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REKAP KLAIM up 25%

Nama Up 25 % Saldo Akhir


-
PT. Indolakto Pandaan 20,220,109 20,220,109
PT. Sampoerna 164,309,686 184,529,795
PT. Externtex - 184,529,795
Asuransi Jasa Raharja - 184,529,795
Asuransi Lippo - 184,529,795
PT. Ultra Prima Abadi 562,553 185,092,348
185,092,348
185,092,348
185,092,348
185,092,348
185,092,348
185,092,348
185,092,348
185,092,348
185,092,348
185,092,348
Total Saldo Akhir 185,092,348

219,056,831
33,964,483
PT.INDOLAKTO

Nama Tanggal KRS Sistem Up 25%

An.Waliati 31-Oct-2018 22,267,737 25,590,980

BPJS
WAHYUDI.TN 24/11/2018 3,302,341 3,623,197
PITONO 7-Dec-2018 2,735,699 3,044,000
ANISA SUBAGIO, NY 16-Dec-2019 3,879,772 4,574,711
DURASIT, TN 15-Dec-2018 8,676,324 10,385,266
DZAKIA EKA RAHMADANI.AN 18-Dec-2018
ANISA SUBAGIO, NY 2 8-Jan-2019 8,489,342 10,041,400
DURASIT, TN 2 8-Jan-2019 : 6,596,249 8,033,305
UP 35%+25.000

Total Saldo Akhir


SELISIH YG DIBAYAR
Selisih lebih dr
TIDAK DI TANGGUNG Bayar Saldo Akhir TGL Lunas
Sistem
BPJS
-
25,590,980 - 27/11/18 3,323,243

BPJS
862,897 862,897 28/1/19 320,856
1,487,220 1,487,220 9-Jan-19 308,301
2,069,911 2,069,911 9-Jan-19 694,939
2,923,866 2,923,866 9-Jan-19 1,708,942
1,133,010 10-Jan-19
7,741,400 7,741,400 11-Jan-19
4,001,805 4,001,805 12-Jan-19
UP 35%+25.000
-

20,220,109
KAMAR NAIK KELAS
PT. HM SAMPOERNA

Tanggal
Selisih lebih
Nama Tanggal Sistem Up 25% Bayar Saldo Akhir TGL Lunas Pengiriman
dr Sistem
berkas

SUMINI.NY 4-Oct-18 6,523,139 7,243,496 7,243,496 - 720,357


DWI SETIJANINGSIH, NY 6-Oct-18 7,052,093 8,379,720 8,379,720 - 1,327,627
MEIRINDA PUTRI AUDYNA.AN 12-Oct-18 6,171,132 6,691,377 6,691,377 - 520,245
An, Fakhirah Shakila Putri Z. 22-Oct-18 : 3,870,780 4,252,428 4,252,428 - 7-Nov-18 381,648
An, wiwit puji astutik 6-Nov-18 2,857,588 3,167,868 3,167,868 - 21-Nov-18 310,280
An.Alifia zhuina shofi 8-Nov-18 4,709,271 5,213,288 5,213,288 - 26-Nov-18 504,017 14-Nov-2018
An.nurur rohmatul inayah 11-Nov-18 5,736,237 6,282,107 6,282,107 - 26-Nov-18 545,870 14-Nov-2018
FIRLY CELIA ANDRIANA .NN 12-Nov-18 7,613,668 8,144,545 8,144,545 - 5-Dec-18 530,877 22-Nov-2018
ALIFIA ZHUINA SHOFI, NN 17-Nov-18 4,442,349 4,982,119 4,982,119 - 5-Dec-18 539,770 22-Nov-2018
DEDY INDRAYANA, TN 21-Nov-18 8,326,153 9,398,321 9,398,321 - 12-Dec-18 1,072,168 29-Nov-2018
SITI YULAIKAH.NY 27-Nov-18 2,135,255 2,408,742 2,408,742 - 12-Dec-18 273,487 30-Nov-2018
ZAZULI.TN 28-Nov-18 6,193,172 7,244,881 7,244,881 - 12-Dec-18 1,051,709 30-Nov-2018
M. DZIKRI D.G, AN 29-Nov-18 4,246,388 4,662,027 4,662,027 - 30/1/19 415,639 30-Nov-2018
SUMINI.NY 3-Dec-18 9,410,273 10,465,488 10,465,488 - 19-Dec-18 1,055,215 6-Dec-2018
HERMAN NURSALIM .TN 5-Dec-18 4,401,033 4,821,856 4,821,856 - 19-Dec-18 420,823 8-Dec-2018
TRIA SETIYA S.NY 9-Dec-18 7,273,566 7,967,124 7,967,124 - 1/9/2019 693,558
SUMILAH .NY 11-Dec-18 10,098,142 11,211,918 11,211,918 - 1/9/2019 1,113,776
SYAKILLA ALMAHYRA A,AN 15-Dec-18 4,576,174 4,977,182 4,977,182 - 1/2/2019 401,008
LILIK AMIATI, NY 25-Dec-18 2,675,164 3,039,055 3,039,055 - 1/16/2019 363,891 2-Jan-2019
MUHAYANAH, NY 28-Dec-18 12,151,747 14,562,534 14,562,534 - 1/16/2019 2,410,787 2-Jan-2019
MUHAMMAD ANDRIE S.SDR 31-Dec-18 5,959,803 6,570,539 6,570,539 - 1/16/2019 610,736 2-Jan-2019
SURYADI, TN 31-Dec-18 6,358,240 6,966,335 6,966,335 - 1/16/2019 608,095 2-Jan-2019
HARIYADI.TN 4-Jan-19 4,877,375 5,391,544 5,391,544 - 1/16/2019 514,169 5-Jan-2019
LAILINA ROHMATIKA, NY 9-Jan-19 3,193,849 3,552,819 3,552,819 - 30/1/19 358,970 13-Jan-2019
SUHARMI , NY 10-Jan-19 6,081,596 6,712,373 6,712,373 - 30/1/19 630,777 13-Jan-2019
M.HAIKAL AZA"IM.AN 19/1/19 5,218,256 5,758,622 5,758,622 - 6/2/2019 540,366 27/1/19
M.Chorul as'ad 22/1/19 6,324,530 6,899,428 6,899,428 6/2/2019 574,898 27/1/19
M. RAFIF AL ARSYAD ,AN 22/1/19 3,987,149 4,350,294 4,350,294 6/2/2019 363,145 27/1/19
NURIL AMALIA AFIFATUS. NY 21/1/19 4,258,291 4,695,066 4,695,066 6/2/2019 436,775 27/1/19
YUSFINDA, AN 27/1/19 4,322,685 4,750,545 4,750,545 20/2/19 427,860 2-Feb-2019
ENDANG ISNAWATI, NY 11-Feb-19 5,266,207 5,973,763 5,973,763 20/3/19 707,556 22/2/19
HANNY SAKSONO, TN 14-Feb-19 7,821,546 8,924,672 8,924,672 20/3/19 1,103,126 22/2/19
SUMINI 25-2-19 11,130,137 12,833,880 12,833,880 27/3/19 1,703,743 2/Mar/19
MERI EKA MISNAWATI 26-2-19 2,976,137 3,441,676 3,441,676 27/3/19 465,539 2/Mar/19
ZAHIR NUR ALFIANSYAH, AN 6-Mar-19 7,488,721 8,606,829 8,606,829 27/3/19 1,118,108 16/3/19
SHOLIHATIN 17-Mar-19 3,573,900 4,218,623 4,218,623 4/10/2019 644,723 21/3/19
DEDY INDRAYANA, TN 31/3/19 2,223,468 2,783,399 2,783,399 24/4/19 559,931 12/Apr/19
NAYSA RAMANIA PUTRI, AN 8-Apr-19
### 3,248,851 3,734,823 3,734,823 24/4/19 485,972 12/Apr/19
YENI APRILIA SETIANINGSIH, NY 8-Apr-19 4,827,694 5,492,213 5,492,213 24/4/19 664,519 12/Apr/19
ARJUNA 15-Apr-19 4,814,454 5,453,193 5,453,193 5/6/2019 638,739 28/Apr/19
HAIKAL 15-Apr-19 6,627,212 7,579,451 7,579,451 5/6/2019 952,239 28/Apr/19
LULUK 20-Apr-19 6,324,984 7,384,875 7,384,875 1,059,891 4/May/19
ENDANG ISNAWATI, NY 24-Apr-19 2,904,516 3,463,754 3,463,754 559,238 4/May/19
DANIAL 29-Apr-19 4,348,949 4,977,740 4,977,740 628,791
YULI SETIAWAN 1-May-19 3,508,974 4,124,371 4,124,371 615,397

Total Saldo Akhir 164,309,686 19,290,683


PT. Externtex

Nama Tanggal Sistem Up 25% Bayar

Total Saldo Akhir


Tanggal
Saldo Akhir TGL Lunas Pengiriman
berkas
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JASA RAHARJA

Tanggal
Nama Tanggal Sistem UP 25 % Bayar JR Saldo Akhir TGL Lunas Pengiriman
berkas
-
Tn, Soekarto 13-Jul-18 : 2,680,900 3,118,175 3,118,175 - 8/15/2018
Tn, Aang Parahiyang 3-Aug-18 : 20,209,966 23,248,264 20,000,000 - 9/5/2018
An, Raehan Syah 16-Aug-18 : 16,843,416 19,491,437 19,491,437 - berkas di Prob
Tn, Ali Imron 27-Aug-18 : 3,706,247 4,116,109 4,122,109 - 10/22/2018
Tn, Jumadi 1-Sep-18 : 13,180,069 15,825,532 15,825,532 - 10/22/2018
Ny, Nikmawati 2-Sep-18 : 9,210,410 10,819,331 10,825,331 - 10/22/2018
Tn, Purwanto 3-Sep-18 : 29,407,333 33,432,800 20,000,000 - 10/22/2018
Nn, Yeni Rohmatul Mufida 8-Sep-18 : 3,576,783 4,690,022 4,696,022 - 10/22/2018
Tn, Satrio Hafidz 11-Sep-18 : 7,357,600 10,135,730 10,141,730 - 10/22/2018
Sdr, M. Ishaq 4-Oct-18 : 20,687,536 23,721,413 20,000,000 - 10/22/2018
Tn, Didik Rahman 10-Oct-18 : 2,280,061 3,357,179 3,357,179 - 10/26/2018
Tn, Fauzi Gunawan 17-Oct-18 : 2,651,358 3,684,773 3,684,773 - 11/6/2018
Tn, Sutrisno 17-Oct-18 : 11,935,356 15,442,549 15,442,549 - 11/6/2018
Tn, Agung Setiya Budi 18-Oct-18 : 21,482,302 26,304,817 20,000,000 - 11/6/2018
Tn, M Suyanto 21-Oct-18 5,111,030 6,416,637 6,416,637 - 11/6/2018
ANITA SUSIYOWATI .NY 10-Nov-18 13,729,417 17,428,535 17,428,535 - 7/1/2019
KARDI, TN 10-Dec-18 21,135,628 25,323,409 20,000,000 - 7/1/2019
AHMAD DENI KRISDISE l, TN 17-Dec-18 12,564,614 15,951,509 15,951,509 - 7/1/2019
CHODIJAH 18-Dec-18 19,912,327 24,016,365 20,000,000 - 13/2/19
ABD SOMAD ,TN 31-Dec-18 6,979,955 8,958,775 8,958,775 - 6/2/2019
WAHYU WIDODO, TN 31-Dec-18 16,530,452 20,509,925 20,000,000 - 6/2/2019
ZUHROTUL AINI, NY 8-Jan-19 11,412,244 13,602,052 13,602,052 - 6/2/2019
M.FAUZAN, TN 7-Jan-19 3,033,400 4,134,137 4,134,137 -
ANANG BASORI 24/1/19 8,870,247 11,683,484 11,683,484 12/2/2019
KADI 7-Feb-19 3,292,081 4,889,239 4,889,239 13/2/19
KHOLIFAH 6-Mar-19 14,418,288 19,382,442 19,382,442 15/3/19
RISKI HIJRAH 8-Mar-19 115,426,598 15,855,676 15,855,676 15/3/19
M.SIMBANG 8-Mar-19 10,311,726 14,141,786 14,141,786 15/3/19
MARIA T 11-Mar-19 2,300,021 3,589,248 3,589,248 15/3/19
SULIYANTI 11-Mar-19 656,194 1,572,283 1,572,283 15/3/19
RUSLIYANTO 16/3/19 11,284,043 15,097,761 15,097,761 21/3/19 >BPJS
NGARIP 23-Mar-19 3,870,153 5,573,618 5,573,618 30/3/19
BUHORI, TN 6-Apr-19 3,870,153 5,573,618 5,573,618 13/4/19
Eko Wahyudi 22-Apr-19 1,385,101 2,533,121 2,533,121 4/28/19
M.Satib 23-Apr-19 6,520,165 9,652,182 9,652,182 >BPJS
Siti Maisaroh 26-Apr-19 15,417,999 20,234,196 20,234,196
Syamsul Pakhri 4-May-19 10,406,157 14,649,135 14,649,135
Total Saldo Akhir 297,196,482
LIPPO

Bagi Hasil Total yg Saldo


Nama Tanggal Sistem Total Billing Up 25% Pembayaran Tgl Pembayaran
5% Diterima Akhir
-
An, Jovelino Naufal Alif 5-Aug-18 : 3,397,300 3,589,415 179,471 3,409,944 3,409,944 0 3/Sep/18
Tn, Herman Rosadi 3-Sep-18 : 17,801,115 18,995,971 949,799 18,046,172 18,046,172 0 17/Sep/18
Sdr, Sulakhul Fuad 8-Sep-18 : 3,142,123 3,440,154 172,008 3,268,146 3,268,146 0 1/Oct/18
An, Shaqilla Aisalyn Fahmi 14-Sep-18 : 3,396,393 3,773,163 188,658 3,584,505 3,584,505 0 8/Oct/18
An, Shaqilla Aisalyn Fahmi 2-Oct-18 : 3,001,721 3,214,207 160,710 3,053,497 3,053,497 (0) 22/Oct/18
An, Al- Ghifari Nakhlan S. 4-Oct-18 : 4,731,041 5,027,794 251,390 4,776,404 4,776,404 0 22/Oct/18
Ny, Ira Dwi Sukmawati 8-Oct-18 : 13,353,829 14,127,720 706,386 13,421,334 13,421,334 0 22/Oct/18
UP 30% LIPPO
Tn, Rachmat Hidayat 20-Oct-18 : 9,643,716 10,433,728 521,686 9,912,042 9,912,042 (0) 5/Nov/18
An.Windatry Amanda 27-Oct-18 6,011,662 6,602,313 330,116 6,272,197 6,272,197 - 12/Nov/18
An.Muchtar Arifin 8-Nov-18 4,721,041 5,213,071 260,654 4,952,417 4,952,417 0 26/Nov/18
NUR ANDRIAN.SDR 26-Nov-18 2,072,240 2,409,594 120,480 2,289,114 2,289,114 (0) 17/Dec/18
JAVIER AQTAM CELVINO.AN 25-Nov-18 3,934,235 4,394,797 219,740 4,175,057 4,175,057 (0) 17/Dec/18
SOFII.TN 26-Nov-18 6,120,755 6,905,854 345,293 6,560,561 6,560,561 0 17/Dec/18
HANIATI 2-Dec-18 4,719,465 5,165,715 258,286 4,907,429 4,907,429 0 17/Dec/18
ARAYA AYUDIA SHAFIRA, AN 4-Jan-19 3,702,533 4,183,668 209,183 3,974,485 3,974,485 - 14/Jan/19
SULIHATI, NY 15-Jan-19 6,886,463 7,754,180 387,709 7,366,471 7,366,471 - 4/Feb/19
NAF*AN, TN 15-Jan-19 6,201,518 6,802,844 340,142 6,462,702 6,462,702 (0) 4/Feb/19
HASAN, TN 16-Jan-19 8,692,707 10,108,455 505,423 9,603,032 9,603,032 4/Feb/19
TATIK, NY 19-Jan-19 3,725,768 4,275,204 213,760 4,061,444 4,061,444 11/Feb/19
ZURAINI.NY 20-Jan-19 4,735,853 5,389,797 269,490 5,120,307 5,120,307 11/Feb/19
SARAH,NN 21-Jan-19 6,865,576 7,496,805 374,840 7,121,965 7,121,965 11/Feb/19
SAFA T. 20-Jan-19 2,566,623 2,992,498 149,625 2,842,873 2,842,873 11/Feb/19
M.NAUFAL ADITYA P 24/1/19 4,877,108 5,492,595 274,630 5,217,965 5,217,965 11/Feb/19
IKSAN , TN 24/1/19 2,259,022 2,603,794 130,190 2,473,604 2,473,604 11/Feb/19
RAFFI BINTANG R ,SDR 26/1/19 7,879,608 8,682,061 434,103 8,247,958 8,247,958 18/2/19
LEENDHY JULIAN, TN 26/1/19 6,324,897 7,122,102 356,105 6,765,997 6,765,997 18/2/19
SUCIATI 6-Feb-19 4,738,898 5,383,934 269,197 5,114,737 5,114,737 4/Mar/19
SUSANTO 9-Feb-19 7,181,156 8,174,789 408,739 7,766,050 7,766,050 4/Mar/19
EMI INDRATI 11-Feb-19 5,203,460 5,917,390 295,870 5,621,521 5,621,521 4/Mar/19
M. NAUFAL ADITYA, AN 15/2/19 4,319,385 4,970,550 248,528 4,722,023 4,722,023 11/Mar/19
M.RAFKA AKBAREZA 17/2/19 7,679,651 8,702,251 435,113 8,267,138 8,267,138 11/Mar/19
RAFIDAH AISYAH 16/2/19 9,959,025 11,283,461 564,173 10,719,288 10,719,288 4/Mar/19
KHOTIMAH 20/2/19 5,198,698 5,872,032 293,602 5,578,430 5,578,430 11/Mar/19
HERMAN SAPUTRA.SDR 23/2/19 4,433,921 5,113,406 255,670 4,857,736 4,857,736 18/3/19
LIA PURNAMASARI, NY 1-Mar-19 6,273,863 7,088,692 354,435 6,734,257 6,734,257 8/Apr/19
FADHILAH RIZQI P, AN 6-Mar-19 2,867,500 3,344,330 167,217 3,177,114 3,177,114 15/Apr/19
KURNIA NAILUFARRI JANNAH, NN 6-Mar-19 7,172,533 8,089,454 404,473 7,684,981 7,684,981 15/Apr/19
TRISTAN NAFIZ HARIADI, AN 9-Mar-19 4,822,944 5,517,009 275,850 5,241,159 5,241,159 15/Apr/19
MEI LI BRYNA RAFA WIJAYA.AN 6-Mar-19 7,642,299 8,719,197 435,960 8,283,237 8,283,237 8/Apr/19
DIMAS PRASETYO 13-Mar-19 8,327,987 9,407,411 470,371 8,937,040 8,937,040 8/Apr/19
SAFIYA DESTYO 14/3/19 7,790,950 8,823,074 441,154 8,381,920 8,381,920 8/Apr/19
NINGGAR AYUNINDYA 19/3/19 4,324,344 5,010,905 250,545 4,760,360 4,760,360 8/Apr/19
ABD.HAMID 23/3/19 8,007,034 9,170,288 458,514 8,711,774 8,711,774 6/May/19
Sri Ulwiyati 27-Mar-19 4,375,872 5,055,351 252,768 4,802,583 4,802,583 6/May/19
KHANZA NOER 25-Mar-19 4,018,858 4,637,594 231,880 4,405,714 4,405,714 29/Apr/19
SUPRIYANTO 28/3/19 4,840,392 5,552,877 277,644 5,275,233 5,275,233 6/May/19
SITI HOLIFAH 30/3/19 3,580,138 4,139,827 206,991 3,932,836 3,932,836 6/May/19
HELGA 30/3/19 4,691,103 5,411,073 270,554 5,140,519 5,140,519 29/Apr/19
FRIZILIA 1-Apr-19 6,173,589 6,996,042 349,802 6,646,240 6,646,240 29/Apr/19
AINUR RIZKY 2-Apr-19 3,961,388 4,550,059 227,503 4,322,556 4,322,556 29/Apr/19
RAFANDRA ALVARO NIDZAM,AN 7-Apr-19 6,590,742 7,554,868 377,743 7,177,125 7,177,125
VINUS HANDRIANI, NY 7-Apr-19 5,270,432 5,977,674 298,884 5,678,790 5,678,790 29/Apr/19
KHURINÍN NUR AINATUZ ZAHRAH, AN 8-Apr-19 2,542,700 2,972,695 148,635 2,824,060 2,824,060 29/Apr/19
RIVOLINO SULISTYAWAN MOSES.AN 15-Apr-19 11,699,811 13,305,418 665,271 12,640,147 12,640,147
ABD ROHMAN.TN 14-Apr-19 7,531,460 9,150,283 457,514 8,692,769 8,692,769
TATIK, NY 16-Apr-19 3,545,734 4,179,261 208,963 3,970,298 3,970,298
Siti juwariyah 20-Apr-19 6,886,417 7,955,094 397,755 7,557,339 7,557,339
Nuki 25-Apr-19 5,650,287 6,414,441 320,722 6,093,719 6,093,719
Tanggal
Selisih lebih
Pengiriman
dr Sistem
berkas

(12,644)
(245,057)
(126,023)
(188,112)
(51,776)
(45,363)
(67,505)

(268,326)
(260,535)
(231,376)
(216,874) 11/29/2018
(240,822) 11/28/2018
(439,806) 11/29/2018
(187,964)
(271,952) 1/7/2019
(480,008) 1/18/2019
(261,184) 1/18/2019
(910,325) 1/18/2019
(335,676) 27/1/19
(384,454) 27/1/19
(256,389) 27/1/19
(276,250) 27/1/19
(340,857) 27/1/19
(214,582) 27/1/19
(368,350) 2/2/2019
(441,100) 2/2/2019
(375,839) 13/2/19
(584,894) 13/2/19
(418,061) 18/2/19
(402,638) 18/2/19
(587,487) 22/2/19
(760,263) 22/2/19
(379,732) 22/2/19
(423,815) 2/3/2019
(460,394) 16/3/19
(309,614) 16/3/19
(512,448) 16/3/19
(418,215) 16/3/19
(640,938) 16/3/19
(609,053) 21/3/19
(590,970) 21/3/19
(436,016) 21/3/19
(704,740)
(426,711)
(386,856) 10/4/2019
(434,841) 10/4/2019
(352,698)
(449,416) 10/4/2019
(472,651) 10/4/2019
(361,168) 10/4/2019
(586,383) 10/4/2019
(408,358) 10/4/2019
(281,360) 10/4/2019
(940,336) 4/27/19
(1,161,309) 4/27/20
(424,564) 5/6/2019
(670,922) 5/6/2019
(443,432) 5/6/2019
PT. Ultra Prima Abadi

Nama Tanggal Sistem Up 25 % Bayar

Tn, Dwi Natalis S. 5-Sep-18 : 394,750 394,750


Tn, Dwi Natalis S. 13-Sep-18 : 167,803 167,803

Total Saldo Akhir

Total Keuntungan RS Dri PT. UAP


Tanggal
Saldo Akhir TGL Lunas Pengiriman
berkas
-
394,750
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
562,553
RAWAT JALAN LIPPO 35%

Tanggal
Total Billing Bagi Total yg Saldo Tgl Selisih lebih
Nama Tanggal Sistem Pembayaran Pengiriman
Up 35% Hasil 5% Diterima Akhir Pembayaran dr Sistem
berkas
-
An, Windatry Amanda 30 Oct 2018 182,650 266,583 13,329 253,254 253,254 0 12/Nov/18 83,933
An.Diandra kayla (admedika) 22-Nov-18 381,145 568,946 28,447 540,499 540,499 31/12/18 187,801
sofii 29-Nov-18 130,000 225,500 11,275 214,225 214,225 29/Nov/18 95,500
sofii 2 6-Dec-18 268,435 410,287 20,514 389,773 389,773 6/Dec/18 141,852
SOFII 3 13-Dec-18 156,590 259,997 13,000 246,997 246,997 7/Jan/19 103,407
SULIHATI 18-Jan-19 1,356,825 1,879,587 93,979 1,785,608 1,785,608 4/Feb/19 522,762 27/1/19
Tatik 22/01/19 159,200 264,220 13,211 251,009 251,009 4/Feb/19 105,020 27/1/19
zuraini 23/1/19 678,530 963,216 48,161 915,055 915,055 4/Feb/19 284,686 27/1/19
suciati 8-Feb-19 183,955 284,946 14,247 270,699 270,699 4/Mar/19 100,991
m.naufal aditya 19/2/19 219,273 326,928 16,346 310,582 310,582 11/Mar/19 107,655 23/2/19
m.rafka akbareza 20/2/19 184,080 285,096 14,255 270,841 270,841 11/Mar/19 101,016 23/2/20
HERMAN SAPUTRA 26/2/19 120,590 209,308 10,465 198,843 198,843 18/3/19 88,718 2-Mar-19
LIA PURNAMA 5-Mar-19 147,300 240,960 12,048 228,912 228,913 93,660 21/3/19
FADILA 11-Mar-19 155,625 251,350 12,568 238,783 238,783 95,725 21/3/19
KURNIA 13-Mar-19 184,265 284,916 14,246 270,670 270,670 100,651 21/3/19
TRISTAN 14-Mar-19 205,476 310,772 15,539 295,233 295,233 105,296 21/3/19
khanza 27-Mar-19 194,805 247,966 12,398 235,568 235,568 53,161 4/26/19
Abd.Hamid 27-Mar-19 161,890 258,068 12,903 245,165 245,165 96,178 4/26/19
SRI ULWIYATI 1-Apr-19 100,000 208,068 10,403 197,665 197,665 108,068 4/26/19
HELGA 1-Apr-19 120,590 159,308 7,965 151,343 151,343 38,718 4/26/19
FRIZCILIA 4-Apr-19 179,150 290,080 14,504 275,576 275,576 110,930 4/26/19
SITI HOLIFAH 6-Apr-19 267,830 393,490 19,675 373,816 373,816 125,660 4/26/19
abd.rahman 16-Apr-19 224,240 332,488 16,624 315,864 315,864 108,248 6/May/19
Siti Juwariyah 18-Apr-19 192,865 295,238 14,762 280,476 280,476 102,373 6/May/19
nuki 30-Apr-19 332,090 462,708 23,135 439,573 439,573 130,618 6/May/19
Nama Tanggal Sistem Up 25 % Bayar

An.Saiful 29-Oct-18 3,881,716 4,724,002


up 30%
An.Waliati 2-Nov-18 292,586 405,362
An.Waliati 2 7-Nov-18 288,860 399,318
An.Waliati 3 12-Nov-18 427,090 579,017

Total Saldo Akhir


Selisih lebih dr Tanggal
Saldo Akhir TGL Lunas
Sistem Pengiriman berkas
-
4,724,002 27/11/18 842,286

27/11/18 112,776
399,318 19/11/18 110,458 11/14/2018
978,335 19/12/18 151,927 11/14/2018
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
978,335
CAR RALAN

Selisih lebih dr Tanggal Pengiriman


Nama Tanggal Sistem Up 35% Bagi 5% Bayar Saldo Akhir TGL Lunas
Sistem berkas
M.YUDI SUSANTO 20/1/19 356,583 517,887 25,894 491,993 26/2/19 161,304 2/Feb/19
M.YUDI SUSANTO 2 22/1/19 158,510 252,589 12,629 239,960 26/2/19 94,079 2/Feb/19
M.YUDI SUSANTO 3 25/1/19 195,158 301,363 15,068 286,295 26/2/19 106,205 2/Feb/19
M.YUDI SUSANTO 3 28/1/19 115,000 195,250 9,763 185,488 2/26/2019 80,250 2/Feb/19
PATEN DARI DR.RIRIN + OBAT 20%+ TINDAKAN 35%
RIVALDI 24/3/19 251,698 12,585 239,113 239,113 5/6/2019 144,158 30/3/19
DAFA A HAFIZ 18/2/19 175,392 377,671 18,884 358,787 (202,279) 23/2/19
ADYARAKA 14/3/19 128,616 205,539 10,277 195,262 (76,923) 21/3/19
holinda 2 13-Apr-19 150,000 247,500 12,375 235,125 18-Apr-2019
ardi alfarezi 16-Apr-19 141,600 239,520 11,976 227,544 18-Apr-2019
ADMEDIKA RANAP

Saldo Selisih lebih dr Tanggal Pengiriman


Nama Tanggal Sistem Up 35% Bagi 5% Bayar TGL Lunas
Akhir Sistem berkas
ARDI ALFAREZI (CAR) 31/1/19 3,242,197 3,697,079 184,854 3,512,225 21/3/19 (270,028) 23/2/19
ARDI ALFAREZI (CAR) 14-Apr-19 5,226,413 5,862,546 293,127 5,569,419 4/27/19
Admedika Ralan
total yang Saldo Selisih lebih dr Tanggal
Nama Tanggal SISTEM UP 35% BAGI 5% Bayar TGL Lunas
diterima Akhir Sistem Pengiriman berkas
FIRMANDES 13-Mar-19 200,000 407,500 20,375 387,125 387,125 22/4/19 207,500 21/3/19
KHALIFATUS 13-Mar-19 200,000 407,500 20,375 387,125 387,125 22/4/19 207,500 21/3\/19
MEI LI 14-Mar-19 165,140 267,368 13,368 254,000 254,000 22/4/19 102,228 23/3/19
KHALIFATUS 2 22/3/19 383,884 588,561 29,428 559,133 559,133 22/4/19 204,677 30/3/19

NADIA PRATIWI 24/3/19 143,978 295,424 14,771 280,653 280,653 4/29/19 151,446 30/3/19
NAIM 24/3/19 173,896 335,375 16,769 318,606 318,606 4/29/19 161,479 30/3/19
NAIM 2 25/3/19 835,170 1,144,504 57,225 1,087,279 1,087,279 309,334 30/3/19
Dwi Winasis 29-Mar-19 200,000 340,000 17,000 323,000 323,000 140,000 18-Apr-2019
Griska Yulia 29-Mar-19 200,000 340,000 17,000 323,000 323,000 140,000 18-Apr-2019
szakina devi 2-Apr-19 199,023 367,028 18,351 348,677 348,677 168,005 18-Apr-2019
Amalia 3-Mar-19 89,878 232,104 11,605 220,499 220,499 142,226 18-Apr-2019
almera radelia 10-Apr-19 172,154 274,385 13,719 260,666 260,666 102,231 18-Apr-2019
Virgilio A 18-Apr-19 343,327 478,992 23,950 455,042 455,042 135,665 3-May-2019
Jovelyo 18-Apr-19 257,727 378,872 18,944 359,928 359,928 121,145 3-May-2019
Nurhayati 24-Apr-19 184,304 329,310 16,466 312,845 312,845 145,006 6-May-2019