Poli Umum
Bulan Jan-17
NO TGL NAMA PASIEN LAYANAN JASA MEDIS JASA TINDAKAN ALAT/BAHAN OBAT JASA APOTIK TOTAL
1 Rp 20,000 Rp 2,000 Rp 22,000
2 Rp 20,000 Rp 5,000 Rp 25,000
3 Rp 20,000 Rp 5,000 Rp 25,000
4 Rp 20,000 Rp 5,000 Rp 25,000
5 Rp 20,000 Rp 5,000 Rp 25,000
6 Rp 20,000 Rp 5,000 Rp 25,000
7 Rp 20,000 Rp 5,000 Rp 25,000
8 Rp 20,000 Rp 5,000 Rp 25,000
9 Rp 20,000 Rp 5,000 Rp 25,000
10 Rp 20,000 Rp 5,000 Rp 25,000
11 Rp 20,000 Rp 5,000 Rp 25,000
12 Rp 20,000 Rp 5,000 Rp 25,000
13 Rp 20,000 Rp 5,000 Rp 25,000
14 Rp 20,000 Rp 5,000 Rp 25,000
15 Rp 20,000 Rp 5,000 Rp 25,000
16 Rp 20,000 Rp 5,000 Rp 25,000
17 Rp 20,000 Rp 5,000 Rp 25,000
18 Rp 20,000 Rp 5,000 Rp 25,000
19 Rp 20,000 Rp 5,000 Rp 25,000
20 Rp 20,000 Rp 5,000 Rp 25,000
21 Rp 20,000 Rp 5,000 Rp 25,000
22 Rp 20,000 Rp - Rp 20,000
23 Rp 20,000 Rp 5,000 Rp 25,000
24 Rp 20,000 Rp 5,000 Rp 25,000
25 Rp 20,000 Rp 5,000 Rp 25,000
26 Rp 20,000 Rp 5,000 Rp 25,000
27 Rp 20,000 Rp 5,000 Rp 25,000
28 Rp 20,000 Rp 5,000 Rp 25,000
29 Rp 20,000 Rp 5,000 Rp 25,000
30 Rp 20,000 Rp 5,000 Rp 25,000
31 Rp 20,000 Rp 5,000 Rp 25,000
32 Rp 20,000 Rp 5,000 Rp 25,000
33 Rp 20,000 Rp 5,000 Rp 25,000
34 Rp 20,000 Rp 5,000 Rp 25,000
35 Rp 20,000 Rp 5,000 Rp 25,000
36 Rp 20,000 Rp 5,000 Rp 25,000
37 Rp 20,000 Rp 5,000 Rp 25,000
38 Rp 20,000 Rp 5,000 Rp 25,000
39 Rp 20,000 Rp 5,000 Rp 25,000
40 Rp 20,000 Rp 5,000 Rp 25,000
41 Rp 20,000 Rp 5,000 Rp 25,000
42 Rp 20,000 Rp 5,000 Rp 25,000
43 Rp 20,000 Rp 5,000 Rp 25,000
44 Rp 20,000 Rp 5,000 Rp 25,000
45 Rp 20,000 Rp 5,000 Rp 25,000
46 Rp 20,000 Rp 5,000 Rp 25,000
47 Rp 20,000 Rp 5,000 Rp 25,000
48 Rp 20,000 Rp 5,000 Rp 25,000
49 Rp 20,000 Rp 5,000 Rp 25,000
50 Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
51 Rp 20,000 Rp 5,000 Rp 25,000
52 Rp 20,000 Rp 5,000 Rp 25,000
53 Rp 20,000 Rp 5,000 Rp 25,000
54 Rp 20,000 Rp 5,000 Rp 25,000
55 Rp 20,000 Rp 5,000 Rp 25,000
56 Rp 20,000 Rp 5,000 Rp 25,000
57 Rp 20,000 Rp 5,000 Rp 25,000
58 Rp 20,000 Rp - Rp 20,000
59 Rp 20,000 Rp 5,000 Rp 25,000
60 Rp 20,000 Rp 5,000 Rp 25,000
61 Rp 20,000 Rp 5,000 Rp 25,000
62 Rp 20,000 Rp 5,000 Rp 25,000
63 Rp 20,000 Rp 5,000 Rp 25,000
64 Rp 20,000 Rp 5,000 Rp 25,000
65 Rp 20,000 Rp 5,000 Rp 25,000
66 Rp 20,000 Rp 5,000 Rp 25,000
67 Rp 20,000 Rp 5,000 Rp 25,000
68 Rp 20,000 Rp 5,000 Rp 25,000
69 Rp 20,000 Rp 5,000 Rp 25,000
70 Rp 20,000 Rp - Rp 20,000
71 Rp 20,000 Rp 5,000 Rp 25,000
72 Rp 20,000 Rp 5,000 Rp 25,000
73 Rp 20,000 Rp 5,000 Rp 25,000
74 Rp 20,000 Rp 5,000 Rp 25,000
75 Rp 20,000 Rp 5,000 Rp 25,000
76 Rp 20,000 Rp 5,000 Rp 25,000
77 Rp 20,000 Rp 5,000 Rp 25,000
78 Rp 20,000 Rp 5,000 Rp 25,000
79 Rp 20,000 Rp 5,000 Rp 25,000
80 Rp 20,000 Rp 5,000 Rp 25,000
81 Rp 20,000 Rp 5,000 Rp 25,000
82 Rp 20,000 Rp 5,000 Rp 25,000
84 Rp 20,000 Rp 5,000 Rp 25,000
85 Rp 20,000 Rp 5,000 Rp 25,000
86 Rp 20,000 Rp 5,000 Rp 25,000
87 Rp 20,000 Rp 5,000 Rp 25,000
88 Rp 20,000 Rp 5,000 Rp 25,000
89 Rp - Rp 3,000 Rp 3,000
90 Rp 20,000 Rp 5,000 Rp 25,000
91 Rp 20,000 Rp 5,000 Rp 25,000
92 Rp 20,000 Rp 5,000 Rp 25,000
93 Rp 20,000 Rp 5,000 Rp 25,000
94 Rp 20,000 Rp 5,000 Rp 25,000
95 Rp 20,000 Rp 5,000 Rp 25,000
96 Rp 20,000 Rp 5,000 Rp 25,000
97 Rp 20,000 Rp 5,000 Rp 25,000
98 Rp 20,000 Rp 5,000 Rp 25,000
99 Rp 20,000 Rp 5,000 Rp 25,000
100 Rp 20,000 Rp 5,000 Rp 25,000
101 Rp 20,000 Rp 5,000 Rp 25,000
102 Rp 20,000 Rp 5,000 Rp 25,000
103 Rp 20,000 Rp 5,000 Rp 25,000
104 Rp 20,000 Rp 5,000 Rp 25,000
105 Rp 20,000 Rp 5,000 Rp 25,000
106 Rp 20,000 Rp 5,000 Rp 25,000
107 Rp 20,000 Rp 5,000 Rp 25,000
108 Rp 20,000 Rp 5,000 Rp 25,000
109 Rp 20,000 Rp 5,000 Rp 25,000
110 Rp 20,000 Rp 5,000 Rp 25,000
114 Rp 20,000 Rp 5,000 Rp 25,000
115 Rp 20,000 Rp 5,000 Rp 25,000
116 Rp 20,000 Rp 5,000 Rp 25,000
117 Rp 20,000 Rp 5,000 Rp 25,000
118 Rp 20,000 Rp 5,000 Rp 25,000
119 Rp 20,000 Rp 5,000 Rp 25,000
120 Rp 20,000 Rp 5,000 Rp 25,000
121 Rp 20,000 Rp 5,000 Rp 25,000
122 Rp 20,000 Rp 5,000 Rp 25,000
123 Rp 20,000 Rp 5,000 Rp 25,000
124 Rp 20,000 Rp 5,000 Rp 25,000
125 Rp 20,000 Rp 5,000 Rp 25,000
126 Rp 20,000 Rp 5,000 Rp 25,000
127 Rp 20,000 Rp 5,000 Rp 25,000
128 Rp 20,000 Rp 5,000 Rp 25,000
129 Rp 20,000 Rp 5,000 Rp 25,000
130 Rp 20,000 Rp 5,000 Rp 25,000
131 Rp 20,000 Rp 5,000 Rp 25,000
132 Rp 20,000 Rp 5,000 Rp 25,000
133 Rp 20,000 Rp 5,000 Rp 25,000
134 Rp 20,000 Rp 5,000 Rp 25,000
135 Rp 20,000 Rp 5,000 Rp 25,000
136 Rp 20,000 Rp 5,000 Rp 25,000
137 Rp 20,000 Rp 5,000 Rp 25,000
138 Rp 20,000 Rp 5,000 Rp 25,000
139 Rp 20,000 Rp 5,000 Rp 25,000
140 Rp 20,000 Rp 5,000 Rp 25,000
141 Rp 20,000 Rp 5,000 Rp 25,000
142 Rp 20,000 Rp 5,000 Rp 25,000
143 Rp 20,000 Rp 5,000 Rp 25,000
144 Rp 20,000 Rp 5,000 Rp 25,000
145 Rp 20,000 Rp 5,000 Rp 25,000
146 Rp 20,000 Rp 5,000 Rp 25,000
147 Rp 20,000 Rp 5,000 Rp 25,000
148 Rp 20,000 Rp 5,000 Rp 25,000
149 Rp 20,000 Rp 5,000 Rp 25,000
150 Rp 20,000 Rp 5,000 Rp 25,000
151 Rp 20,000 Rp 5,000 Rp 25,000
152 Rp 20,000 Rp - Rp 20,000
153 Rp 20,000 Rp 5,000 Rp 25,000
154 Rp 20,000 Rp - Rp 20,000
155 Rp 20,000 Rp 5,000 Rp 25,000
156 Rp 20,000 Rp 5,000 Rp 25,000
157 Rp 20,000 Rp 5,000 Rp 25,000
158 Rp 20,000 Rp 5,000 Rp 25,000
159 Rp 20,000 Rp 5,000 Rp 25,000
160 Rp 20,000 Rp - Rp 20,000
161 Rp 20,000 Rp 5,000 Rp 25,000
162 Rp 20,000 Rp 5,000 Rp 25,000
163 Rp 20,000 Rp 5,000 Rp 25,000
164 Rp 20,000 Rp 5,000 Rp 25,000
165 Rp 20,000 Rp 5,000 Rp 25,000
166 Rp 20,000 Rp 5,000 Rp 25,000
167 Rp 20,000 Rp 5,000 Rp 25,000
168 Rp 20,000 Rp 5,000 Rp 25,000
169 Rp 20,000 Rp 5,000 Rp 25,000
170 Rp 20,000 Rp 5,000 Rp 25,000
171 Rp 20,000 Rp 5,000 Rp 25,000
172 Rp 20,000 Rp 5,000 Rp 25,000
173 Rp 20,000 Rp 5,000 Rp 25,000
174 Rp 20,000 Rp 5,000 Rp 25,000
175 Rp 20,000 Rp 5,000 Rp 25,000
176 Rp 20,000 Rp 5,000 Rp 25,000
177 Rp 20,000 Rp 5,000 Rp 25,000
178 Rp 20,000 Rp 5,000 Rp 25,000
179 Rp 20,000 Rp 5,000 Rp 25,000
180 Rp 20,000 Rp 5,000 Rp 25,000
181 Rp 20,000 Rp 5,000 Rp 25,000
182 Rp 20,000 Rp 5,000 Rp 25,000
183 Rp 20,000 Rp 5,000 Rp 25,000
184 Rp 20,000 Rp 5,000 Rp 25,000
185 Rp 20,000 Rp 5,000 Rp 25,000
186 Rp 20,000 Rp 5,000 Rp 25,000
187 Rp 20,000 Rp 5,000 Rp 25,000
188 Rp 20,000 Rp 5,000 Rp 25,000
189 Rp 20,000 Rp 5,000 Rp 25,000
190 Rp 20,000 Rp 5,000 Rp 25,000
191 Rp 20,000 Rp 5,000 Rp 25,000
192 Rp 20,000 Rp 5,000 Rp 25,000
193 Rp 20,000 Rp 5,000 Rp 25,000
194 Rp 20,000 Rp - Rp 20,000
195 Rp 20,000 Rp 5,000 Rp 25,000
196 Rp 20,000 Rp 5,000 Rp 25,000
197 Rp 20,000 Rp 5,000 Rp 25,000
198 Rp 20,000 Rp 5,000 Rp 25,000
199 Rp 20,000 Rp 5,000 Rp 25,000
200 Rp 20,000 Rp 5,000 Rp 25,000
201 Rp 20,000 Rp 5,000 Rp 25,000
202 Rp 20,000 Rp 5,000 Rp 25,000
203 Rp 20,000 Rp 5,000 Rp 25,000
204 Rp 20,000 Rp - Rp 20,000
205 Rp 20,000 Rp 5,000 Rp 25,000
206 Rp 20,000 Rp - Rp 20,000
207 Rp 20,000 Rp 5,000 Rp 25,000
208 Rp 20,000 Rp 2,000 Rp 22,000
209 Rp 20,000 Rp 5,000 Rp 25,000
210 Rp 20,000 Rp 5,000 Rp 25,000
211 Rp 20,000 Rp 5,000 Rp 25,000
212 Rp 20,000 Rp 5,000 Rp 25,000
213 Rp 20,000 Rp 5,000 Rp 25,000
214 Rp 20,000 Rp 5,000 Rp 25,000
215 Rp 20,000 Rp 5,000 Rp 25,000
216 Rp 20,000 Rp 5,000 Rp 25,000
217 Rp 20,000 Rp 5,000 Rp 25,000
218 Rp 20,000 Rp 5,000 Rp 25,000
219 Rp 20,000 Rp 5,000 Rp 25,000
220 Rp 20,000 Rp 5,000 Rp 25,000
221 Rp 20,000 Rp 5,000 Rp 25,000
222 Rp 20,000 Rp 5,000 Rp 25,000
223 Rp 20,000 Rp 5,000 Rp 25,000
224 Rp 20,000 Rp 5,000 Rp 25,000
225 Rp 20,000 Rp 5,000 Rp 25,000
226 Rp 20,000 Rp 5,000 Rp 25,000
227 Rp 20,000 Rp 5,000 Rp 25,000
228 Rp 20,000 Rp 5,000 Rp 25,000
229 Rp 20,000 Rp 5,000 Rp 25,000
230 Rp 20,000 Rp 2,000 Rp 22,000
231 Rp 20,000 Rp 5,000 Rp 25,000
232 Rp 20,000 Rp 5,000 Rp 25,000
233 Rp 20,000 Rp 5,000 Rp 25,000
234 Rp 20,000 Rp 5,000 Rp 25,000
235 Rp 20,000 Rp 5,000 Rp 25,000
236 Rp 20,000 Rp 5,000 Rp 25,000
237 Rp 20,000 Rp - Rp 20,000
238 Rp 20,000 Rp 5,000 Rp 25,000
239 Rp 20,000 Rp 5,000 Rp 25,000
240 Rp 20,000 Rp 5,000 Rp 25,000
241 Rp 20,000 Rp 5,000 Rp 25,000
242 Rp 20,000 Rp 5,000 Rp 25,000
243 Rp 20,000 Rp 5,000 Rp 25,000
244 Rp 20,000 Rp 5,000 Rp 25,000
245 Rp 20,000 Rp 5,000 Rp 25,000
246 Rp 20,000 Rp 5,000 Rp 25,000
247 Rp 20,000 Rp 5,000 Rp 25,000
248 Rp 20,000 Rp 5,000 Rp 25,000
249 Rp 20,000 Rp 5,000 Rp 25,000
250 Rp 20,000 Rp 5,000 Rp 25,000
251 Rp 20,000 Rp 5,000 Rp 25,000
252 Rp 20,000 Rp 5,000 Rp 25,000
253 Rp 20,000 Rp 5,000 Rp 25,000
254 Rp 20,000 Rp 5,000 Rp 25,000
255 Rp 20,000 Rp 2,000 Rp 22,000
256 Rp 20,000 Rp 5,000 Rp 25,000
257 Rp 20,000 Rp 5,000 Rp 25,000
258 Rp 20,000 Rp 5,000 Rp 25,000
259 Rp 20,000 Rp 5,000 Rp 25,000
260 Rp 20,000 Rp 5,000 Rp 25,000
261 Rp 20,000 Rp 5,000 Rp 25,000
262 Rp 20,000 Rp 5,000 Rp 25,000
263 Rp 20,000 Rp 5,000 Rp 25,000
264 Rp 20,000 Rp 5,000 Rp 25,000
265 Rp 20,000 Rp 5,000 Rp 25,000
266 Rp 20,000 Rp 5,000 Rp 25,000
267 Rp 20,000 Rp 5,000 Rp 25,000
268 Rp 20,000 Rp 5,000 Rp 25,000
269 Rp 20,000 Rp 5,000 Rp 25,000
270 Rp 20,000 Rp 5,000 Rp 25,000
271 Rp 20,000 Rp 5,000 Rp 25,000
272 Rp 20,000 Rp 5,000 Rp 25,000
273 Rp 20,000 Rp 5,000 Rp 25,000
274 Rp 20,000 Rp 5,000 Rp 25,000
275 Rp 20,000 Rp 5,000 Rp 25,000
276 Rp 20,000 Rp 5,000 Rp 25,000
277 Rp 20,000 Rp 5,000 Rp 25,000
278 Rp 20,000 Rp 5,000 Rp 25,000
279 Rp 20,000 Rp 5,000 Rp 25,000
280 Rp 20,000 Rp 5,000 Rp 25,000
281 Rp 20,000 Rp 5,000 Rp 25,000
283 Rp 20,000 Rp 5,000 Rp 25,000
284 Rp 20,000 Rp 5,000 Rp 25,000
285 Rp 20,000 Rp 5,000 Rp 25,000
286 Rp 20,000 Rp 5,000 Rp 25,000
287 Rp 20,000 Rp 5,000 Rp 25,000
288 Rp 20,000 Rp 5,000 Rp 25,000
289 Rp 20,000 Rp 5,000 Rp 25,000
290 Rp 20,000 Rp 5,000 Rp 25,000
291 Rp 20,000 Rp 5,000 Rp 25,000
292 Rp 20,000 Rp 5,000 Rp 25,000
293 Rp 20,000 Rp 5,000 Rp 25,000
294 Rp 20,000 Rp 5,000 Rp 25,000
295 Rp 20,000 Rp 5,000 Rp 25,000
296 Rp 20,000 Rp 5,000 Rp 25,000
297 Rp 20,000 Rp 5,000 Rp 25,000
298 Rp 20,000 Rp 5,000 Rp 25,000
299 Rp 20,000 Rp 5,000 Rp 25,000
300 Rp 20,000 Rp 5,000 Rp 25,000
301 Rp 20,000 Rp 5,000 Rp 25,000
302 Rp 20,000 Rp 5,000 Rp 25,000
303 Rp 20,000 Rp 5,000 Rp 25,000
304 Rp 20,000 Rp 5,000 Rp 25,000
305 Rp 20,000 Rp 5,000 Rp 25,000
306 Rp 20,000 Rp 5,000 Rp 25,000
307 Rp 20,000 Rp 5,000 Rp 25,000
308 Rp 20,000 Rp 5,000 Rp 25,000
309 Rp 20,000 Rp 5,000 Rp 25,000
310 Rp 20,000 Rp 5,000 Rp 25,000
311 Rp 20,000 Rp 5,000 Rp 25,000
312 Rp 20,000 Rp 5,000 Rp 25,000
313 Rp 20,000 Rp 5,000 Rp 25,000
314 Rp 20,000 Rp 5,000 Rp 25,000
315 Rp 20,000 Rp 5,000 Rp 25,000
316 Rp 20,000 Rp 5,000 Rp 25,000
317 Rp 20,000 Rp 5,000 Rp 25,000
318 Rp 20,000 Rp 5,000 Rp 25,000
319 Rp 20,000 Rp 5,000 Rp 25,000
320 Rp 20,000 Rp 5,000 Rp 25,000
321 Rp 20,000 Rp 5,000 Rp 25,000
322 Rp 20,000 Rp 5,000 Rp 25,000
323 Rp 20,000 Rp 5,000 Rp 25,000
324 Rp 20,000 Rp 5,000 Rp 25,000
325 Rp 20,000 Rp 5,000 Rp 25,000
326 Rp 20,000 Rp - Rp 20,000
327 Rp 20,000 Rp 5,000 Rp 25,000
328 Rp 20,000 Rp 5,000 Rp 25,000
329 Rp 20,000 Rp 5,000 Rp 25,000
330 Rp 20,000 Rp 5,000 Rp 25,000
331 Rp 20,000 Rp 5,000 Rp 25,000
332 Rp 20,000 Rp 5,000 Rp 25,000
333 Rp 20,000 Rp 5,000 Rp 25,000
334 Rp 20,000 Rp 5,000 Rp 25,000
335 Rp 20,000 Rp 5,000 Rp 25,000
336 Rp 20,000 Rp 5,000 Rp 25,000
337 Rp 20,000 Rp 2,000 Rp 22,000
338 Rp 20,000 Rp 5,000 Rp 25,000
339 Rp 20,000 Rp 2,000 Rp 22,000
340 Rp 20,000 Rp 5,000 Rp 25,000
341 Rp 20,000 Rp 5,000 Rp 25,000
342 Rp 20,000 Rp 5,000 Rp 25,000
343 Rp 20,000 Rp 5,000 Rp 25,000
344 Rp 20,000 Rp 5,000 Rp 25,000
345 Rp 20,000 Rp 5,000 Rp 25,000
346 Rp 20,000 Rp 5,000 Rp 25,000
347 Rp 20,000 Rp 5,000 Rp 25,000
348 Rp 20,000 Rp 5,000 Rp 25,000
349 Rp 20,000 Rp 5,000 Rp 25,000
350 Rp 20,000 Rp 5,000 Rp 25,000
351 Rp 20,000 Rp 5,000 Rp 25,000
352 Rp 20,000 Rp 5,000 Rp 25,000
353 Rp 20,000 Rp 5,000 Rp 25,000
354 Rp 20,000 Rp 5,000 Rp 25,000
355 Rp 20,000 Rp 5,000 Rp 25,000
356 Rp 20,000 Rp 5,000 Rp 25,000
357 Rp 20,000 Rp 5,000 Rp 25,000
358 Rp 20,000 Rp 5,000 Rp 25,000
359 Rp 20,000 Rp 5,000 Rp 25,000
360 Rp 20,000 Rp 5,000 Rp 25,000
361 Rp 20,000 Rp 5,000 Rp 25,000
362 Rp 20,000 Rp 5,000 Rp 25,000
363 Rp 20,000 Rp 5,000 Rp 25,000
364 Rp 20,000 Rp 5,000 Rp 25,000
365 Rp 20,000 Rp 5,000 Rp 25,000
366 Rp 20,000 Rp 5,000 Rp 25,000
367 Rp 20,000 Rp 5,000 Rp 25,000
368 Rp 20,000 Rp 5,000 Rp 25,000
369 Rp 20,000 Rp 5,000 Rp 25,000
370 Rp 20,000 Rp 5,000 Rp 25,000
371 Rp 20,000 Rp 5,000 Rp 25,000
372 Rp 20,000 Rp 5,000 Rp 25,000
373 Rp 20,000 Rp 5,000 Rp 25,000
374 Rp 20,000 Rp 5,000 Rp 25,000
375 Rp 20,000 Rp 5,000 Rp 25,000
376 Rp 20,000 Rp 5,000 Rp 25,000
377 Rp 20,000 Rp 5,000 Rp 25,000
378 Rp 20,000 Rp 5,000 Rp 25,000
379 Rp 20,000 Rp 5,000 Rp 25,000
380 Rp 20,000 Rp - Rp 20,000
381 Rp 20,000 Rp 5,000 Rp 25,000
382 Rp 20,000 Rp 5,000 Rp 25,000
383 Rp 20,000 Rp 5,000 Rp 25,000
384 Rp 20,000 Rp 5,000 Rp 25,000
385 Rp 20,000 Rp 5,000 Rp 25,000
386 Rp 20,000 Rp 5,000 Rp 25,000
387 Rp 20,000 Rp 5,000 Rp 25,000
388 Rp 20,000 Rp 5,000 Rp 25,000
389 Rp 20,000 Rp 5,000 Rp 25,000
390 Rp 20,000 Rp 5,000 Rp 25,000
391 Rp 20,000 Rp 5,000 Rp 25,000
392 Rp 20,000 Rp 5,000 Rp 25,000
393 Rp 20,000 Rp 5,000 Rp 25,000
394 Rp 20,000 Rp 5,000 Rp 25,000
395 Rp 20,000 Rp 5,000 Rp 25,000
396 Rp 20,000 Rp 5,000 Rp 25,000
397 Rp 20,000 Rp 5,000 Rp 25,000
398 Rp 20,000 Rp 5,000 Rp 25,000
399 Rp 20,000 Rp 5,000 Rp 25,000
400 Rp 20,000 Rp 5,000 Rp 25,000
401 Rp 20,000 Rp 5,000 Rp 25,000
402 Rp 20,000 Rp 5,000 Rp 25,000
403 Rp 20,000 Rp 2,000 Rp 22,000
404 Rp 20,000 Rp 5,000 Rp 25,000
405 Rp 20,000 Rp 2,000 Rp 22,000
406 Rp 20,000 Rp 2,000 Rp 22,000
407 Rp 20,000 Rp 2,000 Rp 22,000
408 Rp 20,000 Rp 5,000 Rp 25,000
409 Rp 20,000 Rp 5,000 Rp 25,000
410 Rp 20,000 Rp 5,000 Rp 25,000
411 Rp 20,000 Rp 5,000 Rp 25,000
412 Rp 20,000 Rp 5,000 Rp 25,000
413 Rp 20,000 Rp 5,000 Rp 25,000
414 Rp 20,000 Rp 2,000 Rp 22,000
415 Rp 20,000 Rp 2,000 Rp 22,000
416 Rp 20,000 Rp 2,000 Rp 22,000
417 Rp 20,000 Rp 2,000 Rp 22,000
418 Rp 20,000 Rp 2,000 Rp 22,000
419 Rp 20,000 Rp 2,000 Rp 22,000
420 Rp 20,000 Rp 2,000 Rp 22,000
421 Rp 20,000 Rp 2,000 Rp 22,000
422 Rp 20,000 Rp 2,000 Rp 22,000
423 Rp 20,000 Rp 2,000 Rp 22,000
424 Rp 20,000 Rp 2,000 Rp 22,000
425 Rp 20,000 Rp 2,000 Rp 22,000
426 Rp 20,000 Rp 2,000 Rp 22,000
427 Rp 20,000 Rp 2,000 Rp 22,000
428 Rp 20,000 Rp 2,000 Rp 22,000
429 Rp 20,000 Rp 2,000 Rp 22,000
430 Rp 20,000 Rp 2,000 Rp 22,000
431 Rp 20,000 Rp 2,000 Rp 22,000
432 Rp 20,000 Rp 2,000 Rp 22,000
433 Rp 20,000 Rp 2,000 Rp 22,000
434 Rp 20,000 Rp 2,000 Rp 22,000
435 Rp 20,000 Rp 2,000 Rp 22,000
436 Rp 20,000 Rp 2,000 Rp 22,000
437 Rp 20,000 Rp 2,000 Rp 22,000
438 Rp 20,000 Rp 2,000 Rp 22,000
439 Rp 20,000 Rp 10,000 Rp 30,000
440 Rp 20,000 Rp 2,000 Rp 22,000
441 Rp 20,000 Rp 2,000 Rp 22,000
442 Rp 20,000 Rp 2,000 Rp 22,000
443 Rp 20,000 Rp 2,000 Rp 22,000
444 Rp 20,000 Rp 5,000 Rp 25,000
445 Rp 20,000 Rp 5,000 Rp 25,000
446 Rp 20,000 Rp 5,000 Rp 25,000
447 Rp 20,000 Rp 5,000 Rp 25,000
448 Rp 20,000 Rp 2,000 Rp 22,000
449 Rp 20,000 Rp 2,000 Rp 22,000
450 Rp 20,000 Rp 2,000 Rp 22,000
451 Rp 20,000 Rp 2,000 Rp 22,000
452 Rp 20,000 Rp 2,000 Rp 22,000
453 Rp 20,000 Rp 2,000 Rp 22,000
454 Rp 20,000 Rp 2,000 Rp 22,000
455 Rp 20,000 Rp 2,000 Rp 22,000
456 Rp 20,000 Rp 2,000 Rp 22,000
457 Rp 20,000 Rp 2,000 Rp 22,000
458 Rp 20,000 Rp 2,000 Rp 22,000
459 Rp 20,000 Rp 2,000 Rp 22,000
460 Rp 20,000 Rp 2,000 Rp 22,000
461 Rp 20,000 Rp 2,000 Rp 22,000
462 Rp 20,000 Rp 2,000 Rp 22,000
463 Rp 20,000 Rp 2,000 Rp 22,000
464 Rp 20,000 Rp 2,000 Rp 22,000
465 Rp 20,000 Rp 2,000 Rp 22,000
466 Rp 20,000 Rp 2,000 Rp 22,000
467 Rp 20,000 Rp 2,000 Rp 22,000
468 Rp 20,000 Rp 2,000 Rp 22,000
469 Rp 20,000 Rp 2,000 Rp 22,000
470 Rp 20,000 Rp 2,000 Rp 22,000
471 Rp 20,000 Rp 2,000 Rp 22,000
472 Rp 20,000 Rp 2,000 Rp 22,000
473 Rp 20,000 Rp 5,000 Rp 25,000
474 Rp 20,000 Rp 2,000 Rp 22,000
475 Rp 20,000 Rp 5,000 Rp 25,000
476 Rp 20,000 Rp 2,000 Rp 22,000
477 Rp 20,000 Rp 2,000 Rp 22,000
478 Rp 20,000 Rp 5,000 Rp 25,000
479 Rp 20,000 Rp 5,000 Rp 25,000
480 Rp 20,000 Rp 2,000 Rp 22,000
481 Rp 20,000 Rp 2,000 Rp 22,000
483 Rp 20,000 Rp 5,000 Rp 25,000
484 Rp 20,000 Rp 5,000 Rp 25,000
485 Rp 20,000 Rp 5,000 Rp 25,000
486 Rp 20,000 Rp 5,000 Rp 25,000
487 Rp 20,000 Rp 5,000 Rp 25,000
488 Rp 20,000 Rp 5,000 Rp 25,000
489 Rp 20,000 Rp 5,000 Rp 25,000
490 Rp 20,000 Rp 5,000 Rp 25,000
491 Rp 20,000 Rp 5,000 Rp 25,000
492 Rp 20,000 Rp 4,000 Rp 24,000
493 Rp 20,000 Rp 2,000 Rp 22,000
494 Rp 20,000 Rp 2,000 Rp 22,000
495 Rp 20,000 Rp 2,000 Rp 22,000
496 Rp 20,000 Rp 2,000 Rp 22,000
497 Rp 20,000 Rp 2,000 Rp 22,000
498 Rp 20,000 Rp 2,000 Rp 22,000
499 Rp 20,000 Rp 2,000 Rp 22,000
500 Rp 20,000 Rp 2,000 Rp 22,000
501 Rp 20,000 Rp 2,000 Rp 22,000
502 Rp 20,000 Rp 2,000 Rp 22,000
503 Rp 20,000 Rp 2,000 Rp 22,000
504 Rp 20,000 Rp 2,000 Rp 22,000
505 Rp 20,000 Rp 2,000 Rp 22,000
506 Rp 20,000 Rp 5,000 Rp 25,000
507 Rp 20,000 Rp 5,000 Rp 25,000
508 Rp 20,000 Rp 5,000 Rp 25,000
509 Rp 20,000 Rp 5,000 Rp 25,000
510 Rp 20,000 Rp 5,000 Rp 25,000
511 Rp 20,000 Rp 5,000 Rp 25,000
512 Rp 20,000 Rp 5,000 Rp 25,000
513 Rp 20,000 Rp 5,000 Rp 25,000
514 Rp 20,000 Rp - Rp 20,000
515 Rp 20,000 Rp 5,000 Rp 25,000
516 Rp 20,000 Rp 2,000 Rp 22,000
517 Rp 20,000 Rp 2,000 Rp 22,000
518 Rp 20,000 Rp 5,000 Rp 25,000
519 Rp 20,000 Rp 2,000 Rp 22,000
520 Rp 20,000 Rp 2,000 Rp 22,000
521 Rp 20,000 Rp 2,000 Rp 22,000
522 Rp 20,000 Rp 5,000 Rp 25,000
523 Rp 20,000 Rp 5,000 Rp 25,000
524 Rp 20,000 Rp 5,000 Rp 25,000
525 Rp 20,000 Rp 5,000 Rp 25,000
526 Rp 20,000 Rp 5,000 Rp 25,000
527 Rp 20,000 Rp 5,000 Rp 25,000
528 Rp 20,000 Rp 2,000 Rp 22,000
529 Rp 20,000 Rp 2,000 Rp 22,000
530 Rp 20,000 Rp 2,000 Rp 22,000
531 Rp 20,000 Rp 5,000 Rp 25,000
532 Rp 20,000 Rp 5,000 Rp 25,000
533 Rp 20,000 Rp 5,000 Rp 25,000
534 Rp 20,000 Rp 5,000 Rp 25,000
535 Rp 20,000 Rp 2,000 Rp 22,000
536 Rp 20,000 Rp 5,000 Rp 25,000
537 Rp 20,000 Rp 2,000 Rp 22,000
538 Rp 20,000 Rp 2,000 Rp 22,000
539 Rp 20,000 Rp 2,000 Rp 22,000
540 Rp 20,000 Rp 5,000 Rp 25,000
541 Rp 20,000 Rp 2,000 Rp 22,000
542 Rp 20,000 Rp 5,000 Rp 25,000
543 Rp 20,000 Rp 5,000 Rp 25,000
544 Rp 25,000 Rp 25,000
545 Rp 20,000 Rp 2,000 Rp 22,000
546 Rp 20,000 Rp 2,000 Rp 22,000
547 Rp 20,000 Rp 2,000 Rp 22,000
548 Rp 20,000 Rp 2,000 Rp 22,000
549 Rp 20,000 Rp 2,000 Rp 22,000
550 Rp 20,000 Rp 2,000 Rp 22,000
551 Rp 20,000 Rp 2,000 Rp 22,000
552 Rp 20,000 Rp 2,000 Rp 22,000
553 Rp 20,000 Rp 2,000 Rp 22,000
554 Rp 20,000 Rp 2,000 Rp 22,000
555 Rp 20,000 Rp 2,000 Rp 22,000
556 Rp 20,000 Rp 2,000 Rp 22,000
557 Rp 20,000 Rp 2,000 Rp 22,000
558 Rp 20,000 Rp 2,000 Rp 22,000
559 Rp 20,000 Rp 2,000 Rp 22,000
560 Rp 20,000 Rp 2,000 Rp 22,000
561 Rp 20,000 Rp 2,000 Rp 22,000
562 Rp 20,000 Rp 2,000 Rp 22,000
563 Rp 20,000 Rp 2,000 Rp 22,000
564 Rp 20,000 Rp 2,000 Rp 22,000
565 Rp 20,000 Rp 2,000 Rp 22,000
566 Rp 20,000 Rp 2,000 Rp 22,000
567 Rp 20,000 Rp 2,000 Rp 22,000
568 Rp 20,000 Rp 2,000 Rp 22,000
569 Rp 20,000 Rp 2,000 Rp 22,000
570 Rp 20,000 Rp 2,000 Rp 22,000
571 Rp 20,000 Rp 2,000 Rp 22,000
572 Rp 20,000 Rp 2,000 Rp 22,000
573 Rp 20,000 Rp 2,000 Rp 22,000
574 Rp 20,000 Rp 2,000 Rp 22,000
575 Rp 20,000 Rp 2,000 Rp 22,000
576 Rp 20,000 Rp 2,000 Rp 22,000
577 Rp 20,000 Rp 2,000 Rp 22,000
578 Rp - Rp - Rp -
579 Rp 20,000 Rp 5,000 Rp 25,000
580 Rp - Rp - Rp -
581 Rp 20,000 Rp 5,000 Rp 25,000
582 Rp 20,000 Rp 2,000 Rp 22,000
583 Rp 20,000 Rp 2,000 Rp 22,000
584 Rp 20,000 Rp 2,000 Rp 22,000
585 Rp 20,000 Rp 8,000 Rp 28,000
586 Rp 20,000 Rp 5,000 Rp 25,000
587 Rp 20,000 Rp 5,000 Rp 25,000
588 Rp - Rp - Rp -
589 Rp 20,000 Rp 5,000 Rp 25,000
590 Rp 20,000 Rp 2,000 Rp 22,000
591 Rp 20,000 Rp 2,000 Rp 22,000
592 Rp 20,000 Rp 5,000 Rp 25,000
593 Rp 20,000 Rp 5,000 Rp 25,000
594 Rp 20,000 Rp 5,000 Rp 25,000
595 Rp 20,000 Rp 2,000 Rp 22,000
596 Rp 20,000 Rp 5,000 Rp 25,000
597 Rp 20,000 Rp 5,000 Rp 25,000
598 Rp 20,000 Rp 2,000 Rp 22,000
599 Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 8,000 Rp 28,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp - Rp 20,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 8,000 Rp 28,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp - Rp 20,000
Rp - Rp - Rp -
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 2,000 Rp 22,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp - Rp 20,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp - Rp - Rp -
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp - Rp - Rp -
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp - Rp - Rp -
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
Rp 20,000 Rp 5,000 Rp 25,000
TOTAL Rp 15,585,000 Rp - Rp - Rp - Rp 3,316,000 Rp 18,901,000
BULAN Jan-17
NO TGL NAMA PASIEN LAYANAN JASA MEDIS JASA TINDAKAN ALAT/BAHAN OBAT JASA APOTIK TOTAL
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp -
TOTAL Rp - Rp - Rp - Rp - Rp - Rp -
Rp -
MENGETAHUI
TOTAL SETOR UNIVRp - KEPALA UPT KESEHATAN
Rp -
Rp - Rp -
Rp -
#REF!
PENJUALAN MINUMAN
BULAN Jan-20
MINUMAN
NO TGL NAMA
Freste Pulpy Ades Sprite
1 Rp 5,000
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
22
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
Rp - Rp - Rp - Rp 5,000
TOTAL
Rp 5,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000
Rp 5,000
REKAP TAGIHAN PASIEN RAWAT JALAN
KLINIK DR. M. SUHERMAN
JL. KARIMATA NO. 49 JEMBER
Bulan May-20
JASA
NO TGL NAMA PASIEN LAYANAN ALAT/BAHAN OBAT JASA APOTIK TOTAL
TINDAKAN
1 1-May pasien beli obat Rp 30,000 Rp 30,000
2 pasien beli obat Rp 150,000 Rp 150,000
3 pasien beli obat Rp 2,500 Rp 2,500
4 farah n bella beli masker 2 box Rp 300,000 Rp 300,000
5 silvia vit c obat Rp 200,000 Rp 200,000
6 2-May pasien beli obat Rp 80,000 Rp 80,000
8 drg lely beli obat Rp 60,000 Rp 60,000
9 3-Apr mb.putri beli obat Rp 50,000 Rp 50,000
10 pasien beli obat Rp 29,000 Rp 29,000
11 kindi beli obat Rp 25,000 Rp 25,000
12 qory beli obat Rp 25,000 Rp 25,000
13 mb. Novia beli obat Rp 12,000 Rp 12,000
14 4-May sabar beli obat Rp 21,000 Rp 21,000
15 5-May pasien beli obat Rp 16,000 Rp 16,000
16 6-May mela beli obat Rp 65,000 Rp 65,000
17 ibu panca beli obat Rp 90,000 Rp 90,000
18 nunk beli obat Rp 5,000 Rp 5,000
19 7-May pasien beli obat Rp 75,000 Rp 75,000
20 pasien beli obat Rp 16,000 Rp 16,000
21 feril beli obat Rp 2,000 Rp 2,000
22 pasien beli obat Rp 16,000 Rp 16,000
23 9-May pasien beli obat Rp 10,000 Rp 10,000
24 pasien beli obat Rp 2,000 Rp 2,000
25 klinik medika hs cair + obat Rp 350,000 Rp 350,000
26 psn kia beli obat Rp 8,000 Rp 8,000
27 10-May fulan beli obat Rp 10,000 Rp 10,000
28 akromah beli obat Rp 18,000 Rp 18,000
29 psn kia beli obat Rp 8,000 Rp 8,000
30 dr novita beli obat Rp 22,000 Rp 22,000
31 11-May pasien beli obat Rp 6,000 Rp 6,000
32 pasien beli obat Rp 210,000 Rp 210,000
33 bella beli obat Rp 175,000 Rp 175,000
34 pasien beli masker Rp 10,000 Rp 10,000
35 12-May icang beli obat Rp 25,000 Rp 25,000
36 bella beli obat Rp 25,000 Rp 25,000
37 qori beli obat Rp 30,000 Rp 30,000
38 dinar beli obat Rp 25,000 Rp 25,000
39 dinar beli obat Rp 50,000 Rp 50,000
40 dr heru beli masker 2 box Rp 360,000 Rp 360,000
41 dr heru beli obat Rp 10,000 Rp 10,000
42 13-May pasien beli obat Rp 34,000 Rp 34,000
43 ilham beli obat Rp 1,000 Rp 1,000
44 pasien beli obat Rp 25,000 Rp 25,000
45 pasien beli masker Rp 8,000 Rp 8,000
14-May DR X beli masker Rp 2,000 Rp 2,000
feril beli masker Rp 30,000 Rp 30,000
46 15-May Putri beli obat Rp 10,000 Rp 10,000
47 16-May laras beli obat Rp 200,000 Rp 200,000
48 pasien beli obat Rp 32,000 Rp 32,000
49 17-May fulan beli obat Rp 18,000 Rp 18,000
50 fulan beli obat Rp 25,000 Rp 25,000
51 mamat beli obat Rp 22,500 Rp 22,500
52 bella beli obat Rp 50,000 Rp 50,000
53 18-May fulan beli obat Rp 14,000 Rp 14,000
54 dimas beli obat Rp 46,000 Rp 46,000
55 19-May pasien beli obat Rp 9,000 Rp 9,000
56 dinar beli obat Rp 300,000 Rp 300,000
57 pasien beli obat Rp 8,000 Rp 8,000
58 pasien beli obat Rp 17,000 Rp 17,000
59 20-May ani beli obat Rp 14,000 Rp 14,000
60 eli rahmatika tes narkoba Rp 115,000 Rp 115,000
61 aysie natus tes narkoba Rp 115,000 Rp 115,000
62 21-May pasien beli obat Rp 29,000 Rp 29,000
63 AR Rahma beli obat Rp 319,000 Rp 319,000
64 22-May fulan beli obat Rp 25,000 Rp 25,000
65 laras beli obat Rp 337,000 Rp 337,000
66 pasien beli obat Rp 94,000 Rp 94,000
67 23-May dr novita beli obat Rp 115,000 Rp 115,000
68 fulan beli obat Rp 32,000 Rp 32,000
69 26-May tama beli obat Rp 36,000 Rp 36,000
70 pasien beli obat Rp 41,000 Rp 41,000
lulus vit c Rp 100,000 Rp 100,000
silvy vit c Rp 100,000 Rp 100,000
71 27-May candra beli obat Rp 26,000 Rp 26,000
72 pasien beli obat Rp 8,000 Rp 8,000
73 juki beli obat Rp 20,000 Rp 20,000
74 fulan beli obat Rp 7,000 Rp 7,000
75 fulan beli obat Rp 46,000 Rp 46,000
76 dr hisyam bli masker Rp 360,000 Rp 360,000
77 imel bli vit c Rp 100,000 Rp 100,000
78 28-May pasien beli obat Rp 85,000 Rp 85,000
79 bella beli obat Rp 25,000 Rp 25,000
80 pasien beli obat Rp 12,000 Rp 12,000
81 pasien beli obat Rp 12,000 Rp 12,000
82 dr condro bli masker Rp 360,000 Rp 360,000
83 putri beli obat Rp 46,000 Rp 46,000
84 29-May fulan beli obat Rp 17,000 Rp 17,000
85 laili beli obat Rp 25,000 Rp 25,000
86 drg diana bli vit c Rp 100,000 Rp 100,000
87 laili hasanah vit c Rp 100,000 Rp 100,000
88 Qoyyimah vit c Rp 50,000 Rp 50,000
89 b yana hs isi ulang Rp 20,000 Rp 20,000
90 anis beli obat Rp 108,000 Rp 108,000
91 winasti beli obat Rp 16,000 Rp 16,000
92 winasti vit c Rp 50,000 Rp 50,000
93 fitri beli obat Rp 60,000 Rp 60,000
94 30-May laras beli obat Rp 100,000 Rp 100,000
95 budi beli obat Rp 38,000 Rp 38,000
96 30-May Bela beli obat Rp 25,000 Rp 25,000
97 poppy beli obat Rp 23,000 Rp 23,000
98 fulan beli masker Rp 20,000 Rp 20,000
Rp - Rp - Rp 6,806,000 Rp - Rp 6,806,000
TOTAL = Rp 6,806,000
REKAP TAGIHAN PASIEN KIA
KLINIK DR. M. SUHERMAN
JL. KARIMATA NO. 49 JEMBER
TELP : (0331) 326091
BULAN Oct-17
JASA
NO TGL NAMA PASIEN LAYANAN JASA MEDIS ALAT/BAHAN OBAT JASA APOTIK TOTAL
TINDAKAN
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
TOTAL Rp - Rp - Rp - Rp - Rp - Rp -
MENGETAHUI
KEPALA UPT KESEHATAN
BULAN Dec-16
NO TGL NAMA NAMA TINDAKAN TOTAL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
TOTAL Rp - Rp -
NO TGL NAMA NAMA TINDAKAN TOTAL
TOTAL Rp -
TERBILANG :
TOTAL PENDAPATAN
Setor univ. JM * 25%
JASA MEDIS
PEMAKAIAN ALAT/BAHAN
PEMAKAIAN OBAT
REKAP TAGIHAN PASIEN LINGGARJATI
KLINIK DR. M. SUHERMAN
JL. KARIMATA NO. 49 JEMBER
TELP : (0331) 326091
BULAN Dec-16
NO TGL NAMA PASIEN NIK JASA MEDIS JASA TINDAKAN ALAT/BAHAN OBAT JASA APOTIK TOTAL
1
2
3
4 Rp -
TOTAL Rp - Rp - Rp - Rp - Rp - Rp -
TOTAL Rp - Mengetahui
TERBILANG Kepala UPT Kesehatan
TOTAL Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
Rp -
dr fitri Rp - Mengetahui
dr ana Rp - Kepala UPT Kesehatan
dr dian Rp -
dr Ayu
dr. Eka Rp -
dr. Bella Rp - dr. Fitriana Putri
drg. Nikmatul
dr. Nana
dr. Sheila Rp -
Rp -
LAPORAN POLI GIGI KLINIK dr. M. Suherman
BULAN Jan-17
JASA MEDIS
NO TGL NAMA PASIEN TINDAKAN DRG BHP+SA OBAT JASA APOTIK TOTAL PENDAPATAN
TOTAL UNIV 50% DOKTER 50 %
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
JASA MEDIS
NO TGL NAMA PASIEN TINDAKAN DRG BHP+SA OBAT JASA APOTIK TOTAL PENDAPATAN
TOTAL UNIV 50% DOKTER 50 %
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
JASA MEDIS
NO TGL NAMA PASIEN TINDAKAN DRG BHP+SA OBAT JASA APOTIK TOTAL PENDAPATAN
TOTAL UNIV 50% DOKTER 50 %
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - yuyun Rp 2,128,000
Rp -
Rp - Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
JASA MEDIS
NO TGL NAMA PASIEN TINDAKAN DRG BHP+SA OBAT JASA APOTIK TOTAL PENDAPATAN
TOTAL UNIV 50% DOKTER 50 %
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - yuyun 2078000
Rp -
Rp - Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
JASA MEDIS
NO TGL NAMA PASIEN TINDAKAN DRG BHP+SA OBAT JASA APOTIK TOTAL PENDAPATAN
TOTAL UNIV 50% DOKTER 50 %
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp -
TOTAL Rp - Rp - Rp - Rp - Rp - Rp - Rp -
Rp - jm poli gigi
Rp - TOTAL REMUN
Rp -
rawat jalan Rp -
tindakan Rp - Rp -
REKAP TAGIHAN PASIEN MELAHIRKAN
KLINIK DR. M. SUHERMAN
JL. KARIMATA NO. 49 JEMBER
TELP : (0331) 326091
BULAN Oct-16
NO TGL KELUAR NAMA Sewa VK TINDAKAN JASA PERAWATAN BAYI ALAT HABIS PAKAI JASA PERAWATAN DOKTER JAGA CUCIAN ALAT MEDIS OBAT-OBATAN JASA APOTEK ADMINISTRASI TOTAL
Rp -
Rp -
TOTAL Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
RENUMERASI Rp -
TINDAKAN Rp -
DOKTER JAGA Rp -
JASA APOTEK Rp -
SETOR UNIVERSITAS Rp -
Rp -
REKAP TAGIHAN PASIEN MELAHIRKAN
KLINIK DR. M. SUHERMAN
JL. KARIMATA NO. 49 JEMBER
TELP : (0331) 326091
KETERANGAN
bpjs
bpjs
Bpjs
Bpjs
Bpjs
REKAP TAGIHAN PASIEN BPJS
KLINIK DR. M. SUHERMAN
JL. KARIMATA NO. 49 JEMBER
TELP : (0331) 326091
BULAN Dec-16
NO TGL NAMA PASIEN NOMER KTM LAYANAN JASA MEDIS OBAT TOTAL
1 01-Dec-16 yuni fitri 1610411049 GIGI Rp 7,000 Rp 4,956 Rp 11,956
2 01-Dec-16 laily nurdiana 1610411180 GIGI Rp 7,000 Rp 7,110 Rp 14,110
3 05-Dec-16 yuni fitri 1610411049 GIGI Rp 7,000 Rp - Rp 7,000
4 06-Dec-16 ADI WAHYU C 1210611039 GIGI Rp 7,000 Rp - Rp 7,000
5 07-Dec-16 FITRI KHAIRUNNISA 1310411291 GIGI Rp 7,000 Rp - Rp 7,000
6 08-Dec-16 yuni fitri 1610411049 GIGI Rp 7,000 Rp - Rp 7,000
7 10-Dec-16 FITRI KHAIRUNNISA 1310411291 GIGI Rp 7,000 Rp - Rp 7,000
8 13-Dec-16 ANNIS ARY P 1501031005 GIGI Rp 7,000 Rp 2,532 Rp 9,532
9 15-Dec-16 FITRI KHAIRUNNISA 1310411291 GIGI Rp 7,000 Rp - Rp 7,000
10 15-Dec-16 ACH ROFIQI 1410611076 GIGI Rp 7,000 Rp 4,220 Rp 11,220
11 21-Dec-16 PITA ARUMSARI 1510411245 GIGI Rp 7,000 Rp - Rp 7,000
12 22-Dec-16 SITI FATONAH 1410411219 GIGI Rp 7,000 Rp 6,924 Rp 13,924
13 24-Dec-16 NASIROH UMA 1511011044 GIGI Rp 7,000 Rp 4,000 Rp 11,000
14 28-Dec-16 DEVITA OKTAVIA R 1311011010 GIGI Rp 7,000 Rp 2,532 Rp 9,532
15 28-Dec-16 ELLA MUSTIKASARI 1310511016 GIGI Rp 7,000 Rp - Rp 7,000
16 29-Dec-16 NUR FTRATUL JAMIL 1510421085 GIGI Rp 7,000 Rp - Rp 7,000
17 31-Dec-16 ANNISA HIDAYATI 1601021027 GIGI Rp 7,000 Rp 10,210 Rp 17,210
18 31-Dec-16 YENI ASTUTI 1410651102 GIGI Rp 7,000 Rp - Rp 7,000
19 31-Dec-16 DEVITA OKTAVIA R 1311011010 GIGI Rp 7,000 Rp - Rp 7,000
20 30-Dec-16 ADE SRI 1601032010 KIA Rp 7,000 Rp 3,020 Rp 10,020
21 02-Dec-16 ROBI ANDRI OKTAFIANTO 1410651096 UGD Rp 7,000 Rp 4,944 Rp 11,944
22 02-Dec-16 TANTRI HIDAYATI UGD Rp 7,000 Rp 1,416 Rp 8,416
23 05-Dec-16 NOVI NAWANG WULAN 1410211023 UGD Rp 7,000 Rp - Rp 7,000
24 05-Dec-16 SETYO BAGUS DERMAWAN 1610611026 UGD Rp 7,000 Rp 7,715 Rp 14,715
25 05-Dec-16 AHMAD FAIZAL 1610421009 UGD Rp 7,000 Rp 9,930 Rp 16,930
26 06-Dec-16 irfan wahyudin 1610911002 UGD Rp 7,000 Rp 6,210 Rp 13,210
27 14-Dec-16 ANESTA ROBY RISFANANDA 1611012007 UGD Rp 7,000 Rp 5,202 Rp 12,202
28 14-Dec-16 ulva azizah 1311011073 UGD Rp 7,000 Rp - Rp 7,000
29 14-Dec-16 IDZA AMRUHU UGD Rp 7,000 Rp 7,925 Rp 14,925
30 15-Dec-16 YUNIA RISTANTI PRATIWI 1410251016 UGD Rp 7,000 Rp 4,314 Rp 11,314
31 15-Dec-16 NIKEN AYU ALFIAN 1610111100 UGD Rp 7,000 Rp 10,810 Rp 17,810
32 19-Dec-16 CICIK APRILIA 1310421038 UGD Rp 7,000 Rp 5,796 Rp 12,796
33 20-Dec-16 MUHAMMAD ALI IMRON UGD Rp 7,000 Rp - Rp 7,000
34 21-Dec-16 UMI WARDATUL S 1610411209 UGD Rp 7,000 Rp 6,802 Rp 13,802
35 23-Dec-16 UMI WARDATUL S 1610411209 UGD Rp 7,000 Rp - Rp 7,000
36 23-Dec-16 siti rofiah UGD Rp 7,000 Rp 8,072 Rp 15,072
37 25-Dec-16 UMI WARDATUL S 1610411209 UGD Rp 7,000 Rp 1,602 Rp 8,602
38 28-Dec-16 RINNA ADITYA NINGRUM 1510411313 UGD Rp 7,000 Rp 6,532 Rp 13,532
39 28-Dec-16 M Sofianto 1610411211 UGD Rp 7,000 Rp 7,410 Rp 14,410
40 30-Dec-16 M Sofianto 1610411211 UGD Rp 7,000 Rp - Rp 7,000
41 01-Dec-16 DIAH NURHIDAYATI 1610411135 UMUM Rp 7,000 Rp - Rp 7,000
42 01-Dec-16 CAHYANING KARISMA 1610511046 UMUM Rp 7,000 Rp 12,756 Rp 19,756
43 01-Dec-16 DIAN SRI KURNIAWATI 1610411188 UMUM Rp 7,000 Rp 7,626 Rp 14,626
44 01-Dec-16 hendra wisnu 1510511063 UMUM Rp 7,000 Rp - Rp 7,000
45 01-Dec-16 MUHAYDI 1501021021 UMUM Rp 7,000 Rp 10,130 Rp 17,130
46 01-Dec-16 DINI DISTIKA RANI UMUM Rp 7,000 Rp 12,186 Rp 19,186
47 01-Dec-16 DELA FAUZIAH UMUM Rp 7,000 Rp 3,078 Rp 10,078
48 01-Dec-16 DWI NOVELI AFKARINA 1601021056 UMUM Rp 7,000 Rp 7,865 Rp 14,865
49 01-Dec-16 RISKA MURAZIZAH 1410231030 UMUM Rp 7,000 Rp 7,388 Rp 14,388
50 01-Dec-16 FIQIH DWI ADINDA 1510111035 UMUM Rp 7,000 Rp - Rp 7,000
51 01-Dec-16 AHMAD FAIZAL TAUFIQUR RAH UMUM Rp 7,000 Rp - Rp 7,000
52 01-Dec-16 MOHAMMAD FAHMAN FIRMANS 1310651177 UMUM Rp 7,000 Rp - Rp 7,000
53 01-Dec-16 WILDAN AKMALA 1310651044 UMUM Rp 7,000 Rp - Rp 7,000
54 01-Dec-16 ZULFY AINUR ROHMAN 1310651013 UMUM Rp 7,000 Rp - Rp 7,000
55 01-Dec-16 ADHE PANDU DWI PRAYOGA 1310651046 UMUM Rp 7,000 Rp - Rp 7,000
56 01-Dec-16 SULUNG CHANDRA LESMANA UMUM Rp 7,000 Rp 9,707 Rp 16,707
57 01-Dec-16 INTAN DIAH PUJI LESTARI 1610651149 UMUM Rp 7,000 Rp 5,688 Rp 12,688
58 01-Dec-16 MOHAMMAT GAFUR 1611011018 UMUM Rp 7,000 Rp 7,444 Rp 14,444
59 01-Dec-16 MUHAMMAD HALILI 1310611047 UMUM Rp 7,000 Rp - Rp 7,000
60 01-Dec-16 M LABIB HAKIM 1410311044 UMUM Rp 7,000 Rp - Rp 7,000
61 01-Dec-16 MEGA SILVIA 1610311003 UMUM Rp 7,000 Rp 12,124 Rp 19,124
62 01-Dec-16 HIKMATUL UMMAH 1510811043 UMUM Rp 7,000 Rp 6,658 Rp 13,658
63 01-Dec-16 ERMIN SEPTIAN 1310221070 UMUM Rp 7,000 Rp 12,952 Rp 19,952
64 01-Dec-16 SRI WAHYUNINGSIH 1510221108 UMUM Rp 7,000 Rp 15,856 Rp 22,856
65 02-Dec-16 NURANI TRISNANING FEBTRIA UMUM Rp 7,000 Rp - Rp 7,000
66 02-Dec-16 INDRIA SWARI PUTRI INDAHS 1610411210 UMUM Rp 7,000 Rp 2,500 Rp 9,500
67 02-Dec-16 UMI WARDATUL S 1610411209 UMUM Rp 7,000 Rp 2,224 Rp 9,224
68 02-Dec-16 INDAH PERMATA SARI UMUM Rp 7,000 Rp 7,116 Rp 14,116
69 02-Dec-16 HANDIKA CAHAYA PUTRA 1410651084 UMUM Rp 7,000 Rp 8,796 Rp 15,796
70 02-Dec-16 riskya tri afifah 16108110113 UMUM Rp 7,000 Rp 5,692 Rp 12,692
71 02-Dec-16 donny bagus o 1510521039 UMUM Rp 7,000 Rp 7,986 Rp 14,986
72 02-Dec-16 M. RIZKI WIDIYANTO 1510611026 UMUM Rp 7,000 Rp 16,730 Rp 23,730
73 02-Dec-16 SUGENG HARIADI 1610411266 UMUM Rp 7,000 Rp 11,820 Rp 18,820
74 02-Dec-16 novita 1611012011 UMUM Rp 7,000 Rp 7,992 Rp 14,992
75 02-Dec-16 NUR IDA YESINIA 1410421100 UMUM Rp 7,000 Rp - Rp 7,000
76 03-Dec-16 HIKMAH RATRI 1510111021 UMUM Rp 7,000 Rp 14,440 Rp 21,440
77 03-Dec-16 SHOFIATUN ISTIQOMAH 1410651042 UMUM Rp 7,000 Rp 3,800 Rp 10,800
78 03-Dec-16 a mas sani 1310621005 UMUM Rp 7,000 Rp 18,086 Rp 25,086
79 03-Dec-16 TASMI FITRI 1410251040 UMUM Rp 7,000 Rp 7,431 Rp 14,431
80 03-Dec-16 ANNISA HIDAYATI 1601021027 UMUM Rp 7,000 Rp 12,170 Rp 19,170
81 04-Dec-16 FARIS ALDI H UMUM Rp 7,000 Rp 11,909 Rp 18,909
82 05-Dec-16 HASBULA HENAN 1310811041 UMUM Rp 7,000 Rp 11,670 Rp 18,670
83 05-Dec-16 ANNISA HIDAYATI 1601021027 UMUM Rp 7,000 Rp - Rp 7,000
84 05-Dec-16 GILANG AJISAKA 1410231058 UMUM Rp 7,000 Rp 7,430 Rp 14,430
85 05-Dec-16 INTAN SARIFA NURAENI 1610421045 UMUM Rp 7,000 Rp - Rp 7,000
86 05-Dec-16 evi tamala 1410221087 UMUM Rp 7,000 Rp - Rp 7,000
87 05-Dec-16 LUSI ANDRIANINGTYAS 1310231033 UMUM Rp 7,000 Rp 9,100 Rp 16,100
88 05-Dec-16 SESWANTO DWI SAPUTRO 1401021027 UMUM Rp 7,000 Rp 11,886 Rp 18,886
89 05-Dec-16 RIONS PUKED NALADNA SUHNA 1610641057 UMUM Rp 7,000 Rp 12,986 Rp 19,986
90 05-Dec-16 ANGGITA NOVYA 1610231045 UMUM Rp 7,000 Rp - Rp 7,000
91 05-Dec-16 BELLA HUSNUL AYU 1310231028 UMUM Rp 7,000 Rp 5,700 Rp 12,700
92 05-Dec-16 ABD WAFI 1310221030 UMUM Rp 7,000 Rp 3,990 Rp 10,990
93 05-Dec-16 WAHYU ANTOK URROHMAN UMUM Rp 7,000 Rp 10,088 Rp 17,088
94 05-Dec-16 SAFIRA SALSABILA 1610421094 UMUM Rp 7,000 Rp 4,002 Rp 11,002
95 05-Dec-16 INTAN SARIFA NURAENI 1610421045 UMUM Rp 7,000 Rp 6,960 Rp 13,960
96 05-Dec-16 nur lita oktaviani 15101111030 UMUM Rp 7,000 Rp 4,326 Rp 11,326
97 05-Dec-16 opie aleida yuwono 1601021005 UMUM Rp 7,000 Rp 8,058 Rp 15,058
98 06-Dec-16 RENA AFIFATUS RACHMAD 1410411286 UMUM Rp 7,000 Rp - Rp 7,000
99 06-Dec-16 CONI KURNILAWATI 1410411324 UMUM Rp 7,000 Rp 5,154 Rp 12,154
100 06-Dec-16 MUHAMMAD NASIR 1410221009 UMUM Rp 7,000 Rp 8,228 Rp 15,228
101 06-Dec-16 EKA WULANDARI UMUM Rp 7,000 Rp 13,246 Rp 20,246
102 06-Dec-16 YENI HENDRILIYANI 1410411301 UMUM Rp 7,000 Rp 10,047 Rp 17,047
103 06-Dec-16 DEVI AHMAD TANTOWI 1410611070 UMUM Rp 7,000 Rp - Rp 7,000
104 06-Dec-16 DITA NOVELIA PUTRI 1410411074 UMUM Rp 7,000 Rp 6,612 Rp 13,612
105 06-Dec-16 MUHAMMAD RONALD HENDRA J 1410651034 UMUM Rp 7,000 Rp - Rp 7,000
106 06-Dec-16 SRI WAHYUNINGSIH 1510221108 UMUM Rp 7,000 Rp 8,808 Rp 15,808
107 06-Dec-16 ANGKY PRAYOGI 1410221110 UMUM Rp 7,000 Rp 18,126 Rp 25,126
108 06-Dec-16 IFO NADY ROBY M 1310421117 UMUM Rp 7,000 Rp 8,060 Rp 15,060
109 06-Dec-16 AYUDIA ARINDA DWI 1411011055 UMUM Rp 7,000 Rp 3,816 Rp 10,816
110 06-Dec-16 HOLIFAH ASYARUL 1410321056 UMUM Rp 7,000 Rp 9,202 Rp 16,202
111 06-Dec-16 FANIDA ANGGRAENI 1410411025 UMUM Rp 7,000 Rp 12,684 Rp 19,684
112 06-Dec-16 BAMBANG SUMARSONO 14101111109 UMUM Rp 7,000 Rp 4,260 Rp 11,260
113 06-Dec-16 SUGENG HARIADI 1610411266 UMUM Rp 7,000 Rp 6,216 Rp 13,216
114 06-Dec-16 ENDANG MURIANI PUTRI 1510411136 UMUM Rp 7,000 Rp 7,710 Rp 14,710
115 06-Dec-16 SALMAN AL FARISI 1310611024 UMUM Rp 7,000 Rp 8,772 Rp 15,772
116 06-Dec-16 TARA AYU ADEVIA 1610421095 UMUM Rp 7,000 Rp 8,644 Rp 15,644
117 06-Dec-16 HARI SUKMONO 1610621012 UMUM Rp 7,000 Rp 7,270 Rp 14,270
118 06-Dec-16 SILVIA LESTARI 1601021007 UMUM Rp 7,000 Rp 3,078 Rp 10,078
119 06-Dec-16 ISMAWATI 1310411040 UMUM Rp 7,000 Rp 10,684 Rp 17,684
120 06-Dec-16 TANTRI ROSITANAYA 1310411235 UMUM Rp 7,000 Rp 10,632 Rp 17,632
121 07-Dec-16 LUDISTYA TUNGGAL A 1610511002 UMUM Rp 7,000 Rp 13,658 Rp 20,658
122 07-Dec-16 ROYCHATUL JANNAH 1610511035 UMUM Rp 7,000 Rp 7,372 Rp 14,372
123 07-Dec-16 M. ARIF NUR 1510651160 UMUM Rp 7,000 Rp 7,696 Rp 14,696
124 07-Dec-16 OKKY FEBRIANSYAH 1310111050 UMUM Rp 7,000 Rp 16,268 Rp 23,268
125 07-Dec-16 TANTRI ROSITANAYA 1310411235 UMUM Rp 7,000 Rp - Rp 7,000
126 07-Dec-16 MUHAMAD HASAN UMUM Rp 7,000 Rp - Rp 7,000
127 07-Dec-16 MUHAMMAD TAMYIZ 131411198 UMUM Rp 7,000 Rp - Rp 7,000
128 07-Dec-16 ELMA DWI 1601021055 UMUM Rp 7,000 Rp 9,612 Rp 16,612
129 07-Dec-16 pinkan cahya avita sari 1410511037 UMUM Rp 7,000 Rp 11,436 Rp 18,436
130 07-Dec-16 DHOFANNY ARIFIYAH 1410411166 UMUM Rp 7,000 Rp 13,846 Rp 20,846
131 07-Dec-16 devi diana 1110511023 UMUM Rp 7,000 Rp 14,979 Rp 21,979
132 07-Dec-16 ANNA ALISSIYA HERMAWATI 1410611053 UMUM Rp 7,000 Rp 5,660 Rp 12,660
133 07-Dec-16 MOH LUTVI G 1510411344 UMUM Rp 7,000 Rp 9,444 Rp 16,444
134 07-Dec-16 DIAH SUSANTIKA 1310652022 UMUM Rp 7,000 Rp 4,914 Rp 11,914
135 07-Dec-16 NURUL AGUSTINA UMUM Rp 7,000 Rp 6,426 Rp 13,426
136 07-Dec-16 CHULUD AYU ARDANIA 1510221027 UMUM Rp 7,000 Rp 3,788 Rp 10,788
137 08-Dec-16 LAILIYAH PURNAMA WULANDAR 1610411203 UMUM Rp 7,000 Rp 6,826 Rp 13,826
138 08-Dec-16 ANGGI OKTANINDHEA 1610251008 UMUM Rp 7,000 Rp 5,022 Rp 12,022
139 08-Dec-16 ROMANTIKA 1601021008 UMUM Rp 7,000 Rp 18,402 Rp 25,402
140 08-Dec-16 HIKMAH RATRI 1510111021 UMUM Rp 7,000 Rp 9,888 Rp 16,888
141 08-Dec-16 KINANTI WIDYANINGRUM 1610311008 UMUM Rp 7,000 Rp 21,024 Rp 28,024
142 08-Dec-16 SITI FATIMAH 1610311002 UMUM Rp 7,000 Rp 5,202 Rp 12,202
143 08-Dec-16 DIANA YUNITASARI 1410231033 UMUM Rp 7,000 Rp 9,574 Rp 16,574
144 08-Dec-16 ERWIN HARIYANTO 1410231068 UMUM Rp 7,000 Rp 6,084 Rp 13,084
145 08-Dec-16 SAIFUL BAHRI 1611011029 UMUM Rp 7,000 Rp 14,270 Rp 21,270
146 09-Dec-16 MOHAMMAD FAISAL AZROI 1610411071 UMUM Rp 7,000 Rp - Rp 7,000
147 09-Dec-16 HARI SUKMONO 1610621012 UMUM Rp 7,000 Rp 4,668 Rp 11,668
148 09-Dec-16 INGGRIANI ARIATI 1401021030 UMUM Rp 7,000 Rp 11,784 Rp 18,784
149 09-Dec-16 IRA NOVITA 1610411017 UMUM Rp 7,000 Rp 4,764 Rp 11,764
150 09-Dec-16 Asmarina hayati aminah 1510311031 UMUM Rp 7,000 Rp 7,012 Rp 14,012
151 10-Dec-16 DINDA ASRI LESTARI UMUM Rp 7,000 Rp 12,032 Rp 19,032
152 10-Dec-16 HENDRA LAKSANA 1310411207 UMUM Rp 7,000 Rp - Rp 7,000
153 10-Dec-16 RISKHY ADHAM 1310411229 UMUM Rp 7,000 Rp - Rp 7,000
154 12-Dec-16 WINDA ARIBATUN 1601031061 UMUM Rp 7,000 Rp 3,298 Rp 10,298
155 12-Dec-16 LALITA LAFISTA 1610421067 UMUM Rp 7,000 Rp 7,252 Rp 14,252
156 12-Dec-16 WINDA ARIBATUN 1601031061 UMUM Rp 7,000 Rp - Rp 7,000
157 13-Dec-16 WINDA ARIBATUN 1601031061 UMUM Rp 7,000 Rp - Rp 7,000
158 13-Dec-16 ahmad sidiq 1510311026 UMUM Rp 7,000 Rp 7,584 Rp 14,584
159 13-Dec-16 SALMAN AL FARISI 1310611024 UMUM Rp 7,000 Rp 11,640 Rp 18,640
160 13-Dec-16 nur daifatur 1411011007 UMUM Rp 7,000 Rp 23,482 Rp 30,482
161 13-Dec-16 MIRA NANDA 1610111091 UMUM Rp 7,000 Rp 11,725 Rp 18,725
162 13-Dec-16 FEBIOLA EKA VALENTYNA 1610411152 UMUM Rp 7,000 Rp 25,608 Rp 32,608
163 13-Dec-16 WAHYUNING PUTRI K 1410321018 UMUM Rp 7,000 Rp 5,860 Rp 12,860
164 13-Dec-16 MARISSA ANGGRAENI UMUM Rp 7,000 Rp - Rp 7,000
165 13-Dec-16 ZAFIRAH SHOFARA 1610231044 UMUM Rp 7,000 Rp 1,300 Rp 8,300
166 13-Dec-16 ANADA RAFLY D 1410651067 UMUM Rp 7,000 Rp 7,366 Rp 14,366
167 13-Dec-16 YAHYA ZAKARIA 1410411182 UMUM Rp 7,000 Rp - Rp 7,000
168 13-Dec-16 TAUFAN AINUL YAQIEN 1410651103 UMUM Rp 7,000 Rp 7,095 Rp 14,095
169 13-Dec-16 FATMA SARI DEWI 1611011022 UMUM Rp 7,000 Rp 13,683 Rp 20,683
170 13-Dec-16 WENNY EKA 1510411155 UMUM Rp 7,000 Rp 8,474 Rp 15,474
171 13-Dec-16 KOFA SIYANA 1600711027 UMUM Rp 7,000 Rp 8,474 Rp 15,474
172 13-Dec-16 RIFADLY ACMAD FAQIH 1610321059 UMUM Rp 7,000 Rp 3,885 Rp 10,885
173 13-Dec-16 DIMAS WAHYU 1410641016 UMUM Rp 7,000 Rp 10,782 Rp 17,782
174 13-Dec-16 RESI NURBUWAT 1510811033 UMUM Rp 7,000 Rp 11,013 Rp 18,013
175 13-Dec-16 FITRIA MELANI UMUM Rp 7,000 Rp 9,244 Rp 16,244
176 14-Dec-16 LINA NINGTIYAS 1610811007 UMUM Rp 7,000 Rp 9,626 Rp 16,626
177 14-Dec-16 FATHURROZY 1310411208 UMUM Rp 7,000 Rp - Rp 7,000
178 14-Dec-16 ISKANDAR 1310411082 UMUM Rp 7,000 Rp - Rp 7,000
179 14-Dec-16 SULAIMAN 1310421105 UMUM Rp 7,000 Rp 7,768 Rp 14,768
180 14-Dec-16 ANGGI APRILIA 1310221003 UMUM Rp 7,000 Rp 4,488 Rp 11,488
181 14-Dec-16 WISNU EKO GUNTARTO 1510311020 UMUM Rp 7,000 Rp 10,558 Rp 17,558
182 14-Dec-16 CINDHY AYU M 1601021053 UMUM Rp 7,000 Rp - Rp 7,000
183 14-Dec-16 LUTFI OKTAFIANI 1610231034 UMUM Rp 7,000 Rp 6,670 Rp 13,670
184 14-Dec-16 NUR AZIZAH 1510421025 UMUM Rp 7,000 Rp 10,520 Rp 17,520
185 14-Dec-16 LINDA MEGA MUJAYANA 1510231043 UMUM Rp 7,000 Rp 7,886 Rp 14,886
186 14-Dec-16 MOHAMMAD ATO MAULANA 1510311040 UMUM Rp 7,000 Rp - Rp 7,000
187 14-Dec-16 GALANG GOLDY PUTRA 1610641035 UMUM Rp 7,000 Rp - Rp 7,000
188 14-Dec-16 MUHAMMAD HANI CIPTANDRIO 1610111001 UMUM Rp 7,000 Rp - Rp 7,000
189 14-Dec-16 desy richa lailatul 1510811023 UMUM Rp 7,000 Rp 8,520 Rp 15,520
190 14-Dec-16 NUR ALIFAH LISTIYANI UMUM Rp 7,000 Rp 8,895 Rp 15,895
191 14-Dec-16 AYUDIA ARINDA DWI 1411011055 UMUM Rp 7,000 Rp - Rp 7,000
192 14-Dec-16 MOHAMMAD FATHOR ROSSI 1310651037 UMUM Rp 7,000 Rp 9,338 Rp 16,338
193 14-Dec-16 RISKY DWI 1610611060 UMUM Rp 7,000 Rp 6,236 Rp 13,236
194 14-Dec-16 putra tri w 1610641015 UMUM Rp 7,000 Rp - Rp 7,000
195 14-Dec-16 TASMI FITRI 1410251040 UMUM Rp 7,000 Rp 7,272 Rp 14,272
196 14-Dec-16 anita rahayu UMUM Rp 7,000 Rp 6,534 Rp 13,534
197 14-Dec-16 AYUNDA RIZKY UMAROH UMUM Rp 7,000 Rp 3,686 Rp 10,686
198 14-Dec-16 siti rahayu 1510221055 UMUM Rp 7,000 Rp 4,364 Rp 11,364
199 14-Dec-16 MERI APRILINA 1410231037 UMUM Rp 7,000 Rp 2,340 Rp 9,340
200 14-Dec-16 RIONS PUKED NALADNA SUHNA 1610641057 UMUM Rp 7,000 Rp 9,024 Rp 16,024
201 14-Dec-16 VIVIN MUSRIANI 1610221072 UMUM Rp 7,000 Rp 10,340 Rp 17,340
202 14-Dec-16 DEWI NURMA SARI 1610421049 UMUM Rp 7,000 Rp 15,392 Rp 22,392
203 15-Dec-16 SHOFIAN DWI PUJO S 1510111102 UMUM Rp 7,000 Rp 7,425 Rp 14,425
204 15-Dec-16 M.ARIEF HIDAYAT 1510311014 UMUM Rp 7,000 Rp 3,440 Rp 10,440
205 15-Dec-16 ROHMAT BUDI PRASTYO UMUM Rp 7,000 Rp - Rp 7,000
206 15-Dec-16 AHMAD RIFQI 1610651001 UMUM Rp 7,000 Rp - Rp 7,000
207 15-Dec-16 TAUFIK HIDAYAT 1410311016 UMUM Rp 7,000 Rp - Rp 7,000
208 15-Dec-16 INES RAHMAWATI UMUM Rp 7,000 Rp 7,164 Rp 14,164
209 15-Dec-16 SUSAN AYU KARISMA DEWI 1310811011 UMUM Rp 7,000 Rp 8,042 Rp 15,042
210 15-Dec-16 AYU NILAWATI 1610651139 UMUM Rp 7,000 Rp 3,594 Rp 10,594
211 15-Dec-16 NURIL AMRULLAH 1410651038 UMUM Rp 7,000 Rp 4,865 Rp 11,865
212 15-Dec-16 FIRDA YUNIA NUR ISLAMI 1510411179 UMUM Rp 7,000 Rp 15,066 Rp 22,066
213 15-Dec-16 ERWIN WAHYU ILAHI 1510221065 UMUM Rp 7,000 Rp - Rp 7,000
214 15-Dec-16 ANADA RAFLY D 1410651067 UMUM Rp 7,000 Rp 8,668 Rp 15,668
215 15-Dec-16 rizaldy bagus faiz kusuma 1610421050 UMUM Rp 7,000 Rp 17,190 Rp 24,190
216 15-Dec-16 MELVI BELA PERTIWI 1510411331 UMUM Rp 7,000 Rp 5,772 Rp 12,772
217 15-Dec-16 KHAIRUL MUTMAINNAH 1511011033 UMUM Rp 7,000 Rp 8,668 Rp 15,668
218 15-Dec-16 WAHYU RUDI WIDODO 1510621024 UMUM Rp 7,000 Rp - Rp 7,000
219 15-Dec-16 FAISOL DWI 1510611032 UMUM Rp 7,000 Rp - Rp 7,000
220 15-Dec-16 imam syafiii 1410641020 UMUM Rp 7,000 Rp - Rp 7,000
221 15-Dec-16 FIKI FIRMANSYAH 1510651070 UMUM Rp 7,000 Rp - Rp 7,000
222 16-Dec-16 DIAN SRI KURNIAWATI 1610411188 UMUM Rp 7,000 Rp 6,084 Rp 13,084
223 16-Dec-16 SAPTIANSYAH ZULMI 1610651095 UMUM Rp 7,000 Rp - Rp 7,000
224 16-Dec-16 SYIFANA HAJARUL 1311011070 UMUM Rp 7,000 Rp 4,458 Rp 11,458
225 16-Dec-16 MOHAMMAD FAISAL AZROI 1610411071 UMUM Rp 7,000 Rp 5,522 Rp 12,522
226 16-Dec-16 ZAKIYATUL MISKINIYAH 1310811021 UMUM Rp 7,000 Rp 7,284 Rp 14,284
227 16-Dec-16 RISKY DWI 1610611060 UMUM Rp 7,000 Rp 9,954 Rp 16,954
228 16-Dec-16 FAIZAL AKBAR HUZEIN 1610521009 UMUM Rp 7,000 Rp 2,094 Rp 9,094
229 16-Dec-16 SHABRI H 1510811032 UMUM Rp 7,000 Rp 3,282 Rp 10,282
230 16-Dec-16 ARDIANSYAH KURNIAWAN 1110221112 UMUM Rp 7,000 Rp - Rp 7,000
231 16-Dec-16 IDA AMINATUS S UMUM Rp 7,000 Rp 13,966 Rp 20,966
232 16-Dec-16 JAMAL BAHANAN 1510321061 UMUM Rp 7,000 Rp 6,800 Rp 13,800
233 16-Dec-16 PASKALIS DENNY ASANDRI 1510221095 UMUM Rp 7,000 Rp 8,084 Rp 15,084
234 16-Dec-16 ERNI NUR AMYZA 1610221087 UMUM Rp 7,000 Rp 12,578 Rp 19,578
235 17-Dec-16 LINA NINGTIYAS 1610811007 UMUM Rp 7,000 Rp - Rp 7,000
236 17-Dec-16 suhdi 1410311045 UMUM Rp 7,000 Rp - Rp 7,000
237 17-Dec-16 ERIKA ANGGRAINI UMUM Rp 7,000 Rp 6,860 Rp 13,860
238 17-Dec-16 NISRIN MAMING 1610231062 UMUM Rp 7,000 Rp - Rp 7,000
239 17-Dec-16 suhdi 1410311045 UMUM Rp 7,000 Rp 10,448 Rp 17,448
240 19-Dec-16 FERI RAMADHAN 1510321015 UMUM Rp 7,000 Rp 4,265 Rp 11,265
241 19-Dec-16 FEBBY ALICHA 1510411194 UMUM Rp 7,000 Rp 4,406 Rp 11,406
242 19-Dec-16 MUAHMMAD MIRZA P 1620412014 UMUM Rp 7,000 Rp 2,328 Rp 9,328
243 19-Dec-16 SRI WAHYUNINGSIH 1510221108 UMUM Rp 7,000 Rp 5,460 Rp 12,460
244 19-Dec-16 LUDWIGIA UNGU PRADANI UMUM Rp 7,000 Rp - Rp 7,000
245 19-Dec-16 DHAIFINA WUQUFIAH 1410511040 UMUM Rp 7,000 Rp 5,934 Rp 12,934
246 19-Dec-16 HANDIKA CAHAYA PUTRA 1410651084 UMUM Rp 7,000 Rp 9,252 Rp 16,252
247 19-Dec-16 EDO FAJAR FEBRO 1510651165 UMUM Rp 7,000 Rp - Rp 7,000
248 19-Dec-16 TUTUT NURHIDAYATI (ADIK M 1601021010 UMUM Rp 7,000 Rp 17,329 Rp 24,329
249 19-Dec-16 ROSITA ANJANI 1410211012 UMUM Rp 7,000 Rp 12,936 Rp 19,936
250 19-Dec-16 ROSE RINI ANDRIYANTI 1610811027 UMUM Rp 7,000 Rp 4,878 Rp 11,878
251 19-Dec-16 FINOLA DWI PURNAMA 1400631010 UMUM Rp 7,000 Rp 15,478 Rp 22,478
252 20-Dec-16 M. DENDY AMIRULLAH 1610411202 UMUM Rp 7,000 Rp 11,316 Rp 18,316
253 20-Dec-16 M Sofianto 1610411211 UMUM Rp 7,000 Rp - Rp 7,000
254 20-Dec-16 NIKI AYU LESTARI 1310521001 UMUM Rp 7,000 Rp 15,072 Rp 22,072
255 20-Dec-16 SUCI WULANDARI 1610211013 UMUM Rp 7,000 Rp 13,642 Rp 20,642
256 20-Dec-16 NUR RAHMATILLAH 1311011061 UMUM Rp 7,000 Rp 9,644 Rp 16,644
257 20-Dec-16 ELVIRA PUSPA ARDINI 1310411129 UMUM Rp 7,000 Rp 7,326 Rp 14,326
258 20-Dec-16 BUDI AYU AMBARWATI UMUM Rp 7,000 Rp 8,106 Rp 15,106
259 20-Dec-16 YONGKI AHMAD F 1610911018 UMUM Rp 7,000 Rp 9,644 Rp 16,644
260 20-Dec-16 NURUL HASANAH 1610811046 UMUM Rp 7,000 Rp 10,600 Rp 17,600
261 20-Dec-16 CINDY KURNIAWATI 1610411140 UMUM Rp 7,000 Rp 7,076 Rp 14,076
262 20-Dec-16 ANDRE VEDITA 1610611016 UMUM Rp 7,000 Rp - Rp 7,000
263 20-Dec-16 ROYCHATUL JANNAH 1610511035 UMUM Rp 7,000 Rp 3,210 Rp 10,210
264 20-Dec-16 OCTAVIA PARAMITHA 1610421083 UMUM Rp 7,000 Rp 9,903 Rp 16,903
265 20-Dec-16 SHINTA WAHYUNINGTYAS 1610221007 UMUM Rp 7,000 Rp 6,530 Rp 13,530
266 20-Dec-16 AHMAD ROFIKI SAID 1610651131 UMUM Rp 7,000 Rp 7,248 Rp 14,248
267 20-Dec-16 LOVIYAN OFINDA MARGARENA 1610111033 UMUM Rp 7,000 Rp 11,229 Rp 18,229
268 21-Dec-16 SILVINIA HARISANTI 1410111040 UMUM Rp 7,000 Rp - Rp 7,000
269 21-Dec-16 MITA RAHMAWATI 1610251011 UMUM Rp 7,000 Rp 10,584 Rp 17,584
270 21-Dec-16 IMRON WAHYU PRATAMA 1610111031 UMUM Rp 7,000 Rp 4,048 Rp 11,048
271 21-Dec-16 ZULFA AINIYAH UMUM Rp 7,000 Rp 14,446 Rp 21,446
272 21-Dec-16 rini trusta pasha 1410511028 UMUM Rp 7,000 Rp 14,306 Rp 21,306
273 21-Dec-16 IKA HERAWATI 1410511021 UMUM Rp 7,000 Rp 12,778 Rp 19,778
274 21-Dec-16 MEIRINA KHOLILI 1410411047 UMUM Rp 7,000 Rp 9,210 Rp 16,210
275 21-Dec-16 SONY PERMATA PUTRA 1611012015 UMUM Rp 7,000 Rp 16,704 Rp 23,704
276 21-Dec-16 DEWI ANTIKA 1410511033 UMUM Rp 7,000 Rp 16,634 Rp 23,634
277 21-Dec-16 ALIF ROSUL INSANI 1510411174 UMUM Rp 7,000 Rp 11,316 Rp 18,316
278 21-Dec-16 FITRIA KUSDIANTARA 1510111061 UMUM Rp 7,000 Rp 5,772 Rp 12,772
279 21-Dec-16 AYU DEWI WARDANI 1410411085 UMUM Rp 7,000 Rp 5,268 Rp 12,268
280 21-Dec-16 fathikhul hidayah 1510231057 UMUM Rp 7,000 Rp 8,763 Rp 15,763
281 21-Dec-16 NOURMALITA SETYA NINGRUM 1410521006 UMUM Rp 7,000 Rp 7,788 Rp 14,788
282 21-Dec-16 PUTRI JETA ANANDA 1310811033 UMUM Rp 7,000 Rp - Rp 7,000
283 21-Dec-16 YEYEN KAMALIA 1410411318 UMUM Rp 7,000 Rp 10,356 Rp 17,356
284 21-Dec-16 MOH JEFTA AHF ADYUSRON 1310521020 UMUM Rp 7,000 Rp 14,190 Rp 21,190
285 21-Dec-16 NIKEN AYU ALFIAN 1610111100 UMUM Rp 7,000 Rp - Rp 7,000
286 21-Dec-16 NYODI HANDOKO 1410511020 UMUM Rp 7,000 Rp 11,886 Rp 18,886
287 21-Dec-16 INTAN SAFIRA 1610111093 UMUM Rp 7,000 Rp 20,267 Rp 27,267
288 21-Dec-16 SAPTIANSYAH ZULMI 1610651095 UMUM Rp 7,000 Rp 12,752 Rp 19,752
289 21-Dec-16 VIVIN MUSRIANI 1610221072 UMUM Rp 7,000 Rp - Rp 7,000
290 21-Dec-16 ERFI KARTIKA 1110641035 UMUM Rp 7,000 Rp 12,652 Rp 19,652
291 21-Dec-16 NUR NADIF MAULANA 1610652003 UMUM Rp 7,000 Rp 7,919 Rp 14,919
292 21-Dec-16 DESY AGUSTIN JAFFAR 1310421076 UMUM Rp 7,000 Rp 2,304 Rp 9,304
293 22-Dec-16 SITI RUMLAH HASANAH 1610251026 UMUM Rp 7,000 Rp 7,286 Rp 14,286
294 22-Dec-16 ERWIN DWI S 1500631004 UMUM Rp 7,000 Rp 2,430 Rp 9,430
295 22-Dec-16 M.ALWIN APRILIAN UMUM Rp 7,000 Rp 12,926 Rp 19,926
296 22-Dec-16 ICA ADITYA OKTAVIANI 1610111040 UMUM Rp 7,000 Rp 7,736 Rp 14,736
297 22-Dec-16 HUSNUL UMUM Rp 7,000 Rp - Rp 7,000
298 22-Dec-16 PITA ARUMSARI 1510411245 UMUM Rp 7,000 Rp 6,840 Rp 13,840
299 22-Dec-16 YAYUK SUCIWATI 1410651005 UMUM Rp 7,000 Rp 20,490 Rp 27,490
300 22-Dec-16 SEPTI H 1410411160 UMUM Rp 7,000 Rp 6,632 Rp 13,632
301 22-Dec-16 ROHMAT BUDI PRASTYO UMUM Rp 7,000 Rp 5,560 Rp 12,560
302 22-Dec-16 ERNI NUR AMYZA 1610221087 UMUM Rp 7,000 Rp 16,296 Rp 23,296
303 22-Dec-16 PRIMA YANUARISTYA 1310251040 UMUM Rp 7,000 Rp - Rp 7,000
304 22-Dec-16 LUFI KHUSNUL KHOTIMAH 1310411045 UMUM Rp 7,000 Rp 8,166 Rp 15,166
305 22-Dec-16 M. DICKY 1510611063 UMUM Rp 7,000 Rp 10,058 Rp 17,058
306 22-Dec-16 NIDYA SHIKE HANDOKO 1601021063 UMUM Rp 7,000 Rp 61,232 Rp 68,232
307 22-Dec-16 YULIA WULANDARI UMUM Rp 7,000 Rp 57,680 Rp 64,680
308 22-Dec-16 FITROTUL KHOTIMAH 1410111115 UMUM Rp 7,000 Rp 12,235 Rp 19,235
309 22-Dec-16 muhammad adin fikri 1510651092 UMUM Rp 7,000 Rp 56,180 Rp 63,180
310 23-Dec-16 MELA ROSALINA 1310411044 UMUM Rp 7,000 Rp 10,280 Rp 17,280
311 23-Dec-16 M. DENDY AMIRULLAH 1610411202 UMUM Rp 7,000 Rp 11,932 Rp 18,932
312 23-Dec-16 MOH ATO MAULANA UMUM Rp 7,000 Rp - Rp 7,000
313 23-Dec-16 WAHYU RUDI WIDODO 1510621024 UMUM Rp 7,000 Rp - Rp 7,000
314 23-Dec-16 FAISOL DWI 1510611032 UMUM Rp 7,000 Rp - Rp 7,000
315 23-Dec-16 IFTITAH AZZAHRA UMUM Rp 7,000 Rp - Rp 7,000
316 23-Dec-16 IRA SOPIANI UMUM Rp 7,000 Rp - Rp 7,000
317 23-Dec-16 TAUFIK HIDAYAT 1410311016 UMUM Rp 7,000 Rp - Rp 7,000
318 23-Dec-16 FIKI FIRMANSYAH 1510651070 UMUM Rp 7,000 Rp - Rp 7,000
319 23-Dec-16 IKA FAIQOTUL JANNAH 1510251024 UMUM Rp 7,000 Rp - Rp 7,000
320 23-Dec-16 fathikhul hidayah 1510231057 UMUM Rp 7,000 Rp - Rp 7,000
321 23-Dec-16 RIZA ULFATUL 1411011024 UMUM Rp 7,000 Rp - Rp 7,000
322 23-Dec-16 IRMAYA DIA APRILIA 1410411187 UMUM Rp 7,000 Rp - Rp 7,000
323 23-Dec-16 imam syafiii 1410641020 UMUM Rp 7,000 Rp - Rp 7,000
324 23-Dec-16 YULIS SETIYO RAHAYU UMUM Rp 7,000 Rp 7,206 Rp 14,206
325 23-Dec-16 NOVIA TRI KOMARIYAH 1310411026 UMUM Rp 7,000 Rp 7,680 Rp 14,680
326 24-Dec-16 ELA IDELIA TYAN TAIZAH 1510221015 UMUM Rp 7,000 Rp 9,800 Rp 16,800
327 24-Dec-16 ROHMAT BUDI PRASTYO UMUM Rp 7,000 Rp 1,716 Rp 8,716
328 24-Dec-16 ARIFIN UMUM Rp 7,000 Rp 17,828 Rp 24,828
329 26-Dec-16 ABU AYUB ANSORI 1410511001 UMUM Rp 7,000 Rp 18,302 Rp 25,302
330 26-Dec-16 ITMA KAREE 1610221079 UMUM Rp 7,000 Rp - Rp 7,000
331 26-Dec-16 M. DENDY AMIRULLAH 1610411202 UMUM Rp 7,000 Rp 10,336 Rp 17,336
332 26-Dec-16 NIDHOM BINAUL HAQ 1410521033 UMUM Rp 7,000 Rp 8,870 Rp 15,870
333 26-Dec-16 MOH. LUQMANUL HAKIM FAUSI 1510221101 UMUM Rp 7,000 Rp - Rp 7,000
334 27-Dec-16 IKA HERAWATI 1410511021 UMUM Rp 7,000 Rp 1,998 Rp 8,998
335 27-Dec-16 ERI KHARISMA AGUSTINE 1510251020 UMUM Rp 7,000 Rp 8,334 Rp 15,334
336 27-Dec-16 CHINDAMI WAHYU DIONO 1410411227 UMUM Rp 7,000 Rp 11,718 Rp 18,718
337 27-Dec-16 SAHIDI 1310221031 UMUM Rp 7,000 Rp 8,590 Rp 15,590
338 27-Dec-16 dona lailatus 1410411181 UMUM Rp 7,000 Rp 16,102 Rp 23,102
339 27-Dec-16 DHOFANNY ARIFIYAH 1410411166 UMUM Rp 7,000 Rp 21,738 Rp 28,738
340 27-Dec-16 WAHYU EKO FERDIANSYAH 141061118 UMUM Rp 7,000 Rp - Rp 7,000
341 27-Dec-16 ABD.HAKAM 1510211012 UMUM Rp 7,000 Rp 7,402 Rp 14,402
342 27-Dec-16 IZZA DINI HARI 1401021034 UMUM Rp 7,000 Rp 10,560 Rp 17,560
343 27-Dec-16 NYODI HANDOKO 1410511020 UMUM Rp 7,000 Rp - Rp 7,000
344 27-Dec-16 AHMAD IMAM SYAHRONI 1510911028 UMUM Rp 7,000 Rp 3,204 Rp 10,204
345 27-Dec-16 FINDA FATHIYAH P 1410251029 UMUM Rp 7,000 Rp 7,324 Rp 14,324
346 27-Dec-16 YULIA AGISNIS 1601032011 UMUM Rp 7,000 Rp 9,886 Rp 16,886
347 27-Dec-16 SITI FATIMAH 1610311002 UMUM Rp 7,000 Rp - Rp 7,000
348 27-Dec-16 AFRILIA INDAH M 1610411122 UMUM Rp 7,000 Rp 7,008 Rp 14,008
349 27-Dec-16 RENO MANDALA P. 0001828523327 UMUM Rp 7,000 Rp - Rp 7,000
350 28-Dec-16 NIDHOM BINAUL HAQ 1410521033 UMUM Rp 7,000 Rp - Rp 7,000
351 28-Dec-16 DEDY FKIP 1210221098 UMUM Rp 7,000 Rp 13,702 Rp 20,702
352 28-Dec-16 GIRINDRA JIMMY TRI PRADAN UMUM Rp 7,000 Rp 10,922 Rp 17,922
353 28-Dec-16 ANDI PERMATA 1310411178 UMUM Rp 7,000 Rp 5,088 Rp 12,088
354 28-Dec-16 RATNA LENNY Y 1510221001 UMUM Rp 7,000 Rp 7,380 Rp 14,380
355 28-Dec-16 RITKA JAYANTI NINGSIH 1410111032 UMUM Rp 7,000 Rp 11,792 Rp 18,792
356 28-Dec-16 FARDATI NAILULFARI 1610111112 UMUM Rp 7,000 Rp 8,892 Rp 15,892
357 28-Dec-16 SALSABILLA HASTUTI DWI UMUM Rp 7,000 Rp 5,416 Rp 12,416
358 28-Dec-16 YULIANTI PUSPITA DEWI UMUM Rp 7,000 Rp - Rp 7,000
359 28-Dec-16 FANNY ALIFFIA AZMY 1610811043 UMUM Rp 7,000 Rp 9,114 Rp 16,114
360 28-Dec-16 PRIMA YUDHA ADHI CANDRA 1610421073 UMUM Rp 7,000 Rp 7,692 Rp 14,692
361 28-Dec-16 ISTIQOMAH FAUZIAH 1310811025 UMUM Rp 7,000 Rp 8,548 Rp 15,548
362 28-Dec-16 HARI HIDAYATULLAH 1610421075 UMUM Rp 7,000 Rp - Rp 7,000
363 28-Dec-16 YULANDA IRMA TIARA 1611011052 UMUM Rp 7,000 Rp 7,128 Rp 14,128
364 28-Dec-16 AKHMAD ARIFIN 1310411217 UMUM Rp 7,000 Rp 5,704 Rp 12,704
365 28-Dec-16 SONIA EKA PRATIWI 1310651025 UMUM Rp 7,000 Rp 7,000 Rp 14,000
366 28-Dec-16 HIKMAH NURFIQON ADITYAS 1410411309 UMUM Rp 7,000 Rp 3,204 Rp 10,204
367 28-Dec-16 RAVIKA SUNDUS 1410221132 UMUM Rp 7,000 Rp 7,984 Rp 14,984
368 28-Dec-16 siti rahayu 1510221055 UMUM Rp 7,000 Rp 3,012 Rp 10,012
369 28-Dec-16 RIFQY WHILDANA 1510411301 UMUM Rp 7,000 Rp 12,028 Rp 19,028
370 29-Dec-16 DESY TRISNASARI UMUM Rp 7,000 Rp - Rp 7,000
371 29-Dec-16 SUGENG HARIADI 1610411266 UMUM Rp 7,000 Rp 9,009 Rp 16,009
372 29-Dec-16 MOCH. SAFIDI A GOZIM 15102221007 UMUM Rp 7,000 Rp 10,488 Rp 17,488
373 29-Dec-16 VERA NUR HIDAYAH UMUM Rp 7,000 Rp 4,290 Rp 11,290
374 29-Dec-16 MOCH. SAFIDI A GOZIM 15102221007 UMUM Rp 7,000 Rp - Rp 7,000
375 29-Dec-16 shodik firman ibrahim 1310231091 UMUM Rp 7,000 Rp 8,442 Rp 15,442
376 29-Dec-16 ANDREY WIYONO 1610231015 UMUM Rp 7,000 Rp 5,598 Rp 12,598
377 29-Dec-16 FIKRIL MAUBAROK 160651119 UMUM Rp 7,000 Rp 4,580 Rp 11,580
378 29-Dec-16 MUZENA SAVIRA 1510811062 UMUM Rp 7,000 Rp 6,234 Rp 13,234
379 29-Dec-16 PUPUT DWI UMUM Rp 7,000 Rp 3,884 Rp 10,884
380 29-Dec-16 QOTROTUL LUAILI 1510211003 UMUM Rp 7,000 Rp 11,396 Rp 18,396
381 29-Dec-16 RIZKI IQBAL FATONI 1410311059 UMUM Rp 7,000 Rp 9,080 Rp 16,080
382 29-Dec-16 SRI DEVI RATNA SARI 1310412011 UMUM Rp 7,000 Rp 7,956 Rp 14,956
383 29-Dec-16 SEFI MAULIDIA UMUM Rp 7,000 Rp 7,114 Rp 14,114
384 29-Dec-16 RENGGA BUYUNG SETIYO AJI 1610411112 UMUM Rp 7,000 Rp 6,532 Rp 13,532
385 29-Dec-16 EVA NURLAELI 1310231080 UMUM Rp 7,000 Rp - Rp 7,000
386 30-Dec-16 ENDANG YULI S 1411011092 UMUM Rp 7,000 Rp 13,860 Rp 20,860
387 30-Dec-16 RIZKY ARROHMAN 1501021016 UMUM Rp 7,000 Rp 11,274 Rp 18,274
388 30-Dec-16 M. DENDY AMIRULLAH 1610411202 UMUM Rp 7,000 Rp 24,557 Rp 31,557
389 30-Dec-16 fathikhul hidayah 1510231057 UMUM Rp 7,000 Rp 9,134 Rp 16,134
390 30-Dec-16 MUTIARA DIAN P 1410511054 UMUM Rp 7,000 Rp 15,162 Rp 22,162
391 30-Dec-16 dona lailatus 1410411181 UMUM Rp 7,000 Rp 15,038 Rp 22,038
392 30-Dec-16 ANNA DWI W 1510411267 UMUM Rp 7,000 Rp 15,974 Rp 22,974
393 30-Dec-16 RAHMAT RAMADHANI 0001501021011 UMUM Rp 7,000 Rp 5,274 Rp 12,274
394 30-Dec-16 MELINDA PERMATASARI 1410421048 UMUM Rp 7,000 Rp 11,570 Rp 18,570
395 30-Dec-16 DWI SISKA APRILIA 1410411144 UMUM Rp 7,000 Rp 3,770 Rp 10,770
396 31-Dec-16 EVI KURNIAWATI UMUM Rp 7,000 Rp 6,816 Rp 13,816
397 31-Dec-16 INDRI NUR HIDAYATI 1610421068 UMUM Rp 7,000 Rp 15,392 Rp 22,392
398 31-Dec-16 VERA NUR HIDAYAH UMUM Rp 7,000 Rp 20,792 Rp 27,792
Rp 2,786,000 Rp 2,804,098 Rp 5,590,098
LAELATUL MASRUROH
BAMBANG EKA DWI CAHYONO
REKAP TAGIHAN PASIEN INHEALTH
KLINIK DR. M. SUHERMAN
JL. KARIMATA NO. 49 JEMBER
TELP : (0331) 326091
TOTAL
TOTAL
TOTAL Rp -
TERBILANG Dua ratus sembilan ribu rupiah
Rp - Rp -
Rp -
REKAP TAGIHAN PASIEN INHEALTH
KLINIK DR. M. SUHERMAN
JL. KARIMATA NO. 49 JEMBER
TELP : (0331) 326091
Rp -
ALTH
N
ER
Mengetahui
Kepala UPT Kesehatan
Rp -
TOTAL
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
ALTH
N
ER