BHP Ranap 30-05

TGL.PELAYANAN BATAL NO.
RM NAMA PASIEN CARA MASUK POLIKILINIK/ RUANG
30/08/2021 10:26:34 False 109914 KEYZER IXAKA SILALAHI RAWAT INAP ANGGREK RAWAT ANAK
31/08/2021 10:27:09 False 109914 KEYZER IXAKA SILALAHI RAWAT INAP ANGGREK RAWAT ANAK
30/08/2021 2:23:59 False 111201 AMORA NAINGGOLAN RAWAT INAP ANGGREK RAWAT ANAK
31/08/2021 8:37:41 False 111293 MUHAMMAF ALFAREZA HARAHAP RAWAT INAP ANGGREK RAWAT ANAK
01/09/2021 8:38:12 False 111293 MUHAMMAF ALFAREZA HARAHAP RAWAT INAP ANGGREK RAWAT ANAK
8
CARA BAYAR KELAS DOKTER (DPJP) DOKTER/ OPERATOR/ PELAKSANA FREQ JENIS PELAYANAN
BPJS NON-PBI VIP TEDDY ARDAN, DR, SP.A ASMAUL HUSNI, S. KEP. NS 4 INJEKSI
BPJS NON-PBI VIP TEDDY ARDAN, DR, SP.A DEWI SRIYANTI, AMD.KEB 1 AFF INFUS
UMUM KELAS 2 TEDDY ARDAN, DR, SP.A ARTIKA APRIYOLA, AMD.KEB 2 INJEKSI
UMUM KELAS 2 TEDDY ARDAN, DR, SP.A PERAWAT/ BIDAN 1 AFF INFUS
UMUM KELAS 2 TEDDY ARDAN, DR, SP.A PERAWAT/ BIDAN 2 ASUHAN KEPERAWATAN
UMUM KELAS 2 TEDDY ARDAN, DR, SP.A PERAWAT/ BIDAN 1 BHP
BPJS NON-PBI KELAS 2 AIDI NASRUL, DR, SP.PD ASMAUL HUSNI, S. KEP. NS 1 PASANG INFUS ANAK/BAYI
BPJS NON-PBI KELAS 2 AIDI NASRUL, DR, SP.PD DEWI SRIYANTI, AMD.KEB 1 AFF INFUS
BAHP TGL.PULANG
8,000 31/08/2021 10:44:00
10,000 31/08/2021 10:44:00
4,000 30/08/2021 14:50:00
10,000 30/08/2021 14:50:00
10,000 30/08/2021 14:50:00
100,000 30/08/2021 14:50:00
20,000 01/09/2021 8:40:00
10,000 01/09/2021 8:40:00
172,000
TGL.PELAYANAN BATAL NO.RM NAMA PASIEN CARA MASUK POLIKILINIK/ RUANG
30/08/2021 18:28:17 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE
01/09/2021 7:31:14 False 038193 MANTI ELVARIDA BR SIREGAR RAWAT INAP BOUGENVILE
01/09/2021 7:31:49 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

31/08/2021 20:22:55 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE
02/09/2021 1:47:19 False 058706 LISA ROTUA HUTAHAEAN RAWAT INAP BOUGENVILE
30/08/2021 13:09:19 False 071825 MEGA WATIK RAWAT INAP BOUGENVILE
30/08/2021 15:23:30 False 071825 MEGA WATIK RAWAT INAP BOUGENVILE
03/09/2021 18:32:08 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

30/08/2021 15:18:58 False 073456 HESTI MEILANY RAWAT INAP BOUGENVILE
30/08/2021 15:19:17 False 073456 HESTI MEILANY RAWAT INAP BOUGENVILE
31/08/2021 21:08:30 False 074268 NURHALIMAH RAWAT INAP BOUGENVILE
01/09/2021 20:12:48 False 078031 ANISA OKTAPIOLITA RAWAT INAP BOUGENVILE

03/09/2021 22:25:35 False 082925 YURIKO FITRIA EKA PUTRI RAWAT INAP BOUGENVILE
30/08/2021 10:01:51 False 087007 EEN MARDIANI RAWAT INAP BOUGENVILE
03/09/2021 22:26:23 False 105492 MAYA SARI RAWAT INAP BOUGENVILE
05/09/2021 15:51:24 False 105792 SOFIANTI RAWAT INAP BOUGENVILE

04/09/2021 15:30:32 False 107923 EKA YULIANI RAWAT INAP BOUGENVILE
03/09/2021 0:46:05 False 107979 HALIMAH RAHMAYNI RAWAT INAP BOUGENVILE
03/09/2021 9:57:43 False 107979 HALIMAH RAHMAYNI RAWAT INAP BOUGENVILE
30/08/2021 0:05:50 False 108200 EKA NURHAYANI RAWAT INAP BOUGENVILE
30/08/2021 0:07:43 False 109405 FIKA LESTARI RAWAT INAP BOUGENVILE
03/09/2021 0:45:41 False 110176 LUCIA SISKA RAWAT INAP BOUGENVILE
30/08/2021 23:37:01 False 110201 ROSLINDA RAWAT INAP BOUGENVILE

30/08/2021 0:06:38 False 110424 SYAFRIYANTI RAWAT INAP BOUGENVILE
04/09/2021 12:30:49 False 110460 NISA ANGGRAENI RAWAT INAP BOUGENVILE
03/09/2021 11:16:03 False 110520 SUMARNI RAWAT INAP BOUGENVILE
02/09/2021 1:45:21 False 110803 MANJA ELFRIDA PANJAITAN RAWAT INAP BOUGENVILE
31/08/2021 20:19:28 False 110930 YUSNIMAR RAWAT INAP BOUGENVILE

03/09/2021 18:29:28 False 110981 KASIH RAWAT INAP BOUGENVILE
30/08/2021 10:19:21 False 111149 FIKA LESTARI BY RAWAT INAP BOUGENVILE
30/08/2021 0:09:57 False 111154 SUSANTI RAWAT INAP BOUGENVILE
30/08/2021 0:07:11 False 111155 AYU SARI RAWAT INAP BOUGENVILE
30/08/2021 10:16:21 False 111156 SUSANTI BY RAWAT INAP BOUGENVILE
30/08/2021 10:32:56 False 111157 AYU SARI BY RAWAT INAP BOUGENVILE
30/08/2021 10:33:01 False 111157 AYU SARI BY RAWAT INAP BOUGENVILE
30/08/2021 8:07:22 False 111159 RATNA SARI RAWAT INAP BOUGENVILE

30/08/2021 8:35:12 False 111161 RATNA SARI BY RAWAT INAP BOUGENVILE
30/08/2021 10:38:08 False 111162 HESTI MEILANY BY RAWAT INAP BOUGENVILE
30/08/2021 0:08:41 False 111189 VICTORIA ADELINA PANJAITAN RAWAT INAP BOUGENVILE
30/08/2021 10:28:31 False 111190 VICTORIA ADELINA PANJAITAN BY RAWAT INAP BOUGENVILE
30/08/2021 15:09:33 False 111193 ERNA RAWAT INAP BOUGENVILE
30/08/2021 15:27:04 False 111193 ERNA RAWAT INAP BOUGENVILE
30/08/2021 10:13:01 False 111197 EKA NURHAYANI BY RAWAT INAP BOUGENVILE
31/08/2021 11:24:31 False 111211 EEN MARDIANI BY RAWAT INAP BOUGENVILE
30/08/2021 11:27:45 False 111257 MASTIUR LIANA BY RAWAT INAP BOUGENVILE
30/08/2021 21:48:29 False 111262 YULIA SAFITRI RAWAT INAP BOUGENVILE
01/09/2021 11:31:22 False 111263 YULIA SAFITRI BY RAWAT INAP BOUGENVILE
31/08/2021 11:31:32 False 111263 YULIA SAFITRI BY RAWAT INAP BOUGENVILE
31/08/2021 13:23:32 False 111269 SAGINA SAMOSIR RAWAT INAP BOUGENVILE

31/08/2021 12:31:55 False 111270 SAGINA SAMOSIR BY RAWAT INAP BOUGENVILE
02/09/2021 11:32:45 False 111270 SAGINA SAMOSIR BY RAWAT INAP BOUGENVILE
31/08/2021 20:18:16 False 111272 YUSNIMAR BY RAWAT INAP BOUGENVILE
31/08/2021 23:27:15 False 111288 RANI PUSPITA BY RAWAT INAP BOUGENVILE
02/09/2021 11:30:22 False 111288 RANI PUSPITA BY RAWAT INAP BOUGENVILE
31/08/2021 18:24:12 False 111290 NONA ARIYANTI BY RAWAT INAP BOUGENVILE
01/09/2021 1:34:54 False 111296 MANTI ELVARIDA BR SIREGAR BY RAWAT INAP BOUGENVILE
02/09/2021 11:35:10 False 111296 MANTI ELVARIDA BR SIREGAR BY RAWAT INAP BOUGENVILE
01/09/2021 15:01:22 False 111298 LINDA SARI RAWAT INAP BOUGENVILE
01/09/2021 15:02:13 False 111298 LINDA SARI RAWAT INAP BOUGENVILE
01/09/2021 11:11:18 False 111299 LINDA SARI BY RAWAT INAP BOUGENVILE
03/09/2021 14:50:48 False 111313 LISA ROTUA HUTAHAEAN BY RAWAT INAP BOUGENVILE
01/09/2021 14:51:01 False 111313 LISA ROTUA HUTAHAEAN BY RAWAT INAP BOUGENVILE
02/09/2021 12:54:51 False 111340 HALIMAH RAHMAYNI BY RAWAT INAP BOUGENVILE
03/09/2021 8:04:56 False 111368 KASIH BY RAWAT INAP BOUGENVILE
05/09/2021 12:05:21 False 111368 KASIH BY RAWAT INAP BOUGENVILE
03/09/2021 18:31:07 False 111376 HELLENA ALFITRIS RAWAT INAP BOUGENVILE

03/09/2021 12:01:19 False 111377 HELLENA ALFITRIS BY RAWAT INAP BOUGENVILE
05/09/2021 12:01:33 False 111377 HELLENA ALFITRIS BY RAWAT INAP BOUGENVILE
03/09/2021 3:51:53 False 111419 SUMARNI BY RAWAT INAP BOUGENVILE
05/09/2021 11:52:26 False 111419 SUMARNI BY RAWAT INAP BOUGENVILE
04/09/2021 13:27:41 False 111446 SHELY RAMADHANI RAWAT INAP BOUGENVILE
05/09/2021 7:12:33 False 111453 ELFINA SARI RAWAT INAP BOUGENVILE
05/09/2021 7:13:33 False 111528 PUTRI RAMA SIHOMBING RAWAT INAP BOUGENVILE
05/09/2021 12:02:55 False 111544 SOFIANTI BY RAWAT INAP BOUGENVILE
354
CARA BAYAR KELAS DOKTER (DPJP) DOKTER/ OPERATOR/ PELAKSANA FREQ
BPJS NON-PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG H.R.ROSENO SARJANTO,DR, SPOG 1
BPJS NON-PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG PERAWAT/ BIDAN 1
BPJS NON-PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG DALILI MIFTAHIR R. R, AMD. KEB 9
BPJS NON-PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG IKA CAHYA UTAMI, S. ST 1
BPJS NON-PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG RENI SURYANI, AMD. KEB 2
BPJS NON-PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG INDAH PURNAMASARI, AMD. KEP 2
BPJS NON-PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG METRI RIDHO, STR. KEB 1
BPJS NON-PBI KELAS 2 H.R.ROSENO SARJANTO,DR, SPOG WINDA NILAM SARI, AMD.KEB 2
BPJS NON-PBI KELAS 2 H.R.ROSENO SARJANTO,DR, SPOG RISKA ATMAJAWATI, AMD. KEB 2
BPJS NON-PBI KELAS 2 H.R.ROSENO SARJANTO,DR, SPOG ARIYANI PURNAWIRA, AMD.KEB 1
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG DARWIN N.A ,DR, SPOG 1
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG PERAWAT/ BIDAN 1
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG METRI RIDHO, STR. KEB 2
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG DALILI MIFTAHIR R. R, AMD. KEB 1
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG WINDA NILAM SARI, AMD.KEB 5
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG RISKA ATMAJAWATI, AMD. KEB 1
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG RENI SURYANI, AMD. KEB 1
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG HOTNIDA ELYSABETH, AMD. KEB 1
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG RISKA, AMD. KEP 1
BPJS NON-PBI VIP H.R.ROSENO SARJANTO,DR, SPOG INDAH PURNAMASARI, AMD. KEP 6
BPJS NON-PBI VIP H.R.ROSENO SARJANTO,DR, SPOG INDAH PURNAMASARI, AMD. KEP 1
BPJS NON-PBI VIP H.R.ROSENO SARJANTO,DR, SPOG H.R.ROSENO SARJANTO,DR, SPOG 1
BPJS NON-PBI VIP H.R.ROSENO SARJANTO,DR, SPOG PERAWAT/ BIDAN 1
BPJS NON-PBI VIP H.R.ROSENO SARJANTO,DR, SPOG RISKA ATMAJAWATI, AMD. KEB 3
BPJS NON-PBI VIP H.R.ROSENO SARJANTO,DR, SPOG WINDA NILAM SARI, AMD.KEB 5
BPJS NON-PBI VIP H.R.ROSENO SARJANTO,DR, SPOG WINDA NILAM SARI, AMD.KEB 1
BPJS NON-PBI VIP H.R.ROSENO SARJANTO,DR, SPOG RENI SURYANI, AMD. KEB 5
BPJS NON-PBI KELAS 3 DARWIN N.A ,DR, SPOG MARLINA WANA SARI, AMD. KEB 3
BPJS NON-PBI KELAS 3 DARWIN N.A ,DR, SPOG ARIYANI PURNAWIRA, AMD.KEB 2
BPJS NON-PBI KELAS 3 DARWIN N.A ,DR, SPOG INDAH PURNAMASARI, AMD. KEP 2
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG IKA CAHYA UTAMI, S. ST 1
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG METRI RIDHO, STR. KEB 1
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG INDAH PURNAMASARI, AMD. KEP 1
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG RISKA ATMAJAWATI, AMD. KEB 3
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG MADUMA OCTHA MARINI S, DR.SPOG 1
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG PERAWAT/ BIDAN 1
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG MARLINA WANA SARI, AMD. KEB 3
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG ARIYANI PURNAWIRA, AMD.KEB 2
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG RENI SURYANI, AMD. KEB 2
BPJS NON-PBI KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG RISKA, AMD. KEP 1
BPJS NON-PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG MARLINA WANA SARI, AMD. KEB 1

BPJS NON-PBI KELAS 1 MADUMA OCTHA MARINI S, DR.SPOG WINDA NILAM SARI, AMD.KEB 5
BPJS NON-PBI KELAS 1 MADUMA OCTHA MARINI S, DR.SPOG NAZIRIN, AMD. KEP 1
BPJS NON-PBI KELAS 1 MADUMA OCTHA MARINI S, DR.SPOG IRMA SUTIAWATI, AMD. KEB 1
BPJS NON-PBI KELAS 2 MADUMA OCTHA MARINI S, DR.SPOG DALILI MIFTAHIR R. R, AMD. KEB 4
BPJS NON-PBI KELAS 2 H.R.ROSENO SARJANTO,DR, SPOG IRMA SUTIAWATI, AMD. KEB 2

UMUM KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG IKA CAHYA UTAMI, S. ST 2
UMUM KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG IKA CAHYA UTAMI, S. ST 1
UMUM KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG MADUMA OCTHA MARINI S, DR.SPOG 1
UMUM KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG PERAWAT/ BIDAN 1
UMUM KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG RISKA ATMAJAWATI, AMD. KEB 1
UMUM KELAS 3 MADUMA OCTHA MARINI S, DR.SPOG RISKA, AMD. KEP 1
BPJS NON-PBI KELAS 1 H.R.ROSENO SARJANTO,DR, SPOG MARLINA WANA SARI, AMD. KEB 2
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG IKA CAHYA UTAMI, S. ST 1
BPJS NON-PBI KELAS 1 MADUMA OCTHA MARINI S, DR.SPOG IRMA SUTIAWATI, AMD. KEB 4
BPJS NON-PBI KELAS 3 DARWIN N.A ,DR, SPOG INDAH PURNAMASARI, AMD. KEP 1
BPJS NON-PBI KELAS 3 TEDDY ARDAN, DR, SP.A NELI SYASMITA, AMD. KEB 1
BPJS PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG MARLINA WANA SARI, AMD. KEB 1
BPJS PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG PERAWAT/ BIDAN 1
BPJS PBI KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG H.R.ROSENO SARJANTO,DR, SPOG 1
BPJS NON-PBI KELAS 3 TEDDY ARDAN, DR, SP.A OVIKA RUKMANA, S.TR. KEB 1
BPJS NON-PBI KELAS 3 TEDDY ARDAN, DR, SP.A PERAWAT/ BIDAN 1
UMUM VIP H.R.ROSENO SARJANTO,DR, SPOG RISKA ATMAJAWATI, AMD. KEB 1
UMUM VIP H.R.ROSENO SARJANTO,DR, SPOG PERAWAT/ BIDAN 3

UMUM VIP H.R.ROSENO SARJANTO,DR, SPOG RISKA ATMAJAWATI, AMD. KEB 3
UMUM VIP H.R.ROSENO SARJANTO,DR, SPOG IKA CAHYA UTAMI, S. ST 1
UMUM VIP TEDDY ARDAN, DR, SP.A ERNI RAHMAYANTI, S. KEP. NS 1
ADMEDIKA VIP H.R.ROSENO SARJANTO,DR, SPOG ARIYANI PURNAWIRA, AMD.KEB 1
ADMEDIKA VIP H.R.ROSENO SARJANTO,DR, SPOG MARLINA WANA SARI, AMD. KEB 1
ADMEDIKA VIP H.R.ROSENO SARJANTO,DR, SPOG RISKA ATMAJAWATI, AMD. KEB 1
ADMEDIKA VIP H.R.ROSENO SARJANTO,DR, SPOG H.R.ROSENO SARJANTO,DR, SPOG 1
ADMEDIKA VIP H.R.ROSENO SARJANTO,DR, SPOG H.R.ROSENO SARJANTO,DR, SPOG 1
ADMEDIKA VIP H.R.ROSENO SARJANTO,DR, SPOG RENI SURYANI, AMD. KEB 1
ADMEDIKA VIP H.R.ROSENO SARJANTO,DR, SPOG IKA CAHYA UTAMI, S. ST 1
ADMEDIKA VIP H.R.ROSENO SARJANTO,DR, SPOG IKA CAHYA UTAMI, S. ST 1
ADMEDIKA VIP TEDDY ARDAN, DR, SP.A TEDDY ARDAN, DR, SP.A 1
ADMEDIKA VIP TEDDY ARDAN, DR, SP.A ERNI RAHMAYANTI, S. KEP. NS 1
ADMEDIKA VIP TEDDY ARDAN, DR, SP.A TEDDY ARDAN, DR, SP.A 1
BPJS NON-PBI KELAS 2 TEDDY ARDAN, DR, SP.A ERNI RAHMAYANTI, S. KEP. NS 1
BPJS NON-PBI KELAS 2 TEDDY ARDAN, DR, SP.A RAPI KUMALA DEWI, AMD.KEB 1
BPJS NON-PBI KELAS 3 RAKHMA TRIN SUCIATI, DR, SPA OVIKA RUKMANA, S.TR. KEB 1
UMUM KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG H.R.ROSENO SARJANTO,DR, SPOG 1
UMUM KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG PERAWAT/ BIDAN 1
UMUM KELAS 3 RAKHMA TRIN SUCIATI, DR, SPA PERAWAT/ BIDAN 1
UMUM KELAS 3 RAKHMA TRIN SUCIATI, DR, SPA NELI SYASMITA, AMD. KEB 1
BPJS NON-PBI KELAS 3 RAKHMA TRIN SUCIATI, DR, SPA PERAWAT/ BIDAN 1
UMUM KELAS 3 TEDDY ARDAN, DR, SP.A NELI SYASMITA, AMD. KEB 1
BPJS NON-PBI VIP RAKHMA TRIN SUCIATI, DR, SPA NELI SYASMITA, AMD. KEB 1
BPJS NON-PBI VIP RAKHMA TRIN SUCIATI, DR, SPA NELI SYASMITA, AMD. KEB 1
BPJS NON-PBI KELAS 2 RAKHMA TRIN SUCIATI, DR, SPA MELIA ULFA, AMD. KEB 1
BPJS NON-PBI KELAS 2 RAKHMA TRIN SUCIATI, DR, SPA NELI SYASMITA, AMD. KEB 1
BPJS NON-PBI KELAS 2 RAKHMA TRIN SUCIATI, DR, SPA MELIA ULFA, AMD. KEB 1
BPJS NON-PBI KELAS 2 DARWIN N.A ,DR, SPOG NAZIRIN, AMD. KEP 1
UMUM KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG WINDA NILAM SARI, AMD.KEB 1
UMUM KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG IRMA SUTIAWATI, AMD. KEB 1
UMUM KELAS 3 H.R.ROSENO SARJANTO,DR, SPOG METRI RIDHO, STR. KEB 3
JENIS PELAYANAN BAHP TGL.PULANG
JASA OPERATOR OPERASI BESAR 672,094 01/09/2021 16:36:00
OKSIGEN (LITER PER JAM) 36,000 01/09/2021 16:36:00
INJEKSI 18,000 01/09/2021 16:36:00
GANTI VERBAN KECIL (1-5 PCS KASSA) 20,000 01/09/2021 16:36:00
GANTI VERBAN SEDANG (6-20 PCS KASSA) 30,000 01/09/2021 16:36:00
INJEKSI 4,000 01/09/2021 16:36:00
INJEKSI 4,000 01/09/2021 16:36:00
AFF INFUS 10,000 01/09/2021 16:36:00
PASANG INFUS 10,000 01/09/2021 16:36:00
INJEKSI 4,000 01/09/2021 16:36:00
INJEKSI 2,000 01/09/2021 16:36:00
AFF INFUS 10,000 01/09/2021 16:36:00
AFF CATETER 10,000 01/09/2021 16:36:00
INJEKSI 2,000 03/09/2021 14:46:00
INJEKSI 4,000 03/09/2021 14:46:00
INJEKSI 4,000 03/09/2021 14:46:00
INJEKSI 4,000 03/09/2021 14:46:00
AFF CATETER 10,000 03/09/2021 14:46:00
AFF INFUS 10,000 03/09/2021 14:46:00
INJEKSI 16,000 03/09/2021 14:46:00
PASANG INFUS 10,000 03/09/2021 14:46:00
PASANG CATETER 38,000 03/09/2021 14:46:00
FEBREDING 10,000 03/09/2021 14:46:00
INJEKSI 10,000 02/09/2021 19:44:00
INJEKSI 2,000 02/09/2021 19:44:00

INJEKSI 10,000 02/09/2021 19:44:00
AFF CATETER 10,000 02/09/2021 19:44:00
AFF INFUS 10,000 02/09/2021 19:44:00
INJEKSI 10,000 02/09/2021 19:44:00
INJEKSI 4,000 03/09/2021 13:39:00
INJEKSI 10,000 03/09/2021 13:39:00
INJEKSI 4,000 03/09/2021 13:39:00
AFF CATETER 10,000 03/09/2021 13:39:00
INJEKSI 2,000 03/09/2021 13:39:00
AFF INFUS 10,000 03/09/2021 13:39:00
INJEKSI 10,000 03/09/2021 13:39:00
PASANG INFUS 10,000 03/09/2021 13:39:00
PASANG CATETER 38,000 03/09/2021 13:39:00
FEBREDING 10,000 03/09/2021 13:39:00
GANTI VERBAN SEDANG 30,000 03/09/2021 13:39:00
INJEKSI 12,000 03/09/2021 15:02:00
INJEKSI 6,000 03/09/2021 15:02:00
INJEKSI 10,000 03/09/2021 15:02:00
INJEKSI 10,000 03/09/2021 15:02:00
AFF CATETER 10,000 03/09/2021 15:02:00
AFF INFUS 10,000 03/09/2021 15:02:00
AFF INFUS 10,000 30/08/2021 16:26:00
INJEKSI 2,000 30/08/2021 16:26:00
INJEKSI 2,000
GANTI VERBAN KECIL (1-5 PCS KASSA) 20,000
INJEKSI 2,000
JASA OPERATOR OPERASI BESAR 678,650

OKSIGEN (LITER PER JAM) 36,000
INJEKSI 4,000
INJEKSI 2,000
INJEKSI 2,000
INJEKSI 4,000
PASANG INFUS 10,000
MONITOR PASIEN 5,000
INJEKSI 2,000
AFF CATETER 10,000 30/08/2021 16:27:00
FEBREDING 10,000 03/09/2021 11:34:00
PASANG INFUS 10,000 03/09/2021 11:34:00
INJEKSI 2,000 03/09/2021 11:34:00
PASANG CATETER 38,000 03/09/2021 11:34:00
INJEKSI 2,000 03/09/2021 11:34:00
INJEKSI 6,000 03/09/2021 11:34:00
INJEKSI 4,000 03/09/2021 11:34:00
JASA OPERATOR OPERASI SEDANG 316,450 03/09/2021 11:34:00
INJEKSI 6,000 03/09/2021 11:34:00
INJEKSI 4,000 03/09/2021 11:34:00
INJEKSI 4,000 03/09/2021 11:34:00
AFF INFUS 10,000 03/09/2021 11:34:00
INJEKSI 2,000 03/09/2021 11:34:00
AFF CATETER 10,000 03/09/2021 11:34:00
PASANG INFUS 10,000 03/09/2021 15:10:00
PASANG CATETER 38,000 03/09/2021 15:10:00
INJEKSI 6,000 03/09/2021 15:10:00
INJEKSI 2,000 03/09/2021 15:10:00
INJEKSI 2,000 03/09/2021 15:10:00
INJEKSI 2,000 03/09/2021 15:10:00
INJEKSI 2,000 03/09/2021 15:10:00
INJEKSI 2,000 03/09/2021 15:10:00

AFF INFUS 10,000 03/09/2021 15:10:00
AFF CATETER 10,000 03/09/2021 15:10:00
INJEKSI 10,000 05/09/2021 17:03:00
JASA OPERATOR OPERASI KHUSUS 594,896 05/09/2021 17:03:00
INJEKSI 6,000 05/09/2021 17:03:00
INJEKSI 8,000 05/09/2021 17:03:00
INJEKSI 10,000 05/09/2021 17:03:00
INJEKSI 2,000 05/09/2021 17:03:00
PASANG INFUS 10,000 05/09/2021 17:03:00
PASANG CATETER 38,000 05/09/2021 17:03:00
FEBREDING 10,000 05/09/2021 17:03:00
AFF CATETER 10,000 05/09/2021 17:03:00
AFF INFUS 10,000 05/09/2021 17:03:00
INJEKSI 2,000 05/09/2021 17:03:00
INJEKSI 4,000 01/09/2021 12:42:00
INJEKSI 2,000 01/09/2021 12:42:00
INJEKSI 8,000 01/09/2021 12:42:00
INJEKSI 10,000 01/09/2021 12:42:00
AFF INFUS 10,000 01/09/2021 12:42:00
INJEKSI 8,000 01/09/2021 12:42:00
INJEKSI 10,000 01/09/2021 12:42:00
AFF CATETER 10,000 01/09/2021 12:42:00
INJEKSI 10,000 05/09/2021 16:23:00
INJEKSI 4,000 05/09/2021 16:23:00
INJEKSI 8,000 05/09/2021 16:23:00
INJEKSI 4,000 05/09/2021 16:23:00
AFF INFUS 10,000 05/09/2021 16:23:00
PASANG INFUS 10,000 05/09/2021 16:23:00
INJEKSI 6,000 05/09/2021 17:07:00

PARTUS PATOLOGIS 200,000 05/09/2021 17:07:00
AFF INFUS 10,000 05/09/2021 17:07:00
AFF CATETER 10,000 04/09/2021 17:42:00
PASANG LAMINARIA 75,000 04/09/2021 17:42:00
PASANG INFUS 10,000 04/09/2021 17:42:00
AFF INFUS 20,000 04/09/2021 17:42:00
PASANG CATETER 76,000 04/09/2021 17:42:00
INJEKSI 10,000 04/09/2021 17:42:00
CURATAGE 200,000 04/09/2021 17:42:00
AFF INFUS 10,000 03/09/2021 12:44:00
AFF CATETER 10,000 30/08/2021 16:14:00
INJEKSI 4,000 30/08/2021 16:14:00
AFF INFUS 10,000 30/08/2021 16:14:00
INJEKSI 2,000 30/08/2021 16:14:00
INJEKSI 4,000 30/08/2021 16:23:00
AFF INFUS 10,000 30/08/2021 16:23:00
INJEKSI 4,000 03/09/2021 11:54:00
CURATAGE 100,000 03/09/2021 11:54:00
PASANG LAMINARIA 75,000 03/09/2021 11:54:00
AFF INFUS 10,000 03/09/2021 11:54:00
AFF CATETER 10,000 03/09/2021 11:54:00
ASUHAN KEPERAWATAN 5,000 03/09/2021 11:54:00
INJEKSI 4,000 02/09/2021 16:07:00
INJEKSI 4,000 02/09/2021 16:07:00
INJEKSI 4,000 02/09/2021 16:07:00
INJEKSI 2,000 02/09/2021 16:07:00
INJEKSI 4,000 02/09/2021 16:07:00
USG BIASA 10,000 02/09/2021 16:07:00
AFF INFUS 10,000 02/09/2021 16:07:00

INJEKSI 4,000 30/08/2021 16:33:00
AFF CATETER 10,000 30/08/2021 16:33:00
AFF INFUS 10,000 30/08/2021 16:33:00
INJEKSI 2,000
INJEKSI 2,000
INJEKSI 2,000
INJEKSI 8,000
INJEKSI 2,000
AFF CATETER 10,000
INJEKSI 2,000 05/09/2021 16:18:00
INJEKSI 4,000 05/09/2021 16:18:00
INJEKSI 6,000 05/09/2021 16:18:00
AFF CATETER 10,000 05/09/2021 16:18:00
INJEKSI 2,000 05/09/2021 16:18:00
INJEKSI 4,000 05/09/2021 16:18:00
AFF INFUS 10,000 05/09/2021 16:18:00
USG BIASA 10,000 05/09/2021 16:18:00
INJEKSI 2,000 04/09/2021 9:49:00
INJEKSI 6,000 04/09/2021 9:49:00
INJEKSI 8,000 04/09/2021 9:49:00
AFF CATETER 10,000 04/09/2021 9:49:00
INJEKSI 16,000 04/09/2021 9:49:00
AFF INFUS 10,000 04/09/2021 9:49:00

INJEKSI 10,000 02/09/2021 16:17:00
INJEKSI 6,000 02/09/2021 16:17:00
AFF CATETER 10,000 02/09/2021 16:17:00
INJEKSI 4,000 02/09/2021 16:17:00
INJEKSI 2,000 02/09/2021 16:17:00
AFF INFUS 10,000 02/09/2021 16:17:00
INJEKSI 8,000 05/09/2021 17:10:00
INJEKSI 10,000 05/09/2021 17:10:00
INJEKSI 4,000 05/09/2021 17:10:00
INJEKSI 2,000 05/09/2021 17:10:00
INJEKSI 4,000 05/09/2021 17:10:00
INJEKSI 6,000 05/09/2021 17:10:00
AFF INFUS 10,000 05/09/2021 17:10:00
PASANG INFUS 10,000 05/09/2021 17:10:00
PASANG CATETER 38,000 05/09/2021 17:10:00
FEBREDING 10,000 05/09/2021 17:10:00
AFF CATETER 10,000 05/09/2021 17:10:00
BHP PULANG 30,000 30/08/2021 16:25:00
AFF INFUS 10,000 30/08/2021 15:52:00
AFF CATETER 10,000 30/08/2021 15:52:00
INJEKSI 6,000 31/08/2021 17:56:00
AFF INFUS 10,000 31/08/2021 17:56:00
BHP PULANG 30,000 30/08/2021 15:55:00
BHP PULANG 30,000 31/08/2021 18:19:00
INJEKSI 2,000 31/08/2021 18:19:00
AFF CATETER 10,000 30/08/2021 11:15:00
ASUHAN KEPERAWATAN 15,000 30/08/2021 11:15:00

INJEKSI 6,000 30/08/2021 11:15:00
BHP PULANG 30,000 30/08/2021 11:16:00
BHP PULANG 30,000 30/08/2021 16:29:00
INJEKSI 2,000 31/08/2021 18:31:00
INJEKSI 2,000 31/08/2021 18:31:00
VISITE BIASA DOKTER SPESIALIS 95,000 31/08/2021 18:31:00
AFF INFUS 10,000 31/08/2021 18:31:00
AFF CATETER 10,000 31/08/2021 18:31:00
IMUNISASI HB0 40,000 31/08/2021 18:21:00
INJEKSI 2,000 31/08/2021 18:21:00
BHP PULANG 30,000 31/08/2021 18:21:00
INJEKSI 10,000 30/08/2021 16:32:00
AFF INFUS 10,000 30/08/2021 16:32:00
BHP PULANG 30,000 30/08/2021 16:20:00
IMUNISASI HBO 15,000 01/09/2021 12:40:00
INJEKSI 2,000 01/09/2021 12:40:00
BHP PULANG 30,000 01/09/2021 12:40:00
IMUNISASI HB0 40,000 01/09/2021 16:39:00
BHP PULANG 30,000 01/09/2021 16:39:00
INJEKSI 2,000 01/09/2021 16:39:00
AFF INFUS 10,000 01/09/2021 15:33:00
AFF CATETER 10,000 01/09/2021 15:33:00
INJEKSI 40,000 01/09/2021 15:33:00
BHP PULANG 30,000 01/09/2021 15:32:00
INJEKSI 2,000 01/09/2021 15:32:00
INJEKSI 2,000 03/09/2021 12:09:00

INJEKSI 6,000 03/09/2021 12:09:00
INJEKSI 10,000 03/09/2021 12:09:00
INJEKSI 6,000 03/09/2021 12:09:00
AFF CATETER 10,000 03/09/2021 12:09:00
AFF INFUS 10,000 03/09/2021 12:09:00
INJEKSI 2,000 03/09/2021 11:50:00
BHP PULANG 30,000 03/09/2021 11:50:00
INJEKSI 2,000 02/09/2021 16:26:00
BHP PULANG 30,000 02/09/2021 16:26:00
IMUNISASI HB0 40,000 02/09/2021 16:26:00
INJEKSI 2,000 02/09/2021 19:53:00
BHP PULANG 30,000 02/09/2021 19:53:00
INJEKSI 2,000 03/09/2021 14:12:00
BHP PULANG 30,000 03/09/2021 14:12:00
IMUNISASI HB0 40,000 03/09/2021 14:12:00
INJEKSI 2,000 03/09/2021 14:34:00
BHP PULANG 30,000 03/09/2021 14:34:00
IMUNISASI HBO 15,000 03/09/2021 16:09:00
BHP PULANG 30,000 03/09/2021 16:09:00
INJEKSI 2,000 03/09/2021 16:09:00
BHP PULANG 30,000 03/09/2021 14:53:00
INJEKSI 2,000 03/09/2021 14:53:00
INJEKSI 2,000 03/09/2021 13:03:00
BHP PULANG 30,000 03/09/2021 13:03:00
IMUNISASI HB0 40,000 03/09/2021 13:03:00
INJEKSI 2,000 05/09/2021 17:13:00
BHP PULANG 30,000 05/09/2021 17:13:00
INJEKSI 6,000 05/09/2021 16:16:00
INJEKSI 2,000 05/09/2021 16:16:00

INJEKSI 4,000 05/09/2021 16:16:00
INJEKSI 2,000 05/09/2021 16:16:00
INJEKSI 4,000 05/09/2021 16:16:00
AFF CATETER 10,000 05/09/2021 16:16:00
AFF INFUS 10,000 05/09/2021 16:16:00
INJEKSI 2,000 05/09/2021 16:17:00
BHP PULANG 30,000 05/09/2021 16:17:00
INJEKSI 2,000 05/09/2021 16:19:00
BHP PULANG 30,000 05/09/2021 16:19:00
AFF CATETER 10,000 05/09/2021 11:25:00
INJEKSI 2,000 05/09/2021 11:25:00
INJEKSI 8,000 05/09/2021 11:25:00
PARTUS PATOLOGIS 200,000 05/09/2021 11:25:00
AFF INFUS 10,000 05/09/2021 11:25:00
INJEKSI 2,000
INJEKSI 2,000
NEBULIZER 5,000
INJEKSI 6,000
INJEKSI 2,000
INJEKSI 2,000
INJEKSI 2,000
INJEKSI 2,000
INJEKSI 2,000
BHP PULANG 30,000
IMUNISASI HB0 40,000
18,730,212
TGL.PELAYANAN BATAL NO.RM NAMA PASIEN CARA MASUK POLIKILINIK/ RUANG CARA BAYAR
02/09/2021 1:11:10 False 025900 YESI RAVIKA DURI RAWAT INAP CEMPAKA BPJS NON-PBI
04/09/2021 22:35:01 False 040734 SYUKRI RAWAT INAP CEMPAKA BPJS NON-PBI
02/09/2021 23:06:02 False 049975 NURAIDA RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 12:01:33 False 051944 JEVIONER RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 12:29:52 False 061598 EMI RAWAT INAP CEMPAKA UMUM
30/08/2021 12:28:46 False 064716 ASMAN HASIBUAN RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 12:05:07 False 066149 SYUKUR HURA RAWAT INAP CEMPAKA BPJS NON-PBI
04/09/2021 9:52:17 False 066524 ANDI SUCIPTO RAWAT INAP CEMPAKA BPJS NON-PBI
9/4/2021 False 066524 ANDI SUCIPTO RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 12:02:39 False 083190 MARTINI RAWAT INAP CEMPAKA BPJS NON-PBI
02/09/2021 12:30:20 False 083645 NADIA FEMIA LOVELI RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 12:07:14 False 084333 ASNAWATI RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 16:17:31 False 084333 ASNAWATI RAWAT INAP CEMPAKA BPJS NON-PBI
31/08/2021 16:19:11 False 088841 ERNI KARMILA NASUTION RAWAT INAP CEMPAKA BPJS NON-PBI
01/09/2021 10:28:35 False 089388 YONNITA RAWAT INAP CEMPAKA BPJS NON-PBI
05/09/2021 22:10:21 False 099574 DESY RATNASARI RAWAT INAP CEMPAKA BPJS NON-PBI
01/09/2021 9:44:19 False 101995 RIKI PERNANDA RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 12:03:27 False 106900 RINI MARLINA RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 21:36:14 False 106900 RINI MARLINA RAWAT INAP CEMPAKA BPJS NON-PBI
31/08/2021 10:16:34 False 107975 AMZAR CHAN RAWAT INAP CEMPAKA BPJS NON-PBI
02/09/2021 1:10:06 False 110129 KIKI RISKI ANANDA RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 12:08:06 False 110799 NURHASANAH RAWAT INAP CEMPAKA BPJS NON-PBI
31/08/2021 16:21:40 False 110983 INDY THREE DURI RAWAT INAP CEMPAKA BPJS NON-PBI
30/08/2021 12:05:55 False 110991 RIDUWAN RAWAT INAP CEMPAKA UMUM
30/08/2021 12:09:11 False 111145 AMIRUDIN RAWAT INAP CEMPAKA UMUM

30/08/2021 12:04:07 False 111160 WANDI PUTRA YANTO RAWAT INAP CEMPAKA BPJS NON-PBI
01/09/2021 8:27:40 False 111297 KIPLI AKBAR NASUTION RAWAT INAP CEMPAKA UMUM
02/09/2021 1:10:41 False 111319 UMRI KHOLID RAWAT INAP CEMPAKA BPJS NON-PBI
02/09/2021 1:47:47 False 111323 LUSIANA PERMATA HATI RAWAT INAP CEMPAKA BPJS NON-PBI
MANURUNG
MANURUNG
MANURUNG
MANURUNG
MANURUNG
MANURUNG
MANURUNG
MANURUNG
02/09/2021 12:02:22 False 111338 DEWI RARA ANJENI RAWAT INAP CEMPAKA BPJS NON-PBI
04/09/2021 17:43:03 False 111456 PARIANI RAWAT INAP CEMPAKA BPJS NON-PBI
05/09/2021 6:54:57 False 111542 JOICE MARIA SILALAHI RAWAT INAP CEMPAKA BPJS NON-PBI
274
KELAS DOKTER (DPJP) DOKTER/ OPERATOR/ PELAKSANA FREQ JENIS PELAYANAN
KELAS 1 RURI GUSANDI, DR, SPB ELAYANI, AMD. KEP 1 INJEKSI
KELAS 1 RURI GUSANDI, DR, SPB DESI DAMAYANTI, AMD. KEP 1 INJEKSI
KELAS 1 RURI GUSANDI, DR, SPB KARNOTO, AMD. KEP 8 INJEKSI
KELAS 1 RURI GUSANDI, DR, SPB NURBAINI, AMD. KEB 1 AFF INFUS
KELAS 1 RURI GUSANDI, DR, SPB RURI GUSANDI, DR, SPB 1 JASA OPERATOR OPERASI SEDANG
KELAS 1 RURI GUSANDI, DR, SPB PERAWAT/ BIDAN 1 OKSIGEN (LITER PER JAM)
KELAS 1 RURI GUSANDI, DR, SPB PERAWAT/ BIDAN 1 N2O (LITER PER MENIT)
KELAS 2 RURI GUSANDI, DR, SPB PERAWAT/ BIDAN 1 AFF INFUS
KELAS 2 RURI GUSANDI, DR, SPB PERAWAT/ BIDAN 3 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD EVERYDA, AMD. KEB 8 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD NURBAINI, AMD. KEB 1 NEBULIZER
KELAS 3 AIDI NASRUL, DR, SP.PD DESI DAMAYANTI, AMD. KEP 5 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD ELAYANI, AMD. KEP 3 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD NURBAINI, AMD. KEB 1 AFF INFUS
KELAS 3 AIDI NASRUL, DR, SP.PD NURBAINI, AMD. KEB 2 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD MUHAMMAD YUSUF, DR 1 THORAX AP/PA
KELAS 3 AIDI NASRUL, DR, SP.PD KARNOTO, AMD. KEP 2 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD KARNOTO, AMD. KEP 1 PASANG CATETER
KELAS 3 AIDI NASRUL, DR, SP.PD MUHAMMAD YUSUF, DR 1 PROTEIN TOTAL
KELAS 3 AIDI NASRUL, DR, SP.PD VITRIA DWI MEGA MITA S,AMD.KEB 3 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD NAZIRIN, AMD. KEP 1 PASANG INFUS
KELAS 3 AIDI NASRUL, DR, SP.PD KARNOTO, AMD. KEP 1 AFF INFUS
KELAS 3 AIDI NASRUL, DR, SP.PD EVERYDA, AMD. KEB 1 AFF CATETER
KELAS 3 AIDI NASRUL, DR, SP.PD PERAWAT/ BIDAN 1 AFF INFUS
KELAS 3 AIDI NASRUL, DR, SP.PD DEA OKTOVIANI,DR 1 EKG
VIP AIDI NASRUL, DR, SP.PD NURBAINI, AMD. KEB 2 INJEKSI
VIP AIDI NASRUL, DR, SP.PD EVERYDA, AMD. KEB 3 INJEKSI
VIP AIDI NASRUL, DR, SP.PD KARNOTO, AMD. KEP 3 INJEKSI
VIP AIDI NASRUL, DR, SP.PD NURBAINI, AMD. KEB 2 INJEKSI
VIP AIDI NASRUL, DR, SP.PD KARNOTO, AMD. KEP 4 INJEKSI
VIP AIDI NASRUL, DR, SP.PD ELAYANI, AMD. KEP 4 INJEKSI
VIP AIDI NASRUL, DR, SP.PD ELAYANI, AMD. KEP 1 AFF INFUS
VIP AIDI NASRUL, DR, SP.PD PERAWAT/ BIDAN 7 ASUHAN KEPERAWATAN
KELAS 1 ROMAITO NASUTION, DR, NURBAINI, AMD. KEB 3 INJEKSI

SP.P
KELAS 1 ROMAITO NASUTION, DR, NURBAINI, AMD. KEB 1 NEBULIZER
SP.P
KELAS 1 ROMAITO NASUTION, DR, ELAYANI, AMD. KEP 3 INJEKSI
SP.P
KELAS 1 ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 3 INJEKSI
SP.P
KELAS 1 ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 2 NEBULIZER
SP.P
SP.P
SP.P
KELAS 1 ROMAITO NASUTION, DR, EVERYDA, AMD. KEB 2 INJEKSI
SP.P
SP.P
KELAS 1 ROMAITO NASUTION, DR, NURBAINI, AMD. KEB 1 PASANG INFUS
SP.P
SP.P
KELAS 1 ROMAITO NASUTION, DR, VITRIA DWI MEGA MITA S,AMD.KEB 3 INJEKSI
SP.P
KELAS 1 ROMAITO NASUTION, DR, VITRIA DWI MEGA MITA S,AMD.KEB 1 NEBULIZER
SP.P
KELAS 1 ROMAITO NASUTION, DR, VITRIA DWI MEGA MITA S,AMD.KEB 1 AFF INFUS
SP.P
KELAS 1 ROMAITO NASUTION, DR, VITRIA DWI MEGA MITA S,AMD.KEB 1 PASANG INFUS
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
KELAS 1 ROMAITO NASUTION, DR, EVERYDA, AMD. KEB 1 AFF INFUS
SP.P
KELAS 1 ROMAITO NASUTION, DR, DESI DAMAYANTI, AMD. KEP 1 NEBULIZER
SP.P
SP.P
KELAS 1 ROMAITO NASUTION, DR, DEWI PURWANI, AMD.KEB, SKM 3 INJEKSI
SP.P
SP.P
KELAS 1 ROMAITO NASUTION, DR, SUSI DARIKA, AMD. KEB 8 INJEKSI
SP.P
SP.P
KELAS 2 ROMAITO NASUTION, DR, MUHAMMAD YUSUF, DR 1 THORAX AP/PA
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
KELAS 2 ROMAITO NASUTION, DR, DESI DAMAYANTI, AMD. KEP 5 INJEKSI
SP.P
SP.P
KELAS 2 ROMAITO NASUTION, DR, EVERYDA, AMD. KEB 2 NEBULIZER
SP.P
SP.P
SP.P
SP.P
KELAS 2 ROMAITO NASUTION, DR, ELAYANI, AMD. KEP 1 NEBULIZER
SP.P
SP.P
SP.P
KELAS 2 ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 1 AFF INFUS
SP.P
KELAS 2 ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 1 AFF INFUS
SP.P
KELAS 1 RURI GUSANDI, DR, SPB DESI DAMAYANTI, AMD. KEP 1 PASANG INFUS
KELAS 1 RURI GUSANDI, DR, SPB MUHAMMAD YUSUF, DR 1 THORAX AP/PA
KELAS 1 RURI GUSANDI, DR, SPB SUSI DARIKA, AMD. KEB 5 INJEKSI
KELAS 1 RURI GUSANDI, DR, SPB EVERYDA, AMD. KEB 2 INJEKSI
KELAS 1 RURI GUSANDI, DR, SPB VITRIA DWI MEGA MITA S,AMD.KEB 5 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD NURBAINI, AMD. KEB 1 PASANG INFUS
KELAS 2 RURI GUSANDI, DR, SPB LASMINI, AMD.KEB 5 INJEKSI
KELAS 1 AIDI NASRUL, DR, SP.PD MUHAMMAD YUSUF, DR 1 CRP
KELAS 2 AIDI NASRUL, DR, SP.PD DESI NATALIA. S 2 INJEKSI
KELAS 2 AIDI NASRUL, DR, SP.PD ELAYANI, AMD. KEP 1 AFF INFUS
KELAS 3 AIDI NASRUL, DR, SP.PD NURBAINI, AMD. KEB 1 AFF INFUS
KELAS 3 AIDI NASRUL, DR, SP.PD NURBAINI, AMD. KEB 1 PASANG INFUS
KELAS 3 AIDI NASRUL, DR, SP.PD SUSI DARIKA, AMD. KEB 2 INJEKSI
KELAS 2 AIDI NASRUL, DR, SP.PD NUR HAFIZOH, AMD. KEB 2 INJEKSI
KELAS 2 RURI GUSANDI, DR, SPB PERAWAT/ BIDAN 5 INJEKSI

KELAS 3 AIDI NASRUL, DR, SP.PD DESI DAMAYANTI, AMD. KEP 1 AFF INFUS
KELAS 3 RURI GUSANDI, DR, SPB NURBAINI, AMD. KEB 1 PASANG INFUS
KELAS 3 RURI GUSANDI, DR, SPB NURBAINI, AMD. KEB 1 INJEKSI

SP.P
SP.P
KELAS 2 ROMAITO NASUTION, DR, MUHAMMAD YUSUF, DR 1 THORAX AP/PA
SP.P
SP.P
SP.P
SP.P
SP.P
KELAS 2 ROMAITO NASUTION, DR, EVERYDA, AMD. KEB 1 NEBULIZER
SP.P
SP.P
SP.P
SP.P
SP.P
SP.P
KELAS 2 ROMAITO NASUTION, DR, PERAWAT/ BIDAN 8 ASUHAN KEPERAWATAN
SP.P
KELAS 2 ROMAITO NASUTION, DR, VITRIA DWI MEGA MITA S,AMD.KEB 1 AFF INFUS
SP.P
VIP ROMAITO NASUTION, DR, NURBAINI, AMD. KEB 1 INJEKSI
SP.P
VIP ROMAITO NASUTION, DR, NURBAINI, AMD. KEB 1 NEBULIZER
SP.P
VIP ROMAITO NASUTION, DR, EVERYDA, AMD. KEB 6 INJEKSI
SP.P
VIP ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 4 INJEKSI
SP.P
VIP ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 1 NEBULIZER
SP.P
VIP ROMAITO NASUTION, DR, PERAWAT/ BIDAN 1 AFF INFUS
SP.P
VIP ROMAITO NASUTION, DR, PERAWAT/ BIDAN 1 OKSIGEN (LITER PER JAM)
SP.P
VIP ROMAITO NASUTION, DR, NURBAINI, AMD. KEB 1 INJEKSI
SP.P
VIP ROMAITO NASUTION, DR, NURBAINI, AMD. KEB 1 NEBULIZER
SP.P
VIP ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 5 INJEKSI
SP.P
VIP ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 1 NEBULIZER
SP.P
VIP ROMAITO NASUTION, DR, KARNOTO, AMD. KEP 1 GANTI VERBAN KECIL (1-5 PCS KASSA)
SP.P
KELAS 3 AIDI NASRUL, DR, SP.PD RURI GUSANDI, DR, SPB 1 JASA OPERATOR OPERASI SEDANG
KELAS 3 AIDI NASRUL, DR, SP.PD PERAWAT/ BIDAN 1 OKSIGEN (LITER PER JAM)
KELAS 3 AIDI NASRUL, DR, SP.PD PERAWAT/ BIDAN 1 N2O (LITER PER MENIT)
KELAS 3 AIDI NASRUL, DR, SP.PD DEWI PURWANI, AMD.KEB, SKM 3 INJEKSI
KELAS 3 AIDI NASRUL, DR, SP.PD DESI DAMAYANTI, AMD. KEP 1 AFF INFUS
KELAS 3 RURI GUSANDI, DR, SPB RURI GUSANDI, DR, SPB 1 JASA OPERATOR OPERASI BESAR
KELAS 3 RURI GUSANDI, DR, SPB DESI DAMAYANTI, AMD. KEP 1 GANTI VERBAN SEDANG (6-20 PCS
KASSA)
KELAS 3 RURI GUSANDI, DR, SPB SUSI DARIKA, AMD. KEB 1 GANTI VERBAN SEDANG (6-20 PCS
KASSA)
KELAS 3 RURI GUSANDI, DR, SPB PERAWAT/ BIDAN 5 ASUHAN KEPERAWATAN
KELAS 3 RURI GUSANDI, DR, SPB PERAWAT/ BIDAN 1 BHP
KELAS 3 INTAN YULIASARI, DR, ELAYANI, AMD. KEP 2 INJEKSI

MSC,SP.S
KELAS 3 INTAN YULIASARI, DR, DESI DAMAYANTI, AMD. KEP 4 INJEKSI
MSC,SP.S
KELAS 3 INTAN YULIASARI, DR, KARNOTO, AMD. KEP 1 AFF INFUS
MSC,SP.S
KELAS 3 RURI GUSANDI, DR, SPB INDAH PURNAMASARI, AMD. KEP 2 INJEKSI
KELAS 3 RURI GUSANDI, DR, SPB METRI RIDHO, STR. KEB 2 INJEKSI
KELAS 3 RURI GUSANDI, DR, SPB RISKA ATMAJAWATI, AMD. KEB 3 INJEKSI
KELAS 3 RURI GUSANDI, DR, SPB ELAYANI, AMD. KEP 1 AFF INFUS
KELAS 3 RURI GUSANDI, DR, SPB ELAYANI, AMD. KEP 1 AFF CATETER
KELAS 3 RURI GUSANDI, DR, SPB VITRIA DWI MEGA MITA S,AMD.KEB 1 PASANG NGT
KELAS 3 RURI GUSANDI, DR, SPB ELAYANI, AMD. KEP 1 AFF NGT
KELAS 2 RURI GUSANDI, DR, SPB NURBAINI, AMD. KEB 1 AFF INFUS
KELAS 1 FANEL PUTRA, DR.SP.N VITRIA DWI MEGA MITA S,AMD.KEB 1 INJEKSI
KELAS 1 FANEL PUTRA, DR.SP.N VITRIA DWI MEGA MITA S,AMD.KEB 1 AFF INFUS
KELAS 1 FANEL PUTRA, DR.SP.N SUSI DARIKA, AMD. KEB 1 PASANG INFUS
KELAS 1 FANEL PUTRA, DR.SP.N MUHAMMAD YUSUF, DR 1 THORAX AP/PA
KELAS 1 FANEL PUTRA, DR.SP.N DESI DAMAYANTI, AMD. KEP 2 INJEKSI

KELAS 1 FANEL PUTRA, DR.SP.N EVERYDA, AMD. KEB 1 INJEKSI
KELAS 1 FANEL PUTRA, DR.SP.N VITRIA DWI MEGA MITA S,AMD.KEB 3 INJEKSI
BAHP TGL.PULANG
2,000 03/09/2021 15:56:00
2,000 03/09/2021 15:56:00
16,000 03/09/2021 15:56:00
12,000 03/09/2021 15:56:00
10,000 03/09/2021 15:56:00
1,041,059 03/09/2021 15:56:00
36,000 03/09/2021 15:56:00
75,000 03/09/2021 15:56:00
157,000 05/09/2021 11:41:00
10,000 05/09/2021 11:41:00
36,000 05/09/2021 11:41:00
75,000 05/09/2021 11:41:00
6,000 05/09/2021 11:41:00
16,000 03/09/2021 9:09:00
5,000 03/09/2021 9:09:00
10,000 03/09/2021 9:09:00
6,000 03/09/2021 9:09:00
10,000 03/09/2021 9:09:00
4,000 05/09/2021 16:14:00
45,000 05/09/2021 16:14:00
4,000 05/09/2021 16:14:00
38,000 05/09/2021 16:14:00
6,000 05/09/2021 16:14:00
4,000 05/09/2021 16:14:00
8,000 05/09/2021 16:14:00
6,000 05/09/2021 16:14:00
4,000 05/09/2021 16:14:00
10,000 05/09/2021 16:14:00
6,000 05/09/2021 16:14:00
6,000 05/09/2021 16:14:00
10,000 05/09/2021 16:14:00
2,000 05/09/2021 16:14:00
2,000 05/09/2021 16:14:00
10,000 05/09/2021 16:14:00
4,000 05/09/2021 16:14:00
4,000 05/09/2021 16:14:00
4,000 05/09/2021 16:14:00
4,000 05/09/2021 16:14:00

4,000 05/09/2021 16:14:00
10,000 05/09/2021 16:14:00
10,000 05/09/2021 16:14:00
10,000 05/09/2021 16:14:00
15,000 05/09/2021 16:14:00
4,000 01/09/2021 9:19:00
6,000 01/09/2021 9:19:00
6,000 01/09/2021 9:19:00
4,000 01/09/2021 9:19:00
8,000 01/09/2021 9:19:00
8,000 01/09/2021 9:19:00
10,000 01/09/2021 9:19:00
35,000 01/09/2021 9:19:00
6,000 04/09/2021 9:24:00
5,000 04/09/2021 9:24:00
6,000 04/09/2021 9:24:00
6,000 04/09/2021 9:24:00
10,000 04/09/2021 9:24:00
4,000 04/09/2021 9:24:00
5,000 04/09/2021 9:24:00
4,000 04/09/2021 9:24:00
5,000 04/09/2021 9:24:00
10,000 04/09/2021 9:24:00
16,000 04/09/2021 9:24:00
6,000 04/09/2021 9:24:00
5,000 04/09/2021 9:24:00
10,000 04/09/2021 9:24:00
10,000 04/09/2021 9:24:00
8,000 04/09/2021 9:24:00
5,000 04/09/2021 9:24:00
16,000 04/09/2021 9:24:00
4,000 04/09/2021 9:24:00
10,000 04/09/2021 9:24:00
8,000 04/09/2021 9:24:00
5,000 04/09/2021 9:24:00
10,000 04/09/2021 9:24:00
15,000 04/09/2021 9:24:00
10,000 04/09/2021 9:24:00
5,000 04/09/2021 9:24:00

4,000 04/09/2021 9:24:00
6,000 04/09/2021 9:24:00
4,000 04/09/2021 9:24:00
16,000 04/09/2021 9:24:00
10,000 02/09/2021 18:08:00
45,000 02/09/2021 18:08:00
4,000 02/09/2021 18:08:00
10,000 02/09/2021 18:08:00
4,000 02/09/2021 18:08:00
4,000 02/09/2021 18:08:00
5,000 02/09/2021 18:08:00
15,000 02/09/2021 18:08:00
2,000 02/09/2021 18:08:00
15,000 02/09/2021 18:08:00
10,000 02/09/2021 18:08:00
8,000 02/09/2021 18:08:00
10,000 02/09/2021 18:08:00
4,000 02/09/2021 18:08:00
10,000 02/09/2021 18:08:00
8,000 02/09/2021 18:08:00
5,000 02/09/2021 18:08:00
8,000 02/09/2021 18:08:00
10,000 02/09/2021 18:08:00
10,000 02/09/2021 18:08:00
10,000 02/09/2021 18:08:00
10,000
2,000
45,000
10,000
6,000
780,873
36,000
75,000
4,000
10,000
4,000 01/09/2021 9:23:00
2,000 01/09/2021 9:23:00
2,000 01/09/2021 9:23:00
10,000 01/09/2021 9:23:00

2,000 01/09/2021 9:23:00
210,467 03/09/2021 12:36:00
36,000 03/09/2021 12:36:00
10,000 03/09/2021 12:36:00
6,000 30/08/2021 20:44:00
85,000 30/08/2021 20:44:00
2,000 03/09/2021 21:02:00
2,000 03/09/2021 21:02:00
4,000 03/09/2021 21:02:00
4,000 03/09/2021 21:02:00
4,000 03/09/2021 21:02:00
4,000 03/09/2021 21:02:00
4,000 03/09/2021 21:02:00
10,000 03/09/2021 21:02:00
2,000 04/09/2021 15:02:00
45,000 04/09/2021 15:02:00
2,000 04/09/2021 15:02:00
2,000 04/09/2021 15:02:00
6,000 04/09/2021 15:02:00
10,000 04/09/2021 15:02:00
10,000 04/09/2021 15:02:00
4,000 04/09/2021 15:02:00
2,000 04/09/2021 15:02:00
4,000 04/09/2021 15:02:00
4,000 04/09/2021 15:02:00
10,000 04/09/2021 15:02:00
4,000
232,461 01/09/2021 10:45:00
36,000 01/09/2021 10:45:00
10,000 01/09/2021 10:45:00
6,000 30/08/2021 12:58:00
10,000 30/08/2021 12:58:00
2,000 03/09/2021 16:06:00
2,000 03/09/2021 16:06:00
2,000 03/09/2021 16:06:00
4,000 03/09/2021 16:06:00
4,000 03/09/2021 16:06:00
2,000 03/09/2021 16:06:00
4,000 03/09/2021 16:06:00

4,000 03/09/2021 16:06:00
10,000 03/09/2021 16:06:00
2,000 03/09/2021 9:06:00
4,000 03/09/2021 9:06:00
2,000 03/09/2021 9:06:00
4,000 03/09/2021 9:06:00
4,000 03/09/2021 9:06:00
2,000 03/09/2021 9:06:00
10,000 03/09/2021 9:06:00
4,000 30/08/2021 13:03:00
6,000 30/08/2021 13:03:00
10,000 30/08/2021 13:03:00
10,000 01/09/2021 21:01:00
2,000 01/09/2021 21:01:00
797,483 01/09/2021 21:01:00
36,000 01/09/2021 21:01:00
75,000 01/09/2021 21:01:00
6,000 01/09/2021 21:01:00
6,000 01/09/2021 21:01:00
2,000 01/09/2021 21:01:00
10,000 01/09/2021 21:01:00
14,000 01/09/2021 13:11:00
15,000 01/09/2021 13:11:00
45,000 01/09/2021 13:11:00
6,000 01/09/2021 13:11:00
14,000 01/09/2021 13:11:00
10,000 01/09/2021 13:11:00
2,000 01/09/2021 13:11:00
5,000 01/09/2021 13:11:00
4,000 01/09/2021 13:11:00
15,000 01/09/2021 13:11:00
16,000 01/09/2021 13:11:00
12,000 01/09/2021 13:11:00
5,000 01/09/2021 13:11:00
40,000 01/09/2021 13:11:00
10,000 01/09/2021 13:11:00
2,000 31/08/2021 18:29:00
5,000 31/08/2021 18:29:00
12,000 31/08/2021 18:29:00

8,000 31/08/2021 18:29:00
5,000 31/08/2021 18:29:00
10,000 31/08/2021 18:29:00
50,000 31/08/2021 18:29:00
2,000 31/08/2021 18:29:00
5,000 31/08/2021 18:29:00
2,000 31/08/2021 18:29:00
5,000 31/08/2021 18:29:00
20,000 31/08/2021 18:29:00
8,000 05/09/2021 15:48:00
45,000 05/09/2021 15:48:00
2,000 05/09/2021 15:48:00
8,000 05/09/2021 15:48:00
558,750 05/09/2021 15:48:00
36,000 05/09/2021 15:48:00
75,000 05/09/2021 15:48:00
2,000 05/09/2021 15:48:00
10,000 05/09/2021 15:48:00
10,000 05/09/2021 15:48:00
6,000 05/09/2021 15:48:00
10,000 05/09/2021 15:48:00
8,000 05/09/2021 15:48:00
6,000 05/09/2021 15:48:00
10,000 05/09/2021 15:48:00
10,000 05/09/2021 15:48:00
45,000 05/09/2021 15:48:00
6,000 05/09/2021 15:48:00
10,000 05/09/2021 15:48:00
10,000 05/09/2021 15:48:00
6,000 05/09/2021 15:48:00
8,000 05/09/2021 15:48:00
8,000 05/09/2021 15:48:00
10,000 05/09/2021 15:48:00
4,000 05/09/2021 10:59:00
6,000 05/09/2021 10:59:00
732,256 05/09/2021 10:59:00
100,000 05/09/2021 10:59:00
10,000 05/09/2021 10:59:00
6,000 05/09/2021 10:59:00

10,000 05/09/2021 10:59:00
6,000 05/09/2021 10:59:00
30,000 05/09/2021 10:59:00
10,000 05/09/2021 10:59:00
6,000 05/09/2021 10:59:00
10,000 05/09/2021 10:59:00
30,000 05/09/2021 10:59:00
25,000 05/09/2021 10:59:00
10,000 05/09/2021 10:59:00
150,000 05/09/2021 10:59:00
100,000 05/09/2021 10:59:00
4,000 02/09/2021 17:20:00
8,000 02/09/2021 17:20:00
10,000 02/09/2021 17:20:00
4,000 03/09/2021 15:25:00
4,000 03/09/2021 15:25:00
6,000 03/09/2021 15:25:00
6,000 03/09/2021 15:25:00
10,000 03/09/2021 15:25:00
10,000 03/09/2021 15:25:00
12,000 03/09/2021 15:25:00
10,000 03/09/2021 15:25:00
6,000 03/09/2021 15:33:00
304,736 03/09/2021 15:33:00
36,000 03/09/2021 15:33:00
10,000 03/09/2021 15:33:00
6,000 03/09/2021 15:33:00
6,000 03/09/2021 15:33:00
10,000 03/09/2021 15:33:00
2,000
8,000
6,000
2,000
10,000
2,000
10,000
10,000
45,000
4,000
2,000
6,000
8,145,085

BHP Ranap 30-05

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BHP Ranap 30-05

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TGL.PELAYANAN BATAL NO.

RM NAMA PASIEN CARA MASUK POLIKILINIK/ RUANG

UMUM KELAS 2 TEDDY ARDAN, DR, SP.A PERAWAT/ BIDAN 1 BHP

8,000 31/08/2021 10:44:00

10,000 31/08/2021 10:44:00

4,000 30/08/2021 14:50:00

10,000 30/08/2021 14:50:00

10,000 30/08/2021 14:50:00

100,000 30/08/2021 14:50:00

20,000 01/09/2021 8:40:00

10,000 01/09/2021 8:40:00

30/08/2021 18:28:17 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

30/08/2021 18:30:40 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

30/08/2021 23:36:06 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

30/08/2021 23:36:27 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

31/08/2021 17:30:26 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

31/08/2021 17:30:53 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

31/08/2021 17:38:04 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

31/08/2021 17:46:57 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

31/08/2021 17:47:21 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

31/08/2021 23:22:34 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

31/08/2021 23:22:59 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

01/09/2021 15:39:44 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

01/09/2021 15:40:28 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

01/09/2021 15:40:41 False 024942 MASTIUR LIANA RAWAT INAP BOUGENVILE

01/09/2021 7:31:49 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

01/09/2021 7:33:41 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

31/08/2021 23:47:36 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

31/08/2021 23:51:00 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

01/09/2021 20:05:03 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

01/09/2021 20:10:06 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

02/09/2021 1:50:09 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

02/09/2021 19:34:17 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

31/08/2021 19:35:14 False 046550 RANI PUSPITA RAWAT INAP BOUGENVILE

31/08/2021 20:22:55 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

31/08/2021 20:24:16 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

31/08/2021 23:24:00 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

31/08/2021 23:25:42 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

01/09/2021 20:03:42 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

01/09/2021 20:11:04 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

02/09/2021 1:39:18 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

02/09/2021 1:50:32 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

02/09/2021 13:04:31 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

03/09/2021 7:03:50 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

03/09/2021 13:04:32 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

31/08/2021 13:05:01 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

31/08/2021 13:05:08 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

31/08/2021 13:05:15 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

03/09/2021 13:07:17 False 050146 NONA ARIYANTI RAWAT INAP BOUGENVILE

30/08/2021 13:09:19 False 071825 MEGA WATIK RAWAT INAP BOUGENVILE

30/08/2021 15:23:30 False 071825 MEGA WATIK RAWAT INAP BOUGENVILE

03/09/2021 18:32:08 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

03/09/2021 18:32:25 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

03/09/2021 22:24:55 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

03/09/2021 22:25:15 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

03/09/2021 11:32:19 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

04/09/2021 13:25:20 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

04/09/2021 18:25:16 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

05/09/2021 7:09:12 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

05/09/2021 11:39:46 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

05/09/2021 11:41:08 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

05/09/2021 11:41:28 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE

05/09/2021 11:41:52 False 071928 IDA SUSILAWATI RAWAT INAP BOUGENVILE