Form DT Novita

NAMA PETUGAS : SY.
BURDADI
HARI/TANGGAL : RABU, 12/01/2022 DRIVE THRU PCC
NO NAMA PASIEN LAYANAN NOMINAL JENIS PEMBAYARAN NAMA PEMILIK REK
1 MICHEL ANTIGEN Rp 95,000 TUNAI
2 YOAS YUNIANANTA ANTIGEN Rp 95,000 TUNAI
3 JUNAIDI PCR SD Rp 295,000 TUNAI
4 FACHREZA ANTIGEN Rp 95,000 TUNAI
5 JIMMY DIDI SETIAWAN ANTIGEN Rp 95,000 TUNAI
6 CITRA SARI PCR SD Rp 295,000 TUNAI
7 ERWIN ANTIGEN Rp 95,000 TUNAI
8 NOVIANTAR RAMSES NEGARA PCR SD Rp 295,000 TF BSI
9 KRISTINA ANTIGEN Rp 95,000 TUNAI
10 GUIDO ARISTA LAMBANG ANTIGEN Rp 95,000 TUNAI
11 ERINNA NATHANIA ANTIGEN Rp 95,000 TUNAI
12 ADEP SETIAWAN ANTIGEN Rp 95,000 TUNAI
13 YULSYLVIA ANTIGEN Rp 95,000 TUNAI
14 MAYA RANSINGIN ANTIGEN Rp 95,000 TUNAI
15 JESSICA ANNASTHASIA WIDJAYA ANTIGEN Rp 95,000 TUNAI
16 TRIONA RAS PONTI TARIGAN ANTIGEN Rp 95,000 TUNAI
17 TEGUH SANTOSA ANTIGEN Rp 95,000 TUNAI
18 EDO ANANDITYA PRIBADHY, SH ANTIGEN Rp 95,000 TUNAI
19 AGUSTINA RANDUNGAN ANTIGEN Rp 95,000 TUNAI
20 HERIBERTUS KORNELIUS ANTIGEN Rp 95,000 TUNAI
21 GILBERTUS SANGAN PCR SD Rp 295,000 TUNAI
22 HARI WIDODO PURWIRATNO ANTIGEN Rp 95,000 TUNAI
23 NUGROHO APRIYANTO, SE ANTIGEN Rp 95,000 TUNAI
24 SAHBUDIN ANTIGEN Rp 95,000 TUNAI
25 ARFINO, ST ANTIGEN Rp 95,000 TUNAI
26 BALKIS ANTIGEN Rp 95,000 TUNAI
27 SITI ALFIAH ANTIGEN Rp 95,000 TUNAI
28 FARAHSITA VANI SALSABILA ANTIGEN Rp 95,000 TUNAI
29 NUR HIDAYATI ANTIGEN Rp 95,000 TUNAI
30 ALI ZAENAL ABIDIN ANTIGEN Rp 95,000 TUNAI
31 TEGAR PRATAMA ANTIGEN Rp 95,000 TF BCA
32 H.SYAMSUDIN BIN MUSTAR ANTIGEN Rp 95,000 TF BCA
33 YULIANTI ANTIGEN Rp 95,000 TF BCA
34 WAFA' QUEEN SADIKA PCR SD Rp 295,000 TF BSI
35 DIAH MEDIYANTI, ST ANTIGEN Rp 95,000 TUNAI
36 FAIRUZ ADIBAH ANTIGEN Rp 95,000 TUNAI
37 DANANG PRAMBUDI ANTIGEN Rp 95,000 TUNAI
38 RUDY HARTO WILLIAM ANTIGEN Rp 95,000 TUNAI
39 SYLVIANI ANTIGEN Rp 95,000 TUNAI
40 DEVEN CHRISTOVAL SONG ANTIGEN Rp 95,000 TF BCA
NAMA PETUGAS : SY.BURDADI
HARI/TANGGAL : KAMIS,13/01/2022 DRIVE THRU PCC
1 AGUS HARTANTO PCR SD Rp 295,000 TF BSI
2 FINTA AFRIANI PCR SD Rp 295,000 TF BSI
3 DENNY AMINUNSYAH, S.Farm ANTIGEN Rp 95,000 TUNAI
4 NALENDRA TRIKURNIA ANTIGEN Rp 95,000 TUNAI
5 SENO APRIANTO ANTIGEN Rp 95,000 TUNAI
6 ZIZI SEANDELLA SIMON PCR SD Rp 295,000 TUNAI
7 TRIXIE NATANIELLA SIMON PCR SD Rp 295,000 TUNAI
8 FIRDAUS KOTO ANTIGEN Rp 95,000 TUNAI
9 FERDI KOTO ANTIGEN Rp 95,000 TUNAI
10 JAYA NICOLAS ADAM PCR SD Rp 295,000 TUNAI
11 AISHA ADAM PCR SD Rp 295,000 TUNAI
12 HERIYANTO ANTIGEN Rp 95,000 TUNAI
13 WARI ANTIGEN Rp 95,000 TF BCA
14 AZRIL ZAFLAN RIFAI PCR SD Rp 295,000 TUNAI
15 SHAMSHER KHAN ANTIGEN Rp 95,000 TUNAI
16 HANDI ANTIGEN Rp 95,000 TUNAI
17 NOVITA ARTHA MOERHANANI, SE ANTIGEN Rp 95,000 TF BCA
18 FLAPIANA SIMENGERIAU ANTIGEN Rp 95,000 TUNAI
19 RASMA PULUNG ADINEGORO ANTIGEN Rp 95,000 TF BCA
20 DEVI SISWANI PCR SD Rp 295,000 TUNAI
21 ANGGIE WIBAWA ANTIGEN Rp 95,000 TF BCA
22 ARFAN FAUZAN ANTIGEN Rp 95,000 TF BCA
23 GEORGE VAN VEEN ANTIGEN Rp 95,000 TUNAI
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
HARI/TANGGAL : JUM'AT,14/01/2022 DRIVE THRU PCC
1 REKA WAHDINI OKTAVIANI ANTIGEN Rp 95,000 TUNAI
2 NATALIA RININIATI ANTIGEN Rp 95,000 TUNAI
3 MUHAMMAD DINIARTO ANTIGEN Rp 95,000 TF BCA
4 NILA SAFITRI PCR SD Rp 295,000 TUNAI
5 ALMEERA MAYSHA ALFATHUNISAA PCR SD Rp 295,000 TUNAI
6 GURITNO DWI ATMOKO PCR SD Rp 295,000 TF BSI
7 INDAH LESTARI PCR SD Rp 295,000 TF BSI
8 SAPUWAN ANTIGEN Rp 95,000 TUNAI
9 EMAN SULAEMAN ANTIGEN Rp 95,000 TUNAI
10 ASHILA IRKA FAZA ANTIGEN Rp 95,000 TUNAI
11 GEURA FALLETEHAN SUMBADA ANTIGEN Rp 95,000 TUNAI
12 AURORA ERINA PUTRI HIDAYAH PCR SD Rp 295,000 TUNAI
13 RUDI FAJARUDIN ANTIGEN Rp 95,000 TUNAI
14 YOGI ABDUL GANI ANTIGEN Rp 95,000 TUNAI
15 GRETA BRICEILLA ANTIGEN Rp 95,000 TF BCA
16 ROSA LIMIAWATY ANTIGEN Rp 95,000 TF BCA
17 TUTY ANTIGEN Rp 95,000 TF BCA
18 LIM BUN LENG ANTIGEN Rp 95,000 TF BCA
19 WHITLEY JOCELIN ANTIGEN Rp 95,000 TF BCA
20 LIDYA LUKIS ANTIGEN Rp 95,000 TF BCA
21 NOVRIANSYAH PAHLAWAN ANTIGEN Rp 95,000 TUNAI
22 OKTIVIARANI ANTIGEN Rp 95,000 TF BCA
23 GEORGE ARDIWIRIA TOBING ANTIGEN Rp 95,000 TF BCA
24 BINSAR HUTABARAT, SE ANTIGEN Rp 95,000 TF BCA
25 WILLIAM OTTO PERRY ANTIGEN Rp 95,000 TUNAI
26 LILI MULYANI ANTIGEN Rp 95,000 TUNAI
27 EMIL ATIKA ANTIGEN Rp 95,000 TUNAI
28 SADIMAN ANTIGEN Rp 95,000 TUNAI
29 MUSLIM ALIF MUHAMMAD ANTIGEN Rp 95,000 TUNAI
30 M. RULLY STIAWAN, SH ANTIGEN Rp 95,000 TUNAI
HARI/TANGGAL : SABTU,15/01/2022 DRIVE THRU PCC
1 NONENG SETIA HERAWATI PCR SD Rp 295,000 TUNAI
2 ERDIN PCR SD Rp 295,000 TUNAI
3 I GUSTI KETUT AGUNG BAYUSENA ANTIGEN Rp 95,000 TUNAI
4 DIVA SABINA ANTIGEN Rp 95,000 TUNAI
5 FATUR ROHMAN ANTIGEN Rp 95,000 TUNAI
6 EDY ANTIGEN Rp 95,000 TUNAI
7 LAKSMI DEWI AGUSTIANTY ANTIGEN Rp 95,000 TUNAI
8 NISRINA HANANMIRA ZAHIDAH ANTIGEN Rp 95,000 TUNAI
9 EVA HARIYANTI, SE PCR SD Rp 295,000 TUNAI
10 ELTIFANNY ANTIGEN Rp 95,000 TUNAI
11 ENY ROSRAWATI ANTIGEN Rp 95,000 TUNAI
12 ANDAR FRANSKY SHLT ANTIGEN Rp 95,000 TUNAI
13 FERRY YUNI SAPUTRA ANTIGEN Rp 95,000 TUNAI
14 ROJANI PCR SD Rp 295,000 TUNAI
15 ADRI ZATMIKA ANTIGEN Rp 95,000 TF BCA
16 CLARA LARASWATY ANTIGEN Rp 95,000 TF BCA
17 RACHMALINI RACHMAN ANTIGEN Rp 95,000 TF BCA
18 NADHIRA ZEVANA HASAID PCR SD Rp 295,000 TF BSI
19 RAFANIA MECCA HASAID PCR SD Rp 295,000 TF BSI
20 NOPRIYANTO ANTIGEN Rp 95,000 TUNAI
21 IMAM FAKHRUDDIN ANTIGEN Rp 95,000 TF BCA
22 DENNY ADIN ANTIGEN Rp 95,000 TF BCA
23 AYUN SRI DAMAYANTI WAHYUNI ANTIGEN Rp 95,000 TF BCA
24 FERRI PRIMIANTO, SE ANTIGEN Rp 95,000 TF BCA
25 DANNY YUDISTIRA ANTIGEN Rp 95,000 TUNAI
HARI/TANGGAL : AHAD, 16/01/2022 DRIVE THRU PCC
1 ABDUL QOHAR ANTIGEN Rp 95,000 TUNAI
2 DEDY TANTO ANTIGEN Rp 95,000 TUNAI
3 MAUPINUS JUNAEDI LAKA SENDA ANTIGEN Rp 95,000 TUNAI
4 SAHAT IRAWAN MANIK, S.H, M.M ANTIGEN Rp 95,000 TUNAI
5 TOTOK HERTANTO, S.IP ANTIGEN Rp 95,000 TUNAI
6 ELLY ROSANA ANTIGEN Rp 95,000 TUNAI
7 ARIYANTO ANTIGEN Rp 95,000 TUNAI
8 HARTANTO ANTIGEN Rp 95,000 TUNAI
9 LIBRA ANDY CHANDRA ANTIGEN Rp 95,000 TUNAI
10 AIDY NURDIMANSYAH ANTIGEN Rp 95,000 TF BCA
11 RUTH TANGRUTU, S.ST ANTIGEN Rp 95,000 TUNAI
12 CHRISSABELLE VINCENTIA JEFFERSON PCR SD Rp 295,000 TF BSI
13 CHRISTIE VALENCIA JEFFERSON PCR SD Rp 295,000 TF BSI
14 MENG SUAN ANTIGEN Rp 95,000 TF BCA
15 MUHAMMAD ALFIYAN NAFIS,S.T ANTIGEN Rp 95,000 TUNAI
16 ADI WARDOYO ANTIGEN Rp 95,000 TUNAI
17 . FRADRIYAN AULIA ANTIGEN Rp 95,000 TF BCA
18 MUHAMMAD ARIF MANTIKO PCR SD Rp 295,000 TUNAI
19 EKO SRIONO ANTIGEN Rp 95,000 TUNAI
20 KIKI ZULKIFLI, SE,MM ANTIGEN Rp 95,000 TUNAI
21 WIENDY VIRGIANSARIE,SH ANTIGEN Rp 95,000 TUNAI
22 WONDO ANTIGEN Rp 95,000 TUNAI
HARI/TANGGAL : SELASA, 18/01/2022 DRIVE THRU PCC
1 NASORI ANTIGEN Rp 95,000 TUNAI
2 ANDRY SANJAYA PCR SD Rp 295,000 TUNAI
3 A.GHALIB.GS ANTIGEN Rp 95,000 TUNAI
4 INDRA EKA PURNAWAN ANTIGEN Rp 95,000 TAGIHAN DPRD
5 DENNIS SUGIANTO ANTIGEN Rp 95,000 TUNAI
6 RENDY JORDAN KURNIAWAN ANTIGEN Rp 95,000 TUNAI
7 ADITYA RASYID PCR SD Rp 295,000 TUNAI
8 EKA YUNI SAPUTRI ANTIGEN Rp 95,000 TUNAI
9 SUBARI FARDIANSYAH ANTIGEN Rp 95,000 TUNAI
10 FADILAH , S.H ANTIGEN Rp 95,000 TUNAI
11 H. M. MUSTA'AN ANTIGEN Rp 95,000 TAGIHAN DPRD
12 ARIA SEMADI ANTIGEN Rp 95,000 TUNAI
13 YUSRIYANSYAH ANTIGEN Rp 95,000 TUNAI
14 TEGUH SETIA PERMANA ANTIGEN Rp 95,000 TUNAI
15 SHERLY MELATI RAMADHAN ANTIGEN Rp 95,000 TUNAI
16 MUHAMMAD FAJRIN ANTIGEN Rp 95,000 TUNAI
17 SETYO RINI ANTIGEN Rp 95,000 TF BCA
18 HADI SUWASONO ANTIGEN Rp 95,000 TF BCA
19 INDRI YUDA PRATAMA ANTIGEN Rp 95,000 TUNAI
20 NURJIHAN BINTI SHAARI PCR SD Rp 295,000 TUNAI
21 SYF. ARYANA KASWAMAYANA, S.SOS.I ANTIGEN Rp 95,000 TUNAI
22 INDRAWATI ANTIGEN Rp 95,000 TUNAI
23 WIRANDA RAMADHAN ANTIGEN Rp 95,000 TF BCA
24 ROBERT STEFANUS ANTIGEN Rp 95,000 TUNAI
25 NUR ELISAH ANTIGEN Rp 95,000 TUNAI
26 WAHYU INDRIAWARDANA, SE ANTIGEN Rp 95,000 TUNAI
27 SIGIT SUHARTONO, ST ANTIGEN Rp 95,000 TUNAI
28 DHANNY ARIFIANTO ANTIGEN Rp 95,000 TUNAI
1 YAYAN SUTANTO ANTIGEN Rp 95,000 TUNAI
2 MIRSA MAULIDA ANTIGEN Rp 95,000 TUNAI
3 HADI PRAYITNO ANTIGEN Rp 95,000 TUNAI
4 TUTY WARDIANI, BSC ANTIGEN Rp 95,000 TUNAI
5 ZAHRAN KARIRA KURNIAWAN ANTIGEN Rp 95,000 TUNAI
6 SANTO ANTIGEN Rp 95,000 TUNAI
7 FANNY THALIA LIMAS ANTIGEN Rp 95,000 TUNAI
8 LIM KAU ANTIGEN Rp 95,000 TUNAI
9 NATHANIEL ANANDO ANTIGEN Rp 95,000 TUNAI
10 AZHAR SODIK ANTIGEN Rp 95,000 TUNAI
11 FREDY ANTIGEN Rp 95,000 TUNAI
12 FELICIA REGINE ANANDO ANTIGEN Rp 95,000 TUNAI
13 YENNY HERMANSJAH ANTIGEN Rp 95,000 TUNAI
14 ADHITYA PRATAMA PUTRO ANTIGEN Rp 95,000 TF BCA
15 NINDY MUSTIKA ANTIGEN Rp 95,000 TUNAI
HARI/TANGGAL : SENIN, 31/01/2022 DRIVE THRU P
NO NAMA PASIEN LAYANAN NOMINAL JENIS PEMBAYARAN
1 KHOLILAH ANTIGEN Rp 95,000 TUNAI
2 ROHIZA ADRIANI ANTIGEN Rp 95,000 TUNAI
3 NOVITA RIAMA ANTIGEN Rp 95,000 TUNAI
4 TJIN KHIONG ALS. FRAY CUNG ANTIGEN Rp 95,000 TUNAI
5 DICKY CHANDRA PCR SD Rp 295,000 TUNAI
6 GUSTININDA AGATHA ANTIGEN Rp 95,000 TUNAI
7 TRI UMARTINI ANTIGEN Rp 95,000 TUNAI
8 SITI KALSUM ANTIGEN Rp 95,000 TUNAI
9 MUHAMMAD KHUSAIRI ANTIGEN Rp 95,000 TUNAI
10 SUBHAN, S.pd ANTIGEN Rp 95,000 TUNAI
11 SONYA SERLY ADITYA ANTIGEN Rp 95,000 TUNAI
12 ALZEENA ELEANORA SHANUM PCR SD Rp 295,000 TUNAI
13 SITI HAFSAH PCR SD Rp 295,000 TUNAI
14 ULFHA FITRIHANI ANTIGEN Rp 95,000 TUNAI
15 ANDY KURNIAWAN BONG ANTIGEN Rp 95,000 TUNAI
16 EVONNE TIOVARDI ANTIGEN Rp 95,000 TUNAI
17 FIDELIA KARTAJAYA ANTIGEN Rp 95,000 TUNAI
18 SRY VINI ANTIGEN Rp 95,000 TUNAI
19 EKTI VARIANI ANTIGEN Rp 95,000 TUNAI
20 SUWANDY ANTIGEN Rp 95,000 TF BCA
21 ADITYA HERMAWAN ANTIGEN Rp 95,000 TUNAI
22 ANWAR SALAM PCR SD Rp 295,000 EDC PERMATA
23 AGUS HADIWIYANTO ANTIGEN Rp 95,000 TF BCA
24 INTAN ARDHIA GEMILANG ANTIGEN Rp 95,000 TF BCA
25 NOVITA LESTARI ANTIGEN Rp 95,000 TUNAI
26 JUNAIDI ANTIGEN Rp 95,000 TUNAI
27 BARATA GABRIE JUSTITIO ANTIGEN Rp 95,000 TUNAI
28 PINTAULI DUMARIA SIAGIAN ANTIGEN Rp 95,000 TUNAI
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30
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33
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36
37
38
39
40
DRIVE THRU PCC
JENIS PEMBAYARAN NAMA PEMILIK REK
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TF BCA
TUNAI
EDC PERMATA
TF BCA
TF BCA
TUNAI
TUNAI
TUNAI
TUNAI
HARI/TANGGAL : KAMIS,24/02/2022 DRIVE THRU PCC
NO NAMA PASIEN LAYANAN NOMINAL JENIS PEMBAYARANNAMA PEMILIK REK
1 SUTOPO HARIANTO, S.H ANTIGEN Rp 95,000 TUNAI
2 UTIN RIA UNTANIA HIKMAH, S.ST ANTIGEN Rp 95,000 TUNAI
3 DIMAS PRASETIA ANTIGEN Rp 95,000 TUNAI
4 IGNATIUS EKO HARWINANTO ANTIGEN Rp 95,000 TUNAI
5 SYAMSUL BAHRI ANTIGEN Rp 95,000 TUNAI
6 RAHMAT JAYA RIANTO PUTRA PCR SD Rp 295,000 QR BSI/RAHMAT JAYA RIANTO PUTRA
7 SISWADI PCR SD Rp 295,000 QR BSI/RAHMAT JAYA RIANTO PUTRA
8 GUSTIAN ARDI SUDRAJAD ANTIGEN Rp 95,000 TUNAI
9 dr. NOVITA SARI ANTIGEN Rp 95,000 TUNAI
10 GUSTI RICKY CHALENDRA ANTIGEN Rp 95,000 TUNAI
11 RISKA AFTRIYANDAWI ANTIGEN Rp 95,000 TF BCA RISKA AFTRIYANDAWI
12 DR.H.USMAN A.GANI ANTIGEN Rp 95,000 TUNAI
13 DR.FIRDAUS ZAR'IN, S.Pd, M..Si ANTIGEN Rp 95,000 TUNAI
14 OMAY KOMARUZAMAN, S.P ANTIGEN Rp 95,000 TUNAI
15 SANURI ANTIGEN Rp 95,000 TUNAI
16 ANTON SAPTONADI ANTIGEN Rp 95,000 TUNAI
17 M.RULLY STIAWAN, S.H ANTIGEN Rp 95,000 TUNAI
18 DRA.MAHALA ANTIGEN Rp 95,000 TUNAI
19 JIYAD FAWWAZ PANE ANTIGEN Rp 95,000 TUNAI
20 SHAFFA NUR KHUMAIRA ANTIGEN Rp 95,000 TUNAI
21 M.RIDHO RAHMADYAN ANTIGEN Rp 95,000 TF BCA M.RIDHO RAHMADYAN
22 AKEARI PCR SD Rp 295,000 QR BSI/AKEARI
23 SHELLY GUNAWAN ANTIGEN Rp 95,000 TUNAI
24 NIA TAMARA ANTIGEN Rp 95,000 TUNAI
25 LINGGA AGUNG SAPUTRA ST ANTIGEN Rp 95,000 TUNAI
26 ARDI RIMBA ANTIGEN Rp 95,000 TUNAI
27 ERINI RIATI LIMAS ANTIGEN Rp 95,000 TUNAI
28 LIE DJU AN ALS. SUSANTO ANTIGEN Rp 95,000 TUNAI
29 SURYATI ANTIGEN Rp 95,000 TUNAI
30 ERIKA SOON PCR SD Rp 295,000 TUNAI
31 TJHIN LIE LIE PCR SD Rp 295,000 TUNAI
32 VELDA DEVONA AIPASSA PCR SD Rp 295,000 TUNAI
33 PATRICIA DWILESTARI ANTIGEN Rp 95,000 TUNAI
34 TIRA CRISTALLIA PCR SD Rp 295,000 QR BSI/TIRA CRISTALLIA
35 RUSMIN R PCR SD Rp 295,000 TUNAI
36 RAPANCA INDRA MUKTI ANTIGEN Rp 95,000 TF BCA RAPANCA INDRA MUKTI
37 NOVSA TRI ATMOKO ANTIGEN Rp 95,000 TUNAI
NO NAMA PASIEN LAYANAN NOMINAL PEMBAYARAN NAMA PEMILIK REK
1 Bpk. SHAMSER KHAN ANTIGEN Rp 95,000 TUNAI
2 Bpk. NOVIANDRY ISNAINI, SP PCR SD Rp 295,000 QR.BSI/NOVIANDRY ISNAINI, SP
3 Ibu IKA KARTIKA WULANDARI, S.E
PCR SD Rp 295,000 QR.BSI/NOVIANDRY ISNAINI, SP
4 Ibu ELFIRA DWI YANTI ANTIGEN Rp 95,000 TUNAI
5 Ibu RIKA EFIANI, S.Sos ANTIGEN Rp 95,000 TUNAI
6 Ibu WINDA ANGELYN ERWIN PCR SD Rp 295,000 QR.BSI/WINDA ANGELYN ERWIN
7 Bpk. SUSANTO MULIAWAN, LIM PCR SD Rp 295,000 TUNAI
8 Bpk. EDWIN LIWOTO PCR SD Rp 295,000 TUNAI
9 Ibu KATRINA ANGELINA LIWOTOPCR SD Rp 295,000 TUNAI
10 Bpk. TONNY AGUSTINUS ANTIGEN Rp 95,000 TUNAI
11 Ibu SYARIFAH ARABIA ANTIGEN Rp 95,000 TF BCA SYARIFAH ARABIA
12 Bpk. UDING HERMARA PCR SD Rp 295,000 QR.BSI.UDING HERMARA
13 Ibu TIETYK KARTINATY, SP PCR SD Rp 295,000 TUNAI
14 Bpk. ARIF NURHADI, A.Md PCR SD Rp 295,000 TUNAI
15 Bpk. VIVI A. BASRI ANTIGEN Rp 95,000 TUNAI
16 Tn. SAFRI ADAM, M.Kom ANTIGEN Rp 95,000 TUNAI
17 Sdri. HANA LIANSYA SALSABILA ANTIGEN Rp 95,000 TUNAI
18 Bpk. FERRY YUNI SAPUTRA ANTIGEN Rp 95,000 TUNAI
19 Bpk. SUMARSO PCR SD Rp 295,000 TUNAI
20 An. AISYAH YASIROH MUMTAZ PCR SD Rp 295,000 TUNAI
21 An. AZIZAH MAULIDIYAH PCR SD Rp 295,000 TUNAI
22 Ibu ELI SUSANTY PCR SD Rp 295,000 TUNAI
23 Sdri. ASTRA DOMINICA LINDI PCR SD Rp 295,000 TUNAI
24 Bpk. THE HUI KHIANG ALS SUPARDI
ANTIGEN Rp 95,000 TUNAI
25 Bpk. GUDED WAHYUDI ANTIGEN Rp 95,000 TUNAI
26 Ibu SUJANTI WILLIM ANTIGEN Rp 95,000 TUNAI
27 Ibu SARINAH ANTIGEN Rp 95,000 TUNAI
28 Bpk. GATOT PRASETIJO ANTIGEN Rp 95,000 TF BCA INEKE KUSUMAWATY
29 Ibu INEKE KUSUMAWATY ANTIGEN Rp 95,000 TF BCA INEKE KUSUMAWATY
30 Sdri. ANNISA INDAH PARASATI ANTIGEN Rp 95,000 TF BCA INEKE KUSUMAWATY
31 Bpk. I MADE OKA ANTARA ANTIGEN Rp 95,000 TUNAI
32 Ibu SRI REJEKI AGUNG PAMBUDI ANTIGEN Rp 95,000 TUNAI
33 An. NI LUH NYOMAN ORELIA KIRANA
ANTIGEN
GAYATRp 95,000 TUNAI
34 Sdr. ERIC LIMANDA ANTIGEN Rp 95,000 TUNAI
35 An. JENNY ALEXANDER PCR SD Rp 295,000 TUNAI
36 Bpk. MUHAMMAD SAIFUL KHOHAR PCR SD Rp 295,000 TUNAI
37 Bpk. SUNARKO ANTIGEN Rp 95,000 TUNAI
38 Ibu TRIFINA RODIANA ANTIGEN Rp 95,000 TUNAI
39 Ibu VINCELLI ADUASTY PCR SD Rp 295,000 TUNAI
NAMA PETUGAS : LUNA
DRIVE THRU AUDIT
NO NAMA PASIEN LAYANAN PEMBAYARAN NO HP
1 Ibu DWI AGUSTINA ANTIGEN
NO NAMA PASIEN LAYANAN NOMINAL PEMBAYARAN NAMA PEMILIK REK
1 Ibu DWI AGUSTINA ANTIGEN Rp 95,000 TUNAI
2 Bpk. GINDO PARULIAN MANALU
PCR SD Rp 295,000 TUNAI
3 Bpk. E. CHRIS M. ADI FISTORO
ANTIGEN Rp 95,000 TUNAI
4 Bpk. HERMANSYAH PCR SD Rp 295,000 TUNAI
5 Ibu SISKA PCR SD Rp 295,000 TUNAI
6 Ibu SILVIA MARTALIA PCR SD Rp 295,000 QR/SILVIA MARTALIA
7 Bpk. NOVIE TRIONOADI, S.SI,
ANTIGEN
M.SC Rp 95,000 TUNAI
NO NAMA PASIEN LAYANAN NOMINAL PEMBAYARAN
1 Bpk. HARI FRANSISKUS ADIANTO PCR SD Rp 295,000 TUNAI
2 Sdri. IFRA RAMADHANTI ANTIGEN Rp 95,000 TUNAI
3 Sdri. DELTARIA DESI YANI ANTIGEN Rp 95,000 TUNAI
4 Ibu VIVI MARIA SARI PCR SD Rp 295,000 TUNAI
5 Bpk. SUSANTO ANTIGEN Rp 95,000 TF BCA
6 Tn. ASMAKO PCR SD Rp 295,000
7 Bpk. IR. WENIE ANTIGEN Rp 95,000 TUNAI
8
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19
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38
39
40
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46
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57
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60
61
62
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65
66
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69
70
71
72
73
74
75
76
77
78
79
80
IVE THRU PCC
PEMILIK REK
SUSANTO
QR/ASMAKO
NAMA PETUGAS : AKMAL FIKRI
DRIVE THRU PCC
HARI/TANGGAL : MINGGU, 20/03/2022
NO NAMA PASIEN LAYANAN NOMINAL PEMBAYARAN PEMILIK REK
1 An. RYUDINATA WILLIAM PCR SD Rp 295,000 QR IVANA
2 Sdr. RAYDINATA WILLIAM PCR SD Rp 295,000 QR IVANA
3 Sdri. HETTY MERY MARBUN PCR SD Rp 295,000 QR HETTY MERY MARBUN
4 Ibu WIDA ARDIANI ANTIGEN Rp 95,000 TUNAI
5 Sdri. DEWI HERRYANTO PCR SD Rp 295,000 TUNAI
6 Sdr. FENDI SUSANTO ANTIGEN Rp 95,000 TUNAI
7 Sdri. NURUL FITRIANI ANTIGEN Rp 65,000 TAGIHAN POLTEKES KEMENKES PONTIANAK
8 Sdri. ERMA ALYUNIDA ANTIGEN Rp 65,000 TAGIHAN POLTEKES KEMENKES PONTIANAK
9 Bpk. M. HUSNUL AINI, S.STPI PCR SD Rp 295,000 QR M. HUSNUL AINI
10 Sdr. HANGGA NUR ARVIYANTO ANTIGEN Rp 65,000 TAGIHAN POLTEKES KEMENKES PONTIANAK
HARI/TANGGAL : RABU, 30 /03/2022 DRIVE THRU PCC
1 Ibu VIVI ANTIGEN Rp 95,000 TUNAI
2 Sdri. MERRY HARIYATI ANTIGEN Rp 95,000 TF BCA MERRY HARIYATI
3 An. SYARIFAH ALISYA NAMIRA
ANTIGEN
SAYBA Rp 95,000 TUNAI
4 Bpk. RAYHAN AMERIAZANDY ANTIGEN Rp 95,000 TUNAI
5 An. LIL COLE OLIVIA ADIANTO
PCR SD Rp 295,000 TUNAI
NAMA PETUGAS : NOVI
HARI/TANGGAL : SELASA/ 24/MEI/2022 DRIVE THRU AUDIT
1 ADITYA DWIPUTRA ANTIGEN Rp 95,000 TUNAI
2
3
4
5
6
7
8
9
10
11
12
13
14
NAMA PETUGAS : MAYA ARISTA
HARI/TANGGAL : KAMIS, 07/04/2022 DRIVE THRU PCC
1 NOVARITA DWISURYANI ANTIGEN Rp 95,000 TUNAI
2 RIMUNA PCR SD Rp 295,000 TUNAI
3 ROBERTUS SIMANUNGKALIT ANTIGEN Rp 95,000 TUNAI
4 JURI EFENDI ANTIGEN Rp 95,000 TUNAI
5 KEYLA DANANG PADHENDRA ANTIGEN Rp 95,000 TUNAI
6 M.ARIF ,SAG ANTIGEN Rp 95,000 TAGIHAN DPRD KOTA
7 CANDRA JAYA PARDIANSYAH ANTIGEN Rp 95,000 TAGIHAN DPRD KOTA
8 JASMINTO SIMANJUNTAK ANTIGEN Rp 95,000 TUNAI
9 ERYA YUSTIKA ANTIGEN Rp 95,000 TUNAI
10 JASMINTO SIMANJUNTAK PCR SD Rp 295,000 TF BSI
11 CECILIA RINI PRIHASTUTI, S.SOSANTIGEN Rp 95,000 TUNAI
12 DWI RETNASARI ARIA PUTRI RAIANTIGEN Rp 95,000 TF BCA DWI RETNASARI ARIA PUTRI RAIB
13 AKMAL HILALI ANTIGEN Rp 95,000 TF BCA DWI RETNASARI ARIA PUTRI RAIB
14 TRI DANA KURNIA BAWONO ANTIGEN Rp 95,000 TUNAI
15 DHITA PARAMITHA AUGUSTA PCR SD Rp 295,000 TF BSI DHITA PARAMITHA AUGUSTA
16 NASORI ANTIGEN Rp 95,000 TUNAI
NAMA PETUGAS : MAYA
NO NAMA PASIEN LAYANAN NOMINAL PEMBAYARAN
1 M. HASANUDIEN ANTIGEN Rp 95,000 TUNAI
2 SUHARMIYATI ANTIGEN Rp 95,000 TUNAI
3 HENDRAYANI ANTIGEN Rp 95,000 TUNAI
4 STEFANI DOMINICA ANTIGEN Rp 95,000 TF BCA
5 Rp 95,000
RIVE THRU PCC
PEMILIK REK
NAMA PETUGAS : NANDA ADHYANTA
HARI/TANGGAL : MINGGU, 24 APRIL 2022 DRIVE THRU PCC
NO Tn. ANTONG
NAMA
GOLIPASIEN LAYANAN NOMINAL PEMBAYARAN PETUGAS
1 Ibu SYARIFATUL WAHYUNI PCR SD Rp 295,000 TUNAI NANDA
2 Bpk. PRAMONO PCR SD Rp 295,000 TUNAI NANDA
3 Mr. HERMANTO PCR SD Rp 295,000 TUNAI NANDA
4 Bpk. DENNY FAJRI PASARIBU PCR SD Rp 295,000 QR BSI NANDA
5 Bpk. UNTUNG SURIADI ANTIGEN Rp 95,000 TUNAI NANDA
6 Bpk. AFRIZAL B.BAHARUDIN PCR SD Rp 295,000 TUNAI NANDA
7 Bpk. SULAIMAN WARDANA ANTIGEN Rp 95,000 TUNAI NANDA
8 Bpk. HAMZAH MOHAMMAD ANTIGEN Rp 95,000 TUNAI NANDA
9 EFENDI
Bpk. ATMUHARYANI PCR SD Rp 295,000 TUNAI NANDA
10 ANTIGEN Rp 95,000 TUNAI NANDA

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