Pasien Tunai

RS KARTIKA PULO MAS
JL. PULOMAS TIMUR K No 2

JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
PE
NO Tanggal No.RM Registrasi Nama Penjamin Jasa
1 2/1/2019 APS UMUM 0

2 2/1/2019 YAYUK UMUM 0
3 2/1/2019 BY RATIH UMUM 0
4 2/1/2019 SAARI UMUM 0
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34 2/2/2019 WITA UMUM 0
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43 2/2/2019 13,23,74 0202074 MARYATI UMUM 120,000
44 2/2/2019 13,23,75 0202039 SYARAH UMUM 120,000
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46 2/2/2019 KINA UMUM 0
48 2/2/2019 DEDE UMUM 0
49 2/2/2019 CAHYAT UMUM 0
50 2/2/2019 BAMBANG UMUM 0
51 2/2/2019 REZWZN UMUM 0
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56 2/2/2019 UMUM 0
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60 2/2/2019 12,90,28 0202037 FAZILLA SHAFA ZAFIRA ASURANSI 60,000
61 2/2/2019 11,78,30 0202048 ANDATI ARIANI ASURANSI 120,000
62 2/2/2019 13,23,36 0131009 JAMALLULLAIL ASURANSI 0
63 2/2/2019 RESTU S UMUM 0
64 2/2/2019 ARI P UMUM 0
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68 2/2/2019 13,17,47 0202038 CLAUDIA UMUM 150,000
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71 2/2/2019 13,23,28 0131005 ARI FEBRIANTI ASURANSI 0
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92 2/4/2019 TIVA UMUM 0
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136 2/5/2019 10,88,24 0204104 HASANUDDIN UMUM 60,000
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140 2/6/2019 HIKMATULLAH UMUM 0
141 2/6/2019 13,24,23 0206001 ABIZAR AL GHIFRARY UMUM 70,000
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144 2/6/2019 YUSNI UMUM 0
145 2/6/2019 SOPUTRI UMUM 0
146 2/6/2019 GOW LIM UMUM 0
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153 2/6/2019 13,24,43 0206073 JUMARNI UMUM 120,000
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155 2/6/2019 13,24,17 0205000 RISPA UMUM 0
156 2/6/2019 13,23,94 0203003 WASELI UMUM 0
157 2/6/2019 13,24,10 0204008 JAMANSEN UMUM 0
158 2/6/2019 13,24,10 0204008 JAMANSEN UMUM 0
159 2/6/2019 JONATHAN PURBA UMUM 0
160 2/6/2019 PANDU DWI NARTO UMUM 0
161 2/6/2019 09,18,37 0206080 RATIH ARDIANI ASURANSI 150,000
162 2/6/2019 13,24,41 0206068 KHODIJAH ASURANSI 120,000
163 2/6/2019 13,24,48 0206088 AULIA HAZIMAH UMUM 120,000
164 2/6/2019 SUPRIATI UMUM 0
165 2/6/2019 12,59,43 0206079 ADREENA UMUM 120,000
166 2/6/2019 13,24,38 0206059 ABDUL RAUF UMUM 120,000
167 2/6/2019 12,26,33 0206082 MAHAMERU PUTRA UMUM 60,000
168 2/6/2019 13,24,37 0206057 SAIMI UMUM 120,000
169 2/6/2019 11,88,47 0206072 RAKA FAUZAN UMUM 120,000
170 2/6/2019 13,24,42 0206070 LUGI UMUM 120,000
171 2/6/2019 13,24,44 0206074 HAFIZA UMUM 120,000
172 2/6/2019 13,07,02 0206058 RAYYAN UMUM 120,000
173 2/6/2019 13,24,36 0206056 NINDI UMUM 120,000
174 2/6/2019 13,24,29 0206037 TUNIPAH UMUM 120,000
175 2/6/2019 13,24,32 0206053 FATIMAH UMUM 120,000
176 2/6/2019 13,24,30 0206043 M NAIFAL UMUM 120,000
177 2/6/2019 12,38,02 0206040 ELISA UMUM 120,000
178 2/6/2019 13,24,33 0206041 RENA CITRA M UMUM 120,000
179 2/6/2019 12,99,20 0206030 OKTAFIANA UMUM 120,000
180 2/6/2019 09,45,92 0206042 MEIKIOR AFTA UMUM 120,000
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182 2/6/2019 RSIA TAMBAK UMUM 0
183 2/6/2019 13,24,39 0206061 ADI ISMANTO UMUM 60,000
184 2/6/2019 13,23,63 0206078 WATI JUMIYATI UMUM 60,000
185 2/6/2019 09,18,82 0206064 KHAIRUNISA UMUM 120,000
186 2/6/2019 0206029 B CHAIRUNNISA UMUM 0
187 2/6/2019 10,88,84 0206081 SENO HARYONO ASURANSI 60,000
188 2/7/2019 13,24,59 0206110 AJI AHMAD FAUZI UMUM 70,000
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190 2/7/2019 DIANA UMUM 0
191 2/7/2019 DEDE UMUM 0
192 2/7/2019 JULIATI UMUM 0
193 2/7/2019 TITIE UMUM 0
194 2/7/2019 SUSHI UMUM 0
195 2/7/2019 TIRTONO UMUM 0
196 2/7/2019 AMINAH UMUM 0
197 2/7/2019 WULAN UMUM 0
198 2/7/2019 NUR UMUM 0
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201 2/7/2019 HILDA UMUM 0
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212 2/7/2019 13,24,55 0206005 PANDU DUWINARTO PUTRO UMUM 0
213 2/7/2019 13,24,11 0205009 JAMANSEN PURBA UMUM 0
214 2/7/2019 DATRIM UMUM 0
215 2/7/2019 13,24,74 NURHAYATUN UMUM 0
216 2/7/2019 13,23,76 0207075 SARODJI UMUM 120,000
217 2/7/2019 13,06,94 0207077 TJIO TJOEI TJIN UMUM 60,000
218 2/7/2019 13,23,76 0207060 SAROJI UMUM 60,000
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221 2/7/2019 13,24,29 0207031 TUNIFAH UMUM 120,000
222 2/7/2019 13,24,65 0207047 DEWI MEGAWATI UMUM 60,000
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226 2/7/2019 UDJANG UMUM 0
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230 2/7/2019 12,32,29 0207051 YUNIARTA SITUMORANG ASURANSI 120,000
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235 2/8/2019 12,25,14 0207092 PARDAMEAN SIHOMBING ASURANSI 60,000
236 2/8/2019 11,97,09 0207095 PATRICIO LEONARDO ASURANSI 60,000
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238 2/8/2019 SAARI UMUM 0
239 2/8/2019 ERLINA UMUM 0
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266 2/8/2019 12,67,40 0208014 MICHELLA BUDIJANTO ONGKO W UMUM 0
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480 2/15/2019 12,14,53 0215053 AYRA UMUM 120,000
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483 2/15/2019 IPAH UMUM 0
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500 2/16/2019 13,27,15 0216042 LEKIR AMIR DAUD UMUM 60,000
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502 2/16/2019 13,26,21 0216007 VANNY WIDYAS UMUM 120,000
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512 2/16/2019 10,99,71 0216019 ZULKARNAIN UMUM 60,000
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521 2/17/2019 RAFAEL UMUM 0
522 2/17/2019 ZULAIFAH UMUM 0
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529 2/18/2019 RENI UMUM 0
530 2/18/2019 10,04,77 0217015 HERAWATI UMUM 70,000
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547 2/18/2019 13,27,65 0218150 JADE PRINCOSSA N UMUM 60,000
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550 2/18/2019 RIZKIA UMUM 0
551 2/18/2019 SRI R UMUM 0
552 2/18/2019 ARASYA UMUM 0
553 2/18/2019 BY NY DEVI UMUM 0
554 2/18/2019 IRMAN UMUM 0
555 2/18/2019 MARULI UMUM 0
556 2/18/2019 NURJANI UMUM 0
557 2/18/2019 IRNA UMUM 0
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559 2/18/2019 UDJANG UMUM 0
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582 2/19/2019 RENNI UMUM 0
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590 2/19/2019 10,70,75 0219044 LILIK S UMUM 60,000
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597 2/19/2019 RAMA ZAKI UMUM 0
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600 2/19/2019 ANISA UMUM 0
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611 2/19/2019 13,23,97 0219079 M IBRAHIM SAMIN UMUM 120,000
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616 2/20/2019 13,28,10 0220001 ABDUL RAHMAN UMUM 70,000
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619 2/20/2019 SITI H UMUM 0
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622 2/20/2019 INDAH UMUM 0
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725 2/22/2019 12,72,57 0222045 DHANI DARMAWAN ASURANSI 120,000
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740 2/22/2019 SHANTY UMUM 0
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750 2/23/2019 HANAPI UMUM 0
751 2/23/2019 13,29,45 0221053 KAZHITA PRAMESWARI UMUM 60,000
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753 2/23/2019 13,29,44 0223052 MUHAMMAD UMUM 60,000
754 2/23/2019 LUSI R UMUM 0
755 2/23/2019 DAUN UMUM 0
756 2/23/2019 SINDI UMUM 0
757 2/23/2019 13,29,41 0223046 HENDRI OHIA UMUM 60,000
758 2/23/2019 13,29,35 0221036 SHOLIFAH N UMUM 120,000
759 2/23/2019 13,10,13 0223039 RISKY AYU SWANDARI ASURANSI 150,000
760 2/23/2019 13,22,82 0223038 PENI MIRAHADI ASURANSI 150,000
761 2/23/2019 13,10,13 0223039 RISKY AYU SWANDARI UMUM 0
762 2/23/2019 13,29,43 0220333 DIMAS HENDI ABIYASA UMUM 60,000
763 2/23/2019 13,20,30 0230266 ACHFANI UMUM 0
764 2/23/2019 13,29,47 0221057 TRI YULIEYANTI UMUM 60,000
765 2/23/2019 BAMBANG PURNOMO UMUM 0
766 2/23/2019 QAIREEN A.P UMUM 0
767 2/23/2019 12,09,14 KANDAR SIAHAAN UMUM 0
768 2/23/2019 12,19,47 0223011 MARGARETHA LUCIA UMUM 0
769 2/23/2019 13,23,62 0223007 SUHARYATI UMUM 120,000
770 2/23/2019 13,29,27 0223032 AHMAD UMUM 60,000
771 2/23/2019 13,29,34 0223035 DIMAS GITA SYAPUTRA UMUM 0
772 2/23/2019 13,29,34 0221035 DIMAS GITA SYAPUTRA UMUM 60,000
773 2/23/2019 13,22,83 0223032 ROSBANON DEVI UMUM 150,000
774 2/23/2019 ATIKAH UMUM 0
775 2/23/2019 FUTULOH UMUM 0
776 2/23/2019 APT. ARUMBAI UMUM 0
777 2/23/2019 ESTIKA UMUM 0
778 2/23/2019 YULI UMUM 0
779 2/23/2019 12,20,07 0222012 DISA SABRIYA ASURANSI 120,000
780 2/23/2019 13,29,33 0223034 R.M DIDO UMUM 150,000
781 2/23/2019 12,41,40 0223031 MULYANTO UMUM 150,000
782 2/23/2019 13,29,32 0223033 ANIS A UMUM 150,000
783 2/23/2019 13,10,29 0221010 M IMAM UMUM 0
784 2/24/2019 13,29,52 0224006 APS UMUM 0
785 2/24/2019 13,29,52 0224006 EMIS UMUM 60,000
786 2/24/2019 12,49,75 0224008 SARTINI UMUM 60,000
787 2/24/2019 13,28,79 0221014 ENDANG KARTA JAYA UMUM 0
788 2/24/2019 13,29,59 0224022 KEAN INDRA UMUM 0
789 2/24/2019 SITI JULEHA UMUM 0
790 2/24/2019 12,26,00 0224021 SARNO UMUM 60,000
791 2/24/2019 13,24,57 0224017 PIJAR RDIAN UMUM 60,000
792 2/24/2019 13,29,58 0224018 RISKA MARWANTI UMUM 60,000
793 2/24/2019 13,29,59 0224018 JUPRI GUNAWAN UMUM 60,000
794 2/24/2019 13,29,61 0224022 KEAN INDRA CAHYA UMUM 60,000
795 2/24/2019 APS UMUM 0
796 2/24/2019 12,06,84 0224014 HENDRA SETIAWAN UMUM 60,000
797 2/24/2019 ACHFANI UMUM 0
798 2/24/2019 ISNIWATI UMUM 0
799 2/24/2019 FADHITA UMUM 0
800 2/24/2019 ATIKAH UMUM 0
801 2/24/2019 FITRIASIH UMUM 0
802 2/25/2019 13,29,64 0224627 AZAM HOLIL UMUM 70,000
803 2/25/2019 ACHMAD SYARIL UMUM 0
804 2/25/2019 12,73,58 0224024 SEPTIANA UMUM 60,000
805 2/25/2019 13,29,63 0224026 SYAKIRA UMUM 70,000
806 2/25/2019 13,29,65 0220002 ACHMAD SYAFEI UMUM 70,000
807 2/25/2019 13,27,48 SMANTA UMUM 0
808 2/25/2019 SAARI UMUM 0
809 2/25/2019 SUTARDJO UMUM 0
810 2/25/2019 NANDA UMUM 0
811 2/25/2019 13,29,46 0223010 BAMBANG PURNOMO UMUM 0
812 2/25/2019 REZA UMUM 0
813 2/25/2019 13,29,49 0224002 FITRI ASIH UMUM 0
814 2/25/2019 13,29,97 0223003 QAIREEN AZKADINA UMUM 0
815 2/25/2019 KI AGUS UMUM 0
816 2/25/2019 NURJANI UMUM 0
817 2/25/2019 SRI UMUM 0
818 2/25/2019 12,36,51 DEBBY UMUM 0
819 2/25/2019 TITIN UMUM 0
820 2/25/2019 UDJANG UMUM 0
821 2/25/2019 ARYANI UMUM 0
822 2/25/2019 SITI RUBI UMUM 0
823 2/25/2019 DEWI UMUM 0
824 2/25/2019 SYARIF ALFIN UMUM 0
825 2/25/2019 NUE UMUM 0
826 2/25/2019 10,58,38 0225107 MUNTACO UMUM 60,000
827 2/25/2019 13,29,89 0225106 HANIFAH UMUM 120,000
828 2/25/2019 12,36,51 0225030 DEBBY UMUM 120,000
829 2/25/2019 12,63,40 0225022 SHAKEL ARDHAM UMUM 120,000
830 2/25/2019 10,51,93 0225070 ZAID UMUM 120,000
831 2/25/2019 12,99,20 0225044 OKTAVIANA ELIZABETH UMUM 120,000
832 2/25/2019 13,29,74 0225054 M FATIH UMUM 120,000
833 2/25/2019 13,29,73 0225053 M ZIYAD UMUM 0
834 2/25/2019 13,29,76 0225057 AZZAHRA UMUM 120,000
835 2/25/2019 13,26,30 0225104 AUDIANSYAH JATMIKO UMUM 0
836 2/25/2019 13,19,98 0225068 SITI RINDANI UMUM
837 2/25/2019 13,29,78 0225071 ARVIN UMUM 120,000
838 2/25/2019 12,33,93 0225083 ANAIA UMUM 120,000
839 2/25/2019 13,29,80 0225077 EL ARSHAKA UMUM 120,000
840 2/25/2019 13,29,83 0225082 PATRICIA CALISTA UMUM 120,000
841 2/25/2019 09,15,93 0225099 NABILA UMUM 120,000
842 2/25/2019 13,29,90 0225109 AYRA UMUM 0
843 2/25/2019 13,29,71 0225040 DYLAN JOHAN LAKSONO UMUM 120,000
844 2/26/2019 12,01,51 0225149 HANDRYHAN UMUM 120,000
845 2/26/2019 13,30,09 0225147 BRIEL CANTIKA UMUM 120,000
846 2/26/2019 13,30,08 0225146 NELLIANA KIRANG UMUM 0
847 2/26/2019 13,30,08 0225146 NELLIANA KIRANG UMUM 70,000
848 2/26/2019 13,28,53 0226001 RIDHO AL AHMAD UMUM 70,000
849 2/26/2019 13,30,47 0226117 FANTY ARYANI UMUM 60,000
850 2/26/2019 13,30,49 0226119 BAGAS ASMO P UMUM 60,000
851 2/26/2019 13,30,44 0226113 AKBAR RACHRUL UMUM 60,000
852 2/26/2019 13,30,42 0226111 YOHANUS UMUM 60,000
853 2/26/2019 12,73,47 0226666 DEWI UMUM 120,000
854 2/26/2019 13,25,76 ELI SABET UMUM 120,000
855 2/26/2019 12,76,62 0226103 SUCIATI UMUM 0
856 2/26/2019 11,04,73 0226088 DR. HENTIYANTO UMUM 0
857 2/26/2019 DIAN UMUM 0
858 2/26/2019 EKA L UMUM 0
859 2/26/2019 DR. CHRISPIAN UMUM 0
860 2/26/2019 AKBAR RACHRUL UMUM 0
861 2/26/2019 13,26,09 MULYANINGSIH UMUM 0
862 2/26/2019 AFITA UMUM 0
863 2/26/2019 ENCEK UMUM 0
864 2/26/2019 MUHANI UMUM 0
865 2/26/2019 ARYANI UMUM 0
866 2/26/2019 ARYANI UMUM 0
867 2/26/2019 13,30,47 1902226 FANTY ARYANI UMUM 0
868 2/26/2019 13,29,81 0225002 SYARIF ALVIN UMUM 0
869 2/26/2019 TSUNAMI UMUM 0
870 2/26/2019 NURANI UMUM 0
871 2/26/2019 NURANI UMUM 0
872 2/26/2019 13,28,53 0226043 DINNAR AJENG UMUM 0
873 2/26/2019 SABINA UMUM 0
874 2/26/2019 RADUNIA UMUM 0
875 2/26/2019 MARIA UMUM 0
876 2/26/2019 13,30,20 0226031 ANNISA UMUM 0
877 2/26/2019 13,30,16 0226010 SUPRIYANI UMUM 120,000
878 2/26/2019 13,30,28 0226066 ASHARI UMUM 120,000
879 2/26/2019 13,30,22 0220648 DJAKA UMUM 60,000
880 2/26/2019 13,30,25 0226050 M FADJAR UMUM 60,000
881 2/26/2019 10,51,65 0226075 SYANE UMUM 60,000
882 2/26/2019 13,30,36 0226081 YOKOBUS LADO UMUM 60,000
883 2/26/2019 13,23,97 0226083 M IBRAHIM UMUM 60,000
884 2/26/2019 11,99,63 0226025 SUMARNI UMUM 120,000
885 2/26/2019 MICHAEL UMUM 0
886 2/26/2019 10,92,68 0226006 RIFKI HERMAWAN ASURANSI 60,000
887 2/26/2019 12,85,25 0226034 NABILA THAFANA HARYANTO ASURANSI 120,000
888 2/26/2019 12,89,39 0226033 NIKITA FEBRIHARYANTO ASURANSI 120,000
889 2/27/2019 13,26,13 0226121 BAMBANG MURSALI UMUM 70,000
890 2/27/2019 13,30,50 0227004 NYAI ASMAWI UMUM 70,000
891 2/27/2019 KOKOM UMUM 0
892 2/27/2019 DEWI JAYANTI UMUM 0
893 2/27/2019 AYULIA UMUM 0
894 2/27/2019 MIA UMUM 0
895 2/27/2019 ARIS UMUM 0
896 2/27/2019 13,30,63 0222016 WARTI UMUM 0
897 2/27/2019 13,31,05 0227132 ETIKA DWI CAHYANI UMUM 60,000
898 2/27/2019 13,25,78 0227122 KRISWANTI UMUM 120,000
899 2/27/2019 13,30,95 0227116 ISWATIN UMUM 0
900 2/27/2019 13,30,99 0227123 IFTIKHAR AZRI IHWAN UMUM 60,000
901 2/27/2019 13,31,00 0227124 FAMEELA SEBASTIAN UMUM 60,000
902 2/27/2019 13,30,93 0227112 TARSONO UMUM 60,000
903 2/27/2019 13,30,91 0227108 FARHAN UMUM 60,000
904 2/27/2019 13,28,79 0227111 ENDANG KARTA JAYA UMUM 120,000
905 2/27/2019 12,95,34 0227103 TJOENG FIM UMUM 60,000
906 2/27/2019 13,24,37 0227004 YULI ASTUTI UMUM 0
907 2/27/2019 13,29,85 0225007 MUI UMUM 0
908 2/27/2019 SARIPPUDIN UMUM 0
909 2/27/2019 13,31,04 0227130 CAHYANITA UMUM 120,000
910 2/27/2019 12,82,25 0227113 YUYUN YOHANA UMUM 120,000
911 2/27/2019 13,30,57 0227072 IBRAHIM UMUM 0
912 2/27/2019 13,28,40 0227000 MURNIATI UMUM 0
913 2/27/2019 13,30,36 0227086 YACOBUS UMUM 60,000
914 2/27/2019 13,30,79 0227075 ANGGIETA UMUM 120,000
915 2/27/2019 13,26,88 0227077 HANI GHAIDA UMUM 150,000
916 2/27/2019 12,97,92 0227073 BUDI UMUM 120,000
917 2/27/2019 ZAKY FUAD UMUM 0
918 2/27/2019 YULI ASTUTI UMUM 0
919 2/27/2019 ANTAR UMUM 0
920 2/27/2019 NURWANTI UMUM 0
921 2/27/2019 DEWI UMUM 0
922 2/27/2019 RISMA UMUM 0
923 2/27/2019 YULI UMUM 0
924 2/27/2019 MARIO UMUM 0
925 2/27/2019 13,30,86 0227085 MALIKY UMUM 120,000
926 2/27/2019 13,30,78 0227072 BINAR UMUM 120,000
927 2/27/2019 13,30,6 0227030 HUSEIN UMUM 120,000
928 2/27/2019 13,30,66 0227052 GAVINO UMUM 120,000
929 2/27/2019 13,30,69 0227059 TIMOTHY UMUM 120,000
930 2/27/2019 12,77,99 0227056 ERVINA UMUM 120,000
931 2/27/2019 13,30,65 0227048 DHEA UMUM 60,000
932 2/27/2019 13,30,81 0227081 JIANKENESH UMUM 120,000
933 2/27/2019 13,30,82 0227082 ALFATEH UMUM 120,000
934 2/27/2019 13,30,83 0227083 DINDA UMUM 0
935 2/27/2019 13,30,79 0227071 IGNATIUS UMUM 0
936 2/27/2019 12,01,15 0227055 TUGIMIN UMUM 0
937 2/27/2019 13,28,22 0227068 ALVARAKIO DARRYL UMUM 120,000
938 2/27/2019 13,30,72 0227064 DZHABIYYAH UMUM 120,000
939 2/27/2019 13,30,54 0227018 ANDI RAFFAL UMUM 120,000
940 2/27/2019 12,99,32 0227039 KI AGUS FAUZAN UMUM 120,000
941 2/27/2019 RUMMIYATI UMUM 0
942 2/27/2019 13,19,07 0227074 BUDI UMUM 150,000
943 2/27/2019 13,30,57 0227022 IBRAHIM UMUM 60,000
944 2/27/2019 09,07,13 0227088 MIFTAHUL JANAH ASURANSI 120,000
945 2/27/2019 12,01,15 0227055 TUGIMIN ASURANSI 60,000
946 2/28/2019 YAYAH UMUM 0
947 2/28/2019 13,31,07 0227135 TOGAR S UMUM 70,000
948 2/28/2019 13,31,08 0228001 MURNI AMBAR S UMUM 70,000
949 2/28/2019 13,31,06 0227134 GEWYN UMUM 70,000
950 2/28/2019 SAMMY UMUM 0
951 2/28/2019 10,88,47 MICHAEL UMUM 0
952 2/28/2019 IMAS UMUM 0
953 2/28/2019 NOVIA PARDILLAH UMUM 0
954 2/28/2019 MA'MUN UMUM 0
955 2/28/2019 NGATIEM UMUM 0
956 2/28/2019 LINDA UMUM 0
957 2/28/2019 12,95,16 0228083 CICA UMUM 120,000
958 2/28/2019 09,77,97 0228084 NUR TOIPAH UMUM 120,000
959 2/28/2019 13,31,29 0228085 AMANDA UMUM 60,000
960 2/28/2019 13,31,28 0228086 KHANZA UMUM 60,000
961 2/28/2019 13,31,33 0228096 JUAN UMUM 60,000
962 2/28/2019 13,31,34 0228095 NGISWATUN KHASANAH UMUM 60,000
963 2/28/2019 13,31,43 0228109 AMANDA ANASTASYA UMUM 60,000
964 2/28/2019 13,30,99 0228110 IFTIKHAR AZRI IHWAN UMUM 60,000
965 2/28/2019 13,31,44 0228112 TASYA DEAYANTI UMUM 60,000
966 2/28/2019 11,91,90 0228111 SUDIRMANSYAH UMUM 60,000
967 2/28/2019 13,31,35 0228097 IMAS SITI MASITOH UMUM 0
968 2/28/2019 13,31,27 0220084 DIANA UMUM 120,000
969 2/28/2019 13,31,36 0228098 GERHAT TODO UMUM 60,000
970 2/28/2019 10,88,43 0221000 MICHAEL ASURANSI 0
971 2/28/2019 DANISAH UMUM 0
972 2/28/2019 PENAWANTI SUSIWATI UMUM 0
973 2/28/2019 12,76,29 0228069 DWI INDAH UMUM 0
974 2/28/2019 AZIS UMUM 0
975 2/28/2019 10,48,12 0228065 RAVLI NUR UMUM 0
976 2/28/2019 12,81,12 0228033 SUBIYANTO UMUM 60,000
977 2/28/2019 12,70,77 0228053 AIDEN UMUM 120,000
978 2/28/2019 APS UMUM 0
979 2/28/2019 FITRIANI UMUM 0
980 2/28/2019 NURKAENI UMUM 0
981 2/28/2019 IDA FARIDA UMUM 0
982 2/28/2019 MICHAEL UMUM 0
983 2/28/2019 KALTIN UMUM 0
984 2/28/2019 MUS MUNIK UMUM 0
985 2/28/2019 RAFLI UMUM 0
986 2/28/2019 DANEL UMUM 0
987 2/28/2019 IDA UMUM 0
988 2/28/2019 IDA UMUM 0
989 2/28/2019 ACHYA UMUM 0
990 2/28/2019 DIAN UMUM 0
991 2/28/2019 DIAN UMUM 0
992 2/28/2019 13,31,21 0228068 SHAFIRA RAHMA UMUM 60,000
993 2/28/2019 13,30,55 0227002 MUHAMMAD ZAKY FUADI UMUM 0
SUB TOTAL 43,205,000
RJ TUNAI Rp 214,038,773
DEBIT Rp 119,847,457
ASURANSI Rp 113,626,064
JUMLAH Rp 447,512,294
Pengembalian DP Rp 874,092
T O T A L Rp 446,638,202
PERINCIAN PENDAPATAN RAWAT JALAN POLIKLINIK TUNAI
Periode : 01- 31 FEBRUARI 2019
Tindakan Lab Radiologi P. Medis Fisioterapi Vaksin Daftar ADM Buku Selisih Jam
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 32,500 0 0 0 0 30,000 0 0
0 68,000 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
150,000 0 0 0 0 0 0 0 0
0 150,000 0 0 0 0 25,000 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
400,000 0 0 0 0 0 90,000 0 0
50,000 72,500 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
0 77,500 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
50,000 115,000 0 0 0 0 25,000 0 0
75,000 0 0 0 0 0 25,000 0 0
0 95,000 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
400,000 0 0 0 0 0 90,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
550,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
195,000 205,000 0 0 0 0 25,000 0 0
0 105,000 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
165,000 32,500 0 0 0 0 25,000 0 0
50,000 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 32,500 0 0 0 0 25,000 0 0
80,000 0 0 0 0 0 25,000 0 0
0 150,000 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 55,000 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
120,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 72,500 0 0 0 0 0 0 0
50,000 0 0 0 0 0 25,000 0 0
50,000 0 0 0 0 0 25,000 0 0
50,000 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 72,500 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 182,500 0 0 0 0 25,000 0 0
60,000 115,000 0 0 0 0 25,000 0 0
0 72,500 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 150,000 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
260,000 0 0 0 0 0 0 0 0
250,000 0 0 0 0 0 30,000 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
400,000 0 0 0 0 0 90,000 0 0
0 0 0 0 0 0 30,000 0 0
250,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
75,000 0 0 0 0 0 25,000 0 0
250,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
0 1,144,000 0 0 0 0 0 0 0
50,000 0 0 0 0 0 25,000 0 0
0 169,500 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
150,000 117,500 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
50,000 0 0 0 0 0 25,000 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 182,500 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
150,000 0 0 0 0 0 0 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
50,000 182,500 0 0 0 0 25,000 0 0
0 182,500 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
50,000 0 0 0 0 0 25,000 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
125,000 169,000 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
150,000 0 0 0 0 0 0 0 0
0 72,500 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
115,000 72,500 0 0 0 0 25,000 0 0
50,000 150,000 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
75,000 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200,000 0 0 0 0 0 30,000 0 0
200,000 0 0 0 0 0 30,000 0 0
0 274,000 0 0 0 0 0 0 0
0 131,500 0 0 0 0 0 0 0
0 150,000 0 0 0 0 25,000 0 0
200,000 0 0 0 0 0 30,000 0 0
400,000 0 0 0 0 0 90,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 55,000 0 0
0 0 0 0 0 0 55,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
450,000 0 0 0 0 0 101,250 0 0
0 0 0 0 0 0 25,000 0 0
200,000 0 0 0 0 0 30,000 0 0
80,000 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
80,000 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200,000 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 30,000 0 0
0 72,500 0 0 0 0 25,000 0 0
0 72,500 0 0 0 0 25,000 0 0
70,000 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
115,000 0 0 0 0 0 25,000 0 0
0 150,000 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 25,000 0 0
150,000 0 0 0 0 0 0 0 0
200,000 0 0 0 0 0 30,000 0 0
75,000 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25,000 0 0
0 0 0 0 0 0 30,000 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 310,000 0 0 0 0 25,000 0 0
0 0 0 0 0 0 0 0 0
29,385,000 15,076,500 840,000 0 75,000 0 14,727,500 0 0

Lain-lain Total Dokter Keterangan Debet - Visa Asuransi
10,000 10,000 LAIN2 MATERAI 0 0

0 3,000 FARMASI AMBROXOL
0 112,000 FARMASI SUSU NUTRI BABY
0 35,000 FARMASI NACL 500,KASA STERIL
0 242,500 DR. DINA KONSUL,GDS,AMPLODIPIN,AMBROXOL,ASPILET,DLL
0 68,000 LAB UR-CR
0 150,000 DR. CHRISPIAN KONSUL + ADM
0 85,000 DR. RODI KONSUL + ADM
0 150,000 DR. SYARIF KONSUL + ADM
0 150,000 DR. SYARIF KONSUL + USG PAKET ( Bd. Jas )
0 244,000 DR. MARADEWI KONSUL,H2TL,WIDAL,DEXA,RANITIDINE,DLL 244,000
0 350,000 DR. SYARIF KONSUL + USG UMUM 350,000
0 103,000 FARMASI VIT C,NACL,DISP,AQUA 103,000
0 222,000 FARMASI MECO INJ,VIT C,POLIDEMOSIM,REVANAC
0 15,000 FARMASI UNDERPAD
0 48,000 FARMASI MECO INJ
0 234,000 DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS
0 92,000 DR. REZA M KONSUL,PARATUSIN,VIT B,PCT,AMBROXOL,CTM
10,000 10,000 LAIN2 MATERAI
0 0 DR. LUCAS KONSUL ( FREE ) KARYAWAN
0 640,000 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,DLL 640,000
0 305,500 DR. MARADEWI KONSUL,H2TL,INJ,IBUPROFEN,PEPTIFET,LORATADINE 305,500
0 150,000 DR. ALDERS KONSUL + ADM 150,000
0 77,500 LAB WIDAL 77,500
0 2,000,000 RANAP DEPOSITE KE VIP 0 0
0 2,500,000 RANAP DP KE 1
0 22,000 FARMASI VIT C,MECOBOLAMIN
0 28,000 FARMASI POLYSILENCE
0 125,000 FARMASI KENDIL,MONALISA,WASHLAP,CUKURAN,UNDERPAD
0 770,000 FARMASI LINEN HBSAG 1 NO.1
0 50,000 FARMASI TEGADERM
0 375,000 DR. RODI KONSUL,LAB,SANMOL,VASOFIK,PARACETAMOL,DLL
0 160,000 DR. RODI KONSUL,AFF HEACTING,ADM
5,000 360,000 DR. RODI KONSUL,LAB,TEMPRA,TRAMADOL,STESOLID.DLL 360,000
0 8,240,000 RANAP DEPOSITE KE 2 ( VIP) 8,240,000
0 2,500,000 RANAP DP KE1 2,500,000
20,000 20,000 LAIN2 MATERAI 2
0 430,000 DR. SEBASTIANUS KONSUL,PRUMPITA,PRONAGES,DLL
0 350,000 DR. SYARIF KONSUL + USG UMUM
0 5,000 FARMASI MASKER
0 36,000 FARMASI RITAMPAN ,ETAMBOTAN,INH,PZA
0 15,000 FARMASI SUSU SGM
0 10,000 FARMASI WASHLAP
0 10,000 FARMASI VERBAN 5X5
0 73,000 FARMASI SPASMINAL,CTM,RANITIDINE,COTAMEXAZOLE
0 27,000 FARMASI CETRIZINE.KENACOT,
0 10,000 FARMASI MICROPORE
0 16,000 FARMASI MECO INJ,PONSTAN
10,243,568 10,243,568 RANAP PELUNASAN RANAP 10,243,568
15,000,000 15,000,000 RANAP PELUNASAN RANAP
240,705 240,705 RANAP PELUNASAN RANAP 240,705
0 161,023 DR. REZA M KONSUL,ACTIFED,PARACETAMOL 161,023
0 725,000 DR. SYARIF KONSUL ,USG UMUM,FOLAMIL GENIO,CAL 15,DLL 725,000
0 30,000 FARMASI SIMVES PONSTAN
0 39,000 FARMASI POLYDEMORI
0 16,000 FARMASI SIR PLUS
0 61,000 FARMASI RACIKAN
0 10,000 FARMASI VIT C INJ
0 640,000 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI
189,530 189,530 RANAP EXSES ASURANSI
0 704,000 DR. NURBUANTO KONSUL,AMBIL GRAM,SLITHLUMP,REFLAKSI 704,000
1,100,000 1,100,000 RANAP ALAT MESS DR. MOZART 1,100,000
0 50,000 FARMASI TEGADERM 0 0
0 615,000 DR. EKA LUSI KONSUL,INJ,OBS,INFUS,LAB,PCT,ONZ,RANITIDINE
0 255,000 DR. EKA LUSI KONSUL,LAB,SANMOL,GG,DEXA,VIT C,CEFIXIME
0 97,000 DR. REZA M KONSUL,MELAXICOM,DEXA,VIT B
0 22,000 FARMASI RACIKAN BATUK PILEK PANAS
0 85,000 FARMASI MONALISA,UNDERPAD,WASHLAP,KENDIL
0 9,000 FARMASI AMBROXOL
0 15,000 FARMASI OMBROXAL,CTM,DEXA,VIT C 0 0
0 50,000 FARMASI OPSIDE
0 8,000 FARMASI PRORIS SUPP
0 350,500 DR. MARADEWI KONSUL,OBS,INJ,GDS,KETOROLAC,RANITIDINE,DLL
0 175,000 DR. MARADEWI KONSUL,SUPPOSITEN PRORIS,SANMOL,VOMETA,DLL
0 256,000 DR. MARADEWI KONSUL,OMZ,ONDANSENTRON,SPUIT,RABNITIDINE 256,000
0 2,000,000 RANAP DEPOSITE 2,000,000
0 36,000 FARMASI MECO
0 25,000 FARMASI MKP 60ML
0 41,000 FARMASI VENTOLIN NEBU,MASKER NEBU
0 22,000 FARMASI PANADOL MERAH
0 54,000 FARMASI MICROPORE BESAR,KASA STERIL
0 212,000 DR. DINA KONSUL,PZA,VIT B,CETRIZINE,DLL
0 137,500 DR. MARADEWI KONSUL,AMBROXOL,LORATADINE,VIT C,DLL
0 265,000 DR. MARADEWI KONSUL,INFUS,INJEKSI,OBS
0 275,000 DR. MARADEWI KONSUL,AMBROXOL,DEXA,CTM,LAB-H2TL,WIDAL
-69,498 -69,498 RANAP PENGEMBALIAN DP
0 5,000,000 RANAP DEPOSITE KLS 1
0 0 DR. DANIEL KONSUL ( FREE ) KARYAWAN
0 55,000 DR. LUCAS KONSUL ( FREE) + ADM
0 360,000 DR. BOB KONSUL + USG UMUM,BLESIFA,FOLAVIT,MEFORMIN
0 150,000 DR. HASAN KONSUL + ADM
0 307,000 DR. BOB KONSUL,GV,MOLOROVIT,AMBROXOL,LASIX,DLL
0 100,000 DR. MARADEWI KONSUL,CODEIN,DEXAMETASON
0 13,000 FARMASI INH ,RIFAMPICIN
0 5,000 FARMASI BODREX
0 13,000 FARMASI SGM
30,000 30,000 DR. MARADEWI EXSES ASURANSI 0
0 168,000 DR. MARADEWI KONSUL,RHINOS,AMBROXOL,DEXA,SANMOL,DLL 168,000
0 350,000 DR. BOB KONSUL + USG UMUM 350,000
0 166,000 DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS 166,000
0 19,000 FARMASI ASPILET,MECOBOLAMIN 0 0
0 72,500 LAB H2TL
0 399,000 DR. TEGAR KONSUL,INJ,ASEHSISTEIN,CTM,DEXA,CEFIXIME
0 182,000 DR. TEGAR KONSUL,INJ,RANITIDINE,ONDASRENTRON,DLL
0 205,000 DR. TEGAR KONSUL,INJ,RANITIDINE,PCT,OMZ,ONDAN,DLL
0 2,500,000 RANAP DEPOSITE OP SC
0 5,000 FARMASI AMBROXOL,SALBUTAMOL
0 107,000 DR. REZA M KONSUL,ASMEF,DEXA
0 5,000 FARMASI GENTAMICIN,DEXA
0 150,000 DR. REZA M KONSUL,BUSCOPAN,PARACETAMOL,OMZ
0 72,500 LAB H2TL
0 1,000,000 RANAP DEPOSITE BPJS NAIK KLS 1
0 92,000 DR. MARADEWI KONSUL,AMBROXOL,CTM,VIT C
0 302,500 DR. MARADEWI KONSUL,LAB,CEFIXIME,PCT
0 423,000 DR. MARADEWI KONSUL,LAB,OMZ,VASOVIF,DISP ,SUCIAL FORTE
0 72,500 LAB H2TL 0 0
0 60,000 FARMASI UNDERPAD,WASHLAP,MONALISA
0 22,000 FARMASI VIT C,MECO INJ
0 110,000 DR. REZA M KONSUL,AMOXILIN,GG,CTM,DEXAMETASON
0 107,000 DR. REZA M KONSUL,BUSCOPAN,CTM,RANITIDINE,DONPERIDON
0 75,000 FARMASI PRIMOLIT
0 17,000 FARMASI CYCLOVER,ANTASID
0 123,000 FARMASI CEFIXIME
0 93,000 FARMASI CYTOTEC
0 45,000 FARMASI MICRUPEN
0 258,000 DR. RODI KONSUL,SANMOL,ACTYLISTIN,ONDAN,DLL
0 150,000 LAB H2TL,WIDAL
0 260,000 DR. NOVIADY KONSUL + USG TV ( Bd. Ririn )
0 400,000 DR. NOVIADY KONSUL + USG TV UMUM
0 350,000 DR. NOVIADY KONSUL + USG UMUM
740,037 740,037 RANAP PELUNASAN RANAP 740,037
0 2,000,000 RANAP DEPOSITE KLS 3 2,000,000
0 1,000,000 RANAP DEPOSITE KLS 3 1,000,000
0 763,000 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI ,LAXEBERM 763,000
0 173,000 DR. LUCAS KONSUL,BERANETASON,CETRIZINE,RANITIDINE,DLL 173,000
0 432,000 DR. RIRY KONSUL,USG TV,CEFIXIME,,METRONIDAZL,ASMEF
0 150,000 DR. ALDERS KONSUL + ADM
0 242,000 DR. LUCAS KONSUL,PONSTAN,ALLOPININAL,OMZ
0 221,000 DR. EKA LUSI KONSUL,GV,CEFIXIME,MEFINAL,BETASON N
0 400,000 DR. RIRY KONSUL + USG TV
0 195,000 DR. ALDERS KONSUL ,RACIKAN BUTUK PILEK PANAS
0 350,000 DR. RIRY KONSUL + USG UMUM
0 22,000 FARMASI VIT C,MECO INJ
0 56,000 FARMASI KAEN IB
0 85,000 DR. EKA LUSI KONSUL (FREE ) IBU RIA 85,000
0 114,000 DR. EKA LUSI KONSUL,,CEFIXIME,DEXA,PARASETAMOL, 114,000
0 1,144,000 LAB H2TL,SI,FEBRIN.CA,VIT D 1,144,000
0 455,000 DR. EKA LUSI KONSUL,INJ,NEUROSANBE,SANMOL 455,000
0 474,500 DR. RODI KONSUL,SANMOL,PEPTIFET,LAB,DLL 0 0
0 1,000,000 RANAP DEPOSITE NAIK KLS III KE KELS II 1,000,000
0 41,000 FARMASI TEGADERM SEDANG I
0 275,000 FARMASI LAMINARIA
0 13,500 FARMASI INSTO
0 78,000 FARMASI NOVAFIT
0 25,000 FARMASI AMPLODIPIN,VIT B12
0 53,000 FARMASI MECO INJ,CACO
0 21,000 FARMASI STARDINE,ALKOHOL
0 35,000 FARMASI FOLAVIT TAB
0 107,000 FARMASI CITICOLIN,LAXADIN
0 78,000 FARMASI NOVAFIT
0 0 DR. NOVIADY KONSUL ( FREE ) KARYAWAN
0 267,500 DR. NOVIADY KONSUL + USG PAKET ( Bd. Yupinar )
15,000 15,000 LAIN2 PIRING TATAKAN LAUK
3,200,000 3,200,000 RANAP PELUNASAN RANAP CURATAGE
22,000 22,000 RANAP ODC EXSES
0 186,000 DR. TEGAR KONSUL,INJ,ASETILSISTEIN,DEXA,CEFIXIME,DLL 186,000
0 154,000 FARMASI FOLAVIT TAB,OXCALL 154,000
-1,367,240 -1,367,240 RANAP PENGEMBALIAN DP
0 3,500,000 RANAP DEPOSITE RANAP CURATAGE
0 60,000 FARMASI ANTROMISIN,DOMPERDON,SALBUTAMOL,LOPERAMID
0 173,000 DR. LUCAS KONSUL,SALBUTAMOL,GG,OBH,CEFIXIME
0 306,000 DR. EKA LUSI KONSUL,OBS,INFUS,AQUADEST,VASOFIK,NACL
0 185,000 DR. EKA LUSI KONSUL,THORAK
0 55,000 DR. EKA LUSI KONSUL ( FREE ) + ADM
0 150,000 DR. RIRY KONSUL + ADM
0 103,000 DR. EKA LUSI KONSUL,SANMOL,VOMETA,NEUROBION
0 33,000 FARMASI PARACETAMOL,RANITIDINE,DLL
0 200,000 DR. RODI KONSUL,LAB H2TL,UL
0 14,000 FARMASI MECO INJ,PCT
0 56,000 FARMASI KAEN I.B NO.IV
668,427 668,427 RANAP PELUNASAN RANAP
0 500,000 DR. RIRY KONSUL + AFF SPIRAL 500,000
0 400,000 DR. NURBUANTO KONSUL,REFRAKSI,SLITHLUMP 400,000
0 557,463 DR. RODI KONSUL,PARACETAMOL,TRAMAL,SIMUSTATIN,DLL 557,463
0 210,000 FARMASI NACL 0 0
0 165,000 DR. TEGAR KONSUL,INJ,NADELOPENAT,ZINE,RANITIDINE
0 280,000 DR. TEGAR KONSUL,OBS,PCT,BISOP,NERUROSANBE.DLL 280,000
0 246,000 DR. TEGAR KONSUL,NEUROSANBE,SPUIT,AMBROXOL,DEXA 0 246,000
0 194,000 DR. TEGAR KONSUL,AMBROXOL,SANMOL,CEFADROXIL,DLL 194,000
0 15,000 FARMASI KASSA STERIL
0 20,000 FARMASI KENDIL,UNDERPAD
0 55,000 FARMASI WASHLAP,MONALISA JUMBO
0 252,000 DR. RODI KONSUL,WT,PARACETAMOLTROMBOPOP,DLL
0 200,000 DR. DINA KONSUL,CETRIZIME,CODEIN,DLL
0 1,500,000 RANAP DEPOSITE NAIK KLS BPJS I KE VIP
0 120,250 DR. EKA LUSI KONSUL,SANMOL,METRYL PREDNISON,RHIMOTE 120,250
0 1,000,000 RANAP DEPOSITE NAIK KLS BPJS I KE VIP 1,000,000
-371,483 -371,483 RANAP PENGEMBALIAN DEPOSITE
0 25,000 FARMASI UNDERPAD,PISAU CUKUR
0 20,000 FARMASI MICROPORE,PANADOL EXTRA
0 184,000 DR. LUCAS KONSUL,OMZ,DOMPERDON,PARACETAMOL,EFERIN
0 172,000 DR. EKA LUSI KONSUL,STESOLID,NASAL,SANMOL,DEXA,DLL
0 109,000 DR. TEGAR KONSUL,CETRIZINE,IKEMECETIN,GENTAMICIN
0 100,000 DR. EKA LUSI KONSUL,PCT,RANITIDINE,DOMPERIDON
0 135,000 LAB KOLESTEROL LENGKAP
0 55,000 DR. ALDERS ADM
0 225,000 DR. ALDERS KONSUL,VAK MR
0 0 DR. ALDERS KONSUL ( FREE) KARYAWAN
0 400,000 DR. RIRY KONSUL + USG TV
0 1,205,000 DR. RIRY KONSUL,PAPSMEAR,VAGINAL TOILET,
50,000 50,000 DR. ALDERS EXSES ASURANSI
0 331,800 DR. ALDERS KONSUL,ELKANA,SANMOL 0 331,800
0 5,000 FARMASI PARACETAMOL 0 0
0 55,000 FARMASI MONALISA JUMBO,UNDERPAD,WASHLAP
0 22,000 FARMASI MECOBOLAMIN INJ,VIT C INJ
0 95,000 DR. RODI KONSUL + ADM
12,390 425,390 DR. RODI KONSUL,INJ,WING NEDLE,OMZ,PEPTIFET,DLL 425,390
0 2,000,000 RANAP DP PERAWATAN BPJS
0 160,500 DR. REZA M KONSUL,DEXAMETASON,H2TL
0 4,000 FARMASI CETRIZINE
0 145,000 DR. REZA M KONSUL,GV
0 97,000 DR. REZA M KONSUL,PATATUSIN,DEXA,OBH
0 105,000 DR. REZA M KONSUL,AMBROXOL,CTM,DEXA,AMOX,PRORIS
0 197,000 DR. REZA M KONSUL,SPASMINAL,CTM,DOMPERIDON,DLL
0 446,000 DR. SYARIF KONSDUL,USG,CITITEC,LUMINAL( Bd. Yuli Kasiyati)
0 22,000 FARMASI ACYCLOFIL,PCT,LETRIZINE,ACYLOVIR
0 0 DR. LUCAS KONSUL (FREE)
0 0 DR. SYARIF KONSUL ( karyawan ) FREE
0 200,000 DR. EKA LUSI KONSUL,RANITIDINE,ONDAN,SPUIT,DLL 200,000
0 1,000,000 RANAP DEPOSITE BPJS
0 721,250 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,CLISMA
0 502,000 DR. LUCAS KONSUL,OBS,INJ,LAB,PCT,VASOFIK,OMZ,CODEIN,DLL
0 348,000 DR. RODI KONSUL,EXTRAKSI KUKU,LIDOHON,DLL
0 375,000 FARMASI NOVA T
0 85,000 FARMASI MONALISA,UNDERPAD,WASHLAP,KENDIL,DLL
0 90,000 FARMASI KENDIL,WASHLAP,MONALISA,UNDERPAD,CUKURAN
2,321,385 2,321,385 RANAP PELUNASAN RANAP-INA CBGS 2,321,385
0 10,000 LAIN2 MATERAI 0 0
0 162,500 DR. RODI KONSUL,AMBROXOL,DEXA,H2TL
0 75,000 FARMASI WASHLAP,UNDERPAD,MONALISA,TISU KOTAK
0 597,500 DR. REZA M KONSUL,H2TL,GDS,HIV-HBSAG
0 243,000 DR. TEGAR KONSUL,LAB,ALPROZOLAN
0 231,000 DR. REZA M KONSUL,INJ,GDS,PARACETAMOL,VIT B,VASOFIK
0 108,000 DR. TEGAR KONSUL,DULCOLAK,ZINE
0 85,000 DR. REZA M KONSUL + ADM
10,000 10,000 FARMASI MATERAI
0 18,000 FARMASI MICROPENT
0 25,000 FARMASI UNDERPAD,KENDIL
0 13,000 FARMASI CYCLOFEM INJ
0 104,000 DR. REZA M KONSUL,PARACETAMOL,OMZ,VIT B 104,000
0 88,000 DR. TEGAR KONSUL,PCT, 88,000
0 701,000 DR. ALDERS KONSUL,CEFIXIME,LASAL,DEXA,LIMINAL,DLL 701,000
0 991,250 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,CODEIN,PCT 991,250
0 135,500 DR. REZA M KONSUL,GDS,IBUPROFEN,VIT B,OMZ 0 0
0 186,500 DR. REZA M KONSUL,H2TL,PARACETAMOL,SANMOL,DEXA
0 367,500 DR. REZA M KONSUL,LAB,RANITIDINE,ONDAN,KETROLOC,DLL
0 50,000 FARMASI TEGADERM 1627 NO.1
0 115,000 DR. MARADEWI KONSUL,RANITIDINE,ONDAN,PCT
0 249,000 DR. DANIEL KONSUL,ERISON,DLL
0 234,000 DR. DANIEL KONSUL,ASPILET,OXCALL,ASMEF
0 270,000 DR. MOZART KONSUL + GV
0 15,000 FARMASI AMLODIPIN INJ
0 29,000 FARMASI CEFIXIME,RANITIDINE,PCT
0 290,000 FARMASI RIF 450,ETAMBUL,INH,PZA,CAPTROPIL,CETRIZINE
0 130,000 FARMASI OXCALL,BIOPACETON
3,200,000 3,200,000 RANAP PELUNASAN CURATAGE
0 96,000 DR. ALDERS KONSUL (FREE)
0 154,000 DR. BOB KONSUL,PROSEN,ASMEF
0 166,000 DR. ANDRO KONSUL,SANMOL,VOMETA,LACTO,DLL
0 150,000 DR. NIKO KONSUL + ADM
0 272,000 DR. ALDERS KONSUL,RACIKAN BATUK PILEK PANAS
0 21,000 FARMASI NB I,VIT CI
0 19,000 FARMASI BETASON N
0 65,000 FARMASI MKP 120ML,ALKOHOL
0 20,000 FARMASI VIT C INJ NO.111
0 85,000 DR. ANDRO KONSUL + ADM
0 150,000 DR. DANIEL KONSUL + ADM
0 185,000 DR. HASAN KONSUL,BENZATIN,LIDOCAIN,SPUIT
0 0 DR. ALDERS KONSUL (FREE)
0 72,500 LAB H2TL
0 72,500 LAB H2TL
15,000 15,000 DR. ALDERS EXSES ASURANSI
0 300,000 DR. RIRY KONSUL + USG UMUM
0 50,000 DR. RIRY KONSUL + USG UMUM 50,000
0 255,000 DR. HASAN KONSUL,BENZATIN,LIDOCAIN,SPUIT 255,000
0 240,000 DR. HASAN KONSUL,INPEPSIA,RANITIDINE,LIDOCAIN 240,000
0 421,000 DR. ALDERS KONSUL,RACIKAN BATUK PILEK PANAS 421,000
10,000 10,000 LAIN2 MATERAI 0 0
0 245,000 DR. MARADEWI KONSUL,GV,TINDAKAN,SPUIT,KASSA GULUNG
0 331,000 DR. MARADEWI KONSUL,INJ,KETOROLOC,OMZ,WING NEEDLE,DLL
0 25,000 DR. MARADEWI KONSUL ( FREE )+ ADM
0 250,000 DR. MARADEWI KONSUL,TESTPACK,H2TL,VASOFIK,DLL
0 1,273,000 DR. MOZART KONSUL,TIND. EXSISI,LIDOCAIN,AMOX,MEFINAL
0 14,000 FARMASI MECOBOLAMIN,MEFFORMIN
0 40,000 FARMASI MEFINAL
0 25,000 FARMASI SPASMINAL,STOMACAIN,SANPRIMA,LOMETA,DLL
0 48,000 FARMASI BUSCOPAN PLUS
0 100,000 FARMASI KAIN HBSAG
0 400,000 DR. NURBUANTO KONSUL,SLITHLUMP,REFRAKSI
0 175,000 DR. NURBUANTO KONSUL,SLITHLUMP,REFRAKSI (KARYAWAN ) 175,000
0 250,000 DR. NURBUANTO KONSUL,SLITHLUMP,REFRAKSI (KARYAWAN ) 250,000
0 112,000 DR. REZA M KONSUL,SPASMINAL,CTM,DOMPERIDON,ORALIT
0 400,000 DR. RIRY KONSUL + USG UMUM TV
0 0 DR. DANIEL KONSUL (KARYAWAN FREE)
0 750,000 DR. RIRY KONSUL,USG UMUM TV,AFF SPIRAL
0 150,000 DR. NIKO KONSUL + ADM
0 241,000 FARMASI KASA STERIL,MICROPORE,NACL,ALBUFORCE
0 182,300 FARMASI CITICOLIN,MECOBOLAMIN,ASPILET
0 210,000 FARMASI GENTAMICIN,HEPAFIX,MKP
0 120,000 FARMASI PRIMOLIT
0 150,000 DR. REZA M KONSUL,INJEKSI,AQUADEST 150,000
0 3,000,000 RANAP DEPOSITE
0 216,500 DR. EKA LUSI KONSUL,GDS,CAPTOPINAL,AMOLODIPIN,DLL
0 454,500 DR. EKA LUSI KONSUL,CODEIN,CEFIXIME,SANMOL,LAB
0 5,000,000 RANAP DEPOSITE 5,000,000
0 22,000 FARMASI PARACETAMOL,NEUROBION,BUSCOPAN
0 139,000 FARMASI FOLAVIT,MEDIANUR
0 150,000 DR. SYARIF KONSUL + USG PAKET ( BD. JAS )
0 207,500 DR. ANDRO KONSUL,NEUROSANBE,LANSO,H2TL
0 166,000 DR. MOZART KONSUL,SANPRIMA,NA DICLOFENAT
0 185,000 DR. DINA KONSUL,NA DIKLOFENAT,BETASON,DLL
0 0 DR. NOVIADI KONSUL ( FREE KARYAWAN )
0 0 DR. NOVIADI KONSUL ( FREE KARYAWAN )
-943,262 -943,262 RANAP PENGEMBALIAN DEPOSITE
0 400,000 DR. NOVIADI KONSUL + USG UMUM TV
0 55,000 DR. LUCAS KONSUL (FREE) + ADM
0 169,000 DR. ALDERS KONSUL,BETASON N
0 32,500 LAB GDN
0 432,500 DR. RIRY KONSUL,USG TV,GOL. DARAH
0 240,500 DR. MARADEWI KONSUL,LAB,RANITIDINE,VASOFIK,SPUIT,DLL
0 180,000 DR. LUCAS KONSUL,PONSTAN,ASPILET,RANITIDINE,DLL
0 2,000 FARMASI MASKER TALI
0 4,000 FARMASI NUEW DIATBS
0 50,000 FARMASI VENTOLIN TAB,OBH SYR
1,123,647 1,123,647 RANAP PELUNASAN
0 55,000 DR. ALDERS KONSUL (FREE) + ADM 55,000
0 220,000 DR. EKA LUSI KONSUL,INJ,SPASMINAL,CTM,AMBROXOL,SANMOL 220,000
0 10,000 FARMASI NEUROSANBE 0 0
0 60,000 FARMASI TEGADERM,WASHLAP
0 195,000 DR. ANDRO KONSUL,EKG
0 210,000 DR. ANDRO KONSUL,NEBU,VENTOLIN,NACL,BISOLVON,DLL 210,000
0 287,500 IGD KONSUL,H2TL,CEFIXIME,ACYLOFRIL,DLL 287,500
0 12,000 FARMASI MECOBOLAMIN INJ
0 54,000 FARMASI NASAL,AMPLODIPIN,MECO,PCT
0 20,000 FARMASI RACIKAN SAKIT PERUT PANAS
0 6,000 FARMASI MONALISA EKONOMI
0 10,000 FARMASI MATERAI
0 167,500 DR. RODI KONSUL,LAWLOPREIZOLE,H2TL
0 0 DR. RIRY KONSUL ( FREE ) ORG TUA Bd. DEBORA
0 400,000 DR. RIRY KONSUL + USG TV 400,000
0 3,000 FARMASI DECOLGEN
0 2,000 FARMASI PARACETAMOL
0 6,000 FARMASI MONALISA EKONOMI
0 35,000 FARMASI MONALISA JUMBO
0 56,000 FARMASI LOXADINE SYR
0 10,000 FARMASI UNDERPAD,TISSU
0 135,000 DR. TEGAR KONSUL,INJEKSI
0 95,000 DR. ANDRO KONSUL,CODEIN 15 MG
0 260,000 DR. RIRY KONSUL + USG TV PAKET ( DR. RIRY )
0 254,000 DR. DINA KONSUL,SIMOST,ASMEF,VIT B,ASPILET,PCT,DLL 254,000
0 150,000 DR. RIRY KONSUL + USG UMUM PAKET ( Bd. Ririn ) 150,000
0 996,250 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI 996,250
0 49,000 FARMASI MKP 120ML 0 0
0 185,000 FARMASI KONSUL,GANTI VERBAN,IKEMACETIN
0 611,500 DR. RODI KONSUL,LAB,CEFIXIME,PEPTIFET,SANMOL 611,500
0 21,000 FARMASI CEFIXIME,PRENIDSON,SPASMINAL,AMBROXOL
0 20,000 FARMASI KASA STERIL
0 60,000 FARMASI KACL IB
0 150,000 DR, MOZART KONSUL + ADM
0 95,000 DR. REZA M KONSUL,AMBROXOL,CTM,DEXA,VIT B
0 95,000 DR. REZA M KONSUL,IBUPROFEN,AMBROXOL,DEXAMETASON,DLL
0 110,000 DR. REZA M KONSUL,ANTASIDA,OMZ,DUMIN,LANSO,DLL
0 6,000 FARMASI METYLPREDRISOLON
0 15,000 FARMASI KENDIL,TISU KOTAK
0 35,000 FARMASI WASHLAP,UNDERPAD
0 150,000 DR. SYARIF KONSUL + USG PAKET ( BD. RIRIN )
0 3,000,000 RANAP DEPOSITE NY CITRA ( BD. AGUSTIN ) 3,000,000
0 525,000 DR. SYARIF KONSUL+ USG UMUM+CTG 525,000
0 0 DJOKO FISIOTRAFI ( FREE ) PEMBIMBING AKREDITASI
0 395,500 DR. RODI KONSUL,LAB,SANMOL,NEUROSANBE,DLL
0 185,000 DR. MARADEWI KONSUL,RANITIDINE.ONDASENTRON,SPUIT,DLL
0 150,000 DR. RIRY KONSUL + USG PAKET ( BD. POPPY )
0 180,000 EDDY SUSILO FISIOTRAFI
0 150,000 DR. RIRY KONSUL + ADM
0 157,000 FARMASI HYFAFIK 10CMX5CM
0 11,000 FARMASI VASELIN SWAB
0 306,000 DR. MARADEWI KONSUL,INFUS,OBS,VASOFIK,PCT 306,000
4,800 164,800 DR. MARADEWI KONSUL,RHINOS,MP 4G 164,800
0 157,500 DR. REZAM KONSUL,H2TL 0 0
0 94,000 DR. REZAM KONSUL,PARACETAMOL,AMBROXOL,DEXA
0 22,000 FARMASI MECOBOLAMIN INJ,VIT C INJ
0 190,000 DR. EKA LUSI KONSUL,BETASON,SANMOL,NERUDEX,RHINOS,DLL
0 354,000 DR. ANDRO KONSUL,OBS,INF,ANTASID,PCT,RANITIDINE,DLL
0 8,000 FARMASI SANMOL TAB
4,050 139,050 DR. EKA LUSI KONSUL,INJEKSI,CHARGE 3% 139,050
0 288,000 DR. EKA LUSI KONSUL,INJ,CODEIN,RHINOS,CEFIXIME,DLL 288,000
0 15,000 FARMASI RANITIDINE,LUMINAL,HISTAPAM
0 400,000 DR. NURBUANTO KONSUL,SLITHLUMP,REFLAKSI
0 326,000 DR. ANDRO KONSUL,HECTING,EKSPLASI LUKA,LIDOCAIN,DLL
0 323,500 DR. ANDRO KONSUL,REVOS SUPP,SALBUTAMOLCTM,PRORIS
0 107,000 DR. ANDRO KONSUL,CEFADROXIL,GG,CTM,MPS,VIT C,DLL
0 115,000 DR. ANDRO KONSUL,CODEIN,OBH,NEWDIATABS
0 109,000 DR. ANDRO KONSUL,CEFADROXIL,AMBROXOL,NEW DIATABS
0 22,000 FARMASI MECO INJ,VIT C INJ
0 170,000 DR. REZAM KONSUL,INJ,ONDAN,KETOROLAC,WING NEEDLE,DLL
0 144,000 LAB H2TL,AS URAT,COLESTEROL TOTAL 144,000
0 85,000 DR. ANDRO KONSUL + ADM 85,000
0 85,000 DR. EKA LUSI KONSUL + ADM 0 0
0 18,000 FARMASI CURCUMA,SANMOL
0 375,000 DR. TEGAR KONSUL,INJ,LAB,PCT,LANSO,DOMPERIDON,DLL
0 177,000 DR. ANDRO KONSUL,DOMERIDON,PCT,OMZ,LACTO B
0 131,000 DR. TEGAR KONSUL,ASETYL SISTEIN,CEFADROXYL,PCT,DLL
0 653,000 DR. EKA LUSI KONSUL,INFUS,OBS,CURCUMA,CTM,SPASMINAL
0 110,000 DR. TEGAR KONSUL,OMEPRAZOLE,RANITIDINE,VI B COMP
0 85,000 FARMASI MONALISA,WASHLAP,TISU,KENDIL,SILET,UNDERPAD
0 55,000 FARMASI GHISAN,PRIPERAN,RIVEXIM
0 37,000 FARMASI PROFENID SUPP
0 170,000 DR. ANDRO KONSUL,ELKANA,DEXA,DLL
0 130,000 DR. ANDRO KONSUL,BUSCOPAN,OMZ,LOPAMID
0 105,000 FARMASI BUSCOPAN,RANITIDINE,OMZ,SPUIT,LANSO,VOMETA
0 0 BATAL 0 0
0 241,000 DR. TEGAR KONSUL,INJ,LANSO,RANITIDINE,DLL
0 618,000 DR. TEGAR KONSUL,INJ,OBS,RL,INFUS,LAB,LANSO,RANITIDINE
0 10,000 FARMASI LOPAMID,NORIT,DECOLGEN
0 207,000 DR. MARADEWI KONSUL,INJEKSI,RANITIDINE,CEFIXIME,MEFINAL
0 231,000 DR. MARADEWI KONSUL,SUPPONTUSI,DUMIN SUPP,PCT.DLL
0 85,000 FARMASI MONALISA,KENDIL,TISU,WASHLAP,SILET,UNDERPAD
0 95,000 FARMASI CEFIXIME,ISDN,BETHIST,ASPILET,DLL
0 160,000 FARMASI ASPILET,CEFIXIME,AMBROXOL,SINASTATIN,CODEIN
0 300,000 DR. DINA KONSUL,CETRIZINE,INH,PZA,VIT B,DLL
0 150,000 DR. DINA KONSUL + ADM
0 166,000 DR. DINA KONSUL,LANSO,DLL
0 282,500 DR. DINA KONSUL,GDS,THORAK
0 350,000 DR. SURYA KONSUL + USG UMUM
0 55,000 DR. REZA M KONSUL (FREE) + ADM
0 42,500 LAB URINE LENGKAP
0 105,000 DR. MARADEWI KONSUL,AMBROXOL,DEXA,OMZ,VIT C,DLL 105,000
0 85,000 DR. REZA M KONSUL + ADM 85,000
0 90,000 FARMASI UNDERPAD,MONALISA,WASHLAP,TISU,KENDIL
0 10,000 FARMASI ASAM MEFENAMAT
0 5,000 FARMASI PARACETAMOL
0 1,000,000 RANAP DP KE 1 KLS III
0 375,000 DR. REZA M KONSUL,INJ,TETAGRAM,PARACETAMOL
0 55,000 DR. ALDERS ADM
0 150,000 DR. BOB KONSUL + USG PAKET ( Bd. RIRIN )
0 209,000 DR. NIKO KONSUL,LAXEDERM,DLL
0 178,000 DR. ALDERS KONSUL,RACIKAN DEMAM PANAS
0 190,000 DR. LUCAS KONSUL,LANSOPINAL,RANITIDINE,DOMPERIDON
0 174,000 DR. ALDERS KONSUL,RACIKAN DEMAM PANAS
0 188,000 DR. ALDERS KONSUL,RACIKAN DEMAM PANAS 188,000
0 292,630 DR. REZA M KONSUL,LAB,LANSO,PARACETAMOL,DLL 292,630
0 43,000 FARMASI RACIKAN SAKIT PERUT PANAS 43,000
0 103,170 DR. REZA M KONSUL,CEFADROXIL,DEXA,AMBROXOL,PZA 103,170
0 110,000 DR. TEGAR KONSUL,AMBROXOL,DUMIN,CEFADROXIL,B COMP 110,000
0 271,500 DR. MARADEWI KONSUL,H2TL,PCT,COMTUSI,RHINOS,DLL 0 0
250,000 795,000 DR. MARADEWI KONSUL,RJP,BOGGING INFUS,KACKSON RESE 1,215,400
0 150,000 DR. ALDERS KONSUL+VISITE
0 150,000 DR. HENTIYANTO VISITE+BOGGING
35,400 120,400 DR. REZA M BOGGING + CHARGE 3%
0 270,000 DR. SYARIF KONSUL,GANTI VERBAN
0 65,000 FARMASI MONALISA,KENDIL,UNDERPAD,CUKURAN
0 285,000 DR. TEGAR KONSUL,WT 30-40%
0 211,000 DR. TEGAR KONSUL,NA DEELOFENANCE,AMOX,IKEMECETIN
0 441,000 DR. RODI KONSUL,METYLPREDISON,LETRIZINE,DLL 441,000
0 315,500 DR. MARADEWI KONSUL,INFUS,OBS,LAB,MP,PCT,VASOFIK 315,500
0 161,000 FARMASI NEVANAC
0 25,000 FARMASI DEXA,PCT,CEFIXIME,B COMP
0 26,000 FARMASI DEXFAMIN,BISOLVON,MP
0 34,000 FARMASI NEUROSANBE
0 19,000 FARMASI LASAL,PREDNISON,LUMINAL,THEOBRAN,LONGATIN
0 96,000 DR. MARADEWI KONSUL,ANTASIDA,RANIVELL,IBUFORCE,MP
0 418,000 DR. SYARIF KONSUL,USG UMUM,ISOPRINOSIN,DIMICIN
0 205,000 DR. HENTIYANTO KONSUL,DEXTAMIN,EYSANBE,DLL
0 135,000 DR. TEGAR KONSUL,INJEKSI BENZATIN
0 195,000 LAB LAB- H2TL,LED,THORAK
0 150,000 DR. HENTIYANTO KONSUL + ADM
10,000 10,000 LAIN2 SRI REJEKI
50,000 50,000 DR. HENTIYANTO EXSES ASURANSI
0 150,000 DR. SEBASTIANUS KONSUL + ADM 150,000
0 221,000 DR. HENTIYANTO KONSUL,SANMOL,DEXA,ERYSANBE,VERTDIN,DLL 221,000
0 267,500 DR. RODI KONSUL,LAB-H2TL,DIFF,PARACETAMOL,PRORIS 0 0
0 26,000 FARMASI MECO INJ,VIT C,DIATABS
0 22,000 FARMASI MECO INJ,VIT C
0 260,000 DR. RODI KONSUL,CLOMETYL
0 385,000 DR. RODI KONSUL,UNHALASI,LAB-H2TL,HITUNG JENIS,UL
0 10,000 FARMASI RIVANOL,KASSA
0 80,000 FARMASI UNDERPAD,KENDIL,MONALISA.WASHLAP,SILET
0 20,000 FARMASI PRIMPERAN TAB
0 6,000 FARMASI MONALISA KECIL
0 85,000 FARMASI MONALISA ,UNDERPAD,WASHLAP,TISU,SILET,KENDIL
0 312,000 FARMASI TETAGRAM INJ NO.1
0 135,000 DR. TEGAR KONSUL,INJEKSI
0 195,000 DR. HENTIYANTO KONSUL,LACTO B
0 168,000 DR. DINA KONSUL,ORALIT,DLL
0 129,500 DR. REZA M KONSUL,AMBROXOL,MEFORMIN,DLL
0 341,000 DR. TEGAR KONSUL,OBS,INJ,OMZ,RANITIDINE,PCT,B COMP,DLL
0 170,000 DR. MOZART KONSUL,SANPRIMA,LANSO
0 85,000 DR. TEGAR KONSUL + ADM 85,000
0 405,835 DR. RODI KONSUL,CETRIZINE.KAPSUL,METYLPRENOD,DLL 405,835
0 10,000,000 RANAP DEPOSITE RANAP
0 133,000 DR. TEGAR KONSUL,ASETYSITEM,PCT,B COMP,DKK
0 0 DR. LUCAS KONSUL ( FREE )
0 168,000 DR. TEGAR KONSUL,NEUROSANBE,SPUIT,WING NEEDLE
0 72,500 LAB H2TL
0 263,000 LAB GDN,G2PP,HBAIS
0 112,000 DR. TEGAR KONSUL,AMBROXOL,DEXA,PCT,TIAMFENOT
0 135,000 LAB KOL LENGKAP
0 200,000 DR. SUYAKA KONSUL,VAGINA TOUCH
0 121,000 DR. TEGAR KONSUL,GG,CTM,VIT C,SALBU,PCT,AMOXCILIN
0 105,000 DR. TEGAR KONSUL,AMBROXOL,CEFADROXIL,PCT,CTM,DEXA
0 95,000 FARMASI MONALISA,UNDERPAD,SILET,TISU,WASHLAP,KENDIL
0 11,500 FARMASI ANTASIDA,MECO,SANMOL
0 5,000 FARMASI AMBROXOL,SALBUTAMOL
0 52,000 FARMASI CEFADROXIL,INH,PZA,DLL 52,000
0 1,500,000 RANAP DEPOSITE 1 KE VIP 1,500,000
0 1,500,000 RANAP DEPOSITE II KLS VIP 1,500,000
0 221,500 LAB OT,PT,GGT,URINE RUTIN 221,500
0 25,000 DR.MARADEWI KONSUL FREE + ADM 0 0
0 312,500 DR. REZA M KONSUL,LAB,CEFADROXIL,DEXA,OMZ,SPUIT,VASOFIK
0 107,000 DR.MARADEWI DA DUMIN,SANMOL,AMBROXOL,DEXA,VIT C
0 242,000 DR.MARADEWI KONSUL,LAB,AMBROXOL,CTM,DEXA,MF
0 182,500 DR. LUCAS KONSUL,GDS
0 169,000 LAB KOLESTEROL LENGKAP,AS URAT
0 439,500 LAB KOLESTEROL LENGKAP,H2TL,OTPT,GDN/PP,UR/CR/AU
0 225,000 FARMASI FOLAMIL,OXCALL
0 70,000 FARMASI MONALISA,WASHLAP,TISSU,KENDIL,SILET
0 79,000 FARMASI TENSOCRAPE 3ML
0 150,000 LAB H2TL,WIDAL
0 150,000 DR. NOVIADY KONSUL + USG PAKET ( Kader Mpo Minah )
0 210,000 DR.MARADEWI KONSUL,INFUS,PCT,VASOFIK,SANMOL,MP,AMBROXOL
0 165,000 DR.MARADEWI KONSUL,SUPPOSITUSI,PCT,CETRIZINE,PYIEXIN,VOMETA
0 155,000 DR. ANDRO KONSUL,AMBROXOL,CIHANA
0 34,000 FARMASI MECO,AS MEFENAMAT
0 20,000 FARMASI CPERIJUN
0 26,000 FARMASI FOLAMIL,MONALISA KECIL
0 52,500 FARMASI CITICOLIN
0 25,000 FARMASI PHENYTION
0 12,000 FARMASI ALINAMIN
0 20,000 FARMASI UNDERPAD 4
170,000 170,000 DR. MOZART EXSES 170,000
0 812,000 DR. MOZART KONSUL,GV,METYCOBALT,RIF,INH,ETAMBBUTOL 812,000
0 115,000 FARMASI SPUIT,IVFD,PCT,VASOFIK,OMZ,DLL 115,000
0 1,000,000 RANAP DEPOSITE NAIK KLS II BPJS 1,000,000
0 75,000 FARMASI THROMBOPOP GEL
0 32,500 LAB GULA DARAH PUASA
0 187,500 DR. REZA M KONSUL,,H2TL,PARACETAMOL,OMZ,VIT B 187,500
0 6,000,000 RANAP DEPOSITE 0 0
0 167,500 DR. ANDRO KONSUL,H2TL
0 190,000 DR. ANDRO KONSUL,H2TL,LED
0 303,500 DR. ANDRO KONSUL,H2TL,ASMEF,SANMOL,ERYSANBE,CETRIZINE
0 182,000 FARMASI KONSUL,STESOLID SUPP
0 105,000 DR. ANDRO KONSUL,CEFIXIME,LUMINAL,CTM,DLL
0 72,500 LAB H2TL,ELEKTROLIT
0 238,000 DR. EKA LUSI KONSUL,CEFAT,DEXA,DOMPERIDON,DLL
0 94,500 LAB H2TL,DIFF
0 38,000 FARMASI MECOBOLAMIN ,MASKER
0 7,000 FARMASI GLIMEPRIRID
0 17,000 FARMASI DISFIATYL,ANTALGIN TAB
0 51,000 FARMASI CITICOLIN 500G
0 17,000 FARMASI F6 MOCHES
0 13,000 FARMASI DUMIN,MELOXICAM
0 253,600 DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANA 253,600
0 237,600 DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANA 237,600
0 400,000 DR. RIRY KONSUL + USG UMUM TV
0 233,000 DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANA
0 235,000 DR. MARADEWI KONSUL,LAB-H2TK,WIDAL
270,000 270,000 LAIN2 NAFSA 3 ORG
0 12,000 FARMASI OBH,CEFIRIZINE
0 171,000 FARMASI ALBUFORCE
0 31,000 FARMASI CEFIXIME,PCT,OMZ
0 41,000 FARMASI OPSIDE
0 35,000 FARMASI MONALISA
0 200,000 FARMASI POLIDERMASI,NEVARAC
0 25,000 FARMASI CEFIXIME,LASAL,EXABET,LUMINAL,LORGATIN
0 8,000 FARMASI OBH
0 211,000 DR. ANDRO KONSUL,LASSALOC,ASMEF,RANITIDINE,THORAK 211,000
8,564 294,064 DR. ANDRO KONSUL,INJEKSI 2,RANITIDINE,,PRIMPERAN,H2TL 294,064
0 187,000 DR. EKA LUSI KONSUL,OMZ,INPEPSA,DINPERIDON 0 0
0 892,500 DR. EKA LUSI KONSUL,OBS,INFUS,INJ,LAB,BIOTICOL,SANMOL,DLL
0 10,000 FARMASI NEUROSANBE
0 190,000 DR. EKA LUSI KONSUL,LAB-H2TL,GDS
0 111,000 DR. EKA LUSI KONSUL,LANSO,DOMPERIDON,INPEPSA,DLL
0 80,000 FARMASI MONALISA JUMBO,UNDERPAD,KENDIL,WASHLAP
0 12,000 FARMASI HISTAPAN,SPASMINAL,STOMACAIN,FAVAL,RACIK
0 315,000 FARMASI WIDAHES/SANBE HES NO.1
0 97,000 DR. REZA M KONSUL,CIPROFLACAXIN,NA DICLOFENAL,VIT B
0 2,320,000 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI 2,320,000
310,000 310,000 DR. NIKO EXSES ASURANSI 310,000
0 250,000 DR. EKA LUSI KONSUL,AMPROZOL,RANITIDINE,ONDASENTRON 250,000
0 276,000 FARMASI LAMINARIA 276,000
0 120,000 DR. EKA LUSI KONSUL,AS MEFENAMAT,AMBROXOL,AMOXILIN 120,000
0 2,000,000 RANAP DEPOSITE KLS III UMUM 2,000,000
0 1,000,000 RANAP DEPOSITE KLS III UMUM 1,000,000
0 42,500 LAB URINE LENGKAP
0 65,000 LAB GDN-G2PP
0 258,500 DR. DINA KONSUL,GDS,CEFIXIME,AMBROXOL,LANSO
0 90,000 DR. REZA M KONSUL,IBUPROFEN VIT B CAMP
0 310,000 LAB TEST NARKOBA
0 85,000 DR. REZA M KONSUL + MCU
0 762,500 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,ANGKAT JAHITAN
0 200,000 FARMASI POLIDENISON,NEVANAC
0 7,500 FARMASI ANTALGIN
0 195,000 DR. EKA LUSI KONSUL,DREXIN,PCT,CTM,AMBROXOL,GG,DLL 195,000
-339,731 -339,731 RANAP PENGEMBALIAN
10,000 10,000 LAIN2 MATERAI 0 0
0 151,000 DR. REZA M KONSUL,INJEKSI,KETROLOC,NA DICLOFENAT,DEXA
0 104,000 DR. REZA M KONSUL,AMBROXOL,CEFADROXIL,DEXA,DLL
1,311,129 1,311,129 RANAP PELUNASAN 1,311,129
0 72,500 LAB H2TL
0 10,000 FARMASI UNDERPAD 2
0 496,000 DR. MARADEWI KONSUL,WT 20%,SPUIT,KETROLOC,RANITIDINE,DLL
0 85,000 DR. MARADEWI KONSUL,SKS
0 197,500 DR. MARADEWI KONSUL,H2TL,,PCT,MP,AMBROXOL,CTM,DLL
0 323,500 DR. MARADEWI KONSUL,H2TL,PCT,VASOFIK,MAXLOSET,SANMOL
0 95,000 DR. MARADEWI KONSUL,DEXA,CTM
0 320,000 DR. REZA M KONSUL,INJEKSI,VASOFIK,LANSO,PEPTIFET,DLL 320,000
0 50,000 FARMASI UNDERPAD,KENDUL,WASHLAP
0 30,000 FARMASI SANMOL,SPASMINAL,DOMPERIDON,CTM,DEXA
0 2,000,000 RANAP DEPOSITE 2,000,000
0 226,000 DR. MARDEWI KONSUL,SUPPOSS,PIREXIN,PCT,AMBROXOL,DEXA 0 0
0 140,000 FARMASI BUSCOPAN,IVFD,NB,MAKROSET,VASOFIK
0 260,000 DR. MARDEWI KONSUL,INFUS,VASOFIK,MIKROSET,PCT DRIP,PCT,
0 162,000 DR. MARDEWI KONSUL,ZINK,VOMETA,PCT 162,000
0 250,000 DR. MARDEWI KONSUL,LOPAMID,LANSO,ORALIT 250,000
0 440,000 RAD USG ABDOMEN
0 23,000 FARMASI KASA STERIL,MICOPORE
0 23,000 FARMASI SANMOL DROP
0 124,000 FARMASI RACIKAN SAKIT PERUT PANAS 124,000
0 49,000 FARMASI CEFIXIME,SALBUTAMOL,THEOPHIM,PREDNISON
0 20,000 FARMASI FOLAVIT,CAL,LIVIRON
0 70,000 FARMASI FOLAVIT,VITRAGENAL,PRIGEN
0 63,000 FARMASI PROFENID SUPP
0 12,000 FARMASI MECOBOLAIMN
0 12,000 FARMASI FOLAVIT,CALNEX
0 9,000 FARMASI PRIMPERAN TAB
0 95,000 FARMASI UNDERPAD,MONALISA,TISSU,KENDIL,SILET,WASHLAP
0 500,000 RANAP DEPOSITE
0 350,000 DR. BOB KONSUL + USG UMUM
0 55,000 DR. ALDERS KONSUL (FREE)+ADM
0 0 DR. ALDERS KONSUL FREE KARYAWAN
0 0 DR. BOB KONSUL FREE KARYAWAN
0 182,000 DR. ALDERS KONSUL,BODREXIN,ERYSANBE
0 55,000 DR. ALDERS KONSUL FREE + ADM
0 150,000 DR. ALDERS KONSUL + ADM 0 0
0 192,500 LAB H2TL,WIDAL,URINE LENGKAP
0 155,000 DR. RODI KONSUL,PARACETAMOL,CETRIZINE,MT.DLL
0 512,000 DR. RODI KONSUL,PARACETAMOL,CETRIZINE,MT,H2TL,UL,OT
0 125,000 DR. EKA LUSI KONSUL,DOMPERIDON,OMZ,NEURODEX,DLL
0 112,000 DR. EKA LUSI KONSUL,SANMOL,DEXA,AMBROL,RHINOS,CEFADROXIL
0 85,000 DR. EKA LUSI KONSUL + ADM
0 100,000 DR. EKA LUSI KONSUL,SPASMINAL,OMEPRAZOL
0 0 DR. SYARIF KONSUL FREE KARYAWAN
0 0 DR. NURBUANTO KONSUL FREE KARYAWAN
0 90,000 FARMASI MONALISA JUMBO,KENDIL,WASHLAP,UNDERPAD
0 36,000 FARMASI KLINDOMSI,METRONIDAZOL,DISS
0 38,000 FARMASI CODEIN,CODIPIALCUM
0 40,000 FARMASI SANMOL,BETADHIN,CEFADROXIL,OMZ,DOMPERDON
0 32,000 FARMASI DUVADILAN
0 161,000 FARMASI MEVANAC
0 25,000 FARMASI NEUROSANBE,INH 25,SPUIT
0 161,000 FARMASI MEVANAC
0 10,000 FARMASI KENDIL
0 50,000 FARMASI MONALISA JUMBO,UNDERPAD
0 182,500 LAB H2TL,GDS,WIDAL
0 10,000 FARMASI KENDIL
0 30,000 FARMASI MEFINAL
0 8,000 FARMASI OBH
0 12,000 FARMASI MECOBOLAMIN
0 150,000 DR. SYARIF KONSUL + USG PAKET ( BD. NURFARIDA )
0 375,500 DR. TEGAR KONSUL,PCT,CEFIXIME,RANITIDINE,OMZ,H2TL,GDS
0 273,500 DR. TEGAR KONSUL,PCT,DEXA,ANTASIDA,H2TL,GDS,WIDAL
0 127,000 DR. TEGAR KONSUL,DEXTROL,PCT,CEFIXIME,NEUROSANBE
0 100,000 DR. TEGAR KONSUL,PCT,DEXA,OMZ,RANITIDINE
0 140,000 DR. TEGAR KONSUL,SPUIT
0 90,000 FARMASI MKP LANG,THERMOMETER DIGITAL 90,000
0 133,000 DR. TEGAR KONSUL,CTM,DEXA,PARACERANID,CEFIXIME 133,000
0 444,000 DR. EKA LUSI S KONSUL,INJEKSI,KOILESTEROL LENGKAP,AU,EKG 0 0
0 95,000 DR. EKA LUSI S KONSUL + ADM
0 12,000 FARMASI KLOVANFENIKUL SALEP
0 80,000 FARMASI DUVADILAN
0 45,000 FARMASI UNDERPAD,TISU KOTAK,WASHLAP
0 80,000 FARMASI THROMBOPOP GEL
0 181,000 FARMASI NOFAVIT,OXCALL
0 85,000 DR. TEGAR KONSUL+ADM
0 165,000 DR. MOZART KONSUL,RANITIDINE,DLL
0 180,000 DR. SYARIF KONSUL,INSOPRAZOL TAB
0 170,500 DR. TEGAR KONSUL,H2TL,PCT,GG,CTM,DEXA,VIT C,MF,DLL
0 100,000 DR. TEGAR KONSUL,DEXTANIL FORTE,PCT,CEFADROXIL,DLL
0 354,500 DR. MARADEWI KONSUL,OBS,H2TL,PCT DRIP,SANMOL,DEXADRIL
0 315,000 DR. MARADEWI KONSUL,H2TL,WIDAL,WING NEEDLE,RANITIDINE
0 179,000 DR. MARADEWI KONSUL,EKG,HANDSKUN,PCT,ISDN,VIT C
0 2,500,000 RANAP DEPOSITE RANAP 2,500,000
0 274,000 LAB H2TL,PROFIL UPID,AU,GDN
0 131,500 LAB OT/PT,GDN,AU
0 242,000 DR. MARADEWI KONSUL,H2TL,GDS,WIDAL,MP AS NO.X
0 350,000 DR. NOVIADY KONSUL + USG UMUM
0 692,000 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,CEFIXIME,DLL
0 260,000 DR. NIKO KONSUL,REFAMBLEN,INH,ELTAMBUL
0 2,000,000 RANAP DEPOSITE RANAP
0 1,200,000 RANAP DP CURATAGE
0 24,000 FARMASI AMP,SANISTATIN
0 8,000 FARMASI ALKOHOL 70%
0 93,000 FARMASI ERYSANBE,LASAL,EXABET,AMBROXOL,DLL
0 182,000 DR. ALDERS KONSUL,ERYSANBE
0 180,000 DR. SUYAKA KONSUL,ASAM MEFENAMAT
0 137,000 DR. MARADEWI KONSUL,CEFINAL,OMZ,CODEIN,PCT
0 55,000 DR. ALDERS KONSUL FREE+ADM
0 55,000 DR. ALDERS KONSUL FREE+ADM
40,000 40,000 DR. MARADEWI EXSES ASURANSI
0 190,000 DR. ALDERS KONSUL,HISTAPAN,SPASMINAL 190,000
7,560 259,560 DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS 259,560
0 5,000,000 RANAP DEPOSITE RANAP 5,000,000
0 701,250 DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,CEFIXIME,DLL 701,250
0 135,000 DR. MARADEWI KONSUL,EPERISON,NODIKLOFERM,DLL 135,000
0 350,000 DR. NOVIADY KONSUL,USG UMUM 350,000
0 555,000 DR. MARADEWI KONSUL,INFUS,INJEKSI,RANITIDINE,BUSCOPAN,DLL 555,000
0 12,000 FARMASI MECOBOLAMIN INJ 0 0
0 133,000 DR. TEGAR KONSUL,IBUPROFAN,B COMP,NEUROSANBE
0 222,000 DR. TEGAR KONSUL,NEBULIZER,SALBUTAMOL,AMBROXOL,CTM
0 118,000 DR. TEGAR KONSUL,PCT DROP
0 2,000,000 RANAP DEPOSITE A/N IMAS SITI MASITOH
0 70,000 FARMASI MONALISA JUMBO,KENDIL,UNDERPAD,TISU,SILET
0 190,000 FARMASI NOFAVIT,OXCALL
0 22,000 FARMASI PCT,CEFIXIME,B COMP,DEXA
0 52,000 FARMASI CIOPIDOGUEL,FUNOSEMIDI,EPINOLACRON
0 90,000 FARMASI MONALISA,CUKURAN,UNDERPAD,WASHLAP,TISU,KENDIL
0 350,000 DR. NOVIADI KONSUL + USG UMUM
0 235,000 DR. DINA KONSUL,LAXODA,MP
0 194,500 DR. ANDRO KONSUL,H2TL,DEMPRIDON,DEXA,RANITIDINE,DLL
0 174,500 DR. ANDRO KONSUL,H2TL,PCT,CETRIZINE
0 200,000 DR. ANDRO KONSUL,NEBULIZER,SUNGKUP,CTM,SALBUTAMOL,DLL
0 120,000 DR. ANDRO KONSUL,DEXA,INPEPSA,RANITIDINE,IMBOST
0 298,000 DR. TEGAR KONSUL,OBS,PCT DRUP,VASOFIK,INFUS SET
0 235,000 DR. TEGAR KONSUL,H2TL,WIDAL
0 85,000 DR. TEGAR KONSUL + ADM
0 85,000 DR. TEGAR KONSUL + ADM
0 150,000 DR. SYARIF KONSUL + USG PAKET Bd. Ani Nababan
0 350,000 DR. NOVIADY KONSUL + USG UMUM 350,000
0 175,000 DR. TEGAR KONSUL +GV,NA DICLOFENACT,AMOX 175,000
0 3,000,000 RANAP DP KLS III
0 1,500,000 RANAP DP KLS III
0 0 DR. NOVIADI KONSUL FREE KARYAWAN
0 0 DR. HENTIYANTO KONSUL FREE KARYAWAN
0 116,000 DR. TEGAR KONSUL,CODEIN,DEXA,CEFIXIME
0 48,000 FARMASI NA DIKLO,EPEVRON,DEXA,MECO
0 55,000 FARMASI UNDERPAD,MONALISA,PISAU CUKUR
0 50,000 FARMASI OPSAID B
0 5,000 FARMASI BETADIN
0 5,000 FARMASI ISOSOBID
0 30,000 FARMASI SIMUSTATIN
0 6,000 FARMASI CAPTOPRIL
0 23,000 FARMASI AMOX,PARATUSIN,CTM,BUSCOPAN,DLL
0 5,000 FARMASI NA DIKLOFEN
0 17,000 FARMASI GENTAMICIN,MECOBOLAMIN
0 10,000 FARMASI NASSAL O2
0 395,000 DR. ANDRO KONSUL,TEST NARCOBA 395,000
-452,793 -452,793 RANAP PELUNASAN RANAP
206,445,558 446,638,202 119,847,457 113,626,064
214,038,773
Nama Dokter
0 0
0 0
0 0
0 0
0 0
0 0
0 0
-69,498
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
-91,917
-1,367,240
0 0
0 0
0 0
-371,483
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
-943,262
0 0
0 0
0 0
0 0
364,040
0 0
0 0
0 0
244,199 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
-47,254
0 0
0 0
0 0
0 0
0 0
339,731
0 0
0 0
0 0
0 0
0 0
615,799
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
452,793
-874,092
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
PERINCIAN PENDAPA
Period
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan
1 2/2/2019 13,12,32 0201078 ADITYA ANTIKA ASURANSI 0 0

2 2/2/2019 12,90,28 0202037 FAZILLA SHAFA ZAFIRA ASURANSI 60,000 0
3 2/2/2019 11,78,30 0202048 ANDATI ARIANI ASURANSI 120,000 200,000
4 2/2/2019 13,23,36 0131009 JAMALLULLAIL ASURANSI 0 0
5 2/2/2019 13,23,28 0131005 ARI FEBRIANTI ASURANSI 0 0
6 2/2/2019 13,23,28 0131005 ARI FEBRIANTI ASURANSI 0 0
7 2/4/2019 13,22,82 0201005 PENI MIRAHADI ASURANSI 0 0
8 2/4/2019 10,27,70 0204023 KARJONO ASURANSI 60,000 0
9 2/6/2019 09,18,37 0206080 RATIH ARDIANI ASURANSI 150,000 400,000
10 2/6/2019 13,24,41 0206068 KHODIJAH ASURANSI 120,000 0
11 2/6/2019 10,88,84 0206081 SENO HARYONO ASURANSI 60,000 50,000
12 2/7/2019 13,19,38 0207099 ADITYA ANTIKA ASURANSI 0 0
13 2/7/2019 12,32,29 0207051 YUNIARTA SITUMORANG ASURANSI 120,000 250,000
14 2/7/2019 13,03,98 0207027 SARWO EKO ASURANSI 60,000 0
15 2/8/2019 12,25,14 0207092 PARDAMEAN SIHOMBING ASURANSI 60,000 50,000
16 2/8/2019 11,97,09 0207095 PATRICIO LEONARDO ASURANSI 60,000 0
17 2/8/2019 11,61,73 0208044 NAVISHA KONARA AISYAH ASURANSI 120,000 0
18 2/8/2019 12,44,44 0208047 HENDRI HERDIANA ASURANSI 60,000 0
19 2/8/2019 12,67,40 0208014 MICHELLA BUDIJANTO ONGKO W ASURANSI 120,000 0
20 2/10/2019 11,26,97 0209047 GWENTYH STANIA ASURANSI 120,000 0
21 2/10/2019 13,22,82 0209040 PENI MIRAHADI ASURANSI 150,000 450,000
22 2/11/2019 13,25,63 0211077 MYSHA SHAQEENA SHEZA ASURANSI 120,000 0
23 2/11/2019 12,85,70 0211076 ARSAKHA VIRENDRA SHAFWAN ASURANSI 120,000 0
24 2/11/2019 10,31,46 0211100 RAYHAN AR RAHMAN HIDAYAT ASURANSI 120,000 0
25 2/14/2019 13,22,82 0214043 PENI M RAHADI ASURANSI 150,000 450,000
26 2/15/2019 13,26,86 0215051 LUQMAN HUSSEIN ASURANSI 150,000 400,000
27 2/15/2019 13,25,34 0210005 FAREL ZABIR ACHMAD ASURANSI 0 0
28 2/18/2019 13,26,96 0215016 KARYANTO ASURANSI 0 0
29 2/18/2019 10,88,43 0218057 MICHAEL JOSEPH R N ASURANSI 60,000 0
30 2/18/2019 13,27,27 0217010 YULIA NABILA R ASURANSI 60,000 0
31 2/19/2019 10,88,43 0219009 MICHAEL JOSEPH ASURANSI 60,000 0
32 2/19/2019 13,27,89 0219066 EKO PRASTYO ASURANSI 120,000 0
33 2/20/2019 11,11,46 0219092 TABRANI ASURANSI 60,000 0
34 2/20/2019 12,72,57 0220030 DHANI DARMAWAN ASURANSI 120,000 0
35 2/20/2019 09,42,74 0220067 FELISSYA RAMADHANY PUTRI ASURANSI 120,000 0
36 2/21/2019 13,19,38 0221082 ADITYA ANTIKA ASURANSI 120,000 120,000
37 2/22/2019 12,72,57 0222045 DHANI DARMAWAN ASURANSI 120,000 0
38 2/22/2019 13,28,87 0222035 M FATHIR ASURANSI 120,000 0
39 2/23/2019 13,10,13 0223039 RISKY AYU SWANDARI ASURANSI 150,000 400,000
40 2/23/2019 13,22,82 0223038 PENI MIRAHADI ASURANSI 150,000 400,000
41 2/23/2019 12,20,07 0222012 DISA SABRIYA ASURANSI 120,000 0
42 2/26/2019 10,92,68 0226006 RIFKI HERMAWAN ASURANSI 60,000 0
43 2/26/2019 12,85,25 0226034 NABILA THAFANA HARYANTO ASURANSI 120,000 0
44 2/26/2019 12,89,39 0226033 NIKITA FEBRIHARYANTO ASURANSI 120,000 0
45 2/27/2019 09,07,13 0227088 MIFTAHUL JANAH ASURANSI 120,000 200,000
46 2/27/2019 12,01,15 0227055 TUGIMIN ASURANSI 60,000 80,000
47 2/28/2019 10,88,43 0221000 MICHAEL ASURANSI 0 0
Periode : 01- 31 FEBRUARI 2019
Lab Radiologi P. Medis Fisioterapi Vaksin Daftar ADM Buku Selisih Jam Lain-lain
0 0 0 0 0 0 0 RANAP
0 0 0 0 0 25,000 0 DR. REZA M
0 0 0 0 0 30,000 0 DR. SYARIF
0 0 0 0 0 0 0 RANAP
0 0 0 0 0 0 0 RANAP
0 0 0 0 0 0 0 RANAP
0 0 0 0 0 0 0 RANAP
0 0 0 0 0 25,000 0 R. MARADEWI
0 0 0 0 0 90,000 0 DR. NIKO
0 0 0 0 0 30,000 0 DR. LUCAS
0 0 0 0 0 25,000 0 DR. EKA LUSI
0 0 0 0 0 0 0 RANAP
0 0 0 0 0 30,000 0 . NURBUANTO
438,000 0 0 0 0 25,000 0 DR. RODI
0 0 0 0 0 25,000 0 DR. TEGAR 0
0 0 0 0 0 25,000 0 DR. TEGAR
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 25,000 0 DR. EKA LUSI
0 0 0 0 0 30,000 0 DR. ALDERS 0
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 101,250 0 DR. NIKO
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 101,250 0 DR. NIKO
0 0 0 0 0 90,000 0 DR. NIKO
0 0 0 0 0 0 0 RANAP
0 0 0 0 0 0 0 RANAP
0 0 0 0 0 25,000 0 DR. REZA M
0 0 0 0 0 25,000 0 DR. TEGAR
72,500 0 0 0 0 25,000 0 R. MARADEWI
0 0 0 0 0 30,000 0 . HENTIYANTO
0 0 0 0 0 25,000 0 DR. RODI
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 30,000 0 DR. MOZART
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 90,000 0 DR. NIKO
0 0 0 0 0 90,000 0 DR. NIKO
0 0 0 0 0 25,000 0 DR. EKA LUSI
0 0 0 0 0 25,000 0 DR. TEGAR
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 30,000 0 DR. ALDERS
0 0 0 0 0 30,000 0 0 0
0 0 0 0 0 25,000 0 0 0
0 0 0 0 0 0 0 0 14,172,270
Total INACBG Dokter Keterangan Debet - Visa Asuransi Nama Dokter
13,585,029
161,023
725,000
2,029,116
17,028,746
37,973,219
168,000
763,000
173,000
455,000
400,000
557,463 0
246,000
194,000
277,339 0
120,250
331,800
701,000
991,250
301,000
214,000
421,000
996,250
640,000
5,348,865
6,812,605
103,170
110,000
315,500
221,000
405,835
286,316
220,000
812,000 0 DR. MOZARTNH,ETAMBBUTOL 812,000
253,600 0 DR. ALDERS IT PERUT PANA 253,600
237,600 0 DR. ALDERS IT PERUT PANA 237,600
2,320,000
868,000
195,000
133,000
222,020
231,798
350,000 0 DR. NOVIADYSUL,USG UMUM 350,000
555,000 0DR. MARADEWIE,BUSCOPAN,DLL 555,000
14,172,270 0 RANAPUNASAN RANAP 14,172,270
113,626,064
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
REKAP PENERIMAAN POLIKLINIK, UGD DAN FARMASI

Cara Bayar : JAMINAN
Periode : .....
NO. KETERANGAN JUMLAH TOTAL
I POLIKLINIK:
Jasa Dokter 0
Tindakan 0
Laboratorium 0
Radiologi 550,000
Penunjang Medis 0
Obat 0
Vaksin 0
Buku 0
MCU 0
Selisih Jaminan 0
Lain-lain 0
Adm 4,491,250
Uang Muka 50,590,000
Total Poliklinik 55,631,250
II FISIOTERAPI
Total Fisioterapi 0
II IGD
Jasa Dokter 0
Tindakan 0
Laboratorium 0
Radiologi 0
Penunjang Medis 0
Obat 0
Alat 0
Paket Duka 0
Selisih Jaminan 0
Lain-lain 0
Adm 0
Uang Muka 0
Total IGD 0
III FARMASI
Farmasi Poli 33,503,500
Farmasi IGD 0
Total Farmasi 33,503,500
Total Penerimaan R.Jalan Tunai 89,134,750
Perincian
Cash / Tunai -91,327,608
Kartu Debet 180,462,358
Kartu Kredit 93,169,623
Jumlah 182,304,373
Err:509
Err:509
89,134,750
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
Periode :00/00/00
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Fisioterapi Vaksin Daftar ADM Farmasi U.Muka Lain-lain
1 UMUM 0 0 0 0 0 0 0 0 0 0
2 UMUM 0 0 0 0 0 0 0 0 0 0
3 UMUM 0 0 0 0 0 0 0 0 0 0
4 UMUM 0 0 0 0 0 0 0 0 0 0
5 UMUM 0 0 0 0 0 0 0 0 0 0
6 UMUM 0 0 0 0 0 0 0 0 0 0
7 UMUM 0 0 0 0 0 0 0 0 0 0
8 UMUM 0 0 0 0 0 0 0 0 0 0
9 UMUM 0 0 0 0 0 0 0 0 0 0
10 UMUM 0 0 0 0 0 0 0 0 0 0
11 UMUM 0 0 0 0 0 0 0 0 0 0
12 UMUM 0 0 0 0 0 0 0 0 0 0
13 UMUM 0 0 0 0 0 0 0 0 0 0
14 UMUM 0 0 0 0 0 0 0 0 0 0
15 UMUM 0 0 0 0 0 0 0 0 0 0
16 UMUM 0 0 0 0 0 0 0 0 0 0
17 UMUM 0 0 0 0 0 0 0 0 0 0
18 UMUM 0 0 0 0 0 0 0 0 0 0
19 UMUM 0 0 0 0 0 0 0 0 0 0
20 UMUM 0 0 0 0 0 0 0 0 0 0
21 UMUM 0 0 0 0 0 0 0 0 0 0
22 UMUM 0 0 0 0 0 0 0 0 0 0
23 UMUM 0 0 0 0 0 0 0 0 0 0
24 UMUM 0 0 0 0 0 0 0 0 0 0
25 UMUM 0 0 0 0 0 0 0 0 0 0
26 UMUM 0 0 0 0 0 0 0 0 0 0
27 UMUM 0 0 0 0 0 0 0 0 0 0
28 UMUM 0 0 0 0 0 0 0 0 0 0
29 UMUM 0 0 0 0 0 0 0 0 0 0
30 UMUM 0 0 0 0 0 0 0 0 0 0
31 UMUM 0 0 0 0 0 0 0 0 0 0
TUNAI
Total Poliklinik Dokter Keterangan Debet - Visa
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
Periode :01 FEBRUARI 2019
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Fisioterapi Daftar ADM Farmasi U.Muka Lain-lain Total
1 2/1/2019 APS UMUM 0 0 0 0 0 0 0 0 10,000 10,000

2 2/1/2019 YAYUK UMUM 0 0 0 0 0 0 3,000 0 0 3,000
3 2/1/2019 BY RATIH UMUM 0 0 0 0 0 0 112,000 0 0 112,000
4 2/1/2019 SAARI UMUM 0 0 0 0 0 0 35,000 0 0 35,000
5 2/1/2019 13,23,62 0201080 SURHAYATI UMUM 120,000 0 32,500 0 0 30,000 60,000 0 0 242,500
6 2/1/2019 13,23,62 0201080 SURHAYATI UMUM 0 0 68,000 0 0 0 0 0 0 68,000
7 2/1/2019 13,22,25 0201069 JEANE UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
8 2/1/2019 13,23,64 0201086 ACHMAD UMUM 60,000 0 0 0 0 25,000 0 0 0 85,000
9 2/1/2019 13,11,46 0201085 ROHAENAH UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
10 2/1/2019 13,25,68 0201089 SITI AISYAH UMUM 0 150,000 0 0 0 0 0 0 0 150,000
11 2/1/2019 12,21,45 0201082 CHINTIA C UMUM 60,000 0 150,000 0 0 25,000 9,000 0 0 244,000
12 2/1/2019 12,73,47 0201091 DEWI SARTIKA UMUM 120,000 200,000 0 0 0 30,000 0 0 0 350,000
13 2/1/2019 DR. RODI UMUM 0 0 0 0 0 0 103,000 0 0 103,000
14 2/1/2019 CAHYAT UMUM 0 0 0 0 0 0 222,000 0 0 222,000
15 2/1/2019 WAHYUNI UMUM 0 0 0 0 0 0 15,000 0 0 15,000
16 2/1/2019 TSUNAMI UMUM 0 0 0 0 0 0 48,000 0 0 48,000
17 2/1/2019 13,22,38 0190201 ARZAN AL GHIFARI UMUM 120,000 0 0 0 0 30,000 84,000 0 0 234,000
18 2/1/2019 09,20,76 0201064 SAMIYA AFIFAH UMUM 120,000 0 0 0 0 30,000 83,000 0 0 233,000
19 2/1/2019 13,23,50 0201008 SAM ALEXANDER UMUM 60,000 0 0 0 0 25,000 7,000 0 0 92,000
20 2/1/2019 13,23,52 0201014 TERANIKA UMUM 120,000 0 0 0 0 30,000 90,000 0 0 240,000
21 2/1/2019 TRI UMUM 0 0 0 0 0 0 0 0 10,000 10,000
22 2/1/2019 LINTANG UMUM 0 0 0 0 0 0 0 0 20,000 20,000
23 2/1/2019 10,70,00 0201077 ATIK UMUM 0 0 0 0 0 0 0 0 0 0
24 2/1/2019 13,23,55 0201057 BOEDY PRASTYONO UMUM 150,000 400,000 0 0 0 90,000 0 0 0 640,000
25 2/1/2019 13,07,99 0201061 MURSIDAH UMUM 60,000 50,000 72,500 0 0 25,000 98,000 0 0 305,500
26 2/1/2019 09,87,96 0201068 JUCELINO OVIN UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
27 2/1/2019 0201020 FEDORA MARCELLA S UMUM 0 0 77,500 0 0 0 0 0 0 77,500
JUMLAH 1,350,000 800,000 400,500 0 0 430,000 969,000 0 40,000 3,989,500

NOTE:
RJ TUNAI Rp 2,119,500
DEBIT Rp 1,870,000 Mengetahui, 01 FEBRUARI 2019
ASURANSI Rp -
JUMLAH Rp 3,989,500
HERNI TRI MULYANI ATMAJA , SE
( Pembuat Laporan ) ( Supervisor Keuangan ) ( Manager Keuangan )
Poliklinik Dokter Keterangan Debet - Visa Asuransi
LAIN2 LAIN2 MATERAI 0 0

APOTIK FARMASI AMBROXOL
APOTIK FARMASI SUSU NUTRI BABY
APOTIK FARMASI NACL 500,KASA STERIL
SPPD DR. DINA KONSUL,GDS,AMPLODIPIN,AMBROXOL,ASPILET,DLL
SPPD LAB UR-CR
SPPPDR. CHRISPIAN KONSUL + ADM
IGD DR. RODI KONSUL + ADM
OBGIN DR. SYARIF KONSUL + ADM
OBGIN DR. SYARIF KONSUL + USG PAKET ( Bd. Jas )
IGD R. MARADEWI KONSUL,H2TL,WIDAL,DEXA,RANITIDINE,DLL 244,000
OBGIN DR. SYARIF KONSUL + USG UMUM 350,000
APOTIK FARMASI VIT C,NACL,DISP,AQUA 103,000
APOTIK FARMASI MECO INJ,VIT C,POLIDEMOSIM,REVANAC
APOTIK FARMASI UNDERPAD
APOTIK FARMASI MECO INJ
ANAK DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS
IGD DR. REZA M KONSUL,PARATUSIN,VIT B,PCT,AMBROXOL,CTM
LAIN2 LAIN2 MATERAI
LAIN2 LAIN2 MATERAI
SPPD DR. LUCAS KONSUL ( FREE ) KARYAWAN
BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,DLL 640,000
IGD R. MARADEWI KONSUL,H2TL,INJ,IBUPROFEN,PEPTIFET,LORATADINE 305,500
ANAK DR. ALDERS KONSUL + ADM 150,000
SPPD LAB WIDAL 77,500
1,870,000 0
2,119,500
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
Periode : 02 FEBRUARI 2019
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Fisioterapi Daftar ADM Farmasi U.Muka Lain-lain
1 2/2/2019 RAHMA NAILA FITRI UMUM 0 0 0 0 0 0 0 2,000,000 0

2 2/2/2019 RAHMAWATI UMUM 0 0 0 0 0 0 0 2,500,000 0
3 2/2/2019 HIKMATUL UMUM 0 0 0 0 0 0 22,000 0 0
4 2/2/2019 RAHMA UMUM 0 0 0 0 0 0 28,000 0 0
5 2/2/2019 RAHMA UMUM 0 0 0 0 0 0 125,000 0 0
6 2/2/2019 PARMAN UMUM 0 0 0 0 0 0 770,000 0 0
7 2/2/2019 WITA UMUM 0 0 0 0 0 0 50,000 0 0
8 2/2/2019 CYNTIA UMUM 0 0 0 0 0 0 0 0 10,000
9 2/2/2019 13,23,40 0201095 AGUS S UMUM 70,000 50,000 115,000 0 0 25,000 115,000 0 0
10 2/2/2019 12,97,96 0202002 JULIA TASLIM UMUM 60,000 75,000 0 0 0 25,000 0 0 0
11 2/2/2019 13,23,68 0201097 GRACELYN UMUM 60,000 0 95,000 0 0 25,000 175,000 0 5,000
12 2/2/2019 RAHMA NAILA FITRI UMUM 0 0 0 0 0 0 0 8,240,000 0
13 2/2/2019 CYNTHIA C UMUM 0 0 0 0 0 0 0 2,500,000 0
14 2/2/2019 POLI UMUM 0 0 0 0 0 0 0 0 20,000
15 2/2/2019 13,23,77 0202049 SRI LESTARI UMUM 120,000 0 0 0 0 30,000 280,000 0 0
16 2/2/2019 13,23,74 0202074 MARYATI UMUM 120,000 0 0 0 0 30,000 0 0 0
17 2/2/2019 13,23,75 0202039 SYARAH UMUM 120,000 200,000 0 0 0 30,000 0 0 0
18 2/2/2019 APS UMUM 0 0 0 0 0 0 5,000 0 0
19 2/2/2019 KINA UMUM 0 0 0 0 0 0 36,000 0 0
20 2/2/2019 RAHMAWATI UMUM 0 0 0 0 0 0 15,000 0 0
21 2/2/2019 DEDE UMUM 0 0 0 0 0 0 10,000 0 0
22 2/2/2019 CAHYAT UMUM 0 0 0 0 0 0 10,000 0 0
23 2/2/2019 BAMBANG UMUM 0 0 0 0 0 0 73,000 0 0
24 2/2/2019 REZWZN UMUM 0 0 0 0 0 0 27,000 0 0
25 2/2/2019 SUBAGYO UMUM 0 0 0 0 0 0 10,000 0 0
26 2/2/2019 MARYATI UMUM 0 0 0 0 0 0 16,000 0 0
27 2/2/2019 FREDDY UMUM 0 0 0 0 0 0 0 0 10,000
28 2/2/2019 13,22,83 0131002 RUSBANON DEWI UMUM 0 0 0 0 0 0 0 0 10,243,568
29 2/2/2019 UMUM 0 0 0 0 0 0 0 0 15,000,000
30 2/2/2019 13,12,32 0201078 ADITYA ANTIKA UMUM 0 0 0 0 0 0 0 0 1,200,000
31 2/2/2019 13,12,32 0201078 ADITYA ANTIKA UMUM 0 0 0 0 0 0 0 0 240,705
32 2/2/2019 13,12,32 0201078 ADITYA ANTIKA ASURANSI 0 0 0 0 0 0 0 0 15,585,029
33 2/2/2019 12,90,28 0202037 FAZILLA SHAFA ZAFIRA ASURANSI 60,000 0 0 0 0 25,000 76,023 0 0
34 2/2/2019 11,78,30 0202048 ANDATI ARIANI ASURANSI 120,000 200,000 0 0 0 30,000 375,000 0 0
35 2/2/2019 13,23,36 0131009 JAMALLULLAIL ASURANSI 0 0 0 0 0 0 0 0 2,029,116
36 2/2/2019 RESTU S UMUM 0 0 0 0 0 0 30,000 0 0
37 2/2/2019 ARI P UMUM 0 0 0 0 0 0 39,000 0 0
38 2/2/2019 MASAYU UMUM 0 0 0 0 0 0 16,000 0 0
39 2/2/2019 WAHYUNI UMUM 0 0 0 0 0 0 61,000 0 0
40 2/2/2019 M ANTAR S UMUM 0 0 0 0 0 0 10,000 0 0
41 2/2/2019 13,17,47 0202038 CLAUDIA UMUM 150,000 400,000 0 0 0 90,000 0 0 0
42 2/2/2019 13,23,25 0131000 RATIH UMUM 0 0 0 0 0 0 0 0 1,387,314
43 2/2/2019 13,23,28 0131005 ARI FEBRIANTI ASURANSI 0 0 0 0 0 0 0 0 189,530
43 2/2/2019 13,23,28 0131005 ARI FEBRIANTI ASURANSI 0 0 0 0 0 0 0 0 17,028,746
44 2/2/2019 13,23,73 0202037 SAIFUL UMUM 120,000 550,000 0 0 0 30,000 4,000 0 0
45 2/2/2019 1902022 PARMAN UMUM 0 0 0 0 0 0 0 0 1,100,000
JUMLAH 1,000,000 1,475,000 210,000 0 0 340,000 2,378,023 15,240,000 64,049,008

NOTE:
JUMLAH Rp 82,692,031
OLIKLINIK TUNAI
19
Total Poliklinik Dokter Keterangan Debet - Visa Asuransi
2,000,000 RANAP RANAP DEPOSITE KE VIP 0 0

2,500,000 RANAP RANAP DP KE 1
22,000 APOTIK FARMASI VIT C,MECOBOLAMIN
28,000 APOTIK FARMASI POLYSILENCE
125,000 APOTIK FARMASI KENDIL,MONALISA,WASHLAP,CUKURAN,UNDERPAD
770,000 APOTIK FARMASI LINEN HBSAG 1 NO.1
50,000 APOTIK FARMASI TEGADERM
10,000 LAIN2 LAIN2 MATERAI
375,000 IGD DR. RODI KONSUL,LAB,SANMOL,VASOFIK,PARACETAMOL,DLL
160,000 IGD DR. RODI KONSUL,AFF HEACTING,ADM
360,000 IGD DR. RODI KONSUL,LAB,TEMPRA,TRAMADOL,STESOLID.DLL 360,000
8,240,000 RANAP RANAP DEPOSITE KE 2 ( VIP) 8,240,000
2,500,000 RANAP RANAP DP KE1 2,500,000
20,000 LAIN2 LAIN2 MATERAI 2
430,000 SPPD. SEBASTIANUS KONSUL,PRUMPITA,PRONAGES,DLL
150,000 OBGIN DR. SYARIF KONSUL + ADM
350,000 OBGIN DR. SYARIF KONSUL + USG UMUM
5,000 APOTIK FARMASI MASKER
36,000 APOTIK FARMASI RITAMPAN ,ETAMBOTAN,INH,PZA
15,000 APOTIK FARMASI SUSU SGM
10,000 APOTIK FARMASI WASHLAP
10,000 APOTIK FARMASI VERBAN 5X5
73,000 APOTIK FARMASI SPASMINAL,CTM,RANITIDINE,COTAMEXAZOLE
27,000 APOTIK FARMASI CETRIZINE.KENACOT,
10,000 APOTIK FARMASI MICROPORE
16,000 APOTIK FARMASI MECO INJ,PONSTAN
10,243,568 RANAP RANAP PELUNASAN RANAP 10,243,568
15,000,000 RANAP RANAP PELUNASAN RANAP
240,705 RANAP RANAP PELUNASAN RANAP 240,705
161,023 IGD DR. REZA M KONSUL,ACTIFED,PARACETAMOL 161,023
725,000 OBGIN DR. SYARIF KONSUL ,USG UMUM,FOLAMIL GENIO,CAL 15,DLL 725,000
30,000 APOTIK FARMASI SIMVES PONSTAN
39,000 APOTIK FARMASI POLYDEMORI
16,000 APOTIK FARMASI SIR PLUS
61,000 APOTIK FARMASI RACIKAN
10,000 APOTIK FARMASI VIT C INJ
640,000 BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI
189,530 RANAP RANAP EXSES ASURANSI
704,000 MATA . NURBUANTO KONSUL,AMBIL GRAM,SLITHLUMP,REFLAKSI 704,000
1,100,000 RANAP RANAP ALAT MESS DR. MOZART 1,100,000
84,692,031 23,388,273 33,528,914
27,774,844
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/3/2019 WAHYUNI UMUM 0 0 0 0 0 0 50,000 0 0 50,000

2 2/3/2019 09,86,95 0202047 SOPYANUDIN UMUM 60,000 195,000 205,000 0 0 25,000 130,000 0 0 615,000
3 2/3/2019 13,23,80 0202048 FANNY NURJANAH UMUM 60,000 0 105,000 0 0 25,000 65,000 0 0 255,000
4 2/3/2019 13,23,83 0203003 HOTIMAH UMUM 60,000 0 0 0 0 25,000 12,000 0 0 97,000
5 2/3/2019 AFDA/MAULI UMUM 0 0 0 0 0 0 22,000 0 0 22,000
6 2/3/2019 APS UMUM 0 0 0 0 0 0 85,000 0 0 85,000
7 2/3/2019 WATMA UMUM 0 0 0 0 0 0 9,000 0 0 9,000
8 2/3/2019 MANIH UMUM 0 0 0 0 0 0 13,000 0 0 13,000
JUMLAH 180,000 195,000 310,000 0 0 75,000 386,000 0 0 1,146,000

NOTE:
DEBIT Rp - Mengetahui, 3 FEBRUARI 2019
ASURANSI Rp -
JUMLAH Rp 1,146,000
KLINIK TUNAI
APOTIK FARMASI TEGADERM 0 0

IGD DR. EKA LUSI KONSUL,INJ,OBS,INFUS,LAB,PCT,ONZ,RANITIDINE
IGD DR. EKA LUSI KONSUL,LAB,SANMOL,GG,DEXA,VIT C,CEFIXIME
IGD DR. REZA M KONSUL,MELAXICOM,DEXA,VIT B
APOTIK FARMASI RACIKAN BATUK PILEK PANAS
APOTIK FARMASI MONALISA,UNDERPAD,WASHLAP,KENDIL
APOTIK FARMASI AMBROXOL
APOTIK FARMASI SUSU SGM
0 0
1,146,000
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/4/2019 REHAN UMUM 0 0 0 0 0 0 15,000 0 0

2 2/4/2019 RAHMAWATI UMUM 0 0 0 0 0 0 50,000 0 0
3 2/4/2019 REHAN UMUM 0 0 0 0 0 0 8,000 0 0
4 2/4/2019 11,96,03 0204002 PAULA FRIEDA UMUM 70,000 165,000 32,500 0 0 25,000 58,000 0 0
5 2/4/2019 13,23,83 0203005 REHAN M AKBAR UMUM 70,000 50,000 0 0 0 25,000 30,000 0 0
6 2/4/2019 13,23,85 0203007 SETYA UTAMI UMUM 70,000 0 0 0 0 25,000 161,000 0 0
7 2/4/2019 13,23,84 0202003 WASELI UMUM 0 0 0 0 0 0 0 2,000,000 0
8 2/4/2019 UJANG UMUM 0 0 0 0 0 0 36,000 0 0
9 2/4/2019 APS UMUM 0 0 0 0 0 0 25,000 0 0
10 2/4/2019 SODUAN UMUM 0 0 0 0 0 0 41,000 0 0
11 2/4/2019 TIVA UMUM 0 0 0 0 0 0 22,000 0 0
12 2/4/2019 FAJRI UMUM 0 0 0 0 0 0 54,000 0 0
13 2/4/2019 13,21,29 0204092 DJUMIN UMUM 120,000 0 0 0 0 30,000 62,000 0 0
14 2/4/2019 13,24,09 0204106 HENDARJI SURYANTO UMUM 60,000 0 32,500 0 0 25,000 20,000 0 0
15 2/4/2019 13,16,60 0204103 M INDRA UMUM 60,000 80,000 0 0 0 25,000 100,000 0 0
16 2/4/2019 13,24,07 0204100 FIKA KASAFANI UMUM 60,000 0 150,000 0 0 25,000 40,000 0 0
17 2/4/2019 13,23,66 0201007 RAHMA NAILA FITRIANA UMUM 0 0 0 0 0 0 0 0 1,944,329
18 2/4/2019 13,23,66 0201007 RAHMA NAILA FITRIANA UMUM 0 0 0 0 0 0 0 0 8,090,000
19 2/4/2019 13,22,82 0201005 PENI MIRAHADI ASURANSI 0 0 0 0 0 0 0 0 37,973,219
20 2/4/2019 10,92,65 0204020 HAFIZ UMUM 120,000 0 0 0 0 30,000 0 0 0
21 2/4/2019 12,21,45 0201008 CYNTHIA UMUM 0 0 0 0 0 0 0 0 -69,498
22 2/4/2019 IBRAHIM SAMIN UMUM 0 0 0 0 0 0 0 5,000,000 0
23 2/4/2019 13,23,88 0204011 SAUDAH UMUM 0 0 0 0 0 0 0 0 0
24 2/4/2019 10,95,16 0204087 MARSYANUM ZIANDRA UMUM 120,000 0 0 0 0 30,000 15,000 0 0
25 2/4/2019 13,24,00 0204079 BERNIKE UMUM 0 0 0 0 0 55,000 0 0 0
26 2/4/2019 13,19,20 0204086 SUSI UMUM 120,000 200,000 0 0 0 30,000 10,000 0 0
27 2/4/2019 13,23,97 1902044 M IBRAHIM UMUM 120,000 0 0 0 0 30,000 0 0 0
28 2/4/2019 12,17,62 0204081 M DANISH UMUM 120,000 0 0 0 0 30,000 130,000 0 0
29 2/4/2019 13,22,40 0204065 RINI UMUM 120,000 120,000 0 0 0 30,000 37,000 0 0
30 2/4/2019 12,55,96 0204056 BEATRIX UMUM 120,000 0 0 0 0 30,000 120,000 0 0
31 2/4/2019 13,23,91 0204031 AZZAM DZAKIR UMUM 120,000 0 0 0 0 30,000 20,000 0 0
32 2/4/2019 12,81,12 0204012 SUBIYANTO UMUM 60,000 0 0 0 0 25,000 15,000 0 0
33 2/4/2019 AGUS UMUM 0 0 0 0 0 0 13,000 0 0
34 2/4/2019 DASAR UMUM 0 0 0 0 0 0 5,000 0 0
35 2/4/2019 MULYANI UMUM 0 0 0 0 0 0 13,000 0 0
36 2/4/2019 10,27,70 0204023 KARJONO UMUM 0 0 0 0 0 0 0 0 30,000
37 2/4/2019 10,27,70 0204023 KARJONO ASURANSI 60,000 0 0 0 0 25,000 83,000 0 0
38 2/4/2019 13,23,69 0201000 RAHMAWATI UMUM 0 0 0 0 0 0 0 0 6,822,420
39 2/4/2019 13,23,94 0204049 KARMILA UMUM 120,000 200,000 0 0 0 30,000 0 0 0
40 2/4/2019 13,23,96 0204063 NAYOMA UMUM 120,000 0 0 0 0 30,000 0 0 0
41 2/4/2019 13,23,93 0204051 M KHAYLA UMUM 120,000 0 0 0 0 30,000 16,000 0 0
JUMLAH 1,950,000 815,000 215,000 0 0 615,000 1,199,000 7,000,000 54,790,470

NOTE:
Pengurangan Dp Rp 69,498 HERNI TRI MULYANI ATMAJA , SE
T O T A L Rp 66,584,470 ( Pembuat Laporan ) ( Supervisor Keuangan ) ( Manager Keuangan )
KLINIK TUNAI
Total Poliklinik Dokter Keterangan Debet - Visa Asuransi Nama Dokter
15,000 APOTIK FARMASI OMBROXAL,CTM,DEXA,VIT C 0 0

50,000 APOTIK FARMASI OPSIDE
8,000 APOTIK FARMASI PRORIS SUPP
350,500 IGD R. MARADEWI KONSUL,OBS,INJ,GDS,KETOROLAC,RANITIDINE,DLL
175,000 IGD R. MARADEWI KONSUL,SUPPOSITEN PRORIS,SANMOL,VOMETA,DLL
256,000 IGD R. MARADEWI KONSUL,OMZ,ONDANSENTRON,SPUIT,RABNITIDINE 256,000
2,000,000 RANAP RANAP DEPOSITE 2,000,000
36,000 APOTIK FARMASI MECO
25,000 APOTIK FARMASI MKP 60ML
41,000 APOTIK FARMASI VENTOLIN NEBU,MASKER NEBU
22,000 APOTIK FARMASI PANADOL MERAH
54,000 APOTIK FARMASI MICROPORE BESAR,KASA STERIL
212,000 SPPD DR. DINA KONSUL,PZA,VIT B,CETRIZINE,DLL
137,500 IGD R. MARADEWI KONSUL,AMBROXOL,LORATADINE,VIT C,DLL
265,000 IGD R. MARADEWI KONSUL,INFUS,INJEKSI,OBS
275,000 IGD R. MARADEWI KONSUL,AMBROXOL,DEXA,CTM,LAB-H2TL,WIDAL
150,000 ANAK DR. ALDERS KONSUL + ADM 150,000
-69,498 RANAP RANAP PENGEMBALIAN DP -69,498
5,000,000 RANAP RANAP DEPOSITE KLS 1
0 SYARAF DR. DANIEL KONSUL ( FREE ) KARYAWAN
165,000 ANAK DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS
55,000 SPPD DR. LUCAS KONSUL ( FREE) + ADM
360,000 OBGIN DR. BOB KONSUL + USG UMUM,BLESIFA,FOLAVIT,MEFORMIN
150,000 SPPD DR. HASAN KONSUL + ADM
307,000 OBGIN DR. BOB KONSUL,GV,MOLOROVIT,AMBROXOL,LASIX,DLL
100,000 IGD R. MARADEWI KONSUL,CODEIN,DEXAMETASON
13,000 APOTIK FARMASI INH ,RIFAMPICIN
5,000 APOTIK FARMASI BODREX
13,000 APOTIK FARMASI SGM
30,000 IGD R. MARADEWI EXSES ASURANSI 0
168,000 IGD R. MARADEWI KONSUL,RHINOS,AMBROXOL,DEXA,SANMOL,DLL 168,000
350,000 OBGIN DR. BOB KONSUL + USG UMUM 350,000
166,000 ANAK DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS 166,000
66,584,470 11,162,000 38,141,219 -69,498
17,350,749
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Fisioterapi Daftar ADM Farmasi U.Muka Total Poliklinik
1 2/5/2019 IPAH UMUM 0 0 0 0 0 0 19,000 0 19,000 APOTIK

2 2/5/2019 M RAZQA UMUM 0 0 72,500 0 0 0 0 0 72,500 APS
3 2/5/2019 13,20,38 0205010 HAFIZ FATURRAHMAN UMUM 60,000 50,000 0 0 0 25,000 264,000 0 399,000 IGD
4 2/5/2019 13,24,16 0205016 SUGIANTO UMUM 60,000 50,000 0 0 0 25,000 47,000 0 182,000 IGD
5 2/5/2019 13,24,08 0204018 IYUS HASANAH UMUM 60,000 50,000 0 0 0 25,000 70,000 0 205,000 IGD
6 2/5/2019 RISPA UMUM 0 0 0 0 0 0 0 2,500,000 2,500,000 RANAP
7 2/5/2019 SUPRAPTI UMUM 0 0 0 0 0 0 5,000 0 5,000 APOTIK
8 2/5/2019 13,24,21 0205023 WARDATUL HAMRO UMUM 60,000 0 0 0 0 25,000 22,000 0 107,000 IGD
9 2/5/2019 NOFI UMUM 0 0 0 0 0 0 5,000 0 5,000 APOTIK
10 2/5/2019 13,24,20 0205022 WANDA SYIFA UMUM 60,000 0 0 0 0 25,000 65,000 0 150,000 IGD
11 2/5/2019 LATIFAH UMUM 0 0 72,500 0 0 0 0 0 72,500 APS
12 2/5/2019 SOPUTRI UMUM 0 0 0 0 0 0 0 1,000,000 1,000,000 RANAP
13 2/5/2019 12,74,80 0204017 AQILLA HUMAIRAH UMUM 60,000 0 0 0 0 25,000 7,000 0 92,000 IGD
14 2/5/2019 10,88,24 0204104 HASANUDDIN UMUM 60,000 0 182,500 0 0 25,000 35,000 0 302,500 IGD
15 2/5/2019 13,24,08 0240105 TIUR HASANAH UMUM 60,000 60,000 115,000 0 0 25,000 163,000 0 423,000 IGD
JUMLAH 480,000 210,000 442,500 0 0 200,000 702,000 3,500,000 5,534,500

NOTE:
DEBIT Rp - Mengetahui, 05 FEBRUARI 2019
ASURANSI Rp -
JUMLAH Rp 5,534,500
Dokter Keterangan Debet - Visa Asuransi
FARMASI ASPILET,MECOBOLAMIN 0 0
LAB H2TL
DR. TEGAR KONSUL,INJ,ASEHSISTEIN,CTM,DEXA,CEFIXIME
DR. TEGAR KONSUL,INJ,RANITIDINE,ONDASRENTRON,DLL
DR. TEGAR KONSUL,INJ,RANITIDINE,PCT,OMZ,ONDAN,DLL
RANAP DEPOSITE OP SC
FARMASI AMBROXOL,SALBUTAMOL
DR. REZA M KONSUL,ASMEF,DEXA
FARMASI GENTAMICIN,DEXA
DR. REZA M KONSUL,BUSCOPAN,PARACETAMOL,OMZ
LAB H2TL
RANAP DEPOSITE BPJS NAIK KLS 1
R. MARADEWI KONSUL,AMBROXOL,CTM,VIT C
R. MARADEWI KONSUL,LAB,CEFIXIME,PCT
R. MARADEWI KONSUL,LAB,OMZ,VASOVIF,DISP ,SUCIAL FORTE
0 0
5,534,500
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/6/2019 0205024 ROSA UMUM 0 0 72,500 0 0 0 0 0 0 72,500

2 2/6/2019 RISPA UMUM 0 0 0 0 0 0 60,000 0 0 60,000
3 2/6/2019 HIKMATULLAH UMUM 0 0 0 0 0 0 22,000 0 0 22,000
4 2/6/2019 13,24,23 0206001 ABIZAR AL GHIFRARY UMUM 70,000 0 0 0 0 25,000 15,000 0 0 110,000
5 2/6/2019 12,95,72 0206007 LINTANG QUEEN UMUM 60,000 0 0 0 0 25,000 22,000 0 0 107,000
6 2/6/2019 PRIYANI UMUM 0 0 0 0 0 0 75,000 0 0 75,000
7 2/6/2019 YUSNI UMUM 0 0 0 0 0 0 17,000 0 0 17,000
8 2/6/2019 SOPUTRI UMUM 0 0 0 0 0 0 123,000 0 0 123,000
9 2/6/2019 GOW LIM UMUM 0 0 0 0 0 0 45,000 0 0 45,000
10 2/6/2019 MARNI UMUM 0 0 0 0 0 0 93,000 0 0 93,000
11 2/6/2019 NGATIYEM UMUM 0 0 0 0 0 0 45,000 0 0 45,000
12 2/6/2019 13,24,54 0206100 NURIATI HUTABARAT UMUM 60,000 0 0 0 0 25,000 173,000 0 0 258,000
13 2/6/2019 YUSUF SUHARDI UMUM 0 0 150,000 0 0 0 0 0 0 150,000
14 2/6/2019 13,22,75 0206052 JEANE MARTHA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
15 2/6/2019 13,21,78 0206091 SITI AISYAH UMUM 0 260,000 0 0 0 0 0 0 0 260,000
16 2/6/2019 13,24,43 0206073 JUMARNI UMUM 120,000 250,000 0 0 0 30,000 0 0 0 400,000
17 2/6/2019 13,02,82 0206048 SRI WAHYUNI UMUM 120,000 200,000 0 0 0 30,000 0 0 0 350,000
18 2/6/2019 13,24,17 0205000 RISPA UMUM 0 0 0 0 0 0 0 0 2,888,045 2,888,045
19 2/6/2019 13,23,94 0203003 WASELI UMUM 0 0 0 0 0 0 0 0 2,563,548 2,563,548
20 2/6/2019 13,24,10 0204008 JAMANSEN UMUM 0 0 0 0 0 0 0 0 2,000,000 2,000,000
21 2/6/2019 13,24,10 0204008 JAMANSEN UMUM 0 0 0 0 0 0 0 0 740,037 740,037
22 2/6/2019 JONATHAN PURBA UMUM 0 0 0 0 0 0 0 2,000,000 0 2,000,000
23 2/6/2019 PANDU DWI NARTO UMUM 0 0 0 0 0 0 0 1,000,000 0 1,000,000
24 2/6/2019 09,18,37 0206080 RATIH ARDIANI ASURANSI 150,000 400,000 0 0 0 90,000 123,000 0 0 763,000
25 2/6/2019 13,24,41 0206068 KHODIJAH ASURANSI 120,000 0 0 0 0 30,000 23,000 0 0 173,000
26 2/6/2019 13,24,48 0206088 AULIA HAZIMAH UMUM 120,000 250,000 0 0 0 30,000 32,000 0 0 432,000
27 2/6/2019 SUPRIATI UMUM 0 0 0 0 0 0 0 0 10,000 10,000
28 2/6/2019 12,59,43 0206079 ADREENA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
29 2/6/2019 13,24,38 0206059 ABDUL RAUF UMUM 120,000 0 0 0 0 30,000 92,000 0 0 242,000
30 2/6/2019 12,26,33 0206082 MAHAMERU PUTRA UMUM 60,000 75,000 0 0 0 25,000 61,000 0 0 221,000
31 2/6/2019 13,24,37 0206057 SAIMI UMUM 120,000 250,000 0 0 0 30,000 0 0 0 400,000
32 2/6/2019 11,88,47 0206072 RAKA FAUZAN UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
33 2/6/2019 13,24,42 0206070 LUGI UMUM 120,000 0 0 0 0 30,000 45,000 0 0 195,000
34 2/6/2019 13,24,44 0206074 HAFIZA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
35 2/6/2019 13,07,02 0206058 RAYYAN UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
36 2/6/2019 13,24,36 0206056 NINDI UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
37 2/6/2019 13,24,29 0206037 TUNIPAH UMUM 120,000 200,000 0 0 0 30,000 0 0 0 350,000
38 2/6/2019 13,24,32 0206053 FATIMAH UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
39 2/6/2019 13,24,30 0206043 M NAIFAL UMUM 120,000 0 0 0 0 30,000 19,000 0 0 169,000
40 2/6/2019 12,38,02 0206040 ELISA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
41 2/6/2019 13,24,33 0206041 RENA CITRA M UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
42 2/6/2019 12,99,20 0206030 OKTAFIANA UMUM 120,000 0 0 0 0 30,000 13,000 0 0 163,000
43 2/6/2019 09,45,92 0206042 MEIKIOR AFTA UMUM 120,000 0 0 0 0 30,000 105,000 0 0 255,000
44 2/6/2019 ANTAR UMUM 0 0 0 0 0 0 22,000 0 0 22,000
45 2/6/2019 RSIA TAMBAK UMUM 0 0 0 0 0 0 56,000 0 0 56,000
46 2/6/2019 13,24,39 0206061 ADI ISMANTO UMUM 60,000 0 0 0 0 25,000 0 0 0 85,000
47 2/6/2019 13,23,63 0206078 WATI JUMIYATI UMUM 60,000 0 0 0 0 25,000 29,000 0 0 114,000
48 2/6/2019 09,18,82 0206064 KHAIRUNISA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
49 2/6/2019 0206029 B CHAIRUNNISA UMUM 0 0 1,144,000 0 0 0 0 0 0 1,144,000
50 2/6/2019 10,88,84 0206081 SENO HARYONO ASURANSI 60,000 50,000 0 0 0 25,000 320,000 0 0 455,000
JUMLAH 3,100,000 1,935,000 1,366,500 0 0 895,000 1,630,000 3,000,000 8,201,630 20,128,130

NOTE:
AI
APS LAB H2TL 0 0

APOTIK FARMASI UNDERPAD,WASHLAP,MONALISA
APOTIK FARMASI VIT C,MECO INJ
IGD DR. REZA M KONSUL,AMOXILIN,GG,CTM,DEXAMETASON
IGD DR. REZA M KONSUL,BUSCOPAN,CTM,RANITIDINE,DONPERIDON
APOTIK FARMASI PRIMOLIT
APOTIK FARMASI CYCLOVER,ANTASID
APOTIK FARMASI CEFIXIME
APOTIK FARMASI CYTOTEC
APOTIK FARMASI MICRUPEN
IGD DR. RODI KONSUL,SANMOL,ACTYLISTIN,ONDAN,DLL
APS LAB H2TL,WIDAL
SPPP DR. CHRISPIAN KONSUL + ADM
OBGIN DR. NOVIADY KONSUL + USG TV ( Bd. Ririn )
OBGIN DR. NOVIADY KONSUL + USG TV UMUM
OBGIN DR. NOVIADY KONSUL + USG UMUM
RANAP RANAP PELUNASAN RANAP
RANAP RANAP PELUNASAN RANAP 740,037
RANAP RANAP DEPOSITE KLS 3 2,000,000
RANAP RANAP DEPOSITE KLS 3 1,000,000
BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI ,LAXEBERM 763,000
SPPD DR. LUCAS KONSUL,BERANETASON,CETRIZINE,RANITIDINE,DLL 173,000
OBGIN DR. RIRY KONSUL,USG TV,CEFIXIME,,METRONIDAZL,ASMEF
LAIN2 LAIN2 MATERAI
ANAK DR. ALDERS KONSUL + ADM
SPPD DR. LUCAS KONSUL,PONSTAN,ALLOPININAL,OMZ
IGD DR. EKA LUSI KONSUL,GV,CEFIXIME,MEFINAL,BETASON N
OBGIN DR. RIRY KONSUL + USG TV
ANAK DR. ALDERS KONSUL ,RACIKAN BUTUK PILEK PANAS
OBGIN DR. RIRY KONSUL + USG UMUM
APOTIK FARMASI VIT C,MECO INJ
APOTIK FARMASI KAEN IB
IGD DR. EKA LUSI KONSUL (FREE ) IBU RIA 85,000
IGD DR. EKA LUSI KONSUL,,CEFIXIME,DEXA,PARASETAMOL, 114,000
APS LAB H2TL,SI,FEBRIN.CA,VIT D 1,144,000
IGD DR. EKA LUSI KONSUL,INJ,NEUROSANBE,SANMOL 455,000
5,233,037 1,391,000
13,504,093
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/7/2019 13,24,59 0206110 AJI AHMAD FAUZI UMUM 70,000 0 169,500 0 0 25,000 210,000 0 0
2 2/7/2019 YULIA ROKHMAN UMUM 0 0 0 0 0 0 0 1,000,000 0
3 2/7/2019 DIANA UMUM 0 0 0 0 0 0 18,000 0 0
4 2/7/2019 DEDE UMUM 0 0 0 0 0 0 41,000 0 0
5 2/7/2019 JULIATI UMUM 0 0 0 0 0 0 275,000 0 0
6 2/7/2019 TITIE UMUM 0 0 0 0 0 0 13,500 0 0
7 2/7/2019 SUSHI UMUM 0 0 0 0 0 0 78,000 0 0
8 2/7/2019 TIRTONO UMUM 0 0 0 0 0 0 25,000 0 0
9 2/7/2019 AMINAH UMUM 0 0 0 0 0 0 53,000 0 0
10 2/7/2019 WULAN UMUM 0 0 0 0 0 0 10,000 0 0
11 2/7/2019 NUR UMUM 0 0 0 0 0 0 21,000 0 0
12 2/7/2019 10,94,49 0207035 PRETTY SIBAGARIANG UMUM 0 0 0 0 0 0 35,000 0 0
13 2/7/2019 HILDA UMUM 0 0 0 0 0 0 107,000 0 0
14 2/7/2019 HILDA UMUM 0 0 0 0 0 0 10,000 0 0
15 2/7/2019 13,23,39 NOVIA UMUM 0 0 0 0 0 0 78,000 0 0
16 2/7/2019 10,39,29 0207084 ZULAIFAH UMUM 0 0 0 0 0 0 0 0 0
17 2/7/2019 13,24,75 0207080 AFRA UMUM 0 150,000 117,500 0 0 0 0 0 0
18 2/7/2019 M IBRAHIM SAMIN UMUM 0 0 0 0 0 0 0 0 15,000
19 2/7/2019 13,24,75 0207007 AFRA UMUM 0 0 0 0 0 0 0 0 3,200,000
20 2/7/2019 13,23,97 0204007 IBRAHIM UMUM 0 0 0 0 0 0 0 0 1,365,669
21 2/7/2019 13,19,38 0207099 ADITYA ANTIKA ASURANSI 0 0 0 0 0 0 0 0 22,000
22 2/7/2019 12,83,28 0207089 LEONARDUS UMUM 60,000 50,000 0 0 0 25,000 51,000 0 0
23 2/7/2019 11,30,84 NIDA HILWANA UMUM 0 0 0 0 0 0 154,000 0 0
24 2/7/2019 13,24,10 0204008 SOPUTRI UMUM 0 0 0 0 0 0 0 0 -91,917
25 2/7/2019 13,24,55 0206005 PANDU DUWINARTO PUTRO UMUM 0 0 0 0 0 0 0 0 1,234,478
26 2/7/2019 13,24,11 0205009 JAMANSEN PURBA UMUM 0 0 0 0 0 0 0 0 -1,367,240
27 2/7/2019 DATRIM UMUM 0 0 0 0 0 0 0 3,500,000 0
28 2/7/2019 13,24,74 NURHAYATUN UMUM 0 0 0 0 0 0 60,000 0 0
29 2/7/2019 13,23,76 0207075 SARODJI UMUM 120,000 0 0 0 0 30,000 23,000 0 0
30 2/7/2019 13,06,94 0207077 TJIO TJOEI TJIN UMUM 60,000 145,000 0 0 0 25,000 76,000 0 0
31 2/7/2019 13,23,76 0207060 SAROJI UMUM 60,000 0 0 100,000 0 25,000 0 0 0
32 2/7/2019 13,24,74 0207079 NURHAJATUN UMUM 0 0 0 0 0 55,000 0 0 0
33 2/7/2019 13,24,72 0207066 IR ATAN RIVAI UMUM 150,000 400,000 0 0 0 90,000 0 0 0
34 2/7/2019 13,24,29 0207031 TUNIFAH UMUM 120,000 0 0 0 0 30,000 0 0 0
35 2/7/2019 13,24,65 0207047 DEWI MEGAWATI UMUM 60,000 0 0 0 0 25,000 18,000 0 0
36 2/7/2019 13,24,62 0207032 CHALISHA NAILA UMUM 0 0 0 0 0 0 33,000 0 0
37 2/7/2019 13,24,62 0207032 CHALISHA NAILA UMUM 60,000 0 115,000 0 0 25,000 0 0 0
38 2/7/2019 YAYAH UMUM 0 0 0 0 0 0 14,000 0 0
39 2/7/2019 UDJANG UMUM 0 0 0 0 0 0 12,000 0 0
40 2/7/2019 RSIA TAMBAK UMUM 0 0 0 0 0 0 56,000 0 0
41 2/7/2019 13,24,37 0207002 SAIMI UMUM 0 0 0 0 0 0 0 0 668,427
42 2/7/2019 11,17,07 0207038 SITI YULIA UMUM 120,000 350,000 0 0 0 30,000 0 0 0
43 2/7/2019 12,32,29 0207051 YUNIARTA SITUMORANG ASURANSI 120,000 250,000 0 0 0 30,000 0 0 0
44 2/7/2019 13,03,98 0207027 SARWO EKO ASURANSI 60,000 0 438,000 0 0 25,000 34,463 0 0
JUMLAH 1,060,000 1,345,000 840,000 100,000 0 440,000 1,505,963 4,500,000 5,046,417

NOTE:
ASURANSI Rp 957,463
Pengembalian Dp Rp 1,459,157 HERNI TRI MULYANI ATMAJA , SE
KLINIK TUNAI
Total Poliklinik Dokter Keterangan Debet - Visa Asuransi LAIN2
474,500 IGD DR. RODI KONSUL,SANMOL,PEPTIFET,LAB,DLL 0 0

1,000,000 RANAP RANAP DEPOSITE NAIK KLS III KE KELS II 1,000,000
18,000 APOTIK FARMASI MICROPORE
41,000 APOTIK FARMASI TEGADERM SEDANG I
275,000 APOTIK FARMASI LAMINARIA
13,500 APOTIK FARMASI INSTO
78,000 APOTIK FARMASI NOVAFIT
25,000 APOTIK FARMASI AMPLODIPIN,VIT B12
53,000 APOTIK FARMASI MECO INJ,CACO
10,000 APOTIK FARMASI WASHLAP
21,000 APOTIK FARMASI STARDINE,ALKOHOL
35,000 APOTIK FARMASI FOLAVIT TAB
107,000 APOTIK FARMASI CITICOLIN,LAXADIN
10,000 APOTIK FARMASI UNDERPAD
78,000 APOTIK FARMASI NOVAFIT
0 OBGIN DR. NOVIADY KONSUL ( FREE ) KARYAWAN
267,500 OBGIN DR. NOVIADY KONSUL + USG PAKET ( Bd. Yupinar )
15,000 LAIN2 LAIN2 PIRING TATAKAN LAUK
3,200,000 RANAP RANAP PELUNASAN RANAP CURATAGE
22,000 RANAP RANAP ODC EXSES
186,000 IGD DR. TEGAR KONSUL,INJ,ASETILSISTEIN,DEXA,CEFIXIME,DLL 186,000
154,000 APOTIK FARMASI FOLAVIT TAB,OXCALL 154,000
-91,917 RANAP RANAP PENGEMBALIAN DP -91,917
-1,367,240 RANAP RANAP PENGEMBALIAN DP -1,367,240
3,500,000 RANAP RANAP DEPOSITE RANAP CURATAGE
60,000 APOTIK FARMASI ANTROMISIN,DOMPERDON,SALBUTAMOL,LOPERAMID
173,000 SPPD DR. LUCAS KONSUL,SALBUTAMOL,GG,OBH,CEFIXIME
306,000 IGD DR. EKA LUSI KONSUL,OBS,INFUS,AQUADEST,VASOFIK,NACL
185,000 IGD DR. EKA LUSI KONSUL,THORAK
55,000 IGD DR. EKA LUSI KONSUL ( FREE ) + ADM
150,000 OBGIN DR. RIRY KONSUL + ADM
103,000 IGD DR. EKA LUSI KONSUL,SANMOL,VOMETA,NEUROBION
33,000 APOTIK FARMASI PARACETAMOL,RANITIDINE,DLL
200,000 IGD DR. RODI KONSUL,LAB H2TL,UL
14,000 APOTIK FARMASI MECO INJ,PCT
12,000 APOTIK FARMASI MECO INJ
56,000 APOTIK FARMASI KAEN I.B NO.IV
668,427 RANAP RANAP PELUNASAN RANAP
500,000 OBGIN DR. RIRY KONSUL + AFF SPIRAL 500,000
400,000 MATA . NURBUANTO KONSUL,REFRAKSI,SLITHLUMP 400,000
557,463 IGD DR. RODI KONSUL,PARACETAMOL,TRAMAL,SIMUSTATIN,DLL 557,463
14,837,380 3,074,478 957,463 -1,459,157
12,264,596
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Fisioterapi Daftar ADM Farmasi U.Muka
1 2/8/2019 RS HUSADA UMUM 0 0 0 0 0 0 210,000 0

2 2/8/2019 11,21,45 0207108 ROHMATI UMUM 70,000 50,000 0 0 0 25,000 20,000 0
3 2/8/2019 13,24,83 0208001 TITIK JARWANI UMUM 70,000 115,000 0 0 0 25,000 70,000 0
4 2/8/2019 12,25,14 0207092 PARDAMEAN SIHOMBING ASURANSI 60,000 50,000 0 0 0 25,000 111,000 0
5 2/8/2019 11,97,09 0207095 PATRICIO LEONARDO ASURANSI 60,000 0 0 0 0 25,000 109,000 0
6 2/8/2019 MARYATI UMUM 0 0 0 0 0 0 12,000 0
7 2/8/2019 SAARI UMUM 0 0 0 0 0 0 15,000 0
8 2/8/2019 ERLINA UMUM 0 0 0 0 0 0 20,000 0
9 2/8/2019 DEBI UMUM 0 0 0 0 0 0 55,000 0
10 2/8/2019 13,25,05 0208083 KANAKA GILANG UMUM 60,000 75,000 0 0 0 25,000 92,000 0
11 2/8/2019 13,23,62 0208033 SURHARYATI UMUM 120,000 0 0 0 0 30,000 50,000 0
12 2/8/2019 IDA YUNANINGSIH UMUM 0 0 0 0 0 0 0 1,500,000
13 2/8/2019 11,61,73 0208044 NAVISHA KONARA AISYAH ASURANSI 120,000 0 0 0 0 30,000 127,339 0
14 2/8/2019 12,44,44 0208047 HENDRI HERDIANA ASURANSI 60,000 0 0 0 0 25,000 35,250 0
15 2/8/2019 13,19,45 0124005 SAHEEDA BIBI UMUM 0 0 0 0 0 0 0 0
16 2/8/2019 IDA YUNANINGSIH UMUM 0 0 0 0 0 0 0 1,000,000
17 2/8/2019 11,89,43 0204009 YULIA RAHMAN UMUM 0 0 0 0 0 0 0 0
18 2/8/2019 DEBBY UMUM 0 0 0 0 0 0 25,000 0
19 2/8/2019 M HAKAM SUKU UMUM 0 0 0 0 0 0 10,000 0
20 2/8/2019 FREDY UMUM 0 0 0 0 0 0 20,000 0
21 2/8/2019 10,78,70 0208045 SRI KUSMIYATI UMUM 120,000 0 0 0 0 30,000 34,000 0
22 2/8/2019 13,24,95 0208062 M DEVANO UMUM 60,000 0 0 0 0 25,000 87,000 0
23 2/8/2019 13,24,86 0208021 LUTHFI ANES UMUM 60,000 0 0 0 0 25,000 24,000 0
24 2/8/2019 13,24,87 0208034 ERNAWAN UMUM 60,000 0 0 0 0 25,000 15,000 0
25 2/8/2019 13,23,62 0208007 SUHARYATI UMUM 0 0 135,000 0 0 0 0 0
26 2/8/2019 12,08,74 0208028 M RAFA AZKA UMUM 120,000 0 0 0 0 30,000 87,000 0
27 2/8/2019 13,24,94 0208061 GIVEN YOHANES UMUM 120,000 0 0 0 0 30,000 38,000 0
28 2/8/2019 13,24,90 0208028 SULTHAN UMUM 120,000 0 0 0 0 30,000 100,000 0
29 2/8/2019 SINGLAM UMUM 0 0 0 0 0 0 20,000 0
30 2/8/2019 13,18,76 1902080 MUHAMMAD FAJRI RAMADHAN UMUM 0 0 0 0 0 55,000 0 0
31 2/8/2019 12,03,57 0208058 AMIRAH UMUM 120,000 75,000 0 0 0 30,000 0 0
32 2/8/2019 13,20,47 0208065 SEPTIAN SAPUTRA UMUM 0 0 0 0 0 0 0 0
33 2/8/2019 13,24,96 0208064 NURAFENI UMUM 120,000 250,000 0 0 0 30,000 0 0
34 2/8/2019 13,24,98 0208072 KUSRIYANTI UMUM 120,000 705,000 350,000 0 0 30,000 0 0
35 2/8/2019 12,67,40 0208014 MICHELLA BUDIJANTO ONGKO W UMUM 0 0 0 0 0 0 0 0
36 2/8/2019 12,67,40 0208014 MICHELLA BUDIJANTO ONGKO W ASURANSI 120,000 0 0 0 0 30,000 181,800 0
37 2/8/2019 12,67,27 0208059 MUHAMMAD SYAFAR UMUM 120,000 0 0 0 0 30,000 0 0
38 2/8/2019 12,51,62 0208023 MARCO SAVISKY UMUM 120,000 0 0 0 0 30,000 90,000 0
39 2/8/2019 13,22,02 0208056 PERANCIS AQUERA RUTH UMUM 120,000 0 0 0 0 30,000 10,000 0
JUMLAH 2,120,000 1,320,000 485,000 0 0 670,000 1,668,389 2,500,000

NOTE:
Pengembalian Dp Rp 371,483 HERNI TRI MULYANI ATMAJA , SE
AN POLIKLINIK TUNAI
RI 2019
Lain-lain Total Poliklinik Dokter Keterangan Debet - Visa Asuransi LAIN-LAIN
0 210,000 APOTIK FARMASI NACL 0 0

0 165,000 IGD DR. TEGAR KONSUL,INJ,NADELOPENAT,ZINE,RANITIDINE
0 280,000 IGD DR. TEGAR KONSUL,OBS,PCT,BISOP,NERUROSANBE.DLL 280,000
0 246,000 IGD DR. TEGAR KONSUL,NEUROSANBE,SPUIT,AMBROXOL,DEXA 0 246,000
0 194,000 IGD DR. TEGAR KONSUL,AMBROXOL,SANMOL,CEFADROXIL,DLL 194,000
0 12,000 APOTIK FARMASI MECO INJ
0 15,000 APOTIK FARMASI KASSA STERIL
0 20,000 APOTIK FARMASI KENDIL,UNDERPAD
0 55,000 APOTIK FARMASI WASHLAP,MONALISA JUMBO
0 252,000 IGD DR. RODI KONSUL,WT,PARACETAMOLTROMBOPOP,DLL
0 200,000 SPPD DR. DINA KONSUL,CETRIZIME,CODEIN,DLL
0 1,500,000 RANAP RANAP DEPOSITE NAIK KLS BPJS I KE VIP
0 277,339 ANAK DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS 277,339
0 120,250 IGD DR. EKA LUSI KONSUL,SANMOL,METRYL PREDNISON,RHIMOTE 120,250
10,470,348 10,470,348 RANAP RANAP PELUNASAN RANAP 10,470,348
0 1,000,000 RANAP RANAP DEPOSITE NAIK KLS BPJS I KE VIP 1,000,000
-371,483 -371,483 RANAP RANAP PENGEMBALIAN DEPOSITE -371,483
0 25,000 APOTIK FARMASI UNDERPAD,PISAU CUKUR
0 10,000 APOTIK FARMASI WASHLAP
0 20,000 APOTIK FARMASI MICROPORE,PANADOL EXTRA
0 184,000 SPPD DR. LUCAS KONSUL,OMZ,DOMPERDON,PARACETAMOL,EFERIN
0 172,000 IGD DR. EKA LUSI KONSUL,STESOLID,NASAL,SANMOL,DEXA,DLL
0 109,000 IGD DR. TEGAR KONSUL,CETRIZINE,IKEMECETIN,GENTAMICIN
0 100,000 IGD DR. EKA LUSI KONSUL,PCT,RANITIDINE,DOMPERIDON
0 135,000 SPPD LAB KOLESTEROL LENGKAP
0 237,000 ANAK DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS
0 20,000 APOTIK FARMASI MICROPORE
0 55,000 ANAK DR. ALDERS ADM
0 225,000 ANAK DR. ALDERS KONSUL,VAK MR
0 0 ANAK DR. ALDERS KONSUL ( FREE) KARYAWAN
0 400,000 OBGIN DR. RIRY KONSUL + USG TV
0 1,205,000 OBGIN DR. RIRY KONSUL,PAPSMEAR,VAGINAL TOILET,
50,000 50,000 ANAK DR. ALDERS EXSES ASURANSI
0 331,800 ANAK DR. ALDERS KONSUL,ELKANA,SANMOL 0 331,800
0 150,000 ANAK DR. ALDERS KONSUL + ADM 150,000
10,148,865 18,912,254 12,300,348 1,169,389 -371,483
5,814,000
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/9/2019 ERU UMUM 0 0 0 0 0 0 5,000 0 0

2 2/9/2019 WATI J UMUM 0 0 0 0 0 0 55,000 0 0
3 2/9/2019 HIKMATULLOH UMUM 0 0 0 0 0 0 22,000 0 0
4 2/9/2019 13,25,57 0208092 TAPE SINAGA UMUM 70,000 0 0 0 0 25,000 0 0 0
5 2/9/2019 12,04,12 0208090 THERESIA UMUM 70,000 50,000 0 0 0 25,000 268,000 0 12,390
6 2/9/2019 M TAUFIQ UMUM 0 0 0 0 0 0 0 2,000,000 0
7 2/9/2019 13,25,27 0209061 ANGELICA UMUM 60,000 0 72,500 0 0 25,000 3,000 0 0
8 2/9/2019 ASIMA UMUM 0 0 0 0 0 0 4,000 0 0
9 2/9/2019 13,29,25 0209059 RAHWANA UMUM 60,000 60,000 0 0 0 25,000 0 0 0
10 2/9/2019 13,29,25 0209059 RAHWANA UMUM 60,000 0 0 0 0 25,000 12,000 0 0
11 2/9/2019 10,47,47 0209058 RAYHAN SAID SETIAWAN UMUM 60,000 0 0 0 0 25,000 20,000 0 0
12 2/9/2019 12,49,53 0209057 ZAHRATU NASHIHAH UMUM 60,000 0 0 0 0 25,000 112,000 0 0
13 2/9/2019 13,25,21 0209040 SITI NURFADILAH UMUM 0 150,000 0 0 0 0 296,000 0 0
14 2/9/2019 M TAUFIK UMUM 0 0 0 0 0 0 5,000 0 0
15 2/9/2019 RIESTA UMUM 0 0 0 0 0 0 22,000 0 0
16 2/9/2019 13,25,10 0209014 MARSELA A UMUM 0 0 0 0 0 0 0 0 0
17 2/9/2019 12,76,08 0209055 SUSI FATMAH UMUM 0 0 0 0 0 0 0 0 0
18 2/9/2019 13,25,24 0209053 DEBORAH NABABAN UMUM 60,000 50,000 0 0 0 25,000 65,000 0 0
19 2/9/2019 INDRAWATI UMUM 0 0 0 0 0 0 0 1,000,000 0
20 2/9/2019 13,22,83 0209039 RUSBANON UMUM 150,000 450,000 0 0 0 101,250 20,000 0 0
21 2/9/2019 13,25,18 0209043 DESRA UMUM 60,000 165,000 105,000 0 0 25,000 147,000 0 0
22 2/9/2019 13,25,07 0209015 TAPPE SINAGA UMUM 60,000 250,000 0 0 0 25,000 13,000 0 0
23 2/9/2019 HUZAIFAH UMUM 0 0 0 0 0 0 375,000 0 0
24 2/9/2019 HUZAIFAH UMUM 0 0 0 0 0 0 85,000 0 0
25 2/9/2019 ROSALIA UMUM 0 0 0 0 0 0 90,000 0 0
26 2/9/2019 11,95,40 0206007 WAGIMAN UMUM 0 0 0 0 0 0 0 0 2,321,385
JUMLAH 770,000 1,175,000 177,500 0 0 351,250 1,619,000 3,000,000 2,333,775

NOTE:
ASURANSI Rp -
JUMLAH Rp 9,426,525
POLIKLINIK TUNAI
2019
5,000 APOTIK FARMASI PARACETAMOL 0 0

55,000 APOTIK FARMASI MONALISA JUMBO,UNDERPAD,WASHLAP
22,000 APOTIK FARMASI MECOBOLAMIN INJ,VIT C INJ
95,000 IGD DR. RODI KONSUL + ADM
425,390 IGD DR. RODI KONSUL,INJ,WING NEDLE,OMZ,PEPTIFET,DLL 425,390
2,000,000 RANAP RANAP DP PERAWATAN BPJS
160,500 IGD DR. REZA M KONSUL,DEXAMETASON,H2TL
4,000 APOTIK FARMASI CETRIZINE
145,000 IGD DR. REZA M KONSUL,GV
97,000 IGD DR. REZA M KONSUL,PATATUSIN,DEXA,OBH
105,000 IGD DR. REZA M KONSUL,AMBROXOL,CTM,DEXA,AMOX,PRORIS
197,000 IGD DR. REZA M KONSUL,SPASMINAL,CTM,DOMPERIDON,DLL
446,000 OBGIN DR. SYARIF KONSDUL,USG,CITITEC,LUMINAL( Bd. Yuli Kasiyati)
22,000 APOTIK FARMASI ACYCLOFIL,PCT,LETRIZINE,ACYLOVIR
0 SPPD DR. LUCAS KONSUL (FREE)
0 OBGIN DR. SYARIF KONSUL ( karyawan ) FREE
200,000 IGD DR. EKA LUSI KONSUL,RANITIDINE,ONDAN,SPUIT,DLL 200,000
1,000,000 RANAP RANAP DEPOSITE BPJS
721,250 BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,CLISMA
502,000 IGD DR. LUCAS KONSUL,OBS,INJ,LAB,PCT,VASOFIK,OMZ,CODEIN,DLL
348,000 IGD DR. RODI KONSUL,EXTRAKSI KUKU,LIDOHON,DLL
375,000 APOTIK FARMASI NOVA T
85,000 APOTIK FARMASI MONALISA,UNDERPAD,WASHLAP,KENDIL,DLL
90,000 APOTIK FARMASI KENDIL,WASHLAP,MONALISA,UNDERPAD,CUKURAN
2,321,385 RANAP RANAP PELUNASAN RANAP-INA CBGS 2,321,385
9,426,525 2,946,775 0
6,479,750
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/10/2019 WIDYA UMUM 0 0 0 0 0 0 0 10,000 0 0

2 2/10/2019 13,25,28 0209062 RIDAN KHAIRI ILHAM UMUM 60,000 0 72,500 0 0 0 25,000 5,000 0 0
3 2/10/2019 LILIS UMUM 0 0 0 0 0 0 0 75,000 0 0
4 2/10/2019 13,25,29 0210001 WIDYA LESTARI UMUM 70,000 0 502,500 0 0 0 25,000 0 0 0
5 2/10/2019 13,25,38 0210011 KARNADI UMUM 60,000 0 150,000 0 0 0 25,000 8,000 0 0
6 2/10/2019 10,48,02 0210015 RAHMINI UMUM 60,000 50,000 65,000 0 0 0 25,000 31,000 0 0
7 2/10/2019 13,25,37 0210012 YUSUF UMUM 60,000 0 0 0 0 0 25,000 23,000 0 0
8 2/10/2019 13,24,89 0210005 WIWIT K UMUM 60,000 0 0 0 0 0 25,000 0 0 0
9 2/10/2019 DEBBY UMUM 0 0 0 0 0 0 0 0 0 10,000
10 2/10/2019 NURAIDA UMUM 0 0 0 0 0 0 0 18,000 0 0
11 2/10/2019 SITI N UMUM 0 0 0 0 0 0 0 25,000 0 0
12 2/10/2019 ISMA UMUM 0 0 0 0 0 0 0 13,000 0 0
13 2/10/2019 13,24,79 0207009 M HAKAN SUKUR UMUM 0 0 0 0 0 0 0 0 0 567,377
14 2/10/2019 13,25,33 0210004 ROLIN GUNAWAN UMUM 60,000 0 0 0 0 0 25,000 19,000 0 0
15 2/10/2019 12,82,25 0210009 YUYUN YOHANA UMUM 60,000 0 0 0 0 0 25,000 3,000 0 0
16 2/10/2019 11,26,97 0209047 GWENTYH STANIA ASURANSI 120,000 0 0 0 0 0 30,000 551,000 0 0
17 2/10/2019 13,22,82 0209040 PENI MIRAHADI ASURANSI 150,000 450,000 0 0 0 0 101,250 290,000 0 0
JUMLAH 760,000 500,000 790,000 0 0 0 331,250 1,071,000 0 577,377

NOTE:
DEBIT Rp 192,000 Mengetahui, 10 FEBRUARI 2019
JUMLAH Rp 4,029,627
KLINIK TUNAI
10,000 LAIN2 LAIN2 MATERAI 0 0

162,500 IGD DR. RODI KONSUL,AMBROXOL,DEXA,H2TL
75,000 APOTIK FARMASI WASHLAP,UNDERPAD,MONALISA,TISU KOTAK
597,500 IGD DR. REZA M KONSUL,H2TL,GDS,HIV-HBSAG
243,000 IGD DR. TEGAR KONSUL,LAB,ALPROZOLAN
231,000 IGD DR. REZA M KONSUL,INJ,GDS,PARACETAMOL,VIT B,VASOFIK
108,000 IGD DR. TEGAR KONSUL,DULCOLAK,ZINE
85,000 IGD DR. REZA M KONSUL + ADM
10,000 APOTIK FARMASI MATERAI
18,000 APOTIK FARMASI MICROPENT
25,000 APOTIK FARMASI UNDERPAD,KENDIL
13,000 APOTIK FARMASI CYCLOFEM INJ
104,000 IGD DR. REZA M KONSUL,PARACETAMOL,OMZ,VIT B 104,000
88,000 IGD DR. TEGAR KONSUL,PCT, 88,000
701,000 ANAK DR. ALDERS KONSUL,CEFIXIME,LASAL,DEXA,LIMINAL,DLL 701,000
991,250 BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,CODEIN,PCT 991,250
4,029,627 192,000 1,692,250
2,145,377
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/11/2019 13,25,42 0210018 ADELIA UMUM 60,000 0 32,500 0 0 25,000 18,000 0 0

2 2/11/2019 13,25,43 0210019 RISKAHANA UMUM 60,000 0 72,500 0 0 25,000 29,000 0 0
3 2/11/2019 13,25,46 0211001 ARFIYAH UMUM 60,000 50,000 172,500 0 0 25,000 60,000 0 0
4 2/11/2019 HUZAIFAH UMUM 0 0 0 0 0 0 50,000 0 0
5 2/11/2019 WATI J UMUM 0 0 0 0 0 0 50,000 0 0
6 2/11/2019 ROJALIA UMUM 0 0 0 0 0 0 50,000 0 0
7 2/11/2019 BILAL UMUM 0 0 0 0 0 0 0 0 10,000
8 2/11/2019 11,29,04 0211121 DERI APRIANTO UMUM 60,000 0 0 0 0 25,000 30,000 0 0
9 2/11/2019 11,13,34 0211027 HADIB UMUM 120,000 0 0 0 0 30,000 99,000 0 0
10 2/11/2019 11,34,89 0211033 HM IMIN UMUM 120,000 0 0 0 0 30,000 84,000 0 0
11 2/11/2019 13,23,66 0211125 RAHMA NAIB UMUM 120,000 120,000 0 0 0 30,000 0 0 0
12 2/11/2019 SRI LESTARI UMUM 0 0 0 0 0 0 15,000 0 0
13 2/11/2019 MIFTAH UMUM 0 0 0 0 0 0 29,000 0 0
14 2/11/2019 RINA UMUM 0 0 0 0 0 0 290,000 0 0
15 2/11/2019 DR. MOZART UMUM 0 0 0 0 0 0 130,000 0 0
16 2/11/2019 13,25,76 0211000 ELZABETH UMUM 0 0 0 0 0 0 0 0 3,200,000
17 2/11/2019 11,94,96 0211073 TESALONIKA UMUM 0 0 0 0 0 55,000 41,000 0 0
18 2/11/2019 13,20,12 0211039 SAWIYAH UMUM 120,000 0 0 0 0 30,000 4,000 0 0
19 2/11/2019 13,25,52 0211038 NAURA UMUM 60,000 0 0 0 0 25,000 81,000 0 0
20 2/11/2019 13,25,64 0211081 NUROHIM UMUM 120,000 0 0 0 0 30,000 0 0 0
21 2/11/2019 12,54,10 0211056 AKSEL UMUM 120,000 0 0 0 0 30,000 108,000 0 0
22 2/11/2019 11,95,17 0211064 M AZZAN UMUM 120,000 0 0 0 0 30,000 82,000 0 0
23 2/11/2019 13,25,59 0211066 MICHAEL UMUM 120,000 0 0 0 0 30,000 15,000 0 0
24 2/11/2019 13,25,58 0211065 DAVIANDRA UMUM 120,000 0 0 0 0 30,000 72,000 0 0
25 2/11/2019 13,12,19 0211067 M FAIQ LUAFI UMUM 120,000 0 0 0 0 30,000 122,000 0 0
26 2/11/2019 11,62,10 0211093 YASMIN UMUM 120,000 0 0 0 0 30,000 0 0 0
27 2/11/2019 ERLINA UMUM 0 0 0 0 0 0 50,000 0 0
28 2/11/2019 UDJANG UMUM 0 0 0 0 0 0 12,000 0 0
29 2/11/2019 AZA UMUM 0 0 0 0 0 0 30,000 0 0
30 2/11/2019 ROSI UMUM 0 0 0 0 0 0 21,000 0 0
31 2/11/2019 13,24,14 0211053 REBECCA UMUM 0 0 0 0 0 0 19,000 0 0
32 2/11/2019 NUS UMUM 0 0 0 0 0 0 65,000 0 0
33 2/11/2019 NAYA UMUM 0 0 0 0 0 0 43,000 0 0
34 2/11/2019 NURJANI UMUM 0 0 0 0 0 0 20,000 0 0
35 2/11/2019 12,46,04 0211106 AFFANA AV UMUM 60,000 0 0 0 0 25,000 0 0 0
36 2/11/2019 13,23,88 0211105 SAODAH UMUM 120,000 0 0 0 0 30,000 0 0 0
37 2/11/2019 13,19,45 0211891 SAHEEDA BIBI UMUM 120,000 0 0 0 0 30,000 35,000 0 0
38 2/11/2019 13,25,54 0211052 SALSABILA (LIKA) UMUM 0 0 0 0 0 0 0 0 0
39 2/11/2019 11,94,96 0211073 TESA LONIKA UMUM 0 0 72,500 0 0 0 0 0 0
40 2/11/2019 13,25,52 0211038 NAURA RENATA UMUM 0 0 72,500 0 0 0 0 0 0
41 2/11/2019 10,31,46 0211100 RAYHAN UMUM 0 0 0 0 0 0 0 0 15,000
42 2/11/2019 11,62,47 0211051 DARMINI UMUM 120,000 150,000 0 0 0 30,000 0 0 0
43 2/11/2019 11,62,47 0211051 DARMINI UMUM 0 50,000 0 0 0 0 0 0 0
44 2/11/2019 13,23,97 0211097 M IBRAHIM UMUM 120,000 0 0 0 0 30,000 105,000 0 0
45 2/11/2019 13,25,69 0211099 HUSNI REZA UMUM 120,000 0 0 0 0 30,000 90,000 0 0
46 2/11/2019 13,25,60 0211068 TEUKU M ZACKY UMUM 120,000 0 0 0 0 30,000 0 0 0
47 2/11/2019 13,25,63 0211077 MYSHA SHAQEENA SHEZA ASURANSI 120,000 0 0 0 0 30,000 151,000 0 0
48 2/11/2019 12,85,70 0211076 ARSAKHA VIRENDRA SHAFWAN ASURANSI 120,000 0 0 0 0 30,000 64,000 0 0
49 2/11/2019 10,31,46 0211100 RAYHAN AR RAHMAN HIDAYAT ASURANSI 120,000 0 0 0 0 30,000 271,000 0 0
JUMLAH 2,760,000 370,000 422,500 0 0 805,000 2,435,000 0 3,225,000

NOTE:
ASURANSI Rp 936,000
NIK TUNAI
135,500 IGD DR. REZA M KONSUL,GDS,IBUPROFEN,VIT B,OMZ 0 0

186,500 IGD DR. REZA MKONSUL,H2TL,PARACETAMOL,SANMOL,DEXA
367,500 IGD DR. REZA M SUL,LAB,RANITIDINE,ONDAN,KETROLOC,DLL
50,000 APOTIK FARMASI TEGADERM 1627 NO.1
115,000 IGD R. MARADEWI KONSUL,RANITIDINE,ONDAN,PCT
249,000 SYARAF DR. DANIEL KONSUL,ERISON,DLL
234,000 SYARAF DR. DANIEL KONSUL,ASPILET,OXCALL,ASMEF
270,000 BEDAH DR. MOZART KONSUL + GV
15,000 APOTIK FARMASI AMLODIPIN INJ
29,000 APOTIK FARMASI CEFIXIME,RANITIDINE,PCT
290,000 APOTIK FARMASI450,ETAMBUL,INH,PZA,CAPTROPIL,CETRIZINE
130,000 APOTIK FARMASI OXCALL,BIOPACETON
3,200,000 RANAP RANAP PELUNASAN CURATAGE
96,000 ANAK DR. ALDERS KONSUL (FREE)
154,000 OBGIN DR. BOB KONSUL,PROSEN,ASMEF
166,000 IGD DR. ANDRO KONSUL,SANMOL,VOMETA,LACTO,DLL
150,000 BEDAH DR. NIKO KONSUL + ADM
272,000 ANAK DR. ALDERS KONSUL,RACIKAN BATUK PILEK PANAS
150,000 ANAK DR. ALDERS KONSUL + ADM
30,000 APOTIK FARMASI RACIKAN BATUK PILEK PANAS
21,000 APOTIK FARMASI NB I,VIT CI
19,000 APOTIK FARMASI BETASON N
65,000 APOTIK FARMASI MKP 120ML,ALKOHOL
43,000 APOTIK FARMASI RACIKAN BATUK PILEK PANAS
20,000 APOTIK FARMASI VIT C INJ NO.111
85,000 IGD DR. ANDRO KONSUL + ADM
150,000 SYARAF DR. DANIEL KONSUL + ADM
185,000 SPPD DR. HASAN KONSUL,BENZATIN,LIDOCAIN,SPUIT
0 ANAK DR. ALDERS KONSUL (FREE)
72,500 ANAK LAB H2TL
72,500 ANAK LAB H2TL
15,000 ANAK DR. ALDERS EXSES ASURANSI
300,000 OBGIN DR. RIRY KONSUL + USG UMUM
50,000 OBGIN DR. RIRY KONSUL + USG UMUM 50,000
255,000 SPPD DR. HASAN KONSUL,BENZATIN,LIDOCAIN,SPUIT 255,000
240,000 SPPD DR. HASAN KONSUL,INPEPSIA,RANITIDINE,LIDOCAIN 240,000
421,000 ANAK DR. ALDERS KONSUL,RACIKAN BATUK PILEK PANAS 421,000
10,017,500 695,000 936,000
8,386,500
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Fisioterapi Vaksin Daftar ADM Farmasi U.Muka
1 2/12/2019 WIWIT UMUM 0 0 0 0 0 0 0 0 0

2 2/12/2019 13,25,80 0211103 RIZKY ALFINA UMUM 60,000 140,000 0 0 0 0 25,000 20,000 0
3 2/12/2019 12,66,46 0212001 SURYANINGSIH UMUM 70,000 50,000 0 0 0 0 25,000 186,000 0
4 2/12/2019 13,25,84 0212003 AYU SETIANA UMUM 0 0 0 0 0 0 25,000 0 0
5 2/12/2019 13,25,81 0211132 NENI ERNA UMUM 70,000 0 130,000 0 0 0 25,000 25,000 0
6 2/12/2019 13,26,11 0212109 WAHYU DIYANTO UMUM 120,000 1,000,000 0 0 0 0 30,000 123,000 0
7 2/12/2019 IRWAN UMUM 0 0 0 0 0 0 0 14,000 0
8 2/12/2019 RIFA UMUM 0 0 0 0 0 0 0 40,000 0
9 2/12/2019 AGUS UMUM 0 0 0 0 0 0 0 100,000 0
10 2/12/2019 NAUFAL UMUM 0 0 0 0 0 0 0 25,000 0
11 2/12/2019 ARTIFAH UMUM 0 0 0 0 0 0 0 48,000 0
12 2/12/2019 RS. ANTAM UMUM 0 0 0 0 0 0 0 100,000 0
13 2/12/2019 13,26,00 0212080 PONIRAH UMUM 120,000 250,000 0 0 0 0 30,000 0 0
14 2/12/2019 AMINAH UMUM 0 0 0 0 0 0 0 0 0
15 2/12/2019 12,76,75 0212037 TITIE SUPRIYATI UMUM 0 175,000 0 0 0 0 0 0 0
16 2/12/2019 10,70,00 0212083 ATIK UMUM 0 250,000 0 0 0 0 0 0 0
17 2/12/2019 13,17,77 0212049 ARZKI UMUM 60,000 0 0 0 0 0 25,000 27,000 0
18 2/12/2019 12,78,67 0212043 SYAM RAHAYU UMUM 120,000 250,000 0 0 0 0 30,000 0 0
19 2/12/2019 10,70,00 0212015 ATIK ROHMATIKA UMUM 0 0 0 0 0 0 0 0 0
20 2/12/2019 13,25,93 0212061 NENOH UMUM 120,000 600,000 0 0 0 0 30,000 0 0
21 2/12/2019 13,25,64 0212073 NUROHIM UMUM 120,000 0 0 0 0 0 30,000 0 0
22 2/12/2019 WAHYUNI UMUM 0 0 0 0 0 0 0 241,000 0
23 2/12/2019 SRI LESTARI UMUM 0 0 0 0 0 0 0 182,300 0
24 2/12/2019 NURHAYATI UMUM 0 0 0 0 0 0 0 210,000 0
25 2/12/2019 AYU SETIANA UMUM 0 0 0 0 0 0 0 120,000 0
26 2/12/2019 13,23,47 0212063 M IBRAHIM UMUM 60,000 50,000 0 0 0 0 25,000 15,000 0
JUMLAH 920,000 2,765,000 130,000 0 0 0 300,000 1,476,300 0

NOTE:
ASURANSI Rp -
JUMLAH Rp 5,611,300
RAWAT JALAN POLIKLINIK TUNAI
FEBRUARI 2019
Lain-lain Total Poliklinik Dokter Keterangan Debet - Visa Asuransi
10,000 10,000 LAIN2 LAIN2 MATERAI 0 0

0 245,000 IGD R. MARADEWI KONSUL,GV,TINDAKAN,SPUIT,KASSA GULUNG
0 331,000 IGD R. MARADEWI KONSUL,INJ,KETOROLOC,OMZ,WING NEEDLE,DLL
0 25,000 IGD R. MARADEWI KONSUL ( FREE )+ ADM
0 250,000 IGD R. MARADEWI KONSUL,TESTPACK,H2TL,VASOFIK,DLL
0 1,273,000 BEDAH DR. MOZART KONSUL,TIND. EXSISI,LIDOCAIN,AMOX,MEFINAL
0 14,000 APOTIK FARMASI MECOBOLAMIN,MEFFORMIN
0 40,000 APOTIK FARMASI MEFINAL
0 100,000 APOTIK FARMASI TEGADERM
0 25,000 APOTIK FARMASI SPASMINAL,STOMACAIN,SANPRIMA,LOMETA,DLL
0 48,000 APOTIK FARMASI BUSCOPAN PLUS
0 100,000 APOTIK FARMASI KAIN HBSAG
0 400,000 MATA . NURBUANTO KONSUL,SLITHLUMP,REFRAKSI
10,000 10,000 LAIN2 LAIN2 MATERAI
0 175,000 MATA . NURBUANTO KONSUL,SLITHLUMP,REFRAKSI (KARYAWAN ) 175,000
0 250,000 MATA . NURBUANTO KONSUL,SLITHLUMP,REFRAKSI (KARYAWAN ) 250,000
0 112,000 IGD DR. REZA M KONSUL,SPASMINAL,CTM,DOMPERIDON,ORALIT
0 400,000 OBGIN DR. RIRY KONSUL + USG UMUM TV
0 0 SYARAF DR. DANIEL KONSUL (KARYAWAN FREE)
0 750,000 OBGIN DR. RIRY KONSUL,USG UMUM TV,AFF SPIRAL
0 150,000 BEDAH DR. NIKO KONSUL + ADM
0 241,000 APOTIK FARMASI KASA STERIL,MICROPORE,NACL,ALBUFORCE
0 182,300 APOTIK FARMASI CITICOLIN,MECOBOLAMIN,ASPILET
0 210,000 APOTIK FARMASI GENTAMICIN,HEPAFIX,MKP
0 120,000 APOTIK FARMASI PRIMOLIT
0 150,000 IGD DR. REZA M KONSUL,INJEKSI,AQUADEST 150,000
20,000 5,611,300 575,000 0
5,036,300
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/13/2019 NGATIMIN UMUM 0 0 0 0 0 0 0 3,000,000 0

2 2/13/2019 12,72,69 0212111 MARJONO UMUM 60,000 0 32,500 0 0 25,000 99,000 0 0
3 2/13/2019 13,26,13 0212112 BAMBANG TAURSIH UMUM 70,000 0 315,500 0 0 25,000 44,000 0 0
4 2/13/2019 FAISAH UMUM 0 0 0 0 0 0 0 5,000,000 0
5 2/13/2019 IBNU UMUM 0 0 0 0 0 0 22,000 0 0
6 2/13/2019 MIFTAH UMUM 0 0 0 0 0 0 139,000 0 0
7 2/13/2019 09,46,05 0213093 SITI AISYAH UMUM 0 150,000 0 0 0 0 0 0 0
8 2/13/2019 13,26,38 0213095 NOPIANO UMUM 60,000 0 72,500 0 0 25,000 50,000 0 0
9 2/13/2019 13,25,78 0213038 RISWANTI UMUM 120,000 0 0 0 0 30,000 16,000 0 0
10 2/13/2019 13,26,21 0213027 VANNY WIDYAS P UMUM 120,000 0 0 0 0 30,000 35,000 0 0
11 2/13/2019 12,76,26 0213002 MIFTAH RESIA UMUM 0 0 0 0 0 0 0 0 0
12 2/13/2019 12,76,29 0213040 DWI INDAH UMUM 0 0 0 0 0 0 0 0 0
13 2/13/2019 13,26,12 13,26,12 FAIZAH UMUM 0 0 0 0 0 0 0 0 -943,262
14 2/13/2019 13,24,43 13,24,43 SUMARNI UMUM 120,000 250,000 0 0 0 30,000 0 0 0
15 2/13/2019 12,39,58 0213062 FEDORA UMUM 0 0 0 0 0 0 55,000 0 0
16 2/13/2019 12,93,85 0213067 ATRHALLAH UMUM 120,000 0 0 0 0 30,000 19,000 0 0
17 2/13/2019 TJIA FONG LIN UMUM 0 0 32,500 0 0 0 0 0 0
18 2/13/2019 APS UMUM 0 0 0 0 0 0 0 0 10,000
19 2/13/2019 13,23,01 0213032 NISA A UMUM 120,000 250,000 32,500 0 0 30,000 0 0 0
20 2/13/2019 11,37,59 0213043 WINA LIVIA UMUM 120,000 0 0 0 0 30,000 56,000 0 0
21 2/13/2019 13,24,79 0213029 M HAKAN SUKUR UMUM 120,000 0 0 0 0 30,000 25,000 0 0
22 2/13/2019 13,23,96 0213033 NAYUMA VIRAR UMUM 120,000 0 0 0 0 30,000 0 0 0
23 2/13/2019 13,26,20 0213024 MIRANDA UMUM 60,000 50,000 72,500 0 0 25,000 33,000 0 0
24 2/13/2019 13,23,30 0213064 MT SIMANJUNTAK UMUM 120,000 0 0 0 0 30,000 30,000 0 0
25 2/13/2019 CELVINA UMUM 0 0 0 0 0 0 2,000 0 0
26 2/13/2019 AGUS UMUM 0 0 0 0 0 0 4,000 0 0
27 2/13/2019 SRI REJEKI UMUM 0 0 0 0 0 0 50,000 0 0
28 2/13/2019 13,25,01 0208006 IDA YUNANINGSIH UMUM 0 0 0 0 0 0 0 0 1,123,647
29 2/13/2019 10,98,97 0213054 CALVIN UMUM 120,000 0 0 0 0 30,000 0 0 0
30 2/13/2019 13,26,26 0213057 NAILA UMUM 0 0 0 0 0 55,000 0 0 0
31 2/13/2019 13,26,24 0213058 ZHAFRANIO OMAR UMUM 120,000 0 0 0 0 30,000 78,000 0 0
32 2/13/2019 12,15,86 0213006 AZAM UMUM 70,000 50,000 0 0 0 25,000 75,000 0 0
JUMLAH 1,640,000 750,000 558,000 0 0 510,000 832,000 8,000,000 190,385

NOTE:
ASURANSI Rp -
INIK TUNAI
3,000,000 RANAP RANAP DEPOSITE

216,500 IGD DR. EKA LUSI KONSUL,GDS,CAPTOPINAL,AMOLODIPIN,DLL
454,500 IGD DR. EKA LUSI KONSUL,CODEIN,CEFIXIME,SANMOL,LAB
5,000,000 RANAP RANAP DEPOSITE 5,000,000
22,000 APOTIK FARMASI PARACETAMOL,NEUROBION,BUSCOPAN
139,000 APOTIK FARMASI FOLAVIT,MEDIANUR
150,000 OBGIN DR. SYARIF KONSUL + USG PAKET ( BD. JAS )
207,500 IGD DR. ANDRO KONSUL,NEUROSANBE,LANSO,H2TL
166,000 BEDAH DR. MOZART KONSUL,SANPRIMA,NA DICLOFENAT
185,000 SPPD DR. DINA KONSUL,NA DIKLOFENAT,BETASON,DLL
0 OBGIN DR. NOVIADI KONSUL ( FREE KARYAWAN )
0 OBGIN DR. NOVIADI KONSUL ( FREE KARYAWAN )
-943,262 RANAP RANAP PENGEMBALIAN DEPOSITE -943,262
400,000 OBGIN DR. NOVIADI KONSUL + USG UMUM TV
55,000 SPPD DR. LUCAS KONSUL (FREE) + ADM
169,000 ANAK DR. ALDERS KONSUL,BETASON N
32,500 APS LAB GDN
432,500 OBGIN DR. RIRY KONSUL,USG TV,GOL. DARAH
240,500 IGD R. MARADEWI KONSUL,LAB,RANITIDINE,VASOFIK,SPUIT,DLL
180,000 SPPD DR. LUCAS KONSUL,PONSTAN,ASPILET,RANITIDINE,DLL
2,000 APOTIK FARMASI MASKER TALI
4,000 APOTIK FARMASI NUEW DIATBS
50,000 APOTIK FARMASI VENTOLIN TAB,OBH SYR
1,123,647 RANAP RANAP PELUNASAN
55,000 ANAK DR. ALDERS KONSUL (FREE) + ADM 55,000
220,000 IGD DR. EKA LUSI KONSUL,INJ,SPASMINAL,CTM,AMBROXOL,SANMOL 220,000
12,480,385 5,653,000 0 -943,262

7,770,647
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/14/2019 TARMI UMUM 0 0 0 0 0 0 10,000 0 0

2 2/14/2019 ASTUTI UMUM 0 0 0 0 0 0 50,000 0 0
3 2/14/2019 IPAH UMUM 0 0 0 0 0 0 60,000 0 0
4 2/14/2019 TATI UMUM 0 0 0 0 0 0 10,000 0 0
5 2/14/2019 11,69,33 0213100 SIKTIYARNI UMUM 60,000 70,000 0 0 0 25,000 40,000 0 0
6 2/14/2019 11,55,05 0213101 M AKBAR UMUM 70,000 70,000 0 0 0 25,000 45,000 0 0
7 2/14/2019 11,74,19 0214001 ZANIA ROSI UMUM 70,000 0 72,500 0 0 25,000 120,000 0 0
8 2/14/2019 ATIKAH UMUM 0 0 0 0 0 0 0 1,000,000 0
9 2/14/2019 ARIFIN UMUM 0 0 0 0 0 0 12,000 0 0
10 2/14/2019 TOMI UMUM 0 0 0 0 0 0 54,000 0 0
11 2/14/2019 AZZAM UMUM 0 0 0 0 0 0 20,000 0 0
12 2/14/2019 SRI Y UMUM 0 0 0 0 0 0 6,000 0 0
13 2/14/2019 APS UMUM 0 0 0 0 0 0 10,000 0 0
14 2/14/2019 13,26,69 0214089 QONITA UMUM 60,000 0 72,500 0 0 25,000 10,000 0 0
15 2/14/2019 12,47,48 0214048 BIASARI UMUM 0 0 0 0 0 0 0 0 0
16 2/14/2019 13,26,63 0214075 UMI LATIFAH UMUM 120,000 250,000 0 0 0 30,000 0 0 0
17 2/14/2019 MURDIANTO UMUM 0 0 0 0 0 0 2,000 0 0
18 2/14/2019 MASRIL UMUM 0 0 0 0 0 0 12,000 0 0
19 2/14/2019 KESI UMUM 0 0 0 0 0 0 3,000 0 0
20 2/14/2019 AGUNG UMUM 0 0 0 0 0 0 2,000 0 0
21 2/14/2019 SITI AISYAH UMUM 0 0 0 0 0 0 6,000 0 0
22 2/14/2019 UDJANG UMUM 0 0 0 0 0 0 12,000 0 0
23 2/14/2019 TATIK UMUM 0 0 0 0 0 0 35,000 0 0
24 2/14/2019 MASRIL UMUM 0 0 0 0 0 0 56,000 0 0
25 2/14/2019 PEMI UMUM 0 0 0 0 0 0 10,000 0 0
26 2/14/2019 13,23,97 0214069 M IBRAHIM UMUM 60,000 50,000 0 0 0 25,000 0 0 0
27 2/14/2019 11,64,08 0214013 MASRIL UMUM 60,000 0 0 0 0 25,000 10,000 0 0
28 2/14/2019 13,24,37 0214057 SAIMI UMUM 0 260,000 0 0 0 0 0 0 0
29 2/14/2019 10,42,60 0214042 ADE ACHMAR UMUM 120,000 0 0 0 0 30,000 104,000 0 0
30 2/14/2019 12,48,61 0214058 NAFISAH UMUM 0 150,000 0 0 0 0 0 0 0
31 2/14/2019 13,22,82 0214043 PENI M RAHADI ASURANSI 150,000 450,000 0 0 0 101,250 295,000 0 0
JUMLAH 770,000 1,300,000 145,000 0 0 311,250 994,000 1,000,000 0

NOTE:
ASURANSI Rp 996,250
JUMLAH Rp 4,520,250
AN POLIKLINIK TUNAI
RI 2019
10,000 APOTIK FARMASI NEUROSANBE 0 0

60,000 APOTIK FARMASI TEGADERM,WASHLAP
195,000 IGD DR. ANDRO KONSUL,EKG
210,000 IGD DR. ANDRO KONSUL,NEBU,VENTOLIN,NACL,BISOLVON,DLL 210,000
287,500 IGD IGD KONSUL,H2TL,CEFIXIME,ACYLOFRIL,DLL 287,500
1,000,000 RANAP RANAP DEPOSITE
12,000 APOTIK FARMASI MECOBOLAMIN INJ
54,000 APOTIK FARMASI NASAL,AMPLODIPIN,MECO,PCT
20,000 APOTIK FARMASI RACIKAN SAKIT PERUT PANAS
6,000 APOTIK FARMASI MONALISA EKONOMI
10,000 APOTIK FARMASI MATERAI
167,500 IGD DR. RODI KONSUL,LAWLOPREIZOLE,H2TL
0 OBGIN DR. RIRY KONSUL ( FREE ) ORG TUA Bd. DEBORA
400,000 OBGIN DR. RIRY KONSUL + USG TV 400,000
3,000 APOTIK FARMASI DECOLGEN
2,000 APOTIK FARMASI PARACETAMOL
6,000 APOTIK FARMASI MONALISA EKONOMI
35,000 APOTIK FARMASI MONALISA JUMBO
56,000 APOTIK FARMASI LOXADINE SYR
10,000 APOTIK FARMASI UNDERPAD,TISSU
135,000 IGD DR. TEGAR KONSUL,INJEKSI
95,000 IGD DR. ANDRO KONSUL,CODEIN 15 MG
260,000 OBGIN DR. RIRY KONSUL + USG TV PAKET ( DR. RIRY )
254,000 SPPD DR. DINA KONSUL,SIMOST,ASMEF,VIT B,ASPILET,PCT,DLL 254,000
150,000 OBGIN DR. RIRY KONSUL + USG UMUM PAKET ( Bd. Ririn ) 150,000
996,250 BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI 996,250
4,520,250 1,301,500 996,250
2,222,500
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/15/2019 SRI JULIANTI UMUM 0 0 0 0 0 0 49,000 0 0

2 2/15/2019 13,25,07 0214092 TAPPE SINAGA UMUM 70,000 70,000 0 0 0 25,000 20,000 0 0
3 2/15/2019 13,26,72 0214093 JASMINE UMUM 70,000 0 304,500 0 0 25,000 212,000 0 0
4 2/15/2019 GISA UMUM 0 0 0 0 0 0 21,000 0 0
5 2/15/2019 SAAQI UMUM 0 0 0 0 0 0 20,000 0 0
6 2/15/2019 ANTAM UMUM 0 0 0 0 0 0 60,000 0 0
7 2/15/2019 13,26,11 0215088 WAHYU DIANTO UMUM 120,000 0 0 0 0 30,000 0 0 0
8 2/15/2019 11,21,93 0215085 M RUBAI UMUM 60,000 0 0 0 0 25,000 10,000 0 0
9 2/15/2019 SITI M UMUM 0 0 0 0 0 0 0 0 10,000
10 2/15/2019 13,26,99 0215081 PATRICK UMUM 60,000 0 0 0 0 25,000 10,000 0 0
11 2/15/2019 13,26,98 0215080 NURHASANAH UMUM 60,000 0 0 0 0 25,000 25,000 0 0
12 2/15/2019 LIKA UMUM 0 0 0 0 0 0 6,000 0 0
13 2/15/2019 CITRA UMUM 0 0 0 0 0 0 15,000 0 0
14 2/15/2019 CITRA UMUM 0 0 0 0 0 0 35,000 0 0
15 2/15/2019 13,26,93 0215071 YULI UMUM 120,000 200,000 0 0 0 30,000 0 0 0
16 2/15/2019 13,26,92 0215069 TITI DWIYANTI UMUM 0 150,000 0 0 0 0 0 0 0
17 2/15/2019 OMY ANDREAS LUBIS UMUM 0 0 0 0 0 0 0 3,000,000 0
18 2/15/2019 09,44,43 0215067 CITRA AMANDA UMUM 120,000 375,000 0 0 0 30,000 0 0 0
19 2/15/2019 13,26,86 0215051 LUQMAN HUSSEIN ASURANSI 150,000 400,000 0 0 0 90,000 0 0 0
20 2/15/2019 SUDARSI UMUM 0 0 0 0 0 0 0 0 0
21 2/15/2019 13,13,29 0215061 SITI FATIMAH UMUM 150,000 400,000 0 0 0 90,000 0 0 0
22 2/15/2019 13,26,77 0215010 SARIJO UMUM 60,000 0 214,500 0 0 25,000 96,000 0 0
23 2/15/2019 13,26,81 0215030 M FAJAR UMUM 60,000 50,000 0 0 0 25,000 50,000 0 0
24 2/15/2019 13,26,83 0215029 SUKMA AYU DEWI UMUM 120,000 0 0 0 0 30,000 0 0 0
25 2/15/2019 12,73,94 0215016 SAMMY MAHARDIKA UMUM 120,000 0 0 0 0 30,000 0 0 0
26 2/15/2019 13,26,84 0215043 ALMAINI UMUM 120,000 0 0 0 0 30,000 74,000 0 0
27 2/15/2019 13,26,85 0215044 SEPTIANI UMUM 0 150,000 0 0 0 0 0 0 0
28 2/15/2019 12,03,45 0215034 AINI ZUBAEDA UMUM 75,000 0 0 0 75,000 30,000 0 0 0
29 2/15/2019 12,14,53 0215053 AYRA UMUM 120,000 0 0 0 0 30,000 0 0 0
30 2/15/2019 13,26,51 0215052 RAHAJENG UMUM 120,000 0 0 0 0 30,000 0 0 0
31 2/15/2019 ASMANI UMUM 0 0 0 0 0 0 157,000 0 0
32 2/15/2019 IPAH UMUM 0 0 0 0 0 0 11,000 0 0
33 2/15/2019 TSUNAMI UMUM 0 0 0 0 0 0 24,000 0 0
34 2/15/2019 JUNEIDIN UMUM 0 0 0 0 0 0 12,000 0 0
35 2/15/2019 13,25,34 0210005 FAREL ZABIR ACHMAD ASURANSI 0 0 0 0 0 0 0 0 5,348,865
36 2/15/2019 13,26,88 0215059 HANI GHAIDA UMUM 150,000 400,000 0 0 0 90,000 0 0 0
37 2/15/2019 12,43,78 0215038 BREMY UMUM 120,000 0 0 0 0 30,000 48,000 0 0
38 2/15/2019 13,15,69 0215040 MOZA UMUM 120,000 0 0 0 0 30,000 21,000 0 0
39 2/15/2019 13,26,89 0215060 RUSTINY RETNO UMUM 60,000 145,000 0 0 0 25,000 76,000 0 0
40 2/15/2019 13,26,90 0215063 LAMRIA UMUM 60,000 0 0 0 0 25,000 75,000 0 4,800
41 2/15/2019 13,26,14 0212011 NGATIMIN UMUM 0 0 0 0 0 0 0 0 -364,040
JUMLAH 2,285,000 2,340,000 519,000 0 75,000 825,000 1,127,000 3,000,000 4,999,625

NOTE:
OLIKLINIK TUNAI
019
49,000 APOTIK FARMASI MKP 120ML 0 0

185,000 APOTIK FARMASI KONSUL,GANTI VERBAN,IKEMACETIN
611,500 IGD DR. RODI KONSUL,LAB,CEFIXIME,PEPTIFET,SANMOL 611,500
21,000 APOTIK FARMASI CEFIXIME,PRENIDSON,SPASMINAL,AMBROXOL
20,000 APOTIK FARMASI KASA STERIL
60,000 APOTIK FARMASI KACL IB
150,000 BEDAH DR, MOZART KONSUL + ADM
95,000 IGD DR. REZA M KONSUL,AMBROXOL,CTM,DEXA,VIT B
95,000 IGD DR. REZA M KONSUL,IBUPROFEN,AMBROXOL,DEXAMETASON,DLL
110,000 IGD DR. REZA M KONSUL,ANTASIDA,OMZ,DUMIN,LANSO,DLL
6,000 APOTIK FARMASI METYLPREDRISOLON
15,000 APOTIK FARMASI KENDIL,TISU KOTAK
35,000 APOTIK FARMASI WASHLAP,UNDERPAD
350,000 OBGIN DR. SYARIF KONSUL + USG UMUM
150,000 OBGIN DR. SYARIF KONSUL + USG PAKET ( BD. RIRIN )
3,000,000 RANAP RANAP DEPOSITE NY CITRA ( BD. AGUSTIN ) 3,000,000
525,000 OBGIN DR. SYARIF KONSUL+ USG UMUM+CTG 525,000
0 FISIO DJOKO FISIOTRAFI ( FREE ) PEMBIMBING AKREDITASI
395,500 IGD DR. RODI KONSUL,LAB,SANMOL,NEUROSANBE,DLL
185,000 IGD R. MARADEWI KONSUL,RANITIDINE.ONDASENTRON,SPUIT,DLL
150,000 OBGIN DR. RIRY KONSUL + USG PAKET ( BD. POPPY )
180,000 FISIO EDDY SUSILO FISIOTRAFI
150,000 ANAK DR. RIRY KONSUL + ADM
157,000 APOTIK FARMASI HYFAFIK 10CMX5CM
11,000 APOTIK FARMASI VASELIN SWAB
306,000 IGD R. MARADEWI KONSUL,INFUS,OBS,VASOFIK,PCT 306,000
164,800 IGD R. MARADEWI KONSUL,RHINOS,MP 4G 164,800
-364,040 RANAP RANAP PENGEMBALIAN DP 364,040
15,170,625 5,616,300 5,988,865 364,040
3,565,460
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/16/2019 12,99,41 0215087 RAFKA MAHAWIRA SOFYAN UMUM 60,000 0 72,500 0 0 25,000 0 0 0
2 2/16/2019 13,24,83 0215093 TITIK JARWANI UMUM 60,000 0 0 0 0 25,000 9,000 0 0
3 2/16/2019 HIKMATULLAH UMUM 0 0 0 0 0 0 22,000 0 0
4 2/16/2019 13,27,17 0216044 RODIANSYAH UMUM 60,000 0 0 0 0 25,000 105,000 0 0
5 2/16/2019 13,27,13 0216036 AMANDA PUTRI UTAMI UMUM 60,000 195,000 0 0 0 25,000 74,000 0 0
6 2/16/2019 13,27,15 0216042 LEKIR AMIR DAUD UMUM 0 0 0 0 0 0 8,000 0 0
7 2/16/2019 13,27,16 0216043 WIDIA TIARIANI UMUM 60,000 50,000 0 0 0 25,000 0 0 4,050
8 2/16/2019 13,27,15 0216042 LEKIR AMIR DAUD UMUM 60,000 50,000 0 0 0 25,000 153,000 0 0
9 2/16/2019 REZA UMUM 0 0 0 0 0 0 15,000 0 0
10 2/16/2019 13,26,21 0216007 VANNY WIDYAS UMUM 120,000 250,000 0 0 0 30,000 0 0 0
11 2/16/2019 13,27,08 0216022 RICKY RICARDO UMUM 60,000 150,000 0 0 0 25,000 91,000 0 0
12 2/16/2019 11,99,78 0216012 ZEA NISA UMUM 60,000 50,000 72,500 0 0 25,000 116,000 0 0
13 2/16/2019 12,06,05 0216013 NABIL UMUM 60,000 0 0 0 0 25,000 22,000 0 0
14 2/16/2019 11,93,49 0216014 ANDI MARTONO UMUM 60,000 0 0 0 0 25,000 30,000 0 0
15 2/16/2019 11,21,11 0216011 MAGDALENA UMUM 60,000 0 0 0 0 25,000 24,000 0 0
16 2/16/2019 M ANTAR S UMUM 0 0 0 0 0 0 22,000 0 0
17 2/16/2019 13,26,45 0216002 MARJUKI UMUM 60,000 50,000 0 0 0 25,000 35,000 0 0
18 2/16/2019 13,12,44 0216031 INDRIANI UMUM 150,000 400,000 0 0 0 90,000 0 0 0
19 2/16/2019 JUAN CARLOS UMUM 0 0 144,000 0 0 0 0 0 0
20 2/16/2019 10,99,71 0216019 ZULKARNAIN UMUM 60,000 0 0 0 0 25,000 0 0 0
JUMLAH 1,050,000 1,195,000 289,000 0 0 445,000 726,000 0 4,050

NOTE:
ASURANSI Rp -
JUMLAH Rp 3,709,050
K TUNAI
Total Poliklinik Dokter Keterangan Debet - Visa
157,500 IGD DR. REZAM KONSUL,H2TL 0

94,000 IGD DR. REZAM KONSUL,PARACETAMOL,AMBROXOL,DEXA
22,000 APOTIK FARMASI MECOBOLAMIN INJ,VIT C INJ
190,000 IGD DR. EKA LUSI KONSUL,BETASON,SANMOL,NERUDEX,RHINOS,DLL
354,000 IGD DR. ANDRO KONSUL,OBS,INF,ANTASID,PCT,RANITIDINE,DLL
8,000 APOTIK FARMASI SANMOL TAB
139,050 IGD DR. EKA LUSI KONSUL,INJEKSI,CHARGE 3% 139,050
288,000 IGD DR. EKA LUSI KONSUL,INJ,CODEIN,RHINOS,CEFIXIME,DLL 288,000
15,000 APOTIK FARMASI RANITIDINE,LUMINAL,HISTAPAM
400,000 MATA . NURBUANTO KONSUL,SLITHLUMP,REFLAKSI
326,000 IGD DR. ANDRO KONSUL,HECTING,EKSPLASI LUKA,LIDOCAIN,DLL
323,500 IGD DR. ANDRO KONSUL,REVOS SUPP,SALBUTAMOLCTM,PRORIS
107,000 IGD DR. ANDRO KONSUL,CEFADROXIL,GG,CTM,MPS,VIT C,DLL
115,000 IGD DR. ANDRO KONSUL,CODEIN,OBH,NEWDIATABS
109,000 IGD DR. ANDRO KONSUL,CEFADROXIL,AMBROXOL,NEW DIATABS
22,000 APOTIK FARMASI MECO INJ,VIT C INJ
170,000 IGD DR. REZAM KONSUL,INJ,ONDAN,KETOROLAC,WING NEEDLE,DLL
144,000 APS LAB H2TL,AS URAT,COLESTEROL TOTAL 144,000
85,000 IGD DR. ANDRO KONSUL + ADM 85,000
3,709,050 1,296,050
2,413,000
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/17/2019 13,27,19 0216046 IDA ROYANA UMUM 60,000 0 0 0 0 0 25,000 0 0

2 2/17/2019 13,28,19 0216046 IDA ROYANA UMUM 0 0 0 0 0 0 0 18,000 0
3 2/17/2019 11,70,79 0217013 AYU LESTARI UMUM 60,000 50,000 150,000 0 0 0 25,000 90,000 0
4 2/17/2019 13,27,25 0217008 MARIA HONA BUKU UMUM 60,000 0 0 0 0 0 25,000 92,000 0
5 2/17/2019 13,27,26 0217069 YOHANES DONY UMUM 60,000 0 0 0 0 0 25,000 46,000 0
6 2/17/2019 13,27,18 0216045 SUPARDI UMUM 70,000 145,000 315,000 0 0 0 25,000 98,000 0
7 2/17/2019 13,27,18 0217011 ILYANA UMUM 60,000 0 0 0 0 0 25,000 25,000 0
8 2/17/2019 RENNI UMUM 0 0 0 0 0 0 0 85,000 0
9 2/17/2019 RAFAEL UMUM 0 0 0 0 0 0 0 55,000 0
10 2/17/2019 ZULAIFAH UMUM 0 0 0 0 0 0 0 37,000 0
11 2/17/2019 13,26,70 0214012 ATIKAH UMUM 0 0 0 0 0 0 0 0 0
12 2/17/2019 13,27,23 0217005 NASYA QUEEN UMUM 60,000 0 0 0 0 0 25,000 85,000 0
13 2/17/2019 13,23,02 0217002 QORI WINATA UMUM 60,000 0 0 0 0 0 25,000 45,000 0
14 2/17/2019 WIDIYA UMUM 0 0 0 0 0 0 0 105,000 0
15 2/17/2019 09,44,43 0215010 CITRA AMANDA UMUM 0 0 0 0 0 0 0 0 0
JUMLAH 490,000 195,000 465,000 0 0 0 200,000 781,000 0

NOTE:
ASURANSI Rp -
JUMLAH Rp 8,495,469
POLIKLINIK TUNAI
019
Lain-lain Total Poliklinik Dokter Keterangan Debet - Visa Asuransi Nama Dokter
0 85,000 IGD DR. EKA LUSI KONSUL + ADM 0 0

0 18,000 APOTIK FARMASI CURCUMA,SANMOL
0 375,000 IGD DR. TEGAR KONSUL,INJ,LAB,PCT,LANSO,DOMPERIDON,DLL
0 177,000 IGD DR. ANDRO KONSUL,DOMERIDON,PCT,OMZ,LACTO B
0 131,000 IGD DR. TEGAR KONSUL,ASETYL SISTEIN,CEFADROXYL,PCT,DLL
0 653,000 IGD DR. EKA LUSI KONSUL,INFUS,OBS,CURCUMA,CTM,SPASMINAL
0 110,000 IGD DR. TEGAR KONSUL,OMEPRAZOLE,RANITIDINE,VI B COMP
0 85,000 APOTIK FARMASI MONALISA,WASHLAP,TISU,KENDIL,SILET,UNDERPAD
0 55,000 APOTIK FARMASI GHISAN,PRIPERAN,RIVEXIM
0 37,000 APOTIK FARMASI PROFENID SUPP
-244,199 -244,199 RANAP RANAP PENGEMBALIAN DP 244,199
0 170,000 IGD DR. ANDRO KONSUL,ELKANA,DEXA,DLL
0 130,000 IGD DR. ANDRO KONSUL,BUSCOPAN,OMZ,LOPAMID
0 105,000 APOTIK FARMASI BUSCOPAN,RANITIDINE,OMZ,SPUIT,LANSO,VOMETA
6,364,469 6,364,469 RANAP RANAP PELUNASAN RANAP 6,364,469
6,120,270 8,251,270 6,364,469 0 244,199
1,642,602
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/18/2019 JURED UMUM 0 0 0 0 0 0 0 0 0

2 2/18/2019 RENI UMUM 0 0 0 0 0 0 10,000 0 0
3 2/18/2019 10,04,77 0217015 HERAWATI UMUM 70,000 50,000 0 0 0 25,000 96,000 0 0
4 2/18/2019 13,27,32 0217016 BAMBANG IRAWAN UMUM 70,000 165,000 275,000 0 0 0 108,000 0 0
5 2/18/2019 DR. MOZART UMUM 0 0 0 0 0 0 10,000 0 0
6 2/18/2019 13,27,79 0218168 NURHALIMAH FITRIA UMUM 60,000 50,000 0 0 0 25,000 72,000 0 0
7 2/18/2019 13,27,78 0218167 FAISHAL ANWAR UMUM 60,000 50,000 0 0 0 25,000 96,000 0 0
8 2/18/2019 ANISA UMUM 0 0 0 0 0 0 85,000 0 0
9 2/18/2019 NGATIMIN UMUM 0 0 0 0 0 0 95,000 0 0
10 2/18/2019 SUHARYATI UMUM 0 0 0 0 0 0 160,000 0 0
11 2/18/2019 13,21,29 0218138 DJUMINI UMUM 120,000 0 0 0 0 30,000 150,000 0 0
12 2/18/2019 13,26,14 0218144 NGATIMIN UMUM 120,000 0 0 0 0 30,000 0 0 0
13 2/18/2019 12,66,05 0218146 SURYANINGSIH UMUM 120,000 0 0 0 0 30,000 16,000 0 0
14 2/18/2019 13,23,62 0218124 SURHAYATI UMUM 120,000 0 32,500 100,000 0 30,000 0 0 0
15 2/18/2019 13,27,68 0218142 ERNY UMUM 120,000 200,000 0 0 0 30,000 0 0 0
16 2/18/2019 13,27,71 0218156 SUDIAH UMUM 60,000 0 0 0 0 25,000 0 0 0
17 2/18/2019 13,19,45 0218137 SAHEEDA BIBI UMUM 0 0 0 0 0 55,000 0 0 0
18 2/18/2019 12,66,05 0218041 SURYANINGSIH UMUM 0 0 42,500 0 0 0 0 0 0
19 2/18/2019 10,93,78 0218166 IKHSAN UMUM 60,000 0 0 0 0 25,000 20,000 0 0
20 2/18/2019 13,27,65 0218150 JADE PRINCOSSA N UMUM 60,000 0 0 0 0 25,000 0 0 0
21 2/18/2019 13,26,96 0215016 KARYANTO ASURANSI 0 0 0 0 0 0 0 0 6,812,605
22 2/18/2019 KHAIRA UMUM 0 0 0 0 0 0 12,000 0 0
23 2/18/2019 RIZKIA UMUM 0 0 0 0 0 0 40,000 0 0
24 2/18/2019 SRI R UMUM 0 0 0 0 0 0 90,000 0 0
25 2/18/2019 ARASYA UMUM 0 0 0 0 0 0 12,000 0 0
26 2/18/2019 BY NY DEVI UMUM 0 0 0 0 0 0 6,000 0 0
27 2/18/2019 IRMAN UMUM 0 0 0 0 0 0 10,000 0 0
28 2/18/2019 MARULI UMUM 0 0 0 0 0 0 76,000 0 0
29 2/18/2019 NURJANI UMUM 0 0 0 0 0 0 20,000 0 0
30 2/18/2019 IRNA UMUM 0 0 0 0 0 0 5,000 0 0
31 2/18/2019 SYARIFAH UMUM 0 0 0 0 0 0 57,000 0 0
32 2/18/2019 UDJANG UMUM 0 0 0 0 0 0 12,000 0 0
33 2/18/2019 DHARMA SETIAWAN UMUM 0 0 0 0 0 0 0 1,000,000 0
34 2/18/2019 10,02,07 0218117 ADAM MALIK UMUM 120,000 0 0 0 0 30,000 0 0 0
35 2/18/2019 13,12,22 0217119 MAZDA UMUM 120,000 0 0 0 0 30,000 0 0 0
36 2/18/2019 13,27,71 0218064 FIDELA PUTRI UMUM 120,000 0 0 0 0 30,000 0 0 0
37 2/18/2019 ELLY UMUM 0 0 0 0 0 0 0 0 10,000
38 2/18/2019 13,27,38 0218049 CUSRAH UMUM 60,000 50,000 0 0 0 25,000 240,000 0 0
39 2/18/2019 12,53,70 0218118 QONITA UMUM 0 0 0 0 0 55,000 0 0 0
40 2/18/2019 12,86,12 0218091 CALIEF ABID UMUM 120,000 0 0 0 0 30,000 0 0 0
41 2/18/2019 11,86,93 0218088 SYARIFAH UMUM 120,000 0 0 0 0 30,000 0 0 0
42 2/18/2019 13,27,56 0218111 FITRI ARYANI UMUM 0 150,000 0 0 0 0 0 0 0
43 2/18/2019 11,48,97 0218120 SUSI JULIA UMUM 120,000 0 0 0 0 30,000 0 0 0
44 2/18/2019 09,73,58 0218102 E MURYANI UMUM 120,000 0 0 0 0 30,000 59,000 0 0
45 2/18/2019 13,22,29 0218116 WISMANA UMUM 120,000 0 0 0 0 30,000 28,000 0 0
46 2/18/2019 13,27,43 0218073 RUTIMA SITHAH UMUM 120,000 0 0 0 0 30,000 40,000 0 0
47 2/18/2019 13,27,60 0218129 SKY AXELL UMUM 120,000 0 0 0 0 30,000 24,000 0 0
48 2/18/2019 13,27,50 0218100 DANISH SYARIS UMUM 120,000 0 0 0 0 30,000 38,000 0 0
49 2/18/2019 10,18,04 0218055 NIEM UMUM 60,000 0 182,500 0 0 25,000 25,130 0 0
50 2/18/2019 DANISH SYARIS UMUM 0 0 0 0 0 0 43,000 0 0
51 2/18/2019 10,88,43 0218057 MICHAEL JOSEPH R N ASURANSI 60,000 0 0 0 0 25,000 18,170 0 0
52 2/18/2019 13,27,27 0217010 YULIA NABILA R ASURANSI 60,000 0 0 0 0 25,000 25,000 0 0
JUMLAH 2,600,000 715,000 532,500 100,000 0 840,000 1,798,300 1,000,000 6,822,605

NOTE:
LIKLINIK TUNAI
93
0 BATAL 0 0
241,000 IGD DR. TEGAR KONSUL,INJ,LANSO,RANITIDINE,DLL
618,000 IGD DR. TEGAR KONSUL,INJ,OBS,RL,INFUS,LAB,LANSO,RANITIDINE
10,000 APOTIK FARMASI LOPAMID,NORIT,DECOLGEN
207,000 IGD R. MARADEWI KONSUL,INJEKSI,RANITIDINE,CEFIXIME,MEFINAL
231,000 IGD R. MARADEWI KONSUL,SUPPONTUSI,DUMIN SUPP,PCT.DLL
85,000 APOTIK FARMASI MONALISA,KENDIL,TISU,WASHLAP,SILET,UNDERPAD
95,000 APOTIK FARMASI CEFIXIME,ISDN,BETHIST,ASPILET,DLL
160,000 APOTIK FARMASI ASPILET,CEFIXIME,AMBROXOL,SINASTATIN,CODEIN
300,000 SPPD DR. DINA KONSUL,CETRIZINE,INH,PZA,VIT B,DLL
150,000 SPPD DR. DINA KONSUL + ADM
166,000 SPPD DR. DINA KONSUL,LANSO,DLL
282,500 SPPD DR. DINA KONSUL,GDS,THORAK
350,000 OBGIN DR. SURYA KONSUL + USG UMUM
85,000 IGD DR. REZA M KONSUL + ADM
55,000 IGD DR. REZA M KONSUL (FREE) + ADM
42,500 SPPD LAB URINE LENGKAP
105,000 IGD R. MARADEWI KONSUL,AMBROXOL,DEXA,OMZ,VIT C,DLL 105,000
85,000 IGD DR. REZA M KONSUL + ADM 85,000
12,000 APOTIK FARMASI BUSCOPAN PLUS
90,000 APOTIK FARMASI UNDERPAD,MONALISA,WASHLAP,TISU,KENDIL
10,000 APOTIK FARMASI ASAM MEFENAMAT
20,000 APOTIK FARMASI VIT C INJ
5,000 APOTIK FARMASI PARACETAMOL
1,000,000 RANAP RANAP DP KE 1 KLS III
375,000 IGD DR. REZA M KONSUL,INJ,TETAGRAM,PARACETAMOL
55,000 ANAK DR. ALDERS ADM
150,000 OBGIN DR. BOB KONSUL + USG PAKET ( Bd. RIRIN )
209,000 BEDAH DR. NIKO KONSUL,LAXEDERM,DLL
178,000 ANAK DR. ALDERS KONSUL,RACIKAN DEMAM PANAS
190,000 SPPD DR. LUCAS KONSUL,LANSOPINAL,RANITIDINE,DOMPERIDON
174,000 ANAK DR. ALDERS KONSUL,RACIKAN DEMAM PANAS
188,000 ANAK DR. ALDERS KONSUL,RACIKAN DEMAM PANAS 188,000
292,630 IGD DR. REZA M KONSUL,LAB,LANSO,PARACETAMOL,DLL 292,630
43,000 APOTIK FARMASI RACIKAN SAKIT PERUT PANAS 43,000
103,170 IGD DR. REZA M KONSUL,CEFADROXIL,DEXA,AMBROXOL,PZA 103,170
110,000 IGD DR. TEGAR KONSUL,AMBROXOL,DUMIN,CEFADROXIL,B COMP 110,000
14,408,405 713,630 7,025,775
6,669,000
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/19/2019 13,27,81 0218170 SHAVIRA ANDINI UMUM 70,000 30,000 72,500 0 0 0 25,000 74,000 0
2 2/19/2019 RENNI UMUM 0 0 0 0 0 0 0 35,000 0
3 2/19/2019 RENNI UMUM 0 0 0 0 0 0 0 50,000 0
4 2/19/2019 SRI REJEKI UMUM 0 0 0 0 0 0 0 50,000 0
5 2/19/2019 13,27,60 0218150 SKY AXELL UMUM 60,000 220,000 105,000 0 0 0 25,000 135,000 0
6 2/19/2019 13,27,60 0218150 SKY AXELL UMUM 120,000 0 0 0 0 0 30,000 0 0
7 2/19/2019 13,27,60 0218150 SKY AXELL UMUM 120,000 0 0 0 0 0 30,000 0 0
8 2/19/2019 13,27,60 0218150 SKY AXELL UMUM 60,000 0 0 0 0 0 25,000 0 0
9 2/19/2019 13,08,83 0219105 WASITA HUTAURUK UMUM 120,000 120,000 0 0 0 0 30,000 0 0
10 2/19/2019 MUDRIKA UMUM 0 0 0 0 0 0 0 65,000 0
11 2/19/2019 10,70,75 0219044 LILIK S UMUM 60,000 200,000 0 0 0 0 25,000 0 0
12 2/19/2019 13,27,96 1902199 ENI HASTUTI UMUM 120,000 0 0 0 0 0 30,000 0 0
13 2/19/2019 13,25,67 0219022 JUMARNI UMUM 120,000 0 0 0 0 0 30,000 0 0
14 2/19/2019 13,28,00 0219086 MULYANTO UMUM 60,000 100,000 0 0 0 0 25,000 26,000 0
15 2/19/2019 13,28,07 0219111 CHERIA UMUM 60,000 0 0 0 0 0 25,000 356,000 0
16 2/19/2019 10,88,43 0219009 MICHAEL JOSEPH ASURANSI 60,000 0 72,500 0 0 0 25,000 158,000 0
17 2/19/2019 CAHYAT UMUM 0 0 0 0 0 0 0 161,000 0
18 2/19/2019 RAMA ZAKI UMUM 0 0 0 0 0 0 0 25,000 0
19 2/19/2019 KENZIRO UMUM 0 0 0 0 0 0 0 26,000 0
20 2/19/2019 ASTRIFA SIHOMBING UMUM 0 0 0 0 0 0 0 34,000 0
21 2/19/2019 ANISA UMUM 0 0 0 0 0 0 0 19,000 0
22 2/19/2019 SOPIAH UMUM 0 0 0 0 0 0 0 48,000 0
23 2/19/2019 MARYATI UMUM 0 0 0 0 0 0 0 12,000 0
24 2/19/2019 13,27,83 0219010 NAILA UMUM 60,000 0 0 0 0 0 25,000 11,000 0
25 2/19/2019 13,27,74 0219024 SITI WAHYUNI UMUM 120,000 200,000 0 0 0 0 30,000 68,000 0
26 2/19/2019 11,10,78 0219052 SYIFA DWI A UMUM 120,000 0 0 0 0 0 30,000 55,000 0
27 2/19/2019 13,23,97 0219074 M IBRAHIM SAMIN UMUM 60,000 50,000 0 0 0 0 25,000 0 0
28 2/19/2019 11,70,78 SYIFA DWI A UMUM 0 0 95,000 100,000 0 0 0 0 0
29 2/19/2019 13,27,91 0219067 ZAHRA UMUM 120,000 0 0 0 0 0 30,000 0 0
30 2/19/2019 SRI REJEKI UMUM 0 0 0 0 0 0 0 0 0
31 2/19/2019 13,27,89 0219067 EKO PRASTYO UMUM 0 0 0 0 0 0 0 0 0
32 2/19/2019 13,23,97 0219079 M IBRAHIM SAMIN UMUM 120,000 0 0 0 0 0 30,000 0 0
33 2/19/2019 13,27,89 0219066 EKO PRASTYO ASURANSI 120,000 0 0 0 0 0 30,000 71,000 0
JUMLAH 1,750,000 920,000 345,000 100,000 0 0 525,000 1,479,000 0

NOTE:
ASURANSI Rp 536,500
JUMLAH Rp 5,464,400
AWAT JALAN POLIKLINIK TUNAI
FEBRUARI 2019
0 271,500 IGD R. MARADEWI KONSUL,H2TL,PCT,COMTUSI,RHINOS,DLL 0 0

0 35,000 APOTIK FARMASI MONALISA JUMBO
250,000 795,000 IGD R. MARADEWI KONSUL,RJP,BOGGING INFUS,KACKSON RESE 1,215,400
0 150,000 IGD DR. ALDERS KONSUL+VISITE
0 150,000 IGD . HENTIYANTO VISITE+BOGGING
35,400 120,400 IGD DR. REZA M BOGGING + CHARGE 3%
0 270,000 OBGIN DR. SYARIF KONSUL,GANTI VERBAN
0 65,000 APOTIK FARMASI MONALISA,KENDIL,UNDERPAD,CUKURAN
0 285,000 IGD DR. TEGAR KONSUL,WT 30-40%
0 150,000 SPPD DR. DINA KONSUL + ADM
0 150,000 SPPPDR. CHRISPIAN KONSUL + ADM
0 211,000 IGD DR. TEGAR KONSUL,NA DEELOFENANCE,AMOX,IKEMECETIN
0 441,000 IGD DR. RODI KONSUL,METYLPREDISON,LETRIZINE,DLL 441,000
0 315,500 IGD R. MARADEWI KONSUL,INFUS,OBS,LAB,MP,PCT,VASOFIK 315,500
0 161,000 APOTIK FARMASI NEVANAC
0 25,000 APOTIK FARMASI DEXA,PCT,CEFIXIME,B COMP
0 26,000 APOTIK FARMASI DEXFAMIN,BISOLVON,MP
0 34,000 APOTIK FARMASI NEUROSANBE
0 19,000 APOTIK FARMASI LASAL,PREDNISON,LUMINAL,THEOBRAN,LONGATIN
0 96,000 IGD R. MARADEWI KONSUL,ANTASIDA,RANIVELL,IBUFORCE,MP
0 418,000 OBGIN DR. SYARIF KONSUL,USG UMUM,ISOPRINOSIN,DIMICIN
0 205,000 ANAK . HENTIYANTO KONSUL,DEXTAMIN,EYSANBE,DLL
0 135,000 IGD DR. TEGAR KONSUL,INJEKSI BENZATIN
0 195,000 ANAK LAB LAB- H2TL,LED,THORAK
0 150,000 ANAK . HENTIYANTO KONSUL + ADM
10,000 10,000 LAIN2 LAIN2 SRI REJEKI
50,000 50,000 ANAK . HENTIYANTO EXSES ASURANSI
0 150,000 SPPD. SEBASTIANUS KONSUL + ADM 150,000
0 221,000 ANAK . HENTIYANTO KONSUL,SANMOL,DEXA,ERYSANBE,VERTDIN,DLL 221,000
345,400 5,464,400 1,806,400 536,500

3,121,500
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/20/2019 12,23,24 0219117 M FARHAN FADILAH UMUM 70,000 0 94,500 0 0 25,000 78,000 0 0
2 2/20/2019 ANTAR UMUM 0 0 0 0 0 0 26,000 0 0
3 2/20/2019 HIKMATULLAH UMUM 0 0 0 0 0 0 22,000 0 0
4 2/20/2019 13,28,10 0220001 ABDUL RAHMAN UMUM 70,000 0 0 0 0 25,000 165,000 0 0
5 2/20/2019 13,23,01 0219116 NISA AMALIA UMUM 70,000 70,000 137,000 0 0 25,000 83,000 0 0
6 2/20/2019 SRI UMUM 0 0 0 0 0 0 10,000 0 0
7 2/20/2019 SITI H UMUM 0 0 0 0 0 0 80,000 0 0
8 2/20/2019 YUSRI UMUM 0 0 0 0 0 0 20,000 0 0
9 2/20/2019 RISKA UMUM 0 0 0 0 0 0 6,000 0 0
10 2/20/2019 INDAH UMUM 0 0 0 0 0 0 85,000 0 0
11 2/20/2019 HASTIEM UMUM 0 0 0 0 0 0 312,000 0 0
12 2/20/2019 13,28,35 0220092 RASTIYEM UMUM 60,000 50,000 0 0 0 25,000 0 0 0
13 2/20/2019 11,10,78 0220107 SHIFA DWI UMUM 120,000 0 0 0 0 30,000 45,000 0 0
14 2/20/2019 13,28,34 0220088 SUNARTI UMUM 120,000 0 0 0 0 30,000 18,000 0 0
15 2/20/2019 11,98,30 0220116 MARIA WIDJAYA UMUM 60,000 0 32,500 0 0 25,000 12,000 0 0
16 2/20/2019 09,61,10 0220101 FENTY UMUM 60,000 165,000 0 0 0 25,000 91,000 0 0
17 2/20/2019 13,25,78 0220094 KRISWATI UMUM 120,000 0 0 0 0 30,000 20,000 0 0
18 2/20/2019 13,27,62 0218006 AJI DHARMA SETIAWAN UMUM 0 0 0 0 0 0 0 0 741,779
19 2/20/2019 10,18,04 0220046 NENI UMUM 60,000 0 0 0 0 25,000 0 0 0
20 2/20/2019 11,11,46 0219092 TABRANI ASURANSI 60,000 0 0 0 0 25,000 320,835 0 0
21 2/20/2019 HANI EFRIDA RAHMAN UMUM 0 0 0 0 0 0 0 10,000,000 0
22 2/20/2019 13,28,23 0220071 MAHFUDIN UMUM 60,000 0 0 0 0 25,000 48,000 0 0
23 2/20/2019 11,17,82 0220068 ATMANINGSIH UMUM 0 0 0 0 0 0 0 0 0
24 2/20/2019 12,06,32 0220082 IRSAN UMUM 60,000 50,000 0 0 0 25,000 33,000 0 0
25 2/20/2019 13,28,29 0220078 ALIFIA UMUM 120,000 0 0 0 0 30,000 0 0 0
26 2/20/2019 13,28,28 0220077 RAFASYA UMUM 120,000 0 0 0 0 30,000 0 0 0
27 2/20/2019 13,28,21 0220059 MAKARIM UMUM 120,000 0 0 0 0 30,000 0 0 0
28 2/20/2019 NAILA UMUM 0 0 72,500 0 0 0 0 0 0
29 2/20/2019 NG FATMAWATI UMUM 0 0 263,000 0 0 0 0 0 0
30 2/20/2019 13,28,14 0220038 PINO UMUM 60,000 0 0 0 0 25,000 27,000 0 0
31 2/20/2019 10,42,60 ADE A UMUM 0 0 135,000 0 0 0 0 0 0
32 2/20/2019 12,11,50 0220002 FRANSISKA UMUM 120,000 0 0 0 0 30,000 0 0 0
33 2/20/2019 12,81,57 0220052 RINTA ROVA UMUM 120,000 50,000 0 0 0 30,000 0 0 0
34 2/20/2019 13,28,17 0220041 OLIVIA UMUM 60,000 0 0 0 0 25,000 36,000 0 0
35 2/20/2019 12,28,15 0220093 ZIVANA UMUM 120,000 0 0 0 0 30,000 45,000 0 0
36 2/20/2019 13,28,16 0220042 RIVAN BASWAN UMUM 120,000 0 0 0 0 30,000 175,000 0 0
37 2/20/2019 13,28,11 0220050 YULI ADIWIBOWO/ZAYAN UMUM 120,000 0 0 0 0 30,000 74,000 0 0
38 2/20/2019 13,28,19 0220055 NAURA UMUM 120,000 0 0 0 0 30,000 0 0 0
39 2/20/2019 13,28,11 0220011 SYATHIR UMUM 120,000 0 0 0 0 30,000 91,000 0 0
40 2/20/2019 13,28,36 0220093 LIATUS SOLEHAH UMUM 60,000 0 0 0 0 25,000 20,000 0 0
41 2/20/2019 SANTI UMUM 0 0 0 0 0 0 95,000 0 0
42 2/20/2019 ANWAR UMUM 0 0 0 0 0 0 50,000 0 0
43 2/20/2019 APS UMUM 0 0 0 0 0 0 8,000 0 0
44 2/20/2019 M EFFENDI UMUM 0 0 0 0 0 0 11,500 0 0
45 2/20/2019 YUNI UMUM 0 0 0 0 0 0 10,000 0 0
46 2/20/2019 MAK LONDRY UMUM 0 0 0 0 0 0 5,000 0 0
47 2/20/2019 12,72,57 0220030 DHANI DARMAWAN ASURANSI 120,000 0 0 0 0 30,000 136,316 0 0
48 2/20/2019 09,42,74 0220067 FELISSYA RAMADHANY PUTRI ASURANSI 120,000 0 0 0 0 30,000 70,000 0 0
49 2/20/2019 13,23,24 0220075 FAIS UMUM 0 0 0 0 0 0 52,000 0 0
50 2/20/2019 12,06,24 0220049 NEUBEN JOHAN UMUM 120,000 0 0 0 0 30,000 0 0 0
51 2/20/2019 ALVARAKO UMUM 0 0 0 0 0 0 0 1,500,000 0
52 2/20/2019 ALVARAKO UMUM 0 0 0 0 0 0 0 1,500,000 0
53 2/20/2019 10,18,04 NIENI UMUM 0 0 221,500 0 0 0 0 0 0
54 2/20/2019 13,28,22 220089 ALFARAKO UMUM 120,000 0 0 0 0 30,000 0 0 0
JUMLAH 2,850,000 385,000 956,000 0 0 835,000 2,380,651 13,000,000 741,779

NOTE:
ASURANSI Rp 912,151
LIKLINIK TUNAI
9
267,500 IGD DR. RODI KONSUL,LAB-H2TL,DIFF,PARACETAMOL,PRORIS 0 0

26,000 APOTIK FARMASI MECO INJ,VIT C,DIATABS
22,000 APOTIK FARMASI MECO INJ,VIT C
260,000 IGD DR. RODI KONSUL,CLOMETYL
385,000 IGD DR. RODI KONSUL,UNHALASI,LAB-H2TL,HITUNG JENIS,UL
10,000 APOTIK FARMASI RIVANOL,KASSA
80,000 APOTIK FARMASI UNDERPAD,KENDIL,MONALISA.WASHLAP,SILET
20,000 APOTIK FARMASI PRIMPERAN TAB
6,000 APOTIK FARMASI MONALISA KECIL
85,000 APOTIK FARMASI MONALISA ,UNDERPAD,WASHLAP,TISU,SILET,KENDIL
312,000 APOTIK FARMASI TETAGRAM INJ NO.1
135,000 IGD DR. TEGAR KONSUL,INJEKSI
195,000 ANAK . HENTIYANTO KONSUL,LACTO B
168,000 SPPD DR. DINA KONSUL,ORALIT,DLL
129,500 IGD DR. REZA M KONSUL,AMBROXOL,MEFORMIN,DLL
341,000 IGD DR. TEGAR KONSUL,OBS,INJ,OMZ,RANITIDINE,PCT,B COMP,DLL
170,000 BEDAH DR. MOZART KONSUL,SANPRIMA,LANSO
85,000 IGD DR. TEGAR KONSUL + ADM 85,000
405,835 IGD DR. RODI KONSUL,CETRIZINE.KAPSUL,METYLPRENOD,DLL 405,835
10,000,000 RANAP RANAP DEPOSITE RANAP
133,000 IGD DR. TEGAR KONSUL,ASETYSITEM,PCT,B COMP,DKK
0 SPPD DR. LUCAS KONSUL ( FREE )
168,000 IGD DR. TEGAR KONSUL,NEUROSANBE,SPUIT,WING NEEDLE
72,500 IGD LAB H2TL
263,000 SPPD LAB GDN,G2PP,HBAIS
112,000 IGD DR. TEGAR KONSUL,AMBROXOL,DEXA,PCT,TIAMFENOT
135,000 SPPD LAB KOL LENGKAP
200,000 OBGIN DR. SUYAKA KONSUL,VAGINA TOUCH
121,000 IGD DR. TEGAR KONSUL,GG,CTM,VIT C,SALBU,PCT,AMOXCILIN
105,000 IGD DR. TEGAR KONSUL,AMBROXOL,CEFADROXIL,PCT,CTM,DEXA
95,000 APOTIK FARMASI MONALISA,UNDERPAD,SILET,TISU,WASHLAP,KENDIL
11,500 APOTIK FARMASI ANTASIDA,MECO,SANMOL
5,000 APOTIK FARMASI AMBROXOL,SALBUTAMOL
52,000 APOTIK FARMASI CEFADROXIL,INH,PZA,DLL 52,000
1,500,000 RANAP RANAP DEPOSITE 1 KE VIP 1,500,000
1,500,000 RANAP RANAP DEPOSITE II KLS VIP 1,500,000
221,500 IGD LAB OT,PT,GGT,URINE RUTIN 221,500
21,148,430 3,658,500 912,151
16,577,779
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/21/2019 13,28,65 0221061 RANJANI UMUM 0 0 0 0 0 0 25,000 0 0 25,000

2 2/21/2019 13,28,53 0221010 RIDHO AL AHMAD UMUM 60,000 0 182,500 0 0 25,000 45,000 0 0 312,500
3 2/21/2019 11,06,04 0221060 RATNA UMUM 60,000 0 0 0 0 25,000 22,000 0 0 107,000
4 2/21/2019 09,51,17 0221052 SULTAN HASAN MUBARAK UMUM 60,000 0 150,000 0 0 25,000 7,000 0 0 242,000
5 2/21/2019 11,98,30 0221065 MARIA WIDJAYA UMUM 120,000 0 32,500 0 0 30,000 0 0 0 182,500
6 2/21/2019 0221041 TITI SUPARTINI UMUM 0 0 169,000 0 0 0 0 0 0 169,000
7 2/21/2019 13,28,34 0221020 SUNARTI UMUM 0 0 439,500 0 0 0 0 0 0 439,500
8 2/21/2019 13,15,88 0221038 AGUSTI INDRAYAN UMUM 0 0 0 0 0 0 225,000 0 0 225,000
9 2/21/2019 YULI UMUM 0 0 0 0 0 0 70,000 0 0 70,000
10 2/21/2019 UDJANG UMUM 0 0 0 0 0 0 12,000 0 0 12,000
11 2/21/2019 VICTOR UMUM 0 0 0 0 0 0 79,000 0 0 79,000
12 2/21/2019 13,28,22 022000 ALVARAKO UMUM 0 0 0 0 0 0 0 0 -47,254 -47,254
13 2/21/2019 0221097 HENRY UMUM 0 0 150,000 0 0 0 0 0 0 150,000
14 2/21/2019 11,50,97 0221087 LISYA APRIYANI UMUM 0 150,000 0 0 0 0 0 0 0 150,000
15 2/21/2019 13,28,69 0221081 ABDUL RACHMAN UMUM 60,000 30,000 0 0 0 25,000 95,000 0 0 210,000
16 2/21/2019 12,20,27 0221076 RIZICA UMUM 60,000 50,000 0 0 0 25,000 30,000 0 0 165,000
17 2/21/2019 13,28,75 0221098 CLARISTA UMUM 60,000 0 0 0 0 25,000 70,000 0 0 155,000
18 2/21/2019 13,28,72 0221088 RUMIYATI UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
19 2/21/2019 RATNA UMUM 0 0 0 0 0 0 5,000 0 0 5,000
20 2/21/2019 MASRIL UMUM 0 0 0 0 0 0 12,000 0 0 12,000
21 2/21/2019 AMINAH UMUM 0 0 0 0 0 0 34,000 0 0 34,000
22 2/21/2019 SITI UMUM 0 0 0 0 0 0 20,000 0 0 20,000
23 2/21/2019 SITI AISYAH UMUM 0 0 0 0 0 0 26,000 0 0 26,000
24 2/21/2019 MIHAIBIN UMUM 0 0 0 0 0 0 52,500 0 0 52,500
25 2/21/2019 HARIANI UMUM 0 0 0 0 0 0 25,000 0 0 25,000
26 2/21/2019 RATNA UMUM 0 0 0 0 0 0 12,000 0 0 12,000
27 2/21/2019 RATNA UMUM 0 0 0 0 0 0 20,000 0 0 20,000
28 2/21/2019 13,26,88 0220001 HANI GHAIDA RAHMAN UMUM 0 0 0 0 0 0 0 0 10,382,914 10,382,914
29 2/21/2019 13,19,38 0221082 ADITYA ANTIKA UMUM 0 0 0 0 0 0 0 0 170,000 170,000
30 2/21/2019 13,19,38 0221082 ADITYA ANTIKA ASURANSI 120,000 120,000 0 0 0 30,000 542,000 0 0 812,000
31 2/21/2019 IMAM UMUM 0 0 0 0 0 0 115,000 0 0 115,000
32 2/21/2019 IMAM FAUZI UMUM 0 0 0 0 0 0 0 1,000,000 0 1,000,000
33 2/21/2019 YAYAH UMAYAH UMUM 0 0 0 0 0 0 12,000 0 0 12,000
34 2/21/2019 SITI H UMUM 0 0 0 0 0 0 75,000 0 0 75,000
35 2/21/2019 0221011 TJIA FONGLIN UMUM 0 0 32,500 0 0 0 0 0 0 32,500
36 2/21/2019 13,28,51 0220122 SANTIKO UMUM 70,000 0 72,500 0 0 25,000 20,000 0 0 187,500
JUMLAH 790,000 350,000 1,228,500 0 0 265,000 1,650,500 1,000,000 10,505,660 15,789,660
NOTE:
ASURANSI Rp 812,000
Poliklinik Dokter Keterangan Debet - Visa Asuransi LAIN2
IGDDR.MARADEWI KONSUL FREE + ADM 0 0

IGD DR. REZA M KONSUL,LAB,CEFADROXIL,DEXA,OMZ,SPUIT,VASOFIK
IGDDR.MARADEWI DA DUMIN,SANMOL,AMBROXOL,DEXA,VIT C
IGDDR.MARADEWI KONSUL,LAB,AMBROXOL,CTM,DEXA,MF
SPPD DR. LUCAS KONSUL,GDS
APS LAB KOLESTEROL LENGKAP,AS URAT
SPPD LAB KOLESTEROL LENGKAP,H2TL,OTPT,GDN/PP,UR/CR/AU
APOTIK FARMASI FOLAMIL,OXCALL
APOTIK FARMASI MONALISA,WASHLAP,TISSU,KENDIL,SILET
APOTIK FARMASI TENSOCRAPE 3ML
RANAP RANAP PENGEMBALIAN DP -47,254
APS LAB H2TL,WIDAL
OBGIN DR. NOVIADY KONSUL + USG PAKET ( Kader Mpo Minah )
IGDDR.MARADEWI KONSUL,INFUS,PCT,VASOFIK,SANMOL,MP,AMBROXOL
IGDDR.MARADEWI KONSUL,SUPPOSITUSI,PCT,CETRIZINE,PYIEXIN,VOMETA
IGD DR. ANDRO KONSUL,AMBROXOL,CIHANA
OBGIN DR. SYARIF KONSUL + ADM
APOTIK FARMASI MECOBOLAMIN INJ
APOTIK FARMASI MECO,AS MEFENAMAT
APOTIK FARMASI CPERIJUN
APOTIK FARMASI FOLAMIL,MONALISA KECIL
APOTIK FARMASI CITICOLIN
APOTIK FARMASI PHENYTION
APOTIK FARMASI ALINAMIN
APOTIK FARMASI UNDERPAD 4
BEDAH DR. MOZART EXSES 170,000
BEDAH DR. MOZART KONSUL,GV,METYCOBALT,RIF,INH,ETAMBBUTOL 812,000
APOTIK FARMASI SPUIT,IVFD,PCT,VASOFIK,OMZ,DLL 115,000
RANAP RANAP DEPOSITE NAIK KLS II BPJS 1,000,000
APOTIK FARMASI THROMBOPOP GEL
APS LAB GULA DARAH PUASA
IGD DR. REZA M KONSUL,,H2TL,PARACETAMOL,OMZ,VIT B 187,500
1,472,500 812,000 -47,254
13,552,414
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Fisioterapi Daftar ADM Farmasi U.Muka Lain-lain Total Poliklinik
1 2/22/2019 ENDANG KAMA JAYA UMUM 0 0 0 0 0 0 0 6,000,000 0 6,000,000 RANAP

2 2/22/2019 13,28,81 0221106 MUHAMMAD FACHRIYAN UMUM 70,000 0 72,500 0 0 25,000 0 0 0 167,500 IGD
3 2/22/2019 13,28,80 0221105 SUMIYATI UMUM 70,000 0 95,000 0 0 25,000 0 0 0 190,000 IGD
4 2/22/2019 11,71,40 0221094 ALIEF HIDAYAT UMUM 60,000 0 72,500 0 0 25,000 146,000 0 0 303,500 IGD
5 2/22/2019 12,94,42 0221107 CAHYA UMUM 70,000 50,000 0 0 0 25,000 37,000 0 0 182,000 APOTIK
6 2/22/2019 HIKMATULLAH UMUM 0 0 0 0 0 0 12,000 0 0 12,000 APOTIK
7 2/22/2019 APRI UMUM 0 0 0 0 0 0 50,000 0 0 50,000 APOTIK
8 2/22/2019 NIKEN UMUM 0 0 0 0 0 0 12,000 0 0 12,000 APOTIK
9 2/22/2019 11,24,14 0222096 M AULIA RACHMAN UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000 ANAK
10 2/22/2019 10,68,15 0222096 ADE DIVA UMUM 60,000 0 0 0 0 25,000 20,000 0 0 105,000 IGD
11 2/22/2019 10,68,15 0222096 ADE DIVA UMUM 0 0 72,500 0 0 0 0 0 0 72,500 IGD
12 2/22/2019 13,29,17 0222111 CHIKMATUL UMUM 60,000 0 0 0 0 25,000 153,000 0 0 238,000 IGD
13 2/22/2019 13,29,20 0222117 NAZWA UMUM 0 0 94,500 0 0 0 0 0 0 94,500 IGD
14 2/22/2019 TAN BENG UMUM 0 0 0 0 0 0 10,000 0 0 10,000 APOTIK
15 2/22/2019 IDA UMUM 0 0 0 0 0 0 38,000 0 0 38,000 APOTIK
16 2/22/2019 ATJI UMUM 0 0 0 0 0 0 7,000 0 0 7,000 APOTIK
17 2/22/2019 APT ARIMBA UMUM 0 0 0 0 0 0 17,000 0 0 17,000 APOTIK
18 2/22/2019 RATNA UMUM 0 0 0 0 0 0 20,000 0 0 20,000 APOTIK
19 2/22/2019 NURHASAN UMUM 0 0 0 0 0 0 51,000 0 0 51,000 APOTIK
20 2/22/2019 SELVIA UMUM 0 0 0 0 0 0 17,000 0 0 17,000 APOTIK
21 2/22/2019 EFFENDI UMUM 0 0 0 0 0 0 13,000 0 0 13,000 APOTIK
22 2/22/2019 RONNY UMUM 0 0 0 0 0 0 5,000 0 0 5,000 APOTIK
23 2/22/2019 12,72,57 0222045 DHANI DARMAWAN ASURANSI 120,000 0 0 0 0 30,000 103,600 0 0 253,600 ANAK
24 2/22/2019 13,28,87 0222035 M FATHIR ASURANSI 120,000 0 0 0 0 30,000 87,600 0 0 237,600 ANAK
25 2/22/2019 13,28,95 0222072 STANISLAS UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000 ANAK
26 2/22/2019 13,29,04 0222088 CATHERINA UMUM 120,000 250,000 0 0 0 30,000 0 0 0 400,000 OBGIN
27 2/22/2019 12,20,27 0222048 M RIZIEM UMUM 120,000 0 0 0 0 30,000 83,000 0 0 233,000 ANAK
28 2/22/2019 13,29,01 0222082 FARHABUL FAJRI UMUM 60,000 0 150,000 0 0 25,000 0 0 0 235,000 IGD
29 2/22/2019 13,29,90 0222080 LIVIA UMUM 120,000 0 0 0 0 30,000 53,000 0 0 203,000 ANAK
30 2/22/2019 12,63,74 0222049 AZKA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000 ANAK
31 2/22/2019 12,97,24 0222024 M THORIQ H UMUM 120,000 0 0 0 0 30,000 77,000 0 0 227,000 ANAK
32 2/22/2019 13,28,83 0222009 MAWAN UMUM 60,000 0 0 0 0 25,000 0 0 0 85,000 ANAK
33 2/22/2019 AL AZHAR UMUM 0 0 0 0 0 0 0 0 270,000 270,000 LAIN2
34 2/22/2019 NENNI UMUM 0 0 0 0 0 0 12,000 0 0 12,000 APOTIK
35 2/22/2019 ATIKAH UMUM 0 0 0 0 0 0 171,000 0 0 171,000 APOTIK
36 2/22/2019 FARHANUL FAJRI UMUM 0 0 0 0 0 0 31,000 0 0 31,000 APOTIK
37 2/22/2019 RISKA UMUM 0 0 0 0 0 0 41,000 0 0 41,000 APOTIK
38 2/22/2019 SHANTY UMUM 0 0 0 0 0 0 35,000 0 0 35,000 APOTIK
39 2/22/2019 SHANTY UMUM 0 0 0 0 0 0 50,000 0 0 50,000 APOTIK
40 2/22/2019 ASPAR UMUM 0 0 0 0 0 0 200,000 0 0 200,000 APOTIK
41 2/22/2019 ELSA UMUM 0 0 0 0 0 0 25,000 0 0 25,000 APOTIK
42 2/22/2019 EPI UMUM 0 0 0 0 0 0 8,000 0 0 8,000 APOTIK
43 2/22/2019 13,29,02 0222083 HARYONO SUSILO UMUM 150,000 400,000 0 0 0 90,000 0 0 0 640,000 BEDAH
44 2/22/2019 13,28,97 0222074 ADI SAYADI UMUM 60,000 0 0 100,000 0 25,000 26,000 0 0 211,000 IGD
45 2/22/2019 12,11,09 1902222 RIZKHI KURNIATI UMUM 60,000 100,000 72,500 0 0 25,000 28,000 0 8,564 294,064 IGD
JUMLAH 1,860,000 800,000 629,500 100,000 0 610,000 1,639,200 6,000,000 278,564 11,917,264
NOTE:
ASURANSI Rp 491,200
RANAP DEPOSITE 0 0
DR. ANDRO KONSUL,H2TL
DR. ANDRO KONSUL,H2TL,LED
DR. ANDRO KONSUL,H2TL,ASMEF,SANMOL,ERYSANBE,CETRIZINE
FARMASI KONSUL,STESOLID SUPP
FARMASI MECO INJ
FARMASI TEGADERM
FARMASI MECO INJ
DR. ALDERS KONSUL + ADM
DR. ANDRO KONSUL,CEFIXIME,LUMINAL,CTM,DLL
LAB H2TL,ELEKTROLIT
DR. EKA LUSI KONSUL,CEFAT,DEXA,DOMPERIDON,DLL
LAB H2TL,DIFF
FARMASI UNDERPAD
FARMASI MECOBOLAMIN ,MASKER
FARMASI GLIMEPRIRID
FARMASI DISFIATYL,ANTALGIN TAB
FARMASI WASHLAP
FARMASI CITICOLIN 500G
FARMASI F6 MOCHES
FARMASI DUMIN,MELOXICAM
FARMASI UNDERPAD
DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANA 253,600
DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANA 237,600
DR. RIRY KONSUL + USG UMUM TV
DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANA
R. MARADEWI KONSUL,LAB-H2TK,WIDAL
LAIN2 NAFSA 3 ORG
FARMASI OBH,CEFIRIZINE
FARMASI ALBUFORCE
FARMASI CEFIXIME,PCT,OMZ
FARMASI OPSIDE
FARMASI MONALISA
FARMASI TEGADERM
FARMASI POLIDERMASI,NEVARAC
FARMASI CEFIXIME,LASAL,EXABET,LUMINAL,LORGATIN
FARMASI OBH
DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI 640,000
DR. ANDRO KONSUL,LASSALOC,ASMEF,RANITIDINE,THORAK 211,000
DR. ANDRO KONSUL,INJEKSI 2,RANITIDINE,,PRIMPERAN,H2TL 294,064
1,145,064 491,200
10,281,000
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/23/2019 13,29,21 0222118 MUH FAISAL UMUM 60,000 0 0 0 0 0 25,000 102,000 0

2 2/23/2019 13,29,23 0223001 MULYANA UMUM 70,000 195,000 152,500 0 0 0 25,000 450,000 0
3 2/23/2019 HANAPI UMUM 0 0 0 0 0 0 0 10,000 0
4 2/23/2019 13,29,45 0221053 KAZHITA PRAMESWARI UMUM 60,000 0 105,000 0 0 0 25,000 0 0
5 2/23/2019 APS UMUM 0 0 0 0 0 0 0 0 0
6 2/23/2019 13,29,44 0223052 MUHAMMAD UMUM 60,000 0 0 0 0 0 25,000 26,000 0
7 2/23/2019 LUSI R UMUM 0 0 0 0 0 0 0 80,000 0
8 2/23/2019 DAUN UMUM 0 0 0 0 0 0 0 12,000 0
9 2/23/2019 SINDI UMUM 0 0 0 0 0 0 0 315,000 0
10 2/23/2019 13,29,41 0223046 HENDRI OHIA UMUM 60,000 0 0 0 0 0 25,000 12,000 0
11 2/23/2019 13,29,35 0221036 SHOLIFAH N UMUM 120,000 200,000 0 0 0 0 30,000 0 0
12 2/23/2019 13,10,13 0223039 RISKY AYU SWANDARI ASURANSI 150,000 400,000 0 0 0 0 90,000 1,680,000 0
13 2/23/2019 13,22,82 0223038 PENI MIRAHADI ASURANSI 150,000 400,000 0 0 0 0 90,000 228,000 0
14 2/23/2019 13,10,13 0223039 RISKY AYU SWANDARI UMUM 0 0 0 0 0 0 0 0 0
15 2/23/2019 13,29,43 0220333 DIMAS HENDI ABIYASA UMUM 60,000 50,000 0 0 0 0 25,000 115,000 0
16 2/23/2019 13,20,30 0230266 ACHFANI UMUM 0 0 0 0 0 0 0 276,000 0
17 2/23/2019 13,29,47 0221057 TRI YULIEYANTI UMUM 60,000 0 0 0 0 0 25,000 35,000 0
18 2/23/2019 BAMBANG PURNOMO UMUM 0 0 0 0 0 0 0 0 2,000,000
19 2/23/2019 QAIREEN A.P UMUM 0 0 0 0 0 0 0 0 1,000,000
20 2/23/2019 12,09,14 KANDAR SIAHAAN UMUM 0 0 42,500 0 0 0 0 0 0
21 2/23/2019 12,19,47 0223011 MARGARETHA LUCIA UMUM 0 0 65,000 0 0 0 0 0 0
22 2/23/2019 13,23,62 0223007 SUHARYATI UMUM 120,000 0 32,500 0 0 0 30,000 76,000 0
23 2/23/2019 13,29,27 0223032 AHMAD UMUM 60,000 0 0 0 0 0 25,000 5,000 0
24 2/23/2019 13,29,34 0223035 DIMAS GITA SYAPUTRA UMUM 0 0 310,000 0 0 0 0 0 0
25 2/23/2019 13,29,34 0221035 DIMAS GITA SYAPUTRA UMUM 60,000 0 0 0 0 0 25,000 0 0
26 2/23/2019 13,22,83 0223032 ROSBANON DEVI UMUM 150,000 500,000 0 0 0 0 112,500 0 0
27 2/23/2019 ATIKAH UMUM 0 0 0 0 0 0 0 15,000 0
28 2/23/2019 FUTULOH UMUM 0 0 0 0 0 0 0 200,000 0
29 2/23/2019 APT. ARUMBAI UMUM 0 0 0 0 0 0 0 7,500 0
30 2/23/2019 ESTIKA UMUM 0 0 0 0 0 0 0 50,000 0
31 2/23/2019 YULI UMUM 0 0 0 0 0 0 0 50,000 0
32 2/23/2019 12,20,07 0222012 DISA SABRIYA ASURANSI 120,000 0 0 0 0 0 25,000 50,000 0
33 2/23/2019 13,29,33 0223034 R.M DIDO UMUM 150,000 400,000 0 0 0 0 90,000 0 0
34 2/23/2019 12,41,40 0223031 MULYANTO UMUM 150,000 400,000 0 0 0 0 90,000 0 0
35 2/23/2019 13,29,32 0223033 ANIS A UMUM 150,000 400,000 0 0 0 0 90,000 0 0
36 2/23/2019 13,10,29 0221010 M IMAM UMUM 0 0 0 0 0 0 0 0 0
JUMLAH 1,810,000 2,945,000 707,500 0 0 0 872,500 3,794,500 3,000,000
NOTE:
N POLIKLINIK TUNAI
I 2019
Lain-lain Total Poliklinik Dokter Keterangan Debet - Visa Asuransi Nama Dokter
0 187,000 IGD DR. EKA LUSI KONSUL,OMZ,INPEPSA,DINPERIDON 0 0

0 892,500 IGD DR. EKA LUSI KONSUL,OBS,INFUS,INJ,LAB,BIOTICOL,SANMOL,DLL
0 10,000 APOTIK FARMASI NEUROSANBE
0 190,000 IGD DR. EKA LUSI KONSUL,LAB-H2TL,GDS
10,000 10,000 LAIN2 LAIN2 MATERAI
0 111,000 IGD DR. EKA LUSI KONSUL,LANSO,DOMPERIDON,INPEPSA,DLL
0 80,000 APOTIK FARMASI MONALISA JUMBO,UNDERPAD,KENDIL,WASHLAP
0 12,000 APOTIK FARMASI HISTAPAN,SPASMINAL,STOMACAIN,FAVAL,RACIK
0 315,000 APOTIK FARMASI WIDAHES/SANBE HES NO.1
0 97,000 IGD DR. REZA M KONSUL,CIPROFLACAXIN,NA DICLOFENAL,VIT B
0 350,000 OBGIN DR. SYARIF KONSUL + USG UMUM
0 2,320,000 BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI 2,320,000
0 868,000 BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI 868,000
310,000 310,000 BEDAH DR. NIKO EXSES ASURANSI 310,000
0 250,000 IGD DR. EKA LUSI KONSUL,AMPROZOL,RANITIDINE,ONDASENTRON 250,000
0 276,000 APOTIK FARMASI LAMINARIA 276,000
0 120,000 IGD DR. EKA LUSI KONSUL,AS MEFENAMAT,AMBROXOL,AMOXILIN 120,000
0 2,000,000 RANAP RANAP DEPOSITE KLS III UMUM 2,000,000
0 1,000,000 RANAP RANAP DEPOSITE KLS III UMUM 1,000,000
0 42,500 SPPD LAB URINE LENGKAP
0 65,000 SPPD LAB GDN-G2PP
0 258,500 SPPD DR. DINA KONSUL,GDS,CEFIXIME,AMBROXOL,LANSO
0 90,000 IGD DR. REZA M KONSUL,IBUPROFEN VIT B CAMP
0 310,000 IGD LAB TEST NARKOBA
0 85,000 IGD DR. REZA M KONSUL + MCU
0 762,500 BEDAH DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,ANGKAT JAHITAN
0 15,000 APOTIK FARMASI SUSU SGM
0 200,000 APOTIK FARMASI POLIDENISON,NEVANAC
0 7,500 APOTIK FARMASI ANTALGIN
0 195,000 IGD DR. EKA LUSI KONSUL,DREXIN,PCT,CTM,AMBROXOL,GG,DLL 195,000
-339,731 -339,731 RANAP RANAP PENGEMBALIAN 339,731
-19,731 13,109,769 5,876,000 3,383,000 339,731
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/24/2019 13,29,52 0224006 APS UMUM 0 0 0 0 0 0 0 0 10,000 10,000 LAIN2

2 2/24/2019 13,29,52 0224006 EMIS UMUM 60,000 50,000 0 0 0 25,000 16,000 0 0 151,000 IGD
3 2/24/2019 12,49,75 0224008 SARTINI UMUM 60,000 0 0 0 0 25,000 19,000 0 0 104,000 IGD
4 2/24/2019 13,28,79 0221014 ENDANG KARTA JAYA UMUM 0 0 0 0 0 0 0 0 1,311,129 1,311,129 RANAP
5 2/24/2019 13,29,59 0224022 KEAN INDRA UMUM 0 0 72,500 0 0 0 0 0 0 72,500 IGD
6 2/24/2019 SITI JULEHA UMUM 0 0 0 0 0 0 10,000 0 0 10,000 APOTIK
7 2/24/2019 12,26,00 0224021 SARNO UMUM 60,000 100,000 105,000 0 0 25,000 206,000 0 0 496,000 IGD
8 2/24/2019 13,24,57 0224017 PIJAR RDIAN UMUM 60,000 0 0 0 0 25,000 0 0 0 85,000 IGD
9 2/24/2019 13,29,58 0224018 RISKA MARWANTI UMUM 60,000 0 72,500 0 0 25,000 40,000 0 0 197,500 IGD
10 2/24/2019 13,29,59 0224018 JUPRI GUNAWAN UMUM 60,000 50,000 72,500 0 0 25,000 116,000 0 0 323,500 IGD
11 2/24/2019 13,29,61 0224022 KEAN INDRA CAHYA UMUM 60,000 0 0 0 0 25,000 10,000 0 0 95,000 IGD
12 2/24/2019 APS UMUM 0 0 0 0 0 0 0 0 20,000 20,000 LAIN2
13 2/24/2019 12,06,84 0224014 HENDRA SETIAWAN UMUM 60,000 50,000 0 0 0 25,000 185,000 0 0 320,000 IGD
14 2/24/2019 ACHFANI UMUM 0 0 0 0 0 0 20,000 0 0 20,000 APOTIK
15 2/24/2019 ISNIWATI UMUM 0 0 0 0 0 0 50,000 0 0 50,000 APOTIK
16 2/24/2019 FADHITA UMUM 0 0 0 0 0 0 30,000 0 0 30,000 APOTIK
17 2/24/2019 ATIKAH UMUM 0 0 0 0 0 0 50,000 0 0 50,000 APOTIK
18 2/24/2019 FITRIASIH UMUM 0 0 0 0 0 0 0 2,000,000 0 2,000,000 RANAP
JUMLAH 480,000 250,000 322,500 0 0 200,000 752,000 2,000,000 1,341,129 5,345,629

NOTE:
ASURANSI Rp -
JUMLAH Rp 5,345,629
LAIN2 MATERAI 0 0
DR. REZA M KONSUL,INJEKSI,KETROLOC,NA DICLOFENAT,DEXA
DR. REZA M KONSUL,AMBROXOL,CEFADROXIL,DEXA,DLL
RANAP PELUNASAN 1,311,129
LAB H2TL
FARMASI UNDERPAD 2
R. MARADEWI KONSUL,WT 20%,SPUIT,KETROLOC,RANITIDINE,DLL
R. MARADEWI KONSUL,SKS
R. MARADEWI KONSUL,H2TL,,PCT,MP,AMBROXOL,CTM,DLL
R. MARADEWI KONSUL,H2TL,PCT,VASOFIK,MAXLOSET,SANMOL
R. MARADEWI KONSUL,DEXA,CTM
LAIN2 MATERAI
DR. REZA M KONSUL,INJEKSI,VASOFIK,LANSO,PEPTIFET,DLL 320,000
FARMASI UNDERPAD
FARMASI UNDERPAD,KENDUL,WASHLAP
FARMASI SANMOL,SPASMINAL,DOMPERIDON,CTM,DEXA
FARMASI TEGADERM
RANAP DEPOSITE 2,000,000
3,631,129 0
1,714,500
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/25/2019 13,29,64 0224627 AZAM HOLIL UMUM 70,000 50,000 0 0 0 25,000 81,000 0 0 226,000
2 2/25/2019 ACHMAD SYARIL UMUM 0 0 0 0 0 0 140,000 0 0 140,000
3 2/25/2019 12,73,58 0224024 SEPTIANA UMUM 60,000 50,000 0 0 0 25,000 125,000 0 0 260,000
4 2/25/2019 13,29,63 0224026 SYAKIRA UMUM 70,000 0 0 0 0 25,000 67,000 0 0 162,000
5 2/25/2019 13,29,65 0220002 ACHMAD SYAFEI UMUM 70,000 50,000 0 0 0 25,000 105,000 0 0 250,000
6 2/25/2019 13,27,48 SMANTA UMUM 0 0 0 440,000 0 0 0 0 0 440,000
7 2/25/2019 SAARI UMUM 0 0 0 0 0 0 23,000 0 0 23,000
8 2/25/2019 SUTARDJO UMUM 0 0 0 0 0 0 27,000 0 0 27,000
9 2/25/2019 NANDA UMUM 0 0 0 0 0 0 23,000 0 0 23,000
10 2/25/2019 13,29,46 0223010 BAMBANG PURNOMO UMUM 0 0 0 0 0 0 0 0 218,950 218,950
11 2/25/2019 REZA UMUM 0 0 0 0 0 0 124,000 0 0 124,000
12 2/25/2019 13,29,49 0224002 FITRI ASIH UMUM 0 0 0 0 0 0 0 0 7,949,194 7,949,194
13 2/25/2019 13,29,97 0223003 QAIREEN AZKADINA UMUM 0 0 0 0 0 0 0 0 -615,799 -615,799
14 2/25/2019 KI AGUS UMUM 0 0 0 0 0 0 49,000 0 0 49,000
15 2/25/2019 NURJANI UMUM 0 0 0 0 0 0 20,000 0 0 20,000
16 2/25/2019 SRI UMUM 0 0 0 0 0 0 20,000 0 0 20,000
17 2/25/2019 12,36,51 DEBBY UMUM 0 0 0 0 0 0 70,000 0 0 70,000
18 2/25/2019 TITIN UMUM 0 0 0 0 0 0 63,000 0 0 63,000
19 2/25/2019 UDJANG UMUM 0 0 0 0 0 0 12,000 0 0 12,000
20 2/25/2019 ARYANI UMUM 0 0 0 0 0 0 12,000 0 0 12,000
21 2/25/2019 SITI RUBI UMUM 0 0 0 0 0 0 9,000 0 0 9,000
22 2/25/2019 DEWI UMUM 0 0 0 0 0 0 95,000 0 0 95,000
23 2/25/2019 SYARIF ALFIN UMUM 0 0 0 0 0 0 0 1,000,000 0 1,000,000
24 2/25/2019 NUE UMUM 0 0 0 0 0 0 0 500,000 0 500,000
25 2/25/2019 10,58,38 0225107 MUNTACO UMUM 60,000 0 0 0 0 25,000 0 0 0 85,000
26 2/25/2019 13,29,89 0225106 HANIFAH UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
27 2/25/2019 12,36,51 0225030 DEBBY UMUM 120,000 200,000 0 0 0 30,000 0 0 0 350,000
28 2/25/2019 12,63,40 0225022 SHAKEL ARDHAM UMUM 120,000 0 0 0 0 30,000 46,000 0 0 196,000
29 2/25/2019 10,51,93 0225070 ZAID UMUM 120,000 0 0 0 0 30,000 64,000 0 0 214,000
30 2/25/2019 12,99,20 0225044 OKTAVIANA ELIZABETH UMUM 120,000 0 0 0 0 30,000 50,000 0 0 200,000
31 2/25/2019 13,29,74 0225054 M FATIH UMUM 120,000 0 0 0 0 30,000 113,000 0 0 263,000
32 2/25/2019 13,29,73 0225053 M ZIYAD UMUM 0 0 0 0 0 55,000 0 0 0 55,000
33 2/25/2019 13,29,76 0225057 AZZAHRA UMUM 120,000 0 0 0 0 30,000 15,000 0 0 165,000
34 2/25/2019 13,26,30 0225104 AUDIANSYAH JATMIKO UMUM 0 0 0 0 0 0 0 0 0 0
35 2/25/2019 13,19,98 0225068 SITI RINDANI UMUM 0 0 0 0 0 0 0 0 0
36 2/25/2019 13,29,78 0225071 ARVIN UMUM 120,000 0 0 0 0 30,000 78,000 0 0 228,000
37 2/25/2019 12,33,93 0225083 ANAIA UMUM 120,000 0 0 0 0 30,000 32,000 0 0 182,000
38 2/25/2019 13,29,80 0225077 EL ARSHAKA UMUM 120,000 0 0 0 0 30,000 79,000 0 0 229,000
39 2/25/2019 13,29,83 0225082 PATRICIA CALISTA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
40 2/25/2019 09,15,93 0225099 NABILA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
41 2/25/2019 13,29,90 0225109 AYRA UMUM 0 0 0 0 0 55,000 0 0 0 55,000
42 2/25/2019 13,29,71 0225040 DYLAN JOHAN LAKSONO UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000
JUMLAH 1,890,000 350,000 0 440,000 0 625,000 1,542,000 1,500,000 7,552,345 13,899,345

NOTE:
ASURANSI Rp -
Poliklinik Dokter Keterangan Debet - Visa Asuransi Nama Dokter
IGD DR. MARDEWI KONSUL,SUPPOSS,PIREXIN,PCT,AMBROXOL,DEXA 0 0

APOTIK FARMASI BUSCOPAN,IVFD,NB,MAKROSET,VASOFIK
IGD DR. MARDEWI KONSUL,INFUS,VASOFIK,MIKROSET,PCT DRIP,PCT,
IGD DR. MARDEWI KONSUL,ZINK,VOMETA,PCT 162,000
IGD DR. MARDEWI KONSUL,LOPAMID,LANSO,ORALIT 250,000
IGD RAD USG ABDOMEN
APOTIK FARMASI KASA STERIL,MICOPORE
APOTIK FARMASI MICROPORE
APOTIK FARMASI SANMOL DROP
APOTIK FARMASI RACIKAN SAKIT PERUT PANAS 124,000
RANAP RANAP PELUNASAN RANAP 7,949,194
RANAP RANAP PENGEMBALIAN DP 615,799
APOTIK FARMASI CEFIXIME,SALBUTAMOL,THEOPHIM,PREDNISON
APOTIK FARMASI VIT C INJ
APOTIK FARMASI FOLAVIT,CAL,LIVIRON
APOTIK FARMASI FOLAVIT,VITRAGENAL,PRIGEN
APOTIK FARMASI PROFENID SUPP
APOTIK FARMASI MECOBOLAIMN
APOTIK FARMASI FOLAVIT,CALNEX
APOTIK FARMASI PRIMPERAN TAB
APOTIK FARMASI UNDERPAD,MONALISA,TISSU,KENDIL,SILET,WASHLAP
RANAP RANAP DEPOSITE
RANAP RANAP DEPOSITE
IGD DR. REZA M KONSUL + ADM
OBGIN DR. BOB KONSUL + USG UMUM
ANAK DR. ALDERS KONSUL (FREE)+ADM
ANAK DR. ALDERS KONSUL,RACIKAN BATUK PILEK PANAS
ANAK DR. ALDERS KONSUL FREE KARYAWAN
OBGIN DR. BOB KONSUL FREE KARYAWAN
ANAK DR. ALDERS KONSUL,BODREXIN,ERYSANBE
ANAK DR. ALDERS KONSUL,RACIKAN BATUK PILEK PANAS
ANAK DR. ALDERS KONSUL FREE + ADM
8,635,194 0 615,799
4,648,352
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
1 2/26/2019 12,01,51 0225149 HANDRYHAN UMUM 120,000 0 0 0 0 0 30,000 0 0

2 2/26/2019 13,30,09 0225147 BRIEL CANTIKA UMUM 120,000 0 0 0 0 0 30,000 0 0
3 2/26/2019 13,30,08 0225146 NELLIANA KIRANG UMUM 0 0 192,500 0 0 0 0 0 0
4 2/26/2019 13,30,08 0225146 NELLIANA KIRANG UMUM 70,000 0 0 0 0 0 25,000 60,000 0
5 2/26/2019 13,28,53 0226001 RIDHO AL AHMAD UMUM 70,000 0 225,000 0 0 0 25,000 192,000 0
6 2/26/2019 13,30,47 0226117 FANTY ARYANI UMUM 60,000 0 0 0 0 0 25,000 40,000 0
7 2/26/2019 13,30,49 0226119 BAGAS ASMO P UMUM 60,000 0 0 0 0 0 25,000 27,000 0
8 2/26/2019 13,30,44 0226113 AKBAR RACHRUL UMUM 60,000 0 0 0 0 0 25,000 0 0
9 2/26/2019 13,30,42 0226111 YOHANUS UMUM 60,000 0 0 0 0 0 25,000 15,000 0
10 2/26/2019 12,73,47 0226666 DEWI UMUM 120,000 0 0 0 0 0 30,000 0 0
11 2/26/2019 13,25,76 ELI SABET UMUM 120,000 200,000 0 0 0 0 30,000 0 0
12 2/26/2019 12,76,62 0226103 SUCIATI UMUM 0 0 0 0 0 0 0 0 0
13 2/26/2019 11,04,73 0226088 DR. HENTIYANTO UMUM 0 0 0 0 0 0 0 0 0
14 2/26/2019 DIAN UMUM 0 0 0 0 0 0 0 90,000 0
15 2/26/2019 EKA L UMUM 0 0 0 0 0 0 0 36,000 0
16 2/26/2019 DR. CHRISPIAN UMUM 0 0 0 0 0 0 0 38,000 0
17 2/26/2019 AKBAR RACHRUL UMUM 0 0 0 0 0 0 0 40,000 0
18 2/26/2019 13,26,09 MULYANINGSIH UMUM 0 0 0 0 0 0 0 32,000 0
19 2/26/2019 AFITA UMUM 0 0 0 0 0 0 0 161,000 0
20 2/26/2019 ENCEK UMUM 0 0 0 0 0 0 0 25,000 0
21 2/26/2019 MUHANI UMUM 0 0 0 0 0 0 0 161,000 0
22 2/26/2019 ARYANI UMUM 0 0 0 0 0 0 0 10,000 0
23 2/26/2019 ARYANI UMUM 0 0 0 0 0 0 0 50,000 0
24 2/26/2019 13,30,47 1902226 FANTY ARYANI UMUM 0 0 182,500 0 0 0 0 0 0
25 2/26/2019 13,29,81 0225002 SYARIF ALVIN UMUM 0 0 0 0 0 0 0 0 0
26 2/26/2019 TSUNAMI UMUM 0 0 0 0 0 0 0 48,000 0
27 2/26/2019 NURANI UMUM 0 0 0 0 0 0 0 10,000 0
28 2/26/2019 NURANI UMUM 0 0 0 0 0 0 0 15,000 0
29 2/26/2019 13,28,53 0226043 DINNAR AJENG UMUM 0 0 0 0 0 0 0 30,000 0
30 2/26/2019 SABINA UMUM 0 0 0 0 0 0 0 10,000 0
31 2/26/2019 RADUNIA UMUM 0 0 0 0 0 0 0 8,000 0
32 2/26/2019 MARIA UMUM 0 0 0 0 0 0 0 12,000 0
33 2/26/2019 13,30,20 0226031 ANNISA UMUM 0 150,000 0 0 0 0 0 0 0
34 2/26/2019 13,30,16 0226010 SUPRIYANI UMUM 120,000 200,000 0 0 0 0 30,000 0 0
35 2/26/2019 13,30,28 0226066 ASHARI UMUM 120,000 0 0 0 0 0 30,000 0 0
36 2/26/2019 13,30,22 0220648 DJAKA UMUM 60,000 50,000 182,500 0 0 0 25,000 58,000 0
37 2/26/2019 13,30,25 0226050 M FADJAR UMUM 60,000 0 182,500 0 0 0 25,000 6,000 0
38 2/26/2019 10,51,65 0226075 SYANE UMUM 60,000 0 0 0 0 0 25,000 42,000 0
39 2/26/2019 13,30,36 0226081 YOKOBUS LADO UMUM 60,000 0 0 0 0 0 25,000 15,000 0
40 2/26/2019 13,23,97 0226083 M IBRAHIM UMUM 60,000 50,000 0 0 0 0 25,000 5,000 0
41 2/26/2019 11,99,63 0226025 SUMARNI UMUM 120,000 200,000 0 0 0 0 30,000 0 0
42 2/26/2019 MICHAEL UMUM 0 0 0 0 0 0 0 90,000 0
43 2/26/2019 10,92,68 0226006 RIFKI HERMAWAN ASURANSI 60,000 0 0 0 0 0 25,000 48,000 0
44 2/26/2019 12,85,25 0226034 NABILA THAFANA HARYANTO ASURANSI 120,000 0 0 0 0 0 30,000 72,020 0
45 2/26/2019 12,89,39 0226033 NIKITA FEBRIHARYANTO ASURANSI 120,000 0 0 0 0 0 30,000 81,798 0
JUMLAH 1,820,000 850,000 965,000 0 0 0 570,000 1,527,818 0

NOTE:
ASURANSI Rp 586,818
JUMLAH Rp 6,534,810
ALAN POLIKLINIK TUNAI
UARI 2019
0 150,000 ANAK DR. ALDERS KONSUL + ADM 0 0

0 150,000 ANAK DR. ALDERS KONSUL + ADM
0 192,500 IGD LAB H2TL,WIDAL,URINE LENGKAP
0 155,000 IGD DR. RODI KONSUL,PARACETAMOL,CETRIZINE,MT.DLL
0 512,000 IGD DR. RODI KONSUL,PARACETAMOL,CETRIZINE,MT,H2TL,UL,OT
0 125,000 IGD DR. EKA LUSI KONSUL,DOMPERIDON,OMZ,NEURODEX,DLL
0 112,000 IGD DR. EKA LUSI KONSUL,SANMOL,DEXA,AMBROL,RHINOS,CEFADROXIL
0 85,000 IGD DR. EKA LUSI KONSUL + ADM
0 100,000 IGD DR. EKA LUSI KONSUL,SPASMINAL,OMEPRAZOL
0 150,000 OBGIN DR. SYARIF KONSUL + ADM
0 0 OBGIN DR. SYARIF KONSUL FREE KARYAWAN
0 0 MATA . NURBUANTO KONSUL FREE KARYAWAN
0 90,000 APOTIK FARMASI MONALISA JUMBO,KENDIL,WASHLAP,UNDERPAD
0 36,000 APOTIK FARMASI KLINDOMSI,METRONIDAZOL,DISS
0 38,000 APOTIK FARMASI CODEIN,CODIPIALCUM
0 40,000 APOTIK FARMASI SANMOL,BETADHIN,CEFADROXIL,OMZ,DOMPERDON
0 32,000 APOTIK FARMASI DUVADILAN
0 161,000 APOTIK FARMASI MEVANAC
0 25,000 APOTIK FARMASI NEUROSANBE,INH 25,SPUIT
0 161,000 APOTIK FARMASI MEVANAC
0 10,000 APOTIK FARMASI KENDIL
0 50,000 APOTIK FARMASI MONALISA JUMBO,UNDERPAD
0 182,500 IGD LAB H2TL,GDS,WIDAL
801,992 801,992 RANAP RANAP PELUNASAN RANAP
0 10,000 APOTIK FARMASI KENDIL
0 15,000 APOTIK FARMASI UNDERPAD
0 30,000 APOTIK FARMASI MEFINAL
0 10,000 APOTIK FARMASI WASHLAP
0 8,000 APOTIK FARMASI OBH
0 12,000 APOTIK FARMASI MECOBOLAMIN
0 150,000 OBGIN DR. SYARIF KONSUL + USG PAKET ( BD. NURFARIDA )
0 150,000 ANAK . HENTIYANTO KONSUL + ADM
0 375,500 IGD DR. TEGAR KONSUL,PCT,CEFIXIME,RANITIDINE,OMZ,H2TL,GDS
0 273,500 IGD DR. TEGAR KONSUL,PCT,DEXA,ANTASIDA,H2TL,GDS,WIDAL
0 127,000 IGD DR. TEGAR KONSUL,DEXTROL,PCT,CEFIXIME,NEUROSANBE
0 100,000 IGD DR. TEGAR KONSUL,PCT,DEXA,OMZ,RANITIDINE
0 140,000 IGD DR. TEGAR KONSUL,SPUIT
0 350,000 OBGIN DR. SYARIF KONSUL + USG UMUM 350,000
0 90,000 APOTIK FARMASI MKP LANG,THERMOMETER DIGITAL 90,000
0 133,000 IGD DR. TEGAR KONSUL,CTM,DEXA,PARACERANID,CEFIXIME 133,000
801,992 6,534,810 440,000 586,818
5,507,992
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
Periode :27 FEBRUARI 2019
1 2/27/2019 13,26,13 0226121 BAMBANG MURSALI UMUM 70,000 125,000 169,000 0 0 25,000 55,000 0 0 444,000 IGD
2 2/27/2019 13,30,50 0227004 NYAI ASMAWI UMUM 70,000 0 0 0 0 25,000 0 0 0 95,000 IGD
3 2/27/2019 KOKOM UMUM 0 0 0 0 0 0 12,000 0 0 12,000 APOTIK
4 2/27/2019 DEWI JAYANTI UMUM 0 0 0 0 0 0 0 0 10,000 10,000 LAIN2
5 2/27/2019 AYULIA UMUM 0 0 0 0 0 0 80,000 0 0 80,000 APOTIK
6 2/27/2019 MIA UMUM 0 0 0 0 0 0 45,000 0 0 45,000 APOTIK
7 2/27/2019 ARIS UMUM 0 0 0 0 0 0 80,000 0 0 80,000 APOTIK
8 2/27/2019 13,30,63 0222016 WARTI UMUM 0 0 0 0 0 0 181,000 0 0 181,000 APOTIK
9 2/27/2019 13,31,05 0227132 ETIKA DWI CAHYANI UMUM 60,000 0 0 0 0 25,000 0 0 0 85,000 IGD
10 2/27/2019 13,25,78 0227122 KRISWANTI UMUM 120,000 0 0 0 0 30,000 15,000 0 0 165,000 BEDAH
11 2/27/2019 13,30,95 0227116 ISWATIN UMUM 0 150,000 0 0 0 0 30,000 0 0 180,000 OBGIN
12 2/27/2019 13,30,99 0227123 IFTIKHAR AZRI IHWAN UMUM 60,000 0 72,500 0 0 25,000 13,000 0 0 170,500 IGD
13 2/27/2019 13,31,00 0227124 FAMEELA SEBASTIAN UMUM 60,000 0 0 0 0 25,000 15,000 0 0 100,000 IGD
14 2/27/2019 13,30,93 0227112 TARSONO UMUM 60,000 115,000 72,500 0 0 25,000 82,000 0 0 354,500 IGD
15 2/27/2019 13,30,91 0227108 FARHAN UMUM 60,000 50,000 150,000 0 0 25,000 30,000 0 0 315,000 IGD
16 2/27/2019 13,28,79 0227111 ENDANG KARTA JAYA UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000 SPPD
17 2/27/2019 12,95,34 0227103 TJOENG FIM UMUM 60,000 75,000 0 0 0 25,000 19,000 0 0 179,000 IGD
18 2/27/2019 13,24,37 0227004 YULI ASTUTI UMUM 0 0 0 0 0 0 0 0 2,763,875 2,763,875 RANAP
19 2/27/2019 13,29,85 0225007 MUI UMUM 0 0 0 0 0 0 0 0 1,758,031 1,758,031 RANAP
20 2/27/2019 SARIPPUDIN UMUM 0 0 0 0 0 0 0 2,500,000 0 2,500,000 RANAP
21 2/27/2019 13,31,04 0227130 CAHYANITA UMUM 120,000 200,000 0 0 0 30,000 0 0 0 350,000 OBGIN
22 2/27/2019 12,82,25 0227113 YUYUN YOHANA UMUM 120,000 200,000 0 0 0 30,000 0 0 0 350,000 OBGIN
23 2/27/2019 13,30,57 0227072 IBRAHIM UMUM 0 0 274,000 0 0 0 0 0 0 274,000 OBGIN
24 2/27/2019 13,28,40 0227000 MURNIATI UMUM 0 0 131,500 0 0 0 0 0 0 131,500 SPPD
25 2/27/2019 13,30,36 0227086 YACOBUS UMUM 60,000 0 150,000 0 0 25,000 7,000 0 0 242,000 IGD
26 2/27/2019 13,30,79 0227075 ANGGIETA UMUM 120,000 200,000 0 0 0 30,000 0 0 0 350,000 OBGIN
27 2/27/2019 13,26,88 0227077 HANI GHAIDA UMUM 150,000 400,000 0 0 0 90,000 52,000 0 0 692,000 BEDAH
28 2/27/2019 12,97,92 0227073 BUDI UMUM 120,000 0 0 0 0 30,000 110,000 0 0 260,000 BEDAH
29 2/27/2019 ZAKY FUAD UMUM 0 0 0 0 0 0 0 2,000,000 0 2,000,000 RANAP
30 2/27/2019 YULI ASTUTI UMUM 0 0 0 0 0 0 0 1,200,000 0 1,200,000 RANAP
31 2/27/2019 ANTAR UMUM 0 0 0 0 0 0 12,000 0 0 12,000 APOTIK
32 2/27/2019 NURWANTI UMUM 0 0 0 0 0 0 24,000 0 0 24,000 APOTIK
33 2/27/2019 DEWI UMUM 0 0 0 0 0 0 50,000 0 0 50,000 APOTIK
34 2/27/2019 RISMA UMUM 0 0 0 0 0 0 8,000 0 0 8,000 APOTIK
35 2/27/2019 YULI UMUM 0 0 0 0 0 0 35,000 0 0 35,000 APOTIK
36 2/27/2019 MARIO UMUM 0 0 0 0 0 0 93,000 0 0 93,000 APOTIK
37 2/27/2019 13,30,86 0227085 MALIKY UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000 ANAK
38 2/27/2019 13,30,78 0227072 BINAR UMUM 120,000 0 0 0 0 30,000 63,000 0 0 213,000 ANAK
39 2/27/2019 13,30,6 0227030 HUSEIN UMUM 120,000 0 0 0 0 30,000 77,000 0 0 227,000 ANAK
40 2/27/2019 13,30,66 0227052 GAVINO UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000 ANAK
41 2/27/2019 13,30,69 0227059 TIMOTHY UMUM 120,000 0 0 0 0 30,000 32,000 0 0 182,000 ANAK
42 2/27/2019 12,77,99 0227056 ERVINA UMUM 120,000 0 0 0 0 30,000 30,000 0 0 180,000 OBGIN
43 2/27/2019 13,30,65 0227048 DHEA UMUM 60,000 0 0 0 0 25,000 52,000 0 0 137,000 IGD
44 2/27/2019 13,30,81 0227081 JIANKENESH UMUM 120,000 0 0 0 0 30,000 70,000 0 0 220,000 ANAK
45 2/27/2019 13,30,82 0227082 ALFATEH UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000 ANAK
46 2/27/2019 13,30,83 0227083 DINDA UMUM 0 0 0 0 0 55,000 0 0 0 55,000 ANAK
47 2/27/2019 13,30,79 0227071 IGNATIUS UMUM 0 0 0 0 0 55,000 0 0 0 55,000 ANAK
48 2/27/2019 12,01,15 0227055 TUGIMIN UMUM 0 0 0 0 0 0 0 0 40,000 40,000 IGD
49 2/27/2019 13,28,22 0227068 ALVARAKIO DARRYL UMUM 120,000 0 0 0 0 30,000 40,000 0 0 190,000 ANAK
50 2/27/2019 13,30,72 0227064 DZHABIYYAH UMUM 120,000 0 0 0 0 30,000 0 0 0 150,000 ANAK
51 2/27/2019 13,30,54 0227018 ANDI RAFFAL UMUM 120,000 0 0 0 0 30,000 95,000 0 0 245,000 ANAK
52 2/27/2019 12,99,32 0227039 KI AGUS FAUZAN UMUM 120,000 0 0 0 0 30,000 102,000 0 7,560 259,560 ANAK
53 2/27/2019 RUMMIYATI UMUM 0 0 0 0 0 0 0 5,000,000 0 5,000,000 RANAP
54 2/27/2019 13,19,07 0227074 BUDI UMUM 150,000 450,000 0 0 0 101,250 0 0 0 701,250 BEDAH
55 2/27/2019 13,30,57 0227022 IBRAHIM UMUM 60,000 0 0 0 0 25,000 50,000 0 0 135,000 IGD
56 2/27/2019 09,07,13 0227088 MIFTAHUL JANAH ASURANSI 120,000 200,000 0 0 0 30,000 0 0 0 350,000 OBGIN
57 2/27/2019 12,01,15 0227055 TUGIMIN ASURANSI 60,000 80,000 0 0 0 25,000 390,000 0 0 555,000 IGD
JUMLAH 3,320,000 2,245,000 1,019,500 0 0 1,171,250 2,049,000 10,700,000 4,579,466 25,084,216

NOTE:
ASURANSI Rp 905,000
DR. EKA LUSI S KONSUL,INJEKSI,KOILESTEROL LENGKAP,AU,EKG 0 0

DR. EKA LUSI S KONSUL + ADM
FARMASI KLOVANFENIKUL SALEP
LAIN2 MATERAI
FARMASI DUVADILAN
FARMASI UNDERPAD,TISU KOTAK,WASHLAP
FARMASI THROMBOPOP GEL
FARMASI NOFAVIT,OXCALL
DR. TEGAR KONSUL+ADM
DR. MOZART KONSUL,RANITIDINE,DLL
DR. SYARIF KONSUL,INSOPRAZOL TAB
DR. TEGAR KONSUL,H2TL,PCT,GG,CTM,DEXA,VIT C,MF,DLL
DR. TEGAR KONSUL,DEXTANIL FORTE,PCT,CEFADROXIL,DLL
DR. MARADEWI KONSUL,OBS,H2TL,PCT DRIP,SANMOL,DEXADRIL
DR. MARADEWI KONSUL,H2TL,WIDAL,WING NEEDLE,RANITIDINE
DR. DINA KONSUL + ADM
DR. MARADEWI KONSUL,EKG,HANDSKUN,PCT,ISDN,VIT C
RANAP PELUNASAN RANAP
RANAP PELUNASAN RANAP
RANAP DEPOSITE RANAP 2,500,000
DR. SYARIF KONSUL + USG UMUM 350,000
DR. SYARIF KONSUL + USG UMUM 350,000
LAB H2TL,PROFIL UPID,AU,GDN
LAB OT/PT,GDN,AU
DR. MARADEWI KONSUL,H2TL,GDS,WIDAL,MP AS NO.X
DR. NOVIADY KONSUL + USG UMUM
DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,CEFIXIME,DLL
DR. NIKO KONSUL,REFAMBLEN,INH,ELTAMBUL
RANAP DEPOSITE RANAP
RANAP DP CURATAGE
FARMASI MECO INJ
FARMASI AMP,SANISTATIN
FARMASI TEGADERM
FARMASI ALKOHOL 70%
FARMASI MONALISA JUMBO
FARMASI ERYSANBE,LASAL,EXABET,AMBROXOL,DLL
DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS
DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS
DR. ALDERS KONSUL,ERYSANBE
DR. SUYAKA KONSUL,ASAM MEFENAMAT
DR. MARADEWI KONSUL,CEFINAL,OMZ,CODEIN,PCT
DR. ALDERS KONSUL,RACIKAN BATUK PILEK PANAS
DR. ALDERS KONSUL FREE+ADM
DR. ALDERS KONSUL FREE+ADM
DR. MARADEWI EXSES ASURANSI
DR. ALDERS KONSUL,HISTAPAN,SPASMINAL 190,000
DR. ALDERS KONSUL + ADM 150,000
DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS 245,000
DR. ALDERS KONSUL,RACIKAN SAKIT PERUT PANAS 259,560
RANAP DEPOSITE RANAP 5,000,000
DR. NIKO KONSUL,DELETASI ANUS,PROTOLOGI,CEFIXIME,DLL 701,250
DR. MARADEWI KONSUL,EPERISON,NODIKLOFERM,DLL 135,000
DR. NOVIADY KONSUL,USG UMUM 350,000
DR. MARADEWI KONSUL,INFUS,INJEKSI,RANITIDINE,BUSCOPAN,DLL 555,000
9,880,810 905,000
14,298,406
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Daftar ADM Farmasi U.Muka Lain-lain Total
1 2/28/2019 YAYAH UMUM 0 0 0 0 0 12,000 0 0 12,000

2 2/28/2019 13,31,07 0227135 TOGAR S UMUM 70,000 0 0 0 25,000 38,000 0 0 133,000
3 2/28/2019 13,31,08 0228001 MURNI AMBAR S UMUM 70,000 80,000 0 0 25,000 47,000 0 0 222,000
4 2/28/2019 13,31,06 0227134 GEWYN UMUM 70,000 0 0 0 25,000 23,000 0 0 118,000
5 2/28/2019 SAMMY UMUM 0 0 0 0 0 0 2,000,000 0 2,000,000
6 2/28/2019 10,88,47 MICHAEL UMUM 0 0 0 0 0 20,000 0 0 20,000
7 2/28/2019 IMAS UMUM 0 0 0 0 0 70,000 0 0 70,000
8 2/28/2019 NOVIA PARDILLAH UMUM 0 0 0 0 0 190,000 0 0 190,000
9 2/28/2019 MA'MUN UMUM 0 0 0 0 0 22,000 0 0 22,000
10 2/28/2019 NGATIEM UMUM 0 0 0 0 0 52,000 0 0 52,000
11 2/28/2019 LINDA UMUM 0 0 0 0 0 90,000 0 0 90,000
12 2/28/2019 12,95,16 0228083 CICA UMUM 120,000 200,000 0 0 30,000 0 0 0 350,000
13 2/28/2019 09,77,97 0228084 NUR TOIPAH UMUM 120,000 0 0 0 30,000 85,000 0 0 235,000
14 2/28/2019 13,31,29 0228085 AMANDA UMUM 60,000 0 72,500 0 25,000 37,000 0 0 194,500
15 2/28/2019 13,31,28 0228086 KHANZA UMUM 60,000 0 72,500 0 25,000 17,000 0 0 174,500
16 2/28/2019 13,31,33 0228096 JUAN UMUM 60,000 70,000 0 0 25,000 45,000 0 0 200,000
17 2/28/2019 13,31,34 0228095 NGISWATUN KHASANAH UMUM 60,000 0 0 0 25,000 35,000 0 0 120,000
18 2/28/2019 13,31,43 0228109 AMANDA ANASTASYA UMUM 60,000 115,000 0 0 25,000 98,000 0 0 298,000
19 2/28/2019 13,30,99 0228110 IFTIKHAR AZRI IHWAN UMUM 60,000 0 150,000 0 25,000 0 0 0 235,000
20 2/28/2019 13,31,44 0228112 TASYA DEAYANTI UMUM 60,000 0 0 0 25,000 0 0 0 85,000
21 2/28/2019 11,91,90 0228111 SUDIRMANSYAH UMUM 60,000 0 0 0 25,000 0 0 0 85,000
22 2/28/2019 13,31,35 0228097 IMAS SITI MASITOH UMUM 0 150,000 0 0 0 0 0 0 150,000
23 2/28/2019 13,31,27 0220084 DIANA UMUM 120,000 200,000 0 0 30,000 0 0 0 350,000
24 2/28/2019 13,31,36 0228098 GERHAT TODO UMUM 60,000 75,000 0 0 25,000 15,000 0 0 175,000
25 2/28/2019 10,88,43 0221000 MICHAEL ASURANSI 0 0 0 0 0 0 0 14,172,270 14,172,270
26 2/28/2019 DANISAH UMUM 0 0 0 0 0 0 3,000,000 0 3,000,000
27 2/28/2019 PENAWANTI SUSIWATI UMUM 0 0 0 0 0 0 1,500,000 0 1,500,000
28 2/28/2019 12,76,29 0228069 DWI INDAH UMUM 0 0 0 0 0 0 0 0 0
29 2/28/2019 AZIS UMUM 0 0 0 0 0 0 0 30,000 30,000
30 2/28/2019 10,48,12 0228065 RAVLI NUR UMUM 0 0 0 0 0 0 0 0 0
31 2/28/2019 12,81,12 0228033 SUBIYANTO UMUM 60,000 0 0 0 25,000 31,000 0 0 116,000
32 2/28/2019 12,70,77 0228053 AIDEN UMUM 120,000 0 0 0 30,000 0 0 0 150,000
33 2/28/2019 APS UMUM 0 0 0 0 0 48,000 0 0 48,000
34 2/28/2019 FITRIANI UMUM 0 0 0 0 0 55,000 0 0 55,000
35 2/28/2019 NURKAENI UMUM 0 0 0 0 0 50,000 0 0 50,000
36 2/28/2019 IDA FARIDA UMUM 0 0 0 0 0 5,000 0 0 5,000
37 2/28/2019 MICHAEL UMUM 0 0 0 0 0 5,000 0 0 5,000
38 2/28/2019 KALTIN UMUM 0 0 0 0 0 30,000 0 0 30,000
39 2/28/2019 MUS MUNIK UMUM 0 0 0 0 0 6,000 0 0 6,000
40 2/28/2019 RAFLI UMUM 0 0 0 0 0 23,000 0 0 23,000
41 2/28/2019 DANEL UMUM 0 0 0 0 0 5,000 0 0 5,000
42 2/28/2019 IDA UMUM 0 0 0 0 0 17,000 0 0 17,000
43 2/28/2019 IDA UMUM 0 0 0 0 0 10,000 0 0 10,000
44 2/28/2019 ACHYA UMUM 0 0 0 0 0 50,000 0 0 50,000
45 2/28/2019 DIAN UMUM 0 0 0 0 0 50,000 0 0 50,000
45 2/28/2019 DIAN UMUM 0 0 0 0 0 50,000 0 0 50,000
46 2/28/2019 13,31,21 0228068 SHAFIRA RAHMA UMUM 60,000 0 310,000 0 25,000 0 0 0 395,000
47 2/28/2019 13,30,55 0227002 MUHAMMAD ZAKY FUADI UMUM 0 0 0 0 0 0 0 -452,793 -452,793
JUMLAH 1,350,000 890,000 605,000 0 470,000 1,331,000 6,500,000 13,749,477 24,895,477

NOTE:
NIK TUNAI
Poliklinik Dokter Keterangan Debet - Visa Asuransi Nama Dokter
APOTIK FARMASI MECOBOLAMIN INJ 0 0

IGD DR. TEGAR KONSUL,IBUPROFAN,B COMP,NEUROSANBE
IGD DR. TEGAR KONSUL,NEBULIZER,SALBUTAMOL,AMBROXOL,CTM
IGD DR. TEGAR KONSUL,PCT DROP
RANAP RANAP DEPOSITE A/N IMAS SITI MASITOH
APOTIK FARMASI WASHLAP
APOTIK FARMASI MONALISA JUMBO,KENDIL,UNDERPAD,TISU,SILET
APOTIK FARMASI NOFAVIT,OXCALL
APOTIK FARMASI PCT,CEFIXIME,B COMP,DEXA
APOTIK FARMASI CIOPIDOGUEL,FUNOSEMIDI,EPINOLACRON
APOTIK FARMASIMONALISA,CUKURAN,UNDERPAD,WASHLAP,TISU,KENDIL
OBGIN DR. NOVIADI KONSUL + USG UMUM
SPPD DR. DINA KONSUL,LAXODA,MP
IGD DR. ANDRO KONSUL,H2TL,DEMPRIDON,DEXA,RANITIDINE,DLL
IGD DR. ANDRO KONSUL,H2TL,PCT,CETRIZINE
IGD DR. ANDRO KONSUL,NEBULIZER,SUNGKUP,CTM,SALBUTAMOL,DLL
IGD DR. ANDRO KONSUL,DEXA,INPEPSA,RANITIDINE,IMBOST
IGD DR. TEGAR KONSUL,OBS,PCT DRUP,VASOFIK,INFUS SET
IGD DR. TEGAR KONSUL,H2TL,WIDAL
IGD DR. TEGAR KONSUL + ADM
IGD DR. TEGAR KONSUL + ADM
OBGIN DR. SYARIF KONSUL + USG PAKET Bd. Ani Nababan
OBGIN DR. NOVIADY KONSUL + USG UMUM 350,000
IGD DR. TEGAR KONSUL +GV,NA DICLOFENACT,AMOX 175,000
RANAP RANAP PELUNASAN RANAP 14,172,270
RANAP RANAP DP KLS III
RANAP RANAP DP KLS III
OBGIN DR. NOVIADI KONSUL FREE KARYAWAN
LAIN2 LAIN2 MATERAI
ANAK . HENTIYANTO KONSUL FREE KARYAWAN
IGD DR. TEGAR KONSUL,CODEIN,DEXA,CEFIXIME
ANAK . HENTIYANTO KONSUL + ADM
APOTIK FARMASI NA DIKLO,EPEVRON,DEXA,MECO
APOTIK FARMASI UNDERPAD,MONALISA,PISAU CUKUR
APOTIK FARMASI OPSAID B
APOTIK FARMASI BETADIN
APOTIK FARMASI ISOSOBID
APOTIK FARMASI SIMUSTATIN
APOTIK FARMASI CAPTOPRIL
APOTIK FARMASI AMOX,PARATUSIN,CTM,BUSCOPAN,DLL
APOTIK FARMASI NA DIKLOFEN
APOTIK FARMASI GENTAMICIN,MECOBOLAMIN
APOTIK FARMASI NASSAL O2
APOTIK FARMASI TEGADERM
IGD DR. ANDRO KONSUL,TEST NARCOBA 395,000
RANAP RANAP PELUNASAN RANAP 452,793
920,000 14,172,270 452,793
9,803,207
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
Periode :00/00/00
1 UMUM 0 0 0 0 0 0 0 0 0 0
2 UMUM 0 0 0 0 0 0 0 0 0 0
3 UMUM 0 0 0 0 0 0 0 0 0 0
4 UMUM 0 0 0 0 0 0 0 0 0 0
5 UMUM 0 0 0 0 0 0 0 0 0 0
6 UMUM 0 0 0 0 0 0 0 0 0 0
7 UMUM 0 0 0 0 0 0 0 0 0 0
8 UMUM 0 0 0 0 0 0 0 0 0 0
9 UMUM 0 0 0 0 0 0 0 0 0 0
10 UMUM 0 0 0 0 0 0 0 0 0 0
11 UMUM 0 0 0 0 0 0 0 0 0 0
12 UMUM 0 0 0 0 0 0 0 0 0 0
13 UMUM 0 0 0 0 0 0 0 0 0 0
14 UMUM 0 0 0 0 0 0 0 0 0 0
15 UMUM 0 0 0 0 0 0 0 0 0 0
16 UMUM 0 0 0 0 0 0 0 0 0 0
17 UMUM 0 0 0 0 0 0 0 0 0 0
18 UMUM 0 0 0 0 0 0 0 0 0 0
19 UMUM 0 0 0 0 0 0 0 0 0 0
20 UMUM 0 0 0 0 0 0 0 0 0 0
21 UMUM 0 0 0 0 0 0 0 0 0 0
22 UMUM 0 0 0 0 0 0 0 0 0 0
23 UMUM 0 0 0 0 0 0 0 0 0 0
24 UMUM 0 0 0 0 0 0 0 0 0 0
25 UMUM 0 0 0 0 0 0 0 0 0 0
26 UMUM 0 0 0 0 0 0 0 0 0 0
27 UMUM 0 0 0 0 0 0 0 0 0 0
28 UMUM 0 0 0 0 0 0 0 0 0 0
29 UMUM 0 0 0 0 0 0 0 0 0 0
30 UMUM 0 0 0 0 0 0 0 0 0 0
31 UMUM 0 0 0 0 0 0 0 0 0 0
32 UMUM 0 0 0 0 0 0 0 0 0 0
OLIKLINIK TUNAI
0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
Periode :00/00/00
1 UMUM 0 0 0 0 0 0 0 0 0 0
2 UMUM 0 0 0 0 0 0 0 0 0 0
3 UMUM 0 0 0 0 0 0 0 0 0 0
4 UMUM 0 0 0 0 0 0 0 0 0 0
5 UMUM 0 0 0 0 0 0 0 0 0 0
6 UMUM 0 0 0 0 0 0 0 0 0 0
7 UMUM 0 0 0 0 0 0 0 0 0 0
8 UMUM 0 0 0 0 0 0 0 0 0 0
9 UMUM 0 0 0 0 0 0 0 0 0 0
10 UMUM 0 0 0 0 0 0 0 0 0 0
11 UMUM 0 0 0 0 0 0 0 0 0 0
12 UMUM 0 0 0 0 0 0 0 0 0 0
13 UMUM 0 0 0 0 0 0 0 0 0 0
14 UMUM 0 0 0 0 0 0 0 0 0 0
15 UMUM 0 0 0 0 0 0 0 0 0 0
16 UMUM 0 0 0 0 0 0 0 0 0 0
17 UMUM 0 0 0 0 0 0 0 0 0 0
18 UMUM 0 0 0 0 0 0 0 0 0 0
19 UMUM 0 0 0 0 0 0 0 0 0 0
20 UMUM 0 0 0 0 0 0 0 0 0 0
21 UMUM 0 0 0 0 0 0 0 0 0 0
22 UMUM 0 0 0 0 0 0 0 0 0 0
23 UMUM 0 0 0 0 0 0 0 0 0 0
24 UMUM 0 0 0 0 0 0 0 0 0 0
25 UMUM 0 0 0 0 0 0 0 0 0 0
26 UMUM 0 0 0 0 0 0 0 0 0 0
27 UMUM 0 0 0 0 0 0 0 0 0 0
28 UMUM 0 0 0 0 0 0 0 0 0 0
29 UMUM 0 0 0 0 0 0 0 0 0 0
30 UMUM 0 0 0 0 0 0 0 0 0 0
31 UMUM 0 0 0 0 0 0 0 0 0 0
32 UMUM 0 0 0 0 0 0 0 0 0 0
33 UMUM 0 0 0 0 0 0 0 0 0 0
34 UMUM 0 0 0 0 0 0 0 0 0 0
35 UMUM 0 0 0 0 0 0 0 0 0 0
36 UMUM 0 0 0 0 0 0 0 0 0 0
37 UMUM 0 0 0 0 0 0 0 0 0 0
38 UMUM 0 0 0 0 0 0 0 0 0 0
39 UMUM 0 0 0 0 0 0 0 0 0 0
40 UMUM 0 0 0 0 0 0 0 0 0 0
41 UMUM 0 0 0 0 0 0 0 0 0 0
42 UMUM 0 0 0 0 0 0 0 0 0 0
43 UMUM 0 0 0 0 0 0 0 0 0 0
44 UMUM 0 0 0 0 0 0 0 0 0 0
45 UMUM 0 0 0 0 0 0 0 0 0 0
46 UMUM 0 0 0 0 0 0 0 0 0 0
47 UMUM 0 0 0 0 0 0 0 0 0 0
48 UMUM 0 0 0 0 0 0 0 0 0 0
LINIK TUNAI
0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RS KARTIKA PULO MAS
JAKARTA TIMUR 13210
Telp : (021) 470 3333Fax : 472 3402
Periode :00/00/00
NO Tanggal No.RM Registrasi Nama Penjamin Jasa Tindakan Lab Radiologi Fisioterapi Vaksin Daftar ADM Farmasi U.Muka Lain-lain Total
1 UMUM 0 0 0 0 0 0 0 0 0 0 0
2 UMUM 0 0 0 0 0 0 0 0 0 0 0
3 UMUM 0 0 0 0 0 0 0 0 0 0 0
4 UMUM 0 0 0 0 0 0 0 0 0 0 0
5 UMUM 0 0 0 0 0 0 0 0 0 0 0
6 UMUM 0 0 0 0 0 0 0 0 0 0 0
7 UMUM 0 0 0 0 0 0 0 0 0 0 0
8 UMUM 0 0 0 0 0 0 0 0 0 0 0
9 UMUM 0 0 0 0 0 0 0 0 0 0 0
10 UMUM 0 0 0 0 0 0 0 0 0 0 0
11 UMUM 0 0 0 0 0 0 0 0 0 0 0
12 UMUM 0 0 0 0 0 0 0 0 0 0 0
13 UMUM 0 0 0 0 0 0 0 0 0 0 0
14 UMUM 0 0 0 0 0 0 0 0 0 0 0
15 UMUM 0 0 0 0 0 0 0 0 0 0 0
16 UMUM 0 0 0 0 0 0 0 0 0 0 0
17 UMUM 0 0 0 0 0 0 0 0 0 0 0
18 UMUM 0 0 0 0 0 0 0 0 0 0 0
19 UMUM 0 0 0 0 0 0 0 0 0 0 0
20 UMUM 0 0 0 0 0 0 0 0 0 0 0
21 UMUM 0 0 0 0 0 0 0 0 0 0 0
22 UMUM 0 0 0 0 0 0 0 0 0 0 0
23 UMUM 0 0 0 0 0 0 0 0 0 0 0
24 UMUM 0 0 0 0 0 0 0 0 0 0 0
25 UMUM 0 0 0 0 0 0 0 0 0 0 0
26 UMUM 0 0 0 0 0 0 0 0 0 0 0
27 UMUM 0 0 0 0 0 0 0 0 0 0 0
28 UMUM 0 0 0 0 0 0 0 0 0 0 0
29 UMUM 0 0 0 0 0 0 0 0 0 0 0
30 UMUM 0 0 0 0 0 0 0 0 0 0 0
31 UMUM 0 0 0 0 0 0 0 0 0 0 0
32 UMUM 0 0 0 0 0 0 0 0 0 0 0
33 UMUM 0 0 0 0 0 0 0 0 0 0 0
34 UMUM 0 0 0 0 0 0 0 0 0 0 0
35 UMUM 0 0 0 0 0 0 0 0 0 0 0
36 UMUM 0 0 0 0 0 0 0 0 0 0 0
37 UMUM 0 0 0 0 0 0 0 0 0 0 0
38 UMUM 0 0 0 0 0 0 0 0 0 0 0
39 UMUM 0 0 0 0 0 0 0 0 0 0 0
40 UMUM 0 0 0 0 0 0 0 0 0 0 0
41 UMUM 0 0 0 0 0 0 0 0 0 0 0
42 UMUM 0 0 0 0 0 0 0 0 0 0 0
43 UMUM 0 0 0 0 0 0 0 0 0 0 0
44 UMUM 0 0 0 0 0 0 0 0 0 0 0
45 UMUM 0 0 0 0 0 0 0 0 0 0 0
46 UMUM 0 0 0 0 0 0 0 0 0 0 0
0 0

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RS KARTIKA PULO MAS

JL. PULOMAS TIMUR K No 2

NO Tanggal No.RM Registrasi Nama Penjamin Jasa

1 2/1/2019 APS UMUM 0

SUB TOTAL 43,205,000

29,385,000 15,076,500 840,000 0 75,000 0 14,727,500 0 0

10,000 10,000 LAIN2 MATERAI 0 0

206,445,558 446,638,202 119,847,457 113,626,064

1 2/2/2019 13,12,32 0201078 ADITYA ANTIKA ASURANSI 0 0

REKAP PENERIMAAN POLIKLINIK, UGD DAN FARMASI

NO. KETERANGAN JUMLAH TOTAL

Total Penerimaan R.Jalan Tunai 89,134,750

Total Poliklinik Dokter Keterangan Debet - Visa

1 2/1/2019 APS UMUM 0 0 0 0 0 0 0 0 10,000 10,000

JUMLAH 1,350,000 800,000 400,500 0 0 430,000 969,000 0 40,000 3,989,500

LAIN2 LAIN2 MATERAI 0 0

1 2/2/2019 RAHMA NAILA FITRI UMUM 0 0 0 0 0 0 0 2,000,000 0

JUMLAH 1,000,000 1,475,000 210,000 0 0 340,000 2,378,023 15,240,000 64,049,008

2,000,000 RANAP RANAP DEPOSITE KE VIP 0 0

84,692,031 23,388,273 33,528,914

1 2/3/2019 WAHYUNI UMUM 0 0 0 0 0 0 50,000 0 0 50,000

JUMLAH 180,000 195,000 310,000 0 0 75,000 386,000 0 0 1,146,000

Poliklinik Dokter Keterangan Debet - Visa Asuransi

APOTIK FARMASI TEGADERM 0 0

1 2/4/2019 REHAN UMUM 0 0 0 0 0 0 15,000 0 0

JUMLAH 1,950,000 815,000 215,000 0 0 615,000 1,199,000 7,000,000 54,790,470

Total Poliklinik Dokter Keterangan Debet - Visa Asuransi Nama Dokter

15,000 APOTIK FARMASI OMBROXAL,CTM,DEXA,VIT C 0 0

66,584,470 11,162,000 38,141,219 -69,498

1 2/5/2019 IPAH UMUM 0 0 0 0 0 0 19,000 0 19,000 APOTIK

JUMLAH 480,000 210,000 442,500 0 0 200,000 702,000 3,500,000 5,534,500

1 2/6/2019 0205024 ROSA UMUM 0 0 72,500 0 0 0 0 0 0 72,500

JUMLAH 3,100,000 1,935,000 1,366,500 0 0 895,000 1,630,000 3,000,000 8,201,630 20,128,130

Poliklinik Dokter Keterangan Debet - Visa Asuransi

APS LAB H2TL 0 0

JUMLAH 1,060,000 1,345,000 840,000 100,000 0 440,000 1,505,963 4,500,000 5,046,417

Total Poliklinik Dokter Keterangan Debet - Visa Asuransi LAIN2

474,500 IGD DR. RODI KONSUL,SANMOL,PEPTIFET,LAB,DLL 0 0

14,837,380 3,074,478 957,463 -1,459,157

1 2/8/2019 RS HUSADA UMUM 0 0 0 0 0 0 210,000 0

JUMLAH 2,120,000 1,320,000 485,000 0 0 670,000 1,668,389 2,500,000

0 210,000 APOTIK FARMASI NACL 0 0

10,148,865 18,912,254 12,300,348 1,169,389 -371,483

1 2/9/2019 ERU UMUM 0 0 0 0 0 0 5,000 0 0

JUMLAH 770,000 1,175,000 177,500 0 0 351,250 1,619,000 3,000,000 2,333,775

5,000 APOTIK FARMASI PARACETAMOL 0 0

1 2/10/2019 WIDYA UMUM 0 0 0 0 0 0 0 10,000 0 0

JUMLAH 760,000 500,000 790,000 0 0 0 331,250 1,071,000 0 577,377

Total Poliklinik Dokter Keterangan Debet - Visa Asuransi

10,000 LAIN2 LAIN2 MATERAI 0 0

4,029,627 192,000 1,692,250

1 2/11/2019 13,25,42 0210018 ADELIA UMUM 60,000 0 32,500 0 0 25,000 18,000 0 0

JUMLAH 2,760,000 370,000 422,500 0 0 805,000 2,435,000 0 3,225,000

Total Poliklinik Dokter Keterangan Debet - Visa Asuransi

135,500 IGD DR. REZA M KONSUL,GDS,IBUPROFEN,VIT B,OMZ 0 0

10,017,500 695,000 936,000

1 2/12/2019 WIWIT UMUM 0 0 0 0 0 0 0 0 0

JUMLAH 920,000 2,765,000 130,000 0 0 0 300,000 1,476,300 0

10,000 10,000 LAIN2 LAIN2 MATERAI 0 0

20,000 5,611,300 575,000 0

1 2/13/2019 NGATIMIN UMUM 0 0 0 0 0 0 0 3,000,000 0

JUMLAH 1,640,000 750,000 558,000 0 0 510,000 832,000 8,000,000 190,385