Laporan Keuangan Ranap Tokoh

RS PKU MUHAMMADIYAH BIMA
Izin Walikota Bima Nomor : 201 Tahun 2014

Alamat : Jalan Gajah Mada Telp. (0374) 42100 Kelurahan Monggonao
Kecamatan Mpunda Kota Bima NTB
Email : rspkubima@yahoo.co.id
LAPORAN KEUANGAN PASIEN RAWAT INAP TOKOH BULAN FEBRUARI 2018
TOTAL TOTAL
NO. BPJS BPJS BPJS
NO NO RM NAMA PASIEN ALAMAT TGL MASUK TGL KELUAR LD PASIEN PASIEN SELISIH
KWT KELAS 1 KELAS 2 KELAS 3
UMUM BPJS
1 1067 05.50.87 Ny. Rosdiana Salama 31/01/18 02/02/2018 2 1,371,300 1,570,800
2 1070 05.50.58 Ny. Hj. Hajijah Ntonggu- belo 30/01/18 02/02/2018 3 1,758,300 2,957,300
3 1072 05.49.76 Ny. Kartini Sila Rato 26/01/18 02/02/2018 7 7,315,600
2 1071 05.36.23 Ny. Hj. Hamida Hidirasa 28/01/18 02/02/2018 5 4,433,000
5 1068 04.36.23 Ny. Syamsiah Jatibaru 30/01/18 02/02/2018 3 1,793,800 4,603,600
6 1069 05.21.38 Tn. Ibrahim Hasan Roi 19/01/18 02/02/2028 4 3,186,200 6,432,800
7 1074 05.54.97 Ny. Iko atikah Pane 1/2/2018 03/02/2018 2 2,038,400
8 1066 05.30.43 Ny. Asmiati Samili 29/02/18 01/02/2018 3 975,000
9 1063 05.50.57 Ny. Yuliani Penaraga 30/01/18 01/02/2018 2 1,245,000
10 1064 03.34.70 Tn. Anwar Dena Madapangga 28/01/18 01/02/2018 4 2,760,000 3,468,000
11 1065 05.50.60 Tn. Rijalul Fitrah Risa woha 30/01/18 01/02/2018 2 620,000
10 1061 05.49.76 Ny. Fatmawati Rato Sila 26/01/18 01/02/2018 7 7,315,600
13 1062 05.50.68 Ny. Kahma Soki 30/01/18 01/02/2018 2 840,000
14 1073 05.50.78 Tn. Yamin dara 31/01/18 03/02/2018 3 1,596,200 2,477,700
15 1077 05.51.10 An. Hardianti Nipa 1/2/2018 04/02/2018 3 970,000
16 1078 05.51.11 An. Hesty Ambalawi 1/2/2018 04/02/2018 3 970,000
17 766 05.51.44 Ny. Niken Tolotongga 3/2/2018 04/02/2018 1 590,000
18 1075 05.40.26 Ny. Jalani Lanta 29/02/18 04/02/2018 5 2,681,300 2,231,000
19 1080 03.29.49 Ny. Hj. St. nurbaya Bugis 1/10/2018 04/02/2018 3 2,217,900 2,957,300
20 1079 05.51.16 ny. Lismi Sarae 1/2/2018 04/02/2018 3 1,346,000
21 1082 05.51.31 Tn. H. Hasyim Sape 2/2/2018 05/02/2018 3 2,063,000 2,837,700
22 1081 04.62.27 Tn. A. Haris Kananta 28/01/18 05/02/2018 8 2,687,700 2,488,100
23 1083 03.96.56 Tn. M. Jafar yusuf Nae 1/2/2018 05/02/2018 4 1,143,000 3,468,800
24 1084 05.51.51 An. Hanan Jatiwangi 4/2/2018 05/02/2018 1 1,143,000 3,468,800
25 1086 05.48.92 Ny. St. Nurmaesa Matakando 4/2/2018 05/02/2018 1 865,000
26 1085 03.82.50 Tn. Anwar Paruga 2/2/2018 05/02/2018 3 2,313,600
27 1090 05.51.38 Tn. Muh. Toha Manggemaci 3/2/2018 06/02/2018 3 2,367,700 2,974,700
28 1094 03.07.97 ny. St. fatimah Pane 4/2/2018 02/06/2018 2 1,135,600 2,174,700
29 1097 05.51.68 Ny. Erli Penatoi 5/2/2018 02/06/2018 1 1,126,000 2,355,400
30 1087 05.51.15 Tn. M. Yakub Kaleo 1/2/2018 02/06/2018 5 5,981,000 5,891,100
31 1093 03.97.35 Tn. Arsyad Paruga 2/2/2018 02/06/2018 4 3,100,100 3,696,500
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
32 1089 05.51.33 ny. Ening Salama 3/2/2018 02/06/2018 3 1,704,500 2,973,300
33 1091 05.51.47 An. Muh. Shakil BTN. Tolotongga 3/2/2018 02/06/2018 4
34 1088 03.02.15 Ny. Nurbaiyah Dara 30/01/18 02/06/2018 7 4,011,200
35 1092 05.42.88 Ny. Suryani Pane 1/2/2018 02/06/2018 5 4,086,500 3,903,000
36 1101 04.12.03 Ny. St. Nurhayati Penatoi 4/2/2018 02/07/2018 3 1,228,400 2,335,200
37 1100 03.33.34 Ny. St. Rahma Rabangodu 4/2/2018 02/07/2018 2 1,751,100 2,957,300
38 1098 05.50.88 Tn. Sulaiman Belo 31/01/18 02/07/2018 7 4,129,700 2,184,200
39 1097 05.51.30 Tn. M. Said SambinaE 2/2/2018 02/07/2018 5 3,901,700
40 BBBBB 05.51.91 NN. Adisti Bara 5/2/2018 02/07/2018 2 1,245,000
41 BBBBB 05.51.97 Ny. Nurbaya Sadia 5/2/2018 02/07/2018 2 1,043,000
42 1104 05.44.85 Tn. Deden Pane 6/2/2018 02/08/2018 2 1,185,000
43 1103 05.51.82 Nn. Mareta Sambinae 5/2/2018 02/08/2018 3 1,190,700 1,122,000
44 1106 05.51.49 An. M. Hafis Rabantala 4/2/2018 02/08/2018 4 2,847,500 1,523,500
45 1107 04.12.26 Ny. Mia Aspol Gn 2 02/05/2018 02/08/2018 3 1,448,600 2,384,900
46 261 05.52.82 An. Putu Panda 02/07/2018 02/09/2018 2 1,476,500 3,490,600
47 BBBBB 05.52.80 Ny. Hj. Saadiah Parado 02/07/2018 02/09/2018 2 1,425,000
48 BBBBB 05.52.27 An. Afdal Soromandi 02/06/2018 02/09/2018 3 1,440,000
49 257 05.52.27 Tn. Jakariah Matakando 02/06/2018 02/09/2018 3 2,245,200 3044600
50 1109 05.52.53 Ny. Kalisom Madapangga 02/07/2018 02/09/2018 2 1,425,100 1,736,300
51 1108 04.63.47 Ny. Isna Nungga 02/01/2018 02/09/2018 8 6,096,000 2,021,500
52 258 05.51.77 Ny. Rahma Lewirato 02/05/2018 02/09/2018 4 1,696,600 2,016,000
53 260 05.52.71 An. Fadil Donggo 02/07/2018 02/09/2018 2 1,177,000 1,570,800
54 BBBBB 05.53.18 Tn. Feri Kodo 02/09/2018 02/09/2018 1 430,000
55 266 05.52.20 Tn. A. Latif Tolouwi 02/06/2018 02/10/2018 4 1,913,500 1,712,700
56 265 05.53.05 Ny. Hadijah Melayu 02/08/2018 02/10/2018 2 1,084,400 1,736,300
57 264 05.52.75 Nn. Rahmaniar Lewisape 02/07/2018 02/10/2018 3 2,288,900 2,350,500
58 263 05.52.72 An. Rafi putra Ncera 02/07/2018 02/10/2018 3 1,320,000
59 262 02.94.84 An. Ariqa Azzahra BTN Rontu 02/07/2018 02/10/2018 3 1,673,500 3,476,500
60 BBBBB 03.12.83 Tn. Abdul Mahmud ssssssssssssssssssssssssssssssssssssssssssssssssssssssssss
Kananga 02/11/2018 4 8,414,600 7,928,800 135,800
61 668 05.53.23 An. Tri Buana Ambalawi 02/09/2018 02/11/2018 4 1,460,400 2,477,700
62 BBBBB 05.53.18 Tn. Ferianas Kodo 02/09/2018 sssssssssssssssssssssss2 1,424,000 1,346,400 77,600
63 563 05.46.34 Tn . M. Said talabiu 01/12/2018 17-01-18 5 4,496,500 2,243,500
64 566 03.02.80 Ny. Rudiah Penatoi 15-01-18 17-01-18 2 1,507,000 3,696,500
65 568 05.46.75 Tn. Totok armanto Gindi 14-01-18 17-01-18 3 2,254,000 4,603,600
66 567 05.47.20 Ny. Jumratih Palibelo 15-01-18 17-01-18 2 1,780,000 3,044,600
67 565 05.47.44 Tn. Dahlan Ambalawi 16-01-18 17-01-18 1 1,175,900 3,396,800
68 573 05.47.32 tn. Jaharudin Sape 15-01-18 18-01-18 3 2,307,800 2,837,700
69 574 05.47.50 Tn. Very kurniawan Kumbe 16-01-18 18-01-18 2 995,000
70 571 05.47.21 Ny. Sariah Ncera 15-01-18 18-01-18 3 1,277,300 2,335,200
71 576 04.05.49 Ny. Vatimah Tolobali 16-01-18 18-01-18 2 1,452,000 1,570,800
72 575 05.47.24 Ny. Mahani Dodu 15-01-18 18-01-18 3 2,013,000 3,861,000
73 572 05.47.38 Tn. Ardian Ntobo 16-01-18sssssssssssssssssssssss2 1,187,500 2,957,300
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
74 569 03.32.27 Tn. Nasrun Mande 2 15-01-18 18-01-18 3 2,428,300 3,778,000
75 582 05.47.68 Ny. Nurlaelah RasanaE timur 17-01-18 19-01-18 2 1,139,200 2,477,700
76 583 04.19.29 An. M. Fahri Gindi 17-01-18 19-01-18 2 1,639,500 2,524,400
77 580 04.24.11 Tn. Nahyar Mungkar Jatiwangi 17-01-18 19-01-18 2 1,047,200 2,957,000
78 578 05.47.28 Tn. Yunus awahab Tambe 15-01-18 19-01-18 4 2,308,300 1,570,800 737,500
79 579 04.17.98 Ny. Saadiah Rabangodu 17-01-18 19-01-18 2 1,417,900 2,430,800
80 581 05.46.86 Ny. St. Kalisom rabangodu 14-01-18 19-01-18 5 1,719,400 3,498,200
81 577 05.47.75 Ny. Asmiwati jatiwangi 17-01-18 20-01-18 3 1,646,000 1,570,800 75,200
82 586 05.48.12 Tn. Faisal Donggo 18-01-18 20-01-18 2 610,000
83 585 05.47.82 Tn. Krisdayanto Ranggo 18-01-18 20-01-18 2 1,040,000
84 589 05.48.26 Tn. Tandry liwang Monggonao 19-01-18 20-01-18 1 590,000
85 590 03.24.75 An. Mutiatul Tolotongga 19-01-18 20-01-18 1 1,127,000 2,163,800
86 591 03.29.10 An. Immawan Tolotongga 19-01-18 20-01-18 1 1,037,000 2,163,800
87 594 05.46.82 Nn. Sakila karara 14-01-18 20-01-18 6 3,707,000 3,468,800 238,200
88 584 05.47.13 Tn. Idhar wawo 15-01-18 20-01-18 5 3,186,000 2,243,500
89 595 04.91.79 Tn. Muhidin woha 17-01-18 21-01-18 4 2,088,900 2,957,300
90 593 05.14.57 Tn. Syafruddin Palibelo 15-01-18 21-01-18 6 2,345,900 1,993,900
91 592 05.47.94 ny. Hasnah timu 18-01-18 21-01-18 3 3,996,000 5,663,400
92 591 05.48.06 Ny. Rosdiana lewirato 18-01-18 21-01-18 3 1,350,000
93 528 05.17.63 Ny. St. Asmah karara 19-01-18 22-01-18 3 2,110,000 2,957,300
94 529 03.68.17 Ny. St. Hawa BTN Tambana 20-01-18 22-01-18 2 3,648,000 4,692,600
95 596 05.48.19 Tn. Munir Tente 19-01-18 22-01-18 3 2,957,400 2,430,800
96 530 05.47.86 Tn. syamsuddin Melayu 18-01-18 22-01-18 4 6,995,500 3,542,400
97 534 05.48.30 Tn. Ruslan Tolotando 19-01-18 23-01-18 4 2,258,200 4,607,900
98 532 05.48.57 Tn. Muhammad langgudu 21-01-18 23-01-18 2 1,269,800 2,534,900
99 533 05.48.17 Tn. A. Kadir langgudu 21-01-18 23-01-18 4 2,176,100 2,830,600
100 535 05.48.37 An. Karmansyah Lampe 20-01-18 23-01-18 3 2,698,500 1,144,600
101 552 05.48.24 an. Multazam rabakodo 19-01-18 23-01-18 4 2,629,000 4,606,400
102 538 05.48.83 Tn. Husrin Penatoi 22-01-18 24-01-18 2 934,800 1,122,000
103 537 03.33.34 Ny. St. Rahma Rabangodu 21-01-18 24-01-18 3 2,909,100 2,957,300
104 536 05.48.91 Ny. Aisyah kodo 23-01-18 24-01-18 1 630,000
105 541 04.51.65 Ny. St. Maryam sape 22-01-18 24-01-18 2 1,752,000 3,542,400
106 539 05.14.11 Tn. M. sidik Londe Ntonggu- belo 22-01-18 24-01-18 2 1,986,100 4,616,600
107 542 05.48.38 Tn. Suaidin Donggo 20-01-18 25-01-18 5 4,942,000 2,530,300
108 543 05.48.79 ny. Khairunisah Kamp. Sumbawa 22-01-18 25-01-18 3 825,000
109 544 03.20.63 Ny. Buniati Jatibaru 23-01-18 25-01-18 2 2,003,600 2,957,300
110 545 05.49.10 Ny. Sumarni samili 23-01-18 26-01-18 3 2,734,600 2,499,900
111 547 05.47.71 Ny. St. Maryam Rasanae barat 17-01-18 26-01-18 9 8,055,900 4,368,600 3,687,300
112 543 03.46.22 ny. Aminah Penatoi 25-01-18 26-01-18 1 814,600 1,570,800
113 546 05.49.29 Ny. Nurhaedah Dara 24-01-18 26-01-18 2 1,505,000
114 550 05.41.63 tn. Aminullah Keli Woha 23-01-18 26-01-18 3 1,155,300 3,498,200
115 549 05.48.55 Nn. Marwati Monggonao 21-01-18 26-01-18 5 2,476,500 2,477,700
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
116 559 03.12.83 Tn. Abdullah Mahmud Kananga 24-01-18 27-01-18 3 5,740,200 5,891,100
117 558 05.49.33 Tn. Agus Supardi Woha 24-01-18 27-01-18 3 1,524,000 3,498,200
118 551 05.49.25 Nn. Juraidah Kumbe 24-01-18 27-01-18 3 6,228,500 2,530,300
119 555 05.49.40 Tn. M. saleh Naru Sape 25-01-18 27-01-18 2 1,545,300 2,027,000
120 557 05.48.61 Tn. Ajrun Lewi (Jatibaru) 21-01-18 27-01-18 6 4,790,100 3,640,500
121 554 05.49.34 Tn. M. Tahir H.A Kumbe 25-01-18 27-01-18 2 1,202,400 1,570,800
122 553 03.61.25 Ny. St. Salma Nusantara 26-01-18 27-01-18 1 1,400,700 2,957,300
123 559 05.49.77 Ny. Sarafiah Rato Sila 26-01-18 28-01-18 2 2,276,800 3,962,900
124 05.05.32 Tn. Mulia Ali Akbar Rupe Langgudu 29-01-18 29-01-18 1
125 1044 05.11.22 Tn. A. Rajak Adam Nas 26-01-18 29-01-18 3 1,595,500 2,483,600
126 1045 04.03.51 Ny. Najmah Melayu 24-01-18 29-01-18 5 3,305,000 2,419,200
127 1043 05.4.61 Tn. Herman Santi 26-01-18 29-01-18 3 1,828,100 2,477,700
128 1047 05.49.60 Ny. Siti Rahma Karara 26-01-18 29-01-18 3 2,224,000 2,837,700
129 1046 03.67.29 Ny. Igi Yanti Talabiu 27-01-18 29-01-18 2 1,125,000
130 1048 03.25.70 Ny. Arfah Lewirato 27-01-18 29-01-18 2 1,266,500 2,957,300
131 1049 05.49.80 Ny. St. Kartiningsih Manggemaci 26-01-18 29-01-18 3 2,355,000 2,957,300
132 1053 05.50.06 Ny. ST. Siah Penatoi 28-01-18 30-01-18 2 948,300 2,477,700
133 1051 05.50.13 Ny. Hj. Mukminah Keli Woha 28-01-18 30-01-18 2 1,185,000
134 1050 05.50.02 Ny. Mukminah Salama 28-01-18 30-01-18 2 890,000
135 1054 03.73.03 Ny. Hafni Penatoi 26-01-18 30-01-18 4 1,679,400
136 1055 05.11.55 Nn. Eva Nurkhatimah Sai Soromandi 27-01-18 30-01-18 3 2,164,700
137 1052 05.50.08 Tn. Suhendra Tambe Sila 28-01-18 30-01-18 2 1,293,200 2,163,800
138 1059 05.49.72` Ny. Salmah Nae 26-01-18 31-01-18 5 2,243,600 2,112,400
139
140 05.50.62 Tn. H. Sadino Kamp. Sumbawa 30-01-18 31-01-18 1 630,000
141 1058 05.50.73 Tn. Burhan Nae 30-01-18 31-01-18 1 622,500 1,578,800
142 1060 05.28.35 Ny. Julaeha Maria Wawo 28-01-18 31-01-18 3 2,116,000 1,570,800
143 02.94.28 Tn. Usman 27-01-18 31-01-18 4 3,716,400 2,815,500
TOTAL 36,791,300 270,154,400 189,921,700 30,911,700 77,940,700 4,951,600
KEPALA UNIT RANAP TOKOH KABAG KEU
(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIY
KET :
pulsa tgl 03/01/18 Rp. 60.000
tgl 11/01/18 Rp. 5.000
tgl 27/01/18 Rp. 5.000
14
an Monggonao
FEBRUARI 2018
DOKTER JUMLAH
DIAGNOSA KET OKSIGEN
VISITE VISITE
GEA dr.H.M.Ali, Sp.PD 2 A

ulkus peptikum dr. H. M. ali, Sp.PD 3 M
tumor mamae dr. H. M Ali. spPd + d 9 A
ISK dr. H. M. ali, Sp.PD 5 A 138000
Dm II dr. H. M. ali, Sp.PD 3 A
DM II dr. H. M. ali, Sp.PD 4 A 276000
CKR dr. Nyoman SpB 4 A
Typoid fever dr. H.M.Ali, Sp.PD 3 U
obs Febris dr. H. M. ali, Sp.PD 3 U
Febris dr.H.M.Ali, Sp.PD 4 A
Ispa dr. H.M.Ali, Sp.PD 2 U
gravida dr. H. M. ali, Sp.PD+ d 11 U
kolik abd dr. Nyoman SpB 1 U
obs febris dr. H. M. ali, Sp.PD 4 PBI 1104000
DHF gr 1 dr. Nurrayu SpA 3 U
DHF gr 1 dr. Nurrayu SpA 3 U
obs febris dr. H. M. ali, Sp.PD 1 U
CKD dr. H. M. ali, Sp.PD 8 PBI
ulkus peptikum dr. H. M. ali, Sp.PD 3 A
febris dr. H. M. ali, Sp.PD 3 U 276000
asma bronchial dr. H. M. ali, Sp.PD 3 M
asma bronhial dr. H. M. ali, Sp.PD 8 PBI 276000
ACS N Stemi dr. H. M. Ali. SpPD 4 A
febris dr. Nurrayu SpA 2 A
Susp. Meningitis dr. H. M. Ali. SppD 2 U
Hematuria dr. Nyoman. SpB 3 M
obs febris dr. H. M. ali, Sp.PD 3 A
obs febris dr. H. M. ali Sp. Pd 2 PBI
DM tipe II dr. H. M. ali Sp. Pd 1 M
DM II dr. H. M. ali, Sp.PD 10 A
ACS Nstemi dr. H. M. ali, Sp.PD 4 A 1932000
DOKTER JUMLAH
VISITE VISITE
febris dr. H. M. Ali. SpPD 3 M

dr. Nurrayu SpA 3 U
dr. H. M. ali Sp. PD 11 A
DM II dr. H.M.Ali, Sp.PD 5 A
HT dr. H. M. ali, Sp.PD 3 PBI
CKD dr. H.M.Ali, Sp.PD 7 PBI
ISK dr. H.M.Ali, Sp.PD 5 U
CKR dr. Nyoman SpB 2 U
GEA dr. H. M. Ali SppD 2 U
ulkus peptikum dr. H. M. ali, Sp.PD 2 U
ulkus peptikum dr. H. M. ali, Sp.PD 2 pBI
DHF gr 1 dr. Nurrayu. SpA 5 A
CKR dr. Nyoman, SpB 2 A
KDK dr. Nurrayu SpA 2 A
dr.H.M.Ali, Sp.PD 2 U
dr. Sri yati 3 U
typoid dr. H.M.Ali, Sp.PD 3 M
obs febris dr. H. M. ali, Sp.PD 2 M
ISK dr. H. M. ali, Sp.PD 8 A
ISK dr. H. M. ali, Sp.PD 4 PBI
Diare dr. Sriyati 2 A
dr. H. M. ali, Sp.PD 1 U 276000
dr. H. M. ali, Sp.PD 4 PBI
dr. H. M. ali, Sp.PD 2 PBI 276000
typoid dr. Sriyati SpA 3 U
dehidrasi low intake dr. Sriyati. SpA 3 A
DM II dr. H. M. ali, Sp.PD + 7 A
DHF gr 1 dr. Nurrayu. SpA 2 M 138000
GEA dr. H. M. ali, Sp.PD 2 A
Hernia dr. Nyoman, spB 5 M
ACS Stemi dr. H. M. ali, Sp.PD 2 A
DM II dr. H. M. ali, Sp.PD 3 M
typoid vever dr. H. M. ali, Sp.PD 3 A
Sirosis hapatis dr. H. M. ali, Sp.PD 1 A
Asma Bronchial dr. H. M. ali, Sp.PD 3 A
Obs vebris dr. H. M. ali, Sp.PD 2 U
stroke dr. H. M. ali, Sp.PD 3 M
ISK dr. H. M. ali, Sp.PD 2 M
DOKTER JUMLAH
VISITE VISITE
CKD dr. H. M. ali, Sp.PD 4 A

Faringitis akut dr. Nurrayu. Sp.A 4 A
Vertigo dr. H. M. ali, Sp.PD 3 A
Sindrom apatis dr. H. M. ali, Sp.PD 5 PBI 276000
febris dr. H. M. ali, Sp.PD 2 U
otitis febris dr. H. M. ali, Sp.PD 3 U
Faringitis akut dr. Nurrayu. SpA 2 M
febris dr. Nurrayu. spa 1 M
Tipoid fever dr. H. M. ali, Sp.PD 6 M
HIL Dr. Nyoman . SpB 4 PBI
ulkus peptikum dr. H. M. ali, Sp.PD 3 A 460000
febris dr. H. M. ali, Sp.PD 5 PBI
ganglion dr. Nyoman. SpB 3 M
gastritis dr. muh. Aliansyah 3 U
Tonsilitis Akut Dr. Nyoman . SpB 4 A
HT= Vertigo dr. H. M. ali, Sp.PD 3 A
susp. APP dr. Nyoman. SpB 5 A
CVA dr. H. M. ali, Sp.PD 4 A
dr. H. M. ali, Sp.PD 4 M
Fraktur scapula dr. Nyoman. SpB 4 PBI
Bronkopnemonia dr. Nurrayu. Sp.A 4 M
asma bronchial dr. H. M. ali, Sp.PD 2 PBI
ispa dr. H. M. ali, Sp.PD 2 U
APP dr. Nyoman. spB 2 A
DM dr. H. M. ali, Sp.PD 2 A 276000
APP dr. Nyoman. SpB 6 M
HT dr. H. M. ali, Sp.PD 3 U
CKD dr. H. M. ali, Sp.PD 9 M 276000
CKR dr. nyoman. SpB 2 U
TB Paru dr. H. M. ali, Sp.PD 3 M
DOKTER JUMLAH
VISITE VISITE
DM II ulkus pedis dr. H. M. ali + dr, N 7 A

TB dr. H. M. ali, Sp.PD 3 PBI
susp. APP dr. Nyoman, spB 4 A
Bronchitis dr. H. M. ali, Sp.PD 2 A
DM Pite II dr. H. M. ali, Sp.PD 2 A
dr. H. M. ali, Sp.PD 2 M 276000
1 PBI
ATF dr. H. M. ali, Sp.PD 3 M
Susp Thypad dr. H. M. ali, Sp.PD 4 PBI
dr. H. M. ali, Sp.PD 4 A
dr. H. M. ali, Sp.PD 3 U
dr. Nurrayu. Sp.A 2 U
Gastrit Ulkus dr. H. M. ali, Sp.PD 5 M
Vertigo dr. Mifta 1 U

GEA dr. Mifta 1 A
dr. Mifta 3 A
6,532,000
KABAG KEUANGAN
(DINIATUN ISLAMADIYAH, AMd. MARS)

LAPORAN KEUANGAN PASIEN RAWAT INAP TOKOH BULAN DESEMBER 2017
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
1 404 05.43.15 Ny. Rohana Dara 29-12-17 01/01/2018 3 1,903,300 3,946,000
2 417 05.26.92 An. Adolv Gunung 2 30-12-17 01/01/2018 4 2,183,000 2,477,700
3 416 05.43.77 Tn. Musyavir Waki 30-12-17 01/01/2018 4 2,071,300 2,477,700
4 418 05.43.39 An. Asiah Sape 30-12-17 03/01/2018 4 3,178,000
5 417 03.40.31 Tn. A. Chalik Pane 1/1/2018 03/01/2018 2 1,368,100 2,252,000
6 414 04.40.06 Tn. Junaidin Manggemaci 30-12-17 03/01/2018 4 2,378,000
7 413 05.44.11 Tn. Sutrisno Bajo 2/1/2018 03/01/2018 1 853,500 2,432,500
8 415 05.43.16 Ny. Sri Darti Sape 30-12-17 03/01/2018 4 1,475,000
9 420 04.69.77 Ny. Jumaini SambinaE 1/1/2018 04/01/2018 3 1,622,700 2,534,900
10 424 03.31.28 Ny. Mariamah Jatiwangi 2/1/2018 04/01/2018 2 1,354,500 2,957,000
11 422 05.43.84 Tn. Suaeb rontu 1/1/2018 04/01/2018 3 2,200,600 2,534,900
12 421 05.43.51 Ny. Asma Tawali 31-12-17 04/01/2018 4 2,500,100 2,011,000
13 423 05.43.92 Ny. Salmah Monggonao 2/1/2018 04/01/2018 2 875,000
14 426 05.43.50 Tn. Abidin wera 31-12-17 05/01/2018 5 3,903,200 2,830,600
15 425 05.44.42 Tn. M. Amin Lambu 3/1/2018 05/01/2018 2 1,145,000
16 429 05.44.82 An. Najiya jatiwangi 4/1/2018 06/01/2018 2 2,110,600 4,606,600
17 433 05.44.37 Ny. Nurjanah penaraga 3/1/2018 06/01/2018 3 1,925,700 2,430,800
18 434 04.90.99 Tn. abdullah Karara 30-01-18 06/01/2018 7 4,921,600 3,861,000 1,060,600
19 435 05.44.18 tn. Zainul Dompu 2/1/2018 06/01/2018 4 2,639,400 3,913,000
20 428 05.44.48 Ny. St. Jaenab Salama 3/1/2018 06/01/2018 3 1,060,000
21 431 05.42.88 Ny. Suryani Pane 2/1/2018 06/01/2018 4 2,396,700 4,603,600
22 432 05.44.77 Nn. Suriati Jatiwangi 4/1/2018 06/01/2018 2 1,791,300 2,437,300
23 438 05.45.07 Alvin irsad Dodu 6/1/2018 07/01/2018 1 625,000
24 437 03.66.70 Ny. Hj. Maani Tente 6/1/2018 07/01/2018 1 1,240,000
25 436 05.44.88 Ny. Nursiah Wera 5/1/2018 08/01/2018 3 1,784,000
26 439 05.44.84 Tn. Dede Ramadhan Pane 5/1/2018 08/01/2018 3 1,350,000
27 440 04.69.99 Ny. Rusmini Campa 4/1/2018 08/01/2018 3 2,842,000 5,891,100
28 443 05.44.95 Ny. Salmah Monggonao 5/1/2018 01/08/2018 3 1,151,900 1,122,000
29 444 05.44.73 Tn. Mustamin Nunggi wera 4/1/2018 01/08/2018 4 1,243,000
30 445 05.44.70 Ny. Hj. Halimah Campa 4/1/2018 01/08/2018 4 2,279,000
31 442 04.61.44 Tn. H. Sirajuddin Tente 27-12-17 01/08/2018 12 7,572,200 3,903,000 2,927,000
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
32 597 05.44.41 an. Musdalifah Matakando 3/1/2018 01/08/2018 5 1,728,000 2,174,700
33 596 03.14.01 Ny. Jahora Spaga 5/1/2018 01/08/2018 3 985,000 1,122,000
34 498 03.74.89 An. Rerin Jatiwangi 8/1/2018 01/09/2018 1 925,000 1,346,400
35 494 03.65.20 Tn. Ridwan Karara 4/1/2018 01/09/2018 5 3,552,300 3,962,900
36 493 05.45.12 Tn. H. Rusdin Dodu 6/1/2018 01/09/2018 3 1,868,000
37 495 05.20.12 Tn. Anton Haryanto Nae 7/1/2018 01/09/2018 2 1,848,700 2,973,000
38 497 05.39.43 Ny. Yusneti Kp. Sumbawa 6/1/2018 01/09/2018 3 1,775,000
39 501 05.45.57 Ny. St. Amnah Rabakodo 8/1/2018 01/10/2018 2 963,000
40 501 05.28.24 Ny. Rini Paruga 8/1/2018 01/10/2018 2 1,181,100 2,112,400
41 504 05.46.01 Ny. St. Maemunah Dena 10/1/2018 01/11/2018 1 3,999,000 2,682,900
42 505 05.45.47 Ny. Saidah sarae 8/1/2018 01/12/2018 4 1,885,000
43 453 05.46.07 Ny. kalisom Monta 10/1/2018 01/12/2018 2 1,117,500 1,122,000
44 455 05.40.50 Ny. Sarkiah Rupe 6/1/2018 01/12/2018 4 3,137,000 3,962,900
45 506 04.51.14 Ny. Muslimah Tawali wera 01/09/2018 01/12/2018 3 7,835,500 3,542,400
46 456 04.30.88 Ny. Asmah Monggonao 01/10/2018 01/12/2018 2 969,900 1,122,000
47 452 05.45.76 Ny. Saleha Makri Penatoi 01/09/2018 01/12/2018 4 2,321,100 3,477,000
48 514 05.22.71 Nn. Anggi viska Aspol 01/11/2018 13-01-18 2 1,896,000 3,044,600
49 515 05.46.10 Tn. ahmad sape Nae 01/10/2018 13-01-18 3 2,094,500 1669000 425500
50 510 03.51.44 Ny. Janiba Belo 01/10/2018 13-01-18 3 2,104,900 1,570,800 534,100
51 511 05.24.82 Ny. Ramlah Ngali 01/08/2018 13-01-18 4 3,606,900 4,607,900
52 509 05.12.60 Tn. Rusli Tolomundu 01/09/2018 13-01-18 4 2,795,900 3,962,900
53 513 05.45.94 Tn. Kemas Lewirato 01/10/2018 13-01-18 3 2,196,800 2,358,500
54 512 03.97.35 Tn. Arsyad suntu 01/10/2018 13-01-18 3 2,636,200 3,696,500
55 517 03.96.04 Nn. Nurintan Bina Baru 01/10/2018 13-01-18 3 4,293,000 3,481,900
56 518 05.46.35 Ny. Sri hajar Ranggo 01/12/2018 14-01-18 2 1,282,900 2,027,000
57 519 05.03.30 Ny. Halimah Rabadompu 01/12/2018 14-01-18 2 1,491,100 3,200,100
58 523 05.46.66 An. Putri aisyah monggonao 13-01-18 15-01-18 2 1,452,000 3,468,800
59 526 05.46.33 Tn. Triyanto Rai oi sape 16-01-18 16-01-18 4 2,565,800 2,419,200 46,600
60 524 05.45.86 Tn. Djaharuddin Penaraga 01/09/2018 16-01-18 7 4,947,900 3,984,800 963,100
61 525 05.46.25 Tn. Abdul Mutalib Kolo 01/11/2018 16-01-18 5 2,598,000
62 562 05.47.16 Ny. Herni Wadumbolo 15-01-18 17-01-18 2 1,424,000 1,346,400 77,600
63 563 05.46.34 Tn . M. Said talabiu 01/12/2018 17-01-18 5 4,496,500 2,243,500
64 566 03.02.80 Ny. Rudiah Penatoi 15-01-18 17-01-18 2 1,507,000 3,696,500
65 568 05.46.75 Tn. Totok armanto Gindi 14-01-18 17-01-18 3 2,254,000 4,603,600
66 567 05.47.20 Ny. Jumratih Palibelo 15-01-18 17-01-18 2 1,780,000 3,044,600
67 565 05.47.44 Tn. Dahlan Ambalawi 16-01-18 17-01-18 1 1,175,900 3,396,800
68 573 05.47.32 tn. Jaharudin Sape 15-01-18 18-01-18 3 2,307,800 2,837,700
69 574 05.47.50 Tn. Very kurniawan Kumbe 16-01-18 18-01-18 2 995,000
70 571 05.47.21 Ny. Sariah Ncera 15-01-18 18-01-18 3 1,277,300 2,335,200
71 576 04.05.49 Ny. Vatimah Tolobali 16-01-18 18-01-18 2 1,452,000 1,570,800
72 575 05.47.24 Ny. Mahani Dodu 15-01-18 18-01-18 3 2,013,000 3,861,000
73 572 05.47.38 Tn. Ardian Ntobo 16-01-18 18-01-18 2 1,187,500 2,957,300
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
74 569 03.32.27 Tn. Nasrun Mande 2 15-01-18 18-01-18 3 2,428,300 3,778,000
75 582 05.47.68 Ny. Nurlaelah RasanaE timur 17-01-18 19-01-18 2 1,139,200 2,477,700
76 583 04.19.29 An. M. Fahri Gindi 17-01-18 19-01-18 2 1,639,500 2,524,400
77 580 04.24.11 Tn. Nahyar Mungkar Jatiwangi 17-01-18 19-01-18 2 1,047,200 2,957,000
78 578 05.47.28 Tn. Yunus awahab Tambe 15-01-18 19-01-18 4 2,308,300 1,570,800 737,500
79 579 04.17.98 Ny. Saadiah Rabangodu 17-01-18 19-01-18 2 1,417,900 2,430,800
80 581 05.46.86 Ny. St. Kalisom rabangodu 14-01-18 19-01-18 5 1,719,400 3,498,200
81 577 05.47.75 Ny. Asmiwati jatiwangi 17-01-18 20-01-18 3 1,646,000 1,570,800 75,200
82 586 05.48.12 Tn. Faisal Donggo 18-01-18 20-01-18 2 610,000
83 585 05.47.82 Tn. Krisdayanto Ranggo 18-01-18 20-01-18 2 1,040,000
84 589 05.48.26 Tn. Tandry liwang Monggonao 19-01-18 20-01-18 1 590,000
85 590 03.24.75 An. Mutiatul Tolotongga 19-01-18 20-01-18 1 1,127,000 2,163,800
86 591 03.29.10 An. Immawan Tolotongga 19-01-18 20-01-18 1 1,037,000 2,163,800
87 594 05.46.82 Nn. Sakila karara 14-01-18 20-01-18 6 3,707,000 3,468,800 238,200
88 584 05.47.13 Tn. Idhar wawo 15-01-18 20-01-18 5 3,186,000 2,243,500
89 595 04.91.79 Tn. Muhidin woha 17-01-18 21-01-18 4 2,088,900 2,957,300
90 593 05.14.57 Tn. Syafruddin Palibelo 15-01-18 21-01-18 6 2,345,900 1,993,900
91 592 05.47.94 ny. Hasnah timu 18-01-18 21-01-18 3 3,996,000 5,663,400
92 591 05.48.06 Ny. Rosdiana lewirato 18-01-18 21-01-18 3 1,350,000
93 528 05.17.63 Ny. St. Asmah karara 19-01-18 22-01-18 3 2,110,000 2,957,300
94 529 03.68.17 Ny. St. Hawa BTN Tambana 20-01-18 22-01-18 2 3,648,000 4,692,600
95 596 05.48.19 Tn. Munir Tente 19-01-18 22-01-18 3 2,957,400 2,430,800
96 530 05.47.86 Tn. syamsuddin Melayu 18-01-18 22-01-18 4 6,995,500 3,542,400
97 534 05.48.30 Tn. Ruslan Tolotando 19-01-18 23-01-18 4 2,258,200 4,607,900
98 532 05.48.57 Tn. Muhammad langgudu 21-01-18 23-01-18 2 1,269,800 2,534,900
99 533 05.48.17 Tn. A. Kadir langgudu 21-01-18 23-01-18 4 2,176,100 2,830,600
100 535 05.48.37 An. Karmansyah Lampe 20-01-18 23-01-18 3 2,698,500 1,144,600
101 552 05.48.24 an. Multazam rabakodo 19-01-18 23-01-18 4 2,629,000 4,606,400
102 538 05.48.83 Tn. Husrin Penatoi 22-01-18 24-01-18 2 934,800 1,122,000
103 537 03.33.34 Ny. St. Rahma Rabangodu 21-01-18 24-01-18 3 2,909,100 2,957,300
104 536 05.48.91 Ny. Aisyah kodo 23-01-18 24-01-18 1 630,000
105 541 04.51.65 Ny. St. Maryam sape 22-01-18 24-01-18 2 1,752,000 3,542,400
106 539 05.14.11 Tn. M. sidik Londe Ntonggu- belo 22-01-18 24-01-18 2 1,986,100 4,616,600
107 542 05.48.38 Tn. Suaidin Donggo 20-01-18 25-01-18 5 4,942,000 2,530,300
108 543 05.48.79 ny. Khairunisah Kamp. Sumbawa 22-01-18 25-01-18 3 825,000
109 544 03.20.63 Ny. Buniati Jatibaru 23-01-18 25-01-18 2 2,003,600 2,957,300
110 545 05.49.10 Ny. Sumarni samili 23-01-18 26-01-18 3 2,734,600 2,499,900
111 547 05.47.71 Ny. St. Maryam Rasanae barat 17-01-18 26-01-18 9 8,055,900 4,368,600 3,687,300
112 543 03.46.22 ny. Aminah Penatoi 25-01-18 26-01-18 1 814,600 1,570,800
113 546 05.49.29 Ny. Nurhaedah Dara 24-01-18 26-01-18 2 1,505,000
114 550 05.41.63 tn. Aminullah Keli Woha 23-01-18 26-01-18 3 1,155,300 3,498,200
115 549 05.48.55 Nn. Marwati Monggonao 21-01-18 26-01-18 5 2,476,500 2,477,700
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
116 559 03.12.83 Tn. Abdullah Mahmud Kananga 24-01-18 27-01-18 3 5,740,200 5,891,100
117 558 05.49.33 Tn. Agus Supardi Woha 24-01-18 27-01-18 3 1,524,000 3,498,200
118 551 05.49.25 Nn. Juraidah Kumbe 24-01-18 27-01-18 3 6,228,500 2,530,300
119 555 05.49.40 Tn. M. saleh Naru Sape 25-01-18 27-01-18 2 1,545,300 2,027,000
120 557 05.48.61 Tn. Ajrun Lewi (Jatibaru) 21-01-18 27-01-18 6 4,790,100 3,640,500
121 554 05.49.34 Tn. M. Tahir H.A Kumbe 25-01-18 27-01-18 2 1,202,400 1,570,800
122 553 03.61.25 Ny. St. Salma Nusantara 26-01-18 27-01-18 1 1,400,700 2,957,300
123 559 05.49.77 Ny. Sarafiah Rato Sila 26-01-18 28-01-18 2 2,276,800 3,962,900
124 05.05.32 Tn. Mulia Ali Akbar Rupe Langgudu 29-01-18 29-01-18 1
125 1044 05.11.22 Tn. A. Rajak Adam Nas 26-01-18 29-01-18 3 1,595,500 2,483,600
126 1045 04.03.51 Ny. Najmah Melayu 24-01-18 29-01-18 5 3,305,000 2,419,200
127 1043 05.4.61 Tn. Herman Santi 26-01-18 29-01-18 3 1,828,100 2,477,700
128 1047 05.49.60 Ny. Siti Rahma Karara 26-01-18 29-01-18 3 2,224,000 2,837,700
129 1046 03.67.29 Ny. Igi Yanti Talabiu 27-01-18 29-01-18 2 1,125,000
130 1048 03.25.70 Ny. Arfah Lewirato 27-01-18 29-01-18 2 1,266,500 2,957,300
131 1049 05.49.80 Ny. St. Kartiningsih Manggemaci 26-01-18 29-01-18 3 2,355,000 2,957,300
132 1053 05.50.06 Ny. ST. Siah Penatoi 28-01-18 30-01-18 2 948,300 2,477,700
133 1051 05.50.13 Ny. Hj. Mukminah Keli Woha 28-01-18 30-01-18 2 1,185,000
134 1050 05.50.02 Ny. Mukminah Salama 28-01-18 30-01-18 2 890,000
135 1054 03.73.03 Ny. Hafni Penatoi 26-01-18 30-01-18 4 1,679,400
136 1055 05.11.55 Nn. Eva Nurkhatimah Sai Soromandi 27-01-18 30-01-18 3 2,164,700
137 1052 05.50.08 Tn. Suhendra Tambe Sila 28-01-18 30-01-18 2 1,293,200 2,163,800
138 1059 05.49.72` Ny. Salmah Nae 26-01-18 31-01-18 5 2,243,600 2,112,400
139
140 05.50.62 Tn. H. Sadino Kamp. Sumbawa 30-01-18 31-01-18 1 630,000
141 1058 05.50.73 Tn. Burhan Nae 30-01-18 31-01-18 1 622,500 1,578,800
142 1060 05.28.35 Ny. Julaeha Maria Wawo 28-01-18 31-01-18 3 2,116,000 1,570,800
143 02.94.28 Tn. Usman 27-01-18 31-01-18 4 3,716,400 2,815,500
TOTAL 31,384,000 278,269,500 192,115,200 49,766,400 76,207,800 10,772,700
KET :
pulsa tgl 03/01/18 Rp. 60.000
tgl 11/01/18 Rp. 5.000
tgl 27/01/18 Rp. 5.000
14
an Monggonao
DESEMBER 2017
DOKTER JUMLAH
VISITE VISITE
DM II dr.H.M.Ali, Sp.PD 3 M
Hiperpirexia dr. Nurrayu. Sp.A 4 A
obs ebris dr. H. M. ali, Sp.PD 4 PBI
bronkopnemonia dr. Nurrayu. Sp.A 4 U 138000
Gout dr. H. M. ali, Sp.PD 2 M
dr. H. M. ali, Sp.PD 4 A 276000
dr. H.M.Ali, Sp.PD 1 A
TB Paru dr. H.M.Ali, Sp.PD 4 U
Gastritis dr. H. M. ali, Sp.PD 3 M
ulkus peptikum dr.H.M.Ali, Sp.PD 2 A
gastritis dr. H.M.Ali, Sp.PD 3 A
anemia dr. H. M. ali, Sp.PD 4 PBI
Obs vebris dr. H.M.Ali, Sp.PD 3 U
hepatoma dr. H. M. ali, Sp.PD 4 PBI 1104000
dr. H.M.Ali, Sp.PD 2 U
bronkopnemonia dr. Sriyati spA 2 A
HT dr. H. M. ali, Sp.PD 3 A
Stroke HT dr. H. M. ali, Sp.PD 7 A
CKD dr. H. M. ali, Sp.PD 5 M
vebris Gea dr. H. M. ali, Sp.PD 3 U 276000
DM tipe II dr. H. M. ali, Sp.PD 3 A
Asma Bronchial dr. H. M. ali, Sp.PD 2 M 276000
vraktur dr. Nyoman, SpB 1 U
bronkhitis dr. H.M.Ali, Sp.PD 2 M
LBP dr. H. M. ali, Sp.PD 3 PBI
GEA dr. H. M. ali, Sp.PD 3 U
DM II dr. H. M. ali, Sp.PD 4 A
GEA dr. H. M. ali, Sp.PD 3 PBI
Stoke dr. H. M. ali, Sp.PD 3 U
DOKTER JUMLAH
VISITE VISITE
Demam typoid dr. Nurrayu. Sp.A 4 PBI

GEA dr. H.M.Ali, Sp.PD 2 PBI
Vomiting dr. Nurrayu. Sp.A 2 A
Hepatitis akut dr. H.M.Ali, Sp.PD 5 A
Myalgia dr. H. M. ali, Sp.PD 3 U
Obs vebris dr. H. M. ali, Sp.PD 3 A
ulkus peptikum dr. H.M.Ali, Sp.PD 3 U
Hepatitis dr. H.M.Ali, Sp.PD 2 U
ulkus peptikum dr. H.M.Ali, Sp.PD 2 M
ods Pterigium dr. Yadi SpM 1 A
konstipasi dr. H. M. ali, Sp.PD 4 U
GEA dr. H. M. ali, Sp.PD 2 pBI
APP dr. Nyoman, SpB 4 A
Bronkhitis dr.H.M.Ali, Sp.PD 3 A
typoid vever dr. H.M.Ali, Sp.PD 2 A
vertigo dr. H.M.Ali, Sp.PD 3 A
Obs vebris dr. H. M. ali, Sp.PD 5 M
HT + Vertigo dr. H. M. ali, Sp.PD 4 A
ACS iskemi dr. H. M. ali, Sp.PD 3 A 276000
limpadenopati dr. H. M. ali, Sp.PD 5 M
Asma Bronchial dr. H. M. ali, Sp.PD 2 PBI 276000
post hipoglikemia dr. H. M. ali, Sp.PD 2 M
obs vebris dr. Nurrayu. Sp.A 2 A
Asma Bronchial dr. H. M. ali, Sp.PD 5 U 138000
Hernia dr. Nyoman, spB 5 M
ACS Stemi dr. H. M. ali, Sp.PD 2 A
typoid vever dr. H. M. ali, Sp.PD 3 A
stroke dr. H. M. ali, Sp.PD 3 M
DOKTER JUMLAH
VISITE VISITE

Faringitis akut dr. Nurrayu. Sp.A 4 A
Vertigo dr. H. M. ali, Sp.PD 3 A
Sindrom apatis dr. H. M. ali, Sp.PD 5 PBI 276000
otitis febris dr. H. M. ali, Sp.PD 3 U
Faringitis akut dr. Nurrayu. SpA 2 M
febris dr. Nurrayu. spa 1 M
Tipoid fever dr. H. M. ali, Sp.PD 6 M
HIL Dr. Nyoman . SpB 4 PBI
gastritis dr. muh. Aliansyah 3 U
Tonsilitis Akut Dr. Nyoman . SpB 4 A
HT= Vertigo dr. H. M. ali, Sp.PD 3 A
susp. APP dr. Nyoman. SpB 5 A
CVA dr. H. M. ali, Sp.PD 4 A
Fraktur scapula dr. Nyoman. SpB 4 PBI
Bronkopnemonia dr. Nurrayu. Sp.A 4 M
asma bronchial dr. H. M. ali, Sp.PD 2 PBI
ispa dr. H. M. ali, Sp.PD 2 U
APP dr. Nyoman. spB 2 A
DM dr. H. M. ali, Sp.PD 2 A 276000
APP dr. Nyoman. SpB 6 M
HT dr. H. M. ali, Sp.PD 3 U
CKD dr. H. M. ali, Sp.PD 9 M 276000
CKR dr. nyoman. SpB 2 U
TB Paru dr. H. M. ali, Sp.PD 3 M
DOKTER JUMLAH
VISITE VISITE
DM II ulkus pedis dr. H. M. ali + dr, N 7 A

TB dr. H. M. ali, Sp.PD 3 PBI
susp. APP dr. Nyoman, spB 4 A
Bronchitis dr. H. M. ali, Sp.PD 2 A
DM Pite II dr. H. M. ali, Sp.PD 2 A
dr. H. M. ali, Sp.PD 2 M 276000
1 PBI
ATF dr. H. M. ali, Sp.PD 3 M
Susp Thypad dr. H. M. ali, Sp.PD 4 PBI
Gastrit Ulkus dr. H. M. ali, Sp.PD 5 M
Vertigo dr. Mifta 1 U

GEA dr. Mifta 1 A
dr. Mifta 3 A
6,532,000
KABAG KEUANGAN

LAPORAN KEUANGAN PASIEN RAWAT INAP TOKOH BULAN DESEMBER 2017
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
1 1297 05.5.31 Tn. Abdul Hamid sape sangia 29/11/17 01/12/2017 2 1,082,300 4,897,400
2 1295 05.34.95 Tn. H. M. Said lewirato 28/11/17 01/12/2017 2 1,867,800 3,801,000
3 1292 05.33.34 Ny. Sulistiany kananga woha 21/11/17 01/12/2017 10 9,887,800 8,014,500 1,873,300
4 1296 05.34.46 Tn. Sofian sondosia sila 26/11/17 01/12/2017 5 1,869,400 2,477,700
5 1293 05.35.36 Ny. Sri Muliati santi 29/11/17 01/12/2017 2 986,500 1,122,000
6 1298 05.34.30 Tn. Umar Abdullah Rasabou bolo 26/11/17 01/12/2017 6 3,080,000 4,163,800
7 1153 05.57.97 Ny. Baadiah Sarae 28/11/17 02/12/2017 4 1,637,100 2,027,000
8 1300 05.35.10 Ny. Ttin kurniati Dara paruga 28/11/17 02/12/2017 4 1,920,000 2,534,900
9 1304 05.35.02 Ny. Sri Eniati Bedi 29/11/17 02/12/2017 3 1,997,000 2,011,000
10 1294 05.34.88 Ny. Fatmah Bontokape sila 27/11/17 02/12/2017 5 2,901,900 3,602,100
11 1306 05.03.38 Ny. Nurdini santi 26/11/17 02/12/2017 6 2,803,700 1,346,400 1,009,800
12 1303 03.16.36 Tn. Amirudin rabangodu 30/11/17 02/12/2017 2 1,317,400 2,430,800
13 1301 03.49.13 Tn. Abdul Haris Kalampa Woha 26/11/17 02/12/2017 6 4,672,700 4,616,600 56,100
14 1299 05.35.43 An. M. Imanurahman Tolobali 30/11/17 02/12/2017 2 1,235,000
15 sssss 05.35.46 Ny. Ica Saleko 29/11/17 02/12/2017 3 1,924,100 2,432,300
16 1307 05.35.48 An. Sakila Melayu 29/11/17 03/12/2017 4 1,925,000
17 1308 03.29.34 Tn. Abdul Rajak Ntonggu 29/11/17 03/12/2017 4 3,392,100 2,363,300 1,028,800
18 1311 04.32.56 Ny. Bintar H. A Sambinae 2/12/2017 04/12/2017 2 1,787,600 4,603,600
19 1312 05.35.65 Ny. Saliha Abidin Suntu 30/11/17 04/12/2017 4 2,917,500 3,468,800
20 1146 04.07.98 NN. Yuniarti putri rabangodu 3/12/2017 04/12/2017 1 977,800 2,957,300
21 1309 05.35.86 An. Hana Huriah BTN Tolotongga 2/12/2017 04/12/2017 2 1,346,500 2,524,400
22 1184 05.36.05 An. Ummul mutmainah salama naE 3/12/2017 05/12/2017 2 1,197,500 1,570,800
23 1150 05.35.73 Ny. Hadijah Monggonao 1/12/2017 05/12/2017 4 2,725,800 3,123,600
24 1149 05.35.79 Tn. Arif rahman Rabangodu 1/12/2017 05/12/2017 4 2,389,900 3,490,600
25 1147 02.22.81 tn Rosyad arsyad BTN Pepabri 4/12/2017 05/12/2017 1 970,000 1,570,800
26 1151 05.57.98 Tn. M. Isnaini Talabiu 4/12/2017 05/12/2017 1 1,246,000 3,477,000
27 1157 05.35.98 Ny. Sumarni Ngali 2/12/2017 06/12/2017 4 2,092,000
28 1156 05.34.07 Ny. HJ. Habibah Sila Rato 25/11/17 12/06/2017 11 6,321,000
29 1160 04.40.16 Tn. Ishaka Monggonao 4/12/2017 12/06/2017 2 5,030,500 3,141,800
30 1155 05.35.92 Ny. Rosmeri Jatiwangi 2/12/2017 12/06/2017 4 1,641,800 2,016,000
31 1158 05.36.59 Nn. Sumantri Pane 5/12/2017 12/06/2017 1 890,500 2,430,800
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
32 1161 05.36.36 Tn. Muhtar Donggo Kala 4/12/2017 12/07/2017 3 1,313,000
33 1164 05.32.80 Tn. Junaidin Tolotando 2/12/2017 12/07/2017 5 1,834,000 1,122,000
34 1166 05.35.91 Ny. Firdianti Wera 2/12/2017 12/07/2017 5 1,783,900 1,122,000
35 1162 05.36.23 Ny. Hamidah Hidirasa Wera 3/12/2017 12/07/2017 4 2,976,500 2,957,300 19,200
36 1163 05.36.69 Ny. Nurlaila Melayu 5/12/2017 12/07/2017 2 1,115,000 3,690,100
37 1165 03.13.03 Tn. Yunus H.M. Saleh Penatoi 5/12/2017 12/07/2017 2 1,363,900 1,346,400 17,500
38 1167 04.01.97 Tn. Taufikurahman Suntu 4/12/2017 12/07/2017 3 3,914,500 2,815,500 1,099,000
39 1169 05.36.37 TN. Mardin Rontu 4/12/2017 12/08/2017 4 2,722,600 1,729,600 993,000
40 1171 04.14.11 Ny. Hj. Aisyah Rabadompu 2/12/2017 12/08/2017 6 4,456,200 4,603,600
41 1173 05.35.31 Tn. Abdul hamid Sangia Sape 5/12/2017 12/08/2017 3 1,855,500 3,477,000
42 1172 05.36.93 Ny. Ramlah Santi 6/12/2017 12/08/2017 2 1,425,200 2,112,400
43 1168 05.36.76 Tn. Haryanto Tanjung 6/12/2017 12/08/2017 2 1,303,000 783,400
44 1177 04.41.33 Tn. Buharis Jatibaru 5/12/2017 12/09/2017 4 2,270,500 1,122,000
45 1179 03.84.91 An. Almira Lanta Lambu 12/06/2017 12/09/2017 3 2,165,500 2,524,400
46 1178 05.30.41 Tn. Syarifudin Sarae 12/03/2017 12/09/2017 6 3,046,300 4,738,700
47 1174 04.04.06 Ny. Suryati Paruga 12/08/2017 12/09/2017 1 869,400 1,570,800
48 1175 05.37.25 Nn. Aisyah kurniati Nae 12/07/2017 12/09/2017 2 1,229,200 1,570,800
49 1176 05.08.15 Ny. Kamusiah santi 12/08/2017 12/09/2017 1 1400600 3477000
50 1180 05.36.65 An. Meisa Adifa Nusantara 12/08/2017 12/09/2017 4 1,990,000
51 73 05.37.78 Ny. Ratnah Rasabou Sape 12/09/2017 12/10/2017 1 745,000
52 105 05.37.65 Ny. Sumantiar Penaraga 12/09/2017 12/10/2017 1 1132000 2,957,300
53 74 05.37.35 An. M. Ainun Fikri Penanae 12/08/2017 12/10/2017 2 5797500 5,612,300 185,200
54 106 05.31.15 Tn. Fahmi Gilipanda 12/08/2017 12/10/2017 2 1,044,000 2,477,700
55 71 04.80.76 ny. Masnah Tanjung 12/03/2017 12/10/2017 7 4622700 3,903,000 79,700
56 75 05.37.61 Yayu lestari Pena nae 12/09/2017 12/10/2017 1 612600 1,984,400
57 84 05.37.54 An. Muftahul BTN Tambana 12/08/2017 12/11/2017 3 1913500 1,570,800 342,700
58 76 05.37.64 Tn. Nasaruddin Soki 12/09/2017 12/11/2017 2 1997600 3,481,900
59 79 05.36.90 Ny. Maswah Sumi 12/06/2017 12/11/2017 5 2481200 2,011,000
60 77 08.36.74 Tn. Junaidin Jatibaru 12/10/2017 12/11/2017 1 1398900 2,430,800
61 88 05.36.98 Ny. St hawa Monggonao 12/08/2017 12/12/2017 4 1853500 2,452,900
62 87 05.38.21 Tn. Abrarudin rabangodu 12/11/2017 12/12/2017 1 890000 3,476,100
63 89 05.37.70 Ny. Sufrianti Kumbe 12/09/2017 12/12/2017 3 1547700 2,011,100
64 92 05.37.92 Tn. Imran Kumbe 12/10/2017 13/12/17 3 5934000 4,178,300 1,755,700
65 96 05.38.00 An. Arum meisa Manggemaci 12/10/2017 13/12/17 3
66 95 05.38.32 An. Ibnu huda Monggonao 12/11/2017 13/12/17 2
67 94 05.37.80 An. Alima Dodu II 12/10/2017 13/12/17 3 1408000 1,803,200
68 100 05.09.53 Ny. St. Haninah Paruga 13/12/17 14/12/17 1 825000 2,957,300
69 102 05.38.08 An. Maher Sape 12/11/2017 14/12/17 3
70 101 05.38.16 An. Khairul azam Mande 12/11/2017 14/12-17 3 1986500 3,468,800
71 98 03.69.74 Tn. Maaru Lanta Lambu 12/12/2017 14-12-17 2 1510850 3,123,600
72 97 05.38.81 Tn. M. Gunawan Radom timur 13-12-17 14-12-17 1 977600 1,570,800
73 99 05.38.59 Ny. Nurkomariah Pane 13-12-17 14-12-17 1 1179400 3,220,300
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
74 107 05.39.30 An. Keisya Santi 14-12-17 15-12-17 1 410,000
75 103 05.38.80 Nn. Venna Oktavia Nisa Woha 13-12-17 15-12-17 2 2421000 3,481,900
76 112 05.38.32 Ny. Kamlah Rabangodu 14-12-17 15-12-17 1 710000 2,957,300
77 113 05.38.51 Ny. Aisyah Nisa Woha 12/12/2017 15-12-17 3 1928600 2,757,800
78 110 04.69.55 Tn. Elsatul Akbar Dara 12/11/2017 15-12-17 4 2194300 3,468,800
79 115 05.27.28 Ny. Aisyah Ncera 12/08/2017 15-12-17 7 3984200 2,846,300
80 111 05.37.96 Tn. Samaratul yahya Penatoi 12/10/2017 15-12-17 5 2,110,000
81 114 05.39.26 An. M. Arya Panda 14-12-17 15-12-17 1 845,000
82 109 05.38.94 Ny. Sri Rahmi Sadia 13-12-17 15-12-17 2 1,040,000
83 108 05.37.76 An. Adista Wera oi toi 12/09/2017 15-12-17 6 4588500 5,548,400
84 120 05.10.97 Tn. Muhtar Santi 12/12/2017 15-12-17 4 2758000 2,252,000 506,000
85 116 05.22.73 Tn. Burhan Oi toi Wera 13-12-17 16-12-17 3 1270500 2,237,900
86 117 05.33.96 Tn. Kamaluddin Donggo 14-12-17 16-12-17 2 1,251,000
87 119 04.77.44 An. Syiva Melayu 13-12-17 16-12-17 3 2158500 2,524,400
88 118 05.39.48 Tn. Abdullah Kara Bolo 15-12-17 16-12-17 1 2260000 1,961,400
89 104 08.38.22 Tn. M. Sidik Lambu 12/12/17 16-12-17 4 5028500 2,243,500
90 127 05.39.36 Ny. Setiawati Tanjung 15-12-17 17-12-17 2 1250100 2,482,900
91 128 04.65.00 Ny. Sri ayu trisna Kumbe 15-12-17 17-12-17 2 1822400 2,822,400
92 125 05.39.57 an. M. Ridho Jatiwangi 15-12-17 17-12-17 2 1120500 2,112,400
93 122 05.38.87 Ny. Rosdiana Nggarolo 13-12-17 17-12-17 4 3949500 2,530,300
94 124 03.12.74 An. Tora Kompi 14-12-17 17-12-17 3 2367500 2,163,800 203,700
95 121 05.38.98 An. Hasbi asyiki Wera 13-12-17 17-12-17 4 1872500 1,698,200
96 126 05.38.86 An. Abdurahman Tanjung 14-12-17 17-12-17 3 1875000 1,346,400
97 123 05.39.47 An. Naila BTN Sarata 15-12-17 17-12-17 2 1578000 2,609,600
98 130 05.39.70 ny. Nurjanah Naru sape 16-12-17 18-12-17 2 2441500 2,815,500
99 129 04.52.68 Ny. Ajar aisyah Rite 14-12-17 18-12-17 4 2155400 1,351,900 803,500
100 131 05.39.98 Ny. Sri muliani Karara 17-12-17 18-12-17 1 675,000
101 134 05.40.06 An. Ahmad Hani Rabangodu 17-12-17 19-12-17 2 1390500 2,524,400
102 211 04.98.35 Tn. Muhtar Monggonao 17-12-17 19-12-17 2 1047500 1,122,000
103 135 05.39.95 Ny. Hj. St. Maani Tolotangga 17-12-17 19-12-17 2 1542400 2,837,700
104 136 04.20.78 Ny. Hasah Monggonao 17-12-17 19-12-17 2 1709600 2,957,300
105 137 05.39.68 Tn. Atimia Muh Panggi 16-12-17 19-12-17 3 2662200 2,534,900 127,300
106 138 05.40.22 Ny. Suharni Sangari 18-12-17 19-12-17 1 699000 2,027,000
107 140 05.39.52 Tn. M. Nur Sape Naru 15-12-17 19-12-17 4 4749700 3,696,500 1,053,200
108 133 03.34.23 Ny. St. Salmah Santi 16-12-17 19-12-17 3 2219600 2,837,700
109 214 03.34.23 Ny. Nurahmi tolotangga 18-12-17 20-12-17 3 1731000 1,665,000 66,000
110 223 04.43.10 Tn. Wahudin Jatiwangi 19-12-17 20-12-17 1 640000 1,729,600
111 215 05.40.15 Ny. Rini itrianingsih Penaraga 18-12-17 20-12-17 2 1642700 3,468,800
112 217 05.39.62 Tn. Sarujin naE 16-12-17 20-12-17 4 1628800 3,498,200
113 212 05.38.43 Tn. Ibrahim kumbe 13-12-17 20-12-17 7 3,860,000
114 218 05.40.32 Ny. Ratnah Pane 18-12-17 20-12-17 2 744,000
115 220 03.76.43 Tn. H. abubakar Rabangodu 18-12-17 21-12-17 3 2715800 2,837,700
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
116 221 03.27.25 Tn. Ahmad Waki 19-12-17 21-12-17 2 1249000 2,827,400
117 222 05.40.66 Muh. Ajirin rabakodo 19-12-17 21-12-17 2 942200 2,534,900
118 219 05.39.02 Tn. Khairuddin Kalampa Woha 17-12-17 21-12-17 4 2,055,000
119 224 04.69.13 An. Azmi Izatul Rasanae 19-12-17 21-12-17 2 1,085,000
120 225 05.40.33 Tn Muslimin Hidirasa Wera 18-12-17 21-12-17 3 3087500 4,008,800
121 222 05.40.66 M. Azirin Rabakodo 19-12-17 21-12-17 2 942200 2,534,900
122 221 03.27.25 Tn. Ahmad waki 19-12-17 21-12-17 2 1249000 2,827,400
123 220 03.76.43 Tn. H. abubakar Rabangodu 18-12-17 21-12-17 3 2715800 2,837,700
124 05.41.06 An. M. Alwi Ranggo 21-12-17 22-12-17 1 740,000
125 05.40.39 An. Elatan BTN Tambana 18-12-17 22-12-17 4 2,438,000
126 229 05.40.02 Ny. Nuraini Paruga 17-12-17 22-12-17 5 2476500 2,757,800
127 230 02.94.25 Tn. Abidin Ibrahim lewirato 18-12-17 22-12-17 4 6053500 3,141,000
128 232 05.40.90 Tn. Samsurijal Tangga 20-12-17 22-12-17 2 848,000
129 228 05.40.31 Tn. Yasir Pandai 18-12-17 22-12-17 4 1960000 3,948,900
130 238 03.92.28 Tn. Syamsuddin Asakota 20-12-17 23-12-17 3 2230400 3,468,800
131 234 03.28.91 An. Uwais Nae 21-12-17 23-12-17 4 1574500 2,973,300
132 239 05.40.68 Ny. Ramlah Kolo 19-12-17 23-12-17 4 2,794,000
133 233 05.41.19 An. Muh. Arel Monggonao 21-12-17 23-12-17 2 1,090,000
134 235 05.40.24 ny. Hj. Toiba Lambu 18-12-17 23-12-17 5 3,709,000
135 240 05.41.01 Tn. Athul Zulmi Lewisape 21-12-17 23-12-17 3 2286000 2,419,200
136 242 05.41.09 Tn. M. Hasan Monggo 21-12-17 23-12-17 2 1,256,000
137 243 05.41.27 Tn. Isra Tangga 23-12-17 23-12-17 2 855,000
138 236 05.39.24 Nn. Ariani Penaraga 14-12-17 23-12-17 9 4348200 3,948,900
139 353 05.31.36 Tn. Aiman Soromandi 22-12-17 24-12-17 2 1,030,000
140 351 05.41.50 Ny. Yulis Puji Dompu 21-12-17 24-12-17 3 1773100 1,665,000 108,000
141 244 05.40.64 Tn. Kamaluddin penanae 19-12-17 24-12-17 5 3596000 2,775,000 821,000
142 373 05.40.23 Ny. Kalisom Bolo 18-12-17 24-12-17 6 2689600 3,291,300
143 245 05.41.43 An. Imam sakban Sie Monta 22-12-17 24-12-17 2 855,000
144 237 03.76.98 Tn. A. Munir sadia 21-12-17 24-12-17 2 1779900 4,603,600
145 241 05.41.21 Tn. Syamsuddin Palibelo 21-12-17 24-12-17 2 989500
146 354 05.41.71 an. Nabila Azahra Paruga 23-12-17 24-12-17 1 675,000
147 358 05.41.96 Ny. Ika yuli Penaraga 24-12-17 25-12-17 1 1204000 2,957,300
148 355 05.41.77 Tn. H. Burhan Karara 23-12-17 25-12-17 2 985,000
149 357 04.58.40 Ny. Ramlah Ntobo 19-12-17 25-12-17 6 2810100 3,001,800
150 359 05.41.47 An. Dwi ajeng Keli Woha 22-12-17 25-12-17 3 1275000 1,122,000
151 356 03.58.34 ny. St. Aminah Lanta Lambu 20-12-17 25-12-17 5 3092500 2,802,300
152 360 05.38.08 An. Maher Sape 23-12-17 26-12-17 3 1,745,000
153 386 05.42.06 Tn. M. avvan Sadia 25-12-17 26-12-17 1 673900 1,122,000
154 389 05.42.00 Tn. Abubakar Samporo 25-12-17 26-12-17 1 855500 2,957,300
155 388 05-42-00 Ny. Jamrah Melayu 24-12-17 26-12-17 2 835000 1,122,000
156 387 05.41.41 Ny. Hasnah Soromandi 22-12-17 26-12-17 4 1618800 1,122,000
157 361 05.39.82 Tn. Khairuddin Woha 22-12-17 26-12-17 4 2,043,000
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
158 390 05.41.96 Tn. Jakariah Rabangodu 23-12-17 26-12-17 3 2227200 6,256,000
159 364 04.76.39 Tn. M. uad Kolo 24-12-17 27-12-17 3 1,670,000
160 369 05.42.20 Tn. M. Ismail Monggonao 25-12-17 27-12-17 2 983,000
161 362 05.41.44 An. Laudia Monggonao 22-12-17 27-12-17 5 3266000 1,570,800 1,178,100
162 370 05.41.97 Ny. St. Rukayah Tangga 24-12-17 27-12-17 3 2434000 3,133,000
163 363 05.41.97 An. Shuaib Keli Woha 23-12-17 27-12-17 4 2431000 2,011,600
164 366 03.66.91 Tn. H. Abdul Rajak Penaraga 25-12-17 27-12-17 2 1691500 2,983,600
165 372 03.99.17 Ny. Kartini Spaga 25-12-17 28-12-17 3 1429300 1,803,200
166 380 05.42.16 An. Umar Mekar Baru 25-12-17 29-12-17 4 2626000 3,468,800
167 379 05.26.36 An. Sultan khair Dara 26-12-17 29-12-17 3 2155000 4,606,400
168 375 04.08.07 Tn. M. saleh Monggonao 25-12-17 29-12-17 4 3152700 2,837,700 315,000
169 378 05.42.56 Tn. H. Anggur Dena 27-12-17 29-12-17 2 1605500 2,957,300
170 377 05.41.63 Tn. Muh. Amirullah Dadibou 24-12-17 29-12-17 5 3197000 2,419,800 777,800
171 374 05.42.29 Ny. Mihra Soki 26-12-17 29-12-17 3 1811600 2,837,700
172 05.42.91 Tn. H. Saii Rupe 28-12-17 30-12-17 2 895,000
173 05.42.77 An. Ahira Pepabri 27-12-17 30-12-17 3
174 384 03.98.88 Ny. Nurma Gilipanda 29-12-17 30-12-17 1 1086700 2,430,800
175 385 03.76.98 Tn. A. Munir Penatoi 27-12-17 30-12-17 3 2176000 2,729,100
176 393 05.28.74 Tn. Irdaus Wera 28-12-17 30-12-17 2 1198000
177 395 05.28.65 Ny. St. akmah woha 23-12-17 30-12-17 7 5676500 3,480,700 2,195,800
178 396 05.42.56 Tn. H. anggur Dena 27-12-17 30-12-17 3 2197800 2,957,300
179 05.41.78 Ny. St. Hajar Sape 23-12-17 30-12-17 7 3,405,000
180 383 05.41.78 An. Aprilia Sape 23-12-17 30-12-17 7 4113000 2,609,600 1,503,400
181 382 05.42.34 An. Muh. Alatir manggemaci 26-12-17 30-12-17 4 1943500 2,609,600
182 394 05.42.43 Tn. Ilham Jatiwangi 26-12-17 30-12-17 4 5763900 7,268,100
183 399 03.76.57 Ny. Nurita Kumbe 29-12-17 31-12-17 2 1265100 3,476,100
184 400 05.42.95 Ny. St. Hawa sape 28-12-17 31-12-17 3 4367100
TOTAL 58,756,000 324,496,950 234,222,000 64,950,700 99,665,900 18,118,800

14
an Monggonao
ESEMBER 2017
DOKTER JUMLAH
VISITE VISITE
TB Paru dr.H.M.Ali, Sp.PD 2 M

stroke dr. H.M.Ali, Sp.PD 3 A
abses manus + DM +sepsis dr. Nyoman, Sp.B + dr. 10 A
Obs. Febris dr.H.M.Ali, Sp.PD 5 PBI
GEA dr. Tajuddin 2 PBI
Obs. Bronhitis +susp TB paru dr. H.M.Ali, Sp.PD 6 A 276000
obs. Febris +discom cordis dr. H.M.Ali, Sp.PD tmah PBI 276000
ulkus peptikum dr. H.M.Ali, Sp.PD 4 M
obs febris + anemia dr. H. M. ali, Sp.PD 3 PBI
ulkuspeptikum + DM II dr.H.M.Ali, Sp.PD 5 A
colik abdomen dr. H.M.Ali, Sp.PD 6 M
HT emergency + vertigo dr. Tajuddin 2 A
Hepatoma + Sepsis+ Anemia dr. H.M.Ali, Sp.PD 6 A
dr. H.M.Ali, Sp.PD 3 A 276000
GEA dr. Nurrayu. Sp.A 4 U
Illeus paralitik dr. Nyoman, SpB 4 A 368000
HT gr II +DM + obs febris dr. H. M. ali, Sp.PD 1 A 276000
obs febris dr. H. M. ali, Sp.PD 4 A
ISPA dr. Nurrayu. Sp.A 2 A
GEA dr. Nurrayu. Sp.A 3 A
CKD V + gangren artritis + HT dr. H. M. ali, Sp.PD 4 A
Epilepsi dr. H.M.Ali, Sp.PD 4 A 276000
GEA dr. H. M. ali, Sp.PD 1 M
Bronkitis kronis dr. H. M. ali, Sp.PD 1 A 276000
Dm + stroke + hipoglikemi dr. H. M. ali, Sp.PD 16 U 138000
HIL dr. Nyoman, SpB 2 A
HT gr II dr. H.M.Ali, Sp.PD 1 A
DOKTER JUMLAH
VISITE VISITE
Asma Bronchial dr. H.M.Ali, Sp.PD 3 U

obs febris+ ulkus peptikum dr. H.M.Ali, Sp.PD 4 A
VES + HT dr. H. M. ali, Sp.PD 2 A
GEA + HT dr. H. M. ali, Sp.PD 2 A 92000
gastritis kronik + anemia dr. H.M.Ali, Sp.PD 4 A 276000
Vertigo dr. H.M.Ali, Sp.PD 4 A
DM II + HT + stroke dr. H.M.Ali, Sp.PD 4 M
Bronkitis kronis dr. H. M. ali, Sp.PD 3 M
ulkus peptikum dr. H. M. ali, Sp.PD 2 PBI
APP akut dr. Nyoman, SpB 3 M
Colik abdomen dr. H. M. ali, Sp.PD 4 M
Ispa dr. Nurrayu. Sp.A 3 A
TB Paru dr. H. M. ali, Sp.PD 6 M 276000
ulkus peptikum dr. H.M.Ali, Sp.PD 2 A
Bronkitis kronis dr. H.M.Ali, Sp.PD 2 M 276000
Cephalgia dr. H. M. ali, Sp.PD 1 U
Polip dr. Nyoman. SpB 2 A
obs febris dr. H. M. ali, Sp.PD 3 PBI
DM II + asma bronh dr. H. M. ali, Sp.PD 7 M 828000
Dislokasi dr. Nyoman, SpB 1 PBI
Soft tissu tumor dr. Nyoman, SpB 3 PBI
Vertigo + anemia dr. H. M. ali, Sp.PD 5 M
Vertigo + HT emergency dr. H. M. ali, Sp.PD 2 A
Vertigo + HT + LBP dr. H. M. ali, Sp.PD 4 PBI
LBP + ISK dr. H. M. ali, Sp.PD 1 M
obs febris + anemia dr. H. M. ali, Sp.PD 3 PBI
Vulnus apertum manus S dr. Nyoman, SpB 4 M
Enteric fever + ispa dr. Nurrayu. Sp.A 4 M
enteric fever dr. Nurrayu. Sp.A 4 U
enteric ever dr. Nurrayu. Sp.A 3 A
CKD V dr. H. M. ali, Sp.PD 2 A
Tumor otak dr. H. M. ali, Sp.PD 2 A
DOKTER JUMLAH
VISITE VISITE
vebris U
Keloid dr. H. M. ali, Sp.PD 2 PBI
stroke dr. H. M. ali, Sp.PD 3 M 276000
OBS ebris dr. H. M. ali, Sp.PD 4 A
DM II + Anemia + LBP dr. H. M. ali, Sp.PD 7 PBI 552000
Sindrom apatis dr. H. M. ali, Sp.PD 5 U
Bronkopnemonia dr. Nurrayu. Sp.A 6 M 276000
CKD V dr. H. M. ali, Sp.PD 4 M
Musk spasme dr. Nyoman. SpB 3 M
PPOK dr. H. M. ali, Sp.PD 2 U 276000
ISPA dr. H. M. ali, Sp.PD 3 A
Os Pterigium dr. Yadi SpM 2 PBI
HIL dr. Nyoman, SpB 5 PBI
LBP dr. H. M. ali, Sp.PD 3 PBI
DM II + ISK dr. H. M. ali, Sp.PD 2 A
Gastritis + ebris dr. Nurrayu. Sp.A 2 PBI
APP dr. Nyoman. SpB 4 PBI
Tonsilitis Akut dr. H. M. ali, Sp.PD 3 M
CKS dr. Nyoman. SpB 4 M
GEA dr. Nurrayu. Sp.A 3 M
Demam typoid dr. Nurrayu. Sp.A 2 M
Anemia dr. H. M. ali, Sp.PD 2 A
Hemoroid gr III dr. H. M. ali, Sp.PD 4 M
aringitis Akut dr. Nurrayu. Sp.A 2 A
Gea dr. H. M. ali, Sp.PD 3 M
IMA + Asma Bron dr. H. M. ali, Sp.PD 4 A 552000
Asma Bronchial dr. H. M. ali, Sp.PD 3 A 138000
gravida dr. H. M. ali, Sp.PD 2 A
Vertigo 1 M
obs ebris dr. H. M. ali, Sp.PD 3 M
TB Paru dr. H. M. ali, Sp.PD 4 PBI
ISK dr. H. M. ali, Sp.PD 2 U
DOKTER JUMLAH
VISITE VISITE
Isk dr. H. M. ali, Sp.PD 2 A

Hepatitis + LBP dr. H. M. ali, Sp.PD 5 U
Enteric ever dr. Nurrayu. Sp.A 3 U
Hemoroid dr. Nyoman. SpB 3 PBI
Ulkus peptikum dr. H. M. ali, Sp.PD 2 M
Vomiting dr. Nurrayu. Sp.A 2 U
Bronkopnemonia dr. Nurrayu. Sp.A 4 U
DM II dr. H. M. ali, Sp.PD 5 PBI
HIL dr. Nyoman. SpB 4 A
TB paru + DM dr. H. M. ali, Sp.PD 4 PBI 138000
OBS ebris dr. H. M. ali, Sp.PD 3 M
OBS ebris dr. H. M. ali, Sp.PD 2 M
KDS dr. Nurrayu. Sp.A 2 U
Anemia dr. H. M. ali, Sp.PD 5 U 276000
Pharingitis akut dr. H. M. ali, Sp.PD 2 U 276000
HT Emergency dr. H. M. ali, Sp.PD 2 U
TB Paru dr. H. M. ali, Sp.PD 9 PBI 828000
Colik abdomen dr. H. M. ali, Sp.PD 2 U
stroke hemiparese dr. H. M. ali, Sp.PD 6 PBI
CKR dr. Nyoman. SpB 2 U
Dm II dr. H. M. ali, Sp.PD 2 A
Vomiting dr. Nurrayu. Sp.A 1 U
konstipasi dr. H. M. ali, Sp.PD 2 U
GEA dr. Nurrayu. Sp.A 3 PBI
CH Atrial vibrasi dr. H. M. ali, Sp.PD 5 A
dr. H. M. ali, Sp.PD 4 U 92000
DOKTER JUMLAH
VISITE VISITE
BPH + ISK dr. H. M. ali, Sp.PD 3 A

DM II + post trauma dr. H. M. ali, Sp.PD 3 M
Anemia gravis dr. H. M. ali, Sp.PD 4 PBI
BPH + ISK dr. H. M. ali, Sp.PD 2 M 227000
Chepalgia dr. H. M. ali, Sp.PD 3 M
enteric ever dr. H. M. ali, Sp.PD 4 A
Bronkopnemonia dr. Nurrayu. Sp.A 3 A
Ulkus peptikum dr. H. M. ali, Sp.PD 2 A
dispepsia dr. H. M. ali, Sp.PD 2 U
HT dr. H. M. ali, Sp.PD 1 A
Herpes + DM dr. H. M. ali, Sp.PD 3 A
Tumor abdomen dr. H. M. ali, Sp.PD 6 A
DM II dr. H. M. ali, Sp.PD 7 U
Typoid dr. Nurrayu. Sp.A 7 A
Typoid dr. Nurrayu. Sp.A 4 A
Hipertiroid dr. H. M. ali, Sp.PD 4 PBI
LBP dr. H. M. ali, Sp.PD 2 A
katarak dr. Yadi SpM 3 PBI
9881000
KABAG KEUANGAN

LAPORAN KEUANGAN PASIEN RAWAT INAP BUAH VIP B BULAN OKTOBER 2017
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
1 675 03.93.41 Tn. Jaharudin Monggonao 31/10/17 01/11/2017 1 590,000
2 676 05.28.30 Ny. Hikmah Penatoi 31/10/17 02/11/2017 2 1,146,000
3 677 05.28.17 An. Rayan Melayu 30/11/17 02/11/2017 3 1,635,000 1,346,400 202,200
4 678 05.28.63 Tn. Lukman Mpunda 1/11/2017 03/11/2017 2 1,679,200 1,346,400 332,800
5 679 05.28.88 Tn. H. Abd. Azis Penaraga 2/11/2017 04/11/2017 2 1,215,000
6 680 05.97.59 Ny. Bice Rabangodu 29/11/17 04/11/2017 6 6,533,500 3,903,000 2,630,500
7 681 05.29.09 Ny. Jubaidah Rabangodu 3/11/2017 04/11/2017 1 660,000
8 682 05.29.26 Ny. Sri dewi Sarae 4/11/2017 06/11/2017 2 980,000
9 683 05.29.32 An. Zahwa BTN Tambana 4/11/2017 06/11/2017 2 1,496,000 2,355,400
10 684 05.29.29 An. Muh. Dinul Islam Rabangodu 4/11/2017 06/11/2017 2 1,542,000 3,468,800
11 685 05.29.47 Tn. Nurul mubin Woha 5/11/2017 07/11/2017 2 1,477,000 1,346,400 130,600
12 686 05.29.94 An. Qonita zahra SambinaE 6/11/2017 07/11/2017 1 992,000 3,468,800
13 687 05.29.86 Tn. M. Hasan Gani Penatoi 6/11/2017 08/11/2017 2 1,529,700 2,432,300
14 688 05.29.80 Tn. Jabir Ahmad Wawo 6/11/2017 08/11/2017 2 1,088,000
15 689 05.12.60 Tn. Rusli Tolomundu 2/11/2017 09/11/2017 7 7,731,400 4,616,600 3,114,800
16 690 05.30.23 An. Rasya Tanjung 8/11/2017 09/11/2017 1 1,059,000 1,346,400
17 903 02.97.82 An. M. Aqtar Pane 9/11/2017 09/11/2017 2 1,599,500 2,973,300
18 904 05.30.84 An. Izzul akhlak Palibelo 10/11/2017 12/11/2017 2 1,628,000 2,524,400
19 905 05.07.08 Tn. Najamudin Kodo 7/11/2017 12/11/2017 5 3,953,000 2,689,700 1,263,300
20 906 05.31.17 Tn. Haerul sahrul Ranggo 12/11/2017 14/11/2017 2 2,098,500 1,577,300 521,100
21 907 04.60.58 An. Syafiq Bolo 8/11/2017 14/11/2017 6 4,586,500 4,606,400
22 908 05.31.05 Ny. Dita Dinda Tolotongga 11/11/2017 14/11/2017 3 2,022,600 3,468,800 2,957,300
23 909 04.08.93 Ny. Rukmini Mande 9/11/2017 14/11/2017 5 4,361,100 3,569,000 792,100
24 910 03.17.40 Ny. Hartiningsih Nusantara 14/11/2017 15/11/2017 1 801,600 1,346,400
25 912 05.31.83 An. M. Abidzar Rabangodu 15/11/2017 15/11/2017 1 877,500 2,973,300
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
26 911 05.31.69 Rian Mardiansyah Kp. Sumbawa 15/11/2017 15/11/2017 1 600,000
27 913 05.31.72 An. Athifa Janeta Rabangodu 15/11/2017 16/11/2017 1 1,047,000 2,524,400
28 914 05.14.83 Ny. Nurmaidah Rabangodu 14/11/2017 17/11/2017 3 2,356,400 3,588,200
29 915 05.31.95 Ntr. Siti Fatmah Tolomundu 15/11/2017 17/11/2017 2 1,640,800 2,957,300 1,162,000
30 916 04.10.64 Ny. Nursiah Monta 17/11/2017 19/11/2017 2 1,485,000 1,586,600 3,477,000
31 917 05.25.69 Ny. Nurul Hindayani Monggonao 18/11/2017 19/11/2017 1 989,500
32 918 05.32.58 Nn. Vivi Delianan Rontu 18/11/2017 22/11/2017 4 3,608,400 2,822,400 786,000
33 919 05.32.80 Tn. Hafid Rite 19/11/2017 22/11/2017 3 2,361,100 3,468,800 3,979,200
34 920 5.2953 Ny. Siti Haninah Paruga 18/11/2017 22/11/2017 4 2,848,000 4,603,600
35 921 05.32.82 Ny. Siti Rahma Karara 19/11/2017 22/11/2017 3 2,382,600 3,477,000
36 923 05.12.40 An. Khusnul Salama 17/11/2017 23/11/2017 6 2,910,000
37 924 05.33.69 An. Rizki Anugrah Jatiwangi 22/11/2017 24/11/2017 2 1,512,600 1,570,300
38 922 05.32.21 Ny. Hj. Suharti Pane 16/11/2017 24/11/2017 8 6,729,600 4,972,300 1,757,300
39 925 04.02.57 Ny. Yanti Susanti Tanjung 22/11/2017 25/11/2017 3 2,148,200 2,973,300
40 926 03.60.20 Tn. Ridwan Karara 24/11/2017 26/11/2017 2 2,105,100 2,957,300
41 927 05.34.08 An. Aisyah Ayuning Melayu 25/11/2017 27/11/2017 2 917,500 1,570,800
42 928 05.34.01 Nn. Denisa Maharani Saleko 24/11/2017 27/11/2017 3 2,054,500 1,096,800 957,700
43 929 03.34.29 Tn. H. M. Noor Gindi 24/11/2017 28/11/2017 4 2,656,100 2,355,400 300,700
44 930 04.95.14 An. Ahmad Emir Tanjung 24/11/2017 28/11/2017 4 3,406,500 4,168,100
45 931 05.34.35 An. Rifat Mirza Matakando 26/11/2017 28/11/2017 2 1,647,500 34,688,800
46 632 05.34.44 An. Stuwaibatul Paruga 26/11/2017 28/121/2017 2 1,408,500 2,524,400
47 633 05.31.75 An. Nurul Azahra Suntu 27/11/2017 29/11/2017 2 1,529,400 2,524,400
48 634 05.34.09 Ny. Hairunnisa Melayu 28/11/2017 30/11/2017 2 1,019,000
49 635 05.34.05 Tn. Fahrul Rozi Rabangodu 26/11/2017 30/11/2017 4 3197100 3468800
50 636 05.35.20 Nt. Murdiyono Madapangga 29/11/2017 30/11/2017 1 1019000 3824400
TOTAL 11,663,500 83,557,600 74,120,800 21,653,200 17,930,300
KEPALA UNIT VIB B LT.II KABAG KEUA
(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIYA

14
an Monggonao
N OKTOBER 2017
DOKTER JUMLAH
VISITE VISITE
Vertigo U
HT + Anemia dr. H.M.Ali, Sp.PD 2 U
GEA DRS dr. Nurayu, SpA 3 M
GEA DRS dr.H.M.Ali, Sp.PD 2 A
GEA + DM 2 dr. H.M.Ali,Sp.PD 2 U
Asma Bronchial + DM 2 dr. H.M.Ali, Sp.PD 7 A
Ulkus Peptikum dr. H.M.Ali, Sp.PD 1 U
Vertigo dr. H.M.Ali, Sp.PD 1 U
KDK + GEA dr. Nurayu, SpA 2 A
Enteric Fever dr. Nurayu, SpA 2 A
GEA dr. H.M.Ali, Sp.PD 3 A
Hiperpirexia dr. Nurayu, SpA 1 A
Asma Bronchial dr. H.M.Ali, Sp.PD 2 A
Gastritis + Anemia dr. H.M.Ali, Sp.PD 3 U
Sirosis Hepatis + anemia + konstipdr. H.M.Ali, Sp.PD 7 A
Enteric Fever ISPA dr. Nurrayu. Sp.A 2 A
ISPA + Hiperpirexia dr. Nurrayu. Sp.A 2 A
Fistula Ani + Hemoroid gr. 2 dr. Nyoman, Sp.B 5 A
Trauma Tumpul Abdomen dr. Nyoman, Sp.B 2 A
Bronkopnemonia dr. Nurrayu. Sp.A 6 A
Ulkus Peptikum dr. H. M. ali, Sp.PD 3 M
DM 2 + Bronchitis cronis dr. H. M. ali, Sp.PD 5 A
GEA dr. H.M.Ali, Sp.PD 1 M
Febris + Vomiting dr. Miftah 1 A
DOKTER JUMLAH
VISITE VISITE
Ulkus Peptikum dr. H. M. ali, Sp.PD 1 U

Faringitis Akut dr. Nurrayu. Sp.A 2 A
Ansiatas dr. H. M. ali, Sp.PD 3 A
Ulkus Peptikum + HT dr. H. M. ali, Sp.PD 2 A
PPOK dr. H. M. ali, Sp.PD 2 A
Tonsilitis Akut dr. H.M.Ali, Sp.PD 1 U
ISK dr. H.M.Ali, Sp.PD 4 A
Obs. Febris dr. H.M.Ali, Sp.PD 3 A
DM Type 2 dr. H.M.Ali, Sp.PD 4 A
Bronkitis Akut dr. H.M.Ali, Sp.PD 3 A
Demam Typoid dr. Nurrayu. Sp.A 7 U
Disentri dr. Nurrayu. Sp.A 2 A
DM Type 2 + CKD gr V + CHF dr. H.M.Ali, Sp.PD 11 M 5000
Ulkus Peptikum dr. H.M.Ali, Sp.PD 4 A
Vomiting dr. Nurrayu. Sp.A 2 A
Muscle Pain dr. Nyoman, Sp.B 3 M
GEA + Parkinsom dr. H.M.Ali, Sp.PD 4 A
Anemia + ISPA + DKA dr. Nurrayu. Sp.A 4 A
Enteric Fever dr. Nurrayu. Sp.A 2 A
ISPA + Hiperpirexia + GEA dr. Nurrayu. Sp.A 2 A
Obs. Febris dr. H.M.Ali, Sp.PD 2 U
Chest Pain + DM + HT dr. H.M.Ali, Sp.PD 2 A
KABAG KEUANGAN

LAPORAN KEUANGAN PASIEN RAWAT INAP BUAH VIP B BULAN OKTOBER 2017
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
1 416 05.22.15 An. Nawaf Sadia 1/10/2017 10/02/2017 1 848,000 2,524,400 2,163,800 360,600
2 417 04.75.16 An. Rifki Jatibaru 26/9/2017 10/02/2017 6 4,707,700 2,837,700 2,432,300 2,533,300
3 418 05.21.68 Ny. St. Mariam Simpasai 28/9/2017 10/02/2017 4 2,135,000
4 419 03.76.36 Tn. Andi Hermawan Saleko 2/10/2017 10/03/2017 1 985,000 2,778,100 2,318,200 459,900
5 420 05.22.10 An. Abdurahman Kamp. Sumbawa 1/10/2017 10/03/2017 2 1,235,000
6 421 05.22.44 Ny. Halimah Teke 3/10/2017 10/04/2017 1 1,478,000 3,389,900
7 422 04.10.33 Ny. Mariamah Penatoi 3/10/2017 10/04/2017 1 1,155,200 2,957,300
8 423 05.15.50 Tn. Nurdin Ishaka Roi 26/9/2017 10/05/2017 9 8,184,500
9 424 05.21.27 Tn. Muksin Lambitu 26/9/2017 7/10/2017 11 5,465,000
10 425 05.08.41 Ny. Utami Suciati Mande 5/10/2017 7/10/2017 2 1,275,000
11 426 05.10.97 Tn. Muhtar Santi 5/10/2017 8/10/2017 3 2,565,300 3,778,000 3,238,300 539,700
12 427 05.23.34 Tn. Muhtar Wawo 7/10/2017 8/10/2017 1 921,000 2,957,300
13 428 05.22.56 Ny. Hj. Raodah Nusantara 3/10/2017 9/10/2017 6 3,130,000
14 429 03.30,11 Tn. Kisman Nusantara 2/10/2017 9/10/2017 7 4,575,700 4,607,900

15 430 05.18.83 Ny. Misbah Tangga 6/10/2017 10/10/2017 2 6,740,500 3,471,200 1,562,040
16 431 05.23.84 Tn. Indra Alam Rabakodo 10/10/2017 12/10/2017 2 1,090,000
17 432 05.24.02 An. Radista Rabangodu 10/10/2017 12/10/2017 2 1,130,000
18 433 03.19.33 An. M. Ihyan Monggonao 9/10/2017 12/10/2017 3 2,000,000 1,570,800 471,240
19 434 05.15.91 Ny. St. Ramlah Pane 11/10/2017 13/10/2017 2 1,852,800 2,957,300
20 435 03.63.05 Tn. H. Ahmad Rabakodo 11/10/2017 14/10/2017 3 2,285,000 3,861,000 3,309,400 551,600
21 436 05.23.74 Hadijah Nae 11/10/2017 14/10/2017 3 1,979,500 2,430,800
22 437 04.07.67 Tn. Jundurahman Melayu 12/10/2017 14/10/2017 2 1,581,000 3,468,800
23 438 05.24.53 Ny. Mutiah Tanjung 12/10/2017 16/10/2017 4 2,165,000
24 439 05.18.90 Ny. Aryani Karara 14/10/2017 16/10/2017 2 1,419,000 2,822,400
TOTAL TOTAL
NO. BPJS BPJS BPJS
UMUM BPJS
25 440 05.24.96 Ny. Zubaidah Lewisape 15/10/2017 17/10/2017 2 4,242,650 3,480,400 533,575
26 442 05.24.59 An. Amira Sape 13/10/2017 17/10/2017 4 2,517,000
27 441 04.91.68 Ny. Imoyati Panggi 16/10/2017 17/10/2017 1 849,000 2,837,700
28 443 05.29.59 An. M. Rafa Alfarizi Paruga 18/10/2017 19/10/2017 1 1,183,000 1,570,800
29 655 04.26.31 Ny. Aminah Monggonao 14/10/2017 20/10/2017 6 4,295,000 3,133,000 1,162,000
30 656 05.25.32 An. Ahmad Nuril Nusantara 17/10/2017 20/10/2017 3 1,485,000

31 657 05.25.69 Ny. St. Marlia Boke 18/10/2017 22/10/2017 4 4,745,800 4,767,500
32 658 05.25.89 Tn. Taufikurahman Sadia 1 19/10/2017 23/10/2017 4 7,158,500 5,612,300 1,546,200
33 659 05.25.21 Tn. Irfan Mande 1 16/10/2017 23/10/2017 7 9,591,500 5,612,300 3,979,200
34 660 05.25.95 Tn. M. Arifurahman Melayu 20/10/2017 23/10/2017 3 2,511,300 2,163,800 347,500
35 661 05.25.93 Tn. Agustus Laju 19/10/2017 23/10/2017 4 2,340,000
36 662 05.26.50 An. Rihyatul Sila 22/10/2017 24/10/2017 2 1,751,000 3,468,800
37 663 05.26.45 Tn. Maryono Sila 22/10/2017 25/10/2017 3 2,341,100 3,468,800
38 664 05.26.09 An. M. Gilang Rabadompu 23/10/2017 25/10/2017 2 1,100,000
39 665 05.27.32 An. Ainun Monta 26/10/2017 27/10/2017 1 1,079,000 2,524,400
40 667 05.27.14 Tn. Lalu Edwin ASPOL Gunung 2 25/10/2017 27/10/2017 2 1,895,500 2,432,300
41 668 03.27.64 Tn. Abdul Azis Mataram 27/10/2017 28/10/2017 1 1,015,500 2,837,700
42 669 05.26.92 An. Adolf Alfaro Gunung 2 24/10/2017 28/10/2017 4 2,809,000 2,174,700 634,300
43 670 05.27.07 An. Ahmad Nuril Nusantara 25/10/2017 29/10/2017 4 2,125,000
44 671 03.94.98 Ny. St. Hafsah Yusuf Tolobali 23/10/2017 30/10/2017 7 5,325,100 3,984,800 1,340,300
45 672 05.27.89 An. Deva Wera 29/10/2017 31/10/2017 2 1,190,000
46 673 05.27.94 Ny. Kaimah Jatibaru 30/10/2017 31/10/2017 1 926,000 1,346,400
47 674 05.18.83 Ny. Misbah abdullah Tangga 27/10/2017 31/10/2017 4 6,330,000 2,815,500 2,111,625
TOTAL 25,957,000 89,981,050 83,202,200 18,058,100 14,681,155
KEPALA UNIT VIB B LT.II KABAG KEUA
(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIYA

14
an Monggonao
N OKTOBER 2017
DOKTER JUMLAH
VISITE VISITE

Bronchiolitis dr. Nurrayu. Sp.A 7 M
Tonsilitis dr. H.M.Ali, Sp.PD 5 U
CF Clavikula dr. Nyoman, Sp.B 2 A
BP+ Gea dr. Nurrayu. Sp.A 3 U
Ca Mamae dr. Muamar 1 A
Gastritis dr. H.M.Ali, Sp.PD 2 A
Hepato Cellular Carsinoma dr. H.M.Ali, Sp.PD 8 M
SN dr. H.M.Ali, Sp.PD 11 U
Obs. Febris dr. H.M.Ali, Sp.PD 3 U
Ulkus Peptikum + CKD gr. V dr. H.M.Ali, Sp.PD 5 M
dr. H.M.Ali, Sp.PD
ISK + HT + Anemia dr. Yadi Sp.M 6 U
HT + Stroke Hemiparese D dr. H.M.Ali, Sp.PD 7 A

MDS dr. H.M.Ali, Sp.PD 5 A
Endophalmitis dr. Yadi. Sp.M 2 U
Rhinofaringitis Akut dr. Nurrayu. Sp.A 2 U
Vomiting + Rhinofaringitis dr. Nurrayu. Sp.A 3 A
HT + Stroke dr. H.M.Ali, Sp.PD 3 A
Bronchitis dr. H.M.Ali, Sp.PD 3 A
ISK dr. Nurrayu. Sp.A 4 U
ISK dr. H.M.Ali, Sp.PD 2 M
DOKTER JUMLAH
VISITE VISITE
CF Distal Radius D dr. Nyoman, Sp.B 3 A

DSS dr. Nurrayu. Sp.A 6 U
GEA Dehidrasi Ringan dr. M. Aliansyah 2 A
dr. H.M.Ali, Sp.PD
Obs. Febris + Collesfraktur dr. Nyoman, Sp.B 9 A
GEA + Vomiting dr. Nurrayu. Sp.A 4 U

OA Genue + S tomatitia + Sepsis dr. H.M.Ali, Sp.PD 7 A
fistullaperinal dr. Nyoman, Sp.B 5 A
Hemoroid gr 3 dr. Nyoman, Sp.B 8 A
Faringitis Akut dr. H.M.Ali, Sp.PD 4 A
Cholelesistitis dr. H.M.Ali, Sp.PD 4 U
Obs. Febris + Vertigo dr. H.M.Ali, Sp.PD 3 A
Tonsilitis Kronis dr. Nurrayu. Sp.A 2 A
Demam Typoid dr. Nurrayu. Sp.A 4 M
GEA Dehidrasi Ringan dr. Nurrayu. Sp.A 4 U
CKD v + Anemia dr. H.M.Ali, Sp.PD 7 A
Contusio Cerebri dr. Nurrayu. Sp.A 2 U
GEA dr. H.M.Ali, Sp.PD 2 A
MDS + DM 2 dr. H.M.Ali, Sp.PD 4 A
KABAG KEUANGAN

LAPORAN KEUANGAN PASIEN BULAN SEPTREMBER 2017
NO NO KWT NO RM NAMA PASIEN KLS ALAMAT TGL MASUK TGL KELUAR LD T.Px umum T.Px Bpjs BPJS 1 BPJS 2 BPJS 3 SELISIH DIAGNOSA
1 641 04.80.83 Nurafni B suntu 31/8/17 09/01/17 1 1,596,500 3,468,800 obs febris
2 640 03.37.88 an. Anisa fadila B nata 30/8/17 09/01/17 2 1,444,000 1,523,500 morbili
3 642 04.06.93 suharti B pane 29/8/17 09/02/17 4 2,799,800 2,837,700 asma bronchial
4 643 05.14.93 nurul kamrin B rabangodu 29/8/17 09/02/17 4 2,819,000 4,607,900 3,949,600 658,300 stroke + HT
5 644 03.87.51 an. Miftahul khairat B palibelo 2/9/2017 09/03/17 1 1,311,000 2,163,800 tonsilitis kronis
6 645 05.15.94 an. Wafin B penatoi 3/9/2017 09/04/17 1 530,000 vomiting
7 646 04.13.08 zaidun H. hamid B pane 2/9/2017 09/04/17 2 2,599,000 4,603,600 DM II hipoglikemi
8 647 05.15.59 m. yusuf B tolotangga 1/9/2017 09/05/17 4 3,261,500 2,782,300 1,252,035 ckr
9 648 02.99.99 nurmi B manggemaci 4/9/2017 5/9/2017 1 889,200 4,603,600 3,946,000 197 DM II hipoglikemi
10 649 05.16.67 dewi anggriani B penatoi 4/9/2017 6/9/2017 2 1,435,700 2,822,400 isk
11 650 05.16.44 rosdiana B waki 5/9/2017 7/9/2017 2 1,090,000 ulkus pept
12 651 05.15.93 farida B nae 4/9/2017 7/9/2017 3 2,694,500 3,958,700 cholesistitis
13 652 05.16.09 hj. Jawariah B palibelo 4/9/2017 7/9/2017 3 2,741,200 3,275,000 dm II ht II katarak
14 653 05.17.08 an najwa nagari B santi 7/9/2017 8/9/2017 1 813,500 2,524,400 faringitis akut vomiting
15 206 04.07.10 ainurrafiqah B rontu 5/9/2017 9/9/2017 3 1,947,400 2,957,300 ulkus peptikum gravida
16 207 03.32.27 nasrun B mande 8/9/2017 9/9/2017 1 1,424,000 3,123,600 ckd V
17 208 05.16.88 an nurilmi B jatiwangi 7/9/2017 9/9/2017 2 1,880,500 3,468,800 enteric fever
18 209 05.16.15 an. Aulia ratunisa B kp. Bara 4/9/2017 9/9/2017 5 3,963,000 4,606,400 bronkopnemonia
19 210 05.17.00 an. Nuraisyah B rabangodu 9/9/2017 11/9/2017 2 1,460,000 1,570,800 1,346,400 538,000 gea drs
20 211 05.16.67 an. Ridho alfian B santi 7/9/2017 11/9/2017 4 3,031,500 2,524,400 1,135,500 tonsilofaringitis akut
21 212 05.16.67 an. Ummul B rite 6/9/2017 12/9/2017 6 3,652,500 3,468,800 2,601,600 enteric fever gea
22 213 05.17.56 st. mariam B jatiwangi 11/9/2017 12/9/2017 1 730,000 gea
23 214 05.17.44 An. Aura Sahnas B BTN tambana 10/9/2017 13/9/17 3 2,132,500 1,570,800 471,240 gea drs
24 215 05.13.90 an. M. azam B tolomundu 12/9/2017 13/9/17 1 1,080,500 3,490,600 kdk
25 216 05.10.55 aisyatur radiah B salama 12/9/2017 14/9/17 2 1,875,000 ulkus peptikum
26 217 05.17.96 an. M. rafa B rasabou sila 12/9/2017 14/9/17 2 1,290,000 susp. Ensefalitis
27 218 05.18.18 hj. Hadijah B monta 13/9/17 14/9/17 1 690,000 vertigo
28 219 05.18.24 eva marlina B penatoi 14/9/17 15/9/17 1 937,000 1,570,800 gea ds
29 220 05.16.70 edi agustriono B btn pepabri 12/9/2017 16/9/17 4 7,490,000 4,874,700 3,656,025 dm ulkus pedis
30 221 03.92.61 dian wahyu B aspol panda 14/9/17 16/9/17 2 1,706,000 2,957,300 2,534,900 422,400 ulkus peptikum
31 222 03.93.44 iis sulastri B rabangodu 16/9/17 18/9/17 2 1,456,200 3,468,800 obs febris
32 223 05.18.95 st. fauziah B karara 16/9/17 18/9/17 2 1,589,700 2,822,400 isk
33 224 05.18.63 st salmah B rasanae 14/9/17 18/9/17 4 2,412,900 2,822,400 isk

34 225 05.18.33 an. Zulasfi B tolotangga 14/9/17 18/9/17 4 2,995,300 3,044,600 2,609,600 1,805,000 tipoid fever
35 228 05.19.60 asia B ngali 19/9/17 22/9/17 3 2,226,000 chf
36 229 03.98.91 H.M. nor B parado 19/9/17 22/9/17 3 3,230,300 4,202,500 3,001,800 1,200,700 gastritis anemia
37 230 04.04.88 an. Muh. Azam B nusantara 20/9/17 22/9/17 2 1,650,500 3,468,800 febris susp isk
38 231 05.19.56 hj. Arni B rabadompu 19/9/17 22/9/17 3 2,480,000 ckd anemia
39 232 04.20.56 afrizal B paruga 19/9/17 23/9/17 4 2,426,000 angina pectoris
40 233 05.20.16 wahyuni B lewirato 22/9/17 24/9/17 2 1,345,500 1,665,000 1,427,100 237,900 vertigo
41 234 05.20.73 fadlun B melayu 24/9/17 26/9/17 2 420,000 gea
42 409 05.20.29 an. Naisa B melayu 22/9/17 26/9/17 4 2,070,000 gea drs
43 235 05.20.15 an. Syakir B melayu 22/9/17 26/9/17 4 1,575,000 gea drs
44 410 05.19.49 hj.st. aminah B rabangodu 19/9/17 26/9/17 7 7,546,900 3,477,000 2,607,750 ppok
45 411 05.20.61 an dania mala B lela 24/9/17 27/9/17 3 2,378,000 4,606,400 3,948,300 658,100 bronkopnemonia
46 413 05.21.36 abdul gafur B talabiu 27/9/17 28/9/17 1 950,100 2,832,700 2,027,000 805,700 asma bronchial
47 412 03.03.87 st. hawa B melayu 22/9/17 27/9/17 5 3,824,900 3,861,000 stroke chepalgia
48 414 04.07.56 an. Ummul fadilah B gilipanda 27/9/17 29/9/17 2 1,733,000 2,524,400 2,163,800 360,400 tonsilitis akut
49 415 04.90.76 an. Muh. Achdin B gindi 26/9/17 30/9/17 4 2,637,000 2,837,700 2,432,300 1,681,965 bronchiolitis
TOTAL 17,402,000 69,790,200 93,381,700 18,815,400 13,978,897
KEPALA UNIT VIB B LT.II KABAG KEUANGAN
(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIYAH, AMd. MARS)

VST dr JML VST KET
dr. h.m. alisppD 2 M

dr. nurrayu. Spa 1 A
dr.h.m.ali.sppD 4 M
dr.h.m.ali.sppD 4 M
U
dr.h.m.ali.sppD 2 A
dr. nyoman spB 4 A
dr.h.m.ali.sppD 1 A
dr.h.m.ali.sppD 2 A
dr.h.m.ali.sppD 2 U
dr. h.m. alisppD 4 A
dr.h.m.ali.sppD + d 5 A
dr.h.m. ali sppD 5 A
dr.h.m. ali sppD 2 U
dr.nurrayu. spA 3 A
dr.nurrayu. spA 2 A
dr.h.m. ali sppD 2 telkom
dr. h.m. alisppD 3 U
dr.h.m.ali.sppD + 9 A
dr.h.m.ali.sppD 2 A
VST dr JML VST KET

dr. nurrayuspA + d 6 A
dr.h.m. ali sppD 3 U
dr.h.m.ali.sppD 3 A
dr.nurrayu. spA 2 A
dr.h.m.ali.sppD 5 U
dr. tajuddin 2 M
dr.h.m.ali.sppD 1 U
dr.nurrayu. spA 5 U
dr. nurrayu spA 5 U
dr.h.m.ali.sppD 7 A
dr. nurrayu spA 3 M
dr.h.m. ali sppD 2 M
dr.h.m.ali sppD 5 A
dr. nurrayu spA 2 A
dr. nurrayu spA 4 M
NGAN
H, AMd. MARS)
LAPORAN KEUANGAN PASIEN BULAN MEI 2017
NO NO KWT NO RM NAMA PASIEN KLS ALAMAT TGL MASUK TGL KELUAR LD T.Px umum T.Px Bpjs BPJS 1 BPJS 2 BPJS 3 SELISIH DIAGNOSA VST dr
1 258 04.27.76 m. syahlan B sadia 30/7/17 08/02/17 3 2,321,200 4,972,300 dm 1+ckdV+isk dr. h.m. alisppD
2 259 05.08.62 hj. St. rahma B rabangodu 30/7/17 02/06/17 3 1,988,000 1,665,000 499,500 vertigo dr.h.m.ali.sppD
3 260 03.25.89 m.jafar B palibelo 2/8/2017 08/03/17 1 823,800 1,570,800 gea drs+ ispa dr.h.m.ali.sppD
4 261 05.08.92 putri inayah B wawo 1/8/2017 08/04/17 3 2,060,700 3,468,800 obs febris dr.h.m.ali.sppD
5 262 03.35.45 sri rahmayanti B btn rontu 2/8/2017 08/04/17 2 1,407,500 2,524,400 faringitis akut dr.h.m.ali.sppD
6 263 05.09.05 samsudin B renda 3/8/2017 08/04/17 1 880,000 gea dr. h.m. alisppD
7 264 05.09.36 m. fadli B salama 4/8/2017 08/05/17 1 660,000 ulcus peptikum dr.h.m.ali.sppD
8 265 04.64.77 hj.st.hajar B ranggo 4/8/2017 08/06/17 2 2,216,900 2,822,400 isk +konstipasi dr.h.m.ali.sppD
9 266 03.38.22 abubakar B sarae 4/8/2017 6/8/2017 2 1,459,000 2,627,400 oa genu+konstipasi dr.h.m.ali.sppD
10 268 05.10.01 m.daffa.p B rabangodu 6/8/2017 8/8/2017 2 1,255,000 obs febris dr.h.m.ali.sppD
11 267 03.36.67 yuyun yulianti B mande 6/8/2017 10/8/2017 4 3,977,000 3,778,000 3,238,300 2,239,800 ckd V+anemia dr.h.m.ali.sppD
12 270 05.10.61 an. Ahmad hairul B mande 9/8/2017 11/8/2017 2 965,000 gea dr. h.tajuddin
13 269 05.10.63 jasmin B lambu 9/8/2017 11/8/2017 2 1,568,100 1,570,800 1,346,400 224,400 gea drs dr.h.m.ali.sppD
14 271 05.11.08 nurfitriani B talabiu 12/8/2017 12/8/2017 1 495,000 app akut
15 272 05.05.97 an.inayah B lambitu 13/8/17 14/8/17 1 680,000 gastritis dr.nurrayu. spA
16 273 05.11.35 ahmad nurdin B talabiu 13/8/17 15/8/17 2 1,180,000 orchitis dr.nyoman spB
17 274 05.11.48 an.hafiz B BTN tambana 14/8/17 15/8/17 1 1,142,000 1,570,800 1,346,400 224,400 gea drs dr. nurrayu. Spa
18 275 03.94.78 an. Tiaga B palibelo 14/8/17 16/8/17 2 1,611,000 2,976,100 425,000 faringitis+stomatitis dr. nurrayu. Spa
19 276 03.88.58 tamrin B jatiwangi 14/8/17 17/8/17 3 2,376,500 2,430,800 HT+cepalgia dr.h.m.ali.sppD
20 277 03.45.36 ny.fadlun B monggonao 13/8/17 17/8/17 4 3,421,900 2,436,800 1,096,560 herpes zoster dr.h.m.ali.sppD
21 278 03.40.28 irmalasari B penatoi 15/8/17 17/8/17 2 1,651,200 2,957,300 ulkus pept dr. h.m. alisppD
22 279 02.98.09 an.muh.alfarizi B benteng 15/8/171 18/8/17 3 1,870,500 3,490,600 kdk+faringitis dr nurrayu spa
23 280 05.11.82 an.horia B sambinae 15/8/17 18/8/17 3 1,735,000 bronkopnemonia dr.nurrayu. spA
24 619 05.12.31 an.alarik B panggi 18/8/17 19/8/17 1 1,027,500 1,570,800 1,346,400 224,400 gea DRS dr.nurrayu. spA
25 620 02.89.88 eka iskandar B salama 18/8/17 20/8/17 2 1,335,400 2,430,300 ht emergency dr.sumi
26 621 05.12.43 ridwan B penatoi 18/8/17 20/8/17 2 1,440,000 colik renal dr.nyoman spB
27 622 05.12.47 anindya K B madapangga 18/9/17 20/8/17 2 1,278,000 1,570,800 gea dr.nurrayu. spA
28 623 03.30.11 kisman B monggonao 19/8/117 22/8/17 3 2,101,900 2,430,300 ht emergency+dm II dr. h.m. alisppD
29 624 04.42.08 st. siah B kumbe 18/8/17 22/8/17 4 2,805,800 1,570,800 706,860 gea dr.h.m.ali.sppD
30 625 05.12.90 an. Abdullah B gilipanda 21/8/17 22/8/17 1 838,500 1,570,800 1,346,400 224,400 gea dr.nurrayu. spA
31 626 05.13.39 an.assifa B tumpu 22/8/17 23/8/17 1 816,000 1,570,800 gea dr.nurrayu. spA
32 627 05.13.39 syamsuddin jafar B bolo 21/8/17 24/8/17 3 3,317,000 4,607,900 stroke hemiparese dr.h.m.ali.sppD
33 628 05.13.52 st salmah B sadia 22/8/17 24/8/17 2 1,605,700 1,570,800 1,346,400 224,400 gea drs dr. h.m. alisppD
34 629 03.28.04 fahmi B BTN tambana 24/8/17 25/8/17 1 1,180,700 2,626,800 2,251,100 375,200 HT + psikosomatis dr.h.m.ali.sppD
35 630 03.24.12 agus farhan B rite 21/8/17 26/8/17 5 7,534,000 4,693,600 2,816,160 crush injuri lututkiri dr.nyoman spB
36 631 04.07.62 nurintan B rabangodu 24/8/17 26/8/17 2 1,394,200 1,665,000 vertigo dr.h.m.ali.sppD
37 633 03.14.65 amsudarmini B tente 24/8/17 26/8/17 2 1,352,600 1,665,000 vertigo dr. h.m. alisppD
38 634 05.14.40 ramli B kalampa 27/817 28/7/17 1 1,008,600 1,665,000 vertigo dr. h.m. alisppD
39 635 03.78.61 thahirah B penaraga 26/8/17 28/8/17 2 1,708,900 1,665,000 1,427,100 237,900 vertigo dr.h.m.ali.sppD
40 636 04.56.66 hj. Habibah B woha 25/8/17 28/8/17 3 4,391,000 7,984,300 DM II + posthipoglikemdr. h.m. alisppD
41 632 05.12.29 budi harningsih B tumpu 22/8/17 30/8/17 8 5,609,900 6,876,600 atrial fibrasi + stroke dr.h.m.ali.sppD
42 637 04.67.55 an.m. aldiyath B suntu 28/8/17 30/8/17 2 1,597,500 3,468,800 vomiting tanpa dehidradr.nurrayu. spA
43 638 04.91.30 yusrin B pane 29/8/17 31/8/17 2 7,713,000 3,141,000 2,692,300 2,804,450 HIL D dr.nyoman spB
44 639 03.28.04 fahmi B BTN tambana 28/8/17 31/8/17 3 2,237,200 2,957,300 2,534,900 422,400 ulkus peptk + hicup dr.h.m.ali.sppD
TOTAL 9,290,000 78,511,500 90,234,400 16,340,800 12,323,430
(Ratu Prapurnawati Amd. Kep) (Diniatun Islamadiyah Amd. MARS)

JML VST KET
4 A
4 A
1 A
3 A
2 A
2 U
1 U
5 M
3 M
3 U
7 A
2 U
2 M
U
1 U
2 U
2 M
2 A
3 A
5 A
2 A
3 A
3 U
2 A
2 A
6 U
2 A
4 A
4 M
2 M
2 A
4 A
2 A
1 A
5 A
2 A
2 A
1 A
3 A
6 A
8 A
2 A
3 M
3 A
NO NO KWT NO RM NAMA PASIEN KLS ALAMAT TGL MASUK TGL KELUAR LD T.Px umum T.Px Bpjs BPJS 1 BPJS 2 BPJS 3 SELISIH DIAGNOSA VST dr
1 129 04.94.82 iwan permadi B paruga 5/30/2017 01/06/17 2 1,465,000 ileus paralitik+konstipadr. h.m. alisppD
2 130 04.93.63 st. nurasbah B wera 5/31/2017 02/06/17 2 1,455,700 1,570,800 1,346,400 224,400 dyspepsia dr.h.m.ali.sppD
3 131 03.42.34 h. ahmad B penaraga 6/1/2017 02/06/17 1 769,500 1,665,000 vertigo dr.h.m.ali.sppD
4 132 03.03.88 h. salim B bolo 5/29/2017 02/06/17 4 2,519,400 1,982,800 892,260 ihd dr.h.m.ali.sppD
5 133 03.95.03 an. Hayyum B rabangodu 5/31/2017 02/06/17 2 1,592,500 1,570,800 314,160 gea ds+ispa dr. nurrayu. Spa
6 134 04.95.27 rohana B dodu II 6/1/2017 03/06/17 2 1,645,600 2,524,400 tonsilitis dr. h.m. alisppD
7 135 04.17.46 ervina B paruga 6/2/2017 04/06/17 2 1,902,600 2,822,400 isk dr.h.m.ali.sppD
8 137 04.95.68 miftahul khair B salama 6/2/2017 04/06/17 2 1,615,000 s dr.h.m.ali.sppD
9 383 04.45.89 kamil dipia B tambana 6/3/2017 6/5/2017 2 1,623,600 2,524,400 tonsilitis dr.h.m.ali.sppD
10 138 04.96.17 mutmainah B monggonao 6/4/2017 6/6/2017 2 1,384,700 2,822,400 isk dr.h.m.ali.sppD
11 139 04.96.50 ramli B bre 6/5/2017 6/7/2017 2 1,303,600 1,570,800 gea dr.h.m.ali.sppD
12 384 04.96.89 m. alwiansyah B bolo 6/7/2017 6/8/2017 1 892,000 2,534,900 ulcus peptikum dr. h.m. alisppD
13 385 03.12.09 edy hasan B manggemaci 6/7/2017 6/8/2017 1 986,500 2,822,400 isk dr.h.m.ali.sppD
14 386 04.96.66 julaiha B paruga 6/6/2017 6/8/2017 2 1,832,000 3,946,000 dm II lbp dr.h.m.ali.sppD
15 387 04.23.55 st. mardan B sadia 6/7/2017 6/9/2017 2 1,751,700 3,958,700 cholelitiasis dr. h.m. alisppD
16 388 04.97.26 imansyah B lewisape 6/8/2017 6/10/2017 2 1,799,900 3,468,800 obs febris dr. h.m. alisppD
17 389 04.97.28 an. Atika azahra B nusantara 6/8/2017 6/11/2017 3 1,949,000 3,468,800 enteric fever +faringiti dr. nurrayu. Spa
18 390 04.96.72 an ilman B btn rontu 6/9/2017 6/11/2017 2 1,618,500 2,524,400 ispa dr. nurrayu. Spa
19 391 04.97.77 bambang suryanto B palibelo 6/10/2017 6/13/2017 3 1,540,000 obs febris dr.h.m.ali.sppD
20 392 04.97.88 an m. syaidil B rabadompu 6/11/2017 6/13/2017 2 1,435,000 2,524,400 faringitis akut dr. nurrayu. Spa
21 393 04.97.95 sarinah B tambana 6/11/2017 6/14/2017 3 2,328,500 2,524,400 faringitis akut dr. h.m. alisppD
22 394 04.96.41 halimurahmani B nae 6/6/2017 6/16/2017 10 10,160,200 4,860,100 4,165,800 efusi pleura dr. nyoman spB +dr
23 396 04.98.41 endang B rabadompu 6/15/2017 6/16/2017 1 730,000 gea dr. h.m. alisppD
24 397 03.24.30 hafsah B sakuru 6/13/2017 6/16/2017 3 2,888,900 3,778,000 ckd+anemia dr.h.m.ali.sppD
25 398 04.98.44 nurhaidah B dompu 6/13/2017 6/17/2017 4 2,628,600 3,468,800 obs febris dr.h.m.ali.sppD
26 399 04.96.36 dewa putu B nusantara 6/14/2017 6/17/2017 3 2,341,600 3,468,800 2,973,300 495,500 obs febris dr.h.m.ali.sppD
27 400 03.56.98 manan ibrahim B paruga 6/14/2017 6/18/2017 4 2,931,400 2,524,400 1,135,980 faringitis akut dr. h.m. alisppD
28 401 04.99.05 khaerul hidayat B jatiwangi 6/16/2017 6/18/2017 2 1,892,200 3,468,800 obs febris dr. h.m. alisppD
29 402 04.99.35 an rangga B ranggo 6/17/2017 6/19/2017 2 1,205,000 enteric fever dr. nurrayu. Spa
30 403 04.99.42 hawsah B samili 6/17/2017 6/19/2017 2 1,320,000 asma bronchial dr. h.m. alisppD
31 404 03.38.22 abubakar B lewisape 6/18/2017 6/19/2017 1 938,500 1,570,800 gea dr. h.m. alisppD
32 405 04.69.64 an. Adinda risky B niu 6/18/2017 6/20/2017 2 1,348,000 2,957,300 2,534,900 422,000 gastritis dr. nurrayu. Spa
33 406 03.98.44 noviyanti rosyadi B monggonao 6/17/2017 6/20/2017 3 2,398,100 3,044,600 2,609,600 435,000 typoid fever dr. h.m. alisppD
34 407 05.00.15 an. Wisnubrata B tambana 6/20/2017 6/23/2017 3 2,086,500 3,468,800 enteric fever dr. nurrayu. Spa
35 408 05.00.08 an. Afirah B gindi 6/20/2017 6/23/2017 3 2,069,000 1,523,500 457,000 dengue fever dr. nurrayu. Spa
36 409 05.00.06 an. Ridho rahman B jatiwangi 6/23/2017 6/24/2017 1 660,000 typoid fever dr. nurrayu. Spa
37 410 05.00.51 jakariah B tanjung 6/22/2017 6/24/2017 2 1,200,000 ulcus peptikum dr. h.m. alisppD
38 411 05.00.31 ainun saliha B karumbu 6/21/2017 6/24/2017 3 1,705,000 isk dr. h.m. alisppD
39 412 05.00.71 an. Rijalul fiqri B panda 6/23/2017 6/24/2017 1 848,500 1,570,800 gea ds dr. nurrayu. Spa
40 413 03.06.55 st. rukayah B rai oi sape 6/22/2017 6/24/2017 2 2,768,400 6,432,800 dm neuropati + anemi dr. h.m. alisppD
41 414 04.23.00 h. ibrahim B sape lambu 6/25/2017 6/27/2017 2 2,352,000 susp. TB dr.h.m.ali.sppD
42 415 05.01.17 yuyun B rabangodu 6/26/2017 6/27/2017 1 1,371,200 1,570,800 gea dr.h.m.ali.sppD
43 416 05.01.10 Yuwarda Sari B Tanjung 6/25/2017 6/28/2017 3 2,433,800 2,957,900 ulcus peptikum dr.h.m.ali.sppD
TOTAL 11,440,000 70,247,200 87,011,900 20,110,900 4,376,300

JML VST KET
6 U
2 A
1 A
4 A
2 M
2 A
2 A
6 U
2 A
2 A
2 A
1 M
1 A
2 M
2 A
2 A
3 A
2 A
2 U
2 A
3 A
17 M
2 U
3 A
4 A
4 M
5 A
2 A
2 U
3 U
1 A
2 A
4 A
3 A
3 A
1 U
4 U
3 U
1 A
4 A
3 A
3 A
3 M
1 74 05.00.52 st.saadiah B paruga 22/6/17 07/01/17 9 6,217,300 2,678,300 2,295,700 2,391,325 talungasa disease
2 75 05.02.53 st.faridah B raba wawo 1/07.17 07/02/17 1 1,963,000 3,778,000 ckd+anemia
3 76 05.02.50 tn.undi B nusantara 1/7/2017 07/02/17 1 953,000 1,570,800 1,346,400 224,400 gea ds
4 77 04.35.47 melinda B panda 1/7/2017 07/02/17 1 1,022,400 1,570,800 1,346,400 224,400 gea ds
5 78 03.14.65 st.amsudarmini B rabakodo 1/7/2017 07/03/17 2 1,333,300 1,665,000 vertigo
6 79 05.02.75 raodah B tanjung 2/7/2017 07/03/17 1 1,083,000 3,468,800 febris
7 80 05.01.91 misnah B melayu 29/6/17 07/04/17 5 3,056,000 dm2
8 81 05.02.76 hj.salama B rontu 2/7/2017 07/06/17 4 2,295,000 dm2+ht
9 82 05.03.84 muslim B salama 6/7/2017 7/7/2017 1 1,123,000 snh
10 83 01.36.47 hj.hadijah B sape 4/7/2017 7/7/2017 3 2,547,700 2,957,300 ulcuspept +ves
11 84 05.03.95 huda arno B asrama brimob 3/7/2017 7/7/2017 4 3,545,800 2,822,400 2,419,200 1,673,280 isk
12 85 04.59.26 kalisom B kumbe 5/7/2017 7/7/2017 2 1,822,500 2,822,400 isk
13 86 04.54.66 hj.habibah B samili 4/7/2017 8/7/2017 4 3,534,600 3,789,500 chf+anemia
14 87 05.04.40 syamsiah B monggonao 9/7/2017 10/7/2017 1 1,152,300 1,570,800 gea ds
15 88 03.43.98 riyan firmansyah B jatiwangi 7/7/2017 10/7/2017 3 2,250,100 5,528,500 tb paru
16 89 04.35.47 melinda B panda 8/7/2017 10/7/2017 2 1,530,000 2,957,300 2,534,900 422,500 gastritis
17 90 05.04.36 an.nidan B karara 8/7/2017 10/7/2017 2 1,090,000 ckr
18 91 05.04.39 st.hawa B santi 9/7/2017 12/7/2017 3 1,772,800 1,570,800 471,240 gea ds
19 92 05.04.92 hastuti B karara 11/7/2017 12/7/2017 1 1,061,000 1,570,800 geads
20 B
93 05.04.93 saadiah ntoriwawo 10/7/2017 13/7/17 3 1,490,000 ht+vertigo
21 94 05.05.52 nurmaharani B paruga 14/7/17 16/7/17 2 1,676,500 3,468,800 2,973,300 495,000 obsfebris+ulkuspept
22 95 05.01.91 misnah B melayu 12/7/2017 16/7/17 4 2,135,000 dm ulkusglutea
23 96 05.05.67 h.jamaludin B rabangodu 14/7/17 16/7/17 2 1,789,600 2,430,800 2,083,500 347,300 ht+ckr
24 97 03.14.19 samsudin B nusantara 15/7/17 17/7/17 2 1,737,100 1,602,500 320,500 combance of left
25 98 05.05.85 indriyati B sarae 15/7/17 17/7/17 2 1,409,800 2,837,700 2,432,300 405,400 asma bronchial
26 102 05.06.11 m.jafar B penaraga 17/7/17 17/7/17 1 916,500 3,480,800 2,893,600 bph
27 99 05.06.05 eka kurniati B raba 17/7/17 18/7/17 1 1,124,100 2,837,700 2,027,000 810,700 asma bronchial
28 100 05.06.10 abd. Salam B sadia 17/7/17 8/7/2017 1 1,023,300 1,570,800 gea
29 101 05.03.32 gunawan B wadumbolo 17/7/17 18/7/17 1 886,500 1,570,800 1,346,400 224,400 colic abdomen
30 103 04.07.07 sri suharti B tolotangga 17/7/17 20/7/17 3 2,083,600 1,570,800 471,240 gea ds
31 104 03.90.31 burhanuddin B rabangodu 17/7/17 20/7/17 3 2,930,000 3,778,000 ckd +anemia
32 105 03.38.02 ilhamudin B rabangodu 18/7/17 20/7/17 2 2,012,100 3,678,100 bronchitis kronis
33 247 05.06.70 isnaniah B nusantara 19/7/17 21/7/17 2 1,318,200 1,570,800 gea
34 248 05.07.03 an.adrian putra B rasanae 21/7/17 22/7/17 1 840,000 1,570,800 1,346,400 224,400 gea low intake
35 249 05.05.53 igiyanti B talabiu 21/7/17 24/7/17 3 5,655,000 dm ulkus pedis
36 250 05.07.08 nazamudin B kodo 2 21/7/17 24/7/17 3 2,072,000 2,524,400 faringitis akut
37 251 05.07.53 suhaimin B palibelo 24/7/17 26/7/17 2 1,165,000 tb paru
38 252 04.56.63 sri hartami B penaraga 25/7/17 26/7/17 1 1,339,000 3,123,600 ckd
39 253 05.07.64 habibah B soromandi 25/7/17 27/7/17 2 1,040,000 typoidfever
40 254 04.77.11 hj.emiyati B runggu 24/7/17 28/7/17 4 4,007,600 2,815,500 2,413,300 1,528,400 obs febris + anemia
41 255 05.08.02 rania B melayu 27/7/17 28/7/17 1 660,000 gea
42 256 05.08.11 dita B penatoi 27/7/17 29/7/17 2 1,235,000 ulcus peptikum
43 257 05.08.07 burhanuddin usman B wawo 27/7/17 30/7/17 3 2,672,200 3,861,000 ht emergency + stru
20,944,000
TOTAL 20,944,000 61,626,900 81,936,100 25,431,400 10,234,485

VST dr JML VSTKET

dr.h.m.ali.sppD 2 A
dr.h.m.ali.sppD 2 A
dr.h.m.ali.sppD 2 A
dr.h.m.ali.sppD 2 A
dr.h.m.ali.sppD 6 U
dr.h.m.ali.sppD 4 U
dr.muamar 1 U
dr.h.m.ali.sppD 4 A
dr.h.m.ali.sppD 4 A
dr.h.m.ali.sppD 6 A
dr.h.m.ali.sppD 2 A
dr.tajudin 2 A
dr.nyomanspB 2 U
dr.tajuddin 4 A
dr.muh.aliansyah 1 A
dr.tajudin+dr.muh
aliansyah 3 U
dr.h.m.ali.sppD 4 U
dr.h.m.ali.sppD 3 A
dr.h.m.ali.sppD 2 A
A
dr.tajuddin 1 M
dr.tajuddin 1 A
dr tajuddin 1 M
dr.h.m.ali.sppD 3 A
dr.nyomanspB 5 U
dr.h.m.ali.sppD 3 A
dr.feti 1 A
dr.fety + dr.dilla 2 U
dr.h.m.ali.sppD 1 U
dr.h.m.ali.sppD 2 U
dr.h.m.ali.sppD 3 A
MARS)
NO NO RM NAMA PASIEN KLS ALAMAT TGL MASUK TGL KELUAR LD T.Px umum T.Px Bpjs BPJS 1 BPJS 2 BPJS 3 SELISIH DIAGNOSA VST dr JML VST
NO KWT
1 83 04.79.45 an. Lailatul saidah B dara 28/04/17 01/05/2017` 3 1520000 gea ds dr. nurrayu spA 3
2 84 04.29.20 an. M.abidzar B penatoi 28/04/2017 05/01/17 3 2,322,500 3,948,300 bronkopnemonia dr. nurrayu spA 3
3 85 04.79.68 h. ibrahim B talabiu 29/04/2017 05/02/17 3 1,780,000 parkinson dr.m.ali Sp.PD 4
4 86 04.50.62 h.m. sidik B paruga 25/04/2017 05/03/17 8 6,855,500 3123600 2342700 ckd+ sepsis dr.h.m.ali.sppD 9
5 87 04.80.46 an aurel B paruga 3/5/2017 05/04/17 1 660000 hiperpirexia dr. nurrayu spA 1
6 88 03.70.11 ny.Tustiara B Jatiwangi 2/5/2017 05/04/17 2 1,821,700 2980300 bronkhitis kronis dr.h.m.ali.sppD 2
7 89 04.80.10 eva mardiana B KLK 1/5/2017 05/04/17 3 2,051,200 166500 499500 vertigo dr.m.ali Sp.PD 3
8 90 04.80.83 Ny.Nurafni B penaraga 4/5/2017 05/06/17 2 1,345,000 2775000 urtikaria dr.m.ali Sp.PD 2
9 105 03.36.62 Rosiati B rabadompu 3/5/2017 6/5/2017 3 2,412,700 4,603,600 DM Type II dr.m.ali Sp.PD 2
10 106 03.19.06 An.Ahmad B Nae 6/5/2017 7/5/2017 1 1,214,000 3490600 `KDK dr. nurrayu spA 2
11 107 04.73.32 an. M. Rafa B tato 5/5/2017 7/5/2017 2 1,338,000 2,837,700 2432300 405400 bronchiolitis dr. nurrayu spA 2
12 108 04.93.33 Tn.adhar B sape 6/5/2017 8/5/2017 2 1,330,000 susp BSL dr.m.ali Sp.PD 2
13 109 04.10.88 Ny.Ernawati B pane 9/5/2017 10/5/2017 1 997,700 1665000 vertigo dr. h.m. alisppD 1
14 110 04.80.09 Ny,Kusmarni B penatoi 1/5/2017 11/5/2017 10 6,592,800 2,430,800 1,823,100 HT emergency + vertidr.h.m.ali.sppD 11
15 111 04.90.58 An.Syafiq Ridho B sila bolo 8/5/2017 12/5/2017 4 2,397,500 2,822,400 ISK + GEA dr.Nurayu.SPA 4
16 112 04.43.92 an. Sulthon B ntobo 8/5/2017 12/5/2017 4 2,568,500 3,468,800 enteric fever dr.Nurayu.SPA 5
17 113 04.80.35 Tn.inji Herman B Bara 3/5/2017 12/5/2017 9 8890000 dm ulkus pedis dr.h.m.ali.sppD 17
18 114 03.35.04 An. Dzakiyya B penaraga 10/5/2017 13/05/2017 3 1,965,000 2524400 ISPA dr.Nurayu.SPA 3
19 115 04.92.08 Ny.Fatimah B rabangodu 13/5/2017 14/05/2017 1 1343400 hipertensi dr.m.ali Sp.PD 2
20 116 04.92.08 Tn.sukran B Poja 15/5/2017 16/5/2017 1 640000 GEA ds dr.m.ali Sp.PD 1
21 117 03.69.72 St. Asiah B donggobolo 15/5/17 20/5/2017 5 2,981,600 2,627,400 OA Genue Bilateral dr.m.ali Sp.PD 5
22 118 04.45.33 Tn.Zubair B Langgudu 16/05/2017 20/05/2017 4 2,818,600 2627400 1182330 neuropati perifer dr.m.ali Sp.PD 5
23 119 04.93.54 An.Rosyiq B palibelo 22/05/2017 24/05/2017 2 1,864,000 2,837,700 2432300 405000 asma serangan sedandr.Nurayu.SPA 2
24 120 03.80.34 Ny.Jubaidah B manggemaci 21/5/2017 24/05/2017 3 2,401,700 3468800 febris isk dr. h.m. alisppD 4
25 121 04.93.54 Ny.Dian B Samili 23/05/2017 24/05/2017 1 730000 obs febris dr.m.ali Sp.PD 2
26 122 03.39.22 An.Evan F B Jatiwangi 24/05/2017 24/05/2017 1 992,500 3,490,600 KDK dr.tajuddin 1
27 123 04.93.84 St. Safiah B Penatoi 24/05/2017 26/05/2017 2 1255000 Ob Febris dr. m.ali sp.PD 2
28 124 04.93.40 An.Syafiq B talabiu 22/05/2017 26/05/2017 4 3,204,000 4,664,400 bronkopneumoni dr.Nurayu.SPA 4
29 125 04.64.84 Tn.Kamarudin Yus B Monggonao 26/05/2017 27/05/2017 1 1,163,000 4,897,400 4197900 SOPT dr.m.ali Sp.PD 2
30 126 03.98.38 An.Muh Al Farizi B Santi 29/5/2017 30/5/2017 1 1063800 1570800 GEA DS dr.Nurayu.SPA 1
31 127 04.94.70 Mirafudin B Penatoi 29/05/2017 31/05/2017 2 1,681,700 1,570,800 gea ds dr.m.ali Sp.PD 2
TOTAL 18,148,400 52,053,000 57,663,700 15,991,100 6,658,030

KET
U
A
U
A
U
A
A
M
A
A
A
U
A
M
A
A
U
A
U
U
A
A
A
M
U
A
U
A
A
U
M
LAPORAN KEUANGAN PASIEN BULAN APRIL RANAP VIP B LT. I I 2017
NO NO RM NAMA PASIEN KLS ALAMAT TGL MASUK TGL KELUAR LD T.Px umum T.Px Bpjs BPJS 1 BPJS 2 BPJS 3 SELISIH
NO KWT
1
``````````````````````````````````
04.71.41 M. Akbar B manggemaci 3/30/2017 01/04/17 2 1,504,300 3,468,800
2 40 63.41.66 iksan B tolotangga 3/30/2017 01/04/17 2 1,521,200 2,973,300
3 41 04.71.99 adolfo da cruz B sape poja 01/04/2017 01/04/17 1 695,000
4 42 04.72.04 an. Abdul gofur B salama 4/2/2017 03/04/17 1 760,000
5 43 04.22.34 eli kusmiati B karara 4/3/2017 05/04/17 2 1,748,100 2,957,300
6 44 04.72.79 nurmi B jatibaru 4/4/2017 05/04/17 1 810,000
7 45 03.54.81 an.m.yusuf B tente 4/3/2017 05/04/17 2 1,404,000 1,570,800
8 46 04.48.48 a. rivan B kp. Nae 4/3/2017 05/04/17 2 1,522,000 2,163,700
9 47 04.72.85 an. Ibrahim B lewisape 4/4/2017 4/6/2017 2 1,528,500 2,524,400
10 48 04.72.77 an. M.alfatih B gunung 2 4/4/2017 4/6/2017 2 1,315,000
11 49 04.73.32 an. Sandy B monggonao 4/6/2017 4/8/2017 2 1,287,500 1,570,800
12 50 04.73.26 an. Nuthifal B tente 4/6/2017 4/8/2017 2 1,160,000
13 51 04.74.00 ny. Akliah B tente 4/9/2017 4/10/2017 1 660,000
14 52 04.02.59 a. wahid B mpunda 4/8/2017 4/11/2017 3 2,490,000 1,570,800 471,240
15 53 04.73.09 an.Aura Eka B BTN.Tolotongga 4/5/2017 4/11/2017 6 3,965,500 3,044,600 2,609,600 2,718,450
16 54 04.73.40 An.Putri Febriana B sila bontokape 4/6/2017 4/11/2017 5 3,390,000 3,044,600 2,609,600 2,261,760
17 55 03.61.90 Izzalul Fikroh B Salama 4/10/2017 4/11/2017 1 1,665,000 1,665,000
18 57 03.74.89 An.Rarin B Jatiwangi 4/8/2017 4/12/2017 4 2,654,500 2,973,300
19 58 03.98.03 AN. Husna kamila B Jatiwangi 4/11/2017 4/13/2017 2 1,365,000 3,468,800
20 59 04.74.70. m alfian B Paruga 4/11/2017 4/13/2017 2 1,661,000 2,973,300
21 61 03.38.11 an. Zaskiyyah B rabangodu 4/11/2017 4/15/2017 4 2,930,000 3,044,660
22 62 04.75.16 AN.RIFQI B LELA 4/14/2017 4/16/2017 2 1,759,000 2,991,900
23 63 04.75.29 an alfanul B monggonao 4/14/2017 4/16/2017 2 1,505,000 3,044,600
24 64 04.34.89 nita arian shanty B karara 4/12/2017 4/17/2017 4 2,826,500 2,973,300
25 65 04.74.86 An. Atwa rizki sape 4/12/2017 4/17/2017 5 3,799,000 3,948,300
26 66 02.94.84 An. Ariga B BTN. Rontu 4/16/2017 4/18/2017 2 1,504,000 3,044,600
27 67 04.75.83 an. Fairuz B dodu I 4/17/2017 4/19/2017 2 1,757,000 1,523,500
28 68 04.75.45 NY. Nurlailah B waki 4/18/2017 4/20/2017 2 6,883,500 3,546,900
29 69 04.76.18 Ny. Hafsah B rabangodu 4/17/2017 4/20/2017 3 2,081,200 2,957,900
30 70 04.76.90 Ahmad basir B dompu 4/19/2017 4/20/2017 1 690,000
31 71 04.76.95 An. M. Zalaali B sambinae 4/19/2017 4/20/2017 2 1,582,000 3,044,600
32 72 04.76.25 H. Anwar B ngali 4/17/2017 4/22/2017 5 7,889,500 4,874,700
33 73 04.77.36 An. Suhaila B melayu 4/21/2017 4/24/2017 3 1,763,200 2,163,800
34 74 03.72.52 An. M.akmal B salama 4/21/2017 4/24/2017 3 1,939,000 3,044,600
35 75 03.96.07 aisah fitia B santi 4/21/2017 4/24/2017 3 2,012,500 2,524,400
36 76 04.77.68 endang B kodo I 4/22/2017 4/25/2017 3 2,224,000 3,044,600
37 77 04.77.45 Aisya Ayuda B Paruga 4/21/2017 4/25/2017 4 2,706,000 3,948,300
38 78 04.78.25 Bambang B penatoi 4/25/2017 4/26/2017 1 767,100 1,427,100
39 79 04.78.12 Delanty arini B gunung 2 4/24/2017 4/27/2017 3 2,036,300 3,044,600 2,609,600 435,000
40 80 03.68.17 HJ. ST. Hawa B btn.tambana 4/25/2017 4/28/2017 3 2,394,900 2,837,700
41 81 04.78.17 An. Nurul B tato 4/24/2017 4/28/2017 4 2,475,500 3,468,800 2,973,300 495,500
42 82 04.76.66 an.m.azam B dena 4/29/2017 4/30/2017 1 660,000
TOTAL 6,750,000 80,541,800 87,291,800 40,909,200 0 6,381,950

DIAGNOSA VST dr JML VST KET
obs. Febris dr.h.m.ali.sppD 2 A

obs febris dr.h.m.ali.sppD 2 A
obs dispneu dr.m.ali Sp.PD 1 U
gea ds dr. nurrayu spA 2 U
ulkus peptikum dr.h.m.ali.sppD 2 A
myalgia dr.h.m.ali.sppD 1 U
vomiting dr dr. nurrayu spA 2 A
enteric fever dr. nurrayu spA 2 A
ispa dr. nurrayu spA 2 A
bronkiolitis dr. nurrayu spA 2 U
vomiting DRS dr. nurrayu spA 2 A
disentri dr. nurrayu spA 3 U
asma bronchial dr. h.m. alisppD 1 U
gea ds dr.h.m.ali.sppD 3 A
gea ds dr.Nurayu.SPA 7 A
Demam thypoid dr.Nurayu.SPA 5 A
vertigo dr.h.m.ali.sppD 1 A
demam berat,ispa,stomatitidr.Nurayu.SPA 4 A
febris dr.Nurayu.SPA 4 A
enteric fever dr.Nurayu.SPA 2 M
deman typoid dr.Nurayu.SPA 4 A
KDK demam berat dr.Nurayu.SPA 2 A
deman typoid dr.Nurayu.SPA 2 M
febris isk dr. h.m. alisppD 4 M
brongko pnemonia dr.Nurayu.SPA 5 M
demam typoid dr.Nurayu.SPA 2 A
dengue fever dr.Nurayu.SPA 2 A
app kronis dr. Nyoman 2 A
ulkus peptikum dr. Febi 4 A
typad fever dr. Feti 2 U
typad fever dr.Nurayu.SPA 2 A
dm ulkus pedis dr. Nyoman 5 M
ispa dr.Nurayu.SPA 3 A
demam typoid dr.Nurayu.SPA 3 A
ispa, enteris fever dr.Nurayu.SPA 4 A
typad fever dr.h.m.ali.sppD 3 A
bronkopnemonia dr.Nurayu.SPA 4 A
vertigo dr. feti 1 A
typad fever dr. Feti 3 A
bronchitis, asma dr. Tajudin 3 A
enteric fever dr.Nurayu.SPA 4 A
enteric fever dr.Nurayu.SPA 1 A
ANGAN
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RS PKU MUHAMMADIYAH BIMA

Izin Walikota Bima Nomor : 201 Tahun 2014

KEPALA UNIT RANAP TOKOH KABAG KEU

(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIY

GEA dr.H.M.Ali, Sp.PD 2 A

febris dr. H. M. Ali. SpPD 3 M

CKD dr. H. M. ali, Sp.PD 4 A

DM II ulkus pedis dr. H. M. ali + dr, N 7 A

Vertigo dr. Mifta 1 U

(DINIATUN ISLAMADIYAH, AMd. MARS)

KEPALA UNIT RANAP TOKOH KABAG KEU

(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIY

Demam typoid dr. Nurrayu. Sp.A 4 PBI

CKD dr. H. M. ali, Sp.PD 4 A

DM II ulkus pedis dr. H. M. ali + dr, N 7 A

Vertigo dr. Mifta 1 U

(DINIATUN ISLAMADIYAH, AMd. MARS)

KEPALA UNIT RANAP TOKOH KABAG KEU

(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIY

TB Paru dr.H.M.Ali, Sp.PD 2 M

Asma Bronchial dr. H.M.Ali, Sp.PD 3 U

Isk dr. H. M. ali, Sp.PD 2 A

BPH + ISK dr. H. M. ali, Sp.PD 3 A

(DINIATUN ISLAMADIYAH, AMd. MARS)

KEPALA UNIT VIB B LT.II KABAG KEUA

(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIYA

Ulkus Peptikum dr. H. M. ali, Sp.PD 1 U

(DINIATUN ISLAMADIYAH, AMd. MARS)

13 428 05.22.56 Ny. Hj. Raodah Nusantara 3/10/2017 9/10/2017 6 3,130,000

14 429 03.30,11 Tn. Kisman Nusantara 2/10/2017 9/10/2017 7 4,575,700 4,607,900

30 656 05.25.32 An. Ahmad Nuril Nusantara 17/10/2017 20/10/2017 3 1,485,000

KEPALA UNIT VIB B LT.II KABAG KEUA

(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIYA

ISPA dr. Nurrayu. Sp.A 1 A

HT + Stroke Hemiparese D dr. H.M.Ali, Sp.PD 7 A

CF Distal Radius D dr. Nyoman, Sp.B 3 A

GEA + Vomiting dr. Nurrayu. Sp.A 4 U

(DINIATUN ISLAMADIYAH, AMd. MARS)

33 224 05.18.63 st salmah B rasanae 14/9/17 18/9/17 4 2,412,900 2,822,400 isk

KEPALA UNIT VIB B LT.II KABAG KEUANGAN

(RATU PRAPURNAWATI, A.Md.Kep) (DINIATUN ISLAMADIYAH, AMd. MARS)

dr. h.m. alisppD 2 M

dr. h.m. alisppD 4 A

TOTAL 9,290,000 78,511,500 90,234,400 16,340,800 12,323,430

KEPALA UNIT VIB B LT.II KABAG KEUANGAN

(Ratu Prapurnawati Amd. Kep) (Diniatun Islamadiyah Amd. MARS)

TOTAL 11,440,000 70,247,200 87,011,900 20,110,900 4,376,300

KEPALA UNIT VIB B LT.II KABAG KEUANGAN

(Ratu Prapurnawati Amd. Kep) (Diniatun Islamadiyah Amd. MARS)

KEPALA UNIT VIB B LT.II KABAG KEUANGAN

(Ratu Prapurnawati Amd. Kep) (Diniatun Islamadiyah Amd. MARS)

dr. h.m. alisppD 8 M

TOTAL 18,148,400 52,053,000 57,663,700 15,991,100 6,658,030

KEPALA UNIT VIB B LT.II KABAG KEUANGAN

(Ratu Prapurnawati Amd. Kep) (Diniatun Islamadiyah Amd. MARS)

KEPALA UNIT VIB B LT.II KABAG KEUANGAN

(Ratu Prapurnawati Amd. Kep) (Diniatun Islamadiyah Amd. MARS)

obs. Febris dr.h.m.ali.sppD 2 A

amadiyah Amd. MARS)

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