REKAP KLAIM PASIEN PELAYANAN NON KAPITASI UPF PUSKESMAS KEDAUNG

BULAN : OKTOBER 2017

NO NAMA NOMOR BPJS ALAMAT TELEFON TANGGAL PELAYANA
1 YUNITA 0000510361323 KEDAUNG 2/10082298322931-11-2017
2 Endang Puspito sari 0001631000878 Cinangka 8/8 081219251431-11-2017
3 Eti Herawati 0001336563538 Bojongsari 1/14 31-011-0217
4 Sri utami 0002218787741 Cinangka 3/9 081806088631-11-2017
5 Sri Hartini 0001834323388 Cinangka 3/9 081298724231-11-2017
6 MURNIATI 0001338585175 Cinagka 3/9 31-11-2017
7 Ely putri Pratiwi 0002099426433 mampang 8/5 081581420131-11-2017
8 Novi Damayanti 0001740272984 Cinangka 4/3 31-11-2017
9 Dana pratiwi 0001965435423 Cinagka 3/1 081311195831-11-2017
10 Yunarsih 0001740255221 Ciangka 1/2 083850372431-11-2017
11 Maryati 0000510623796 Cinangka 1/8 088213266131-11-2017
12 Yanti 0001452135251 Kedaung 2/7 089619631931-11-2017
13 Atin 0001455944916 Kedaung 1/8 31-11-2017
14 Martini 0000195183156 Sawangan 2/6 081908433331-11-2017
15 Cucum Sumiati 0002247955075 Cinangka 2/2 31-11-2017
16 Lia Astuti 0001337484341 Cinangka 2/9 31-11-2017
17 Debby Habibah 0001456212677 kedaung1/3 31-11-2017
18 Siti Masitoh 0001622386798 Pamulang 7/19082211198631-11-2017
19 herlina Sari 0001209540148 Mampang 6/7 31-11-2017
Total
KEDAUNG

BIDAN JENIS PELAYANAN BIAYA

Nolisa Sutrisnawati,Am,Keb IVA 25000
Nolisa Sutrisnawati,Am,Keb IVA 25000
Nolisa Sutrisnawati,Am,Keb IVA 25000
Nolisa Sutrisnawati,Am,Keb IVA 25000
Nolisa Sutrisnawati,Am,Keb IVA 25000
Nolisa Sutrisnawati,Am,Keb IVA 25000
Nolisa Sutrisnawati,Am,Keb IVA 25000
Nolisa Sutrisnawati,Am,Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Wida Widiati,Am.Keb IVA 25000
Rp,475,000

Depok
Kepala UPF Puskesmas Kedaung
NO Tanggal NMR BPJS Nama Alamat Jenis Pelayanan Nama Dokter/Bidan Biaya
1 7/5/2018 0001380703397 DWIYANTI IVA dr.Yanmisi Angreni 25000
2 7/5/2018 0001740275177 CASMANA H IVA dr.Yanmisi Angreni 25000
3 7/5/2018 0001740263049 ROSILAWATI IVA dr.Yanmisi Angreni 25000
4 7/5/2018 0001767051167 SAIDAH dr.Yanmisi Angreni 25000
5 7/5/2018 0000510416291 SHINTYA IVA dr.Yanmisi Angreni 25000
6 7/5/2018 0001770798802 HARIYAH OKTAPANY IVA dr.Yanmisi Angreni 25000
7 7/5/2018 0000510569706 NENENG SRI WAHYUNI dr.Yanmisi Angreni 25000
8 7/5/2018 0001335279429 VANI AGUSTUTI IVA Bd.Wida Windianti 25000
9 7/5/2018 0001740257853 SUHERMAYETI IVA Bd.Wida Windianti 25000
10 7/5/2018 0001455280031 WIWIT MARDIYATI Bd.Wida Windianti 25000
11 7/5/2018 0000510927017 MURTAMAH IVA Bd.Wida Windianti 25000
12 7/5/2018 0001079417979 YESSI RAHMALINDA IVA Bd.Wida Windianti 25000
13 7/5/2018 0001740676105 Robiah Bd.Wida Windianti 25000
14 7/5/2018 0001770781217 SUBARIYAH IVA Bd.Wida Windianti 25000
15 7/5/2018 0000510961882 FERA VERDIANA Bd.Wida Windianti 25000
375000