
6,500 6,500 -
- 21,600 21,600
81,200 81,200 -
183,000 183,000 -
134,400 134,400 -
189,200 189,200 -
7,500 7,500 -
- - -
- - -
- 4,711,170 4,711,170 3,655,670 3,816,500 1,055,500 -
4,711,170
Total
Pendapatan

4,711,170
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

116,200 116,200 -
10,400 10,400 -
58,700 58,700 -
46,000 46,000 -
39,600 39,600 -
79,200 79,200 -
112,500 112,500 -
- 19,500 19,500
21,000 21,000 -
156,150 156,150 -
24,000 24,000 -
27,500 27,500 -
179,400 179,400 -
112,250 112,250 -
112,250 112,250 -
15,250 15,250 -
112,250 112,250 -
35,000 35,000 -
69,500 69,500 -
172,700 172,700 -
39,600 39,600 -
25,000 25,000 -
39,600 39,600 -
17,000 17,000 -
58,000 58,000 -
20,700 20,700 -
16,500 16,500 -
70,000 70,000 -
34,000 34,000 -
20,000 20,000 -
114,500 114,500 -
176,125 176,125 -
72,250 72,250 -
61,000 61,000 -
212,850 212,850 -
45,200 45,200 -
93,100 93,100 -
34,000 34,000 -
222,500 222,500 -
72,000 72,000 -
39,600 39,600 -
122,900 122,900 -
39,600 39,600 -
123,650 123,650 -
202,000 202,000 -
172,750 172,750 -
18,500 18,500 -
58,500 58,500 -
79,200 79,200 -
6,000 6,000 -
39,600 39,600 -
39,600 39,600 -
114,200 114,200 -
39,600 39,600 -
158,400 158,400 -
118,800 118,800 -
20,000 20,000 -
9,000 9,000 -
53,950 53,950 -
98,500 98,500 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
74,600 74,600 -
114,700 114,700 -
20,000 20,000 -
94,750 94,750 0
182,450 182,450 -
89,500 89,500 -
28,100 28,100 -
108,450 108,450 -
39,600 39,600 -
18,600 18,600 -
39,600 39,600 -
39,600 39,600 -
57,000 57,000 -
19,000 19,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
43,000 43,000 -
51,450 51,450 -
79,200 79,200 -
235,000 235,000 -
- - -
- 6,093,125 6,093,125 5,238,625 5,027,400 854,500 -
6,093,125
Total
Pendapatan

6,093,125
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

1,134,200 1,134,200 -
60,700 60,700 -
7,250 7,250 -
62,600 62,600 -
82,900 82,900 -
308,000 308,000 -
16,500 16,500 -
146,500 146,500 -
323,000 323,000 -
16,500 16,500 -
190,000 190,000 -
13,000 13,000 -
100,730 100,730 -
67,200 67,200 -
52,500 52,500 -
34,000 34,000 -
446,000 446,000 -
358,250 358,250 -
250,000 250,000 -
86,000 86,000 -
82,700 82,700 -
79,200 79,200 -
39,600 39,600 -
33,000 33,000 -
65,500 65,500 -
113,425 113,425 -
196,200 196,200 -
38,500 38,500 -
13,500 13,500 -
17,000 17,000 -
147,000 147,000 -
86,300 86,300 -
12,000 12,000 -
112,850 112,850 -
149,450 149,450 -
65,500 65,500 -
89,500 89,500 -
95,000 95,000 -
18,500 18,500 -
34,000 34,000 -
177,100 177,100 -
20,382 20,382 -
118,300 118,300 -
182,700 182,700 -
- 10,400 10,400
260,750 260,750 -
290,450 290,450 -
34,000 34,000 -
60,000 60,000 -
70,000 70,000 -
17,000 17,000 -
40,000 40,000 -
69,450 69,450 -
252,600 252,600 -
39,600 39,600 -
18,900 18,900 -
91,500 91,500 -
34,000 34,000 -
34,000 34,000 -
- 58,000 58,000
115,250 115,250 -
76,500 76,500 -
266,500 266,500 -
18,000 18,000 -
- - -
- 7,531,537 7,531,537 6,449,537 5,119,600 1,082,000 -
7,531,537
Total
Pendapatan

7,531,537
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

113,250 113,250 -
175,500 175,500 -
212,000 212,000 -
738,700 738,700 -
20,100 36,700 16,600
7,500 7,500 -
11,200 11,200 -
62,360 62,360 -
74,000 74,000 -
8,500 8,500 -
6,000 6,000 -
39,600 39,600 -
58,500 58,500 -
13,000 13,000 -
103,180 103,180 -
138,500 138,500 -
38,000 38,000 -
79,500 79,500 -
16,500 16,500 -
27,000 27,000 -
98,110 98,110 -
58,000 58,000 -
27,500 27,500 -
19,000 19,000 -
95,650 95,650 -
88,000 88,000 -
120,500 120,500 -
42,650 42,650 -
34,000 34,000 -
34,000 34,000 -
13,500 13,500 -
34,000 34,000 -
19,000 19,000 -
17,000 17,000 -
19,000 19,000 -
7,000 7,000 -
16,500 16,500 -
34,000 34,000 -
88,950 88,950 -
166,200 166,200 -
93,325 93,325 -
40,500 40,500 -
169,560 169,560 -
80,500 80,500 -
451,250 451,250 -
165,750 165,750 -
272,300 272,300 -
34,000 34,000 -
160,500 160,500 -
34,000 34,000 -
266,900 266,900 -
34,000 34,000 -
105,950 105,950 -
34,000 34,000 -
78,500 78,500 -
65,450 65,450 -
151,000 151,000 -
35,000 35,000 -
13,900 13,900 -
118,200 118,200 -
10,000 10,000 -
280,500 280,500 -
152,250 152,250 -
186,250 186,250 -
91,000 131,000 40,000
190,500 190,500 -
58,000 58,000 -
22,000 22,000 -
382,400 382,400 -
229,250 229,250 -
192,750 192,750 -
198,000 198,000 -
34,000 34,000 -
198,500 198,500 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
255,000 255,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
90,000 90,000 -
98,000 98,000 -
113,000 113,000 -
13,500 13,500 -
86,750 86,750 -
202,500 202,500 -
163,550 163,550 -
6,000 6,000 -
68,295 68,295 -
- - -
- 9,224,030 9,224,030 6,975,030 5,697,100 2,249,000 -
9,224,030
Total
Pendapatan

9,224,030
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

19,500 19,500 -
9,500 9,500 -
18,500 18,500 -
19,000 19,000 -
31,500 31,500 -
103,550 103,550 -
119,625 119,625 -
46,400 46,400 -
198,000 198,000 -
74,500 74,500 -
50,650 50,650 -
22,250 22,250 -
36,750 36,750 -
- 231,200 231,200
65,850 65,850 -
50,250 50,250 -
15,850 15,850 -
134,000 134,000 -
34,190 34,190 -
34,000 34,000 -
6,000 6,000 -
27,600 72,600 45,000
75,000 75,000 -
18,500 18,500 -
55,050 55,050 -
3,000 3,000 -
10,000 10,000 -
16,500 16,500 -
56,700 56,700 -
16,500 16,500 -
80,900 80,900 -
77,286 77,286 -
32,100 32,100 -
17,000 17,000 -
79,200 79,200 -
67,000 67,000 -
48,500 48,500 -
240,000 240,000 -
25,000 25,000 -
133,850 133,850 -
(35,400) - 35,400
- - -
- 2,134,151 2,134,151 1,995,151 2,242,800 139,000 -
2,134,151
Total
Pendapatan

2,134,151
(0)

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

51,450 51,450 -
89,200 89,200 -
105,950 105,950 -
10,000 10,000 -
11,200 11,200 -
13,500 13,500 -
20,000 20,000 -
45,000 45,000 -
150,850 150,850 -
37,950 37,950 -
39,600 39,600 -
19,000 19,000 -
47,000 47,000 -
34,000 34,000 -
17,250 17,250 -
119,250 119,250 -
111,500 111,500 -
2,000 2,000 -
16,650 16,650 -
6,500 6,500 -
144,000 144,000 -
175,075 175,075 -
127,300 127,300 -
123,300 123,300 -
44,350 44,350 -
13,500 13,500 -
69,000 69,000 -
47,000 47,000 -
- - -
- 1,691,375 1,691,375 1,401,375 1,035,700 290,000 -
1,691,375
Total
Pendapatan

1,691,375
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

125,250 125,250 -
57,500 57,500 -
46,000 46,000 -
25,200 25,200 -
76,500 76,500 -
113,700 113,700 -
103,100 103,100 -
73,000 73,000 -
106,000 106,000 -
12,000 12,000 -
121,600 121,600 -
17,000 17,000 -
124,050 124,050 -
48,500 48,500 -
68,500 68,500 -
98,500 98,500 -
18,000 18,000 -
85,500 85,500 -
174,550 174,550 -
15,500 15,500 -
13,500 13,500 -
85,500 85,500 -
249,300 249,300 -
18,500 18,500 -
17,000 17,000 -
140,356 140,356 -
195,150 195,150 -
146,200 146,200 -
105,450 105,450 -
67,450 67,450 -
121,900 121,900 -
34,000 34,000 -
110,200 110,200 -
34,000 34,000 -
21,000 21,000 -
161,500 161,500 -
19,000 19,000 -
166,750 166,750 -
34,000 34,000 -
99,100 99,100 -
82,400 82,400 -
107,300 107,300 -
57,150 57,150 -
80,500 80,500 -
38,500 38,500 -
43,000 43,000 -
34,000 34,000 -
40,750 40,750 -
217,450 217,450 -
94,000 94,000 -
114,500 114,500 -
44,250 44,250 -
79,200 79,200 -
50,600 50,600 -
37,500 37,500 -
73,000 73,000 -
79,200 79,200 -
24,500 24,500 -
61,500 61,500 -
8,500 8,500 -
172,200 172,200 -
6,000 6,000 -
75,500 75,500 -
- - -
- 4,971,306 4,971,306 4,064,306 3,735,100 907,000 -
4,971,306
Total
Pendapatan

4,971,306
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

192,150 192,150 -
120,100 120,100 -
224,550 224,550 -
271,450 271,450 -
148,800 148,800 -
102,050 102,050 -
7,600 7,600 -
5,850 5,850 -
67,850 67,850 -
45,000 45,000 -
22,000 22,000 -
13,000 13,000 -
64,100 64,100 -
- 75,500 75,500
38,500 38,500 -
74,500 74,500 -
92,000 92,000 -
50,200 50,200 -
9,600 9,600 -
540,600 540,600 -
17,000 17,000 -
172,000 172,000 -
69,100 69,100 -
157,500 157,500 -
139,450 139,450 -
43,000 43,000 -
77,050 77,050 -
129,350 129,350 -
135,900 135,900 -
158,375 158,375 -
34,000 34,000 -
122,600 122,600 -
34,000 34,000 -
148,500 148,500 -
251,000 251,000 -
34,000 34,000 -
72,925 72,925 -
147,200 147,200 -
54,950 54,950 -
141,900 141,900 -
52,900 52,900 -
122,180 122,180 -
129,500 187,000 57,500
127,500 127,500 -
96,100 96,100 -
39,600 39,600 -
127,500 127,500 -
226,400 226,400 -
143,500 143,500 -
311,250 311,250 -
99,000 99,000 -
133,700 133,700 -
49,820 49,820 -
18,500 18,500 -
59,500 59,500 -
46,500 46,500 -
34,000 34,000 -
138,500 138,500 -
6,000 6,000 -
112,650 112,650 -
- - -
- 6,304,300 6,304,300 5,158,800 4,238,800 1,145,500 -
6,304,300
Total
Pendapatan

6,304,300
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

42,550 42,550 -
1,525 1,525 -
13,200 13,200 -
11,250 11,250 -
11,100 11,100 -
82,632 82,632 -
55,325 55,325 -
34,300 34,300 -
110,000 110,000 -
124,950 124,950 -
93,000 205,650 112,650
125,000 125,000 -
- 248,580 248,580
39,600 39,600 -
198,000 198,000 -
64,500 64,500 -
13,500 13,500 -
16,500 16,500 -
58,000 58,000 -
29,500 29,500 -
189,760 189,760 -
10,000 10,000 -
34,000 34,000 -
17,000 17,000 -
65,200 65,200 -
69,100 69,100 -
164,950 164,950 -
89,000 89,000 -
118,000 118,000 -
150,000 150,000 -
58,000 58,000 -
92,500 92,500 -
106,700 106,700 -
18,500 18,500 -
99,750 99,750 -
60,200 60,200 -
224,900 224,900 -
34,000 34,000 -
202,500 202,500 -
100,000 100,000 -
34,000 34,000 -
165,950 165,950 -
43,000 43,000 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
66,450 66,450 -
34,000 34,000 -
47,500 47,500 -
246,950 246,950 -
86,000 86,000 -
69,500 69,500 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
148,600 148,600 -
102,070 102,070 -
108,600 108,600 -
163,200 163,200 -
165,700 165,700 -
99,750 99,750 -
144,600 144,600 -
74,600 74,600 -
39,600 39,600 -
54,500 54,500 -
35,000 35,000 -
39,600 39,600 -
142,000 142,000 -
118,200 118,200 -
140,176 140,176 -
39,600 39,600 -
5,000 5,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
188,600 188,600 -
74,600 74,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
(53,350) - 53,350
39,600 39,600 -
118,800 118,800 -
163,200 163,200 -
92,526 92,526 -
96,250 96,250 -
18,500 18,500 -
114,200 114,200 -
185,000 185,000 -
39,600 39,600 -
39,600 39,600 -
118,800 118,800 -
123,250 123,250 -
81,600 81,600 -
104,600 104,600 -
123,600 123,600 -
188,000 188,000 -
51,700 51,700 -
190,000 190,000 -
71,000 71,000 -
154,500 154,500 -
165,300 165,300 -
79,200 79,200 -
74,600 74,600 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
44,000 44,000 -
253,500 253,500 -
122,500 122,500 -
140,000 140,000 -
172,400 172,400 -
45,000 45,000 -
242,000 242,000 -
106,250 106,250 -
182,302 182,302 -
120,900 120,900 -
206,000 206,000 -
176,250 176,250 -
183,000 183,000 -
108,600 108,600 -
39,600 39,600 -
34,000 34,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
73,600 73,600 -
52,500 52,500 -
79,200 79,200 -
74,600 74,600 -
114,200 114,200 -
101,000 101,000 -
108,600 108,600 -
108,600 108,600 -
123,600 123,600 -
88,700 88,700 -
39,600 39,600 -
176,250 176,250 -
39,600 39,600 -
26,150 26,150 -
39,600 39,600 -
108,600 108,600 -
73,600 73,600 -
140,700 140,700 -
79,200 79,200 -
79,200 79,200 -
106,750 106,750 -
207,500 207,500 -
39,600 39,600 -
108,600 108,600 -
73,600 73,600 -
155,500 155,500 -
113,600 113,600 -
135,360 135,360 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
39,600 39,600 -
18,750 18,750 -
- - -
- 14,822,776 14,822,776 11,976,276 12,338,500 2,846,500 -
14,822,776
Total
Pendapatan

14,822,776
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

60,100 60,100 -
52,700 52,700 -
24,050 24,050 -
175,500 175,500 -
33,300 33,300 -
109,850 109,850 -
5,000 5,000 -
25,000 25,000 -
360,000 360,000 -
- 71,450 71,450
5,000 5,000 -
13,000 13,000 -
19,000 19,000 -
12,140 12,140 -
114,100 114,100 -
56,550 56,550 -
111,300 111,300 -
102,050 102,050 -
92,250 92,250 -
46,200 46,200 -
9,000 9,000 -
57,700 57,700 -
107,450 107,450 -
33,900 33,900 -
30,800 30,800 -
91,900 91,900 -
69,100 69,100 -
25,500 25,500 -
74,000 74,000 -
98,250 98,250 -
6,000 6,000 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
16,500 16,500 -
13,500 13,500 -
11,000 11,000 -
11,000 11,000 -
11,000 11,000 -
9,000 9,000 -
73,500 73,500 -
66,500 66,500 -
34,000 34,000 -
108,850 108,850 -
89,500 89,500 -
161,700 161,700 -
75,550 75,550 -
62,175 62,175 -
141,700 141,700 -
145,200 145,200 -
138,920 138,920 -
16,500 16,500 -
278,100 278,100 -
160,000 160,000 -
57,000 57,000 -
15,500 15,500 -
17,000 17,000 -
127,500 127,500 -
127,500 127,500 -
316,800 316,800 -
125,000 125,000 -
127,500 127,500 -
39,600 39,600 -
12,000 12,000 -
139,500 139,500 -
79,200 79,200 -
111,300 111,300 -
118,650 118,650 -
65,000 65,000 -
149,950 149,950 -
57,200 57,200 -
11,000 11,000 -
11,000 11,000 -
- - -
- 5,612,085 5,612,085 4,750,585 4,375,100 861,500 -
5,612,085
Total
Pendapatan

5,612,085
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

465,550 465,550 -
142,000 142,000 -
144,950 144,950 -
1,927,375 1,927,375 -
164,700 164,700 -
87,000 87,000 -
25,500 25,500 -
- 33,300 33,300
1,500 1,500 -
41,250 41,250 -
11,000 11,000 -
35,750 35,750 -
13,000 13,000 -
18,500 18,500 -
52,000 52,000 -
151,610 151,610 -
52,900 52,900 -
96,925 96,925 -
16,500 16,500 -
16,500 16,500 -
10,000 10,000 -
88,000 88,000 -
51,500 51,500 -
83,500 83,500 -
111,700 111,700 -
81,500 81,500 -
34,000 34,000 -
100,675 100,675 -
34,000 34,000 -
82,300 82,300 -
62,210 62,210 -
34,000 34,000 -
160,230 160,230 -
79,540 79,540 -
72,300 72,300 -
27,000 27,000 -
34,000 34,000 -
161,058 161,058 -
189,000 189,000 -
59,900 59,900 -
17,000 17,000 -
18,500 18,500 -
112,200 112,200 -
205,500 205,500 -
70,700 70,700 -
45,000 45,000 -
387,700 387,700 -
176,250 176,250 -
176,250 176,250 -
106,500 106,500 -
9,900 9,900 -
34,000 34,000 -
50,500 50,500 -
67,500 67,500 -
4,000 4,000 -
89,800 89,800 -
84,000 84,000 -
84,000 84,000 -
45,000 45,000 -
45,000 45,000 -
99,000 99,000 -
84,000 84,000 -
84,000 84,000 -
112,150 112,150 -
14,250 14,250 -
34,000 34,000 -
250,000 250,000 -
91,500 91,500 -
338,150 338,150 -
6,000 6,000 -
164,600 164,600 -
- - -
- 8,127,873 8,127,873 6,844,873 3,731,400 1,283,000 -
8,127,873
Total
Pendapatan

8,127,873
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

63,000 63,000 -
70,785 70,785 -
96,750 96,750 -
215,600 215,600 -
35,400 35,400 -
216,000 216,000 -
49,000 49,000 -
18,500 18,500 -
16,500 16,500 -
85,500 85,500 -
43,000 43,000 -
70,000 70,000 -
153,300 153,300 -
375,500 375,500 -
13,500 13,500 -
55,500 55,500 -
96,325 96,325 -
58,500 58,500 -
- 164,600 164,600
47,500 47,500 -
81,700 81,700 -
8,000 8,000 -
13,500 13,500 -
47,500 47,500 -
34,000 34,000 -
56,000 56,000 -
139,750 139,750 -
75,500 75,500 -
47,500 47,500 -
58,500 58,500 -
105,000 105,000 -
118,875 118,875 -
135,200 135,200 -
146,980 146,980 -
97,100 97,100 -
82,150 82,150 -
138,800 138,800 -
18,500 18,500 -
16,500 16,500 -
269,700 269,700 -
32,875 32,875 -
12,000 12,000 -
131,950 131,950 -
163,500 163,500 -
502,000 502,000 -
19,500 19,500 -
43,500 43,500 -
34,000 34,000 -
36,000 36,000 -
36,000 36,000 -
43,500 43,500 -
34,000 34,000 -
36,000 36,000 -
36,000 36,000 -
34,000 34,000 -
36,000 36,000 -
34,000 34,000 -
- - -
- 4,735,740 4,735,740 3,694,240 3,628,300 1,041,500 -
4,735,740
Total
Pendapatan

4,735,740
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

112,740 112,740 -
89,750 89,750 -
25,500 25,500 -
17,350 17,350 -
88,350 88,350 -
92,000 92,000 -
146,600 146,600 -
117,700 117,700 -
6,000 6,000 -
104,100 104,100 -
3,750 3,750 -
31,500 31,500 -
30,500 30,500 -
84,350 84,350 -
193,750 193,750 -
- 23,000 23,000
684,350 684,350 -
31,500 31,500 -
112,300 112,300 -
40,500 40,500 -
22,500 22,500 -
57,395 57,395 -
12,300 12,300 -
100,300 100,300 -
62,400 62,400 -
13,500 13,500 -
45,000 45,000 -
78,650 78,650 -
- 47,000 47,000
(100,000) - 100,000
145,100 145,100 -
34,000 34,000 -
55,750 55,750 -
132,500 132,500 -
4,700 4,700 -
4,800 4,800 -
20,428 20,428 -
8,000 8,000 -
4,700 4,700 -
6,700 6,700 -
133,200 133,200 -
47,600 47,600 -
118,450 118,450 -
83,650 83,650 -
14,100 14,100 -
61,250 61,250 -
- - -
- 3,179,563 3,179,563 2,268,563 1,415,900 911,000 -
3,179,563
Total
Pendapatan

3,179,563
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

360,450 360,450 -
68,450 68,450 -
29,150 29,150 -
151,100 151,100 -
93,650 93,650 -
68,500 68,500 -
88,000 88,000 -
91,500 91,500 -
79,500 79,500 -
119,600 119,600 -
76,550 76,550 -
196,200 196,200 -
71,050 71,050 -
8,600 8,600 -
105,000 105,000 -
101,300 101,300 -
40,000 40,000 -
13,000 13,000 -
387,375 387,375 -
68,500 68,500 -
50,500 50,500 -
80,300 80,300 -
45,900 45,900 -
95,000 95,000 -
67,000 67,000 -
18,000 18,000 -
19,500 19,500 -
19,500 19,500 -
277,150 277,150 -
58,000 58,000 -
137,600 137,600 -
13,500 13,500 -
96,250 96,250 -
199,000 199,000 -
135,500 135,500 -
50,500 50,500 -
34,000 34,000 -
183,150 183,150 -
40,500 40,500 -
113,250 113,250 -
47,500 47,500 -
13,200 13,200 -
149,500 149,500 -
17,000 17,000 -
80,000 80,000 -
53,200 53,200 -
117,750 117,750 -
40,500 40,500 -
34,000 34,000 -
75,310 75,310 -
34,000 34,000 -
183,250 183,250 -
216,700 216,700 -
221,700 221,700 -
62,950 62,950 -
49,150 49,150 -
102,650 102,650 -
55,200 55,200 -
21,700 21,700 -
752,580 752,580 -
10,650 10,650 -
67,250 67,250 -
117,750 117,750 -
177,000 177,000 -
34,000 34,000 -
268,425 268,425 -
9,250 9,250 -
133,000 133,000 -
12,000 12,000 -
34,000 34,000 -
128,200 128,200 -
55,500 55,500 -
- - -
- 7,326,440 7,326,440 6,152,440 5,639,600 1,174,000 -
7,326,440
Total
Pendapatan

7,326,440
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
56,200 56,200 -
22,600 22,600 -
10,600 10,600 -
61,100 61,100 -
156,182 156,182 -
30,650 30,650 -
34,000 34,000 -
105,500 105,500 -
192,950 192,950 -
9,400 9,400 -
44,700 162,400 117,700
7,500 7,500 -
56,500 56,500 -
13,000 13,000 -
104,550 104,550 -
- 61,250 61,250
31,050 31,050 -
63,780 63,780 -
85,300 85,300 -
127,000 127,000 -
47,500 47,500 -
49,500 49,500 -
146,500 146,500 -
89,550 89,550 -
57,000 57,000 -
113,400 113,400 -
15,500 15,500 -
32,000 32,000 -
149,250 149,250 -
114,200 114,200 -
34,000 34,000 -
125,100 125,100 -
171,500 171,500 -
18,500 18,500 -
101,350 101,350 -
191,750 191,750 -
- 168,250 168,250
118,000 118,000 -
18,500 18,500 -
10,000 10,000 -
56,000 56,000 -
143,950 143,950 -
92,000 92,000 -
15,500 15,500 -
15,500 15,500 -
136,600 136,600 -
34,000 34,000 -
150,500 150,500 -
101,000 101,000 -
96,950 96,950 -
34,000 34,000 -
34,800 34,800 -
19,000 19,000 -
34,000 34,000 -
123,650 123,650 -
54,000 54,000 -
199,500 199,500 -
70,700 70,700 -
127,500 127,500 -
63,700 63,700 -
127,500 127,500 -
380,000 380,000 -
- - -
- 4,926,012 4,926,012 3,744,512 3,719,900 1,181,500 -
4,926,012
Total
Pendapatan

4,926,012
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

21,600 21,600 -
24,200 24,200 -
123,000 123,000 -
81,000 81,000 -
47,600 47,600 -
50,750 50,750 -
96,382 96,382 -
123,500 123,500 -
9,300 9,300 -
69,100 69,100 -
7,300 7,300 -
135,350 135,350 -
68,000 68,000 -
33,000 33,000 -
93,750 93,750 -
124,950 124,950 -
- 34,500 34,500
45,000 45,000 -
79,090 79,090 -
63,900 63,900 -
43,635 43,635 -
10,000 10,000 -
13,000 13,000 -
13,500 13,500 -
20,000 20,000 -
3,000 3,000 -
205,900 205,900 -
125,500 125,500 -
74,600 74,600 -
- 2,779,700 2,779,700
58,265 58,265 -
39,600 39,600 -
39,600 39,600 -
108,600 108,600 -
125,000 125,000 -
43,250 43,250 -
18,500 18,500 -
130,450 130,450 -
126,750 126,750 -
53,750 53,750 -
284,880 284,880 -
79,200 79,200 -
39,600 39,600 -
126,750 126,750 -
141,000 141,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
47,600 47,600 -
98,600 98,600 -
123,600 123,600 -
97,000 97,000 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
228,050 228,050 -
108,600 108,600 -
114,200 114,200 -
146,250 146,250 -
171,600 171,600 -
39,600 39,600 -
79,200 79,200 -
28,400 28,400 -
206,000 206,000 -
79,200 79,200 -
85,750 85,750 -
39,600 39,600 -
140,850 140,850 -
116,850 116,850 -
288,775 288,775 -
79,200 79,200 -
50,000 50,000 -
39,600 39,600 -
39,600 39,600 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
34,000 34,000 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
73,600 73,600 -
108,600 108,600 -
39,600 39,600 -
46,700 46,700 -
108,600 108,600 -
76,750 76,750 -
39,600 39,600 -
34,000 34,000 -
39,600 39,600 -
108,600 108,600 -
39,600 39,600 -
73,600 73,600 -
159,000 159,000 -
69,430 69,430 -
73,600 73,600 -
73,600 73,600 -
356,250 356,250 -
73,600 73,600 -
39,600 39,600 -
101,000 101,000 -
39,600 39,600 -
73,600 73,600 -
94,500 94,500 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
108,600 108,600 -
39,600 39,600 -
160,926 160,926 -
73,600 73,600 -
91,500 91,500 -
96,750 96,750 -
207,650 207,650 -
39,150 39,150 -
35,000 35,000 -
149,800 149,800 -
34,000 34,000 -
154,250 154,250 -
89,000 89,000 -
139,500 139,500 -
172,750 172,750 -
73,500 73,500 -
172,800 172,800 -
78,500 78,500 -
7,500 7,500 -
119,250 119,250 -
72,600 72,600 -
87,100 87,100 -
130,200 130,200 -
80,700 80,700 -
119,200 119,200 -
99,100 99,100 -
3,450 3,450 -
34,000 34,000 -
45,250 45,250 -
176,500 176,500 -
86,500 86,500 -
45,000 45,000 -
34,000 34,000 -
34,000 34,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
38,500 38,500 -
38,500 38,500 -
90,000 90,000 -
82,750 82,750 -
- - -
- 13,336,033 13,336,033 10,079,533 12,245,100 3,256,500 -
13,336,033
Total
Pendapatan

13,336,033
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
175,132 175,132 -
34,000 34,000 -
84,000 84,000 -
184,000 184,000 -
69,250 69,250 -
236,500 236,500 -
96,700 96,700 -
34,000 34,000 -
345,750 489,450 143,700
13,500 13,500 -
500 500 -
14,700 14,700 -
39,600 39,600 -
39,600 39,600 -
11,000 11,000 -
10,300 10,300 -
104,170 104,170 -
1,000 1,000 -
14,500 14,500 -
25,800 25,800 -
139,226 139,226 -
58,600 58,600 -
44,040 44,040 -
- 16,700 16,700
21,500 21,500 -
(135,500) - 135,500
13,000 13,000 -
35,000 35,000 -
58,000 58,000 -
31,500 31,500 -
9,000 9,000 -
32,300 32,300 -
20,000 20,000 -
127,040 127,040 -
69,100 69,100 -
94,200 94,200 -
9,000 9,000 -
49,750 49,750 -
60,500 60,500 -
25,500 25,500 -
119,100 119,100 -
15,500 15,500 -
55,000 55,000 -
107,350 107,350 -
52,782 52,782 -
93,500 93,500 -
60,400 60,400 -
123,500 123,500 -
131,750 131,750 -
59,300 59,300 -
110,700 110,700 -
122,625 122,625 -
17,000 17,000 -
132,550 132,550 -
358,150 358,150 -
70,500 70,500 -
34,000 34,000 -
151,800 151,800 -
100,750 100,750 -
133,500 133,500 -
34,000 34,000 -
212,500 212,500 -
25,050 25,050 -
116,500 116,500 -
87,250 87,250 -
216,950 216,950 -
10,000 10,000 -
183,320 183,320 -
34,000 34,000 -
151,500 151,500 -
72,850 72,850 -
140,000 140,000 -
10,150 10,150 -
90,000 90,000 -
38,500 38,500 -
90,000 90,000 -
- - -
- 5,858,085 5,858,085 4,624,085 3,431,700 1,234,000 -
5,858,085
Total
Pendapatan

5,858,085
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

150,800 150,800 -
4,100 4,100 -
25,850 25,850 -
30,650 30,650 -
75,500 75,500 -
95,200 95,200 -
60,100 60,100 -
57,400 57,400 -
117,000 117,000 -
25,550 25,550 -
3,000 3,000 -
7,000 7,000 -
7,500 7,500 -
15,850 177,650 161,800
78,150 78,150 -
(10,150) - 10,150
142,700 142,700 -
100,750 100,750 -
74,750 74,750 -
117,250 117,250 -
34,000 34,000 -
86,815 86,815 -
22,800 22,800 -
13,000 13,000 -
65,200 65,200 -
80,500 80,500 -
86,000 86,000 -
26,400 26,400 -
21,700 21,700 -
175,910 175,910 -
51,500 51,500 -
51,500 51,500 -
47,500 47,500 -
34,000 34,000 -
34,000 34,000 -
38,500 38,500 -
50,250 50,250 -
182,500 182,500 -
113,600 113,600 -
110,500 110,500 -
34,000 34,000 -
180,000 180,000 -
119,600 119,600 -
66,150 66,150 -
88,500 88,500 -
47,250 47,250 -
345,700 345,700 -
10,000 10,000 -
10,000 10,000 -
190,000 190,000 -
87,650 87,650 -
100,000 100,000 -
193,475 193,475 -
199,450 199,450 -
35,000 35,000 -
50,000 50,000 -
84,750 84,750 -
6,200 6,200 -
129,050 129,050 -
- - -
- 4,481,900 4,481,900 3,348,400 3,223,800 1,133,500 -
4,481,900
Total
Pendapatan

4,481,900
0

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

59,000 59,000 -
76,500 76,500 -
106,500 106,500 -
103,500 103,500 -
55,600 55,600 -
1,900 1,900 -
11,000 11,000 -
11,100 11,100 -
11,140 11,140 -
134,000 134,000 -
4,500 4,500 -
147,450 147,450 -
112,700 112,700 -
70,700 70,700 -
96,325 96,325 -
236,600 236,600 -
3,000 3,000 -
2,000 2,000 -
178,150 178,150 -
23,500 23,500 -
51,500 51,500 -
118,800 118,800 -
79,500 79,500 -
85,500 85,500 -
136,825 136,825 -
41,250 41,250 -
73,500 73,500 -
34,000 34,000 -
89,350 89,350 -
55,500 55,500 -
34,000 34,000 -
152,175 152,175 -
157,700 157,700 -
43,000 43,000 -
90,750 90,750 -
105,000 105,000 -
175,700 175,700 -
28,000 28,000 -
86,825 86,825 -
18,500 18,500 -
10,000 10,000 -
34,000 34,000 -
10,000 10,000 -
80,250 80,250 -
38,500 38,500 -
58,500 58,500 -
100,750 100,750 -
110,250 110,250 -
33,900 33,900 -
18,500 18,500 -
29,500 29,500 -
16,500 16,500 -
4,000 4,000 -
80,000 80,000 -
4,000 4,000 -
71,000 71,000 -
62,500 62,500 -
69,300 69,300 -
34,000 34,000 -
69,300 69,300 -
64,732 64,732 -
222,060 222,060 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
- - -
- 4,426,082 4,426,082 3,619,582 3,149,800 806,500 -
4,426,082
Total
Pendapatan

4,426,082
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

99,800 99,800 -
380,650 380,650 -
19,500 19,500 -
14,850 14,850 -
249,725 249,725 -
57,900 57,900 -
12,500 12,500 -
34,000 34,000 -
119,200 119,200 -
98,500 98,500 -
199,175 199,175 -
128,500 128,500 -
62,000 62,000 -
4,000 4,000 -
29,000 29,000 -
6,200 6,200 -
6,200 6,200 -
- - -
- 1,521,700 1,521,700 1,327,700 827,800 194,000 -
1,521,700
Total
Pendapatan

1,521,700
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

35,500 35,500 -
48,600 48,600 -
236,500 236,500 -
72,300 72,300 -
208,950 208,950 -
105,300 105,300 -
62,650 62,650 -
38,575 38,575 -
12,000 12,000 -
195,950 195,950 -
75,950 75,950 -
50,100 50,100 -
- 11,140 11,140
24,800 24,800 -
11,550 11,550 -
18,000 18,000 -
13,500 13,500 -
26,600 26,600 -
79,000 79,000 -
44,500 44,500 -
3,000 3,000 -
3,000 3,000 -
13,000 13,000 -
46,500 46,500 -
158,850 158,850 -
82,500 82,500 -
120,500 120,500 -
65,100 65,100 -
122,750 122,750 -
156,250 156,250 -
144,825 144,825 -
34,000 34,000 -
141,250 141,250 -
67,750 67,750 -
18,500 18,500 -
291,000 291,000 -
178,775 178,775 -
181,800 181,800 -
17,000 17,000 -
85,000 85,000 -
181,750 181,750 -
18,500 18,500 -
13,500 13,500 -
15,500 15,500 -
57,482 57,482 -
10,000 10,000 -
15,500 15,500 -
18,500 18,500 -
31,500 31,500 -
209,400 209,400 -
290,750 290,750 -
63,950 63,950 -
134,750 134,750 -
152,820 152,820 -
253,000 253,000 -
47,000 47,000 -
10,000 10,000 -
34,000 34,000 -
183,250 183,250 -
180,750 180,750 -
47,500 47,500 -
73,000 73,000 -
50,300 50,300 -
230,225 230,225 -
21,750 21,750 -
93,250 93,250 -
59,750 59,750 -
62,850 62,850 -
41,500 41,500 -
140,000 140,000 -
- 34,000 34,000
222,750 222,750 -
57,950 57,950 -
34,000 34,000 -
9,500 9,500 -
101,000 101,000 -
155,750 155,750 -
34,000 34,000 -
60,750 60,750 -
65,250 65,250 -
45,000 45,000 -
13,000 13,000 -
- - -
- 6,832,652 6,832,652 5,597,652 5,559,800 1,235,000 -
6,832,652
Total
Pendapatan

6,832,652
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

108,150 108,150 -
182,750 182,750 -
20,500 20,500 -
26,900 26,900 -
47,500 47,500 -
162,400 162,400 -
98,350 98,350 -
58,400 58,400 -
111,200 111,200 -
46,600 46,600 -
(25,000) - 25,000
42,450 42,450 -
14,550 14,550 -
23,000 23,000 -
13,000 13,000 -
- 31,000 31,000
(35,701) - 35,701
9,000 9,000 -
195,750 195,750 -
89,250 89,250 -
15,500 15,500 -
120,150 120,150 -
530 530 -
27,000 27,000 -
6,400 6,400 -
93,500 93,500 -
104,700 104,700 -
65,000 65,000 -
41,010 41,010 -
31,500 31,500 -
50,500 50,500 -
50,000 50,000 -
16,500 16,500 -
18,000 18,000 -
20,000 20,000 -
51,500 51,500 -
61,750 61,750 -
10,000 10,000 -
51,750 51,750 -
6,000 6,000 -
13,000 13,000 -
13,500 13,500 -
88,275 88,275 -
17,000 17,000 -
176,250 176,250 -
- 360,450 360,450
226,650 226,650 -
255,300 255,300 -
34,000 34,000 -
34,000 34,000 -
213,600 213,600 -
135,000 135,000 -
57,000 57,000 -
115,200 115,200 -
245,400 245,400 -
143,750 143,750 -
46,000 46,000 -
151,250 151,250 -
57,000 57,000 -
10,000 10,000 -
61,500 61,500 -
- 131,400 131,400
34,000 34,000 -
34,000 34,000 -
64,850 64,850 -
114,750 114,750 -
327,100 327,100 -
127,750 127,750 -
129,250 129,250 -
69,000 69,000 -
148,600 148,600 -
229,000 229,000 -
127,500 127,500 -
7,000 7,000 -
- 1,118,900 1,118,900
- 1,405,200 1,405,200
- - -
- 5,536,815 5,536,815 4,569,315 6,699,200 967,500 -
5,536,815
Total
Pendapatan

5,536,815
(0)

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

31,250 31,250 -
108,950 108,950 -
18,250 18,250 -
59,550 59,550 -
25,000 25,000 -
175,350 175,350 -
13,500 13,500 -
112,900 112,900 -
112,950 112,950 -
50,200 50,200 -
6,600 6,600 -
105,300 105,300 -
82,850 82,850 -
154,500 154,500 -
118,800 118,800 -
141,750 141,750 -
59,750 59,750 -
90,800 90,800 -
70,500 70,500 -
11,500 11,500 -
13,500 13,500 -
13,000 13,000 -
9,500 9,500 -
83,350 83,350 -
38,000 38,000 -
55,500 55,500 -
12,000 12,000 -
20,400 20,400 -
145,300 145,300 -
52,500 52,500 -
18,500 18,500 -
56,500 56,500 -
34,000 34,000 -
85,000 85,000 -
34,000 34,000 -
103,000 103,000 -
34,000 34,000 -
34,000 34,000 -
18,500 18,500 -
182,500 182,500 -
192,300 192,300 -
129,530 129,530 -
34,000 34,000 -
80,700 80,700 -
20,000 20,000 -
66,500 66,500 -
18,500 18,500 -
101,850 101,850 -
210,450 210,450 -
135,000 135,000 -
119,450 119,450 -
34,000 34,000 -
10,000 10,000 -
118,582 118,582 -
91,500 91,500 -
83,450 83,450 -
- 55,300 55,300
118,800 118,800 -
34,000 34,000 -
74,600 74,600 -
104,600 104,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
216,750 216,750 -
30,000 30,000 -
203,849 203,849 -
262,502 262,502 -
108,600 108,600 -
108,600 108,600 -
108,600 108,600 -
49,000 49,000 -
35,700 35,700 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
39,600 39,600 -
74,600 74,600 -
164,750 164,750 -
136,500 136,500 -
123,000 123,000 -
79,200 79,200 -
108,600 108,600 -
175,100 175,100 -
39,600 39,600 -
113,200 113,200 -
39,600 39,600 -
39,600 39,600 -
175,000 175,000 -
79,200 79,200 -
79,200 79,200 -
79,200 79,200 -
73,600 73,600 -
79,200 79,200 -
79,200 79,200 -
186,250 186,250 -
35,000 35,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
134,000 134,000 -
34,000 34,000 -
200,000 200,000 -
79,200 79,200 -
113,200 113,200 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
39,600 39,600 -
158,400 158,400 -
79,200 79,200 -
161,649 161,649 -
191,850 191,850 -
114,600 114,600 -
136,000 136,000 -
108,600 108,600 -
273,000 273,000 -
159,750 159,750 -
85,750 85,750 -
134,500 134,500 -
30,000 30,000 -
73,600 73,600 -
137,600 137,600 -
75,000 75,000 -
109,000 109,000 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
35,000 35,000 -
358,250 358,250 -
500 500 -
48,510 48,510 -
236,000 236,000 -
30,500 30,500 -
47,250 47,250 -
104,200 104,200 -
38,500 38,500 -
38,500 38,500 -
38,500 38,500 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
45,000 45,000 -
45,000 45,000 -
59,000 59,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
- - -
- 13,370,722 13,370,722 10,412,222 10,034,000 2,958,500 -
13,370,722
Total
Pendapatan

13,370,722
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

124,700 124,700 -
137,775 137,775 -
107,100 107,100 -
127,900 127,900 -
59,850 59,850 -
84,000 84,000 -
84,000 84,000 -
1,133,225 1,133,225 (1)
30,000 30,000 -
39,600 39,600 -
42,900 42,900 -
25,500 25,500 -
22,650 22,650 -
80,000 80,000 -
610,000 610,000 -
37,000 37,000 -
152,350 152,350 -
180,675 180,675 -
35,000 35,000 -
35,500 35,500 -
152,750 152,750 -
6,000 6,000 -
33,850 33,850 -
270,000 270,000 -
11,500 11,500 -
20,000 101,000 81,000
114,000 114,000 -
6,450 6,450 -
130,380 130,380 -
144,350 144,350 -
92,250 92,250 -
32,500 32,500 -
96,900 96,900 -
12,000 12,000 -
121,050 121,050 -
82,022 82,022 -
137,000 137,000 -
130,400 130,400 -
99,000 99,000 -
61,200 61,200 -
196,750 196,750 -
18,500 18,500 -
192,800 192,800 -
56,600 56,600 -
257,750 257,750 -
61,800 61,800 -
89,000 89,000 -
187,000 187,000 -
103,250 103,250 -
199,852 199,852 -
84,250 84,250 -
17,000 17,000 -
18,500 18,500 -
19,000 19,000 -
63,500 63,500 -
125,300 125,300 -
58,710 58,710 -
25,500 25,500 -
13,515 13,515 -
31,500 31,500 -
49,500 49,500 -
39,600 39,600 -
13,000 13,000 -
37,500 37,500 -
47,000 47,000 -
7,000 7,000 -
32,000 32,000 -
10,000 10,000 -
250,000 250,000 -
88,750 88,750 -
161,900 161,900 -
43,950 43,950 -
- - -
- 7,503,604 7,503,604 6,582,604 3,855,100 921,000 -
7,503,604
Total
Pendapatan

7,503,604
1

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

77,280 77,280 -
162,750 162,750 -
353,750 353,750 -
12,000 12,000 -
31,550 31,550 -
2,500 142,600 140,100
32,000 32,000 -
191,500 191,500 -
110,000 110,000 -
125,000 125,000 -
90,000 90,000 -
34,000 34,000 -
34,000 34,000 -
154,700 154,700 -
90,000 90,000 -
10,400 10,400 -
117,250 117,250 -
165,000 165,000 -
64,000 64,000 -
59,000 59,000 -
46,500 46,500 -
113,250 113,250 -
56,300 56,300 -
160,550 160,550 -
52,000 52,000 -
52,000 52,000 -
39,600 39,600 -
31,500 31,500 -
9,000 9,000 -
9,000 9,000 -
79,200 79,200 -
72,000 72,000 -
15,200 15,200 -
55,250 55,250 -
46,250 46,250 -
55,500 55,500 -
50,000 50,000 -
130,300 130,300 -
20,000 20,000 -
18,500 18,500 -
- 46,000 46,000
93,500 93,500 -
22,000 22,000 -
32,245 32,245 -
51,500 51,500 -
128,800 128,800 -
28,150 28,150 -
10,000 10,000 -
19,500 19,500 -
57,600 57,600 -
107,250 107,250 -
25,500 25,500 -
98,550 98,550 -
34,000 34,000 -
124,000 124,000 -
100,500 100,500 -
59,750 59,750 -
9,100 9,100 -
141,750 141,750 -
385,750 385,750 -
23,250 23,250 -
59,450 59,450 -
47,500 47,500 -
196,500 196,500 -
136,200 136,200 -
- 63,800 63,800
158,650 158,650 -
58,500 58,500 -
135,750 135,750 -
146,250 146,250 -
114,500 114,500 -
147,000 147,000 -
87,750 87,750 -
22,000 22,000 -
89,500 89,500 -
58,500 58,500 -
49,500 49,500 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
45,000 45,000 -
45,000 45,000 -
127,500 127,500 -
5,000 5,000 -
97,100 97,100 -
34,000 34,000 -
92,650 92,650 -
94,000 94,000 -
220,750 220,750 -
57,000 57,000 -
111,850 111,850 -
189,750 189,750 -
182,250 182,250 -
2,000 2,000 -
134,250 134,250 -
- 500,000 500,000
105,300 105,300 -
86,000 86,000 -
57,000 57,000 -
191,925 191,925 -
(49,550) - 49,550
254,500 254,500 -
39,600 39,600 -
79,200 79,200 -
59,250 59,250 -
88,000 88,000 -
34,000 34,000 -
134,000 134,000 -
- 74,900 74,900
- - -
- 9,026,151 9,026,151 6,713,651 6,867,400 2,312,500 -
9,026,151
Total
Pendapatan

9,026,151
1

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

883,100 883,100 -
47,200 47,200 -
666,050 666,050 -
39,600 39,600 -
32,000 32,000 -
56,750 56,750 -
90,300 90,300 -
45,000 45,000 -
55,500 55,500 -
157,000 157,000 -
34,500 34,500 -
106,200 106,200 -
58,000 58,000 -
85,500 85,500 -
20,000 20,000 -
58,000 58,000 -
68,050 68,050 -
13,500 13,500 -
11,850 11,850 -
70,050 70,050 -
448,000 448,000 -
20,000 20,000 -
144,000 144,000 -
83,380 83,380 -
40,500 40,500 -
126,050 126,050 -
79,200 79,200 -
18,500 18,500 -
79,200 79,200 -
5,300 5,300 -
106,500 106,500 -
65,950 65,950 -
- 18,250 18,250
10,000 10,000 -
7,000 7,000 -
47,500 47,500 -
163,150 163,150 -
18,500 18,500 -
40,350 40,350 -
67,650 67,650 -
169,300 169,300 -
162,500 162,500 -
69,500 69,500 -
68,500 68,500 -
159,000 159,000 -
74,600 74,600 -
123,200 123,200 -
58,000 58,000 -
19,500 19,500 -
7,500 7,500 -
24,500 24,500 -
79,200 79,200 -
39,600 39,600 -
6,000 6,000 -
- - -
- 5,229,780 5,229,780 4,591,780 3,013,800 638,000 -
5,229,780
Total
Pendapatan

5,229,780
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

17,000 17,000 -
7,250 7,250 -
216,250 216,250 -
500 500 -
54,500 54,500 -
21,500 21,500 -
82,000 82,000 -
2,500 2,500 -
120,000 120,000 -
44,500 44,500 -
97,500 97,500 -
125,750 125,750 -
168,200 168,200 -
127,982 127,982 -
13,500 13,500 -
69,000 69,000 -
18,000 18,000 -
42,600 42,600 -
2,000 2,000 -
49,382 49,382 -
97,800 97,800 -
77,050 77,050 -
- - -
- 1,454,764 1,454,764 1,257,764 940,200 197,000 -
1,454,764
Total
Pendapatan

1,454,764
-
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 01 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

1 1 150353 Tyasmini 6,000 545


2 150343 Sulistyaningsih 11,000 1,000
3 150349 Eti 2,000 182
4 150352 Wahyu 112,400 3,214 77,050
5 109190 Wulan 81,800 - 4,000 20,000
6 150347 Indriana 15,600 1,418
7 085428 Sephia 62,550 - 4,000 20,000
8 054946 Dwi Sumanti 35,300 3,209
9 108178 Siti Khotijah 49,300 - 4,000 20,000
10 057840 Rasini 101,150 - 4,000 20,000
11 096947 Tusinah 16,500 -
12 033602 Nur 28,850 2,623
13 150341 Listeti 4,000 364
14 003237 Sri Puji A 13,500 1,227
15 097308 Laela Mafira 63,300 5,755
16 094342 Murti Harningsih 16,500 -
17 109189 Aliya Az Zahra 99,750 - 4,000 20,000
18 173911 On On Bernard 13,500 -
19 096459 Siti T 18,500 - 2,000
20 056341 Maryono 17,650 (1,605)
21 109041 Parti 25,000 - 2,000
22 082043 Martini 47,100 2,873 3,000 12,500
23 Herman Arya 666,050 - 666,050
24 068258 Poniman 58,000 - 2,500
25 024951 Endang Sri A 52,500 3,364 3,000 12,500
26 108582 Sustriani 34,000 - 4,000
27 082624 Sarijem 132,325 8,939 4,000
28 087251 Supirah 47,500 - 4,000
29 035145 Suroso 18,500 - 2,000
30 109194 Kawisah 172,500 12,500 4,000
31 082304 Lasimah 203,700 12,236 4,000
32 104669 Tasmini 47,500 - 4,000
33 033425 Mariyem 20,000 - 4,000
34 108920 Yuliyanti 20,000 - 4,000
35 109032 Kisem 191,500 14,318 4,000
36 109196 Sutarmi 34,000 - 4,000
37 030903 Watiyem 114,750 6,114 4,000
38 067871 Sukarman 73,000 3,545 4,000
39 109197 Sudarno 44,900 2,673 3,000 12,500
40 092399 Riyadi 98,000 7,500 3,000 12,500
41 109021 Sotijah 111,750 5,841 4,000
42 092607 Jami 43,000 818 4,000
43 039554 Hana Gunawan 162,250 9,977 4,000
44 073175 Pasien Luar 79,200 7,200
45 105530 Fajar A 17,000 - 2,000
46 109043 Muhamad Taslim 149,250 10,477 4,000
47 108525 Rumilah 34,000 - 4,000
48 106869 Satinah 72,325 2,484 4,000
49 092820 Ngaliyah 192,800 14,436 4,000
50 109199 Yuli Kartika Sari 38,400 2,082 3,000 12,500
51 003941 Edi 50,800 4,618
52 066498 Karisih 34,000 - 4,000
53 109202 Al Aviana 124,800 - 4,000 20,000
54 109051 Sri Nurohayati 42,000 727 4,000
55 015646 Daryani 263,500 23,955
56 109205 Saerah 42,700 791 4,000
57 150355 Wahyu 1,409 15,500
58 025174 Sr. Rahayu 53,114 292,125 292,125
59 004197 Cicilia Yanti - 69,000 4,000 20,000
60 Siti 1,027 11,300
-
4,310,100 17,650 230,950 387,925 743,100 - - - - 292,125 - 141,500 62,500 - 140,000

Jurnal Umum 4,292,450


Kas dari Kassa 4,292,700
Selisih Kas 250

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 02 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

2 1 109215 Parno - 157,400 4,000 20,000


2 087298 Indriyana 5,455 133,500
3 150306 Niken 1,118 12,300
4 173909 Sr. Theresia - 58,250 58,250
5 006137 dr. Harnowo 11,682 128,500
6 044727 Waginah 791 8,700
7 054946 Dwi Sumanti 182 2,000
8 033908 Yunita 69,500 - 2,500
9 109058 Soni F 20,000 -
10 066400 Sri Mulyaningsih 226,925 - 4,000 20,000
11 Sudiman 185,000 -
12 096484 Nanik Retnoningsih 48,200 4,382
13 Siti 11,300 - 11,300
14 016928 Sarjono 9,850 895
15 108918 Dwi Ayu Retno 104,250 5,386 4,000
16 001096 Sumargiyono 37,850 3,441
17 109208 Martini 57,350 - 4,000 20,000
18 063213 Ina Veriyani 147,500 - 2,500
19 064965 Lucia Natalia 52,000 -
20 108858 Widati 54,750 3,568 3,000 12,500
21 036336 Bayu 79,200 7,200
22 068388 Iskak Mad Supeno 204,650 15,423 4,000
23 075646 Nur Mahayanti 80,450 4,132 4,000
24 057001 Lani Herawati 47,500 - 4,000
25 087380 Man Kardi 205,450 14,905 4,000
26 109108 Ponimin 93,150 6,150 3,000 12,500
27 084106 Lusiana 27,000 -
28 108913 Said Sumarto 34,000 - 4,000
29 077184 Suharti 112,750 7,159 4,000
30 081763 Is Susworo 138,750 9,523 4,000
31 107603 Eko Suparyanto 34,000 - 4,000
32 108978 Sarmiyah 238,000 18,455 4,000
33 109216 Tri Tresnowati 154,600 7,773 4,000
34 109219 Syarifudin 101,550 3,277 3,000 12,500
35 108210 Siti Nurhayati 82,765 6,115 3,000 12,500
36 104461 Disun 207,500 11,636 6,000
37 109224 Kusmadi 82,600 4,373 3,000 12,500
38 150365 Putri 51,400 4,673
39 109222 Mardi Suwito 70,000 3,227 3,000 12,500
40 109223 Lastri 58,000 - 2,500
41 068818 Dwi aryani 35,300 3,209
42 096500 Nasiran 67,750 6,159
43 109217 Putri Yulianingsih 69,500 3,591 3,000 12,500
44 109060 Kamsiyati 166,450 5,950 4,000
45 039944 Surati 72,000 3,455 4,000
46 039126 M Rusmadi 144,150 10,014 4,000
47 058435 Surati 116,200 7,473 4,000
48 004986 Darsih 118,800 10,800
49 Pengobatan karya 165,000 - 165,000
50 025503 Eni Purwati 111,900 5,264 4,000
51 008347 Tukijah 34,000 - 4,000
52 108331 Subariyah 186,250 13,841 4,000
53 103159 Isrofi 100,500 6,045 4,000
54 105239 Nurhayati 118,825 10,802
55 109226 Nuryanto 62,200 - 4,000 20,000
56 008949 Suniah 49,140 1,376 4,000
57 109214 Purwanto 122,150 6,332 6,000
58 090525 Wijiati 159,800 9,164 6,000
59 150370 Titik Lestari 30,000 (2,727)
60 022524 dr. Nrimanto 140,000 12,727
61 105349 Azia Lasung 127,500 - 2,500
62 40104 Maryatun 127,500 - 2,500
63 032624 Marsinta Manik 126,475 11,498
64 109107 Anita Nursanti 17,500 1,591
65 109229 Diwangga Prabu 72,850 - 4,000 20,000
66 003373 Soepinah 123,000 11,182
67 021466 Tukiyah 13,500 -
-
5,776,030 30,000 298,664 500,650 176,300 - - - - 58,250 - 151,500 87,500 - 100,000

Jurnal Umum 5,746,030


Kas dari Kassa 5,746,700
Selisih Kas 670

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 03 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

3 1 077163 Naspar - 1,044,360 4,000 25,000


2 092660 Sr. Lusi 19,255 164,400 164,400 4,000
3 109148 Sailah 11,545 142,500 3,000 12,500
4 044715 Agnes Herna P 400 4,400
5 085719 Zaimatu A 1,009 11,100
6 087298 Indriyana 273 3,000
7 108985 Ratmini - 13,500
8 108918 Dwi Ayu Retno 59,250 5,386
9 109238 Aulia Navisa 79,500 4,545 5,000 12,500
10 000728 Hendratno 105,000 -
11 109234 Sri Rejeki 38,400 - 4,000 20,000
12 103020 Saliyem 60,050 4,050 3,000 12,500
13 150373 Suciani 1,000 91
14 010940 Agus Handoko 56,500 - 4,000 25,000
15 094745 Reza 237,600 21,600
16 109232 Jalim 63,682 - 4,000 20,000
17 150372 aminudin 6,000 545
18 108984 Watiman 110,250 5,250 4,000
19 108641 Joenus 75,200 3,745 4,000
20 109050 Yuta Anggi 75,000 2,727 4,000
21 021466 Tukiyah 65,500 1,864 4,000
22 109135 Michael Kalis P 77,376 4,716 3,000 12,500
23 107830 Tutur Walijah 58,000 - 2,500
24 109244 Tasikem 54,900 3,582 3,000 12,500
25 109235 Suratman 295,300 8,709 4,000
26 084933 Tintin Sumarni 39,500 -
27 101803 Munareja 70,825 3,348 4,000
28 087182 Gumirah 12,000 1,091
29 109037 Suhartinah 18,500 - 2,000
30 108244 Tamsur 144,500 10,045 4,000
31 068528 Soekardi 165,600 11,509 3,000 12,500
32 069158 Darman 18,500 - 2,000
33 070839 Tuyem 212,250 16,114 4,000
34 108908 Wahyu Cahyono 34,000 - 4,000
35 Dwi Sumanti 39,600 - 39,600
36 107025 Yasa Dikrama 158,450 11,223 4,000
37 109239 Endang Suratmini 177,925 9,893 4,000
38 109245 Sugiyono 36,220 1,884 3,000 12,500
39 062957 Tumini 112,500 7,136 4,000
40 086136 Suherman 47,500 - 4,000
41 034936 Ega 17,000 - 2,000
42 107285 Sutrisno 69,400 4,900 3,000 12,500
43 109254 Andi Isriyanto 114,600 7,327 4,000
44 030838 Tri Widarningsih 39,600 3,600
45 109253 Sri Budi Astuti 113,200 7,200 4,000
46 150378 Yuli Gestati 48,900 4,445
47 Romiyati 190,000 -
48 109205 Saerah 58,000 - 2,500
49 108289 Sumi Andriyani 79,200 7,200
50 108159 Dasinah 114,200 10,382
51 109248 Yulia Budi Pertiwi 115,000 7,364 4,000
52 109249 Rahmi Dian 108,600 6,782 4,000
53 095688 Herlina 79,200 7,200
54 108798 Anisa 39,600 3,600
55 100916 Paidah 79,200 7,200
56 108293 Parni 39,600 3,600
57 090907 Maryati 39,600 3,600
58 104236 Indah Fitriani 39,600 3,600
59 104384 Suminah 39,600 3,600
60 109233 Yongky Adi 77,700 3,973 4,000
61 026974 Sugiyanto 13,500 -
62 042584 Indah 39,600 3,600
63 004682 Agus Hendra 123,600 8,145 4,000
64 084322 Ari Setyoningrum 193,400 17,582
65 106748 Sri Sunarsih 39,600 3,600
66 029832 Wimbuh Rahayu 79,200 7,200
67 104633 Harjinah 79,200 7,200
68 108300 Wahyu Kurniawan 45,600 4,145
69 094473 Sri Aminah 27,000 2,455
70 044631 Wuri Widiyanti 266,000 9,409 4,000
71 047022 Karyati 39,600 3,600
72 029504 Tri Erna 39,600 3,600
73 073651 Sukinem 160,000 11,455 4,000
74 109243 Iis Adi Irawati 108,600 6,782 4,000
75 109261 Gadis Wulandari 108,600 6,782 4,000
76 108920 Yuliyanti 139,950 12,723
77 109262 Eni Sulistyowati 73,600 3,600 4,000
78 109247 Saminem 143,098 9,918 4,000
79 067594 Linda Sri Puji 79,200 7,200
80 101456 Masiyah 101,500 6,136 4,000
81 105799 Theresia Yesi 39,600 3,600
82 109260 Sarnia 108,600 6,782 4,000
83 109256 Tri Sianawati 77,650 1,741 4,000
84 109240 Sarun 69,000 3,182 4,000
85 105026 MG Ponah 39,600 3,600
86 109259 Daryati 73,600 3,600 4,000
87 108799 Novianti 80,600 7,327
88 073162 Ester Yuliana 79,200 7,200
89 093421 Rustinah 39,600 3,600
90 109258 Keza Febiola 94,526 5,502 4,000
91 105224 Rasya Robani 172,126 12,557 4,000
92 071921 Tri Rahayu 157,226 11,202 4,000
93 046832 Surip Sukuriyah 39,600 3,600
94 037381 Bob Darius 74,600 6,782
95 104247 Dewi Ani 79,200 7,200
96 109056 Heni Apiyani 128,250 4,023 4,000
97 057873 Kinanti Gusti 39,600 3,600
98 109255 Marikin 88,582 - 4,000 20,000
99 088993 Lasinem 138,600 9,509 4,000
100 039639 Iriani 79,200 7,200
101 067847 Andina 39,600 3,600
102 062401 Tri Murtiningsih 79,200 7,200
103 062232 Tyas Satria 118,800 10,800
104 100918 Suparmi 79,200 7,200
105 070025 Siti Solihatun 78,000 7,091
106 107205 Ponisah 204,800 15,527 4,000
107 107728 Lia Indriyani 126,750 3,886 4,000
108 036769 Frederica Pamela 103,350 1,759 4,000
109 044075 Dewi 39,600 3,600
110 109057 Sukini 119,500 3,227 4,000
111 109263 Karina Delila 137,500 -
112 109257 Ari Setyawati 140,250 5,114 4,000
113 109254 Setyaningsih 477,500 - 4,000
114 109267 Gilang Ovi 141,950 9,814 4,000
115 103109 Bayu Aji 34,000 - 4,000
116 108547 Dwi Astuti 34,000 - 4,000
117 055938 Pinkan 34,000 - 4,000
118 104031 Satria 38,500 409 4,000
119 109266 Maria 84,000 - 4,000
120 109265 Okalia Damayanti 84,000 - 4,000
121 092065 Dewi Suryani 84,000 - 4,000
122 109252 Puji Astuti 84,000 - 4,000
123 025110 Rosna 84,000 - 4,000
124 109083 Dian Nur 84,000 - 4,000
125 080620 Napsiyah 84,000 - 4,000
126 109107 Anita Nursanti 84,000 - 4,000
127 109086 Irmayanti 84,000 - 4,000
128 057741 Watimah 84,000 - 4,000
129 026397 Fita M 84,000 - 4,000
130 098304 Maria Titi 84,000 - 4,000
131 107267 Reni Kumalasari 84,000 - 4,000
-
11,026,086 - 593,275 1,383,260 39,600 - - - - 164,400 - 297,000 100,000 - 110,000

Jurnal Umum 11,026,086


Kas dari Kassa 11,026,000
Selisih Kas (86)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 04 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

4 1 093250 Caroline Chika - 17,000 17,000 4,000


2 000597 Baryati - 84,000 4,000
3 073121 Rovina Bunga C 3,045 33,750 33,750 4,000
4 109110 Sr. Hedwig 10,455 74,500 74,500 4,000
5 101089 Sukiyem 9,920 143,125 4,000
6 011136 Yosepha I 909 19,000 4,000
7 005976 Alipah 1,868 20,550
8 096500 Nasiran 3,518 38,700
9 150385 Ida 182 2,000
10 062365 susteran 5,909 65,000
11 075716 Roger Bastian K 1,652 18,170
12 017408 Petrus Anna W - 13,500
13 018915 Rosdiana S - 9,300 37,200 4,000 20,000
14 002225 Sri Suhardanti 111,800 - 4,000 20,000
15 Sri Suhartinah 160,282 - 160,282
16 099992 Minarto 103,000 - 4,000 20,000
17 150387 Nurida 6,000 545
18 109269 Sri Lestari 139,300 - 4,000 20,000
19 096503 Sulistyaningsih 25,490 2,317
20 019803 Marwito 13,500 -
21 075096 Agus Dwi N 1,500 136
22 Saerah 190,000 -
23 107267 Renny Kumalasari 152,000 13,818
24 055497 Aisyah Amalia 103,800 - 4,000 20,000
25 109107 Anita Nursanti 99,250 9,023
26 094750 Rusmin Saputro 169,000 4,727 4,000
27 109023 Wiwit Indra 96,350 4,668 4,000
28 055938 Pinkan Nanda 76,100 6,918
29 109250 Nur Limamah 113,200 7,200 4,000
30 109251 Aminah 73,600 3,600 4,000
31 016717 uni Erwati 8,000 727
32 075434 Wahyu Nurhayati 117,000 - 4,000
33 108920 Yulianti 45,000 - 4,000
34 076683 Darwito 52,900 - 4,000 20,000
35 109272 Wiji Utami 210,000 - 4,000 20,000
36 034437 Maliatun Wakidah 58,300 - 4,000 20,000
37 109273 Dayat 58,000 - 4,000 20,000
38 010701 Imakulata 86,450 6,450 3,000 12,500
39 076502 Sumarni 62,122 4,238 3,000 12,500
40 101972 Kustio Wanto 58,000 - 2,500
41 109275 Arifin 47,220 2,884 3,000 12,500
42 108092 Ngafifudin 15,500 - 3,000 12,500
43 070578 Egowati 13,500 -
44 010801 Karsono 850 77
45 091067 Santareja 85,150 6,241 3,000 12,500
46 083842 Wahyu Dwi 3,000 273
47 062384 Widodo Edi 77,750 5,659 3,000 12,500
48 052936 Lani Hermawati 138,500 -
49 105530 Fajar 17,000 - 2,000
50 060113 Maemunah 42,700 700 4,000
51 042243 Waginah 8,000 727
52 109127 Solemah 153,500 10,864 4,000
53 009116 Sunardi 58,500 - 4,000
54 085479 Tanty 32,000 - 2,000
55 106140 Manggi 160,250 10,568 4,000
56 029700 Sanikem 102,950 6,177 4,000
57 100152 Uswatun Khasanah 105,500 6,500 4,000
58 109276 Warsito 34,000 - 4,000
59 108977 Eka Putut H 146,250 4,841 4,000
60 107977 Jumiati 13,500 -
61 107851 Yuana 103,000 - 4,000 20,000
62 107462 Ho Yung Fa 47,500 - 4,000
63 109142 Siswo Suparto 108,850 6,805 4,000
64 055928 Nurhayati 34,000 - 4,000
65 002355 W Nurhadi 60,600 1,600 4,000
66 109130 Satirah 16,500 - 4,000
67 088646 Ladimin Cipto 68,450 3,132 4,000
68 081531 Supriyanto 34,000 - 4,000
69 104146 Mikael Henata 68,010 4,774 3,000 12,500
70 048530 Wulan Tri L 180,600 12,964 3,000 12,500
71 Samun 20,000 -
72 054473 Sri Hartini 150,000 - 4,000 20,000
73 076490 Heru Sucipto 31,500 2,864
74 087536 Farumi 39,600 3,600
75 109279 Imam Hidayat 136,550 3,459 4,000
76 106861 Siti Choliyah 106,000 - 4,000
77 109277 Masfufah 111,900 3,082 4,000
78 108834 Suradi 229,000 17,727 4,000
79 107533 Jafarudin 130,750 8,795 4,000
80 040242 Partinem 20,000 -
81 109153 Dedi Prasetyo 129,500 - 4,000 20,000
82 109285 Rokhimah 53,250 - 4,000 20,000
83 109286 Tania Safabila 53,800 4,891
84 088970 Christian Raja 75,150 6,832
85 Pengobatan dokter 234,800 - 234,800
-
5,888,874 - 237,862 538,595 395,082 - - - - 162,450 - 210,500 100,000 - 260,000

Jurnal Umum 5,888,874


Kas dari Kassa 5,889,400
Selisih Kas 526

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 05 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
5 1 102690 Budi Prayitno 6,068 155,850 4,000
2 106466 Wina Khaerani A 7,155 112,700 4,000
3 087322 Dwi Indra A 3,882 46,000 12,200 3,000 12,500
4 069301 Sukoco 26,795 369,250 3,000 12,500
5 086654 Sri Winarsih 1,564 55,200 3,000
6 150395 Sr. Rahayu 455 2,500 2,500
7 150394 Agus 959 10,550
8 011136 Yosepha I 5,700 62,700
9 001024 Tri Gunarti 364 4,000
10 022752 Eti / Lukas 727 8,000
11 061200 Catur Aiwa U 155 1,700
12 108872 Kariman 97,600 5,782 4,000
13 093422 Berlian Nitya 104,050 6,368 4,000
14 109287 Nadin Amanda 85,800 4,709 4,000
15 108583 Lorissa Magdalena 75,680 3,789 4,000
16 054571 Mira Kristanti 40,080 553 4,000
17 109286 Tania Sapebila 34,000 - 4,000
18 109140 Ida Winarsih 34,000 - 4,000
19 088970 Christian 34,000 - 4,000
20 109295 Sumiyati 52,000 -
21 109296 Aisyah Okta 16,500 - 2,000
22 109214 Purwanto 18,500 - 2,000
23 064781 Poon Jung Yung 74,000 -
24 Niken 12,300 - 12,300
25 016928 Sarjono 86,691 7,881
26 096500 Nasiran 123,800 11,255
27 040136 Retno Kuntari 152,300 - 8,000 40,000
28 109291 Yuniar Prasista 112,200 - 4,000 20,000
29 066207 Kevin Putra 52,000 -
30 102544 Darsini 85,300 4,664 4,000
31 103716 Arif nur Hidayat 61,500 -
32 016871 Min Sumini 81,375 4,216 4,000
33 109294 Paiman 130,475 8,680 4,000
34 068818 Dwi Aryani 8,000 727
35 109297 Ratmin 429,375 - 4,000 20,000
36 037209 Kamiah 124,600 5,282 3,000 12,500
37 068682 Wiryo Suwito 155,500 11,045 4,000
38 052936 Lani 18,000 - 2,000
39 088771 Tri Setyo 192,775 14,434 4,000
40 057390 Kurnia Putri 118,800 10,800
41 108178 Siti Khotijah 136,500 9,227 4,000
42 002438 Jiman 139,150 9,468 4,000
43 109210 Mad Rasin 186,500 13,864 4,000
44 109106 Ida Winarsih 9,000 - 4,000
45 073118 Parkiyat 137,750 6,432 3,000 12,500
46 108897 Citra Cahyo S 9,000 - 4,000
47 061913 Rami 40,500 - 4,000
48 054946 Dwi sumanti 3,000 273
49 Caroline Cika 17,000 - 17,000
50 109301 Kiman 48,000 - 4,000 20,000
51 109041 Paiti 180,250 13,295 4,000
52 108462 Ciptati 201,150 15,195 4,000
53 097960 Sugiyono 18,500 - 2,000
54 045729 Gilbran Rizki A 163,800 9,300 4,000
55 003387 Warjan 73,000 1,909 6,000
56 109300 Endang Manisdah 15,500 - 3,000 12,500
57 108482 Daliyah 88,450 4,859 4,000
58 109298 Misiyah 154,000 10,909 4,000
59 094626 Sarti Amelia 41,000 2,318 3,000 12,500
60 058681 Temu 177,700 11,745 4,000
61 035145 Suroso 18,500 - 2,000
62 057043 Ismiyati 34,000 - 4,000
63 150405 Yuli Gestati 19,200 1,745
64 097935 Daffa 20,000 -
65 022092 sumarno Hadi 93,000 - 4,000
66 065912 Awalia 24,750 2,250
67 064623 RSU Purwogondo 41,100 3,736
68 031363 Harti 187,700 7,155 5,000 12,500
69 053609 Yael Hera 227,900 17,627 4,000
70 005976 alipah 35,100 1,323 20,550
71 150407 Sofi 39,600 3,600
72 109303 Selmy Laras 376,500 26,591 4,000
73 107746 Basuki 3,000 273
74 060605 Ratri Faedah 39,600 3,600
75 012803 Rusdi Handi W 93,600 - 4,000 20,000
76 102331 Lia Vientina 6,500 -
77 109308 Surti Mulyani 64,750 2,795 4,000
78 027952 Sri Purwanti D 141,550 5,232 4,000
79 108425 Setyarini 34,000 - 4,000
80 045573 Titi Wahyuni 215,250 11,932 4,000
81 109304 Denny Nur S 84,000 - 4,000
82 109091 Fitriati 191,150 12,741 4,000
83 109302 Yeni Suciati 156,000 6,545 4,000
84 109116 Sri Endah A 102,000 1,636 4,000
85 106010 Ratri Sahwan 84,000 - 4,000
86 073175 Pasien Luar 850 77
87 070943 drg. Aguswiatma 197,250 17,932
88 108990 Darisno 74,750 977 3,000
89 089289 Poniyem 45,000 - 4,000
90 109310 Novi Budi S 85,395 - 4,000 20,000
91 109271 Amiyati 127,500 - 2,500
92 074669 Fitriyani 51,500 -
93 109306 Sela 80,550 - 4,000 20,000
94 109307 Siti alimah 45,300 - 4,000 20,000
95 040136 Retno Kuntari 88,450 - 4,000 20,000
96 058434 Bayu Nuswantara 106,300 - 4,000 20,000
97 109299 Kusniyati 273,500 15,682 4,000
98 109143 Parman 34,000 - 4,000
99 005617 Saino 394,950 35,905
100 Meterai 12,000 - 12,000
101 Wahyu - 43,000
102 Ratna 318 3,500
-
8,400,996 - 442,475 237,150 49,850 - - 268,550 - 383,950 - 275,500 87,500 - 220,000

Jurnal Umum 8,400,996


Kas dari Kassa 8,401,900
Selisih Kas 904

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 06 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

6 1 004197 Cicilia Yanti - 69,000 4,000 20,000


2 001022 Yuli Gestati 100 1,100
3 005743 Mutmainah 3,300 36,300
4 055480 dr. B Suryanto 96 1,060
5 087338 Nita Ratnasari 864 9,500
6 005742 Evita Inda R 1,709 18,800
7 061200 Catur Aiwa U 2,514 27,650
8 150410 Wahyu Dwi 1,409 15,500
9 150411 Fitriyani 1,955 21,500
10 093290 Desi Iriyani - 27,500
11 050796 Lisa Harwanti 9,000 - 4,000
12 109296 Aisyah 16,500 - 2,000
13 082049 Elvira Astri 19,500 955 4,000
14 044833 Riyani 79,200 7,200
15 150409 Alipah 11,000 1,000
16 174085 Wahyu 43,000 3,909
17 140403 Ratna 3,500 318
18 045939 Adi Nugroho 95,035 - 4,000 20,000
19 064942 RSU Purbowangi 59,500 -
20 043293 Suparman 13,500 -
21 005068 Kiem Mei Lan 13,500 -
22 054955 Ivan Hendrawan 150,500 -
23 102893 Tiara 135,250 - 4,000 20,000
24 109314 Rakhmat Wahyu 15,500 - 3,000 12,500
25 002517 Haryadi 27,500 -
26 109315 Gunardi 99,450 7,632 3,000 12,500
27 099464 Tri Widayatul 9,000 -
28 039872 Sarti 51,500 -
29 068528 Soekardi 152,950 10,359 3,000 12,500
30 109315 Zaki 50,500 - 2,500
31 Darminah 180,000 -
32 092275 Arya Pandita 51,800 3,300 3,000 12,500
33 00614 Kumaslimah 5,000 -
34 049474 Syukur P 16,500 - 2,000
35 030125 Suyanto 454,160 - 4,000 25,000
36 015731 Endarti 4,150 377
37 070303 Kusmini 85,500 - 2,500
38 174140 Hibban Abdee 7,000 -
39 109322 Dimyadi 108,250 5,386 3,000
40 101972 Kustiowanto 127,500 - 2,500
41 000359 Wiwik Haryanti 19,500 955 4,000
42 043138 Titi Mulyo 47,500 - 4,000
43 109053 Tati 134,500 7,909 4,000
44 109163 Turah 34,000 - 4,000
45 109184 Sakinah 72,500 3,500 4,000
46 089738 San Miarso 171,825 12,530 4,000
47 085839 Wadiron 110,500 6,955 4,000
48 109317 Suparman 180,820 1,893 4,000
49 174132 Atmo Suwito 105,000 -
50 109321 Basirun 31,470 1,361 3,000 12,500
51 057538 Suparmi 106,750 6,614 4,000
52 037471 Bariman 47,500 - 4,000
53 045524 Suparman 157,800 11,255 4,000
54 101931 Untung Susilo 34,000 - 4,000
55 107735 Saliyem 136,000 9,273 4,000
56 109312 Suminah 63,500 2,682 4,000
57 109325 Rafa 52,350 - 4,000 20,000
58 109316 Kamsiyati 159,060 - 4,000 20,000
59 109191 Dafa Maulana 63,050 - 4,000 20,000
60 000762 Sri Sukengsi 23,900 2,264 16,500 3,000 12,500
61 099464 Tri Hidayatul R 13,650 1,241
62 108884 Chaerun Nisa 34,000 - 4,000 20,000
63 109237 Anita Putri 96,000 - 4,000 20,000
64 150414 Tajimun 13,000 1,182
65 Meterai 6,000 - 6,000
-
4,009,420 - 121,993 227,910 - - - - - 16,500 - 138,500 75,000 - 185,000
Jurnal Umum 4,009,420
Kas dari Kassa 4,009,800
Selisih Kas 380

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 07 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

7 1 026173 Ida Irmayanti - 69,900


2 065419 Kafka Ridho R - 25,900
3 083846 Fitriyani 16,500 -
4 026490 Hartini 11,500 -
5 057597 Nourmali Hidayah 99,350 - 4,000 20,000
6 039062 Mega Putri C 150,960 - 4,000 20,000
7 109326 Bakti Harusman 74,050 - 4,000 20,000
8 079164 Martina Sunarti 61,000 - 4,000 20,000
9 043503 Didik Lukanto 105,000 -
10 109328 Sukasno 82,900 - 4,000 20,000
11 109284 Endang Lestari 65,000 5,091 4,000
12 038621 Rahmat Wibowo 79,200 -
13 150418 Mia 4,500 -
14 150417 Dwi 3,300 -
15 010229 Sugiyarti 13,500 -
16 150416 Agus 10,000 -
17 001022 Yuli Gestati 8,900 -
18 083842 Wahyu Dwi A 82,900 -
19 074577 Siti F 13,500 -
20 109330 Saparudin 103,000 - 4,000 20,000
21 109331 Toni Harjono 187,800 - 4,000 20,000
22 109334 Fashita 41,550 - 4,000 20,000
23 001096 Sumargiyono 15,500 -
24 150419 Marsini 191,200 -
25 101573 Novi Budi S 50,250 - 4,000 20,000
26 079676 Irvan Pranoto 88,500 - 4,000 20,000
27 109337 Budiarto 56,900 - 4,000 20,000
28 044690 Karto Diharjo 98,500 - 4,000 20,000
29 109340 Tjan Wang 84,215 - 4,000 20,000
30 108543 Anto Iswanto 25,000 -
31 085125 Ziva Maharani P 131,550 - 4,000 20,000
32 Meterai 6,000 - 6,000
-
1,962,025 - 5,091 95,800 - - - - - - - 66,000 - - 280,000

Jurnal Umum 1,962,025


Kas dari Kassa 1,962,200
Selisih Kas 175

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 08 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

8 1 107036 Gyda Rafiqa Dewani - 53,700 4,000 20,000


2 055480 dr. B Suryanto - 15,300 61,200
3 033050 Suparmin - 55,500
4 070931 Alberto Priartha 182 8,750 8,750 3,000 12,500
5 150426 Maringah 31,091 342,000
6 092686 Sr. Felisitas 2,886 31,750
7 044727 Waginah 1,241 13,650
8 060153 Turyati 36,255 398,800
9 001823 Sr. Bernada 16,773 184,500
10 001096 Sumargiyono 1,177 12,950
11 064885 Claudia 193,500 - 8,000 40,000
12 105859 Petrus Warsono 56,050 - 4,000 20,000
13 109056 Heni Apiyani 74,200 - 4,000 20,000
14 016928 Sarjono 108,350 9,850
15 081815 Wagini 107,500 -
16 019740 Poniyah 79,200 7,200
17 109346 Aditya Kusuma 132,200 - 4,000 20,000
18 109343 Wahyu Tri S 210,925 - 4,000 20,000
19 109352 Suhadi 109,250 - 4,000 20,000
20 084663 Faizal Leo 16,500 - 2,000
21 073175 Rian 79,200 7,200
22 109345 Puji Yasa 40,000 -
23 109360 Sutarmi 168,300 13,891 3,000 12,500
24 108431 Sugiyah 47,950 2,950 3,000 12,500
25 109353 Mireja 161,000 13,136 3,000 12,500
26 052936 Lanny 18,500 - 2,000
27 109359 Nanik P 27,500 -
28 109357 Andi Setiawan 98,500 - 2,500
29 108055 Ami Kusriyati 58,000 - 2,500
30 105847 Siti Khoirul Bariyah 166,000 12,000 4,000
31 080780 Tugiyanto 44,300 936 4,000
32 109366 Ibrodin 176,700 9,782 4,000
33 031256 Samsudin 153,750 10,886 4,000
34 107244 Wasirah 291,750 23,341 4,000
35 011517 Amiran 34,000 - 4,000
36 109365 Septiyan Joko 223,575 17,007 3,000 18,500
37 109362 Mursiyah 101,600 6,145 4,000
38 109179 Sudiarto 120,250 7,841 4,000
39 052529 Endang W 91,500 -
40 080713 Suyatmi 74,300 4,118 3,000 12,500
41 109363 Rasidin 219,875 - 4,000 20,000
42 082043 Martini 181,600 15,100 3,000 12,500
43 011978 Suriah 76,500 -
44 107628 Moh Kodiran 144,825 9,984 4,000
45 106511 Saring 45,250 1,023 4,000
46 107658 Hadi Turyanto 34,000 - 4,000
47 109361 Yudi Priyanto 49,500 - 3,000 12,500
48 075900 Sainem 148,825 7,248 4,000
49 001022 Yuli Gestati 21,700 1,973
50 Marsijan 100,000 -
51 034301 Sukiman 34,000 - 4,000
52 109043 Muh Taslim 177,100 8,736 4,000
53 075288 Sukarman 34,000 - 4,000
54 109354 Karsiyem 144,200 9,927 4,000
55 105530 Fajar 17,000 - 2,000
56 109296 Aisyah 16,500 - 2,000
57 102602 Slamet Priaji 116,500 -
58 109358 Suroso 44,500 -
59 011484 Emi Muryani 47,500 - 4,000
60 109367 Noviarti 202,000 12,409 4,000
61 043846 Atma Pawiro 148,250 10,386 4,000
62 096876 Satijo 34,000 - 4,000
63 019928 Ambar 39,600 3,600
64 074632 Ambar Ari asih 130,750 8,795 4,000
65 089738 san Miarso 59,450 2,314 4,000
66 109368 Ngaisah 207,440 10,722 4,000
67 109364 Warsito 105,700 - 4,000 20,000
68 108918 Dwi Ayu Retno 446,000 36,455 4,000
69 073161 Triyono 40,500 -
70 109356 Yatinem 166,250 9,295 4,000
71 022524 dr. Nrimanto 191,500 17,409
72 104245 Sopiyah 39,600 3,600
73 086951 Kanis 74,000 - 4,000 20,000
74 079000 Muji Hartini 45,000 636 3,000
75 086951 Nabila 48,000 -
76 108842 Kemi 435,000 36,455 4,000
77 109374 Fadli Akbar 34,000 - 4,000
78 Meterai 18,000 - 18,000
79 Tukiyah 610,000
-
7,382,765 - 441,956 878,700 610,000 - - 53,700 - 254,450 - 210,000 106,000 - 220,000

Jurnal Umum 7,382,765


Kas dari Kassa 7,383,400
Selisih Kas 635

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 09 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

9 1 091085 David Elvis - 75,700 4,000 20,000


2 092664 Endah Puji H 3,614 55,250 3,000 12,500
3 087327 Indrawati 3,182 36,500 14,000 3,000 12,500
4 150436 RM. Darminto 6,100 67,100
5 025174 Sr. Rahayu 5,318 29,250 29,250
6 087338 Nita Ratnasari 727 8,000
7 109380 Yuli - 114,850 4,000 20,000
8 092808 Gentasela Prabaskara - 38,500 4,000 20,000
9 086489 Eko adi - 16,500 2,000
10 081256 Sr. Melania - 37,750 37,750
11 109378 Lembut 113,750 - 4,000 20,000
12 109377 Novanda 78,500 - 4,000 20,000
13 003794 Lina Mulyadi 27,000 -
14 150434 Umi 12,000 1,091
15 083785 Sri Muryani 20,000 909 4,000
16 Dedi Prasetyo 10,000 - 10,000
17 109383 Elis Indra 69,500 - 2,500
18 049162 Slamet Asmadi 34,000 - 4,000 20,000
19 104480 Farah 16,500 - 2,000
20 070931 Alberto P 13,600 1,236
21 023701 Cecilia H 144,000 -
22 109381 Samini 28,500 1,182 3,000 12,500
23 108506 Salam 87,000 4,818 4,000
24 044746 Sukiman 97,750 1,750 3,000 12,500
25 004639 Sugiyem 125,800 7,755 4,000
26 052548 Kurdi 69,100 - 4,000
27 036254 Edi Darsono 116,500 -
28 064942 Zola 11,500 -
29 085479 Tanti S 18,500 - 2,000
30 081309 Slamet Sugiarto 89,150 - 4,000 20,000
31 109331 Toni Harjono 38,000 2,045 3,000 12,500
32 109316 Kamsiyati 96,100 - 4,000 20,000
33 049827 Isnaeni 112,000 4,591 4,000
34 106831 Rista Nurjanah 141,300 8,936 4,000
35 098366 Dalimin 34,000 - 4,000
36 108056 Muhamad Nurdin 15,500 - 3,000 12,500
37 055928 Nurhayati 89,500 - 4,000
38 109005 Widiyo Handono 99,500 7,636 3,000 12,500
39 109004 Parsiyah 23,500 727 3,000 12,500
40 109212 Teguh Priyatno 74,750 3,705 4,000
41 031363 Harti 89,500 6,636 3,000 12,500
42 072345 Minarjo 34,000 - 4,000
43 102589 Agus santoso 300,700 14,200 4,000
44 Paulus Bagus a 20,000 -
45 109388 Fatimah 135,350 - 4,000 20,000
46 150438 dr; Lucy 59,700 5,427
47 150435 Aminudin 7,500 682
48 18514 Ega R 17,000 - 2,000
49 064623 RS Purwogondo 103,000 9,364
50 103240 Wartomo 212,350 14,395 4,000
51 102576 Parilah 96,950 5,723 4,000
52 024281 Rasino 235,400 16,036 6,000
53 108331 Subariyah 122,900 6,400 6,000
54 035893 Kusmiyati 6,300 573
55 104146 Mikael Henata 5,550 505
56 109391 sainem 123,100 - 4,000 20,000
57 109393 Kasimi Kristiani 85,500 - 2,500
-
3,561,600 - 145,264 348,450 - - - 130,950 - 81,000 - 144,000 112,500 - 210,000

Jurnal Umum 3,561,600


Kas dari Kassa 3,562,000
Selisih Kas 400

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 10 Agustus 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

10 1 046357 Sawiyem 3,927 59,700 3,000 12,500


2 005842 Sr. Valentine 19,636 108,000 108,000
3 000546 Sr. Maria 56,886 312,875 312,875
4 053470 Ika Isdiana Dewi 19,500 955 4,000
5 109406 Suharto 52,000 -
6 109214 Purwanto 18,500 - 2,000
7 022291 Basuki Priyanto 90,600 - 4,000 20,000
8 150444 Alipah 19,750 1,795
9 077454 Tri Astuti 40,500 - 4,000 20,000
10 080100 Puspa Rini 27,500 - 2,000
11 084831 Iwan Kusuma 47,000 -
12 109399 Joko Anggoro 121,550 - 4,000 20,000
13 150446 Titik Lestari 18,000 1,636
14 109310 Wito 101,082 - 4,000 20,000
15 109175 Miran Sumarto 177,000 11,045 4,000
16 109392 Mujiasih 48,750 1,341 4,000
17 006137 dr. JB Harnowo 18,000 1,636
18 109402 Yoga aji S 77,000 - 4,000 30,000
19 109403 Randi Apriyanto 62,500 - 4,000 30,000
20 109394 Rois Al Azar 41,500 - 4,000 20,000
21 068810 Bina Husada 15,000 -
22 057597 Nourmalia Hidayah 47,800 - 4,000 20,000
23 109395 Kuncoro 49,750 - 4,000 20,000
24 109396 Karlina 80,400 - 4,000 20,000
25 043907 Cundoko 76,500 -
26 096680 Mamat Martono 20,000 -
27 070041 Rosadi 43,450 2,450 3,000 12,500
28 097160 Citra Larasati 103,500 8,000 3,000 12,500
29 108741 Kasinah 34,000 - 4,000
30 107049 Eva Yuniarti 58,000 - 2,500
31 054955 Ivan H 8,000 -
32 023701 Cicilia 8,000 -
33 046852 Sari 121,050 7,914 4,000
34 099565 Darmi 50,100 3,145 3,000 12,500
35 010940 Agus Handoko 47,500 - 4,000
36 109410 Yogi Suworo 67,800 4,755 3,000 12,500
37 000084 Agus Setiawan 48,500 -
38 001494 Surjati 59,000 -
39 000170 Lukito 61,000 -
40 108655 San Wiarjo 160,200 13,064 3,000 12,500
41 109405 Hanifah 74,950 5,405 3,000 12,500
42 109407 Awi Hiza M 23,150 695 3,000 12,500
43 055820 Agus eri 85,500 - 2,500
44 108277 Muhajir 38,500 409 4,000
45 109060 Kamsiyati 139,000 4,455 4,000
46 109062 Pamiaji 38,500 409 4,000
47 064623 RSU Purwogondo 72,750 6,614
48 038233 Subandi 34,000 - 4,000
49 108315 Muhroni 52,950 1,723 4,000
50 107939 Aminah 47,500 - 4,000
51 107651 Rusman Budi R 38,500 409 4,000
52 109033 Suparlan 120,525 7,866 4,000
53 100887 Sodirah 132,675 8,970 4,000
54 109142 Siswo Suparto 80,850 4,259 4,000
55 107072 Saimi 124,250 8,114 4,000
56 047545 Iswandiyah 79,425 3,902 3,000 18,500
57 dr. Rahmad 43,000 3,909
58 097680 Adminah 148,700 10,427 4,000
59 107383 Puji Hastuti 102,849 6,259 4,000
60 108298 Tukinah 60,600 5,509
61 109236 Chomsatun 43,500 3,955
62 107523 Sumiati 116,250 2,932 4,000
63 056397 Fita Martiyana 95,100 1,009 4,000
64 18524 Ega R 17,000 - 2,000
65 057973 Sakimin 62,250 2,568 4,000
66 018904 Ali Subagyo 107,500 - 4,000
67 109414 Tri Suharti 91,500 8,318
68 078104 Tegar Rizky 39,600 3,600
69 075913 Vanesa Caroline 104,000 6,364 4,000
70 108962 Yanti Setyawati 74,600 6,782
71 107386 Nining Asqiya 39,600 3,600
72 103960 Feriyani 79,200 7,200
73 102731 Riris Winarni 39,600 3,600
74 094473 Sri aminah 11,700 1,064
75 109400 Parmiatun 121,500 6,727 4,000
76 105958 Eni Meiyanti 39,600 3,600
77 061862 Jenny 79,200 7,200
78 109266 Maria Sulistyo 84,000 - 4,000
79 060035 Marliana 84,000 - 4,000
80 092565 Jasiyem 84,000 - 4,000
81 092498 Rusiyanti 84,000 - 4,000
82 108920 Yuliyanti 151,250 6,114 4,000
83 109290 Rostina 114,000 2,727 4,000
84 102447 Diyan sapto 84,000 - 4,000
85 109241 Sri Hartati 84,000 - 4,000
86 109415 sitatun 84,000 - 4,000
87 109086 Irmayani 84,000 - 4,000
88 107267 Deni Kumalasari 84,000 - 4,000
89 109155 Nila Ika 84,000 - 4,000
90 109414 Tri Suharti 84,000 - 4,000
91 107266 Berliana 84,000 - 4,000
92 098222 Lina Ariestin 84,000 - 4,000
93 109236 Khomsatun 84,000 - 4,000
94 063420 Sriyati 99,149 5,923 4,000
95 109423 Kurnia B 73,600 3,600 4,000
96 068353 Naila Fauziah 153,149 10,832 4,000
97 102977 Dewi sepsiana 79,200 7,200
98 093239 Herni Widyawati 79,200 7,200
99 064439 Sumini 114,200 10,382
100 054936 Yasinta 177,752 13,068 4,000
101 109413 Yunita 108,600 6,782 4,000
102 100475 Rosiana Endah 39,600 3,600
103 109412 Ratih Ratnasari 108,600 6,782 4,000
104 041010 Sri Yuliati 39,600 3,600
105 105182 Martati 39,600 3,600
106 109261 Gadis Wulandari 74,600 6,782
107 109262 Eni Sulistyowati 39,600 3,600
108 105447 Anugrah Dwi 213,452 16,314 4,000
109 109427 Nur Hanifah 73,600 3,600 4,000
110 109411 Meri 88,000 4,909 4,000
111 109430 Alvina Novita 65,700 2,882 4,000
112 108142 Uyunul 109,000 6,818 4,000
113 109429 Ani Purwaningsih 108,600 6,782 4,000
114 109428 Ibnu Nafis 73,600 3,600 4,000
115 108145 Tuti 39,600 3,600
116 105951 Lilis Eko 39,600 3,600
117 108168 Erli 79,200 7,200
118 108960 Ika Wonarti 39,600 3,600
119 107848 Linda sulistyo 79,200 7,200
120 103814 Kartini 74,600 6,782
121 108957 Rini Palupi 39,600 3,600
122 109256 Trisianawati 89,226 5,021 4,000
123 092565 Jasiyem 38,600 3,509
124 102874 Asyam Alana 59,200 2,291 4,000
125 103231 Leon Hard 38,500 409 4,000
126 108708 Tria angelina 38,500 409 4,000
127 104164 Revel Y 38,500 409 4,000
128 106118 Moh Chandidy 38,500 409 4,000
129 108190 Kenji Prasetyo 36,000 182 4,000
130 104404 Nathanael 34,000 - 4,000
131 109281 Resti Nur 34,000 - 4,000
132 109431 Akif Zafiru 34,000 - 4,000
133 108763 Joko Setiady 117,000 - 4,000
134 150667 Weri 2,000 182
135 108797 Jaiman 117,000 - 4,000
136 056841 Juan Renaldo 116,600 7,509 4,000
137 108958 Siti Maksuroh 39,600 3,600
138 109426 R Untung Surono 261,726 20,702 4,000
139 109425 Irvan Nurdiansyah 134,226 9,111 4,000
140 109424 Meika Wulandari 108,600 6,782 4,000
141 037601 Nunung Suryanings 39,600 3,600
142 106099 Esti Rahayu 79,200 7,200
143 109421 Habibah N 144,150 10,014 4,000
144 109321 Basirun 73,600 3,600 4,000
145 063814 Sukarsih 39,600 3,600
146 100949 Siti Haryati 116,750 - 4,000 20,000
147 055947 Wakinem 130,376 8,761 4,000
148 109422 Guntur Sujarwati 73,600 3,600 4,000
149 101694 Indra Kurniawan 45,600 4,145
150 086944 Suharmi 79,200 7,200
151 038799 Eri Haryani 73,600 3,600 4,000
152 109420 Bodhi Dharmanto 198,700 14,973 4,000
153 109401 Endah Sedana 98,600 5,873 4,000
154 010871 Lindawati 113,200 7,200 4,000
155 109408 Siti Sangadah 73,600 3,600 4,000
156 088724 Yustina 39,600 3,600
157 108803 Sutarmi 79,200 7,200
158 108802 Surtinah 129,200 11,745
159 050935 Dalu Rahayu 39,600 3,600
160 108956 Umi Fitria 39,600 3,600
161 109418 Marsinah 142,849 9,895 4,000
162 099913 Isdariyah 153,000 10,818 4,000
163 108990 Darisno 15,500 - 3,000
164 104673 Tularsih 39,600 3,600
165 109397 Diah Retnosari 198,200 14,927 4,000
166 109404 Windi Septina 108,600 6,782 4,000
167 069012 Pariyah 39,600 3,600
168 108786 Defita Nilasari 39,600 3,600
169 105788 Sriyati 39,600 3,600
170 Meterai 12,000 - 12,000
-
12,502,111 - 702,375 420,875 - - - - - 480,575 - 429,000 118,500 - 240,000

Jurnal Umum 12,502,111


Kas dari Kassa 12,503,200
Selisih Kas 1,089

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 11 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

11 1 106466 Wina Khaerani A 5,091 90,000 4,000


2 098469 Inaya Cirendina 3,355 70,900 4,000
3 100502 Fitria Dwi C 14,782 196,600 4,000
4 058345 Sr. Vincentia 12,936 78,900 78,900 3,000 12,500
5 035367 Yovita Mariana 5,273 73,500 3,000 12,500
6 1503652 Sr. Ana 7,564 41,600 41,600
7 150671 Mutmainah 8,055 88,600
8 083846 Fitriyani 864 9,500
9 026173 Ida Irmayanti 1,136 12,500
10 001022 Yuli Gestati 1,491 16,400
11 019967 Mufti Hidayat 1,500 16,500
12 057840 Rasini 120,700 - 4,000 20,000
13 089289 Poniyem 41,500 - 4,000
14 091409 Sri Murni 61,750 2,523 4,000
15 109419 Rista Diah 200,150 - 4,000 20,000
16 109431 Akif Zakiru 3,850 350
17 104404 Natanael R 75,400 6,855
18 108943 Dewi Kartina 74,600 6,782
19 107266 Berliana 122,000 11,091
20 098787 Musripah 158,400 14,400
21 015949 Sugiyati 13,500 -
22 076418 Sudiarsih 79,500 -
23 032648 aminudin 22,000 2,000
24 109436 Karsiti 105,500 - 4,000 20,000
25 109438 Mad Sumarto 58,000 - 2,500
26 109316 Kamsiyati 25,500 - 3,000 12,500
27 023701 Cecilia H 8,000 -
28 108182 Yuniati 12,300 1,118
29 087345 Roman Virsa 77,250 5,614 3,000 12,500
30 061732 Endang W 13,500 -
31 105530 Fajar a 17,000 - 2,000
32 109388 Fatimah 43,000 1,591 3,000 12,500
33 109440 Santawi 137,172 10,970 3,000 12,500
34 109441 Dasinem 33,905 1,582 3,000 12,500
35 109442 sartiyem 49,700 3,018 3,000 12,500
36 034169 Sumarni 73,800 3,618 4,000
37 109315 Gunardi 111,750 8,750 3,000 12,500
38 108047 Hayu Lestari 30,800 1,982 4,000
39 090899 Mutmainah 34,000 - 4,000
40 108198 Binnesia 30,800 1,982 4,000
41 109443 Wirya Wintana 173,110 14,237 3,000 12,500
42 061527 Kaminem 120,625 7,875 4,000
43 109444 Teguh Santoso 94,400 7,173 3,000 12,500
44 002355 W Nurhadi 61,900 1,718 4,000
45 109363 Rasidin 43,000 1,591 3,000 12,500
46 109119 Suwarso 121,382 9,535 3,000 12,500
47 109198 Tukiyem 174,075 12,734 4,000
48 107267 Renny Kumalasari 81,000 7,364
49 109206 Karto Wijaya 165,550 10,732 4,000
50 105045 Fabianus Juan 11,000 182 4,000
51 104742 Nabila 11,000 182 4,000
52 108822 Nathanael 11,000 182 4,000
53 109439 Ferdi Ikhwan 16,500 682 4,000
54 105979 Calisto Camelia 16,500 682 4,000
55 109140 Ida Winarsih 18,500 864 4,000
56 108986 Ratih 18,500 864 4,000
57 108884 Khaerunisa 18,500 864 4,000
58 109293 By Dian Nur 18,500 864 4,000
59 109288 Nur Intan By 18,500 864 4,000
60 109181 By Puput 18,500 864 4,000
61 108182 Efan Fadila 18,500 864 4,000
62 109083 Dian Nur 9,000 - 4,000
63 109274 Wasinah 172,200 8,427 4,000
64 071115 Natiyah 179,875 13,261 4,000
65 101218 Pratama 73,700 5,291 3,000 12,500
66 106827 Sunarya 133,350 3,986 4,000
67 109448 Melvinda 140,400 11,355 3,000 12,500
68 002438 Jiman 131,200 8,745 4,000
69 109446 Supriyati 159,000 - 4,000
70 109278 Mohamad a 100,000 6,000 4,000
71 022524 dr. Nrimanto 250,000 22,727
72 109450 Slamet 127,500 - 2,500
73 109372 By Tri Resmiasih 16,500 682 4,000
74 086951 By Kanis 52,200 - 4,000 20,000
75 109449 Rehan 16,500 - 2,000
76 108425 Setyarini 286,650 7,423
77 001096 Sumargiyono 30,000 2,727
78 106358 Raffa Yoan 18,500 864 4,000
79 109438 Mad Sumarto 2,580 28,375
-
4,962,444 - 321,252 365,875 - - - 357,500 - 120,500 - 206,000 187,500 - 80,000

Jurnal Umum 4,962,444


Kas dari Kassa 4,962,800
Selisih Kas 356

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 12 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

12 1 065395 Ika Widyastuti 11,182 140,000 17,000 4,000


2 069301 Sukoco 11,227 190,500 3,000 12,500
3 086654 Sri Winarsih 168 52,350 3,000
4 066719 Amanda Aprilianti - 17,750 17,750 3,000
5 087313 Lugiati 168 10,470 41,880 3,000
6 054946 Dwi Sumanti 309 3,400
7 096487 Sri Daryanti 1,477 16,250
8 150692 Amin 2,727 30,000
9 056480 dr. B suryanto 7,545 16,600 66,400
10 086489 Eko Adi - 16,500 2,000
11 Kafka 25,400 - 25,400
12 016928 Sarjono 47,075 1,700 28,375
13 080610 Agus Bintoro 116,500 -
14 001758 Suwanti Haloho 199,850 - 4,000 25,000
15 044652 Endang Supriyati 79,500 - 4,000 20,000
16 001096 Sumargiyono 41,350 3,759
17 032648 aminudin 64,650 5,877
18 150684 Trisno 17,250 1,568
19 109452 Samen 58,250 - 4,000 20,000
20 018832 Dullah Chaeri 55,700 - 4,000 20,000
21 077040 Sofian Bagus 89,250 5,023 4,000
22 092414 Liem In Nio 13,500 -
23 089337 Tan San Hwa 13,500 -
24 109230 Kasa Wijayanto 108,750 5,432 4,000
25 108604 Yusbih Nadia S 11,000 182 4,000
26 020974 Sugiyanto 13,500 -
27 109451 Samikun 79,800 - 4,000 20,000
28 106194 Sebastian Nayotta 11,000 182 4,000
29 008949 Suniah 12,140 1,104
30 150687 Margi 22,550 2,050
31 109455 Sarminah 58,000 - 2,500
32 150688 Agus Hendro 44,000 4,000
33 004682 Agus 27,000 -
34 Lisa 144,100 13,100
35 034585 Inayah 35,000 3,182
36 080100 Puspa Rini 27,500 - 2,000
37 047545 Iswandiyah 41,000 2,318 3,000 12,500
38 037209 Kamiah 78,700 5,745 3,000 12,500
39 062486 Kartinah 19,000 909 4,000
40 087331 San Mureja 82,300 4,391 4,000
41 078245 Agus Setiawan 34,000 - 4,000
42 106418 andira kirana 15,500 - 3,000 12,500
43 000878 Anastasia Kristiati 250 23
44 097713 ahmad Faizal 40,000 -
45 061915 Rami 40,500 - 4,000
46 079570 Muhamad Rafi 77,900 - 4,000 20,000
47 000106 Stefanus Parmo 183,100 9,136 4,000
48 055928 Nurhayati 69,100 - 4,000
49 Naspar 1,044,400 - 1,044,400
50 109211 Tofiah 86,800 4,800 4,000
51 109456 Kristina Wahida 49,900 3,127 3,000 12,500
52 053975 Sarijan 34,000 - 4,000
53 064623 RSU Purwogondo 141,750 12,886
54 104245 sopiyah 39,600 3,600
55 107522 Sariyah 178,525 8,093 4,000
56 056280 Tumin 127,000 11,545
57 035145 Suroso 18,500 - 2,000
58 105706 Sekar Kinasih 101,035 7,776 3,000 12,500
59 109304 Denny Nur S 167,000 7,545 4,000
60 027235 Marsini 82,700 3,427 4,000
61 109345 Puji Yoga 242,000 22,000
62 108425 Setyarini 48,250 1,295 4,000
63 082171 Nur Intan 108,200 5,745 4,000
64 109460 Eka Purwanti 102,000 1,636 4,000
65 109459 Yuliati 124,000 3,636 4,000
66 089581 Nurhayatiningsih 146,250 5,659 4,000
67 078472 Steven 112,500 -
68 109436 Karsiti 167,000 7,545 4,000
69 004682 Agus Hendra J 13,500 -
70 109091 Fitriati 51,700 609 4,000
71 109280 Endang Lestari 107,250 5,659 4,000
72 109246 Rohmiyati 152,000 5,182 4,000
73 103397 Puji Ade N 45,000 - 4,000
74 40303 Endang Lestari 10,000 - 4,000
75 086726 Dwi Kartika sari 84,000 - 4,000
76 107436 Yuliyanti 84,000 - 4,000
77 028725 Bagus Susilo 29,000 - 4,000
78 028452 Sartinah 60,200 - 4,000 20,000
79 Meterai 6,000 - 6,000
80 Marliyah 5,082 55,900
82 096483 Ika Endang P 1,955 21,500
-
5,861,525 - 233,291 380,720 1,098,175 - - - - 333,530 - 189,500 75,000 - 145,000

Jurnal Umum 5,861,525


Kas dari Kassa 5,862,100
Selisih Kas 575
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 13 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

13 1 109473 Fadly Naransya 3,755 56,800 3,000 12,500


2 109470 Ahmad ade Nasokha 5,555 112,600 3,000
3 094585 Djoko Pramono 13,386 240,250 4,000
4 109471 Endah Nugraheni 1,000 93,500 3,000 12,500
5 095828 Dede Dwi A 5,409 66,800 8,200 3,000 12,500
6 109380 Yuliati 1,386 40,750 3,000 12,500
7 092686 Sr. Felisitas 2,195 36,575 36,575 3,000
8 004219 Agustina Pratiwi 1,705 10,550 42,200 4,000
9 109257 Ari Setyawati - 34,000 4,000
10 105050 Hafiz Fahrezi - 17,000 17,000 4,000
11 073121 Rovina Bunga C 1,386 15,250
12 060153 Turyati (36,255) 398,800
13 028202 Darminah - 7,000
14 029630 dr. Inawati - 111,500
15 074109 Saptania - 9,000
16 063369 Sutadi 127,700 - 4,000 20,000
17 109143 Parman 34,000 - 4,000
18 105530 Fajar agung 101,000 - 4,000
19 Marlingah 795,800 - 795,800
20 109461 Siti Munawaroh 8,000 - 20,050 4,000 20,000
21 042855 Siti N 52,000 -
22 109462 Rino 55,650 - 4,000 20,000
23 109268 Saino 403,000 32,591 4,000
24 109154 Nurul Farikin 266,000 20,091 4,000
25 065585 Sri Hartini 139,500 12,682
26 Rm. Samuel 92,600 - 92,600
27 099464 Tri Hidayatul 97,000 4,909 4,000
28 109331 Toni Harjono 84,050 5,323 3,000 12,500
29 150696 Ari 14,300 1,300
30 109214 Purwanto 18,500 - 2,000
31 109468 Wilem 18,500 - 2,000
32 109467 Tajimun 18,500 - 2,000
33 077917 Sumiyati 47,500 - 4,000
34 109469 Hadini 151,950 10,632 4,000
35 061198 Robertus Eko 33,600 3,055
36 069158 Darman 18,500 - 2,000
37 091645 Pagem 92,600 5,327 4,000
38 097713 Ahmad Faisal 49,000 3,045 3,000 12,500
39 075119 Agusta Ratna P 113,250 2,659 4,000
40 068810 Bina Husada 15,000 -
41 109037 Suhartinah 18,500 - 2,000
42 Kustriyani 175,000 -
43 109472 Sofiar 182,450 13,495 4,000
44 076990 Yuliana 24,000 - 4,000 20,000
45 025816 Evelin 79,200 7,200
46 150700 Endah 9,000 818
47 109216 Tri Tresnawati 112,250 7,114 4,000
48 043503 Didik Lukanto 110,750 6,977 4,000
49 074408 PKU Sruweng 57,100 5,191
50 034169 Sumarni 52,750 1,705 4,000
51 014710 Tersius Siswadi 206,250 15,659 4,000
52 18543 Syukur 16,500 - 2,000
53 18542 Sugiarti 18,500 - 2,000
54 18541 Kusmini 18,500 - 2,000
55 150601 Yuli Gestati 22,500 2,045
56 097960 Sugiyono 18,500 - 2,000
57 109474 Poniyem 18,500 - 2,000
58 095552 Sri Esti 18,500 - 2,000
59 109477 Maulana Iqbal 50,500 - 2,500
60 011740 Satimah 10,000 - 2,000
61 079570 Muhammad Rafi 21,500 - 4,000
62 060035 Marliana Woro 88,500 8,045
63 078577 Kartip 30,900 2,809
64 150602 Indrawati 2,000 182
65 108884 Chaerun Nisa 89,450 5,041 4,000
66 104517 Zikra Akmawa 38,500 409 4,000
67 103435 Lina Mirnawati 38,500 409 4,000
68 108179 Danendra 36,000 182 4,000
69 109341 Sartimah 92,000 5,273 4,000
70 107859 Fanya Nathania 92,000 5,273 4,000
71 107421 Bagus Nugrah 38,500 409 4,000
72 107539 Niero Gavin 34,000 - 4,000
73 108606 Yusbin Nadin 90,000 5,091 4,000
74 100116 Avriliya 34,000 - 4,000
75 106071 Daffa Fiul 36,000 182 4,000
76 101230 Vian Mukti 71,200 3,382 4,000
77 087920 Benedick Paschal 34,000 - 4,000
78 106194 Sebastian Nayotta 34,000 - 4,000
79 000082 aan Sri 60,500 - 4,000 20,000
80 Meterai 12,000 - 12,000
81 096482 Niken Kristianti 3,641 40,050
-
5,040,300 - 201,668 388,475 1,287,200 - - 503,150 - 124,025 - 214,500 75,000 - 100,000

Jurnal Umum 5,040,300


Kas dari Kassa 5,040,600
Selisih Kas 300

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 14 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

14 1 150605 Yosepha I - 7,000


2 150608 Indrawati - 7,000
3 035715 Siti Maftukhah - 4,150
4 061200 Catur aiwa U - 39,600
5 003400 Sr. Veronika - 45,750 45,750
6 103789 San Nasrip - 29,000
7 096482 Niken 107,050 - 40,050
8 103359 Nur Afiatun 74,600 -
9 109478 Rebon 67,500 - 4,000 20,000
10 069357 Vina Anggraeni 93,500 - 4,000 20,000
11 073413 Dumaksion 124,280 - 4,000 20,000
12 091824 Taswan 87,300 - 4,000 20,000
13 109050 Yuta Anggi s 131,400 6,900 4,000
14 034744 Ita Dwi R 37,200 -
15 109480 Adinda 49,150 - 4,000 20,000
16 109482 Saiman 81,950 - 4,000 20,000
17 046852 Sari 56,650 - 4,000 20,000
18 108063 Puspo Dwi A 103,700 - 4,000 25,000
19 088152 Katimah 34,000 - 4,000 20,000
20 109363 Rasidin 54,000 - 4,000 20,000
21 100671 MM Dwi Maryati 19,500 955 4,000
22 108489 Devi Novita 155,900 - 4,000 20,000
23 109484 Tri Gusnandi 112,800 - 4,000 20,000
24 079802 Mudiarto 259,800 - 4,000 20,000
25 042189 Umu Salamah 39,600 -
26 002009 Ninik Ekowaty 35,300 -
27 150616 Susi 2,200 -
28 019803 Marwito 13,500 -
-
1,740,880 - 7,855 132,500 40,050 - - - - 45,750 - 60,000 - - 265,000

Jurnal Umum 1,740,880


Kas dari Kassa 1,741,000
Selisih Kas 120

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 15 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

15 1 109495 Hesti tri - 158,890 4,000 20,000


2 066413 Widi Prihartono - 305,750 4,000 20,000
3 109502 Samuel Bahtiar - 230,375 4,000 20,000
4 066959 Olivia Atmaja 1,968 27,400 9,750 3,000 12,500
5 001024 Tri Gunarti 1,382 6,200 24,500 3,000 12,500
6 003190 Sugiyanti 1,318 14,500
7 087327 Indrawati 727 8,000
8 105630 Triyono 112,000 -
9 088258 Alexander Cahyo 233,750 - 4,000 20,000
10 150619 Cicilia Yanti 10,300 936
11 109489 Ahmad Sobari 105,150 - 4,000 20,000
12 087296 Reni Komariyah 91,500 8,318
13 109147 Kusmiyati 219,050 19,914
14 087308 Imam Santoso 17,600 1,600
15 002156 Tasini 25,000 2,273
16 109488 Siti Sofingah 50,000 - 4,000 20,000
17 109393 Kasini 58,000 - 2,500
18 SMP PIUS Gombo 135,200 - 135,200
19 082060 Kamto 58,000 - 2,500
20 000170 Lukito 31,500 -
21 105618 Miah 18,000 - 2,000
22 18546 Ega R 17,000 - 2,000
23 109316 Kamsiyati 69,500 3,682 3,000 12,500
24 081825 Agus Waluyo 53,500 3,455 3,000 12,500
25 106871 Putut Lenggono 32,750 1,568 3,000 12,500
26 077445 Murtiyah 190,000 11,227 3,000 12,500
27 109493 Tumirah 93,000 6,955 3,000 12,500
28 082043 Martini 30,750 1,386 3,000 12,500
29 109498 Gress Yuliarni 49,500 - 3,000 12,500
30 109497 Desti Hastuti 49,500 - 3,000 12,500
31 109388 Fatimah 58,900 3,036 3,000 12,500
32 042855 Siti Nur 6,500 -
33 109492 Mohammad Sofii 66,200 2,836 4,000
34 108084 Wasitah 60,400 2,400 4,000
35 109449 Rehan 16,500 - 2,000
36 108908 Wahyu Cahyono 34,000 - 4,000
37 040487 Mad Sumarto 134,000 9,091 4,000
38 052671 Sapariyah 190,500 14,227 4,000
39 062068 Tati Samiati 47,500 - 4,000
40 109467 Tajimun 84,380 1,853 4,000
41 068388 Iskak Mad Supeno 242,700 18,973 4,000
42 108401 Sadinah 321,500 26,045 4,000
43 090919 Eko Budi Santoso 94,400 5,400 4,000
44 109500 Mardan 96,200 5,564 4,000
45 107735 Saliyem 140,000 9,636 4,000
46 075378 Sri Handayani 34,000 - 4,000
47 023375 Warsinah 57,000 2,000 4,000
48 080962 Suratmi 98,130 1,875 4,000
49 Yosepha I 7,000 - 7,000
50 066969 Samirah 185,900 13,718 4,000
51 109041 Paiti 160,000 11,455 4,000
52 108370 Indah Tri W 84,500 4,591 4,000
53 106508 Kasinah 76,750 3,886 4,000
54 103159 Isrofi 66,500 6,045
55 108582 Sustriani 34,000 - 4,000
56 092607 Jami 46,000 1,091 4,000
57 041700 Mukiyem 34,000 - 4,000
58 109338 Watini 212,350 16,123 4,000
59 090771 Hindun 98,500 - 2,500
60 150622 Eko 72,000 6,545
61 109501 Muslimatun Aminah 125,950 2,950 3,000 12,500
62 077218 Retno Kurniasih 149,550 - 4,000 20,000
63 103397 Puji ade N 41,500 - 4,000
64 109491 Yudi 585,500 14,273 4,000
65 043503 Didik Lukanto 54,250 - 4,000 20,000
66 108856 Maiman 59,500 1,318 4,000
67 105530 Fajar agung 92,150 5,286 4,000
68 109336 Tri Narwandi 392,500 32,591 4,000
69 109409 Safitri 34,000 - 4,000
70 106970 Deka sabatino 58,150 - 4,000 20,000
71 020178 Ramunatun 22,000 2,000
-
6,225,910 - 291,519 751,115 142,200 - - - - 34,250 - 201,500 150,000 - 180,000
Jurnal Umum 6,225,910
Kas dari Kassa 6,226,500
Selisih Kas 590

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 16 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

16 1 091085 David Elvis 5,000 89,000 4,000


2 093286 Dian Novrita 1,386 15,250
3 096482 Niken Kristianti 2,400 26,400
4 001096 Sumargiyono 3,409 37,500
5 083842 Wahyu Dwi A 1,627 17,900
6 011136 Yosepha I 1,000 11,000
7 037807 Ributri Budiarti 7,041 111,450 4,000
8 101551 Sr. Avilla - 89,750 89,750 4,000 20,000
9 093414 Gabriel Dwiki C - 42,100 17,000 4,000 20,000
10 086489 Eko Adi s - 16,500 2,000
11 059865 Suhartini 64,250 - 4,000 20,000
12 109505 Nabila 79,500 -
13 005979 Titis Eko W 23,000 2,091
14 Hafiz Fahrezi 17,000 - 17,000
15 105849 Yuli Sugiati 61,050 - 4,000 20,000
16 087308 Imam Santoso 16,650 1,514
17 022524 dr. Nrimanto 251,650 22,877
18 008879 Sukestri Widiatmi 254,400 - 4,000 20,000
19 109510 Danar 50,500 - 2,500
20 000053 Aprilia 19,500 955 4,000
21 085566 Linawati 51,500 -
22 080100 Puspa Rini 27,500 - 2,000
23 089307 Sulyati 18,500 - 2,000
24 070303 Kusmini 18,500 - 2,000
25 Siti Maftukhah 4,150 - 4,150
26 088156 Sunarti 65,500 - 3,000 12,500
27 026138 Septiyan Bayu A 49,500 - 3,000 12,500
28 096268 Ade Yulia 32,500 -
29 095545 Aynita Kurniawan 49,500 - 3,000 12,500
30 Dihyan Wahyu 48,600 - 48,600
31 075900 Sainem 225,500 17,409 4,000
32 109474 Poniyem 18,500 - 2,000
33 109515 Yasin Nur K 49,500 - 3,000 12,500
34 099799 Luhur Budiatmo 110,450 6,950 4,000
35 108368 Soliyah 92,250 5,295 4,000
36 003907 Surtini 119,775 7,798 4,000
37 109512 Supriasih 242,800 18,982 4,000
38 109508 Sumin Junedi 136,000 4,227 4,000
39 109449 Rehan 16,500 - 2,000
40 Karjo 10,000 - 10,000
41 025243 Sentosa 120,000 - 4,000
42 087305 Santi Budiarti 97,750 5,795 4,000
43 102589 Agus Santoso 201,500 15,227 4,000
44 106257 Naila 55,500 - 3,000 12,500
45 106486 Naifa 89,000 3,045 3,000 12,500
46 096500 Nasiran 231,000 21,000
47 095321 Rudi 38,500 409 4,000
48 109509 Sayem 226,550 17,414 4,000
49 077184 Suharti 34,000 - 4,000
50 109348 Suwarti 228,000 17,636 4,000
51 107243 Misem 34,000 - 4,000
52 067361 Lastuti 80,250 4,205 4,000
53 109513 Sarikun 55,500 3,636 3,000 12,500
54 068528 Soekardi 139,250 9,114 3,000 12,500
55 007502 Yohana Pariyem 57,000 2,000 4,000
56 001364 Suwarti 23,450 2,132
57 109518 Thony Purwaka 67,450 - 4,000 20,000
58 008521 Budiyanto 34,000 - 4,000
59 037004 Septi Candra D 40,000 2,227 3,000 12,500
60 107119 Manisah 100,450 5,950 4,000
61 002321 Yulianus Sarwono 8,700 791
62 065009 Sumarto 43,000 818 4,000
63 109517 Tri Astuti 73,500 -
64 109393 Kasimi Kristiani 124,550 6,459 6,000
65 001765 Saguh Noto Suwito 54,150 - 4,000 20,000
66 109519 Admini 44,400 - 4,000 20,000
67 102655 Kastareja 126,920 6,629 4,000
68 041428 Petrus Rendra 128,800 6,936 6,000
69 076825 Jamiat Haryono dr. 124,800 11,345
70 109516 Parsito 128,150 8,559 4,000
71 028096 Saminah 190,150 14,105 4,000
72 058681 Temu 162,610 11,601 4,000
73 080511 Wijiyati 38,500 - 2,000
74 109387 Mukimin 118,750 5,432 4,000
75 Achmad I 35,500 - 35,500
-
5,580,155 - 292,428 367,850 105,250 - - 89,000 - 106,750 - 195,500 112,500 - 170,000
Jurnal Umum 5,580,155
Kas dari Kassa 5,581,100
Selisih Kas 945

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 17 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

17 1 051797 Anasthasya Yudantari 4,827 60,850 7,750 3,000 12,500


2 039314 Dwi Susanto 500 45
3 109212 Teguh Priyanto 160,800 - 4,000
4 032648 Aminudin 47,900 4,355
5 150642 Umi Heni 28,000 -
6 077665 Rizki 91,200 - 4,000 20,000
7 072513 Atit Yuni S 33,000 3,000
8 083842 Wahyu Dwi A 24,000 2,182
9 106647 Cecilia Estrelia 9,500 864
10 012734 Indah suliatin 5,000 455
11 019969 Sri Subekti 4,600 418
12 109522 Karsini 127,100 - 4,000 20,000
13 108872 Kariman 432,500 1,136 4,000
14 048189 Dul Basri 67,680 - 4,000
15 096500 Nasiran 53,950 -
16 039880 Nurul 35,000 -
17 103629 Shinta 113,400 - 4,000 20,000
18 109523 Saiman 106,400 - 4,000 20,000
19 049216 Sutriani 13,500 -
20 087920 Benedick Pascal 214,000 -
21 001096 Sumargiyono 31,500 -
22 085566 Linawati 5,000 -
23 062957 Tumini 405,000 - 4,000
-
2,009,530 - 17,282 60,850 - - - - - 7,750 - 35,000 12,500 - 80,000

Jurnal Umum 2,009,530


Kas dari Kassa 2,009,600
Selisih Kas 70
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 18 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

18 1 075628 Dafit Fasya AP 16,300 - 65,150 4,000 20,000


2 109380 Yuliati 1,536 42,400 3,000 12,500
3 060461 Sr. Marieta 6,409 35,250 35,250
4 150552 Sr. Maria 8,864 48,750 48,750
5 005976 alipah 9,041 99,450
6 098981 Wirayudha A 914 10,050
7 005980 Chatarina Sri W 2,677 29,450
8 020580 Yusiva Sumarni 1,055 11,600
9 034744 ita Dwi R 3,759 41,350
10 044847 Aloysius Ivanio LR 2,159 23,750
11 038783 Tutik Nurhayati 20,600 1,873
12 083842 Wahyu Dwi A 22,500 2,045
13 050717 Endang Angkasawa 16,250 1,477
14 150647 Margi 41,850 3,805
15 109524 Pangki Setiawan 99,750 - 4,000 20,000
16 052060 Ibnu Pamungkas 165,200 - 4,000 20,000
17 084469 Angga Pramudita 97,300 - 4,000 20,000
18 105015 Susiami 29,600 2,691
19 060172 Lukas 159,250 14,477
20 086110 Isah 106,000 - 4,000 20,000
21 109529 Feni Febriyanti 68,400 - 4,000 20,000
22 104034 Adam Taruna 156,050 - 8,000 40,000
23 Alexander Cahyo 20,000 -
24 004197 Cicilia Yanti 98,700 859 8,000
25 109083 Dian Nur W 9,000 - 4,000
26 089350 Tri Arsi 18,500 - 2,000
27 109534 Jemasem 41,510 2,274 3,000 12,500
28 109502 Samuel Bahtiar 28,400 264 3,000 12,500
29 092065 Dewi S 52,800 4,800
30 109531 Rista Pangestu 58,000 - 2,500
31 109542 Nindya Putri 74,900 5,400 3,000 12,500
32 109537 Warihan 92,600 4,873 3,000 12,500
33 002355 W Nurhadi 59,800 1,527 4,000
34 109482 Saiman 65,200 2,836 4,000
35 109532 Didi Apriyanto 61,500 - 4,000
36 109538 Saliyem 173,420 9,947 4,000
37 057538 Suparmi 151,750 10,705 4,000
38 107603 Eko Suparyanto 34,000 - 4,000
39 109533 Sutrisno 229,500 9,045 4,000
40 091525 Kuswati 47,200 2,882 3,000 12,500
41 109540 Tan Tjeng Ho 39,500 -
42 109375 Sutaryo 62,250 1,977 4,000
43 073400 Tan Ming Swie 116,100 - 4,000
44 109342 Mugofir 104,250 5,795 4,000
45 068682 Wiryo Suwito 143,900 9,991 4,000
46 106127 Nasekhudin 34,000 - 4,000
47 018904 Ali Subagyo 79,500 -
48 109363 Rasidin 50,400 2,264 3,000 12,500
49 107050 Suhartiningsih 58,500 - 4,000
50 087595 Fasekha 215,700 17,291 3,000 12,500
51 109339 Ponisih 131,250 8,841 4,000
52 001226 Yasini 15,500 - 3,000 12,500
53 109536 Bambang S 179,000 - 4,000 30,000
54 077218 Retno K 69,000 - 4,000 20,000
55 054955 Ivan H 34,000 - 4,000
56 106140 Manggi 158,750 10,432 4,000
57 106869 Satinah 53,600 1,782 4,000
58 108054 Mujiono 96,000 5,636 4,000
59 105881 Sairah 151,000 10,636 4,000
60 109206 Karta Wijaya 247,335 17,167 4,000
61 106509 Denira 102,800 6,255 4,000
62 100280 Zahra akila 113,500 7,227 4,000
63 106283 Ellysia Anindya 69,300 3,209 4,000
64 087920 Benedick P 56,800 2,073 4,000
65 109548 Sigit Prasetyo 124,300 8,209 4,000
66 Deny 32,600 2,964
67 109545 Dwi Susanto 538,000 17,545 2,500
68 089152 Leny Runawang 43,100 - 4,000 20,000
69 109544 Sri Mulyani 45,000 - 4,000 20,000
70 Raffa Fadilah 56,000 5,091
71 109549 Ayu Fadana 34,000 - 4,000
72 109372 Tri Resmiasih I 34,000 - 4,000
73 109373 Tri Resmiasih II 34,000 - 4,000
74 108635 Deni anisa 34,000 - 4,000
75 108179 Danendra Rafa 90,000 5,091 4,000
76 103519 Fadlan Adis 34,000 - 4,000
77 Meterai 12,000 12,000
-
5,808,765 - 267,670 342,050 - - - 65,150 - 84,000 - 230,000 112,500 - 250,000

Jurnal Umum 5,808,765


Kas dari Kassa 5,809,400
Selisih Kas 635
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 19 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

19 1 003995 Sr. Caritas 152,959 858,275 858,275 4,000


2 074109 Saptania Pukasari 8,386 176,250 4,000
3 096420 Suwandi 5,132 81,950 3,000 19,000
4 096482 Niken Kristianti 2,914 32,050
5 051201 Fery Dwi A 273 3,000
6 106738 dr. V Onggo 1,000 11,000
7 006453 Sr. Dorotea 1,973 10,850 10,850
8 060461 Sr. Marieta 1,500 8,250 8,250
9 086489 Eko Adi - 16,500 2,000
10 087296 Reni Komariyah 35,000 3,182
11 109551 Sarno 56,650 - 4,000
12 022524 dr. nrimanto 110,000 10,000
13 109554 Enza 124,950 - 4,000 20,000
14 046504 Stefanus 51,500 -
15 150559 Wakhidan 21,000 1,909
16 096745 Kurniati 6,500 -
17 150558 Ika P 2,400 218
18 037545 Tarmi 31,450 1,359 3,000 12,500
19 039926 Suhari 138,460 9,860 3,000 12,500
20 001765 Saguh Noto W 60,250 - 4,000 20,000
21 18564 Fauzal Leo 16,500 - 2,000
22 004677 Ezra Kresnanda 65,500 4,545 3,000 12,500
23 099517 Tisem Maryati 19,500 955 4,000
24 042335 Aminah 108,150 8,332 3,000 12,500
25 075288 Sukarman 34,000 - 4,000
26 109445 Siti Rokhatun 106,750 6,614 4,000
27 109557 Mulyadi 69,100 - 4,000
28 065912 Awalia 24,750 2,250
29 041428 Petrus Rendra 18,500 - 2,000
30 107972 Sarpono 67,700 3,064 4,000
31 034936 Ega R 17,000 - 2,000
32 080078 Krisna Sulistyowati 308,500 14,182 4,000
33 040636 Suparmin 115,750 7,432 4,000
34 041405 Stefani Poniyem 146,250 10,205 4,000
35 109437 Wagimin 123,625 8,148 4,000
36 098895 Parmi 155,375 9,807 4,000
37 109464 Sylpiana 144,100 13,100
38 109558 Siyah 78,300 3,936 4,000
39 096669 Ruslan 121,000 7,909 4,000
40 099391 Sukardi 34,000 - 4,000
41 109559 Samini 83,982 4,453 4,000
42 050412 Sumaryo 44,000 909 4,000
43 105292 Mohamad Mansyur 88,000 4,909 4,000
44 083842 Wahyu Dwi A 12,200 1,109
45 CV Rama 940,500 - 940,500
46 064623 RS Purwogondo 242,000 22,000
47 109556 Supriyanto 191,000 - 2,500
48 150562 Tyasmini 4,500 409
49 Yohana Pariyem 360,000 - 360,000
50 025110 Rosna Hariawati 81,700 3,336 4,000
51 109355 Tri Resmiasih 143,950 8,995 4,000
52 109566 Handoyo 88,100 - 4,000 20,000
53 109565 Siti Asliyah 368,650 33,514
54 109320 Maryuti 133,000 4,455 4,000
55 109155 Nila Ika W 176,250 8,386 4,000
56 109560 Hartini Yulia D 146,250 5,659 4,000
57 109435 Edi Suratno 411,000 32,591 4,000
58 107791 Raffa Fadilah 34,000 - 4,000
59 Sri Kundari 930,200 - 930,200
60 109564 Rosy Nurohimah 146,250 5,659 4,000
61 028952 Sri Purwanti D 121,750 7,977 4,000
62 109563 Sulis Naningsih 162,000 7,091 4,000
63 109390 Yohana Maria T 403,500 31,909 4,000
64 106269 Ajeng Ratna 103,000 636 4,000
65 109266 Maria Sulistyo 84,000 - 4,000
66 105072 Suryana 84,000 - 4,000
67 075119 Agasta Ratna 84,000 - 4,000
68 109304 Denny Nur 84,000 - 4,000
69 109562 Erlina Ekawati 84,000 - 4,000
70 068165 Nurul Yantiani 84,000 - 4,000
71 056397 Fita Martiyana 84,000 - 4,000
72 044631 Wuri Widianti 34,000 - 4,000
73 109569 Dwi Arti 84,000 - 4,000
74 Yohana Pariyem 100,000 - (100,000)
-
8,534,292 100,000 485,140 1,198,125 2,230,700 - - - - 877,375 - 97,500 69,000 - 60,000

Jurnal Umum 8,434,292


Kas dari Kassa 8,435,100
Selisih Kas 808
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 20 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

20 1 106598 Sri Kundari 39,232 465,550 4,000


2 093077 Yudi Tri Wismadi 3,827 57,600 3,000 12,500
3 086654 Sri Winarsih 168 57,350 3,000
4 106036 Rasminah 7,200 114,200 4,000
5 150574 Titi 227 2,500
6 083842 Wahyu Dwi A 6,109 67,200
7 150571 dr. Onggo 409 4,500
8 005976 Alipah 1,595 17,550
9 026226 Nanik Sukarni 623 6,850
10 034744 Ita Dwi R 123,650 2,318 41,350 27,200 4,000
11 093414 Gabriel Dwiki C 42,100 - 42,100
12 000873 Evi M 79,500 -
13 150567 Rasinah 52,750 4,795
14 098450 Sumirah 75,700 - 4,000 20,000
15 087324 Nia P 2,700 245
16 Fafa 12,950 1,177
17 109569 Dwi Arti 9,000 -
18 108856 Maiman 77,250 2,250 4,000
19 109154 Nurul Farikin 134,500 2,273 4,000
20 052903 Tri Haryanto 34,000 - 4,000
21 109452 Samen 52,500 - 4,000
22 150566 Retnowati 34,050 3,095
23 034741 Dwi Aryani 33,850 3,077
24 109568 Siti Anisah 50,150 - 4,000 20,000
25 109462 Rino 55,700 - 4,000 20,000
26 006539 Risnawati 87,500 -
27 CV Rama 54,000 - 54,000
28 109574 Samiarja 221,800 - 4,000 20,000
29 070548 Kristina Dewi 59,000 -
30 109576 Suwandi 90,500 6,818 3,000 12,500
31 109315 Gunardi 88,750 6,659 3,000 12,500
32 67780 Dewi 31,500 - 4,000
33 052428 Tindraweni 34,000 - 4,000
34 042216 Riyanti 202,000 15,273 4,000
35 TK PIUS 46,600 - 46,600
36 109537 Warihan 42,200 1,427 3,000 12,500
37 072345 Minarjo 34,000 - 4,000
38 072859 Ridem 42,700 700 4,000
39 051109 Mireja 223,100 14,000 4,000
40 109398 Somo Pawiro 205,550 15,595 4,000
41 109578 Hasanudin 73,750 5,295 3,000 12,500
42 035493 Rasman 13,500 -
43 18571 Syukur P 16,500 - 2,000
44 109510 Danar Gulamsa 15,500 - 3,000 12,500
45 150573 Erna 84,800 7,709
46 037873 Dewi Kristianti 60,000 - 4,000 25,000
47 028504 Suparlan 34,000 - 4,000
48 109489 Ahmad Sobari 75,000 - 4,000 20,000
49 005120 Junaedi 250,100 - 4,000
50 108462 Ciptati 199,750 15,068 4,000
51 024772 Sujimah 34,000 - 4,000
52 Pengobatan karya 3,133,200 - 3,133,200
53 109580 Rasman 127,500 - 2,500
54 109585 Rizki Ika 61,000 - 4,000 20,000
55 109577 Pipit 73,500
-
6,512,150 - 167,168 343,650 3,317,250 - - 523,150 - 27,200 - 125,500 75,000 - 145,000

Jurnal Umum 6,512,150


Kas dari Kassa 6,510,000
Selisih Kas (2,150)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 21 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

21 1 003400 Sr. Veronika 106,368 662,275 662,275 4,000


2 005747 Evita Inda 1,227 12,600 16,400 3,000 12,500
3 150580 Nita - 5,000
4 004197 Cicilia Yanti - 36,500 4,000
5 005646 Sri Susilowati - 562,000
6 109592 Nurhasanah 91,500 - 4,000 20,000
7 109591 Ruwanto 98,900 - 4,000 30,000
8 052509 Komalawati 121,550 - 4,000 20,000
9 026974 Sugiyanto 13,500 -
10 109584 Bujang 83,500 4,500 4,000
11 075142 Endang Kinarlin 177,750 - 4,000 20,000
12 082683 Parimin 53,750 - 4,000 20,000
13 Widi Prihartono 305,000 - 305,000
14 109587 Sri Antiningsih 34,000 - 4,000
15 109312 Suminah 34,000 - 4,000
16 109581 Fitrianingsih 34,000 - 4,000
17 109469 Hadini 25,500 -
18 010229 Sugiyarti 13,500 -
19 109596 Anisa Nurjanah 144,250 - 4,000 20,000
20 060364 Yasir 78,650 - 4,000 20,000
21 109598 Oktavia 12,000 -
22 150584 Winda 3,750 -
23 002051 Sutrisno 8,000 -
24 101044 Sumiyah 88,900 - 4,000 20,000
25 087182 Gumirah 12,000 -
26 028806 Hasto 13,500 -
27 109602 Hartanti 44,500 - 4,000 20,000
28 109600 Wiwit 162,550 - 4,000 20,000
29 109601 Lintang 71,600 - 4,000 20,000
30 004437 Sugiyanto - 94,550 4,000 20,000
31 001022 Yuli Gestati 273 3,000
-
1,726,150 - 112,368 1,281,375 305,000 - - 94,550 - 678,675 - 75,000 12,500 - 250,000

Jurnal Umum 1,726,150


Kas dari Kassa 1,726,500
Selisih Kas 350

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 22 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

22 1 026162 Suparni - 101,500 78,000 4,000 20,000


2 109608 Isyak Yanuar H - 185,050 4,000 20,000
3 001773 Radikun Hadiwinoto - 55,100 32,000 4,000 20,000
4 150591 Sr. Maria 6,818 37,500 37,500
5 083842 Wahyu Dwi A 6,109 67,200
6 083841 Nurwidayati 3,077 33,850
7 087296 Reni Komariyah 14,500 1,318
8 102538 Basuki 102,700 - 4,000 25,000
9 109603 Heri Apriyanto 40,950 - 4,000 20,000
10 099775 Moch Khaerudin 43,500 - 4,000 20,000
11 016063 Puryastuti 13,500 -
12 014151 Rasilah 15,500 - 3,000 12,500
13 068810 Bina Husada 15,000 -
14 109610 Tursilah 78,750 - 4,000 20,000
15 105618 Miah 18,000 - 2,000
16 065021 Mario Rafael 36,500 -
17 109614 Suparman 58,000 - 2,500
18 109618 Naufal Nibras 36,500 -
19 105530 Fajar 17,000 - 2,000
20 088258 Alexander Cahyo 91,750 - 4,000 30,000
21 109536 Bambang Sumarya 39,500 2,182 3,000 12,500
22 080713 Suyatmi 87,250 5,295 3,000 12,500
23 109620 Wahyuti 47,900 2,945 3,000 12,500
24 109617 A Gevila 88,500 6,636 3,000 12,500
25 109613 Sugiyo 86,250 1,886 3,000 12,500
26 102185 Sunarti 19,000 - 2,000
27 109619 Atmo Sentana 15,500 - 3,000 12,500
28 109612 Sugimin 62,500 4,273 3,000 12,500
29 034936 Ega R 17,000 - 2,000
30 004063 Ali Subiyantoro 6,750 614
31 109474 Poniyem 18,500 - 2,000
32 097960 Sugiyono 18,500 - 2,000
33 109338 Watini 164,950 11,905 4,000
34 018904 Ali Subagyo 34,000 - 4,000
35 109623 Radikram 155,400 10,945 4,000
36 108178 Siti Khotijah 135,500 9,136 4,000
37 030903 Watiyem 98,700 4,655 4,000
38 109533 Sutrisno 152,500 10,773 4,000
39 016717 Uni Erwati 16,000 1,455
40 107474 Sopandi 162,300 11,664 4,000
41 109469 Hadini 115,550 7,414 4,000
42 108315 Muhroni 121,000 7,909 4,000
43 100887 Sodirah 102,175 6,198 4,000
44 081892 Sambiyah 168,000 12,091 4,000
45 043417 Lasiyem 169,200 12,291 4,000
46 105045 Juan Haryanto 92,350 - 4,000 20,000
47 081531 Supriyanto 34,000 - 4,000
48 093897 Sirtu Purwadi 34,000 - 4,000
49 109538 Saliyem 175,720 10,065 4,000
50 104320 Kasman 169,900 12,355 4,000
51 016871 Min Sumini 102,375 6,216 4,000
52 109537 Warihan 92,800 6,027 3,000 12,500
53 108449 Widiarso 73,500 2,909 4,000
54 109616 Giyarto 34,000 - 4,000
55 107736 Maslahah 59,450 2,314 4,000
56 106859 Sutiman 103,425 6,311 4,000
57 043858 Kasim 122,300 4,836 4,000
58 102304 Sobari 143,625 9,875 4,000
59 046974 Wakem 193,450 14,405 4,000
60 109381 Samini 39,015 1,229 3,000
61 108842 Kemi 158,000 5,182 4,000
62 109624 Sunaryo 53,500 1,773 4,000
63 098432 Dewi Evayanti 104,500 - 4,000
64 108403 Dwi Setyowati 101,000 - 4,000
65 108856 Maiman 52,500 - 4,000
66 108918 Dwi Ayu Retno F 119,100 6,418 4,000
67 109621 Mafud 467,985 - 4,000 20,000
68 109154 Nurul Farikin 61,500 2,500 4,000
69 073400 Tan Ming Swie 118,400 264 4,000
70 099374 Sukarni 297,750 27,068
71 045856 Sri Kuspiah 62,000 -
72 109336 Tri Narwanadi 369,500 28,545 4,000
73 109491 Yudi 34,000 - 4,000
-
6,154,220 - 295,880 480,200 - - - - - 147,500 - 220,500 112,500 - 215,000

Jurnal Umum 6,154,220


Kas dari Kassa 6,154,800
Selisih Kas 580

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 23 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

23 1 093414 Gabriel Dwiki C - 75,900 24,600 4,000 20,000


2 080489 Eko Adi - 16,500 2,000
3 109502 Samuel Bahtiar 368 29,550 3,000 12,500
4 066905 Nathania Kayla Y 3,182 42,750 7,750 3,000 12,500
5 005743 Mutmainah 2,059 22,650
6 004219 agustina Pratiwi 2,091 23,000
7 054941 Istri Wening 1,945 21,400
8 022524 dr. Nrimanto 200,000 22,000 42,000
9 109636 Kalim 95,000 - 5,000
10 109537 Warihan 13,000 - 3,000
11 027622 Sudiyah 6,600 600
12 109629 Dirun 107,050 - 4,000 20,000
13 002225 Sri Suhardanti 166,500 - 4,000 20,000
14 008949 Suniah 12,140 1,104
15 150595 Wahyu 26,600 2,418
16 005557 Sunarti 186,125 - 4,000 20,000
17 077342 Lasmini 110,000 - 4,000 20,000
18 Sugiyanti 14,500 - 14,500
19 109625 Wahyu Widyanings 52,000 - 4,000 20,000
20 150594 Pasien Luar 1,000 91
21 150596 aminudin 18,000 1,636
22 026215 Ngasiyah 131,800 - 4,000 20,000
23 109630 Marto Wiharjo 101,850 7,850 3,000 12,500
24 109633 Sulton Saputro 95,900 - 4,000 20,000
25 109631 Maria Sugiarti 48,000 2,955 3,000 12,500
26 109578 Hasanudin 73,600 4,373 3,000 12,500
27 023252 Wagini 77,650 5,650 3,000 12,500
28 109632 Supriyati 38,750 2,114 3,000 12,500
29 108871 Ariani Dewi 23,000 -
30 002438 Jiman 95,000 5,455 4,000
31 003907 Surtini 138,875 9,534 4,000
32 014885 Parni 151,700 10,609 4,000
33 066498 Karisih 34,000 - 4,000
34 106831 Rista Nurjanah 156,950 10,359 4,000
35 034936 Ega R 17,000 - 2,000
36 109634 Rosana Kusuma 196,700 - 4,000 20,000
37 105663 Sartimah 201,000 15,182 4,000
38 078577 Kartip 41,900 3,809
39 109465 Sudarsih 199,400 14,945 4,000
40 071491 Suti 47,500 - 4,000
41 084269 Kasini 197,300 12,345 4,000
42 025940 Tumiyah 171,230 9,748 4,000
43 109060 Kamsiyati 60,400 2,400 4,000
44 109635 Dwi Partiningrum 12,000 -
45 077218 Retno Kurniasih 84,000 - 4,000 20,000
46 083011 Kuswandani 119,000 7,727 4,000
47 050412 Sumaryo 58,750 2,250 4,000
48 103240 Wartomo 443,050 17,914 4,000
49 003387 Warjan 105,100 4,827 6,000
50 102576 Parilah 71,000 6,455
51 109393 Kasimi Kristiani 212,450 14,450 6,000
52 026974 Sugiyanto 13,500 -
53 109638 Nur Tofik 58,782 - 4,000 20,000
54 108331 Subariyah 131,450 8,859 4,000
-
4,617,102 - 217,304 278,750 14,500 - - - - 32,350 - 144,000 87,500 - 220,000

Jurnal Umum 4,617,102


Kas dari Kassa 4,616,600
Selisih Kas (502)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 24 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

24 1 108706 Tri Gunarsih 9,091 184,000 4,000


2 054946 Dwi Sumanti - 84,000 4,000
3 018093 Sr. Magda 545 6,000
4 083842 Wahyu Dwi A 104,600 19,059 105,050
5 053434 Karisah - 60,400 4,000 20,000
6 109577 Pipit - 28,000
7 059469 Ida Mulyani 76,500 -
8 109640 Diah Sasmita 95,950 - 4,000 20,000
9 109639 Adnan 69,750 - 4,000 20,000
10 150503 Eko 13,000 1,182
11 096500 Nasiran 32,800 2,982
12 150452 Trisno 500 45
13 108871 Ariani Dewi 67,500 2,045 4,000
14 050542 Kartinah 17,720 1,611
15 101486 Ivan Kurniawan 84,100 - 4,000 20,000
16 109624 Sunaryo 201,600 6,418
17 109537 Warihan 9,000 545 3,000
18 174801 Supardi 80,500 -
19 091706 Firgustina 116,500 -
20 013785 Daryati 58,000 - 2,500
21 109651 Krisna Andang 81,500 6,000 3,000 12,500
22 109653 Handi Adrian 58,000 - 2,500
23 061732 Endang Sri 13,500 -
24 109509 Sayem 236,200 18,291 4,000
25 107658 Hadi Turyatno 34,000 - 4,000
26 109520 Ariningsih 13,600 418 4,000
27 024772 Sujimah 168,400 9,027 4,000
28 109500 Mardan 34,000 - 4,000
29 052671 Sapariyah 213,300 16,209 4,000
30 109656 Sakiman 130,500 3,364 3,000 12,500
31 109658 adil G 76,500 -
32 085715 Sudarsih 165,500 11,955 4,000
33 053197 Mustahar 58,432 2,130 4,000
34 101645 Suwartiyah 157,450 11,223 4,000
35 106648 Susanti 96,000 5,636 4,000
36 001214 Heru Winarso 64,500 -
37 107729 Rubisah 47,500 - 4,000
38 074650 Sakirah 120,000 7,818 4,000
39 107939 Aminah 47,500 - 4,000
40 029018 Yaman 47,500 - 4,000
41 004219 Agustina Pratiwi 39,600 3,600
42 109081 Siti Khotimah 79,200 7,200
43 109562 Erlina Ekawati 84,000 - 4,000
44 109564 Rosy Nuri 188,500 9,500 4,000
45 100176 Setyowati 84,000 - 4,000
46 083668 Kusini 84,000 - 4,000
47 107386 Nining Asgiya 39,600 3,600
48 108931 Heri Kurniawan 125,000 8,273 4,000
49 109648 Sulamsih 120,030 5,094 4,000
50 109650 Salamun 206,600 12,500 4,000
51 107507 Heru Apriyanto 75,750 4,568 3,000 12,500
52 001628 Rusbandiyono 59,500 2,318 4,000
53 082222 Suanggoro 154,750 10,977 4,000
54 098788 Astrit Tri W 114,200 10,382
55 098789 Wahyu Dewi R 39,600 3,600
56 104096 Sri Wahyuningsih 39,600 3,600
57 106748 Sri Sunarsih 74,600 6,782
58 108990 Darisno 15,500 - 3,000
59 038924 Rosiana Faradisa 114,200 10,382
60 108140 Santi 80,600 7,327
61 065949 Sri Haryati 39,600 3,600
62 106562 Tika 79,200 7,200
63 104636 Sukinah 79,200 7,200
64 104635 Puji Astuti 39,600 3,600
65 105797 Asih 39,600 3,600
66 104634 Jumiati 79,200 7,200
67 109561 Tutik Harini 73,600 3,600 4,000
68 108298 Tukinah 81,600 7,418
69 078104 Tegar Rizky 39,600 3,600
70 034936 Ega R 17,000 - 2,000
71 103364 Rusmiyah 39,600 3,600
72 062232 Tyas Satria I 74,600 6,782
73 062401 Tri Murtiningsih 39,600 3,600
74 055904 Rosika Nur I 123,600 8,145 4,000
75 108789 Aisah Meilina 73,600 3,600 4,000
76 109659 Armono 121,000 6,591 4,000
77 046852 Sari 104,750 6,432 4,000
78 087263 Pingah 39,600 3,600
79 107372 Sumarsiasih 39,600 3,600
80 065232 Triana Cahya 39,600 3,600
81 107373 Umiyati 39,600 3,600
82 060483 Yulaika Ratna 118,800 10,800
83 109261 Gadis Wulandari 74,600 6,782
84 109262 Eni Sulistyowati 39,600 3,600
85 109642 Slamet 298,800 24,073 4,000
86 105958 Eni Meiyanti 39,600 3,600
87 109535 Sony Indra 45,000 - 4,000
88 109413 Yunita 39,600 3,600
89 078660 Anisa Akhyat 39,600 3,600
90 107049 Eva Yuniarti 39,600 3,600
91 038791 Esti Handayani 187,200 17,018
92 105134 Erni Setyorini 39,600 3,600
93 051282 Dwi Retnowati 65,700 2,882 4,000
94 057720 Nurul Endarti 158,400 14,400
95 096559 Heni Retno W 39,600 3,600
96 099899 Eem Prihartini 39,600 3,600
97 105312 Kasinawati 79,200 7,200
98 109664 Bariyah 155,500 6,500 4,000
99 109645 Triza Maulana 91,250 5,205 4,000
100 109098 Nurul Hidayah 39,600 3,600
101 025421 Wuri Rustiyati 79,200 7,200
102 023206 Erna Susanti 79,200 7,200
103 109649 Wahyu Suryati 84,000 4,545 4,000
104 108956 Umi Fitria N 118,800 10,800
105 105638 Nugraheni 79,200 7,200
106 108778 Tursino 246,100 19,282 4,000
107 093106 Rizki Meli 39,600 3,600
108 081421 Bunga Patria 39,600 3,600
109 104384 Suminah 39,600 3,600
110 037601 Nunung Suryanings 39,600 3,600
111 109260 Sarnia 39,600 3,600
112 088993 Lasinem 79,200 7,200
113 109090 Sarilah 39,600 3,600
114 108300 Wahyu Kurniawan 74,600 6,782
115 109665 Yanuar 69,000 3,182 4,000
116 106599 Mutiarti 175,500 8,318 4,000
117 038452 Rosid Akbar 34,000 - 4,000
118 039936 Widi Tri Y 39,600 3,600
119 055973 Yohana Maria T 512,000 43,455 4,000
120 108798 Anisa 79,200 7,200
121 086944 Suharmi 79,200 7,200
122 108293 Parni 39,600 3,600
123 059150 Yani Riyani 79,200 7,200
124 095688 Herlina 79,200 7,200
125 109600 Wiwit 63,550 - 4,000 20,000
126 109652 Budi 208,752 15,887 4,000
127 013494 Sri Suhartinah 198,425 14,857 4,000
128 106071 Daffukiull 34,000 - 4,000
129 108604 Yusbih Nadena 60,600 2,418 4,000
130 099292 Amadeo F 147,600 10,327 4,000
131 109131 Satirah 34,000 - 4,000
132 097615 Sri Wahyunita 39,600 3,600
133 074890 Sri Lestari 74,600 6,782
134 109094 Herningtyas 114,600 10,418
135 105324 Sartimah 79,200 7,200
136 038799 Eri Haryani 79,200 7,200
137 109426 R Untung S 99,226 5,930 4,000
138 105796 Ajeng Resti A 39,600 3,600
139 075600 Sri Wartini 141,500 - 4,000 20,000
140 029216 Fardiana Hesti 104,600 9,509
141 108802 Surtinah 74,600 6,782
142 104236 Indah Fitriyani 114,200 10,382
143 101388 Bimalina Sidabalok 79,200 7,200
144 062999 Tegar Dwi P 79,200 7,200
145 094473 Sri Aminah 79,200 7,200
146 109662 Fitri 213,826 16,348 4,000
147 109661 Febri Felianti 225,926 17,448 4,000
148 097718 Andi Kristanti 108,600 6,782 4,000
149 105743 Andewi Setyaningr 39,600 3,600
150 081691 Maskuri Rafi 64,450 - 4,000 20,000
151 030838 Tri Widarningsih 39,600 3,600
152 025197 Romiyati 79,200 7,200
153 047895 Sukini 39,600 3,600
154 106427 Sri Yuliati A 39,600 3,600
155 109421 Habibah Nurhasan 145,600 10,145 4,000
156 004902 Endah 39,600 3,600
157 109102 Saniah 39,600 3,600
158 109243 Lis Adi I 79,200 7,200
159 109404 Windi Septina 39,600 3,600
160 105459 Galuh Puspaningty 39,600 3,600
161 105458 Susi Puspitasari 39,600 3,600
162 093421 Rustinah 79,200 7,200
163 082493 Supriyati 164,226 11,839 4,000
164 109666 Siti Romelah 108,600 6,782 4,000
165 105465 Astuti 113,200 7,200 4,000
166 109521 By Ariningsih 72,000 3,455 4,000
167 106909 Hendi Kiswanto 164,226 11,839 4,000
168 109667 Indah 108,600 6,782 4,000
169 Meterai 6,000 - 6,000
170 109668 Umiyati 73,600 3,600 4,000
-
14,017,639 - 948,199 277,450 - - - 184,000 - 6,000 - 296,000 37,500 - 140,000

Jurnal Umum 14,017,639


Kas dari Kassa 14,019,600
Selisih Kas 1,961

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 25 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

25 1 098469 Inaya Cyrendina - 34,000 4,000


2 104830 Naufal Abinaya K 5,091 90,000 4,000
3 109663 Riska 6,782 108,600 4,000
4 006265 dr. Lucy J 3,091 34,000
5 106738 dr. V Onggo 391 4,300
6 106437 Yuliani 3,600 39,600
7 006391 Eka Purwanti 7,200 79,200
8 073175 Ida OK 2,000 22,000
9 087338 Nita Ratnasari 727 8,000
10 106897 Sinar Wulan 3,600 39,600
11 015732 Eni Kurniasih 43,500 7,555 39,600
12 050264 Atmareja 50,000 2,014 7,150 4,000
13 004197 cicilia Yanti 30,000 - 36,800 4,000 20,000
14 150519 Uni Erwati 2,000 182
15 011136 Yosepha I 8,500 773
16 150518 Aminudin 19,500 1,773
17 032408 Sukarni 52,800 4,800
18 087296 Reni Komariyah 14,500 1,318
19 103359 Nur Afiatun 74,600 6,782
20 109655 Lilis Umiarti 218,250 16,750 4,000
21 026409 Siwi Winasis 158,400 14,400
22 021088 Bernadine Frida 25,800 2,345
23 003190 Sugiyanti 79,200 7,200
24 068771 Riska Apriani 39,600 3,600
25 036769 Frederika Pamela 142,950 5,359 4,000
26 004374 Vincentia Yoesi 73,600 3,600 4,000
27 109671 Murniati 8,000 -
28 022084 Rosiana 79,200 7,200
29 109670 Sahroni 112,950 - 4,000 20,000
30 109131 Satirah 66,050 6,005
31 109646 Ruth Asri 108,600 6,782 4,000
32 150516 Retno 118,800 10,800
33 003180 Sulastri 39,600 3,600
34 Susteran Gombong 645,000 - 645,000
35 059113 Supartiningsih 39,600 3,600
36 001096 Sumargiyono 35,300 3,209
37 109680 Rahma 52,000 -
38 109679 Renaldi 52,000 -
39 000348 Niken 13,500 -
40 088878 Suharyanti 63,000 - 4,000 20,000
41 109675 Nurul Rijal 166,750 - 4,000 20,000
42 109676 Tofa 69,100 - 4,000 20,000
43 098655 Harti 19,500 955 4,000
44 109682 Susanti 91,200 6,882 3,000 12,500
45 009250 Haryanto 86,100 6,418 3,000 12,500
46 059245 Sri Pujiati 6,500 -
47 087133 Tunjung Kusnanto 34,000 - 4,000
48 109613 Sugiyo 101,500 4,318 4,000 20,000
49 108277 Muhajir 38,500 409 4,000
50 034936 Ega R 17,000 - 2,000
51 105847 Siti Khoirul 140,075 9,643 4,000
52 Wahyu Dwi A 256,800 - 256,800
53 109687 Lutfi 59,450 - 4,000 20,000
54 011740 Satimah 95,000 -
55 067283 Nova saputri 145,700 - 4,000 20,000
56 035715 Siti Maftukhah 59,500 - 24,500 4,000
57 089738 San Miarso 213,375 16,307 4,000
58 047618 Dimas Setyawan 89,546 6,731 3,000 12,500
59 102820 Mastur 184,500 13,682 4,000
60 106394 Kasiyem 126,150 8,377 4,000
61 107735 Saliyem 97,500 5,773 4,000
62 077385 Robingah 80,450 4,132 4,000
63 094982 Hadi Pranoto 251,950 19,223 4,000
64 104146 Mikael Henata 23,100 691 3,000 12,500
65 109685 Waginah 124,850 - 4,000 20,000
66 107628 Moh Kodiran 121,825 7,984 4,000
67 109530 Ngadimin 88,000 4,909 4,000
68 109686 Nurhidayati 58,000 - 2,500
69 094772 Sagiyo 34,000 - 4,000
70 002355 W Nurhadi 174,250 11,932 4,000
71 103529 San Rusdi 115,150 7,377 4,000
72 109342 Mugofir 40,500 - 4,000
73 109375 Sutaryo 71,500 2,818 4,000
74 109684 Sumartini 49,500 - 3,000 12,500
75 090899 Mutmainah 34,000 - 4,000
76 073868 Yusman Hadi 100,300 3,027 3,000 12,500
77 041010 Sri Yuliati 64,500 -
78 109537 Warihan 118,350 8,441 3,000 12,500
79 041428 Rendra 18,500 - 2,000
80 056957 Alfa Tegar 34,000 - 4,000
81 050935 Dalu Rahayu 39,600 3,600
82 109688 Budi Waluyo 124,645 - 4,000 20,000
83 022524 dr. Nrimanto 182,000 12,727 42,000
84 087523 Hafit Humayun 75,600 3,782 4,000
85 150526 Endarti 12,000 1,091
86 064623 RSU Purwogondo 46,250 4,205
87 079147 Feni Damayanti 79,200 7,200
88 109621 Mafud 82,500 - 4,000 20,000
89 150527 Alipah 11,000 1,000
-
6,820,066 - 335,761 418,850 943,800 - - 124,000 - 24,500 - 187,500 87,500 - 220,000

Jurnal Umum 6,820,066


Kas dari Kassa 6,821,800
Selisih Kas 1,734

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 26 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

26 1 109690 Tiyas Anita - 195,200 4,000 20,000


2 086489 Eko Adi - 16,500 2,000
3 000345 Sr. Theresia 19,091 171,250 171,250 4,000
4 001604 Samsiah 9,545 149,800 39,200 4,000
5 086654 Sri Winarsih 4,282 122,600 3,000
6 109537 Warihan - 13,000 3,000
7 083842 Wahyu Dwi A 11,645 128,100
8 150539 Hendrison 1,023 11,250
9 003061 Umi Wadingah 3,600 39,600
10 087322 Dwi Indra a 5,155 56,700
11 067827 Sariyanti 386 4,250
12 064142 Ning Sadayasih - 52,000
13 073900 Setiawan Santoso 52,000 -
14 050160 Zulfia Dwi 102,550 - 4,000 20,000
15 002156 Tasini 37,500 3,409
16 109369 Dulah Riyadi 62,150 1,559 4,000
17 109691 Dedi Pramudi 59,500 - 4,000 20,000
18 016928 Sarjono 19,200 1,745
19 109692 Sawiken 81,800 - 4,000 20,000
20 109695 Wariko 131,750 - 4,000 20,000
21 038051 V Sutinah 18,500 - 2,000
22 000106 Parmo s 18,500 - 2,000
23 072972 Warno 13,500 -
24 031988 Yuliana Sri H 58,000 - 2,500
25 011740 sakimah 10,000 - 2,000
26 082121 Satimah 89,000 8,091
27 069136 Y Sutrisno 91,500 -
28 109696 Maysandra Dwi 110,650 8,650 3,000 12,500
29 109697 Yuli Rahmawati 126,200 10,064 3,000 12,500
30 150535 Ira 800 73
31 Sarjono/ SD PIUS 229,250 - 229,250
32 106511 Saring 98,000 5,818 4,000
33 064623 RSU Purwogondo 319,100 29,009
34 072345 Minarjo 66,200 2,836 4,000
35 037471 Bariman 47,500 - 4,000
36 109699 Rino Setiawan 88,900 - 4,000 20,000
37 109701 Laeli Lisnawati 51,500 1,591 4,000
38 026525 Agung 39,600 3,600
39 020323 Lili 118,800 10,800
40 150538 Hepy 2,250 205
41 103064 Tri Haryanti 58,000 2,091 4,000
42 102977 Dewi Sepsiana 39,600 3,600
43 078577 Kartip 196,900 14,718 4,000
44 150536 Yuli G 22,500 2,045
45 Riska 108,600 - 108,600
46 029009 suratman 55,750 3,659 3,000 12,500
47 092335 Warsinah 105,450 6,405 4,000
48 109502 Samuel Bahtiar 66,800 1,436 25,500 3,000 12,500
49 041700 Mukiyem 34,000 - 4,000
50 107507 Heru apriyanto 36,000 955 3,000 12,500
51 020178 Ramunatun 124,375 8,216 4,000
52 102589 Agus santoso 112,500 - 4,000
53 005979 Titis Eko W 19,500 955 4,000
54 080254 Sapen 34,000 - 4,000
55 087331 San Mureja 82,300 4,391 4,000
56 109527 Erna Y 10,000 - 4,000
57 109266 Maria Sulistyo 93,000 - 4,000
58 109562 Erlina Ekowati 84,000 - 4,000
59 080620 Napsiyah 255,500 15,591 4,000
60 105072 Suryana 84,000 - 4,000
61 Dyah Sulistyorini 84,000 - 4,000
62 004988 Wagiyarti 84,000 - 4,000
63 056397 Fita Martiyana 84,000 - 4,000
64 092065 Dewi Suryani 84,000 - 4,000
65 109304 Denny Nur 84,000 - 4,000
66 109583 Mugiharjo 55,000 - 4,000 20,000
67 073175 Senon 39,600 3,600
68 109702 Singgih Indra 67,900 - 4,000 20,000
69 109606 Hendrison 225,650 16,423 4,000
70 109435 Edi Suratno 109,000 4,864 4,000
71 104982 Veronika Tri 39,600 3,600
72 005976 Alipah 9,600 873
73 017873 Erna Yuniasih 140,750 8,386 4,000
-
4,874,075 - 243,984 960,250 363,350 - - - - 210,450 - 179,500 62,500 - 160,000

Jurnal Umum 4,874,075


Kas dari Kassa 4,875,300
Selisih Kas 1,225

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 27 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

27 1 011695 Wagiyati 4,341 46,500 16,750 3,000 12,500


2 005980 Chatarina Sri W 5,318 54,000 20,000 3,000 12,500
3 005130 Paula Painah 4,395 43,650 20,200 3,000 12,500
4 005934 Titi Lestari 2,136 26,600 12,400 3,000 12,500
5 070095 Karyo Rejo 1,991 37,400 3,000 12,500
6 087332 Anna Satriyaningsih 9,586 108,200 12,750 3,000 12,500
7 150546 Yuli Gestati 873 9,600
8 096483 Ika Endang P 286 3,150
9 006090 Kasianti 1,136 12,500
10 082402 Ratna Yuni A 1,077 11,850
11 054946 Dwi Sumanti 77 850
12 000052 Anastasia surati 3,600 39,600
13 090227 Komunitas Kebumen 5,636 62,000
14 055480 dr. B Suryanto 13,155 28,940 115,760
15 072230 Sr. Yuliana - 28,250 28,250 4,000 20,000
16 004197 Cicilia Yanti - 36,500 4,000
17 038783 Tutik Nurhayati 3,200 291
18 092589 Melvina Theodora 64,700 - 4,000 20,000
19 099500 Sariyem 125,800 - 4,000 20,000
20 001132 Eko Wahyudiono 18,700 1,700
21 004541 Umi Heni 29,400 2,673
22 104703 Prapti 69,450 - 4,000 20,000
23 026974 Sugiyanto 13,500 -
24 029009 Suratman 28,650 - 20,000
25 Atmareja 7,200 - 7,200
26 Yusman Hadi 1,500 136
27 084663 Fauza Leo 16,500 - 2,000
28 036387 Steven 52,000 -
29 026173 Ida Irmayanti 6,100 555
30 109537 Warihan 58,200 2,927 13,000 3,000
31 068528 Soekardi 196,500 14,318 3,000 12,500
32 035882 MY Ngadinem 19,500 955 4,000
33 034936 Ega R 17,000 - 2,000
34 108741 Kasinah 132,830 6,257 4,000
35 007601 Sudiyati 64,500 -
36 107563 Suryanto 49,500 1,864 3,000 12,500
37 108582 Sustriani 34,000 - 4,000
38 038051 V Sutinah 18,500 - 2,000
39 000106 Parmo 18,500 - 2,000
40 109600 Wiwit 49,750 2,205 3,000 12,500
41 011740 Satimah 10,000 - 2,000
42 068810 Bina Husada 11,000 -
43 109626 Sentot al W 106,000 4,045 4,000
44 033752 Tri Anita 39,600 3,600
45 050966 Lamet Atmowiyoto 117,300 7,482 4,000
46 099464 Tri Hidayatul 54,000 4,091
47 104790 Suhartinah 18,500 - 2,000
48 109630 Marto Wiharjo 111,000 7,773 3,000 12,500
49 109706 Maria Amandia 69,700 4,927 3,000 12,500
50 109705 Yandi Cendana 106,000 7,318 3,000 12,500
51 024741 Miah 3,000 273
52 109572 Yulius Suwanto 64,000 2,727 4,000
53 106239 M Stevani 21,000 - 2,000
54 109004 Parsiyah 32,060 1,505 3,000 12,500
55 109041 Paiti 160,000 11,455 4,000
56 090316 Ferdinan Sakif 42,700 2,473 3,000 12,500
57 084942 Raniyah 88,350 4,941 4,000
58 084173 Ernani Febri 142,750 9,886 4,000
59 109593 Sakiyem 163,375 11,670 4,000
60 109710 Suwanti 34,000 - 4,000
61 086951 Nabila 49,550 3,095 3,000 12,500
62 085839 Wadiron 100,000 7,682 3,000 12,500
63 109707 Yasmin 163,500 7,727 3,000 12,500
64 098366 Dalimin 34,000 - 4,000
65 005976 Alipah 128,200 11,655
66 18616 Syukur 16,500 - 2,000
67 051793 Naufal Putra 172,450 - 4,000 20,000
68 005998 Emianti 19,500 955 4,000
69 040184 Wasino 37,000 3,364
70 109503 Jumadi 53,800 - 4,000 20,000
71 109520 Ariningsih 9,000 - 4,000
72 108190 Kenji Prasetyo 90,000 5,091 4,000
73 011255 Purwadi 59,750 1,341 4,000
74 101357 Christa Bela 35,500 -
75 150455 atit 18,000 1,636
76 109283 By Marsini 87,400 4,855 4,000
77 109714 Ria Shintia 82,000 - 4,000 20,000
78 006539 Risnawati 63,000 -
-
3,708,965 - 219,056 549,590 20,200 - - - - 226,110 - 170,000 212,500 - 160,000

Jurnal Umum 3,708,965


Kas dari Kassa 3,709,300
Selisih Kas 335

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 28 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

28 1 109719 Rasya Abitha - 102,800 4,000 20,000


2 026915 Sr. Christine - 7,250 7,250
3 109577 Pipit - 6,500
4 090227 Komunitas Kebumen - 44,500
5 001823 Sr. Bernada - 68,850
6 061200 Catur Aiwa U - 39,600
7 093290 Desi Iriyani - 13,400
8 090663 Kuntum Daniati 69,450 - 4,000 20,000
9 063319 Hybriyani R 10,900 -
10 041857 Yulius Dedi 92,650 -
11 150459 Ning 2,000 -
12 084041 Madireja 84,650 - 4,000 20,000
13 074368 Maryati 49,950 - 4,000 20,000
14 055267 Amalia Konaah 153,426 - 4,000 20,000
15 109723 Flora Nur A 94,450 - 4,000 20,000
16 028132 Purwo Dikromo 74,600 - 4,000 20,000
17 107353 Trisno 54,350 -
18 072513 Atit Yuni S 30,900 -
19 104530 Kekar Y 45,500 -
20 105072 Suryana 24,900 -
21 109464 Sylpiana 144,100 -
22 109720 Sumardiyanto 56,200 - 4,000 20,000
23 109721 Mad Sumeri 103,400 - 4,000 20,000
24 011136 Yosepha I 19,500 -
25 075376 Ikhsan 52,000 -
26 037004 Septi Candra 159,800 - 4,000 20,000
27 109722 Nurudin 505,200 - 74,000 20,000
28 109727 Teguh Santoso 98,200 - 4,000 20,000
29 065844 Agung 54,500 -
30 017833 Jumiran 79,500 -
31 053687 Titik K 62,000 -
32 109726 Lukman Nur H 214,150 - 4,000 20,000
33 109725 Miral Gulintang 158,200 - 4,000 20,000
34 087586 Jevi Okta 12,000 -
35 Meterai 6,000 - 6,000
36 035715 Siti Maftukhah - 20,650
-
2,512,476 - - 131,900 - - - 102,800 - 76,100 - 132,000 - - 280,000

Jurnal Umum 2,512,476


Kas dari Kassa 2,512,800
Selisih Kas 324

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 29 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

29 1 109753 Rudiyanto - 95,500 3,000 12,500


2 105358 Eny Retno P 14,073 188,800 4,000
3 004197 Cicilia Yanti 66,800 - 67,500 8,000 40,000
4 015732 Eni Kurniasih 7,582 83,400
5 054941 Istri Wening 136 1,500
6 005842 Sr. Valentine (18,500) 203,500
7 016928 Sarjono 43,400 -
8 074577 Siti F 13,500 -
9 073175 Muryati 26,400 -
10 018915 Rosdiana S 55,500 -
11 052649 Bima 75,900 -
12 034497 Suheni 12,400 -
13 109732 Masikun 41,350 - 4,000 20,000
14 087338 Nita Ratnasari 33,300 -
15 088771 Tri Setya W 105,850 -
16 109731 Bayu Ristanto 185,460 - 4,000 20,000
17 067283 Nova saputri A 41,500 - 4,000 20,000
18 109729 Muhamad F 188,800 - 4,000 20,000
19 022272 Mustofa 59,600 - 4,000 20,000
20 042675 Satimusri 70,250 - 4,000 20,000
21 000016 sahudi 55,300 - 4,000 20,000
22 Siti Maftukhah 20,650 - 20,650
23 106059 Naufal Edra W 69,650 - 4,000 20,000
24 109734 Kheisa 102,550 - 4,000 20,000
25 08431 Iwan Kusuma 76,500 -
26 109537 Warihan 205,885 15,171 3,000 12,500
27 109737 saefudin 384,325 - 4,000 20,000
28 109738 Trisno Wardoyo 200,150 - 4,000 20,000
29 012001 Sugiyanto B 55,500 - 3,000 12,500
30 109747 Mujiono 38,950 2,132 3,000 12,500
31 109119 Suwarso 85,150 6,241 3,000 12,500
32 109742 Nadia Shiva 141,250 6,705 3,000 12,500
33 Andi 100,000 -
34 105407 Kurniasih 15,500 - 3,000 12,500
35 109741 Katarina dian 146,190 - 4,000 20,000
36 030903 Watiyem 77,800 7,073
37 100242 Partinem 20,000 -
38 093292 Ety Wahyuningsih 49,000 4,455
39 Pengobatan karya 120,100 - 120,100
40 060678 Fitri Wiji A 30,850 2,805
41 046413 Bintang Aiden 52,000 -
42 009277 Berlian Gabriela 52,000 -
43 042216 Riyanti 160,000 11,455 4,000
44 003260 Warnoto 107,800 6,709 4,000
45 109759 Inem 65,500 - 4,000 20,000
46 103363 Tami 150,876 12,216 3,000 12,500
47 109754 M Samsir 114,700 7,245 4,000
48 107651 Rusman Budi R 38,500 409 4,000
49 109539 Surati 112,500 7,136 4,000
50 109743 Masruroh 237,250 13,432 4,000
51 109552 Saminem 34,000 - 4,000
52 020704 Kudarsih 32,000 -
53 085836 Tariyem 221,000 17,000 4,000
54 075119 Agusta Ratna 14,000 - 4,000
55 109752 Sri Sudi R 40,400 2,264 3,000 12,500
56 109749 Agus Priyanto 76,700 5,564 3,000 12,500
57 081719 Wahyu Setiawan 65,800 4,573 3,000 12,500
58 109721 Mad Sumeri 122,225 4,830 4,000
59 073400 Tan Ming Swie 93,500 - 4,000
60 109758 Musriatun 65,200 - 4,000 20,000
61 109757 Sariyah 66,015 - 4,000 20,000
62 109670 Sahroni 47,500 2,000 3,000 12,500
63 109751 Nafisya Andika 79,650 5,832 3,000 12,500
64 109465 Sudarsih 44,450 859 4,000
65 109745 Sampen 171,260 12,387 4,000
66 109755 Saharani sifa 71,100 - 4,000 20,000
67 109756 Zaki Azam 50,500 - 2,500
68 053528 Tan Swat Liang 13,500 -
69 109744 Kamiyah 154,180 7,735 4,000
70 104146 Mikael Henata 7,600 691
71 109750 Samini 38,500 500 3,000
72 101336 Murtini 141,000 500 3,000
73 109763 Widarsih 100,200 - 4,000 20,000
74 094202 Muhammad Daniel 98,300 - 4,000 20,000
75 109760 Doni Prasetyo 55,500 - 3,000
76 150467 Nurida 7,800 709
77 109761 Najwa Paradisa 105,000 8,136 3,000 12,500
78 068864 Askia Riski h 89,400 6,718 3,000 12,500
79 109765 Anggun sukmawati - 142,825 4,000 20,000
-
6,212,716 - 186,771 295,225 344,250 - - 284,300 - - - 200,500 187,500 - 420,000

Jurnal Umum 6,212,716


Kas dari Kassa 6,213,400
Selisih Kas 684

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 30 Agustus 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

30 1 096724 Fellin Wahyu B - 124,530 4,000 20,000


2 031262 Purwanto - 50,800 4,000 20,000
3 084630 Rm. Samuel - 68,625 22,875
4 000345 Sr. Theresia 3,118 17,150 17,150
5 056919 Sr. Christine 5,355 29,450 29,450
6 087327 Indrawati 505 5,550
7 083842 Wahyu dwi A (3,055) 33,600
8 003439 Rosdiningsih 1,264 13,900
9 022524 dr. Nrimanto 103,000 -
10 150470 Pasien Luar 1,600 -
11 109770 Nawwafilah Arta 180,700 - 4,000 20,000
12 109768 Feri Ansori 167,250 - 4,000 20,000
13 039704 Sanurji 78,675 - 4,000 20,000
14 002127 Budianto Pranoto 118,250 - 4,000 20,000
15 069712 Berliana 1,500 -
16 004197 Cicilia Yanti 46,800 - 4,000
17 052967 Sukidah 69,500 - 4,000 20,000
18 109555 Kasifudin 71,500 3,409 4,000
19 098432 Dewi Evayanti 91,250 2,250 4,000
20 109309 saimin 96,000 4,636 4,000
21 109615 Lebuh 61,000 2,455 4,000
22 015732 Eni Kurniasih 45,500 -
23 150473 Tusirah 4,250 -
24 109775 Lasih 87,700 - 4,000 20,000
25 109774 Leli Nur Solihatun 136,900 - 4,000 20,000
26 004944 Suprobo 79,275 -
27 109776 Putri Remilayanti 103,250 - 4,000 20,000
28 109063 Tinem 13,500 -
29 109746 Sahid 430,500 -
30 109777 Suwito 110,600 - 4,000 20,000
31 028950 Suryanto 113,710 -
32 005629 Kusnowati 91,100 - 4,000 20,000
33 109778 Muzayanah Soima 47,450 - 4,000 20,000
34 015500 Setyaningsih 6,000 -
35 108964 siti 51,500 -
36 092086 Kusmiyati 203,125 - 4,000 20,000
37 150475 Maman 48,200 -
38 070563 Siyam 178,600 - 4,000 20,000
39 029041 Nisa Nur Aulia 51,150 - 4,000 20,000
40 046198 Mustinah 66,250 - 4,000 20,000
41 109783 Adrian Rafael 51,100 - 4,000 20,000
42 109781 Herwanti 119,500 - 8,000 20,000
43 150471 Sarjono 36,100 -
44 109785 Gracia Suha 114,300 - 4,000 20,000
45 108871 Ariani Dewi 23,000 -
46 109786 Lutfia Alia 55,000 - 4,000 20,000
47 106987 Lusia Indriyati 201,200 - 20,000 4,000 20,000
48 109788 Herdian Hariyata 55,350 - 4,000 20,000
49 109787 Gema Candra 97,550 - 4,000 20,000
50 079029 Hendra Tono 94,900 - 4,000 20,000
51 109789 Novan Nugroho 80,850 - 4,000 20,000
52 Umi Wadingah 39,600 - 39,600
53 095111 Nasrowi 26,500 -
54 106647 dr. Cecilia E - 9,450
-
3,950,535 - 19,936 164,125 73,200 50,800 - 124,530 - 69,475 - 128,000 - - 520,000

Jurnal Umum 3,950,535


Kas dari Kassa 3,950,900
Selisih Kas 365

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 31 Agustus 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

31 1 018915 Rosdiana S 27,500 - 28,250


2 083842 Wahyu Dwi a - 12,000
3 096483 Ika Endang p - 40,400
4 012234 Sumiyah 53,632 - 4,000 20,000
5 109807 agus Triyantoro 227,000 - 4,000 20,000
6 108930 Lani 192,695 - 4,000 20,000
7 109803 Riska Dwi 192,695 - 4,000 20,000
8 109800 Ika agustin 88,000 - 4,000 20,000
9 109798 Puput Harno 59,000 - 4,000 20,000
10 109797 Indah Rojiyati 226,325 - 4,000 20,000
11 109796 Vika 66,150 - 4,000 20,000
12 109795 Sukur ahmadi 188,200 - 4,000 20,000
13 109794 Cahyo Tri P 47,850 - 4,000 20,000
14 dr. Cecilia 9,450 - 9,450
15 150481 Umi 3,500 -
16 109793 San Miardi 64,532 - 4,000 20,000
17 016928 sarjono 17,900 -
18 107195 Safa Novelita 86,800 - 4,000 20,000
19 067552 Imam 5,000 -
20 003061 Umi Wadingah 7,800 -
21 063454 Eliana shafiqa 34,400 - 27,000 4,000 20,000
22 109808 Suwanto 92,810 - 4,000 20,000
23 078327 Kasbun 61,182 - 4,000 20,000
24 109809 Dewi Wulan 147,300 - 4,000 20,000
25 109600 Wiwit 73,000 - 4,000 20,000
26 109813 Adman 50,300 - 4,000 20,000
27 109810 Sofia Hasna 156,050 - 4,000 20,000
28 109812 Aditya Rasya 56,200 - 4,000 20,000
29 078472 Steven Marcelius 43,450 - 4,000 20,000
30 109814 Maskur Ikwanudin 52,900 - 4,000 20,000
31 109819 Yatimin 42,700 - 4,000 20,000
32 000937 Gani Lukito 62,000 -
33 109818 Watiyah 55,100 - 4,000 20,000
34 109816 Hendra 102,000 - 4,000 20,000
35 040940 Sutiarsih 201,950 -
36 041801 Intan 28,500 -
37 150492 Kusmiatun 178,850 -
38 050021 Sumarnah 53,550 - 4,000 20,000
39 109821 Tyas Pramudita 138,550 - 4,000 20,000
40 109822 Abdul Kolik 91,600 - 4,000 20,000
41 109829 Nono Raharjo 169,900 - 4,000 20,000
42 109826 Miftahul Janah 158,000 - 4,000 20,000
43 agus 41,300
-
3,435,471 178,850 - 121,950 9,450 - - - - 27,000 - 120,000 - - 600,000

Jurnal Umum 3,256,621


Kas dari Kassa 3,256,900
Selisih Kas 279
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

5,455
10,000
1,818
32,136
10,000 47,800
14,182
10,000 28,550
32,091
10,000 15,300
10,000 5,000 48,650 13,500
16,500
26,227
3,636
12,273
57,545
16,500
13,500 10,000 20,000 32,250
13,500
9,500 7,000
(16,045)
16,500 6,500
28,727

9,500 4,750 41,250


33,636
30,000
30,000 89,386
30,000 13,500
9,500 7,000
30,000 500 500 125,000
36,500 3,000 25,600 122,364
30,000 13,500
8,500 7,500
8,500 7,500
30,000 143,182
30,000
30,000 61,136 13,500
30,000 35,455
26,727
75,000
30,000 58,409 13,500
30,000 8,182
30,000 99,773 18,500
72,000
11,500 3,500
30,000 104,773
30,000
30,000 3,500 7,500 24,841
30,000 144,364
20,818
46,182
30,000
28,500 10,000 20,000 42,300
30,000 7,273
239,545
30,000 7,909
14,091
531,136
10,000 22,500 12,500
10,273

616,000 42,000 98,750 47,000 - - - - 68,000 24,000 - 25,600 41,250 22,500 2,309,500 227,350 132,500 -

Jurnal 4,292,450
Piutang (355,175)
Subsidi 292,125
4,229,400

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

20,000 13,500 12,500 87,400


54,545 73,500
11,182
116,500
116,818
7,909
1,818
10,500 5,500 51,000
20,000
17,000 10,000 5,000 170,925
185,000
43,818

8,955
30,000 3,500 7,500 53,864
34,409
10,000 9,850 13,500
35,000 90,000 20,000
52,000
35,682
72,000
30,000 500 500 154,227
30,000 500 500 41,318
30,000 13,500
30,000 500 500 149,045 6,500
2,500 7,500 61,500
27,000
30,000
30,000 71,591
30,000 95,227
30,000
30,000 500 500 184,545
36,500 3,000 25,600 77,727
8,500 4,750 36,750 32,773
61,150
30,000 20,000 16,500 7,000 116,364
43,727 19,000
46,727
32,273 19,000
9,500 4,500 41,500
32,091
61,591
35,909 14,500
30,000 59,500 67,000
30,000 34,545
30,000 100,136
30,000 74,727
108,000

30,000 20,000 52,636


30,000
30,000 138,409
30,000 60,455
108,023
10,000 28,200
30,000 13,764
30,000 9,500 7,000 63,318
30,000 16,500 6,500 91,636
(27,273)
127,273
35,000 90,000
35,000 90,000
114,977
15,909
10,000 38,850
111,818
13,500

830,000 77,000 79,250 42,500 - - - - 34,500 20,500 270,000 25,600 129,250 - 2,986,641 335,225 660,500 -

Jurnal 5,746,030
Piutang 324,350
Subsidi 58,250
6,128,630

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

27,500 20,000 175,000 17,500 661,360 114,000


40,500 5,500 67,000 192,545
115,455
4,000
10,091
2,727
13,500
53,864
9,500 2,500 45,455
105,000
10,000 4,400
40,500
909
10,000 17,500
216,000
10,000 29,682
5,455
30,000 6,000 12,500 52,500
30,000 37,455
30,000 3,500 7,500 27,273
30,000 3,500 7,500 18,636
2,500 7,500 47,160
9,500 4,750 41,250
35,818
30,000 87,091 165,500
39,500
30,000 33,477
10,909
9,500 7,000
30,000 100,455
2,500 7,500 115,091 13,500
9,500 7,000
30,000 500 500 161,136
30,000

30,000 500 500 112,227


36,500 3,000 25,600 98,932
18,836
30,000 71,364
30,000 13,500
11,500 3,500
49,000
30,000 73,273
36,000
30,000 72,000
44,455
190,000
9,500 4,750 41,250
72,000
103,818
30,000 73,636
30,000 67,818
72,000
36,000
72,000
36,000
36,000
36,000
36,000
30,000 39,727
13,500
36,000
30,000 81,455
175,818
36,000
72,000
72,000
41,455
24,545
45,000 35,000 94,091 78,500
36,000
36,000
30,000 114,545
30,000 67,818
30,000 67,818
127,227
30,000 36,000
30,000 99,180
72,000
30,000 61,364
36,000
30,000 67,818
30,000 3,500 7,500 17,409 13,500
30,000 31,818
36,000
30,000 36,000
73,273
72,000
36,000
30,000 55,024
30,000 125,569
30,000 112,024
36,000
67,818
72,000
45,000 35,000 40,227
36,000
10,000 54,582
30,000 95,091
72,000
36,000
72,000
108,000
72,000
70,909
30,000 155,273
45,000 35,000 38,864
30,000 50,000 17,591
36,000
45,000 35,000 32,273
137,500
45,000 35,000 51,136
30,000 443,500
30,000 98,136
30,000
30,000
30,000
30,000 4,091
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000

2,106,000 50,000 108,000 40,000 - - 20,000 175,000 51,000 20,000 630,000 60,600 149,500 - 5,932,747 750,024 1,341,000 -

Jurnal 11,026,086
Piutang 1,343,660
Subsidi 164,400
12,534,146

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000
45,000 35,000
30,000 30,455
30,000 104,545
30,000 99,205
5,000 9,091
18,682
35,182
1,818
59,091
16,518
13,500
10,000 12,500
10,000 77,800

10,000 69,000
5,455
10,000 105,300
23,173
13,500
1,364
190,000
138,182
10,000 22,500 47,300
90,227
40,500 5,500 67,000 47,273
30,000 3,500 7,500 46,682
69,182
30,000 72,000
30,000 36,000
7,273
40,500 5,500 67,000
30,000 3,500 7,500
10,000 18,900
10,000 176,000
10,000 24,300
10,000 24,000
64,500
42,384
9,500 4,500 41,500
28,836

13,500
773
500 500 62,409
2,727
56,591
20,000 10,250 108,250
11,500 3,500
30,000 500 500 7,000
7,273
30,000 108,636
30,000 3,500 7,500 13,500
9,500 7,000 13,500
30,000 105,682 10,000
30,000 500 500 61,773
30,000 65,000
30,000
30,000 48,409 59,000
13,500
10,000 69,000
30,000 13,500
30,000 68,045
30,000
30,000 16,000 9,000
7,500 5,000
30,000 31,318
30,000
47,736
22,500 129,636
20,000
10,000 42,500 73,500
28,636
36,000
30,000 34,591 64,500
30,000 72,000
30,000 30,818 44,000
30,000 177,273
30,000 87,955
20,000
10,000 95,500
10,000 19,250
48,909
68,318

985,500 - 180,250 21,000 - - - - 29,000 10,500 35,000 - 283,750 45,000 2,378,625 781,350 636,500 -

Jurnal 5,888,874
Piutang 143,513
Subsidi 162,450
6,194,837

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA
36,500 3,000 25,600 60,682 20,000
30,000 71,545
38,818
267,955 59,000
12,500 12,500 10,000 15,636
4,545
9,591
57,000
3,636
7,273
1,545
30,000 57,818
30,000 63,682
30,000 47,091
30,000 37,891
30,000 5,527
30,000
30,000
30,000
52,000
11,500 3,000
9,500 7,000
74,000

78,810
112,545
20,000 45,000 39,300
10,000 78,200
52,000
30,000 46,636
61,500
30,000 500 500 42,159
30,000 500 500 86,795
7,273
7,000 10,000 5,000 383,375
8,500 4,250 500 37,750 52,818
30,000 110,455
9,000 7,000
30,000 144,341
108,000
30,000 500 500 92,273
30,000 500 500 94,682
30,000 138,636
5,000
64,318 51,500
5,000
30,000 6,500
2,727

10,000 14,000
30,000 132,955
30,000 151,955
9,500 7,000
30,000 93,000 27,500
30,000 9,500 6,500 19,091

30,000 500 500 48,591


30,000 109,091
23,182
30,000 500 500 117,455 13,500
9,500 7,000
30,000
17,455
20,000
30,000 59,000
22,500
37,364
9,500 5,000 8,000 500 4,500 64,000 71,545
30,000 176,273
13,227
36,000
45,000 35,000 265,909
2,727
36,000
14,000 3,500 52,100
6,500
30,000 27,955
45,000 35,000 52,318
30,000
45,000 35,000 119,318
45,000 35,000
30,000 9,000 8,000 127,409
45,000 35,000 65,455
45,000 35,000 16,364
45,000 35,000
773
179,318
12,500 20,000 28,500 9,773
30,000 3,500 7,500
10,000 7,500 43,895
35,000 90,000
51,500
10,000 46,550
10,000 11,300
10,000 22,500 31,950
10,000 72,300
40,500 5,500 51,000 156,818
30,000
359,045

43,000
3,182

1,460,000 39,500 157,250 66,500 - - - - 74,000 42,000 335,000 25,600 152,750 67,500 4,424,751 772,970 597,500 -

Jurnal 8,400,996
Piutang 455,850
Subsidi 383,950
9,240,796

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 22,500 12,500


1,000
33,000
964
8,636
17,091
25,136
14,091
19,545
27,500
5,000
11,500 3,000
5,000 9,545
72,000
10,000
39,091
3,182
10,000 61,035
59,500
13,500
13,500
150,500
10,000 101,250

27,500
76,318
9,000
51,500
2,500 7,500 103,591 13,500
9,500 4,500 34,000
180,000
33,000
5,000
11,500 3,000
10,000 17,500 397,660
3,773
10,500 5,500 67,000
7,000
12,500 20,000 13,500 53,864
35,000 90,000
5,000 9,545
30,000 13,500
30,000 79,091 13,500
30,000
30,000 35,000
30,000 125,295
30,000 69,545
79,000 9,000 68,000 18,927
105,000
500 500 13,609
30,000 66,136
30,000 13,500
30,000 112,545
30,000
30,000 92,727
30,000 26,818
10,000 18,350
20,000 13,500 40,000 61,560
10,000 29,050
22,636
12,409
10,000
10,000 62,000
11,818

506,500 40,000 135,500 23,000 - - - 180,000 61,500 6,000 90,000 17,500 169,000 22,500 1,219,932 743,405 518,500 -
Jurnal 4,009,420
Piutang 227,910
Subsidi 16,500
4,253,830

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

69,900
25,900
16,500
11,500
10,000 65,350
10,000 22,500 94,460
10,000 40,050
10,000 27,000
105,000
10,000 48,900
5,000 50,909
79,200
4,500
3,300
13,500
10,000
8,900
82,900
13,500
10,000 69,000
10,000 153,800
10,000 7,550
15,500
191,200
10,000 7,500 8,750
10,000 54,500
10,000 22,900
10,000 64,500
10,000 50,215
25,000
10,000 97,550

- - 145,000 - - - - - 7,500 - - - - 22,500 50,909 1,323,825 157,000 -

Jurnal 1,962,025
Piutang 95,800
Subsidi -
2,057,825

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 19,700
76,500
55,500
1,818
310,909
28,864
12,409
362,545
167,727
11,773
20,000 45,000 80,500
10,000 22,050
10,000 40,200
98,500
107,500
72,000
10,000 98,200
13,500 10,000 25,000 138,425
13,500 10,000 20,000 41,750
11,500 3,000
72,000
40,000
138,909
29,500
500 500 131,364
9,500 7,000
27,500
19,000 9,000 68,000
9,500 4,750 41,250
30,000 120,000
30,000 9,364
36,500 3,000 25,600 97,818
30,000 108,864
30,000 500 500 233,409
30,000
2,500 12,500 170,068
30,000 61,455
30,000 78,409
91,500
41,182 13,500
13,500 13,500 32,500 136,375
151,000
76,500
30,000 500 500 99,841
30,000 10,227
30,000
34,000
36,500 3,000 25,600 72,477
19,727
100,000
30,000
30,000 87,364 47,000
30,000
30,000 500 500 99,273
11,500 3,500
11,500 3,000
116,500
44,500
30,000 13,500
30,000 124,091 31,500
30,000 103,864
30,000
36,000
30,000 87,955
30,000 23,136
39,500 4,750 41,250 107,218
10,000 71,700
30,000 3,500 7,500 364,545
40,500
30,000 30,000 92,955
174,091
36,000
10,000 40,000
12,500 5,000 12,500 5,000 6,364
9,500 4,500 34,000
30,000 364,545
30,000

(610,000)

883,000 75,500 163,000 44,000 - - - 100,000 104,500 16,500 - 51,200 184,500 45,000 4,419,559 688,900 206,000 -

Jurnal 7,382,765
Piutang 322,400
Subsidi 254,450
7,959,615

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 41,700
36,136
31,818
61,000
53,182
7,273
8,500 13,500 22,500 46,350
10,000 4,500
11,500 3,000
75,500
10,000 79,750
10,000 44,500
27,000
10,909
5,500 500 9,091

10,500 5,500 51,000


10,000
11,500 3,000
12,364
144,000
11,818
30,000 48,182
9,500 4,500 49,000 17,500
30,000 77,545 6,500
36,500 3,000 25,600
116,500
11,500
9,500 7,000
10,000 55,150
20,455
10,000 7,500 54,600
30,000 45,909 27,500
30,000 89,364 9,000
30,000

39,500 4,750 41,250


76,364
7,273
30,000 37,045
500 500 66,364
30,000
40,500 5,500 67,000 142,000 27,500
20,000
20,000 13,500 40,000 37,850
54,273
6,818
11,500 3,500
93,636
30,000 20,000 143,955
30,000 57,227
30,000 16,500 6,500 160,364
30,000 9,500 7,000 64,000
5,727
5,045
9,500 14,750 41,250 23,600 10,000
10,500 5,500 67,000

506,500 48,500 146,500 70,000 - - - - 71,000 30,000 - 25,600 316,500 - 1,452,636 388,000 455,000 -

Jurnal 3,561,600
Piutang 479,400
Subsidi 81,000
4,122,000
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

500 500 39,273


196,364
568,864
5,000 9,545
52,000
9,500 7,000
10,000 22,500 34,100
17,955
10,000 6,500
14,500 11,000
47,000
10,000 87,550
16,364
10,000 67,082
30,000 7,000 14,500 110,455
30,000 13,409
16,364
10,000 33,000
10,000 18,500
10,000 7,500
15,000
10,000 13,800
10,000 15,750
10,000 46,400
76,500
20,000
500 500 24,500
80,000
30,000
9,500 4,500 41,500
8,000
8,000
30,000 79,136
31,455
30,000 13,500
47,545
48,500
59,000
61,000
500 500 130,636
54,045
6,955
10,500 5,500 67,000
30,000 4,091
30,000 44,545 56,000
30,000 4,091
66,136
30,000
30,000 17,227
30,000 13,500
30,000 4,091
30,000 78,659
30,000 89,705
30,000 42,591
30,000 500 500 81,136
2,500 12,500 39,023
39,091
30,000 104,273
30,000 62,590
55,091
39,545
45,000 35,000 29,318
45,000 35,000 10,091
11,500 3,500
30,000 25,682
30,000 73,500
83,182
36,000
30,000 63,636
67,818
36,000
72,000
36,000
10,636
30,000 67,273 13,500
36,000
72,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000 61,136
45,000 35,000 27,273
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000 59,226
30,000 36,000
30,000 108,317
72,000
72,000
103,818
30,000 130,684
30,000 67,818
36,000
30,000 67,818
36,000
36,000
67,818
36,000
30,000 163,138
30,000 36,000
30,000 49,091
30,000 28,818
30,000 68,182
30,000 67,818
30,000 36,000
36,000
36,000
72,000
36,000
72,000
67,818
36,000
30,000 50,205
35,091
30,000 22,909
30,000 4,091
30,000 4,091
30,000 4,091
30,000 4,091
30,000 1,818
30,000
30,000
30,000
40,500 5,500 67,000
1,818
40,500 5,500 67,000
30,000 75,091
36,000
30,000 207,024
30,000 91,115
30,000 67,818
36,000
72,000
30,000 100,136
30,000 36,000
36,000
10,000 82,750
30,000 87,615
30,000 36,000
41,455
72,000
30,000 36,000
30,000 149,727
30,000 58,727
30,000 72,000
30,000 36,000
36,000
72,000
117,455
36,000
36,000
30,000 98,954
30,000 108,182
12,500
36,000
30,000 149,273
30,000 67,818
36,000
36,000
36,000

2,783,500 - 147,500 35,500 - - - - 29,000 21,500 630,000 - 242,500 22,500 7,023,754 412,932 565,000 -

Jurnal 12,502,111
Piutang 420,875
Subsidi 480,575
13,403,561

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 50,909
30,000 33,545
30,000 147,818
129,364
52,727
75,636
80,545
8,636
11,364
14,909
15,000
10,000 7,500 65,700 13,500
30,000 2,500 5,000
30,000 25,227
10,000 131,150 35,000
3,500
68,545
67,818
110,909
144,000
13,500
79,500
20,000
10,000 39,500 32,000
9,500 4,750 41,250
2,500 7,500
8,000
11,182
56,136
13,500
11,500 3,500
2,500 7,500 15,909
500 500 109,702
500 500 15,823
500 500 30,182
30,000 36,182
87,500
5,000 19,818
30,000
5,000 19,818
500 500 142,373
30,000 78,750
71,727
30,000 17,182 9,000
2,500 7,500 15,909
500 500 95,347
30,000 127,341
73,636
30,000 107,318 13,500
5,000 1,818
5,000 1,818
5,000 1,818
5,000 6,818
5,000 6,818
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000 8,636
5,000
30,000 3,500 7,500 84,273 34,500
30,000 132,614
52,909
39,500 4,750 41,250 39,864
113,545
30,000 500 500 87,455
65,000 90,000
30,000 60,000
227,273
35,000 90,000
5,000 6,818
10,000 18,200
11,500 3,000
40,000 15,000 150,000 74,227
27,273
5,000 8,636
25,795

639,000 - 166,000 23,000 - - - - 45,500 6,500 180,000 - 232,500 - 3,212,517 254,550 252,000 -

Jurnal 4,962,444
Piutang 723,375
Subsidi 120,500
5,806,319
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 111,818
112,273 51,500
12,500 25,000 10,000 1,682
12,500 10,000 10,000
12,500 20,000 15,000 1,682
3,091
14,773
27,273
75,455
11,500 3,000

17,000
116,500
10,000 17,500 143,350
10,000 45,500
37,591
58,773
15,682
10,000 24,250
10,000 21,700
30,000 50,227
13,500
13,500
30,000 5,000 10,000 54,318
5,000 1,818
13,500
10,000 7,500 38,300
5,000 1,818
11,036
20,500
9,500 4,750 41,250
40,000
27,000
131,000
31,818
14,500 11,000
23,182
57,455
5,000 9,091
30,000 43,909
30,000

227
8,500 3,750 27,750
30,000 6,500
10,000 43,900
36,500 3,000 25,600 91,364 13,500
36,500 3,000 25,600

30,000 48,000
31,273
30,000
128,864
36,000
39,500 4,750 41,250 80,932
115,455
9,500 7,000
77,759
45,000 35,000 75,455
30,000 3,500 7,500 34,273
220,000
30,000 12,955
30,000 3,500 7,500 57,455
45,000 35,000 16,364
45,000 35,000 36,364
45,000 35,000 56,591
112,500
45,000 35,000 75,455
13,500
30,000 3,500 7,500 6,091
30,000 3,500 7,500 56,591
45,000 3,500 7,500 35,000 51,818
30,000 3,500 7,500
5,500 500
45,000 35,000
45,000 35,000
10,000 15,000
10,000 26,200

50,818
19,545

948,000 55,000 145,750 35,500 - - - - 98,000 21,000 280,000 68,700 110,250 - 2,332,909 358,200 381,500 -

Jurnal 5,861,525
Piutang (717,455)
Subsidi 333,530
5,477,600

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

37,545
12,500 25,000 11,000 55,545
30,000 133,864 59,000
10,000 67,000
54,091
2,500 7,500 13,864
12,500 20,000 13,500 21,955
30,000 17,045
30,000
30,000
13,864
(362,545)
7,000
111,500
9,000
10,000 80,200 13,500
30,000
40,500 5,500 51,000

4,050
52,000
10,000 21,650
30,000 3,500 7,000 325,909
30,000 3,500 7,500 200,909
126,818

30,000 49,091 9,000


2,500 7,500 53,227
13,000
9,500 7,000
9,500 7,000
9,500 7,000
30,000 13,500
30,000 500 500 106,318
30,545
9,500 7,000
30,000 53,273
30,455
45,000 35,000 26,591
15,000
9,500 7,000
175,000
30,000 134,955

72,000
8,182
30,000 71,136
30,000 69,773
51,909
30,000 17,045
30,000 156,591
11,500 3,000
9,500 7,000
9,500 7,000
20,455
9,500 7,000
9,500 7,000
9,500 7,000
9,500 4,500 34,000
4,500 3,500
10,000 7,500
80,455
28,091
1,818
30,000 50,409
30,000 4,091
30,000 4,091
30,000 1,818
30,000 52,727
30,000 52,727
30,000 4,091
30,000
30,000 50,909
30,000
30,000 1,818
30,000 33,818
30,000
30,000
10,000 13,000 13,500
36,409

1,020,000 45,000 62,500 111,000 - - - 186,000 51,000 76,500 35,000 - 85,000 - 2,016,682 118,900 370,000 -

Jurnal 5,040,300
Piutang (395,575)
Subsidi 124,025
4,768,750

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

7,000
7,000
4,150
39,600
91,500
29,000
10,500 5,500 51,000
74,600
10,000 22,500 11,000
10,000 59,500
13,500 3,500 83,280
10,000 22,500 30,800
30,000 7,000 14,500 69,000
37,200
10,000 15,150
10,000 47,950
10,000 22,650
10,000 17,500 33,700 13,500
10,000
10,000 7,500 12,500
5,000 9,545
10,000 121,900
8,500 10,000 22,500 47,800
10,000 225,800
39,600
35,300
2,200
13,500

40,500 8,500 151,000 - - - - - 48,000 - - 17,500 51,000 45,000 78,545 958,680 147,500 -

Jurnal 1,740,880
Piutang 92,450
Subsidi 45,750
1,879,080

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

13,500 10,000 22,500 88,890


10,000 71,750 200,000
13,500 13,500 30,000 149,375
19,682
13,818
13,182
7,273
112,000
10,000 106,250 93,500
9,364
8,500 10,000 20,000 42,650
83,182
199,136
16,000
22,727
10,000 16,000
9,500 4,750 41,250

9,500 4,750 41,250


31,500
9,500 6,500
11,500 3,500
36,818 13,500
34,545
15,682
8,500 5,250 500 36,750 112,273
500 500 69,545
13,864
34,000
34,000
2,500 7,500 30,364
6,500
30,000 500 500 28,364
30,000 24,000
11,500 3,000
30,000
30,000 90,909
30,000 142,273
30,000 13,500
30,000 30,000 18,527
30,000 189,727
30,000 500 500 260,455
30,000 500 500 54,000
30,000 500 500 55,636
30,000 96,364
30,000
30,000 500 500 20,000
30,000 30,000 18,755 13,500

30,000 500 500 137,182


30,000 114,545
30,000 45,909
30,000 38,864
60,455
30,000
30,000 10,909
30,000
30,000 500 500 161,227
19,000 9,000 68,000
65,455
9,500 4,500 64,000 29,500
23,500 10,000 30,000 62,050
30,000 2,500 5,000
39,500 4,750 41,250 142,727 339,000
10,000 20,250
30,000 3,500 7,500 13,182
30,000 52,864
30,000 325,909
30,000
10,000 24,150
20,000

935,500 119,000 160,000 11,500 - - - - 127,000 13,000 - - 292,500 - 2,915,191 581,365 891,000 -
Jurnal 6,225,910
Piutang 608,915
Subsidi 34,250
6,869,075

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 50,000
13,864
24,000
34,091
16,273
10,000
30,000 70,409
10,000 72,000 73,500
10,000 25,100
11,500 3,000
10,000 16,750 13,500
79,500
20,909

10,000 27,050
15,136
228,773
29,500 24,750 149,750 26,400
9,500 4,500 34,000
5,000 9,545
51,500
14,500 11,000
9,500 7,000
9,500 7,000

8,500 4,750 36,750


34,000
32,500
34,000

30,000 174,091
9,500 7,000
34,000
30,000 69,500
30,000 52,955
30,000 77,977
30,000 189,818
39,500 4,750 41,250 42,273
11,500 3,000

30,000 86,000
30,000 57,955
30,000 152,273
8,500 3,750 27,750
8,500 3,750 27,750 30,455
210,000
30,000 4,091
30,000 500 500 174,136
30,000
30,000 176,364
30,000
30,000 42,045
36,364
2,500 7,500 91,136 13,500
30,000 500 500 20,000
21,318
10,000 33,450
30,000
22,273
30,000 500 500 59,500
7,909
30,000 8,182
73,500
30,000 500 9,500 500 7,000 64,591
10,000 20,150
10,000 10,400
30,000 20,000 66,291
30,000 9,500 7,000 69,364
113,455
30,000 85,591
30,000 500 500 141,045
30,000 500 500 116,009
16,500 6,500 13,500
30,000 8,000 17,000 54,318

914,000 20,000 134,750 101,500 - - - - 27,500 58,500 - - 317,250 - 2,924,277 231,300 539,000 -
Jurnal 5,580,155
Piutang 351,600
Subsidi 106,750
6,038,505

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

48,273
455
30,000 10,000 116,800
43,545
28,000
10,000 57,200
30,000
21,818
8,636
4,545
4,182
10,000 93,100
30,000 375,000 3,500 7,500 11,364
13,500 3,500 46,680
53,950
35,000
10,000 79,400
19,000 20,000 29,900 13,500
13,500
214,000
31,500
5,000
30,000 10,000 361,000

90,000 375,000 91,000 - - - - - 31,000 - - - - - 172,818 932,530 241,000 -

Jurnal 2,009,530
Piutang 60,850
Subsidi 7,750
2,078,130
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 47,450
2,500 7,500 15,364
64,091
88,636
90,409
9,136
26,773
10,545
37,591
21,591
18,727
20,455
14,773
38,045
10,000 65,750
10,000 131,200
10,000 63,300
26,909
144,773
10,000 22,500 49,500
10,000 34,400
20,000 45,000 43,050
20,000
30,000 10,500 500 22,500 8,591 17,750
5,000
9,500 7,000
500 500 22,736
2,500 7,500 2,636
48,000
9,500 4,750 41,250
54,000
2,500 7,500 48,727 13,500
30,000 15,273 9,000
30,000 28,364
30,000 27,500
30,000 30,000 99,473
30,000 107,045
30,000
49,000 9,000 68,000 90,455
28,818
39,500
30,000 19,773 6,500
36,500 6,500 7,500 25,600 36,000
30,000 57,955 6,500
30,000 99,909
30,000
79,500
2,500 7,500 22,636
30,000 3,500 7,500 13,500
2,500 7,500 172,909
30,000 88,409

19,000 21,500 5,000 68,000 31,500


10,000 7,500 27,500
30,000
30,000 104,318 10,000
30,000 17,818
30,000 56,364
30,000 106,364
30,000 3,500 7,500 171,668 13,500
30,000 62,545
30,000 72,273
30,000 32,091
30,000 20,727
30,000 82,091
29,636
45,000 27,000 239,000 175,455 31,500
10,000 9,100
10,000 11,000
50,909
30,000
30,000
30,000
30,000
30,000 50,909
30,000

1,079,000 30,000 214,250 9,500 - - - - 73,500 7,000 - 25,600 416,250 90,000 2,676,695 531,500 286,500 -

Jurnal 5,808,765
Piutang 407,200
Subsidi 84,000
6,299,965

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 1,529,591
45,000 35,000 83,864
3,500 51,318
29,136
2,727
10,000
19,727
15,000
11,500 3,000
31,818
10,000 42,650
100,000
10,000 90,950
51,500
19,091
6,500
2,182
500 500 13,591
500 500 98,600 13,500
10,000 26,250
11,500 3,000
45,455
5,000 9,545
500 500 83,318
30,000
30,000 66,136
36,500 3,000 25,600
22,500
9,500 7,000
30,000 30,636
11,500 3,500
30,000 141,818 118,500
30,000 74,318
30,000 102,045
30,000 81,477
30,000 98,068 13,500
131,000
30,000 500 500 39,364
30,000 79,091
30,000
30,000 500 500 44,529
30,000 9,091
30,000 49,091
11,091

220,000
35,000 90,000 63,500
4,091

30,000 3,500 7,500 33,364


30,000 3,500 7,500 89,955
10,000 54,100
335,136
45,000 35,000 44,545
45,000 35,000 83,864
45,000 35,000 56,591
30,000 6,000 12,500 325,909
30,000

45,000 35,000 56,591


30,000 79,773
45,000 35,000 70,909
30,000 6,000 12,500 319,091
45,000 35,000 6,364 12,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
30,000
45,000 35,000

1,406,500 - 69,500 44,000 - - - - 46,000 16,500 615,000 25,600 - - 4,851,402 213,950 279,000 -

Jurnal 8,434,292
Piutang (1,032,575)
Subsidi 877,375
8,279,092

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 392,318
38,273
12,500 25,000 15,000 1,682
30,000 500 500 72,000
2,273
61,091
4,091
15,955
6,227
45,000 35,000 23,182

79,500
47,955
10,000 41,700
2,455
11,773
9,000
30,000 6,000 12,500 22,500
59,500 4,750 41,250 22,727
30,000
30,000 6,000 12,500
30,955
30,773
10,000 16,150
10,000 21,700
87,500

10,000 187,800
59,000
68,182
66,591
10,000 17,500
30,000
30,000 152,727
3,000 8,000 14,273
30,000
30,000 500 500 7,000
36,500 3,000 25,600 140,000
30,000 155,955
52,955
13,500
11,500 3,000

77,091
10,000 17,500 3,500
30,000
12,500 10,000 28,500
71,500 3,000 90,000 25,600 56,000
30,000 150,682
30,000

35,000 90,000
10,000 13,500 13,500
73,500

650,000 25,000 109,250 11,500 - - - - 59,000 3,000 215,000 86,200 41,250 - 1,671,682 312,850 391,500 -

Jurnal 6,512,150
Piutang (2,450,450)
Subsidi 27,200
4,088,900

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000 1,063,682 120,500


12,273
5,000
10,000 22,500
562,000
10,000 22,500 35,000
10,000 54,900
10,000 22,500 65,050
13,500
30,000 45,000
10,000 70,250 73,500
10,000 19,750

30,000
30,000
30,000
25,500
13,500
10,000 36,750 73,500
10,000 31,150 13,500
12,000
3,750
8,000
10,000 54,900
12,000
13,500
10,000 10,500
43,500 13,500 35,000 46,550
13,500 7,500 26,600
10,000 60,550
2,727

150,000 43,500 137,000 - - - - - 42,500 - - - - 67,500 1,123,682 566,200 895,500 -

Jurnal 1,726,150
Piutang 1,070,925
Subsidi 678,675
3,475,750

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 83,500 62,000


21,000 21,000 102,000 17,050
10,000 53,100
68,182
61,091
30,773
13,182
10,000 17,500 46,200
10,000 6,950
10,000 9,500
13,500

15,000
10,000 5,000 39,750
9,500 6,500
36,500
9,500 4,750 41,250
36,500
11,500 3,500
10,000 47,750
21,818
52,955 13,500
29,455
66,364
8,500 4,750 36,750 18,864
9,500 7,500

42,727
11,500 3,500
6,136
9,500 7,000
9,500 7,000
30,000 119,045
30,000
30,000 500 500 109,455
30,000 500 500 91,364
30,000 46,545 13,500
30,000 107,727
14,545
30,000 116,636
30,000 74,136
30,000 79,091
30,000 61,977
30,000 500 500 120,909
30,000 122,909
10,000 58,350
30,000
30,000
30,000 30,000 500 500 100,655
30,000 123,545
30,000 62,159
3,000 8,000 60,273
30,000 500 500 29,091 6,500
30,000
30,000 23,136
30,000 63,114
36,500 3,000 25,600 48,364
30,000 500 500 98,750
30,000 500 500 144,045
12,500 5,000 5,000 12,286
40,500 5,500 51,000 51,818
30,000 17,727
30,000 70,500
40,500 5,500 51,000
30,000 6,000 12,500
30,000 4,500 10,000 64,182
10,500 120,000 20,000 53,000 51,000 189,485
30,000 25,000
40,500 10,000 10,000 51,000 2,636
270,682
62,000
30,000 7,000 14,500 285,455
30,000

1,120,000 155,000 178,500 61,000 - - - - 121,500 35,000 - 43,100 384,000 - 2,958,805 551,635 329,500 -

Jurnal 6,154,220
Piutang 480,200
Subsidi 147,500
6,781,920

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 66,500
11,500 3,000
2,500 7,500 3,682
31,818
20,591
20,909
19,455
220,000
100,000
2,500 7,500
6,000
8,500 13,500 15,000 46,050
10,000 126,000 6,500
11,036
24,182
10,000 152,125
10,000 76,000

10,000 18,000
909
16,364
10,000 20,000 72,000 5,800
78,500
10,000 61,900
29,545
2,500 7,500 43,727
56,500
21,136
23,000
30,000 500 500 54,545
30,000 95,341
30,000 500 500 106,091
30,000
30,000 103,591 9,000
11,500 3,500
28,500 23,500 102,000 18,700
30,000 151,818
38,091
30,000 500 500 149,455
30,000 13,500
30,000 123,455 27,500
30,000 30,000 97,482
30,000 24,000
12,000
16,000 12,500 31,500
30,000 77,273
30,000 22,500
68,000 20,000 18,000 136,000 179,136
30,000 9,500 6,500 48,273
64,545
30,000 500 9,500 500 7,000 144,500
13,500
10,000 24,782
30,000 88,591
576,500 58,500 160,500 42,000 - - 20,000 72,000 52,000 20,000 - - 238,000 - 2,173,041 627,357 205,000 -

Jurnal 4,617,102
Piutang 264,250
Subsidi 32,350
4,913,702

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

45,000 35,000 90,909


45,000 35,000
5,455
190,591
10,000 26,400
28,000
76,500
10,000 61,950
10,000 35,750
11,818
29,818
455
30,000 3,500 7,500 20,455
16,109
10,000 50,100
40,000 15,000 76,000 64,182
5,455
80,500
116,500
9,500 4,750 41,250
60,000
9,500 4,750 41,250
13,500
30,000 500 500 182,909
30,000
5,000 4,182
36,500 3,000 25,600 90,273
30,000
30,000 500 500 162,091
9,500 4,500 64,000 33,636
76,500
30,000 119,545
30,000 500 500 21,302
30,000 112,227
30,000 56,364
64,500
30,000 13,500
30,000 78,182
30,000 13,500
30,000 13,500
36,000
72,000
45,000 35,000
45,000 35,000 95,000
45,000 35,000
45,000 35,000
36,000
30,000 82,727
30,000 30,000 50,936
36,500 3,000 25,600 125,000
2,500 7,500 45,682
30,000 23,182
30,000 109,773
103,818
36,000
36,000
67,818
12,500
103,818
73,273
36,000
72,000
72,000
36,000
36,000
72,000
30,000 36,000
74,182
36,000
11,500 3,500
36,000
67,818
36,000
30,000 81,455
30,000 36,000
30,000 500 500 65,909 13,500
30,000 64,318
36,000
36,000
36,000
36,000
108,000
67,818
36,000
30,000 240,727
36,000
30,000 3,500 7,500
36,000
36,000
36,000
170,182
36,000
30,000 28,818
144,000
36,000
36,000
72,000
45,000 35,000 65,000
30,000 52,045
36,000
72,000
72,000
30,000 45,455
108,000
72,000
30,000 192,818
36,000
36,000
36,000
36,000
36,000
72,000
36,000
67,818
30,000 31,818
45,000 35,000 83,182
30,000
36,000
30,000 434,545
72,000
72,000
36,000
72,000
72,000
10,000 7,500 22,050
30,000 158,865
30,000 500 500 148,568
30,000
30,000 24,182
30,000 103,273
30,000
36,000
67,818
104,182
72,000
72,000
30,000 59,296
36,000
10,000 95,500 12,000
95,091
67,818
103,818
72,000
72,000
72,000
30,000 163,478
30,000 174,478
30,000 67,818
36,000
10,000 30,450
36,000
72,000
36,000
36,000
30,000 101,455
36,000
36,000
72,000
36,000
36,000
36,000
72,000
30,000 118,387
30,000 67,818
30,000 72,000
30,000 34,545
30,000 118,387
30,000 67,818

30,000 36,000
1,984,000 30,000 122,000 11,500 - - - - 32,500 3,500 280,000 51,200 222,500 - 9,481,990 322,200 522,000 -

Jurnal 14,017,639
Piutang 461,450
Subsidi 6,000
14,485,089

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

30,000
30,000 50,909
30,000 67,818
30,909
3,909
36,000
72,000
20,000
7,273
36,000
75,545
30,000 500 500 20,136
10,000 22,500 10,300
1,818
7,727
17,727
48,000
13,182
67,818
30,000 167,500
144,000
23,455
72,000
36,000
30,000 50,000 53,591
30,000 36,000
8,000
72,000
43,500 10,000 10,000 25,450
60,045
30,000 67,818
108,000
36,000

36,000
32,091
52,000
52,000
13,500
10,000 29,000
53,500 10,000 27,500 51,750
10,000 7,500 27,600
5,000 9,545
68,818
64,182
6,500
30,000
30,000 43,182
30,000 4,091
11,500 3,500
30,000 96,432

10,000 25,450
95,000
38,500 10,000 15,000 58,200
45,000 35,000
30,000 163,068
67,315
30,000 136,818
30,000 83,773
30,000 57,727
30,000 500 500 41,318
30,000 192,227 6,500
6,909
10,000 90,850
30,000 79,841
30,000 49,091
9,500 4,750 41,250
30,000
30,000 119,318 9,000
30,000 73,773
30,000 6,500
30,000 28,182 6,500
34,000
30,000
30,273 51,500
64,500
2,500 7,500 84,409
9,500 7,000
30,000
36,000
33,500 10,000 15,000 42,145
127,273
30,000 37,818
10,909
42,045
72,000
10,000 7,500 41,000
10,000

894,500 219,000 113,250 21,000 - - - - 91,000 10,500 35,000 - 41,250 22,500 3,357,610 401,745 405,500 -

Jurnal 6,820,066
Piutang (400,950)
Subsidi 24,500
6,443,616

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

38,500 10,000 7,500 115,200


11,500 3,000
30,000 190,909 98,500
45,000 35,000 95,455
12,500 25,000 35,000 42,818
2,500 7,500
116,455
10,227
36,000
51,545
3,864
52,000
52,000
7,000 10,000 5,000 56,550
34,091
30,000 3,500 7,500 15,591
10,000 25,500
17,455
10,000 47,800
50,000 4,500 22,500 30,750
9,500 7,000
9,500 7,000
13,500
9,500 4,750 41,250
4,500 3,500
80,909
91,500
86,500
100,636
727

30,000 58,182
290,091
30,000 500 500 28,364
30,000 13,500
10,000 54,900
30,000 15,909
36,000
108,000
2,045
30,000 500 500 20,909
36,000
30,000 500 500 147,182
20,455

36,591
30,000 500 500 64,045
2,500 7,500 14,364
30,000
2,500 7,500 9,545
30,000 82,159
30,000 78,500
5,000 9,545
30,000
30,000 43,909
5,500 500
45,000 35,000 9,000
45,000 35,000
45,000 35,000 155,909
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
45,000 35,000
10,000 21,000
36,000
10,000 33,900
30,000 3,500 7,500 164,227
30,000 7,000 14,500 48,636
36,000
8,727
30,000 7,000 7,500 83,864

982,000 120,500 120,250 35,000 - - - 1,000 131,000 20,500 350,000 - 41,250 - 2,439,841 464,100 330,000 -

Jurnal 4,874,075
Piutang 596,900
Subsidi 210,450
5,681,425

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

43,409
53,182
43,955
21,364
19,909
95,864
8,727
2,864
11,364
10,773
773
36,000
56,364
131,545
10,000 22,500
10,000 22,500
2,909
10,000 30,700
10,000 91,800
17,000
26,727
10,000 35,450
13,500
8,650

1,364
11,500 3,000
52,000
5,545
2,500 7,500 29,273
2,500 7,500 143,182 13,500
5,000 9,545
11,500 3,500
60,000 62,573
64,500
18,636 13,500
30,000
9,500 7,000
9,500 7,000
2,500 7,500 22,045
4,500 3,500
11,000
30,000 40,455 27,500
36,000
30,000 500 500 74,818
40,909 9,000
9,500 7,000
2,500 7,500 77,727
49,273
2,500 7,500 73,182
2,727
30,000 27,273
11,000 8,000
15,055
30,000 114,545
24,727
30,000 49,409
30,000 98,864
30,000 500 500 116,705
30,000
30,955
76,818
9,500 4,500 49,000 77,273
30,000
116,545
11,500 3,000
10,000 22,500 115,950
5,000 9,545
33,636
10,000 19,800
5,000
30,000 50,909
30,000 3,500 7,500 13,409
35,500
16,364
30,000 48,545
10,000 22,500 25,500
63,000

459,500 - 128,000 67,000 - - - - 46,000 42,000 - - 49,000 67,500 2,190,559 350,350 303,000 -

Jurnal 3,708,965
Piutang 529,390
Subsidi 226,110
4,464,465

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 68,800
14,500
6,500
44,500
68,850
39,600
13,400
10,000 35,450
10,900
92,650
2,000
10,000 7,500 29,650 13,500
10,000 15,950
10,000 119,426
10,000 60,450
10,000 40,600
54,350
30,900
45,500
24,900
144,100
10,000 22,200
10,000 69,400
19,500
52,000
10,000 73,800 52,000
10,000 228,000 173,200
15,000 10,000 15,000 34,200
54,500
79,500
62,000
10,500 15,500 100,500 63,650
10,500 15,500 76,500 31,700
12,000

20,650

21,000 15,000 151,000 - - - - 228,000 22,500 - - - 177,000 - - 1,404,776 392,000 -

Jurnal 2,512,476
Piutang 234,700
Subsidi 76,100
2,823,276

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

17,000 7,500 55,500


30,000 140,727
20,000 45,000 21,300
75,818
1,364
(185,000)
43,400
13,500
26,400
55,500
75,900
12,400
10,000 7,350
33,300
105,850
20,000 10,000 42,500 88,960
10,000 7,500
10,000 92,800 62,000
10,000 25,600
10,000 36,250
10,000 21,300

10,000 22,500 13,150


10,000 68,550
76,500
2,500 7,500 151,714 13,500
28,500 20,000 27,000 45,000 102,000 137,825
10,500 13,500 19,000 35,000 51,000 47,150
8,500 3,750 27,750
21,318
500 500 62,409
67,045 52,000
100,000

10,000 112,190
70,727
20,000
44,545

28,045
52,000
52,000
30,000 114,545
30,000 67,091
10,000 31,500
500 500 122,160
30,000 500 500 72,455
30,000 4,091
30,000 71,364
39,500 4,750 41,250 134,318
30,000
32,000
30,000 170,000
10,000
22,636
55,636
45,727
36,500 3,000 25,600 48,295
30,000 3,500 7,500 48,500
10,000 31,200
10,000 32,015
2,500 7,500 20,000
58,318
30,000 500 500 8,591
30,000 500 500 123,873
10,000 37,100
9,500 4,500 34,000
13,500
36,500 3,000 25,600 77,345
6,909
12,500 10,000 7,500 5,000
12,500 50,000 70,000 5,000
8,500 10,000 12,500 45,200
10,000 64,300
12,500 30,000 10,000
7,091
81,364
67,182
9,500 14,750 61,875 32,700

563,500 152,000 288,250 - - - - 100,000 255,000 - - 51,200 373,375 67,500 1,867,705 1,299,190 435,500 -

Jurnal 6,212,716
Piutang 235,275
Subsidi -
6,447,991

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

10,000 90,530
10,000 16,800
91,500
31,182
53,545
5,045
(30,545)
12,636
103,000
1,600
10,000 146,700
20,000 10,000 37,500 75,750
10,000 44,675
10,000 84,250
1,500
10,000 22,500 10,300
10,000 35,500
30,000 34,091
30,000 15,000 2,500 15,000 22,500
30,000 3,500 7,500 46,364
30,000 24,545
45,500
4,250
10,000 53,700
10,000 102,900
79,275
10,000 69,250
13,500
430,500
10,000 76,600
113,710
10,000 57,100
10,000 13,450
6,000
51,500
13,500 10,000 35,000 120,625
48,200
10,000 144,600
10,000 17,150
27,500 14,750
10,000 17,100
7,000 15,000 12,500 57,000
36,100
10,000 80,300
23,000
10,000 21,000
53,500 10,000 32,500 101,200
10,000 21,350
10,000 63,550
10,000 60,900
10,000 46,850
26,500
9,450

120,000 109,000 298,500 - - - - - 140,000 - - - - 22,500 199,364 2,170,465 558,500 -

Jurnal 3,950,535
Piutang 266,255
Subsidi 69,475
4,286,265

Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

55,750
12,000
40,400
10,000 19,632
10,000 193,000
10,000 158,695
10,000 158,695
10,000 54,000
10,000 7,500 17,500
20,000 10,000 37,500 134,825
10,000 32,150
60,000 10,000 35,000 59,200
10,000 13,850

3,500
10,000 30,532
17,900
10,000 52,800
5,000
7,800
10,000 27,400
10,000 22,500 36,310
10,000 27,182
10,000 113,300
12,500 12,500 24,000
10,000 16,300
10,000 122,050
10,000 22,200
10,000 9,450
10,000 18,900
10,000 8,700
62,000
10,000 21,100
10,000 68,000
201,950
28,500
(178,850)
10,000 19,550
38,500 10,000 7,500 58,550
13,500 3,500 50,600
10,000 135,900
10,000 50,500 73,500
41,300

- 118,500 306,000 - - - - - 103,500 - - - - 22,500 - 1,990,121 135,500 -

Jurnal 3,256,621
Piutang 112,500
Subsidi 27,000
3,396,121
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

6,000 6,000 -
11,000 11,000 -
2,000 2,000 -
35,350 112,400 77,050
81,800 81,800 -
15,600 15,600 -
62,550 62,550 -
35,300 35,300 -
49,300 49,300 -
101,150 101,150 -
16,500 16,500 -
28,850 28,850 -
4,000 4,000 -
13,500 13,500 -
63,300 63,300 -
16,500 16,500 -
99,750 99,750 -
13,500 13,500 -
18,500 18,500 -
(17,650) - 17,650
25,000 25,000 -
47,100 47,100 -
- 666,050 666,050
58,000 58,000 -
52,500 52,500 -
34,000 34,000 -
132,325 132,325 -
47,500 47,500 -
18,500 18,500 -
172,500 172,500 -
203,700 203,700 -
47,500 47,500 -
20,000 20,000 -
20,000 20,000 -
191,500 191,500 -
34,000 34,000 -
114,750 114,750 -
73,000 73,000 -
44,900 44,900 -
98,000 98,000 -
111,750 111,750 -
43,000 43,000 -
162,250 162,250 -
79,200 79,200 -
17,000 17,000 -
149,250 149,250 -
34,000 34,000 -
72,325 72,325 -
192,800 192,800 -
38,400 38,400 -
50,800 50,800 -
34,000 34,000 -
124,800 124,800 -
42,000 42,000 -
263,500 263,500 -
42,700 42,700 -
15,500 15,500 -
584,250 584,250 -
69,000 69,000 -
11,300 11,300 -
- - -
- 4,229,401 4,229,401 3,431,401 3,494,700 798,000 -
4,229,401
Total
Pendapatan

4,229,401
1

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

157,400 157,400 -
133,500 133,500 -
12,300 12,300 -
116,500 116,500 -
128,500 128,500 -
8,700 8,700 -
2,000 2,000 -
69,500 69,500 -
20,000 20,000 -
226,925 226,925 -
185,000 185,000 -
48,200 48,200 -
- 11,300 11,300
9,850 9,850 -
104,250 104,250 -
37,850 37,850 -
57,350 57,350 -
147,500 147,500 -
52,000 52,000 -
54,750 54,750 -
79,200 79,200 -
204,650 204,650 -
80,450 80,450 -
47,500 47,500 -
205,450 205,450 -
93,150 93,150 -
27,000 27,000 -
34,000 34,000 -
112,750 112,750 -
138,750 138,750 -
34,000 34,000 -
238,000 238,000 -
154,600 154,600 -
101,550 101,550 -
82,765 82,765 -
207,500 207,500 -
82,600 82,600 -
51,400 51,400 -
70,000 70,000 -
58,000 58,000 -
35,300 35,300 -
67,750 67,750 -
69,500 69,500 -
166,450 166,450 -
72,000 72,000 -
144,150 144,150 -
116,200 116,200 -
118,800 118,800 -
- 165,000 165,000
111,900 111,900 -
34,000 34,000 -
186,250 186,250 -
100,500 100,500 -
118,825 118,825 -
62,200 62,200 -
49,140 49,140 -
122,150 122,150 -
159,800 159,800 -
(30,000) - 30,000
140,000 140,000 -
127,500 127,500 -
127,500 127,500 -
126,475 126,475 -
17,500 17,500 -
72,850 72,850 -
123,000 123,000 -
13,500 13,500 -
- - -
- 6,128,630 6,128,630 5,121,630 4,739,700 1,007,000 -
6,128,630
Total
Pendapatan

6,128,630
(0)

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

1,044,360 1,044,360 -
328,800 328,800 -
142,500 142,500 -
4,400 4,400 -
11,100 11,100 -
3,000 3,000 -
13,500 13,500 -
59,250 59,250 -
79,500 79,500 -
105,000 105,000 -
38,400 38,400 -
60,050 60,050 -
1,000 1,000 -
56,500 56,500 -
237,600 237,600 -
63,682 63,682 -
6,000 6,000 -
110,250 110,250 -
75,200 75,200 -
75,000 75,000 -
65,500 65,500 -
77,376 77,376 -
58,000 58,000 -
54,900 54,900 -
295,300 295,300 -
39,500 39,500 -
70,825 70,825 -
12,000 12,000 -
18,500 18,500 -
144,500 144,500 -
165,600 165,600 -
18,500 18,500 -
212,250 212,250 -
34,000 34,000 -
- 39,600 39,600
158,450 158,450 -
177,925 177,925 -
36,220 36,220 -
112,500 112,500 -
47,500 47,500 -
17,000 17,000 -
69,400 69,400 -
114,600 114,600 -
39,600 39,600 -
113,200 113,200 -
48,900 48,900 -
190,000 190,000 -
58,000 58,000 -
79,200 79,200 -
114,200 114,200 -
115,000 115,000 -
108,600 108,600 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
77,700 77,700 -
13,500 13,500 -
39,600 39,600 -
123,600 123,600 -
193,400 193,400 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
45,600 45,600 -
27,000 27,000 -
266,000 266,000 -
39,600 39,600 -
39,600 39,600 -
160,000 160,000 -
108,600 108,600 -
108,600 108,600 -
139,950 139,950 -
73,600 73,600 -
143,098 143,098 -
79,200 79,200 -
101,500 101,500 -
39,600 39,600 -
108,600 108,600 -
77,650 77,650 -
69,000 69,000 -
39,600 39,600 -
73,600 73,600 -
80,600 80,600 -
79,200 79,200 -
39,600 39,600 -
94,526 94,526 -
172,126 172,126 -
157,226 157,226 -
39,600 39,600 -
74,600 74,600 -
79,200 79,200 -
128,250 128,250 -
39,600 39,600 -
88,582 88,582 -
138,600 138,600 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
118,800 118,800 -
79,200 79,200 -
78,000 78,000 -
204,800 204,800 -
126,750 126,750 -
103,350 103,350 -
39,600 39,600 -
119,500 119,500 -
137,500 137,500 -
140,250 140,250 -
477,500 477,500 -
141,950 141,950 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
38,500 38,500 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
- - -
- 12,534,146 12,534,146 10,268,146 8,760,000 2,266,000 -
12,534,146
Total
Pendapatan

12,534,146
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

34,000 34,000 -
84,000 84,000 -
67,500 67,500 -
149,000 149,000 -
143,125 143,125 -
19,000 19,000 -
20,550 20,550 -
38,700 38,700 -
2,000 2,000 -
65,000 65,000 -
18,170 18,170 -
13,500 13,500 -
46,500 46,500 -
111,800 111,800 -
- 160,282 160,282
103,000 103,000 -
6,000 6,000 -
139,300 139,300 -
25,490 25,490 -
13,500 13,500 -
1,500 1,500 -
190,000 190,000 -
152,000 152,000 -
103,800 103,800 -
99,250 99,250 -
169,000 169,000 -
96,350 96,350 -
76,100 76,100 -
113,200 113,200 -
73,600 73,600 -
8,000 8,000 -
117,000 117,000 -
45,000 45,000 -
52,900 52,900 -
210,000 210,000 -
58,300 58,300 -
58,000 58,000 -
86,450 86,450 -
62,122 62,122 -
58,000 58,000 -
47,220 47,220 -
15,500 15,500 -
13,500 13,500 -
850 850 -
85,150 85,150 -
3,000 3,000 -
77,750 77,750 -
138,500 138,500 -
17,000 17,000 -
42,700 42,700 -
8,000 8,000 -
153,500 153,500 -
58,500 58,500 -
32,000 32,000 -
160,250 160,250 -
102,950 102,950 -
105,500 105,500 -
34,000 34,000 -
146,250 146,250 -
13,500 13,500 -
103,000 103,000 -
47,500 47,500 -
108,850 108,850 -
34,000 34,000 -
60,600 60,600 -
16,500 16,500 -
68,450 68,450 -
34,000 34,000 -
68,010 68,010 -
180,600 180,600 -
20,000 20,000 -
150,000 150,000 -
31,500 31,500 -
39,600 39,600 -
136,550 136,550 -
106,000 106,000 -
111,900 111,900 -
229,000 229,000 -
130,750 130,750 -
20,000 20,000 -
129,500 129,500 -
53,250 53,250 -
53,800 53,800 -
75,150 75,150 -
- 234,800 234,800
- - -
- 6,194,837 6,194,837 4,949,337 4,643,900 1,245,500 -
6,194,837
Total
Pendapatan

6,194,837
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi
155,850 155,850 -
112,700 112,700 -
58,200 58,200 -
369,250 369,250 -
55,200 55,200 -
5,000 5,000 -
10,550 10,550 -
62,700 62,700 -
4,000 4,000 -
8,000 8,000 -
1,700 1,700 -
97,600 97,600 -
104,050 104,050 -
85,800 85,800 -
75,680 75,680 -
40,080 40,080 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
52,000 52,000 -
16,500 16,500 -
18,500 18,500 -
74,000 74,000 -
- 12,300 12,300
86,691 86,691 -
123,800 123,800 -
152,300 152,300 -
112,200 112,200 -
52,000 52,000 -
85,300 85,300 -
61,500 61,500 -
81,375 81,375 -
130,475 130,475 -
8,000 8,000 -
429,375 429,375 -
124,600 124,600 -
155,500 155,500 -
18,000 18,000 -
192,775 192,775 -
118,800 118,800 -
136,500 136,500 -
139,150 139,150 -
186,500 186,500 -
9,000 9,000 -
137,750 137,750 -
9,000 9,000 -
40,500 40,500 -
3,000 3,000 -
- 17,000 17,000
48,000 48,000 -
180,250 180,250 -
201,150 201,150 -
18,500 18,500 -
163,800 163,800 -
73,000 73,000 -
15,500 15,500 -
88,450 88,450 -
154,000 154,000 -
41,000 41,000 -
177,700 177,700 -
18,500 18,500 -
34,000 34,000 -
19,200 19,200 -
20,000 20,000 -
93,000 93,000 -
24,750 24,750 -
41,100 41,100 -
187,700 187,700 -
227,900 227,900 -
14,550 35,100 20,550
39,600 39,600 -
376,500 376,500 -
3,000 3,000 -
39,600 39,600 -
93,600 93,600 -
6,500 6,500 -
64,750 64,750 -
141,550 141,550 -
34,000 34,000 -
215,250 215,250 -
84,000 84,000 -
191,150 191,150 -
156,000 156,000 -
102,000 102,000 -
84,000 84,000 -
850 850 -
197,250 197,250 -
74,750 74,750 -
45,000 45,000 -
85,395 85,395 -
127,500 127,500 -
51,500 51,500 -
80,550 80,550 -
45,300 45,300 -
88,450 88,450 -
106,300 106,300 -
273,500 273,500 -
34,000 34,000 -
394,950 394,950 -
12,000 12,000 -
43,000 43,000 -
3,500 3,500 -
- - -
- 9,240,796 9,240,796 7,521,296 6,682,400 1,719,500 -
9,240,796
Total
Pendapatan

9,240,796
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

69,000 69,000 -
1,100 1,100 -
36,300 36,300 -
1,060 1,060 -
9,500 9,500 -
18,800 18,800 -
27,650 27,650 -
15,500 15,500 -
21,500 21,500 -
27,500 27,500 -
9,000 9,000 -
16,500 16,500 -
19,500 19,500 -
79,200 79,200 -
11,000 11,000 -
43,000 43,000 -
3,500 3,500 -
95,035 95,035 -
59,500 59,500 -
13,500 13,500 -
13,500 13,500 -
150,500 150,500 -
135,250 135,250 -
15,500 15,500 -
27,500 27,500 -
99,450 99,450 -
9,000 9,000 -
51,500 51,500 -
152,950 152,950 -
50,500 50,500 -
180,000 180,000 -
51,800 51,800 -
5,000 5,000 -
16,500 16,500 -
454,160 454,160 -
4,150 4,150 -
85,500 85,500 -
7,000 7,000 -
108,250 108,250 -
127,500 127,500 -
19,500 19,500 -
47,500 47,500 -
134,500 134,500 -
34,000 34,000 -
72,500 72,500 -
171,825 171,825 -
110,500 110,500 -
180,820 180,820 -
105,000 105,000 -
31,470 31,470 -
106,750 106,750 -
47,500 47,500 -
157,800 157,800 -
34,000 34,000 -
136,000 136,000 -
63,500 63,500 -
52,350 52,350 -
159,060 159,060 -
63,050 63,050 -
40,400 40,400 -
13,650 13,650 -
34,000 34,000 -
96,000 96,000 -
13,000 13,000 -
6,000 6,000 -
- - -
- 4,253,830 4,253,830 3,522,330 3,278,300 731,500 -
4,253,830
Total
Pendapatan

4,253,830
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

69,900 69,900 -
25,900 25,900 -
16,500 16,500 -
11,500 11,500 -
99,350 99,350 -
150,960 150,960 -
74,050 74,050 -
61,000 61,000 -
105,000 105,000 -
82,900 82,900 -
65,000 65,000 -
79,200 79,200 -
4,500 4,500 -
3,300 3,300 -
13,500 13,500 -
10,000 10,000 -
8,900 8,900 -
82,900 82,900 -
13,500 13,500 -
103,000 103,000 -
187,800 187,800 -
41,550 41,550 -
15,500 15,500 -
191,200 191,200 -
50,250 50,250 -
88,500 88,500 -
56,900 56,900 -
98,500 98,500 -
84,215 84,215 -
25,000 25,000 -
131,550 131,550 -
6,000 6,000 -
- - -
- 2,057,825 2,057,825 1,777,825 1,682,200 280,000 -
2,057,825
Total
Pendapatan

2,057,825
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

53,700 53,700 -
76,500 76,500 -
55,500 55,500 -
17,500 17,500 -
342,000 342,000 -
31,750 31,750 -
13,650 13,650 -
398,800 398,800 -
184,500 184,500 -
12,950 12,950 -
193,500 193,500 -
56,050 56,050 -
74,200 74,200 -
108,350 108,350 -
107,500 107,500 -
79,200 79,200 -
132,200 132,200 -
210,925 210,925 -
109,250 109,250 -
16,500 16,500 -
79,200 79,200 -
40,000 40,000 -
168,300 168,300 -
47,950 47,950 -
161,000 161,000 -
18,500 18,500 -
27,500 27,500 -
98,500 98,500 -
58,000 58,000 -
166,000 166,000 -
44,300 44,300 -
176,700 176,700 -
153,750 153,750 -
291,750 291,750 -
34,000 34,000 -
223,575 223,575 -
101,600 101,600 -
120,250 120,250 -
91,500 91,500 -
74,300 74,300 -
219,875 219,875 -
181,600 181,600 -
76,500 76,500 -
144,825 144,825 -
45,250 45,250 -
34,000 34,000 -
49,500 49,500 -
148,825 148,825 -
21,700 21,700 -
100,000 100,000 -
34,000 34,000 -
177,100 177,100 -
34,000 34,000 -
144,200 144,200 -
17,000 17,000 -
16,500 16,500 -
116,500 116,500 -
44,500 44,500 -
47,500 47,500 -
202,000 202,000 -
148,250 148,250 -
34,000 34,000 -
39,600 39,600 -
130,750 130,750 -
59,450 59,450 -
207,440 207,440 -
105,700 105,700 -
446,000 446,000 -
40,500 40,500 -
166,250 166,250 -
191,500 191,500 -
39,600 39,600 -
74,000 74,000 -
45,000 45,000 -
48,000 48,000 -
435,000 435,000 -
34,000 34,000 -
18,000 18,000 -
(610,000) - 610,000
- - -
- 7,959,615 7,959,615 6,781,115 6,204,900 1,178,500 -
7,959,615
Total
Pendapatan

7,959,615
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

75,700 75,700 -
55,250 55,250 -
50,500 50,500 -
67,100 67,100 -
58,500 58,500 -
8,000 8,000 -
114,850 114,850 -
38,500 38,500 -
16,500 16,500 -
75,500 75,500 -
113,750 113,750 -
78,500 78,500 -
27,000 27,000 -
12,000 12,000 -
20,000 20,000 -
10,000 10,000 -
69,500 69,500 -
34,000 34,000 -
16,500 16,500 -
13,600 13,600 -
144,000 144,000 -
28,500 28,500 -
87,000 87,000 -
97,750 97,750 -
125,800 125,800 -
69,100 69,100 -
116,500 116,500 -
11,500 11,500 -
18,500 18,500 -
89,150 89,150 -
38,000 38,000 -
96,100 96,100 -
112,000 112,000 -
141,300 141,300 -
34,000 34,000 -
15,500 15,500 -
89,500 89,500 -
99,500 99,500 -
23,500 23,500 -
74,750 74,750 -
89,500 89,500 -
34,000 34,000 -
300,700 300,700 -
20,000 20,000 -
135,350 135,350 -
59,700 59,700 -
7,500 7,500 -
17,000 17,000 -
103,000 103,000 -
212,350 212,350 -
96,950 96,950 -
235,400 235,400 -
122,900 122,900 -
6,300 6,300 -
5,550 5,550 -
123,100 123,100 -
85,500 85,500 -
- - -
- 4,122,000 4,122,000 3,357,000 2,797,000 765,000 -
4,122,000
Total
Pendapatan

4,122,000
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

59,700 59,700 -
216,000 216,000 -
625,750 625,750 -
19,500 19,500 -
52,000 52,000 -
18,500 18,500 -
90,600 90,600 -
19,750 19,750 -
40,500 40,500 -
27,500 27,500 -
47,000 47,000 -
121,550 121,550 -
18,000 18,000 -
101,082 101,082 -
177,000 177,000 -
48,750 48,750 -
18,000 18,000 -
77,000 77,000 -
62,500 62,500 -
41,500 41,500 -
15,000 15,000 -
47,800 47,800 -
49,750 49,750 -
80,400 80,400 -
76,500 76,500 -
20,000 20,000 -
43,450 43,450 -
103,500 103,500 -
34,000 34,000 -
58,000 58,000 -
8,000 8,000 -
8,000 8,000 -
121,050 121,050 -
50,100 50,100 -
47,500 47,500 -
67,800 67,800 -
48,500 48,500 -
59,000 59,000 -
61,000 61,000 -
160,200 160,200 -
74,950 74,950 -
23,150 23,150 -
85,500 85,500 -
38,500 38,500 -
139,000 139,000 -
38,500 38,500 -
72,750 72,750 -
34,000 34,000 -
52,950 52,950 -
47,500 47,500 -
38,500 38,500 -
120,525 120,525 -
132,675 132,675 -
80,850 80,850 -
124,250 124,250 -
79,425 79,425 -
43,000 43,000 -
148,700 148,700 -
102,849 102,849 -
60,600 60,600 -
43,500 43,500 -
116,250 116,250 -
95,100 95,100 -
17,000 17,000 -
62,250 62,250 -
107,500 107,500 -
91,500 91,500 -
39,600 39,600 -
104,000 104,000 -
74,600 74,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
11,700 11,700 -
121,500 121,500 -
39,600 39,600 -
79,200 79,200 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
151,250 151,250 -
114,000 114,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
99,149 99,149 -
73,600 73,600 -
153,149 153,149 -
79,200 79,200 -
79,200 79,200 -
114,200 114,200 -
177,752 177,752 -
108,600 108,600 -
39,600 39,600 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
213,452 213,452 -
73,600 73,600 -
88,000 88,000 -
65,700 65,700 -
109,000 109,000 -
108,600 108,600 -
73,600 73,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
74,600 74,600 -
39,600 39,600 -
89,226 89,226 -
38,600 38,600 -
59,200 59,200 -
38,500 38,500 -
38,500 38,500 -
38,500 38,500 -
38,500 38,500 -
36,000 36,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
117,000 117,000 -
2,000 2,000 -
117,000 117,000 -
116,600 116,600 -
39,600 39,600 -
261,726 261,726 -
134,226 134,226 -
108,600 108,600 -
39,600 39,600 -
79,200 79,200 -
144,150 144,150 -
73,600 73,600 -
39,600 39,600 -
116,750 116,750 -
130,376 130,376 -
73,600 73,600 -
45,600 45,600 -
79,200 79,200 -
73,600 73,600 -
198,700 198,700 -
98,600 98,600 -
113,200 113,200 -
73,600 73,600 -
39,600 39,600 -
79,200 79,200 -
129,200 129,200 -
39,600 39,600 -
39,600 39,600 -
142,849 142,849 -
153,000 153,000 -
15,500 15,500 -
39,600 39,600 -
198,200 198,200 -
108,600 108,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
12,000 12,000 -
- - -
- 13,403,561 13,403,561 10,380,061 9,479,700 3,023,500 -
13,403,561
Total
Pendapatan

13,403,561
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

90,000 90,000 -
70,900 70,900 -
196,600 196,600 -
157,800 157,800 -
73,500 73,500 -
83,200 83,200 -
88,600 88,600 -
9,500 9,500 -
12,500 12,500 -
16,400 16,400 -
16,500 16,500 -
120,700 120,700 -
41,500 41,500 -
61,750 61,750 -
200,150 200,150 -
3,850 3,850 -
75,400 75,400 -
74,600 74,600 -
122,000 122,000 -
158,400 158,400 -
13,500 13,500 -
79,500 79,500 -
22,000 22,000 -
105,500 105,500 -
58,000 58,000 -
25,500 25,500 -
8,000 8,000 -
12,300 12,300 -
77,250 77,250 -
13,500 13,500 -
17,000 17,000 -
43,000 43,000 -
137,172 137,172 -
33,905 33,905 -
49,700 49,700 -
73,800 73,800 -
111,750 111,750 -
30,800 30,800 -
34,000 34,000 -
30,800 30,800 -
173,110 173,110 -
120,625 120,625 -
94,400 94,400 -
61,900 61,900 -
43,000 43,000 -
121,382 121,382 -
174,075 174,075 -
81,000 81,000 -
165,550 165,550 -
11,000 11,000 -
11,000 11,000 -
11,000 11,000 -
16,500 16,500 -
16,500 16,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
9,000 9,000 -
172,200 172,200 -
179,875 179,875 -
73,700 73,700 -
133,350 133,350 -
140,400 140,400 -
131,200 131,200 -
159,000 159,000 -
100,000 100,000 -
250,000 250,000 -
127,500 127,500 -
16,500 16,500 -
52,200 52,200 -
16,500 16,500 -
286,650 286,650 -
30,000 30,000 -
18,500 18,500 -
28,375 28,375 -
- - -
- 5,806,319 5,806,319 5,087,319 4,243,800 719,000 -
5,806,319
Total
Pendapatan

5,806,319
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

157,000 157,000 -
190,500 190,500 -
52,350 52,350 -
35,500 35,500 -
52,350 52,350 -
3,400 3,400 -
16,250 16,250 -
30,000 30,000 -
83,000 83,000 -
16,500 16,500 -
- 25,400 25,400
18,700 47,075 28,375
116,500 116,500 -
199,850 199,850 -
79,500 79,500 -
41,350 41,350 -
64,650 64,650 -
17,250 17,250 -
58,250 58,250 -
55,700 55,700 -
89,250 89,250 -
13,500 13,500 -
13,500 13,500 -
108,750 108,750 -
11,000 11,000 -
13,500 13,500 -
79,800 79,800 -
11,000 11,000 -
12,140 12,140 -
22,550 22,550 -
58,000 58,000 -
44,000 44,000 -
27,000 27,000 -
144,100 144,100 -
35,000 35,000 -
27,500 27,500 -
41,000 41,000 -
78,700 78,700 -
19,000 19,000 -
82,300 82,300 -
34,000 34,000 -
15,500 15,500 -
250 250 -
40,000 40,000 -
40,500 40,500 -
77,900 77,900 -
183,100 183,100 -
69,100 69,100 -
- 1,044,400 1,044,400
86,800 86,800 -
49,900 49,900 -
34,000 34,000 -
141,750 141,750 -
39,600 39,600 -
178,525 178,525 -
127,000 127,000 -
18,500 18,500 -
101,035 101,035 -
167,000 167,000 -
82,700 82,700 -
242,000 242,000 -
48,250 48,250 -
108,200 108,200 -
102,000 102,000 -
124,000 124,000 -
146,250 146,250 -
112,500 112,500 -
167,000 167,000 -
13,500 13,500 -
51,700 51,700 -
107,250 107,250 -
152,000 152,000 -
45,000 45,000 -
10,000 10,000 -
84,000 84,000 -
84,000 84,000 -
29,000 29,000 -
60,200 60,200 -
6,000 6,000 -
55,900 55,900 -
21,500 21,500 -
- - -
- 5,477,600 5,477,600 4,329,600 4,714,100 1,148,000 -
5,477,600
Total
Pendapatan
5,477,600
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

56,800 56,800 -
112,600 112,600 -
240,250 240,250 -
93,500 93,500 -
75,000 75,000 -
40,750 40,750 -
73,150 73,150 -
52,750 52,750 -
34,000 34,000 -
34,000 34,000 -
15,250 15,250 -
(398,800) - 398,800
7,000 7,000 -
111,500 111,500 -
9,000 9,000 -
127,700 127,700 -
34,000 34,000 -
101,000 101,000 -
- 795,800 795,800
28,050 28,050 -
52,000 52,000 -
55,650 55,650 -
403,000 403,000 -
266,000 266,000 -
139,500 139,500 -
- 92,600 92,600
97,000 97,000 -
84,050 84,050 -
14,300 14,300 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
47,500 47,500 -
151,950 151,950 -
33,600 33,600 -
18,500 18,500 -
92,600 92,600 -
49,000 49,000 -
113,250 113,250 -
15,000 15,000 -
18,500 18,500 -
175,000 175,000 -
182,450 182,450 -
24,000 24,000 -
79,200 79,200 -
9,000 9,000 -
112,250 112,250 -
110,750 110,750 -
57,100 57,100 -
52,750 52,750 -
206,250 206,250 -
16,500 16,500 -
18,500 18,500 -
18,500 18,500 -
22,500 22,500 -
18,500 18,500 -
18,500 18,500 -
18,500 18,500 -
50,500 50,500 -
10,000 10,000 -
21,500 21,500 -
88,500 88,500 -
30,900 30,900 -
2,000 2,000 -
89,450 89,450 -
38,500 38,500 -
38,500 38,500 -
36,000 36,000 -
92,000 92,000 -
92,000 92,000 -
38,500 38,500 -
34,000 34,000 -
90,000 90,000 -
34,000 34,000 -
36,000 36,000 -
71,200 71,200 -
34,000 34,000 -
34,000 34,000 -
60,500 60,500 -
12,000 12,000 -
40,050 40,050 0
- - -
- 4,768,751 4,768,751 3,603,751 3,875,600 1,165,000 -
4,768,751
Total
Pendapatan

4,768,751
1

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

7,000 7,000 -
7,000 7,000 -
4,150 4,150 -
39,600 39,600 -
91,500 91,500 -
29,000 29,000 -
67,000 107,050 40,050
74,600 74,600 -
67,500 67,500 -
93,500 93,500 -
124,280 124,280 -
87,300 87,300 -
131,400 131,400 -
37,200 37,200 -
49,150 49,150 -
81,950 81,950 -
56,650 56,650 -
103,700 103,700 -
34,000 34,000 -
54,000 54,000 -
19,500 19,500 -
155,900 155,900 -
112,800 112,800 -
259,800 259,800 -
39,600 39,600 -
35,300 35,300 -
2,200 2,200 -
13,500 13,500 -
- - -
- 1,879,080 1,879,080 1,565,080 1,427,000 314,000 -
1,879,080
Total
Pendapatan

1,879,080
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

158,890 158,890 -
305,750 305,750 -
230,375 230,375 -
37,150 37,150 -
30,700 30,700 -
14,500 14,500 -
8,000 8,000 -
112,000 112,000 -
233,750 233,750 -
10,300 10,300 -
105,150 105,150 -
91,500 91,500 -
219,050 219,050 -
17,600 17,600 -
25,000 25,000 -
50,000 50,000 -
58,000 58,000 -
- 135,200 135,200
58,000 58,000 -
31,500 31,500 -
18,000 18,000 -
17,000 17,000 -
69,500 69,500 -
53,500 53,500 -
32,750 32,750 -
190,000 190,000 -
93,000 93,000 -
30,750 30,750 -
49,500 49,500 -
49,500 49,500 -
58,900 58,900 -
6,500 6,500 -
66,200 66,200 -
60,400 60,400 -
16,500 16,500 -
34,000 34,000 -
134,000 134,000 -
190,500 190,500 -
47,500 47,500 -
84,380 84,380 -
242,700 242,700 -
321,500 321,500 -
94,400 94,400 -
96,200 96,200 -
140,000 140,000 -
34,000 34,000 -
57,000 57,000 -
98,130 98,130 -
- 7,000 7,000
185,900 185,900 -
160,000 160,000 -
84,500 84,500 -
76,750 76,750 -
66,500 66,500 -
34,000 34,000 -
46,000 46,000 -
34,000 34,000 -
212,350 212,350 -
98,500 98,500 -
72,000 72,000 -
125,950 125,950 -
149,550 149,550 -
41,500 41,500 -
585,500 585,500 -
54,250 54,250 -
59,500 59,500 -
92,150 92,150 -
392,500 392,500 -
34,000 34,000 -
58,150 58,150 -
22,000 22,000 -
- - -
- 6,869,075 6,869,075 5,634,575 4,992,000 1,234,500 -
6,869,075
Total
Pendapatan

6,869,075
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

89,000 89,000 -
15,250 15,250 -
26,400 26,400 -
37,500 37,500 -
17,900 17,900 -
11,000 11,000 -
111,450 111,450 -
179,500 179,500 -
59,100 59,100 -
16,500 16,500 -
64,250 64,250 -
79,500 79,500 -
23,000 23,000 -
- 17,000 17,000
61,050 61,050 -
16,650 16,650 -
251,650 251,650 -
254,400 254,400 -
50,500 50,500 -
19,500 19,500 -
51,500 51,500 -
27,500 27,500 -
18,500 18,500 -
18,500 18,500 -
- 4,150 4,150
65,500 65,500 -
49,500 49,500 -
32,500 32,500 -
49,500 49,500 -
- 48,600 48,600
225,500 225,500 -
18,500 18,500 -
49,500 49,500 -
110,450 110,450 -
92,250 92,250 -
119,775 119,775 -
242,800 242,800 -
136,000 136,000 -
16,500 16,500 -
10,000 10,000 -
120,000 120,000 -
97,750 97,750 -
201,500 201,500 -
55,500 55,500 -
89,000 89,000 -
231,000 231,000 -
38,500 38,500 -
226,550 226,550 -
34,000 34,000 -
228,000 228,000 -
34,000 34,000 -
80,250 80,250 -
55,500 55,500 -
139,250 139,250 -
57,000 57,000 -
23,450 23,450 -
67,450 67,450 -
34,000 34,000 -
40,000 40,000 -
100,450 100,450 -
8,700 8,700 -
43,000 43,000 -
73,500 73,500 -
124,550 124,550 -
54,150 54,150 -
44,400 44,400 -
126,920 126,920 -
128,800 128,800 -
124,800 124,800 -
128,150 128,150 -
190,150 190,150 0
162,610 162,610 -
38,500 38,500 -
118,750 118,750 -
- 35,500 35,500
- - -
- 6,038,505 6,038,505 4,934,505 4,477,100 1,104,000 -
6,038,505
Total
Pendapatan

6,038,505
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

68,600 68,600 -
500 500 -
160,800 160,800 -
47,900 47,900 -
28,000 28,000 -
91,200 91,200 -
33,000 33,000 -
24,000 24,000 -
9,500 9,500 -
5,000 5,000 -
4,600 4,600 -
127,100 127,100 -
432,500 432,500 -
67,680 67,680 -
53,950 53,950 -
35,000 35,000 -
113,400 113,400 -
106,400 106,400 -
13,500 13,500 -
214,000 214,000 -
31,500 31,500 -
5,000 5,000 -
405,000 405,000 -
- - -
- 2,078,130 2,078,130 1,533,130 1,464,600 545,000 -
2,078,130
Total
Pendapatan

2,078,130
-
Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

81,450 81,450 -
42,400 42,400 -
70,500 70,500 -
97,500 97,500 -
99,450 99,450 -
10,050 10,050 -
29,450 29,450 -
11,600 11,600 -
41,350 41,350 -
23,750 23,750 -
20,600 20,600 -
22,500 22,500 -
16,250 16,250 -
41,850 41,850 -
99,750 99,750 -
165,200 165,200 -
97,300 97,300 -
29,600 29,600 -
159,250 159,250 -
106,000 106,000 -
68,400 68,400 -
156,050 156,050 -
20,000 20,000 -
98,700 98,700 -
9,000 9,000 -
18,500 18,500 -
41,510 41,510 -
28,400 28,400 -
52,800 52,800 -
58,000 58,000 -
74,900 74,900 -
92,600 92,600 -
59,800 59,800 -
65,200 65,200 -
61,500 61,500 -
173,420 173,420 -
151,750 151,750 -
34,000 34,000 -
229,500 229,500 -
47,200 47,200 -
39,500 39,500 -
62,250 62,250 -
116,100 116,100 -
104,250 104,250 -
143,900 143,900 -
34,000 34,000 -
79,500 79,500 -
50,400 50,400 -
58,500 58,500 -
215,700 215,700 -
131,250 131,250 -
15,500 15,500 -
179,000 179,000 -
69,000 69,000 -
34,000 34,000 -
158,750 158,750 -
53,600 53,600 -
96,000 96,000 -
151,000 151,000 -
247,335 247,335 -
102,800 102,800 -
113,500 113,500 -
69,300 69,300 -
56,800 56,800 -
124,300 124,300 -
32,600 32,600 -
538,000 538,000 -
43,100 43,100 -
45,000 45,000 -
56,000 56,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
90,000 90,000 -
34,000 34,000 -
12,000 12,000 -
- - -
- 6,299,965 6,299,965 4,940,965 4,450,400 1,359,000 -
6,299,965
Total
Pendapatan
6,299,965
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

1,716,550 1,716,550 -
176,250 176,250 -
81,950 81,950 -
32,050 32,050 -
3,000 3,000 -
11,000 11,000 -
21,700 21,700 -
16,500 16,500 -
16,500 16,500 -
35,000 35,000 -
56,650 56,650 -
110,000 110,000 -
124,950 124,950 -
51,500 51,500 -
21,000 21,000 -
6,500 6,500 -
2,400 2,400 -
31,450 31,450 -
138,460 138,460 -
60,250 60,250 -
16,500 16,500 -
65,500 65,500 -
19,500 19,500 -
108,150 108,150 -
34,000 34,000 -
106,750 106,750 -
69,100 69,100 -
24,750 24,750 -
18,500 18,500 -
67,700 67,700 -
17,000 17,000 -
308,500 308,500 -
115,750 115,750 -
146,250 146,250 -
123,625 123,625 -
155,375 155,375 -
144,100 144,100 -
78,300 78,300 -
121,000 121,000 -
34,000 34,000 -
83,982 83,982 -
44,000 44,000 -
88,000 88,000 -
12,200 12,200 -
- 940,500 940,500
242,000 242,000 -
191,000 191,000 -
4,500 4,500 -
- 360,000 360,000
81,700 81,700 -
143,950 143,950 -
88,100 88,100 -
368,650 368,650 -
133,000 133,000 -
176,250 176,250 -
146,250 146,250 -
411,000 411,000 -
34,000 34,000 -
- 930,200 930,200
146,250 146,250 -
121,750 121,750 -
162,000 162,000 -
403,500 403,500 -
103,000 103,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
34,000 34,000 -
84,000 84,000 -
(100,000) - 100,000
- - -
- 8,279,092 8,279,092 6,812,592 6,968,600 1,466,500 -
8,279,092
Total
Pendapatan
8,279,092
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

465,550 465,550 -
57,600 57,600 -
57,350 57,350 -
114,200 114,200 -
2,500 2,500 -
67,200 67,200 -
4,500 4,500 -
17,550 17,550 -
6,850 6,850 -
109,500 150,850 41,350
- 42,100 42,100
79,500 79,500 -
52,750 52,750 -
75,700 75,700 -
2,700 2,700 -
12,950 12,950 -
9,000 9,000 -
77,250 77,250 -
134,500 134,500 -
34,000 34,000 -
52,500 52,500 -
34,050 34,050 -
33,850 33,850 -
50,150 50,150 -
55,700 55,700 -
87,500 87,500 -
- 54,000 54,000
221,800 221,800 -
59,000 59,000 -
90,500 90,500 -
88,750 88,750 -
31,500 31,500 -
34,000 34,000 -
202,000 202,000 -
- 46,600 46,600
42,200 42,200 -
34,000 34,000 -
42,700 42,700 -
223,100 223,100 -
205,550 205,550 -
73,750 73,750 -
13,500 13,500 -
16,500 16,500 -
15,500 15,500 -
84,800 84,800 -
60,000 60,000 -
34,000 34,000 -
75,000 75,000 -
250,100 250,100 -
199,750 199,750 -
34,000 34,000 -
- 3,133,200 3,133,200
127,500 127,500 -
61,000 61,000 -
73,500 73,500 -
- - -
- 4,088,900 4,088,900 3,268,900 5,690,000 820,000 -
4,088,900
Total
Pendapatan

4,088,900
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

1,324,550 1,324,550 -
29,000 29,000 -
5,000 5,000 -
36,500 36,500 -
562,000 562,000 -
91,500 91,500 -
98,900 98,900 -
121,550 121,550 -
13,500 13,500 -
83,500 83,500 -
177,750 177,750 -
53,750 53,750 -
- 305,000 305,000
34,000 34,000 -
34,000 34,000 -
34,000 34,000 -
25,500 25,500 -
13,500 13,500 -
144,250 144,250 -
78,650 78,650 -
12,000 12,000 -
3,750 3,750 -
8,000 8,000 -
88,900 88,900 -
12,000 12,000 -
13,500 13,500 -
44,500 44,500 -
162,550 162,550 -
71,600 71,600 -
94,550 94,550 -
3,000 3,000 0
- - -
- 3,475,750 3,475,750 3,032,250 1,283,000 443,500 -
3,475,750
Total
Pendapatan

3,475,750
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

179,500 179,500 -
185,050 185,050 -
87,100 87,100 -
75,000 75,000 -
67,200 67,200 -
33,850 33,850 -
14,500 14,500 -
102,700 102,700 -
40,950 40,950 -
43,500 43,500 -
13,500 13,500 -
15,500 15,500 -
15,000 15,000 -
78,750 78,750 -
18,000 18,000 -
36,500 36,500 -
58,000 58,000 -
36,500 36,500 -
17,000 17,000 -
91,750 91,750 -
39,500 39,500 -
87,250 87,250 -
47,900 47,900 -
88,500 88,500 -
86,250 86,250 -
19,000 19,000 -
15,500 15,500 -
62,500 62,500 -
17,000 17,000 -
6,750 6,750 -
18,500 18,500 -
18,500 18,500 -
164,950 164,950 -
34,000 34,000 -
155,400 155,400 -
135,500 135,500 -
98,700 98,700 -
152,500 152,500 -
16,000 16,000 -
162,300 162,300 -
115,550 115,550 -
121,000 121,000 -
102,175 102,175 -
168,000 168,000 -
169,200 169,200 -
92,350 92,350 -
34,000 34,000 -
34,000 34,000 -
175,720 175,720 -
169,900 169,900 -
102,375 102,375 -
92,800 92,800 -
73,500 73,500 -
34,000 34,000 -
59,450 59,450 -
103,425 103,425 -
122,300 122,300 -
143,625 143,625 -
193,450 193,450 -
39,015 39,015 -
158,000 158,000 -
53,500 53,500 -
104,500 104,500 -
101,000 101,000 -
52,500 52,500 -
119,100 119,100 -
467,985 467,985 -
61,500 61,500 -
118,400 118,400 -
297,750 297,750 -
62,000 62,000 -
369,500 369,500 -
34,000 34,000 -
- - -
- 6,781,920 6,781,920 5,291,920 4,664,800 1,490,000 -
6,781,920
Total
Pendapatan

6,781,920
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

100,500 100,500 -
16,500 16,500 -
29,550 29,550 -
50,500 50,500 -
22,650 22,650 -
23,000 23,000 -
21,400 21,400 -
242,000 242,000 -
100,000 100,000 -
13,000 13,000 -
6,600 6,600 -
107,050 107,050 -
166,500 166,500 -
12,140 12,140 -
26,600 26,600 -
186,125 186,125 -
110,000 110,000 -
- 14,500 14,500
52,000 52,000 -
1,000 1,000 -
18,000 18,000 -
131,800 131,800 -
101,850 101,850 -
95,900 95,900 -
48,000 48,000 -
73,600 73,600 -
77,650 77,650 -
38,750 38,750 -
23,000 23,000 -
95,000 95,000 -
138,875 138,875 -
151,700 151,700 -
34,000 34,000 -
156,950 156,950 -
17,000 17,000 -
196,700 196,700 -
201,000 201,000 -
41,900 41,900 -
199,400 199,400 -
47,500 47,500 -
197,300 197,300 -
171,230 171,230 -
60,400 60,400 -
12,000 12,000 -
84,000 84,000 -
119,000 119,000 -
58,750 58,750 -
443,050 443,050 -
105,100 105,100 -
71,000 71,000 -
212,450 212,450 -
13,500 13,500 -
58,782 58,782 -
131,450 131,450 -
- - -
- 4,913,702 4,913,702 4,058,702 3,761,600 855,000 -
4,913,702
Total
Pendapatan

4,913,702
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

184,000 184,000 -
84,000 84,000 -
6,000 6,000 -
209,650 209,650 -
60,400 60,400 -
28,000 28,000 -
76,500 76,500 -
95,950 95,950 -
69,750 69,750 -
13,000 13,000 -
32,800 32,800 -
500 500 -
67,500 67,500 -
17,720 17,720 -
84,100 84,100 -
201,600 201,600 -
9,000 9,000 -
80,500 80,500 -
116,500 116,500 -
58,000 58,000 -
81,500 81,500 -
58,000 58,000 -
13,500 13,500 -
236,200 236,200 -
34,000 34,000 -
13,600 13,600 -
168,400 168,400 -
34,000 34,000 -
213,300 213,300 -
130,500 130,500 -
76,500 76,500 -
165,500 165,500 -
58,432 58,432 -
157,450 157,450 -
96,000 96,000 -
64,500 64,500 -
47,500 47,500 -
120,000 120,000 -
47,500 47,500 -
47,500 47,500 -
39,600 39,600 -
79,200 79,200 -
84,000 84,000 -
188,500 188,500 -
84,000 84,000 -
84,000 84,000 -
39,600 39,600 -
125,000 125,000 -
120,030 120,030 -
206,600 206,600 -
75,750 75,750 -
59,500 59,500 -
154,750 154,750 -
114,200 114,200 -
39,600 39,600 -
39,600 39,600 -
74,600 74,600 -
15,500 15,500 -
114,200 114,200 -
80,600 80,600 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
73,600 73,600 -
81,600 81,600 -
39,600 39,600 -
17,000 17,000 -
39,600 39,600 -
74,600 74,600 -
39,600 39,600 -
123,600 123,600 -
73,600 73,600 -
121,000 121,000 -
104,750 104,750 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
118,800 118,800 -
74,600 74,600 -
39,600 39,600 -
298,800 298,800 -
39,600 39,600 -
45,000 45,000 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
187,200 187,200 -
39,600 39,600 -
65,700 65,700 -
158,400 158,400 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
155,500 155,500 -
91,250 91,250 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
84,000 84,000 -
118,800 118,800 -
79,200 79,200 -
246,100 246,100 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
74,600 74,600 -
69,000 69,000 -
175,500 175,500 -
34,000 34,000 -
39,600 39,600 -
512,000 512,000 -
79,200 79,200 -
79,200 79,200 -
39,600 39,600 -
79,200 79,200 -
79,200 79,200 -
63,550 63,550 -
208,752 208,752 -
198,425 198,425 -
34,000 34,000 -
60,600 60,600 -
147,600 147,600 -
34,000 34,000 -
39,600 39,600 -
74,600 74,600 -
114,600 114,600 -
79,200 79,200 -
79,200 79,200 -
99,226 99,226 -
39,600 39,600 -
141,500 141,500 -
104,600 104,600 -
74,600 74,600 -
114,200 114,200 -
79,200 79,200 -
79,200 79,200 -
79,200 79,200 -
213,826 213,826 -
225,926 225,926 -
108,600 108,600 -
39,600 39,600 -
64,450 64,450 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
145,600 145,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
39,600 39,600 -
39,600 39,600 -
39,600 39,600 -
79,200 79,200 -
164,226 164,226 -
108,600 108,600 -
113,200 113,200 -
72,000 72,000 -
164,226 164,226 -
108,600 108,600 -
6,000 6,000 -
73,600 73,600 -
- - -
- 14,485,089 14,485,089 12,331,089 11,865,600 2,154,000 -
14,485,089
Total
Pendapatan

14,485,089
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

34,000 34,000 -
90,000 90,000 -
108,600 108,600 -
34,000 34,000 -
4,300 4,300 -
39,600 39,600 -
79,200 79,200 -
22,000 22,000 -
8,000 8,000 -
39,600 39,600 -
83,100 83,100 -
57,150 57,150 -
66,800 66,800 -
2,000 2,000 -
8,500 8,500 -
19,500 19,500 -
52,800 52,800 -
14,500 14,500 -
74,600 74,600 -
218,250 218,250 -
158,400 158,400 -
25,800 25,800 -
79,200 79,200 -
39,600 39,600 -
142,950 142,950 -
73,600 73,600 -
8,000 8,000 -
79,200 79,200 -
112,950 112,950 -
66,050 66,050 -
108,600 108,600 -
118,800 118,800 -
39,600 39,600 -
- 645,000 645,000
39,600 39,600 -
35,300 35,300 -
52,000 52,000 -
52,000 52,000 -
13,500 13,500 -
63,000 63,000 -
166,750 166,750 -
69,100 69,100 -
19,500 19,500 -
91,200 91,200 -
86,100 86,100 -
6,500 6,500 -
34,000 34,000 -
101,500 101,500 -
38,500 38,500 -
17,000 17,000 -
140,075 140,075 -
- 256,800 256,800
59,450 59,450 -
95,000 95,000 -
145,700 145,700 -
84,000 84,000 -
213,375 213,375 -
89,546 89,546 -
184,500 184,500 -
126,150 126,150 -
97,500 97,500 -
80,450 80,450 -
251,950 251,950 -
23,100 23,100 -
124,850 124,850 -
121,825 121,825 -
88,000 88,000 -
58,000 58,000 -
34,000 34,000 -
174,250 174,250 -
115,150 115,150 -
40,500 40,500 -
71,500 71,500 -
49,500 49,500 -
34,000 34,000 -
100,300 100,300 -
64,500 64,500 -
118,350 118,350 -
18,500 18,500 -
34,000 34,000 -
39,600 39,600 -
124,645 124,645 -
140,000 182,000 42,000
75,600 75,600 -
12,000 12,000 -
46,250 46,250 -
79,200 79,200 -
82,500 82,500 -
11,000 11,000 -
- - -
- 6,443,616 6,443,616 5,110,116 5,488,300 1,333,500 -
6,443,616
Total
Pendapatan

6,443,616
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

195,200 195,200 -
16,500 16,500 -
342,500 342,500 -
189,000 189,000 -
122,600 122,600 -
13,000 13,000 -
128,100 128,100 -
11,250 11,250 -
39,600 39,600 -
56,700 56,700 -
4,250 4,250 -
52,000 52,000 -
52,000 52,000 -
102,550 102,550 -
37,500 37,500 -
62,150 62,150 -
59,500 59,500 -
19,200 19,200 -
81,800 81,800 -
131,750 131,750 -
18,500 18,500 -
18,500 18,500 -
13,500 13,500 -
58,000 58,000 -
10,000 10,000 -
89,000 89,000 -
91,500 91,500 -
110,650 110,650 -
126,200 126,200 -
800 800 -
- 229,250 229,250
98,000 98,000 -
319,100 319,100 -
66,200 66,200 -
47,500 47,500 -
88,900 88,900 -
51,500 51,500 -
39,600 39,600 -
118,800 118,800 -
2,250 2,250 -
58,000 58,000 -
39,600 39,600 -
196,900 196,900 -
22,500 22,500 -
- 108,600 108,600
55,750 55,750 -
105,450 105,450 -
41,300 66,800 25,500
34,000 34,000 -
36,000 36,000 -
124,375 124,375 -
112,500 112,500 -
19,500 19,500 -
34,000 34,000 -
82,300 82,300 -
10,000 10,000 -
93,000 93,000 -
84,000 84,000 -
255,500 255,500 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
84,000 84,000 -
55,000 55,000 -
39,600 39,600 -
67,900 67,900 -
225,650 225,650 -
109,000 109,000 -
39,600 39,600 -
9,600 9,600 -
140,750 140,750 -
- - -
- 5,681,425 5,681,425 4,418,925 3,612,800 1,262,500 -
5,681,425
Total
Pendapatan

5,681,425
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

63,250 63,250 -
74,000 74,000 -
63,850 63,850 -
39,000 39,000 -
37,400 37,400 -
120,950 120,950 -
9,600 9,600 -
3,150 3,150 -
12,500 12,500 -
11,850 11,850 -
850 850 -
39,600 39,600 -
62,000 62,000 -
144,700 144,700 -
56,500 56,500 -
36,500 36,500 -
3,200 3,200 -
64,700 64,700 -
125,800 125,800 -
18,700 18,700 -
29,400 29,400 -
69,450 69,450 -
13,500 13,500 -
28,650 28,650 -
- 7,200 7,200
1,500 1,500 -
16,500 16,500 -
52,000 52,000 -
6,100 6,100 -
45,200 58,200 13,000
196,500 196,500 -
19,500 19,500 -
17,000 17,000 -
132,830 132,830 -
64,500 64,500 -
49,500 49,500 -
34,000 34,000 -
18,500 18,500 -
18,500 18,500 -
49,750 49,750 -
10,000 10,000 -
11,000 11,000 -
106,000 106,000 -
39,600 39,600 -
117,300 117,300 -
54,000 54,000 -
18,500 18,500 -
111,000 111,000 -
69,700 69,700 -
106,000 106,000 -
3,000 3,000 -
64,000 64,000 -
21,000 21,000 -
32,060 32,060 -
160,000 160,000 -
42,700 42,700 -
88,350 88,350 -
142,750 142,750 -
163,375 163,375 -
34,000 34,000 -
49,550 49,550 -
100,000 100,000 -
163,500 163,500 -
34,000 34,000 -
128,200 128,200 -
16,500 16,500 -
172,450 172,450 -
19,500 19,500 -
37,000 37,000 -
53,800 53,800 -
9,000 9,000 -
90,000 90,000 -
59,750 59,750 -
35,500 35,500 -
18,000 18,000 -
87,400 87,400 -
82,000 82,000 -
63,000 63,000 -
- - -
- 4,464,465 4,464,465 3,844,965 3,089,800 619,500 -
4,464,465
Total
Pendapatan

4,464,465
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

102,800 102,800 -
14,500 14,500 -
6,500 6,500 -
44,500 44,500 -
68,850 68,850 -
39,600 39,600 -
13,400 13,400 -
69,450 69,450 -
10,900 10,900 -
92,650 92,650 -
2,000 2,000 -
84,650 84,650 -
49,950 49,950 -
153,426 153,426 -
94,450 94,450 -
74,600 74,600 -
54,350 54,350 -
30,900 30,900 -
45,500 45,500 -
24,900 24,900 -
144,100 144,100 -
56,200 56,200 -
103,400 103,400 -
19,500 19,500 -
52,000 52,000 -
159,800 159,800 -
505,200 505,200 -
98,200 98,200 -
54,500 54,500 -
79,500 79,500 -
62,000 62,000 -
214,150 214,150 -
158,200 158,200 -
12,000 12,000 -
6,000 6,000 -
20,650 20,650 -
- - -
- 2,823,276 2,823,276 2,507,276 2,196,800 316,000 -
2,823,276
Total
Pendapatan

2,823,276
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

95,500 95,500 -
188,800 188,800 -
134,300 134,300 -
83,400 83,400 -
1,500 1,500 -
(203,500) - 203,500
43,400 43,400 -
13,500 13,500 -
26,400 26,400 -
55,500 55,500 -
75,900 75,900 -
12,400 12,400 -
41,350 41,350 -
33,300 33,300 -
105,850 105,850 -
185,460 185,460 -
41,500 41,500 -
188,800 188,800 -
59,600 59,600 -
70,250 70,250 -
55,300 55,300 -
- 20,650 20,650
69,650 69,650 -
102,550 102,550 -
76,500 76,500 -
205,885 205,885 -
384,325 384,325 -
200,150 200,150 -
55,500 55,500 -
38,950 38,950 -
85,150 85,150 -
141,250 141,250 -
100,000 100,000 -
15,500 15,500 -
146,190 146,190 -
77,800 77,800 -
20,000 20,000 -
49,000 49,000 -
- 120,100 120,100
30,850 30,850 -
52,000 52,000 -
52,000 52,000 -
160,000 160,000 -
107,800 107,800 -
65,500 65,500 -
150,876 150,876 -
114,700 114,700 -
38,500 38,500 -
112,500 112,500 -
237,250 237,250 -
34,000 34,000 -
32,000 32,000 -
221,000 221,000 -
14,000 14,000 -
40,400 40,400 -
76,700 76,700 -
65,800 65,800 -
122,225 122,225 -
93,500 93,500 -
65,200 65,200 -
66,015 66,015 -
47,500 47,500 -
79,650 79,650 -
44,450 44,450 -
171,260 171,260 -
71,100 71,100 -
50,500 50,500 -
13,500 13,500 -
154,180 154,180 -
7,600 7,600 -
38,500 38,500 -
141,000 141,000 -
100,200 100,200 -
98,300 98,300 -
55,500 55,500 -
7,800 7,800 -
105,000 105,000 -
89,400 89,400 -
142,825 142,825 -
- - -
- 6,447,991 6,447,991 5,312,491 5,077,900 1,135,500 -
6,447,991
Total
Pendapatan

6,447,991
-

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

124,530 124,530 -
50,800 50,800 -
91,500 91,500 -
34,300 34,300 -
58,900 58,900 -
5,550 5,550 -
(33,600) - 33,600
13,900 13,900 -
103,000 103,000 -
1,600 1,600 -
180,700 180,700 -
167,250 167,250 -
78,675 78,675 -
118,250 118,250 -
1,500 1,500 -
46,800 46,800 -
69,500 69,500 -
71,500 71,500 -
91,250 91,250 -
96,000 96,000 -
61,000 61,000 -
45,500 45,500 -
4,250 4,250 -
87,700 87,700 -
136,900 136,900 -
79,275 79,275 -
103,250 103,250 -
13,500 13,500 -
430,500 430,500 -
110,600 110,600 -
113,710 113,710 -
91,100 91,100 -
47,450 47,450 -
6,000 6,000 -
51,500 51,500 -
203,125 203,125 -
48,200 48,200 -
178,600 178,600 -
51,150 51,150 -
66,250 66,250 -
51,100 51,100 -
119,500 119,500 -
36,100 36,100 -
114,300 114,300 -
23,000 23,000 -
55,000 55,000 -
221,200 221,200 -
55,350 55,350 -
97,550 97,550 -
94,900 94,900 -
80,850 80,850 -
- 39,600 39,600
26,500 26,500 -
9,450 9,450 -
- - -
- 4,286,266 4,286,266 3,537,266 3,201,900 749,000 -
4,286,266
Total
Pendapatan

4,286,266
1

Lain-Lain
Anesthesi 1
Pendp-(visite+PMI) Setor ke KB Visite dokter Anesthesi

55,750 55,750 -
12,000 12,000 -
40,400 40,400 -
53,632 53,632 -
227,000 227,000 -
192,695 192,695 -
192,695 192,695 -
88,000 88,000 -
59,000 59,000 -
226,325 226,325 -
66,150 66,150 -
188,200 188,200 -
47,850 47,850 -
- 9,450 9,450
3,500 3,500 -
64,532 64,532 -
17,900 17,900 -
86,800 86,800 -
5,000 5,000 -
7,800 7,800 -
61,400 61,400 -
92,810 92,810 -
61,182 61,182 -
147,300 147,300 -
73,000 73,000 -
50,300 50,300 -
156,050 156,050 -
56,200 56,200 -
43,450 43,450 -
52,900 52,900 -
42,700 42,700 -
62,000 62,000 -
55,100 55,100 -
102,000 102,000 -
201,950 201,950 -
28,500 28,500 -
(178,850) - 178,850
53,550 53,550 -
138,550 138,550 -
91,600 91,600 -
169,900 169,900 -
158,000 158,000 -
41,300 41,300 -
- - -
- 3,396,121 3,396,121 2,677,621 2,538,400 718,500 -
3,396,121
Total
Pendapatan

3,396,121
-
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 01 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

1 1 109854 Danis Noval S 4,118 60,800 3,000 12,500


2 080514 Bernadet Reni Yunita 6,218 83,900 3,000 12,500
3 080517 Keisya Ayuning PR 3,191 50,600 3,000 12,500
4 017493 Sumarkis 3,400 52,900 3,000 12,500
5 106738 V Onggo dr. 1,182 13,000
6 150704 Agus Dwi N 2,809 30,900
7 034744 Ita Dwi R 2,091 23,000
8 004219 Agustina P 7,091 78,000
9 083842 Wahyu Dwi a 1,255 13,800
10 006137 dr. Harnowo 9,986 21,970 87,880
11 003061 Umi Wadingah 232 2,550
12 109839 Bian Kristiawan 65,150 - 4,000 20,000
13 67792 Vivi 50,000 -
14 109838 Gunung Setyo D 85,100 - 4,000 20,000
15 107771 Mulyadi 73,000 - 4,000 20,000
16 67790 Yoga 6,000 -
17 109835 Yuniati 51,250 - 4,000 20,000
18 074680 Madarjo 56,450 - 4,000 20,000
19 004714 Tumini 21,150 -
20 150498 Wahyu 32,500 -
21 015500 Setyaningsih 20,300 -
22 032587 Dyah Ayu 93,800 -
23 109834 Surtini 47,000 - 4,000 20,000
24 106379 Nisih 96,500 - 4,000 25,000
25 058024 Samiarti 151,000 - 4,000 20,000
26 109833 Sabrina Keza 74,650 - 4,000 20,000
27 109832 Lofino 81,750 - 4,000 20,000
28 109825 Ikbal Marsio 104,450 - 4,000 20,000
29 175051 Tan Ming Tjoo 13,500 -
30 109842 M Riyadi 76,000 - 4,000 20,000
31 064958 Sapar Parsan 84,600 - 4,000 20,000
32 109840 Sulami 121,300 - 4,000 20,000
33 109844 astiti W 88,900 - 4,000 20,000
34 150497 Agus Dwi N 78,700 - 41,300
35 087338 Nita Ratna sari 11,000 1,000
36 109848 Sutomo 85,500 - 2,500
37 109851 Partini 12,000 -
38 109845 Wisnu murti 39,600 2,191 3,000 12,500
39 109850 Dian Kawuri 80,700 5,018 3,000 19,000
40 109853 Rehananta 155,300 12,709 3,000 12,500
41 109860 Indri Restiani 78,920 5,765 3,000 12,500
42 109863 Aji Paryono 55,500 - 3,000 12,500
43 109861 Jaya Sutardi 69,900 - 4,000 20,000
44 109862 Sugiharti 69,650 - 4,000 20,000
45 109537 Warihan 73,350 4,350 3,000 12,500
46 109856 Pribaria Zarena 88,000 2,045 3,000 12,500
47 011136 Yosepha I 8,500 773
48 109511 Madsari 183,200 13,473 4,000
49 109857 Riyem 85,000 4,636 4,000
50 095008 Liong 95,500 5,591 4,000
51 Wahid Nurhidayat 15,500 - 15,500
52 095111 Nasrowi 64,250 1,523 4,000
53 109859 Wina Kartika 52,900 - 4,000 20,000
54 109747 Mujiono 151,250 10,659 4,000
55 094815 Nur Rohim 152,550 10,777 4,000
56 109852 Fendi Setiadi 138,500 9,500 4,000
57 001553 Sarti 109,000 2,773 3,000 12,500
58 005230 Martini 53,650 4,855 15,250 3,000 12,500
59 102947 Wasinah 34,000 - 4,000
60 028142 Safly Noval A 103,000 - 4,000 20,000
61 109873 Sukarto 83,500 - 4,000 20,000
62 109872 Ratmi 123,050 - 4,000 20,000
63 109868 Lasino 111,350 7,032 4,000
64 109869 Moh Azriel 57,900 - 4,000 20,000
65 005979 Titis Eko 23,000 2,091
66 109867 Nuraini 52,900 - 4,000 20,000
67 029137 Supriyo 66,500 2,955 4,000
68 052721 Kosim 154,750 10,886 4,000
69 107603 Eko Suparyanto 34,000 - 4,000
70 029091 Nisa Nur 48,000 -
71 109876 Zulaiko Oktariza 63,700 - 4,000 20,000
72 109875 Puji Astuti 12,000 -
73 001096 Sumargiono 70,785 6,435
74 Meterai 6,000 - 6,000
-
4,546,705 - 168,610 183,220 56,800 - - 248,200 - 103,130 - 191,500 169,000 - 485,000

Jurnal Umum 4,546,705


Kas dari Kassa 4,547,300
Selisih Kas 595

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 02 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

2 1 075023 Okti Mayasari 8,318 175,500 4,000


2 109879 Teguh Priyatmoko - 54,900 4,000 20,000
3 109871 Udin - 45,000 4,000 20,000
4 025565 Fr. Hubertus Beri - 208,000 69,400 4,000 20,000
5 109873 Sukarto 83,500 6,182 37,000 3,000 12,500
6 109537 Warihan - 13,000 3,000
7 109577 Pipit - 6,500
8 020580 Yusiva S 91 14,500
9 044715 Agnes Herna P 4,382 48,200
10 075096 Agus Dwi N 1,573 17,300
11 083841 Nurwidayati 3,077 33,850
12 048243 Suratmi 33,300 3,027
13 016928 Sarjono 519,850 47,259
14 Nur 3,000 273
15 039547 Sulung Affiat 64,100 - 4,000 20,000
16 109881 Yusuf Purwanto 60,950 - 4,000 20,000
17 094605 Yeremia Bintang 78,450 - 4,000 20,000
18 031224 Gatot 41,450 3,768
19 073175 Pasien Luar 1,700 155
20 096500 Nasiran 87,450 7,950
21 101124 Dullah Chaeri 58,782 - 4,000 20,000
22 108157 Joko Pitoyo 150,000 13,636
23 067283 Nova Saputri 69,000 - 4,000 20,000
24 073175 Pasien Luar 12,300 1,118
25 088728 Yanuardy Ikhsan 1,900 173
26 076490 Heru Sucipto 31,500 2,864
27 109878 Untung 84,200 - 4,000 20,000
28 109390 Cahaya Anggoro 95,150 - 4,000 20,000
29 030247 Agus Riyanto 154,000 -
30 150716 Nia 5,100 464
31 100934 Audry Anastasya 113,300 - 4,000 20,000
32 023357 Ani Purwati 86,000 6,409 3,000 12,500
33 107871 Lidya Puspitasari 53,450 3,450 3,000 12,500
34 109746 sartini 98,250 - 4,000 20,000
35 109037 Zulfi Fahrudin 65,200 4,518 3,000 12,500
36 109603 Dwi Agung 141,000 6,864 3,000 12,500
37 109465 Sudarsih 44,450 859 4,000
38 100462 Andi Prayitno 61,500 - 4,000
39 072071 Sugiyanto 78,250 5,705 3,000 12,500
40 060364 Yasir 113,000 7,182 4,000
41 028253 Nanang Slamet 124,200 9,882 3,000 12,500
42 079706 Indah Rosdiati 25,500 - 3,000 12,500
43 109426 R Untung S 55,226 5,021
44 109762 Asri 15,500 - 3,000
45 105674 Satirah 47,500 - 4,000
46 109585 Riski Ika 126,300 8,391 4,000
47 058434 Bayu Nuswantara 121,200 9,609 3,000 12,500
48 106508 Kasinah 70,750 3,341 4,000
49 075119 Agusta Ratna 10,550 141 4,000
50 100488 San Murni 159,250 11,386 4,000
51 008949 Suniah 12,140 1,104
52 098818 Tugiyanto 67,850 3,077 4,000
53 109888 Rohiman 188,250 15,705 3,000 12,500
54 060332 Dian Pertiwi 81,600 6,009 3,000 12,500
55 071115 Natiyah 176,950 12,995 4,000
56 081687 sapon 65,000 1,773 4,000
57 109797 Ari Priyanto 116,200 9,155 3,000 12,500
58 109890 Dian Haiditya 34,900 1,764 3,000 12,500
59 096356 Satinah 58,500 - 4,000
60 098786 Irna Dewi Kartika 91,250 2,341 3,000 12,500
61 085208 Dafa Kurniawan 182,450 15,177 3,000 12,500
62 038312 Bariyah 48,100 2,964 3,000 12,500
63 038233 Subandi 34,000 - 4,000
64 100262 Dwi astuti 52,800 4,800
65 109856 Pribaria Zarena 15,500 - 3,000 12,500
66 073702 Suyati 130,750 8,795 4,000
67 078245 Agus Setiawan 38,500 409 4,000
68 109894 Hendro 86,300 4,755 4,000
69 109893 atmo Sunarto 113,500 6,636 4,000
70 095321 Rudi 34,000 - 4,000
71 106538 Marsitah 77,000 5,591 3,000
72 109891 Dwi angga Febri 88,900 4,991 4,000 20,000
73 109892 Samiso 168,050 12,095 4,000
74 109895 Zain Mutakin 48,250 - 4,000 20,000
75 109766 Iman Nurohman 272,500 - 4,000 20,000
76 101336 Murtini 75,500 - 3,000
77 150724 Nur Iswantoro 6,000 545
78 049580 Kusmiati 324,200 29,473
79 109414 Tri Suharti 84,000 - 4,000
80 109897 Kartiyah 53,750 - 4,000 20,000
81 40203 Deliyana 167,000 7,545 4,000
82 017873 Erna Yuniasih 130,450 7,768 4,000
83 021701 Fitria Handayani 146,250 5,659 4,000
84 109898 Prayoga 41,500 - 4,000 20,000
85 095536 Daryani 263,500 23,955
86 Meterai 12,000 - 12,000
87 109877 Ayuning Indah - 69,000 4,000 20,000
-
6,833,448 - 382,147 423,350 - - - 299,400 - 69,400 - 243,000 212,500 - 360,000

Jurnal Umum 6,833,448


Kas dari Kassa 6,834,000
Selisih Kas 552

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 03 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

3 1 109918 Puji Rahayu 1,155 28,200 3,000 12,500


2 006002 V Sudarman 2,591 4,700 39,300 3,000 12,500
3 070095 Karyo Rejo 1,991 37,400 3,000 12,500
4 054946 Dwi Sumanti 6,118 112,100 39,200 4,000
5 150744 Sarjono 35,700 6,255 33,100
6 150732 Waginah 250 2,750
7 011136 Yosepha I 2,864 31,500
8 044727 Waginah 773 8,500
9 109914 Maera 56,200 - 4,000 20,000
10 063936 Sutijah 112,900 - 4,000 20,000
11 150741 Lili 144,100 13,100
12 109907 Agus S 88,500 - 4,000 20,000
13 109913 Rojikin 83,400 - 4,000 20,000
14 109909 Putri N 92,500 - 4,000 20,000
15 052060 Ibnu P 82,300 - 4,000 20,000
16 109896 Sarifudin 88,500 - 4,000 20,000
17 039386 Agustinus 14,500 1,318
18 002504 Budi Sapto A 58,800 5,345
19 053609 Yael Hera 6,200 564
20 150735 Wagiman 850 77
21 150734 Yati 1,700 155
22 109906 Kayem 60,500 - 4,000 20,000
23 109904 Susanti 94,000 - 4,000 20,000
24 109815 Jeminem 33,850 3,077
25 109822 Abdul Kolik 34,000 - 4,000
26 109555 Kasifudin 90,000 3,409 4,000
27 016143 Trisno Slamet 76,750 3,886 4,000
28 001690 Muji Suwito 51,100 4,645
29 109900 Dafa Nur Julio 64,400 - 4,000 20,000
30 073244 Rifki Maryadi 74,700 - 4,000 20,000
31 109899 Kusmiyati 71,250 - 4,000 20,000
32 109901 Rasiyah 118,650 - 4,000 20,000
33 109670 Sahroni 48,950 2,132 3,000 12,500
34 109926 Mad Kana 53,800 - 4,000 20,000
35 Thomas Harsono 56,500 - 56,500
36 150742 Katijah 47,200 4,291
37 109921 Arta 50,500 - 2,500
38 018787 Siti Marfungah 87,350 6,532 3,000 12,500
39 109916 Agus Sutarwadi 170,050 14,050 3,000 12,500
40 065009 Sumarto 43,000 818 4,000
41 109923 Misnawati 343,800 13,982 4,000
42 109922 Lastri 219,325 11,802 4,000
43 109924 Saryati 141,700 9,791 4,000
44 109510 Danar Gulamsa 80,850 5,941 3,000 12,500
45 109657 Sawiyem 82,450 4,314 4,000
46 108056 Muhamad Nurdin 44,550 2,641 3,000 12,500
47 109582 Rusmin 99,900 5,991 4,000
48 103328 Ani Setiawati 69,100 - 4,000
49 109927 Lucy aulia P 51,900 3,309 3,000
50 109925 Kasih 147,950 9,041 4,000
51 150746 Mad Noto 4,100 373
52 030903 Watiyem 125,600 7,100 4,000
53 109920 Sutrisno 83,250 4,250 3,000
54 072345 Munarjo 34,000 - 4,000
55 150745 Amin 55,900 5,082
56 087322 Dwi Indra A 8,500 773
57 109930 Tania Nur F 50,750 3,205 3,000 12,500
58 109929 Sukinem 73,500 3,227 3,000 12,500
59 Anggun Sukmawat 142,825 - 142,825
60 055062 Suswanto 15,150 1,377
61 098333 Arjo Dimulyo 135,950 9,177 4,000
62 109647 San Miarto 61,250 2,477 4,000
63 057973 Sakimin 81,450 4,314 4,000
64 107735 Saliyem 143,000 9,909 4,000
65 Sunaryo 190,000 -
66 109931 Hartono 327,025 - 4,000 20,000
67 109609 Hidayatul Sopiyan 86,000 - 4,000
68 064675 Tumin 9,690 881
69 016958 Sri Hartati 104,625 9,511
70 109932 Manisem 68,950 - 4,000 20,000
71 109933 Hamdan Fauzi 200,800 - 4,000 20,000
72 087308 Imam santoso 3,000 273
73 109935 Nadi 76,900 - 4,000 20,000
74 150751 Safiana 39,600 3,600
75 109936 Nasiyah 150,050 - 4,000 20,000
76 Kusmiatun 100,000 -
77 073175 Pasien Luar 12,000 1,091
78 Umi Wadingah 2,550 - 2,550
79 011063 Sutrisno 27,000 2,455
80 150754 Ruth 3,500 318
81 109903 Surahman - 61,250 4,000 20,000
82 087296 Reni Komariyah 423 4,650
83 109928 Adidaya Kusuma 2,695 55,150 3,000 12,500
84 096482 Niken Kristianti 2,882 31,700
-
5,891,140 - 227,599 294,600 201,875 - - 116,400 - 78,500 - 197,500 137,500 - 400,000

Jurnal Umum 5,891,140


Kas dari Kassa 5,891,700
Selisih Kas 560

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 04 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

4 1 109953 Saifa alhaq - 48,950 4,000 20,000


2 Meterai 6,000 - 6,000
3 051747 Sumarti 72,600 - 4,000 20,000
4 109941 Rajem 74,350 - 4,000 20,000
5 063120 Christianus Cavin 81,750 - 4,000 20,000
6 109425 R Untung Surono 55,226 -
7 083698 Suwarsiyah 54,250 - 4,000 20,000
8 109951 Rosiyah 71,500 - 4,000 20,000
9 109952 Andriyanto 76,500 - 4,000 20,000
10 109939 Melia 114,350 - 4,000 20,000
11 038777 Sumarti 59,400 -
12 104991 Ika Fifiani 8,000 -
13 001132 Eko Wahyudiono 21,700 -
14 002225 Sri Suhardanti 119,500 - 4,000 20,000
15 109950 Agus sumarno 58,750 - 4,000 20,000
16 105170 Nenti Kusuma 15,250 -
17 109947 Purwanto 154,850 - 4,000 20,000
18 034043 Adi Susetyo 72,500 - 4,000 20,000
19 109850 Dian Kawuri 50,800 - 4,000 20,000
20 069069 Sucipto Hartono 60,750 - 4,000 20,000
21 024046 Mukijo 98,150 - 4,000 20,000
22 109959 Nasiman 41,700 - 4,000 20,000
23 109958 Deni Prandian 67,250 - 4,000 20,000
24 109957 Nazafa 51,400 - 4,000 20,000
25 109956 Paimin 58,750 - 4,000 20,000
26 109954 Partimah 44,500 -
27 109961 Nur Firmansyah 119,250 - 4,000 20,000
28 047982 Sarjono 52,750 - 4,000 20,000
29 087296 Reni Komariyah 14,050 - 4,650
30 109964 Nasito 12,000 -
31 109966 Heri Julianto 59,100 - 4,000 20,000
32 109965 Sainem 12,000 -
33 109960 Mustakim 155,850 - 9,000 20,000
34 076352 Sri Subiyanto 36,000 -
35 109967 Dimas Nur Bagask 158,300 - 4,000 20,000
36 106850 Danu Sambogo - 69,150 4,000 20,000
37 025229 Ade Irawan - 110,900 4,000 20,000
-
2,209,076 - - - 4,650 - - 229,000 - - - 115,000 - - 520,000

Jurnal Umum 2,209,076


Kas dari Kassa 2,209,900
Selisih Kas 824

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 05 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit
5 1 097596 Eko Yuli - 21,000 2,000
2 045668 Basuki - 292,700 4,000 20,000
3 072747 Widi Handayani - 73,350 4,000 20,000
4 107036 Gyda Rafiqa D - 59,300 4,000 20,000
5 109719 Rasya Abhista I - 306,750 4,000 20,000
6 100049 Flas Eko S - 70,500 3,000
7 004197 Cicilia Yanti 50,000 - 6,500 4,000 20,000
8 004197 Cicilia Yanti - 47,500 4,000
9 087320 Rully - 12,460 49,840 4,000 20,000
10 109996 Yitno Bin Herman - 65,500 4,000 20,000
11 021114 Yatemi - 139,300 4,000 20,000
12 150773 Agus - 64,100
13 150788 Yusiva S 1,755 19,300
14 004219 Agustina Pratiwi 1,727 19,000
15 054946 Dwi Sumanti 455 5,000
16 055480 Dr. B Suryanto 2,091 4,600 18,400
17 005934 Titi Lestari 3,436 37,800
18 061201 Fery Dwi A 386 4,250
19 005976 Alipah 21,800 2,527 6,000
20 086489 Eko Adi - 16,500 2,000
21 109976 Samuel Sandi A 133,250 - 4,000 20,000
22 073175 Pasien Luar 17,500 -
23 016928 Sarjono 11,200 -
24 094026 Andre Susanto 50,250 - 4,000 20,000
25 109968 Triyaningsih 212,550 - 4,000 20,000
26 150772 Katrin 3,000 -
27 026974 Sugiyanto 13,500 -
28 109969 Noverina Elisa 93,500 - 4,000 20,000
29 109973 Fikri Fadilah 141,500 - 4,000 20,000
30 061812 Sri sukarmi 66,500 - 4,000 20,000
31 109988 Setraf adi Solihin 54,000 - 4,000 20,000
32 108742 Abraham Setiawa 18,000 - 2,000
33 080098 Didit R 18,500 - 2,000
34 109980 Tumirah 91,320 6,165 3,000 12,500
35 109119 Suwarso 94,550 7,095 3,000 12,500
36 109981 Murniasih 93,500 - 3,000 12,500
37 095917 Nadia Fidan 88,750 6,659 3,000 12,500
38 109982 Siti 92,000 -
39 109987 Tri Antoro 15,500 - 3,000 12,500
40 025643 Fatimah 18,500 - 2,000
41 108092 Ngafifudin 15,500 - 3,000 12,500
42 109985 Lasno 69,500 - 2,500
43 109984 Manisah 58,000 - 2,500
44 096009 Laeli Hikmawati 39,100 3,555
45 001022 Yuli Gestati 50,800 4,618
46 057558 Turino 13,500 -
47 015949 Sugiyati 13,500 -
48 057275 Darmo Suwito 76,950 3,814 4,000
49 109993 Sujanto 18,500 - 2,000
50 080713 Suyatmi 104,750 6,886 3,000 12,500
51 109560 Hartini 9,000 - 4,000
52 025229 Ade Irawan - 55,500
53 109728 Hartini 56,000 5,091
54 092607 Jami 49,000 1,364 4,000
55 109994 Adit Prasetyo 207,000 13,500 4,000
56 068682 Wiryo Suwito 38,500 409 4,000
57 109995 Sujianto 76,400 5,536 3,000 12,500
58 109155 Nila Ika 9,000 - 4,000
59 007502 Yohana Pariyem 34,000 - 4,000
60 097151 Kanem 176,750 10,068 4,000
61 061198 Robertus Eko 50,400 4,582
62 058434 Bayu Nuawantoro 89,500 - 4,000
63 068763 Ramelan 34,000 - 4,000
64 109721 Mad Sumeri 139,725 9,611 4,000
65 091765 Admini 19,522 275 3,000 12,500
66 106407 Tugiyem 165,625 11,966 4,000
67 107050 Suhartiningsih 64,000 - 4,000
68 109992 Muhirno 159,600 11,327 4,000
69 109884 Fita Martiyana 65,000 5,091 4,000
70 109474 Poniyem 18,500 - 2,000
71 064142 Ning Sadayasih 7,000 -
72 109989 Kasbani 174,250 12,659 4,000
73 109991 Salimah 133,125 3,875 4,000
74 107996 Cokro Suwito 89,450 4,950 4,000
75 002355 W Nurhadi 67,000 2,182 4,000
76 102589 Agus Santoso 53,500 1,773 4,000
77 014898 Rudi Novandi 47,000 -
78 109986 Siswo 174,450 11,450 4,000
79 109744 Kamiyah 161,875 11,534 4,000
80 080559 Maria Ika Y 49,500 - 3,000 12,500
81 074817 Anitri Puspita 41,500 2,364 3,000 12,500
82 029041 Nisa Nur Aulia 63,050 - 4,000 20,000
83 086049 Farid amir 76,850 5,577 3,000 12,500
84 109537 Warihan 77,850 4,759 3,000 12,500
85 109730 Dewi Haryani 10,000 - 4,000
86 063206 Kemi 69,500 - 2,500
87 109990 Salman 44,450 859 4,000
88 098882 Saini 117,670 9,197 3,000 12,500
89 109983 Fredi Surya 272,100 5,000 4,000
90 101336 Murtini 91,000 500 3,000
91 054473 Sri Hartini 120,200 - 4,000 20,000
92 110000 Tri Wahyuningsih 62,300 - 4,000 20,000
93 106538 Marsitah 116,150 6,105 3,000
94 002273 Haryono 13,500 -
95 064942 RSU Purbowangi 544,700 49,518
96 099374 Sukarni 533,500 43,455 4,000
97 083785 Sri Muryani 19,000 909 4,000
98 109772 Sri wahyuni 435,000 36,455 4,000
99 058557 Tri Nawan Nardi 101,000 - 4,000
100 150791 Yohana 15,200 1,382
101 109535 Soni Indra 44,500 - 4,000
102 105958 Eni Meiyanti 414,000 32,591 4,000
103 110006 Sarjono 88,000 - 4,000 20,000
104 110007 Pariyah 55,650 - 4,000 20,000
105 Niken Kristianti 31,700 - 31,700
106 000816 Eri Yuniati 39,300 - 29,200 4,000 20,000
107 108668 Latiman 122,500 8,045 4,000
108 109917 Mujilah 45,000 - 4,000
109 109999 Jarmiyah 116,500 - 4,000
110 103865 Saiful Nur 172,950 11,723 4,000
111 110001 Partiyem 179,250 7,523 4,000 20,000
112 109997 Wiwi Riyanti 723,275 - 4,000 20,000
113 047468 Budi Setyanto 89,500 - 4,000
114 109606 Henrison R 55,500 - 4,000
115 055828 Handoyo 194,175 - 4,000 20,000
116 Meterai 6,000 - 6,000
-
9,480,262 - 404,374 447,810 31,700 - - 879,100 - 97,440 - 326,500 175,000 - 480,000

Jurnal Umum 9,480,262


Kas dari Kassa 9,481,150
Selisih Kas 888

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 06 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

6 1 106831 Rista Nurjanah 208,000 15,245 2,700 4,000


2 107729 Rubisah 47,500 - 4,000
3 110013 Tomi 82,500 4,955 3,000 12,500
4 089171 Ruwadi 50,000 -
5 082049 Elvira Astri 19,000 909 4,000
6 110012 san Marjo 97,050 6,186 3,000 12,500
7 029760 Sutiyem 69,500 4,818 3,000 12,500
8 110018 Tamsi 58,000 - 2,500
9 110017 Arif S 85,500 - 2,500
10 110014 Najwa asyifa 16,500 - 2,000
11 011255 Purwadi 90,000 -
12 110015 Nur Cahyatiningsi 85,500 - 2,500
13 110007 Dariyah 115,000 -
14 087345 Roman Virsa 69,100 - 4,000 20,000
15 096500 Nasiran 27,750 2,523
16 016871 Min Sumini 122,625 7,966 4,000
17 107244 Wasirah 281,250 22,477 4,000
18 049671 Sandi Karto 140,000 9,545 4,000
19 108368 Soliyah 168,500 12,136 4,000
20 097927 MG Sri Kaheru 163,000 - 4,000
21 086337 Prianto 100,500 5,455 4,000
22 109572 Yulius Suwanto 61,500 - 4,000
23 023375 Warsinah 57,000 2,000 4,000
24 110021 Suradimulya 181,200 13,291 4,000
25 091652 Saiful 248,500 18,182 4,000
26 109673 Akwilina Suyati 249,000 19,545 4,000
27 046917 Iwan Budi R 115,500 - 4,000
28 085009 Karto utomo 58,300 2,209 4,000
29 082199 Hesti Dwi Lestari 46,350 2,805 3,000 12,500
30 110016 Ratna Muliasari 85,000 727 3,000 12,500
31 087811 Sutarno 67,750 1,750 4,000
32 110022 soliah 95,750 7,295 3,000 12,500
33 072282 Erna 18,500 - 2,000
34 056280 Tumin 104,800 6,436 4,000
35 110025 Maenah 93,075 2,507 3,000 12,500
36 044715 agnes Herna 9,500 864
37 109644 Tri Rujiati 85,100 4,645 4,000
38 109339 Ponisih 86,550 4,777 4,000
39 065912 Awalia 59,850 2,350 4,000
40 064623 RSU Purwogondo 579,300 52,664
41 108871 Ariani Dewi 24,000 -
42 050406 Njoo Djoen A 81,250 4,295 4,000
43 110026 Ngapisah 58,600 - 4,000 20,000
44 102915 Teguh Wiharyanto 207,000 - 2,500
45 060261 Tri Hartono 79,800 4,164 4,000
46 Mukijo 50,600 -
47 087994 Leni Meilina 8,000 -
48 000082 aan Sri W 129,532 - 4,000 20,000
49 039704 Sanurji 110,750 5,432 4,000
50 110030 Rian Bagus 152,050 - 4,000 20,000
51 109931 Hartono 34,000 - 4,000 20,000
52 109858 H Muschin 94,700 5,518 4,000
53 110027 agus Sriyani 34,000 - 4,000
-
5,412,982 50,600 253,673 2,700 - - - - - - - 159,000 87,500 - 100,000
Jurnal Umum 5,362,382
Kas dari Kassa 5,361,600
Selisih Kas (782)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 07 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

7 1 109928 Adidaya Kusuma 8,927 123,700 3,000 12,500


2 017156 Sr. Yustina 11,491 70,950 70,950 3,000 12,500
3 063454 G Eliana Shafiqa 2,455 111,000 4,000
4 150855 Sr. Ana 14,014 77,075 77,075
5 150797 Darsinah 1,673 18,400
6 001823 Sr. Bernada 21,727 239,000
7 006137 dr. Harnowo 3,364 7,400 29,600
8 001132 Eko Wahyudiono 2,073 22,800
9 001022 Yuli Gestati 455 5,000
10 083842 Wahyu Dwi A 14,027 154,300
11 087320 Rully - 50,000
12 110037 Alex - 105,650 4,000 20,000
13 046917 Iwan Budi R 13,000 - 3,000
14 110039 Salino 93,400 - 4,000 20,000
15 042109 Valentina Febi 48,400 - 4,000 20,000
16 110036 Andri Suliana 94,700 - 4,000 20,000
17 110014 Najwa Asyifa 16,500 - 2,000
18 110007 Pariyah 152,000 - 4,000 20,000
19 109476 Siti Sulistiyati 93,750 5,432 4,000
20 109589 Sugiyah 101,250 5,432 4,000
21 053316 Wardi Sutowo 86,250 4,750 4,000
22 109511 Madsari 89,750 2,205 4,000
23 098818 Tugiyanto 89,250 5,023 4,000
24 077407 Sastro Miharjo 87,500 1,136 4,000 20,000
25 110024 Samiyati 204,000 -
26 000932 Kusniyati 56,750 5,159
27 066541 Mulyo Pawiro 110,000 - 4,000 20,000
28 110045 Tri Yani 157,000 - 3,000 12,500
29 107938 Endah Kurniasih 134,600 3,555 3,000 12,500
30 031137 Ratnasari 51,500 4,682
31 039336 Noviati 34,000 - 4,000
32 005979 Titis Eko W 9,000 818
33 081531 Supriyanto 34,000 - 4,000
34 150796 Imelda 1,500 136
35 106647 Cecilia Estrelia D 3,000 273
36 001096 Sumargiyono 6,100 555
37 034936 Ega Rizki 17,000 - 2,000
38 110056 Ghaisan Arfa 28,450 1,177 3,000 12,500
39 035182 Inah Supinah 169,450 12,314 4,000
40 109530 Ngadimin 78,325 4,030 4,000
41 053975 Sarijan 34,000 - 4,000
42 110054 Subur Sucipto 15,500 - 3,000 12,500
43 109836 Maryati 152,500 10,773 4,000
44 108054 Mujiono 97,000 5,727 4,000
45 064861 Sawiyem 192,650 13,105 4,000
46 039454 Sutarmi 129,050 8,641 4,000
47 096356 Satinah 58,500 - 4,000
48 108401 Sadinah 276,400 21,945 4,000
49 062957 Tumini 109,450 6,859 4,000
50 100842 Hanifah 16,500 - 2,000
51 108084 Wasitah 54,000 1,818 4,000
52 105847 Siti Khoiful 166,000 12,000 4,000
53 110043 Parwoto 201,950 10,223 4,000
54 099358 Mairah 89,150 5,014 4,000
55 052529 Endang 91,500 -
56 014848 Rudi Novandi 34,000 - 4,000
57 098786 Irna Dewi Kartika 65,100 4,509 3,000 12,500
58 052671 Sapariyah 178,500 13,045 4,000
59 106140 Manggi 66,500 2,045 4,000
60 006039 Sukiman 50,200 6,864 40,800 3,000 12,500
61 099464 Tri Hidayatul 9,000 -
62 110049 Diah Rohmanti 114,000 2,864 3,000 12,500
63 073702 Suyati 141,750 9,795 4,000
64 087018 Sri Ngadiyati 114,450 7,223 4,000
65 108742 Abraham Setyawa 18,000 - 2,000
66 110053 Kasilah 58,000 - 2,500
67 110050 Selifa Rahmadani 144,600 11,736 3,000 12,500
68 075288 Sukarman 34,000 - 4,000
69 098787 Musripah 79,200 7,200
70 101354 Edya Tyas 153,800 13,982
71 080317 Isnaeni 202,800 15,345 4,000
72 110058 Tri Rulianto 202,952 15,359 4,000
73 110059 Lasmiasih 203,750 10,886 4,000
74 077624 Supangat 135,000 9,182 4,000
75 109904 Susanti 156,750 6,614 4,000
76 109089 Saptanti Irma 39,600 3,600
77 109088 Ika nurul 39,600 3,600
78 062401 Tri Murtiningsih 118,800 10,800
79 109249 Rahmi Dian 74,600 6,782
80 106748 Sri Sunarsih 138,600 9,509 4,000
81 110064 Yulia 94,250 - 4,000 20,000
82 109987 Tri Antoro 34,000 - 4,000
83 080620 Napsiyah 175,500 8,318 4,000
84 110042 Dewi Mutiara 213,600 16,327 4,000
85 107061 Retno Widiastuti 79,200 7,200
86 108159 Dasinah 39,600 3,600
87 110060 Eka Ristyan 175,500 8,318 4,000
88 061282 Rinanti 39,600 3,600
89 067847 Andina 118,800 10,800
90 098659 Raul Abrar 123,600 8,145 4,000
91 057390 Kurnia Putri 79,200 7,200
92 013799 Julaicha 146,250 5,659 4,000
93 034585 Inayah 74,600 6,782
94 054669 Puji Wahyuningsih 39,600 3,600
95 105799 Theresia Yesi 39,600 3,600
96 105772 Putri Hilda 79,200 7,200
97 110065 Rizki Ramadani 84,000 - 4,000
98 060035 Marliana 84,000 - 4,000
99 109598 Mia Oktaviani 84,000 - 4,000
100 065540 Sari Damayanti 84,000 - 4,000
101 074109 Saptania 84,000 - 4,000
102 107266 Berliana 84,000 - 4,000
103 110066 Markamah 159,000 6,818 4,000
104 080620 Suryana 84,000 - 4,000
105 109157 Wulan 84,000 - 4,000
106 098222 Lina Aristin 84,000 - 4,000
107 083037 Siti Maesaroh 109,000 6,818 4,000
108 105444 Teresa Paramita 39,600 3,600
109 099917 Sumaryati 39,600 3,600
110 109663 Riska 39,600 3,600
111 100784 Sri Asrifotun 39,600 3,600
112 106915 Yayuk Febri 79,200 7,200
113 105072 Suryana 112,750 10,250
114 110061 Endro Lesmono 175,000 12,818 4,000
115 107667 Reni Susianti 34,000 - 4,000
116 110067 Suwarni 77,500 2,864 4,000 20,000
117 057779 Guntur Sujarwati 39,600 3,600
118 110075 Tumiarsih 198,100 14,918 4,000
119 110081 Filbet Alvaro 90,000 5,091 4,000
120 108407 Suparmi 123,600 8,145 4,000
121 110071 Adityo Endra 99,000 5,909 4,000
122 099352 Fenti Indra Dewi 149,000 10,455 4,000
123 109262 Eni Sulistyowati 39,600 3,600
124 104247 Dewi Ani 79,200 7,200
125 108957 Rini Palupi 39,600 3,600
126 108958 Siti Maksuroh 39,600 3,600
127 110070 Eni Dwi 130,926 8,811 4,000
128 061732 Endang 13,500 -
129 063868 dr. Cholid 27,500 2,500
130 039152 Supartono 39,600 3,600
131 110068 Tasmirah 148,600 10,418 4,000
132 110069 Lili Nur Hasanah 148,600 10,418 4,000
133 031790 Neni Triasih 79,200 7,200
134 110073 Mujiati 113,200 7,200 4,000
135 110046 Riyana Eka 113,200 7,200 4,000
136 108962 Yanti Setyawati 39,600 3,600
137 100502 Fitria Dwi 39,600 3,600
138 107763 Rahayu Siwi 153,000 10,818 4,000
139 109424 Meika Wulandari 79,200 7,200
140 106762 Arti Pirwatiningsih 39,600 3,600
141 092118 Sri Sukesti 39,600 3,600
142 029823 Sri Wahyuni 39,600 3,600
143 110065 Riski Ramadani 121,000 11,000
144 074669 Fitriyani 39,600 3,600
145 071775 Deny Setiawan 79,200 7,200
146 106134 Azizah Nuraini 148,600 10,418 4,000
147 110072 Suti Resminingsih 73,600 3,600 4,000
148 058110 Tuginah 79,200 7,200
149 082330 Wening Widiasih 158,400 14,400
150 110051 Amalia 108,600 6,782 4,000
151 029504 Tri Erna 79,200 7,200
152 060192 Septria 113,200 7,200 4,000
153 105796 Ajeng Resti 39,600 3,600
154 109423 Kurnia Baduyawat 39,600 3,600
155 110074 Pujar Herlambang 73,600 3,600 4,000
156 110074 Puji Rahayu 79,200 7,200
157 048039 Dewi Damayanti 39,600 3,600
158 108006 Miswan 132,360 8,942 4,000
159 102560 Samingun 174,400 12,764 4,000
160 109426 Untung Surono 99,226 5,930 4,000
161 072919 Tursini 34,750 - 4,000 20,000
162 110082 Vicki Amaliya 52,900 - 4,000 20,000
163 099780 Sukasih 73,600 3,600 4,000
164 110052 Ferin Vidia 108,600 6,782 4,000
165 066966 Diana Ari 140,826 9,711 4,000
166 110076 Mega Laksangka 114,600 7,327 4,000
167 108145 Mugi Astuti 79,200 7,200
168 105453 Herwin Widyowati 74,600 6,782
169 107385 Umiyati 39,600 3,600
170 107531 Indraspuri 39,600 3,600
171 032010 Endah 79,200 7,200
172 106170 ahsan Fathurahm 45,400 1,036 4,000
173 036769 Frederica Pamela 103,350 1,759 4,000
174 096923 Nikolas Anas 108,600 6,782 4,000
175 099464 Tri Hidayatul 74,500 3,682 4,000
176 110062 Ari astuti 166,700 12,064 4,000
177 102581 Saminah 67,782 - 4,000 20,000
178 Meterai 6,000 - 6,000
179 005976 Alipah 26,700 2,427
-
14,787,597 - 936,315 622,575 - - - 123,700 - 457,425 - 421,500 125,000 - 240,000

Jurnal Umum 14,787,597


Kas dari Kassa 14,788,600
Selisih Kas 1,003

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 08 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

8 1 110048 Anik Wahjiyati - 124,400 4,000 20,000


2 110092 Subarkah 13,500 - 35,375 4,000 20,000
3 097596 Eko Yuli - 42,000 4,000
4 089265 Tri Atmoko Aji 4,336 63,200 3,000 12,500
5 106772 Cheline Nathania 6,536 105,900 4,000
6 100096 Wuri Hidayah 17,432 275,750 4,000
7 000875 Darsinah 10,724 117,965
8 083842 Wahyu Dwi A 6,791 74,700
9 150873 Reni 377 4,150
10 075096 Agus Dwi A 2,591 28,500
11 005976 Alipah 1,427 15,700
12 093250 Caroline Chika WS 2,382 26,200
13 001759 Tri Soendarwati 5,691 62,600
14 025174 Sr. Rahayu - 37,000 37,000
15 068975 Sr. Teresina - 65,000 65,000
16 108742 Fatimah 18,500 - 2,000
17 110085 Nindan Putri 180,050 - 4,000 20,000
18 073175 Pasien Luar 3,400 309
19 061732 Endang 13,500 -
20 109537 Warihan 13,000 - 3,000
21 108856 Maman 139,145 - 4,000 20,000
22 013071 Santoso 66,000 6,000
23 022524 dr. Nrimanto 30,000 2,727
24 110083 Didit Iswanto 326,500 - 4,000 20,000
25 110080 Zayyan Ahnaf 75,350 3,759 4,000
26 109766 Iman Nurohman 81,000 - 4,000 20,000
27 110063 Ariswan 34,000 - 4,000
28 109874 Kusmini 69,750 2,250 4,000
29 012001 Sugiyanto Busono 451,950 37,995 4,000
30 007756 Septian Saputra 186,600 - 4,000 20,000
31 110047 Retno Sri 34,000 - 4,000
32 110079 Arif Rusli 246,250 19,295 4,000
33 109767 Sarah yunia 406,500 31,909 4,000
34 070378 VY Katijah 494,000 40,136 4,000
35 055973 Yohana Maria 277,500 22,136 4,000
36 109409 Safitri 101,000 - 4,000
37 109911 Endang Tesdawati 92,250 4,295 4,000
38 108178 Siti Khotijah 165,750 7,136 8,000 20,000
39 027896 Tasun 18,500 - 2,000
40 110014 Najwa Asyifa 16,500 - 2,000
41 110086 Azam Nurizat 50,600 3,191 3,000 12,500
42 090977 San Rokyat 48,722 2,929 3,000 12,500
43 109981 Murniasih 24,500 818 3,000 12,500
44 110087 Karto Pawiro 149,000 4,500 4,000
45 071252 Siti Ari 136,500 -
46 107939 Aminah 47,500 - 4,000
47 109650 Salamun 192,850 14,350 4,000
48 109342 Mugofir 40,500 - 4,000
49 109902 Ellis Sugiyanti 232,250 18,023 4,000
50 106127 Nasekhudin 34,000 - 4,000
51 078472 Steven Marcelius 46,950 - 4,000 20,000
52 108280 Elsa Devana 12,300 1,118
53 057696 Supasih 93,700 3,518 4,000
54 109582 Rusmin 80,750 4,250 4,000
55 000467 Aminah 120,000 10,909
56 110089 Yeni Setyo L 109,000 7,591 3,000 12,500
57 108822 Nathanael Develin 11,000 182 4,000
58 109372 Shesa Imbar 11,000 182 4,000
59 109439 Ferdi Ikhwani 11,000 182 4,000
60 105979 Calista Amelia 11,000 182 4,000
61 109817 Sueti 9,000 - 4,000
62 109954 Partimah 9,000 - 4,000
63 056397 Fita Martiyani 9,000 - 4,000
64 108280 Elsa Devana 18,500 864 4,000
65 108182 Efan Fadilah 18,500 864 4,000
66 106539 Salfi Legowo 18,500 864 4,000
67 110088 Alodie Yerano 18,500 864 4,000
68 109305 Rosna Hariyawati 18,500 864 4,000
69 109828 Sueti 18,500 864 4,000
70 109970 Partimah 18,500 864 4,000
71 109698 Nila Ika 18,500 864 4,000
72 109884 Fita Martiyani 18,500 864 4,000
73 108650 Hesti Pratiwi 18,500 864 4,000
74 108313 Rina Widi 18,500 864 4,000
75 109373 Shesi Imbar 18,500 864 4,000
76 108047 Kevin Faraz 18,500 864 4,000
77 109841 Indriyani 9,000 - 4,000
78 109846 Indriyani 18,500 864 4,000
79 091765 Admini 98,020 7,502 3,000 12,500
80 085572 Karsih 42,100 2,418 3,000 12,500
81 108650 Hesti Pratiwi 12,300 1,118
82 096299 Ngaisah 48,722 3,020 3,000 12,500
83 150876 Yuli 21,900 1,991
84 106908 Saenah 8,000 -
85 095713 Alanna Sahira 3,250 295
86 110091 Habil Hanafi 24,500 - 4,000
87 110090 Rahim 555,275 - 4,000 20,000
88 060035 Marliana Woro 122,000 11,091
89 006137 dr. Harnowo 13,175 1,198
90 110093 Indana 60,400 - 4,000 20,000
91 075052 Sapon 13,500 -
92 175444 Munirah 559,500 -
93 110099 Sunani 52,900 - 4,000 20,000
94 053316 Wardi Sutowo 125,000 -
95 Susteran Gombon 2,421,400 2,421,400
-
9,494,559 - 348,887 431,815 2,421,400 35,375 - 611,250 - 102,000 - 265,000 100,000 - 240,000

Jurnal Umum 9,494,559


Kas dari Kassa 9,495,300
Selisih Kas 741

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 09 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

9 1 097596 Eko Yuli - 21,000 2,000


2 105074 Naufal Azzan K 5,091 90,000 4,000
3 075023 Okti Mayasari - 93,000 4,000
4 110105 Titi Sulastri 104,800 - 50,950 4,000 20,000
5 022084 Rosiana 7,091 93,500 3,000 12,500
6 005193 Mujiwati 9,925 124,676 3,000 12,500
7 068975 Sr. Theresina 5,773 39,500 39,500 3,000 12,500
8 042639 Pujiarto 10,064 144,700 4,000
9 083842 Wahyu Dwi A 2,700 29,700
10 000875 Darsinah 4,209 46,300
11 086489 Eko Adi - 16,500 2,000
12 109431 Akif Safiro 90,000 5,091 4,000
13 109288 Nur Intan 90,000 5,091 4,000
14 109131 Satirah 34,000 - 4,000
15 095966 Rahma Widiasmar 127,290 8,481 4,000
16 074207 Nasyva Ika 200,800 15,164 4,000
17 023495 Sutarsih 6,000 545
18 110097 Panji Nugroho 189,840 14,167 4,000
19 110096 Soma Aji P 43,750 886 4,000
20 104822 Tegar Sahru 46,950 1,177 4,000
21 104164 Revel Yeheskiel 67,600 3,055 4,000
22 110098 Evi 127,500 - 2,500
23 013118 Arif Kurniawan 67,675 6,152
24 099845 Lucy yuda 274,350 - 4,000 20,000
25 026974 Sugiyanto 13,500 -
26 070120 Sardi susanto 180,000 - 4,000
27 053316 Wardi Sutowo 165,900 11,991 4,000
28 150882 Rubiyah 1,550 141
29 110057 Aiti Aminah 127,500 - 2,500
30 110100 Robingatun 34,000 - 4,000
31 064503 Rafli Agil 50,500 - 2,500
32 070852 Gatot Suhardi 115,250 - 4,000 20,000
33 004944 suprobo 51,500 -
34 096992 Asti Rofiana 8,000 727
35 Sarjono 4,000 364
36 107977 Jumiati 13,500 -
37 103086 Lasmini 43,275 - 4,000 20,000
38 043293 Sutarman 13,500 -
39 150883 Eti 17,000 1,545
40 Sr. Yuli 45,200 - 45,200
41 072777 Karsiyah 80,500 - 4,000 20,000
42 053470 Ika Isdiana D 19,000 909 4,000
43 110113 Suti 85,950 - 4,000 20,000
44 063751 Iksan 50,500 - 2,500
45 107938 Endah Kurniasih 182,500 15,182 3,000 12,500
46 064623 RSU Purwogondo 5,000 455
47 110109 Wagiyati 114,700 9,018 3,000 12,500
48 000170 Lukito Supyono 73,500 -
49 062486 Kartinah 19,000 909 4,000
50 057390 Kurnia Putri 118,800 10,800
51 049069 Suratiyah 13,400 1,218
52 110114 Tri Hastoro 70,500 5,000 3,000 12,500
53 072282 Erna 18,500 - 2,000
54 087331 san Mureja Almad 82,300 4,391 4,000
55 110115 Siti Nurjanah 153,950 10,905 4,000
56 074382 Darsini Maryati 34,000 - 4,000
57 110110 Sakiyem 239,750 13,659 4,000
58 067712 Susana Retno Sri 46,000 4,182
59 011136 Yosepha I 8,500 773
60 017169 Lasiyem 85,500 - 4,000
61 102581 Saminah 158,200 8,100 4,000
62 034936 Ega Rizki 17,000 - 2,000
63 045863 Indarti 8,000 727
64 109784 Nur salam 223,550 17,232 4,000
65 095942 Bayu Priyantoro 53,450 - 4,000 20,000
66 039481 Tan Bing Soei 1,792,500 162,955
67 105292 Moh Mansur 135,000 9,182 4,000
68 035893 Kusmiyati 56,750 5,159
69 103310 Rohayati 87,700 4,882 4,000
70 072345 Minarjo 34,000 - 4,000
71 001633 MF Budiyati 196,400 14,764 4,000
72 110049 Dias Rahmanti 91,450 6,905 3,000 12,500
73 110116 Aminarto 72,250 5,159 3,000 12,500
74 070120 Sardi susanto 167,745 8,968 4,000
75 003387 Warjan 52,000 - 6,000
76 110111 San Wisno 84,250 4,477 4,000
77 110014 Najwa Asyifa 16,500 - 2,000
78 106807 Sugiarti 186,250 7,023 4,000
79 086726 Dwi Kartika 206,000 11,091 4,000
80 021701 Fitri Handayani 84,000 - 4,000
81 40065 Sari Aryatun 84,000 - 4,000
82 078540 Parsini 255,000 15,545 4,000
83 037999 Dwi Astuti 84,000 - 4,000
84 106010 Ratri Sahwani 84,000 - 4,000
85 110118 Eli Zaudiyarto 84,000 - 4,000
86 109435 Edi Suratno 67,000 -
87 110120 Yena Sudarto 148,300 - 4,000 20,000
88 CV Rama 808,500 - 808,500
89 107658 Hadi Turyatno 34,000 - 4,000
90 101213 Tukiman 181,500 16,500
91 070578 Et Gorati 13,500 -
92 097927 Sri Kaheru 20,000 -
93 110124 Wahyudi Sutilah 106,750 - 4,000 20,000
94 110122 Arja Semita 48,160 - 4,000 20,000
-
9,598,285 - 495,498 494,876 853,700 50,950 - 204,000 - 39,500 - 246,000 100,000 - 200,000
Jurnal Umum 9,598,285
Kas dari Kassa 9,599,200
Selisih Kas 915

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 10 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

10 1 097673 Wiwi Hastuti - 175,500 4,000 20,000


2 109928 Adidaya Kusuma 6,059 82,150 3,000 12,500
3 003995 Sr. Caritas 76,423 437,325 437,325 4,000
4 000345 Sr. Theresia 22,545 249,300 249,300 4,000
5 015732 Eni Kurniasih 2,673 29,400
6 150898 Darsinah 2,536 27,900
7 150899 Wahyu (682) 7,500
8 110037 Alex Febrianto 45,000 - 4,000 20,000
9 Meterai 6,000 - 6,000
10 072513 Atit Yuni 22,290 2,026
11 109435 Edi Suratno 34,000 - 4,000
12 150902 Ivanio 17,000 1,545
13 Jarmiyah 190,000 -
14 106924 Asianto 41,075 3,734
15 110128 Blasius Didit 51,800 - 4,000 20,000
16 150900 Trisno 2,300 209
17 109154 Nurul Farikin 99,500 4,136 4,000
18 110125 Marfungah 477,500 - 4,000
19 109905 Sarman 88,350 3,941 4,000
20 028806 Hasto S 13,500 -
21 108416 Nita 79,200 7,200
22 110126 Sinta 57,000 -
23 019803 Marwito 13,500 -
24 Wahyu Dwi A 229,000 122,900 (11,173) 229,000
25 109779 Suharto 125,500 8,318 4,000
26 110127 Bulan ayu 34,000 - 4,000
27 150903 Sarjono 8,000 727
28 074787 Amelia Desegy I 77,150 5,605 3,000 12,500
29 049474 Syukur Prayudha 16,500 - 2,000
30 003495 Eni M 13,500 -
31 063751 Iksan 23,500 -
32 106283 Ellysia Anindya 118,200 9,336 3,000 12,500
33 110133 Wasilah 62,000 4,227 3,000 12,500
34 110132 Sarno 65,500 4,545 3,000 12,500
35 110014 Najwa Asyifa 16,500 - 2,000
36 085839 Wadiron 59,500 4,000 3,000 12,500
37 067712 Susana Retno 64,920 4,402 3,000 12,500
38 100842 Hanifah 16,500 - 2,000
39 060683 Karto Diharjo 90,500 6,727 3,000 12,500
40 150904 Agus Sulis 2,500 227
41 110089 Yeni Setyo 71,250 5,068 3,000 12,500
42 089467 Sulami 34,000 - 4,000
43 109398 somo Pawiro 210,800 16,073 4,000
44 109938 Maria Sulistyo By 9,000 - 4,000
45 109966 Maria Sulistyo 9,000 - 4,000
46 079153 Kasno Marto 104,700 6,336 4,000
47 090899 Mutmainah 34,000 - 4,000
48 110134 Atika dewi 49,500 - 3,000 12,500
49 041857 Yulius Dewi 28,350 2,577
50 093942 Warih Mulyo 47,500 - 4,000
51 150908 Marto 12,000 1,091
52 054282 San Karto 81,950 4,268 4,000
53 104707 Slamet Sutarman 58,000 2,182 4,000
54 109630 Marto Wiharjo 135,100 10,873 3,000 12,500
55 002438 Jiman 72,700 3,427 4,000
56 063150 Sartem 175,750 12,795 4,000
57 107584 Siti Ngaisah 34,000 - 4,000
58 109919 Fajar Hidayat 89,000 5,000 4,000
59 059665 Tuti Mulyani 144,300 10,027 4,000
60 098818 Tugiyanto 103,000 6,273 4,000
61 109729 Muh Fadlun 116,500 7,500 4,000
62 107474 Sopandi 207,350 15,759 4,000
63 110025 Maenah 256,750 17,059 4,000
64 006178 Tyasmini 6,000 545
65 110137 Nurrohmah 47,000 -
66 110136 Kaysa Ayunira 34,000 - 4,000
67 109931 Hartono 106,500 - 4,000 20,000
68 110029 Dion Farel 75,695 3,790 4,000
69 109605 Agusta Ratna 43,320 847 4,000
70 082199 Hesti Dwi L 55,500 - 4,000 20,000
71 032648 Aminudin 2,800 255
-
4,716,600 122,900 301,036 743,925 236,500 - - 257,650 - 686,625 - 181,000 137,500 - 100,000

Jurnal Umum 4,593,700


Kas dari Kassa 4,594,200
Selisih Kas 500
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 11 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

11 1 095713 Alanna Zahira W 1,727 30,800 22,200 4,000


2 104170 Alfiesya Rahmania 182 7,200 28,800 4,000
3 061200 Catur Aiwa U - 23,000
4 098498 Albertus Aditya - 37,400 20,300 4,000 20,000
5 110141 Arohman Wibowo 74,300 - 4,000 20,000
6 106036 Rasminah 97,750 - 4,000 20,000
7 078577 Kartip 41,200 -
8 110140 Jarsoni 149,600 - 4,000 20,000
9 150917 Sutrisno 52,800 -
10 001132 Eko Wahyudiono 9,000 818
11 025229 Ade Irawan 31,500 -
12 056884 Samijem 65,250 - 4,000 20,000
13 083842 Wahyu Dwi a 35,760 3,251
14 087505 Aulia Arsy A 82,800 - 4,000 20,000
15 110011 Agung Nugroho 107,000 5,636 4,000
16 054235 Arif Efendi 116,850 - 4,000 20,000
17 110142 Maulida Asril 57,150 - 4,000 20,000
18 059075 Maharani Eka P 81,500 - 4,000 20,000
19 110145 Ali akbar J 138,950 - 4,000 20,000
20 150919 Ning 15,800 -
21 094798 Wini Handayani 39,600 -
22 042584 Indah 79,200 -
23 104914 Irnia Julika 79,200 -
24 005976 alipah 68,900 -
25 110144 Ezra 47,000 -
-
1,429,910 41,200 11,615 98,400 - - - - - 71,300 - 52,000 - - 200,000

Jurnal Umum 1,388,710


Kas dari Kassa 1,389,000
Selisih Kas 290

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 12 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

12 1 097596 Eko Yuli - 21,000 2,000


2 052052 Yuni Widyaningsih - 112,300 4,000 20,000
3 070095 Karyo Rejo - 152,500 4,000 20,000
4 000875 Darsinah - 6,800 27,200 4,000 20,000
5 073121 Rovina Bunga C 5,702 78,226 3,000 12,500
6 004219 Agustina Pratiwi 4,323 12,610 50,440 3,000 12,500
7 005934 Titi Lestari 3,091 34,000
8 Meterai 6,000 - 6,000
9 073175 Pasien Luar 31,000 2,818
10 087829 antonius Dwi Y 44,500 - 4,000 20,000
11 110014 Najwa a 16,500 - 2,000
12 110084 Bambang 25,000 - 2,000
13 012637 Sarbini 34,000 - 4,000
14 018175 Ahmad Royan 58,000 - 2,500
15 099845 Lucky Yuda 52,400 2,445 3,000 12,500
16 102656 Nur Hidayati 127,300 5,618 3,000 12,500
17 075792 Zeri Enggang 181,325 - 4,000 20,000
18 082457 Farel apriyanto 88,500 6,636 3,000 12,500
19 105181 Qori 50,600 3,191 3,000 12,500
20 109840 Sulami 15,500 - 3,000 12,500
21 032624 Marsinta Manik 32,500 2,955
22 086246 Munirah 123,500 8,045 4,000
23 110152 Angger Putra 16,500 - 2,000
24 085479 Tanti 19,500 -
25 001732 Mijan 83,700 4,427 4,000
26 094772 Sagiyo 34,000 - 4,000
27 110151 Khotijah 49,500 1,409 4,000
28 079853 sumi 143,400 9,855 4,000
29 107462 Ho Yung Fa 47,500 - 4,000
30 018240 Tri Artati 12,000 -
31 Alex Febrianto 45,000 - 45,000
32 034744 Ita Dwi Rachmanti 12,000 1,091
33 150923 Mariyem 17,350 1,577
34 107245 Sulasmiati 168,900 12,264 4,000
35 110155 Tri Kosasih 84,000 - 4,000
36 055079 Suripah 295,750 21,568 4,000
37 091645 Pagem 87,325 4,848 4,000
38 049945 Ngadiyem 235,550 18,232 4,000
39 110149 Ratinah 180,320 10,575 4,000
40 100887 Sodirah 196,250 14,750 4,000
41 109142 Siswo Suparto 34,000 - 4,000
42 107628 Moh Kodiran 143,625 9,875 4,000
43 086318 Marto Diwiryo 153,250 10,841 4,000
44 028866 Rahmi 252,600 16,682 4,000
45 109537 Warihan 96,350 5,259 13,000 3,000 12,500
46 071329 Ajeng Thanti 15,500 - 3,000 12,500
47 015762 Risa Noviana 165,000 5,227 4,000 20,000
48 109536 Bambang Susmary 58,000 - 4,000 20,000
49 108742 Abraham 18,000 - 2,000
50 109085 Yuda Indrawan 90,190 6,790 3,000 12,500
51 077184 Suharti 116,200 7,473 4,000
52 021054 On On Bernat 13,500 -
53 109609 Hidayatul Sopiyan 68,500 - 4,000
54 057106 Sunarso 63,100 - 4,000 20,000
55 080716 Kalika Naida C 63,600 - 4,000 20,000
56 110004 Saini 102,750 6,250 4,000
57 110158 Riyanti Puspita 34,000 - 4,000
58 110127 Bulan Ayu 34,000 - 4,000
59 110159 Siti Nur Aini 34,000 - 4,000
60 109999 Jarmiyah 116,050 7,459 4,000
61 103865 Saiful Nur Yasin 44,000 - 4,000
62 110157 Henty 34,000 - 4,000
63 105065 Indri astuti 61,750 2,523 4,000
64 046413 Bintang Arden 101,000 - 4,000 20,000
65 010472 Hana Setyawati 34,000 - 4,000 20,000
66 105958 Eni Meiyanti 233,250 16,159 4,000
67 108797 Jaiman 117,000 - 4,000
68 110154 Sefira Agustina 95,000 - 55,425 4,000 20,000
69 004541 Umi Heni 1,000 11,000
70 005976 Alipah - 72,000
-
4,962,385 45,000 240,958 467,561 13,000 - - 133,300 - 77,640 - 216,500 125,000 - 240,000

Jurnal Umum 4,917,385


Kas dari Kassa 4,917,800
Selisih Kas 415

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 13 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

13 1 110037 Alex Febrianto - 49,000 4,000 20,000


2 046357 Sawiyem 6,241 103,650 4,000
3 001826 Mikaela Sr. 8,136 21,000 84,000 3,000 12,500
4 150935 dr. onggo 2,364 26,000
5 022524 dr. Nrimanto 14,682 32,300 129,200
6 Pramudita 200,000 - 160,000 170,000
7 055973 Yohana Maria - 48,000
8 109784 Nur Salam - 50,000
9 004682 Agus 13,500 -
10 110165 Arsinah 123,250 - 4,000 20,000
11 Umi Heni 11,000 - 11,000
12 087296 Reni Komariyah 77,000 7,000
13 150933 Kusbandiyah 4,000 364
14 110163 Paini 86,382 - 4,000 20,000
15 150531 Rosdiana 14,000 1,273
16 077183 Siti Padmiasih 13,500 -
17 Alipah 72,000 - 72,000
18 105163 Eti Yuniarsih 422,700 34,018 4,000
19 109766 Iman Nurohman 236,750 16,159 4,000
20 Isyak Yanuar H 185,100 - 185,100
21 085787 Poniyati 448,050 16,705 4,000 20,000
22 109808 Suwanto 150,450 - 4,000 20,000
23 Yosepha I 30,000 - 30,000
24 Safira agustina 55,425 - 55,425
25 068810 Bina Husada 11,000 -
26 108277 Muhajir 38,500 409 4,000
27 079325 Dwi Puryani 9,000 - 4,000
28 110034 Dwi Puryani By 9,000 - 4,000
29 Samuel Bahtiar 230,375 - 230,375
30 061353 Sudarsih 58,000 - 2,500
31 099070 Tursiyah 39,700 2,200 3,000 12,500
32 110170 Sumiyati 90,200 6,791 3,000 12,500
33 109004 Parsiyah 41,500 2,273 3,000 12,500
34 108582 Sustriani 34,000 - 4,000
35 108368 Soliyah 154,682 10,880 4,000
36 053913 Kamsiyah 177,725 9,875 4,000
37 103799 Kiran 34,000 - 4,000
38 046974 Wakem 335,500 27,409 4,000
39 Nurudin 10,000 - 10,000
40 004533 Liswati 81,000 - 4,000
41 110171 Ullin Napsi 184,550 8,641 4,000
42 057973 Sakimin 58,450 2,132 4,000
43 110021 Suradimulya 217,450 16,586 4,000
44 070563 Siyam 86,800 4,800 4,000
45 107735 Saliyem 165,000 11,909 4,000
46 102576 Parilah 115,450 7,314 4,000
47 050406 Njoo Djoen A 78,500 4,045 4,000
48 108871 Ariani Dewi 23,000 -
49 010262 Sukirdi 120,700 7,882 4,000
50 009839 Cipto utomo 44,450 859 4,000
51 050262 Tuminem 77,600 - 4,000 20,000
52 055828 Handoyo 143,300 - 4,000 20,000
53 061732 Endang Ari 13,500 -
54 001423 Samsuri 33,000 3,000
55 093283 Chika Putri 60,650 4,105 3,000 12,500
56 074787 Amelia Desegy 64,700 4,473 3,000 12,500
57 092275 Arya Pandita 65,500 4,545 3,000 12,500
58 062244 Sunarsih 56,000 2,000 4,000
59 106726 Bambang Riyanto 160,450 11,405 4,000
60 104461 Disun 190,150 12,377 4,000
61 024310 Sopiyah 131,200 8,745 4,000
62 095794 Miah 6,000 545
63 008949 Suniah 57,640 2,149 4,000
64 104381 Desi Natalia 59,000 - 4,000 20,000
65 038077 Siti Habibah 127,500 - 2,500
66 110176 Imam Sugiarto 101,000 - 4,000 20,000
67 101243 Widi Atmoko 95,975 - 4,000 20,000
-
6,034,804 - 284,291 386,300 583,900 - - - - 316,850 - 340,000 87,500 - 210,000

Jurnal Umum 6,034,804


Kas dari Kassa 6,035,400
Selisih Kas 596

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 14 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

14 1 106001 Jenny Ilyas 74,600 6,782 34,000 4,000


2 072664 Herlina 7,500 130,500 3,000 12,500
3 093458 Kurnia Sulistya D 12,745 155,700 3,000 12,500
4 098920 Dhoni Widiyanto - 102,000 4,000 20,000
5 110198 Tiroh utami - 103,800 4,000 20,000
6 070095 Karyo Rejo 1,527 42,300 3,000 12,500
7 110207 Wati 86,926 14,811 110,000 4,000
8 083842 Wahyu Dwi A 818 9,000
9 026173 Ida Irmayanti 2,645 29,100
10 001186 Wardani 5,427 59,700
11 076837 dr. Palupi 194 2,135
12 011136 Yosepha I 2,382 26,200
13 044715 Agnes Herna P 864 9,500
14 Sanatam 190,000 -
15 015500 Setyaningsih 4,300 391
16 005976 Alipah 25,300 2,300
17 110174 Rizki 69,500 - 4,000
18 000082 Aan Sri W 49,500 - 4,000 20,000
19 110178 Nova 67,900 - 4,000 20,000
20 110180 Laksono 42,700 - 4,000 20,000
21 007756 Septian saputra 90,750 - 4,000 20,000
22 110181 Untung Budiyanto 88,650 - 4,000 20,000
23 110183 Siswo Pranoto 99,500 - 4,000 25,000
24 110184 Mursini 137,050 - 4,000 20,000
25 075096 Agus Dwi 24,100 2,191
26 110186 Dafa Rifaul 101,350 7,805 3,000 12,500
27 110188 Sutikno Hadi 10,000 -
28 022531 Hadi Suwito 105,000 -
29 082816 Siti Jubaidah 22,000 -
30 000348 Niken 13,500 -
31 082225 Endang Wagiyana 10,000 -
32 106418 Andira Kirana 88,540 3,004 3,000 12,500
33 102014 Rakiyem 120,200 6,518 4,000
34 110190 Pawit Setyawati 111,750 3,295 3,000 12,500
35 090634 Slamet 69,250 3,205 4,000
36 107736 Maslahah 120,775 7,889 4,000
37 052909 Mohamad ansori 162,550 11,595 4,000
38 034005 sawiyem 4,400 400
39 001391 Suwarti 144,950 9,995 4,000
40 022524 dr. Nrimanto 220,000 20,000
41 109582 Rusmin 57,250 2,114 4,000
42 110193 Haryo Sungkono 265,085 - 4,000 20,000
43 042071 Ruslan 135,800 9,164 4,000
44 110189 Maryanom 156,920 6,629 4,000
45 102139 Wasiyem 97,950 5,723 4,000
46 101336 Murtini 225,950 17,450 4,000
47 106511 Saring 103,750 6,341 4,000
48 043391 Mad Noto 94,000 5,455 4,000
49 056399 Sutarto 108,600 6,782 4,000
50 091349 San Waryo 62,000 1,636 4,000
51 109511 Mad Sari 198,500 11,636 4,000
52 014710 Tersius Siswadi 161,500 11,591 4,000
53 041934 Subariyah 119,800 7,436 3,000 12,500
54 022147 Musniyah 55,000 2,682 3,000 12,500
55 108449 Widiarso 91,350 4,532 4,000
56 110194 San Mardi 148,250 12,068 3,000 12,500
57 110192 Anton Setiawan 149,000 5,409 4,000
58 110175 Pindah sapto 148,600 10,418 4,000
59 108298 Tukinah 39,600 3,600
60 105134 Erni Setyorini 39,600 3,600
61 110169 Kapti Astuti 148,600 10,418 4,000
62 110146 Tunjung Winarsih 56,050 5,095
63 110196 Moh samsul 59,800 - 4,000 20,000
64 109808 Suwanto 73,300 - 4,000 20,000
65 110195 Nur hikmah 148,350 - 4,000 20,000
66 108918 Dwi Agni 83,000 -
67 016928 Sarjono 15,000 1,364
68 110185 Diyan Ajeng 65,700 2,882 4,000
69 107436 Yulianti 9,000 -
70 109986 Siswo 99,226 5,930 4,000
71 110199 Ipung Galih 123,600 8,145 4,000
72 088188 Riyanah 79,200 7,200
73 100918 Suparmi 39,600 3,600
74 095542 Rusmiyati 39,600 3,600
75 107366 Mulyani 79,200 7,200
76 103435 Lina Mirnawati 48,050 - 4,000 20,000
77 110197 Tinta Novia 67,350 3,032 4,000
78 072624 Rahayu Jati 79,200 7,200
79 107666 Tri Puji Aswari 39,600 3,600
80 061981 Riptinah 39,600 3,600
81 109882 Sulastri 152,000 9,818 4,000
82 087263 Pingah 39,600 3,600
83 099374 Sukarni 83,000 -
84 098685 Gopon 247,976 19,361 4,000
85 098776 Novianti Wulandar 110,000 6,909 4,000
86 022667 Nasiyah 75,400 - 4,000 20,000
87 104096 Sri Wahyuningsih 39,600 3,600
88 103814 Kartini 79,200 7,200
89 105788 Sriyati 39,600 3,600
90 106439 Siti Rohana 39,600 3,600
91 030838 Tri Widarningsih 39,600 3,600
92 067762 Sudarmi 39,600 3,600
93 110201 Walimah 108,600 6,782 4,000
94 110200 Sri Lestari 139,226 9,566 4,000
95 101570 navitalia Sugara 122,452 8,041 4,000
96 094473 Sri Aminah 79,200 7,200
97 103074 Siti Fatonah 79,200 7,200
98 074632 Ambar Ari Asih 39,600 3,600
99 109948 Lilawati 107,250 9,750
100 106908 Sainah 49,250 477 4,000
101 108802 Surtinah 79,200 7,200
102 080620 Napsiyah 156,000 6,545 4,000
103 103407 Yatminah 73,600 3,600 4,000
104 098659 Raul Abrar 122,276 8,025 4,000
105 062742 Yuli Tantiani 291,452 23,405 4,000
106 107390 Ari wiji L 162,752 11,705 4,000
107 110212 Mursiti 84,000 - 4,000
108 100160 Dwi Ari 84,000 - 4,000
109 110202 Suharyanti 84,000 - 4,000
110 083668 Kasini 84,000 - 4,000
111 060489 Panca aiwa 84,000 - 4,000
112 107436 Yuliyanti 84,000 - 4,000
113 019101 Yohana Reni 84,000 - 4,000
114 089581 Nurhayatiningsih 84,000 - 4,000
115 110060 Eka Ristyani 84,000 - 4,000
116 109948 Nilawati 44,000 - 4,000
117 068069 Eni Supriyanti 136,250 8,386 4,000
118 079835 Nazwa 34,000 - 4,000
119 109977 Eni Supriyanti 10,000 - 4,000
120 110005 Sainah 10,000 - 4,000
121 109979 Nilawati 10,000 - 4,000
122 105024 Suwarni 79,200 7,200
123 110003 Nita Yunita S 123,030 8,094 4,000
124 104157 Quinza Lindhia 34,000 - 4,000
125 110207 Wati 86,926 7,902
126 109427 Nur Hanifah 39,600 3,600
127 110204 Muamar 164,226 11,839 4,000
128 073162 Ester Yuliana 79,200 7,200
129 057722 Triyono 245,000 19,182 4,000
130 102716 Inayat Hanum 39,600 3,600
131 110210 Restu Rizki 69,000 3,182 4,000
132 109652 Budi 109,000 6,818 4,000
133 110211 Prity Kurnia 84,926 4,630 4,000
134 109425 Irvan Nurdiansyah 153,026 10,821 4,000
135 107848 Linda Sulistyo 39,600 3,600
136 062999 Tegar Dwi P 39,600 3,600
137 093087 Evit 39,600 3,600
138 107386 Nining Asgiya 39,600 3,600
139 109404 Windi Septina 39,600 3,600
140 109917 Mujilah 62,500 1,591 4,000
141 109874 Kusmini 66,600 1,964 4,000
142 110303 Budiyono 34,000 - 4,000
143 110063 Ariswan 117,200 5,882 4,000
144 110212 Nursiti 191,000 17,364
145 064623 RSU Purwogondo 23,000 2,091
146 109668 Umiyati 79,200 7,200
147 110206 Afif Afianti 108,600 6,782 4,000
148 108963 Ika Wonarti 39,600 3,600
149 107677 Erlina Else 39,600 3,600
150 109423 Kurnia B 39,600 3,600
151 109429 Ani Purwaningsih 39,600 3,600
152 110209 Ferdian Benny 34,000 - 4,000
153 106910 Wahyu susilowati 102,100 6,191 4,000
154 099751 Wajib 100,000 6,000 4,000
155 105743 Andewi 79,200 7,200
156 105170 Nenti Kusuma 70,250 6,386
157 097958 Siti Rejeki 39,600 3,600
-
12,572,440 - 726,504 391,735 - 34,000 - 388,200 - - - 367,000 112,500 - 305,000

Jurnal Umum 12,572,440


Kas dari Kassa 12,573,500
Selisih Kas 1,060

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 15 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

15 1 023327 Waluyo - 10,200 40,800 4,000 20,000


2 035715 Siti Maftukhah - 84,000 4,000
3 110208 Indah Yuli Anata - 34,000 4,000
4 013494 Sri Suhartinah 9,868 142,550 4,000
5 006137 dr. Harnowo 3,209 35,300
6 039731 Endang 3,545 39,000
7 010691 Supadi 3,232 35,550
8 054948 Wiwin Wignyoningsih 3,600 39,600
9 019101 Yohana Reni 7,091 78,000
10 110077 Eko Trianto 80,250 2,250 4,000
11 099374 Sukarni 184,500 11,727 4,000
12 026283 Satiyem 83,300 7,573
13 062134 Masnidah 34,000 - 4,000
14 108918 Dwi ayu Retno 60,700 1,427 4,000
15 150961 Alipah 13,000 1,182
16 075644 Evi Sri H 26,400 2,400
17 083842 Wahyu Dwi A 32,000 2,909
18 064885 Claudya Sessy 72,100 - 4,000 20,000
19 110215 Iwan Nugraha 77,950 - 4,000 20,000
20 110218 Eko Muhrodin 83,750 - 4,000 20,000
21 022147 Musniyah 13,000 - 3,000
22 110220 Agus P 58,000 - 2,500
23 097927 Sri Kaheru 31,500 -
24 100346 Prawito 262,650 5,605 4,000 20,000
25 150964 Suginah 22,500 2,045
26 110222 Suwarni 230,250 6,332 4,000
27 110055 Yulia Entin 9,000 - 4,000
28 110226 Suwarni 47,300 2,891 3,000 12,500
29 110087 Karto Pawiro 70,000 3,273 4,000
30 110225 Sadi 88,000 2,045 3,000 12,500
31 072282 Erna 18,500 - 2,000
32 046808 Murtini 71,450 3,405 4,000
33 110223 Sairah 31,800 1,482 3,000 12,500
34 097904 Sartiyah 89,750 6,750 3,000 12,500
35 032648 Aminudin 9,300 845
36 078166 Parsiyem 15,500 - 3,000 12,500
37 080100 Puspa Rini 27,500 - 2,000
38 010229 Sugiyarti 13,500 -
39 110221 Marsin Abdul hadi 34,000 - 4,000
40 110224 Slamet 129,700 8,291 4,000
41 086974 Syamsuri Hery P 33,000 3,000
42 096556 Tujianti 47,500 - 4,000
43 096356 Satinah 58,500 - 4,000
44 Wati 87,000 (7,909)
45 Tersius Siswadi 30,000 2,727
46 150963 Sarjono 93,800 8,527
47 150965 Nur 39,600 3,600
48 078364 Sawiyah 131,610 8,783 4,000
49 100007 Haryati 57,000 2,000 4,000
50 110020 Soimun 104,450 5,586 4,000
51 050966 Lamet atmowiyoto 100,650 6,059 4,000
52 110117 Tusiyem 227,700 17,518 4,000
53 109746 Sartini 117,300 7,573 4,000
54 110106 Sartini 163,950 11,723 4,000
55 109792 San Wasdi 95,450 5,495 4,000
56 075133 Suwito Prawiro 31,500 -
57 064623 RS Purwogondo 525,000 -
58 108742 Abraham 18,000 - 2,000
59 Retnowati Yeni 200,000 -
60 110123 Ferlita 42,075 734 4,000
61 106823 Azzura Naura 34,000 - 4,000
62 110235 Bagas F 34,000 - 4,000
63 110284 Nafisa 34,000 - 4,000
64 110103 Retno Kusuma 34,000 - 4,000
65 105181 Qori 34,000 - 4,000
66 109511 Madsari 34,000 - 4,000
67 110231 Fadi Afriza 152,950 - 4,000 20,000
68 107453 Watinah 117,800 - 4,000 20,000
-
4,612,985 87,000 178,394 464,200 - - - - - 74,800 - 174,500 62,500 - 140,000
Jurnal Umum 4,525,985
Kas dari Kassa 4,525,700
Selisih Kas (285)

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 16 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

16 1 097596 Eko Yuli - 21,000 2,000


2 075023 Okti Mayasari - 84,000 4,000
3 074106 saptania Pukasari - 84,000 4,000
4 066905 Nathania Kayla Y - 17,750 17,750 3,000
5 068719 Amanda aprilianti S - 27,750 27,750 3,000
6 051797 Anasthasya Y - 26,500 26,500 3,000
7 066959 Olivia Atmaja - 16,500 16,500 3,000
8 057106 Sunarso 982 59,800 3,000
9 017156 Sr. yustina 6,909 45,750 45,750 3,000 12,500
10 005976 Alipah 9,500 104,500
11 005934 Titi Lestari 1,109 12,200
12 083841 Nurwidayati 7,559 83,150
13 006002 V Sudarman 2,521 27,726
14 109589 Sugiyah 68,500 3,136 4,000
15 102915 Teguh Dwi H 45,000 - 4,000
16 110228 San Wardi 190,000 -
17 093292 Ety Wahyuningsih 8,000 727
18 003180 Sulastri 39,600 3,600
19 105181 Qori 92,990 8,454
20 046104 Stefanus Suwitom 32,000 -
21 110233 Abdul Mutolip 127,500 - 2,500
22 026974 Sugiyanto 13,500 -
23 050293 Widarti 13,500 -
24 034744 Ita Dwi R 9,800 891
25 072513 Atit Yuni S 19,500 1,773
26 087308 Imam Santoso 8,950 814
27 043331 Lugiyati 14,550 1,323
28 150969 Tri Septi 39,600 3,600
29 064623 RSU Purwogondo 146,650 13,332
30 108782 Untung Subadi 62,500 - 4,000 20,000
31 Seraphin 353,400 - 353,400
32 034936 Ega Riski 17,000 - 2,000
33 110186 Dafa Rifaul F 108,200 8,427 3,000 12,500
34 022147 Musniyah 55,000 2,682 3,000 12,500
35 110243 Sudarni 51,500 -
36 110244 Harun 58,000 - 2,500
37 110239 Mujiono 18,000 - 2,000
38 110246 Sani Rofikoh 91,400 6,900 3,000 12,500
39 110245 Ridwan Edi 148,150 - 4,000 20,000
40 110242 Ngadiyah 32,000 -
41 069698 Walem 87,950 4,814 4,000
42 059870 amad Sumanto 133,250 8,932 4,000
43 044690 Karto Diharjo 116,300 7,391 4,000
44 000979 Iwan Wijaya 47,500 - 4,000
45 098146 Ruslan 125,000 9,868 17,550 4,000
46 110240 Keminah 156,572 11,052 4,000
47 078785 Ronald Yuda 50,000 4,618 800
48 110104 Baryati 126,350 8,305 4,000
49 110010 Darsiyah 34,000 - 4,000
50 108782 Untung Pribadi 31,200 2,836
51 094064 Supriyasih 85,650 4,605 4,000
52 086590 Septian Indra 34,000 - 4,000
53 110243 Sudarmi 167,500 11,136 4,000
54 098075 Ahmad Ridwan 67,000 -
55 006296 Poniman 22,500 164 29,800 3,000
56 109437 Wagimin 152,500 10,773 4,000
57 055079 Suripah 122,000 5,682 4,000
58 110019 Kisem 187,950 13,995 4,000
59 110152 Angger P 16,500 - 2,000
60 060875 Wasilah 2,550 232
61 053834 Kasinah 48,500 - 4,000
62 110241 Sri agustina 84,630 1,875 4,000
63 150974 Yuli Gestati 39,500 3,591
64 043959 Prasetyo 121,000 11,000
65 110254 Puput Sonia 103,000 1,727 4,000
66 027370 Slamet Pujiono 242,000 22,000
67 110252 Widi astuti 93,500 864 4,000
68 110253 Ester Yuliana 156,100 6,555 4,000
69 057666 Retno K 95,000 4,545 4,000
70 109882 Sulastri 45,000 - 4,000
71 110250 Misnem 84,000 - 4,000
72 001291 Tri Yuliani 84,000 - 4,000
73 110251 Fifi Yunita 84,000 - 4,000
74 021701 Fitria Handayani 84,000 - 4,000
75 105072 Suryana 84,000 - 4,000
76 110255 Farida aryanti 141,000 5,182 4,000
77 089961 Achmad Ichasani 327,100 - 4,000 20,000
78 110047 Retno Sri W 34,000 - 4,000
79 Wiwin Wignyo 39,600 - 39,600
80 031188 Rosalia Hartati 34,000 - 4,000
81 110125 Marfungah 55,450 950 4,000
82 110247 Mujiyati 34,000 - 4,000
83 Meterai 12,000 - 12,000
-
5,756,442 - 246,929 523,976 393,000 - - 105,000 - 164,050 - 207,000 50,000 - 60,000

Jurnal Umum 5,756,442


Kas dari Kassa 5,757,000
Selisih Kas 558

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 17 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

17 1 098920 Dhoni Widhiyanto - 245,750 4,000 20,000


2 096776 Nindito Kurniawan 3,164 50,300 3,000 12,500
3 011136 Yosepha I 909 19,000 4,000
4 150982 Sr. Bernada 11,739 129,125
5 150978 Hepi 6,990 76,885
6 086489 Eko Adi - 16,500 2,000
7 Ruslan 17,600 - 17,600
8 109426 R Untung Surono 110,452 10,041
9 002321 Yulianus Sarwono 8,700 791
10 105072 Suryana 30,000 2,727
11 110165 Arsinah 76,900 - 4,000 20,000
12 005068 Kiem Mei Lan 13,500 -
13 150981 Lutfi 13,500 1,227
14 150979 Riyani 63,800 5,800
15 150980 Marsinta Manik 57,300 5,209
16 002458 Kusmiyati 40,700 3,700
17 022147 Musniyah 13,000 - 3,000
18 010229 Sugiyarti 13,500 -
19 084663 Fauzal Leo 16,500 - 2,000
20 072513 Atit Yuni 10,000 - 2,000
21 110135 Yati 10,000 - 4,000
22 098454 Sahinah 139,250 11,159 3,000 12,500
23 001497 Hadirejo 137,525 8,084 3,000 17,000
24 058435 Surati 42,950 2,495 3,000 12,500
25 110260 Slamet 81,500 1,455 3,000 12,500
26 094763 Kasiyah 99,200 7,609 3,000 12,500
27 110259 Sudiro 137,300 5,345 3,000 12,500
28 008066 Subarjo 247,500 20,455 3,000 12,500
29 110032 Wagiyem 60,400 4,082 3,000 12,500
30 095111 Nasrowi 87,500 5,318 3,000 12,500
31 18677 Syukur P 16,500 - 2,000
32 110263 Partino 42,000 2,409 3,000 12,500
33 110036 Andri Suliana 48,950 2,132 3,000 12,500
34 068528 Soekardi 198,450 14,495 3,000 12,500
35 110089 Yeni Setyo 13,500 -
36 109630 Marto Wiharjo 75,250 4,523 3,000 12,500
37 106486 Naifa murni 49,000 3,045 3,000 12,500
38 106237 Naila Murni K 50,500 3,182 3,000 12,500
39 108948 Arif 181,500 16,500
40 107635 Agus Riyanto 46,800 - 4,000 20,000
41 110193 Haryo Sungkono 105,800 7,300 3,000 12,500
42 110258 Langsam 154,400 - 4,000 20,000
43 110264 Mis Madusari 114,400 - 4,000 20,000
44 110266 Parwoto 80,350 - 4,000 20,000
45 110265 Widya 42,700 - 4,000 20,000
46 150998 Endarti 4,300 391
47 101931 Untung Susilo 84,250 - 4,000 20,000
48 108179 Danendra 93,200 5,382 4,000
49 108822 Nathanael Develin 85,450 4,677 4,000
50 103862 Muhith Ilmal 38,500 409 4,000
51 103127 Jennefer Vanesa 38,500 409 4,000
52 009716 lilis 13,500 -
53 101816 Subiyati 93,750 5,432 4,000
54 110265 Widya 34,000 - 4,000
55 110262 Adman 56,000 - 4,000 20,000
56 088258 Alexander Cahyo 60,450 - 4,000 20,000
57 043907 Cundoko 69,500 -
-
3,420,077 - 188,585 112,385 17,600 - - 296,050 - 129,125 - 134,000 217,000 - 200,000

Jurnal Umum 3,420,077


Kas dari Kassa 3,420,100
Selisih Kas 23

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 18 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

18 1 106664 Fadhil Hidayat 3,250 69,750 4,000


2 110267 Iswanto - 144,000 4,000 20,000
3 065419 Kafka Ridho - 17,375 17,375 4,000 20,000
4 085719 Zaimatu A - 33,350 19,750 4,000 20,000
5 055943 Gustav Dimas - 69,150 22,350 4,000 20,000
6 57172 alipah - 11,000
7 27178 Nasiran - 27,750
8 27177 Samsiyah - 7,000
9 27186 Yusiva - 11,250
10 003400 Sr. Veronika - 580,275 580,275
11 27183 Sr. Felisitas - 27,250 27,250
12 27171 Suti Rahayu 39,600 -
13 27165 Sarjono 12,000 -
14 110275 Asfa 57,150 - 4,000 20,000
15 104626 Nabila 107,950 - 4,000 20,000
16 110225 Sukamto 66,250 - 4,000 20,000
17 110274 Widyaningrum 72,350 - 4,000 20,000
18 27166 Prasojo 11,000 -
19 110272 Sudi Karsono 47,000 - 4,000 20,000
20 027563 Andi 92,650 - 4,000 20,000
21 110271 Lasinah 46,750 - 4,000 20,000
22 27161 Sri Astuti 7,500 -
23 27160 Umi 13,500 -
24 27159 Musnah 5,500 -
25 27158 Iin 6,800 -
26 055166 Joko Suwarno 76,500 -
27 110047 Retno W 190,000 -
28 104381 Desi Natalia 73,500 - 4,000 20,000
29 Waluyo 10,200 - 10,200
30 076426 Sri Sarwi B 64,500 -
31 010229 Sugiyarti 13,500 -
32 026928 Valdo 157,850 - 4,000 20,000
33 017884 Mingan 101,000 - 4,000 20,000
34 110283 Ibnu Bima 112,450 - 4,000 20,000
35 110281 Salim 81,600 - 4,000 20,000
36 071044 Suradi 183,300 - 4,000 20,000
37 110286 Irawan 147,150 - 4,000 20,000
38 110287 Diah ayu 69,100 - 4,000 20,000
39 094057 Galas 87,200 - 4,000 20,000
40 27199 Oka 1,550 -
41 049562 Untung 76,400 - 4,000 20,000
42 110290 Raminah 84,800 - 4,000 20,000
-
2,116,600 - 3,250 928,400 10,200 - - 69,750 - 667,000 - 92,000 - - 440,000

Jurnal Umum 2,116,600


Kas dari Kassa 2,116,900
Selisih Kas 300

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 19 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

19 1 097596 Eko yuli - 21,000 2,000


2 086489 Eko Adi - 16,500 2,000
3 061452 Elsa Desiana - 30,000 20,000 4,000 20,000
4 27203 Tri Sundarwati 505 5,550
5 27209 Agus 4,400 800 4,400
6 083841 Nurwidayati 2,527 27,800
7 27204 Martha 1,236 13,600
8 099327 Bima A 41,500 - 4,000 20,000
9 097927 MG Sri Kaheru 31,500 -
10 106888 Kasimin 32,500 -
11 27205 Basuki 56,750 5,159
12 27207 Sarjono 33,500 3,045
13 022147 Musniyah 26,050 1,186 3,000
14 110099 Saimin 58,000 - 2,500
15 047595 Saridah 101,000 - 2,500
16 100842 Hanifah 16,500 - 2,000
17 110296 Sitri Diyanti 105,500 - 2,500
18 017382 Mardiyati 59,150 3,877 3,000 12,500
19 105339 Kimbiyono 226,450 - 4,000 20,000
20 000170 Lukito 31,500 -
21 041428 Petrus Rendra 18,500 - 2,000
22 109949 Surati 20,000 - 4,000
23 109882 Sulastri 20,000 - 4,000
24 048530 Wulan Tri L 179,300 12,845 3,000 12,500
25 107453 Watinah 71,550 5,095 3,000 12,500
26 090468 Sutarto 50,700 1,973 3,000 12,500
27 008431 Rilowati 47,000 -
28 110304 Indah Sulistyowati 19,500 955 4,000
29 110306 Lina Farida 81,750 - 4,000 20,000
30 110302 Sakimin 89,700 6,745 3,000 12,500
31 109537 Warihan 145,035 9,640 3,000 12,500
32 057666 Retno Kusumastut 20,000 - 4,000
33 107214 Petrus 5,900 536
34 110305 Sudin 54,500 -
35 109613 Sugiyo 42,700 700 4,000
36 110303 Hanifah 29,050 1,232 3,000 12,500
37 109721 Mad Sumeri 120,625 7,875 4,000
38 Imam 9,000 818
39 108741 Kasinah 112,020 2,547 4,000
40 101931 Untung Susilo 34,000 - 4,000
41 108368 Soliyah 227,450 17,586 4,000
42 078245 Agus Setiawan 34,000 - 4,000
43 007502 Yohana Pariyem 34,000 - 4,000
44 034936 Ega Risky 17,000 - 2,000
45 080713 Suyatmi 121,500 8,409 3,000 12,500
46 109032 Kisem 157,500 11,227 4,000
47 107651 Rusman Budi 38,500 409 4,000
48 110301 Dwi Pindawati 213,250 8,750 4,000
49 020178 Ramunatun 154,750 9,750 4,000
50 110300 Sakirah 116,525 2,457 4,000
51 110110 Sakiyem 125,875 8,352 4,000
52 110095 Partono 108,900 6,809 4,000
53 076122 Ratinah 130,750 8,795 4,000
54 109038 M Mustofa 40,400 2,264 3,000 12,500
55 090534 Teguh P 50,500 - 2,500
56 063454 Giacynta Eliana 11,850 1,077
57 065009 Sumarto 124,550 8,232 4,000
58 101083 Setiyanto 140,500 6,591 4,000
59 068682 Wiryo Suwito 38,500 409 4,000
60 086318 Marto Diwiryo 170,000 12,364 4,000
61 055827 Petrus Walgito 63,000 - 4,000
62 110308 Emon Dipo 147,715 10,338 4,000
63 107603 Eko Suparyanto 34,000 - 4,000
64 104023 Hong Bing Untung 183,750 8,932 4,000
65 039394 Kurniasih 1,700 155
66 109492 Mohammad Sofii 67,200 2,927 4,000
67 100649 Salamun Hadi 108,000 1,682 4,000
68 023144 Sujiyah 108,450 6,677 4,000
69 109606 Henrison R 157,000 2,091 4,000
70 105958 Eni Meiyanti 173,000 3,545 4,000
71 098075 Ahmad Riyadus 34,000 - 4,000
72 110232 Painem 695,200 63,200
73 015500 Setyaningsih 9,000 818
74 022524 dr. Nrimanto 237,200 21,564
75 110285 Wagini 144,100 13,100
76 110309 Mulyono 244,000 - 4,000 20,000
77 110311 Bintang 35,500 -
-
6,494,245 - 317,809 97,850 - - - 21,000 - 20,000 - 202,000 112,500 - 100,000

Jurnal Umum 6,494,245


Kas dari Kassa 6,494,700
Selisih Kas 455

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 20 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

20 1 110318 Setiyarini 12,009 147,600 3,000 12,500


2 060461 Sr. Marieta 11,905 65,475 65,475
3 017156 Sr. Yustina 5,250 36,625 36,625 3,000 12,500
4 070095 Karyo Rejo 5,114 71,750 3,000 12,500
5 109435 Edi Suratno 173,000 3,545 4,000
6 Painem 75,000 -
7 087319 Nurida Fitrianti 46,500 4,227
8 006137 dr. Harnowo 42,000 3,818
9 067397 Suyud 133,500 7,091 4,000
10 077771 Imam Supi 105,875 - 4,000 20,000
11 109822 Abdul Kolik 70,000 1,318 4,000
12 110213 Slamet 62,500 1,591 4,000
13 075644 Evi Sri Hardini 67,000 1,318 4,000
14 110125 Marfungah 131,750 7,205 4,000
15 107996 Cokro Suwito 80,250 2,250 4,000
16 110159 Siti Nur Aeni 41,600 691 4,000
17 110251 Fifi Yunita 30,000 2,727
18 110293 Lina Kania P 21,000 1,909
19 001540 Yuniarti 32,000 -
20 105163 Eti Yuniarsih 235,250 16,159 4,000
21 109772 Sri Wahyuni 82,000 - 4,000
22 089267 Mara Krisna 350,750 26,659 4,000
23 110310 Elisa 99,600 - 4,000 20,000
24 029389 Bharamida Dwi R 110,400 - 4,000 20,000
25 Nasiran 27,750 - 27,750
26 099899 Eem Prihartini 39,600 3,600
27 27214 Laeli 9,000 818
28 042996 Tuti Haryani 51,500 -
29 004533 Liswati 102,500 -
30 096482 Niken Kristianti 25,200 2,291
31 027896 Tasun S 18,500 - 2,000
32 098965 Arlinda Kinanti 33,050 1,595 3,000 12,500
33 27213 Ita Dwi R 11,500 1,045
34 Meterai 12,000 - 12,000
35 Pengobatan kary 2,290,000 - 2,290,000
36 017870 Kasirah 113,250 7,114 4,000
37 011875 Nasem 86,300 4,664 4,000
38 110319 Dul Korip 173,532 12,594 4,000
39 054282 San Karto 166,200 11,927 4,000
40 110202 Suharyanti 107,500 -
41 064376 Dainem 82,800 4,345 4,000
42 002355 W Nurhadi 61,750 1,705 4,000
43 023375 Warsinah 57,000 2,000 4,000
44 102589 Agus santoso 105,700 6,518 4,000
45 110038 Misran 103,575 6,325 4,000
46 109792 San Wasdi 104,750 6,341 4,000
47 098366 Dalimin 34,000 - 4,000
48 106407 Tugiyem 146,750 10,250 4,000
49 102820 Mastur 123,000 8,091 4,000
50 091349 San Waryo 38,500 409 4,000
51 056884 Samijem 140,050 9,641 4,000
52 062957 Tumini 207,250 15,750 4,000
53 010933 Muryani 19,500 955 4,000
54 086609 Wasimun 139,000 9,545 4,000
55 110221 Marsun Abdul 34,000 - 4,000
56 058699 Elisabeth Glory 34,100 1,691 3,000 12,500
57 078185 Karsono 87,500 773 3,000 12,500
58 110259 Sudiro 55,500 3,636 3,000 12,500
59 018787 Siti Marfungah 105,250 - 4,000 20,000
60 Hepi 76,885 - 76,885
61 026974 Sugiyanto 13,500 -
62 094737 Sukini 127,500 - 2,500
63 Naniek Sukarni 175,000 -
64 005350 Slamet agus 51,600 1,600 4,000
65 110310 Elisa 16,500 - 2,000
66 097541 Tumin 118,000 10,727
67 069767 Sudarno 122,150 8,014 4,000
68 110320 Nurul 38,545 - 4,000 20,000
69 27221 Yuli Gestati 8,900 809
70 064623 RSU Purwogondo 92,500 8,409
71 027896 Kidung Sih S - 38,100 38,100 4,000 20,000
-
7,778,412 - 277,969 211,950 2,394,635 - - 147,600 - 140,200 - 191,500 87,500 - 120,000

Jurnal Umum 7,778,412


Kas dari Kassa 7,778,800
Selisih Kas 388

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 21 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

21 1 102505 Saminah - 80,382 4,000 20,000


2 110336 Nur Muh Siswanto - 98,800 4,000 20,000
3 089609 Twinnia - 52,000 4,000 20,000
4 106466 Wina Khaerani A - 34,000 4,000
5 098469 Inaya Cyrendina 3,709 74,800 4,000
6 088636 Faiq Adiyatma 882 43,700 4,000
7 107036 Gyda Rafiqa D 550 40,050 4,000
8 097596 Eko Yuli - 21,000 2,000
9 005934 Titi Lestari 5,555 58,600 18,000 3,000 12,500
10 051797 Anasthasya Yudantari 1,727 34,500 3,000 12,500
11 000878 Anastasia Kristiati 6,091 62,800 59,200 6,000
12 042243 Waginah 2,318 25,500
13 004219 Agustina Pratiwi 4,182 46,000
14 005980 Chatarina Sri W 5,814 63,950
15 Siti Mafthukhah 59,500 - 59,500
16 050717 Endang Angkasawa 17,500 1,591
17 110173 Didit Diantoro 106,700 5,609 4,000
18 110007 Pariyah 122,000 8,000 4,000
19 070120 Sardi Susanto 112,250 5,432 4,000
20 110174 Rizki 45,000 - 4,000
21 110077 Eko Trianto 34,000 - 4,000
22 Dwi Sumanti 5,000 - 5,000
23 003190 Sugiyanti 29,000 2,636
24 110310 Elisa 16,500 - 2,000
25 110323 Sri Ismiyatun 65,000 -
26 Dri Daryati 72,500 - 72,500
27 110190 Pawit Setyowati 106,250 8,250 3,000 12,500
28 022147 Musniyah 96,285 6,435 3,000 12,500
29 042364 Sumiyah 114,200 7,200 4,000
30 010229 Sugiyarti 13,500 -
31 073062 Suwarti 30,000 -
32 070395 Sukimin 164,475 10,543 4,000
33 110229 Sukarjo 135,000 9,091 4,000
34 Kidung Sih S 76,200 - 76,200
35 083222 Aminah 39,600 3,600
36 022524 dr. nrimanto 103,000 9,364
37 110338 Sutinah 165,000 7,364 4,000
38 000353 Endang 158,400 14,400
39 030796 Rizki 39,600 3,600
40 110146 Tunjung Winarsih 88,500 3,955 4,000
41 016146 Herlina 39,600 3,600
42 026813 Sofiatun 39,600 3,600
43 001171 Suprapti 39,600 3,600
44 008179 Aisyah 39,600 3,600
45 032489 Yuni 500 45
46 062953 Lisayanti 73,428 - 4,000 20,000
47 104085 Purwidiyanto 102,700 - 4,000 20,000
48 001022 Yuli Gestati 22,000 2,000
49 092607 Jami 38,500 409 4,000
50 18704 Ega R 17,000 - 2,000
51 022147 Musniyah 17,500 1,591
52 043391 Mad Noto 89,250 5,023 4,000
53 110333 Sukmareja 265,500 14,773 4,000
54 095321 Rudi 34,000 - 4,000
55 055079 Suripah 58,500 - 4,000
56 106508 Kasinah 117,250 2,523 4,000
57 087133 Tunjung Kusnanto 34,000 - 4,000
58 045630 Gimah 186,700 12,564 4,000
59 065039 Lani Astuti 154,000 - 2,500
60 107939 Aminah 118,320 1,893 4,000
61 065912 Awalia 24,750 2,250
62 108871 Ariani Dewi 23,000 -
63 075288 Sukarman 34,000 - 4,000
64 110286 Irawan 43,000 1,591 3,000 12,500
65 108742 Abraham 18,000 - 2,000
66 086872 Alim Wisaka 20,000 -
67 094507 Restu 39,600 3,600
68 109564 Rosy Nur R 39,000 3,545
69 103706 Dwi Susanti 74,000 3,636 4,000
70 109949 Surati 88,000 3,909 4,000
71 049856 Yohana Rina 122,000 3,455 4,000
72 050935 Dalu Rahayu 79,200 7,200
73 102405 Tri Artati 42,750 3,886
74 002159 Cris Trinurwati 79,200 7,200
75 044407 Sudiarti 21,750 1,977
76 110341 Dwi Sudaryanti 68,632 - 4,000 20,000
77 Meterai 6,000 - 6,000
78 Komunitas Kebum 53,300 - 53,300
79 110343 Tri Hartati 84,000 - 4,000
80 044407 Sudiarti 84,000 - 4,000
81 004988 Wagiyanti 84,000 - 4,000
82 108851 Samini 84,000 - 4,000
83 109564 Rosy Nur R 84,000 - 4,000
84 110340 Nilawati 84,000 - 4,000
85 057660 Retno Kusuma 45,000 - 4,000
86 110339 Suratmi 84,000 - 4,000
87 100176 Setyowati 84,000 - 4,000
88 048222 Yosephine Erlina 64,000 - 4,000
89 Tunjung -
90 092498 Rusyanti Tjong 84,000 - 4,000
91 108604 Yusbih 90,000 5,091 4,000
92 110343 Alif N 34,000 - 4,000
93 104652 Galang 34,000 - 4,000
94 104243 Yonathan 34,000 - 4,000
95 100190 Enrico 38,500 409 4,000
96 107671 Athaya Khanza 34,000 - 4,000
97 104129 Qaila Hafisa 38,500 409 4,000
98 108884 Khairunisa 41,500 682 4,000
99 005979 Titis Eko W 79,200 7,200
100 109155 Nila Ika 36,400 - 4,000 20,000
101 27226 Sarjono 17,850 1,623
102 031363 Harti 97,375 5,761 4,000
103 110176 Imam Sugiarto 34,000 - 4,000
104 062134 Masnidah 502,000 42,545 4,000
105 109767 Sarah Yunia 55,500 - 4,000
106 110153 Rasinten 495,000 41,909 4,000
107 109409 Safitri 234,000 - 4,000
108 110346 Fitri 77,500 - 4,000 20,000
109 110345 Elin Dinar R 103,250 - 4,000 20,000
110 075644 Evi Sri Hardini 52,500 - 4,000
111 067397 Suyud 55,500 - 4,000
112 109422 Sanatam 115,500 7,409 4,000
113 110047 Retno Sri W 69,750 2,250 4,000
114 110343 Alip Nurdiansyah 95,750 8,705
115 Edi Suratno 173,000 - 173,000
-
7,709,265 173,000 359,360 563,150 266,500 - - 345,932 - 77,200 - 297,500 62,500 - 180,000

Jurnal Umum 7,536,265


Kas dari Kassa 7,536,600
Selisih Kas 335

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 22 September 2011
Piutang Pemeriksaan Dokter
Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

22 1 110349 Edi Sudiyanto - 74,500 4,000 20,000


2 104480 Farah Mutiah R 10,800 152,800 4,000
3 045668 Basuki 9,182 135,000 4,000
4 006178 Tyasmini 1,682 10,500 42,000 4,000
5 054946 Dwi Sumanti - 84,000 4,000
6 034744 Ita Dwi R - 84,000 4,000
7 037807 Ributri Budiarti 273 3,000
8 110356 Jupta Kristyo - 159,150 4,000 20,000
9 084630 Rm. Samuel - 91,500
10 102185 Sunarti 19,000 - 2,000
11 110353 Yuanita Kristin 63,500 - 4,000
12 081531 Soeprijanto 34,000 - 4,000
13 102304 Sobari 119,425 7,766 4,000
14 109625 Wahyu 58,000 - 2,500
15 110350 Teguh Imam 164,550 - 4,000 20,000
16 053834 Kasinah 47,500 - 4,000
17 082745 Harjo Sudarmo 37,000 - 4,000 20,000
18 027824 Ronald Febriyanto 157,000 14,273
19 010229 Sugiyarti 13,500 -
20 110357 Fahri Nur Arifin 34,000 - 4,000 20,000
21 108054 Mujiono 80,500 4,227 4,000
22 110260 Slamet 95,700 5,518 4,000
23 084783 Admi 207,525 10,639 4,000
24 109060 Kamsiyati 90,000 - 4,000
25 110152 Angger 16,500 - 2,000
26 042923 Anastasia Siti 202,775 12,152 4,000
27 108742 Abraham 18,000 - 2,000
28 106649 Rangga Adi S 94,100 - 4,000 20,000
29 110355 Wiji Astuti 205,500 - 4,000
30 087296 Reni Komariyah 95,800 8,709
31 047784 Adam Maulana 111,850 - 4,000 20,000
32 009839 Cipto Utomo 33,000 3,000
33 019803 Marwito 13,500 -
34 022524 dr. Nrimanto 40,500 3,682
35 110362 Luqman 97,500 5,773 4,000
36 110360 San Marjo 117,200 - 4,000 20,000
37 27229 Atit 4,150 377
38 068730 Dwi Sulistyorini 148,700 5,882 4,000
39 009865 Hernawati 132,000 4,364 4,000
40 108822 Nathanael 90,000 5,091 4,000
41 109430 Akif Zafiru 34,000 - 4,000
42 089418 Aulia Dwi Yanti 34,000 - 4,000
43 110361 Kalia Nafeesa 34,000 - 4,000
-
2,744,275 - 113,389 340,650 - - - 362,300 - 133,500 - 128,500 - - 160,000
Jurnal Umum 2,744,275
Kas dari Kassa 2,744,500
Selisih Kas 225

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 23 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

23 1 097596 Eko Yuli - 21,000 2,000


2 086489 Eko Adi - 16,500 2,000
3 068975 Sr. Theresina 3,550 34,025 34,025 3,000 12,500
4 005743 Mutmainah 3,000 33,000
5 001022 Yuli Gestati 4,382 48,200
6 110102 Suryati 40,000 6,827 98,600 4,000
7 110368 Subroto 75,100 - 4,000 20,000
8 048530 Wulan tri 79,420 - 4,000 20,000
9 004944 Suprobo 51,500 -
10 084911 Indriyani 59,000 -
11 010229 Sugiyarti 13,500 -
12 085787 Poniyati 110,000 - 4,000 20,000
13 019740 Poniyah 39,600 3,600
14 110364 Cici irmawati 66,100 - 4,000 20,000
15 27235 Indah Suliatin 4,000 364
16 094057 Galastia Felik 85,000 - 4,000 20,000
17 068452 Sugiarto 49,000 -
18 062797 Florentina 91,500 -
19 085604 Heri Purwanto 81,200 - 4,000 20,000
20 110363 Setiyoko 34,000 - 4,000
21 109584 Bujang 59,000 2,273 4,000
22 031419 San Wito 76,050 - 4,000 20,000
23 Pengobatan kary 876,400 - 876,400
24 098818 Tugiyanto 103,000 6,273 4,000
25 026301 Budi Hendrawan 108,000 - 4,000
26 017408 Petrus anna 16,700 - 66,800 4,000 20,000
27 110369 Mad Yusup 279,550 10,641 4,000
28 062738 Sajem 79,700 2,836 4,000
29 109784 Nur Salam 180,750 13,341 4,000
30 107050 Suhartiningsih 58,500 - 4,000
31 108742 Abraham 18,000 - 2,000
32 071115 Natiyah 244,250 19,114 4,000
33 27240 Rosdiana 33,750 3,068
34 052428 Tindraweni 34,000 - 4,000
35 072345 Minarjo 34,000 - 4,000
36 087331 San Mureja 105,300 6,391 4,000
37 030903 Watiyem 133,250 7,705 4,000
38 035207 Muji Rastanto 198,400 14,855 4,000
39 110223 Sairah 48,250 2,977 3,000 12,500
40 110371 Marijem 143,882 10,353 3,000 12,500
41 080056 alif 23,500 -
42 110370 Sutarsih 67,200 4,609 3,000 12,500
43 011136 Yosepha I 8,750 795
44 110182 Dian Taruna By 9,000 - 4,000
45 110297 Lina Kania By 9,000 - 4,000
46 110219 Eka Kristyan By 9,000 - 4,000
47 110375 Tuti Setyaningsih 211,500 11,591 4,000
48 038753 Sumiyati 84,000 - 4,000
49 103390 Kartati 141,000 5,182 4,000
50 110250 Minem 84,000 - 4,000
51 083668 Kasini 84,000 - 4,000
52 110146 Tunjung W 48,000 273 4,000
53 105768 Retno K 45,000 - 4,000
54 087182 Gumirah 18,000 1,636
55 002815 Samirah 3,300 300
56 110060 Eka Kristyan 74,000 3,636 4,000
57 110376 Angelika Priadi 83,800 - 4,000 20,000
58 110160 Dian Taruna 153,000 9,818 4,000
59 077183 Sri Patmiasih 13,500 -
60 026974 Sugiyatno 13,500 -
61 110273 Lina Kania 129,750 4,159 4,000
62 110250 Misnem 27,000 2,455
63 109313 Dea Fenita 69,750 - 4,000 20,000
64 109949 Surati 45,000 - 4,000
-
5,164,202 - 166,003 230,325 876,400 - - 21,000 - 100,825 - 174,000 50,000 - 200,000
Jurnal Umum 5,164,202
Kas dari Kassa 5,164,600
Selisih Kas 398
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 24 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

24 1 075023 Okti Mayasari - 84,000 4,000


2 090140 Yohana Nelly D 11,182 207,000 4,000
3 110377 Iwan Pandu W - 136,000 4,000 20,000
4 096776 Nindito Kurniawan 2,909 61,500 3,000 18,500
5 056267 Raditya Akbar P - 16,500 16,500 3,000
6 051797 Anasthasya Y - 30,000 30,000 3,000
7 001604 Samsiah 3,182 119,000 4,000
8 087008 Marda Megawati - 1,010,400 79,000 20,000
9 069785 Dhuta Ariq W - 13,580 35,520 4,000 20,000
10 001071 Nanik Nuristiyati - 38,000 27,200 4,000 20,000
11 27250 Damayanti (3,564) 39,200
12 000878 Anastasia K - 21,000 2,000
13 085434 Wahyu Nur H 72,550 - 4,000 20,000
14 027563 Andi Dwi A 90,700 - 4,000 20,000
15 044847 Aloysius Ivanio 16,000 1,455
16 110378 Paskah Nainggola 49,500 - 4,000 20,000
17 110165 Arsinah 76,950 - 4,000 20,000
18 106966 Ngadini 68,900 - 4,000 20,000
19 022227 Desi Erita 94,500 - 2,500
20 110379 Narsum 64,700 - 4,000 20,000
21 058073 Muh Samsuri 210,750 - 4,000 20,000
22 110213 Slamet 81,750 2,659 4,000
23 21243 Sarjono 68,400 6,218
24 054573 Muklis 80,250 2,250 4,000
25 089961 Akhmad Khasani 75,250 1,023 4,000
26 077401 Sri Sarjono 161,000 - 2,500
27 110319 Dul Korip 156,200 11,018 4,000
28 110263 Partino 110,200 8,518 3,000 12,500
29 042216 Riyanti 286,000 22,909 4,000
30 110191 Lili Wanti 118,600 6,873 4,000
31 Susteran Kroya 192,400 - 192,400
32 110390 Putri Ramdani 82,750 2,841 3,000 12,500
33 005979 Titis Eko 46,450 4,223
34 110391 Rajendra 69,500 - 2,500
35 110385 Susana Dewi 62,000 - 3,000 12,500
36 068332 Tati Herawati 88,500 4,955 4,000
37 068528 Soekardi 138,000 9,000 3,000 12,500
38 001246 Marsudi 5,550 505
39 110388 Andri Nugroho 289,100 18,055 4,000
40 110386 Adwi Part Setiaw 34,000 - 4,000
41 002438 Jiman 72,700 3,427 4,000
42 097713 Ahmad Faizal 96,150 7,332 3,000 12,500
43 110387 Sekar Ratri 154,075 8,780 4,000
44 088715 Paikem 94,050 7,141 3,000 12,500
45 080620 Napsiyah 9,000 - 4,000
46 110277 By Napsiyah 10,000 - 4,000
47 043898 Evi Setyowati 76,500 -
48 043138 Titi Mulyo 47,500 - 4,000
49 011136 Yosepha I 10,900 991
50 110389 Al Baehaqi 87,050 6,505 3,000 12,500
51 110237 Sukinem 112,575 7,143 4,000
52 107584 Siti Ngaisah 34,000 - 4,000
53 110025 Mainah 180,050 13,277 4,000
54 069136 Sutrisno 76,500 -
55 110384 Sigit Wicaksono 72,500 - 3,000
56 027370 Slamet 40,000 -
57 110222 Suwarni 42,700 700 4,000
58 151003 Yuni 2,700 245
59 106390 Oey Giok Lien 58,500 -
60 18724 Syukur P 16,500 - 2,000
61 029018 Yaman 55,500 -
62 008949 Suniah 22,540 2,049
63 069515 Taurusinita 12,000 -
64 110393 Desi Tri Utami 59,000 - 4,000 20,000
65 110394 Purwani 53,000 - 4,000 20,000
66 028911 Jimmy Christian 46,500 1,136 4,000
67 040684 Eling 8,050 732
68 060045 Sri Murwani 208,000 - 4,000 20,000
69 041428 Slamet 127,500 - 2,500
70 110321 Partini 54,050 823 4,000
-
4,830,540 - 176,490 1,248,480 231,600 - - 488,500 - 109,220 - 270,000 106,000 - 280,000
Jurnal Umum 4,830,540
Kas dari Kassa 4,830,600
Selisih Kas 60

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 25 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

25 1 100661 Riska Aidha PN - 88,650 4,000 20,000


2 082583 Viktorina Zana Y - 11,450 27,200 4,000 20,000
3 073121 Rovina Bunga C 1,577 21,625 11,225 3,000 12,500
4 010229 Sugiyarti 13,500 -
5 045752 Fransiska 51,500 -
6 110401 Kasdi 75,150 - 4,000 20,000
7 005976 Alipah 76,300 -
8 060545 Sukemi 99,900 - 4,000 25,000
9 057981 Nur Fatimah 165,500 -
10 110399 Marsono 66,650 - 4,000 20,000
11 096500 Nasiran 40,200 -
12 151011 Tuti 4,300 -
13 110398 Sugiyanto 58,800 - 4,000 20,000
14 110313 Inggar Prima 190,000 -
15 070025 Siti Solihatun 2,250 -
16 110396 Anisa Lutfia 72,850 - 4,000 20,000
17 081210 Lilik 118,800 -
18 051296 Faris Sugiarti 143,500 -
19 043185 Arvin 39,600 -
20 110405 Wisnu Rehan 97,500 - 4,000 20,000
21 028911 Jimmy Christian 106,500 -
22 096968 Agus Setiawan 84,100 - 4,000 20,000
23 045752 Fransiska Mujiyant 117,700 - 4,000 20,000
24 Reni Komariyah - 12,650
-
1,624,600 - 1,577 45,725 - - - 88,650 - 38,425 - 43,000 12,500 - 205,000
Jurnal Umum 1,624,600
Kas dari Kassa 1,624,800
Selisih Kas 200

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 26 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

26 1 007142 Deddy Suwardi - 34,000 4,000


2 087320 Rully 205 2,250
3 005980 CH Sri Wahyuni 1,909 21,000
4 106738 dr. V Onggo W 845 9,300
5 006137 dr. Harnowo 14,063 30,938 123,752
6 030526 Ika Purwatiningsih 4,027 44,300
7 087296 Reni Komariyah 12,650 9,695 106,650 12,650
8 075497 Minem 68,950 - 4,000 20,000
9 034463 Helena Patma H 74,000 - 4,000 20,000
10 070009 Tri Arfin K 39,600 -
11 106647 Cicilia Estrelia 11,000 -
12 082396 Dwi Wahyu 57,950 -
13 151017 Mia 3,000 -
14 028806 Hasto 13,500 -
15 VM Harwati 175,000 -
16 054946 Dwi Sumanti 2,600 -
17 065585 Sri Hartini 209,250 19,023
18 110417 Paimin 58,000 - 2,500
19 041527 Titi Mulyani 27,000 -
20 014437 dr. Prio 26,500 - 2,000
21 110418 Maselino 17,000 - 2,000
22 Marda Megawati 1,010,400 - 1,010,400
23 100491 San Pawira 173,430 8,130 4,000
24 110165 Arsinah 108,000 -
25 076122 Ratinah 149,000 9,227 4,000
26 046808 Murtini 221,450 10,768 4,000
27 089467 Sulami 34,000 - 4,000
28 105336 Suratman 138,100 9,464 4,000
29 110420 Sulastri 130,750 8,795 4,000
30 064835 Anna 105,100 9,555
31 090157 Nurlita Indah 95,400 - 4,000 20,000
32 107729 Rubisah 47,500 - 4,000
33 107628 Moh Kodiran 167,825 12,075 4,000
34 028911 Jimmy 55,500 -
35 074135 Sudi 116,100 - 4,000
36 110421 C Florensia 16,500 - 2,000
37 100649 Salamun Hadi 156,000 11,091 4,000
38 18732 Suhartinah 18,500 - 2,000
39 110413 Musirah 34,000 - 4,000
40 082479 Musinah 34,000 - 4,000
41 110300 Sakirah 71,360 3,396 4,000
42 050627 Dul Jalil 54,900 3,491 3,000 12,500
43 110414 Susilowati 97,150 2,877 3,000 12,500
44 100887 Sodirah 245,050 19,186 4,000
45 064688 Marta Reja 109,300 6,755 4,000
46 004221 Runti Asih 64,850 1,477 3,000 17,000
47 081240 Nur Huda 79,200 7,200
48 090899 Mutmainah 34,000 - 4,000
49 060678 Fitri Wiji A 30,850 2,805
50 026097 Bekti Rumanti 4,700 427
51 065532 Samsuri 33,000 3,000
52 110342 Agus Sudarmaji 34,000 - 4,000
53 098075 Ahmad Riyadus 52,500 - 4,000
54 110424 Partini 43,000 -
55 110423 Rizki Hernama 82,800 - 4,000 20,000
56 001423 Samsuri 68,600 6,236
57 019586 C Sulastri - 106,350 4,000 20,000
58 Sarjono 3,864 42,500
-
4,712,815 - 189,587 397,288 1,023,050 - - - - 123,752 - 115,500 42,000 - 100,000

Jurnal Umum 4,712,815


Kas dari Kassa 4,713,000
Selisih Kas 185

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 27 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

27 1 110092 Subarkah 1,500 - 103,750 4,000 20,000


2 110445 Susan - 60,000 4,000 20,000
3 046357 Sawiyem 6,045 101,500 4,000
4 151024 Ety 1,182 13,000
5 086489 Eko Adi - 16,500 2,000
6 067827 Sariyanti 96 1,060
7 151028 Yuli Gestati 25,000 2,273
8 110433 Toad 55,900 - 4,000 20,000
9 110432 Faradila Firda 96,650 - 4,000 20,000
10 Sarjono 42,500 - 42,500
11 072183 Siti Padmiasih 13,500 -
12 077331 Sentot Sutejo 13,500 -
13 054573 Muklis 52,500 - 4,000
14 058073 Muhamad Samsur 79,150 3,105 4,000
15 109155 Nila Ika 34,000 - 4,000
16 110047 Retno Sri 44,500 - 4,000
17 072258 Taminah 34,000 - 4,000
18 087872 Arief Setya Aji 68,000 - 4,000 20,000
19 151023 Sri Cahyanti 10,000 909
20 Dedy Suwardi 34,000 - 34,000
21 Sri Suhartinah 66,000 - 66,000
22 065895 Painem 13,500 -
23 010229 Sugiyati 13,500 -
24 000946 Monika 18,500 - 2,000
25 110437 Rosi Dwi Ana 58,000 - 2,500
26 110443 Saiman 58,000 - 2,500
27 Siti Maftukhah 7,500 - 7,500
28 006295 Ani Widyastuti 9,200 2,750 36,550 3,000 12,500
29 105625 Siti Asiyah 186,450 13,768 4,000
30 110444 Andi Setiawan 73,050 4,323 3,000 12,500
31 035182 Inah supinah 214,875 16,443 4,000
32 110369 Mad Yusuf 176,800 11,391 4,000
33 077184 Suharti 90,250 5,114 4,000
34 108582 Sustriani 77,600 3,964 4,000
35 110440 Novan Kalaman 71,900 1,491 3,000 12,500
36 110436 Madiyo 98,775 7,480 3,000 12,500
37 110439 Lintang Mustika 77,600 2,009 3,000 12,500
38 106424 Pamudi 16,500 - 2,000
39 087831 Septi Ayuningtyas 82,500 - 4,000 20,000
40 017190 Pramudya 120,950 4,905
41 110355 Wiji Astuti 34,000 - 4,000
42 064623 RSU Purwogondo 58,000 -
43 110292 Gunawan 139,000 9,545 4,000
44 108401 Sadinah 368,200 30,382 4,000
45 108742 Abraham S 18,000 - 2,000
46 000607 Purwanti 14,500 5,182 58,000 3,000 12,500
47 110441 Iman Kusbandi 149,600 - 4,000
48 009839 Cipto utomo 44,450 859 4,000
49 061966 Madsis 185,550 10,277 6,000
50 003387 Warjan 103,750 4,705 6,000
51 024281 Rasino 221,000 11,636 6,000
52 062244 Sunarsih 99,300 5,936 4,000
53 038782 Lutfi Ubaidillah 19,000 1,727
54 086237 Rio Cahyo 17,700 1,609
55 Reni Komariyah 110,800 - 110,800
56 110252 Widi Astuti 304,650 7,423
57 026974 Sugiyanto 13,500 -
58 055589 Kanisem 13,500 -
59 005646 Sri Susilowati 4,000 364
60 083118 Prayitno 49,482 - 4,000 20,000
61 110165 Arsinah 83,400 - 4,000 20,000
62 110130 Chamid 52,500 - 4,000
63 108467 Nur Afikasari 101,500 6,136 4,000
64 dr. V Onggo (423) 4,650
-
4,341,532 - 182,605 90,560 265,450 103,750 - - - 196,050 - 157,000 75,000 - 160,000

Jurnal Umum 4,341,532


Kas dari Kassa 4,342,000
Selisih Kas 468

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 28 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

28 1 110461 Suseno - 151,500 4,000 20,000


2 151036 Rosiana 3,064 33,700
3 008787 Sr. Anastasia 2,236 12,300 12,300
4 110465 Wagiyem 86,250 6,432 13,500 3,000 12,500
5 110472 Lasi Haryani 42,800 3,886 83,950 4,000
6 110422 Punjinah 11,700 1,064
7 012001 Sugiyanto 48,000 -
8 110418 Masdino 16,500 - 2,000
9 101794 Sudarti 10,000 -
10 087182 Gumilah 74,000 -
11 054697 Christina 72,500 -
12 000878 Anastasia Kristiati 106,600 1,332 100,600 24,150 3,000 12,500
13 Dwi Sumanti 6,250 - 6,250
14 151037 Imam S 2,000 182
15 001022 Yuli Gestati 52,700 4,791
16 055373 Suminah 34,000 -
17 021026 Subagyo 100,400 - 4,000 20,000
18 096992 Asti Rofiana P 1,060 96
19 151038 Ratna Yuniasih 9,000 818
20 000198 Chandraningtyas 48,750 - 4,000 20,000
21 097020 Adi Widia 63,150 - 4,000 20,000
22 109813 Adman 72,700 5,200 3,000 12,500
23 110460 Kartika Aprisia 109,050 - 4,000 20,000
24 099464 Tri Hidayatul 76,500 6,136
25 106418 Andira Kirana 47,545 2,913 3,000 12,500
26 110463 Sodikin 35,500 1,818 3,000 12,500
27 110378 Paskah 14,000 - 2,000
28 Meterai 6,000 - 6,000
29 056889 Sunarti 112,950 5,859 4,000
30 109871 Ariani Dewi 23,000 -
31 110466 Prayitno 63,500 2,682 4,000
32 110352 Lustriasih 112,200 7,018 4,000
33 110456 Parinem 34,000 - 4,000
34 043391 Mad Noto 98,000 5,727 4,000
35 025127 Maniso 58,500 - 4,000
36 109426 R Untung Surono 55,226 5,021
37 110281 Salim Tasmo 56,000 - 4,000 20,000
38 101359 Rumini 131,700 8,791 4,000
39 103328 Ani Setiowati 34,000 - 4,000
40 110217 Mukhanip 34,000 - 4,000
41 110462 Paryoto 106,370 2,034 4,000
42 107450 Sarjono 75,750 3,205 4,000
43 029018 Yaman 56,500 818 4,000
44 062620 Dini 135,300 6,018 4,000
45 095162 Purwo Fito H 47,650 2,923 3,000 12,500
46 110464 Khusdiyati 148,750 7,568 3,000 12,500
47 004682 Agus Hendra 19,000 - 2,000
48 104634 Jumiati 39,600 3,600
49 110459 Citra Wulandari 126,750 3,886 4,000
50 110470 Noviyani 141,500 5,227 4,000
51 110468 Khotiyah 42,750 3,886
52 110477 Cahyadi Hari 50,300 - 4,000 20,000
53 089577 Rico Wilbert 34,000 - 4,000
54 041010 Sri Yuliati 39,600 3,600
55 079311 Dewi Sri H 74,600 6,782
56 061862 Jenny 79,200 7,200
57 100788 Endah Wening 39,600 3,600
58 109408 Siti Sangadah 39,600 3,600
59 110479 Wiwid Supriyani 194,500 10,045 4,000
60 110459 Shane Surya 207,650 11,241 4,000
61 067594 Linda Sri P 39,600 3,600
62 032102 Yamsiyah 39,600 3,600
63 116251 Fifi yunita 124,750 8,250 4,000
64 060483 Yulaika Ratna 79,200 7,200
65 001877 Utami Palupi 39,600 3,600
66 108706 Tri Gunarsih 18,500 -
67 083037 Siti Maesaroh 69,000 3,182 4,000
68 017940 Sarni 39,600 3,600
69 037601 Nunung 184,600 13,691 4,000
70 046832 Surip Sukuriyah 79,200 7,200
71 104096 Sri Wahyuningsih 118,800 10,800
72 110202 Suharyanti 50,700 609 4,000
73 110481 Untung 107,600 - 4,000 20,000
74 085949 Sri Haryati 39,600 3,600
75 027692 Anita Hendrawan 113,200 7,200 4,000
76 110480 Pad Sepriyani 141,000 5,182 4,000
77 110425 Yoseph Kristanto 120,400 7,855 4,000
78 102245 Bahar Fatah 185,500 13,773 4,000
79 027370 Slamet Pujiono 242,000 22,000
80 110252 Widi Astuti 53,000 1,727 4,000
81 109260 Sarnia 79,200 7,200
82 104675 Kustiyah 39,600 3,600
83 107043 Emi Nugraheni 79,200 7,200
84 107045 Kholifah 39,600 3,600
85 105783 Handasah 79,200 7,200
86 074669 Fitriyani 79,200 7,200
87 110338 Sutinah 140,250 5,114 4,000
88 109646 Ruth Asri 79,200 7,200
89 110471 Siti Darmiati 73,600 3,600 4,000
90 074890 Sri Lestari 79,200 7,200
91 110329 Priska Ayu 168,100 12,191 4,000
92 101619 Sri Mulyani 39,600 3,600
93 069012 Pariyah 39,600 3,600
94 105958 Eni Meiyanti 207,650 11,241 4,000
95 106748 Sri Sunarsih 39,600 3,600
96 078540 Parsini 136,500 4,773 4,000
97 110476 Bara Satria 166,200 12,018 4,000
98 055904 Rosika Nur 39,600 3,600
99 105799 Theresia Yesi 39,600 3,600
100 105797 Asih 39,600 3,600
101 108140 Santi 114,200 10,382
102 100461 Sayem 81,100 4,282 4,000
103 106147 Himawan Dwi 236,700 - 4,000 20,000
104 110468 Khotiyah 84,000 - 4,000
105 110474 Yulia Riyanti 84,000 - 4,000
106 068168 Sri Mujiati 84,000 - 4,000
107 101887 Tursini 84,000 - 4,000
108 083668 Kasini 84,000 - 4,000
109 109049 Surati 44,000 - 4,000
110 021701 Fitria Handayani 50,700 609 4,000
111 108425 Setyarini 34,000 - 4,000
112 105072 Suryana 75,750 3,795 4,000
113 079706 Indah Rohjiati 79,200 7,200
114 105026 MG Ponah 39,600 3,600
115 108006 Miswan 147,000 10,273 4,000
116 109102 Sania 39,600 3,600
117 102977 Dewi Sespiana 114,200 10,382
118 109666 Siti romelah 39,600 3,600
119 110482 Siti Asrosiyah 185,999 13,818 4,000
120 095917 Nadia Fiddah 46,950 1,177 4,000
121 110483 Istinah 147,849 10,350 4,000
122 036769 Frederica Pamela 165,200 15,018
123 105182 Martati 39,600 3,600
124 110344 San Kosim 222,750 16,159 4,000
125 079147 Feni Damayanti 79,200 7,200
126 110484 Sarmini 108,600 6,782 4,000
127 106001 Jenny Ilyas 39,600 3,600
128 110478 Endang Damaredi 104,600 9,509
129 110322 Bima Bahtiar 45,000 - 4,000
130 014996 Cindy Natalia 100,850 6,077 4,000
131 105163 Eti Yuniarsih 86,000 4,727 4,000
132 070378 VJ Katijah 286,750 16,886 4,000
133 110486 Laskar Pelangi 34,000 - 4,000
134 110487 Elang Baladewa 34,000 - 4,000
135 099464 Tri Hidayati 34,000 - 4,000
136 096014 Muslihudin 34,000 - 4,000
137 099921 Nicolas 34,000 - 4,000
138 107539 Miero Gavin 34,000 - 4,000
139 110284 By Suryana 34,000 - 4,000
140 110290 By Fitria H 34,000 - 4,000
141 107791 Raffa Fadilah 90,000 5,091 4,000
142 108293 Parni 39,600 3,600
143 091401 Sri Murniati 123,600 8,145 4,000
144 110474 Dela Melisa 108,600 6,782 4,000
145 110485 Elis 73,600 3,600 4,000
146 109767 Sarah Yunia 117,000 - 4,000
147 063154 Cecep Sumarna 132,926 8,993 4,000
148 031762 Harjantin 69,000 3,182 4,000
149 037415 Budi Sapto Adji 138,600 9,509 4,000
150 101794 Sudarti 58,000 - 2,500
151 044510 Parimi 39,600 3,600
152 103407 Yatminah 79,200 7,200
153 018543 Rosiana Kristiati 39,600 3,600
154 110467 Sumiartini 134,000 9,091 4,000
155 030191 Niken Puspitasari 107,132 - 4,000 20,000
156 106099 Esti Rahayu 39,600 3,600
157 103061 Masrifah 79,200 7,200
158 100929 Fatonah 79,200 7,200
159 059150 Yani Riyani 158,400 14,400
160 110457 Bagus Hardianto 108,600 6,782 4,000
161 017190 Pramudya 34,000 - 4,000
162 096852 Yesi 74,600 6,782
163 042715 Maryati 39,600 3,600
164 012001 Sugiyanto B 34,000 - 4,000
165 110455 Dina Pitaloka 113,200 7,200 4,000
166 103364 Rusmiyah 79,200 7,200
167 099917 Sumaryati 79,200 7,200
-
12,944,607 - 724,089 211,000 106,850 - - 83,950 - 36,450 - 375,500 87,500 - 200,000

Jurnal Umum 12,944,607


Kas dari Kassa 12,945,700
Selisih Kas 1,093
JURNAL UMUM RAWAT JALAN
RS PALANG BIRU GOMBONG
Tgl 29 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU Poli Keb IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

29 1 097596 Eko Yuli - 21,000 2,000


2 110092 Subarkah - 34,000 4,000
3 021152 Murtijah 13,727 220,100 4,000
4 083842 Wahyu Dwi Antoro 955 10,500
5 045668 Basuki 9,182 135,000 4,000
6 100502 Fitria Dwi Cahyani 10,382 148,200 4,000
7 100096 Wuri Hidayah 6,273 153,000 4,000
8 108706 Tri Gunarsih 5,182 141,000 4,000
9 110493 Ivan Fifian 65,200 - 4,000 20,000
10 016928 Sarjono 31,050 2,823
11 045068 Sugito 93,792 - 4,000 20,000
12 005976 Alipah 20,700 1,882
13 110489 Sigit 8,000 -
14 097927 MG Sri Kaheru 184,500 - 4,000
15 052092 Sumgiyarto 47,000 -
16 110494 Arum Kusuma W 44,500 - 4,000 20,000
17 004524 Sri Hartati 91,500 -
18 026366 Haryanti 89,550 - 4,000 20,000
19 096014 Muslihudin 49,500 4,500
20 088216 Teguh Santoso 54,000 -
21 032077 Sukini 39,600 3,600
22 107539 Niero Gavin P 86,250 7,841
23 089961 Akhmad Khasani 122,450 1,814 4,000
24 099921 Nicolas Natanael I 36,300 3,300
25 110487 Elang Bala Dewa 126,740 11,522
26 103505 Sri Mulyani 106,232 - 4,000 20,000
27 031363 Harti 1,089,975 20,589 7,000
28 024315 Yani 13,500 -
29 110495 Tumisah 77,900 - 4,000 20,000
30 Pramudita 60,000 - 160,000 (100,000)
31 004682 Agus Hendro 57,000 - 2,000
32 110466 Prayitno 55,500 -
33 010229 Sugiyarti 13,500 -
34 105906 Ernita Wati 46,000 - 4,000 20,000
35 009839 Cipto Utomo 68,575 6,234
36 110500 Sudwi Pratignyo 80,200 - 4,000 20,000
37 106396 Damar Al Fadilah 73,026 5,230 3,000 12,500
38 108742 Abraham 18,000 - 2,000
39 097753 Poniman 90,250 5,114 4,000
40 110498 Atmo Suwito 83,500 1,636 3,000 12,500
41 110497 Kasela Hayunur 72,850 - 4,000 20,000
42 109537 Warihan 62,850 3,395 3,000 12,500
43 110371 Marijem 230,486 19,453 3,000 12,500
44 105407 Kurniasih 15,500 - 3,000 12,500
45 087322 Dwi Indra A 25,700 927 3,000 12,500
46 059057 Sakinah 34,000 - 4,000
47 110378 Paskah 14,000 - 2,000
48 110503 Kasno 114,150 - 4,000 20,000
49 055827 Petrus Walgito 106,000 5,545 4,000
50 060605 Ratri Faedah 74,600 6,782
51 074564 Mulyakin 120,000 4,591 4,000
52 151049 Yeni 14,300 1,300
53 110502 Yeni Aprilia 107,600 - 4,000 20,000
54 110501 Antonius Aditia 15,500 - 3,000 12,500
55 110348 Sumhartiti 96,000 5,636 4,000
56 109792 San Wasdi 122,800 7,391 4,000
57 18753 Suhartinah 18,500 - 2,000
58 108834 Suradi 96,000 5,636 4,000
59 107244 Wasirah 283,000 22,636 4,000
60 110456 Parinem 125,000 -
61 069488 Sofi 39,600 3,600
62 110511 Dwi Khayati 12,000 -
63 110507 Rizki Adi 101,000 - 4,000 20,000
64 109511 Mad Sari 58,000 - 2,500
65 091286 Agustin Febriyanti 174,900 - 4,000 20,000
66 047078 Celine Veline 103,900 - 4,000 20,000
67 007427 Suryati 42,500 (3,864)
68 110508 Paimun 109,650 - 4,000
69 001423 Samsuri 67,300 6,118
70 110505 Iin Rosidah 60,900 - 4,000 20,000
71 110506 Sindi Nur Aeni 60,150 - 4,000 20,000
72 110504 Angela Medita 46,950 - 4,000 20,000
73 104633 Harjinah 39,600 3,600
74 010543 Wagini 144,100 13,100
75 151050 Yosepha 7,000 636
76 110514 Hanael Anasyah 48,880 4,444
77 073161 Triyono 51,500 -
78 109605 Agusta 90,000 5,091 4,000
79 110343 Yonathan 38,500 409 4,000
80 109131 Satirah 90,000 5,091 4,000
81 109131 Hanafi 34,000 - 4,000
82 110514 Hasna aulia 51,450 1,586 4,000
83 110361 Kalia Nafisa 90,000 5,091 4,000
84 096654 Pradita 84,170 4,561 4,000
85 104146 Mikael Henata 38,950 450 4,000
86 110515 Yogo Rusdi 95,150 - 4,000 20,000
87 103295 Silvina Giovani 133,100 8,009 4,000
88 110269 Muh Iklil 132,450 7,268 4,000
89 110498 Atmo Suwito 35,500 136 4,000
90 110513 Iin Asrihati 34,000 - 4,000
91 C Sulastri 106,350 - 106,350
-
7,051,676 42,500 270,405 10,500 266,350 34,000 - 598,200 - 220,100 - 128,500 87,500 - 360,000

Jurnal Umum 7,009,176


Kas dari Kassa 7,009,300
Selisih Kas 124

JURNAL UMUM RAWAT JALAN


RS PALANG BIRU GOMBONG
Tgl 30 September 2011

Piutang Pemeriksaan Dokter


Kas Subsidi Pasien Adm.
Tgl. No. Nota/RM Nama Utang PPn Umum Askes Asuransi PU KP IGD
Debet Kredit Debet Kredit Debet Kredit Debet Kredit Debet Kredit

30 1 068975 Sr. Theresina 545 7,000 28,000 3,000 12,500


2 060461 Sr. Marieta 7,500 41,250 41,250
3 083842 Wahyu Dwi A 9,086 99,950
4 151055 Nita 709 7,800
5 110524, Sri Hono - 86,500 4,000 20,000
6 103676 Eva 58,750 - 73,500 4,000 20,000
7 110522 Cosmas Pirngadi 31,250 1,432 3,000 12,500
8 110520 Tugimin 116,950 4,677 3,000 12,500
9 110523 Sunarti 7,000 -
10 030002 Didit 7,000 -
11 087322 Dwi Indra 22,800 2,073
12 Albertus Aditya 28,800 - 28,800
13 110519 Sunyoto 83,550 4,959 3,000 12,500
14 084663 Fauzal Leo 16,500 - 2,000
15 059532 Rizki Junika 65,750 4,568 3,000 12,500
16 039572 Rudi 66,000 6,000
17 044780 Sutrisno 16,650 1,514
18 021088 Bernadine Frida 25,800 2,345
19 104343 Yonathan Nathana 12,950 1,177
20 016928 Sarjono 239,950 21,814
21 050797 Sari 74,000 -
22 106147 Himawan Dwi 96,400 - 4,000 20,000
23 036764 Reza 118,800 10,800
24 085557 Adista 118,800 10,800
25 107736 Maslahah 77,700 3,882 4,000
26 106859 Sutiman 99,400 5,855 4,000
27 110486 Laskar Pelangi 105,150 9,559
28 110354 Sampen 97,050 4,414 4,000
29 109585 Rizki Ika 205,600 15,600 4,000
30 108742 Abraham 18,000 - 2,000
31 110166 Eka Setyawati 63,250 2,659 4,000
32 103175 Sukinem 50,500 1,500 4,000
33 110525 Samikin 34,000 - 4,000
34 055589 Kanisem 34,000 - 4,000
35 110378 Paskah 16,500 - 2,000
36 108277 Muhajir 34,000 - 4,000
37 109414 Tri Suharti 9,000 - 4,000
38 045856 Sri Kuspiyah 62,000 -
39 110335 Tri Suharti I 10,000 - 4,000
40 110334 Tri Suharti II 10,000 - 4,000
41 076574 Mad Wirto 80,200 - 4,000 20,000
42 084682 Alfaj Nur Reisya 64,800 - 4,000 20,000
43 110401 Kasdi 89,950 - 4,000 20,000
44 151056 UGD 45,000 - 45,000
45 151064 Atit 2,000 182
46 110510 suginem 127,500 - 2,500
47 021026 Subagyo 127,500 - 2,500
48 067158 Febiola Intan 185,500 -
49 110526 Katinem 56,350 3,714 3,000 12,500
50 069515 Taurusinita 104,700 6,427 4,000
51 151070 Umi 39,600 3,600
52 070296 Fawwas Izzan 19,300 1,755
53 109511 Mad Sari 249,650 7,241 2,500
54 151066 Fitri 39,600 3,600
55 016143 Trisno Slamet 69,250 3,205 4,000
56 110527 Imam 34,000 - 4,000
57 085432 Wiyoto 85,750 3,477 4,000 20,000
-
3,554,500 - 166,668 316,000 28,800 - - - - 69,250 - 119,500 75,000 45,000 140,000

Jurnal Umum 3,554,500


Kas dari Kassa 3,554,700
Selisih Kas 200
Dokter Tind. Tind. Jasa Asisten/ Kamar Perwtn Pemak. Alkes FT USG ECG RO Alat RS Obat;O2 Laborat, PMI
Sps Dokter Para M FT Operasi Jenazah Kendr. Poli IGD PA

41,182
62,182
31,909
34,000
11,818
28,091
20,909
70,909
12,545
99,864
2,318
10,000 31,150

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