REKAPAN POLI KEBIDANAN BULAN DESEMBER

IMUNISASI

NO NAMA BPJS ASURANSI/UMUM

1 HALWATUZAHRA LUBIS Rp 2,500 -
2 AUDREY SHAMIRA TOBING Rp 2,500 -
3 AL FARIS LINTANG EFRANI Rp 2,500 -
4 SYAFARINA MUTIARA A Rp 2,500 -
5 JASMINE GHUMAISHA Rp 2,500 -
6 M. SULTAN EL RUMI Rp 2,500 -
7 KEI AL FATHIR PERMANA Rp 2,500 -
8 IQBAL KHALFA IKHWAN Rp 2,500 -
9 M. ATHAFARIZ - Rp 100,000
10 AFIZA GHANIA AZIZAH Rp 2,500 -
11 HAFIZA KHAIRA Rp 2,500 -
12 KEVIN WILLIAM Rp 2,500 -
13 AZURA SYAUQI MARZIYAH Rp 2,500 -
14 ALVIAN GAVRIEL TOBING Rp 2,500 -
15 M. AL KEANU DICKSY Rp 2,500 -
16 DEANAYA YARVEC GANESHA Rp 2,500 -
17 DZAKIYATUN NAFISAH Rp 2,500 -
18 ASIVA SAFITRI TRI M Rp 2,500 -
19 INARA AYUDIA Rp 2,500 -
20 REVAN RADITYA Rp 2,500 -
21 AQILA KURNIA FARZANAH Rp 2,500 -
22 DELISHA QISTHY A Rp 2,500 -
23 STEVEN SATTUN LUIZ Rp 2,500 -
24 M. REZA Rp 2,500 -
25 KHUZAIMAH BALYA SYARIF - Rp 100,000
26 HASNA AAFIYAH PERMANA Rp 2,500 -
27 SHANNON HAWA MADINAH Rp 2,500 -
28 M. FARIS ILHAM Rp 2,500 -
29 ALVIAN RASYID ALFARIZQI Rp 2,500 -
30 IZZATUNNISA HUMAIROH Rp 2,500 -
31 INNEZA MUTIARA LANGIT Rp 2,500 -
32 KENZO ALVATAR YUDITO Rp 2,500 -
33 M. ATHALLA EL RASKHA Rp 2,500 -
34 M. IZZAN RAMADHAN Rp 2,500 -
35 NATHAN SHAQUEL MUNIR Rp 2,500 -
36 FEIVEL IVANDER SAVERIO S Rp 2,500 -
37 NARA ATTLA QALESYA Rp 2,500 -
38 SATIVA KEVIN Rp 2,500 -
39 DESWINTA DARA TRI A Rp 2,500 -
40 GHIFFARY RAFISQY Rp 2,500 -
JUMLAH Rp 95,000 Rp 200,000
TOTAL Rp 295,000
 REKAPAN POLI KEBIDANAN BULAN DESEMBER
KB
NO NAMA BPJS ASURANSI / UMUM
1 MIMIN MINTARSIH Rp2,500 -
2 MARFUAH Rp2,500 -
3 LILI KURNIATI Rp2,500 -
4 SETIAYAWATI Rp2,500 -
5 JUMIATIK Rp2,500 -
6 EMILDA Rp2,500 -
7 WENI WINARTI Rp2,500 -
8 ENENG MASITOH Rp2,500 -
9 YULI ASTUTI Rp2,500 -
10 BELLA NANDA P Rp2,500 -
11 MAI SYAROH Rp2,500 -
12 TRI HARYATI Rp2,500 -
13 PENI TRI WAHYUNINGSIH Rp2,500 -
14 ENTIN KARTINI - Rp50,000
15 NIKEN SYAHVANI Rp2,500 -
16 DEWI ARIMBI Rp2,500 -
17 JULIYANTI Rp2,500 -
18 NURHASANAH Rp2,500 -
19 ANI Rp2,500 -
20 AMALIA HASANAH Rp2,500 -
21 SURI HANDAYANI Rp2,500 -
22 IRMA SURYANI Rp2,500 -
JUMLAH Rp52,500 50000
TOTAL Rp102,500
TINDAKAN TINDIK Rp80,000
TINDAKAN IMUNISASI, KB, ANC Rp 350.000 X 60% = Rp210,000
PASIEN UMUM 6 pasien x 10.000@pasien = Rp60,000
BPJS IMUNISASI 38 ORANG X 2.500@PASIEN = Rp95,000
BPJS KB 21 ORANG X 2.500@PASIEN = Rp52,500
BPJS HAMIL 132 ORANG X 2.500@PASIEN = Rp330,000
TOTAL Rp827,500

PEMERIKSA

INDRI
 REKAPAN POLI KEBIDANAN BULAN DESEMBER
HAMIL
NO NAMA BPJS ASURANSI/UMUM
1 SRI WAHYUNI Rp2,500 -
2 NUR FAIJAH Rp2,500 -
3 RATNA NENGSIH Rp2,500 -
4 RETNO WIDYANINGSIH Rp2,500 -
5 SOLEHA Rp2,500 -
6 WANTI WINDARI Rp2,500 -
7 IIS YULIANA Rp2,500 -
8 MUJINAH Rp2,500 -
9 KARTINI Rp2,500 -
10 SINEM Rp2,500 -
11 SITI HELDA R Rp2,500 -
12 RATNA WATI Rp2,500 -
13 SUSI NURHAYATI - Rp100,000
14 DESI KUSMIYATI Rp2,500 -
15 SRI HARTUTI Rp2,500 -
16 DWI RIANDIANTHY Rp2,500 -
17 TATI HARTATI Rp2,500 -
18 TRI ASTUTI Rp2,500 -
19 SARI PARTIASIH Rp2,500 -
20 MEILIAWATI Rp2,500 -
21 HALIMATUS SADIYAH Rp2,500 -
22 RATIH SETYAWATI Rp2,500 -
23 ARI SUMARNI Rp2,500 -
24 RISMA Rp2,500 -
25 ENDAH WULANDARI Rp2,500 -
26 RISKI YULIANTI Rp2,500 -
27 MARYANA SOLEKHAH Rp2,500 -
28 DIAN WAHYUNI Rp2,500 -
29 KHOMSATUL RAHMAH Rp2,500 -
30 SITI NURIZZAININA Rp2,500 -
31 SOPI SUYANTI Rp2,500 -
32 DESI LIDIAWATI Rp2,500 -
33 PETRI YANTI Rp2,500 -
34 FARIDATUN NIKMAH Rp2,500 -
35 EVI SUSANTI Rp2,500 -
36 MEILIAWATI Rp2,500 -
37 ASNIAH Rp2,500 -
38 NANI YUNINGSIH Rp2,500 -
39 MEGA DARA SAFITRI Rp2,500 -
40 SITI UNAERAH Rp2,500 -
41 SITI NUZULA Rp2,500 -
42 DIAH NIKMASARI Rp2,500 -
43 MUJINAH Rp2,500 -
44 YUNI PRIHATIN Rp2,500 -
45 KARTIKA Rp2,500 -
46 NIA ASTRIA Rp2,500 -
47 SITI ROHIMAH Rp2,500 -
48 RAHMAYANTI Rp2,500 -
49 RETINA ANISIE Rp2,500 -
50 DEWI ARYANI Rp2,500 -
51 ESTI LISTIANINGSIH Rp2,500 -
52 SRI MULYANI Rp2,500 -
53 MUJINAH Rp2,500 -
54 TRI ASTUTI Rp2,500 -
55 NURHASANAH Rp2,500 -
56 DIAN PUSPA SARI Rp2,500 -
57 SUTINI Rp2,500 -
58 ELLY ERMAWATI Rp2,500 -
59 NURBAIDAH Rp2,500 -
60 ADE IRMA Rp2,500 -
61 DINA RESPATI S Rp2,500 -
62 TITIK NURHAYATI Rp2,500 -
63 RISRIS ISWATIN Rp2,500 -
64 SUSILOWATI Rp2,500 -
65 WASTIAH Rp2,500 -
66 MEILITA TRIASTIKA Rp2,500 -
67 LENI ANDRIYANI Rp2,500 -
68 WURI HANDAYANI Rp2,500 -
69 YULI YUNIARTI Rp2,500 -
70 VERANITA VIONA Rp2,500 -
71 RINA LUSIANA Rp2,500 -
72 FITRI RAHMADANI Rp2,500 -
73 ANITA PUTRI A Rp2,500 -
74 DARSINAH Rp2,500 -
75 NAZLIYAH Rp2,500 -
76 ENENG HERIYAH Rp2,500 -
77 MUJINAH Rp2,500 -
78 MARISA HARTINI Rp2,500 -
79 IRMA AGUSTINI Rp2,500 -
80 ENI IDA LESTARI Rp2,500 -
81 KRISTINA SIREGAR Rp2,500 -
82 NOVIYANTI Rp2,500 -
83 MEILIAWATI Rp2,500 -
84 RISTIANI Rp2,500 -
85 SRI WAHYUNI Rp2,500 -
86 SUCI YUNIARTI Rp2,500 -
87 RIANGKY GUSTIAN Rp2,500 -
88 ELENA SUSANTI Rp2,500 -
89 FEBRIANAN Rp2,500 -
90 NUR JAMILAH Rp2,500 -
91 DIAN WAHYUNI Rp2,500 -
92 MARLISA Rp2,500 -
93 MUJINAH Rp2,500 -
94 ANA LUTFIYANI Rp2,500 -
95 HERLYN SEPTIYANI Rp2,500 -
96 PRAMITA ALAM Rp2,500 -
97 DEWANTI AYU L Rp2,500 -
98 PUTRI PURWANTI Rp2,500 -
99 IIS YULIANA Rp2,500 -
100 EKA YULIA Rp2,500 -
101 JAMEN Rp2,500 -
102 RICKA KUMALA S Rp2,500 -
103 MAYA YUNITA Rp2,500 -
104 ROYANAH Rp2,500 -
105 SYARIFAH UMUHANI Rp2,500 -
106 WARTINI Rp2,500 -
107 TRI ASTUTI Rp2,500 -
108 ITA PUSPITA Rp2,500 -
109 ELSA ANASTIA Rp2,500 -
110 MUJINAH Rp2,500 -
111 HERLINA OCTARIANI Rp2,500 -
112 LINA LIANA Rp2,500 -
113 WINDA Rp2,500 -
114 MUSTIKA NUR Rp2,500 -
115 KARTIKA Rp2,500 -
116 TATI RAPIKAH Rp2,500 -
117 MUJINAH Rp2,500 -
118 SITI AISYAH Rp2,500 -
119 SINTA DEWI Rp2,500 -
120 ASMAH MUNSYIRAH Rp2,500 -
121 DEDE MARDINA Rp2,500 -
122 RINA KUSUMANINGTYAS Rp2,500 -
123 HESTIKA RANI Rp2,500 -
124 EVI SUSANTI Rp2,500 -
125 LENI YULIANTI Rp2,500 -
126 ANITA DARYANI Rp2,500 -
127 YURAENI Rp2,500 -
128 SUMARNI Rp2,500 -
129 FITRIANI Rp2,500 -
130 MUJINAH Rp2,500 -
131 SITI HELDA R Rp2,500 -
132 MEILIAWATI Rp2,500 -
133 ROSILAWATI Rp2,500 -
JUMLAH Rp330,000 100000
TOTAL Rp430,000