LAPORAN REKAPITULASI PASIEN J PASTI KUEREN DI PUSKESMAS

BULAN
TAHUN

PASIEN J - KUEREN PASIEN JKN - KIS PASIEN UMUM

No NAMA PASIEN UMUR DIAGNOSA ALAMAT TOTAL TOTAL TOTAL
MAMPU TIDAK MAMPU PEKERJA MANDIRI PBID/PBPU/BP PEKERJA MAMPU TIDAK MAMPU PEKERJA
1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
7 0 0 0
8 0 0 0
9 0 0 0
10 0 0 0
11 0 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
16 0 0 0
17 0 0 0
18 0 0 0
19 0 0 0
20 0 0 0
21 0 0 0
22 0 0 0
23 0 0 0
24 0 0 0
25 0 0 0
26 0 0 0
27 0 0 0
28 0 0 0
29 0 0 0
30 0 0 0
31 0 0 0
32 0 0 0
33 0 0 0
34 0 0 0
35 0 0 0
36 0 0 0
37 0 0 0
38 0 0 0
39 0 0 0
40 0 0 0
41 0 0 0
42 0 0 0
43 0 0 0
44 0 0 0
45 0 0 0
46 0 0 0
47 0 0 0
48 0 0 0
49 0 0 0
50 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
 PEMERINTAH KABUPATEN JEMBER
DINAS KESEHATAN
ALAMAT : JL. SRIKOYO NO. I/03 Telp. 0331-487577 Fax 0331-426624
JEMBER
Kode Pos 68111

VERIFIKATOR SPJ RAWAT JALAN & RAWAT INAP J - PASTI KUEREN

NO NAMA PUSKESMAS

1 2
1 KENCONG
2 CAKRU
3 GUMUKMAS
4 TEMBOKREJO
5 PUGER
6 SRI WULAN HANDAYANI KASIYAN
7 WULUHAN
8 LOJEJER
9 AMBULU
10 SABRANG
11 ANDONGSARI
12 TEMPUREJO
13 CURAHNONGKO
14 SILO I
15 SILO II
16 MAYANG
17 VIVIN INDAH WIDAYANTI MUMBULSARI
18 JENGGAWAH
19 KEMUNINGSARI K
20 AJUNG
21 RAMBIPUJI
22 NOGOSARI
23 BALUNG
24 KARANGDUREN
25 UMBULSARI
26 PALERAN
27 SEMBORO
28 PUPUH PRANOTO JOMBANG
29 SEUMBERBARU
30 ROWOTENGAH
31 TANGGUL
32 KLATAKAN
33 BANGSALSARI
34 SUKOREJO
35 PANTI
36 SUKORAMBI
37 ARJASA
38 PAKUSARI
39 FARIDAH NISRINA KALISAT
40 LEDOKOMBO
41 SUMBERJAMBE
42 SUKOWONO
43 JELBUK
44 KALIWATES
45 MANGLI
46 JEMBER KIDUL
47 SUMBERSARI
DHERMA WAHYUNINGTYAS
48 GLADAK PAKEM
49 PATRANG
50 BANJARSENGON
 LAPORAN REKAPITULASI PASIEN J PASTI KUEREN DI PUSKESMAS

BULAN JUNI
TAHUN 2022

PASIEN J - KUEREN PASIEN JKN - KIS PASIEN UMUM

No PUSKESMAS TOTAL TOTAL TOTAL
MAMPU TIDAK MAMPU PEKERJA MANDIRI PBID/PBPU/BP PEKERJA MAMPU TIDAK MAMPU PEKERJA
1 KENCONG 0 0 0
2 CAKRU 0 0 0
3 GUMUKMAS 0 0 0
4 TEMBOKREJO 0 0 0
5 PUGER 0 0 0
6 KASIYAN 0 0 0
7 WULUHAN 0 0 0
8 LOJEJER 0 0 0
9 AMBULU 0 0 0
10 SABRANG 0 0 0
11 ANDONGSARI 0 0 0
12 TEMPUREJO 0 0 0
13 CURAHNONGKO 0 0 0
14 SILO I 0 0 0
15 SILO II 0 0 0
16 MAYANG 0 0 0
17 MUMBULSARI 0 0 0
18 JENGGAWAH 0 0 0
19 KEMUNINGSARI K 0 0 0
20 AJUNG 0 0 0
21 RAMBIPUJI 0 0 0
22 NOGOSARI 0 0 0
23 BALUNG 0 0 0
24 KARANGDUREN 0 0 0
25 UMBULSARI 0 0 0
26 PALERAN 0 0 0
27 SEMBORO 0 0 0
28 JOMBANG 0 0 0
29 SUMBERBARU 0 0 0
30 ROWOTENGAH 0 0 0
31 TANGGUL 0 0 0
32 KLATAKAN 0 0 0
33 BANGSALSARI 0 0 0
34 SUKOREJO 0 0 0
35 PANTI 0 0 0
36 SUKORAMBI 0 0 0
37 ARJASA 0 0 0
38 PAKUSARI 0 0 0
39 KALISAT 0 0 0
40 LEDOKOMBO 0 0 0
41 SUMBERJAMBE 0 0 0
42 SUKOWONO 0 0 0
43 JELBUK 0 0 0
44 KALIWATES 0 0 0
45 MANGLI 0 0 0
46 JEMBER KIDUL 0 0 0
47 SUMBERSARI 0 0 0
48 GLADAK PAKEM 0 0 0
49 PATRANG 0 0 0
50 BANJARSENGON 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN REKAPITULASI PASIEN RAWAT INAP DI PUSKESMAS

BULAN JULI
TAHUN 2022

PASIEN J - KUEREN PASIEN JKN - KIS PASIEN UMUM

No PUSKESMAS TOTAL TOTAL TOTAL
MAMPU TIDAK MAMPU PEKERJA MANDIRI PBID/PBPU/BP PEKERJA MAMPU TIDAK MAMPU PEKERJA
1 KENCONG 0 0 0
2 CAKRU 0 0 0
3 GUMUKMAS 0 0 0
4 TEMBOKREJO 0 0 0
5 PUGER 0 0 0
6 KASIYAN 0 0 0
7 WULUHAN 0 0 0
8 LOJEJER 0 0 0
9 AMBULU 0 0 0
10 SABRANG 0 0 0
11 ANDONGSARI 0 0 0
12 TEMPUREJO 0 0 0
13 CURAHNONGKO 0 0 0
14 SILO I 0 0 0
15 SILO II 0 0 0
16 MAYANG 0 0 0
17 MUMBULSARI 0 0 0
18 JENGGAWAH 0 0 0
19 KEMUNINGSARI K 0 0 0
20 AJUNG 0 0 0
21 RAMBIPUJI 0 0 0
22 NOGOSARI 0 0 0
23 BALUNG 0 0 0
24 KARANGDUREN 0 0 0
25 UMBULSARI 0 0 0
26 PALERAN 0 0 0
27 SEMBORO 0 0 0
28 JOMBANG 0 0 0
29 SUMBERBARU 0 0 0
30 ROWOTENGAH 0 0 0
31 TANGGUL 0 0 0
32 KLATAKAN 0 0 0
33 BANGSALSARI 0 0 0
34 SUKOREJO 0 0 0
35 PANTI 0 0 0
36 SUKORAMBI 0 0 0
37 ARJASA 0 0 0
38 PAKUSARI 0 0 0
39 KALISAT 0 0 0
40 LEDOKOMBO 0 0 0
41 SUMBERJAMBE 0 0 0
42 SUKOWONO 0 0 0
43 JELBUK 0 0 0
44 KALIWATES 0 0 0
45 MANGLI 0 0 0
46 JEMBER KIDUL 0 0 0
47 SUMBERSARI 0 0 0
48 GLADAK PAKEM 0 0 0
49 PATRANG 0 0 0
50 BANJARSENGON 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN REKAPITULASI PASIEN J PASTI KUEREN DI PUSKESMAS

BULAN JUNI BULAN JULI

No PUSKESMAS TOTAL TOTAL
RAWAT INAP RAWAT JALAN RAWAT INAP RAWAT JALAN
1 KENCONG 3,720,000 3,720,000 -
2 CAKRU - -
3 GUMUKMAS 15,020,000 1,582,500 16,602,500 15,395,000 5,790,000 21,185,000
4 TEMBOKREJO 3,905,000 390,000 4,295,000 -
5 PUGER 11,130,000 1,245,010 12,375,010 -
6 KASIYAN 2,410,000 2,410,000 3,993,000 3,993,000
7 WULUHAN 3,507,500 3,507,500 10,410,000 1,670,000 12,080,000
8 LOJEJER 1,200,000 4,230,000 5,430,000 1,687,500 2,815,000 4,502,500
9 AMBULU - -
10 SABRANG 6,720,000 2,255,000 8,975,000 7,680,000 2,345,000 10,025,000
11 ANDONGSARI 7,350,000 1,235,000 8,585,000 -
12 TEMPUREJO 6,720,000 1,040,000 7,760,000 16,110,000 2,750,000 18,860,000
13 CURAHNONGKO 5,160,000 2,760,000 7,920,000 -
14 SILO I 3,960,000 6,310,000 10,270,000 10,440,000 9,415,000 19,855,000
15 SILO II 8,820,000 4,712,500 13,532,500 -
16 MAYANG 19,330,000 19,330,000 26,340,000 1,187,500 27,527,500
17 MUMBULSARI 10,440,000 1,190,000 11,630,000 21,810,000 2,847,500 24,657,500
18 JENGGAWAH 17,070,000 1,639,500 18,709,500 -
19 KEMUNINGSARI K 4,027,500 4,027,500 9,740,000 9,740,000
20 AJUNG 19,430,000 1,337,500 20,767,500 -
21 RAMBIPUJI 8,580,000 4,712,500 13,292,500 -
22 NOGOSARI 1,030,000 180,000 1,210,000 -
23 BALUNG 1,782,500 1,782,500 1,907,500 1,907,500
24 KARANGDUREN 14,850,000 555,000 15,405,000 -
25 UMBULSARI 9,945,000 1,095,000 11,040,000 -
26 PALERAN 2,340,000 2,620,000 4,960,000 415,000 415,000
27 SEMBORO 2,700,000 2,860,000 5,560,000 -
28 JOMBANG - -
29 SUMBERBARU 6,880,000 1,885,000 8,765,000 -
30 ROWOTENGAH 6,470,000 1,977,000 8,447,000 3,125,000 3,125,000
31 TANGGUL 8,460,000 10,789,000 19,249,000 18,655,000 15,100,000 33,755,000
32 KLATAKAN 2,440,000 1,135,000 3,575,000 3,575,000 1,977,500 5,552,500
33 BANGSALSARI 9,590,000 4,240,000 13,830,000 4,836,000 4,836,000
34 SUKOREJO - -
35 PANTI 9,115,000 1,130,000 10,245,000 14,205,000 1,907,500 16,112,500
36 SUKORAMBI 7,357,500 1,700,000 9,057,500 16,195,000 3,130,000 19,325,000
37 ARJASA - -
38 PAKUSARI 5,065,000 5,065,000 -
39 KALISAT 1,940,000 1,940,000 3,275,000 3,275,000
40 LEDOKOMBO 4,320,000 1,340,000 5,660,000 -
41 SUMBERJAMBE 33,900,000 1,732,000 35,632,000 -
42 SUKOWONO 14,940,000 1,847,000 16,787,000 -
43 JELBUK 10,767,500 2,062,500 12,830,000 7,955,000 2,482,500 10,437,500
44 KALIWATES 6,430,000 6,430,000 8,080,000 430,000 8,510,000
45 MANGLI 4,700,000 700,000 5,400,000 -
46 JEMBER KIDUL 5,340,000 1,540,000 6,880,000 3,660,000 3,660,000
47 SUMBERSARI 8,530,000 505,000 9,035,000 -
48 GLADAK PAKEM 9,670,000 2,847,500 12,517,500 -
49 PATRANG 1,800,000 205,000 2,005,000 -
50 BANJARSENGON 2,310,000 2,310,000 -
TOTAL 326,410,000 102,347,010 428,757,010 182,197,500 81,139,000 263,336,500