BPJS CT Usg Radio 1 - 2017

LAPORAN ADMINISTRASI KEUANGAN RS AKADEMIS
UNIT RADIODIAGNOSTIK DENGAN PESAWAT GE BULAN APRIL 2015

1
1
NOMOR JML KET. TUNAI TAGIHAN CITO HONOR DR. INS. PEG. HARGA FILM
OBAT
TANGGAL NAMA PENDERITA PEMERIKSAAN FILM INSTANSI (LOKET) R.INAP R.JALAN FOTO 33 1/3% X TUN 5% X TUN /BAHAN NETTO
URUT FOTO
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
1 RI.045.1113 6-Apr-15 ARISALDI AMIN,TN BNO 3 POSISI 3 PASIEN - - - - - - - - -
UMUM
2 RI.144.1212 14-Apr-15 HALIK,TN BNO 3 POSISI 3 PASIEN - - - - - - - - -
UMUM
3 RI.182.1250 16-Apr-15 MARZUKI,TN BNO 3 POSISI 3 ASURANSI - - - - - - - - -
JIWA
- - - - - - - - -
INHEALTH
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
TOTAL TUNAI 9 - - - - - - - - - -
TAGIHAN RAWAT INAP RADIODIAGNOSTIK YANG MASUK KE RSA BULAN APRIL 2015
1 RI.1113 30-Apr-15 ARISALDI AMIN,TN BNO 3 POSISI 3 FT.5/4 - - - - - - - - -
2 RI.1212 30-Apr-15 HALIK,TN BNO 3 POSISI 3 FT.14/4 - - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
TOTAL RAWAT INAP 6 - - - - - - - - - -
Total Keseluruhan 15 - - - - - - - - - -
Ket: Makassar, 15 MEI 2015

- Harga Film/Lbr 23,300 Ka. Instalasi Radiologi RSA "Jaury"
(Dr.Achmad Dara Sp.Rad)

UNIT RADIODIAGNOSTIK BPJS BULAN JANUARI 2017 2
OBAT/MTR
TANGGAL NAMA PENDERITA PEMERIKSAAN FILM INSTANSI (LOKET) R.INAP R.JALAN FOTO 16.65% X TUN 1.5% X TUN /BAHAN NETTO
URUT FOTO
TAGIHAN R.INAP BPJS RADIODIAGNOSTIK YANG MASUK KE RSA BULAN JANUARI 2017
1 RI.3204 31-Jan-17 ABD.SYUKUR SUPU H,TN Thorax 1 BPJS.9/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
2 RI.3195 31-Jan-17 ABD.SYUKUR SUPU H,TN Lumbosacral 1 BPJS.8/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
3 RI.3250 31-Jan-17 ABDURRAHMAN K DRS,TN Ankle 1 BPJS.13/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
4 RI.3246 31-Jan-17 ABDURRAHMAN K DRS,TN Thorax+Genu 2 BPJS.12/10 400,000 - - - 400,000 66,600 6,000 46,600 280,800
5 RI.3208 31-Jan-17 AGUSTINA,NY Thorax 1 BPJS.10/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
6 RI.3133 31-Jan-17 A MALLANTI DRS M.SI,TN BNO 1 BPJS.3/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
7 RI.3112 31-Jan-17 A AHMAD TENRISESSU,TN Thorax 1 BPJS.1/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
8 RI.3342 31-Jan-17 ANDI NURMIATI S.PD,NY Elbow 1 BPJS.22/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
9 RI.3267 31-Jan-17 ANDI SURYANI SOS,NY Thorax 1 BPJS.14/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
10 RI.2776 31-Jan-17 ANISA RAHMI,NN Thorax 1 BPJS.2/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
11 RI.3086 31-Jan-17 ANNURUL YASMIN,NY Thorax 1 BPJS.30/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
12 RI.3218 31-Jan-17 ANWAR MAKKA,TN Thorax 1 BPJS.10/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
13 RI.3254 31-Jan-17 ASRI H,TN Ankle 1 BPJS.13/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
14 RI.3247 31-Jan-17 ASRI H,TN Thorax 1 BPJS.13/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
15 RI.3270 31-Jan-17 HJ BOLLO,NY Thorax 1 BPJS.15/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
16 RI.3136 31-Jan-17 DAMARIS TALLO,NY Wrist Joint 1 BPJS.4/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
17 RI.3255 31-Jan-17 DEDYANTO,SE,TN Thorax 1 BPJS.14/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
20 RI.3345 31-Jan-17 DJAMILAH LAKING HJ,NY Lumbosacral 1 BPJS.23/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
21 RI.3173 31-Jan-17 DJEMI REIN OHELLO,TN Thorax 1 BPJS.7/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
22 RI.3090 31-Jan-17 DJUMATIAH HJ,NY Thorax 1 BPJS.30/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
23 RI.3079 31-Jan-17 FATIMAH SULTAN DRA,NY Thorax 1 BPJS.29/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
24 RI.3117 31-Jan-17 GHIYATS DZULKIFLI M,TN Thorax 1 BPJS.3/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
25 RI.3059 31-Jan-17 GHIYATS DZULKIFLI M,TN Thorax 1 BPJS.28/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
26 RI.3214 31-Jan-17 DRS.HAERUDDIN,TN Thorax 1 BPJS.10/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
27 RI.3096 31-Jan-17 HAMZAH AZIS,TN Thorax 1 BPJS.30/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
28 RI.3126 31-Jan-17 HANAFIAH RAZAK HJ,NY Colon In Loop 2 BPJS.3/10 1,500,000 - - - 1,500,000 249,750 22,500 46,600 1,181,150
29 RI.3083 31-Jan-17 HANAFIAH RAZAK HJ,NY Thorax 1 BPJS.30/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
30 RI.3160 31-Jan-17 HANAFI,TN Thorax 1 BPJS.5/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
31 RI.3245 31-Jan-17 HANA SULILING,NY Thorax 1 BPJS.12/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
32 RI.3113 31-Jan-17 HANIA,NY Thorax 1 BPJS.2/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
33 RI.3222 31-Jan-17 HARSEN TANDI,TN BNO 3 Posisi 3 BPJS.11/10 400,000 - - - 400,000 66,600 6,000 69,900 257,500
34 RI.3089 31-Jan-17 HARTATI MANSYUR,NY Thorax 1 BPJS.30/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
35 RI.3258 31-Jan-17 HASAN MAJID,TN Thorax 1 BPJS.14/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
36 RI.3253 31-Jan-17 HASWAN,TN BNO 1 BPJS.13/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
OBAT/MTR
URUT FOTO
40 7,940,000 - - - - 7,940,000 1,322,010 119,100 932,000 5,566,890
40 7,940,000 - - - - 7,940,000 1,322,010 119,100 932,000 5,566,890
37 RI.3203 31-Jan-17 HASWAN,TN Thorax 1 BPJS.9/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
38 RI.3272 31-Jan-17 HATIJAH,NY Thorax 1 BPJS.15/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
39 RI.3324 31-Jan-17 HAWA TALLO RARA,NY Thorax 1 BPJS.21/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
40 RI.3142 31-Jan-17 HELWA ALFATHUNNISA,AN Thorax 1 BPJS.4/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
41 RI.3066 31-Jan-17 HJ KASMAYATI,NY Shoulder 1 BPJS.28/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
42 RI.3116 31-Jan-17 HJ SUAEBAH,NY Thorax 1 BPJS.2/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
43 RI.3123 31-Jan-17 H SYAHRIR ALI,TN Pedis 1 BPJS.3/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
44 RI.3205 31-Jan-17 JAMAL ABD NASIR,TN Thorax 1 BPJS.9/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
45 RI.3138 31-Jan-17 KHALID AHMAD SYAIFULLAH,AN Antebrachi 1 BPJS.4/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
46 RI.3139 31-Jan-17 KHALID AHMAD SYAIFULLAH,AN Antebrachi 1 BPJS.4/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
47 RI.3008 31-Jan-17 LANI DG SANGNGIN HJ,NY Thorax 1 BPJS.22/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
48 RI.3330 31-Jan-17 MACHMUD HM,TN Thorax+Cervical 2 BPJS.21/10 300,000 - - - 300,000 49,950 4,500 46,600 198,950
49 RI.3045 31-Jan-17 M ALI,TN Thorax 1 BPJS.27/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
50 RI.3210 31-Jan-17 M ARIF,TN Colon In Loop 3 BPJS.10/10 1,500,000 - - - 1,500,000 249,750 22,500 69,900 1,157,850
51 RI.3174 31-Jan-17 MARTEN SAMPE,TN Thorax 1 BPJS.7/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
52 RI.3171 31-Jan-17 MARTEN SAMPE,TN Thorax 1 BPJS.6/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
53 RI.3115 31-Jan-17 MARZUKI,TN Thorax 1 BPJS.2/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
54 RI.3185 31-Jan-17 M ASRI AMIRULLAH,TN Thorax 1 BPJS.7/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
55 RI.3238 31-Jan-17 MOCH.MAKRUS,TN Thorax 1 BPJS.12/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
56 RI.3285 31-Jan-17 M RAMLI,TN Thorax 1 BPJS.17/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
57 RI.3271 31-Jan-17 M RUM D.ST,TN BNO 1 BPJS.15/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
58 RI.3230 31-Jan-17 M RUM D.ST,TN Thorax 1 BPJS.11/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
59 RI.3296 31-Jan-17 MUHAMMAD RAMLI,TN Thorax 1 BPJS.18/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
60 RI.3120 31-Jan-17 MUH.FADHIL ZAKI,AN Antebrachi 1 BPJS.3/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
61 RI.3143 31-Jan-17 MUH.ZAFRAN KHALID,AN Thorax 1 BPJS.5/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
62 RI.3060 31-Jan-17 MUKHSIN MANAB,TN Thorax 1 BPJS.28/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
63 RI.3239 31-Jan-17 MUZAKKIRAH AMANSYAH,NY BNO 1 BPJS.12/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
64 RI.3165 31-Jan-17 M YAHYA,TN Thorax 1 BPJS.6/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
65 RI.3268 31-Jan-17 HJ NAJMIAH,NY Thorax 1 BPJS.15/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
66 RI.3190 31-Jan-17 NUR ASMA,NY Thorax 1 BPJS.8/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
67 RI.3221 31-Jan-17 NUR SYIFANA,AN Thorax 1 BPJS.11/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
68 RI.3244 31-Jan-17 PANNAWI,SPD,NY Lumbosacral 1 BPJS.12/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
69 RI.3111 31-Jan-17 PATTA,TN Thorax 1 BPJS.1/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
70 RI.2947 31-Jan-17 RAHMAT HADI MODJO,TN Thorax+BNO 3 P 4 BPJS.17/9 550,000 - - - 550,000 91,575 8,250 93,200 356,975
71 RI.3188 31-Jan-17 RAMLAH,NY Thorax 1 BPJS.8/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
OBAT/MTR
URUT FOTO
72 RI.3062 31-Jan-17 RENDY S.IP,TN Thorax 1 BPJS.28/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
73 RI.3159 31-Jan-17 RUSMI DG JIA HJ,NY Thorax 1 BPJS.5/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
43 8,165,000 - - - - 8,165,000 1,359,473 122,475 1,001,900 5,681,153
83 16,105,000 - - - - 16,105,000 2,681,483 241,575 1,933,900 11,248,043
74 RI.3073 31-Jan-17 SABANG,TN Thorax 1 BPJS.29/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
75 RI.3175 31-Jan-17 SATRYANI,NN Thorax 1 BPJS.7/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
76 RI.3097 31-Jan-17 HJ ST SUBAEDAH,NY Thorax 1 BPJS.30/9 150,000 - - - 150,000 24,975 2,250 23,300 99,475
77 RI.3199 31-Jan-17 SUDARMIN,TN Antebrachi 1 BPJS.8/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
78 RI.3283 31-Jan-17 UDDING,TN BNO 1 BPJS.17/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
79 RI.2606 31-Jan-17 WA ODE HIRAWATI,NY Thorax 1 BPJS.16/8 150,000 - - - 150,000 24,975 2,250 23,300 99,475
80 RI.3292 31-Jan-17 WARTI,NY Thorax 1 BPJS.18/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
81 RI.3181 31-Jan-17 YULIANA,NY Thorax 1 BPJS.7/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
82 RI.3184 31-Jan-17 YUSUF DG NGALLE,TN Thorax 1 BPJS.7/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
83 RI.3207 31-Jan-17 YUSUF SALLANGAN,TN Thorax 1 BPJS.9/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
84 RI.3275 31-Jan-17 ZAINAL ANWAR,TN Thorax 1 BPJS.16/10 195,000 - - - 195,000 32,468 2,925 23,300 136,308
11 1,885,000 - - - - 1,885,000 313,853 28,275 256,300 1,286,573

TOTAL RAWAT INAP 94 17,990,000 - - - - 17,990,000 2,995,335 269,850 2,190,200 12,534,615
TAGIHAN R.JALAN BPJS RADIODIAGNOSTIK YANG MASUK KE RSA BULAN JANUARI 2017
1 RJ.3104 31-Jan-17 MARDIANA Lumbosacral 1 BPJS.1/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
2 RJ.3102 31-Jan-17 THE KIAN KOK Thorax 1 BPJS.1/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
3 RJ.3130 31-Jan-17 SRI ERNIWATY USMAN Thorax 1 BPJS.1/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
4 RJ.3100 31-Jan-17 ANDI NURAEDAH Lumbosacral 1 BPJS.29/9 250,000 - - - 250,000 41,625 3,750 23,300 181,325
5 RJ.3108 31-Jan-17 IKAL Antebrachi 1 BPJS.1/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
6 RJ.3106 31-Jan-17 RIDWAN ALKAN MUSA Thorax 1 BPJS.1/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
7 RJ.3110 31-Jan-17 TAKANG DG NGERANG BNO 1 BPJS.1/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
8 RJ.3118 31-Jan-17 HERMAN RUSLI Thorax 1 BPJS.3/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
9 RJ.3122 31-Jan-17 DAMARIS Pelvs+LS+Anteb 3 BPJS.3/10 500,000 - - - 500,000 83,250 7,500 69,900 339,350
10 RJ.3125 31-Jan-17 JUNAEDAH Wrist 1 BPJS.3/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
11 RJ.3128 31-Jan-17 BASO SIKKI Genu S 1 BPJS.3/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
12 RJ.3131 31-Jan-17 KUSTINI Kepala 1 BPJS.3/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
OBAT/MTR
URUT FOTO
13 RJ.3130 31-Jan-17 JULCRITHNO IRAWAN PUTRA Thorax 1 BPJS.3/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
14 RJ.3135 31-Jan-17 THEODORA ILLONA Genu D/S 2 BPJS.4/10 400,000 - - - 400,000 66,600 6,000 46,600 280,800
15 RJ.3137 31-Jan-17 NURDIN HAMDANY Thorax 1 BPJS.4/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
16 RJ.3156 31-Jan-17 MUH YASID RENGGALA Thorax 1 BPJS.4/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
19 3,600,000 - - - - 3,600,000 599,400 54,000 442,700 2,503,900
19 3,600,000 - - - - 3,600,000 599,400 54,000 442,700 2,503,900
17 RJ.3145 31-Jan-17 HAMSINA Thorax 1 BPJS.5/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
18 RJ.3153 31-Jan-17 FARIATI Thorax 1 BPJS.5/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
19 RJ.3150 31-Jan-17 MARYAM Lumbosacral 1 BPJS.5/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
20 RJ.3177 31-Jan-17 SOFYANTI DJUFRI Lumbosacral 1 BPJS..7/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
21 RJ.3176 31-Jan-17 HASMAH Antebrachi 1 BPJS.7/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
22 RJ.3178 31-Jan-17 GALI SEPRYAN ADI PUTRA Thorax 1 BPJS.7/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
23 RJ.3187 31-Jan-17 ABDUL SALAM BNO 1 BPJS.8/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
24 RJ.3196 31-Jan-17 MUH.ARHAM Cruris 1 BPJS.8/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
25 RJ.3192 31-Jan-17 SERLINA PAPILAYA BNO 1 BPJS.8/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
26 RJ.3194 31-Jan-17 SURATMAH Lumbosacral 1 BPJS.8/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
27 RJ.3191 31-Jan-17 HAJRA BNO 1 BPJS.8/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
28 RJ.3193 31-Jan-17 EMA FITRIANI Genu S 1 BPJS.8/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
29 RJ.3211 31-Jan-17 HANIS Thorax 1 BPJS.10/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
30 RJ.3212 31-Jan-17 WONG SITTI AISYAH Thorax 1 BPJS.10/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
31 RJ.3216 31-Jan-17 ANIS ANDREASWI Lumbosacral 1 BPJS.10/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
32 RJ.3217 31-Jan-17 HAEDIR Antebrachi 1 BPJS.10/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
33 RJ.3226 31-Jan-17 MUH.YAHYA Thorax 1 BPJS.11/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
34 RJ.3232 31-Jan-17 LINCE PATIBANG Lumbosacral 1 BPJS.11/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
35 RJ.3235 31-Jan-17 ELISABETH RIO Genu D 1 BPJS.11/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
36 RJ.3236 31-Jan-17 MUH ARHAM AKIN MAHESA Cruris 1 BPJS.11/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
37 RJ.3234 31-Jan-17 KAMI Pelvis 1 BPJS.11/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
38 RJ.3240 31-Jan-17 ISONDONG Thorax 1 BPJS.12/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
39 RJ.3237 31-Jan-17 HO MOEI JIE Genu S 1 BPJS.12/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
40 RJ.3252 31-Jan-17 BUDI SUSANTO Thorax 1 BPJS.13/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
41 RJ.3258 31-Jan-17 NORMA Cruris 1 BPJS.14/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
42 RJ.3259 31-Jan-17 FREDDY DALVION Lumbosacral 1 BPJS.14/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
43 RJ.3261 31-Jan-17 MURNI Lumbosacral 1 BPJS.14/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
44 RJ.3260 31-Jan-17 ZULHAM ARIFIN Thorax 1 BPJS.14/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
45 RJ.3278 31-Jan-17 SYAMSIAH Lumbosacral 1 BPJS.17/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
46 RJ.3279 31-Jan-17 HARTATY Lumbosacral 1 BPJS.17/10 200,000 - - - 200,000 33,300 3,000 23,300 140,400
47 RJ.3281 31-Jan-17 ISLAMIYAH AULIYAH Thorax 1 BPJS.17/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
OBAT/MTR
URUT FOTO
48 RJ.3284 31-Jan-17 DARSINAH Thorax 1 BPJS.17/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
49 RJ.3293 31-Jan-17 ISMET TATUERENG BNO 1 BPJS.18/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
50 RJ.3300 31-Jan-17 REZKY WAHYU PURNAMA Antebrachi 1 BPJS.18/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
51 RJ.3312 31-Jan-17 EMMA KUSNIMA Thorax 1 BPJS.19/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
52 RJ.3307 31-Jan-17 ASYHARI ABBAS Antebrachi 1 BPJS.19/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
53 RJ.3311 31-Jan-17 SYARIFUDDIN Kepala 1 BPJS.19/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
37 7,400,000 - - - - 7,400,000 1,232,100 111,000 862,100 5,194,800
56 11,000,000 - - - - 11,000,000 1,831,500 165,000 1,304,800 7,698,700
54 RJ.3317 31-Jan-17 NUJUMULYANA BNO 1 BPJS.20/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
55 RJ.3315 31-Jan-17 BAHARUDDIN Lumbosacral 1 BPJS.20/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
56 RJ.3326 31-Jan-17 ANDI AZHAR Thorax 1 BPJS.20/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
57 RJ.3329 31-Jan-17 MARDIANI Thorax 1 BPJS.21/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
58 RJ.3339 31-Jan-17 M YUNUS Thorax 1 BPJS.22/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
59 RJ.3336 31-Jan-17 NURAENI GENU D 1 BPJS.21/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
60 RJ.3340 31-Jan-17 NORMA Thorax 1 BPJS.22/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
61 RJ.3348 31-Jan-17 ANNIE SETHLIK Thorax 1 BPJS.20/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
62 RJ.3350 31-Jan-17 MUHAMMAD ALIF RAFLI FEMUR 1 BPJS.24/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
63 RJ.3355 31-Jan-17 MUH RAFI ARKANANTA FEMUR D 1 BPJS.24/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
64 RJ.3356 31-Jan-17 M YUNUS S Genu S 1 BPJS.24/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
65 RJ.3361 31-Jan-17 KEISYA NURUL QOTIMAH Thorax 1 BPJS.25/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
66 RJ.3365 31-Jan-17 HASAN BETA Lumbosacral 1 BPJS.25/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
67 RJ.3366 31-Jan-17 KERISMAWATI SALEWANGANG Wrist 1 BPJS.25/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
68 RJ.3368 31-Jan-17 TAMRIAH Genu S 1 BPJS.25/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
69 RJ.3370 31-Jan-17 YULIA NINGSIH Thorax 1 BPJS.25/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
70 RJ.3373 31-Jan-17 SURIPNO Thorax 1 BPJS.25/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
71 RJ.3374 31-Jan-17 KARTIANI BNO 1 BPJS.25/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
72 RJ.3383 31-Jan-17 M IRFANDI S Thorax 1 BPJS.26/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
73 RJ.3390 31-Jan-17 BARLIN ADAM BNO 1 BPJS.26/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
74 RJ.3397 31-Jan-17 RYAN FEBRIANDY Ankle D 1 BPJS.27/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
75 RJ.3396 31-Jan-17 LINDA HARIS Lumbosacral 1 BPJS.27/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
76 RJ.3399 31-Jan-17 ISMAIL BNO 1 BPJS.27/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
77 RJ.3409 31-Jan-17 A HAMIDAWATI Cervical Syndrom 2 BPJS.28/10 400,000 - - - 400,000 66,600 6,000 46,600 280,800
78 RJ.3407 31-Jan-17 FADILLAH ABBAS Thorax 1 BPJS.28/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
79 RJ.3425 31-Jan-17 HASNIATI Thorax 1 BPJS.29/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
80 RJ.3424 31-Jan-17 SYARIFUDDIN BNO 1 BPJS.29/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
81 RJ.3420 31-Jan-17 ARDYANSAH RACHMAN Antebrachi 1 BPJS.29/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
82 RJ.3445 31-Jan-17 NURLAN BNO 1 BPJS.31/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
83 RJ.3443 31-Jan-17 MANSUR Thorax 1 BPJS.31/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
OBAT/MTR
URUT FOTO
84 RJ.3439 31-Jan-17 ELVIRA APRIANTY Torcolumbal 1 BPJS.31/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
85 RJ.3438 31-Jan-17 AGUSTINUS MANDASO Femur 1 BPJS.31/10 250,000 - - - 250,000 41,625 3,750 23,300 181,325
86 RJ.3431 31-Jan-17 ESTER PARE SANDA Thorax 1 BPJS.31/10 150,000 - - - 150,000 24,975 2,250 23,300 99,475
- - - - - - - - -
34 6,500,000 - - - - 6,500,000 1,082,250 97,500 792,200 4,528,050
Total Rawat Jalan 90 17,500,000 - - - - 17,500,000 2,913,750 262,500 2,097,000 12,226,750
Total Keseluruhan 184 35,490,000 - - - - 35,490,000 5,909,085 532,350 4,287,200 24,761,365
Ket: Makassar, 15 FEBRUARI 2017
- Harga Film/Lbr 23,300 Ka. Instalasi Radiologi RSA "Jaury"

LAPORAN ADMINISTRASI KEUANGAN RS. AKADEMIS
UNIT ULTRASONOGRAFI BPJS BULAN JANUARI 2017
8
MTR
TANGGAL NAMA PENDERITA PEMERIKSAAN FILM INSTANSI (LOKET) R.INAP R.JALAN FOTO 15% X TUN 0.75% X TUN /BAHAN NETTO
URUT FOTO
TAGIHAN R. INAP BPJS ULTRASONOGRAFI YANG MASUK KE RSA BULAN JANUARI 2017
1 RI.1641 31-Jan-17 A ARUNG MARUDDHANI,NN USG Abdomen 1 BPJS.20/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
2 RI.1514 31-Jan-17 ANDI AHMAD TENRISESSU,TN USG Abdomen 1 BPJS.1/10 420,000 - - - 420,000 63,000 3,150 10,150 343,700
3 RI.1483 31-Jan-17 ANDI SUBUR,TN USG Abdomen 1 BPJS.27/9 350,000 - - - 350,000 52,500 2,625 10,150 284,725
4 RI.1639 31-Jan-17 ASHIL SATTHIA RAJA,AN USG Abdomen 1 BPJS.20/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
5 RI.1604 31-Jan-17 ASRI H,TN USG Abdomen 1 BPJS.13/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
6 RI.1553 31-Jan-17 BAHARIA AL,NY USG Abdomen 1 BPJS.8/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
7 RI.1547 31-Jan-17 BASRI MADJID,TN USG Abdomen 1 BPJS.6/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
8 RI.1611 31-Jan-17 BUDDIN IDE,TN USG Abdomen 1 BPJS.15/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
9 RI.1537 31-Jan-17 DEDYANTO SE,TN USG PARU 1 BPJS.8/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
10 RI.1635 31-Jan-17 DIAN WAHYUNI,NY USG PELVIS 1 BPJS.19/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
11 RI.1612 31-Jan-17 DIAN WAHYUNI,NY USG Abdomen 1 BPJS.15/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
12 RI.1503 31-Jan-17 DJUMATIAH HJ,NY USG Abdomen 1 BPJS.30/9 350,000 - - - 350,000 52,500 2,625 10,150 284,725
13 RI.1501 31-Jan-17 FATIMAH SULTAN DRA,NY USG Abdomen 1 BPJS.29/9 350,000 - - - 350,000 52,500 2,625 10,150 284,725
14 RI.1535 31-Jan-17 FATMAWATI,NY USG Abdomen 1 BPJS.5/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
15 RI.1653 31-Jan-17 FERDINAND SIMBOLON,TN USG Abdomen 1 BPJS.24/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
16 RI.1504 31-Jan-17 HARTATI MANSYUR,NY USG Abdomen 1 BPJS.30/9 350,000 - - - 350,000 52,500 2,625 10,150 284,725
17 RI.1511 31-Jan-17 HARYANTI DIAN PERTIWI,NY USG PELVIS 1 BPJS.1/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
18 RI.1498 31-Jan-17 HARYANTI DIAN PERTIWI,NY USG Abdomen 1 BPJS.29/9 350,000 - - - 350,000 52,500 2,625 10,150 284,725
19 RI.1613 31-Jan-17 HATIJAH,NY USG Abdomen 1 BPJS.15/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
20 RI.1558 31-Jan-17 INTAN,NN USG Abdomen 1 BPJS.8/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
21 RI.1560 31-Jan-17 JAMAL ABD NASIR,TN USG Abdomen 1 BPJS.8/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
22 RI.1502 31-Jan-17 KALSUM SUPU,NY USG Abdomen 1 BPJS.30/9 350,000 - - - 350,000 52,500 2,625 10,150 284,725
23 RI.1588 31-Jan-17 MOCH.MAKRUS,TN USG Abdomen 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
24 RI.1572 31-Jan-17 M RUM D.ST,TN USG Abdomen 1 BPJS.11/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
25 RI.1523 31-Jan-17 MURNI,NY USG Abdomen 1 BPJS.4/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
26 RI.1564 31-Jan-17 MUZAKKIRAH AMANSYAH,NY USG Abdomen 1 BPJS.10/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
27 RI.1559 31-Jan-17 NUR ASMA,NY USG Abdomen 1 BPJS.8/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
28 RI.1521 31-Jan-17 SITTI RAMLIAH,SE,NY USG Abdomen 1 BPJS.4/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
29 RI.1563 31-Jan-17 SUJATMICO PRATAMA,AN USG Abdomen 1 BPJS.10/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
30 RI.1524 31-Jan-17 SUJATMICO PRATAMA,AN USG Abdomen 1 BPJS.4/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
31 RI.1603 31-Jan-17 SULIATI AGUSTI SENGGA,NY USG Abdomen 1 BPJS.13/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
32 RI.1534 31-Jan-17 SYAMSU ALAM,TN USG Abdomen 1 BPJS.5/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
33 RI.1522 31-Jan-17 WAHYUNI,SE,NY USG Abdomen 1 BPJS.4/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
34 RI.1270 31-Jan-17 WA ODE HIRAWATI,NY USG Abdomen 1 BPJS.16/8 350,000 - - - 350,000 52,500 2,625 10,150 284,725
9
MTR
URUT FOTO
- - - - - - - - -
34 11,970,000 - - - - 11,970,000 1,795,500 89,775 345,100 9,739,625
TOTAL RAWAT INAP 34 11,970,000 - - - - 11,970,000 1,795,500 89,775 345,100 9,739,625
TAGIHAN R.JALAN BPJS ULTRASONOGRAFI YANG MASUK KE RSA BULAN JANUARI 2017
1 RJ.1506 31-Jan-17 JULIANA USG Abdomen 1 BPJS.1/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
2 RJ.1508 31-Jan-17 HO LIAN BUNG USG Abdomen 1 BPJS.1/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
3 RJ.1515 31-Jan-17 WONG SITI AISYAH USG Abdomen 1 BPJS.3/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
4 RJ.1517 31-Jan-17 M ARIF USG Abdomen 1 BPJS.3/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
5 RJ.1516 31-Jan-17 RABIAH THAHA USG Abdomen 1 BPJS.3/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
6 RJ.1519 31-Jan-17 SATRYANI USG MAMMAE 1 BPJS.3/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
7 RJ.1518 31-Jan-17 YUSUF DG NGALLE USG SROTUM 1 BPJS.3/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
8 RJ.1526 31-Jan-17 RAJMAH USG LEHER 1 BPJS.4/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
9 RJ.1525 31-Jan-17 YENI YUSUF USG OBSTETRI 1 BPJS.4/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
10 RJ.1533 31-Jan-17 PUTRI DEWINTA USG LEHER 1 BPJS.4/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
11 RJ.1527 31-Jan-17 HAERIA USG LEHER 1 BPJS.4/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
12 RJ.1521 31-Jan-17 UDDING USG Abdomen 1 BPJS.5/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
13 RJ.1529 31-Jan-17 YULIANA USG LEHER 1 BPJS.5/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
14 RJ.1530 31-Jan-17 KASMI USG Abdomen 1 BPJS.5/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
15 RJ.1532 31-Jan-17 M YUSUF USG Abdomen 1 BPJS.5/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
16 RJ.1536 31-Jan-17 SUSANTI USG OBSTETRI 1 BPJS.5/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
17 RJ.1549 31-Jan-17 ASRI AMIRULLAH USG Abdomen 1 BPJS.7/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
18 RJ.1554 31-Jan-17 AGNES SENTOSA USG LEHER 1 BPJS.7/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
19 RJ.1556 31-Jan-17 HERMIN SAMA USG Abdomen 1 BPJS.8/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
20 RJ.1558 31-Jan-17 A TUTI RENRENG USG LEHER 1 BPJS.8/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
21 RJ.1568 31-Jan-17 MUIDA USG Abdomen 1 BPJS.10/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
22 RJ.1562 31-Jan-17 LIDYA DUMA USG Abdomen 1 BPJS.10/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
23 RJ.1578 31-Jan-17 NURJANNAH LATIEF USG Abdomen 1 BPJS.11/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
24 RJ.1577 31-Jan-17 LIM FIU LAN USG GYNEKOLOGI 1 BPJS.11/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
25 RJ.1579 31-Jan-17 WARTI USG Abdomen 1 BPJS.11/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
26 RJ.1580 31-Jan-17 ARASJ SARIKA USG Abdomen 1 BPJS.11/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
27 RJ.1582 31-Jan-17 KARTIANI USG Abdomen 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
28 RJ.1585 31-Jan-17 YOSI KRISMAYANTI USG OBSTETRI 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
29 RJ.1582 31-Jan-17 ALIFA HANA HISBATILLAH USG Abdomen 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
30 RJ.1595 31-Jan-17 HARIANTI DIAN PERTIWI USG OBSTETRI 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
31 RJ.1592 31-Jan-17 ISONDONG USG PELVIS 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
32 RJ.1597 31-Jan-17 SULFIANI KASIM USG GYNEKOLOGI 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
33 RJ.1590 31-Jan-17 IRAWAN TANSIL USG Abdomen 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
34 RJ.1598 31-Jan-17 MUHADJIR ABDULLAH USG Abdomen 1 BPJS.12/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
35 RJ.1601 31-Jan-17 ABDUL RASYID USG Abdomen 1 BPJS.13/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
36 RJ.1602 31-Jan-17 TONTI USG Abdomen 1 BPJS.13/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
10
MTR
URUT FOTO
36 12,600,000 - - - - 12,600,000 1,890,000 94,500 365,400 10,250,100

36 12,600,000 - - - - 12,600,000 1,890,000 94,500 365,400 10,250,100
37 RJ.1606 31-Jan-17 ANDI NURAEDAH USG Abdomen 1 BPJS.14/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
38 RJ.1605 31-Jan-17 M ALI USG SCROTUM 1 BPJS.14/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
39 RJ.1614 31-Jan-17 RAPI DG RATE USG Abdomen 1 BPJS.15/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
40 RJ.1616 31-Jan-17 HANAFIN USG Abdomen 1 BPJS.17/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
41 RJ.1617 31-Jan-17 MUH.NUR HUSAIN USG Abdomen 1 BPJS.17/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
42 RJ.1619 31-Jan-17 HENDRA USG Abdomen 1 BPJS.17/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
43 RJ.1621 31-Jan-17 IWAN USG TESTIS 1 BPJS.18/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
44 RJ.1620 31-Jan-17 BAHAR USG Abdomen 1 BPJS.18/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
45 RJ.1627 31-Jan-17 ABRIANTI TOPAN USG OBSTETRI 1 BPJS.19/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
46 RJ.1624 31-Jan-17 YUNUS DG MILA USG Abdomen 1 BPJS.19/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
47 RJ.1636 31-Jan-17 ANDI HERNI USG PELVIS 1 BPJS.19/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
48 RJ.1633 31-Jan-17 KARTINI USG Abdomen 1 BPJS.19/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
49 RJ.1642 31-Jan-17 NURLAN USG Abdomen 1 BPJS.20/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
50 RJ.1644 31-Jan-17 HENDI WINAR USG Abdomen 1 BPJS.22/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
51 RJ.1646 31-Jan-17 DRS.MUH NURARULLAH USG Abdomen 1 BPJS.22/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
52 RJ.1648 31-Jan-17 TAUFIK ISMAIL USG Abdomen 1 BPJS.22/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
53 RJ.1647 31-Jan-17 MASDIR USG Abdomen 1 BPJS.22/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
54 RJ.1651 31-Jan-17 KASMI USG Abdomen 1 BPJS.22/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
55 RJ.1649 31-Jan-17 ISHAK PETRUS USG Abdomen 1 BPJS.22/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
56 RJ.1650 31-Jan-17 JEANNE LEO USG Abdomen 1 BPJS.22/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
57 RJ.1652 31-Jan-17 HARDY RITTO USG Abdomen 1 BPJS.24/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
58 RJ.1656 31-Jan-17 FAISAL RISAL USG Abdomen 1 BPJS.24/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
59 RJ.1677 31-Jan-17 MA'ARIFAH USG OBSTETRI 1 BPJS.26/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
60 RJ.1373 31-Jan-17 SABRI USG Abdomen 1 BPJS.26/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
61 RJ.1675 31-Jan-17 NUNUNG YUSNITA USG OBSTETRI 1 BPJS.26/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
62 RJ.1674 31-Jan-17 YUNIARTI USG MAMMAE 1 BPJS.26/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
63 RJ.1678 31-Jan-17 B ALOYSIA USG Abdomen 1 BPJS.26/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
64 RJ.1683 31-Jan-17 NURHAYATI USG Abdomen 1 BPJS.27/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
65 RJ.1685 31-Jan-17 JIBE USG Abdomen 1 BPJS.28/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
66 RJ.1696 31-Jan-17 ABU USG Abdomen 1 BPJS.31/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
67 RJ.1690 31-Jan-17 SAMPARA USG Abdomen 1 BPJS.31/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
68 RJ.1698 31-Jan-17 BASRAN NUR USG Abdomen 1 BPJS.31/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
69 RJ.1372 31-Jan-17 LINCE USG Abdomen 1 BPJS.31/10 350,000 - - - 350,000 52,500 2,625 10,150 284,725
11
MTR
URUT FOTO
- - - - - - - - -
33 11,550,000 - - - - 11,550,000 1,732,500 86,625 334,950 9,395,925
Total R.Jalan 69 24,150,000 - - - - 24,150,000 3,622,500 181,125 700,350 19,646,025
Total Keseluruhan 103 36,120,000 - - - - 36,120,000 5,418,000 270,900 1,045,450 29,385,650
Ket: Makassar, 15 FEBRUARI 2017

- Harga Film/Lbr 10,150 Ka. Instalasi Radiologi Unit Ultrasonografi RSA "Jaury"

UNIT CT-SCAN BPJS JANUARI 2017
12
NOMOR JML KET. TUNAI TAGIHAN CITO TINDAKAN HONOR DR. INS. PEG. HARGA FILM
URU TANGGAL NAMA PENDERITA PEMERIKSAAN FIL (LOKET) R.INAP R.JALAN FOTO KONTR.ANAST OBAT/MTR Rp. 7.5% X TUN 1.5% X TUN /BAHAN NETTO
FOTO INSTANSI
T M Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
TAGIHAN R.INAP BPJS CT SCAN YANG MASUK KE RSA BULAN JANUARI 2017
1 RI.0611 31-Jan-17 ABD.RASJID RAHIM,TN CT Scan Kepala 1 BPJS.7/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
2 RI.0591 31-Jan-17 AHMAD IDHA S,TN CT Scan Abdomen 2 BPJS.1/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
3 RI.0542 31-Jan-17 ANNURUL YASMIN,NY CT Scan Kepala 1 BPJS.15/9 800,000 - - - 800,000 60,000 12,000 109,000 619,000
4 RI.0587 31-Jan-17 DINA HJ,NY CT Scan Kepala 1 BPJS.29/9 800,000 - - - 800,000 60,000 12,000 109,000 619,000
5 RI.0631 31-Jan-17 HARUN,TN CT Scan Kepala 1 BPJS.17/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
6 RI.0612 31-Jan-17 HASAN MAJID,TN CT Scan Abdomen 2 BPJS.8/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
7 RI.0588 31-Jan-17 HENDRIX SURYA PRAYOGO,TN CT Scan Kepala 1 BPJS.30/9 800,000 - - - 800,000 60,000 12,000 109,000 619,000
8 RI.0604 31-Jan-17 HJ SUAEBAH,NY CT Scan Kepala 1 BPJS.5/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
9 RI.0590 31-Jan-17 KEMAL REDINDO SYAHRUL,TN CT Scan Sinus PN 1 BPJS.30/9 800,000 - - - 800,000 60,000 12,000 109,000 619,000
10 RI.0583 31-Jan-17 KEMAL REDINDO SYAHRUL,TN CT Scan Thorax 2 BPJS.29/9 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
11 RI.0646 31-Jan-17 MACHMUD HM,TN CT Scan Kepala 1 BPJS.21/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
12 RI.0634 31-Jan-17 M RAMLI,TN CT Scan LEHER 1 BPJS.17/10 1,000,000 - - - 1,000,000 75,000 15,000 109,000 801,000
13 RI.0589 31-Jan-17 M YUSUF SAID,TN CT Scan Kepala 1 BPJS.30/9 800,000 - - - 800,000 60,000 12,000 109,000 619,000
14 RI.0593 31-Jan-17 HJ ST SUBAEDAH,NY CT Scan Kepala 1 BPJS.1/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
15 RI.0602 31-Jan-17 SURYANI LABONE,NY CT Scan Abdomen 2 BPJS.4/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
16 RI.0641 31-Jan-17 SYACHRIL ANDI UMAR,TN CT Scan Kepala 1 BPJS.20/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
17 RI.0623 31-Jan-17 SYAH JIHAD,TN CT Scan Abdomen 2 BPJS.12/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
18 RI.0630 31-Jan-17 ZAINAL ANWAR,TN CT Scan Kepala 1 BPJS.15/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
- - - - - - - - -
- - - - - - - - -
23 18,100,000 - - - - - - 18,100,000 1,357,500 271,500 2,507,000 13,964,000
TOTAL RAWAT INAP 23 18,100,000 - - - - - - 18,100,000 1,357,500 271,500 2,507,000 13,964,000
TAGIHAN R. JALAN BPJS CT SCAN YANG MASUK KE RSA BULAN JANUARI 2017
1 RJ.0594 31-Jan-17 HJ MURNI CT Scan Abdomen 2 BPJS.1/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
2 RJ.0597 31-Jan-17 INDAH CT Scan Abdomen 2 BPJS.1/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
3 RJ.0598 31-Jan-17 FERDY R WIJADI CT Scan Sinus PN 1 BPJS.3/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
4 RJ.0599 31-Jan-17 JULCRITHNO IRAWAN PUTRA CT Scan Sinus PN 1 BPJS.3/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
5 RJ.0601 31-Jan-17 DRS LABAN SOLA CT Scan Kepala 1 BPJS.3/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
6 RJ.0605 31-Jan-17 WILHELMINA SAPULETE CT Scan Abdomen 2 BPJS.5/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
7 RJ.0609 31-Jan-17 MANIKA CT Scan LEHER 1 BPJS.6/10 1,000,000 - - - 1,000,000 75,000 15,000 109,000 801,000
8 RJ.0616 31-Jan-17 MURNIATI CT Scan Kepala 1 BPJS.10/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
9 RJ.0618 31-Jan-17 STEFANUS KUARUS SIBALI CT Scan Sinus PN 1 BPJS.11/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
10 RJ.0619 31-Jan-17 MARIO OKTO CT Scan Abdomen 2 BPJS.11/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
11 RJ.0620 31-Jan-17 ELISABETH GO MEI NO CT Scan Kepala 1 BPJS.11/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
12 RJ.0621 31-Jan-17 ALVIAN NIPI CT Scan UROLOGI 2 BPJS.11/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
UNIT CT-SCAN BPJS JANUARI 2017
13
NOMOR JML KET. TUNAI TAGIHAN CITO TINDAKAN HONOR DR. INS. PEG. HARGA FILM
URU TANGGAL NAMA PENDERITA PEMERIKSAAN FIL (LOKET) R.INAP R.JALAN FOTO KONTR.ANAST OBAT/MTR Rp. 7.5% X TUN 1.5% X TUN /BAHAN NETTO
FOTO INSTANSI
T M Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
13 RJ.0622 31-Jan-17 KUSTINI CT Scan Kepala 1 BPJS.12/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
14 RJ.0625 31-Jan-17 BUDI SUSANTO CT Scan Sinus PN 1 BPJS.13/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
15 RJ.0627 31-Jan-17 ASWIN CT Scan Abdomen 2 BPJS.14/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
16 RJ.0629 31-Jan-17 ALFINA DAMAYANTI CT Scan Kepala 1 BPJS.14/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
17 RJ.0633 31-Jan-17 MANSUR CT Scan Kepala 1 BPJS.17/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
18 RJ.0636 31-Jan-17 SITTI SYAHRIAH CT Scan MASTOID 1 BPJS.18/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
19 RJ.0640 31-Jan-17 KURNIANTY CT Scan Kepala 1 BPJS.19/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
20 RJ.0644 31-Jan-17 H ABD RAHMAN ACIL CT Scan Kepala 1 BPJS.20/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
21 RJ.0652 31-Jan-17 MUSPARIDA CT Scan Kepala 1 BPJS.24/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
22 RJ.0653 31-Jan-17 HJ NURBAYA CT Scan Kepala 1 BPJS.25/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
23 RJ.0657 31-Jan-17 ANHAR KASIM CT Scan Abdomen 2 BPJS.25/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
24 RJ.0665 31-Jan-17 FADILLAH ABBAS CT Scan Kepala 1 BPJS.28/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
25 RJ.0668 31-Jan-17 NURINDAH CT Scan MASTOID 1 BPJS.28/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
26 RJ.0673 31-Jan-17 ARIFIN CT Scan Abdomen 2 BPJS.27/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
27 RJ.0674 31-Jan-17 HARDY RITTO CT Scan Abdomen 2 BPJS.29/10 1,500,000 - - - 1,500,000 112,500 22,500 218,000 1,147,000
28 RJ.0678 31-Jan-17 NUR FIDAH IBRAHIM CT Scan MASTOID 1 BPJS.31/10 800,000 - - - 800,000 60,000 12,000 109,000 619,000
- - - - - - - - -
37 28,900,000 - - - - - - 28,900,000 2,167,500 433,500 4,033,000 22,266,000
TOTAL RAWAT JALAN 37 28,900,000 - - - - - - 28,900,000 2,167,500 433,500 4,033,000 22,266,000
TOTAL KESELURUHAN 60 47,000,000 - - - - - - 47,000,000 3,525,000 705,000 6,540,000 36,230,000
Makassar, 15 FEBRUARI 2017

Ka. Instalasi Radiologi Unit CT-Scan RSA "Jaury"
Ket :
- Harga Film/Lbr : 109,000 (Dr.Achmad Dara Sp.Rad)

PEMASUKAN INSTALASI RADIOLOGI BPJS BULAN JANUARI 2017
NO URAIAN JUMLAH JUMLAH
Rp. Rp.
1 PENERIMAAN TUNAI DI LOKET RADIOLOGI RSA
RADIODIAGNOSTIK -
- OBAT/MATERAI -
- CITO -
ULTRASONOGRAFI -
- MATERAI -
- CITO -
CT SCAN
- TUNAI LOKET -
- CITO -
- OBAT/MATERAI -
JUMLAH 0
2 TAGIHAN RAWAT INAP YANG TERBAYAR MASUK KAS DI RSA
RADIODIAGNOSTIK 17,990,000
- OBAT/MATERAI -
- CITO -
ULTRASONOGRAFI 11,970,000
- MATERAI -
- CITO -
CT SCAN
- TUNAI LOKET 18,100,000
- CITO -
- OBAT/MATERAI -
JUMLAH 48,060,000
3 TAGIHAN RAWAT JALAN YANG TERBAYAR MASUK KAS DI RSA
RADIODIAGNOSTIK 17,500,000
- OBAT/MATERAI -
- CITO -
ULTRASONOGRAFI 24,150,000
- MATERAI -
- CITO -
CT SCAN
- TUNAI LOKET 28,900,000
- CITO -
- OBAT/MATERAI -
JUMLAH 70,550,000
JUMLAH TOTAL 118,610,000
Ka. Instalasi Radiologi RSA Jaury

PEMASUKAN/PENGELUARAN BPJS & SALDO ULTRASONOGRAFI BULAN JANUARI 2017
PEMASUKAN PENGELUARAN NETTO

NO TANGGAL KETERANGAN
Rp. Rp. Rp.
1 31-JAN-17 PINDAHAN BRUTO PEMASUKAN ULTRASONOGRAFI
BULAN JANUARI 2017
- TUNAI : 36,120,000
- MATERAI : 0
- CITO-CITO : 0
PERHITUNGAN HONOR :
HONOR DOKTER :
Pemasukan Total Rp 36,120,000

Pemasukan Materai :
Pemasukan Cito-Cito : Rp -
Sisa Rp 36,120,000
Honor : 15 % x Rp 36,120,000 5,418,000

Insentif Karyawan 0.75 % x Rp 36,120,000 270,900
HARGA FILM 1,045,450

MATERAI 0
CITO 0
PEMASUKAN 36,120,000
PENGELUARAN 6,734,350
SISA SALDO 29,385,650
MAKASSAR, 15 FEBRUARI 2017

Ka. Instalasi Radiologi Unit USG RSA Jaury

PEMASUKAN/PENGELUARAN BPJS DAN SALDO RADIODIAGNOSTIK BULAN JANUARI 2017
PESAWAT SIEMENS DLL PESAWAT GENERAL ELECTRIC

NO TANGGAL KETERANGAN PEMASUKAN PENGELUARAN NETTO PEMASUKANPENGELUARAN NETTO
Rp. Rp. Rp. Rp. Rp. Rp.
1. 31-JAN-2017 PINDAHAN BRUTO PEMASUKAN RADIODIAGNOSTIK
BULAN JANUARI 2017
- TUNAI : 35,490,000 -
- CITO : - -
- MATERAI/OBAT : - -
PERHITUNGAN UNTUK PESAWAT SIEMENS
PEMASUKAN BRUTO : Rp 35,490,000

DIKELUARKAN CITO : Rp -
MATERAI+OBAT : Rp -
SISA : Rp 35,490,000
HONOR DOKTER :
RADIODIAGNOSTIK : 16.65% x Rp 35,490,000 5,909,085
TUNJANGAN RADIASI KARYAWAN : 1 Rp 35,490,000 532,350
CITO 0
PERHITUNGAN UNTUK PESAWAT GE
PEMASUKAN BRUTO : Rp -
DIKELUARKAN CITO : Rp -
MATERAI+OBAT : Rp -
SISA : Rp -
HONOR DOKTER :
RADIODIAGNOSTIK : 16.65% x Rp - 0
TUNJANGAN RADIASI KARYAWAN : 1 Rp - 0
CITO 0
MATERAI/OBAT 0
HARGA FILM 4,287,200 0
PEMASUKAN 35,490,000 0
PENGELUARAN 10,728,635 0
SISA SALDO 24,761,365 0
MAKASSAR, 15 FEBRUARI 2017

Ka. Instalasi Radiologi RSA Jaury

PEMASUKAN/PENGELUARAN BPJS DAN SISA SALDO CT SCAN BULAN JANUARI 2017
JML JML PEMASUKAN HONOR TINDAKANTINDAKAN CITO2 TUNJ. RAD. HARGA FILM/
PEND. FILM TUNAI DOKTER 7,5% ANESTESIKONTRAST FOTO OBAT/MTR KARYAWAN 1,5% MAINTENANCE NETTO
TANGGAL KETERANGAN
BAHAN D.L.L
31-Jan-17
-
- YANG BAYAR : Rp 800,000 30 30 24,000,000 1,800,000 360,000 3,270,000 18,570,000
- YANG BAYAR : Rp 1,000,000 2 2 2,000,000 150,000 30,000 218,000 1,602,000
- YANG BAYAR : Rp 1,500,000 14 28 21,000,000 1,575,000 315,000 3,052,000 16,058,000
- YANG BAYAR : - - - - -
- CITO FOTO : - x Rp 30,000 0 0
- OBAT/MATERAI - -
46 60 47,000,000 3,525,000 - - - - 705,000 6,540,000 36,230,000
Ket :
- Harga Film : Rp. 109.000
Ka. Instalasi Radiologi Unit CT Scan RSA Jaury

Nomor Tanggal nama pend periksa jml KET radio cito
RI.001 31-Des-09 Kasmin Syarief, Tn CT Kepala 1 Ft.25/11

RI.002 31-Des-09 Sari Banong RPG+Thorax+BNO- 11 Ft,28/11 1,700,000
RI.003 31-Des-09 Sari Banong USG Abdomen 1 ft.21/11
RI.004 31-Des-09 Hasmuddin, H Thorax 1 ft.21/11 100,000
RI.005 31-Des-09 Hasmuddin, H USG Abdomen 1 ft.24/11
RI.006 31-Des-09 Martha Utan Thorax 1 ft.21/11 100,000
RI.007 31-Des-09 Nadya Wijaya Antebrachi 4 ft.30/11 300,000 45,000
RI.008 31-Des-09 Nadya Wijaya USG Abdomen 1 ft.30/11
RI.009 31-Des-09 Irene Thorax 1 ft.2/12 100,000
RI.010 31-Des-09 Jawiyah, Hj. Thorax 1 ft.29/11 100,000
RI.011 31-Des-09 Rita Tri Lestari USG Abdomen 1 ft.28/11
RI.012 31-Des-09 Hasan Basri Thorax 1 Ft.25/11 130,000
RI.013 31-Des-09 Muddin, H Thorax 1 ft.16/11 130,000
RI.014 31-Des-09 Samingin Thorax 1 ft.16/11 130,000
RI.015 31-Des-09 Asri USG Abdomen 1 ft.30/11
RI.016 31-Des-09 Puang Terru,H CT Abdomen 2 ft.18/11
RI.017 31-Des-09 Puang Terru,H 2x Thorax 2 ft.5/11 200,000 30,000
RI.018 31-Des-09 Serly Thorax 1 ft.29/11 100,000
RI.019 31-Des-09 Serly USG Abdomen 1 ft.30/11
RI.020 31-Des-09 Meety 4x Thorax 4 ft.6/11 400,000 120,000
RI.021 31-Des-09 Deby Thorax 1 ft.3/12 100,000
RI.022 31-Des-09 Deby USG Abdomen 1 ft.2/12
RI.023 31-Des-09 Ardy, By Thorax 1 ft.25/11 100,000 30,000
RI.024 31-Des-09 Davin Humerus 2 ft.3/12 150,000
RI.025 31-Des-09 Adam Thorax 1 ft.4/12 100,000 30,000
RI.026 31-Des-09 Adam USG Abdomen 1 ft.4/12
RI.027 31-Des-09 Isnaeni USG Abdomen 1 Ft.14/4
RI.028 31-Des-09 Isnaeni Thorax 1 Ft.14/4 100,000 30,000
RI.029 31-Des-09 Muchtar Hafie CT Kepala 1 ft.29/11
RI.030 31-Des-09 Hasiah Said, Hj Thorax 1 ft.2/12 100,000
RI.031 31-Des-09 Hasiah Said, Hj USG Abdomen 1 ft.2/12
RI.032 31-Des-09 Indah Riani Pelvis+TH+Ankle+P 6 ft.28/11 500,000 120,000
RI.033 31-Des-09 Jamaliah Dg. Ti'no Thorax 1 ft.1/12 100,000 30,000
RI.034 31-Des-09 Rosmini, Hj Thorax 1 ft.24/11 100,000 30,000
RI.035 31-Des-09 Rosmini, Hj USG Abdomen 1 ft.24/11
RI.036 31-Des-09 Saleng Thorax 1 ft.1/12 100,000
RI.037 31-Des-09 Mashoreng Thorax 1 ft.30/11 100,000 30,000
RI.038 31-Des-09 Yuspinus Thorax 1 Ft.25/11 100,000 30,000
RI.039 31-Des-09 Raiya, Hj USG Abdomen 1 ft.2/12
RI.040 31-Des-09 Harry Kadir Thorax 1 ft.2/12 100,000
RI.041 31-Des-09 Tajuddin Thorax 1 ft.30/11 100,000 30,000
RI.042 31-Des-09 Nenang, Hj L Sacral 2 ft.2/12 150,000
RI.043 31-Des-09 Nenang, Hj CT Kepala 1 ft.28/11
RI.044 31-Des-09 Syahrul Thorax 1 ft.5/12 100,000 30,000
RI.045 31-Des-09 Sohra Ibarahim, Hj Thorax 1 ft.2/12 100,000
RI.046 31-Des-09 Sohra Ibarahim, Hj USG Abdomen 1 ft.2/12
RI.047 31-Des-09 Mastura Thorax 1 ft.12/10 100,000 30,000
RI.048 31-Des-09 Osmanto Wijaya Thorax 1 Ft.25/11 100,000
RI.049 31-Des-09 Osmanto Wijaya USG Abdomen 1 Ft.25/11
RI.050 31-Des-09 Ince Haisyah, Hj Thorax 1 ft.3/12 100,000 30,000
RI.051 31-Des-09 Al-Fiqri, An Thorax 1 ft.1/12 100,000
RI.052 31-Des-09 Haking. A.Hj Thorax 1 ft.4/12 100,000
RI.053 31-Des-09 Kamariah, Ny Thorax 1 ft.3/12 100,000
RI.054 31-Des-09 Kamariah, Ny USG Abdomen 1 ft.3/12
RI.055 31-Des-09 Kamariah, Ny CT Abdomen U/+Ko 2 ft.5/12
RI.056 31-Des-09 Dike Wibisono Thorax 1 ft.7/12 100,000 30,000
RI.057 31-Des-09 Ritonga, H.D Thorax 1 ft.5/12 100,000 30,000
RI.058 31-Des-09 Kamaruddin Femur+Thorax 3 ft.30/11 250,000 45,000
RI.059 31-Des-09 Aldian, An BNO-IVP 5 ft.2/12 800,000
RI.060 31-Des-09 Syamsuddin, H USG Abdomen 1 ft.22/12
RI.061 31-Des-09 Nadjma Hakka, Ny USG Abdomen 1 ft.3/12
RI.062 31-Des-09 Indo Lebbi, Hj Thorax 1 ft.28/11 100,000
RI.063 31-Des-09 Frida Yauri Thorax 1 ft.23/11 100,000 30,000
RI.064 31-Des-09 Frida Yauri CT Kepala 1 ft.24/11
RI.065 31-Des-09 Sakka B USG Abdomen 1 ft.28/11
RI.066 31-Des-09 Sakka B 2x Thorax 2 ft.23/11 200,000 60,000
RI.067 31-Des-09 Arif Rahman, An Thorax 1 ft.1/12 100,000 30,000
RI.068 31-Des-09 Naufal Zaki Ahmad, An Colon Inloop + Thor 6 ft.17/11 700,000
RI.069 31-Des-09 Fachruddin Sofwan 2x Thorax 2 ft.17/11 200,000 60,000
RI.070 31-Des-09 Fachruddin Sofwan CT Kepala 1 ft.20/11
RI.072 31-Des-09 Aminah, St 2x Thorax 2 ft.17/11 200,000 30,000
RI.073 31-Des-09 Aminah, St USG Abdomen 1 ft.18/11
RI.074 31-Des-09 Aminah, St CT Thorax 2 ft.28/11
RI.075 31-Des-09 Sanusi, H.M CT Abdomen 2 ft.3/12
RI.076 31-Des-09 Sanusi, H.M Pelvis 1 ft.12/11 100,000
RI.077 31-Des-09 Sanusi, H.M USG Abdomen 1 ft.12/11
RI.078 31-Des-09 Aisyah Yunus, St Thorax 1 ft.5/12 100,000
RI.079 31-Des-09 Norma Dg. Sompa, hj Pedis+Thorax 3 ft.5/12 250,000 45,000
RI.080 31-Des-09 Lasennang, Tn BNO 3 Posisi+Thor 4 ft.1/12
RI.081 31-Des-09 Lasennang, Tn USG Abdomen 1 ft.5/12
RI.082 31-Des-09 Juma Daeng Puji, Ny Thorax 1 ft.2/12 100,000 30,000
RI.083 31-Des-09 Sangging Dg. Caya,Ny Thorax 1 ft.30/11 90,000
RI.084 31-Des-09 Sangging Dg. Caya,Ny USG Abdomen 1 ft.30/11
RI.085 31-Des-09 Junusiah, Ny CT Kepala 1 ft.7/12
RI.086 31-Des-09 Megawati, Ny CT Abdomen 2 ft.5/12
RI.087 31-Des-09 Megawati, Ny USG Abdomen 1 ft.3/12
RI.088 31-Des-09 Hasrul, Tn Thorax 1 ft.5/12 100,000 30,000
RI.089 31-Des-09 Ali Topan, Tn Thorax 1 ft.4/12 100,000
RI.090 31-Des-09 Ali Topan, Tn USG Abdomen 1 ft.4/12
RI.091 31-Des-09 Muhammad Amin, Tn Thorax 1 ft.7/12 100,000 30,000
RI.092 31-Des-09 Sunardi, Tn CT Kepala 1 ft.30/11
RI.094 31-Des-09 Sunardi, Tn Thorax 1 ft.30/11 100,000 30,000
RI.095 31-Des-09 Tajang, H,Tn USG Abdomen 1 ft.3/12
RI.096 31-Des-09 Mansyur, H.Tn Pedis+Thorax 3 ft.8/12 250,000
RI.097 31-Des-09 Nur Ali Santoso, Tn USG Abdomen 1 ft.4/12
RI.098 31-Des-09 Arman, Tn Thorax 1 ft.7/12 100,000
RI.099 31-Des-09 Zaenal Ilmi, Tn Pedis+Thorax 3 ft.2/9 250,000 45,000
RI.100 31-Des-09 Dahlan, H. Tn Thorax 1 ft.3/12 100,000
RI.101 31-Des-09 Muh. Ashar, Tn Thorax 1 ft.8/12 100,000 30,000
RI.102 31-Des-09 Patte, H. Tn Thorax 1 ft.9/12 100,000
RI.103 31-Des-09 Patte, H. Tn CT Kepala 1 ft.4/12
RI.104 31-Des-09 Syamsiar, Hj.Ny CT Kepala 1 ft.9/12
RI.105 31-Des-09 Syamsiar, Hj.Ny Thorax 1 ft.7/12 100,000
RI.106 31-Des-09 Nelly Siona, Ny Thorax 1 ft.7/12 100,000
RI.107 31-Des-09 Nelly Siona, Ny USG Abdomen 1 ft.9/12
RI.108 31-Des-09 Susi, Nn BNO 1 ft.2/12 100,000
RI.109 31-Des-09 Bustang, H.Tn 2x Thorax 2 Telkom.5/8 200,000
RI.110 31-Des-09 Bustang, H.Tn USG Abdomen 1 Telkom.5/8
RI.111 31-Des-09 Muh. Sahada, Tn CT Kepala 1 Telkom.24/8
RI.112 31-Des-09 Ahmad, Tn Thorax 1 Telkom.1/9 100,000
RI.113 31-Des-09 Ahmad, Tn USG Abdomen 1 Telkom.1/9
RI.114 31-Des-09 Widarta, Tn Thorax 1 Telkom.28/ 100,000
RI.115 31-Des-09 Nurhayati, Ny Thorax 1 Telkom.18/ 100,000
RI.116 31-Des-09 Zam-zam Juddah Thorax 1 Allianz.4/7 100,000
RI.117 31-Des-09 Hanna P, Ny Panggul+Thorax 2 Allianz,30/ 200,000 30,000
RI.118 31-Des-09 Marianus, Tn BNO-IVP+TH+BNO 7 Lestari TT, 1,000,000
RI.119 31-Des-09 Simon Patadungan, Tn USG Abdomen 1 Allianz,19/8
RI.120 31-Des-09 Simon Patadungan, Tn Thorax 1 Allianz,19/ 100,000
RI.121 31-Des-09 Arief, M.Tn Thorax 1 AIA,26/8 100,000
RI.122 31-Des-09 Arief, M.Tn USG Abdomen 1 AIA,26/8
RI.123 31-Des-09 Sri Destari, Ny Thorax 1 Prodia,1/9 100,000
RI.124 31-Des-09 Sri Destari, Ny CT Kepala 1 Prodia,1/9
RI.125 31-Des-09 Hastiana Thorax 1 B.Asih,16/ 100,000
RI.126 31-Des-09 Gintoro, Tn Thorax 1 SRL,2/7 100,000
RI.127 31-Des-09 Dudi Rachmadi, Tn 3xPedis+2xAnkle+K 10 Allianz,13/ 750,000 135,000
RI.128 31-Des-09 Adenah Masua, Ny Thorax 1 Allianz,5/9 100,000
RI.129 31-Des-09 Adenah Masua, Ny USG Abdomen 1 Allianz,5/9
RI.130 31-Des-09 Muh. Naufal Said B Thorax 1 GSM,30/6 100,000 30,000
RI.131 31-Des-09 Muh. Rizal Clavicula+Thorax 2 Jamsostek, 200,000 30,000
RI.132 31-Des-09 Indrawati, Ny USG Abdomen 1 Japfa,11/8
RI.133 31-Des-09 Indrawati, Ny Thorax 1 Japfa,11/8 100,000
RI.134 31-Des-09 Rauhdiar, Ny USG Abdomen 1 Japfa,8/9
RI.135 31-Des-09 Jordiansyah, An Thorax 1 C.Cola,11/ 100,000
RI.136 31-Des-09 Burhanuddin, Tn Thorax 1 Manulife,1/ 100,000
RI.137 31-Des-09 Burhanuddin, Tn USG Abdomen 1 Manulife,1/8
RI.138 31-Des-09 Awal, Tn Thorax 1 Manulife,1 100,000
RI.139 31-Des-09 Sri Yanti, Ny Thorax 1 Manulife,2 100,000
RI.140 31-Des-09 Sri Yanti, Ny CT Kepala 1 Manulife,29/8
RI.141 31-Des-09 Afrihandy Hasanuddin CT urografin 2 Adm.Medika,12/10
RI.142 31-Des-09 Afrihandy Hasanuddin USG Abdomen 1 Adm.Medika,12/10
RI.143 31-Des-09 Syaharuddin, Tn CT Kepala 1 PTPN,5/8
RI.144 31-Des-09 Syaharuddin, Tn Thorax 1 PTPN,19/8 100,000 30,000
RI.145 31-Des-09 Ahmad Rizal, Tn Thorax 1 FIF,1/8 100,000
RI.146 31-Des-09 Ahmad Rizal, Tn 2x USG Abdomen 2 FIF,1/8
RI.147 31-Des-09 Syarifuddin, Tn 2x Thorax 2 AIA,13/8 200,000 60,000
RI.148 31-Des-09 Ismail Afiq, An BNO 1 CAR,8/9 100,000
RI.149 31-Des-09 Ismail Afiq, An USG Abdomen 1 CAR,8/9
RI.150 31-Des-09 Ismail Afiq, An CT Abdomen 1 CAR,8/9
RI.151 31-Des-09 Muhammad Nur,Tn CT Kepala 1 CAR,19/10
RI.152 31-Des-09 Muslimin, Tn Thorax 1 ft.12/12 100,000 30,000
RI.153 31-Des-09 Dg.Manompo,H.M.K,Tn Thorax 1 ft.1/12 50,000
RI.154 31-Des-09 Dg.Manompo,H.M.K,Tn CT Kepala 1 ft.1/12
RI.155 31-Des-09 Ali Santaliu, Tn Thorax 1 ft.8/12 100,000
RI.156 31-Des-09 Muh. Ilyas, Tn USG Abdomen 1 ft.12/12
RI.157 31-Des-09 Bachtiar Bakri, Atn Thorax 1 ft.2/12 100,000 30,000
RI.158 31-Des-09 Herman, A.Tn BNO 3 Posisi+Thor 4 ft.30/11
RI.159 31-Des-09 Abd. Fattah, H.Tn CT Abdomen 1 ft.1/12
RI.160 31-Des-09 Tjioe Kok Lie, Tn CT Kepala 1 ft.3/12
RI.161 31-Des-09 Fahmi Rijani, Tn Thorax 1 ft.11/12 100,000 30,000
RI.162 31-Des-09 Tajuddin, Tn BNO 3 Posisi 3 ft.8/12
RI.163 31-Des-09 Tajuddin, Tn USG Abdomen 1 ft.8/12
RI.164 31-Des-09 Nur Akbar, Tn 2x Thorax 2 ft.9/12 200,000 60,000
RI.165 31-Des-09 Nur Akbar, Tn USG Abdomen 1 ft.10/12
RI.166 31-Des-09 Hatijah, Hj.Ny Lumbu Sacral 2 ft.3/12 150,000
RI.167 31-Des-09 Muh. Raditya, An Thorax 1 ft.7/12 100,000
RI.168 31-Des-09 Isran Alim, Tn Shoulder+Thorax 4 Berdikari,7 325,000
RI.169 31-Des-09 Noval, An USG Abdomen 1 ft.9/12
RI.170 31-Des-09 Bahra Yusuf, Hj.Ny Thorax 1 ft.8/12 100,000
RI.171 31-Des-09 Bahra Yusuf, Hj.Ny CT Kepala 1 ft.5/12
RI.172 31-Des-09 Bahra Yusuf, Hj.Ny USG Abdomen 1 ft.4/12
RI.173 31-Des-09 Bau Dg.Kanang, Hj.ny Thorax 1 ft.11/12 100,000 30,000
RI.174 31-Des-09 Halike, H.Tn Cruris 2 ft.16/11 250,000 45,000
RI.175 31-Des-09 Yenni Chandra, Ny 2x Thorax 2 ft.21/10 200,000 60,000
RI.176 31-Des-09 Yenni Chandra, Ny CT Kepala 1 ft.20/10
RI.178 31-Des-09 Yusri, Tn Thorax 1 ft.10/12 100,000
RI.179 31-Des-09 Yusri, Tn CT Kepala 1 ft.10/12
RI.180 31-Des-09 Maryam Razak, Ny Thorax 1 ft.20/1 75,000
RI.181 31-Des-09 Maryam Razak, Ny USG Abdomen 1 ft.20/1
RI.182 31-Des-09 Wandy Sidianto, Tn Thorax 1 ft.11/12 100,000
RI.183 31-Des-09 Wandy Sidianto, Tn USG Abdomen 1 ft.11/12
RI.184 31-Des-09 Alwi Winiarto, Tn Colon Inloop + Thor 6 ft.14/12
RI.185 31-Des-09 Muh. Jalias, H.Tn USG Abdomen 1 ft.14/12
RI.186 31-Des-09 Muh. Irfan, Tn Thorax 1 ft.15/12 100,000
RI.187 31-Des-09 Alison Moli Tjandra,Tn Thorax 1 ft.14/12 100,000 30,000
RI.188 31-Des-09 Alison Moli Tjandra,Tn USG Abdomen 1 ft.14/12
RI.189 31-Des-09 Paramma, H.Tn Thorax 1 ft.13/12 100,000 30,000
RI.190 31-Des-09 Yan Patanda, Tn BNO 3 Posisi 3 ft.16/9
RI.191 31-Des-09 Sahuji, St.Ny 2x Thorax 2 ft.10/12 200,000 30,000
RI.192 31-Des-09 Sahuji, St.Ny 2x USG Abdomen 2 ft.10/12
RI.193 31-Des-09 Yulianti, Ny USG Abdomen 1 ft.16/12
RI.195 31-Des-09 Margaretha, Ny USG Abdomen 1 ft.9/12
RI.196 31-Des-09 Margaretha, Ny Thorax 1 ft.6/12 100,000 30,000
RI.197 31-Des-09 Selliha, Hj.Ny Thorax 1 ft.16/12 100,000
RI.198 31-Des-09 Selliha, Hj.Ny USG Abdomen 1 ft.16/12
RI.199 31-Des-09 Ridwan, Tn USG Abdomen 1 ft.16/12
RI.200 31-Des-09 Muh. Abi Said, An USG Abdomen 1 ft.15/12
RI.201 31-Des-09 Andi Murni, Ny Thorax 1 ft.16/12 100,000
RI.202 31-Des-09 Andi Murni, Ny USG Abdomen 1 ft.16/12
RI.203 31-Des-09 Alisila, Tn Thorax 1 ft.1/7 100,000
RI.204 31-Des-09 Alisila, Tn USG Abdomen 1 ft.1/7
RI.205 31-Des-09 Rosdiana, Ny USG Abdomen 1 Askes.3/10
RI.206 31-Des-09 Maryanti, Ny USG Obstetri 1 Askes.8/10
RI.207 31-Des-09 Rezki Mandasari, nn CT Kepala 1 Askes,6/10
RI.208 31-Des-09 Darwis, Tn Thorax 1 Askes,17/6 100,000
RI.209 31-Des-09 Rahmatia, Ny Thorax 1 Askes,10/7 100,000
RI.210 31-Des-09 Robby Al Fred, Tn 2x Thorax 2 Askes,31/8 200,000
RI.211 31-Des-09 Musdalifa Thamrin, Nn Thorax 1 Askes,2/9 100,000
RI.212 31-Des-09 Musdalifa Thamrin, Nn USG Abdomen 1 Askes,2/9
RI.213 31-Des-09 Annisa Aulia, Nn Thorax 1 Askes,7/9 100,000
RI.214 31-Des-09 Muchlis, Tn CT Kepala 1 Askes,14/9
RI.215 31-Des-09 Muchlis, Tn CT Abdomen 2 Askes,5/9
RI.216 31-Des-09 Muchlis, Tn USG Abdomen 1 Askes,4/9
RI.217 31-Des-09 Kadir Yayo, Tn Thorax 1 Askes,9/9 100,000
RI.218 31-Des-09 Kadir Yayo, Tn USG Abdomen 1 Askes,9/9
RI.219 31-Des-09 Filky Dwi Sakti, Tn USG Abdomen 1 Askes,9/9
RI.220 31-Des-09 Sriyati, Ny LS3x+THLBL5x+TH 10 Askes,26/8 1,010,000 105,000
RI.221 31-Des-09 Nur Annisa Autia, An Thorax 1 Askes,6/9 100,000
RI.222 31-Des-09 Alfiana Latumakulita, Ny BNO-IVP+Thorax 6 Askes,8/6 900,000
RI.223 31-Des-09 Mustafa, Tn Thorax 1 Askes,2/6 100,000
RI.224 31-Des-09 Mustafa, Tn USG Abdomen 1 Askes,2/6
RI.225 31-Des-09 Asmianti, Ny Thorax 1 Askes,18/8 100,000
RI.226 31-Des-09 Asmianti, Ny USG Abdomen 1 Askes,18/8
RI.227 31-Des-09 Muliana, Ny USG Abdomen 1 Askes,5/8
RI.228 31-Des-09 Muliana, Ny LDK + Thorax 2 Askes,4/8 150,000
RI.229 31-Des-09 Yulhaidir, Tn Thorax 1 Askes,1/8 100,000
RI.230 31-Des-09 Yulhaidir, Tn USG Abdomen 1 Askes,1/8
RI.231 31-Des-09 Abd. Malik, Tn Thorax 1 Askes,1/8 100,000
RI.232 31-Des-09 Soraya Satria, Nn USG Abdomen 1 Askes,30/7
RI.233 31-Des-09 Khalil Syamsu, Tn CT Sinus 1 Askes,4/8
RI.234 31-Des-09 Jusfin Amiruddin, Tn Thorax 1 Askes,1/8 100,000
RI.235 31-Des-09 Ansar, Tn Thorax 1 Askes,4/8 100,000
RI.236 31-Des-09 Mastin Alitani, Ny THLBL+Thorax 2 Askes,4/8 250,000
RI.237 31-Des-09 Mastin Alitani, Ny USG Abdomen 1 Askes,22/8
RI.238 31-Des-09 Nurdin, Tn Thorax 1 Askes,3/8 100,000
RI.239 31-Des-09 Mahrul, Tn Thorax 1 Askes,13/8 100,000
RI.240 31-Des-09 Juti Budana, Ny Thorax 1 Askes,24/7 100,000
RI.241 31-Des-09 Dwi Nirmala Sari, Nn Thorax 1 Askes,30/7 100,000
RI.242 31-Des-09 Fatmawati, Ny Thorax 1 Askes,11/8 100,000
RI.243 31-Des-09 Dwi Nirmala Sari, Nn USG Abdomen 1 Askes,30/7
RI.244 31-Des-09 Fatmawati, Ny USG Abdomen 1 Askes,13/8
RI.245 31-Des-09 Riskawati, Ny USG Abdomen 1 Askes,4/8
RI.246 31-Des-09 Sriyati, Ny 2x Thorax 2 Askes,27/7 200,000
RI.247 31-Des-09 Naufal, An Thorax 1 Askes,15/8 100,000
RI.248 31-Des-09 Carolina L.Kairupan, Ny CT Sinus 1 Askes,15/8
RI.249 31-Des-09 Carolina L.Kairupan, Ny Lumbu Sacral+TH 3 Askes,13/8 250,000
RI.250 31-Des-09 Ardiansyah Jasman, Tn Thorax 1 Askes,22/8 100,000
RI.251 31-Des-09 Muh. Ibnu, Tn Thorax 1 Askes,10/7 100,000
RI.252 31-Des-09 Usman, H.Tn Thorax 1 Askes,1/8 100,000
RI.253 31-Des-09 Sirajuddin, Tn BNO-IVP + BNO 6 Askes,12/8 900,000
RI.254 31-Des-09 Halima, Ny Kepala+Cervical+T 4 Askes,5/8 350,000
RI.255 31-Des-09 Halima, Ny CT Kepala 1 Askes,5/8
RI.256 31-Des-09 Arsin Yusnita, Ny USG Obstetri 1 Askes,20/8
RI.257 31-Des-09 Surani, Hj.Ny Thorax 1 Askes,25/8 100,000
RI.258 31-Des-09 Asyhah, Nn USG Abdomen 1 Askes,13/8
RI.259 31-Des-09 Muchlis, Tn 2x USG Abdomen 2 Askes,8/8
RI.260 31-Des-09 Muchlis, Tn 2x Thorax 2 Askes,8/8 200,000
RI.261 31-Des-09 Tjiang Goe Siu, Ny CT Kepala 1 ft.21/10
RI.262 31-Des-09 Tjiang Goe Siu, Ny Kontras+CT Kepala 1 ft.21/10
RI.263 31-Des-09 Tjiang Goe Siu, Ny Thorax 1 ft.23/10 100,000 30,000
RI.264 31-Des-09 Makmur, Tn USG Abdomen 1 ft.12/12
RI.265 31-Des-09 Makmur, Tn Kontras+CT Thorax 2 ft.18/12
RI.266 31-Des-09 Ramlah, Ny CT Kepala 1 ft.3/12
RI.267 31-Des-09 Maiseng, Hj.Ny Thorax 1 ft.15/12 100,000
RI.268 31-Des-09 Maiseng, Hj.Ny USG Abdomen 1 ft.16/12
RI.269 31-Des-09 Muhammad Yahya Thorax 1 ft.14/12 100,000
RI.270 31-Des-09 Sobong, A.Ny.Hj Thorax 1 ft.14/12 100,000
RI.271 31-Des-09 Suyanto, Tn USG Abdomen 1 ft.16/12
RI.272 31-Des-09 Suyanto, Tn Thorax 1 ft.16/12 100,000
RI.273 31-Des-09 Muhammad Dg.Naba Thorax 1 ft.14/12 100,000 30,000
RI.274 31-Des-09 Abbas, H.Tn Thorax 1 ft.16/12 100,000
RI.275 31-Des-09 Asri, Ny Thorax 1 ft.15/12 100,000
RI.276 31-Des-09 Asri, Ny USG Abdomen 1 ft.15/12
RI.277 31-Des-09 Abdul Azis, A.Tn USG Abdomen 1 ft.15/11
RI.278 31-Des-09 Abdul Azis, A.Tn Kontras+CT Abdom 2 ft.15/11
RI.279 31-Des-09 Paleppe, Tn BNO + Thorax 2 ft.17/12 200,000
RI.280 31-Des-09 Paleppe, Tn USG Abdomen 1 ft.17/12
RI.281 31-Des-09 Paleppe, Tn CT urografin 2 ft.17/12
RI.282 31-Des-09 Elly Purnama Sari USG Abdomen 1 ft.1/12
RI.283 31-Des-09 Muh. Kamit Salim, Tn Thorax 1 ft,16/12 100,000
RI.284 31-Des-09 Muh. Kamit Salim, Tn USG Abdomen 1 ft.16/12
RI.285 31-Des-09 Abdul Halik, H.Tn Thorax 1 ft.19/12 100,000 30,000
RI.286 31-Des-09 Abdul Halik, H.Tn USG Abdomen 1 ft.19/12
RI.287 31-Des-09 Halima, Ny Thorax 1 ft.19/12 100,000 30,000
RI.288 31-Des-09 Halima, Ny USG Abdomen 1 ft.19/12
RI.289 31-Des-09 Djon C. Tawar, Tn Wrist Ap. Lat 2 ft.19/12 150,000 45,000
RI.290 31-Des-09 Muh. Hudi, Tn Kaki + Thorax 3 ft.16/12 250,000 45,000
RI.291 31-Des-09 Firdaus Talitti, Tn BNO + Thorax 2 ft.16/12 200,000 30,000
RI.292 31-Des-09 Marwan, Tn Thorax 1 ft.15/12 100,000
RI.293 31-Des-09 Marwan, Tn USG Abdomen 1 ft.15/12
RI.294 31-Des-09 Ardy, Nn CT Kepala 1 ft.11/12
RI.295 31-Des-09 Muh. Ilyas, Tn 4x Thorax 4 ft.3/12 400,000 120,000
RI.297 31-Des-09 Dahliah Kadang, Ny Thorax 1 ft.6/10 100,000
RI.298 31-Des-09 Ismojo, S.Ny Pelvis+Femur+Thor 4 ft.10/12 350,000 45,000
RI.299 31-Des-09 Yacob Bisi, Tn Thorax 1 ft.14/12 100,000
RI.300 31-Des-09 Yacob Bisi, Tn USG Abdomen 1 ft.14/12
RI.301 31-Des-09 Anwar, H.Tn Thorax 1 ft.16/12 100,000
RI.302 31-Des-09 Agustina Alam, Ny USG Abdomen 1 ft.19/12
RI.303 31-Des-09 Zainuddin, H.Tn CT Kepala 1 ft.21/12
RI.304 31-Des-09 Naufal Zaki Ahmad, An BNO 3 Posisi 3 ft.17/12 300,000 30,000
RI.305 31-Des-09 Emmyanti, Ny 2x Thorax 2 ft.3/12 200,000 30,000
RI.306 31-Des-09 Emmyanti, Ny CT Kepala 1 ft.16/12
RI.309 31-Des-09 Putri Natasya, Nn Thorax 1 ft.19/12 100,000
RI.310 31-Des-09 Daud Yolanda, Tn Uretrografin+Thorax 6 ft.16/12 550,000
RI.311 31-Des-09 Daud Yolanda, Tn USG Abdomen 1 ft.15/12
RI.312 31-Des-09 Ismojo, S.Ny Thorax 1 ft.20/12 100,000
RI.313 31-Des-09 Ismojo, S.Ny USG Abdomen 1 ft.20/12
RI.314 31-Des-09 Erick, An USG Abdomen 1 ft.21/12
RI.315 31-Des-09 Burhanuddin, Tn USG Abdomen 1 ft.17/12
RI.316 31-Des-09 Burhanuddin, Tn CT Kepala 1 ft.15/12
RI.317 31-Des-09 Sangkala Gani, Tn Pedis + Thorax 3 ft.14/12 250,000
RI.318 31-Des-09 Fanny, Ny Pelvis 1 ft.20/12 100,000
RI.319 31-Des-09 Soewito Hadisoenarto Thorax 1 ft.11/12 100,000 30,000
RI.320 31-Des-09 Soewito Hadisoenarto USG Abdomen 1 ft.11/12
RI.321 31-Des-09 Soewito Hadisoenarto CT Kepala 1 ft.16/12
RI.322 31-Des-09 Sri Hasniawati, Ny Thorax 1 ft.21/12 100,000
RI.323 31-Des-09 Nida Ulhaq, Tn Thorax 1 ft.19/12 100,000
RI.324 31-Des-09 Ratnawati, A.Ny L Sacral 2 ft.23/12 150,000
RI.325 31-Des-09 Ratnawati, A.Ny USG Abdomen 1 ft.22/12
RI.326 31-Des-09 Aidy Sila, Ir,Tn USG Abdomen 1 ft.23/12
RI.327 31-Des-09 Aidy Sila, Ir,Tn Thorax 1 ft.23/12 100,000
RI.328 31-Des-09 Rosida, nn CT Kepala 1 ft.22/12
RI.329 31-Des-09 Hana Endang Utami,Ny USG Abdomen 1 ft.22/12
RI.330 31-Des-09 Yuyun Eko Setiawan, Tn Thorax 1 ft.21/12 100,000
RI.331 31-Des-09 Abd. Karim, Tn Thorax 1 ft.19/12 100,000
RI.332 31-Des-09 Reinhard, Tn Thorax 1 ft.19/12 100,000
RI.333 31-Des-09 Reinhard, Tn USG Abdomen 1 ft.19/12
RI.334 31-Des-09 Rika Afrianti, Nn 2x Pelvis (OK) 2 ft.14/12 200,000 60,000
RI.335 31-Des-09 Rika Afrianti, Nn USG Abdomen 1 ft.14/12
RI.336 31-Des-09 Muh. Sukfiyantun THLBL+Thorax 3 ft.15/12 250,000
RI.337 31-Des-09 Parman, Tn Thorax 1 ft.15/12 100,000
RI.338 31-Des-09 Parman, Tn CT Abdomen 2 ft.15/12
RI.339 31-Des-09 The Ai Hoa, Ny USG Abdomen 1 ft.22/12
RI.340 31-Des-09 The Ai Hoa, Ny L Sacral+Thorax 3 ft.22/12 250,000
RI.341 31-Des-09 The Ai Hoa, Ny CT Kepala 1 ft.24/12
RI.342 31-Des-09 Andi Makkasau, Tn Thorax 1 ft.22/12 100,000 30,000
RI.343 31-Des-09 Andi Makkasau, Tn USG Abdomen 1 ft.22/12
RI.344 31-Des-09 Jamalia, Hj.Ny Thorax 1 ft.22/12 100,000
RI.345 31-Des-09 Jamalia, Hj.Ny USG Abdomen 1 ft.22/12
RI.346 31-Des-09 Monica, Ny Thorax 1 ft.24/12 100,000
RI.347 31-Des-09 Monica, Ny USG Abdomen 1 ft.22/12
RI.348 31-Des-09 Nurul Aisyah, An 3x Thorax 3 ft.20/12 300,000 60,000
RI.349 31-Des-09 Chang Ye Nie, Ny Thorax 1 ft.26/12 100,000
RI.350 31-Des-09 Nonci, H.Tn Thorax 1 ft.19/12 100,000 30,000
RI.351 31-Des-09 Franky L Sieciadi, Tn Thorax 1 ft.22/12 100,000 30,000
RI.352 31-Des-09 Usman, H.Tn USG Abdomen 1 ft.22/12
RI.353 31-Des-09 Hendrik Chandra, Tn L Sacral+4x Thorax 6 ft.4/9 450,000 25,000
RI.354 31-Des-09 Hendrik Chandra, Tn CT Kepala 1 ft.6/9
RI.355 31-Des-09 Rosnah, Ny CT Kepala 1 ft.22/12
RI.356 31-Des-09 Susi, Nn BNO-IVP+Thorax 6 ft.9/11 900,000
RI.357 31-Des-09 Susi, Nn USG Abdomen 1 ft.9/11
RI.358 31-Des-09 Musribuh, Hj.Ny USG Abdomen 1 ft.9/12
RI.359 31-Des-09 Musribuh, Hj.Ny Thorax 1 ft.9/12 100,000 0
RI.360 31-Des-09 Musribuh, Hj.Ny CT Kepala 1 ft.11/12
RI.361 31-Des-09 Hertoq Lasut, Tn Thorax 1 ft.9/12 100,000 30,000
RI.362 31-Des-09 Muchtar, A.H.Tn Thorax 1 ft.23/12 100,000
RI.363 31-Des-09 Muchtar, A.H.Tn USG Abdomen 1 ft.23/12
RI.364 31-Des-09 Didik Alief, A.An CT Kepala 1 ft.26/12
RI.365 31-Des-09 Jean, Nn USG Obstetri 1 ft.28/12
RI.366 31-Des-09 Roslim Abu Bakar,Ny Thorax 1 ft.26/12 100,000
RI.367 31-Des-09 Abd.Rahman, H.Tn CT Thorax 2 ft.29/12
RI.368 31-Des-09 Abd.Rahman, H.Tn USG Abdomen 1 ft.28/12
RI.369 31-Des-09 Abd.Rahman, H.Tn Thorax 1 ft.26/12 100,000
RI.370 31-Des-09 Imaduddyn Giling, Tn 2x Thorax 2 ft.19/12 200,000 60,000
RI.371 31-Des-09 Slmaet Rohadi, Tn Thorax 1 ft.30/11 100,000 30,000
RI.372 31-Des-09 Aisyah, Ny Thorax 1 ft.7/12 100,000 30,000
RI.373 31-Des-09 Musdanil, Tn Thorax 1 ft.24/12 100,000
RI.374 31-Des-09 Mahfud, A.Tn Thorax 1 ft.24/12 100,000
RI.375 31-Des-09 Mahfud, A.Tn USG Abdomen 1 ft.24/12
RI.376 31-Des-09 Kadarwati, Ny USG Abdomen 1 ft.24/12
RI.377 31-Des-09 Efendi, Tn USG Abdomen 1 ft.23/12
RI.378 31-Des-09 Kamal Machmud, tn CT Kepala 1 ft.26/12
RI.379 31-Des-09 Andreas Gunawan, Tn CT Kepala 1 ft.28/12
RI.381 31-Des-09 Reski Sukmawati, Nn USG Abdomen 1 ft.29/12
RI.382 31-Des-09 Suliati, Ny Thorax 1 ft.26/12 100,000
RI.383 31-Des-09 Suliati, Ny USG Abdomen 1 ft.26/12
RI.384 31-Des-09 Anis, Tn Thorax 1 ft.21/12 100,000 30,000
RI.385 31-Des-09 Remba, H.Tn CT Kepala 1 ft.24/12
RI.386 31-Des-09 Remba, H.Tn Thorax 1 ft.24/12 100,000 30,000
RI.387 31-Des-09 Mulyadi Nursah, Tn CT Kepala 1 ft.28/12
RI.388 31-Des-09 Abd, Wahid, H.Drs.Tn BNO 3 P+Thorax 4 ft.28/12
RI.389 31-Des-09 Makhirah, Nn 2xFemur+2xPelv+T 11 ft.14/12 850,000 45,000
RI.390 31-Des-09 Novita Maria, Ny CT Kepala 1 ft.29/12
RI.391 31-Des-09 Tenri Djaja, A.Hj.Ny Thorax 1 ft.26/12 100,000 30,000
RI.392 31-Des-09 Rahmatia, Ny Thorax 1 ft.30/12 100,000 30,000
RI.393 31-Des-09 Rahmatia, Ny USG Abdomen 1 ft.30/12
RI.394 31-Des-09 Alfatih, A.An Thorax 1 ft.29/12 100,000
RI.395 31-Des-09 Indi Cahyani, An Thorax 1 ft.19/12 100,000 30,000
RI.396 31-Des-09 Faizal Rachman, Tn 2x Thorax 2 ft.24/12 200,000
RI.397 31-Des-09 Faizal Rachman, Tn USG Abdomen 1 ft.24/12
RI.398 31-Des-09 Sartim, Tn USG Abdomen 1 ft.31/12
RI.399 31-Des-09 Andi Rifaldi, Tn CT Kepala 1 Inco,15/5
RI.400 31-Des-09 Andi Rifaldi, Tn Femur 2x+Thorax 5 Inco,16/5 400,000 30,000
RI.401 31-Des-09 Asiani Wagino, Ny 3x Thorax 3 inco,9/7 300,000 30,000
RI.402 31-Des-09 Asiani Wagino, Ny USG Abdomen 1 Inco,7/7
RI.403 31-Des-09 Hasnah, Ny BNO-IVP+2x Thora 8 Inco,18/7 1,000,000 30,000
RI.404 31-Des-09 Hasnah, Ny USG Abdomen 1 Inco,17/7
RI.405 31-Des-09 Nurmin Nurdin, ny USG Abdomen 1 Inco,18/7
RI.406 31-Des-09 Nurmin Nurdin, ny Thorax 1 Inco,18/7 100,000
RI.407 31-Des-09 Muh. Irvan Fatta Thorax 1 B.Mandiri,1 100,000
RI.408 31-Des-09 Muh. Irvan Fatta USG Abdomen 1 B.Mandiri,11/8
RI.409 31-Des-09 Felly J.Tumbal, Tn CT Kepala 1 P.mina,1/6
RI.410 31-Des-09 Marjam T.L, Ny Thorax 1 P.mina,21/ 100,000
RI.411 31-Des-09 Hamidah, Hj,Ny USG Abdomen 1 P.mina,28/5
RI.412 31-Des-09 Hamidah, Hj,Ny L Sacral 2 P.mina,28/ 150,000
RI.413 31-Des-09 Jalang, Ny Thorax 1 P.mina,27/ 75,000
RI.414 31-Des-09 Jalang, Ny USG Abdomen 1 P.mina,27/4
RI.415 31-Des-09 Djafar Sonda, H.Tn L Sacral 2 P.mina,29/ 150,000
RI.416 31-Des-09 Djafar Sonda, H.Tn USG Abdomen 1 P.mina,29/4
RI.417 31-Des-09 Rasiah, Hj.Ny USG Abdomen 1 P.mina,19/5
RI.418 31-Des-09 Rasiah, Hj.Ny Thorax 1 P,mina,19/ 75,000
RI.419 31-Des-09 Attas Mataliu, H.Tn Thorax 1 P.mina,13/ 100,000
RI.420 31-Des-09 Eideth, Ny Thorax 1 P.mina,4/5 100,000
RI.421 31-Des-09 Hadiyah H.Nurdin,Ny Thorax 1 P.mina,22/ 75,000
RI.422 31-Des-09 Marselinus Padung, Tn Thorax 1 Antam,11/ 100,000
RI.423 31-Des-09 Sukarman, Tn Pedis + Thorax 3 Antam,25/ 250,000
RI.424 31-Des-09 Sarmila, Ny CT Kepala 1 Antam,4/7
RI.425 31-Des-09 Sarmila, Ny Thorax 1 Antam,4/7 100,000 30,000
RI.426 31-Des-09 Syarifuddin, Tn 2xPedis+Thorax 5 S.Tonasa,3 400,000 45,000
RI.427 31-Des-09 Syarifuddin, Tn CT Kepala 1 S.Tonasa,3/8
RI.428 31-Des-09 Cevin Anwar, Tn Thorax 1 Pelindo,22 100,000 30,000
RI.429 31-Des-09 Wiwik Subianto, Ny Thorax 1 Pelindo,18 100,000 30,000
RI.430 31-Des-09 Rukiah Ramli, Ny Thorax 1 Pelindo,18 100,000
RI.431 31-Des-09 Wan Afrizul, Tn CT Kepala 1 B.Mandiri,10/8
RI.432 31-Des-09 Syahrim A.Kumala, tn Genu 2 S.Tonasa,2 150,000 45,000
RI.433 31-Des-09 Frans Bagiri, Tn Kepala 2 S.Tonasa,2 150,000
RI.434 31-Des-09 Nurlela Umar, Ny Thorax 1 Pelindo,20 100,000
RI.435 31-Des-09 Asrul, Tn Kepala Ap.Lat 2 S.Tonasa,3 200,000 60,000
RI.436 31-Des-09 Kartika Andi Gobel, Nn Thorax 1 S.tonasa,1 100,000 30,000
RI.437 31-Des-09 Machdaliana, Ny Thorax 1 S.Tonasa,6 100,000 20,000
RI.438 31-Des-09 Machdaliana, Ny CT Kepala 1 S.Tonasa,13/8
RI.439 31-Des-09 Kartika Andi Gobel, Nn USG Abdomen 1 S.tonasa,14/8
RI.440 31-Des-09 Lie Tjiu Han, Ny Thorax 1 ft.14/12 100,000 30,000
RI.441 31-Des-09 Ilham Malik, Tn Pedis Ap. Obliq 2 ft.4/6 150,000 45,000
RI.442 31-Des-09 Rahma Hafsah, Ny Antebrachi 2 KTC,24/6 150,000
RI.443 31-Des-09 Mustari Mara, Tn Manus Ap. Lat 2 ktC,29/6 150,000 45,000
RI.444 31-Des-09 Muh. Azfar Waris, An Thorax 1 PLN,6/8 100,000
42,215,000 3,600,000
0 0
RI.002 31-Des-09 Sari Banong RPG+Thorax+BNO- 11 Ft,28/11 1,700,000
RI.004 31-Des-09 Hasmuddin, H Thorax 1 ft.21/11 100,000
RI.006 31-Des-09 Martha Utan Thorax 1 ft.21/11 100,000
RI.007 31-Des-09 Nadya Wijaya Antebrachi 4 ft.30/11 300,000 45,000
RI.009 31-Des-09 Irene Thorax 1 ft.2/12 100,000
RI.010 31-Des-09 Jawiyah, Hj. Thorax 1 ft.29/11 100,000
RI.012 31-Des-09 Hasan Basri Thorax 1 Ft.25/11 130,000
RI.013 31-Des-09 Muddin, H Thorax 1 ft.16/11 130,000
RI.014 31-Des-09 Samingin Thorax 1 ft.16/11 130,000
RI.017 31-Des-09 Puang Terru,H 2x Thorax 2 ft.5/11 200,000 30,000
RI.018 31-Des-09 Serly Thorax 1 ft.29/11 100,000
RI.020 31-Des-09 Meety 4x Thorax 4 ft.6/11 400,000 120,000
RI.021 31-Des-09 Deby Thorax 1 ft.3/12 100,000
RI.023 31-Des-09 Ardy, By Thorax 1 ft.25/11 100,000 30,000
RI.024 31-Des-09 Davin Humerus 2 ft.3/12 150,000
RI.025 31-Des-09 Adam Thorax 1 ft.4/12 100,000 30,000
RI.028 31-Des-09 Isnaeni Thorax 1 Ft.14/4 100,000 30,000
RI.030 31-Des-09 Hasiah Said, Hj Thorax 1 ft.2/12 100,000
RI.032 31-Des-09 Indah Riani Pelvis+TH+Ankle+P 6 ft.28/11 500,000 120,000
RI.033 31-Des-09 Jamaliah Dg. Ti'no Thorax 1 ft.1/12 100,000 30,000
RI.034 31-Des-09 Rosmini, Hj Thorax 1 ft.24/11 100,000 30,000
RI.036 31-Des-09 Saleng Thorax 1 ft.1/12 100,000
RI.037 31-Des-09 Mashoreng Thorax 1 ft.30/11 100,000 30,000
RI.038 31-Des-09 Yuspinus Thorax 1 Ft.25/11 100,000 30,000
RI.040 31-Des-09 Harry Kadir Thorax 1 ft.2/12 100,000
RI.041 31-Des-09 Tajuddin Thorax 1 ft.30/11 100,000 30,000
RI.042 31-Des-09 Nenang, Hj L Sacral 2 ft.2/12 150,000
RI.044 31-Des-09 Syahrul Thorax 1 ft.5/12 100,000 30,000
RI.045 31-Des-09 Sohra Ibarahim, Hj Thorax 1 ft.2/12 100,000
RI.047 31-Des-09 Mastura Thorax 1 ft.12/10 100,000 30,000
RI.048 31-Des-09 Osmanto Wijaya Thorax 1 Ft.25/11 100,000
RI.050 31-Des-09 Ince Haisyah, Hj Thorax 1 ft.3/12 100,000 30,000
RI.051 31-Des-09 Al-Fiqri, An Thorax 1 ft.1/12 100,000
RI.052 31-Des-09 Haking. A.Hj Thorax 1 ft.4/12 100,000
RI.053 31-Des-09 Kamariah, Ny Thorax 1 ft.3/12 100,000
RI.056 31-Des-09 Dike Wibisono Thorax 1 ft.7/12 100,000 30,000
RI.057 31-Des-09 Ritonga, H.D Thorax 1 ft.5/12 100,000 30,000
RI.058 31-Des-09 Kamaruddin Femur+Thorax 3 ft.30/11 250,000 45,000
RI.059 31-Des-09 Aldian, An BNO-IVP 5 ft.2/12 800,000
RI.062 31-Des-09 Indo Lebbi, Hj Thorax 1 ft.28/11 100,000
RI.063 31-Des-09 Frida Yauri Thorax 1 ft.23/11 100,000 30,000
RI.066 31-Des-09 Sakka B 2x Thorax 2 ft.23/11 200,000 60,000
RI.067 31-Des-09 Arif Rahman, An Thorax 1 ft.1/12 100,000 30,000
RI.068 31-Des-09 Naufal Zaki Ahmad, An Colon Inloop + Thor 6 ft.17/11 700,000
RI.069 31-Des-09 Fachruddin Sofwan 2x Thorax 2 ft.17/11 200,000 60,000
RI.072 31-Des-09 Aminah, St 2x Thorax 2 ft.17/11 200,000 30,000
RI.076 31-Des-09 Sanusi, H.M Pelvis 1 ft.12/11 100,000
RI.078 31-Des-09 Aisyah Yunus, St Thorax 1 ft.5/12 100,000
RI.079 31-Des-09 Norma Dg. Sompa, hj Pedis+Thorax 3 ft.5/12 250,000 45,000
RI.082 31-Des-09 Juma Daeng Puji, Ny Thorax 1 ft.2/12 100,000 30,000
RI.083 31-Des-09 Sangging Dg. Caya,Ny Thorax 1 ft.30/11 90,000
RI.088 31-Des-09 Hasrul, Tn Thorax 1 ft.5/12 100,000 30,000
RI.089 31-Des-09 Ali Topan, Tn Thorax 1 ft.4/12 100,000
RI.091 31-Des-09 Muhammad Amin, Tn Thorax 1 ft.7/12 100,000 30,000
RI.094 31-Des-09 Sunardi, Tn Thorax 1 ft.30/11 100,000 30,000
RI.096 31-Des-09 Mansyur, H.Tn Pedis+Thorax 3 ft.8/12 250,000
RI.098 31-Des-09 Arman, Tn Thorax 1 ft.7/12 100,000
RI.099 31-Des-09 Zaenal Ilmi, Tn Pedis+Thorax 3 ft.2/9 250,000 45,000
RI.100 31-Des-09 Dahlan, H. Tn Thorax 1 ft.3/12 100,000
RI.101 31-Des-09 Muh. Ashar, Tn Thorax 1 ft.8/12 100,000 30,000
RI.102 31-Des-09 Patte, H. Tn Thorax 1 ft.9/12 100,000
RI.105 31-Des-09 Syamsiar, Hj.Ny Thorax 1 ft.7/12 100,000
RI.106 31-Des-09 Nelly Siona, Ny Thorax 1 ft.7/12 100,000
RI.108 31-Des-09 Susi, Nn BNO 1 ft.2/12 100,000
RI.109 31-Des-09 Bustang, H.Tn 2x Thorax 2 Telkom.5/8 200,000
RI.112 31-Des-09 Ahmad, Tn Thorax 1 Telkom.1/9 100,000
RI.114 31-Des-09 Widarta, Tn Thorax 1 Telkom.28/ 100,000
RI.115 31-Des-09 Nurhayati, Ny Thorax 1 Telkom.18/ 100,000
RI.116 31-Des-09 Zam-zam Juddah Thorax 1 Allianz.4/7 100,000
RI.117 31-Des-09 Hanna P, Ny Panggul+Thorax 2 Allianz,30/ 200,000 30,000
RI.118 31-Des-09 Marianus, Tn BNO-IVP+TH+BNO 7 Lestari TT, 1,000,000
RI.120 31-Des-09 Simon Patadungan, Tn Thorax 1 Allianz,19/ 100,000
RI.121 31-Des-09 Arief, M.Tn Thorax 1 AIA,26/8 100,000
RI.123 31-Des-09 Sri Destari, Ny Thorax 1 Prodia,1/9 100,000
RI.125 31-Des-09 Hastiana Thorax 1 B.Asih,16/ 100,000
RI.126 31-Des-09 Gintoro, Tn Thorax 1 SRL,2/7 100,000
RI.127 31-Des-09 Dudi Rachmadi, Tn 3xPedis+2xAnkle+K 10 Allianz,13/ 750,000 135,000
RI.128 31-Des-09 Adenah Masua, Ny Thorax 1 Allianz,5/9 100,000
RI.130 31-Des-09 Muh. Naufal Said B Thorax 1 GSM,30/6 100,000 30,000
RI.131 31-Des-09 Muh. Rizal Clavicula+Thorax 2 Jamsostek, 200,000 30,000
RI.133 31-Des-09 Indrawati, Ny Thorax 1 Japfa,11/8 100,000
RI.135 31-Des-09 Jordiansyah, An Thorax 1 C.Cola,11/ 100,000
RI.136 31-Des-09 Burhanuddin, Tn Thorax 1 Manulife,1/ 100,000
RI.138 31-Des-09 Awal, Tn Thorax 1 Manulife,1 100,000
RI.139 31-Des-09 Sri Yanti, Ny Thorax 1 Manulife,2 100,000
RI.144 31-Des-09 Syaharuddin, Tn Thorax 1 PTPN,19/8 100,000 30,000
RI.145 31-Des-09 Ahmad Rizal, Tn Thorax 1 FIF,1/8 100,000
RI.147 31-Des-09 Syarifuddin, Tn 2x Thorax 2 AIA,13/8 200,000 60,000
RI.148 31-Des-09 Ismail Afiq, An BNO 1 CAR,8/9 100,000
RI.152 31-Des-09 Muslimin, Tn Thorax 1 ft.12/12 100,000 30,000
RI.153 31-Des-09 Dg.Manompo,H.M.K,Tn Thorax 1 ft.1/12 50,000
RI.155 31-Des-09 Ali Santaliu, Tn Thorax 1 ft.8/12 100,000
RI.157 31-Des-09 Bachtiar Bakri, Atn Thorax 1 ft.2/12 100,000 30,000
RI.161 31-Des-09 Fahmi Rijani, Tn Thorax 1 ft.11/12 100,000 30,000
RI.164 31-Des-09 Nur Akbar, Tn 2x Thorax 2 ft.9/12 200,000 60,000
RI.166 31-Des-09 Hatijah, Hj.Ny Lumbu Sacral 2 ft.3/12 150,000
RI.167 31-Des-09 Muh. Raditya, An Thorax 1 ft.7/12 100,000
RI.168 31-Des-09 Isran Alim, Tn Shoulder+Thorax 4 Berdikari,7 325,000
RI.170 31-Des-09 Bahra Yusuf, Hj.Ny Thorax 1 ft.8/12 100,000
RI.173 31-Des-09 Bau Dg.Kanang, Hj.ny Thorax 1 ft.11/12 100,000 30,000
RI.174 31-Des-09 Halike, H.Tn Cruris 2 ft.16/11 250,000 45,000
RI.175 31-Des-09 Yenni Chandra, Ny 2x Thorax 2 ft.21/10 200,000 60,000
RI.178 31-Des-09 Yusri, Tn Thorax 1 ft.10/12 100,000
RI.180 31-Des-09 Maryam Razak, Ny Thorax 1 ft.20/1 75,000
RI.182 31-Des-09 Wandy Sidianto, Tn Thorax 1 ft.11/12 100,000
RI.186 31-Des-09 Muh. Irfan, Tn Thorax 1 ft.15/12 100,000
RI.187 31-Des-09 Alison Moli Tjandra,Tn Thorax 1 ft.14/12 100,000 30,000
RI.189 31-Des-09 Paramma, H.Tn Thorax 1 ft.13/12 100,000 30,000
RI.191 31-Des-09 Sahuji, St.Ny 2x Thorax 2 ft.10/12 200,000 30,000
RI.196 31-Des-09 Margaretha, Ny Thorax 1 ft.6/12 100,000 30,000
RI.197 31-Des-09 Selliha, Hj.Ny Thorax 1 ft.16/12 100,000
RI.201 31-Des-09 Andi Murni, Ny Thorax 1 ft.16/12 100,000
RI.203 31-Des-09 Alisila, Tn Thorax 1 ft.1/7 100,000
RI.208 31-Des-09 Darwis, Tn Thorax 1 Askes,17/6 100,000
RI.209 31-Des-09 Rahmatia, Ny Thorax 1 Askes,10/7 100,000
RI.210 31-Des-09 Robby Al Fred, Tn 2x Thorax 2 Askes,31/8 200,000
RI.211 31-Des-09 Musdalifa Thamrin, Nn Thorax 1 Askes,2/9 100,000
RI.213 31-Des-09 Annisa Aulia, Nn Thorax 1 Askes,7/9 100,000
RI.217 31-Des-09 Kadir Yayo, Tn Thorax 1 Askes,9/9 100,000
RI.220 31-Des-09 Sriyati, Ny LS3x+THLBL5x+TH 10 Askes,26/8 1,010,000 105,000
RI.221 31-Des-09 Nur Annisa Autia, An Thorax 1 Askes,6/9 100,000
RI.222 31-Des-09 Alfiana Latumakulita, Ny BNO-IVP+Thorax 6 Askes,8/6 900,000
RI.223 31-Des-09 Mustafa, Tn Thorax 1 Askes,2/6 100,000
RI.225 31-Des-09 Asmianti, Ny Thorax 1 Askes,18/8 100,000
RI.228 31-Des-09 Muliana, Ny LDK + Thorax 2 Askes,4/8 150,000
RI.229 31-Des-09 Yulhaidir, Tn Thorax 1 Askes,1/8 100,000
RI.231 31-Des-09 Abd. Malik, Tn Thorax 1 Askes,1/8 100,000
RI.234 31-Des-09 Jusfin Amiruddin, Tn Thorax 1 Askes,1/8 100,000
RI.235 31-Des-09 Ansar, Tn Thorax 1 Askes,4/8 100,000
RI.236 31-Des-09 Mastin Alitani, Ny THLBL+Thorax 2 Askes,4/8 250,000
RI.238 31-Des-09 Nurdin, Tn Thorax 1 Askes,3/8 100,000
RI.239 31-Des-09 Mahrul, Tn Thorax 1 Askes,13/8 100,000
RI.240 31-Des-09 Juti Budana, Ny Thorax 1 Askes,24/7 100,000
RI.241 31-Des-09 Dwi Nirmala Sari, Nn Thorax 1 Askes,30/7 100,000
RI.242 31-Des-09 Fatmawati, Ny Thorax 1 Askes,11/8 100,000
RI.246 31-Des-09 Sriyati, Ny 2x Thorax 2 Askes,27/7 200,000
RI.247 31-Des-09 Naufal, An Thorax 1 Askes,15/8 100,000
RI.249 31-Des-09 Carolina L.Kairupan, Ny Lumbu Sacral+TH 3 Askes,13/8 250,000
RI.250 31-Des-09 Ardiansyah Jasman, Tn Thorax 1 Askes,22/8 100,000
RI.251 31-Des-09 Muh. Ibnu, Tn Thorax 1 Askes,10/7 100,000
RI.252 31-Des-09 Usman, H.Tn Thorax 1 Askes,1/8 100,000
RI.253 31-Des-09 Sirajuddin, Tn BNO-IVP + BNO 6 Askes,12/8 900,000
RI.254 31-Des-09 Halima, Ny Kepala+Cervical+T 4 Askes,5/8 350,000
RI.257 31-Des-09 Surani, Hj.Ny Thorax 1 Askes,25/8 100,000
RI.260 31-Des-09 Muchlis, Tn 2x Thorax 2 Askes,8/8 200,000
RI.263 31-Des-09 Tjiang Goe Siu, Ny Thorax 1 ft.23/10 100,000 30,000
RI.267 31-Des-09 Maiseng, Hj.Ny Thorax 1 ft.15/12 100,000
RI.269 31-Des-09 Muhammad Yahya Thorax 1 ft.14/12 100,000
RI.270 31-Des-09 Sobong, A.Ny.Hj Thorax 1 ft.14/12 100,000
RI.272 31-Des-09 Suyanto, Tn Thorax 1 ft.16/12 100,000
RI.273 31-Des-09 Muhammad Dg.Naba Thorax 1 ft.14/12 100,000 30,000
RI.274 31-Des-09 Abbas, H.Tn Thorax 1 ft.16/12 100,000
RI.275 31-Des-09 Asri, Ny Thorax 1 ft.15/12 100,000
RI.279 31-Des-09 Paleppe, Tn BNO + Thorax 2 ft.17/12 200,000
RI.283 31-Des-09 Muh. Kamit Salim, Tn Thorax 1 ft,16/12 100,000
RI.285 31-Des-09 Abdul Halik, H.Tn Thorax 1 ft.19/12 100,000 30,000
RI.287 31-Des-09 Halima, Ny Thorax 1 ft.19/12 100,000 30,000
RI.289 31-Des-09 Djon C. Tawar, Tn Wrist Ap. Lat 2 ft.19/12 150,000 45,000
RI.290 31-Des-09 Muh. Hudi, Tn Kaki + Thorax 3 ft.16/12 250,000 45,000
RI.291 31-Des-09 Firdaus Talitti, Tn BNO + Thorax 2 ft.16/12 200,000 30,000
RI.292 31-Des-09 Marwan, Tn Thorax 1 ft.15/12 100,000
RI.295 31-Des-09 Muh. Ilyas, Tn 4x Thorax 4 ft.3/12 400,000 120,000
RI.297 31-Des-09 Dahliah Kadang, Ny Thorax 1 ft.6/10 100,000
RI.298 31-Des-09 Ismojo, S.Ny Pelvis+Femur+Thor 4 ft.10/12 350,000 45,000
RI.299 31-Des-09 Yacob Bisi, Tn Thorax 1 ft.14/12 100,000
RI.301 31-Des-09 Anwar, H.Tn Thorax 1 ft.16/12 100,000
RI.304 31-Des-09 Naufal Zaki Ahmad, An BNO 3 Posisi 3 ft.17/12 300,000 30,000
RI.305 31-Des-09 Emmyanti, Ny 2x Thorax 2 ft.3/12 200,000 30,000
RI.309 31-Des-09 Putri Natasya, Nn Thorax 1 ft.19/12 100,000
RI.310 31-Des-09 Daud Yolanda, Tn Uretrografin+Thorax 6 ft.16/12 550,000
RI.312 31-Des-09 Ismojo, S.Ny Thorax 1 ft.20/12 100,000
RI.317 31-Des-09 Sangkala Gani, Tn Pedis + Thorax 3 ft.14/12 250,000
RI.318 31-Des-09 Fanny, Ny Pelvis 1 ft.20/12 100,000
RI.319 31-Des-09 Soewito Hadisoenarto Thorax 1 ft.11/12 100,000 30,000
RI.322 31-Des-09 Sri Hasniawati, Ny Thorax 1 ft.21/12 100,000
RI.323 31-Des-09 Nida Ulhaq, Tn Thorax 1 ft.19/12 100,000
RI.324 31-Des-09 Ratnawati, A.Ny L Sacral 2 ft.23/12 150,000
RI.327 31-Des-09 Aidy Sila, Ir,Tn Thorax 1 ft.23/12 100,000
RI.330 31-Des-09 Yuyun Eko Setiawan, Tn Thorax 1 ft.21/12 100,000
RI.331 31-Des-09 Abd. Karim, Tn Thorax 1 ft.19/12 100,000
RI.332 31-Des-09 Reinhard, Tn Thorax 1 ft.19/12 100,000
RI.334 31-Des-09 Rika Afrianti, Nn 2x Pelvis (OK) 2 ft.14/12 200,000 60,000
RI.336 31-Des-09 Muh. Sukfiyantun THLBL+Thorax 3 ft.15/12 250,000
RI.337 31-Des-09 Parman, Tn Thorax 1 ft.15/12 100,000
RI.340 31-Des-09 The Ai Hoa, Ny L Sacral+Thorax 3 ft.22/12 250,000
RI.342 31-Des-09 Andi Makkasau, Tn Thorax 1 ft.22/12 100,000 30,000
RI.344 31-Des-09 Jamalia, Hj.Ny Thorax 1 ft.22/12 100,000
RI.346 31-Des-09 Monica, Ny Thorax 1 ft.24/12 100,000
RI.348 31-Des-09 Nurul Aisyah, An 3x Thorax 3 ft.20/12 300,000 60,000
RI.349 31-Des-09 Chang Ye Nie, Ny Thorax 1 ft.26/12 100,000
RI.350 31-Des-09 Nonci, H.Tn Thorax 1 ft.19/12 100,000 30,000
RI.351 31-Des-09 Franky L Sieciadi, Tn Thorax 1 ft.22/12 100,000 30,000
RI.353 31-Des-09 Hendrik Chandra, Tn L Sacral+4x Thorax 6 ft.4/9 450,000 25,000
RI.356 31-Des-09 Susi, Nn BNO-IVP+Thorax 6 ft.9/11 900,000
RI.359 31-Des-09 Musribuh, Hj.Ny Thorax 1 ft.9/12 100,000 0
RI.361 31-Des-09 Hertoq Lasut, Tn Thorax 1 ft.9/12 100,000 30,000
RI.362 31-Des-09 Muchtar, A.H.Tn Thorax 1 ft.23/12 100,000
RI.366 31-Des-09 Roslim Abu Bakar,Ny Thorax 1 ft.26/12 100,000
RI.369 31-Des-09 Abd.Rahman, H.Tn Thorax 1 ft.26/12 100,000
RI.370 31-Des-09 Imaduddyn Giling, Tn 2x Thorax 2 ft.19/12 200,000 60,000
RI.371 31-Des-09 Slmaet Rohadi, Tn Thorax 1 ft.30/11 100,000 30,000
RI.372 31-Des-09 Aisyah, Ny Thorax 1 ft.7/12 100,000 30,000
RI.373 31-Des-09 Musdanil, Tn Thorax 1 ft.24/12 100,000
RI.374 31-Des-09 Mahfud, A.Tn Thorax 1 ft.24/12 100,000
RI.382 31-Des-09 Suliati, Ny Thorax 1 ft.26/12 100,000
RI.384 31-Des-09 Anis, Tn Thorax 1 ft.21/12 100,000 30,000
RI.386 31-Des-09 Remba, H.Tn Thorax 1 ft.24/12 100,000 30,000
RI.389 31-Des-09 Makhirah, Nn 2xFemur+2xPelv+T 11 ft.14/12 850,000 45,000
RI.391 31-Des-09 Tenri Djaja, A.Hj.Ny Thorax 1 ft.26/12 100,000 30,000
RI.392 31-Des-09 Rahmatia, Ny Thorax 1 ft.30/12 100,000 30,000
RI.394 31-Des-09 Alfatih, A.An Thorax 1 ft.29/12 100,000
RI.395 31-Des-09 Indi Cahyani, An Thorax 1 ft.19/12 100,000 30,000
RI.396 31-Des-09 Faizal Rachman, Tn 2x Thorax 2 ft.24/12 200,000
RI.400 31-Des-09 Andi Rifaldi, Tn Femur 2x+Thorax 5 Inco,16/5 400,000 30,000
RI.401 31-Des-09 Asiani Wagino, Ny 3x Thorax 3 inco,9/7 300,000 30,000
RI.403 31-Des-09 Hasnah, Ny BNO-IVP+2x Thora 8 Inco,18/7 1,000,000 30,000
RI.406 31-Des-09 Nurmin Nurdin, ny Thorax 1 Inco,18/7 100,000
RI.407 31-Des-09 Muh. Irvan Fatta Thorax 1 B.Mandiri,1 100,000
RI.410 31-Des-09 Marjam T.L, Ny Thorax 1 P.mina,21/ 100,000
RI.412 31-Des-09 Hamidah, Hj,Ny L Sacral 2 P.mina,28/ 150,000
RI.413 31-Des-09 Jalang, Ny Thorax 1 P.mina,27/ 75,000
RI.415 31-Des-09 Djafar Sonda, H.Tn L Sacral 2 P.mina,29/ 150,000
RI.418 31-Des-09 Rasiah, Hj.Ny Thorax 1 P,mina,19/ 75,000
RI.419 31-Des-09 Attas Mataliu, H.Tn Thorax 1 P.mina,13/ 100,000
RI.420 31-Des-09 Eideth, Ny Thorax 1 P.mina,4/5 100,000
RI.421 31-Des-09 Hadiyah H.Nurdin,Ny Thorax 1 P.mina,22/ 75,000
RI.422 31-Des-09 Marselinus Padung, Tn Thorax 1 Antam,11/ 100,000
RI.423 31-Des-09 Sukarman, Tn Pedis + Thorax 3 Antam,25/ 250,000
RI.425 31-Des-09 Sarmila, Ny Thorax 1 Antam,4/7 100,000 30,000
RI.426 31-Des-09 Syarifuddin, Tn 2xPedis+Thorax 5 S.Tonasa,3 400,000 45,000
RI.428 31-Des-09 Cevin Anwar, Tn Thorax 1 Pelindo,22 100,000 30,000
RI.429 31-Des-09 Wiwik Subianto, Ny Thorax 1 Pelindo,18 100,000 30,000
RI.430 31-Des-09 Rukiah Ramli, Ny Thorax 1 Pelindo,18 100,000
RI.432 31-Des-09 Syahrim A.Kumala, tn Genu 2 S.Tonasa,2 150,000 45,000
RI.433 31-Des-09 Frans Bagiri, Tn Kepala 2 S.Tonasa,2 150,000
RI.434 31-Des-09 Nurlela Umar, Ny Thorax 1 Pelindo,20 100,000
RI.435 31-Des-09 Asrul, Tn Kepala Ap.Lat 2 S.Tonasa,3 200,000 60,000
RI.436 31-Des-09 Kartika Andi Gobel, Nn Thorax 1 S.tonasa,1 100,000 30,000
RI.437 31-Des-09 Machdaliana, Ny Thorax 1 S.Tonasa,6 100,000 20,000
RI.440 31-Des-09 Lie Tjiu Han, Ny Thorax 1 ft.14/12 100,000 30,000
RI.441 31-Des-09 Ilham Malik, Tn Pedis Ap. Obliq 2 ft.4/6 150,000 45,000
RI.442 31-Des-09 Rahma Hafsah, Ny Antebrachi 2 KTC,24/6 150,000
RI.443 31-Des-09 Mustari Mara, Tn Manus Ap. Lat 2 ktC,29/6 150,000 45,000
RI.444 31-Des-09 Muh. Azfar Waris, An Thorax 1 PLN,6/8 100,000
RI.080 31-Des-09 Lasennang, Tn BNO 3 Posisi+Thor 4 ft.1/12
RI.158 31-Des-09 Herman, A.Tn BNO 3 Posisi+Thor 4 ft.30/11
RI.162 31-Des-09 Tajuddin, Tn BNO 3 Posisi 3 ft.8/12
RI.184 31-Des-09 Alwi Winiarto, Tn Colon Inloop + Thor 6 ft.14/12
RI.190 31-Des-09 Yan Patanda, Tn BNO 3 Posisi 3 ft.16/9
RI.388 31-Des-09 Abd, Wahid, H.Drs.Tn BNO 3 P+Thorax 4 ft.28/12
RI.003 31-Des-09 Sari Banong USG Abdomen 1 ft.21/11
RI.005 31-Des-09 Hasmuddin, H USG Abdomen 1 ft.24/11
RI.008 31-Des-09 Nadya Wijaya USG Abdomen 1 ft.30/11
RI.011 31-Des-09 Rita Tri Lestari USG Abdomen 1 ft.28/11
RI.015 31-Des-09 Asri USG Abdomen 1 ft.30/11
RI.019 31-Des-09 Serly USG Abdomen 1 ft.30/11
RI.022 31-Des-09 Deby USG Abdomen 1 ft.2/12
RI.026 31-Des-09 Adam USG Abdomen 1 ft.4/12
RI.027 31-Des-09 Isnaeni USG Abdomen 1 Ft.14/4
RI.031 31-Des-09 Hasiah Said, Hj USG Abdomen 1 ft.2/12
RI.035 31-Des-09 Rosmini, Hj USG Abdomen 1 ft.24/11
RI.039 31-Des-09 Raiya, Hj USG Abdomen 1 ft.2/12
RI.046 31-Des-09 Sohra Ibarahim, Hj USG Abdomen 1 ft.2/12
RI.049 31-Des-09 Osmanto Wijaya USG Abdomen 1 Ft.25/11
RI.054 31-Des-09 Kamariah, Ny USG Abdomen 1 ft.3/12
RI.061 31-Des-09 Nadjma Hakka, Ny USG Abdomen 1 ft.3/12
RI.065 31-Des-09 Sakka B USG Abdomen 1 ft.28/11
RI.073 31-Des-09 Aminah, St USG Abdomen 1 ft.18/11
RI.077 31-Des-09 Sanusi, H.M USG Abdomen 1 ft.12/11
RI.081 31-Des-09 Lasennang, Tn USG Abdomen 1 ft.5/12
RI.084 31-Des-09 Sangging Dg. Caya,Ny USG Abdomen 1 ft.30/11
RI.087 31-Des-09 Megawati, Ny USG Abdomen 1 ft.3/12
RI.090 31-Des-09 Ali Topan, Tn USG Abdomen 1 ft.4/12
RI.095 31-Des-09 Tajang, H,Tn USG Abdomen 1 ft.3/12
RI.097 31-Des-09 Nur Ali Santoso, Tn USG Abdomen 1 ft.4/12
RI.107 31-Des-09 Nelly Siona, Ny USG Abdomen 1 ft.9/12
RI.110 31-Des-09 Bustang, H.Tn USG Abdomen 1 Telkom.5/8
RI.113 31-Des-09 Ahmad, Tn USG Abdomen 1 Telkom.1/9
RI.119 31-Des-09 Simon Patadungan, Tn USG Abdomen 1 Allianz,19/8
RI.122 31-Des-09 Arief, M.Tn USG Abdomen 1 AIA,26/8
RI.129 31-Des-09 Adenah Masua, Ny USG Abdomen 1 Allianz,5/9
RI.132 31-Des-09 Indrawati, Ny USG Abdomen 1 Japfa,11/8
RI.134 31-Des-09 Rauhdiar, Ny USG Abdomen 1 Japfa,8/9
RI.137 31-Des-09 Burhanuddin, Tn USG Abdomen 1 Manulife,1/8
RI.142 31-Des-09 Afrihandy Hasanuddin USG Abdomen 1 Adm.Medika,12/10
RI.146 31-Des-09 Ahmad Rizal, Tn 2x USG Abdomen 2 FIF,1/8
RI.149 31-Des-09 Ismail Afiq, An USG Abdomen 1 CAR,8/9
RI.163 31-Des-09 Tajuddin, Tn USG Abdomen 1 ft.8/12
RI.165 31-Des-09 Nur Akbar, Tn USG Abdomen 1 ft.10/12
RI.169 31-Des-09 Noval, An USG Abdomen 1 ft.9/12
RI.172 31-Des-09 Bahra Yusuf, Hj.Ny USG Abdomen 1 ft.4/12
RI.181 31-Des-09 Maryam Razak, Ny USG Abdomen 1 ft.20/1
RI.183 31-Des-09 Wandy Sidianto, Tn USG Abdomen 1 ft.11/12
RI.185 31-Des-09 Muh. Jalias, H.Tn USG Abdomen 1 ft.14/12
RI.188 31-Des-09 Alison Moli Tjandra,Tn USG Abdomen 1 ft.14/12
RI.192 31-Des-09 Sahuji, St.Ny 2x USG Abdomen 2 ft.10/12
RI.193 31-Des-09 Yulianti, Ny USG Abdomen 1 ft.16/12
RI.195 31-Des-09 Margaretha, Ny USG Abdomen 1 ft.9/12
RI.198 31-Des-09 Selliha, Hj.Ny USG Abdomen 1 ft.16/12
RI.199 31-Des-09 Ridwan, Tn USG Abdomen 1 ft.16/12
RI.200 31-Des-09 Muh. Abi Said, An USG Abdomen 1 ft.15/12
RI.202 31-Des-09 Andi Murni, Ny USG Abdomen 1 ft.16/12
RI.204 31-Des-09 Alisila, Tn USG Abdomen 1 ft.1/7
RI.205 31-Des-09 Rosdiana, Ny USG Abdomen 1 Askes.3/10
RI.206 31-Des-09 Maryanti, Ny USG Obstetri 1 Askes.8/10
RI.212 31-Des-09 Musdalifa Thamrin, Nn USG Abdomen 1 Askes,2/9
RI.216 31-Des-09 Muchlis, Tn USG Abdomen 1 Askes,4/9
RI.218 31-Des-09 Kadir Yayo, Tn USG Abdomen 1 Askes,9/9
RI.219 31-Des-09 Filky Dwi Sakti, Tn USG Abdomen 1 Askes,9/9
RI.224 31-Des-09 Mustafa, Tn USG Abdomen 1 Askes,2/6
RI.226 31-Des-09 Asmianti, Ny USG Abdomen 1 Askes,18/8
RI.227 31-Des-09 Muliana, Ny USG Abdomen 1 Askes,5/8
RI.230 31-Des-09 Yulhaidir, Tn USG Abdomen 1 Askes,1/8
RI.232 31-Des-09 Soraya Satria, Nn USG Abdomen 1 Askes,30/7
RI.237 31-Des-09 Mastin Alitani, Ny USG Abdomen 1 Askes,22/8
RI.243 31-Des-09 Dwi Nirmala Sari, Nn USG Abdomen 1 Askes,30/7
RI.244 31-Des-09 Fatmawati, Ny USG Abdomen 1 Askes,13/8
RI.245 31-Des-09 Riskawati, Ny USG Abdomen 1 Askes,4/8
RI.256 31-Des-09 Arsin Yusnita, Ny USG Obstetri 1 Askes,20/8
RI.258 31-Des-09 Asyhah, Nn USG Abdomen 1 Askes,13/8
RI.259 31-Des-09 Muchlis, Tn 2x USG Abdomen 2 Askes,8/8
RI.264 31-Des-09 Makmur, Tn USG Abdomen 1 ft.12/12
RI.268 31-Des-09 Maiseng, Hj.Ny USG Abdomen 1 ft.16/12
RI.271 31-Des-09 Suyanto, Tn USG Abdomen 1 ft.16/12
RI.276 31-Des-09 Asri, Ny USG Abdomen 1 ft.15/12
RI.277 31-Des-09 Abdul Azis, A.Tn USG Abdomen 1 ft.15/11
RI.280 31-Des-09 Paleppe, Tn USG Abdomen 1 ft.17/12
RI.282 31-Des-09 Elly Purnama Sari USG Abdomen 1 ft.1/12
RI.284 31-Des-09 Muh. Kamit Salim, Tn USG Abdomen 1 ft.16/12
RI.286 31-Des-09 Abdul Halik, H.Tn USG Abdomen 1 ft.19/12
RI.288 31-Des-09 Halima, Ny USG Abdomen 1 ft.19/12
RI.293 31-Des-09 Marwan, Tn USG Abdomen 1 ft.15/12
RI.300 31-Des-09 Yacob Bisi, Tn USG Abdomen 1 ft.14/12
RI.302 31-Des-09 Agustina Alam, Ny USG Abdomen 1 ft.19/12
RI.311 31-Des-09 Daud Yolanda, Tn USG Abdomen 1 ft.15/12
RI.313 31-Des-09 Ismojo, S.Ny USG Abdomen 1 ft.20/12
RI.314 31-Des-09 Erick, An USG Abdomen 1 ft.21/12
RI.315 31-Des-09 Burhanuddin, Tn USG Abdomen 1 ft.17/12
RI.320 31-Des-09 Soewito Hadisoenarto USG Abdomen 1 ft.11/12
RI.325 31-Des-09 Ratnawati, A.Ny USG Abdomen 1 ft.22/12
RI.326 31-Des-09 Aidy Sila, Ir,Tn USG Abdomen 1 ft.23/12
RI.329 31-Des-09 Hana Endang Utami,Ny USG Abdomen 1 ft.22/12
RI.333 31-Des-09 Reinhard, Tn USG Abdomen 1 ft.19/12
RI.335 31-Des-09 Rika Afrianti, Nn USG Abdomen 1 ft.14/12
RI.339 31-Des-09 The Ai Hoa, Ny USG Abdomen 1 ft.22/12
RI.343 31-Des-09 Andi Makkasau, Tn USG Abdomen 1 ft.22/12
RI.345 31-Des-09 Jamalia, Hj.Ny USG Abdomen 1 ft.22/12
RI.347 31-Des-09 Monica, Ny USG Abdomen 1 ft.22/12
RI.352 31-Des-09 Usman, H.Tn USG Abdomen 1 ft.22/12
RI.357 31-Des-09 Susi, Nn USG Abdomen 1 ft.9/11
RI.358 31-Des-09 Musribuh, Hj.Ny USG Abdomen 1 ft.9/12
RI.363 31-Des-09 Muchtar, A.H.Tn USG Abdomen 1 ft.23/12
RI.365 31-Des-09 Jean, Nn USG Obstetri 1 ft.28/12
RI.368 31-Des-09 Abd.Rahman, H.Tn USG Abdomen 1 ft.28/12
RI.375 31-Des-09 Mahfud, A.Tn USG Abdomen 1 ft.24/12
RI.376 31-Des-09 Kadarwati, Ny USG Abdomen 1 ft.24/12
RI.377 31-Des-09 Efendi, Tn USG Abdomen 1 ft.23/12
RI.381 31-Des-09 Reski Sukmawati, Nn USG Abdomen 1 ft.29/12
RI.383 31-Des-09 Suliati, Ny USG Abdomen 1 ft.26/12
RI.393 31-Des-09 Rahmatia, Ny USG Abdomen 1 ft.30/12
RI.397 31-Des-09 Faizal Rachman, Tn USG Abdomen 1 ft.24/12
RI.398 31-Des-09 Sartim, Tn USG Abdomen 1 ft.31/12
RI.402 31-Des-09 Asiani Wagino, Ny USG Abdomen 1 Inco,7/7
RI.404 31-Des-09 Hasnah, Ny USG Abdomen 1 Inco,17/7
RI.405 31-Des-09 Nurmin Nurdin, ny USG Abdomen 1 Inco,18/7
RI.408 31-Des-09 Muh. Irvan Fatta USG Abdomen 1 B.Mandiri,11/8
RI.411 31-Des-09 Hamidah, Hj,Ny USG Abdomen 1 P.mina,28/5
RI.414 31-Des-09 Jalang, Ny USG Abdomen 1 P.mina,27/4
RI.416 31-Des-09 Djafar Sonda, H.Tn USG Abdomen 1 P.mina,29/4
RI.417 31-Des-09 Rasiah, Hj.Ny USG Abdomen 1 P.mina,19/5
RI.439 31-Des-09 Kartika Andi Gobel, Nn USG Abdomen 1 S.tonasa,14/8
RI.001 31-Des-09 Kasmin Syarief, Tn CT Kepala 1 Ft.25/11
RI.016 31-Des-09 Puang Terru,H CT Abdomen 2 ft.18/11
RI.029 31-Des-09 Muchtar Hafie CT Kepala 1 ft.29/11
RI.043 31-Des-09 Nenang, Hj CT Kepala 1 ft.28/11
RI.055 31-Des-09 Kamariah, Ny CT Abdomen U/+Ko 2 ft.5/12
RI.064 31-Des-09 Frida Yauri CT Kepala 1 ft.24/11
RI.074 31-Des-09 Aminah, St CT Thorax 2 ft.28/11
RI.075 31-Des-09 Sanusi, H.M CT Abdomen 2 ft.3/12
RI.085 31-Des-09 Junusiah, Ny CT Kepala 1 ft.7/12
RI.086 31-Des-09 Megawati, Ny CT Abdomen 3 ft.5/12
RI.103 31-Des-09 Patte, H. Tn CT Kepala 1 ft.4/12
RI.104 31-Des-09 Syamsiar, Hj.Ny CT Kepala 1 ft.9/12
RI.111 31-Des-09 Muh. Sahada, Tn CT Kepala 1 Telkom.24/8
RI.124 31-Des-09 Sri Destari, Ny CT Kepala 1 Prodia,1/9
RI.140 31-Des-09 Sri Yanti, Ny CT Kepala 1 Manulife,29/8
RI.141 31-Des-09 Afrihandy Hasanuddin CT urografin 3 Adm.Medika,12/10
RI.143 31-Des-09 Syaharuddin, Tn CT Kepala 1 PTPN,5/8
RI.150 31-Des-09 Ismail Afiq, An CT Abdomen 1 CAR,8/9
RI.151 31-Des-09 Muhammad Nur,Tn CT Kepala 1 CAR,19/10
RI.154 31-Des-09 Dg.Manompo,H.M.K,Tn CT Kepala 1 ft.1/12
RI.159 31-Des-09 Abd. Fattah, H.Tn CT Abdomen 2 ft.1/12
RI.160 31-Des-09 Tjioe Kok Lie, Tn CT Kepala 1 ft.3/12
RI.171 31-Des-09 Bahra Yusuf, Hj.Ny CT Kepala 2 ft.5/12
RI.179 31-Des-09 Yusri, Tn CT Kepala 1 ft.10/12
RI.207 31-Des-09 Rezki Mandasari, nn CT Kepala 1 Askes,6/10
RI.214 31-Des-09 Muchlis, Tn CT Kepala 1 Askes,14/9
RI.215 31-Des-09 Muchlis, Tn CT Abdomen 2 Askes,5/9
RI.233 31-Des-09 Khalil Syamsu, Tn CT Sinus 1 Askes,4/8
RI.248 31-Des-09 Carolina L.Kairupan, Ny CT Sinus 1 Askes,15/8
RI.255 31-Des-09 Halima, Ny CT Kepala 1 Askes,5/8
RI.261 31-Des-09 Tjiang Goe Siu, Ny CT Kepala 1 ft.21/10
RI.262 31-Des-09 Tjiang Goe Siu, Ny Kontras+CT Kepala 1 ft.21/10
RI.265 31-Des-09 Makmur, Tn Kontras+CT Thorax 3 ft.18/12
RI.266 31-Des-09 Ramlah, Ny CT Kepala 1 ft.3/12
RI.278 31-Des-09 Abdul Azis, A.Tn Kontras+CT Abdom 2 ft.15/11
RI.281 31-Des-09 Paleppe, Tn CT urografin 3 ft.17/12
RI.294 31-Des-09 Ardy, Nn CT Kepala 1 ft.11/12
RI.303 31-Des-09 Zainuddin, H.Tn CT Kepala 1 ft.21/12
RI.316 31-Des-09 Burhanuddin, Tn CT Kepala 1 ft.15/12
RI.321 31-Des-09 Soewito Hadisoenarto CT Kepala 1 ft.16/12
RI.328 31-Des-09 Rosida, nn CT Kepala 1 ft.22/12
RI.338 31-Des-09 Parman, Tn CT Abdomen 3 ft.15/12
RI.341 31-Des-09 The Ai Hoa, Ny CT Kepala 1 ft.24/12
RI.354 31-Des-09 Hendrik Chandra, Tn CT Kepala 1 ft.6/9
RI.355 31-Des-09 Rosnah, Ny CT Kepala 1 ft.22/12
RI.360 31-Des-09 Musribuh, Hj.Ny CT Kepala 1 ft.11/12
RI.364 31-Des-09 Didik Alief, A.An CT Kepala 1 ft.26/12
RI.367 31-Des-09 Abd.Rahman, H.Tn CT Thorax 2 ft.29/12
RI.378 31-Des-09 Kamal Machmud, tn CT Kepala 1 ft.26/12
RI.379 31-Des-09 Andreas Gunawan, Tn CT Kepala 1 ft.28/12
RI.385 31-Des-09 Remba, H.Tn CT Kepala 1 ft.24/12
RI.387 31-Des-09 Mulyadi Nursah, Tn CT Kepala 1 ft.28/12
RI.390 31-Des-09 Novita Maria, Ny CT Kepala 1 ft.29/12
RI.399 31-Des-09 Andi Rifaldi, Tn CT Kepala 1 Inco,15/5
RI.409 31-Des-09 Felly J.Tumbal, Tn CT Kepala 1 P.mina,1/6
RI.424 31-Des-09 Sarmila, Ny CT Kepala 1 Antam,4/7
RI.427 31-Des-09 Syarifuddin, Tn CT Kepala 1 S.Tonasa,3/8
RI.431 31-Des-09 Wan Afrizul, Tn CT Kepala 1 B.Mandiri,10/8
RI.438 31-Jan-10 Machdaliana, Ny CT Kepala 1 S.Tonasa,13/8
GE cito usg cito scan cito kontras anastesi dll
550,000 110,000
200,000
200,000
200,000
200,000
200,000
800,000
200,000
200,000 40,000
200,000 40,000
200,000 40,000
550,000 110,000
200,000
200,000
200,000
550,000
200,000
200,000
200,000
850,000 50,000
200,000
200,000
550,000 110,000
200,000 40,000
550,000 110,000
550,000 110,000
200,000
750,000
800,000
200,000
400,000 90,000
200,000
180,000
550,000 110,000
900,000
200,000
200,000
550,000 110,000
550,000 110,000
200,000
200,000
550,000
550,000 110,000
200,000
200,000
550,000 110,000
200,000
200,000
200,000
550,000 110,000
300,000
200,000
200,000
200,000
550,000
950,000 50,000
300,000
550,000 110,000
400,000
200,000
600,000
550,000
325,000
200,000
400,000 90,000
800,000
550,000
300,000 30,000
200,000
200,000 40,000
200,000
800,000
200,000 40,000
550,000 110,000
550,000 110,000
550,000
175,000
200,000
600,000
200,000
200,000 40,000
300,000
400,000 40,000
200,000
300,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
550,000 110,000
200,000
550,000
800,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
550,000
200,000
200,000
200,000
200,000
550,000
550,000
175,000
300,000
400,000
550,000
550,000 110,000
200,000
950,000 50,000
550,000 110,000
200,000
200,000
200,000
200,000
850,000 50,000
300,000
1,150,000 50,000
200,000
200,000
200,000 40,000
200,000 40,000
200,000
550,000
200,000
200,000
200,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
200,000
200,000
200,000 40,000
300,000
550,000 110,000
200,000 40,000
550,000
200,000
200,000
550,000
200,000 40,000
200,000
200,000 40,000
1,150,000 50,000
300,000
550,000
200,000 40,000
200,000
200,000
200,000
500,000
550,000 110,000
200,000
300,000
550,000
200,000
550,000 110,000
175,000
750,000
200,000 40,000
200,000
200,000
200,000
550,000 110,000
550,000 110,000
200,000
200,000
200,000
550,000 110,000
550,000
400,000 30,000
550,000
200,000 40,000
200,000
200,000 40,000
550,000 110,000
200,000 40,000
200,000 40,000
200,000
300,000
500,000
175,000
175,000
175,000
175,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
200,000 40,000
2,400,000 240,000 26,280,000 840,000 41,725,000 3,300,000 300,000 0 0
0
400,000 90,000
400,000 90,000
300,000 30,000
600,000
300,000
400,000 30,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000 40,000
200,000 40,000
200,000 40,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000 40,000
200,000
200,000
200,000
180,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
300,000
200,000
200,000
200,000
300,000
400,000
200,000
200,000
200,000
200,000 40,000
200,000
200,000 40,000
175,000
200,000
200,000
200,000 40,000
400,000 40,000
200,000
300,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
300,000
400,000
200,000
200,000
200,000
200,000
200,000
300,000
200,000
200,000
200,000 40,000
200,000 40,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000 40,000
300,000
200,000 40,000
200,000
200,000
200,000 40,000
200,000
200,000 40,000
300,000
200,000 40,000
200,000
200,000
200,000
200,000
300,000
200,000
175,000
200,000 40,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000 40,000
200,000
200,000 40,000
200,000 40,000
200,000 40,000
200,000
300,000
175,000
175,000
175,000
175,000
200,000 40,000
550,000 110,000
800,000
550,000 110,000
550,000
850,000 50,000
550,000 110,000
550,000 110,000
550,000 110,000
750,000
800,000
550,000 110,000
900,000
550,000 110,000
550,000 110,000
550,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
950,000 50,000
550,000 110,000
600,000
550,000
325,000
800,000
550,000
800,000
550,000 110,000
550,000 110,000
550,000
550,000 110,000
550,000
800,000
550,000
550,000
550,000
550,000
550,000 110,000
950,000 50,000
550,000 110,000
850,000 50,000
1,150,000 50,000
550,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
550,000 110,000
550,000
550,000
1,150,000 50,000
550,000
500,000
550,000 110,000
550,000
550,000 110,000
750,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
550,000
550,000 110,000
500,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
total
660,000
1,700,000
200,000
100,000
200,000
100,000
345,000
200,000
100,000
100,000
200,000
130,000
130,000
130,000
200,000
800,000
230,000
100,000
200,000
520,000
100,000
240,000
130,000
150,000
130,000
240,000
240,000
130,000
660,000
100,000
200,000
620,000
130,000
130,000
200,000
100,000
130,000
130,000
200,000
100,000
130,000
150,000
550,000
130,000
100,000
200,000
130,000
100,000
200,000
130,000
100,000
100,000
100,000
200,000
900,000
130,000
130,000
295,000
800,000
200,000
200,000
100,000
130,000
660,000
240,000
260,000
130,000
700,000
260,000
660,000
660,000
230,000
200,000
750,000
800,000
100,000
200,000
100,000
295,000
490,000
200,000
130,000
90,000
180,000
660,000
900,000
200,000
130,000
100,000
200,000
130,000
660,000
660,000
130,000
200,000
250,000
200,000
100,000
295,000
100,000
130,000
100,000
550,000
660,000
100,000
100,000
200,000
100,000
200,000
200,000
660,000
100,000
200,000
100,000
100,000
100,000
230,000
1,000,000
200,000
100,000
100,000
200,000
100,000
660,000
100,000
100,000
885,000
100,000
300,000
130,000
230,000
200,000
100,000
200,000
100,000
100,000
200,000
100,000
100,000
550,000
1,000,000
300,000
660,000
130,000
100,000
400,000
260,000
100,000
200,000
600,000
550,000
130,000
50,000
325,000
100,000
200,000
130,000
490,000
800,000
550,000
130,000
330,000
200,000
260,000
240,000
150,000
100,000
325,000
200,000
100,000
800,000
240,000
130,000
295,000
260,000
660,000
660,000
100,000
550,000
75,000
175,000
100,000
200,000
600,000
200,000
100,000
130,000
240,000
130,000
300,000
230,000
440,000
200,000
300,000
130,000
100,000
200,000
200,000
200,000
100,000
200,000
100,000
200,000
200,000
175,000
660,000
100,000
100,000
200,000
100,000
200,000
100,000
550,000
800,000
200,000
100,000
200,000
200,000
1,115,000
100,000
900,000
100,000
200,000
100,000
200,000
200,000
150,000
100,000
200,000
100,000
200,000
550,000
100,000
100,000
250,000
200,000
100,000
100,000
100,000
100,000
100,000
200,000
200,000
200,000
200,000
100,000
550,000
250,000
100,000
100,000
100,000
900,000
350,000
550,000
175,000
100,000
300,000
400,000
200,000
550,000
660,000
130,000
200,000
1,000,000
660,000
100,000
200,000
100,000
100,000
200,000
100,000
130,000
100,000
100,000
200,000
200,000
900,000
200,000
300,000
1,200,000
200,000
100,000
200,000
130,000
240,000
130,000
240,000
195,000
295,000
230,000
100,000
200,000
550,000
520,000
200,000
100,000
395,000
100,000
200,000
100,000
200,000
660,000
330,000
230,000
660,000
660,000
550,000
100,000
550,000
200,000
100,000
200,000
240,000
300,000
660,000
250,000
100,000
130,000
240,000
550,000
100,000
100,000
150,000
200,000
200,000
100,000
550,000
240,000
100,000
100,000
100,000
200,000
260,000
240,000
250,000
100,000
1,200,000
300,000
250,000
550,000
130,000
240,000
100,000
200,000
100,000
200,000
360,000
100,000
130,000
130,000
200,000
475,000
500,000
660,000
900,000
200,000
300,000
100,000
550,000
130,000
100,000
200,000
660,000
175,000
100,000
750,000
240,000
100,000
260,000
130,000
130,000
100,000
100,000
200,000
200,000
200,000
660,000
660,000
200,000
200,000
100,000
200,000
130,000
660,000
130,000
550,000
430,000
895,000
550,000
130,000
130,000
240,000
100,000
130,000
200,000
200,000
240,000
660,000
430,000
330,000
240,000
1,030,000
240,000
200,000
100,000
100,000
300,000
500,000
100,000
175,000
150,000
75,000
175,000
150,000
175,000
175,000
75,000
100,000
100,000
75,000
100,000
250,000
660,000
130,000
445,000
660,000
130,000
130,000
100,000
660,000
195,000
150,000
100,000
260,000
130,000
120,000
550,000
240,000
130,000
195,000
150,000
195,000
100,000
0
0
120,900,000
1,700,000
100,000
100,000
345,000
100,000
100,000
130,000
130,000
130,000
230,000
100,000
520,000
100,000
130,000
150,000
130,000
130,000
100,000
620,000
130,000
130,000
100,000
130,000
130,000
100,000
130,000
150,000
130,000
100,000
130,000
100,000
130,000
100,000
100,000
100,000
130,000
130,000
295,000
800,000
100,000
130,000
260,000
130,000
700,000
260,000
230,000
100,000
100,000
295,000
130,000
90,000
130,000
100,000
130,000
130,000
250,000
100,000
295,000
100,000
130,000
100,000
100,000
100,000
100,000
200,000
100,000
100,000
100,000
100,000
230,000
1,000,000
100,000
100,000
100,000
100,000
100,000
885,000
100,000
130,000
230,000
100,000
100,000
100,000
100,000
100,000
130,000
100,000
260,000
100,000
130,000
50,000
100,000
130,000
130,000
260,000
150,000
100,000
325,000
100,000
130,000
295,000
260,000
100,000
75,000
100,000
100,000
130,000
130,000
230,000
130,000
100,000
100,000
100,000
100,000
100,000
200,000
100,000
100,000
100,000
1,115,000
100,000
900,000
100,000
100,000
150,000
100,000
100,000
100,000
100,000
250,000
100,000
100,000
100,000
100,000
100,000
200,000
100,000
250,000
100,000
100,000
100,000
900,000
350,000
100,000
200,000
130,000
100,000
100,000
100,000
100,000
130,000
100,000
100,000
200,000
100,000
130,000
130,000
195,000
295,000
230,000
100,000
520,000
100,000
395,000
100,000
100,000
330,000
230,000
100,000
550,000
100,000
250,000
100,000
130,000
100,000
100,000
150,000
100,000
100,000
100,000
100,000
260,000
250,000
100,000
250,000
130,000
100,000
100,000
360,000
100,000
130,000
130,000
475,000
900,000
100,000
130,000
100,000
100,000
100,000
260,000
130,000
130,000
100,000
100,000
100,000
130,000
130,000
895,000
130,000
130,000
100,000
130,000
200,000
430,000
330,000
1,030,000
100,000
100,000
100,000
150,000
75,000
150,000
75,000
100,000
100,000
75,000
100,000
250,000
130,000
445,000
130,000
130,000
100,000
195,000
150,000
100,000
260,000
130,000
120,000
130,000
195,000
150,000
195,000
100,000
490,000
490,000
330,000
600,000
300,000
430,000
200,000
200,000
200,000
200,000
200,000
200,000
240,000
240,000
240,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
240,000
200,000
200,000
200,000
180,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
300,000
200,000
200,000
200,000
300,000
400,000
200,000
200,000
200,000
240,000
200,000
240,000
175,000
200,000
200,000
240,000
440,000
200,000
300,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
300,000
400,000
200,000
200,000
200,000
200,000
200,000
300,000
200,000
200,000
240,000
240,000
200,000
200,000
200,000
200,000
200,000
200,000
240,000
300,000
240,000
200,000
200,000
240,000
200,000
240,000
300,000
240,000
200,000
200,000
200,000
200,000
300,000
200,000
175,000
240,000
200,000
200,000
200,000
200,000
200,000
200,000
240,000
200,000
240,000
240,000
240,000
200,000
300,000
175,000
175,000
175,000
175,000
240,000
660,000
800,000
660,000
550,000
900,000
660,000
660,000
660,000
750,000
800,000
660,000
900,000
660,000
660,000
550,000
660,000
660,000
660,000
550,000
1,000,000
660,000
600,000
550,000
325,000
800,000
550,000
800,000
660,000
660,000
550,000
660,000
550,000
800,000
550,000
550,000
550,000
550,000
660,000
1,000,000
660,000
900,000
1,200,000
550,000
660,000
660,000
660,000
550,000
660,000
550,000
550,000
1,200,000
550,000
500,000
660,000
550,000
660,000
750,000
660,000
660,000
660,000
550,000
550,000
660,000
500,000
660,000
660,000
660,000
550,000
Nomor Tanggal nama pend periksa jml KET radio cito
RJ.001 31-Des-09 Miswar Amir, Tn Thorax 1 ft.25/8 100,000 30,000

RJ.002 31-Des-09 Silmy Aulia Kepala 2 S.Bosowa, 150,000 45,000
RJ.003 31-Des-09 Silmy Aulia CT Kepala 1 S.Bosowa,7/4
RJ.004 31-Des-09 Abd. Hamid Thorax 1 S.bosowa,2 100,000
RJ.005 31-Des-09 Heriati, Ny Genu + Thorax 3 S.Bosowa, 250,000
RJ.006 31-Des-09 Heriati, Ny USG Abdomen 1 S.Bosowa,20/5
RJ.007 31-Des-09 Muh. Saleh Thorax 1 S.Bosowa, 100,000
RJ.008 31-Des-09 Muh. Saleh USG Abdomen 1 S.Bosowa,6/5
RJ.009 31-Des-09 Arif Tahir, M.Ir Thorax 1 S.Bosowa, 100,000
RJ.010 31-Des-09 Supianty, Ny Thorax 1 S.Bosowa, 100,000
RJ.011 31-Des-09 Sri Sumiati, Ny Thorax 1 S.Bosowa, 100,000
RJ.012 31-Des-09 Syamsul Rijal, Ny Cervical 2 S.Bosowa, 150,000
RJ.013 31-Des-09 Muliana, Ny USG Obstetri 1 S.Bosowa,7/5
RJ.014 31-Des-09 Arif Tahir, M.Ir USG Abdomen 1 S.Bosowa,23/5
RJ.015 31-Des-09 Agustina, Ny USG Obstetri 1 S.Bosowa,3/6
RJ.016 31-Des-09 Nurfadillah, A Thorax 1 S.Bosowa, 100,000
RJ.017 31-Des-09 Agustina, Ny HSG 5 S.Bosowa, 450,000
RJ.018 31-Des-09 Jalaluddin, Tn Thorax 1 S.Bosowa, 100,000
RJ.019 31-Des-09 Jalaluddin, Tn CT Sinus 1 S.Bosowa,25/6
RJ.020 31-Des-09 Arifin, M.Tn Thorax 1 S.Bosowa, 100,000
RJ.021 31-Des-09 Arifin, M.Tn USG Abdomen 1 S.Bosowa,6/5
RJ.022 31-Des-09 Jamaluddin, Tn USG Abdomen 1 S.Bosowa,2/6
RJ.023 31-Des-09 Idris, Tn USG Abdomen 1 S.Bosowa,12/6
RJ.024 31-Des-09 Hamka, Tn USG Abdomen 1 S.Bosowa,4/5
RJ.025 31-Des-09 Muliani, Ny USG Pelvis 1 S.Bosowa,24/6
RJ.026 31-Des-09 Abd. Khair, Tn Thorax 1 S.Bosowa, 100,000
RJ.027 31-Des-09 Basri, Tn Thorax 1 S.Bosowa, 100,000
RJ.028 31-Des-09 Rosma, Ny Thorax 1 S.Bosowa, 100,000
RJ.029 31-Des-09 Muh. Taufik, An Thorax 1 S.Bosowa, 100,000
RJ.030 31-Des-09 Bachtiar Mansyur,Tn Lumbu Sacral 2 Tamaco,14 150,000
RJ.031 31-Des-09 Bachtiar Mansyur,Tn USG Abdomen 1 Tamaco,14/8
RJ.032 31-Des-09 Anwar Bagenda, Tn Lumbu Sacral 1 Tamaco,5/ 150,000
RJ.033 31-Des-09 Anwar Bagenda, Tn USG Abdomen 1 Tamaco,5/8
RJ.034 31-Des-09 Adrianus, Tn Cervical Syndrom 4 SOS,8/6 300,000
RJ.035 31-Des-09 Mutmain, Tn CT Kepala 1 Inco,28/8
RJ.036 31-Des-09 Tandi Daniel L Sacral + Thoracol 4 P.mina,11/ 300,000
RJ.037 31-Des-09 Abd. Gaffar Thalib,T USG Abdomen 1 P.mina,10/6
RJ.038 31-Des-09 Saripa Fatima, Ny Colon Inloop+Thora 6 S.Tonasa,2 600,000
RJ.039 31-Des-09 Rosa Hardiman, Ny CT Kepala 1 S.Tonasa,16/9
RJ.040 31-Des-09 Asrijal Syamsuddin Anteb + Manus 2 KTC,19/8 150,000
RJ.041 31-Des-09 Sukriadi, Tn Kaki 2 KTC,21/6 150,000
RJ.042 31-Des-09 Abd. Waris Basolle USG Abdomen 1 PLN,18/7
RJ.043 31-Des-09 Amin, M.Ny Thorax 1 PLN,21/8 100,000
RJ.044 31-Des-09 Amin, M.Ny USG Tyroid 1 PLN,22/8
RJ.045 31-Des-09 Amin, M.Ny CT Toraks 2 PLN,21/8
RJ.046 31-Des-09 Duharman, Tn Lutut 2 PLN,27/8 150,000
RJ.047 31-Des-09 Marwiah, St.Ny Thorax 1 PLN,4/8 100,000
RJ.048 31-Des-09 Bunawardi Hade, Tn Thorax 1 Askes,2/10 100,000
RJ.049 31-Des-09 Fatmawati, Ny Thorax 1 Askes,3/10 100,000
RJ.050 31-Des-09 Anisa Satria, Ny Thorax 1 Askes,7/10 100,000
RJ.051 31-Des-09 Fatmawati, Ny USG Abdomen 1 Askes,3/10
RJ.052 31-Des-09 Soni Indarto, Tn Thorax 1 Askes,9/10 100,000
RJ.053 31-Des-09 Sirajuddin, Tn BNO 1 Askes,10/1 100,000
RJ.054 31-Des-09 Herlina CT Kepala 1 Askes,14/10
RJ.055 31-Des-09 Suleha Laside, Ny Thorax 1 Askes,23/1 100,000
RJ.056 31-Des-09 Hasliani, Ny Thorax 1 Askes,27/1 100,000
RJ.057 31-Des-09 Rizki Eka Wiratama Thorax 1 Askes,29/1 100,000
RJ.058 31-Des-09 Mardiana, Ny Thorax 1 Askes,29/1 100,000
RJ.059 31-Des-09 Mardiana, Ny USG Abdomen 1 Askes,29/10
RJ.060 31-Des-09 Nasmawati, Nn Thorax 1 Askes,1/7 100,000
RJ.061 31-Des-09 Yusliani Yunus, Ny Thorax 1 Askes,1/7 100,000
RJ.062 31-Des-09 Mapparessa, Tn Thorax 1 Askes,1/7 100,000
RJ.063 31-Des-09 Dahlan, Tn Thorax 1 Askes,1/7 100,000
RJ.064 31-Des-09 Musdar Rivai, Tn USG Tyroid 1 Askes,1/7
RJ.065 31-Des-09 Nur Hasnani, Nn Thorax 1 Askes,1/7 100,000
RJ.066 31-Des-09 Jumriah, Ny Thorax 1 Askes,2/7 100,000
RJ.067 31-Des-09 Syamsiah, Ny USG Pelvis 1 Askes,2/7
RJ.068 31-Des-09 Anie Anike Nara, Ny Thorax 1 Askes,2/7 100,000
RJ.069 31-Des-09 Purnamayanti, Ny Thorax 1 Askes,3/7 100,000
RJ.070 31-Des-09 Purnamayanti, Ny CT Abdomen 1 Askes,3/7
RJ.071 31-Des-09 Santriani Amin, Ny USG Pelvis 1 Askes,3/7
RJ.072 31-Des-09 Firman Syahal, Tn Thorax 1 Askes,3/7 100,000
RJ.073 31-Des-09 Abd. Halik, Tn Thorax 1 Askes,6/7 100,000
RJ.074 31-Des-09 Andi Hasliani, Ny Thorax 1 Askes,6/7 100,000
RJ.075 31-Des-09 Rina Riskiana, Ny Thorax 1 Askes,6/7 100,000
RJ.076 31-Des-09 Hakim Rahim, Tn Thorax 1 Askes,7/7 100,000
RJ.077 31-Des-09 Arel Gaurilla, An Lengan atas 2 Askes,7/7 150,000
RJ.078 31-Des-09 Bardan, Tn Thorax 1 Askes,7/7 100,000
RJ.079 31-Des-09 Hakim Rahim, Tn CT Kepala 1 Askes,7/7
RJ.080 31-Des-09 Marlina Abu, Ny USG Pelvis 1 Askes,9/7
RJ.081 31-Des-09 Arni Agusaputra, Nn Sinus PN 3 Askes,9/7 200,000
RJ.082 31-Des-09 Pariaman Sinaga, TnThorax 1 Askes,9/7 100,000
RJ.083 31-Des-09 Rismala Hasan, Nn Thorax 1 Askes,9/7 100,000
RJ.084 31-Des-09 Eddy Latumahina, T Thorax 1 Askes,10/7 100,000
RJ.085 31-Des-09 Wafirah, Ny USG Pelvis 1 Askes,10/7
RJ.086 31-Des-09 Azhar, Tn Thorax 1 Askes,10/7 100,000
RJ.087 31-Des-09 Septiana Adiska Thorax 1 Askes,11/7 100,000
RJ.088 31-Des-09 Muh. Safri, AS.Tn USG Abdomen 1 Askes,11/7
RJ.089 31-Des-09 Syarifuddin, Tn Thorax 1 Askes,11/7 100,000
RJ.090 31-Des-09 Machmuddin Tuwo USG Abdomen 1 Askes,11/7
RJ.091 31-Des-09 Atikah, St.Ny Thorax 1 Askes,13/7 100,000
RJ.092 31-Des-09 Dewi Purwanti, Ny Thorax 1 Askes,13/7 100,000
RJ.093 31-Des-09 Suwardi, Tn Manus 2 Askes,13/7 150,000
RJ.094 31-Des-09 Kumalasari, A.Tn Thorax 1 Askes,14/7 100,000
RJ.095 31-Des-09 Marhaeni, Ny Thorax 1 Askes,15/7 100,000
RJ.096 31-Des-09 Marhaeni, Ny USG Abdomen 1 Askes,15/7
RJ.097 31-Des-09 Chok Sudiarti, Tn Thorax 1 Askes,15/7 100,000
RJ.098 31-Des-09 Iskandar Elyas, Tn Thorax 1 Askes,15/7 100,000
RJ.099 31-Des-09 Irvan Asyari, Tn Thorax 1 Askes,15/7 100,000
RJ.100 31-Des-09 Irwan Daud, Tn Thorax 1 Askes,16/7 100,000
RJ.101 31-Des-09 Sanrah F.Putri Thorax 1 Askes,17/7 100,000
RJ.102 31-Des-09 Wahyuni USG Abdomen 1 Askes,18/7
RJ.103 31-Des-09 Idris Ichsan Ramadh Thorax 1 Askes,18/7 100,000
RJ.104 31-Des-09 Muh. Basri, Tn USG Abdomen 1 Askes,18/7
RJ.105 31-Des-09 Martang, Ny USG Pelvis 1 Askes,18/7
RJ.106 31-Des-09 Nurnia, Ny Femur + Anteb 4 Askes,20/7 300,000
RJ.107 31-Des-09 Muliana, Ny Thorax 1 Askes,21/7 100,000
RJ.108 31-Des-09 Darmawati, Ny Thorax 1 Askes,22/7 100,000
RJ.109 31-Des-09 Darmawati, Ny CT Sinus 1 Askes,22/7
RJ.110 31-Des-09 Siti Suleha, Ny USG Pelvis 1 Askes,23/7
RJ.111 31-Des-09 Darnisah, Ny USG Pelvis 1 Askes,24/7
RJ.112 31-Des-09 Agustina, Ny Thorax 1 Askes,27/7 100,000
RJ.113 31-Des-09 Agustina, Ny CT Abdomen 2 Askes,27/7
RJ.114 31-Des-09 Robby Tan, Tn Thorax 1 Askes,27/7 100,000
RJ.115 31-Des-09 Robertus Tri, Tn Thorax 1 Askes,27/7 100,000
RJ.116 31-Des-09 Robertus Tri, Tn CT Sinus 1 Askes,27/7
RJ.117 31-Des-09 Rizal Ramli, Tn USG Abdomen 1 Askes,28/7
RJ.118 31-Des-09 Marlina Mashud, Tn USG Pelvis 1 Askes,28/7
RJ.119 31-Des-09 Andi Elling Sabita Wrist Joint 2 Askes,28/7 150,000
RJ.120 31-Des-09 Much. Rezaldy, An Manus 2 Askes,28/7 150,000
RJ.121 31-Des-09 Nurida, Ny Thorax 1 Askes,29/7 100,000
RJ.122 31-Des-09 Efransyah, Tn USG Abdomen 1 Askes,29/7
RJ.123 31-Des-09 Soraya, Ny Thorax 1 Askes,29/7 100,000
RJ.124 31-Des-09 Krisna Lamba, Tn Thorax 1 Askes,30/7 100,000
RJ.125 31-Des-09 Syamsinar Sampe Thorax 1 Askes,30/7 100,000
RJ.126 31-Des-09 Syamsinar Sampe CT Sinus 1 Askes,30/7
RJ.127 31-Des-09 Widyawati, Ny Thorax 1 Askes,30/7 100,000
RJ.129 31-Des-09 Ani, Ny Thorax 1 Askes,1/8 100,000
RJ.130 31-Des-09 Ani, Ny USG Abdomen 1 Askes,1/8
RJ.131 31-Des-09 Reyhan Putri, Nn Thorax 1 Askes,5/8 100,000
RJ.132 31-Des-09 Reyhan Putri, Nn CT Kepala 1 Askes,5/8
RJ.133 31-Des-09 Sirajuddin, Tn USG Abdomen 1 Askes,5/8
RJ.134 31-Des-09 Maryanti, Ny USG Pelvis 1 Askes,5/8
RJ.135 31-Des-09 Hamdana Hafid, Ny USG Pelvis 1 Askes,5/8
RJ.136 31-Des-09 Juadi Mustihar, Tn Thorax 1 Askes,6/8 100,000
RJ.137 31-Des-09 Matheus P, Tn BNO 1 Askes,8/8 100,000
RJ.138 31-Des-09 Rita Yanti, Ny USG Abdomen 1 Askes,8/8
RJ.140 31-Des-09 Rusdi, Tn Cervical Syndrom 4 Askes,8/8 300,000
RJ.141 31-Des-09 Nismawati, A.Ny Panggul+Cervical 3 Askes,10/8 250,000
RJ.142 31-Des-09 Tris Alfa Thorax 1 Askes,11/8 100,000
RJ.143 31-Des-09 Jufriadi, Tn Thorax 1 Askes,11/8 100,000
RJ.144 31-Des-09 Ni'man, Tn USG Abdomen 1 Askes,12/8
RJ.145 31-Des-09 Matheus P, Tn USG Abdomen 1 Askes,12/8
RJ.146 31-Des-09 Jufriadi, Tn Sinus PN 3 Askes,12/8 200,000
RJ.147 31-Des-09 Novariska, ny USG Abdomen 1 Askes,12/8
RJ.148 31-Des-09 Nur Naila Aqilah, An Thorax 1 Askes,14/8 100,000
RJ.149 31-Des-09 Muzakkir, Tn USG Abdomen 1 Askes,15/8
RJ.151 31-Des-09 Hikma, Ny USG Pelvis 1 Askes,16/8
RJ.152 31-Des-09 Adie Wisnu, An Thorax 1 Askes,18/8 100,000
RJ.153 31-Des-09 Nurida, Ny USG Abdomen 1 Askes,19/8
RJ.154 31-Des-09 Rahmawati, Ny USG Pelvis 1 Askes,19/8
RJ.156 31-Des-09 Saidah, St.Ny USG Pelvis 1 Askes,21/8
RJ.157 31-Des-09 Wahidah, Ny Thorax 1 Askes,22/8 100,000
RJ.158 31-Des-09 Khadijah, Ny USG Leher 1 Askes,22/8
RJ.159 31-Des-09 Dina Bontong, Ny Thorax 1 Askes,22/8 100,000
RJ.160 31-Des-09 Dina Bontong, Ny USG Abdomen 1 Askes,22/8
RJ.161 31-Des-09 Lilik Wulandari, Ny USG Abdomen 1 Askes,22/8
RJ.162 31-Des-09 Amran Nur Dody, Tn Thorax 1 Askes,24/8 100,000
RJ.163 31-Des-09 Hadi Prayoga, M.Tn USG Abdomen 1 Askes,25/8
RJ.164 31-Des-09 Nurhayah Yunus, Ny Pelvis Ap.Lat 2 Askes,26/8 150,000
RJ.165 31-Des-09 Musdar Rivai, Tn Thorax 1 Askes,26/8 100,000
RJ.166 31-Des-09 Khadijah, Ny Thorax 1 Askes,26/8 100,000
RJ.168 31-Des-09 Djemi Djafri, Ny L Sacral + Pelvis 3 Askes,29/8 250,000
RJ.169 31-Des-09 Rahmi, Ny Thorax 1 Askes,29/8 100,000
RJ.170 31-Des-09 Nurdiana, Ny Thorax 1 Askes,31/8 100,000
RJ.171 31-Des-09 Hans Hendrik, Tn Thorax 1 Askes,31/8 100,000
RJ.172 31-Des-09 Bungaisa Thorax 1 Askes,12/8 100,000
RJ.173 31-Des-09 Isa Ansari, Tn USG Abdomen 1 Askes,2/9
RJ.174 31-Des-09 Kemal Yanto, Tn Thorax 1 Askes,2/9 100,000
RJ.175 31-Des-09 Sulaiman, Tn USG Abdomen 1 Askes,2/9
RJ.176 31-Des-09 Tiar Arisandy, Tn Pelvis Ap.Lat 1 Askes,5/9 100,000
RJ.177 31-Des-09 Sitti Tang, Ny USG Abdomen 1 Askes,8/9
RJ.178 31-Des-09 Mahsuri Jamise, Tn Thorax 1 Askes,8/9 100,000
RJ.179 31-Des-09 Nurnia, Ny Femur 2 Askes,9/9 150,000
RJ.180 31-Des-09 Nurhayati, Ny USG Pelvis 1 Askes,10/9
RJ.181 31-Des-09 Tjiang Arifin, Tn Pelvis + L Sacral 4 Askes,10/9 300,000
RJ.182 31-Des-09 Sitti Tang, Ny USG Gluleus 1 Askes,11/9
RJ.183 31-Des-09 Firman Batari, Tn Lumbu Sacral 2 Askes,11/9 150,000
RJ.184 31-Des-09 Sitti Tang, Ny Thorax 1 Askes,14/9 100,000
RJ.186 31-Des-09 Abbas, Tn Thorax 1 Askes,27/9 100,000 30,000
RJ.187 31-Des-09 Robby Tan, Tn Clavicula 1 Askes,28/9 100,000
RJ.188 31-Des-09 Sri Arianti, Ny Thorax 1 Askes,29/9 100,000
RJ.189 31-Des-09 Ratriana USG Abdomen 1 Askes,30/9
RJ.190 31-Des-09 Suwedi Hanafi, Tn USG Abdomen 1 Askes,30/9
14,900,000 105,000
RJ.001 31-Des-09 Miswar Amir, Tn Thorax 1 ft.25/8 100,000 30,000

RJ.002 31-Des-09 Silmy Aulia Kepala 2 S.Bosowa, 150,000 45,000
RJ.004 31-Des-09 Abd. Hamid Thorax 1 S.bosowa,2 100,000
RJ.005 31-Des-09 Heriati, Ny Genu + Thorax 3 S.Bosowa, 250,000
RJ.007 31-Des-09 Muh. Saleh Thorax 1 S.Bosowa, 100,000
RJ.009 31-Des-09 Arif Tahir, M.Ir Thorax 1 S.Bosowa, 100,000
RJ.010 31-Des-09 Supianty, Ny Thorax 1 S.Bosowa, 100,000
RJ.011 31-Des-09 Sri Sumiati, Ny Thorax 1 S.Bosowa, 100,000
RJ.012 31-Des-09 Syamsul Rijal, Ny Cervical 2 S.Bosowa, 150,000
RJ.016 31-Des-09 Nurfadillah, A Thorax 1 S.Bosowa, 100,000
RJ.017 31-Des-09 Agustina, Ny HSG 5 S.Bosowa, 450,000
RJ.018 31-Des-09 Jalaluddin, Tn Thorax 1 S.Bosowa, 100,000
RJ.020 31-Des-09 Arifin, M.Tn Thorax 1 S.Bosowa, 100,000
RJ.026 31-Des-09 Abd. Khair, Tn Thorax 1 S.Bosowa, 100,000
RJ.027 31-Des-09 Basri, Tn Thorax 1 S.Bosowa, 100,000
RJ.028 31-Des-09 Rosma, Ny Thorax 1 S.Bosowa, 100,000
RJ.029 31-Des-09 Muh. Taufik, An Thorax 1 S.Bosowa, 100,000
RJ.030 31-Des-09 Bachtiar Mansyur,Tn Lumbu Sacral 2 Tamaco,14 150,000
RJ.032 31-Des-09 Anwar Bagenda, Tn Lumbu Sacral 1 Tamaco,5/ 150,000
RJ.034 31-Des-09 Adrianus, Tn Cervical Syndrom 4 SOS,8/6 300,000
RJ.036 31-Des-09 Tandi Daniel L Sacral + Thoracol 4 P.mina,11/ 300,000
RJ.038 31-Des-09 Saripa Fatima, Ny Colon Inloop+Thora 6 S.Tonasa,2 600,000
RJ.040 31-Des-09 Asrijal Syamsuddin Anteb + Manus 2 KTC,19/8 150,000
RJ.041 31-Des-09 Sukriadi, Tn Kaki 2 KTC,21/6 150,000
RJ.043 31-Des-09 Amin, M.Ny Thorax 1 PLN,21/8 100,000
RJ.046 31-Des-09 Duharman, Tn Lutut 2 PLN,27/8 150,000
RJ.047 31-Des-09 Marwiah, St.Ny Thorax 1 PLN,4/8 100,000
RJ.048 31-Des-09 Bunawardi Hade, Tn Thorax 1 Askes,2/10 100,000
RJ.049 31-Des-09 Fatmawati, Ny Thorax 1 Askes,3/10 100,000
RJ.050 31-Des-09 Anisa Satria, Ny Thorax 1 Askes,7/10 100,000
RJ.052 31-Des-09 Soni Indarto, Tn Thorax 1 Askes,9/10 100,000
RJ.053 31-Des-09 Sirajuddin, Tn BNO 1 Askes,10/1 100,000
RJ.055 31-Des-09 Suleha Laside, Ny Thorax 1 Askes,23/1 100,000
RJ.056 31-Des-09 Hasliani, Ny Thorax 1 Askes,27/1 100,000
RJ.057 31-Des-09 Rizki Eka Wiratama Thorax 1 Askes,29/1 100,000
RJ.058 31-Des-09 Mardiana, Ny Thorax 1 Askes,29/1 100,000
RJ.060 31-Des-09 Nasmawati, Nn Thorax 1 Askes,1/7 100,000
RJ.061 31-Des-09 Yusliani Yunus, Ny Thorax 1 Askes,1/7 100,000
RJ.062 31-Des-09 Mapparessa, Tn Thorax 1 Askes,1/7 100,000
RJ.063 31-Des-09 Dahlan, Tn Thorax 1 Askes,1/7 100,000
RJ.065 31-Des-09 Nur Hasnani, Nn Thorax 1 Askes,1/7 100,000
RJ.066 31-Des-09 Jumriah, Ny Thorax 1 Askes,2/7 100,000
RJ.068 31-Des-09 Anie Anike Nara, Ny Thorax 1 Askes,2/7 100,000
RJ.069 31-Des-09 Purnamayanti, Ny Thorax 1 Askes,3/7 100,000
RJ.072 31-Des-09 Firman Syahal, Tn Thorax 1 Askes,3/7 100,000
RJ.073 31-Des-09 Abd. Halik, Tn Thorax 1 Askes,6/7 100,000
RJ.074 31-Des-09 Andi Hasliani, Ny Thorax 1 Askes,6/7 100,000
RJ.075 31-Des-09 Rina Riskiana, Ny Thorax 1 Askes,6/7 100,000
RJ.076 31-Des-09 Hakim Rahim, Tn Thorax 1 Askes,7/7 100,000
RJ.077 31-Des-09 Arel Gaurilla, An Lengan atas 2 Askes,7/7 150,000
RJ.078 31-Des-09 Bardan, Tn Thorax 1 Askes,7/7 100,000
RJ.081 31-Des-09 Arni Agusaputra, Nn Sinus PN 3 Askes,9/7 200,000
RJ.082 31-Des-09 Pariaman Sinaga, TnThorax 1 Askes,9/7 100,000
RJ.083 31-Des-09 Rismala Hasan, Nn Thorax 1 Askes,9/7 100,000
RJ.084 31-Des-09 Eddy Latumahina, T Thorax 1 Askes,10/7 100,000
RJ.086 31-Des-09 Azhar, Tn Thorax 1 Askes,10/7 100,000
RJ.087 31-Des-09 Septiana Adiska Thorax 1 Askes,11/7 100,000
RJ.091 31-Des-09 Atikah, St.Ny Thorax 1 Askes,13/7 100,000
RJ.092 31-Des-09 Dewi Purwanti, Ny Thorax 1 Askes,13/7 100,000
RJ.093 31-Des-09 Suwardi, Tn Manus 2 Askes,13/7 150,000
RJ.094 31-Des-09 Kumalasari, A.Tn Thorax 1 Askes,14/7 100,000
RJ.095 31-Des-09 Marhaeni, Ny Thorax 1 Askes,15/7 100,000
RJ.097 31-Des-09 Chok Sudiarti, Tn Thorax 1 Askes,15/7 100,000
RJ.098 31-Des-09 Iskandar Elyas, Tn Thorax 1 Askes,15/7 100,000
RJ.099 31-Des-09 Irvan Asyari, Tn Thorax 1 Askes,15/7 100,000
RJ.100 31-Des-09 Irwan Daud, Tn Thorax 1 Askes,16/7 100,000
RJ.101 31-Des-09 Sanrah F.Putri Thorax 1 Askes,17/7 100,000
RJ.103 31-Des-09 Idris Ichsan Ramadh Thorax 1 Askes,18/7 100,000
RJ.106 31-Des-09 Nurnia, Ny Femur + Anteb 4 Askes,20/7 300,000
RJ.112 31-Des-09 Agustina, Ny Thorax 1 Askes,27/7 100,000
RJ.114 31-Des-09 Robby Tan, Tn Thorax 1 Askes,27/7 100,000
RJ.115 31-Des-09 Robertus Tri, Tn Thorax 1 Askes,27/7 100,000
RJ.119 31-Des-09 Andi Elling Sabita Wrist Joint 2 Askes,28/7 150,000
RJ.120 31-Des-09 Much. Rezaldy, An Manus 2 Askes,28/7 150,000
RJ.121 31-Des-09 Nurida, Ny Thorax 1 Askes,29/7 100,000
RJ.123 31-Des-09 Soraya, Ny Thorax 1 Askes,29/7 100,000
RJ.124 31-Des-09 Krisna Lamba, Tn Thorax 1 Askes,30/7 100,000
RJ.125 31-Des-09 Syamsinar Sampe Thorax 1 Askes,30/7 100,000
RJ.127 31-Des-09 Widyawati, Ny Thorax 1 Askes,30/7 100,000
RJ.129 31-Des-09 Ani, Ny Thorax 1 Askes,1/8 100,000
RJ.131 31-Des-09 Reyhan Putri, Nn Thorax 1 Askes,5/8 100,000
RJ.136 31-Des-09 Juadi Mustihar, Tn Thorax 1 Askes,6/8 100,000
RJ.137 31-Des-09 Matheus P, Tn BNO 1 Askes,8/8 100,000
RJ.140 31-Des-09 Rusdi, Tn Cervical Syndrom 4 Askes,8/8 300,000
RJ.141 31-Des-09 Nismawati, A.Ny Panggul+Cervical 3 Askes,10/8 250,000
RJ.142 31-Des-09 Tris Alfa Thorax 1 Askes,11/8 100,000
RJ.143 31-Des-09 Jufriadi, Tn Thorax 1 Askes,11/8 100,000
RJ.146 31-Des-09 Jufriadi, Tn Sinus PN 3 Askes,12/8 200,000
RJ.148 31-Des-09 Nur Naila Aqilah, An Thorax 1 Askes,14/8 100,000
RJ.152 31-Des-09 Adie Wisnu, An Thorax 1 Askes,18/8 100,000
RJ.157 31-Des-09 Wahidah, Ny Thorax 1 Askes,22/8 100,000
RJ.159 31-Des-09 Dina Bontong, Ny Thorax 1 Askes,22/8 100,000
RJ.162 31-Des-09 Amran Nur Dody, Tn Thorax 1 Askes,24/8 100,000
RJ.164 31-Des-09 Nurhayah Yunus, Ny Pelvis Ap.Lat 2 Askes,26/8 150,000
RJ.165 31-Des-09 Musdar Rivai, Tn Thorax 1 Askes,26/8 100,000
RJ.166 31-Des-09 Khadijah, Ny Thorax 1 Askes,26/8 100,000
RJ.168 31-Des-09 Djemi Djafri, Ny L Sacral + Pelvis 3 Askes,29/8 250,000
RJ.169 31-Des-09 Rahmi, Ny Thorax 1 Askes,29/8 100,000
RJ.170 31-Des-09 Nurdiana, Ny Thorax 1 Askes,31/8 100,000
RJ.171 31-Des-09 Hans Hendrik, Tn Thorax 1 Askes,31/8 100,000
RJ.172 31-Des-09 Bungaisa Thorax 1 Askes,12/8 100,000
RJ.174 31-Des-09 Kemal Yanto, Tn Thorax 1 Askes,2/9 100,000
RJ.176 31-Des-09 Tiar Arisandy, Tn Pelvis Ap.Lat 1 Askes,5/9 100,000
RJ.178 31-Des-09 Mahsuri Jamise, Tn Thorax 1 Askes,8/9 100,000
RJ.179 31-Des-09 Nurnia, Ny Femur 2 Askes,9/9 150,000
RJ.181 31-Des-09 Tjiang Arifin, Tn Pelvis + L Sacral 4 Askes,10/9 300,000
RJ.183 31-Des-09 Firman Batari, Tn Lumbu Sacral 2 Askes,11/9 150,000
RJ.184 31-Des-09 Sitti Tang, Ny Thorax 1 Askes,14/9 100,000
RJ.186 31-Des-09 Abbas, Tn Thorax 1 Askes,27/9 100,000 30,000
RJ.187 31-Des-09 Robby Tan, Tn Clavicula 1 Askes,28/9 100,000
RJ.188 31-Des-09 Sri Arianti, Ny Thorax 1 Askes,29/9 100,000
RJ.006 31-Des-09 Heriati, Ny USG Abdomen 1 S.Bosowa,20/5
RJ.008 31-Des-09 Muh. Saleh USG Abdomen 1 S.Bosowa,6/5
RJ.013 31-Des-09 Muliana, Ny USG Obstetri 1 S.Bosowa,7/5
RJ.014 31-Des-09 Arif Tahir, M.Ir USG Abdomen 1 S.Bosowa,23/5
RJ.015 31-Des-09 Agustina, Ny USG Obstetri 1 S.Bosowa,3/6
RJ.021 31-Des-09 Arifin, M.Tn USG Abdomen 1 S.Bosowa,6/5
RJ.022 31-Des-09 Jamaluddin, Tn USG Abdomen 1 S.Bosowa,2/6
RJ.023 31-Des-09 Idris, Tn USG Abdomen 1 S.Bosowa,12/6
RJ.024 31-Des-09 Hamka, Tn USG Abdomen 1 S.Bosowa,4/5
RJ.025 31-Des-09 Muliani, Ny USG Pelvis 1 S.Bosowa,24/6
RJ.031 31-Des-09 Bachtiar Mansyur,Tn USG Abdomen 1 Tamaco,14/8
RJ.033 31-Des-09 Anwar Bagenda, Tn USG Abdomen 1 Tamaco,5/8
RJ.037 31-Des-09 Abd. Gaffar Thalib,T USG Abdomen 1 P.mina,10/6
RJ.042 31-Des-09 Abd. Waris Basolle USG Abdomen 1 PLN,18/7
RJ.044 31-Des-09 Amin, M.Ny USG Tyroid 1 PLN,22/8
RJ.051 31-Des-09 Fatmawati, Ny USG Abdomen 1 Askes,3/10
RJ.059 31-Des-09 Mardiana, Ny USG Abdomen 1 Askes,29/10
RJ.064 31-Des-09 Musdar Rivai, Tn USG Tyroid 1 Askes,1/7
RJ.071 31-Des-09 Santriani Amin, Ny USG Pelvis 1 Askes,3/7
RJ.085 31-Des-09 Wafirah, Ny USG Pelvis 1 Askes,10/7
RJ.088 31-Des-09 Muh. Safri, AS.Tn USG Abdomen 1 Askes,11/7
RJ.090 31-Des-09 Machmuddin Tuwo USG Abdomen 1 Askes,11/7
RJ.096 31-Des-09 Marhaeni, Ny USG Abdomen 1 Askes,15/7
RJ.102 31-Des-09 Wahyuni USG Abdomen 1 Askes,18/7
RJ.104 31-Des-09 Muh. Basri, Tn USG Abdomen 1 Askes,18/7
RJ.105 31-Des-09 Martang, Ny USG Pelvis 1 Askes,18/7
RJ.110 31-Des-09 Siti Suleha, Ny USG Pelvis 1 Askes,23/7
RJ.111 31-Des-09 Darnisah, Ny USG Pelvis 1 Askes,24/7
RJ.117 31-Des-09 Rizal Ramli, Tn USG Abdomen 1 Askes,28/7
RJ.118 31-Des-09 Marlina Mashud, Tn USG Pelvis 1 Askes,28/7
RJ.122 31-Des-09 Efransyah, Tn USG Abdomen 1 Askes,29/7
RJ.130 31-Des-09 Ani, Ny USG Abdomen 1 Askes,1/8
RJ.133 31-Des-09 Sirajuddin, Tn USG Abdomen 1 Askes,5/8
RJ.134 31-Des-09 Maryanti, Ny USG Pelvis 1 Askes,5/8
RJ.135 31-Des-09 Hamdana Hafid, Ny USG Pelvis 1 Askes,5/8
RJ.138 31-Des-09 Rita Yanti, Ny USG Abdomen 1 Askes,8/8
RJ.144 31-Des-09 Ni'man, Tn USG Abdomen 1 Askes,12/8
RJ.145 31-Des-09 Matheus P, Tn USG Abdomen 1 Askes,12/8
RJ.147 31-Des-09 Novariska, ny USG Abdomen 1 Askes,12/8
RJ.149 31-Des-09 Muzakkir, Tn USG Abdomen 1 Askes,15/8
RJ.151 31-Des-09 Hikma, Ny USG Pelvis 1 Askes,16/8
RJ.153 31-Des-09 Nurida, Ny USG Abdomen 1 Askes,19/8
RJ.154 31-Des-09 Rahmawati, Ny USG Pelvis 1 Askes,19/8
RJ.156 31-Des-09 Saidah, St.Ny USG Pelvis 1 Askes,21/8
RJ.158 31-Des-09 Khadijah, Ny USG Leher 1 Askes,22/8
RJ.160 31-Des-09 Dina Bontong, Ny USG Abdomen 1 Askes,22/8
RJ.161 31-Des-09 Lilik Wulandari, Ny USG Abdomen 1 Askes,22/8
RJ.163 31-Des-09 Hadi Prayoga, M.Tn USG Abdomen 1 Askes,25/8
RJ.173 31-Des-09 Isa Ansari, Tn USG Abdomen 1 Askes,2/9
RJ.175 31-Des-09 Sulaiman, Tn USG Abdomen 1 Askes,2/9
RJ.177 31-Des-09 Sitti Tang, Ny USG Abdomen 1 Askes,8/9
RJ.180 31-Des-09 Nurhayati, Ny USG Pelvis 1 Askes,10/9
RJ.182 31-Des-09 Sitti Tang, Ny USG Gluleus 1 Askes,11/9
RJ.189 31-Des-09 Ratriana USG Abdomen 1 Askes,30/9
RJ.190 31-Des-09 Suwedi Hanafi, Tn USG Abdomen 1 Askes,30/9
RJ.003 31-Des-09 Silmy Aulia CT Kepala 1 S.Bosowa,7/4
RJ.019 31-Des-09 Jalaluddin, Tn CT Sinus 1 S.Bosowa,25/6
RJ.035 31-Des-09 Mutmain, Tn CT Kepala 1 Inco,28/8
RJ.039 31-Des-09 Rosa Hardiman, Ny CT Kepala 1 S.Tonasa,16/9
RJ.045 31-Des-09 Amin, M.Ny CT Toraks 2 PLN,21/8
RJ.054 31-Des-09 Herlina CT Kepala 1 Askes,14/10
RJ.070 31-Des-09 Purnamayanti, Ny CT Abdomen 2 Askes,3/7
RJ.079 31-Des-09 Hakim Rahim, Tn CT Kepala 1 Askes,7/7
RJ.109 31-Des-09 Darmawati, Ny CT Sinus 1 Askes,22/7
RJ.113 31-Des-09 Agustina, Ny CT Abdomen 2 Askes,27/7
RJ.116 31-Des-09 Robertus Tri, Tn CT Sinus 1 Askes,27/7
RJ.126 31-Des-09 Syamsinar Sampe CT Sinus 1 Askes,30/7
RJ.132 31-Des-09 Reyhan Putri, Nn CT Kepala 1 Askes,5/8
dll GE cito usg cito scan cito kontras anastesi
550,000 110,000
200,000
200,000
175,000
200,000
175,000
3,000
550,000
200,000
200,000
200,000 40,000
200,000
175,000
200,000
3,000
200,000
550,000
200,000
3,000
550,000
200,000
200,000
750,000
200,000
550,000
200,000
200,000
175,000
800,000
175,000
550,000
175,000
175,000
200,000
200,000
200,000
200,000
200,000
175,000
550,000
175,000
175,000
800,000
550,000
200,000
175,000
200,000
550,000
200,000
550,000
200,000
175,000
175,000
200,000
200,000
200,000
200,000
200,000
175,000
175,000
200,000
175,000
175,000
200,000
200,000
200,000
200,000
175,000
200,000
200,000
10,000
175,000
200,000
175,000
200,000
200,000
9,000 0 0 11,310,000 40,000 7,850,000 110,000 0 0

3,000
3,000
3,000
200,000
200,000
175,000
200,000
175,000
200,000
200,000
200,000 40,000
200,000
175,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
175,000
175,000
175,000
200,000
200,000
200,000
200,000
200,000
175,000
175,000
175,000
200,000
175,000
200,000
200,000
200,000
175,000
175,000
200,000
200,000
200,000
200,000
200,000
175,000
175,000
200,000
175,000
175,000
200,000
200,000
200,000
200,000
175,000
200,000
200,000
10,000
175,000
200,000
175,000
200,000
200,000
550,000 110,000
550,000
550,000
550,000
750,000
550,000
800,000
550,000
550,000
800,000
550,000
550,000
550,000
dll total
130,000
195,000
660,000
100,000
250,000
200,000
100,000
200,000
100,000
100,000
100,000
150,000
175,000
200,000
175,000
100,000
453,000
100,000
3,000 553,000
100,000
200,000
200,000
240,000
200,000
175,000
100,000
100,000
100,000
100,000
150,000
200,000
153,000
200,000
300,000
3,000 553,000
300,000
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603,000
3,000 553,000
150,000
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100,000
200,000
750,000
150,000
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175,000
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550,000
100,000
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550,000
200,000
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100,000
100,000
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100,000
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100,000
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130,000
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0
0
9,000 34,333,000
0
0
0
0
130,000
195,000
100,000
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100,000
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100,000
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150,000
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10,000
175,000
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660,000
3,000 553,000
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750,000
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01-Jan-2010 11824 U.002.002 MARAWIAH.NY USG
02-Jan-2010 163285 R.10.010 ALIMUDDIN . TN USG
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02-Jan-2010 160240 U. MANIKAM SAMAD.NY USG
02-Jan-2010 163463 U. RAHMAD TN USG
02-Jan-2010 163727 U.006.0006 ROBIN T,TN USG
02-Jan-2010 163712 U.007.0007 ANDI SIANGNGATI SULTAN .NY USG
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04-Jan-2010 163809 U.13.013 ASIA ASAF.HJ.NY USG
04-Jan-2010 73124 U.14.014 M.ARAS,TN USG
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04-Jan-2010 162856 U.18.018 M.YUSUF ISMAIL,AN USG
04-Jan-2010 121704 U.19.019 KAREL G R TN USG
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05-Jan-2010 163876 U.23.023 AGUSTINA NY USG
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06-Jan-2010 137571 U.29.029 A.SURIYANI,NY USG
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10-Jan-2010 164157 U.64.064 EDA NY/ USG
11-Jan-2010 164163 U.65.065 H.A.MUSTARI YUSUF .TN USG
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14-Jan-2010 164285 U.84.084 PATIMASANG . NY USG
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31-Jan-2010 164905 U. SYAMSUDDIN.M.TN/ USG
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BPJS CT Usg Radio 1 - 2017

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LAPORAN ADMINISTRASI KEUANGAN RS AKADEMIS

UNIT RADIODIAGNOSTIK DENGAN PESAWAT GE BULAN APRIL 2015

Ket: Makassar, 15 MEI 2015

(Dr.Achmad Dara Sp.Rad)

11 1,885,000 - - - - 1,885,000 313,853 28,275 256,300 1,286,573

(Dr.Achmad Dara Sp.Rad)

36 12,600,000 - - - - 12,600,000 1,890,000 94,500 365,400 10,250,100

Ket: Makassar, 15 FEBRUARI 2017

(Dr.Achmad Dara Sp.Rad)

Makassar, 15 FEBRUARI 2017

- Harga Film/Lbr : 109,000 (Dr.Achmad Dara Sp.Rad)

2 TAGIHAN RAWAT INAP YANG TERBAYAR MASUK KAS DI RSA

3 TAGIHAN RAWAT JALAN YANG TERBAYAR MASUK KAS DI RSA

JUMLAH TOTAL 118,610,000

Makassar, 15 FEBRUARI 2017

Ka. Instalasi Radiologi RSA Jaury

(Dr.Achmad Dara Sp.Rad)

PEMASUKAN PENGELUARAN NETTO

Pemasukan Total Rp 36,120,000

Honor : 15 % x Rp 36,120,000 5,418,000

HARGA FILM 1,045,450

SISA SALDO 29,385,650

MAKASSAR, 15 FEBRUARI 2017

(Dr.Achmad Dara Sp.Rad)

PESAWAT SIEMENS DLL PESAWAT GENERAL ELECTRIC

PEMASUKAN BRUTO : Rp 35,490,000

PERHITUNGAN UNTUK PESAWAT GE

MAKASSAR, 15 FEBRUARI 2017

(Dr.Achmad Dara Sp.Rad)

- YANG BAYAR : Rp 1,000,000 2 2 2,000,000 150,000 30,000 218,000 1,602,000

- YANG BAYAR : Rp 1,500,000 14 28 21,000,000 1,575,000 315,000 3,052,000 16,058,000

- CITO FOTO : - x Rp 30,000 0 0

46 60 47,000,000 3,525,000 - - - - 705,000 6,540,000 36,230,000

(Dr.Achmad Dara Sp.Rad)

RI.001 31-Des-09 Kasmin Syarief, Tn CT Kepala 1 Ft.25/11

2,400,000 240,000 26,280,000 840,000 41,725,000 3,300,000 300,000 0 0

RJ.001 31-Des-09 Miswar Amir, Tn Thorax 1 ft.25/8 100,000 30,000

RJ.001 31-Des-09 Miswar Amir, Tn Thorax 1 ft.25/8 100,000 30,000

9,000 0 0 11,310,000 40,000 7,850,000 110,000 0 0

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