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LAPORAN REKAPAN SHARE DOKTER UNIT BISNIS KLINIK JAKARTA

Nama Klinik : KLINIK KF MALAKA JAYA


Bulan : JUNI 2022

XYZ A+B C+D+E+F


G H Total No Rekening Nama Bank
Uang Duduk+Uang
No Nama Dokter Sharing Fee Biaya KSO Listrik
PJ
1 MARTWIN Z OEMAR 2,461,538 632,942 3,094,480 123-000-716-4272 MANDIRI
2 JAYANTI SUPRIYATIN 5,615,385 1,230,158 6,845,543 006-000-555-8766 MANDIRI
3 HALIDA 1,698,200 1,698,200 125-001-3426-143 MANDIRI
4 MUSHLIHANI 3,980,000 3,980,000 1230005947413 MANDIRI
5 AGATHA PRADANA 300,000 300,000 1220007963468 MANDIRI
6 YOHANES SATRYA WIBAWA 1,240,000 1,240,000 0179679815 BNI
7 PUTUT GIRI SAPUTRO 2,220,000 2,220,000 0060004439166 MANDIRI
8 ELISIA ATNIL 260,000 260,000 90013202030 BTPN
9 HARRY PRAWIRO TANTRY 300,000 300,000 1220007727988 MANDIRI
10 ANDREW YURIUS CHRISTIAN 100,000 100,000 0707611871 BNI
11 SIMON FONGANA 200,000 200,000 4100099239 BCA
12 JEMMY ARIESANDY DJAUHARI 300,000 300,000 0871215587 BCA
13 ATIKAH SAYOGO PUTRI 280,000 280,000 0300030206 BNI
14 CHAKTI ARI SWASTIKA 860,000 860,000 1220007576542 MANDIRI
15 NURUL ILMA 520,000 520,000 1320012319928 MANDIRI
16 RUMAH PERAWATAN INDONESIA 12,400,000 12,400,000 100-0353-505 BSI
17 CIPTA KELUARGA MANDIRI 6,958,750 6,958,750 155-00-300-300-12 MANDIRI
Total 8,076,923 33,480,050 - - 41,556,973 -
Jakarta, 02 JULI 2022
Mengetahui
TU Manager Bisnis Klinik Jakarta

Subhan Rizky Syaputra Bambang Yuniarto


LAPORAN REKAPAN SHARE DOKTER UNIT BISNIS KLINIK JAKARTA
Nama Klinik : KLINIK KF MALAKA JAYA
Bulan : JUNI 2022

XYZ A B C D E F G H
Sharing Fee Sharing Biaya Total No Rekening Nama Bank
Tunjangan
Uang Duduk Sharing Fee Pasien Sharing Fee Fee KSO Listrik
No Nama Dokter Penanggung
Dokter Pasien Umum Asuransi BPJS Mandiri (jika (jika ada)
Jawab
Komersial Inhealth ada)

1 MARTWIN Z OEMAR 2,461,538 174,000 - 458,942 3,094,480 123-000-716-4272 MANDIRI


2 JAYANTI SUPRIYATIN 1,000,000 4,615,385 503,500 726,658 6,845,543 0060005558766 MANDIRI
3 HALIDA - - 315,000 - 1,383,200 - - - 1,698,200 1250013426143 MANDIRI
4 MUSHLIHANI 3,980,000 3,980,000 1230005947413 MANDIRI
5 AGATHA PRADANA 300,000 300,000 1220007963468 MANDIRI
6 YOHANES SATRYA WIBAWA 1,240,000 1,240,000 0179679815 BNI
7 PUTUT GIRI SAPUTRO 2,220,000 2,220,000 0060004439166 MANDIRI
8 ELISIA ATNIL 260,000 260,000 90013202030 BTPN
9 HARRY PRAWIRO TANTRY 300,000 300,000 1220007727988 MANDIRI
10 ANDREW YURIUS CHRISTIAN 100,000 100,000 0707611871 BNI
11 SIMON FONGANA 200,000 200,000 4100099239 BCA
12 JEMMY ARIESANDY DJAUHARI 300,000 300,000 0871215587 BCA
13 ATIKAH SAYOGO PUTRI 280,000 280,000 0300030206 BNI
14 CHAKTI ARI SWASTIKA 860,000 860,000 1220007576542 MANDIRI
15 NURUL ILMA 520,000 520,000 1320012319928 MANDIRI
16 RUMAH PERAWATAN INDONESIA 12,400,000 12,400,000 100-0353-505 BSI
17 CIPTA KELUARGA MANDIRI 6,958,750 6,958,750 155-00-300-300-12 MANDIRI
Total 1,000,000 7,076,923 30,911,250 - 2,568,800 - - 41,556,973
Jakarta, 02 JULI 2022
Mengetahui
TU Manager Bisnis Klinik Jakarta

(Subhan Rizky Syaputra) (Bambang Yuniarto)


Keterangan
(Dokter
Umum/Dokter
Gigi/Dokter
Obsgyn/dll)

UMUM
UMUM
GIGI
OBGYN
OBGYN
OBGYN
OBGYN
OBGYN
OBGYN
OBGYN
OBGYN
OBGYN
OBGYN
OBGYN
OBGYN
RUMAT
HALOBUMIL

ULI 2022

Klinik Jakarta

arto)
LAPORAN PEMERIKSAAN COVID KIMIA FARMA MALAKASARI
BULAN JUNI 2022
NO. DOKTER JUMLAH PASIEN TARIF TOTAL DOKTER
1 DR. DWI 24 85,000 2,040,000 72,000
2 DR. JAYANTI 24 85,000 2,040,000 72,000
3 DR. MARTWIN 26 85,000 2,210,000 78,000
50 4,250,000 150,000

LAPORAN ASURANSI KIMIA FARMA MALAKASARI


BULAN JUNI 2022
NO. DOKTER JUMLAH PASIEN TARIF TOTAL DOKTER
1 DR. DWI 2 50,000 100,000 20,000
2 DR. JAYANTI 3 50,000 150,000 30,000
3 DR. MARTWIN 0 50,000 - -
3 150,000 50,000

LAPORAN SHARING FEE KAPITASI BPJS


BULAN JUNI 2022
NO. DOKTER JUMLAH PASIEN KAPITASI DOKTER KF
20% 80%
1 DR DWI 29 1,185,600 369,703
2 DR.MARTWIN 36 1,185,600 458,942
3 DR.JAYANTI 28 1,185,600 356,955
93 1,185,600

KLINIK KIMIA FARMA MALAKA JAYA


UMUM BULAN JUNI 2022
NAMA DOKTER JUMLAH PASIEN JASA MEDIS JUMLAH SHARING FEE
JASA MEDIS 20%
1 dr. Dwi 7 80,000 560,000 112,000
2 dr.Martwin Z 6 80,000 480,000 96,000
3 dr. Jayanti S 9 80,000 720,000 144,000
-
TOTAL 15 160,000 1,200,000 240,000
NO NAMA DOKTER JUMLAH PASIEN TINDAKAN JUMLAH DOKTER PERAWAT
TINDAKAN 50% 10%
1 dr.Martwin Z - - -
2 dr. Jayanti S 1 50,000 50,000 25,000 5,000
3 dr. Dwi 1 75,000 75,000 37,500 7,500
TOTAL 125,000 25,000 12,500

NO NAMA DOKTER KEHADIRAN PERHITUNGAN


1 dr. Martwin Z 16 2,461,538
2 dr. Jayanti S 17 2,615,385
3 dr. Dwi 13 2,000,000
TOTAL 46 7,076,923

KLINIK KIMIA FARMA MALAKA JAYA


PEMERIKSAAN LAB BULAN JUNI 2022
NO NAMA DOKTER JUMLAH PASIEN TINDAKAN JUMLAH DOKTER PERAWAT
TINDAKAN 10% 10%
1 dr.Martwin Z - - -
2 dr. Jayanti S 2 HAEMOGLOBIN 150,000 15,000 15,000
3 dr. Dwi 1 ASAM URAT KOLESTEROL 135,000 13,500 13,500
TOTAL 285,000 15,000 28,500
KLINIK KF MALAKA JAYA

SHARING BPJS KAPITASI


JUMLAH PESERTA = 988
SHARING BPJS = Rp 6,000
TOTAL KAPITASI = Rp 5,928,000

KF (80%) 4,742,400
Dokter(20%) 1,185,600

Jakarta, 2 JULI 2021


PIC KF MALAKA JAYA

(Cintami Ramadhani Daulay)


KLINIK KF MALAKA JAYA

SHARING BPJS KAPITASI


JUMLAH PESERTA = 988
SHARING BPJS = Rp 2,000
TOTAL KAPITASI = Rp 1,976,000

KF (30%) 592,800
Dokter (70%) 1,383,200

Jakarta, 02 JULI 2021


PIC KF MALAKA JAYA

(Cintami Ramadhani Daulay)


REKAP SITTING FEE DR. OBGYN HALOBUMIL DUREN SAWIT BU

JUMLAH PASIEN
NO. NAMA DOKTER 2D 4D TOTAL
TV PASIEN TOTAL FEE BANK
1 dr. Hani 11 22 9 42 3,980,000.00 MANDIRI
2 dr. Agatha 0 2 1 3 300,000.00 MANDIRI
3 dr. Satrya 3 8 2 13 1,240,000.00 BNI
4 dr. Putut 4 17 2 23 2,220,000.00 MANDIRI
5 dr. Elisia 2 1 0 3 260,000.00 BTPN
6 dr. Harry 0 3 0 3 300,000.00 MANDIRI
7 dr. Andrew 0 1 0 1 100,000.00 BNI
8 dr. Simon 0 2 0 2 200,000.00 BCA
9 dr. Jemmy 0 3 0 3 300,000.00 BCA
10 dr. Atikah 1 1 1 3 280,000.00 BNI
11 dr. Chakti 2 7 0 9 860,000.00 MANDIRI
12 dr. Nurul 4 2 0 6 520,000.00 MANDIRI
TOTAL FEE Dokter JUNI 27 69 15 111 10,560,000.00
HALOBUMIL BPH 2,180,000.00
HALOBUMIL FEE bulan JUNI 2022 5,078,750.00
PENGURANGAN FEE DOKTER DAN FEE KF DARI VOUCHER 300,000.00
TOTAL FEE HALOBUMIL BULAN JUNI 2022 6,958,750.00 MANDIRI A/N CIPTA KELUARGA MANDIRI :

6,958,750.00
MENGETAHUI

BAMBANG YUNIARTO
E DR. OBGYN HALOBUMIL DUREN SAWIT BULAN JUNI 2022

NO. REKENING NO. HP


A/N MUSHLIHANI : 1230005947413 0813-9868-4444
A/N AGATHA PRADANA : 1220007963468 0811-8168-724
A/N YOHANES SATRYA WIBAWA : 0179679815 0813-6413-3223
A/N PUTUT GIRI SAPUTRO : 0060004439166 0813-8003-3304
A/N ELISIA ATNIL : 90013202030 0812-1973-8134
A/N HARRY PRAWIRO TANTRY : 1220007727988 0812-9169-4039
A/N ANDREW YURIUS CHRISTIAN : 0707611871 0812-3613-4914
A/N SIMON FONGANA : 4100099239 0812-3108-5585
A/N JEMMY ARIESANDY DJAUHARI : 0871215587 0813-9370-2699
A/N ATIKAH SAYOGO PUTRI : 0300030206 0852-1885-3605
A/N CHAKTI ARI SWASTIKA : 1220007576542 0813-1020-5084
A/N NURUL ILMA : 1320012319928 0853-1955-0778

MANDIRI A/N CIPTA KELUARGA MANDIRI : 155-00-300-300-12

KLINIK KIMIA FARMA MALAKA

ANY OKTAVIA
NO
TGL & JAM PRAKTEK NAMA PASIEN JENIS USG TARIF USG FEE DOKTER
1 2-Jun-22 FITRIANA WULANDARI 4D 220,000.00 100,000.00
PAGI PUTRI CAHYANI 4D 220,000.00 100,000.00
440,000.00 200,000.00
SORE RETNO SRI WULAN 2D 175,000.00 80,000.00
PIPIT ARYANI 2D 175,000.00 80,000.00
DITA VISKA PURNAMA 4D 220,000.00 100,000.00
SITI MARYAMAH 2D 175,000.00 80,000.00
APRILIANY 2D 175,000.00 80,000.00
920,000.00 420,000.00
2 4-Jun-22 ANNA SRI PUJI ASTUTI 4D 220,000.00 100,000.00
SORE NABILAH FARRAS 4D 220,000.00 100,000.00
RESTU DIAH RAHAYU TV 220,000.00 100,000.00
PUTRI DHINI ROSSANTI TV 220,000.00 100,000.00
DEFI ROHMAWATI TV 220,000.00 100,000.00
SARI DEWI TV 220,000.00 100,000.00
ERIKA DESI SETYANI 4D 220,000.00 100,000.00
SARAH RIZKA NOVIANTI 2D 175,000.00 80,000.00
1,715,000.00 780,000.00
3 5-Jun-22 DEWI AYU TRI ASTUTI 4D 220,000.00 100,000.00
SORE NURHASANAH 4D 220,000.00 100,000.00
SARTIKA WULANDARI 4D 220,000.00 100,000.00
NIA YUSNIAR 4D 220,000.00 100,000.00
RIANA CITRA DEWI 4D 220,000.00 100,000.00
SRI RAHAYU 4D 220,000.00 100,000.00
1,320,000.00 600,000.00
4 7-Jun-22 RINA SAPUTRI 4D 220,000.00 100,000.00
SORE HANNI 4D 220,000.00 100,000.00
SANNY CARMILA 4D 220,000.00 100,000.00
660,000.00 300,000.00
5 8-Jun-22 NUR ISLAMIAH 4D 220,000.00 100,000.00
SORE
220,000.00 100,000.00
6 9-Jun-22 MILA JUANITA 4D 220,000.00 100,000.00
SORE NOVI RIZKI 4D 220,000.00 100,000.00
440,000.00 200,000.00
7 11-Jun-22 LINA 2D 175,000.00 80,000.00
PAGI PUJI RAHAYU 4D 220,000.00 100,000.00
PUTRI UTAMI 2D 175,000.00 80,000.00
AFIDATU SHOLIKHAH 4D 220,000.00 100,000.00
MEYLIA CYNDHIANA DEW 4D 220,000.00 100,000.00
SUCI ANJARSARI 4D 220,000.00 100,000.00
NITA WINDY ASTUTI TV 220,000.00 100,000.00
DEFI ROHMAWATI TV 220,000.00 100,000.00
WINDA AYU 4D 220,000.00 100,000.00
1,890,000.00 860,000.00
SORE NOVIA SUGIHARTATI 4D 220,000.00 100,000.00
WINDY OKSYLAFIYAH 4D 220,000.00 100,000.00
AZIZA YULQAEDAH 4D 220,000.00 100,000.00
FITRI AMALIA 4D 220,000.00 100,000.00
ERMI TV 220,000.00 100,000.00
SULFI NILASARI 2D 175,000.00 80,000.00
VINKA 2D 175,000.00 80,000.00
1,450,000.00 660,000.00
8 12-Jun-22 RACHEL MARLYN ASSA TV 220,000.00 100,000.00
SORE RIMA GUSTIANI 2D 175,000.00 80,000.00
SINDI GUSTIANI 4D 220,000.00 100,000.00
WINDY 2D 175,000.00 80,000.00
MELAN TV 220,000.00 100,000.00
NUR SYIFA FAUZIAH 2D 175,000.00 80,000.00
1,185,000.00 540,000.00
9 13-Jun-22 ERNI HERAWATI 4D 220,000.00 100,000.00
PAGI ERIKA DESI SETYANI 2D 175,000.00 80,000.00
395,000.00 180,000.00
SORE EVI YULIANTI 4D 220,000.00 100,000.00
FEBRIANA SARI TV 220,000.00 100,000.00
INSAN RACHMI KUSUMAL 4D 220,000.00 100,000.00
660,000.00 300,000.00
10 15-Jun-22 NISPA 4D 220,000.00 100,000.00
SORE ROKAYA TV 220,000.00 100,000.00
DWI KURNIA SARI 2D 175,000.00 80,000.00
615,000.00 280,000.00
11 18-Jun-22 MAEFA NANDA 4D 220,000.00 100,000.00
SORE RIVANI RAHMADANI 4D 220,000.00 100,000.00
MAULIDA NUR ALIFAH TV 220,000.00 100,000.00
MARLINA 2D 175,000.00 80,000.00
NABILA AISYAH 4D 220,000.00 100,000.00
NUR ISLAMIAH 4D 220,000.00 100,000.00
1,275,000.00 580,000.00
12 19-Jun-22 YASINTA LARASSATY TV 220,000.00 100,000.00
PAGI AZIZAH WIDIASMARA 4D 220,000.00 100,000.00
LITANIA DWI DESVIANY 2D 175,000.00 80,000.00
DEWI SUKMAWATI 2D 175,000.00 80,000.00
NUR ANISAH SAFITRI 2D 175,000.00 80,000.00
KRISTIANINGSIH 4D 220,000.00 100,000.00
1,185,000.00 540,000.00
13 21-Jun-22 MUTIARA SAKINAH 4D 220,000.00 100,000.00
SORE DEWI SETIANINGSIH 4D 220,000.00 100,000.00
DIAN 4D 220,000.00 100,000.00
YULI 4D 220,000.00 100,000.00
ISNAINI YULIANA TV 220,000.00 100,000.00
NIAR TAMALA 2D 175,000.00 80,000.00
1,275,000.00 580,000.00
14 23-Jun-22 SURYATI 2D 175,000.00 80,000.00
PAGI
175,000.00 80,000.00
SORE LATIFA 4D 220,000.00 100,000.00
AINUN NURUL ROHMAH 4D 220,000.00 100,000.00
NOVITASARI TIRTAJAYA 4D 220,000.00 100,000.00
660,000.00 300,000.00
15 25-Jun-22 DESI RIMANDA SARI 2D 175,000.00 80,000.00
PAGI ERLIANA GITA 2D 175,000.00 80,000.00
ARIENI JULIANDA 4D 220,000.00 100,000.00
570,000.00 260,000.00
SORE APRILIA WULANDARI 4D 220,000.00 100,000.00
FEBRIANI 2D 175,000.00 80,000.00
YENIANA 4D 220,000.00 100,000.00
NOVITA KOMALA DEWI 4D 220,000.00 100,000.00
835,000.00 380,000.00
16 26-Jun-22 FALMUGI 4D 220,000.00 100,000.00
PAGI LIS SAKDIYAH 4D 220,000.00 100,000.00
NUR'AVIA DAYANA YULM 2D 175,000.00 80,000.00
HUSNI ATIKA 4D 220,000.00 100,000.00
NADYA KARIMAH 4D 220,000.00 100,000.00
MUTIA KHANZAH 2D 175,000.00 80,000.00
1,230,000.00 560,000.00
17 27-Jun-22 MAYANG ANJAR RIZKY TV 220,000.00 100,000.00
PAGI FARHAH FAUZIYYAH TV 220,000.00 100,000.00
440,000.00 200,000.00
18 28-Jun-22 DWI SAFITRI APRIYANTI 2D 175,000.00 80,000.00
SORE SILAH CHOIRIA KHOLID 4D 220,000.00 100,000.00
MULIA NURHAWANI 4D 220,000.00 100,000.00
615,000.00 280,000.00
19 29-Jun-22 SITI DAHLIA 4D 220,000.00 100,000.00
SORE WAHIDA MUMTAZA 4D 220,000.00 100,000.00
NOPIZA 4D 220,000.00 100,000.00
INTARI 4D 220,000.00 100,000.00
SRI MARYATI 4D 220,000.00 100,000.00
DHEA ANANDA 4D 220,000.00 100,000.00
DESI RAHMAWATI 4D 220,000.00 100,000.00
1,540,000.00 700,000.00
20 30-Jun-22 NURMALA SARI 4D 220,000.00 100,000.00
PAGI ANI MUSNGINAH 2D 175,000.00 80,000.00
LIA ANDINI 4D 220,000.00 100,000.00
615,000.00 280,000.00
SORE 4D 220,000.00 100,000.00
4D 220,000.00 100,000.00
440,000.00 200,000.00
TOTAL BULAN JUNI 2022 22,765,000.00 10,360,000.00

LAPORAN PASIEN YANG MEMBAYAR DENGAN VOUCHER EXCLUS

NO
TGL & JAM PRAKTEK NAMA PASIEN JENIS USG TARIF USG FEE DOKTER
1 2-Jun-22 RESTU YAFI'AH 4D 220,000.00 100,000.00
2 5-Jun-22 SITI FATIMAH 4D 220,000.00 100,000.00
TOTAL BULAN JUNI 2022 440,000.00 200,000.00
HALOBUMIL BPH KF DOKTER
50,000.00 20,000.00 50,000.00
dr. Putut
50,000.00 20,000.00 50,000.00
100,000.00 40,000.00 100,000.00
36,250.00 20,000.00 38,750.00
36,250.00 20,000.00 38,750.00
50,000.00 20,000.00 50,000.00 dr. Nurul
36,250.00 20,000.00 38,750.00
36,250.00 20,000.00 38,750.00
195,000.00 100,000.00 205,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
dr. Hani
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
386,250.00 160,000.00 388,750.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
dr. Satrya
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
300,000.00 120,000.00 300,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00 dr. Harry
50,000.00 20,000.00 50,000.00
150,000.00 60,000.00 150,000.00
50,000.00 20,000.00 50,000.00
dr. Andrew

50,000.00 20,000.00 50,000.00


50,000.00 20,000.00 50,000.00
dr. Simon
50,000.00 20,000.00 50,000.00
100,000.00 40,000.00 100,000.00
36,250.00 20,000.00 38,750.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00 dr. Hani
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
422,500.00 180,000.00 427,500.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00 dr. Hani
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
36,250.00 20,000.00 38,750.00
322,500.00 140,000.00 327,500.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
50,000.00 20,000.00 50,000.00
dr. Satrya
36,250.00 20,000.00 38,750.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
258,750.00 120,000.00 266,250.00
50,000.00 20,000.00 50,000.00
dr. Putut
36,250.00 20,000.00 38,750.00
86,250.00 40,000.00 88,750.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00 dr. Agatha
50,000.00 20,000.00 50,000.00
150,000.00 60,000.00 150,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00 dr. Atikah
36,250.00 20,000.00 38,750.00
136,250.00 60,000.00 138,750.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
dr. Hani
36,250.00 20,000.00 38,750.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
286,250.00 120,000.00 288,750.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
dr. Hani
36,250.00 20,000.00 38,750.00
36,250.00 20,000.00 38,750.00
50,000.00 20,000.00 50,000.00
258,750.00 120,000.00 266,250.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
dr. Chakti
50,000.00 20,000.00 50,000.00
dr. Chakti

50,000.00 20,000.00 50,000.00


36,250.00 20,000.00 38,750.00
286,250.00 120,000.00 288,750.00
36,250.00 20,000.00 38,750.00
dr. Putut

36,250.00 20,000.00 38,750.00


50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00 dr. Jemmy
50,000.00 20,000.00 50,000.00
150,000.00 60,000.00 150,000.00
36,250.00 20,000.00 38,750.00
36,250.00 20,000.00 38,750.00 dr. Elisia
50,000.00 20,000.00 50,000.00
122,500.00 60,000.00 127,500.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
dr. Putut
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
186,250.00 80,000.00 188,750.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
dr. Hani
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00
272,500.00 120,000.00 277,500.00
50,000.00 20,000.00 50,000.00
dr. Putut
50,000.00 20,000.00 50,000.00
100,000.00 40,000.00 100,000.00
36,250.00 20,000.00 38,750.00
50,000.00 20,000.00 50,000.00 dr. Chakti
50,000.00 20,000.00 50,000.00
136,250.00 60,000.00 138,750.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00 dr. Putut
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
50,000.00 20,000.00 50,000.00
350,000.00 140,000.00 350,000.00
50,000.00 20,000.00 50,000.00
36,250.00 20,000.00 38,750.00 dr. Putut
50,000.00 20,000.00 50,000.00
136,250.00 60,000.00 138,750.00
50,000.00 20,000.00 50,000.00
dr. Putut
50,000.00 20,000.00 50,000.00
100,000.00 40,000.00 100,000.00
5,078,750.00 2,180,000.00 5,146,250.00

GAN VOUCHER EXCLUSIVE BULAN JUNI

HALOBUMIL BPH KF DOKTER


50,000.00 20,000.00 50,000.00 dr. Nurul
50,000.00 20,000.00 50,000.00 dr. Satrya
100,000.00 40,000.00 100,000.00
LAPORAN RUMAT KLINIK KIMIA FARMA MALAKASARI
BULAN JUNI 2022
BAGI HASIL PER. LUKA
NO. TGL PERAWAT NAMA PASIEN PERAWATAN LUKA
KF RUMAT
1 3-Jun-22 DILA MADNAR 200,000 50,000 150,000
2 3-Jun-22 DILA EMI SUMIATI 200,000 50,000 150,000
3 3-Jun-22 DILA SYAIRIN 200,000 50,000 150,000
4 3-Jun-22 DILA JAELANI 200,000 50,000 150,000
5 3-Jun-22 DILA YUMENAH 100,000 25,000 75,000
6 4-Jun-22 DILA SOEYONO 100,000 25,000 75,000
7 4-Jun-22 DILA SYAEFUL 200,000 50,000 150,000
8 6-Jun-22 DILA ANUGRAH 200,000 50,000 150,000
9 6-Jun-22 DILA SUMARNI - - -
10 7-Jun-22 DILA YUMENAH 100,000 25,000 75,000
11 7-Jun-22 DILA MADNAR 200,000 50,000 150,000
12 7-Jun-22 DILA SYAIRIN 200,000 50,000 150,000
13 8-Jun-22 DILA SYAEFUL 200,000 50,000 150,000
14 8-Jun-22 DILA SOEYONO 100,000 25,000 75,000
15 10-Jun-22 DILA MADNAR 200,000 50,000 150,000
16 10-Jun-22 DILA JAELANI 200,000 50,000 150,000
17 10-Jun-22 DILA SYAIRIN 200,000 50,000 150,000
18 10-Jun-22 DILA YUMENAH 100,000 25,000 75,000
19 11-Jun-22 DILA SOEYONO 100,000 25,000 75,000
20 11-Jun-22 DILA SYAEFUL 200,000 50,000 150,000
21 14-Jun-22 DILA MADNAR 200,000 50,000 150,000
22 14-Jun-22 DILA YUMENAH 100,000 25,000 75,000
23 15-Jun-22 DILA SYAIRIN 200,000 50,000 150,000
24 15-Jun-22 DILA SYAEFUL 200,000 50,000 150,000
25 16-Jun-22 DILA SOEYONO 100,000 25,000 75,000
26 18-Jun-22 DILA SYAEFUL 200,000 50,000 150,000
27 20-Jun-22 DILA YUMENAH 100,000 25,000 75,000
28 20-Jun-22 DILA MADNAR 100,000 25,000 75,000
29 20-Jun-22 DILA SYAIRIN 200,000 50,000 150,000
30 21-Jun-22 DILA SOEYONO 100,000 25,000 75,000
31 21-Jun-22 DILA JAELANI 200,000 50,000 150,000
32 23-Jun-22 DILA SYAEFUL 200,000 50,000 150,000
33 23-Jun-22 DILA YAYAN 200,000 50,000 150,000
34 24-Jun-22 DILA FRANSISKUS 200,000 50,000 150,000
35 25-Jun-22 DILA SOEYONO 100,000 25,000 75,000
36 25-Jun-22 DILA SYAIRIN 200,000 50,000 150,000
37 27-Jun-22 DILA YAYAN 200,000 50,000 150,000
38 27-Jun-22 DILA YUMENAH 100,000 25,000 75,000
39 28-Jun-22 DILA SYAIRIN 200,000 50,000 150,000
40 28-Jun-22 DILA NIATI 200,000 50,000 150,000
41 28-Jun-22 DILA FRANSISKUS 200,000 50,000 150,000
42 29-Jun-22 DILA NIATI 200,000 50,000 150,000
43 29-Jun-22 DILA SOEYONO 100,000 25,000 75,000
44 29-Jun-22 DILA SYAEFUL 200,000 50,000 150,000
45 30-Jun-22 DILA YAYAN 200,000 50,000 150,000
46 30-Jun-22 DILA NIATI 200,000 50,000 150,000
7,600,000 1,900,000 5,700,000

JUMLAH
KUNJUNGAN PERHITUNGAN
46 12,400,000
TOTAL 12,400,000
KASARI

ADMINISTRASI BHP + DRESING CEK GDS


TOTAL
1 1 1
150,000 350,000
160,000 360,000
160,000 360,000
150,000 350,000
150,000 250,000
150,000 250,000
150,000 350,000
205,000 405,000
50,000 50,000
150,000 250,000
150,000 350,000
150,000 350,000
150,000 350,000
150,000 250,000
150,000 350,000
150,000 350,000
160,000 360,000
150,000 250,000
100,000 200,000
150,000 350,000
150,000 350,000
150,000 250,000
150,000 350,000
150,000 350,000
100,000 200,000
150,000 350,000
150,000 250,000
165,000 265,000
150,000 350,000
80,000 180,000
150,000 350,000
150,000 350,000
230,000 430,000
150,000 350,000
50,000 150,000
160,000 360,000
160,000 360,000
65,000 165,000
150,000 350,000
230,000 430,000
150,000 350,000
180,000 380,000
50,000 150,000
150,000 350,000
165,000 365,000
180,000 380,000
6,700,000 14,300,000

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