PAGI MONICA SORE

NO TANGGAL MENU JUMLAH NOMINAL CARA BAYAR NO

1 3-Mar-21 CHILGO 1 5,000 GOPAY 1
2 3-Mar-21 CHILGO 6 30,000 TUNAI 2
3 3-Mar-21 PRENAGEN JUICE 3 27,000 TUNAI 3
4 3-Mar-21 PRENAGEN MOMIE 2 18,000 TUNAI 4
5 3-Mar-21 CHEERS 7 28,000 TUNAI
6 3-Mar-21 KOPIKO 1 8,000 TUNAI

116,000
SILVI MALAM
TANGGAL MENU JUMLAH NOMINAL CARA BAYAR NO
3-Mar-21 CHEERS 1 4,000 BCA 1
3-Mar-21 2
3-Mar-21 3
3-Mar-21 4
3-Mar-21
3-Mar-21

4,000
YULI
TANGGAL MENU JUMLAH NOMINAL CARA BAYAR
3-Mar-21 CHILGO 4 20,000 TUNAI
4-Jan-00 CHEERS 3 12,000 TUNAI
3-Mar-21 UHT 1 9,000 TUNAI
3-Mar-21 JUS PRENAGEN 1 9,000 TUNAI
3-Mar-21 KOPIKO 1 8000 TUNAI

58,000
 PAGI YULI
PEMBAYARAN DP
No. Tanggal NO KWT No. RM NAMA PX NAMA DOKTER Jasa

1
2
3

PAGI YULI
PEMBAYARAN DP
No. Tanggal NO KWT No. RM NAMA PX NAMA DOKTER Jasa
1
2
3
MBAYARAN DP
OBAT TINDAKAN USG/NST LAB LAIN-LAIN JENIS DP NOMINAL

MBAYARAN DP
OBAT TINDAKAN USG/NST LAB LAIN-LAIN JENIS DP NOMINAL

-
 PELUNASAN JENIS DP
TANGG NO
TOTAL BILLING DP VAKSIN
AL KWT
DP RANAP
 Jasa DOWN PAYMENT
SHIFT No. Tanggal NO REGIS No. BILLING NAMA PX NAMA DOKTER OBAT TINDAKAN USG/NST LAB ADMIN LAIN-LAIN CARA BAYAR JUMLAH UNIT KETERANGAN TOTAL PENDAPATAN
Jasa Dokter Jasa RS R. INAP VAKSIN UNIT
PAGI MONICA OBGYN
PAGI 1 3-Mar-21 210302002053 210303759001 NUR FITRIANA Dr. Masnunah 195,000 100,000 TUNAI 295,000 OBGYN TUNAI 5,911,950 PEDIATRIC ( ANAK)
PAGI 2 3-Mar-21 210302002051 210303759002 RIKA WAHYU Dr. Masnunah 100,000 20,000 234,900 15,000 TUNAI 369,900 OBGYN EDC BCA 2,227,050 INTERMIS ( P. DALAM )
PAGI 3 3-Mar-21 210302002029 210303759003 DELLA A Dr. Masnunah 100,000 20,000 237,850 15,000 TUNAI 372,850 OBGYN EDC BNI 431,381 IGD
PAGI 4 3-Mar-21 21A00000014 210303759005 SAFIYAH B Dr. Lukman 30,000 20,000 197,000 15,000 35000 TUNAI 297,000 GP (UMUM) GOPAY 170,000 APS/LAB
PAGI 5 3-Mar-21 210303002002 210303228005 ADITYA Dr. Vivin 100,000 20,000 15,000 TUNAI 135,000 PEDIATRIC ( ANAK) TRANSFER SINARMAS - GP (UMUM)
PAGI 6 3-Mar-21 210303002001 210303228006 KHUMAIRA Dr. Vivin 100,000 20,000 253,650 15,583 EDC BCA 389,233 PEDIATRIC ( ANAK) ASURANSI - IPD (RANAP)
PAGI 7 3-Mar-21 210301002012 210303228007 MUHAMMAD KENZY Dr. Vivin 100,000 20,000 80,000 15,000 TUNAI 215,000 PEDIATRIC ( ANAK) CORPORATE - CAFETARIA
8 3-Mar-21 210303002003 210303228008 MALIKA Dr. Vivin 100,000 20,000 30,000 15,000 GOPAY 165,000 PEDIATRIC ( ANAK) -
PAGI
9 3-Mar-21 210303002005 210303228009 RAPHAEL Dr. Vivin 100,000 20,000 30,000 15,000 TUNAI 165,000 PEDIATRIC ( ANAK)
10 3-Mar-21 210303002006 210303228010 ARUM Dr. Ery 195,000 TUNAI 195,000 OBGYN PEMAKAIAN UANG SETORAN 482,000
11 3-Mar-21 210303002004 210303228011 FITRIA N Dr. Ery 195,000 235,950 431 EDC BNI 431,381 OBGYN 5,429,950
12 3-Mar-21 210303002009 210303228012 MUHAMMAD KEENAN Dr. Vivin 100,000 20,000 21,850 30,000 15,000 TUNAI 186,850 PEDIATRIC ( ANAK) -
13 3-Mar-21 210303002012 210303228013 ALBIANSYAH Dr. Vivin 100,000 20,000 20,600 30,000 15,000 TUNAI 185,600 PEDIATRIC ( ANAK)
14 3-Mar-21 210303002010 210303228014 NARENDRA Dr. Vivin 100,000 20,000 294,200 15,000 TUNAI 429,200 PEDIATRIC ( ANAK)
15 3-Mar-21 210303002016 210303228015 HAFIZH Dr. Vivin 100,000 20,000 256,850 15,000 TUNAI 391,850 PEDIATRIC ( ANAK)
16 3-Mar-21 21A00000016 210303228016 ADITYA I Dr. Vivin 473,013 218,000 1,037 EDC BCA 692,050 PEDIATRIC ( ANAK)
17 3-Mar-21 210303002011 210303228017 KENZIE Dr. Vivin 100,000 20,000 308,200 15,000 TUNAI 443,200 PEDIATRIC ( ANAK)
18 3-Mar-21 210303002008 210303228018 DAFFA Dr. Vivin 100,000 20,000 216,800 295,000 948 EDC BCA 632,748 PEDIATRIC ( ANAK)
19 3-Mar-21 210303002018 210303228019 ASWINTA Dr. Ery 100,000 20,000 91,500 255,000 15,000 TUNAI 481,500 OBGYN
20 3-Mar-21 21A00000015 210303228020 RISMA H Dr. Sri Anta 412,250 100,000 769 EDC BCA 513,019 GP (UMUM)
21 3-Mar-21 210303002015 210303228021 ALFI AINIYAH Dr. Ery 100,000 20,000 17,200 150,000 105,000 15,000 TUNAI 407,200 OBGYN
22 3-Mar-21 210303002019 210303228022 NAILIL Dr. Ery 195,000 321,750 TUNAI 516,750 OBGYN
23 3-Mar-21 210301002018 210303228023 ROBIATUL A Dr. Samsul 105,000 TUNAI 105,000 OBGYN
24 3-Mar-21 210303002014 210303228024 ARSYILLA Dr. Vivin 100,000 20,000 279,050 15,000 TUNAI 414,050 PEDIATRIC ( ANAK)
25 3-Mar-21 210303002017 KULIYANTI Dr. Ery 195,000 TUNAI 195,000 OBGYN
26 3-Mar-21 TT MINUMAN 5,000 GOPAY 5,000 CAFETARIA
3-Mar-21 TT MINUMAN 111,000 TUNAI 111,000 CAFETARIA
8,740,381 3,083,519

Jasa DOWN PAYMENT

SHIFT No. Tanggal NO REGIS No. BILLING NAMA PX NAMA DOKTER OBAT TINDAKAN USG/NST LAB ADMIN LAIN-LAIN CARA BAYAR JUMLAH UNIT KETERANGAN TOTAL PENDAPATAN
Jasa Dokter Jasa RS R. INAP VAKSIN UNIT
SIANG SILVI OBGYN
SIANG 1 3-Mar-21 05.94.88 HANATASIA BERLIAN Dr. Dwi Purnomo 380,000 629,000 260,000 909,000 TUNAI 2,178,000 IPD (RANAP) TUNAI 5,379,800 PEDIATRIC ( ANAK)
SIANG 2 3-Mar-21 05.94.99 AZKIA MIKA Dr. Dwi Purnomo 380,000 370,000 260,000 895,000 TUNAI 1,905,000 IPD (RANAP) EDC BCA 10,740,200 INTERMIS ( P. DALAM )
SIANG 3 3-Mar-21 210303002024 210303185001 MUHAMMAD FAQIH L Dr. Arrauna 100,000 20,000 130,750 15,000 TUNAI 265,750 PEDIATRIC ( ANAK) EDC BNI - IGD
SIANG 4 3-Mar-21 210303002022 210303185002 DINY SABRINA Dr. Rachmat 195,000 42,900 400 EDC BCA 238,300 OBGYN GOPAY - APS/LAB
SIANG 5 3-Mar-21 210303002029 210303185003 ZAID RAHSYAD Dr. Arrauna 100,000 20,000 57,200 15,000 TUNAI 192,200 PEDIATRIC ( ANAK) TRANSFER SINARMAS - GP (UMUM)
SIANG 6 3-Mar-21 210303002028 210303185004 M. ZHAFRAN Dr. Arrauna 100,000 20,000 227,200 138,000 20,100 EDC BCA 505,300 PEDIATRIC ( ANAK) ASURANSI - IPD (RANAP)
SIANG 7 3-Mar-21 210303002030 210303185005 HALIMATUL ROFIDAH Dr. Rachmat 195,000 57,200 40,000 17,000 15,000 TUNAI 324,200 OBGYN CORPORATE - CAFETARIA
SIANG 8 3-Mar-21 210303002032 210303185006 RAFARDHAN ATHALLA K Dr. Arrauna 100,000 20,000 15,000 TUNAI 135,000 PEDIATRIC ( ANAK) -
SIANG 9 3-Mar-21 2103030002031 210303185007 DHALILLAH NAILIL I Dr. Arrauna 100,000 20,000 18,650 30,000 15,000 TUNAI 183,650 PEDIATRIC ( ANAK) keluar 270,000
SIANG 10 3-Mar-21 21L00447 210303185008 RINI LISTIOWATI 180,000 TUNAI 180,000 APS/LAB 5,109,800
SIANG 11 3-Mar-21 210303002034 210303185009 FAISAH MAKMUR 130,000 200 EDC BCA 130,200 APS/LAB -
SIANG 12 3-Mar-21 04.88.32 NONY AMBIA FARADILA Dr. Masnunah 235,000 930,000 1,535,000 5,399,000 EDC BCA 8,099,000 IPD (RANAP)
SIANG 13 3-Mar-21 BY NY NONY AMBIA 300,000 678,094 289,000 113,700 386,606 EDC BCA 1,767,400 IPD (RANAP)
SIANG 14 3-Mar-21 MINUMAN 16,000 TUNAI 16,000 CAFETARIA
SIANG 15 3-Mar-21 -
- 10,740,200
-
-
-

16,120,000
SHIFT No. JUMLAH UNIT KETERANGAN TOTAL PENDAPATAN
UNIT
malam YULI OBGYN
malam 1 3-Mar-21 210303002033 210303667001 QURROTA A.YUN Dr. Masnunah 195,000 266,950 663,000 TUNAI 1,124,950 OBGYN TUNAI 18,083,500 PEDIATRIC ( ANAK)
malam 2 210303002035 210303667002 TIARA YULITASARI Dr. Masnunah 100,000 20,000 261,000 15,000 TUNAI 396,000 OBGYN EDC BCA INTERMIS ( P. DALAM )
malam 3 210303002042 210303667003 SITI MASYITA Dr. Masnunah 195,000 237,850 TUNAI 432,850 OBGYN EDC BNI 1,776,000 IGD
malam 4 210303002039 210303667004 FIRMA NURFIDA Dr. Masnunah 195,000 313,200 TRANSFER SINARMAS 508,200 OBGYN GOPAY APS/LAB
malam 5 210303002040 210303667005 CHARISA AL ZAINA Dr. Dwi Purnomo 100,000 20,000 75,950 15,000 TUNAI 210,950 PEDIATRIC ( ANAK) TRANSFER SINARMAS 9,249,000 GP (UMUM)
malam 6 210303002043 210303667006 SOFFI SAYEKTI Dr. Masnunah 100,000 20,000 237,850 15,000 TUNAI 372,850 OBGYN ASURANSI - IPD (RANAP)
malam 7 210303002049 210303667007 MUHAMMAD ATHAR Dr. Dwi Purnomo 100,000 20,000 98,650 15,000 TUNAI 233,650 PEDIATRIC ( ANAK) CORPORATE - CAFETARIA
malam 8 210303002037 210303667008 ANDRIANI Dr. Masnunah 195,000 101,150 TUNAI 296,150 OBGYN -
malam 9 210303002044 210303667009 KHANA CHALIS Dr. Masnunah 195,000 162,950 TUNAI 357,950 OBGYN keluar
malam 10 210303002051 210303667010 NAJWA ADIBA Dr. Dwi Purnomo 100,000 20,000 103,200 15,000 TUNAI 238,200 OBGYN 7,058,500
malam 11 210303002036 210303667011 RAHAYU UTARI Dr. Masnunah 195,000 73,800 TUNAI 268,800 OBGYN -
malam 12 210303002050 210303667012 CAMELIA AYU N Dr. Masnunah 195,000 266,000 TUNAI 461,000 OBGYN
malam 13 210303002052 210303667013 NOVITA KUSUMA Dr. Masnunah 195,000 722,200 TUNAI 917,200 OBGYN
malam 14 210303002047 210303667014 DEWI PURWANTI Dr. Masnunah 195,000 165,900 TUNAI 360,900 OBGYN
malam 15 210303002054 210303667015 HENY PURWATI N Dr. Masnunah 195,000 TUNAI 195,000 OBGYN
malam 16 210303002041 210303667016 KIKI MEGAWATI Dr. Masnunah 195,000 101,550 TUNAI 296,550 OBGYN
malam 17 210303002055 210303667017 INDRI SAFITRIAWAN Dr. Masnunah 195,000 81,750 TUNAI 276,750 OBGYN
malam 18 210303002046 210303667018 MAGALISTA Dr. Masnunah 195,000 356,800 5,800 EDC BNI 557,600 OBGYN
malam 19 210303002056 210303667019 RIZKY GRACETIA Dr. Masnunah 195,000 2,000 EDC BNI 197,000 OBGYN
malam 20 210303002038 210303667020 D.MARIYANA Dr. Masnunah 195,000 824,800 1,600 EDC BNI 1,021,400 OBGYN
malam 21 210303002053 210303667021 DHEYZ NATASSYA Dr. Masnunah 195,000 19,200 TUNAI 214,200 OBGYN
malam 22 210303002045 210303667022 SUFIDA Dr. Masnunah 195,000 101,550 50,000 TUNAI 346,550 OBGYN
malam 23 21IP0000013 21030346001 BY,NY,RATNANINGRUM Dr. Dwi Purnomo 280,000 181,900 501,000 TRANSFER SINARMAS 962,900 IPD (RANAP)
malam 24 21IP0000010 210303046002 NY.RATNANINGRUM Dr. Masnunah 2,300,000 1,275,644 982,000 440,256 2,780,000 TRANSFER SINARMAS 7,777,900 IPD (RANAP)
malam 25 TT MINUMAN 58,000 TUNAI 58,000 CAFETARIA
malam 26 -
malam 27 -
malam 28 -
-

18,083,500
NAMA DOKTER CARA BAYAR
Dr. Masnunah TUNAI
Dr. Rachmat EDC BCA
Dr. Ery EDC BNI
Dr. Samsul GOPAY
Dr. Vivin TRANSFER SINARMAS
Dr. Dwi Purnomo ASURANSI
Dr. Arrauna CORPORATE
Dr. Danial
Dr. Lukman
Dr. Federica
Dr. Niluh
Dr. Musonif
Dr. Ana
Dr. Lita Suci

Dr. Sri Anta

NAMA DOKTER CARA BAYAR

Dr. Masnunah TUNAI
Dr. Rachmat EDC BCA
Dr. Ery EDC BNI
Dr. Samsul GOPAY
Dr. Vivin TRANSFER SINARMAS
Dr. Dwi Purnomo ASURANSI
Dr. Arrauna CORPORATE
Dr. Danial
Dr. Lukman
Dr. Niluh
Dr. Musonif
Dr. Ana
Dr. Lita Suci

NAMA DOKTER CARA BAYAR

Dr. Masnunah TUNAI
Dr. Rachmat EDC BCA
Dr. Ery EDC BNI
Dr. Samsul GOPAY
Dr. Vivin TRANSFER SINARMAS
Dr. Dwi Purnomo ASURANSI
Dr. Arrauna CORPORATE
Dr. Danial
Dr. Lukman
Dr. Niluh
Dr. Musonif
Dr. Ana
Dr. Lita Suci
 TOTAL
42,943,881
BCA 12,967,250
BNI 2,207,381
SINARMAS 9,249,000
GOPAY 170,000
CORPORATE -

18,350,250
 BIAYA
JENIS ADMIN
No. Tanggal NO KWT No. RM NAMA PX PEMERIKSA CARA BAYAR JUMLAH JENIS PASIEN
PEMERIKSAAN DISKON BANK
AN
1 27-Feb-21
2 27-Feb-21
3 27-Feb-21
4 27-Feb-21
5 27-Feb-21
6 27-Feb-21
7 27-Feb-21
8 27-Feb-21
9 27-Feb-21
10 27-Feb-21
11 27-Feb-21
12 27-Feb-21
13 27-Feb-21
14 27-Feb-21
15 27-Feb-21
16 27-Feb-21
17 27-Feb-21
18 27-Feb-21
19 27-Feb-21
20 27-Feb-21
21 27-Feb-21
22 27-Feb-21
23 27-Feb-21
24 27-Feb-21
25 27-Feb-21
26 27-Feb-21
27 27-Feb-21
28 27-Feb-21
29 27-Feb-21
30 27-Feb-21
31 27-Feb-21
32 27-Feb-21
33 27-Feb-21
34 27-Feb-21
35 27-Feb-21
36 27-Feb-21
37 27-Feb-21
38 27-Feb-21
39 27-Feb-21
40 27-Feb-21
41 27-Feb-21
42 27-Feb-21
43 27-Feb-21
44 27-Feb-21
45 27-Feb-21
46 27-Feb-21
47 27-Feb-21
48 27-Feb-21
49 27-Feb-21
50 27-Feb-21
51 27-Feb-21
52 27-Feb-21
53 27-Feb-21
54 27-Feb-21
55 27-Feb-21
56 27-Feb-21
57 27-Feb-21
58 27-Feb-21
59 27-Feb-21
60 27-Feb-21
61 27-Feb-21
62 27-Feb-21
63 27-Feb-21
64 27-Feb-21
65 27-Feb-21
66 27-Feb-21
67 27-Feb-21
68 27-Feb-21
69 27-Feb-21
70 27-Feb-21
71 27-Feb-21
72 27-Feb-21
73 27-Feb-21
74 27-Feb-21
75 27-Feb-21
76 27-Feb-21
77 27-Feb-21
78 27-Feb-21
79 27-Feb-21
80 27-Feb-21
81 27-Feb-21
82 27-Feb-21
83 27-Feb-21
84 27-Feb-21
85 27-Feb-21
86 27-Feb-21
87 27-Feb-21
88 27-Feb-21
89 27-Feb-21
90 27-Feb-21
91 27-Feb-21
92 27-Feb-21
0 -
ANTIBODY 0 -
ANTIGEN 0 -
PCR SAME DAY 0 -
PCR NEXT DAY 0 -

CARA BAYAR
TUNAI -
BCA -
BNI -
GOPAY -
TRANSFER
CORPORATE -

PENDAPATAN -