Laporan

RUMAH SAKIT KHUSUS JIWA SOEPRAPTO DAERAH BENGKULU
Jl. Bhakti Husada Lingkar Barat Bengkulu, KOTA BENGKULU - 38225 Telp. (0736) 343339
www.rsjkobengkulu.net, info@rsjkobengkulu.net
LAPORAN JUMLAH LEMBAR RESEP JUAL
01 April 2018 s/d 30 April 2018
Instalasi Rawat Jalan
Ruangan : DEPO BPJS RJ
NO. TANGGAL RESEPNAMA PASIEN JENIS PASIEN JUMLAH R/ PENDAPATAN
POLI AREMA
dr. ARI MUKTI WIBOWO

1 2018-04-02 MARCEL FITRA BPJS 1
olanzapine 5mg Generik 45
2 2018-04-30 WIDYA JULIA N BPJS 4
Neurohax Non Generik 10
Nopres Non Generik 30
Risperidon 2 mgGenerik 45
Trihexiphenidil Generik 60
JUMLAH R/ : 5
JUMLAH NON GENERIK : 2
JUMLAH GENERIK : 3
dr. DANIEL SASTRIA KOSASIH

3 2018-04-06 ANGGA SAPUTR BPJS 2
4 2018-04-06 REGINA ZALPA BPJS 1
5 2018-04-06 VIO LLUCKY R BPJS 2
JUMLAH R/ : 5
JUMLAH GENERIK : 5
dr. ELLYSA
6 2018-04-21 BUNGA BPJS 3
Kutoin 100 Non Generik 14
Phenobarbital 3 Generik 60
JUMLAH R/ : 3
JUMLAH GENERIK : 2
dr. FAISAL FRIDA PUTERA

7 2018-04-07 NABILAH PUTRI BPJS 1
JUMLAH R/ : 1
JUMLAH GENERIK : 1
dr. H. SYAFRIADI, MM
8 2018-04-11 THORIQ RAHMA BPJS 2
Clobazam 10 m Generik 30
JUMLAH R/ : 2
JUMLAH GENERIK : 2
dr. Hj. HURIYAH

9 2018-04-05 RISKI BPJS 3
Alprazolam 0,5 Generik 30
Divalpi 250 mg Non Generik 60
10 2018-04-12 MEISAROH BPJS 2
Prohiper 10 Non Generik 30
11 2018-04-19 MUTIARA MAHF BPJS 2
Clozapine 25 m Generik 30
JUMLAH R/ : 7
JUMLAH GENERIK : 3
dr. LUCY MARTURIA BANGUN,SpKJ

12 2018-04-02 ILHAM FIRDAU BPJS 2
Haloperidol 5 mGenerik 8
13 2018-04-02 SYIFA AMALIAH BPJS 2
Sandepril 50 mgNon Generik 7
JUMLAH R/ : 4
JUMLAH GENERIK : 1
dr. NETTY HERAWATI

14 2018-04-04 SITI FATIMAH BPJS 2
JUMLAH R/ : 2
JUMLAH GENERIK : 2
dr. SHENO ALMES

15 2018-04-17 INDAH BPJS 3
JUMLAH R/ : 3
JUMLAH GENERIK : 2
dr. SUGIHARTO DJAJA

16 2018-04-02 ARIF ABDILAH BPJS 1
17 2018-04-16 MUHAMMAD RI BPJS 1
Prohiper 10 Non Generik 30
18 2018-04-30 ARIF ABDILAH BPJS 1
JUMLAH R/ : 3
JUMLAH GENERIK : 2
dr. YESSI VEBRIANTY

19 2018-04-12 RATIH ANJELEN BPJS 2
JUMLAH R/ : 2
JUMLAH GENERIK : 1
Total Per RuangPOLI AREMA JUMLAH PENDAPATAN : 1,287,672.00

LEMBAR RESEP : :
JUMLAH R/ : 37
JUMLAH GENERIK : 24
POLI GERIATRI
dr. ANDRI SUDJATMOKO, Sp.KJ

1 2018-04-10 ASMAWATI TAN BPJS 2
JUMLAH R/ : 2
JUMLAH GENERIK : 1

2 2018-04-02 UMIATI BPJS 3
ChlorpromazineGenerik 60
Haloperidol 1,5 Generik 60
3 2018-04-10 NURHUDA BPJS 2
4 2018-04-16 ELHASYIMI BPJS 2
5 2018-04-23 CIK NON BPJS 1
6 2018-04-23 PALIMIN BPJS 3
7 2018-04-23 RAHAYA WATI BPJS 3
8 2018-04-30 ABDUL WAHID BPJS 4
9 2018-04-30 SAILLUDIN BPJS 4
Diazepam 2 mg Generik 30
JUMLAH R/ : 22
JUMLAH GENERIK : 18

10 2018-04-06 ENDRA JAYA BPJS 3
Alprazolam 1 m Generik 30
11 2018-04-06 SAIRAN BPJS 3
12 2018-04-06 SITI HADIJAH BPJS 3
Sikzonoate injekNon Generik 1
13 2018-04-06 VAN ERZAN BPJS 5
14 2018-04-20 ROHILI BPJS 3
15 2018-04-27 DAHLAN BPJS 2
16 2018-04-27 DARMAWATI BPJS 3
Amlodipin 5 mg Generik 30
17 2018-04-27 HARTINI BPJS 2
Amitriptiline 2 Generik 30
18 2018-04-27 MAHDA LEA EL BPJS 5
Captopril 25 mgGenerik 30
Carbamazepin 2Generik 1
19 2018-04-27 UMI KALSUM BPJS 4
20 2018-04-27 YUSNELI BPJS 4
JUMLAH R/ : 37
JUMLAH GENERIK : 33
dr. ELLYSA
21 2018-04-03 DARMAWATI BPJS 2
22 2018-04-03 SARHAYATI BPJS 4
23 2018-04-13 CIK ISA BPJS 3
24 2018-04-13 PIRDAUS BPJS 3
25 2018-04-13 RASNIANDO BPJS 3
26 2018-04-13 YAHANI BPJS 2
Stelosi 5 mg Non Generik 30
27 2018-04-21 RADEN BPJS 2
28 2018-04-21 SURHAYATI BPJS 2
29 2018-04-21 YARUHAN BPJS 3
30 2018-04-21 Z ARIF BPJS 3
JUMLAH R/ : 27
JUMLAH GENERIK : 24

31 2018-04-07 AHMAD JONLI BPJS 4
32 2018-04-07 MAWARDI BPJS 2
33 2018-04-07 MISNAWATI BPJS 3
34 2018-04-07 RAFIAH BPJS 2
35 2018-04-07 ZAIRIN BPJS 4
36 2018-04-28 AMAH BPJS 3
37 2018-04-28 MAHIDIN BPJS 2
38 2018-04-28 SARKAPI BPJS 2
JUMLAH R/ : 22
JUMLAH GENERIK : 16
39 2018-04-04 YULIA DARMI BPJS 2
40 2018-04-11 HASLINDA YUR BPJS 2
41 2018-04-11 IZANA BPJS 3
42 2018-04-11 ROHANI BPJS 3
43 2018-04-11 SAMSIAR DIAN BPJS 2
44 2018-04-25 ERMAWATI BPJS 4
Diazepam InjeksGenerik 1
Lodomer 5 injekNon Generik 1
JUMLAH R/ : 16
JUMLAH GENERIK : 15
dr. HELMI
45 2018-04-03 ZURYATUL AINI BPJS 1
46 2018-04-10 ERNAWATI BPJS 3
Vastigo Non Generik 20
47 2018-04-10 HERMANSYAH BPJS 4
48 2018-04-10 KHAIDIR ALAM BPJS 3
49 2018-04-10 PAYUDA BPJS 3
50 2018-04-10 SAMIKEM BPJS 3
51 2018-04-10 UJANG ASMIR, BPJS 2
52 2018-04-10 ZAHARA BPJS 2
53 2018-04-16 M HAROMAIN BPJS 2
54 2018-04-17 SAHATIP BPJS 2
55 2018-04-24 ASMAWATI TAN BPJS 2
56 2018-04-24 ATETA BR KAR BPJS 4
57 2018-04-24 SRI ASTUTI BPJS 1
JUMLAH R/ : 32
JUMLAH GENERIK : 25
dr. Hj. HURIYAH

58 2018-04-03 ROSLAIDAH BPJS 1
59 2018-04-05 ATUHIN MANT BPJS 3
Clozapine 100 Generik 15
60 2018-04-05 JAMUR ABDULL BPJS 2
61 2018-04-05 JUMRATUL AINI BPJS 3
62 2018-04-05 SUGIYEM BPJS 2
63 2018-04-05 SUMARLAN BPJS 2
64 2018-04-05 YUDIN BPJS 1
65 2018-04-26 SITI AMINAH BPJS 4
66 2018-04-26 YUSNIATI YUSU BPJS 2
JUMLAH R/ : 20
JUMLAH GENERIK : 18
dr. HOSPITARIA VERANIKA PURBA

67 2018-04-06 HERMAWATI BPJS 2
68 2018-04-12 ILUH TELAGE BPJS 3
69 2018-04-12 RUKIBAH BPJS 3
JUMLAH R/ : 8
JUMLAH GENERIK : 5

70 2018-04-04 DAHLIA BPJS 3
71 2018-04-11 NUR AZANI ZR BPJS 2
Merlopam 0,5 mNon Generik 30
JUMLAH R/ : 5
JUMLAH GENERIK : 3
dr. NETTY HERAWATI

72 2018-04-11 SUKARNI BPJS 4
73 2018-04-18 KAIL BPJS 2
74 2018-04-18 LIAN BPJS 2
75 2018-04-25 A.GANI BPJS 2
76 2018-04-25 ASIATINI BPJS 3
77 2018-04-25 MURYANI BPJS 4
78 2018-04-25 NURLAILI SAR BPJS 3
79 2018-04-25 YANZURI BPJS 2
JUMLAH R/ : 22
JUMLAH GENERIK : 19
dr. SHENO ALMES

80 2018-04-03 BAMBANG SUAR BPJS 3
81 2018-04-03 KARI TERUK BPJS 2
Merlopam 0,5 mNon Generik 30
82 2018-04-03 MARDIANA BPJS 2
83 2018-04-03 NAZARUDIN BPJS 3
84 2018-04-03 NURHAYATI HS BPJS 2
85 2018-04-03 ZAINUDIN BPJS 4
JUMLAH R/ : 16
JUMLAH GENERIK : 13
dr. SUGIHARTO DJAJA

86 2018-04-02 ARBAIN BPJS 3
87 2018-04-02 HJ SURYATI BPJS 4
88 2018-04-02 KAWI SAKIA BPJS 2
89 2018-04-02 ZAILI BPJS 3
90 2018-04-09 ARNA BPJS 2
91 2018-04-09 EMI SUMIATI BPJS 1
92 2018-04-09 NIRMALA DEWI BPJS 1
93 2018-04-09 SANTUN SIHOM BPJS 3
94 2018-04-09 SUPARNO BPJS 1
95 2018-04-09 SURYATINI BPJS 3
96 2018-04-16 NURSEHA BPJS 3
97 2018-04-16 TRIS SYAFRIO BPJS 2
98 2018-04-23 AMILJUS BPJS 3
99 2018-04-23 MUHATMAN BPJS 3
100 2018-04-23 SIRWAN BPJS 3
101 2018-04-30 BANIAMAN BPJS 4
102 2018-04-30 ERDAWATI BPJS 2
103 2018-04-30 HJ SURYATI BPJS 4
104 2018-04-30 KASMAN BPJS 2
105 2018-04-30 MASTIJA BPJS 2
106 2018-04-30 SUMAN AIDIL BPJS 2
107 2018-04-30 SUPARMAN BPJS 3
108 2018-04-30 UMIATI BPJS 3
cepezet 100 mg Non Generik 60
JUMLAH R/ : 59
JUMLAH GENERIK : 48
dr. YESSI VEBRIANTY

109 2018-04-12 KEMAS ROMLI BPJS 3
110 2018-04-12 YANUAR BPJS 3
111 2018-04-12 ZAINAL ARIPIN BPJS 2
112 2018-04-19 YATIRIYA BPJS 5
Starfolat Non Generik 30
113 2018-04-20 MIRLAN HARYA BPJS 2
JUMLAH R/ : 15
JUMLAH GENERIK : 11
Total Per RuangPOLI GERIATRI JUMLAH PENDAPATAN : 5,086,550.00

LEMBAR RESEP : :
JUMLAH R/ : 303
JUMLAH GENERIK : 249
POLI PSIKOLOGI
dr. HELMI
1 2018-04-10 DERI AGUSTIA BPJS 3
JUMLAH R/ : 3
JUMLAH GENERIK : 3
Total Per RuangPOLI PSIKOLOGI JUMLAH PENDAPATAN : 228,450.00

LEMBAR RESEP : :
JUMLAH R/ : 3
JUMLAH GENERIK : 3
POLI PSIKOTIK
CITRA PUSPITA RATIH, S.Farm.,Apt

1 2018-04-18 NILAWATI BPJS 4
JUMLAH R/ : 4
JUMLAH GENERIK : 3
dr. ANDRI SUDJATMOKO, Sp.KJ

2 2018-04-02 GUNAWAN BPJS 4
3 2018-04-03 HENGKI ALEKS BPJS 2
4 2018-04-03 SULTAN WALI BPJS 1
5 2018-04-10 HJ. SALEHATON BPJS 2
6 2018-04-10 MUSLIM BPJS 2
7 2018-04-11 AKHMADI KUSU BPJS 2
Olanzapine 10 Generik 14
8 2018-04-12 UNTUNG JAYA BPJS 2
9 2018-04-25 PURWANTO BPJS 2
10 2018-04-26 SUCI PUTRI NI BPJS 1
JUMLAH R/ : 18
JUMLAH GENERIK : 13

11 2018-04-02 DIPA MUSTIKA BPJS 3
12 2018-04-02 DONI ISHARYA BPJS 3
13 2018-04-02 EFRON JUNAIDI BPJS 2
14 2018-04-02 ERIK WIJAYA BPJS 3
15 2018-04-02 ERNI BPJS 3
16 2018-04-02 GUSTAR BPJS 4
17 2018-04-02 IKSAN BPJS 2
Captopril 25 mgGenerik 30
18 2018-04-02 MARUP BPJS 4
19 2018-04-02 RISA MARYANI BPJS 3
20 2018-04-02 ROSIYANTI BPJS 4
21 2018-04-02 TRI PELITA SAR BPJS 3
22 2018-04-02 UJANG SUWAND BPJS 3
23 2018-04-02 YUDI GUNAWA BPJS 2
24 2018-04-02 YUNATA BPJS 3
25 2018-04-02 ZAMZAMI BPJS 3
26 2018-04-09 ANDIKA ROHM BPJS 3
27 2018-04-09 EGI MARDIANS BPJS 2
28 2018-04-09 ILPANDI BPJS 3
29 2018-04-09 MARMANSYAH BPJS 3
30 2018-04-09 PUJI WIGUNA P BPJS 2
31 2018-04-09 ROBI ARDIANT BPJS 2
32 2018-04-09 ROMI WAHYUD BPJS 2
33 2018-04-09 ROZI YANUAR BPJS 3
34 2018-04-09 SAHIMAN BPJS 2
35 2018-04-09 TABRI BPJS 3
36 2018-04-09 TRIAWAN PADD BPJS 1
37 2018-04-09 YUYUN HARYA BPJS 3
38 2018-04-15 PARISMAN BPJS 3
39 2018-04-16 ADE CANDRA BPJS 2
40 2018-04-16 ARDI SYAPUTR BPJS 2
41 2018-04-16 ASEP DAHLAN BPJS 3
42 2018-04-16 AZNA YUSLINI BPJS 3
43 2018-04-16 BAMBANG ADE BPJS 2
44 2018-04-16 BASTIAN FITRI BPJS 3
45 2018-04-16 BAYU SAPUTRA BPJS 2
46 2018-04-16 DEWI ROSITA BPJS 2
47 2018-04-16 DIAN SYAFITRI BPJS 3
48 2018-04-16 DODI JANKARN BPJS 3
49 2018-04-16 FADEL MUHAM BPJS 3
50 2018-04-16 HAIRI BPJS 3
51 2018-04-16 HASKAN YULIA BPJS 2
52 2018-04-16 ISRON SAIRI BPJS 3
53 2018-04-16 JEFRIZAL BPJS 3
54 2018-04-16 JUMAIDI BPJS 2
55 2018-04-16 KASIATUN BPJS 2
56 2018-04-16 M HARWANDI BPJS 3
57 2018-04-16 MAGDA BORU BPJS 2
58 2018-04-16 MONICA LENA BPJS 3
59 2018-04-16 NOPIANSYAH BPJS 3
60 2018-04-16 NOVA FIRANTI BPJS 2
61 2018-04-16 NUR WAHID BPJS 5
62 2018-04-16 PIPIM BPJS 2
63 2018-04-16 ROBEN SON BPJS 3
64 2018-04-16 RUDI IRAWAN BPJS 3
65 2018-04-16 SALAM BPJS 3
66 2018-04-16 SIHARJO BPJS 3
67 2018-04-16 SUPRIYADI BPJS 2
68 2018-04-16 SUSWATI BPJS 2
69 2018-04-16 SYAHGUDIN BPJS 2
70 2018-04-16 TASWIN BPJS 2
71 2018-04-16 TITIN AJI IRA BPJS 3
72 2018-04-16 WAWAN BPJS 3
73 2018-04-16 WEMPI SAPUTR BPJS 3
74 2018-04-16 WEN HAYATI BPJS 2
75 2018-04-16 YANDRI BPJS 3
76 2018-04-16 YOGA PRATAMA BPJS 3
77 2018-04-16 YUPI BPJS 3
78 2018-04-16 YUSNALIA BPJS 3
79 2018-04-21 Ahmad Faisal BPJS 2
80 2018-04-21 ALVIAN BPJS 4
81 2018-04-21 DONI PUSMADI BPJS 3
82 2018-04-21 IJAL BPJS 2
83 2018-04-21 IRZA DONI BPJS 3
84 2018-04-21 VIKIR RENATA BPJS 3
85 2018-04-21 ZELI MULYA BPJS 3
86 2018-04-21 ZULFIKAR BPJS 3
87 2018-04-23 ANSARI BPJS 2
88 2018-04-23 BIHARMAN BPJS 3
89 2018-04-23 DEDI MERDAN BPJS 1
90 2018-04-23 ERNAWATI BPJS 3
91 2018-04-23 HARISAN DENI BPJS 2
92 2018-04-23 JAIMIN BPJS 3
93 2018-04-23 JAMILAH BPJS 4
Alludona D Non Generik 18
94 2018-04-23 LAMBANG BPJS 3
95 2018-04-23 LINURLELA BPJS 1
96 2018-04-23 MEDIO KURNIA BPJS 2
97 2018-04-23 MURIANTO BPJS 2
98 2018-04-23 NANDA RESTU BPJS 3
99 2018-04-23 NIDA ANGGRAI BPJS 2
100 2018-04-23 NURDIN FAHRI BPJS 3
101 2018-04-23 PRAN COPRA BPJS 3
102 2018-04-23 SANDI BPJS 3
103 2018-04-23 SITI ISTI KOM BPJS 3
104 2018-04-23 UJANG HARDI BPJS 3
105 2018-04-23 WAHYUNI BPJS 4
106 2018-04-23 YANDES APRIA BPJS 3
107 2018-04-23 YANTO BPJS 2
108 2018-04-30 ARIZONA SAYO BPJS 3
109 2018-04-30 BERLI NURHAN BPJS 3
110 2018-04-30 DWI WINATA BPJS 3
111 2018-04-30 ELIYANA HADA BPJS 2
112 2018-04-30 EMA SURYANI BPJS 2
113 2018-04-30 EVO PORNIDAN BPJS 3
114 2018-04-30 HABIBUR RAHM BPJS 3
115 2018-04-30 HANDY KARNEL BPJS 3
116 2018-04-30 HERDIAN JUMI BPJS 1
117 2018-04-30 MARTAZELA BPJS 2
118 2018-04-30 NAJAMUDIN. M BPJS 2
119 2018-04-30 NANDA HKAIRY BPJS 3
120 2018-04-30 NOVI BPJS 2
121 2018-04-30 OKI BPJS 2
122 2018-04-30 OPRI YANTO BPJS 3
123 2018-04-30 RISA MARYANI BPJS 3
124 2018-04-30 RISKI CAHAYA BPJS 3
Cefixim 100 mg Generik 30
125 2018-04-30 ROSIYANTI BPJS 4
126 2018-04-30 SEPTI LAWATI BPJS 3
127 2018-04-30 SUDIRMANSYA BPJS 2
128 2018-04-30 TRISYAH PUTR BPJS 3
129 2018-04-30 YAHAN BPJS 2
130 2018-04-30 YUDI GUNAWA BPJS 2
131 2018-04-30 YUNATA BPJS 3
JUMLAH R/ : 323

132 2018-04-06 AHMAD RIFAI BPJS 2
133 2018-04-06 ALBAKRI BPJS 3
134 2018-04-06 ALINDA BPJS 2
135 2018-04-06 BAKRI BPJS 2
136 2018-04-06 EFENDI BPJS 3
137 2018-04-06 LUNDUN HAIRU BPJS 4
138 2018-04-06 MUGI ANUGERA BPJS 3
139 2018-04-06 MUSRIANTI BPJS 2
140 2018-04-06 NIKO DEMUS BPJS 1
141 2018-04-06 NURLAILI BPJS 3
142 2018-04-06 RAHNI BPJS 3
143 2018-04-06 ROLIS ISLANTO BPJS 3
144 2018-04-06 SARDIANTO BPJS 3
145 2018-04-06 SARIFAH HADI BPJS 2
146 2018-04-06 SARNO BPJS 3
147 2018-04-06 SULASATIN BPJS 2
148 2018-04-06 SUPINAH BPJS 2
149 2018-04-06 SUSYANTO BPJS 1
150 2018-04-06 ZAINAL ABIDIN BPJS 3
151 2018-04-13 AZANDIN BPJS 3
152 2018-04-13 EKO SUTRISNO BPJS 3
153 2018-04-13 ELVI SUKAESIH BPJS 2
154 2018-04-13 ERNIATI BPJS 1
155 2018-04-13 EVA KURNIA BPJS 2
156 2018-04-13 HADIAN BPJS 3
157 2018-04-13 HARFIAN TONI BPJS 3
158 2018-04-13 HENGKI ZULKA BPJS 2
159 2018-04-13 JULASLAN BPJS 1
160 2018-04-13 JUNAIDI BPJS 2
161 2018-04-13 MARTONO BPJS 3
162 2018-04-13 MAWARDI BPJS 2
163 2018-04-13 MUHAMMAD FA BPJS 3
164 2018-04-13 PASARUJI BPJS 1
165 2018-04-13 SALIHIN BPJS 1
166 2018-04-13 SAMURAI BPJS 3
167 2018-04-13 SRI KUSUMA TU BPJS 4
168 2018-04-13 TIHIN BPJS 2
169 2018-04-13 TRI HARDI WI BPJS 2
170 2018-04-13 V SOZI KARNEF BPJS 3
171 2018-04-13 WARTI BPJS 4
MethylprednisolGenerik 10
Vitamin C 50 m Generik 10
172 2018-04-13 YENI OKTAVIA BPJS 4
173 2018-04-13 ZUHILMA BPJS 2
174 2018-04-20 ABDI BPJS 3
175 2018-04-20 ADITHYA SITO BPJS 3
176 2018-04-20 AJISUN GALIB BPJS 2
177 2018-04-20 ARISMAN JAYA BPJS 3
178 2018-04-20 AZWAR ANAS BPJS 2
179 2018-04-20 DELLY SASTRAR BPJS 2
180 2018-04-20 EDI FITRIANSY BPJS 2
181 2018-04-20 ELLY HAYATI BPJS 2
182 2018-04-20 FERI KURNIAW BPJS 2
183 2018-04-20 HERU BPJS 2
184 2018-04-20 INDRA SURYAN BPJS 2
185 2018-04-20 INUR ROHIM BPJS 3
186 2018-04-20 IQI AFRIZAL BPJS 4
Paracetamol 50 Generik 15
187 2018-04-20 MALYANA BPJS 3
188 2018-04-20 ROBI ARDIANS BPJS 2
189 2018-04-20 SAMSUWAR BPJS 3
190 2018-04-20 YASIR ARAFAT BPJS 3
191 2018-04-20 YASNAWATI BPJS 3
192 2018-04-22 ROZI YANUAR BPJS 3
193 2018-04-27 AFRIZAL ADE P BPJS 3
194 2018-04-27 ANDIKA PRATA BPJS 3
195 2018-04-27 ANGGI APRIAN BPJS 3
196 2018-04-27 ANGGI PRASTI BPJS 3
197 2018-04-27 BENI WARDOY BPJS 3
198 2018-04-27 DEFRI ARITOM BPJS 3
199 2018-04-27 HENDRI USMAN BPJS 3
200 2018-04-27 HERLINA BPJS 2
201 2018-04-27 HERMAN ANDRI BPJS 1
202 2018-04-27 I DEWA AYU SA BPJS 4
203 2018-04-27 ISMAIL BPJS 2
204 2018-04-27 LIO WALDI BPJS 2
205 2018-04-27 LUKAS SUNARY BPJS 3
206 2018-04-27 MAROLIANI BPJS 3
207 2018-04-27 MUSRIAL BPJS 2
208 2018-04-27 RAPI I BPJS 3
209 2018-04-27 SITI SARAH BPJS 3
210 2018-04-27 SLAMET RIYADI BPJS 2
211 2018-04-27 SUPRIYANTO BPJS 1
212 2018-04-27 SURANI BPJS 2
213 2018-04-27 ULVA ADILA BPJS 3
214 2018-04-27 YANTONI BPJS 3
JUMLAH R/ : 209
dr. ELLYSA
215 2018-04-13 ELIA YUL FITRI BPJS 1
216 2018-04-13 HERO BPJS 3
217 2018-04-13 JULASLAN BPJS 3
218 2018-04-13 LIPUR HATI BPJS 1
219 2018-04-13 SURYONO ADI BPJS 3
220 2018-04-13 TAWI HARTON BPJS 2
221 2018-04-13 VERA SUSANTI BPJS 2
222 2018-04-13 YAYAN SYARI BPJS 3
223 2018-04-13 ZURFA HILMAN, BPJS 2
224 2018-04-21 AFDHOL BERKA BPJS 3
225 2018-04-21 BENI ALFALAH BPJS 2
226 2018-04-21 DEDEN SYAPUT BPJS 2
227 2018-04-21 DESSY ANITA S BPJS 2
228 2018-04-21 EDI KUSMANTO BPJS 3
229 2018-04-21 ELJUS LAILAH BPJS 3
230 2018-04-21 HARIAN BPJS 2
231 2018-04-21 HENDRADNO BPJS 3
232 2018-04-21 HERI APRIADI BPJS 3
233 2018-04-21 IHSAN ABDUSS BPJS 2
234 2018-04-21 JEAN PASJARA BPJS 2
235 2018-04-21 JUNI ICRIAWAN BPJS 2
236 2018-04-21 KARTINA BPJS 2
237 2018-04-21 LASPINI BPJS 3
238 2018-04-21 LENA BPJS 3
239 2018-04-21 RAHMAT DIANS BPJS 1
240 2018-04-21 RAHMAT SUSA BPJS 2
241 2018-04-21 RISKI PURTESY BPJS 2
242 2018-04-21 ROMANO AUGUS BPJS 2
243 2018-04-21 RUDOLF MARCE BPJS 2
244 2018-04-21 RUSMAINI BPJS 3
245 2018-04-21 SARBAINI BPJS 4
246 2018-04-21 SUGIMEN BPJS 3
247 2018-04-21 SYAIFUL AHYA BPJS 2
248 2018-04-21 TATANG SUHE BPJS 3
249 2018-04-21 TOBI BPJS 1
250 2018-04-21 WARMAN BPJS 4
251 2018-04-21 WIWIK PURNAW BPJS 3
252 2018-04-28 DESTI SEMIDA BPJS 4
253 2018-04-28 INDRAWAN BPJS 2
Ranitidine 150 Generik 10
254 2018-04-28 JEMI SEPTAWA BPJS 2
255 2018-04-28 RIZKI BPJS 1
256 2018-04-28 SAIGIN BPJS 1
257 2018-04-28 SANG MADE SU BPJS 3
258 2018-04-28 SURIP BPJS 2
259 2018-04-28 YOKI BPJS 2
JUMLAH R/ : 106
JUMLAH GENERIK : 96

260 2018-04-02 HERI APRIADI BPJS 3
261 2018-04-02 HUSMAN JAYAD BPJS 3
262 2018-04-02 RENGGA HART BPJS 3
263 2018-04-02 YOGI RAHMAD BPJS 4
264 2018-04-02 YOSEPANO BPJS 2
265 2018-04-07 ANGGI EVANTA BPJS 4
266 2018-04-07 ANWAR SADAT BPJS 2
267 2018-04-07 APRIANTO BPJS 3
268 2018-04-07 ASTINUR HIDA BPJS 3
269 2018-04-07 DADI BPJS 4
270 2018-04-07 DEDI CAHWAR BPJS 2
271 2018-04-07 DETI DELITA BPJS 3
272 2018-04-07 ERWIN BPJS 3
273 2018-04-07 JAMALUDIN BPJS 2
274 2018-04-07 JONI ARDI BPJS 2
275 2018-04-07 JULIANTO BPJS 2
276 2018-04-07 KALPEN EPENDI BPJS 3
277 2018-04-07 KRISNA APRILI BPJS 2
278 2018-04-07 KUSMAYADI BPJS 3
279 2018-04-07 LAILI AZHARI BPJS 3
280 2018-04-07 LANI ARSYAH BPJS 2
281 2018-04-07 MARULI SIREG BPJS 3
282 2018-04-07 MUHANDI BPJS 2
283 2018-04-07 PETRUS ROY T BPJS 4
284 2018-04-07 RENO SUDARS BPJS 4
285 2018-04-07 RISNO BPJS 2
286 2018-04-07 RUSLAINI BPJS 1
287 2018-04-07 SAMINI BPJS 2
288 2018-04-07 SUHERNO MARI BPJS 3
289 2018-04-07 YULIZAR FITRI BPJS 3
290 2018-04-21 ANHAR BPJS 3
291 2018-04-25 DEWI SARTIKA BPJS 1
292 2018-04-28 DEDI HARMOK BPJS 3
293 2018-04-28 DEWI ANDRIAN BPJS 2
294 2018-04-28 FAKHRI SANJAY BPJS 3
295 2018-04-28 FARIZAL EFEND BPJS 3
296 2018-04-28 HERAWATI BPJS 3
297 2018-04-28 LIA HERMENI BPJS 3
298 2018-04-28 MEGA HARLENA BPJS 2
299 2018-04-28 ORI RAMADHA BPJS 3
300 2018-04-28 SITI KASIH BPJS 3
301 2018-04-28 SUDIRMAN BPJS 3
302 2018-04-28 TEAM PRULI BPJS 3
JUMLAH R/ : 117
303 2018-04-04 DONI BPJS 3
304 2018-04-04 HENDRIK ALFI BPJS 2
305 2018-04-04 MARJANTONI BPJS 3
306 2018-04-04 MARTINA SARY BPJS 3
307 2018-04-04 NURIAL KHAIR BPJS 3
308 2018-04-04 RELMAN BPJS 4
309 2018-04-04 RUSLIYANSAH BPJS 1
310 2018-04-04 SARDIMI BPJS 3
311 2018-04-04 TIEN KOMALAD BPJS 4
312 2018-04-04 WAGUYAH BPJS 2
313 2018-04-04 WILSON BPJS 3
314 2018-04-05 SUGIYANTO BPJS 3
315 2018-04-11 AMIR KASDI BPJS 2
316 2018-04-11 ANGGI LIKARD BPJS 3
317 2018-04-11 CHAIRIL ANWA BPJS 1
318 2018-04-11 ELDIANTO BPJS 3
319 2018-04-11 GATOT PRASET BPJS 2
Merlopam 2 mg Non Generik 30
320 2018-04-11 HENGKI ALEKS BPJS 2
321 2018-04-11 HENGKI AWAN BPJS 2
322 2018-04-11 PANDRIANTO BPJS 4
323 2018-04-11 SAPUTRA SIAG BPJS 3
324 2018-04-11 SUHARTI BPJS 4
325 2018-04-11 SUKMA DEWI BPJS 3
Antasida DOENGenerik 1
326 2018-04-11 SULARDI BPJS 4
327 2018-04-11 SUMARNI BPJS 2
328 2018-04-11 UNSLAINI BPJS 4
329 2018-04-11 WAWAN ZAMUL BPJS 3
330 2018-04-11 YUCA WULFA N BPJS 3
331 2018-04-18 DEPIT PRIADI BPJS 1
332 2018-04-18 MICHAEL OKTO BPJS 1
333 2018-04-18 RERIS SUMART BPJS 1
334 2018-04-25 ALI MUSODO BPJS 4
335 2018-04-25 ANGGA PRATAM BPJS 4
336 2018-04-25 CARLES PUSPIT BPJS 2
337 2018-04-25 CEFENDRA YUD BPJS 2
338 2018-04-25 DENI BPJS 3
339 2018-04-25 DIPI BPJS 2
340 2018-04-25 PARDI ARIPIN BPJS 2
341 2018-04-25 SARIPUDIN BPJS 3
342 2018-04-25 SLAMET HARIA BPJS 4
343 2018-04-25 SUJANA BPJS 2
344 2018-04-25 SUPINI BPJS 3
345 2018-04-25 YULI SANJAYA BPJS 2
346 2018-04-25 YUSRA KASIM BPJS 3
347 2018-04-30 MARHAYANI BPJS 3
JUMLAH R/ : 121
dr. HELMI
348 2018-04-02 ROPEN APRION BPJS 1
349 2018-04-02 YENI YOSEPA BPJS 2
350 2018-04-03 ARDI BPJS 3
351 2018-04-03 ERMA YULITA BPJS 2
352 2018-04-03 GITA SILVIANA BPJS 3
353 2018-04-03 NAJAMUDIN. M BPJS 2
354 2018-04-03 RENDI SUGIAN BPJS 3
355 2018-04-03 SALIHIN BPJS 3
356 2018-04-03 SRI FATONAH BPJS 2
357 2018-04-03 YERNI DESPITA BPJS 1
358 2018-04-10 BOBI SURYANT BPJS 4
359 2018-04-10 CHRISDAMAI P BPJS 4
360 2018-04-10 DEDDI BPJS 4
361 2018-04-10 DENI ARDILA BPJS 4
362 2018-04-10 DESVINALDI BPJS 3
363 2018-04-10 DONI BPJS 3
364 2018-04-10 EKA NANDAR W BPJS 2
365 2018-04-10 EKO BPJS 2
366 2018-04-10 HARLINO BPJS 3
367 2018-04-10 HERMAN JUNAI BPJS 1
368 2018-04-10 HERMAN SAPUT BPJS 3
369 2018-04-10 ISNEDI EFENDI BPJS 3
370 2018-04-10 JOKO RUSDIAN BPJS 4
371 2018-04-10 LINDA NIRWAN BPJS 3
372 2018-04-10 M.HAMIDI BPJS 2
373 2018-04-10 MH YUSHA ARI BPJS 3
374 2018-04-10 MON ALFED BPJS 3
375 2018-04-10 MUHAMMAD ARI BPJS 3
376 2018-04-10 MUHAMMAD MU BPJS 2
377 2018-04-10 MUNTI BPJS 4
378 2018-04-10 NAHARA BPJS 1
379 2018-04-10 NILDA ULHUSN BPJS 2
380 2018-04-10 RAHMAD YULIA BPJS 4
381 2018-04-10 RAMA JOHANI BPJS 3
382 2018-04-10 RIZKI DARTA BPJS 3
383 2018-04-10 RODIANA BPJS 2
384 2018-04-10 SANUSI BPJS 3
385 2018-04-10 SIHAR BPJS 2
386 2018-04-10 SISKA PUTRA BPJS 3
387 2018-04-10 SOLEHUDIN BPJS 4
388 2018-04-10 TRIADI BPJS 3
389 2018-04-10 UJANG KOHAR BPJS 2
390 2018-04-10 VEBRIANDIKA BPJS 3
391 2018-04-10 WAHYUDI BPJS 2
392 2018-04-10 WINARKO BPJS 3
393 2018-04-10 WIRIANTI BPJS 3
394 2018-04-10 YAHIMIN BPJS 3
395 2018-04-10 YUDHA SUKMA BPJS 2
396 2018-04-10 YUNANIN BPJS 2
397 2018-04-10 ZALNA BPJS 1
398 2018-04-10 ZULKIFLI BPJS 1
399 2018-04-10 ZULYAN EFEND BPJS 3
400 2018-04-17 ABU RAHMAT BPJS 3
401 2018-04-17 ASRIL BPJS 2
402 2018-04-17 GOSTAF MARTI BPJS 4
403 2018-04-17 LIHANUDDIN BPJS 3
404 2018-04-17 MARSUK BPJS 3
405 2018-04-17 MEGA WATI BPJS 3
406 2018-04-17 MUDIS ASMIN BPJS 4
407 2018-04-23 SAPRIL BPJS 3
408 2018-04-24 AMELIA BPJS 3
409 2018-04-24 ARI MUCHTAR BPJS 1
410 2018-04-24 DEVID FERI BPJS 3
411 2018-04-24 FERI ELIANTO BPJS 5
412 2018-04-24 HERI GANDI BPJS 2
413 2018-04-24 IMRAN BPJS 2
414 2018-04-24 INDI BPJS 2
415 2018-04-24 JATMIKO BPJS 3
416 2018-04-24 JUMARI BPJS 3
417 2018-04-24 KOMRI BPJS 3
418 2018-04-24 MEGAWATI BPJS 3
419 2018-04-24 NURNA NINGSI BPJS 2
420 2018-04-24 RAHMANIA WA BPJS 1
421 2018-04-24 SASTRA MAMA BPJS 2
422 2018-04-24 SISWO MIHARD BPJS 2
423 2018-04-24 SURYA DARMA BPJS 4
424 2018-04-24 SYAHFERY BPJS 2
425 2018-04-24 WADIRMANTO BPJS 3
426 2018-04-24 WARNITA BPJS 3
427 2018-04-24 WIDYA RUSIAN BPJS 3
428 2018-04-24 YAN BASTIAN BPJS 2
JUMLAH R/ : 216
dr. Hj. HURIYAH

429 2018-04-03 SUHARMAN BPJS 2
430 2018-04-05 A.GAPUR BPJS 2
431 2018-04-05 DEDI BPJS 1
432 2018-04-05 ERNES RAFDON BPJS 4
433 2018-04-05 LETI SUSIYANT BPJS 2
434 2018-04-05 PERIADI BPJS 2
435 2018-04-05 REJAB BPJS 3
436 2018-04-05 RIKO AGUSMAN BPJS 3
437 2018-04-05 SANURI BPJS 3
438 2018-04-05 YULIANTO BPJS 3
439 2018-04-05 YUSNITA BPJS 4
440 2018-04-05 ZURMAN BPJS 2
441 2018-04-12 AFRIZAL BPJS 1
442 2018-04-12 DONI BPJS 1
443 2018-04-12 LESTATI BPJS 2
444 2018-04-12 LEVI PERLIANT BPJS 2
445 2018-04-12 YAYAN SUPART BPJS 1
446 2018-04-19 ADIN SUMERYA BPJS 3
447 2018-04-19 AFRIZA YANTI BPJS 2
448 2018-04-19 DIARGA ANUGR BPJS 4
449 2018-04-19 ENI MARDIATI BPJS 4
450 2018-04-19 FAUZAN YOHAN BPJS 2
451 2018-04-19 HARJANTO BPJS 6
Alludona D Non Generik 10
Asam mefenamaGenerik 10
452 2018-04-19 IRSAN EFENDI BPJS 4
453 2018-04-19 M SUBEHAN BPJS 3
454 2018-04-19 MARDIANSYAH BPJS 2
455 2018-04-19 MIMI NURDIAN BPJS 2
456 2018-04-19 NUVIN BPJS 3
457 2018-04-19 PEROKI SAMPU BPJS 2
458 2018-04-19 RISALMAN BPJS 4
459 2018-04-19 SAFTURIL BPJS 2
460 2018-04-19 SELAMAT SURY BPJS 3
461 2018-04-19 SEPTI HARLENA BPJS 3
462 2018-04-19 SOPIANDI BPJS 3
463 2018-04-19 SRI ANDRIANI BPJS 3
464 2018-04-19 UYUB BPJS 4
465 2018-04-19 WINGKI DIHAR BPJS 3
JUMLAH R/ : 100
JUMLAH GENERIK : 88
dr. HOSPITARIA VERANIKA PURBA

466 2018-04-06 AHMAD RIFAI BPJS 3
467 2018-04-06 ASRI BPJS 3
468 2018-04-06 CANDRA PUTRA BPJS 3
469 2018-04-06 DEDY MARWAN BPJS 2
470 2018-04-06 DINA NOPIAN BPJS 2
471 2018-04-06 DONI ISKANDA BPJS 3
472 2018-04-06 FERDIANSYAH BPJS 3
473 2018-04-06 GAMAN MUDA BPJS 2
474 2018-04-06 IQI AFRIZAL BPJS 3
475 2018-04-06 IRVAN ALTAMI BPJS 1
476 2018-04-06 LUKMAN HAKIM BPJS 3
477 2018-04-06 NIKSEN MANDE BPJS 3
478 2018-04-06 RIKA HIDARIAN BPJS 2
479 2018-04-06 RIKO OKTABAR BPJS 2
480 2018-04-06 SYAMSUL RIZAL BPJS 3
481 2018-04-12 AFRIZAL BPJS 3
482 2018-04-12 AGUSNAL MUH BPJS 3
483 2018-04-12 AHWAN BPJS 2
484 2018-04-12 APRIA SILA R BPJS 1
485 2018-04-12 AYA TUNNI BPJS 2
486 2018-04-12 DEDI BPJS 3
487 2018-04-12 FERA DIANTIWI BPJS 4
488 2018-04-12 HOTMAN MARI BPJS 3
489 2018-04-12 IBNU ROSIDI BPJS 2
490 2018-04-12 JHON JENERI BPJS 1
491 2018-04-12 JULIANTO LUBI BPJS 3
492 2018-04-12 NENGAH SUTAR BPJS 3
493 2018-04-12 SAHYUDI BPJS 1
494 2018-04-12 SARIJO BPJS 4
495 2018-04-12 SOPHAN FITRI BPJS 2
496 2018-04-12 SUNARNO BPJS 4
497 2018-04-12 YAYAN SUPART BPJS 3
498 2018-04-12 YENI A BPJS 2
499 2018-04-17 JUDIRMAN MUN BPJS 1
500 2018-04-26 ETI BPJS 4
Asam mefenamaGenerik 10
501 2018-04-26 FREDY SITORU BPJS 2
502 2018-04-26 JEMAN BPJS 3
503 2018-04-26 LA`INUDIN BPJS 3
504 2018-04-26 MUHAMMAD ID BPJS 2
505 2018-04-26 MUHAMMAD IR BPJS 4
506 2018-04-26 RIKE MAWANS BPJS 3
507 2018-04-26 SAHABANIA BPJS 4
JUMLAH R/ : 110
JUMLAH GENERIK : 98

508 2018-04-02 DARMANTO BPJS 2
509 2018-04-05 APRIANI BPJS 2
510 2018-04-05 FEBRI YENI OK BPJS 3
511 2018-04-05 HARPIANTO BPJS 2
512 2018-04-05 SOBARI BPJS 2
513 2018-04-06 YETI SUSMIART BPJS 4
514 2018-04-11 YUSUF EFENDI BPJS 3
Difenhidramin inGenerik 2
515 2018-04-12 ESTER TIOLINA BPJS 2
516 2018-04-12 SARONI BPJS 2
517 2018-04-12 TETI LENSI NO BPJS 3
518 2018-04-16 MUHAMAD NAUF BPJS 2
519 2018-04-19 HENZA ARIF BPJS 3
520 2018-04-21 AINA BPJS 2
521 2018-04-21 PAWI BPJS 3
522 2018-04-25 KALMON SITU BPJS 2
523 2018-04-30 ELAN WIBAWA BPJS 2
Propanolol 10 mGenerik 15
JUMLAH R/ : 39
JUMLAH GENERIK : 28
dr. NETTY HERAWATI

524 2018-04-01 RITA BPJS 4
525 2018-04-04 ANDRI SIMBOL BPJS 4
526 2018-04-04 AYENDA BPJS 2
527 2018-04-04 BAGUS ADI KU BPJS 3
528 2018-04-04 ENDANG KUSNA BPJS 3
529 2018-04-04 ERRY ROBIANA BPJS 4
530 2018-04-04 FAKHRONI KUR BPJS 3
531 2018-04-04 HOTMANSA BPJS 2
532 2018-04-04 JUMATUL SAFRI BPJS 4
533 2018-04-04 KANYA AHMAD BPJS 2
534 2018-04-04 MARLIN SAPUT BPJS 3
535 2018-04-04 MARTIN HIDAY BPJS 4
536 2018-04-04 MASHUDULHAK BPJS 3
537 2018-04-04 MAULANA BPJS 2
538 2018-04-04 NORMA YULIAN BPJS 2
539 2018-04-04 RACHMADANI C BPJS 2
540 2018-04-04 RESKI RAMADA BPJS 3
541 2018-04-04 RINA HIDAYANT BPJS 4
542 2018-04-04 SUTRISNO BPJS 2
543 2018-04-04 YULIANUS BPJS 2
544 2018-04-11 ANISAH BPJS 3
545 2018-04-11 CHAIRIL ANWA BPJS 3
546 2018-04-11 GUSTI RANDA BPJS 3
547 2018-04-11 M.GUNTUR SAF BPJS 4
548 2018-04-11 MAIGO BPJS 4
549 2018-04-11 MURZAN BPJS 4
550 2018-04-11 SEFRIZAL FAJR BPJS 2
551 2018-04-11 SLAMET BPJS 3
552 2018-04-11 SULAIMAN BPJS 4
553 2018-04-11 SUTRIANI BPJS 3
554 2018-04-11 TOPAN VERDIA BPJS 1
555 2018-04-18 AGUS BINTART BPJS 1
556 2018-04-18 AINUN ZAHARA BPJS 2
557 2018-04-18 Chandria Melisa BPJS 1
558 2018-04-18 DESTI SEMIDA BPJS 2
559 2018-04-18 EKA SARI BPJS 3
560 2018-04-18 ERPAN HADINA BPJS 2
561 2018-04-18 LELA HARTATI BPJS 4
562 2018-04-18 MEKI DONAL BPJS 3
563 2018-04-18 MICHAEL OKTO BPJS 4
564 2018-04-18 MURDIYAH BPJS 3
565 2018-04-18 PATRA MARTUL BPJS 2
566 2018-04-18 ROZEN BPJS 1
567 2018-04-18 SUKUR BPJS 3
568 2018-04-18 TRI HENDRIKA BPJS 3
569 2018-04-18 WERU AVDIANS BPJS 2
570 2018-04-18 WIHARYO BPJS 2
571 2018-04-18 YANTO BPJS 3
572 2018-04-25 AKHMADI KUSU BPJS 2
573 2018-04-25 APRIL BPJS 1
574 2018-04-25 ASTONIK BPJS 2
575 2018-04-25 BETRIZA BPJS 4
576 2018-04-25 ERWANDI BPJS 4
577 2018-04-25 HERU VERNAN BPJS 3
578 2018-04-25 M AFDAL BPJS 3
579 2018-04-25 RUDI HARTONO BPJS 1
580 2018-04-25 SUADI IDRIS BPJS 2
581 2018-04-25 SUKARJA BPJS 3
582 2018-04-25 SUSI HARTIWI BPJS 2
JUMLAH R/ : 160
dr. SHENO ALMES

583 2018-04-03 AGUS INERA S BPJS 3
584 2018-04-03 ALPI BPJS 3
585 2018-04-03 ARDI BPJS 2
586 2018-04-03 DALYATI BPJS 3
587 2018-04-03 JERI ARIAN SA BPJS 3
588 2018-04-03 JULIAN HARYAD BPJS 4
589 2018-04-03 LENI BPJS 2
590 2018-04-03 MIKSEN WIK BPJS 3
591 2018-04-03 RAHMADHAN M BPJS 2
592 2018-04-03 ROMADONA BPJS 3
593 2018-04-03 SETIA SIMARM BPJS 2
594 2018-04-03 SUARD BPJS 3
595 2018-04-03 SUKA DAMAY BPJS 1
596 2018-04-03 SUTRA BPJS 2
597 2018-04-03 SYAHRIL RAMA BPJS 3
598 2018-04-03 TUTI ARIYANI BPJS 2
599 2018-04-17 ADEAN SUTRA BPJS 3
600 2018-04-17 AGUS NUGROH BPJS 3
601 2018-04-17 AGUSTAMAN BPJS 3
602 2018-04-17 AMIL ABADI BPJS 3
603 2018-04-17 ARPANDI BPJS 3
604 2018-04-17 AULIA BPJS 2
605 2018-04-17 DEBI NATALIA BPJS 3
606 2018-04-17 DIAN DARMAW BPJS 3
607 2018-04-17 FARIK S PARM BPJS 3
608 2018-04-17 FERI IRAWAN BPJS 3
609 2018-04-17 HARDI KUSUMA BPJS 3
610 2018-04-17 HARI SUGIART BPJS 2
611 2018-04-17 HARPIANTO BPJS 2
612 2018-04-17 HERI ARDIANS BPJS 1
613 2018-04-17 IRZAMUDDIN BPJS 3
614 2018-04-17 JERRY ANDA S BPJS 3
615 2018-04-17 M ANDALAN NU BPJS 2
616 2018-04-17 MAN REDO SAP BPJS 3
617 2018-04-17 MISI LUMANIA BPJS 3
618 2018-04-17 MUHCLIS BPJS 4
619 2018-04-17 RIDHO JUMIAR BPJS 2
620 2018-04-17 ROBI BPJS 4
621 2018-04-17 RUPIT JINIFER BPJS 2
622 2018-04-17 SAMSU RIZAL BPJS 3
623 2018-04-17 SAPRANIA BPJS 1
624 2018-04-17 SOPAN PAIDI BPJS 3
625 2018-04-17 SUSANTO BPJS 3
626 2018-04-17 TRIYUNIASIH BPJS 2
627 2018-04-17 WEN ASRI BPJS 3
628 2018-04-17 YUSUF EFENDI BPJS 2
629 2018-04-17 ZULKARNAIN BPJS 2
JUMLAH R/ : 123
dr. SUGIHARTO DJAJA

630 2018-04-02 ANTIKA BPJS 1
631 2018-04-02 ARI BPJS 3
632 2018-04-02 ARIZONA SAYO BPJS 3
633 2018-04-02 BENNY JUFRIKA BPJS 2
634 2018-04-02 DWI WINATA BPJS 3
635 2018-04-02 EVO PORNIDAN BPJS 3
636 2018-04-02 GILANG RAMAD BPJS 2
637 2018-04-02 KASMINAH BPJS 3
638 2018-04-02 MIRWAN BPJS 2
639 2018-04-02 MUSDI HAFIRI BPJS 2
640 2018-04-02 RETNO DAYA K BPJS 2
641 2018-04-02 RISKI CAHAYA BPJS 3
642 2018-04-02 RISUN BPJS 2
643 2018-04-02 RUNI HARTINI BPJS 2
644 2018-04-02 SABIRIN BPJS 3
645 2018-04-02 SAHRI BPJS 3
646 2018-04-02 SEPTI LAWATI BPJS 3
647 2018-04-07 SONDRI HARDI BPJS 3
648 2018-04-09 ANDES DAFISK BPJS 3
649 2018-04-09 ANELAS MENDR BPJS 3
650 2018-04-09 ARAPIK BPJS 1
651 2018-04-09 BAMBANG BPJS 2
652 2018-04-09 BAMBANG GUS BPJS 2
653 2018-04-09 BURWANTO BPJS 1
654 2018-04-09 DADANG BPJS 2
655 2018-04-09 DELI PUTRA A BPJS 3
656 2018-04-09 DINO HARMOK BPJS 4
657 2018-04-09 DJULIADI BPJS 4
658 2018-04-09 EVI SUSIANTI BPJS 2
659 2018-04-09 HARTATI BPJS 2
660 2018-04-09 HERBET PUSDI BPJS 2
661 2018-04-09 ILHAM INDRA BPJS 3
662 2018-04-09 M. RASID BPJS 2
663 2018-04-09 MADI SUJANA BPJS 3
664 2018-04-09 MARWAN JONO BPJS 2
665 2018-04-09 MASYITHAH BPJS 3
666 2018-04-09 MUNANJAR BPJS 3
667 2018-04-09 PUTI HARTIWI BPJS 1
668 2018-04-09 RADEN SUMAR BPJS 3
669 2018-04-09 RESY ANDRIAN BPJS 1
670 2018-04-09 RIAN EFENDI BPJS 3
671 2018-04-09 SAHALUDIN BPJS 3
672 2018-04-09 SANDHI YUDHA BPJS 3
673 2018-04-09 SUKMA DARMA BPJS 4
674 2018-04-09 SUPARMAN BPJS 3
675 2018-04-09 SUSILAWATI BPJS 1
676 2018-04-09 VINA LORIZA BPJS 2
677 2018-04-09 WAHYUDIANSY BPJS 1
678 2018-04-09 WAWAN HERMA BPJS 4
679 2018-04-09 YUNITA FITRIA BPJS 5
680 2018-04-09 ZAINURRAHMA BPJS 2
681 2018-04-12 RAMLAN BPJS 1
682 2018-04-12 TEBRI TAMPUB BPJS 3
683 2018-04-16 ANDI ANTONI BPJS 3
684 2018-04-16 DARMANTO BPJS 2
685 2018-04-16 DIAN SYAFITRI BPJS 1
686 2018-04-16 DODI JANKARN BPJS 1
687 2018-04-16 DOLI HENDRO BPJS 2
688 2018-04-16 ERIAWATI BPJS 2
689 2018-04-16 FIRDAUS SYAFR BPJS 3
690 2018-04-16 IDIN APRIANTO BPJS 2
691 2018-04-16 ISAH PURWANT BPJS 3
692 2018-04-16 ISMANI BPJS 3
693 2018-04-16 JUNIANTO BPJS 3
694 2018-04-16 LENA BPJS 3
695 2018-04-16 LINA LISMINIA BPJS 4
696 2018-04-16 MEDYA AFRIAN BPJS 3
697 2018-04-16 ROSLINA R BPJS 2
698 2018-04-16 SAHAREDA BPJS 4
699 2018-04-16 SUKRI BPJS 2
700 2018-04-16 SYAIFUL BAHRI BPJS 3
701 2018-04-16 TAHUDIN BPJS 3
702 2018-04-16 TEBRI TAMPUB BPJS 1
703 2018-04-16 ZULIANTI MAI BPJS 6
704 2018-04-17 MISI LUMANIA BPJS 1
705 2018-04-21 SUNARTONO BPJS 3
706 2018-04-23 AGUNG PANSA BPJS 4
707 2018-04-23 AMINUDIN BPJS 3
708 2018-04-23 APRIANI BPJS 2
709 2018-04-23 BAHMAN BPJS 3
710 2018-04-23 DEDI MERDAN BPJS 2
711 2018-04-23 DODI SANJAYA BPJS 1
712 2018-04-23 FIRDAUS BPJS 2
713 2018-04-23 HENNI SUPRIAN BPJS 4
714 2018-04-23 JULI YANTO M BPJS 3
715 2018-04-23 KIKI LOVITA SA BPJS 4
716 2018-04-23 MARTINI BPJS 5
717 2018-04-23 MUSTAKIM BPJS 3
718 2018-04-23 SUHENDI BPJS 3
719 2018-04-23 SUKIRNO BPJS 3
720 2018-04-30 ANTIKA BPJS 1
721 2018-04-30 BIDUAN JAYA BPJS 3
722 2018-04-30 BOBI BPJS 1
723 2018-04-30 DONA BPJS 3
724 2018-04-30 HASNUL BASRI BPJS 3
725 2018-04-30 IMAM ARIFIN A BPJS 4
726 2018-04-30 IMRA GUNAYA BPJS 3
727 2018-04-30 INDRA NOVERO BPJS 4
728 2018-04-30 KASMINAH BPJS 3
729 2018-04-30 MAILINDA BPJS 2
730 2018-04-30 MASMUN HADI BPJS 4
731 2018-04-30 PETA ARDILA BPJS 2
732 2018-04-30 RIKI BPJS 3
733 2018-04-30 SABIRIN BPJS 3
734 2018-04-30 YOGI RAHMAD BPJS 4
735 2018-04-30 YOSEPANO BPJS 2
JUMLAH R/ : 279
dr. YESSI VEBRIANTY

736 2018-04-02 HABIBUR RAHM BPJS 3
737 2018-04-02 MEGA HARLENA BPJS 2
738 2018-04-05 A NOVARDI BPJS 3
739 2018-04-05 AAN BPJS 2
740 2018-04-05 ABDU RAHMAN BPJS 3
741 2018-04-05 BADRIN BPJS 1
742 2018-04-05 BINTON SINAG BPJS 4
743 2018-04-05 DARMI HARYAT BPJS 3
744 2018-04-05 FAJRUL BPJS 2
745 2018-04-05 FERI FADLI GU BPJS 3
746 2018-04-05 HARTOYO ALIA BPJS 2
747 2018-04-05 HENDRI DONAL BPJS 2
748 2018-04-05 HERMIDI BPJS 3
749 2018-04-05 HERRY SURYAN BPJS 2
750 2018-04-05 JIMI THEMOS BPJS 2
751 2018-04-05 JUNARIA BPJS 3
752 2018-04-05 KARTO JUMADI BPJS 3
753 2018-04-05 MARYAM BPJS 2
754 2018-04-05 MIKI JULIANTO BPJS 4
755 2018-04-05 MURTINI BPJS 1
756 2018-04-05 RAHMAD KURN BPJS 2
757 2018-04-05 RAHMADAN LIH BPJS 3
758 2018-04-05 ROMAINI BPJS 3
759 2018-04-05 RONDI HARYAN BPJS 2
760 2018-04-05 SUWANDI BPJS 1
761 2018-04-05 YANTI HARTINI BPJS 3
762 2018-04-06 JUHAINI BPJS 1
763 2018-04-12 ABDUL HAMID BPJS 2
764 2018-04-12 AFRION SAKTI BPJS 2
765 2018-04-12 ARNIDA RAHMI BPJS 3
766 2018-04-12 BAMBANG SUCI BPJS 3
767 2018-04-12 DEDI IRAWAN BPJS 4
768 2018-04-12 DONI BPJS 3
769 2018-04-12 DWI RINAWATI BPJS 4
770 2018-04-12 ESTEN SULASTR BPJS 3
771 2018-04-12 EVA HARTATI BPJS 2
772 2018-04-12 ISMAIL BPJS 3
773 2018-04-12 IWAN BPJS 3
774 2018-04-12 LUCI PUSPITAS BPJS 2
775 2018-04-12 MUSAFIR BPJS 1
776 2018-04-12 PANDAPOTAN S BPJS 3
777 2018-04-12 ROSNAINI BPJS 4
778 2018-04-12 YUFIKA ROSIAN BPJS 2
779 2018-04-18 ABDUL HALIM BPJS 2
780 2018-04-18 DEPIT PRIADI BPJS 3
781 2018-04-18 ERDA YOSYEPA BPJS 4
782 2018-04-18 IWAN BPJS 2
783 2018-04-18 RERIS SUMART BPJS 3
784 2018-04-18 RUMIYATI BPJS 4
785 2018-04-18 SUGIANTO BPJS 3
786 2018-04-18 WAHYUNI ARDI BPJS 3
787 2018-04-19 ALI FIRDAUS BPJS 2
788 2018-04-19 AMRULLAH BPJS 4
789 2018-04-19 APEPROSILO BPJS 2
790 2018-04-19 DONI KASRONI BPJS 2
791 2018-04-19 EKO AGUSTION BPJS 3
792 2018-04-19 ERWENDY BPJS 2
793 2018-04-19 GUNTUR BPJS 1
794 2018-04-19 HADI SUSANTO BPJS 3
795 2018-04-19 IMAS MULYATI BPJS 3
796 2018-04-19 M. AGUS SALIM BPJS 1
797 2018-04-19 MINARNI BPJS 3
798 2018-04-19 NINSAR BPJS 3
799 2018-04-19 NOPI KOMALA BPJS 4
800 2018-04-19 SAMINI BPJS 4
801 2018-04-19 SUHAIDA BPJS 3
802 2018-04-19 YAN R BPJS 4
803 2018-04-19 YENNY MARLINA BPJS 3
804 2018-04-20 AHMAD ISKAND BPJS 2
805 2018-04-20 ATI BPJS 2
806 2018-04-20 DODI BPJS 3
807 2018-04-20 EDI KUSENDAN BPJS 3
808 2018-04-20 FEBRYZAL MAR BPJS 3
809 2018-04-20 IWANSYAH PUT BPJS 3
810 2018-04-20 JAIL BPJS 3
811 2018-04-20 NENG BPJS 3
812 2018-04-20 PENDI BPJS 3
813 2018-04-20 PEPEN SATRIY BPJS 3
814 2018-04-20 RAMA SAPUTRA BPJS 4
815 2018-04-20 RIKO APRIDO BPJS 3
816 2018-04-20 ZAIDI BPJS 3
817 2018-04-25 MINARNI BPJS 1
818 2018-04-26 ANDREAS MAR BPJS 3
819 2018-04-26 DEKO EPRIADI BPJS 2
820 2018-04-26 ENO ALFIAN BPJS 3
821 2018-04-26 ERWAN SUANDI BPJS 3
822 2018-04-26 ERZA YENIARTI BPJS 3
823 2018-04-26 ESTER TIOLINA BPJS 2
824 2018-04-26 HJ. SALEHATON BPJS 2
825 2018-04-26 IMIT BPJS 3
826 2018-04-26 INDRA BPJS 4
827 2018-04-26 JUNAIWAN BPJS 3
828 2018-04-26 KING SALAMUN BPJS 3
829 2018-04-26 MEYDI ERIYAN BPJS 1
830 2018-04-26 SUSI NOPIYANT BPJS 3
831 2018-04-26 SUSILA WARNA BPJS 2
832 2018-04-26 TATI SURYATI BPJS 2
JUMLAH R/ : 258
Total Per RuangPOLI PSIKOTIK JUMLAH PENDAPATAN : ###

LEMBAR RESEP : :
JUMLAH R/ : 2,183
Total Per RuangDEPO BPJS RJ JUMLAH PENDAPATAN : ###

LEMBAR RESEP : 965
JUMLAH R/ : 2,526
Total Per : Instalasi Rawat JalanJUMLAH PENDAPATAN

TOTAL : ###
TOTAL JUMLAH LEMBAR RESEP : 965
TOTAL JUMLAH R/ : 2,526
Rekapitulasi Total
POLI AREMA 1,287,672.00

POLI GERIATRI 5,086,550.00
POLI PSIKOLOGI 228,450.00
POLI PSIKOTIK 49,390,322.00
DEPO BPJS RJ
Instalasi Rawat Jalan Total : ###
Total : ###
07/05/2018 10:38 Page -1 of 1

231,300.00
50,900.00
22,680.00
154,200.00
28,920.00
50,412.00
154,200.00
41,968.00
146,190.00
64,980.00
47,730.00
4,640.00
139,392.00
22,440.00
40,260.00
3,328.00
57,600.00
12,480.00
14,052.00
19
9,316.00
22,860.00
15,090.00
27,555.00
7,710.00
35,540.00
35,310.00
50,090.00
74,370.00
20,880.00
14,310.00
100,230.00
149,880.00
31,350.00
57,360.00
50,910.00
36,600.00
78,576.00
38,730.00
49,080.00
22,470.00
42,030.00
28,110.00
13,950.00
65,280.00
33,060.00
9,750.00
169,320.00
56,040.00
23,580.00
107,310.00
15,090.00
95,640.00
16,800.00
42,690.00
38,640.00
55,110.00
11,910.00
32,670.00
12,600.00
22,860.00
16,680.00
65,310.00
16,706.00
7,710.00
50,990.00
45,360.00
34,610.00
24,150.00
12,700.00
22,470.00
8,020.00
23,160.00
44,880.00
19,485.00
40,542.00
9,840.00
16,200.00
156,270.00
57,360.00
41,760.00
10,425.00
11,910.00
32,400.00
70,820.00
6,480.00
15,780.00
43,740.00
30,390.00
10,620.00
191,820.00
23,790.00
44,880.00
26,415.00
34,680.00
73,230.00
54,000.00
37,055.00
179,160.00
14,640.00
45,000.00
11,910.00
36,630.00
6,555.00
170,640.00
37,320.00
55,340.00
15,780.00
43,260.00
44,880.00
122,760.00
122,760.00
33,330.00
32,400.00
8,760.00
42,240.00
167,820.00
29,790.00
18,390.00
13,710.00
63,600.00
32,670.00
56,400.00
34,680.00
44,880.00
14,060.00
20,190.00
43,080.00
47,700.00
13,935.00
32,670.00
75,440.00
100,875.00
113
228,450.00
41,990.00
16,534.00
15,720.00
9,568.00
28,680.00
22,440.00
119,310.00
22,440.00
10,176.00
7,380.00
35,955.00
21,600.00
28,920.00
41,280.00
10,440.00
30,240.00
37,380.00
43,932.00
55,692.00
134,340.00
98,070.00
37,500.00
29,160.00
37,440.00
13,710.00
23,580.00
28,920.00
97,680.00
33,120.00
155,340.00
32,340.00
48,270.00
16,230.00
32,880.00
13,710.00
24,960.00
76,710.00
215,472.00
155,340.00
51,120.00
78,000.00
36,870.00
24,135.00
192,360.00
65,310.00
16,440.00
32,380.00
75,360.00
92,400.00
45,600.00
48,060.00
40,920.00
78,000.00
32,670.00
52,830.00
75,360.00
16,110.00
24,150.00
8,330.00
158,160.00
192,588.00
184,200.00
190,320.00
78,000.00
77,280.00
48,840.00
187,920.00
47,160.00
33,360.00
20,190.00
17,760.00
41,280.00
162,000.00
39,720.00
52,800.00
45,780.00
16,920.00
41,460.00
24,870.00
46,110.00
17,670.00
85,260.00
92,400.00
30,195.00
24,530.00
92,400.00
24,870.00
35,385.00
24,960.00
183,870.00
9,750.00
13,710.00
39,222.00
18,900.00
40,350.00
89,100.00
169,320.00
60,000.00
23,640.00
32,580.00
23,580.00
25,470.00
39,000.00
23,580.00
22,590.00
14,670.00
27,600.00
65,280.00
69,270.00
24,540.00
138,480.00
28,920.00
41,160.00
56,790.00
38,160.00
24,960.00
15,090.00
32,880.00
175,020.00
32,670.00
6,240.00
194,280.00
51,012.00
119,100.00
99,732.00
53,760.00
89,760.00
104,960.00
32,340.00
33,360.00
37,440.00
44,880.00
47,640.00
13,864.00
32,670.00
19,620.00
39,972.00
36,630.00
48,720.00
180,000.00
20,190.00
19,620.00
34,110.00
11,115.00
168,960.00
22,995.00
77,280.00
36,960.00
12,480.00
14,370.00
89,220.00
36,012.00
32,670.00
16,860.00
165,360.00
72,120.00
36,890.00
28,420.00
3,460.00
36,960.00
33,120.00
57,360.00
37,320.00
24,960.00
154,200.00
34,610.00
72,252.00
57,360.00
22,680.00
36,630.00
47,590.00
63,612.00
32,340.00
16,080.00
217,132.00
27,390.00
56,040.00
28,080.00
27,060.00
310,320.00
13,590.00
42,240.00
165,360.00
23,640.00
11,115.00
34,005.00
31,350.00
27,390.00
50,412.00
28,830.00
51,060.00
16,230.00
44,880.00
43,080.00
109,620.00
43,080.00
63,480.00
60,660.00
97,020.00
34,500.00
80,700.00
23,900.00
55,560.00
57,360.00
48,180.00
120,000.00
173,880.00
23,820.00
43,680.00
57,360.00
24,960.00
28,920.00
43,080.00
23,820.00
80,700.00
14,210.00
38,070.00
260,760.00
39,720.00
32,670.00
48,270.00
1,588.00
26,640.00
171,600.00
15,030.00
7,155.00
76,380.00
56,040.00
32,790.00
27,390.00
28,770.00
56,040.00
52,080.00
23,640.00
27,390.00
23,640.00
31,350.00
56,040.00
154,200.00
23,640.00
27,390.00
52,080.00
248,520.00
179,700.00
96,600.00
31,350.00
342,480.00
17,330.00
40,350.00
27,780.00
36,000.00
7,500.00
158,820.00
29,160.00
161,400.00
12,480.00
65,280.00
55,110.00
20,760.00
2,176.00
142,860.00
65,280.00
72,660.00
57,360.00
52,500.00
5,944.00
22,860.00
36,300.00
145,980.00
27,555.00
36,870.00
23,580.00
34,440.00
35,340.00
57,360.00
43,260.00
39,720.00
36,630.00
92,820.00
26,344.00
40,920.00
57,360.00
95,430.00
15,408.00
57,360.00
24,960.00
32,880.00
41,280.00
142,860.00
190,580.00
316,800.00
48,840.00
28,920.00
63,480.00
39,120.00
63,480.00
66,390.00
29,160.00
93,180.00
44,880.00
44,880.00
37,320.00
20,910.00
32,670.00
45,780.00
18,900.00
266,400.00
42,630.00
40,350.00
43,680.00
55,712.00
44,880.00
13,710.00
27,780.00
26,690.00
19,620.00
6,920.00
10,250.00
203,910.00
47,160.00
32,670.00
26,250.00
52,800.00
63,450.00
51,206.00
21,870.00
28,920.00
27,570.00
38,070.00
40,590.00
10,200.00
10,200.00
10,380.00
66,732.00
38,744.00
39,720.00
28,920.00
93,180.00
27,555.00
32,340.00
13,710.00
30,900.00
84,900.00
58,440.00
9,240.00
73,230.00
23,820.00
40,350.00
65,310.00
34,110.00
22,470.00
37,440.00
28,920.00
103,380.00
262,530.00
34,935.00
77,100.00
58,710.00
35,503.00
166,680.00
52,080.00
32,380.00
61,320.00
72,570.00
11,380.00
65,280.00
32,400.00
10,250.00
22,860.00
93,120.00
142,860.00
88,080.00
95,640.00
39,300.00
159,300.00
9,750.00
163,260.00
12,480.00
32,880.00
29,400.00
17,670.00
18,540.00
9,750.00
159,540.00
30,150.00
22,995.00
63,180.00
40,590.00
33,360.00
169,500.00
47,160.00
36,630.00
73,230.00
19,650.00
98,910.00
57,360.00
260,760.00
65,190.00
15,940.00
208,920.00
21,060.00
63,420.00
40,590.00
16,230.00
11,115.00
27,870.00
37,980.00
179,580.00
161,400.00
19,620.00
99,372.00
22,470.00
13,800.00
27,600.00
17,670.00
42,360.00
13,710.00
33,140.00
74,300.00
4,920.00
29,180.00
12,960.00
48,300.00
39,780.00
31,350.00
35,310.00
255,630.00
82,010.00
13,200.00
3,015.00
24,960.00
38,310.00
22,470.00
30,150.00
392,880.00
156,270.00
31,515.00
15,990.00
50,592.00
57,360.00
6,920.00
3,460.00
11,910.00
16,335.00
6,920.00
35,310.00
8,520.00
39,695.00
40,850.00
12,480.00
36,910.00
54,960.00
190,320.00
52,080.00
253,005.00
89,220.00
19,680.00
44,810.00
73,200.00
36,340.00
11,115.00
61,320.00
70,080.00
21,480.00
29,330.00
63,480.00
17,670.00
37,440.00
32,670.00
28,920.00
44,490.00
18,900.00
8,520.00
44,340.00
154,200.00
22,860.00
43,260.00
44,880.00
40,380.00
31,515.00
18,900.00
88,860.00
47,730.00
122,760.00
169,320.00
10,060.00
48,660.00
51,120.00
41,160.00
2,640.00
21,630.00
48,840.00
161,400.00
69,480.00
28,920.00
73,200.00
11,980.00
47,160.00
77,100.00
61,960.00
168,960.00
63,480.00
31,740.00
12,480.00
21,330.00
65,280.00
24,390.00
130,680.00
1,096.00
201,360.00
8,520.00
28,920.00
275,430.00
19,784.00
8,220.00
32,670.00
6,624.00
8,411.00
43,680.00
169,160.00
21,180.00
331,050.00
26,640.00
26,040.00
72,252.00
147,720.00
31,515.00
34,110.00
30,900.00
13,710.00
32,670.00
204,240.00
269,370.00
72,120.00
40,710.00
48,300.00
277,920.00
146,940.00
22,050.00
149,100.00
89,760.00
26,100.00
32,670.00
15,940.00
36,340.00
59,460.00
63,660.00
39,915.00
16,130.00
32,670.00
17,670.00
38,030.00
11,115.00
154,200.00
40,350.00
168,780.00
322,800.00
32,880.00
10,440.00
105,660.00
20,430.00
44,340.00
39,170.00
16,230.00
168,780.00
322,800.00
34,610.00
41,280.00
47,160.00
161,580.00
61,320.00
246,060.00
24,960.00
57,360.00
117,450.00
39,456.00
90,240.00
180,120.00
80,700.00
25,140.00
14,310.00
42,615.00
18,390.00
25,500.00
134,340.00
55,080.00
55,692.00
40,830.00
262,320.00
40,920.00
18,300.00
40,920.00
145,140.00
35,475.00
130,380.00
57,360.00
36,630.00
11,580.00
23,580.00
11,115.00
73,320.00
61,560.00
13,950.00
44,880.00
134,510.00
27,570.00
31,770.00
11,430.00
22,860.00
57,360.00
17,400.00
186,000.00
61,320.00
33,120.00
16,440.00
16,230.00
13,710.00
50,640.00
52,830.00
58,920.00
9,750.00
14,430.00
7,380.00
65,280.00
40,920.00
13,864.00
20,190.00
44,880.00
6,240.00
6,240.00
96,000.00
65,280.00
44,880.00
14,430.00
22,860.00
206,700.00
65,280.00
12,600.00
28,575.00
32,670.00
38,070.00
9,750.00
32,670.00
34,110.00
17,400.00
41,280.00
61,560.00
22,860.00
16,230.00
24,960.00
20,400.00
30,150.00
80,700.00
35,340.00
43,260.00
77,880.00
127,992.00
16,440.00
9,810.00
54,480.00
76,710.00
32,670.00
168,060.00
57,360.00
97,680.00
43,740.00
122,760.00
31,515.00
14,760.00
16,230.00
34,110.00
159,300.00
66,780.00
6,336.00
122,760.00
22,680.00
99,958.00
41,190.00
46,850.00
47,160.00
24,960.00
18,390.00
20,190.00
253,440.00
20,400.00
20,400.00
88,620.00
89,760.00
34,950.00
6,290.00
165,870.00
36,630.00
65,280.00
58,500.00
152,400.00
294,960.00
16,680.00
73,200.00
41,430.00
60,750.00
93,960.00
10,200.00
61,230.00
10,200.00
24,150.00
33,030.00
181,080.00
27,600.00
52,350.00
27,600.00
19,680.00
27,600.00
38,340.00
14,430.00
77,368.00
68,142.00
174,600.00
19,620.00
11,355.00
6,240.00
61,320.00
161,400.00
23,820.00
39,120.00
203,820.00
43,080.00
24,744.00
65,280.00
88,080.00
58,812.00
29,160.00
194,280.00
59,520.00
72,660.00
57,360.00
36,615.00
29,160.00
34,110.00
30,150.00
66,840.00
24,960.00
120,988.00
94,350.00
166,680.00
35,475.00
16,440.00
10,470.00
34,110.00
65,310.00
30,150.00
122,880.00
43,260.00
28,920.00
43,212.00
130,380.00
57,360.00
139,620.00
34,110.00
28,815.00
80,700.00
28,200.00
130,380.00
15,090.00
32,340.00
367,320.00
14,430.00
115,310.00
11,210.00
73,470.00
61,320.00
27,810.00
13,710.00
30,650.00
147,720.00
24,960.00
65,310.00
106,080.00
252,330.00
57,360.00
34,610.00
56,220.00
57,360.00
24,990.00
32,510.00
10,970.00
61,320.00
57,360.00
23,460.00
28,920.00
27,240.00
40,920.00
51,120.00
19,680.00
14,930.00
56,040.00
80,700.00
25,370.00
46,200.00
14,450.00
18,530.00
14,210.00
14,450.00
63,990.00
12,270.00
276,960.00
56,040.00
16,230.00
16,660.00
56,040.00
14,430.00
56,040.00
30,195.00
50,460.00
30,435.00
56,040.00
109,264.00
10,200.00
98,120.00
57,360.00
37,080.00
7,192.00
10,950.00
22,680.00
57,360.00
47,775.00
31,400.00
65,280.00
36,630.00
24,960.00
60,750.00
27,240.00
32,880.00
832

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RUMAH SAKIT KHUSUS JIWA SOEPRAPTO DAERAH BENGKULU

LAPORAN JUMLAH LEMBAR RESEP JUAL

01 April 2018 s/d 30 April 2018

Instalasi Rawat Jalan

Ruangan : DEPO BPJS RJ

NO. TANGGAL RESEPNAMA PASIEN JENIS PASIEN JUMLAH R/ PENDAPATAN

dr. ARI MUKTI WIBOWO

dr. DANIEL SASTRIA KOSASIH

dr. FAISAL FRIDA PUTERA

dr. Hj. HURIYAH

dr. LUCY MARTURIA BANGUN,SpKJ

dr. NETTY HERAWATI

dr. SHENO ALMES

dr. SUGIHARTO DJAJA

dr. YESSI VEBRIANTY

Total Per RuangPOLI AREMA JUMLAH PENDAPATAN : 1,287,672.00

JUMLAH NON GENERIK : 13

dr. ANDRI SUDJATMOKO, Sp.KJ

dr. ARI MUKTI WIBOWO

dr. DANIEL SASTRIA KOSASIH

dr. FAISAL FRIDA PUTERA

dr. Hj. HURIYAH

dr. HOSPITARIA VERANIKA PURBA

dr. LUCY MARTURIA BANGUN,SpKJ

dr. NETTY HERAWATI

dr. SHENO ALMES

dr. SUGIHARTO DJAJA

dr. YESSI VEBRIANTY

Total Per RuangPOLI GERIATRI JUMLAH PENDAPATAN : 5,086,550.00

JUMLAH NON GENERIK : 54

Total Per RuangPOLI PSIKOLOGI JUMLAH PENDAPATAN : 228,450.00

JUMLAH NON GENERIK : 0

CITRA PUSPITA RATIH, S.Farm.,Apt

dr. ANDRI SUDJATMOKO, Sp.KJ

dr. ARI MUKTI WIBOWO

dr. DANIEL SASTRIA KOSASIH

dr. FAISAL FRIDA PUTERA

dr. Hj. HURIYAH

dr. HOSPITARIA VERANIKA PURBA

dr. LUCY MARTURIA BANGUN,SpKJ

dr. NETTY HERAWATI

dr. SHENO ALMES

dr. SUGIHARTO DJAJA

dr. YESSI VEBRIANTY

Total Per RuangPOLI PSIKOTIK JUMLAH PENDAPATAN : ###

JUMLAH NON GENERIK : 257

Total Per RuangDEPO BPJS RJ JUMLAH PENDAPATAN : ###

JUMLAH NON GENERIK : 324

Total Per : Instalasi Rawat JalanJUMLAH PENDAPATAN

JUMLAH NON GENERIK : 324

POLI AREMA 1,287,672.00

07/05/2018 10:38 Page -1 of 1

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