NO TANGGAL NAMA PX NO RM RUANGAN KAMAR IGD LAB USG

MASUK KELUAR JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA

1 01/01/22 01/01/22 ENDANG MAYA SUSANTI 04.09.07 IGD Rp 30,000 Rp 20,000

TIFA 31/01/21 01/01/21 PARLINDUNGAN LUBIS 04.08.87 KLS 3 Rp 46,000 Rp 30,000 Rp 30,000 Rp 20,000 Rp 54,000 Rp 36,000
01/01/22 TN.MHD RULLI NST 04.08.44 KLS 3 Rp 91,000 Rp 61,000 Rp 30,000 Rp 20,000 Rp 179,000 Rp 119,000

2 02/01/22 2JAN222 JULIANAN 04.09.74 IGD Rp 30,000 Rp 20,000

TIFA 02/01/22 2JAN222 GATINI 04.09.75 IGD Rp 30,000 Rp 20,000
2JAN222 SYAWAL 04.07.81 KLS 3 Rp 23,000 Rp 15,000 Rp 30,000 Rp 20,000 Rp 81,000 Rp 54,000
 BULAN JANUARI
RO DOKTER OP OP VISIT KATETER
JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA DOKTER UMUM DOKTER SPESIALIS
NAMA DR JASA MEDIS JASA SARANA NAMA DR JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA
ADE 6,000 Rp 4,000
BENA1+SUCI 1 Rp 12,000 Rp 8,000 ANDRE 2 Rp 24,000 Rp 16,000
PENDI 1.MISBAH1.SUCI 1.FANY 1 Rp 24,000 Rp 16,000 ANDRE 3 Rp 24,000 Rp 16,000

SUCI Rp 6,000 Rp 4,000

SUCI Rp 6,000 Rp 4,000
DR SUCI Rp 6,000 Rp 4,000
 GV SURAT OBAT AMBULAN O2 EKG SIRINGPAM NGT HETTING

JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA
Rp 16,090
Rp 291,577
Rp 910,737

Rp 36,100
Rp 23,327
Rp 155,941 Rp 45,000 Rp 30,000
 NEBULEZER CABUT GIGI VISUM TOTAL

JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA
Rp 76,090
Rp 567,577
Rp 1,490,737
Rp -

Rp 96,100
Rp 83,327
Rp 463,941
NO TANGGAL NAMA PX NO RM RUANGAN KAMAR
MASUK KELUAR JASA MEDIS

1 24/01/22 02/02/22 M. LAUNG ARDIANSYAH 04.11.58 KLS I PLUS Rp 577,500

02/02/22 DZAKIRA TRI ZULAIKA LAB
02/02/22 AHMAD IRPAN IGD

2 05/02/22 NURHAJIJAH PANE 04.41.72 KLS 3 VK Rp 68,400

3 11/02/22 NY TINA 04 43 36 KLS 3 ZALL Rp 68,400

11/02/22 JUANTO IGD

4 12/02/22 SRI LESTARI 04 43 38 KLS 3 VK Rp 91,200

DINDA HATARI NST 04 44 00 IGD
A. REIFASYA HSB 04 44 01 IGD
NIXON ST. MT LAB
NURWANI RAMBE LAB
SRI WAHYUNI LAB

5 13/02/22 T. NURZAINAH 04 44 05 KLS 1 Rp 136,200

ERIANDA 04 44 06 IGD

6 15/02/22 EKA BIMA 04.41.91 IGD

7 18/02/22 MAIMANAH 04.45.07 KELAS 3 Rp 68,400

YUNI SARAH RAMBE (SM04.44.90 KLS 3 Rp 63,840

1 21/02/22 NUR AISYAH SPPD

2 TARJI SPPD
3 ELIDAHLIAN NST SP.OG
4 HAIDA ZAHRANI SALWAH SP.A
5 JUNAIDAH SIR SP.OG
6 M WAHYU SP.A
7 A RIDWAN HSB SP.PD
8 ROSANAH OCTAVIA SP.OG
9 LAMSONIA SIR SP.OG
10 SRI SUPRIYANI SP.OG
11 HERNAWATI SP.OG
12 ROJUAR TUMAMISA SIHAAN SP.PD
13 ASWAT SIBARANI SP.PD
14 HAMZAH TAMBAK SP.A
15 R MASIAH HABIBAH SP.PD
16 MAHIRA ABINAGA SP.A
17 INDRI JULIANA BR SINAGA SP.PD
18 SANTI ARDONA SP.OG
19 TIAMIN SP.PD
20 NURAWALIAH LUBIS SP.OG
21 PONI SRI SP.OG
22 RONALDO SITUMORANG SP.P
23 NOVIDA IRAWATI SIAHAAN SP.PD
24 ALMAHIRA LOVA SABQI SP.A
25 NURHAMINAH SIR SP.OG
26 ELWIN SUSANTO SP.P
27 SRI ENDAH SYAHPUTRI SP.OG
28 REYHAN FITRI AZIZI SP.A
29 FAEYZAEL KARIMI SIR SP.A
30 GANDA ADINATA LBS SP.A
31 SULAIMAN M RAJA SP.PD
32 FATIMAH MARKARI SP.OG
33 RAJU JUHRI SP.M
34 JULIANA SP.OG
35 KASNAR HANAPI PU+N
36 ZULKARNAIN SIR PU+N
37 SUWANDI PU+N
38 DARWIN RAMBE PU+N
39 BOYA PANGIHUTAN SP.PD
40 FANOTUNA LASE SP.P
41 ADOLINA SIR SP.OG
42 NOVLA SANDHIXLI PUTRI SP.OG
43 DEWI ANA SIREGAR KLS III Rp 68,400
44 HJ ARBIAH HRP KLS I Rp 340,500

8 28/02/22 SITI ROHANI 04.47.09 KLS 3 VK Rp 91,200

ANJU SINAGA IGD
KAMAR IGD LAB USG
JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA

Rp 385,000 Rp 30,000 Rp 20,000 Rp 66,000 Rp 44,000

Rp 45,000 Rp 30,000
Rp 30,000 Rp 20,000

Rp 45,600 Rp 30,000 Rp 20,000 Rp 210,000 Rp 140,000

Rp 45,600 Rp 30,000 Rp 20,000 Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 60,800 Rp 30,000 Rp 20,000 Rp 111,000 Rp 74,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 77,000
Rp 21,000 Rp 14,000
Rp 21,000 Rp 14,000

Rp 90,800 Rp 30,000 Rp 20,000 Rp 60,000 Rp 40,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000 Rp 21,000 Rp 14,000

Rp 45,600 Rp 30,000 Rp 20,000 Rp 93,000 Rp 62,000 Rp 30,000 Rp 20,000

Rp 42,560 Rp 21,000 Rp 14,000 Rp 147,000 Rp 98,000 Rp 21,000 Rp 14,000

Rp 30,000 Rp 20,000
Rp 18,000 Rp 12,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 96,000 Rp 64,000
Rp 30,000 Rp 20,000
Rp - Rp -
 Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 162,000 Rp 108,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 77,000
Rp 77,000
Rp 77,000
Rp 77,000

Rp 30,000 Rp 20,000
Rp 45,600 Rp 30,000 Rp 20,000 Rp 183,000 Rp 122,000
Rp 227,000 Rp 30,000 Rp 20,000 Rp 183,000 Rp 122,000

Rp 60,800 Rp 30,000 Rp 20,000 Rp 138,000 Rp 92,000

Rp 30,000 Rp 20,000
 RO DOKTER OP OP DOKTER UMUM
JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA NAMA DOKTER

SAIDAH,INDRI,DIKI,ADE

DIKI

GINDA Rp 1,049,400 Rp 699,600 ADE,BENA,DIKI 2X,YUL

Rp 96,000 Rp 64,000 JAMIL, DIKI, INDRI,AD

YULIA

GINDA Rp 1,049,400 Rp 699,600 ANWAR, DIKI, INDRY,

DIKI
DIKI
IMELDA

Rp 48,000 Rp 32,000 INDRI 2X,

ANWAR

DIKI

ADE,DIKI
Rp - CICI, SYAIDAH,DIKI

Rp 48,000 Rp 32,000

Rp 114,240 Rp 76,160

Rp 96,000 Rp 64,000

Rp 48,000 Rp 32,000
Rp 114,240 Rp 76,160

Rp 48,000 Rp 32,000

Rp 48,000 Rp 32,000

IMELDA
ZURIATI
ZURIATI
IMELDA

Rp 48,000 Rp 32,000 JULIA.SUCI.ESI

Rp 48,000 Rp 32,000 SYAIDA.ESI.DIKI

SURAJI Rp 1,473,000 Rp 982,000 JAMIL 2X,YULIA 1X,SY

ESI
 BULAN FEBRUARI
VISIT DOKTER SPESIALIS KATETER
JASA MEDIS JASA SARANA NAMA DR
JASA MEDIS JASA SARANA JASA MEDIS
Rp 48,000 Rp 32,000 IRWANSYAH (2X) Rp 24,000 Rp 16,000

Rp 6,000 Rp 4,000

Rp 30,000 Rp 20,000 ADRIN 1X, SURAJI 2X Rp 36,000 Rp 24,000 Rp 15,000

Rp 24,000 Rp 16,000 DEDI SPP Rp 12,000 Rp 8,000

Rp 6,000 Rp 4,000

Rp 30,000 Rp 20,000 VIRAT 1X, SURAJI 2X, Rp 48,000 Rp 32,000 Rp 15,000

Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000

Rp 12,000 Rp 8,000 JIMMY 1X, EDWIN 1X Rp 24,000 Rp 16,000

Rp 6,000 Rp 4,000

Rp 6,000 Rp 4,000

Rp 12,000 Rp 8,000 ANDRE 2X, KHOLIL 1X Rp 48,000 Rp 32,000

Rp 12,600 Rp 8,400 JIMI,ADRIN,EDWIN Rp 33,600 Rp 22,400

KHOLIL Rp 12,000 Rp 8,000

KHOLIL Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
 IRWANSYAH Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
DEDDY Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
DEDDY Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
JULHAM Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
Rp 6,000 Rp 4,000 Rp - Rp -
Rp 6,000 Rp 4,000 Rp - Rp -
Rp 6,000 Rp 4,000 Rp - Rp -
Rp 6,000 Rp 4,000 Rp - Rp -
KHOLIL Rp 12,000 Rp 8,000
DEDDY Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
ADRIN Rp 12,000 Rp 8,000
Rp 18,000 Rp 12,000 ANDRE 2X.KHOLIL 1X Rp 36,000 Rp 24,000
Rp 18,000 Rp 12,000 ANDRE 3X.KHOLIL 2X Rp 60,000 Rp 40,000
Rp - Rp -
Rp - Rp -
Rp 36,000 Rp 24,000 SURAJI 2X Rp 24,000 Rp 16,000 Rp 15,000
Rp 6,000 Rp 4,000 Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
KATETER GV SURAT OBAT AMBULAN

JASA SARANA JASA SARANA JASA MEDIS JASA MEDIS JASA SARANA
Rp 639,184

Rp 14,150

Rp 10,000 Rp 7,200 Rp 4,800 Rp 5,000 Rp 5,000 Rp 605,190

Rp 524,137
Rp 188,549

Rp 10,000 Rp 7,200 Rp 4,800 Rp 5,000 Rp 5,000 Rp 777,928

Rp 4,950
Rp 20,000 Rp 20,000

Rp 793,159
Rp 768,000

Rp 78,107

Rp 235,516
Rp 614,296

Rp 40,103

Rp 69,570

Rp 16,760
 Rp 38,570

Rp 59,400

Rp 20,000 Rp 20,000
Rp 20,000 Rp 20,000
Rp 20,000 Rp 20,000
Rp 20,000 Rp 20,000

Rp 7,200 Rp 4,800

Rp 321,111
Rp 1,653,777

Rp 10,000 Rp 7,200 Rp 4,800 Rp 5,000 Rp 5,000 Rp 742,701

Rp 65,924
 O2 EKG SIRINGPAM NGT HETTING

JASA MEDIS JASA SARANA JASA MEDISJASA SARANAJASA MEDIS

JASA SARANA
JASA MEDIS

Rp 27,000

Rp 144,000
Rp 15,750

Rp 27,000

Rp 45,000 Rp 30,000

Rp 37,500

Rp 45,000 Rp 30,000

Rp - Rp -
Rp 45,000 Rp 30,000
 Rp 45,000 Rp 30,000
Rp 45,000 Rp 30,000

Rp 27,000
Rp 15,000
HETTING MONITORING KUMBA LUMBANG NEBULEZER TOTAL

JASA SARANA
JASA MEDIS
JASA SARANAJASA MEDISJASA SARANA JASA MEDIS JASA SARANA
Rp 1,881,684
Rp 75,000
Rp 74,150
Rp -
Rp -
Rp 3,052,190
Rp -
Rp -
Rp 144,000 Rp 96,000 Rp 1,342,137
Rp 264,299
Rp -
Rp 3,117,928
Rp 60,000
Rp 64,950
Rp 127,000
Rp 35,000
Rp 35,000
Rp -
Rp 1,385,159
Rp 828,000
Rp -
Rp 210,607
Rp -
Rp 704,516
Rp 1,112,696

Rp 20,000
Rp 215,103
Rp 20,000
Rp 89,570
Rp 70,000
Rp 66,760
Rp 285,400
Rp 70,000
Rp 70,000
Rp 70,000
Rp 70,000
Rp 180,000
Rp 230,000
Rp 20,000
Rp 100,000
Rp 20,000
Rp 210,400
Rp 70,000
Rp 138,570
Rp 70,000
Rp 70,000
Rp 100,000
Rp 20,000
Rp 79,400
Rp 70,000
Rp 20,000
Rp 70,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 290,000
Rp 70,000
Rp 20,000
Rp 70,000
Rp 127,000
Rp 127,000
Rp 127,000
Rp 127,000
Rp 20,000
Rp 20,000
Rp 32,000
Rp 70,000
Rp 1,035,111
Rp 2,861,277

Rp 3,803,701
Rp 140,924
NO TANGGAL NAMA PX NO RM
MASUK KELUAR

1 01/03/2022 01/03/2022 HJ SARINTAN HRP 02.99.06

2 SRI ARMAWATI S
3 ZURIYAH SIAHAAN 00.56.33
4 SITI NURLAINI RAMBE 03.33.09
5 TETTI SARTIKA BUTAR 04.44.27
6 MUHAMMAD WAHYU 04.43.06
7 DIANA KHALISA ARIYANSAH 04.47.58
8 M ARIYANSAH 04.47.56
9 HALIMATUSSADIYAH SIR 04.47.57
10 AZMI PRATAMA 04.47.61
11 SINTA MAYA SARI
12 SURIYANTI HUTAGAOL 04.47.64
13 IRFAN SETIAWAN 02.31.81
14 DIRWAN 04.47.65
15 LAILA HANUM 03.74.91
16 RINI SENJA DEWI 01.20.68
17 ISMAIL 04.47.66
18 YULI KAULASIL 04.47.69
19 M AIDIL FANA NST 04.47.70
20 MASNUN HRP 04.47.74
21 LONGGO RIAH SIR 04.47.72
22 HALIS KHALISA 03.37.45
23 NURHELAN HRP 04.47.73
24 NGADIMIN 04.42.80
25 AGY MAULANA SALIM 04.47.75
26 RAMLI SINAGA 04.47.76
27 IRMA DAMAYANTI 01.49.61
28 GIBRAN ALFATIH 04.47.77
29 JUNAIDAH SIR 04.46.01
30 SRI YANTI HUTAGAOL 04.47.64
31 SITI AMINAH 04.47.79
32 SYAHRIL RITONGA 04.47.81
33 M. EDI NST 00.08.21
34 DEWI ANA SIR 04.45.72
35 SUMIATI 04.47.83
36 NUR ANDRIANI 04.47.84
37 SUKAT MINI 04.47.88
38 M. ALFATIH SIR 04.47.86
39 SITI MAYSAROH 04.47.87
40 LAVENIA MUSTIKA 04.47.89
41 DOMROWATI 04.47.68
42 HILMAR AFENDI BATUBARA
43 01/03/2022 AMPOL 04.47.53
44 MANAHAN BATUBARA 04.47.54

2 02/03/2022 02/03/2022 SRI HANDAYANI

SUMINI 04 48 35

07/03/2022 HJ. NURHAIDAH NST 04.48.83

SOKINEM 04.48.87

1 09/03/2022 09/03/2022 RAHMAD HIDAYAH 04.49.30

2 NURIAWAN 04.49.31
3 SUGIANTO 00.75.70
4 RIMA AYUSDAR 02.94.70
5 DESMA ROHANA T 04.49.36
6 KEISA OKTAVANI 04.49.38
7 MEGAWATI MUNTHE 00.71.44
8 NUR AZIZAH 00.38.47
9 MARTIN RANTO SINAGA 04.49.39
10 RIFAI SIR 04.49.41
11 HJ ELVIERA SIMAMORA 03.63.81
12 ZURAIDAH HSB 01.44.06
13 ADAM MUHAMMAD 01.91.36
14 HOTMAULI PASARIBU 04.49.44
15 LINDA SARI 02.50.65
16 DINDA PUSPITA SARI 04.49.46
17 NURINA YANTI NST 04.49.48
18 ISKANDAR MUDA RAMBE 03.56.36
19 PIRMAN PASARIBU 04.49.49
20 HENI SETYA 04.49.51
21 YULIA RAMADAN 03.84.68
22 SITI KHODIJAH 04.49.52
23 RANI RAFIKA 04.49.53
24 DEWI UTAMI 00.26.29
25 JUSTER MELIANA P 00.35.58
26 DARI ASAS SIAHAAN 00.19.31
27 DWI RAHAYU 02.43.69
28 PERNANDO H.
29 09/03/2022 HADI SYAHPUTRA 04.48.24
30 KHOTIMAH 04.46.22
4 14/03/2022 14/03/2022 LILIS DAYANTI 04.50.29

1 16/03/2022 16/03/2022 M RIDHO ALRASYID 04.50.36

2 MUAMMAR 04.50.57
3 ZURAIDAH HSB 01.44.06
4 IRFAN SETIAWAN 02.31.81
5 NILAM SARI 00.73.28
6 TEMU NAWATI 04.50.60
7 RAJUNA DLT 00.00.13
8 SUTINAH 04.50.61
9 AMBRI ANANDA 04.50.64
10 MARLINA ARIANI DLM 04.50.62
11 ISWANTI 04.50.67
12 DAMRI PULUNGAN 01.67.07
13 ADE SATRIADI 04.50.68
14 THERESIA EVELIN BUTAR 04.47.80
15 NUR AZIZAH 03.84.30
16 PANGELATUA SIMBOLON 03.83.20
17 SRI WAHYUNI 04.44.55
18 EMERSON ARGENIF S 03.25.23
19 A. HUSIN SIR MPD 04.50.73
20 ANDRE ALFRIDO SITORUS 02.21.46
21 SUKARNI 04.50.74
22 M AKHIR ABADI 04.50.76
23 KHARISMA ERNING 03.04.54
24 DANIEL V SIMANJUNTAK 04.50.78
25 JAMALUDDIN ABDUH 04.50.79
26 RENIKA AFRIANI 04.15.98
27 DESI NOVITA SARI 04.50.80
28 YUNIJAR
29 16/03/2022 ABDUL WAHAB 04.49.16

6 22/03/2022 22/03/2022 MONA RIVAT 04.52.13

AZ A. RAMBE 04.51.74
KHAIRUL FENDI LUBIS 04.75.14
SOPIAN 04.52.21
LUFI RAGIL SYAHPUTRA 04.51.30

7 23/03/2022 23/03/2022 NGATIMIN 04.51.70

SAMUEL SITOHANG (sm)
AWAL 04.52.46

8 24/03/2022 24/03/2022 HOTMAODOR SIANTURI

LUMBA PANGIHUTAN SIR
 SUSANTI
HAFSAH NST
YUYUN LESTARI
RINI SENJA DEWI
M SYAKIR AL RABBANI
PUTRI CERIA SINAGA
NENI GORHANA SIR
EMAWATI
DEDY RICARDO
LUSINTA RAMBE
ZULHAM EFENDI
SUMARDI
HAFIZAH WARDAH
IDA YUSNIAR S
RIZKI SAPUTRA LSB
SUGIMAN
HERNAWATI
MARHAMAH HRP
NURDIN SUSANTO
DENI MULYA SIR
ARYA ARABIL
MEI DANDI SORMIN
DYO ADZI PRATAMA
GIDEON P NABABAN
AMINO ZAYN AL PARIS
OCTA SISKA DEVIANY NST
ZAINAL ABIDIN NST
NURMIAH SIR
RUBULAN PASARIBU
BERNAD NOVEL H
M YANI
GIBRAN ALFARIZI
HASANUL ARIFIN
PAINI
DUKE SATRIA
NILAM SARI
ABIDAH NUR KHOLIJAH
RIZKY MAHMUDIN RAMBE
AHMAD ILHAM
NURHIKMAH LBS
NABILA SHAFA
24/03/2022 NY SUGIATI 04.51.39
NY SRI FATIMAH 00.36.17

9 26/03/2022 26/03/2022 EKA SULASTRI 04.53.20

ADEL AIDIL FITRA 04.53.21
 ARIL SYAHPUTRA 04.53.22

10 30/03/2022 30/03/2022 AINUN NAIMAH HRP 04.54.53

LILIS SURYANI 04.54.54
RAMLAN PANGIHUTAN SE 04.51.35
YUNITA SIR (sm) 04.53.18

11 31/03/2022 31/03/2022 ZAINAL ABIDIN NST 04.54.86

31/03/2022 31/03/2022 HJ DINA IRMAYANTI
31/03/2022 M ADITIA NAUFAL PUTRA 00.47.14
RUANGAN KAMAR IGD LAB
JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS

SPPD
SPPD
SP.OG
SP.OG
SP.OG
SP.A
LAB
LAB
LAB
SPA+SPB
SPB
SP.PD
SP.A
SP.PD
SP.PD
SP.OG
RONTGEN
SP.OG
THT
SP.PD
SP.PD
SP.A
SP.PD
SP.OG
THT
LAB
SP.OG
SP.A
SP.OG
SP.OG
SP.OG
SP.P
SP.KJ
SP.PD
THT
GIGI
SP.P
 SP.A
SP.OG
SP.OG
SP.PD
LAB
KLS 3 ZAL Rp 22,800 Rp 15,200 Rp 30,000 Rp 20,000 Rp 21,000
KLS 3 ZAL Rp 22,800 Rp 15,200 Rp 30,000 Rp 20,000 Rp 21,000

VK Rp 30,000 Rp 20,000
IGD Rp 30,000 Rp 20,000

LAB Rp 15,000
LAB Rp 15,000

ANTIGEN
SPOG
SPPD Rp 9,000
SPOG
RO
GIGI
SPPD
SPOG
SPP
THT
THT
SPOG
SPA
SPM
SPOG
SPOG
THT
SPPD Rp 21,000
SPPD+SPB Rp 21,000
SPOG
SPOG
SPOG
SPOG
SPM
SPOG
SPB
THT
LAB
KLS 1 FLUS Rp 231,000 Rp 154,000 Rp 30,000 Rp 20,000 Rp 30,000
KLS I Rp 136,704 Rp 90,296 Rp 30,000 Rp 20,000 Rp 96,000
RO

LAB Rp 48,000
THT
SPOG
SPA
SPOG
SPPD
SPM
SPPD
SPPD
SPOG
SPOG
THT
THT
SPOG
SPOG
SPP
SPB
SPPD
SPPD
SPM
SPPD
SPM
SPOG
SPP
THT
SPOG
SPOG
OBAT
KENAIKAN KELAS

IGD Rp 30,000 Rp 20,000

OBAT Rp - Rp -
IGD Rp 30,000 Rp 20,000
RO
IGD Rp 30,000 Rp 20,000

KLS 1 Rp 204,300 Rp 136,200 Rp 30,000 Rp 20,000 Rp 192,000

KLS 3 Rp 31,920 Rp 21,280 Rp 21,000 Rp 14,000 Rp 21,000
IGD Rp 30,000 Rp 20,000

LAB Rp 21,000
SPB
 SPPD
SPOG
SPOG
SPOG
SPA
SPA
SPOG
SPOG
SPPD
SPOG
SPB
GIGI
SPA
THT
SPOG
SPB
SPOG
SPOG
SPPD+SPB
PU+BW
PU+BW
PU+BW
PU+BW
SPM
THT
SPA
SPA
LAB Rp 21,000
SPPD
SPPD Rp 39,000
SPPD Rp 30,000
SPA
SPB
SPM
SPA
SPA
SPA
SKD
SKD
SPA
SPA
KLS 1 Rp 204,300 Rp 136,200 Rp 30,000 Rp 20,000 Rp 192,000
KLS 3 VK (SM) Rp 31,900 Rp 21,300 Rp 21,000 Rp 14,000 Rp 82,300

IGD Rp 30,000 Rp 20,000

IGD Rp 30,000 Rp 20,000
IGD Rp 30,000 Rp 20,000

LAB Rp 48,200
LAB Rp 36,000
KLS 3 Rp 45,600 Rp 30,400 Rp 30,000 Rp 20,000 Rp 30,000
KLS 3 Rp 194,000 Rp 129,100 Rp 21,000 Rp 14,000 Rp 135,000

RO
IGD Rp 30,000 Rp 20,000
KLS 3 A Rp 91,200 Rp 60,800 Rp 30,000 Rp 20,000 Rp 98,000
 USG RO DR OP
JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA

Rp 109,000
Rp 109,000
Rp 109,000

Rp 48,000 Rp 32,000

Rp 109,000
Rp 109,000
Rp 14,000
Rp 14,000 Rp 192,000 Rp 128,000

Rp 10,000
Rp 10,000

Rp 109,000
Rp 30,000 Rp 20,000
Rp 6,000
Rp 30,000 Rp 20,000
Rp 48,000 Rp 32,000

Rp 30,000 Rp 20,000
Rp 48,000 Rp 32,000
Rp 48,000 Rp 32,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 14,000
Rp 14,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 109,000
Rp 20,000
Rp 64,000 Rp 48,000 Rp 32,000
 Rp 48,000 Rp 32,000

Rp 29,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 48,000 Rp 32,000

Rp 128,000 Rp 48,000 Rp 32,000

Rp 14,000 Rp 33,600 Rp 22,400

Rp 14,000
 Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 165,000 Rp 75,000

Rp 14,000

Rp 26,000
Rp 20,000 Rp 48,000 Rp 32,000

Rp 128,000 Rp 48,000 Rp 32,000 EDWIN SPB

Rp 54,900 Rp 21,000 Rp 14,000
 Rp 48,000 Rp 32,000

Rp 28,800
Rp 24,000
Rp 20,000
Rp 89,000 Rp 21,000 Rp 14,000

Rp 48,000 Rp 32,000

Rp 65,000
 BU
OP VISIT
JASA MEDIS JASA SARANA DOKTER UMUM
NAMA DR JASA MEDIS JASA SARANA

ZUMROH Rp 6,000 Rp 4,000

SAIDAH,SUCI Rp 12,000 Rp 8,000
SUCI Rp 6,000 Rp 4,000

bena Rp 6,000 Rp 4,000

LINA MARIA Rp 6,000 Rp 4,000

ade Rp 6,000 Rp 4,000

fitri, cici Rp 12,000 Rp 8,000
SUCI 6,000 Rp 4,000

SUCI 6,000 Rp 4,000

SUCI Rp 6,000 Rp 4,000

anwar, ade 12,000 Rp 8,000

indri,suci,ade,bena 16,800 Rp 11,200
BENA 6,000 Rp 4,000
 Rp 6,000 Rp 4,000

Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000

Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000

Rp 1,687,800 Rp 1,125,200 INDRI,ADE JULIA Rp 24,000 Rp 16,000

BENA.INDRY.JULIA.ANWAR Rp 16,800 Rp 11,200

ESI 6,000 Rp 4,000

ESI 6,000 Rp 4,000
ESI 6,000 Rp 4,000

SUCI,ESI Rp 12,000 Rp 8,000

SAIDAH 2X, FITRI 1X, ADE, A Rp 30,000 Rp 19,000

ADE Rp 6,000 Rp 4,000

diki. Anwar. Ade 2x, asi, ben Rp 36,000 Rp 24,000
 BULAN MARET
KATETER GV
DOKTER SPESIALIS
NAMA DR JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA SARANA
KHOLIL Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
Rp - Rp -
Rp - Rp -
Rp - Rp -
IRWANSYAH +EDWIN Rp 24,000 Rp 16,000
EDWIN Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
Rp - Rp -
GINDA Rp 12,000 Rp 8,000
SIHRUL Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
SIHRUL Rp 12,000 Rp 8,000
Rp - Rp -
GINDA Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
DEDDI Rp 12,000 Rp 8,000
FREDI Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000
SIHRUL Rp 12,000 Rp 8,000
Rp - Rp -
DEDDI Rp 12,000 Rp 8,000
IRWANSYAH Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
GINDA Rp 12,000 Rp 8,000
KHOLIL Rp 12,000 Rp 8,000

EDWIN Rp 12,000 Rp 8,000

EDWIN Rp 12,000 Rp 8,000

Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp - Rp -
Rp - Rp -
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 24,000 Rp 16,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000 Rp 14,400
Rp 12,000 Rp 8,000

edwin Rp 12,000 Rp 8,000

kholil 2x Rp 24,000 Rp 16,000
 Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp - Rp -

kholil 2x Rp 24,000 Rp 16,000

kholil, deddi 2x Rp 25,200 Rp 16,800

EDWIN Rp 12,000 Rp 8,000

ANDRE Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
ANDRE Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
EDWIN Rp 12,000 Rp 8,000
Rp - Rp -
ANGGARA Rp 12,000 Rp 8,000
HUMBERTO Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
ANDRE Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
ANDRIN Rp 12,000 Rp 8,000
EDWIN, ANDRE Rp 24,000 Rp 16,000
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
JULHAM Rp 12,000 Rp 8,000
HUMBERTO Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
Rp - Rp -
ANDRE Rp 12,000 Rp 8,000
ANDRE Rp 12,000 Rp 8,000
ANDRE Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
EDWIN Rp 12,000 Rp 8,000
JULHAM Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
Rp - Rp -
Rp - Rp -
ANGGARA Rp 12,000 Rp 8,000
ANGGARA Rp 12,000 Rp 8,000
EDWIN,JIMI,VIRAT Rp 48,000 Rp 32,000 Rp 15,000 Rp 10,000 Rp 4,800
GINDA 2X.ADRIN 1X Rp 25,200 Rp 16,800 Rp 10,500 Rp 7,000
DEDI Rp 12,000 Rp 8,000
SURAJI 1X, ADRIN 4X Rp 101,000 Rp 67,000

irwansyah 2x, anggar Rp 36,000 Rp 24,000

GV SURAT OBAT AMBULAN O2

JASA MEDIS JASA MEDIS JASA SARANA

 Rp 284,460 Rp 27,000
Rp 212,914 Rp 192,000 Rp 27,000

Rp 43,250 Rp 6,750

Rp 108,680

Rp 9,115

Rp 65,475
Rp 90,279

Rp 9,600
Rp 33,114

Rp 571,011
Rp 246,118
 66,750

Rp 9,330
Rp 229,310
Rp 10,980

Rp 155,220

Rp 541,167
Rp 429,507 Rp 78,750
Rp 38,508

Rp 46,805
 Rp 10,000 Rp 10,000

Rp 5,000 Rp 5,000 Rp 53,718

Rp 5,000 Rp 5,000 Rp 46,805

Rp 10,000 Rp 10,000

Rp 10,000 Rp 10,000
Rp 10,000 Rp 10,000
Rp 20,000 Rp 20,000
Rp 10,000 Rp 10,000
Rp 64,450

Rp 60,963

Rp 68,255
Rp 10,000 Rp 10,000

Rp 10,000 Rp 10,000
Rp 10,000 Rp 10,000
Rp 10,000 Rp 10,000
Rp 10,000 Rp 10,000
Rp 7,200 Rp 417,798
Rp 233,625 Rp 1,575

Rp 49,608
Rp 243,574 Rp 324,000 Rp 75,000
 Rp 24,880

Rp 10,000 Rp 10,000

Rp 493,613 Rp 45,000
Rp 997,942 Rp 168,704

Rp 334,626
Rp 568,896
 EKG SIRINGPAM NGT HETTING

JASA MEDIS JASA SARANA JASA MEDISJASA SARANAJASA MEDISJASA SARANA JASA MEDIS
 Rp 35,100

Rp 45,000 Rp 30,000
Rp 31,500 Rp 21,000
Rp 45,000 Rp 30,000

Rp 13,650

Rp 35,100
Rp 3,200 Rp 51,000
HETTING MONITORING NEBULEZER CABUT GIGI

JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS
Rp 23,400
 Rp 50,000

Rp 9,100

Rp 23,400
CABUT GIGI VISUM TOTAL

JASA SARANA JASA MEDIS JASA SARANA

Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 109,000
Rp 109,000
Rp 109,000
Rp 40,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 80,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 109,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 10,000
Rp 781,960
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 109,000
Rp 532,960
Rp 904,914

Rp 100,000
Rp 60,000

Rp 25,000
Rp 25,000

Rp 109,000
Rp 70,000
Rp 35,000
Rp 178,680
Rp 80,000
Rp 19,115
Rp 20,000
Rp 70,000
Rp 100,000
Rp 100,000
Rp 20,000
Rp 70,000
Rp 85,475
Rp 110,279
Rp 70,000
Rp 70,000
Rp 20,000
Rp 55,000
Rp 75,000
Rp 70,000
Rp 70,000
Rp 70,000
Rp 70,000
Rp 20,000
Rp 70,000
Rp 44,000
Rp 53,114
Rp 109,000
Rp 1,086,011
Rp 898,118
 Rp 80,000

Rp 77,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 70,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 70,000
Rp 70,000
Rp 20,000
Rp 20,000
Rp 70,000
Rp 70,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 70,000
Rp 20,000
Rp 20,000
Rp 70,000
Rp 70,000
Rp 66,750
Rp 2,818,980

Rp 69,330
Rp 229,310
Rp 33,000 Rp 22,000 Rp 125,980
Rp 80,000
Rp 215,220

Rp -
Rp 1,391,667
Rp 809,957
Rp 98,508

Rp 35,000
Rp 66,805
 Rp 20,000
Rp 70,000
Rp 70,000
Rp 70,000
Rp 20,000
Rp 40,000
Rp 70,000
Rp 70,000
Rp 83,718
Rp 70,000
Rp 76,805
Rp 50,000 Rp 110,000
Rp 40,000
Rp 20,000
Rp 70,000
Rp 20,000
Rp 70,000
Rp 70,000
Rp 280,000
Rp 30,000
Rp 30,000
Rp 50,000
Rp 30,000
Rp 84,450
Rp 20,000
Rp 20,000
Rp 20,000
Rp 35,000
Rp 80,963
Rp 85,000
Rp 225,000
Rp 20,000
Rp 20,000
Rp 88,255
Rp 40,000
Rp 20,000
Rp 20,000
Rp 30,000
Rp 30,000
Rp 40,000
Rp 40,000
Rp 4,178,298
Rp 605,850

Rp 109,608
Rp 761,074
Rp 164,880

Rp 97,000
Rp 60,000
Rp 754,613
Rp 2,054,946

Rp 80,000
Rp 394,626
Rp 1,053,896
NO TANGGAL NAMA PX NO RM
MASUK KELUAR

1 01/04/22 01/04/22 PAUL KITA TARIGAN

2 SELAM
3 SUPRIYATIN
4 MARIANA
5 FANY ALTAFENDA
6 LISNAWATI
7 SITI PATIMAH HRP
8 TONDI ALWI HRP
9 MAHARANI SIMATUPANG
10 DEWI ANDINI
11 NGADINO
12 FITRIANI
13 IRA FRISKA DEWI
14 TOLHAS ELY RCAT PARAPAT
15 AMIRA ADHA LUBIS
16 JUMIATI
17 NURLEN SIR
18 HAMSAH
19 SRI LESTARI
20 ELFRIDA FELHITAS S
21 ERICSON TAMPUBOLON
22 SRI DAMAYANTI
23 DINA ASMIDAR
24 RIA NOPITA SARI
25 JULIANA
26 RIZKI ISKANDAR SIR
27 YOBEL CRISTOVERT L. GAOL
28 ISMANIAR HANDAYANI SIR
29 MAULIDINA SIR
30 30/03/22 01/04/22 M KHADAFI 02..32.94

1 02/04/22 02/04/22 JULIANA 04.54.24

1 03/04/22 03/04/22 HARUN

1 07/04/22 07/04/22 AN. ESRA AMIRA
2 07/04/22 07/04/22 ABEL LARASATI 03.39.73

1 08/04/22 08/04/22 NURAINI HRP 03.97.07

1 10/04/22 10/04/22 FRENGKI NABABAN 04 56 51

2 FINDI FERMANA 01 95 25
3 FENIA KESIA

11/04/22 11/04/22 RIDWAN 04.56.92

1 15/04/22 15/04/22 ANDRA MAULANA 04.56.98

16/04/22 16/04/22 SARI ANI

1 18/04/22 18/04/22 AZRIL ABI PURNAMA 04.57.84

2 RIATUL HASANAH 00.35.92
3 NATAL SIAHAAN 04.57.85
4 RAYASIH TANJUNG 01.65.13
5 SAMIATI SINAGA 04.57.66
6 PRISTIKA YANTI 04.07.13
7 RUSITA DEWI 04.57.87
8 KHOLIJAH HRP 04.57.88
9 ELFRIDA L.R PANE 03.62.45
10 BORKAT RAMADAN 04.53.72
11 WARIDONA 04.55.02
12 DHYVA MENNAZ SAHFITRI 04.57.90
13 RIO AVANDI 04.53.68
14 REBEN AGENSI 04.57.92
15 PEBRIYANTI 04.57.93
16 SURIANA 04.57.94
17 YOSUA CALVIN SIMAMORA 04.57.96
18 SITI ROIDAH 04.57.97

19 KALIMIN 03.66.07
20 ANDIKA HRP 04.57.89
21 RIFKA SELVITARIA 04.57.98
22 SITI MASIDAH 04.07.73
23 UMMI HANI 04.52.04
24 AZZAM KHALIF 03.98.00
25 AFIF ALGHIPANI 04.54.04
26 DESI SUSANTI 04.56.77
27 ECI DARWANI 04.58.05
28 MELINDA HARIATI 02.59.38
29 HANY JULITA HSB 03.72.01
30 YUSUF AKBAR 04.58.08
31 DIKY CANDRA 03.49.01
32 EFRI NST 04.58.10
33 CHIKO FERNANDO M 04.57.91
34 TRI SURYA WAHYUDI 04.57.99
35 ARYA JUNIOR SEJATI HSB 04.58.16

22/4/22 23/04/22 AHMAD ZULKARNAIN 04.59.24

30/4/22 30/4/22 ANDRI WIDIATMOKO 04.60.29

30/4/22 30/4/22 ASKIA NABITU 04.40.46
 RUANGAN KAMAR IGD LAB
JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS

LAB Rp 96,000
SKJ
SPOG
SPOG
PU+LAB Rp 48,000
PU+LAB
SPOG
SKD
SPOG
PU+LAB Rp 48,000
SPB
SPOG
SPOG
SPPD
SPA+SPB
SPOG
SPOG
SKJ
SPOG
SPPD
SKJ
SPPD
SPB
SPOG
SPOG
RO
LAB Rp 48,000
SPOG
LAB Rp 48,000
KLS 3 Rp 68,400 Rp 45,600 Rp 30,000 Rp 20,000 Rp 294,000

KLS 3 VK Rp 45,600 Rp 30,400 Rp 30,000 Rp 20,000 Rp 117,000

IGD Rp 30,000 Rp 20,000

OBAT
LAB Rp 6,000

IGD Rp 30,000 Rp 20,000

KLS 1 Rp 136,200 Rp 90,800 Rp 30,000 Rp 20,000 Rp 30,000

IGD Rp 30,000 Rp 20,000
IGD Rp 30,000 Rp 20,000

IGD Rp 30,000 Rp 20,000

LAB Rp 21,000

OBAT

SKD
SPOG
PU+BW
SPOG
SPPD
SPOG
SPOG
SPOG
N
SPB
SPB
SPA
SPA
SPA
SPOG
SPOG
PU+N
SPB
SPPD
RO
SPB
SPPD
SPOG
SPOG
SPA
SPA
SPOG
SPOG
SPOG
SKD
SKD
N
SPOG
 IGD
IGD
LAB

KLS 3A Rp 45,600 Rp 30,400 Rp 30,000 Rp 20,000 Rp 147,000

KLS 3 A Rp 68,400 Rp 45,600 Rp 30,000 Rp 20,000 Rp 73,800

IGD Rp 30,000 Rp 20,000
 USG RO
JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA NAQMA DOKTER

Rp 64,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 29,000
Rp 77,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 29,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 48,000 Rp 32,000
Rp 29,000
Rp 30,000 Rp 20,000
Rp 29,000
Rp 196,000 Rp 144,000 Rp 96,000

Rp 78,000 SURAJI
Rp 4,000

Rp 20,000 Rp 96,000 Rp 64,000

Rp 48,000 Rp 32,000

Rp 14,000
Rp 98,000

Rp 49,200
 BUL
OP VISIT
JASA MEDIS JASA SARANA DOKTER UMUM
NAMA DR JASA MEDIS JASA SARANA

6,000 Rp 4,000
6,000 Rp 4,000

6,000 Rp 4,000

6,000 Rp 4,000

JULIA, BENA , ADE, SUCI Rp 24,000 Rp 16,000

Rp 1,049,400 Rp 699,600 SAIDAH. BENA Rp 12,000 Rp 8,000

Rp 6,000 Rp 4,000
SUCI Rp 6,000 Rp 4,000

ADE Rp 6,000 Rp 4,000

Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000

ESY Rp 6,000 Rp 4,000

ESI, JULIA, ADE, DIKI, CICI Rp 30,000 Rp 20,000
DIKI Rp 6,000 Rp 4,000
BULAN APRIL
KATETER
DOKTER SPESIALIS
NAMA DR JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA

Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp - Rp -
Rp - Rp -
Rp 12,000 Rp 8,000
Rp - Rp -
Rp 12,000 Rp 8,000
Rp - Rp -
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 24,000 Rp 16,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp - Rp -
Rp - Rp -
Rp 12,000 Rp 8,000
Rp - Rp -
JIMMY Rp 12,000 Rp 8,000 Rp 9,000 Rp 6,000

SURAJI Rp 24,000 Rp 16,000

BENA
EDWIN Rp 12,000 Rp 8,000
SYAIDAH.SUCI.ADE Rp 18,000 Rp 12,000

ANGGARA Rp 24,000 Rp 16,000

Rp - Rp -
 GV SURAT OBAT AMBULAN

JASA SARANA JASA MEDIS JASA MEDIS JASA SARANA

Rp 39,180
Rp 268,400

Rp 20,000 Rp 20,000
Rp 20,000 Rp 20,000
Rp 51,700
Rp 10,000 Rp 10,000

Rp 20,000 Rp 20,000
Rp 4,800 Rp 7,200 Rp 19,710

Rp 47,257

Rp 142,860
Rp 92,772
Rp 205,560

Rp 10,000 Rp 10,000

Rp 10,000 Rp 10,000
Rp 313,624

Rp 5,000 Rp 5,000 Rp 313,345

Rp 115,596
Rp 153,900

Rp 278,370

534,659
Rp 17,579
Rp 27,961

Rp 49,695

Rp 61,975
Rp 180,067

Rp 372,312
Rp 14,535
 O2 EKG SIRINGPAM NGT

JASA MEDIS JASA SARANA JASA MEDISJASA SARANAJASA MEDISJASA SARANA

Rp 8,250

Rp 3,000
Rp 3,375
 HETTING MONITORING NEBULEZER

JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA
Rp 218,400 Rp 145,600

Rp 19,500 Rp 13,000
 NEBULEZER TOTAL

JASA MEDIS JASA SARANA

Rp 160,000
Rp 59,180
Rp 338,400
Rp 70,000
Rp 127,000
Rp 127,000
Rp 121,700
Rp 30,000
Rp 70,000
Rp 127,000
Rp 51,710
Rp 70,000
Rp 70,000
Rp 20,000
Rp 87,257
Rp 70,000
Rp 212,860
Rp 112,772
Rp 275,560
Rp 20,000
Rp 20,000
Rp 20,000
Rp 20,000
Rp 70,000
Rp 70,000
Rp 80,000
Rp 97,000
Rp 70,000
Rp 97,000
Rp 1,282,624

Rp 2,461,595

Rp 178,596
Rp 153,900
Rp 10,000

Rp 702,370

Rp 1,084,159
Rp 160,954
Rp 87,961

Rp 109,695

Rp 35,000

Rp 61,975
Rp -
Rp 581,067
Rp -

Rp 749,312
Rp 74,535
Rp -
- -
NO TANGGAL NAMA PX NO RM RUANGAN
MASUK KELUAR

1 01/05/2022 05/05/2022 NURUL AMELIA LUBIS 03.95.51 ICU

1 05/05/2022 06/05/2022 M RAYYYAN ATTARIQ 04.60.63 KLS 2 A

1 06/05/2022 06/05/2022 AKMAL S. NST 04.60.72 IGD

2 ARMANSYAH 04.60.70 IGD
3 DEDEK ARIANTO 04.60.71 IGD

1 07/05/2022 07/05/2022 RAJA PRATAMA MATONDA 04.60.76 IGD

2 M. AZHAR TANJUNG 04.60.72 IGD
3 FRANS YOSUA S. 04.60.78 IGD
4 ARIANTO 04.60.73 IGD

1 08/05/2022 08/05/2022 CIHIKO FERINANDO 04.57.91 IGD

2 EDI MULYONO IGD

1 09/05/2022 09/05/2022 HUSIN TANJUNG 04.02.54 LAB

2 ABDULLAH S. OBAT

1 10/05/2022 M MUZAMMIL PANE 14.61.43 LAB

2 10/05/2022 10/05/2022 ARSYIFA NURBANUN 03.97.56 SPJ
3 ERNIYATI HSB 04.61.44 SPB
4 FITRIA NINGSIH 04.61.46 SPOG
5 M JULDAMAN 04.61.47 SPB
6 FAHRI GUNAWAN 04.61.48 THT
7 EVI MARDIAH HSB 00.36.26 SPOG
8 ARPAN DASOPANG 04.61.49 SPOG
9 MASLIAN HRP 04.61.53 SPPD
10 MARLINA HUTABARAT 04..61.54 SPOG
11 ATHAILAH ARKIN 04.61.55 SPA
12 MEI RODRA WATI 04.10.30 SPOG
13 MILVA HANI 04.61.56 SPOG
14 ELIDA SEPTIANI S 04.61.45 SPOG
15 MELIANA SARI 04.61.57 SPOG
16 RAFASYAH 04.61.52 SPA
17 M WAHYU 04.43.06 SPA
18 DUMA ALI SITUMORANG 04.61.59 SPOG
19 AFRIDA YANI NST 03.86.74 SPOG
20 SYAHRI NUGRAHI 04.61.63 IGD
21 YUARTA ULI HUTASOIT 04.61.61 SPOG
22 NURHAYATI SITUMORANAG 04.61.64 SPPD
23 ADZRA NADRIRU SYADDI 04.61.85 THT
24 NADIRA KENAIKAN KLS

1 11/05/2022 11/05/2022 INTAN ROMADANI S. 04.61.69 SPM

2 ATIKA AHMAD SIR 04.61.70 SPA
3 RISKI ANANDA 04.61.71 SPB
4 HARIATIK SIR 02.00.00 SPB
5 ASTRYA WINARTI 04.61.73 THT
6 FITIN SUMARNI SIMATUPAN 04.61.75 SPPD
7 SUHAILA MUNTAZA 04.61.72 SPM
8 NUKINAN RAMBE 01.63.06 SPM
9 ERICSON PANJAITAN 04.61.76 SPP
10 NURAINI 04.61.77 SPOG
11 RINDAN FRISKA SIAHAAN 04.61.80 SPPD
12 SINAR RAMBE 04.61.81 THT
13 SYAHPUTRI NINGSIH 04.61.83 SPP
14 KELVIN JOEL PASARIBU 04.61.84 SPA
15 RISMA SARI 04.60.00 SPPD
16 ISKANDAR HRP 04.61.87 SPM
17 WIDYA SAFIRA 04.61.89 SPM
18 ALFIN AZHARI MANURUNG 04.61.90 SPM
19 FINNI AMALIA NST 01.20.60 SPM
20 RAMADI 04.61.91 SPM
21 SUITI NURBAYA 04.61.93 SPOG
22 KANIA 04.61.94 SPA
23 ROMA HASONANGAN 04.61.95 SPM
24 ALFIAH 00.49.67 SPOG
25 SUGIARTI 04.61.97 SPOG
26 RINDANG FRISK S 04.61.80 SPOG
27 RIDO MARUDUT SAGALA 04.62.00 LAB
28 APRIADI SAGALA 04.61.99 LAB
29 ZAHROTUN WARDAH 00.30.41 SPOG
30 GIWANG PRABOWO 04.61.02 SPM
31 ARUMI HAFIZAH H 04.62.05 SPA
32 DESMAWAN ZAI 04.62.04 SPB
33 EDITA ZAI 04.62.06 SPPD
34 DARIANI 04.62.08 THT
35 MARTUA ZABANGKIT B 04.62.09 SPPD
36 SINAR HASIBUAN SPM
37 PASHA PRAYUDA THT
38 HENI NOVIN S THT
39 ROSNI NST SPOG
40 NURMIDAN APRINA BR SITINJAK PU+B
41 TEGUH SAPUTRA BW
42 RISKY TARIHORAN SPA
43 09/05/2022 11/05/2022 MIRZA AINKA 04.61.22 LKLS 3 A
44 09/05/2022 11/05/2022 MUHAMMAD RAFA ALFATIR 04.61.23 KLS 3 A

1 12/05/2022 12/05/2022 SAKILA AMANDA S 04.62.60 IGD

ROHIM 04.62.61 IGD
17/5/22 18/5/2022 AZ-ZAHRA ALFAINI 03.47.81 KLS 3 A

1 20/05/2022 20/05/2022 ALIYAH HRP LAB

2 MIRLA SPOG
3 PARAMOS H HUTAGALUNG SPPD
4 LISMA YANTI HRP SPOG
5 ELPI YANTI SIR SPOG
6 BASARIA BR TUMANGGOR SPPD
7 HERAWATI SPOG
8 NURSIAH SAGALA SPOG
9 NUR AISYAH SPOG
10 YENNI RUPIAH NST SPOG
11 EKA AFRIANTI SPOG
12 NURHAYATI SIREGAR SPOG
13 SUGIARTI SPOG
14 JUNAIDI SPPD
15 ASMAN HRP SPKJ
16 MUCHSIN SPPD
17 SUMINI SPPD
18 19/05/2022 20/05/2022 SUNENSI 04 64 17 KLS 3 ZALL
19 18/05/2022 20/05/2022 SUTRISNO 00 84 56 KLS 3 ZALL
20 20/05/2022 YUHANIM, AMBULANCE

1 23/05/2022 25/05/2022 DEVIANA 04.6.84 KLS 1 FLUS

2 25/05/2022 25/05/2022 HENDRA 04.02.01 LAB

1 23/05/2022 26/05/2022 TN IRWAN LUBIS 03.80.84 KLS 3 ZALL

2 24/05/2022 26/05/2022 ZAINUDDIN HUTABATAR 04.65.14 KLS 3 ZALL

1 28/05/2022 28/5/2022 NURHASANA IGD

2 SURIANI LAB
3 27/05/2022 28/05/2022 JULIANTO 04.65.71 KLS 1
4 28/05/2022 28/05/2022 IDA WATI 04.65.74 IGD
 ALDO MARIA 02.29.67 LAB
5 27/05/2022 28/05/2022 FITRAH ALFAKIH 04.65.69 KLS 3 A

1 29/05/2022 29/05/2022 KIKI AGUSTINA LAB

1 30/05/2022 30/05/2022 PX RSU NURAINI AMBULANCE

2 29/05/2022 30/05/2022 AFIFAH ANANDA SIR 04.65.79 KLS 3 A
 KAMAR IGD LAB
JASA MEDIS JASA SARANA JASA MEDISJASA SARANA JASA MEDIS JASA SARANA

Rp 936,000 Rp 624,000 Rp 30,000 Rp 20,000 Rp 636,000 Rp 424,000

Rp 78,000 Rp 52,000 Rp 30,000 Rp 20,000 Rp 54,000 Rp 36,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 21,000 Rp 14,000
AIKAN KLS

Rp 21,000 Rp 14,000

Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000
 Rp 69,000 Rp 45,000 Rp 30,000 Rp 20,000 Rp 21,000 Rp 14,000
Rp 69,000 Rp 45,000 Rp 30,000 Rp 20,000 Rp 21,000 Rp 14,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 45,600 Rp 30,400 Rp 30,000 Rp 20,000 Rp 42,000 Rp 28,000

Rp 21,000 Rp 14,000

Rp 18,000 Rp 12,000

Rp 18,000 Rp 12,000

Rp 162,000 Rp 108,000
Rp 46,000 Rp 30,000 Rp 30,000 Rp 20,000 Rp 81,000 Rp 54,000
Rp 69,000 Rp 45,000 Rp 30,000 Rp 20,000 Rp 48,000 Rp 32,000
BULANCE

Rp 346,500 Rp 231,000 Rp 30,000 Rp 20,000 Rp 210,000 Rp 140,000

Rp 57,000 Rp 38,000

Rp 92,000 Rp 60,000 Rp 30,000 Rp 20,000 Rp 30,000 Rp 20,000

Rp 69,000 Rp 45,000 Rp 30,000 Rp 20,000 Rp 144,000 Rp 96,000

Rp 21,000 Rp 14,000
Rp 68,100 Rp 45,400 Rp 30,000 Rp 20,000 Rp 66,000 Rp 44,000
Rp 30,000 Rp 20,000
 Rp 87,000 Rp 58,000
Rp 46,000 Rp 30,000 Rp 30,000 Rp 20,000 Rp 30,000 Rp 20,000

Rp 81,000 Rp 54,000

BULANCE
Rp 46,000 Rp 30,000 Rp 30,000 Rp 20,000 Rp 30,000 Rp 20,000
 USG RO DOKTER OP OP
JASA MEDISJASA SARANA JASA MEDIS JASA SARANA JASA MEDIS
JASA SARANA
DR.BEDAH

Rp 48,000 Rp 32,000

Rp 48,000 Rp 32,000
Rp 192,000 Rp 128,000
 Rp 48,000 Rp 32,000

Rp 48,000 Rp 32,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 48,000 Rp 32,000

Rp 48,000 Rp 32,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000
Rp 30,000 Rp 20,000

Rp 142,800 Rp 47,600

Rp 30,000 Rp 20,000

Rp 48,000 Rp 32,000
Rp 96,000 Rp 64,000

Rp 48,000 Rp 32,000
 BULAN M
VISIT
DOKTER UMUM DOKTER SPESIALIS
NAMA DR JASA MEDIS JASA SARANA NAMA DR

ADE.SUCI.DIKI.CICI.AZID Rp 30,000 Rp 20,000 KHOLIL 3X, VIRAT 1X,ANDRE 1X

DIKI.AZID Rp 12,000 Rp 8,000

DIKI Rp 6,000 Rp 4,000

DIKI Rp 6,000 Rp 4,000
DIKI Rp 6,000 Rp 4,000

ADE Rp 6,000 Rp 4,000

ADE Rp 6,000 Rp 4,000
YULIA Rp 6,000 Rp 4,000
YULIA Rp 6,000 Rp 4,000

SAIDAH Rp 6,000 Rp 4,000

SAIDAH Rp 6,000 Rp 4,000
 Rp 6,000 Rp 4,000
Rp 6,000 Rp 4,000

DIKI.ADE, KAHARI 2X, JULRp 30,000 Rp 20,000 IRWANSYAH 3X

DIKI.ADE, KAHARI 2X, JULRp 30,000 Rp 20,000 IRWANSYAH 3X

SUCI Rp 6,000 Rp 4,000

SUCI Rp 6,000 Rp 4,000
ADE.KAHARI 2X. JULIA Rp 24,000 Rp 16,000 IRWANSYAH 2X

SURAJI
ANDRE
SURAJI
SURAJI

SURAJI
SURAJI
SURAJI
SURAJI
SURAJI
SURAJI
SURAJI
ANDRE
FREDDI
ANDRE
ANDRE
ADE Rp 6,000 Rp 4,000 ANDRE
ADE. JULIA Rp 12,000 Rp 8,000 ANDRE

SUCI 3X Rp 18,000 Rp 12,000 GINDA 2. ANDRIN 1

JULIA 1. INDRI 2, SUCI 1, Rp 30,000 Rp 20,000 DEDI 1X

ANWAR, SUCI, INDRI Rp 18,000 Rp 12,000 KHOLOL 2, ANDRE 1

AZID Rp 6,000 Rp 4,000

SUCI Rp 6,000 Rp 4,000 ANDRE

AZID Rp 6,000 Rp 4,000 ANDRE
SUCI , INDRY Rp 12,000 Rp 8,000

ANWAR, JULIA Rp 12,000 Rp 8,000 IRWANSYAH

ULAN MEI
VISIT KATETER GV SURAT

JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA JASA MEDISJASA SARANA JASA MEDIS JASA SARANA

Rp 60,000 Rp 40,000 Rp 15,000 Rp 10,000

Rp 12,000 Rp 8,000 Rp 10,000 Rp 10,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp - Rp -
Rp - Rp -
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp - Rp - Rp 20,000 Rp 20,000
Rp - Rp - Rp 10,000 Rp 10,000
Rp 12,000 Rp 8,000
Rp 36,000 Rp 24,000
Rp 36,000 Rp 24,000

Rp 24,000 Rp 16,000

Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000 Rp 4,200 Rp 7,800
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp 24,000 Rp 16,000

Rp 36,000 Rp 24,000 Rp 15,000 Rp 10,000

Rp 12,000 Rp 8,000
Rp 36,000 Rp 24,000

Rp 12,000 Rp 8,000
Rp 12,000 Rp 8,000
Rp - Rp -

Rp 12,000 Rp 8,000
 OBAT AMBULAN O2 EKG SIRINGPAM

SA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA

Rp 2,278,336 Rp 1,004,000 Rp 45,000 Rp 30,000 Rp 45,000 Rp 30,000

Rp 144,744

Rp 28,870

Rp 48,839

Rp 21,930
Rp 407,758 Rp 15,000
Rp 23,330
Rp 25,780

Rp 160,425

Rp 7,150
Rp 29,545

Rp 1,720

Rp 46,255

Rp 8,928

Rp 44,000

Rp 104,105
Rp 49,290
Rp 304,966

Rp 242,930

Rp 26,508
Rp 68,255

Rp 143,794
Rp 94,672

Rp 48,908
Rp 11,824
Rp 302,104 Rp 3,000 ./,

Rp 1,170

Rp 79,430

Rp 874,810 Rp 45,000 Rp 30,000

Rp 431,390 Rp - Rp -
Rp 78,000

Rp 382,962 Rp 55,500

Rp 251,694 Rp 432,500
Rp 853,626 Rp -

Rp 98,168

Rp 125,755 Rp 45,000 Rp 30,000

Rp 228,809 Rp 73,000
Rp 128,035 Rp 4,000

Rp 102,000
Rp 160,394
 NGT HETTING NEBULEZER CABUT GIGI

JASA MEDISJASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANAJASA MEDIS

Rp 9,000 Rp 6,000

Rp 16,000 Rp 10,000

Rp 11,700 Rp 7,800
 Rp 60,000 Rp 40,000
Rp - Rp -

Rp 19,500 Rp 13,000
CABUT GIGI VISUM MONITORING TOTAL

JASA SARANAJASA MEDIS JASA SARANA

Rp 102,000 Rp 68,000 Rp 6,542,336

Rp -
Rp 434,744

Rp 33,000 Rp 22,000 Rp 143,870

Rp 33,000 Rp 22,000 Rp 115,000
Rp 33,000 Rp 22,000 Rp 189,839

Rp 161,930
Rp 822,258
Rp 83,330
Rp 85,780

Rp 220,425
Rp 90,000 Rp 60,000 Rp 210,000

Rp 35,000
Rp 7,150

Rp 743,535
Rp 69,545
Rp 20,000
Rp 100,000
Rp 21,720
Rp 20,000
Rp 20,000
Rp 66,255
Rp 20,000
Rp 100,000
Rp 70,000
Rp 20,000
Rp 28,928
Rp 20,000
Rp 55,000
Rp 20,000
Rp 64,000
Rp 20,000
Rp 124,105
Rp 69,290
Rp 324,966
Rp 70,000
Rp 20,000
Rp 20,000
Rp 70,000
Rp 70,000
Rp 70,000
Rp 10,000
Rp 10,000
Rp 70,000
Rp 262,930
Rp 20,000
Rp 100,000
Rp 20,000
Rp 20,000
Rp 126,508
Rp 88,255
Rp 20,000
Rp 20,000
Rp 70,000
Rp 50,000
Rp 30,000
Rp 20,000
Rp 452,794
Rp 403,672

Rp 108,908
Rp 71,824
Rp 581,104

Rp 35,000
Rp 70,000
Rp 20,000
Rp 70,000
Rp 101,170
Rp 20,000
Rp 70,000
Rp 70,000
Rp 32,000
Rp 100,000
Rp 70,000
Rp 70,000
Rp 70,000
Rp 20,000
Rp 99,430
Rp 20,000
Rp 290,000
Rp 1,240,810
Rp 925,790
Rp 78,000

Rp 1,580,962
Rp 95,000

Rp 1,186,194
Rp 1,507,626

Rp 140,668
Rp 35,000
Rp 584,255
Rp 381,809
Rp 145,000
Rp 328,035

Rp 135,000

Rp 102,000
Rp 376,394
NO TANGGAL NAMA PX NO RM RUANGAN KAMAR
MASUK KELUAR JASA MEDIS

1 02/06/22 02/06/22 AYUB HAMDANI 04.66.86 IGD

1 01/06/22 3/6/2022 HAPNAWATI 04.66.47 KLS 3 Rp 69,000

3/6/2022 3/6/2022 ADNAN SAUKI 04.66.99 IGD

1 01/06/22 04/06/22 ASKIA SABINA 00.66.42 KLS 3 A Rp 91,200

2 01/06/22 04/06/22 DEVI YULIA SARI 04.66.51 KLS 2A Rp 156,000
3 01/06/22 04/06/22 SITI JULAIHA DLT 00.66.43 KLS 2 VK Rp 156,000

1 04/06/2022 05/06/2022 SAMSUL BAHRI 04.67.06 KLS 3 ZALL Rp 45,600

 IGD LAB USG
JASA SARANA JASA MEDISJASA SARANA JASA MEDIS JASA SARANA JASA MEDIS JASA SARANA

Rp 30,000 Rp 20,000

Rp 45,000 Rp 30,000 Rp 20,000 Rp 30,000 Rp 20,000

Rp 30,000 Rp 20,000 Rp 21,000 Rp 14,000

Rp 60,800 Rp 30,000 Rp 20,000 Rp 30,000 Rp 20,000

Rp 104,000 Rp 30,000 Rp 20,000 Rp 138,000 Rp 92,000 Rp 30,000 Rp 20,000
Rp 104,000 Rp 30,000 Rp 20,000 Rp 159,000 Rp 106,000 Rp 30,000 Rp 20,000

Rp 30,400 Rp 30,000 Rp 20,000 Rp 30,000 Rp 20,000

Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
 RO DOKTER OP OP
JASA MEDIS
JASA SARANA JASA MEDIS JASA SARANA DOKTER UMUM
NAMA DR
SUCI

ADE, ESI,JULIA
SUCI

DIKI, ESI 2X, KAHARI

GINDA Rp 1,408,200 Rp 938,800 AZID, JULIA, ADE, DI
GINDA Rp 1,408,200 Rp 938,800 JAMIL, DIKI, ESI, AZ

BENA 1X, ESI 1X

 BULAN JUNI
VISIT VISIT
DOKTER SPESIALIS
JASA MEDIS JASA SARANA NAMA DR JASA MEDIS JASA SARANA
6,000 Rp 4,000

Rp 18,000 Rp 12,000 ANDRE Rp 24,000 Rp 16,000

Rp 6,000 Rp 4,000

Rp 42,000 Rp 28,000 IRWANSYAH 1X, ANGGARA 2X Rp 36,000 Rp 24,000

Rp 24,000 Rp 16,000 VIRAT, ADRIN, SURAJI, GINDA Rp 48,000 Rp 32,000
Rp 42,000 Rp 28,000 ADRIN, SURAJI, GINDA Rp 36,000 Rp 24,000

Rp 12,000 Rp 8,000 ANDRE 1X Rp 12,000 Rp 8,000

Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
UNI
KATETER GV SURAT OBAT

JASA MEDIS JASA SARANA JASA MEDIS JASA SARANAJASA MEDISJASA SARANA
Rp 22,180

Rp 346,210
Rp 188,330

Rp 305,910
Rp 15,000 Rp 10,000 Rp 4,800 Rp 7,200 Rp 5,000 Rp 5,000 Rp 1,007,984
Rp 15,000 Rp 10,000 Rp 4,800 Rp 7,200 Rp 5,000 Rp 5,000 Rp 1,081,099

Rp 298,072
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
AMBULAN O2 EKG SIRINGPAM NGT

JASA MEDIS JASA SARANAJASA MEDIS

JASA SARANA
JASA MEDIS
JASA SARANA

Rp 45,000 Rp 30,000
Rp -

Rp 33,375
Rp 7,750
Rp 12,250

Rp 158,875 Rp 45,000 Rp 30,000

 HETTING NEBULEZER CABUT GIGI VISUM

JASA MEDIS JASA SARANA JASA MEDIS JASA SARANAJASA MEDIS JASA SARANA JASA MEDIS JASA SARANA

Rp 32,000 Rp 20,000

Rp 72,000 Rp 48,000
 MONITORING TOTAL

ASA SARANA
Rp 82,180

Rp 705,210
Rp 335,330

Rp 841,285
Rp 4,119,734
Rp 4,242,349
Rp 10,326,088
Rp 747,947
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -