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TRUSTMEDIS TEMPLATE
Nama Dokumen : Master Tindakan dan Tarif
NO KODE TINDAKAN NAMA TINDAKAN
1 KM01 Pemeriksaan dr Umum
2 KM02 Ambil Jahitan ( aff hecting )
3 Surat keterangan berbadan Sehat (skbs)
4 injeksi ranitidin
5 injeksi ketorolac
6 injeksi ondansentron
7 injeksi pada GO ( kanamisin 2gram)
8 injeksi dexamethason
9 Ektraksi corpus alienum et konjungtiva
10 Ektraksi kuku
11 Eksisi kalvus
12 Wound toilet (WT) ringan, sedang, berat tanpa jahit
13 hecting luka 123 buah, hecting >3
14 Test pack kehamilan, rapid HIV
15 Nebulizer ( untuk asma eksaserbasi akut )
16 Pasang infus / observasi
17 irigasi serumen prop
18 irigasi nasal
19 sirkumsisi (khitan)
20 injeksi ATS, injeksi Tetagam
21 injeksi neurobion
22 cek gula darah, asam urat, kolesterol
at tanpa jahit
TRUSTMEDIS TEMPLATE
Nama Dokumen : Master Tindakan dan Tarif
1. No, Kode, dan Nama Tindakan otomatis mengambil data di sheet 'Tindakan'
2. Pengisian unit jika lebih dari 1 dengan tanda ;
Catatan
3. Jika tindakan ada disemua unit kosongi kolom unit
4. Inputan tindakan dan tarif terdapat 4 sheet
NO KODE TINDAKAN NAMA TINDAKAN
1 KM01 Pemeriksaan dr Umum
2 KM02 Ambil Jahitan ( aff hecting )
3 0 Surat keterangan berbadan Sehat (skbs)
4 0 injeksi ranitidin
5 0 injeksi ketorolac
6 0 injeksi ondansentron
7 0 injeksi pada GO ( kanamisin 2gram)
8 0 injeksi dexamethason
9 0 Ektraksi corpus alienum et konjungtiva
10 0 Ektraksi kuku
11 0 Eksisi kalvus
12 0 Wound toilet (WT) ringan, sedang, berat tanpa jahit
13 0 hecting luka 123 buah, hecting >3
14 0 Test pack kehamilan, rapid HIV
15 0 Nebulizer ( untuk asma eksaserbasi akut )
16 0 Pasang infus / observasi
17 0 irigasi serumen prop
18 0 irigasi nasal
19 0 sirkumsisi (khitan)
20 0 injeksi ATS, injeksi Tetagam
21 0 injeksi neurobion
22 0 cek gula darah, asam urat, kolesterol
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LATE
l data di sheet 'Tindakan'
KELAS RAWAT JALAN / IGD KELAS I
UNIT
JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
POLI UMUM 10000 20000 5000 35000
POLI UMUM; IGD 20000 20000
rat tanpa jahit
KELAS I KELAS II KELAS III
JASA SARANA BHP TOTAL JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
KELAS III KELAS VIP KELAS VVIP
JASA SARANA BHP TOTAL JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
KELAS VVIP
JASA SARANA BHP TOTAL
TRUSTMEDIS TEMPLATE
Nama Dokumen : Master Tindakan dan Tarif
1. No, Kode, dan Nama Tindakan otomatis mengambil data di sheet 'Tindakan'
2. Pengisian unit jika lebih dari 1 dengan tanda ;
Catatan
3. Jika tindakan ada disemua unit kosongi kolom unit
4. Inputan tindakan dan tarif terdapat 4 sheet
NO KODE TINDAKAN NAMA TINDAKAN
1 KM01 Pemeriksaan dr Umum
2 KM02 Ambil Jahitan ( aff hecting )
3 0 Surat keterangan berbadan Sehat (skbs)
4 0 injeksi ranitidin
5 0 injeksi ketorolac
6 0 injeksi ondansentron
7 0 injeksi pada GO ( kanamisin 2gram)
8 0 injeksi dexamethason
9 0 Ektraksi corpus alienum et konjungtiva
10 0 Ektraksi kuku
11 0 Eksisi kalvus
12 0 Wound toilet (WT) ringan, sedang, berat tanpa jahit
13 0 hecting luka 123 buah, hecting >3
14 0 Test pack kehamilan, rapid HIV
15 0 Nebulizer ( untuk asma eksaserbasi akut )
16 0 Pasang infus / observasi
17 0 irigasi serumen prop
18 0 irigasi nasal
19 0 sirkumsisi (khitan)
20 0 injeksi ATS, injeksi Tetagam
21 0 injeksi neurobion
22 0 cek gula darah, asam urat, kolesterol
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LATE
l data di sheet 'Tindakan'
KELAS RAWAT JALAN / IGD KELAS I
UNIT
JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
POLI UMUM 10000 10000 5000 25000
POLI UMUM; IGD 15000 15000
rat tanpa jahit
KELAS I KELAS II KELAS III
JASA SARANA BHP TOTAL JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
KELAS III KELAS VIP KELAS VVIP
JASA SARANA BHP TOTAL JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
KELAS VVIP
JASA SARANA BHP TOTAL
TRUSTMEDIS TEMPLATE
Nama Dokumen : Master Tindakan dan Tarif
1. No, Kode, dan Nama Tindakan otomatis mengambil data di sheet 'Tindakan'
2. Pengisian unit jika lebih dari 1 dengan tanda ;
Catatan
3. Jika tindakan ada disemua unit kosongi kolom unit
4. Inputan tindakan dan tarif terdapat 4 sheet
NO KODE TINDAKAN NAMA TINDAKAN
1 KM01 Pemeriksaan dr Umum
2 KM02 Ambil Jahitan ( aff hecting )
3 0 Surat keterangan berbadan Sehat (skbs)
4 0 injeksi ranitidin
5 0 injeksi ketorolac
6 0 injeksi ondansentron
7 0 injeksi pada GO ( kanamisin 2gram)
8 0 injeksi dexamethason
9 0 Ektraksi corpus alienum et konjungtiva
10 0 Ektraksi kuku
11 0 Eksisi kalvus
12 0 Wound toilet (WT) ringan, sedang, berat tanpa jahit
13 0 hecting luka 123 buah, hecting >3
14 0 Test pack kehamilan, rapid HIV
15 0 Nebulizer ( untuk asma eksaserbasi akut )
16 0 Pasang infus / observasi
17 0 irigasi serumen prop
18 0 irigasi nasal
19 0 sirkumsisi (khitan)
20 0 injeksi ATS, injeksi Tetagam
21 0 injeksi neurobion
22 0 cek gula darah, asam urat, kolesterol
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LATE
l data di sheet 'Tindakan'
KELAS RAWAT JALAN / IGD KELAS I
UNIT
JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
rat tanpa jahit
KELAS I KELAS II KELAS III
JASA SARANA BHP TOTAL JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
KELAS III KELAS VIP KELAS VVIP
JASA SARANA BHP TOTAL JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
KELAS VVIP
JASA SARANA BHP TOTAL
TRUSTMEDIS TEMPLATE
Nama Dokumen : Master Tindakan dan Tarif
1. No, Kode, dan Nama Tindakan otomatis mengambil data di sheet 'Tindakan'
2. Pengisian unit jika lebih dari 1 dengan tanda ;
Catatan
3. Jika tindakan ada disemua unit kosongi kolom unit
4. Inputan tindakan dan tarif terdapat 4 sheet
NO KODE TINDAKAN NAMA TINDAKAN
1 KM01 Pemeriksaan dr Umum
2 KM02 Ambil Jahitan ( aff hecting )
3 0 Surat keterangan berbadan Sehat (skbs)
4 0 injeksi ranitidin
5 0 injeksi ketorolac
6 0 injeksi ondansentron
7 0 injeksi pada GO ( kanamisin 2gram)
8 0 injeksi dexamethason
9 0 Ektraksi corpus alienum et konjungtiva
10 0 Ektraksi kuku
11 0 Eksisi kalvus
12 0 Wound toilet (WT) ringan, sedang, berat tanpa jahit
13 0 hecting luka 123 buah, hecting >3
14 0 Test pack kehamilan, rapid HIV
15 0 Nebulizer ( untuk asma eksaserbasi akut )
16 0 Pasang infus / observasi
17 0 irigasi serumen prop
18 0 irigasi nasal
19 0 sirkumsisi (khitan)
20 0 injeksi ATS, injeksi Tetagam
21 0 injeksi neurobion
22 0 cek gula darah, asam urat, kolesterol
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LATE
l data di sheet 'Tindakan'
KELAS RAWAT JALAN / IGD KELAS I
UNIT
JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
rat tanpa jahit
KELAS I KELAS II KELAS III
JASA SARANA BHP TOTAL JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
KELAS III KELAS VIP KELAS VVIP
JASA SARANA BHP TOTAL JASA PELAYANAN JASA SARANA BHP TOTAL JASA PELAYANAN
KELAS VVIP
JASA SARANA BHP TOTAL
TRUSTMEDIS TEMPLATE
Nama Dokumen : Master Tindakan dan Tarif
NO KODE TINDAKAN NAMA TINDAKAN NAMA OBAT SATUAN
1 KM01 Pemeriksaan dr Umum SPUIT 3 CC BIJI
CEPTIK CAPSUL
2 KM02 Ambil Jahitan SPUIT 3 CC BIJI
CEPTIK CAPSUL
ALKOHOL 70% BOTOL
JUMLAH
5
2
5
2
1
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