Dari

: 1/3/2021
Tanggal
Sampai 31/03/20
:
Tanggal 21

Kode Obat / Jenis

No Tanggal No RM Nama Harga Jumlah Total
Obat Alkes Rawat
Aclam Rawat RADITIA
1 10 3/3/2021 835278 77,482 1 77,482
125 Syr Jalan BY
UWAIS
Rawat AL-
### 833429 77,482 1 77,482
Jalan QARNI
AN
FANDA
Rawat
### 834098 APRILIA 77,482 1 77,482
Jalan
AN
FIORAM FELCIA
Rawat
2 1000 OL 1/3/2021 835226 TJHIN, 67,375 1 67,375
Inap
INFUS AN
YAYA
Rawat
1/3/2021 835079 SUNARY 67,375 1 67,375
Inap
A TN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 67,375 1 67,375
Inap US
SHANU
M AN
Rawat KARMO
2/3/2021 835236 67,375 1 67,375
Inap TN
ANISA
Rawat
4/3/2021 835298 FITRIA, 67,375 1 67,375
Inap
AN
Rawat KRISYA.
4/3/2021 835286 67,375 1 67,375
Inap AN
NAYLA
Rawat
6/3/2021 835311 NURASY 58,438 1 58,438
Inap
IFA AN
IDA
Rawat
6/3/2021 820069 ROSIDA. 67,375 1 67,375
Jalan
NY
YUNITA
Rawat NUR
8/3/2021 835353 67,375 1 67,375
Inap SOLIHA
T NY
Rawat CERI
8/3/2021 835363 67,375 1 67,375
Inap LIAN AN
 Rawat JURAEJI
9/3/2021 827464 67,375 1 67,375
Inap N, TN
Rawat AGUS,
### 835398 67,375 1 67,375
Inap TN
Rawat ROHETI
### 802812 67,375 1 67,375
Inap N, NY
Rawat JURAEJI
### 827464 67,375 1 67,375
Inap N, TN
Rawat ROHETI
### 802812 67,375 1 67,375
Inap N, NY
ITI
Rawat
### 835385 DARSITI 67,375 1 67,375
Inap
, NY

HAYKAL
13/03/20 Rawat DWI
835435 67,375 1 67,375
21 Inap SYAHPU
TRA AN

AMRIN
13/03/20 Rawat
835462 SOBANA 67,375 1 67,375
21 Inap
TN
SHAJEA
13/03/20 Rawat
835452 HALAA 67,375 1 67,375
21 Inap
NISA AN
HAUZAN
13/03/20 Rawat IRHAB
833974 67,375 1 67,375
21 Inap NABIL,
AN
AHMAD
13/03/20 Rawat
835458 ARYA. 67,375 1 67,375
21 Inap
AN
AMRIN
14/03/20 Rawat
835462 SOBANA 67,375 1 67,375
21 Inap
TN
NAUFAL
14/03/20 Rawat DI
800119 67,375 1 67,375
21 Inap AGUSTI
N, AN

HAYKAL
14/03/20 Rawat DWI
835435 67,375 1 67,375
21 Inap SYAHPU
TRA AN

14/03/20 Rawat FATIMA

832088 67,375 1 67,375
21 Inap H , NY
BAYU
14/03/20 Rawat
835410 ANUGE 67,375 1 67,375
21 Inap
RAH TN
 NANA
15/03/20 Rawat
835475 TARYAN 58,438 1 58,438
21 Inap
A. TN
HJ
15/03/20 Rawat
804292 CICIH. 58,438 1 58,438
21 Inap
NY
DEREL
15/03/20 Rawat DWI
835473 58,438 1 58,438
21 Inap KARISM
A AN
N. U.
16/03/20 Rawat
835522 UMAYA 67,375 1 67,375
21 Inap
H NY
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 67,375 1 67,375
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat ROKAYA
835481 67,375 2 134,750
21 Inap H NY
DIMAS
17/03/20 Rawat
812977 ADITYA 67,375 1 67,375
21 Inap
W, AN
E
17/03/20 Rawat
835527 MUCHT 67,375 1 67,375
21 Inap
AR . TN
18/03/20 Rawat ROKAYA
835481 67,375 1 67,375
21 Inap H NY
N. U.
18/03/20 Rawat
835522 UMAYA 67,375 1 67,375
21 Inap
H NY
N. U.
19/03/20 Rawat
835522 UMAYA 67,375 1 67,375
21 Inap
H NY
21/03/20 Rawat DEDEN
835586 67,375 1 67,375
21 Inap G, TN
21/03/20 Rawat NATAN.
835591 67,375 1 67,375
21 Inap AN
22/03/20 Rawat PARNO,
835601 67,375 1 67,375
21 Inap TN
KELVIN
22/03/20 Rawat
835597 JULIANT 67,375 1 67,375
21 Inap
ARA BY
SHAKIL
23/03/20 Rawat A
835615 67,375 1 67,375
21 Jalan AYUDIA.
AN
 ALRADY
A
23/03/20 Rawat MAHAB
830769 67,375 1 67,375
21 Inap BATAN
LUVINA
TIKA. AN

ANISA
24/03/20 Rawat FAIHA
835644 67,375 1 67,375
21 Inap MUNAN
DAR AN
FITRI
25/03/20 Rawat SARI
835624 67,375 1 67,375
21 Inap WAHYU
NI NN
FITRI
25/03/20 Rawat SARI
835624 67,375 1 67,375
21 Inap WAHYU
NI NN
UJANG
26/03/20 Rawat
2816 HENDI , 67,375 1 67,375
21 Inap
TN
26/03/20 Rawat PARNO,
835601 67,375 2 134,750
21 Inap TN
SOLFIO PUJI
Rawat
3 1001 N 8MG 1/3/2021 835229 SUMARJ 6,738 10 67,380
Jalan
TAB I, TN
IIS
Rawat
1/3/2021 823882 ISMAYA 6,738 10 67,380
Jalan
TI. NY
ASEP
Rawat
1/3/2021 821449 KURNIA, 6,738 1 6,738
Jalan
TN

IDA
Rawat
1/3/2021 835234 NURFAR 6,738 5 33,690
Jalan
IDA. NY

H
Rawat
2/3/2021 835215 HASAN 6,738 5 33,690
Inap
TN
NAZHAN
Rawat
2/3/2021 830971 ZABIR 6,738 2 13,476
Jalan
BY
Rawat KARMO
2/3/2021 835236 6,738 1 6,738
Inap TN
 RIO
Rawat CANDR
2/3/2021 802552 6,738 5 33,690
Jalan A YUNI,
TN
Bp
2/3/2021 UMUM 0 6,738 5 33,690
Tatang
KANZIA
Rawat
4/3/2021 833256 NURSAL 6,738 1 6,738
Jalan
SA AN
Rawat KARMO
4/3/2021 835236 6,738 1 6,738
Inap TN

WIWI
Rawat
4/3/2021 822334 RATNEN 6,738 3 20,214
Jalan
GSIH.NY

Rawat KARMO
5/3/2021 835236 5,844 1 5,844
Inap TN
ONENG
Rawat
5/3/2021 835066 SUMYAT 5,844 1 5,844
Jalan
I NY
Pasien
5/3/2021 UMUM 0 6,738 5 33,690
Umum
Rawat DADAN
5/3/2021 830604 5,844 4 23,376
Jalan TN
ANNISA
Rawat NUR
5/3/2021 3971 5,844 4 23,376
Jalan ASSIDIQ
, NN
Rawat WARSIT
5/3/2021 835314 5,844 10 58,440
Jalan A TN
AFNAN
Rawat
6/3/2021 830823 ALFARIZ 5,844 1 5,844
Jalan
QI BY
Rawat KHODIJ
6/3/2021 835334 5,844 6 35,064
Jalan AH NN
ESA
Rawat
7/3/2021 823669 SAPUTR 6,738 3 20,214
Jalan
A
NANAN
Rawat G
8/3/2021 812757 6,738 10 67,380
Jalan SUPRIA
TNA, TN
Pasien
8/3/2021 UMUM 0 6,738 10 67,380
Umum
SITI
Rawat
8/3/2021 835377 MULYAN 6,738 5 33,690
Jalan
I. NN
 ZEAN
Rawat
8/3/2021 834769 FAQIH 6,738 2 13,476
Jalan
AN
AN.
8/3/2021 UMUM 0 FERI/AP 6,738 3 20,214
S
Rawat ALENA .
8/3/2021 835356 6,738 2 13,476
Jalan AN
NANDI
Rawat
9/3/2021 835384 KRISAL 6,738 2 13,476
Jalan
AM. AN
Rawat NUNUN
9/3/2021 835338 6,738 3 20,214
Inap G K, NY
Rawat KANAR
9/3/2021 835231 6,738 4 26,952
Jalan TN
Rawat SAODA
### 834004 6,738 3 20,214
Jalan H NY
WASILA
Rawat TUL
### 835408 6,738 3 20,214
Jalan ALIYAH,
NY
Rawat SUPRI.
### 835403 6,738 1 6,738
Inap TN
AFNAN
Rawat
### 830823 ALFARIZ 6,738 3 20,214
Jalan
QI BY
Rawat ALEH
### 832129 6,738 4 26,952
Jalan TN
MUHAM
Rawat AD
### 835405 6,738 3 20,214
Jalan FAFIJUL
. AN
NIA
Rawat
### 826027 EVIANA. 6,738 5 33,690
Inap
NY
Rawat SUPRI.
### 835403 6,738 1 6,738
Inap TN
FITRA
SYAHRI
Rawat
### 835411 L 6,738 5 33,690
Jalan
ARHAM
TN

ARSHAK
Rawat
### 813853 A RAMA 6,738 5 33,690
Inap
A. AN.
 ASIYAH
Rawat
### 835441 PUTRI 6,738 3 20,214
Jalan
NN
Rawat SUPRI.
### 835403 6,738 5 33,690
Inap TN
13/03/20 Rawat KARMO
835236 6,738 1 6,738
21 Inap TN
13/03/20 Rawat NALIH.
835459 6,738 5 33,690
21 Jalan TN
13/03/20 Pasien
UMUM 0 6,738 5 33,690
21 Umum
14/03/20 Rawat KARMO
835236 6,738 1 6,738
21 Inap TN
15/03/20 Rawat YULIA.
823416 6,738 10 67,380
21 Jalan NY
INI
15/03/20 Rawat
835495 SUARTI 6,738 3 20,214
21 Jalan
NI. NY
NOVIA
15/03/20 Rawat
835497 FRANSI 6,738 5 33,690
21 Jalan
SKA. NN
15/03/20 Rawat SUKIMA
835498 6,738 3 20,214
21 Jalan D, TN
WASILA
15/03/20 Rawat TUL
835408 6,738 3 20,214
21 Jalan ALIYAH,
NY
MUHAM
15/03/20 Rawat AD
835405 6,738 3 20,214
21 Jalan HAFIJUL
. AN
15/03/20 Rawat KARMO
835236 6,738 1 6,738
21 Inap TN
16/03/20 Rawat KARMO
835236 6,738 3 20,214
21 Inap TN
ADE
16/03/20 Rawat
835470 SUKAES 6,738 5 33,690
21 Jalan
IH NY
ENGKIN
16/03/20 Rawat
835520 G AJIS . 6,738 4 26,952
21 Jalan
TN
16/03/20 Rawat KANAR
835231 6,738 4 26,952
21 Jalan TN
ZAYNA
16/03/20 Rawat
835510 ALMAHI 6,738 2 13,476
21 Jalan
RA, AN
 NURAL
16/03/20 Rawat MIRA
835511 6,738 8 53,904
21 Jalan AUINI,
AN
16/03/20 Rawat HAFIZ.
834365 6,738 2 13,476
21 Jalan BY
ELIS
16/03/20 Rawat
835335 KARNAT 6,738 5 33,690
21 Jalan
I NY
17/03/20 Rawat OTONG,
801478 6,738 3 20,214
21 Jalan TN
WILDAN
18/03/20 Rawat FAUZI
835548 6,738 5 33,690
21 Jalan FURQO
N SDR

SODIKIN
18/03/20 Rawat NOOR
835524 6,738 1 6,738
21 Inap BADRI.
TN

19/03/20 Rendyka
K4 6,738 2 13,476
21 Rama
ENDAH
19/03/20 Rawat
835567 HAMZA 6,738 8 53,904
21 Jalan
H NY

WAWAN
19/03/20 Rawat
834716 SETIAW 6,738 10 67,380
21 Jalan
AN TN

19/03/20 Rawat UTENG

835571 6,738 5 33,690
21 Jalan TN
20/03/20 Rawat
815940 DIDI, TN. 6,738 4 26,952
21 Jalan
22/03/20 Rawat
807029 TUTI, NY 6,738 5 33,690
21 Inap
WINDI
22/03/20 Rawat
806691 PERMAT 6,738 5 33,690
21 Jalan
A, AN
ELIS
23/03/20 Rawat
835335 KARNAT 6,738 5 33,690
21 Jalan
I NY
NT
23/03/20 Rawat
834700 CHOTIM 6,738 4 26,952
21 Jalan
AH NY
MUHAM
25/03/20 Rawat AD
835657 6,738 1 6,738
21 Jalan RIVAN
AN
25/03/20 Rawat IRUM
835472 6,738 4 26,952
21 Jalan NY
ALIF
25/03/20 Rawat
835652 HAFID. 6,738 1 6,738
21 Jalan
BY
AZLAN
25/03/20 Rawat
835646 ZAIDAN 6,738 1 6,738
21 Jalan
BY
26/03/20 Rawat WINDY,
806078 6,738 6 40,428
21 Jalan NY
SYAILA
26/03/20 Rawat RAHMA
826714 6,738 3 20,214
21 Jalan TAUFIQ.
NN
ANDA
27/03/20 Rawat
834672 WIHAND 6,738 7 47,166
21 Inap
A TN
NINING
27/03/20 Rawat
834357 NURIAH, 6,738 3 20,214
21 Jalan
NY
ADI
27/03/20 Rawat
835700 SAHRIL . 6,738 5 33,690
21 Jalan
AN
M
27/03/20 Rawat FRANS
835703 6,738 5 33,690
21 Jalan ALFIAN.
AN
AN M
27/03/20
UMUM 0 FRANS/ 6,738 5 33,690
21
APS
ENGKIN
27/03/20 Rawat
835520 G AJIS . 6,738 5 33,690
21 Jalan
TN
TN
27/03/20
UMUM 0 SODIKIN 6,738 5 33,690
21
/APS
OYO
27/03/20 Rawat
835699 SUTARY 6,738 4 26,952
21 Jalan
O. TN
28/03/20 Rawat TAMAD.
835725 6,738 5 33,690
21 Inap TN
28/03/20 Rawat ERUK,
835722 6,738 10 67,380
21 Jalan NY
28/03/20
K68 Ernawati 6,738 10 67,380
21
Chandik
29/03/20
K79 a Dwi 5,844 1 5,844
21
Putra
 ALVIN
30/03/20 Rawat
832903 INDRA 6,738 10 67,380
21 Jalan
AN
31/03/20 Pasien
UMUM 0 6,738 10 67,380
21 Umum
ANGGI
LAPIBIO Rawat NY /
4 1003 4/3/2021 829944 1,750 10 17,500
N TAB Jalan TAUFIK
TN
Rawat MULYAN
4/3/2021 835178 1,750 7 12,250
Jalan A TN
Rawat WARSIT
5/3/2021 835314 1,750 10 17,500
Jalan A TN
ELIS
Rawat
6/3/2021 835335 KARNAT 1,750 10 17,500
Jalan
I NY
Rawat WATINI,
6/3/2021 835325 1,750 10 17,500
Jalan NY
Rawat KARMA
6/3/2021 835326 1,750 10 17,500
Jalan H NY
UUN
Rawat
6/3/2021 835337 UNASIH, 1,750 10 17,500
Jalan
NY
Rawat KARMO
6/3/2021 835236 1,750 5 8,750
Inap TN
NITA
Rawat
7/3/2021 835348 ASTUTI. 1,750 10 17,500
Jalan
NY
Rawat RUKASI
8/3/2021 835322 1,750 5 8,750
Inap H. NY
Rawat D0LIMA
8/3/2021 835358 1,750 10 17,500
Jalan H. NY
Rawat NUNUN
9/3/2021 835338 1,750 10 17,500
Inap G K, NY
AI
Rawat
### 802593 NINING, 1,750 10 17,500
Jalan
NY
tn faizal /
### UMUM APS 1,750 10 17,500
aps
TATI
15/03/20 Rawat
835463 WARSITI 1,750 10 17,500
21 Inap
. NY
AMRIN
15/03/20 Rawat
835462 SOBANA 1,750 5 8,750
21 Inap
TN
16/03/20 Rawat KARMO
835236 1,750 5 8,750
21 Inap TN
 EEM
16/03/20 Rawat
831825 SUKAE 1,750 5 8,750
21 Inap
MI. NY
NANA
17/03/20 Rawat
835475 TARYAN 1,750 5 8,750
21 Inap
A. TN
DOBRIZ TAUFIK
Rawat
5 1006 OL 1/3/2021 835216 MAULAN 2,606 1 2,606
Inap
KAPS A SDR
ROBI
Rawat
1/3/2021 818904 RISWAN 2,606 5 13,030
Jalan
DI. TN
TAUFIK
Rawat
2/3/2021 835216 MAULAN 2,606 1 2,606
Inap
A SDR
MYCON
Rawat CERI
6 1009 YS 9/3/2021 835363 50,532 1 50,532
Inap LIAN AN
DROPS
13/03/20 Rawat AGUS,
835398 50,532 1 50,532
21 Inap TN
14/03/20 Rawat IRUM
835472 50,532 1 50,532
21 Inap NY
ENTIN
LASMAL Rawat
7 1010 2/3/2021 816566 NURTIN 1,617 10 16,170
IN TAB Jalan
A NY.
SITI
HB VIT Rawat
8 1016 1/3/2021 835233 MULYAT 4,512 2 9,024
TAB Inap
I NY
RINI
Rawat HALIMA
1/3/2021 835250 4,263 10 42,630
Jalan TUSADI
AH. NY
DIDIN
Rawat
3/3/2021 835277 DARMU 4,263 10 42,630
Jalan
DIN TN
ELIS
Rawat
3/3/2021 803916 KOMALA 4,263 10 42,630
Jalan
, NY
CITRA
Rawat
6/3/2021 816881 MUFIDA 4,512 10 45,120
Jalan
H, NN.
UYAT
Rawat
6/3/2021 835100 RUYATI 4,512 10 45,120
Jalan
NY
TRI
Rawat
6/3/2021 809807 YULIAN 4,512 10 45,120
Jalan
TO, TN
 AI
Rawat
6/3/2021 821381 KARWA 4,512 10 45,120
Jalan
TI.NY
SALSABI
Rawat LA
6/3/2021 835329 4,512 10 45,120
Jalan AZZAHR
A NN
ANISA
Rawat
7/3/2021 835324 FITRIYA 4,512 10 45,120
Inap
NI . NN

Yana
### K75 4,512 10 45,120
Gustiana

Rawat TATANG
### 835404 4,512 10 45,120
Jalan . TN
13/03/20 Rawat NALIH.
835459 4,512 10 45,120
21 Jalan TN
13/03/20 Rawat KULSUM
835464 4,512 10 45,120
21 Jalan . NY
13/03/20 Rawat NENGS
835451 4,512 10 45,120
21 Jalan RI. NY
ANIH
13/03/20 Rawat
4235 SUARSI 4,512 10 45,120
21 Jalan
H, NY
POPI
14/03/20 Rawat PATHUR
835414 4,512 10 45,120
21 Inap OHMAN,
TN
NAUFAL
14/03/20 Rawat DI
800119 4,512 10 45,120
21 Inap AGUSTI
N, AN
20/03/20 Rawat ANENG
835576 4,512 3 13,536
21 Jalan NY

AZIS
20/03/20 Rawat RUHIAT
824516 4,512 1 4,512
21 Inap SUPRIA
TNA . TN

AZIS
21/03/20 Rawat RUHIAT
824516 4,512 1 4,512
21 Inap SUPRIA
TNA . TN

HERNI
21/03/20 Rawat
822560 RAHMA 4,512 10 45,120
21 Jalan
WATI
 ACEP
21/03/20 Rawat
835592 SOHIDIN 4,512 10 45,120
21 Jalan
TN
21/03/20 Rawat WARSO
835593 4,512 10 45,120
21 Jalan RI TN
21/03/20 Rawat YANDI
835584 4,512 10 45,120
21 Jalan TN
GANJAR
22/03/20 Rawat
835607 HIKMAT 4,512 3 13,536
21 Inap
. TN

AZIS
22/03/20 Rawat RUHIAT
824516 4,512 1 4,512
21 Inap SUPRIA
TNA . TN

22/03/20 Rawat UDIN.

835604 4,512 3 13,536
21 Inap TN

AZIS
23/03/20 Rawat RUHIAT
824516 4,512 5 22,560
21 Inap SUPRIA
TNA . TN

GANJAR
24/03/20 Rawat
835607 HIKMAT 4,512 1 4,512
21 Inap
. TN
LAPIMU
Pasien
9 1032 C 1/3/2021 UMUM 0 1,145 10 11,450
Umum
TABLET
Pasien
### UMUM 0 1,145 2 2,290
Umum
AI
Rawat
### 802593 NINING, 1,145 10 11,450
Jalan
NY
Rawat
### 816828 ILAH, NY 1,145 10 11,450
Jalan
Rawat
### 835393 LIA. NY 1,145 10 11,450
Inap
OBAR
13/03/20 Rawat
835347 SUHEN 1,145 10 11,450
21 Jalan
DI. TN
PAPAT
15/03/20 Rawat
835496 FATIMA 1,145 10 11,450
21 Jalan
H. NY
16/03/20 Rawat ROHETI
802812 1,145 20 22,900
21 Jalan N, NY
SAEFUL
16/03/20 Rawat
835220 HUDAYA 1,145 15 17,175
21 Jalan
TN
 TN.
16/03/20
UMUM 0 SAEFUL/ 1,145 6 6,870
21
APS
IIN
17/03/20 Rawat
819469 RUYANI, 1,145 3 3,435
21 Inap
NY
18/03/20 Rawat ASIR .
835538 1,145 10 11,450
21 Inap TN
IIN
18/03/20 Rawat
819469 RUYANI, 1,145 10 11,450
21 Inap
NY
19/03/20
UMUM APS NY IIS 1,145 10 11,450
21
JUJU
19/03/20 Rawat
835559 JUARIA 1,145 10 11,450
21 Jalan
H NY
20/03/20 Rawat
807029 TUTI, NY 1,145 2 2,290
21 Inap
20/03/20 Rawat JUJU,
832006 994 21 20,874
21 Jalan NY
20/03/20 Rawat SARYA
835392 994 15 14,910
21 Jalan TN
20/03/20 Rawat SUHEN
835578 994 10 9,940
21 Jalan DAR TN
20/03/20 Rawat CICIH.
831794 994 21 20,874
21 Jalan NY
20/03/20 Rawat NINING
835192 994 21 20,874
21 Jalan NY
21/03/20 Rawat WARSO
835593 994 10 9,940
21 Jalan RI TN
21/03/20 Rawat HERMA
835580 994 3 2,982
21 Inap N TN
21/03/20 Rawat DEDEN
835586 994 3 2,982
21 Inap G, TN
21/03/20 Rawat YANDI
835584 994 10 9,940
21 Jalan TN
22/03/20 Rawat
807029 TUTI, NY 994 10 9,940
21 Inap
AJENG
22/03/20 Rawat
811100 KARTINI 994 3 2,982
21 Inap
.NY
22/03/20 Rawat HERMA
835580 994 3 2,982
21 Inap N TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 994 3 2,982
21 Inap
TN
 UJANG
23/03/20 Rawat
835617 TATANG 994 3 2,982
21 Inap
. TN
AJENG
23/03/20 Rawat
811100 KARTINI 994 3 2,982
21 Inap
.NY
23/03/20 Pasien
UMUM 0 1,145 10 11,450
21 Umum
ONDA
23/03/20 Rawat
835632 MUYAN 1,145 3 3,435
21 Inap
A. TN
GANJAR
23/03/20 Rawat
835607 HIKMAT 994 3 2,982
21 Inap
. TN
23/03/20 Rawat HERMA
835580 994 10 9,940
21 Inap N TN
23/03/20 Rawat DEDEN
835586 994 10 9,940
21 Inap G, TN
23/03/20 Rawat PARNO,
835601 994 3 2,982
21 Inap TN
AJENG
24/03/20 Rawat
811100 KARTINI 1,145 3 3,435
21 Inap
.NY
LUKMAN
24/03/20 Rawat
835614 HAKIM 1,145 10 11,450
21 Inap
TN
24/03/20 Rawat PARNO,
835601 1,145 3 3,435
21 Inap TN
24/03/20 Rawat ADAH.
835518 1,145 3 3,435
21 Inap NY
25/03/20 Rawat PARNO,
835601 1,145 3 3,435
21 Inap TN
29/03/20 Rawat KACEN
835734 1,145 2 2,290
21 Inap G TN
FIONDA
Rawat
10 1040 ZOL 2/3/2021 815940 DIDI, TN. 80,850 3 242,550
Inap
INFUS
Rawat NEHAN.
8/3/2021 835360 80,850 1 80,850
Jalan TN
Rawat IMAS,
### 835142 80,850 3 242,550
Inap NY
Rawat IMAS,
### 835142 80,850 3 242,550
Inap NY
15/03/20 Rawat TASIH
835460 70,125 1 70,125
21 Inap NY
TATI
25/03/20 Rawat
835664 ROSWA 80,850 3 242,550
21 Inap
TI
 TATI
26/03/20 Rawat
835664 ROSWA 80,850 3 242,550
21 Inap
TI
27/03/20 Rawat SUARI,
800179 70,125 3 210,375
21 Inap TN
TATI
27/03/20 Rawat
835664 ROSWA 80,850 3 242,550
21 Inap
TI
TATI
28/03/20 Rawat
835664 ROSWA 70,125 3 210,375
21 Inap
TI
28/03/20 Rawat SUARI,
800179 70,125 3 210,375
21 Inap TN
Atrocox
Rawat WARSIT
11 1043 15 mg 5/3/2021 835314 11,858 10 118,580
Jalan A TN
tab
ETI
Rawat
7/3/2021 835350 SUMIATI 11,858 10 118,580
Jalan
. NY
Maxcef NANI
28/03/20 Rawat
12 1045 500mg 835706 NURJAN 13,062 2 26,124
21 Inap
Kaps AH. NY
Simtor
Rawat SUKI.
13 1046 20mg 6/3/2021 834791 14,823 10 148,230
Jalan NY
Kaps
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 14,823 1 14,823
Inap
NY
HJ. SITI
Rawat
### 4433 SOPIAH, 14,823 1 14,823
Inap
NY
HJ. SITI
Rawat
### 4433 SOPIAH, 14,823 10 148,230
Inap
NY
OMAN
15/03/20 Rawat
831629 ROHAN 14,823 1 14,823
21 Jalan
A, TN
21/03/20 Rawat WANGSI
835588 14,823 1 14,823
21 Inap H, NY
22/03/20 Rawat WANGSI
835588 14,823 1 14,823
21 Inap H, NY
23/03/20 Rawat WANGSI
835588 14,823 5 74,115
21 Inap H, NY
HJ
26/03/20 Rawat
835670 SUKARN 14,823 1 14,823
21 Inap
A TN
 HJ
26/03/20 Rawat
835670 SUKARN 14,823 1 14,823
21 Inap
A TN
HJ
27/03/20 Rawat
835670 SUKARN 14,823 7 103,761
21 Inap
A TN
27/03/20 Rawat
815940 DIDI, TN. 14,823 7 103,761
21 Jalan
HJ
27/03/20 Rawat
835670 SUKARN 14,823 1 14,823
21 Inap
A TN
Simvask
Rawat WATINI,
14 1048 10mg 6/3/2021 835325 9,433 10 94,330
Jalan NY
Tab
KANZIA
Simzen Rawat
15 1049 4/3/2021 833256 NURSAL 4,786 1 4,786
Kaps Jalan
SA AN
ZEAN
Rawat
8/3/2021 834769 FAQIH 4,786 1 4,786
Jalan
AN
Rawat ALENA .
8/3/2021 835356 4,786 1 4,786
Jalan AN
NANDI
Rawat
9/3/2021 835384 KRISAL 4,786 1 4,786
Jalan
AM. AN
Rawat NUNUN
9/3/2021 835338 4,786 5 23,930
Inap G K, NY
15/03/20 Rawat YULIA.
823416 4,786 10 47,860
21 Jalan NY
16/03/20 Rawat
835519 UUM NY 4,786 7 33,502
21 Jalan
MUHAM
25/03/20 Rawat AD
835657 4,786 1 4,786
21 Jalan RIVAN
AN
Simdrol ALIF
29/03/20 Rawat
16 1050 4 mg 835652 HAFID. 3,390 3 10,170
21 Jalan
Tab BY
AHMAT
30/03/20 Rawat
835759 MULADI. 3,908 10 39,080
21 Jalan
TN
ZAYNA
30/03/20 Rawat
835510 ALMAHI 3,908 4 15,632
21 Jalan
RA, AN
31/03/20 Rawat NONOK.
835612 3,908 6 23,448
21 Jalan NY
 IKRAN
31/03/20 Rawat
834537 ZAKI 3,908 18 70,344
21 Jalan
SDR
Benang
Rawat CEPI,
17 106 Monolon 3/3/2021 835281 54,138 1 54,138
Jalan TN
4-0
ANI
Rawat PRISTIA
8/3/2021 835354 54,138 1 54,138
Jalan WATI.
NY
27/03/20 Rawat JAENAL
835715 52,133 1 52,133
21 Jalan NY

Imunvit Yana
18 1064 4/3/2021 K75 11,133 5 55,665
Plus Tab Gustiana

M AMRI
FURQO
Rawat
7/3/2021 835349 N AL 11,133 5 55,665
Jalan
AKBAR .
SDR
UNAY
Rawat
7/3/2021 802318 SUNARY 11,133 10 111,330
Jalan
A, TN
JUASIH
Rawat
7/3/2021 835343 KARNES 11,133 10 111,330
Jalan
IH. NY
AI
Rawat
7/3/2021 3483 UNENG 11,133 10 111,330
Jalan
SIH, NY
Rawat AMINAH.
8/3/2021 835378 11,133 10 111,330
Jalan NY
DENI
Rawat
### 835413 SUPRIA 11,133 5 55,665
Jalan
DI TN
13/03/20 ny
UMUM 0 11,133 8 89,064
21 aminah
AMRIN
15/03/20 Rawat
835462 SOBANA 11,133 4 44,532
21 Inap
TN
IIS
16/03/20 Rawat
835516 WARTIK 11,133 5 55,665
21 Jalan
AH NY
NN.
16/03/20 Rawat DITA
835525 11,133 5 55,665
21 Jalan SETIAW
ATI
 HERI
17/03/20 Rawat
835535 HERMA 11,133 10 111,330
21 Jalan
WAN TN
ENUNG
17/03/20 Rawat
820620 JUARIA 11,133 10 111,330
21 Jalan
H. NY
EUIS
19/03/20 Rawat
1708 MAEMU 11,133 10 111,330
21 Jalan
NAH, NY
20/03/20 Tn
UMUM 0 10,098 8 80,784
21 Mulyana
24/03/20 Rawat HIDAYA
835638 11,133 10 111,330
21 Jalan T. TN
DALIAH
25/03/20 Rawat
835647 YULIANI. 11,133 10 111,330
21 Jalan
NY
26/03/20 Rawat HIDAYA
835638 11,133 1 11,133
21 Inap T. TN
26/03/20 Rawat MAHYA
835692 11,133 5 55,665
21 Jalan TN
27/03/20 Rawat HIDAYA
835638 11,133 1 11,133
21 Inap T. TN
28/03/20 Pasien
UMUM 0 11,133 1 11,133
21 Umum
UPIT
28/03/20 Rawat
835720 SARIMA 11,133 10 111,330
21 Jalan
NAH, NY
ADE
28/03/20 Rawat
835733 YUNEN 11,133 5 55,665
21 Jalan
GSIH NY
29/03/20 Pasien
UMUM 0 11,133 4 44,532
21 Umum
CICI
31/03/20 Rawat
835746 SUMAR 11,133 10 111,330
21 Inap
CI. NY
YETI
31/03/20 Rawat
807134 MARYA 11,133 10 111,330
21 Inap
NI, NY
Reza
Simprofe
19 1065 3/3/2021 K105 Supriyat 8,085 5 40,425
n Tab
na
EEM
16/03/20 Rawat
831825 SUKAE 8,085 10 80,850
21 Inap
MI. NY
AMALIA
16/03/20 Rawat
835521 SHOHIF 8,085 10 80,850
21 Jalan
AH . NN
 16/03/20 Rawat
815940 DIDI, TN. 8,085 10 80,850
21 Inap
SAEPUL
31/03/20 Rawat
814700 HIDAYA 8,085 10 80,850
21 Inap
T,TN
EPI
31/03/20 Rawat
834663 YULIA. 8,085 10 80,850
21 Inap
NY
FARBIO FADHIL
31/03/20 Rawat
20 1066 N 5000 835796 AKRAM 9,108 1 9,108
21 Inap
INJEK SDR
HJ
31/03/20 Rawat
835783 NUNUN 9,108 1 9,108
21 Inap
G. NY
ALLOPU
RINOL 20/03/20 Rawat WAHIDI
21 1080 814364 415 30 12,450
100 TAB 21 Jalan N, TN
(FM)
SIMLEV 18/03/20 Rawat CICIH
22 1083 811043 40,838 1 40,838
TAB 21 Inap NY.
AMRIN
N-ACE 25/03/20 Rawat
23 1084 835462 SOBANA 3,588 15 53,820
CAPS 21 Jalan
TN
NANI
25/03/20 Rawat
815243 MARYA 3,588 3 10,764
21 Inap
NI, NY.
AJENG
25/03/20 Rawat
811100 KARTINI 3,588 21 75,348
21 Inap
.NY
ENEN
25/03/20 Rawat
833625 SUHAEN 3,588 15 53,820
21 Jalan
AH NY
25/03/20
UMUM APS ny enen 3,588 6 21,528
21
HJ
29/03/20 Rawat
835648 CECEP . 3,575 3 10,725
21 Inap
TN
30/03/20 Rawat USMI,
5908 3,575 3 10,725
21 Inap NY
A
30/03/20 Rawat
835751 SUTISN 3,575 3 10,725
21 Inap
A. TN
UYUN
30/03/20 Rawat
835729 MULYAN 3,575 3 10,725
21 Inap
A . TN
HJ
30/03/20 Rawat
835648 CECEP . 3,588 3 10,764
21 Inap
TN
 31/03/20 Rawat AMANA
832051 3,575 10 35,750
21 Jalan H NY
IIS
31/03/20 Rawat
835791 DEDEH 3,575 2 7,150
21 Inap
NY
31/03/20 Rawat RUSMIA
835801 3,575 3 10,725
21 Inap TI NY
IDA
31/03/20 Rawat
835740 BAGUS. 3,575 1 3,575
21 Inap
TN
IDA
31/03/20 Rawat
835740 BAGUS. 3,575 10 35,750
21 Inap
TN
A
31/03/20 Rawat
835751 SUTISN 3,575 3 10,725
21 Inap
A. TN
31/03/20 Rawat USMI,
5908 3,575 3 10,725
21 Inap NY
HJ
31/03/20 Rawat
835648 CECEP . 3,575 10 35,750
21 Inap
TN
UYUN
31/03/20 Rawat
835729 MULYAN 3,575 15 53,625
21 Inap
A . TN
NAUFAL
Inbacef
13/03/20 Rawat DI
24 1087 200 mg 800119 26,950 2 53,900
21 Inap AGUSTI
Caps
N, AN
EVI SITI
ESOLA Rawat
25 1088 4/3/2021 811994 NUR. 222,338 1 222,338
INJEK Inap
F,NY
NINING
Rawat
### 832543 RUNING 222,338 1 222,338
Inap
SIH NY
SUPRIH
Rawat
### 822113 ATIN. 222,338 1 222,338
Inap
NY
Rawat
### 835393 LIA. NY 222,338 1 222,338
Inap
NINING
13/03/20 Rawat
832543 RUNING 222,338 1 222,338
21 Inap
SIH NY
SUPRIH
13/03/20 Rawat
822113 ATIN. 222,338 1 222,338
21 Inap
NY
NORFIO
23/03/20 Rawat UDIN.
26 1096 N 835604 107,800 1 107,800
21 Inap TN
INJEKSI
 Acyclovir Vivi
27 11 5/3/2021 K23 4,794 1 4,794
Cream Haviani
ENDAN
HOLIDO Rawat G
28 1116 7/3/2021 835339 379 3 1,137
N TAB Inap SETIAW
AN. TN
AHMAD
Rawat
8/3/2021 834644 SOFIAN 379 3 1,137
Inap
TN
IMAS
Rawat
8/3/2021 835359 FARIDA 379 10 3,790
Jalan
NY
Rawat AMINAH.
8/3/2021 835378 379 10 3,790
Jalan NY
YUNITA
Rawat NUR
8/3/2021 835353 379 3 1,137
Inap SOLIHA
T NY
Pasien
8/3/2021 UMUM 0 379 7 2,653
Umum

dr. Indra
8/3/2021 K5 Bagus 379 10 3,790
Haryanto

ENDAN
Rawat G
8/3/2021 835339 379 10 3,790
Inap SETIAW
AN. TN
LILIS
Rawat
8/3/2021 823790 SURYAN 379 10 3,790
Inap
I.NY
Rawat SINTIA.
8/3/2021 835301 379 10 3,790
Inap NY
Rawat ENOS,
8/3/2021 801989 379 10 3,790
Inap TN
YUNITA
Rawat NUR
8/3/2021 835353 379 3 1,137
Inap SOLIHA
T NY
Rawat NUNUN
8/3/2021 835338 379 3 1,137
Inap G K, NY
TITI
Rawat
9/3/2021 835391 AMINAH. 379 3 1,137
Inap
NY
SALLY
Rawat
9/3/2021 802943 ASTAVA 379 3 1,137
Inap
NY. NY
 TITA
Rawat
9/3/2021 835383 MARYAT 379 1 379
Inap
I. NY
NY AN
9/3/2021 UMUM 0 ANENG 379 30 11,370
SIH/APS
YUNITA
Rawat NUR
9/3/2021 835353 379 10 3,790
Inap SOLIHA
T NY
SAEFUL
Rawat
9/3/2021 835220 HUDAYA 379 21 7,959
Jalan
TN
Rawat UNASIH
9/3/2021 832206 379 21 7,959
Jalan NY
ITI
Rawat
9/3/2021 835385 DARSITI 379 3 1,137
Inap
, NY
DINI
Rawat
9/3/2021 835267 KHAERA 379 21 7,959
Jalan
NI. NY
UUN
Rawat
9/3/2021 835337 UNASIH, 379 21 7,959
Jalan
NY
Rawat AGUS,
9/3/2021 835398 379 3 1,137
Inap TN
ANDRI
Rawat RUDIAN
9/3/2021 835388 379 10 3,790
Jalan SYAH
SDR
NAUFAL
Rawat DI
### 800119 379 10 3,790
Jalan AGUSTI
N, AN
Rendyka
### K4 379 6 2,274
Rama
MAHDA
Rawat TRI
### 835409 379 10 3,790
Jalan UTAMI
NY
BAYU
Rawat
### 835410 ANUGE 379 10 3,790
Jalan
RAH TN
Rawat ROHETI
### 802812 379 3 1,137
Inap N, NY
Rawat AGUS,
### 835398 379 3 1,137
Inap TN
 TITA
Rawat
### 835383 MARYAT 379 3 1,137
Inap
I. NY
SALLY
Rawat
### 802943 ASTAVA 379 10 3,790
Inap
NY. NY
TITI
Rawat
### 835391 AMINAH. 379 3 1,137
Inap
NY
ITI
Rawat
### 835385 DARSITI 379 3 1,137
Inap
, NY
YEYE
Rawat
### 835406 DARSITI 379 10 3,790
Jalan
. NY
NINING
Rawat
### 832543 RUNING 379 3 1,137
Inap
SIH NY
TITI
Rawat
### 835391 AMINAH. 379 10 3,790
Inap
NY
Pasien
### UMUM 0 379 2 758
Umum
Rawat AGUS,
### 835398 379 3 1,137
Inap TN
ITI
Rawat
### 835385 DARSITI 379 3 1,137
Inap
, NY
Rawat SUPRI.
### 835403 379 3 1,137
Inap TN
SUPRIH
Rawat
### 822113 ATIN. 379 3 1,137
Inap
NY
SITI
Rawat
### 835233 MULYAT 379 21 7,959
Jalan
I NY

WIWI
Rawat
### 822334 RATNEN 379 21 7,959
Jalan
GSIH.NY

Rawat
### 835415 AAH, NY 379 3 1,137
Inap
Rawat
### 835393 LIA. NY 379 10 3,790
Inap
KHOTIM
Rawat ATUS
### 811689 379 3 1,137
Inap SADIAH,
NY
 Rawat YUSILA
### 834752 379 3 1,137
Inap WATI,NY

NINING
Rawat
### 832543 RUNING 379 3 1,137
Inap
SIH NY
Pasien
### UMUM 0 379 10 3,790
Umum
Rawat AGUS,
### 835398 379 3 1,137
Inap TN
SUPRIH
Rawat
### 822113 ATIN. 379 3 1,137
Inap
NY
Rawat
### 835415 AAH, NY 379 3 1,137
Inap
Rawat SUPRI.
### 835403 379 10 3,790
Inap TN
ITI
Rawat
### 835385 DARSITI 379 10 3,790
Inap
, NY

HAYKAL
13/03/20 Rawat DWI
835435 379 2 758
21 Inap SYAHPU
TRA AN

13/03/20 Rawat
835415 AAH, NY 379 3 1,137
21 Inap
ATIK
13/03/20 Rawat
817256 KURNIA 379 21 7,959
21 Jalan
SIH. NY
13/03/20 Rawat TASIH
835460 379 3 1,137
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 379 3 1,137
21 Inap
TN
BAYU
13/03/20 Rawat
835410 ANUGE 379 3 1,137
21 Inap
RAH TN
13/03/20 Rawat AGUS,
835398 379 1 379
21 Inap TN
13/03/20 Rawat AGUS,
835398 379 21 7,959
21 Inap TN
13/03/20 Rawat RUKMIN
835465 379 11 4,169
21 Jalan I. NY
13/03/20 ny
UMUM 0 379 30 11,370
21 aminah
 NAUFAL
13/03/20 Rawat DI
800119 379 3 1,137
21 Inap AGUSTI
N, AN

13/03/20 Rawat YUSILA

834752 379 3 1,137
21 Inap WATI,NY

BAYU
13/03/20 Rawat
835410 ANUGE 379 3 1,137
21 Inap
RAH TN
SUPRIH
13/03/20 Rawat
822113 ATIN. 379 3 1,137
21 Inap
NY
KHOTIM
13/03/20 Rawat ATUS
811689 379 3 1,137
21 Inap SADIAH,
NY
14/03/20 Rawat
835415 AAH, NY 379 3 1,137
21 Inap
14/03/20 Rawat TASIH
835460 379 3 1,137
21 Inap NY
LINDA
14/03/20 Rawat
835448 LAELA. 379 3 1,137
21 Inap
NY
ADE
14/03/20 Rawat
835470 SUKAES 379 3 1,137
21 Inap
IH NY
14/03/20 Pasien
UMUM 0 379 30 11,370
21 Umum
14/03/20 Rawat ENES
835469 379 3 1,137
21 Inap NY

14/03/20 Rawat YUSILA

834752 379 10 3,790
21 Inap WATI,NY

NINING
14/03/20 Rawat
832543 RUNING 379 10 3,790
21 Inap
SIH NY
NINING
14/03/20 Rawat
832543 RUNING 379 2 758
21 Inap
SIH NY
14/03/20 Rawat KARMO
835236 379 3 1,137
21 Inap TN
BAYU
14/03/20 Rawat
835410 ANUGE 379 3 1,137
21 Inap
RAH TN
AMRIN
14/03/20 Rawat
835462 SOBANA 379 3 1,137
21 Inap
TN
 SUPRIH
14/03/20 Rawat
822113 ATIN. 379 3 1,137
21 Inap
NY
KHOTIM
14/03/20 Rawat ATUS
811689 379 10 3,790
21 Inap SADIAH,
NY
TATI
14/03/20 Rawat
835463 WARSITI 379 3 1,137
21 Inap
. NY
14/03/20 Rawat FATIMA
832088 379 3 1,137
21 Inap H , NY
UAR
14/03/20 Rawat
835466 WARSIT 379 3 1,137
21 Inap
A. TN
TATI
15/03/20 Rawat
835463 WARSITI 379 10 3,790
21 Inap
. NY
SUPRIH
15/03/20 Rawat
822113 ATIN. 379 6 2,274
21 Inap
NY
ADE
15/03/20 Rawat
835470 SUKAES 379 3 1,137
21 Inap
IH NY
LINDA
15/03/20 Rawat
835448 LAELA. 379 2 758
21 Inap
NY
15/03/20 Rawat
835415 AAH, NY 379 3 1,137
21 Inap
15/03/20 Rawat FATIMA
832088 379 3 1,137
21 Inap H , NY
UAR
15/03/20 Rawat
835466 WARSIT 379 10 3,790
21 Inap
A. TN
NAUFAL
15/03/20 Rawat DI
800119 379 3 1,137
21 Inap AGUSTI
N, AN
15/03/20 Rawat KARMO
835236 379 3 1,137
21 Inap TN
BAYU
15/03/20 Rawat
835410 ANUGE 379 3 1,137
21 Inap
RAH TN
HJ
15/03/20 Rawat
804292 CICIH. 379 3 1,137
21 Inap
NY
24/03/20 Pasien
UMUM 0 363 10 3,630
21 Umum
 UJANG
25/03/20 Rawat
835617 TATANG 379 20 7,580
21 Inap
. TN
SOPIAN
25/03/20 Rawat
835608 YUDA. 379 10 3,790
21 Inap
SDR
NUNUN
25/03/20 Rawat G
835606 379 10 3,790
21 Inap KOMARI
AH. NY
FITRI
25/03/20 Rawat SARI
835624 379 3 1,137
21 Inap WAHYU
NI NN
25/03/20 Rawat SAMRI
835661 379 21 7,959
21 Jalan TN
SAPAAT
25/03/20 Rawat NURHA
835668 379 3 1,137
21 Inap YATUDI
N TN
AJENG
25/03/20 Rawat
811100 KARTINI 379 21 7,959
21 Inap
.NY
DALIAH
25/03/20 Rawat
835647 YULIANI. 379 10 3,790
21 Jalan
NY
PINKAN
25/03/20 Rawat
817099 RIZKY.N 379 10 3,790
21 Jalan
N
ADE
25/03/20 Rawat
800276 SUHEN 379 3 1,137
21 Inap
DI, TN
25/03/20 Rawat KARSIH
831386 379 10 3,790
21 Inap NY
MIMIN
25/03/20 Rawat
810395 MINTAR 379 30 11,370
21 Jalan
SIH,NY
26/03/20 Rawat RIFAL
835674 379 3 1,137
21 Inap SDR
UJANG
26/03/20 Rawat
2816 HENDI , 379 3 1,137
21 Inap
TN
26/03/20 Rawat NENGSI
835645 379 3 1,137
21 Inap H NY
FITRI
26/03/20 Rawat SARI
835624 379 10 3,790
21 Inap WAHYU
NI NN
 ADE
26/03/20 Rawat
800276 SUHEN 379 10 3,790
21 Inap
DI, TN
26/03/20 Rawat YUYUM
835643 379 3 1,137
21 Inap NY
SAPAAT
26/03/20 Rawat NURHA
835668 379 3 1,137
21 Inap YATUDI
N TN
26/03/20 Rawat HIDAYA
835638 379 3 1,137
21 Inap T. TN
ENTIN
26/03/20 Rawat
826446 ROSTINI 379 10 3,790
21 Jalan
, NY
27/03/20 Rawat ENDAN
835708 379 3 1,137
21 Inap G TN
27/03/20 Rawat HIDAYA
835638 379 3 1,137
21 Inap T. TN
27/03/20 Rawat NENGSI
835645 379 3 1,137
21 Inap H NY
27/03/20 Rawat RIFAL
835674 379 3 1,137
21 Inap SDR
27/03/20 Rawat
835719 EHA NY 379 10 3,790
21 Jalan
27/03/20 Rawat YUYUM
835643 379 3 1,137
21 Inap NY
SAPAAT
27/03/20 Rawat NURHA
835668 379 3 1,137
21 Inap YATUDI
N TN
NANI
27/03/20 Rawat
835706 NURJAN 379 3 1,137
21 Inap
AH. NY
EPON
27/03/20 Rawat
835622 SUKARS 379 20 7,580
21 Inap
IH NY
28/03/20 Rawat ENDAN
835708 379 3 1,137
21 Inap G TN
SITI
28/03/20 Rawat
835704 RODIAH. 379 3 1,137
21 Inap
NY
IMAS
28/03/20 Rawat
827623 MULYAN 379 3 1,137
21 Inap
I, NY
WINDY
28/03/20 Rawat
835718 WIDURI. 379 3 1,137
21 Inap
AN
 28/03/20 Pasien
UMUM 0 379 10 3,790
21 Umum
NANI
28/03/20 Rawat
835706 NURJAN 379 3 1,137
21 Inap
AH. NY
28/03/20 Rawat ALMIRA,
835721 379 10 3,790
21 Jalan AN
UYUN
28/03/20 Rawat
835729 MULYAN 379 3 1,137
21 Inap
A . TN
UJANG
28/03/20 Rawat
2816 HENDI , 379 2 758
21 Inap
TN
28/03/20 Rawat RIFAL
835674 379 3 1,137
21 Inap SDR
NANI
29/03/20 Rawat
835706 NURJAN 379 3 1,137
21 Inap
AH. NY
HJ
29/03/20 Rawat
835648 CECEP . 379 3 1,137
21 Inap
TN
Benang
Silk No Rawat RAHMA
29 113 7/3/2021 835344 46,242 1 46,242
2-0 Jalan T. TN
( Cuting )

Rawat ROSYA
7/3/2021 835342 46,242 1 46,242
Jalan NA. SDR

FIONVA
23/03/20 Rawat WANGSI
30 1134 SK 5 MG 835588 6,417 5 32,085
21 Inap H, NY
TAB
24/03/20 Rawat SUARI
835634 6,417 10 64,170
21 Jalan TN
25/03/20 Rawat YATNI
835642 6,417 1 6,417
21 Inap NY
UTA
26/03/20 Rawat
835690 SOPAN 6,417 10 64,170
21 Jalan
DI.TN
28/03/20 Rawat SUARI,
800179 6,417 1 6,417
21 Inap TN
TRACET HJ
30/03/20 Rawat
31 1135 ATE 160 835648 CECEP . 28,977 1 28,977
21 Inap
TAB TN
HJ
31/03/20 Rawat
835648 CECEP . 28,977 1 28,977
21 Inap
TN
 EVI SITI
GOLDTR Rawat
32 1145 5/3/2021 811994 NUR. 11,643 5 58,215
ION TAB Inap
F,NY

AZIS
30/03/20 Rawat RUHIAT
824516 11,643 8 93,144
21 Jalan SUPRIA
TNA . TN

Benang LALAN
Rawat
33 115 Silk 3-0 ( 8/3/2021 835380 SOBARI 50,639 1 50,639
Jalan
Taper ) SDR

ELFANO
WIDOXI Rawat
34 1151 3/3/2021 827376 SINAGA, 80,850 1 80,850
L 250 DS Jalan
BY

ALIB
Rawat
### 835407 GUNAW 80,850 1 80,850
Jalan
AN, AN
M.
20/03/20 Rawat
4682 RAMDA 80,850 1 80,850
21 Jalan
N, AN
ADI
27/03/20 Rawat
835700 SAHRIL . 80,850 1 80,850
21 Jalan
AN
H
GP NS Rawat
35 1162 1/3/2021 835215 HASAN 16,500 1 16,500
100 ml Inap
TN
ONENG
Rawat
1/3/2021 832859 ROKAE 16,500 1 16,500
Inap
NAH. NY
YAYA
Rawat
1/3/2021 835079 SUNARY 16,500 1 16,500
Inap
A TN
ERI
Rawat RAHMA
1/3/2021 835239 16,500 1 16,500
Inap WATI.
NY
Rawat KARMO
1/3/2021 835236 16,500 1 16,500
Inap TN

SUSI
Rawat
1/3/2021 835194 SUSILA 20,698 1 20,698
Inap
WATI NY

Rawat NINING
1/3/2021 835192 16,500 1 16,500
Inap NY
EUIS
Rawat
1/3/2021 834994 YULIANI 16,500 1 16,500
Inap
NY
 YAYA
Rawat
1/3/2021 835079 SUNARY 16,500 1 16,500
Inap
A TN
Rawat
2/3/2021 815940 DIDI, TN. 16,500 1 16,500
Inap
ERI
Rawat RAHMA
2/3/2021 835239 16,500 1 16,500
Inap WATI.
NY
EUIS
Rawat
2/3/2021 834994 YULIANI 16,500 1 16,500
Inap
NY
Rawat KARMO
2/3/2021 835236 16,500 1 16,500
Inap TN
YAYA
Rawat
2/3/2021 835079 SUNARY 16,500 1 16,500
Inap
A TN
NANDI
Rawat
2/3/2021 835204 SONJAY 16,500 1 16,500
Inap
A. TN
EUIS
Rawat
3/3/2021 834994 YULIANI 17,532 1 17,532
Inap
NY
ERI
Rawat RAHMA
3/3/2021 835239 17,532 1 17,532
Inap WATI.
NY
Rawat KARMO
3/3/2021 835236 17,532 1 17,532
Inap TN
SITI
Rawat MAEUM
3/3/2021 835284 17,532 1 17,532
Inap ANAH,
NY
EUIS
Rawat
4/3/2021 834994 YULIANI 20,698 1 20,698
Inap
NY
Rawat KARMO
4/3/2021 835236 20,698 1 20,698
Inap TN
SITI
Rawat MAEUM
4/3/2021 835284 20,698 1 20,698
Inap ANAH,
NY
SITI
Rawat MAEUM
5/3/2021 835284 20,698 1 20,698
Inap ANAH,
NY
Rawat ENOS,
6/3/2021 801989 20,698 1 20,698
Inap TN
 ENDAN
Rawat G
7/3/2021 835339 20,698 1 20,698
Inap SETIAW
AN. TN
Rawat ENOS,
7/3/2021 801989 20,698 1 20,698
Inap TN
ENDAN
Rawat G
7/3/2021 835339 20,698 1 20,698
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 20,698 1 20,698
Inap A, TN
Rawat ENOS,
7/3/2021 801989 20,698 1 20,698
Inap TN
Rawat SUTARN
7/3/2021 810138 20,698 1 20,698
Inap A, TN
Rawat SUTARN
8/3/2021 810138 20,698 1 20,698
Inap A, TN
Rawat NEHAN.
8/3/2021 835360 20,698 1 20,698
Jalan TN
Rawat SUTARN
8/3/2021 810138 20,698 1 20,698
Inap A, TN
ITI
Rawat
9/3/2021 835385 DARSITI 20,698 1 20,698
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 20,698 1 20,698
Inap
I. NY
Rawat JURAEJI
9/3/2021 827464 20,698 1 20,698
Inap N, TN
Rawat JURAEJI
### 827464 20,698 1 20,698
Inap N, TN
TITA
Rawat
### 835383 MARYAT 20,698 1 20,698
Inap
I. NY
ITI
Rawat
### 835385 DARSITI 20,698 1 20,698
Inap
, NY
ITI
Rawat
### 835385 DARSITI 20,698 1 20,698
Inap
, NY
Rawat IMAS,
### 835142 20,698 1 20,698
Inap NY
Rawat AGUS,
### 835398 20,698 1 20,698
Inap TN
Rawat AGUS,
### 835398 20,698 1 20,698
Inap TN
 Rawat IMAS,
### 835142 20,698 1 20,698
Inap NY
13/03/20 Rawat KARMO
835236 20,698 1 20,698
21 Inap TN
BAYU
13/03/20 Rawat
835410 ANUGE 20,698 1 20,698
21 Inap
RAH TN
TINI
13/03/20 Rawat
835417 HARTINI 20,698 1 20,698
21 Inap
. NY
13/03/20 Rawat FATIMA
832088 20,698 1 20,698
21 Inap H , NY
AMRIN
13/03/20 Rawat
835462 SOBANA 20,698 1 20,698
21 Inap
TN
KHOTIM
13/03/20 Rawat ATUS
811689 20,698 1 20,698
21 Inap SADIAH,
NY
EEM
13/03/20 Rawat
831825 SUKAE 20,698 1 20,698
21 Inap
MI. NY
TINI
14/03/20 Rawat
835417 HARTINI 20,698 1 20,698
21 Inap
. NY
14/03/20 Rawat FATIMA
832088 20,698 1 20,698
21 Inap H , NY
ADE
14/03/20 Rawat
835470 SUKAES 20,698 1 20,698
21 Inap
IH NY
14/03/20 Rawat KARMO
835236 20,698 1 20,698
21 Inap TN
BAYU
14/03/20 Rawat
835410 ANUGE 20,698 1 20,698
21 Inap
RAH TN
AMRIN
14/03/20 Rawat
835462 SOBANA 20,698 1 20,698
21 Inap
TN
EEM
14/03/20 Rawat
831825 SUKAE 20,698 1 20,698
21 Inap
MI. NY
UAR
14/03/20 Rawat
835466 WARSIT 20,698 1 20,698
21 Inap
A. TN
UAR
14/03/20 Rawat
835466 WARSIT 20,698 1 20,698
21 Inap
A. TN
 ADE
15/03/20 Rawat
835470 SUKAES 20,698 1 20,698
21 Inap
IH NY
15/03/20 Rawat
815940 DIDI, TN. 20,698 1 20,698
21 Inap
TINI
15/03/20 Rawat
835417 HARTINI 20,698 1 20,698
21 Inap
. NY
IIN
15/03/20 Rawat
819469 RUYANI, 20,698 1 20,698
21 Inap
NY
15/03/20 Rawat ROKAYA
835481 20,698 1 20,698
21 Inap H NY
15/03/20 Rawat FATIMA
832088 20,698 1 20,698
21 Inap H , NY
UAR
15/03/20 Rawat
835466 WARSIT 20,698 1 20,698
21 Inap
A. TN
15/03/20 Rawat KARMO
835236 20,698 1 20,698
21 Inap TN
BAYU
15/03/20 Rawat
835410 ANUGE 20,698 1 20,698
21 Inap
RAH TN
OMAN
15/03/20 Rawat
831629 ROHAN 20,698 1 20,698
21 Jalan
A, TN
TITI
16/03/20 Rawat
835508 SURYAN 20,698 1 20,698
21 Inap
I NY
IIN
16/03/20 Rawat
819469 RUYANI, 20,698 1 20,698
21 Inap
NY
16/03/20 Rawat ROKAYA
835481 20,698 1 20,698
21 Inap H NY
NUNUN
G
16/03/20 Rawat
835479 HERMA 20,698 1 20,698
21 Inap
WATI,
NY
16/03/20 Rawat FATIMA
832088 20,698 1 20,698
21 Inap H , NY
N. U.
16/03/20 Rawat
835522 UMAYA 20,698 1 20,698
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 20,698 1 20,698
21 Inap
NA NN
 16/03/20 Rawat CICIH
811043 20,698 1 20,698
21 Inap NY.
17/03/20 Rawat ROKAYA
835481 20,698 1 20,698
21 Inap H NY
IIN
17/03/20 Rawat
819469 RUYANI, 20,698 1 20,698
21 Inap
NY
YANA
17/03/20 Rawat
835328 GUSTIA 20,698 1 20,698
21 Inap
NA NN
N. U.
17/03/20 Rawat
835522 UMAYA 20,698 1 20,698
21 Inap
H NY
17/03/20 Rawat FATIMA
832088 20,698 1 20,698
21 Inap H , NY
18/03/20 Rawat ROKAYA
835481 20,698 1 20,698
21 Inap H NY
N. U.
18/03/20 Rawat
835522 UMAYA 20,698 1 20,698
21 Inap
H NY
YANA
18/03/20 Rawat
835328 GUSTIA 20,698 1 20,698
21 Inap
NA NN
23/03/20 Rawat DEDEN
835586 20,698 1 20,698
21 Inap G, TN
27/03/20 Rawat SUARI,
800179 20,698 1 20,698
21 Inap TN
SITI
BUSMIN Rawat
36 1163 5/3/2021 816874 MARIAM 6,727 15 100,905
500 TAB Jalan
. NY
SINDI
Rawat
5/3/2021 833769 SANTIK 6,727 15 100,905
Jalan
A NY
SRI
Rawat
5/3/2021 833801 WAHYU 6,727 15 100,905
Jalan
NI. NY
RENI
Rawat
8/3/2021 834210 NURHA 6,727 15 100,905
Jalan
YATI, NY
ENGKA
Rawat R
### 835184 6,727 15 100,905
Jalan MARYAT
I. NY
SITI
Rawat
### 816874 MARIAM 6,727 15 100,905
Jalan
. NY
FURAMI Rawat MONDRI
37 1168 ### 835438 14,823 1 14,823
N INJEK Jalan AN
 19/03/20 Rawat AMAT.
835550 14,823 1 14,823
21 Inap TN
AZKA
CURMU FADILAT
25/03/20 Rawat
38 1180 NOS 835649 UL 91,520 1 91,520
21 Inap
SYRUP KHOIR.
AN

ALRADY
A
26/03/20 Rawat MAHAB
830769 91,520 1 91,520
21 Inap BATAN
LUVINA
TIKA. AN

ARCHE
29/03/20 Rawat
835738 RNAR. 91,520 1 91,520
21 Jalan
AN
QORI
30/03/20 Rawat RAHMA
823037 91,520 1 91,520
21 Jalan AULIA.
BY
30/03/20 An.
UMUM APS 91,520 1 91,520
21 Anazwa
AZKA
30/03/20 Rawat BAGJA
830661 91,520 1 91,520
21 Jalan MAULAN
A.BY
YAHYA
GLUTRO Rawat
39 1189 3/3/2021 834480 MUZAMI 22,544 10 225,440
P KAP Jalan
L,
ANNISA
19/03/20 Rawat NUR
3971 22,544 5 112,720
21 Jalan ASSIDIQ
, NN

PROFER Pasien
40 1191 1/3/2021 UMUM APS 5,956 20 119,120
RO TAB Umum

Rawat KARWIN
2/3/2021 835217 5,956 10 59,560
Jalan AH NY
ENTIN
Rawat
2/3/2021 816566 NURTIN 5,956 8 47,648
Jalan
A NY.
ASTI
Rawat
2/3/2021 835257 MAULID 5,956 10 59,560
Jalan
AH. NY
SELA
Rawat
2/3/2021 835263 SOPIAH 5,956 10 59,560
Jalan
NY
 KHOIRU
Rawat
2/3/2021 830285 TUNNIS 5,956 10 59,560
Jalan
A NY
Rawat
2/3/2021 835260 ILIM TN 5,956 1 5,956
Inap
EUIS
Rawat
5/3/2021 831017 KURAES 5,956 10 59,560
Jalan
IN.NY
TITI
16/03/20 Rawat
835508 SURYAN 5,956 10 59,560
21 Inap
I NY
RENI
30/03/20 Rawat
813579 ANDRIA 7,007 1 7,007
21 Inap
NA NY
30/03/20 NY
UMUM APS 7,007 10 70,070
21 NINING
RENI
31/03/20 Rawat
813579 ANDRIA 7,007 5 35,035
21 Inap
NA NY
29/03/20 Pasien
41 1195 BNS UMUM 0 115,003 1 115,003
21 Umum
MAMAN
31/03/20 Rawat FATURA
833599 115,003 1 115,003
21 Jalan HMAN .
TN
PINI
OKTAVI
FOLDA Rawat
42 1199 2/3/2021 825352 ANI . NY/ 5,822 30 174,660
TAB Jalan
TN.
IRFAN
SITI
Rawat
2/3/2021 835259 ROHMA 5,822 15 87,330
Jalan
H. NY
TANTI
Rawat
2/3/2021 834837 PUSPAR 5,822 30 174,660
Jalan
INI NY
MISOPR ELIS
Rawat
43 1202 OSTOL 5/3/2021 813303 ANES. 6,738 15 101,070
Jalan
200 TAB NY
PAMOL AHMAD
14/03/20 Rawat
44 1204 125 MG 835458 ARYA. 16,225 1 16,225
21 Inap
SUPP AN
AHMAD
14/03/20 Rawat
835458 ARYA. 16,225 2 32,450
21 Inap
AN
KELVIN
22/03/20 Rawat
835597 JULIANT 16,225 1 16,225
21 Inap
ARA BY
 GOODIE
BAG
BAYI Rawat YULIN
45 1206 3/3/2021 834209 73,500 1 73,500
( TAS Jalan NY
HANDU
K)
ONENG
CLARIHI Rawat
46 1209 1/3/2021 832859 ROKAE 7,473 1 7,473
S TAB Inap
NAH. NY
WASILA
15/03/20 Rawat TUL
835408 7,473 7 52,311
21 Jalan ALIYAH,
NY
19/03/20 Rawat SOLIHA
835566 7,473 4 29,892
21 Jalan T NY
HJ A
19/03/20 Rawat
835562 MARYA 7,473 5 37,365
21 Jalan
M NY

BIOLEC Pasien
47 1211 2/3/2021 UMUM 0 117,516 1 117,516
TRA EFF Umum

SOLINF
Rawat ROSYA
48 1215 EC 7/3/2021 835342 2,401 14 33,614
Jalan NA. SDR
TABLET
Rawat
9/3/2021 835397 SITI, NY 2,401 10 24,010
Jalan
OOM
18/03/20 Rawat
814564 KOMAN 2,401 5 12,005
21 Jalan
AH, NY
DANIAL
BAHP Rawat AKMAL
49 1219 1/3/2021 835235 3,038 2 6,076
Racik Jalan ALFARIZ
QY AN
NAZHAN
Rawat
2/3/2021 830971 ZABIR 3,038 1 3,038
Jalan
BY
ANAZW
Rawat A
2/3/2021 832137 3,038 1 3,038
Jalan HIZWAT
UL AN

AQILA
Rawat
2/3/2021 835258 NURLAT 3,038 1 3,038
Jalan
IFAH. BY

DEVAN
Rawat ANGGA
2/3/2021 835081 3,038 1 3,038
Jalan STAZAE
LANI BY
 YAHYA
Rawat
3/3/2021 834480 MUZAMI 3,038 1 3,038
Jalan
L,

KENAN
Rawat
3/3/2021 830912 SHAKEE 3,038 1 3,038
Jalan
L R, AN

Rawat RADITIA
3/3/2021 835278 3,038 1 3,038
Jalan BY
Rawat BY
4/3/2021 834366 3,038 1 3,038
Jalan HANA
KAYLA
SHALW
Rawat
4/3/2021 829954 A 3,038 3 9,114
Jalan
PURNA
MA. AN
KANZIA
Rawat
4/3/2021 833256 NURSAL 3,038 1 3,038
Jalan
SA AN
ONENG
Rawat
5/3/2021 835066 SUMYAT 3,038 1 3,038
Jalan
I NY
Rawat HAIKAL
6/3/2021 835274 3,038 1 3,038
Inap BY
ALIF
RAMAD
Rawat HANI
8/3/2021 833527 3,038 1 3,038
Jalan CHRIST
ANTO
AN
AN.
8/3/2021 UMUM 0 FERI/AP 3,038 2 6,076
S
Rawat ALENA .
8/3/2021 835356 3,038 1 3,038
Jalan AN
Rawat HAIKAL
8/3/2021 835274 3,038 1 3,038
Inap BY
NANDI
Rawat
9/3/2021 835384 KRISAL 3,038 1 3,038
Jalan
AM. AN
FAUZAN
Rawat FIKRI
9/3/2021 831610 3,038 3 9,114
Jalan YANA
AN
MUHAM
Rawat AD
### 835405 3,038 1 3,038
Jalan FAFIJUL
. AN
 FEBI
Rawat
### 828563 NURUL 3,038 1 3,038
Jalan
F, AN
TANIA
Rawat FAITUR
### 834373 3,038 3 9,114
Jalan RAHMA
AN
Rawat CERI
### 835363 3,038 1 3,038
Inap LIAN AN
13/03/20 Rawat REVINA
833412 3,038 1 3,038
21 Jalan . AN
AHMAD
15/03/20 Rawat
835458 ARYA. 3,038 1 3,038
21 Inap
AN
MUHAM
15/03/20 Rawat AD
835405 3,038 1 3,038
21 Jalan HAFIJUL
. AN
TANIA
16/03/20 Rawat
835331 MAURA 3,038 3 9,114
21 Jalan
NISA AN
ALFI
16/03/20 Rawat
832641 ANDRA 3,038 3 9,114
21 Jalan
A. AN
CHACH
A
16/03/20 Rawat
831520 RAIHAN 3,038 2 6,076
21 Jalan
RIZKI .
BY
ZAYNA
16/03/20 Rawat
835510 ALMAHI 3,038 2 6,076
21 Jalan
RA, AN
ANAZW
16/03/20 Rawat A
832137 3,038 2 6,076
21 Jalan HIZWAT
UL AN
16/03/20 Rawat HAFIZ.
834365 3,038 2 6,076
21 Jalan BY
NADINE
16/03/20 Rawat
831349 AZZIZAH 3,038 2 6,076
21 Jalan
.AN
M
17/03/20 Rawat
833639 ISKAND 3,038 2 6,076
21 Jalan
AR AN
NURAL
18/03/20 Rawat MIRA
835511 3,038 1 3,038
21 Jalan AUINI,
AN
 KEYSA
18/03/20 Rawat DWI
830497 3,038 1 3,038
21 Jalan AGUSTI
N AN
IGRHANI
22/03/20 Rawat
832835 PARIHN 3,038 3 9,114
21 Jalan
AN
AN
22/03/20
UMUM 0 ALIF/AP 3,038 2 6,076
21
S
FAWAZ
22/03/20 Rawat ALI
828313 3,038 2 6,076
21 Jalan ALGAIS
HI.AN

DIKA
22/03/20 Rawat ABDILLA
834546 3,038 5 15,190
21 Jalan H FATIR
BY

NUNUN
23/03/20 Rawat G
835606 3,038 1 3,038
21 Inap KOMARI
AH. NY
FEBI
24/03/20 Rawat
828563 NURUL 3,038 2 6,076
21 Jalan
F, AN
TANIA
24/03/20 Rawat FAITUR
834373 3,038 2 6,076
21 Jalan RAHMA
AN
RAISYA
24/03/20 Rawat PUTRI
831593 3,038 2 6,076
21 Jalan MAHAR
ANI, AN
MUHAM
25/03/20 Rawat AD
835657 3,038 1 3,038
21 Jalan RIVAN
AN
ALIF
25/03/20 Rawat
835652 HAFID. 3,038 2 6,076
21 Jalan
BY
TUBAGU
25/03/20 Rawat S
834544 3,038 2 6,076
21 Jalan AHMAD
AN
AZLAN
25/03/20 Rawat
835646 ZAIDAN 3,038 2 6,076
21 Jalan
BY
 KELVIN
27/03/20 Rawat
835597 JULIANT 3,038 1 3,038
21 Jalan
ARA BY
ADI
27/03/20 Rawat
835700 SAHRIL . 3,038 1 3,038
21 Jalan
AN
KANZIA
29/03/20 Rawat
833256 NURSAL 3,038 3 9,114
21 Jalan
SA AN
ALIF
29/03/20 Rawat
835652 HAFID. 3,038 1 3,038
21 Jalan
BY
NADINE
30/03/20 Rawat
831349 AZZIZAH 3,038 1 3,038
21 Jalan
.AN
AZKA
30/03/20 Rawat BAGJA
830661 3,038 1 3,038
21 Jalan MAULAN
A.BY
LASAL Rawat HAINA,
50 1220 1/3/2021 835228 9,897 3 29,691
NEBU Inap AN
Pasien
2/3/2021 UMUM 0 9,897 1 9,897
Umum
Pasien
3/3/2021 UMUM APS 9,897 2 19,794
Umum
EUIS
Rawat
5/3/2021 831017 KURAES 9,897 1 9,897
Jalan
IN.NY
Rawat HAIKAL
5/3/2021 835274 9,897 2 19,794
Inap BY
Rawat HAIKAL
5/3/2021 835274 9,897 2 19,794
Inap BY
Rawat HAIKAL
6/3/2021 835274 9,897 1 9,897
Inap BY
Rawat HAIKAL
7/3/2021 835274 9,897 2 19,794
Inap BY
Pasien
### UMUM 0 9,897 1 9,897
Umum
KENZIE
Rawat AZKA
### 810083 9,897 1 9,897
Inap FAIRUIZ.
AN
Pasien
### UMUM 0 9,897 5 49,485
Umum
Rawat
### 835393 LIA. NY 9,897 3 29,691
Inap
 KELVIN
22/03/20 Rawat
835597 JULIANT 9,897 2 19,794
21 Inap
ARA BY
KELVIN
22/03/20 Rawat
835597 JULIANT 9,897 2 19,794
21 Inap
ARA BY
KELVIN
24/03/20 Rawat
835597 JULIANT 9,897 1 9,897
21 Inap
ARA BY
ALIF
25/03/20 Rawat
835652 HAFID. 9,897 1 9,897
21 Jalan
BY
27/03/20 Pasien
UMUM 0 9,897 2 19,794
21 Umum
27/03/20 Rawat KENSIN.
835701 9,897 1 9,897
21 Jalan BY
Asep
29/03/20
K56 Sunanda 9,897 2 19,794
21
r
30/03/20 Pasien
UMUM 0 9,897 2 19,794
21 Umum
IIS
31/03/20 Rawat
835791 DEDEH 9,897 3 29,691
21 Inap
NY
AL
31/03/20 Rawat RAFIQ
835800 9,897 1 9,897
21 Inap RIZKI S
AN
L-BIO Rawat HAINA,
51 1234 1/3/2021 835228 8,263 2 16,526
TABLET Inap AN
PINKAN
Rawat
1/3/2021 817099 RIZKY.N 8,263 10 82,630
Jalan
N

Yana
3/3/2021 K75 8,263 4 33,052
Gustiana

SITI
Rawat MAEUM
3/3/2021 835284 8,263 2 16,526
Inap ANAH,
NY
PINKAN
Rawat
3/3/2021 817099 RIZKY.N 8,263 6 49,578
Jalan
N
SITI
Rawat MAEUM
4/3/2021 835284 8,263 2 16,526
Inap ANAH,
NY
 ENDAN
Rawat G
7/3/2021 835339 8,263 2 16,526
Inap SETIAW
AN. TN
APRILIA
Rawat
7/3/2021 801710 YUNITA, 8,263 2 16,526
Inap
NY
ENDAN
Rawat G
8/3/2021 835339 8,263 1 8,263
Inap SETIAW
AN. TN

Rawat ARSYAK
### 814127 8,263 2 16,526
Inap HA . AN

Rawat KARLI
### 835418 8,263 5 41,315
Jalan TN
PRAZOT
27/03/20 Rawat HIDAYA
52 1235 EC 835638 17,938 7 125,566
21 Inap T. TN
CAPS

MANSU
29/03/20 Rawat
835742 R SUGIH 17,938 5 89,690
21 Jalan
TN

ETI
29/03/20 Rawat
835739 ROHAET 17,938 5 89,690
21 Jalan
I NY
ENTIN
30/03/20 Rawat
835780 HARTIT 17,938 10 179,380
21 Jalan
A,NY
HENHE
30/03/20 Rawat N
835779 17,938 10 179,380
21 Jalan ROHEN
DI. TN
KARIN
30/03/20 Rawat
835781 AGUSTI 17,938 10 179,380
21 Jalan
N, NN
SIFA
MARYA
30/03/20 Rawat
835761 M 17,938 5 89,690
21 Jalan
RAHMA
N NN
31/03/20 Rawat AMANA
832051 17,938 5 89,690
21 Jalan H NY
SANBE EUIS
Rawat
53 1237 HEST 3/3/2021 831017 KURAES 281,463 4 ###
Jalan
130 IN.NY
SIMRIS Rawat ZAHRA
54 1240 3/3/2021 826379 23,582 1 23,582
SYR Jalan PUJI, AN
 HASNA
Rawat
3/3/2021 835276 NABILA 23,582 1 23,582
Jalan
AN
AIZA
Rawat ZAFIRA
4/3/2021 835299 23,582 1 23,582
Jalan MAFAZA
, AN
KEISYA
Rawat
6/3/2021 827757 ADITIA, 20,454 1 20,454
Jalan
AN
CLARIS
SA
Rawat ANINDY
### 835401 23,582 1 23,582
Jalan A
PUTRI.
AN
Rawat AKILA,
### 835443 23,582 1 23,582
Jalan AN
SHAWQI
Rawat ZAYN
### 835419 23,582 1 23,582
Jalan PRATAM
A AN
M
27/03/20 Rawat FRANS
835703 23,582 1 23,582
21 Jalan ALFIAN.
AN
OCTEDI NOVI
Rawat
55 1242 NE 50 8/3/2021 829935 SHOVIA 55,916 1 55,916
Jalan
ML NI.NY
ELIS
LEXAPR Rawat
56 1243 5/3/2021 835202 NAHRIY 503 15 7,545
AM TAB Jalan
AH NY
NY.
5/3/2021 UMUM 0 ASIH/AP 503 14 7,042
S
ETI
Rawat YUNIA
5/3/2021 833748 503 15 7,545
Jalan SUHER
MAN NY
ASEP
Rawat
9/3/2021 835201 DUDI. 503 15 7,545
Jalan
TN
16/03/20 Rawat NUNUN
835338 503 15 7,545
21 Jalan G K, NY
16/03/20 Rawat
833931 ISAH NY 503 15 7,545
21 Jalan
16/03/20 Rawat EDAH,
835444 503 15 7,545
21 Jalan NY
 16/03/20 Rawat CAHYAT
822342 503 15 7,545
21 Jalan I.NY
AI SITI
23/03/20 Rawat
808067 ZAENAB 503 15 7,545
21 Jalan
, NY
EET
27/03/20 Rawat
810617 NURHA 503 15 7,545
21 Jalan
ETI, NY
DIDI
LASALC Rawat
57 1245 2/3/2021 821435 PANDI, 13,103 1 13,103
OM Jalan
TN
NEUFAR NY
25/03/20
58 1246 75 MG UMUM 0 KARTINI 10,349 7 72,443
21
TAB /APS
TN
25/03/20
UMUM 0 ALIMUN 10,349 5 51,745
21
DIN/APS
NY
27/03/20
UMUM 0 CICIH/A 9,900 7 69,300
21
PS
27/03/20 Rawat
815940 DIDI, TN. 10,313 7 72,191
21 Jalan
ENGKIN
27/03/20 Rawat
835520 G AJIS . 10,313 10 103,130
21 Jalan
TN

SODIKIN
27/03/20 Rawat NOOR
835524 10,313 5 51,565
21 Jalan BADRI.
TN

TN
27/03/20
UMUM 0 SODIKIN 9,900 5 49,500
21
/APS
OYO
27/03/20 Rawat
835699 SUTARY 10,313 7 72,191
21 Jalan
O. TN
SAEPUL
29/03/20 Rawat
814700 HIDAYA 10,349 1 10,349
21 Inap
T,TN
30/03/20 Rawat UNENG,
5097 10,349 1 10,349
21 Inap NY
SAEFUL
30/03/20 Rawat
835220 HUDAYA 10,349 1 10,349
21 Inap
TN
HJ
30/03/20 Rawat
804292 CICIH. 10,349 7 72,443
21 Jalan
NY
 SAEPUL
31/03/20 Rawat
814700 HIDAYA 10,349 5 51,745
21 Inap
T,TN
31/03/20 Rawat UNENG,
5097 10,349 5 51,745
21 Inap NY
PEINLO TOHA
20/03/20 Rawat
59 1248 S 400 805009 NURDIN, 68,992 1 68,992
21 Inap
INJEK TN
ETANYL EUIS
Rawat
60 1249 2 ML 3/3/2021 831017 KURAES 53,847 1 53,847
Jalan
INJEK IN.NY
Rawat LILIS,NN
4/3/2021 835293 53,847 1 53,847
Jalan Y
ONENG
GP NS Rawat
61 1250 1/3/2021 832859 ROKAE 22,078 1 22,078
500 ML Inap
NAH. NY
EUIS
Rawat
1/3/2021 834994 YULIANI 22,078 2 44,156
Inap
NY
Tofedek 15/03/20 Rawat KARMO
62 1254 835236 55,554 3 166,662
injek 21 Inap TN
EEM
15/03/20 Rawat
831825 SUKAE 55,554 3 166,662
21 Inap
MI. NY
TATI
Simciti 15/03/20 Rawat
63 1263 835463 WARSITI 11,133 10 111,330
tablet 21 Inap
. NY
IDING
31/03/20 Rawat
835732 JAENUD 11,133 10 111,330
21 Inap
IN, TN
TRANSP
ULMIN
Pak H
64 1266 BABY ### UMUM 0 62,578 1 62,578
Toto
BLSM 10
G
LAPIFLO AI
Rawat
65 1270 X 500 6/3/2021 821381 KARWA 17,518 10 175,180
Jalan
MG TAB TI.NY
M AMRI
FURQO
Rawat
7/3/2021 835349 N AL 17,518 10 175,180
Jalan
AKBAR .
SDR
tn faizal /
### UMUM APS 17,518 10 175,180
aps
19/03/20 Rawat ANIS,
835551 17,518 10 175,180
21 Jalan NY
 Vaksin
66 1271 4/3/2021 UMUM 0 dr Santi 66,150 1 66,150
DPT /vial

NOVAL
Rawat
8/3/2021 833589 HIMAWA 66,150 1 66,150
Jalan
N BY
8/3/2021 UMUM 0 dr Santi 66,150 1 66,150
LUTHFI
16/03/20 Rawat
833729 YUNAN 25,480 1 25,480
21 Jalan
BY

DIKA
22/03/20 Rawat ABDILLA
834546 25,480 1 25,480
21 Jalan H FATIR
BY

SALSA
Vaksin Rawat NURISM
67 1272 1/3/2021 834631 43,750 1 43,750
BCG/vl Jalan A PUTRI
. BY
FAIZAN
Rawat ABKORI
1/3/2021 835105 43,750 1 43,750
Jalan IBRAHIM
. AN
4/3/2021 UMUM 0 dr Santi 66,150 1 66,150
RAFASY
23/03/20 Rawat A
835386 44,590 1 44,590
21 Jalan FEBRIA
NDI. AN
28/03/20 Yulin
K41 44,590 1 44,590
21 Yuliandri
29/03/20 Rawat SHAFIR
834913 44,590 1 44,590
21 Jalan AA. BY
AZKA
PYRAVI
Rawat BAGJA
68 1273 T 2/3/2021 830661 46,915 1 46,915
Jalan MAULAN
SYRUP
A.BY

FARREL
Rawat RAYHAN
4/3/2021 833888 46,915 1 46,915
Jalan ANUGR
AH AN

KHAIRA
16/03/20 Rawat
824645 NAYYAR 46,915 1 46,915
21 Jalan
A, AN
 FARREL
18/03/20 Rawat RAYHAN
833888 46,915 1 46,915
21 Jalan ANUGR
AH AN

AZKA
30/03/20 Rawat BAGJA
830661 46,915 1 46,915
21 Jalan MAULAN
A.BY
KANZIA
EFISOL Rawat
69 1277 4/3/2021 833256 NURSAL 35,269 1 35,269
LIQ Jalan
SA AN
SHAKIR
PEHAD
Rawat A
70 1278 OXIN F 1/3/2021 831380 809 10 8,090
Jalan MUNTAJ
TAB
AH AN
MUHAM
Rawat AD
1/3/2021 827194 809 10 8,090
Jalan ABIZAR,
AN
DENI
Rawat
1/3/2021 830666 RAMDA 809 15 12,135
Jalan
NI.AN
EUIS
Rawat
1/3/2021 834994 YULIANI 825 3 2,475
Inap
NY
NN INEU
2/3/2021 UMUM 0 792 30 23,760
/APS
ANAZW
Rawat A
2/3/2021 832137 825 3 2,475
Jalan HIZWAT
UL AN
TUTI
Rawat
2/3/2021 834823 NURLEL 825 7 5,775
Jalan
A NY
SILVI
Rawat
2/3/2021 832412 RODIAH, 825 30 24,750
Jalan
NN
EUIS
Rawat
2/3/2021 834994 YULIANI 825 1 825
Inap
NY
EUIS
Rawat
3/3/2021 834994 YULIANI 825 1 825
Inap
NY
 KIESABI
Rawat LA
3/3/2021 834833 825 10 8,250
Jalan HERTIK
A AN
EUIS
Rawat
4/3/2021 834994 YULIANI 809 1 809
Inap
NY
KAYLA
SHALW
Rawat
4/3/2021 829954 A 809 8 6,472
Jalan
PURNA
MA. AN
Rawat DADAN
4/3/2021 834438 809 24 19,416
Jalan G, TN
KIRANA
Rawat
4/3/2021 832038 HUMAIR 809 10 8,090
Jalan
A AN
Rawat UNENG,
4/3/2021 5097 809 24 19,416
Jalan NY
Rawat RIANIKH
4/3/2021 835099 809 30 24,270
Jalan A SDR
EUIS
Rawat
5/3/2021 834994 YULIANI 809 7 5,663
Inap
NY
MULYAN
Rawat A
5/3/2021 833201 809 30 24,270
Jalan SAMBAS
, TN

ALIF
RAMAD
Rawat HANI
8/3/2021 833527 809 7 5,663
Jalan CHRIST
ANTO
AN

FAWAZ
Rawat ALI
8/3/2021 828313 809 4 3,236
Jalan ALGAIS
HI.AN
TUTI
Rawat
9/3/2021 834823 NURLEL 809 30 24,270
Jalan
A NY
FAUZAN
Rawat FIKRI
9/3/2021 831610 809 12 9,708
Jalan YANA
AN
 DENI
Rawat YANA
9/3/2021 830142 809 30 24,270
Jalan MUHAR
AM. SDR

ARSEL
Rawat GUNADI
9/3/2021 831630 809 4 3,236
Jalan SASTRA
, AN
FEBI
Rawat
### 828563 NURUL 809 7 5,663
Jalan
F, AN
TANIA
Rawat FAITUR
### 834373 809 3 2,427
Jalan RAHMA
AN
MUHAM
16/03/20 Rawat AD
827194 809 10 8,090
21 Jalan ABIZAR,
AN
ANAZW
16/03/20 Rawat A
832137 809 4 3,236
21 Jalan HIZWAT
UL AN
FATHIR
16/03/20 Rawat N
827196 809 4 3,236
21 Jalan AHSAN,
BY
M
FEBRIA
PRO TB Rawat
71 1279 2/3/2021 833891 N 3,300 2 6,600
KID 2 Jalan
NIRAZMI
AN
AN M
2/3/2021 UMUM 0 FEBRIA 3,168 28 88,704
N /APS
4/3/2021 UMUM APS an. azpa 4,043 13 52,559
REZA
Rawat ANDRIA
8/3/2021 834014 4,043 28 113,204
Jalan NSAH.A
N
YEZA
Rawat SEVEN
8/3/2021 833218 4,043 9 36,387
Jalan JULIAN
AN
 FANI
Rawat
9/3/2021 803434 ANINDIA 4,043 6 24,258
Jalan
, AN
MUHAM
Rawat MAD
9/3/2021 827829 4,043 6 24,258
Jalan KIAN,
BY
SAHILA
PRO TB Rawat
72 1280 6/3/2021 832194 AULIA 5,728 30 171,840
KID 3 Jalan
AN
Rawat
8/3/2021 834542 ZAIN AN 5,728 30 171,840
Jalan
NANDIK
16/03/20 Rawat
835384 KRISAL 5,728 30 171,840
21 Jalan
AM. AN
AGNIA
23/03/20 Rawat AULIA
835514 5,728 30 171,840
21 Jalan KADAM.
AN
SHAKIR
HOLIDO
Rawat A
73 1281 N 1/3/2021 831380 9,200 1 9,200
Jalan MUNTAJ
SYRUP
AH AN

RENATA
Rawat
1/3/2021 835249 ESTABIL 11,138 1 11,138
Jalan
A. AN

MISHAE
LA
Rawat HADYAT
2/3/2021 835253 11,138 1 11,138
Inap US
SHANU
M AN
YASFI
Rawat
4/3/2021 828169 ADITIYA, 9,200 1 9,200
Jalan
BY
Meilita
5/3/2021 K43 9,200 1 9,200
Nurfajrin
Noroid
derma AQILA
Rawat
74 1282 rash 2/3/2021 835258 NURLAT 198,649 1 198,649
Jalan
cream IFAH. BY
60ml
Biostrum 22/03/20 Rawat CHERIL
75 1285 835363 65,489 1 65,489
syr 21 Jalan LIAN AN
22/03/20 Rawat PINA,
831408 65,489 1 65,489
21 Jalan AN
 ALIF
RAMAD
22/03/20 Rawat HANI
833527 65,489 1 65,489
21 Jalan CHRIST
ANTO
AN

AHSAN
22/03/20 Rawat HAMIZA
826879 65,489 1 65,489
21 Jalan N FAUZI.
AN
ANISA
25/03/20 Rawat FAIHA
835644 65,489 1 65,489
21 Inap MUNAN
DAR AN
AHMAD
25/03/20 Rawat
823394 SURYAN 65,489 1 65,489
21 Jalan
A, BY
31/03/20 Pasien
UMUM 0 65,489 1 65,489
21 Umum
RIFABIO IGRHANI
22/03/20 Rawat
76 1289 TIC 450 832835 PARIHN 4,459 8 35,672
21 Jalan
KAPLET AN
FAWAZ
22/03/20 Rawat ALI
828313 4,459 4 17,836
21 Jalan ALGAIS
HI.AN
RAFASY
Sagesta
Rawat A
77 1293 m Tetes 9/3/2021 835386 38,638 1 38,638
Jalan FEBRIA
Mata
NDI. AN
INFUSIO
BHARAT
N WITH
Rawat JIBRIL
78 1298 FLOW 4/3/2021 828617 46,305 1 46,305
Inap PRASET
REGULA
YO. AN
TOR
TANIA
Rawat
6/3/2021 835331 MAURA 43,750 1 43,750
Inap
NISA AN
MISHAE
LA
Rawat HADYAT
7/3/2021 835253 46,305 1 46,305
Inap US
SHANU
M AN

ARSHAK
Rawat
### 813853 A RAMA 46,305 1 46,305
Inap
A. AN.
 KENZIE
Rawat AZKA
### 810083 44,590 1 44,590
Inap FAIRUIZ.
AN
AHMAD
13/03/20 Rawat
835458 ARYA. 44,590 1 44,590
21 Inap
AN

ALRADY
A
23/03/20 Rawat MAHAB
830769 44,590 1 44,590
21 Inap BATAN
LUVINA
TIKA. AN

23/03/20 Rawat UDIN.

835604 44,590 2 89,180
21 Inap TN
AL
31/03/20 Rawat RAFIQ
835800 44,590 1 44,590
21 Inap RIZKI S
AN
31/03/20 Rawat HILYA
835798 44,590 1 44,590
21 Inap AN
RUDI
Acyclovir 15/03/20 Rawat
79 13 835484 HERMA 980 40 39,200
400 Tab 21 Jalan
WAN TN
SUCRAL
EET
FAT Rawat
80 1313 2/3/2021 810617 NURHA 30,938 1 30,938
100ML Jalan
ETI, NY
SYR
DINI
Rawat
2/3/2021 835267 KHAERA 30,938 1 30,938
Jalan
NI. NY
2/3/2021 UMUM APS NY KENI 29,700 1 29,700
ATIN
Rawat
2/3/2021 815422 INAYATI 30,938 1 30,938
Jalan
N,NY
ROSMA
Rawat
2/3/2021 834926 LAWATI, 30,938 1 30,938
Jalan
NY
YAYAT
Rawat
2/3/2021 835197 SURYAT 30,938 1 30,938
Jalan
I, NY
ERI
Rawat RAHMA
2/3/2021 835239 30,938 1 30,938
Inap WATI.
NY
 EUIS
Rawat
2/3/2021 834994 YULIANI 30,938 1 30,938
Inap
NY
Rawat NURJAM
2/3/2021 813400 30,938 1 30,938
Inap AN,TN
Rawat
2/3/2021 835260 ILIM TN 30,938 1 30,938
Inap
RAKA
DWI
Rawat
3/3/2021 833864 ROMAN 30,938 1 30,938
Jalan
SYAH .
AN
YAYA
Rawat
3/3/2021 835079 SUNARY 30,938 1 30,938
Inap
A TN
TAUFIK
Rawat
3/3/2021 835216 MAULAN 30,938 1 30,938
Inap
A SDR
HARIS
Rawat
4/3/2021 835174 NASUTI 25,000 1 25,000
Jalan
ON TN

WIWI
Rawat
4/3/2021 822334 RATNEN 25,000 1 25,000
Jalan
GSIH.NY

Rawat MULYAN
4/3/2021 835178 25,000 1 25,000
Jalan A TN
ERI
Rawat RAHMA
4/3/2021 835239 25,000 1 25,000
Inap WATI.
NY
Rawat WAWA
5/3/2021 835318 25,000 1 25,000
Inap TN
Rawat SINTIA.
5/3/2021 835301 25,000 1 25,000
Inap NY
LAILA
Rawat NURUL
8/3/2021 835381 25,000 1 25,000
Jalan SAHARA
NY
ROSMA
Rawat
9/3/2021 834926 LAWATI, 25,000 1 25,000
Jalan
NY
TITI
Rawat
9/3/2021 835391 AMINAH. 25,000 1 25,000
Inap
NY
 KAKA
Rawat IMAN
9/3/2021 830218 25,000 1 25,000
Jalan MUDIN
SDR
Rawat AANG
9/3/2021 835389 25,000 1 25,000
Jalan NY
Rawat
9/3/2021 806591 EEN. NY 25,000 1 25,000
Inap
Rawat AAN
9/3/2021 802456 25,000 1 25,000
Jalan UHA, TN
Rawat NUNUN
9/3/2021 835338 25,000 1 25,000
Inap G K, NY
Rawat SUTARN
9/3/2021 810138 25,000 1 25,000
Inap A, TN
AHMAD
Rawat
9/3/2021 834644 SOFIAN 25,000 1 25,000
Inap
TN
ANDRI
Rawat RUDIAN
9/3/2021 835388 25,000 1 25,000
Jalan SYAH
SDR
Rawat SUPRI.
### 835403 25,000 1 25,000
Inap TN
SALLY
Rawat
### 802943 ASTAVA 25,000 1 25,000
Inap
NY. NY
H.
Rawat TATANG
### 831377 30,938 1 30,938
Inap TARYON
O, TN
HJ. SITI
Rawat
### 4433 SOPIAH, 30,938 1 30,938
Inap
NY
TITA
Rawat
### 835383 MARYAT 30,938 1 30,938
Inap
I. NY
TITI
Rawat
### 835391 AMINAH. 30,938 1 30,938
Inap
NY
SITI
Rawat
### 835233 MULYAT 30,938 1 30,938
Jalan
I NY
TN
### UMUM APS 29,700 1 29,700
YAYA
TINI
Rawat
### 835417 HARTINI 25,000 1 25,000
Inap
. NY
 Rawat
### 816828 ILAH, NY 25,000 1 25,000
Jalan
Rawat
### 835415 AAH, NY 30,938 1 30,938
Inap
Rawat POPI,
### 835414 30,938 1 30,938
Inap TN
Rawat KARLI
### 835418 30,938 1 30,938
Jalan TN
H.
Rawat TATANG
### 831377 25,000 1 25,000
Inap TARYON
O, TN
ASEP
Rawat
### 835436 APANDI 25,000 1 25,000
Jalan
TN

EMPAY
Rawat
### 835439 KOMALA 25,000 1 25,000
Jalan
WATI NY

Rawat MONDRI
### 835438 25,000 1 25,000
Jalan AN
13/03/20 Rawat FATIMA
832088 25,000 1 25,000
21 Inap H , NY
ASIH
13/03/20 Rawat
815472 SUNARS 25,000 1 25,000
21 Jalan
IH,NY
TATI
13/03/20 Rawat
835463 WARSITI 25,000 1 25,000
21 Inap
. NY
MOCH
13/03/20 Rawat FAJAR
835456 25,000 1 25,000
21 Jalan ADITYA
SDR
NIA
13/03/20 Rawat KURNIA
834792 25,000 1 25,000
21 Inap WATI,
NY
13/03/20 Rawat
821178 LIA, NY 25,000 1 25,000
21 Jalan
LIA
13/03/20 Rawat
835449 ROSLIA 25,000 1 25,000
21 Jalan
NA NY
13/03/20 Rawat
806813 IPIN, TN 25,000 1 25,000
21 Jalan
13/03/20 Rawat KULSUM
835464 25,000 1 25,000
21 Jalan . NY
 VIVIH
13/03/20 Rawat
834834 NOVITA 25,000 1 25,000
21 Inap
DEWI
13/03/20 Rawat EDAH,
835444 25,000 1 25,000
21 Jalan NY
13/03/20 Rawat AGUS,
835398 25,000 1 25,000
21 Inap TN
13/03/20 Rawat
835453 AMI NY 25,000 1 25,000
21 Jalan
13/03/20 Rawat NENGS
835451 25,000 1 25,000
21 Jalan RI. NY
ANIH
13/03/20 Rawat
4235 SUARSI 25,000 1 25,000
21 Jalan
H, NY
13/03/20 Rawat KARMO
835236 25,000 1 25,000
21 Inap TN
LINDA
14/03/20 Rawat
835448 LAELA. 25,000 1 25,000
21 Inap
NY
SUPRIH
14/03/20 Rawat
822113 ATIN. 25,000 1 25,000
21 Inap
NY
VIVIH
14/03/20 Rawat
834834 NOVITA 25,000 1 25,000
21 Inap
DEWI
14/03/20 Rawat IRUM
835472 25,000 1 25,000
21 Inap NY
15/03/20 Rawat DONO.
835488 25,000 1 25,000
21 Jalan TN
15/03/20 Rawat ANAH
835474 25,000 1 25,000
21 Jalan NY
N
16/03/20 Rawat
835523 ATIKAH 25,000 1 25,000
21 Jalan
NY
ADE
16/03/20 Rawat
835529 ROHMA 25,000 1 25,000
21 Inap
ENI. NY
16/03/20 Rawat NUNUN
835338 25,000 1 25,000
21 Jalan G K, NY
ENI
16/03/20 Rawat
835513 SUKMA 25,000 1 25,000
21 Jalan
ENI. NY
16/03/20 Rawat KARMO
835236 30,938 1 30,938
21 Inap TN
ENGKIN
16/03/20 Rawat
835520 G AJIS . 25,000 1 25,000
21 Jalan
TN
 ANIS
16/03/20 Rawat
834515 ANISAH 25,000 1 25,000
21 Jalan
NY
16/03/20 Rawat
833931 ISAH NY 25,000 1 25,000
21 Jalan
NENEN
16/03/20 Rawat G
829389 25,000 1 25,000
21 Jalan HASANA
H NY
16/03/20 Rawat ANIK.
835230 25,000 1 25,000
21 Jalan NY
DRS,
16/03/20 Rawat NANA
820372 25,000 1 25,000
21 Jalan MULYAN
A, TN
AHMAD
16/03/20 Rawat
834644 SOFIAN 25,000 1 25,000
21 Jalan
TN
16/03/20 Rawat
835415 AAH, NY 25,000 1 25,000
21 Inap
NN.
16/03/20 Rawat DITA
835525 25,000 1 25,000
21 Jalan SETIAW
ATI
16/03/20 Rawat CICIH
811043 25,000 1 25,000
21 Inap NY.
AMALIA
16/03/20 Rawat
835521 SHOHIF 25,000 1 25,000
21 Jalan
AH . NN
16/03/20 Rawat TASIH
835460 25,000 1 25,000
21 Jalan NY
16/03/20 Rawat ADAH.
835518 25,000 1 25,000
21 Jalan NY
NT
16/03/20 Rawat
834700 CHOTIM 25,000 1 25,000
21 Jalan
AH NY
ASEP
16/03/20 Rawat
835201 DUDI. 25,000 1 25,000
21 Jalan
TN
NY.
16/03/20
UMUM 0 UUN/AP 25,000 1 25,000
21
S
16/03/20 Rawat
835519 UUM NY 25,000 1 25,000
21 Jalan
ELI
16/03/20 Rawat
835531 HERLIN 25,000 1 25,000
21 Jalan
A NY
 16/03/20 Rawat CAHYAT
822342 25,000 1 25,000
21 Jalan I.NY
SUPRIH
17/03/20 Rawat
822113 ATIN. 25,000 1 25,000
21 Inap
NY
17/03/20 Rawat ERES
835537 25,000 1 25,000
21 Inap NY
17/03/20 Rawat ROKAYA
835481 25,000 1 25,000
21 Inap H NY
17/03/20 Rawat IRUM
835472 25,000 1 25,000
21 Inap NY
TITIN
17/03/20 Rawat
835530 MULYAT 25,000 1 25,000
21 Inap
IN NY
17/03/20 Rawat KARWA
832626 25,000 1 25,000
21 Inap TI. NY
Lapimuc Rawat HAINA,
81 1317 1/3/2021 835228 47,163 1 47,163
drop Inap AN

Rawat RAFKA
4/3/2021 832967 47,163 1 47,163
Jalan ZEIN. BY

BHARAT
Rawat JIBRIL
4/3/2021 828617 47,163 1 47,163
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 47,163 1 47,163
Inap AN
22/03/20 Rawat SAKILA.
835598 47,163 1 47,163
21 Jalan AN
MUHAM
Broxfion Rawat AD
82 1318 1/3/2021 827194 33,688 1 33,688
syr Jalan ABIZAR,
AN

ELFANO
Rawat
3/3/2021 827376 SINAGA, 33,688 1 33,688
Jalan
BY

KANZIA
Rawat
4/3/2021 833256 NURSAL 33,688 1 33,688
Jalan
SA AN
EUIS
Rawat
5/3/2021 831017 KURAES 33,688 1 33,688
Jalan
IN.NY
OBAR
Rawat
7/3/2021 835347 SUHEN 33,688 1 33,688
Jalan
DI. TN
 E
16/03/20 Rawat
835527 MUCHT 33,688 1 33,688
21 Inap
AR . TN
17/03/20 Rawat ASIR .
835538 34,375 1 34,375
21 Inap TN
ADE
17/03/20 Rawat
835529 ROHMA 33,688 1 33,688
21 Inap
ENI. NY
TITIN
17/03/20 Rawat
835530 MULYAT 33,688 1 33,688
21 Inap
IN NY
17/03/20 Rawat CICIH
811043 33,688 1 33,688
21 Inap NY.
HERI
17/03/20 Rawat
835535 HERMA 34,375 1 34,375
21 Jalan
WAN TN
20/03/20 Rawat CICIH
811043 33,688 1 33,688
21 Inap NY.
UJANG
23/03/20 Rawat
835617 TATANG 33,688 1 33,688
21 Inap
. TN
UJANG
25/03/20 Rawat
835617 TATANG 33,688 1 33,688
21 Inap
. TN
AZLAN
25/03/20 Rawat
835646 ZAIDAN 33,688 1 33,688
21 Jalan
BY
LINA
MOLOC Rawat
83 1319 2/3/2021 830998 HERLIN 4,312 15 64,680
O TAB Jalan
A NY
ASTI
Rawat
2/3/2021 835257 MAULID 4,312 20 86,240
Jalan
AH. NY
Rawat YULIN
3/3/2021 834209 4,312 6 25,872
Jalan NY
RECALU 23/03/20 Rawat WARSA
84 1320 835827 7,277 10 72,770
S CAP 21 Jalan TN
FEBRIN Pasien
85 1326 8/3/2021 UMUM 0 19,424 1 19,424
EX SYR Umum
ERYSAN
Rawat HAIKAL
86 1328 BE 200 8/3/2021 835274 2,158 3 6,474
Inap BY
MG
ZAYNA
16/03/20 Rawat
835510 ALMAHI 2,158 1 2,158
21 Jalan
RA, AN
 AZIS
FIOTRA 20/03/20 Rawat RUHIAT
87 1331 824516 8,085 3 24,255
M KAPS 21 Inap SUPRIA
TNA . TN

CURCU
DENI
MA 16/03/20 Rawat
88 1338 830666 RAMDA 14,107 1 14,107
PLUS 21 Jalan
NI.AN
SYR

SIFA
16/03/20 Rawat
831395 NURFAD 14,107 1 14,107
21 Jalan
ILAH, AN

GALIH
NURDIN
16/03/20 Rawat
833526 A 14,107 1 14,107
21 Jalan
SAPUTR
A. AN
MUHAM
16/03/20 Rawat AD
827194 14,107 1 14,107
21 Jalan ABIZAR,
AN

ARTHUR
KAYSHA
16/03/20 Rawat
828122 KA 14,107 1 14,107
21 Jalan
WIJAYA
.AN

ARSYIL
ENCEPH
Rawat A
89 1339 ABOL 8/3/2021 835086 70,374 1 70,374
Jalan SAVINA
SYR
AN
15/03/20 Pasien
UMUM 0 70,374 1 70,374
21 Umum

ADGA
30/03/20 Rawat
835509 DEIRAW 70,374 1 70,374
21 Jalan
AN. AN

PUJI
BAHP Rawat
90 1343 1/3/2021 835229 SUMARJ 5,150 1 5,150
ALMED Jalan
I, TN
IIS
Rawat
1/3/2021 823882 ISMAYA 5,150 1 5,150
Jalan
TI. NY
ASEP
Rawat
1/3/2021 821449 KURNIA, 5,150 1 5,150
Jalan
TN
 Rawat
1/3/2021 835230 ANI. NY 5,150 1 5,150
Jalan
AI
Rawat
1/3/2021 835232 SYARO 5,150 1 5,150
Jalan
H NY
SALSA
Rawat NURISM
1/3/2021 834631 5,150 1 5,150
Jalan A PUTRI
. BY
FAIZAN
Rawat ABKORI
1/3/2021 835105 5,150 1 5,150
Jalan IBRAHIM
. AN
NOVI
Rawat
1/3/2021 829935 SHOVIA 5,150 1 5,150
Jalan
NI.NY
IIS
Rawat
1/3/2021 835241 SETIAN 5,150 1 5,150
Jalan
AH. NY
HUSNA,
Rawat NY/GUN
1/3/2021 809374 5,150 1 5,150
Jalan TARA,T
N
Rawat MUNAWI
1/3/2021 834951 5,150 1 5,150
Jalan R TN
NOVIA
Rawat ROSMA
1/3/2021 835248 5,150 1 5,150
Jalan YANTI.
NY
NADIRA
Rawat RAMAD
1/3/2021 827482 5,150 1 5,150
Jalan HANI.
AN

IDA
Rawat
1/3/2021 835234 NURFAR 5,150 1 5,150
Jalan
IDA. NY

ROBI
Rawat
1/3/2021 818904 RISWAN 5,150 1 5,150
Jalan
DI. TN

RENATA
Rawat
1/3/2021 835249 ESTABIL 5,150 1 5,150
Jalan
A. AN

DANIAL
Rawat AKMAL
1/3/2021 835235 5,150 1 5,150
Jalan ALFARIZ
QY AN
 RINI
Rawat HALIMA
1/3/2021 835250 5,150 1 5,150
Jalan TUSADI
AH. NY
PINKAN
Rawat
1/3/2021 817099 RIZKY.N 5,150 1 5,150
Jalan
N
O
Rawat
1/3/2021 835252 KOMARI 5,150 1 5,150
Jalan
AH NY
Rawat SARTAN
2/3/2021 826536 5,150 1 5,150
Jalan A, TN
Rawat ENUNG.
2/3/2021 835268 5,150 1 5,150
Jalan NY
NAZHAN
Rawat
2/3/2021 830971 ZABIR 5,150 1 5,150
Jalan
BY
ADE
Rawat
2/3/2021 835124 HASANA 5,150 1 5,150
Jalan
H NY
Rawat FALISHA
2/3/2021 834066 5,150 1 5,150
Jalan , AN
AYYA
Rawat KAYLA
2/3/2021 830657 5,150 1 5,150
Jalan RISANDI
NI BY

AQILA
Rawat
2/3/2021 835258 NURLAT 5,150 1 5,150
Jalan
IFAH. BY

AZKA
Rawat BAGJA
2/3/2021 830661 5,150 1 5,150
Jalan MAULAN
A.BY
QORI
Rawat RAHMA
2/3/2021 823037 5,150 1 5,150
Jalan AULIA.
BY
RETNO
Rawat SRI
2/3/2021 835265 5,150 1 5,150
Jalan YULIAN
TI. NY
DEVAN
Rawat ANGGA
2/3/2021 835081 5,150 1 5,150
Jalan STAZAE
LANI BY
 VIVIH
Rawat
2/3/2021 834834 NOVITA 5,150 1 5,150
Jalan
DEWI
SHAKA
Rawat IBADIL
2/3/2021 825331 5,150 1 5,150
Jalan IRAM ,
AN
SILVI
Rawat
2/3/2021 832412 RODIAH, 5,150 1 5,150
Jalan
NN
YUYUN
Rawat
2/3/2021 834533 UNAYAH 5,150 1 5,150
Jalan
NY
ASTI
Rawat
2/3/2021 835257 MAULID 5,150 1 5,150
Jalan
AH. NY
Rawat DEDE
2/3/2021 830234 5,150 1 5,150
Jalan SRI.NY
RIO
Rawat CANDR
2/3/2021 802552 5,150 1 5,150
Jalan A YUNI,
TN
RISKA
Rawat
2/3/2021 835270 AMELIA 5,150 1 5,150
Jalan
NN

RAIS
Rawat GUDAM
2/3/2021 832714 5,150 1 5,150
Jalan ALIA
WATI NY

RINI
Rawat
2/3/2021 833570 MEILANI 5,150 1 5,150
Jalan
NY
PINI
OKTAVI
Rawat
2/3/2021 825352 ANI . NY/ 5,150 1 5,150
Jalan
TN.
IRFAN
EDIH
Rawat
2/3/2021 835271 HARYAD 5,150 1 5,150
Jalan
I TN
SITI
Rawat
2/3/2021 835259 ROHMA 5,150 1 5,150
Jalan
H. NY
YEYEN
Rawat NUR
2/3/2021 827308 5,150 1 5,150
Jalan ARDIAN
TI, NN
 SELA
Rawat
2/3/2021 835263 SOPIAH 5,150 1 5,150
Jalan
NY
KHOIRU
Rawat
2/3/2021 830285 TUNNIS 5,150 1 5,150
Jalan
A NY

JUA
Rawat
2/3/2021 835264 KOMALA 5,150 1 5,150
Jalan
SARI NY

TANTI
Rawat
2/3/2021 834837 PUSPAR 5,150 1 5,150
Jalan
INI NY
Rawat INTAN
2/3/2021 835255 5,150 1 5,150
Jalan NN

WIWI
Rawat
2/3/2021 822334 RATNEN 5,150 1 5,150
Jalan
GSIH.NY

ALIA
Rawat
3/3/2021 835272 NURHAL 5,150 1 5,150
Jalan
ISA BY
DIDIN
Rawat
3/3/2021 835277 DARMU 5,150 1 5,150
Jalan
DIN TN
ILHAM
Rawat
3/3/2021 835275 ABDUL. 5,150 1 5,150
Jalan
AN
Rawat HAIKAL
3/3/2021 835274 5,150 1 5,150
Jalan BY
HASNA
Rawat
3/3/2021 835276 NABILA 5,150 1 5,150
Jalan
AN
Rawat ZAHRA
3/3/2021 826379 5,150 1 5,150
Jalan PUJI, AN
Rawat
3/3/2021 835279 ACA, TN 5,150 1 5,150
Jalan
Rawat
3/3/2021 835279 ACA, TN 5,150 1 5,150
Jalan

ELFANO
Rawat
3/3/2021 827376 SINAGA, 5,150 1 5,150
Jalan
BY

Rawat CEPI,
3/3/2021 835281 5,150 1 5,150
Jalan TN
Rawat ARSITI,
3/3/2021 804088 5,150 1 5,150
Jalan NY
 Rawat HILYA,
3/3/2021 835283 5,150 1 5,150
Jalan AN
YAHYA
Rawat
3/3/2021 834480 MUZAMI 5,150 1 5,150
Jalan
L,
Rawat NADINI.
3/3/2021 835285 5,150 1 5,150
Jalan NN
PINKAN
Rawat
3/3/2021 817099 RIZKY.N 5,150 1 5,150
Jalan
N
Rawat ANIK.
3/3/2021 835230 5,150 1 5,150
Jalan NY

KENAN
Rawat
3/3/2021 830912 SHAKEE 5,150 1 5,150
Jalan
L R, AN

Rawat RADITIA
3/3/2021 835278 5,150 1 5,150
Jalan BY
ELIS
Rawat
3/3/2021 803916 KOMALA 5,150 1 5,150
Jalan
, NY
Rawat BY NY
3/3/2021 835273 5,150 1 5,150
Jalan RISA
Rawat RATU,
3/3/2021 832607 5,150 1 5,150
Jalan AN
BUDI
Rawat
4/3/2021 835296 HIDAYA 5,150 1 5,150
Jalan
T TN
YASFI
Rawat
4/3/2021 828169 ADITIYA, 5,150 1 5,150
Jalan
BY
NAIRA
Rawat
4/3/2021 833860 SAFANA 5,150 1 5,150
Jalan
. AN
Rawat BY
4/3/2021 834366 5,150 1 5,150
Jalan HANA

Rawat RAFKA
4/3/2021 832967 5,150 1 5,150
Jalan ZEIN. BY

AZKA
Rawat
4/3/2021 834858 ALIVIA. 5,150 1 5,150
Jalan
BY
KAYLA
SHALW
Rawat
4/3/2021 829954 A 5,150 1 5,150
Jalan
PURNA
MA. AN
 AIZA
Rawat ZAFIRA
4/3/2021 835299 5,150 1 5,150
Jalan MAFAZA
, AN
KANZIA
Rawat
4/3/2021 833256 NURSAL 5,150 1 5,150
Jalan
SA AN
U
Rawat
4/3/2021 835300 ROHAN 5,150 1 5,150
Jalan
A. TN
AI
Rawat
4/3/2021 835302 ROHAET 5,150 1 5,150
Jalan
I. NY
ANGGI
Rawat NY /
4/3/2021 829944 5,150 1 5,150
Jalan TAUFIK
TN
Rawat NURAE
4/3/2021 834713 5,150 1 5,150
Jalan NI NY
YAYA
Rawat
4/3/2021 817031 FIRDAU 5,150 1 5,150
Inap
S TN
YESI
Rawat
4/3/2021 805909 YULIANI. 5,150 1 5,150
Jalan
NY
TITI
Rawat
4/3/2021 835290 ROCHA 5,150 1 5,150
Jalan
YATI NY
Rawat
4/3/2021 835294 EYE NY 5,150 1 5,150
Jalan
MAULAN
Rawat A
4/3/2021 835287 5,150 1 5,150
Jalan YUSUF .
TN
MAULAN
Rawat A
4/3/2021 835287 5,150 1 5,150
Jalan YUSUF .
TN
Rawat KARNES
4/3/2021 834511 5,150 1 5,150
Jalan IH NY

UCA
Rawat
4/3/2021 823312 BAHARU 5,150 1 5,150
Jalan
DIN. TN

Rawat UNENG,
4/3/2021 5097 5,150 1 5,150
Jalan NY
Rawat RIANIKH
4/3/2021 835099 5,150 1 5,150
Jalan A SDR
 NY
Rawat KOMALA
5/3/2021 835310 5,150 1 5,150
Jalan SUCI
RANI
DEWI
Rawat
5/3/2021 830783 ANDRIA 5,150 1 5,150
Jalan
NI NY
Rawat NURLAE
5/3/2021 835315 5,150 1 5,150
Jalan LA NY
ERITA
Rawat
5/3/2021 823380 SANTA. 5,150 1 5,150
Jalan
R, NY
NURUL
Rawat
5/3/2021 826670 JANAH, 5,150 1 5,150
Jalan
NY
Rawat
5/3/2021 835126 ATIN NY 5,150 1 5,150
Jalan
YANI
Rawat AHMAD
5/3/2021 835303 5,150 1 5,150
Jalan RIFAI.
TN
TINI
Rawat
5/3/2021 833723 MARTINI 5,150 1 5,150
Jalan
NY
ELIS
Rawat
5/3/2021 813303 ANES. 5,150 1 5,150
Jalan
NY
WIDI
Rawat
5/3/2021 832951 PUTRI, 5,150 1 5,150
Jalan
NY
RIRIE
Rawat
5/3/2021 835064 APRILIA 5,150 1 5,150
Jalan
NA, NY
ERNA
Rawat
5/3/2021 835316 SARIPA 5,150 1 5,150
Jalan
H NY
IIN
Rawat
5/3/2021 835317 NIHAYA 5,150 1 5,150
Jalan
H NY
RATIH
Rawat
5/3/2021 829743 RAHAYU 5,150 1 5,150
Jalan
. NY
RISKA
Rawat
5/3/2021 833117 ANJARS 5,150 1 5,150
Jalan
ARI NY
CITRA
Rawat
5/3/2021 835320 SABILA 5,150 1 5,150
Jalan
AN
 M
Rawat
5/3/2021 835321 IKHSAN 5,150 1 5,150
Jalan
SDR
Rawat DADAN
5/3/2021 830604 5,150 1 5,150
Jalan TN
WINA
Rawat
5/3/2021 833240 MEIRANI 5,150 1 5,150
Jalan
NY
ANNISA
Rawat NUR
5/3/2021 3971 5,150 1 5,150
Jalan ASSIDIQ
, NN
Rawat NURIYA
5/3/2021 835254 5,150 1 5,150
Jalan NTI NY

H ODON
Rawat
5/3/2021 833211 HAMDA 5,150 1 5,150
Jalan
N TN

Rawat WARSIT
5/3/2021 835314 5,150 1 5,150
Jalan A TN
SITI
Rawat
5/3/2021 816874 MARIAM 5,150 1 5,150
Jalan
. NY
EVA
Rawat
5/3/2021 835313 MELINA 5,150 1 5,150
Jalan
NY
SANTIK
Rawat A
5/3/2021 835306 5,150 1 5,150
Jalan ROHMA
H NY
SINDI
Rawat
5/3/2021 833769 SANTIK 5,150 1 5,150
Jalan
A NY
SRI
Rawat
5/3/2021 833801 WAHYU 5,150 1 5,150
Jalan
NI. NY
Rawat ROHMI
6/3/2021 835330 5,150 1 5,150
Jalan NY
SAHILA
Rawat
6/3/2021 832194 AULIA 5,150 1 5,150
Jalan
AN
MUHAM
MAD
Rawat SYAFIQ
6/3/2021 833836 5,150 1 5,150
Jalan AL-
MALIK,
BY
 Rawat SUKI.
6/3/2021 834791 5,150 1 5,150
Jalan NY
KEISYA
Rawat
6/3/2021 827757 ADITIA, 5,150 1 5,150
Jalan
AN
CITRA
Rawat
6/3/2021 816881 MUFIDA 5,150 1 5,150
Jalan
H, NN.
UYAT
Rawat
6/3/2021 835100 RUYATI 5,150 1 5,150
Jalan
NY
Rawat IWAN
6/3/2021 835332 5,150 1 5,150
Jalan TN
ABAS
Rawat
6/3/2021 835333 KOSASI 5,150 1 5,150
Jalan
H TN
ELIS
Rawat
6/3/2021 835335 KARNAT 5,150 1 5,150
Jalan
I NY
Rawat KHODIJ
6/3/2021 835334 5,150 1 5,150
Jalan AH NN
TRI
Rawat
6/3/2021 809807 YULIAN 5,150 1 5,150
Jalan
TO, TN
AI
Rawat
6/3/2021 821381 KARWA 5,150 1 5,150
Jalan
TI.NY
NOVI
Rawat
6/3/2021 835335 SOPAN 5,150 1 5,150
Jalan
DI, TN
Rawat WATINI,
6/3/2021 835325 5,150 1 5,150
Jalan NY
Rawat RUHITA,
6/3/2021 835336 5,150 1 5,150
Jalan TN
IDA
Rawat
6/3/2021 820069 ROSIDA. 5,150 1 5,150
Jalan
NY
UUN
Rawat
6/3/2021 835337 UNASIH, 5,150 1 5,150
Jalan
NY
Rawat KARMA
6/3/2021 835326 5,150 1 5,150
Jalan H NY
SALSABI
Rawat LA
6/3/2021 835329 5,150 1 5,150
Jalan AZZAHR
A NN
 ETI
Rawat
7/3/2021 835350 SUMIATI 5,150 1 5,150
Jalan
. NY
M AMRI
FURQO
Rawat
7/3/2021 835349 N AL 5,150 1 5,150
Jalan
AKBAR .
SDR
AI
Rawat
7/3/2021 821381 KARWA 5,150 1 5,150
Jalan
TI.NY
Rawat AWIS,
7/3/2021 816633 5,150 1 5,150
Inap NY
UNAY
Rawat
7/3/2021 802318 SUNARY 5,150 1 5,150
Jalan
A, TN
ESA
Rawat
7/3/2021 823669 SAPUTR 5,150 1 5,150
Jalan
A
AJAT
Rawat
7/3/2021 835341 SUDRAJ 5,150 1 5,150
Jalan
AT. TN
Rawat RAHMA
7/3/2021 835344 5,150 1 5,150
Jalan T. TN

Rawat ROSYA
7/3/2021 835342 5,150 1 5,150
Jalan NA. SDR

JUASIH
Rawat
7/3/2021 835343 KARNES 5,150 1 5,150
Jalan
IH. NY
AJIE
Rawat
7/3/2021 835345 SUBARN 5,150 1 5,150
Jalan
A. TN
AI
Rawat
7/3/2021 3483 UNENG 5,150 1 5,150
Jalan
SIH, NY
OBAR
Rawat
7/3/2021 835347 SUHEN 5,150 1 5,150
Jalan
DI. TN
H.
Rawat
7/3/2021 820643 SYUKUR 5,150 1 5,150
Jalan
, TN
NITA
Rawat
7/3/2021 835348 ASTUTI. 5,150 1 5,150
Jalan
NY
IMAS
Rawat
8/3/2021 835359 FARIDA 5,150 1 5,150
Jalan
NY
 Rawat NEHAN.
8/3/2021 835360 5,150 1 5,150
Jalan TN
Rawat AMINAH.
8/3/2021 835378 5,150 1 5,150
Jalan NY
NANAN
Rawat G
8/3/2021 812757 5,150 1 5,150
Jalan SUPRIA
TNA, TN
NOVI
Rawat
8/3/2021 829935 SHOVIA 5,150 1 5,150
Jalan
NI.NY
RENI
Rawat
8/3/2021 834210 NURHA 5,150 1 5,150
Jalan
YATI, NY
SARI
Rawat
8/3/2021 835365 HAYATI 5,150 1 5,150
Jalan
NY
ANI
Rawat PRISTIA
8/3/2021 835354 5,150 1 5,150
Jalan WATI.
NY
RIDA
Rawat
8/3/2021 834740 NURLAE 5,150 1 5,150
Jalan
LA NY
REZA
Rawat ANDRIA
8/3/2021 834014 5,150 1 5,150
Jalan NSAH.A
N
Rawat
8/3/2021 834542 ZAIN AN 5,150 1 5,150
Jalan
SITI
Rawat
8/3/2021 835377 MULYAN 5,150 1 5,150
Jalan
I. NN
YEZA
Rawat SEVEN
8/3/2021 833218 5,150 1 5,150
Jalan JULIAN
AN
LALAN
Rawat
8/3/2021 835380 SOBARI 5,150 1 5,150
Jalan
SDR
LAILA
Rawat NURUL
8/3/2021 835381 5,150 1 5,150
Jalan SAHARA
NY
ARSYIL
Rawat A
8/3/2021 835086 5,150 1 5,150
Jalan SAVINA
AN
 YENI
Rawat
8/3/2021 809193 YULIANI, 5,150 1 5,150
Jalan
NY
SYAMIL
Rawat ABDUR
8/3/2021 835357 5,150 1 5,150
Jalan ROHMA
N . AN
Rawat ALENA .
8/3/2021 835356 5,150 1 5,150
Jalan AN
KENISA
Rawat
8/3/2021 830752 ADITIA.A 5,150 1 5,150
Jalan
N
Rawat D0LIMA
8/3/2021 835358 5,150 1 5,150
Jalan H. NY
ANDRI
Rawat RUDIAN
9/3/2021 835388 5,150 1 5,150
Jalan SYAH
SDR
UUN
Rawat
9/3/2021 835396 SULAST 5,150 1 5,150
Jalan
RI. NY
Rawat RUSMIN
9/3/2021 835399 5,150 1 5,150
Jalan . TN
Rawat
9/3/2021 835397 SITI, NY 5,150 1 5,150
Jalan
Rawat SARYA
9/3/2021 835392 5,150 1 5,150
Jalan TN
KAKA
Rawat IMAN
9/3/2021 830218 5,150 1 5,150
Jalan MUDIN
SDR
NANDI
Rawat
9/3/2021 835384 KRISAL 5,150 1 5,150
Jalan
AM. AN
FANI
Rawat
9/3/2021 803434 ANINDIA 5,150 1 5,150
Jalan
, AN
Rawat AANG
9/3/2021 835389 5,150 1 5,150
Jalan NY
FAUZAN
Rawat FIKRI
9/3/2021 831610 5,150 1 5,150
Jalan YANA
AN

DENI
Rawat YANA
9/3/2021 830142 5,150 1 5,150
Jalan MUHAR
AM. SDR
 ARSYIL
Rawat A
9/3/2021 835086 5,150 1 5,150
Jalan SAVINA
AN
VIKA
Rawat
9/3/2021 829150 ARSYFA 5,150 1 5,150
Jalan
.BY
DANIAL
Rawat AKMAL
9/3/2021 835235 5,150 1 5,150
Jalan ALFARIZ
QY AN
ITI
Rawat
9/3/2021 835385 DARSITI 5,150 1 5,150
Inap
, NY
Rawat AAN
9/3/2021 802456 5,150 1 5,150
Jalan UHA, TN
TITA
Rawat
9/3/2021 835383 MARYAT 5,150 1 5,150
Inap
I. NY
MUHAM
Rawat MAD
9/3/2021 827829 5,150 1 5,150
Jalan KIAN,
BY
Rawat KANAR
9/3/2021 835231 5,150 1 5,150
Jalan TN
ENCID
Rawat
9/3/2021 806056 TAMSID, 5,150 1 5,150
Jalan
TN
JULY
Rawat
9/3/2021 835387 TISYA. 5,150 1 5,150
Jalan
AN
Rawat NUNUN
9/3/2021 835198 5,150 1 5,150
Jalan G, NY
Rawat
9/3/2021 830855 ISAH NY 5,150 1 5,150
Jalan
MUHAM
Rawat AD
### 835405 5,150 1 5,150
Jalan FAFIJUL
. AN
Rawat SAODA
### 834004 5,150 1 5,150
Jalan H NY
WASILA
Rawat TUL
### 835408 5,150 1 5,150
Jalan ALIYAH,
NY
 NAUFAL
Rawat DI
### 800119 5,150 1 5,150
Jalan AGUSTI
N, AN
MAHDA
Rawat TRI
### 835409 5,150 1 5,150
Jalan UTAMI
NY
BAYU
Rawat
### 835410 ANUGE 5,150 1 5,150
Jalan
RAH TN
Rawat TATANG
### 835404 5,150 1 5,150
Jalan . TN
Rawat SUPRI.
### 835403 5,150 1 5,150
Inap TN

ARSHAK
Rawat
### 813853 A RAMA 5,150 1 5,150
Inap
A. AN.

FEBI
Rawat
### 828563 NURUL 5,150 1 5,150
Jalan
F, AN
CLARIS
SA
Rawat ANINDY
### 835401 5,150 1 5,150
Jalan A
PUTRI.
AN
Rawat MAURA.
### 835402 5,150 1 5,150
Jalan AN
UWAIS
Rawat AL-
### 833429 5,150 1 5,150
Jalan QARNI
AN
TANIA
Rawat FAITUR
### 834373 5,150 1 5,150
Jalan RAHMA
AN
FANDA
Rawat
### 834098 APRILIA 5,150 1 5,150
Jalan
AN
YEYE
Rawat
### 835406 DARSITI 5,150 1 5,150
Jalan
. NY
ALIB
Rawat
### 835407 GUNAW 5,150 1 5,150
Jalan
AN, AN
 Rawat ALEH
### 832129 5,150 1 5,150
Jalan TN
DENI
Rawat
### 835413 SUPRIA 5,150 1 5,150
Jalan
DI TN
FITRA
SYAHRI
Rawat
### 835411 L 5,150 1 5,150
Jalan
ARHAM
TN
ELVA
Rawat ARIF
### 830595 5,150 1 5,150
Jalan MUTAQI
N SDR
SUPRIH
Rawat
### 822113 ATIN. 5,150 1 5,150
Inap
NY
AI
Rawat
### 802593 NINING, 5,150 1 5,150
Jalan
NY
KHOTIM
Rawat ATUS
### 811689 5,150 1 5,150
Jalan SADIAH,
NY
SALSABI
Rawat LA
### 835329 5,150 1 5,150
Jalan AZZAHR
A NN

HEMMU
D
Rawat FARCHA
### 835437 5,150 1 5,150
Jalan N IBNU
HASAN
TN
WIDANI
Rawat
### 813425 NGSIH,N 5,150 1 5,150
Jalan
Y
NAUFAL
Rawat DI
### 800119 5,150 1 5,150
Inap AGUSTI
N, AN
Rawat DINA F
### 835428 5,150 1 5,150
Jalan NY
KENZIE
Rawat AZKA
### 810083 5,150 1 5,150
Inap FAIRUIZ.
AN
 EMPAY
Rawat
### 835439 KOMALA 5,150 1 5,150
Jalan
WATI NY

TINI
Rawat
### 835417 HARTINI 5,150 1 5,150
Inap
. NY
Rawat
### 816828 ILAH, NY 5,150 1 5,150
Jalan
Rawat KASNAH
### 835440 5,150 1 5,150
Jalan . NY
Rawat KARLI
### 835418 5,150 1 5,150
Jalan TN
Rawat ENDAN
### 802962 5,150 1 5,150
Jalan G, TN
EVI
Rawat
### 835429 SETIAW 5,150 1 5,150
Jalan
ATI, NY
EVI
Rawat
### 835429 SETIAW 5,150 1 5,150
Jalan
ATI, NY
Rawat ARSITI,
### 804088 5,150 1 5,150
Jalan NY
ASIYAH
Rawat
### 835441 PUTRI 5,150 1 5,150
Jalan
NN

SRI
Rawat
### 835442 AGUSTR 5,150 1 5,150
Jalan
IANI AN

Rawat AKILA,
### 835443 5,150 1 5,150
Jalan AN
SHAWQI
Rawat ZAYN
### 835419 5,150 1 5,150
Jalan PRATAM
A AN
Rawat HAWAN
### 2949 5,150 1 5,150
Jalan A , NY
YUN
Rawat YUNEN
### 830805 5,150 1 5,150
Jalan GSIH.
NY
SRI
Rawat
### 835427 MIMA 5,150 1 5,150
Jalan
NY
ENGKA
Rawat R
### 835184 5,150 1 5,150
Jalan MARYAT
I. NY
 Rawat BY NY
### 835430 5,150 1 5,150
Jalan NIA
ADE
Rawat FITRIA
### 834339 5,150 1 5,150
Jalan DEWI,
NY
SITI
Rawat
### 816874 MARIAM 5,150 1 5,150
Jalan
. NY
IMAS
Rawat
### 835242 NURAE 5,150 1 5,150
Jalan
NI. NY
Rawat VINA
### 835424 5,150 1 5,150
Jalan SRI NY
Rawat KARWIN
### 835217 5,150 1 5,150
Jalan AH NY
ASEP
Rawat
### 835436 APANDI 5,150 1 5,150
Jalan
TN
Rawat MONDRI
### 835438 5,150 1 5,150
Jalan AN
SHAJEA
13/03/20 Rawat
835452 HALAA 5,150 1 5,150
21 Jalan
NISA AN

CECEN
13/03/20 Rawat TRESNA
835450 5,150 1 5,150
21 Jalan BAROKA
H TN

13/03/20 Rawat SARYA

835392 5,150 1 5,150
21 Jalan TN
EPON
13/03/20 Rawat
833133 ROHAY 5,150 1 5,150
21 Jalan
ATI NY
13/03/20 Rawat
800035 SUMI,NY 5,150 1 5,150
21 Jalan
DADAN
13/03/20 Rawat G
820080 5,150 1 5,150
21 Jalan HIDAYA
T. TN
MOCH
13/03/20 Rawat FAJAR
835456 5,150 1 5,150
21 Jalan ADITYA
SDR
TETI
13/03/20 Rawat
834907 ROHAET 5,150 1 5,150
21 Jalan
I NY
13/03/20 Rawat NALIH.
835459 5,150 1 5,150
21 Jalan TN
13/03/20 Rawat
821178 LIA, NY 5,150 1 5,150
21 Jalan
OBAR
13/03/20 Rawat
835347 SUHEN 5,150 1 5,150
21 Jalan
DI. TN
13/03/20 Rawat
806813 IPIN, TN 5,150 1 5,150
21 Jalan

13/03/20 Rawat ASEP

835461 5,150 1 5,150
21 Jalan EDO. TN

13/03/20 Rawat KULSUM

835464 5,150 1 5,150
21 Jalan . NY
13/03/20 Rawat EDAH,
835444 5,150 1 5,150
21 Jalan NY
LIKA
13/03/20 Rawat
835445 MUSTIK 5,150 1 5,150
21 Jalan
A, NY
13/03/20 Rawat
835453 AMI NY 5,150 1 5,150
21 Jalan
M
13/03/20 Rawat
835454 UHING 5,150 1 5,150
21 Jalan
TN
13/03/20 Rawat RUKMIN
835465 5,150 1 5,150
21 Jalan I. NY
13/03/20 Rawat NENGS
835451 5,150 1 5,150
21 Jalan RI. NY
ANIH
13/03/20 Rawat
4235 SUARSI 5,150 1 5,150
21 Jalan
H, NY
13/03/20 Rawat REVINA
833412 5,150 1 5,150
21 Jalan . AN
14/03/20 Rawat SACI,
804839 5,150 1 5,150
21 Jalan NY
15/03/20 Rawat ANAH
835474 5,150 1 5,150
21 Jalan NY
15/03/20 Rawat DONO.
835488 5,150 1 5,150
21 Jalan TN
15/03/20 Rawat SUPRAP
834561 5,150 1 5,150
21 Jalan TI NY
PAPAT
15/03/20 Rawat
835496 FATIMA 5,150 1 5,150
21 Jalan
H. NY
NIA
15/03/20 Rawat KURNIA
835483 5,150 1 5,150
21 Jalan WATI.
NY
 CICIN
15/03/20 Rawat
835490 FITRIANI 5,150 1 5,150
21 Jalan
. NY

EUIS
15/03/20 Rawat
835480 RAHMA 5,150 1 5,150
21 Jalan
WATI NY

TETI
15/03/20 Rawat
817877 NURHA 5,150 1 5,150
21 Jalan
YATI, NY
LIA
15/03/20 Rawat
835482 MARLIA 5,150 1 5,150
21 Jalan
NTI NY
TITA
15/03/20 Rawat
834941 OKTAVI 5,150 1 5,150
21 Jalan
ANI NY
15/03/20 Rawat
835500 AAS, NY 5,150 1 5,150
21 Jalan
HILDA
15/03/20 Rawat
835486 LESMAN 5,150 1 5,150
21 Jalan
A, NY
NANI
15/03/20 Rawat
835485 SURYAN 5,150 1 5,150
21 Jalan
I, NY
15/03/20 Rawat MILAH
835487 5,150 1 5,150
21 Jalan SITI. NY
NABILA
H
15/03/20 Rawat
834675 QOTHR 5,150 1 5,150
21 Jalan
UNNAD
A, NY
TINAH
15/03/20 Rawat
835491 RATNA. 5,150 1 5,150
21 Jalan
NY
15/03/20 Rawat YULIA.
823416 5,150 1 5,150
21 Jalan NY
DIDA
15/03/20 Rawat
832395 SUNARS 5,150 1 5,150
21 Jalan
IH NY
NANA
15/03/20 Rawat
835475 TARYAN 5,150 1 5,150
21 Inap
A. TN
15/03/20 Rawat ENGKAS
835502 5,150 1 5,150
21 Jalan , NY
15/03/20 Rawat
815940 DIDI, TN. 5,150 1 5,150
21 Inap
15/03/20 Rawat WASDI,
835501 5,150 1 5,150
21 Jalan TN
 ANANDA
15/03/20 Rawat
823118 SEKAR , 5,150 1 5,150
21 Jalan
AN

INI
15/03/20 Rawat
835495 SUARTI 5,150 1 5,150
21 Jalan
NI. NY
NOVIA
15/03/20 Rawat
835497 FRANSI 5,150 1 5,150
21 Jalan
SKA. NN
15/03/20 Rawat SUKIMA
835498 5,150 1 5,150
21 Jalan D, TN
DERRA
15/03/20 Rawat HAPPY
835499 5,150 1 5,150
21 Jalan NOVITA,
NN

ADE
15/03/20 Rawat
835505 KUSNAN 5,150 1 5,150
21 Jalan
DAR TN

WASILA
15/03/20 Rawat TUL
835408 5,150 1 5,150
21 Jalan ALIYAH,
NY
15/03/20 Rawat
835504 SITI NY 5,150 1 5,150
21 Jalan
IKAH
15/03/20 Rawat
835478 NURLAE 5,150 1 5,150
21 Jalan
LA. NY
MUHAM
15/03/20 Rawat AD
835405 5,150 1 5,150
21 Jalan HAFIJUL
. AN
AGUS
15/03/20 Rawat
835507 SUPRIA 5,150 1 5,150
21 Jalan
TNA TN
TITI
15/03/20 Rawat
835508 SURYAN 5,150 1 5,150
21 Inap
I NY
DIMAS
15/03/20 Rawat
812977 ADITYA 5,150 1 5,150
21 Inap
W, AN
OMAN
15/03/20 Rawat
831629 ROHAN 5,150 1 5,150
21 Jalan
A, TN
RUDI
15/03/20 Rawat
835484 HERMA 5,150 1 5,150
21 Jalan
WAN TN
 DENI
16/03/20 Rawat
830666 RAMDA 5,150 1 5,150
21 Jalan
NI.AN
16/03/20 Rawat NUNUN
835338 5,150 1 5,150
21 Jalan G K, NY
ALFI
16/03/20 Rawat
832641 ANDRA 5,150 1 5,150
21 Jalan
A. AN
ENI
16/03/20 Rawat
835513 SUKMA 5,150 1 5,150
21 Jalan
ENI. NY
IIS
16/03/20 Rawat
835516 WARTIK 5,150 1 5,150
21 Jalan
AH NY
VIVIH
16/03/20 Rawat
834834 NOVITA 5,150 1 5,150
21 Jalan
DEWI
ENGKIN
16/03/20 Rawat
835520 G AJIS . 5,150 1 5,150
21 Jalan
TN
DEDE
16/03/20 Rawat
835517 SUHART 5,150 1 5,150
21 Jalan
INI. NY
DRS,
16/03/20 Rawat NANA
820372 5,150 1 5,150
21 Jalan MULYAN
A, TN
ARI
16/03/20 Rawat DINDIN
833385 5,150 1 5,150
21 Jalan WAHYU
DIN TN
16/03/20 Rawat KANAR
835231 5,150 1 5,150
21 Jalan TN
RUBI
16/03/20 Rawat HENDR
820987 5,150 1 5,150
21 Jalan AWAN.
TN
CUCU
16/03/20 Rawat SUSILA
835176 5,150 1 5,150
21 Jalan WATI,
NY
16/03/20 Rawat KANDA.
835528 5,150 1 5,150
21 Jalan TN
16/03/20 Rawat
835526 AYO. TN 5,150 1 5,150
21 Jalan
 IVAN
16/03/20 Rawat
808038 FRANSI 5,150 1 5,150
21 Jalan
SCO, AN

NN.
16/03/20 Rawat DITA
835525 5,150 1 5,150
21 Jalan SETIAW
ATI
16/03/20 Rawat
819776 TATI, NY 5,150 1 5,150
21 Jalan

SIFA
16/03/20 Rawat
831395 NURFAD 5,150 1 5,150
21 Jalan
ILAH, AN

CHACH
A
16/03/20 Rawat
831520 RAIHAN 5,150 1 5,150
21 Jalan
RIZKI .
BY
ZAYNA
16/03/20 Rawat
835510 ALMAHI 5,150 1 5,150
21 Jalan
RA, AN
NANDIK
16/03/20 Rawat
835384 KRISAL 5,150 1 5,150
21 Jalan
AM. AN
GALIH
NURDIN
16/03/20 Rawat
833526 A 5,150 1 5,150
21 Jalan
SAPUTR
A. AN
16/03/20 Rawat
828609 ILAH. NY 5,150 1 5,150
21 Jalan
AMALIA
16/03/20 Rawat
835521 SHOHIF 5,150 1 5,150
21 Jalan
AH . NN
16/03/20 Rawat IROH,
835400 5,150 1 5,150
21 Jalan NY
16/03/20 Rawat TASIH
835460 5,150 1 5,150
21 Jalan NY
16/03/20 Rawat ADAH.
835518 5,150 1 5,150
21 Jalan NY
NURAL
16/03/20 Rawat MIRA
835511 5,150 1 5,150
21 Jalan AUINI,
AN
16/03/20 Rawat
835519 UUM NY 5,150 1 5,150
21 Jalan
 ELI
16/03/20 Rawat
835531 HERLIN 5,150 1 5,150
21 Jalan
A NY
KHAIRA
16/03/20 Rawat
824645 NAYYAR 5,150 1 5,150
21 Jalan
A, AN
NADINE
16/03/20 Rawat
831349 AZZIZAH 5,150 1 5,150
21 Jalan
.AN
16/03/20 Rawat AANG
835389 5,150 1 5,150
21 Jalan NY
AGNIA
16/03/20 Rawat AULIA
835514 5,150 1 5,150
21 Jalan KADAM.
AN
LUTHFI
16/03/20 Rawat
833729 YUNAN 5,150 1 5,150
21 Jalan
BY
TITIN
16/03/20 Rawat
835530 MULYAT 5,150 1 5,150
21 Inap
IN NY
THIA
17/03/20 Rawat
829611 MAULAN 5,150 1 5,150
21 Jalan
A. TN
17/03/20 Rawat ABDILA
835532 5,150 1 5,150
21 Jalan H BY
ENCID
17/03/20 Rawat
806056 TAMSID, 5,150 1 5,150
21 Jalan
TN
17/03/20 Rawat OTONG,
801478 5,150 1 5,150
21 Jalan TN
IRSYAD
17/03/20 Rawat
831588 RAMAD 5,150 1 5,150
21 Jalan
HAN, AN
M
17/03/20 Rawat
833639 ISKAND 5,150 1 5,150
21 Jalan
AR AN
ALIYA
17/03/20 Rawat NUR
835272 5,150 1 5,150
21 Jalan HALIZA
BY
SALWA
17/03/20 Rawat FITRI
835534 5,150 1 5,150
21 Jalan NANDINI
AN
17/03/20 Rawat WASLI.
827069 5,150 1 5,150
21 Jalan TN
 HERI
17/03/20 Rawat
835535 HERMA 5,150 1 5,150
21 Jalan
WAN TN
ENUNG
17/03/20 Rawat
820620 JUARIA 5,150 1 5,150
21 Jalan
H. NY
HILMAN
17/03/20 Rawat
835536 PRAYUD 5,150 1 5,150
21 Jalan
A TN
ELIS
18/03/20 Rawat
835539 RUKYUL 5,150 1 5,150
21 Jalan
IANI NY
18/03/20 Rawat FANNY
832782 5,150 1 5,150
21 Jalan TN
ENI
18/03/20 Rawat
835544 SUMAR 5,150 1 5,150
21 Jalan
NI NN
18/03/20 Rawat IROH,
835400 5,150 1 5,150
21 Jalan NY
18/03/20 Rawat
835540 PI'I .TN 5,150 1 5,150
21 Jalan
18/03/20 Rawat
835453 AMI NY 5,150 1 5,150
21 Jalan
18/03/20 Rawat SACI,
804839 5,150 1 5,150
21 Jalan NY
WILDAN
18/03/20 Rawat FAUZI
835548 5,150 1 5,150
21 Jalan FURQO
N SDR
18/03/20 Rawat MA'MUN
835549 5,150 1 5,150
21 Jalan TN
18/03/20 Rawat
806813 IPIN, TN 5,150 1 5,150
21 Jalan
WILLY
18/03/20 Rawat RIZKY
834142 5,150 1 5,150
21 Jalan NOVALD
Y AN
18/03/20 Rawat RASYA
832664 5,150 1 5,150
21 Jalan AN
AHDIAH
18/03/20 Rawat MAMAH
835542 5,150 1 5,150
21 Jalan ROHIMA
H NY
NURAL
18/03/20 Rawat MIRA
835511 5,150 1 5,150
21 Jalan AUINI,
AN
 KAHFI L
18/03/20 Rawat AZAM
831378 5,150 1 5,150
21 Jalan IBRAHIM
, BY
JULY
18/03/20 Rawat
835387 TISYA. 5,150 1 5,150
21 Jalan
AN
KEYSA
18/03/20 Rawat DWI
830497 5,150 1 5,150
21 Jalan AGUSTI
N AN
ISMA NY
18/03/20 Rawat
829943 / AHNU 5,150 1 5,150
21 Jalan
TN
CUCU
18/03/20 Rawat
835308 NURJAN 5,150 1 5,150
21 Jalan
AH NY
19/03/20 Rawat AJENG
835554 5,150 1 5,150
21 Jalan AN
19/03/20 Rawat RADITIA
835278 5,150 1 5,150
21 Jalan BY
SALWA
19/03/20 Rawat FITRI
835534 5,150 1 5,150
21 Jalan NANDINI
AN
RANI
19/03/20 Rawat
832058 RAHAYU 5,150 1 5,150
21 Jalan
, NY
TINA
19/03/20 Rawat
803259 WINARS 5,150 1 5,150
21 Jalan
IH, NY

WIWIN
19/03/20 Rawat
832828 NURJAM 5,150 1 5,150
21 Jalan
ILAH NY

IIS
19/03/20 Rawat
835560 INDRIAH 5,150 1 5,150
21 Jalan
NY
SILVIAN
19/03/20 Rawat
823195 A DEWI. 5,150 1 5,150
21 Jalan
NY
19/03/20 Rawat DENA,
803373 5,150 1 5,150
21 Jalan SDR
ENDAN
19/03/20 Rawat G
835564 5,150 1 5,150
21 Jalan SUHER
MAN TN
19/03/20 Rawat SOLIHA
835566 5,150 1 5,150
21 Jalan T NY
HJ A
19/03/20 Rawat
835562 MARYA 5,150 1 5,150
21 Jalan
M NY
ANNISA
19/03/20 Rawat NUR
3971 5,150 1 5,150
21 Jalan ASSIDIQ
, NN
ENDAH
19/03/20 Rawat
835567 HAMZA 5,150 1 5,150
21 Jalan
H NY
NENDE
19/03/20 Rawat
831124 N AYU, 5,150 1 5,150
21 Jalan
NY
19/03/20 Rawat ACEP
835568 5,150 1 5,150
21 Jalan PAHRI
M
19/03/20 Rawat
835321 IKHSAN 5,150 1 5,150
21 Jalan
SDR
LIA
19/03/20 Rawat
835569 FITRIA 5,150 1 5,150
21 Jalan
NY
INA
19/03/20 Rawat
835570 MARLIN 5,150 1 5,150
21 Jalan
A NY
19/03/20 Rawat ANIS,
835551 5,150 1 5,150
21 Jalan NY

WAWAN
19/03/20 Rawat
834716 SETIAW 5,150 1 5,150
21 Jalan
AN TN

19/03/20 Rawat AMAT.

835550 5,150 1 5,150
21 Inap TN
MIRA
19/03/20 Rawat
822603 RAHMA 5,150 1 5,150
21 Jalan
NIA. NY
RAHMA
D
19/03/20 Rawat
835553 KURNIA 5,150 1 5,150
21 Jalan
WAN
SDR
19/03/20 Rawat KOSIDIN
835556 5,150 1 5,150
21 Jalan NY
19/03/20 Rawat UTENG
835571 5,150 1 5,150
21 Jalan TN
19/03/20 Rawat AFRIJAL
835557 5,150 1 5,150
21 Jalan UL SDR
 AJI
19/03/20 Rawat
835555 SAEPUD 5,150 1 5,150
21 Jalan
IN TN
EUIS
19/03/20 Rawat
1708 MAEMU 5,150 1 5,150
21 Jalan
NAH, NY
JUJU
19/03/20 Rawat
835559 JUARIA 5,150 1 5,150
21 Jalan
H NY
NINING
20/03/20 Rawat
832543 RUNING 5,150 1 5,150
21 Jalan
SIH NY
EUIS
20/03/20 Rawat
835573 WARTIN 5,150 1 5,150
21 Jalan
I NY
20/03/20 Rawat KANDA.
835528 5,150 1 5,150
21 Jalan TN
20/03/20 Rawat JUJU,
832006 5,150 1 5,150
21 Jalan NY
20/03/20 Rawat SUNAMI
833478 5,150 1 5,150
21 Jalan NY
20/03/20 Rawat ANENG
835576 5,150 1 5,150
21 Jalan NY
20/03/20 Rawat SAEFUD
835579 5,150 1 5,150
21 Jalan IN. TN
20/03/20 Rawat SUHEN
835578 5,150 1 5,150
21 Jalan DAR TN
M.
20/03/20 Rawat
4682 RAMDA 5,150 1 5,150
21 Jalan
N, AN

DIRLI
20/03/20 Rawat
831319 SYAHPU 5,150 1 5,150
21 Jalan
TRA AN

20/03/20 Rawat RATU,

832607 5,150 1 5,150
21 Jalan AN
KENNAR
20/03/20 Rawat A
835581 5,150 1 5,150
21 Jalan SAGABI
ZAR AN
20/03/20 Rawat
821178 LIA, NY 5,150 1 5,150
21 Jalan

RIDWAN
20/03/20 Rawat
835572 NURTO 5,150 1 5,150
21 Jalan
AT TN

20/03/20 Rawat
815940 DIDI, TN. 5,150 1 5,150
21 Jalan
20/03/20 Rawat SURYA
834512 5,150 1 5,150
21 Jalan MAH NY
HERNI
21/03/20 Rawat
822560 RAHMA 5,150 1 5,150
21 Jalan
WATI
MS
21/03/20 Rawat
835587 SOPIAH, 5,150 1 5,150
21 Jalan
NY
21/03/20 Rawat MA'MUN
835549 5,150 1 5,150
21 Jalan TN
21/03/20 Rawat WANGSI
835588 5,150 1 5,150
21 Inap H, NY
KENNAR
21/03/20 Rawat A
835581 5,150 1 5,150
21 Jalan SAGABI
ZAR AN
ACEP
21/03/20 Rawat
835592 SOHIDIN 5,150 1 5,150
21 Jalan
TN

ANDREA
21/03/20 Rawat S
835582 5,150 1 5,150
21 Jalan YUDANT
ORO TN

21/03/20 Rawat NATAN.

835591 5,150 1 5,150
21 Inap AN
21/03/20 Rawat WARSO
835593 5,150 1 5,150
21 Jalan RI TN
21/03/20 Rawat HIBAN
835583 5,150 1 5,150
21 Jalan AN
21/03/20 Rawat YANDI
835584 5,150 1 5,150
21 Jalan TN
YENI
21/03/20 Rawat
809193 YULIANI, 5,150 1 5,150
21 Jalan
NY
21/03/20 Rawat AHYA,
835585 5,150 1 5,150
21 Jalan TN
22/03/20 Rawat TN.
835600 5,150 1 5,150
21 Jalan JEJEN
22/03/20 Rawat SAKILA.
835598 5,150 1 5,150
21 Jalan AN
TITA
22/03/20 Rawat
818692 KURNIA, 5,150 1 5,150
21 Jalan
NY
22/03/20 Rawat CHERIL
835363 5,150 1 5,150
21 Jalan LIAN AN
 SELLY
22/03/20 Rawat DESTIA
835610 5,150 1 5,150
21 Jalan NINGRU
M. NY
22/03/20 Rawat PINA,
831408 5,150 1 5,150
21 Jalan AN
22/03/20 Rawat VINA
835424 5,150 2 10,300
21 Jalan SRI NY
IGRHANI
22/03/20 Rawat
832835 PARIHN 5,150 1 5,150
21 Jalan
AN
22/03/20 Rawat NONOK.
835612 5,150 1 5,150
21 Jalan NY
22/03/20 Rawat FIRMAN
835613 5,150 1 5,150
21 Inap SDR
AHSAN
22/03/20 Rawat HAMIZA
826879 5,150 1 5,150
21 Jalan N FAUZI.
AN

DIKA
22/03/20 Rawat ABDILLA
834546 5,150 1 5,150
21 Jalan H FATIR
BY

22/03/20 Rawat ANDAR

831440 5,150 1 5,150
21 Inap WATI NY

WINDI
22/03/20 Rawat
806691 PERMAT 5,150 1 5,150
21 Jalan
A, AN
23/03/20 Rawat DANIS.
835631 5,150 1 5,150
21 Jalan AN
SHAKIL
23/03/20 Rawat A
835615 5,150 1 5,150
21 Jalan AYUDIA.
AN
23/03/20 Rawat QITANIA
803391 5,150 1 5,150
21 Jalan , AN
SUKAND
I BIN
23/03/20 Rawat
813480 SURYA 5,150 1 5,150
21 Jalan
MAN,
TN.
DEDEH
23/03/20 Rawat
826441 KURNIA 5,150 1 5,150
21 Jalan
SIH NY
 UJANG
23/03/20 Rawat
835617 TATANG 5,150 1 5,150
21 Inap
. TN
23/03/20 Rawat UNAYAH
819700 5,150 1 5,150
21 Jalan . NY
DEA
23/03/20 Rawat
820296 NURSIF 5,150 1 5,150
21 Jalan
A, NN
ENGKO
23/03/20 Rawat M
835618 5,150 1 5,150
21 Jalan KOMARI
AH, NY
ACU
23/03/20 Rawat
835621 SAMSU 5,150 1 5,150
21 Jalan
DIN TN
ENGKIN
23/03/20 Rawat
835520 G AJIS . 5,150 1 5,150
21 Jalan
TN
YUDI
23/03/20 Rawat
835623 PRAYO 5,150 1 5,150
21 Jalan
GA.TN
AGNIA
23/03/20 Rawat AULIA
835514 5,150 1 5,150
21 Jalan KADAM.
AN
ZABDAN
23/03/20 Rawat KHAIRU
829894 5,150 1 5,150
21 Jalan LLOH
AN
23/03/20 Rawat
833508 AMID TN 5,150 1 5,150
21 Jalan
23/03/20 Rawat WARSA
835827 5,150 1 5,150
21 Jalan TN
KOSIM
23/03/20 Rawat
835625 SUKIRM 5,150 1 5,150
21 Jalan
AN.TN
ASEP
23/03/20 Rawat
835592 SOHIDIN 5,150 1 5,150
21 Jalan
TN
NN.
23/03/20 Rawat DITA
835525 5,150 1 5,150
21 Jalan SETIAW
ATI
E
23/03/20 Rawat
835630 HUJAEM 5,150 1 5,150
21 Jalan
AH. NY
 W
23/03/20 Rawat ABDUL
835629 5,150 1 5,150
21 Jalan HALIM
TN
DERI
24/03/20 Rawat YUDA
800809 5,150 1 5,150
21 Jalan PRATAM
A, TN
24/03/20 Rawat DADAN
835640 5,150 1 5,150
21 Jalan G TN
24/03/20 Rawat NADINI.
835285 5,150 1 5,150
21 Jalan NN
24/03/20 Rawat OTONG,
835633 5,150 1 5,150
21 Jalan TN
24/03/20 Rawat AGUS
835641 5,150 1 5,150
21 Jalan TN
DERRA
24/03/20 Rawat HAPPY
835499 5,150 1 5,150
21 Jalan NOVITA,
NN
RESTU
24/03/20 Rawat NANDA
826925 5,150 1 5,150
21 Inap AMELIA
. NN
24/03/20 Rawat SUARI
835634 5,150 1 5,150
21 Jalan TN
24/03/20 Rawat YATNI
835642 5,150 1 5,150
21 Inap NY
24/03/20 Rawat KURYAT
800972 5,150 1 5,150
21 Jalan I, NY
24/03/20 Rawat HIDAYA
835638 5,150 1 5,150
21 Jalan T. TN
FEBI
24/03/20 Rawat
828563 NURUL 5,150 1 5,150
21 Jalan
F, AN
TANIA
24/03/20 Rawat FAITUR
834373 5,150 1 5,150
21 Jalan RAHMA
AN

RIRI
24/03/20 Rawat RHAYNA
835635 5,150 1 5,150
21 Jalan OKTAVI
ANI.AN

RAISYA
24/03/20 Rawat PUTRI
831593 5,150 1 5,150
21 Jalan MAHAR
ANI, AN
 YULI
24/03/20 Rawat
835639 YANI 5,150 1 5,150
21 Jalan
.NY
SITI
24/03/20 Rawat
814501 RODIAH, 5,150 1 5,150
21 Inap
NY.
SARI
25/03/20 Rawat
831537 NURYA 5,150 1 5,150
21 Jalan
NI.NN
MUHAM
25/03/20 Rawat AD
835657 5,150 1 5,150
21 Jalan RIVAN
AN
TOTOM
25/03/20 Rawat
835663 AMANDI 5,150 1 5,150
21 Jalan
PRAJA
HJ. SITI
25/03/20 Rawat
4433 SOPIAH, 5,150 1 5,150
21 Jalan
NY
AMRIN
25/03/20 Rawat
835462 SOBANA 5,150 1 5,150
21 Jalan
TN
HARIS
25/03/20 Rawat
834993 RUHITA 5,150 1 5,150
21 Jalan
TN
25/03/20 Rawat SAMRI
835661 5,150 1 5,150
21 Jalan TN
ALFAKIR
25/03/20 Rawat
835665 DEDY 5,150 1 5,150
21 Jalan
.TN
25/03/20 Rawat
835666 IMIH NY 5,150 1 5,150
21 Jalan
DRS,
25/03/20 Rawat NANA
820372 5,150 1 5,150
21 Jalan MULYAN
A, TN
DALIAH
25/03/20 Rawat
835647 YULIANI. 5,150 1 5,150
21 Jalan
NY
GHINA
25/03/20 Rawat
835291 FAUZIY 5,150 1 5,150
21 Jalan
YAH NY
25/03/20 Rawat MAYASI
832681 5,150 1 5,150
21 Jalan TA NN
PINKAN
25/03/20 Rawat
817099 RIZKY.N 5,150 1 5,150
21 Jalan
N
 YANI
25/03/20 Rawat
835653 SURYAN 5,150 1 5,150
21 Jalan
I. NY
25/03/20 Rawat YUYUN,
835041 5,150 1 5,150
21 Jalan NY
CICIH
25/03/20 Rawat
835651 RUKAES 5,150 1 5,150
21 Jalan
IH. NY
NUNUY
25/03/20 Rawat
835654 NUHANI 5,150 1 5,150
21 Jalan
AH. NY
ANITA
25/03/20 Rawat
835660 WULAN 5,150 1 5,150
21 Jalan
DARI NY
AHMAD
25/03/20 Rawat
823394 SURYAN 5,150 1 5,150
21 Jalan
A, BY
RIKI
25/03/20 Rawat
834856 RAHAYU 5,150 1 5,150
21 Jalan
. AN
ALIF
25/03/20 Rawat
835652 HAFID. 5,150 1 5,150
21 Jalan
BY
TUBAGU
25/03/20 Rawat S
834544 5,150 1 5,150
21 Jalan AHMAD
AN
KENISA
25/03/20 Rawat
830752 ADITIA.A 5,150 1 5,150
21 Jalan
N
AZLAN
25/03/20 Rawat
835646 ZAIDAN 5,150 1 5,150
21 Jalan
BY
NYAI
26/03/20 Rawat
835676 ATIKAH 5,150 1 5,150
21 Inap
NY
ELA
26/03/20 Rawat
835693 SOBARY 5,150 1 5,150
21 Jalan
ATI NY
ALBIO
26/03/20 Rawat SOUBIL
800177 5,150 1 5,150
21 Jalan HAKI,
AN
26/03/20 Rawat YUYUM
835675 5,150 1 5,150
21 Inap NY
26/03/20 Rawat RIFAL
835674 5,150 1 5,150
21 Inap SDR
26/03/20 Rawat DARSIH
835696 5,150 1 5,150
21 Jalan NY
DEWI
26/03/20 Rawat KURNIA
835682 5,150 1 5,150
21 Jalan WATI.
NY
26/03/20 Rawat ENENG
835698 5,150 1 5,150
21 Inap NY
LEESA
26/03/20 Rawat
835677 ELEANO 5,150 1 5,150
21 Jalan
R AN
26/03/20 Rawat ANISAH
835673 5,150 1 5,150
21 Jalan NY
LISNA
26/03/20 Rawat NURHA
835680 5,150 1 5,150
21 Jalan SANAH.
NY
IMAS
26/03/20 Rawat
835681 NRSARI. 5,150 1 5,150
21 Jalan
NY
ENTIN
26/03/20 Rawat
826446 ROSTINI 5,150 1 5,150
21 Jalan
, NY
26/03/20 Rawat WINDY,
806078 5,150 1 5,150
21 Jalan NY
26/03/20 Rawat UHNAN
835689 5,150 1 5,150
21 Inap TN
UTA
26/03/20 Rawat
835690 SOPAN 5,150 1 5,150
21 Jalan
DI.TN
26/03/20 Rawat MAHYA
835692 5,150 1 5,150
21 Jalan TN
26/03/20 Rawat NENGSI
835694 5,150 1 5,150
21 Jalan H NY
SYAILA
26/03/20 Rawat RAHMA
826714 5,150 1 5,150
21 Jalan TAUFIQ.
NN
IMAS
27/03/20 Rawat
835707 ROHIMA 5,150 1 5,150
21 Jalan
S, NY
27/03/20 Rawat
815940 DIDI, TN. 5,150 1 5,150
21 Jalan
ASEP
27/03/20 Rawat
835711 MEDIAN 5,150 1 5,150
21 Jalan
A. TN
27/03/20 Rawat SARWA.
835697 5,150 1 5,150
21 Jalan TN
 ASMAR
27/03/20 Rawat
835702 YANTI.N 5,150 1 5,150
21 Jalan
Y
27/03/20 Rawat
835719 EHA NY 5,150 1 5,150
21 Jalan
KELVIN
27/03/20 Rawat
835597 JULIANT 5,150 1 5,150
21 Jalan
ARA BY
27/03/20 Rawat
835713 ELIS NY 5,150 1 5,150
21 Jalan
NENEN
27/03/20 Rawat G
832087 5,150 1 5,150
21 Jalan KARTIK
A, NY
27/03/20 Rawat JAENAL
835715 5,150 1 5,150
21 Jalan NY
ADI
27/03/20 Rawat
835700 SAHRIL . 5,150 1 5,150
21 Jalan
AN
HARDI
27/03/20 Rawat
835716 SAMUEL 5,150 1 5,150
21 Jalan
TN
27/03/20 Rawat KENSIN.
835701 5,150 1 5,150
21 Jalan BY
ENGKIN
27/03/20 Rawat
835520 G AJIS . 5,150 1 5,150
21 Jalan
TN
NANI
27/03/20 Rawat
835706 NURJAN 5,150 1 5,150
21 Inap
AH. NY
OYO
27/03/20 Rawat
835699 SUTARY 5,150 1 5,150
21 Jalan
O. TN
27/03/20 Rawat
835453 AMI NY 5,150 1 5,150
21 Jalan
USUP
27/03/20 Rawat
835705 RUHEN 5,150 1 5,150
21 Jalan
DI
28/03/20 Rawat RIZAL.
835723 5,150 1 5,150
21 Jalan SDR
WINDY
28/03/20 Rawat
835718 WIDURI. 5,150 1 5,150
21 Inap
AN
28/03/20 Rawat TAMAD.
835725 5,150 1 5,150
21 Inap TN
28/03/20 Rawat AISYAH,
5158 5,150 1 5,150
21 Jalan NY
 KHAYYI
RA
28/03/20 Rawat
835730 ADHWA 5,150 1 5,150
21 Jalan
SYAROF
A, AN

LIA
HAYATI,
28/03/20 Rawat
828320 NY / 5,150 1 5,150
21 Jalan
HANIF,
TN
TOHA
28/03/20 Rawat
805009 NURDIN, 5,150 1 5,150
21 Inap
TN
28/03/20 Rawat ALMIRA,
835721 5,150 1 5,150
21 Jalan AN
UPIT
28/03/20 Rawat
835720 SARIMA 5,150 1 5,150
21 Jalan
NAH, NY
ADE
28/03/20 Rawat
835733 YUNEN 5,150 1 5,150
21 Jalan
GSIH NY
28/03/20 Rawat ERUK,
835722 5,150 1 5,150
21 Jalan NY
28/03/20 Rawat SUKAYA
835724 5,150 1 5,150
21 Jalan , TN
UNUS
28/03/20 Rawat
831842 SANUSI 5,150 1 5,150
21 Jalan
TN
RENI
29/03/20 Rawat
813579 ANDRIA 5,150 1 5,150
21 Inap
NA NY

MANSU
29/03/20 Rawat
835742 R SUGIH 5,150 1 5,150
21 Jalan
TN

TITA
29/03/20 Rawat
818692 KURNIA, 5,150 1 5,150
21 Jalan
NY
RIRIN
29/03/20 Rawat
835743 YULIAN 5,150 1 5,150
21 Jalan
NY

SAFIRA
29/03/20 Rawat
835744 KOMALA 5,150 1 5,150
21 Jalan
SARI NY

ADELIA
29/03/20 Rawat
835119 CAHYAT 5,150 1 5,150
21 Jalan
I NY
 RESTI
29/03/20 Rawat NURMA
835741 5,150 1 5,150
21 Jalan LASARI
NY
29/03/20 Rawat HANDI,
802569 5,150 1 5,150
21 Jalan SDR
AAN
29/03/20 Rawat
835745 HERMA 5,150 1 5,150
21 Jalan
NAH NY
29/03/20 Rawat YAYA.
835736 5,150 1 5,150
21 Jalan TN
SAEPUL
29/03/20 Rawat
814700 HIDAYA 5,150 1 5,150
21 Inap
T,TN
UDIN
29/03/20 Rawat
835747 SAMSU 5,150 1 5,150
21 Jalan
DIN. TN
MUHAM
29/03/20 Rawat AD
835657 5,150 1 5,150
21 Jalan RIVAN
AN
KANZIA
29/03/20 Rawat
833256 NURSAL 5,150 1 5,150
21 Jalan
SA AN
29/03/20 Rawat SHAFIR
834913 5,150 1 5,150
21 Jalan AA. BY
29/03/20 Rawat ASYFA.
817285 5,150 1 5,150
21 Jalan AN

RINI
29/03/20 Rawat
835748 SUCIAW 5,150 1 5,150
21 Jalan
ATI. NY

CICI
29/03/20 Rawat
835746 SUMAR 5,150 1 5,150
21 Inap
CI. NY
ELI
29/03/20 Rawat
835753 SUMAR 5,150 1 5,150
21 Jalan
NI, NY
ARCHE
29/03/20 Rawat
835738 RNAR. 5,150 1 5,150
21 Jalan
AN
ALIF
29/03/20 Rawat
835652 HAFID. 5,150 1 5,150
21 Jalan
BY
ETI
29/03/20 Rawat
835739 ROHAET 5,150 1 5,150
21 Jalan
I NY
 OJAN
29/03/20 Rawat
834850 SUPRIA 5,150 1 5,150
21 Jalan
DI. TN
YETI
30/03/20 Rawat
807134 MARYA 5,150 1 5,150
21 Jalan
NI, NY
AHMAT
30/03/20 Rawat
835759 MULADI. 5,150 1 5,150
21 Jalan
TN
30/03/20 Rawat SUKARS
835765 5,150 1 5,150
21 Inap IH.NY
ENTIN
30/03/20 Rawat
835780 HARTIT 5,150 1 5,150
21 Jalan
A,NY
HENHE
30/03/20 Rawat N
835779 5,150 1 5,150
21 Jalan ROHEN
DI. TN
KARIN
30/03/20 Rawat
835781 AGUSTI 5,150 1 5,150
21 Jalan
N, NN
30/03/20 Rawat JUAREA
835782 5,150 1 5,150
21 Jalan , NY

30/03/20 Rawat SUKAED

835784 5,150 1 5,150
21 Jalan AH . NY

30/03/20 Rawat YUMAH .

835785 5,150 1 5,150
21 Jalan NY
30/03/20 Rawat ROSMA
835787 5,150 1 5,150
21 Jalan , NN
JUJU
30/03/20 Rawat
835626 JUANI.N 5,150 1 5,150
21 Jalan
Y
YUDI
30/03/20 Rawat
835623 PRAYO 5,150 1 5,150
21 Jalan
GA.TN
30/03/20 Rawat MESIH,
835757 5,150 1 5,150
21 Jalan NY
KHAIRA
30/03/20 Rawat
824645 NAYYAR 5,150 1 5,150
21 Jalan
A, AN
HUMAIR
30/03/20 Rawat A
835346 5,150 1 5,150
21 Jalan SABILA .
AN
 QORI
30/03/20 Rawat RAHMA
823037 5,150 1 5,150
21 Jalan AULIA.
BY

AZIS
30/03/20 Rawat RUHIAT
824516 5,150 1 5,150
21 Jalan SUPRIA
TNA . TN

ZAYNA
30/03/20 Rawat
835510 ALMAHI 5,150 1 5,150
21 Jalan
RA, AN
30/03/20 Rawat
835762 USIH NY 5,150 1 5,150
21 Jalan
MUHAM
MAD
30/03/20 Rawat HAFIZH
828235 5,150 1 5,150
21 Jalan AS -
SIDIQ
AN

AZKA
30/03/20 Rawat BAGJA
830661 5,150 1 5,150
21 Jalan MAULAN
A.BY
30/03/20 Rawat HERMA
835766 5,150 1 5,150
21 Jalan N. TN
RAHMA
30/03/20 Rawat T
835763 5,150 1 5,150
21 Jalan HIDAYA
T TN
SIFA
MARYA
30/03/20 Rawat
835761 M 5,150 1 5,150
21 Jalan
RAHMA
N NN
MAMAN
31/03/20 Rawat FATURA
833599 5,150 1 5,150
21 Jalan HMAN .
TN
31/03/20 Rawat AMANA
832051 5,150 1 5,150
21 Jalan H NY
M
31/03/20 Rawat
835788 ZIDHAN 5,150 1 5,150
21 Jalan
AN
31/03/20 Rawat NONOK.
835612 5,150 1 5,150
21 Jalan NY
 ARINA
31/03/20 Rawat PUTRI
835792 5,150 1 5,150
21 Jalan AROFIK
AN
31/03/20 Rawat NENGSI
835694 5,150 1 5,150
21 Jalan H NY
MUSTO
FA
31/03/20 Rawat
835793 ABDUL 5,150 1 5,150
21 Jalan
HAMID
AN
IKRAN
31/03/20 Rawat
834537 ZAKI 5,150 1 5,150
21 Jalan
SDR
JAJANG
31/03/20 Rawat
835802 SUDRAJ 5,150 1 5,150
21 Jalan
AT TN
FELLICI
31/03/20 Rawat
827099 A ANUM 5,150 1 5,150
21 Jalan
N , BY
IDA
31/03/20 Rawat
835803 SUARTI 5,150 1 5,150
21 Jalan
KA NY
ADE
31/03/20 Rawat
835733 YUNEN 5,150 1 5,150
21 Jalan
GSIH NY
31/03/20 Rawat DAHLAN
835795 5,150 1 5,150
21 Jalan TN
TITA
31/03/20 Rawat
835804 KARTIK 5,150 1 5,150
21 Inap
A .NY
AGUS
31/03/20 Rawat
835805 DENI. 5,150 1 5,150
21 Jalan
TN
31/03/20 Rawat JUMRI.
835806 5,150 1 5,150
21 Jalan TN
EEN
31/03/20 Rawat
835797 NURAE 5,150 1 5,150
21 Jalan
NAH NY
YENI
31/03/20 Rawat
809193 YULIANI, 5,150 1 5,150
21 Jalan
NY
SIFA
31/03/20 Rawat SAGITA
813766 5,150 1 5,150
21 Jalan NURJAN
AH, NY
 SAHILA
31/03/20 Rawat
832194 AULIA 5,150 1 5,150
21 Jalan
AN
CHACH
A
PHENYT 16/03/20 Rawat
91 1345 831520 RAIHAN 2,271 12 27,252
OIN CAP 21 Jalan
RIZKI .
BY
SHAKIR
18/03/20 Rawat A
831380 2,271 16 36,336
21 Jalan MUNTAJ
AH AN
18/03/20 An
UMUM 0 2,271 20 45,420
21 Shakira
AZOMA Rawat KARMO
92 1348 1/3/2021 835236 47,432 1 47,432
X TAB Inap TN
Rawat
### 835393 LIA. NY 47,432 1 47,432
Inap
AFNAN
KOFIRE Rawat
93 1350 6/3/2021 830823 ALFARIZ 303 1 303
N TAB Jalan
QI BY
SALLY
Rawat
9/3/2021 802943 ASTAVA 303 1 303
Inap
NY. NY
ZAYNA
16/03/20 Rawat
835510 ALMAHI 303 2 606
21 Jalan
RA, AN
16/03/20 Rawat HAFIZ.
834365 303 1 303
21 Jalan BY
ALIF
25/03/20 Rawat
835652 HAFID. 303 2 606
21 Jalan
BY
AZLAN
25/03/20 Rawat
835646 ZAIDAN 303 2 606
21 Jalan
BY
ALIF
29/03/20 Rawat
835652 HAFID. 303 2 606
21 Jalan
BY
Dansefio
Rawat KANAR
94 1351 n 4mg 2/3/2021 835231 15,125 10 151,250
Inap TN
Tab
Rawat
3/3/2021 835279 ACA, TN 15,125 6 90,750
Jalan
Rawat ISAM.
3/3/2021 819105 15,125 10 151,250
Inap NY
Rawat SUTARN
9/3/2021 810138 15,125 10 151,250
Inap A, TN
 SALLY
Rawat
### 802943 ASTAVA 15,125 15 226,875
Inap
NY. NY
WIDANI
Rawat
### 813425 NGSIH,N 15,125 10 151,250
Jalan
Y
15/03/20 Rawat ANAH
835474 15,125 10 151,250
21 Jalan NY
26/03/20 Rawat PARNO,
835601 15,125 10 151,250
21 Inap TN
ADE
31/03/20 Rawat
835733 YUNEN 15,125 10 151,250
21 Jalan
GSIH NY
Maxcef 23/03/20 Rawat DANIS.
95 1354 835631 93,500 1 93,500
250 syr 21 Jalan AN
PUJI
Memucil Rawat
96 1355 1/3/2021 835229 SUMARJ 4,043 10 40,430
Caps Jalan
I, TN
ONENG
Rawat
1/3/2021 832859 ROKAE 4,043 3 12,129
Inap
NAH. NY
TAUFIK
Rawat
1/3/2021 835216 MAULAN 4,043 3 12,129
Inap
A SDR
SAEFUL
Rawat
1/3/2021 835220 HUDAYA 4,043 3 12,129
Inap
TN
AI
Rawat
1/3/2021 835232 SYARO 4,043 10 40,430
Jalan
H NY
Rawat KARMO
1/3/2021 835236 4,043 3 12,129
Inap TN
Rawat NINING
1/3/2021 835192 4,043 3 12,129
Inap NY
O
Rawat
1/3/2021 835252 KOMARI 4,043 10 40,430
Jalan
AH NY
TAUFIK
Rawat
1/3/2021 835216 MAULAN 4,043 3 12,129
Inap
A SDR
ONENG
Rawat
2/3/2021 832859 ROKAE 4,043 10 40,430
Inap
NAH. NY
SAEFUL
Rawat
2/3/2021 835220 HUDAYA 4,043 9 36,387
Inap
TN
Rawat KARMO
2/3/2021 835236 4,043 3 12,129
Inap TN
 TAUFIK
Rawat
2/3/2021 835216 MAULAN 4,043 3 12,129
Inap
A SDR
EVI SITI
Rawat
2/3/2021 811994 NUR. 4,043 3 12,129
Inap
F,NY
TAUFIK
Rawat
3/3/2021 835216 MAULAN 3,507 10 35,070
Inap
A SDR
Rawat KARMO
3/3/2021 835236 3,507 3 10,521
Inap TN
EVI SITI
Rawat
3/3/2021 811994 NUR. 3,507 3 10,521
Inap
F,NY
SITI
Rawat MAEUM
3/3/2021 835284 3,507 3 10,521
Inap ANAH,
NY
ENNY
Rawat
4/3/2021 825663 YUSNIT 4,043 11 44,473
Jalan
A, NY
EVI SITI
Rawat
4/3/2021 811994 NUR. 4,043 3 12,129
Inap
F,NY
Rawat SULAEM
4/3/2021 835173 4,043 11 44,473
Jalan AN TN
Tn
4/3/2021 UMUM APS Sulaema 4,043 10 40,430
n
Rawat
4/3/2021 835295 ANIH NY 4,043 11 44,473
Jalan
4/3/2021 UMUM APS Ny Anih 4,043 10 40,430
4/3/2021 UMUM APS Ny Enny 4,043 10 40,430
Rawat RIANIKH
4/3/2021 835099 4,043 21 84,903
Jalan A SDR
SITI
Rawat MAEUM
4/3/2021 835284 4,043 3 12,129
Inap ANAH,
NY
Rawat SINTIA.
5/3/2021 835301 4,043 3 12,129
Inap NY
Rawat KARMO
5/3/2021 835236 4,043 3 12,129
Inap TN
SITI
Rawat MAEUM
5/3/2021 835284 4,043 3 12,129
Inap ANAH,
NY
 A
Rawat HENDA
5/3/2021 813308 4,043 5 20,215
Jalan MULYAN
A TN.
tn. a
5/3/2021 UMUM 0 henda/ap 4,043 16 64,688
s
Rawat SINTIA.
6/3/2021 835301 4,043 3 12,129
Inap NY
SITI
Rawat MAEUM
6/3/2021 835284 4,043 10 40,430
Inap ANAH,
NY
Rawat WAWA
6/3/2021 835318 4,043 3 12,129
Inap TN
TRI
Rawat
6/3/2021 809807 YULIAN 4,043 10 40,430
Jalan
TO, TN
Rawat ENOS,
6/3/2021 801989 4,043 3 12,129
Inap TN
IDA
Rawat
6/3/2021 820069 ROSIDA. 4,043 1 4,043
Jalan
NY
Rawat KARMO
6/3/2021 835236 4,043 10 40,430
Inap TN
Rawat ENOS,
7/3/2021 801989 4,043 3 12,129
Inap TN
Rawat SINTIA.
8/3/2021 835301 4,043 10 40,430
Inap NY
Rawat ENOS,
8/3/2021 801989 4,043 10 40,430
Inap TN
Rawat WAWA
8/3/2021 835318 4,043 10 40,430
Inap TN
Rawat SINTIA.
8/3/2021 835301 4,043 1 4,043
Inap NY
Rawat WAWA
8/3/2021 835318 4,043 1 4,043
Inap TN
ITI
Rawat
9/3/2021 835385 DARSITI 4,043 3 12,129
Inap
, NY
Rawat SARYA
9/3/2021 835392 4,043 15 60,645
Jalan TN
UJANG
Rawat
9/3/2021 820303 SUPRIA 4,043 2 8,086
Inap
TNA, TN
UJANG
Rawat
### 820303 SUPRIA 4,043 10 40,430
Inap
TNA, TN
 ITI
Rawat
### 835385 DARSITI 4,043 3 12,129
Inap
, NY
NINING
Rawat
### 832543 RUNING 4,043 3 12,129
Inap
SIH NY
NIA
Rawat
### 826027 EVIANA. 4,043 2 8,086
Inap
NY
NIA
Rawat
### 826027 EVIANA. 4,043 10 40,430
Inap
NY
Rawat IROH,
### 835400 4,043 3 12,129
Inap NY
Rawat
### 835393 LIA. NY 4,043 3 12,129
Inap
Rawat ROHETI
### 802812 4,043 3 12,129
Inap N, NY
ITI
Rawat
### 835385 DARSITI 4,043 3 12,129
Inap
, NY
Rawat SUPRI.
### 835403 4,043 3 12,129
Inap TN
Rawat AGUS,
### 835398 4,043 3 12,129
Inap TN
Rawat
### 835393 LIA. NY 4,043 1 4,043
Inap
NINING
Rawat
### 832543 RUNING 4,043 3 12,129
Inap
SIH NY
EEM
13/03/20 Rawat
831825 SUKAE 4,043 2 8,086
21 Inap
MI. NY
NINING
14/03/20 Rawat
832543 RUNING 4,043 1 4,043
21 Inap
SIH NY
UAR
14/03/20 Rawat
835466 WARSIT 4,043 1 4,043
21 Inap
A. TN
UAR
14/03/20 Rawat
835466 WARSIT 4,043 1 4,043
21 Inap
A. TN
Rawat NADINI.
97 1362 Redacid 3/3/2021 835285 12,936 14 181,104
Jalan NN
LIA
19/03/20 Rawat
835569 FITRIA 12,936 14 181,104
21 Jalan
NY
 INA
19/03/20 Rawat
835570 MARLIN 12,936 10 129,360
21 Jalan
A NY
22/03/20 Rawat NONOK.
835612 12,936 10 129,360
21 Jalan NY
24/03/20 Rawat NADINI.
835285 12,936 15 194,040
21 Jalan NN
31/03/20 Rawat NONOK.
835612 12,936 15 194,040
21 Jalan NY
FELCIA
Aqua Pro Rawat
98 1363 1/3/2021 835226 TJHIN, 8,250 1 8,250
Inj 10ml Inap
AN
Rawat HAINA,
1/3/2021 835228 8,250 1 8,250
Inap AN
NANDI
Rawat
1/3/2021 835204 SONJAY 8,250 1 8,250
Inap
A. TN
Rawat
1/3/2021 835230 ANI. NY 8,250 1 8,250
Jalan
Rawat RISNA
1/3/2021 835175 8,250 1 8,250
Inap SDR
YAYA
Rawat
1/3/2021 835079 SUNARY 8,250 1 8,250
Inap
A TN
ERI
Rawat RAHMA
1/3/2021 835239 8,250 1 8,250
Inap WATI.
NY

SUSI
Rawat
1/3/2021 835194 SUSILA 8,250 1 8,250
Inap
WATI NY

ZAHRA
Rawat
1/3/2021 835251 DEWANI 8,250 1 8,250
Jalan
NY
Rawat
2/3/2021 815940 DIDI, TN. 8,250 1 8,250
Inap
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 8,250 3 24,750
Inap US
SHANU
M AN
3/3/2021 UMUM 0 KIKI 8,250 1 8,250
 SITI
Rawat MAEUM
3/3/2021 835284 8,250 1 8,250
Inap ANAH,
NY
Tn
4/3/2021 UMUM APS 8,085 3 24,255
Dadang
ANISA
Rawat
4/3/2021 835298 FITRIA, 8,085 1 8,085
Inap
AN
EVI SITI
Rawat
4/3/2021 811994 NUR. 8,085 1 8,085
Inap
F,NY
MISHAE
LA
Rawat HADYAT
4/3/2021 835253 8,085 1 8,085
Inap US
SHANU
M AN
Rawat LILIS,NN
4/3/2021 835293 8,085 1 8,085
Jalan Y
BHARAT
Rawat JIBRIL
4/3/2021 828617 8,250 1 8,250
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 8,250 1 8,250
Inap AN
ANISA
Rawat
5/3/2021 835298 FITRIA, 8,250 1 8,250
Inap
AN
MISHAE
LA
Rawat HADYAT
5/3/2021 835253 8,250 1 8,250
Inap US
SHANU
M AN
Rawat WAWA
5/3/2021 835318 8,250 1 8,250
Inap TN
Rawat HAIKAL
5/3/2021 835274 8,085 1 8,085
Inap BY
SITI
Rawat MAEUM
5/3/2021 835284 8,085 1 8,085
Inap ANAH,
NY
NAYLA
Rawat
5/3/2021 835311 NURASY 8,250 1 8,250
Inap
IFA AN
 EUIS
Rawat
5/3/2021 831017 KURAES 8,250 2 16,500
Jalan
IN.NY
TANIA
Rawat
6/3/2021 835331 MAURA 8,250 1 8,250
Inap
NISA AN
LILIS
Rawat
6/3/2021 823790 SURYAN 8,250 1 8,250
Inap
I.NY
Rawat RUKASI
6/3/2021 835322 8,250 1 8,250
Inap H. NY
Rawat ENOS,
6/3/2021 801989 8,085 2 16,170
Inap TN
LILIS
Rawat
6/3/2021 823790 SURYAN 8,250 1 8,250
Inap
I.NY
IDA
Rawat
6/3/2021 820069 ROSIDA. 8,085 1 8,085
Jalan
NY
Rawat ENOS,
7/3/2021 801989 8,085 2 16,170
Inap TN
Rawat AWIS,
7/3/2021 816633 8,085 1 8,085
Inap NY
Rawat NUNUN
7/3/2021 835338 8,085 1 8,085
Inap G K, NY
DIAH
Rawat YAYAH
7/3/2021 835340 8,085 1 8,085
Inap ROKAYA
H. NY
H.
Rawat
7/3/2021 820643 SYUKUR 8,085 1 8,085
Jalan
, TN
UJANG
Rawat
8/3/2021 820303 SUPRIA 8,085 1 8,085
Inap
TNA, TN
NUNUN
G
Rawat
8/3/2021 804308 HERNA 8,085 1 8,085
Inap
WATI.
NY
ENCID
Rawat
9/3/2021 806056 TAMSID, 8,085 1 8,085
Jalan
TN
NINING
Rawat
### 832543 RUNING 8,250 1 8,250
Inap
SIH NY
 Rawat YUSILA
### 834752 8,250 1 8,250
Inap WATI,NY

Rawat ARSYAK
### 814127 8,250 1 8,250
Inap HA . AN

Rawat IMAS,
### 835142 8,250 1 8,250
Inap NY
Rawat
### 835415 AAH, NY 8,250 1 8,250
Inap
Rawat
### 835415 AAH, NY 8,250 1 8,250
Inap

Rawat YUSILA
### 834752 8,085 1 8,085
Inap WATI,NY

NINING
Rawat
### 832543 RUNING 8,085 1 8,085
Inap
SIH NY
Rawat AGUS,
### 835398 8,085 1 8,085
Inap TN
SUPRIH
Rawat
### 822113 ATIN. 8,085 1 8,085
Inap
NY
13/03/20 Rawat TASIH
835460 8,250 1 8,250
21 Inap NY
TATI
13/03/20 Rawat
835463 WARSITI 8,250 2 16,500
21 Inap
. NY
13/03/20 Rawat RUKMIN
835465 8,250 1 8,250
21 Jalan I. NY

13/03/20 Rawat YUSILA

834752 8,085 1 8,085
21 Inap WATI,NY

SHAJEA
13/03/20 Rawat
835452 HALAA 8,250 1 8,250
21 Inap
NISA AN
HAUZAN
13/03/20 Rawat IRHAB
833974 8,250 1 8,250
21 Inap NABIL,
AN
NATASY
13/03/20 Rawat A
835457 8,250 1 8,250
21 Inap ADINDA
NY
AHMAD
13/03/20 Rawat
835458 ARYA. 8,250 2 16,500
21 Inap
AN
14/03/20 Rawat
835415 AAH, NY 8,250 1 8,250
21 Inap
14/03/20 Rawat TASIH
835460 8,250 1 8,250
21 Inap NY
TINI
14/03/20 Rawat
835417 HARTINI 8,250 1 8,250
21 Inap
. NY
14/03/20 Rawat FATIMA
832088 8,250 1 8,250
21 Inap H , NY
14/03/20 Rawat ALONA
835467 8,250 2 16,500
21 Inap AN
ADE
14/03/20 Rawat
835470 SUKAES 8,250 1 8,250
21 Inap
IH NY
14/03/20 Rawat ENES
835469 8,250 1 8,250
21 Inap NY
AMRIN
14/03/20 Rawat
835462 SOBANA 8,250 2 16,500
21 Inap
TN
HAUZAN
14/03/20 Rawat IRHAB
833974 8,250 1 8,250
21 Inap NABIL,
AN
EEM
15/03/20 Rawat
831825 SUKAE 8,085 1 8,085
21 Inap
MI. NY
15/03/20 Rawat ENGKAS
835502 8,085 1 8,085
21 Jalan , NY
TINI
15/03/20 Rawat
835417 HARTINI 8,085 1 8,085
21 Inap
. NY
DEREL
15/03/20 Rawat DWI
835473 8,085 2 16,170
21 Inap KARISM
A AN
15/03/20 Rawat ROKAYA
835481 8,085 1 8,085
21 Inap H NY
DIMAS
15/03/20 Rawat
812977 ADITYA 8,085 1 8,085
21 Inap
W, AN
15/03/20 Rawat ENES
835469 8,085 1 8,085
21 Inap NY
ELOM
16/03/20 Rawat SALAM
835515 8,085 1 8,085
21 Inap SUDIRM
AN TN
 E
16/03/20 Rawat
835527 MUCHT 8,085 1 8,085
21 Inap
AR . TN
TITIN
16/03/20 Rawat
835530 MULYAT 8,085 1 8,085
21 Inap
IN NY
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 8,085 1 8,085
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat ASIR .
835538 8,085 1 8,085
21 Inap TN
TITIN
17/03/20 Rawat
835530 MULYAT 8,085 2 16,170
21 Inap
IN NY
17/03/20 Rawat CICIH
811043 8,085 2 16,170
21 Inap NY.
ADE
17/03/20 Rawat
835529 ROHMA 8,085 2 16,170
21 Inap
ENI. NY
17/03/20 Rawat FATIMA
832088 8,085 2 16,170
21 Inap H , NY
ELOM
17/03/20 Rawat SALAM
835515 8,085 2 16,170
21 Inap SUDIRM
AN TN
N. U.
17/03/20 Rawat
835522 UMAYA 8,085 1 8,085
21 Inap
H NY

SODIKIN
17/03/20 Rawat NOOR
835524 8,085 2 16,170
21 Inap BADRI.
TN

YANA
17/03/20 Rawat
835328 GUSTIA 8,085 2 16,170
21 Inap
NA NN
LEVINO
17/03/20 Rawat
835494 INDRAS 8,085 1 8,085
21 Inap
KA. AN
ELIS
18/03/20 Rawat
835539 RUKYUL 8,250 1 8,250
21 Jalan
IANI NY
 MUHAM
MAD
18/03/20 Rawat FAEYZA
821441 8,250 2 16,500
21 Inap RAJBNA
HAMIZA
N, AN
18/03/20 Rawat ROKAYA
835481 8,085 2 16,170
21 Inap H NY
18/03/20 Rawat CICIH
811043 8,085 2 16,170
21 Inap NY.
18/03/20 Rawat SACI,
804839 8,085 1 8,085
21 Jalan NY

SODIKIN
18/03/20 Rawat NOOR
835524 8,250 1 8,250
21 Inap BADRI.
TN

AHDIAH
18/03/20 Rawat MAMAH
835542 8,250 1 8,250
21 Jalan ROHIMA
H NY
19/03/20 Rawat CICIH
811043 8,085 1 8,085
21 Inap NY.
19/03/20 Rawat
835547 IRAH NY 8,085 1 8,085
21 Inap

SODIKIN
19/03/20 Rawat NOOR
835524 8,085 1 8,085
21 Inap BADRI.
TN

N. U.
19/03/20 Rawat
835522 UMAYA 8,085 1 8,085
21 Inap
H NY
RONI
19/03/20 Rawat
835563 SUPRIA 8,085 1 8,085
21 Inap
DI TN

SODIKIN
20/03/20 Rawat NOOR
835524 8,085 1 8,085
21 Inap BADRI.
TN

RONI
20/03/20 Rawat
835563 SUPRIA 8,085 1 8,085
21 Inap
DI TN
N. U.
20/03/20 Rawat
835522 UMAYA 8,085 1 8,085
21 Inap
H NY
20/03/20 Rawat ROKAYA
835481 8,085 1 8,085
21 Inap H NY
NERA
20/03/20 Rawat
817790 NORAW 8,085 1 8,085
21 Inap
ATI . NY
20/03/20 Rawat HIDAYA
805608 8,085 1 8,085
21 Inap T, TN
20/03/20 Rawat DARYAN
835565 8,085 1 8,085
21 Inap TI. NY
20/03/20 Rawat HIDAYA
805608 8,085 1 8,085
21 Inap T, TN
NERA
20/03/20 Rawat
817790 NORAW 8,085 1 8,085
21 Inap
ATI . NY
21/03/20 Rawat
807029 TUTI, NY 8,085 1 8,085
21 Inap
21/03/20 Rawat HERMA
835580 8,085 1 8,085
21 Inap N TN

YATI
21/03/20 Rawat
835577 KURNIA 8,085 1 8,085
21 Inap
WATI NY

21/03/20 Rawat SUKAES

807749 8,085 1 8,085
21 Inap IH. NY
21/03/20 Rawat DEDEN
835586 8,085 1 8,085
21 Inap G, TN
21/03/20 Rawat WANGSI
835588 8,085 2 16,170
21 Inap H, NY

YATI
21/03/20 Rawat
835577 KURNIA 8,085 1 8,085
21 Inap
WATI NY

21/03/20 Rawat NATAN.

835591 8,250 1 8,250
21 Inap AN
RONI
21/03/20 Rawat
835563 SUPRIA 8,085 1 8,085
21 Inap
DI TN
21/03/20 Rawat HERMA
835580 8,085 1 8,085
21 Inap N TN
GANJAR
22/03/20 Rawat
835607 HIKMAT 8,250 1 8,250
21 Inap
. TN

MALA
22/03/20 Rawat
835594 KOMALA 8,250 2 16,500
21 Inap
SARI NY

22/03/20 Rawat
807029 TUTI, NY 8,250 1 8,250
21 Inap
 YATI
22/03/20 Rawat
835577 KURNIA 8,250 1 8,250
21 Inap
WATI NY

N. U.
22/03/20 Rawat
835522 UMAYA 8,250 1 8,250
21 Inap
H NY
22/03/20 Rawat SUHEN
835596 8,250 1 8,250
21 Inap DA NY
22/03/20 Rawat DEDEN
835586 8,250 1 8,250
21 Inap G, TN
22/03/20 Rawat WANGSI
835588 8,250 1 8,250
21 Inap H, NY
NUNUN
22/03/20 Rawat G
835606 8,250 1 8,250
21 Inap KOMARI
AH. NY
22/03/20 Rawat PARNO,
835601 8,250 1 8,250
21 Inap TN
22/03/20 Rawat UDIN.
835604 8,250 1 8,250
21 Inap TN

YATI
23/03/20 Rawat
835577 KURNIA 8,250 1 8,250
21 Inap
WATI NY

MALA
23/03/20 Rawat
835594 KOMALA 8,250 1 8,250
21 Inap
SARI NY

GANJAR
23/03/20 Rawat
835607 HIKMAT 8,250 1 8,250
21 Inap
. TN
FITRI
23/03/20 Rawat SARI
835624 8,085 1 8,085
21 Inap WAHYU
NI NN
23/03/20 Rawat ADAH.
835518 8,085 1 8,085
21 Inap NY
23/03/20 Rawat PARNO,
835601 8,250 1 8,250
21 Inap TN
24/03/20 Rawat NATAN.
835591 8,250 1 8,250
21 Inap AN
ANISA
24/03/20 Rawat FAIHA
835644 8,250 1 8,250
21 Inap MUNAN
DAR AN
 TATI
25/03/20 Rawat
835664 ROSWA 8,085 1 8,085
21 Inap
TI
ROSMA
25/03/20 Rawat
834926 LAWATI, 8,085 1 8,085
21 Inap
NY
SAPAAT
25/03/20 Rawat NURHA
835668 8,085 1 8,085
21 Inap YATUDI
N TN
SITI
25/03/20 Rawat
814501 RODIAH, 8,085 1 8,085
21 Inap
NY.

ALRADY
A
25/03/20 Rawat MAHAB
830769 8,085 2 16,170
21 Inap BATAN
LUVINA
TIKA. AN

AZKA
FADILAT
25/03/20 Rawat
835649 UL 8,085 2 16,170
21 Inap
KHOIR.
AN
DARPIT
25/03/20 Rawat
835655 ROHIDU 8,085 1 8,085
21 Inap
N. TN
ANISA
25/03/20 Rawat FAIHA
835644 8,085 1 8,085
21 Inap MUNAN
DAR AN

ALRADY
A
25/03/20 Rawat MAHAB
830769 8,085 1 8,085
21 Inap BATAN
LUVINA
TIKA. AN

AZKA
FADILAT
25/03/20 Rawat
835649 UL 8,085 1 8,085
21 Inap
KHOIR.
AN
UJANG
26/03/20 Rawat
2816 HENDI , 8,085 1 8,085
21 Inap
TN
26/03/20 Rawat HIDAYA
835638 8,085 1 8,085
21 Inap T. TN
AZKA
FADILAT
26/03/20 Rawat
835649 UL 8,085 2 16,170
21 Inap
KHOIR.
AN
26/03/20 Rawat UHNAN
835689 8,085 1 8,085
21 Inap TN
NYAI
26/03/20 Rawat
835676 ATIKAH 8,085 1 8,085
21 Inap
NY
27/03/20 Rawat UNENG,
5097 8,250 1 8,250
21 Inap NY
27/03/20 Rawat WANCIH
835712 8,250 1 8,250
21 Inap NY
NYAI
27/03/20 Rawat
835676 ATIKAH 8,250 1 8,250
21 Inap
NY
NANI
27/03/20 Rawat
835706 NURJAN 8,250 1 8,250
21 Inap
AH. NY
HJ
27/03/20 Rawat
835648 CECEP . 8,250 1 8,250
21 Inap
TN
M.
28/03/20 Rawat
284 SAMSI, 8,250 1 8,250
21 Inap
AN
28/03/20 Rawat UNENG,
5097 8,250 1 8,250
21 Inap NY
28/03/20 Rawat WANCIH
835712 8,250 1 8,250
21 Inap NY
WINDY
28/03/20 Rawat
835718 WIDURI. 8,250 1 8,250
21 Inap
AN
M.
28/03/20 Rawat
284 SAMSI, 8,250 1 8,250
21 Inap
AN
EPI
28/03/20 Rawat
834663 YULIA. 8,250 1 8,250
21 Inap
NY
28/03/20 Rawat SUKAYA
835724 8,250 1 8,250
21 Jalan , TN
IDA
29/03/20 Rawat
835740 BAGUS. 8,085 1 8,085
21 Inap
TN
 UYUN
29/03/20 Rawat
835729 MULYAN 8,085 1 8,085
21 Inap
A . TN
29/03/20 Rawat MARYAT
803036 8,250 1 8,250
21 Inap I, NY
WINDY
29/03/20 Rawat
835718 WIDURI. 8,250 1 8,250
21 Inap
AN
A
30/03/20 Rawat
835751 SUTISN 8,250 1 8,250
21 Inap
A. TN
DIAH
30/03/20 Rawat
835754 SUMINA 8,085 1 8,085
21 Inap
R. NY
EPI
30/03/20 Rawat
834663 YULIA. 8,085 1 8,085
21 Inap
NY
30/03/20 Rawat MARYAT
803036 8,085 1 8,085
21 Inap I, NY
HJ
30/03/20 Rawat
835648 CECEP . 8,250 1 8,250
21 Inap
TN
NANA
31/03/20 Rawat
835799 SURYAN 8,250 1 8,250
21 Inap
A. TN
IIS
31/03/20 Rawat
835791 DEDEH 8,250 1 8,250
21 Inap
NY
AL
31/03/20 Rawat RAFIQ
835800 8,250 1 8,250
21 Inap RIZKI S
AN
IKIN
31/03/20 Rawat
835789 SODIKIN 8,250 1 8,250
21 Inap
TN
31/03/20 Rawat RUSMIA
835801 8,250 1 8,250
21 Inap TI NY
CICI
31/03/20 Rawat
835746 SUMAR 8,250 1 8,250
21 Inap
CI. NY
TITA
31/03/20 Rawat
835804 KARTIK 8,250 1 8,250
21 Inap
A .NY
IDA
31/03/20 Rawat
835740 BAGUS. 8,250 1 8,250
21 Inap
TN
 EEN
31/03/20 Rawat
835797 NURAE 8,250 1 8,250
21 Jalan
NAH NY
SUKAND
I BIN
31/03/20 Rawat
813480 SURYA 8,250 1 8,250
21 Inap
MAN,
TN.
A
31/03/20 Rawat
835751 SUTISN 8,250 1 8,250
21 Inap
A. TN
HJ
31/03/20 Rawat
835783 NUNUN 8,250 1 8,250
21 Inap
G. NY
FADHIL
31/03/20 Rawat
835796 AKRAM 8,250 1 8,250
21 Inap
SDR
YETI
31/03/20 Rawat
807134 MARYA 8,250 1 8,250
21 Inap
NI, NY
HJ
31/03/20 Rawat
835783 NUNUN 8,250 1 8,250
21 Inap
G. NY
31/03/20 Rawat HILYA
835798 8,250 1 8,250
21 Inap AN
VITRIA
31/03/20 Rawat FATMA
835750 8,250 1 8,250
21 Inap WATI .
NY
Dansefio NURUL
Rawat
99 1369 n 8mg 5/3/2021 826670 JANAH, 17,187 10 171,870
Jalan
Tab NY
ROBI
Superhoi Rawat
100 1371 1/3/2021 818904 RISWAN 12,374 3 37,122
d Supp Jalan
DI. TN
TN
9/3/2021 UMUM APS 12,374 10 123,740
CECEP
Rawat ANIK.
9/3/2021 835230 12,374 3 37,122
Jalan NY
AMALIA
16/03/20 Rawat
835521 SHOHIF 12,374 4 49,496
21 Jalan
AH . NN
YAYA
18/03/20 Rawat
835079 SUNARY 12,374 2 24,748
21 Jalan
A TN
 NADIRA
Rawat RAMAD
101 1373 Otolin TT 1/3/2021 827482 68,750 1 68,750
Jalan HANI.
AN

RENATA
Rawat
1/3/2021 835249 ESTABIL 68,750 1 68,750
Jalan
A. AN

Rawat HILYA,
3/3/2021 835283 68,750 1 68,750
Jalan AN
SITI
Rawat
8/3/2021 835377 MULYAN 68,992 1 68,992
Jalan
I. NN
WASILA
Rawat TUL
### 835408 68,992 1 68,992
Jalan ALIYAH,
NY

SRI
Rawat
### 835442 AGUSTR 68,992 1 68,992
Jalan
IANI AN

15/03/20 Rawat SUKIMA

835498 81,047 1 81,047
21 Jalan D, TN
Polysilan Deni
102 1377 e Syr 1/3/2021 K46 Abdul 27,597 1 27,597
100ml Ghani
Pasien
1/3/2021 UMUM 0 27,597 1 27,597
Umum
RIO
Rawat CANDR
2/3/2021 802552 27,597 1 27,597
Jalan A YUNI,
TN
RISKA
Rawat
2/3/2021 835270 AMELIA 27,597 1 27,597
Jalan
NN

WIWI
Rawat
2/3/2021 822334 RATNEN 27,597 1 27,597
Jalan
GSIH.NY

Opilax Rawat
103 1378 5/3/2021 835126 ATIN NY 75,892 1 75,892
Syr 60ml Jalan

CITRA
Rawat
6/3/2021 816881 MUFIDA 75,892 1 75,892
Jalan
H, NN.
Rawat
6/3/2021 835327 ANA TN 75,892 1 75,892
Jalan
 Rawat AWIS,
7/3/2021 816633 75,892 1 75,892
Inap NY
ANISA
Rawat
7/3/2021 835324 FITRIYA 75,892 1 75,892
Inap
NI . NN
Rawat
8/3/2021 806591 EEN. NY 75,625 1 75,625
Inap
Rawat IMAS,
### 835142 75,892 1 75,892
Inap NY
Rawat POPI,
### 835414 75,892 1 75,892
Inap TN

SODIKIN
18/03/20 Rawat NOOR
835524 75,892 1 75,892
21 Inap BADRI.
TN

18/03/20 Rawat KARWA

832626 75,892 1 75,892
21 Inap TI. NY
20/03/20 Rawat SUKAES
807749 75,892 1 75,892
21 Inap IH. NY
JUJU
23/03/20 Rawat
835626 JUANI.N 75,892 1 75,892
21 Inap
Y
TN
25/03/20
UMUM 0 ANTONI/ 75,892 1 75,892
21
APS
TOTOM
25/03/20 Rawat
835663 AMANDI 75,892 1 75,892
21 Jalan
PRAJA
25/03/20 Rawat PARNO,
835601 75,892 1 75,892
21 Inap TN
AZKA
FADILAT
25/03/20 Rawat
835649 UL 75,892 1 75,892
21 Inap
KHOIR.
AN
MOLIND
25/03/20 Rawat
835157 A PUTRI 75,892 1 75,892
21 Jalan
AN
KENISA
25/03/20 Rawat
830752 ADITIA.A 75,892 1 75,892
21 Jalan
N
ACU
26/03/20 Rawat
835621 SAMSU 75,892 1 75,892
21 Inap
DIN TN
27/03/20 Pasien
UMUM 0 72,600 1 72,600
21 Umum
 27/03/20 Rawat YUYUM
835643 75,892 1 75,892
21 Inap NY
ADE
28/03/20 Rawat
835733 YUNEN 75,625 1 75,625
21 Jalan
GSIH NY
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 75,892 1 75,892
21 Inap
MAN,
TN.
ACU
29/03/20 Rawat
835621 SAMSU 75,892 1 75,892
21 Inap
DIN TN
IIS
Microges Rawat
104 1380 1/3/2021 835241 SETIAN 16,170 4 64,680
t 100mg Jalan
AH. NY
Pasien
105 1389 GOM ### UMUM 0 4,050 1 4,050
Umum
Milorin Rawat VINA
106 1392 ### 835424 4,324 14 60,536
300mg Jalan SRI NY
PAMUJI
Vitamin Rawat
107 1393 4/3/2021 834497 AGUS 1,316 30 39,480
D3 Jalan
TN
EET
Rawat
9/3/2021 810617 NURHA 1,316 10 13,160
Jalan
ETI, NY
LINA
23/03/20 Rawat
834609 HARLIN 1,316 7 9,212
21 Jalan
A, NY
EPON
27/03/20 Rawat
835622 SUKARS 1,316 7 9,212
21 Inap
IH NY
NOVIA
15/03/20 Rawat
108 1395 Otilon TT 835497 FRANSI 62,488 1 62,488
21 Jalan
SKA. NN
ELA
26/03/20 Rawat
835693 SOBARY 53,006 1 53,006
21 Jalan
ATI NY
IKRAN
31/03/20 Rawat
834537 ZAKI 62,500 1 62,500
21 Jalan
SDR
TN
Goodlife
109 1398 9/3/2021 UMUM 0 AYEP/A 2,025 10 20,250
VIT D
PS
RESTU
25/03/20 Rawat NANDA
826925 2,025 7 14,175
21 Inap AMELIA
. NN
 25/03/20
UMUM APS tn solih 2,025 7 14,175
21
TOPIK
25/03/20 Rawat
834992 HIDAYA 2,025 14 28,350
21 Jalan
T. TN
27/03/20 Rawat CICIH.
831794 2,025 10 20,250
21 Jalan NY
DEVAN
Fervit Rawat ANGGA
110 1401 2/3/2021 835081 38,119 1 38,119
Drop Jalan STAZAE
LANI BY
NURI
Rawat ANGGR
8/3/2021 828804 38,119 1 38,119
Jalan AENI.
AN
BY
8/3/2021 UMUM 0 NOVAL / 38,119 1 38,119
APS
ARSYIL
Rawat A
9/3/2021 835086 38,119 1 38,119
Jalan SAVINA
AN
DANIAL
Rawat AKMAL
9/3/2021 835235 38,119 1 38,119
Jalan ALFARIZ
QY AN
CHACH
A
16/03/20 Rawat
831520 RAIHAN 38,119 1 38,119
21 Jalan
RIZKI .
BY

ADGA
16/03/20 Rawat
835509 DEIRAW 38,119 1 38,119
21 Jalan
AN. AN

DANIAL
Phenoba
Rawat AKMAL
111 1402 rbital 30 1/3/2021 835235 1,380 2 2,760
Jalan ALFARIZ
mg Tab
QY AN

AQILA
Rawat
2/3/2021 835258 NURLAT 1,380 2 2,760
Jalan
IFAH. BY

DEVAN
Rawat ANGGA
2/3/2021 835081 1,380 3 4,140
Jalan STAZAE
LANI BY
 Rawat BY
4/3/2021 834366 1,380 1 1,380
Jalan HANA

DIKA
22/03/20 Rawat ABDILLA
834546 1,380 30 41,400
21 Jalan H FATIR
BY

KANZIA
29/03/20 Rawat
833256 NURSAL 1,380 30 41,400
21 Jalan
SA AN

ELFANO
Cupanol Rawat
112 1407 3/3/2021 827376 SINAGA, 21,099 1 21,099
Syr Jalan
BY

ANISA
Rawat
6/3/2021 835298 FITRIA, 28,815 1 28,815
Inap
AN
TANIA
Rawat
6/3/2021 835331 MAURA 28,815 1 28,815
Inap
NISA AN
FAJAR
Rawat
8/3/2021 833377 SHIDIQ 28,815 1 28,815
Jalan
AN
BY
8/3/2021 UMUM 0 NOVAL / 28,815 1 28,815
APS
UWAIS
Rawat AL-
### 833429 28,815 1 28,815
Jalan QARNI
AN

MUHAM
MAD
Dhavit 18/03/20 Rawat FAEYZA
113 1408 821441 33,480 1 33,480
Syr 21 Inap RAJBNA
HAMIZA
N, AN

WILLY
18/03/20 Rawat RIZKY
834142 33,480 1 33,480
21 Jalan NOVALD
Y AN
18/03/20 Rawat RASYA
832664 33,480 1 33,480
21 Jalan AN
KIRANA
18/03/20 Rawat
832038 HUMAIR 33,480 1 33,480
21 Jalan
A AN
 KEYSA
18/03/20 Rawat DWI
830497 33,480 1 33,480
21 Jalan AGUSTI
N AN

MUHAM
MAD
19/03/20 Rawat FAEYZA
821441 33,480 1 33,480
21 Inap RAJBNA
HAMIZA
N, AN
ASEP
Zidalev Rawat
114 1416 1/3/2021 821449 KURNIA, 3,334 10 33,340
Tab Jalan
TN
Rawat WAWA
8/3/2021 835318 3,334 3 10,002
Inap TN
ADE
17/03/20 Rawat
835529 ROHMA 3,334 1 3,334
21 Inap
ENI. NY
TITIN
17/03/20 Rawat
835530 MULYAT 3,334 1 3,334
21 Inap
IN NY
17/03/20 Rawat CICIH
811043 3,334 1 3,334
21 Inap NY.
23/03/20 Rawat WARSA
835827 3,334 5 16,670
21 Jalan TN
Asep
Elox cr 13/03/20
115 1417 K56 Sunanda 64,034 1 64,034
5gr 21
r
Neurota Rawat RATU,
116 1418 3/3/2021 832607 82,791 1 82,791
m Syr Jalan AN
IKIN
31/03/20 Rawat
835789 SODIKIN 82,791 1 82,791
21 Inap
TN
LEVINO
Thiamyci 18/03/20 Rawat
117 1420 835494 INDRAS 103,125 1 103,125
n F Syr 21 Inap
KA. AN
25/03/20 Rawat NATAN.
835591 103,125 1 103,125
21 Inap AN
KENNAR
Celesta
21/03/20 Rawat A
118 1421 mine 60 835581 82,985 1 82,985
21 Jalan SAGABI
ml
ZAR AN
23/03/20 Rawat DANIS.
835631 82,985 1 82,985
21 Jalan AN
 CLARIS
SA
Zinfion Rawat ANINDY
119 1430 ### 835401 40,425 1 40,425
Syr Jalan A
PUTRI.
AN
SHAJEA
13/03/20 Rawat
835452 HALAA 40,425 1 40,425
21 Jalan
NISA AN
NATASY
13/03/20 Rawat A
835457 40,425 1 40,425
21 Inap ADINDA
NY
AN
13/03/20
UMUM 0 ANNISA 40,425 1 40,425
21
/ APS
15/03/20 Rawat ALONA
835467 35,063 1 35,063
21 Inap AN
IRSYAD
17/03/20 Rawat
831588 RAMAD 40,425 1 40,425
21 Jalan
HAN, AN
DEREL
17/03/20 Rawat DWI
835473 40,425 1 40,425
21 Inap KARISM
A AN
19/03/20 Rawat RADITIA
835278 40,425 1 40,425
21 Jalan BY
Betahisti CUCU
Rawat
120 144 n 6mg 2/3/2021 835219 LISNAW 1,094 2 2,188
Inap
tab ATI NY
NANDI
Rawat
2/3/2021 835204 SONJAY 1,094 3 3,282
Inap
A. TN
NANDI
Rawat
3/3/2021 835204 SONJAY 1,094 10 10,940
Inap
A. TN
POPON
Rawat
5/3/2021 824160 PATIMA 1,224 21 25,704
Jalan
H.NY
UNAY
Rawat
7/3/2021 802318 SUNARY 1,224 10 12,240
Jalan
A, TN
AJIE
Rawat
7/3/2021 835345 SUBARN 1,224 10 12,240
Jalan
A. TN
Rawat
8/3/2021 806591 EEN. NY 1,224 3 3,672
Inap
 HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 1,224 3 3,672
Inap
NY
Rawat
9/3/2021 806591 EEN. NY 1,224 10 12,240
Inap
Rawat JURAEJI
9/3/2021 827464 1,224 3 3,672
Inap N, TN
UUN
Rawat
9/3/2021 835337 UNASIH, 1,224 20 24,480
Jalan
NY
HJ. SITI
Rawat
### 4433 SOPIAH, 1,224 3 3,672
Inap
NY
EUIS
Rawat
### 834994 YULIANI 1,224 3 3,672
Inap
NY
HJ. SITI
Rawat
### 4433 SOPIAH, 1,224 10 12,240
Inap
NY
Rawat JURAEJI
### 827464 1,224 2 2,448
Inap N, TN
TITA
Rawat
### 835383 MARYAT 1,224 10 12,240
Inap
I. NY
H.
Rawat TATANG
### 831377 1,224 3 3,672
Inap TARYON
O, TN
13/03/20 Rawat TARMINI
813352 1,224 21 25,704
21 Jalan .NY
13/03/20 NY
UMUM APS 1,224 30 36,720
21 ENNY
EUIS
13/03/20 Rawat
834994 YULIANI 1,224 3 3,672
21 Inap
NY
13/03/20 Pasien
UMUM 0 1,224 7 8,568
21 Umum
EUIS
14/03/20 Rawat
834994 YULIANI 1,224 1 1,224
21 Inap
NY
IIN
17/03/20 Rawat
819469 RUYANI, 1,224 2 2,448
21 Inap
NY

MALA
24/03/20 Rawat
835594 KOMALA 1,224 2 2,448
21 Inap
SARI NY
 HJ
27/03/20 Rawat
835670 SUKARN 1,094 21 22,974
21 Inap
A TN
27/03/20 Rawat ENENG
835698 1,094 21 22,974
21 Inap NY
30/03/20 Rawat ENDAN
835708 1,224 10 12,240
21 Jalan G TN
VITRIA
31/03/20 Rawat FATMA
835750 1,224 10 12,240
21 Inap WATI .
NY
Zitrolin Rawat KARMO
121 1445 2/3/2021 835236 48,295 1 48,295
Tab Inap TN
EVI SITI
Rawat
2/3/2021 811994 NUR. 48,295 1 48,295
Inap
F,NY
Rawat KARMO
3/3/2021 835236 48,295 1 48,295
Inap TN
EVI SITI
Rawat
3/3/2021 811994 NUR. 48,295 1 48,295
Inap
F,NY
Rawat KARMO
4/3/2021 835236 48,295 1 48,295
Inap TN
EVI SITI
Rawat
4/3/2021 811994 NUR. 48,295 1 48,295
Inap
F,NY
Rawat SINTIA.
6/3/2021 835301 48,295 1 48,295
Inap NY
IDA
Rawat
6/3/2021 820069 ROSIDA. 48,295 1 48,295
Jalan
NY
Rawat SINTIA.
8/3/2021 835301 48,295 3 144,885
Inap NY
Rawat SINTIA.
8/3/2021 835301 48,295 1 48,295
Inap NY
NIA
Rawat
### 826027 EVIANA. 48,295 1 48,295
Inap
NY

Yana
### K75 48,295 5 241,475
Gustiana

Rawat ROHETI
### 802812 48,295 1 48,295
Inap N, NY
19/03/20 Rawat AMAT.
835550 48,295 5 241,475
21 Inap TN
ONDA
23/03/20 Rawat
835632 MUYAN 48,295 1 48,295
21 Inap
A. TN
 23/03/20 Rawat WANGSI
835588 48,125 3 144,375
21 Inap H, NY
LUKMAN
24/03/20 Rawat
835614 HAKIM 48,295 5 241,475
21 Inap
TN
ONDA
25/03/20 Rawat
835632 MUYAN 48,295 1 48,295
21 Inap
A. TN

YATI
25/03/20 Rawat
835577 KURNIA 48,295 3 144,885
21 Inap
WATI NY

KELVIN
27/03/20 Rawat
835597 JULIANT 48,125 1 48,125
21 Jalan
ARA BY
AHMAT
30/03/20 Rawat
835759 MULADI. 48,295 3 144,885
21 Jalan
TN
UYUN
30/03/20 Rawat
835729 MULYAN 48,125 1 48,125
21 Inap
A . TN
RAHMA
30/03/20 Rawat T
835763 48,125 3 144,375
21 Jalan HIDAYA
T TN
Opivask 23/03/20 Rawat ADAH.
122 1448 835518 13,799 1 13,799
10 mg 21 Inap NY
24/03/20 Rawat YATNI
835642 13,799 1 13,799
21 Inap NY
Triamcin Rawat HAIKAL
123 1450 3/3/2021 835274 1,724 1 1,724
olon Jalan BY

KENAN
Rawat
3/3/2021 830912 SHAKEE 1,724 2 3,448
Jalan
L R, AN

Rawat RADITIA
3/3/2021 835278 1,724 1 1,724
Jalan BY
Rawat HAIKAL
6/3/2021 835274 1,724 1 1,724
Inap BY
Rawat HAIKAL
7/3/2021 835274 1,724 1 1,724
Inap BY
19/03/20 Rawat AJENG
835554 1,724 20 34,480
21 Jalan AN
Opivask 22/03/20 Rawat WANGSI
124 1451 835588 7,728 1 7,728
5 mg 21 Inap H, NY
ISMA NY
Toramin 18/03/20 Rawat
125 1453 829943 / AHNU 7,590 10 75,900
e 10 mg 21 Jalan
TN
 MS
21/03/20 Rawat
835587 SOPIAH, 52,434 1 52,434
21 Jalan
NY
21/03/20 Rawat MA'MUN
835549 52,434 1 52,434
21 Jalan TN

YATI
23/03/20 Rawat
835577 KURNIA 52,434 3 157,302
21 Inap
WATI NY

ENGKIN
23/03/20 Rawat
835520 G AJIS . 52,434 1 52,434
21 Jalan
TN
23/03/20 Rawat WARSA
835827 52,434 1 52,434
21 Jalan TN
24/03/20 Rawat KURYAT
800972 52,434 1 52,434
21 Jalan I, NY
YULI
24/03/20 Rawat
835639 YANI 52,434 1 52,434
21 Jalan
.NY
ENTIN
26/03/20 Rawat
826446 ROSTINI 52,434 1 52,434
21 Jalan
, NY
27/03/20 Rawat SUARI,
800179 52,250 3 156,750
21 Inap TN
27/03/20 Rawat
835713 ELIS NY 52,250 1 52,250
21 Jalan
HARDI
27/03/20 Rawat
835716 SAMUEL 52,250 1 52,250
21 Jalan
TN
ENGKIN
27/03/20 Rawat
835520 G AJIS . 52,434 1 52,434
21 Jalan
TN
28/03/20 Rawat ENDAN
835708 52,250 2 104,500
21 Inap G TN
M.
28/03/20 Rawat
284 SAMSI, 52,250 1 52,250
21 Inap
AN
28/03/20 Rawat SUARI,
800179 52,250 3 156,750
21 Inap TN
28/03/20 Rawat AISYAH,
5158 52,250 1 52,250
21 Jalan NY
LIA
HAYATI,
28/03/20 Rawat
828320 NY / 52,250 1 52,250
21 Jalan
HANIF,
TN
 VITRIA
29/03/20 Rawat FATMA
835750 52,434 3 157,302
21 Inap WATI .
NY
ELI
29/03/20 Rawat
835753 SUMAR 52,434 1 52,434
21 Jalan
NI, NY
29/03/20 Rawat UNENG,
5097 52,250 1 52,250
21 Inap NY
Cetirgi 21/03/20 Rawat WARSO
126 1456 835593 3,450 10 34,500
10 mg 21 Jalan RI TN
22/03/20 Rawat NONOK.
835612 3,450 7 24,150
21 Jalan NY
WINDI
22/03/20 Rawat
806691 PERMAT 3,450 10 34,500
21 Jalan
A, AN
DERI
24/03/20 Rawat YUDA
800809 3,450 10 34,500
21 Jalan PRATAM
A, TN
24/03/20 Rawat DADAN
835640 3,450 6 20,700
21 Jalan G TN
24/03/20 Rawat NADINI.
835285 3,450 10 34,500
21 Jalan NN
DERRA
24/03/20 Rawat HAPPY
835499 3,450 10 34,500
21 Jalan NOVITA,
NN
UTA
26/03/20 Rawat
835690 SOPAN 3,450 10 34,500
21 Jalan
DI.TN
UDIN
29/03/20 Rawat
835747 SAMSU 3,450 10 34,500
21 Jalan
DIN. TN
Opidiar Rawat FALISHA
127 1461 2/3/2021 834066 22,000 1 22,000
Syr Jalan , AN
SHAKA
Rawat IBADIL
2/3/2021 825331 22,000 1 22,000
Jalan IRAM ,
AN
FELCIA
Rawat
2/3/2021 835226 TJHIN, 22,000 1 22,000
Inap
AN
DEREL
16/03/20 Rawat DWI
835473 27,597 1 27,597
21 Inap KARISM
A AN
 22/03/20 Rawat NATAN.
835591 27,500 1 27,500
21 Inap AN
HUMAIR
30/03/20 Rawat A
835346 27,597 1 27,597
21 Jalan SABILA .
AN

MUHAM
MAD
30/03/20 Rawat HAFIZH
828235 27,597 1 27,597
21 Jalan AS -
SIDIQ
AN
Gelang
Rawat
128 1462 Pasien 5/3/2021 806591 EEN. NY 851 1 851
Inap
Dws
Rawat NUNUN
6/3/2021 835338 851 1 851
Inap G K, NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 851 1 851
Inap
NI . NN
APRILIA
Rawat
7/3/2021 801710 YUNITA, 851 1 851
Inap
NY
ENDAN
Rawat G
7/3/2021 835339 851 1 851
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 851 1 851
Inap A, TN
Rawat SUTARN
8/3/2021 810138 851 1 851
Inap A, TN
Rawat JURAEJI
8/3/2021 827464 851 1 851
Inap N, TN
TITI
Rawat
9/3/2021 835391 AMINAH. 851 1 851
Inap
NY
ITI
Rawat
9/3/2021 835385 DARSITI 851 1 851
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 851 1 851
Inap
I. NY
Rawat AGUS,
9/3/2021 835398 851 1 851
Inap TN
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 851 1 851
Inap
NY
 NIA
Rawat
### 826027 EVIANA. 851 1 851
Inap
NY
Rawat IROH,
### 835400 851 1 851
Inap NY
Rawat SUPRI.
### 835403 851 1 851
Inap TN
NINING
Rawat
### 832543 RUNING 851 1 851
Inap
SIH NY

Rawat YUSILA
### 834752 851 1 851
Inap WATI,NY

EUIS
Rawat
### 834994 YULIANI 851 1 851
Inap
NY
H.
Rawat TATANG
### 831377 851 1 851
Inap TARYON
O, TN
Rawat
### 835415 AAH, NY 851 1 851
Inap
Rawat POPI,
### 835414 851 1 851
Inap TN
KHOTIM
Rawat ATUS
### 811689 851 1 851
Inap SADIAH,
NY
BAYU
13/03/20 Rawat
835410 ANUGE 851 1 851
21 Inap
RAH TN
VIVIH
13/03/20 Rawat
834834 NOVITA 851 1 851
21 Inap
DEWI
EEM
13/03/20 Rawat
831825 SUKAE 851 1 851
21 Inap
MI. NY
14/03/20 Rawat ENES
835469 851 1 851
21 Inap NY
UAR
14/03/20 Rawat
835466 WARSIT 851 1 851
21 Inap
A. TN
15/03/20 Rawat ENGKAS
835502 851 1 851
21 Jalan , NY
15/03/20 Rawat
815940 DIDI, TN. 851 1 851
21 Inap
15/03/20 Rawat WASDI,
835501 851 1 851
21 Jalan TN
 NANA
15/03/20 Rawat
835475 TARYAN 851 1 851
21 Inap
A. TN
15/03/20 Rawat ROKAYA
835481 851 1 851
21 Inap H NY
NUNUN
G
15/03/20 Rawat
835479 HERMA 851 1 851
21 Inap
WATI,
NY
ELOM
16/03/20 Rawat SALAM
835515 851 1 851
21 Inap SUDIRM
AN TN
YANA
16/03/20 Rawat
835328 GUSTIA 851 1 851
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 851 1 851
21 Inap NY.
17/03/20 Rawat WASLI.
827069 851 1 851
21 Jalan TN
18/03/20 Rawat
835540 PI'I .TN 851 1 851
21 Jalan
18/03/20 Rawat
835547 IRAH NY 851 1 851
21 Inap
ELIS
18/03/20 Rawat
835539 RUKYUL 851 1 851
21 Jalan
IANI NY
19/03/20 Rawat DARYAN
835565 851 1 851
21 Inap TI. NY
TOHA
19/03/20 Rawat
805009 NURDIN, 851 1 851
21 Inap
TN
20/03/20 Rawat
807029 TUTI, NY 851 1 851
21 Inap

YATI
20/03/20 Rawat
835577 KURNIA 851 1 851
21 Inap
WATI NY

20/03/20 Rawat HIDAYA

805608 851 1 851
21 Inap T, TN
NERA
20/03/20 Rawat
817790 NORAW 851 1 851
21 Inap
ATI . NY

MALA
21/03/20 Rawat
835594 KOMALA 851 1 851
21 Inap
SARI NY
21/03/20 Rawat HERMA
835580 851 1 851
21 Inap N TN
21/03/20 Rawat NINING
835595 851 1 851
21 Inap NY
ENGKU
21/03/20 Rawat S
810535 851 1 851
21 Inap KUSNAD
I, TN
NUNUN
22/03/20 Rawat G
835606 851 1 851
21 Inap KOMARI
AH. NY
22/03/20 Rawat SUHEN
835596 851 1 851
21 Inap DA NY
LUKMAN
23/03/20 Rawat
835614 HAKIM 851 1 851
21 Inap
TN
AAR
23/03/20 Rawat
825828 SURYAT 851 1 851
21 Inap
I.NY
EPON
23/03/20 Rawat
835622 SUKARS 851 1 851
21 Inap
IH NY
FITRI
23/03/20 Rawat SARI
835624 851 1 851
21 Inap WAHYU
NI NN
23/03/20 Rawat ADAH.
835518 851 1 851
21 Inap NY
DEDE
24/03/20 Rawat
835636 RAHMA 851 1 851
21 Inap
T TN
24/03/20 Rawat YATNI
835642 851 1 851
21 Inap NY
24/03/20 Rawat NENGSI
835645 851 1 851
21 Inap H NY
24/03/20 Rawat YUYUM
835643 851 1 851
21 Inap NY
NANI
25/03/20 Rawat
815243 MARYA 851 1 851
21 Inap
NI, NY.
DARPIT
25/03/20 Rawat
835655 ROHIDU 851 1 851
21 Inap
N. TN
HJ
25/03/20 Rawat
835648 CECEP . 851 1 851
21 Inap
TN
25/03/20 Rawat HIDAYA
835638 851 1 851
21 Inap T. TN
SAPAAT
25/03/20 Rawat NURHA
835668 851 1 851
21 Inap YATUDI
N TN
ROSMA
25/03/20 Rawat
834926 LAWATI, 851 1 851
21 Inap
NY
TATI
25/03/20 Rawat
835664 ROSWA 851 1 851
21 Inap
TI
AZKA
FADILAT
25/03/20 Rawat
835649 UL 851 1 851
21 Inap
KHOIR.
AN
26/03/20 Rawat YUYUM
835675 851 1 851
21 Inap NY
ACU
26/03/20 Rawat
835621 SAMSU 851 1 851
21 Inap
DIN TN
26/03/20 Rawat RIFAL
835674 851 1 851
21 Inap SDR
26/03/20 Rawat KARMID,
823943 851 1 851
21 Inap TN
26/03/20 Rawat ENENG
835698 851 1 851
21 Inap NY
UJANG
26/03/20 Rawat
2816 HENDI , 851 1 851
21 Inap
TN
ANDA
26/03/20 Rawat
834672 WIHAND 851 1 851
21 Inap
A TN
NYAI
26/03/20 Rawat
835676 ATIKAH 851 1 851
21 Inap
NY
27/03/20 Rawat ENDAN
835708 851 1 851
21 Inap G TN
IMAS
27/03/20 Rawat
827623 MULYAN 851 1 851
21 Inap
I, NY
27/03/20 Rawat UNENG,
5097 851 1 851
21 Inap NY
27/03/20 Rawat
835659 YATI. NY 851 1 851
21 Inap
27/03/20 Rawat WANCIH
835712 851 1 851
21 Inap NY
 SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 851 1 851
21 Inap
MAN,
TN.
TOHA
28/03/20 Rawat
805009 NURDIN, 851 1 851
21 Inap
TN
UYUN
28/03/20 Rawat
835729 MULYAN 851 1 851
21 Inap
A . TN
IDING
28/03/20 Rawat
835732 JAENUD 851 1 851
21 Inap
IN, TN
28/03/20 Rawat MARYAT
803036 851 1 851
21 Inap I, NY
29/03/20 Rawat KACEN
835734 851 1 851
21 Inap G TN
29/03/20 Rawat IWAN.
835735 851 1 851
21 Inap TN
29/03/20 Rawat AFNAN.
835737 851 1 851
21 Inap AN
30/03/20 Rawat RODIAH.
810604 851 1 851
21 Inap NY
30/03/20 Rawat SAHNU
835764 851 1 851
21 Inap TN
30/03/20 Rawat SUKARS
835765 851 1 851
21 Inap IH.NY
30/03/20 Rawat ENTIN,
835756 851 1 851
21 Inap NY
DIAH
30/03/20 Rawat
835754 SUMINA 851 1 851
21 Inap
R. NY
A
30/03/20 Rawat
835751 SUTISN 851 1 851
21 Inap
A. TN
NANA
31/03/20 Rawat
835799 SURYAN 851 1 851
21 Inap
A. TN
IKIN
31/03/20 Rawat
835789 SODIKIN 851 2 1,702
21 Inap
TN
31/03/20 Rawat RUSMIA
835801 851 1 851
21 Inap TI NY
TITA
31/03/20 Rawat
835804 KARTIK 851 1 851
21 Inap
A .NY
 YETI
31/03/20 Rawat
807134 MARYA 851 1 851
21 Inap
NI, NY
HJ
31/03/20 Rawat
835783 NUNUN 851 1 851
21 Inap
G. NY
FADHIL
31/03/20 Rawat
835796 AKRAM 851 1 851
21 Inap
SDR

Gelang ARSHAK
Rawat
129 1463 Pasien ### 813853 A RAMA 1,238 1 1,238
Inap
Anak A. AN.

14/03/20 Rawat ALONA

835467 982 1 982
21 Inap AN
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 982 1 982
21 Inap RAJBNA
HAMIZA
N, AN

ALRADY
A
23/03/20 Rawat MAHAB
830769 982 1 982
21 Inap BATAN
LUVINA
TIKA. AN

ANISA
24/03/20 Rawat FAIHA
835644 982 1 982
21 Inap MUNAN
DAR AN
M.
27/03/20 Rawat
284 SAMSI, 982 1 982
21 Inap
AN
AL
31/03/20 Rawat RAFIQ
835800 982 1 982
21 Inap RIZKI S
AN
31/03/20 Rawat HILYA
835798 982 1 982
21 Inap AN
M
Zamel 17/03/20 Rawat
130 1464 833639 ISKAND 49,613 1 49,613
Syr 21 Jalan
AR AN
SALWA
19/03/20 Rawat FITRI
835534 49,613 1 49,613
21 Jalan NANDINI
AN
 M.
20/03/20 Rawat
4682 RAMDA 49,613 1 49,613
21 Jalan
N, AN

DIRLI
20/03/20 Rawat
831319 SYAHPU 49,613 1 49,613
21 Jalan
TRA AN

RIRI
24/03/20 Rawat RHAYNA
835635 49,613 1 49,613
21 Jalan OKTAVI
ANI.AN

Monel Rawat MAURA.

131 1465 ### 835402 61,103 1 61,103
Drops Jalan AN
DEREL
Dehidral
15/03/20 Rawat DWI
132 1469 yte 835473 21,560 1 21,560
21 Inap KARISM
200cc
A AN
WINDI
Bevita Rawat
133 147 1/3/2021 831911 AULIA. 56,056 1 56,056
syr Jalan
AN
SHAKIL
A FITRIA
Rawat
1/3/2021 829713 ANGGR 56,056 1 56,056
Jalan
AENI.
AN
QORI
Rawat RAHMA
2/3/2021 823037 56,056 1 56,056
Jalan AULIA.
BY
M
FEBRIA
Rawat
2/3/2021 833891 N 56,056 1 56,056
Jalan
NIRAZMI
AN

MISHAE
LA
Rawat HADYAT
2/3/2021 835253 56,056 1 56,056
Inap US
SHANU
M AN
NAIRA
Rawat
4/3/2021 833860 SAFANA 56,056 1 56,056
Jalan
. AN
KIRANA
Rawat
4/3/2021 832038 HUMAIR 56,056 1 56,056
Jalan
A AN
 SAHILA
Rawat
6/3/2021 832194 AULIA 56,056 1 56,056
Jalan
AN
Rendyka
8/3/2021 K4 56,056 1 56,056
Rama
REZA
Rawat ANDRIA
8/3/2021 834014 56,056 1 56,056
Jalan NSAH.A
N
ALIYA
Zamel 17/03/20 Rawat NUR
134 1473 835272 52,259 1 52,259
Drops 21 Jalan HALIZA
BY
SHAKA
Fuzide Rawat IBADIL
135 1474 2/3/2021 825331 65,357 1 65,357
Syr Jalan IRAM ,
AN
SALWA
Claneksi 17/03/20 Rawat FITRI
136 1480 835534 71,418 1 71,418
Syr 21 Jalan NANDINI
AN
20/03/20 Rawat RATU,
832607 71,418 1 71,418
21 Jalan AN
MUSTO
FA
31/03/20 Rawat
835793 ABDUL 71,418 1 71,418
21 Jalan
HAMID
AN

Neurobio 13/03/20 Rawat ASEP

137 1482 835461 4,170 10 41,700
n Forte 21 Jalan EDO. TN

HILMAN
17/03/20 Rawat
835536 PRAYUD 4,170 10 41,700
21 Jalan
A TN
HJ
18/03/20 Rawat
804292 CICIH. 4,170 5 20,850
21 Inap
NY
19/03/20 Pasien
UMUM 0 4,170 10 41,700
21 Umum
23/03/20 Rawat UNAYAH
819700 4,170 10 41,700
21 Jalan . NY
HJ. SITI
25/03/20 Rawat
4433 SOPIAH, 4,170 10 41,700
21 Jalan
NY
28/03/20
K68 Ernawati 4,170 10 41,700
21
29/03/20 Rawat HANDI,
802569 4,170 10 41,700
21 Jalan SDR
 NINING
30/03/20 Rawat
832543 RUNING 4,170 7 29,190
21 Jalan
SIH NY
30/03/20 Rawat
835659 YATI. NY 4,170 10 41,700
21 Inap
RAHMA
30/03/20 Rawat T
835763 4,170 5 20,850
21 Jalan HIDAYA
T TN
IDA
31/03/20 Rawat
835803 SUARTI 4,170 10 41,700
21 Jalan
KA NY
HJ
31/03/20 Rawat
835648 CECEP . 4,170 5 20,850
21 Inap
TN
FELCIA
Rawat
138 1483 Lacto B 2/3/2021 835226 TJHIN, 5,900 2 11,800
Inap
AN
ALIA
Rawat
3/3/2021 835272 NURHAL 5,900 3 17,700
Jalan
ISA BY
FELCIA
Rawat
3/3/2021 835226 TJHIN, 5,900 2 11,800
Inap
AN
BHARAT
Rawat JIBRIL
4/3/2021 828617 5,900 2 11,800
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 5,900 2 11,800
Inap AN
14/03/20 Rawat ALONA
835467 6,245 1 6,245
21 Inap AN
DEREL
15/03/20 Rawat DWI
835473 11,250 2 22,500
21 Inap KARISM
A AN
M.
28/03/20 Rawat
284 SAMSI, 11,466 1 11,466
21 Inap
AN
Rawat
139 1489 Limaag 1/3/2021 835230 ANI. NY 785 10 7,850
Jalan
MIMIN
Rawat
1/3/2021 834111 ROSMIA 785 10 7,850
Inap
TI.NY
Rawat ENER,
1/3/2021 835206 785 10 7,850
Inap NY
Rawat ENUNG.
2/3/2021 835268 785 15 11,775
Jalan NY
 Rawat NINING
2/3/2021 835192 785 5 3,925
Inap NY
Rawat NINING
2/3/2021 835192 785 5 3,925
Inap NY
EDIH
Rawat
2/3/2021 835271 HARYAD 785 10 7,850
Jalan
I TN
SAEFUL
Rawat
2/3/2021 835220 HUDAYA 785 10 7,850
Inap
TN
DENI
Rawat
### 835413 SUPRIA 674 10 6,740
Jalan
DI TN
SITI
Rawat
### 835233 MULYAT 674 15 10,110
Jalan
I NY

WIWI
Rawat
### 822334 RATNEN 674 15 10,110
Jalan
GSIH.NY

SURYAN
Rawat
### 835297 INGSIH 674 15 10,110
Jalan
NY
WIDANI
Rawat
### 813425 NGSIH,N 785 10 7,850
Jalan
Y
Rawat IROH,
### 835400 674 10 6,740
Inap NY
Rawat ROHETI
### 802812 785 10 7,850
Inap N, NY
Rawat SUPRI.
### 835403 785 10 7,850
Inap TN
ITI
Rawat
### 835385 DARSITI 785 10 7,850
Inap
, NY
ATIK
13/03/20 Rawat
817256 KURNIA 785 15 11,775
21 Jalan
SIH. NY
EPON
13/03/20 Rawat
833133 ROHAY 785 10 7,850
21 Jalan
ATI NY
13/03/20 Rawat ROKASA
811153 785 15 11,775
21 Jalan H, NY
LIKA
13/03/20 Rawat
835445 MUSTIK 785 10 7,850
21 Jalan
A, NY
 LINDA
15/03/20 Rawat
835448 LAELA. 785 10 7,850
21 Inap
NY
15/03/20 Rawat TASIH
835460 785 10 7,850
21 Inap NY
TINI
15/03/20 Rawat
835417 HARTINI 785 10 7,850
21 Inap
. NY
AGUS
15/03/20 Rawat
835507 SUPRIA 785 10 7,850
21 Jalan
TNA TN
RUDI
15/03/20 Rawat
835484 HERMA 785 10 7,850
21 Jalan
WAN TN
16/03/20 Rawat KARMO
835236 674 10 6,740
21 Inap TN
IIS
16/03/20 Rawat
835516 WARTIK 785 10 7,850
21 Jalan
AH NY
16/03/20 Rawat ROHETI
802812 785 15 11,775
21 Jalan N, NY
UJANG
16/03/20 Rawat
820303 SUPRIA 785 15 11,775
21 Jalan
TNA, TN
DRS,
16/03/20 Rawat NANA
820372 785 15 11,775
21 Jalan MULYAN
A, TN
16/03/20 Rawat KANAR
835231 785 20 15,700
21 Jalan TN
16/03/20 Rawat
819776 TATI, NY 785 10 7,850
21 Jalan
DOYOK
16/03/20 Rawat
817864 DARSO 785 15 11,775
21 Jalan
NO.TN
16/03/20 Rawat
815940 DIDI, TN. 674 10 6,740
21 Inap
ENCID
17/03/20 Rawat
806056 TAMSID, 785 10 7,850
21 Jalan
TN
17/03/20 Rawat OTONG,
801478 785 10 7,850
21 Jalan TN
IIN
18/03/20 Rawat
819469 RUYANI, 785 10 7,850
21 Inap
NY
18/03/20 Rawat
835546 EHA NY 785 15 11,775
21 Jalan
 18/03/20 Rawat SACI,
804839 785 15 11,775
21 Jalan NY
JAJANG
18/03/20 Rawat
835545 SUHER 785 10 7,850
21 Jalan
MAN TN
18/03/20 Rawat FATIMA
832088 785 10 7,850
21 Inap H , NY
18/03/20 Rawat ERES
835537 785 10 7,850
21 Inap NY
ISMA NY
18/03/20 Rawat
829943 / AHNU 785 10 7,850
21 Jalan
TN
19/03/20 Rawat KARWA
832626 785 10 7,850
21 Inap TI. NY
19/03/20 Rawat DENA,
803373 785 10 7,850
21 Jalan SDR
19/03/20 Rawat
835547 IRAH NY 785 10 7,850
21 Inap
19/03/20 Pasien
UMUM 0 785 6 4,710
21 Umum
20/03/20 Rawat ANENG
835576 785 6 4,710
21 Jalan NY
20/03/20 Rawat SUHEN
835578 785 10 7,850
21 Jalan DAR TN
23/03/20 Rawat UNAYAH
819700 785 10 7,850
21 Jalan . NY
SAEPUL
31/03/20 Rawat
814700 HIDAYA 674 10 6,740
21 Inap
T,TN
RENI
31/03/20 Rawat
813579 ANDRIA 674 10 6,740
21 Inap
NA NY
AN M
Lapimox 27/03/20
140 1497 UMUM 0 FRANS/ 45,815 1 45,815
250 Syr 21
APS
RINI
Rawat HALIMA
141 15 Akita tab 1/3/2021 835250 631 10 6,310
Jalan TUSADI
AH. NY
MIMIN
Rawat
1/3/2021 834111 ROSMIA 631 2 1,262
Inap
TI.NY
PINKAN
Rawat
1/3/2021 817099 RIZKY.N 631 10 6,310
Jalan
N
Rawat
3/3/2021 835279 ACA, TN 631 10 6,310
Jalan
 EVI SITI
Rawat
3/3/2021 811994 NUR. 631 11 6,941
Inap
F,NY

Yana
3/3/2021 K75 631 10 6,310
Gustiana

SITI
Rawat MAEUM
3/3/2021 835284 631 6 3,786
Inap ANAH,
NY
PINKAN
Rawat
3/3/2021 817099 RIZKY.N 631 6 3,786
Jalan
N
LILIS
Rawat
6/3/2021 823790 SURYAN 783 12 9,396
Inap
I.NY
LILIS
Rawat
6/3/2021 823790 SURYAN 783 3 2,349
Inap
I.NY
Pasien
6/3/2021 UMUM 0 752 10 7,520
Umum
APRILIA
Rawat
7/3/2021 801710 YUNITA, 631 6 3,786
Inap
NY
ENDAN
Rawat G
7/3/2021 835339 631 6 3,786
Inap SETIAW
AN. TN
YUNITA
Rawat NUR
8/3/2021 835353 631 12 7,572
Inap SOLIHA
T NY
NUNUN
G
Rawat
8/3/2021 804308 HERNA 631 6 3,786
Inap
WATI.
NY
YUNITA
Rawat NUR
9/3/2021 835353 631 12 7,572
Inap SOLIHA
T NY
YEYE
Rawat
### 835406 DARSITI 631 10 6,310
Jalan
. NY

Rawat YUSILA
### 834752 631 3 1,893
Inap WATI,NY
 ELVA
Rawat ARIF
### 830595 631 10 6,310
Jalan MUTAQI
N SDR

EMPAY
Rawat
### 835439 KOMALA 631 10 6,310
Jalan
WATI NY

BAYU
13/03/20 Rawat
835410 ANUGE 631 6 3,786
21 Inap
RAH TN

13/03/20 Rawat YUSILA

834752 631 6 3,786
21 Inap WATI,NY

BAYU
13/03/20 Rawat
835410 ANUGE 631 6 3,786
21 Inap
RAH TN
14/03/20 Rawat FATIMA
832088 783 6 4,698
21 Inap H , NY

14/03/20 Rawat YUSILA

834752 783 6 4,698
21 Inap WATI,NY

15/03/20 Rawat SUPRAP

834561 631 10 6,310
21 Jalan TI NY
15/03/20 Rawat FATIMA
832088 631 12 7,572
21 Inap H , NY
HJ
15/03/20 Rawat
804292 CICIH. 631 6 3,786
21 Inap
NY
TITI
16/03/20 Rawat
835508 SURYAN 631 2 1,262
21 Inap
I NY
E
17/03/20 Rawat
835527 MUCHT 631 6 3,786
21 Inap
AR . TN
ELOM
17/03/20 Rawat SALAM
835515 631 2 1,262
21 Inap SUDIRM
AN TN
18/03/20 Rawat FATIMA
832088 631 12 7,572
21 Inap H , NY
18/03/20 Rawat
835547 IRAH NY 631 6 3,786
21 Inap
19/03/20 Rawat
835547 IRAH NY 631 10 6,310
21 Inap
TOHA
21/03/20 Rawat
805009 NURDIN, 631 2 1,262
21 Inap
TN
 21/03/20 Rawat DEDEN
835586 631 6 3,786
21 Inap G, TN
ENGKU
21/03/20 Rawat S
810535 631 6 3,786
21 Inap KUSNAD
I, TN
ENGKU
21/03/20 Rawat S
810535 631 6 3,786
21 Inap KUSNAD
I, TN
23/03/20 Rawat QITANIA
803391 631 10 6,310
21 Jalan , AN
AAR
23/03/20 Rawat
825828 SURYAT 631 6 3,786
21 Inap
I.NY
23/03/20 Rawat SUHEN
835596 631 12 7,572
21 Inap DA NY
23/03/20 Rawat SUHEN
835596 631 8 5,048
21 Inap DA NY
W
23/03/20 Rawat ABDUL
835629 631 10 6,310
21 Jalan HALIM
TN
25/03/20 Rawat FATIMA
832088 631 20 12,620
21 Jalan H , NY
PINKAN
25/03/20 Rawat
817099 RIZKY.N 783 10 7,830
21 Jalan
N
UYUN
28/03/20 Rawat
835729 MULYAN 783 3 2,349
21 Inap
A . TN
SITI
29/03/20 Rawat
835704 RODIAH. 631 4 2,524
21 Inap
NY
UYUN
31/03/20 Rawat
835729 MULYAN 631 3 1,893
21 Inap
A . TN
SIFA
31/03/20 Rawat SAGITA
813766 631 10 6,310
21 Jalan NURJAN
AH, NY
UYUN
31/03/20 Rawat
835729 MULYAN 631 10 6,310
21 Inap
A . TN
Biosat
Rawat CEPI,
142 150 1500 IU 3/3/2021 835281 224,224 1 224,224
Jalan TN
Inj
 LALAN
Rawat
8/3/2021 835380 SOBARI 224,224 1 224,224
Jalan
SDR
ENCID
17/03/20 Rawat
806056 TAMSID, 224,224 1 224,224
21 Jalan
TN
26/03/20 Rawat UHNAN
835689 224,224 1 224,224
21 Inap TN
27/03/20 Rawat JAENAL
835715 224,224 1 224,224
21 Jalan NY
NINING
Simpraz Rawat
143 1500 ### 832543 RUNING 222,338 1 222,338
ol Inap
SIH NY
Rawat
### 835415 AAH, NY 222,338 1 222,338
Inap
Rawat POPI,
### 835414 222,338 1 222,338
Inap TN
TATI
13/03/20 Rawat
835463 WARSITI 222,338 1 222,338
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 222,338 1 222,338
21 Inap WATI,
NY
SUPRIH
13/03/20 Rawat
822113 ATIN. 222,338 1 222,338
21 Inap
NY
SUPRIH
15/03/20 Rawat
822113 ATIN. 222,338 1 222,338
21 Inap
NY
LEVINO
17/03/20 Rawat
835494 INDRAS 222,338 1 222,338
21 Inap
KA. AN
Odanosti
Pasien
144 1503 n 4 mg 9/3/2021 UMUM 0 3,747 5 18,735
Umum
Tab

SODIKIN
GP D5% 16/03/20 Rawat NOOR
145 1505 835524 24,838 2 49,676
500 ML 21 Inap BADRI.
TN

N. U.
19/03/20 Rawat
835522 UMAYA 24,838 1 24,838
21 Inap
H NY
N. U.
20/03/20 Rawat
835522 UMAYA 24,838 1 24,838
21 Inap
H NY
 TOHA
20/03/20 Rawat
805009 NURDIN, 19,125 1 19,125
21 Inap
TN
20/03/20 Rawat
807029 TUTI, NY 19,125 1 19,125
21 Inap
21/03/20 Rawat
807029 TUTI, NY 19,125 1 19,125
21 Inap
21/03/20 Rawat DEDEN
835586 19,125 1 19,125
21 Inap G, TN
22/03/20 Rawat DEDEN
835586 19,125 1 19,125
21 Inap G, TN
23/03/20 Rawat ADAH.
835518 24,838 1 24,838
21 Inap NY
FITRI
23/03/20 Rawat SARI
835624 24,838 1 24,838
21 Inap WAHYU
NI NN
JUJU
24/03/20 Rawat
835626 JUANI.N 19,125 1 19,125
21 Inap
Y
24/03/20 Rawat OTONG,
835633 24,838 1 24,838
21 Jalan TN
FITRI
25/03/20 Rawat SARI
835624 24,838 1 24,838
21 Inap WAHYU
NI NN
NANI
26/03/20 Rawat
815243 MARYA 24,838 1 24,838
21 Inap
NI, NY.
TATI
26/03/20 Rawat
835664 ROSWA 24,838 1 24,838
21 Inap
TI
HJ
27/03/20 Rawat
835648 CECEP . 24,838 1 24,838
21 Inap
TN
NANI
27/03/20 Rawat
815243 MARYA 24,838 1 24,838
21 Inap
NI, NY.
TATI
27/03/20 Rawat
835664 ROSWA 24,838 1 24,838
21 Inap
TI
DARPIT
27/03/20 Rawat
835655 ROHIDU 24,838 1 24,838
21 Inap
N. TN
SITI
27/03/20 Rawat
835704 RODIAH. 24,838 1 24,838
21 Inap
NY
 SITI
28/03/20 Rawat
835704 RODIAH. 24,838 1 24,838
21 Inap
NY
TATI
28/03/20 Rawat
835664 ROSWA 24,838 1 24,838
21 Inap
TI
UYUN
29/03/20 Rawat
835729 MULYAN 24,838 1 24,838
21 Inap
A . TN
TATI
29/03/20 Rawat
835664 ROSWA 24,838 1 24,838
21 Inap
TI
VITRIA
29/03/20 Rawat FATMA
835750 24,838 1 24,838
21 Inap WATI .
NY
SITI
29/03/20 Rawat
835704 RODIAH. 24,838 1 24,838
21 Inap
NY
SITI
30/03/20 Rawat
835704 RODIAH. 24,838 1 24,838
21 Inap
NY
UYUN
30/03/20 Rawat
835729 MULYAN 24,838 1 24,838
21 Inap
A . TN
A
30/03/20 Rawat
835751 SUTISN 24,838 1 24,838
21 Inap
A. TN
IDA
30/03/20 Rawat
835740 BAGUS. 24,838 1 24,838
21 Inap
TN
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 24,838 1 24,838
21 Inap
MAN,
TN.
DIAH
30/03/20 Rawat
835754 SUMINA 24,838 1 24,838
21 Inap
R. NY
A
30/03/20 Rawat
835751 SUTISN 24,838 1 24,838
21 Inap
A. TN
VITRIA
30/03/20 Rawat FATMA
835750 24,838 1 24,838
21 Inap WATI .
NY
 DIAH
30/03/20 Rawat
835754 SUMINA 24,838 1 24,838
21 Inap
R. NY
31/03/20 Rawat SUKARS
835765 24,838 1 24,838
21 Inap IH.NY
HJ
31/03/20 Rawat
835783 NUNUN 24,838 1 24,838
21 Inap
G. NY
HJ
31/03/20 Rawat
835783 NUNUN 24,838 1 24,838
21 Inap
G. NY
VITRIA
31/03/20 Rawat FATMA
835750 24,838 1 24,838
21 Inap WATI .
NY
GRAFAD
ON Rawat ROHETI
146 1507 ### 802812 487 3 1,461
FORTE Inap N, NY
TAB
FARIZO FELCIA
Rawat
147 1509 L 4/3/2021 835226 TJHIN, 16,727 1 16,727
Inap
SYRUP AN
SYAMIL
Rawat ABDUR
8/3/2021 835357 16,727 1 16,727
Jalan ROHMA
N . AN
23/03/20 Rawat NATAN.
835591 16,727 1 16,727
21 Inap AN
Tineuron Rawat
148 1510 2/3/2021 815940 DIDI, TN. 13,341 1 13,341
kaps Inap
EVI
Rawat
### 835429 SETIAW 13,341 10 133,410
Jalan
ATI, NY
EVI
Rawat
### 835429 SETIAW 13,341 10 133,410
Jalan
ATI, NY

SODIKIN
18/03/20 Rawat NOOR
835524 13,341 1 13,341
21 Inap BADRI.
TN

NANDI
TIFALSI Rawat
149 1511 1/3/2021 835204 SONJAY 726 2 1,452
C TAB Inap
A. TN
NANDI
Rawat
2/3/2021 835204 SONJAY 726 2 1,452
Inap
A. TN
 Rawat NURIYA
5/3/2021 835254 726 10 7,260
Jalan NTI NY
SITI
Rawat
8/3/2021 835377 MULYAN 726 10 7,260
Jalan
I. NN
AI
Rawat
### 802593 NINING, 726 10 7,260
Jalan
NY
KHOTIM
Rawat ATUS
### 811689 726 10 7,260
Jalan SADIAH,
NY
ASIYAH
Rawat
### 835441 PUTRI 726 10 7,260
Jalan
NN

ADE
15/03/20 Rawat
835505 KUSNAN 726 10 7,260
21 Jalan
DAR TN

15/03/20 A
UMUM 0 726 10 7,260
21 AGUNG
HILMAN
17/03/20 Rawat
835536 PRAYUD 726 10 7,260
21 Jalan
A TN
19/03/20 Vivi
K23 726 10 7,260
21 Haviani
RONI
20/03/20 Rawat
835563 SUPRIA 726 3 2,178
21 Inap
DI TN
RONI
21/03/20 Rawat
835563 SUPRIA 726 3 2,178
21 Inap
DI TN
RONI
22/03/20 Rawat
835563 SUPRIA 726 3 2,178
21 Inap
DI TN
26/03/20 Rawat MAHYA
835692 726 10 7,260
21 Jalan TN
SYAILA
26/03/20 Rawat RAHMA
826714 726 15 10,890
21 Jalan TAUFIQ.
NN
ADE
28/03/20 Rawat
835733 YUNEN 726 10 7,260
21 Jalan
GSIH NY
UNUS
28/03/20 Rawat
831842 SANUSI 726 10 7,260
21 Jalan
TN
 28/03/20 Rawat MARYAT
803036 726 3 2,178
21 Inap I, NY
31/03/20 Rawat NENGSI
835694 726 10 7,260
21 Jalan H NY
SUPRAF SITI
25/03/20 Rawat
150 1512 ENID 814501 RODIAH, 13,538 1 13,538
21 Inap
SUPP NY.
SITI
25/03/20 Rawat
814501 RODIAH, 13,538 1 13,538
21 Inap
NY.
APETIC
151 1516 FORTE ### UMUM K83 Iis Isarah 40,425 1 40,425
SYR
LEVINO
18/03/20 Rawat
835494 INDRAS 40,425 1 40,425
21 Inap
KA. AN
MUHAM
MAD
19/03/20 Rawat FAEYZA
821441 40,425 1 40,425
21 Inap RAJBNA
HAMIZA
N, AN

Bioplace
nton SDR
152 152 7/3/2021 UMUM APS 28,028 1 28,028
cream AMRI
15GR
Rawat RAHMA
7/3/2021 835344 28,028 1 28,028
Jalan T. TN
Phytome
Rawat YULIN
153 1520 nadion 3/3/2021 834209 5,547 1 5,547
Jalan NY
Injk
30/03/20 Rawat SUKARS
835765 5,547 1 5,547
21 Inap IH.NY
FELLICI
LAPROS 31/03/20 Rawat
154 1521 827099 A ANUM 94,325 1 94,325
IN SYR 21 Jalan
N , BY
PINKAN
Holimox 25/03/20 Rawat
155 1525 817099 RIZKY.N 1,063 10 10,630
Tab 21 Jalan
N
YETI
30/03/20 Rawat
807134 MARYA 1,063 10 10,630
21 Jalan
NI, NY
Urinal 27/03/20 H.
156 1528 UMUM 0 13,377 1 13,377
Pria 21 Sukarna
YAYA
Bionemi Rawat
157 153 2/3/2021 835079 SUNARY 2,200 1 2,200
caps Inap
A TN
 Pasien
2/3/2021 UMUM 0 2,112 5 10,560
Umum
YAYA
Rawat
3/3/2021 835079 SUNARY 2,200 5 11,000
Inap
A TN
Rawat
3/3/2021 835260 ILIM TN 2,200 1 2,200
Inap
Pasien
3/3/2021 UMUM 0 2,112 30 63,360
Umum
Rawat
4/3/2021 835260 ILIM TN 2,243 5 11,215
Inap
YAYA
Rawat
4/3/2021 817031 FIRDAU 2,243 1 2,243
Inap
S TN
Rawat KARNES
4/3/2021 834511 2,243 30 67,290
Jalan IH NY
Rawat AMIR,
4/3/2021 824051 2,243 7 15,701
Jalan TN
YAYA
Rawat
5/3/2021 817031 FIRDAU 2,243 1 2,243
Inap
S TN
TINI
Rawat
5/3/2021 833723 MARTINI 2,243 10 22,430
Jalan
NY
RIKA
Rawat
5/3/2021 831301 NOORM 2,243 7 15,701
Jalan
ALA NY
WIDI
Rawat
5/3/2021 832951 PUTRI, 2,243 30 67,290
Jalan
NY
NOVIDA
Rawat
5/3/2021 833171 WIDYA, 2,243 7 15,701
Jalan
NY
RISKA
Rawat
5/3/2021 833117 ANJARS 2,243 30 67,290
Jalan
ARI NY
YAYA
Rawat
### 835079 SUNARY 2,243 7 15,701
Jalan
A TN
KHOTIM
13/03/20 Rawat ATUS
811689 2,243 1 2,243
21 Inap SADIAH,
NY
KHOTIM
14/03/20 Rawat ATUS
811689 2,243 10 22,430
21 Inap SADIAH,
NY
 R ISEP
18/03/20 Rawat
832383 SAEFUL 2,243 10 22,430
21 Jalan
LOH TN
TN R.
18/03/20
UMUM 0 ISEP/AP 2,243 20 44,860
21
S
19/03/20 Rawat UTENG
835571 2,243 10 22,430
21 Jalan TN
20/03/20 Rawat JUJU,
832006 2,243 15 33,645
21 Jalan NY
NUNUN
23/03/20 Rawat G
835606 2,243 1 2,243
21 Inap KOMARI
AH. NY
FITRI
23/03/20 Rawat SARI
835624 2,243 1 2,243
21 Inap WAHYU
NI NN
23/03/20 Rawat ADAH.
835518 2,243 1 2,243
21 Inap NY
FITRI
24/03/20 Rawat SARI
835624 2,243 1 2,243
21 Inap WAHYU
NI NN
24/03/20 Rawat ADAH.
835518 2,243 1 2,243
21 Inap NY
NUNUN
25/03/20 Rawat G
835606 2,243 5 11,215
21 Inap KOMARI
AH. NY
FITRI
25/03/20 Rawat SARI
835624 2,243 1 2,243
21 Inap WAHYU
NI NN
25/03/20 Rawat ADAH.
835518 2,243 5 11,215
21 Inap NY
YAYA
25/03/20 Rawat
835079 SUNARY 2,243 15 33,645
21 Jalan
A TN
FITRI
26/03/20 Rawat SARI
835624 2,243 5 11,215
21 Inap WAHYU
NI NN
SITI
27/03/20 Rawat
835704 RODIAH. 2,243 1 2,243
21 Inap
NY
 SITI
28/03/20 Rawat
835704 RODIAH. 2,243 1 2,243
21 Inap
NY
SITI
29/03/20 Rawat
835704 RODIAH. 2,243 1 2,243
21 Inap
NY
SITI
30/03/20 Rawat
835704 RODIAH. 2,243 1 2,243
21 Inap
NY
CALNIC ERWIND
PLUS Rawat A
158 1532 2/3/2021 831532 5,233 10 52,330
CHEWA Jalan PUTTRI
BLE M NY
YUYUN
Rawat
2/3/2021 834533 UNAYAH 5,233 15 78,495
Jalan
NY

RAIS
Rawat GUDAM
2/3/2021 832714 5,233 30 156,990
Jalan ALIA
WATI NY

DEWI
Rawat RATNA
2/3/2021 821088 5,233 10 52,330
Jalan NURSA
RI, NY
SITI
Rawat
2/3/2021 835262 ROKAYA 5,233 10 52,330
Jalan
H NY

JUA
Rawat
2/3/2021 835264 KOMALA 5,233 15 78,495
Jalan
SARI NY

Rawat DADAN
5/3/2021 830604 5,233 7 36,631
Jalan TN
SALLY
Rawat
9/3/2021 802943 ASTAVA 5,233 1 5,233
Inap
NY. NY
E
16/03/20 Rawat
835527 MUCHT 5,233 1 5,233
21 Inap
AR . TN
IDING
29/03/20 Rawat
835732 JAENUD 5,233 2 10,466
21 Inap
IN, TN
30/03/20 Rawat SAHNU
835764 5,233 1 5,233
21 Inap TN
Mecovit-
13/03/20 Rawat AGUS,
159 1533 D3 1000 835398 1,052 10 10,520
21 Inap TN
IU
 N. U.
16/03/20 Rawat
835522 UMAYA 1,052 7 7,364
21 Inap
H NY
16/03/20
UMUM 0 TEH MEI 1,052 10 10,520
21
Gabapio Rawat
160 1534 4/3/2021 832605 IMIN TN 12,128 5 60,640
n Caps Jalan
4/3/2021 UMUM APS Tn imin 12,128 25 303,200
EUIS
Rawat
5/3/2021 810599 KOMARI 12,128 2 24,256
Jalan
AH, NY
5/3/2021 UMUM APS ny euus 12,128 8 97,024
Rawat WARSIT
5/3/2021 835314 12,128 5 60,640
Jalan A TN
ETI
Rawat YUNIA
5/3/2021 833748 12,128 4 48,512
Jalan SUHER
MAN NY
ny.
5/3/2021 UMUM 0 12,128 3 36,384
eti/aps
AJIE
Rawat
7/3/2021 835345 SUBARN 12,128 10 121,280
Jalan
A. TN
NY
9/3/2021 UMUM 0 SOLIHA 12,128 7 84,896
H/APS
EVI
Rawat
### 835429 SETIAW 12,128 10 121,280
Jalan
ATI, NY
13/03/20 TN
UMUM APS 12,128 10 121,280
21 ENANG
TN R.
18/03/20
UMUM 0 ISEP/AP 12,128 10 121,280
21
S
NY
25/03/20
UMUM 0 SUMYAT 12,128 5 60,640
21
I/APS
25/03/20
UMUM APS tn jajang 12,128 7 84,896
21
EVOFIO Rawat WAWA
161 1537 6/3/2021 835318 256,025 2 512,050
N INFUS Inap TN
Rawat WAWA
7/3/2021 835318 256,025 2 512,050
Inap TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 256,025 1 256,025
21 Inap
TN
 ESTALE 13/03/20 Rawat
162 1538 806813 IPIN, TN 2,385 10 23,850
X TAB 21 Jalan
ENGKA
27/03/20 Rawat R
819492 2,385 20 47,700
21 Jalan KARTIK
AH . NY
HJ.
30/03/20 Rawat
815478 EPONG 2,385 10 23,850
21 Jalan
K.NY
Seremig NANDI
Rawat
163 1540 10 mg 2/3/2021 835204 SONJAY 2,500 2 5,000
Inap
tab A. TN
NANDI
Rawat
3/3/2021 835204 SONJAY 2,500 5 12,500
Inap
A. TN
HJ. SITI
16/03/20 Rawat
4433 SOPIAH, 2,500 10 25,000
21 Jalan
NY
DRS,
16/03/20 Rawat NANA
820372 2,500 7 17,500
21 Jalan MULYAN
A, TN
ELOM
16/03/20 Rawat SALAM
835515 2,500 1 2,500
21 Inap SUDIRM
AN TN
ELOM
17/03/20 Rawat SALAM
835515 2,500 1 2,500
21 Inap SUDIRM
AN TN
24/03/20 Rawat AGUS
835641 2,500 4 10,000
21 Jalan TN
27/03/20 Rawat NANA
835575 1,094 4 4,376
21 Jalan JONI TN
HJ
27/03/20 Rawat
835670 SUKARN 1,094 7 7,658
21 Inap
A TN
IIS
27/03/20 Rawat
813279 CAHYAT 1,094 4 4,376
21 Jalan
I, NY
27/03/20 Rawat SARWA.
835697 1,094 10 10,940
21 Jalan TN
HJ
27/03/20 Rawat
835670 SUKARN 1,094 1 1,094
21 Inap
A TN
30/03/20 Rawat JUAREA
835782 2,500 10 25,000
21 Jalan , NY
 30/03/20 Rawat SUKAED
835784 2,500 10 25,000
21 Jalan AH . NY

30/03/20 Rawat YUMAH .

835785 2,500 10 25,000
21 Jalan NY
CALCIU
CUCU
M Rawat
164 1542 1/3/2021 835219 LISNAW 218 2 436
LACTAT Inap
ATI NY
500MG
SAEFUL
Rawat
1/3/2021 835220 HUDAYA 218 2 436
Inap
TN
Rawat KARMO
1/3/2021 835236 218 2 436
Inap TN
CUCU
Rawat
2/3/2021 835219 LISNAW 218 2 436
Inap
ATI NY
CUCU
Rawat
2/3/2021 835219 LISNAW 218 1 218
Inap
ATI NY
SAEFUL
Rawat
2/3/2021 835220 HUDAYA 218 10 2,180
Inap
TN
Rawat KARMO
2/3/2021 835236 218 2 436
Inap TN
Rawat KARMO
3/3/2021 835236 218 2 436
Inap TN
Rawat KARMO
4/3/2021 835236 218 2 436
Inap TN
Rawat
4/3/2021 832605 IMIN TN 218 10 2,180
Jalan
Rawat KARMO
5/3/2021 835236 218 2 436
Inap TN
Rawat KARMO
6/3/2021 835236 218 9 1,962
Inap TN
SAEFUL
Rawat
9/3/2021 835220 HUDAYA 218 21 4,578
Jalan
TN
Rawat ISEM,
9/3/2021 835101 218 21 4,578
Jalan NY
13/03/20 Rawat KARMO
835236 218 2 436
21 Inap TN
14/03/20 Rawat KARMO
835236 218 3 654
21 Inap TN
14/03/20 Rawat ENES
835469 218 2 436
21 Inap NY
 UAR
14/03/20 Rawat
835466 WARSIT 218 2 436
21 Inap
A. TN
UAR
14/03/20 Rawat
835466 WARSIT 218 2 436
21 Inap
A. TN
15/03/20 Rawat ENES
835469 218 2 436
21 Inap NY
UAR
15/03/20 Rawat
835466 WARSIT 218 10 2,180
21 Inap
A. TN
15/03/20 Rawat KARMO
835236 218 3 654
21 Inap TN
16/03/20 Rawat KARMO
835236 218 15 3,270
21 Inap TN
16/03/20 Rawat ENES
835469 218 10 2,180
21 Inap NY
MAMAH
16/03/20 Rawat
832050 WARYA 218 22 4,796
21 Jalan
MAH NY
E
17/03/20 Rawat
835527 MUCHT 218 1 218
21 Inap
AR . TN
21/03/20 Rawat WANGSI
835588 218 2 436
21 Inap H, NY
21/03/20 Rawat HERMA
835580 218 3 654
21 Inap N TN
22/03/20 Rawat NINING
835595 218 2 436
21 Inap NY
22/03/20 Rawat SUHEN
835596 218 2 436
21 Inap DA NY
22/03/20 Rawat HERMA
835580 218 3 654
21 Inap N TN
22/03/20 Rawat WANGSI
835588 218 3 654
21 Inap H, NY
22/03/20 Rawat NINING
835595 218 2 436
21 Inap NY
23/03/20 Rawat NINING
835595 218 2 436
21 Inap NY
23/03/20 Rawat SUHEN
835596 218 1 218
21 Inap DA NY
23/03/20 Rawat HERMA
835580 218 2 436
21 Inap N TN
SITI
27/03/20 Rawat
835704 RODIAH. 218 2 436
21 Inap
NY
 SITI
28/03/20 Rawat
835704 RODIAH. 218 2 436
21 Inap
NY
DOXEF
Rawat CEPI,
165 1543 500 MG 3/3/2021 835281 11,842 10 118,420
Jalan TN
CAPS
26/03/20 Rawat MAHYA
835692 11,842 10 118,420
21 Jalan TN
Erlapur 16/03/20 Rawat NUNUN
166 1548 835338 880 14 12,320
Tab 21 Jalan G K, NY
UYUN
Roverton 29/03/20 Rawat
167 1552 835729 MULYAN 460 3 1,380
tab 21 Inap
A . TN
30/03/20 Rawat KACEN
835734 460 10 4,600
21 Inap G TN
30/03/20 Rawat ENDAN
835708 460 10 4,600
21 Jalan G TN
TITA
31/03/20 Rawat
835804 KARTIK 460 3 1,380
21 Inap
A .NY
Amlodipi
n 5 mg Pasien
168 1556 2/3/2021 UMUM APS 1,383 0 0
Tab Umum
( BRN )
Pasien
2/3/2021 UMUM APS 1,383 0 0
Umum
Pasien
2/3/2021 UMUM APS 1,383 0 0
Umum
Pasien
2/3/2021 UMUM APS 1,383 0 0
Umum
Pasien
2/3/2021 UMUM APS 1,383 0 0
Umum
Pasien
2/3/2021 UMUM APS 1,383 0 0
Umum
Rawat ISAM.
2/3/2021 819105 1,440 1 1,440
Inap NY
DIDI
Rawat
2/3/2021 821435 PANDI, 1,440 30 43,200
Jalan
TN
Pasien
2/3/2021 UMUM APS 1,383 0 0
Umum
Pasien
2/3/2021 UMUM APS 1,383 0 0
Umum
Rawat ISAM.
3/3/2021 819105 1,440 5 7,200
Inap NY
EUIS
Rawat
4/3/2021 834994 YULIANI 1,412 1 1,412
Inap
NY
 AAN
Rawat
4/3/2021 830368 SUNEN 1,412 20 28,240
Jalan
GSIH NY
4/3/2021 UMUM APS Ny AAN 1,412 10 14,120
SITI
Rawat
4/3/2021 834698 SAIDAH 1,412 30 42,360
Jalan
NY
Rawat ENES.
4/3/2021 835133 1,412 5 7,060
Jalan NY
SURYAN
Rawat
4/3/2021 835297 INGSIH 1,412 7 9,884
Jalan
NY
ADE
Rawat
5/3/2021 817763 JUARIA 1,412 10 14,120
Jalan
H.NY
Rawat RUHITA,
6/3/2021 835336 1,412 10 14,120
Jalan TN
CECEP
Rawat
9/3/2021 824992 TAUPIK, 1,412 20 28,240
Jalan
TN
TN
9/3/2021 UMUM APS 1,412 10 14,120
CECEP
ENGKO
Rawat S
9/3/2021 834433 1,412 30 42,360
Jalan KOSASI
H TN
ONIH
Rawat
9/3/2021 823215 MULYAN 1,412 30 42,360
Jalan
I, NY
ENGKA
Rawat R
9/3/2021 819492 1,412 30 42,360
Jalan KARTIK
AH . NY
SAEFUL
Rawat
9/3/2021 835220 HUDAYA 1,412 7 9,884
Jalan
TN
Rawat UNASIH
9/3/2021 832206 1,412 20 28,240
Jalan NY
NY
9/3/2021 UMUM APS 1,412 10 14,120
UNASIH
Rawat ISEM,
9/3/2021 835101 1,412 7 9,884
Jalan NY
OYOH
Rawat
9/3/2021 813977 TARLIA 1,412 15 21,180
Jalan
H . NY
Rawat SUPRI.
### 835403 1,412 1 1,412
Inap TN
 NY
### UMUM APS SURYAN 1,412 30 42,360
INGSIH
13/03/20 Rawat ROKASA
811153 1,412 15 21,180
21 Jalan H, NY
NINING
14/03/20 Rawat
832543 RUNING 1,412 10 14,120
21 Inap
SIH NY
15/03/20 Rawat IRUM
835472 1,412 1 1,412
21 Inap NY
15/03/20 Rawat ANAH
835474 1,412 10 14,120
21 Jalan NY
SAEFUL
16/03/20 Rawat
835220 HUDAYA 1,412 7 9,884
21 Jalan
TN
16/03/20 Rawat EDAH,
835444 1,412 30 42,360
21 Jalan NY
HJ. SITI
16/03/20 Rawat
4433 SOPIAH, 1,412 30 42,360
21 Jalan
NY
16/03/20 Rawat JURAEJI
827464 1,412 7 9,884
21 Jalan N, TN
NANA
16/03/20 Rawat
835475 TARYAN 1,412 1 1,412
21 Inap
A. TN
16/03/20 Rawat IRUM
835472 1,412 1 1,412
21 Inap NY
MAMAH
16/03/20 Rawat
832050 WARYA 1,412 25 35,300
21 Jalan
MAH NY
NANA
17/03/20 Rawat
835475 TARYAN 1,412 5 7,060
21 Inap
A. TN
17/03/20 Rawat IRUM
835472 1,412 5 7,060
21 Inap NY
17/03/20 Rawat WASLI.
827069 1,412 1 1,412
21 Jalan TN
ELOM
17/03/20 Rawat SALAM
835515 1,412 10 14,120
21 Inap SUDIRM
AN TN
20/03/20 Rawat NANA
835575 1,412 7 9,884
21 Jalan JONI TN
20/03/20 Rawat ANAH
835474 1,412 7 9,884
21 Jalan NY
20/03/20 Rawat ILAH
828787 1,412 15 21,180
21 Jalan HAYATI
20/03/20 Rawat WAHIDI
814364 1,412 30 42,360
21 Jalan N, TN
NY
20/03/20
UMUM 0 ILAH/AP 1,412 15 21,180
21
S
RESTI
23/03/20 Rawat
833746 NURDIA 1,412 30 42,360
21 Jalan
NTI NY
SAEFUL
23/03/20 Rawat
835220 HUDAYA 1,412 30 42,360
21 Jalan
TN
HJ
23/03/20 Rawat
804292 CICIH. 1,412 7 9,884
21 Jalan
NY
AAR
24/03/20 Rawat
825828 SURYAT 1,412 1 1,412
21 Inap
I.NY
25/03/20 Rawat NENGSI
835645 1,412 1 1,412
21 Inap H NY
DEDE
25/03/20 Rawat
835636 RAHMA 1,412 1 1,412
21 Inap
T TN
DEDE
25/03/20 Rawat
835636 RAHMA 1,412 10 14,120
21 Inap
T TN
25/03/20 Rawat SOLIH.
828739 1,412 30 42,360
21 Jalan TN
NANA
27/03/20
UMUM 0 JONI 1,412 30 42,360
21
TN/APS
27/03/20
UMUM 0 APS 1,412 10 14,120
21
NANI
27/03/20 Rawat
815243 MARYA 1,412 1 1,412
21 Inap
NI, NY.
27/03/20 Rawat NENGSI
835645 1,412 1 1,412
21 Inap H NY
27/03/20 Rawat NENGSI
835645 1,412 7 9,884
21 Inap H NY
TN
27/03/20
UMUM 0 DADAN 1,412 30 42,360
21
G/APS
NY
27/03/20
UMUM 0 ANAH/A 1,412 30 42,360
21
PS
AAR
27/03/20 Rawat
825828 SURYAT 1,412 7 9,884
21 Inap
I.NY
 NY
27/03/20
UMUM 0 ROKAYA 1,412 30 42,360
21
H/APS
NANI
28/03/20 Rawat
815243 MARYA 1,412 10 14,120
21 Inap
NI, NY.
IDING
28/03/20 Rawat
835732 JAENUD 1,412 1 1,412
21 Inap
IN, TN
29/03/20 Rawat SUARI,
800179 1,412 5 7,060
21 Inap TN
IDING
29/03/20 Rawat
835732 JAENUD 1,412 1 1,412
21 Inap
IN, TN
IDING
30/03/20 Rawat
835732 JAENUD 1,412 1 1,412
21 Inap
IN, TN
30/03/20 Rawat MARYAT
803036 1,412 1 1,412
21 Inap I, NY
30/03/20 Rawat NINING
835595 1,412 30 42,360
21 Jalan NY
30/03/20 HJ
UMUM APS 1,412 7 9,884
21 CICIH
30/03/20 Rawat SULAEM
835173 1,412 20 28,240
21 Jalan AN TN
30/03/20 SULAEM
UMUM APS 1,412 10 14,120
21 AN
NANA
31/03/20 Rawat
835799 SURYAN 1,412 1 1,412
21 Inap
A. TN
ADE
31/03/20 Rawat
835733 YUNEN 1,412 10 14,120
21 Jalan
GSIH NY
31/03/20 Rawat MARYAT
803036 1,412 5 7,060
21 Inap I, NY
IDING
31/03/20 Rawat
835732 JAENUD 1,412 5 7,060
21 Inap
IN, TN
ASEP
Bisoprolo DEDI
Rawat
169 1557 l 5 mg 2/3/2021 835266 SAEFUL 6,187 2 12,374
Jalan
(BRN) ANWAR.
TN
Rawat DEDE
2/3/2021 830234 6,187 30 185,610
Jalan SRI.NY
TN
2/3/2021 UMUM 0 DIDI 6,187 15 92,805
/APS
 NY
9/3/2021 UMUM 0 SUKAES 6,187 30 185,610
IH /APS

17/03/20 Rawat WASLI.

827069 6,187 1 6,187
21 Jalan TN
18/03/20 Rawat
835546 EHA NY 6,187 2 12,374
21 Jalan
18/03/20 Rawat
835453 AMI NY 6,187 3 18,561
21 Jalan
HJ
26/03/20 Rawat
835670 SUKARN 6,187 1 6,187
21 Inap
A TN
ACU
27/03/20 Rawat
835621 SAMSU 6,187 1 6,187
21 Inap
DIN TN
31/03/20 Rawat JUMRI.
835806 6,187 1 6,187
21 Jalan TN
Cefotaxi FELCIA
Rawat
170 1558 m 1/3/2021 835226 TJHIN, 55,000 2 110,000
Inap
( BRN ) AN
FELCIA
Rawat
1/3/2021 835226 TJHIN, 53,900 1 53,900
Inap
AN
Rawat HAINA,
1/3/2021 835228 53,900 1 53,900
Inap AN
Rawat JUANGS
1/3/2021 808907 55,000 2 110,000
Inap IH, NY
Rawat ISAM.
1/3/2021 819105 55,000 2 110,000
Inap NY
FELCIA
Rawat
2/3/2021 835226 TJHIN, 55,000 2 110,000
Inap
AN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 55,000 1 55,000
Inap US
SHANU
M AN
FELCIA
Rawat
3/3/2021 835226 TJHIN, 55,000 2 110,000
Inap
AN
BHARAT
Rawat JIBRIL
4/3/2021 828617 55,000 1 55,000
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 55,000 2 110,000
Inap AN
 Rawat HAIKAL
5/3/2021 835274 53,900 1 53,900
Inap BY
ANISA
Rawat
5/3/2021 835298 FITRIA, 53,900 2 107,800
Inap
AN
MISHAE
LA
Rawat HADYAT
5/3/2021 835253 53,900 2 107,800
Inap US
SHANU
M AN
Rawat HAIKAL
5/3/2021 835274 53,900 1 53,900
Inap BY
ANISA
Rawat
6/3/2021 835298 FITRIA, 53,900 1 53,900
Inap
AN
TANIA
Rawat
6/3/2021 835331 MAURA 53,900 1 53,900
Inap
NISA AN
Rawat CERI
8/3/2021 835363 53,900 2 107,800
Inap LIAN AN
KELVIN
22/03/20 Rawat
835597 JULIANT 55,000 1 55,000
21 Inap
ARA BY

ALRADY
A
23/03/20 Rawat MAHAB
830769 55,000 1 55,000
21 Inap BATAN
LUVINA
TIKA. AN

ANISA
24/03/20 Rawat FAIHA
835644 53,900 1 53,900
21 Inap MUNAN
DAR AN

ALRADY
A
25/03/20 Rawat MAHAB
830769 53,900 1 53,900
21 Inap BATAN
LUVINA
TIKA. AN

ANISA
25/03/20 Rawat FAIHA
835644 53,900 2 107,800
21 Inap MUNAN
DAR AN
 UJANG
26/03/20 Rawat
2816 HENDI , 53,900 2 107,800
21 Inap
TN
M.
27/03/20 Rawat
284 SAMSI, 53,900 2 107,800
21 Inap
AN
28/03/20 Rawat MARYAT
803036 53,900 2 107,800
21 Inap I, NY
WINDY
28/03/20 Rawat
835718 WIDURI. 53,900 3 161,700
21 Inap
AN
M.
28/03/20 Rawat
284 SAMSI, 53,900 2 107,800
21 Inap
AN
UJANG
28/03/20 Rawat
2816 HENDI , 53,900 1 53,900
21 Inap
TN
29/03/20 Rawat AFNAN.
835737 53,900 1 53,900
21 Inap AN
29/03/20 Rawat MARYAT
803036 53,900 2 107,800
21 Inap I, NY
WINDY
29/03/20 Rawat
835718 WIDURI. 53,900 3 161,700
21 Inap
AN
AL
31/03/20 Rawat RAFIQ
835800 53,900 2 107,800
21 Inap RIZKI S
AN
31/03/20 Rawat HILYA
835798 53,900 3 161,700
21 Inap AN

Cefadrox Rawat RISNA

171 1559 1/3/2021 835175 1,513 2 3,026
il ( BRN ) Inap SDR

Rawat NINING
2/3/2021 835192 1,513 6 9,078
Inap NY
Rawat RISNA
2/3/2021 835175 1,513 10 15,130
Inap SDR
Rawat JUANGS
3/3/2021 808907 1,513 6 9,078
Inap IH, NY
Pasien
4/3/2021 UMUM 0 1,512 10 15,120
Umum

Yana
4/3/2021 K75 1,512 10 15,120
Gustiana

Rawat SULAEM
4/3/2021 835173 1,512 10 15,120
Jalan AN TN
Rawat WAWA
6/3/2021 835318 1,513 2 3,026
Inap TN
 Rawat KHODIJ
6/3/2021 835334 1,513 10 15,130
Jalan AH NN
NOVI
Rawat
6/3/2021 835335 SOPAN 1,512 5 7,560
Jalan
DI, TN
SALSABI
Rawat LA
6/3/2021 835329 1,513 10 15,130
Jalan AZZAHR
A NN
Rawat RAHMA
7/3/2021 835344 1,512 10 15,120
Jalan T. TN
Pasien
8/3/2021 UMUM 0 1,512 10 15,120
Umum
EET
Rawat
9/3/2021 810617 NURHA 1,512 10 15,120
Jalan
ETI, NY
Rawat ANIK.
9/3/2021 835230 1,512 10 15,120
Jalan NY
AI SITI
Rawat
9/3/2021 808067 ZAENAB 1,512 10 15,120
Jalan
, NY
AI
Rawat
### 802593 NINING, 1,512 10 15,120
Jalan
NY
Rawat
### 835295 ANIH NY 1,512 10 15,120
Jalan
Rahadia
### K49 n 1,512 10 15,120
Lukman
NABILA
13/03/20 Rawat UMMU
820368 1,512 10 15,120
21 Jalan SOLIHA
T, NN
TAUFIK
13/03/20 Rawat
835216 MAULAN 1,512 10 15,120
21 Jalan
A SDR
13/03/20 Rawat AMIR,
824051 1,512 10 15,120
21 Jalan TN
13/03/20 Rawat AGUS,
835398 1,512 10 15,120
21 Inap TN
13/03/20 Rawat RUKMIN
835465 1,512 10 15,120
21 Jalan I. NY
13/03/20 Rawat IMAS,
835142 1,512 10 15,120
21 Inap NY
ANIH
13/03/20 Rawat
4235 SUARSI 1,512 10 15,120
21 Jalan
H, NY
14/03/20 Rawat YUSILA
834752 1,512 10 15,120
21 Inap WATI,NY

NINING
14/03/20 Rawat
832543 RUNING 1,512 10 15,120
21 Inap
SIH NY
KHOTIM
14/03/20 Rawat ATUS
811689 1,512 10 15,120
21 Inap SADIAH,
NY
BAYU
16/03/20 Rawat
835410 ANUGE 1,512 6 9,072
21 Jalan
RAH TN
NN.
16/03/20 Rawat DITA
835525 1,512 10 15,120
21 Jalan SETIAW
ATI
Opik
16/03/20
K7 Firmansy 1,512 10 15,120
21
ah
TITIN
16/03/20 Rawat
835530 MULYAT 1,512 2 3,024
21 Inap
IN NY
17/03/20 Rawat OTONG,
801478 1,512 10 15,120
21 Jalan TN
E
17/03/20 Rawat
835527 MUCHT 1,512 1 1,512
21 Inap
AR . TN
TITIN
17/03/20 Rawat
835530 MULYAT 1,512 2 3,024
21 Inap
IN NY
HERI
17/03/20 Rawat
835535 HERMA 1,512 10 15,120
21 Jalan
WAN TN
ENUNG
17/03/20 Rawat
820620 JUARIA 1,512 10 15,120
21 Jalan
H. NY
E
17/03/20 Rawat
835527 MUCHT 1,512 1 1,512
21 Inap
AR . TN
18/03/20 Rawat ASIR .
835538 1,512 10 15,120
21 Inap TN
18/03/20 Rawat ROKAYA
835481 1,512 2 3,024
21 Inap H NY
 SODIKIN
18/03/20 Rawat NOOR
835524 1,512 2 3,024
21 Inap BADRI.
TN

SODIKIN
19/03/20 Rawat NOOR
835524 1,512 2 3,024
21 Inap BADRI.
TN

MIRA
19/03/20 Rawat
822603 RAHMA 1,512 10 15,120
21 Jalan
NIA. NY
20/03/20 Rawat DARYAN
835565 1,512 2 3,024
21 Inap TI. NY
20/03/20 Rawat CICIH.
831794 1,512 10 15,120
21 Jalan NY
21/03/20 Rawat WARSO
835593 1,512 10 15,120
21 Jalan RI TN
AJENG
22/03/20 Rawat
811100 KARTINI 1,512 2 3,024
21 Inap
.NY
AJENG
23/03/20 Rawat
811100 KARTINI 1,513 2 3,026
21 Inap
.NY
23/03/20 Rawat FIRMAN
835613 1,483 2 2,966
21 Inap SDR
AJENG
24/03/20 Rawat
811100 KARTINI 1,483 2 2,966
21 Inap
.NY
24/03/20 Rawat FIRMAN
835613 1,483 6 8,898
21 Inap SDR
26/03/20 Rawat WINDY,
806078 1,483 10 14,830
21 Jalan NY
WOWO
27/03/20 Rawat
809923 SUGRIW 1,513 10 15,130
21 Inap
O.TN
ASMAR
27/03/20 Rawat
835702 YANTI.N 1,513 10 15,130
21 Jalan
Y
27/03/20 Rawat YUYUM
835643 1,513 2 3,026
21 Inap NY
NANI
27/03/20 Rawat
835706 NURJAN 1,513 2 3,026
21 Inap
AH. NY
28/03/20 Rawat YUYUM
835643 1,513 10 15,130
21 Inap NY
 UNUS
28/03/20 Rawat
831842 SANUSI 1,513 10 15,130
21 Jalan
TN
NANI
29/03/20 Rawat
835706 NURJAN 1,513 2 3,026
21 Inap
AH. NY
NANI
30/03/20 Rawat
835706 NURJAN 1,483 2 2,966
21 Inap
AH. NY
31/03/20 Rawat AMANA
832051 1,483 10 14,830
21 Jalan H NY
31/03/20 Rawat DAHLAN
835795 1,483 10 14,830
21 Jalan TN
SITI
31/03/20 Rawat
835704 RODIAH. 1,483 6 8,898
21 Inap
NY
IDA
31/03/20 Rawat
835740 BAGUS. 1,483 6 8,898
21 Inap
TN
NANI
31/03/20 Rawat
835706 NURJAN 1,483 6 8,898
21 Inap
AH. NY
DIAH
31/03/20 Rawat
835754 SUMINA 1,483 6 8,898
21 Inap
R. NY
Bisoprolo
Rawat ENAH
172 156 l 5mg 4/3/2021 835172 550 11 6,050
Jalan NY
Tab
AAN
Rawat
4/3/2021 830368 SUNEN 550 30 16,500
Jalan
GSIH NY
HARIS
Rawat
4/3/2021 835174 NASUTI 550 11 6,050
Jalan
ON TN
YATI
Rawat
9/3/2021 835055 WARIAH 2,126 7 14,882
Jalan
. NY
Rawat TAJUDI
9/3/2021 824678 2,126 15 31,890
Jalan N, TN
LINA
Rawat
9/3/2021 834609 HARLIN 2,126 7 14,882
Jalan
A, NY
Rawat UNASIH
9/3/2021 832206 2,126 11 23,386
Jalan NY
SURYAN
Rawat
### 835297 INGSIH 550 11 6,050
Jalan
NY
 13/03/20 Rawat TARMINI
813352 2,126 15 31,890
21 Jalan .NY
EPON
13/03/20 Rawat
833133 ROHAY 2,126 45 95,670
21 Jalan
ATI NY
NY
13/03/20
UMUM APS ROKASA 2,126 15 31,890
21
H
DOYOK
16/03/20 Rawat
817864 DARSO 2,126 4 8,504
21 Jalan
NO.TN
18/03/20 Rawat M.S.AFE
819241 2,126 15 31,890
21 Jalan NDI.TN
OOM
18/03/20 Rawat
814564 KOMAN 2,126 8 17,008
21 Jalan
AH, NY
YATI
23/03/20 Rawat
835055 WARIAH 2,750 15 41,250
21 Jalan
. NY
SITI
27/03/20 Rawat
833037 ROHMA 2,760 10 27,600
21 Jalan
H
NY SITI
27/03/20
UMUM 0 ROHMA 2,760 5 13,800
21
H/APS
EUIS
27/03/20 Rawat
830311 RUKMIN 2,760 8 22,080
21 Jalan
I.NY
NY
27/03/20
UMUM 0 EUIS/AP 2,760 7 19,320
21
S
TN
27/03/20
UMUM 0 HENDI/A 2,760 15 41,400
21
PS
27/03/20 Rawat ANAH
835474 2,760 10 27,600
21 Jalan NY
NY
27/03/20
UMUM 0 ANAH/A 2,760 5 13,800
21
PS
30/03/20 Rawat RODIAH.
810604 2,760 1 2,760
21 Inap NY
31/03/20 Rawat RODIAH.
810604 2,760 1 2,760
21 Inap NY
Infuset ONENG
Rawat
173 1560 Dws 1/3/2021 832859 ROKAE 7,840 2 15,680
Inap
GEA NAH. NY
 FELCIA
Rawat
1/3/2021 835226 TJHIN, 7,840 1 7,840
Inap
AN
Rawat HAINA,
1/3/2021 835228 7,840 1 7,840
Inap AN
SAEFUL
Rawat
1/3/2021 835220 HUDAYA 7,840 1 7,840
Inap
TN
CUCU
Rawat
1/3/2021 835219 LISNAW 7,840 1 7,840
Inap
ATI NY
H
Rawat
1/3/2021 835215 HASAN 7,840 1 7,840
Inap
TN
Rawat NUNUN
6/3/2021 835338 11,760 1 11,760
Inap G K, NY
Rawat RUKASI
6/3/2021 835322 3,750 1 3,750
Inap H. NY
Rawat ENOS,
6/3/2021 801989 11,760 1 11,760
Inap TN
IDA
Rawat
6/3/2021 820069 ROSIDA. 11,760 1 11,760
Jalan
NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 11,760 1 11,760
Inap
NY
Rawat AWIS,
7/3/2021 816633 11,760 1 11,760
Inap NY
ENDAN
Rawat G
7/3/2021 835339 11,760 1 11,760
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 11,760 1 11,760
Inap A, TN
Pasien
7/3/2021 UMUM 0 11,760 1 11,760
Umum
DIAH
Rawat YAYAH
7/3/2021 835340 11,760 1 11,760
Inap ROKAYA
H. NY
UJANG
Rawat
8/3/2021 820303 SUPRIA 3,750 1 3,750
Inap
TNA, TN
AHMAD
Rawat
8/3/2021 834644 SOFIAN 3,750 1 3,750
Inap
TN
Rawat SUTARN
8/3/2021 810138 11,760 1 11,760
Inap A, TN
 Rawat NEHAN.
8/3/2021 835360 3,750 1 3,750
Jalan TN
YUNITA
Rawat NUR
8/3/2021 835353 11,760 1 11,760
Inap SOLIHA
T NY
Rawat JURAEJI
8/3/2021 827464 11,760 1 11,760
Inap N, TN
ANI
Rawat PRISTIA
8/3/2021 835354 3,750 1 3,750
Jalan WATI.
NY
Rawat CERI
8/3/2021 835363 11,760 1 11,760
Inap LIAN AN
Rawat
8/3/2021 806591 EEN. NY 11,760 1 11,760
Inap
NUNUN
G
Rawat
8/3/2021 804308 HERNA 3,750 1 3,750
Inap
WATI.
NY
SALLY
Rawat
8/3/2021 802943 ASTAVA 3,750 1 3,750
Inap
NY. NY
TITI
Rawat
9/3/2021 835391 AMINAH. 11,760 1 11,760
Inap
NY
ITI
Rawat
9/3/2021 835385 DARSITI 11,760 1 11,760
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 11,760 1 11,760
Inap
I. NY
Rawat AGUS,
9/3/2021 835398 11,760 2 23,520
Inap TN
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 11,760 1 11,760
Inap
NY
Rawat
9/3/2021 835393 LIA. NY 11,760 1 11,760
Inap
NIA
Rawat
### 826027 EVIANA. 3,822 1 3,822
Inap
NY
Rawat ROHETI
### 802812 11,760 1 11,760
Inap N, NY
Rawat IROH,
### 835400 11,760 1 11,760
Inap NY
 Rawat SUPRI.
### 835403 11,760 1 11,760
Inap TN

ARSHAK
Rawat
### 813853 A RAMA 11,760 1 11,760
Inap
A. AN.

Pasien
### UMUM 0 11,760 1 11,760
Umum
NINING
Rawat
### 832543 RUNING 3,822 1 3,822
Inap
SIH NY

Rawat YUSILA
### 834752 3,822 1 3,822
Inap WATI,NY

EUIS
Rawat
### 834994 YULIANI 3,822 1 3,822
Inap
NY
H.
Rawat TATANG
### 831377 3,822 1 3,822
Inap TARYON
O, TN
Rawat IMAS,
### 835142 3,822 1 3,822
Inap NY
SUPRIH
Rawat
### 822113 ATIN. 3,822 1 3,822
Inap
NY
HEMMU
D
Rawat FARCHA
### 835437 3,750 1 3,750
Jalan N IBNU
HASAN
TN

NAUFAL
Rawat DI
### 800119 3,750 1 3,750
Inap AGUSTI
N, AN
TINI
Rawat
### 835417 HARTINI 3,750 1 3,750
Inap
. NY
Rawat
### 835415 AAH, NY 3,822 1 3,822
Inap
Rawat POPI,
### 835414 3,822 1 3,822
Inap TN
KHOTIM
Rawat ATUS
### 811689 3,822 1 3,822
Inap SADIAH,
NY
13/03/20 Rawat KARMO
835236 3,822 1 3,822
21 Inap TN

HAYKAL
13/03/20 Rawat DWI
835435 3,822 1 3,822
21 Inap SYAHPU
TRA AN

13/03/20 Rawat FATIMA

832088 3,822 1 3,822
21 Inap H , NY
13/03/20 Rawat TASIH
835460 3,822 1 3,822
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 3,822 1 3,822
21 Inap
TN
TATI
13/03/20 Rawat
835463 WARSITI 3,822 1 3,822
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 3,822 1 3,822
21 Inap WATI,
NY
BAYU
13/03/20 Rawat
835410 ANUGE 3,822 1 3,822
21 Inap
RAH TN
VIVIH
13/03/20 Rawat
834834 NOVITA 3,822 1 3,822
21 Inap
DEWI
13/03/20 Rawat RUKMIN
835465 3,822 1 3,822
21 Jalan I. NY
EEM
13/03/20 Rawat
831825 SUKAE 3,822 1 3,822
21 Inap
MI. NY
LINDA
13/03/20 Rawat
835448 LAELA. 3,822 1 3,822
21 Inap
NY
NATASY
13/03/20 Rawat A
835457 3,822 1 3,822
21 Inap ADINDA
NY
AHMAD
13/03/20 Rawat
835458 ARYA. 3,822 1 3,822
21 Inap
AN
14/03/20 Rawat ENES
835469 3,822 1 3,822
21 Inap NY
ADE
14/03/20 Rawat
835470 SUKAES 3,822 1 3,822
21 Inap
IH NY
14/03/20 Rawat IRUM
835472 3,822 1 3,822
21 Inap NY
UAR
14/03/20 Rawat
835466 WARSIT 3,822 1 3,822
21 Inap
A. TN
NANA
15/03/20 Rawat
835475 TARYAN 3,750 1 3,750
21 Inap
A. TN
15/03/20 Rawat
815940 DIDI, TN. 3,750 1 3,750
21 Inap
15/03/20 Rawat ENGKAS
835502 3,822 1 3,822
21 Jalan , NY
15/03/20 Rawat WASDI,
835501 3,822 1 3,822
21 Jalan TN
15/03/20 A
UMUM 0 3,822 1 3,822
21 AGUNG
IIN
15/03/20 Rawat
819469 RUYANI, 3,822 1 3,822
21 Inap
NY
15/03/20 Rawat ROKAYA
835481 3,822 1 3,822
21 Inap H NY
NUNUN
G
15/03/20 Rawat
835479 HERMA 3,822 1 3,822
21 Inap
WATI,
NY
DIMAS
15/03/20 Rawat
812977 ADITYA 3,822 1 3,822
21 Inap
W, AN
TITI
15/03/20 Rawat
835508 SURYAN 3,822 1 3,822
21 Inap
I NY
HJ
15/03/20 Rawat
804292 CICIH. 3,750 1 3,750
21 Inap
NY
OMAN
15/03/20 Rawat
831629 ROHAN 3,750 1 3,750
21 Jalan
A, TN
DEREL
15/03/20 Rawat DWI
835473 3,822 1 3,822
21 Inap KARISM
A AN
15/03/20 Rawat TASIH
835460 3,822 1 3,822
21 Inap NY
ADE
16/03/20 Rawat
835529 ROHMA 3,822 1 3,822
21 Inap
ENI. NY
 ELOM
16/03/20 Rawat SALAM
835515 3,822 1 3,822
21 Inap SUDIRM
AN TN
N. U.
16/03/20 Rawat
835522 UMAYA 3,822 1 3,822
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 3,822 1 3,822
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 3,822 1 3,822
21 Inap NY.

SODIKIN
16/03/20 Rawat NOOR
835524 3,822 1 3,822
21 Inap BADRI.
TN

E
16/03/20 Rawat
835527 MUCHT 3,822 1 3,822
21 Inap
AR . TN
TITIN
16/03/20 Rawat
835530 MULYAT 3,822 1 3,822
21 Inap
IN NY
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 3,822 1 3,822
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat ERES
835537 3,822 1 3,822
21 Inap NY
17/03/20 Rawat ASIR .
835538 3,822 1 3,822
21 Inap TN
17/03/20 Rawat WASLI.
827069 3,822 1 3,822
21 Jalan TN
17/03/20 Rawat KARWA
832626 3,822 1 3,822
21 Inap TI. NY
18/03/20 Rawat
835540 PI'I .TN 3,822 1 3,822
21 Jalan
18/03/20 Rawat
835547 IRAH NY 3,750 1 3,750
21 Inap
ELIS
18/03/20 Rawat
835539 RUKYUL 3,822 1 3,822
21 Jalan
IANI NY
19/03/20 Rawat AMAT.
835550 3,750 1 3,750
21 Inap TN
20/03/20 Rawat
807029 TUTI, NY 3,822 1 3,822
21 Inap
 YATI
20/03/20 Rawat
835577 KURNIA 3,822 1 3,822
21 Inap
WATI NY

20/03/20 Rawat SUKAES

807749 3,822 1 3,822
21 Inap IH. NY

AZIS
20/03/20 Rawat RUHIAT
824516 3,822 1 3,822
21 Inap SUPRIA
TNA . TN

20/03/20 Rawat HIDAYA

805608 3,822 1 3,822
21 Inap T, TN
NERA
20/03/20 Rawat
817790 NORAW 3,822 1 3,822
21 Inap
ATI . NY
20/03/20 Rawat
807029 TUTI, NY 3,822 1 3,822
21 Inap
21/03/20 Rawat DEDEN
835586 3,822 1 3,822
21 Inap G, TN
DANA
21/03/20 Rawat
835590 SUJATN 3,822 1 3,822
21 Inap
A, TN
21/03/20 Rawat WANGSI
835588 3,822 1 3,822
21 Inap H, NY
RONI
21/03/20 Rawat
835563 SUPRIA 3,822 1 3,822
21 Inap
DI TN
21/03/20 Rawat NATAN.
835591 3,822 1 3,822
21 Inap AN
21/03/20 Rawat HERMA
835580 3,822 1 3,822
21 Inap N TN

MALA
21/03/20 Rawat
835594 KOMALA 3,822 1 3,822
21 Inap
SARI NY

21/03/20 Rawat NINING

835595 3,822 1 3,822
21 Inap NY
ENGKU
21/03/20 Rawat S
810535 3,822 1 3,822
21 Inap KUSNAD
I, TN
22/03/20 Rawat FIRMAN
835613 3,822 1 3,822
21 Inap SDR
SOPIAN
22/03/20 Rawat
835608 YUDA. 3,822 1 3,822
21 Inap
SDR
22/03/20 Rawat ANDAR
831440 3,822 1 3,822
21 Inap WATI NY

22/03/20 Rawat ROSIDA

835605 3,822 1 3,822
21 Inap H
22/03/20 Rawat PARNO,
835601 3,822 1 3,822
21 Inap TN
22/03/20 Rawat UDIN.
835604 3,822 1 3,822
21 Inap TN
22/03/20 Rawat SUHEN
835596 3,822 1 3,822
21 Inap DA NY
GANJAR
22/03/20 Rawat
835607 HIKMAT 3,822 1 3,822
21 Inap
. TN
23/03/20 Rawat ADAH.
835518 3,822 1 3,822
21 Inap NY
23/03/20 Rawat RAHNI
835628 3,822 1 3,822
21 Inap NY
LUKMAN
23/03/20 Rawat
835614 HAKIM 3,822 1 3,822
21 Inap
TN
SOPIAN
23/03/20 Rawat
835608 YUDA. 3,822 1 3,822
21 Inap
SDR
ONDA
23/03/20 Rawat
835632 MUYAN 3,822 1 3,822
21 Inap
A. TN
AAR
23/03/20 Rawat
825828 SURYAT 3,822 1 3,822
21 Inap
I.NY
UJANG
23/03/20 Rawat
835617 TATANG 3,822 1 3,822
21 Inap
. TN
EPON
23/03/20 Rawat
835622 SUKARS 3,822 1 3,822
21 Inap
IH NY
FITRI
23/03/20 Rawat SARI
835624 3,822 1 3,822
21 Inap WAHYU
NI NN
23/03/20 Rawat KARSIH
831386 3,822 1 3,822
21 Inap NY
JUJU
23/03/20 Rawat
835626 JUANI.N 3,822 1 3,822
21 Inap
Y
DEDE
24/03/20 Rawat
835636 RAHMA 3,822 1 3,822
21 Inap
T TN
24/03/20 Rawat OTONG,
835633 3,822 1 3,822
21 Jalan TN
24/03/20 Rawat YATNI
835642 3,750 1 3,750
21 Inap NY
24/03/20 Rawat YUYUM
835643 3,750 1 3,750
21 Inap NY
ANISA
24/03/20 Rawat FAIHA
835644 3,750 1 3,750
21 Inap MUNAN
DAR AN
24/03/20 Rawat NENGSI
835645 3,750 1 3,750
21 Inap H NY
SITI
24/03/20 Rawat
814501 RODIAH, 3,750 1 3,750
21 Inap
NY.
NANI
25/03/20 Rawat
815243 MARYA 3,822 1 3,822
21 Inap
NI, NY.
DARPIT
25/03/20 Rawat
835655 ROHIDU 3,822 1 3,822
21 Inap
N. TN
HJ
25/03/20 Rawat
835648 CECEP . 3,822 1 3,822
21 Inap
TN
25/03/20 Rawat HIDAYA
835638 3,822 1 3,822
21 Inap T. TN
SAPAAT
25/03/20 Rawat NURHA
835668 3,822 1 3,822
21 Inap YATUDI
N TN
ROSMA
25/03/20 Rawat
834926 LAWATI, 3,822 1 3,822
21 Inap
NY
TATI
25/03/20 Rawat
835664 ROSWA 3,822 1 3,822
21 Inap
TI
WOWO
25/03/20 Rawat
809923 SUGRIW 3,750 1 3,750
21 Inap
O.TN
ADE
25/03/20 Rawat
800276 SUHEN 3,750 1 3,750
21 Inap
DI, TN
AZKA
FADILAT
25/03/20 Rawat
835649 UL 3,822 1 3,822
21 Inap
KHOIR.
AN
26/03/20 Rawat YUYUM
835675 3,822 1 3,822
21 Inap NY
26/03/20 Rawat RIFAL
835674 3,822 1 3,822
21 Inap SDR
ACU
26/03/20 Rawat
835621 SAMSU 3,822 1 3,822
21 Inap
DIN TN
26/03/20 Rawat KARMID,
823943 3,822 1 3,822
21 Inap TN
26/03/20 Rawat ENENG
835698 3,822 1 3,822
21 Inap NY
UJANG
26/03/20 Rawat
2816 HENDI , 3,822 1 3,822
21 Inap
TN
26/03/20 Rawat UHNAN
835689 3,822 1 3,822
21 Inap TN
ANDA
26/03/20 Rawat
834672 WIHAND 3,822 1 3,822
21 Inap
A TN
26/03/20 Rawat RUSTA,
2579 3,822 1 3,822
21 Inap TN
HJ
26/03/20 Rawat
835670 SUKARN 3,822 1 3,822
21 Inap
A TN
NYAI
26/03/20 Rawat
835676 ATIKAH 3,822 1 3,822
21 Inap
NY
27/03/20 Rawat SUARI,
800179 3,822 1 3,822
21 Inap TN
27/03/20 Rawat UNENG,
5097 3,822 1 3,822
21 Inap NY
IMAS
27/03/20 Rawat
827623 MULYAN 3,822 1 3,822
21 Inap
I, NY
27/03/20 Rawat
835659 YATI. NY 3,822 1 3,822
21 Inap
27/03/20 Rawat WANCIH
835712 3,822 1 3,822
21 Inap NY
WINDY
28/03/20 Rawat
835718 WIDURI. 3,822 1 3,822
21 Inap
AN
28/03/20 Rawat TAMAD.
835725 3,822 1 3,822
21 Inap TN
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 3,822 1 3,822
21 Inap
MAN,
TN.
 TOHA
28/03/20 Rawat
805009 NURDIN, 3,822 1 3,822
21 Inap
TN
EPI
28/03/20 Rawat
834663 YULIA. 3,822 1 3,822
21 Inap
NY
UYUN
28/03/20 Rawat
835729 MULYAN 3,822 1 3,822
21 Inap
A . TN
IDING
28/03/20 Rawat
835732 JAENUD 3,822 1 3,822
21 Inap
IN, TN
28/03/20 Rawat MARYAT
803036 3,822 1 3,822
21 Inap I, NY
29/03/20 Rawat KACEN
835734 3,822 1 3,822
21 Inap G TN
29/03/20 Rawat IWAN.
835735 3,822 1 3,822
21 Inap TN
SAEPUL
29/03/20 Rawat
814700 HIDAYA 3,822 1 3,822
21 Inap
T,TN
CICI
29/03/20 Rawat
835746 SUMAR 3,822 1 3,822
21 Inap
CI. NY
VITRIA
29/03/20 Rawat FATMA
835750 3,822 1 3,822
21 Inap WATI .
NY
IDA
29/03/20 Rawat
835740 BAGUS. 3,822 1 3,822
21 Inap
TN
30/03/20 Rawat RODIAH.
810604 3,822 1 3,822
21 Inap NY
30/03/20 Rawat SAHNU
835764 3,822 1 3,822
21 Inap TN
30/03/20 Rawat SUKARS
835765 3,822 1 3,822
21 Inap IH.NY
30/03/20 Rawat USMI,
5908 3,822 1 3,822
21 Inap NY
30/03/20 Rawat UNENG,
5097 3,822 1 3,822
21 Inap NY
30/03/20 Rawat ENTIN,
835756 3,822 1 3,822
21 Inap NY
DIAH
30/03/20 Rawat
835754 SUMINA 3,822 1 3,822
21 Inap
R. NY
 NANI
30/03/20 Rawat
835706 NURJAN 3,822 1 3,822
21 Inap
AH. NY
IIS
31/03/20 Rawat
835791 DEDEH 3,822 1 3,822
21 Inap
NY
NANA
31/03/20 Rawat
835799 SURYAN 3,822 1 3,822
21 Inap
A. TN
IKIN
31/03/20 Rawat
835789 SODIKIN 3,822 1 3,822
21 Inap
TN
31/03/20 Rawat RUSMIA
835801 3,822 1 3,822
21 Inap TI NY
TITA
31/03/20 Rawat
835804 KARTIK 3,822 1 3,822
21 Inap
A .NY
YETI
31/03/20 Rawat
807134 MARYA 3,822 1 3,822
21 Inap
NI, NY
HJ
31/03/20 Rawat
835783 NUNUN 3,822 1 3,822
21 Inap
G. NY
FADHIL
31/03/20 Rawat
835796 AKRAM 3,822 1 3,822
21 Inap
SDR
MUHAM
Cultube
29/03/20 Rawat AD
174 1561 FDC 3 835657 5,031 20 100,620
21 Jalan RIVAN
paed
AN
SAHILA
31/03/20 Rawat
832194 AULIA 5,031 30 150,930
21 Jalan
AN
Alco Rawat HAIKAL
175 1562 3/3/2021 835274 106,297 1 106,297
Drop Jalan BY
Pasien
5/3/2021 UMUM 0 104,432 0 0
Umum
Pasien
5/3/2021 UMUM 0 104,432 1 104,432
Umum
KENISA
Rawat
8/3/2021 830752 ADITIA.A 104,432 1 104,432
Jalan
N
UWAIS
Rawat AL-
### 833429 104,432 1 104,432
Jalan QARNI
AN
 FANDA
Rawat
### 834098 APRILIA 104,432 1 104,432
Jalan
AN
SHAWQI
Rawat ZAYN
### 835419 104,432 1 104,432
Jalan PRATAM
A AN
AN.
16/03/20
UMUM 0 ANAZW 104,432 1 104,432
21
A/APS
19/03/20 Rawat RADITIA
835278 104,432 1 104,432
21 Jalan BY
20/03/20 Rawat RATU,
832607 104,432 1 104,432
21 Jalan AN
FOLLEY
CATHET Rawat
176 1564 1/3/2021 835230 ANI. NY 49,049 1 49,049
ER 16 Jalan
RUSCH
3/3/2021 UMUM 0 KIKI 49,049 1 49,049
EUIS
Rawat
3/3/2021 831017 KURAES 49,049 1 49,049
Jalan
IN.NY
H.
Rawat
7/3/2021 820643 SYUKUR 49,049 1 49,049
Jalan
, TN
ABOCAT ONENG
Rawat
177 1566 H 22 1/3/2021 832859 ROKAE 20,181 1 20,181
Inap
NIPRO NAH. NY
ERI
Rawat RAHMA
1/3/2021 835239 20,181 1 20,181
Inap WATI.
NY
ABOCAT
Rawat KANAR
178 1567 H 18 1/3/2021 835231 20,181 1 20,181
Inap TN
NIPRO
EUIS
Rawat
3/3/2021 831017 KURAES 20,181 1 20,181
Jalan
IN.NY
NAUFAL
ESOMA 15/03/20 Rawat DI
179 1568 800119 165,000 1 165,000
X INJ 21 Inap AGUSTI
N, AN
ADE
16/03/20 Rawat
835529 ROHMA 206,976 1 206,976
21 Inap
ENI. NY
 TITIN
16/03/20 Rawat
835530 MULYAT 206,976 1 206,976
21 Inap
IN NY
18/03/20 Rawat CICIH
811043 206,976 1 206,976
21 Inap NY.
18/03/20 Rawat SACI,
804839 206,976 1 206,976
21 Jalan NY
N. U.
18/03/20 Rawat
835522 UMAYA 206,976 1 206,976
21 Inap
H NY
19/03/20 Rawat CICIH
811043 206,976 1 206,976
21 Inap NY.
20/03/20 Rawat SUNAMI
833478 206,976 1 206,976
21 Jalan NY

YATI
21/03/20 Rawat
835577 KURNIA 206,976 1 206,976
21 Inap
WATI NY

N. U.
22/03/20 Rawat
835522 UMAYA 206,976 1 206,976
21 Inap
H NY
YUDI
23/03/20 Rawat
835623 PRAYO 206,250 1 206,250
21 Jalan
GA.TN

YATI
23/03/20 Rawat
835577 KURNIA 206,976 1 206,976
21 Inap
WATI NY

23/03/20 Rawat ADAH.

835518 206,976 1 206,976
21 Inap NY
24/03/20 Rawat ADAH.
835518 206,976 1 206,976
21 Inap NY
ROSMA
25/03/20 Rawat
834926 LAWATI, 206,976 1 206,976
21 Inap
NY
HJ
26/03/20 Rawat
835670 SUKARN 206,976 1 206,976
21 Inap
A TN
HJ
26/03/20 Rawat
835670 SUKARN 206,976 1 206,976
21 Inap
A TN
30/03/20 Rawat RODIAH.
810604 206,976 1 206,976
21 Inap NY
30/03/20 Rawat
835762 USIH NY 206,976 1 206,976
21 Jalan
HJ
30/03/20 Rawat
835648 CECEP . 206,976 1 206,976
21 Inap
TN
 ENCID
Bisturi 17/03/20 Rawat
180 157 806056 TAMSID, 5,046 1 5,046
No 10 21 Jalan
TN
MAGTR
NY.
AL 16/03/20
181 1571 UMUM 0 SOPIAH/ 51,055 1 51,055
FORTE 21
APS
SUSP
17/03/20 Rawat ASIR .
835538 51,055 1 51,055
21 Inap TN
LEVINO
18/03/20 Rawat
835494 INDRAS 51,055 1 51,055
21 Inap
KA. AN
JULY
18/03/20 Rawat
835387 TISYA. 51,055 1 51,055
21 Jalan
AN
M.
20/03/20 Rawat
4682 RAMDA 51,055 1 51,055
21 Jalan
N, AN
21/03/20 Rawat HIBAN
835583 51,055 1 51,055
21 Jalan AN
23/03/20 Rawat RAHNI
835628 51,055 1 51,055
21 Inap NY
DINNY
NAIRET Rawat
182 1572 4/3/2021 832315 YUSTRI 2,070 5 10,350
TAB Inap
ANI NY
RATIH
Rawat
5/3/2021 829743 RAHAYU 2,070 15 31,050
Jalan
. NY
Rawat SARYA
9/3/2021 835392 2,070 15 31,050
Jalan TN
SAEFUL
Rawat
9/3/2021 835220 HUDAYA 2,070 15 31,050
Jalan
TN
Rawat
9/3/2021 830855 ISAH NY 2,070 15 31,050
Jalan
Rawat SULAEM
### 835173 2,070 15 31,050
Jalan AN TN
Rawat
### 835295 ANIH NY 2,070 15 31,050
Jalan
Rawat ENES.
### 835133 2,070 5 10,350
Jalan NY
NY
### UMUM APS 2,070 16 33,120
ENES
13/03/20 Rawat SARYA
835392 2,070 21 43,470
21 Jalan TN
13/03/20 Rawat ENANG
834531 2,070 30 62,100
21 Jalan TN
 LIA
13/03/20 Rawat
835449 ROSLIA 2,070 15 31,050
21 Jalan
NA NY
18/03/20 Rawat IROH,
835400 2,070 15 31,050
21 Jalan NY
HARIS
25/03/20 Rawat
834993 RUHITA 2,070 15 31,050
21 Jalan
TN
ATIK
25/03/20 Rawat
830154 KARTIK 2,070 15 31,050
21 Jalan
A. NY
WOWO
27/03/20 Rawat
809923 SUGRIW 2,063 10 20,630
21 Inap
O.TN
NENEN
27/03/20 Rawat G
832087 2,063 7 14,441
21 Jalan KARTIK
A, NY
AGUS
30/03/20 Rawat
831605 NURJAY 2,070 21 43,470
21 Jalan
A TN
30/03/20 SULAEM
UMUM APS 2,070 30 62,100
21 AN
QORI
VALEPTI Rawat RAHMA
183 1573 2/3/2021 823037 88,000 1 88,000
K SYR Jalan AULIA.
BY
KAYLA
SHALW
Rawat
4/3/2021 829954 A 110,388 1 110,388
Jalan
PURNA
MA. AN

MUHAM
MAD
Rawat SYAFIQ
6/3/2021 833836 110,388 1 110,388
Jalan AL-
MALIK,
BY
AN
7/3/2021 UMUM APS 110,388 1 110,388
FAJAR
ARSYIL
Rawat A
8/3/2021 835086 110,388 1 110,388
Jalan SAVINA
AN
22/03/20 Rawat CHERIL
835363 110,388 1 110,388
21 Jalan LIAN AN
22/03/20 Rawat PINA,
831408 110,388 1 110,388
21 Jalan AN
 22/03/20 Rawat NATAN.
835591 110,388 1 110,388
21 Inap AN

RIRI
24/03/20 Rawat RHAYNA
835635 110,388 1 110,388
21 Jalan OKTAVI
ANI.AN

QORI
30/03/20 Rawat RAHMA
823037 110,388 1 110,388
21 Jalan AULIA.
BY
M
31/03/20 Rawat
835788 ZIDHAN 110,388 1 110,388
21 Jalan
AN
COMBIV PUJI
Rawat
184 1574 ENT 1/3/2021 835229 SUMARJ 14,375 1 14,375
Jalan
NEBU I, TN
Rawat NINING
1/3/2021 835192 14,375 3 43,125
Inap NY
Rawat NINING
2/3/2021 835192 14,375 1 14,375
Inap NY
A
Rawat HENDA
5/3/2021 813308 14,651 1 14,651
Jalan MULYAN
A TN.
Rawat ENOS,
6/3/2021 801989 14,651 3 43,953
Inap TN
Rawat ENOS,
7/3/2021 801989 14,651 0 0
Inap TN
OBAR
Rawat
7/3/2021 835347 SUHEN 14,651 1 14,651
Jalan
DI. TN
FERI
Rawat
8/3/2021 835355 ARIYAN 14,651 1 14,651
Jalan
TO. AN
UJANG
Rawat
9/3/2021 820303 SUPRIA 14,651 1 14,651
Inap
TNA, TN
Rawat SARYA
9/3/2021 835392 14,651 1 14,651
Jalan TN
NIA
Rawat
### 826027 EVIANA. 14,375 2 28,750
Inap
NY
Rawat IROH,
### 835400 14,375 2 28,750
Inap NY
Rawat ROHETI
### 802812 14,375 3 43,125
Inap N, NY
 ITI
Rawat
### 835385 DARSITI 14,375 3 43,125
Inap
, NY
Rawat SUPRI.
### 835403 14,375 2 28,750
Inap TN
Rawat ENES.
### 835133 14,375 1 14,375
Jalan NY
OMAN
13/03/20 Rawat
831629 ROHAN 14,651 1 14,651
21 Jalan
A, TN
ADE
14/03/20 Rawat
835470 SUKAES 14,375 3 43,125
21 Inap
IH NY

14/03/20 Rawat YUSILA

834752 14,375 2 28,750
21 Inap WATI,NY

ADE
15/03/20 Rawat
835470 SUKAES 14,651 1 14,651
21 Inap
IH NY
15/03/20 Rawat ENES
835469 14,651 3 43,953
21 Inap NY
OMAN
15/03/20 Rawat
831629 ROHAN 14,651 1 14,651
21 Jalan
A, TN
ALFI
16/03/20 Rawat
832641 ANDRA 14,651 1 14,651
21 Jalan
A. AN
E
16/03/20 Rawat
835527 MUCHT 14,651 3 43,953
21 Inap
AR . TN
TITIN
16/03/20 Rawat
835530 MULYAT 14,651 2 29,302
21 Inap
IN NY
AGNIA
16/03/20 Rawat AULIA
835514 14,651 1 14,651
21 Jalan KADAM.
AN
NUNUN
G
17/03/20 Rawat
835479 HERMA 14,651 2 29,302
21 Inap
WATI,
NY
18/03/20 Rawat
835540 PI'I .TN 14,375 1 14,375
21 Jalan
18/03/20 Rawat ASIR .
835538 14,375 2 28,750
21 Inap TN
18/03/20 Rawat KARWA
832626 14,651 2 29,302
21 Inap TI. NY
 TOHA
21/03/20 Rawat
805009 NURDIN, 14,651 2 29,302
21 Inap
TN
21/03/20 Rawat SUKAES
807749 14,651 1 14,651
21 Inap IH. NY
21/03/20 Rawat HERMA
835580 14,651 2 29,302
21 Inap N TN
GANJAR
22/03/20 Rawat
835607 HIKMAT 14,375 4 57,500
21 Inap
. TN
WINDI
22/03/20 Rawat
806691 PERMAT 14,375 1 14,375
21 Jalan
A, AN
ONDA
23/03/20 Rawat
835632 MUYAN 14,651 3 43,953
21 Inap
A. TN
GANJAR
24/03/20 Rawat
835607 HIKMAT 14,651 2 29,302
21 Inap
. TN
ONDA
24/03/20 Rawat
835632 MUYAN 14,651 3 43,953
21 Inap
A. TN
28/03/20 Rawat TAMAD.
835725 14,651 1 14,651
21 Inap TN
AGUS
30/03/20 Rawat
831605 NURJAY 14,651 1 14,651
21 Jalan
A TN
31/03/20 Rawat RUSMIA
835801 14,651 2 29,302
21 Inap TI NY
ADE
31/03/20 Rawat
835733 YUNEN 14,651 1 14,651
21 Jalan
GSIH NY
TITA
31/03/20 Rawat
835804 KARTIK 14,651 4 58,604
21 Inap
A .NY
TAZIMU
Pasien
185 1575 T 0.5 MG 8/3/2021 UMUM 0 251 10 2,510
Umum
TAB
Rawat RUSMIN
9/3/2021 835399 251 10 2,510
Jalan . TN
Rawat SUPRI.
### 835403 251 1 251
Inap TN
16/03/20 Rawat ENES
835469 251 5 1,255
21 Inap NY
21/03/20
UMUM 0 a agung 251 10 2,510
21
 YENI
21/03/20 Rawat
809193 YULIANI, 251 6 1,506
21 Jalan
NY
26/03/20 Pasien
UMUM 0 251 10 2,510
21 Umum
30/03/20 Pasien
UMUM 0 251 10 2,510
21 Umum
Oxytocin Rawat LILIS,NN
186 1576 4/3/2021 835293 3,838 6 23,028
Inj Jalan Y
EUIS
Rawat
5/3/2021 831017 KURAES 3,838 4 15,352
Jalan
IN.NY
SARI
25/03/20 Rawat
831537 NURYA 3,838 2 7,676
21 Jalan
NI.NN
ANELAT 13/03/20 Rawat SAFRUD
187 1579 824904 193 30 5,790
TAB 21 Jalan IN, TN
NIA
15/03/20 Rawat KURNIA
835483 193 20 3,860
21 Jalan WATI.
NY
CICIN
15/03/20 Rawat
835490 FITRIANI 193 20 3,860
21 Jalan
. NY
TETI
15/03/20 Rawat
817877 NURHA 193 20 3,860
21 Jalan
YATI, NY
TITA
15/03/20 Rawat
834941 OKTAVI 193 20 3,860
21 Jalan
ANI NY
HILDA
15/03/20 Rawat
835486 LESMAN 193 20 3,860
21 Jalan
A, NY
NANI
15/03/20 Rawat
835485 SURYAN 193 20 3,860
21 Jalan
I, NY
15/03/20 Rawat MILAH
835487 193 20 3,860
21 Jalan SITI. NY
NABILA
H
15/03/20 Rawat
834675 QOTHR 193 20 3,860
21 Jalan
UNNAD
A, NY
16/03/20 Rawat KARMO
835236 193 5 965
21 Inap TN
TN.
16/03/20
UMUM 0 SAEFUL/ 193 7 1,351
21
APS
 E
17/03/20 Rawat
835527 MUCHT 193 1 193
21 Inap
AR . TN
YANA
19/03/20 Rawat
835328 GUSTIA 193 10 1,930
21 Inap
NA NN
NUNUN
24/03/20 Rawat G
835606 193 1 193
21 Inap KOMARI
AH. NY
RENI
30/03/20 Rawat
813579 ANDRIA 193 2 386
21 Inap
NA NY
TN
INADOXI
13/03/20 HENDR
188 1580 N UMUM 0 1,483 30 44,490
21 AYADI /
FORTE
APS

MOCHA
MAD
13/03/20 Rawat FABIAN
833452 1,483 23 34,109
21 Jalan HERMA
NSYAH
AN
13/03/20 Rawat REVINA
833412 1,483 8 11,864
21 Jalan . AN
HAIKAL
13/03/20 Rawat
835274 SIDQI 1,483 2 2,966
21 Jalan
AN
DENI
16/03/20 Rawat
830666 RAMDA 1,483 15 22,245
21 Jalan
NI.AN
ALFI
16/03/20 Rawat
832641 ANDRA 1,483 10 14,830
21 Jalan
A. AN
NADINE
16/03/20 Rawat
831349 AZZIZAH 1,483 6 8,898
21 Jalan
.AN
M
17/03/20 Rawat
833639 ISKAND 1,483 6 8,898
21 Jalan
AR AN
18/03/20 Rawat FANNY
832782 1,483 10 14,830
21 Jalan TN
18/03/20 Rawat RASYA
832664 688 20 13,760
21 Jalan AN
KIRANA
18/03/20 Rawat
832038 HUMAIR 688 10 6,880
21 Jalan
A AN
 WIDIA
18/03/20 Rawat
831683 APRILIA 688 10 6,880
21 Jalan
AN
JULY
18/03/20 Rawat
835387 TISYA. 688 30 20,640
21 Jalan
AN
SHAKIR
18/03/20 Rawat A
831380 688 20 13,760
21 Jalan MUNTAJ
AH AN
IGRHANI
22/03/20 Rawat
832835 PARIHN 688 9 6,192
21 Jalan
AN
AN
22/03/20
UMUM 0 ALIF/AP 660 7 4,620
21
S
FAWAZ
22/03/20 Rawat ALI
828313 688 5 3,440
21 Jalan ALGAIS
HI.AN
AFNAN
24/03/20 Rawat
830823 ALFARIZ 1,483 3 4,449
21 Jalan
QI BY
FEBI
24/03/20 Rawat
828563 NURUL 1,483 15 22,245
21 Jalan
F, AN
TANIA
24/03/20 Rawat FAITUR
834373 1,483 6 8,898
21 Jalan RAHMA
AN
RAISYA
24/03/20 Rawat PUTRI
831593 1,483 15 22,245
21 Jalan MAHAR
ANI, AN
RIKI
25/03/20 Rawat
834856 RAHAYU 1,483 30 44,490
21 Jalan
. AN
TUBAGU
25/03/20 Rawat S
834544 1,483 13 19,279
21 Jalan AHMAD
AN

ARSHAK
ETAGES Rawat
189 1581 ### 813853 A RAMA 10,005 1 10,005
IC SYR Inap
A. AN.
 ARSHAK
Rawat
### 813853 A RAMA 10,005 1 10,005
Inap
A. AN.

SHAJEA
13/03/20 Rawat
835452 HALAA 4,607 1 4,607
21 Inap
NISA AN
HAUZAN
13/03/20 Rawat IRHAB
833974 4,607 1 4,607
21 Inap NABIL,
AN
NATASY
13/03/20 Rawat A
835457 4,607 1 4,607
21 Inap ADINDA
NY
AHMAD
13/03/20 Rawat
835458 ARYA. 4,607 1 4,607
21 Inap
AN
DEREL
15/03/20 Rawat DWI
835473 4,607 1 4,607
21 Inap KARISM
A AN
DIMAS
16/03/20 Rawat
812977 ADITYA 10,005 1 10,005
21 Inap
W, AN

ARTHUR
KAYSHA
16/03/20 Rawat
828122 KA 10,005 1 10,005
21 Jalan
WIJAYA
.AN

SALWA
17/03/20 Rawat FITRI
835534 10,005 1 10,005
21 Jalan NANDINI
AN
M.
20/03/20 Rawat
4682 RAMDA 10,005 1 10,005
21 Jalan
N, AN
20/03/20 Rawat RATU,
832607 10,005 1 10,005
21 Jalan AN
21/03/20 Rawat NATAN.
835591 10,005 1 10,005
21 Inap AN
 ALRADY
A
23/03/20 Rawat MAHAB
830769 10,005 1 10,005
21 Inap BATAN
LUVINA
TIKA. AN

ANISA
24/03/20 Rawat FAIHA
835644 10,005 1 10,005
21 Inap MUNAN
DAR AN
AZKA
FADILAT
25/03/20 Rawat
835649 UL 10,005 1 10,005
21 Inap
KHOIR.
AN
ANISA
26/03/20 Rawat FAIHA
835644 10,005 1 10,005
21 Inap MUNAN
DAR AN
30/03/20 Rendyka
K4 10,005 1 10,005
21 Rama
EMTUR
NAS Rawat
190 1582 9/3/2021 835393 LIA. NY 613 3 1,839
FORTE Inap
TAB
MAMAH
Rawat
9/3/2021 832050 WARYA 613 21 12,873
Jalan
MAH NY
NY
9/3/2021 UMUM 0 SOLIHA 613 21 12,873
H/APS
Rawat SARYA
9/3/2021 835392 613 15 9,195
Jalan TN
AMIR
Rawat
9/3/2021 830626 FAUZI.T 613 10 6,130
Jalan
N
NURDIN
Rawat
9/3/2021 835203 HIDAYA 613 10 6,130
Jalan
T TN
Rawat CAHYAT
9/3/2021 822342 613 21 12,873
Jalan I.NY
Rawat NINING
9/3/2021 835192 613 21 12,873
Jalan NY
Rawat ENER,
9/3/2021 835206 613 21 12,873
Jalan NY
 OYOH
Rawat
9/3/2021 813977 TARLIA 613 20 12,260
Jalan
H . NY
Pasien
9/3/2021 UMUM 0 613 10 6,130
Umum
Rawat TATANG
### 835404 613 10 6,130
Jalan . TN
AHMAD
Rawat
### 834644 SOFIAN 613 10 6,130
Inap
TN
Rawat
### 835393 LIA. NY 613 3 1,839
Inap
DENI
Rawat
### 835413 SUPRIA 243 14 3,402
Jalan
DI TN
Rawat
### 835393 LIA. NY 243 3 729
Inap
Rawat ROHETI
### 802812 243 3 729
Inap N, NY
Rawat
### 835393 LIA. NY 613 1 613
Inap
Rawat ROHETI
### 802812 613 10 6,130
Inap N, NY
13/03/20 Pasien
UMUM 0 613 10 6,130
21 Umum

HAYKAL
13/03/20 Rawat DWI
835435 613 3 1,839
21 Inap SYAHPU
TRA AN

13/03/20 Pasien
UMUM 0 613 20 12,260
21 Umum
13/03/20 Rawat KARMO
835236 613 3 1,839
21 Inap TN

HAYKAL
14/03/20 Rawat DWI
835435 613 3 1,839
21 Inap SYAHPU
TRA AN

NANA
15/03/20 Rawat
835475 TARYAN 613 3 1,839
21 Inap
A. TN
15/03/20 Rawat
815940 DIDI, TN. 613 3 1,839
21 Inap
15/03/20 Pasien
UMUM 0 613 10 6,130
21 Umum
 HAYKAL
15/03/20 Rawat DWI
835435 613 1 613
21 Inap SYAHPU
TRA AN

NANA
16/03/20 Rawat
835475 TARYAN 613 3 1,839
21 Inap
A. TN

dr. Indra
16/03/20
K5 Bagus 613 10 6,130
21
Haryanto

16/03/20 Rawat
815940 DIDI, TN. 613 10 6,130
21 Inap
17/03/20 Rawat CICIH
811043 613 3 1,839
21 Inap NY.
18/03/20 Rawat ROKAYA
835481 613 4 2,452
21 Inap H NY
18/03/20 Rawat CICIH
811043 613 3 1,839
21 Inap NY.
ADE
18/03/20 Rawat
835529 ROHMA 613 3 1,839
21 Inap
ENI. NY
18/03/20 Pasien
UMUM 0 613 10 6,130
21 Umum
19/03/20 Rawat CICIH
811043 613 3 1,839
21 Inap NY.
19/03/20 Rawat ROKAYA
835481 613 4 2,452
21 Inap H NY
ADE
19/03/20 Rawat
835529 ROHMA 613 3 1,839
21 Inap
ENI. NY
NINING
20/03/20 Rawat
832543 RUNING 613 15 9,195
21 Jalan
SIH NY
20/03/20 Rawat CICIH
811043 613 10 6,130
21 Inap NY.
20/03/20 Budi
K1 613 10 6,130
21 SUsilo
21/03/20 Rawat ROKAYA
835481 613 1 613
21 Inap H NY
AJENG
22/03/20 Rawat
811100 KARTINI 613 3 1,839
21 Inap
.NY

YATI
22/03/20 Rawat
835577 KURNIA 613 3 1,839
21 Inap
WATI NY
 AJENG
23/03/20 Rawat
811100 KARTINI 613 1 613
21 Inap
.NY

YATI
23/03/20 Rawat
835577 KURNIA 613 1 613
21 Inap
WATI NY

NT
23/03/20 Rawat
834700 CHOTIM 613 30 18,390
21 Jalan
AH NY
HJ
23/03/20 Rawat
804292 CICIH. 613 21 12,873
21 Jalan
NY
EPON
24/03/20 Rawat
835622 SUKARS 613 3 1,839
21 Inap
IH NY

YATI
24/03/20 Rawat
835577 KURNIA 613 3 1,839
21 Inap
WATI NY

AJENG
24/03/20 Rawat
811100 KARTINI 613 3 1,839
21 Inap
.NY
24/03/20 Rawat SUARI
835634 613 10 6,130
21 Jalan TN
AMRIN
25/03/20 Rawat
835462 SOBANA 613 20 12,260
21 Jalan
TN

YATI
25/03/20 Rawat
835577 KURNIA 613 3 1,839
21 Inap
WATI NY

AJENG
25/03/20 Rawat
811100 KARTINI 613 3 1,839
21 Inap
.NY
NANI
26/03/20 Rawat
815243 MARYA 613 3 1,839
21 Inap
NI, NY.
HJ
26/03/20 Rawat
835648 CECEP . 613 3 1,839
21 Inap
TN
NANI
27/03/20 Rawat
815243 MARYA 613 3 1,839
21 Inap
NI, NY.
HJ
27/03/20 Rawat
835648 CECEP . 613 3 1,839
21 Inap
TN
 NAUFAL
Selkom Rawat DI
191 1583 ### 800119 1,240 10 12,400
C tab Jalan AGUSTI
N, AN
OBAR
13/03/20 Rawat
835347 SUHEN 3,234 10 32,340
21 Jalan
DI. TN
PAPAT
15/03/20 Rawat
835496 FATIMA 3,234 10 32,340
21 Jalan
H. NY
NAUFAL
15/03/20 Rawat DI
800119 3,234 6 19,404
21 Inap AGUSTI
N, AN
AGUS
15/03/20 Rawat
835507 SUPRIA 3,234 10 32,340
21 Jalan
TNA TN
16/03/20 Rawat
828609 ILAH. NY 3,234 10 32,340
21 Jalan
WILDAN
18/03/20 Rawat FAUZI
835548 3,234 15 48,510
21 Jalan FURQO
N SDR
AJI
19/03/20 Rawat
835555 SAEPUD 3,234 18 58,212
21 Jalan
IN TN
27/03/20 Rawat HIDAYA
835638 3,234 15 48,510
21 Inap T. TN
29/03/20 Pasien
UMUM 0 3,234 10 32,340
21 Umum
OJAN
29/03/20 Rawat
834850 SUPRIA 3,234 10 32,340
21 Jalan
DI. TN
ENTIN
30/03/20 Rawat
835780 HARTIT 3,234 10 32,340
21 Jalan
A,NY
HENHE
30/03/20 Rawat N
835779 3,234 10 32,340
21 Jalan ROHEN
DI. TN
30/03/20 Pasien
UMUM 0 3,234 10 32,340
21 Umum
OMEPR
13/03/20 Rawat RUKMIN
192 1584 AZOLE 835465 19,092 1 19,092
21 Jalan I. NY
INJ
 NIA
13/03/20 Rawat KURNIA
834792 19,092 1 19,092
21 Inap WATI,
NY
NIA
14/03/20 Rawat KURNIA
834792 19,092 1 19,092
21 Inap WATI,
NY
ADE
14/03/20 Rawat
835470 SUKAES 19,092 1 19,092
21 Inap
IH NY
14/03/20 Rawat ENES
835469 19,092 1 19,092
21 Inap NY
NAUFAL
14/03/20 Rawat DI
800119 19,092 1 19,092
21 Inap AGUSTI
N, AN
SUPRIH
14/03/20 Rawat
822113 ATIN. 19,092 1 19,092
21 Inap
NY
UAR
14/03/20 Rawat
835466 WARSIT 19,092 1 19,092
21 Inap
A. TN
14/03/20 Rawat IRUM
835472 19,092 1 19,092
21 Inap NY
ADE
15/03/20 Rawat
835470 SUKAES 33,688 1 33,688
21 Inap
IH NY
NANA
15/03/20 Rawat
835475 TARYAN 33,688 1 33,688
21 Inap
A. TN
15/03/20 Rawat ENES
835469 33,688 1 33,688
21 Inap NY
NIA
15/03/20 Rawat KURNIA
834792 33,688 1 33,688
21 Inap WATI,
NY
15/03/20 Rawat IRUM
835472 33,688 1 33,688
21 Inap NY
HJ
15/03/20 Rawat
804292 CICIH. 33,688 1 33,688
21 Inap
NY
OMAN
15/03/20 Rawat
831629 ROHAN 33,688 1 33,688
21 Jalan
A, TN
SUPRIH
16/03/20 Rawat
822113 ATIN. 33,688 1 33,688
21 Inap
NY
 HJ
16/03/20 Rawat
804292 CICIH. 33,688 1 33,688
21 Inap
NY
LEVINO
16/03/20 Rawat
835494 INDRAS 33,688 1 33,688
21 Inap
KA. AN
TITI
16/03/20 Rawat
835508 SURYAN 33,688 1 33,688
21 Inap
I NY
NANA
16/03/20 Rawat
835475 TARYAN 33,688 1 33,688
21 Inap
A. TN
16/03/20 Rawat IRUM
835472 33,688 1 33,688
21 Inap NY
16/03/20 Rawat ROKAYA
835481 33,688 1 33,688
21 Inap H NY
ELOM
16/03/20 Rawat SALAM
835515 33,688 1 33,688
21 Inap SUDIRM
AN TN
NIA
16/03/20 Rawat KURNIA
834792 33,688 1 33,688
21 Inap WATI,
NY
N. U.
16/03/20 Rawat
835522 UMAYA 33,688 1 33,688
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 33,688 1 33,688
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 33,688 1 33,688
21 Inap NY.

SODIKIN
16/03/20 Rawat NOOR
835524 33,688 1 33,688
21 Inap BADRI.
TN

E
16/03/20 Rawat
835527 MUCHT 33,688 1 33,688
21 Inap
AR . TN
30/03/20 Rawat SAHNU
835764 19,607 1 19,607
21 Inap TN
30/03/20 Rawat SUKARS
835765 19,607 1 19,607
21 Inap IH.NY
30/03/20 Rawat ENTING,
835756 19,607 1 19,607
21 Inap NY
30/03/20 Rawat RODIAH.
810604 19,607 1 19,607
21 Inap NY
 IIS
31/03/20 Rawat
835791 DEDEH 19,607 1 19,607
21 Inap
NY
IKIN
31/03/20 Rawat
835789 SODIKIN 19,607 1 19,607
21 Inap
TN
31/03/20 Rawat RUSMIA
835801 19,607 1 19,607
21 Inap TI NY
IMAS
31/03/20 Rawat
827623 MULYAN 19,607 1 19,607
21 Inap
I, NY
CICI
31/03/20 Rawat
835746 SUMAR 19,607 1 19,607
21 Inap
CI. NY
EEN
31/03/20 Rawat
835797 NURAE 19,607 1 19,607
21 Jalan
NAH NY
31/03/20 Rawat SUKARS
835765 19,607 1 19,607
21 Inap IH.NY
SUKAND
I BIN
31/03/20 Rawat
813480 SURYA 19,607 1 19,607
21 Inap
MAN,
TN.
YETI
31/03/20 Rawat
807134 MARYA 19,607 1 19,607
21 Inap
NI, NY
HJ
31/03/20 Rawat
835783 NUNUN 19,607 1 19,607
21 Inap
G. NY
FADHIL
31/03/20 Rawat
835796 AKRAM 19,607 1 19,607
21 Inap
SDR
HJ
31/03/20 Rawat
835783 NUNUN 19,607 1 19,607
21 Inap
G. NY
VITRIA
31/03/20 Rawat FATMA
835750 19,607 1 19,607
21 Inap WATI .
NY
KRALIK 13/03/20 Rawat RUKMIN
193 1585 835465 14,169 1 14,169
SYR 21 Jalan I. NY
14/03/20 Rawat ENES
835469 14,169 1 14,169
21 Inap NY
15/03/20 Rawat
835504 SITI NY 52,434 1 52,434
21 Jalan
 NUNUN
G
15/03/20 Rawat
835479 HERMA 52,434 1 52,434
21 Inap
WATI,
NY
DEDE
16/03/20 Rawat
835517 SUHART 52,434 1 52,434
21 Jalan
INI. NY
TITI
16/03/20 Rawat
835508 SURYAN 52,434 1 52,434
21 Inap
I NY
ARI
16/03/20 Rawat DINDIN
833385 52,434 1 52,434
21 Jalan WAHYU
DIN TN
16/03/20 Rawat KANAR
835231 52,434 1 52,434
21 Jalan TN
CUCU
16/03/20 Rawat SUSILA
835176 52,434 1 52,434
21 Jalan WATI,
NY
16/03/20 Rawat IROH,
835400 52,434 1 52,434
21 Jalan NY

22/03/20 Rawat ANDAR

831440 14,595 1 14,595
21 Inap WATI NY

N. U.
22/03/20 Rawat
835522 UMAYA 14,595 1 14,595
21 Inap
H NY

YATI
23/03/20 Rawat
835577 KURNIA 14,595 1 14,595
21 Inap
WATI NY

UJANG
23/03/20 Rawat
835617 TATANG 14,595 1 14,595
21 Inap
. TN
EPON
23/03/20 Rawat
835622 SUKARS 14,595 1 14,595
21 Inap
IH NY
FITRI
23/03/20 Rawat SARI
835624 14,595 1 14,595
21 Inap WAHYU
NI NN
23/03/20 Rawat
833508 AMID TN 14,595 1 14,595
21 Jalan
 MALA
23/03/20 Rawat
835594 KOMALA 14,595 1 14,595
21 Inap
SARI NY

23/03/20 Rawat HERMA

835580 14,595 1 14,595
21 Inap N TN
NUNUN
23/03/20 Rawat G
835606 14,595 1 14,595
21 Inap KOMARI
AH. NY
IIN
CAZETI 16/03/20 Rawat
194 1586 819469 RUYANI, 57,001 1 57,001
N DROP 21 Inap
NY
23/03/20 an
UMUM APS 57,001 1 57,001
21 rafasya
NY
27/03/20
UMUM 0 ROKAYA 57,001 1 57,001
21
H/APS
ADE
BRICOX 16/03/20 Rawat
195 1587 835470 SUKAES 297 10 2,970
CAP 21 Jalan
IH NY
21/03/20 Rawat DEDEN
835586 5,527 2 11,054
21 Inap G, TN
ENGKO
23/03/20 Rawat M
835618 5,527 8 44,216
21 Jalan KOMARI
AH, NY
YAYA
vitamin k 18/03/20 Rawat
196 1588 835079 SUNARY 313 7 2,191
4 21 Jalan
A TN
Eka
BIOCOM 18/03/20
197 1589 K73 Dimas 5,000 1 5,000
BIN INJ 21
Saputra

SODIKIN
19/03/20 Rawat NOOR
835524 6,738 1 6,738
21 Inap BADRI.
TN

N. U.
19/03/20 Rawat
835522 UMAYA 6,738 1 6,738
21 Inap
H NY
19/03/20
UMUM K101 Cep Andi 6,738 1 6,738
21
19/03/20 Rawat CICIH
811043 6,738 1 6,738
21 Inap NY.
 SODIKIN
20/03/20 Rawat NOOR
835524 6,738 1 6,738
21 Inap BADRI.
TN

N. U.
20/03/20 Rawat
835522 UMAYA 6,738 1 6,738
21 Inap
H NY
RONI
20/03/20 Rawat
835563 SUPRIA 6,738 1 6,738
21 Inap
DI TN
21/03/20 Rawat DEDEN
835586 6,738 1 6,738
21 Inap G, TN
DANA
21/03/20 Rawat
835590 SUJATN 6,738 1 6,738
21 Inap
A, TN
N. U.
21/03/20 Rawat
835522 UMAYA 6,738 1 6,738
21 Inap
H NY
RONI
21/03/20 Rawat
835563 SUPRIA 6,738 1 6,738
21 Inap
DI TN

MALA
21/03/20 Rawat
835594 KOMALA 6,738 1 6,738
21 Inap
SARI NY

21/03/20 Rawat NINING

835595 6,738 1 6,738
21 Inap NY
22/03/20 Rawat NINING
835595 6,738 1 6,738
21 Inap NY

AZIS
22/03/20 Rawat RUHIAT
824516 6,738 1 6,738
21 Inap SUPRIA
TNA . TN

22/03/20 Rawat DEDEN

835586 6,738 1 6,738
21 Inap G, TN

PREDNI TOHA
20/03/20 Rawat
198 1590 CORT 805009 NURDIN, 124,186 1 124,186
21 Inap
125 INJK TN

20/03/20 Rawat
807029 TUTI, NY 124,186 2 248,372
21 Inap
21/03/20 Rawat
807029 TUTI, NY 124,186 1 124,186
21 Inap
21/03/20 Rawat HERMA
835580 124,186 1 124,186
21 Inap N TN
 ONDA
24/03/20 Rawat
835632 MUYAN 124,186 1 124,186
21 Inap
A. TN
ONDA
25/03/20 Rawat
835632 MUYAN 124,186 1 124,186
21 Inap
A. TN
ONDA
26/03/20 Rawat
835632 MUYAN 123,750 1 123,750
21 Inap
A. TN
ANDA
26/03/20 Rawat
834672 WIHAND 123,750 1 123,750
21 Inap
A TN
ONDA
27/03/20 Rawat
835632 MUYAN 123,750 1 123,750
21 Inap
A. TN
ONDA
27/03/20 Rawat
835632 MUYAN 123,750 1 123,750
21 Inap
A. TN
28/03/20 Rawat TAMAD.
835725 123,750 1 123,750
21 Inap TN
30/03/20 Rawat SUKARS
835765 124,186 1 124,186
21 Inap IH.NY
IIS
31/03/20 Rawat
835791 DEDEH 124,186 1 124,186
21 Inap
NY
31/03/20 Rawat RUSMIA
835801 124,186 1 124,186
21 Inap TI NY
MOXIC 24/03/20 Rawat KURYAT
199 1591 800972 7,590 10 75,900
7,5 21 Jalan I, NY
HARDI
27/03/20 Rawat
835716 SAMUEL 7,590 10 75,900
21 Jalan
TN
MOXIC 23/03/20 Rawat UNAYAH
200 1592 819700 12,375 10 123,750
15 21 Jalan . NY
E
23/03/20 Rawat
835630 HUJAEM 12,419 7 86,933
21 Jalan
AH. NY
28/03/20 Rawat ERUK,
835722 12,375 10 123,750
21 Jalan NY
MAGTR
23/03/20 Rawat QITANIA
201 1593 AL 120 803391 48,295 1 48,295
21 Jalan , AN
ML
SOPIAN
23/03/20 Rawat
835608 YUDA. 48,295 1 48,295
21 Inap
SDR
DEDEH
23/03/20 Rawat
826441 KURNIA 48,125 1 48,125
21 Jalan
SIH NY
 W
23/03/20 Rawat ABDUL
835629 48,295 1 48,295
21 Jalan HALIM
TN
RESTU
24/03/20 Rawat NANDA
826925 48,295 1 48,295
21 Inap AMELIA
. NN
26/03/20 Pasien
UMUM 0 48,295 1 48,295
21 Umum
NYAI
26/03/20 Rawat
835676 ATIKAH 48,295 1 48,295
21 Inap
NY
IDA
29/03/20 Rawat
835740 BAGUS. 48,295 1 48,295
21 Inap
TN
30/03/20 Pasien
UMUM 0 48,295 1 48,295
21 Umum
LINDA
30/03/20 Rawat
835448 LAELA. 48,295 1 48,295
21 Jalan
NY
AN
MUCER 30/03/20
202 1594 UMUM 0 NAYYAR 31,737 1 31,737
A SYR 21
A/APS
ONDA
MUCER 25/03/20 Rawat
203 1595 835632 MUYAN 1,657 3 4,971
A TAB 21 Inap
A. TN
25/03/20 Rawat YUYUM
835643 1,657 3 4,971
21 Inap NY
AJENG
25/03/20 Rawat
811100 KARTINI 1,657 21 34,797
21 Inap
.NY
25/03/20 Rawat ADAH.
835518 1,657 20 33,140
21 Inap NY
UJANG
26/03/20 Rawat
2816 HENDI , 1,657 3 4,971
21 Inap
TN
26/03/20 Rawat PARNO,
835601 1,657 10 16,570
21 Inap TN
26/03/20 Rawat ANISAH
835673 1,657 10 16,570
21 Jalan NY
26/03/20 Rawat YUYUM
835643 1,657 3 4,971
21 Inap NY
ONDA
26/03/20 Rawat
835632 MUYAN 1,657 3 4,971
21 Inap
A. TN
 ANDA
26/03/20 Rawat
834672 WIHAND 1,657 3 4,971
21 Inap
A TN
26/03/20 Pasien
UMUM 0 1,657 10 16,570
21 Umum
26/03/20 Pasien
UMUM 0 1,657 10 16,570
21 Umum
ANDA
26/03/20 Rawat
834672 WIHAND 1,657 3 4,971
21 Inap
A TN
NANI
26/03/20 Rawat
815243 MARYA 1,657 3 4,971
21 Inap
NI, NY.
DARPIT
27/03/20 Rawat
835655 ROHIDU 1,657 1 1,657
21 Inap
N. TN
NANI
27/03/20 Rawat
815243 MARYA 1,657 3 4,971
21 Inap
NI, NY.
27/03/20 Rawat SUARI,
800179 1,657 3 4,971
21 Inap TN
27/03/20 Rawat YUYUM
835643 1,657 3 4,971
21 Inap NY
27/03/20 Rawat DADAN
834438 1,657 15 24,855
21 Jalan G, TN
28/03/20 Rawat TAMAD.
835725 1,657 3 4,971
21 Inap TN
28/03/20 Rawat TAMAD.
835725 1,657 9 14,913
21 Inap TN
UYUN
28/03/20 Rawat
835729 MULYAN 1,657 3 4,971
21 Inap
A . TN
NANI
28/03/20 Rawat
815243 MARYA 1,657 10 16,570
21 Inap
NI, NY.
ADE
28/03/20 Rawat
835733 YUNEN 1,657 10 16,570
21 Jalan
GSIH NY
ONDA
28/03/20 Rawat
835632 MUYAN 1,657 1 1,657
21 Inap
A. TN
UJANG
28/03/20 Rawat
2816 HENDI , 1,657 2 3,314
21 Inap
TN
UJANG
28/03/20 Rawat
2816 HENDI , 1,657 10 16,570
21 Inap
TN
 DARPIT
28/03/20 Rawat
835655 ROHIDU 1,657 10 16,570
21 Inap
N. TN
ONDA
28/03/20 Rawat
835632 MUYAN 1,657 10 16,570
21 Inap
A. TN
29/03/20 Rawat SUARI,
800179 1,657 10 16,570
21 Inap TN
29/03/20 Rawat KACEN
835734 1,657 3 4,971
21 Inap G TN
30/03/20 Pasien
UMUM 0 1,584 10 15,840
21 Umum
31/03/20 Pasien
UMUM 0 1,584 10 15,840
21 Umum
KELVIN
BIOCEF 22/03/20 Rawat
204 1596 835597 JULIANT 220,000 2 440,000
INJ 21 Inap
ARA BY
KELVIN
24/03/20 Rawat
835597 JULIANT 220,775 1 220,775
21 Inap
ARA BY
29/03/20 Rawat AFNAN.
835737 220,775 1 220,775
21 Inap AN
WINDY
30/03/20 Rawat
835718 WIDURI. 220,775 1 220,775
21 Inap
AN
TROGYL 20/03/20 Rawat
205 1597 815940 DIDI, TN. 2,484 15 37,260
TAB 21 Jalan
TITA
22/03/20 Rawat
818692 KURNIA, 2,484 20 49,680
21 Jalan
NY
TITA
29/03/20 Rawat
818692 KURNIA, 2,484 21 52,164
21 Jalan
NY
TATI
29/03/20 Rawat
835664 ROSWA 2,484 10 24,840
21 Inap
TI
NINING
GERDILI 20/03/20 Rawat
206 1598 832543 RUNING 5,500 21 115,500
UM TAB 21 Jalan
SIH NY
20/03/20 Rawat SUNAMI
833478 5,500 15 82,500
21 Jalan NY
23/03/20 Rawat QITANIA
803391 5,520 10 55,200
21 Jalan , AN
KOSIM
23/03/20 Rawat
835625 SUKIRM 5,520 15 82,800
21 Jalan
AN.TN
25/03/20 Rawat FATIMA
832088 5,520 8 44,160
21 Jalan H , NY
 NY
25/03/20
UMUM 0 FATIMA 5,520 2 11,040
21
H/APS

YATI
25/03/20 Rawat
835577 KURNIA 5,520 21 115,920
21 Inap
WATI NY

MANSU
29/03/20 Rawat
835742 R SUGIH 5,520 10 55,200
21 Jalan
TN

29/03/20 Rawat IWAN.

835735 5,520 3 16,560
21 Inap TN
YUDI
30/03/20 Rawat
835623 PRAYO 5,520 15 82,800
21 Jalan
GA.TN
SIFA
MARYA
30/03/20 Rawat
835761 M 5,520 10 55,200
21 Jalan
RAHMA
N NN
Alinamin Rawat RUHITA,
207 16 6/3/2021 835336 1,747 6 10,482
F Tab Jalan TN
Rawat AWIS,
8/3/2021 816633 1,747 2 3,494
Inap NY
Rawat IMAS,
### 835142 1,747 1 1,747
Inap NY
Rawat POPI,
### 835414 1,747 1 1,747
Inap TN
Rawat MONDRI
### 835438 1,747 10 17,470
Jalan AN
14/03/20 Rawat POPI,
835414 1,747 1 1,747
21 Inap TN
OPIPEN
20/03/20 Rawat
208 1600 TIN 300 821178 LIA, NY 13,109 15 196,635
21 Jalan
MG
20/03/20 Rawat
815940 DIDI, TN. 13,109 7 91,763
21 Jalan
TN
20/03/20
UMUM 0 NONO/A 13,109 12 157,308
21
PS
20/03/20 Rawat SURYA
834512 13,109 7 91,763
21 Jalan MAH NY
USUP
27/03/20 Rawat
835705 RUHEN 13,109 10 131,090
21 Jalan
DI
 YAYAH
OPIPRO 20/03/20 Rawat
209 1601 822903 ROKAYA 4,830 7 33,810
L 5MG 21 Jalan
H, NY
NY
20/03/20
UMUM 0 YAYAH/ 4,830 23 111,090
21
APS
20/03/20 Rawat ANAH
835474 4,830 2 9,660
21 Jalan NY
21/03/20 Rawat WANGSI
835588 4,830 1 4,830
21 Inap H, NY
22/03/20 Rawat WANGSI
835588 4,830 1 4,830
21 Inap H, NY
ACU
23/03/20 Rawat
835621 SAMSU 4,830 2 9,660
21 Jalan
DIN TN
27/03/20 Rawat
835453 AMI NY 4,813 15 72,195
21 Jalan
OTTOG
22/03/20 Rawat VINA
210 1602 ENTA 835424 20,698 1 20,698
21 Jalan SRI NY
SK
HUMAIR
OTTOPA 30/03/20 Rawat A
211 1603 835346 37,946 1 37,946
N DROP 21 Jalan SABILA .
AN
LEESA
OTTOPA 26/03/20 Rawat
212 1604 835677 ELEANO 27,597 1 27,597
N SYR 21 Jalan
R AN
29/03/20 Rawat AFNAN.
835737 27,597 1 27,597
21 Inap AN
KHAIRA
30/03/20 Rawat
824645 NAYYAR 27,597 1 27,597
21 Jalan
A, AN
ARINA
31/03/20 Rawat PUTRI
835792 27,597 1 27,597
21 Jalan AROFIK
AN
MUSTO
FA
31/03/20 Rawat
835793 ABDUL 27,597 1 27,597
21 Jalan
HAMID
AN
VOMIGO N. U.
20/03/20 Rawat
213 1605 4 MG 835522 UMAYA 40,016 2 80,032
21 Inap
INJ H NY
20/03/20 Rawat ROKAYA
835481 40,016 1 40,016
21 Inap H NY
 YATI
21/03/20 Rawat
835577 KURNIA 40,016 6 240,096
21 Inap
WATI NY

YATI
22/03/20 Rawat
835577 KURNIA 40,016 6 240,096
21 Inap
WATI NY

22/03/20 Rawat SUHEN

835596 40,016 1 40,016
21 Inap DA NY
22/03/20 Rawat WANGSI
835588 39,875 3 119,625
21 Inap H, NY
22/03/20 Rawat UDIN.
835604 39,875 2 79,750
21 Inap TN

YATI
23/03/20 Rawat
835577 KURNIA 39,875 6 239,250
21 Inap
WATI NY

FITRI
23/03/20 Rawat SARI
835624 39,875 1 39,875
21 Inap WAHYU
NI NN

ALRADY
A
24/03/20 Rawat MAHAB
830769 40,016 2 80,032
21 Inap BATAN
LUVINA
TIKA. AN

YATI
24/03/20 Rawat
835577 KURNIA 40,016 3 120,048
21 Inap
WATI NY

24/03/20 Rawat YATNI

835642 40,016 2 80,032
21 Inap NY
24/03/20 Rawat PARNO,
835601 40,016 2 80,032
21 Inap TN
25/03/20 Rawat PARNO,
835601 40,016 2 80,032
21 Inap TN
25/03/20 Rawat YATNI
835642 40,016 2 80,032
21 Inap NY
25/03/20 Rawat NATAN.
835591 40,016 1 40,016
21 Inap AN
25/03/20 Rawat NENGSI
835645 40,016 1 40,016
21 Inap H NY
ACU
26/03/20 Rawat
835621 SAMSU 39,875 1 39,875
21 Inap
DIN TN
26/03/20 Rawat KARMID,
823943 39,875 2 79,750
21 Inap TN
26/03/20 Rawat NENGSI
835645 40,016 2 80,032
21 Inap H NY
ROSMA
26/03/20 Rawat
834926 LAWATI, 39,875 3 119,625
21 Inap
NY
AAR
26/03/20 Rawat
825828 SURYAT 39,875 2 79,750
21 Inap
I.NY
26/03/20 Rawat YUYUM
835643 39,875 3 119,625
21 Inap NY
SITI
26/03/20 Rawat
814501 RODIAH, 39,875 3 119,625
21 Inap
NY.
HJ
26/03/20 Rawat
835670 SUKARN 39,875 3 119,625
21 Inap
A TN
26/03/20 Rawat RUSTA,
2579 39,875 2 79,750
21 Inap TN
HJ
27/03/20 Rawat
835670 SUKARN 39,875 1 39,875
21 Inap
A TN
27/03/20 Rawat ENDAN
835708 39,875 1 39,875
21 Inap G TN
M.
27/03/20 Rawat
284 SAMSI, 39,875 1 39,875
21 Inap
AN
27/03/20 Rawat YUYUM
835643 39,875 3 119,625
21 Inap NY
27/03/20 Rawat WANCIH
835712 39,875 2 79,750
21 Inap NY
27/03/20 Rawat RUSTA,
811999 39,875 2 79,750
21 Inap TN
27/03/20 Rawat ENENG
835698 39,875 2 79,750
21 Inap NY
SITI
27/03/20 Rawat
835704 RODIAH. 39,875 2 79,750
21 Inap
NY
ACU
27/03/20 Rawat
835621 SAMSU 39,875 2 79,750
21 Inap
DIN TN
ROSMA
27/03/20 Rawat
834926 LAWATI, 39,875 3 119,625
21 Inap
NY
28/03/20 Rawat WANCIH
835712 39,875 2 79,750
21 Inap NY
 ACU
28/03/20 Rawat
835621 SAMSU 39,875 2 79,750
21 Inap
DIN TN
NANI
28/03/20 Rawat
835706 NURJAN 39,875 2 79,750
21 Inap
AH. NY
WINDY
28/03/20 Rawat
835718 WIDURI. 39,875 2 79,750
21 Inap
AN
UYUN
28/03/20 Rawat
835729 MULYAN 39,875 2 79,750
21 Inap
A . TN
IDING
28/03/20 Rawat
835732 JAENUD 39,875 1 39,875
21 Inap
IN, TN
28/03/20 Rawat MARYAT
803036 39,875 2 79,750
21 Inap I, NY
29/03/20 Rawat AFNAN.
835737 40,016 1 40,016
21 Inap AN
29/03/20 Rawat KACEN
835734 39,875 1 39,875
21 Inap G TN
29/03/20 Rawat IWAN.
835735 39,875 1 39,875
21 Inap TN
NANI
29/03/20 Rawat
835706 NURJAN 39,875 1 39,875
21 Inap
AH. NY
CICI
29/03/20 Rawat
835746 SUMAR 40,016 2 80,032
21 Inap
CI. NY
VITRIA
29/03/20 Rawat FATMA
835750 40,016 2 80,032
21 Inap WATI .
NY
NANI
29/03/20 Rawat
835706 NURJAN 39,875 1 39,875
21 Inap
AH. NY
29/03/20 Rawat MARYAT
803036 39,875 2 79,750
21 Inap I, NY
WINDY
29/03/20 Rawat
835718 WIDURI. 39,875 1 39,875
21 Inap
AN
IDING
29/03/20 Rawat
835732 JAENUD 40,016 2 80,032
21 Inap
IN, TN
UYUN
29/03/20 Rawat
835729 MULYAN 40,016 2 80,032
21 Inap
A . TN
 29/03/20 Rawat KACEN
835734 40,016 1 40,016
21 Inap G TN
IDA
29/03/20 Rawat
835740 BAGUS. 40,016 2 80,032
21 Inap
TN
IDING
30/03/20 Rawat
835732 JAENUD 40,016 2 80,032
21 Inap
IN, TN
A
30/03/20 Rawat
835751 SUTISN 40,016 2 80,032
21 Inap
A. TN
IDA
30/03/20 Rawat
835740 BAGUS. 40,016 2 80,032
21 Inap
TN
CICI
30/03/20 Rawat
835746 SUMAR 40,016 2 80,032
21 Inap
CI. NY
30/03/20 Rawat ENTIN,
835756 40,016 2 80,032
21 Inap NY
DIAH
30/03/20 Rawat
835754 SUMINA 40,016 2 80,032
21 Inap
R. NY
30/03/20 Rawat ENTING,
835756 40,016 2 80,032
21 Inap NY
30/03/20 Rawat MARYAT
803036 40,016 2 80,032
21 Inap I, NY
A
30/03/20 Rawat
835751 SUTISN 40,016 2 80,032
21 Inap
A. TN
NANI
30/03/20 Rawat
835706 NURJAN 40,016 2 80,032
21 Inap
AH. NY
VITRIA
30/03/20 Rawat FATMA
835750 40,016 2 80,032
21 Inap WATI .
NY
DIAH
30/03/20 Rawat
835754 SUMINA 40,016 2 80,032
21 Inap
R. NY
YETI
31/03/20 Rawat
807134 MARYA 40,016 1 40,016
21 Inap
NI, NY
CLINDA
IKRAN
MYCIN 31/03/20 Rawat
214 1607 834537 ZAKI 2,450 10 24,500
300 MG 21 Jalan
SDR
(BRN)
 ZAHRA
Bledstop Rawat
215 161 1/3/2021 835251 DEWANI 764 10 7,640
tab Jalan
NY
EUIS
Rawat
3/3/2021 831017 KURAES 764 10 7,640
Jalan
IN.NY
Rawat LILIS,NN
4/3/2021 835293 763 10 7,630
Jalan Y
JIHAN
Rawat
4/3/2021 835161 TRIANA 763 10 7,630
Jalan
NY
NINGRU
Rawat M
4/3/2021 834378 763 10 7,630
Jalan SARININ
GSIH NY
ELIS
Rawat
5/3/2021 813303 ANES. 763 15 11,445
Jalan
NY
Pasien
6/3/2021 UMUM 0 763 50 38,150
Umum
SARI
Rawat
8/3/2021 835365 HAYATI 763 15 11,445
Jalan
NY
Rawat KARWIN
### 835217 763 10 7,630
Jalan AH NY
TINAH
15/03/20 Rawat
835491 RATNA. 763 10 7,630
21 Jalan
NY
RESTI
29/03/20 Rawat NURMA
835741 763 10 7,630
21 Jalan LASARI
NY
FARBIV ONDA
25/03/20 Rawat
216 1610 ENT 835632 MUYAN 14,080 3 42,240
21 Inap
NEBU A. TN
DARPIT
25/03/20 Rawat
835655 ROHIDU 14,080 3 42,240
21 Inap
N. TN
26/03/20 Rawat PARNO,
835601 14,080 2 28,160
21 Inap TN
ONDA
26/03/20 Rawat
835632 MUYAN 14,080 3 42,240
21 Inap
A. TN
ANDA
26/03/20 Rawat
834672 WIHAND 14,080 3 42,240
21 Inap
A TN
 DARPIT
26/03/20 Rawat
835655 ROHIDU 14,080 3 42,240
21 Inap
N. TN
ANDA
26/03/20 Rawat
834672 WIHAND 14,080 3 42,240
21 Inap
A TN
SITI
27/03/20 Rawat
835704 RODIAH. 14,080 3 42,240
21 Inap
NY
ONDA
28/03/20 Rawat
835632 MUYAN 14,080 2 28,160
21 Inap
A. TN
DARPIT
28/03/20 Rawat
835655 ROHIDU 14,080 2 28,160
21 Inap
N. TN
AHMAT
30/03/20 Rawat
835759 MULADI. 14,080 1 14,080
21 Jalan
TN
30/03/20 Rawat RODIAH.
810604 14,080 3 42,240
21 Inap NY
30/03/20 Rawat SAHNU
835764 14,080 3 42,240
21 Inap TN
30/03/20 Rawat USMI,
5908 14,080 3 42,240
21 Inap NY
UYUN
30/03/20 Rawat
835729 MULYAN 14,080 2 28,160
21 Inap
A . TN
SIFA
MARYA
30/03/20 Rawat
835761 M 14,080 1 14,080
21 Jalan
RAHMA
N NN
31/03/20 Rawat RUSMIA
835801 14,080 1 14,080
21 Inap TI NY
SITI
31/03/20 Rawat
835704 RODIAH. 14,080 1 14,080
21 Inap
NY
SITI
31/03/20 Rawat
835704 RODIAH. 14,080 2 28,160
21 Inap
NY
31/03/20 Rawat SAHNU
835764 14,080 2 28,160
21 Inap TN
31/03/20 Rawat USMI,
5908 14,080 3 42,240
21 Inap NY
ISONIAZ HAIKAL
26/03/20 Rawat
217 1611 ID 100 835274 SIDQI 542 15 8,130
21 Jalan
MG AN
 RAZIQ
27/03/20 Rawat
832236 HANAN 542 45 24,390
21 Jalan
AN
ALPHAM
26/03/20 Rawat PARNO,
218 1612 OL 650 835601 401 10 4,010
21 Inap TN
MG
SITI
27/03/20 Rawat
833037 ROHMA 401 10 4,010
21 Jalan
H
27/03/20 Rawat HIDAYA
835638 401 21 8,421
21 Inap T. TN
28/03/20 Rawat SUARI,
800179 401 3 1,203
21 Inap TN
HJ
28/03/20 Rawat
835648 CECEP . 401 3 1,203
21 Inap
TN
29/03/20 Rawat SUARI,
800179 401 10 4,010
21 Inap TN
CICI
29/03/20 Rawat
835746 SUMAR 401 3 1,203
21 Inap
CI. NY
29/03/20 Rawat MARYAT
803036 401 3 1,203
21 Inap I, NY
CICI
30/03/20 Rawat
835746 SUMAR 401 1 401
21 Inap
CI. NY
31/03/20 Rawat MARYAT
803036 401 10 4,010
21 Inap I, NY
HJ
31/03/20 Rawat
835648 CECEP . 401 10 4,010
21 Inap
TN
OPIZOL IDING
30/03/20 Rawat
219 1613 AM 0,5 835732 JAENUD 3,554 1 3,554
21 Inap
TAP IN, TN
HARIS
OPINEU 25/03/20 Rawat
220 1614 834993 RUHITA 2,070 15 31,050
RON 21 Jalan
TN
25/03/20 Rawat
835666 IMIH NY 2,070 20 41,400
21 Jalan
25/03/20 Rawat IRUM
835472 2,070 10 20,700
21 Jalan NY
ATIK
25/03/20 Rawat
830154 KARTIK 2,070 15 31,050
21 Jalan
A. NY
DRS,
25/03/20 Rawat NANA
820372 2,070 15 31,050
21 Jalan MULYAN
A, TN
25/03/20 Rawat NENGSI
835645 2,070 2 4,140
21 Inap H NY
AAR
25/03/20 Rawat
825828 SURYAT 2,070 2 4,140
21 Inap
I.NY
25/03/20 Rawat HIDAYA
835638 2,070 2 4,140
21 Inap T. TN
NANI
26/03/20 Rawat
815243 MARYA 2,070 1 2,070
21 Inap
NI, NY.
26/03/20 Rawat NENGSI
835645 2,070 2 4,140
21 Inap H NY
AAR
26/03/20 Rawat
825828 SURYAT 2,070 2 4,140
21 Inap
I.NY
27/03/20 Rawat NANA
835575 2,070 10 20,700
21 Jalan JONI TN
SRI
27/03/20 Rawat HETI
822285 2,070 20 41,400
21 Jalan RESMIA
TI . NY
27/03/20 Rawat OMOH .
817814 2,070 15 31,050
21 Jalan NY
27/03/20 Rawat SARWA.
835697 2,070 10 20,700
21 Jalan TN
27/03/20 Rawat HIDAYA
835638 2,070 1 2,070
21 Inap T. TN
IMAS
27/03/20 Rawat
827623 MULYAN 2,070 2 4,140
21 Inap
I, NY
27/03/20 Rawat CICIH.
831794 2,070 10 20,700
21 Jalan NY
27/03/20 Rawat NENGSI
835645 2,070 1 2,070
21 Inap H NY
27/03/20 Rawat NENGSI
835645 2,070 15 31,050
21 Inap H NY
SITI
27/03/20 Rawat
814501 RODIAH, 2,070 10 20,700
21 Inap
NY.
AAR
27/03/20 Rawat
825828 SURYAT 2,070 15 31,050
21 Inap
I.NY
IMAS
28/03/20 Rawat
827623 MULYAN 2,070 2 4,140
21 Inap
I, NY
NANI
28/03/20 Rawat
815243 MARYA 2,070 10 20,700
21 Inap
NI, NY.
 29/03/20 Rawat YAYA.
835736 2,070 10 20,700
21 Jalan TN
IMAS
29/03/20 Rawat
827623 MULYAN 2,070 2 4,140
21 Inap
I, NY
IDING
29/03/20 Rawat
835732 JAENUD 2,070 1 2,070
21 Inap
IN, TN
HJ
30/03/20 Rawat
835648 CECEP . 2,070 3 6,210
21 Inap
TN
CICI
30/03/20 Rawat
835746 SUMAR 2,070 2 4,140
21 Inap
CI. NY
A
30/03/20 Rawat
835751 SUTISN 2,070 2 4,140
21 Inap
A. TN
IMAS
30/03/20 Rawat
827623 MULYAN 2,070 2 4,140
21 Inap
I, NY
30/03/20 Rawat ROSIDA
835605 2,070 10 20,700
21 Jalan H
YUDI
30/03/20 Rawat
835623 PRAYO 2,070 10 20,700
21 Jalan
GA.TN
LINDA
30/03/20 Rawat
835448 LAELA. 2,070 10 20,700
21 Jalan
NY
SITI
30/03/20
UMUM 0 SAIDAH, 2,070 10 20,700
21
NY
N
30/03/20 Rawat
835523 ATIKAH 2,070 10 20,700
21 Jalan
NY
IMAS
31/03/20 Rawat
827623 MULYAN 2,070 2 4,140
21 Inap
I, NY
A
31/03/20 Rawat
835751 SUTISN 2,070 2 4,140
21 Inap
A. TN
HJ
31/03/20 Rawat
835648 CECEP . 2,070 10 20,700
21 Inap
TN
TORAMI
28/03/20 Rawat ERUK,
221 1617 NE 10 835722 7,563 1 7,563
21 Jalan NY
MG TAB
ELPICEF 29/03/20 Rawat UNENG,
222 1618 5097 275,000 2 550,000
INJ 21 Inap NY
 ALLOPU
JUJU
RINOL 30/03/20 Rawat
223 1619 835626 JUANI.N 338 14 4,732
100 21 Jalan
Y
(BRN)
SITI
30/03/20
UMUM 0 SAIDAH, 338 30 10,140
21
NY
30/03/20 HJ
UMUM APS 338 7 2,366
21 CICIH
OCTENI
C 30/03/20 Rawat RODIAH.
224 1620 810604 17,505 1 17,505
WASHG 21 Inap NY
LOVE
30/03/20 Rawat USMI,
5908 17,505 1 17,505
21 Inap NY
30/03/20 Rawat SAHNU
835764 17,505 1 17,505
21 Inap TN
30/03/20 Rawat
835659 YATI. NY 17,505 1 17,505
21 Inap
30/03/20 Rawat UNENG,
5097 17,505 1 17,505
21 Inap NY
CICI
30/03/20 Rawat
835746 SUMAR 17,505 1 17,505
21 Inap
CI. NY
30/03/20 Rawat MARYAT
803036 17,505 1 17,505
21 Inap I, NY
IMAS
30/03/20 Rawat
827623 MULYAN 17,505 1 17,505
21 Inap
I, NY
VITRIA
30/03/20 Rawat FATMA
835750 17,505 1 17,505
21 Inap WATI .
NY
30/03/20 Rawat AFNAN.
835737 17,505 1 17,505
21 Inap AN
NANI
30/03/20 Rawat
835706 NURJAN 17,505 1 17,505
21 Inap
AH. NY
EPI
30/03/20 Rawat
834663 YULIA. 17,505 1 17,505
21 Inap
NY
HJ
30/03/20 Rawat
835648 CECEP . 17,505 1 17,505
21 Inap
TN
RENI
30/03/20 Rawat
813579 ANDRIA 17,505 1 17,505
21 Inap
NA NY
 DIAH
30/03/20 Rawat
835754 SUMINA 17,505 1 17,505
21 Inap
R. NY
30/03/20 Rawat ENTIN,
835756 17,505 1 17,505
21 Inap NY
NANI
30/03/20 Rawat
835706 NURJAN 17,505 1 17,505
21 Inap
AH. NY
VITRIA
30/03/20 Rawat FATMA
835750 17,505 1 17,505
21 Inap WATI .
NY
EPI
30/03/20 Rawat
834663 YULIA. 17,505 1 17,505
21 Inap
NY
IMAS
31/03/20 Rawat
827623 MULYAN 17,505 1 17,505
21 Inap
I, NY
FADHIL
31/03/20 Rawat
835796 AKRAM 17,505 1 17,505
21 Inap
SDR
31/03/20 Rawat RUSMIA
835801 17,505 1 17,505
21 Inap TI NY
TITA
31/03/20 Rawat
835804 KARTIK 17,505 1 17,505
21 Inap
A .NY
HJ
31/03/20 Rawat
835783 NUNUN 17,505 3 52,515
21 Inap
G. NY
SUKAND
I BIN
31/03/20 Rawat
813480 SURYA 17,505 1 17,505
21 Inap
MAN,
TN.
DIAH
31/03/20 Rawat
835754 SUMINA 17,505 1 17,505
21 Inap
R. NY
HJ
31/03/20 Rawat
835783 NUNUN 17,505 1 17,505
21 Inap
G. NY
RENI
31/03/20 Rawat
813579 ANDRIA 17,505 1 17,505
21 Inap
NA NY
31/03/20 Rawat SAHNU
835764 17,505 1 17,505
21 Inap TN
YETI
31/03/20 Rawat
807134 MARYA 17,505 1 17,505
21 Inap
NI, NY
 A
31/03/20 Rawat
835751 SUTISN 17,505 1 17,505
21 Inap
A. TN
31/03/20 Rawat RODIAH.
810604 17,505 1 17,505
21 Inap NY
31/03/20 Rawat USMI,
5908 17,505 1 17,505
21 Inap NY
FADHIL
31/03/20 Rawat
835796 AKRAM 17,505 1 17,505
21 Inap
SDR
YETI
31/03/20 Rawat
807134 MARYA 17,505 1 17,505
21 Inap
NI, NY
VITRIA
31/03/20 Rawat FATMA
835750 17,505 1 17,505
21 Inap WATI .
NY
VECTRI 29/03/20 Rawat AFNAN.
225 1621 835737 77,500 1 77,500
NE SYR 21 Inap AN
SUKAND
ACARB I BIN
31/03/20 Rawat
226 1624 OSE 50 813480 SURYA 1,854 20 37,080
21 Inap
MG MAN,
TN.
Rawat KANAR
227 163 Bloodset 1/3/2021 835231 5,781 1 5,781
Inap TN
ZAHRA
Rawat
1/3/2021 835251 DEWANI 5,672 1 5,672
Jalan
NY
Rawat KANAR
1/3/2021 835231 5,672 1 5,672
Inap TN
DINNY
Rawat
2/3/2021 832315 YUSTRI 5,672 1 5,672
Inap
ANI NY
Rawat YULIN
3/3/2021 834209 5,672 1 5,672
Jalan NY
YAYA
Rawat
4/3/2021 817031 FIRDAU 5,781 1 5,781
Inap
S TN
Rawat LILIS,NN
4/3/2021 835293 5,781 1 5,781
Jalan Y
EUIS
Rawat
5/3/2021 831017 KURAES 5,781 2 11,562
Jalan
IN.NY
 HAYKAL
Rawat DWI
### 835435 5,672 1 5,672
Inap SYAHPU
TRA AN

Rawat HAWAN
### 2949 5,781 1 5,781
Jalan A , NY
YANA
18/03/20 Rawat
835328 GUSTIA 5,781 1 5,781
21 Inap
NA NN
NUNUN
22/03/20 Rawat G
835606 5,781 1 5,781
21 Inap KOMARI
AH. NY
SITI
27/03/20 Rawat
835704 RODIAH. 5,781 1 5,781
21 Inap
NY
RENI
29/03/20 Rawat
813579 ANDRIA 5,781 1 5,781
21 Inap
NA NY
30/03/20 Rawat SUKARS
835765 5,781 1 5,781
21 Inap IH.NY
EEN
31/03/20 Rawat
835797 NURAE 5,781 1 5,781
21 Jalan
NAH NY
31/03/20 Rawat SAHNU
835764 5,781 1 5,781
21 Inap TN
RENI
Cal 95 30/03/20 Rawat
228 173 813579 ANDRIA 6,194 2 12,388
Tab 21 Inap
NA NY
Ca EUIS
Rawat
229 175 gluconas 5/3/2021 831017 KURAES 22,538 1 22,538
Jalan
inj IN.NY
RINI
Calgae Rawat
230 176 2/3/2021 833570 MEILANI 5,598 30 167,940
Tab Jalan
NY
ERNA
Rawat
5/3/2021 835316 SARIPA 5,598 30 167,940
Jalan
H NY
SITI
30/03/20 Rawat
835704 RODIAH. 5,598 2 11,196
21 Inap
NY
IDING
30/03/20 Rawat
835732 JAENUD 5,598 2 11,196
21 Inap
IN, TN
NANA
31/03/20 Rawat
835799 SURYAN 5,598 2 11,196
21 Inap
A. TN
 31/03/20 Rawat SAHNU
835764 5,598 2 11,196
21 Inap TN
RENI
31/03/20 Rawat
813579 ANDRIA 5,598 10 55,980
21 Inap
NA NY
Calnic RIKA
Rawat
231 177 Plus 5/3/2021 831301 NOORM 5,231 7 36,617
Jalan
kapsul ALA NY
WIDI
Rawat
5/3/2021 832951 PUTRI, 5,134 30 154,020
Jalan
NY
NOVIDA
Rawat
5/3/2021 833171 WIDYA, 5,134 7 35,938
Jalan
NY
RISKA
Rawat
5/3/2021 833117 ANJARS 5,134 30 154,020
Jalan
ARI NY
SALLY
Rawat
8/3/2021 802943 ASTAVA 5,231 1 5,231
Inap
NY. NY
23/03/20 Rawat WANGSI
835588 5,231 10 52,310
21 Inap H, NY
23/03/20 Rawat HERMA
835580 5,231 10 52,310
21 Inap N TN
Candesa JUJU
30/03/20 Rawat
232 179 rtan 8 835626 JUANI.N 6,875 7 48,125
21 Jalan
mg Tab Y
30/03/20 SULAEM
UMUM APS 6,600 30 198,000
21 AN
31/03/20 Rawat DAHLAN
835795 6,875 10 68,750
21 Jalan TN
candesar
Rawat HOJAEM
233 180 tan 16 1/3/2021 835152 9,433 3 28,299
Inap I. TN
mg Tab
ASEP
DEDI
Rawat
2/3/2021 835266 SAEFUL 9,433 4 37,732
Jalan
ANWAR.
TN
TN
2/3/2021 UMUM 0 DIDI 9,433 7 66,031
/APS
Pasien
5/3/2021 UMUM 0 9,433 10 94,330
Umum
NY. MS.
5/3/2021 UMUM 0 JUBAED 9,433 15 141,495
AH/APS
Rawat KARMA
6/3/2021 835326 9,433 3 28,299
Jalan H NY
 DIAH
Rawat YAYAH
7/3/2021 835340 9,433 2 18,866
Inap ROKAYA
H. NY
DIAH
Rawat YAYAH
8/3/2021 835340 9,433 5 47,165
Inap ROKAYA
H. NY
TN
9/3/2021 UMUM APS 9,433 15 141,495
CECEP
NY
9/3/2021 UMUM APS ENGKA 9,433 15 141,495
R
Rawat AANG
9/3/2021 835389 9,433 4 37,732
Jalan NY
NY
9/3/2021 UMUM APS 9,433 15 141,495
UNASIH
Rawat AAN
9/3/2021 802456 9,433 4 37,732
Jalan UHA, TN
Rawat
9/3/2021 830855 ISAH NY 9,433 30 282,990
Jalan
13/03/20
UMUM APS NY EUIS 9,433 15 141,495
21
VIVIH
13/03/20 Rawat
834834 NOVITA 9,433 1 9,433
21 Inap
DEWI
M
13/03/20 Rawat
835454 UHING 9,433 2 18,866
21 Jalan
TN
VIVIH
14/03/20 Rawat
834834 NOVITA 9,433 5 47,165
21 Inap
DEWI
VIVIH
14/03/20 Rawat
834834 NOVITA 9,433 1 9,433
21 Inap
DEWI
16/03/20 Rawat ADAH.
835518 9,433 7 66,031
21 Jalan NY
NY.
18/03/20
UMUM 0 ANIH/AP 9,433 4 37,732
21
S
18/03/20 Rawat
835453 AMI NY 9,433 5 47,165
21 Jalan
NINING
20/03/20 Rawat
832543 RUNING 9,433 4 37,732
21 Jalan
SIH NY
20/03/20 Rawat SARYA
835392 9,433 4 37,732
21 Jalan TN
21/03/20 Rawat WANGSI
835588 9,433 1 9,433
21 Inap H, NY
22/03/20 Rawat WANGSI
835588 9,433 1 9,433
21 Inap H, NY
NUNUN
23/03/20 Rawat G
835606 9,433 1 9,433
21 Inap KOMARI
AH. NY
JUJU
23/03/20 Rawat
835626 JUANI.N 9,433 3 28,299
21 Inap
Y
E
23/03/20 Rawat
835630 HUJAEM 9,433 7 66,031
21 Jalan
AH. NY
JUJU
24/03/20 Rawat
835626 JUANI.N 9,433 5 47,165
21 Inap
Y
NUNUN
24/03/20 Rawat G
835606 9,433 1 9,433
21 Inap KOMARI
AH. NY
24/03/20 Rawat ADAH.
835518 9,433 1 9,433
21 Inap NY
TATI
25/03/20 Rawat
835664 ROSWA 9,433 1 9,433
21 Inap
TI
25/03/20 Rawat ADAH.
835518 9,433 5 47,165
21 Inap NY
TATI
26/03/20 Rawat
835664 ROSWA 9,433 1 9,433
21 Inap
TI
HJ
26/03/20 Rawat
835670 SUKARN 9,433 1 9,433
21 Inap
A TN
HJ
26/03/20 Rawat
835670 SUKARN 9,433 1 9,433
21 Inap
A TN
HJ
27/03/20 Rawat
835670 SUKARN 9,433 3 28,299
21 Inap
A TN
27/03/20 Pasien
UMUM 0 9,433 15 141,495
21 Umum
NY
27/03/20
UMUM 0 EUIS/AP 9,433 10 94,330
21
S
TN
27/03/20
UMUM 0 SODIKIN 9,433 10 94,330
21
/APS
 HJ
27/03/20 Rawat
835670 SUKARN 9,433 1 9,433
21 Inap
A TN
NY
27/03/20
UMUM 0 ANAH/A 9,433 10 94,330
21
PS
SITI
27/03/20 Rawat
835704 RODIAH. 9,433 1 9,433
21 Inap
NY
27/03/20 Rawat
835453 AMI NY 9,433 15 141,495
21 Jalan
SITI
28/03/20 Rawat
835704 RODIAH. 9,433 1 9,433
21 Inap
NY
SITI
29/03/20 Rawat
835704 RODIAH. 9,433 1 9,433
21 Inap
NY
ACU
29/03/20 Rawat
835621 SAMSU 9,433 1 9,433
21 Inap
DIN TN
ACU
30/03/20 Rawat
835621 SAMSU 9,433 3 28,299
21 Inap
DIN TN

Captopril Rawat ENDAN

234 181 ### 802962 182 10 1,820
12.5 Tab Jalan G, TN

NURAL
18/03/20 Rawat MIRA
835511 182 2 364
21 Jalan AUINI,
AN
HJ
26/03/20 Rawat
835670 SUKARN 182 1 182
21 Inap
A TN
Captopril TINI
Rawat
235 182 25mg ### 835417 HARTINI 183 2 366
Inap
Tab . NY
TINI
Rawat
### 835417 HARTINI 183 1 183
Inap
. NY
TINI
13/03/20 Rawat
835417 HARTINI 183 2 366
21 Inap
. NY
TINI
14/03/20 Rawat
835417 HARTINI 183 2 366
21 Inap
. NY
14/03/20 Rawat IRUM
835472 183 2 366
21 Inap NY
 TINI
15/03/20 Rawat
835417 HARTINI 183 10 1,830
21 Inap
. NY
22/03/20 Rawat ROSIDA
835605 183 2 366
21 Inap H
23/03/20 Rawat ROSIDA
835605 183 1 183
21 Inap H
23/03/20 Rawat ROSIDA
835605 183 5 915
21 Inap H
DEWI
26/03/20 Rawat KURNIA
835682 183 20 3,660
21 Jalan WATI.
NY
UJANG
Cavicur 16/03/20 Rawat
236 184 820303 SUPRIA 591 15 8,865
Tab 21 Jalan
TNA, TN
RUBI
16/03/20 Rawat HENDR
820987 591 15 8,865
21 Jalan AWAN.
TN
18/03/20 Rawat
835295 ANIH NY 591 10 5,910
21 Jalan
EUIS
20/03/20 Rawat
834994 YULIANI 591 15 8,865
21 Jalan
NY
NY
20/03/20
UMUM 0 CICIH/A 591 8 4,728
21
PS
MS
21/03/20 Rawat
835587 SOPIAH, 591 10 5,910
21 Jalan
NY
23/03/20 Rawat WARSA
835827 591 10 5,910
21 Jalan TN
TOPIK
25/03/20 Rawat
834992 HIDAYA 591 28 16,548
21 Jalan
T. TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 591 2 1,182
21 Inap
N. TN
27/03/20 NY
UMUM 0 591 15 8,865
21 IIS/APS
EUIS
27/03/20 Rawat
834994 YULIANI 591 15 8,865
21 Jalan
NY
EET
27/03/20 Rawat
810617 NURHA 591 15 8,865
21 Jalan
ETI, NY
 27/03/20 Rawat SARYA
835392 591 15 8,865
21 Jalan TN
27/03/20 Rawat ROKAYA
835481 591 10 5,910
21 Jalan H NY
TOHA
29/03/20 Rawat
805009 NURDIN, 591 10 5,910
21 Inap
TN
YUDI
30/03/20 Rawat
835623 PRAYO 591 20 11,820
21 Jalan
GA.TN
PAMUJI
30/03/20 Rawat
834497 AGUS 591 15 8,865
21 Jalan
TN
ASEP
30/03/20 Rawat
835592 SOHIDIN 757 15 11,355
21 Jalan
TN
31/03/20 Rawat AMANA
832051 757 15 11,355
21 Jalan H NY
E
Cefadrox 17/03/20 Rawat
237 189 835527 MUCHT 1,029 1 1,029
il Caps 21 Inap
AR . TN
Cefila
Rawat AWIS,
238 190 200 mg 9/3/2021 816633 40,022 6 240,132
Inap NY
Caps
16/03/20 Rawat
828609 ILAH. NY 40,022 10 400,220
21 Jalan
16/03/20 Rawat
835519 UUM NY 40,022 10 400,220
21 Jalan
18/03/20 Rawat CICIH
811043 40,022 2 80,044
21 Inap NY.
Cefixime AI
Rawat
239 193 200 mg 1/3/2021 835232 SYARO 6,187 5 30,935
Jalan
Caps H NY
Rawat NUNUN
1/3/2021 835198 6,187 3 18,561
Inap G, NY
Rawat HOJAEM
1/3/2021 835152 6,187 3 18,561
Inap I. TN
YAYA
Rawat
3/3/2021 835079 SUNARY 6,187 3 18,561
Inap
A TN
Rawat
3/3/2021 835279 ACA, TN 6,187 10 61,870
Jalan
NANDI
Rawat
3/3/2021 835204 SONJAY 6,187 6 37,122
Inap
A. TN
PINKAN
Rawat
3/3/2021 817099 RIZKY.N 6,187 10 61,870
Jalan
N
 Rawat ISAM.
3/3/2021 819105 6,187 3 18,561
Inap NY
TITI
Rawat
4/3/2021 835290 ROCHA 6,187 10 61,870
Jalan
YATI NY
4/3/2021 UMUM APS Ny Anih 6,187 10 61,870
ERI
Rawat RAHMA
4/3/2021 835239 6,187 3 18,561
Inap WATI.
NY
4/3/2021 UMUM APS Ny Enny 6,187 10 61,870
M
Rawat
5/3/2021 835321 IKHSAN 6,187 5 30,935
Jalan
SDR
ANNISA
Rawat NUR
5/3/2021 3971 6,187 5 30,935
Jalan ASSIDIQ
, NN
Rawat IMAS,
5/3/2021 835142 6,187 5 30,935
Jalan NY
tn. a
5/3/2021 UMUM 0 henda/ap 6,187 10 61,870
s

Rawat ROSYA
7/3/2021 835342 6,187 5 30,935
Jalan NA. SDR

SITI
Rawat
8/3/2021 835377 MULYAN 6,187 5 30,935
Jalan
I. NN
LALAN
Rawat
8/3/2021 835380 SOBARI 6,187 10 61,870
Jalan
SDR
LILIS
Rawat
8/3/2021 823790 SURYAN 6,187 3 18,561
Inap
I.NY
Rawat RUSMIN
9/3/2021 835399 6,187 10 61,870
Jalan . TN
Rawat SARYA
9/3/2021 835392 6,187 10 61,870
Jalan TN
NURDIN
Rawat
9/3/2021 835203 HIDAYA 6,187 3 18,561
Jalan
T TN
Rawat NINING
9/3/2021 835192 6,187 5 30,935
Jalan NY
 NAUFAL
Rawat DI
### 800119 6,187 10 61,870
Jalan AGUSTI
N, AN
Rawat TATANG
### 835404 6,187 3 18,561
Jalan . TN
MUHAM
Rawat AD
### 835405 6,187 5 30,935
Jalan FAFIJUL
. AN
Rawat ROHETI
### 802812 6,187 2 12,374
Inap N, NY
Rawat SULAEM
### 835173 6,187 5 30,935
Jalan AN TN
Rawat ENES.
### 835133 6,187 5 30,935
Jalan NY
KHOTIM
Rawat ATUS
### 811689 6,187 5 30,935
Jalan SADIAH,
NY
Rawat IROH,
### 835400 6,187 2 12,374
Inap NY
Rawat IROH,
### 835400 6,187 6 37,122
Inap NY
ASIYAH
Rawat
### 835441 PUTRI 6,187 5 30,935
Jalan
NN
Rawat ROHETI
### 802812 6,187 6 37,122
Inap N, NY
13/03/20 Rawat NALIH.
835459 6,187 10 61,870
21 Jalan TN
NAUFAL
14/03/20 Rawat DI
800119 6,187 2 12,374
21 Inap AGUSTI
N, AN
TATI
15/03/20 Rawat
835463 WARSITI 6,187 3 18,561
21 Inap
. NY
TINI
15/03/20 Rawat
835417 HARTINI 6,187 3 18,561
21 Inap
. NY
15/03/20 Rawat
835415 AAH, NY 6,187 1 6,187
21 Inap
UAR
15/03/20 Rawat
835466 WARSIT 6,187 6 37,122
21 Inap
A. TN
 NAUFAL
15/03/20 Rawat DI
800119 6,187 2 12,374
21 Inap AGUSTI
N, AN
16/03/20 Rawat KARMO
835236 6,187 6 37,122
21 Inap TN
16/03/20 Rawat
835415 AAH, NY 6,187 3 18,561
21 Inap
TITI
16/03/20 Rawat
835508 SURYAN 6,187 10 61,870
21 Inap
I NY
16/03/20 Rawat CICIH
811043 6,187 2 12,374
21 Inap NY.
AMALIA
16/03/20 Rawat
835521 SHOHIF 6,187 10 61,870
21 Jalan
AH . NN
E
16/03/20 Rawat
835527 MUCHT 6,187 2 12,374
21 Inap
AR . TN
ENCID
17/03/20 Rawat
806056 TAMSID, 6,187 5 30,935
21 Jalan
TN
ELOM
17/03/20 Rawat SALAM
835515 6,187 2 12,374
21 Inap SUDIRM
AN TN
17/03/20 Rawat CICIH
811043 6,187 2 12,374
21 Inap NY.
ELOM
17/03/20 Rawat SALAM
835515 6,187 5 30,935
21 Inap SUDIRM
AN TN
NY.
18/03/20
UMUM 0 ANIH/AP 6,187 10 61,870
21
S
19/03/20 Rawat CICIH
811043 6,187 2 12,374
21 Inap NY.
19/03/20 Rawat ROKAYA
835481 6,187 1 6,187
21 Inap H NY
19/03/20 Vivi
K23 6,187 4 24,748
21 Haviani
ENDAH
19/03/20 Rawat
835567 HAMZA 6,187 5 30,935
21 Jalan
H NY
NENDE
19/03/20 Rawat
831124 N AYU, 6,187 5 30,935
21 Jalan
NY
19/03/20 Rawat UTENG
835571 6,187 5 30,935
21 Jalan TN
AJI
19/03/20 Rawat
835555 SAEPUD 6,187 10 61,870
21 Jalan
IN TN
20/03/20 Rawat ROKAYA
835481 6,187 2 12,374
21 Inap H NY
20/03/20 Rawat SUHEN
835578 6,188 5 30,940
21 Jalan DAR TN
YUDI
20/03/20 Rawat
819461 FIRMAN 6,187 8 49,496
21 Jalan
. TN
21/03/20 Rawat AHYA,
835585 6,188 10 61,880
21 Jalan TN
JUJU
24/03/20 Rawat
835626 JUANI.N 6,187 5 30,935
21 Inap
Y
24/03/20 Rawat NADINI.
835285 6,187 4 24,748
21 Jalan NN
24/03/20 Pasien
UMUM 0 6,187 6 37,122
21 Umum
NUNUN
25/03/20 Rawat G
835606 6,187 6 37,122
21 Inap KOMARI
AH. NY
HARIS
25/03/20 Rawat
834993 RUHITA 6,187 5 30,935
21 Jalan
TN
26/03/20 Rawat NENGSI
835694 6,188 4 24,752
21 Jalan H NY
ANDA
27/03/20 Rawat
834672 WIHAND 6,188 10 61,880
21 Inap
A TN
27/03/20 Rawat JAENAL
835715 6,188 5 30,940
21 Jalan NY
NANI
28/03/20 Rawat
815243 MARYA 6,188 5 30,940
21 Inap
NI, NY.
ADE
28/03/20 Rawat
835733 YUNEN 6,188 10 61,880
21 Jalan
GSIH NY
UJANG
28/03/20 Rawat
2816 HENDI , 6,188 5 30,940
21 Inap
TN
DARPIT
28/03/20 Rawat
835655 ROHIDU 6,188 5 30,940
21 Inap
N. TN
 NYAI
28/03/20 Rawat
835676 ATIKAH 6,188 5 30,940
21 Inap
NY
HJ
29/03/20 Rawat
835648 CECEP . 6,188 1 6,188
21 Inap
TN
29/03/20 Rawat SUARI,
800179 6,188 6 37,128
21 Inap TN
29/03/20 Rawat WANCIH
835712 6,188 6 37,128
21 Inap NY
29/03/20 Rawat KACEN
835734 6,065 1 6,065
21 Inap G TN
30/03/20 Rawat KACEN
835734 6,065 3 18,195
21 Inap G TN
MAMAN
31/03/20 Rawat FATURA
833599 6,065 5 30,325
21 Jalan HMAN .
TN
31/03/20 Rawat NONOK.
835612 6,065 5 30,325
21 Jalan NY
31/03/20 Rawat NENGSI
835694 6,065 5 30,325
21 Jalan H NY
DAFA
Cefixime Rawat
240 194 3/3/2021 835163 LUTHFI. 44,468 1 44,468
Syr Jalan
AN
ALBIO
26/03/20 Rawat SOUBIL
800177 45,375 1 45,375
21 Jalan HAKI,
AN
LEESA
26/03/20 Rawat
835677 ELEANO 44,468 1 44,468
21 Jalan
R AN
AZKA
FADILAT
27/03/20 Rawat
835649 UL 45,375 1 45,375
21 Inap
KHOIR.
AN

KHAYYI
RA
28/03/20 Rawat
835730 ADHWA 45,375 1 45,375
21 Jalan
SYAROF
A, AN
M.
28/03/20 Rawat
284 SAMSI, 45,375 1 45,375
21 Inap
AN
ALIF
29/03/20 Rawat
835652 HAFID. 45,375 1 45,375
21 Jalan
BY
 KHAIRA
30/03/20 Rawat
824645 NAYYAR 44,468 1 44,468
21 Jalan
A, AN
HUMAIR
30/03/20 Rawat A
835346 44,468 1 44,468
21 Jalan SABILA .
AN
NAYYAR
A
30/03/20 Rawat
835758 ARAFAH 44,468 1 44,468
21 Jalan
HIDAYA
T AN
30/03/20 Rawat AFNAN.
835737 44,468 1 44,468
21 Inap AN
ARINA
31/03/20 Rawat PUTRI
835792 44,468 1 44,468
21 Jalan AROFIK
AN
TANIA
Cefotaxi Rawat
241 196 7/3/2021 835331 MAURA 11,455 1 11,455
me Inj Inap
NISA AN
Rawat HAIKAL
7/3/2021 835274 11,455 1 11,455
Inap BY

ARSHAK
Rawat
### 813853 A RAMA 11,455 2 22,910
Inap
A. AN.

Rawat YUSILA
### 834752 11,688 2 23,376
Inap WATI,NY

KENZIE
Rawat AZKA
### 810083 11,455 1 11,455
Inap FAIRUIZ.
AN

Rawat YUSILA
### 834752 11,455 3 34,365
Inap WATI,NY

HAYKAL
13/03/20 Rawat DWI
835435 11,455 3 34,365
21 Inap SYAHPU
TRA AN

13/03/20 Rawat YUSILA

834752 11,455 3 34,365
21 Inap WATI,NY
 NATASY
13/03/20 Rawat A
835457 11,688 1 11,688
21 Inap ADINDA
NY
14/03/20 Rawat ALONA
835467 11,688 2 23,376
21 Inap AN
SHAJEA
14/03/20 Rawat
835452 HALAA 11,688 1 11,688
21 Inap
NISA AN
HAUZAN
15/03/20 Rawat IRHAB
833974 11,455 2 22,910
21 Inap NABIL,
AN
15/03/20 Rawat ALONA
835467 11,455 1 11,455
21 Inap AN
DIMAS
15/03/20 Rawat
812977 ADITYA 11,455 3 34,365
21 Inap
W, AN
DEREL
15/03/20 Rawat DWI
835473 11,688 2 23,376
21 Inap KARISM
A AN
DIMAS
16/03/20 Rawat
812977 ADITYA 11,455 1 11,455
21 Inap
W, AN
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 11,455 2 22,910
21 Inap RAJBNA
HAMIZA
N, AN
LEVINO
18/03/20 Rawat
835494 INDRAS 11,455 2 22,910
21 Inap
KA. AN
LEVINO
18/03/20 Rawat
835494 INDRAS 11,455 1 11,455
21 Inap
KA. AN
MUHAM
MAD
18/03/20 Rawat FAEYZA
821441 11,455 1 11,455
21 Inap RAJBNA
HAMIZA
N, AN
RONI
19/03/20 Rawat
835563 SUPRIA 11,455 2 22,910
21 Inap
DI TN
 RONI
19/03/20 Rawat
835563 SUPRIA 11,455 1 11,455
21 Inap
DI TN
RONI
20/03/20 Rawat
835563 SUPRIA 11,455 2 22,910
21 Inap
DI TN
RONI
21/03/20 Rawat
835563 SUPRIA 11,455 3 34,365
21 Inap
DI TN

ALRADY
A
24/03/20 Rawat MAHAB
830769 11,455 2 22,910
21 Inap BATAN
LUVINA
TIKA. AN

25/03/20 Rawat NATAN.

835591 11,455 1 11,455
21 Inap AN
AZKA
FADILAT
25/03/20 Rawat
835649 UL 11,455 2 22,910
21 Inap
KHOIR.
AN
Ceftriaxo Rawat KARWIN
242 199 1/3/2021 835217 48,125 4 192,500
ne Inj Jalan AH NY
H
Rawat
1/3/2021 835215 HASAN 48,125 2 96,250
Inap
TN
YAYA
Rawat
1/3/2021 835079 SUNARY 48,125 2 96,250
Inap
A TN
ERI
Rawat RAHMA
1/3/2021 835239 48,125 2 96,250
Inap WATI.
NY
Rawat KARMO
1/3/2021 835236 48,125 2 96,250
Inap TN

SUSI
Rawat
1/3/2021 835194 SUSILA 48,125 2 96,250
Inap
WATI NY

Rawat NUNUN
1/3/2021 835198 48,125 2 96,250
Inap G, NY
EUIS
Rawat
1/3/2021 834994 YULIANI 48,125 2 96,250
Inap
NY
Rawat JUANGS
1/3/2021 808907 48,125 1 48,125
Inap IH, NY
 YAYA
Rawat
1/3/2021 835079 SUNARY 48,125 2 96,250
Inap
A TN
NANDI
Rawat
1/3/2021 835204 SONJAY 48,125 2 96,250
Inap
A. TN
ZAHRA
Rawat
2/3/2021 835251 DEWANI 48,125 1 48,125
Jalan
NY
Rawat ISAM.
2/3/2021 819105 48,125 2 96,250
Inap NY
Rawat
2/3/2021 815940 DIDI, TN. 48,125 2 96,250
Inap
Rawat NINING
2/3/2021 835192 48,125 1 48,125
Inap NY
ERI
Rawat RAHMA
2/3/2021 835239 48,125 2 96,250
Inap WATI.
NY
Rawat JUANGS
2/3/2021 808907 48,125 2 96,250
Inap IH, NY
EUIS
Rawat
2/3/2021 834994 YULIANI 48,125 2 96,250
Inap
NY
Rawat KARMO
2/3/2021 835236 48,125 2 96,250
Inap TN
YAYA
Rawat
2/3/2021 835079 SUNARY 48,125 2 96,250
Inap
A TN
NANDI
Rawat
2/3/2021 835204 SONJAY 48,125 2 96,250
Inap
A. TN
EUIS
Rawat
3/3/2021 834994 YULIANI 48,125 2 96,250
Inap
NY
ERI
Rawat RAHMA
3/3/2021 835239 48,125 2 96,250
Inap WATI.
NY
Rawat KARMO
3/3/2021 835236 48,125 2 96,250
Inap TN
SITI
Rawat MAEUM
3/3/2021 835284 48,125 2 96,250
Inap ANAH,
NY
Rawat JUANGS
3/3/2021 808907 48,125 1 48,125
Inap IH, NY
 EUIS
Rawat
4/3/2021 834994 YULIANI 47,163 2 94,326
Inap
NY
Rawat KARMO
4/3/2021 835236 47,163 2 94,326
Inap TN
Rawat LILIS,NN
4/3/2021 835293 47,163 2 94,326
Jalan Y
SITI
Rawat MAEUM
4/3/2021 835284 47,163 2 94,326
Inap ANAH,
NY
SITI
Rawat MAEUM
5/3/2021 835284 47,163 2 94,326
Inap ANAH,
NY
EUIS
Rawat
5/3/2021 831017 KURAES 47,163 4 188,652
Jalan
IN.NY
LILIS
Rawat
6/3/2021 823790 SURYAN 47,163 2 94,326
Inap
I.NY
Rawat ENOS,
6/3/2021 801989 47,163 2 94,326
Inap TN
LILIS
Rawat
6/3/2021 823790 SURYAN 47,163 2 94,326
Inap
I.NY
ENDAN
Rawat G
7/3/2021 835339 47,163 2 94,326
Inap SETIAW
AN. TN
Rawat ENOS,
7/3/2021 801989 47,163 2 94,326
Inap TN
Rawat AWIS,
7/3/2021 816633 47,163 2 94,326
Inap NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 47,163 2 94,326
Inap
NY
ENDAN
Rawat G
7/3/2021 835339 47,163 2 94,326
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 47,163 2 94,326
Inap A, TN
Rawat ENOS,
7/3/2021 801989 47,163 2 94,326
Inap TN
Rawat SUTARN
7/3/2021 810138 47,163 2 94,326
Inap A, TN
 LILIS
Rawat
7/3/2021 823790 SURYAN 47,163 2 94,326
Inap
I.NY
UJANG
Rawat
8/3/2021 820303 SUPRIA 47,163 2 94,326
Inap
TNA, TN
Rawat NEHAN.
8/3/2021 835360 47,163 2 94,326
Jalan TN
Rawat SUTARN
8/3/2021 810138 47,163 2 94,326
Inap A, TN
Rawat AWIS,
8/3/2021 816633 47,163 1 47,163
Inap NY
ITI
Rawat
9/3/2021 835385 DARSITI 47,163 2 94,326
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 47,163 2 94,326
Inap
I. NY
Rawat JURAEJI
9/3/2021 827464 47,163 2 94,326
Inap N, TN
UJANG
Rawat
9/3/2021 820303 SUPRIA 47,163 2 94,326
Inap
TNA, TN
Rawat JURAEJI
### 827464 48,125 2 96,250
Inap N, TN
TITA
Rawat
### 835383 MARYAT 48,125 2 96,250
Inap
I. NY
ITI
Rawat
### 835385 DARSITI 48,125 2 96,250
Inap
, NY
ITI
Rawat
### 835385 DARSITI 47,163 2 94,326
Inap
, NY
Rawat IMAS,
### 835142 47,163 1 47,163
Inap NY
Rawat AGUS,
### 835398 47,163 2 94,326
Inap TN
Rawat
### 835415 AAH, NY 47,163 2 94,326
Inap
Rawat IMAS,
### 835142 47,163 2 94,326
Inap NY
Rawat
### 835415 AAH, NY 47,163 2 94,326
Inap
13/03/20 Rawat KARMO
835236 47,163 2 94,326
21 Inap TN
 BAYU
13/03/20 Rawat
835410 ANUGE 47,163 2 94,326
21 Inap
RAH TN
13/03/20 Rawat
835415 AAH, NY 47,163 2 94,326
21 Inap
TINI
13/03/20 Rawat
835417 HARTINI 47,163 2 94,326
21 Inap
. NY
13/03/20 Rawat FATIMA
832088 47,163 2 94,326
21 Inap H , NY
13/03/20 Rawat TASIH
835460 47,163 2 94,326
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 47,163 2 94,326
21 Inap
TN
TATI
13/03/20 Rawat
835463 WARSITI 47,163 2 94,326
21 Inap
. NY
KHOTIM
13/03/20 Rawat ATUS
811689 47,163 2 94,326
21 Inap SADIAH,
NY
EEM
13/03/20 Rawat
831825 SUKAE 47,163 2 94,326
21 Inap
MI. NY
14/03/20 Rawat TASIH
835460 47,163 2 94,326
21 Inap NY
TINI
14/03/20 Rawat
835417 HARTINI 47,163 2 94,326
21 Inap
. NY
14/03/20 Rawat FATIMA
832088 47,163 2 94,326
21 Inap H , NY
ADE
14/03/20 Rawat
835470 SUKAES 47,163 2 94,326
21 Inap
IH NY
14/03/20 Rawat ENES
835469 47,163 2 94,326
21 Inap NY
14/03/20 Rawat KARMO
835236 47,163 2 94,326
21 Inap TN
BAYU
14/03/20 Rawat
835410 ANUGE 47,163 2 94,326
21 Inap
RAH TN
EEM
14/03/20 Rawat
831825 SUKAE 47,163 2 94,326
21 Inap
MI. NY
UAR
14/03/20 Rawat
835466 WARSIT 47,163 2 94,326
21 Inap
A. TN
 TATI
14/03/20 Rawat
835463 WARSITI 47,163 2 94,326
21 Inap
. NY
UAR
14/03/20 Rawat
835466 WARSIT 47,163 2 94,326
21 Inap
A. TN
14/03/20 Rawat
835415 AAH, NY 47,163 2 94,326
21 Inap
ADE
15/03/20 Rawat
835470 SUKAES 47,163 2 94,326
21 Inap
IH NY
EEM
15/03/20 Rawat
831825 SUKAE 47,163 2 94,326
21 Inap
MI. NY
15/03/20 Rawat ENGKAS
835502 47,163 1 47,163
21 Jalan , NY
15/03/20 Rawat
815940 DIDI, TN. 47,163 2 94,326
21 Inap
15/03/20 Rawat WASDI,
835501 47,163 1 47,163
21 Jalan TN
TINI
15/03/20 Rawat
835417 HARTINI 47,163 2 94,326
21 Inap
. NY
IIN
15/03/20 Rawat
819469 RUYANI, 47,163 2 94,326
21 Inap
NY
15/03/20 Rawat ENES
835469 47,163 2 94,326
21 Inap NY
15/03/20 Rawat ROKAYA
835481 47,163 2 94,326
21 Inap H NY
15/03/20 Rawat FATIMA
832088 47,163 2 94,326
21 Inap H , NY
UAR
15/03/20 Rawat
835466 WARSIT 47,163 2 94,326
21 Inap
A. TN
15/03/20 Rawat KARMO
835236 47,163 2 94,326
21 Inap TN
BAYU
15/03/20 Rawat
835410 ANUGE 47,163 2 94,326
21 Inap
RAH TN
OMAN
15/03/20 Rawat
831629 ROHAN 47,163 2 94,326
21 Jalan
A, TN
IIN
16/03/20 Rawat
819469 RUYANI, 47,163 2 94,326
21 Inap
NY
16/03/20 Rawat ROKAYA
835481 47,163 2 94,326
21 Inap H NY
 NUNUN
G
16/03/20 Rawat
835479 HERMA 47,163 2 94,326
21 Inap
WATI,
NY
16/03/20 Rawat FATIMA
832088 47,163 2 94,326
21 Inap H , NY
N. U.
16/03/20 Rawat
835522 UMAYA 47,163 2 94,326
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 47,163 2 94,326
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 47,163 2 94,326
21 Inap NY.
17/03/20 Rawat ERES
835537 47,163 2 94,326
21 Inap NY
17/03/20 Rawat ROKAYA
835481 47,163 2 94,326
21 Inap H NY
IIN
17/03/20 Rawat
819469 RUYANI, 47,163 2 94,326
21 Inap
NY
17/03/20 Rawat ASIR .
835538 47,163 2 94,326
21 Inap TN
YANA
17/03/20 Rawat
835328 GUSTIA 47,163 2 94,326
21 Inap
NA NN
N. U.
17/03/20 Rawat
835522 UMAYA 47,163 2 94,326
21 Inap
H NY
17/03/20 Rawat FATIMA
832088 47,163 2 94,326
21 Inap H , NY
18/03/20 Rawat ROKAYA
835481 47,163 2 94,326
21 Inap H NY
N. U.
18/03/20 Rawat
835522 UMAYA 48,125 2 96,250
21 Inap
H NY
YANA
18/03/20 Rawat
835328 GUSTIA 48,125 2 96,250
21 Inap
NA NN
AHDIAH
18/03/20 Rawat MAMAH
835542 48,125 1 48,125
21 Jalan ROHIMA
H NY
ELIS
18/03/20 Rawat
835539 RUKYUL 48,125 1 48,125
21 Jalan
IANI NY
 N. U.
19/03/20 Rawat
835522 UMAYA 47,163 1 47,163
21 Inap
H NY
N. U.
20/03/20 Rawat
835522 UMAYA 47,163 1 47,163
21 Inap
H NY
20/03/20 Rawat
807029 TUTI, NY 47,163 2 94,326
21 Inap
20/03/20 Rawat ROKAYA
835481 47,163 2 94,326
21 Inap H NY

YATI
20/03/20 Rawat
835577 KURNIA 47,163 2 94,326
21 Inap
WATI NY

20/03/20 Rawat SUKAES

807749 47,163 2 94,326
21 Inap IH. NY
21/03/20 Rawat
807029 TUTI, NY 47,163 2 94,326
21 Inap

YATI
21/03/20 Rawat
835577 KURNIA 47,163 1 47,163
21 Inap
WATI NY

21/03/20 Rawat DEDEN

835586 47,163 2 94,326
21 Inap G, TN
21/03/20 Rawat WANGSI
835588 47,163 2 94,326
21 Inap H, NY

MALA
21/03/20 Rawat
835594 KOMALA 47,163 2 94,326
21 Inap
SARI NY

21/03/20 Rawat HERMA

835580 47,163 2 94,326
21 Inap N TN
22/03/20 Rawat
807029 TUTI, NY 47,163 2 94,326
21 Inap
22/03/20 Rawat SUHEN
835596 47,163 2 94,326
21 Inap DA NY
22/03/20 Rawat HERMA
835580 47,163 2 94,326
21 Inap N TN
22/03/20 Rawat DEDEN
835586 47,163 2 94,326
21 Inap G, TN
22/03/20 Rawat WANGSI
835588 47,163 2 94,326
21 Inap H, NY

MALA
22/03/20 Rawat
835594 KOMALA 47,163 2 94,326
21 Inap
SARI NY
 NUNUN
22/03/20 Rawat G
835606 47,163 2 94,326
21 Inap KOMARI
AH. NY
22/03/20 Rawat PARNO,
835601 47,163 2 94,326
21 Inap TN
22/03/20 Rawat UDIN.
835604 47,163 2 94,326
21 Inap TN
22/03/20 Rawat SUHEN
835596 47,163 2 94,326
21 Inap DA NY
GANJAR
22/03/20 Rawat
835607 HIKMAT 47,163 2 94,326
21 Inap
. TN
23/03/20 Rawat ADAH.
835518 47,163 2 94,326
21 Inap NY

YATI
23/03/20 Rawat
835577 KURNIA 47,163 2 94,326
21 Inap
WATI NY

MALA
23/03/20 Rawat
835594 KOMALA 47,163 2 94,326
21 Inap
SARI NY

GANJAR
23/03/20 Rawat
835607 HIKMAT 47,163 2 94,326
21 Inap
. TN
23/03/20 Rawat DEDEN
835586 47,163 2 94,326
21 Inap G, TN
23/03/20 Rawat HERMA
835580 47,163 1 47,163
21 Inap N TN
NUNUN
23/03/20 Rawat G
835606 47,163 2 94,326
21 Inap KOMARI
AH. NY
JUJU
23/03/20 Rawat
835626 JUANI.N 47,163 2 94,326
21 Inap
Y
FITRI
23/03/20 Rawat SARI
835624 47,163 2 94,326
21 Inap WAHYU
NI NN
23/03/20 Rawat PARNO,
835601 47,163 2 94,326
21 Inap TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 47,163 2 94,326
21 Inap
TN
 JUJU
24/03/20 Rawat
835626 JUANI.N 47,163 2 94,326
21 Inap
Y

YATI
24/03/20 Rawat
835577 KURNIA 47,163 2 94,326
21 Inap
WATI NY

24/03/20 Rawat OTONG,

835633 47,163 2 94,326
21 Jalan TN
FITRI
24/03/20 Rawat SARI
835624 47,163 2 94,326
21 Inap WAHYU
NI NN
24/03/20 Rawat PARNO,
835601 47,163 2 94,326
21 Inap TN
NUNUN
24/03/20 Rawat G
835606 47,163 2 94,326
21 Inap KOMARI
AH. NY
24/03/20 Rawat ADAH.
835518 47,163 2 94,326
21 Inap NY
FITRI
25/03/20 Rawat SARI
835624 47,163 2 94,326
21 Inap WAHYU
NI NN
NANI
25/03/20 Rawat
815243 MARYA 47,163 1 47,163
21 Inap
NI, NY.
25/03/20 Rawat HIDAYA
835638 47,163 2 94,326
21 Inap T. TN
TATI
25/03/20 Rawat
835664 ROSWA 47,163 2 94,326
21 Inap
TI
DARPIT
25/03/20 Rawat
835655 ROHIDU 47,163 2 94,326
21 Inap
N. TN
WOWO
25/03/20 Rawat
809923 SUGRIW 47,163 2 94,326
21 Inap
O.TN
NANI
26/03/20 Rawat
815243 MARYA 47,163 2 94,326
21 Inap
NI, NY.
TATI
26/03/20 Rawat
835664 ROSWA 47,163 2 94,326
21 Inap
TI
26/03/20 Rawat PARNO,
835601 47,163 1 47,163
21 Inap TN
 WOWO
26/03/20 Rawat
809923 SUGRIW 47,163 2 94,326
21 Inap
O.TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 47,163 2 94,326
21 Inap
N. TN
26/03/20 Rawat HIDAYA
835638 47,163 2 94,326
21 Inap T. TN
26/03/20 Rawat UHNAN
835689 47,163 2 94,326
21 Inap TN
NYAI
26/03/20 Rawat
835676 ATIKAH 47,163 2 94,326
21 Inap
NY
HJ
27/03/20 Rawat
835648 CECEP . 47,163 2 94,326
21 Inap
TN
27/03/20 Rawat SUARI,
800179 47,163 2 94,326
21 Inap TN
NANI
27/03/20 Rawat
815243 MARYA 47,163 2 94,326
21 Inap
NI, NY.
27/03/20 Rawat UNENG,
5097 47,163 2 94,326
21 Inap NY
27/03/20 Rawat HIDAYA
835638 47,163 2 94,326
21 Inap T. TN
TATI
27/03/20 Rawat
835664 ROSWA 47,163 2 94,326
21 Inap
TI
27/03/20 Rawat WANCIH
835712 47,163 2 94,326
21 Inap NY
DARPIT
27/03/20 Rawat
835655 ROHIDU 47,163 2 94,326
21 Inap
N. TN
NYAI
27/03/20 Rawat
835676 ATIKAH 47,163 2 94,326
21 Inap
NY
SITI
27/03/20 Rawat
835704 RODIAH. 47,163 2 94,326
21 Inap
NY
SITI
28/03/20 Rawat
835704 RODIAH. 47,163 2 94,326
21 Inap
NY
28/03/20 Rawat UNENG,
5097 47,163 2 94,326
21 Inap NY
TATI
28/03/20 Rawat
835664 ROSWA 47,163 2 94,326
21 Inap
TI
28/03/20 Rawat SUARI,
800179 47,163 2 94,326
21 Inap TN
EPI
28/03/20 Rawat
834663 YULIA. 48,125 2 96,250
21 Inap
NY
UYUN
29/03/20 Rawat
835729 MULYAN 47,163 2 94,326
21 Inap
A . TN
IDA
29/03/20 Rawat
835740 BAGUS. 47,163 2 94,326
21 Inap
TN
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 47,163 2 94,326
21 Inap
MAN,
TN.
29/03/20 Rawat WANCIH
835712 48,125 1 48,125
21 Inap NY
VITRIA
29/03/20 Rawat FATMA
835750 47,163 2 94,326
21 Inap WATI .
NY
29/03/20 Rawat UNENG,
5097 48,125 2 96,250
21 Inap NY
SITI
29/03/20 Rawat
835704 RODIAH. 47,163 2 94,326
21 Inap
NY
EPI
29/03/20 Rawat
834663 YULIA. 47,163 2 94,326
21 Inap
NY
SITI
30/03/20 Rawat
835704 RODIAH. 47,163 2 94,326
21 Inap
NY
30/03/20 Rawat RODIAH.
810604 47,163 2 94,326
21 Inap NY
A
30/03/20 Rawat
835751 SUTISN 47,163 2 94,326
21 Inap
A. TN
30/03/20 Rawat USMI,
5908 47,163 2 94,326
21 Inap NY
IDA
30/03/20 Rawat
835740 BAGUS. 47,163 2 94,326
21 Inap
TN
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 47,163 2 94,326
21 Inap
MAN,
TN.
30/03/20 Rawat UNENG,
5097 47,163 2 94,326
21 Inap NY
DIAH
30/03/20 Rawat
835754 SUMINA 47,163 2 94,326
21 Inap
R. NY
A
30/03/20 Rawat
835751 SUTISN 47,163 2 94,326
21 Inap
A. TN
30/03/20 Rawat MARYAT
803036 47,163 2 94,326
21 Inap I, NY
VITRIA
30/03/20 Rawat FATMA
835750 47,163 2 94,326
21 Inap WATI .
NY
EPI
30/03/20 Rawat
834663 YULIA. 47,163 2 94,326
21 Inap
NY
DIAH
30/03/20 Rawat
835754 SUMINA 47,163 2 94,326
21 Inap
R. NY
IIS
31/03/20 Rawat
835791 DEDEH 47,163 1 47,163
21 Inap
NY
31/03/20 Rawat RUSMIA
835801 47,163 2 94,326
21 Inap TI NY
TITA
31/03/20 Rawat
835804 KARTIK 47,163 2 94,326
21 Inap
A .NY
IDA
31/03/20 Rawat
835740 BAGUS. 47,163 2 94,326
21 Inap
TN
EEN
31/03/20 Rawat
835797 NURAE 47,163 2 94,326
21 Jalan
NAH NY
31/03/20 Rawat SUKARS
835765 47,163 2 94,326
21 Inap IH.NY
A
31/03/20 Rawat
835751 SUTISN 47,163 2 94,326
21 Inap
A. TN
HJ
31/03/20 Rawat
835783 NUNUN 47,163 2 94,326
21 Inap
G. NY
31/03/20 Rawat RODIAH.
810604 47,163 2 94,326
21 Inap NY
31/03/20 Rawat USMI,
5908 47,163 2 94,326
21 Inap NY
 FADHIL
31/03/20 Rawat
835796 AKRAM 47,163 2 94,326
21 Inap
SDR
HJ
31/03/20 Rawat
835783 NUNUN 47,163 2 94,326
21 Inap
G. NY
VITRIA
31/03/20 Rawat FATMA
835750 47,163 2 94,326
21 Inap WATI .
NY
UYUN
31/03/20 Rawat
835729 MULYAN 47,163 2 94,326
21 Inap
A . TN
ZAHRA
Abocath Rawat
243 2 1/3/2021 835251 DEWANI 21,320 1 21,320
No 18 Jalan
NY
DINNY
Rawat
2/3/2021 832315 YUSTRI 21,320 1 21,320
Inap
ANI NY
Rawat YULIN
3/3/2021 834209 21,320 1 21,320
Jalan NY
YAYA
Rawat
4/3/2021 817031 FIRDAU 21,320 1 21,320
Inap
S TN
Rawat LILIS,NN
4/3/2021 835293 21,320 1 21,320
Jalan Y
YANI
Rawat AHMAD
5/3/2021 835303 21,320 1 21,320
Jalan RIFAI.
TN
Rawat NEHAN.
8/3/2021 835360 3,679 1 3,679
Jalan TN
19/03/20 Rawat
835547 IRAH NY 3,610 1 3,610
21 Jalan
NUNUN
22/03/20 Rawat G
835606 3,679 1 3,679
21 Inap KOMARI
AH. NY
RENI
30/03/20 Rawat
813579 ANDRIA 3,679 1 3,679
21 Inap
NA NY
EEN
31/03/20 Rawat
835797 NURAE 3,679 1 3,679
21 Jalan
NAH NY
Ceftrima Rawat AWIS,
244 200 8/3/2021 816633 282,975 1 282,975
x Inj Inap NY
Rawat AGUS,
### 835398 282,975 2 565,950
Inap TN
 N. U.
19/03/20 Rawat
835522 UMAYA 282,975 1 282,975
21 Inap
H NY
N. U.
20/03/20 Rawat
835522 UMAYA 282,975 1 282,975
21 Inap
H NY
SALSABI
Cendo Rawat LA
245 207 ### 835329 31,605 1 31,605
Lyteers Jalan AZZAHR
A NN
20/03/20 Rawat SAEFUD
835579 31,605 1 31,605
21 Jalan IN. TN
Cepezet
22/03/20 TN.
246 210 100mg UMUM APS 621 10 6,210
21 SARMID
Tab
LUKMAN
23/03/20 Rawat
835614 HAKIM 621 1 621
21 Inap
TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 621 1 621
21 Inap
TN
23/03/20 Rawat UDIN.
835604 621 1 621
21 Inap TN
Cetirizine Rawat HERYAD
247 213 1/3/2021 820597 466 1 466
tab Inap I, TN
EET
Rawat
2/3/2021 810617 NURHA 466 7 3,262
Jalan
ETI, NY
Rawat CAHYAT
2/3/2021 822342 466 7 3,262
Jalan I.NY
Rawat
2/3/2021 835260 ILIM TN 466 1 466
Inap
Rawat NURJAM
2/3/2021 813400 466 5 2,330
Inap AN,TN
Rawat
3/3/2021 835260 ILIM TN 466 1 466
Inap
ENNY
Rawat
4/3/2021 825663 YUSNIT 466 7 3,262
Jalan
A, NY
ROKASI
Rawat H,
4/3/2021 812376 466 7 3,262
Jalan S.PD
.NY
Rawat DADAN
4/3/2021 834438 466 10 4,660
Jalan G, TN
Rawat
4/3/2021 835260 ILIM TN 466 5 2,330
Inap
Rawat
4/3/2021 835295 ANIH NY 466 7 3,262
Jalan
 Meilita
5/3/2021 K43 466 10 4,660
Nurfajrin
POPON
Rawat
5/3/2021 824160 PATIMA 466 10 4,660
Jalan
H.NY
M
Rawat
5/3/2021 835321 IKHSAN 466 12 5,592
Jalan
SDR
Pasien
6/3/2021 UMUM 0 466 10 4,660
Umum
ESA
Rawat
7/3/2021 823669 SAPUTR 466 10 4,660
Jalan
A
Rawat NUNUN
8/3/2021 835338 466 1 466
Inap G K, NY
TUTI
Rawat
9/3/2021 834823 NURLEL 466 10 4,660
Jalan
A NY
FITRA
SYAHRI
Rawat
### 835411 L 274 10 2,740
Jalan
ARHAM
TN
Rawat ENES.
### 835133 274 7 1,918
Jalan NY

13/03/20 Rawat YUSILA

834752 466 1 466
21 Inap WATI,NY

13/03/20 Rawat YUSILA

834752 466 1 466
21 Inap WATI,NY

14/03/20 Rawat YUSILA

834752 466 5 2,330
21 Inap WATI,NY

IMAS
16/03/20 Rawat
834510 KOMARI 466 20 9,320
21 Jalan
AH NY
OOM
18/03/20 Rawat
814564 KOMAN 466 10 4,660
21 Jalan
AH, NY
19/03/20 Rendyka
K4 466 10 4,660
21 Rama
ENDAN
19/03/20 Rawat G
835564 466 6 2,796
21 Jalan SUHER
MAN TN
 TOHA
20/03/20 Rawat
805009 NURDIN, 466 1 466
21 Inap
TN
EUIS
20/03/20 Rawat NURLAE
801391 466 10 4,660
21 Jalan LASARI,
NY
20/03/20 Rawat NINING
835192 466 7 3,262
21 Jalan NY
TOHA
21/03/20 Rawat
805009 NURDIN, 466 10 4,660
21 Inap
TN

YATI
21/03/20 Rawat
835577 KURNIA 466 1 466
21 Inap
WATI NY

N
23/03/20 Rawat
835523 ATIKAH 466 7 3,262
21 Jalan
NY
RESTI
23/03/20 Rawat
833746 NURDIA 466 10 4,660
21 Jalan
NTI NY
23/03/20 Pasien
UMUM 0 466 10 4,660
21 Umum
26/03/20 Rawat NENGSI
835645 466 1 466
21 Inap H NY
EUIS
27/03/20 Rawat
834994 YULIANI 466 7 3,262
21 Jalan
NY
27/03/20 Rawat NENGSI
835645 466 1 466
21 Inap H NY
AAR
27/03/20 Rawat
825828 SURYAT 466 7 3,262
21 Inap
I.NY
28/03/20 Pasien
UMUM 0 466 10 4,660
21 Umum
IMAS
28/03/20 Rawat
827623 MULYAN 466 1 466
21 Inap
I, NY
TATI
29/03/20 Rawat
835664 ROSWA 466 1 466
21 Inap
TI
TATI
29/03/20 Rawat
835664 ROSWA 466 5 2,330
21 Inap
TI
31/03/20 Rawat NENGSI
835694 466 6 2,796
21 Jalan H NY
 SUSI
Ciproflox Rawat
248 219 1/3/2021 835194 SUSILA 944 6 5,664
acin tab Inap
WATI NY

LIKA
13/03/20 Rawat
835445 MUSTIK 944 10 9,440
21 Jalan
A, NY
ASEP
27/03/20 Rawat
835711 MEDIAN 944 10 9,440
21 Jalan
A. TN
28/03/20 Rawat RIZAL.
835723 944 10 9,440
21 Jalan SDR
UPIT
28/03/20 Rawat
835720 SARIMA 944 10 9,440
21 Jalan
NAH, NY
AGUS
31/03/20 Rawat
835805 DENI. 944 10 9,440
21 Jalan
TN

Allopurin
ol 100mg Rawat NUNUN
249 22 7/3/2021 835338 327 1 327
Tab Inap G K, NY
( KF )

NY
### UMUM APS 216 7 1,512
ENES
SURYAN
Rawat
### 835297 INGSIH 225 30 6,750
Jalan
NY
EEM
15/03/20 Rawat
831825 SUKAE 327 1 327
21 Inap
MI. NY
15/03/20 Rawat IRUM
835472 327 1 327
21 Inap NY
16/03/20 Rawat IRUM
835472 327 1 327
21 Inap NY
DOYOK
16/03/20 Rawat
817864 DARSO 327 7 2,289
21 Jalan
NO.TN
EEM
16/03/20 Rawat
831825 SUKAE 327 5 1,635
21 Inap
MI. NY
ELIS
16/03/20 Rawat
835335 KARNAT 327 30 9,810
21 Jalan
I NY
HJ
17/03/20 Rawat
804292 CICIH. 327 1 327
21 Inap
NY
 17/03/20 Rawat ROKAYA
835481 327 1 327
21 Inap H NY
17/03/20 Rawat IRUM
835472 327 5 1,635
21 Inap NY
HJ
18/03/20 Rawat
804292 CICIH. 327 5 1,635
21 Inap
NY
18/03/20 Rawat ROKAYA
835481 327 1 327
21 Inap H NY
19/03/20 Rawat ROKAYA
835481 327 1 327
21 Inap H NY
HJ
23/03/20 Rawat
804292 CICIH. 327 7 2,289
21 Jalan
NY
JUJU
24/03/20 Rawat
835626 JUANI.N 327 1 327
21 Inap
Y
25/03/20 Rawat DARMA
831775 327 30 9,810
21 Jalan N.TN
KARTINI
25/03/20 Rawat DANUMI
832778 327 30 9,810
21 Jalan HARDJA
NY
25/03/20 Rawat IRUM
835472 327 7 2,289
21 Jalan NY
DRS,
25/03/20 Rawat NANA
820372 327 30 9,810
21 Jalan MULYAN
A, TN
JAJANG
25/03/20 Rawat
835545 SUHER 327 7 2,289
21 Jalan
MAN TN
SITI
26/03/20 Rawat
814501 RODIAH, 327 1 327
21 Inap
NY.
27/03/20 Rawat
815940 DIDI, TN. 327 7 2,289
21 Jalan
27/03/20 Rawat CICIH.
831794 327 30 9,810
21 Jalan NY
NY
27/03/20
UMUM 0 ANAH/A 327 30 9,810
21
PS
ENGKIN
27/03/20 Rawat
835520 G AJIS . 327 10 3,270
21 Jalan
TN
Ciproflox
21/03/20
250 220 acin UMUM APS lili 47,880 2 95,760
21
infus
 SAEFUL
Citicolin Rawat
251 221 1/3/2021 835220 HUDAYA 30,938 2 61,876
inj Inap
TN
SAEFUL
Rawat
1/3/2021 835220 HUDAYA 30,938 3 92,814
Inap
TN
HJ. SITI
Rawat
### 4433 SOPIAH, 30,397 1 30,397
Inap
NY
19/03/20 Rawat KOSIDIN
835556 30,397 1 30,397
21 Jalan NY

YATI
22/03/20 Rawat
835577 KURNIA 30,397 2 60,794
21 Inap
WATI NY

22/03/20 Rawat WANGSI

835588 30,397 2 60,794
21 Inap H, NY
DEDE
24/03/20 Rawat
835636 RAHMA 30,397 8 243,176
21 Inap
T TN
IKIN
31/03/20 Rawat
835789 SODIKIN 30,397 2 60,794
21 Inap
TN
IKIN
31/03/20 Rawat
835789 SODIKIN 30,397 1 30,397
21 Inap
TN
Citicolin
21/03/20 Rawat WANGSI
252 222 500mg 835588 8,983 2 17,966
21 Inap H, NY
kaplet
IDING
31/03/20 Rawat
835732 JAENUD 8,983 1 8,983
21 Inap
IN, TN
Clindami
cin Rawat
253 224 1/3/2021 835230 ANI. NY 1,780 10 17,800
300mg Jalan
Caps
Rawat NURAE
4/3/2021 834713 1,780 15 26,700
Jalan NI NY
CUCU
18/03/20 Rawat
835308 NURJAN 1,780 10 17,800
21 Jalan
AH NY
TITA
22/03/20 Rawat
818692 KURNIA, 1,780 15 26,700
21 Jalan
NY
22/03/20 Rawat VINA
835424 1,780 15 26,700
21 Jalan SRI NY
 SYAILA
26/03/20 Rawat RAHMA
826714 1,780 12 21,360
21 Jalan TAUFIQ.
NN
TITA
29/03/20 Rawat
818692 KURNIA, 1,780 15 26,700
21 Jalan
NY
Clinex NOVI
Rawat
254 225 300mg 1/3/2021 829935 SHOVIA 9,659 15 144,885
Jalan
Caps NI.NY
Rawat
5/3/2021 835126 ATIN NY 9,659 10 96,590
Jalan
SITI
Rawat
5/3/2021 816874 MARIAM 9,659 15 144,885
Jalan
. NY
NOVI
Rawat
8/3/2021 829935 SHOVIA 9,659 15 144,885
Jalan
NI.NY
YUN
Rawat YUNEN
### 830805 9,659 15 144,885
Jalan GSIH.
NY
ENGKA
Rawat R
### 835184 9,659 15 144,885
Jalan MARYAT
I. NY

Codein Rawat NINING

255 229 1/3/2021 835192 906 3 2,718
10mg tab Inap NY

Rawat NINING
2/3/2021 835192 906 10 9,060
Inap NY
Bp
2/3/2021 UMUM 0 906 10 9,060
Tatang
ENNY
Rawat
4/3/2021 825663 YUSNIT 906 7 6,342
Jalan
A, NY
AHMAD
Rawat
5/3/2021 835179 HIDAYA 906 10 9,060
Jalan
T TN
N.MS.
Rawat
5/3/2021 835200 DJUBAE 906 10 9,060
Jalan
DAH
Rawat IMAS,
5/3/2021 835142 906 10 9,060
Jalan NY
Rawat SOLIHA
9/3/2021 826317 906 15 13,590
Jalan H, NY
Rawat NINING
9/3/2021 835192 906 7 6,342
Jalan NY
 Rawat KANAR
9/3/2021 835231 906 15 13,590
Jalan TN

Rawat YUSILA
### 834752 906 2 1,812
Inap WATI,NY

Rawat
### 835415 AAH, NY 906 2 1,812
Inap
13/03/20 Rawat
835415 AAH, NY 906 2 1,812
21 Inap
TAUFIK
13/03/20 Rawat
835216 MAULAN 906 10 9,060
21 Jalan
A SDR

13/03/20 Rawat YUSILA

834752 906 2 1,812
21 Inap WATI,NY

14/03/20 Rawat
835415 AAH, NY 906 2 1,812
21 Inap
15/03/20 Rawat
835415 AAH, NY 906 2 1,812
21 Inap
NENEN
16/03/20 Rawat G
829389 906 10 9,060
21 Jalan HASANA
H NY
16/03/20 Rawat
835415 AAH, NY 906 10 9,060
21 Inap
Opik
16/03/20
K7 Firmansy 906 10 9,060
21
ah
16/03/20 Rawat
835519 UUM NY 906 15 13,590
21 Jalan
16/03/20 Rawat AANG
835389 906 15 13,590
21 Jalan NY
WOWO
25/03/20 Rawat
809923 SUGRIW 906 2 1,812
21 Inap
O.TN
WOWO
26/03/20 Rawat
809923 SUGRIW 906 2 1,812
21 Inap
O.TN
WOWO
27/03/20 Rawat
809923 SUGRIW 906 15 13,590
21 Inap
O.TN
UYUN
30/03/20 Rawat
835729 MULYAN 906 2 1,812
21 Inap
A . TN
A
30/03/20 Rawat
835751 SUTISN 906 2 1,812
21 Inap
A. TN
 UYUN
31/03/20 Rawat
835729 MULYAN 906 10 9,060
21 Inap
A . TN

Allopurin
Rawat
256 23 ol 300mg 4/3/2021 835260 ILIM TN 674 3 2,022
Inap
Tab

Rawat KARMO
5/3/2021 835236 674 1 674
Inap TN
Rawat NUNUN
8/3/2021 835338 674 1 674
Inap G K, NY
tn faizal /
### UMUM APS 674 10 6,740
aps
28/03/20 Rawat ERUK,
835722 338 10 3,380
21 Jalan NY

Cotrimok 17/03/20 Rawat FATIMA

257 241 832088 539 2 1,078
sazol tab 21 Inap H , NY

23/03/20 Rawat QITANIA

803391 539 10 5,390
21 Jalan , AN
AAR
25/03/20 Rawat
825828 SURYAT 539 2 1,078
21 Inap
I.NY
Cotri RISKA
Rawat
258 242 Forte 2/3/2021 835270 AMELIA 550 10 5,500
Jalan
Tab NN
YEYE
Rawat
### 835406 DARSITI 535 10 5,350
Jalan
. NY

Rawat YUSILA
### 834752 535 2 1,070
Inap WATI,NY

ELI
16/03/20 Rawat
835531 HERLIN 535 10 5,350
21 Jalan
A NY
18/03/20 Rawat FATIMA
832088 535 6 3,210
21 Inap H , NY
AAR
23/03/20 Rawat
825828 SURYAT 535 2 1,070
21 Inap
I.NY
W
23/03/20 Rawat ABDUL
835629 535 10 5,350
21 Jalan HALIM
TN
AAR
24/03/20 Rawat
825828 SURYAT 535 2 1,070
21 Inap
I.NY
 ATIK
Cripsa Rawat
259 247 5/3/2021 817256 KURNIA 21,381 3 64,143
tab Jalan
SIH. NY
5/3/2021 UMUM APS NY ATIK 21,381 7 149,667
Rawat
5/3/2021 835126 ATIN NY 21,381 10 213,810
Jalan
Curcuma Rawat HERYAD
260 248 2/3/2021 820597 1,190 2 2,380
tab Inap I, TN
AYEP
Rawat
2/3/2021 835144 SURYAN 1,190 15 17,850
Jalan
A. TN
CUCU
Rawat
2/3/2021 835219 LISNAW 1,190 15 17,850
Inap
ATI NY
Rawat
3/3/2021 835260 ILIM TN 1,190 1 1,190
Inap
PAMUJI
Rawat
4/3/2021 834497 AGUS 1,190 10 11,900
Jalan
TN
Rawat
4/3/2021 835260 ILIM TN 1,190 10 11,900
Inap
Rawat ENES.
4/3/2021 835133 1,190 14 16,660
Jalan NY
NENEN
Rawat G
9/3/2021 832087 1,190 15 17,850
Jalan KARTIK
A, NY
Rawat NUNUN
9/3/2021 835338 1,190 10 11,900
Inap G K, NY
OYOH
Rawat
9/3/2021 813977 TARLIA 1,190 10 11,900
Jalan
H . NY
Rawat SUPRI.
### 835403 1,190 2 2,380
Inap TN
EUIS
Rawat
### 834994 YULIANI 1,190 2 2,380
Inap
NY
Rawat SUPRI.
### 835403 1,190 10 11,900
Inap TN
TAUFIK
13/03/20 Rawat
835216 MAULAN 1,190 15 17,850
21 Jalan
A SDR
EUIS
13/03/20 Rawat
834994 YULIANI 1,190 2 2,380
21 Inap
NY
 M
13/03/20 Rawat
835454 UHING 1,190 10 11,900
21 Jalan
TN
LINDA
14/03/20 Rawat
835448 LAELA. 1,190 1 1,190
21 Inap
NY
NINING
14/03/20 Rawat
832543 RUNING 1,190 10 11,900
21 Inap
SIH NY
NINING
14/03/20 Rawat
832543 RUNING 1,190 2 2,380
21 Inap
SIH NY
EUIS
14/03/20 Rawat
834994 YULIANI 1,190 1 1,190
21 Inap
NY
EUIS
14/03/20 Rawat
834994 YULIANI 1,190 10 11,900
21 Inap
NY
NANA
15/03/20 Rawat
835475 TARYAN 1,190 1 1,190
21 Inap
A. TN
LINDA
15/03/20 Rawat
835448 LAELA. 1,190 2 2,380
21 Inap
NY
LINDA
15/03/20 Rawat
835448 LAELA. 1,190 5 5,950
21 Inap
NY
16/03/20 Rawat ROHETI
802812 1,190 15 17,850
21 Jalan N, NY
SAEFUL
16/03/20 Rawat
835220 HUDAYA 1,190 21 24,990
21 Jalan
TN
NANA
16/03/20 Rawat
835475 TARYAN 1,190 1 1,190
21 Inap
A. TN
20/03/20 Rawat SUKAES
807749 1,190 3 3,570
21 Inap IH. NY
20/03/20 Rawat CICIH.
831794 1,190 7 8,330
21 Jalan NY
DARPIT
27/03/20 Rawat
835655 ROHIDU 1,190 1 1,190
21 Inap
N. TN
TOHA
28/03/20 Rawat
805009 NURDIN, 1,190 2 2,380
21 Inap
TN
DARPIT
28/03/20 Rawat
835655 ROHIDU 1,190 1 1,190
21 Inap
N. TN
 SAEFUL
D 10% Rawat
261 252 1/3/2021 835220 HUDAYA 29,400 1 29,400
Inf Inap
TN

YATI
20/03/20 Rawat
835577 KURNIA 9,804 1 9,804
21 Inap
WATI NY

31/03/20 Rawat SUKARS

835765 9,804 1 9,804
21 Inap IH.NY

SODIKIN
17/03/20 Rawat NOOR
262 253 D 5% Inf 835524 9,130 2 18,260
21 Inap BADRI.
TN

SODIKIN
18/03/20 Rawat NOOR
835524 9,130 2 18,260
21 Inap BADRI.
TN

22/03/20 Rawat
807029 TUTI, NY 9,130 1 9,130
21 Inap
JUJU
24/03/20 Rawat
835626 JUANI.N 9,130 2 18,260
21 Inap
Y
24/03/20 Rawat ADAH.
835518 9,130 1 9,130
21 Inap NY
FITRI
24/03/20 Rawat SARI
835624 9,130 1 9,130
21 Inap WAHYU
NI NN
24/03/20 Rawat ADAH.
835518 9,130 1 9,130
21 Inap NY
DARPIT
25/03/20 Rawat
835655 ROHIDU 9,130 1 9,130
21 Inap
N. TN
WOWO
25/03/20 Rawat
809923 SUGRIW 9,130 1 9,130
21 Inap
O.TN
DARPIT
25/03/20 Rawat
835655 ROHIDU 9,130 1 9,130
21 Inap
N. TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 9,130 1 9,130
21 Inap
N. TN
IDA
31/03/20 Rawat
835740 BAGUS. 9,130 1 9,130
21 Inap
TN
 A
31/03/20 Rawat
835751 SUTISN 9,130 1 9,130
21 Inap
A. TN
UYUN
31/03/20 Rawat
835729 MULYAN 9,130 1 9,130
21 Inap
A . TN
Dexamet PUJI
Rawat
263 260 hasone 1/3/2021 835229 SUMARJ 2,943 1 2,943
Jalan
inj I, TN
Rawat HAINA,
1/3/2021 835228 2,943 2 5,886
Inap AN
Rawat NINING
1/3/2021 835192 2,943 3 8,829
Inap NY
DINNY
Rawat
2/3/2021 832315 YUSTRI 2,943 4 11,772
Inap
ANI NY
MISHAE
LA
Rawat HADYAT
4/3/2021 835253 2,943 4 11,772
Inap US
SHANU
M AN

FITRA
SYAHRI
Rawat
### 835411 L 2,943 1 2,943
Jalan
ARHAM
TN
KENZIE
Rawat AZKA
### 810083 2,943 1 2,943
Inap FAIRUIZ.
AN
SHAJEA
14/03/20 Rawat
835452 HALAA 2,943 1 2,943
21 Inap
NISA AN
15/03/20 Rawat ENES
835469 2,943 1 2,943
21 Inap NY
NY
24/03/20
UMUM APS KURYAT 2,943 1 2,943
21
I
ANISA
25/03/20 Rawat FAIHA
835644 2,943 1 2,943
21 Inap MUNAN
DAR AN
31/03/20 Rawat SUKARS
835765 2,943 1 2,943
21 Inap IH.NY
 MAHDA
Diadium Rawat TRI
264 262 ### 835409 1,383 10 13,830
Tab Jalan UTAMI
NY
13/03/20 Rawat FATIMA
832088 1,383 8 11,064
21 Inap H , NY
16/03/20 Rawat FATIMA
832088 1,383 8 11,064
21 Inap H , NY
ADE
Diaformi
Rawat FITRIA
265 264 n XR ### 834339 2,760 30 82,800
Jalan DEWI,
Tab
NY
ASEP
Rawat
### 835436 APANDI 2,760 20 55,200
Jalan
TN
18/03/20 Rawat
835453 AMI NY 2,760 5 13,800
21 Jalan
ALFAKIR
25/03/20 Rawat
835665 DEDY 2,760 14 38,640
21 Jalan
.TN
Diazepa
Rawat MUNAWI
266 265 m 2 mg 1/3/2021 834951 180 7 1,260
Jalan R TN
tab
Rawat CERI
9/3/2021 835363 180 10 1,800
Inap LIAN AN
Rawat CERI
### 835363 180 13 2,340
Inap LIAN AN
AHMAD
13/03/20 Rawat
835458 ARYA. 180 4 720
21 Inap
AN
AHMAD
14/03/20 Rawat
835458 ARYA. 180 4 720
21 Inap
AN
27/03/20 Rawat
835719 EHA NY 180 5 900
21 Jalan
28/03/20 Rawat AISYAH,
5158 180 5 900
21 Jalan NY
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 180 1 180
21 Inap
MAN,
TN.

SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 180 2 360
21 Inap
MAN,
TN.
 Digoxin Rawat SULAEM
267 268 ### 835173 190 30 5,700
Tab Jalan AN TN
Dobutam 23/03/20 Rawat UDIN.
268 271 835604 53,993 2 107,986
ine inj 21 Inap TN
AN
269 272 Dom Syr 2/3/2021 UMUM 0 ANAZW 47,685 1 47,685
A/APS
Pasien
5/3/2021 UMUM 0 57,270 1 57,270
Umum
KEISYA
Rawat
6/3/2021 827757 ADITIA, 57,270 1 57,270
Jalan
AN
TANIA
Rawat
6/3/2021 835331 MAURA 57,270 1 57,270
Inap
NISA AN
KENNAR
20/03/20 Rawat A
835581 57,270 1 57,270
21 Jalan SAGABI
ZAR AN
KENNAR
21/03/20 Rawat A
835581 57,270 1 57,270
21 Jalan SAGABI
ZAR AN
LEESA
26/03/20 Rawat
835677 ELEANO 57,270 1 57,270
21 Jalan
R AN
ADE
Domperi Rawat
270 273 2/3/2021 835124 HASANA 606 10 6,060
don tab Jalan
H NY
DINI
Rawat
2/3/2021 835267 KHAERA 606 15 9,090
Jalan
NI. NY
ATIN
Rawat
2/3/2021 815422 INAYATI 606 15 9,090
Jalan
N,NY
YAYAT
Rawat
2/3/2021 835197 SURYAT 606 15 9,090
Jalan
I, NY
RISKA
Rawat
2/3/2021 835270 AMELIA 606 10 6,060
Jalan
NN
PAMUJI
Rawat
4/3/2021 834497 AGUS 505 15 7,575
Jalan
TN
Rawat MULYAN
4/3/2021 835178 505 15 7,575
Jalan A TN
 ANDINI
Rawat
5/3/2021 835088 OKTAVI 505 15 7,575
Jalan
ANI NY
RISKA
Rawat NURHA
9/3/2021 835394 505 15 7,575
Jalan BIBAH.
NY
NENEN
Rawat G
9/3/2021 832087 505 21 10,605
Jalan KARTIK
A, NY
EET
Rawat
9/3/2021 810617 NURHA 505 15 7,575
Jalan
ETI, NY
NURDIN
Rawat
9/3/2021 835203 HIDAYA 505 6 3,030
Jalan
T TN
IYET
Rawat
9/3/2021 825195 ROHAET 505 10 5,050
Jalan
I, NY
Rawat ISEM,
9/3/2021 835101 505 15 7,575
Jalan NY
Rawat ENER,
9/3/2021 835206 505 15 7,575
Jalan NY
Rawat NUNUN
9/3/2021 835198 505 15 7,575
Jalan G, NY
EBOD
13/03/20 Rawat KOMALA
814659 505 15 7,575
21 Jalan SARI.
NY

HAYKAL
15/03/20 Rawat DWI
835435 505 10 5,050
21 Inap SYAHPU
TRA AN

N
16/03/20 Rawat
835523 ATIKAH 505 15 7,575
21 Jalan
NY
ANIS
16/03/20 Rawat
834515 ANISAH 505 15 7,575
21 Jalan
NY
NT
16/03/20 Rawat
834700 CHOTIM 505 15 7,575
21 Jalan
AH NY
ASEP
16/03/20 Rawat
835201 DUDI. 505 15 7,575
21 Jalan
TN
 UUN
16/03/20 Rawat
835337 UNASIH, 505 21 10,605
21 Jalan
NY
20/03/20 Rawat NANA
835575 505 21 10,605
21 Jalan JONI TN
EET
20/03/20 Rawat
810617 NURHA 505 15 7,575
21 Jalan
ETI, NY
YUDI
23/03/20 Rawat
835623 PRAYO 505 15 7,575
21 Jalan
GA.TN
ASEP
23/03/20 Rawat
835592 SOHIDIN 505 15 7,575
21 Jalan
TN
27/03/20 Rawat KARMID,
823943 505 15 7,575
21 Inap TN
SOPIAN
27/03/20 Rawat
835608 YUDA. 505 15 7,575
21 Jalan
SDR
27/03/20 Rawat ENENG
835698 505 15 7,575
21 Inap NY
29/03/20 Rawat IWAN.
835735 505 3 1,515
21 Inap TN
30/03/20 Rawat IWAN.
835735 505 10 5,050
21 Inap TN
YUN
Dopamet Rawat YUNEN
271 275 2/3/2021 830805 2,632 4 10,528
tab Jalan GSIH.
NY
LINA
Rawat
5/3/2021 832524 RIHIYAN 2,632 10 26,320
Jalan
TI NY
RIDA
Rawat
8/3/2021 834740 NURLAE 2,632 20 52,640
Jalan
LA NY
Doxycycl Rawat ARSITI,
272 277 3/3/2021 804088 637 10 6,370
ine cap Jalan NY
Rawat ARSITI,
### 804088 637 14 8,918
Jalan NY

EUIS
15/03/20 Rawat
835480 RAHMA 637 10 6,370
21 Jalan
WATI NY

ANITA
25/03/20 Rawat
835660 WULAN 637 10 6,370
21 Jalan
DARI NY
 Dulcolax
ACU
supp 29/03/20 Rawat
273 278 835621 SAMSU 20,417 1 20,417
anak 21 Inap
DIN TN
(5mg)
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 20,417 1 20,417
21 Inap
MAN,
TN.
Dulcolax
supp Rawat
274 279 5/3/2021 835126 ATIN NY 28,467 1 28,467
dws Jalan
(10mg)
Rawat RUHITA,
6/3/2021 835336 28,467 1 28,467
Jalan TN
13/03/20 Rawat POPI,
835414 28,467 1 28,467
21 Inap TN
IMAS
Duvadila Rawat
275 283 1/3/2021 835242 NURAE 7,170 8 57,360
n tablet Jalan
NI. NY
1/3/2021 UMUM 0 ny imas 7,170 2 14,340
15/03/20 Rawat
835500 AAS, NY 7,170 10 71,700
21 Jalan
DIDA
Endrolin 15/03/20 Rawat
276 285 832395 SUNARS ### 1 ###
Inj 21 Jalan
IH NY
Ensure TN
20/03/20
277 287 Vanila/C UMUM 0 NANA/A 154,938 1 154,938
21
ok 400gr PS
Eperison Rawat MUNAWI
278 288 1/3/2021 834951 5,156 20 103,120
e Tab Jalan R TN
RAHMA
D
19/03/20 Rawat
835553 KURNIA 5,156 10 51,560
21 Jalan
WAN
SDR
NY
20/03/20
UMUM APS ENGKA 5,156 15 77,340
21
R/APS
NY
20/03/20
UMUM 0 WIWIN/A 5,156 15 77,340
21
PS
AI SITI
23/03/20 Rawat
808067 ZAENAB 5,156 10 51,560
21 Jalan
, NY
 EUIS
Ephedrin Rawat
279 289 3/3/2021 831017 KURAES 33,688 2 67,376
Inj Jalan
IN.NY
SAEFUL
Epinepri Rawat
280 290 1/3/2021 835220 HUDAYA 8,048 1 8,048
ne inj Inap
TN
EEN
31/03/20 Rawat
835797 NURAE 8,048 1 8,048
21 Jalan
NAH NY
31/03/20 Rawat SUKARS
835765 8,048 1 8,048
21 Inap IH.NY
Erdomex Rawat RISNA
281 293 1/3/2021 835175 55,248 1 55,248
Syr Inap SDR
Rawat HOJAEM
1/3/2021 835152 55,248 1 55,248
Inap I. TN
Rawat RISNA
1/3/2021 835175 55,248 1 55,248
Inap SDR
EUIS
Rawat
3/3/2021 834994 YULIANI 55,248 1 55,248
Inap
NY
AFNAN
Rawat
6/3/2021 830823 ALFARIZ 47,919 1 47,919
Jalan
QI BY
NANDI
Rawat
9/3/2021 835384 KRISAL 55,248 1 55,248
Jalan
AM. AN
JULY
Rawat
9/3/2021 835387 TISYA. 55,248 1 55,248
Jalan
AN
KENZIE
13/03/20 Rawat AZKA
810083 55,248 1 55,248
21 Inap FAIRUIZ.
AN

13/03/20 Rawat YUSILA

834752 55,248 1 55,248
21 Inap WATI,NY

13/03/20 Rawat RUKMIN

835465 55,248 1 55,248
21 Jalan I. NY
ADE
14/03/20 Rawat
835470 SUKAES 47,919 1 47,919
21 Inap
IH NY
14/03/20 Rawat ENES
835469 47,919 1 47,919
21 Inap NY
SUPRIH
14/03/20 Rawat
822113 ATIN. 55,248 1 55,248
21 Inap
NY
 EEM
14/03/20 Rawat
831825 SUKAE 55,248 1 55,248
21 Inap
MI. NY
IKAH
15/03/20 Rawat
835478 NURLAE 55,248 1 55,248
21 Jalan
LA. NY
N
Erlamyce 23/03/20 Rawat
282 296 835523 ATIKAH 14,553 1 14,553
tin TM 21 Jalan
NY
Erysanb Rawat ALENA .
283 298 8/3/2021 835356 29,915 1 29,915
e DS Jalan AN
Abocath Rawat ISAM.
284 3 1/3/2021 819105 15,524 1 15,524
No 20 Inap NY
Rawat KANAR
1/3/2021 835231 15,524 1 15,524
Inap TN
SITI
Rawat
1/3/2021 835233 MULYAT 15,524 1 15,524
Inap
I NY
Rawat KARMO
1/3/2021 835236 15,524 1 15,524
Inap TN
Rawat NINING
1/3/2021 835192 15,524 1 15,524
Inap NY
Rawat JUANGS
1/3/2021 808907 15,524 1 15,524
Inap IH, NY
YAYA
Rawat
1/3/2021 835079 SUNARY 15,524 1 15,524
Inap
A TN
Rawat
2/3/2021 815940 DIDI, TN. 15,524 1 15,524
Inap
EVI SITI
Rawat
2/3/2021 811994 NUR. 15,524 1 15,524
Inap
F,NY
Rawat
2/3/2021 835260 ILIM TN 15,524 1 15,524
Inap
3/3/2021 UMUM 0 KIKI 15,524 1 15,524
EVI SITI
Rawat
3/3/2021 811994 NUR. 15,524 2 31,048
Inap
F,NY
SITI
Rawat MAEUM
3/3/2021 835284 15,524 1 15,524
Inap ANAH,
NY
YAYA
Rawat
4/3/2021 817031 FIRDAU 3,972 2 7,944
Inap
S TN
 EUIS
Rawat
5/3/2021 831017 KURAES 3,972 2 7,944
Jalan
IN.NY
Rawat WAWA
5/3/2021 835318 3,972 1 3,972
Inap TN
UJANG
Rawat
8/3/2021 820303 SUPRIA 15,524 1 15,524
Inap
TNA, TN
AHMAD
Rawat
8/3/2021 834644 SOFIAN 15,524 1 15,524
Inap
TN
ANI
Rawat PRISTIA
8/3/2021 835354 15,524 1 15,524
Jalan WATI.
NY
Rawat NUNUN
8/3/2021 835338 15,524 1 15,524
Inap G K, NY
SALLY
Rawat
8/3/2021 802943 ASTAVA 15,524 1 15,524
Inap
NY. NY
Rawat
9/3/2021 835393 LIA. NY 15,524 1 15,524
Inap
NIA
Rawat
### 826027 EVIANA. 4,048 1 4,048
Inap
NY
Rawat
### 835393 LIA. NY 4,048 2 8,096
Inap
Rawat SUPRI.
### 835403 4,048 2 8,096
Inap TN
NINING
Rawat
### 832543 RUNING 4,048 1 4,048
Inap
SIH NY

Rawat YUSILA
### 834752 4,048 1 4,048
Inap WATI,NY

EUIS
Rawat
### 834994 YULIANI 4,048 1 4,048
Inap
NY
HEMMU
D
Rawat FARCHA
### 835437 4,048 1 4,048
Jalan N IBNU
HASAN
TN

NAUFAL
Rawat DI
### 800119 4,048 1 4,048
Inap AGUSTI
N, AN
 TINI
Rawat
### 835417 HARTINI 4,048 1 4,048
Inap
. NY
Rawat
### 835415 AAH, NY 4,048 1 4,048
Inap
Rawat HAWAN
### 2949 4,048 2 8,096
Jalan A , NY
SUPRIH
Rawat
### 822113 ATIN. 4,048 1 4,048
Inap
NY
13/03/20 Rawat FATIMA
832088 4,048 1 4,048
21 Inap H , NY
NIA
13/03/20 Rawat KURNIA
834792 4,048 1 4,048
21 Inap WATI,
NY
BAYU
13/03/20 Rawat
835410 ANUGE 4,048 1 4,048
21 Inap
RAH TN
EEM
13/03/20 Rawat
831825 SUKAE 4,048 1 4,048
21 Inap
MI. NY
LINDA
13/03/20 Rawat
835448 LAELA. 4,048 1 4,048
21 Inap
NY
15/03/20 Rawat WASDI,
835501 4,048 1 4,048
21 Jalan TN
ELOM
17/03/20 Rawat SALAM
835515 3,678 1 3,678
21 Inap SUDIRM
AN TN
17/03/20 Rawat ASIR .
835538 3,678 1 3,678
21 Inap TN
17/03/20 Rawat WASLI.
827069 3,678 1 3,678
21 Jalan TN
ENI
18/03/20 Rawat
835544 SUMAR 3,678 1 3,678
21 Jalan
NI NN
18/03/20 Rawat
835540 PI'I .TN 3,678 1 3,678
21 Jalan
ADE
18/03/20 Rawat
835529 ROHMA 3,678 2 7,356
21 Inap
ENI. NY
18/03/20 Rawat
835547 IRAH NY 3,678 1 3,678
21 Inap
ELIS
18/03/20 Rawat
835539 RUKYUL 3,610 1 3,610
21 Jalan
IANI NY
19/03/20 Rawat DARYAN
835565 3,678 1 3,678
21 Inap TI. NY
RONI
19/03/20 Rawat
835563 SUPRIA 3,678 1 3,678
21 Inap
DI TN
19/03/20 Rawat CICIH
811043 3,678 1 3,678
21 Inap NY.
TOHA
19/03/20 Rawat
805009 NURDIN, 3,678 1 3,678
21 Inap
TN
20/03/20 Rawat CICIH
811043 3,678 1 3,678
21 Inap NY.

AZIS
22/03/20 Rawat RUHIAT
824516 3,678 1 3,678
21 Inap SUPRIA
TNA . TN

22/03/20 Rawat UDIN.

835604 3,678 1 3,678
21 Inap TN
23/03/20 Rawat ADAH.
835518 3,678 1 3,678
21 Inap NY

YATI
23/03/20 Rawat
835577 KURNIA 3,678 1 3,678
21 Inap
WATI NY

ONDA
23/03/20 Rawat
835632 MUYAN 3,678 1 3,678
21 Inap
A. TN
AAR
24/03/20 Rawat
825828 SURYAT 3,678 1 3,678
21 Inap
I.NY
AJENG
24/03/20 Rawat
811100 KARTINI 3,678 1 3,678
21 Inap
.NY
DEDE
24/03/20 Rawat
835636 RAHMA 3,678 1 3,678
21 Inap
T TN
24/03/20 Rawat OTONG,
835633 3,678 1 3,678
21 Jalan TN
NANI
25/03/20 Rawat
815243 MARYA 3,678 1 3,678
21 Inap
NI, NY.
26/03/20 Rawat YUYUM
835675 3,678 1 3,678
21 Inap NY
26/03/20 Rawat NENGSI
835645 3,678 2 7,356
21 Inap H NY
26/03/20 Rawat RIFAL
835674 3,678 1 3,678
21 Inap SDR
 AAR
26/03/20 Rawat
825828 SURYAT 3,678 1 3,678
21 Inap
I.NY
26/03/20 Rawat UHNAN
835689 3,678 1 3,678
21 Inap TN
26/03/20 Rawat RUSTA,
2579 3,678 1 3,678
21 Inap TN
27/03/20 Rawat ENDAN
835708 3,678 1 3,678
21 Inap G TN
27/03/20 Rawat SUARI,
800179 3,678 1 3,678
21 Inap TN
IMAS
27/03/20 Rawat
827623 MULYAN 3,678 1 3,678
21 Inap
I, NY
27/03/20 Rawat
835659 YATI. NY 3,678 2 7,356
21 Inap
27/03/20 Rawat WANCIH
835712 3,678 1 3,678
21 Inap NY
28/03/20 Rawat TAMAD.
835725 3,678 1 3,678
21 Inap TN
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 3,678 1 3,678
21 Inap
MAN,
TN.
UYUN
28/03/20 Rawat
835729 MULYAN 3,678 1 3,678
21 Inap
A . TN
IDING
28/03/20 Rawat
835732 JAENUD 3,678 1 3,678
21 Inap
IN, TN
RENI
29/03/20 Rawat
813579 ANDRIA 3,678 1 3,678
21 Inap
NA NY
HJ
29/03/20 Rawat
835648 CECEP . 3,678 1 3,678
21 Inap
TN
29/03/20 Rawat IWAN.
835735 3,678 1 3,678
21 Inap TN
30/03/20 Rawat RODIAH.
810604 3,678 1 3,678
21 Inap NY
30/03/20 Rawat SAHNU
835764 3,678 1 3,678
21 Inap TN
30/03/20 Rawat SUKARS
835765 3,678 1 3,678
21 Inap IH.NY
30/03/20 Rawat USMI,
5908 3,678 1 3,678
21 Inap NY
 30/03/20 Rawat ENTIN,
835756 3,678 1 3,678
21 Inap NY
UYUN
30/03/20 Rawat
835729 MULYAN 3,678 1 3,678
21 Inap
A . TN
NANI
30/03/20 Rawat
835706 NURJAN 3,678 1 3,678
21 Inap
AH. NY
NANA
31/03/20 Rawat
835799 SURYAN 3,678 1 3,678
21 Inap
A. TN
IKIN
31/03/20 Rawat
835789 SODIKIN 3,678 1 3,678
21 Inap
TN
FADHIL
31/03/20 Rawat
835796 AKRAM 3,678 2 7,356
21 Inap
SDR
YETI
31/03/20 Rawat
807134 MARYA 3,678 1 3,678
21 Inap
NI, NY
FADHIL
31/03/20 Rawat
835796 AKRAM 3,678 1 3,678
21 Inap
SDR
Alprazola ASEP
Rawat
285 30 m 0,5 mg 1/3/2021 821449 KURNIA, 774 5 3,870
Jalan
Tab TN
ANISA
Rawat
6/3/2021 835324 FITRIYA 774 2 1,548
Inap
NI . NN
ADE
18/03/20 Rawat
835529 ROHMA 588 1 588
21 Inap
ENI. NY
IDING
28/03/20 Rawat
835732 JAENUD 588 1 588
21 Inap
IN, TN
Rawat ZAHRA
286 300 Estin Syr 3/3/2021 826379 57,750 1 57,750
Jalan PUJI, AN
YAHYA
Rawat
3/3/2021 834480 MUZAMI 57,750 1 57,750
Jalan
L,

KENAN
Rawat
3/3/2021 830912 SHAKEE 57,750 1 57,750
Jalan
L R, AN

Meilita
4/3/2021 K43 72,442 1 72,442
Nurfajrin
 CITRA
Rawat
5/3/2021 835320 SABILA 57,750 1 57,750
Jalan
AN
M
MUZZA
Rawat
8/3/2021 835038 MMIL AL 72,442 1 72,442
Jalan
KHAIR
AN
KENISA
Rawat
8/3/2021 830752 ADITIA.A 72,442 1 72,442
Jalan
N
JULY
Rawat
9/3/2021 835387 TISYA. 72,442 1 72,442
Jalan
AN
SHAJEA
13/03/20 Rawat
835452 HALAA 72,442 1 72,442
21 Inap
NISA AN
ALFI
16/03/20 Rawat
832641 ANDRA 72,442 1 72,442
21 Jalan
A. AN
GALIH
NURDIN
16/03/20 Rawat
833526 A 72,442 1 72,442
21 Jalan
SAPUTR
A. AN
19/03/20 Rawat AJENG
835554 72,442 1 72,442
21 Jalan AN
FERI
22/03/20 Rawat
835355 ARIYAN 72,442 1 72,442
21 Jalan
TO. AN
ADI
27/03/20 Rawat
835700 SAHRIL . 72,442 1 72,442
21 Jalan
AN
EUIS
Ethambu Rawat
287 301 1/3/2021 834994 YULIANI 861 2 1,722
tol tab Inap
NY
NN INEU
2/3/2021 UMUM 0 826 45 37,170
/APS
TUTI
Rawat
2/3/2021 834823 NURLEL 861 11 9,471
Jalan
A NY
EUIS
Rawat
2/3/2021 834994 YULIANI 861 2 1,722
Inap
NY
EUIS
Rawat
3/3/2021 834994 YULIANI 861 2 1,722
Inap
NY
 EUIS
Rawat
4/3/2021 834994 YULIANI 860 2 1,720
Inap
NY
Rawat DADAN
4/3/2021 834438 860 36 30,960
Jalan G, TN
Rawat UNENG,
4/3/2021 5097 860 35 30,100
Jalan NY
Rawat RIANIKH
4/3/2021 835099 860 45 38,700
Jalan A SDR
EUIS
Rawat
5/3/2021 834994 YULIANI 860 8 6,880
Inap
NY
TUTI
Rawat
9/3/2021 834823 NURLEL 860 20 17,200
Jalan
A NY
EUIS
13/03/20 Rawat
834994 YULIANI 860 2 1,720
21 Inap
NY
EUIS
14/03/20 Rawat
834994 YULIANI 860 15 12,900
21 Inap
NY
NY IMAS
16/03/20
UMUM APS KOMARI 860 35 30,100
21
AH
EUIS
20/03/20 Rawat
834994 YULIANI 860 11 9,460
21 Jalan
NY
NENEN
20/03/20 Rawat G
832087 860 11 9,460
21 Jalan KARTIK
A, NY
EUIS
27/03/20 Rawat
834994 YULIANI 860 11 9,460
21 Jalan
NY
NENEN
27/03/20 Rawat G
832087 860 11 9,460
21 Jalan KARTIK
A, NY
27/03/20 Rawat DADAN
834438 860 45 38,700
21 Jalan G, TN
27/03/20 Rawat SARYA
835392 860 11 9,460
21 Jalan TN
Alprazola
Rawat SUHARA
288 31 m 1 mg 2/3/2021 833929 1,191 4 4,764
Jalan . TN
Tab
VIVIH
Rawat
2/3/2021 834834 NOVITA 1,191 4 4,764
Jalan
DEWI
 YAYAT
Rawat
2/3/2021 835197 SURYAT 1,191 2 2,382
Jalan
I, NY
BUDI
Rawat
4/3/2021 835296 HIDAYA 1,191 3 3,573
Jalan
T TN
EVI SITI
Rawat
4/3/2021 811994 NUR. 1,191 1 1,191
Inap
F,NY
Rawat ENDAH
4/3/2021 834905 1,191 4 4,764
Jalan J. NY
Rawat
4/3/2021 835295 ANIH NY 1,191 3 3,573
Jalan
AI
Rawat
5/3/2021 818735 JUARIA 1,191 4 4,764
Jalan
H, NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 1,191 1 1,191
Inap
NI . NN
SITI
Rawat
### 835233 MULYAT 1,191 3 3,573
Jalan
I NY
13/03/20 Rawat SAFRUD
824904 1,191 4 4,764
21 Jalan IN, TN
M
13/03/20 Rawat
835454 UHING 1,191 5 5,955
21 Jalan
TN
16/03/20 Rawat KARMO
835236 1,191 1 1,191
21 Inap TN
16/03/20 Rawat SAMLI,
811423 1,191 4 4,764
21 Jalan TN
18/03/20 Rawat KARYAT
833203 1,191 3 3,573
21 Jalan I,NY
18/03/20 Rawat
835295 ANIH NY 1,191 3 3,573
21 Jalan
18/03/20 Rawat SACI,
804839 1,191 4 4,764
21 Jalan NY
WIWIN
20/03/20 Rawat
834936 WINRIA 1,191 4 4,764
21 Jalan
TI NY
YAYAH
20/03/20 Rawat
822903 ROKAYA 1,191 3 3,573
21 Jalan
H, NY
ENGKIN
23/03/20 Rawat
835520 G AJIS . 1,191 7 8,337
21 Jalan
TN
 ANDA
27/03/20 Rawat
834672 WIHAND 1,191 2 2,382
21 Inap
A TN
27/03/20 Rawat
835719 EHA NY 1,191 5 5,955
21 Jalan
ADE
28/03/20 Rawat
835733 YUNEN 1,191 5 5,955
21 Jalan
GSIH NY
30/03/20 Rawat
835762 USIH NY 1,191 3 3,573
21 Jalan
Fargoxin Rawat SULAEM
289 317 4/3/2021 835173 507 7 3,549
Tab Jalan AN TN
ONIH
Rawat
9/3/2021 823215 MULYAN 507 30 15,210
Jalan
I, NY
21/03/20 Rawat SUKAES
807749 507 1 507
21 Inap IH. NY
NY
27/03/20
UMUM 0 ANAH/A 507 30 15,210
21
PS
30/03/20 Rawat SULAEM
835173 507 30 15,210
21 Jalan AN TN
Farsifen Rawat KASNAH
290 319 ### 835440 1,080 10 10,800
400 Tab Jalan . NY
AGUS
15/03/20 Rawat
835507 SUPRIA 1,080 10 10,800
21 Jalan
TNA TN

dr. Indra
16/03/20
K5 Bagus 1,080 10 10,800
21
Haryanto

20/03/20 Rawat KANDA.

835528 1,080 10 10,800
21 Jalan TN
25/03/20
K95 Haryono 1,080 10 10,800
21
26/03/20 Rawat YUYUM
835675 1,080 3 3,240
21 Inap NY
27/03/20 Rawat YUYUM
835675 1,080 2 2,160
21 Inap NY
28/03/20 Rawat YUYUM
835675 1,080 2 2,160
21 Inap NY
AMALIA
Ambeve 16/03/20 Rawat
291 32 835521 SHOHIF 1,947 10 19,470
n Caps 21 Jalan
AH . NN
Farsix Rawat IROH,
292 320 ### 835400 1,380 7 9,660
Tab Inap NY
20/03/20 Rawat CICIH
811043 1,380 5 6,900
21 Inap NY.
 JUJU
24/03/20 Rawat
835626 JUANI.N 1,513 10 15,130
21 Inap
Y
TOTOM
25/03/20 Rawat
835663 AMANDI 1,408 4 5,632
21 Jalan
PRAJA
25/03/20 Rawat ADAH.
835518 1,513 5 7,565
21 Inap NY
DEWI
26/03/20 Rawat KURNIA
835682 1,408 1 1,408
21 Jalan WATI.
NY
WOWO
27/03/20 Rawat
809923 SUGRIW 1,513 5 7,565
21 Inap
O.TN
27/03/20 Rawat
815940 DIDI, TN. 1,513 7 10,591
21 Jalan
ASMAR
27/03/20 Rawat
835702 YANTI.N 1,513 7 10,591
21 Jalan
Y
27/03/20 Rawat ANAH,
824473 1,513 30 45,390
21 Jalan NY
EUIS
27/03/20 Rawat
830311 RUKMIN 1,513 15 22,695
21 Jalan
I.NY
27/03/20 Rawat
835453 AMI NY 1,513 15 22,695
21 Jalan
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 1,513 1 1,513
21 Inap
MAN,
TN.
28/03/20 Rawat TAMAD.
835725 1,513 5 7,565
21 Inap TN
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 1,513 1 1,513
21 Inap
MAN,
TN.
TATI
29/03/20 Rawat
835664 ROSWA 1,408 5 7,040
21 Inap
TI
JUJU
30/03/20 Rawat
835626 JUANI.N 1,408 14 19,712
21 Jalan
Y
IDING
31/03/20 Rawat
835732 JAENUD 1,408 5 7,040
21 Inap
IN, TN
 31/03/20 Rawat UNENG,
5097 1,408 15 21,120
21 Inap NY
TINI
13/03/20 Rawat
293 321 Farsix inj 835417 HARTINI 9,721 1 9,721
21 Inap
. NY
21/03/20 Rawat SUKAES
807749 9,721 3 29,163
21 Inap IH. NY
21/03/20 Rawat HERMA
835580 9,721 2 19,442
21 Inap N TN
N. U.
22/03/20 Rawat
835522 UMAYA 9,721 1 9,721
21 Inap
H NY
22/03/20 Rawat UDIN.
835604 9,721 4 38,884
21 Inap TN
23/03/20 Rawat ADAH.
835518 9,721 2 19,442
21 Inap NY
ONDA
23/03/20 Rawat
835632 MUYAN 9,721 1 9,721
21 Inap
A. TN
NUNUN
23/03/20 Rawat G
835606 9,721 1 9,721
21 Inap KOMARI
AH. NY
JUJU
23/03/20 Rawat
835626 JUANI.N 9,721 3 29,163
21 Inap
Y
TATI
25/03/20 Rawat
835664 ROSWA 9,721 4 38,884
21 Inap
TI
WOWO
25/03/20 Rawat
809923 SUGRIW 9,721 1 9,721
21 Inap
O.TN
NUNUN
25/03/20 Rawat G
835606 9,185 1 9,185
21 Inap KOMARI
AH. NY
TATI
26/03/20 Rawat
835664 ROSWA 9,721 2 19,442
21 Inap
TI
ONDA
26/03/20 Rawat
835632 MUYAN 9,721 1 9,721
21 Inap
A. TN
WOWO
26/03/20 Rawat
809923 SUGRIW 9,721 1 9,721
21 Inap
O.TN
HJ
26/03/20 Rawat
835670 SUKARN 9,721 1 9,721
21 Inap
A TN
 HJ
26/03/20 Rawat
835670 SUKARN 9,721 1 9,721
21 Inap
A TN
SITI
27/03/20 Rawat
835704 RODIAH. 9,185 2 18,370
21 Inap
NY
27/03/20 Rawat UNENG,
5097 9,185 6 55,110
21 Inap NY
TATI
27/03/20 Rawat
835664 ROSWA 9,185 2 18,370
21 Inap
TI
27/03/20 Rawat
835659 YATI. NY 9,185 2 18,370
21 Inap
SITI
28/03/20 Rawat
835704 RODIAH. 9,185 1 9,185
21 Inap
NY
28/03/20 Rawat UNENG,
5097 9,185 6 55,110
21 Inap NY
TATI
28/03/20 Rawat
835664 ROSWA 9,185 2 18,370
21 Inap
TI
28/03/20 Rawat
835659 YATI. NY 9,185 2 18,370
21 Inap
28/03/20 Rawat TAMAD.
835725 9,185 1 9,185
21 Inap TN
29/03/20 Rawat UNENG,
5097 9,185 6 55,110
21 Inap NY
29/03/20 Rawat
835659 YATI. NY 9,185 1 9,185
21 Inap
SITI
29/03/20 Rawat
835704 RODIAH. 9,721 2 19,442
21 Inap
NY
IDING
29/03/20 Rawat
835732 JAENUD 9,721 1 9,721
21 Inap
IN, TN
30/03/20 Rawat RODIAH.
810604 6,250 1 6,250
21 Inap NY
SITI
30/03/20 Rawat
835704 RODIAH. 6,250 2 12,500
21 Inap
NY
RENI
30/03/20 Rawat
813579 ANDRIA 6,250 2 12,500
21 Inap
NA NY
30/03/20 Rawat ENTING,
835756 6,250 1 6,250
21 Inap NY
30/03/20 Rawat SAHNU
835764 6,250 1 6,250
21 Inap TN
 31/03/20 Rawat SAHNU
835764 6,250 4 25,000
21 Inap TN
31/03/20 Rawat RODIAH.
810604 6,250 1 6,250
21 Inap NY
31/03/20 Rawat UNENG,
5097 6,250 1 6,250
21 Inap NY
Farsorbi
Nani
294 322 d 5mg 3/3/2021 K42 340 2 680
Suryani
Tab
HARIS
Rawat
4/3/2021 835174 NASUTI 341 30 10,230
Jalan
ON TN
Rawat UNENG,
4/3/2021 5097 341 30 10,230
Jalan NY
SURYAN
Rawat
4/3/2021 835297 INGSIH 341 7 2,387
Jalan
NY
YANI
Rawat AHMAD
5/3/2021 835303 341 1 341
Jalan RIFAI.
TN
AHMAD
Rawat
5/3/2021 835179 HIDAYA 341 30 10,230
Jalan
T TN
Rawat TAJUDI
9/3/2021 824678 341 30 10,230
Jalan N, TN
Rawat AAN
9/3/2021 802456 341 10 3,410
Jalan UHA, TN
SURYAN
Rawat
### 835297 INGSIH 341 30 10,230
Jalan
NY
13/03/20 Rawat
814099 TATI.NY 341 30 10,230
21 Jalan
DOYOK
16/03/20 Rawat
817864 DARSO 341 30 10,230
21 Jalan
NO.TN
18/03/20 Rawat M.S.AFE
819241 341 30 10,230
21 Jalan NDI.TN
DADAN
18/03/20 Rawat G
832915 341 30 10,230
21 Jalan DJAYUS
MAN, TN
18/03/20 Rawat SACI,
804839 341 15 5,115
21 Jalan NY
18/03/20 Rawat
806813 IPIN, TN 341 10 3,410
21 Jalan
20/03/20 Rawat HIDAYA
805608 341 1 341
21 Inap T, TN
 21/03/20 Rawat HIDAYA
805608 341 1 341
21 Inap T, TN
SITI
27/03/20 Rawat
833037 ROHMA 341 30 10,230
21 Jalan
H
WOWO
27/03/20 Rawat
809923 SUGRIW 341 10 3,410
21 Inap
O.TN
28/03/20 Rawat AISYAH,
5158 341 10 3,410
21 Jalan NY
TAUFIK
Farmado Rawat
295 324 1/3/2021 835216 MAULAN 351 3 1,053
l Tab Inap
A SDR
Rawat RISNA
1/3/2021 835175 351 3 1,053
Inap SDR
AI
Rawat
1/3/2021 835232 SYARO 351 10 3,510
Jalan
H NY
YAYA
Rawat
1/3/2021 835079 SUNARY 351 3 1,053
Inap
A TN
ERI
Rawat RAHMA
1/3/2021 835239 351 3 1,053
Inap WATI.
NY
Rawat KARMO
1/3/2021 835236 351 3 1,053
Inap TN
CUCU
Rawat
1/3/2021 821971 HULASO 351 10 3,510
Inap
H, NY
IYAN
Rawat
1/3/2021 810553 MARYA 351 10 3,510
Inap
NI,NY
Rawat NUNUN
1/3/2021 835198 351 2 702
Inap G, NY
O
Rawat
1/3/2021 835252 KOMARI 351 10 3,510
Jalan
AH NY
EUIS
Rawat
1/3/2021 834994 YULIANI 351 3 1,053
Inap
NY
TAUFIK
Rawat
1/3/2021 835216 MAULAN 351 3 1,053
Inap
A SDR
Rawat KENI,
2/3/2021 821737 351 30 10,530
Jalan NY
 EUIS
Rawat
2/3/2021 834994 YULIANI 351 3 1,053
Inap
NY
Rawat RISNA
2/3/2021 835175 351 4 1,404
Inap SDR
Rawat NURJAM
2/3/2021 813400 351 1 351
Inap AN,TN
Rawat KARMO
2/3/2021 835236 351 3 1,053
Inap TN
YAYA
Rawat
2/3/2021 835079 SUNARY 351 3 1,053
Inap
A TN
TAUFIK
Rawat
2/3/2021 835216 MAULAN 351 3 1,053
Inap
A SDR
EVI SITI
Rawat
2/3/2021 811994 NUR. 351 3 1,053
Inap
F,NY
YAYA
Rawat
3/3/2021 835079 SUNARY 351 10 3,510
Inap
A TN
TAUFIK
Rawat
3/3/2021 835216 MAULAN 351 10 3,510
Inap
A SDR
EUIS
Rawat
3/3/2021 834994 YULIANI 351 3 1,053
Inap
NY
Rawat KARMO
3/3/2021 835236 351 3 1,053
Inap TN
EVI SITI
Rawat
3/3/2021 811994 NUR. 351 3 1,053
Inap
F,NY
SITI
Rawat MAEUM
3/3/2021 835284 351 3 1,053
Inap ANAH,
NY
Rawat ANIK.
3/3/2021 835230 351 10 3,510
Jalan NY
EUIS
Rawat
4/3/2021 834994 YULIANI 414 3 1,242
Inap
NY
AAN
Rawat
4/3/2021 830368 SUNEN 414 30 12,420
Jalan
GSIH NY
Rawat KARMO
4/3/2021 835236 414 3 1,242
Inap TN
 EVI SITI
Rawat
4/3/2021 811994 NUR. 414 3 1,242
Inap
F,NY
YAYA
Rawat
4/3/2021 817031 FIRDAU 414 3 1,242
Inap
S TN
SITI
Rawat MAEUM
4/3/2021 835284 414 3 1,242
Inap ANAH,
NY
EVI SITI
Rawat
5/3/2021 811994 NUR. 414 21 8,694
Inap
F,NY
Rawat SINTIA.
5/3/2021 835301 414 3 1,242
Inap NY
Rawat KARMO
5/3/2021 835236 414 3 1,242
Inap TN
YAYA
Rawat
5/3/2021 817031 FIRDAU 414 3 1,242
Inap
S TN
Meilita
5/3/2021 K43 414 10 4,140
Nurfajrin
Rawat SINTIA.
5/3/2021 835301 414 3 1,242
Inap NY
Rawat ROHMI
6/3/2021 835330 414 10 4,140
Jalan NY
Rawat NUNUN
6/3/2021 835338 414 3 1,242
Inap G K, NY
Rawat SINTIA.
6/3/2021 835301 414 3 1,242
Inap NY
SITI
Rawat MAEUM
6/3/2021 835284 414 2 828
Inap ANAH,
NY
LILIS
Rawat
6/3/2021 823790 SURYAN 414 3 1,242
Inap
I.NY
CITRA
Rawat
6/3/2021 816881 MUFIDA 414 10 4,140
Jalan
H, NN.
Rawat ENOS,
6/3/2021 801989 414 3 1,242
Inap TN
LILIS
Rawat
6/3/2021 823790 SURYAN 414 3 1,242
Inap
I.NY
Pasien
6/3/2021 UMUM 0 414 10 4,140
Umum
 IDA
Rawat
6/3/2021 820069 ROSIDA. 414 1 414
Jalan
NY
SALSABI
Rawat LA
6/3/2021 835329 414 10 4,140
Jalan AZZAHR
A NN
Rawat KARMO
6/3/2021 835236 414 10 4,140
Inap TN
M AMRI
FURQO
Rawat
7/3/2021 835349 N AL 414 10 4,140
Jalan
AKBAR .
SDR
Pasien
7/3/2021 UMUM 0 414 10 4,140
Umum
AI
Rawat
7/3/2021 821381 KARWA 414 10 4,140
Jalan
TI.NY
ENDAN
Rawat G
7/3/2021 835339 414 3 1,242
Inap SETIAW
AN. TN
Rawat NUNUN
7/3/2021 835338 414 3 1,242
Inap G K, NY
Rawat ENOS,
7/3/2021 801989 414 3 1,242
Inap TN
LILIS
Rawat
7/3/2021 823790 SURYAN 414 3 1,242
Inap
I.NY
JUASIH
Rawat
7/3/2021 835343 KARNES 414 10 4,140
Jalan
IH. NY
AI
Rawat
7/3/2021 3483 UNENG 414 10 4,140
Jalan
SIH, NY
OBAR
Rawat
7/3/2021 835347 SUHEN 414 10 4,140
Jalan
DI. TN
NITA
Rawat
7/3/2021 835348 ASTUTI. 414 10 4,140
Jalan
NY
TITA
Rawat
9/3/2021 835383 MARYAT 414 3 1,242
Inap
I. NY

Yana
### K75 414 10 4,140
Gustiana
28/03/20 Rawat YUYUM
835643 434 10 4,340
21 Inap NY

MANSU
29/03/20 Rawat
835742 R SUGIH 423 10 4,230
21 Jalan
TN

VITRIA
29/03/20 Rawat FATMA
835750 423 3 1,269
21 Inap WATI .
NY
29/03/20 Rawat RIFAL
835674 434 10 4,340
21 Inap SDR
IMAS
29/03/20 Rawat
827623 MULYAN 434 3 1,302
21 Inap
I, NY
SITI
29/03/20 Rawat
835704 RODIAH. 423 3 1,269
21 Inap
NY
UYUN
29/03/20 Rawat
835729 MULYAN 423 3 1,269
21 Inap
A . TN
29/03/20 Rawat ENDAN
835708 423 3 1,269
21 Inap G TN
AHMAT
30/03/20 Rawat
835759 MULADI. 423 10 4,230
21 Jalan
TN
30/03/20 Rawat RODIAH.
810604 434 3 1,302
21 Inap NY
30/03/20 Rawat ENDAN
835708 423 10 4,230
21 Jalan G TN
SITI
30/03/20 Rawat
835704 RODIAH. 423 3 1,269
21 Inap
NY
A
30/03/20 Rawat
835751 SUTISN 423 3 1,269
21 Inap
A. TN
30/03/20 Rawat USMI,
5908 434 3 1,302
21 Inap NY
ENTIN
30/03/20 Rawat
835780 HARTIT 434 10 4,340
21 Jalan
A,NY
HENHE
30/03/20 Rawat N
835779 434 10 4,340
21 Jalan ROHEN
DI. TN
KARIN
30/03/20 Rawat
835781 AGUSTI 434 10 4,340
21 Jalan
N, NN
 IMAS
30/03/20 Rawat
827623 MULYAN 423 3 1,269
21 Inap
I, NY
A
30/03/20 Rawat
835751 SUTISN 423 3 1,269
21 Inap
A. TN
WINDY
30/03/20 Rawat
835718 WIDURI. 434 1 434
21 Inap
AN
WINDY
30/03/20 Rawat
835718 WIDURI. 434 10 4,340
21 Inap
AN
VITRIA
30/03/20 Rawat FATMA
835750 423 3 1,269
21 Inap WATI .
NY
HJ
30/03/20 Rawat
835648 CECEP . 423 3 1,269
21 Inap
TN
31/03/20 Rawat NONOK.
835612 434 10 4,340
21 Jalan NY
IMAS
31/03/20 Rawat
827623 MULYAN 434 3 1,302
21 Inap
I, NY
31/03/20 Rawat RUSMIA
835801 434 3 1,302
21 Inap TI NY
VITRIA
31/03/20 Rawat FATMA
835750 434 10 4,340
21 Inap WATI .
NY
UYUN
31/03/20 Rawat
835729 MULYAN 434 1 434
21 Inap
A . TN
SITI
31/03/20 Rawat
835704 RODIAH. 434 10 4,340
21 Inap
NY
HJ
31/03/20 Rawat
835783 NUNUN 434 3 1,302
21 Inap
G. NY
A
31/03/20 Rawat
835751 SUTISN 434 3 1,302
21 Inap
A. TN
31/03/20 Rawat RODIAH.
810604 434 3 1,302
21 Inap NY
NANI
31/03/20 Rawat
835706 NURJAN 434 10 4,340
21 Inap
AH. NY
 31/03/20 Rawat USMI,
5908 434 3 1,302
21 Inap NY
FADHIL
31/03/20 Rawat
835796 AKRAM 434 3 1,302
21 Inap
SDR
HJ
31/03/20 Rawat
835783 NUNUN 434 3 1,302
21 Inap
G. NY
UYUN
31/03/20 Rawat
835729 MULYAN 434 10 4,340
21 Inap
A . TN
ZAHRA
Fentanyl Rawat
296 331 2/3/2021 835251 DEWANI 55,019 1 55,019
Inj Jalan
NY
FG H
Rawat
297 333 TROCH 2/3/2021 835215 HASAN 1,608 10 16,080
Inap
ES TN
Pasien
4/3/2021 UMUM 0 1,608 10 16,080
Umum
Pasien
5/3/2021 UMUM 0 1,608 10 16,080
Umum
NANAN
Rawat G
8/3/2021 812757 1,608 10 16,080
Jalan SUPRIA
TNA, TN
Pasien
### UMUM 0 1,608 10 16,080
Umum
26/03/20 Pasien
UMUM 0 1,608 20 32,160
21 Umum
ENUNG
Ambroxo 17/03/20 Rawat
298 34 820620 JUARIA 12,500 1 12,500
l Syr 21 Jalan
H. NY
WIDIA
18/03/20 Rawat
831683 APRILIA 12,500 1 12,500
21 Jalan
AN
21/03/20 Rawat HIBAN
835583 12,375 1 12,375
21 Jalan AN
Flunarizi NANDI
Rawat
299 340 ne 5 Mg 1/3/2021 835204 SONJAY 2,695 1 2,695
Inap
Tab A. TN
CUCU
Rawat
2/3/2021 835219 LISNAW 2,695 1 2,695
Inap
ATI NY
CUCU
Rawat
2/3/2021 835219 LISNAW 2,695 7 18,865
Inap
ATI NY
 SALSABI
Rawat LA
6/3/2021 835329 2,695 5 13,475
Jalan AZZAHR
A NN
AJIE
Rawat
7/3/2021 835345 SUBARN 2,695 10 26,950
Jalan
A. TN
Rawat JURAEJI
8/3/2021 827464 2,695 2 5,390
Inap N, TN
Rawat
8/3/2021 806591 EEN. NY 2,695 1 2,695
Inap
Rawat
9/3/2021 806591 EEN. NY 2,695 5 13,475
Inap
Rawat JURAEJI
9/3/2021 827464 2,695 2 5,390
Inap N, TN
Rawat JURAEJI
### 827464 2,695 2 5,390
Inap N, TN
Rawat ALEH
### 832129 2,695 7 18,865
Jalan TN
H.
Rawat TATANG
### 831377 2,695 1 2,695
Inap TARYON
O, TN
HJ. SITI
Rawat
### 4433 SOPIAH, 2,695 10 26,950
Inap
NY
Pasien
### UMUM 0 2,695 2 5,390
Umum
H.
Rawat TATANG
### 831377 2,695 1 2,695
Inap TARYON
O, TN
EPON
13/03/20 Rawat
833133 ROHAY 2,695 7 18,865
21 Jalan
ATI NY

13/03/20 Rawat ASEP

835461 2,695 10 26,950
21 Jalan EDO. TN

TATI
14/03/20 Rawat
835463 WARSITI 2,695 1 2,695
21 Inap
. NY
TATI
15/03/20 Rawat
835463 WARSITI 2,695 5 13,475
21 Inap
. NY
NANA
15/03/20 Rawat
835475 TARYAN 2,695 1 2,695
21 Inap
A. TN
 NANA
16/03/20 Rawat
835475 TARYAN 2,695 1 2,695
21 Inap
A. TN
NANA
17/03/20 Rawat
835475 TARYAN 2,695 5 13,475
21 Inap
A. TN
18/03/20 Rawat ROKAYA
835481 2,695 1 2,695
21 Inap H NY
19/03/20 Rawat ROKAYA
835481 2,695 1 2,695
21 Inap H NY
N. U.
19/03/20 Rawat
835522 UMAYA 2,695 1 2,695
21 Inap
H NY
19/03/20 Rawat KOSIDIN
835556 2,695 10 26,950
21 Jalan NY
20/03/20 Rawat SUNAMI
833478 2,695 7 18,865
21 Jalan NY
ENNY
20/03/20 Rawat
825663 YUSNIT 2,695 5 13,475
21 Jalan
A, NY

EUIS
20/03/20 Rawat
816988 NURLAE 2,695 7 18,865
21 Jalan
LA . NY

N. U.
20/03/20 Rawat
835522 UMAYA 2,695 1 2,695
21 Inap
H NY
20/03/20 Rawat ROKAYA
835481 2,695 1 2,695
21 Inap H NY
DANA
21/03/20 Rawat
835590 SUJATN 2,695 1 2,695
21 Inap
A, TN
N. U.
21/03/20 Rawat
835522 UMAYA 2,695 1 2,695
21 Inap
H NY

MALA
21/03/20 Rawat
835594 KOMALA 2,695 1 2,695
21 Inap
SARI NY

N. U.
22/03/20 Rawat
835522 UMAYA 2,695 1 2,695
21 Inap
H NY

MALA
22/03/20 Rawat
835594 KOMALA 2,695 1 2,695
21 Inap
SARI NY
 LUKMAN
23/03/20 Rawat
835614 HAKIM 2,695 1 2,695
21 Inap
TN

MALA
23/03/20 Rawat
835594 KOMALA 2,695 1 2,695
21 Inap
SARI NY

MALA
23/03/20 Rawat
835594 KOMALA 2,695 1 2,695
21 Inap
SARI NY

MALA
24/03/20 Rawat
835594 KOMALA 2,695 5 13,475
21 Inap
SARI NY

HJ
26/03/20 Rawat
835670 SUKARN 2,695 1 2,695
21 Inap
A TN
UPIT
28/03/20 Rawat
835720 SARIMA 2,695 10 26,950
21 Jalan
NAH, NY
NANA
31/03/20 Rawat
835799 SURYAN 2,695 1 2,695
21 Inap
A. TN
Folac Rawat KANAR
300 341 1/3/2021 835231 1,122 2 2,244
Tab Inap TN
Rawat KARMO
1/3/2021 835236 1,122 2 2,244
Inap TN
DEVI
Rawat
2/3/2021 835256 FITRIYA 1,122 15 16,830
Jalan
NI NY
Rawat KANAR
2/3/2021 835231 1,122 10 11,220
Inap TN
Rawat KARMO
2/3/2021 835236 1,122 2 2,244
Inap TN
Rawat KARMO
3/3/2021 835236 1,122 2 2,244
Inap TN
Rawat KARMO
4/3/2021 835236 1,122 1 1,122
Inap TN
YAYA
Rawat
4/3/2021 817031 FIRDAU 1,122 1 1,122
Inap
S TN
Rawat ENES.
4/3/2021 835133 1,122 7 7,854
Jalan NY
NY
Rawat KOMALA
5/3/2021 835310 1,122 15 16,830
Jalan SUCI
RANI
 DEWI
Rawat
5/3/2021 830783 ANDRIA 1,122 15 16,830
Jalan
NI NY
Rawat NURLAE
5/3/2021 835315 1,122 15 16,830
Jalan LA NY
Rawat KARMO
5/3/2021 835236 1,122 2 2,244
Inap TN
YAYA
Rawat
5/3/2021 817031 FIRDAU 1,122 1 1,122
Inap
S TN
YAYA
Rawat
5/3/2021 817031 FIRDAU 1,122 5 5,610
Inap
S TN
DEWI
Rawat
5/3/2021 835312 ASTUTI 1,122 15 16,830
Jalan
NY
EVA
Rawat
5/3/2021 835313 MELINA 1,122 15 16,830
Jalan
NY
SANTIK
Rawat A
5/3/2021 835306 1,122 15 16,830
Jalan ROHMA
H NY
SITI
Rawat
5/3/2021 835307 NURAE 1,122 15 16,830
Jalan
DAH NY
Rawat KARMO
6/3/2021 835236 1,122 5 5,610
Inap TN
DIAH
Rawat YAYAH
7/3/2021 835340 1,122 2 2,244
Inap ROKAYA
H. NY
AJAT
Rawat
7/3/2021 835341 SUDRAJ 1,122 10 11,220
Jalan
AT. TN
DIAH
Rawat YAYAH
8/3/2021 835340 1,122 10 11,220
Inap ROKAYA
H. NY
Rawat AWIS,
8/3/2021 816633 1,122 1 1,122
Inap NY
Rawat AWIS,
9/3/2021 816633 1,122 7 7,854
Inap NY
13/03/20 Rawat KARMO
835236 1,122 1 1,122
21 Inap TN
14/03/20 Rawat KARMO
835236 1,122 1 1,122
21 Inap TN
14/03/20 Rawat ENES
835469 1,122 1 1,122
21 Inap NY
UAR
14/03/20 Rawat
835466 WARSIT 1,122 1 1,122
21 Inap
A. TN
UAR
14/03/20 Rawat
835466 WARSIT 1,122 1 1,122
21 Inap
A. TN
15/03/20 Rawat ENES
835469 1,122 1 1,122
21 Inap NY
UAR
15/03/20 Rawat
835466 WARSIT 1,122 5 5,610
21 Inap
A. TN
15/03/20 Rawat KARMO
835236 1,122 1 1,122
21 Inap TN
RANI
19/03/20 Rawat
832058 RAHAYU 1,375 20 27,500
21 Jalan
, NY
TINA
19/03/20 Rawat
803259 WINARS 1,375 20 27,500
21 Jalan
IH, NY

WIWIN
19/03/20 Rawat
832828 NURJAM 1,375 20 27,500
21 Jalan
ILAH NY

IIS
19/03/20 Rawat
835560 INDRIAH 1,375 20 27,500
21 Jalan
NY
SILVIAN
19/03/20 Rawat
823195 A DEWI. 1,375 20 27,500
21 Jalan
NY
21/03/20 Rawat WANGSI
835588 1,402 1 1,402
21 Inap H, NY
SELLY
22/03/20 Rawat DESTIA
835610 1,375 15 20,625
21 Jalan NINGRU
M. NY
22/03/20 Rawat NINING
835595 1,402 1 1,402
21 Inap NY
22/03/20 Rawat HERMA
835580 1,375 1 1,375
21 Inap N TN
22/03/20 Rawat NINING
835595 1,402 1 1,402
21 Inap NY
22/03/20 Rawat UDIN.
835604 1,375 3 4,125
21 Inap TN
23/03/20 Rawat UDIN.
835604 1,375 10 13,750
21 Inap TN
23/03/20 Rawat NINING
835595 1,375 1 1,375
21 Inap NY
23/03/20 Rawat WANGSI
835588 1,375 5 6,875
21 Inap H, NY
23/03/20 Rawat HERMA
835580 1,375 5 6,875
21 Inap N TN
NUNUN
23/03/20 Rawat G
835606 1,375 1 1,375
21 Inap KOMARI
AH. NY
24/03/20 Pasien
UMUM 0 1,402 10 14,020
21 Umum
24/03/20 Rawat NINING
835595 1,402 5 7,010
21 Inap NY
NUNUN
25/03/20 Rawat G
835606 1,402 5 7,010
21 Inap KOMARI
AH. NY
GHINA
25/03/20 Rawat
835291 FAUZIY 1,402 20 28,040
21 Jalan
YAH NY
25/03/20 Rawat MAYASI
832681 1,402 15 21,030
21 Jalan TA NN
YANI
25/03/20 Rawat
835653 SURYAN 1,402 20 28,040
21 Jalan
I. NY
25/03/20 Rawat YUYUN,
835041 1,402 15 21,030
21 Jalan NY
26/03/20 Rawat ANISAH
835673 1,402 15 21,030
21 Jalan NY
LISNA
26/03/20 Rawat NURHA
835680 1,402 15 21,030
21 Jalan SANAH.
NY
IMAS
26/03/20 Rawat
835681 NRSARI. 1,402 10 14,020
21 Jalan
NY
NY SITI
27/03/20
UMUM 0 ROHMA 1,320 30 39,600
21
H/APS
SITI
27/03/20 Rawat
835704 RODIAH. 1,375 2 2,750
21 Inap
NY
Deni
27/03/20
K46 Abdul 1,375 30 41,250
21
Ghani
 HENDI
27/03/20 Rawat
833665 SUHEN 1,375 25 34,375
21 Jalan
DI TN
SITI
28/03/20 Rawat
835704 RODIAH. 1,375 3 4,125
21 Inap
NY
RENI
29/03/20 Rawat
813579 ANDRIA 1,402 2 2,804
21 Inap
NA NY
RIRIN
29/03/20 Rawat
835743 YULIAN 1,402 15 21,030
21 Jalan
NY

SAFIRA
29/03/20 Rawat
835744 KOMALA 1,402 15 21,030
21 Jalan
SARI NY

ADELIA
29/03/20 Rawat
835119 CAHYAT 1,402 10 14,020
21 Jalan
I NY
IDING
29/03/20 Rawat
835732 JAENUD 1,402 1 1,402
21 Inap
IN, TN
SITI
30/03/20 Rawat
835704 RODIAH. 1,402 3 4,206
21 Inap
NY
IDING
30/03/20 Rawat
835732 JAENUD 1,402 1 1,402
21 Inap
IN, TN
30/03/20 Rawat SAHNU
835764 1,402 1 1,402
21 Inap TN
SITI
31/03/20 Rawat
835704 RODIAH. 1,402 10 14,020
21 Inap
NY
IDING
31/03/20 Rawat
835732 JAENUD 1,402 5 7,010
21 Inap
IN, TN
31/03/20 Rawat SAHNU
835764 1,402 1 1,402
21 Inap TN
RENI
31/03/20 Rawat
813579 ANDRIA 1,402 5 7,010
21 Inap
NA NY
Folley UAR
14/03/20 Rawat
301 344 Catheter 835466 WARSIT 13,314 1 13,314
21 Inap
No. 8 A. TN
Folley
13/03/20 Rawat RUKMIN
302 348 Catheter 835465 10,829 1 10,829
21 Jalan I. NY
No. 16
 UAR
14/03/20 Rawat
835466 WARSIT 10,829 1 10,829
21 Inap
A. TN
15/03/20 Rawat ENES
835469 10,829 1 10,829
21 Inap NY
27/03/20 Rawat UNENG,
5097 10,829 1 10,829
21 Inap NY
Folley
21/03/20 Rawat SUKAES
303 349 Catheter 807749 11,256 1 11,256
21 Inap IH. NY
No. 18
21/03/20 Rawat WANGSI
835588 11,256 1 11,256
21 Inap H, NY
LUKMAN
23/03/20 Rawat
835614 HAKIM 11,256 1 11,256
21 Inap
TN
Amiclav Rawat SUPRI.
304 35 ### 835403 16,896 3 50,688
Tab Inap TN
Fosicol
Rawat FALISHA
305 358 125mg 2/3/2021 834066 45,341 1 45,341
Jalan , AN
Syr
Meilita
4/3/2021 K43 45,341 1 45,341
Nurfajrin
MUHAM
MAD
30/03/20 Rawat HAFIZH
828235 45,341 1 45,341
21 Jalan AS -
SIDIQ
AN
Furosemi Rawat IROH,
306 360 ### 835400 4,860 2 9,720
d inj Inap NY
Furosemi Rawat
307 361 1/3/2021 835230 ANI. NY 193 5 965
d Tab Jalan
Rawat KENI,
2/3/2021 821737 193 15 2,895
Jalan NY
DIDI
Rawat
2/3/2021 821435 PANDI, 193 15 2,895
Jalan
TN
Rawat ENAH
4/3/2021 835172 273 30 8,190
Jalan NY
HARIS
Rawat
4/3/2021 835174 NASUTI 273 15 4,095
Jalan
ON TN
Rawat UNENG,
4/3/2021 5097 273 30 8,190
Jalan NY
Rawat SULAEM
4/3/2021 835173 273 4 1,092
Jalan AN TN
Rawat ENES.
4/3/2021 835133 273 7 1,911
Jalan NY
 SURYAN
Rawat
4/3/2021 835297 INGSIH 273 4 1,092
Jalan
NY
N.MS.
Rawat
5/3/2021 835200 DJUBAE 273 15 4,095
Jalan
DAH
CECEP
Rawat
9/3/2021 824992 TAUPIK, 273 15 4,095
Jalan
TN
Rawat SUKAES
9/3/2021 818170 273 30 8,190
Jalan IH,NY
YATI
Rawat
9/3/2021 835055 WARIAH 273 15 4,095
Jalan
. NY
Rawat ELIA ,
9/3/2021 826600 273 15 4,095
Jalan NY
Rawat TAJUDI
9/3/2021 824678 273 15 4,095
Jalan N, TN
LINA
Rawat
9/3/2021 834609 HARLIN 273 7 1,911
Jalan
A, NY
Rawat SOLIHA
9/3/2021 826317 273 15 4,095
Jalan H, NY
Rawat AANG
9/3/2021 835389 273 7 1,911
Jalan NY
SAEFUL
Rawat
9/3/2021 835220 HUDAYA 273 7 1,911
Jalan
TN
Rawat UNASIH
9/3/2021 832206 273 15 4,095
Jalan NY
Rawat ISEM,
9/3/2021 835101 273 7 1,911
Jalan NY
Rawat AAN
9/3/2021 802456 273 7 1,911
Jalan UHA, TN
Rawat ENIR.
9/3/2021 834610 273 15 4,095
Jalan NY
DINI
Rawat
9/3/2021 835267 KHAERA 273 15 4,095
Jalan
NI. NY
Rawat NINING
9/3/2021 835192 273 4 1,092
Jalan NY
Rawat
9/3/2021 830855 ISAH NY 273 15 4,095
Jalan
Rawat SULAEM
### 835173 193 15 2,895
Jalan AN TN
Rawat ENES.
### 835133 193 7 1,351
Jalan NY
13/03/20 Rawat SAFRUD
824904 273 15 4,095
21 Jalan IN, TN
EPON
13/03/20 Rawat
833133 ROHAY 273 30 8,190
21 Jalan
ATI NY
OMAN
13/03/20 Rawat
831629 ROHAN 273 30 8,190
21 Jalan
A, TN
13/03/20 Rawat ROKASA
811153 273 15 4,095
21 Jalan H, NY
M
13/03/20 Rawat
835454 UHING 273 7 1,911
21 Jalan
TN
13/03/20 Rawat
814099 TATI.NY 273 15 4,095
21 Jalan
TINI
15/03/20 Rawat
835417 HARTINI 273 5 1,365
21 Inap
. NY
16/03/20 Rawat NUNUN
835338 273 14 3,822
21 Jalan G K, NY
ENI
16/03/20 Rawat
835513 SUKMA 273 7 1,911
21 Jalan
ENI. NY
16/03/20 Rawat SAMLI,
811423 273 30 8,190
21 Jalan TN
CUCU
16/03/20 Rawat SUSILA
835176 273 7 1,911
21 Jalan WATI,
NY
16/03/20 Rawat ENES
835469 273 5 1,365
21 Inap NY
MAMAH
16/03/20 Rawat
832050 WARYA 273 15 4,095
21 Jalan
MAH NY
16/03/20 Rawat ADAH.
835518 273 7 1,911
21 Jalan NY
NUNUN
G
17/03/20 Rawat
835479 HERMA 273 5 1,365
21 Inap
WATI,
NY
YAYA
18/03/20 Rawat
835079 SUNARY 273 7 1,911
21 Jalan
A TN
18/03/20 Rawat M.S.AFE
819241 273 15 4,095
21 Jalan NDI.TN
 A
18/03/20 Rawat HENDA
813308 273 15 4,095
21 Jalan MULYAN
A TN.
OOM
18/03/20 Rawat
814564 KOMAN 273 30 8,190
21 Jalan
AH, NY
18/03/20 Rawat
835295 ANIH NY 273 4 1,092
21 Jalan
18/03/20 Rawat
835546 EHA NY 273 4 1,092
21 Jalan
DADAN
18/03/20 Rawat G
832915 273 7 1,911
21 Jalan DJAYUS
MAN, TN
18/03/20 Rawat
835540 PI'I .TN 273 10 2,730
21 Jalan
18/03/20 Rawat
835453 AMI NY 273 5 1,365
21 Jalan
NURAL
18/03/20 Rawat MIRA
835511 273 2 546
21 Jalan AUINI,
AN
20/03/20 Rawat SARYA
835392 273 7 1,911
21 Jalan TN
ENNY
20/03/20 Rawat
825663 YUSNIT 273 15 4,095
21 Jalan
A, NY
20/03/20 Rawat ANAH
835474 273 7 1,911
21 Jalan NY
LINA
23/03/20 Rawat
834609 HARLIN 273 5 1,365
21 Jalan
A, NY
YATI
23/03/20 Rawat
835055 WARIAH 273 15 4,095
21 Jalan
. NY
SAEFUL
23/03/20 Rawat
835220 HUDAYA 273 30 8,190
21 Jalan
TN
ONDA
24/03/20 Rawat
835632 MUYAN 273 1 273
21 Inap
A. TN
NUNUN
24/03/20 Rawat G
835606 273 1 273
21 Inap KOMARI
AH. NY
24/03/20 Rawat ADAH.
835518 273 2 546
21 Inap NY
 NUNUN
25/03/20 Rawat G
835606 273 5 1,365
21 Inap KOMARI
AH. NY
KARTINI
25/03/20 Rawat DANUMI
832778 273 10 2,730
21 Jalan HARDJA
NY
DARPIT
25/03/20 Rawat
835655 ROHIDU 273 1 273
21 Inap
N. TN
25/03/20 Rawat SOLIH.
828739 273 15 4,095
21 Jalan TN
25/03/20 Rawat
835659 YATI. NY 273 4 1,092
21 Jalan
YAYA
25/03/20 Rawat
835079 SUNARY 273 7 1,911
21 Jalan
A TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 273 1 273
21 Inap
N. TN
DARPIT
27/03/20 Rawat
835655 ROHIDU 273 1 273
21 Inap
N. TN
Gentami ny
308 368 1/3/2021 UMUM 0 4,030 1 4,030
cin cr ecih /aps
DEVAN
Rawat ANGGA
2/3/2021 835081 4,030 1 4,030
Jalan STAZAE
LANI BY
AZKA
Rawat
4/3/2021 834858 ALIVIA. 4,030 1 4,030
Jalan
BY

ALRADY
A
23/03/20 Rawat MAHAB
830769 8,085 1 8,085
21 Inap BATAN
LUVINA
TIKA. AN

TATI
29/03/20 Rawat
835664 ROSWA 8,085 1 8,085
21 Inap
TI
Genoint Rawat YULIN
309 372 3/3/2021 834209 10,325 1 10,325
SM Jalan NY
Asep
19/03/20
K56 Sunanda 10,325 1 10,325
21
r
 Glimepiri
Rawat HERYAD
310 374 d 2mg 1/3/2021 820597 1,935 1 1,935
Inap I, TN
Tab
Rawat CAHYAT
2/3/2021 822342 1,935 7 13,545
Jalan I.NY
LILIS
Rawat
6/3/2021 823790 SURYAN 1,935 1 1,935
Inap
I.NY
LILIS
Rawat
7/3/2021 823790 SURYAN 1,935 1 1,935
Inap
I.NY
EEM
14/03/20 Rawat
831825 SUKAE 1,935 1 1,935
21 Inap
MI. NY
EEM
15/03/20 Rawat
831825 SUKAE 1,935 1 1,935
21 Inap
MI. NY
EEM
16/03/20 Rawat
831825 SUKAE 1,935 5 9,675
21 Inap
MI. NY
21/03/20 Rawat HERMA
835580 1,935 1 1,935
21 Inap N TN

AZIS
22/03/20 Rawat RUHIAT
824516 2,269 1 2,269
21 Inap SUPRIA
TNA . TN

NY EEM
23/03/20
UMUM APS SUKAE 2,178 30 65,340
21
MI
NY
25/03/20
UMUM 0 SUMYAT 2,224 15 33,360
21
I/APS
25/03/20
UMUM APS ny mimin 2,224 30 66,720
21
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 2,224 1 2,224
21 Inap
MAN,
TN.

SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 2,224 1 2,224
21 Inap
MAN,
TN.
 SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 2,224 1 2,224
21 Inap
MAN,
TN.
30/03/20 Rawat
832776 TATI NY 2,224 15 33,360
21 Jalan
Glimepiri
TN
311 375 d 3mg 9/3/2021 UMUM APS 2,586 30 77,580
CECEP
Tab
DADAN
18/03/20 Rawat G
832915 2,586 10 25,860
21 Jalan DJAYUS
MAN, TN
TN
20/03/20
UMUM 0 NONO/A 2,586 30 77,580
21
PS
Glimepiri
312 376 d 4mg 2/3/2021 UMUM APS NY ATIN 3,448 15 51,720
Tab
Ny
4/3/2021 UMUM APS 3,448 15 51,720
Rokasih
4/3/2021 UMUM APS Ny Tati 3,448 15 51,720
UNAY
Rawat
7/3/2021 802318 SUNARY 3,448 5 17,240
Jalan
A, TN
Rawat CAHYAT
9/3/2021 822342 3,448 15 51,720
Jalan I.NY
UUN
Rawat
9/3/2021 835337 UNASIH, 3,448 4 13,792
Jalan
NY
NY.
16/03/20
UMUM 0 UUN/AP 3,448 15 51,720
21
S

YATI
20/03/20 Rawat
835577 KURNIA 3,448 1 3,448
21 Inap
WATI NY

20/03/20 Rawat ILAH

828787 3,448 7 24,136
21 Jalan HAYATI
NY
20/03/20
UMUM 0 ILAH/AP 3,448 23 79,304
21
S
25/03/20
UMUM APS tn solih 3,448 30 103,440
21
26/03/20 Rawat RUSTA,
2579 3,448 1 3,448
21 Inap TN
 27/03/20 Rawat RUSTA,
811999 3,448 1 3,448
21 Inap TN
28/03/20 Rawat RUSTA,
811999 3,448 10 34,480
21 Inap TN

Glucosa IDA
Rawat
313 377 min 500 1/3/2021 835234 NURFAR 3,448 15 51,720
Jalan
Tab IDA. NY

Pasien
5/3/2021 UMUM 0 3,448 10 34,480
Umum
13/03/20 Pasien
UMUM 0 3,448 10 34,480
21 Umum
AMRIN
Gracef 14/03/20 Rawat
314 378 835462 SOBANA 275,968 2 551,936
Injk 21 Inap
TN
TITI
16/03/20 Rawat
835508 SURYAN 275,968 1 275,968
21 Inap
I NY

YATI
21/03/20 Rawat
835577 KURNIA 275,968 1 275,968
21 Inap
WATI NY

MAULAN
Amoxicilli
Rawat A
315 38 n tab 4/3/2021 835287 962 14 13,468
Jalan YUSUF .
500mg
TN
Pasien
6/3/2021 UMUM 0 962 10 9,620
Umum
Pasien
8/3/2021 UMUM 0 962 10 9,620
Umum
ANDRI
Rawat RUDIAN
9/3/2021 835388 962 10 9,620
Jalan SYAH
SDR
Rawat SUPRI.
### 835403 962 3 2,886
Inap TN
Pasien
### UMUM 0 962 10 9,620
Umum
Rawat SUPRI.
### 835403 962 10 9,620
Inap TN
TN
20/03/20
UMUM 0 SARYA/ 962 15 14,430
21
APS
20/03/20 Rawat NINING
835192 962 15 14,430
21 Jalan NY
 CUCU
Gracivas 16/03/20 Rawat SUSILA
316 381 835176 13,799 7 96,593
k 10 mg 21 Jalan WATI,
NY
17/03/20 Rawat OTONG,
801478 13,799 5 68,995
21 Jalan TN
25/03/20 Rawat ADAH.
835518 13,799 5 68,995
21 Inap NY
DEWI
26/03/20 Rawat KURNIA
835682 13,799 10 137,990
21 Jalan WATI.
NY
26/03/20 Rawat YATNI
835642 13,799 10 137,990
21 Inap NY
ZAHRA
Grafix Rawat
317 382 1/3/2021 835251 DEWANI 2,415 10 24,150
tab Jalan
NY
EUIS
Rawat
3/3/2021 831017 KURAES 2,415 10 24,150
Jalan
IN.NY
Rawat YULIN
3/3/2021 834209 2,415 10 24,150
Jalan NY
Rawat LILIS,NN
4/3/2021 835293 2,415 10 24,150
Jalan Y
TETI
Rawat
5/3/2021 835063 TRIAWA 2,415 10 24,150
Jalan
TI. NY
24/03/20 Pasien
UMUM 0 2,415 6 14,490
21 Umum
ANITA
25/03/20 Rawat
835660 WULAN 2,415 10 24,150
21 Jalan
DARI NY
29/03/20 Rawat YAYA.
835736 2,415 10 24,150
21 Jalan TN
AGUS
31/03/20 Rawat
835805 DENI. 2,415 10 24,150
21 Jalan
TN
Graphala
Rawat IROH,
318 385 c Syr ### 835400 82,791 1 82,791
Inap NY
120 ml
Rawat KARLI
### 835418 82,791 1 82,791
Jalan TN
THIA
17/03/20 Rawat
829611 MAULAN 82,791 1 82,791
21 Jalan
A. TN
 Hansapl
20/03/20 Pasien
319 391 ast roll UMUM 0 3,478 1 3,478
21 Umum
1,25x1 M

Test Deni
320 396 Pack 1/3/2021 K46 Abdul 1,576 2 3,152
One Med Ghani

Pasien
3/3/2021 UMUM 0 1,576 2 3,152
Umum
17/03/20 Pasien
UMUM 0 1,576 1 1,576
21 Umum
26/03/20 Pasien
UMUM 0 1,576 2 3,152
21 Umum
27/03/20
K68 Ernawati 1,576 6 9,456
21
Deni
27/03/20
K46 Abdul 1,576 5 7,880
21
Ghani
CLARIS
SA
Helixime Rawat ANINDY
321 397 ### 835401 15,737 1 15,737
syr Jalan A
PUTRI.
AN
Rawat CERI
### 835363 15,737 1 15,737
Inap LIAN AN

ARSHAK
Rawat
### 813853 A RAMA 38,395 1 38,395
Inap
A. AN.

Asep
13/03/20
K56 Sunanda 38,395 1 38,395
21
r
ANISA
13/03/20 Rawat
835298 FITRIA, 38,395 1 38,395
21 Jalan
AN
NATASY
14/03/20 Rawat A
835457 15,737 1 15,737
21 Inap ADINDA
NY
AHMAD
14/03/20 Rawat
835458 ARYA. 15,737 1 15,737
21 Inap
AN
SHAJEA
14/03/20 Rawat
835452 HALAA 15,737 1 15,737
21 Inap
NISA AN
 AHMAD
15/03/20 Rawat
835458 ARYA. 38,395 1 38,395
21 Inap
AN
HAUZAN
15/03/20 Rawat IRHAB
833974 38,395 1 38,395
21 Inap NABIL,
AN
MUHAM
15/03/20 Rawat AD
835405 38,395 1 38,395
21 Jalan HAFIJUL
. AN
15/03/20 Rawat ALONA
835467 38,395 1 38,395
21 Inap AN

HAYKAL
15/03/20 Rawat DWI
835435 38,395 1 38,395
21 Inap SYAHPU
TRA AN

ADGA
16/03/20 Rawat
835509 DEIRAW 15,737 1 15,737
21 Jalan
AN. AN

DIMAS
17/03/20 Rawat
812977 ADITYA 38,395 1 38,395
21 Inap
W, AN
DEREL
17/03/20 Rawat DWI
835473 38,395 1 38,395
21 Inap KARISM
A AN
18/03/20 Rawat RASYA
832664 38,395 1 38,395
21 Jalan AN
WIDIA
18/03/20 Rawat
831683 APRILIA 38,395 1 38,395
21 Jalan
AN
MUHAM
MAD
19/03/20 Rawat FAEYZA
821441 38,395 1 38,395
21 Inap RAJBNA
HAMIZA
N, AN
22/03/20 Rawat SAKILA.
835598 38,395 1 38,395
21 Jalan AN
SHAKIL
23/03/20 Rawat A
835615 38,395 1 38,395
21 Jalan AYUDIA.
AN
 KELVIN
24/03/20 Rawat
835597 JULIANT 38,395 1 38,395
21 Inap
ARA BY
MUHAM
25/03/20 Rawat AD
835657 38,395 1 38,395
21 Jalan RIVAN
AN
ANISA
26/03/20 Rawat FAIHA
835644 38,395 1 38,395
21 Inap MUNAN
DAR AN

ALRADY
A
26/03/20 Rawat MAHAB
830769 38,395 1 38,395
21 Inap BATAN
LUVINA
TIKA. AN

Rizki
Abocath
322 4 3/3/2021 UMUM K63 Amalia 7,007 1 7,007
No 22
Putri
EUIS
Rawat
5/3/2021 831017 KURAES 6,875 3 20,625
Jalan
IN.NY
Rawat SINTIA.
5/3/2021 835301 6,875 3 20,625
Inap NY
Rawat RUKASI
5/3/2021 835322 6,875 1 6,875
Inap H. NY
Rawat
5/3/2021 806591 EEN. NY 6,875 1 6,875
Inap
Rawat NUNUN
6/3/2021 835338 15,524 1 15,524
Inap G K, NY
Rawat ENOS,
6/3/2021 801989 15,524 1 15,524
Inap TN
ANISA
Rawat
6/3/2021 835324 FITRIYA 6,875 1 6,875
Inap
NI . NN
LILIS
Rawat
6/3/2021 823790 SURYAN 6,875 3 20,625
Inap
I.NY
IDA
Rawat
6/3/2021 820069 ROSIDA. 15,524 1 15,524
Jalan
NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 15,524 1 15,524
Inap
NY
Rawat AWIS,
7/3/2021 816633 15,524 1 15,524
Inap NY
 ENDAN
Rawat G
7/3/2021 835339 15,524 1 15,524
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 15,524 2 31,048
Inap A, TN
Pasien
7/3/2021 UMUM 0 15,524 1 15,524
Umum
DIAH
Rawat YAYAH
7/3/2021 835340 15,524 1 15,524
Inap ROKAYA
H. NY
Rawat SUTARN
8/3/2021 810138 15,524 2 31,048
Inap A, TN
Rawat AWIS,
8/3/2021 816633 15,524 2 31,048
Inap NY
YUNITA
Rawat NUR
8/3/2021 835353 15,524 1 15,524
Inap SOLIHA
T NY
Rawat JURAEJI
8/3/2021 827464 15,524 1 15,524
Inap N, TN
NUNUN
G
Rawat
8/3/2021 804308 HERNA 15,524 1 15,524
Inap
WATI.
NY
TITI
Rawat
9/3/2021 835391 AMINAH. 15,524 1 15,524
Inap
NY
Rawat
9/3/2021 835393 LIA. NY 15,524 1 15,524
Inap
ITI
Rawat
9/3/2021 835385 DARSITI 15,524 1 15,524
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 15,524 1 15,524
Inap
I. NY
Rawat AGUS,
9/3/2021 835398 15,524 1 15,524
Inap TN
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 15,524 1 15,524
Inap
NY
AHMAD
Rawat
9/3/2021 834644 SOFIAN 15,524 2 31,048
Inap
TN
Rawat ROHETI
### 802812 15,524 1 15,524
Inap N, NY
 Rawat IROH,
### 835400 15,524 1 15,524
Inap NY
Rawat SUPRI.
### 835403 15,524 1 15,524
Inap TN
Pasien
### UMUM 0 15,524 1 15,524
Umum
ITI
Rawat
### 835385 DARSITI 7,007 2 14,014
Inap
, NY
H.
Rawat TATANG
### 831377 7,007 1 7,007
Inap TARYON
O, TN
Rawat IMAS,
### 835142 7,007 1 7,007
Inap NY
SUPRIH
Rawat
### 822113 ATIN. 7,007 1 7,007
Inap
NY
Rawat POPI,
### 835414 7,007 1 7,007
Inap TN
KHOTIM
Rawat ATUS
### 811689 7,007 1 7,007
Inap SADIAH,
NY

HEMMU
D
Rawat FARCHA
### 835437 6,875 1 6,875
Jalan N IBNU
HASAN
TN
13/03/20 Rawat KARMO
835236 7,007 1 7,007
21 Inap TN
13/03/20 Rawat TASIH
835460 7,007 1 7,007
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 7,007 1 7,007
21 Inap
TN
TATI
13/03/20 Rawat
835463 WARSITI 7,007 1 7,007
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 7,007 2 14,014
21 Inap WATI,
NY
13/03/20 Rawat IMAS,
835142 7,007 2 14,014
21 Inap NY
 VIVIH
13/03/20 Rawat
834834 NOVITA 7,007 1 7,007
21 Inap
DEWI
13/03/20 Rawat RUKMIN
835465 7,007 1 7,007
21 Jalan I. NY
ADE
14/03/20 Rawat
835470 SUKAES 7,007 1 7,007
21 Inap
IH NY
14/03/20 Rawat ENES
835469 7,007 1 7,007
21 Inap NY
14/03/20 Rawat IRUM
835472 7,007 1 7,007
21 Inap NY
UAR
14/03/20 Rawat
835466 WARSIT 7,007 1 7,007
21 Inap
A. TN
15/03/20 Rawat TASIH
835460 7,007 3 21,021
21 Inap NY
NANA
15/03/20 Rawat
835475 TARYAN 7,007 1 7,007
21 Inap
A. TN
15/03/20 Rawat
815940 DIDI, TN. 7,007 2 14,014
21 Inap
15/03/20 Rawat ENGKAS
835502 7,007 1 7,007
21 Jalan , NY
15/03/20 A
UMUM 0 7,007 2 14,014
21 AGUNG
IIN
15/03/20 Rawat
819469 RUYANI, 7,007 1 7,007
21 Inap
NY
15/03/20 Rawat ROKAYA
835481 7,007 1 7,007
21 Inap H NY
NUNUN
G
15/03/20 Rawat
835479 HERMA 7,007 1 7,007
21 Inap
WATI,
NY
DIMAS
15/03/20 Rawat
812977 ADITYA 7,007 1 7,007
21 Inap
W, AN
TITI
15/03/20 Rawat
835508 SURYAN 7,007 1 7,007
21 Inap
I NY
HJ
15/03/20 Rawat
804292 CICIH. 7,007 1 7,007
21 Inap
NY
OMAN
15/03/20 Rawat
831629 ROHAN 7,007 1 7,007
21 Jalan
A, TN
 ADE
16/03/20 Rawat
835529 ROHMA 7,007 1 7,007
21 Inap
ENI. NY
N. U.
16/03/20 Rawat
835522 UMAYA 7,007 1 7,007
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 7,007 1 7,007
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 7,007 1 7,007
21 Inap NY.

SODIKIN
16/03/20 Rawat NOOR
835524 7,007 1 7,007
21 Inap BADRI.
TN

E
16/03/20 Rawat
835527 MUCHT 7,007 1 7,007
21 Inap
AR . TN
TITIN
16/03/20 Rawat
835530 MULYAT 7,007 1 7,007
21 Inap
IN NY
17/03/20 Rawat ERES
835537 7,007 1 7,007
21 Inap NY

SODIKIN
17/03/20 Rawat NOOR
835524 7,007 1 7,007
21 Inap BADRI.
TN

ELOM
17/03/20 Rawat SALAM
835515 7,007 2 14,014
21 Inap SUDIRM
AN TN
17/03/20 Rawat WASLI.
827069 7,007 3 21,021
21 Jalan TN
17/03/20 Rawat KARWA
832626 7,007 1 7,007
21 Inap TI. NY
19/03/20 Rawat CICIH
811043 7,007 2 14,014
21 Inap NY.
19/03/20 Rawat AMAT.
835550 6,875 2 13,750
21 Inap TN
TOHA
19/03/20 Rawat
805009 NURDIN, 7,007 1 7,007
21 Inap
TN
19/03/20 Rawat ROKAYA
835481 6,875 1 6,875
21 Inap H NY
 YATI
20/03/20 Rawat
835577 KURNIA 7,007 1 7,007
21 Inap
WATI NY

20/03/20 Rawat SUKAES

807749 7,007 1 7,007
21 Inap IH. NY

AZIS
20/03/20 Rawat RUHIAT
824516 7,007 1 7,007
21 Inap SUPRIA
TNA . TN

20/03/20 Rawat HIDAYA

805608 7,007 1 7,007
21 Inap T, TN
NERA
20/03/20 Rawat
817790 NORAW 7,007 1 7,007
21 Inap
ATI . NY
20/03/20 Rawat
807029 TUTI, NY 7,007 1 7,007
21 Inap
21/03/20 Rawat SUKAES
807749 7,007 2 14,014
21 Inap IH. NY
21/03/20 Rawat DEDEN
835586 7,007 1 7,007
21 Inap G, TN
21/03/20 Rawat WANGSI
835588 7,007 1 7,007
21 Inap H, NY
DANA
21/03/20 Rawat
835590 SUJATN 7,007 1 7,007
21 Inap
A, TN
21/03/20 Rawat HERMA
835580 7,007 2 14,014
21 Inap N TN
RONI
21/03/20 Rawat
835563 SUPRIA 7,007 1 7,007
21 Inap
DI TN
21/03/20 Rawat
807029 TUTI, NY 7,007 2 14,014
21 Inap

MALA
21/03/20 Rawat
835594 KOMALA 7,007 1 7,007
21 Inap
SARI NY

21/03/20 Rawat HERMA

835580 7,007 1 7,007
21 Inap N TN
21/03/20 Rawat NINING
835595 7,007 1 7,007
21 Inap NY
ENGKU
21/03/20 Rawat S
810535 7,007 1 7,007
21 Inap KUSNAD
I, TN
22/03/20 Rawat FIRMAN
835613 7,007 1 7,007
21 Inap SDR
 SOPIAN
22/03/20 Rawat
835608 YUDA. 7,007 1 7,007
21 Inap
SDR

22/03/20 Rawat ANDAR

831440 7,007 1 7,007
21 Inap WATI NY

AZIS
22/03/20 Rawat RUHIAT
824516 7,007 1 7,007
21 Inap SUPRIA
TNA . TN

22/03/20 Rawat ROSIDA

835605 7,007 1 7,007
21 Inap H
22/03/20 Rawat PARNO,
835601 7,007 2 14,014
21 Inap TN
22/03/20 Rawat SUHEN
835596 7,007 1 7,007
21 Inap DA NY
23/03/20 Rawat RAHNI
835628 7,007 1 7,007
21 Inap NY

YATI
23/03/20 Rawat
835577 KURNIA 7,007 1 7,007
21 Inap
WATI NY

LUKMAN
23/03/20 Rawat
835614 HAKIM 7,007 1 7,007
21 Inap
TN
SOPIAN
23/03/20 Rawat
835608 YUDA. 7,007 1 7,007
21 Inap
SDR
23/03/20 Rawat UDIN.
835604 7,007 1 7,007
21 Inap TN
AAR
23/03/20 Rawat
825828 SURYAT 7,007 1 7,007
21 Inap
I.NY
UJANG
23/03/20 Rawat
835617 TATANG 7,007 1 7,007
21 Inap
. TN
EPON
23/03/20 Rawat
835622 SUKARS 7,007 1 7,007
21 Inap
IH NY
23/03/20 Rawat PARNO,
835601 7,007 1 7,007
21 Inap TN
FITRI
23/03/20 Rawat SARI
835624 7,007 1 7,007
21 Inap WAHYU
NI NN
23/03/20 Rawat KARSIH
831386 7,007 1 7,007
21 Inap NY
 JUJU
23/03/20 Rawat
835626 JUANI.N 7,007 1 7,007
21 Inap
Y
AAR
24/03/20 Rawat
825828 SURYAT 7,007 1 7,007
21 Inap
I.NY
24/03/20 Rawat YATNI
835642 6,875 1 6,875
21 Inap NY
24/03/20 Rawat YUYUM
835643 6,875 1 6,875
21 Inap NY
GANJAR
24/03/20 Rawat
835607 HIKMAT 7,007 1 7,007
21 Inap
. TN
24/03/20 Rawat NENGSI
835645 6,875 2 13,750
21 Inap H NY
SITI
24/03/20 Rawat
814501 RODIAH, 6,875 1 6,875
21 Inap
NY.
DARPIT
25/03/20 Rawat
835655 ROHIDU 7,007 1 7,007
21 Inap
N. TN
HJ
25/03/20 Rawat
835648 CECEP . 7,007 1 7,007
21 Inap
TN
25/03/20 Rawat HIDAYA
835638 7,007 1 7,007
21 Inap T. TN
SAPAAT
25/03/20 Rawat NURHA
835668 7,007 2 14,014
21 Inap YATUDI
N TN
ROSMA
25/03/20 Rawat
834926 LAWATI, 7,007 1 7,007
21 Inap
NY
TATI
25/03/20 Rawat
835664 ROSWA 7,007 1 7,007
21 Inap
TI
WOWO
25/03/20 Rawat
809923 SUGRIW 6,875 1 6,875
21 Inap
O.TN
ADE
25/03/20 Rawat
800276 SUHEN 6,875 1 6,875
21 Inap
DI, TN
26/03/20 Rawat YUYUM
835675 7,007 1 7,007
21 Inap NY
ROSMA
26/03/20 Rawat
834926 LAWATI, 7,007 2 14,014
21 Inap
NY
 ACU
26/03/20 Rawat
835621 SAMSU 7,007 1 7,007
21 Inap
DIN TN
26/03/20 Rawat KARMID,
823943 7,007 3 21,021
21 Inap TN
26/03/20 Rawat ENENG
835698 7,007 1 7,007
21 Inap NY
UJANG
26/03/20 Rawat
2816 HENDI , 7,007 1 7,007
21 Inap
TN
26/03/20 Rawat NENGSI
835645 7,007 1 7,007
21 Inap H NY
ROSMA
26/03/20 Rawat
834926 LAWATI, 7,007 1 7,007
21 Inap
NY
ANDA
26/03/20 Rawat
834672 WIHAND 7,007 1 7,007
21 Inap
A TN
HJ
26/03/20 Rawat
835670 SUKARN 7,007 1 7,007
21 Inap
A TN
NYAI
26/03/20 Rawat
835676 ATIKAH 7,007 1 7,007
21 Inap
NY
SITI
27/03/20 Rawat
835704 RODIAH. 6,875 1 6,875
21 Inap
NY
SAPAAT
27/03/20 Rawat NURHA
835668 6,875 2 13,750
21 Inap YATUDI
N TN
27/03/20 Rawat UNENG,
5097 6,875 1 6,875
21 Inap NY
TATI
28/03/20 Rawat
835664 ROSWA 6,875 1 6,875
21 Inap
TI
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 6,875 3 20,625
21 Inap
MAN,
TN.
HJ
28/03/20 Rawat
835648 CECEP . 6,875 1 6,875
21 Inap
TN
EPI
28/03/20 Rawat
834663 YULIA. 6,875 1 6,875
21 Inap
NY
 TOHA
28/03/20 Rawat
805009 NURDIN, 6,875 1 6,875
21 Inap
TN
IDING
28/03/20 Rawat
835732 JAENUD 6,875 1 6,875
21 Inap
IN, TN
28/03/20 Rawat MARYAT
803036 6,875 1 6,875
21 Inap I, NY
29/03/20 Rawat KACEN
835734 6,875 1 6,875
21 Inap G TN
29/03/20 Rawat IWAN.
835735 6,875 1 6,875
21 Inap TN
HJ
29/03/20 Rawat
835648 CECEP . 6,875 2 13,750
21 Inap
TN
SAEPUL
29/03/20 Rawat
814700 HIDAYA 7,007 1 7,007
21 Inap
T,TN
CICI
29/03/20 Rawat
835746 SUMAR 7,007 1 7,007
21 Inap
CI. NY
VITRIA
29/03/20 Rawat FATMA
835750 7,007 2 14,014
21 Inap WATI .
NY
29/03/20 Rawat IWAN.
835735 6,875 1 6,875
21 Inap TN
IDA
29/03/20 Rawat
835740 BAGUS. 7,007 1 7,007
21 Inap
TN
30/03/20 Rawat RODIAH.
810604 7,007 1 7,007
21 Inap NY
UYUN
30/03/20 Rawat
835729 MULYAN 7,007 2 14,014
21 Inap
A . TN
DIAH
30/03/20 Rawat
835754 SUMINA 7,007 1 7,007
21 Inap
R. NY
30/03/20 Rawat ENTIN,
835756 7,007 2 14,014
21 Inap NY
RENI
30/03/20 Rawat
813579 ANDRIA 7,007 1 7,007
21 Inap
NA NY
IIS
31/03/20 Rawat
835791 DEDEH 7,007 1 7,007
21 Inap
NY
31/03/20 Rawat RUSMIA
835801 6,875 1 6,875
21 Inap TI NY
 YETI
31/03/20 Rawat
807134 MARYA 7,007 1 7,007
21 Inap
NI, NY
TITA
31/03/20 Rawat
835804 KARTIK 6,875 1 6,875
21 Inap
A .NY
Hydrocor 20/03/20 ny euis/
323 400 UMUM 0 6,682 2 13,364
tison cr 21 aps
NANA
Histigo 17/03/20 Rawat
324 402 835475 TARYAN 1,821 10 18,210
Tab 21 Inap
A. TN
TN
23/03/20
UMUM APS JURAEJI 1,821 15 27,315
21
N
AAR
24/03/20 Rawat
825828 SURYAT 1,821 3 5,463
21 Inap
I.NY
26/03/20 Rawat ENENG
835698 1,821 3 5,463
21 Inap NY
AAR
26/03/20 Rawat
825828 SURYAT 1,821 3 5,463
21 Inap
I.NY
HJ
26/03/20 Rawat
835670 SUKARN 1,821 3 5,463
21 Inap
A TN
HJ
26/03/20 Rawat
835670 SUKARN 1,821 3 5,463
21 Inap
A TN
27/03/20 Rawat NENGSI
835645 1,821 1 1,821
21 Inap H NY
HJ
27/03/20 Rawat
835670 SUKARN 1,821 3 5,463
21 Inap
A TN
30/03/20 Rawat JUAREA
835782 1,821 10 18,210
21 Jalan , NY
Amoxsan Rawat BY NY
325 41 ### 835430 30,044 1 30,044
drop Jalan NIA
30/03/20 Rendyka
K4 30,044 1 30,044
21 Rama
YAYA
Hyoscine Rawat
326 411 1/3/2021 835079 SUNARY 11,039 2 22,078
inj Inap
A TN
Rawat ISAM.
2/3/2021 819105 11,039 2 22,078
Inap NY
Rawat
2/3/2021 835260 ILIM TN 11,039 1 11,039
Inap
 YAYA
Rawat
3/3/2021 835079 SUNARY 11,039 1 11,039
Inap
A TN
Rawat SINTIA.
5/3/2021 835301 11,039 3 33,117
Inap NY
Rawat SINTIA.
6/3/2021 835301 11,039 3 33,117
Inap NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 11,039 2 22,078
Inap
NI . NN
APRILIA
Rawat
7/3/2021 801710 YUNITA, 11,039 2 22,078
Inap
NY
Rawat SINTIA.
7/3/2021 835301 11,039 3 33,117
Inap NY
Rawat SUTARN
8/3/2021 810138 11,039 1 11,039
Inap A, TN
Rawat NUNUN
8/3/2021 835338 11,039 2 22,078
Inap G K, NY
Rawat
### 835415 AAH, NY 11,039 1 11,039
Inap
Rawat POPI,
### 835414 11,039 2 22,078
Inap TN
13/03/20 Rawat
835415 AAH, NY 13,812 2 27,624
21 Inap
TATI
13/03/20 Rawat
835463 WARSITI 13,812 2 27,624
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 13,812 3 41,436
21 Inap WATI,
NY
VIVIH
13/03/20 Rawat
834834 NOVITA 11,039 2 22,078
21 Inap
DEWI
13/03/20 Rawat POPI,
835414 11,039 2 22,078
21 Inap TN
NIA
14/03/20 Rawat KURNIA
834792 13,812 3 41,436
21 Inap WATI,
NY
16/03/20 Rawat
835415 AAH, NY 12,639 2 25,278
21 Inap
18/03/20 Rawat CICIH
811043 12,639 2 25,278
21 Inap NY.
N. U.
18/03/20 Rawat
835522 UMAYA 13,812 2 27,624
21 Inap
H NY
19/03/20 Rawat CICIH
811043 12,639 2 25,278
21 Inap NY.
N. U.
19/03/20 Rawat
835522 UMAYA 12,639 1 12,639
21 Inap
H NY
N. U.
20/03/20 Rawat
835522 UMAYA 11,039 2 22,078
21 Inap
H NY
20/03/20 Rawat SUKAES
807749 11,039 2 22,078
21 Inap IH. NY

YATI
21/03/20 Rawat
835577 KURNIA 11,039 3 33,117
21 Inap
WATI NY

N. U.
21/03/20 Rawat
835522 UMAYA 11,039 2 22,078
21 Inap
H NY
21/03/20 Rawat NINING
835595 11,039 2 22,078
21 Inap NY
AJENG
22/03/20 Rawat
811100 KARTINI 11,039 2 22,078
21 Inap
.NY
22/03/20 Rawat NINING
835595 11,039 2 22,078
21 Inap NY

YATI
22/03/20 Rawat
835577 KURNIA 11,039 3 33,117
21 Inap
WATI NY

22/03/20 Rawat SUHEN

835596 11,039 2 22,078
21 Inap DA NY
22/03/20 Rawat WANGSI
835588 11,000 1 11,000
21 Inap H, NY

MALA
22/03/20 Rawat
835594 KOMALA 11,000 1 11,000
21 Inap
SARI NY

22/03/20 Rawat ROSIDA

835605 11,000 2 22,000
21 Inap H
22/03/20 Rawat SUHEN
835596 11,039 2 22,078
21 Inap DA NY
23/03/20 Rawat RAHNI
835628 11,039 2 22,078
21 Inap NY

23/03/20 Rawat ANDAR

831440 11,039 2 22,078
21 Inap WATI NY

UJANG
23/03/20 Rawat
835617 TATANG 11,039 2 22,078
21 Inap
. TN
 AJENG
23/03/20 Rawat
811100 KARTINI 11,000 2 22,000
21 Inap
.NY
23/03/20 Rawat NINING
835595 11,000 2 22,000
21 Inap NY

YATI
23/03/20 Rawat
835577 KURNIA 11,000 2 22,000
21 Inap
WATI NY

23/03/20 Rawat HERMA

835580 11,000 1 11,000
21 Inap N TN
AJENG
23/03/20 Rawat
811100 KARTINI 11,000 1 11,000
21 Inap
.NY
RESTU
23/03/20 Rawat NANDA
826925 11,039 2 22,078
21 Inap AMELIA
. NN

MALA
23/03/20 Rawat
835594 KOMALA 11,000 2 22,000
21 Inap
SARI NY

FITRI
23/03/20 Rawat SARI
835624 11,000 2 22,000
21 Inap WAHYU
NI NN
NUNUN
23/03/20 Rawat G
835606 11,000 2 22,000
21 Inap KOMARI
AH. NY

23/03/20 Rawat ANDAR

831440 11,000 1 11,000
21 Inap WATI NY

23/03/20 Rawat FIRMAN

835613 11,000 1 11,000
21 Inap SDR
23/03/20 Rawat ADAH.
835518 11,039 2 22,078
21 Inap NY
AAR
24/03/20 Rawat
825828 SURYAT 11,039 2 22,078
21 Inap
I.NY
24/03/20 Rawat YUYUM
835643 11,000 2 22,000
21 Inap NY
SOPIAN
24/03/20 Rawat
835608 YUDA. 11,039 1 11,039
21 Inap
SDR
 FITRI
24/03/20 Rawat SARI
835624 11,039 2 22,078
21 Inap WAHYU
NI NN
UJANG
24/03/20 Rawat
835617 TATANG 11,039 2 22,078
21 Inap
. TN

24/03/20 Rawat ANDAR

831440 11,039 2 22,078
21 Inap WATI NY

NUNUN
24/03/20 Rawat G
835606 11,039 2 22,078
21 Inap KOMARI
AH. NY
24/03/20 Rawat ADAH.
835518 11,039 2 22,078
21 Inap NY
RESTU
24/03/20 Rawat NANDA
826925 11,039 2 22,078
21 Inap AMELIA
. NN
FITRI
25/03/20 Rawat SARI
835624 11,039 2 22,078
21 Inap WAHYU
NI NN
WOWO
25/03/20 Rawat
809923 SUGRIW 11,039 2 22,078
21 Inap
O.TN
NANI
25/03/20 Rawat
815243 MARYA 11,039 2 22,078
21 Inap
NI, NY.
ROSMA
25/03/20 Rawat
834926 LAWATI, 11,000 2 22,000
21 Inap
NY
AAR
25/03/20 Rawat
825828 SURYAT 11,039 1 11,039
21 Inap
I.NY
25/03/20 Rawat YUYUM
835643 11,039 2 22,078
21 Inap NY

YATI
25/03/20 Rawat
835577 KURNIA 11,000 2 22,000
21 Inap
WATI NY

WOWO
25/03/20 Rawat
809923 SUGRIW 11,000 2 22,000
21 Inap
O.TN
SITI
25/03/20 Rawat
814501 RODIAH, 11,000 3 33,000
21 Inap
NY.
 NANI
26/03/20 Rawat
815243 MARYA 11,039 2 22,078
21 Inap
NI, NY.
ROSMA
26/03/20 Rawat
834926 LAWATI, 11,000 2 22,000
21 Inap
NY
AAR
26/03/20 Rawat
825828 SURYAT 11,000 1 11,000
21 Inap
I.NY
26/03/20 Rawat YUYUM
835643 11,000 2 22,000
21 Inap NY
SITI
26/03/20 Rawat
814501 RODIAH, 11,000 3 33,000
21 Inap
NY.
WOWO
26/03/20 Rawat
809923 SUGRIW 11,000 2 22,000
21 Inap
O.TN
NYAI
26/03/20 Rawat
835676 ATIKAH 11,000 2 22,000
21 Inap
NY
NANI
27/03/20 Rawat
815243 MARYA 11,000 2 22,000
21 Inap
NI, NY.
ROSMA
27/03/20 Rawat
834926 LAWATI, 11,000 1 11,000
21 Inap
NY
27/03/20 Rawat YUYUM
835643 11,000 1 11,000
21 Inap NY
NYAI
27/03/20 Rawat
835676 ATIKAH 11,000 2 22,000
21 Inap
NY
SITI
27/03/20 Rawat
835704 RODIAH. 11,000 1 11,000
21 Inap
NY
ROSMA
27/03/20 Rawat
834926 LAWATI, 11,000 2 22,000
21 Inap
NY
NANI
27/03/20 Rawat
835706 NURJAN 11,000 2 22,000
21 Inap
AH. NY
NANI
28/03/20 Rawat
835706 NURJAN 11,000 2 22,000
21 Inap
AH. NY
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 11,039 2 22,078
21 Inap
MAN,
TN.
 29/03/20 Rawat KACEN
835734 11,039 1 11,039
21 Inap G TN
30/03/20 Rawat SAHNU
835764 14,205 3 42,615
21 Inap TN
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 11,039 2 22,078
21 Inap
MAN,
TN.
30/03/20 Rawat ENTING,
835756 11,039 2 22,078
21 Inap NY
NANI
30/03/20 Rawat
835706 NURJAN 11,039 3 33,117
21 Inap
AH. NY
DIAH
30/03/20 Rawat
835754 SUMINA 11,039 2 22,078
21 Inap
R. NY
CICI
31/03/20 Rawat
835746 SUMAR 14,205 2 28,410
21 Inap
CI. NY
YETI
31/03/20 Rawat
807134 MARYA 14,205 2 28,410
21 Inap
NI, NY
NANI
31/03/20 Rawat
835706 NURJAN 14,205 1 14,205
21 Inap
AH. NY
YETI
31/03/20 Rawat
807134 MARYA 14,205 1 14,205
21 Inap
NI, NY
31/03/20 Rawat SAHNU
835764 14,205 2 28,410
21 Inap TN
SRI
Hystolan Rawat
327 415 ### 835427 MIMA 6,468 4 25,872
tab 20mg Jalan
NY
ELIS
Aminopili 18/03/20 Rawat
328 42 835539 RUKYUL 4,762 1 4,762
n inj 1GR 21 Jalan
IANI NY
21/03/20 Rawat
807029 TUTI, NY 4,500 3 13,500
21 Inap
ZAHRA
H.S steril Rawat
329 422 1/3/2021 835251 DEWANI 10,584 1 10,584
8 Jalan
NY
EUIS
Rawat
3/3/2021 831017 KURAES 10,584 1 10,584
Jalan
IN.NY
Rawat LILIS,NN
4/3/2021 835293 10,584 1 10,584
Jalan Y
 Pasien
5/3/2021 UMUM 0 10,584 2 21,168
Umum
H.S Rawat YULIN
330 423 3/3/2021 834209 8,600 2 17,200
Steril 7,5 Jalan NY

Imunos Rawat RISNA

331 433 1/3/2021 835175 11,752 1 11,752
Plus Tab Inap SDR

Rawat RISNA
1/3/2021 835175 11,752 1 11,752
Inap SDR
Mayang
20/03/20
K34 Eka 11,752 4 47,008
21
Priadi
EUIS
Induxin Rawat
332 437 3/3/2021 831017 KURAES 12,419 6 74,514
Inj Jalan
IN.NY
Rawat YULIN
3/3/2021 834209 12,419 1 12,419
Jalan NY
APRILIA
Infatrim Rawat
333 439 7/3/2021 801710 YUNITA, 426 10 4,260
Tab Inap
NY
Amlodipi
SAEFUL
n 10mg Rawat
334 44 1/3/2021 835220 HUDAYA 2,490 1 2,490
Tab Inap
TN
(Berno)
YAYA
Rawat
1/3/2021 835079 SUNARY 2,490 1 2,490
Inap
A TN
Rawat NUNUN
1/3/2021 835198 2,490 5 12,450
Inap G, NY
Rawat HOJAEM
1/3/2021 835152 2,490 5 12,450
Inap I. TN
Rawat SARTAN
2/3/2021 826536 2,490 30 74,700
Jalan A, TN
SAEFUL
Rawat
2/3/2021 835220 HUDAYA 2,490 5 12,450
Inap
TN
YAYA
Rawat
2/3/2021 835079 SUNARY 2,490 1 2,490
Inap
A TN
Wiyono
2/3/2021 K22 2,490 10 24,900
Gawiek
YAYA
Rawat
3/3/2021 835079 SUNARY 2,490 5 12,450
Inap
A TN
Rawat ENAH
4/3/2021 835172 2,490 10 24,900
Jalan NY
4/3/2021 UMUM APS Ny enah 2,490 20 49,800
 EUIS
Rawat
5/3/2021 834994 YULIANI 2,490 7 17,430
Inap
NY
ONENG
Rawat
5/3/2021 835066 SUMYAT 2,490 10 24,900
Jalan
I NY
Rawat RUKASI
5/3/2021 835322 2,490 1 2,490
Inap H. NY
NY. MS.
5/3/2021 UMUM 0 JUBAED 2,490 30 74,700
AH/APS
Rawat RUKASI
6/3/2021 835322 2,490 1 2,490
Inap H. NY
DIAH
Rawat YAYAH
7/3/2021 835340 2,490 1 2,490
Inap ROKAYA
H. NY
DIAH
Rawat YAYAH
8/3/2021 835340 2,490 5 12,450
Inap ROKAYA
H. NY
Rawat SUKAES
9/3/2021 818170 2,490 13 32,370
Jalan IH,NY

NY
9/3/2021 UMUM 0 SUKAES 2,490 17 42,330
IH /APS

Rawat ELIA ,
9/3/2021 826600 2,490 20 49,800
Jalan NY
9/3/2021 UMUM APS NY ELIA 2,490 10 24,900
ANI
Rawat
9/3/2021 824207 ANINGSI 2,490 15 37,350
Jalan
H . NY
NY AN
9/3/2021 UMUM 0 ANENG 2,490 15 37,350
SIH/APS
Rawat KASNAH
### 835440 2,539 10 25,390
Jalan . NY
Pasien
### UMUM 0 2,490 10 24,900
Umum
Rawat SUPRI.
### 835403 2,539 7 17,773
Inap TN
TINI
13/03/20 Rawat
835417 HARTINI 2,490 1 2,490
21 Inap
. NY
 ATIK
13/03/20 Rawat
817256 KURNIA 2,490 7 17,430
21 Jalan
SIH. NY
VIVIH
13/03/20 Rawat
834834 NOVITA 2,490 1 2,490
21 Inap
DEWI
VIVIH
13/03/20 Rawat
834834 NOVITA 2,490 1 2,490
21 Inap
DEWI
13/03/20
UMUM APS NY TATI 2,490 30 74,700
21
TINI
14/03/20 Rawat
835417 HARTINI 2,490 1 2,490
21 Inap
. NY
14/03/20 Rawat IRUM
835472 2,490 2 4,980
21 Inap NY
TINI
15/03/20 Rawat
835417 HARTINI 2,539 5 12,695
21 Inap
. NY
TN
16/03/20
UMUM APS NAJUDI 2,490 20 49,800
21
N
16/03/20 Rawat NAJUDI
809955 2,490 10 24,900
21 Jalan N.TN
16/03/20 Rawat SAMLI,
811423 2,490 20 49,800
21 Jalan TN
16/03/20 TN
UMUM APS 2,490 10 24,900
21 SAMLI
SOPIAH
16/03/20 Rawat MULYAN
820148 2,490 7 17,430
21 Jalan INGSIH,
NY
DADAN
18/03/20 Rawat G
832915 2,490 7 17,430
21 Jalan DJAYUS
MAN, TN
JAJANG
18/03/20 Rawat
835545 SUHER 2,490 7 17,430
21 Jalan
MAN TN
EUIS
20/03/20 Rawat NURLAE
801391 2,490 3 7,470
21 Jalan LASARI,
NY
20/03/20 Rawat KURNIA
834748 2,490 15 37,350
21 Jalan SIH, NY
NY
20/03/20
UMUM 0 KURNIA 2,490 15 37,350
21
SIH/APS
22/03/20 Rawat ROSIDA
835605 2,490 1 2,490
21 Inap H
NY EEM
23/03/20
UMUM APS SUKAE 2,490 30 74,700
21
MI
ENGKO
23/03/20 Rawat M
835618 2,490 10 24,900
21 Jalan KOMARI
AH, NY
N
23/03/20 Rawat
835523 ATIKAH 2,490 7 17,430
21 Jalan
NY
IYAN
23/03/20 Rawat
834818 MULYAN 2,490 7 17,430
21 Jalan
A TN
23/03/20 Rawat JURAEJI
827464 2,490 15 37,350
21 Jalan N, TN
23/03/20 Rawat ROSIDA
835605 2,490 5 12,450
21 Inap H
TN
23/03/20
UMUM APS JURAEJI 2,490 7 17,430
21
N
24/03/20 Rawat ADAH.
835518 2,490 1 2,490
21 Inap NY
NANI
25/03/20 Rawat
815243 MARYA 2,490 1 2,490
21 Inap
NI, NY.
25/03/20 Rawat IRUM
835472 2,490 2 4,980
21 Jalan NY
NY
25/03/20
UMUM 0 IRUM/AP 2,490 5 12,450
21
S
25/03/20
UMUM APS ny mimin 2,490 30 74,700
21
JAJANG
25/03/20 Rawat
835545 SUHER 2,490 7 17,430
21 Jalan
MAN TN
26/03/20 Rawat NENGSI
835645 2,490 1 2,490
21 Inap H NY
AAR
26/03/20 Rawat
825828 SURYAT 2,539 1 2,539
21 Inap
I.NY
HJ
26/03/20 Rawat
835670 SUKARN 2,539 1 2,539
21 Inap
A TN
HJ
26/03/20 Rawat
835670 SUKARN 2,490 1 2,490
21 Inap
A TN
 HJ
27/03/20 Rawat
835670 SUKARN 2,539 7 17,773
21 Inap
A TN
NY SITI
27/03/20
UMUM 0 ROHMA 2,438 30 73,140
21
H/APS
27/03/20 Pasien
UMUM 0 2,438 20 48,760
21 Umum
27/03/20 Rawat SUARI,
800179 2,539 1 2,539
21 Inap TN
TN
27/03/20
UMUM 0 HENDI/A 2,438 30 73,140
21
PS
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 2,539 1 2,539
21 Inap
MAN,
TN.

SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 2,490 1 2,490
21 Inap
MAN,
TN.
NINING
30/03/20 Rawat
832543 RUNING 2,490 10 24,900
21 Jalan
SIH NY
30/03/20 NY
UMUM APS 2,490 20 49,800
21 NINING
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 2,490 1 2,490
21 Inap
MAN,
TN.
30/03/20 Rawat YUMAH .
835785 2,490 10 24,900
21 Jalan NY
30/03/20 Rawat ROSIDA
835605 2,490 7 17,430
21 Jalan H
31/03/20 Rawat DAHLAN
835795 2,490 1 2,490
21 Jalan TN
SUKAND
I BIN
31/03/20 Rawat
813480 SURYA 2,490 10 24,900
21 Inap
MAN,
TN.
Infuset
Rawat ISAM.
335 441 dws 1/3/2021 819105 16,638 1 16,638
Inap NY
macro
 SITI
Rawat
1/3/2021 835233 MULYAT 16,638 1 16,638
Inap
I NY
ERI
Rawat RAHMA
1/3/2021 835239 16,638 1 16,638
Inap WATI.
NY
Rawat KARMO
1/3/2021 835236 16,638 1 16,638
Inap TN
Rawat NINING
1/3/2021 835192 16,638 1 16,638
Inap NY
Rawat JUANGS
1/3/2021 808907 16,638 1 16,638
Inap IH, NY
Rawat
2/3/2021 815940 DIDI, TN. 16,638 1 16,638
Inap
EVI SITI
Rawat
2/3/2021 811994 NUR. 16,638 1 16,638
Inap
F,NY
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 16,638 1 16,638
Inap US
SHANU
M AN
Rawat
2/3/2021 835260 ILIM TN 16,638 1 16,638
Inap
3/3/2021 UMUM 0 KIKI 15,972 1 15,972
Rizki
3/3/2021 UMUM K63 Amalia 16,638 1 16,638
Putri
SITI
Rawat MAEUM
3/3/2021 835284 16,638 1 16,638
Inap ANAH,
NY
FELCIA
Rawat
3/3/2021 835226 TJHIN, 16,638 1 16,638
Inap
AN
ANISA
Rawat
4/3/2021 835298 FITRIA, 16,957 1 16,957
Inap
AN
YAYA
Rawat
4/3/2021 817031 FIRDAU 16,957 1 16,957
Inap
S TN
YANI
Rawat AHMAD
5/3/2021 835303 16,957 1 16,957
Jalan RIFAI.
TN
 Rawat WAWA
5/3/2021 835318 16,957 1 16,957
Inap TN
Rawat SINTIA.
5/3/2021 835301 16,957 1 16,957
Inap NY
Rawat RUKASI
5/3/2021 835322 16,957 1 16,957
Inap H. NY
Rawat
5/3/2021 806591 EEN. NY 16,957 1 16,957
Inap
ANISA
Rawat
6/3/2021 835324 FITRIYA 16,957 1 16,957
Inap
NI . NN
LILIS
Rawat
6/3/2021 823790 SURYAN 16,957 1 16,957
Inap
I.NY
ENI
18/03/20 Rawat
835544 SUMAR 16,957 1 16,957
21 Jalan
NI NN
19/03/20 Rawat DARYAN
835565 16,957 1 16,957
21 Inap TI. NY
RONI
19/03/20 Rawat
835563 SUPRIA 16,957 1 16,957
21 Inap
DI TN
TOHA
19/03/20 Rawat
805009 NURDIN, 16,957 1 16,957
21 Inap
TN
YETI
31/03/20 Rawat
807134 MARYA 16,638 1 16,638
21 Inap
NI, NY
Infuset
Rawat HAINA,
336 442 ank 1/3/2021 835228 12,953 1 12,953
Inap AN
micro
BHARAT
Rawat JIBRIL
4/3/2021 828617 12,953 1 12,953
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 12,953 1 12,953
Inap AN
Rawat HAIKAL
5/3/2021 835274 12,953 1 12,953
Inap BY
NAYLA
Rawat
5/3/2021 835311 NURASY 12,953 1 12,953
Inap
IFA AN
Rawat CERI
8/3/2021 835363 12,953 1 12,953
Inap LIAN AN
Rawat CERI
9/3/2021 835363 12,953 3 38,859
Inap LIAN AN
 SHAJEA
13/03/20 Rawat
835452 HALAA 4,857 1 4,857
21 Inap
NISA AN
HAUZAN
13/03/20 Rawat IRHAB
833974 4,857 1 4,857
21 Inap NABIL,
AN
14/03/20 Rawat ALONA
835467 4,857 1 4,857
21 Inap AN
KELVIN
22/03/20 Rawat
835597 JULIANT 4,414 1 4,414
21 Inap
ARA BY
NADINE
INHA 30/03/20 Rawat
337 443 831349 AZZIZAH 825 2 1,650
400 TAB 21 Jalan
.AN
Inpepsa Rawat ISAM.
338 444 1/3/2021 819105 70,125 1 70,125
Syr Inap NY
ONENG
Rawat
1/3/2021 832859 ROKAE 70,125 1 70,125
Inap
NAH. NY
TAUFIK
Rawat
1/3/2021 835216 MAULAN 70,125 1 70,125
Inap
A SDR
Rawat KANAR
1/3/2021 835231 70,125 1 70,125
Inap TN
ROBI
Rawat
1/3/2021 818904 RISWAN 70,125 1 70,125
Jalan
DI. TN
RINI
Rawat HALIMA
1/3/2021 835250 70,125 1 70,125
Jalan TUSADI
AH. NY
PINKAN
Rawat
1/3/2021 817099 RIZKY.N 70,125 1 70,125
Jalan
N
O
Rawat
1/3/2021 835252 KOMARI 70,125 1 70,125
Jalan
AH NY
Rawat INTAN
2/3/2021 835255 70,125 1 70,125
Jalan NN
ILHAM
Rawat
3/3/2021 835275 ABDUL. 70,125 1 70,125
Jalan
AN
24/03/20 Rawat RAHNI
835628 82,500 1 82,500
21 Inap NY
UJANG
25/03/20 Rawat
835617 TATANG 82,500 1 82,500
21 Inap
. TN
 SOPIAN
25/03/20 Rawat
835608 YUDA. 82,500 1 82,500
21 Inap
SDR

25/03/20 Rawat ANDAR

831440 82,500 1 82,500
21 Inap WATI NY

NY
25/03/20
UMUM 0 NENEN 77,440 1 77,440
21
G/APS
NUNUN
25/03/20 Rawat G
835606 82,500 1 82,500
21 Inap KOMARI
AH. NY
TN
25/03/20
UMUM 0 ALIMUN 77,440 1 77,440
21
DIN/APS
TN
25/03/20
UMUM 0 ANTONI/ 77,440 1 77,440
21
APS
TOTOM
25/03/20 Rawat
835663 AMANDI 77,440 1 77,440
21 Jalan
PRAJA
AMRIN
25/03/20 Rawat
835462 SOBANA 77,440 1 77,440
21 Jalan
TN
HARIS
25/03/20 Rawat
834993 RUHITA 77,440 1 77,440
21 Jalan
TN
25/03/20 Rawat SAMRI
835661 77,440 1 77,440
21 Jalan TN
WOWO
25/03/20 Rawat
809923 SUGRIW 77,440 1 77,440
21 Inap
O.TN
25/03/20 Rawat
835666 IMIH NY 77,440 1 77,440
21 Jalan
NY
25/03/20
UMUM 0 IRUM/AP 77,440 1 77,440
21
S
ROSMA
25/03/20 Rawat
834926 LAWATI, 77,440 1 77,440
21 Inap
NY
TATI
25/03/20 Rawat
835664 ROSWA 77,440 1 77,440
21 Inap
TI

YATI
25/03/20 Rawat
835577 KURNIA 77,440 1 77,440
21 Inap
WATI NY
 AJENG
25/03/20 Rawat
811100 KARTINI 77,440 1 77,440
21 Inap
.NY
RESTU
25/03/20 Rawat NANDA
826925 77,440 1 77,440
21 Inap AMELIA
. NN
25/03/20 Rawat YATNI
835642 77,440 1 77,440
21 Inap NY
SITI
25/03/20 Rawat
814501 RODIAH, 77,440 1 77,440
21 Inap
NY.
ONDA
25/03/20 Rawat
835632 MUYAN 77,440 1 77,440
21 Inap
A. TN
PINKAN
25/03/20 Rawat
817099 RIZKY.N 82,500 1 82,500
21 Jalan
N
CICIH
25/03/20 Rawat
835651 RUKAES 82,500 1 82,500
21 Jalan
IH. NY
25/03/20 Rawat NENGSI
835645 82,500 1 82,500
21 Inap H NY
26/03/20 Rawat KARMID,
823943 82,500 1 82,500
21 Inap TN
26/03/20 Rawat ENENG
835698 82,500 1 82,500
21 Inap NY
ENTIN
26/03/20 Rawat
826446 ROSTINI 77,440 1 77,440
21 Jalan
, NY
26/03/20 Rawat WINDY,
806078 77,440 1 77,440
21 Jalan NY
26/03/20 Rawat RUSTA,
2579 82,500 1 82,500
21 Inap TN
26/03/20 Meilita
K43 82,500 1 82,500
21 Nurfajrin
HJ
27/03/20 Rawat
835670 SUKARN 82,500 1 82,500
21 Inap
A TN
NANA
27/03/20
UMUM 0 JONI 79,200 1 79,200
21
TN/APS
NY SITI
27/03/20
UMUM 0 ROHMA 79,200 1 79,200
21
H/APS
NY
27/03/20
UMUM 0 CICIH/A 79,200 1 79,200
21
PS
27/03/20 Rawat HIDAYA
835638 82,500 1 82,500
21 Inap T. TN
IMAS
27/03/20 Rawat
835707 ROHIMA 82,500 1 82,500
21 Jalan
S, NY
27/03/20 Rawat KARMID,
823943 82,500 1 82,500
21 Inap TN
ASMAR
27/03/20 Rawat
835702 YANTI.N 82,500 1 82,500
21 Jalan
Y
27/03/20 Rawat UNENG,
5097 82,500 1 82,500
21 Inap NY
27/03/20 Rawat
835659 YATI. NY 82,500 1 82,500
21 Inap
27/03/20 Rawat WANCIH
835712 82,500 1 82,500
21 Inap NY
27/03/20 Rawat NENGSI
835645 82,500 1 82,500
21 Inap H NY
HARDI
27/03/20 Rawat
835716 SAMUEL 82,500 1 82,500
21 Jalan
TN
NY
27/03/20
UMUM 0 EUIS/AP 79,200 1 79,200
21
S
ENGKIN
27/03/20 Rawat
835520 G AJIS . 82,500 1 82,500
21 Jalan
TN
TN
27/03/20
UMUM 0 SODIKIN 79,200 1 79,200
21
/APS
NY
27/03/20
UMUM 0 ENGKA 79,200 1 79,200
21
R/APS
NY
27/03/20
UMUM 0 ANAH/A 79,200 1 79,200
21
PS
27/03/20 Rawat ENENG
835698 82,500 1 82,500
21 Inap NY
TN YUDI
27/03/20
UMUM 0 FIRMAN/ 79,200 1 79,200
21
APS
SITI
27/03/20 Rawat
814501 RODIAH, 82,500 1 82,500
21 Inap
NY.
TN
27/03/20
UMUM 0 SARYA/ 79,200 1 79,200
21
APS
 AAR
27/03/20 Rawat
825828 SURYAT 82,500 1 82,500
21 Inap
I.NY
OYO
27/03/20 Rawat
835699 SUTARY 82,500 1 82,500
21 Jalan
O. TN
NYAI
27/03/20 Rawat
835676 ATIKAH 82,500 1 82,500
21 Inap
NY
27/03/20 Rawat
835453 AMI NY 82,500 1 82,500
21 Jalan
NY
27/03/20
UMUM 0 ROKAYA 79,200 1 79,200
21
H/APS
28/03/20 Rawat AISYAH,
5158 82,500 1 82,500
21 Jalan NY
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 82,500 1 82,500
21 Inap
MAN,
TN.

LIA
HAYATI,
28/03/20 Rawat
828320 NY / 82,500 1 82,500
21 Jalan
HANIF,
TN
TOHA
28/03/20 Rawat
805009 NURDIN, 82,500 1 82,500
21 Inap
TN
28/03/20 Rawat ALMIRA,
835721 82,500 1 82,500
21 Jalan AN
UYUN
28/03/20 Rawat
835729 MULYAN 82,500 1 82,500
21 Inap
A . TN
ADE
28/03/20 Rawat
835733 YUNEN 82,500 1 82,500
21 Jalan
GSIH NY
IDING
28/03/20 Rawat
835732 JAENUD 82,500 1 82,500
21 Inap
IN, TN
29/03/20 Rawat KACEN
835734 82,500 1 82,500
21 Inap G TN
29/03/20 Rawat IWAN.
835735 82,500 1 82,500
21 Inap TN
NANI
29/03/20 Rawat
835706 NURJAN 82,500 1 82,500
21 Inap
AH. NY
 ACU
30/03/20 Rawat
835621 SAMSU 77,440 1 77,440
21 Inap
DIN TN
30/03/20 Rawat RODIAH.
810604 77,440 1 77,440
21 Inap NY
30/03/20 Rawat SAHNU
835764 77,440 1 77,440
21 Inap TN
30/03/20 Rawat SUKARS
835765 77,440 1 77,440
21 Inap IH.NY
EPI
30/03/20 Rawat
834663 YULIA. 77,440 1 77,440
21 Inap
NY
IMAS
30/03/20 Rawat
827623 MULYAN 77,440 1 77,440
21 Inap
I, NY
A
30/03/20 Rawat
835751 SUTISN 77,440 1 77,440
21 Inap
A. TN
30/03/20 Rawat ENTIN,
835756 77,440 1 77,440
21 Inap NY

30/03/20 Rawat SUKAED

835784 77,440 1 77,440
21 Jalan AH . NY

WINDY
30/03/20 Rawat
835718 WIDURI. 77,440 1 77,440
21 Inap
AN
YUDI
30/03/20 Rawat
835623 PRAYO 77,440 1 77,440
21 Jalan
GA.TN
30/03/20 Rawat MESIH,
835757 77,440 1 77,440
21 Jalan NY
30/03/20 Rawat
835762 USIH NY 77,440 1 77,440
21 Jalan
AGUS
30/03/20 NURJAY
UMUM 0 77,440 1 77,440
21 A
TN/APS
TN
30/03/20
UMUM 0 ASEP 77,440 1 77,440
21
/APS
N
30/03/20
UMUM APS ATIKAH, 77,440 1 77,440
21
NY
30/03/20 HJ
UMUM APS 77,440 1 77,440
21 EPONG
30/03/20 TN
UMUM 0 77,440 1 77,440
21 ASEP
 30/03/20 Pasien
UMUM 0 77,440 1 77,440
21 Umum
SIFA
MARYA
30/03/20 Rawat
835761 M 77,440 1 77,440
21 Jalan
RAHMA
N NN
YETI
30/03/20 Rawat
807134 MARYA 77,440 1 77,440
21 Jalan
NI, NY
31/03/20 Rawat AMANA
832051 77,440 1 77,440
21 Jalan H NY
31/03/20 Rawat DAHLAN
835795 77,440 1 77,440
21 Jalan TN
NANI
31/03/20 Rawat
835706 NURJAN 77,440 1 77,440
21 Inap
AH. NY
SIFA
31/03/20 Rawat SAGITA
813766 77,440 1 77,440
21 Jalan NURJAN
AH, NY
SUKAND
I BIN
31/03/20 Rawat
813480 SURYA 77,440 1 77,440
21 Inap
MAN,
TN.
DIAH
31/03/20 Rawat
835754 SUMINA 77,440 1 77,440
21 Inap
R. NY
YETI
31/03/20 Rawat
807134 MARYA 77,440 1 77,440
21 Inap
NI, NY
31/03/20 Rawat UNENG,
5097 77,440 1 77,440
21 Inap NY
Intunal
Meilita
339 445 Forte 4/3/2021 K43 971 10 9,710
Nurfajrin
Tab
Pasien
7/3/2021 UMUM 0 971 10 9,710
Umum
Opik
8/3/2021 K7 Firmansy 971 10 9,710
ah
Pasien
### UMUM 0 971 10 9,710
Umum
18/03/20 Pasien
UMUM 0 971 10 9,710
21 Umum
 24/03/20 Tantan
K58 971 20 19,420
21 Rustandi

Opik
24/03/20
K7 Firmansy 971 10 9,710
21
ah
26/03/20 Pasien
UMUM 0 971 10 9,710
21 Umum
28/03/20 Pasien
UMUM 0 971 4 3,884
21 Umum
Invitec Rawat YULIN
340 446 3/3/2021 834209 15,638 4 62,552
tab Jalan NY
ISDN
WOWO
(isosorbi 25/03/20 Rawat
341 448 809923 SUGRIW 158 2 316
d dinitrat 21 Inap
O.TN
5mg)
ACU
26/03/20 Rawat
835621 SAMSU 158 2 316
21 Inap
DIN TN
ACU
27/03/20 Rawat
835621 SAMSU 154 0 0
21 Inap
DIN TN
ACU
27/03/20 Rawat
835621 SAMSU 154 1 154
21 Inap
DIN TN
ACU
30/03/20 Rawat
835621 SAMSU 158 5 790
21 Inap
DIN TN
30/03/20 Rawat ENTING,
835756 158 1 158
21 Inap NY
ELOM
Amlodipi
17/03/20 Rawat SALAM
342 45 n 5mg 835515 357 1 357
21 Inap SUDIRM
Tab (HJ)
AN TN
AAR
23/03/20 Rawat
825828 SURYAT 357 1 357
21 Inap
I.NY
AAR
25/03/20 Rawat
825828 SURYAT 357 1 357
21 Inap
I.NY
NANI
26/03/20 Rawat
815243 MARYA 357 1 357
21 Inap
NI, NY.
Jarum Rawat
343 456 9/3/2021 835393 LIA. NY 3,772 1 3,772
Insulin Inap
 HEMMU
D
Rawat FARCHA
### 835437 2,803 1 2,803
Jalan N IBNU
HASAN
TN
UAR
15/03/20 Rawat
835466 WARSIT 2,803 3 8,409
21 Inap
A. TN
UJANG
23/03/20 Rawat
835617 TATANG 2,803 2 5,606
21 Inap
. TN
26/03/20 Rusi Sri
K59 2,803 3 8,409
21 Hardianti
Ampicilli Rawat HAIKAL
344 46 5/3/2021 835274 16,170 1 16,170
n inj Inap BY
Rawat HAIKAL
5/3/2021 835274 16,170 2 32,340
Inap BY
Rawat HAIKAL
7/3/2021 835274 16,170 1 16,170
Inap BY
MUHAM
MAD
19/03/20 Rawat FAEYZA
821441 16,170 1 16,170
21 Inap RAJBNA
HAMIZA
N, AN
23/03/20 Rawat NATAN.
835591 16,170 1 16,170
21 Inap AN

ALRADY
A
23/03/20 Rawat MAHAB
830769 16,170 1 16,170
21 Inap BATAN
LUVINA
TIKA. AN

ALRADY
A
24/03/20 Rawat MAHAB
830769 16,170 1 16,170
21 Inap BATAN
LUVINA
TIKA. AN

24/03/20 Rawat NATAN.

835591 16,170 2 32,340
21 Inap AN
24/03/20 Rawat NATAN.
835591 16,170 1 16,170
21 Inap AN
 ALRADY
A
25/03/20 Rawat MAHAB
830769 16,170 1 16,170
21 Inap BATAN
LUVINA
TIKA. AN

25/03/20 Rawat NATAN.

835591 16,170 1 16,170
21 Inap AN
AZKA
FADILAT
25/03/20 Rawat
835649 UL 16,170 2 32,340
21 Inap
KHOIR.
AN

AZKA
FADILAT
26/03/20 Rawat
835649 UL 16,170 2 32,340
21 Inap
KHOIR.
AN
KA EN Rawat HAINA,
345 460 1/3/2021 835228 14,153 2 28,306
3B Inf Inap AN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 14,153 2 28,306
Inap US
SHANU
M AN

BHARAT
Rawat JIBRIL
4/3/2021 828617 14,153 2 28,306
Inap PRASET
YO. AN
Rawat CERI
9/3/2021 835363 14,153 1 14,153
Inap LIAN AN
LEVINO
17/03/20 Rawat
835494 INDRAS 14,153 2 28,306
21 Inap
KA. AN
MUHAM
MAD
18/03/20 Rawat FAEYZA
821441 14,153 3 42,459
21 Inap RAJBNA
HAMIZA
N, AN
KELVIN
22/03/20 Rawat
835597 JULIANT 14,153 2 28,306
21 Inap
ARA BY
 ALRADY
A
23/03/20 Rawat MAHAB
830769 14,153 2 28,306
21 Inap BATAN
LUVINA
TIKA. AN

M.
27/03/20 Rawat
284 SAMSI, 14,153 2 28,306
21 Inap
AN
M.
27/03/20 Rawat
284 SAMSI, 14,153 1 14,153
21 Inap
AN
M.
28/03/20 Rawat
284 SAMSI, 14,153 2 28,306
21 Inap
AN
AI SITI
Amvar Rawat
346 47 9/3/2021 808067 ZAENAB 10,188 4 40,752
tab Jalan
, NY
NY AI
9/3/2021 UMUM APS SITI 10,188 16 163,008
ZAENAB
ARI
23/03/20 Rawat DINDIN
833385 10,188 5 50,940
21 Jalan WAHYU
DIN TN
23/03/20 TN ARI
UMUM APS 10,188 5 50,940
21 DINDIN
KENALO
IKAH
G IN 15/03/20 Rawat
347 471 835478 NURLAE 68,063 1 68,063
ORABAS 21 Jalan
LA. NY
E
ROBI
Ketocon Rawat
348 473 1/3/2021 818904 RISWAN 7,429 1 7,429
azol CR Jalan
DI. TN
Pasien
7/3/2021 UMUM 0 7,429 1 7,429
Umum

Rawat ROSYA
7/3/2021 835342 7,429 2 14,858
Jalan NA. SDR

Rawat
9/3/2021 835397 SITI, NY 7,429 1 7,429
Jalan
WIDANI
Rawat
### 813425 NGSIH,N 7,429 1 7,429
Jalan
Y
 ARSHAK
Rawat
### 813853 A RAMA 7,429 1 7,429
Inap
A. AN.

NY.
18/03/20
UMUM 0 OOM/AP 7,429 1 7,429
21
S
Ketoprof
Rawat
349 476 en tab 1/3/2021 835230 ANI. NY 1,617 10 16,170
Jalan
100mg
ELVA
Rawat ARIF
### 830595 1,617 10 16,170
Jalan MUTAQI
N SDR
RUDI
15/03/20 Rawat
835484 HERMA 1,617 15 24,255
21 Jalan
WAN TN
19/03/20 Rawat DENA,
803373 1,617 10 16,170
21 Jalan SDR
19/03/20 Rawat AFRIJAL
835557 1,617 10 16,170
21 Jalan UL SDR
24/03/20 Rawat OTONG,
835633 1,617 10 16,170
21 Jalan TN
ASEP
27/03/20 Rawat
835711 MEDIAN 1,617 10 16,170
21 Jalan
A. TN
27/03/20 Rawat
835713 ELIS NY 1,617 10 16,170
21 Jalan
28/03/20 Rawat RIZAL.
835723 1,617 10 16,170
21 Jalan SDR
Ketorola Rawat ISAM.
350 478 1/3/2021 819105 20,048 3 60,144
c INJ Inap NY
SAEFUL
Rawat
1/3/2021 835220 HUDAYA 20,047 1 20,047
Inap
TN
YAYA
Rawat
1/3/2021 835079 SUNARY 20,048 1 20,048
Inap
A TN
EUIS
Rawat
1/3/2021 834994 YULIANI 20,048 3 60,144
Inap
NY
Rawat JUANGS
1/3/2021 808907 20,048 3 60,144
Inap IH, NY
Rawat ISAM.
2/3/2021 819105 20,048 3 60,144
Inap NY
Rawat
2/3/2021 815940 DIDI, TN. 20,048 3 60,144
Inap
 Rawat JUANGS
2/3/2021 808907 20,048 2 40,096
Inap IH, NY
YAYA
Rawat
2/3/2021 835079 SUNARY 20,048 1 20,048
Inap
A TN

Yana
3/3/2021 K75 20,048 1 20,048
Gustiana

Rawat CEPI,
3/3/2021 835281 20,048 1 20,048
Jalan TN
Rawat KARMO
4/3/2021 835236 20,047 3 60,141
Inap TN
AI
Rawat
4/3/2021 835302 ROHAET 20,047 1 20,047
Jalan
I. NY
Pasien
4/3/2021 UMUM 0 20,047 1 20,047
Umum
Rawat SINTIA.
5/3/2021 835301 20,047 2 40,094
Inap NY
EUIS
Rawat
5/3/2021 834994 YULIANI 20,047 1 20,047
Inap
NY
Rawat SINTIA.
5/3/2021 835301 20,047 2 40,094
Inap NY
Rawat WARSIT
5/3/2021 835314 20,047 1 20,047
Jalan A TN
Rawat ROHMI
6/3/2021 835330 20,047 1 20,047
Jalan NY
Rawat NUNUN
6/3/2021 835338 20,047 1 20,047
Inap G K, NY
CITRA
Rawat
6/3/2021 816881 MUFIDA 20,047 1 20,047
Jalan
H, NN.
LILIS
Rawat
6/3/2021 823790 SURYAN 20,047 1 20,047
Inap
I.NY
Rawat KHODIJ
6/3/2021 835334 20,047 1 20,047
Jalan AH NN
AI
Rawat
6/3/2021 821381 KARWA 20,047 1 20,047
Jalan
TI.NY
NOVI
Rawat
6/3/2021 835335 SOPAN 20,047 1 20,047
Jalan
DI, TN
Rawat RUHITA,
6/3/2021 835336 20,047 1 20,047
Jalan TN
Rawat
6/3/2021 835327 ANA TN 20,047 1 20,047
Jalan
 UUN
Rawat
6/3/2021 835337 UNASIH, 20,047 1 20,047
Jalan
NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 20,047 2 40,094
Inap
NY
Rawat AWIS,
7/3/2021 816633 20,047 2 40,094
Inap NY
AI
Rawat
7/3/2021 3483 UNENG 20,047 1 20,047
Jalan
SIH, NY
Rawat AWIS,
8/3/2021 816633 20,048 2 40,096
Inap NY
Rawat
9/3/2021 835393 LIA. NY 20,047 2 40,094
Inap
Rawat RUSMIN
9/3/2021 835399 20,047 1 20,047
Jalan . TN
KAKA
Rawat IMAN
9/3/2021 830218 20,047 1 20,047
Jalan MUDIN
SDR
Rawat
### 835393 LIA. NY 20,047 2 40,094
Inap
H.
Rawat TATANG
### 831377 20,047 2 40,094
Inap TARYON
O, TN
Rawat IMAS,
### 835142 20,047 2 40,094
Inap NY
Rawat IMAS,
### 835142 20,047 2 40,094
Inap NY
Rawat KASNAH
### 835440 20,047 1 20,047
Jalan . NY
Rawat POPI,
### 835414 20,047 1 20,047
Inap TN
H.
Rawat TATANG
### 831377 20,047 1 20,047
Inap TARYON
O, TN
Rawat IMAS,
### 835142 20,047 3 60,141
Inap NY
13/03/20 Rawat KARMO
835236 20,047 3 60,141
21 Inap TN
TINI
13/03/20 Rawat
835417 HARTINI 20,047 3 60,141
21 Inap
. NY
13/03/20 Rawat TASIH
835460 20,047 2 40,094
21 Inap NY
13/03/20 Rawat NALIH.
835459 20,047 1 20,047
21 Jalan TN
13/03/20 Rawat
806813 IPIN, TN 20,047 1 20,047
21 Jalan

13/03/20 Rawat ASEP

835461 20,047 1 20,047
21 Jalan EDO. TN

13/03/20 Rawat KULSUM

835464 20,047 1 20,047
21 Jalan . NY
13/03/20 Rawat EDAH,
835444 20,047 1 20,047
21 Jalan NY
LIKA
13/03/20 Rawat
835445 MUSTIK 20,047 1 20,047
21 Jalan
A, NY
EEM
13/03/20 Rawat
831825 SUKAE 20,047 3 60,141
21 Inap
MI. NY
13/03/20 Rawat NENGS
835451 20,047 1 20,047
21 Jalan RI. NY
14/03/20 Rawat TASIH
835460 20,047 2 40,094
21 Inap NY
14/03/20 Rawat KARMO
835236 20,047 3 60,141
21 Inap TN
EEM
14/03/20 Rawat
831825 SUKAE 20,047 3 60,141
21 Inap
MI. NY
UAR
14/03/20 Rawat
835466 WARSIT 20,047 2 40,094
21 Inap
A. TN
14/03/20 Rawat SACI,
804839 20,047 1 20,047
21 Jalan NY
UAR
14/03/20 Rawat
835466 WARSIT 20,047 3 60,141
21 Inap
A. TN
14/03/20 Rawat
835415 AAH, NY 20,047 2 40,094
21 Inap
15/03/20 Rawat
815940 DIDI, TN. 20,047 4 80,188
21 Inap
TINI
15/03/20 Rawat
835417 HARTINI 20,047 1 20,047
21 Inap
. NY
15/03/20 Rawat ENES
835469 20,047 1 20,047
21 Inap NY
UAR
15/03/20 Rawat
835466 WARSIT 20,047 10 200,470
21 Inap
A. TN
 HJ
16/03/20 Rawat
804292 CICIH. 20,047 1 20,047
21 Inap
NY
IIN
16/03/20 Rawat
819469 RUYANI, 20,047 2 40,094
21 Inap
NY

SODIKIN
16/03/20 Rawat NOOR
835524 20,047 2 40,094
21 Inap BADRI.
TN

HJ
17/03/20 Rawat
804292 CICIH. 20,047 2 40,094
21 Inap
NY
YANA
17/03/20 Rawat
835328 GUSTIA 20,047 1 20,047
21 Inap
NA NN

SODIKIN
17/03/20 Rawat NOOR
835524 20,047 2 40,094
21 Inap BADRI.
TN

17/03/20 Rawat FATIMA

832088 20,047 1 20,047
21 Inap H , NY

SODIKIN
18/03/20 Rawat NOOR
835524 20,047 2 40,094
21 Inap BADRI.
TN

18/03/20 Rawat MA'MUN

835549 20,047 1 20,047
21 Jalan TN

SODIKIN
19/03/20 Rawat NOOR
835524 20,047 2 40,094
21 Inap BADRI.
TN

19/03/20 Rawat AMAT.

835550 20,047 1 20,047
21 Inap TN
19/03/20 Rawat ANIS,
835551 20,047 1 20,047
21 Jalan NY
19/03/20 Rawat AMAT.
835550 20,047 1 20,047
21 Inap TN
19/03/20 Rawat AFRIJAL
835557 20,047 1 20,047
21 Jalan UL SDR
EUIS
19/03/20 Rawat
1708 MAEMU 20,047 1 20,047
21 Jalan
NAH, NY
20/03/20 Rawat SUKAES
807749 20,047 1 20,047
21 Inap IH. NY
ACEP
21/03/20 Rawat
835592 SOHIDIN 20,047 1 20,047
21 Jalan
TN

ANDREA
21/03/20 Rawat S
835582 20,047 1 20,047
21 Jalan YUDANT
ORO TN

21/03/20 Rawat AHYA,

835585 20,047 1 20,047
21 Jalan TN
22/03/20 Rawat ROSIDA
835605 20,047 1 20,047
21 Inap H
22/03/20 Rawat SUHEN
835596 20,047 1 20,047
21 Inap DA NY

YATI
23/03/20 Rawat
835577 KURNIA 20,047 1 20,047
21 Inap
WATI NY

EPON
23/03/20 Rawat
835622 SUKARS 20,047 3 60,141
21 Inap
IH NY
ONDA
23/03/20 Rawat
835632 MUYAN 20,047 1 20,047
21 Inap
A. TN
SUKAND
I BIN
23/03/20 Rawat
813480 SURYA 20,047 1 20,047
21 Jalan
MAN,
TN.
EPON
23/03/20 Rawat
835622 SUKARS 20,047 2 40,094
21 Inap
IH NY
23/03/20 Rawat KARSIH
831386 20,047 1 20,047
21 Inap NY
23/03/20 Rawat KARSIH
831386 20,047 2 40,094
21 Inap NY
EPON
24/03/20 Rawat
835622 SUKARS 20,047 2 40,094
21 Inap
IH NY
24/03/20 Rawat OTONG,
835633 20,047 1 20,047
21 Jalan TN
SITI
24/03/20 Rawat
814501 RODIAH, 20,048 2 40,096
21 Inap
NY.
24/03/20 Rawat KARSIH
831386 20,047 2 40,094
21 Inap NY
 EPON
25/03/20 Rawat
835622 SUKARS 20,047 3 60,141
21 Inap
IH NY
SITI
25/03/20 Rawat
814501 RODIAH, 20,047 3 60,141
21 Inap
NY.
EPON
26/03/20 Rawat
835622 SUKARS 20,047 2 40,094
21 Inap
IH NY
SITI
26/03/20 Rawat
814501 RODIAH, 20,047 1 20,047
21 Inap
NY.
26/03/20 Rawat UHNAN
835689 20,047 2 40,094
21 Inap TN
26/03/20 Rawat WINDY,
806078 20,047 1 20,047
21 Jalan NY
26/03/20 Meilita
K43 20,047 1 20,047
21 Nurfajrin
NYAI
26/03/20 Rawat
835676 ATIKAH 20,047 1 20,047
21 Inap
NY
IMAS
27/03/20 Rawat
835707 ROHIMA 20,048 1 20,048
21 Jalan
S, NY
27/03/20 Rawat
815940 DIDI, TN. 20,048 1 20,048
21 Jalan
27/03/20 Rawat SARWA.
835697 20,048 1 20,048
21 Jalan TN
NYAI
27/03/20 Rawat
835676 ATIKAH 20,048 1 20,048
21 Inap
NY
USUP
27/03/20 Rawat
835705 RUHEN 20,048 1 20,048
21 Jalan
DI
28/03/20 Rawat RIZAL.
835723 20,048 1 20,048
21 Jalan SDR
28/03/20 Pasien
UMUM 0 19,246 1 19,246
21 Umum
SAEPUL
29/03/20 Rawat
814700 HIDAYA 20,047 2 40,094
21 Inap
T,TN
29/03/20 Rawat
835659 YATI. NY 20,048 1 20,048
21 Inap
EPI
29/03/20 Rawat
834663 YULIA. 20,048 3 60,144
21 Inap
NY
 EPI
29/03/20 Rawat
834663 YULIA. 20,047 3 60,141
21 Inap
NY
SAEFUL
30/03/20 Rawat
835220 HUDAYA 20,047 2 40,094
21 Inap
TN
DIAH
30/03/20 Rawat
835754 SUMINA 20,047 2 40,094
21 Inap
R. NY
EPI
30/03/20 Rawat
834663 YULIA. 20,047 3 60,141
21 Inap
NY
IDA
31/03/20 Rawat
835803 SUARTI 20,047 1 20,047
21 Jalan
KA NY
31/03/20 Rawat DAHLAN
835795 20,047 1 20,047
21 Jalan TN
31/03/20 Rawat SAHNU
835764 20,047 1 20,047
21 Inap TN
YENI
31/03/20 Rawat
809193 YULIANI, 20,047 1 20,047
21 Jalan
NY
SIFA
31/03/20 Rawat SAGITA
813766 20,047 1 20,047
21 Jalan NURJAN
AH, NY

SUSI
Ketorola Rawat
351 479 1/3/2021 835194 SUSILA 3,162 10 31,620
c Tab Inap
WATI NY

Rawat JUANGS
3/3/2021 808907 3,162 10 31,620
Inap IH, NY
SHERLI
Rawat N
5/3/2021 800529 3,162 10 31,620
Jalan BERLIA
N, NY
Rawat KARMO
6/3/2021 835236 3,162 10 31,620
Inap TN
Rawat AWIS,
9/3/2021 816633 3,162 10 31,620
Inap NY
FELCIA
L-Zinc Rawat
352 485 1/3/2021 835226 TJHIN, 44,468 1 44,468
Syr Inap
AN
Rawat KRISYA.
4/3/2021 835286 44,468 1 44,468
Inap AN
 BHARAT
Rawat JIBRIL
4/3/2021 828617 44,468 1 44,468
Inap PRASET
YO. AN
24/03/20 Rawat NATAN.
835591 38,569 1 38,569
21 Inap AN
M.
27/03/20 Rawat
284 SAMSI, 44,468 1 44,468
21 Inap
AN
KHAIRA
30/03/20 Rawat
824645 NAYYAR 44,468 1 44,468
21 Jalan
A, AN
M
31/03/20 Rawat
835788 ZIDHAN 44,468 1 44,468
21 Jalan
AN
FELCIA
L-Bio Rawat
353 486 1/3/2021 835226 TJHIN, 8,338 2 16,676
Sach Inap
AN
YASFI
Rawat
4/3/2021 828169 ADITIYA, 10,240 4 40,960
Jalan
BY
FELCIA
Rawat
4/3/2021 835226 TJHIN, 10,240 2 20,480
Inap
AN
Rawat KRISYA.
4/3/2021 835286 10,240 1 10,240
Inap AN
BY NY
Rawat
### 834835 WAHYU 8,508 3 25,524
Jalan
NI DWI
SHAJEA
13/03/20 Rawat
835452 HALAA 8,508 3 25,524
21 Jalan
NISA AN
SHAJEA
13/03/20 Rawat
835452 HALAA 8,508 1 8,508
21 Inap
NISA AN
ANISA
13/03/20 Rawat
835298 FITRIA, 8,508 3 25,524
21 Jalan
AN
14/03/20 Rawat ALONA
835467 8,508 1 8,508
21 Inap AN
HJ
16/03/20 Rawat
804292 CICIH. 8,508 2 17,016
21 Inap
NY
LEVINO
16/03/20 Rawat
835494 INDRAS 8,508 1 8,508
21 Inap
KA. AN
16/03/20 Rawat FATIMA
832088 8,508 2 17,016
21 Inap H , NY
 HJ
17/03/20 Rawat
804292 CICIH. 8,508 2 17,016
21 Inap
NY
IRSYAD
17/03/20 Rawat
831588 RAMAD 8,508 3 25,524
21 Jalan
HAN, AN
DEREL
17/03/20 Rawat DWI
835473 8,508 2 17,016
21 Inap KARISM
A AN
DEREL
17/03/20 Rawat DWI
835473 8,508 4 34,032
21 Inap KARISM
A AN
LEVINO
18/03/20 Rawat
835494 INDRAS 8,508 5 42,540
21 Inap
KA. AN
18/03/20 Rawat FATIMA
832088 8,508 1 8,508
21 Inap H , NY
21/03/20 Rawat NATAN.
835591 8,508 2 17,016
21 Inap AN
22/03/20 Rawat SUHEN
835596 10,240 2 20,480
21 Inap DA NY
22/03/20 Rawat SUHEN
835596 8,508 3 25,524
21 Inap DA NY
SHAKIL
23/03/20 Rawat A
835615 10,240 10 102,400
21 Jalan AYUDIA.
AN
23/03/20 Rawat NATAN.
835591 10,240 4 40,960
21 Inap AN
25/03/20 Rawat NATAN.
835591 8,508 6 51,048
21 Inap AN
M.
27/03/20 Rawat
284 SAMSI, 8,508 2 17,016
21 Inap
AN
M.
28/03/20 Rawat
284 SAMSI, 10,240 2 20,480
21 Inap
AN
DIAH
30/03/20 Rawat
835754 SUMINA 8,508 2 17,016
21 Inap
R. NY
HUMAIR
30/03/20 Rawat A
835346 8,508 6 51,048
21 Jalan SABILA .
AN
 MUHAM
MAD
30/03/20 Rawat HAFIZH
828235 8,508 6 51,048
21 Jalan AS -
SIDIQ
AN
30/03/20 Rawat AFNAN.
835737 8,508 6 51,048
21 Inap AN
AL
31/03/20 Rawat RAFIQ
835800 8,508 1 8,508
21 Inap RIZKI S
AN
AL
31/03/20 Rawat RAFIQ
835800 8,508 2 17,016
21 Inap RIZKI S
AN
DIAH
31/03/20 Rawat
835754 SUMINA 8,508 1 8,508
21 Inap
R. NY
SIFA
31/03/20 Rawat SAGITA
813766 8,508 2 17,016
21 Jalan NURJAN
AH, NY
18/03/20 Rawat
354 487 L-cisin 806813 IPIN, TN 5,500 10 55,000
21 Jalan
ERITA
Lactamor Rawat
355 490 5/3/2021 823380 SANTA. 2,783 15 41,745
Tab Jalan
R, NY
TINI
Rawat
5/3/2021 833723 MARTINI 2,783 30 83,490
Jalan
NY
RISKA
Rawat
5/3/2021 831884 ARDIAY 2,783 20 55,660
Jalan
ANTI NY
LINA
Rawat
5/3/2021 832524 RIHIYAN 2,783 10 27,830
Jalan
TI NY
NADIRA
Lacoldin Rawat RAMAD
356 494 1/3/2021 827482 26,950 1 26,950
syr Jalan HANI.
AN
ONENG
Rawat
5/3/2021 835066 SUMYAT 26,950 1 26,950
Jalan
I NY

dr. Indra
5/3/2021 UMUM K5 Bagus 26,950 1 26,950
Haryanto
 ALIB
Rawat
### 835407 GUNAW 26,950 1 26,950
Jalan
AN, AN
14/03/20 Pasien
UMUM 0 26,950 1 26,950
21 Umum
18/03/20 Pasien
UMUM 0 26,950 1 26,950
21 Umum
23/03/20 Rawat DANIS.
835631 26,950 1 26,950
21 Jalan AN
Lacoldin Pasien
357 495 8/3/2021 UMUM 0 2,223 10 22,230
Tab Umum
NANAN
Rawat G
8/3/2021 812757 2,223 10 22,230
Jalan SUPRIA
TNA, TN
Dede
### K37 2,223 10 22,230
Lena
ELVA
Rawat ARIF
### 830595 2,223 10 22,230
Jalan MUTAQI
N SDR
15/03/20 Meilita
K43 2,223 10 22,230
21 Nurfajrin
17/03/20 Pasien
UMUM 0 2,223 10 22,230
21 Umum
MIRA
19/03/20 Rawat
822603 RAHMA 2,223 10 22,230
21 Jalan
NIA. NY
DEA
23/03/20 Rawat
820296 NURSIF 2,223 10 22,230
21 Jalan
A, NN
28/03/20 Pasien
UMUM 0 2,223 10 22,230
21 Umum
Chandik
29/03/20
K79 a Dwi 2,223 3 6,669
21
Putra
OJAN
29/03/20 Rawat
834850 SUPRIA 2,223 10 22,230
21 Jalan
DI. TN
Lagesil Pasien
358 498 5/3/2021 UMUM 0 1,482 20 29,640
tab Umum
Pasien
### UMUM 0 1,482 10 14,820
Umum
FELCIA
Abocath Rawat
359 5 1/3/2021 835226 TJHIN, 15,524 2 31,048
No 24 Inap
AN
 FELCIA
Rawat
2/3/2021 835226 TJHIN, 15,524 2 31,048
Inap
AN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 15,524 1 15,524
Inap US
SHANU
M AN
ANISA
Rawat
4/3/2021 835298 FITRIA, 15,524 1 15,524
Inap
AN
BHARAT
Rawat JIBRIL
4/3/2021 828617 15,524 1 15,524
Inap PRASET
YO. AN
NAYLA
Rawat
5/3/2021 835311 NURASY 15,524 1 15,524
Inap
IFA AN
TANIA
Rawat
6/3/2021 835331 MAURA 15,524 2 31,048
Inap
NISA AN
Rawat CERI
8/3/2021 835363 15,524 3 46,572
Inap LIAN AN

ARSHAK
Rawat
### 813853 A RAMA 15,524 1 15,524
Inap
A. AN.

Rawat CERI
### 835363 15,524 3 46,572
Inap LIAN AN

HAYKAL
Rawat DWI
### 835435 3,610 1 3,610
Inap SYAHPU
TRA AN

KENZIE
Rawat AZKA
### 810083 3,610 1 3,610
Inap FAIRUIZ.
AN
AHMAD
13/03/20 Rawat
835458 ARYA. 3,680 2 7,360
21 Inap
AN
AHMAD
13/03/20 Rawat
835458 ARYA. 3,680 2 7,360
21 Inap
AN
 NATASY
13/03/20 Rawat A
835457 3,680 1 3,680
21 Inap ADINDA
NY
14/03/20 Rawat ALONA
835467 3,680 1 3,680
21 Inap AN
DIMAS
15/03/20 Rawat
812977 ADITYA 3,680 4 14,720
21 Inap
W, AN
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 3,680 1 3,680
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat WASLI.
827069 3,680 1 3,680
21 Jalan TN
ANISA
24/03/20 Rawat FAIHA
835644 3,680 1 3,680
21 Inap MUNAN
DAR AN
AZKA
FADILAT
25/03/20 Rawat
835649 UL 3,680 1 3,680
21 Inap
KHOIR.
AN
WINDY
28/03/20 Rawat
835718 WIDURI. 3,680 1 3,680
21 Inap
AN
EUIS
Laminari Rawat
360 503 3/3/2021 831017 KURAES 125,685 1 125,685
aL Jalan
IN.NY
20/03/20 Pasien
UMUM 0 121,030 1 121,030
21 Umum

Lansopra 13/03/20 Rawat

361 506 806813 IPIN, TN 1,114 10 11,140
zole cap 21 Jalan

VIVIH
14/03/20 Rawat
834834 NOVITA 1,114 10 11,140
21 Inap
DEWI
PAPAT
15/03/20 Rawat
835496 FATIMA 1,656 5 8,280
21 Jalan
H. NY
15/03/20 Rawat
835504 SITI NY 1,656 5 8,280
21 Jalan
15/03/20 Rawat DONO.
835488 1,656 10 16,560
21 Jalan TN
 WOWO
27/03/20 Rawat
809923 SUGRIW 1,114 14 15,596
21 Inap
O.TN
ANDA
27/03/20 Rawat
834672 WIHAND 1,114 7 7,798
21 Inap
A TN
27/03/20 Rawat KARMID,
823943 1,114 7 7,798
21 Inap TN
HARDI
27/03/20 Rawat
835716 SAMUEL 1,114 10 11,140
21 Jalan
TN
29/03/20 Rawat YAYA.
835736 1,114 5 5,570
21 Jalan TN
ELI
29/03/20 Rawat
835753 SUMAR 1,656 10 16,560
21 Jalan
NI, NY
30/03/20 Rawat JUAREA
835782 1,114 10 11,140
21 Jalan , NY
30/03/20 Rawat YUMAH .
835785 1,114 10 11,140
21 Jalan NY
30/03/20 Rawat MESIH,
835757 1,656 5 8,280
21 Jalan NY
HJ.
30/03/20 Rawat
815478 EPONG 1,114 7 7,798
21 Jalan
K.NY
YETI
30/03/20 Rawat
807134 MARYA 1,114 10 11,140
21 Jalan
NI, NY
31/03/20 Rawat DAHLAN
835795 1,114 10 11,140
21 Jalan TN
AGUS
31/03/20 Rawat
835805 DENI. 1,114 10 11,140
21 Jalan
TN
YENI
31/03/20 Rawat
809193 YULIANI, 1,114 10 11,140
21 Jalan
NY
SIFA
31/03/20 Rawat SAGITA
813766 1,114 10 11,140
21 Jalan NURJAN
AH, NY
SUKAND
I BIN
31/03/20 Rawat
813480 SURYA 1,114 10 11,140
21 Inap
MAN,
TN.
CICI
31/03/20 Rawat
835746 SUMAR 1,114 10 11,140
21 Inap
CI. NY
 HJ. SITI
Lapibal Rawat
362 507 9/3/2021 4433 SOPIAH, 29,645 3 88,935
inj Inap
NY
ELOM
17/03/20 Rawat SALAM
835515 29,645 1 29,645
21 Inap SUDIRM
AN TN
23/03/20 Rawat KARSIH
831386 29,645 2 59,290
21 Inap NY
24/03/20 Rawat KARSIH
831386 29,645 2 59,290
21 Inap NY
USUP
27/03/20 Rawat
835705 RUHEN 29,645 1 29,645
21 Jalan
DI
SAEFUL
Lapibal Rawat
363 508 2/3/2021 835220 HUDAYA 3,032 10 30,320
500 Cap Inap
TN
MUHAM
Rawat AD
### 835405 3,032 3 9,096
Jalan FAFIJUL
. AN
Rawat ALEH
### 832129 3,032 10 30,320
Jalan TN
HJ. SITI
Rawat
### 4433 SOPIAH, 3,032 1 3,032
Inap
NY
HJ. SITI
Rawat
### 4433 SOPIAH, 3,032 10 30,320
Inap
NY
MUHAM
15/03/20 Rawat AD
835405 3,032 3 9,096
21 Jalan HAFIJUL
. AN
DRS,
16/03/20 Rawat NANA
820372 3,032 15 45,480
21 Jalan MULYAN
A, TN
RUBI
16/03/20 Rawat HENDR
820987 3,032 15 45,480
21 Jalan AWAN.
TN
18/03/20 Rawat
835546 EHA NY 3,032 7 21,224
21 Jalan
19/03/20 Rawat KOSIDIN
835556 3,032 10 30,320
21 Jalan NY
24/03/20 Rawat AGUS
835641 3,032 20 60,640
21 Jalan TN
 24/03/20 Rawat OTONG,
835633 3,032 10 30,320
21 Jalan TN
ALFAKIR
25/03/20 Rawat
835665 DEDY 3,032 7 21,224
21 Jalan
.TN
DEDE
25/03/20 Rawat
835636 RAHMA 3,032 10 30,320
21 Inap
T TN
25/03/20 Rawat KARSIH
831386 3,032 10 30,320
21 Inap NY
UTA
26/03/20 Rawat
835690 SOPAN 3,032 20 60,640
21 Jalan
DI.TN
27/03/20 Rawat SARWA.
835697 3,032 10 30,320
21 Jalan TN
UDIN
29/03/20 Rawat
835747 SAMSU 3,032 10 30,320
21 Jalan
DIN. TN
Lapicef Rawat ZAHRA
364 509 3/3/2021 826379 57,750 1 57,750
125 Syr Jalan PUJI, AN

KENAN
Rawat
3/3/2021 830912 SHAKEE 57,750 1 57,750
Jalan
L R, AN

Pasien
8/3/2021 UMUM 0 61,985 1 61,985
Umum
AN
8/3/2021 UMUM 0 FAJAR/A 61,985 1 61,985
PS

### UMUM K83 Iis Isarah 57,750 1 57,750

ALFI
16/03/20 Rawat
832641 ANDRA 61,985 1 61,985
21 Jalan
A. AN
MAULAN
16/03/20 Rawat A
830649 61,985 1 61,985
21 Jalan ALBIBAS
AR.AN
KANZIA
29/03/20 Rawat
833256 NURSAL 61,985 1 61,985
21 Jalan
SA AN
SAHILA
31/03/20 Rawat
832194 AULIA 61,985 1 61,985
21 Jalan
AN
Lapicef ESA
Rawat
365 510 500mg 7/3/2021 823669 SAPUTR 14,149 10 141,490
Jalan
tab A
 DEA
23/03/20 Rawat
820296 NURSIF 14,149 10 141,490
21 Jalan
A, NN
25/03/20 Rawat
835666 IMIH NY 14,149 15 212,235
21 Jalan
Lapifed Rawat HILYA,
366 511 3/3/2021 835283 32,340 1 32,340
syr Jalan AN
SALWA
17/03/20 Rawat FITRI
835534 32,340 1 32,340
21 Jalan NANDINI
AN
25/03/20 Rawat HIDAYA
835638 32,340 1 32,340
21 Inap T. TN
ARINA
31/03/20 Rawat PUTRI
835792 32,340 1 32,340
21 Jalan AROFIK
AN
MUSTO
FA
31/03/20 Rawat
835793 ABDUL 32,340 1 32,340
21 Jalan
HAMID
AN
SAHILA
31/03/20 Rawat
832194 AULIA 32,340 1 32,340
21 Jalan
AN
Lapifed
367 512 ### UMUM K83 Iis Isarah 33,688 1 33,688
Exp Syr
Pak H
### UMUM 0 33,688 1 33,688
Toto
RIO
lapifed Rawat CANDR
368 513 2/3/2021 802552 3,369 10 33,690
tab Jalan A YUNI,
TN
KANZIA
Rawat
4/3/2021 833256 NURSAL 3,369 2 6,738
Jalan
SA AN
M
Rawat
5/3/2021 835321 IKHSAN 3,369 12 40,428
Jalan
SDR
Pasien
8/3/2021 UMUM 0 3,369 5 16,845
Umum
Rawat JURAEJI
8/3/2021 827464 3,369 6 20,214
Inap N, TN
NANDI
Rawat
9/3/2021 835384 KRISAL 3,369 1 3,369
Jalan
AM. AN
Rawat JURAEJI
9/3/2021 827464 3,369 2 6,738
Inap N, TN
 Rawat JURAEJI
### 827464 3,369 1 3,369
Inap N, TN
### UMUM 0 SELVI 3,369 1 3,369
EEM
13/03/20 Rawat
831825 SUKAE 3,369 2 6,738
21 Inap
MI. NY
AMRIN
14/03/20 Rawat
835462 SOBANA 3,369 2 6,738
21 Inap
TN
EEM
14/03/20 Rawat
831825 SUKAE 3,369 1 3,369
21 Inap
MI. NY
EEM
14/03/20 Rawat
831825 SUKAE 3,369 2 6,738
21 Inap
MI. NY
EEM
15/03/20 Rawat
831825 SUKAE 3,369 2 6,738
21 Inap
MI. NY
15/03/20 dr N
UMUM 0 3,369 10 33,690
21 siti /APS
AMRIN
15/03/20 Rawat
835462 SOBANA 3,369 10 33,690
21 Inap
TN
AFNAN
Lapimox Rawat
369 514 ### 830823 ALFARIZ 32,340 1 32,340
125 Syr Jalan
QI BY
MISHAE
LA
Lapixime Rawat HADYAT
370 515 2/3/2021 835253 175,313 2 350,626
inj Inap US
SHANU
M AN

MISHAE
LA
Rawat HADYAT
3/3/2021 835253 175,313 2 350,626
Inap US
SHANU
M AN

MISHAE
LA
Rawat HADYAT
4/3/2021 835253 202,125 2 404,250
Inap US
SHANU
M AN
NAYLA
Rawat
5/3/2021 835311 NURASY 202,125 1 202,125
Inap
IFA AN
 MISHAE
LA
Rawat HADYAT
8/3/2021 835253 202,125 1 202,125
Inap US
SHANU
M AN
Rawat CERI
### 835363 202,125 1 202,125
Inap LIAN AN
DEREL
15/03/20 Rawat DWI
835473 202,125 1 202,125
21 Inap KARISM
A AN
DIMAS
16/03/20 Rawat
812977 ADITYA 202,125 2 404,250
21 Inap
W, AN
PUJI
Lasal Rawat
371 516 1/3/2021 835229 SUMARJ 1,684 10 16,840
2mg Cap Jalan
I, TN
Meilita
1/3/2021 K43 1,684 10 16,840
Nurfajrin
OBAR
Rawat
7/3/2021 835347 SUHEN 1,684 10 16,840
Jalan
DI. TN
Pasien
8/3/2021 UMUM 0 1,684 10 16,840
Umum
Meilita
### K43 1,684 10 16,840
Nurfajrin
20/03/20 Rawat SUHEN
835578 1,684 10 16,840
21 Jalan DAR TN
MUHAM
25/03/20 Rawat AD
835657 1,684 2 3,368
21 Jalan RIVAN
AN

Lasal Pasien
372 517 1/3/2021 UMUM 0 2,156 10 21,560
4mg Cap Umum

WINDI
22/03/20 Rawat
806691 PERMAT 2,156 10 21,560
21 Jalan
A, AN
ONDA
28/03/20 Rawat
835632 MUYAN 2,156 10 21,560
21 Inap
A. TN
KENZIE
Lasal
13/03/20 Rawat AZKA
373 518 syrup 810083 35,035 1 35,035
21 Inap FAIRUIZ.
2mg
AN
 Lasal
FERI
exp Rawat
374 519 8/3/2021 835355 ARIYAN 50,532 1 50,532
syrup Jalan
TO. AN
2mg
ALFI
16/03/20 Rawat
832641 ANDRA 50,532 1 50,532
21 Jalan
A. AN
26/03/20 Pasien
UMUM 0 50,532 1 50,532
21 Umum
WIDA
Levoflox Rawat
375 525 4/3/2021 829896 WIDIAW 2,058 5 10,290
acin tab Jalan
ATI.NY
16/03/20 Rawat KANDA.
835528 2,058 5 10,290
21 Jalan TN
JAJANG
18/03/20 Rawat
835545 SUHER 2,058 5 10,290
21 Jalan
MAN TN
TITIN
18/03/20 Rawat
835530 MULYAT 2,058 5 10,290
21 Inap
IN NY
ADE
18/03/20 Rawat
835529 ROHMA 2,058 1 2,058
21 Inap
ENI. NY
19/03/20 Rawat CICIH
811043 2,058 1 2,058
21 Inap NY.
20/03/20 Rawat CICIH
811043 2,058 3 6,174
21 Inap NY.
23/03/20 Rawat UDIN.
835604 2,058 5 10,290
21 Inap TN
AJENG
23/03/20 Rawat
811100 KARTINI 2,058 1 2,058
21 Inap
.NY
GANJAR
24/03/20 Rawat
835607 HIKMAT 2,058 6 12,348
21 Inap
. TN
AMRIN
25/03/20 Rawat
835462 SOBANA 2,058 5 10,290
21 Jalan
TN
AJENG
25/03/20 Rawat
811100 KARTINI 2,058 5 10,290
21 Inap
.NY
AJENG
25/03/20 Rawat
811100 KARTINI 2,058 1 2,058
21 Inap
.NY
ONDA
25/03/20 Rawat
835632 MUYAN 2,058 1 2,058
21 Inap
A. TN
 26/03/20 Rawat PARNO,
835601 2,058 5 10,290
21 Inap TN
ONDA
26/03/20 Rawat
835632 MUYAN 2,058 1 2,058
21 Inap
A. TN
27/03/20 Rawat HIDAYA
835638 2,058 5 10,290
21 Inap T. TN
ONDA
27/03/20 Rawat
835632 MUYAN 2,058 1 2,058
21 Inap
A. TN
HJ
30/03/20 Rawat
835648 CECEP . 2,058 1 2,058
21 Inap
TN
HJ
31/03/20 Rawat
835648 CECEP . 2,058 5 10,290
21 Inap
TN
levofloxa 13/03/20 Rawat RUKMIN
376 526 835465 37,400 1 37,400
cin infus 21 Jalan I. NY
ADE
18/03/20 Rawat
835529 ROHMA 53,900 1 53,900
21 Inap
ENI. NY
ADE
19/03/20 Rawat
835529 ROHMA 53,900 1 53,900
21 Inap
ENI. NY
GANJAR
22/03/20 Rawat
835607 HIKMAT 37,400 2 74,800
21 Inap
. TN
22/03/20 Rawat UDIN.
835604 37,400 1 37,400
21 Inap TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 53,900 1 53,900
21 Inap
TN
GANJAR
23/03/20 Rawat
835607 HIKMAT 37,400 2 74,800
21 Inap
. TN
25/03/20 Rawat PARNO,
835601 53,900 1 53,900
21 Inap TN
A
30/03/20 Rawat
835751 SUTISN 134,750 2 269,500
21 Inap
A. TN
A
31/03/20 Rawat
835751 SUTISN 134,750 2 269,500
21 Inap
A. TN
Lidocain Rawat CEPI,
377 535 3/3/2021 835281 2,062 1 2,062
Inj Jalan TN
Rawat YULIN
3/3/2021 834209 2,062 2 4,124
Jalan NY
 Rawat RAHMA
7/3/2021 835344 2,062 1 2,062
Jalan T. TN

Rawat ROSYA
7/3/2021 835342 2,062 1 2,062
Jalan NA. SDR

ANI
Rawat PRISTIA
8/3/2021 835354 2,062 1 2,062
Jalan WATI.
NY
LALAN
Rawat
8/3/2021 835380 SOBARI 2,062 1 2,062
Jalan
SDR
ENCID
17/03/20 Rawat
806056 TAMSID, 2,062 1 2,062
21 Jalan
TN
27/03/20 Rawat JAENAL
835715 2,062 1 2,062
21 Jalan NY
ONENG
Loratadin Rawat
378 540 2/3/2021 832859 ROKAE 441 5 2,205
e tab Inap
NAH. NY
ANNISA
19/03/20 Rawat NUR
3971 441 6 2,646
21 Jalan ASSIDIQ
, NN
19/03/20 Rawat ACEP
835568 441 7 3,087
21 Jalan PAHRI
HERNI
Lostacef 21/03/20 Rawat
379 541 822560 RAHMA 3,133 10 31,330
Caps 21 Jalan
WATI
Masker
13/03/20 Rawat RUKMIN
380 546 Nebulize 835465 50,591 1 50,591
21 Jalan I. NY
r dws
HUSNA,
Maxstan Rawat NY/GUN
381 548 1/3/2021 809374 1,461 10 14,610
Tab Jalan TARA,T
N
Pasien
2/3/2021 UMUM 0 1,403 10 14,030
Umum
Pasien
2/3/2021 UMUM 0 1,403 10 14,030
Umum
Rawat CEPI,
3/3/2021 835281 1,461 15 21,915
Jalan TN
ELIS
Rawat
3/3/2021 803916 KOMALA 1,461 10 14,610
Jalan
, NY
YESI
Rawat
4/3/2021 805909 YULIANI. 1,684 10 16,840
Jalan
NY
 Rawat KHODIJ
6/3/2021 835334 1,684 10 16,840
Jalan AH NN
AI
Rawat
6/3/2021 821381 KARWA 1,684 10 16,840
Jalan
TI.NY
NOVI
Rawat
6/3/2021 835335 SOPAN 1,684 10 16,840
Jalan
DI, TN
Rawat
6/3/2021 835327 ANA TN 1,684 10 16,840
Jalan
Pasien
6/3/2021 UMUM 0 1,684 10 16,840
Umum
Rawat RAHMA
7/3/2021 835344 1,684 10 16,840
Jalan T. TN

Rawat ROSYA
7/3/2021 835342 1,684 15 25,260
Jalan NA. SDR

H.
Rawat
7/3/2021 820643 SYUKUR 1,684 10 16,840
Jalan
, TN
ENDAN
Rawat G
8/3/2021 835339 1,684 10 16,840
Inap SETIAW
AN. TN
ENDAN
Rawat G
8/3/2021 835339 1,684 4 6,736
Inap SETIAW
AN. TN
LALAN
Rawat
8/3/2021 835380 SOBARI 1,684 10 16,840
Jalan
SDR
Rawat AGUS,
9/3/2021 835398 1,684 1 1,684
Inap TN
Rendyka
### K4 1,684 10 16,840
Rama
LIKA
13/03/20 Rawat
835445 MUSTIK 1,684 10 16,840
21 Jalan
A, NY
ENCID
17/03/20 Rawat
806056 TAMSID, 1,684 10 16,840
21 Jalan
TN
17/03/20 Rawat OTONG,
801478 1,684 10 16,840
21 Jalan TN
21/03/20
UMUM 0 a agung 1,684 10 16,840
21
26/03/20 Rusi Sri
K59 1,461 10 14,610
21 Hardianti
 27/03/20 Rawat JAENAL
835715 1,461 10 14,610
21 Jalan NY
28/03/20 Pasien
UMUM 0 1,403 10 14,030
21 Umum
SALLY
Meclam Rawat
382 549 ### 802943 ASTAVA 13,109 1 13,109
INJ Inap
NY. NY
SAEFUL
Mecobal Rawat
383 550 1/3/2021 835220 HUDAYA 10,780 2 21,560
amin inj Inap
TN
HJ. SITI
Rawat
### 4433 SOPIAH, 10,780 2 21,560
Inap
NY
H.
Rawat TATANG
### 831377 10,780 1 10,780
Inap TARYON
O, TN
ELOM
16/03/20 Rawat SALAM
835515 10,780 1 10,780
21 Inap SUDIRM
AN TN

Meloxica IDA
Rawat
384 553 m 7,5 1/3/2021 835234 NURFAR 1,018 10 10,180
Jalan
Tab IDA. NY

ELIS
Rawat
6/3/2021 835335 KARNAT 1,018 6 6,108
Jalan
I NY
Rawat KARMA
6/3/2021 835326 1,018 6 6,108
Jalan H NY
JUASIH
Rawat
7/3/2021 835343 KARNES 1,018 10 10,180
Jalan
IH. NY
Meloxica
Rawat DADAN
385 554 m 15mg 4/3/2021 834438 628 10 6,280
Jalan G, TN
Tab
MULYAN
Rawat A
5/3/2021 833201 628 10 6,280
Jalan SAMBAS
, TN
13/03/20 Rawat ELIA ,
826600 628 10 6,280
21 Jalan NY
13/03/20 Rawat ENANG
834531 628 5 3,140
21 Jalan TN
YOYOH
13/03/20 Rawat
829410 YULIA.N 628 10 6,280
21 Jalan
Y
 SOPIAH
16/03/20 Rawat MULYAN
820148 628 10 6,280
21 Jalan INGSIH,
NY

WAWAN
19/03/20 Rawat
834716 SETIAW 628 10 6,280
21 Jalan
AN TN

20/03/20 Rawat UMAS.

829961 628 10 6,280
21 Jalan NY
20/03/20 Rawat ANENG
833134 628 10 6,280
21 Jalan SIH NY
20/03/20 Rawat CICIH.
831794 628 7 4,396
21 Jalan NY
ELIS
23/03/20 Rawat
835335 KARNAT 628 10 6,280
21 Jalan
I NY
IYAN
23/03/20 Rawat
834818 MULYAN 628 10 6,280
21 Jalan
A TN
HJ
23/03/20 Rawat
804292 CICIH. 628 7 4,396
21 Jalan
NY
NY
25/03/20
UMUM 0 NENEN 628 7 4,396
21
G/APS
25/03/20 Rawat DARMA
831775 628 15 9,420
21 Jalan N.TN
25/03/20 Rawat
835659 YATI. NY 628 7 4,396
21 Jalan
NINING
27/03/20 Rawat
834357 NURIAH, 628 10 6,280
21 Jalan
NY
28/03/20
K68 Ernawati 628 10 6,280
21
CUCU
Mersibio Rawat
386 556 1/3/2021 835219 LISNAW 6,623 1 6,623
n inj Inap
ATI NY
Rawat MINTAR
1/3/2021 813401 6,623 1 6,623
Inap SIH,NY
CUCU
Rawat
2/3/2021 835219 LISNAW 6,623 1 6,623
Inap
ATI NY
CUCU
Rawat
2/3/2021 835219 LISNAW 6,623 1 6,623
Inap
ATI NY
 EVI SITI
Rawat
2/3/2021 811994 NUR. 6,623 1 6,623
Inap
F,NY
Rawat KARMO
3/3/2021 835236 6,623 1 6,623
Inap TN
EVI SITI
Rawat
3/3/2021 811994 NUR. 6,623 1 6,623
Inap
F,NY
Rizki
3/3/2021 UMUM K63 Amalia 6,623 1 6,623
Putri
Rawat KARMO
4/3/2021 835236 6,623 1 6,623
Inap TN
EVI SITI
Rawat
4/3/2021 811994 NUR. 6,623 1 6,623
Inap
F,NY
Pasien
4/3/2021 UMUM 0 6,623 1 6,623
Umum
Rawat SINTIA.
5/3/2021 835301 6,623 1 6,623
Inap NY
SITI
Rawat MAEUM
5/3/2021 835284 6,623 1 6,623
Inap ANAH,
NY
Rawat SINTIA.
6/3/2021 835301 6,623 1 6,623
Inap NY
Rawat SUTARN
7/3/2021 810138 6,623 1 6,623
Inap A, TN
Pasien
7/3/2021 UMUM 0 6,623 1 6,623
Umum
Rawat SUTARN
7/3/2021 810138 6,623 1 6,623
Inap A, TN
Rawat SINTIA.
7/3/2021 835301 6,623 1 6,623
Inap NY
Rawat SUTARN
8/3/2021 810138 6,623 1 6,623
Inap A, TN
Rawat SUTARN
8/3/2021 810138 6,623 1 6,623
Inap A, TN
SALLY
Rawat
9/3/2021 802943 ASTAVA 6,623 2 13,246
Inap
NY. NY
Rawat AGUS,
9/3/2021 835398 6,623 1 6,623
Inap TN
Pasien
9/3/2021 UMUM 0 6,623 1 6,623
Umum
Opik
### K7 Firmansy 6,623 1 6,623
ah
 Rawat AGUS,
### 835398 6,623 1 6,623
Inap TN
Pasien
### UMUM 0 6,623 1 6,623
Umum
ITI
Rawat
### 835385 DARSITI 6,623 1 6,623
Inap
, NY
NINING
Rawat
### 832543 RUNING 6,623 1 6,623
Inap
SIH NY
Rawat AGUS,
### 835398 6,623 1 6,623
Inap TN
Pasien
### UMUM 0 6,623 1 6,623
Umum
SUPRIH
Rawat
### 822113 ATIN. 6,623 1 6,623
Inap
NY
NAUFAL
Rawat DI
### 800119 6,623 1 6,623
Inap AGUSTI
N, AN
Pasien
### UMUM 0 6,623 1 6,623
Umum
NINING
Rawat
### 832543 RUNING 6,623 1 6,623
Inap
SIH NY
Rawat AGUS,
### 835398 6,623 1 6,623
Inap TN
SUPRIH
Rawat
### 822113 ATIN. 6,623 1 6,623
Inap
NY
AMRIN
13/03/20 Rawat
835462 SOBANA 6,600 1 6,600
21 Inap
TN
TATI
13/03/20 Rawat
835463 WARSITI 6,600 1 6,600
21 Inap
. NY
BAYU
13/03/20 Rawat
835410 ANUGE 6,623 1 6,623
21 Inap
RAH TN
KHOTIM
13/03/20 Rawat ATUS
811689 6,623 1 6,623
21 Inap SADIAH,
NY
NAUFAL
13/03/20 Rawat DI
800119 6,623 1 6,623
21 Inap AGUSTI
N, AN
 BAYU
13/03/20 Rawat
835410 ANUGE 6,623 1 6,623
21 Inap
RAH TN
NINING
13/03/20 Rawat
832543 RUNING 6,623 1 6,623
21 Inap
SIH NY
EEM
13/03/20 Rawat
831825 SUKAE 6,623 1 6,623
21 Inap
MI. NY
SUPRIH
13/03/20 Rawat
822113 ATIN. 6,623 1 6,623
21 Inap
NY
LINDA
13/03/20 Rawat
835448 LAELA. 6,600 1 6,600
21 Inap
NY
13/03/20 Rawat AGUS,
835398 6,623 1 6,623
21 Inap TN
LINDA
14/03/20 Rawat
835448 LAELA. 6,600 1 6,600
21 Inap
NY
BAYU
14/03/20 Rawat
835410 ANUGE 6,600 1 6,600
21 Inap
RAH TN
AMRIN
14/03/20 Rawat
835462 SOBANA 6,600 2 13,200
21 Inap
TN
NAUFAL
14/03/20 Rawat DI
800119 6,600 1 6,600
21 Inap AGUSTI
N, AN
SUPRIH
14/03/20 Rawat
822113 ATIN. 6,600 1 6,600
21 Inap
NY
EEM
14/03/20 Rawat
831825 SUKAE 6,600 1 6,600
21 Inap
MI. NY
TATI
14/03/20 Rawat
835463 WARSITI 6,600 1 6,600
21 Inap
. NY
SUPRIH
15/03/20 Rawat
822113 ATIN. 6,623 1 6,623
21 Inap
NY
EEM
15/03/20 Rawat
831825 SUKAE 6,623 1 6,623
21 Inap
MI. NY
NANA
15/03/20 Rawat
835475 TARYAN 6,623 1 6,623
21 Inap
A. TN
 NAUFAL
15/03/20 Rawat DI
800119 6,623 1 6,623
21 Inap AGUSTI
N, AN
BAYU
15/03/20 Rawat
835410 ANUGE 6,623 1 6,623
21 Inap
RAH TN
HJ
15/03/20 Rawat
804292 CICIH. 6,623 1 6,623
21 Inap
NY
15/03/20 Rawat ANAH
835474 6,623 1 6,623
21 Jalan NY
ADE
16/03/20 Rawat
835529 ROHMA 6,623 1 6,623
21 Inap
ENI. NY
SUPRIH
16/03/20 Rawat
822113 ATIN. 6,623 1 6,623
21 Inap
NY
HJ
16/03/20 Rawat
804292 CICIH. 6,623 1 6,623
21 Inap
NY
NANA
16/03/20 Rawat
835475 TARYAN 6,623 1 6,623
21 Inap
A. TN
N. U.
16/03/20 Rawat
835522 UMAYA 6,623 1 6,623
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 6,623 1 6,623
21 Inap
NA NN

SODIKIN
16/03/20 Rawat NOOR
835524 6,623 1 6,623
21 Inap BADRI.
TN

TITIN
16/03/20 Rawat
835530 MULYAT 6,623 1 6,623
21 Inap
IN NY
HJ
17/03/20 Rawat
804292 CICIH. 6,623 1 6,623
21 Inap
NY
YANA
17/03/20 Rawat
835328 GUSTIA 6,623 1 6,623
21 Inap
NA NN
 SODIKIN
17/03/20 Rawat NOOR
835524 6,623 1 6,623
21 Inap BADRI.
TN

E
17/03/20 Rawat
835527 MUCHT 6,623 1 6,623
21 Inap
AR . TN
N. U.
17/03/20 Rawat
835522 UMAYA 6,623 1 6,623
21 Inap
H NY
ADE
17/03/20 Rawat
835529 ROHMA 6,623 1 6,623
21 Inap
ENI. NY
TITIN
17/03/20 Rawat
835530 MULYAT 6,623 1 6,623
21 Inap
IN NY
ADE
18/03/20 Rawat
835529 ROHMA 6,623 2 13,246
21 Inap
ENI. NY
ELIS
18/03/20 Rawat
835539 RUKYUL 6,623 1 6,623
21 Jalan
IANI NY
RONI
22/03/20 Rawat
835563 SUPRIA 6,600 1 6,600
21 Inap
DI TN
AJENG
23/03/20 Rawat
811100 KARTINI 6,600 1 6,600
21 Inap
.NY
23/03/20 Rawat FIRMAN
835613 6,623 1 6,623
21 Inap SDR
23/03/20 Rawat NINING
835595 6,600 1 6,600
21 Inap NY
23/03/20 Rawat DEDEN
835586 6,600 1 6,600
21 Inap G, TN
FITRI
23/03/20 Rawat SARI
835624 6,600 1 6,600
21 Inap WAHYU
NI NN
RONI
23/03/20 Rawat
835563 SUPRIA 6,600 1 6,600
21 Inap
DI TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 6,600 1 6,600
21 Inap
TN
AJENG
24/03/20 Rawat
811100 KARTINI 6,623 1 6,623
21 Inap
.NY
 FITRI
24/03/20 Rawat SARI
835624 6,623 1 6,623
21 Inap WAHYU
NI NN
24/03/20 Rawat PARNO,
835601 6,623 1 6,623
21 Inap TN
FITRI
25/03/20 Rawat SARI
835624 6,623 1 6,623
21 Inap WAHYU
NI NN
25/03/20 Rawat PARNO,
835601 6,623 1 6,623
21 Inap TN
DARPIT
25/03/20 Rawat
835655 ROHIDU 6,623 1 6,623
21 Inap
N. TN
HJ
25/03/20 Rawat
835648 CECEP . 6,623 1 6,623
21 Inap
TN
SAPAAT
25/03/20 Rawat NURHA
835668 6,623 1 6,623
21 Inap YATUDI
N TN
HJ
26/03/20 Rawat
835648 CECEP . 6,623 1 6,623
21 Inap
TN
SAPAAT
26/03/20 Rawat NURHA
835668 6,623 1 6,623
21 Inap YATUDI
N TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 6,623 1 6,623
21 Inap
N. TN
HJ
26/03/20 Rawat
835670 SUKARN 6,623 1 6,623
21 Inap
A TN
26/03/20 Pasien
UMUM 0 6,623 1 6,623
21 Umum
HJ
26/03/20 Rawat
835670 SUKARN 6,623 1 6,623
21 Inap
A TN
27/03/20 Rawat RIFAL
835674 6,600 1 6,600
21 Inap SDR
27/03/20 Rawat ENDAN
835708 6,600 1 6,600
21 Inap G TN
HJ
27/03/20 Rawat
835648 CECEP . 6,623 1 6,623
21 Inap
TN
 SAPAAT
27/03/20 Rawat NURHA
835668 6,600 1 6,600
21 Inap YATUDI
N TN
DARPIT
27/03/20 Rawat
835655 ROHIDU 6,600 1 6,600
21 Inap
N. TN
HJ
27/03/20 Rawat
835670 SUKARN 6,600 1 6,600
21 Inap
A TN
27/03/20 Rawat YUYUM
835675 6,600 1 6,600
21 Inap NY
28/03/20 Rawat ENDAN
835708 6,600 1 6,600
21 Inap G TN
28/03/20 Rawat YUYUM
835675 6,600 1 6,600
21 Inap NY
HJ
28/03/20 Rawat
835648 CECEP . 6,600 1 6,600
21 Inap
TN
28/03/20 Rawat RIFAL
835674 6,600 1 6,600
21 Inap SDR
HJ
29/03/20 Rawat
835648 CECEP . 6,600 1 6,600
21 Inap
TN
IMAS
30/03/20 Rawat
827623 MULYAN 6,623 2 13,246
21 Inap
I, NY
ENTIN
30/03/20 Rawat
835780 HARTIT 6,623 1 6,623
21 Jalan
A,NY
HENHE
30/03/20 Rawat N
835779 6,623 1 6,623
21 Jalan ROHEN
DI. TN
KARIN
30/03/20 Rawat
835781 AGUSTI 6,623 1 6,623
21 Jalan
N, NN
IIS
31/03/20 Rawat
835791 DEDEH 6,623 1 6,623
21 Inap
NY
IMAS
31/03/20 Rawat
827623 MULYAN 6,623 1 6,623
21 Inap
I, NY
HJ
31/03/20 Rawat
835783 NUNUN 6,623 1 6,623
21 Inap
G. NY
 ATIN
Metformi Rawat
387 559 2/3/2021 815422 INAYATI 344 60 20,640
n Tab Jalan
N,NY
Rawat CAHYAT
2/3/2021 822342 344 21 7,224
Jalan I.NY
SITI
Rawat
4/3/2021 834698 SAIDAH 338 15 5,070
Jalan
NY
EUIS
Rawat
5/3/2021 810599 KOMARI 338 90 30,420
Jalan
AH, NY
Rawat IMAS,
5/3/2021 835142 338 21 7,098
Jalan NY
Rawat AWIS,
8/3/2021 816633 338 2 676
Inap NY
CECEP
Rawat
9/3/2021 824992 TAUPIK, 338 90 30,420
Jalan
TN
Rawat AWIS,
9/3/2021 816633 338 15 5,070
Inap NY
Rawat IMAS,
### 835142 338 2 676
Inap NY
ENNY
13/03/20 Rawat
825663 YUSNIT 338 90 30,420
21 Jalan
A, NY
OBAR
13/03/20 Rawat
835347 SUHEN 338 10 3,380
21 Jalan
DI. TN
13/03/20 Rawat IMAS,
835142 338 14 4,732
21 Inap NY
13/03/20 Rawat
814099 TATI.NY 338 90 30,420
21 Jalan
19/03/20 Rawat UTENG
835571 338 10 3,380
21 Jalan TN
20/03/20 Rawat UMAS.
829961 338 90 30,420
21 Jalan NY
EBOD
20/03/20 Rawat KOMALA
814659 338 90 30,420
21 Jalan SARI.
NY

AZIS
20/03/20 Rawat RUHIAT
824516 338 3 1,014
21 Inap SUPRIA
TNA . TN

20/03/20 Rawat
821178 LIA, NY 338 30 10,140
21 Jalan
20/03/20 Rawat ILAH
828787 338 60 20,280
21 Jalan HAYATI
NY
20/03/20
UMUM 0 ILAH/AP 338 60 20,280
21
S
NONO
20/03/20 Rawat
834906 SUWAR 338 90 30,420
21 Jalan
NO, TN
20/03/20 Rawat SURYA
834512 338 90 30,420
21 Jalan MAH NY

AZIS
21/03/20 Rawat RUHIAT
824516 338 3 1,014
21 Inap SUPRIA
TNA . TN

LUKMAN
23/03/20 Rawat
835614 HAKIM 344 3 1,032
21 Inap
TN
EEM
23/03/20 Rawat
831825 SUKAE 344 90 30,960
21 Jalan
MI. NY
E
23/03/20 Rawat
835630 HUJAEM 338 21 7,098
21 Jalan
AH. NY
25/03/20 Rawat KARSIH
831386 344 15 5,160
21 Inap NY
25/03/20 Rawat
835659 YATI. NY 338 14 4,732
21 Jalan
MIMIN
25/03/20 Rawat
810395 MINTAR 338 90 30,420
21 Jalan
SIH,NY
25/03/20 Rawat SUMYAT
816459 338 90 30,420
21 Jalan I, NY
26/03/20 Rawat YUYUM
835675 338 2 676
21 Inap NY
27/03/20 Rawat OMOH .
817814 338 100 33,800
21 Jalan NY
NINING
27/03/20 Rawat
834761 NURAE 344 120 41,280
21 Jalan
NI. NY
27/03/20 Rawat YUYUM
835675 338 2 676
21 Inap NY
27/03/20 Rawat
835659 YATI. NY 344 1 344
21 Inap
HENDI
27/03/20 Rawat
833665 SUHEN 338 90 30,420
21 Jalan
DI TN
 27/03/20 Rawat
835453 AMI NY 338 15 5,070
21 Jalan
TATI
28/03/20 Rawat
835664 ROSWA 344 2 688
21 Inap
TI
28/03/20 Rawat
835659 YATI. NY 344 2 688
21 Inap
IDING
28/03/20 Rawat
835732 JAENUD 344 2 688
21 Inap
IN, TN
TATI
29/03/20 Rawat
835664 ROSWA 338 10 3,380
21 Inap
TI
IDING
29/03/20 Rawat
835732 JAENUD 338 2 676
21 Inap
IN, TN
IDING
30/03/20 Rawat
835732 JAENUD 338 2 676
21 Inap
IN, TN
30/03/20 Rawat
835659 YATI. NY 338 10 3,380
21 Inap
30/03/20 Rawat ENTIN,
835756 338 3 1,014
21 Inap NY
SITI
30/03/20 Rawat
834698 SAIDAH 338 30 10,140
21 Jalan
NY

AZIS
30/03/20 Rawat RUHIAT
824516 338 70 23,660
21 Jalan SUPRIA
TNA . TN

30/03/20 Rawat ROSINA

824275 338 60 20,280
21 Jalan H . NY
30/03/20 Rawat
812936 ITI, NY 338 90 30,420
21 Jalan
IMAS
31/03/20 Rawat
827623 MULYAN 338 2 676
21 Inap
I, NY
31/03/20 Rawat MARYAT
803036 338 10 3,380
21 Inap I, NY
DIAH
31/03/20 Rawat
835754 SUMINA 338 10 3,380
21 Inap
R. NY
Methylpr
ednisolo Rawat ENOS,
388 563 6/3/2021 801989 60,638 1 60,638
ne inj Inap TN
125mg
 IDA
Rawat
6/3/2021 820069 ROSIDA. 60,638 1 60,638
Jalan
NY
Rawat ENOS,
7/3/2021 801989 60,638 1 60,638
Inap TN
NIA
Rawat
### 826027 EVIANA. 60,638 1 60,638
Inap
NY
13/03/20 Rawat RUKMIN
835465 61,875 1 61,875
21 Jalan I. NY
ADE
14/03/20 Rawat
835470 SUKAES 61,875 1 61,875
21 Inap
IH NY
ADE
15/03/20 Rawat
835470 SUKAES 60,638 1 60,638
21 Inap
IH NY
OMAN
15/03/20 Rawat
831629 ROHAN 60,638 1 60,638
21 Jalan
A, TN
ELIS
18/03/20 Rawat
835539 RUKYUL 61,875 1 61,875
21 Jalan
IANI NY
20/03/20 Rawat
807029 TUTI, NY 60,638 1 60,638
21 Inap
ONDA
23/03/20 Rawat
835632 MUYAN 60,638 1 60,638
21 Inap
A. TN
ANDA
27/03/20 Rawat
834672 WIHAND 60,638 1 60,638
21 Inap
A TN
Methylpr
H
ednisolo Rawat
389 564 1/3/2021 835215 HASAN 583 2 1,166
n 4mg Inap
TN
Tab
Rawat KARMO
3/3/2021 835236 583 1 583
Inap TN
Rawat ENOS,
8/3/2021 801989 583 10 5,830
Inap TN
NURAL
18/03/20 Rawat MIRA
835511 583 28 16,324
21 Jalan AUINI,
AN

SODIKIN
19/03/20 Rawat NOOR
835524 583 2 1,166
21 Inap BADRI.
TN
 M
19/03/20 Rawat
835321 IKHSAN 583 8 4,664
21 Jalan
SDR

SODIKIN
20/03/20 Rawat NOOR
835524 583 15 8,745
21 Inap BADRI.
TN

20/03/20 Rawat WAHIDI

814364 583 7 4,081
21 Jalan N, TN
24/03/20 Rawat NADINI.
835285 597 10 5,970
21 Jalan NN
HJ. SITI
25/03/20 Rawat
4433 SOPIAH, 597 5 2,985
21 Jalan
NY
MAMAN
31/03/20 Rawat FATURA
833599 595 8 4,760
21 Jalan HMAN .
TN
Methyler
24/03/20 Pasien
390 567 gometrin UMUM 0 365 50 18,250
21 Umum
tab
EEN
Metronid 31/03/20 Rawat
391 569 835797 NURAE 72,765 1 72,765
azole Inf 21 Jalan
NAH NY
Apialys ALIA
Rawat
392 57 drop 3/3/2021 835272 NURHAL 58,212 1 58,212
Jalan
10ml ISA BY

ELFANO
Rawat
3/3/2021 827376 SINAGA, 58,212 1 58,212
Jalan
BY

Rawat YULIN
3/3/2021 834209 58,212 1 58,212
Jalan NY
Rawat BY NY
3/3/2021 835273 58,212 1 58,212
Jalan RISA
NAYLA
Rawat
6/3/2021 835311 NURASY 58,212 1 58,212
Inap
IFA AN
NATASY
14/03/20 Rawat A
835457 58,212 1 58,212
21 Inap ADINDA
NY
ZABDAN
23/03/20 Rawat KHAIRU
829894 58,212 1 58,212
21 Jalan LLOH
AN
 Deni
Miconaz
393 571 1/3/2021 K46 Abdul 5,660 1 5,660
ole 2% cr
Ghani
Pasien
1/3/2021 UMUM 0 5,660 1 5,660
Umum
Microlax Pasien
394 572 2/3/2021 UMUM 0 23,687 1 23,687
supp Umum
19/03/20 Rawat AMAT.
835550 23,687 1 23,687
21 Inap TN
29/03/20 Pasien
UMUM 0 22,207 1 22,207
21 Umum
Molafate 18/03/20 Rawat KARYAT
395 576 833203 21,251 1 21,251
syr 21 Jalan I,NY
YAYA
18/03/20 Rawat
835079 SUNARY 25,528 1 25,528
21 Jalan
A TN
TN. MS
18/03/20
UMUM 0 AFENDI/ 25,528 1 25,528
21
APS
NY.
18/03/20
UMUM 0 ANIH/AP 25,528 1 25,528
21
S
18/03/20 Rawat
835546 EHA NY 25,528 1 25,528
21 Jalan
NY.
18/03/20
UMUM 0 ENES/A 25,528 1 25,528
21
PS
R ISEP
18/03/20 Rawat
832383 SAEFUL 25,528 1 25,528
21 Jalan
LOH TN
18/03/20 Rawat
835453 AMI NY 25,528 1 25,528
21 Jalan
18/03/20 Rawat SACI,
804839 25,528 1 25,528
21 Jalan NY
LEVINO
18/03/20 Rawat
835494 INDRAS 25,528 1 25,528
21 Inap
KA. AN
18/03/20 Rawat MA'MUN
835549 25,528 1 25,528
21 Jalan TN
ADE
18/03/20 Rawat
835529 ROHMA 21,251 1 21,251
21 Inap
ENI. NY
18/03/20 Rawat FATIMA
832088 21,251 1 21,251
21 Inap H , NY
19/03/20 Rawat
835547 IRAH NY 25,528 1 25,528
21 Inap
19/03/20 Rawat DARYAN
835565 21,251 1 21,251
21 Inap TI. NY
19/03/20 Rawat AMAT.
835550 21,251 1 21,251
21 Inap TN
AJI
19/03/20 Rawat
835555 SAEPUD 25,528 1 25,528
21 Jalan
IN TN
EUIS
19/03/20 Rawat
1708 MAEMU 25,528 1 25,528
21 Jalan
NAH, NY
JUJU
19/03/20 Rawat
835559 JUARIA 25,528 1 25,528
21 Jalan
H NY
20/03/20 Rawat NANA
835575 21,251 1 21,251
21 Jalan JONI TN
NINING
20/03/20 Rawat
832543 RUNING 21,251 1 21,251
21 Jalan
SIH NY
EET
20/03/20 Rawat
810617 NURHA 21,251 1 21,251
21 Jalan
ETI, NY
20/03/20 Rawat CICIH
811043 21,251 1 21,251
21 Inap NY.
EUIS
20/03/20 Rawat
834994 YULIANI 21,251 1 21,251
21 Jalan
NY
ENGKA
20/03/20 Rawat R
819492 21,251 1 21,251
21 Jalan KARTIK
AH . NY
20/03/20 Rawat JUJU,
832006 21,251 1 21,251
21 Jalan NY
20/03/20 Rawat SUNAMI
833478 21,251 1 21,251
21 Jalan NY

EUIS
20/03/20 Rawat
816988 NURLAE 21,251 1 21,251
21 Jalan
LA . NY

TOHA
20/03/20 Rawat
805009 NURDIN, 21,251 1 21,251
21 Inap
TN
NERA
20/03/20 Rawat
817790 NORAW 21,251 1 21,251
21 Inap
ATI . NY

SODIKIN
20/03/20 Rawat NOOR
835524 21,251 1 21,251
21 Inap BADRI.
TN
 NERA
20/03/20 Rawat
817790 NORAW 21,251 1 21,251
21 Inap
ATI . NY
20/03/20 ny euis/
UMUM 0 20,401 1 20,401
21 aps
KENNAR
20/03/20 Rawat A
835581 21,251 1 21,251
21 Jalan SAGABI
ZAR AN
WIWIN
20/03/20 Rawat
834936 WINRIA 21,251 1 21,251
21 Jalan
TI NY
NENEN
20/03/20 Rawat G
832087 21,251 1 21,251
21 Jalan KARTIK
A, NY
20/03/20 Rawat ANAH
835474 21,251 1 21,251
21 Jalan NY

RIDWAN
20/03/20 Rawat
835572 NURTO 21,251 1 21,251
21 Jalan
AT TN

NONO
20/03/20 Rawat
834906 SUWAR 21,251 1 21,251
21 Jalan
NO, TN
TN
20/03/20
UMUM 0 YUDI/AP 20,401 1 20,401
21
S
20/03/20 Rawat KURNIA
834748 21,251 1 21,251
21 Jalan SIH, NY
20/03/20 Rawat SURYA
834512 21,251 1 21,251
21 Jalan MAH NY
MS
21/03/20 Rawat
835587 SOPIAH, 21,251 1 21,251
21 Jalan
NY
21/03/20 Rawat SUKAES
807749 21,251 1 21,251
21 Inap IH. NY
DANA
21/03/20 Rawat
835590 SUJATN 21,251 1 21,251
21 Inap
A, TN

ANDREA
21/03/20 Rawat S
835582 21,251 1 21,251
21 Jalan YUDANT
ORO TN
 YATI
21/03/20 Rawat
835577 KURNIA 21,251 1 21,251
21 Inap
WATI NY

21/03/20 Rawat NINING

835595 21,251 1 21,251
21 Inap NY
22/03/20 Rawat SUHEN
835596 21,251 1 21,251
21 Inap DA NY
AHMAD
Apialys 15/03/20 Rawat
396 58 835458 ARYA. 40,022 1 40,022
syr 21 Inap
AN
HAUZAN
15/03/20 Rawat IRHAB
833974 40,022 1 40,022
21 Inap NABIL,
AN

dr. Indra
16/03/20
K5 Bagus 40,022 1 40,022
21
Haryanto

KENISA
25/03/20 Rawat
830752 ADITIA.A 40,022 1 40,022
21 Jalan
N
Myco Z 24/03/20 Rawat NATAN.
397 585 835591 95,673 1 95,673
Cream 21 Inap AN
UYAT
Myonep Rawat
398 587 6/3/2021 835100 RUYATI 5,929 6 35,574
Tab Jalan
NY
EVI
Rawat
### 835429 SETIAW 5,929 10 59,290
Jalan
ATI, NY
INA
19/03/20 Rawat
835570 MARLIN 5,929 7 41,503
21 Jalan
A NY
YAYA
Rawat
399 588 Nacl Inf 1/3/2021 835079 SUNARY 9,049 2 18,098
Inap
A TN
EUIS
Rawat
1/3/2021 834994 YULIANI 9,049 1 9,049
Inap
NY
Rawat
2/3/2021 815940 DIDI, TN. 9,049 2 18,098
Inap
Rawat KARWIN
2/3/2021 835217 9,049 2 18,098
Jalan AH NY
EUIS
Rawat
2/3/2021 834994 YULIANI 9,049 2 18,098
Inap
NY
Rawat KANAR
2/3/2021 835231 9,049 2 18,098
Inap TN
 Rawat KARMO
2/3/2021 835236 9,049 2 18,098
Inap TN
YAYA
Rawat
3/3/2021 835079 SUNARY 9,049 1 9,049
Inap
A TN
EUIS
Rawat
3/3/2021 834994 YULIANI 9,049 2 18,098
Inap
NY
Rawat KARMO
3/3/2021 835236 9,049 2 18,098
Inap TN
Rawat
3/3/2021 815940 DIDI, TN. 9,049 2 18,098
Inap
Rawat CEPI,
3/3/2021 835281 9,049 1 9,049
Jalan TN
SITI
Rawat MAEUM
3/3/2021 835284 9,049 3 27,147
Inap ANAH,
NY
Pasien
3/3/2021 UMUM 0 9,049 2 18,098
Umum
Rawat KARMO
4/3/2021 835236 8,755 2 17,510
Inap TN
YAYA
Rawat
4/3/2021 817031 FIRDAU 8,755 2 17,510
Inap
S TN
SITI
Rawat MAEUM
4/3/2021 835284 8,755 4 35,020
Inap ANAH,
NY
YAYA
Rawat
5/3/2021 817031 FIRDAU 9,405 3 28,215
Inap
S TN
EUIS
Rawat
5/3/2021 834994 YULIANI 8,755 1 8,755
Inap
NY
SITI
Rawat MAEUM
5/3/2021 835284 9,405 4 37,620
Inap ANAH,
NY
Rawat
5/3/2021 806591 EEN. NY 9,405 1 9,405
Inap
EUIS
Rawat
5/3/2021 831017 KURAES 9,405 5 47,025
Jalan
IN.NY
IDA
Rawat
6/3/2021 820069 ROSIDA. 8,755 1 8,755
Jalan
NY
 Rawat SUTARN
7/3/2021 810138 8,755 3 26,265
Inap A, TN
Rawat NEHAN.
8/3/2021 835360 9,405 1 9,405
Jalan TN
Rawat SUTARN
8/3/2021 810138 8,755 2 17,510
Inap A, TN
DIAH
Rawat YAYAH
8/3/2021 835340 8,755 1 8,755
Inap ROKAYA
H. NY
Rawat SUTARN
8/3/2021 810138 9,405 2 18,810
Inap A, TN
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 8,755 2 17,510
Inap
NY
Rawat SUTARN
9/3/2021 810138 8,755 1 8,755
Inap A, TN
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 8,755 3 26,265
Inap
NY
Rawat
9/3/2021 835393 LIA. NY 8,755 2 17,510
Inap
Rawat ROHETI
### 802812 8,755 3 26,265
Inap N, NY
Rawat ROHETI
### 802812 8,755 3 26,265
Inap N, NY
Rawat
### 835393 LIA. NY 8,755 2 17,510
Inap
HJ. SITI
Rawat
### 4433 SOPIAH, 8,755 2 17,510
Inap
NY
NIA
Rawat
### 826027 EVIANA. 8,755 1 8,755
Inap
NY
Rawat ROHETI
### 802812 8,755 3 26,265
Inap N, NY

HAYKAL
Rawat DWI
### 835435 9,547 1 9,547
Inap SYAHPU
TRA AN

### UMUM 0 SELVI 9,165 1 9,165

KHOTIM
Rawat ATUS
### 811689 8,755 2 17,510
Inap SADIAH,
NY
 Rawat HAWAN
### 2949 8,755 1 8,755
Jalan A , NY
HEMMU
D
Rawat FARCHA
### 835437 9,547 2 19,094
Jalan N IBNU
HASAN
TN
13/03/20 Rawat KARMO
835236 8,755 2 17,510
21 Inap TN

HAYKAL
13/03/20 Rawat DWI
835435 8,755 1 8,755
21 Inap SYAHPU
TRA AN

EEM
13/03/20 Rawat
831825 SUKAE 8,755 2 17,510
21 Inap
MI. NY
KHOTIM
13/03/20 Rawat ATUS
811689 8,755 2 17,510
21 Inap SADIAH,
NY
14/03/20 Rawat ENES
835469 8,755 2 17,510
21 Inap NY
14/03/20 Rawat KARMO
835236 8,755 2 17,510
21 Inap TN
EEM
14/03/20 Rawat
831825 SUKAE 8,755 1 8,755
21 Inap
MI. NY
EEM
14/03/20 Rawat
831825 SUKAE 8,755 1 8,755
21 Inap
MI. NY
EEM
15/03/20 Rawat
831825 SUKAE 8,755 2 17,510
21 Inap
MI. NY
15/03/20 Rawat ENES
835469 9,547 1 9,547
21 Inap NY
E
17/03/20 Rawat
835527 MUCHT 8,755 1 8,755
21 Inap
AR . TN
ELIS
18/03/20 Rawat
835539 RUKYUL 8,755 1 8,755
21 Jalan
IANI NY

YATI
20/03/20 Rawat
835577 KURNIA 8,755 2 17,510
21 Inap
WATI NY
 AZIS
20/03/20 Rawat RUHIAT
824516 8,755 3 26,265
21 Inap SUPRIA
TNA . TN

20/03/20 Rawat
815940 DIDI, TN. 8,755 1 8,755
21 Jalan
21/03/20 Rawat HERMA
835580 8,755 1 8,755
21 Inap N TN

YATI
21/03/20 Rawat
835577 KURNIA 8,755 3 26,265
21 Inap
WATI NY

AZIS
21/03/20 Rawat RUHIAT
824516 8,755 4 35,020
21 Inap SUPRIA
TNA . TN

21/03/20 Rawat HERMA

835580 8,755 2 17,510
21 Inap N TN
21/03/20 Rawat HERMA
835580 8,755 1 8,755
21 Inap N TN

22/03/20 Rawat ANDAR

831440 8,755 3 26,265
21 Inap WATI NY

22/03/20 Rawat HERMA

835580 8,755 1 8,755
21 Inap N TN

AZIS
22/03/20 Rawat RUHIAT
824516 8,755 2 17,510
21 Inap SUPRIA
TNA . TN

22/03/20 Rawat UDIN.

835604 8,755 2 17,510
21 Inap TN
23/03/20 Rawat UDIN.
835604 8,755 1 8,755
21 Inap TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 8,755 3 26,265
21 Inap
TN
UJANG
23/03/20 Rawat
835617 TATANG 8,755 3 26,265
21 Inap
. TN
23/03/20 Rawat KARSIH
831386 8,755 3 26,265
21 Inap NY

23/03/20 Rawat ANDAR

831440 8,755 3 26,265
21 Inap WATI NY
23/03/20 Rawat PARNO,
835601 8,755 1 8,755
21 Inap TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 8,755 4 35,020
21 Inap
TN
NUNUN
24/03/20 Rawat G
835606 8,755 1 8,755
21 Inap KOMARI
AH. NY
24/03/20 Rawat KARSIH
831386 8,755 2 17,510
21 Inap NY
NANI
25/03/20 Rawat
815243 MARYA 8,755 1 8,755
21 Inap
NI, NY.
TATI
25/03/20 Rawat
835664 ROSWA 8,755 1 8,755
21 Inap
TI

25/03/20 Rawat ANDAR

831440 8,755 1 8,755
21 Inap WATI NY

26/03/20 Rawat YUYUM

835675 8,755 3 26,265
21 Inap NY
SITI
27/03/20 Rawat
835704 RODIAH. 10,000 1 10,000
21 Inap
NY
27/03/20 Rawat YUYUM
835675 8,755 3 26,265
21 Inap NY
27/03/20 Rawat
835659 YATI. NY 10,000 3 30,000
21 Inap
27/03/20 Rawat JAENAL
835715 10,000 1 10,000
21 Jalan NY
SITI
28/03/20 Rawat
835704 RODIAH. 10,000 1 10,000
21 Inap
NY
28/03/20 Rawat
835659 YATI. NY 10,000 2 20,000
21 Inap
28/03/20 Rawat TAMAD.
835725 10,000 1 10,000
21 Inap TN
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 10,000 3 30,000
21 Inap
MAN,
TN.
IDING
28/03/20 Rawat
835732 JAENUD 10,000 3 30,000
21 Inap
IN, TN
 RENI
29/03/20 Rawat
813579 ANDRIA 8,755 3 26,265
21 Inap
NA NY
29/03/20 Rawat YUYUM
835643 10,000 2 20,000
21 Inap NY
IDA
29/03/20 Rawat
835740 BAGUS. 8,755 1 8,755
21 Inap
TN
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 8,755 1 8,755
21 Inap
MAN,
TN.
29/03/20 Rawat
835659 YATI. NY 10,000 1 10,000
21 Inap
SITI
29/03/20 Rawat
835704 RODIAH. 8,755 1 8,755
21 Inap
NY
IDING
29/03/20 Rawat
835732 JAENUD 8,755 1 8,755
21 Inap
IN, TN
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 8,755 1 8,755
21 Inap
MAN,
TN.
30/03/20 Rawat SAHNU
835764 10,000 1 10,000
21 Inap TN
SITI
30/03/20 Rawat
835704 RODIAH. 8,755 1 8,755
21 Inap
NY
30/03/20 Rawat SUKARS
835765 10,000 1 10,000
21 Inap IH.NY
IDING
30/03/20 Rawat
835732 JAENUD 8,755 1 8,755
21 Inap
IN, TN
30/03/20 Rawat USMI,
5908 10,000 2 20,000
21 Inap NY
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 8,755 1 8,755
21 Inap
MAN,
TN.
31/03/20 Rawat RUSMIA
835801 10,000 1 10,000
21 Inap TI NY
EEN
31/03/20 Rawat
835797 NURAE 10,000 1 10,000
21 Jalan
NAH NY
 31/03/20 Rawat SAHNU
835764 10,000 2 20,000
21 Inap TN
31/03/20 Rawat USMI,
5908 10,000 2 20,000
21 Inap NY
31/03/20 Rawat USMI,
5908 10,000 2 20,000
21 Inap NY
KENZIE
Nasal
Rawat AZKA
400 591 Canula ### 810083 18,919 1 18,919
Inap FAIRUIZ.
Ank
AN
21/03/20 Rawat NATAN.
835591 18,919 1 18,919
21 Inap AN
ANISA
25/03/20 Rawat FAIHA
835644 18,919 1 18,919
21 Inap MUNAN
DAR AN
Nasal
Rawat KARMO
401 592 Canula 3/3/2021 835236 7,941 1 7,941
Inap TN
Dw
EUIS
Rawat
3/3/2021 831017 KURAES 7,941 1 7,941
Jalan
IN.NY

H ODON
Rawat
5/3/2021 833211 HAMDA 7,500 1 7,500
Jalan
N TN

Rawat ENOS,
6/3/2021 801989 8,257 1 8,257
Inap TN
IDA
Rawat
6/3/2021 820069 ROSIDA. 8,257 1 8,257
Jalan
NY
ANI
Rawat PRISTIA
8/3/2021 835354 8,257 1 8,257
Jalan WATI.
NY
ANDRI
Rawat RUDIAN
9/3/2021 835388 8,257 1 8,257
Jalan SYAH
SDR
Rawat IROH,
### 835400 8,257 1 8,257
Inap NY
Rawat
### 835393 LIA. NY 8,257 1 8,257
Inap
SUPRIH
Rawat
### 822113 ATIN. 8,257 1 8,257
Inap
NY
13/03/20 Rawat YUSILA
834752 8,093 1 8,093
21 Inap WATI,NY

13/03/20 Rawat RUKMIN

835465 8,093 1 8,093
21 Jalan I. NY
ADE
14/03/20 Rawat
835470 SUKAES 8,093 1 8,093
21 Inap
IH NY
SUPRIH
14/03/20 Rawat
822113 ATIN. 8,093 1 8,093
21 Inap
NY
15/03/20 Rawat ENES
835469 8,093 1 8,093
21 Inap NY
15/03/20 Rawat
815940 DIDI, TN. 8,093 1 8,093
21 Inap
15/03/20 Rawat WASDI,
835501 8,093 1 8,093
21 Jalan TN
NUNUN
G
16/03/20 Rawat
835479 HERMA 8,093 1 8,093
21 Inap
WATI,
NY
N. U.
16/03/20 Rawat
835522 UMAYA 8,093 1 8,093
21 Inap
H NY
16/03/20 Rawat CICIH
811043 8,093 1 8,093
21 Inap NY.

SODIKIN
16/03/20 Rawat NOOR
835524 8,093 1 8,093
21 Inap BADRI.
TN

17/03/20 Rawat ASIR .

835538 8,093 1 8,093
21 Inap TN
17/03/20 Rawat WASLI.
827069 8,093 1 8,093
21 Jalan TN
17/03/20 Rawat KARWA
832626 8,093 1 8,093
21 Inap TI. NY
18/03/20 Rawat
835540 PI'I .TN 8,093 1 8,093
21 Jalan
AHDIAH
18/03/20 Rawat MAMAH
835542 8,093 1 8,093
21 Jalan ROHIMA
H NY
19/03/20 Rawat AMAT.
835550 8,093 1 8,093
21 Inap TN
20/03/20 Rawat
807029 TUTI, NY 8,093 1 8,093
21 Inap
20/03/20 Rawat SUHEN
835578 7,941 1 7,941
21 Jalan DAR TN
20/03/20 Rawat SUKAES
807749 7,941 1 7,941
21 Inap IH. NY
21/03/20 Rawat WANGSI
835588 7,941 1 7,941
21 Inap H, NY

MALA
21/03/20 Rawat
835594 KOMALA 7,941 1 7,941
21 Inap
SARI NY

21/03/20 Rawat HERMA

835580 7,941 1 7,941
21 Inap N TN
ENGKU
21/03/20 Rawat S
810535 7,941 1 7,941
21 Inap KUSNAD
I, TN

22/03/20 Rawat ANDAR

831440 7,941 1 7,941
21 Inap WATI NY

22/03/20 Rawat PARNO,

835601 7,941 1 7,941
21 Inap TN
DANA
22/03/20 Rawat
835590 SUJATN 7,941 1 7,941
21 Inap
A, TN
GANJAR
22/03/20 Rawat
835607 HIKMAT 7,941 1 7,941
21 Inap
. TN
23/03/20 Rawat QITANIA
803391 8,093 1 8,093
21 Jalan , AN
NUNUN
23/03/20 Rawat G
835606 7,941 1 7,941
21 Inap KOMARI
AH. NY
LUKMAN
23/03/20 Rawat
835614 HAKIM 7,941 1 7,941
21 Inap
TN
RESTU
24/03/20 Rawat NANDA
826925 7,941 1 7,941
21 Inap AMELIA
. NN
NY
24/03/20
UMUM APS KURYAT 7,623 1 7,623
21
I
FITRI
25/03/20 Rawat SARI
835624 8,093 1 8,093
21 Inap WAHYU
NI NN
 ROSMA
25/03/20 Rawat
834926 LAWATI, 8,093 1 8,093
21 Inap
NY
TATI
25/03/20 Rawat
835664 ROSWA 8,093 1 8,093
21 Inap
TI
DARPIT
25/03/20 Rawat
835655 ROHIDU 8,093 1 8,093
21 Inap
N. TN
NANI
26/03/20 Rawat
815243 MARYA 7,941 1 7,941
21 Inap
NI, NY.
26/03/20 Rawat DARSIH
835696 7,941 1 7,941
21 Jalan NY
ANDA
26/03/20 Rawat
834672 WIHAND 8,093 1 8,093
21 Inap
A TN
HJ
26/03/20 Rawat
835670 SUKARN 8,093 1 8,093
21 Inap
A TN
SITI
27/03/20 Rawat
835704 RODIAH. 7,941 1 7,941
21 Inap
NY
27/03/20 Rawat UNENG,
5097 7,941 1 7,941
21 Inap NY
SITI
28/03/20 Rawat
835704 RODIAH. 7,941 1 7,941
21 Inap
NY
28/03/20 Rawat SUKAYA
835724 7,941 1 7,941
21 Jalan , TN

RINI
29/03/20 Rawat
835748 SUCIAW 8,093 1 8,093
21 Jalan
ATI. NY

30/03/20 Rawat SUKARS

835765 8,093 1 8,093
21 Inap IH.NY
30/03/20 Rawat ENTING,
835756 8,093 1 8,093
21 Inap NY
IIS
31/03/20 Rawat
835791 DEDEH 8,093 1 8,093
21 Inap
NY
IKIN
31/03/20 Rawat
835789 SODIKIN 8,093 1 8,093
21 Inap
TN
AL
31/03/20 Rawat RAFIQ
835800 7,941 1 7,941
21 Inap RIZKI S
AN
 31/03/20 Rawat RUSMIA
835801 7,941 1 7,941
21 Inap TI NY
TITA
31/03/20 Rawat
835804 KARTIK 7,941 1 7,941
21 Inap
A .NY
31/03/20 Rawat JUMRI.
835806 7,941 1 7,941
21 Jalan TN
EEN
31/03/20 Rawat
835797 NURAE 8,093 1 8,093
21 Jalan
NAH NY
Nasal
Rawat HAINA,
402 593 Canula 1/3/2021 835228 13,826 1 13,826
Inap AN
Bayi
Rawat HAIKAL
5/3/2021 835274 13,826 1 13,826
Inap BY
Rawat RIJAL .
8/3/2021 835379 13,826 1 13,826
Jalan AN
SHAKIL
23/03/20 Rawat A
835615 11,125 1 11,125
21 Jalan AYUDIA.
AN
Natrium
Bicarbon SAEFUL
Rawat
403 594 at 1/3/2021 835220 HUDAYA 244 2 488
Inap
Tab(Bicn TN
at)
Rawat KARMO
1/3/2021 835236 244 2 488
Inap TN
Rawat SARTAN
2/3/2021 826536 244 90 21,960
Jalan A, TN
SAEFUL
Rawat
2/3/2021 835220 HUDAYA 244 10 2,440
Inap
TN
Rawat KARMO
2/3/2021 835236 244 3 732
Inap TN
Rawat KARMO
3/3/2021 835236 244 2 488
Inap TN
Rawat KARMO
4/3/2021 835236 244 2 488
Inap TN
Rawat ENES.
4/3/2021 835133 244 21 5,124
Jalan NY
Rawat KARMO
5/3/2021 835236 244 2 488
Inap TN
Rawat KARMO
6/3/2021 835236 244 10 2,440
Inap TN
Rawat AWIS,
8/3/2021 816633 244 3 732
Inap NY
 Rawat SUKAES
9/3/2021 818170 244 78 19,032
Jalan IH,NY
SAEFUL
Rawat
9/3/2021 835220 HUDAYA 244 21 5,124
Jalan
TN
Rawat ISEM,
9/3/2021 835101 244 21 5,124
Jalan NY
Rawat AWIS,
9/3/2021 816633 244 15 3,660
Inap NY
ELVA
Rawat ARIF
### 830595 244 10 2,440
Jalan MUTAQI
N SDR
NY
### UMUM APS 244 21 5,124
ENES
13/03/20 Rawat KARMO
835236 244 3 732
21 Inap TN
14/03/20 Rawat KARMO
835236 244 3 732
21 Inap TN
14/03/20 Rawat ENES
835469 244 3 732
21 Inap NY
UAR
14/03/20 Rawat
835466 WARSIT 244 3 732
21 Inap
A. TN
UAR
14/03/20 Rawat
835466 WARSIT 244 3 732
21 Inap
A. TN
15/03/20 Rawat ENES
835469 244 3 732
21 Inap NY
UAR
15/03/20 Rawat
835466 WARSIT 244 10 2,440
21 Inap
A. TN
15/03/20 Rawat KARMO
835236 244 3 732
21 Inap TN
16/03/20 Rawat KARMO
835236 244 15 3,660
21 Inap TN
SAEFUL
16/03/20 Rawat
835220 HUDAYA 244 21 5,124
21 Jalan
TN
16/03/20 Rawat KANDA.
835528 244 15 3,660
21 Jalan TN
16/03/20 Rawat ENES
835469 244 10 2,440
21 Inap NY
16/03/20 Rawat CICIH
811043 244 2 488
21 Inap NY.
E
16/03/20 Rawat
835527 MUCHT 244 3 732
21 Inap
AR . TN
 E
17/03/20 Rawat
835527 MUCHT 244 3 732
21 Inap
AR . TN
17/03/20 Rawat CICIH
811043 244 1 244
21 Inap NY.
18/03/20 Rawat ENES.
835133 244 60 14,640
21 Jalan NY
JAJANG
18/03/20 Rawat
835545 SUHER 244 20 4,880
21 Jalan
MAN TN
20/03/20 Rawat CICIH
811043 244 5 1,220
21 Inap NY.
20/03/20 Rawat
815940 DIDI, TN. 244 20 4,880
21 Jalan
21/03/20 Rawat WANGSI
835588 244 3 732
21 Inap H, NY
21/03/20 Rawat HERMA
835580 244 3 732
21 Inap N TN
22/03/20 Rawat NINING
835595 244 3 732
21 Inap NY
22/03/20 Rawat SUHEN
835596 244 3 732
21 Inap DA NY
22/03/20 Rawat HERMA
835580 244 3 732
21 Inap N TN
22/03/20 Rawat WANGSI
835588 244 2 488
21 Inap H, NY
22/03/20 Rawat NINING
835595 244 3 732
21 Inap NY
23/03/20 Rawat UDIN.
835604 244 10 2,440
21 Inap TN
23/03/20 Rawat NINING
835595 244 3 732
21 Inap NY
23/03/20 Rawat WANGSI
835588 244 10 2,440
21 Inap H, NY
23/03/20 Rawat HERMA
835580 244 10 2,440
21 Inap N TN
23/03/20 Rawat SUHEN
835596 244 2 488
21 Inap DA NY
23/03/20 Rawat HERMA
835580 244 2 488
21 Inap N TN
NUNUN
23/03/20 Rawat G
835606 244 2 488
21 Inap KOMARI
AH. NY
NUNUN
24/03/20 Rawat G
835606 244 2 488
21 Inap KOMARI
AH. NY
 NUNUN
25/03/20 Rawat G
835606 244 10 2,440
21 Inap KOMARI
AH. NY
HARIS
25/03/20 Rawat
834993 RUHITA 244 21 5,124
21 Jalan
TN
25/03/20
UMUM APS tn jajang 244 21 5,124
21
SITI
27/03/20 Rawat
833037 ROHMA 244 60 14,640
21 Jalan
H
27/03/20 Rawat
815940 DIDI, TN. 244 60 14,640
21 Jalan
SITI
27/03/20 Rawat
835704 RODIAH. 244 2 488
21 Inap
NY
SITI
28/03/20 Rawat
835704 RODIAH. 244 2 488
21 Inap
NY
IDING
28/03/20 Rawat
835732 JAENUD 244 2 488
21 Inap
IN, TN
SITI
29/03/20 Rawat
835704 RODIAH. 244 3 732
21 Inap
NY
IDING
29/03/20 Rawat
835732 JAENUD 244 2 488
21 Inap
IN, TN
SITI
30/03/20 Rawat
835704 RODIAH. 244 2 488
21 Inap
NY
IDING
30/03/20 Rawat
835732 JAENUD 244 2 488
21 Inap
IN, TN
30/03/20 Rawat SAHNU
835764 244 3 732
21 Inap TN
RENI
30/03/20 Rawat
813579 ANDRIA 244 3 732
21 Inap
NA NY
NANA
31/03/20 Rawat
835799 SURYAN 244 2 488
21 Inap
A. TN
SITI
31/03/20 Rawat
835704 RODIAH. 244 10 2,440
21 Inap
NY
 IDING
31/03/20 Rawat
835732 JAENUD 244 10 2,440
21 Inap
IN, TN
31/03/20 Rawat SAHNU
835764 244 3 732
21 Inap TN
RENI
31/03/20 Rawat
813579 ANDRIA 244 15 3,660
21 Inap
NA NY

Natrium
Pasien
404 595 diclofena 2/3/2021 UMUM 0 3,200 4 12,800
Umum
c 50 Tab

Pasien
8/3/2021 UMUM 0 321 10 3,210
Umum
13/03/20 Pasien
UMUM 0 321 10 3,210
21 Umum
13/03/20 Pasien
UMUM 0 321 10 3,210
21 Umum
13/03/20 Rawat
806813 IPIN, TN 321 10 3,210
21 Jalan
15/03/20 Pasien
UMUM 0 321 10 3,210
21 Umum
15/03/20 Rawat ANAH
835474 321 5 1,605
21 Jalan NY
ELIS
16/03/20 Rawat
835335 KARNAT 321 15 4,815
21 Jalan
I NY
JAJANG
18/03/20 Rawat
835545 SUHER 321 5 1,605
21 Jalan
MAN TN
18/03/20 Pasien
UMUM 0 321 10 3,210
21 Umum
RAHMA
D
19/03/20 Rawat
835553 KURNIA 321 10 3,210
21 Jalan
WAN
SDR
YUDI
20/03/20 Rawat
819461 FIRMAN 321 15 4,815
21 Jalan
. TN
CICIH
25/03/20 Rawat
835651 RUKAES 321 10 3,210
21 Jalan
IH. NY
VIVIH
Needle Rawat
405 597 2/3/2021 834834 NOVITA 211 1 211
23 Jalan
DEWI
Rawat CEPI,
3/3/2021 835281 211 1 211
Jalan TN
 Tn
4/3/2021 UMUM APS 211 17 3,587
Dadang
ENCID
Rawat
9/3/2021 806056 TAMSID, 211 1 211
Jalan
TN
18/03/20 Rawat
835540 PI'I .TN 211 1 211
21 Jalan
19/03/20 Rawat ANIS,
835551 211 1 211
21 Jalan NY
20/03/20 Rawat SUNAMI
833478 211 1 211
21 Jalan NY
ENGKIN
23/03/20 Rawat
835520 G AJIS . 211 1 211
21 Jalan
TN
YUDI
23/03/20 Rawat
835623 PRAYO 211 1 211
21 Jalan
GA.TN
27/03/20 Rawat
815940 DIDI, TN. 211 1 211
21 Jalan
KARIN
30/03/20 Rawat
835781 AGUSTI 211 1 211
21 Jalan
N, NN
30/03/20 Rawat
835762 USIH NY 211 1 211
21 Jalan
31/03/20 Rawat HILYA
835798 211 1 211
21 Inap AN
31/03/20 Rawat HILYA
835798 211 1 211
21 Inap AN
Needle 17/03/20 Pasien
406 599 UMUM 0 969 3 2,907
25 21 Umum
18/03/20 Rawat SACI,
804839 969 1 969
21 Jalan NY
27/03/20 Pasien
UMUM 0 969 2 1,938
21 Umum
Abocath Rawat HAINA,
407 6 1/3/2021 835228 7,542 2 15,084
No 26 Inap AN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 7,542 1 7,542
Inap US
SHANU
M AN
BHARAT
Rawat JIBRIL
4/3/2021 828617 7,542 1 7,542
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 7,542 1 7,542
Inap AN
 BHARAT
Rawat JIBRIL
4/3/2021 828617 7,542 2 15,084
Inap PRASET
YO. AN
Rawat HAIKAL
5/3/2021 835274 7,542 1 7,542
Inap BY
NAYLA
Rawat
5/3/2021 835311 NURASY 7,542 1 7,542
Inap
IFA AN
TANIA
Rawat
6/3/2021 835331 MAURA 7,542 1 7,542
Inap
NISA AN
Rawat CERI
9/3/2021 835363 15,524 1 15,524
Inap LIAN AN

ARSHAK
Rawat
### 813853 A RAMA 15,524 1 15,524
Inap
A. AN.

HAYKAL
Rawat DWI
### 835435 6,179 1 6,179
Inap SYAHPU
TRA AN

KENZIE
Rawat AZKA
### 810083 6,179 1 6,179
Inap FAIRUIZ.
AN
HAUZAN
13/03/20 Rawat IRHAB
833974 6,179 2 12,358
21 Inap NABIL,
AN
AHMAD
13/03/20 Rawat
835458 ARYA. 6,179 1 6,179
21 Inap
AN
14/03/20 Rawat ALONA
835467 6,179 1 6,179
21 Inap AN
SHAJEA
14/03/20 Rawat
835452 HALAA 6,179 2 12,358
21 Inap
NISA AN
DEREL
15/03/20 Rawat DWI
835473 6,179 2 12,358
21 Inap KARISM
A AN
 MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 6,179 1 6,179
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat ABDILA
835532 6,179 2 12,358
21 Jalan H BY
21/03/20 Rawat NATAN.
835591 6,179 2 12,358
21 Inap AN
KELVIN
22/03/20 Rawat
835597 JULIANT 6,179 1 6,179
21 Inap
ARA BY

ALRADY
A
23/03/20 Rawat MAHAB
830769 6,179 1 6,179
21 Inap BATAN
LUVINA
TIKA. AN

ANISA
24/03/20 Rawat FAIHA
835644 6,179 1 6,179
21 Inap MUNAN
DAR AN

ALRADY
A
25/03/20 Rawat MAHAB
830769 6,179 2 12,358
21 Inap BATAN
LUVINA
TIKA. AN

M.
27/03/20 Rawat
284 SAMSI, 6,179 2 12,358
21 Inap
AN
AL
31/03/20 Rawat RAFIQ
835800 6,179 1 6,179
21 Inap RIZKI S
AN
31/03/20 Rawat HILYA
835798 6,179 1 6,179
21 Inap AN
Needle Pasien
408 600 8/3/2021 UMUM 0 629 3 1,887
26 Umum
Needle Rawat SINTIA.
409 601 5/3/2021 835301 522 2 1,044
27 Inap NY
Pasien
### UMUM 0 502 1 502
Umum
28/03/20 Yulin
K41 502 1 502
21 Yuliandri
 Neo ELIS
Rawat
410 602 Gynoxa 1/3/2021 835243 KURNIA. 19,540 3 58,620
Jalan
Ovula NY
1/3/2021 UMUM 0 ny elis 19,540 2 39,080

Nephrolit Yana
411 606 1/3/2021 K75 723 5 3,615
Tab Gustiana

NURUL
Nerva Rawat
412 607 5/3/2021 826670 JANAH, 4,224 30 126,720
Plus cap Jalan
NY
30/03/20 Rawat ROSMA
835787 4,224 10 42,240
21 Jalan , NN
Neuralgi
Rawat MINTAR
413 609 n RX 1/3/2021 813401 1,035 2 2,070
Inap SIH,NY
tablet
AYEP
Rawat
2/3/2021 835144 SURYAN 1,035 15 15,525
Jalan
A. TN
Rawat CAHYAT
2/3/2021 822342 1,035 21 21,735
Jalan I.NY
EDIH
Rawat
2/3/2021 835271 HARYAD 1,035 10 10,350
Jalan
I TN
EVI SITI
Rawat
3/3/2021 811994 NUR. 1,035 2 2,070
Inap
F,NY
SURYAN
Rawat
4/3/2021 835297 INGSIH 1,035 21 21,735
Jalan
NY
EVI SITI
Rawat
4/3/2021 811994 NUR. 1,035 3 3,105
Inap
F,NY
PEPEN
Rawat EDI
4/3/2021 802366 1,035 20 20,700
Jalan JUANDI,
TN
Rawat
6/3/2021 806591 EEN. NY 1,035 1 1,035
Inap
Rawat SINTIA.
6/3/2021 835301 1,035 1 1,035
Inap NY
Rawat
8/3/2021 806591 EEN. NY 1,035 2 2,070
Inap
ENGKO
Rawat S
9/3/2021 834433 1,035 20 20,700
Jalan KOSASI
H TN
 AYEP
Rawat
9/3/2021 835144 SURYAN 1,035 20 20,700
Jalan
A. TN
TN
9/3/2021 UMUM 0 AYEP/A 1,035 10 10,350
PS
RINI
Rawat
9/3/2021 802158 MARIANI 1,035 15 15,525
Jalan
, NY
Rawat
9/3/2021 806591 EEN. NY 1,035 10 10,350
Inap
ITI
Rawat
### 835385 DARSITI 1,035 2 2,070
Inap
, NY
ITI
Rawat
### 835385 DARSITI 1,035 2 2,070
Inap
, NY
Rawat
### 835295 ANIH NY 1,035 8 8,280
Jalan
### UMUM APS NY ANIH 1,035 7 7,245
SUPRIH
Rawat
### 822113 ATIN. 1,035 3 3,105
Inap
NY
### UMUM 0 SELVI 1,035 10 10,350
SUPRIH
Rawat
### 822113 ATIN. 1,035 3 3,105
Inap
NY
ITI
Rawat
### 835385 DARSITI 1,035 10 10,350
Inap
, NY
OMAN
13/03/20 Rawat
831629 ROHAN 1,035 10 10,350
21 Jalan
A, TN
SUPRIH
13/03/20 Rawat
822113 ATIN. 1,035 3 3,105
21 Inap
NY
14/03/20 Rawat TASIH
835460 1,035 3 3,105
21 Inap NY
SUPRIH
14/03/20 Rawat
822113 ATIN. 1,035 3 3,105
21 Inap
NY
SUPRIH
15/03/20 Rawat
822113 ATIN. 1,035 3 3,105
21 Inap
NY
15/03/20 Rawat TASIH
835460 1,035 10 10,350
21 Inap NY
15/03/20 Rawat IRUM
835472 1,035 2 2,070
21 Inap NY
IIS
16/03/20 Rawat
835516 WARTIK 1,035 10 10,350
21 Jalan
AH NY
VIVIH
16/03/20 Rawat
834834 NOVITA 1,035 10 10,350
21 Jalan
DEWI
UJANG
16/03/20 Rawat
820303 SUPRIA 1,035 15 15,525
21 Jalan
TNA, TN
AHMAD
16/03/20 Rawat
834644 SOFIAN 1,035 20 20,700
21 Jalan
TN
IIN
16/03/20 Rawat
819469 RUYANI, 1,035 2 2,070
21 Inap
NY
16/03/20 Rawat
835526 AYO. TN 1,035 10 10,350
21 Jalan
16/03/20 Rawat ROKAYA
835481 1,035 1 1,035
21 Inap H NY
16/03/20 Rawat IRUM
835472 1,035 2 2,070
21 Inap NY
N. U.
16/03/20 Rawat
835522 UMAYA 1,035 2 2,070
21 Inap
H NY
TITIN
16/03/20 Rawat
835530 MULYAT 1,035 2 2,070
21 Inap
IN NY
SUPRIH
17/03/20 Rawat
822113 ATIN. 1,035 8 8,280
21 Inap
NY
TITIN
17/03/20 Rawat
835530 MULYAT 908 2 1,816
21 Inap
IN NY
IIN
17/03/20 Rawat
819469 RUYANI, 1,035 2 2,070
21 Inap
NY
IIN
18/03/20 Rawat
819469 RUYANI, 908 10 9,080
21 Inap
NY
TN. MS
18/03/20
UMUM 0 AFENDI/ 1,035 15 15,525
21
APS
18/03/20 Rawat ROKAYA
835481 908 1 908
21 Inap H NY
18/03/20 Rawat ENES.
835133 1,035 15 15,525
21 Jalan NY
 N. U.
18/03/20 Rawat
835522 UMAYA 908 2 1,816
21 Inap
H NY

SODIKIN
18/03/20 Rawat NOOR
835524 908 2 1,816
21 Inap BADRI.
TN

TITIN
18/03/20 Rawat
835530 MULYAT 908 10 9,080
21 Inap
IN NY

SODIKIN
19/03/20 Rawat NOOR
835524 1,035 2 2,070
21 Inap BADRI.
TN

19/03/20 Pasien
UMUM 0 1,035 6 6,210
21 Umum
22/03/20 Pasien
UMUM 0 872 10 8,720
21 Umum
22/03/20 Rawat SUHEN
835596 908 1 908
21 Inap DA NY

MALA
22/03/20 Rawat
835594 KOMALA 908 1 908
21 Inap
SARI NY

DEA
23/03/20 Rawat
820296 NURSIF 908 10 9,080
21 Jalan
A, NN
YATI
23/03/20 Rawat
835055 WARIAH 908 15 13,620
21 Jalan
. NY
IYAN
23/03/20 Rawat
834818 MULYAN 908 15 13,620
21 Jalan
A TN
23/03/20 Rawat ROSIDA
835605 908 10 9,080
21 Inap H
W
23/03/20 Rawat ABDUL
835629 1,035 10 10,350
21 Jalan HALIM
TN
23/03/20 Rawat ADAH.
835518 1,035 3 3,105
21 Inap NY
AAR
25/03/20 Rawat
825828 SURYAT 1,035 1 1,035
21 Inap
I.NY
25/03/20 Rawat ADAH.
835518 1,017 2 2,034
21 Inap NY
 25/03/20 Rawat ADAH.
835518 1,017 10 10,170
21 Inap NY
30/03/20 Pasien
UMUM 0 1,035 10 10,350
21 Umum
AHMAT
30/03/20 Rawat
835759 MULADI. 1,035 10 10,350
21 Jalan
TN
KARIN
30/03/20 Rawat
835781 AGUSTI 1,035 10 10,350
21 Jalan
N, NN

30/03/20 Rawat SUKAED

835784 1,035 10 10,350
21 Jalan AH . NY

30/03/20 Rawat YUMAH .

835785 1,035 10 10,350
21 Jalan NY
30/03/20 Rawat HERMA
835766 1,035 10 10,350
21 Jalan N. TN
ANI
Asam
Rawat PRISTIA
414 61 tranexsa 8/3/2021 835354 13,475 1 13,475
Jalan WATI.
mat inj
NY
AHMAD
Rawat
8/3/2021 834644 SOFIAN 13,475 2 26,950
Inap
TN
AHMAD
Rawat
### 834644 SOFIAN 13,475 2 26,950
Inap
TN
DINNY
Nexitra Rawat
415 616 4/3/2021 832315 YUSTRI 4,156 10 41,560
Tab Inap
ANI NY
AHMAD
Rawat
### 834644 SOFIAN 4,156 10 41,560
Inap
TN
AAN
29/03/20 Rawat
835745 HERMA 4,156 15 62,340
21 Jalan
NAH NY
30/03/20 Rawat MESIH,
835757 4,156 10 41,560
21 Jalan NY
Nifedipin 15/03/20 Rawat
416 624 835500 AAS, NY 208 10 2,080
tab 21 Jalan
Novomix Rawat
417 628 9/3/2021 835393 LIA. NY 215,512 1 215,512
insulin Inap
HEMMU
D
NovoRap Rawat FARCHA
418 629 ### 835437 215,152 1 215,152
id insulin Jalan N IBNU
HASAN
TN
 UJANG
23/03/20 Rawat
835617 TATANG 220,614 1 220,614
21 Inap
. TN
Nutriflam Rawat MUNAWI
419 632 1/3/2021 834951 15,712 20 314,240
caps Jalan R TN
Rawat ARSITI,
3/3/2021 804088 15,712 8 125,696
Jalan NY
Ofloxacin EUIS
13/03/20 Rawat
420 637 tab 834994 YULIANI 1,155 20 23,100
21 Inap
400mg NY
Omepraz ONENG
Rawat
421 638 ole inj 1/3/2021 832859 ROKAE 29,219 1 29,219
Inap
(MBF) NAH. NY
ONENG
Rawat
1/3/2021 832859 ROKAE 33,688 1 33,688
Inap
NAH. NY
Rawat HERYAD
1/3/2021 820597 29,219 1 29,219
Inap I, TN
Rawat RISNA
1/3/2021 835175 29,219 1 29,219
Inap SDR
Rawat KANAR
1/3/2021 835231 33,688 1 33,688
Inap TN
EUIS
Rawat
1/3/2021 834994 YULIANI 29,219 1 29,219
Inap
NY
Rawat RISNA
1/3/2021 835175 29,219 1 29,219
Inap SDR
CUCU
Rawat
2/3/2021 835219 LISNAW 29,219 1 29,219
Inap
ATI NY
EUIS
Rawat
2/3/2021 834994 YULIANI 29,219 1 29,219
Inap
NY
Rawat
2/3/2021 835260 ILIM TN 29,219 1 29,219
Inap
EUIS
Rawat
3/3/2021 834994 YULIANI 29,219 1 29,219
Inap
NY
EVI SITI
Rawat
3/3/2021 811994 NUR. 29,219 1 29,219
Inap
F,NY
Rawat
3/3/2021 835260 ILIM TN 29,219 1 29,219
Inap
SITI
Rawat MAEUM
3/3/2021 835284 29,219 1 29,219
Inap ANAH,
NY
 EUIS
Rawat
4/3/2021 834994 YULIANI 33,688 1 33,688
Inap
NY
Rawat KARMO
4/3/2021 835236 33,688 1 33,688
Inap TN
SITI
Rawat MAEUM
4/3/2021 835284 33,688 1 33,688
Inap ANAH,
NY
Rawat SINTIA.
5/3/2021 835301 33,688 1 33,688
Inap NY
Rawat WAWA
5/3/2021 835318 33,688 1 33,688
Inap TN
SITI
Rawat MAEUM
5/3/2021 835284 33,688 1 33,688
Inap ANAH,
NY
Rawat RUKASI
5/3/2021 835322 33,688 1 33,688
Inap H. NY
Rawat
5/3/2021 806591 EEN. NY 33,688 1 33,688
Inap
Rawat NUNUN
6/3/2021 835338 33,688 1 33,688
Inap G K, NY
Rawat
6/3/2021 806591 EEN. NY 33,688 1 33,688
Inap
Rawat WAWA
6/3/2021 835318 33,688 1 33,688
Inap TN
Rawat SINTIA.
6/3/2021 835301 33,688 1 33,688
Inap NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 33,688 1 33,688
Inap
NI . NN
LILIS
Rawat
6/3/2021 823790 SURYAN 33,688 1 33,688
Inap
I.NY
Rawat RUKASI
6/3/2021 835322 33,688 1 33,688
Inap H. NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 33,688 1 33,688
Inap
NI . NN
Rawat ENOS,
6/3/2021 801989 33,688 1 33,688
Inap TN
LILIS
Rawat
6/3/2021 823790 SURYAN 33,688 1 33,688
Inap
I.NY
IDA
Rawat
6/3/2021 820069 ROSIDA. 33,688 1 33,688
Jalan
NY
 APRILIA
Rawat
7/3/2021 801710 YUNITA, 33,688 1 33,688
Inap
NY
ENDAN
Rawat G
7/3/2021 835339 33,688 1 33,688
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 33,688 1 33,688
Inap A, TN
Rawat NUNUN
7/3/2021 835338 33,688 1 33,688
Inap G K, NY
Rawat
7/3/2021 806591 EEN. NY 33,688 1 33,688
Inap
Rawat WAWA
7/3/2021 835318 33,688 1 33,688
Inap TN
Rawat ENOS,
7/3/2021 801989 33,688 1 33,688
Inap TN
Rawat SUTARN
7/3/2021 810138 33,688 1 33,688
Inap A, TN
Rawat SINTIA.
7/3/2021 835301 33,688 1 33,688
Inap NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 33,688 1 33,688
Inap
NY
LILIS
Rawat
7/3/2021 823790 SURYAN 33,688 1 33,688
Inap
I.NY
Rawat RUKASI
7/3/2021 835322 33,688 1 33,688
Inap H. NY
DIAH
Rawat YAYAH
7/3/2021 835340 33,688 1 33,688
Inap ROKAYA
H. NY
UJANG
Rawat
8/3/2021 820303 SUPRIA 33,688 1 33,688
Inap
TNA, TN
AHMAD
Rawat
8/3/2021 834644 SOFIAN 33,688 1 33,688
Inap
TN
Rawat SUTARN
8/3/2021 810138 33,688 1 33,688
Inap A, TN
YUNITA
Rawat NUR
8/3/2021 835353 33,688 1 33,688
Inap SOLIHA
T NY
Rawat
8/3/2021 806591 EEN. NY 33,688 1 33,688
Inap
 YUNITA
Rawat NUR
8/3/2021 835353 33,688 1 33,688
Inap SOLIHA
T NY
Rawat NUNUN
8/3/2021 835338 33,688 1 33,688
Inap G K, NY
NUNUN
G
Rawat
8/3/2021 804308 HERNA 33,688 1 33,688
Inap
WATI.
NY
TITA
Rawat
9/3/2021 835383 MARYAT 33,688 1 33,688
Inap
I. NY
ENCID
Rawat
9/3/2021 806056 TAMSID, 33,688 1 33,688
Jalan
TN
AHMAD
Rawat
9/3/2021 834644 SOFIAN 33,688 1 33,688
Inap
TN
Rawat
### 835393 LIA. NY 33,688 1 33,688
Inap

SODIKIN
19/03/20 Rawat NOOR
835524 33,688 1 33,688
21 Inap BADRI.
TN

N. U.
19/03/20 Rawat
835522 UMAYA 33,688 1 33,688
21 Inap
H NY
19/03/20 Rawat DARYAN
835565 33,688 1 33,688
21 Inap TI. NY
EUIS
20/03/20 Rawat
835573 WARTIN 33,688 1 33,688
21 Jalan
I NY

SODIKIN
20/03/20 Rawat NOOR
835524 33,688 1 33,688
21 Inap BADRI.
TN

N. U.
20/03/20 Rawat
835522 UMAYA 33,688 1 33,688
21 Inap
H NY
NERA
20/03/20 Rawat
817790 NORAW 33,688 1 33,688
21 Inap
ATI . NY
20/03/20 Rawat DARYAN
835565 33,688 1 33,688
21 Inap TI. NY
 20/03/20 Rawat HIDAYA
805608 33,688 1 33,688
21 Inap T, TN
NERA
20/03/20 Rawat
817790 NORAW 33,688 1 33,688
21 Inap
ATI . NY
AAR
26/03/20 Rawat
825828 SURYAT 29,219 1 29,219
21 Inap
I.NY
TATI
27/03/20 Rawat
835664 ROSWA 29,219 2 58,438
21 Inap
TI
27/03/20 Rawat NENGSI
835645 29,219 1 29,219
21 Inap H NY
27/03/20 Rawat KARMID,
823943 29,219 1 29,219
21 Inap TN
27/03/20 Rawat WANCIH
835712 29,219 1 29,219
21 Inap NY
27/03/20 Rawat RUSTA,
811999 29,219 1 29,219
21 Inap TN
SAPAAT
27/03/20 Rawat NURHA
835668 29,219 1 29,219
21 Inap YATUDI
N TN
HJ
27/03/20 Rawat
835670 SUKARN 29,219 1 29,219
21 Inap
A TN
NYAI
27/03/20 Rawat
835676 ATIKAH 29,219 1 29,219
21 Inap
NY
Omepraz Rawat MINTAR
422 639 1/3/2021 813401 460 1 460
le cap Inap SIH,NY
IYAN
Rawat
1/3/2021 810553 MARYA 540 5 2,700
Inap
NI,NY
RINI
Rawat HALIMA
1/3/2021 835250 460 10 4,600
Jalan TUSADI
AH. NY
PINKAN
Rawat
1/3/2021 817099 RIZKY.N 460 5 2,300
Jalan
N
Rawat NUNUN
1/3/2021 835198 460 5 2,300
Inap G, NY
Rawat HOJAEM
1/3/2021 835152 460 5 2,300
Inap I. TN
Rawat SUHARA
2/3/2021 833929 460 15 6,900
Jalan . TN
 EET
Rawat
2/3/2021 810617 NURHA 460 14 6,440
Jalan
ETI, NY
ADE
Rawat
2/3/2021 835124 HASANA 460 15 6,900
Jalan
H NY
DINI
Rawat
2/3/2021 835267 KHAERA 460 15 6,900
Jalan
NI. NY
RETNO
Rawat SRI
2/3/2021 835265 460 15 6,900
Jalan YULIAN
TI. NY
Rawat KENI,
2/3/2021 821737 460 10 4,600
Jalan NY
ROSMA
Rawat
2/3/2021 834926 LAWATI, 460 7 3,220
Jalan
NY
VIVIH
Rawat
2/3/2021 834834 NOVITA 460 7 3,220
Jalan
DEWI
CUCU
Rawat
2/3/2021 835219 LISNAW 460 15 6,900
Inap
ATI NY
Rawat RISNA
2/3/2021 835175 460 5 2,300
Inap SDR
Rawat KANAR
2/3/2021 835231 460 5 2,300
Inap TN
Rawat NURJAM
2/3/2021 813400 460 5 2,300
Inap AN,TN
Rawat INTAN
2/3/2021 835255 460 5 2,300
Jalan NN

WIWI
Rawat
2/3/2021 822334 RATNEN 460 5 2,300
Jalan
GSIH.NY

RAKA
DWI
Rawat
3/3/2021 833864 ROMAN 460 10 4,600
Jalan
SYAH .
AN
Rawat ARSITI,
3/3/2021 804088 460 10 4,600
Jalan NY
Rawat NADINI.
3/3/2021 835285 460 14 6,440
Jalan NN
PINKAN
Rawat
3/3/2021 817099 RIZKY.N 460 10 4,600
Jalan
N
 BUDI
Rawat
4/3/2021 835296 HIDAYA 540 15 8,100
Jalan
T TN
WIDA
Rawat
4/3/2021 829896 WIDIAW 540 7 3,780
Jalan
ATI.NY
Rawat ENAH
4/3/2021 835172 540 7 3,780
Jalan NY
AAN
Rawat
4/3/2021 830368 SUNEN 540 10 5,400
Jalan
GSIH NY
ROKASI
Rawat H,
4/3/2021 812376 540 10 5,400
Jalan S.PD
.NY
Rawat
4/3/2021 835260 ILIM TN 540 5 2,700
Inap
AI
Rawat
4/3/2021 835302 ROHAET 540 10 5,400
Jalan
I. NY
MAULAN
Rawat A
4/3/2021 835287 540 10 5,400
Jalan YUSUF .
TN
MAULAN
Rawat A
4/3/2021 835287 540 10 5,400
Jalan YUSUF .
TN
HARIS
Rawat
4/3/2021 835174 NASUTI 540 10 5,400
Jalan
ON TN

UCA
Rawat
4/3/2021 823312 BAHARU 540 14 7,560
Jalan
DIN. TN

Rawat AMIR,
4/3/2021 824051 540 7 3,780
Jalan TN
NT
Rawat
4/3/2021 834700 CHOTIM 540 10 5,400
Jalan
AH NY
Rawat MULYAN
4/3/2021 835178 540 7 3,780
Jalan A TN
YAYA
Rawat
5/3/2021 817031 FIRDAU 460 5 2,300
Inap
S TN
ATIK
Rawat
5/3/2021 817256 KURNIA 460 10 4,600
Jalan
SIH. NY
 RIRIE
Rawat
5/3/2021 835064 APRILIA 460 10 4,600
Jalan
NA, NY
AI
Rawat
5/3/2021 818735 JUARIA 460 7 3,220
Jalan
H, NY
N.MS.
Rawat
5/3/2021 835200 DJUBAE 460 7 3,220
Jalan
DAH
WINA
Rawat
5/3/2021 833240 MEIRANI 460 30 13,800
Jalan
NY
Rawat IMAS,
5/3/2021 835142 460 7 3,220
Jalan NY
ELIS
Rawat
5/3/2021 835202 NAHRIY 460 7 3,220
Jalan
AH NY
ANDINI
Rawat
5/3/2021 835088 OKTAVI 460 15 6,900
Jalan
ANI NY
NY.
5/3/2021 UMUM 0 ASIH/AP 441 7 3,087
S
ADE
Rawat
5/3/2021 817763 JUARIA 460 10 4,600
Jalan
H.NY
A
Rawat HENDA
5/3/2021 813308 460 7 3,220
Jalan MULYAN
A TN.
ETI
Rawat YUNIA
5/3/2021 833748 460 7 3,220
Jalan SUHER
MAN NY
Rawat ROHMI
6/3/2021 835330 460 10 4,600
Jalan NY
SITI
Rawat MAEUM
6/3/2021 835284 460 5 2,300
Inap ANAH,
NY
UYAT
Rawat
6/3/2021 835100 RUYATI 460 10 4,600
Jalan
NY
ELIS
Rawat
6/3/2021 835335 KARNAT 460 10 4,600
Jalan
I NY
 TRI
Rawat
6/3/2021 809807 YULIAN 540 10 5,400
Jalan
TO, TN
Rawat RUHITA,
6/3/2021 835336 540 10 5,400
Jalan TN
UUN
Rawat
6/3/2021 835337 UNASIH, 540 10 5,400
Jalan
NY
Rawat KARMO
6/3/2021 835236 460 5 2,300
Inap TN
M AMRI
FURQO
Rawat
7/3/2021 835349 N AL 540 10 5,400
Jalan
AKBAR .
SDR
AI
Rawat
7/3/2021 821381 KARWA 540 10 5,400
Jalan
TI.NY
AI
Rawat
7/3/2021 3483 UNENG 540 10 5,400
Jalan
SIH, NY
NITA
Rawat
7/3/2021 835348 ASTUTI. 540 10 5,400
Jalan
NY
ETI
Rawat
7/3/2021 835350 SUMIATI 540 10 5,400
Jalan
. NY
Rawat AMINAH.
8/3/2021 835378 540 10 5,400
Jalan NY
DIAH
Rawat YAYAH
8/3/2021 835340 540 5 2,700
Inap ROKAYA
H. NY
ENDAN
Rawat G
8/3/2021 835339 540 5 2,700
Inap SETIAW
AN. TN
Rawat RUKASI
8/3/2021 835322 460 5 2,300
Inap H. NY
LILIS
Rawat
8/3/2021 823790 SURYAN 460 5 2,300
Inap
I.NY
LAILA
Rawat NURUL
8/3/2021 835381 540 10 5,400
Jalan SAHARA
NY
 YENI
Rawat
8/3/2021 809193 YULIANI, 460 10 4,600
Jalan
NY
Rawat SINTIA.
8/3/2021 835301 460 5 2,300
Inap NY
Rawat ENOS,
8/3/2021 801989 460 5 2,300
Inap TN
Rawat WAWA
8/3/2021 835318 460 5 2,300
Inap TN
UUN
Rawat
9/3/2021 835396 SULAST 540 15 8,100
Jalan
RI. NY
YATI
Rawat
9/3/2021 835055 WARIAH 540 14 7,560
Jalan
. NY
Rawat ELIA ,
9/3/2021 826600 540 10 5,400
Jalan NY
TITI
Rawat
9/3/2021 835391 AMINAH. 540 2 1,080
Inap
NY
ASEP
Rawat
9/3/2021 835201 DUDI. 540 7 3,780
Jalan
TN
RISKA
Rawat NURHA
9/3/2021 835394 540 14 7,560
Jalan BIBAH.
NY
NENEN
Rawat G
9/3/2021 832087 540 12 6,480
Jalan KARTIK
A, NY
EET
Rawat
9/3/2021 810617 NURHA 540 20 10,800
Jalan
ETI, NY
NY
9/3/2021 UMUM 0 ONIH/AP 540 20 10,800
S
Rawat
9/3/2021 835397 SITI, NY 540 10 5,400
Jalan
Rawat ANIK.
9/3/2021 835230 540 20 10,800
Jalan NY
KAKA
Rawat IMAN
9/3/2021 830218 540 10 5,400
Jalan MUDIN
SDR
 ENGKA
Rawat R
9/3/2021 819492 540 10 5,400
Jalan KARTIK
AH . NY
YUNITA
Rawat NUR
9/3/2021 835353 540 5 2,700
Inap SOLIHA
T NY
Rawat AANG
9/3/2021 835389 540 14 7,560
Jalan NY
Rawat
9/3/2021 806591 EEN. NY 540 5 2,700
Inap
Rawat ISEM,
9/3/2021 835101 540 14 7,560
Jalan NY
Rawat AAN
9/3/2021 802456 540 15 8,100
Jalan UHA, TN
Rawat NUNUN
9/3/2021 835338 540 5 2,700
Inap G K, NY
DINI
Rawat
9/3/2021 835267 KHAERA 540 15 8,100
Jalan
NI. NY
NUNUN
G
Rawat
9/3/2021 804308 HERNA 540 5 2,700
Inap
WATI.
NY
UUN
Rawat
9/3/2021 835337 UNASIH, 540 14 7,560
Jalan
NY
Rawat KANAR
9/3/2021 835231 540 14 7,560
Jalan TN
ENCID
Rawat
9/3/2021 806056 TAMSID, 540 15 8,100
Jalan
TN
Rawat ENER,
9/3/2021 835206 540 15 8,100
Jalan NY
Rawat NUNUN
9/3/2021 835198 540 15 8,100
Jalan G, NY
OYOH
Rawat
9/3/2021 813977 TARLIA 540 20 10,800
Jalan
H . NY
Rawat
9/3/2021 830855 ISAH NY 540 15 8,100
Jalan
ANDRI
Rawat RUDIAN
9/3/2021 835388 540 10 5,400
Jalan SYAH
SDR
 MAHDA
Rawat TRI
### 835409 540 10 5,400
Jalan UTAMI
NY
BAYU
Rawat
### 835410 ANUGE 540 10 5,400
Jalan
RAH TN
Rawat TATANG
### 835404 540 10 5,400
Jalan . TN
Rawat AGUS,
### 835398 460 2 920
Inap TN
TITA
Rawat
### 835383 MARYAT 460 1 460
Inap
I. NY
UJANG
Rawat
### 820303 SUPRIA 460 5 2,300
Inap
TNA, TN
AHMAD
Rawat
### 834644 SOFIAN 460 5 2,300
Inap
TN
TITI
Rawat
### 835391 AMINAH. 460 2 920
Inap
NY
ITI
Rawat
### 835385 DARSITI 460 1 460
Inap
, NY
Rawat
### 835393 LIA. NY 460 1 460
Inap
YEYE
Rawat
### 835406 DARSITI 540 10 5,400
Jalan
. NY
TITA
Rawat
### 835383 MARYAT 540 10 5,400
Inap
I. NY
TITI
Rawat
### 835391 AMINAH. 540 10 5,400
Inap
NY
Rawat JURAEJI
### 827464 540 0 0
Inap N, TN
Rawat AGUS,
### 835398 540 2 1,080
Inap TN
ITI
Rawat
### 835385 DARSITI 540 1 540
Inap
, NY
Rawat IMAS,
### 835142 540 1 540
Inap NY
 YAYA
Rawat
### 835079 SUNARY 540 15 8,100
Jalan
A TN
Rawat
### 835295 ANIH NY 540 14 7,560
Jalan
Rawat AGUS,
### 835398 540 2 1,080
Inap TN
Rawat
### 816828 ILAH, NY 460 10 4,600
Jalan
Rahadia
### K49 n 460 6 2,760
Lukman
Rawat KASNAH
### 835440 460 10 4,600
Jalan . NY
Rawat ENDAN
### 802962 540 10 5,400
Jalan G, TN
EVI
Rawat
### 835429 SETIAW 540 10 5,400
Jalan
ATI, NY
EVI
Rawat
### 835429 SETIAW 540 10 5,400
Jalan
ATI, NY
Rawat IMAS,
### 835142 540 1 540
Inap NY
Rawat
### 835415 AAH, NY 540 1 540
Inap
ASEP
Rawat
### 835436 APANDI 460 10 4,600
Jalan
TN
Rawat POPI,
### 835414 460 1 460
Inap TN

EMPAY
Rawat
### 835439 KOMALA 460 10 4,600
Jalan
WATI NY

Rawat MONDRI
### 835438 460 10 4,600
Jalan AN
SITI
13/03/20 Rawat MAEUM
835284 540 14 7,560
21 Jalan ANAH,
NY
NABILA
13/03/20 Rawat UMMU
820368 540 15 8,100
21 Jalan SOLIHA
T, NN
 EBOD
13/03/20 Rawat KOMALA
814659 540 10 5,400
21 Jalan SARI.
NY
OMAN
13/03/20 Rawat
831629 ROHAN 540 15 8,100
21 Jalan
A, TN
TATI
13/03/20 Rawat
835463 WARSITI 540 2 1,080
21 Inap
. NY
ASIH
13/03/20 Rawat
815472 SUNARS 540 20 10,800
21 Jalan
IH,NY
MOCH
13/03/20 Rawat FAJAR
835456 540 15 8,100
21 Jalan ADITYA
SDR
TETI
13/03/20 Rawat
834907 ROHAET 540 15 8,100
21 Jalan
I NY
13/03/20 Rawat NALIH.
835459 540 10 5,400
21 Jalan TN
13/03/20 Rawat
821178 LIA, NY 540 15 8,100
21 Jalan
13/03/20 Rawat AMIR,
824051 540 10 5,400
21 Jalan TN
LIA
13/03/20 Rawat
835449 ROSLIA 540 15 8,100
21 Jalan
NA NY

13/03/20 Rawat ASEP

835461 540 10 5,400
21 Jalan EDO. TN

13/03/20 Rawat KULSUM

835464 540 10 5,400
21 Jalan . NY
KHOTIM
13/03/20 Rawat ATUS
811689 540 2 1,080
21 Inap SADIAH,
NY
13/03/20 Rawat EDAH,
835444 540 10 5,400
21 Jalan NY
13/03/20 Rawat
835453 AMI NY 540 15 8,100
21 Jalan
13/03/20 ny
UMUM 0 540 20 10,800
21 aminah
13/03/20 ny
UMUM 0 540 20 10,800
21 aminah
 M
13/03/20 Rawat
835454 UHING 540 10 5,400
21 Jalan
TN
13/03/20 Rawat RUKMIN
835465 540 10 5,400
21 Jalan I. NY
13/03/20 Rawat POPI,
835414 540 1 540
21 Inap TN
13/03/20 Rawat NENGS
835451 540 10 5,400
21 Jalan RI. NY
ANIH
13/03/20 Rawat
4235 SUARSI 540 10 5,400
21 Jalan
H, NY
KHOTIM
14/03/20 Rawat ATUS
811689 540 10 5,400
21 Inap SADIAH,
NY
14/03/20 Rawat SACI,
804839 540 10 5,400
21 Jalan NY
TATI
15/03/20 Rawat
835463 WARSITI 540 5 2,700
21 Inap
. NY
NAUFAL
15/03/20 Rawat DI
800119 540 5 2,700
21 Inap AGUSTI
N, AN
LIA
15/03/20 Rawat
835482 MARLIA 540 10 5,400
21 Jalan
NTI NY
IKAH
15/03/20 Rawat
835478 NURLAE 460 10 4,600
21 Jalan
LA. NY
UAR
15/03/20 Rawat
835466 WARSIT 460 5 2,300
21 Inap
A. TN
15/03/20 Rawat ANAH
835474 540 10 5,400
21 Jalan NY
N
16/03/20 Rawat
835523 ATIKAH 540 15 8,100
21 Jalan
NY
16/03/20 Rawat NUNUN
835338 540 20 10,800
21 Jalan G K, NY
ENI
16/03/20 Rawat
835513 SUKMA 540 14 7,560
21 Jalan
ENI. NY
BAYU
16/03/20 Rawat
835410 ANUGE 540 10 5,400
21 Jalan
RAH TN
 ADE
16/03/20 Rawat
835470 SUKAES 540 5 2,700
21 Jalan
IH NY
ENGKIN
16/03/20 Rawat
835520 G AJIS . 540 15 8,100
21 Jalan
TN
ANIS
16/03/20 Rawat
834515 ANISAH 540 30 16,200
21 Jalan
NY
16/03/20 Rawat
833931 ISAH NY 540 30 16,200
21 Jalan
16/03/20 Rawat EDAH,
835444 540 30 16,200
21 Jalan NY
NENEN
16/03/20 Rawat G
829389 540 15 8,100
21 Jalan HASANA
H NY
16/03/20 Rawat ANIK.
835230 540 14 7,560
21 Jalan NY
ARI
16/03/20 Rawat DINDIN
833385 540 10 5,400
21 Jalan WAHYU
DIN TN
AHMAD
16/03/20 Rawat
834644 SOFIAN 540 7 3,780
21 Jalan
TN
RUBI
16/03/20 Rawat HENDR
820987 540 15 8,100
21 Jalan AWAN.
TN
CUCU
16/03/20 Rawat SUSILA
835176 540 15 8,100
21 Jalan WATI,
NY
16/03/20 Rawat
835415 AAH, NY 540 10 5,400
21 Inap
16/03/20 Rawat ENES
835469 540 5 2,700
21 Inap NY
16/03/20 Rawat ROKAYA
835481 540 1 540
21 Inap H NY
NN.
16/03/20 Rawat DITA
835525 540 10 5,400
21 Jalan SETIAW
ATI
SOPIAH
16/03/20 Rawat MULYAN
820148 540 14 7,560
21 Jalan INGSIH,
NY
16/03/20 Rawat ADAH.
835518 540 14 7,560
21 Jalan NY
16/03/20 Rawat IROH,
835400 540 10 5,400
21 Jalan NY
16/03/20 Rawat TASIH
835460 540 10 5,400
21 Jalan NY
NT
16/03/20 Rawat
834700 CHOTIM 540 15 8,100
21 Jalan
AH NY
ASEP
16/03/20 Rawat
835201 DUDI. 540 20 10,800
21 Jalan
TN
UUN
16/03/20 Rawat
835337 UNASIH, 540 15 8,100
21 Jalan
NY
16/03/20 Rawat
835519 UUM NY 540 15 8,100
21 Jalan
ELI
16/03/20 Rawat
835531 HERLIN 540 10 5,400
21 Jalan
A NY
16/03/20 Rawat CAHYAT
822342 540 20 10,800
21 Jalan I.NY
SUPRIH
17/03/20 Rawat
822113 ATIN. 540 5 2,700
21 Inap
NY
HJ
17/03/20 Rawat
804292 CICIH. 540 1 540
21 Inap
NY
17/03/20 Rawat ROKAYA
835481 540 1 540
21 Inap H NY
RAKA
DWI
17/03/20 Rawat
833864 ROMAN 540 4 2,160
21 Jalan
SYAH .
AN
NANA
17/03/20 Rawat
835475 TARYAN 540 5 2,700
21 Inap
A. TN
NIA
17/03/20 Rawat KURNIA
834792 540 5 2,700
21 Inap WATI,
NY
NUNUN
G
17/03/20 Rawat
835479 HERMA 540 5 2,700
21 Inap
WATI,
NY
17/03/20 Rawat IRUM
835472 540 5 2,700
21 Inap NY
YANA
17/03/20 Rawat
835328 GUSTIA 540 1 540
21 Inap
NA NN

SODIKIN
17/03/20 Rawat NOOR
835524 540 1 540
21 Inap BADRI.
TN

N. U.
17/03/20 Rawat
835522 UMAYA 540 1 540
21 Inap
H NY
ELOM
17/03/20 Rawat SALAM
835515 540 1 540
21 Inap SUDIRM
AN TN
ADE
17/03/20 Rawat
835529 ROHMA 540 1 540
21 Inap
ENI. NY
TITIN
17/03/20 Rawat
835530 MULYAT 540 1 540
21 Inap
IN NY
17/03/20 Rawat CICIH
811043 540 1 540
21 Inap NY.
HILMAN
17/03/20 Rawat
835536 PRAYUD 540 10 5,400
21 Jalan
A TN
THIA
17/03/20 Rawat
829611 MAULAN 540 10 5,400
21 Jalan
A. TN
18/03/20 Rawat KARYAT
833203 460 15 6,900
21 Jalan I,NY
YAYA
18/03/20 Rawat
835079 SUNARY 460 15 6,900
21 Jalan
A TN
18/03/20 Rawat M.S.AFE
819241 540 20 10,800
21 Jalan NDI.TN
A
18/03/20 Rawat HENDA
813308 540 14 7,560
21 Jalan MULYAN
A TN.
HJ
18/03/20 Rawat
804292 CICIH. 540 5 2,700
21 Inap
NY
18/03/20 Rawat ROKAYA
835481 540 1 540
21 Inap H NY
18/03/20 Rawat
835295 ANIH NY 540 14 7,560
21 Jalan
18/03/20 Rawat ENES.
835133 540 14 7,560
21 Jalan NY
R ISEP
18/03/20 Rawat
832383 SAEFUL 540 15 8,100
21 Jalan
LOH TN
N. U.
18/03/20 Rawat
835522 UMAYA 460 1 460
21 Inap
H NY
18/03/20 Rawat
835453 AMI NY 540 15 8,100
21 Jalan
YANA
18/03/20 Rawat
835328 GUSTIA 460 1 460
21 Inap
NA NN

SODIKIN
18/03/20 Rawat NOOR
835524 460 1 460
21 Inap BADRI.
TN

TITIN
18/03/20 Rawat
835530 MULYAT 460 5 2,300
21 Inap
IN NY
18/03/20 Rawat MA'MUN
835549 540 10 5,400
21 Jalan TN
ADE
18/03/20 Rawat
835529 ROHMA 460 1 460
21 Inap
ENI. NY
19/03/20 Rawat ROKAYA
835481 540 2 1,080
21 Inap H NY
YANA
19/03/20 Rawat
835328 GUSTIA 540 5 2,700
21 Inap
NA NN
ENDAH
19/03/20 Rawat
835567 HAMZA 540 14 7,560
21 Jalan
H NY
LIA
19/03/20 Rawat
835569 FITRIA 540 14 7,560
21 Jalan
NY
INA
19/03/20 Rawat
835570 MARLIN 540 10 5,400
21 Jalan
A NY
RAHMA
D
19/03/20 Rawat
835553 KURNIA 540 10 5,400
21 Jalan
WAN
SDR
19/03/20 Rawat AFRIJAL
835557 540 10 5,400
21 Jalan UL SDR
AJI
19/03/20 Rawat
835555 SAEPUD 540 10 5,400
21 Jalan
IN TN
EUIS
19/03/20 Rawat
1708 MAEMU 540 10 5,400
21 Jalan
NAH, NY
20/03/20 Rawat NANA
835575 540 15 8,100
21 Jalan JONI TN
EET
20/03/20 Rawat
810617 NURHA 540 15 8,100
21 Jalan
ETI, NY
20/03/20 Rawat CICIH
811043 540 5 2,700
21 Inap NY.
EUIS
20/03/20 Rawat
834994 YULIANI 540 14 7,560
21 Jalan
NY
ENGKA
20/03/20 Rawat R
819492 540 14 7,560
21 Jalan KARTIK
AH . NY
20/03/20 Rawat JUJU,
832006 460 15 6,900
21 Jalan NY
20/03/20 Rawat SUNAMI
833478 460 15 6,900
21 Jalan NY

EUIS
20/03/20 Rawat
816988 NURLAE 460 20 9,200
21 Jalan
LA . NY

SODIKIN
20/03/20 Rawat NOOR
835524 460 7 3,220
21 Inap BADRI.
TN

NERA
20/03/20 Rawat
817790 NORAW 460 15 6,900
21 Inap
ATI . NY
EUIS
20/03/20 Rawat NURLAE
801391 540 10 5,400
21 Jalan LASARI,
NY
EBOD
20/03/20 Rawat KOMALA
814659 540 20 10,800
21 Jalan SARI.
NY
 WIWIN
20/03/20 Rawat
834936 WINRIA 540 15 8,100
21 Jalan
TI NY
NENEN
20/03/20 Rawat G
832087 540 15 8,100
21 Jalan KARTIK
A, NY
20/03/20 Rawat
821178 LIA, NY 540 30 16,200
21 Jalan
20/03/20 Rawat CICIH.
831794 540 15 8,100
21 Jalan NY
20/03/20 Rawat ANAH
835474 540 15 8,100
21 Jalan NY

RIDWAN
20/03/20 Rawat
835572 NURTO 540 14 7,560
21 Jalan
AT TN

NONO
20/03/20 Rawat
834906 SUWAR 540 15 8,100
21 Jalan
NO, TN
YUDI
20/03/20 Rawat
819461 FIRMAN 540 15 8,100
21 Jalan
. TN
NY
20/03/20
UMUM 0 KURNIA 540 15 8,100
21
SIH/APS
20/03/20 Rawat SURYA
834512 540 15 8,100
21 Jalan MAH NY
21/03/20 Rawat ROKAYA
835481 460 1 460
21 Inap H NY
21/03/20 Rawat ROKAYA
835481 460 10 4,600
21 Inap H NY
21/03/20 Rawat DARYAN
835565 460 10 4,600
21 Inap TI. NY
21/03/20 Rawat HIDAYA
805608 460 10 4,600
21 Inap T, TN
DANA
21/03/20 Rawat
835590 SUJATN 460 1 460
21 Inap
A, TN
ACEP
21/03/20 Rawat
835592 SOHIDIN 460 10 4,600
21 Jalan
TN

ANDREA
21/03/20 Rawat S
835582 460 10 4,600
21 Jalan YUDANT
ORO TN
 YATI
21/03/20 Rawat
835577 KURNIA 460 2 920
21 Inap
WATI NY

21/03/20 Rawat WARSO

835593 460 10 4,600
21 Jalan RI TN
21/03/20 Rawat HIBAN
835583 460 10 4,600
21 Jalan AN

MALA
21/03/20 Rawat
835594 KOMALA 460 1 460
21 Inap
SARI NY

21/03/20 Rawat DEDEN

835586 460 1 460
21 Inap G, TN
21/03/20 Rawat NINING
835595 460 1 460
21 Inap NY
YENI
21/03/20 Rawat
809193 YULIANI, 460 10 4,600
21 Jalan
NY
22/03/20 Rawat NONOK.
835612 460 10 4,600
21 Jalan NY
22/03/20 Rawat NINING
835595 460 1 460
21 Inap NY

YATI
22/03/20 Rawat
835577 KURNIA 460 2 920
21 Inap
WATI NY

ENGKU
22/03/20 Rawat S
810535 460 5 2,300
21 Inap KUSNAD
I, TN
22/03/20 Rawat SUHEN
835596 460 1 460
21 Inap DA NY
RONI
22/03/20 Rawat
835563 SUPRIA 460 1 460
21 Inap
DI TN
22/03/20 Rawat DEDEN
835586 460 1 460
21 Inap G, TN

MALA
22/03/20 Rawat
835594 KOMALA 460 1 460
21 Inap
SARI NY

N. U.
22/03/20 Rawat
835522 UMAYA 460 10 4,600
21 Inap
H NY
22/03/20 Rawat SUHEN
835596 460 1 460
21 Inap DA NY
 LUKMAN
23/03/20 Rawat
835614 HAKIM 460 1 460
21 Inap
TN
23/03/20 Rawat PARNO,
835601 540 2 1,080
21 Inap TN
23/03/20 Rawat NINING
835595 460 1 460
21 Inap NY

YATI
23/03/20 Rawat
835577 KURNIA 460 2 920
21 Inap
WATI NY

DEDEH
23/03/20 Rawat
826441 KURNIA 460 10 4,600
21 Jalan
SIH NY
LINA
23/03/20 Rawat
834609 HARLIN 460 14 6,440
21 Jalan
A, NY
ENGKO
23/03/20 Rawat M
835618 460 10 4,600
21 Jalan KOMARI
AH, NY
N
23/03/20 Rawat
835523 ATIKAH 460 14 6,440
21 Jalan
NY
ACU
23/03/20 Rawat
835621 SAMSU 460 15 6,900
21 Jalan
DIN TN

MALA
23/03/20 Rawat
835594 KOMALA 460 1 460
21 Inap
SARI NY

NT
23/03/20 Rawat
834700 CHOTIM 460 14 6,440
21 Jalan
AH NY
ENGKIN
23/03/20 Rawat
835520 G AJIS . 460 15 6,900
21 Jalan
TN
YUDI
23/03/20 Rawat
835623 PRAYO 460 15 6,900
21 Jalan
GA.TN
23/03/20 Rawat
833508 AMID TN 540 15 8,100
21 Jalan
KOSIM
23/03/20 Rawat
835625 SUKIRM 540 15 8,100
21 Jalan
AN.TN
ASEP
23/03/20 Rawat
835592 SOHIDIN 540 15 8,100
21 Jalan
TN
23/03/20 Rawat SUHEN
835596 460 5 2,300
21 Inap DA NY
ARI
23/03/20 Rawat DINDIN
833385 540 15 8,100
21 Jalan WAHYU
DIN TN
23/03/20 Rawat DEDEN
835586 460 5 2,300
21 Inap G, TN
NUNUN
23/03/20 Rawat G
835606 460 1 460
21 Inap KOMARI
AH. NY
JUJU
23/03/20 Rawat
835626 JUANI.N 540 2 1,080
21 Inap
Y
RONI
23/03/20 Rawat
835563 SUPRIA 460 1 460
21 Inap
DI TN
23/03/20 Rawat FIRMAN
835613 460 1 460
21 Inap SDR
EPON
24/03/20 Rawat
835622 SUKARS 540 1 540
21 Inap
IH NY
AAR
24/03/20 Rawat
825828 SURYAT 540 1 540
21 Inap
I.NY

YATI
24/03/20 Rawat
835577 KURNIA 540 2 1,080
21 Inap
WATI NY

JUJU
24/03/20 Rawat
835626 JUANI.N 540 1 540
21 Inap
Y
24/03/20 Rawat RAHNI
835628 540 10 5,400
21 Inap NY
DERI
24/03/20 Rawat YUDA
800809 540 10 5,400
21 Jalan PRATAM
A, TN
24/03/20 Rawat OTONG,
835633 540 10 5,400
21 Jalan TN
24/03/20 Rawat SUARI
835634 540 10 5,400
21 Jalan TN

MALA
24/03/20 Rawat
835594 KOMALA 540 5 2,700
21 Inap
SARI NY
24/03/20 Rawat HIDAYA
835638 540 10 5,400
21 Jalan T. TN
24/03/20 Rawat FIRMAN
835613 540 5 2,700
21 Inap SDR
24/03/20 Rawat NINING
835595 540 5 2,700
21 Inap NY
24/03/20 Rawat PARNO,
835601 540 1 540
21 Inap TN
NUNUN
24/03/20 Rawat G
835606 540 1 540
21 Inap KOMARI
AH. NY
NENEN
25/03/20 Rawat G
829389 540 20 10,800
21 Jalan HASANA
H NY
NUNUN
25/03/20 Rawat G
835606 540 5 2,700
21 Inap KOMARI
AH. NY
25/03/20 Rawat ALIMUDI
835662 460 15 6,900
21 Jalan N TN
TOTOM
25/03/20 Rawat
835663 AMANDI 460 15 6,900
21 Jalan
PRAJA
25/03/20 Rawat FATIMA
832088 460 6 2,760
21 Jalan H , NY
AMRIN
25/03/20 Rawat
835462 SOBANA 460 15 6,900
21 Jalan
TN
HARIS
25/03/20 Rawat
834993 RUHITA 460 15 6,900
21 Jalan
TN
25/03/20 Rawat SAMRI
835661 460 15 6,900
21 Jalan TN
WOWO
25/03/20 Rawat
809923 SUGRIW 540 1 540
21 Inap
O.TN
25/03/20 Rawat
835666 IMIH NY 460 15 6,900
21 Jalan
25/03/20 Rawat IRUM
835472 460 14 6,440
21 Jalan NY
EPON
25/03/20 Rawat
835622 SUKARS 540 1 540
21 Inap
IH NY
 YATI
25/03/20 Rawat
835577 KURNIA 540 2 1,080
21 Inap
WATI NY

TATI
25/03/20 Rawat
835664 ROSWA 460 2 920
21 Inap
TI
AAR
25/03/20 Rawat
825828 SURYAT 540 1 540
21 Inap
I.NY
25/03/20 Rawat YUYUM
835643 540 2 1,080
21 Inap NY

YATI
25/03/20 Rawat
835577 KURNIA 460 15 6,900
21 Inap
WATI NY

AJENG
25/03/20 Rawat
811100 KARTINI 460 15 6,900
21 Inap
.NY
RESTU
25/03/20 Rawat NANDA
826925 460 15 6,900
21 Inap AMELIA
. NN
PINKAN
25/03/20 Rawat
817099 RIZKY.N 540 10 5,400
21 Jalan
N
CICIH
25/03/20 Rawat
835651 RUKAES 540 10 5,400
21 Jalan
IH. NY
25/03/20 Rawat ADAH.
835518 540 5 2,700
21 Inap NY
JAJANG
25/03/20 Rawat
835545 SUHER 540 14 7,560
21 Jalan
MAN TN
YAYA
25/03/20 Rawat
835079 SUNARY 540 14 7,560
21 Jalan
A TN
DEWI
26/03/20 Rawat KURNIA
835682 540 10 5,400
21 Jalan WATI.
NY
TATI
26/03/20 Rawat
835664 ROSWA 540 2 1,080
21 Inap
TI
26/03/20 Rawat PARNO,
835601 540 5 2,700
21 Inap TN
 EPON
26/03/20 Rawat
835622 SUKARS 540 1 540
21 Inap
IH NY
ENTIN
26/03/20 Rawat
826446 ROSTINI 460 10 4,600
21 Jalan
, NY
26/03/20 Rawat WINDY,
806078 460 10 4,600
21 Jalan NY
26/03/20 Rawat YATNI
835642 460 10 4,600
21 Inap NY
27/03/20 Rawat NANA
835575 540 20 10,800
21 Jalan JONI TN
SITI
27/03/20 Rawat
833037 ROHMA 540 15 8,100
21 Jalan
H
HJ
27/03/20 Rawat
835670 SUKARN 540 15 8,100
21 Inap
A TN
27/03/20 Rawat CICIH
834278 540 15 8,100
21 Jalan NY
SOPIAN
27/03/20 Rawat
835608 YUDA. 540 15 8,100
21 Jalan
SDR
ASMAR
27/03/20 Rawat
835702 YANTI.N 540 10 5,400
21 Jalan
Y
HJ
27/03/20 Rawat
835648 CECEP . 540 1 540
21 Inap
TN
27/03/20 Rawat NENGSI
835645 540 15 8,100
21 Inap H NY
ACU
27/03/20 Rawat
835621 SAMSU 540 1 540
21 Inap
DIN TN
EUIS
27/03/20 Rawat
830311 RUKMIN 540 15 8,100
21 Jalan
I.NY
27/03/20 Rawat ENENG
835698 540 1 540
21 Inap NY
EET
27/03/20 Rawat
810617 NURHA 540 15 8,100
21 Jalan
ETI, NY
TN
27/03/20
UMUM 0 SODIKIN 540 20 10,800
21
/APS
 ENGKA
27/03/20 Rawat R
819492 540 20 10,800
21 Jalan KARTIK
AH . NY
27/03/20 Rawat ANAH
835474 540 20 10,800
21 Jalan NY
EPON
27/03/20 Rawat
835622 SUKARS 540 15 8,100
21 Inap
IH NY
YUDI
27/03/20 Rawat
819461 FIRMAN 540 15 8,100
21 Jalan
. TN
27/03/20 Rawat ENENG
835698 540 15 8,100
21 Inap NY
SITI
27/03/20 Rawat
814501 RODIAH, 540 15 8,100
21 Inap
NY.
27/03/20 Rawat SARYA
835392 540 15 8,100
21 Jalan TN
27/03/20 Rawat
835453 AMI NY 540 15 8,100
21 Jalan
27/03/20 Rawat ROKAYA
835481 540 10 5,400
21 Jalan H NY
TATI
28/03/20 Rawat
835664 ROSWA 540 2 1,080
21 Inap
TI
28/03/20 Rawat SUARI,
800179 540 2 1,080
21 Inap TN
29/03/20 Rawat SUARI,
800179 475 10 4,750
21 Inap TN
29/03/20 Rawat WANCIH
835712 475 5 2,375
21 Inap NY
29/03/20 Rawat RIFAL
835674 475 5 2,375
21 Inap SDR
29/03/20 Rawat IWAN.
835735 475 1 475
21 Inap TN
TATI
29/03/20 Rawat
835664 ROSWA 540 5 2,700
21 Inap
TI
IDING
29/03/20 Rawat
835732 JAENUD 540 1 540
21 Inap
IN, TN
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 540 1 540
21 Inap
MAN,
TN.
 ACU
29/03/20 Rawat
835621 SAMSU 540 1 540
21 Inap
DIN TN
29/03/20 Rawat KACEN
835734 540 1 540
21 Inap G TN
EPI
29/03/20 Rawat
834663 YULIA. 540 1 540
21 Inap
NY
29/03/20 Rawat ENDAN
835708 540 1 540
21 Inap G TN
30/03/20 Rawat IWAN.
835735 540 5 2,700
21 Inap TN
ACU
30/03/20 Rawat
835621 SAMSU 540 5 2,700
21 Inap
DIN TN
30/03/20 Rawat KACEN
835734 540 5 2,700
21 Inap G TN
30/03/20 Rawat ENDAN
835708 540 5 2,700
21 Jalan G TN
30/03/20 Rawat SAHNU
835764 475 1 475
21 Inap TN
IDING
30/03/20 Rawat
835732 JAENUD 540 1 540
21 Inap
IN, TN
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 540 1 540
21 Inap
MAN,
TN.
30/03/20 Rawat UNENG,
5097 540 1 540
21 Inap NY
30/03/20 Rawat MARYAT
803036 540 1 540
21 Inap I, NY
NANI
30/03/20 Rawat
835706 NURJAN 540 1 540
21 Inap
AH. NY
VITRIA
30/03/20 Rawat FATMA
835750 540 1 540
21 Inap WATI .
NY
EPI
30/03/20 Rawat
834663 YULIA. 540 1 540
21 Inap
NY
31/03/20 Rawat UNENG,
5097 475 5 2,375
21 Inap NY
NANA
31/03/20 Rawat
835799 SURYAN 475 1 475
21 Inap
A. TN
 IDA
31/03/20 Rawat
835803 SUARTI 475 5 2,375
21 Jalan
KA NY
VITRIA
31/03/20 Rawat FATMA
835750 475 5 2,375
21 Inap WATI .
NY
31/03/20 Rawat MARYAT
803036 475 5 2,375
21 Inap I, NY
IDING
31/03/20 Rawat
835732 JAENUD 475 5 2,375
21 Inap
IN, TN
31/03/20 Rawat SAHNU
835764 475 1 475
21 Inap TN
31/03/20 Rawat RODIAH.
810604 475 1 475
21 Inap NY
NANI
31/03/20 Rawat
835706 NURJAN 475 5 2,375
21 Inap
AH. NY
EPI
31/03/20 Rawat
834663 YULIA. 475 5 2,375
21 Inap
NY
HJ
31/03/20 Rawat
835648 CECEP . 475 5 2,375
21 Inap
TN
YETI
31/03/20 Rawat
807134 MARYA 475 10 4,750
21 Inap
NI, NY
SAEFUL
Aspilet Rawat
423 64 1/3/2021 835220 HUDAYA 1,348 1 1,348
Tab Inap
TN
SAEFUL
Rawat
2/3/2021 835220 HUDAYA 1,348 5 6,740
Inap
TN
Nani
3/3/2021 K42 1,348 2 2,696
Suryani
OMAN
15/03/20 Rawat
831629 ROHAN 1,348 2 2,696
21 Jalan
A, TN
NUNUN
G
16/03/20 Rawat
835479 HERMA 1,348 1 1,348
21 Inap
WATI,
NY
Ondanse FELCIA
Rawat
424 640 tron inj 1/3/2021 835226 TJHIN, 6,738 0 0
Inap
4mg AN
 Rawat ISAM.
1/3/2021 819105 6,738 2 13,476
Inap NY
CUCU
Rawat
1/3/2021 835219 LISNAW 6,738 2 13,476
Inap
ATI NY
ONENG
Rawat
1/3/2021 832859 ROKAE 6,738 2 13,476
Inap
NAH. NY
ONENG
Rawat
1/3/2021 832859 ROKAE 6,738 2 13,476
Inap
NAH. NY
FELCIA
Rawat
1/3/2021 835226 TJHIN, 6,738 1 6,738
Inap
AN
TAUFIK
Rawat
1/3/2021 835216 MAULAN 6,738 2 13,476
Inap
A SDR
NANDI
Rawat
1/3/2021 835204 SONJAY 6,738 2 13,476
Inap
A. TN
Rawat KANAR
1/3/2021 835231 6,738 2 13,476
Inap TN
ERI
Rawat RAHMA
1/3/2021 835239 6,738 2 13,476
Inap WATI.
NY
Rawat NURJAM
1/3/2021 813400 6,738 1 6,738
Inap AN,TN
NANDI
Rawat
1/3/2021 835204 SONJAY 6,738 1 6,738
Inap
A. TN
Rawat HERYAD
2/3/2021 820597 6,875 2 13,750
Inap I, TN
CUCU
Rawat
2/3/2021 835219 LISNAW 6,875 2 13,750
Inap
ATI NY
Rawat ISAM.
2/3/2021 819105 6,875 2 13,750
Inap NY
ERI
Rawat RAHMA
2/3/2021 835239 6,875 2 13,750
Inap WATI.
NY
CUCU
Rawat
2/3/2021 835219 LISNAW 6,875 1 6,875
Inap
ATI NY
TAUFIK
Rawat
2/3/2021 835216 MAULAN 6,875 2 13,750
Inap
A SDR
 NANDI
Rawat
2/3/2021 835204 SONJAY 6,875 3 20,625
Inap
A. TN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 6,738 1 6,738
Inap US
SHANU
M AN
Rawat
3/3/2021 835279 ACA, TN 6,875 1 6,875
Jalan
ERI
Rawat RAHMA
3/3/2021 835239 6,875 2 13,750
Inap WATI.
NY
BHARAT
Rawat JIBRIL
4/3/2021 828617 6,738 1 6,738
Inap PRASET
YO. AN
BHARAT
Rawat JIBRIL
4/3/2021 828617 6,875 1 6,875
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 6,875 1 6,875
Inap AN
Rawat WAWA
5/3/2021 835318 6,738 2 13,476
Inap TN
NAYLA
Rawat
5/3/2021 835311 NURASY 6,738 1 6,738
Inap
IFA AN
Rawat RUKASI
5/3/2021 835322 6,738 2 13,476
Inap H. NY
Rawat
5/3/2021 806591 EEN. NY 6,738 1 6,738
Inap
Rawat NUNUN
6/3/2021 835338 6,738 6 40,428
Inap G K, NY
Rawat
6/3/2021 806591 EEN. NY 6,738 2 13,476
Inap
Rawat WAWA
6/3/2021 835318 6,738 2 13,476
Inap TN
Rawat SINTIA.
6/3/2021 835301 6,738 2 13,476
Inap NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 6,738 2 13,476
Inap
NI . NN
LILIS
Rawat
6/3/2021 823790 SURYAN 6,738 2 13,476
Inap
I.NY
 Rawat RUKASI
6/3/2021 835322 6,738 2 13,476
Inap H. NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 6,738 2 13,476
Inap
NI . NN
LILIS
Rawat
6/3/2021 823790 SURYAN 6,738 2 13,476
Inap
I.NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 6,738 6 40,428
Inap
NY
Rawat AWIS,
7/3/2021 816633 6,738 2 13,476
Inap NY
Rawat SUTARN
7/3/2021 810138 6,738 6 40,428
Inap A, TN
Rawat NUNUN
7/3/2021 835338 6,738 6 40,428
Inap G K, NY
Rawat
7/3/2021 806591 EEN. NY 6,738 2 13,476
Inap
Rawat WAWA
7/3/2021 835318 6,738 2 13,476
Inap TN
Rawat SUTARN
7/3/2021 810138 6,738 6 40,428
Inap A, TN
Rawat SINTIA.
7/3/2021 835301 6,738 2 13,476
Inap NY
LILIS
Rawat
7/3/2021 823790 SURYAN 6,738 2 13,476
Inap
I.NY
Rawat RUKASI
7/3/2021 835322 6,738 2 13,476
Inap H. NY
UJANG
Rawat
8/3/2021 820303 SUPRIA 6,738 2 13,476
Inap
TNA, TN
Rawat SUTARN
8/3/2021 810138 6,738 6 40,428
Inap A, TN
Rawat AWIS,
8/3/2021 816633 6,738 2 13,476
Inap NY
YUNITA
Rawat NUR
8/3/2021 835353 6,738 2 13,476
Inap SOLIHA
T NY
Rawat JURAEJI
8/3/2021 827464 6,738 1 6,738
Inap N, TN
ANI
Rawat PRISTIA
8/3/2021 835354 6,738 1 6,738
Jalan WATI.
NY
 Rawat SUTARN
8/3/2021 810138 6,738 2 13,476
Inap A, TN
Rawat
8/3/2021 806591 EEN. NY 6,738 2 13,476
Inap
Rawat AWIS,
8/3/2021 816633 6,738 2 13,476
Inap NY
YUNITA
Rawat NUR
8/3/2021 835353 6,738 5 33,690
Inap SOLIHA
T NY
Rawat NUNUN
8/3/2021 835338 6,738 3 20,214
Inap G K, NY
Rawat
9/3/2021 835393 LIA. NY 6,738 3 20,214
Inap
Rawat AGUS,
9/3/2021 835398 6,738 2 13,476
Inap TN
TITI
Rawat
9/3/2021 835391 AMINAH. 6,738 2 13,476
Inap
NY
TITA
Rawat
9/3/2021 835383 MARYAT 6,738 1 6,738
Inap
I. NY
Rawat JURAEJI
9/3/2021 827464 6,738 2 13,476
Inap N, TN
TITA
Rawat
9/3/2021 835383 MARYAT 6,738 2 13,476
Inap
I. NY
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 6,738 2 13,476
Inap
NY
UJANG
Rawat
9/3/2021 820303 SUPRIA 6,738 2 13,476
Inap
TNA, TN
Rawat AGUS,
### 835398 6,875 3 20,625
Inap TN
Rawat AGUS,
### 835398 6,738 2 13,476
Inap TN
HJ. SITI
Rawat
### 4433 SOPIAH, 6,738 2 13,476
Inap
NY

ARSHAK
Rawat
### 813853 A RAMA 6,738 1 6,738
Inap
A. AN.

TITI
Rawat
### 835391 AMINAH. 6,738 2 13,476
Inap
NY
 Rawat
### 835393 LIA. NY 6,738 3 20,214
Inap
EUIS
Rawat
### 834994 YULIANI 6,875 3 20,625
Inap
NY
H.
Rawat TATANG
### 831377 6,875 2 13,750
Inap TARYON
O, TN
Rawat AGUS,
### 835398 6,875 3 20,625
Inap TN

Rawat ARSYAK
### 814127 6,875 1 6,875
Inap HA . AN

Rawat
### 835393 LIA. NY 6,875 3 20,625
Inap
H.
Rawat TATANG
### 831377 6,875 2 13,750
Inap TARYON
O, TN
SUPRIH
Rawat
### 822113 ATIN. 6,875 1 6,875
Inap
NY
TINI
Rawat
### 835417 HARTINI 6,738 2 13,476
Inap
. NY
Rawat
### 835415 AAH, NY 6,875 2 13,750
Inap
Rawat
### 835393 LIA. NY 6,738 1 6,738
Inap
TINI
Rawat
### 835417 HARTINI 6,738 1 6,738
Inap
. NY
Rawat AGUS,
### 835398 6,738 3 20,214
Inap TN
SUPRIH
Rawat
### 822113 ATIN. 6,738 2 13,476
Inap
NY
Rawat
### 835415 AAH, NY 6,738 2 13,476
Inap
Rawat POPI,
### 835414 6,738 2 13,476
Inap TN
HEMMU
D
Rawat FARCHA
### 835437 6,738 1 6,738
Jalan N IBNU
HASAN
TN
 HAYKAL
13/03/20 Rawat DWI
835435 6,738 2 13,476
21 Inap SYAHPU
TRA AN

13/03/20 Rawat
835415 AAH, NY 6,875 2 13,750
21 Inap
13/03/20 Rawat FATIMA
832088 6,875 2 13,750
21 Inap H , NY
TATI
13/03/20 Rawat
835463 WARSITI 6,875 6 41,250
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 6,875 6 41,250
21 Inap WATI,
NY
EUIS
13/03/20 Rawat
834994 YULIANI 6,875 8 55,000
21 Inap
NY
TINI
13/03/20 Rawat
835417 HARTINI 6,875 2 13,750
21 Inap
. NY
LINDA
13/03/20 Rawat
835448 LAELA. 6,875 2 13,750
21 Inap
NY
13/03/20 Rawat POPI,
835414 6,738 2 13,476
21 Inap TN
SUPRIH
13/03/20 Rawat
822113 ATIN. 6,738 2 13,476
21 Inap
NY
NATASY
13/03/20 Rawat A
835457 6,875 1 6,875
21 Inap ADINDA
NY
14/03/20 Rawat FATIMA
832088 6,875 3 20,625
21 Inap H , NY
LINDA
14/03/20 Rawat
835448 LAELA. 6,875 3 20,625
21 Inap
NY
NIA
14/03/20 Rawat KURNIA
834792 6,875 6 41,250
21 Inap WATI,
NY
14/03/20 Rawat ENES
835469 6,875 2 13,750
21 Inap NY
14/03/20 Rawat POPI,
835414 6,875 1 6,875
21 Inap TN
 HAYKAL
14/03/20 Rawat DWI
835435 6,875 1 6,875
21 Inap SYAHPU
TRA AN

SUPRIH
14/03/20 Rawat
822113 ATIN. 6,875 2 13,750
21 Inap
NY
UAR
14/03/20 Rawat
835466 WARSIT 6,875 6 41,250
21 Inap
A. TN
UAR
14/03/20 Rawat
835466 WARSIT 6,875 6 41,250
21 Inap
A. TN
14/03/20 Rawat IRUM
835472 6,875 2 13,750
21 Inap NY
EUIS
14/03/20 Rawat
834994 YULIANI 6,875 2 13,750
21 Inap
NY
14/03/20 Rawat
835415 AAH, NY 6,875 2 13,750
21 Inap
SUPRIH
15/03/20 Rawat
822113 ATIN. 6,738 2 13,476
21 Inap
NY
TINI
15/03/20 Rawat
835417 HARTINI 6,738 1 6,738
21 Inap
. NY
DEREL
15/03/20 Rawat DWI
835473 6,738 1 6,738
21 Inap KARISM
A AN
IIN
15/03/20 Rawat
819469 RUYANI, 6,738 2 13,476
21 Inap
NY
15/03/20 Rawat ENES
835469 6,738 1 6,738
21 Inap NY
15/03/20 Rawat ROKAYA
835481 6,738 2 13,476
21 Inap H NY
15/03/20 Rawat FATIMA
832088 6,738 2 13,476
21 Inap H , NY
NUNUN
G
15/03/20 Rawat
835479 HERMA 6,738 2 13,476
21 Inap
WATI,
NY
 DEREL
15/03/20 Rawat DWI
835473 6,875 1 6,875
21 Inap KARISM
A AN
ADE
16/03/20 Rawat
835529 ROHMA 6,738 1 6,738
21 Inap
ENI. NY
SUPRIH
16/03/20 Rawat
822113 ATIN. 6,738 2 13,476
21 Inap
NY
LEVINO
16/03/20 Rawat
835494 INDRAS 6,738 1 6,738
21 Inap
KA. AN
DIMAS
16/03/20 Rawat
812977 ADITYA 6,738 1 6,738
21 Inap
W, AN
TITI
16/03/20 Rawat
835508 SURYAN 6,738 2 13,476
21 Inap
I NY
IIN
16/03/20 Rawat
819469 RUYANI, 6,738 2 13,476
21 Inap
NY
16/03/20 Rawat ROKAYA
835481 6,738 2 13,476
21 Inap H NY
16/03/20 Rawat IRUM
835472 6,738 2 13,476
21 Inap NY
NUNUN
G
16/03/20 Rawat
835479 HERMA 6,738 2 13,476
21 Inap
WATI,
NY
16/03/20 Rawat FATIMA
832088 6,738 2 13,476
21 Inap H , NY
N. U.
16/03/20 Rawat
835522 UMAYA 6,738 2 13,476
21 Inap
H NY
16/03/20 Rawat CICIH
811043 6,738 2 13,476
21 Inap NY.
17/03/20 Rawat ROKAYA
835481 6,738 1 6,738
21 Inap H NY
LEVINO
17/03/20 Rawat
835494 INDRAS 6,738 1 6,738
21 Inap
KA. AN
17/03/20 Rawat ROKAYA
835481 6,738 2 13,476
21 Inap H NY
IIN
17/03/20 Rawat
819469 RUYANI, 6,738 1 6,738
21 Inap
NY
17/03/20 Rawat CICIH
811043 6,738 2 13,476
21 Inap NY.
DEREL
17/03/20 Rawat DWI
835473 6,738 1 6,738
21 Inap KARISM
A AN
ADE
18/03/20 Rawat
835529 ROHMA 6,738 2 13,476
21 Inap
ENI. NY
18/03/20 Rawat ROKAYA
835481 6,875 2 13,750
21 Inap H NY
19/03/20 Rawat ROKAYA
835481 6,738 2 13,476
21 Inap H NY
N. U.
19/03/20 Rawat
835522 UMAYA 6,738 2 13,476
21 Inap
H NY
19/03/20 Rawat DARYAN
835565 6,738 2 13,476
21 Inap TI. NY
EUIS
20/03/20 Rawat
835573 WARTIN 6,738 1 6,738
21 Jalan
I NY
20/03/20 Rawat ROKAYA
835481 6,738 1 6,738
21 Inap H NY

YATI
20/03/20 Rawat
835577 KURNIA 6,738 3 20,214
21 Inap
WATI NY

20/03/20 Rawat SUKAES

807749 6,738 3 20,214
21 Inap IH. NY
TOHA
21/03/20 Rawat
805009 NURDIN, 6,738 1 6,738
21 Inap
TN
21/03/20 Rawat DARYAN
835565 6,738 2 13,476
21 Inap TI. NY
21/03/20 Rawat WANGSI
835588 6,738 3 20,214
21 Inap H, NY
21/03/20 Rawat NATAN.
835591 6,738 2 13,476
21 Inap AN
N. U.
21/03/20 Rawat
835522 UMAYA 6,738 2 13,476
21 Inap
H NY

MALA
21/03/20 Rawat
835594 KOMALA 6,738 3 20,214
21 Inap
SARI NY
 ENGKU
21/03/20 Rawat S
810535 6,738 2 13,476
21 Inap KUSNAD
I, TN
ENGKU
21/03/20 Rawat S
810535 6,738 2 13,476
21 Inap KUSNAD
I, TN
22/03/20 Rawat SUHEN
835596 6,738 1 6,738
21 Inap DA NY
22/03/20 Rawat SUHEN
835596 6,738 3 20,214
21 Inap DA NY

23/03/20 Rawat ANDAR

831440 6,738 2 13,476
21 Inap WATI NY

SOPIAN
23/03/20 Rawat
835608 YUDA. 6,738 2 13,476
21 Inap
SDR
23/03/20 Rawat PARNO,
835601 6,738 2 13,476
21 Inap TN
AAR
23/03/20 Rawat
825828 SURYAT 6,738 2 13,476
21 Inap
I.NY
EPON
23/03/20 Rawat
835622 SUKARS 6,738 1 6,738
21 Inap
IH NY
23/03/20 Rawat PARNO,
835601 6,738 2 13,476
21 Inap TN
AAR
24/03/20 Rawat
825828 SURYAT 6,738 2 13,476
21 Inap
I.NY

YATI
24/03/20 Rawat
835577 KURNIA 6,738 3 20,214
21 Inap
WATI NY

24/03/20 Rawat YUYUM

835643 6,738 2 13,476
21 Inap NY
24/03/20 Rawat NENGSI
835645 6,738 2 13,476
21 Inap H NY
SITI
24/03/20 Rawat
814501 RODIAH, 6,738 3 20,214
21 Inap
NY.

24/03/20 Rawat ANDAR

831440 6,738 2 13,476
21 Inap WATI NY

WOWO
25/03/20 Rawat
809923 SUGRIW 6,738 2 13,476
21 Inap
O.TN
 ROSMA
25/03/20 Rawat
834926 LAWATI, 6,738 3 20,214
21 Inap
NY
AAR
25/03/20 Rawat
825828 SURYAT 6,738 2 13,476
21 Inap
I.NY
25/03/20 Rawat YUYUM
835643 6,738 3 20,214
21 Inap NY
SITI
25/03/20 Rawat
814501 RODIAH, 6,738 2 13,476
21 Inap
NY.
WOWO
25/03/20 Rawat
809923 SUGRIW 6,738 2 13,476
21 Inap
O.TN
ADE
25/03/20 Rawat
800276 SUHEN 6,738 2 13,476
21 Inap
DI, TN
ADE
25/03/20 Rawat
800276 SUHEN 6,738 1 6,738
21 Inap
DI, TN
25/03/20 Rawat NENGSI
835645 6,738 1 6,738
21 Inap H NY
HJ
26/03/20 Rawat
835670 SUKARN 6,738 3 20,214
21 Inap
A TN
EPON
27/03/20 Rawat
835622 SUKARS 6,738 1 6,738
21 Inap
IH NY
IDING
28/03/20 Rawat
835732 JAENUD 6,738 1 6,738
21 Inap
IN, TN
NANI
30/03/20 Rawat
835706 NURJAN 6,875 2 13,750
21 Inap
AH. NY
31/03/20 Rawat HILYA
835798 6,875 1 6,875
21 Inap AN
EEN
31/03/20 Rawat
835797 NURAE 6,875 2 13,750
21 Jalan
NAH NY
YETI
31/03/20 Rawat
807134 MARYA 6,875 2 13,750
21 Inap
NI, NY
A
31/03/20 Rawat
835751 SUTISN 6,875 2 13,750
21 Inap
A. TN
HJ
31/03/20 Rawat
835783 NUNUN 6,875 2 13,750
21 Inap
G. NY
 31/03/20 Rawat HILYA
835798 6,875 1 6,875
21 Inap AN
VITRIA
31/03/20 Rawat FATMA
835750 6,875 1 6,875
21 Inap WATI .
NY
Ondanse
25/03/20 Rawat ANDAR
425 642 tron tab 831440 2,034 10 20,340
21 Inap WATI NY
4mg
MAHDA
Oralit Rawat TRI
426 644 ### 835409 1,046 6 6,276
Sach Jalan UTAMI
NY
Orsader Pasien
427 646 8/3/2021 UMUM 0 8,360 1 8,360
m krim Umum

dr. Indra
16/03/20
K5 Bagus 8,360 1 8,360
21
Haryanto

16/03/20 Rawat HAFIZ.

834365 8,360 1 8,360
21 Jalan BY
Otsu SAEFUL
Rawat
428 649 D40% 25 1/3/2021 835220 HUDAYA 12,513 3 37,539
Inap
ml TN

YATI
20/03/20 Rawat
835577 KURNIA 18,625 2 37,250
21 Inap
WATI NY

31/03/20 Rawat SUKARS

835765 18,625 1 18,625
21 Inap IH.NY
NINING
Asta 20/03/20 Rawat
429 65 832543 RUNING 12,371 7 86,597
Plus Tab 21 Jalan
SIH NY

RIDWAN
20/03/20 Rawat
835572 NURTO 12,371 10 123,710
21 Jalan
AT TN

NN.
23/03/20 Rawat DITA
835525 12,371 10 123,710
21 Jalan SETIAW
ATI
25/03/20 Rawat SAMRI
835661 12,371 7 86,597
21 Jalan TN
Otsu NS Rawat NUNUN
430 655 1/3/2021 835198 8,723 1 8,723
25ml Inap G, NY
NANDI
Rawat
1/3/2021 835204 SONJAY 8,723 1 8,723
Inap
A. TN
 Otsu
Rawat CERI
431 657 Water inj 9/3/2021 835363 11,466 1 11,466
Inap LIAN AN
25ml
UJANG
Rawat
9/3/2021 820303 SUPRIA 11,466 1 11,466
Inap
TNA, TN
NIA
13/03/20 Rawat KURNIA
834792 11,466 1 11,466
21 Inap WATI,
NY
15/03/20 Rawat ENES
835469 11,466 1 11,466
21 Inap NY
15/03/20 Rawat IRUM
835472 11,466 1 11,466
21 Inap NY
DEREL
15/03/20 Rawat DWI
835473 11,466 1 11,466
21 Inap KARISM
A AN
Otopain Rawat ROHMI
432 661 6/3/2021 835330 116,933 1 116,933
TT Jalan NY

ANANDA
15/03/20 Rawat
823118 SEKAR , 99,688 1 99,688
21 Jalan
AN

ADE
15/03/20 Rawat
835505 KUSNAN 99,688 1 99,688
21 Jalan
DAR TN

24/03/20 Rawat DADAN

835640 99,688 1 99,688
21 Jalan G TN
Oxytetra BY NY
Rawat
433 663 cycline ### 834835 WAHYU 4,406 1 4,406
Jalan
SM 1% NI DWI
PAPAT
Paraseta 15/03/20 Rawat
434 670 835496 FATIMA 206 10 2,060
mol tab 21 Jalan
H. NY
NAUFAL
15/03/20 Rawat DI
800119 206 10 2,060
21 Inap AGUSTI
N, AN
15/03/20 Rawat ENGKAS
835502 206 1 206
21 Jalan , NY
15/03/20 Pasien
UMUM 0 206 10 2,060
21 Umum
LINDA
15/03/20 Rawat
835448 LAELA. 207 10 2,070
21 Inap
NY
15/03/20 Rawat TASIH
835460 207 10 2,070
21 Inap NY
IIN
15/03/20 Rawat
819469 RUYANI, 206 10 2,060
21 Inap
NY
15/03/20 Rawat ROKAYA
835481 206 3 618
21 Inap H NY
AMRIN
15/03/20 Rawat
835462 SOBANA 207 10 2,070
21 Inap
TN
OMAN
15/03/20 Rawat
831629 ROHAN 207 1 207
21 Jalan
A, TN
IIS
16/03/20 Rawat
835516 WARTIK 206 10 2,060
21 Jalan
AH NY
16/03/20 Rawat KARMO
835236 206 10 2,060
21 Inap TN
BAYU
16/03/20 Rawat
835410 ANUGE 206 10 2,060
21 Jalan
RAH TN
ADE
16/03/20 Rawat
835470 SUKAES 206 10 2,060
21 Jalan
IH NY
SAEFUL
16/03/20 Rawat
835220 HUDAYA 206 15 3,090
21 Jalan
TN
VIVIH
16/03/20 Rawat
834834 NOVITA 206 10 2,060
21 Jalan
DEWI
SUPRIH
16/03/20 Rawat
822113 ATIN. 206 3 618
21 Inap
NY
HJ
16/03/20 Rawat
804292 CICIH. 206 3 618
21 Inap
NY
16/03/20 Rawat SAMLI,
811423 206 21 4,326
21 Jalan TN
16/03/20 NENEN
UMUM 0 206 10 2,060
21 G
TITI
16/03/20 Rawat
835508 SURYAN 206 3 618
21 Inap
I NY
IIN
16/03/20 Rawat
819469 RUYANI, 206 3 618
21 Inap
NY
16/03/20 Rawat
835415 AAH, NY 206 10 2,060
21 Inap
16/03/20 Rawat ROKAYA
835481 206 3 618
21 Inap H NY
NN.
16/03/20 Rawat DITA
835525 206 20 4,120
21 Jalan SETIAW
ATI
16/03/20 Rawat FATIMA
832088 206 3 618
21 Inap H , NY
N. U.
16/03/20 Rawat
835522 UMAYA 206 4 824
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 206 3 618
21 Inap
NA NN
16/03/20 Rawat
828609 ILAH. NY 206 10 2,060
21 Jalan
16/03/20 Rawat CICIH
811043 206 3 618
21 Inap NY.
E
16/03/20 Rawat
835527 MUCHT 206 3 618
21 Inap
AR . TN
ELI
16/03/20 Rawat
835531 HERLIN 206 10 2,060
21 Jalan
A NY
TITIN
16/03/20 Rawat
835530 MULYAT 206 4 824
21 Inap
IN NY
17/03/20 Pasien
UMUM 0 206 10 2,060
21 Umum
SUPRIH
17/03/20 Rawat
822113 ATIN. 206 10 2,060
21 Inap
NY
17/03/20 Rawat ERES
835537 207 3 621
21 Inap NY
HJ
17/03/20 Rawat
804292 CICIH. 206 3 618
21 Inap
NY
17/03/20 Rawat ROKAYA
835481 206 6 1,236
21 Inap H NY
IIN
17/03/20 Rawat
819469 RUYANI, 206 3 618
21 Inap
NY
YANA
17/03/20 Rawat
835328 GUSTIA 206 3 618
21 Inap
NA NN
N. U.
17/03/20 Rawat
835522 UMAYA 206 3 618
21 Inap
H NY
 TITIN
17/03/20 Rawat
835530 MULYAT 206 3 618
21 Inap
IN NY
ENUNG
17/03/20 Rawat
820620 JUARIA 207 10 2,070
21 Jalan
H. NY
ELOM
17/03/20 Rawat SALAM
835515 207 1 207
21 Inap SUDIRM
AN TN
E
17/03/20 Rawat
835527 MUCHT 207 3 621
21 Inap
AR . TN
ELIS
18/03/20 Rawat
835539 RUKYUL 207 1 207
21 Jalan
IANI NY
IIN
18/03/20 Rawat
819469 RUYANI, 207 10 2,070
21 Inap
NY
N. U.
18/03/20 Rawat
835522 UMAYA 207 3 621
21 Inap
H NY
YANA
18/03/20 Rawat
835328 GUSTIA 207 3 621
21 Inap
NA NN
18/03/20 Pasien
UMUM 0 206 10 2,060
21 Umum
18/03/20 Rawat ERES
835537 207 10 2,070
21 Inap NY
TITIN
18/03/20 Rawat
835530 MULYAT 207 10 2,070
21 Inap
IN NY
N. U.
19/03/20 Rawat
835522 UMAYA 206 1 206
21 Inap
H NY
YANA
19/03/20 Rawat
835328 GUSTIA 206 10 2,060
21 Inap
NA NN
RONI
19/03/20 Rawat
835563 SUPRIA 206 3 618
21 Inap
DI TN
19/03/20 Rawat ANIS,
835551 206 10 2,060
21 Jalan NY
19/03/20 Rawat AMAT.
835550 206 3 618
21 Inap TN
19/03/20 Rawat AMAT.
835550 206 10 2,060
21 Inap TN
 MIRA
19/03/20 Rawat
822603 RAHMA 206 10 2,060
21 Jalan
NIA. NY
EUIS
19/03/20 Rawat
1708 MAEMU 206 10 2,060
21 Jalan
NAH, NY
HJ
20/03/20 Rawat
804292 CICIH. 206 2 412
21 Inap
NY
N. U.
20/03/20 Rawat
835522 UMAYA 206 3 618
21 Inap
H NY
NERA
20/03/20 Rawat
817790 NORAW 206 1 206
21 Inap
ATI . NY
20/03/20 Rawat SAEFUD
835579 206 10 2,060
21 Jalan IN. TN
20/03/20 Rawat SUKAES
807749 206 3 618
21 Inap IH. NY
20/03/20 Rawat CICIH.
831794 206 15 3,090
21 Jalan NY
NERA
20/03/20 Rawat
817790 NORAW 206 3 618
21 Inap
ATI . NY

YATI
21/03/20 Rawat
835577 KURNIA 206 3 618
21 Inap
WATI NY

21/03/20 Rawat DEDEN

835586 206 3 618
21 Inap G, TN
N. U.
21/03/20 Rawat
835522 UMAYA 206 3 618
21 Inap
H NY
21/03/20 Rawat WARSO
835593 206 10 2,060
21 Jalan RI TN
ENGKU
21/03/20 Rawat S
810535 206 3 618
21 Inap KUSNAD
I, TN
ENGKU
21/03/20 Rawat S
810535 206 3 618
21 Inap KUSNAD
I, TN
21/03/20 Rawat YANDI
835584 206 10 2,060
21 Jalan TN
YENI
21/03/20 Rawat
809193 YULIANI, 206 10 2,060
21 Jalan
NY
 GANJAR
22/03/20 Rawat
835607 HIKMAT 206 3 618
21 Inap
. TN
22/03/20 Rawat FIRMAN
835613 206 3 618
21 Inap SDR
SOPIAN
22/03/20 Rawat
835608 YUDA. 206 3 618
21 Inap
SDR
ENGKU
22/03/20 Rawat S
810535 206 10 2,060
21 Inap KUSNAD
I, TN
NUNUN
22/03/20 Rawat G
835606 206 3 618
21 Inap KOMARI
AH. NY
22/03/20 Rawat PARNO,
835601 206 3 618
21 Inap TN
22/03/20 Rawat UDIN.
835604 206 3 618
21 Inap TN
N. U.
22/03/20 Rawat
835522 UMAYA 206 1 206
21 Inap
H NY
N. U.
22/03/20 Rawat
835522 UMAYA 206 10 2,060
21 Inap
H NY
LUKMAN
23/03/20 Rawat
835614 HAKIM 206 3 618
21 Inap
TN
UJANG
23/03/20 Rawat
835617 TATANG 206 3 618
21 Inap
. TN
23/03/20 Rawat UDIN.
835604 206 10 2,060
21 Inap TN
23/03/20 Pasien
UMUM 0 206 10 2,060
21 Umum
23/03/20 Rawat QITANIA
803391 206 10 2,060
21 Jalan , AN
LUKMAN
23/03/20 Rawat
835614 HAKIM 206 3 618
21 Inap
TN
SOPIAN
23/03/20 Rawat
835608 YUDA. 206 3 618
21 Inap
SDR
UJANG
23/03/20 Rawat
835617 TATANG 206 3 618
21 Inap
. TN
 EEM
23/03/20 Rawat
831825 SUKAE 206 30 6,180
21 Jalan
MI. NY
23/03/20 Rawat DEDEN
835586 206 4 824
21 Inap G, TN
GANJAR
23/03/20 Rawat
835607 HIKMAT 206 3 618
21 Inap
. TN
23/03/20 Rawat KARSIH
831386 206 3 618
21 Inap NY
SAEFUL
23/03/20 Rawat
835220 HUDAYA 206 30 6,180
21 Jalan
TN
SOPIAN
23/03/20 Rawat
835608 YUDA. 206 10 2,060
21 Inap
SDR
NN.
23/03/20 Rawat DITA
835525 206 21 4,326
21 Jalan SETIAW
ATI
23/03/20 Rawat DEDEN
835586 206 10 2,060
21 Inap G, TN
W
23/03/20 Rawat ABDUL
835629 206 10 2,060
21 Jalan HALIM
TN
NUNUN
23/03/20 Rawat G
835606 206 3 618
21 Inap KOMARI
AH. NY
RONI
23/03/20 Rawat
835563 SUPRIA 206 3 618
21 Inap
DI TN
EPON
23/03/20 Rawat
835622 SUKARS 206 3 618
21 Inap
IH NY
23/03/20 Rawat FIRMAN
835613 206 3 618
21 Inap SDR
23/03/20 Rawat PARNO,
835601 206 3 618
21 Inap TN
LUKMAN
24/03/20 Rawat
835614 HAKIM 206 10 2,060
21 Inap
TN
GANJAR
24/03/20 Rawat
835607 HIKMAT 206 10 2,060
21 Inap
. TN
24/03/20 Rawat HIDAYA
835638 206 10 2,060
21 Jalan T. TN
 24/03/20 Rawat NENGSI
835645 206 3 618
21 Inap H NY
24/03/20 Rawat FIRMAN
835613 206 10 2,060
21 Inap SDR
FITRI
24/03/20 Rawat SARI
835624 206 3 618
21 Inap WAHYU
NI NN
24/03/20 Rawat PARNO,
835601 206 3 618
21 Inap TN
NUNUN
24/03/20 Rawat G
835606 206 3 618
21 Inap KOMARI
AH. NY
24/03/20 Rawat KARSIH
831386 206 3 618
21 Inap NY
NANI
25/03/20 Rawat
815243 MARYA 206 3 618
21 Inap
NI, NY.
HJ
25/03/20 Rawat
835648 CECEP . 206 3 618
21 Inap
TN
25/03/20 Rawat YUYUM
835643 206 3 618
21 Inap NY
ADE
25/03/20 Rawat
800276 SUHEN 206 3 618
21 Inap
DI, TN
25/03/20 Rawat NENGSI
835645 206 3 618
21 Inap H NY
UJANG
25/03/20 Rawat
835617 TATANG 206 1 206
21 Inap
. TN
SOPIAN
25/03/20 Rawat
835608 YUDA. 206 1 206
21 Inap
SDR
IMAS
27/03/20 Rawat
827623 MULYAN 206 3 618
21 Inap
I, NY
HJ
paraseta 25/03/20 Rawat
435 672 835648 CECEP . 41,688 1 41,688
mol inf 21 Inap
TN
26/03/20 Rawat RIFAL
835674 44,939 1 44,939
21 Inap SDR
HJ
26/03/20 Rawat
835648 CECEP . 44,939 1 44,939
21 Inap
TN
 M.
27/03/20 Rawat
284 SAMSI, 41,688 1 41,688
21 Inap
AN
HJ
27/03/20 Rawat
835648 CECEP . 41,688 1 41,688
21 Inap
TN
HJ
27/03/20 Rawat
835648 CECEP . 41,688 2 83,376
21 Inap
TN
HJ
28/03/20 Rawat
835648 CECEP . 41,688 1 41,688
21 Inap
TN
NANI
28/03/20 Rawat
835706 NURJAN 41,688 1 41,688
21 Inap
AH. NY
WINDY
28/03/20 Rawat
835718 WIDURI. 41,688 1 41,688
21 Inap
AN
HJ
28/03/20 Rawat
835648 CECEP . 41,688 1 41,688
21 Inap
TN
HJ
29/03/20 Rawat
835648 CECEP . 41,688 1 41,688
21 Inap
TN
AL
31/03/20 Rawat RAFIQ
835800 44,939 1 44,939
21 Inap RIZKI S
AN
31/03/20 Rawat RUSMIA
835801 44,939 1 44,939
21 Inap TI NY
A
31/03/20 Rawat
835751 SUTISN 44,939 2 89,878
21 Inap
A. TN
EEN
31/03/20 Rawat
835797 NURAE 44,939 1 44,939
21 Jalan
NAH NY
A
31/03/20 Rawat
835751 SUTISN 44,939 1 44,939
21 Inap
A. TN
A
31/03/20 Rawat
835751 SUTISN 44,939 1 44,939
21 Inap
A. TN
FADHIL
31/03/20 Rawat
835796 AKRAM 44,939 1 44,939
21 Inap
SDR
Piroxica
Pasien
436 685 m 20mg 6/3/2021 UMUM 0 219 10 2,190
Umum
Tab
 Deni
27/03/20
K46 Abdul 219 10 2,190
21
Ghani
Pregabal Rawat DADAN
437 688 5/3/2021 830604 8,645 7 60,515
in 75mg Jalan TN
NY AN
9/3/2021 UMUM 0 ANENG 8,645 10 86,450
SIH/APS
Rawat SARYA
9/3/2021 835392 8,645 5 43,225
Jalan TN
EEM
13/03/20 Rawat
831825 SUKAE 8,645 1 8,645
21 Inap
MI. NY
EEM
14/03/20 Rawat
831825 SUKAE 8,645 1 8,645
21 Inap
MI. NY
EEM
14/03/20 Rawat
831825 SUKAE 8,645 1 8,645
21 Inap
MI. NY
EEM
15/03/20 Rawat
831825 SUKAE 8,645 1 8,645
21 Inap
MI. NY
16/03/20 Rawat CICIH
811043 8,645 1 8,645
21 Inap NY.
EEM
16/03/20 Rawat
831825 SUKAE 8,645 5 43,225
21 Inap
MI. NY
ZAHRA
Proanes Rawat
438 693 2/3/2021 835251 DEWANI 111,168 1 111,168
Inj Jalan
NY
Rawat LILIS,NN
4/3/2021 835293 111,168 1 111,168
Jalan Y
SALLY
Promavit Rawat
439 695 8/3/2021 802943 ASTAVA 3,931 1 3,931
Caps Inap
NY. NY
SALLY
Rawat
9/3/2021 802943 ASTAVA 3,931 1 3,931
Inap
NY. NY
Promuxo Rawat FALISHA
440 696 2/3/2021 834066 46,200 1 46,200
l Drop Jalan , AN
AYYA
Rawat KAYLA
2/3/2021 830657 46,200 1 46,200
Jalan RISANDI
NI BY
Rawat HAIKAL
8/3/2021 835274 57,954 1 57,954
Inap BY
 KELVIN
22/03/20 Rawat
835597 JULIANT 57,954 1 57,954
21 Inap
ARA BY
MUHAM
25/03/20 Rawat AD
835657 57,954 1 57,954
21 Jalan RIVAN
AN
ALIF
25/03/20 Rawat
835652 HAFID. 57,954 1 57,954
21 Jalan
BY
27/03/20 Rawat KENSIN.
835701 57,954 1 57,954
21 Jalan BY
AL
31/03/20 Rawat RAFIQ
835800 57,954 1 57,954
21 Inap RIZKI S
AN
SAEFUL
Pronalge Rawat
441 697 1/3/2021 835220 HUDAYA 17,453 1 17,453
s Supp Inap
TN
SAEFUL
Rawat
2/3/2021 835220 HUDAYA 17,453 1 17,453
Inap
TN
Rawat AWIS,
8/3/2021 816633 17,453 1 17,453
Inap NY
RESTU
24/03/20 Rawat NANDA
826925 17,453 1 17,453
21 Inap AMELIA
. NN
SITI
24/03/20 Rawat
814501 RODIAH, 17,453 2 34,906
21 Inap
NY.
EPI
28/03/20 Rawat
834663 YULIA. 17,453 1 17,453
21 Inap
NY
FAUZAN
Pronicy Rawat FIKRI
442 698 9/3/2021 831610 345 6 2,070
Tab Jalan YANA
AN
TANIA
16/03/20 Rawat
835331 MAURA 345 6 2,070
21 Jalan
NISA AN
KEYSA
18/03/20 Rawat DWI
830497 345 5 1,725
21 Jalan AGUSTI
N AN
 AZKA
30/03/20 Rawat BAGJA
830661 345 6 2,070
21 Jalan MAULAN
A.BY
Avamys M
Rawat
443 70 nasal 5/3/2021 835321 IKHSAN 243,936 1 243,936
Jalan
spray SDR
Rawat JURAEJI
8/3/2021 827464 243,936 1 243,936
Inap N, TN
DERRA
15/03/20 Rawat HAPPY
835499 243,936 1 243,936
21 Jalan NOVITA,
NN
ALBIO
26/03/20 Rawat SOUBIL
800177 243,936 1 243,936
21 Jalan HAKI,
AN
JAJANG
31/03/20 Rawat
835802 SUDRAJ 297,774 1 297,774
21 Jalan
AT TN
Propanol
Rawat ENDAH
444 700 ol 40mg 4/3/2021 834905 166 12 1,992
Jalan J. NY
Tab
EUIS
MINTAR
13/03/20 Rawat
831596 SIH BT 166 21 3,486
21 Jalan
MIMID R
, NY
YOYOH
13/03/20 Rawat
829410 YULIA.N 166 21 3,486
21 Jalan
Y
CECEP
YAN
16/03/20 Rawat
831745 HILMAN 166 23 3,818
21 Jalan
SYAH ,
TN
18/03/20 Rawat KARYAT
833203 166 23 3,818
21 Jalan I,NY
TN
Propeps
445 701 2/3/2021 UMUM 0 ASEP/ 62,304 1 62,304
a Syr
APS
TN
2/3/2021 UMUM 0 SUHARA 62,304 1 62,304
/ APS
Rawat ENUNG.
2/3/2021 835268 64,900 1 64,900
Jalan NY
 ADE
Rawat
2/3/2021 835124 HASANA 64,900 1 64,900
Jalan
H NY
RETNO
Rawat SRI
2/3/2021 835265 64,900 1 64,900
Jalan YULIAN
TI. NY
VIVIH
Rawat
2/3/2021 834834 NOVITA 64,900 1 64,900
Jalan
DEWI
TN
2/3/2021 UMUM APS 62,304 1 62,304
AYEP
CUCU
Rawat
2/3/2021 835219 LISNAW 64,900 1 64,900
Inap
ATI NY
YEYEN
Rawat NUR
2/3/2021 827308 64,900 1 64,900
Jalan ARDIAN
TI, NN
Rawat
3/3/2021 835279 ACA, TN 64,900 1 64,900
Jalan
Rawat ISAM.
3/3/2021 819105 64,900 1 64,900
Inap NY
DIDIN
Rawat
3/3/2021 835277 DARMU 64,900 1 64,900
Jalan
DIN TN
BUDI
Rawat
4/3/2021 835296 HIDAYA 79,341 1 79,341
Jalan
T TN
4/3/2021 UMUM APS Ny Wida 79,341 1 79,341
4/3/2021 UMUM APS Ny enah 79,341 1 79,341
4/3/2021 UMUM APS Ny AAN 79,341 1 79,341
Ny
4/3/2021 UMUM APS 79,341 1 79,341
Rokasih
EVI SITI
Rawat
4/3/2021 811994 NUR. 79,341 1 79,341
Inap
F,NY
AI
Rawat
4/3/2021 835302 ROHAET 79,341 1 79,341
Jalan
I. NY
Rawat KARNES
4/3/2021 834511 79,341 1 79,341
Jalan IH NY
4/3/2021 UMUM APS Ny Anih 79,341 1 79,341
RIRIE
Rawat
5/3/2021 835064 APRILIA 64,900 1 64,900
Jalan
NA, NY
 ny. ai
5/3/2021 UMUM 0 juariah/a 62,304 1 62,304
ps
Rawat RUKASI
5/3/2021 835322 64,900 1 64,900
Inap H. NY
NY. MS.
5/3/2021 UMUM 0 JUBAED 62,304 1 62,304
AH/APS
NY.
5/3/2021 UMUM 0 IMAS/AP 62,304 1 62,304
S
NY.
5/3/2021 UMUM 0 ELIS/AP 62,304 1 62,304
S
Rawat
5/3/2021 806591 EEN. NY 64,900 1 64,900
Inap
ASIH
Rawat
5/3/2021 815472 SUNARS 64,900 1 64,900
Jalan
IH,NY
tn. a
5/3/2021 UMUM 0 henda/ap 62,304 1 62,304
s
ny.
5/3/2021 UMUM 0 62,304 1 62,304
eti/aps
EVI SITI
Rawat
5/3/2021 811994 NUR. 64,900 1 64,900
Inap
F,NY
Rawat ROHMI
6/3/2021 835330 64,900 1 64,900
Jalan NY
Rawat NUNUN
6/3/2021 835338 79,341 1 79,341
Inap G K, NY
Rawat SUKI.
6/3/2021 834791 64,900 1 64,900
Jalan NY
CITRA
Rawat
6/3/2021 816881 MUFIDA 64,900 1 64,900
Jalan
H, NN.
UYAT
Rawat
6/3/2021 835100 RUYATI 64,900 1 64,900
Jalan
NY
Rawat IWAN
6/3/2021 835332 64,900 1 64,900
Jalan TN
ABAS
Rawat
6/3/2021 835333 KOSASI 64,900 1 64,900
Jalan
H TN
ELIS
Rawat
6/3/2021 835335 KARNAT 64,900 1 64,900
Jalan
I NY
 TRI
Rawat
6/3/2021 809807 YULIAN 79,341 1 79,341
Jalan
TO, TN
ANISA
Rawat
6/3/2021 835324 FITRIYA 64,900 1 64,900
Inap
NI . NN
Rawat ENOS,
6/3/2021 801989 79,341 1 79,341
Inap TN
Rawat KARMA
6/3/2021 835326 64,900 1 64,900
Jalan H NY
SALSABI
Rawat LA
6/3/2021 835329 64,900 1 64,900
Jalan AZZAHR
A NN
ENDAN
Rawat G
7/3/2021 835339 79,341 1 79,341
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 79,341 1 79,341
Inap A, TN
DIAH
Rawat YAYAH
7/3/2021 835340 79,341 1 79,341
Inap ROKAYA
H. NY
Rawat SUTARN
8/3/2021 810138 79,341 1 79,341
Inap A, TN
SALLY
Rawat
8/3/2021 802943 ASTAVA 79,341 1 79,341
Inap
NY. NY

Yana
### K75 79,341 1 79,341
Gustiana

MISHAE
LA
Rawat HADYAT
446 705 Psidii syr 4/3/2021 835253 48,400 1 48,400
Inap US
SHANU
M AN

ARSHAK
Rawat
### 813853 A RAMA 48,400 1 48,400
Inap
A. AN.
 ALRADY
A
25/03/20 Rawat MAHAB
830769 48,400 1 48,400
21 Inap BATAN
LUVINA
TIKA. AN

BAYU
Psidii Rawat
447 706 ### 835410 ANUGE 7,187 10 71,870
cap Jalan
RAH TN
TITI
Rawat
### 835391 AMINAH. 7,187 10 71,870
Inap
NY
Rawat AGUS,
### 835398 7,187 3 21,561
Inap TN
SUPRIH
Rawat
### 822113 ATIN. 7,187 3 21,561
Inap
NY
SUPRIH
Rawat
### 822113 ATIN. 7,187 3 21,561
Inap
NY
13/03/20 Rawat AGUS,
835398 7,187 2 14,374
21 Inap TN
13/03/20 Rawat AGUS,
835398 7,187 2 14,374
21 Inap TN
SUPRIH
13/03/20 Rawat
822113 ATIN. 7,187 3 21,561
21 Inap
NY
SUPRIH
14/03/20 Rawat
822113 ATIN. 7,187 3 21,561
21 Inap
NY
SUPRIH
15/03/20 Rawat
822113 ATIN. 7,187 3 21,561
21 Inap
NY
SUPRIH
16/03/20 Rawat
822113 ATIN. 7,187 3 21,561
21 Inap
NY
SUPRIH
17/03/20 Rawat
822113 ATIN. 7,187 10 71,870
21 Inap
NY
N. U.
17/03/20 Rawat
835522 UMAYA 7,187 3 21,561
21 Inap
H NY
N. U.
18/03/20 Rawat
835522 UMAYA 7,187 3 21,561
21 Inap
H NY
 N. U.
19/03/20 Rawat
835522 UMAYA 7,187 3 21,561
21 Inap
H NY
N. U.
21/03/20 Rawat
835522 UMAYA 7,187 3 21,561
21 Inap
H NY
N. U.
22/03/20 Rawat
835522 UMAYA 7,187 1 7,187
21 Inap
H NY
23/03/20 Pasien
UMUM APS 7,187 10 71,870
21 Umum
NANI
28/03/20 Rawat
835706 NURJAN 7,187 3 21,561
21 Inap
AH. NY
NANI
29/03/20 Rawat
835706 NURJAN 7,187 3 21,561
21 Inap
AH. NY
NANI
30/03/20 Rawat
835706 NURJAN 7,187 3 21,561
21 Inap
AH. NY
HJ
31/03/20 Rawat
835783 NUNUN 7,187 3 21,561
21 Inap
G. NY
HJ
31/03/20 Rawat
835783 NUNUN 7,187 3 21,561
21 Inap
G. NY
Pyrazina EUIS
Rawat
448 708 mide tab 1/3/2021 834994 YULIANI 443 2 886
Inap
500mg NY
NN INEU
2/3/2021 UMUM 0 443 60 26,580
/APS
TUTI
Rawat
2/3/2021 834823 NURLEL 443 14 6,202
Jalan
A NY
EUIS
Rawat
2/3/2021 834994 YULIANI 443 2 886
Inap
NY
EUIS
Rawat
3/3/2021 834994 YULIANI 443 2 886
Inap
NY
KIESABI
Rawat LA
3/3/2021 834833 443 15 6,645
Jalan HERTIK
A AN
EUIS
Rawat
4/3/2021 834994 YULIANI 443 2 886
Inap
NY
 Rawat RIANIKH
4/3/2021 835099 443 60 26,580
Jalan A SDR
EUIS
Rawat
5/3/2021 834994 YULIANI 443 12 5,316
Inap
NY
TUTI
Rawat
9/3/2021 834823 NURLEL 528 30 15,840
Jalan
A NY
FEBI
Rawat
### 828563 NURUL 528 14 7,392
Jalan
F, AN
TANIA
Rawat FAITUR
### 834373 528 7 3,696
Jalan RAHMA
AN
HAIKAL
13/03/20 Rawat
835274 SIDQI 528 5 2,640
21 Jalan
AN
NY IMAS
16/03/20
UMUM APS KOMARI 528 46 24,288
21
AH
KIESABI
17/03/20 Rawat LA
834833 528 39 20,592
21 Jalan HERTIK
A AN
AFNAN
24/03/20 Rawat
830823 ALFARIZ 528 8 4,224
21 Jalan
QI BY
HAIKAL
26/03/20 Rawat
835274 SIDQI 528 9 4,752
21 Jalan
AN
TN
27/03/20
UMUM 0 DADAN 528 60 31,680
21
G/APS
27/03/20 Rawat SARYA
835392 528 14 7,392
21 Jalan TN

SUSI
Ranitidin Rawat
449 709 1/3/2021 835194 SUSILA 250 10 2,500
tab Inap
WATI NY

CUCU
Rawat
1/3/2021 821971 HULASO 250 10 2,500
Inap
H, NY

IDA
Rawat
1/3/2021 835234 NURFAR 250 10 2,500
Jalan
IDA. NY
 ny
1/3/2021 UMUM 0 240 10 2,400
ecih /aps
H
Rawat
2/3/2021 835215 HASAN 250 10 2,500
Inap
TN
AYEP
Rawat
2/3/2021 835144 SURYAN 250 15 3,750
Jalan
A. TN
YAYAT
Rawat
2/3/2021 835197 SURYAT 250 15 3,750
Jalan
I, NY
SITI
Rawat
3/3/2021 835233 MULYAT 250 10 2,500
Inap
I NY
Rawat JUANGS
3/3/2021 808907 250 10 2,500
Inap IH, NY
Rawat
4/3/2021 835294 EYE NY 270 10 2,700
Jalan

WIWI
Rawat
4/3/2021 822334 RATNEN 270 15 4,050
Jalan
GSIH.NY

PEPEN
Rawat EDI
4/3/2021 802366 270 15 4,050
Jalan JUANDI,
TN
Rawat
4/3/2021 835295 ANIH NY 270 15 4,050
Jalan
SURYAN
Rawat
4/3/2021 835297 INGSIH 270 30 8,100
Jalan
NY
POPON
Rawat
5/3/2021 824160 PATIMA 250 15 3,750
Jalan
H.NY
EUIS
Rawat
5/3/2021 810599 KOMARI 250 15 3,750
Jalan
AH, NY
Rawat NURIYA
5/3/2021 835254 250 10 2,500
Jalan NTI NY
SHERLI
Rawat N
5/3/2021 800529 250 10 2,500
Jalan BERLIA
N, NY
Pasien
6/3/2021 UMUM 0 240 10 2,400
Umum
APRILIA
Rawat
7/3/2021 801710 YUNITA, 270 10 2,700
Inap
NY
 ESA
Rawat
7/3/2021 823669 SAPUTR 270 10 2,700
Jalan
A

Rawat ROSYA
7/3/2021 835342 270 10 2,700
Jalan NA. SDR

NANAN
Rawat G
8/3/2021 812757 270 10 2,700
Jalan SUPRIA
TNA, TN
Rawat D0LIMA
8/3/2021 835358 270 10 2,700
Jalan H. NY
ROSMA
Rawat
9/3/2021 834926 LAWATI, 270 10 2,700
Jalan
NY
TN
9/3/2021 UMUM 0 AYEP/A 270 15 4,050
PS
NURDIN
Rawat
9/3/2021 835203 HIDAYA 270 6 1,620
Jalan
T TN
IYET
Rawat
9/3/2021 825195 ROHAET 270 10 2,700
Jalan
I, NY
ELIS
Rawat
9/3/2021 835335 KARNAT 270 15 4,050
Jalan
I NY
AI SITI
Rawat
9/3/2021 808067 ZAENAB 270 15 4,050
Jalan
, NY
Pasien
### UMUM 0 270 20 5,400
Umum
SALLY
Rawat
### 802943 ASTAVA 270 9 2,430
Inap
NY. NY
22/03/20 Rawat
807029 TUTI, NY 250 10 2,500
21 Inap
23/03/20 Rawat UDIN.
835604 250 10 2,500
21 Inap TN
23/03/20 Rawat WANGSI
835588 250 10 2,500
21 Inap H, NY
LINDA
23/03/20 Rawat
835448 LAELA. 250 15 3,750
21 Jalan
NY
AI SITI
23/03/20 Rawat
808067 ZAENAB 250 10 2,500
21 Jalan
, NY
 SOPIAN
23/03/20 Rawat
835608 YUDA. 250 10 2,500
21 Inap
SDR

AZIS
23/03/20 Rawat RUHIAT
824516 250 10 2,500
21 Inap SUPRIA
TNA . TN

23/03/20 Rawat ROSIDA

835605 250 10 2,500
21 Inap H
24/03/20 Rawat KURYAT
800972 270 10 2,700
21 Jalan I, NY
GANJAR
24/03/20 Rawat
835607 HIKMAT 270 10 2,700
21 Inap
. TN
SOPIAN
25/03/20 Rawat
835608 YUDA. 270 10 2,700
21 Inap
SDR

25/03/20 Rawat ANDAR

831440 270 10 2,700
21 Inap WATI NY

DALIAH
25/03/20 Rawat
835647 YULIANI. 270 10 2,700
21 Jalan
NY
DEDE
25/03/20 Rawat
835636 RAHMA 270 10 2,700
21 Inap
T TN
WIDA
25/03/20 Rawat
829896 WIDIAW 270 20 5,400
21 Jalan
ATI.NY
ENEN
25/03/20 Rawat
833625 SUHAEN 270 10 2,700
21 Jalan
AH NY
MIMIN
25/03/20 Rawat
810395 MINTAR 270 10 2,700
21 Jalan
SIH,NY
UJANG
25/03/20 Rawat
835617 TATANG 270 10 2,700
21 Inap
. TN
ASEP
27/03/20 Rawat
835711 MEDIAN 250 10 2,500
21 Jalan
A. TN
27/03/20 Rawat
835713 ELIS NY 250 10 2,500
21 Jalan
27/03/20 Rawat JAENAL
835715 250 10 2,500
21 Jalan NY
28/03/20 Rawat RIZAL.
835723 250 10 2,500
21 Jalan SDR
 28/03/20 Pasien
UMUM 0 240 10 2,400
21 Umum
28/03/20 Rawat ERUK,
835722 250 10 2,500
21 Jalan NY
UNUS
28/03/20 Rawat
831842 SANUSI 250 10 2,500
21 Jalan
TN
28/03/20
K68 Ernawati 250 10 2,500
21
29/03/20 Rawat YUYUM
835675 250 10 2,500
21 Inap NY
TOHA
29/03/20 Rawat
805009 NURDIN, 250 10 2,500
21 Inap
TN
OJAN
29/03/20 Rawat
834850 SUPRIA 270 10 2,700
21 Jalan
DI. TN
30/03/20 Rawat
835659 YATI. NY 270 10 2,700
21 Inap
30/03/20 Rawat ROSIDA
835605 270 15 4,050
21 Jalan H
AGUS
30/03/20 NURJAY
UMUM 0 270 15 4,050
21 A
TN/APS
ASEP
30/03/20 Rawat
835592 SOHIDIN 270 15 4,050
21 Jalan
TN
IDA
31/03/20 Rawat
835740 BAGUS. 270 10 2,700
21 Inap
TN
DIAH
31/03/20 Rawat
835754 SUMINA 270 10 2,700
21 Inap
R. NY
Ranitidin Rawat ISAM.
450 710 1/3/2021 819105 8,624 2 17,248
e inj Inap NY
H
Rawat
1/3/2021 835215 HASAN 8,624 2 17,248
Inap
TN
FELCIA
Rawat
1/3/2021 835226 TJHIN, 8,624 1 8,624
Inap
AN
SAEFUL
Rawat
1/3/2021 835220 HUDAYA 8,624 2 17,248
Inap
TN
ASEP
Rawat
1/3/2021 821449 KURNIA, 8,624 1 8,624
Jalan
TN
 SITI
Rawat
1/3/2021 835233 MULYAT 8,624 2 17,248
Inap
I NY
ERI
Rawat RAHMA
1/3/2021 835239 8,624 2 17,248
Inap WATI.
NY
Rawat KARMO
1/3/2021 835236 8,624 2 17,248
Inap TN
Rawat NINING
1/3/2021 835192 8,624 2 17,248
Inap NY
Rawat JUANGS
1/3/2021 808907 8,624 2 17,248
Inap IH, NY
Rawat ISAM.
2/3/2021 819105 8,624 2 17,248
Inap NY
ERI
Rawat RAHMA
2/3/2021 835239 8,624 2 17,248
Inap WATI.
NY
SITI
Rawat
2/3/2021 835233 MULYAT 8,624 2 17,248
Inap
I NY
Rawat JUANGS
2/3/2021 808907 8,624 2 17,248
Inap IH, NY
RISKA
Rawat
2/3/2021 835270 AMELIA 8,624 1 8,624
Jalan
NN
Rawat KARMO
2/3/2021 835236 8,624 2 17,248
Inap TN
NANDI
Rawat
2/3/2021 835204 SONJAY 8,624 2 17,248
Inap
A. TN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 8,624 1 8,624
Inap US
SHANU
M AN
Rawat
3/3/2021 835279 ACA, TN 7,040 1 7,040
Jalan

Yana
3/3/2021 K75 7,040 1 7,040
Gustiana

Rawat CEPI,
3/3/2021 835281 7,040 1 7,040
Jalan TN
AI
Rawat
4/3/2021 835302 ROHAET 8,624 1 8,624
Jalan
I. NY
 Pasien
4/3/2021 UMUM 0 8,624 1 8,624
Umum
Rawat SINTIA.
5/3/2021 835301 8,624 2 17,248
Inap NY
ANISA
Rawat
5/3/2021 835298 FITRIA, 8,624 2 17,248
Inap
AN
Rawat SINTIA.
5/3/2021 835301 8,624 2 17,248
Inap NY
Rawat WARSIT
5/3/2021 835314 8,624 1 8,624
Jalan A TN
Rawat ROHMI
6/3/2021 835330 8,624 1 8,624
Jalan NY
CITRA
Rawat
6/3/2021 816881 MUFIDA 8,624 1 8,624
Jalan
H, NN.
LILIS
Rawat
6/3/2021 823790 SURYAN 8,624 1 8,624
Inap
I.NY
Rawat KHODIJ
6/3/2021 835334 8,624 1 8,624
Jalan AH NN
AI
Rawat
6/3/2021 821381 KARWA 8,624 1 8,624
Jalan
TI.NY
NOVI
Rawat
6/3/2021 835335 SOPAN 8,624 1 8,624
Jalan
DI, TN
Rawat RUHITA,
6/3/2021 835336 8,624 1 8,624
Jalan TN
Rawat
6/3/2021 835327 ANA TN 8,624 1 8,624
Jalan
UUN
Rawat
6/3/2021 835337 UNASIH, 8,624 1 8,624
Jalan
NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 8,624 1 8,624
Inap
NY
AI
Rawat
7/3/2021 3483 UNENG 8,624 1 8,624
Jalan
SIH, NY
Rawat AMINAH.
8/3/2021 835378 8,624 1 8,624
Jalan NY
NANAN
Rawat G
8/3/2021 812757 8,624 1 8,624
Jalan SUPRIA
TNA, TN
Rawat JURAEJI
8/3/2021 827464 8,624 2 17,248
Inap N, TN
 ANI
Rawat PRISTIA
8/3/2021 835354 8,624 1 8,624
Jalan WATI.
NY
SALLY
Rawat
8/3/2021 802943 ASTAVA 8,624 4 34,496
Inap
NY. NY
Rawat
9/3/2021 835393 LIA. NY 8,624 2 17,248
Inap
TITI
Rawat
9/3/2021 835391 AMINAH. 8,624 2 17,248
Inap
NY
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 8,624 2 17,248
Inap
NY
Rawat RUSMIN
9/3/2021 835399 8,624 1 8,624
Jalan . TN
Rawat
9/3/2021 835397 SITI, NY 8,624 1 8,624
Jalan
KAKA
Rawat IMAN
9/3/2021 830218 8,624 1 8,624
Jalan MUDIN
SDR
Rawat JURAEJI
9/3/2021 827464 8,624 2 17,248
Inap N, TN
ITI
Rawat
9/3/2021 835385 DARSITI 8,624 2 17,248
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 8,624 1 8,624
Inap
I. NY
UUN
Rawat
9/3/2021 835396 SULAST 8,624 1 8,624
Jalan
RI. NY
Rawat AGUS,
9/3/2021 835398 8,624 2 17,248
Inap TN
SALLY
Rawat
9/3/2021 802943 ASTAVA 8,624 2 17,248
Inap
NY. NY
Rawat ROHETI
### 802812 8,624 2 17,248
Inap N, NY
Rawat IROH,
### 835400 8,624 2 17,248
Inap NY
Rawat ROHETI
### 802812 8,624 2 17,248
Inap N, NY
HJ. SITI
Rawat
### 4433 SOPIAH, 8,624 2 17,248
Inap
NY
 Rawat SUPRI.
### 835403 8,624 3 25,872
Inap TN

ARSHAK
Rawat
### 813853 A RAMA 8,624 1 8,624
Inap
A. AN.

Rawat IROH,
### 835400 8,624 1 8,624
Inap NY

Rawat YUSILA
### 834752 8,624 2 17,248
Inap WATI,NY

EUIS
Rawat
### 834994 YULIANI 8,624 2 17,248
Inap
NY
H.
Rawat TATANG
### 831377 8,624 2 17,248
Inap TARYON
O, TN
NINING
Rawat
### 832543 RUNING 8,624 1 8,624
Inap
SIH NY
Rawat IROH,
### 835400 8,624 2 17,248
Inap NY

Rawat ARSYAK
### 814127 8,624 1 8,624
Inap HA . AN

Rawat ROHETI
### 802812 8,624 2 17,248
Inap N, NY
H.
Rawat TATANG
### 831377 8,624 2 17,248
Inap TARYON
O, TN
Rawat SUPRI.
### 835403 8,624 2 17,248
Inap TN
Pasien
### UMUM 0 8,624 1 8,624
Umum
ITI
Rawat
### 835385 DARSITI 8,624 2 17,248
Inap
, NY
NAUFAL
Rawat DI
### 800119 8,624 2 17,248
Inap AGUSTI
N, AN
TINI
Rawat
### 835417 HARTINI 8,624 2 17,248
Inap
. NY
Rawat
### 816828 ILAH, NY 8,624 1 8,624
Jalan
 Rawat KASNAH
### 835440 8,624 1 8,624
Jalan . NY
H.
Rawat TATANG
### 831377 8,624 1 8,624
Inap TARYON
O, TN

HAYKAL
Rawat DWI
### 835435 8,624 2 17,248
Inap SYAHPU
TRA AN

KHOTIM
Rawat ATUS
### 811689 8,624 2 17,248
Inap SADIAH,
NY
TINI
Rawat
### 835417 HARTINI 8,624 1 8,624
Inap
. NY
EUIS
Rawat
### 834994 YULIANI 8,624 2 17,248
Inap
NY
Rawat MONDRI
### 835438 8,624 1 8,624
Jalan AN
HEMMU
D
Rawat FARCHA
### 835437 8,624 1 8,624
Jalan N IBNU
HASAN
TN
13/03/20 Rawat KARMO
835236 7,040 2 14,080
21 Inap TN

HAYKAL
13/03/20 Rawat DWI
835435 8,624 1 8,624
21 Inap SYAHPU
TRA AN

13/03/20 Rawat
835415 AAH, NY 7,040 2 14,080
21 Inap
13/03/20 Rawat FATIMA
832088 7,040 2 14,080
21 Inap H , NY
13/03/20 Rawat TASIH
835460 7,040 2 14,080
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 7,040 2 14,080
21 Inap
TN
13/03/20 Rawat NALIH.
835459 8,624 1 8,624
21 Jalan TN
 EUIS
13/03/20 Rawat
834994 YULIANI 7,040 2 14,080
21 Inap
NY
13/03/20 Rawat
821178 LIA, NY 8,624 1 8,624
21 Jalan
TINI
13/03/20 Rawat
835417 HARTINI 7,040 2 14,080
21 Inap
. NY
LINDA
13/03/20 Rawat
835448 LAELA. 7,040 2 14,080
21 Inap
NY
13/03/20 Rawat
806813 IPIN, TN 7,040 1 7,040
21 Jalan

13/03/20 Rawat ASEP

835461 8,624 1 8,624
21 Jalan EDO. TN

13/03/20 Rawat KULSUM

835464 7,040 1 7,040
21 Jalan . NY
13/03/20 Rawat EDAH,
835444 8,624 1 8,624
21 Jalan NY
LIKA
13/03/20 Rawat
835445 MUSTIK 8,624 1 8,624
21 Jalan
A, NY
13/03/20 Rawat
835453 AMI NY 8,624 1 8,624
21 Jalan
M
13/03/20 Rawat
835454 UHING 8,624 1 8,624
21 Jalan
TN
NAUFAL
13/03/20 Rawat DI
800119 8,624 2 17,248
21 Inap AGUSTI
N, AN

13/03/20 Rawat YUSILA

834752 8,624 2 17,248
21 Inap WATI,NY

13/03/20 Rawat NENGS

835451 8,624 1 8,624
21 Jalan RI. NY
KHOTIM
13/03/20 Rawat ATUS
811689 8,624 2 17,248
21 Inap SADIAH,
NY
LINDA
13/03/20 Rawat
835448 LAELA. 7,040 2 14,080
21 Inap
NY
14/03/20 Rawat TASIH
835460 7,040 2 14,080
21 Inap NY
14/03/20 Rawat FATIMA
832088 7,040 2 14,080
21 Inap H , NY
 LINDA
14/03/20 Rawat
835448 LAELA. 7,040 2 14,080
21 Inap
NY
VIVIH
14/03/20 Rawat
834834 NOVITA 7,040 1 7,040
21 Inap
DEWI

14/03/20 Rawat YUSILA

834752 7,040 1 7,040
21 Inap WATI,NY

14/03/20 Rawat KARMO

835236 7,040 2 14,080
21 Inap TN
VIVIH
14/03/20 Rawat
834834 NOVITA 7,040 2 14,080
21 Inap
DEWI
14/03/20 Rawat SACI,
804839 7,040 1 7,040
21 Jalan NY
UAR
14/03/20 Rawat
835466 WARSIT 7,040 1 7,040
21 Inap
A. TN
14/03/20 Rawat
835415 AAH, NY 7,040 2 14,080
21 Inap
15/03/20 Rawat
815940 DIDI, TN. 8,624 1 8,624
21 Inap
TINI
15/03/20 Rawat
835417 HARTINI 8,624 1 8,624
21 Inap
. NY
IIN
15/03/20 Rawat
819469 RUYANI, 8,624 2 17,248
21 Inap
NY
15/03/20 Rawat ROKAYA
835481 8,624 2 17,248
21 Inap H NY
15/03/20 Rawat
835415 AAH, NY 8,624 2 17,248
21 Inap
15/03/20 Rawat FATIMA
832088 8,624 2 17,248
21 Inap H , NY
NUNUN
G
15/03/20 Rawat
835479 HERMA 8,624 2 17,248
21 Inap
WATI,
NY
TITI
15/03/20 Rawat
835508 SURYAN 8,624 2 17,248
21 Inap
I NY
15/03/20 Rawat KARMO
835236 8,624 2 17,248
21 Inap TN
15/03/20 Rawat ANAH
835474 8,624 1 8,624
21 Jalan NY
 IIN
16/03/20 Rawat
819469 RUYANI, 8,624 2 17,248
21 Inap
NY
NUNUN
G
16/03/20 Rawat
835479 HERMA 8,624 2 17,248
21 Inap
WATI,
NY
16/03/20 Rawat FATIMA
832088 8,624 2 17,248
21 Inap H , NY
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 8,624 2 17,248
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat ERES
835537 8,624 2 17,248
21 Inap NY
IIN
17/03/20 Rawat
819469 RUYANI, 8,624 2 17,248
21 Inap
NY
17/03/20 Rawat ASIR .
835538 8,624 2 17,248
21 Inap TN
17/03/20 Rawat FATIMA
832088 8,624 2 17,248
21 Inap H , NY
DIMAS
17/03/20 Rawat
812977 ADITYA 8,624 1 8,624
21 Inap
W, AN
17/03/20 Rawat WASLI.
827069 8,624 1 8,624
21 Jalan TN
17/03/20 Rawat KARWA
832626 8,624 2 17,248
21 Inap TI. NY
ADE
18/03/20 Rawat
835529 ROHMA 8,624 2 17,248
21 Inap
ENI. NY
18/03/20 Rawat
835547 IRAH NY 8,624 2 17,248
21 Inap
18/03/20 Rawat KARWA
832626 8,624 2 17,248
21 Inap TI. NY
18/03/20 Rawat MA'MUN
835549 8,624 1 8,624
21 Jalan TN
18/03/20 Rawat KARWA
832626 7,040 2 14,080
21 Inap TI. NY
AHDIAH
18/03/20 Rawat MAMAH
835542 7,040 1 7,040
21 Jalan ROHIMA
H NY
18/03/20 Rawat ROKAYA
835481 7,040 2 14,080
21 Inap H NY
19/03/20 Rawat AMAT.
835550 8,624 1 8,624
21 Inap TN
RONI
19/03/20 Rawat
835563 SUPRIA 8,624 2 17,248
21 Inap
DI TN
TOHA
19/03/20 Rawat
805009 NURDIN, 8,624 2 17,248
21 Inap
TN
19/03/20 Rawat AMAT.
835550 8,624 2 17,248
21 Inap TN
19/03/20 Rawat AFRIJAL
835557 8,624 1 8,624
21 Jalan UL SDR
EUIS
19/03/20 Rawat
1708 MAEMU 8,624 1 8,624
21 Jalan
NAH, NY
20/03/20 Rawat
807029 TUTI, NY 8,624 2 17,248
21 Inap
RONI
20/03/20 Rawat
835563 SUPRIA 8,624 2 17,248
21 Inap
DI TN
TOHA
20/03/20 Rawat
805009 NURDIN, 8,624 2 17,248
21 Inap
TN
20/03/20 Rawat
807029 TUTI, NY 8,624 2 17,248
21 Inap

YATI
20/03/20 Rawat
835577 KURNIA 8,624 2 17,248
21 Inap
WATI NY

20/03/20 Rawat SUKAES

807749 8,624 2 17,248
21 Inap IH. NY

AZIS
20/03/20 Rawat RUHIAT
824516 8,624 2 17,248
21 Inap SUPRIA
TNA . TN

21/03/20 Rawat
807029 TUTI, NY 8,624 2 17,248
21 Inap
21/03/20 Rawat HERMA
835580 8,624 2 17,248
21 Inap N TN

YATI
21/03/20 Rawat
835577 KURNIA 8,624 2 17,248
21 Inap
WATI NY
 AZIS
21/03/20 Rawat RUHIAT
824516 8,624 2 17,248
21 Inap SUPRIA
TNA . TN

MS
21/03/20 Rawat
835587 SOPIAH, 8,624 1 8,624
21 Jalan
NY
21/03/20 Rawat DEDEN
835586 8,624 2 17,248
21 Inap G, TN
21/03/20 Rawat MA'MUN
835549 8,624 1 8,624
21 Jalan TN
21/03/20 Rawat WANGSI
835588 8,624 2 17,248
21 Inap H, NY

ANDREA
21/03/20 Rawat S
835582 8,624 1 8,624
21 Jalan YUDANT
ORO TN

21/03/20 Rawat HERMA

835580 8,624 2 17,248
21 Inap N TN
ENGKU
21/03/20 Rawat S
810535 8,624 2 17,248
21 Inap KUSNAD
I, TN
ENGKU
21/03/20 Rawat S
810535 8,624 2 17,248
21 Inap KUSNAD
I, TN
21/03/20 Rawat AHYA,
835585 8,624 1 8,624
21 Jalan TN
22/03/20 Rawat FIRMAN
835613 7,040 2 14,080
21 Inap SDR
SOPIAN
22/03/20 Rawat
835608 YUDA. 7,040 2 14,080
21 Inap
SDR

22/03/20 Rawat ANDAR

831440 7,040 2 14,080
21 Inap WATI NY

AJENG
22/03/20 Rawat
811100 KARTINI 7,040 2 14,080
21 Inap
.NY
22/03/20 Rawat HERMA
835580 7,040 2 14,080
21 Inap N TN
 AZIS
22/03/20 Rawat RUHIAT
824516 7,040 2 14,080
21 Inap SUPRIA
TNA . TN

22/03/20 Rawat WANGSI

835588 7,040 2 14,080
21 Inap H, NY
NUNUN
22/03/20 Rawat G
835606 7,040 2 14,080
21 Inap KOMARI
AH. NY
22/03/20 Rawat ROSIDA
835605 7,040 2 14,080
21 Inap H
22/03/20 Rawat PARNO,
835601 7,040 2 14,080
21 Inap TN
22/03/20 Rawat UDIN.
835604 7,040 2 14,080
21 Inap TN
GANJAR
22/03/20 Rawat
835607 HIKMAT 7,040 2 14,080
21 Inap
. TN
UJANG
23/03/20 Rawat
835617 TATANG 7,040 2 14,080
21 Inap
. TN
23/03/20 Rawat RAHNI
835628 8,624 2 17,248
21 Inap NY
LUKMAN
23/03/20 Rawat
835614 HAKIM 7,040 2 14,080
21 Inap
TN
SOPIAN
23/03/20 Rawat
835608 YUDA. 8,624 2 17,248
21 Inap
SDR

YATI
23/03/20 Rawat
835577 KURNIA 7,040 1 7,040
21 Inap
WATI NY

AAR
23/03/20 Rawat
825828 SURYAT 7,040 2 14,080
21 Inap
I.NY
RESTU
23/03/20 Rawat NANDA
826925 8,624 2 17,248
21 Inap AMELIA
. NN
SUKAND
I BIN
23/03/20 Rawat
813480 SURYA 7,040 1 7,040
21 Jalan
MAN,
TN.
 UJANG
23/03/20 Rawat
835617 TATANG 7,040 2 14,080
21 Inap
. TN
EPON
23/03/20 Rawat
835622 SUKARS 7,040 2 14,080
21 Inap
IH NY
ACU
23/03/20 Rawat
835621 SAMSU 7,040 1 7,040
21 Jalan
DIN TN
ENGKIN
23/03/20 Rawat
835520 G AJIS . 7,040 1 7,040
21 Jalan
TN
FITRI
23/03/20 Rawat SARI
835624 8,800 2 17,600
21 Inap WAHYU
NI NN
23/03/20 Rawat
833508 AMID TN 8,800 1 8,800
21 Jalan
23/03/20 Rawat WARSA
835827 8,624 1 8,624
21 Jalan TN
KOSIM
23/03/20 Rawat
835625 SUKIRM 8,624 1 8,624
21 Jalan
AN.TN

23/03/20 Rawat ANDAR

831440 7,040 2 14,080
21 Inap WATI NY

AJENG
24/03/20 Rawat
811100 KARTINI 8,624 2 17,248
21 Inap
.NY
DEDE
24/03/20 Rawat
835636 RAHMA 8,624 2 17,248
21 Inap
T TN
24/03/20 Rawat RAHNI
835628 8,624 1 8,624
21 Inap NY
24/03/20 Rawat KURYAT
800972 8,624 1 8,624
21 Jalan I, NY
ANISA
24/03/20 Rawat FAIHA
835644 8,624 1 8,624
21 Inap MUNAN
DAR AN
GANJAR
24/03/20 Rawat
835607 HIKMAT 8,624 1 8,624
21 Inap
. TN
24/03/20 Rawat HIDAYA
835638 8,624 1 8,624
21 Jalan T. TN
SITI
24/03/20 Rawat
814501 RODIAH, 8,624 2 17,248
21 Inap
NY.
 YULI
24/03/20 Rawat
835639 YANI 8,624 1 8,624
21 Jalan
.NY
SOPIAN
24/03/20 Rawat
835608 YUDA. 8,624 2 17,248
21 Inap
SDR
FITRI
24/03/20 Rawat SARI
835624 8,624 2 17,248
21 Inap WAHYU
NI NN
RESTU
24/03/20 Rawat NANDA
826925 8,624 2 17,248
21 Inap AMELIA
. NN
FITRI
25/03/20 Rawat SARI
835624 8,624 2 17,248
21 Inap WAHYU
NI NN
ONDA
25/03/20 Rawat
835632 MUYAN 8,624 2 17,248
21 Inap
A. TN
NANI
25/03/20 Rawat
815243 MARYA 8,624 2 17,248
21 Inap
NI, NY.
25/03/20 Rawat HIDAYA
835638 8,624 2 17,248
21 Inap T. TN
SITI
25/03/20 Rawat
814501 RODIAH, 8,624 2 17,248
21 Inap
NY.
AJENG
25/03/20 Rawat
811100 KARTINI 8,624 1 8,624
21 Inap
.NY
ADE
25/03/20 Rawat
800276 SUHEN 8,624 2 17,248
21 Inap
DI, TN
CICIH
25/03/20 Rawat
835651 RUKAES 8,624 1 8,624
21 Jalan
IH. NY
ADE
25/03/20 Rawat
800276 SUHEN 8,624 1 8,624
21 Inap
DI, TN
UJANG
25/03/20 Rawat
835617 TATANG 8,624 1 8,624
21 Inap
. TN
26/03/20 Rawat YUYUM
835675 8,624 2 17,248
21 Inap NY
26/03/20 Rawat RIFAL
835674 8,624 2 17,248
21 Inap SDR
 NANI
26/03/20 Rawat
815243 MARYA 8,624 2 17,248
21 Inap
NI, NY.
UJANG
26/03/20 Rawat
2816 HENDI , 8,624 2 17,248
21 Inap
TN
26/03/20 Rawat YUYUM
835675 8,624 1 8,624
21 Inap NY
ONDA
26/03/20 Rawat
835632 MUYAN 8,624 2 17,248
21 Inap
A. TN
ANDA
26/03/20 Rawat
834672 WIHAND 8,624 2 17,248
21 Inap
A TN
ENTIN
26/03/20 Rawat
826446 ROSTINI 8,624 1 8,624
21 Jalan
, NY
26/03/20 Rawat UHNAN
835689 8,624 2 17,248
21 Inap TN
26/03/20 Rawat WINDY,
806078 8,624 1 8,624
21 Jalan NY
HJ
26/03/20 Rawat
835670 SUKARN 8,624 2 17,248
21 Inap
A TN
26/03/20 Meilita
K43 8,624 1 8,624
21 Nurfajrin
NYAI
26/03/20 Rawat
835676 ATIKAH 8,624 2 17,248
21 Inap
NY
IMAS
27/03/20 Rawat
835707 ROHIMA 8,624 1 8,624
21 Jalan
S, NY
27/03/20 Rawat SARWA.
835697 8,624 1 8,624
21 Jalan TN
27/03/20 Rawat ENDAN
835708 8,624 2 17,248
21 Inap G TN
NANI
27/03/20 Rawat
815243 MARYA 8,624 2 17,248
21 Inap
NI, NY.
ONDA
27/03/20 Rawat
835632 MUYAN 8,624 2 17,248
21 Inap
A. TN
27/03/20 Rawat YUYUM
835675 8,624 2 17,248
21 Inap NY
IMAS
27/03/20 Rawat
827623 MULYAN 8,624 2 17,248
21 Inap
I, NY
 UJANG
27/03/20 Rawat
2816 HENDI , 8,624 2 17,248
21 Inap
TN
27/03/20 Rawat
835659 YATI. NY 8,624 2 17,248
21 Inap
27/03/20 Rawat RIFAL
835674 8,624 2 17,248
21 Inap SDR
27/03/20 Rawat
835713 ELIS NY 8,624 1 8,624
21 Jalan
HARDI
27/03/20 Rawat
835716 SAMUEL 8,624 1 8,624
21 Jalan
TN
NYAI
27/03/20 Rawat
835676 ATIKAH 8,624 2 17,248
21 Inap
NY
NANI
27/03/20 Rawat
835706 NURJAN 8,624 2 17,248
21 Inap
AH. NY
TOHA
28/03/20 Rawat
805009 NURDIN, 8,624 2 17,248
21 Inap
TN
28/03/20 Rawat RIZAL.
835723 8,624 1 8,624
21 Jalan SDR
28/03/20 Rawat YUYUM
835675 8,624 2 17,248
21 Inap NY
28/03/20 Rawat
835659 YATI. NY 8,624 2 17,248
21 Inap
IMAS
28/03/20 Rawat
827623 MULYAN 8,624 2 17,248
21 Inap
I, NY
WINDY
28/03/20 Rawat
835718 WIDURI. 8,624 2 17,248
21 Inap
AN
LIA
HAYATI,
28/03/20 Rawat
828320 NY / 8,624 1 8,624
21 Jalan
HANIF,
TN
TOHA
28/03/20 Rawat
805009 NURDIN, 8,624 2 17,248
21 Inap
TN
28/03/20 Rawat TAMAD.
835725 8,624 1 8,624
21 Inap TN
EPI
28/03/20 Rawat
834663 YULIA. 8,624 1 8,624
21 Inap
NY
28/03/20 Rawat ERUK,
835722 8,624 1 8,624
21 Jalan NY
 RENI
29/03/20 Rawat
813579 ANDRIA 8,624 2 17,248
21 Inap
NA NY
SAEPUL
29/03/20 Rawat
814700 HIDAYA 8,624 2 17,248
21 Inap
T,TN
CICI
29/03/20 Rawat
835746 SUMAR 8,624 2 17,248
21 Inap
CI. NY
VITRIA
29/03/20 Rawat FATMA
835750 8,624 2 17,248
21 Inap WATI .
NY
ELI
29/03/20 Rawat
835753 SUMAR 8,624 1 8,624
21 Jalan
NI, NY
29/03/20 Rawat
835659 YATI. NY 8,800 2 17,600
21 Inap
IMAS
29/03/20 Rawat
827623 MULYAN 8,800 2 17,600
21 Inap
I, NY
WINDY
29/03/20 Rawat
835718 WIDURI. 8,800 2 17,600
21 Inap
AN
IDA
29/03/20 Rawat
835740 BAGUS. 8,624 2 17,248
21 Inap
TN
A
30/03/20 Rawat
835751 SUTISN 8,624 2 17,248
21 Inap
A. TN
SAEFUL
30/03/20 Rawat
835220 HUDAYA 8,624 2 17,248
21 Inap
TN
30/03/20 Rawat USMI,
5908 8,800 2 17,600
21 Inap NY
IDA
30/03/20 Rawat
835740 BAGUS. 8,624 2 17,248
21 Inap
TN
CICI
30/03/20 Rawat
835746 SUMAR 8,624 1 8,624
21 Inap
CI. NY
30/03/20 Rawat ENTIN,
835756 8,624 2 17,248
21 Inap NY
DIAH
30/03/20 Rawat
835754 SUMINA 8,624 2 17,248
21 Inap
R. NY
 IMAS
30/03/20 Rawat
827623 MULYAN 8,624 2 17,248
21 Inap
I, NY
30/03/20 Rawat ENTING,
835756 8,624 2 17,248
21 Inap NY
A
30/03/20 Rawat
835751 SUTISN 8,624 2 17,248
21 Inap
A. TN
30/03/20 Rawat
835659 YATI. NY 8,624 1 8,624
21 Inap
YETI
30/03/20 Rawat
807134 MARYA 8,800 1 8,800
21 Jalan
NI, NY
RENI
30/03/20 Rawat
813579 ANDRIA 8,624 2 17,248
21 Inap
NA NY
IDA
31/03/20 Rawat
835803 SUARTI 8,800 1 8,800
21 Jalan
KA NY
31/03/20 Rawat DAHLAN
835795 8,800 1 8,800
21 Jalan TN
TITA
31/03/20 Rawat
835804 KARTIK 8,800 2 17,600
21 Inap
A .NY
31/03/20 Pasien
UMUM 0 8,448 1 8,448
21 Umum
A
31/03/20 Rawat
835751 SUTISN 8,800 2 17,600
21 Inap
A. TN
DIAH
31/03/20 Rawat
835754 SUMINA 8,800 1 8,800
21 Inap
R. NY
31/03/20 Rawat USMI,
5908 8,800 2 17,600
21 Inap NY
YENI
31/03/20 Rawat
809193 YULIANI, 8,800 1 8,800
21 Jalan
NY
SIFA
31/03/20 Rawat SAGITA
813766 8,800 1 8,800
21 Jalan NURJAN
AH, NY
Ramipril 30/03/20 Rawat RODIAH.
451 711 810604 878 1 878
Tab 21 Inap NY
30/03/20 Rawat ROSIDA
835605 878 7 6,146
21 Jalan H
N
30/03/20 Rawat
835523 ATIKAH 878 30 26,340
21 Jalan
NY
 31/03/20 Rawat RODIAH.
810604 878 1 878
21 Inap NY
KHAYYI
RA
Rhelafen 28/03/20 Rawat
452 720 835730 ADHWA 29,645 1 29,645
Forte Syr 21 Jalan
SYAROF
A, AN

dr. Indra
31/03/20
K5 Bagus 29,645 1 29,645
21
Haryanto

Rhinos
junior Pasien
453 724 1/3/2021 UMUM 0 48,400 1 48,400
syrup Umum
60ml
ALBIO
26/03/20 Rawat SOUBIL
800177 48,400 1 48,400
21 Jalan HAKI,
AN
EUIS
Rifampici Rawat
454 725 1/3/2021 834994 YULIANI 2,338 2 4,676
n 450 mg Inap
NY
INEU
Rawat
2/3/2021 834991 NURHAL 2,338 30 70,140
Jalan
IZA. NY
TUTI
Rawat
2/3/2021 834823 NURLEL 2,338 7 16,366
Jalan
A NY
ANAZW
Rawat A
2/3/2021 832137 2,338 3 7,014
Jalan HIZWAT
UL AN
EUIS
Rawat
2/3/2021 834994 YULIANI 2,338 1 2,338
Inap
NY
EUIS
Rawat
3/3/2021 834994 YULIANI 2,338 1 2,338
Inap
NY
KIESABI
Rawat LA
3/3/2021 834833 2,338 15 35,070
Jalan HERTIK
A AN
EUIS
Rawat
4/3/2021 834994 YULIANI 2,337 1 2,337
Inap
NY
 KAYLA
SHALW
Rawat
4/3/2021 829954 A 2,337 7 16,359
Jalan
PURNA
MA. AN
Tn
4/3/2021 UMUM APS 2,337 24 56,088
Dadang
Rawat RIANIKH
4/3/2021 835099 2,337 30 70,110
Jalan A SDR
EUIS
Rawat
5/3/2021 834994 YULIANI 2,337 6 14,022
Inap
NY
ALIF
RAMAD
Rawat HANI
8/3/2021 833527 2,337 4 9,348
Jalan CHRIST
ANTO
AN

FAWAZ
Rawat ALI
8/3/2021 828313 2,337 1 2,337
Jalan ALGAIS
HI.AN
FAUZAN
Rawat FIKRI
9/3/2021 831610 2,337 10 23,370
Jalan YANA
AN
ARSEL
Rawat GUNADI
9/3/2021 831630 2,337 3 7,011
Jalan SASTRA
, AN
ALFI
16/03/20 Rawat
832641 ANDRA 2,337 9 21,033
21 Jalan
A. AN
IMAS
16/03/20 Rawat
834510 KOMARI 2,337 23 53,751
21 Jalan
AH NY
ANAZW
16/03/20 Rawat A
832137 2,337 3 7,011
21 Jalan HIZWAT
UL AN
FATHIR
16/03/20 Rawat N
827196 2,337 3 7,011
21 Jalan AHSAN,
BY
NADINE
16/03/20 Rawat
831349 AZZIZAH 2,337 5 11,685
21 Jalan
.AN
 EUIS
20/03/20 Rawat
834994 YULIANI 2,337 5 11,685
21 Jalan
NY
NENEN
20/03/20 Rawat G
832087 2,337 6 14,022
21 Jalan KARTIK
A, NY
AN
22/03/20
UMUM 0 ALIF/AP 2,337 6 14,022
21
S
EUIS
27/03/20 Rawat
834994 YULIANI 2,337 7 16,359
21 Jalan
NY
NENEN
27/03/20 Rawat G
832087 2,337 7 16,359
21 Jalan KARTIK
A, NY
RAZIQ
27/03/20 Rawat
832236 HANAN 2,337 14 32,718
21 Jalan
AN
AN
27/03/20
UMUM 0 RAZIQ/A 2,337 10 23,370
21
PS
TN
27/03/20
UMUM 0 DADAN 2,337 30 70,110
21
G/APS
27/03/20 Rawat SARYA
835392 2,337 7 16,359
21 Jalan TN
SILVI
Rifampici Rawat
455 726 2/3/2021 832412 RODIAH, 3,712 30 111,360
n 600 mg Jalan
NN
Rawat UNENG,
4/3/2021 5097 3,712 24 89,088
Jalan NY
MULYAN
Rawat A
5/3/2021 833201 3,712 10 37,120
Jalan SAMBAS
, TN
TN.
5/3/2021 UMUM 0 MULYAN 3,712 20 74,240
A/APS

DENI
Rawat YANA
9/3/2021 830142 3,712 30 111,360
Jalan MUHAR
AM. SDR

FEBI
Rawat
### 828563 NURUL 3,712 8 29,696
Jalan
F, AN
 TANIA
Rawat FAITUR
### 834373 3,712 4 14,848
Jalan RAHMA
AN
HENDR
13/03/20 Rawat
830047 AYADI. 3,712 18 66,816
21 Jalan
TN
TN
13/03/20 HENDR
UMUM 0 3,712 12 44,544
21 AYADI /
APS

MOCHA
MAD
13/03/20 Rawat FABIAN
833452 3,712 8 29,696
21 Jalan HERMA
NSYAH
AN
an m
13/03/20
UMUM 0 fabian 3,712 17 63,104
21
/APS
13/03/20 Rawat REVINA
833412 3,712 10 37,120
21 Jalan . AN
HAIKAL
13/03/20 Rawat
835274 SIDQI 3,712 3 11,136
21 Jalan
AN
M
17/03/20 Rawat
833639 ISKAND 3,712 10 37,120
21 Jalan
AR AN
KIESABI
17/03/20 Rawat LA
834833 3,712 13 48,256
21 Jalan HERTIK
A AN
AN
17/03/20 KEISAH
UMUM 0 3,712 5 18,560
21 BILA
/APS
18/03/20 Rawat FANNY
832782 3,712 30 111,360
21 Jalan TN
20/03/20 Rawat ANENG
833134 3,712 15 55,680
21 Jalan SIH NY
NY
20/03/20
UMUM 0 ANENG 3,712 15 55,680
21
SIH/APS
AFNAN
24/03/20 Rawat
830823 ALFARIZ 3,712 4 14,848
21 Jalan
QI BY
 FEBI
24/03/20 Rawat
828563 NURUL 3,712 20 74,240
21 Jalan
F, AN
TANIA
24/03/20 Rawat FAITUR
834373 3,712 8 29,696
21 Jalan RAHMA
AN
RAISYA
24/03/20 Rawat PUTRI
831593 3,712 20 74,240
21 Jalan MAHAR
ANI, AN
TUBAGU
25/03/20 Rawat S
834544 3,712 9 33,408
21 Jalan AHMAD
AN
HAIKAL
26/03/20 Rawat
835274 SIDQI 3,712 5 18,560
21 Jalan
AN
NADINE
30/03/20 Rawat
831349 AZZIZAH 3,712 2 7,424
21 Jalan
.AN
VIVIH
Rindopu Rawat
456 727 2/3/2021 834834 NOVITA 143,737 1 143,737
mp inj Jalan
DEWI
EVI SITI
Rawat
2/3/2021 811994 NUR. 143,737 1 143,737
Inap
F,NY
24/03/20 Rawat YATNI
835642 137,500 1 137,500
21 Inap NY
24/03/20 Rawat YUYUM
835643 137,500 1 137,500
21 Inap NY
24/03/20 Rawat NENGSI
835645 137,500 1 137,500
21 Inap H NY
HJ
25/03/20 Rawat
835648 CECEP . 143,737 1 143,737
21 Inap
TN
25/03/20 Rawat NENGSI
835645 143,737 1 143,737
21 Inap H NY
25/03/20 Rawat YATNI
835642 143,737 1 143,737
21 Inap NY
WOWO
25/03/20 Rawat
809923 SUGRIW 137,500 2 275,000
21 Inap
O.TN
SITI
25/03/20 Rawat
814501 RODIAH, 143,737 1 143,737
21 Inap
NY.
25/03/20 Rawat YUYUM
835643 143,737 1 143,737
21 Inap NY
25/03/20 Rawat HIDAYA
835638 143,737 1 143,737
21 Inap T. TN
SAPAAT
25/03/20 Rawat NURHA
835668 143,737 1 143,737
21 Inap YATUDI
N TN
WOWO
25/03/20 Rawat
809923 SUGRIW 143,737 1 143,737
21 Inap
O.TN
25/03/20 Rawat NENGSI
835645 143,737 1 143,737
21 Inap H NY
ACU
26/03/20 Rawat
835621 SAMSU 137,500 1 137,500
21 Inap
DIN TN
26/03/20 Rawat KARMID,
823943 137,500 1 137,500
21 Inap TN
HJ
26/03/20 Rawat
835648 CECEP . 143,737 1 143,737
21 Inap
TN
26/03/20 Rawat ENENG
835698 137,500 1 137,500
21 Inap NY
26/03/20 Rawat NENGSI
835645 143,737 1 143,737
21 Inap H NY
ROSMA
26/03/20 Rawat
834926 LAWATI, 137,500 1 137,500
21 Inap
NY
26/03/20 Rawat YUYUM
835643 137,500 1 137,500
21 Inap NY
SITI
26/03/20 Rawat
814501 RODIAH, 137,500 1 137,500
21 Inap
NY.
SAPAAT
26/03/20 Rawat NURHA
835668 137,500 1 137,500
21 Inap YATUDI
N TN
WOWO
26/03/20 Rawat
809923 SUGRIW 137,500 1 137,500
21 Inap
O.TN
26/03/20 Rawat HIDAYA
835638 137,500 1 137,500
21 Inap T. TN
26/03/20 Rawat RUSTA,
2579 137,500 1 137,500
21 Inap TN
ONDA
27/03/20 Rawat
835632 MUYAN 137,500 1 137,500
21 Inap
A. TN
27/03/20 Rawat UNENG,
5097 137,500 1 137,500
21 Inap NY
27/03/20 Rawat HIDAYA
835638 137,500 1 137,500
21 Inap T. TN
27/03/20 Rawat YUYUM
835643 137,500 1 137,500
21 Inap NY
AAR
27/03/20 Rawat
825828 SURYAT 137,500 1 137,500
21 Inap
I.NY
ROSMA
27/03/20 Rawat
834926 LAWATI, 137,500 1 137,500
21 Inap
NY
NANI
27/03/20 Rawat
835706 NURJAN 137,500 1 137,500
21 Inap
AH. NY
28/03/20 Rawat ENDAN
835708 137,500 1 137,500
21 Inap G TN
28/03/20 Rawat UNENG,
5097 137,500 1 137,500
21 Inap NY
HJ
28/03/20 Rawat
835648 CECEP . 137,500 1 137,500
21 Inap
TN
28/03/20 Rawat WANCIH
835712 137,500 1 137,500
21 Inap NY
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 137,500 1 137,500
21 Inap
MAN,
TN.
EPI
28/03/20 Rawat
834663 YULIA. 137,500 1 137,500
21 Inap
NY
NANI
28/03/20 Rawat
835706 NURJAN 137,500 1 137,500
21 Inap
AH. NY
IDING
28/03/20 Rawat
835732 JAENUD 137,500 1 137,500
21 Inap
IN, TN
28/03/20 Rawat SUKAYA
835724 137,500 1 137,500
21 Jalan , TN
28/03/20 Rawat MARYAT
803036 137,500 1 137,500
21 Inap I, NY
28/03/20 Rawat RIFAL
835674 137,500 1 137,500
21 Inap SDR
29/03/20 Rawat KACEN
835734 137,500 1 137,500
21 Inap G TN
29/03/20 Rawat IWAN.
835735 137,500 1 137,500
21 Inap TN
29/03/20 Rawat UNENG,
5097 137,500 1 137,500
21 Inap NY
 HJ
29/03/20 Rawat
835648 CECEP . 137,500 1 137,500
21 Inap
TN
29/03/20 Rawat MARYAT
803036 137,500 1 137,500
21 Inap I, NY
YETI
31/03/20 Rawat
807134 MARYA 143,737 1 143,737
21 Inap
NI, NY
Ringers FELCIA
Rawat
457 729 Lactat 1/3/2021 835226 TJHIN, 10,492 1 10,492
Inap
(RL) Inf AN
Rawat ISAM.
1/3/2021 819105 10,492 3 31,476
Inap NY
CUCU
Rawat
1/3/2021 835219 LISNAW 10,492 2 20,984
Inap
ATI NY
ONENG
Rawat
1/3/2021 832859 ROKAE 10,492 2 20,984
Inap
NAH. NY
ONENG
Rawat
1/3/2021 832859 ROKAE 10,023 2 20,046
Inap
NAH. NY
FELCIA
Rawat
1/3/2021 835226 TJHIN, 10,023 2 20,046
Inap
AN
TAUFIK
Rawat
1/3/2021 835216 MAULAN 10,492 4 41,968
Inap
A SDR
NANDI
Rawat
1/3/2021 835204 SONJAY 10,492 4 41,968
Inap
A. TN
Rawat MINTAR
1/3/2021 813401 10,492 4 41,968
Inap SIH,NY
ERI
Rawat RAHMA
1/3/2021 835239 10,492 2 20,984
Inap WATI.
NY
SITI
Rawat
1/3/2021 835233 MULYAT 10,023 3 30,069
Inap
I NY
Rawat KARMO
1/3/2021 835236 10,492 3 31,476
Inap TN
ZAHRA
Rawat
1/3/2021 835251 DEWANI 10,492 4 41,968
Jalan
NY
Rawat NUNUN
1/3/2021 835198 10,492 1 10,492
Inap G, NY
 CUCU
Rawat
2/3/2021 835219 LISNAW 10,492 2 20,984
Inap
ATI NY
Rawat ISAM.
2/3/2021 819105 10,492 2 20,984
Inap NY
Rawat KARWIN
2/3/2021 835217 10,492 4 41,968
Jalan AH NY
CUCU
Rawat
2/3/2021 835219 LISNAW 10,492 1 10,492
Inap
ATI NY
FELCIA
Rawat
2/3/2021 835226 TJHIN, 10,492 2 20,984
Inap
AN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 10,492 2 20,984
Inap US
SHANU
M AN
Rawat RISNA
2/3/2021 835175 10,492 2 20,984
Inap SDR
Rawat NURJAM
2/3/2021 813400 10,492 1 10,492
Inap AN,TN
TAUFIK
Rawat
2/3/2021 835216 MAULAN 10,492 4 41,968
Inap
A SDR
NANDI
Rawat
2/3/2021 835204 SONJAY 10,492 4 41,968
Inap
A. TN
EVI SITI
Rawat
2/3/2021 811994 NUR. 10,492 5 52,460
Inap
F,NY
Rawat
2/3/2021 835260 ILIM TN 10,492 2 20,984
Inap
FELCIA
Rawat
3/3/2021 835226 TJHIN, 10,492 1 10,492
Inap
AN
EVI SITI
Rawat
3/3/2021 811994 NUR. 10,492 4 41,968
Inap
F,NY
Rawat
3/3/2021 835260 ILIM TN 10,492 3 31,476
Inap
3/3/2021 UMUM 0 KIKI 10,072 1 10,072
Rizki
3/3/2021 UMUM K63 Amalia 10,492 1 10,492
Putri
 Rawat YULIN
3/3/2021 834209 10,492 1 10,492
Jalan NY
DINNY
Rawat
3/3/2021 832315 YUSTRI 10,492 4 41,968
Inap
ANI NY
ANISA
Rawat
4/3/2021 835298 FITRIA, 9,766 3 29,298
Inap
AN
EVI SITI
Rawat
4/3/2021 811994 NUR. 9,766 2 19,532
Inap
F,NY
BHARAT
Rawat JIBRIL
4/3/2021 828617 9,766 1 9,766
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 10,492 2 20,984
Inap AN
ERI
Rawat RAHMA
4/3/2021 835239 9,766 1 9,766
Inap WATI.
NY
EUIS
Rawat
5/3/2021 831017 KURAES 9,766 7 68,362
Jalan
IN.NY
Rawat SINTIA.
5/3/2021 835301 9,766 2 19,532
Inap NY
Rawat HAIKAL
5/3/2021 835274 9,766 2 19,532
Inap BY
ANISA
Rawat
5/3/2021 835298 FITRIA, 9,766 2 19,532
Inap
AN
YANI
Rawat AHMAD
5/3/2021 835303 9,766 1 9,766
Jalan RIFAI.
TN
Rawat WAWA
5/3/2021 835318 9,766 3 29,298
Inap TN
Rawat LILIS,NN
5/3/2021 835293 9,766 3 29,298
Jalan Y
Rawat HAIKAL
5/3/2021 835274 9,766 2 19,532
Inap BY
Rawat SINTIA.
5/3/2021 835301 9,766 3 29,298
Inap NY
Rawat RUKASI
5/3/2021 835322 9,766 3 29,298
Inap H. NY
Rawat
5/3/2021 806591 EEN. NY 9,766 1 9,766
Inap
 Rawat NUNUN
6/3/2021 835338 9,766 3 29,298
Inap G K, NY
Rawat
6/3/2021 806591 EEN. NY 9,766 2 19,532
Inap
Rawat WAWA
6/3/2021 835318 9,766 2 19,532
Inap TN
Rawat SINTIA.
6/3/2021 835301 9,766 4 39,064
Inap NY
LILIS
Rawat
6/3/2021 823790 SURYAN 9,766 2 19,532
Inap
I.NY
NAYLA
Rawat
6/3/2021 835311 NURASY 9,766 1 9,766
Inap
IFA AN
Rawat RUKASI
6/3/2021 835322 9,766 3 29,298
Inap H. NY
Rawat ENOS,
6/3/2021 801989 9,766 2 19,532
Inap TN
LILIS
Rawat
6/3/2021 823790 SURYAN 9,766 3 29,298
Inap
I.NY
IDA
Rawat
6/3/2021 820069 ROSIDA. 9,766 1 9,766
Jalan
NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 9,766 2 19,532
Inap
NY
ENDAN
Rawat G
7/3/2021 835339 9,766 4 39,064
Inap SETIAW
AN. TN
Rawat AWIS,
7/3/2021 816633 9,766 3 29,298
Inap NY
Rawat SUTARN
7/3/2021 810138 9,766 1 9,766
Inap A, TN
Rawat NUNUN
7/3/2021 835338 9,766 2 19,532
Inap G K, NY
Rawat
7/3/2021 806591 EEN. NY 9,766 2 19,532
Inap
TANIA
Rawat
7/3/2021 835331 MAURA 9,766 2 19,532
Inap
NISA AN
Rawat HAIKAL
7/3/2021 835274 9,766 2 19,532
Inap BY
Rawat SINTIA.
7/3/2021 835301 9,766 3 29,298
Inap NY
 LILIS
Rawat
7/3/2021 823790 SURYAN 9,766 2 19,532
Inap
I.NY
Rawat RUKASI
7/3/2021 835322 9,766 3 29,298
Inap H. NY
UJANG
Rawat
8/3/2021 820303 SUPRIA 10,492 3 31,476
Inap
TNA, TN
AHMAD
Rawat
8/3/2021 834644 SOFIAN 10,492 3 31,476
Inap
TN
Rawat SUTARN
8/3/2021 810138 9,766 1 9,766
Inap A, TN
YUNITA
Rawat NUR
8/3/2021 835353 9,766 1 9,766
Inap SOLIHA
T NY
Rawat JURAEJI
8/3/2021 827464 9,766 3 29,298
Inap N, TN
ANI
Rawat PRISTIA
8/3/2021 835354 10,492 1 10,492
Jalan WATI.
NY
Rawat ENOS,
8/3/2021 801989 10,492 1 10,492
Inap TN
TANIA
Rawat
8/3/2021 835331 MAURA 10,492 1 10,492
Inap
NISA AN
Rawat
8/3/2021 806591 EEN. NY 10,492 2 20,984
Inap
YUNITA
Rawat NUR
8/3/2021 835353 10,492 2 20,984
Inap SOLIHA
T NY
Rawat NUNUN
8/3/2021 835338 10,492 4 41,968
Inap G K, NY
SALLY
Rawat
8/3/2021 802943 ASTAVA 10,492 3 31,476
Inap
NY. NY
TITI
Rawat
9/3/2021 835391 AMINAH. 9,766 3 29,298
Inap
NY
TITA
Rawat
9/3/2021 835383 MARYAT 9,766 2 19,532
Inap
I. NY
Rawat JURAEJI
9/3/2021 827464 9,766 2 19,532
Inap N, TN
 ITI
Rawat
9/3/2021 835385 DARSITI 9,766 3 29,298
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 9,766 3 29,298
Inap
I. NY
NUNUN
G
Rawat
9/3/2021 804308 HERNA 9,766 2 19,532
Inap
WATI.
NY
Rawat AGUS,
9/3/2021 835398 9,766 4 39,064
Inap TN
AHMAD
Rawat
9/3/2021 834644 SOFIAN 9,766 2 19,532
Inap
TN
UJANG
Rawat
9/3/2021 820303 SUPRIA 9,766 2 19,532
Inap
TNA, TN
SALLY
Rawat
9/3/2021 802943 ASTAVA 9,766 3 29,298
Inap
NY. NY
Rawat IROH,
### 835400 9,766 3 29,298
Inap NY
Rawat AGUS,
### 835398 9,766 2 19,532
Inap TN
Rawat JURAEJI
### 827464 9,766 2 19,532
Inap N, TN
Rawat SUPRI.
### 835403 9,766 3 29,298
Inap TN
TITA
Rawat
### 835383 MARYAT 9,766 2 19,532
Inap
I. NY
Rawat CERI
### 835363 9,766 2 19,532
Inap LIAN AN
TITI
Rawat
### 835391 AMINAH. 9,766 2 19,532
Inap
NY
ITI
Rawat
### 835385 DARSITI 9,766 2 19,532
Inap
, NY
Pasien
### UMUM 0 9,766 2 19,532
Umum
NINING
Rawat
### 832543 RUNING 9,766 2 19,532
Inap
SIH NY
 H.
Rawat TATANG
### 831377 9,766 3 29,298
Inap TARYON
O, TN
EUIS
Rawat
### 834994 YULIANI 9,766 2 19,532
Inap
NY

Rawat YUSILA
### 834752 9,766 2 19,532
Inap WATI,NY

Rawat AGUS,
### 835398 9,766 5 48,830
Inap TN

Rawat ARSYAK
### 814127 9,766 1 9,766
Inap HA . AN

Rawat
### 835393 LIA. NY 9,766 2 19,532
Inap
ITI
Rawat
### 835385 DARSITI 9,766 3 29,298
Inap
, NY
H.
Rawat TATANG
### 831377 9,766 2 19,532
Inap TARYON
O, TN
Rawat SUPRI.
### 835403 9,766 3 29,298
Inap TN
Rawat IMAS,
### 835142 9,766 2 19,532
Inap NY
SUPRIH
Rawat
### 822113 ATIN. 9,766 3 29,298
Inap
NY
NAUFAL
Rawat DI
### 800119 10,492 3 31,476
Inap AGUSTI
N, AN
TINI
Rawat
### 835417 HARTINI 10,492 3 31,476
Inap
. NY
Rawat
### 835415 AAH, NY 9,766 3 29,298
Inap
Rawat POPI,
### 835414 9,766 3 29,298
Inap TN
H.
Rawat TATANG
### 831377 9,766 2 19,532
Inap TARYON
O, TN
Rawat
### 835393 LIA. NY 9,766 2 19,532
Inap
 NINING
Rawat
### 832543 RUNING 9,766 4 39,064
Inap
SIH NY
SUPRIH
Rawat
### 822113 ATIN. 9,766 5 48,830
Inap
NY
Rawat
### 835415 AAH, NY 9,766 2 19,532
Inap
EUIS
Rawat
### 834994 YULIANI 9,766 4 39,064
Inap
NY

ARSHAK
Rawat
### 813853 A RAMA 9,766 1 9,766
Inap
A. AN.

Rawat POPI,
### 835414 10,492 2 20,984
Inap TN
KENZIE
13/03/20 Rawat AZKA
810083 9,766 1 9,766
21 Inap FAIRUIZ.
AN
13/03/20 Rawat
835415 AAH, NY 11,250 1 11,250
21 Inap
13/03/20 Rawat FATIMA
832088 11,250 2 22,500
21 Inap H , NY
13/03/20 Rawat TASIH
835460 11,250 2 22,500
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 11,250 4 45,000
21 Inap
TN
TATI
13/03/20 Rawat
835463 WARSITI 11,250 4 45,000
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 11,250 3 33,750
21 Inap WATI,
NY
BAYU
13/03/20 Rawat
835410 ANUGE 9,766 3 29,298
21 Inap
RAH TN
13/03/20 Rawat AGUS,
835398 9,766 4 39,064
21 Inap TN
13/03/20 Rawat RUKMIN
835465 11,250 1 11,250
21 Jalan I. NY
NAUFAL
13/03/20 Rawat DI
800119 9,766 3 29,298
21 Inap AGUSTI
N, AN
13/03/20 Rawat YUSILA
834752 9,766 3 29,298
21 Inap WATI,NY

13/03/20 Rawat IMAS,

835142 9,766 1 9,766
21 Inap NY
BAYU
13/03/20 Rawat
835410 ANUGE 9,766 4 39,064
21 Inap
RAH TN
13/03/20 Rawat POPI,
835414 9,766 2 19,532
21 Inap TN
SUPRIH
13/03/20 Rawat
822113 ATIN. 9,766 5 48,830
21 Inap
NY
HAUZAN
13/03/20 Rawat IRHAB
833974 11,250 2 22,500
21 Inap NABIL,
AN
LINDA
13/03/20 Rawat
835448 LAELA. 11,250 2 22,500
21 Inap
NY
NATASY
13/03/20 Rawat A
835457 11,250 1 11,250
21 Inap ADINDA
NY
AHMAD
13/03/20 Rawat
835458 ARYA. 11,250 2 22,500
21 Inap
AN
14/03/20 Rawat TASIH
835460 11,250 2 22,500
21 Inap NY
TINI
14/03/20 Rawat
835417 HARTINI 11,250 2 22,500
21 Inap
. NY
14/03/20 Rawat FATIMA
832088 11,250 4 45,000
21 Inap H , NY
LINDA
14/03/20 Rawat
835448 LAELA. 11,250 4 45,000
21 Inap
NY
NIA
14/03/20 Rawat KURNIA
834792 11,250 4 45,000
21 Inap WATI,
NY
14/03/20 Rawat ALONA
835467 11,250 2 22,500
21 Inap AN

14/03/20 Rawat YUSILA

834752 11,250 2 22,500
21 Inap WATI,NY
 NINING
14/03/20 Rawat
832543 RUNING 11,250 2 22,500
21 Inap
SIH NY
BAYU
14/03/20 Rawat
835410 ANUGE 11,250 4 45,000
21 Inap
RAH TN
AMRIN
14/03/20 Rawat
835462 SOBANA 11,250 3 33,750
21 Inap
TN
NAUFAL
14/03/20 Rawat DI
800119 11,250 3 33,750
21 Inap AGUSTI
N, AN
SHAJEA
14/03/20 Rawat
835452 HALAA 11,250 2 22,500
21 Inap
NISA AN
SUPRIH
14/03/20 Rawat
822113 ATIN. 11,250 2 22,500
21 Inap
NY
UAR
14/03/20 Rawat
835466 WARSIT 11,250 2 22,500
21 Inap
A. TN
VIVIH
14/03/20 Rawat
834834 NOVITA 11,250 2 22,500
21 Inap
DEWI
UAR
14/03/20 Rawat
835466 WARSIT 11,250 2 22,500
21 Inap
A. TN
14/03/20 Rawat IRUM
835472 11,250 2 22,500
21 Inap NY
14/03/20 Rawat
835415 AAH, NY 11,250 2 22,500
21 Inap
15/03/20 Rawat ENES
835469 11,466 2 22,932
21 Inap NY
SUPRIH
15/03/20 Rawat
822113 ATIN. 11,466 3 34,398
21 Inap
NY
ADE
15/03/20 Rawat
835470 SUKAES 11,466 1 11,466
21 Inap
IH NY
NANA
15/03/20 Rawat
835475 TARYAN 11,466 3 34,398
21 Inap
A. TN
15/03/20 Rawat ENGKAS
835502 11,250 1 11,250
21 Jalan , NY
15/03/20 Rawat
815940 DIDI, TN. 11,466 3 34,398
21 Inap
15/03/20 Rawat WASDI,
835501 11,250 1 11,250
21 Jalan TN
NANA
15/03/20 Rawat
835475 TARYAN 11,250 1 11,250
21 Inap
A. TN
15/03/20 Rawat ALONA
835467 11,250 1 11,250
21 Inap AN
DEREL
15/03/20 Rawat DWI
835473 11,466 3 34,398
21 Inap KARISM
A AN
IIN
15/03/20 Rawat
819469 RUYANI, 11,250 3 33,750
21 Inap
NY
15/03/20 Rawat ROKAYA
835481 11,250 3 33,750
21 Inap H NY
15/03/20 Rawat
835415 AAH, NY 11,466 2 22,932
21 Inap
NUNUN
G
15/03/20 Rawat
835479 HERMA 11,250 3 33,750
21 Inap
WATI,
NY
15/03/20 Rawat FATIMA
832088 11,466 4 45,864
21 Inap H , NY
NIA
15/03/20 Rawat KURNIA
834792 11,466 3 34,398
21 Inap WATI,
NY
TITI
15/03/20 Rawat
835508 SURYAN 11,250 3 33,750
21 Inap
I NY
BAYU
15/03/20 Rawat
835410 ANUGE 11,466 4 45,864
21 Inap
RAH TN
HJ
15/03/20 Rawat
804292 CICIH. 11,466 3 34,398
21 Inap
NY
DEREL
15/03/20 Rawat DWI
835473 11,250 3 33,750
21 Inap KARISM
A AN
OMAN
15/03/20 Rawat
831629 ROHAN 11,466 1 11,466
21 Jalan
A, TN
ADE
16/03/20 Rawat
835529 ROHMA 11,466 2 22,932
21 Inap
ENI. NY
 HJ
16/03/20 Rawat
804292 CICIH. 11,466 3 34,398
21 Inap
NY
DEREL
16/03/20 Rawat DWI
835473 11,466 2 22,932
21 Inap KARISM
A AN
NANA
16/03/20 Rawat
835475 TARYAN 11,466 3 34,398
21 Inap
A. TN
IIN
16/03/20 Rawat
819469 RUYANI, 11,466 3 34,398
21 Inap
NY
16/03/20 Rawat ROKAYA
835481 11,466 2 22,932
21 Inap H NY
16/03/20 Rawat IRUM
835472 11,466 3 34,398
21 Inap NY
NUNUN
G
16/03/20 Rawat
835479 HERMA 11,466 2 22,932
21 Inap
WATI,
NY
16/03/20 Rawat FATIMA
832088 11,466 4 45,864
21 Inap H , NY
N. U.
16/03/20 Rawat
835522 UMAYA 11,466 4 45,864
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 11,466 2 22,932
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 11,466 2 22,932
21 Inap NY.
E
16/03/20 Rawat
835527 MUCHT 11,466 2 22,932
21 Inap
AR . TN
TITIN
16/03/20 Rawat
835530 MULYAT 11,466 2 22,932
21 Inap
IN NY
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 11,466 3 34,398
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat ABDILA
835532 11,466 1 11,466
21 Jalan H BY
17/03/20 Rawat ERES
835537 11,466 3 34,398
21 Inap NY
 SUPRIH
17/03/20 Rawat
822113 ATIN. 11,466 2 22,932
21 Inap
NY
17/03/20 Rawat ROKAYA
835481 11,466 3 34,398
21 Inap H NY
17/03/20 Rawat ASIR .
835538 11,466 3 34,398
21 Inap TN
NIA
17/03/20 Rawat KURNIA
834792 11,466 2 22,932
21 Inap WATI,
NY
17/03/20 Rawat IRUM
835472 11,466 2 22,932
21 Inap NY
YANA
17/03/20 Rawat
835328 GUSTIA 11,466 3 34,398
21 Inap
NA NN
E
17/03/20 Rawat
835527 MUCHT 11,466 1 11,466
21 Inap
AR . TN
N. U.
17/03/20 Rawat
835522 UMAYA 11,466 3 34,398
21 Inap
H NY
ELOM
17/03/20 Rawat SALAM
835515 11,466 2 22,932
21 Inap SUDIRM
AN TN
ADE
17/03/20 Rawat
835529 ROHMA 11,466 2 22,932
21 Inap
ENI. NY
TITIN
17/03/20 Rawat
835530 MULYAT 11,466 2 22,932
21 Inap
IN NY
17/03/20 Rawat CICIH
811043 11,466 2 22,932
21 Inap NY.
17/03/20 Rawat FATIMA
832088 11,466 4 45,864
21 Inap H , NY
DIMAS
17/03/20 Rawat
812977 ADITYA 11,466 2 22,932
21 Inap
W, AN
17/03/20 Rawat WASLI.
827069 11,466 1 11,466
21 Jalan TN
ELOM
17/03/20 Rawat SALAM
835515 11,466 1 11,466
21 Inap SUDIRM
AN TN
ENI
18/03/20 Rawat
835544 SUMAR 11,466 1 11,466
21 Jalan
NI NN
 IIN
18/03/20 Rawat
819469 RUYANI, 11,466 1 11,466
21 Inap
NY
18/03/20 Rawat ROKAYA
835481 11,466 2 22,932
21 Inap H NY
18/03/20 Rawat CICIH
811043 11,466 2 22,932
21 Inap NY.
18/03/20 Rawat
835540 PI'I .TN 11,466 1 11,466
21 Jalan
N. U.
18/03/20 Rawat
835522 UMAYA 11,466 3 34,398
21 Inap
H NY

SODIKIN
18/03/20 Rawat NOOR
835524 11,466 1 11,466
21 Inap BADRI.
TN

18/03/20 Rawat
835547 IRAH NY 11,250 3 33,750
21 Inap
ADE
18/03/20 Rawat
835529 ROHMA 11,466 2 22,932
21 Inap
ENI. NY
18/03/20 Rawat KARWA
832626 11,466 2 22,932
21 Inap TI. NY
19/03/20 Rawat ROKAYA
835481 11,466 2 22,932
21 Inap H NY
YANA
19/03/20 Rawat
835328 GUSTIA 11,466 1 11,466
21 Inap
NA NN
19/03/20 Rawat KARWA
832626 11,466 2 22,932
21 Inap TI. NY
19/03/20 Rawat
835547 IRAH NY 11,466 1 11,466
21 Inap
N. U.
19/03/20 Rawat
835522 UMAYA 11,466 3 34,398
21 Inap
H NY
19/03/20 Rawat DARYAN
835565 11,466 3 34,398
21 Inap TI. NY
RONI
19/03/20 Rawat
835563 SUPRIA 11,466 3 34,398
21 Inap
DI TN
TOHA
19/03/20 Rawat
805009 NURDIN, 11,466 3 34,398
21 Inap
TN
ADE
19/03/20 Rawat
835529 ROHMA 11,466 2 22,932
21 Inap
ENI. NY
 RONI
20/03/20 Rawat
835563 SUPRIA 11,466 2 22,932
21 Inap
DI TN
20/03/20 Rawat ROKAYA
835481 11,466 2 22,932
21 Inap H NY
TOHA
20/03/20 Rawat
805009 NURDIN, 11,466 2 22,932
21 Inap
TN
20/03/20 Rawat HIDAYA
805608 11,466 1 11,466
21 Inap T, TN
20/03/20 Rawat DARYAN
835565 11,466 2 22,932
21 Inap TI. NY
20/03/20 Rawat
807029 TUTI, NY 11,466 2 22,932
21 Inap
20/03/20 Rawat SUKAES
807749 11,466 3 34,398
21 Inap IH. NY
20/03/20 Rawat HIDAYA
805608 11,466 2 22,932
21 Inap T, TN
NERA
20/03/20 Rawat
817790 NORAW 11,466 2 22,932
21 Inap
ATI . NY
21/03/20 Rawat
807029 TUTI, NY 11,466 4 45,864
21 Inap
21/03/20 Rawat HIDAYA
805608 11,466 1 11,466
21 Inap T, TN
21/03/20 Rawat DEDEN
835586 11,466 4 45,864
21 Inap G, TN
DANA
21/03/20 Rawat
835590 SUJATN 11,466 3 34,398
21 Inap
A, TN
21/03/20 Rawat NATAN.
835591 11,466 3 34,398
21 Inap AN
N. U.
21/03/20 Rawat
835522 UMAYA 11,466 2 22,932
21 Inap
H NY
RONI
21/03/20 Rawat
835563 SUPRIA 11,466 4 45,864
21 Inap
DI TN
ENGKU
21/03/20 Rawat S
810535 11,466 5 57,330
21 Inap KUSNAD
I, TN
ENGKU
21/03/20 Rawat S
810535 11,466 3 34,398
21 Inap KUSNAD
I, TN
22/03/20 Rawat NINING
835595 11,466 3 34,398
21 Inap NY
22/03/20 Rawat FIRMAN
835613 11,250 4 45,000
21 Inap SDR
AJENG
22/03/20 Rawat
811100 KARTINI 11,250 3 33,750
21 Inap
.NY
22/03/20 Rawat NINING
835595 11,250 2 22,500
21 Inap NY

YATI
22/03/20 Rawat
835577 KURNIA 11,250 3 33,750
21 Inap
WATI NY

22/03/20 Rawat SUHEN

835596 11,250 3 33,750
21 Inap DA NY
RONI
22/03/20 Rawat
835563 SUPRIA 11,250 3 33,750
21 Inap
DI TN

MALA
22/03/20 Rawat
835594 KOMALA 11,250 2 22,500
21 Inap
SARI NY

22/03/20 Rawat NATAN.

835591 11,250 3 33,750
21 Inap AN
NUNUN
22/03/20 Rawat G
835606 11,250 3 33,750
21 Inap KOMARI
AH. NY
22/03/20 Rawat ROSIDA
835605 11,250 3 33,750
21 Inap H

MALA
22/03/20 Rawat
835594 KOMALA 11,466 3 34,398
21 Inap
SARI NY

22/03/20 Rawat PARNO,

835601 11,250 4 45,000
21 Inap TN
N. U.
22/03/20 Rawat
835522 UMAYA 11,250 2 22,500
21 Inap
H NY
GANJAR
22/03/20 Rawat
835607 HIKMAT 11,250 4 45,000
21 Inap
. TN
AJENG
23/03/20 Rawat
811100 KARTINI 11,250 0 0
21 Inap
.NY
AJENG
23/03/20 Rawat
811100 KARTINI 11,250 3 33,750
21 Inap
.NY
23/03/20 Rawat NINING
835595 11,250 2 22,500
21 Inap NY
23/03/20 Rawat NINING
835595 11,250 2 22,500
21 Inap NY
SOPIAN
23/03/20 Rawat
835608 YUDA. 11,466 2 22,932
21 Inap
SDR
ONDA
23/03/20 Rawat
835632 MUYAN 11,466 2 22,932
21 Inap
A. TN

ALRADY
A
23/03/20 Rawat MAHAB
830769 9,750 2 19,500
21 Inap BATAN
LUVINA
TIKA. AN

AAR
23/03/20 Rawat
825828 SURYAT 9,750 3 29,250
21 Inap
I.NY
RESTU
23/03/20 Rawat NANDA
826925 11,466 2 22,932
21 Inap AMELIA
. NN
EPON
23/03/20 Rawat
835622 SUKARS 9,750 2 19,500
21 Inap
IH NY
23/03/20 Rawat WANGSI
835588 11,250 1 11,250
21 Inap H, NY
FITRI
23/03/20 Rawat SARI
835624 9,750 2 19,500
21 Inap WAHYU
NI NN
23/03/20 Rawat SUHEN
835596 11,250 2 22,500
21 Inap DA NY
SOPIAN
23/03/20 Rawat
835608 YUDA. 11,250 2 22,500
21 Inap
SDR
23/03/20 Rawat DEDEN
835586 11,250 3 33,750
21 Inap G, TN
NUNUN
23/03/20 Rawat G
835606 11,250 3 33,750
21 Inap KOMARI
AH. NY
RONI
23/03/20 Rawat
835563 SUPRIA 11,250 3 33,750
21 Inap
DI TN
23/03/20 Rawat FIRMAN
835613 11,250 4 45,000
21 Inap SDR
23/03/20 Rawat PARNO,
835601 11,250 3 33,750
21 Inap TN
EPON
24/03/20 Rawat
835622 SUKARS 11,466 3 34,398
21 Inap
IH NY
AAR
24/03/20 Rawat
825828 SURYAT 11,466 3 34,398
21 Inap
I.NY
AJENG
24/03/20 Rawat
811100 KARTINI 11,466 3 34,398
21 Inap
.NY
24/03/20 Rawat RAHNI
835628 11,466 2 22,932
21 Inap NY
24/03/20 Rawat OTONG,
835633 11,466 1 11,466
21 Jalan TN
24/03/20 Rawat YATNI
835642 9,750 2 19,500
21 Inap NY
24/03/20 Rawat YUYUM
835643 9,750 3 29,250
21 Inap NY
ANISA
24/03/20 Rawat FAIHA
835644 9,750 2 19,500
21 Inap MUNAN
DAR AN

MALA
24/03/20 Rawat
835594 KOMALA 11,466 1 11,466
21 Inap
SARI NY

GANJAR
24/03/20 Rawat
835607 HIKMAT 11,466 1 11,466
21 Inap
. TN
24/03/20 Rawat NENGSI
835645 9,750 3 29,250
21 Inap H NY
SITI
24/03/20 Rawat
814501 RODIAH, 9,750 3 29,250
21 Inap
NY.
ONDA
24/03/20 Rawat
835632 MUYAN 11,466 2 22,932
21 Inap
A. TN
FITRI
24/03/20 Rawat SARI
835624 11,466 3 34,398
21 Inap WAHYU
NI NN
24/03/20 Rawat PARNO,
835601 11,466 3 34,398
21 Inap TN
RESTU
24/03/20 Rawat NANDA
826925 11,466 2 22,932
21 Inap AMELIA
. NN
 FITRI
25/03/20 Rawat SARI
835624 11,466 3 34,398
21 Inap WAHYU
NI NN
ONDA
25/03/20 Rawat
835632 MUYAN 11,466 2 22,932
21 Inap
A. TN
WOWO
25/03/20 Rawat
809923 SUGRIW 11,466 2 22,932
21 Inap
O.TN
NANI
25/03/20 Rawat
815243 MARYA 11,466 3 34,398
21 Inap
NI, NY.
DARPIT
25/03/20 Rawat
835655 ROHIDU 11,466 3 34,398
21 Inap
N. TN
HJ
25/03/20 Rawat
835648 CECEP . 11,466 3 34,398
21 Inap
TN
25/03/20 Rawat HIDAYA
835638 11,466 3 34,398
21 Inap T. TN
SAPAAT
25/03/20 Rawat NURHA
835668 11,466 3 34,398
21 Inap YATUDI
N TN
EPON
25/03/20 Rawat
835622 SUKARS 11,466 3 34,398
21 Inap
IH NY
ROSMA
25/03/20 Rawat
834926 LAWATI, 11,466 2 22,932
21 Inap
NY
TATI
25/03/20 Rawat
835664 ROSWA 11,466 2 22,932
21 Inap
TI
AAR
25/03/20 Rawat
825828 SURYAT 11,466 3 34,398
21 Inap
I.NY
25/03/20 Rawat YUYUM
835643 11,466 3 34,398
21 Inap NY
SITI
25/03/20 Rawat
814501 RODIAH, 11,466 3 34,398
21 Inap
NY.
25/03/20 Rawat YATNI
835642 11,466 3 34,398
21 Inap NY
WOWO
25/03/20 Rawat
809923 SUGRIW 9,750 3 29,250
21 Inap
O.TN
 RESTU
25/03/20 Rawat NANDA
826925 11,466 1 11,466
21 Inap AMELIA
. NN

YATI
25/03/20 Rawat
835577 KURNIA 11,466 1 11,466
21 Inap
WATI NY

AJENG
25/03/20 Rawat
811100 KARTINI 11,466 1 11,466
21 Inap
.NY

ALRADY
A
25/03/20 Rawat MAHAB
830769 11,466 2 22,932
21 Inap BATAN
LUVINA
TIKA. AN

25/03/20 Rawat HIDAYA

835638 11,466 4 45,864
21 Inap T. TN
ADE
25/03/20 Rawat
800276 SUHEN 9,750 3 29,250
21 Inap
DI, TN
ANISA
25/03/20 Rawat FAIHA
835644 11,466 2 22,932
21 Inap MUNAN
DAR AN
25/03/20 Rawat ADAH.
835518 9,750 1 9,750
21 Inap NY
DEDE
25/03/20 Rawat
835636 RAHMA 9,750 1 9,750
21 Inap
T TN
25/03/20 Rawat NENGSI
835645 9,750 2 19,500
21 Inap H NY
UJANG
25/03/20 Rawat
835617 TATANG 9,750 1 9,750
21 Inap
. TN
SOPIAN
25/03/20 Rawat
835608 YUDA. 9,750 2 19,500
21 Inap
SDR
ACU
26/03/20 Rawat
835621 SAMSU 9,750 3 29,250
21 Inap
DIN TN
26/03/20 Rawat RIFAL
835674 11,466 3 34,398
21 Inap SDR
26/03/20 Pasien
UMUM 0 11,466 2 22,932
21 Umum
 NANI
26/03/20 Rawat
815243 MARYA 11,466 3 34,398
21 Inap
NI, NY.
26/03/20 Rawat KARMID,
823943 9,750 2 19,500
21 Inap TN
HJ
26/03/20 Rawat
835648 CECEP . 11,466 4 45,864
21 Inap
TN
26/03/20 Rawat ENENG
835698 9,750 3 29,250
21 Inap NY
UJANG
26/03/20 Rawat
2816 HENDI , 9,750 3 29,250
21 Inap
TN
26/03/20 Rawat NENGSI
835645 11,466 2 22,932
21 Inap H NY
26/03/20 Rawat PARNO,
835601 9,750 1 9,750
21 Inap TN
ROSMA
26/03/20 Rawat
834926 LAWATI, 9,750 3 29,250
21 Inap
NY
EPON
26/03/20 Rawat
835622 SUKARS 9,750 3 29,250
21 Inap
IH NY
AAR
26/03/20 Rawat
825828 SURYAT 9,750 3 29,250
21 Inap
I.NY
26/03/20 Rawat YUYUM
835643 9,750 3 29,250
21 Inap NY
SITI
26/03/20 Rawat
814501 RODIAH, 9,750 2 19,500
21 Inap
NY.
SAPAAT
26/03/20 Rawat NURHA
835668 9,750 3 29,250
21 Inap YATUDI
N TN
ONDA
26/03/20 Rawat
835632 MUYAN 9,750 2 19,500
21 Inap
A. TN
ANDA
26/03/20 Rawat
834672 WIHAND 9,750 3 29,250
21 Inap
A TN
WOWO
26/03/20 Rawat
809923 SUGRIW 9,750 1 9,750
21 Inap
O.TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 9,750 2 19,500
21 Inap
N. TN
26/03/20 Rawat HIDAYA
835638 9,750 3 29,250
21 Inap T. TN
AZKA
FADILAT
26/03/20 Rawat
835649 UL 9,750 2 19,500
21 Inap
KHOIR.
AN
HJ
26/03/20 Rawat
835670 SUKARN 9,750 1 9,750
21 Inap
A TN
26/03/20 Rawat UHNAN
835689 9,750 3 29,250
21 Inap TN
ANDA
26/03/20 Rawat
834672 WIHAND 11,466 2 22,932
21 Inap
A TN
26/03/20 Rawat RUSTA,
2579 9,750 3 29,250
21 Inap TN
HJ
26/03/20 Rawat
835670 SUKARN 11,466 3 34,398
21 Inap
A TN
NYAI
26/03/20 Rawat
835676 ATIKAH 11,466 3 34,398
21 Inap
NY
ANDA
27/03/20 Rawat
834672 WIHAND 9,750 1 9,750
21 Inap
A TN
27/03/20 Rawat ENDAN
835708 9,750 3 29,250
21 Inap G TN
NANI
27/03/20 Rawat
815243 MARYA 9,750 3 29,250
21 Inap
NI, NY.
27/03/20 Rawat SUARI,
800179 9,750 1 9,750
21 Inap TN
27/03/20 Rawat UNENG,
5097 9,750 3 29,250
21 Inap NY
27/03/20 Rawat HIDAYA
835638 9,750 4 39,000
21 Inap T. TN
IMAS
27/03/20 Rawat
827623 MULYAN 9,750 3 29,250
21 Inap
I, NY
UJANG
27/03/20 Rawat
2816 HENDI , 9,750 3 29,250
21 Inap
TN
HJ
27/03/20 Rawat
835648 CECEP . 9,750 3 29,250
21 Inap
TN
27/03/20 Rawat RIFAL
835674 9,750 2 19,500
21 Inap SDR
27/03/20 Rawat WANCIH
835712 9,750 3 29,250
21 Inap NY
27/03/20 Rawat RUSTA,
811999 9,750 2 19,500
21 Inap TN
SAPAAT
27/03/20 Rawat NURHA
835668 9,750 4 39,000
21 Inap YATUDI
N TN
ACU
27/03/20 Rawat
835621 SAMSU 9,750 2 19,500
21 Inap
DIN TN
ROSMA
27/03/20 Rawat
834926 LAWATI, 9,750 3 29,250
21 Inap
NY
HJ
27/03/20 Rawat
835670 SUKARN 9,750 1 9,750
21 Inap
A TN
TOHA
28/03/20 Rawat
805009 NURDIN, 9,750 4 39,000
21 Inap
TN
28/03/20 Rawat UNENG,
5097 9,750 1 9,750
21 Inap NY
HJ
28/03/20 Rawat
835648 CECEP . 9,750 4 39,000
21 Inap
TN
IMAS
28/03/20 Rawat
827623 MULYAN 9,750 3 29,250
21 Inap
I, NY
ACU
28/03/20 Rawat
835621 SAMSU 9,750 2 19,500
21 Inap
DIN TN
WINDY
28/03/20 Rawat
835718 WIDURI. 9,750 3 29,250
21 Inap
AN
TOHA
28/03/20 Rawat
805009 NURDIN, 9,750 3 29,250
21 Inap
TN
NANI
28/03/20 Rawat
835706 NURJAN 9,750 4 39,000
21 Inap
AH. NY
UYUN
28/03/20 Rawat
835729 MULYAN 9,750 3 29,250
21 Inap
A . TN
ONDA
28/03/20 Rawat
835632 MUYAN 9,750 2 19,500
21 Inap
A. TN
28/03/20 Rawat MARYAT
803036 9,750 3 29,250
21 Inap I, NY
28/03/20 Rawat RIFAL
835674 9,750 3 29,250
21 Inap SDR
28/03/20 Rawat ENDAN
835708 9,750 3 29,250
21 Inap G TN
29/03/20 Rawat KACEN
835734 9,750 3 29,250
21 Inap G TN
29/03/20 Rawat IWAN.
835735 9,750 1 9,750
21 Inap TN
SAEPUL
29/03/20 Rawat
814700 HIDAYA 11,466 3 34,398
21 Inap
T,TN
29/03/20 Rawat WANCIH
835712 9,750 2 19,500
21 Inap NY
29/03/20 Rawat MARYAT
803036 9,750 3 29,250
21 Inap I, NY
IMAS
29/03/20 Rawat
827623 MULYAN 9,750 2 19,500
21 Inap
I, NY
ACU
29/03/20 Rawat
835621 SAMSU 11,466 2 22,932
21 Inap
DIN TN
UYUN
29/03/20 Rawat
835729 MULYAN 11,466 3 34,398
21 Inap
A . TN
29/03/20 Rawat KACEN
835734 11,466 3 34,398
21 Inap G TN
EPI
29/03/20 Rawat
834663 YULIA. 11,466 2 22,932
21 Inap
NY
29/03/20 Rawat ENDAN
835708 11,466 4 45,864
21 Inap G TN
IDA
29/03/20 Rawat
835740 BAGUS. 11,466 3 34,398
21 Inap
TN
29/03/20 Rawat AFNAN.
835737 11,466 2 22,932
21 Inap AN
UYUN
30/03/20 Rawat
835729 MULYAN 11,466 3 34,398
21 Inap
A . TN
A
30/03/20 Rawat
835751 SUTISN 11,466 2 22,932
21 Inap
A. TN
SAEFUL
30/03/20 Rawat
835220 HUDAYA 11,466 2 22,932
21 Inap
TN
IDA
30/03/20 Rawat
835740 BAGUS. 11,466 2 22,932
21 Inap
TN
 CICI
30/03/20 Rawat
835746 SUMAR 11,466 2 22,932
21 Inap
CI. NY
30/03/20 Rawat ENTIN,
835756 11,466 3 34,398
21 Inap NY
DIAH
30/03/20 Rawat
835754 SUMINA 11,466 3 34,398
21 Inap
R. NY
IMAS
30/03/20 Rawat
827623 MULYAN 11,466 2 22,932
21 Inap
I, NY
A
30/03/20 Rawat
835751 SUTISN 11,466 2 22,932
21 Inap
A. TN
30/03/20 Rawat MARYAT
803036 11,466 2 22,932
21 Inap I, NY
WINDY
30/03/20 Rawat
835718 WIDURI. 11,466 1 11,466
21 Inap
AN
NANI
30/03/20 Rawat
835706 NURJAN 11,466 4 45,864
21 Inap
AH. NY
EPI
30/03/20 Rawat
834663 YULIA. 11,466 2 22,932
21 Inap
NY
NANA
31/03/20 Rawat
835799 SURYAN 9,750 3 29,250
21 Inap
A. TN
IIS
31/03/20 Rawat
835791 DEDEH 9,750 2 19,500
21 Inap
NY
IKIN
31/03/20 Rawat
835789 SODIKIN 9,750 2 19,500
21 Inap
TN
AL
31/03/20 Rawat RAFIQ
835800 9,750 3 29,250
21 Inap RIZKI S
AN
31/03/20 Rawat RUSMIA
835801 9,750 2 19,500
21 Inap TI NY
IMAS
31/03/20 Rawat
827623 MULYAN 9,750 3 29,250
21 Inap
I, NY
VITRIA
31/03/20 Rawat FATMA
835750 9,750 2 19,500
21 Inap WATI .
NY
 FADHIL
31/03/20 Rawat
835796 AKRAM 9,750 2 19,500
21 Inap
SDR
IKIN
31/03/20 Rawat
835789 SODIKIN 9,750 1 9,750
21 Inap
TN
TITA
31/03/20 Rawat
835804 KARTIK 9,750 2 19,500
21 Inap
A .NY
EEN
31/03/20 Rawat
835797 NURAE 9,750 1 9,750
21 Jalan
NAH NY
YETI
31/03/20 Rawat
807134 MARYA 9,750 2 19,500
21 Inap
NI, NY
A
31/03/20 Rawat
835751 SUTISN 9,750 2 19,500
21 Inap
A. TN
HJ
31/03/20 Rawat
835783 NUNUN 9,750 1 9,750
21 Inap
G. NY
31/03/20 Rawat RODIAH.
810604 9,750 1 9,750
21 Inap NY
NANI
31/03/20 Rawat
835706 NURJAN 9,750 1 9,750
21 Inap
AH. NY
FADHIL
31/03/20 Rawat
835796 AKRAM 9,750 3 29,250
21 Inap
SDR
31/03/20 Rawat HILYA
835798 9,750 3 29,250
21 Inap AN
31/03/20 Rawat UNENG,
5097 9,750 3 29,250
21 Inap NY
DANIAL
Sacharin Rawat AKMAL
458 730 1/3/2021 835235 113 3 339
Tab Jalan ALFARIZ
QY AN
NAZHAN
Rawat
2/3/2021 830971 ZABIR 113 3 339
Jalan
BY
Rawat HAIKAL
3/3/2021 835274 113 2 226
Jalan BY
KANZIA
Rawat
4/3/2021 833256 NURSAL 113 3 339
Jalan
SA AN
AFNAN
Rawat
6/3/2021 830823 ALFARIZ 113 3 339
Jalan
QI BY
 Rawat HAIKAL
6/3/2021 835274 113 2 226
Inap BY
ZEAN
Rawat
8/3/2021 834769 FAQIH 113 5 565
Jalan
AN
Rawat ALENA .
8/3/2021 835356 113 3 339
Jalan AN
NANDI
Rawat
9/3/2021 835384 KRISAL 113 3 339
Jalan
AM. AN
AFNAN
Rawat
### 830823 ALFARIZ 113 3 339
Jalan
QI BY
MUHAM
Rawat AD
### 835405 113 3 339
Jalan FAFIJUL
. AN
HAIKAL
13/03/20 Rawat
835274 SIDQI 113 6 678
21 Jalan
AN
MUHAM
15/03/20 Rawat AD
835405 113 2 226
21 Jalan HAFIJUL
. AN
ZAYNA
16/03/20 Rawat
835510 ALMAHI 113 3 339
21 Jalan
RA, AN
16/03/20 Rawat HAFIZ.
834365 113 3 339
21 Jalan BY
NURAL
18/03/20 Rawat MIRA
835511 113 4 452
21 Jalan AUINI,
AN
KEYSA
18/03/20 Rawat DWI
830497 113 3 339
21 Jalan AGUSTI
N AN
FEBI
24/03/20 Rawat
828563 NURUL 113 4 452
21 Jalan
F, AN
ALIF
25/03/20 Rawat
835652 HAFID. 113 3 339
21 Jalan
BY
AZLAN
25/03/20 Rawat
835646 ZAIDAN 113 2 226
21 Jalan
BY
 Salbuta
Rawat NINING
459 732 mol 2mg 1/3/2021 835192 132 3 396
Inap NY
Tab
AFNAN
Rawat
### 830823 ALFARIZ 132 3 396
Jalan
QI BY

Sanmol Rawat MINTAR

460 739 1/3/2021 813401 468 3 1,404
forte Tab Inap SIH,NY

SITI
Rawat
1/3/2021 835233 MULYAT 468 3 1,404
Inap
I NY
Rawat NUNUN
1/3/2021 835198 468 10 4,680
Inap G, NY
MIMIN
Rawat
1/3/2021 834111 ROSMIA 468 2 936
Inap
TI.NY
Rawat HOJAEM
1/3/2021 835152 468 10 4,680
Inap I. TN
Rawat SARTAN
2/3/2021 826536 468 30 14,040
Jalan A, TN
Rawat
2/3/2021 815940 DIDI, TN. 468 3 1,404
Inap
ERI
Rawat RAHMA
2/3/2021 835239 468 3 1,404
Inap WATI.
NY
SITI
Rawat
2/3/2021 835233 MULYAT 468 3 1,404
Inap
I NY
Rawat NURJAM
2/3/2021 813400 468 8 3,744
Inap AN,TN
NANDI
Rawat
3/3/2021 835204 SONJAY 468 10 4,680
Inap
A. TN

Yana
3/3/2021 K75 468 10 4,680
Gustiana

SITI
Rawat
3/3/2021 835233 MULYAT 468 10 4,680
Inap
I NY
ENNY
Rawat
4/3/2021 825663 YUSNIT 524 21 11,004
Jalan
A, NY
WIDA
Rawat
4/3/2021 829896 WIDIAW 524 21 11,004
Jalan
ATI.NY
 Rawat ENAH
4/3/2021 835172 524 30 15,720
Jalan NY
Rawat KARNES
4/3/2021 834511 524 30 15,720
Jalan IH NY

WIWI
Rawat
4/3/2021 822334 RATNEN 524 30 15,720
Jalan
GSIH.NY

Rawat AMIR,
4/3/2021 824051 524 30 15,720
Jalan TN
Rawat ENES.
4/3/2021 835133 524 21 11,004
Jalan NY
ERI
Rawat RAHMA
4/3/2021 835239 524 2 1,048
Inap WATI.
NY
ERI
Rawat RAHMA
4/3/2021 835239 524 10 5,240
Inap WATI.
NY
RIRIE
Rawat
5/3/2021 835064 APRILIA 524 10 5,240
Jalan
NA, NY
A
Rawat HENDA
5/3/2021 813308 524 30 15,720
Jalan MULYAN
A TN.
YUNITA
Rawat NUR
8/3/2021 835353 468 4 1,872
Inap SOLIHA
T NY
Asep
19/03/20
K56 Sunanda 468 1 468
21
r
27/03/20 Rawat SUARI,
800179 468 3 1,404
21 Inap TN
MUHAM
MAD
Sanmol 17/03/20 Rawat FAEYZA
461 741 821441 34,632 1 34,632
Forte Syr 21 Inap RAJBNA
HAMIZA
N, AN
M.
27/03/20 Rawat
284 SAMSI, 34,632 1 34,632
21 Inap
AN
 AZKA
FADILAT
27/03/20 Rawat
835649 UL 34,632 1 34,632
21 Inap
KHOIR.
AN
29/03/20 Rawat ASYFA.
817285 34,632 1 34,632
21 Jalan AN
Sanmol Rawat HAINA,
462 742 1/3/2021 835228 21,157 1 21,157
Drop Inap AN
Rawat KRISYA.
4/3/2021 835286 21,588 1 21,588
Inap AN
Rawat HAIKAL
5/3/2021 835274 21,157 1 21,157
Inap BY
NAYLA
Rawat
5/3/2021 835311 NURASY 21,157 1 21,157
Inap
IFA AN

DIKA
22/03/20 Rawat ABDILLA
834546 21,157 1 21,157
21 Jalan H FATIR
BY

ZABDAN
23/03/20 Rawat KHAIRU
829894 21,157 1 21,157
21 Jalan LLOH
AN
AL
31/03/20 Rawat RAFIQ
835800 21,157 1 21,157
21 Inap RIZKI S
AN
SITI
Scopma Rawat MAEUM
463 750 4/3/2021 835284 2,960 2 5,920
tab Inap ANAH,
NY
SITI
Rawat MAEUM
5/3/2021 835284 2,960 2 5,920
Inap ANAH,
NY
Rawat ROHMI
6/3/2021 835330 2,960 10 29,600
Jalan NY
Rawat WAWA
6/3/2021 835318 2,960 2 5,920
Inap TN
Rawat RUKASI
6/3/2021 835322 2,960 2 5,920
Inap H. NY
ANISA
Rawat
7/3/2021 835324 FITRIYA 2,960 10 29,600
Inap
NI . NN
Rawat WAWA
7/3/2021 835318 2,960 2 5,920
Inap TN
 Rawat RUKASI
7/3/2021 835322 2,960 2 5,920
Inap H. NY
Rawat RUKASI
8/3/2021 835322 2,960 10 29,600
Inap H. NY
Rawat WAWA
8/3/2021 835318 2,960 10 29,600
Inap TN
YUNITA
Rawat NUR
9/3/2021 835353 2,960 10 29,600
Inap SOLIHA
T NY
Rawat NUNUN
9/3/2021 835338 2,960 10 29,600
Inap G K, NY
Rawat SUTARN
9/3/2021 810138 2,960 10 29,600
Inap A, TN
LINDA
13/03/20 Rawat
835448 LAELA. 2,960 2 5,920
21 Inap
NY
13/03/20 Rawat KULSUM
835464 2,960 10 29,600
21 Jalan . NY
LINDA
14/03/20 Rawat
835448 LAELA. 2,960 2 5,920
21 Inap
NY
POPI
14/03/20 Rawat PATHUR
835414 2,960 10 29,600
21 Inap OHMAN,
TN
14/03/20 Rawat
835415 AAH, NY 2,960 2 5,920
21 Inap
LINDA
15/03/20 Rawat
835448 LAELA. 2,960 10 29,600
21 Inap
NY
NIA
15/03/20 Rawat KURNIA
834792 2,960 3 8,880
21 Inap WATI,
NY
15/03/20 Rawat IRUM
835472 2,960 1 2,960
21 Inap NY
ENGKIN
16/03/20 Rawat
835520 G AJIS . 2,960 15 44,400
21 Jalan
TN
CUCU
16/03/20 Rawat SUSILA
835176 2,960 15 44,400
21 Jalan WATI,
NY
16/03/20 Rawat
835415 AAH, NY 2,960 10 29,600
21 Inap
 NUNUN
G
16/03/20 Rawat
835479 HERMA 2,960 3 8,880
21 Inap
WATI,
NY
16/03/20 Rawat IRUM
835472 2,960 2 5,920
21 Inap NY
16/03/20 Rawat ROKAYA
835481 2,960 2 5,920
21 Inap H NY
NIA
16/03/20 Rawat KURNIA
834792 2,960 3 8,880
21 Inap WATI,
NY
16/03/20 Rawat FATIMA
832088 2,960 2 5,920
21 Inap H , NY
17/03/20 Rawat ROKAYA
835481 2,960 2 5,920
21 Inap H NY
NIA
17/03/20 Rawat KURNIA
834792 2,960 10 29,600
21 Inap WATI,
NY
NUNUN
G
17/03/20 Rawat
835479 HERMA 2,960 10 29,600
21 Inap
WATI,
NY
N. U.
17/03/20 Rawat
835522 UMAYA 2,960 2 5,920
21 Inap
H NY
ADE
17/03/20 Rawat
835529 ROHMA 2,960 1 2,960
21 Inap
ENI. NY
17/03/20 Rawat FATIMA
832088 2,960 1 2,960
21 Inap H , NY
UJANG
25/03/20 Rawat
835617 TATANG 2,407 10 24,070
21 Inap
. TN
SOPIAN
25/03/20 Rawat
835608 YUDA. 2,407 10 24,070
21 Inap
SDR

25/03/20 Rawat ANDAR

831440 2,407 10 24,070
21 Inap WATI NY

NUNUN
25/03/20 Rawat G
835606 2,407 10 24,070
21 Inap KOMARI
AH. NY
 25/03/20 Rawat ADAH.
835518 2,407 10 24,070
21 Inap NY
FITRI
26/03/20 Rawat SARI
835624 2,960 10 29,600
21 Inap WAHYU
NI NN
27/03/20 Rawat CICIH
834278 2,960 15 44,400
21 Jalan NY
NY
27/03/20
UMUM 0 ENGKA 2,960 20 59,200
21
R/APS
YUDI
27/03/20 Rawat
819461 FIRMAN 2,960 15 44,400
21 Jalan
. TN
29/03/20 Rawat WANCIH
835712 2,407 10 24,070
21 Inap NY
30/03/20 Rawat KACEN
835734 2,960 10 29,600
21 Inap G TN
31/03/20 Rawat DAHLAN
835795 2,960 10 29,600
21 Jalan TN
NANI
31/03/20 Rawat
835706 NURJAN 2,960 10 29,600
21 Inap
AH. NY
DIAH
31/03/20 Rawat
835754 SUMINA 2,960 10 29,600
21 Inap
R. NY
YETI
31/03/20 Rawat
807134 MARYA 2,960 10 29,600
21 Inap
NI, NY
YAYA
Scopma Rawat
464 751 1/3/2021 835079 SUNARY 2,517 3 7,551
plus tab Inap
A TN
YAYA
Rawat
1/3/2021 835079 SUNARY 2,517 1 2,517
Inap
A TN
Rawat SUHARA
2/3/2021 833929 2,517 15 37,755
Jalan . TN
Rawat ENUNG.
2/3/2021 835268 2,517 15 37,755
Jalan NY
CUCU
Rawat
2/3/2021 835219 LISNAW 2,517 15 37,755
Inap
ATI NY
YEYEN
Rawat NUR
2/3/2021 827308 2,517 10 25,170
Jalan ARDIAN
TI, NN
 YAYA
Rawat
2/3/2021 835079 SUNARY 2,517 3 7,551
Inap
A TN
BUDI
Rawat
4/3/2021 835296 HIDAYA 3,312 15 49,680
Jalan
T TN

UCA
Rawat
4/3/2021 823312 BAHARU 3,312 10 33,120
Jalan
DIN. TN

NT
Rawat
4/3/2021 834700 CHOTIM 3,312 10 33,120
Jalan
AH NY
AHMAD
Rawat
5/3/2021 835179 HIDAYA 3,312 10 33,120
Jalan
T TN
AI
Rawat
5/3/2021 818735 JUARIA 3,312 10 33,120
Jalan
H, NY
NY. MS.
5/3/2021 UMUM 0 JUBAED 3,312 10 33,120
AH/APS
NY.
5/3/2021 UMUM 0 IMAS/AP 3,312 10 33,120
S
ELIS
Rawat
5/3/2021 835202 NAHRIY 3,312 10 33,120
Jalan
AH NY
ANDINI
Rawat
5/3/2021 835088 OKTAVI 3,312 10 33,120
Jalan
ANI NY
TRI
Rawat
6/3/2021 809807 YULIAN 3,312 10 33,120
Jalan
TO, TN
Rawat WATINI,
6/3/2021 835325 3,312 10 33,120
Jalan NY
TN
### UMUM APS 2,416 15 36,240
YAYA
SITI
13/03/20 Rawat MAEUM
835284 3,312 15 49,680
21 Jalan ANAH,
NY
NABILA
13/03/20 Rawat UMMU
820368 3,312 10 33,120
21 Jalan SOLIHA
T, NN
 CECEN
13/03/20 Rawat TRESNA
835450 3,312 15 49,680
21 Jalan BAROKA
H TN

DADAN
13/03/20 Rawat G
820080 3,312 10 33,120
21 Jalan HIDAYA
T. TN
MOCH
13/03/20 Rawat FAJAR
835456 3,312 15 49,680
21 Jalan ADITYA
SDR
13/03/20 Rawat
835453 AMI NY 3,312 10 33,120
21 Jalan
13/03/20 Rawat NENGS
835451 3,312 10 33,120
21 Jalan RI. NY
15/03/20 Pasien
UMUM 0 3,312 10 33,120
21 Umum
15/03/20 Pasien
UMUM 0 3,312 10 33,120
21 Umum
18/03/20 Rawat KARYAT
833203 2,517 10 25,170
21 Jalan I,NY
18/03/20 Rawat
835546 EHA NY 3,312 15 49,680
21 Jalan
18/03/20 Rawat
835453 AMI NY 3,312 15 49,680
21 Jalan
18/03/20 Rawat SACI,
804839 3,312 15 49,680
21 Jalan NY
JAJANG
18/03/20 Rawat
835545 SUHER 3,312 7 23,184
21 Jalan
MAN TN
TN
18/03/20
UMUM 0 JAJANG/ 3,312 8 26,496
21
APS
18/03/20 Rawat KARWA
832626 3,312 2 6,624
21 Inap TI. NY
18/03/20 Rawat FATIMA
832088 2,517 10 25,170
21 Inap H , NY
ADE
18/03/20 Rawat
835529 ROHMA 2,517 2 5,034
21 Inap
ENI. NY
18/03/20 Rawat KARWA
832626 2,517 2 5,034
21 Inap TI. NY
19/03/20 Rawat ROKAYA
835481 3,312 2 6,624
21 Inap H NY
 EET
20/03/20 Rawat
810617 NURHA 3,312 5 16,560
21 Jalan
ETI, NY
ENGKA
20/03/20 Rawat R
819492 3,312 10 33,120
21 Jalan KARTIK
AH . NY
NY
20/03/20
UMUM APS ENGKA 3,312 5 16,560
21
R/APS
20/03/20 Rawat JUJU,
832006 3,312 10 33,120
21 Jalan NY
NY
20/03/20
UMUM 0 ANENG 3,312 15 49,680
21
SIH/APS
WIWIN
20/03/20 Rawat
834936 WINRIA 3,312 8 26,496
21 Jalan
TI NY
NY
20/03/20
UMUM 0 WIWIN/A 3,312 7 23,184
21
PS
20/03/20 Rawat
821178 LIA, NY 3,312 15 49,680
21 Jalan
NY
20/03/20
UMUM 0 KURNIA 3,312 15 49,680
21
SIH/APS
NERA
20/03/20 Rawat
817790 NORAW 3,312 3 9,936
21 Inap
ATI . NY
NENEN
25/03/20 Rawat G
829389 3,312 16 52,992
21 Jalan HASANA
H NY
NY
25/03/20
UMUM 0 NENEN 3,312 5 16,560
21
G/APS
25/03/20 Rawat ALIMUDI
835662 3,312 15 49,680
21 Jalan N TN
TOTOM
25/03/20 Rawat
835663 AMANDI 3,312 15 49,680
21 Jalan
PRAJA
HARIS
25/03/20 Rawat
834993 RUHITA 3,312 15 49,680
21 Jalan
TN

YATI
25/03/20 Rawat
835577 KURNIA 3,312 20 66,240
21 Inap
WATI NY
 RESTU
25/03/20 Rawat NANDA
826925 3,312 15 49,680
21 Inap AMELIA
. NN
WIDA
25/03/20 Rawat
829896 WIDIAW 3,312 15 49,680
21 Jalan
ATI.NY
JAJANG
25/03/20 Rawat
835545 SUHER 3,312 10 33,120
21 Jalan
MAN TN
25/03/20
UMUM APS tn jajang 3,312 4 13,248
21
27/03/20 Rawat KARMID,
823943 2,517 15 37,755
21 Inap TN
SOPIAN
27/03/20 Rawat
835608 YUDA. 2,517 15 37,755
21 Jalan
SDR
NY
27/03/20
UMUM 0 EUIS/AP 3,312 21 69,552
21
S
EET
27/03/20 Rawat
810617 NURHA 3,312 10 33,120
21 Jalan
ETI, NY
ENGKIN
27/03/20 Rawat
835520 G AJIS . 3,312 15 49,680
21 Jalan
TN
SITI
27/03/20 Rawat
814501 RODIAH, 2,517 21 52,857
21 Inap
NY.
27/03/20 Rawat
835453 AMI NY 3,312 15 49,680
21 Jalan
YETI
30/03/20 Rawat
807134 MARYA 3,312 10 33,120
21 Jalan
NI, NY
30/03/20 Rawat
835762 USIH NY 3,312 15 49,680
21 Jalan
AGUS
30/03/20 NURJAY
UMUM 0 3,312 15 49,680
21 A
TN/APS
ASEP
30/03/20 Rawat
835201 DUDI. 3,312 15 49,680
21 Jalan
TN
ASEP
30/03/20 Rawat
835592 SOHIDIN 3,312 15 49,680
21 Jalan
TN
30/03/20 HJ
UMUM APS 3,312 5 16,560
21 EPONG
 31/03/20 Rawat AMANA
832051 3,312 10 33,120
21 Jalan H NY
ADE
31/03/20 Rawat
835733 YUNEN 3,312 10 33,120
21 Jalan
GSIH NY
YENI
31/03/20 Rawat
809193 YULIANI, 3,312 10 33,120
21 Jalan
NY
SIFA
31/03/20 Rawat SAGITA
813766 3,312 10 33,120
21 Jalan NURJAN
AH, NY
CICI
31/03/20 Rawat
835746 SUMAR 3,312 10 33,120
21 Inap
CI. NY
Selang
15/03/20 Rawat ENES
465 754 sungkup 835469 16,907 1 16,907
21 Inap NY
dws
Selang
H ODON
Sungkup Rawat
466 755 5/3/2021 833211 HAMDA 52,259 1 52,259
rebreatin Jalan
N TN
g dws
selang
sungkup E
17/03/20 Rawat
467 757 non 835527 MUCHT 36,240 1 36,240
21 Inap
rebreatin AR . TN
g dws
ELIS
18/03/20 Rawat
835539 RUKYUL 36,240 1 36,240
21 Jalan
IANI NY
20/03/20 Rawat
807029 TUTI, NY 36,240 1 36,240
21 Inap
22/03/20 Rawat UDIN.
835604 36,240 1 36,240
21 Inap TN
LILIS
Simryl 2 Rawat
468 767 6/3/2021 823790 SURYAN 6,050 1 6,050
Tab Inap
I.NY
LILIS
Rawat
8/3/2021 823790 SURYAN 6,050 5 30,250
Inap
I.NY
EBOD
13/03/20 Rawat KOMALA
814659 6,050 4 24,200
21 Jalan SARI.
NY
19/03/20 Rawat UTENG
835571 6,050 5 30,250
21 Jalan TN
 AZIS
20/03/20 Rawat RUHIAT
824516 6,050 1 6,050
21 Inap SUPRIA
TNA . TN

YATI
21/03/20 Rawat
835577 KURNIA 6,050 1 6,050
21 Inap
WATI NY

AZIS
21/03/20 Rawat RUHIAT
824516 6,050 1 6,050
21 Inap SUPRIA
TNA . TN

AZIS
23/03/20 Rawat RUHIAT
824516 6,050 5 30,250
21 Inap SUPRIA
TNA . TN

28/03/20 Rawat AISYAH,

5158 6,050 10 60,500
21 Jalan NY
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 6,050 1 6,050
21 Inap
MAN,
TN.

AZIS
30/03/20 Rawat RUHIAT
824516 6,050 30 181,500
21 Jalan SUPRIA
TNA . TN

NADIRA
Simfix Rawat RAMAD
469 768 1/3/2021 827482 107,800 1 107,800
Syr Jalan HANI.
AN

RENATA
Rawat
1/3/2021 835249 ESTABIL 107,800 1 107,800
Jalan
A. AN

CITRA
Rawat
5/3/2021 835320 SABILA 107,800 1 107,800
Jalan
AN
BHARAT
Rawat JIBRIL
5/3/2021 828617 107,800 1 107,800
Inap PRASET
YO. AN
 KEISYA
Rawat
6/3/2021 827757 ADITIA, 107,800 1 107,800
Jalan
AN
ANISA
Rawat
6/3/2021 835298 FITRIA, 107,800 1 107,800
Inap
AN

Simvasta
Rawat HOJAEM
470 769 tin 10mg 1/3/2021 835152 754 10 7,540
Inap I. TN
tab

TN. MS
18/03/20
UMUM 0 AFENDI/ 754 60 45,240
21
APS
18/03/20 Rawat
806813 IPIN, TN 754 20 15,080
21 Jalan
19/03/20 Rawat ROKAYA
835481 754 2 1,508
21 Inap H NY
EUIS
20/03/20 Rawat NURLAE
801391 754 60 45,240
21 Jalan LASARI,
NY
20/03/20 Rawat UMAS.
829961 754 30 22,620
21 Jalan NY
EBOD
20/03/20 Rawat KOMALA
814659 754 30 22,620
21 Jalan SARI.
NY
NY
20/03/20
UMUM 0 UMAS/A 754 30 22,620
21
PS
NY
20/03/20
UMUM 0 ANENG 754 60 45,240
21
SIH/APS
20/03/20 Rawat ANAH
835474 754 14 10,556
21 Jalan NY
21/03/20 Rawat ROKAYA
835481 754 20 15,080
21 Inap H NY

Simvasta IYAN
Rawat
471 770 tin 20mg 1/3/2021 810553 MARYA 1,540 5 7,700
Inap
tab NI,NY

Rawat SUHARA
2/3/2021 833929 1,540 7 10,780
Jalan . TN
Rawat KENI,
2/3/2021 821737 1,540 30 46,200
Jalan NY
TN
2/3/2021 UMUM 0 DIDI 1,478 30 44,340
/APS
 ROKASI
Rawat H,
4/3/2021 812376 1,539 30 46,170
Jalan S.PD
.NY
SITI
Rawat
4/3/2021 834698 SAIDAH 1,539 10 15,390
Jalan
NY
ny siti
4/3/2021 UMUM 0 1,539 20 30,780
saidah
PEPEN
Rawat EDI
4/3/2021 802366 1,539 30 46,170
Jalan JUANDI,
TN
Rawat
4/3/2021 832776 TATI NY 1,539 30 46,170
Jalan
Rawat AMIR,
4/3/2021 824051 1,539 7 10,773
Jalan TN
NT
Rawat
4/3/2021 834700 CHOTIM 1,539 15 23,085
Jalan
AH NY
5/3/2021 UMUM APS ny euus 1,478 30 44,340
N.MS.
Rawat
5/3/2021 835200 DJUBAE 1,540 30 46,200
Jalan
DAH
Rawat IMAS,
5/3/2021 835142 1,540 7 10,780
Jalan NY
ADE
Rawat
5/3/2021 817763 JUARIA 1,540 30 46,200
Jalan
H.NY
Rawat
6/3/2021 806591 EEN. NY 1,540 1 1,540
Inap
Pasien
6/3/2021 UMUM 0 1,509 10 15,090
Umum
Rawat TAJUDI
9/3/2021 824678 1,539 10 15,390
Jalan N, TN
TN
9/3/2021 UMUM APS ENGKO 1,539 30 46,170
S
AYEP
Rawat
9/3/2021 835144 SURYAN 1,539 30 46,170
Jalan
A. TN
Rawat SOLIHA
9/3/2021 826317 1,539 30 46,170
Jalan H, NY
ANI
Rawat
9/3/2021 824207 ANINGSI 1,539 15 23,085
Jalan
H . NY
 NY AN
9/3/2021 UMUM 0 ANENG 1,539 15 23,085
SIH/APS
NY
9/3/2021 UMUM 0 ONIH/AP 1,539 30 46,170
S
IMAS
Rawat
9/3/2021 833308 SRIANI 1,539 30 46,170
Jalan
NY
Rawat ENIR.
9/3/2021 834610 1,539 30 46,170
Jalan NY
UUN
Rawat
9/3/2021 835337 UNASIH, 1,539 7 10,773
Jalan
NY
Rawat
9/3/2021 830855 ISAH NY 1,539 30 46,170
Jalan
H.
Rawat TATANG
### 831377 1,539 1 1,539
Inap TARYON
O, TN
Rawat IROH,
### 835400 1,539 1 1,539
Inap NY
H.
Rawat TATANG
### 831377 1,539 1 1,539
Inap TARYON
O, TN

WIWI
Rawat
### 822334 RATNEN 1,539 30 46,170
Jalan
GSIH.NY

SURYAN
Rawat
### 835297 INGSIH 1,539 20 30,780
Jalan
NY
Rawat IROH,
### 835400 1,539 7 10,773
Inap NY
H.
Rawat TATANG
### 831377 1,539 10 15,390
Inap TARYON
O, TN
13/03/20 Rawat SAFRUD
824904 1,539 30 46,170
21 Jalan IN, TN
13/03/20 Rawat ELIA ,
826600 1,539 30 46,170
21 Jalan NY
DEDE
13/03/20 Rawat
824353 RUHYA 1,539 30 46,170
21 Jalan
NA. TN
 EUIS
MINTAR
13/03/20 Rawat
831596 SIH BT 1,539 30 46,170
21 Jalan
MIMID R
, NY
ENNY
13/03/20 Rawat
825663 YUSNIT 1,539 15 23,085
21 Jalan
A, NY
13/03/20 NY
UMUM APS 1,539 15 23,085
21 ENNY
NY
13/03/20
UMUM APS ROKASA 1,539 30 46,170
21
H
ASIH
13/03/20 Rawat
815472 SUNARS 1,539 7 10,773
21 Jalan
IH,NY
13/03/20 Rawat AMIR,
824051 1,539 30 46,170
21 Jalan TN
13/03/20
UMUM APS NY TATI 1,539 30 46,170
21
VIVIH
14/03/20 Rawat
834834 NOVITA 1,539 10 15,390
21 Inap
DEWI
16/03/20 HJ SITI
UMUM APS 1,539 30 46,170
21 SOPIAH
DRS,
16/03/20 Rawat NANA
820372 1,539 7 10,773
21 Jalan MULYAN
A, TN
SOPIAH
16/03/20 Rawat MULYAN
820148 1,539 7 10,773
21 Jalan INGSIH,
NY
DOYOK
16/03/20 Rawat
817864 DARSO 1,539 7 10,773
21 Jalan
NO.TN
NT
16/03/20 Rawat
834700 CHOTIM 1,539 7 10,773
21 Jalan
AH NY
UUN
16/03/20 Rawat
835337 UNASIH, 1,539 30 46,170
21 Jalan
NY
17/03/20 Rawat ROKAYA
835481 1,539 1 1,539
21 Inap H NY
NANA
17/03/20 Rawat
835475 TARYAN 1,539 5 7,695
21 Inap
A. TN
 NUNUN
G
17/03/20 Rawat
835479 HERMA 1,539 5 7,695
21 Inap
WATI,
NY
18/03/20 Rawat ROKAYA
835481 1,539 1 1,539
21 Inap H NY
18/03/20 Rawat IROH,
835400 1,539 3 4,617
21 Jalan NY
20/03/20 Rawat HIDAYA
805608 1,539 1 1,539
21 Inap T, TN
20/03/20 Rawat HIDAYA
805608 1,539 1 1,539
21 Inap T, TN
21/03/20 Rawat HIDAYA
805608 1,539 1 1,539
21 Inap T, TN
22/03/20 Rawat NINING
835595 1,540 1 1,540
21 Inap NY

YATI
22/03/20 Rawat
835577 KURNIA 1,540 1 1,540
21 Inap
WATI NY

23/03/20 Rawat NINING

835595 1,540 1 1,540
21 Inap NY
ONDA
23/03/20 Rawat
835632 MUYAN 1,539 1 1,539
21 Inap
A. TN
EEM
23/03/20 Rawat
831825 SUKAE 1,540 15 23,100
21 Jalan
MI. NY
NY EEM
23/03/20
UMUM APS SUKAE 1,478 15 22,170
21
MI
N
23/03/20 Rawat
835523 ATIKAH 1,540 7 10,780
21 Jalan
NY
IYAN
23/03/20 Rawat
834818 MULYAN 1,540 7 10,780
21 Jalan
A TN

MALA
23/03/20 Rawat
835594 KOMALA 1,540 1 1,540
21 Inap
SARI NY

23/03/20 Rawat JURAEJI

827464 1,539 15 23,085
21 Jalan N, TN
23/03/20 Rawat ROSIDA
835605 1,540 5 7,700
21 Inap H
 TN
23/03/20
UMUM APS JURAEJI 1,539 7 10,773
21
N
NUNUN
23/03/20 Rawat G
835606 1,540 1 1,540
21 Inap KOMARI
AH. NY
23/03/20 Rawat ADAH.
835518 1,539 1 1,539
21 Inap NY

YATI
24/03/20 Rawat
835577 KURNIA 1,540 1 1,540
21 Inap
WATI NY

MALA
24/03/20 Rawat
835594 KOMALA 1,539 5 7,695
21 Inap
SARI NY

ONDA
24/03/20 Rawat
835632 MUYAN 1,540 1 1,540
21 Inap
A. TN
24/03/20 Rawat NINING
835595 1,540 5 7,700
21 Inap NY
NUNUN
24/03/20 Rawat G
835606 1,540 1 1,540
21 Inap KOMARI
AH. NY
24/03/20 Rawat ADAH.
835518 1,540 1 1,540
21 Inap NY
NUNUN
25/03/20 Rawat G
835606 1,540 5 7,700
21 Inap KOMARI
AH. NY
25/03/20 Rawat DARMA
831775 1,539 25 38,475
21 Jalan N.TN
KARTINI
25/03/20 Rawat DANUMI
832778 1,539 15 23,085
21 Jalan HARDJA
NY
NY
25/03/20
UMUM 0 KARTINI 1,539 10 15,390
21
/APS
ONDA
25/03/20 Rawat
835632 MUYAN 1,539 1 1,539
21 Inap
A. TN
DRS,
25/03/20 Rawat NANA
820372 1,539 30 46,170
21 Jalan MULYAN
A, TN
 YATI
25/03/20 Rawat
835577 KURNIA 1,539 1 1,539
21 Inap
WATI NY

YATI
25/03/20 Rawat
835577 KURNIA 1,539 7 10,773
21 Inap
WATI NY

25/03/20 Rawat ADAH.

835518 1,540 5 7,700
21 Inap NY
25/03/20 Rawat KARSIH
831386 1,540 5 7,700
21 Inap NY
25/03/20
UMUM APS tn solih 1,539 30 46,170
21
MIMIN
25/03/20 Rawat
810395 MINTAR 1,539 10 15,390
21 Jalan
SIH,NY
25/03/20
UMUM APS ny mimin 1,539 20 30,780
21
25/03/20 Rawat SUMYAT
816459 1,539 20 30,780
21 Jalan I, NY
NY
25/03/20
UMUM 0 SUMYAT 1,539 10 15,390
21
I/APS
NANI
26/03/20 Rawat
815243 MARYA 1,539 1 1,539
21 Inap
NI, NY.
SITI
26/03/20 Rawat
814501 RODIAH, 1,540 1 1,540
21 Inap
NY.
ONDA
26/03/20 Rawat
835632 MUYAN 1,540 1 1,540
21 Inap
A. TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 1,540 1 1,540
21 Inap
N. TN
26/03/20 Pasien
UMUM 0 1,478 10 14,780
21 Umum
TATI
26/03/20 Rawat
835664 ROSWA 1,540 1 1,540
21 Inap
TI
27/03/20 Rawat NANA
835575 1,540 15 23,100
21 Jalan JONI TN
NANA
27/03/20
UMUM 0 JONI 1,478 15 22,170
21
TN/APS
 NANI
27/03/20 Rawat
815243 MARYA 1,540 1 1,540
21 Inap
NI, NY.
ONDA
27/03/20 Rawat
835632 MUYAN 1,540 1 1,540
21 Inap
A. TN
TATI
27/03/20 Rawat
835664 ROSWA 1,540 1 1,540
21 Inap
TI
NY
27/03/20
UMUM 0 ANAH/A 1,478 30 44,340
21
PS
DARPIT
27/03/20 Rawat
835655 ROHIDU 1,540 1 1,540
21 Inap
N. TN
TN
27/03/20
UMUM 0 HENDI/A 1,478 30 44,340
21
PS
ACU
27/03/20 Rawat
835621 SAMSU 1,540 1 1,540
21 Inap
DIN TN
27/03/20 Rawat ROKAYA
835481 1,540 30 46,200
21 Jalan H NY
28/03/20 Rawat YUYUM
835675 1,540 1 1,540
21 Inap NY
TATI
28/03/20 Rawat
835664 ROSWA 1,540 1 1,540
21 Inap
TI
ACU
28/03/20 Rawat
835621 SAMSU 1,540 1 1,540
21 Inap
DIN TN
DARPIT
28/03/20 Rawat
835655 ROHIDU 1,540 10 15,400
21 Inap
N. TN
ONDA
28/03/20 Rawat
835632 MUYAN 1,540 10 15,400
21 Inap
A. TN
29/03/20 Rawat YUYUM
835675 1,540 5 7,700
21 Inap NY
29/03/20 Rawat SUARI,
800179 1,540 5 7,700
21 Inap TN
TATI
29/03/20 Rawat
835664 ROSWA 1,539 5 7,695
21 Inap
TI
ACU
29/03/20 Rawat
835621 SAMSU 1,539 1 1,539
21 Inap
DIN TN
 NINING
30/03/20 Rawat
832543 RUNING 1,539 10 15,390
21 Jalan
SIH NY
30/03/20 NY
UMUM APS 1,539 20 30,780
21 NINING
ACU
30/03/20 Rawat
835621 SAMSU 1,539 5 7,695
21 Inap
DIN TN
HJ
30/03/20 Rawat
835648 CECEP . 1,539 1 1,539
21 Inap
TN
JUJU
30/03/20 Rawat
835626 JUANI.N 1,539 14 21,546
21 Jalan
Y
30/03/20 Rawat ROSIDA
835605 1,539 7 10,773
21 Jalan H
YUDI
30/03/20 Rawat
835623 PRAYO 1,539 7 10,773
21 Jalan
GA.TN
SITI
30/03/20 Rawat
834698 SAIDAH 1,539 30 46,170
21 Jalan
NY

AZIS
30/03/20 Rawat RUHIAT
824516 1,539 30 46,170
21 Jalan SUPRIA
TNA . TN

30/03/20 Rawat
832776 TATI NY 1,539 18 27,702
21 Jalan
30/03/20 TATI
UMUM 0 1,539 12 18,468
21 NY/APS
30/03/20 Rawat ROSINA
824275 1,539 30 46,170
21 Jalan H . NY
N
30/03/20
UMUM APS ATIKAH, 1,539 30 46,170
21
NY
30/03/20 Rawat NINING
835595 1,539 10 15,390
21 Jalan NY
30/03/20 NY
UMUM APS 1,539 20 30,780
21 NINING
IMAS
31/03/20 Rawat
827623 MULYAN 1,539 1 1,539
21 Inap
I, NY
HJ
31/03/20 Rawat
835648 CECEP . 1,539 5 7,695
21 Inap
TN
 DIAH
31/03/20 Rawat
835754 SUMINA 1,539 5 7,695
21 Inap
R. NY
SPALK FELCIA
Rawat
472 776 INFUS 1/3/2021 835226 TJHIN, 29,371 1 29,371
Inap
ANAK AN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 29,371 1 29,371
Inap US
SHANU
M AN
ANISA
Rawat
4/3/2021 835298 FITRIA, 29,371 1 29,371
Inap
AN
BHARAT
Rawat JIBRIL
4/3/2021 828617 29,371 1 29,371
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 29,371 1 29,371
Inap AN
Rawat HAIKAL
5/3/2021 835274 29,371 1 29,371
Inap BY
TANIA
Rawat
6/3/2021 835331 MAURA 29,371 1 29,371
Inap
NISA AN
Rawat CERI
8/3/2021 835363 29,371 1 29,371
Inap LIAN AN

ARSHAK
Rawat
### 813853 A RAMA 29,371 1 29,371
Inap
A. AN.

KENZIE
Rawat AZKA
### 810083 6,100 1 6,100
Inap FAIRUIZ.
AN
HAUZAN
13/03/20 Rawat IRHAB
833974 6,100 1 6,100
21 Inap NABIL,
AN
14/03/20 Rawat ALONA
835467 6,100 1 6,100
21 Inap AN
17/03/20 Rawat ABDILA
835532 6,100 1 6,100
21 Jalan H BY
 MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 6,100 1 6,100
21 Inap RAJBNA
HAMIZA
N, AN
21/03/20 Rawat NATAN.
835591 6,100 1 6,100
21 Inap AN
KELVIN
22/03/20 Rawat
835597 JULIANT 6,100 1 6,100
21 Inap
ARA BY

ALRADY
A
23/03/20 Rawat MAHAB
830769 6,100 1 6,100
21 Inap BATAN
LUVINA
TIKA. AN

M.
27/03/20 Rawat
284 SAMSI, 6,100 1 6,100
21 Inap
AN
29/03/20 Rawat AFNAN.
835737 6,100 1 6,100
21 Inap AN
Spasmin 15/03/20 A
473 777 UMUM 0 800 10 8,000
al Tab 21 AGUNG
DEDEH
23/03/20 Rawat
826441 KURNIA 800 10 8,000
21 Jalan
SIH NY
ACU
23/03/20 Rawat
835621 SAMSU 800 15 12,000
21 Jalan
DIN TN
LINDA
23/03/20 Rawat
835448 LAELA. 800 10 8,000
21 Jalan
NY
ENGKIN
23/03/20 Rawat
835520 G AJIS . 800 10 8,000
21 Jalan
TN
RESTU
24/03/20 Rawat NANDA
826925 800 2 1,600
21 Inap AMELIA
. NN
Spirolact
on Rawat IROH,
474 779 ### 835400 2,452 2 4,904
100mg Inap NY
Tab
16/03/20 Rawat NUNUN
835338 2,452 4 9,808
21 Jalan G K, NY
 ENI
16/03/20 Rawat
835513 SUKMA 2,452 2 4,904
21 Jalan
ENI. NY
18/03/20 Rawat IROH,
835400 2,452 3 7,356
21 Jalan NY

Spironol
Rawat IROH,
475 781 actone ### 835400 458 1 458
Inap NY
tab 25mg

21/03/20 Rawat SUKAES

807749 458 1 458
21 Inap IH. NY
JUJU
23/03/20 Rawat
835626 JUANI.N 552 1 552
21 Inap
Y
23/03/20 Rawat ADAH.
835518 552 1 552
21 Inap NY
JUJU
24/03/20 Rawat
835626 JUANI.N 552 1 552
21 Inap
Y
JUJU
24/03/20 Rawat
835626 JUANI.N 552 10 5,520
21 Inap
Y
24/03/20 Rawat ADAH.
835518 552 1 552
21 Inap NY
25/03/20 Rawat ADAH.
835518 552 5 2,760
21 Inap NY
25/03/20 Rawat SOLIH.
828739 552 30 16,560
21 Jalan TN
25/03/20 Rawat
835659 YATI. NY 552 7 3,864
21 Jalan
27/03/20 Rawat
815940 DIDI, TN. 552 7 3,864
21 Jalan
ASMAR
27/03/20 Rawat
835702 YANTI.N 552 7 3,864
21 Jalan
Y
27/03/20 Rawat ANAH,
824473 552 30 16,560
21 Jalan NY
SITI
27/03/20 Rawat
835704 RODIAH. 552 1 552
21 Inap
NY
TATI
27/03/20 Rawat
835664 ROSWA 552 1 552
21 Inap
TI
SITI
28/03/20 Rawat
835704 RODIAH. 552 1 552
21 Inap
NY
 TATI
28/03/20 Rawat
835664 ROSWA 552 1 552
21 Inap
TI
28/03/20 Rawat
835659 YATI. NY 552 1 552
21 Inap
TATI
29/03/20 Rawat
835664 ROSWA 552 5 2,760
21 Inap
TI
SITI
29/03/20 Rawat
835704 RODIAH. 552 1 552
21 Inap
NY
30/03/20 Rawat RODIAH.
810604 552 1 552
21 Inap NY
SITI
30/03/20 Rawat
835704 RODIAH. 552 1 552
21 Inap
NY
SITI
31/03/20 Rawat
835704 RODIAH. 552 5 2,760
21 Inap
NY
31/03/20 Rawat RODIAH.
810604 552 1 552
21 Inap NY
Spironol
actone Rawat UNENG,
476 782 4/3/2021 5097 1,396 8 11,168
tab Jalan NY
100mg
Rawat ENIR.
9/3/2021 834610 1,396 8 11,168
Jalan NY
Rawat
9/3/2021 830855 ISAH NY 1,396 8 11,168
Jalan
EPON
13/03/20 Rawat
833133 ROHAY 1,396 8 11,168
21 Jalan
ATI NY
OMAN
13/03/20 Rawat
831629 ROHAN 1,396 8 11,168
21 Jalan
A, TN
13/03/20 Rawat ROKASA
811153 1,396 8 11,168
21 Jalan H, NY
M
13/03/20 Rawat
835454 UHING 1,396 2 2,792
21 Jalan
TN
20/03/20 Rawat
815940 DIDI, TN. 1,396 3 4,188
21 Jalan
CUCU
Spuit Rawat
477 784 1/3/2021 835219 LISNAW 1,153 1 1,153
10cc Inap
ATI NY
ONENG
Rawat
1/3/2021 832859 ROKAE 1,175 1 1,175
Inap
NAH. NY
 Rawat HERYAD
1/3/2021 820597 1,153 1 1,153
Inap I, TN
FELCIA
Rawat
1/3/2021 835226 TJHIN, 1,175 1 1,175
Inap
AN
Rawat HAINA,
1/3/2021 835228 1,175 1 1,175
Inap AN
SAEFUL
Rawat
1/3/2021 835220 HUDAYA 1,153 2 2,306
Inap
TN
NANDI
Rawat
1/3/2021 835204 SONJAY 1,153 1 1,153
Inap
A. TN
Rawat
1/3/2021 835230 ANI. NY 1,175 1 1,175
Jalan
Rawat RISNA
1/3/2021 835175 1,153 1 1,153
Inap SDR
YAYA
Rawat
1/3/2021 835079 SUNARY 1,153 1 1,153
Inap
A TN
Rawat KANAR
1/3/2021 835231 1,175 1 1,175
Inap TN
ERI
Rawat RAHMA
1/3/2021 835239 1,153 1 1,153
Inap WATI.
NY

SUSI
Rawat
1/3/2021 835194 SUSILA 1,175 1 1,175
Inap
WATI NY

Rawat KARWIN
1/3/2021 835217 1,153 8 9,224
Jalan AH NY
Rawat NUNUN
1/3/2021 835198 1,153 1 1,153
Inap G, NY
Rawat NINING
1/3/2021 835192 1,153 1 1,153
Inap NY
EUIS
Rawat
1/3/2021 834994 YULIANI 1,153 2 2,306
Inap
NY
Rawat JUANGS
1/3/2021 808907 1,153 2 2,306
Inap IH, NY
Rawat JUANGS
1/3/2021 808907 1,153 1 1,153
Inap IH, NY
YAYA
Rawat
1/3/2021 835079 SUNARY 1,153 1 1,153
Inap
A TN
Rawat RISNA
1/3/2021 835175 1,153 1 1,153
Inap SDR
 NANDI
Rawat
1/3/2021 835204 SONJAY 1,153 2 2,306
Inap
A. TN
Rawat ISAM.
1/3/2021 819105 1,153 2 2,306
Inap NY
CUCU
Rawat
2/3/2021 835219 LISNAW 1,153 1 1,153
Inap
ATI NY
Rawat ISAM.
2/3/2021 819105 1,153 2 2,306
Inap NY
Rawat
2/3/2021 815940 DIDI, TN. 1,153 1 1,153
Inap
ERI
Rawat RAHMA
2/3/2021 835239 1,153 1 1,153
Inap WATI.
NY
Rawat JUANGS
2/3/2021 808907 1,153 2 2,306
Inap IH, NY
EUIS
Rawat
2/3/2021 834994 YULIANI 1,153 2 2,306
Inap
NY
FELCIA
Rawat
2/3/2021 835226 TJHIN, 1,153 1 1,153
Inap
AN
Rawat KARMO
2/3/2021 835236 1,153 1 1,153
Inap TN
YAYA
Rawat
2/3/2021 835079 SUNARY 1,153 1 1,153
Inap
A TN
ZAHRA
Rawat
2/3/2021 835251 DEWANI 1,153 4 4,612
Jalan
NY
NANDI
Rawat
2/3/2021 835204 SONJAY 1,153 1 1,153
Inap
A. TN
EVI SITI
Rawat
2/3/2021 811994 NUR. 1,153 1 1,153
Inap
F,NY
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 1,153 2 2,306
Inap US
SHANU
M AN
Rawat
2/3/2021 835260 ILIM TN 1,153 1 1,153
Inap
 MISHAE
LA
Rawat HADYAT
3/3/2021 835253 1,153 1 1,153
Inap US
SHANU
M AN
FELCIA
Rawat
3/3/2021 835226 TJHIN, 1,153 1 1,153
Inap
AN
EUIS
Rawat
3/3/2021 834994 YULIANI 1,153 2 2,306
Inap
NY
ERI
Rawat RAHMA
3/3/2021 835239 1,153 1 1,153
Inap WATI.
NY
Rawat KARMO
3/3/2021 835236 1,153 2 2,306
Inap TN
EVI SITI
Rawat
3/3/2021 811994 NUR. 1,153 1 1,153
Inap
F,NY
Rawat
3/3/2021 835260 ILIM TN 1,153 1 1,153
Inap
3/3/2021 UMUM 0 KIKI 1,153 1 1,153
SITI
Rawat MAEUM
3/3/2021 835284 1,153 2 2,306
Inap ANAH,
NY
Rawat JUANGS
3/3/2021 808907 1,153 1 1,153
Inap IH, NY
Rawat KARMO
4/3/2021 835236 1,175 2 2,350
Inap TN
ANISA
Rawat
4/3/2021 835298 FITRIA, 1,175 1 1,175
Inap
AN
MISHAE
LA
Rawat HADYAT
4/3/2021 835253 1,175 1 1,175
Inap US
SHANU
M AN

BHARAT
Rawat JIBRIL
4/3/2021 828617 1,175 2 2,350
Inap PRASET
YO. AN
Rawat LILIS,NN
4/3/2021 835293 1,175 4 4,700
Jalan Y
 BHARAT
Rawat JIBRIL
4/3/2021 828617 1,153 2 2,306
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 1,153 2 2,306
Inap AN
SITI
Rawat MAEUM
4/3/2021 835284 1,175 2 2,350
Inap ANAH,
NY
Rawat SINTIA.
5/3/2021 835301 1,175 1 1,175
Inap NY
Rawat HAIKAL
5/3/2021 835274 1,175 2 2,350
Inap BY
ANISA
Rawat
5/3/2021 835298 FITRIA, 1,175 1 1,175
Inap
AN
MISHAE
LA
Rawat HADYAT
5/3/2021 835253 1,175 1 1,175
Inap US
SHANU
M AN
Rawat WAWA
5/3/2021 835318 1,175 1 1,175
Inap TN
Rawat HAIKAL
5/3/2021 835274 1,175 2 2,350
Inap BY
SITI
Rawat MAEUM
5/3/2021 835284 1,175 2 2,350
Inap ANAH,
NY
NAYLA
Rawat
5/3/2021 835311 NURASY 1,175 1 1,175
Inap
IFA AN
Rawat RUKASI
5/3/2021 835322 1,175 1 1,175
Inap H. NY
EUIS
Rawat
5/3/2021 831017 KURAES 1,175 6 7,050
Jalan
IN.NY
Rawat
5/3/2021 806591 EEN. NY 1,175 1 1,175
Inap
Rawat NUNUN
6/3/2021 835338 1,240 1 1,240
Inap G K, NY
Rawat
6/3/2021 806591 EEN. NY 1,175 1 1,175
Inap
Rawat WAWA
6/3/2021 835318 1,175 1 1,175
Inap TN
 Rawat SINTIA.
6/3/2021 835301 1,175 1 1,175
Inap NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 1,175 1 1,175
Inap
NI . NN
MISHAE
LA
Rawat HADYAT
6/3/2021 835253 1,175 1 1,175
Inap US
SHANU
M AN
Rawat HAIKAL
6/3/2021 835274 1,175 2 2,350
Inap BY
LILIS
Rawat
6/3/2021 823790 SURYAN 1,175 3 3,525
Inap
I.NY
Rawat RUKASI
6/3/2021 835322 1,175 1 1,175
Inap H. NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 1,175 1 1,175
Inap
NI . NN
Rawat ENOS,
6/3/2021 801989 1,240 2 2,480
Inap TN
LILIS
Rawat
6/3/2021 823790 SURYAN 1,175 1 1,175
Inap
I.NY
IDA
Rawat
6/3/2021 820069 ROSIDA. 1,240 1 1,240
Jalan
NY
ENDAN
Rawat G
7/3/2021 835339 1,240 1 1,240
Inap SETIAW
AN. TN
Rawat ENOS,
7/3/2021 801989 1,240 2 2,480
Inap TN
APRILIA
Rawat
7/3/2021 801710 YUNITA, 1,240 2 2,480
Inap
NY
ENDAN
Rawat G
7/3/2021 835339 1,240 2 2,480
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 1,240 2 2,480
Inap A, TN
Rawat NUNUN
7/3/2021 835338 1,240 1 1,240
Inap G K, NY
Rawat
7/3/2021 806591 EEN. NY 1,240 1 1,240
Inap
 TANIA
Rawat
7/3/2021 835331 MAURA 1,240 1 1,240
Inap
NISA AN
Rawat HAIKAL
7/3/2021 835274 1,240 1 1,240
Inap BY
Rawat WAWA
7/3/2021 835318 1,240 2 2,480
Inap TN
Rawat ENOS,
7/3/2021 801989 1,240 2 2,480
Inap TN
Rawat SUTARN
7/3/2021 810138 1,240 2 2,480
Inap A, TN
Rawat SINTIA.
7/3/2021 835301 1,240 1 1,240
Inap NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 1,240 2 2,480
Inap
NY
LILIS
Rawat
7/3/2021 823790 SURYAN 1,240 2 2,480
Inap
I.NY
Rawat RUKASI
7/3/2021 835322 1,240 1 1,240
Inap H. NY
DIAH
Rawat YAYAH
7/3/2021 835340 1,240 1 1,240
Inap ROKAYA
H. NY
H.
Rawat
7/3/2021 820643 SYUKUR 1,240 1 1,240
Jalan
, TN
UJANG
Rawat
8/3/2021 820303 SUPRIA 1,240 1 1,240
Inap
TNA, TN
AHMAD
Rawat
8/3/2021 834644 SOFIAN 1,240 1 1,240
Inap
TN
Rawat SUTARN
8/3/2021 810138 1,240 2 2,480
Inap A, TN
Rawat NEHAN.
8/3/2021 835360 1,240 1 1,240
Jalan TN
YUNITA
Rawat NUR
8/3/2021 835353 1,240 1 1,240
Inap SOLIHA
T NY
Rawat CERI
8/3/2021 835363 1,240 2 2,480
Inap LIAN AN
Rawat SUTARN
8/3/2021 810138 1,240 2 2,480
Inap A, TN
Rawat
8/3/2021 806591 EEN. NY 1,240 1 1,240
Inap
 Rawat AWIS,
8/3/2021 816633 1,240 1 1,240
Inap NY
YUNITA
Rawat NUR
8/3/2021 835353 1,240 1 1,240
Inap SOLIHA
T NY
Rawat NUNUN
8/3/2021 835338 1,240 1 1,240
Inap G K, NY
NUNUN
G
Rawat
8/3/2021 804308 HERNA 1,240 1 1,240
Inap
WATI.
NY
ITI
Rawat
9/3/2021 835385 DARSITI 1,240 1 1,240
Inap
, NY
Rawat CERI
9/3/2021 835363 1,240 1 1,240
Inap LIAN AN
AHMAD
Rawat
9/3/2021 834644 SOFIAN 1,240 1 1,240
Inap
TN
UJANG
Rawat
9/3/2021 820303 SUPRIA 1,240 2 2,480
Inap
TNA, TN
Rawat JURAEJI
### 827464 1,240 1 1,240
Inap N, TN
TITA
Rawat
### 835383 MARYAT 1,240 1 1,240
Inap
I. NY

ARSHAK
Rawat
### 813853 A RAMA 1,240 1 1,240
Inap
A. AN.

ARSHAK
Rawat
### 813853 A RAMA 1,240 1 1,240
Inap
A. AN.

ITI
Rawat
### 835385 DARSITI 1,240 1 1,240
Inap
, NY
Rawat
### 835393 LIA. NY 1,240 1 1,240
Inap
NINING
Rawat
### 832543 RUNING 1,241 1 1,241
Inap
SIH NY

Rawat ARSYAK
### 814127 1,241 1 1,241
Inap HA . AN
 Rawat
### 835393 LIA. NY 1,241 1 1,241
Inap
Rawat IMAS,
### 835142 1,241 1 1,241
Inap NY
SUPRIH
Rawat
### 822113 ATIN. 1,241 1 1,241
Inap
NY
Rawat AGUS,
### 835398 1,241 1 1,241
Inap TN
KENZIE
Rawat AZKA
### 810083 1,241 1 1,241
Inap FAIRUIZ.
AN
Rawat
### 835415 AAH, NY 1,241 1 1,241
Inap
### UMUM 0 SELVI 1,241 2 2,482
Rawat POPI,
### 835414 1,241 1 1,241
Inap TN
Rawat
### 835415 AAH, NY 1,241 1 1,241
Inap

Rawat YUSILA
### 834752 1,241 3 3,723
Inap WATI,NY

NINING
Rawat
### 832543 RUNING 1,241 1 1,241
Inap
SIH NY
Rawat AGUS,
### 835398 1,241 1 1,241
Inap TN
SUPRIH
Rawat
### 822113 ATIN. 1,241 1 1,241
Inap
NY
Rawat IMAS,
### 835142 1,241 1 1,241
Inap NY
Rawat
### 835415 AAH, NY 1,241 2 2,482
Inap
Rawat
### 835393 LIA. NY 1,241 1 1,241
Inap
Rawat MONDRI
### 835438 1,241 1 1,241
Jalan AN
13/03/20 Rawat KARMO
835236 1,241 2 2,482
21 Inap TN
13/03/20 Rawat FATIMA
832088 1,241 2 2,482
21 Inap H , NY
 HAYKAL
13/03/20 Rawat DWI
835435 1,241 2 2,482
21 Inap SYAHPU
TRA AN

13/03/20 Rawat TASIH

835460 1,241 3 3,723
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 1,241 1 1,241
21 Inap
TN
TATI
13/03/20 Rawat
835463 WARSITI 1,241 3 3,723
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 1,241 1 1,241
21 Inap WATI,
NY
KHOTIM
13/03/20 Rawat ATUS
811689 1,241 1 1,241
21 Inap SADIAH,
NY
13/03/20 Rawat RUKMIN
835465 1,241 1 1,241
21 Jalan I. NY
NIA
13/03/20 Rawat KURNIA
834792 1,241 1 1,241
21 Inap WATI,
NY

13/03/20 Rawat YUSILA

834752 1,241 3 3,723
21 Inap WATI,NY

NINING
13/03/20 Rawat
832543 RUNING 1,241 1 1,241
21 Inap
SIH NY
EEM
13/03/20 Rawat
831825 SUKAE 1,241 2 2,482
21 Inap
MI. NY
SHAJEA
13/03/20 Rawat
835452 HALAA 1,241 1 1,241
21 Inap
NISA AN
SUPRIH
13/03/20 Rawat
822113 ATIN. 1,241 1 1,241
21 Inap
NY
HAUZAN
13/03/20 Rawat IRHAB
833974 1,241 4 4,964
21 Inap NABIL,
AN
13/03/20 Rawat AGUS,
835398 1,241 1 1,241
21 Inap TN
 AHMAD
13/03/20 Rawat
835458 ARYA. 1,241 2 2,482
21 Inap
AN
14/03/20 Rawat TASIH
835460 1,241 2 2,482
21 Inap NY
TINI
14/03/20 Rawat
835417 HARTINI 1,241 1 1,241
21 Inap
. NY
14/03/20 Rawat FATIMA
832088 1,241 1 1,241
21 Inap H , NY
NIA
14/03/20 Rawat KURNIA
834792 1,241 1 1,241
21 Inap WATI,
NY
14/03/20 Rawat ALONA
835467 1,241 2 2,482
21 Inap AN
ADE
14/03/20 Rawat
835470 SUKAES 1,241 1 1,241
21 Inap
IH NY
14/03/20 Rawat ENES
835469 1,241 2 2,482
21 Inap NY
BAYU
14/03/20 Rawat
835410 ANUGE 1,241 1 1,241
21 Inap
RAH TN
AMRIN
14/03/20 Rawat
835462 SOBANA 1,241 1 1,241
21 Inap
TN
NAUFAL
14/03/20 Rawat DI
800119 1,241 1 1,241
21 Inap AGUSTI
N, AN
HAUZAN
14/03/20 Rawat IRHAB
833974 1,241 2 2,482
21 Inap NABIL,
AN
AHMAD
14/03/20 Rawat
835458 ARYA. 1,241 2 2,482
21 Inap
AN
SUPRIH
14/03/20 Rawat
822113 ATIN. 1,241 1 1,241
21 Inap
NY
EEM
14/03/20 Rawat
831825 SUKAE 1,241 1 1,241
21 Inap
MI. NY
UAR
14/03/20 Rawat
835466 WARSIT 1,241 2 2,482
21 Inap
A. TN
14/03/20 Rawat IRUM
835472 1,241 1 1,241
21 Inap NY
UAR
14/03/20 Rawat
835466 WARSIT 1,241 1 1,241
21 Inap
A. TN
14/03/20 Rawat
835415 AAH, NY 1,241 0 0
21 Inap
TATI
15/03/20 Rawat
835463 WARSITI 1,241 1 1,241
21 Inap
. NY
SUPRIH
15/03/20 Rawat
822113 ATIN. 1,241 1 1,241
21 Inap
NY
ADE
15/03/20 Rawat
835470 SUKAES 1,241 2 2,482
21 Inap
IH NY
EEM
15/03/20 Rawat
831825 SUKAE 1,241 1 1,241
21 Inap
MI. NY
NANA
15/03/20 Rawat
835475 TARYAN 1,217 1 1,217
21 Inap
A. TN
15/03/20 Rawat ENGKAS
835502 1,241 1 1,241
21 Jalan , NY
15/03/20 Rawat WASDI,
835501 1,241 2 2,482
21 Jalan TN
15/03/20 Rawat
815940 DIDI, TN. 1,217 1 1,217
21 Inap
TINI
15/03/20 Rawat
835417 HARTINI 1,217 1 1,217
21 Inap
. NY
15/03/20 Rawat ALONA
835467 1,241 1 1,241
21 Inap AN
DEREL
15/03/20 Rawat DWI
835473 1,217 2 2,434
21 Inap KARISM
A AN
IIN
15/03/20 Rawat
819469 RUYANI, 1,241 2 2,482
21 Inap
NY
15/03/20 Rawat ENES
835469 1,217 3 3,651
21 Inap NY
15/03/20 Rawat ROKAYA
835481 1,241 1 1,241
21 Inap H NY
15/03/20 Rawat FATIMA
832088 1,217 1 1,217
21 Inap H , NY
 NIA
15/03/20 Rawat KURNIA
834792 1,217 1 1,217
21 Inap WATI,
NY
15/03/20 Rawat IRUM
835472 1,217 1 1,217
21 Inap NY
DIMAS
15/03/20 Rawat
812977 ADITYA 1,241 5 6,205
21 Inap
W, AN
UAR
15/03/20 Rawat
835466 WARSIT 1,217 1 1,217
21 Inap
A. TN

HAYKAL
15/03/20 Rawat DWI
835435 1,217 6 7,302
21 Inap SYAHPU
TRA AN

NAUFAL
15/03/20 Rawat DI
800119 1,217 1 1,217
21 Inap AGUSTI
N, AN
15/03/20 Rawat KARMO
835236 1,217 1 1,217
21 Inap TN
BAYU
15/03/20 Rawat
835410 ANUGE 1,217 1 1,217
21 Inap
RAH TN
HJ
15/03/20 Rawat
804292 CICIH. 1,217 1 1,217
21 Inap
NY
OMAN
15/03/20 Rawat
831629 ROHAN 1,217 2 2,434
21 Jalan
A, TN
ADE
16/03/20 Rawat
835529 ROHMA 1,241 1 1,241
21 Inap
ENI. NY
SUPRIH
16/03/20 Rawat
822113 ATIN. 1,241 1 1,241
21 Inap
NY
HJ
16/03/20 Rawat
804292 CICIH. 1,241 1 1,241
21 Inap
NY
LEVINO
16/03/20 Rawat
835494 INDRAS 1,241 1 1,241
21 Inap
KA. AN
DIMAS
16/03/20 Rawat
812977 ADITYA 1,241 1 1,241
21 Inap
W, AN
 TITI
16/03/20 Rawat
835508 SURYAN 1,241 2 2,482
21 Inap
I NY
NANA
16/03/20 Rawat
835475 TARYAN 1,241 1 1,241
21 Inap
A. TN
IIN
16/03/20 Rawat
819469 RUYANI, 1,241 1 1,241
21 Inap
NY
16/03/20 Rawat ROKAYA
835481 1,241 1 1,241
21 Inap H NY
16/03/20 Rawat IRUM
835472 1,241 1 1,241
21 Inap NY
16/03/20 Rawat ROKAYA
835481 1,241 1 1,241
21 Inap H NY
ELOM
16/03/20 Rawat SALAM
835515 1,241 1 1,241
21 Inap SUDIRM
AN TN
NIA
16/03/20 Rawat KURNIA
834792 1,241 1 1,241
21 Inap WATI,
NY
16/03/20 Rawat FATIMA
832088 1,241 1 1,241
21 Inap H , NY
N. U.
16/03/20 Rawat
835522 UMAYA 1,241 2 2,482
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 1,241 2 2,482
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 1,241 2 2,482
21 Inap NY.

SODIKIN
16/03/20 Rawat NOOR
835524 1,241 1 1,241
21 Inap BADRI.
TN

E
16/03/20 Rawat
835527 MUCHT 1,241 4 4,964
21 Inap
AR . TN
TITIN
16/03/20 Rawat
835530 MULYAT 1,241 1 1,241
21 Inap
IN NY
17/03/20 Rawat ROKAYA
835481 1,241 1 1,241
21 Inap H NY
 IIN
17/03/20 Rawat
819469 RUYANI, 1,241 1 1,241
21 Inap
NY
17/03/20 Rawat ASIR .
835538 1,241 2 2,482
21 Inap TN
LEVINO
17/03/20 Rawat
835494 INDRAS 1,241 2 2,482
21 Inap
KA. AN
YANA
17/03/20 Rawat
835328 GUSTIA 1,241 2 2,482
21 Inap
NA NN

SODIKIN
17/03/20 Rawat NOOR
835524 1,241 1 1,241
21 Inap BADRI.
TN

N. U.
17/03/20 Rawat
835522 UMAYA 1,241 2 2,482
21 Inap
H NY
17/03/20 Rawat FATIMA
832088 1,241 1 1,241
21 Inap H , NY
DEREL
17/03/20 Rawat DWI
835473 1,241 1 1,241
21 Inap KARISM
A AN
ELIS
18/03/20 Rawat
835539 RUKYUL 1,217 2 2,434
21 Jalan
IANI NY
MUHAM
MAD
18/03/20 Rawat FAEYZA
821441 1,217 2 2,434
21 Inap RAJBNA
HAMIZA
N, AN
LEVINO
18/03/20 Rawat
835494 INDRAS 1,217 1 1,217
21 Inap
KA. AN
18/03/20 Rawat ROKAYA
835481 1,241 2 2,482
21 Inap H NY
18/03/20 Rawat CICIH
811043 1,241 1 1,241
21 Inap NY.
N. U.
18/03/20 Rawat
835522 UMAYA 1,217 1 1,217
21 Inap
H NY
YANA
18/03/20 Rawat
835328 GUSTIA 1,217 1 1,217
21 Inap
NA NN
 N. U.
18/03/20 Rawat
835522 UMAYA 1,241 1 1,241
21 Inap
H NY
AHDIAH
18/03/20 Rawat MAMAH
835542 1,217 1 1,217
21 Jalan ROHIMA
H NY

MUHAM
MAD
18/03/20 Rawat FAEYZA
821441 1,217 1 1,217
21 Inap RAJBNA
HAMIZA
N, AN
19/03/20 Rawat CICIH
811043 1,241 1 1,241
21 Inap NY.
19/03/20 Rawat
835547 IRAH NY 1,241 1 1,241
21 Inap

SODIKIN
19/03/20 Rawat NOOR
835524 1,241 1 1,241
21 Inap BADRI.
TN

N. U.
19/03/20 Rawat
835522 UMAYA 1,241 2 2,482
21 Inap
H NY
19/03/20 Rawat DARYAN
835565 1,241 1 1,241
21 Inap TI. NY
RONI
19/03/20 Rawat
835563 SUPRIA 1,241 2 2,482
21 Inap
DI TN
19/03/20 Rawat AMAT.
835550 1,241 1 1,241
21 Inap TN
20/03/20 Rawat
807029 TUTI, NY 1,241 1 1,241
21 Inap
EUIS
20/03/20 Rawat
835573 WARTIN 1,241 1 1,241
21 Jalan
I NY

SODIKIN
20/03/20 Rawat NOOR
835524 1,241 1 1,241
21 Inap BADRI.
TN

RONI
20/03/20 Rawat
835563 SUPRIA 1,241 2 2,482
21 Inap
DI TN
TOHA
20/03/20 Rawat
805009 NURDIN, 1,241 1 1,241
21 Inap
TN
 N. U.
20/03/20 Rawat
835522 UMAYA 1,241 2 2,482
21 Inap
H NY
20/03/20 Rawat
807029 TUTI, NY 1,241 1 1,241
21 Inap
20/03/20 Rawat ROKAYA
835481 1,241 1 1,241
21 Inap H NY
NERA
20/03/20 Rawat
817790 NORAW 1,241 1 1,241
21 Inap
ATI . NY
20/03/20 Rawat DARYAN
835565 1,241 1 1,241
21 Inap TI. NY

YATI
20/03/20 Rawat
835577 KURNIA 1,241 2 2,482
21 Inap
WATI NY

20/03/20 Rawat SUKAES

807749 1,241 2 2,482
21 Inap IH. NY
20/03/20 Rawat HIDAYA
805608 1,241 1 1,241
21 Inap T, TN
NERA
20/03/20 Rawat
817790 NORAW 1,241 1 1,241
21 Inap
ATI . NY
21/03/20 Rawat
807029 TUTI, NY 1,241 2 2,482
21 Inap
21/03/20 Rawat SUKAES
807749 1,241 1 1,241
21 Inap IH. NY
21/03/20 Rawat HERMA
835580 1,241 2 2,482
21 Inap N TN

YATI
21/03/20 Rawat
835577 KURNIA 1,241 4 4,964
21 Inap
WATI NY

21/03/20 Rawat DEDEN

835586 1,241 2 2,482
21 Inap G, TN
21/03/20 Rawat WANGSI
835588 1,241 3 3,723
21 Inap H, NY

YATI
21/03/20 Rawat
835577 KURNIA 1,241 1 1,241
21 Inap
WATI NY

21/03/20 Rawat NATAN.

835591 1,241 4 4,964
21 Inap AN
RONI
21/03/20 Rawat
835563 SUPRIA 1,241 3 3,723
21 Inap
DI TN
 MALA
21/03/20 Rawat
835594 KOMALA 1,241 1 1,241
21 Inap
SARI NY

21/03/20 Rawat WANGSI

835588 1,241 1 1,241
21 Inap H, NY
22/03/20 Rawat
807029 TUTI, NY 1,241 1 1,241
21 Inap

YATI
22/03/20 Rawat
835577 KURNIA 1,241 2 2,482
21 Inap
WATI NY

N. U.
22/03/20 Rawat
835522 UMAYA 1,241 1 1,241
21 Inap
H NY
22/03/20 Rawat SUHEN
835596 1,241 2 2,482
21 Inap DA NY
22/03/20 Rawat HERMA
835580 1,241 2 2,482
21 Inap N TN
22/03/20 Rawat DEDEN
835586 1,241 1 1,241
21 Inap G, TN
22/03/20 Rawat WANGSI
835588 1,241 2 2,482
21 Inap H, NY

MALA
22/03/20 Rawat
835594 KOMALA 1,241 1 1,241
21 Inap
SARI NY

KELVIN
22/03/20 Rawat
835597 JULIANT 1,241 1 1,241
21 Inap
ARA BY
NUNUN
22/03/20 Rawat G
835606 1,241 2 2,482
21 Inap KOMARI
AH. NY
22/03/20 Rawat PARNO,
835601 1,241 1 1,241
21 Inap TN
22/03/20 Rawat UDIN.
835604 1,241 2 2,482
21 Inap TN
KELVIN
22/03/20 Rawat
835597 JULIANT 1,241 2 2,482
21 Inap
ARA BY
22/03/20 Rawat SUHEN
835596 1,241 1 1,241
21 Inap DA NY
GANJAR
22/03/20 Rawat
835607 HIKMAT 1,241 2 2,482
21 Inap
. TN
23/03/20 Rawat ADAH.
835518 1,241 2 2,482
21 Inap NY
23/03/20 Rawat NATAN.
835591 1,241 1 1,241
21 Inap AN
SHAKIL
23/03/20 Rawat A
835615 1,241 1 1,241
21 Jalan AYUDIA.
AN

YATI
23/03/20 Rawat
835577 KURNIA 1,241 2 2,482
21 Inap
WATI NY

ONDA
23/03/20 Rawat
835632 MUYAN 1,241 1 1,241
21 Inap
A. TN
23/03/20 Rawat UDIN.
835604 1,241 2 2,482
21 Inap TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 1,241 1 1,241
21 Inap
TN

MALA
23/03/20 Rawat
835594 KOMALA 1,241 2 2,482
21 Inap
SARI NY

GANJAR
23/03/20 Rawat
835607 HIKMAT 1,241 2 2,482
21 Inap
. TN
23/03/20 Rawat DEDEN
835586 1,241 1 1,241
21 Inap G, TN
NUNUN
23/03/20 Rawat G
835606 1,241 2 2,482
21 Inap KOMARI
AH. NY
JUJU
23/03/20 Rawat
835626 JUANI.N 1,241 1 1,241
21 Inap
Y
FITRI
23/03/20 Rawat SARI
835624 1,241 2 2,482
21 Inap WAHYU
NI NN
23/03/20 Rawat PARNO,
835601 1,241 2 2,482
21 Inap TN

YATI
23/03/20 Rawat
835577 KURNIA 1,241 1 1,241
21 Inap
WATI NY
 ALRADY
A
24/03/20 Rawat MAHAB
830769 1,241 1 1,241
21 Inap BATAN
LUVINA
TIKA. AN

JUJU
24/03/20 Rawat
835626 JUANI.N 1,241 1 1,241
21 Inap
Y

YATI
24/03/20 Rawat
835577 KURNIA 1,241 2 2,482
21 Inap
WATI NY

DEDE
24/03/20 Rawat
835636 RAHMA 1,241 2 2,482
21 Inap
T TN
24/03/20 Rawat NATAN.
835591 1,241 2 2,482
21 Inap AN
24/03/20 Rawat OTONG,
835633 1,241 1 1,241
21 Jalan TN
24/03/20 Rawat YATNI
835642 1,241 2 2,482
21 Inap NY
24/03/20 Rawat YUYUM
835643 1,241 1 1,241
21 Inap NY
ANISA
24/03/20 Rawat FAIHA
835644 1,241 1 1,241
21 Inap MUNAN
DAR AN
24/03/20 Rawat NENGSI
835645 1,241 1 1,241
21 Inap H NY
FITRI
24/03/20 Rawat SARI
835624 1,241 1 1,241
21 Inap WAHYU
NI NN
24/03/20 Rawat PARNO,
835601 1,241 2 2,482
21 Inap TN
NUNUN
24/03/20 Rawat G
835606 1,241 1 1,241
21 Inap KOMARI
AH. NY
24/03/20 Rawat ADAH.
835518 1,241 2 2,482
21 Inap NY
FITRI
25/03/20 Rawat SARI
835624 1,241 1 1,241
21 Inap WAHYU
NI NN
25/03/20 Rawat PARNO,
835601 1,241 2 2,482
21 Inap TN
HJ
25/03/20 Rawat
835648 CECEP . 1,241 1 1,241
21 Inap
TN
25/03/20 Rawat HIDAYA
835638 1,241 2 2,482
21 Inap T. TN

YATI
25/03/20 Rawat
835577 KURNIA 1,241 2 2,482
21 Inap
WATI NY

ROSMA
25/03/20 Rawat
834926 LAWATI, 1,241 1 1,241
21 Inap
NY
TATI
25/03/20 Rawat
835664 ROSWA 1,241 1 1,241
21 Inap
TI
25/03/20 Rawat YATNI
835642 1,241 1 1,241
21 Inap NY
WOWO
25/03/20 Rawat
809923 SUGRIW 1,241 2 2,482
21 Inap
O.TN
SITI
25/03/20 Rawat
814501 RODIAH, 1,241 1 1,241
21 Inap
NY.

ALRADY
A
25/03/20 Rawat MAHAB
830769 1,241 2 2,482
21 Inap BATAN
LUVINA
TIKA. AN

ANISA
25/03/20 Rawat FAIHA
835644 1,241 1 1,241
21 Inap MUNAN
DAR AN
WOWO
25/03/20 Rawat
809923 SUGRIW 1,241 2 2,482
21 Inap
O.TN
AZKA
FADILAT
25/03/20 Rawat
835649 UL 1,241 2 2,482
21 Inap
KHOIR.
AN
25/03/20 Rawat NENGSI
835645 1,241 1 1,241
21 Inap H NY
 ACU
26/03/20 Rawat
835621 SAMSU 1,241 1 1,241
21 Inap
DIN TN
NANI
26/03/20 Rawat
815243 MARYA 1,241 1 1,241
21 Inap
NI, NY.
26/03/20 Rawat KARMID,
823943 1,241 1 1,241
21 Inap TN
HJ
26/03/20 Rawat
835648 CECEP . 1,241 1 1,241
21 Inap
TN
26/03/20 Rawat ENENG
835698 1,241 1 1,241
21 Inap NY
TATI
26/03/20 Rawat
835664 ROSWA 1,241 1 1,241
21 Inap
TI
26/03/20 Rawat NENGSI
835645 1,241 1 1,241
21 Inap H NY
ROSMA
26/03/20 Rawat
834926 LAWATI, 1,241 1 1,241
21 Inap
NY
26/03/20 Rawat YUYUM
835643 1,241 1 1,241
21 Inap NY
SITI
26/03/20 Rawat
814501 RODIAH, 1,241 1 1,241
21 Inap
NY.
SAPAAT
26/03/20 Rawat NURHA
835668 1,241 1 1,241
21 Inap YATUDI
N TN
WOWO
26/03/20 Rawat
809923 SUGRIW 1,241 2 2,482
21 Inap
O.TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 1,241 1 1,241
21 Inap
N. TN
26/03/20 Rawat HIDAYA
835638 1,241 3 3,723
21 Inap T. TN
AZKA
FADILAT
26/03/20 Rawat
835649 UL 1,241 1 1,241
21 Inap
KHOIR.
AN
HJ
26/03/20 Rawat
835670 SUKARN 1,241 1 1,241
21 Inap
A TN
 AAR
26/03/20 Rawat
825828 SURYAT 1,241 1 1,241
21 Inap
I.NY
26/03/20 Rawat RUSTA,
2579 1,241 1 1,241
21 Inap TN
NYAI
26/03/20 Rawat
835676 ATIKAH 1,241 2 2,482
21 Inap
NY
HJ
27/03/20 Rawat
835648 CECEP . 1,241 1 1,241
21 Inap
TN
ONDA
27/03/20 Rawat
835632 MUYAN 1,241 1 1,241
21 Inap
A. TN
NANI
27/03/20 Rawat
815243 MARYA 1,241 1 1,241
21 Inap
NI, NY.
27/03/20 Rawat SUARI,
800179 1,241 2 2,482
21 Inap TN
M.
27/03/20 Rawat
284 SAMSI, 1,241 1 1,241
21 Inap
AN
27/03/20 Rawat UNENG,
5097 1,241 3 3,723
21 Inap NY
27/03/20 Rawat HIDAYA
835638 1,241 2 2,482
21 Inap T. TN
TATI
27/03/20 Rawat
835664 ROSWA 1,241 1 1,241
21 Inap
TI
WOWO
27/03/20 Rawat
809923 SUGRIW 1,241 2 2,482
21 Inap
O.TN
27/03/20 Rawat NENGSI
835645 1,241 1 1,241
21 Inap H NY
UJANG
27/03/20 Rawat
2816 HENDI , 1,241 2 2,482
21 Inap
TN
HJ
27/03/20 Rawat
835648 CECEP . 1,241 1 1,241
21 Inap
TN
27/03/20 Rawat KARMID,
823943 1,241 1 1,241
21 Inap TN
27/03/20 Rawat YUYUM
835643 1,241 1 1,241
21 Inap NY
27/03/20 Rawat RUSTA,
811999 1,241 1 1,241
21 Inap TN
 SAPAAT
27/03/20 Rawat NURHA
835668 1,241 1 1,241
21 Inap YATUDI
N TN
DARPIT
27/03/20 Rawat
835655 ROHIDU 1,241 1 1,241
21 Inap
N. TN
M.
27/03/20 Rawat
284 SAMSI, 1,241 1 1,241
21 Inap
AN
27/03/20 Rawat ENENG
835698 1,241 1 1,241
21 Inap NY
NYAI
27/03/20 Rawat
835676 ATIKAH 1,241 2 2,482
21 Inap
NY
SITI
27/03/20 Rawat
835704 RODIAH. 1,241 1 1,241
21 Inap
NY
ACU
27/03/20 Rawat
835621 SAMSU 1,241 1 1,241
21 Inap
DIN TN
HJ
27/03/20 Rawat
835670 SUKARN 1,241 1 1,241
21 Inap
A TN
NYAI
27/03/20 Rawat
835676 ATIKAH 1,241 1 1,241
21 Inap
NY
SITI
27/03/20 Rawat
835704 RODIAH. 1,241 1 1,241
21 Inap
NY
NANI
27/03/20 Rawat
835706 NURJAN 1,241 1 1,241
21 Inap
AH. NY
28/03/20 Rawat ENDAN
835708 1,241 1 1,241
21 Inap G TN
M.
28/03/20 Rawat
284 SAMSI, 1,241 1 1,241
21 Inap
AN
SITI
28/03/20 Rawat
835704 RODIAH. 1,241 1 1,241
21 Inap
NY
28/03/20 Rawat UNENG,
5097 1,241 2 2,482
21 Inap NY
TATI
28/03/20 Rawat
835664 ROSWA 1,241 2 2,482
21 Inap
TI
28/03/20 Rawat SUARI,
800179 1,241 2 2,482
21 Inap TN
 HJ
28/03/20 Rawat
835648 CECEP . 1,241 1 1,241
21 Inap
TN
ACU
28/03/20 Rawat
835621 SAMSU 1,241 1 1,241
21 Inap
DIN TN
WINDY
28/03/20 Rawat
835718 WIDURI. 1,241 1 1,241
21 Inap
AN
SUKAND
I BIN
28/03/20 Rawat
813480 SURYA 1,217 1 1,217
21 Inap
MAN,
TN.
EPI
28/03/20 Rawat
834663 YULIA. 1,217 1 1,217
21 Inap
NY
NANI
28/03/20 Rawat
835706 NURJAN 1,241 1 1,241
21 Inap
AH. NY
IDING
28/03/20 Rawat
835732 JAENUD 1,217 1 1,217
21 Inap
IN, TN
28/03/20 Rawat SUKAYA
835724 1,241 1 1,241
21 Jalan , TN
28/03/20 Rawat MARYAT
803036 1,217 2 2,434
21 Inap I, NY
28/03/20 Rawat RIFAL
835674 1,241 1 1,241
21 Inap SDR
29/03/20 Rawat AFNAN.
835737 1,241 1 1,241
21 Inap AN
29/03/20 Rawat KACEN
835734 1,217 1 1,217
21 Inap G TN
29/03/20 Rawat IWAN.
835735 1,217 1 1,217
21 Inap TN
IDA
29/03/20 Rawat
835740 BAGUS. 1,241 13 16,133
21 Inap
TN
UYUN
29/03/20 Rawat
835729 MULYAN 1,241 1 1,241
21 Inap
A . TN
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 1,241 1 1,241
21 Inap
MAN,
TN.
29/03/20 Rawat WANCIH
835712 1,217 1 1,217
21 Inap NY
 TATI
29/03/20 Rawat
835664 ROSWA 1,217 1 1,217
21 Inap
TI
NANI
29/03/20 Rawat
835706 NURJAN 1,217 1 1,217
21 Inap
AH. NY
VITRIA
29/03/20 Rawat FATMA
835750 1,241 1 1,241
21 Inap WATI .
NY
29/03/20 Rawat UNENG,
5097 1,217 3 3,651
21 Inap NY
HJ
29/03/20 Rawat
835648 CECEP . 1,217 1 1,217
21 Inap
TN
29/03/20 Rawat MARYAT
803036 1,217 3 3,651
21 Inap I, NY
WINDY
29/03/20 Rawat
835718 WIDURI. 1,241 3 3,723
21 Inap
AN
SITI
29/03/20 Rawat
835704 RODIAH. 1,241 1 1,241
21 Inap
NY
IDING
29/03/20 Rawat
835732 JAENUD 1,241 1 1,241
21 Inap
IN, TN
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 1,241 1 1,241
21 Inap
MAN,
TN.
ACU
29/03/20 Rawat
835621 SAMSU 1,241 1 1,241
21 Inap
DIN TN
29/03/20 Rawat KACEN
835734 1,241 1 1,241
21 Inap G TN
EPI
29/03/20 Rawat
834663 YULIA. 1,241 2 2,482
21 Inap
NY
29/03/20 Rawat ENDAN
835708 1,241 1 1,241
21 Inap G TN
SITI
30/03/20 Rawat
835704 RODIAH. 1,241 1 1,241
21 Inap
NY
30/03/20 Rawat RODIAH.
810604 1,241 1 1,241
21 Inap NY
 UYUN
30/03/20 Rawat
835729 MULYAN 1,241 1 1,241
21 Inap
A . TN
30/03/20 Rawat ENTING,
835756 1,241 1 1,241
21 Inap NY
A
30/03/20 Rawat
835751 SUTISN 1,241 1 1,241
21 Inap
A. TN
IDA
30/03/20 Rawat
835740 BAGUS. 1,241 1 1,241
21 Inap
TN
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 1,241 1 1,241
21 Inap
MAN,
TN.
DIAH
30/03/20 Rawat
835754 SUMINA 1,241 1 1,241
21 Inap
R. NY
A
30/03/20 Rawat
835751 SUTISN 1,241 1 1,241
21 Inap
A. TN
30/03/20 Rawat MARYAT
803036 1,241 2 2,482
21 Inap I, NY
30/03/20 Rawat AFNAN.
835737 1,241 1 1,241
21 Inap AN
30/03/20 Rawat MARYAT
803036 1,241 1 1,241
21 Inap I, NY
WINDY
30/03/20 Rawat
835718 WIDURI. 1,241 1 1,241
21 Inap
AN
VITRIA
30/03/20 Rawat FATMA
835750 1,241 1 1,241
21 Inap WATI .
NY
HJ
30/03/20 Rawat
835648 CECEP . 1,241 1 1,241
21 Inap
TN
EPI
30/03/20 Rawat
834663 YULIA. 1,241 2 2,482
21 Inap
NY
DIAH
30/03/20 Rawat
835754 SUMINA 1,241 1 1,241
21 Inap
R. NY
NANA
31/03/20 Rawat
835799 SURYAN 1,241 1 1,241
21 Inap
A. TN
 IIS
31/03/20 Rawat
835791 DEDEH 1,241 1 1,241
21 Inap
NY
IKIN
31/03/20 Rawat
835789 SODIKIN 1,241 2 2,482
21 Inap
TN
AL
31/03/20 Rawat RAFIQ
835800 1,241 2 2,482
21 Inap RIZKI S
AN
31/03/20 Rawat RUSMIA
835801 1,241 2 2,482
21 Inap TI NY
IDA
31/03/20 Rawat
835740 BAGUS. 1,241 1 1,241
21 Inap
TN
TITA
31/03/20 Rawat
835804 KARTIK 1,241 2 2,482
21 Inap
A .NY
EEN
31/03/20 Rawat
835797 NURAE 1,241 1 1,241
21 Jalan
NAH NY
31/03/20 Rawat SUKARS
835765 1,241 3 3,723
21 Inap IH.NY
SUKAND
I BIN
31/03/20 Rawat
813480 SURYA 1,241 1 1,241
21 Inap
MAN,
TN.
YETI
31/03/20 Rawat
807134 MARYA 1,241 1 1,241
21 Inap
NI, NY
A
31/03/20 Rawat
835751 SUTISN 1,241 1 1,241
21 Inap
A. TN
HJ
31/03/20 Rawat
835783 NUNUN 1,241 1 1,241
21 Inap
G. NY
31/03/20 Rawat RODIAH.
810604 1,241 1 1,241
21 Inap NY
31/03/20 Rawat USMI,
5908 1,241 1 1,241
21 Inap NY
FADHIL
31/03/20 Rawat
835796 AKRAM 1,241 2 2,482
21 Inap
SDR
31/03/20 Rawat HILYA
835798 1,241 1 1,241
21 Inap AN
 HJ
31/03/20 Rawat
835783 NUNUN 1,241 2 2,482
21 Inap
G. NY
31/03/20 Rawat UNENG,
5097 1,241 1 1,241
21 Inap NY
UYUN
31/03/20 Rawat
835729 MULYAN 1,241 1 1,241
21 Inap
A . TN
FELCIA
Rawat
478 785 Spuit 1cc 1/3/2021 835226 TJHIN, 3,294 1 3,294
Inap
AN
Rawat HAINA,
1/3/2021 835228 3,294 1 3,294
Inap AN
ERI
Rawat RAHMA
1/3/2021 835239 3,294 1 3,294
Inap WATI.
NY
SALSA
Rawat NURISM
1/3/2021 834631 3,294 2 6,588
Jalan A PUTRI
. BY
FAIZAN
Rawat ABKORI
1/3/2021 835105 3,294 2 6,588
Jalan IBRAHIM
. AN
ZAHRA
Rawat
1/3/2021 835251 DEWANI 3,294 1 3,294
Jalan
NY
Rawat JUANGS
1/3/2021 808907 3,294 1 3,294
Inap IH, NY
Rawat
2/3/2021 815940 DIDI, TN. 3,294 1 3,294
Inap
Rawat CEPI,
3/3/2021 835281 3,294 1 3,294
Jalan TN
EUIS
Rawat
3/3/2021 831017 KURAES 3,294 1 3,294
Jalan
IN.NY
SITI
Rawat MAEUM
3/3/2021 835284 3,294 1 3,294
Inap ANAH,
NY
Rawat YULIN
3/3/2021 834209 3,294 1 3,294
Jalan NY
ANISA
Rawat
4/3/2021 835298 FITRIA, 3,294 1 3,294
Inap
AN
Rawat LILIS,NN
4/3/2021 835293 3,294 1 3,294
Jalan Y
 BHARAT
Rawat JIBRIL
4/3/2021 828617 3,294 1 3,294
Inap PRASET
YO. AN
Rawat HAIKAL
5/3/2021 835274 3,294 1 3,294
Inap BY
NAYLA
Rawat
5/3/2021 835311 NURASY 3,294 1 3,294
Inap
IFA AN
TANIA
Rawat
6/3/2021 835331 MAURA 3,294 1 3,294
Inap
NISA AN
LILIS
Rawat
6/3/2021 823790 SURYAN 3,294 1 3,294
Inap
I.NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 3,293 1 3,293
Inap
NY
ENDAN
Rawat G
7/3/2021 835339 3,293 1 3,293
Inap SETIAW
AN. TN
Rawat SUTARN
7/3/2021 810138 3,293 1 3,293
Inap A, TN
UJANG
Rawat
8/3/2021 820303 SUPRIA 3,293 1 3,293
Inap
TNA, TN
Rawat SUTARN
8/3/2021 810138 3,293 1 3,293
Inap A, TN
Rawat NEHAN.
8/3/2021 835360 3,293 1 3,293
Jalan TN
Rawat CERI
8/3/2021 835363 3,293 1 3,293
Inap LIAN AN
Rawat JURAEJI
8/3/2021 827464 3,293 1 3,293
Inap N, TN
ITI
Rawat
9/3/2021 835385 DARSITI 3,293 1 3,293
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 3,293 1 3,293
Inap
I. NY
Rawat JURAEJI
9/3/2021 827464 3,293 1 3,293
Inap N, TN
VIKA
Rawat
9/3/2021 829150 ARSYFA 3,293 2 6,586
Jalan
.BY
Rawat CERI
9/3/2021 835363 3,293 1 3,293
Inap LIAN AN
 ARSHAK
Rawat
### 813853 A RAMA 3,293 1 3,293
Inap
A. AN.

ARSHAK
Rawat
### 813853 A RAMA 3,293 1 3,293
Inap
A. AN.

Rawat YUSILA
### 834752 788 1 788
Inap WATI,NY

Rawat IMAS,
### 835142 788 1 788
Inap NY
Rawat AGUS,
### 835398 788 1 788
Inap TN
KENZIE
Rawat AZKA
### 810083 788 1 788
Inap FAIRUIZ.
AN
Rawat
### 835415 AAH, NY 788 1 788
Inap
13/03/20 Rawat KARMO
835236 788 1 788
21 Inap TN

HAYKAL
13/03/20 Rawat DWI
835435 788 1 788
21 Inap SYAHPU
TRA AN

13/03/20 Rawat FATIMA

832088 788 1 788
21 Inap H , NY
13/03/20 Rawat TASIH
835460 788 1 788
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 788 1 788
21 Inap
TN
TATI
13/03/20 Rawat
835463 WARSITI 788 1 788
21 Inap
. NY
EEM
13/03/20 Rawat
831825 SUKAE 788 1 788
21 Inap
MI. NY
HAUZAN
13/03/20 Rawat IRHAB
833974 788 1 788
21 Inap NABIL,
AN
 NATASY
13/03/20 Rawat A
835457 788 1 788
21 Inap ADINDA
NY
AHMAD
13/03/20 Rawat
835458 ARYA. 788 1 788
21 Inap
AN
14/03/20 Rawat ALONA
835467 788 1 788
21 Inap AN
ADE
14/03/20 Rawat
835470 SUKAES 788 1 788
21 Inap
IH NY
14/03/20 Rawat ENES
835469 788 1 788
21 Inap NY
UAR
14/03/20 Rawat
835466 WARSIT 788 2 1,576
21 Inap
A. TN
15/03/20 Rawat ENGKAS
835502 788 1 788
21 Jalan , NY
15/03/20 Rawat WASDI,
835501 788 1 788
21 Jalan TN
IIN
15/03/20 Rawat
819469 RUYANI, 788 1 788
21 Inap
NY
15/03/20 Rawat ROKAYA
835481 788 1 788
21 Inap H NY
DIMAS
15/03/20 Rawat
812977 ADITYA 788 1 788
21 Inap
W, AN
DEREL
15/03/20 Rawat DWI
835473 788 1 788
21 Inap KARISM
A AN
OMAN
15/03/20 Rawat
831629 ROHAN 774 1 774
21 Jalan
A, TN
TITI
16/03/20 Rawat
835508 SURYAN 788 1 788
21 Inap
I NY
N. U.
16/03/20 Rawat
835522 UMAYA 788 1 788
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 788 1 788
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 788 1 788
21 Inap NY.
 E
16/03/20 Rawat
835527 MUCHT 788 1 788
21 Inap
AR . TN
LUTHFI
16/03/20 Rawat
833729 YUNAN 788 2 1,576
21 Jalan
BY
17/03/20 Rawat ERES
835537 788 1 788
21 Inap NY
ENCID
17/03/20 Rawat
806056 TAMSID, 788 1 788
21 Jalan
TN
17/03/20 Rawat ASIR .
835538 788 1 788
21 Inap TN
ELIS
18/03/20 Rawat
835539 RUKYUL 788 1 788
21 Jalan
IANI NY
MUHAM
MAD
18/03/20 Rawat FAEYZA
821441 788 1 788
21 Inap RAJBNA
HAMIZA
N, AN
RONI
19/03/20 Rawat
835563 SUPRIA 788 1 788
21 Inap
DI TN
19/03/20 Rawat UTENG
835571 788 1 788
21 Jalan TN
20/03/20 Rawat
807029 TUTI, NY 788 1 788
21 Inap

YATI
20/03/20 Rawat
835577 KURNIA 788 1 788
21 Inap
WATI NY

21/03/20 Pasien
UMUM 0 788 3 2,364
21 Umum
21/03/20 Rawat DEDEN
835586 788 1 788
21 Inap G, TN
21/03/20 Rawat WANGSI
835588 788 1 788
21 Inap H, NY
21/03/20 Rawat NATAN.
835591 788 1 788
21 Inap AN

MALA
21/03/20 Rawat
835594 KOMALA 788 1 788
21 Inap
SARI NY

21/03/20 Rawat HERMA

835580 788 1 788
21 Inap N TN
 GANJAR
22/03/20 Rawat
835607 HIKMAT 788 1 788
21 Inap
. TN
22/03/20 Rawat PARNO,
835601 788 1 788
21 Inap TN
22/03/20 Rawat UDIN.
835604 788 1 788
21 Inap TN
22/03/20 Rawat UDIN.
835604 788 1 788
21 Inap TN
KELVIN
22/03/20 Rawat
835597 JULIANT 788 1 788
21 Inap
ARA BY
22/03/20 Rawat SUHEN
835596 788 1 788
21 Inap DA NY
23/03/20 Rawat ADAH.
835518 788 1 788
21 Inap NY
RAFASY
23/03/20 Rawat A
835386 788 1 788
21 Jalan FEBRIA
NDI. AN
JUJU
23/03/20 Rawat
835626 JUANI.N 788 1 788
21 Inap
Y
LUKMAN
23/03/20 Rawat
835614 HAKIM 788 1 788
21 Inap
TN
24/03/20 Rawat OTONG,
835633 788 1 788
21 Jalan TN
ANISA
24/03/20 Rawat FAIHA
835644 788 2 1,576
21 Inap MUNAN
DAR AN
NANI
25/03/20 Rawat
815243 MARYA 788 1 788
21 Inap
NI, NY.
25/03/20 Rawat HIDAYA
835638 788 1 788
21 Inap T. TN
TATI
25/03/20 Rawat
835664 ROSWA 788 1 788
21 Inap
TI
ANISA
25/03/20 Rawat FAIHA
835644 788 1 788
21 Inap MUNAN
DAR AN
WOWO
25/03/20 Rawat
809923 SUGRIW 788 1 788
21 Inap
O.TN
 DARPIT
25/03/20 Rawat
835655 ROHIDU 788 1 788
21 Inap
N. TN
AZKA
FADILAT
25/03/20 Rawat
835649 UL 788 1 788
21 Inap
KHOIR.
AN
AHMAD
25/03/20 Rawat
823394 SURYAN 788 1 788
21 Jalan
A, BY
UJANG
26/03/20 Rawat
2816 HENDI , 788 1 788
21 Inap
TN
26/03/20 Rawat UHNAN
835689 788 2 1,576
21 Inap TN
NYAI
26/03/20 Rawat
835676 ATIKAH 788 1 788
21 Inap
NY
HJ
27/03/20 Rawat
835648 CECEP . 788 1 788
21 Inap
TN
M.
27/03/20 Rawat
284 SAMSI, 788 1 788
21 Inap
AN
27/03/20 Rawat UNENG,
5097 788 1 788
21 Inap NY
27/03/20 Rawat WANCIH
835712 788 1 788
21 Inap NY
27/03/20 Rawat JAENAL
835715 788 1 788
21 Jalan NY
SITI
27/03/20 Rawat
835704 RODIAH. 788 1 788
21 Inap
NY
EPI
28/03/20 Rawat
834663 YULIA. 788 1 788
21 Inap
NY
28/03/20 Yulin
K41 788 1 788
21 Yuliandri
28/03/20 Rawat MARYAT
803036 788 1 788
21 Inap I, NY
29/03/20 Rawat AFNAN.
835737 788 1 788
21 Inap AN
UYUN
29/03/20 Rawat
835729 MULYAN 788 1 788
21 Inap
A . TN
 IDA
29/03/20 Rawat
835740 BAGUS. 788 1 788
21 Inap
TN
29/03/20 Rawat SHAFIR
834913 788 1 788
21 Jalan AA. BY
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 788 1 788
21 Inap
MAN,
TN.
VITRIA
29/03/20 Rawat FATMA
835750 788 1 788
21 Inap WATI .
NY
ARCHE
29/03/20 Rawat
835738 RNAR. 788 1 788
21 Jalan
AN
DIAH
30/03/20 Rawat
835754 SUMINA 788 1 788
21 Inap
R. NY
A
30/03/20 Rawat
835751 SUTISN 788 1 788
21 Inap
A. TN
IIS
31/03/20 Rawat
835791 DEDEH 788 1 788
21 Inap
NY
AL
31/03/20 Rawat RAFIQ
835800 788 1 788
21 Inap RIZKI S
AN
31/03/20 Rawat RUSMIA
835801 788 1 788
21 Inap TI NY
TITA
31/03/20 Rawat
835804 KARTIK 788 1 788
21 Inap
A .NY
EEN
31/03/20 Rawat
835797 NURAE 788 1 788
21 Jalan
NAH NY
31/03/20 Rawat SUKARS
835765 788 1 788
21 Inap IH.NY
HJ
31/03/20 Rawat
835783 NUNUN 788 1 788
21 Inap
G. NY
FADHIL
31/03/20 Rawat
835796 AKRAM 788 1 788
21 Inap
SDR
31/03/20 Rawat HILYA
835798 788 1 788
21 Inap AN
 ONENG
Rawat
479 786 Spuit 3cc 1/3/2021 832859 ROKAE 767 2 1,534
Inap
NAH. NY
FELCIA
Rawat
1/3/2021 835226 TJHIN, 767 4 3,068
Inap
AN
TAUFIK
Rawat
1/3/2021 835216 MAULAN 767 2 1,534
Inap
A SDR
Rawat HAINA,
1/3/2021 835228 767 2 1,534
Inap AN
SAEFUL
Rawat
1/3/2021 835220 HUDAYA 767 4 3,068
Inap
TN
ASEP
Rawat
1/3/2021 821449 KURNIA, 767 1 767
Jalan
TN
NANDI
Rawat
1/3/2021 835204 SONJAY 767 4 3,068
Inap
A. TN
Rawat MINTAR
1/3/2021 813401 767 1 767
Inap SIH,NY
YAYA
Rawat
1/3/2021 835079 SUNARY 767 3 2,301
Inap
A TN
ERI
Rawat RAHMA
1/3/2021 835239 767 2 1,534
Inap WATI.
NY
SALSA
Rawat NURISM
1/3/2021 834631 767 3 2,301
Jalan A PUTRI
. BY
FAIZAN
Rawat ABKORI
1/3/2021 835105 767 1 767
Jalan IBRAHIM
. AN
Rawat KARMO
1/3/2021 835236 767 2 1,534
Inap TN
NANDI
Rawat
1/3/2021 835204 SONJAY 767 1 767
Inap
A. TN
Rawat ISAM.
2/3/2021 819105 753 5 3,765
Inap NY
Rawat
2/3/2021 815940 DIDI, TN. 753 1 753
Inap
 EUIS
Rawat
2/3/2021 834994 YULIANI 753 3 2,259
Inap
NY
RISKA
Rawat
2/3/2021 835270 AMELIA 753 1 753
Jalan
NN
Rawat KARMO
2/3/2021 835236 753 3 2,259
Inap TN
YAYA
Rawat
2/3/2021 835079 SUNARY 753 3 2,259
Inap
A TN
TAUFIK
Rawat
2/3/2021 835216 MAULAN 753 2 1,506
Inap
A SDR
NANDI
Rawat
2/3/2021 835204 SONJAY 753 4 3,012
Inap
A. TN
EVI SITI
Rawat
2/3/2021 811994 NUR. 753 1 753
Inap
F,NY
Rawat
2/3/2021 835260 ILIM TN 753 1 753
Inap
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 753 2 1,506
Inap US
SHANU
M AN
DINNY
Rawat
2/3/2021 832315 YUSTRI 753 4 3,012
Inap
ANI NY
Rawat
3/3/2021 835279 ACA, TN 753 2 1,506
Jalan
FELCIA
Rawat
3/3/2021 835226 TJHIN, 753 3 2,259
Inap
AN
EUIS
Rawat
3/3/2021 834994 YULIANI 753 2 1,506
Inap
NY
ERI
Rawat RAHMA
3/3/2021 835239 753 2 1,506
Inap WATI.
NY
Rawat KARMO
3/3/2021 835236 753 1 753
Inap TN
EVI SITI
Rawat
3/3/2021 811994 NUR. 753 1 753
Inap
F,NY
 Yana
3/3/2021 K75 753 1 753
Gustiana

Rawat CEPI,
3/3/2021 835281 753 2 1,506
Jalan TN
Rizki
3/3/2021 UMUM K63 Amalia 753 1 753
Putri
Rawat YULIN
3/3/2021 834209 753 1 753
Jalan NY
MISHAE
LA
Rawat HADYAT
4/3/2021 835253 753 4 3,012
Inap US
SHANU
M AN
Rawat KARMO
4/3/2021 835236 2,581 1 2,581
Inap TN
Rawat KARMO
4/3/2021 835236 2,581 3 7,743
Inap TN
ANISA
Rawat
4/3/2021 835298 FITRIA, 2,581 2 5,162
Inap
AN
EVI SITI
Rawat
4/3/2021 811994 NUR. 2,581 1 2,581
Inap
F,NY
AI
Rawat
4/3/2021 835302 ROHAET 2,581 1 2,581
Jalan
I. NY
Pasien
4/3/2021 UMUM 0 2,581 1 2,581
Umum
BHARAT
Rawat JIBRIL
4/3/2021 828617 2,581 1 2,581
Inap PRASET
YO. AN
Rawat LILIS,NN
4/3/2021 835293 2,581 5 12,905
Jalan Y
Pasien
4/3/2021 UMUM 0 2,581 1 2,581
Umum
BHARAT
Rawat JIBRIL
4/3/2021 828617 753 2 1,506
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 753 2 1,506
Inap AN
Rawat SINTIA.
5/3/2021 835301 753 4 3,012
Inap NY
 Rawat SINTIA.
5/3/2021 835301 753 4 3,012
Inap NY
Rawat HAIKAL
5/3/2021 835274 753 2 1,506
Inap BY
ANISA
Rawat
5/3/2021 835298 FITRIA, 753 1 753
Inap
AN
SITI
Rawat MAEUM
5/3/2021 835284 753 1 753
Inap ANAH,
NY
Rawat WAWA
5/3/2021 835318 753 2 1,506
Inap TN
Rawat SINTIA.
5/3/2021 835301 2,581 4 10,324
Inap NY
NAYLA
Rawat
5/3/2021 835311 NURASY 753 1 753
Inap
IFA AN
EUIS
Rawat
5/3/2021 831017 KURAES 753 8 6,024
Jalan
IN.NY
Rawat RUKASI
5/3/2021 835322 753 2 1,506
Inap H. NY
Rawat
5/3/2021 806591 EEN. NY 753 2 1,506
Inap
Rawat WARSIT
5/3/2021 835314 753 1 753
Jalan A TN
Rawat ROHMI
6/3/2021 835330 753 1 753
Jalan NY
Rawat NUNUN
6/3/2021 835338 2,581 1 2,581
Inap G K, NY
Rawat
6/3/2021 806591 EEN. NY 753 2 1,506
Inap
Rawat WAWA
6/3/2021 835318 753 2 1,506
Inap TN
Rawat SINTIA.
6/3/2021 835301 753 4 3,012
Inap NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 753 4 3,012
Inap
NI . NN
LILIS
Rawat
6/3/2021 823790 SURYAN 753 2 1,506
Inap
I.NY
Rawat RUKASI
6/3/2021 835322 753 2 1,506
Inap H. NY
CITRA
Rawat
6/3/2021 816881 MUFIDA 753 1 753
Jalan
H, NN.
 Rawat WAWA
6/3/2021 835318 753 2 1,506
Inap TN
Rawat KHODIJ
6/3/2021 835334 753 1 753
Jalan AH NN
AI
Rawat
6/3/2021 821381 KARWA 2,581 1 2,581
Jalan
TI.NY
ANISA
Rawat
6/3/2021 835324 FITRIYA 753 2 1,506
Inap
NI . NN
NOVI
Rawat
6/3/2021 835335 SOPAN 2,581 1 2,581
Jalan
DI, TN
LILIS
Rawat
6/3/2021 823790 SURYAN 753 2 1,506
Inap
I.NY
IDA
Rawat
6/3/2021 820069 ROSIDA. 2,581 1 2,581
Jalan
NY
Rawat RUHITA,
6/3/2021 835336 2,581 1 2,581
Jalan TN
Rawat
6/3/2021 835327 ANA TN 753 1 753
Jalan
UUN
Rawat
6/3/2021 835337 UNASIH, 2,581 1 2,581
Jalan
NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 2,581 4 10,324
Inap
NY
Rawat AWIS,
7/3/2021 816633 2,581 4 10,324
Inap NY
Rawat SUTARN
7/3/2021 810138 2,581 1 2,581
Inap A, TN
Rawat NUNUN
7/3/2021 835338 2,581 1 2,581
Inap G K, NY
Rawat
7/3/2021 806591 EEN. NY 2,581 2 5,162
Inap
TANIA
Rawat
7/3/2021 835331 MAURA 2,581 3 7,743
Inap
NISA AN
Rawat HAIKAL
7/3/2021 835274 2,581 4 10,324
Inap BY
Rawat WAWA
7/3/2021 835318 2,581 2 5,162
Inap TN
Rawat ENOS,
7/3/2021 801989 2,581 2 5,162
Inap TN
Rawat SUTARN
7/3/2021 810138 2,581 2 5,162
Inap A, TN
 Rawat SINTIA.
7/3/2021 835301 2,581 6 15,486
Inap NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 2,581 5 12,905
Inap
NY
LILIS
Rawat
7/3/2021 823790 SURYAN 2,581 2 5,162
Inap
I.NY
Rawat RUKASI
7/3/2021 835322 2,581 4 10,324
Inap H. NY
Rawat RAHMA
7/3/2021 835344 2,581 1 2,581
Jalan T. TN

Rawat ROSYA
7/3/2021 835342 2,581 1 2,581
Jalan NA. SDR

AI
Rawat
7/3/2021 3483 UNENG 2,581 1 2,581
Jalan
SIH, NY
UJANG
Rawat
8/3/2021 820303 SUPRIA 753 3 2,259
Inap
TNA, TN
Rawat SUTARN
8/3/2021 810138 2,581 1 2,581
Inap A, TN
YUNITA
Rawat NUR
8/3/2021 835353 2,581 2 5,162
Inap SOLIHA
T NY
Rawat AMINAH.
8/3/2021 835378 2,581 1 2,581
Jalan NY
NANAN
Rawat G
8/3/2021 812757 2,581 1 2,581
Jalan SUPRIA
TNA, TN
Rawat JURAEJI
8/3/2021 827464 2,581 4 10,324
Inap N, TN
ANI
Rawat PRISTIA
8/3/2021 835354 753 2 1,506
Jalan WATI.
NY
Rawat CERI
8/3/2021 835363 2,581 1 2,581
Inap LIAN AN
LALAN
Rawat
8/3/2021 835380 SOBARI 2,581 2 5,162
Jalan
SDR
Pasien
8/3/2021 UMUM 0 2,581 3 7,743
Umum
Rawat SUTARN
8/3/2021 810138 753 4 3,012
Inap A, TN
 Rawat
8/3/2021 806591 EEN. NY 753 2 1,506
Inap
Rawat AWIS,
8/3/2021 816633 753 4 3,012
Inap NY
YUNITA
Rawat NUR
8/3/2021 835353 753 2 1,506
Inap SOLIHA
T NY
Rawat NUNUN
8/3/2021 835338 753 4 3,012
Inap G K, NY
NUNUN
G
Rawat
8/3/2021 804308 HERNA 753 2 1,506
Inap
WATI.
NY
SALLY
Rawat
8/3/2021 802943 ASTAVA 753 2 1,506
Inap
NY. NY
Rawat
9/3/2021 835393 LIA. NY 2,581 6 15,486
Inap
TITI
Rawat
9/3/2021 835391 AMINAH. 2,581 2 5,162
Inap
NY
TITI
Rawat
9/3/2021 835391 AMINAH. 2,581 2 5,162
Inap
NY
Rawat RUSMIN
9/3/2021 835399 2,581 1 2,581
Jalan . TN
TITA
Rawat
9/3/2021 835383 MARYAT 2,581 1 2,581
Inap
I. NY
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 2,581 3 7,743
Inap
NY
Rawat
9/3/2021 835397 SITI, NY 2,581 1 2,581
Jalan
KAKA
Rawat IMAN
9/3/2021 830218 2,581 1 2,581
Jalan MUDIN
SDR
Rawat JURAEJI
9/3/2021 827464 2,581 4 10,324
Inap N, TN
ITI
Rawat
9/3/2021 835385 DARSITI 2,581 2 5,162
Inap
, NY
TITA
Rawat
9/3/2021 835383 MARYAT 2,581 3 7,743
Inap
I. NY
 Rawat AWIS,
9/3/2021 816633 2,581 2 5,162
Inap NY
MUHAM
Rawat MAD
9/3/2021 827829 2,581 1 2,581
Jalan KIAN,
BY
UUN
Rawat
9/3/2021 835396 SULAST 2,581 1 2,581
Jalan
RI. NY
Rawat AGUS,
9/3/2021 835398 2,581 3 7,743
Inap TN
HJ. SITI
Rawat
9/3/2021 4433 SOPIAH, 2,581 5 12,905
Inap
NY
UJANG
Rawat
9/3/2021 820303 SUPRIA 2,581 2 5,162
Inap
TNA, TN
SALLY
Rawat
9/3/2021 802943 ASTAVA 2,581 2 5,162
Inap
NY. NY
NIA
Rawat
### 826027 EVIANA. 767 2 1,534
Inap
NY
Opik
### K7 Firmansy 767 1 767
ah
Rawat AGUS,
### 835398 767 3 2,301
Inap TN
Rawat ROHETI
### 802812 2,581 2 5,162
Inap N, NY
Rawat IROH,
### 835400 2,581 4 10,324
Inap NY
Rawat ROHETI
### 802812 753 2 1,506
Inap N, NY
Rawat AGUS,
### 835398 753 3 2,259
Inap TN
HJ. SITI
Rawat
### 4433 SOPIAH, 753 7 5,271
Inap
NY
Rawat SUPRI.
### 835403 753 3 2,259
Inap TN

ARSHAK
Rawat
### 813853 A RAMA 753 2 1,506
Inap
A. AN.
 ARSHAK
Rawat
### 813853 A RAMA 753 4 3,012
Inap
A. AN.

Rawat IROH,
### 835400 753 2 1,506
Inap NY
TITI
Rawat
### 835391 AMINAH. 753 2 1,506
Inap
NY
Rawat
### 835393 LIA. NY 753 3 2,259
Inap
NINING
Rawat
### 832543 RUNING 767 2 1,534
Inap
SIH NY
EUIS
Rawat
### 834994 YULIANI 767 4 3,068
Inap
NY
H.
Rawat TATANG
### 831377 767 6 4,602
Inap TARYON
O, TN

Rawat ARSYAK
### 814127 767 2 1,534
Inap HA . AN

Rawat
### 835393 LIA. NY 767 2 1,534
Inap
H.
Rawat TATANG
### 831377 767 4 3,068
Inap TARYON
O, TN
FITRA
SYAHRI
Rawat
### 835411 L 767 1 767
Jalan
ARHAM
TN
Rawat IMAS,
### 835142 767 2 1,534
Inap NY
SUPRIH
Rawat
### 822113 ATIN. 767 2 1,534
Inap
NY
Rawat IMAS,
### 835142 767 3 2,301
Inap NY
NAUFAL
Rawat DI
### 800119 753 3 2,259
Inap AGUSTI
N, AN
 KENZIE
Rawat AZKA
### 810083 753 1 753
Inap FAIRUIZ.
AN
TINI
Rawat
### 835417 HARTINI 753 4 3,012
Inap
. NY
Rawat
### 816828 ILAH, NY 753 1 753
Jalan
Rawat
### 835415 AAH, NY 767 2 1,534
Inap
Pasien
### UMUM 0 723 1 723
Umum
Rawat POPI,
### 835414 767 2 1,534
Inap TN
Rawat KASNAH
### 835440 753 1 753
Jalan . NY
Rawat POPI,
### 835414 753 1 753
Inap TN

HAYKAL
Rawat DWI
### 835435 769 2 1,538
Inap SYAHPU
TRA AN

KHOTIM
Rawat ATUS
### 811689 769 2 1,538
Inap SADIAH,
NY

Rawat YUSILA
### 834752 767 2 1,534
Inap WATI,NY

TINI
Rawat
### 835417 HARTINI 769 2 1,538
Inap
. NY
NINING
Rawat
### 832543 RUNING 767 1 767
Inap
SIH NY
Rawat AGUS,
### 835398 767 4 3,068
Inap TN
SUPRIH
Rawat
### 822113 ATIN. 767 2 1,534
Inap
NY
Rawat IMAS,
### 835142 767 3 2,301
Inap NY
Rawat
### 835415 AAH, NY 767 3 2,301
Inap
Rawat
### 835393 LIA. NY 753 3 2,259
Inap
 Rawat POPI,
### 835414 753 4 3,012
Inap TN
H.
Rawat TATANG
### 831377 753 9 6,777
Inap TARYON
O, TN
Rawat MONDRI
### 835438 753 1 753
Jalan AN
HEMMU
D
Rawat FARCHA
### 835437 753 2 1,506
Jalan N IBNU
HASAN
TN
13/03/20 Rawat KARMO
835236 769 5 3,845
21 Inap TN

HAYKAL
13/03/20 Rawat DWI
835435 769 3 2,307
21 Inap SYAHPU
TRA AN

13/03/20 Rawat TASIH

835460 769 3 2,307
21 Inap NY
AMRIN
13/03/20 Rawat
835462 SOBANA 769 3 2,307
21 Inap
TN
TATI
13/03/20 Rawat
835463 WARSITI 769 4 3,076
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 769 3 2,307
21 Inap WATI,
NY
13/03/20 Rawat NALIH.
835459 769 1 769
21 Jalan TN
EUIS
13/03/20 Rawat
834994 YULIANI 769 4 3,076
21 Inap
NY
13/03/20 Rawat
821178 LIA, NY 769 1 769
21 Jalan
TINI
13/03/20 Rawat
835417 HARTINI 769 2 1,538
21 Inap
. NY
LINDA
13/03/20 Rawat
835448 LAELA. 769 6 4,614
21 Inap
NY
13/03/20 Rawat
806813 IPIN, TN 769 1 769
21 Jalan
13/03/20 Rawat ASEP
835461 769 1 769
21 Jalan EDO. TN

BAYU
13/03/20 Rawat
835410 ANUGE 769 1 769
21 Inap
RAH TN
13/03/20 Rawat KULSUM
835464 769 1 769
21 Jalan . NY
KHOTIM
13/03/20 Rawat ATUS
811689 769 1 769
21 Inap SADIAH,
NY
VIVIH
13/03/20 Rawat
834834 NOVITA 769 2 1,538
21 Inap
DEWI
13/03/20 Rawat EDAH,
835444 769 1 769
21 Jalan NY
LIKA
13/03/20 Rawat
835445 MUSTIK 769 1 769
21 Jalan
A, NY
13/03/20 Rawat
835453 AMI NY 769 1 769
21 Jalan
13/03/20 Rawat RUKMIN
835465 769 1 769
21 Jalan I. NY
M
13/03/20 Rawat
835454 UHING 769 1 769
21 Jalan
TN
NAUFAL
13/03/20 Rawat DI
800119 769 3 2,307
21 Inap AGUSTI
N, AN

13/03/20 Rawat YUSILA

834752 769 2 1,538
21 Inap WATI,NY

BAYU
13/03/20 Rawat
835410 ANUGE 769 1 769
21 Inap
RAH TN
EEM
13/03/20 Rawat
831825 SUKAE 769 4 3,076
21 Inap
MI. NY
NINING
13/03/20 Rawat
832543 RUNING 769 1 769
21 Inap
SIH NY
13/03/20 Rawat POPI,
835414 769 4 3,076
21 Inap TN
13/03/20 Rawat NENGS
835451 769 1 769
21 Jalan RI. NY
 SUPRIH
13/03/20 Rawat
822113 ATIN. 769 3 2,307
21 Inap
NY
HAUZAN
13/03/20 Rawat IRHAB
833974 769 3 2,307
21 Inap NABIL,
AN
KHOTIM
13/03/20 Rawat ATUS
811689 769 2 1,538
21 Inap SADIAH,
NY
VIVIH
13/03/20 Rawat
834834 NOVITA 769 3 2,307
21 Inap
DEWI
13/03/20 Rawat AGUS,
835398 769 4 3,076
21 Inap TN
AHMAD
13/03/20 Rawat
835458 ARYA. 769 1 769
21 Inap
AN
14/03/20 Rawat TASIH
835460 753 4 3,012
21 Inap NY
TINI
14/03/20 Rawat
835417 HARTINI 753 6 4,518
21 Inap
. NY
14/03/20 Rawat FATIMA
832088 753 5 3,765
21 Inap H , NY
LINDA
14/03/20 Rawat
835448 LAELA. 753 6 4,518
21 Inap
NY
NIA
14/03/20 Rawat KURNIA
834792 753 3 2,259
21 Inap WATI,
NY
14/03/20 Rawat ENES
835469 753 2 1,506
21 Inap NY
14/03/20 Rawat KARMO
835236 753 4 3,012
21 Inap TN
BAYU
14/03/20 Rawat
835410 ANUGE 753 1 753
21 Inap
RAH TN
AMRIN
14/03/20 Rawat
835462 SOBANA 753 3 2,259
21 Inap
TN
NAUFAL
14/03/20 Rawat DI
800119 753 1 753
21 Inap AGUSTI
N, AN
 HAUZAN
14/03/20 Rawat IRHAB
833974 753 1 753
21 Inap NABIL,
AN
SUPRIH
14/03/20 Rawat
822113 ATIN. 769 1 769
21 Inap
NY
EEM
14/03/20 Rawat
831825 SUKAE 769 2 1,538
21 Inap
MI. NY
UAR
14/03/20 Rawat
835466 WARSIT 753 2 1,506
21 Inap
A. TN
VIVIH
14/03/20 Rawat
834834 NOVITA 769 2 1,538
21 Inap
DEWI
TATI
14/03/20 Rawat
835463 WARSITI 769 2 1,538
21 Inap
. NY
14/03/20 Rawat SACI,
804839 753 1 753
21 Jalan NY
14/03/20 Rawat IRUM
835472 753 2 1,506
21 Inap NY
UAR
14/03/20 Rawat
835466 WARSIT 769 3 2,307
21 Inap
A. TN
14/03/20 Rawat
835415 AAH, NY 753 6 4,518
21 Inap
SUPRIH
15/03/20 Rawat
822113 ATIN. 769 3 2,307
21 Inap
NY
ADE
15/03/20 Rawat
835470 SUKAES 769 2 1,538
21 Inap
IH NY
EEM
15/03/20 Rawat
831825 SUKAE 769 4 3,076
21 Inap
MI. NY
NANA
15/03/20 Rawat
835475 TARYAN 753 1 753
21 Inap
A. TN
15/03/20 Rawat
815940 DIDI, TN. 753 4 3,012
21 Inap
LINDA
15/03/20 Rawat
835448 LAELA. 753 5 3,765
21 Inap
NY
 DEREL
15/03/20 Rawat DWI
835473 753 2 1,506
21 Inap KARISM
A AN
15/03/20 Rawat ENES
835469 769 1 769
21 Inap NY
IIN
15/03/20 Rawat
819469 RUYANI, 769 4 3,076
21 Inap
NY
15/03/20 Rawat ENES
835469 753 3 2,259
21 Inap NY
15/03/20 Rawat ROKAYA
835481 769 4 3,076
21 Inap H NY
NUNUN
G
15/03/20 Rawat
835479 HERMA 769 4 3,076
21 Inap
WATI,
NY
15/03/20 Rawat FATIMA
832088 753 4 3,012
21 Inap H , NY
NIA
15/03/20 Rawat KURNIA
834792 753 2 1,506
21 Inap WATI,
NY
DIMAS
15/03/20 Rawat
812977 ADITYA 769 2 1,538
21 Inap
W, AN

HAYKAL
15/03/20 Rawat DWI
835435 753 2 1,506
21 Inap SYAHPU
TRA AN

NAUFAL
15/03/20 Rawat DI
800119 753 1 753
21 Inap AGUSTI
N, AN
15/03/20 Rawat KARMO
835236 753 2 1,506
21 Inap TN
HJ
15/03/20 Rawat
804292 CICIH. 753 1 753
21 Inap
NY
OMAN
15/03/20 Rawat
831629 ROHAN 753 1 753
21 Jalan
A, TN
DEREL
15/03/20 Rawat DWI
835473 753 1 753
21 Inap KARISM
A AN
 ADE
16/03/20 Rawat
835529 ROHMA 767 2 1,534
21 Inap
ENI. NY
SUPRIH
16/03/20 Rawat
822113 ATIN. 767 3 2,301
21 Inap
NY
HJ
16/03/20 Rawat
804292 CICIH. 767 2 1,534
21 Inap
NY
LEVINO
16/03/20 Rawat
835494 INDRAS 767 1 767
21 Inap
KA. AN
DEREL
16/03/20 Rawat DWI
835473 767 4 3,068
21 Inap KARISM
A AN
DIMAS
16/03/20 Rawat
812977 ADITYA 767 2 1,534
21 Inap
W, AN
NANA
16/03/20 Rawat
835475 TARYAN 767 1 767
21 Inap
A. TN
IIN
16/03/20 Rawat
819469 RUYANI, 767 4 3,068
21 Inap
NY
16/03/20 Rawat
835415 AAH, NY 767 3 2,301
21 Inap
16/03/20 Rawat ROKAYA
835481 767 1 767
21 Inap H NY
IIN
16/03/20 Rawat
819469 RUYANI, 767 1 767
21 Inap
NY
16/03/20 Rawat IRUM
835472 767 2 1,534
21 Inap NY
NUNUN
G
16/03/20 Rawat
835479 HERMA 767 4 3,068
21 Inap
WATI,
NY
ELOM
16/03/20 Rawat SALAM
835515 767 2 1,534
21 Inap SUDIRM
AN TN
16/03/20 Rawat FATIMA
832088 767 4 3,068
21 Inap H , NY
TITI
16/03/20 Rawat
835508 SURYAN 767 2 1,534
21 Inap
I NY
 N. U.
16/03/20 Rawat
835522 UMAYA 767 3 2,301
21 Inap
H NY
YANA
16/03/20 Rawat
835328 GUSTIA 767 1 767
21 Inap
NA NN
16/03/20 Rawat CICIH
811043 767 2 1,534
21 Inap NY.

SODIKIN
16/03/20 Rawat NOOR
835524 767 4 3,068
21 Inap BADRI.
TN

E
16/03/20 Rawat
835527 MUCHT 767 1 767
21 Inap
AR . TN
TITIN
16/03/20 Rawat
835530 MULYAT 767 1 767
21 Inap
IN NY
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 767 2 1,534
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat ERES
835537 767 2 1,534
21 Inap NY
ENCID
17/03/20 Rawat
806056 TAMSID, 767 2 1,534
21 Jalan
TN
HJ
17/03/20 Rawat
804292 CICIH. 767 3 2,301
21 Inap
NY
17/03/20 Rawat ROKAYA
835481 767 1 767
21 Inap H NY
IIN
17/03/20 Rawat
819469 RUYANI, 767 3 2,301
21 Inap
NY
17/03/20 Rawat ASIR .
835538 767 2 1,534
21 Inap TN
NIA
17/03/20 Rawat KURNIA
834792 767 4 3,068
21 Inap WATI,
NY
YANA
17/03/20 Rawat
835328 GUSTIA 767 2 1,534
21 Inap
NA NN
 SODIKIN
17/03/20 Rawat NOOR
835524 767 4 3,068
21 Inap BADRI.
TN

E
17/03/20 Rawat
835527 MUCHT 767 2 1,534
21 Inap
AR . TN
N. U.
17/03/20 Rawat
835522 UMAYA 767 3 2,301
21 Inap
H NY
ELOM
17/03/20 Rawat SALAM
835515 767 2 1,534
21 Inap SUDIRM
AN TN
ADE
17/03/20 Rawat
835529 ROHMA 767 1 767
21 Inap
ENI. NY
TITIN
17/03/20 Rawat
835530 MULYAT 767 1 767
21 Inap
IN NY
17/03/20 Rawat CICIH
811043 767 3 2,301
21 Inap NY.
17/03/20 Rawat FATIMA
832088 767 3 2,301
21 Inap H , NY
17/03/20 Rawat WASLI.
827069 767 1 767
21 Jalan TN
17/03/20 Rawat KARWA
832626 767 2 1,534
21 Inap TI. NY
ELIS
18/03/20 Rawat
835539 RUKYUL 753 3 2,259
21 Jalan
IANI NY
18/03/20 Rawat CICIH
811043 767 2 1,534
21 Inap NY.
N. U.
18/03/20 Rawat
835522 UMAYA 753 2 1,506
21 Inap
H NY
YANA
18/03/20 Rawat
835328 GUSTIA 753 1 753
21 Inap
NA NN

SODIKIN
18/03/20 Rawat NOOR
835524 753 3 2,259
21 Inap BADRI.
TN

18/03/20 Rawat
835547 IRAH NY 767 2 1,534
21 Inap
 ADE
18/03/20 Rawat
835529 ROHMA 753 1 753
21 Inap
ENI. NY
18/03/20 Rawat MA'MUN
835549 767 1 767
21 Jalan TN
18/03/20 Rawat KARWA
832626 753 2 1,506
21 Inap TI. NY
AHDIAH
18/03/20 Rawat MAMAH
835542 753 1 753
21 Jalan ROHIMA
H NY
18/03/20 Rawat ROKAYA
835481 753 4 3,012
21 Inap H NY
19/03/20 Rawat CICIH
811043 767 4 3,068
21 Inap NY.
19/03/20 Rawat ROKAYA
835481 767 2 1,534
21 Inap H NY
19/03/20 Rawat KARWA
832626 767 1 767
21 Inap TI. NY
19/03/20 Rawat
835547 IRAH NY 767 2 1,534
21 Inap

SODIKIN
19/03/20 Rawat NOOR
835524 767 4 3,068
21 Inap BADRI.
TN

19/03/20 Rawat AMAT.

835550 767 1 767
21 Inap TN
N. U.
19/03/20 Rawat
835522 UMAYA 767 5 3,835
21 Inap
H NY
19/03/20
UMUM K101 Cep Andi 767 1 767
21
19/03/20 Rawat DARYAN
835565 767 2 1,534
21 Inap TI. NY
RONI
19/03/20 Rawat
835563 SUPRIA 767 2 1,534
21 Inap
DI TN
19/03/20 Rawat ANIS,
835551 767 1 767
21 Jalan NY
TOHA
19/03/20 Rawat
805009 NURDIN, 767 2 1,534
21 Inap
TN
19/03/20 Rawat AMAT.
835550 767 3 2,301
21 Inap TN
19/03/20 Rawat AFRIJAL
835557 767 1 767
21 Jalan UL SDR
 EUIS
19/03/20 Rawat
1708 MAEMU 767 1 767
21 Jalan
NAH, NY
ADE
19/03/20 Rawat
835529 ROHMA 767 2 1,534
21 Inap
ENI. NY
20/03/20 Rawat
807029 TUTI, NY 767 4 3,068
21 Inap
EUIS
20/03/20 Rawat
835573 WARTIN 767 1 767
21 Jalan
I NY
RONI
20/03/20 Rawat
835563 SUPRIA 767 2 1,534
21 Inap
DI TN
TOHA
20/03/20 Rawat
805009 NURDIN, 767 2 1,534
21 Inap
TN
N. U.
20/03/20 Rawat
835522 UMAYA 767 5 3,835
21 Inap
H NY

SODIKIN
20/03/20 Rawat NOOR
835524 753 1 753
21 Inap BADRI.
TN

20/03/20 Rawat ROKAYA

835481 767 2 1,534
21 Inap H NY
TOHA
20/03/20 Rawat
805009 NURDIN, 767 2 1,534
21 Inap
TN
RONI
20/03/20 Rawat
835563 SUPRIA 753 1 753
21 Inap
DI TN
TOHA
20/03/20 Rawat
805009 NURDIN, 753 1 753
21 Inap
TN
20/03/20 Rawat HIDAYA
805608 767 1 767
21 Inap T, TN
20/03/20 Rawat
807029 TUTI, NY 767 4 3,068
21 Inap

YATI
20/03/20 Rawat
835577 KURNIA 753 4 3,012
21 Inap
WATI NY

20/03/20 Rawat SUKAES

807749 753 4 3,012
21 Inap IH. NY
 AZIS
20/03/20 Rawat RUHIAT
824516 753 2 1,506
21 Inap SUPRIA
TNA . TN

20/03/20 Rawat HIDAYA

805608 767 1 767
21 Inap T, TN
21/03/20 Rawat DARYAN
835565 753 2 1,506
21 Inap TI. NY
21/03/20 Rawat
807029 TUTI, NY 753 4 3,012
21 Inap
21/03/20 Rawat HERMA
835580 753 4 3,012
21 Inap N TN

YATI
21/03/20 Rawat
835577 KURNIA 753 2 1,506
21 Inap
WATI NY

AZIS
21/03/20 Rawat RUHIAT
824516 753 2 1,506
21 Inap SUPRIA
TNA . TN

YATI
21/03/20 Rawat
835577 KURNIA 753 3 2,259
21 Inap
WATI NY

MS
21/03/20 Rawat
835587 SOPIAH, 753 1 753
21 Jalan
NY
21/03/20 Rawat SUKAES
807749 753 4 3,012
21 Inap IH. NY
21/03/20 Rawat DEDEN
835586 753 3 2,259
21 Inap G, TN
21/03/20 Rawat MA'MUN
835549 753 1 753
21 Jalan TN
21/03/20 Rawat WANGSI
835588 753 3 2,259
21 Inap H, NY
DANA
21/03/20 Rawat
835590 SUJATN 753 3 2,259
21 Inap
A, TN
ACEP
21/03/20 Rawat
835592 SOHIDIN 753 1 753
21 Jalan
TN

ANDREA
21/03/20 Rawat S
835582 753 1 753
21 Jalan YUDANT
ORO TN
21/03/20 Rawat HIDAYA
805608 753 1 753
21 Inap T, TN
N. U.
21/03/20 Rawat
835522 UMAYA 753 5 3,765
21 Inap
H NY
21/03/20 Rawat NATAN.
835591 753 2 1,506
21 Inap AN
RONI
21/03/20 Rawat
835563 SUPRIA 753 1 753
21 Inap
DI TN

MALA
21/03/20 Rawat
835594 KOMALA 753 3 2,259
21 Inap
SARI NY

21/03/20 Rawat HERMA

835580 753 4 3,012
21 Inap N TN
21/03/20 Rawat WANGSI
835588 753 2 1,506
21 Inap H, NY
21/03/20 Rawat NINING
835595 753 3 2,259
21 Inap NY
21/03/20 Rawat HERMA
835580 753 2 1,506
21 Inap N TN
ENGKU
21/03/20 Rawat S
810535 753 4 3,012
21 Inap KUSNAD
I, TN
ENGKU
21/03/20 Rawat S
810535 753 4 3,012
21 Inap KUSNAD
I, TN
21/03/20 Rawat AHYA,
835585 753 1 753
21 Jalan TN
22/03/20 Rawat FIRMAN
835613 753 2 1,506
21 Inap SDR
SOPIAN
22/03/20 Rawat
835608 YUDA. 753 2 1,506
21 Inap
SDR

22/03/20 Rawat ANDAR

831440 753 2 1,506
21 Inap WATI NY

AJENG
22/03/20 Rawat
811100 KARTINI 753 5 3,765
21 Inap
.NY
22/03/20 Rawat NINING
835595 753 3 2,259
21 Inap NY
 YATI
22/03/20 Rawat
835577 KURNIA 753 3 2,259
21 Inap
WATI NY

N. U.
22/03/20 Rawat
835522 UMAYA 753 5 3,765
21 Inap
H NY
22/03/20 Rawat SUHEN
835596 753 4 3,012
21 Inap DA NY
RONI
22/03/20 Rawat
835563 SUPRIA 753 1 753
21 Inap
DI TN
22/03/20 Rawat HERMA
835580 753 3 2,259
21 Inap N TN

AZIS
22/03/20 Rawat RUHIAT
824516 753 2 1,506
21 Inap SUPRIA
TNA . TN

22/03/20 Rawat DEDEN

835586 753 1 753
21 Inap G, TN
22/03/20 Rawat WANGSI
835588 753 6 4,518
21 Inap H, NY

MALA
22/03/20 Rawat
835594 KOMALA 753 1 753
21 Inap
SARI NY

22/03/20 Rawat NATAN.

835591 753 2 1,506
21 Inap AN
NUNUN
22/03/20 Rawat G
835606 753 2 1,506
21 Inap KOMARI
AH. NY
22/03/20 Rawat PARNO,
835601 753 2 1,506
21 Inap TN
22/03/20 Rawat UDIN.
835604 753 4 3,012
21 Inap TN
22/03/20 Rawat ROSIDA
835605 753 1 753
21 Inap H
22/03/20 Rawat SUHEN
835596 753 3 2,259
21 Inap DA NY
GANJAR
22/03/20 Rawat
835607 HIKMAT 753 2 1,506
21 Inap
. TN
23/03/20 Rawat ADAH.
835518 767 4 3,068
21 Inap NY
 UJANG
23/03/20 Rawat
835617 TATANG 753 2 1,506
21 Inap
. TN
23/03/20 Rawat NATAN.
835591 753 1 753
21 Inap AN

23/03/20 Rawat ANDAR

831440 767 5 3,835
21 Inap WATI NY

UJANG
23/03/20 Rawat
835617 TATANG 767 2 1,534
21 Inap
. TN
AJENG
23/03/20 Rawat
811100 KARTINI 753 5 3,765
21 Inap
.NY
23/03/20 Rawat FIRMAN
835613 767 1 767
21 Inap SDR
23/03/20 Rawat NINING
835595 753 3 2,259
21 Inap NY

YATI
23/03/20 Rawat
835577 KURNIA 767 2 1,534
21 Inap
WATI NY

YATI
23/03/20 Rawat
835577 KURNIA 753 3 2,259
21 Inap
WATI NY

LUKMAN
23/03/20 Rawat
835614 HAKIM 753 2 1,506
21 Inap
TN
EPON
23/03/20 Rawat
835622 SUKARS 767 3 2,301
21 Inap
IH NY

YATI
23/03/20 Rawat
835577 KURNIA 753 1 753
21 Inap
WATI NY

23/03/20 Rawat HERMA

835580 753 1 753
21 Inap N TN
23/03/20 Rawat PARNO,
835601 753 2 1,506
21 Inap TN
AJENG
23/03/20 Rawat
811100 KARTINI 753 1 753
21 Inap
.NY
AAR
23/03/20 Rawat
825828 SURYAT 753 4 3,012
21 Inap
I.NY
 ONDA
23/03/20 Rawat
835632 MUYAN 767 1 767
21 Inap
A. TN
SUKAND
I BIN
23/03/20 Rawat
813480 SURYA 753 1 753
21 Jalan
MAN,
TN.
UJANG
23/03/20 Rawat
835617 TATANG 753 2 1,506
21 Inap
. TN
EPON
23/03/20 Rawat
835622 SUKARS 753 3 2,259
21 Inap
IH NY
NUNUN
23/03/20 Rawat G
835606 753 1 753
21 Inap KOMARI
AH. NY
ACU
23/03/20 Rawat
835621 SAMSU 753 1 753
21 Jalan
DIN TN

MALA
23/03/20 Rawat
835594 KOMALA 753 2 1,506
21 Inap
SARI NY

GANJAR
23/03/20 Rawat
835607 HIKMAT 753 2 1,506
21 Inap
. TN
23/03/20 Rawat DEDEN
835586 753 1 753
21 Inap G, TN
RAFASY
23/03/20 Rawat A
835386 753 1 753
21 Jalan FEBRIA
NDI. AN
FITRI
23/03/20 Rawat SARI
835624 753 6 4,518
21 Inap WAHYU
NI NN
23/03/20 Rawat
833508 AMID TN 767 1 767
21 Jalan
23/03/20 Rawat KARSIH
831386 753 3 2,259
21 Inap NY
KOSIM
23/03/20 Rawat
835625 SUKIRM 767 1 767
21 Jalan
AN.TN
 NUNUN
23/03/20 Rawat G
835606 753 4 3,012
21 Inap KOMARI
AH. NY

23/03/20 Rawat ANDAR

831440 753 3 2,259
21 Inap WATI NY

RONI
23/03/20 Rawat
835563 SUPRIA 753 1 753
21 Inap
DI TN
23/03/20 Rawat KARSIH
831386 767 2 1,534
21 Inap NY
23/03/20 Rawat FIRMAN
835613 753 1 753
21 Inap SDR
23/03/20 Rawat PARNO,
835601 753 3 2,259
21 Inap TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 753 1 753
21 Inap
TN
RESTU
24/03/20 Rawat NANDA
826925 753 4 3,012
21 Inap AMELIA
. NN
24/03/20 Rawat RAHNI
835628 753 2 1,506
21 Inap NY
EPON
24/03/20 Rawat
835622 SUKARS 753 2 1,506
21 Inap
IH NY
AAR
24/03/20 Rawat
825828 SURYAT 753 3 2,259
21 Inap
I.NY

YATI
24/03/20 Rawat
835577 KURNIA 753 8 6,024
21 Inap
WATI NY

AJENG
24/03/20 Rawat
811100 KARTINI 753 3 2,259
21 Inap
.NY
DEDE
24/03/20 Rawat
835636 RAHMA 753 2 1,506
21 Inap
T TN
24/03/20 Rawat RAHNI
835628 753 1 753
21 Inap NY
RESTU
24/03/20 Rawat NANDA
826925 753 1 753
21 Inap AMELIA
. NN
24/03/20 Rawat YATNI
835642 753 2 1,506
21 Inap NY
24/03/20 Rawat KURYAT
800972 767 1 767
21 Jalan I, NY
24/03/20 Rawat YUYUM
835643 753 4 3,012
21 Inap NY
ANISA
24/03/20 Rawat FAIHA
835644 753 3 2,259
21 Inap MUNAN
DAR AN
24/03/20 Rawat HIDAYA
835638 767 1 767
21 Jalan T. TN
24/03/20 Rawat NENGSI
835645 753 2 1,506
21 Inap H NY
SITI
24/03/20 Rawat
814501 RODIAH, 753 3 2,259
21 Inap
NY.
YULI
24/03/20 Rawat
835639 YANI 753 1 753
21 Jalan
.NY
NY
24/03/20
UMUM APS KURYAT 723 1 723
21
I
ONDA
24/03/20 Rawat
835632 MUYAN 753 2 1,506
21 Inap
A. TN
SOPIAN
24/03/20 Rawat
835608 YUDA. 753 3 2,259
21 Inap
SDR
FITRI
24/03/20 Rawat SARI
835624 753 5 3,765
21 Inap WAHYU
NI NN
UJANG
24/03/20 Rawat
835617 TATANG 753 4 3,012
21 Inap
. TN

24/03/20 Rawat ANDAR

831440 753 6 4,518
21 Inap WATI NY

24/03/20 Rawat PARNO,

835601 753 3 2,259
21 Inap TN
NUNUN
24/03/20 Rawat G
835606 753 3 2,259
21 Inap KOMARI
AH. NY
24/03/20 Rawat KARSIH
831386 753 5 3,765
21 Inap NY
 SARI
25/03/20 Rawat
831537 NURYA 753 2 1,506
21 Jalan
NI.NN
FITRI
25/03/20 Rawat SARI
835624 767 5 3,835
21 Inap WAHYU
NI NN
25/03/20 Rawat PARNO,
835601 767 3 2,301
21 Inap TN
ONDA
25/03/20 Rawat
835632 MUYAN 767 3 2,301
21 Inap
A. TN
WOWO
25/03/20 Rawat
809923 SUGRIW 767 4 3,068
21 Inap
O.TN
NANI
25/03/20 Rawat
815243 MARYA 767 4 3,068
21 Inap
NI, NY.
DARPIT
25/03/20 Rawat
835655 ROHIDU 767 1 767
21 Inap
N. TN
25/03/20 Rawat HIDAYA
835638 767 2 1,534
21 Inap T. TN
SAPAAT
25/03/20 Rawat NURHA
835668 753 1 753
21 Inap YATUDI
N TN
EPON
25/03/20 Rawat
835622 SUKARS 767 5 3,835
21 Inap
IH NY
ROSMA
25/03/20 Rawat
834926 LAWATI, 753 3 2,259
21 Inap
NY

YATI
25/03/20 Rawat
835577 KURNIA 767 4 3,068
21 Inap
WATI NY

AAR
25/03/20 Rawat
825828 SURYAT 767 3 2,301
21 Inap
I.NY
25/03/20 Rawat YUYUM
835643 767 5 3,835
21 Inap NY
SITI
25/03/20 Rawat
814501 RODIAH, 767 5 3,835
21 Inap
NY.
25/03/20 Rawat YATNI
835642 767 2 1,534
21 Inap NY
 WOWO
25/03/20 Rawat
809923 SUGRIW 753 4 3,012
21 Inap
O.TN
AJENG
25/03/20 Rawat
811100 KARTINI 767 2 1,534
21 Inap
.NY
SITI
25/03/20 Rawat
814501 RODIAH, 753 3 2,259
21 Inap
NY.
RESTU
25/03/20 Rawat NANDA
826925 767 4 3,068
21 Inap AMELIA
. NN

ALRADY
A
25/03/20 Rawat MAHAB
830769 767 2 1,534
21 Inap BATAN
LUVINA
TIKA. AN

ADE
25/03/20 Rawat
800276 SUHEN 753 4 3,012
21 Inap
DI, TN
CICIH
25/03/20 Rawat
835651 RUKAES 753 1 753
21 Jalan
IH. NY
ADE
25/03/20 Rawat
800276 SUHEN 753 2 1,506
21 Inap
DI, TN
AHMAD
25/03/20 Rawat
823394 SURYAN 753 1 753
21 Jalan
A, BY
26/03/20 Rawat YUYUM
835675 767 2 1,534
21 Inap NY
ACU
26/03/20 Rawat
835621 SAMSU 753 2 1,506
21 Inap
DIN TN
26/03/20 Rawat RIFAL
835674 767 1 767
21 Inap SDR
NANI
26/03/20 Rawat
815243 MARYA 767 4 3,068
21 Inap
NI, NY.
26/03/20 Rawat KARMID,
823943 753 2 1,506
21 Inap TN
HJ
26/03/20 Rawat
835648 CECEP . 767 1 767
21 Inap
TN
 UJANG
26/03/20 Rawat
2816 HENDI , 753 2 1,506
21 Inap
TN
26/03/20 Rawat NENGSI
835645 767 2 1,534
21 Inap H NY
26/03/20 Rawat YUYUM
835675 753 1 753
21 Inap NY
ROSMA
26/03/20 Rawat
834926 LAWATI, 753 5 3,765
21 Inap
NY
EPON
26/03/20 Rawat
835622 SUKARS 753 2 1,506
21 Inap
IH NY
AAR
26/03/20 Rawat
825828 SURYAT 753 3 2,259
21 Inap
I.NY
26/03/20 Rawat YUYUM
835643 753 5 3,765
21 Inap NY
SITI
26/03/20 Rawat
814501 RODIAH, 753 6 4,518
21 Inap
NY.
SAPAAT
26/03/20 Rawat NURHA
835668 753 1 753
21 Inap YATUDI
N TN
ONDA
26/03/20 Rawat
835632 MUYAN 753 6 4,518
21 Inap
A. TN
ANDA
26/03/20 Rawat
834672 WIHAND 753 4 3,012
21 Inap
A TN
WOWO
26/03/20 Rawat
809923 SUGRIW 753 3 2,259
21 Inap
O.TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 753 1 753
21 Inap
N. TN
HJ
26/03/20 Rawat
835670 SUKARN 753 5 3,765
21 Inap
A TN
ENTIN
26/03/20 Rawat
826446 ROSTINI 753 1 753
21 Jalan
, NY
26/03/20 Rawat WINDY,
806078 753 1 753
21 Jalan NY
26/03/20 Rawat UHNAN
835689 753 5 3,765
21 Inap TN
 ANDA
26/03/20 Rawat
834672 WIHAND 753 2 1,506
21 Inap
A TN
26/03/20 Rawat RUSTA,
2579 753 1 753
21 Inap TN
HJ
26/03/20 Rawat
835670 SUKARN 753 2 1,506
21 Inap
A TN
26/03/20 Meilita
K43 753 1 753
21 Nurfajrin
NYAI
26/03/20 Rawat
835676 ATIKAH 753 3 2,259
21 Inap
NY
ONDA
27/03/20 Rawat
835632 MUYAN 753 3 2,259
21 Inap
A. TN
27/03/20 Rawat RIFAL
835674 753 1 753
21 Inap SDR
SITI
27/03/20 Rawat
835704 RODIAH. 753 2 1,506
21 Inap
NY
27/03/20 Rawat
815940 DIDI, TN. 753 1 753
21 Jalan
27/03/20 Rawat ENDAN
835708 753 3 2,259
21 Inap G TN
ONDA
27/03/20 Rawat
835632 MUYAN 753 1 753
21 Inap
A. TN
NANI
27/03/20 Rawat
815243 MARYA 753 4 3,012
21 Inap
NI, NY.
27/03/20 Rawat SUARI,
800179 753 3 2,259
21 Inap TN
M.
27/03/20 Rawat
284 SAMSI, 753 2 1,506
21 Inap
AN
27/03/20 Rawat UNENG,
5097 753 6 4,518
21 Inap NY
27/03/20 Rawat YUYUM
835675 753 2 1,506
21 Inap NY
IMAS
27/03/20 Rawat
827623 MULYAN 753 2 1,506
21 Inap
I, NY
WOWO
27/03/20 Rawat
809923 SUGRIW 753 5 3,765
21 Inap
O.TN
 UJANG
27/03/20 Rawat
2816 HENDI , 753 2 1,506
21 Inap
TN
27/03/20 Rawat
835659 YATI. NY 753 4 3,012
21 Inap
27/03/20 Rawat RIFAL
835674 753 2 1,506
21 Inap SDR
HJ
27/03/20 Rawat
835648 CECEP . 753 1 753
21 Inap
TN
27/03/20 Rawat KARMID,
823943 753 2 1,506
21 Inap TN
27/03/20 Rawat
835713 ELIS NY 753 1 753
21 Jalan
27/03/20 Rawat YUYUM
835643 753 3 2,259
21 Inap NY
ANDA
27/03/20 Rawat
834672 WIHAND 753 4 3,012
21 Inap
A TN
27/03/20 Rawat WANCIH
835712 753 2 1,506
21 Inap NY
27/03/20 Rawat RUSTA,
811999 753 2 1,506
21 Inap TN
SAPAAT
27/03/20 Rawat NURHA
835668 753 1 753
21 Inap YATUDI
N TN
27/03/20 Rawat JAENAL
835715 753 2 1,506
21 Jalan NY
DARPIT
27/03/20 Rawat
835655 ROHIDU 753 1 753
21 Inap
N. TN
ROSMA
27/03/20 Rawat
834926 LAWATI, 753 1 753
21 Inap
NY
27/03/20 Rawat YUYUM
835643 753 1 753
21 Inap NY
HARDI
27/03/20 Rawat
835716 SAMUEL 753 1 753
21 Jalan
TN
M.
27/03/20 Rawat
284 SAMSI, 753 1 753
21 Inap
AN
NYAI
27/03/20 Rawat
835676 ATIKAH 753 5 3,765
21 Inap
NY
 ENGKIN
27/03/20 Rawat
835520 G AJIS . 753 1 753
21 Jalan
TN
ACU
27/03/20 Rawat
835621 SAMSU 753 2 1,506
21 Inap
DIN TN
ROSMA
27/03/20 Rawat
834926 LAWATI, 753 5 3,765
21 Inap
NY
HJ
27/03/20 Rawat
835670 SUKARN 753 5 3,765
21 Inap
A TN
NANI
27/03/20 Rawat
835706 NURJAN 753 4 3,012
21 Inap
AH. NY
USUP
27/03/20 Rawat
835705 RUHEN 753 1 753
21 Jalan
DI
27/03/20 Rawat YUYUM
835675 753 1 753
21 Inap NY
28/03/20 Rawat ENDAN
835708 753 3 2,259
21 Inap G TN
M.
28/03/20 Rawat
284 SAMSI, 753 1 753
21 Inap
AN
TOHA
28/03/20 Rawat
805009 NURDIN, 753 2 1,506
21 Inap
TN
SITI
28/03/20 Rawat
835704 RODIAH. 753 2 1,506
21 Inap
NY
28/03/20 Rawat RIZAL.
835723 753 1 753
21 Jalan SDR
28/03/20 Rawat UNENG,
5097 753 1 753
21 Inap NY
28/03/20 Rawat YUYUM
835675 753 4 3,012
21 Inap NY
TATI
28/03/20 Rawat
835664 ROSWA 753 1 753
21 Inap
TI
28/03/20 Rawat SUARI,
800179 753 1 753
21 Inap TN
HJ
28/03/20 Rawat
835648 CECEP . 753 1 753
21 Inap
TN
28/03/20 Rawat
835659 YATI. NY 753 4 3,012
21 Inap
28/03/20 Rawat WANCIH
835712 753 2 1,506
21 Inap NY
ACU
28/03/20 Rawat
835621 SAMSU 753 1 753
21 Inap
DIN TN
NANI
28/03/20 Rawat
835706 NURJAN 753 4 3,012
21 Inap
AH. NY
WINDY
28/03/20 Rawat
835718 WIDURI. 753 4 3,012
21 Inap
AN
28/03/20 Rawat AISYAH,
5158 753 1 753
21 Jalan NY
LIA
HAYATI,
28/03/20 Rawat
828320 NY / 753 1 753
21 Jalan
HANIF,
TN
TOHA
28/03/20 Rawat
805009 NURDIN, 753 2 1,506
21 Inap
TN
28/03/20 Rawat TAMAD.
835725 753 3 2,259
21 Inap TN
UYUN
28/03/20 Rawat
835729 MULYAN 753 2 1,506
21 Inap
A . TN
28/03/20 Rawat ERUK,
835722 753 1 753
21 Jalan NY
ONDA
28/03/20 Rawat
835632 MUYAN 753 2 1,506
21 Inap
A. TN
IDING
28/03/20 Rawat
835732 JAENUD 753 2 1,506
21 Inap
IN, TN
IMAS
28/03/20 Rawat
827623 MULYAN 753 1 753
21 Inap
I, NY
28/03/20 Rawat MARYAT
803036 753 2 1,506
21 Inap I, NY
28/03/20 Rawat RIFAL
835674 753 1 753
21 Inap SDR
29/03/20 Rawat AFNAN.
835737 767 2 1,534
21 Inap AN
RENI
29/03/20 Rawat
813579 ANDRIA 767 2 1,534
21 Inap
NA NY
29/03/20 Rawat KACEN
835734 753 2 1,506
21 Inap G TN
29/03/20 Rawat IWAN.
835735 753 1 753
21 Inap TN
29/03/20 Pasien
UMUM 0 723 2 1,446
21 Umum
NANI
29/03/20 Rawat
835706 NURJAN 753 1 753
21 Inap
AH. NY
SAEPUL
29/03/20 Rawat
814700 HIDAYA 767 4 3,068
21 Inap
T,TN
29/03/20 Rawat SHAFIR
834913 753 1 753
21 Jalan AA. BY
CICI
29/03/20 Rawat
835746 SUMAR 767 4 3,068
21 Inap
CI. NY
VITRIA
29/03/20 Rawat FATMA
835750 767 4 3,068
21 Inap WATI .
NY
NANI
29/03/20 Rawat
835706 NURJAN 753 3 2,259
21 Inap
AH. NY
ELI
29/03/20 Rawat
835753 SUMAR 767 1 767
21 Jalan
NI, NY
29/03/20 Rawat UNENG,
5097 753 1 753
21 Inap NY
HJ
29/03/20 Rawat
835648 CECEP . 753 1 753
21 Inap
TN
29/03/20 Rawat
835659 YATI. NY 753 4 3,012
21 Inap
29/03/20 Rawat MARYAT
803036 753 2 1,506
21 Inap I, NY
WINDY
29/03/20 Rawat
835718 WIDURI. 753 4 3,012
21 Inap
AN
EPI
29/03/20 Rawat
834663 YULIA. 753 4 3,012
21 Inap
NY
SITI
29/03/20 Rawat
835704 RODIAH. 767 2 1,534
21 Inap
NY
IDING
29/03/20 Rawat
835732 JAENUD 767 3 2,301
21 Inap
IN, TN
 SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 767 2 1,534
21 Inap
MAN,
TN.
ACU
29/03/20 Rawat
835621 SAMSU 767 1 767
21 Inap
DIN TN
UYUN
29/03/20 Rawat
835729 MULYAN 767 2 1,534
21 Inap
A . TN
29/03/20 Rawat KACEN
835734 767 2 1,534
21 Inap G TN
EPI
29/03/20 Rawat
834663 YULIA. 767 3 2,301
21 Inap
NY
IDA
29/03/20 Rawat
835740 BAGUS. 767 4 3,068
21 Inap
TN
30/03/20 Rawat RODIAH.
810604 767 1 767
21 Inap NY
30/03/20 Rawat ENTING,
835756 767 1 767
21 Inap NY
ENTIN
30/03/20 Rawat
835780 HARTIT 767 1 767
21 Jalan
A,NY
HENHE
30/03/20 Rawat N
835779 767 1 767
21 Jalan ROHEN
DI. TN
30/03/20 Rawat ENTIN,
835756 767 4 3,068
21 Inap NY
DIAH
30/03/20 Rawat
835754 SUMINA 767 4 3,068
21 Inap
R. NY
A
30/03/20 Rawat
835751 SUTISN 767 4 3,068
21 Inap
A. TN
HJ
30/03/20 Rawat
835648 CECEP . 767 1 767
21 Inap
TN
YETI
30/03/20 Rawat
807134 MARYA 767 1 767
21 Jalan
NI, NY
FELCIA
Rawat
480 787 Spuit 5cc 1/3/2021 835226 TJHIN, 2,581 2 5,162
Inap
AN
 Rawat ISAM.
1/3/2021 819105 2,581 7 18,067
Inap NY
CUCU
Rawat
1/3/2021 835219 LISNAW 2,581 3 7,743
Inap
ATI NY
ONENG
Rawat
1/3/2021 832859 ROKAE 2,581 2 5,162
Inap
NAH. NY
Rawat HERYAD
1/3/2021 820597 2,581 4 10,324
Inap I, TN
Rawat KANAR
1/3/2021 835231 2,581 2 5,162
Inap TN
SITI
Rawat
1/3/2021 835233 MULYAT 2,581 2 5,162
Inap
I NY
ZAHRA
Rawat
1/3/2021 835251 DEWANI 2,581 2 5,162
Jalan
NY
Rawat NINING
1/3/2021 835192 2,581 5 12,905
Inap NY
EUIS
Rawat
1/3/2021 834994 YULIANI 2,581 3 7,743
Inap
NY
Rawat JUANGS
1/3/2021 808907 2,581 6 15,486
Inap IH, NY
Rawat NURJAM
1/3/2021 813400 2,581 1 2,581
Inap AN,TN
H
Rawat
2/3/2021 835215 HASAN 2,581 1 2,581
Inap
TN
CUCU
Rawat
2/3/2021 835219 LISNAW 2,581 3 7,743
Inap
ATI NY
VIVIH
Rawat
2/3/2021 834834 NOVITA 2,581 1 2,581
Jalan
DEWI
ERI
Rawat RAHMA
2/3/2021 835239 2,581 4 10,324
Inap WATI.
NY
SITI
Rawat
2/3/2021 835233 MULYAT 2,581 2 5,162
Inap
I NY
Rawat JUANGS
2/3/2021 808907 2,581 4 10,324
Inap IH, NY
EUIS
Rawat
3/3/2021 831017 KURAES 2,581 2 5,162
Jalan
IN.NY
 Tn
4/3/2021 UMUM APS 2,581 17 43,877
Dadang
Rawat KRISYA.
4/3/2021 835286 2,581 2 5,162
Inap AN
MISHAE
LA
Rawat HADYAT
4/3/2021 835253 2,581 1 2,581
Inap US
SHANU
M AN
Rawat LILIS,NN
4/3/2021 835293 2,581 2 5,162
Jalan Y
MISHAE
LA
Rawat HADYAT
5/3/2021 835253 2,581 1 2,581
Inap US
SHANU
M AN
NAYLA
Rawat
5/3/2021 835311 NURASY 2,581 1 2,581
Inap
IFA AN
Rawat NUNUN
6/3/2021 835338 819 3 2,457
Inap G K, NY
TANIA
Rawat
6/3/2021 835331 MAURA 2,581 1 2,581
Inap
NISA AN
MISHAE
LA
Rawat HADYAT
6/3/2021 835253 2,581 1 2,581
Inap US
SHANU
M AN
Rawat ENOS,
6/3/2021 801989 819 2 1,638
Inap TN
LILIS
Rawat
6/3/2021 823790 SURYAN 2,581 2 5,162
Inap
I.NY
Rawat AWIS,
7/3/2021 816633 819 2 1,638
Inap NY
APRILIA
Rawat
7/3/2021 801710 YUNITA, 819 2 1,638
Inap
NY
Rawat SUTARN
7/3/2021 810138 819 3 2,457
Inap A, TN
Rawat NUNUN
7/3/2021 835338 819 2 1,638
Inap G K, NY
 UJANG
Rawat
8/3/2021 820303 SUPRIA 805 2 1,610
Inap
TNA, TN
AHMAD
Rawat
8/3/2021 834644 SOFIAN 805 3 2,415
Inap
TN
Rawat SUTARN
8/3/2021 810138 819 3 2,457
Inap A, TN
ANI
Rawat PRISTIA
8/3/2021 835354 805 1 805
Jalan WATI.
NY
VIKA
Rawat
9/3/2021 829150 ARSYFA 819 1 819
Jalan
.BY
TITA
Rawat
9/3/2021 835383 MARYAT 819 1 819
Inap
I. NY
ENCID
Rawat
9/3/2021 806056 TAMSID, 819 1 819
Jalan
TN
AHMAD
Rawat
9/3/2021 834644 SOFIAN 819 3 2,457
Inap
TN
HJ. SITI
Rawat
### 4433 SOPIAH, 819 2 1,638
Inap
NY

Rawat YUSILA
### 834752 816 2 1,632
Inap WATI,NY

Pasien
### UMUM 0 816 1 816
Umum
Rawat IMAS,
### 835142 816 1 816
Inap NY
EUIS
Rawat
### 834994 YULIANI 816 4 3,264
Inap
NY
TATI
13/03/20 Rawat
835463 WARSITI 816 2 1,632
21 Inap
. NY
NIA
13/03/20 Rawat KURNIA
834792 816 3 2,448
21 Inap WATI,
NY
13/03/20 Rawat RUKMIN
835465 816 2 1,632
21 Jalan I. NY
 NIA
14/03/20 Rawat KURNIA
834792 816 3 2,448
21 Inap WATI,
NY
ADE
14/03/20 Rawat
835470 SUKAES 816 2 1,632
21 Inap
IH NY
UAR
14/03/20 Rawat
835466 WARSIT 816 3 2,448
21 Inap
A. TN
UAR
14/03/20 Rawat
835466 WARSIT 816 3 2,448
21 Inap
A. TN
15/03/20 Rawat ANAH
835474 816 1 816
21 Jalan NY
DIMAS
16/03/20 Rawat
812977 ADITYA 819 3 2,457
21 Inap
W, AN
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 819 3 2,457
21 Inap RAJBNA
HAMIZA
N, AN
17/03/20 Rawat ERES
835537 819 2 1,638
21 Inap NY
E
17/03/20 Rawat
835527 MUCHT 819 1 819
21 Inap
AR . TN
17/03/20 Rawat WASLI.
827069 819 1 819
21 Jalan TN
18/03/20 Rawat
835540 PI'I .TN 819 1 819
21 Jalan
18/03/20 Rawat SACI,
804839 819 1 819
21 Jalan NY
19/03/20 Rawat KOSIDIN
835556 819 1 819
21 Jalan NY
RONI
19/03/20 Rawat
835563 SUPRIA 819 1 819
21 Inap
DI TN
20/03/20 Rawat SUNAMI
833478 819 1 819
21 Jalan NY
21/03/20 Rawat SUKAES
807749 819 1 819
21 Inap IH. NY
21/03/20 Rawat HERMA
835580 819 2 1,638
21 Inap N TN
21/03/20 Rawat WANGSI
835588 819 2 1,638
21 Inap H, NY
 YATI
22/03/20 Rawat
835577 KURNIA 819 2 1,638
21 Inap
WATI NY

22/03/20 Rawat WANGSI

835588 819 2 1,638
21 Inap H, NY
KELVIN
22/03/20 Rawat
835597 JULIANT 819 3 2,457
21 Inap
ARA BY
22/03/20 Rawat NATAN.
835591 819 3 2,457
21 Inap AN
22/03/20 Rawat UDIN.
835604 819 1 819
21 Inap TN
23/03/20 Rawat ADAH.
835518 819 1 819
21 Inap NY

YATI
23/03/20 Rawat
835577 KURNIA 819 3 2,457
21 Inap
WATI NY

JUJU
23/03/20 Rawat
835626 JUANI.N 819 1 819
21 Inap
Y
23/03/20 Rawat UDIN.
835604 819 1 819
21 Inap TN
ONDA
23/03/20 Rawat
835632 MUYAN 819 1 819
21 Inap
A. TN
ENGKIN
23/03/20 Rawat
835520 G AJIS . 819 1 819
21 Jalan
TN
YUDI
23/03/20 Rawat
835623 PRAYO 819 1 819
21 Jalan
GA.TN
23/03/20 Rawat WARSA
835827 819 1 819
21 Jalan TN
JUJU
24/03/20 Rawat
835626 JUANI.N 819 1 819
21 Inap
Y

YATI
25/03/20 Rawat
835577 KURNIA 819 3 2,457
21 Inap
WATI NY

TATI
25/03/20 Rawat
835664 ROSWA 819 2 1,638
21 Inap
TI
 ANISA
25/03/20 Rawat FAIHA
835644 819 1 819
21 Inap MUNAN
DAR AN
TATI
26/03/20 Rawat
835664 ROSWA 819 2 1,638
21 Inap
TI
UJANG
26/03/20 Rawat
2816 HENDI , 819 2 1,638
21 Inap
TN
AZKA
FADILAT
26/03/20 Rawat
835649 UL 819 1 819
21 Inap
KHOIR.
AN
26/03/20 Rawat UHNAN
835689 819 2 1,638
21 Inap TN
M.
27/03/20 Rawat
284 SAMSI, 819 2 1,638
21 Inap
AN
TATI
27/03/20 Rawat
835664 ROSWA 819 2 1,638
21 Inap
TI
M.
27/03/20 Rawat
284 SAMSI, 819 3 2,457
21 Inap
AN
27/03/20 Rawat ENENG
835698 819 2 1,638
21 Inap NY
M.
28/03/20 Rawat
284 SAMSI, 819 1 819
21 Inap
AN
28/03/20 Rawat WANCIH
835712 819 2 1,638
21 Inap NY
EPI
28/03/20 Rawat
834663 YULIA. 819 2 1,638
21 Inap
NY
TATI
29/03/20 Rawat
835664 ROSWA 819 1 819
21 Inap
TI
29/03/20 Rawat UNENG,
5097 819 3 2,457
21 Inap NY
ARCHE
29/03/20 Rawat
835738 RNAR. 819 1 819
21 Jalan
AN
RENI
30/03/20 Rawat
813579 ANDRIA 819 3 2,457
21 Inap
NA NY
 SITI
30/03/20 Rawat
835704 RODIAH. 819 2 1,638
21 Inap
NY
RENI
30/03/20 Rawat
813579 ANDRIA 819 1 819
21 Inap
NA NY
NANI
30/03/20 Rawat
835706 NURJAN 819 1 819
21 Inap
AH. NY
30/03/20 Rawat ENTING,
835756 819 5 4,095
21 Inap NY
A
30/03/20 Rawat
835751 SUTISN 819 4 3,276
21 Inap
A. TN
SAEFUL
30/03/20 Rawat
835220 HUDAYA 819 5 4,095
21 Inap
TN
IDA
30/03/20 Rawat
835740 BAGUS. 819 4 3,276
21 Inap
TN
SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 819 2 1,638
21 Inap
MAN,
TN.
KARIN
30/03/20 Rawat
835781 AGUSTI 819 1 819
21 Jalan
N, NN
CICI
30/03/20 Rawat
835746 SUMAR 819 4 3,276
21 Inap
CI. NY
IMAS
30/03/20 Rawat
827623 MULYAN 819 2 1,638
21 Inap
I, NY
30/03/20 Rawat MARYAT
803036 819 2 1,638
21 Inap I, NY
VITRIA
30/03/20 Rawat FATMA
835750 819 1 819
21 Inap WATI .
NY
NANI
30/03/20 Rawat
835706 NURJAN 819 1 819
21 Inap
AH. NY
EPI
30/03/20 Rawat
834663 YULIA. 819 1 819
21 Inap
NY
30/03/20 Rawat
835762 USIH NY 819 1 819
21 Jalan
 NANI
30/03/20 Rawat
835706 NURJAN 819 5 4,095
21 Inap
AH. NY
VITRIA
30/03/20 Rawat FATMA
835750 819 2 1,638
21 Inap WATI .
NY
EPI
30/03/20 Rawat
834663 YULIA. 819 3 2,457
21 Inap
NY
DIAH
30/03/20 Rawat
835754 SUMINA 819 6 4,914
21 Inap
R. NY
IIS
31/03/20 Rawat
835791 DEDEH 819 2 1,638
21 Inap
NY
IDA
31/03/20 Rawat
835803 SUARTI 819 1 819
21 Jalan
KA NY
31/03/20 Rawat DAHLAN
835795 819 1 819
21 Jalan TN
IMAS
31/03/20 Rawat
827623 MULYAN 819 1 819
21 Inap
I, NY
CICI
31/03/20 Rawat
835746 SUMAR 819 2 1,638
21 Inap
CI. NY
IKIN
31/03/20 Rawat
835789 SODIKIN 819 1 819
21 Inap
TN
31/03/20 Rawat HILYA
835798 819 1 819
21 Inap AN
IDING
31/03/20 Rawat
835732 JAENUD 819 2 1,638
21 Inap
IN, TN
TITA
31/03/20 Rawat
835804 KARTIK 819 5 4,095
21 Inap
A .NY
EEN
31/03/20 Rawat
835797 NURAE 819 1 819
21 Jalan
NAH NY
31/03/20 Rawat SAHNU
835764 819 4 3,276
21 Inap TN
YETI
31/03/20 Rawat
807134 MARYA 819 4 3,276
21 Inap
NI, NY
 A
31/03/20 Rawat
835751 SUTISN 819 4 3,276
21 Inap
A. TN
HJ
31/03/20 Rawat
835783 NUNUN 819 2 1,638
21 Inap
G. NY
31/03/20 Rawat SUKARS
835765 819 1 819
21 Inap IH.NY
31/03/20 Rawat RODIAH.
810604 819 1 819
21 Inap NY
31/03/20 Rawat USMI,
5908 819 1 819
21 Inap NY
FADHIL
31/03/20 Rawat
835796 AKRAM 819 1 819
21 Inap
SDR
YETI
31/03/20 Rawat
807134 MARYA 819 1 819
21 Inap
NI, NY
YENI
31/03/20 Rawat
809193 YULIANI, 819 1 819
21 Jalan
NY
31/03/20 Rawat HILYA
835798 819 1 819
21 Inap AN
HJ
31/03/20 Rawat
835783 NUNUN 819 1 819
21 Inap
G. NY
31/03/20 Rawat SAHNU
835764 819 1 819
21 Inap TN
spuit
14/03/20
481 789 50cc K94 Topan 29,710 1 29,710
21
terumo
Suction
Rawat YULIN
482 794 Catheter 3/3/2021 834209 9,261 1 9,261
Jalan NY
6
Rawat AKILA,
### 835443 6,412 1 6,412
Jalan AN
Suction SARI
25/03/20 Rawat
483 795 Catheter 831537 NURYA 6,412 1 6,412
21 Jalan
8 NI.NN
Acifar
Vivi
484 8 400mg 5/3/2021 K23 2,488 20 49,760
Haviani
Tab
Batugin EPI
31/03/20 Rawat
485 80 Elixir 834663 YULIA. 26,813 1 26,813
21 Inap
120ml NY
Streptom Tn
486 801 4/3/2021 UMUM APS 9,433 17 160,361
ycin inj Dadang
 NOVIA
Tarivid Rawat ROSMA
487 802 1/3/2021 835248 99,344 1 99,344
TT Jalan YANTI.
NY
CITRA
Rawat
5/3/2021 835320 SABILA 117,287 1 117,287
Jalan
AN
ANNISA
Rawat NUR
5/3/2021 3971 117,287 1 117,287
Jalan ASSIDIQ
, NN
Rawat SAODA
### 834004 117,287 1 117,287
Jalan H NY
13/03/20 Pasien
UMUM 0 117,287 1 117,287
21 Umum
INI
15/03/20 Rawat
835495 SUARTI 117,287 1 117,287
21 Jalan
NI. NY
ENDAN
19/03/20 Rawat G
835564 117,287 1 117,287
21 Jalan SUHER
MAN TN
19/03/20 Rawat ACEP
835568 117,287 1 117,287
21 Jalan PAHRI
26/03/20 Rawat NENGSI
835694 117,287 1 117,287
21 Jalan H NY

Tensocre 18/03/20 Pasien

488 806 UMUM 0 134,948 1 134,948
pe 15cm 21 Umum

20/03/20 Rawat
815940 DIDI, TN. 132,407 1 132,407
21 Jalan
IIS
Teosal Rawat
489 807 1/3/2021 823882 ISMAYA 262 10 2,620
tab Jalan
TI. NY
TN
2/3/2021 UMUM 0 DIDI 251 30 7,530
/APS
Rawat UNENG,
4/3/2021 5097 273 60 16,380
Jalan NY
EUIS
Rawat
5/3/2021 834994 YULIANI 273 21 5,733
Inap
NY
LINA
Rawat
9/3/2021 834609 HARLIN 273 21 5,733
Jalan
A, NY
UJANG
Rawat
9/3/2021 820303 SUPRIA 273 2 546
Inap
TNA, TN
 Rawat NINING
9/3/2021 835192 273 20 5,460
Jalan NY
13/03/20 Rawat ROKASA
811153 273 30 8,190
21 Jalan H, NY
DOYOK
16/03/20 Rawat
817864 DARSO 273 30 8,190
21 Jalan
NO.TN
A
18/03/20 Rawat HENDA
813308 273 60 16,380
21 Jalan MULYAN
A TN.
EET
20/03/20 Rawat
810617 NURHA 273 21 5,733
21 Jalan
ETI, NY
20/03/20 Rawat SARYA
835392 273 15 4,095
21 Jalan TN
20/03/20 Rawat NINING
835192 273 60 16,380
21 Jalan NY
ANDA
27/03/20 Rawat
834672 WIHAND 273 21 5,733
21 Inap
A TN
EUIS
27/03/20 Rawat
830311 RUKMIN 273 30 8,190
21 Jalan
I.NY
28/03/20 Rawat TAMAD.
835725 273 3 819
21 Inap TN
28/03/20 Rawat TAMAD.
835725 273 9 2,457
21 Inap TN
AHMAT
30/03/20 Rawat
835759 MULADI. 273 10 2,730
21 Jalan
TN
YANI
Thrombo
Rawat AHMAD
490 809 aspilets 5/3/2021 835303 1,135 2 2,270
Jalan RIFAI.
Tab
TN
Rawat SUKI.
6/3/2021 834791 1,135 6 6,810
Jalan NY
13/03/20
UMUM APS NY TATI 1,135 30 34,050
21
NUNUN
G
15/03/20 Rawat
835479 HERMA 1,135 1 1,135
21 Inap
WATI,
NY
16/03/20 Rawat NAJUDI
809955 1,135 21 23,835
21 Jalan N.TN
 DADAN
18/03/20 Rawat G
832915 1,135 7 7,945
21 Jalan DJAYUS
MAN, TN
18/03/20 Rawat
835540 PI'I .TN 1,135 10 11,350
21 Jalan
18/03/20 Rawat
806813 IPIN, TN 1,135 10 11,350
21 Jalan
20/03/20 Rawat HIDAYA
805608 1,135 1 1,135
21 Inap T, TN
20/03/20 Rawat HIDAYA
805608 1,135 2 2,270
21 Inap T, TN
21/03/20 Rawat HIDAYA
805608 1,135 7 7,945
21 Inap T, TN
21/03/20 Rawat HIDAYA
805608 1,135 1 1,135
21 Inap T, TN
KARTINI
25/03/20 Rawat DANUMI
832778 1,135 24 27,240
21 Jalan HARDJA
NY
DARPIT
25/03/20 Rawat
835655 ROHIDU 1,135 1 1,135
21 Inap
N. TN
ACU
26/03/20 Rawat
835621 SAMSU 1,135 1 1,135
21 Inap
DIN TN
DARPIT
26/03/20 Rawat
835655 ROHIDU 1,135 1 1,135
21 Inap
N. TN
NY
27/03/20
UMUM 0 ANAH/A 1,135 30 34,050
21
PS
DARPIT
27/03/20 Rawat
835655 ROHIDU 1,135 1 1,135
21 Inap
N. TN
ACU
27/03/20 Rawat
835621 SAMSU 1,135 1 1,135
21 Inap
DIN TN
ACU
28/03/20 Rawat
835621 SAMSU 1,135 1 1,135
21 Inap
DIN TN
28/03/20 Rawat AISYAH,
5158 1,135 10 11,350
21 Jalan NY
DARPIT
28/03/20 Rawat
835655 ROHIDU 1,135 10 11,350
21 Inap
N. TN
 ACU
29/03/20 Rawat
835621 SAMSU 1,135 1 1,135
21 Inap
DIN TN
ACU
30/03/20 Rawat
835621 SAMSU 1,135 5 5,675
21 Inap
DIN TN
30/03/20 Rawat ENTING,
835756 1,135 2 2,270
21 Inap NY

THROM dr. Indra

31/03/20
491 811 BOGEL K5 Bagus 46,490 1 46,490
21
10gr Haryanto

IIN
Tranec Rawat
492 822 5/3/2021 835317 NIHAYA 4,485 10 44,850
tab Jalan
H NY
NY
5/3/2021 UMUM APS 4,485 10 44,850
ONENG
AJAT
Rawat
7/3/2021 835341 SUDRAJ 4,485 10 44,850
Jalan
AT. TN
YAYA
Rawat
### 835079 SUNARY 4,485 8 35,880
Jalan
A TN
TN
### UMUM APS 4,485 7 31,395
YAYA
19/03/20 Pasien
UMUM 0 4,485 10 44,850
21 Umum
NUNUY
25/03/20 Rawat
835654 NUHANI 4,485 10 44,850
21 Jalan
AH. NY
AHMAD
Tranec Rawat
493 823 8/3/2021 834644 SOFIAN 45,535 3 136,605
InJ Inap
TN
31/03/20 Rawat SUKARS
835765 45,535 1 45,535
21 Inap IH.NY
Umbilical
Rawat YULIN
494 824 klem 3/3/2021 834209 1,886 1 1,886
Jalan NY
cosa
SARI
25/03/20 Rawat
831537 NURYA 2,294 1 2,294
21 Jalan
NI.NN
ZAHRA
Underpa Rawat
495 825 1/3/2021 835251 DEWANI 9,777 3 29,331
d Jalan
NY
EUIS
Rawat
3/3/2021 831017 KURAES 9,777 2 19,554
Jalan
IN.NY
 Rawat YULIN
3/3/2021 834209 9,777 3 29,331
Jalan NY
Rawat LILIS,NN
4/3/2021 835293 9,964 3 29,892
Jalan Y
TOHA
20/03/20 Rawat
805009 NURDIN, 9,965 2 19,930
21 Inap
TN
SARI
25/03/20 Rawat
831537 NURYA 9,965 2 19,930
21 Jalan
NI.NN
Urine Rawat
496 827 1/3/2021 835230 ANI. NY 7,514 1 7,514
bag Jalan
3/3/2021 UMUM 0 KIKI 7,514 1 7,514
3/3/2021 UMUM 0 RIZKI 7,514 1 7,514
EUIS
Rawat
3/3/2021 831017 KURAES 7,514 1 7,514
Jalan
IN.NY
H.
Rawat
7/3/2021 820643 SYUKUR 7,514 1 7,514
Jalan
, TN
13/03/20 Rawat RUKMIN
835465 7,514 1 7,514
21 Jalan I. NY
UAR
14/03/20 Rawat
835466 WARSIT 7,514 1 7,514
21 Inap
A. TN
15/03/20 Rawat ENES
835469 7,374 1 7,374
21 Inap NY
21/03/20 Rawat SUKAES
807749 7,514 1 7,514
21 Inap IH. NY
21/03/20 Rawat WANGSI
835588 7,514 1 7,514
21 Inap H, NY
LUKMAN
23/03/20 Rawat
835614 HAKIM 7,514 1 7,514
21 Inap
TN
27/03/20 Rawat UNENG,
5097 7,514 1 7,514
21 Inap NY
Bedak Deni
497 83 Salicyl 1/3/2021 K46 Abdul 7,946 1 7,946
KF 2% Ghani

SUSI
Urinter Rawat
498 830 1/3/2021 835194 SUSILA 6,940 10 69,400
kaps Inap
WATI NY

2/3/2021 UMUM 0 selvi 6,940 6 41,640

H.
Rawat
7/3/2021 820643 SYUKUR 6,940 10 69,400
Jalan
, TN
 IMAS
Rawat
8/3/2021 835359 FARIDA 6,940 10 69,400
Jalan
NY
YENI
Rawat
8/3/2021 809193 YULIANI, 6,940 10 69,400
Jalan
NY
ASEP
27/03/20 Rawat
835711 MEDIAN 6,940 10 69,400
21 Jalan
A. TN
EPI
31/03/20 Rawat
834663 YULIA. 6,940 10 69,400
21 Inap
NY
Vaksin
499 836 campak/ 4/3/2021 UMUM 0 dr Santi 66,150 1 66,150
vial
VIKA
Rawat
9/3/2021 829150 ARSYFA 66,150 1 66,150
Jalan
.BY
18/03/20 dr Santi
UMUM 0 25,480 1 25,480
21 G Sp.A
AHMAD
25/03/20 Rawat
823394 SURYAN 25,480 1 25,480
21 Jalan
A, BY
ARCHE
29/03/20 Rawat
835738 RNAR. 25,480 1 25,480
21 Jalan
AN
29/03/20 dr Santi
UMUM APS 25,480 1 25,480
21 G,Sp.A
Vaksin
Rawat YULIN
500 838 H-BO 3/3/2021 834209 83,800 1 83,800
Jalan NY
0,5ml
SALSA
Vaksin Rawat NURISM
501 839 1/3/2021 834631 25,000 1 25,000
Polio oral Jalan A PUTRI
. BY
FAIZAN
Rawat ABKORI
1/3/2021 835105 25,000 1 25,000
Jalan IBRAHIM
. AN
8/3/2021 UMUM 0 dr Santi 75,081 1 75,081
LUTHFI
16/03/20 Rawat
833729 YUNAN 25,480 1 25,480
21 Jalan
BY
 DIKA
22/03/20 Rawat ABDILLA
834546 25,480 1 25,480
21 Jalan H FATIR
BY

HAUZAN
Valisanb 13/03/20 Rawat IRHAB
502 841 833974 24,737 1 24,737
e inj 5mg 21 Inap NABIL,
AN
AHMAD
13/03/20 Rawat
835458 ARYA. 24,737 1 24,737
21 Inap
AN
HAUZAN
14/03/20 Rawat IRHAB
833974 24,737 1 24,737
21 Inap NABIL,
AN
RESTU
24/03/20 Rawat NANDA
826925 24,737 1 24,737
21 Inap AMELIA
. NN
Valisanb SITI
Rawat
503 843 e tab 1/3/2021 835233 MULYAT 371 1 371
Inap
5mg I NY
YAYA
Rawat
1/3/2021 835079 SUNARY 371 1 371
Inap
A TN
AJIE
Rawat
7/3/2021 835345 SUBARN 371 3 1,113
Jalan
A. TN
AHMAD
15/03/20 Rawat
835458 ARYA. 371 8 2,968
21 Inap
AN
20/03/20 Rawat HIDAYA
805608 371 1 371
21 Inap T, TN

YATI
20/03/20 Rawat
835577 KURNIA 371 1 371
21 Inap
WATI NY

20/03/20 Rawat HIDAYA

805608 371 1 371
21 Inap T, TN
21/03/20 Rawat HERMA
835580 371 1 371
21 Inap N TN

YATI
21/03/20 Rawat
835577 KURNIA 371 1 371
21 Inap
WATI NY

21/03/20 Rawat HIDAYA

805608 371 1 371
21 Inap T, TN
 21/03/20 Rawat HERMA
835580 371 1 371
21 Inap N TN
22/03/20 Rawat HERMA
835580 371 1 371
21 Inap N TN
SITI
24/03/20 Rawat
814501 RODIAH, 371 1 371
21 Inap
NY.
WOWO
25/03/20 Rawat
809923 SUGRIW 371 1 371
21 Inap
O.TN
SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 371 1 371
21 Inap
MAN,
TN.

SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 371 1 371
21 Inap
MAN,
TN.
Verband FELCIA
Rawat
504 844 5ml indo 1/3/2021 835226 TJHIN, 1,875 1 1,875
Inap
husada AN
FELCIA
Rawat
2/3/2021 835226 TJHIN, 1,875 1 1,875
Inap
AN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 1,875 1 1,875
Inap US
SHANU
M AN
ANISA
Rawat
4/3/2021 835298 FITRIA, 1,875 1 1,875
Inap
AN
U
Rawat
4/3/2021 835300 ROHAN 1,875 2 3,750
Jalan
A. TN
BHARAT
Rawat JIBRIL
4/3/2021 828617 1,875 1 1,875
Inap PRASET
YO. AN
Rawat KRISYA.
4/3/2021 835286 1,875 1 1,875
Inap AN
BHARAT
Rawat JIBRIL
4/3/2021 828617 1,875 1 1,875
Inap PRASET
YO. AN
 Rawat HAIKAL
5/3/2021 835274 1,875 1 1,875
Inap BY
TANIA
Rawat
6/3/2021 835331 MAURA 1,875 1 1,875
Inap
NISA AN
Rawat CERI
8/3/2021 835363 1,875 2 3,750
Inap LIAN AN

ARSHAK
Rawat
### 813853 A RAMA 1,875 1 1,875
Inap
A. AN.

Rawat CERI
### 835363 1,875 2 3,750
Inap LIAN AN
KENZIE
Rawat AZKA
### 810083 1,911 1 1,911
Inap FAIRUIZ.
AN
HAUZAN
13/03/20 Rawat IRHAB
833974 1,911 1 1,911
21 Inap NABIL,
AN
14/03/20 Rawat ALONA
835467 1,911 1 1,911
21 Inap AN
MUHAM
MAD
17/03/20 Rawat FAEYZA
821441 1,911 1 1,911
21 Inap RAJBNA
HAMIZA
N, AN
KELVIN
22/03/20 Rawat
835597 JULIANT 1,911 1 1,911
21 Inap
ARA BY

ALRADY
A
23/03/20 Rawat MAHAB
830769 1,911 1 1,911
21 Inap BATAN
LUVINA
TIKA. AN

ANISA
24/03/20 Rawat FAIHA
835644 1,911 1 1,911
21 Inap MUNAN
DAR AN
M.
27/03/20 Rawat
284 SAMSI, 1,875 1 1,875
21 Inap
AN
29/03/20 Rawat AFNAN.
835737 1,911 1 1,911
21 Inap AN
 AL
31/03/20 Rawat RAFIQ
835800 1,911 1 1,911
21 Inap RIZKI S
AN
EEN
31/03/20 Rawat
835797 NURAE 1,911 1 1,911
21 Jalan
NAH NY
31/03/20 Rawat HILYA
835798 1,911 1 1,911
21 Inap AN
Verband
10ml 18/03/20 Pasien
505 845 UMUM 0 755 2 1,510
indo 21 Umum
husada
20/03/20 Pasien
UMUM 0 755 2 1,510
21 Umum
20/03/20 Rawat
815940 DIDI, TN. 755 1 755
21 Jalan
KELVIN
22/03/20 Rawat
835597 JULIANT 755 3 2,265
21 Inap
ARA BY
EEN
31/03/20 Rawat
835797 NURAE 755 1 755
21 Jalan
NAH NY
31/03/20 Rawat SUKARS
835765 755 2 1,510
21 Inap IH.NY
Verband
15ml 27/03/20 Rawat JAENAL
506 846 835715 11,352 1 11,352
indo 21 Jalan NY
husada
DENI
Vitacur Rawat
507 850 1/3/2021 830666 RAMDA 43,478 1 43,478
Syr Jalan
NI.AN
ANAZW
Rawat A
2/3/2021 832137 42,660 1 42,660
Jalan HIZWAT
UL AN
KAYLA
SHALW
Rawat
4/3/2021 829954 A 43,478 1 43,478
Jalan
PURNA
MA. AN
ANISA
Rawat
6/3/2021 835298 FITRIA, 43,478 1 43,478
Inap
AN
YEZA
Rawat SEVEN
8/3/2021 833218 42,660 1 42,660
Jalan JULIAN
AN
 ALIF
RAMAD
Rawat HANI
8/3/2021 833527 42,660 1 42,660
Jalan CHRIST
ANTO
AN

MUHAM
MAD
Rawat LAUDZI
8/3/2021 833758 42,660 1 42,660
Jalan KHAULA
RIYADI,
AN
FAJAR
Rawat
8/3/2021 833377 SHIDIQ 42,660 1 42,660
Jalan
AN
FAWAZ
Rawat ALI
8/3/2021 828313 42,660 1 42,660
Jalan ALGAIS
HI.AN
DEVA
Rawat ARSYA
8/3/2021 824030 42,660 1 42,660
Jalan RAMAD
HAN. BY
FANI
Rawat
9/3/2021 803434 ANINDIA 43,478 1 43,478
Jalan
, AN
HAUZAN
Rawat IRHAB
9/3/2021 833974 43,478 1 43,478
Jalan NABIL,
AN
MUHAM
Rawat MAD
9/3/2021 827829 43,478 1 43,478
Jalan KIAN,
BY
TANIA
Rawat FAITUR
### 834373 43,478 1 43,478
Jalan RAHMA
AN

ARSHAK
Rawat
### 813853 A RAMA 43,478 1 43,478
Inap
A. AN.

13/03/20 Rawat REVINA

833412 43,478 1 43,478
21 Jalan . AN

Vitamin
Rawat RAHMA
508 852 B 7/3/2021 835344 140 10 1,400
Jalan T. TN
Complex
 EUIS
Vitamin 20/03/20 Rawat
509 854 834994 YULIANI 174 7 1,218
B6 Tab 21 Jalan
NY
ZAHRA
Vocefa Rawat
510 858 1/3/2021 835251 DEWANI 13,454 6 80,724
Cap Jalan
NY
EUIS
Rawat
3/3/2021 831017 KURAES 13,454 6 80,724
Jalan
IN.NY
Rawat YULIN
3/3/2021 834209 13,454 6 80,724
Jalan NY
Rawat LILIS,NN
4/3/2021 835293 13,454 6 80,724
Jalan Y
IIS
16/03/20 Rawat
835516 WARTIK 13,454 10 134,540
21 Jalan
AH NY
16/03/20 Rawat
835526 AYO. TN 13,454 10 134,540
21 Jalan
16/03/20 Rawat ADAH.
835518 13,454 10 134,540
21 Jalan NY
ENGKO
23/03/20 Rawat M
835618 13,454 10 134,540
21 Jalan KOMARI
AH, NY
DIDIN
Zegren Rawat
511 870 3/3/2021 835277 DARMU 1,752 10 17,520
Tab Jalan
DIN TN
UYAT
Rawat
6/3/2021 835100 RUYATI 1,752 5 8,760
Jalan
NY
YENI
Rawat
8/3/2021 809193 YULIANI, 1,752 10 17,520
Jalan
NY
Rawat RUSMIN
9/3/2021 835399 1,752 10 17,520
Jalan . TN
Rawat KARLI
### 835418 1,752 10 17,520
Jalan TN
tn faizal /
### UMUM APS 1,752 10 17,520
aps

dr. Indra
16/03/20
K5 Bagus 1,752 10 17,520
21
Haryanto

16/03/20 Rawat
819776 TATI, NY 1,752 10 17,520
21 Jalan
YAYAH
20/03/20 Rawat
822903 ROKAYA 1,752 14 24,528
21 Jalan
H, NY
 MS
21/03/20 Rawat
835587 SOPIAH, 1,752 10 17,520
21 Jalan
NY
21/03/20 Rawat MA'MUN
835549 1,752 10 17,520
21 Jalan TN
27/03/20 Pasien
UMUM 0 1,752 20 35,040
21 Umum
IDING
28/03/20 Rawat
835732 JAENUD 1,752 1 1,752
21 Inap
IN, TN
29/03/20 Rawat HANDI,
802569 1,752 10 17,520
21 Jalan SDR
30/03/20 Rawat HERMA
835766 1,752 10 17,520
21 Jalan N. TN
IDA
31/03/20 Rawat
835803 SUARTI 1,752 10 17,520
21 Jalan
KA NY
IYAN
Rawat
512 871 Zinc Tab 1/3/2021 810553 MARYA 630 8 5,040
Inap
NI,NY
YUNITA
Rawat NUR
8/3/2021 835353 630 1 630
Inap SOLIHA
T NY
YUNITA
Rawat NUR
8/3/2021 835353 630 1 630
Inap SOLIHA
T NY
NUNUN
G
Rawat
8/3/2021 804308 HERNA 630 1 630
Inap
WATI.
NY
YUNITA
Rawat NUR
9/3/2021 835353 630 7 4,410
Inap SOLIHA
T NY
NUNUN
G
Rawat
9/3/2021 804308 HERNA 630 7 4,410
Inap
WATI.
NY
13/03/20 Rawat FATIMA
832088 630 1 630
21 Inap H , NY
14/03/20 Rawat FATIMA
832088 630 1 630
21 Inap H , NY
15/03/20 Rawat FATIMA
832088 630 1 630
21 Inap H , NY
16/03/20 Rawat FATIMA
832088 630 1 630
21 Inap H , NY
16/03/20 Rawat
828609 ILAH. NY 630 10 6,300
21 Jalan
17/03/20 Rawat FATIMA
832088 630 1 630
21 Inap H , NY
18/03/20 Rawat FATIMA
832088 630 5 3,150
21 Inap H , NY
ENGKU
21/03/20 Rawat S
810535 630 1 630
21 Inap KUSNAD
I, TN
ENGKU
21/03/20 Rawat S
810535 630 1 630
21 Inap KUSNAD
I, TN
GANJAR
22/03/20 Rawat
835607 HIKMAT 630 1 630
21 Inap
. TN
22/03/20 Rawat UDIN.
835604 630 1 630
21 Inap TN
23/03/20 Rawat UDIN.
835604 630 10 6,300
21 Inap TN
GANJAR
23/03/20 Rawat
835607 HIKMAT 630 1 630
21 Inap
. TN
AAR
23/03/20 Rawat
825828 SURYAT 630 1 630
21 Inap
I.NY
AAR
24/03/20 Rawat
825828 SURYAT 630 1 630
21 Inap
I.NY
GANJAR
24/03/20 Rawat
835607 HIKMAT 630 8 5,040
21 Inap
. TN
TATI
25/03/20 Rawat
835664 ROSWA 630 1 630
21 Inap
TI
AAR
25/03/20 Rawat
825828 SURYAT 630 1 630
21 Inap
I.NY
TATI
26/03/20 Rawat
835664 ROSWA 630 1 630
21 Inap
TI
TATI
27/03/20 Rawat
835664 ROSWA 630 1 630
21 Inap
TI
 TATI
28/03/20 Rawat
835664 ROSWA 630 1 630
21 Inap
TI
TATI
29/03/20 Rawat
835664 ROSWA 630 1 630
21 Inap
TI
TATI
29/03/20 Rawat
835664 ROSWA 630 5 3,150
21 Inap
TI
Windra
Dulcolax
513 875 8/3/2021 K30 Catur 1,795 20 35,900
Tab
Krishna
Estin Rawat NADINI.
514 877 3/3/2021 835285 4,620 10 46,200
Tab Jalan NN
Rawat KARNES
4/3/2021 834511 5,796 60 347,760
Jalan IH NY
ABAS
Rawat
6/3/2021 835333 KOSASI 5,796 5 28,980
Jalan
H TN
Rawat KHODIJ
6/3/2021 835334 5,796 5 28,980
Jalan AH NN
TRI
Rawat
6/3/2021 809807 YULIAN 5,796 6 34,776
Jalan
TO, TN
OBAR
Rawat
7/3/2021 835347 SUHEN 5,796 10 57,960
Jalan
DI. TN
Rawat
9/3/2021 835397 SITI, NY 5,796 10 57,960
Jalan
Rawat ISEM,
9/3/2021 835101 5,796 4 23,184
Jalan NY
9/3/2021 UMUM APS NY ISEM 5,796 3 17,388
9/3/2021 UMUM APS NY ENIR 5,796 10 57,960
NY
9/3/2021 UMUM APS 5,796 7 40,572
NINING
Rawat
### 816828 ILAH, NY 5,796 3 17,388
Jalan
13/03/20 Rawat NENGS
835451 5,796 5 28,980
21 Jalan RI. NY
DERRA
15/03/20 Rawat HAPPY
835499 5,796 10 57,960
21 Jalan NOVITA,
NN
HERI
17/03/20 Rawat
835535 HERMA 5,796 10 57,960
21 Jalan
WAN TN
 Harnal
Rawat
515 879 Ocas 6/3/2021 835327 ANA TN 20,228 4 80,912
Jalan
Tab
UAR
14/03/20 Rawat
835466 WARSIT 20,228 1 20,228
21 Inap
A. TN
UAR
14/03/20 Rawat
835466 WARSIT 20,228 1 20,228
21 Inap
A. TN
Hytroz 1 16/03/20 Rawat KANDA.
516 883 835528 6,727 14 94,178
mg Tab 21 Jalan TN
AYYA
Moretic Rawat KAYLA
517 890 2/3/2021 830657 48,295 1 48,295
Drops Jalan RISANDI
NI BY
BHARAT
Rawat JIBRIL
4/3/2021 828617 48,295 1 48,295
Inap PRASET
YO. AN
Rawat CERI
8/3/2021 835363 48,295 1 48,295
Inap LIAN AN
Rawat MAURA.
### 835402 48,295 1 48,295
Jalan AN
14/03/20 Rawat ALONA
835467 48,295 1 48,295
21 Inap AN
22/03/20 Rawat SAKILA.
835598 48,295 1 48,295
21 Jalan AN
KELVIN
22/03/20 Rawat
835597 JULIANT 48,295 1 48,295
21 Inap
ARA BY
Nystatin 28/03/20 Pasien
518 893 UMUM 0 29,645 1 29,645
Drops 21 Umum
HJ.
30/03/20 Rawat
815478 EPONG 29,645 1 29,645
21 Jalan
K.NY
RAHMA
30/03/20 Rawat T
835763 29,645 1 29,645
21 Jalan HIDAYA
T TN

IVAN
Betason 16/03/20 Rawat
519 897 808038 FRANSI 16,632 1 16,632
N cr 5 gr 21 Jalan
SCO, AN

RESTI
23/03/20 Rawat
833746 NURDIA 16,632 1 16,632
21 Jalan
NTI NY
24/03/20 Rawat SUARI
835634 16,632 1 16,632
21 Jalan TN
 ZAHRA
Pospargi Rawat
520 899 2/3/2021 835251 DEWANI 9,460 1 9,460
n Inj Jalan
NY
Rawat LILIS,NN
4/3/2021 835293 9,460 1 9,460
Jalan Y
EUIS
Rawat
5/3/2021 831017 KURAES 9,460 5 47,300
Jalan
IN.NY
ZAHRA
kantong Rawat
521 905 1/3/2021 835251 DEWANI 927 2 1,854
kresek Jalan
NY
EUIS
Rawat
3/3/2021 831017 KURAES 927 2 1,854
Jalan
IN.NY
Rawat YULIN
3/3/2021 834209 927 2 1,854
Jalan NY
Rawat LILIS,NN
4/3/2021 835293 927 2 1,854
Jalan Y

IVAN
16/03/20 Rawat
522 906 BDM Syr 808038 FRANSI 53,847 1 53,847
21 Jalan
SCO, AN

Simtin
523 907 300 2/3/2021 UMUM APS NY ATIN 12,801 7 89,607
Kaps

SODIKIN
19/03/20 Rawat NOOR
835524 12,801 1 12,801
21 Inap BADRI.
TN

YOYOH
Euthyrox 13/03/20 Rawat
524 908 829410 YULIA.N 1,738 30 52,140
50 Tab 21 Jalan
Y
Tiaryt Pasien
525 909 ### UMUM 0 5,665 4 22,660
Tab Umum
Diuvar Rawat KARMO
526 913 2/3/2021 835236 17,248 1 17,248
Injeksi Inap TN
Rawat IROH,
### 835400 17,248 1 17,248
Inap NY
Rawat IROH,
### 835400 17,248 2 34,496
Inap NY
Rawat IMAS,
### 835142 17,248 1 17,248
Inap NY
Rawat IMAS,
### 835142 17,248 3 51,744
Inap NY
Rawat IROH,
### 835400 17,248 1 17,248
Inap NY
 HAYKAL
13/03/20 Rawat DWI
835435 17,248 2 34,496
21 Inap SYAHPU
TRA AN

13/03/20 Rawat IMAS,

835142 17,248 1 17,248
21 Inap NY
TINI
14/03/20 Rawat
835417 HARTINI 17,248 1 17,248
21 Inap
. NY
15/03/20 Rawat ENES
835469 17,248 2 34,496
21 Inap NY
15/03/20 Rawat ENES
835469 17,248 1 17,248
21 Inap NY

SODIKIN
16/03/20 Rawat NOOR
835524 17,248 2 34,496
21 Inap BADRI.
TN

E
16/03/20 Rawat
835527 MUCHT 17,248 1 17,248
21 Inap
AR . TN
NUNUN
G
17/03/20 Rawat
835479 HERMA 17,248 1 17,248
21 Inap
WATI,
NY

SODIKIN
17/03/20 Rawat NOOR
835524 17,248 1 17,248
21 Inap BADRI.
TN

E
17/03/20 Rawat
835527 MUCHT 17,248 3 51,744
21 Inap
AR . TN
17/03/20 Rawat CICIH
811043 17,248 1 17,248
21 Inap NY.
17/03/20 Rawat WASLI.
827069 17,248 2 34,496
21 Jalan TN
18/03/20 Rawat CICIH
811043 17,248 1 17,248
21 Inap NY.
18/03/20 Rawat
835540 PI'I .TN 17,248 1 17,248
21 Jalan

SODIKIN
18/03/20 Rawat NOOR
835524 17,248 1 17,248
21 Inap BADRI.
TN
 SODIKIN
19/03/20 Rawat NOOR
835524 17,248 1 17,248
21 Inap BADRI.
TN

20/03/20 Rawat HIDAYA

805608 17,248 1 17,248
21 Inap T, TN
20/03/20 Rawat HIDAYA
805608 17,248 1 17,248
21 Inap T, TN
21/03/20 Rawat HERMA
835580 17,248 2 34,496
21 Inap N TN
22/03/20 Rawat HERMA
835580 17,248 1 17,248
21 Inap N TN
RISKA
Gastrola Rawat
527 914 2/3/2021 835270 AMELIA 15,400 10 154,000
n Caps Jalan
NN
Rawat
3/3/2021 835279 ACA, TN 15,400 5 77,000
Jalan
Rawat ISAM.
3/3/2021 819105 15,400 5 77,000
Inap NY
DIDIN
Rawat
3/3/2021 835277 DARMU 15,400 10 154,000
Jalan
DIN TN
EVI SITI
Rawat
5/3/2021 811994 NUR. 19,318 7 135,226
Inap
F,NY
Rawat SUKI.
6/3/2021 834791 19,318 5 96,590
Jalan NY
CITRA
Rawat
6/3/2021 816881 MUFIDA 19,318 5 96,590
Jalan
H, NN.
Rawat IWAN
6/3/2021 835332 19,318 7 135,226
Jalan TN
ABAS
Rawat
6/3/2021 835333 KOSASI 19,318 5 96,590
Jalan
H TN
Rawat KARMA
6/3/2021 835326 19,318 10 193,180
Jalan H NY
SALSABI
Rawat LA
6/3/2021 835329 19,318 5 96,590
Jalan AZZAHR
A NN
ANISA
Rawat
7/3/2021 835324 FITRIYA 19,318 10 193,180
Inap
NI . NN
JUASIH
Rawat
7/3/2021 835343 KARNES 19,318 5 96,590
Jalan
IH. NY
 Rawat AGUS,
9/3/2021 835398 19,318 2 38,636
Inap TN

Yana
### K75 19,318 5 96,590
Gustiana

Gracivas 16/03/20 Rawat ADAH.

528 915 835518 7,425 7 51,975
k 5 Mg 21 Jalan NY
20/03/20 Rawat SUHEN
835578 7,425 10 74,250
21 Jalan DAR TN
22/03/20 Rawat TN.
835600 7,425 10 74,250
21 Jalan JEJEN
ADE
28/03/20 Rawat
835733 YUNEN 7,425 10 74,250
21 Jalan
GSIH NY
30/03/20 Rawat JUAREA
835782 7,425 10 74,250
21 Jalan , NY

30/03/20 Rawat SUKAED

835784 7,425 10 74,250
21 Jalan AH . NY

31/03/20 Rawat DAHLAN

835795 7,425 10 74,250
21 Jalan TN
Ratinal Rawat CEPI,
529 918 3/3/2021 835281 5,225 10 52,250
Tab Jalan TN
Rawat ANIK.
3/3/2021 835230 5,225 10 52,250
Jalan NY
ELIS
Rawat
3/3/2021 803916 KOMALA 5,225 10 52,250
Jalan
, NY
Rawat KHODIJ
6/3/2021 835334 5,225 10 52,250
Jalan AH NN
AI
Rawat
6/3/2021 821381 KARWA 6,210 10 62,100
Jalan
TI.NY
NOVI
Rawat
6/3/2021 835335 SOPAN 6,210 10 62,100
Jalan
DI, TN
Rawat WATINI,
6/3/2021 835325 5,225 10 52,250
Jalan NY
Rawat
6/3/2021 835327 ANA TN 5,225 10 52,250
Jalan
AMRIN
15/03/20 Rawat
835462 SOBANA 6,210 10 62,100
21 Inap
TN
Cefarox
Rawat HAINA,
530 919 Dry 1/3/2021 835228 109,917 1 109,917
Inap AN
Syrup
 AYYA
Rawat KAYLA
2/3/2021 830657 109,917 1 109,917
Jalan RISANDI
NI BY
HASNA
Rawat
3/3/2021 835276 NABILA 88,000 1 88,000
Jalan
AN
YAHYA
Rawat
3/3/2021 834480 MUZAMI 88,000 1 88,000
Jalan
L,
YASFI
Rawat
4/3/2021 828169 ADITIYA, 109,917 1 109,917
Jalan
BY
AZKA
Rawat
4/3/2021 834858 ALIVIA. 109,917 1 109,917
Jalan
BY
KANZIA
Rawat
4/3/2021 833256 NURSAL 109,917 1 109,917
Jalan
SA AN
NAYLA
Rawat
6/3/2021 835311 NURASY 109,917 1 109,917
Inap
IFA AN
AN M
MUZZA
8/3/2021 UMUM 0 109,917 1 109,917
MIL
/APS
KENISA
Rawat
8/3/2021 830752 ADITIA.A 109,917 1 109,917
Jalan
N
MISHAE
LA
Rawat HADYAT
8/3/2021 835253 109,917 1 109,917
Inap US
SHANU
M AN
Rawat HAIKAL
8/3/2021 835274 109,917 1 109,917
Inap BY
TANIA
Rawat
8/3/2021 835331 MAURA 109,917 1 109,917
Inap
NISA AN
NANDI
Rawat
9/3/2021 835384 KRISAL 109,917 1 109,917
Jalan
AM. AN
MUHAM
Rawat MAD
9/3/2021 827829 109,917 1 109,917
Jalan KIAN,
BY
 EUIS
Promuxo Rawat
531 921 5/3/2021 831017 KURAES 1,312 3 3,936
l Tab Jalan
IN.NY
OMAN
15/03/20 Rawat
831629 ROHAN 1,312 1 1,312
21 Jalan
A, TN
IIN
16/03/20 Rawat
819469 RUYANI, 1,312 3 3,936
21 Inap
NY
ELOM
17/03/20 Rawat SALAM
835515 1,172 10 11,720
21 Inap SUDIRM
AN TN
ELIS
18/03/20 Rawat
835539 RUKYUL 1,172 1 1,172
21 Jalan
IANI NY
A
18/03/20 Rawat HENDA
813308 1,312 21 27,552
21 Jalan MULYAN
A TN.
OOM
18/03/20 Rawat
814564 KOMAN 1,312 15 19,680
21 Jalan
AH, NY
18/03/20 Rawat
835295 ANIH NY 1,312 21 27,552
21 Jalan
18/03/20 Rawat ENES.
835133 1,312 21 27,552
21 Jalan NY
TOHA
19/03/20 Rawat
805009 NURDIN, 1,312 3 3,936
21 Inap
TN
19/03/20 Rawat AMAT.
835550 1,312 3 3,936
21 Inap TN
19/03/20 Rawat AMAT.
835550 1,312 10 13,120
21 Inap TN
20/03/20 Rawat DARYAN
835565 1,312 3 3,936
21 Inap TI. NY
TOHA
20/03/20 Rawat
805009 NURDIN, 1,312 3 3,936
21 Inap
TN
20/03/20 Rawat
807029 TUTI, NY 1,312 3 3,936
21 Inap
NENEN
20/03/20 Rawat G
832087 1,312 7 9,184
21 Jalan KARTIK
A, NY
NY
20/03/20
UMUM 0 NENEG/ 1,312 8 10,496
21
APS
 21/03/20 Rawat
807029 TUTI, NY 1,312 3 3,936
21 Inap
GANJAR
22/03/20 Rawat
835607 HIKMAT 1,312 3 3,936
21 Inap
. TN
22/03/20 Rawat UDIN.
835604 1,312 3 3,936
21 Inap TN
LUKMAN
23/03/20 Rawat
835614 HAKIM 1,312 3 3,936
21 Inap
TN
23/03/20 Rawat DEDEN
835586 1,312 4 5,248
21 Inap G, TN
23/03/20 Rawat HERMA
835580 1,312 2 2,624
21 Inap N TN
ONDA
24/03/20 Rawat
835632 MUYAN 1,312 3 3,936
21 Inap
A. TN
AJENG
25/03/20 Rawat
811100 KARTINI 1,312 1 1,312
21 Inap
.NY
EDIH
Versyl Rawat
532 922 2/3/2021 835271 HARYAD 2,922 10 29,220
Tab Jalan
I TN
Willa
8/3/2021 K80 Fitria 2,816 10 28,160
Dewi
Rawat JURAEJI
8/3/2021 827464 2,816 3 8,448
Inap N, TN
TITA
Rawat
### 835383 MARYAT 2,816 3 8,448
Inap
I. NY
H.
Rawat TATANG
### 831377 2,816 3 8,448
Inap TARYON
O, TN
H.
Rawat TATANG
### 831377 2,816 10 28,160
Inap TARYON
O, TN

13/03/20 Rawat ASEP

835461 2,816 10 28,160
21 Jalan EDO. TN

NY.
16/03/20
UMUM 0 ATIKAH/ 2,816 21 59,136
21
APS
16/03/20 HJ SITI
UMUM APS 2,816 30 84,480
21 SOPIAH
 NANA
16/03/20 Rawat
835475 TARYAN 2,816 3 8,448
21 Inap
A. TN
16/03/20 Rawat JURAEJI
827464 2,816 21 59,136
21 Jalan N, TN
IIN
17/03/20 Rawat
819469 RUYANI, 2,816 1 2,816
21 Inap
NY
ELOM
17/03/20 Rawat SALAM
835515 2,816 3 8,448
21 Inap SUDIRM
AN TN
ELOM
17/03/20 Rawat SALAM
835515 2,816 1 2,816
21 Inap SUDIRM
AN TN
ELOM
17/03/20 Rawat SALAM
835515 2,816 10 28,160
21 Inap SUDIRM
AN TN
NY.
18/03/20
UMUM 0 OOM/AP 2,816 20 56,320
21
S
IIN
18/03/20 Rawat
819469 RUYANI, 2,816 10 28,160
21 Inap
NY
N. U.
18/03/20 Rawat
835522 UMAYA 2,816 3 8,448
21 Inap
H NY
18/03/20 Rawat ROKAYA
835481 2,816 3 8,448
21 Inap H NY
N. U.
19/03/20 Rawat
835522 UMAYA 2,816 3 8,448
21 Inap
H NY
20/03/20 Rawat ROKAYA
835481 2,816 3 8,448
21 Inap H NY
N. U.
20/03/20 Rawat
835522 UMAYA 2,816 3 8,448
21 Inap
H NY
20/03/20 Rawat DARYAN
835565 2,816 3 8,448
21 Inap TI. NY
21/03/20 Rawat DARYAN
835565 2,816 10 28,160
21 Inap TI. NY
DANA
21/03/20 Rawat
835590 SUJATN 2,816 2 5,632
21 Inap
A, TN
 N. U.
21/03/20 Rawat
835522 UMAYA 2,816 3 8,448
21 Inap
H NY

MALA
21/03/20 Rawat
835594 KOMALA 2,816 3 8,448
21 Inap
SARI NY

MALA
22/03/20 Rawat
835594 KOMALA 2,816 3 8,448
21 Inap
SARI NY

LUKMAN
23/03/20 Rawat
835614 HAKIM 2,816 3 8,448
21 Inap
TN

MALA
24/03/20 Rawat
835594 KOMALA 2,816 10 28,160
21 Inap
SARI NY

AAR
25/03/20 Rawat
825828 SURYAT 2,816 3 8,448
21 Inap
I.NY
25/03/20 Rawat NENGSI
835645 2,816 3 8,448
21 Inap H NY
26/03/20 Rawat NENGSI
835645 2,816 3 8,448
21 Inap H NY
IIS
27/03/20 Rawat
813279 CAHYAT 2,816 21 59,136
21 Jalan
I, NY
29/03/20 Rawat ENDAN
835708 2,816 3 8,448
21 Inap G TN
NANA
31/03/20 Rawat
835799 SURYAN 2,816 3 8,448
21 Inap
A. TN
YASFI
Vomistop Rawat
533 924 4/3/2021 828169 ADITIYA, 52,575 1 52,575
Drops Jalan
BY
SYAMIL
Rawat ABDUR
8/3/2021 835357 52,575 1 52,575
Jalan ROHMA
N . AN
MUHAM
MAD
30/03/20 Rawat HAFIZH
828235 52,575 1 52,575
21 Jalan AS -
SIDIQ
AN
 SALSABI
Gratamin Rawat LA
534 926 ### 835329 2,484 10 24,840
Tab Jalan AZZAHR
A NN
16/03/20 Rawat NUNUN
835338 2,484 10 24,840
21 Jalan G K, NY
20/03/20 Rawat KANDA.
835528 2,484 6 14,904
21 Jalan TN
FELCIA
Cepofion Rawat
535 928 1/3/2021 835226 TJHIN, 161,700 1 161,700
Inj Inap
AN
MISHAE
LA
Rawat HADYAT
2/3/2021 835253 161,700 1 161,700
Inap US
SHANU
M AN

RETNO
Simtram Rawat SRI
536 937 2/3/2021 835265 11,118 10 111,180
Tab Jalan YULIAN
TI. NY
Rawat
9/3/2021 835397 SITI, NY 11,118 6 66,708
Jalan
NAUFAL
Rawat DI
### 800119 11,118 2 22,236
Inap AGUSTI
N, AN
Rawat ENDAN
### 802962 11,118 10 111,180
Jalan G, TN
13/03/20 Rawat
800035 SUMI,NY 11,118 15 166,770
21 Jalan
VIVIH
13/03/20 Rawat
834834 NOVITA 11,118 2 22,236
21 Inap
DEWI
NAUFAL
13/03/20 Rawat DI
800119 11,118 2 22,236
21 Inap AGUSTI
N, AN
13/03/20 Rawat IMAS,
835142 11,118 10 111,180
21 Inap NY
VIVIH
13/03/20 Rawat
834834 NOVITA 11,118 2 22,236
21 Inap
DEWI
NAUFAL
14/03/20 Rawat DI
800119 11,118 10 111,180
21 Inap AGUSTI
N, AN
 NAUFAL
15/03/20 Rawat DI
800119 11,118 2 22,236
21 Inap AGUSTI
N, AN
19/03/20 Rawat UTENG
835571 11,118 10 111,180
21 Jalan TN
20/03/20 Rawat ANENG
835576 11,118 10 111,180
21 Jalan NY
21/03/20 Rawat AHYA,
835585 11,118 10 111,180
21 Jalan TN
22/03/20 Rawat TN.
835600 11,118 10 111,180
21 Jalan JEJEN

AZIS
22/03/20 Rawat RUHIAT
824516 11,118 3 33,354
21 Inap SUPRIA
TNA . TN

AZIS
23/03/20 Rawat RUHIAT
824516 11,118 10 111,180
21 Inap SUPRIA
TNA . TN

IMAS
27/03/20 Rawat
835707 ROHIMA 11,118 10 111,180
21 Jalan
S, NY
NOVIA
Simfix
Rawat ROSMA
537 938 100mg 1/3/2021 835248 25,437 10 254,370
Jalan YANTI.
Caps
NY
Rawat ENUNG.
2/3/2021 835268 25,437 10 254,370
Jalan NY
ENDAN
Rawat G
8/3/2021 835339 25,437 6 152,622
Inap SETIAW
AN. TN
Rawat SUTARN
9/3/2021 810138 25,437 6 152,622
Inap A, TN
TETI
13/03/20 Rawat
834907 ROHAET 25,437 10 254,370
21 Jalan
I NY
NAUFAL
15/03/20 Rawat DI
800119 25,437 4 101,748
21 Inap AGUSTI
N, AN
INI
15/03/20 Rawat
835495 SUARTI 25,437 10 254,370
21 Jalan
NI. NY
 NOVIA
15/03/20 Rawat
835497 FRANSI 25,437 10 254,370
21 Jalan
SKA. NN
15/03/20 Rawat SUKIMA
835498 25,437 10 254,370
21 Jalan D, TN
AMRIN
15/03/20 Rawat
835462 SOBANA 25,437 6 152,622
21 Inap
TN
VIVIH
16/03/20 Rawat
834834 NOVITA 25,437 10 254,370
21 Jalan
DEWI
18/03/20 Rawat ERES
835537 25,437 6 152,622
21 Inap NY
YANA
19/03/20 Rawat
835328 GUSTIA 25,437 6 152,622
21 Inap
NA NN
ENDAN
19/03/20 Rawat G
835564 25,437 8 203,496
21 Jalan SUHER
MAN TN
19/03/20 Rawat ACEP
835568 25,437 10 254,370
21 Jalan PAHRI
JUJU
19/03/20 Rawat
835559 JUARIA 25,437 10 254,370
21 Jalan
H NY
N. U.
21/03/20 Rawat
835522 UMAYA 27,982 2 55,964
21 Inap
H NY
N. U.
22/03/20 Rawat
835522 UMAYA 27,982 2 55,964
21 Inap
H NY
27/03/20 Rawat
815940 DIDI, TN. 25,437 15 381,555
21 Jalan
HJ
28/03/20 Rawat
835648 CECEP . 25,437 1 25,437
21 Inap
TN
UDIN
29/03/20 Rawat
835747 SAMSU 25,437 10 254,370
21 Jalan
DIN. TN
WINDY
30/03/20 Rawat
835718 WIDURI. 25,437 10 254,370
21 Inap
AN
HJ
30/03/20 Rawat
835648 CECEP . 25,437 2 50,874
21 Inap
TN
HJ
31/03/20 Rawat
835648 CECEP . 25,437 6 152,622
21 Inap
TN
 TETI
Rebama 13/03/20 Rawat
538 939 834907 ROHAET 4,582 21 96,222
x Tab 21 Jalan
I NY
20/03/20 Rawat
821178 LIA, NY 4,582 30 137,460
21 Jalan
Benang
Cromic Rawat YULIN
539 94 3/3/2021 834209 71,310 1 71,310
No 2-0 Jalan NY
( Taper )
NAZHAN
Estin Rawat
540 949 2/3/2021 830971 ZABIR 66,000 1 66,000
Drops Jalan
BY
AYYA
Rawat KAYLA
2/3/2021 830657 66,000 1 66,000
Jalan RISANDI
NI BY
Rawat RADITIA
3/3/2021 835278 66,000 1 66,000
Jalan BY
AZKA
Rawat
4/3/2021 834858 ALIVIA. 82,791 1 82,791
Jalan
BY
AN.
8/3/2021 UMUM 0 FERI/AP 82,791 1 82,791
S
CHACH
A
16/03/20 Rawat
831520 RAIHAN 82,791 1 82,791
21 Jalan
RIZKI .
BY
AN.
16/03/20
UMUM 0 FATHIR/ 82,791 1 82,791
21
APS
KHAIRA
16/03/20 Rawat
824645 NAYYAR 82,791 1 82,791
21 Jalan
A, AN
KAHFI L
18/03/20 Rawat AZAM
831378 82,791 1 82,791
21 Jalan IBRAHIM
, BY
ZAYNA
30/03/20 Rawat
835510 ALMAHI 82,791 1 82,791
21 Jalan
RA, AN
NEUCITI
18/03/20 Rawat
541 955 500 MG 835546 EHA NY 12,371 15 185,565
21 Jalan
TAB
19/03/20 Rawat KOSIDIN
835556 12,371 10 123,710
21 Jalan NY
 23/03/20 Rawat WANGSI
835588 12,371 10 123,710
21 Inap H, NY
MISHAE
LA
CEFARI
Rawat HADYAT
542 960 N 2/3/2021 835253 200,077 1 200,077
Inap US
INJEKSI
SHANU
M AN

FARSIF
SITI
EN Rawat
543 980 2/3/2021 835259 ROHMA 607 10 6,070
200MG Jalan
H. NY
TAB
NITA
Rawat
7/3/2021 835348 ASTUTI. 607 10 6,070
Jalan
NY
Pasien
9/3/2021 UMUM 0 607 10 6,070
Umum
15/03/20 Rawat SUPRAP
834561 607 10 6,070
21 Jalan TI NY
16/03/20 Rawat
819776 TATI, NY 607 10 6,070
21 Jalan
RONI
19/03/20 Rawat
835563 SUPRIA 607 3 1,821
21 Inap
DI TN
29/03/20 Rawat YUYUM
835675 607 10 6,070
21 Inap NY
ETI
29/03/20 Rawat
835739 ROHAET 607 10 6,070
21 Jalan
I NY
FARSIR N. U.
22/03/20 Rawat
544 981 ETIC 835522 UMAYA 537 10 5,370
21 Inap
TAB H NY
23/03/20 Rawat HERMA
835580 537 5 2,685
21 Inap N TN
DARPIT
27/03/20 Rawat
835655 ROHIDU 635 1 635
21 Inap
N. TN

SODIKIN
27/03/20 Rawat NOOR
835524 635 15 9,525
21 Jalan BADRI.
TN

27/03/20 Rawat ANAH

835474 635 30 19,050
21 Jalan NY
 SUKAND
I BIN
29/03/20 Rawat
813480 SURYA 635 1 635
21 Inap
MAN,
TN.

SUKAND
I BIN
30/03/20 Rawat
813480 SURYA 635 1 635
21 Inap
MAN,
TN.
30/03/20 Rawat
835659 YATI. NY 635 5 3,175
21 Inap
AGUS
30/03/20 Rawat
831605 NURJAY 635 7 4,445
21 Jalan
A TN
N
30/03/20 Rawat
835523 ATIKAH 635 15 9,525
21 Jalan
NY
30/03/20 Rawat SULAEM
835173 635 15 9,525
21 Jalan AN TN
SITI
31/03/20 Rawat
835704 RODIAH. 635 10 6,350
21 Inap
NY
FLOXIFA O
Rawat
545 982 R 500 1/3/2021 835252 KOMARI 1,545 10 15,450
Jalan
TAB AH NY
2/3/2021 UMUM 0 selvi 1,545 6 9,270
Rawat ANIK.
3/3/2021 835230 1,545 10 15,450
Jalan NY
ELIS
Rawat
3/3/2021 803916 KOMALA 1,545 10 15,450
Jalan
, NY
Rawat WATINI,
6/3/2021 835325 1,545 10 15,450
Jalan NY
Rawat
6/3/2021 835327 ANA TN 1,545 10 15,450
Jalan
IMAS
Rawat
8/3/2021 835359 FARIDA 1,545 10 15,450
Jalan
NY
SIMCLO
VIX
546 985 2/3/2021 UMUM APS NY KENI 17,518 15 262,770
75MG
TAB
ERI
Rawat RAHMA
2/3/2021 835239 17,518 1 17,518
Inap WATI.
NY
 ERI
Rawat RAHMA
3/3/2021 835239 15,194 1 15,194
Inap WATI.
NY
Rawat UNENG,
4/3/2021 5097 17,518 30 525,540
Jalan NY
ERI
Rawat RAHMA
4/3/2021 835239 17,518 5 87,590
Inap WATI.
NY
YANI
Rawat AHMAD
5/3/2021 835303 17,518 4 70,072
Jalan RIFAI.
TN
NY.
5/3/2021 UMUM 0 IMAS/AP 17,518 7 122,626
S
Rawat SUKI.
6/3/2021 834791 17,518 10 175,180
Jalan NY
Rawat AAN
9/3/2021 802456 17,518 7 122,626
Jalan UHA, TN
Rawat IROH,
### 835400 17,518 1 17,518
Inap NY
Rawat IROH,
### 835400 17,518 7 122,626
Inap NY
TATI
13/03/20 Rawat
835463 WARSITI 17,518 1 17,518
21 Inap
. NY
13/03/20 Rawat IMAS,
835142 17,518 7 122,626
21 Inap NY
TATI
14/03/20 Rawat
835463 WARSITI 17,518 1 17,518
21 Inap
. NY
OMAN
15/03/20 Rawat
831629 ROHAN 17,518 4 70,072
21 Jalan
A, TN
ELOM
16/03/20 Rawat SALAM
835515 17,518 1 17,518
21 Inap SUDIRM
AN TN

SODIKIN
16/03/20 Rawat NOOR
835524 17,518 1 17,518
21 Inap BADRI.
TN
 SODIKIN
17/03/20 Rawat NOOR
835524 17,518 1 17,518
21 Inap BADRI.
TN

SODIKIN
18/03/20 Rawat NOOR
835524 15,194 1 15,194
21 Inap BADRI.
TN

SODIKIN
19/03/20 Rawat NOOR
835524 17,518 1 17,518
21 Inap BADRI.
TN

20/03/20 Rawat NANA

835575 17,518 1 17,518
21 Jalan JONI TN
TN
20/03/20
UMUM 0 NANA/A 17,518 6 105,108
21
PS
20/03/20 Rawat HIDAYA
805608 17,518 1 17,518
21 Inap T, TN
20/03/20 Rawat HIDAYA
805608 17,518 4 70,072
21 Inap T, TN
21/03/20 Rawat HIDAYA
805608 17,518 7 122,626
21 Inap T, TN
21/03/20 Rawat HIDAYA
805608 17,518 1 17,518
21 Inap T, TN
AAR
23/03/20 Rawat
825828 SURYAT 17,518 1 17,518
21 Inap
I.NY
ACU
23/03/20 Rawat
835621 SAMSU 17,518 7 122,626
21 Jalan
DIN TN
24/03/20 Rawat OTONG,
835633 17,518 3 52,554
21 Jalan TN
24/03/20 Rawat OTONG,
835633 17,518 7 122,626
21 Jalan TN
WOWO
25/03/20 Rawat
809923 SUGRIW 17,518 1 17,518
21 Inap
O.TN
WOWO
26/03/20 Rawat
809923 SUGRIW 17,518 1 17,518
21 Inap
O.TN
HJ
26/03/20 Rawat
835670 SUKARN 17,518 1 17,518
21 Inap
A TN
 HJ
26/03/20 Rawat
835670 SUKARN 17,518 1 17,518
21 Inap
A TN
HJ
27/03/20 Rawat
835670 SUKARN 17,518 7 122,626
21 Inap
A TN
WOWO
27/03/20 Rawat
809923 SUGRIW 17,518 1 17,518
21 Inap
O.TN
ACU
27/03/20 Rawat
835621 SAMSU 17,518 1 17,518
21 Inap
DIN TN
HJ
27/03/20 Rawat
835670 SUKARN 17,518 1 17,518
21 Inap
A TN
ACU
28/03/20 Rawat
835621 SAMSU 17,518 1 17,518
21 Inap
DIN TN
29/03/20 Rawat UNENG,
5097 17,518 1 17,518
21 Inap NY
ACU
29/03/20 Rawat
835621 SAMSU 17,518 1 17,518
21 Inap
DIN TN
ACU
30/03/20 Rawat
835621 SAMSU 17,518 5 87,590
21 Inap
DIN TN
30/03/20 Rawat ENTING,
835756 17,518 4 70,072
21 Inap NY
30/03/20 Rawat UNENG,
5097 17,518 1 17,518
21 Inap NY
IKIN
31/03/20 Rawat
835789 SODIKIN 17,518 1 17,518
21 Inap
TN
31/03/20 Rawat UNENG,
5097 17,518 5 87,590
21 Inap NY

LAPICEF
Rawat HAIKAL
547 986 DROPS 3/3/2021 835274 70,070 1 70,070
Jalan BY
15ML

Rawat RAFKA
4/3/2021 832967 70,070 1 70,070
Jalan ZEIN. BY

ZABDAN
23/03/20 Rawat KHAIRU
829894 70,070 1 70,070
21 Jalan LLOH
AN
 BRONC
Rawat NINING
548 990 HOSAL 2/3/2021 835192 390 5 1,950
Inap NY
TAB
FARIZO NOVI
Rawat
549 992 L 500 1/3/2021 829935 SHOVIA 684 21 14,364
Jalan
TAB NI.NY
Rawat NURAE
4/3/2021 834713 822 21 17,262
Jalan NI NY
MAULAN
Rawat A
4/3/2021 835287 822 21 17,262
Jalan YUSUF .
TN
MAULAN
Rawat A
4/3/2021 835287 822 21 17,262
Jalan YUSUF .
TN
SITI
Rawat
5/3/2021 816874 MARIAM 822 21 17,262
Jalan
. NY
ABAS
Rawat
6/3/2021 835333 KOSASI 822 10 8,220
Jalan
H TN
ETI
Rawat
7/3/2021 835350 SUMIATI 822 10 8,220
Jalan
. NY
NOVI
Rawat
8/3/2021 829935 SHOVIA 822 21 17,262
Jalan
NI.NY
MAHDA
Rawat TRI
### 835409 822 10 8,220
Jalan UTAMI
NY
Rawat DINA F
### 835428 822 21 17,262
Jalan NY
YUN
Rawat YUNEN
### 830805 822 21 17,262
Jalan GSIH.
NY
ENGKA
Rawat R
### 835184 822 21 17,262
Jalan MARYAT
I. NY
IMAS
Rawat
### 835242 NURAE 822 21 17,262
Jalan
NI. NY
13/03/20 Rawat IMAS,
835142 822 10 8,220
21 Inap NY
 15/03/20 Rawat TASIH
835460 822 10 8,220
21 Inap NY
16/03/20 Rawat
815940 DIDI, TN. 822 10 8,220
21 Inap
19/03/20 Rawat ANIS,
835551 822 4 3,288
21 Jalan NY
21/03/20 Rawat AHYA,
835585 822 10 8,220
21 Jalan TN
27/03/20 Rawat
815940 DIDI, TN. 822 21 17,262
21 Jalan
29/03/20 Rawat SUARI,
800179 822 10 8,220
21 Inap TN
LATIBET
Rawat ROHETI
550 993 5MG ### 802812 504 1 504
Inap N, NY
TAB
Rawat ROHETI
### 802812 504 2 1,008
Inap N, NY
Rawat ROHETI
### 802812 504 1 504
Inap N, NY
ASEP
ETOFIO Rawat
551 998 1/3/2021 821449 KURNIA, 40,425 1 40,425
N INJ Jalan
TN
49,880 ###
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