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NO TANGGAL NO.
PASIEN NAMA PASIEN JENIS TINDAKAN

1 1-Jun-2019 1 An Jethro Arjuna Histapan
2 Tn Muh Asis darah rutin
3 An Ahmad Zubair administrasi pasien baru igd
konsul dokter umum
jasa penulisan resep
Asedas syr
4 Ny Mutmainna administrasi pasien baru igd
konsul dokter umum
Asam mefenamat 500mg
dexamethasone 0,5 mg
gentamicin salep
5 Ny Titiek administrasi pasien baru igd
konsul dokter umum
Bersihkan Luka
bhp rawat jalan
Cefadroxil 500mg
Natrium diklofenak
Asam Trankeksanat 500mg
6 Ny Tutwuri administrasi pasien baru igd
konsul dokter umum
Histapan
Becom Zet
Propect
7 An Alif administrasi pasien baru igd
konsul dokter umum
widal
darah rutin
ambroxol 30 mg
Histapan
methylprednisolone 4 mg
asering infus
Infusion set makro
abocat 24
spoit 10
spoit 1 cc
aquades steril 25ml
spoit 10
Kamar Kelas III
ambroxol 30 mg
Histapan
asering infus
ampicillin sodium
jasa injeksi
pasang infus anak
aff infus
8 Ny Nursahra asta plus
9 Ny Indah ranitidine Tab
10 An Arsyilla administrasi pasien baru igd
konsul dokter umum
nebulizer
Propect
salbutamol
Histapan
Combivent Nebu
11 An Mirza Hidayat administrasi pasien baru igd
konsul dokter umum
Bersihkan Luka
Jahit Luka per hecting
bhp rawat jalan
ifidex
Filapeau 5/0
lidokain
Spoit 1 cc
JUMLAH PASIEN 11 JUMLAH TOTAL P
2 2-Jun-2019 1 Ny Shinta paracetamol tab
2 Ny Indri Suntik KB
3 An Naura administrasi pasien baru igd
konsul dokter umum
Ganti verban sedang
4 Ny Sahriani asta plus
5 Ny Leny Suntik KB
Spoit 3 cc
6 An Fathan Combivent Nebu
Simfix
3 3-Jun-2019 1 Muh Khalaf Maxprinol syr
2 Tn Adi Cefadroxil 500mg
Vitamin C
3 Ny Martina Allpurinol
Amlodipine 5mg
Methylprednisolone 8 mg
4 Ny Novi Suntik KB
Spoit 3 cc
5 An Andini darah rutin
6 Fitri Ventolin
7 Inggriani Neurosanbe
Infusion set makro
8 Ny Jusmiati Plano test
9 Ny Jusmiati Admin
konsul dr Obgyn
USG
10 Ferdinand Immanuel Combivent Nebu
11 An Ferdinan Immanuel administrasi pasien baru igd
konsul dokter umum
nebulizer
12 Tn Suriadi administrasi pasien baru igd
konsul dokter umum
Widal
darah rutin
Paracetamol tab
Becom Zet
Ceftriaxon 200mg
13 Ny Irmawati Admin
konsul dr Obgyn
USG
14 Ny Evitamala Admin
konsul dr Obgyn
USG
15 Marwah Admin
konsul dr Obgyn
USG
16 Hasbiah Admin
konsul dr Obgyn
USG
asta plus
17 Ny Siti Aisyah administrasi pasien baru igd
konsul dokter umum
Maxstan
18 Jhordia Admin
konsul dokter umum
ibuprofen 400 mg
codein 10 mg tab
Sindrol
4 4-Jun-2019 1 An Bilal Novaclor
2 Ny Serly Anggraeni Admin
konsul dokter umum
Rawat luka besar
handscoon
3 Tn Machmud rode Admin
konsul dokter umum
Ganti verban kecil
Cefadroxil 500mg
Sufratulle
handscoon
4 An Bilal Admin
darah rutin
Widal
konsul dokter umum
Konsul eksbar/via telfon
bhp rawat jalan
Obat
Alkes
Akomodasi kelas II
Perawatan kls II
Visite Dokter spes. Kls II
Visite dr Umum
jasa injeksi
Jasa Pasang Infus
Jasa aff infus
bhp rawat inap
darah rutin
5 5-Jun-2019 1 Mita Becom C
2 Nn Ningsih Lodia
3 Nn Mita Methylprednisole 8mg
Clindamycin 300mg
4 Ny Sonia Suntik KB
Spoit 3 cc
5 An Ferdinand Immanuel Admin
konsul dokter umum
nebulizer
Combivent Nebu
Spoit 1 cc
6 M Hidayat Admin
konsul dokter umum
bedak SALICYL
Betametason Salep
gentamicin salep
ifidex
loratadine
vitamin C
7 An Evan Filbert Admin
konsul dokter umum
ifidex
loratadine
vitamin C
8 Naharia Admin
konsul dokter umum
Lansoprazole
antasida doen 200mg
Ondansetron
Omeprazole
Dexamethasone 10mg/ml
9 An Khaira Khanza Admin
konsul dokter umum
darah rutin
Elkana
ifidex
loratadine
10 Ny Jory Admin
konsul dokter umum
ifidex
ibuprofen 400 mg
vitamin C
6 6-Jun-2019 1 Irma Lodia
Infus set
Neurosanbe inj
2 Siti Aisyah Admin
konsul dokter umum
Cefadroxil 500mg
Maxstan
ifidex
handscoon
3 An Zahra Askadina Admin
konsul dokter umum
gentamicin salep
Betametason Salep
4 Retno Widyaningsih Admin
konsul dokter umum
Volten
Becom C
5 Tn Ardan Supratulle
6 Tn Sapri Antasida Sirup
7 Ny Titiek rawat luka kecil
8 An Adrian Admin
konsul dokter umum
9 An Tauh Awan new diatabs
7 7-Jun-2019 1 Tn Machmud rode Admin
konsul dokter umum
Ganti verban kecil
bhp rawat jalan
2 An Jasmine Pyricef syr
3 Ny Nia Suntik KB
Spoit 3
4 An Jasmine Admin
konsul dokter umum
nebulizer
bhp rawat jalan
Combivent Nebu
8 8-Jun-2019 1 Ny Wiwi loratadine
2 Kak Ima Filavit
Calsium laktat
3 Ny Laras Cefadroxil 500mg
4 An Devan Asam mefenamat 500mg
5 Ny Desiati Admin
konsul dokter umum
renadinac
6 Tn Markus Admin
konsul dokter umum
loratadine
Codfin 10mctar
ifidex
9 9-Jun-2019 1 Tn Irwan new diatabs
2 An Emir Novaclor 250 mg
3 An Junardy Zin C
domperidone 10 mg
4 Ny Yunny Admin
konsul dokter umum
pasang infus dewasa
Observasi
jasa injeksi
aff infus
bhp rawat jalan
new diatabs
samprina
Infus set makro
RL
Abocat 20
Spoit 5
Ondansetron 4mg/2ml
Neurosanbe
10 10-Jun-2019 1 Ny Hadija VT
handscoon
2 Nn Nofianti Admin
konsul dokter umum
Paracetamol
3 Eva Bioplacenton Salep
4 Ny Winanda Pemeriksaan VT
handscoon
5 Andira darah rutin
6 An Belly Palilu Admin
konsul dokter umum
7 An Azka Admin
konsul dokter umum
8 Siti Aisyah Admin
Ganti verban kecil
bhp rawat jalan
9 Ny Wiwi admin
Konsul Spesialis Obgyn
10 Fitriani admin
11 An Alfarghaivi admin
Konsul Spes.Anak
Asedas syr
12 Monica Anzani Admin
konsul dr Obgyn
formom
buku KIA
13 Ny Asridayanti admin
14 Suriayana Admin
konsul dokter umum
ranitidine
11 11-Jun-2019 1 dr. Vhiolen Infuset makro
infuset mikro
2 Tn. gunawan/An. Syakila Sanprima sirup
3 Ny. Asviati Silex sirup
4 Ny. St murniati asta plus
5 Ny. Isda asta plus
6 Ayu lestari Diatabs
7 Ny. Nur asia Asedas syr
8 Kiki F6 Troches
9 An. Azra azalia azzahra administrasi pasien baru igd
konsul dokter umum
Mefoz syr
Asedas syr
10 Sumantri administrasi pasien baru igd
konsul dokter umum
11 An. Muh. Fathian raffasya administrasi poli
konsul spesialis anak
12 By. Ahmad alfatih jibril administrasi poli
13 Ny. Ristiya heralita administrasi poli
konsul spesialis obgyn
usg
14 Ny. Rostiana administrasi poli
usg
penulisan resep
15 Ny. Rosmawati administrasi poli
usg
16 An. Bianca alesha D administrasi pasien baru igd
konsul dokter umum
Elkana CL
paracetamol tab
ifidex
loratadine
12 12-Jun-2019 1 Ny Riska cefadroxil
2 Ny Riska Jasa Pasang Implant
3 By Riska Tirta administrasi pasien baru igd
konsul dokter umum
nebulizer
lasal
ifidex
Vitamin C
loratadine
conbivent nebu
spoit 1cc
4 An. Aulia putri restu rahayu administrasi pasien baru igd
konsul dokter umum
Widal
darah rutin
paracetamol tab
ifidex
loratadine
13 13-Jun-2019 1 tn dian prasetyo administrasi pasien baru igd
konsul dokter umum
codein 10 mg tab
paracetamol tab
ifidex
loratadine
2 an ahmad muadz administrasi pasien lama igd
konsul dokter umum
ifidex
loratadine
paracetamol tab
3 an muh. Akswan spoit 1cc
imunisasi dpt
imunisasi polio
4 nia lestari asta plus
5 by lailatul rahmi imunisasi dpt
imunisasi polio
spoit 1cc
6 ny sofi kurnia regivell
7 an.nobel administrasi pasien baru igd
konsul dokter umum
darah rutin
widal
8 ny suleha asta plus
ferospat
9 ny. Remalia administrasi poli
konsul poli obgyn
usg
jasa resep
formom
10 ny.dzulfitri administrasi poli
konsul poli obgyn
usg
jasa resep
formom
11 ny. Risna rapika hasibuan administrasi poli
konsul poli obgyn
usg
jasa resep
formom
12 ny. Azizah asta plus
13 ny. Kurnia volten
14 14-Jun-2019 1 ny heriana underpad
proster
regivel
benang 2/0
asta plus
nasal canula bayi
2 by ny heriana lab darah rutin
3 an.nofrianti timang administrasi pasien baru igd
konsul dokter umum
lab darah rutin
4 an rivaldi timang administrasi pasien lama igd
konsul dokter umum
lab darah rutin
ifidex
bedak SALICYL
5 an.nasya administrasi idg
konsul dokter umum
jasa resep
zinc elemental
ibuprofen syr
novadiar
6 ny harini dwi prihatini administrasi idg
konsul dokter umum
jasa resep
domperidone 10 mg
betahistin
15 15-Jun-2019 1 ny noviana underpad
2 an hafis imuninasi DPT
imunisasi Polio
spoit 1 cc
3 bayi syarif imunisasi DPT
imunisasi Polio
spoit 1 cc
buku KIA
4 an naylas imunisasi DPT
imunisasi Polio
spoit 1 cc
buku KIA
5 an muh dafi rajendra administrasi idg
konsul dokter umum
jasa resep
domperidone 5 ML Sirup
paracetamol SYR
ambroxol 30 mg
chlorfeniranin malatae 4MG
vitamin C
6 by andi aisyah imunisasi BCG (4 Orang)
imunisasi Polio
spoit 1 cc
7 p.rahman simvastatin
8 an fayyadh athaya konsul spesialis anak
administrasi poli
jasa resep
ambroxol 30 mg
acyclovir salep
gentamicin salep
9 an abil sidiq maulana administrasi poli
jasa resep
10 an adriel kameloan administrasi poli
jasa resep
cetirizine syr 5 ml
gentamicin salep
betanetasone salep
11 tn sangga darah rutin
16 16-Jun-2019 1 zahra dyah ramadhani administrasi igd
konsul dokter umum
jasa resep
donperidon 5 ml sirup
zink
2 ainhi mufida zahra m administrasi igd
konsul dokter umum
jasa resep
donperidon 5 ml sirup
paracetamol syr
3 ny yasseng administrasi igd
konsul dokter umum
jasa resep
jasa luka per hecting
cefadroxyl 500mg
volten
ifidex
silk 8/0
spoit 1 cc
nacl 0,9%
4 yulianus bara new diatabs
5 tn fadel paracetamol tab
paracetamol syr
6 ny marini pare kombong administrasi igd
konsul dokter umum
vt
7 yance lase administrasi igd
konsul dokter umum
jasa resep
rawat luka kecil
bhp rawat jalan
jasa injeksi
jasa perawatan luka
ekstraksi kuku
ibuprofen 400 mg
cefadroxyl 500 mg
handscoon
lidokain
spoit 1 cc
8 ny dewi administrasi igd
konsul dokter umum
jasa resep
widal
darah rutin
paracetamol tab
ferospat
ciprofloxacin 500 mg
9 an naflah spoit 3
novachlor
10 nn. Elnath tri siptiani putra administrasi igd
konsul dokter umum
jasa resep
nebulizer
oksigen
salbutamol
sindral
cetrizine
combivent
nasal o2 dewasa
11 an.abdullah lodia
12 ny. Nurianti antasida doen
13 ny. M asiah new diatabs
sanprima
17 17-Jun-2019 1 nur alang formom
2 nur putri utami formom
3 trisan sakti Admin
4 ny. Salma Pemasangan Implan
5 Siti Aisyah Admin
konsul dokter umum
buka jahitan kecil
18 18-Jun-2019 1 tn rusli liang administrasi igd
konsul dokter umum
jasa resep
ranitidine
cefadroxyl 500 mg
paracetamol tab
2 andriana dahiawali administrasi igd
konsul dokter umum
jasa resep
glukosa
betahistin
3 gezray tallu padang administrasi poli
jasa resep
cetirizine 10 mg
takana syr
4 muh abizar administrasi poli
jasa resep
mabroxol 30 mg
hethylppreonisolone 4 mg
paracetamol syr
5 alifa takana syr
6 an azka simfix syr
7 ny bandry darah rutin
8 trisnawati administrasi igd
konsul dokter umum
jasa resep
rawat luka kecil
jasa perawatan luka
bhp rawat jalan
jahit luka per hecting
jasa injeksi
asam nefenamat 500 mg
cefadroxyl 500 mg
ifalmin
ondasetron 8 mg
filapeau 3/0
spoit 3
lidokain
9 an siti nur afifah new diatabs
10 eva Infus set makro
neoresanbe
abocat 22
RL
spoit 3 cc
11 ny. Sarifah rawat inap kelas 1
19 19-Jun-2019 1 ny.nurputri underpack
2 ny.verawati underpack
3 ny.suci formom
4 ny evi tamala administrasi poli
konsul poli obgyn
usg
5 ny iner spoit 2
suntik kb
6 an. Asima adelia asedes syr
7 ny. Maria ranitidine 10 mg
8 ny. Tabita bokkok administrasi igd
konsul dr. Umum
jasa resep
cefadroxil 500 mg
Furosemide
9 Tn. Hendrik a. Cahyono administrasi igd
konsul dr. Umum
jasa resep
cefixime 200mg
ibuprofen 400mg
ambroxol 30mg
cetirizine 10mg
10 an. Tisya deolina administrasi poli
20 20-Jun-2019 1 Elche yulniaty administrasi igd
konsul dokter umum
2 Amalia Kirani administrasi igd
konsul dokter umum
3 Ny.Hana administrasi poli
konsul poli obgyn
usg
Formom
4 An. Kelvin pemeriksaan golongan darah
A. Nining sulfiana novachlor
5 rian nipedipine
6 tn.risal administrasi igd
konsul dokter umum
jasa resep
ciprofloxacin
asam fenamat
metronidazol
dexametasone
7 Nn.salpiati administrasi igd
konsul dokter umum
jasa resep
metronidazol
amplodipine
ibupropen
domperidone
8 by. Ny. Sofi kurniati tindik telinga
21 21-Jun-2019 1 Ny. St murniati Asta Plus
2 K'maryam acyclovir 400 mg
acyclovir salep
3 An.Gabriel Spoit 1
Polio
Jasa Injeksi
4 Ny.Reni susu bebelac
5 An Gideon nystin
asides syr
6 muh. Rafli maulana abocat 24
7 an.asril administrasi igd
konsul dokter umum
jasa resep
widal
darah rutin
ibuprofen syr
ambroxol
methylprednisolone
cetrizine
salbutamol
8 Muh.gaza administrasi igd
konsul dokter umum
bersihkan luka
jahit luka perhecting
silk 3
lidokain
spoit 3
handscone
9 An.arkananta administrasi igd
konsul dokter umum
jasa resep
rawat luka kecil
jasa injeksi
bhp rawat jalan
jasa perawatan luka
ranitidine
asam fenamat
silk 3
spoit 3
lidokain
bisturi 20
handscone
11 An Fadlur rahman Spoit 3
Suntik TT
Hecting
Jasa Injeksi
zink
lidokain
Handscoon
admin
konsul dokter umum
amoxan 500 mg
volten
ifalmin
bioplasenton salep
22 22-Jun-19 1 tn wahyu risandi darah rutin
2 sitti fuji aulianti administrasi igd
konsul dokter umum
jasa resep
biocal 95
23 23-Jun-19 1 waode nursani administrasi igd
konsul dokter umum
jasa resep
hbsag
darah rutin
ct bt
abocat 20
infusion set makro
rl
handscoon
waode nursani kelas III
visite spesialis obgyn kls III
aff infus
bhp rawat inap
rl
abocat 20
rl
handscoon
infusion set makro
usg
2 Hj Suwarni Observasi
new diatabs
new diatabs
Sanprima
Sanprima
Novadiar syr
3 an arkananta administrasi igd
bersihkan luka
ganti verban kecil
jasa perawatan luka
4 an ketut priana abdi administrasi igd
konsul dokter umum
jasa resep
cefixime 100 mg
paracetamol tab
ifidex
cetirizine syr 5 ml
5 ny mia amlodipine 10 mg
6 ny mita andalan 1 bln
spoit 3 cc
7 H. Mansyur administrasi pasien baru igd
konsultasi dokter umum
jasa penulisan resep/puyer
Urin rutin
ifidex
24 24-Jun-19 1 tn akil combivent nebu
2 an syakirah administrasi pasien baru igd
rz syr
3 Vharel Vicro administrasi pasien baru igd
4 Imam Al kayyils administrasi pasien baru igd
darah rutin
cetirizine syr 5 ml
takana syr
5 Muh Gaza administrasi pasien baru igd
ganti verban kecil
6 An Natanael administrasi pasien baru igd
7 Tn Andi Asdar administrasi pasien baru igd
aff infus
Observasi
ekg
Jasa Injeksi
pasang infus dewasa
antasida doen 200mg
ranitidine
infusion set makro
Nacl 0,9 %
abocat 20
neurosanbe
ranitidine
spoit 3 cc
8 Tn Amiruddin administrasi pasien baru igd
rawat luka besar
bhp rawat inap
amoxicillin 500 ml
dexametasone 0.5mg
Handscoon
Nacl 0,9 %
9 Sukmawati administrasi pasien baru igd
domperidone
25 25-Jun-19 1 an cattleya ayunidya administrasi pasien baru igd
konsul dokter umum
nebulizer
combivent nebu
2 an irfan nur administrasi pasien lama igd
konsul dokter umum
3 tn syamsir jaya administrasi pasien baru igd
konsul dokter umum
ibuprofen
ranitidine
ifidex
4 An. Punita Christiani kadang Pyridryl syr
5 An. Mutia Asedas
6 Ny. Adolpina nelwin administrasi poli
konsul poli obgyn
usg
Resep
Cefadroxil
Metronidazole
7 Ny. Jusmiati administrasi poli
konsul poli obgyn
usg
Resep
Cefadroxil
8 Ny. Syarifah administrasi poli
konsul poli obgyn
usg
9 An. Muh Aditya administrasi pasien baru igd
konsul dokter umum
darah rutin
cetirizine syr 5 ml
Nacl 0,9 %
abocat 24
infusion set makro
nasal canal anak
handscoon
spoit 10 cc
spoit 1 cc
aquadest steril 25 ml
ampicilin sodium
paracetamol infus
10 An. Muh Aditya Akomodasi
bhp rawat jalan
pengobatan
bhp rawat inap
26 26-Jun-19 1 Ny. Siti aisyah administrasi pasien lama igd
konsul dokter umum
buka jahitan kecil
2 An. Imam al kayyis administrasi pasien lama igd
konsul dokter umum
darah rutin
vitamin C
chlorfeniramin maleate 4 mg
paracetamol syr
3 Kak Jasmin ambroxol
4 An. Muh Fathan darah rutin
5 Ny. Dwi fitria ahyani administrasi pasien baru igd
konsul dokter umum
vitamin c
paracetamol tab
6 Tn. Yulianus administrasi pasien baru igd
konsul dokter umum
widal
darah rutin
novachlor
ibuprofen 400 mg
ambroxol 30 mg
7 An. Muh al qusmim administrasi pasien baru igd
konsul dokter umum
takana syr
rz syr
27 27-Jun-19 1 Awal Codein
2 An. Muh nur khafiq administrasi pasien baru igd
konsul dokter umum
amoxicillin syr 125 ml
paracetamol syr
3 An. Zaidan zaky riskullah administrasi pasien poli
cetirizine 10 mg
methylpreonisolone 4 mg
ambroxol 30 mg
amoxicillin syr 125 ml
domperidon 5 ml syr
4 Ny. Hariani suntik KB
spoit 3 cc
5 Bayi Andini imunisasi DPT
imunisasi polio
spoit 3 cc
jasa injeksi
6 Bayi Intan imunisasi DPT
imunisasi polio
spoit 3 cc
jasa injeksi
7 amin chlorfeniramin
8 An. Azzahra khumairah administrasi pasien baru igd
konsul dokter umum
rz syr
paracetamol syr
28 28-Jun-19 1 An. Akmal imunisasi polio
2 Tn. Thomas cetirizine 10 mg
29 29-Jun-19 1 An. Muh alif administrasi pasien baru igd
konsul dokter umum
jasa injeksi
paracetamol tab
Cefadroxil 500 mg
handscoon
filapeau 3/0
spoit 3
lidokain
2 Tn. H. Ngewa Gentamicin salep
3 Nanda Underpad
4 An. Nafisa revi administrasi pasien baru igd
konsul dokter umum
sanprima
omeprazole
30 30-Jun-19 1 Ny. Asriani Miloz
Recofol
Fentany
Asta plus
2 An. Muh Azhar Pemeriksaan Gol. Darah
3 Tn. Mursyidin Pemeriksaan Gol. Darah
4 Ny. Ratna Juwita administrasi pasien baru igd
konsul dokter umum
5 Tn. Andi Erwin administrasi pasien baru igd
konsul dokter umum
darah rutin
widal
paracetamol tab
novachlor
simdrol
lodia
6 An. Sharon natamia limbu T administrasi pasien baru igd
konsul dokter umum
paracetamol syr
simfix syr
probfct
cetirizine 10 mg
TOTAL PEMASUKAN
QTY HARGA SAT PEMASUKAN PPN NAMA RUANGAN
3 Rp 975.00 Rp 2,925.00 Rp 29.25 APOTIK
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 50,050.00 Rp 50,050.00 Rp 500.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 650.00 Rp 6,500.00 Rp 65.00 APOTIK
10 Rp 130.00 Rp 1,300.00 Rp 13.00 APOTIK
1 Rp 2,860.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
6 Rp 845.00 Rp 5,070.00 Rp 50.70 APOTIK
10 Rp 455.00 Rp 4,550.00 Rp 45.50 APOTIK
10 Rp 130.00 Rp 1,300.00 Rp 13.00 APOTIK
1 Rp 2,015.00 Rp 2,015.00 Rp 20.15 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
3 Rp 975.00 Rp 2,925.00 Rp 29.25 APOTIK
10 Rp 2,730.00 Rp 27,300.00 Rp 273.00 APOTIK
10 Rp 1,105.00 Rp 11,050.00 Rp 110.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
3 Rp 143.00 Rp 429.00 Rp 4.29 APOTIK
3 Rp 975.00 Rp 2,925.00 Rp 29.25 APOTIK
2 Rp 720.00 Rp 1,440.00 Rp 14.40 APOTIK
2 Rp 38,350.00 Rp 76,700.00 Rp 767.00 APOTIK
1 Rp 19,500.00 Rp 19,500.00 Rp 195.00 APOTIK
1 Rp 11,000.00 Rp 11,000.00 Rp 110.00 APOTIK
1 Rp 2,646.00 Rp 2,646.00 Rp 26.46 APOTIK
1 Rp 2,210.00 Rp 2,210.00 Rp 22.10 APOTIK
1 Rp - Rp - APOTIK
1 Rp 2,646.00 Rp 2,646.00 Rp 26.46 APOTIK
2 Rp 400,000.00 Rp 800,000.00 Rp 8,000.00 PERAWATAN
2 Rp 720.00 Rp 1,440.00 Rp 14.40 APOTIK
3 Rp 143.00 Rp 429.00 Rp 4.29 APOTIK
3 Rp 975.00 Rp 2,925.00 Rp 29.25 APOTIK
2 Rp 38,350.00 Rp 76,700.00 Rp 767.00 APOTIK
2 Rp 17,160.00 Rp 34,320.00 Rp 343.20 APOTIK
12 Rp 20,000.00 Rp 240,000.00 Rp 2,400.00 APOTIK
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 APOTIK
1 Rp 15,000.00 Rp 15,000.00 Rp 150.00 APOTIK
20 Rp 11,440.00 Rp 228,800.00 Rp 2,288.00 APOTIK
10 Rp 325.00 Rp 3,250.00 Rp 32.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
2 Rp 1,105.00 Rp 2,210.00 Rp 22.10 APOTIK
2 Rp 720.00 Rp 1,440.00 Rp 14.40 APOTIK
2 Rp 130.00 Rp 260.00 Rp 2.60 APOTIK
2 Rp 975.00 Rp 1,950.00 Rp 19.50 APOTIK
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
3 Rp 20,000.00 Rp 60,000.00 Rp 600.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
10 Rp 650.00 Rp 6,500.00 Rp 65.00 APOTIK
10 Rp 130.00 Rp 1,300.00 Rp 13.00 APOTIK
1 Rp 94,380.00 Rp 94,380.00 Rp 943.80 APOTIK
1 Rp 1,950.00 Rp 1,950.00 Rp 19.50 APOTIK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
JUMLAH TOTAL PER TANGGAL
10 Rp 195.00 Rp 1,950.00 Rp 19.50 APOTIK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 75,000.00 Rp 75,000.00 Rp 750.00 IGD
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 VK
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 APOTIK
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 APOTIK
1 Rp 111,800.00 Rp 111,800.00 Rp 1,118.00 APOTIK
1 Rp 107,250.00 Rp 107,250.00 Rp 1,072.50 APOTIK
10 Rp 845.00 Rp 8,450.00 Rp 84.50 APOTIK
10 Rp 325.00 Rp 3,250.00 Rp 32.50 APOTIK
50 Rp 455.00 Rp 22,750.00 Rp 227.50 APOTIK
20 Rp 260.00 Rp 5,200.00 Rp 52.00 APOTIK
20 Rp 720.00 Rp 14,400.00 Rp 144.00 APOTIK
1 Rp 33,000.00 Rp 33,000.00 Rp 330.00 APOTIK
1 Rp 975.00 Rp 975.00 Rp 9.75 APOTIK
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 13,520.00 Rp 13,520.00 Rp 135.20 APOTIK
1 Rp 7,150.00 Rp 7,150.00 Rp 71.50 APOTIK
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 APOTIK
1 Rp 15,000.00 Rp 15,000.00 Rp 150.00 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
10 Rp 195.00 Rp 1,950.00 Rp 19.50 APOTIK
10 Rp 1,820.00 Rp 18,200.00 Rp 182.00 APOTIK
10 Rp 3,510.00 Rp 35,100.00 Rp 351.00 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
15 Rp 650.00 Rp 9,750.00 Rp 97.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
9 Rp 1,820.00 Rp 16,380.00 Rp 163.80 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 390.00 Rp 3,900.00 Rp 39.00 APOTIK
10 Rp 793.00 Rp 7,930.00 Rp 79.30 APOTIK
10 Rp 3,900.00 Rp 39,000.00 Rp 390.00 APOTIK
20 Rp 650.00 Rp 13,000.00 Rp 130.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 APOTIK
2 Rp 1,430.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 APOTIK
8 Rp 845.00 Rp 6,760.00 Rp 67.60 APOTIK
1 Rp 37,080.00 Rp 37,080.00 Rp 370.80 APOTIK
2 Rp 1,430.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 127,596.00 Rp 127,596.00 Rp 1,275.96 APOTIK
1 Rp 21,920.00 Rp 21,920.00 Rp 219.20 APOTIK
5 Rp 475,000.00 Rp 2,375,000.00 Rp 23,750.00 PERAWATAN
2 Rp 75,000.00 Rp 150,000.00 Rp 1,500.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 PERAWATAN
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 PERAWATAN
2 Rp 100,000.00 Rp 200,000.00 Rp 2,000.00 LAB
3 Rp 1,820.00 Rp 5,460.00 Rp 54.60 APOTIK
2 Rp 1,430.00 Rp 2,860.00 Rp 28.60 APOTIK
6 Rp 720.00 Rp 4,320.00 Rp 43.20 APOTIK
5 Rp 2,860.00 Rp 14,300.00 Rp 143.00 APOTIK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 2,000.00 Rp 2,000.00 Rp 20.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 APOTIK
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 APOTIK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 19,500.00 Rp 19,500.00 Rp 195.00 APOTIK
1 Rp 3,250.00 Rp 3,250.00 Rp 32.50 APOTIK
1 Rp 2,860.00 Rp 2,860.00 Rp 28.60 APOTIK
3 Rp 130.00 Rp 390.00 Rp 3.90 APOTIK
1 Rp 650.00 Rp 650.00 Rp 6.50 APOTIK
2 Rp 325.00 Rp 650.00 Rp 6.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
4 Rp 130.00 Rp 520.00 Rp 5.20 APOTIK
2 Rp 650.00 Rp 1,300.00 Rp 13.00 APOTIK
3 Rp 325.00 Rp 975.00 Rp 9.75 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 2,119.00 Rp 21,190.00 Rp 211.90 APOTIK
10 Rp 195.00 Rp 1,950.00 Rp 19.50 APOTIK
10 Rp 2,080.00 Rp 20,800.00 Rp 208.00 APOTIK
1 Rp 79,200.00 Rp 79,200.00 Rp 792.00 APOTIK
1 Rp 10,725.00 Rp 10,725.00 Rp 107.25 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 APOTIK
1 Rp 53,045.00 Rp 53,045.00 Rp 530.45 APOTIK
4 Rp 130.00 Rp 520.00 Rp 5.20 APOTIK
1 Rp 650.00 Rp 650.00 Rp 6.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
15 Rp 130.00 Rp 1,950.00 Rp 19.50 APOTIK
7 Rp 390.00 Rp 2,730.00 Rp 27.30 APOTIK
6 Rp 325.00 Rp 1,950.00 Rp 19.50 APOTIK
10 Rp 1,430.00 Rp 14,300.00 Rp 143.00 APOTIK
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 APOTIK
1 Rp 7,150.00 Rp 7,150.00 Rp 71.50 APOTIK
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 845.00 Rp 8,450.00 Rp 84.50 APOTIK
6 Rp 1,820.00 Rp 10,920.00 Rp 109.20 APOTIK
10 Rp 130.00 Rp 1,300.00 Rp 13.00 APOTIK
2 Rp 1,430.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
5 Rp 130.00 Rp 650.00 Rp 6.50 APOTIK
1 Rp 2,860.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 3,250.00 Rp 3,250.00 Rp 32.50 APOTIK
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 2,210.00 Rp 22,100.00 Rp 221.00 APOTIK
3 Rp 2,730.00 Rp 8,190.00 Rp 81.90 APOTIK
2 Rp 40,170.00 Rp 80,340.00 Rp 803.40 APOTIK
1 Rp 4,550.00 Rp 4,550.00 Rp 45.50 APOTIK
1 Rp 20,000.00 Rp 20,000.00 Rp 200.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
8 Rp 780.00 Rp 6,240.00 Rp 62.40 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 103,740.00 Rp 103,740.00 Rp 1,037.40 APOTIK
1 Rp 33,000.00 Rp 33,000.00 Rp 330.00 VK
1 Rp 975.00 Rp 975.00 Rp 9.75 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 APOTIK
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 APOTIK
10 Rp 650.00 Rp 6,500.00 Rp 65.00 APOTIK
10 Rp 1,170.00 Rp 11,700.00 Rp 117.00 APOTIK
10 Rp 351.00 Rp 3,510.00 Rp 35.10 APOTIK
10 Rp 845.00 Rp 8,450.00 Rp 84.50 APOTIK
10 Rp 650.00 Rp 6,500.00 Rp 65.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 650.00 Rp 6,500.00 Rp 65.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
5 Rp 650.00 Rp 3,250.00 Rp 32.50 APOTIK
10 Rp 798.00 Rp 7,980.00 Rp 79.80 APOTIK
6 Rp 130.00 Rp 780.00 Rp 7.80 APOTIK
10 Rp 780.00 Rp 7,800.00 Rp 78.00 APOTIK
20 Rp 650.00 Rp 13,000.00 Rp 130.00 APOTIK
5 Rp 5,792.00 Rp 28,960.00 Rp 289.60 APOTIK
2 Rp 533.00 Rp 1,066.00 Rp 10.66 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 15,000.00 Rp 15,000.00 Rp 150.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
2 Rp 3,000.00 Rp 6,000.00 Rp 60.00 IGD
1 Rp 15,000.00 Rp 15,000.00 Rp 150.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
10 Rp 780.00 Rp 7,800.00 Rp 78.00 APOTIK
10 Rp 1,170.00 Rp 11,700.00 Rp 117.00 APOTIK
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 APOTIK
1 Rp 10,010.00 Rp 10,010.00 Rp 100.10 APOTIK
1 Rp 10,010.00 Rp 10,010.00 Rp 100.10 APOTIK
1 Rp 1,203.00 Rp 1,203.00 Rp 12.03 APOTIK
1 Rp 7,800.00 Rp 7,800.00 Rp 78.00 APOTIK
1 Rp 7,150.00 Rp 7,150.00 Rp 71.50 APOTIK
1 Rp 20,000.00 Rp 20,000.00 Rp 200.00 VK
1 Rp 1,430.00 Rp 1,430.00 Rp 14.30 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 195.00 Rp 1,950.00 Rp 19.50 APOTIK
1 Rp 22,230.00 Rp 22,230.00 Rp 222.30 APOTIK
1 Rp 20,000.00 Rp 20,000.00 Rp 200.00 VK
1 Rp 1,430.00 Rp 1,430.00 Rp 14.30 APOTIK
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 ANAK
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 ANAK
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 ANAK
1 Rp 50,050.00 Rp 50,050.00 Rp 500.50 ANAK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
30 Rp 3,250.00 Rp 97,500.00 Rp 975.00 OBGYN
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 VK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 325.00 Rp 3,250.00 Rp 32.50 APOTIK
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 APOTIK
1 Rp 7,930.00 Rp 7,930.00 Rp 79.30 APOTIK
1 Rp 33,800.00 Rp 33,800.00 Rp 338.00 APOTIK
1 Rp 68,900.00 Rp 68,900.00 Rp 689.00 APOTIK
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
4 Rp 780.00 Rp 3,120.00 Rp 31.20 APOTIK
1 Rp 50,050.00 Rp 50,050.00 Rp 500.50 APOTIK
3 Rp 1,560.00 Rp 4,680.00 Rp 46.80 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 114,400.00 Rp 114,400.00 Rp 1,144.00 APOTIK
1 Rp 50,050.00 Rp 50,050.00 Rp 500.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 anak
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 anak
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 anak
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 anak
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 anak
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 anak
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 anak
1 Rp 53,045.00 Rp 53,045.00 Rp 530.45 APOTIK
2 Rp 195.00 Rp 390.00 Rp 3.90 APOTIK
3 Rp 130.00 Rp 390.00 Rp 3.90 APOTIK
1 Rp 650.00 Rp 650.00 Rp 6.50 APOTIK
10 Rp 845.00 Rp 8,450.00 Rp 84.50 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 VK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 49,400.00 Rp 49,400.00 Rp 494.00 APOTIK
2 Rp 130.00 Rp 260.00 Rp 2.60 APOTIK
2 Rp 325.00 Rp 650.00 Rp 6.50 APOTIK
1 Rp 650.00 Rp 650.00 Rp 6.50 APOTIK
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 APOTIK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
6 Rp 196.00 Rp 1,176.00 Rp 11.76 APOTIK
9 Rp 130.00 Rp 1,170.00 Rp 11.70 APOTIK
5 Rp 650.00 Rp 3,250.00 Rp 32.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
9 Rp 793.00 Rp 7,137.00 Rp 71.37 APOTIK
5 Rp 195.00 Rp 975.00 Rp 9.75 APOTIK
9 Rp 130.00 Rp 1,170.00 Rp 11.70 APOTIK
4 Rp 650.00 Rp 2,600.00 Rp 26.00 APOTIK
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 130.00 Rp 1,300.00 Rp 13.00 APOTIK
3 Rp 650.00 Rp 1,950.00 Rp 19.50 APOTIK
10 Rp 195.00 Rp 1,950.00 Rp 19.50 APOTIK
2 Rp 1,170.00 Rp 2,340.00 Rp 23.40 APOTIK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 100,100.00 Rp 100,100.00 Rp 1,001.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
10 Rp 8,580.00 Rp 85,800.00 Rp 858.00 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
10 Rp 3,250.00 Rp 32,500.00 Rp 325.00 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
30 Rp 3,250.00 Rp 97,500.00 Rp 975.00 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 OBGYN
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 OBGYN
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 OBGYN
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 OBGYN
30 Rp 3,250.00 Rp 97,500.00 Rp 975.00 APOTIK
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
8 Rp 2,200.00 Rp 17,600.00 Rp 176.00 APOTIK
1 Rp 15,000.00 Rp 15,000.00 Rp 150.00 APOTIK
1 Rp 15,730.00 Rp 15,730.00 Rp 157.30 APOTIK
1 Rp 100,100.00 Rp 100,100.00 Rp 1,001.00 APOTIK
1 Rp 78,650.00 Rp 78,650.00 Rp 786.50 APOTIK
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
1 Rp 15,730.00 Rp 15,730.00 Rp 157.30 APOTIK
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
10 Rp 130.00 Rp 1,300.00 Rp 13.00 APOTIK
1 Rp 19,500.00 Rp 19,500.00 Rp 195.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
7 Rp 5,792.40 Rp 40,546.80 Rp 405.47 APOTIK
1 Rp 5,850.00 Rp 5,850.00 Rp 58.50 APOTIK
1 Rp 7,150.00 Rp 7,150.00 Rp 71.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 533.00 Rp 5,330.00 Rp 53.30 APOTIK
10 Rp 1,235.00 Rp 12,350.00 Rp 123.50 APOTIK
1 Rp 15,002.00 Rp 15,002.00 Rp 150.02 APOTIK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 VK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 6,240.00 Rp 6,240.00 Rp 62.40 APOTIK
1 Rp 2,860.00 Rp 2,860.00 Rp 28.60 APOTIK
3 Rp 676.00 Rp 2,028.00 Rp 20.28 APOTIK
2 Rp 130.00 Rp 260.00 Rp 2.60 APOTIK
2 Rp 195.00 Rp 390.00 Rp 3.90 APOTIK
3 Rp 325.00 Rp 975.00 Rp 9.75 APOTIK
1 Rp 140,000.00 Rp 140,000.00 Rp 1,400.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 1,750.00 Rp 1,750.00 Rp 17.50 APOTIK
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 POLI ANAK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 POLI ANAK
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 POLI ANAK
3 Rp 676.00 Rp 2,028.00 Rp 20.28 APOTIK
2 Rp 650.00 Rp 1,300.00 Rp 13.00 APOTIK
1 Rp 5,850.00 Rp 5,850.00 Rp 58.50 APOTIK
1 Rp 2,860.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 POLI ANAK
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 POLI ANAK
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 POLI ANAK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 POLI ANAK
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 POLI ANAK
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 POLI ANAK
1 Rp 5,200.00 Rp 5,200.00 Rp 52.00 APOTIK
1 Rp 2,860.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 3,250.00 Rp 3,250.00 Rp 32.50 APOTIK
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 6,240.00 Rp 6,240.00 Rp 62.40 APOTIK
10 Rp 910.00 Rp 9,100.00 Rp 91.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 6,240.00 Rp 6,240.00 Rp 62.40 APOTIK
1 Rp 2,860.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
5 Rp 20,000.00 Rp 100,000.00 Rp 1,000.00 IGD
10 Rp 845.00 Rp 8,450.00 Rp 84.50 APOTIK
10 Rp 2,210.00 Rp 22,100.00 Rp 221.00 APOTIK
10 Rp 130.00 Rp 1,300.00 Rp 13.00 APOTIK
1 Rp 10,000.00 Rp 10,000.00 Rp 100.00 APOTIK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 APOTIK
10 Rp 780.00 Rp 7,800.00 Rp 78.00 APOTIK
20 Rp 195.00 Rp 3,900.00 Rp 39.00 APOTIK
1 Rp 2,860.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 20,000.00 Rp 20,000.00 Rp 200.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 20,000.00 Rp 20,000.00 Rp 200.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 205,000.00 Rp 205,000.00 Rp 2,050.00 IGD
10 Rp 390.00 Rp 3,900.00 Rp 39.00 APOTIK
10 Rp 845.00 Rp 8,450.00 Rp 84.50 APOTIK
2 Rp 1,430.00 Rp 2,860.00 Rp 28.60 APOTIK
1 Rp 1,950.00 Rp 1,950.00 Rp 19.50 APOTIK
1 Rp 1,170.00 Rp 1,170.00 Rp 11.70 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
10 Rp 195.00 Rp 1,950.00 Rp 19.50 APOTIK
10 Rp 8,580.00 Rp 85,800.00 Rp 858.00 APOTIK
10 Rp 533.00 Rp 5,330.00 Rp 53.30 APOTIK
2 Rp 975.00 Rp 1,950.00 Rp 19.50 APOTIK
30 Rp 650.00 Rp 19,500.00 Rp 195.00 APOTIK
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
2 Rp 10,000.00 Rp 20,000.00 Rp 200.00 IGD
10 Rp 585.00 Rp 5,850.00 Rp 58.50 APOTIK
10 Rp 3,900.00 Rp 39,000.00 Rp 390.00 APOTIK
5 Rp 520.00 Rp 2,600.00 Rp 26.00 APOTIK
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 APOTIK
1 Rp 15,730.00 Rp 15,730.00 Rp 157.30 APOTIK
10 Rp 1,430.00 Rp 14,300.00 Rp 143.00 APOTIK
10 Rp 592.00 Rp 5,920.00 Rp 59.20 APOTIK
8 Rp 780.00 Rp 6,240.00 Rp 62.40 APOTIK
10 Rp 1,170.00 Rp 11,700.00 Rp 117.00 APOTIK
30 Rp 3,250.00 Rp 97,500.00 Rp 975.00 APOTIK
31 Rp 3,250.00 Rp 100,750.00 Rp 1,007.50 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 anak
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 anak
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 anak
1 Rp 250,000.00 Rp 250,000.00 Rp 2,500.00 VK
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 585.00 Rp 5,850.00 Rp 58.50 APOTIK
10 Rp 1,001.00 Rp 10,010.00 Rp 100.10 APOTIK
10 Rp 520.00 Rp 5,200.00 Rp 52.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 APOTIK
10 Rp 1,235.00 Rp 12,350.00 Rp 123.50 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 POLI ANAK
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 POLI ANAK
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 POLI ANAK
10 Rp 682.50 Rp 6,825.00 Rp 68.25 APOTIK
1 Rp 35,750.00 Rp 35,750.00 Rp 357.50 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 POLI ANAK
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 POLI ANAK
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 POLI ANAK
3 Rp 676.00 Rp 2,028.00 Rp 20.28 APOTIK
2 Rp 650.00 Rp 1,300.00 Rp 13.00 APOTIK
1 Rp 11,050.00 Rp 11,050.00 Rp 110.50 APOTIK
1 Rp 35,750.00 Rp 35,750.00 Rp 357.50 APOTIK
1 Rp 111,800.00 Rp 111,800.00 Rp 1,118.00 APOTIK
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 20,000.00 Rp 20,000.00 Rp 200.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
4 Rp 20,000.00 Rp 80,000.00 Rp 800.00 IGD
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 IGD
10 Rp 650.00 Rp 6,500.00 Rp 65.00 APOTIK
10 Rp 1,001.00 Rp 10,010.00 Rp 100.10 APOTIK
5 Rp 8,450.00 Rp 42,250.00 Rp 422.50 APOTIK
6 Rp 3,380.00 Rp 20,280.00 Rp 202.80 APOTIK
1 Rp 83,398.00 Rp 83,398.00 Rp 833.98 APOTIK
1 Rp 3,315.00 Rp 3,315.00 Rp 33.15 APOTIK
1 Rp 6,500.00 Rp 6,500.00 Rp 65.00 APOTIK
1 Rp 780.00 Rp 780.00 Rp 7.80 APOTIK
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 IGD
1 Rp 7,150.00 Rp 7,150.00 Rp 71.50 IGD
1 Rp 15,210.00 Rp 15,210.00 Rp 152.10 IGD
1 Rp 10,010.00 Rp 10,010.00 Rp 100.10 IGD
1 Rp 975.00 Rp 975.00 Rp 9.75 IGD
1 Rp - Rp - Rp - PERAWATAN
1 Rp 15,002.00 Rp 15,002.00 Rp 150.02 APOTIK
1 Rp 15,002.00 Rp 15,002.00 Rp 150.02 APOTIK
30 Rp 3,250.00 Rp 97,500.00 Rp 975.00 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 VK
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 VK
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 VK
1 Rp 2,000.00 Rp 2,000.00 Rp 20.00 APOTIK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 50,050.00 Rp 50,050.00 Rp 500.50 APOTIK
10 Rp 5,850.00 Rp 5,850.00 Rp 58.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 10,010.00 Rp 10,010.00 Rp 100.10 IGD
10 Rp 5,473.00 Rp 5,473.00 Rp 54.73 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 3,510.00 Rp 35,100.00 Rp 351.00 IGD
10 Rp 592.00 Rp 5,928.00 Rp 59.28 IGD
10 Rp 676.00 Rp 6,760.00 Rp 67.60 IGD
10 Rp 682.50 Rp 6,825.00 Rp 68.25 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 IGD
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 VK
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 VK
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 VK
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 VK
10 Rp 3,250.00 Rp 32,500.00 Rp 325.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 LAB
30 Rp 650.00 Rp 19,500.00 Rp 195.00 APOTIK
10 Rp 585.00 Rp 5,850.00 Rp 58.50 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 533.00 Rp 5,330.00 Rp 53.30 APOTIK
10 Rp 650.00 Rp 6,500.00 Rp 65.00 APOTIK
10 Rp 561.60 Rp 5,616.00 Rp 56.16 APOTIK
10 Rp 520.00 Rp 5,200.00 Rp 52.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 561.60 Rp 5,616.00 Rp 56.16 APOTIK
5 Rp 630.40 Rp 3,152.00 Rp 31.52 APOTIK
10 Rp 592.80 Rp 5,928.00 Rp 59.28 APOTIK
10 Rp 533.00 Rp 5,330.00 Rp 53.30 APOTIK
1 Rp 50,000.00 Rp 50,000.00 Rp - VK
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 APOTIK
20 Rp 910.00 Rp 18,200.00 Rp 182.00 APOTIK
1 Rp 5,850.00 Rp 5,850.00 Rp 58.50 APOTIK
1 Rp 3,380.00 Rp 3,380.00 Rp 33.80 APOTIK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp - APOTIK
1 Rp 46,200.00 Rp 46,200.00 Rp 462.00 APOTIK
1 Rp 50,050.00 Rp 50,050.00 Rp 500.50 APOTIK
2 Rp 15,210.00 Rp 30,420.00 Rp 304.20 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 10,985.00 Rp 10,985.00 Rp 109.85 APOTIK
3 Rp 675.00 Rp 2,025.00 Rp 20.25 APOTIK
3 Rp 650.00 Rp 1,950.00 Rp 19.50 APOTIK
2 Rp 682.50 Rp 1,365.00 Rp 13.65 APOTIK
3 Rp 572.00 Rp 1,716.00 Rp 17.16 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
8 Rp 20,000.00 Rp 160,000.00 Rp 1,600.00 IGD
1 Rp 10,000.00 Rp 10,000.00 Rp 100.00 APOTIK
1 Rp 6,500.00 Rp 6,500.00 Rp 65.00 APOTIK
1 Rp 3,315.00 Rp 3,315.00 Rp 33.15 APOTIK
2 Rp 2,080.00 Rp 4,160.00 Rp 41.60 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
7 Rp 20,000.00 Rp 140,000.00 Rp 1,400.00 IGD
1 Rp 20,000.00 Rp 20,000.00 Rp 200.00 IGD
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
6 Rp 585.00 Rp 3,510.00 Rp 35.10 APOTIK
6 Rp 650.00 Rp 3,900.00 Rp 39.00 APOTIK
1 Rp 10,000.00 Rp 10,000.00 Rp 100.00 APOTIK
1 Rp 3,315.00 Rp 3,315.00 Rp 33.15 APOTIK
1 Rp 6,500.00 Rp 6,500.00 Rp 65.00 APOTIK
2 Rp 3,900.00 Rp 7,800.00 Rp 78.00 APOTIK
4 Rp 2,080.00 Rp 8,320.00 Rp 83.20 APOTIK
2 Rp 3,315.00 Rp 6,630.00 Rp 66.30 VK
1 Rp 33,000.00 Rp 33,000.00 Rp 330.00 VK
7 Rp 20,000.00 Rp 140,000.00 Rp 1,400.00 VK
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 VK
1 Rp 910.00 Rp 910.00 Rp 9.10 VK
1 Rp 6,500.00 Rp 6,500.00 Rp 65.00 VK
2 Rp 2,080.00 Rp 4,160.00 Rp 41.60 VK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 VK
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 VK
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 VK
10 Rp 845.00 Rp 8,450.00 Rp 84.50 VK
10 Rp 2,210.00 Rp 22,100.00 Rp 221.00 VK
5 Rp 8,450.00 Rp 42,250.00 Rp 422.50 VK
1 Rp 22,230.00 Rp 22,230.00 Rp 222.30 VK
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 6,500.00 Rp 65,000.00 Rp 650.00 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
1 Rp 55,000.00 Rp 55,000.00 Rp 550.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 15,210.00 Rp 15,210.00 Rp 152.10 APOTIK
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 APOTIK
1 Rp 10,010.00 Rp 10,010.00 Rp 100.10 APOTIK
4 Rp 2,080.00 Rp 8,320.00 Rp 83.20 APOTIK
1 Rp 400,000.00 Rp 400,000.00 Rp 4,000.00 perawatan
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 perawatan
1 Rp 10,010.00 Rp 10,010.00 Rp 100.10 APOTIK
1 Rp 15,210.00 Rp 15,210.00 Rp 152.10 APOTIK
1 Rp 10,010.00 Rp 10,010.00 Rp 100.10 APOTIK
4 Rp 2,080.00 Rp 8,320.00 Rp 83.20 APOTIK
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 APOTIK
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 Obgyn
2 Rp 70,000.00 Rp 140,000.00 Rp 1,400.00 IGD
4 Rp 780.00 Rp 3,120.00 Rp 31.20 APOTIK
6 Rp 780.00 Rp 4,680.00 Rp 46.80 APOTIK
2 Rp 1,170.00 Rp 2,340.00 Rp 23.40 APOTIK
8 Rp 1,170.00 Rp 9,360.00 Rp 93.60 APOTIK
1 Rp 7,150.00 Rp 7,150.00 Rp 71.50 APOTIK
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 IGD
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 IGD
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 IGD
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 IGD
10 Rp 2,210.00 Rp 22,100.00 Rp 221.00 APOTIK
10 Rp 520.00 Rp 5,200.00 Rp 52.00 APOTIK
10 Rp 715.00 Rp 7,150.00 Rp 71.50 APOTIK
1 Rp 10,660.00 Rp 10,660.00 Rp 106.60 APOTIK
10 Rp 676.00 Rp 6,760.00 Rp 67.60 APOTIK
1 Rp 10,400.00 Rp 10,400.00 Rp 104.00 APOTIK
1 Rp 3,315.00 Rp 3,315.00 Rp 33.15 APOTIK
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
10 Rp 715.00 Rp 7,150.00 Rp 71.50 APOTIK
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 apotek
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 35,750.00 Rp 35,750.00 Rp 357.50 apotek
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 LAB
1 Rp 10,660.00 Rp 10,660.00 Rp 106.60 apotek
1 Rp 35,750.00 Rp 35,750.00 Rp 357.50 apotek
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 apotek
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 15,000.00 Rp 15,000.00 Rp 150.00 igd
3 Rp 70,000.00 Rp 210,000.00 Rp 2,100.00 igd
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 igd
2 Rp 3,000.00 Rp 6,000.00 Rp 60.00 igd
1 Rp 15,000.00 Rp 15,000.00 Rp 150.00 igd
10 Rp 592.80 Rp 5,928.00 Rp 59.28 apotek
6 Rp 585.00 Rp 3,510.00 Rp 35.10 apotek
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 apotek
1 Rp 10,400.00 Rp 10,400.00 Rp 104.00 apotek
1 Rp 15,210.00 Rp 15,210.00 Rp 152.10 apotek
1 Rp 7,150.00 Rp 7,150.00 Rp 71.50 apotek
1 Rp 5,850.00 Rp 5,850.00 Rp 58.50 apotek
1 Rp 3,315.00 Rp 3,315.00 Rp 33.15 apotek
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
5 Rp 689.00 Rp 3,445.00 Rp 34.45 apotek
10 Rp 520.00 Rp 5,200.00 Rp 52.00 apotek
1 Rp 2,080.00 Rp 2,080.00 Rp 20.80 apotek
1 Rp 10,400.00 Rp 10,400.00 Rp 104.00 apotek
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
10 Rp 533.00 Rp 5,330.00 Rp 53.30 apotek
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 21,450.00 Rp 21,450.00 Rp 214.50 apotek
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
10 Rp 592.80 Rp 5,928.00 Rp 59.28 apotik
10 Rp 585.00 Rp 5,850.00 Rp 58.50 apotik
10 Rp 715.00 Rp 7,150.00 Rp 71.50 apotik
1 Rp 20,500.00 Rp 20,500.00 Rp 205.00 Apotik
1 Rp 50,050.00 Rp 50,050.00 Rp 500.50 Apotik
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 Obgyn
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 Obgyn
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 Obgyn
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 Obgyn
20 Rp 1,001.00 Rp 20,020.00 Rp 200.20 Apotik
10 Rp 561.60 Rp 5,616.00 Rp 56.16 Apotik
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 Obgyn
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 Obgyn
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 Obgyn
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 Obgyn
20 Rp 1,001.00 Rp 20,020.00 Rp 200.20 Apotik
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 Obgyn
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 Obgyn
1 Rp 80,000.00 Rp 80,000.00 Rp 800.00 Obgyn
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 lab
1 Rp 10,660.00 Rp 10,660.00 Rp 106.60 apotik
2 Rp 10,400.00 Rp 20,800.00 Rp 208.00 apotik
1 Rp 15,210.00 Rp 15,210.00 Rp 152.10 apotik
1 Rp 9,100.00 Rp 9,100.00 Rp 91.00 apotik
1 Rp 15,730.00 Rp 15,730.00 Rp 157.30 apotik
1 Rp 2,080.00 Rp 2,080.00 Rp 20.80 apotik
2 Rp 3,725.00 Rp 7,450.00 Rp 74.50 apotik
1 Rp 3,380.00 Rp 3,380.00 Rp 33.80 apotik
1 Rp 6,500.00 Rp 6,500.00 Rp 65.00 apotik
1 Rp 20,150.00 Rp 20,150.00 Rp 201.50 apotik
1 Rp 45,500.00 Rp 45,500.00 Rp 455.00 apotik
1 Rp 250,000.00 Rp 250,000.00 Rp 2,500.00 perawatan
1 Rp 66,000.00 Rp 66,000.00 Rp 660.00 apotik
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 igd
1 Rp 25,000.00 Rp 25,000.00 Rp 250.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 lab
3 Rp 546.00 Rp 1,638.00 Rp 16.38 apotik
4 Rp 520.00 Rp 2,080.00 Rp 20.80 apotik
2 Rp 503.00 Rp 1,006.00 Rp 10.06 apotik
1 Rp 11,050.00 Rp 11,050.00 Rp 110.50 apotik
1 Rp 1,352.00 Rp 1,352.00 Rp 13.52 apotik
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 lab
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
10 Rp 546.00 Rp 5,460.00 Rp 54.60 apotik
10 Rp 520.00 Rp 5,200.00 Rp 52.00 apotik
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 lab
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 lab
30 Rp 650.00 Rp 19,500.00 Rp 195.00 apotik
10 Rp 592.80 Rp 5,928.00 Rp 59.28 apotik
10 Rp 650.00 Rp 6,500.00 Rp 65.00 apotik
10 Rp 676.00 Rp 6,760.00 Rp 67.60 apotik
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 35,750.00 Rp 35,750.00 Rp 357.50 apotik
1 Rp 35,750.00 Rp 35,750.00 Rp 357.50 apotik
11 Rp 845.00 Rp 9,295.00 Rp 92.95 apotik
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 apotik
1 Rp 10,270.00 Rp 10,270.00 Rp 102.70 apotik
2 Rp 11,050.00 Rp 22,100.00 Rp 221.00 apotik
1 Rp 50,000.00 Rp 50,000.00 Rp 500.00 igd
1 Rp 150,000.00 Rp 150,000.00 Rp 1,500.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
2 Rp 682.00 Rp 1,364.00 Rp 13.64 apotik
2 Rp 650.00 Rp 1,300.00 Rp 13.00 apotik
2 Rp 676.00 Rp 1,352.00 Rp 13.52 apotik
1 Rp 10,270.00 Rp 10,270.00 Rp 102.70 apotik
1 Rp 11,050.00 Rp 11,050.00 Rp 110.50 apotik
1 Rp 33,000.00 Rp 33,000.00 Rp 330.00 VK
1 Rp 3,315.00 Rp 3,315.00 Rp 33.15 apotik
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 apotik
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 VK
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 apotik
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 VK
10 Rp 503.10 Rp 5,031.00 Rp 50.31 apotik
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 35,750.00 Rp 35,750.00 Rp 357.50 apotik
1 Rp 11,050.00 Rp 11,050.00 Rp 110.50 apotik
1 Rp 35,000.00 Rp 35,000.00 Rp 350.00 apotik
10 Rp 682.55 Rp 6,825.50 Rp 68.26 apotik
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
6 Rp 20,000.00 Rp 120,000.00 Rp 1,200.00 igd
1 Rp 3,000.00 Rp 3,000.00 Rp 30.00 igd
10 Rp 520.00 Rp 5,200.00 Rp 52.00 apotik
10 Rp 1,001.00 Rp 10,010.00 Rp 100.10 apotik
6 Rp 2,080.00 Rp 12,480.00 Rp 124.80 apotik
1 Rp 83,398.00 Rp 83,398.00 Rp 833.98 apotik
1 Rp 3,315.00 Rp 3,315.00 Rp 33.15 apotik
1 Rp 6,500.00 Rp 6,500.00 Rp 65.00 apotik
1 Rp 5,200.00 Rp 5,200.00 Rp 52.00 apotik
1 Rp 15,002.00 Rp 15,002.00 Rp 150.02 apotik
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
5 Rp 1,170.00 Rp 5,850.00 Rp 58.50 apotik
5 Rp 520.00 Rp 2,600.00 Rp 26.00 apotik
1 Rp 28,600.00 Rp 28,600.00 Rp 286.00 apotik
1 Rp 135,850.00 Rp 135,850.00 Rp 1,358.50 apotik
1 Rp 63,050.00 Rp 63,050.00 Rp 630.50 apotik
10 Rp 11,440.00 Rp 114,400.00 Rp 1,144.00 apotik
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 lab
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 lab
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 lab
1 Rp 100,000.00 Rp 100,000.00 Rp 1,000.00 lab
10 Rp 520.00 Rp 5,200.00 Rp 52.00 apotik
12 Rp 650.00 Rp 7,800.00 Rp 78.00 apotik
10 Rp 3,900.00 Rp 39,000.00 Rp 390.00 apotik
10 Rp 1,430.00 Rp 14,300.00 Rp 143.00 apotik
1 Rp 30,000.00 Rp 30,000.00 Rp 300.00 igd
1 Rp 70,000.00 Rp 70,000.00 Rp 700.00 igd
1 Rp 5,000.00 Rp 5,000.00 Rp 50.00 igd
1 Rp 11,050.00 Rp 11,050.00 Rp 110.50 apotik
1 Rp 111,800.00 Rp 111,800.00 Rp 1,118.00 apotik
1 Rp 520.00 Rp 520.00 Rp 5.20 apotik
1 Rp 1,105.00 Rp 1,105.00 Rp 11.05 apotik
1 Rp 683.00 Rp 683.00 Rp 6.83 apotik
TOTAL PEMASUKAN KESELURUHAN
TOTAL HARGA KETERANGAN DOKTER
Rp 2,954.25
Rp 101,000.00
Rp 30,300.00 UMUM DR ASSAD
Rp 70,700.00
Rp 5,050.00
Rp 50,550.50
Rp 70,700.00
Rp 5,050.00
Rp 6,565.00
Rp 1,313.00
Rp 2,888.60
Rp 70,700.00
Rp 5,050.00
Rp 30,300.00
Rp 30,300.00
Rp 5,120.70
Rp 4,595.50
Rp 1,313.00
Rp 2,035.15
Rp 70,700.00
Rp 5,050.00
Rp 2,954.25
Rp 27,573.00
Rp 11,160.50
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 101,000.00
Rp 433.29
Rp 2,954.25
Rp 1,454.40
Rp 77,467.00
Rp 19,695.00
Rp 11,110.00
Rp 2,672.46
Rp 2,232.10
Rp -
Rp 2,672.46
Rp 808,000.00
Rp 1,454.40
Rp 433.29
Rp 2,954.25
Rp 77,467.00
Rp 34,663.20
Rp 242,400.00
Rp 25,250.00
Rp 15,150.00
Rp 231,088.00
Rp 3,282.50
Rp 70,700.00
Rp 5,050.00
Rp 70,700.00
Rp 2,232.10
Rp 1,454.40
Rp 262.60
Rp 1,969.50
Rp 21,664.50
Rp 70,700.00
Rp 5,050.00
Rp 30,300.00
Rp 60,600.00
Rp 30,300.00
Rp 6,565.00
Rp 1,313.00
Rp 95,323.80
Rp 1,969.50
Rp 1,181.70
Rp 3,113,643.15
Rp 1,969.50
Rp 35,350.00
Rp 70,700.00
Rp 75,750.00
Rp 115,544.00
Rp 30,300.00
Rp 3,030.00
Rp 21,664.50
Rp 112,918.00
Rp 497,526.00
Rp 108,322.50
Rp 8,534.50
Rp 3,282.50
Rp 22,977.50
Rp 5,252.00
Rp 14,544.00
Rp 33,330.00
Rp 984.75
Rp 101,000.00
Rp 13,655.20
Rp 5,720.00 Disc Pegawai (20%)
Rp 7,280.00 Disc Pegawai (20%)
Rp 15,150.00
Rp 50,500.00 dr.Sahabuddin
Rp 151,500.00
Rp 5,050.00
Rp 80,800.00
Rp 21,664.50
Rp 70,700.00
Rp 5,050.00
Rp 70,700.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 101,000.00
Rp 1,969.50
Rp 18,382.00
Rp 35,451.00
Rp 151,500.00
Rp 5,050.00
Rp 80,800.00
Rp 151,500.00
Rp 5,050.00
Rp 80,800.00
Rp 151,500.00
Rp 5,050.00
Rp 80,800.00
Rp 151,500.00
Rp 5,050.00
Rp 80,800.00
Rp 115,544.00
Rp 9,847.50
Rp 30,300.00 UMUM dr. Vhiolen
Rp 70,700.00
Rp 5,050.00
Rp 16,543.80
Rp 70,700.00
Rp 5,050.00
Rp 3,939.00
Rp 8,009.30
Rp 39,390.00
Rp 2,767,123.55
Rp 13,130.00
Rp 70,700.00
Rp 5,050.00
Rp 30,300.00
Rp 2,888.60
Rp 70,700.00
Rp 5,050.00
Rp 50,500.00
Rp 6,827.60
Rp 37,450.80
Rp 2,888.60
Rp 30,300.00
Rp 101,000.00
Rp 101,000.00
Rp 70,700.00
Rp 50,500.00
Rp 5,050.00
Rp 30,300.00
Rp 128,871.96
Rp 22,139.20
Rp 2,398,750.00
Rp 454,500.00
Rp 303,000.00
Rp 151,500.00
Rp 343,400.00
Rp 25,250.00
Rp 25,250.00
Rp 181,800.00
Rp 202,000.00
Rp 4,976,346.76
Rp 5,514.60
Rp 2,888.60
Rp 4,363.20
Rp 14,443.00
Rp 35,350.00
Rp 2,020.00
Rp 30,300.00 UMUM DR VHIOLEN
Rp 70,700.00
Rp 5,050.00
Rp 70,700.00
Rp 21,664.50
Rp 1,181.70
Rp 70,700.00
Rp 5,050.00
Rp 19,695.00
Rp 3,282.50
Rp 2,888.60
Rp 393.90
Rp 656.50
Rp 656.50
Rp 70,700.00
Rp 5,050.00
Rp 525.20
Rp 1,313.00
Rp 984.75
Rp 70,700.00
Rp 5,050.00
Rp 21,401.90
Rp 1,969.50
Rp 21,008.00
Rp 79,992.00
Rp 10,832.25
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 53,575.45
Rp 525.20
Rp 656.50
Rp 70,700.00
Rp 5,050.00
Rp 1,969.50
Rp 2,757.30
Rp 1,969.50
Rp 1,122,478.65
Rp 14,443.00
Rp 9,191.00
Rp 7,221.50
Rp 25,250.00 UMUM Dr.Assaad
Rp 70,700.00
Rp 5,050.00
Rp 8,534.50
Rp 11,029.20
Rp 1,313.00
Rp 2,888.60
Rp 70,700.00
Rp 5,050.00
Rp 656.50
Rp 2,888.60
Rp 3,282.50
Rp 70,700.00
Rp 5,050.00
Rp 22,321.00
Rp 8,271.90
Rp 81,143.40
Rp 4,595.50
Rp 20,200.00
Rp 70,700.00
Rp 5,050.00
Rp 6,302.40
Rp 618,382.60
Rp 70,700.00
Rp 50,500.00
Rp 30,300.00
Rp 104,777.40
Rp 33,330.00
Rp 984.75
Rp 70,700.00
Rp 5,050.00
Rp 70,700.00
Rp 30,300.00
Rp 21,664.50
Rp 549,606.65
Rp 6,565.00
Rp 11,817.00
Rp 3,545.10
Rp 8,534.50
Rp 6,565.00
Rp 70,700.00
Rp 5,050.00
Rp 6,565.00
Rp 70,700.00
Rp 5,050.00
Rp 3,282.50
Rp 8,059.80
Rp 787.80
Rp 267,821.70
Rp 7,878.00
Rp 13,130.00
Rp 29,249.60
Rp 1,076.66
Rp 30,300.00 UMUM dr. Assaad
Rp 70,700.00
Rp 5,050.00
Rp 15,150.00
Rp 70,700.00
Rp 6,060.00
Rp 15,150.00
Rp 30,300.00
Rp 7,878.00
Rp 11,817.00
Rp 9,191.00
Rp 10,110.10
Rp 10,110.10
Rp 1,215.03
Rp 7,878.00
Rp 7,221.50
Rp 360,164.99
Rp 20,200.00
Rp 1,444.30
Rp 70,700.00
Rp 5,050.00
Rp 1,969.50
Rp 22,452.30
Rp 20,200.00
Rp 1,444.30
Rp 101,000.00
Rp 70,700.00
Rp 5,050.00
Rp 70,700.00
Rp 5,050.00
Rp 50,500.00
Rp 30,300.00
Rp 151,500.00
Rp 151,500.00
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 50,550.50
Rp 151,500.00
Rp 5,050.00
Rp 98,475.00
Rp 30,300.00
Rp 151,500.00
Rp 70,700.00
Rp 5,050.00
Rp 3,282.50
Rp 1,901,668.40
Rp 9,191.00
Rp 8,009.30
Rp 34,138.00
Rp 69,589.00
Rp 115,544.00
Rp 115,544.00
Rp 3,151.20
Rp 50,550.50
Rp 4,726.80
Rp 30,300.00 dr. Vhiolen
Rp 70,700.00
Rp 5,050.00
Rp 115,544.00
Rp 50,550.50
Rp 30,300.00 dr. H. Assad
Rp 70,700.00
Rp 50,500.00 dr. Pundi
Rp 151,500.00
Rp 5,050.00
Rp 50,500.00 dr. Pundi
Rp 151,500.00
Rp 5,050.00
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 80,800.00
Rp 50,500.00
Rp 151,500.00
Rp 80,800.00
Rp 5,050.00
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 80,800.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 53,575.45
Rp 393.90
Rp 393.90
Rp 656.50
Rp 2,222,308.05
Rp 8,534.50
Rp 50,500.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 70,700.00
Rp 49,894.00
Rp 262.60
Rp 656.50
Rp 656.50
Rp 21,664.50
Rp 1,181.70
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 101,000.00
Rp 1,187.76
Rp 1,181.70
Rp 3,282.50
Rp 623,802.26
Rp 70,700.00
Rp 5,050.00
Rp 7,208.37
Rp 984.75
Rp 1,181.70
Rp 2,626.00
Rp 70,700.00
Rp 5,050.00
Rp 1,313.00
Rp 1,969.50
Rp 1,969.50
Rp 2,363.40 UMUM
Rp 35,350.00
Rp 35,350.00
Rp 115,544.00
Rp 35,350.00
Rp 35,350.00
Rp 1,181.70
Rp 101,101.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 101,000.00
Rp 115,544.00
Rp 86,658.00
Rp 50,500.00 UMUM DR SAHABUDDIN
Rp 151,500.00
Rp 80,800.00
Rp 5,050.00
Rp 32,825.00
Rp 151,500.00
Rp 80,800.00
Rp 5,050.00
Rp 98,475.00
Rp 151,500.00
Rp 80,800.00
Rp 5,050.00
Rp 98,475.00
Rp 115,544.00
Rp 17,776.00
Rp 2,322,789.92
Rp 15,150.00
Rp 15,887.30
Rp 101,101.00
Rp 79,436.50
Rp 115,544.00
Rp 15,887.30
Rp 101,000.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 25,250.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 1,313.00
Rp 19,695.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 40,952.27
Rp 5,908.50
Rp 7,221.50
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 5,383.30
Rp 12,473.50
Rp 1,158,103.17
Rp 15,152.02
Rp 35,350.00
Rp 35,350.00
Rp 1,181.70
Rp 35,350.00
Rp 35,350.00
Rp 1,181.70
Rp 30,300.00
Rp 35,350.00
Rp 35,350.00
Rp 1,181.70
Rp 30,300.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 6,302.40
Rp 2,888.60
Rp 2,048.28
Rp 262.60
Rp 393.90
Rp 984.75
Rp 141,400.00
Rp 35,350.00
Rp 1,181.70
Rp 1,767.50
Rp 151,500.00
Rp 50,500.00
Rp 5,050.00
Rp 2,048.28
Rp 1,313.00
Rp 5,908.50
Rp 2,888.60
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 5,252.00
Rp 2,888.60
Rp 3,282.50
Rp 101,000.00
Rp 1,335,758.33
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 6,302.40
Rp 9,191.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 6,302.40
Rp 2,888.60
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 8,534.50
Rp 22,321.00
Rp 1,313.00
Rp 10,100.00
Rp 1,181.70
Rp 9,191.00
Rp 7,878.00
Rp 3,939.00
Rp 2,888.60
Rp 30,300.00
Rp 70,700.00
Rp 20,200.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 20,200.00
Rp 30,300.00
Rp 3,030.00
Rp 25,250.00
Rp 207,050.00
Rp 3,939.00
Rp 8,534.50
Rp 2,888.60
Rp 1,969.50
Rp 1,181.70
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 101,000.00
Rp 1,969.50
Rp 86,658.00
Rp 5,383.30
Rp 1,969.50
Rp 19,695.00
Rp 25,250.00
Rp 70,700.00
Rp 5,050.00
Rp 70,700.00
Rp 20,200.00
Rp 5,908.50
Rp 39,390.00
Rp 2,626.00
Rp 21,664.50
Rp 15,887.30
Rp 14,443.00
Rp 5,979.20
Rp 6,302.40
Rp 11,817.00
Rp 1,782,417.70
Rp 98,475.00
Rp 101,757.50
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 252,500.00
Rp 25,250.00
Rp 70,700.00
Rp 25,250.00
Rp 780,982.50
Rp 25,250.00
Rp 70,700.00
Rp 5,050.00
Rp 5,908.50
Rp 10,110.10
Rp 5,252.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 30,300.00
Rp 12,473.50
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 6,893.25
Rp 36,107.50
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 2,048.28
Rp 1,313.00
Rp 11,160.50
Rp 36,107.50
Rp 112,918.00
Rp 101,000.00
Rp 30,300.00 $ 439,906.00
Rp 70,700.00
Rp 5,050.00
Rp 20,200.00
Rp 25,250.00
Rp 30,300.00
Rp 80,800.00
Rp 3,030.00
Rp 6,565.00
Rp 10,110.10
Rp 42,672.50
Rp 20,482.80
Rp 84,231.98
Rp 3,348.15
Rp 6,565.00
Rp 787.80
Rp 9,191.00
Rp 7,221.50
Rp 15,362.10
Rp 10,110.10
Rp 984.75
Rp 3,200,000.00
Rp 4,676,004.91
Rp 15,152.02
Rp 15,152.02
Rp 98,475.00
Rp 50,500.00
Rp 151,500.00
Rp 80,800.00
Rp 2,020.00
Rp 35,350.00
Rp 50,550.50
Rp 5,908.50
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 10,110.10
Rp 5,527.73
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 35,451.00
Rp 5,987.28
Rp 6,827.60
Rp 6,893.25
Rp 50,500.00
Rp 151,500.00
Rp 990,305.00
Rp 30,300.00
Rp 70,700.00
Rp 30,300.00
Rp 70,700.00
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 80,800.00
Rp 32,825.00
Rp 30,300.00
Rp 19,695.00
Rp 5,908.50
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 5,383.30
Rp 6,565.00
Rp 5,672.16
Rp 5,252.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 5,672.16
Rp 3,183.52
Rp 5,987.28
Rp 5,383.30
Rp 50,000.00
Rp 883,777.22
Rp 115,544.00
Rp 18,382.00
Rp 5,908.50
Rp 3,413.80
Rp 35,350.00
Rp 3,030.00
Rp 35,000.00
Rp 46,662.00
Rp 50,550.50
Rp 30,724.20
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 101,000.00
Rp 11,094.85
Rp 2,045.25
Rp 1,969.50
Rp 1,378.65
Rp 1,733.16
Rp 30,300.00
Rp 70,700.00
Rp 30,300.00
Rp 5,050.00
Rp 161,600.00
Rp 10,100.00
Rp 6,565.00
Rp 3,348.15
Rp 4,201.60
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 141,400.00
Rp 20,200.00
Rp 3,030.00
Rp 30,300.00
Rp 25,250.00
Rp 3,545.10
Rp 3,939.00
Rp 10,100.00
Rp 3,348.15
Rp 6,565.00
Rp 7,878.00
Rp 8,403.20
Rp 6,696.30
Rp 33,330.00
Rp 141,400.00
Rp 3,030.00
Rp 919.10
Rp 6,565.00
Rp 4,201.60
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 8,534.50
Rp 22,321.00
Rp 42,672.50
Rp 22,452.30
Rp 1,761,181.91
Rp 101,000.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 65,650.00
Rp 272,700.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 55,550.00
Rp 101,000.00
Rp 101,000.00
Rp 15,362.10
Rp 9,191.00
Rp 10,110.10
Rp 8,403.20
Rp 404,000.00
Rp 80,800.00
Rp 15,150.00
Rp 20,200.00
Rp 10,110.10
Rp 15,362.10
Rp 10,110.10
Rp 8,403.20
Rp 9,191.00
Rp 80,800.00
Rp 141,400.00
Rp 3,151.20
Rp 4,726.80
Rp 2,363.40
Rp 9,453.60
Rp 7,221.50
Rp 25,250.00
Rp 30,300.00
Rp 50,500.00
Rp 25,250.00
Rp 25,250.00
Rp 70,700.00
Rp 5,050.00
Rp 22,321.00
Rp 5,252.00
Rp 7,221.50
Rp 10,766.60
Rp 6,827.60
Rp 10,504.00
Rp 3,348.15
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 7,221.50
Rp 1,741,921.75
Rp 21,664.50
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 36,107.50
Rp 30,300.00
Rp 70,700.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 10,766.60
Rp 36,107.50
Rp 25,250.00
Rp 70,700.00
Rp 50,500.00
Rp 30,300.00
Rp 70,700.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 15,150.00
Rp 212,100.00
Rp 101,000.00
Rp 6,060.00
Rp 15,150.00
Rp 5,987.28
Rp 3,545.10
Rp 9,191.00
Rp 10,504.00
Rp 15,362.10
Rp 7,221.50
Rp 5,908.50
Rp 3,348.15
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 30,300.00
Rp 30,300.00
Rp 3,479.45
Rp 5,252.00
Rp 2,100.80
Rp 10,504.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 5,383.30
Rp 1,582,193.28
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 70,700.00
Rp 21,664.50
Rp 25,250.00
Rp 70,700.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 5,987.28
Rp 5,908.50
Rp 7,221.50
Rp 20,705.00 dr. Assaad
Rp 50,550.50 dr. Pundi Sp. A
Rp 50,500.00 dr. Sahabuddin
Rp 151,500.00
Rp 80,800.00
Rp 5,050.00
Rp 20,220.20
Rp 5,672.16
Rp 151,500.00
Rp 80,800.00
Rp 5,050.00
Rp 20,220.20
Rp 151,500.00
Rp 80,800.00
Rp 30,300.00
total yang di bayarkan cuman 400rb
Rp 70,700.00 selisih Rp.336.336
Rp 5,050.00
Rp 101,000.00
Rp 10,766.60
Rp 21,008.00
Rp 15,362.10
Rp 9,191.00
Rp 15,887.30
Rp 2,100.80
Rp 7,524.50
Rp 3,413.80
Rp 6,565.00
Rp 20,351.50
Rp 45,955.00
Rp 252,500.00
Rp 30,300.00
Rp 66,660.00
Rp 20,200.00
Rp 2,130,235.44
Rp 25,250.00
Rp 70,700.00
Rp 25,250.00
Rp 25,250.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 1,654.38
Rp 2,100.80
Rp 1,016.06
Rp 11,160.50
Rp 1,365.52
Rp 101,000.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 5,514.60
Rp 5,252.00
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 101,000.00
Rp 19,695.00
Rp 5,987.28
Rp 6,565.00
Rp 6,827.60
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 36,107.50
Rp 36,107.50
Rp 1,083,703.74
Rp 9,387.95
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 10,372.70
Rp 22,321.00
Rp 50,500.00
Rp 151,500.00
Rp 5,050.00
Rp 1,377.64
Rp 1,313.00
Rp 1,365.52
Rp 10,372.70
Rp 11,160.50
Rp 33,330.00
Rp 3,348.15
Rp 35,350.00
Rp 35,350.00
Rp 3,030.00
Rp 5,050.00
Rp 35,350.00
Rp 35,350.00
Rp 3,030.00
Rp 5,050.00
Rp 5,081.31
Rp 30,300.00
Rp 70,700.00
Rp 5,050.00
Rp 36,107.50
Rp 11,160.50
Rp 733,408.47
Rp 35,350.00
Rp 6,893.76
Rp 42,243.76
Rp 30,300.00 dr. Vhiolen
Rp 70,700.00
Rp 5,050.00
Rp 121,200.00
Rp 3,030.00
Rp 5,252.00
Rp 10,110.10
Rp 12,604.80
Rp 84,231.98
Rp 3,348.15
Rp 6,565.00
Rp 5,252.00
Rp 15,152.02
Rp 30,300.00 dr. assaad
Rp 70,700.00
Rp 5,050.00
Rp 5,908.50
Rp 2,626.00
Rp 487,380.55
Rp 28,886.00
Rp 137,208.50
Rp 63,680.50
Rp 115,544.00
Rp 30,300.00
Rp 30,300.00
Rp 70,700.00
Rp 70,700.00
Rp 5,050.00
Rp 101,000.00
Rp 101,000.00
Rp 5,252.00
Rp 7,878.00
Rp 39,390.00
Rp 14,443.00
Rp 70,700.00
Rp 5,050.00
Rp 11,160.50
Rp 112,918.00
Rp 525.20
Rp 1,116.05
Rp 689.83
Rp 1,114,391.58
Rp 43,900,371.98
TOTAL PEMASUKAN SETIAP
TOTAL PEMASUKAN SETIA
NO TANGGAL NO NAMA PASIEN APOTEK IGD

1 1-Jun-2019 1 An Jethro Arjuna Rp 2,954.25 Rp -
2 Tn Muh Asis Rp - Rp -
3 An Ahmad Zubair Rp 50,550.50 Rp 106,050.00
4 Ny Mutmainna Rp 10,766.60 Rp 106,050.00
5 Ny Titiek Rp 13,064.35 Rp 166,650.00
6 Ny Tutwuri Rp 41,687.75 Rp 106,050.00
7 An Alif Rp 520,463.10 Rp 106,050.00
8 Ny Nursahra Rp 231,088.00 Rp -
9 Ny Indah Rp 3,282.50 Rp -
10 An Arsyilla Rp 27,583.10 Rp 176,750.00
11 An Mirza Hidayat Rp 106,353.00 Rp 227,250.00
2 2-Jun-2019 1 Ny Shinta Rp 1,969.50 Rp -
2 Ny Indri Rp - Rp -
3 An Naura Rp - Rp 176,750.00
4 Ny Sahriani Rp 115,544.00 Rp -
5 Ny Leny Rp 3,030.00 Rp -
6 An Fathan Rp 134,582.50 Rp -
3 3-Jun-2019 1 Muh Khalaf Rp 108,322.50 Rp -
2 Tn Adi Rp 11,817.00 Rp -
3 Ny Martina Rp 42,773.50 Rp -
4 Ny Novi Rp 34,314.75 Rp -
5 An Andini Rp - Rp -
6 Fitri Rp 13,655.20 Rp -
7 Inggriani Rp 13,000.00 Rp -
8 Ny Jusmiati Rp 15,150.00 Rp -
9 Ny Jusmiati Rp - Rp -
10 Ferdinand Immanuel Rp 21,664.50 Rp -
11 An Ferdinan Immanuel Rp - Rp 176,750.00
12 Tn Suriadi Rp 55,802.50 Rp 106,050.00
13 Ny Irmawati Rp - Rp -
14 Ny Evitamala Rp - Rp -
15 Marwah Rp - Rp -
16 Hasbiah Rp 125,391.50 Rp -
17 Ny Siti Aisyah Rp 16,543.80 Rp 106,050.00
18 Jhordia Rp 51,338.30 Rp 126,250.00
4 4-Jun-2019 1 An Bilal Rp 13,130.00 Rp -
2 Ny Serly Anggraeni Rp 33,188.60 Rp 106,050.00
3 Tn Machmud rode Rp 97,667.00 Rp 101,000.00
4 An Bilal Rp 151,011.16 Rp 338,350.00
5 5-Jun-2019 1 Mita Rp 5,514.60 Rp -
2 Nn Ningsih Rp 2,888.60 Rp -
3 Nn Mita Rp 18,806.20 Rp -
4 Ny Sonia Rp 2,020.00 Rp -
5 An Ferdinand Immanuel Rp 93,546.20 Rp 106,050.00
6 M Hidayat Rp 27,573.00 Rp 106,050.00
7 An Evan Filbert Rp 2,822.95 Rp 106,050.00
8 Naharia Rp 135,203.65 Rp 106,050.00
9 An Khaira Khanza Rp 54,757.15 Rp 106,050.00
10 Ny Jory Rp 6,696.30 Rp 106,050.00
6 6-Jun-2019 1 Irma Rp 30,855.50
2 Siti Aisyah Rp 23,765.30 Rp 101,000.00
3 An Zahra Askadina Rp 6,827.60 Rp 106,050.00
4 Retno Widyaningsih Rp 30,592.90 Rp 101,000.00
5 Tn Ardan Rp 81,143.40 Rp -
6 Tn Sapri Rp 4,595.50 Rp -
7 Ny Titiek Rp 20,200.00 Rp -
8 An Adrian Rp - Rp 106,050.00
9 An Tauh Awan Rp 6,302.40 Rp -
7 7-Jun-2019 1 Tn Machmud rode Rp - Rp 181,800.00
2 An Jasmine Rp 104,777.40 Rp -
3 Ny Nia Rp 984.75 Rp -
4 An Jasmine Rp 122,664.50 Rp 106,050.00
8 8-Jun-2019 1 Ny Wiwi Rp 6,565.00 Rp -
2 Kak Ima Rp 15,362.10 Rp -
3 Ny Laras Rp 8,534.50 Rp -
4 An Devan Rp 6,565.00 Rp -
5 Ny Desiati Rp 6,565.00 Rp 106,050.00
6 Tn Markus Rp 12,130.10 Rp 106,050.00
9 9-Jun-2019 Tn Irwan Rp 7,878.00 Rp -
An Emir Rp 13,130.00 Rp -
An Junardy Rp 30,326.26 Rp -
Ny Yunny Rp 65,420.73 Rp 243,410.00
10 10-Jun-2019 1 Ny Hadija Rp 1,444.30 Rp -
2 Nn Nofianti Rp 1,969.50 Rp 106,050.00
3 Eva Rp 22,452.30 Rp -
4 Ny Winanda Rp 1,444.30 Rp -
5 Andira Rp - Rp -
6 An Belly Palilu Rp - Rp 106,050.00
7 An Azka Rp - Rp 106,050.00
8 Siti Aisyah Rp - Rp 106,050.00
9 Ny Wiwi Rp - Rp -
10 Fitriani Rp - Rp -
11 An Alfarghaivi Rp - Rp -
12 Monica Anzani Rp - Rp -
13 Ny Asridayanti Rp - Rp -
14 Suriayana Rp 3,282.50 Rp 106,050.00
11 11-Jun-2019 1 dr. Vhiolen Rp 17,200.30 Rp -
2 Tn. gunawan/An. Syakila Rp 34,138.00 Rp -
3 Ny. Asviati Rp 69,589.00 Rp -
4 Ny. St murniati Rp 115,544.00 Rp -
5 Ny. Isda Rp 115,544.00 Rp -
6 Ayu lestari Rp 3,151.20 Rp -
7 Ny. Nur asia Rp 50,550.50 Rp -
8 Kiki Rp 4,726.80 Rp -
9 An. Azra azalia azzahra Rp 166,094.50 Rp 106,050.00
10 Sumantri Rp - Rp 101,000.00
11 An. Muh. Fathian raffasya Rp - Rp -
12 By. Ahmad alfatih jibril Rp - Rp -
13 Ny. Ristiya heralita Rp - Rp -
14 Ny. Rostiana Rp - Rp -
15 Ny. Rosmawati Rp - Rp -
16 An. Bianca alesha D Rp 55,019.75 Rp 106,050.00
12 12-Jun-2019 1 Ny Riska Rp 8,534.50 Rp -
2 Ny Riska Rp - Rp -
3 By Riska Tirta Rp 74,315.80 Rp 176,750.00
4 An. Aulia putri restu rahayu Rp 5,651.96 Rp 106,050.00
13 13-Jun-2019 1 tn dian prasetyo Rp 12,000.82 Rp 106,050.00
2 an ahmad muadz Rp 5,252.00 Rp 101,000.00
3 an muh. Akswan Rp 2,363.40 Rp -
4 nia lestari Rp 115,544.00 Rp -
5 by lailatul rahmi Rp 1,181.70 Rp -
6 ny sofi kurnia Rp 101,101.00 Rp -
7 an.nobel Rp - Rp 106,050.00
8 ny suleha Rp 202,202.00 Rp -
9 ny. Remalia Rp 32,825.00 Rp -
10 ny.dzulfitri Rp 98,475.00 Rp -
11 ny. Risna rapika hasibuan Rp 98,475.00 Rp -
12 ny. Azizah Rp 115,544.00 Rp -
13 ny. Kurnia Rp 17,776.00 Rp -
14 14-Jun-2019 1 ny heriana Rp 343,006.10 Rp -
2 by ny heriana Rp - Rp -
3 an.nofrianti timang Rp - Rp 106,050.00
4 an rivaldi timang Rp 21,008.00 Rp 101,000.00
5 an.nasya Rp 54,082.27 Rp 106,050.00
6 ny harini dwi prihatini Rp 17,856.80 Rp 106,050.00
15 15-Jun-2019 1 ny noviana Rp 15,152.02 Rp -
2 an hafis Rp 1,181.70 Rp -
3 bayi syarif Rp 1,181.70 Rp -
4 an naylas Rp 1,181.70 Rp -
5 an muh dafi rajendra Rp 12,880.53 Rp 106,050.00
6 by andi aisyah Rp 1,181.70 Rp -
7 p.rahman Rp 1,767.50 Rp -
8 an fayyadh athaya Rp 12,158.38 Rp -
9 an abil sidiq maulana Rp - Rp -
10 an adriel kameloan Rp 11,423.10 Rp -
11 tn sangga Rp - Rp -
16 16-Jun-2019 1 zahra dyah ramadhani Rp 15,493.40 Rp 106,050.00
2 ainhi mufida zahra m Rp 9,191.00 Rp 106,050.00
3 ny yasseng Rp 52,641.20 Rp 207,050.00
4 yulianus bara Rp 7,878.00 Rp -
5 tn fadel Rp 6,827.60 Rp -
6 ny marini pare kombong Rp - Rp 121,200.00
7 yance lase Rp 18,513.30 Rp 391,880.00
8 ny dewi Rp 94,010.80 Rp 106,050.00
9 an naflah Rp 21,664.50 Rp -
10 nn. Elnath tri siptiani putra Rp 85,476.30 Rp 191,900.00
11 an.abdullah Rp 14,443.00 Rp -
12 ny. Nurianti Rp 5,979.20 Rp -
13 ny. M asiah Rp 18,119.40 Rp -
17 17-Jun-2019 1 nur alang Rp 98,475.00 Rp -
2 nur putri utami Rp 101,757.50 Rp -
3 trisan sakti Rp - Rp -
4 ny. Salma Rp - Rp -
5 Siti Aisyah Rp - Rp 121,200.00
18 18-Jun-2019 1 tn rusli liang Rp 21,270.60 Rp 101,000.00
2 andriana dahiawali Rp 42,773.50 Rp 106,050.00
3 gezray tallu padang Rp 43,000.75 Rp -
4 muh abizar Rp 14,521.78 Rp -
5 alifa Rp 36,107.50 Rp -
6 an azka Rp 112,918.00 Rp -
7 ny bandry Rp - Rp -
8 trisnawati Rp 173,975.53 Rp 265,630.00
9 an siti nur afifah Rp 787.80 Rp -
10 eva Rp - Rp 42,869.45
11 ny. Sarifah Rp - Rp -
19 19-Jun-2019 1 ny.nurputri Rp 15,152.02 Rp -
2 ny.verawati Rp 15,152.02 Rp -
3 ny.suci Rp 98,475.00 Rp -
4 ny evi tamala Rp - Rp -
5 ny iner Rp 2,020.00 Rp -
6 an. Asima adelia Rp 50,550.50 Rp -
7 ny. Maria Rp 5,908.50 Rp -
8 ny. Tabita bokkok Rp 15,637.83 Rp 106,050.00
9 Tn. Hendrik a. Cahyono Rp 55,159.13 Rp 106,050.00
10 an. Tisya deolina Rp - Rp -
20 20-Jun-2019 1 Elche yulniaty Rp - Rp 101,000.00
2 Amalia Kirani Rp - Rp 101,000.00
3 Ny.Hana Rp 32,825.00 Rp -
4 An. Kelvin Rp - Rp -
5 A. Nining sulfiana Rp 19,695.00 Rp -
6 rian Rp 5,908.50 Rp -
7 tn.risal Rp 22,872.46 Rp 106,050.00
8 Nn.salpiati Rp 20,226.26 Rp 106,050.00
9 by. Ny. Sofi kurniati Rp - Rp -
21 21-Jun-2019 1 Ny. St murniati Rp 115,544.00 Rp -
2 K'maryam Rp 24,290.50 Rp -
3 An.Gabriel Rp 3,413.80 Rp -
4 Ny.Reni Rp 35,000.00 Rp -
5 muh. Rafli maulana Rp 97,212.50 Rp -
6 an. Gideon Rp 30,724.20 Rp -
7 an.asril Rp 18,221.41 Rp 106,050.00
8 Muh.gaza Rp 24,214.75 Rp 297,950.00
9 An.arkananta Rp 43,778.45 Rp 326,230.00
10 An Fadlur rahman Rp 95,980.30 Rp 106,050.00
22 22-Jun-2019 1 tn wahyu risandi Rp - Rp -
2 sitti fuji aulianti Rp 65,650.00 Rp 106,050.00
23 23-Jun-2019 1 waode nursani Rp 96,242.90 Rp 106,050.00
2 Hj Suwarni Rp 26,916.50 Rp 141,400.00
3 an arkananta Rp - Rp 131,300.00
4 an ketut priana abdi Rp 45,561.10 Rp 101,000.00
5 ny mia Rp 6,827.60 Rp -
6 ny mita Rp 13,852.15 Rp -
7 H. Mansyur Rp 7,221.50 Rp 106,050.00
24 24-Jun-2019 1 tn akil Rp 21,664.50 Rp -
2 an syakirah Rp 36,107.50 Rp 106,050.00
3 Vharel Vicro Rp - Rp 101,000.00
4 Imam Al kayyils Rp 46,874.10 Rp 106,050.00
5 Muh Gaza Rp 50,500.00 Rp 95,950.00
6 An Natanael Rp - Rp 101,000.00
7 Tn Andi Asdar Rp 61,067.63 Rp 455,510.00
8 Tn Amiruddin Rp 21,336.25 Rp 166,650.00
9 Sukmawati Rp 5,383.30 Rp 106,050.00
25 25-Jun-2019 1 an cattleya ayunidya Rp 21,664.50 Rp 176,750.00
2 an irfan nur Rp - Rp 95,950.00
3 tn syamsir jaya Rp 19,117.28 Rp 106,050.00
4 An. Punita Christiani kadang Rp 20,705.00 Rp -
5 An. Mutia Rp 50,550.50 Rp -
6 Ny. Adolpina nelwin Rp 25,892.36 Rp -
7 Ny. Jusmiati Rp 20,220.20 Rp -
8 Ny. Syarifah Rp - Rp -
9 An. Muh Aditya Rp 158,125.60 Rp 106,050.00
10 An. Muh Aditya Rp 66,660.00 Rp -
26 26-Jun-2019 1 Ny. Siti aisyah Rp - Rp 121,200.00
2 An. Imam al kayyis Rp 15,931.74 Rp 101,000.00
3 Kak Jasmin Rp 1,365.52 Rp -
4 An. Muh Fathan Rp - Rp -
5 Ny. Dwi fitria ahyani Rp 10,766.60 Rp 106,050.00
6 Tn. Yulianus Rp 39,074.88 Rp 106,050.00
7 An. Muh al qusmim Rp 72,215.00 Rp 106,050.00
27 27-Jun-2019 1 Awal Rp 9,387.95 Rp -
2 An. Muh nur khafiq Rp 37,743.70 Rp 101,000.00
3 An. Zaidan zaky riskullah Rp 25,589.36 Rp 207,050.00
4 Ny. Hariani Rp 3,348.15 Rp -
5 Bayi Andini Rp 3,030.00 Rp -
6 Bayi Intan Rp 3,030.00 Rp -
7 amin Rp 5,081.31 Rp -
8 An. Azzahra khumairah Rp 47,268.00 Rp 106,050.00
28 28-Jun-2019 1 An. Akmal Rp 35,350.00 Rp -
2 Tn. Thomas Rp 6,893.76 Rp -
29 29-Jun-2019 1 An. Muh alif Rp 122,112.03 Rp 230,280.00
2 Tn. H. Ngewa Rp 5,252.00 Rp -
3 Nanda Rp 15,152.02 Rp -
4 An. Nafisa revi Rp 8,534.50 Rp 106,050.00
30 30-Jun-2019 1 Ny. Asriani Rp 345,319.00 Rp -
2 An. Muh Azhar Rp - Rp -
3 Tn. Mursyidin Rp - Rp -
4 Ny. Ratna Juwita Rp - Rp 101,000.00
5 Tn. Andi Erwin Rp 66,963.00 Rp 106,050.00
6 An. Sharon natamia limbu T Rp 126,409.58 Rp 106,050.00
TOTAL KES. SETIAP RUANGAN Rp 8,807,905.03 Rp 13,338,509.45
TAL PEMASUKAN SETIAP RUANGAN BULAN 4 (APRIL)
OTAL PEMASUKAN SETIAP RUANGAN BULAN 6 (JUNI)
LAB POLI OBGYN POLI ANAK PERAWATAN

Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 202,000.00 Rp - Rp - Rp 808,000.00
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 202,000.00 Rp - Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 404,000.00 Rp - Rp - Rp 3,731,950.00
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 202,000.00 Rp - Rp -
Rp - Rp 202,000.00 Rp - Rp -
Rp - Rp - Rp 257,600.50 Rp -
Rp - Rp 305,525.00 Rp - Rp -
Rp - Rp 202,000.00 Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp 207,050.00 Rp -
Rp - Rp - Rp 207,050.00 Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 202,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 202,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp 207,050.00 Rp -
Rp - Rp - Rp 207,050.00 Rp -
Rp - Rp - Rp 207,050.00 Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 202,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp 207,050.00 Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp 207,050.00 Rp -
Rp - Rp - Rp 207,050.00 Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 3,200,000.00
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 282,800.00 Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp 202,000.00 Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp 30,300.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 202,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 257,550.00 Rp 80,800.00 Rp - Rp 520,150.00
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 287,850.00 Rp - Rp -
Rp - Rp 282,800.00 Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp 303,000.00
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 101,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 202,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 30,300.00 Rp - Rp - Rp -
Rp 30,300.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 202,000.00 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 3,883,450.00 Rp 5,587,825.00 Rp 2,116,000.50 Rp 8,563,100.00
VK KET
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 35,350.00
Rp -
Rp -
Rp 30,300.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 35,350.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 33,330.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 20,200.00
Rp -
Rp -
Rp 20,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 30,300.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 50,500.00
Rp -
Rp -
Rp -
Rp -
Rp 70,700.00
Rp -
Rp 70,700.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 70,700.00
Rp 101,000.00
Rp 101,000.00
Rp -
Rp 176,750.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 252,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 35,350.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 50,000.00
Rp -
Rp -
Rp 38,380.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 196,142.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 33,330.00
Rp 75,750.00
Rp 75,750.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,603,582.00
NO TANGGAL NO. NOTA/KWITANSI
1 1-Jun-2019 1
2
3
JUMLAH PENGELUARAN 3
2 2-Jun-2019 1
2
3 3-Jun-2019 1
2
3
4 4-Jun-2019 1
5 5-Jun-2019 1
6 8-Jun-2019 1
7 10-Jun-2019 1
2
3
4
5
6
7
8 11-Jun-2019 1
2
3
9 12-Jun-2019 1
2
3
4
5
6
11 14-Jun-2019 1
2
3
4
5
6
7
8
9
10
11
12
12 16-Jun-2019 1
13 17-Jun-2019 1
2
14 18-Jun-2019 1
2
3
15 19-Jun-2019 1
16 20-Jun-2019 1
2
3
4
5
6
7
8
9
16 21-Jun-2019 1
17 22-Jun-2019 1
2
3
4
5
6
18 23-Jun-2019 1
2
3
4
19 24-Jun-2019 1
2
3
4
5
6
7
25 25-Jun-2019 1
26 26-Jun-2019 1
2
27 27-Jun-2019 1
2
28 28-Jun-2019 1
2
3
4
29 29-Jun-2019 1
2
3
4
30 30-Jun-2019 1
2
3
NO TANGGAL NO. NOTA/KWITANSI
1 13-Jun-2019
002/RSIAMH/DPR/0619/02
1 14-Jun-19
002/RSIAMH/APT/0619/03
3 002/RSIAMH/APT/0619/02
4 002/RSIAMH
1 16-Jun-2019 002/RSIAMH
JUMLAH PENGELUARAN
1 18-Jun-2019 002/RSIAMH
1 20-Jun-2019
002/RSIAH/BHP/0619/02
002/RSIAH/APT/0619/07
1 21-Jun-2019
002/RSIAMH/DPR/0619/04
21-Jun-2019
002/RSIAH/APT/0619/09
002/RSIAH/APT/0619/10
2
24-Jun-2019
002/RSIAMH/BHP/0619/05
002/RSIAMH/BHP/0619/06
25 25-Jun-2019 1
2
26 26-Jun-2019 1
2
27 27-Jun-2019 1
2
28 28-Jun-2019 1
2
3
29 29-Jun-2019 1
2
30 30-Jun-2019 1
2
3
JENIS PENGELUARAN
pembayaran uang bahan dapur untuk bulan Mei
Pembelian Bahan Dapur
Uang THR Karyawan (Khusnul khatimah)
JUMLAH
Paracetamol Infus Apotik
Abocat 22
JUMLAH
F4 Folio
Pisang
Ondansetron
JUMLAH
Gas Tabung Besar
JUMLAH
Galon
JUMLAH
Galon
JUMLAH
Materai 6000
J-Plus cf
Air Dos
Nasi Campur
Nasi Kotak
Kertas F4 Sidu
Ceftriaxone 1 G Injeksi 10 vial
JUMLAH
Nasi padang
Air mineral
Galon
JUMLAH
PT. SAPTA SARITAMA
PT. SAPTA SARITAMA
Galon
Bahan dapur
PT. BINA SAN PRIMA
JUMLAH
Ventolin nebulizer
Ceftriaxone vial
Panjar gaji (bu ria)
panjar gaji (kak narti)
galon
Pak plastik
kertas puyor
Ceftriaxone vial
beli obat apotik kimia farma
ondansetron 4 mg
spoit 3 cc
PT. BINA SAN PRIMA
JUMLAH
Galon
JUMLAH
Pembayaran uang dapur
Jasa Pemasangan Implan
JUMLAH
Galon
Gas O2
Dilvent Genius 20L (alat lab)
JUMLAH
Formom Kaplet 1 Box
JUMLAH
ceftriaxone sirup
Galon
obat obatan
Bayar jasa Ambulance
Makanan dan Minuman
Ceftriaxone 1 G Injeksi 10 vial
Formom Kaplet
JUMLAH
JUMLAH
santan kara
Paracetamol Infus
Kertas A4 kiki
Selotip Bening
Beli Pulpen
Pembayaran Bahan Dapur
JUMLAH
Tabung 12lg
galon
galon
Materai 6000
JUMLAH
galon
Shamu erg led 7 w
Pembayaran Faktur Pt Alprido Alkesindo
Pembayaran Faktur Pt Alprido Alkesindo
Makanan dan Minuman
Tehhh kotak
Map Snelhekter
JUMLAH
JUMLAH
Pembayaran vaksin dan buku KIA
pembelian air galon
JUMLAH
pembelian bahan dapur
pembelian air galon
JUMLAH
Kapur Barus
pembayaran faktur PT. Saptasaritama
Pembayaran Bahan Dapur
JUMLAH
Tehhh kotak
pembelian air galon
Minyak Bimoli 2L
stella in one lmn
JUMLAH
Ceftriaxone vial
AC Fresh orange
Fentoniyl Inj
JUMLAH
TOTAL PENGELU
NAMA
bahan dapur
ATK
JUMLAH
Ny Hariana
ceftriaxone `1,0 G injeksi
Tn Haris
ceftriaxone
ketorolac 1 vial/amp
An Nediva
ondansentron 4 mg
spoit 3 cc
galong
JUMLAH
galon
JUMLAH
galon
galon
Cotrimoxasole Sirup
baha dapur
an.anjuna
an.gideon
galon
Paracetamol Syr
santan kara
toko alfaria tri jaya

bhp

JUMLAH
Pembayaran vaksin dan buku KIA
pembelian air galon

pembelian air galon
Kapur Barus
pembayaran faktur PT. Saptasaritama
Tehhh kotak
pembelian air galon
Ceftriaxone vial
AC Fresh orange
KETERANGAN QUANTITY
Pembelian Bahan Dapur LS
Pembayaran uang THR 1
Pembelian Obat & Alkes LS
Pembelian Kertas HVS 1
Pembelian Bahan Dapur 1
Penggantian Uang Pasien BPJS 2
Pembelian Galon RS 1
Pembelian Materai BPJS 2
ket.tidak jelas 1
Konsumsi 1
Konsumsi 2
Konsumsi 7
Pembelian Kertas HVS 1
PT. Dos Ni Roha 1
Konsumsi OK 8
Konsumsi OK LS
Faktur pembayaran obat LS
panjar gaj karyawan 1
panjar gaj karyawan 1
pembelian galon RS 1
pembelian plastik 1
pembelian kertas 1
Faktur pembayaran obat 1
Pembayaran dapur tgl 1-3 juni 1
Jasa Pemasangan Implan 1
PT. Samator Gas Industri 1
Pt. Rayhan Alkesindo 1
PT.Sapta Sari Tama 1
uang jasa ambulance 1
Pembelian Bahan Dapur Ls
Konsumsi Rapat Ls
PT. Dos Ni Roha 1
PT.Sapta Sari Tama LS
Pembelian ATK 2
Pembelian ATK 1
Pembelian ATK 1
Tgl 05-13 juni 2019 LS
Pembelian Materai ke BPJS 10
lampu 1
Kasa Hidrofil 1
ST Non Steril 1
Konsumsi Rapat LS
Konsumsi Rapat 6
Pembelian ATK 3
Kak Fitri (VK)
pembelian air galon 1
pembelian bahan dapur LS
Pembelian kapur barus 1
pembayaran faktur obat 1
Tgl 14-18 juni 2019 LS
Konsumsi 5
pembelian bahan dapur 6
Pengharum Ruangan 1
penggantian uang bpjs 4
Pengharum Ruangan LS
TOTAL PENGELUARAN KESELURUHAN
KETERANGAN QUANTITY
Alat tulis LS
ganti obat pasien rawat inap LS
ganti obat pasien rawat inap

LS
LS
LS
LS
LS
LS

LS
pembelian lampu bohlam igd LS

pembelian air galon

Kak Fitri (VK)

Pembelian kapur barus 1
pembayaran faktur obat 1
Konsumsi 5
penggantian uang bpjs 4
BHP LS
HARGA SAT PENGELUARAN
Rp 1,100,000.00 Rp 1,100,000.00
Rp 25,000.00 Rp 25,000.00
Rp 150,000.00 Rp 150,000.00
L PER TANGGAL
Rp 125,000.00 Rp 125,000.00
Rp 49,500.00 Rp 49,500.00
L PER TANGGAL
Rp 50,000.00 Rp 50,000.00
Rp 10,000.00 Rp 10,000.00
Rp 9,000.00 Rp 18,000.00
L PER TANGGAL
Rp 175,000.00 Rp 175,000.00
L PER TANGGAL
Rp 5,000.00 Rp 5,000.00
L PER TANGGAL
Rp 6,000.00 Rp 6,000.00
L PER TANGGAL
Rp 9,000.00 Rp 18,000.00
Rp 299,000.00 Rp 299,000.00
Rp 19,000.00 Rp 19,000.00
Rp 13,000.00 Rp 26,000.00
Rp 16,000.00 Rp 112,000.00
Rp 55,000.00 Rp 55,000.00
Rp 236,500.00 Rp 236,500.00
L PER TANGGAL
Rp 16,000.00 Rp 128,000.00
Rp 20,000.00 Rp 20,000.00
Rp 6,000.00 Rp 6,000.00
L PER TANGGAL
Rp 428,450.00 Rp 428,450.00
Rp 214,225.00 Rp 214,225.00
Rp 6,000.00 Rp 6,000.00
Rp 15,000.00 Rp 15,000.00
Rp 188,100.00 Rp 188,100.00
Rp 120,000.00 Rp 120,000.00
L PER TANGGAL
Rp 11,000.00 Rp 11,000.00
Rp 49,087.00 Rp 49,087.00
Rp 22,000.00 Rp 22,000.00
Rp 200,000.00 Rp 200,000.00
Rp 400,000.00 Rp 400,000.00
Rp 5,000.00 Rp 5,000.00
Rp 22,500.00 Rp 22,500.00
Rp 20,000.00 Rp 20,000.00
Rp 21,945.00 Rp 21,945.00
Rp 118,000.00 Rp 118,000.00
Rp 9,500.00 Rp 9,500.00
Rp 3,000.00 Rp 3,000.00
Rp 165,014.00 Rp 165,014.00
L PER TANGGAL
Rp 6,000.00 Rp 6,000.00
L PER TANGGAL
Rp 700,000.00 Rp 700,000.00
Rp 70,000.00 Rp 70,000.00
L PER TANGGAL
Rp 5,000.00 Rp 5,000.00
Rp 353,100.00 Rp 353,100.00
Rp 3,300,000.00 Rp 3,300,000.00
L PER TANGGAL
Rp 214,225.00 Rp 214,225.00
L PER TANGGAL
Rp 30,000.00 Rp 30,000.00
Rp 39,000.00 Rp 39,000.00
Rp 5,000.00 Rp 5,000.00
Rp 5,000.00 Rp 5,000.00
Rp 25,000.00 Rp 25,000.00
Rp 5,000.00 Rp 5,000.00
Rp 145,000.00 Rp 145,000.00
Rp 115,500.00 Rp 115,500.00
Rp 267,520.00 Rp 267,520.00
L PER TANGGAL
Rp 25,000.00 Rp 25,000.00
L PER TANGGAL
Rp 296,000.00 Rp 296,000.00
Rp 3,000.00 Rp 3,000.00
Rp 30,000.00 Rp 30,000.00
Rp 47,000.00 Rp 94,000.00
Rp 5,500.00 Rp 5,500.00
Rp 20,500.00 Rp 20,500.00
Rp 613,000.00 Rp 613,000.00
L PER TANGGAL
Rp 175,000.00 Rp 175,000.00
Rp 6,000.00 Rp 6,000.00
Rp 6,000.00 Rp 6,000.00
Rp 7,000.00 Rp 70,000.00
L PER TANGGAL
Rp 5,000.00 Rp 5,000.00
Rp 36,700.00 Rp 36,700.00
Rp 125,400.00 Rp 125,400.00
Rp 209,000.00 Rp 209,000.00
Rp 80,500.00 Rp 80,500.00
Rp 3,000.00 Rp 18,000.00
Rp 4,000.00 Rp 12,000.00
L PER TANGGAL
Rp 7,000.00 Rp 7,000.00
L PER TANGGAL
Rp 100,000.00 Rp 100,000.00
Rp 5,000.00 Rp 5,000.00
L PER TANGGAL
Rp 10,000.00 Rp 10,000.00
Rp 5,000.00 Rp 5,000.00
L PER TANGGAL
Rp 10,000.00 Rp 10,000.00
Rp 10,300.00 Rp 10,300.00
Rp 318,725.00 Rp 318,725.00
Rp 749,000.00 Rp 749,000.00
L PER TANGGAL
Rp 3,000.00 Rp 15,000.00
Rp 5,000.00 Rp 5,000.00
Rp 24,500.00 Rp 147,000.00
Rp 13,000.00 Rp 13,000.00
L PER TANGGAL
Rp 13,000.00 Rp 52,000.00
Rp 23,600.00 Rp 23,600.00
Rp 126,590.00 Rp 126,590.00
L PER TANGGAL
N KESELURUHAN
HARGA SAT PENGELUARAN
Rp 15,000.00 Rp 15,000.00
Rp 6,500.00 Rp 6,500.00
L PER TANGGAL
Rp 21,945.00 Rp 21,945.00
Rp 118,000.00 Rp 118,000.00
Rp 9,500.00 Rp 9,500.00
Rp 3,000.00 Rp 3,000.00
Rp 5,000.00 Rp 5,000.00
L PER TANGGAL
Rp 6,000.00 Rp 6,000.00
L PER TANGGAL
Rp 5,000.00 Rp 5,000.00
Rp. 5000Rp. 5000

Rp. 5000Rp. 5000
Rp 30,000.00
RP. 25000RP. 25000
Rp. 27000Rp. 27000

Rp. 40000Rp. 40000
Rp. 5000 Rp. 5000
Rp 30,000.00 30000
Rp. 3000 Rp. 3000
Rp 36,700.00 36700
Rp 5,000.00
Rp 7,000.00 Rp 7,000.00
L PER TANGGAL
Rp -
Rp 100,000.00 Rp 100,000.00
Rp 5,000.00 Rp 5,000.00
Rp -
Rp -
Rp 10,000.00 Rp 10,000.00
Rp 5,000.00 Rp 5,000.00
Rp 10,000.00 Rp 10,000.00
Rp 10,300.00 Rp 10,300.00
Rp 318,725.00 Rp 318,725.00
Rp 3,000.00 Rp 15,000.00
Rp 5,000.00 Rp 5,000.00
Rp 13,000.00 Rp 52,000.00
Rp 23,600.00 Rp 23,600.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
JENIS PENGELUARAN TOTAL HARGA
Dapur Rp 1,100,000.00
Dapur Rp 25,000.00
BHP Rp 150,000.00
Rp 1,275,000.00
Apotik Rp 125,000.00
Apotik Rp 49,500.00
Rp 174,500.00
ATK Rp 50,000.00
Dapur Rp 10,000.00
Apotik Rp 18,000.00
Rp 78,000.00
Dapur Rp 175,000.00
Rp 175,000.00
BHP Rp 5,000.00
Rp 5,000.00
BHP Rp 6,000.00
Rp 6,000.00
BHP Rp 18,000.00
BHP Rp 19,000.00
BHP Rp 26,000.00
BHP Rp 112,000.00
ATK Rp 55,000.00
Rp 765,500.00
BHP Rp 128,000.00
BHP Rp 20,000.00
Dapur Rp 6,000.00
Rp 154,000.00
Dapur Rp 6,000.00
Dapur Rp 15,000.00
Dapur Rp 120,000.00
Rp 971,775.00
Apotik Rp 11,000.00
Apotik Rp 49,087.00
Apotik Rp 22,000.00
BHP Rp 200,000.00
BHP Rp 400,000.00
BHP Rp 5,000.00
BHP Rp 22,500.00
BHP Rp 20,000.00
Apotik Rp 21,945.00
Apotik Rp 9,500.00
Apotik Rp 3,000.00
Rp 1,047,046.00
BHP Rp 6,000.00
Rp 6,000.00
Dapur Rp 700,000.00
BHP Rp 70,000.00
Rp 770,000.00
BHP Rp 5,000.00
LAB Rp 3,300,000.00
Rp 3,658,100.00
Rp 214,225.00
Apotik Rp 30,000.00
Apotik Rp 39,000.00
BHP Rp 5,000.00
Apotik Rp 5,000.00
BHP Rp 25,000.00
BHP Rp 5,000.00
BHP Rp 145,000.00
Rp 637,020.00
Dapur Rp 25,000.00
Rp 25,000.00
Dapur Rp 296,000.00
Dapur Rp 3,000.00
Apotik Rp 30,000.00
ATK Rp 94,000.00
ATK Rp 5,500.00
ATK Rp 20,500.00
Dapur Rp 613,000.00
Rp 1,062,000.00
Dapur Rp 175,000.00
BHP Rp 6,000.00
Dapur Rp 6,000.00
BHP Rp 70,000.00
Rp 257,000.00
Dapur Rp 5,000.00
BHP Rp 36,700.00
BHP Rp 80,500.00
BHP Rp 18,000.00
ATK Rp 12,000.00
Rp 486,600.00
Dapur Rp 7,000.00
Rp 7,000.00
BHP Rp 100,000.00
Dapur Rp 5,000.00
Rp 105,000.00
Dapur Rp 10,000.00
BHP Rp 5,000.00
Rp 15,000.00
Dapur Rp 10,000.00
BHP Rp 10,300.00
Dapur Rp 749,000.00
Rp 1,088,025.00
BHP Rp 15,000.00
Dapur Rp 5,000.00
Dapur Rp 147,000.00
BHP Rp 13,000.00
Rp 180,000.00
Apotik Rp 52,000.00
BHP Rp 23,600.00
Rp 202,190.00
Rp 13,364,981.00
JENIS PENGELUARAN TOTAL HARGA
DAPUR Rp 15,000.00
AN.KLIP BESAR DAN KECIL Rp 6,500.00
Rp 21,500.00
APOTIK Rp 21,945.00
APOTIK Rp 118,000.00
APOTIK Rp 9,500.00
APOTIK Rp 3,000.00
APOTIK Rp 5,000.00
Rp 157,445.00
Rp 6,000.00
Rp 5,000.00
Galon Rp. 5000

APOTIK Rp. 5000
APOTIK Rp 30,000.00
DAPUR
APOTIK Rp. 27000

APOTIK Rp. 40000
Rp. 5000
APOTIK 30000
jenis pengeluaran dapur Rp. 3000
BHP 36700
Dapur Rp 7,000.00
Rp 7,000.00
Dapur Rp -
BHP Rp 100,000.00
Dapur Rp 5,000.00
Dapur Rp -
Dapur Rp -
Dapur Rp 10,000.00
BHP Rp 5,000.00
Dapur Rp 10,000.00
BHP Rp 10,300.00
BHP Rp 15,000.00
Dapur Rp 5,000.00
Apotik Rp 52,000.00
BHP Rp 23,600.00
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
Dapur Rp -
PENERIMA
PENERIMA
AMINAH
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
KASIR
TOTAL PENGELUA
TANGGAL NO JENIS PENGELUARAN

6/1/2019 1 pembayaran uang bahan dapur untuk bulan Mei
2 Pembelian Bahan Dapur
3 Uang THR Karyawan (Khusnul khatimah)
6/2/2019 1 Paracetamol Infus Apotik
2 Abocat 22
6/3/2019 1 F4 Folio
2 Pisang
3 Ondansetron
6/4/2019 1 Gas Tabung Besar
6/5/2019 1 Galon
6/8/2019 1 Galon
6/10/2019 1 Materai 6000
2 J-Plus cf
3 Air Dos
4 Nasi Campur
5 Nasi Kotak
6 Kertas F4 Sidu
7 Ceftriaxone 1 G Injeksi 10 vial
6/11/2019 1 Nasi padang
2 Air mineral
3 Galon
6/12/2019 1 PT. SAPTA SARITAMA
2 PT. SAPTA SARITAMA
3 Galon
4 Bahan dapur
5 PT. BINA SAN PRIMA
6/14/2019 1 Ventolin nebulizer
2 Paracetamol Infus Apotik
3 Ceftriaxone vial
4 Panjar gaji (bu ria)
5 panjar gaji (kak narti)
6 galon
7 Pak plastik
8 kertas puyor
9 Ceftriaxone vial
10 beli obat apotik kimia farma
11 ondansetron 4 mg
spoit 3 cc
12 PT. BINA SAN PRIMA
6/16/2019 1 Galon
6/17/2019 1 Pembayaran uang dapur
2 Jasa Pemasangan Implan
6/18/2019 1 Galon
2 Gas O2
3 Dilvent Genius 20L (alat lab)
6/19/2019 1 Formom Kaplet 1 Box
6/20/2019 1 Paracetamol Infus Apotik
2 ceftriaxone sirup
3 Galon
4 obat obatan
5 Bayar jasa Ambulance
7 Makanan dan Minuman
8 Ceftriaxone 1 G Injeksi 10 vial
9 Formom Kaplet
6/21/2019 1 Pembelian Bahan Dapur
2 santan kara
3 Paracetamol Infus
4 Kertas A4 kiki
Selotip Bening
5 Beli Pulpen
6 Pembayaran Bahan Dapur
6/23/2019 1 Tabung 12lg
2 galon
3 galon
4 Materai 6000
6/24/2019 1 galon
2 Shamu erg led 7 w
3 Pembayaran Faktur Pt Alprido Alkesindo
4 Pembayaran Faktur Pt Alprido Alkesindo
5 Makanan dan Minuman
6 Tehhh kotak
7 Map Snelhekter
6/26/2019 1 Pembayaran vaksin dan buku KIA
2 pembelian air galon
6/27/2019 1 pembelian bahan dapur
6/28/2019 1 pembelian bahan dapur
2 Kapur Barus
3 pembayaran faktur PT. Saptasaritama
4 Pembayaran Bahan Dapur
6/29/2019 1 Tehhh kotak
3 Minyak Bimoli 2L
4 stella in one lmn
6/30/2019 1 Ceftriaxone vial
2 AC Fresh orange
3 Fentoniyl Inj
TOTAL KES. SETIAP RUANGAN
TOTAL PENGELUARAN SETIAP RUANGAN BULAN 6 (JUNI)
KETERANGAN APOTIK DAPUR BHP

Pembelian Bahan Dapur Rp - Rp 1,100,000.00 Rp -
Pembelian Bahan Dapur Rp - Rp 25,000.00 Rp -
Pembayaran uang THR Rp - Rp - Rp 150,000.00
Pembelian Obat & Alkes Rp 125,000.00 Rp - Rp -
Pembelian Kertas HVS Rp - Rp - Rp -
Penggantian Uang Pasien BPJS Rp 18,000.00 Rp - Rp -
Pembelian Galon RS Rp - Rp - Rp 5,000.00
Pembelian Materai BPJS Rp - Rp - Rp 18,000.00
ket.tidak jelas Rp 299,000.00 Rp - Rp -
Konsumsi Rp - Rp - Rp 19,000.00
Pembelian Kertas HVS Rp - Rp - Rp -
PT. Dos Ni Roha Rp 236,500.00 Rp - Rp -
Konsumsi OK Rp - Rp - Rp 128,000.00
Konsumsi OK Rp - Rp - Rp 20,000.00
Faktur pembayaran obat Rp 428,450.00 Rp - Rp -
panjar gaj karyawan Rp - Rp - Rp 200,000.00
panjar gaj karyawan Rp - Rp - Rp 400,000.00
pembelian galon RS Rp - Rp - Rp 5,000.00
pembelian plastik Rp - Rp - Rp 22,500.00
pembelian kertas Rp - Rp - Rp 20,000.00
Pembayaran dapur tgl 1-3 juni Rp - Rp 700,000.00 Rp -
Jasa Pemasangan Implan Rp - Rp - Rp 70,000.00
PT. Samator Gas Industri Rp 353,100.00 Rp - Rp -
Pt. Rayhan Alkesindo Rp - Rp - Rp -
PT.Sapta Sari Tama Rp 214,225.00 Rp - Rp -
uang jasa ambulance Rp - Rp - Rp 25,000.00
Pembelian Bahan Dapur Rp - Rp - Rp 5,000.00
Konsumsi Rapat Rp - Rp - Rp 145,000.00
PT. Dos Ni Roha Rp 115,500.00 Rp - Rp -
PT.Sapta Sari Tama Rp 267,520.00 Rp - Rp -
Pembelian ATK Rp - Rp - Rp -
Tgl 05-13 juni 2019 Rp - Rp 613,000.00 Rp -
Pembelian Galon RS Rp - Rp 6,000.00 Rp -
Pembelian Materai ke BPJS Rp - Rp - Rp 70,000.00
Pembelian Galon RS Rp - Rp 5,000.00 Rp -
lampu Rp - Rp - Rp 36,700.00
Kasa Hidrofil Rp 125,400.00 Rp - Rp -
ST Non Steril Rp 209,000.00 Rp - Rp -
Kak Fitri (VK) Rp - Rp - Rp 100,000.00
pembelian air galon Rp - Rp 5,000.00 Rp -
pembelian bahan dapur Rp - Rp 10,000.00 Rp -
pembelian air galon Rp - Rp - Rp 5,000.00
pembelian bahan dapur Rp - Rp 10,000.00 Rp -
Pembelian kapur barus Rp - Rp - Rp 10,300.00
pembayaran faktur obat Rp 318,725.00 Rp - Rp -
Tgl 14-18 juni 2019 Rp - Rp 749,000.00 Rp -
pembelian air galon Rp - Rp - Rp -
pembelian bahan dapur Rp - Rp - Rp -
Pengharum Ruangan Rp - Rp - Rp 13,000.00
penggantian uang bpjs Rp 52,000.00 Rp - Rp -
Pengharum Ruangan Rp - Rp - Rp 23,600.00
RUANGAN Rp 3,844,381.00 Rp 4,061,000.00 Rp 1,770,600.00
ATK LAB
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 50,000.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 55,000.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp 3,300,000.00
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 94,000.00 Rp -
Rp 5,500.00 Rp -
Rp 20,500.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 12,000.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 5,000.00 Rp -
Rp 147,000.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 389,000.00 Rp 3,300,000.00

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NO TANGGAL NO.

PASIEN NAMA PASIEN JENIS TINDAKAN

TOTAL PEMASUKAN SETIA

NO TANGGAL NO NAMA PASIEN APOTEK IGD

OTAL PEMASUKAN SETIAP RUANGAN BULAN 6 (JUNI)

LAB POLI OBGYN POLI ANAK PERAWATAN

toko alfaria tri jaya

Pembelian Bahan Dapur

pembelian bahan dapur

JUMLAH TOTAL PER TANGGAL

ganti obat pasien rawat inap LS

ganti obat pasien rawat inap LS

ganti obat pasien rawat inap

JUMLAH TOTAL PER TANGGAL

pembelian bahan dapur LS

ganti obat pasien rawat inap LS

ganti obat pasien rawat inap LS

pembelian bahan dapur LS

pembelian lampu bohlam igd LS

Pembelian Bahan Dapur Ls

pembelian bahan dapur LS

Rp. 5000Rp. 5000

Rp. 27000Rp. 27000

Rp. 3000 Rp. 3000

Galon Rp. 5000

APOTIK Rp. 27000

jenis pengeluaran dapur Rp. 3000

TANGGAL NO JENIS PENGELUARAN

KETERANGAN APOTIK DAPUR BHP

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