TANGGAL : 19/10/2018 - 19/10/2018

NAMA KP : MARDI NUGROHO WELAHAN.

DOKTER : KUKUH ADHI NASTITI, DRG POLI GIGI SORE
WAKTU : PRIBADI SORE
NO_RM NO_KWITANM_PASIE CARA_BAY AS PERIKSA_ TINDAKAN PENDAFTA OBAT PENUNJANJUMLAH TUNAI PEMBULA
16195 KBP-18101 UMI RAHMBAYAR SENDIR 20,000 - 4,000 24,515 10,000 58,515 58,600 85
31880 KBP-18101 KAMIDAH BAYAR SENDIR 20,000 - - 22,150 - 42,150 98,300 10
33459 KBP-18101 ADITYA WABAYAR SENDIR 20,000 - 5,000 17,970 - 42,970 43,000 30
12632 KBP-18101 UMROTUNBAYAR SENDIR - 50,000 4,000 11,980 15,000 80,980 81,000 20
33462 KBP-18101 MOH ARI BBAYAR SENDIR - 130,000 4,000 22,570 25,000 181,570 181,600 30
5 TOTAL 60,000 180,000 17,000 99,185 50,000 406,185 462,500 175

Dilaporkan Mengetahui ;
Administrasi K.a. K.P Mardi Nugroho

Nasimin. dr. Ane Roviana M.Kes.