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LAPORAN KLINIK KIMIA FARMA AD

NO TANGGAL NAMA PASIEN


1 TN JOKO WICAKSONO S.
2 NY HARLIANI
3 NY
AN AYU PUTRIANAADNANDARU
MUHAMMAD
4 WICAKSONO
5 AN MYEISHA ADELIYA
6 NY YULI NURJANAH
7 AN MAULANA ILHAM
8 NY RIYANTI MANDASARI
9 TN DODIK JOKO RIANTO
10 NY LILIS ARI RISTANTI
11 TN MUHAMMAD IHSAN
12 NY DIANA SARI
13 TN BAMBANG KUSUBYANTO
14 NY IKA ROSMAYANTY
15 TN DZAKI RIFAI
16 NY SRI WAHYUNI
17 AN AULIA ANGGRAINI
1-Mar-22
18 TN ZAINUDDIN FATHAWI
19 NY DEVI SHAHIFATUN HASANAH
20 NY ALFIANDY AHMAD YUNUS
21 TN NIKO FEBRIAN
22 TN NUGROHO DWI SAPUTRA
23 NY RASIH
24 TN ERICK STRADA
25 AN UWAIS AL-FATIH IHSAN NUGROHO
26 TN HARUN AL JAUD
27 TN RIZKI HIDAYAT
28 TN ZACKI
29 NY ZAKYATUN NAFIAH
30 NY FANY SEPTIANI
31 TN RAFQI ISKANDAR
32 NY ADE AGUSTINA
33 TN DERRY NANDA
34 TN ARI DARMAWAN
35 NY DINDA AYU PARAMITHA
36 TN INDRA BAYU GUNAWAN
37 NY YUSIE ARISANTI, M.SI
38 NY ERLI SAADAH

2-Mar-22
39 TN IRWAN SETIAWAN
40 2-Mar-22 AN BACHTIAR RIFAI
41 NY SRI WAHYUNI
42 TN ARDIANTO
43 NY SRI WAHYUNI
44 NY RAHMAWATI UTAMI
45 TN SUPRIYATNO
46 TN WAHYU KAMAL
47 TN DIAN WIDANARTA
48 NY DERRY RASFUDIN
49 TN JURIAN ANDIKA
50 TN ARIE SUMANTRIE
4-Mar-22
51 TN RIVALDI
52 AN SAKTI MANGGALA
53 AN KIKANDRYA QUEENOVA
54 TN DODI ASMARA
55 NY ANGGITA ISMAYANTI
56 NY RATIH INDRIYANI
57 NY HARTUTY
58 TN SIHADANI
59 TN HAIKAL PASYA
60 NY RATIH SEPTIYANDINI
61 TN RINGGA DAVINO
62 TN ARTAMA ARVI
63 TN JONNI KURNIAWAN SIREGAR
64 AN ELEANORA KALYCA FAYOLA SIREGAR
65 NY YUSIE ARISANTI, M.SI
66 TN BUSYRON CHUDLORI
5-Mar-22
67 AN YAHYA ISKANDAR Z
68 TN RIDWAN SIANTURI
69 AN DEWI WULAN SEKAR
70 TN DEMOS WIRA ARJUNA
71 TN SUHARTONO
72 NY ANGGITA ISMAYANTI
73 TN HANA BUDI M
74 TN SUYUT
75 AN M.ARYO BIMO SURYO ADHIE
76 TN ABDULLAH HASAN
77 TN ADAM FAJARI IRIANTO
78 TN MUHAMMAD AKBAR
79 NY ATIKA ZAHROH WIDAD
80 NY RENSY
81 TN AGUS RUSLAN
82 NY MEIMY HARTI SILVIANY RAMBE
83 AN QHAIRA ZULAIKHA SETIAWAN
84 7-Mar-22 TN STEVYN MARKUS PATTY
7-Mar-22
85 TN AHMAD RIDWANSYAH
86 NY JURAIDAH DABUTAR
87 TN ANDI RAHMAN
88 NY INDIRA GANDHI NUR
89 NY JESSICA INNOCENCIA WIBISANA
90 NY JESSICA INNOCENCIA WIBISANA
91 TN NOVANDRA YOGA PRASETYO
92 AN HUMAIRA AL KINDI FALUTVI
93 TN SUSILO HARI CAHYONO
94 NY HARTUTY
95 TN SIHADANI
96 NY ZULFINA AGUSTIN
97 NY INDRI KUSMIAWATI
8-Mar-22
98 NY FATIMAH
99 TN FANDI AHMAD
100 NY NURSAMSIAH
101 AN ALTHA FUNNISA RAMADHANI
102 TN DZAKI RIFAI HIDAYAT
103 TN MUHAMMAD NOVIAN ALIMUDIN YUSUF
104 NY RIZKA ROSMA W
105 NN NABILAH TAZKIYAH JASMINE
106 TN RAHMAT HASIBUAN
9-Mar-22
107 NY GITA KINASIH
108 TN HARTONO
109 AN HILDA ALTHAFUNNISA YUDHISTIRA
110 NY DIANA SARI
111 NY FATIMAH
112 NY SRI WAHYUNI
113 TN MUHAMMAD FABIO LAKORO
114 NY RARA GANDEWA RANJIWA
115 NY RARA GANDEWA RANJIWA
116 TN HELMI SURATMAN 1
117 NY SRI WAHYUNI
118 NY WINARNI
119 AN CARISSA M RAHADIAN
10-Mar-22
120 AN HANA IZZATUNNISA YUDHISTIRA
121 AN HAYFA ADISTYANNISA YUDHISTIRA
122 NY T. DUMASARI
123 AN AFIFAH
124 NY LUTFIAH
125 AN DIMAS ADITYA RAMADHAN
126 NY LUTFIAH
127 AN DIMAS ADITYA RAMADHAN
128 TN EKA BUDHI PRASETYA ST
129 AN FAIRUZ DWI QATRUNNADA
130 TN DEAN CAESAR NASUTION
131 AN MUHAMMAD MIKAEEL ALRESCHA
132 NY RIRIEN SAFARINA, S.SOS
133 AN QHAIRA ZULAIKHA SETIAWAN
134 TN DWI ARIWIBOWO
11-Mar-22
135 NN SELA
136 NN ANISA PUSPA D
137 AN RAFA REZKA MADAGASCAR
138 TN EMPOH DULHAMSYAH
139 NY EMI NUR HIKMAH
140 AN NAOMI SABILA AYASHA P
141 NY EKA PUTRI WURNIA
142 TN AHMAD IKBALUDIN
143 TN M FADILLA HADITIRTO
144 AN RASYA MUHAMMAD ATHAYA
145 AN RATU CANTIKA PUTRI ALMAHYRA
146 NY FITRIANI
147 NY FATIMAH
148 12-Mar-22 TN SUYUT
149 NY SULISWATI SH
150 NY ZURAYMA HAKIM
151 TN SUHARTO
152 TN SIHADANI
153 AN ELFAREZEL ZAYN PRADIPTA
154 AN UFAIRA QAMELLA RIZQYA
155 TN ENDI HARYO PRABOWO WIRAWAN
156 NY NURLAYLA
157 AN KEYRA ALISA
158 NY JULIA KURNIA SARI
159 AN HAFIDZ LAILATUL QODR
160 NY HAYATI SETIA INTEN
161 14-Mar-22 TN ILHAM MAULANA
162 TN NUR MUHAMMAD RIDHO
163 TN RYAN SATRIA NUGROHO
164 TN SUWARNO
165 TN ARIADI BASUKI
166 NY DEVI SHAHIFATUN HASANAH
167 NY VONNY OLIVIA
168 NY NURUL MASFUFAH
169 NY ZULFINA AGUSTIN
170 TN AGNI SISWANTO H
171 TN MUHAMMAD MUDZAKAR SALIM
172 AN MUHAMMAD GIBRAN SYARIEF
15-Mar-22
173 TN UTHAN
174 TN HELMI SURATMAN 1
175 TN MUHAMMAD RIDWAN
176 AN MUHAMMAD ALKAYYIS TAQY ELRAFIF
177 NY IMAS ROHIMA
178 AN RENZO MUHAMMAD FAHLEVI
179 AN YUKI AMELLIA SHAAKIR
180 NY ARYUDA YOZA SELFA
181 NY NININ TRIYANA
182 TN NOVANDRA YOGA PRASETYO
183 NY LUTFIAH
184 AN DIMAS ADITYA RAMADHAN
185 NY LUTFIAH
186 AN DIMAS ADITYA RAMADHAN
16-Mar-22
187 AN MOA DINANT UKASYA
188 TN IBUT GEMANTRI
189 TN NUR' ALIF YUSUF
190 TN SAMIJAN
191 NN CINDY
192 AN SYAININDYA RAHSATYA NUGROHO
193 NY AMALIA SHOFIYANI
194 TN IDROES KALIMAZAD
195 NY FITRIANI
196 NY MUNAWAROH ASTUTI
197 AN M. ARJUNA SHAQUILLE
198 TN SAERAN
17-Mar-22
199 NY SUNARSIH
200 NY NABILA PUTRI UTAMI
201 NY LILI SURJATI SURAMAN
202 NY LAURENTA WIDYA SENA
203 TN JATI PRASETYO
204 TN SUSANTO
205 NY YULI NURJANAH
206 TN REZA FAUZAN
207 NY INDRI KUSMIAWATI
208 NY TRISNI HERAWATI
209 NY YULIARTI
210 NY CAROLINE
211 18-Mar-22 TN MUHAMMAD EDWAR
212 NY ROSLIANA
213 NY DIAN HERDIYANTI
214 TN STEVEN JONATHAN
215 TN WAHYU HERI WIBOWO
216 NY SERI MARYATI
217 NY RINI PRANGESTI
218 AN ALVARO GAVRIEL TEPARE
219 AN MIKHAELA JACCEULINE G
220 TN RINGGA DAVINO
221 TN AJI
222 TN DEMOS WIRA ARJUNA
223 PINTO RAHMANSYAH
224 TN HANNA BUDI
225 TN AWANG DARMAWAN
226 TN NOVRI YANTO
227 TN M HIDAYAT
228 NY SEPNIATI
229 NY IWENDANALENDRYA
19-Mar-22
230 TN SAM SAM SUGIMAN
231 TN ANDRI KRISTANTO
232 TN LANDITYA
233 TN SYAEFUL ANWAR
234 TN IWAN SETIAWAN
235 TN YOHANES TRI WAHYUDI
236 TN LEO ANGGARA
237 TN ANDRI SOUFYAN
238 TN AGUS SUWANDRI
239 NY AYU DEWI PRATIWI
240 NY MUTIARA
241 NY LILIS ANDRIYANTI
242 AN FAIRUZ DWI QATRUNNADA
243 NY SARMILA ANDRIYANI
244 NY YULI NURJANAH
21-Mar-22
245 TN IMAM KURNIA
246 TN TAOFIK MUARIFIN
247 TN BUSYRON CHUDLORI
248 TN SIHADANI
249 NY HARTUTY
250 NY RADEN AYU MARIA CHRISTYANINGSIH
251 22-Mar-22 NN MAHARANI SHEVA PUTRI RAKASIWI
252 NN MAHARANI SHEVA PUTRI RAKASIWI
253 TN AMRI
254 TN GUNAWAN
255 TN WAHYU HERI WIBOWO
256 AN KELSON THEDRA PRESETIO
23-Mar-22
257 NY REGITA SALSABILA SHAFA
258 NY RATIH SEPTIYANDINI
259 TN TAUFIQ MAULANA
260 NY NUR ALIA S
261 TN ARJUKA
262 NY NOVIYANTI MARYANA
24-Mar-22
263 NN SEKAR SOCA SHARFINA
264 NY DEVI LIANI
265 NY DEVI LIANI
266 AN YUMNA ILLAYKA ALTHAFUNNISA
267 NN NADIYAH ASRI DEWANTI
268 25-Mar-22 TN MUHAMMAD FABIO LAKORO
25-Mar-22
269 NY FANY SEPTIANI
270 TN RICKY SULISTYO PUTRO
271 TN IMAM RAHNATULLAH
272 TN STELFAN HARMITO LO
273 TN I GUSTI MADE TEJA GUNAWAN
274 NY ANGGITA ISMAYANTI
275 TN HANNA BUDI
276 TN SIHADANI
277 NY FEBRIANI R
278 TN WIDIYANTO
279 TN BINTANG D
280 TN IQBAL MAULANA
281 TN FAESAL
282 TN AHMAD SUHERI
26-Mar-22
283 TN DICKY PERMANA
284 TN MUHAMMAD IHSAN RAHADI
285 TN SUPODO
286 NY TRI MAULIDYA AGUSTIN
287 NY IMAS NOVITA SARI
288 NY DEBBY SHINTYA
289 NY FEBY ARIA PUTRI
290 TN FAKHURROZI
291 TN SUKIRAN
292 TN RIZCARD
293 NY RR KUSMIASIH DWIJA UTAMI
294 TN DINDIN ABDUL KODIR
295 TN M. LAZMI ARDI
296 TN GATOT SUBIYANTO
297 AN ARKAN FAKHRIAL
298 TN WAWAN SUDARMAWAN
299 TN WAWAN SUDARMAWAN
300 AN KIANA WANDAH A
301 TN MUHAMAD NEHRU
302 NY FANY SEPTIANI
303 NY DWI NANSI SETYOWATI
304 AN M.ARYO BIMO SURYO ADHIE
305 AN AISHA SALSABILA
28-Mar-22
306 NN RESISCA ANASTASYA
307 AN MUHAMMAD ALGHIFARI
308 TN RIZKI YANDRIKO
309 TN MOHAMAD FADIYADI
310 NY GITA KINASIH
311 TN HARTONO
312 TN AGNI DWI ELFAHMI
313 NY SAJJIDA BENAZIR ARRAMADHANI
314 TN RISMAN FALUTVI
315 NN FEDORA
316 TN IMMANUEL SP MARBUN
317 TN SETYA TRYADA
318 TN NURYADI AJHARI
319 NY SITI AMINAH
320 TN AYUB
321 29-Mar-22 AN ZOEYA JEEHAN ZAFEERA
322 AN ABDUL QODIR AALI MUSTAFA
323 AN KHANAYA KAYLA AIZA
324 AN REFAN ATHA AISY
325 TN ANDRY PERMANA
326 AN AZKA RAFA ALFARIZI
327 AN RATU CANTIKA PUTRI ALMAHYRA
328 TN ALFIANTO
30-Mar-22
329 AN AIR SALSABILA ROHMANI PUTRI
330 AN OMAR ZAKI ABIMATA
331 NN WENING DESTRYNA DAMAYANTI
332 NY NUR ALIA S
333 TN HERMAN PRABOWO
334 AN MUHAMMAD ZAIN NUR MUSTAQIM
335 NY ROFI ALIZAH
336 TN GUNTUR TUA ARITONANG
31-Mar-22
337 TN SUPRAYITNO
338 TN BUDI DARMAWAN
339 NY HASANAH
340 TN AGUNG GOVINDA
341 NY NOLA OKIVITA
342 NY AGUSTINA AVIANTI
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
APORAN KLINIK KIMIA FARMA ADELINA SAWANGAN MARET 2022

DOKTER JENIS PASIEN KONSULTASI ANTIBODY


DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA ANTIGEN
DRG ARIN UMUM
DR DESI INH FFS
DR DESI INH FFS
DR DESI INH FFS
DR DESI INH
DR DESI INH
DR DESI INH
DR DESI BPJS
DR DESI UMUM Rp 65,000
DR DESI BPJS
DRG ARIN INH FFS
DRG ARIN INH FFS
DR VIA AG BCA
DR VIA ANTIGEN
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN UMUM
DR VIA ANTIGEN
DR VIA ANTIGEN
DR DESI BPJS
DR VIA ANTIGEN
DR DESI INH
DR VIA ANTIGEN
DR DESI UMUM Rp 65,000
DR VIA ANTIGEN
DR DESI INH
DR DESI INH FFS
DR VIA ANTIGEN
DR DESI ISOMEDIK
DR DESI UMUM Rp 65,000
DR VIA ANTIGEN
DR VIA PCR
DR VIA PCR
DR INGGIT UMUM Rp 65,000
DR INGGIT INH
DRG ARIN UMUM
DRG ARIN INH FFS
DR VIA ANTIGEN
DR VIA PCR BCA
DR INGGIT BPJS
DR INGGIT INH FFS
DR VIA PCR
DR VIA PCR
DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA PCR
DR INGGIT UMUM Rp 65,000
DR INGGIT INH FFS
DR INGGIT INH FFS
DR VIA ANTIGEN
DR INGGIT BPJS
DR TIFANI INH
DRG NAUFAL NAYAKA
DRG NAUFAL NAYAKA
DR VIA ANTIGEN
DR TIFANI INH
DRG NAUFAL INH FFS
DR TIFANI UMUM Rp 65,000
DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA PCR
DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA ANTIGEN
DR TIFANI NAYAKA
DRG NAUFAL UMUM
DRG NAUFAL INH FFS
DR VIA ANTIGEN
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA PCR
DR VIA PCR
DR DESI BPJS
DR VIA ANTIGEN
DR DESI INH
DR DESI INH FFS
DR VIA PCR
DR VIA ANTIGEN
DR VIA ANTIBODY Rp 65,000
DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA ANTIGEN
DR DESI INH
DR VIA PCR
DR DESI INH
DRG ARIN UMUM
DRG ARIN NAYAKA
DRG ARIN NAYAKA
DR VIA AG BNI LIFE
DR DESI INH FFS
DR DESI BPJS
DR DESI INH
DRG ARIN INH FFS
DR VIA ANTIGEN
DRG ARIN INH FFS
DR VIA ANTIGEN
DR DESI INH
DR INGGIT INH
DR INGGIT NAYAKA
DR INGGIT INH
DR INGGIT INH
DR FULLY UMUM Rp 65,000
DR FULLY BPJS
DR FULLY BPJS
DRG ARIN UMUM
DR VIA ANTIGEN
DR VIA ANTIGEN
DR FULLY BPJS
DRG ARIN INH FFS
DRG ARIN INH FFS
DR FULLY INH
DRG ARIN UMUM
DR FULLY UMUM Rp 65,000
DR FULLY UMUM Rp 65,000
DRG ARIN UMUM
DRG ARIN UMUM Rp 65,000
DR VIA ANTIGEN
DR VIA ANTIGEN
DR FULLY BPJS
DR FULLY BPJS
DR FULLY INH
DR FULLY INH
DR FULLY BPJS
DR INGGIT INH FFS
DR INGGIT INH
DR INGGIT INH FFS
DR INGGIT BPJS
DR INGGIT BPJS
DR INGGIT INH
DR VIA ANTIGEN
DR INGGIT INH FFS
DR FULLY INH
DRG NAUFAL BPJS
DR FULLY INH
DRG NAUFAL INH FFS
DR FULLY NAYAKA
DR FULLY NAYAKA
DR FULLY INH
DRG NAUFAL UMUM
DR FULLY BPJS
DRG NAUFAL INH FFS
DR FULLY UMUM Rp 65,000
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DR FULLY NAYAKA
DR FULLY INH
DR FULLY BPJS
DR VIA ANTIGEN
DR FULLY VAKSIN CSR
DR FULLY UMUM Rp 65,000
DR DESI INH FFS
DR DESI INH FFS
DR VIA PCR
DR VIA PCR
DR VIA ANTIGEN
DR DESI BPJS
DR DESI VAKSIN PT. DATINDO
DR VIA ANTIGEN
DRG ARIN INH FFS
DR VIA ANTIGEN
DR VIA ANTIGEN
DR VIA AG BNI LIFE
DR VIA AG BNI LIFE
DR DESI INH
DRG ARIN INH FFS
DRG ARIN UMUM Rp 65,000
DRG ARIN INH FFS
DR VIA ANTIGEN
DR DESI INH FFS
DR DESI UMUM Rp 65,000
DR DESI INH FFS
DR DESI INH FFS
DR DESI UMUM Rp 65,000
DR VIA ANTIGEN
DR VIA PCR
DR INGGIT BPJS
DR INGGIT BPJS
DR VIA ANTIGEN
DR VIA ANTIGEN
DR INGGIT NAYAKA
DR INGGIT VAKSIN PT. DATINDO
DR INGGIT VAKSIN PT. DATINDO
DR INGGIT VAKSIN PT. DATINDO
DR INGGIT BPJS
DR INGGIT BPJS
DR VIA ANTIGEN
DR FULLY UMUM Rp 65,000
DRG ARIN UMUM
DR FULLY INH
DR FULLY INH
DR FULLY VAKSIN PT. DATINDO
DR FULLY VAKSIN PT. DATINDO
DR FULLY VAKSIN PT. DATINDO
DR FULLY VAKSIN PT. DATINDO
DR FULLY VAKSIN PT. DATINDO
DR FULLY VAKSIN PT. DATINDO
DR FULLY VAKSIN PT. DATINDO
DR INGGIT INH FFS
DR VIA PCR
DR INGGIT INH FFS
DR INGGIT UMUM Rp 65,000
DR INGGIT VAKSIN PT. DATINDO
DR INGGIT VAKSIN PT. DATINDO
DR INGGIT VAKSIN PT. DATINDO
DR INGGIT VAKSIN PT. DATINDO
DR INGGIT VAKSIN PT. DATINDO
DR INGGIT VAKSIN PT. DATINDO DR TIFANI
DRG NAUFAL INH FFS
DR INGGIT BPJS
DR INGGIT INH
DRG NAUFAL UMUM
DRG NAUFAL UMUM Rp 65,000
DRG NAUFAL INH FFS
DR TIA BPJS
DRG NAUFAL UMUM
DRG NAUFAL BPJS
DRG NAUFAL INH FFS
DR TIA VAKSIN PT YAKULT
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIA VAKSIN
DR TIFANI INH
DR TIFANI INH
DR TIFANI INH FFS
DR TIFANI INH
DR VIA ANTIGEN
DR VIA ANTIGEN KF
DRG ARIN NAYAKA
DRG ARIN NAYAKA
DR TIFANI INH FFS
DR TIFANI UMUM Rp 65,000
DR VIA ANTIGEN
DR TIFANI INH FFS
DR TIFANI INH FFS
DRG NAUFAL INH FFS
DR INGGIT BPJS
DR VIA ANTIGEN
DR INGGIT INH
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN UMUM
DR VIA ANTIGEN
DR VIA ANTIGEN
DR FULLY BPJS
DR FULLY INH
DR VIA ANTIGEN
DR VIA ANTIGEN
DR INGGIT INH
DRG NAUFAL UMUM
DR VIA PCR
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DR FULLY BPJS
DRG NAUFAL INH FFS
DRG NAUFAL NAYAKA
DR FULLY VAKSIN PT YAKULT
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY VAKSIN
DR FULLY BPJS
DR FULLY INH
DR VIA ANTIGEN
DR TIFANI INH
DR TIFANI INH
DR TIFANI UMUM Rp 65,000
DR VIA ANTIGEN
DR TIFANI INH
DR TIFANI INH
DR TIFANI INH
DR VIA ANTIGEN
DR VIA ANTIGEN
DR TIFANI INH
DR TIFANI UMUM Rp 65,000
DR TIFANI BPJS
DR TIFANI INH
DR VIA ANTIGEN
DR TIFANI INH
DR TIFANI INH
DR TIFANI INH
DR TIFANI INH
DR TIFANI INH
DR TIFANI UMUM Rp 65,000
DR VIA ANTIGEN
DR TIFANI UMUM Rp 65,000
DR TIFANI INH
DR TIFANI VAKSIN CSR
DR TIFANI INH FFS
DR TIFANI BPJS
DR TIFANI BPJS
DR TIFANI INH FFS
DR TIFANI INH FFS
DR TIFANI INH FFS
DR TIFANI INH FFS
DR INGGIT INH
DR INGGIT INH
DR INGGIT BPJS
DR INGGIT INH
DR VIA ANTIGEN
DRG ARIN INH FFS
DRG ARIN INH FFS
DR FULLY BPJS
DRG ARIN INH FFS
DR VIA ANTIGEN
DR FULLY VAKSIN PT. DATINDO
DR FULLY VAKSIN
DR FULLY INH
DR FULLY UMUM Rp 65,000
DR FULLY BPJS
DR FULLY INH
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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 150,000

Rp 85,000

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

Rp 85,000

Rp 85,000

Rp 85,000

Rp 85,000

Rp 85,000
Rp 275,000
Rp 275,000
Rp 300,000

Rp 85,000

Rp 275,000
Rp 275,000
Rp 85,000
Rp 85,000
Rp 275,000

Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 275,000
Rp 85,000
Rp 85,000
Rp 85,000

Rp 450,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000
Rp 275,000 DR TIFANY
Rp 275,000

Rp 85,000

Rp 275,000
Rp 85,000

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

Rp 275,000

Rp 250,000

Rp 85,000

Rp 85,000

Rp 1,500,000
Rp 85,000
Rp 85,000

Rp 200,000

Rp 300,000

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

Rp 150,000

Rp 85,000

DR ULFAH

Rp 275,000
Rp 275,000
Rp 85,000

Rp 85,000 DR TIA

Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000
Rp 275,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 250,000

Rp 275,000

Rp 350,000

Rp 100,000
Rp 85,000

Rp 85,000

Rp 85,000

Rp 150,000
Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000
Rp 150,000
Rp 275,000

Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000
AT/ DANA NAMA DOKTERJENIS PASIEN

RIS LINK AJA

DR RANDY
DR IGA
DRG NAUFAL
DR TIFANY
DR ULFAH

DR TIA
TOTAL KAPITASI
DOKTER UMUM Rp -
DOKTER GIGI Rp -
TOTAL PASIEN
TOTAL PASIEN 342
TOTAL
PENDAPATAN Rp 15,705,000
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 DESI 5 0 6 11 11 0 0
DR FULLY 7 0 13 13 0 0 3
DR INGGIT 3 0 11 12 8 0 2
DR TIFANI 6 0 3 18 9 0 1
DR TIA 0 0 1 0 0 0 0
DRG NAUFAL 6 0 2 0 15 0 3
DRG ARIN 11 0 0 0 18 0 4
TOTAL 38 0 36 54 61 0 13

TF DR VIA SEMUA KECUALI DR FULLY


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 ANTIBODY ISOMEDIK PCR AG M.KF RAPID M.KF AG BCA
0 0 0 0 0 0 0 0
3 64 1 0 15 0 0 1
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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
3 64 1 1 15 0 0 1

MUA KECUALI DR FULLY


200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
JUMLAH SIFT SITTING FEE KAPITASI
PCR BCA VAKSIN AG TIKET.COM AG DAN
0 0 0 0 Rp -
1 0 0 0 Rp -
0 1 0 0 65 Rp 1,170,000
0 26 0 0 78 Rp 1,404,000
0 9 0 0 117 Rp 2,106,000
0 1 0 0 65 Rp 1,170,000
0 17 0 0 13 Rp 234,000
0 0 0 0 Rp 679,680
0 0 0 0
1 54 0 0 Rp 6,084,000 Rp 679,680
SIP
KONSULTASI ANTIBODY ANTIGEN PCR
Rp 500,000 Rp - Rp - Rp - Rp -
Rp 500,000 Rp - Rp 65,000 Rp 5,355,000 Rp 4,125,000
Rp 325,000 Rp - Rp - Rp -
Rp 455,000 Rp - Rp - Rp -
Rp 195,000 Rp - Rp - Rp -
Rp 390,000 Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 65,000
Rp 130,000
Rp 1,000,000 Rp 1,560,000 Rp 65,000 Rp 5,355,000 Rp 4,125,000
FEE TOTAL
VAKSIN TINDAKAN DOKTER
Rp - Rp - Rp - Rp 500,000
Rp - Rp - Rp - Rp 752,000
Rp - Rp - Rp 130,000 Rp 1,300,000
Rp - Rp - Rp 182,000 Rp 1,586,000
Rp - Rp - Rp 78,000 Rp 2,184,000
Rp - Rp - Rp 156,000 Rp 1,326,000
Rp - Rp - Rp - Rp 234,000
Rp 1,200,000 Rp 1,012,000 Rp 1,691,680
Rp 3,400,000 Rp 2,824,000 Rp 2,824,000
Rp - Rp 4,600,000 Rp 4,382,000 Rp 12,397,680
LAPORAN FEE DOKTER ASURANS
No Dokter Jumlah px BPJS Jumlah px INH Jumlah Px INH FFS

1 DR DESI 6 18,000 11 46,200 11 46,200


2 DR FULLY 13 39,000 13 54,600 0 -
3 DR TIFANI 3 9,000 18 75,600 9 37,800
4 DR TIA 1 3,000 0 - 0 -
5 DR INGGIT 11 33,000 12 50,400 8 33,600
6 DRG NAUFAL - - 11,227,500 8,982,000
TOTAL 102,000 226,800 9,099,600
KTER ASURANSI MARET 2022
Jenis TINDAKAN
Jumlah px Nayaka Jumlah px ISOMEDIK Tindakan TOTAL
Biaya
0 - 1 26,000 136,400
3 72,000 - 165,600
1 24,000 - 146,400
0 - - - 3,000
2 48,000 - - 165,000
2210000 884,000 - - - 9,866,000
1,028,000 26,000 10,482,400
10,482,400

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