LAPORAN KLINIK KIMIA FARMA

NO TANGGAL NAMA PASIEN

1 TN DIDIT EKA PRASETYA
2 TN YUSRIANTO
3 4-May-22 NN AINUN ILMA
4 TN BAGAS PANGILMU WICAKSONO
5 NN EDEN GRACE
6 AN ALBIAN SETYA HAZARD
7 AN SHAQUEENA SHESYA RAMADHANA
8 TN TB RAMADHAN S
9 NY RADEN RITA DAMAYANTI
10 TN MAGIT FITRONI IR
5-May-22
11 TN ENDY RAIMOND
12 NY RR KUSMIASIH DWIJA UTAMI
13 AN MUHAMMAD REYHAN AL-AZIZ
14 AN RAINA SHAKILA AZZAHRA
15 NY HERLINA
16 AN OMAR ZAKI ABIMATA
17 NY NINA PERMATA
18 TN MADIN
19 TN SUNARYO
20 NY OEY LISA ROSLIANA
21 6-May-22 TN MUHAMMAD OKKY SUKARNO
22 TN YUDHISTRA ADI NUGROHO
23 NY ANNISA OCTAVIANA
24 TN RIZKI HIDAYAT
25 NY YUSRIZAR FAUZIAH
26 NY YULI NURJANAH
27 AN AYUDYA KHADEEJAH FATIHA
28 TN SUPRIYATNO
29 AN RACHEL ADREENA FAHEEMA
30 NY YUSTINA HUTAJULU
31 NY WIDYA TRI CHARISMA GULTOM
7-May-22
32 NY ASTI ANNA TANISA
33 TN ANUGRAH ESA
34 NY FATHIA FEMINITA
35 NY CHINTIA DWI PUTRI
36 TN EMPOH DULHAMSYAH
37 NY MIRANTI MATHANI
38 NY VIONA PUTRA DINA SURYA

9-May-22
39 AN QHAIRA ZULAIKHA SETIAWAN
40 NY IKE FRANCIANA TJAHYANINGRUM
41 AN ROBBY NUGRAHA
42 9-May-22 TN YUDHA MAULANA WIBOWO
43 NY MILDA FEBRIYANTI
44 AN ATALLAH MUMTAZ WIBOWO
45 AN FATIH ZHAFRAN WIBOWO
46 NY NURJANAH
47 NY IRNA YUGASWATIE
48 NY FIKA ARIES MAYA
49 AN DHAFITHA NIZZA NUR AZIZAH
50 NY ENI SUHAENI
51 AN MUHAMMAD FATAH BILAL ARSYAH
52 TN MUGINO
53 TN UPAN SUPANDI
54 NY DEYSTI TRIFENA T
55 TN ACHMAD IKBALUDIN
56 10-May-22 NY MUNAWAROH ASTUTI
57 AN ADZANTA ANANDAPA RUSATA
58 TN SAFRIN ARIFIN
59 TN EDISON HALAWA
60 TN AMRI
61 NY KRISTI WIDIYANTI
62 TN MATTHEW PANORANGI SIAHAAN
63 NY ARIFTIRA RAMAYUNI
64 TN MUHAMMAD ALFIANTO
65 TN WAHYU HERI WIBOWO
66 NY RADEN AYU MARIA CHRISTYANINGSIH
67 TN IMAM JAZULI
68 AN AZKA RAFA ALFARIZI
69 NY KRISTY ANDRIANI
70 TN AZIS KARUNIAWAN
71 11-May-22 NY MARYATI OLE
72 AN RIZKIALANI TRI RAMADAN
73 TN ARI KURNIAWAN
74 NY DITA DWIYANTI SALSABILA
75 NN LAWREN STAMINA
76 TN ANDY
77 AN NABYLA
78 NY RUSNIA DEWI
79 AN R RASYA PUTRA FIRDAUS
80 TN RIZKI
81 TN SIHADANI
82 AN NISRINA ZAHWAH PUTRI
83 TN EDISON HALAWA
84 NN VRITA
12-May-22
85
12-May-22 NY RA DANILLAH
86 TN PURWANTO AJI NUGROHO
87 TN GUNTUR ARIFIANSYAH
88 AN NAVYA ALYA ARIFIANSYAH
89 AN KIANA WANDAH A
90 NY WINARNI
91 TN HASAN BASRI
92 NY DEVINTA ADRIANI
93 AN KANZA QENAN ALFATIH
94 TN MUHAMAD ALFI MAULANA
95 NY JANE FARASARI
96 NY ARNINTYA NARDANI SARASWATI
97 NY NADYA SAFFIRA W
98 NY R RATNA WULAN
99 TN ADHIKA HERMAWAN
100 13-May-22 TN DEVIN HERMAWAN
101 TN SUPRIYATNO
102 NY SARTINAH
103 TN IVAN DERICKSON
104 NY SINT TYA AYU RATNA DEWI
105 TN DIKA ADITIA LESMANA
106 TN AGUNG SEPTIAN
107 NN INTAN KUSUMAWARDANY
108 NY ARI SUSANTI
109 NY JELITA LINTANG SUKMA
110 TN SAIFUL HADI
14-May-22
111 NY RIMA FUJIANISA
112 TN REZA WICAKSONO
113 TN BUDI HANDOYO
114 TN EMPOH DULHAMSYAH
115 TN IKHSAN NUR ISMAIL
116 NY RINI PRANGESTI
117 TN ANDRI RENO SUSETYO
118 AN NAYLA
119 TN NICCO HIM BILL
120 AN NISRINA ZAHWAH PUTRI
121 NY TRI SUDARNINGSIH
122 17-May-22 AN ADYATMA ALBY DAVIE
123 NY NURHAYATI
124 TN MUHAMMAD KRISNO ADHI PRABOWO
125 TN SUDARYONO
126 TN POLY MAHENDRA PUTERA,SE
127 TN EDI JUNAEDI
128 TN NATHANAEL RIMBANI BARANI
129 TN HADI SURYA IRAWAN
130 NY ADDYNA PERMATA LISMA
131 TN IRSAN SUSENO
132 TN ERIC STRADA
133 TN JOSEF JOHANES TOKAYA
134 AN ACITYA TANDURANHANINGHATI
135 NY RINA MULYANI
18-May-22
136 TN SETYAJI KUNTOWIBISONO
137 AN CELLO ABRIAN T
138 NY REMI YUSTATI
139 TN IFAN AFANI
140 TN AMRI
141 AN AISHA SALSABILA FALUTVI
142 NY SUBANDIYAH
143 AN MUHAMMAD JOHN SMITH
144 AN ARIQA ALYSIA SAFA PUTRI
145 TN MARDANINGSIH SURYATI
146 TN EDISON HALAWA
19-May-22
147 NY DESFINISIADRA
148 TN SUPRIYANTO
149 NY SONDANG NATALYA NABABAN
150 NY NOVITA ARIEFIANI PUTRI
151 NY QUR'AENI
152 NY SYLVIA AGUSTIN
153 TN AGUS PURWADI
154 TN COKRO ISMANTORO
20-May-22
155 NY MELISA ELISABETH
156 NN RAISYA NAZWA DWIANDARTI
157 TN FANDI AHMAD
158 AN ANGKASA KHAULAH ROHMANI
159 NY WIDYA TRI CHARISMA GULTOM
160 AN RAIHAN UMAR RESSANDY
161 NY NURUL FITRIAH
162 TN ABDULLAH HASAN
163 TN HANNA BUDI MANSYAH
164 NY NOVITASARI
21-May-22
165 TN TRI YUDOUNTORO
166 TN DWIMA DARU ALAM
167 TN M SOLAHUDIN
168 NY IRFI TIARA OCTAVIA
169 TN ADAM CHUSNA HADISUKARJO
170 NY RIFA
171 TN MUHAMMAD ZIKRULLAH
172 TN JOSEF JOHANES TOKAYA
173 NY NITITA SUCI
174 TN MUHAMMAD AZIZ FIKRI
175 NY AJENG MARIA SURYA PRATIWI
176 NY NIDA SRIWIDIYANTI
23-May-22
177 TN HOTLI BOISANDI SIMANJUNTAK
23-May-22
178 AN MUHAMMAD TIRYAQUL AGHYAR
179 TN MUHAMMAD TIRYAQUL AGHYAR
180 TN YOSEP SUSANDI
181 NY SRI UTAMI
182 NY FANY SEPTIANI
183 TN M.ARYO BIMO SURYO ADHIE
184 AN SYAFEERA HABIBAH PUTRI RAMADHANI
185 NY MALIA SUSANTI
186 TN SOLIHIN
187 TN TAUFIK HANIF AGUSTIAN
188 NY DIAN MELINA
189 AN RAIHAN UMAR RESSANDY
190 TN HANNA BUDI MANSYAH
191 24-May-22 NY ENDAH DHARMAPUTERI
192 NY VEBBY MIRANTI
193 TN AFFAN MUSLIM
194 TN SHEFFIK ARZIE
195 AN RINGGA DAVINO
196 AN HUMAIRA
197 TN I GUSTI MADE TEJA GUNAWAN
198 AN AISHA SAFIRA
199 AN AZIZAH NUR AFIFAH
200 TN PINTO RAHMANSYAH
201 NY NITA NURNANINGSIH
202 NY YUNESTI
203 25-May-22 NY REBACCA DANIELA
204 TN IRSAN SUSENO
205 TN AMRI
206 AN ZALMI EZKY ADIPUTRA
207 TN UPAN SUPANDI
208 TN YANWAR SANTOSO
209 AN SHAKEELA MARWA DWITAMA
210 NY PIPIT WIATI
211 NY RISKA TRI LESTARI
212 TN AMRI ROSYID SUSETYO
213 TN M. FIRDAUS GHULAM ZAKKIYA
27-May-22
214 TN DARMAWAN SETYOKO
215 NY FAJRIAH DELI GAYO
216 NY TRISNI HERAWATI
217 NY TRISNI HERAWATI
218 NY DESY MAULIDIAWATI
219 NY RR KUSMIASIH DWIJA UTAMI
220 TN DIDIT EKA PRASETYA
221 NY RAHMA SUCI FITRIA
222 AN MUHAMMAD AKMAL HASBALLAH
223 TN SUYUT
224 TN REZA PAHLEPI
225 TN REZA PAHLEPI
226 AN ANGKASA KHAULAH ROHMANI
227 TN HANNA BUDI MANSYAH
28-May-22
228 NY RIFA FARHANAH
229 NY NAOMI CONNY SAFRIA
230 NY DIAH SYASYA ADHARIYANI
231 NY DIANTI HERINA PUTRI
232 NY DEVI DIKA KURNIAWATI
233 NY WIDYA NUR ALIFAH HASANAH
234 AN NAUFAL HASAN
235 TN KOHARUDIN
236 TN FAJAR SIDDIQ PANE
237 NN RISTIANI AMALIA
238 AN HAFIDZ LAILATUL QODRI
239 TN HERU PRASETYA
240 TN DONI NOVRIZAL
241 NY MARIA CHRISTY
242 NY RESTI NURUL HASANAH
243 TN FAJAR MALIKI
244 NY LEVINKARISNANTI DESI NUR
30-May-22
245 AN KEYRA ALISA
246 NY RINA MULYANI
247 NY LYDIA TRI WURY ANTIKA
248 NY INDRI KUSMIAWATI
249 AN NAVYA ALYA ARIFIANSYAH
250 AN NAUFAL HASAN
251 NY ARNITA ASTRIA
252 NY DYAH AJENG PURBANDARI
253 TN RACHMAT ANSORI
254 AN NUR FAQHIHAH
255 NY RATIH SEPTIYANDINI
256 TN RACHMAT ANSORI
257 TN MUHAMMAD FAUZIL ADHIM
258 TN MUHAMMAD FAUZIL ADHIM
259 NY ADITYA DIPTA ANINDITA
260 NY DARAMATASIA
261 NY ADDYNA PERMATA LISMA
262 TN SIHADANI
263 NY HARTUTY
264 31-May-22 TN REZA PAHLEPI
265 TN HANNA BUDI MANSYAH
266 NY RIFA FARHANAH
267 TN HERI SUSILO
268 NY RANDYA TITI SULASTI
269 NY ARIFTIRA RAMAYUNI
270 AN MUHAMMAD AKHTAR EL INRAN
271 AN YUSUF AL FATEH IZZ INRAN
272 AN MARYAM ANOUSHA AHD INRAN
273 TN SHAHNAZ GILANG HABILA
274 NN BILQIS NABIHA RAMADHANI
275
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591
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LAPORAN KLINIK KIMIA FARMA ADELINA SAWANGAN MEI 2022

DOKTER JENIS PASIEN KONSULTASI LAB

DR VIA ANTIGEN
DR VIA ANTIGEN
DR AMALIAH UMUM Rp 65,000
DR AMALIAH VAKSIN MUDIK
DR AMALIAH VAKSIN MUDIK
DR FULLY UMUM Rp 65,000
DR FULLY INH
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY BPJS
DR FULLY BPJS
DR FULLY BPJS
DR FULLY INH
DR AMALIAH INH
DR AMALIAH BPJS
DR AMALIAH INH
DR VIA DYNAPLAST
DR AMALIAH VAKSIN MUDIK
DR AMALIAH VAKSIN MUDIK
DR AMALIAH VAKSIN MUDIK
DR AMALIAH VAKSIN MUDIK
DR VIA ANTIGEN
DR AMALIAH ISOMEDIK
DR AMALIAH INH FFS
DR FULLY UMUM Rp 65,000
DR FULLY INH FFS
DR FULLY INH FFS
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY INH FFS
DR AMALIAH BPJS
DRG NAUFAL BPJS
DR AMALIAH INH FFS
DR AMALIAH INH FFS
DR AMALIAH INH
DR AMALIAH INH
DR AMALIAH INH
DR AMALIAH INH
DR AMALIAH INH
DR AMALIAH BPJS
DR VIA ANTIGEN
DR VIA ANTIGEN
DR AMALIAH INH
DR AMALIAH INH
DR AMALIAH BPJS
DR VIA PCR
DR AMALIAH UMUM Rp 65,000
DRG ARIN UMUM
DRG ARIN INH FFS
DR AMALIAH INH
DR AMALIAH INH
DRG ARIN INH FFS
DRG ARIN INH FFS
DR AMALIAH INH FFS
DRG ARIN INH FFS
DR VIA ANTIGEN
DR AMALIAH INH FFS
DR AMALIAH INH
DR NURI INH
DR NURI INH FFS
DR NURI INH
DR NURI INH FFS
DR NURI INH FFS
DR VIA ANTIGEN
DR VIA ANTIGEN
DR NURI UMUM Rp 65,000
DR VIA ANTIGEN
DR NURI INH
DR NURI UMUM Rp 65,000
DR NURI INH
DR NURI UMUM Rp 65,000
DRG ARIN INH FFS
DRG ARIN INH FFS
DR FULLY INH
DRG ARIN NAYAKA
DRG ARIN BPJS
DRG ARIN INH FFS
DRG ARIN UMUM
DR FULLY NAYAKA
DR FULLY NAYAKA
DR FULLY INH
DR FULLY INH
DR FULLY INH
DR FULLY INH
DR FULLY INH
DR FULLY NAYAKA
DR FULLY UMUM Rp 65,000
DR INGGIT UMUM Rp 65,000
DR VIA ANTIGEN
DR VIA ANTIGEN
DR INGGIT UMUM Rp 65,000
DR INGGIT INH
DR INGGIT VAKSIN MUDIK
DR INGGIT VAKSIN MUDIK
DR INGGIT VAKSIN MUDIK
DR INGGIT VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR FULLY BPJS
DR FULLY INH
DR FULLY INH
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY INH FFS
DR VIA ANTIGEN
DR NURI INH
DR VIA ANTIGEN
DRG ARIN BPJS
DR NURI BPJS
DRG ARIN UMUM
DR NURI INH
DR NURI INH
DR NURI INH
DR NURI VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR VIA ANTIGEN KFD
DR NURI NAYAKA
DR NURI NAYAKA
 DR NURI BPJS
DR NURI BPJS
DR NURI BPJS
DR NURI BPJS
DR NURI INH FFS
DR NURI BPJS
DR NURI UMUM Rp 65,000
DR NURI UMUM Rp 65,000
DR NURI BPJS
DR NURI INH FFS
DR NURI INH
DRG ARIN UMUM
DRG ARIN UMUM
DR FULLY BPJS
DR FULLY BPJS
DRG ARIN INH FFS
DRG ARIN INH FFS
DR FULLY INH FFS
DR VIA ANTIGEN
DR FULLY ISOMEDIK
DR FULLY UMUM Rp 65,000
DR NURI INH FFS
DR NURI INH
DR NURI VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR VIA ANTIGEN
DR NURI INH
DRG NAUFAL BPJS
DRG NAUFAL UMUM
DRG NAUFAL INH FFS
DR VIA ANTIGEN
DR VIA ANTIGEN
DRG NAUFAL INH FFS
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DRG NAUFAL INH FFS
DRG NAUFAL UMUM
DR TITIK BPJS
DR TITIK INH
DR TITIK INH
DR TITIK UMUM Rp 65,000
DR TITIK BPJS
 DR TITIK INH
DR TITIK INH
DR TITIK INH
DR TITIK INH
DR TITIK ISOMEDIK
DR TITIK INH
DR TITIK UMUM Rp 65,000
DR TITIK INH
DR TITIK INH FFS
DR VIA PCR
DRG ARIN INH FFS
DRG ARIN UMUM Rp 65,000
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DR TITIK VAKSIN MUDIK
DR TITIK VAKSIN MUDIK
DR TITIK VAKSIN MUDIK
DR TITIK VAKSIN MUDIK
DR TITIK INH
DRG ARIN UMUM
DRG NAUFAL INH FFS
DR TITIK UMUM Rp 65,000
DR NURI INH
DR NURI BPJS
DR NURI INH
DR NURI VAKSIN MUDIK
DR NURI VAKSIN MUDIK
DR NURI BPJS
DR NURI INH FFS
DR NURI INH
DR NURI UMUM Rp 65,000
DR INGGIT INH
DR INGGIT INH
DR INGGIT UMUM Rp 65,000
DR INGGIT VAKSIN MUDIK
DR INGGIT VAKSIN MUDIK
DR INGGIT VAKSIN MUDIK
DR INGGIT VAKSIN MUDIK
DR INGGIT UMUM Rp 65,000
DR INGGIT UMUM Rp 65,000
DR VIA LAB Rp 138,000
DR INGGIT NAYAKA
DR INGGIT BPJS
DR VIA ANTIGEN
DR FULLY UMUM Rp 65,000
DR FULLY INH
 DR FULLY INH
DR FULLY INH
DRG NAUFAL INH FFS
DRG NAUFAL BPJS
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY VAKSIN MUDIK
DR FULLY UMUM Rp 65,000
DR FULLY INH
DR FULLY INH
DR VIA ANTIGEN
DR TITIK BPJS
DR TITIK INH FFS
DR TITIK INH FFS
DR TITIK VAKSIN MUDIK
DR TITIK VAKSIN MUDIK
DR TITIK VAKSIN MUDIK
DR TITIK VAKSIN MUDIK
DR TITIK VAKSIN MUDIK
DR TITIK UMUM Rp 65,000
DR TITIK INH FFS
DR TITIK UMUM Rp 65,000
DR TITIK INH FFS
DR TITIK INH
DR TITIK INH
DR TITIK UMUM Rp 65,000
DR TITIK VAKSIN MUDIK
DR TITIK UMUM Rp 65,000
DRG NAUFAL BPJS
DR TITIK INH
DR VIA LAB Rp 295,000
DR TITIK UMUM Rp 65,000
DR VIA LAB Rp 130,000
DR TITIK UMUM Rp 65,000
DRG ARIN BPJS
DR VIA ANTIGEN
DR TITIK NAYAKA
DRG ARIN NAYAKA
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN BPJS
DRG ARIN BPJS
DRG ARIN BPJS
DR TITIK VAKSIN MUDIK
DR TITIK VAKSIN MUDIK
.
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 / TF KE PUSAT/ DANA
VAKSINKU
POSITIF
EDC
MOBILE KF
QRIS BNI/QRIS LINK AJA
VAKSIN ANTIGEN PCR TINDAKAN
Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000

Rp 275,000

Rp 300,000

Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 300,000
Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000

Rp 250,000
 Rp 500,000
Rp 200,000

Rp 85,000

Rp 85,000

Rp 450,000

Rp 85,000
Rp 85,000

Rp 300,000
 Rp 275,000

Rp 200,000

Rp 85,000
Rp 85,000

Rp 85,000
AT/ DANA NAMA DOKTERJENIS PASIEN

RIS LINK AJA

DR RANDY
DR IGA
DRG NAUFAL
TOTAL KAPITASI
DOKTER UMUM Rp -
DOKTER GIGI Rp -
TOTAL PASIEN
TOTAL PASIEN 274
TOTAL
PENDAPATAN Rp 7,198,000
KLINIK

NAMA DOKTER
UMUM TINDAKAN BPJS INH INH FFS INH I PRO NAYAKA
DR FAKHRUR 0 0 0 0 0 0 0
DR VIA 0 0 0 0 0 0 0
DR TITIK 9 0 3 12 5 0 1
DR FULLY 6 0 6 15 5 0 3
DR NURI 6 0 9 14 7 0 2
DR AMALIAH 2 0 4 12 5 0 0
DR INGGIT 5 0 1 3 0 0 1
DRG NAUFAL 2 0 4 0 12 0 0
DRG ARIN 7 0 6 0 13 0 2
TOTAL 37 0 33 56 47 0 9
 LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
TN ANGGA AN RIRI SWAB AG
TN DRS. J. RIRI SWAB AG
TN ERYA WARIRI SWAB AG
TN MOHAMM RIRI SWAB AG
NY SRI REZKIRIRI SWAB AG
TN RODI FAURIRI SWAB AG
156 TN MISPAN RIRI SWAB AG
157 NY DEARINA RIRI SWAB AG
158
159
160
161
162
163
164
165
 JUMLAH PASIEN
AG BNI LIFE ANTIGEN DYNAPLAST ISOMEDIK PCR AG M.KF ANTIGEN KFD AG BCA
0 0 0 0 0 0 0 0
0 20 1 0 2 0 1 0
0 0 0 1 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 20 1 3 2 0 1 0
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
 JUMLAH SIFT SITTING FEE
PCR BCA VAKSIN LAB ADMEDIKA
0 0 0 0 Rp -
0 0 3 0 Rp -
0 12 0 0 52 Rp 936,000
0 24 0 0 84 Rp 1,512,000
0 12 0 0 78 Rp 1,404,000
0 6 0 0 52 Rp 936,000
0 8 0 0 26 Rp 468,000
0 0 0 0
0 0 0 0
0 62 3 0 Rp 5,256,000
 KAPITASI SIP
KONSULTASI LAB ANTIGEN
Rp 500,000 Rp - Rp - Rp -
Rp 500,000 Rp - Rp 563,000 Rp 1,700,000
Rp 585,000 Rp - Rp -
Rp 390,000 Rp - Rp -
Rp 390,000 Rp - Rp -
Rp 130,000 Rp - Rp -
Rp 325,000 Rp - Rp -
Rp 679,680 Rp -
Rp 65,000
Rp 679,680 Rp 1,000,000 Rp 1,885,000 Rp 563,000 Rp 1,700,000
 FEE TOTAL
PCR VAKSIN TINDAKAN DOKTER
Rp - Rp - Rp - Rp - Rp 500,000
Rp 550,000 Rp - Rp - Rp - Rp 572,000
Rp - Rp - Rp - Rp 234,000 Rp 1,170,000
Rp - Rp - Rp - Rp 156,000 Rp 1,668,000
Rp - Rp - Rp - Rp 156,000 Rp 1,560,000
Rp - Rp - Rp - Rp 52,000 Rp 988,000
Rp - Rp - Rp - Rp 130,000 Rp 598,000
Rp 750,000 Rp 600,000 Rp 1,279,680
Rp 1,750,000 Rp 1,452,000 Rp 1,452,000
Rp 550,000 Rp - Rp 2,500,000 Rp 2,780,000 Rp 9,787,680
 LAPORAN FEE DOKTER A
No Dokter Jumlah px BPJS Jumlah px INH Jumlah Px INH FFS

1 DR NURI 9 27,000 14 58,800 7 29,400

2 DR FULLY 6 18,000 15 63,000 5 21,000
3 DR AMALIAH 4 12,000 12 50,400 5 21,000
4 DR TITIK 3 9,000 12 50,400 5 21,000
5 DR INGGIT 1 3,000 3 12,600 -
6 DRG NAUFAL - - 8,988,000 7,190,400
TOTAL 69,000 235,200 7,282,800
FEE DOKTER ASURANSI MEI 2022
Jenis TINDAKAN
Jumlah px Nayaka Jumlah px ADMEDIKA Jumlah px ISOMEDIK Tindakan

2 48,000 - -
3 72,000 - 1 26,000
0 - 1 26,000 -
1 24,000 - -
1 24,000 - -
60000 42,000 - -
210,000 26,000
TINDAKAN
TOTAL
Biaya

163,200
200,000
83,400
- 104,400
- 39,600
- 7,232,400
7,823,000 7,823,000