Laporan Fee Dokter Desember 2021 Adelina Sawangan

LAPORAN KLINIK KIMIA FARMA AD
NO TANGGAL NAMA PASIEN

1 TN YANWAR SANTOSO
2 NY NURHAYATI
3 AN MUHAMMAD GIBRAN SYARIEF
4 NY EVA YANTHY
5 AN UFAIRA QAMELLIA
6 TN TAOFIK MUARIFIN
1-Dec-21
7 TN AGUS SETIAWAN
8 TN ACO HA LAINTHANG
9 TN RAMADI
10 TN MUHAMMAD CAHYO KHOIRUL FAZRI
11 TN NURHOLIS
12 AN KEISHA
13 TN WIDANI SUTIAWAN
14 NN KHANSA ALIFIA
15 TN USNAN
16 NY NURANI RAMADHINI
17 NY ERNA
18 TN AMRI
2-Dec-21
19 TN EKA BUDHI PRASETYA ST
20 TN SETIAWAN RAHANDI SABRI
21 NY DIANA SARI
22 AN MUHAMMAD ALKAYYIS TAQY ELRAFIF
23 TN ARIES NOORDIYANTO
24 AN AQMAR VARICK SYAKIEL
25 TN ERMIT YAGI HABIBI
26 NY NABILA SUKMANINGTRI ELIZA
27 AN NADHIF AFSHEEN SAFARAZ
28 AN ALMER SHAKEEL ZAIN HABIBI
29 NY HENI PRATIWI
30 3-Dec-21 NY HAMDAH
31 NY IKA ROSMAYANTY
32 TN RADITYA PUNTO NUGROHO
33 NN FAMELLA FALAH RAHMANILAH
34 TN SUDISMONO
35 TN AHMAD FAUZI
36 AN STEVEN BRADY
37 AN YUMNA MYZAHRA
38 NY DITA ANITA
4-Dec-21
39 NY RR KUSMIASIH DWIJA UTAMI
4-Dec-21
40 NY CUTMALA HAYATI
41 TN EKY KURNIAWAN
42 AN ROBBY NUGRAHA
43 NY RESTI NINDIRA
44 NY MUHLISAH
45 TN IMAM YULIONO
46 NY RESIPA ELFIRA
47 TN SUNGGUL JANSIHAR
48 AN VALIDE ALYA AZIZAH
49 AN HAMAS SHALAHUDDIN
50 TN RADEN FEBBIE DEWANTO
6-Dec-21
51 TN JIYAN SUHADA
52 NY DIAN KURNIASIH SETIAWATI
53 TN ARIEF WIBOWO ERIKHA
54 TN MUHAMMAD CAHYO KHOIRUL FAZRI
55 AN QHAIRA ZULAIKHA SETIAWAN
56 TN RACHMADI CATUR RAHARJO
57 NN ANISA PUSPA DEWI
58 TN DAFFA JULIO WIDI ARYANTA PUTRA
59 TN ANDRY PERMANA
60 AN FAHRY ZAFRAN
61 NY NILAM SARI
62 NY RADEN AYU MARIA
63 TN AYUB
64 NY R.ENDANG BUDIASTUTI
65 SDR KASZAK
66 7-Dec-21 NY RURI TRI ANJANGSARI
67 TN WILHAM MUKROMINULLAH
68 AN FAIRUZ DWI QATRUNNADA
69 AN ANDRI PUTRA WIBOWO
70 TN DRS.H.CHAERUL ANWAR. SH.MK
71 TN RICKO FEBRIANTO
72 TN SISWANTO
73 TN WEWEN EFENDI
75 TN YAYO YUSUF
76 NY KUSYATINI
77 NY HANIFA TASYA
78 NY JUNIARTY JELITA PARHUSIP
79 NY FITRI NUR AYU APRIYANI
80 NY ERIA NOERSARI SETIANI
81 8-Dec-21 NY YANTI HIDAYANTI
82 NY FRANSISCA KRISNAWATI
83 AN NADIA AIYRA PUTRI
84 AN RENZO MUHAMMAD F
8-Dec-21
85 TN HARIYADI
86 AN MUHAMMAD AL FATIH AYURI
87 NY DEVINTA
88 TN SIGIT TRI PRASETYA
89 TN WISNU HADI NUGROHO
90 TN ANGGARA AR
91 NY AMELIA AYU ARYANTHIE
92 NN TATI RAHAYU
93 NY SANTI
9-Dec-21
94 TN TOTO YANUARTO
95 TN TOTO YANUARTO
96 NY LISDAYANTI
97 TN HIDAYATULLAH
98 TN DEAN CAESAR NASUTION
99 NY PRILINAR HARDIYANTI
100 NY YUNOVRA
101 TN ACHMAD FARHAN
102 TN KOKO PRADWI AQUARISTA S.E
103 NY NGADINEM
104 NY WIWIT EMPRESWATI
10-Dec-21
105 NY ANISA LUHABSARI
106 TN REZA PAHLEVI
107 NY RINI
108 TN DANANG WIJAYANTO
109 TN RANDIKA ADI PUTRA
110 TN BUSYRON CHUDLORI
111 NY YUNITA SURAHMAN
112 TN BAGAS RAKA SATRIA
113 TN BAGAS RAKA SATRIA
114 AN SYAFIRA RAHSATYA NUGROHO
115 TN TEGUH JAYA ARYADI PUTRA
116 TN MOCHAMAD JAZULY
117 TN BARMANSYAH
118 TN MUHAMAD IRFAN RAMADHAN
11-Dec-21
119 NY ANISA LUHABSARI
120 TN WAHYU HERI WIBOWO
121 AN HAIDAR RISYAD PRAYOGA
122 TN ALFRED, S.SOS
123 NY SUGIHARTI,S,TR.KEB
124 NY DR. RETNO WULANDARI
125 NN DWIKA FAJRI RAHMA GIYOLI
126 AN NADIRA
127 TN MOHAMAD NOVA
128 TN ROY SIPAHUTAR
129 TN ANDI KURNIAWAN
130 NY EVA YANTHY
13-Dec-21
131 NY LILIS ARI RISTANTI
132 AN FATHIR AVICENNA AL-FARABI
13-Dec-21
133 NN HANISYA NABILA SARI
134 NY ANNISA PRATIWI
AN ANINDYA RAHADATUL AISY
135
136 NY FANY SEPTIANI
137 NY LEN SINAR FEBRIANTY
138 NY NURAINI RAHMADINI
139 TN BARMANSYAH
140 TN MUHAMMAD RUDI IRAWAN
141 TN ACHMAD FARHAN
142 TN TOTO YANUARTO
144 TN KAJUMI KIMURA
145 TN I NENGAH SUKAMA
146 NY AGUSTINA BASO
147 14-Dec-21 TN HERU RIYANTO
148 NY KUNTHI ULFA DIATRI PRABAWANI
149 TN SYAWALUDIN AZWAR
150 TN RAYVO DWI SATRIO
151 TN JOHANES ADITYA NUGROHO
152 TN TANRI RAAFANI HAIDI
153 NY DEWI ROHAYATI
154 TN MUHAMMAD RANDY
155 TN ROY TOLANI KUSUMA
156 TN ALYM NOFIRMAN
157 TN MUHAMMAD MUDZAKAR SALIM
158 NY SITI RUMSIAH
159 TN M.RIZKI ZULHIZAR
160 NY INDRI KUSMIAWATI
161 15-Dec-21 NY SRI MARYANTI
162 AN AQILA FAIRUZ ZAAFARANI
163 NY SURYANI
164 TN WAHYU HERI WIBOWO
165 AN KHAYLA AZALIA
166 TN MUHAMMAD HIDAYAT SAHID
167 AN KHANAYA KAYLA AIZA
168 NY SUKAEDAH SUNARYA
169 TN WAHJUDI POERWANTO
170 TN RIAN SOPIAN
171 TN ROBIUL AL HAKIM
172 16-Dec-21 TN ANDIKA DIPUTRA
173 TN RAKA ADI PUTRA
174 TN MOH.ABDUL.NURMANSYAH
175 TN MUHAMAD ACHIR
176 AN RINOA ALMASYIRA SETIAJI
177 AN ZEAN ERDOGAN HAMIDY
178 TN AHMAD FAUZI
179 TN ALI AKBAR
180 AN ANINDYA KHAIRUNNISA
181 AN YUSRIYYA RAZIQ HANAN
182 NY ROSITA DELIYANI
183 TN AHMAD NASIHI
17-Dec-21
184 NN EGIDIA MAHADEWI
185 M SUKRI
186 TN AGUS PURWADI
187 NY ERIKA TRI BASRIMA
188 NY SINODI NASRANI DAELI
189 NY SAIFAH FUANAH
190 TN AMRI
191 NY AGUSTIN AYU KUSUMAWATI
192 NY MEDINA MANIK
18-Dec-21
193 NY HINCA RONAULY
194 NY ROSELLY MANIK
195 TN GUNAWAN
196 BY RADEVA FIRDAUS
197 NY SITIO FATIMAH
198 TN BAMBANG WINARKO
199 TN HERU PRASETYA
200 AN ANISA SOLEHA
201 AN NAILA
202 NY JANE FARASARI
203 20-Dec-21 NY DYAH NIKMAH RIZKIANI
204 TN AHMAD NASUTION
205 NY TYAS UTAMI SHELDY
206 TN SUMADI
207 NY FITRIA NOFA RIZAL
208 TN HATIM GAZALI, MA
209 NY NURLAELA
210 TN MUHAMMAD REZKY
211 NY NURANI RAHMADINI
212 NY HERLINA
213 NY INDRI KUSMIAWATI
214 TN ENDY
215 NY NITA NUNANINGSIH
216 NY EMIK SULIYASTUTI
217 NY ANGGUN KARTIKA SARRY
218 AN ARYAM KAMILA AZZAHRA
219 AN BISMI
21-Dec-21
221 NY DARAMATASIA
222 TN OMAN SULAEMAN
21-Dec-21
223 NY INA HAYATI

224 NY DRA. INA NURHASANAH
225 NY ANI SUSANTI
226 TN DIAN FIRMANSYAH
227 TN AHMAD FAUZI
228 NY ZULFINA AGUSTIN
229 AN NABILA SHAFIA
230 TN MUHAMMAD HIDAYAT SAHID
231 TN YUS RIZAL
232 NY SANDRA MARTAVINA
233 NY KARTINI
234 NY OCTAVIANI
22-Dec-21
235 NY NAIS ASSYFFHA
236 TN OMAN SULAEMAN
238 NY ADDYNA PERMATA LISMA
239 BY MOA DINANT UKASYA
240 NY BERLIANA POLMALINA
241 AN ERNI VANIA TOGATOROP
242 AN KARINA NATHANIA
244 TN RIDWAN NUL HAKIM
246 23-Dec-21 TN TARZAN SITORUS
247 TN ANDREY
248 TN BUYUNG HIRMAWAN
249 NY NIDA SRIWIDIYANTI
250 NN ANISSA PUSPA DEWI
251 AN ABUBAKAR ISMAIL
252 TN RIFQI ISKANDAR
253 NY ARSELA DEWI
254 TN KAROSO
255 TN WAHYU KURNIAWAN
256 TN SURYANA ARDINAGARA
257 TN YUSUF
24-Dec-21
258 NY VIONA PUTRI DITA
259 TN AZHAR FAHD AL FARIDZ
260 NY ERIES DHYCOHIANESSA
261 TN DEDE NOPRIYANTO
262 TN EMPOH DULHAMSYAH
264 NY ROSITA
265 NY ENDAH IKA PRAMUDYASTUTI
266 AN ADILA UFAIRAH
267 TN RAJA PAMUNGKAS
27-Dec-21
268 NY WURI SURYANTI
27-Dec-21
269 NN ANISSA PUSPA DEWI

270 TN NANA SETIAWAN
271 NY LIRIA GEA
272 TN YUS RIZAL
273 TN DAVID AZIZ CHUSYAIRI
274 TN RIZKI
275 TN JOHN VICTOR SUEBU
276 AN BISMI
277 TN RIDWAN NUL HAKIM
278 28-Dec-21 NY RUSNIA DEWI
279 AN R RASYA PUTRA FIRDAUS
280 AN R RAJWA NAURAH FIRDAUS
281 NY MUTIARA PUTRI WULANDANI
282 NY R.ENDANG BUDIASTUTI
283 TN TAUFIK RESTIARDI
284 TN JOSEF JOHANES TOKAYA
285 TN IKBAL FELANI
286 TN M ASHFURI .AMD.
287 TN ANTHONY IMMANUEL LUMBANTOBING
288 TN MUHAMMAD TAMA BARA SAKTI
29-Dec-21
289 TN ENDI HARYO PRABOWO WIRAWAN
291 TN T. C. ADIWANA
292 TN M. LAZMI ARDI
293 NY YUNIAS AFIFAH ANAS NUR PAMUNGKAS
295 TN AHMAD FARIS RAHMAN
297 AN OMAR ZAKI
298 NN PAMELA PRAMARTHA
299 AN WISNU SADEWO
300 30-Dec-21 TN JAYA PRASETYA SAKTI
301 NY SRI KAYATUN
302 NY EMALASARI
303 NY ADITYA OKTAVIANI
304 TN HARDIANSYAH
305 TN HARDIANSYAH
306 TN NASARUDIN
307 AN AZIZA DWI SAPUTRI
308 TN MUHAMMAD TAMA BARA SAKTI
309 NY ALVIA PRIMANANDA
310 TN JULIUS SAHAT HASUDUNGAN
311 NY EVELINA SILALAHI
312 TN RIFQI HUTRI AUGUST
313 31-Dec-21 TN SIHADANI
314 TN ANWAR SADAT
31-Dec-21
315 TN ANWAR SADAT

316 TN CAHYOKO
317 NY FITRIA NOFA RIZAL
318 NY NURKOMARIYAH-
319 NN RESISCA ANASTASYA
320
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APORAN KLINIK KIMIA FARMA ADELINA SAWANGAN DESEMBER 2021
DOKTER JENIS PASIEN KONSULTASI

DR INGGIT INH DR INGGIT
DR INGGIT INH
DR INGGIT INH
DR INGGIT BPJS
DR INGGIT BPJS
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR INGGIT UMUM Rp 65,000
DR INGGIT INH
DR INGGIT INH
DR FULLY INH
DR FULLY UMUM Rp 65,000
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN UMUM
DR FULLY INH FFS
DR FULLY INH
RIRI SWAB AG
DR FULLY BPJS
DR FULLY INH FFS
DR FULLY INH
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
RIRI SWAB AG
DR DESI UMUM Rp 65,000
DR DESI BPJS
RIRI SWAB AG
DR DESI BPJS
DR DESI BPJS
DR DESI BPJS
DR FULLY INH
DR FULLY BPJS
LITHA SWAB AG
DR FULLY BPJS
RIRI SWAB AG AVILIASI
DR FULLY INH
RIRI SWAB AG
DR DESI INH
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR DESI INH FFS
DR DESI INH FFS
DR DESI BPJS
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR DESI INH
DR DESI INH FFS
DR DESI NAYAKA
DR DESI INH
LITHA SWAB AG
DR DESI INH FFS
DR DESI INH FFS
LITHA SWAB AG
DR DESI INH FFS
DR DESI INH FFS
LITHA SWAB AG
DRG NAUFAL INH FFS
DR DESI INH
DR DESI INH
RIRI SWAB AG
DR DESI INH
RIRI SWAB AG
DR DESI INH FFS
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR CHIKA INH DR CHIKA
DR CHIKA INH FFS
DR CHIKA INH
DR CHIKA INH
DR CHIKA NAYAKA
RIRI SWAB AG
RIRI SWAB AG
DRG ARIN UMUM
DRG ARIN UMUM
DRG ARIN UMUM
DRG ARIN INH FFS
DR FULLY INH
DR FULLY BPJS
DR FULLY BPJS
DR FULLY BPJS
DR TONI INH FFS
RIRI SWAB AG
RIRI SWAB AG
DR TONI UMUM Rp 65,000
DR TONI BPJS
DR TONI INH
LITHA SWAB AG
LITHA SWAB AG
DR TONI INH
DRG NAUFAL INH FFS
DR FULLY INH
RIRI SWAB AG
DRG NAUFAL BPJS
DR FULLY INH
RIRI SWAB AG
DRG NAUFAL INH FFS
RIRI SWAB AG
DRG NAUFAL BPJS
DRG NAUFAL INH FFS
DR FULLY BPJS
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR TONI BPJS
DR TONI INH
DR TONI INH
DR TONI BPJS
DR TONI INH
LITHA SWAB AG
DRG ARIN INH FFS
DRG ARIN INH FFS
DR CACA UMUM Rp 65,000
RIRI SWAB AG
DRG ARIN INH FFS
DRG ARIN UMUM
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
LITHA KLIK DOKTER
LITHA SWAB AG
LITHA KLIK DOKTER
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR FIO INH
DR FIO INH
DR FIO INH FFS
DR FIO INH FFS
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR FIO INH
DR FIO INH
LITHA SWAB AG
DR FULLY INH FFS
DR FULLY BPJS
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR FULLY INH
DR FULLY INH FFS
DR FULLY BPJS
DR EVA INH
DR EVA INH
DR EVA INH
DR EVA INH
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR EVA INH
DR EVA BPJS
DR EVA UMUM Rp 65,000
LITHA SWAB AG
DR FULLY INH FFS
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR FULLY INH FFS
DR FULLY NAYAKA
DR DESI BPJS
DR DESI BPJS
DR DESI INH FFS
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR DESI BPJS
DR DESI INH FFS
DRG NAUFAL BPJS
RIRI SWAB AG
DR DESI VAKSIN MENINGITIS
DR DESI BPJS
DRG ARIN INH FFS
DR DESI INH
DRG ARIN INH FFS
DR DESI INH
LITHA SWAB AG
DRG ARIN BPJS
DRG ARIN BPJS
DRG ARIN UMUM
DRG ARIN UMUM
DRG ARIN BPJS
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR DESI BPJS
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR FIO INH FFS
DR FIO NAYAKA
DR FIO NAYAKA
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN UMUM
DR FULLY INH
RIRI SWAB AG
DR FULLY BPJS
DR FULLY INH
DR FULLY INH FFS
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR INGGIT INH
DR INGGIT INH FFS
DR DESI INH FFS
DR DESI INH FFS
DR DESI BPJS
DR DESI BPJS
DR DESI INH
DR DESI INH
DR DESI INH
DR DESI BPJS
LITHA SWAB AG
DR CACA UMUM Rp 65,000
DR CACA INH
RIRI SWAB AG
DRG ARIN UMUM
DRG NAUFAL INH FFS
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN INH FFS
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR FIO BPJS
DR FIO INH
DR FIO BPJS
RIRI SWAB AG
DR FIO UMUM Rp 65,000
RIRI SWAB AG
DR FIO INH FFS
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DRG ARIN INH FFS
DRG ARIN BPJS
DRG ARIN UMUM
DR FULLY INH
LITHA SWAB AG
DR FULLY NAYAKA
DRG ARIN UMUM
DRG ARIN UMUM
DRG ARIN UMUM
DR FULLY INH
DR FULLY INH FFS
RIRI SWAB AG
DR FULLY INH FFS
DR ARIN BPJS
DR ARIN UMUM Rp 65,000
LITHA SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR ARIN INH FFS
DR ARIN NAYAKA
DR ARIN TINDAKAN
DR ARIN INH
DR ARIN BPJS
DR ARIN INH
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2021
CEK(GDS,AU,CHL) VAKSIN SWAB AG SWAB PCR
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
SKS
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
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 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
Rp 69,000
/ TF KE PUSAT/ DANA NAMA DOKTERJENIS PASIEN
VAKSINKU
POSITIF
EDC
MOBILE KF
QRIS BNI
TINDAKAN
DR RANDY
DR IGA
DRG NAUFAL
Rp 300,000
Rp 150,000
Rp 500,000
Rp 300,000
Rp 120,000
DR TONI/AJENG
Rp 120,000
Rp 120,000
Rp 150,000
DR DESI
Rp 150,000
Rp 300,000
Rp 300,000
Rp 300,000
Rp 150,000
Rp 60,000
TOTAL KAPITASI
DOKTER UMUM Rp -
DOKTER GIGI Rp -
TOTAL PASIEN
TOTAL PASIEN 319
TOTAL
PENDAPATAN Rp 15,567,000
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 11 0 13 11 12 0 1
DR FULLY 10 0 10 13 9 0 2
DR TONI 5 0 3 5 1 0 0
DR CHIKA 0 0 0 3 1 0 1
DR CACA 2 0 0 1 0 0 0
DR INGGIT 3 0 2 6 1 0 0
DR EVA 1 0 1 5 0 0 0
DR FIO 1 0 2 5 4 0 2
DR ARIN 3 1 2 2 1 0 1
LITHA 0 0 0 0 0 0 0
RIRI 0 0 0 0 0 0 0
DRG NAUFAL 0 0 3 0 5 0 0
DRG ARIN 13 0 4 0 14 0 0
LAB 0 0 0 0 0 0 0
SUNAT 0 0 0 0 0 0 0
TOTAL 49 1 40 51 48 0 7
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
KLIK DOKTER SWAB AG HD ANTIGEN HALODOC SWAB PCR AG M.KF RAPID M.KF
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 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
2 53 0 0 0 0 0
0 67 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
2 120 0 0 0 0 0
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
JUMLAH SIFT SITTING FEE
AG BCA BCA VAKSIN AG TIKET.COM TIKET.COM
0 0 0 0 0 Rp -
0 0 0 0 0 Rp -
0 0 1 0 0 78 Rp 1,404,000
0 0 0 0 0 104 Rp 1,872,000
0 0 0 0 0 26 Rp 468,000
0 0 0 0 0 13 Rp 234,000
0 0 0 0 0 26 Rp 468,000
0 0 0 0 0 26 Rp 468,000
0 0 0 0 0 13 Rp 234,000
0 0 0 0 0 39 Rp 702,000
0 0 0 0 0 13 Rp 234,000
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 1 0 0 Rp 6,084,000
KAPITASI SIP
KONSULTASI CEK(GDS,AU,CHL) SWAB AG
Rp 500,000 Rp - Rp - Rp -
Rp 500,000 Rp - Rp - Rp -
Rp 715,000 Rp - Rp -
Rp 650,000 Rp - Rp -
Rp 325,000 Rp - Rp -
Rp - Rp - Rp -
Rp 130,000 Rp - Rp -
Rp 195,000 Rp - Rp -
Rp 65,000 Rp - Rp -
Rp 65,000 Rp - Rp -
Rp 195,000 Rp - Rp -
Rp - Rp 4,377,000
Rp - Rp 5,530,000
Rp 649,440 Rp -
Rp -
Rp 649,440 Rp 1,000,000 Rp 2,340,000 Rp - Rp 9,907,000

NOTE : VAKSIN TIDAK MASUK FEE DOKTER, JASA SUNTIK 10 RIBU sudah masuk fee dokter
FEE TOTAL
SWAB PCR VAKSIN TINDAKAN DOKTER
Rp - Rp - Rp - Rp - Rp 500,000
Rp - Rp - Rp - Rp - Rp 866,000
Rp - Rp 300,000 Rp - Rp 296,000 Rp 1,700,000
Rp - Rp - Rp - Rp 260,000 Rp 2,132,000
Rp - Rp - Rp - Rp 130,000 Rp 598,000
Rp - Rp - Rp - Rp - Rp 234,000
Rp - Rp - Rp - Rp 52,000 Rp 520,000
Rp - Rp - Rp - Rp 78,000 Rp 546,000
Rp - Rp - Rp - Rp 26,000 Rp 260,000
Rp - Rp - Rp - Rp 26,000 Rp 728,000
Rp - Rp - Rp 60,000 Rp 108,000 Rp 342,000
Rp - Rp -
Rp - Rp -
Rp - Rp - Rp 649,440
Rp 2,960,000 Rp 2,368,000 Rp 2,368,000
Rp - Rp 300,000 Rp 3,020,000 Rp 3,344,000 Rp 11,443,440
Rp 5,794,000
Rp 6,248,400
dikirim KF
LAPORAN FEE DOKTER
No Dokter Jumlah px BPJS Jumlah px INH
1 DR FAKHRUR 0 - 0 -
2 DR VIA 0 - 0 -
3 DR DESI 13 39,000 11 46,200
4 DR FULLY 10 30,000 13 54,600
5 DR TONI 3 9,000 5 21,000
6 DR CHIKA 0 - 3 12,600
7 DR CACA 0 - 1 4,200
8 DR INGGIT 2 6,000 6 25,200
9 DR EVA 1 3,000 5 21,000
10 DR FIO 2 6,000 5 21,000
11 DR ARIN 2 6,000 2 8,400
12 DRG NAUFAL - -
TOTAL 99,000 214,200
FEE DOKTER ASURANSI DESEMBER 2021
Jenis
Jumlah Px INH FFS Jumlah px Nayaka Jumlah px INH IPRO Tindakan
0 - 0 - -
0 - 0 - -
12 50,400 1 24,000 1 26,000
9 37,800 2 48,000 0 -
1 4,200 0 - 0 -
1 4,200 1 24,000 0 -
0 - 0 - 0 -
0 - 0 - 0 -
0 - 0 - 0 -
4 16,800 2 48,000 0 -
1 4,200 1 24,000 0 -
5,319,500 4,255,600 0 - -
4,373,200 168,000 26,000
TINDAKAN
TOTAL
Biaya
- -
- -
185,600
170,400
34,200
40,800
4,200
- 31,200
24,000
- 91,800
42,600
- - 4,255,600
4,880,400 4,880,400
454,400

Laporan Fee Dokter Desember 2021 Adelina Sawangan

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LAPORAN KLINIK KIMIA FARMA AD

NO TANGGAL NAMA PASIEN

223 NY INA HAYATI

269 NN ANISSA PUSPA DEWI

315 TN ANWAR SADAT

DOKTER JENIS PASIEN KONSULTASI

CEK(GDS,AU,CHL) VAKSIN SWAB AG SWAB PCR

Rp 649,440 Rp 1,000,000 Rp 2,340,000 Rp - Rp 9,907,000

Rp - Rp 300,000 Rp 3,020,000 Rp 3,344,000 Rp 11,443,440

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