NO NAMA PERUSAHAAN PELAYANAN RM NAMA PASIEN NO TAG

1 PT. INDOESKRIM MCU 31059 Ujang Deni Agustiandi, Tn 362497

2 PT. INDOESKRIM MCU 80226 Nandi Syarip Hidayat,Sdr 362493
2 PT. INDOESKRIM MCU 80230 Umar Rahmatullah,Tn 362515
3 PT. INDOESKRIM MCU 80231 Joksan Ticer Pakpahan,Sdr 362516
3 PT. INDOESKRIM MCU 80234 Restu Saputra,Sdr 362530
4 PT. INDOESKRIM MCU 80235 Aden Saepul Alam,Sdr 362533
4 PT. INDOESKRIM RJ 33689 Ilham Sabani, Sdr 374869
5 PT. INDOESKRIM RJ 81964 Irpan Alwi Anwari,Sdr 374875
5 PT. INDOESKRIM RJ 81960 Rachman Ardiansyah,Sdr 374876
6 PT. INDOESKRIM MCU 83063 Dede Wahyudin,Sdr 382697
6 PT. INDOESKRIM MCU 83064 Ramdan,Sdr 382709
7 PT. INDOESKRIM MCU 83073 Abdul Rojak,Sdr 382753
7 PT. INDOESKRIM MCU 83074 Lukman,Sdr 382755
8 PT. INDOESKRIM MCU 83075 Muhamad Zaldy Apriansyah,Tn 382757
8 PT. INDOESKRIM MCU 83076 Muhamad Ariri,Sdr 382759
9 PT. INDOESKRIM MCU 1323 Rezza Fauzi, Sdr 382762
9 PT. INDOESKRIM MCU 83077 Muhamad Rasi Tanzilal Rohman,Sd 382769
10 PT. INDOESKRIM MCU 83072 Reza Rhamadan,Sdr 382751
10 PT. INDOESKRIM MCU 84041 Johana 390631
11 PT. INDOESKRIM MCU 84040 Aris Rismawan 390628
11 PT. INDOESKRIM MCU 84045 Reza Kurniawan 390656
12 PT. INDOESKRIM RJ 84811 Putra Fajar Arbiansyah,Sdr 396873
12 PT. INDOESKRIM RJ 84810 Acep Supriatna,Tn 396867
13 PT. INDOESKRIM RJ 85207 Ikbal Iskandar,Sdr 399682
13 PT. INDOESKRIM RJ 85206 Tubagus Iwan,Sdr 399680
14 PT. INDOESKRIM RJ 85263 Rizan Nurahman,Sdr 400109
14 PT. INDOESKRIM RJ 85260 Muhammad Aditya Nugraha,Sdr 400104
15 PT. INDOESKRIM RJ 85271 Iman Maulana,Tn 400126
15 PT. INDOESKRIM RJ 85269 Yudi Maulana,Sdr 400120
16 PT. INDOESKRIM RJ 85268 Muhamad Chandra,Sdr 400117
16 PT. INDOESKRIM RJ 85266 Muhamad Yoga Prasetyo,Sdr 400113
17 PT. INDOESKRIM RJ 85262 Hamdan Basri,Sdr 400107
17 PT. INDOESKRIM RJ 85275 Suhaldi Ardiansyah,Sdr 400151
18 PT. INDOESKRIM RJ 36993 Panca Adhi Darmawan. Sdr 400183

18 PT. INDOESKRIM MCU 86000 Moch Fikar Maulana,Sdr 405912

19 PT. INDOESKRIM MCU 85995 Mulyadi,Sdr 405895

19 PT. INDOESKRIM MCU 86007 Diky Pujanadi,Sdr 405939

20 PT. INDOESKRIM MCU 86005 Muhamad Ilham Fajriansyah,Sdr 405935

20 PT. INDOESKRIM MCU 86169 Indra Fermana,Sdr 407113

21 PT. INDOESKRIM MCU 86172 Sutarman Rizaly,Tn 407119
21 PT. INDOESKRIM MCU 86174 Siti Nurjanah,Sdr 407121
22 PT. INDOESKRIM MCU 68247 Prihandani,Sdr 407105
22 PT. INDOESKRIM MCU 68248 Dede Maulana,Sdr 407117
23 PT. INDOESKRIM MCU 86171 Dede Hilman,Sdr 407116
23 PT. INDOESKRIM MCU 86168 Mimah,Ny 407110
24 PT. INDOESKRIM MCU 86170 Dahlan,Sdr 407115
24 PT. INDOESKRIM MCU 86167 Supriatna,Tn 407109
25 PT. INDOESKRIM MCU 86165 Kokoy Komariah,Ny 407106

25 PT. INDOESKRIM MCU 86161 Yona Herlambang,Sdr 407101

26 PT. INDOESKRIM MCU 86164 Yudi Prayoga,Sdr 407104

26 PT. INDOESKRIM MCU 86163 Moch Yogi Ramdan,Sdr 407103

27 PT. INDOESKRIM MCU 86160 Buchori,Sdr 407100

27 PT. INDOESKRIM MCU 88390 M Rinaldi Abdillah,Sdr 423070

28 PT. INDOESKRIM MCU 88391 Ari Subakti,Sdr 423078

28 PT. INDOESKRIM MCU 88393 Fajar Muhammad,Sdr 423089

29 PT. INDOESKRIM MCU 88394 Ricard Kevin Andreas,Sdr 423093

29 PT. INDOESKRIM MCU 88395 Dadan Hermawan,Sdr 423100

30 PT. INDOESKRIM MCU 88495 Asep Awaludin 423836

Muhammad Efantama
30 PT. INDOESKRIM MCU 88613 424772
Haryanto,Sdr

31 PT. INDOESKRIM MCU 88610 Anjar Setiawan,Sdr 424768

31 PT. INDOESKRIM MCU 88869 Nurfitriani Aulia Hasanah,Nn 426911
32 PT. INDOESKRIM MCU 88870 Riah Alfrida Alam,Nn 426915
32 PT. INDOESKRIM MCU 88931 Ujang Suntama,Sdr 427253
33 PT. INDOESKRIM MCU 88930 Yanuar Wahtasu,Sdr 427245
33 PT. INDOESKRIM MCU 88927 Rizki Fauzi Rahmatulah,Sdr 427241
34 PT. INDOESKRIM MCU 88925 Rudi Hidayatullah,Sdr 427236
34 PT. INDOESKRIM MCU 88932 Rahlan Kais,Sdr 427264
35 PT. INDOESKRIM MCU 88928 Suhud Trisno Sugiharto,Sdr 427242

disc 10%
Rp.21,100 x 35 = 738,500
TGL PERAWATAN NILAI
3/4/2017 211,000
3/4/2017 211,000
3/4/2017 211,000
3/4/2017 211,000
3/4/2017 211,000
3/4/2017 211,000
4/15/2017 211,000
4/15/2017 211,000
4/15/2017 211,000
5/12/2017 211,000
5/12/2017 211,000
5/12/2017 211,000
5/12/2017 211,000
5/12/2017 211,000
5/12/2017 211,000
5/12/2017 211,000
5/12/2017 211,000
5/12/2017 211,000
6/8/2017 211,000
6/8/2017 211,000
6/8/2017 211,000
7/4/2017 211,000
7/4/2017 211,000
7/12/2017 211,000
7/12/2017 211,000
7/13/2017 211,000
7/13/2017 211,000
7/13/2017 211,000
7/13/2017 211,000
7/13/2017 211,000
7/13/2017 211,000
7/13/2017 211,000
7/13/2017 211,000
7/13/2017 211,000

8/1/2017 211,000

8/1/2017 211,000
8/1/2017 211,000

8/1/2017 211,000

8/3/2017 211,000
8/3/2017 211,000
8/3/2017 211,000
8/3/2017 211,000
8/3/2017 211,000
8/3/2017 211,000
8/3/2017 211,000
8/3/2017 211,000
8/3/2017 211,000
8/3/2017 211,000

8/3/2017 211,000

8/3/2017 211,000

8/3/2017 211,000

8/3/2017 211,000

9/23/2017 211,000

9/23/2017 211,000

9/23/2017 211,000

9/23/2017 211,000

9/23/2017 211,000

9/26/2017 211,000

9/28/2017 211,000

9/28/2017 211,000
10/5/2017 211,000
10/5/2017 211,000
10/6/2017 211,000
10/6/2017 211,000
10/6/2017 211,000
10/6/2017 211,000
10/6/2017 211,000
10/6/2017 211,000
14,348,000