TAGIHAN BIAYA KESEHATAN UST.

TAUFIQ
APOTEK
No TANGGAL NAMA
NOMOR RESEP NAMA OBAT Σ NOMINAL
1 ### Ust.Taufiq Cek Lengkap Rp 45,000
Alwiyah Assegaf R/95P Rp 7,000
2 ###
Farwah Al Hamid R/96P Rp 7,000
3 ### Segaf R/110P Rp 20,000
Inlacin 6 Rp 36,300
Kombiglize 7 Rp 100,996
4 ### Ust.Taufiq Truvas 10 Rp 160,000
Tonicard 10 Rp 163,350
Pionix 10 Rp 79,000
5 ### Husain Indomilk 1 Rp 3,500
Alwiyah Assegaf
6 ###
Farwah Al Hamid
Ust.Taufiq Inlacin 6 Rp 36,300
7 ###
Ust.Muhammad Muhdor R/188P Rp 25,000
Angoten 1 Rp 12,200
8 ### Ust.Taufiq Kombiglize 10 Rp 143,000
Pionix 10 Rp 82,000
Ust.Taufiq Cek GDA Rp 10,000
9 ###
Husain Indomilk Rp 3,500
Ust.Taufiq Tonicard 10 Rp 163,350
10 ###
Husain Indomilk Rp 3,500
11 ### Ust.Taufiq Dumin 10 Rp 4,000
Inlacin 6 Rp 36,300
Ust.Taufiq
12 ### Pionix 10 Rp 81,930
Husain
Alkohol Swab 1 Rp 13,350
Jarum BD 5 Rp 15,000
Tropicana Diabet 1 Rp 22,000
Umi Salma
13 ### SHC GDA 1 Rp 115,000
Novorapid 1 Rp 145,000
Levemer 1 Rp 140,000
Ust.Taufiq Cek GDA Rp 10,000
Kombiglyze 7 Rp 100,072
14 ### Ust.Taufiq
Lelap 4 Rp 10,100
Ust.Taufiq Cek GDA Rp 10,000
15 ###
Husain
Cek GDA Rp 10,000
Ust.Taufiq
Cek Chol Rp 25,000
16 ###
Feast Coklat Rp 5,000
Husain
Temulawak Rp 5,000
17 ### Husain Feast Coklat Rp 5,000
 Inlacin 6 Rp 36,300
Ust.Taufiq Spasminal 10 Rp 5,970
18 ###
Zink 10 Rp 4,700
Umi Salma Rp 955,000
Kombiglyze 1 Rp 14,296
Ust.Taufiq
Tonicard 2 Rp 32,670
19 ###
Husain

Farwah Al Hamid R/166P Rp 6,500

20 ###
Alwiyah Assegaf R/167P Rp 45,000
Inlacin 6 Rp 36,300
Kombiglize 7 Rp 100,072
21 ### Ust.Taufiq
Tonicard 10 Rp 163,350
Pionix 20 Rp 163,860
Cek Lengkap Rp 45,000
22 ### Ust.Taufiq Kombiglyze 6 Rp 85,776
Tonicard 8 Rp 130,680
Total Apotek Rp 3,679,222
Tanggal Bayar Sisa
Rp 20,500 Rp 4,223,722
Tuesday, January 16, 2018 Rp 700,000 Rp 3,523,722
Saturday, January 27, 2018 Rp 500,000 Rp 3,023,722
Tuesday, January 30, 2018 Rp 750,000 Rp 2,273,722
Friday, February 02, 2018 Rp 2,273,722 Rp -
Lunas
ST.TAUFIQ
KLINIK
TOTAL BIAYA
Jenis Tindakan Nominal
Rp 45,000
Cabut Gigi Rp 50,000 Rp 57,000
Cabut Gigi Rp 50,000 Rp 57,000
Konsul Rp 15,000 Rp 35,000

Rp 539,646

Rp 3,500
Tambal Gigi Rp 75,000 Rp 75,000
Tambal Gigi Rp 75,000 Rp 75,000
Rp 36,300
Rp 50,000 Rp 75,000

Rp 237,200

Rp 10,000
Rp 3,500
Rp 163,350
Rp 3,500
Rp 4,000

Rp 118,230

Rawat Luka Rp 50,000 Rp 50,000

Rp 450,350

Rp 10,000

Rp 110,172

Rp 10,000
Rawat Luka Rp 25,000 Rp 25,000

Rp 35,000

Rp 10,000

Rp 5,000
 Rp 46,970

Rp 955,000

Rp 46,966

Rawat Luka Rp 25,000

Rp 50,000
Angkat Jahit Rp 25,000
Devitalisasi Rp 50,000 Rp 56,500
Tumpac GIC Rp 75,000 Rp 120,000

Rp 463,582

Rp 45,000
Rp 85,776
Rp 130,680
Total Klinik Rp 565,000 Rp 4,244,222
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Inlacin 6 Rp 36,300
1 ### Ust.Taufiq Rp 118,230
Pionix 10 Rp 81,930
Kombiglize 7 Rp 100,072
2 ### Ust.Taufiq Tonicard 10 Rp 163,350 Rp 269,422
Anlene Drink 1 Rp 6,000
Levemir 1 Rp 140,000
Novorapid 1 Rp 145,000
3 ### Umi Salma Rp 313,000
Tropicana Diabet 1 Rp 22,000
Jarum BD 2 Rp 6,000
Es Lilin 1 Rp 2,000
4 ### Ust.Taufiq Cek GDA 1 Rp 10,000 Rp 37,000
Cek Chol 1 Rp 25,000
Inlacin 6 Rp 36,300
5 ### Ust.Taufiq Cek GDA 1 Rp 10,000 Rp 71,300
Cek Chol 1 Rp 25,000
6 ### Ust.Taufiq Kombiglize 7 Rp 100,996 Rp 100,996
Feast Coklat 1 Rp 5,000
7 ### Husain Rp 6,000
Kacang Telor 2 Rp 1,000
Total Apotek Rp 915,948 Total Klinik Rp - Rp 915,948
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Home Visit Rp 35,000
Umi Zahra RM/2710 Rp 65,000
Nebulizer Rp 30,000
1 ###
Home Visit Rp 35,000
Umi Zahra RM/2711 Rp 65,000
Nebulizer Rp 30,000
Ust.Taufiq Cek GDA 1 Rp 10,000 Rp 126,160
2 ###
Umi Zahra Sucralfate Syr 1 Rp 79,860 Rp 79,860
Inlacin 6 Rp 36,300
Kombiglize 7 Rp 100,996
Ust.Taufiq Rp 647,296
Truvas 10 Rp 160,000
Tonicard 20 Rp 350,000
Home Visit Rp 35,000
3 ###
Nebulizer Rp 30,000
Cek Chol Rp 25,000 Rp 130,000
Umi Zahra
Cek GDA Rp 10,000
Oksigen Rp 30,000
R/056P Rp 19,000 Rp 19,000
Home Visit Rp 35,000
Umi Zahra Nebulizer Rp 30,000 Rp 75,000
Cek GDA Rp 10,000
4 ###
Cek GDA 1 Rp 10,000
Ust.Taufiq Kombiglize 1 Rp 14,428 Rp 32,621
Pionix 1 Rp 8,193
5 ### Ust.Taufiq Angioten 1 Rp 12,188 Rp 12,188
Angioten 1 Rp 12,188
Ust.Taufiq Rp 22,188
Cek GDA 1 Rp 10,000
Home Visit Rp 35,000
6 ### Umi Zahra Rp 45,000
Cek GDA Rp 10,000
Home Visit Rp 50,000
Umi Zahra Rp 87,000 Rp 147,000
Cek GDA Rp 10,000
7 ### Ust.Taufiq Pionix 10 Rp 81,930 Rp 81,930
8 ### Husein Indomilk 1 Rp 3,500 Rp 3,500
Dexa 0,5 10 Rp 1,660
Ketokonazole tab 10 Rp 4,450
9 ### Ust.Taufiq Ketokonazole cr 1 Rp 7,550 Rp 129,656
Undrped 3 Rp 15,000
Kombiglize 7 Rp 100,996
Total Apotek Rp 1,125,239 Total Klinik Rp 440,000 Rp 1,681,399
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
1 ### Ustdz.Faizah Digenta cr 1 Rp 33,000 Rp 33,000
Dumin 10 Rp 4,000
2 ### Ust.Taufiq Lelap 4 Rp 10,200 Rp 34,200
Cek GDA 2 Rp 20,000
Angioten 10 Rp 121,880
3 ### Ust.Taufiq Rp 125,880
Dumin 10 Rp 4,000
Indomilk 1 Rp 3,500
4 ### Ust.Taufiq Rp 104,496
Kombiglize 7 Rp 100,996
5 ### Ust.Taufiq Pionix 10 Rp 81,930 Rp 81,930
6 ### Ust.Taufiq Myonep 10 Rp 47,190 Rp 47,190
Husein Indomilk 1 Rp 3,500 Rp 3,500
7 ###
Alwiyah T.GIC Rp 75,000 Rp 75,000
8 ### Abu Bakar Vitacimin 1 Rp 1,500 Rp 1,500
Kombiglize 7 Rp 100,996
9 ### Ust.Taufiq Rp 275,996
Tonicrad 10 Rp 175,000
10 ### Ust.Taufiq R/129P Rp 818,000 Rp 818,000
Total Apotek Rp 1,525,692 Total Klinik Rp 75,000 Rp 1,600,692
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Levemir 1 Rp 140,000
Novo Rapid 1 Rp 145,000
1 ### Umi Salma Rp 313,000
Jarum BD 2 Rp 6,000
Tropicana 1 Rp 22,000
Coolant 1 Rp 5,500
Rp 7,500
2 ### Ust.Taufiq Santri 1 Rp 2,000
Pionix 10 Rp 81,930 Rp 81,930
Ciprofloxaxin 10 Rp 4,000
Dexamethason 10 Rp 1,660
3 ### Hb.Bakar Rp 37,060
Imunos 4 Rp 29,900
Paracetamol 10 Rp 1,500
Home Visite Rp 50,000
4 ### Umi Maryam R/071P Rp 83,400 Nebul Rp 30,000 Rp 173,400
Cek GDA Rp 10,000
Floxigra 10 Rp 4,390
Mefinal 10 Rp 14,660
5 ### Ust.Taufiq Rp 24,870
Jamu Bonagung 1 Rp 5,000
Propanolol 4 Rp 820
Total Apotek Rp 547,760 Total Klinik Rp 90,000 Rp 637,760
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Inlacin 6 Rp 36,300
1 ### Ust.Taufiq Rp 118,230
Pionix 10 Rp 81,930
2 ### Ust.Taufiq Pionix 9 Rp 73,737 Rp 73,737
Diproralic 5g 1 Rp 77,500
3 ### Husein Rp 81,950
Ketokonazole 10 Rp 4,450
Home Visite Rp 50,000
4 ### Ny.Seha R/188M Rp 45,855 Rp 105,855
Cek GDA Rp 10,000
5 ### Alwiyah R/026P Rp 33,900 konsul Rp 15,000 Rp 48,900
6 ### Ust.Taufiq Inlacin 6 Rp 36,300 Rp 36,300
Cap Kaki Kaleng 1 Rp 5,500
7 ### Ust.Taufiq Kombiglize 7 Rp 100,996 Rp 189,176
Pionix 10 Rp 82,680
8 ### Husein Diabetasol UHT 1 Rp 9,500 Rp 9,500
Ust.Taufiq Inlacin 6 Rp 36,300 Rp 36,300
9 ### Levemir 1 Rp 140,000
Umi Salma Rp 213,500
Tropicana 1 Rp 73,500
Inlacin 1 Rp 6,050
10 ### Ust.Taufiq Rp 107,046
Kombiglize 7 Rp 100,996
Pionix 1 Rp 16,187
Rp 24,455
11 ### Ust.Taufiq Truvas 1 Rp 8,268
Tonicard 10 Rp 175,000 Rp 175,000
R/145P Rp 152,460 Rp 152,460
Umi Salma
R/159P Rp 1,451,000 Rp 1,451,000
Abdul Qodir R/001M Rp 52,436 konsul 15000 Rp 67,436
12 ### Obat"an Rp 1,883,634 Rp 1,883,634
Ust.Taufiq Zaitun Alden 1 Rp 105,000 Rp 105,000
Inlacin 1 Rp 6,050 Rp 6,050
Umi Salma Obat"an Rp 131,800 Rp 131,800
Fresh Care 1 Rp 11,000
13 ### Umi Salma Rp 126,000
13 ### Umi Salma Rp 126,000
Stik GDA 1 Rp 115,000
14 ### Segaf R/174P Rp 19,800 konsul Rp 15,000 Rp 34,800
Total Apotek Rp 5,073,129 Total Klinik Rp 105,000 Rp 5,178,129

Tanggal Bayar Sisa

### Rp 50,000 Rp 5,128,129
### Rp 24,000 Rp 5,104,129
Ust.Taufiq
Inlacin 30 Rp 181,500
Intunal Forte 24 Rp 19,200
Lopamid 30 Rp 8,790
Loratadine 30 Rp 8,790
Mecobalamine 30 Rp 26,130
Natrium Diklofenak 30 Rp 8,820
Omeprazole 30 Rp 12,120
###
Ranitidin 30 Rp 6,540
Kombiglize 28 Rp 403,984
Truvas 24 Rp 388,488
Tonicard 30 Rp 525,000
Pionix 29 Rp 239,772
Masker 2 Rp 50,000
Paracetamol 30 Rp 4,500
Total Rp 1,883,634

Umi Salma
Blood Lacet 1 Rp 20,000
Counterpain 1 Rp 25,000
Geliga Balsem 1 Rp 7,950
###
Jarum BD 10 Rp 30,000
Lang MKP 1 Rp 35,350
One Swab 1 Rp 13,500
Total Rp 131,800
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
1 ### Jakfar R/019M Rp 52,291 Konsul Rp 15,000 Rp 72,291
Demacolin 10 Rp 5,000
2 ### Ust.Taufiq Rp 39,570
Imboost 10 Rp 34,570
3 ### Ust.Taufiq R/073B Rp 12,520 Rp 12,520
4 ### Ust.Taufiq Kombiglize 14 Rp 217,798 Rp 257,798
5 ### Bakar Counterpain Rp 40,000 Rp 40,000
Total Apotek Rp 362,179 Total Klinik Rp 15,000 Rp 422,179
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEPNAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
1 ### Admuji R/103P Rp 8,620 Rp 8,620
Biosan 12
Rp 181,500
Blood 26g Rp1 21,000
2 ### Ust.Taufiq Kombiglize Rp7 108,899 Rp 614,399
Tonicard 10
Rp 175,000
Bioquinone 10
Rp 128,000
Antasida Syr Rp1 3,500
Lanso 10
Rp 11,890 Rp 16,890
Paracetamol 10
Rp 1,500
3 ### Ust.Taufiq
Neurobion 10
Rp 16,150
Ranitidin 10
Rp 2,180 Rp 21,830
Voltadex 10
Rp 3,500
4 ### Admuji R/130P Rp 13,600 Rp 13,600
Damaben 10 Rp 4,890
Ustdz Faizah Rp 18,390
Microginon 1 Rp 13,500
5 ###
Konsul Rp 15,000
Rudi Ciquah R/105P Rp 38,760 Rp 78,760
Rawat Luka Rp 25,000
Konsul Rp 15,000
6 ### Rudi Ciquah Rp 40,000
Rawat Luka Rp 25,000
Biosan 12 Rp 181,500
Ust.Taufiq Stik GDA 1 Rp 115,000 Rp 391,360
7 ### Qten 10 Rp 94,860
Konsul Rp 15,000
Admuji R/113P Rp 1,760 Rp 41,760
Rawat Luka Rp 25,000
Buscopan 10 Rp 31,700
8 ### Ust.Taufiq Cipro 10 Rp 3,990 Rp 39,730
Omeprazole 10 Rp 4,040
Total Apotek Rp 1,165,339 Total Klinik Rp 120,000 Rp 1,285,339
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEPNAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Alkohol Swab 1 Rp 13,350
Ust.Taufiq Baquinor 4 Rp 60,068 Rp 98,562
1 ### Catflam 4 Rp 25,144
Imboost 6 Rp 20,742
Ust.Taufiq Rp 24,614
Sumagesik 8 Rp 3,872
Bisoprolol 10 Rp 10,980
Demacolin 10 Rp 5,000
2 ### Ust.Taufiq Rp 278,910
Tonicard 10 Rp 175,000
Pionix M 10 Rp 87,930
Total Apotek Rp 402,086 Total Klinik Rp - Rp 402,086
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEPNAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
1 ### Stik GDA 1 Rp 115,000 Rp 115,000
Ust.Taufiq
2 ### Angioten 10 Rp 133,100 Rp 133,100
Dexa 10 Rp 1,720
3 ### Ust.Taufiq Imboost 4 Rp 26,980 Rp 55,140
Lapifed 10 Rp 26,440
4 ### Husein Vick Vap 1 Rp 7,700 Rp 7,700
5 ### Ust.Taufiq Bisoprolol 5 10 Rp 15,320 Rp 15,320
Kombiglize 7 Rp 108,899
6 ### Ust.Taufiq Rp 196,399
Tonicard 5 Rp 87,500
Stik GDA Rp 115,000
Stik Chol Rp 195,000
Stik UA Rp 115,000
7 ### Ust.Taufiq Rp 832,254
Biosan 12 Rp 13,596
Kombiglize 14 Rp 217,798
Pionix 20 Rp 175,860
Calcium 10 Rp 1,000
Rp 186,000
Tonicard 10 Rp 185,000
8 ### Ust.Taufiq Angioten 10 Rp 133,100
Kacang 1 Rp 1,000 Rp 275,350
Pletaal 10 Rp 141,250
Total Apotek Rp 1,816,263 Total Klinik Rp - Rp 1,816,263
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NAMA OBAT Σ
NOMOR RESEP NOMINAL Jenis Tindakan Nominal
1 ### Ust.Taufiq Spuit 5 2 Rp 1,400 Rp 1,400
Cefad 10 Rp 6,500
Intunal F 12 Rp 9,600
2 ### Ust.Taufiq Rp 36,800
Antasida Syr 1 Rp 3,750
Ondan 4 10 Rp 16,950
Biosan 7 Rp 100,583
Pionix 10 Rp 87,930 Rp 370,013
Bioquinone 10 Rp 181,500
3 ### Ust.Taufiq
Cipro 10 Rp 4,000
Microginon 1 Rp 13,500 Rp 23,550
Spasminal 10 Rp 6,050
Levemir 1 Rp 140,000
One Swab 1 Rp 13,350
Umi Salma Rp 343,350
Stik GDA 1 Rp 115,000
4 ### Tropicana 1 Rp 75,000
Neurobion 10 Rp 29,700
Ust.Taufiq NS Widarta 1 Rp 8,500 Rp 66,050
Ondan 8 10 Rp 27,850
Angioten 20 Rp 266,200
BIosan 12 Rp 172,428
5 ### Ust.Taufiq Kombiglize 14 Rp 217,798 Rp 1,114,356
Tonicard 20 Rp 370,000
Pionix 10 Rp 87,930
6 ### Ust.Taufiq Bisoprolol 10 Rp 15,320 Rp 15,320
Arkavit 12 Rp 2,328
Intunal F 12 Rp 9,600
7 ### Ust.Taufiq Rp 15,128
Omedeson 12 Rp 1,200
Kapsul 20 Rp 2,000
8 ### Ust.Taufiq Gabapentin 10 Rp 42,690 Rp 42,690
Tonicard 30 Rp 555,000
Pionix 30 Rp 263,790
Kombiglize 28 Rp 435,596
Angioten 30 Rp 399,300
Biosan 24 Rp 344,856
Bioquinone 10 Rp 181,500
Grathazone 20 Rp 3,000
Intunal F 16 Rp 12,800
9 ### Ust.Taufiq Loratadin 10 Rp 2,930 Rp 2,498,004
PCT 20 Rp 3,000
Lopamid 10 Rp 2,930
Cipro 20 Rp 8,000
Imunos 16 Rp 128,752
Spasminal 10 Rp 6,050
Mkp Lang 30 1 Rp 10,500
Stik GDA 1 Rp 115,000
Masker 1 Rp 25,000
10 ### Ust.Taufiq Imunos 4 Rp 32,188 Rp 32,188
Total Apotek Rp 4,558,849 Total Klinik Rp - Rp 4,558,849
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA
NOMOR RESEPNAMA OBAT Σ NOMINAL Jenis Tindakan
1 ### Ust.Taufiq Spuit 5 2 Rp 1,400
Cefad 10 Rp 6,500
Intunal F 12 Rp 9,600
2 ### Ust.Taufiq
Antasida Syr 1 Rp 3,750
Ondan 4 10 Rp 16,950
Biosan 7 Rp 100,583
Pionix 10 Rp 87,930
Bioquinone 10 Rp 181,500
3 ### Ust.Taufiq
Cipro 10 Rp 4,000
Microginon 1 Rp 13,500
Spasminal 10 Rp 6,050
Levemir 1 Rp 140,000
One Swab 1 Rp 13,350
Umi Salma
Stik GDA 1 Rp 115,000
4 ### Tropicana 1 Rp 75,000
Neurobion 10 Rp 29,700
Ust.Taufiq NS Widarta 1 Rp 8,500
Ondan 8 10 Rp 27,850
Angioten 20 Rp 266,200
BIosan 12 Rp 172,428
5 ### Ust.Taufiq Kombiglize 14 Rp 217,798
Tonicard 20 Rp 370,000
Pionix 10 Rp 87,930
6 ### Ust.Taufiq Bisoprolol 10 Rp 15,320
Arkavit 12 Rp 2,328
Intunal F 12 Rp 9,600
7 ### Ust.Taufiq
Omedeson 12 Rp 1,200
Kapsul 20 Rp 2,000
8 ### Ust.Taufiq Gabapentin 10 Rp 42,690
Tonicard 30 Rp 555,000
Pionix 30 Rp 263,790
Kombiglize 28 Rp 435,596
Angioten 30 Rp 399,300
Biosan 24 Rp 344,856
Bioquinone 10 Rp 181,500
Grathazone 20 Rp 3,000
Intunal F 16 Rp 12,800
9 ### Ust.Taufiq Loratadin 10 Rp 2,930
PCT 20 Rp 3,000
Lopamid 10 Rp 2,930
Cipro 20 Rp 8,000
9 ### Ust.Taufiq

Imunos 16 Rp 128,752
Spasminal 10 Rp 6,050
Mkp Lang 30 1 Rp 10,500
Stik GDA 1 Rp 115,000
Masker 1 Rp 25,000
10 ### Ust.Taufiq Imunos 4 Rp 32,188
Total Apotek Rp 4,558,849 Total Klinik
AUFIQ
KLINIK
TOTAL BIAYA
Nominal
Rp 1,400

Rp 36,800

Rp 370,013

Rp 23,550

Rp 343,350

Rp 66,050

Rp 1,114,356

Rp 15,320

Rp 15,128

Rp 42,690

Rp 2,498,004
 Rp 2,498,004

Rp 32,188
Rp - Rp 4,558,849
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Bisoprolol 10 Rp 10,980
Sy.Nur Byropiron 15 Rp 22,125 Rp 34,605
PCT 10 Rp 1,500
1 ###
You C 1 Rp 5,500
Kadir Kacang 1 Rp 1,000 Rp 7,500
Della C 1 Rp 1,000
Cipro 10 Rp 4,000
Dexa 0,5 10 Rp 1,720
2 ### Ust.Taufiq Rp 14,980
Furosemid 10 Rp 1,260
Intunal F 10 Rp 8,000
Angioten 10 Rp 133,100
Cek GDA 1 Rp 10,000
Hb. Syaikhon Rp 178,100
Cek UA 1 Rp 10,000
Cek Cholestrol 1 Rp 25,000
Amlodipin 10 Rp 6,150
Blood Lancet 1 Rp 17,364
3 ### One Swab 1 Rp 13,500
Cek GDA 1 Rp 10,000
Ust.Taufiq Cek UA 1 Rp 10,000 Rp 105,664
Cek Cholestrol 1 Rp 25,000
Captopril 25 10 Rp 1,650
Glimepiride 2 20 Rp 18,000
Metformin 20 Rp 4,000
4 ### Ust.Taufiq Kombiglize 7 Rp 108,899 Rp 108,899
Angioten 20 Rp 266,300
Tuzalos 4 Rp 4,028
5 ### Ust.Taufiq Rp 673,126
Tonicard 10 Rp 185,000
Kombiglize 14 Rp 217,798
Sanmol Drop 1 Rp 17,850
6 ### Ust.Taufiq Rp 29,934
Tuzalos 12 Rp 12,084
7 ### Ust.Taufiq Stik GDA 1 Rp 115,000 Rp 115,000
8 ### Alwiyah R/014P Rp 37,082 Konsul Rp 20,000 Rp 57,082
Total Apotek Rp 1,304,890 Total Klinik Rp 20,000 Rp 1,324,890
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Ust.Taufiq R/189B Rp 100,608 Rp 100,608
1 ###
Syeh Muhdor R/030B Rp 32,305 Rp 32,305
Metyhil ergometrin 10 Rp 2,980
2 ### Ust.Taufiq Rp 39,930
Regumen 10 Rp 36,950
3 ### Ust.Taufiq Stik Chol 1 Rp 185,000 Rp 185,000
Kombiglize 14 Rp 217,798
4 ### Ust.Taufiq Rp 587,798
Tonicard 20 Rp 370,000
Aspilet 10 Rp 6,300
5 ### Ust.Taufiq Citicolin 10 Rp 65,340 Rp 80,350
Mecobalamin 10 Rp 8,710
6 ### Tn. Ali Assegaf R/120P Rp 373,124 Konsul Rp 20,000 Rp 393,124
7 ### Jakfar Assegaf R/166P Rp 4,500 Rp 4,500
Kombiglize 21 Rp 326,697
8 ### Ust.Taufiq Rp 414,627
Pionix M 10 Rp 87,930
Angioten 30 Rp 399,300
Imunos 4 Rp 32,188
9 ### Ust.Taufiq Tremenza 20 Rp 32,340 Rp 1,514,628
Tonicard 40 Rp 740,000
Cialis 4 Rp 310,800
Total Apotek Rp 3,332,870 Total Klinik Rp 20,000 Rp 3,352,870
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
1 ### Ibrahim Segaf R/122P Rp 50,270 Konsul Rp 20,000 Rp 70,270
2 ### Ust.Taufiq R/172P Rp 100,330 Rp 100,330
Angioten 10 Rp 133,100
Inlacin 6 Rp 36,300
3 ### Ust.Taufiq Rp 442,330
Tonicard 10 Rp 185,000
Pionix M 10 Rp 87,930
Kombiglize 14 Rp 217,798
4 ### Ust.Taufiq Rp 402,798
Tonicard 10 Rp 185,000
5 ### Ust.Taufiq Imunos 4 Rp 32,188 Rp 32,188
Ust.Taufiq Bioquinon 10 Rp 181,500 Rp 181,500
Biosan 6 Rp 86,214
6 ###
Ust.Taufiq Imunos 4 Rp 32,188 Rp 120,402
Paracetamol 10 Rp 2,000
Pionix M 20 Rp 175,860
Angioten 20 Rp 266,200
Biosan 6 Rp 86,214
Inlacin 6 Rp 36,300
7 ### Ust.Taufiq Rp 1,338,372
Tonicard 20 Rp 370,000
Bioquinon 10 Rp 181,500
Kombiglize 14 Rp 217,798
Antasida Syr 1 Rp 4,500
Total Apotek Rp 2,668,190 Total Klinik Rp 20,000 Rp 2,688,190
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEPNAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
1 ### Husein Amoxsan syr 1 Rp 25,550 Rp 25,550
Imboost 4 Rp 16,264
2 ### Abu Bakar Tolak Angin 2 Rp 5,200 Rp 23,464
Santri 1 Rp 2,000
Salim R/037 Rp 54,340 Konsul Rp 20,000 Rp 74,340
3 ###
Abu Bakar BBF 2 Rp 13,400 Rp 13,400
4 ### Ust.Taufiq R/054 Rp 40,100 Gigi Rp - Rp 40,100
Antasida Syr 1 Rp 4,500
5 ### Ust.Taufiq Kombiglize 14 Rp 217,798 Rp 310,228
Pionix M 10 Rp 87,930
6 ### Salim R/052P Rp 10,700 Konsul Rp 20,000Rp 30,700
7 ### Ust.Taufiq R/088P Rp 67,000 Gigi Rp -Rp 67,000
8 ### Rudi R/116P Rp 29,200 Konsul Rp 20,000Rp 49,200
9 ### Alwiyah R/195P Rp 13,000 Gigi Rp 50,000Rp 63,000
10 ### Abu Bakar Susu Ahsan 1 Rp 6,000 Rp 6,000
Total Apotek Rp 592,982 Total Klinik Rp 110,000 Rp 702,982
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Spuit 10 1 Rp 1,000
Rp 1,617
Spuit 5 1 Rp 617
Angioten 10 Rp 133,100
Domperidon syr 1 Rp 15,000
1 ### Ust.Taufiq Jarum BD Micro 1 Rp 2,000
Kombiglize 21 Rp 226,697 Rp 663,297
Tonicard 8 Rp 148,000
One Swab 1 Rp 13,500
Stik GDA 1 Rp 125,000
Abu Bakar Susu Ahsan 1 Rp 6,100 Rp 6,100
Konsul Rp 20,000
M.Taufiq Rp 75,000
RLS Rp 55,000
2 ### Konsul Rp 20,000
Salma Rp 75,000
RLS Rp 55,000
Konsul Rp 20,000
Iza Rp 50,000
RLK Rp 30,000
Konsul Rp 20,000
M.Taufiq Rp 19,900 Rp 94,900
RLS Rp 55,000
3 ### Konsul Rp 20,000
Salma Rp 44,500 Rp 119,500
RLS Rp 55,000
Iza Konsul Rp 20,000 Rp 20,000
Bioquinone 10 Rp 181,500
Ust.Taufiq Rp 267,714
Biosan 6 Rp 86,214
3 ###
Temulawak 1 Rp 3,500
Abdul Kadir Rp 15,700
Susu Ahsan 2 Rp 12,200
Angioten 10 Rp 133,100
4 ### Ust.Taufiq Tonicard 10 Rp 194,000 Rp 343,270
Tremenza 10 Rp 16,170
Gabapentin 10 Rp 42,690
5 ### Ust.Taufiq Kombiglize 7 Rp 108,899 Rp 167,589
5 ### Ust.Taufiq Rp 167,589
Mefinal 10 Rp 16,000
Total Apotek Rp 1,529,687 Total Klinik Rp 370,000 Rp 1,899,687
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Angioten 10 Rp 140,000
1 ### Ust.Taufiq Rp 334,000
Tonicard 10 Rp 194,000
Ibu Profen 10 Rp 3,000
Neurosanbe 10 Rp 13,000
2 ### Muhammad Rp 25,000
Omz 10 Rp 5,000
Antasida Syr 1 Rp 4,000
3 ### Ust.Taufiq Kombiglize 7 Rp 109,200 Rp 109,200
4 ### Ust.Taufiq Kombiglize 10 Rp 156,000 Rp 156,000
Angioten 10 Rp 140,000
Ust.Taufiq Rp 334,000
5 ### Tonicard 10 Rp 194,000
Ustdzah.Faizah Lacto-B 5 Rp 40,000 Rp 40,000
Angioten 10 Rp 140,000
Kombiglize 7 Rp 109,200
6 ### Ust.Taufiq Rp 508,200
Tonicard 10 Rp 194,000
Concor 10 Rp 65,000
7 ### Hb.Kadir Feast 1 Rp 5,000 Rp 5,000
Konsul Rp 20,000
8 ### Nasuhah R/ Rp 35,100 Rp 75,300
Ijeksi Rp 20,200
Total Apotek Rp 1,546,500 Total Klinik Rp 40,200 Rp 1,586,700
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEPNAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
1 ### An.Salim R/ Rp 4,400 Rp 4,400
Alwiyah R/ Rp 10,900 Gigi Rp 50,000 Rp 60,900
2 ### Toyiba R/ Rp 10,900 Gigi Rp 50,000 Rp 60,900
Khodijah R/ Rp 10,900 Gigi Rp 50,000 Rp 60,900
Ust.Taufiq Concor 10 Rp 61,000 Rp 61,000
Angioten 10 Rp 140,000
3 ###
Ust.Taufiq Kombiglize 7 Rp 109,200 Rp 443,200
Tonicard 10 Rp 194,000
Ust.Taufiq Amlo 10 50 Rp 25,000 Rp 25,000
4 ###
Ust.Taufiq Inlacin 12 Rp 73,200 Rp 73,200
5 ### Ust.Taufiq Frisium 10 Rp 62,900 Rp 62,900
Ust.Taufiq R/ Rp 48,900 Rp 48,900
Ust.Taufiq Mkp Lang Rp 39,300 Rp 39,300
6 ###
Ust.Taufiq Antasida Syr 1 Rp 4,000 Rp 4,000
Ust.Taufiq Tonicard 10 Rp 194,000 Rp 194,000
7 ### Ust.Taufiq Kombiglize 7 Rp 109,200 Rp 109,200
8 ### Husein Kara 2 Rp 7,000 Rp 7,000
9 ### Ustadzah Faizah L-Bio 6 Rp 48,000 Rp 48,000
Total Apotek Rp 1,152,800 Total Klinik Rp 150,000 Rp 1,302,800
 TAGIHAN BIAYA KESEHATAN UST.T
APOTEK
No TANGGAL NAMA
NOMOR RESEPNAMA OBAT Σ
Stik GDA 1
1 ### Ust.Taufiq
Cialis 1
Kombiglize 7
2 ### Ust.Taufiq
Tonicard 10
Sendok 1
3 ### Ust.Taufiq
Antasida Syr 1
Angioten 17
4 ### Ust.Taufiq
Tonicard 10
Angioten 10
5 ### Ust.Taufiq
Kombiglize 4
Cal-95 6
6 ### Ust.Taufiq
Tofedex 10
Alwiyah R/
7 ###
Awad R/

Awad R/
8 ###
Pangeran R/
Adam R/
Caladine 1
9 ### Ust.Taufiq
Loratadine 10
10 ### Ust.Taufiq Concor 10
Total Apotek
EHATAN UST.TAUFIQ
OTEK KLINIK
TOTAL BIAYA
NOMINAL Jenis Tindakan Nominal
Rp 125,000 Rp 125,000
Rp 350,000 Rp 350,000
Rp 109,200
Rp 303,200
Rp 194,000
Rp 1,000
Rp 4,500
Rp 3,500
Rp 204,000
Rp 398,000
Rp 194,000
Rp 120,000
Rp 182,400
Rp 62,400
Rp 35,930
Rp 111,800
Rp 75,870
Rp 17,100 Konsul Rp 20,000 Rp 37,100
Rp 62,900 Konsul Rp 20,000 Rp 82,900
Konsul Rp 20,000
Rp 94,400 Rp 169,400
Rawat Luka Rp 55,000
Rp 17,800 Konsul Rp 20,000 Rp 37,800
Rp 90,200 Konsul Rp 20,000 Rp 110,200
Rp 13,650
Rp 16,600
Rp 2,950
Rp 61,000 Rp 61,000
Rp 1,834,900 Total Klinik Rp 155,000 Rp 1,989,900
 TAGIHAN BIAYA KESEHATAN UST.TA
APOTEK
No TANGGAL NAMA
NOMOR RESEPNAMA OBAT Σ
Tofedex 10
Ust.Taufiq
Angioten 10
1 ###
Toyiba Nadia R/
Adam R/
2 ### Ust.Taufiq Kombiglize 7
Jakfar Ust Cimetidine 10
Antasida Syr 1
3 ### Methil 8 5
Segaf Ust Hufamag 10
Imboos 10
Amlo 5 100
4 ### Ust.Taufiq
Capto 25 100
Salim Ust R/
5 ###
Alwiyah Ust R/
Kombiglize 7
6 ### Ust.Taufiq
Tonicard 10
7 ### Husein Ust Bear Brand 1
8 ### Ust.Taufiq Angioten 10
9 ### Ust.Taufiq Kombiglize 7
Tonicard 10
Ust.Taufiq Stik Chol 1
10 ###
Stik GDA 1
Husein Ust Honey Milk 1
Total Apotek
SEHATAN UST.TAUFIQ
TEK KLINIK
TOTAL BIAYA
NOMINAL Jenis Tindakan Nominal
Rp 80,200 Rp 80,200
Rp 120,000 Rp 120,000
Rp 38,800 Konsul Rp 20,000 Rp 58,800
Rp 68,800 Konsul Rp 20,000 Rp 88,800
Rp 108,900 Rp 108,900
Rp 2,000
Rp 5,500
Rp 3,500
Rp 3,200
Rp 2,700 Rp 47,400
Rp 41,500
Rp 52,800
Rp 72,800
Rp 20,000
Rp 6,300 Rp 6,300
Rp 18,000 Rp 18,000
Rp 114,400
Rp 308,400
Rp 194,000
Rp 9,000 Rp 9,000
Rp 120,000 Rp 120,000
Rp 114,400 Rp 114,400
Rp 194,000
Rp 185,000 Rp 479,000
Rp 100,000
Rp 8,500 Rp 8,500
Rp 1,606,000 Total Klinik Rp 40,000 Rp 1,646,000
 TAGIHAN BIAYA KESEHATAN UST.TA
APOTEK
No TANGGAL NAMA
NOMOR RESEP NAMA OBAT Σ
Angioten 10
1 ### Ust.Taufiq Kombiglize 7
Tonicard 10
Angioten 20
Kombiglize 14
1 ### Ust.Taufiq
Lapifed Tab 10
Tonicard 20
Angioten 10
2 ### Ust.Taufiq
Betaserc 24 40

3 ### Faiz R/

4 ### Muhammad Ust

Ust.Taufiq Kombiglize 7
5 ###
Mertua Ust. R/
Antasida Syr 1
6 ### Ust.Taufiq
Domperidon Syr 1
7 ### Alwiyah Ust
8 ### Ust.Taufiq Diatab 8
Kombiglize 7
9 ### Ust.Taufiq
Lanso 10
Total Apotek
EHATAN UST.TAUFIQ
K KLINIK
TOTAL BIAYA
NOMINAL Jenis Tindakan Nominal
Rp 120,000
Rp 114,400 Rp 428,400
Rp 194,000
Rp 240,000
Rp 228,700
Rp 885,500
Rp 28,800
Rp 388,000
Rp 120,000
Rp 616,000
Rp 496,000
Konsul Rp 20,000
Rp 20,100 Injeksi Rp 64,400 Rp 164,500
Infus Rp 60,000
Gigi Rp 150,000 Rp 150,000
Rp 114,400 Rp 114,400
Rp 135,700 Rp 135,700
Rp 3,500
Rp 11,500
Rp 8,000
Rp 30,000 Gigi Rp 50,000 Rp 80,000
Rp 4,900 Rp 4,900
Rp 114,400
Rp 125,500
Rp 11,100
Rp 2,372,000 Total Klinik Rp 344,400 Rp 2,716,400
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA
NOMOR RESEPNAMA OBAT Σ NOMINAL Jenis Tindakan
Tonicard 10 Rp 194,000
Ust.Taufiq Kombiglize 7 Rp 114,400
1 ### Santri Botol 1 Rp 2,000
Konsul
M. Iqbal R/ Rp 80,500
RLK
Ust.Taufiq Betahistine 10 Rp 7,200
Kadir Ust Neurobion F 10 Rp 32,200
2 ###
Konsul
M. Iqbal R/ Rp 15,600
RLB
Angioten 10 Rp 119,800
Ust.Taufiq
R/ Rp 189,300
3 ###
Konsul
M. Iqbal
RLK
Angioten 10 Rp 119,800
4 ### Ust.Taufiq Kombiglize 7 Rp 114,400
Tonicard 10 Rp 194,000
Bufantacid Syr 1 Rp 8,000
5 ### Segaf Ust
Domperidon 10 Rp 3,800
6 ### Rudi Ciquah R/ Rp 13,800 Konsul
7 ### Alwiyah Gigi
7 ### Ust.Taufiq R/ Rp 33,300
Ust.Taufiq Kombiglize 7 Rp 114,400
8 ###
Alwiyah R/ Rp 8,700
9 ### Ust.Taufiq R/ Rp 34,100
10 ### Ust.Taufiq R/ Rp 44,200
11 ### Ust.Taufiq Biosan 6 Rp 86,300
Tonicard 10 Rp 199,600
12 ### Ust.Taufiq
Kombiglize 7 Rp 114,400
13 ### Ust.Taufiq Angioten 10 Rp 119,800
14 ### Baksos Puspo 2 Rp 1,137,100 Klinik
15 ### Segaf Ust Feast 1 Rp 5,000
Total Apotek Rp 3,105,700 Total Klinik
AUFIQ
KLINIK
TOTAL BIAYA
Nominal

Rp 310,400

Rp 20,000
Rp 130,500
Rp 30,000
Rp 7,200
Rp 32,200
Rp 20,000
Rp 115,600
Rp 80,000
Rp 119,800
Rp 189,300
20000
Rp 50,000
30000

Rp 428,200

Rp 11,800

Rp 20,000 Rp 33,800
Rp 50,000 Rp 50,000
Rp 33,300
Rp 114,400
Rp 8,700
Rp 34,100
Rp 44,200
Rp 86,300

Rp 314,000

Rp 119,800
Rp 2,250,000 Rp 3,387,100
Rp 5,000
Rp 2,520,000 Rp 5,625,700
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL Jenis Tindakan Nominal
Aisyah R/ Rp 29,300 RL OP Rp 100,000 Rp 129,300
1 ###
Husein R/ Rp 31,100 Homevisite Rp 50,000 Rp 81,100
R/ Rp 36,500 Rp 36,500
2 ### Ust.Taufiq
Kombiglize 7 Rp 114,400 Rp 114,400
3 ### Ust.Taufiq Angioten 10 Rp 130,500 Rp 130,500
4 ### Ust.Taufiq Dumin 10 Rp 5,200 Rp 5,200
5 ### Ust.Taufiq Tonicard 10 Rp 199,700 Rp 199,700
Angioten 10 Rp 130,400
Ust.Taufiq R/ Rp 244,800
Kombiglize 7 Rp 114,400
6 ### Omz 10 Rp 4,100
Kadir Ust Rp 5,400
Hufamag 5 Rp 1,300
Husein Ust Rp 9,000 Rp 9,000
Ust.Taufiq Tonicard 10 Rp 199,700 Rp 199,700
7 ###
Ustadzah Faizah Ator 20 10 Rp 46,000 Rp 46,000
### Salim Rp 75,700 Rp 75,700
8 ### Ust.Taufiq Kombiglize 7 Rp 114,400 Rp 114,400
2 Cek GDA Rp 20,000 Rp 20,000
### Admuji Konsul Rp 20,000 Rp 20,000
1 Cek GDA Rp 10,000 Rp 10,000
Ust. Taufiq Rp 46,000 Rp 46,000
9 ### Ust. Taufiq 1 Cek GDA Rp 10,000 Rp 10,000
1 Cek AU Rp 10,000 Rp 10,000
Rp 12,800 Rp 12,800
Segaf Rp 35,900 Rp 35,900
10 ### Ust. Taufiq Kombiglize 5 Rp 81,675 Rp 81,675
11 ### Ust. Taufiq Tonicard 10 Rp 199,700 Rp 199,700
Rp 9,100 Rp 9,100
12 ### Ust. Taufiq Angioten 10 Rp 119,800 Rp 119,800
Demacolin Tab 10 Rp 5,000 Rp 5,000
13 ### Ust. Taufiq Amlodipin HJ 20 Rp 11,400 Rp 11,400
14 ### Ust. Taufiq Kombiglize 7 Rp 114,400 Rp 114,400
15 ### Kadir Rp 15,900 Rp 15,900
Segaf Rp 3,000 Rp 3,000
Muhammad Rp 26,000 Rp 26,000
16 ### Ust. Taufiq Rp 64,900 Rp 64,900
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Total Apotek Rp 1,987,275 Total Klinik Rp 220,000 Rp 2,207,275
 TAGIHAN BIAYA KESEHATAN UST.TAUFIQ
APOTEK KLINIK
No TANGGAL NAMA Jenis TOTAL BIAYA
NOMOR RESEP NAMA OBAT Σ NOMINAL
Tindakan
Nominal
1 ### Ustad Taufiq Rp 11,000 Rp - Rp 11,000
2 ### Ustad Taufiq Rp 314,000 Rp - Rp 314,000
3 ### Ustad Taufiq Rp 119,800 Rp - Rp 119,800
4 ### Ustad Taufiq Rp 36,300 Rp - Rp 36,300
5 ### Ustad Taufiq Rp - GDA Rp 10,000 Rp 10,000
6 ### Husien Rp 12,000 Rp - Rp 12,000
7 ### Ustad Taufiq Rp 114,400 Rp - Rp 114,400
8 ### Segaf Rp 6,400 Rp -Rp 6,400
9 ### Ustad Taufiq Rp 36,300 Rp -Rp 36,300
10 ### Ustad Taufiq Rp 159,800 Rp -Rp 159,800
11 ### Ustad Taufiq Rp 33,800 Rp -Rp 33,800
12 ### Ustad Taufiq Rp - GDA Rp 10,000 Rp 10,000
13 ### Ustad Taufiq Rp 244,800 Rp 244,800
14 ### Ustad Taufiq Rp 3,000 Rp 3,000
15 ### Ustad Taufiq Rp 462,900 Rp 462,900
16 ### Husien Rp 3,700 Rp 3,700
17 ### Ustad Taufiq Rp 114,400 Rp 114,400
### Ustad Taufiq Rp - Rp 45,000 Rp 45,000
18 ### Ustad Taufiq Rp 123,200 Rp 123,200
Uang Bpjs ust Rp 550,000 Rp 550,000

Total Apotek Rp 2,345,800 Total Klinik Rp 65,000 Rp 2,410,800

 TAGIHAN BIAYA KESEHATAN UST.TAUFI
APOTEK
No TANGGAL NAMA
NOMOR RESEP NAMA OBAT Σ
1 ###
2 ###
3 ###
4 ###
5 ###
6 ###
7 ###

8 ###

9 ###
10 ###

11 ###
12 ###

13 ###
14 ###

Total Apotek
ATAN UST.TAUFIQ
KLINIK
Jenis TOTAL BIAYA
NOMINAL Nominal
Tindakan
Rp 94,700 Rp 94,700
Rp 314,000 Rp 314,000
Rp 437,200 Rp 437,200
Rp 7,600 Rp 7,600
Rp 31,900 Rp 31,900
Rp 40,300 Rp 40,300
Rp 114,400 Rp 114,400
Rp 17,700 Rp 17,700
Rp 45,000 Rp 45,000
Rp 123,200 Rp 123,200
Rp 36,000 Rp 36,000
Rp 194,700 Rp 194,700
Rp 88,000 Rp 88,000
Rp 114,400 Rp 114,400
Rp 35,000 Rp 35,000
Rp 46,000 Rp 46,000
Rp 7,000 Rp 7,000
Rp 120,800 Rp 120,800
Rp 250,000 Rp 250,000
Rp 550,000 Rp 550,000
Rp -
Rp -
Rp 1,787,900 Total Klinik Rp 880,000 Rp 2,667,900
 TAGIHAN BIAYA KESEHATAN UST.T
APOTEK
No TANGGAL NAMA
NOMOR RESEP NAMA OBAT
1 ### Ust Taufiq
2 ### Ust Taufiq
3 ### Segaf
4 ### Ust Taufiq
5 ### Ust Taufiq
6 ### Ust Taufiq
7 ### Ust Taufiq
### Ust Taufiq
8 ### Ust Taufiq
9 ### Ust Taufiq
### Ust Taufiq
BPJS

Total Apotek
EHATAN UST.TAUFIQ
OTEK KLINIK
Jenis TOTAL BIAYA
Σ NOMINAL
Tindakan
Nominal
Rp 237,500 Rp 237,500
Rp 194,700 Rp 194,700
Rp 2,500 Rp 2,500
Rp 123,200 Rp 123,200
Rp 237,500 Rp 237,500
Rp 276,400 Rp 276,400
Rp 84,000 Rp 84,000
Rp 4,600 Rp 4,600
Rp 618,000 Rp 618,000
Rp 71,300 Rp 71,300
Rp 556,500 Rp 556,500
Rp 550,000 Rp 550,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,406,200 Total Klinik Rp 550,000 Rp 2,956,200
 TAGIHAN BIAYA KESEHATAN UST.TAU
APOTEK
No TANGGAL NAMA
NOMOR RESEP NAMA OBAT Σ
Pinjam uang apotek
Sunday, January 05, 2020 Husen ust
### Ust Taufiq
### Ust Taufiq
Friday, January 10, 2020 Ust Taufiq
### Ust Taufiq
### Ust Taufiq
Sunday, January 19, 2020 Ust Taufiq
Friday, January 24, 2020 Husen ust
### Husen ust
### Ust Taufiq
### Ust Taufiq
BPJS

Total Apotek
ATAN UST.TAUFIQ
KLINIK
TOTAL BIAYA
NOMINAL Jenis Tindakan Nominal
Rp 500,000 Rp 500,000
Rp 9,500 Rp 9,500
Rp 309,000 Rp 309,000
Rp 1,084,900 Rp 1,084,900
Rp 717,400 Rp 717,400
Rp 114,400 Rp 114,400
Rp 166,200 Rp 166,200
Rp 309,000 Rp 309,000
Rp 24,100 Rp 24,100
Rp 10,000 Rp 10,000
Rp 114,400 Rp 114,400
Rp 194,700 Rp 194,700
Rp 550,000 Rp 550,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 3,553,600 Total Klinik Rp 550,000 Rp 4,103,600
 TAGIHAN BIAYA KESEHATAN UST.T
APOTEK
No TANGGAL NAMA
NOMOR RESEP NAMA OBAT Σ
### Ust Taufiq
### Ust Taufiq
### Ust Taufiq
Ust Taufiq
### Ust Taufiq
### Ust Taufiq
### Ust Taufiq
### Ust Taufiq
### Husein
### Salim
### Ust Taufiq
### Salim
### Ust Taufiq
### Ust Taufiq
BPJS
Obat Suntik

Total Apotek
EHATAN UST.TAUFIQ
KLINIK
TOTAL BIAYA
NOMINAL Jenis Tindakan Nominal
Rp 254,300 Rp 254,300
Rp 47,500 Rp 47,500
Rp 14,600 Rp 14,600
Rp 194,700 Rp 194,700
Rp 254,300 Rp 254,300
Rp 4,600 Rp 4,600
Rp 302,900 Rp 302,900
Rp 491,300 Rp 491,300
Rp 4,000 Rp 4,000
Rp 20,600 Rp 20,600
Rp 139,900 Rp 139,900
Rp 20,600 Rp 20,600
Rp 276,400 Rp 276,400
Rp 302,900 Rp 302,900
Rp 550,000 Rp 550,000
Rp 350,000 Rp 350,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,328,600 Total Klinik Rp 900,000 Rp 3,228,600
 TAGIHAN BIAYA KESEHATAN UST.TA
APOTEK
No TANGGAL NAMA
NOMOR RESEP NAMA OBAT Σ
### Ust Taufiq

### Segaf
### Ust Taufiq
### Ust Taufiq Pinjam uang
### Ust Taufiq
### Ust Taufiq
Ust Taufiq
### Husein
### Husein
### Ust Taufiq
### Ust Taufiq
### Ust Taufiq
Ust Taufiq
### Ust Taufiq
### Ust Taufiq
###
BPJS
Total Apotek
EHATAN UST.TAUFIQ
KLINIK
Jenis TOTAL BIAYA
NOMINAL Nominal
Tindakan
Rp 336,000 Rp 336,000
Rp 36,400 Rp 36,400
Rp 40,300 Rp 40,300
Rp 84,000 Rp 84,000
Rp 700,000 Rp 700,000
Rp - Rp 50,000 Rp 50,000
Rp - Rp 169,000 Rp 169,000
Rp 14,000 Rp 14,000
Rp 14,000 Rp 14,000
Rp 9,500 Rp 9,500
Rp 56,800 Rp 56,800
Rp 279,800 Rp 279,800
Rp 24,500 Rp 24,500
Rp 90,000 Rp 90,000
Rp 289,700 Rp 289,700
Rp 48,500 Rp 48,500
Rp 171,000 Rp 171,000
Rp 550,000 Rp 550,000
Rp 1,494,500 Total Klinik Rp 1,469,000 Rp 2,963,500