Rekap Jasa Dokter 10 Oktober 2022

RS SUCI PARAMITA
DETAIL PENERIMAAN PASIEN

PERIODE 01 - 10 OKTOBER 2022
Nama Dokter : dr. Kenny Stefanus, SP. OG

Spesialis : Kandungan
Jenis Umum/ Penerimaan Penerimaan

Tanggal Nama Pasien Pasien Keterangan Diagnosa Penyakit Obat-obatan yang diberikan
Perawatan BPJS (Invoice) (Estimasi)
1-Oct-22 Ny. Dewi Setiawati Rawat Jalan BPJS 1 446,591 290,284 Post Partum Normal dg KPD Misoprolol, Bcom
1-Oct-22 Ny. Agni Junia Rawat Inap BPJS 1 7,532,650 4,896,223 G1P0A0 uk 3 mgg dg Anemia + Asma + pk 1 Aktif
2-Oct-22 Ny. Yuyun Rawat Inap BPJS 1 9,514,703 6,184,557 G7P6A0 H 36 mgg dg KPD IVFD RL 500 ml/ 8 jam
3-Oct-22 Ny. Cicik Istikomah Rawat Jalan BPJS 1 322,305 209,498 P4A0 Post SC H5 Bcom C, Gentamycin Salp
3-Oct-22 Ny. Maheroh Rawat Jalan BPJS 1 322,305 209,498 P4A0 Post SC h5 Bcom C, Gentamycin Salp
3-Oct-22 Ny. Saroh Rawat Jalan BPJS 1 322,305 209,498 P1A0 Post SC H 5 Bcom C, Gentamycin Salp
3-Oct-22 Ny. Fajar Fitriani Rawat Jalan BPJS 1 317,560 206,414 p3a1 Post SC H 5 Vit C, Gentamycin Salp
4-Oct-22 Ny. Neneng Yunengsi Rawat Jalan BPJS 1 424,140 275,691 G1P0A0 Pulpa Ranitidine, Etabion, Calcium Lactat
5-Oct-22 Ny. Yulianti Angraini Rawat Jalan BPJS 1 399,839 259,895 P3A1 Post Kuret H 5 Methyl Ergometrin, Etabion
5-Oct-22 Ny. Evi Nurmala Rawat Jalan BPJS 1 470,756 305,991 G1P0A0 H 6 mg dg AB Imnisaris Microgest
6-Oct-22 Ny. Nia Sari Rawat Jalan BPJS 1 419,746 272,835 G1P0A0 uk 33-34 mgg dg PLR
7-Oct-22 Ny. Agni Junia Rawat Jalan BPJS 1 331,296 215,342 P1A0 Post SC H 5 Becom C, Gentamycin
7-Oct-22 Ny. Nurwulan Dari Rawat Inap BPJS 1 3,903,197 2,537,078 G4P2A1 H 38 mgg 3 H dg KPD IVFD RL / 8 jam
7-Oct-22 Ny. Evi Nurmala Rawat Inap BPJS 1 3,526,619 2,292,302 G1P0A0 H 70 mgg dg Hb Inkomplit IVFD RL 500 cc / 8 jam
10-Oct-22 Ny. Yuyun Muntarsih Rawat Jalan BPJS 1 312,919 203,397 P7A0 Konsul Post sc Becom C
SUBTOTAL BPJS 15 28,566,931 18,568,505
1-Oct-22 Ny. Susi Susanti Rawat Jalan Umum 1 435,037 435,037 G2P0A1 dg HEG Kalk, Etbaion, Ranitidine, Ondansentron
10-Oct-22 Ny. Mia Wijayanti Rawat Jalan Umum 1 380,448 380,448 G2P1A0 H 25 mgg
SUBTOTAL UMUM 2 815,485 815,485
TOTAL 17 29,382,416 19,383,990
SUMMARY DETAIL PENERIMAAN PASIEN
Nama Dokter : dr. Kenny Stefanus, SP. OG

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Jenis
Perawatan Keterangan
Total Total Total Total Total Total Total Total Total Total
Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan
BPJS 1 4,896,223 1 6,184,557 - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS 1 290,284 - - 4 834,909 1 275,691 2 565,887
Rawat Jalan
Umum 1 435,037 - - - - - - - -
TOTAL 3 5,621,544 1 6,184,557 4 834,909 1 275,691 2 565,887
RS SUCI PARAMITA
Nama Dokter : dr. Wenny Victory Sp. A

Spesialis : Anak

Tanggal Nama Pasien Perawatan BPJS Pasien (Invoice) (Estimasi) Keterangan Diagnosa Penyakit Obat-obatan yang diberikan
1-Oct-22 An. Arka Rawat Inap BPJS 1 2,871,998 1,866,799 DHF + Typhoid Fever IVFD RL 500 ml 23 tpm
1-Oct-22 An. Dwi Febriani Rawat Inap BPJS 1 2,714,654 1,764,525 Obs Febris ec Bacterial Lufection Vemplon, Infus RL / 23 tpm, Inj. Pct
1-Oct-22 An. Suci Rawat Inap BPJS 1 2,352,136 1,528,888 Obs Febris ec BI IVFD RL 500 cc, Inj. Pct
1-Oct-22 An. Delisha Nurrifda Putri Rawat Inap BPJS 1 3,089,155 2,007,951 Obs Febris ec Typhoid Fever IVFD RL 500 cc, Inj. Pct
1-Oct-22 An Delisha Putri Rawat Inap BPJS 1 1,691,931 1,099,755 Diare Cair Akut dg Dehidrasi Ringan IVFD RL / 14 tpm
1-Oct-22 An. Refa Rawat Inap BPJS 1 2,321,284 1,508,835 KDK + ISPA IVFD RL 500 ml / 18 tpm
1-Oct-22 An Siti Nurafifah Rawat Inap BPJS 1 3,207,684 2,084,995 OF ec. Typhoid + Dispepsia Low IntakeIVFD NaCL 0,9% 500 / 8 jam
3-Oct-22 An. M Satria Rawat Jalan BPJS 1 220,000 143,000 Asma Bronkial + BP
3-Oct-22 An. Sulthon Wahid Rawat Jalan BPJS 1 247,245 160,709 BP + TF Cefixime
3-Oct-22 An. Alesha Ristina Rawat Jalan BPJS 1 276,641 179,817 Post DHF + Rhinosis Akut Pct, Cefixime
3-Oct-22 An. Annasya Rawat Jalan BPJS 1 286,980 186,537 Rhinofaringitis Cefixime, Dexamethason, Ceteme, Tremenza, Vit C, Ambroxol, Pct
4-Oct-22 An. Gina Naufa Syahira Rawat Jalan BPJS 1 220,000 143,000 Post DHF + Rhinosis Akut
6-Oct-22 An. Suci Ramadhani Rawat Jalan BPJS 1 230,670 149,936 Post BP Proris
6-Oct-22 An. Dwi Febriani Rawat Jalan BPJS 1 220,000 143,000 Post BP
6-Oct-22 An. Delisha Rawat Jalan BPJS 1 242,726 157,772 Post BP Azithromicin, Dexamethasone, Cetem, Tremenza,Vit C, Ambroxol
6-Oct-22 An. Arka Erpani Rawat Jalan BPJS 1 235,805 153,273 Post DHF + Post RI Curcuma Plus
6-Oct-22 An. Azka Arfatah Rawat Jalan BPJS 1 220,000 143,000 Post RI dg Post Typhoid Fever
6-Oct-22 An. Arka Alfatih Rawat Jalan BPJS 1 247,245 160,709 Post KDS Cetirizine
6-Oct-22 An. Refa Alviana Rawat Jalan BPJS 1 220,000 143,000 Post BP
6-Oct-22 An. Shandy Ilyas Rawat Jalan BPJS 1 257,955 167,671 Post TF + Rhinofaringitis Akut Azithromicin, Dexamethasone, Cetem, Tremenza,Vit C, Ambroxol
7-Oct-22 An. Nazildan Rawat Inap BPJS 1 3,431,342 2,230,372 Typhoid Fever IVFD RL 500 ml
7-Oct-22 An. Muhamad Bilal Rawat Inap BPJS 1 3,501,962 2,276,275 KDS IVFD RL 15 tpm, O2 NC 2 lpm
Obs Dyspneu ec Susp Pneumonia +
7-Oct-22 An. Mauza Elsan Alfatih Rawat Inap BPJS 1 3,336,219 2,168,542 Obs Febris ec Susp BI dd VI IVFD RL 500 cc, Inj. Pct
8-Oct-22 An. Nabila Azahro Rawat Inap BPJS 1 - TF + Dispepsia DRS Vemplon
8-Oct-22 An. M Asyraf Alfarizki Rawat Inap BPJS 1 2,514,301 1,634,296 GEA Tanpa Dehidrasi + BP IVFD RL 500 ml
10-Oct-22 An. Muhamad Alfa Rizqo Rawat Inap BPJS 1 - BP + GEA Tanpa Dehidrasi IVFD RL 500 cc / 10 tpm
SUBTOTAL BPJS 26 34,157,933 22,202,656
5-Oct-22 An. Nazila Melati Rawat Inap Umum 1 2,113,759 2,113,759 KDS + BP IVFD RL 500 ml
7-Oct-22 An. Dea Faza Nuzula Rawat Jalan Umum 1 702,873 702,873 Typhoid Fever Sporetik, Sanmol, Orezink, L Bio, Proris
9-Oct-22 An. Ibrahim Alvaro Rawat Inap Umum 1 1,347,038 1,347,038 Diare Cair Akut DRS IVFD RL 500 ml 15 tpm
10-Oct-22 An. Muh Alfa Rawat Jalan Umum 1 238,450 238,450 BP Proris Supp
10-Oct-22 An. Dhira Afsheena Rawat Inap Umum 1 - KDS IVFD RL 500 / 10 tpm, Inj. Pct
SUBTOTAL UMUM 5 4,402,120 4,402,120
TOTAL 31 38,560,053 26,604,776
Nama Dokter : dr. Wenny Victory Sp. A

Spesialis : Anak

Jenis
BPJS 7 11,861,747 - - - - - - - -
Rawat Inap
Umum - - - - - - - - 1 2,113,759
BPJS - - - - 4 670,063 1 143,000 - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL 7 11,861,747 - - 4 670,063 1 143,000 1 2,113,759
RS SUCI PARAMITA
Nama Dokter : dr. Antonny Cahyono, SP. PD

Spesialis : Penyakit Dalam
Jenis Umum Penerimaan Penerimaan

Perawatan /BPJS (Invoice) (Estimasi)
1-Oct-22 Ny. Eti Suheti Rawat Jalan BPJS 1 338,971 220,331 DM Levemir Flexpen
1-Oct-22 y. Umriah Rawat Jalan BPJS 1 267,341 173,772 DM + HT Glimepirid, Amlodipin, Lisnopril, Loratadin
1-Oct-22 Tn. Sarim Rawat Jalan BPJS 1 367,264 238,722 Pneumonia Inuprofen, Lansoprazole, Furosemide, Acetylcytein
1-Oct-22 Tn. Muh Nur Ali Rawat Jalan BPJS 1 559,075 363,399 Colitis Akut
1-Oct-22 Ny. Yuslinawati Rawat Jalan BPJS 1 238,687 155,147 HT Amlodipine, Furosemide, Bisoprolol
1-Oct-22 Ny. Jundiah Rawat Jalan BPJS 1 347,557 225,912 DM Levemir Flexpen, Amlodipine, Lisinopril
1-Oct-22 Ny. Siti Oni Rawat Jalan BPJS 1 521,296 338,842 DM
1-Oct-22 Tn. Mamun Rawat Jalan BPJS 1 445,918 289,847 Ca Colan
OF ec Typhoid Dyspepsia +
1-Oct-22 Ny. Siti Nurhafifah Rawat Inap BPJS 1 - IVFD Nacl 0,9% 500 / 8jam
Low Intake
Dispepsia + Low Intake + Obs
1-Oct-22 Nn. Isti Rawat Inap BPJS 1 1,706,519 1,109,237 Febris IVFD Nacl 0,9% 500 / 8jam, Inj. Ranitidine
1-Oct-22 Ny. Vevi Sinta Rawat Inap BPJS 1 3,594,589 2,336,483 Dyspepsia Inj. Ranitidine, IVFD Nacl 0,9% 20 tpm
2-Oct-22 Ny. Siti Nurjanah Rawat Inap BPJS 1 2,415,272 1,569,927 Dyspepsia Low Intake Infus NS 0,9% 500 CC / 8 JAM, Inj. Ranitidine
2-Oct-22 Nn. Heprilia Nur AmlinaRawat Inap BPJS 1 5,034,253 3,272,264 Dyspepsia Low Intake Inj. Ranitidine, Ifus NS 0,9% 500 / 8 jam
3-Oct-22 Tn. Muhammad FirmanRawat Inap BPJS 1 8,035,878 5,223,321 HT Urgency IVFD Nacl 0,9% 500 ml / 8 jam
3-Oct-22 Tn. Hasan B Hasim Rawat Jalan BPJS 1 316,373 205,642 DM Amlodipine, Lisinopril, Metformine, Glimepiride, Vit B6, Vit B12
3-Oct-22 Ny. Saminah Rawat Jalan BPJS 1 327,957 213,172 DM Amlodipine, Lisnopril, Furosemide, Bisoprolol, Meloxicam, Vit B6, Vit B12
3-Oct-22 Tn. Kurnia Rawat Jalan BPJS 1 287,875 187,119 Pneumonia Cefixime, Acetylcystein, Pct
3-Oct-22 Tn. Muh Suro Rawat Jalan BPJS 1 355,231 230,900 HHD Nospirinal, Simvastatin, Bisoprolol, Isosorbit, Dinitrat, Lansoprazole
3-Oct-22 Ny. Erni Suarti Rawat Jalan BPJS 1 348,513 226,533 DM Metformin, Glimepiride, Amitriptyline, Miconazole, Loratadine
3-Oct-22 Ny. Munamah Rawat Jalan BPJS 1 365,384 237,500 DM + ulkus DM Levemir, Lansoprazole, Pct, Vit B6, Vit B12
3-Oct-22 Tn. Amsidik Rawat Jalan BPJS 1 275,646 179,170 Pneumonia Levofloxacin, Acetylcystein, Miconazole
3-Oct-22 Ny. Awinah Rawat Jalan BPJS 1 412,081 267,853 HT + DM Levemir, Metformine, Bisoprolol
3-Oct-22 Ny. Anah Rawat Jalan BPJS 1 417,517 271,386 HT + DM Amlodipin, Lisinopril, Furosemide, Bisoprolol, Glimepiride
3-Oct-22 Tn. Jaka Widodo Rawat Jalan BPJS 1 383,167 249,059 DM Amlodipine, Glimepiride
3-Oct-22 Ny. Hartini Rawat Jalan BPJS 1 433,250 281,613 DM Amlodipine, Lisinopril, Metformine, Bisoprolol, Levemir
3-Oct-22 Tn. Suhardi Rawat Jalan BPJS 1 308,847 200,751 Opolax, Domepridone, Lansoprazole
3-Oct-22 Tn. Jasimin Rawat Jalan BPJS 1 288,991 187,844 TB Paru Isoniazid, Pirajinamik, Rifampicine
3-Oct-22 Tn. Rija Rawat Jalan BPJS 1 280,356 182,231 Post RI Ciprofloxacin, Metronidazole, Curcuma, Lansoprazole
4-Oct-22 Tn. Zakariya Rawat Jalan BPJS 1 286,570 186,271 Pneumonia Cefixime
4-Oct-22 Ny. Arni Rawat Jalan BPJS 1 288,774 187,703 Pneumonia Cefixime, Amlodipin, Acetylcystein
4-Oct-22 Tn. Asnata Rawat Jalan BPJS 1 233,920 152,048 Susp Tumor Intra Abdomen Etabion
4-Oct-22 Nn. Ratih Nur Widasari Rawat Jalan BPJS 1 234,086 152,156 GEA Ciprofloxacin, Zink
4-Oct-22 Tn. Muzahid Rawat Jalan BPJS 1 300,870 195,566 Susp Ikus
RS SUCI PARAMITA


4-Oct-22 Ny. Kusmiyati Rawat Jalan BPJS 1 321,639 209,065 DM Levofloxacin, Lansoprazole, Biosanbe, Sucralfate, Etabion
4-Oct-22 Tn. Suminta Rawat Jalan BPJS 1 358,972 233,332 DM Levemir Flexpen, Metformin, Miconazole, Amitriptyline
4-Oct-22 Tn. Wahid Rawat Jalan BPJS 1 427,202 277,681 Nefrotik Syndrom Methylprednisolone, Lisinopril, Furosemide, Lansoprazole, Sucralfate, Embalase
4-Oct-22 Tn. Juen Rawat Inap BPJS 1 1,500,524 975,341 Dyspepsia Low Intake Inj.Ranitidine, Infus NS 0,9% 500 cc / 8 jam
Obs Abdominal Pain ec Susp
5-Oct-22 Tn. Andri Rawat Inap BPJS 1 3,130,864 2,035,062 Cholilitiasis Del ISK + Obs Inj. Ranitidine, IVFD Nacl 0,9% 500 cc / 8 jam
Febris ec BI dd VI
Dyspepsia Low Intake + Susp
5-Oct-22 Tn. Sarkinan Rawat Inap BPJS 1 2,772,907 1,802,390 TB + HT IVFD Nacl 0,9% / 20 tpm, Inj. Ondansentrone
5-Oct-22 Tn. Muhamad Solihin Rawat Inap BPJS 1 1,970,893 1,281,080 Obs Febris + TF
5-Oct-22 Ny. Ramsah Rawat Jalan BPJS 1 370,345 240,724 Anemia + Hemoroid Bisanbe
5-Oct-22 Ny. Adijah Rawat Jalan BPJS 1 293,494 190,771 HHD Amlodipine, Furosemide, Spironolaktone, Bisoprolol, Nospirinal, Lansoprazole, Me
5-Oct-22 Tn Holil Rawat Jalan BPJS 1 410,259 266,668 Dyspepsia Lansopraazole, Sucralfate, Amlodipine, Domperidone
5-Oct-22 Tn. Udin Saepudin Rawat Jalan BPJS 1 306,130 198,985 DM Amlodipine, Lisinopril, Glimepiride
5-Oct-22 Ny. Bayinah Rawat Jalan BPJS 1 335,695 218,202 Hipokalemi Sodium Bicarbonate, Lansoprazole
Obs Febris ec Suso BI, VI +
6-Oct-22 Ny. Sadiah Rawat Inap BPJS 1 7,885,192 5,125,375 Dyspepsia + Low Intake + Infus Nacl / 20 tpm, Inj. Ranitidine
Hipotensi
6-Oct-22 Ny. Dian Novianti Rawat Inap BPJS 1 3,211,648 2,087,571 Typhoid Fever + ISK Inj. Ranitidine, IVFD NS 0.9% 500 cc / 8 jam
6-Oct-22 Ny. Minah Rawat Inap BPJS 1 2,695,700 1,752,205 BI + ISK Inj. Ranitidine, IVFD Nacl 0.9% 20 tpm
6-Oct-22 Tn. Jajam Rawat Jalan BPJS 1 276,146 179,495 Susp Batu Ureter Buscopan, Pct
6-Oct-22 Ny. Nuria Alamsyah Rawat Jalan BPJS 1 281,752 183,139 HT + GERD Lansoprazole, Sucralfate, Gliquidone, Amlodipin, Lisinopril, Bisoprolol
6-Oct-22 Ny. Suwarti Rawat Jalan BPJS 1 317,708 206,510 DM Gliquidone, Pct, OBH Syrup
6-Oct-22 Ny. Yayah Mulyati Rawat Jalan BPJS 1 311,671 202,586 ISK + HT Nospirinal, Clopidogrel, Lansoprazole, Sucralfate, Amlodipin
6-Oct-22 Ny. Saemah Rawat Jalan BPJS 1 310,263 201,671 DM Metformine, Glimepiride, Lansoprazole
6-Oct-22 Ny. Rosnawati Rawat Jalan BPJS 1 271,655 176,576 Hipertensis Amlodipin, Furosemid, Bisoprolol, Lisinopril
6-Oct-22 Nn. Isti Rawat Jalan BPJS 1 246,927 160,503 Dyspepsia Lansoprazole, Sucralfate
6-Oct-22 Tn. Muhalid Rawat Jalan BPJS 1 394,696 256,552 DM Furosemide, Lisinopril, Bisoprolol
6-Oct-22 Ny. Milan Rawat Jalan BPJS 1 287,330 186,765 Pneumonia Cefixime, Acetylcystein, Meloxicam
6-Oct-22 Ny. Rumanah Rawat Jalan BPJS 1 531,546 345,505 TB Paru + DM Lemenir Flexpen, Etabion
6-Oct-22 tn. Moch Dimas Rawat Jalan BPJS 1 444,529 288,944 Allopurinol, Curucuma
7-Oct-22 Ny. Siti Juhanah Rawat Jalan BPJS 1 294,057 191,137 DM + CHF Furosemide, Lisinopril, Levofloxacin
7-Oct-22 TN. Ilen Rawat Jalan BPJS 1 400,356 260,231 HT Pct, Meloxicam, Amlodipine
7-Oct-22 Tn. Isnaeni Rawat Jalan BPJS 1 230,639 149,915 HT Amlodipine, Alprazolam, Pct
7-Oct-22 Ny. Vevi Sinta Rawat Jalan BPJS 1 275,274 178,928 Dyspepsia Cefixime, Pct, Lansoprazole
RS SUCI PARAMITA


Susp ISK + Susp Hemoroid
7-Oct-22 Ny. Sunarti Rawat Inap BPJS 1 3,972,258 2,581,968 External + Susp Kista Bartolin IVFD Nacl 0,9% 500 ml / 8 jam
Dispepsia + Low Intake +

7-Oct-22 Ny. Rodiyah Rawat Inap BPJS 1 3,756,106 2,441,469 Cephalgia IVFD NS 500 ml / 8 jam, Inj. Ranitidine
7-Oct-22 Tn. Nurhalim Rawat Inap BPJS 1 1,892,340 1,230,021 Dyspepsia + Low Intake IVFD Nacl 0,9% 500 ml / 8 jam, Inj. Ranitidine
Obs Febris ec Susp BI dd VI +
7-Oct-22 Tn. Imam Bukhori Rawat Inap BPJS 1 3,334,711 2,167,562 Dyspepsia + ISPA Inj. Ranitidine, IVFD Nacl / 8 jam, Pct
8-Oct-22 Tn. Asep Andriyana NatRawat Inap BPJS 1 4,089,664 2,658,282 Obs Hematemesis + GEA IVFD Nacl 500 cc / 20 tpm, Inj. Ranitidine
8-Oct-22 Ny. Elah Soleha Rawat Inap BPJS 1 2,664,695 1,732,052 Dispepsia IVFD NS 0,9% 500 ml / 8jam, Inj. Ranitidine
8-Oct-22 Ny. Suminah Rawat Inap BPJS 1 2,833,146 1,841,545 Inkontenesia Cerine ec ISK IVFD Nacl / 8jam
8-Oct-22 Tn. M Apud Rawat Inap BPJS 1 - Obs Febris ec BI + Low Intake IVFD Nacl / 8jam, Pct
9-Oct-22 Ny. Emah Rawat Inap BPJS 1 - BP + HHD + DM + HT O2 3 lpm, IVFD NS 500 cc / 20 tpm
9-Oct-22 Tn. Eko Ardiyanto Rawat Inap BPJS 1 - Obs Febris ec VI dd BI IVFD NS 500 cc / 20 tpm
9-Oct-22 Tn. Syahruddin Abbas Rawat Inap BPJS 1 - HT Emergency + HHD + DM IVFD NS 0,9% 500 ml, Amlodipine
10-Oct-22 Tn. Juen Rawat Jalan BPJS 1 287,233 186,701 Dyspepsia dd/ Choletitis Sucralfate, Betahistin, Flunarizine
10-Oct-22 Ny. Salawiyah Rawat Jalan BPJS 1 237,346 154,275 Susp KSI Neurisanbe
10-Oct-22 Tn. Ujen Rawat Jalan BPJS 1 371,433 241,431 Dyspepsia Omz, Sucralfate, Buscopan
10-Oct-22 Tn. Irwan Rawat Jalan BPJS 1 234,804 152,623 Hepatitis B Kronis Curcuma Sanbe
10-Oct-22 Ny. Mirawilah Rawat Jalan BPJS 1 234,804 152,623 Hepatitis B Kronis Curcuma Sanbe
10-Oct-22 Ny. Rini Oktavia Rawat Jalan BPJS 1 477,475 310,359 Omz, Sucralfate, Vit B Complex
10-Oct-22 Ny. Maisah Rawat Jalan BPJS 1 428,187 278,322 HT + HHD Adalat Oros, Bisoprolol, Furosemide
10-Oct-22 Tn. Sarim Rawat Jalan BPJS 1 366,179 238,016 TB Paru Codei, Pct, Omz, Sucarlfate
10-Oct-22 Nn. Fanni Marini Rawat Inap BPJS 1 - Lomitus DRS + ISPA IVFD RL 20 tpm, Inj. Ranitidine, Inj. Ondansentrone, Pct
Obs Febris ec Susp BI dd VI +
10-Oct-22 Ny. Ttitin Rawat Inap BPJS 1 - Dyspepsia + Low Intake + HT IVFD Nacl 0,9% 500 ml / 8 jam, Inj. Ranitidine
+ DM
10-Oct-22 Ny. Amsiti Rawat Inap BPJS 1 - HCU Syok Septik Gen Dehidrasi Infus RL Loading
10-Oct-22 Tn. Imam Dermawan Rawat Inap BPJS 1 - Obs Febris ec BI dd VI + Infus Nacl / 20 tpm
Dyspepsia + Low Intake
Obs Febris BI dd VI + Susp
10-Oct-22 Ny. Roganda Rawat Inap BPJS 1 - Radikulopati IVFD NS 500 cc / 20 tpm, Inj. Ketorolak
10-Oct-22 Nn. Sofiyah Rawat Inap BPJS 1 - Susp CKD Infus Nacl / 20 tpm
Dyspepsia + Low Intake +
10-Oct-22 Ny. Halilah Rawat Inap BPJS 1 - Dyspenoe Infus Nacl / 20 tpm
SUBTOTAL BPJS 89 86,064,422 55,941,874

RS SUCI PARAMITA


HT Urgency + Dispepsia Low
2-Oct-22 Tn. Johanta Rawat Inap Umum 1 2,669,395 2,669,395 Intake + Dyspnoe + DF Infus NS 0,9% 500 CC / 8 JAM
3-Oct-22 Tn. Sarda Rawat Jalan Umum 1 311,883 311,883 Post RI Adalat, Tinov, Beatahistine Mesylate
3-Oct-22 Bunjiah Rawat Jalan Umum 1 912,218 912,218
4-Oct-22 Tn. Novri Yendi Yusup Rawat Jalan Umum 1 461,785 461,785 CHF + HHD Nospirinal, Atorvastatin, ISDN
6-Oct-22 Tn. Sarno Rawat Inap Umum 1 3,666,992 3,666,992 Dyspepsia + HT Grade II Inj. Ranitidine, Inj. Ondansentron, IVFD Nacl 0.9% 500 ml
7-Oct-22 Tn. Johanta Rawat Jalan Umum 1 244,449 244,449 CHF + HT + Pneumonia Furosemide, Lisinopril, Bisoprolol, Levofloxacin
7-Oct-22 Ny. Maeatun Rawat Jalan Umum 1 70,000 70,000 Pengisian resume medis ke 2
9-Oct-22 Tn. Komarudin Rawat Inap Umum 1 826,079 826,079 Cluster Headeche dd Migrain IVFD NS 500 cc / 20 tpm, Inj. Ketorolak
Typhoid Fever + Obs Febris ec

10-Oct-22 Tn. Mangala SimorangkiRawat Inap Umum 1 VI dd BI IVFD NS 500 ml / 20 tpm
SUBTOTAL UMUM 9 9,162,801 9,162,801

TOTAL 98 95,227,223 65,104,675
6, Vit B12
alfate, Embalase
, Lansoprazole, Meloxicam
prolol
3
RS SUCI PARAMITA


Jenis
Keterangan
Perawatan Total Total Total Total Total Total Total Total Total Total
BPJS 3 3,445,720 2 4,842,191 1 5,223,321 1 975,341 3 5,118,532
Rawat Inap
Umum - - 1 2,669,395 - - - - - -
BPJS 8 2,005,971 - - 14 3,120,772 8 1,593,821 5 1,115,350
Rawat Jalan
Umum - - - - 2 1,224,101 1 461,785 - -
TOTAL 11 5,451,691 3 7,511,586 17 9,568,194 10 3,030,947 8 6,233,882
RS SUCI PARAMITA
Nama Dokter : drg. Christ Alia Mandaranie

Spesialis : Gigi

Tanggal Nama Pasien Perawatan BPJS Pasien (Invoice) (Estimasi) Keterangan Diagnosa Penyakit Obat-obatan yang diberikan
4-Oct-22 Tn. Uci Sanusi Rawat Jalan Umum 1 223,836 223,836 Gangren Pulpa
5-Oct-22 Tn. Wasis Ardy Widi Rawat Jalan Umum 1 870,867 870,867 Call RA + RB
7-Oct-22 Ny. Riama Sinaga Rawat Jalan Umum 1 159,432 159,432 Konsultasi Amoxicilin, Kalium Diklofenak, Asam M
SUBTOTAL UMUM 3 1,254,135 1,254,135
TOTAL 3 1,254,135 1,254,135
RS SUCI PARAMITA
Nama Dokter : drg. Christ Alia Mandaranie

Spesialis : Gigi

Jenis Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - 1 223,836 1 870,867
TOTAL - - - - - - 1 223,836 1 870,867
RS SUCI PARAMITA
Nama Dokter : dr. Mulya Gunawan

Spesialis : Umum

SUBTOTAL BPJS - - -
SUBTOTAL UMUM - - -
TOTAL - - -
RS SUCI PARAMITA
Nama Dokter : dr. Mulya Gunawan

Spesialis : Umum
1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 Err:509

Jenis
Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL - - - - - - - - - -
RS SUCI PARAMITA
Nama Dokter : dr. Cut Khairiyannisa

Spesialis : Umum

8-Oct-22 An. Siti Nurafifah IGD BPJS 1 241,961 157,275 Susp BSK Ibuprofen, Scropcenit, Natrium Diklofenak, Ran
SUBTOTAL BPJS 1 241,961 157,275
1-Oct-22 Ny. Tiongsi IGD Umum 1 318,701 318,701 DHF + ISPA Pct, Nac, Curcuma
1-Oct-22 Tn. Reza IGD Umum 1 266,356 266,356 Kolik Abdomen Inj. Ranitidine, Inj. Ketorolak, Drip Tramadol, Ce
5-Oct-22 An. Muhamad Rizki Al IGD Umum 1 154,727 154,727 APS KDS + ISPA Pct, Contusi, Diazepam
6-Oct-22 Ny. Siti Ayu IGD Umum 1 145,471 145,471 Parastesia Mecobalamin, Na Diclofecak
6-Oct-22 An. Akifa IGD Umum 1 373,238 373,238 Viral Infection
8-Oct-22 Ny. Fitriani IGD Umum 1 181,396 181,396 Dispepsia + TB Paru On AOT Inj. Ondansentrone, Inj. Ranitidine, Lansoprazol
8-Oct-22 An. Al Rafqi IGD Umum 1 155,859 155,859 Obs Febris + ISPA Dexamethasone, CTM, Vit C, Pct
9-Oct-22 Nn. Siti Novia Mawardah IGD Umum 1 157,528 157,528 Dispepsia Pct, Domperidone, Ranitidine
9-Oct-22 Ny. Siti Sarah IGD Umum 1 239,401 239,401 Retensio Urin Ciprofloxacin, Pct
SUBTOTAL UMUM 9 1,992,677 1,992,677
TOTAL 10 2,234,638 2,149,952
RS SUCI PARAMITA
Nama Dokter : dr. Cut Khairiyannisa

Spesialis : Umum

Jenis
Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - -
Rawat Jalan
Umum 2 585,057 - - - - - - 1 154,727
TOTAL 2 585,057 - - - - - - 1 154,727
RS SUCI PARAMITA
Nama Dokter : dr. Elfrida Santy BR Purba

Spesialis : Umum

SUBTOTAL BPJS - - -
SUBTOTAL UMUM - - -
TOTAL - - -
RS SUCI PARAMITA
Nama Dokter : dr. Elfrida Santy BR Purba

Spesialis : Umum

Jenis
Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL - - - - - - - - - -
RS SUCI PARAMITA
Nama Dokter : dr. Agtaria Dwi Molita

Spesialis : Umum

SUBTOTAL BPJS - - -
SUBTOTAL UMUM - - -
TOTAL - - -
RS SUCI PARAMITA
Nama Dokter : dr. Agtaria Dwi Molita

Spesialis : Umum

Jenis
Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL - - - - - - - - - -
RS SUCI PARAMITA
Nama Dokter : dr. Mangku

Spesialis : Umum

1-Oct-22 Ny. Sutika Rawat Jalan BPJS TK 1 223,735 145,428 Post VL Tofedex
5-Oct-22 Ny. Bertharia IGD BPJS 1 217,589 141,433 Susp Covid-19 Inj. Ranitidine, Azitromizin, NAC,
Pct, Lansoprazole, Tramazink
5-Oct-22 Tn. Abdul Majid Rawat Jalan BPJS TK 1 344,086 223,656 Post Orif Tofedex, Becom C, Cal-95
SUBTOTAL BPJS 3 785,410 510,517
2-Oct-22 Tn. Nandar IGD Umum 1 444,291 444,291 APS Susp TB Paru Ciprofloxacin, Ambroxol, Pct, Bcom
C
2-Oct-22 An. M Fairuz IGD Umum 1 422,937 422,937 ISPA Sanmol, Ambroxol, Cefixime, Bcom
C
Inj. Ranitidine, Inj. Ondansentron,
2-Oct-22 Tn. Syeh Wirawan IGD Umum 1 189,566 189,566 APS Dyspepsia dg GEA Domperidone, Omz, New Diatab,
Zink
5-Oct-22 Ny. Mimin IGD Umum 1 86,100 86,100 APS Ca Nasofaring + SOL NRM 10 lpm
10-Oct-22 Tn. Muhamad Abdul Syukur IGD Umum 1 315,674 315,674 Dispepsia Inj. Ranitidine, IVFD Nacl 0,9% 500
ml + 1 amp / 2 jam
SUBTOTAL UMUM 5 1,458,568 1,458,568
TOTAL 8 2,243,978 1,969,085
RS SUCI PARAMITA
Nama Dokter : dr. Mangku

Spesialis : Umum

Jenis
Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS 1 145,428 - - - - - - 2 365,089
Rawat Jalan
Umum - - 3 1,056,794 - - - - 1 86,100
TOTAL 1 145,428 3 1,056,794 - - - - 3 451,189
RS SUCI PARAMITA
Nama Dokter dr. Adi

Spesialis : Umum
Jenis Umum/ Penerimaan

Tanggal Nama Pasien Pasien
Perawatan BPJS (Invoice)
3-Oct-22 Tn. Aditiya Rawat Jalan BPJS TK 1 261,622
3-Oct-22 Tn. Muksini Rawat Jalan Umum 1 117,500
SUBTOTAL BPJS 2 379,122
1-Oct-22 Nabila Amanda IGD Umum 1 1,239,839
2-Oct-22 Ny. Bayi IGD Umum 1 270,000
3-Oct-22 An. Syafan Rawat Jalan Umum 1 181,204
3-Oct-22 Ny. Jarsinah IGD Umum 1 164,583
3-Oct-22 Tn. Dedi Nopianto IGD Umum 1 174,583
4-Oct-22 Tn. Ade Juanda Rawat Jalan PT. CCM 1 124,500
4-Oct-22 Sdr. Fendi Kurniawan IGD Umum 1 653,026
5-Oct-22 An. Vito Ramadhan IGD Umum 1 547,244
5-Oct-22 Ny. Uum Umayah IGD Umum 1 296,468
7-Oct-22 Tn. Utan H Rawat Jalan Umum 1 232,023
7-Oct-22 An. Danish Ara IGD Umum 1 371,188
7-Oct-22 Tn. Saepudin IGD Umum 1 667,803
7-Oct-22 Tn. Muhamad Misat IGD Umum 1 680,167
7-Oct-22 Tn. Hery Haryanto IGD Umum 1 1,250,975
10-Oct-22 Tn. Julianto IGD PT. SUPR 1 587,833
10-Oct-22 Tn. Soleh IGD Umum 1 665,484
SUBTOTAL UMUM 16 8,106,920
TOTAL 18 8,486,042
Penerimaan Keterangan
Diagnosa Penyakit
(Estimasi)
170,054 Post Orif
76,375 Post VE
246,429
1,239,839 APS Nstemi
270,000 APS Nstemi
181,204 VL
164,583 Mylgia
174,583 Mylgia
124,500 Scabies
653,026 Post Traumatik
547,244 VL Di Reg Tempora Dextra
296,468 DOA DOA
232,023 Epigastric Pain Syndrome
371,188 APS Obs Febris ec Susp VI dd BI + TF
667,803 APS Dyspneu ec Susp PPOK
680,167 Hematine Post Trauma
1,250,975 VL at Reg Oralige Reg Ocipitalis Reg Nasalis
587,833 VL Regio Posterior
665,484 Fraktur Tertutup Jari 1 Extatas Dextra
8,106,920
8,353,349
Obat-obatan yang diberikan
Tofrdex, Becom C
NRM 10 lpm, Aspilet

NRM 10 lpm, Aspilet
Myonal, Na Diclofenak, Inj. Ketorolak

Inj. Ketorolak, Caaflom, Myonal
Cetrizine
Tradosik, Claneksi
Cefixime, Ibuprofen
Lansoprazole, Episan, Domperidone
Inj. Dexamethasone, IVFD Nacl 0,9% 500 ml / 8 jam

Inj. Ranitidine, Inj. Ketorolak, Tradosik, Becom C
Inj. Tetagam, Tradosik, Cefixime, Becom C
Hecting
Tredosix, Cepad
RS SUCI PARAMITA
Nama Dokter : dr. Adi

Spesialis : Umum

Jenis
Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - 2 246,429 - - - -
Rawat Jalan
Umum 1 1,239,839 1 270,000 3 520,370 2 777,526 2 843,712
TOTAL 1 1,239,839 1 270,000 5 766,799 2 777,526 2 843,712
RS SUCI PARAMITA
Nama Dokter : dr. Harsono

Spesialis : Umum

6-Oct-22 Tn. Muhamad Fikri IGD Umum 1 559,706 559,706 Multiple Eksisi a/r Femer DS Inj. TT, Amoxicilin, Mefinal
6-Oct-22 An. Syafan Al Dzikri Rawat Jalan Umum 1 170,805 170,805 Post VL Curucuma Plus
8-Oct-22 Ny. Roganda IGD Umum 1 188,484 188,484 Susp Frozen Shoulder Sindro Inj. Ketorolak, Tradesit, Sanmol
8-Oct-22 Tn. Rediam Novas IGD Umum 1 163,945 163,945 Abdominal Discomplit Scopamin, Ranitidine
SUBTOTAL UMUM 4 1,082,940 1,082,940
TOTAL 4 1,082,940 1,082,940
RS SUCI PARAMITA
Nama Dokter : dr. Harsono

Spesialis : Umum

Jenis
Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL - - - - - - - - - -
RS SUCI PARAMITA
Nama Dokter : dr. Yohanes Friedi Tama, SP. OG


1-Oct-22 Ny. Sri Rahayu Rawat Inap BPJS 1 4,299,248 2,794,511 G1P0A0 H4 mgg dg AB Inkomplit IVFD RL / 8jam
3-Oct-22 Ny. Rohmah Rawat Jalan BPJS 1 393,214 255,589 P2A1 Post Kuret H5
3-Oct-22 Ny. Ayu Rawat Jalan BPJS 1 329,356 214,081 P1A0 Post SC H 5 Becom C, Clindamycin
6-Oct-22 Ny. Sri Rahayu Rawat Jalan BPJS 1 389,774 253,353 P0A1 Post Kuret H 4 Methyl Ergometrin, Etabion
8-Oct-22 Ny. Gusti Arini Rawat Inap BPJS 1 8,007,016 5,204,560 G1P0A0 H 39 mgg dg KPD IVFD RL / 8jam
10-Oct-22 Ny. Trisiwisari Rawat Jalan BPJS 1 372,562 242,165 Kontul IUD
10-Oct-22 Ny. Sri Sugiarti Rawat Jalan BPJS 1 424,591 275,984 Endometrium Asam Mefenamat
10-Oct-22 Ny. Nurjanah Rawat Inap BPJS 1 - BO IVFD RL 20 tpm
G1P0A0 H 40 mgg + Inpartu kala 1
10-Oct-22 Ny. Nurhasanah Rawat Inap BPJS 1 - Fase Laten + Olegohidramnion + IVFD RL 20 tpm
Post Matur
SUBTOTAL BPJS 9 14,215,761 9,240,245
Clindamycin, Becom C,
3-Oct-22 Ny. Heti Rawat Jalan Umum 1 333,940 333,940 P1A0 Post SC H 5 Ranitidine
10-Oct-22 Ny. Naswa Rawar Jalan Umum 1 453,935 453,935 Amenorea Sekunder Norelvit, Metronidazole
SUBTOTAL UMUM 2 787,875 787,875
TOTAL 11 15,003,636 10,028,120
RS SUCI PARAMITA
Nama Dokter : dr. Yohanes Friedi Tama, SP. OG


Jenis
Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS 1 2,794,511 - - 2 469,671 - - - -
Rawat Jalan
Umum - - - - 1 333,940 - - - -
TOTAL 1 2,794,511 - - 3 803,611 - - - -
RS SUCI PARAMITA
Nama Dokter : drg. Shintia Olvya

Spesialis : Gigi
Jenis Umum/ Penerimaan Penerimaan Diagnosa

Tanggal Nama Pasien Pasien Keterangan Obat-obatan yang diberikan
Perawatan BPJS (Invoice) (Estimasi) Penyakit
SUBTOTAL BPJS - - -
SUBTOTAL UMUM - - -
TOTAL - - -
RS SUCI PARAMITA
Nama Dokter : drg. Shintia Olvya

Spesialis : Gigi

Jenis
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL - - - - - - - - - -
RS SUCI PARAMITA
Nama Dokter : dr. Cut Zamania Fitri Amin, Sp. M

Spesialis : Mata

7-Oct-22 An. Aulia Zahrotushyta Rawat Jalan BPJS 1 328,828 213,738 ODS Astigma Miop Berry Vision
7-Oct-22 An. Aditia Rawat Jalan BPJS 1 270,000 175,500 ODS Astigma Miop
7-Oct-22 Tn. Akmar Rawat Jalan BPJS 1 304,831 198,140 Aredipaki Sanbe Tears Eyedrop
7-Oct-22 Tn. Ilham Gunawan Rawat Jalan BPJS 1 280,000 182,000 OD Miop
7-Oct-22 Tn. Madarip Rawat Jalan BPJS 1 300,358 195,233 OD Keratitis Cendo Xitrol Minidose
7-Oct-22 Ny. Tati Rawat Jalan BPJS 1 270,000 175,500 OD
7-Oct-22 Ny. Erom Rawat Jalan BPJS 1 270,000 175,500 OD KSI
7-Oct-22 Ny. Ani Rawat Jalan BPJS 1 304,831 198,140 OD Psedofaki Sanbe Tears Eyedrop
7-Oct-22 Tn. Uci Rawat Jalan BPJS 1 270,000 175,500 OD Psedofaki
7-Oct-22 Tn. Badiyono Rawat Jalan BPJS 1 304,831 198,140 OD Psedofaki Sanbe Tears Eyedrop
7-Oct-22 Ny. Yunengsih Rawat Jalan BPJS 1 293,323 190,660 OD Psedofaki Cendo Xitrol Minidose
7-Oct-22 Nn. Intan Kamelia Rawat Jalan BPJS 1 280,000 182,000 OS Hurdeoun
7-Oct-22 Tn. Madjaji Rawat Jalan BPJS 1 318,828 207,238 OD Psedofaki Berry Vision
7-Oct-22 Ny. Siek Mey Rawat Jalan BPJS 1 304,831 198,140 OD Psedofaki
7-Oct-22 Tn. Bai Sukmadi Rawat Jalan BPJS 1 270,000 175,500 ODS Psedofaki
7-Oct-22 Tn. Hambali Rawat Jalan BPJS 1 280,000 182,000 OD KSI
7-Oct-22 Ny. Jundiah Rawat Jalan BPJS 1 270,000 175,500 OD KSI
7-Oct-22 Tn. Buchori Rawat Jalan BPJS 1 280,000 182,000 ODS KSI
7-Oct-22 Ny. Ilah Rohilah Rawat Jalan BPJS 1 270,000 175,500 ODS Psedofaki
7-Oct-22 Tn. Heri Wuryanto Rawat Jalan BPJS 1 270,000 175,500 ODS Astigma Miop
SUBTOTAL BPJS 20 5,740,661 3,731,430
TOTAL 20 5,740,661 3,731,430
RS SUCI PARAMITA
Nama Dokter : dr. Cut Zamania Fitri Amin, Sp. M

Spesialis : Mata

Jenis
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL - - - - - - - - - -
RS SUCI PARAMITA
Nama Dokter : dr. Eko Chris Budiharto, SP. S

Spesialis : Syaraf

4-Oct-22 Tn. Nurul Fadzliyana Rawat Jalan BPJS 1 220,000 143,000 Epilepsi Simptomatik + TB
4-Oct-22 Tn. Santoso Rawat Jalan BPJS 1 264,225 171,746 LBP + Muscle Eperison, Natrium Diklofenak, Pct, Methylprednisolone,
Omz, Mecobalamin
4-Oct-22 Tn. Muslih Rawat Jalan BPJS 1 246,361 160,135 Susp Muscle Newrodace Mecobalamin
Gabapentin, Amitriptyline, Natrium Diklofenak,
4-Oct-22 Tn. Marsidik Rawat Jalan BPJS 1 298,434 193,982 ST Nevrosis Metylprednisolone, Omz, Mecobalamin
Gabapentin, Amitriptyline, Pct, Natrium Diklofenak,
4-Oct-22 Ny. Nelwati Rawat Jalan BPJS 1 279,016 181,360 Cevalogenic Headace Propanolol, Vit Bcomplex
Gabapentin, Amitriptyline, Natrium Diklofenak, Pct,
4-Oct-22 Ny. Cici Malyati Rawat Jalan BPJS 1 295,899 192,334 CTS Bilateral Mtyliprednisolone, Mecobalamin
Gabapentine, Amitriptyline, Pct, Natrium Diklofenak, Omz,
5-Oct-22 Ny. Derpita Rawat Jalan BPJS 1 282,063 183,341 LBP Mecobalamin
Gabapentine, Natrium Diklofenak, Pct, Methylprednisolone,
5-Oct-22 Ny. Rohanah Rawat Jalan BPJS 1 284,643 185,018 Polineuropati Vit Bcomplex
Susp Stroke ec Infake Sist
6-Oct-22 Ny. Rhema Eki Rawat Jalan BPJS 1 337,206 219,184 Nospirinal, Candesartan, Amlodipin
Vetebra
6-Oct-22 Ny. Lilik Rawat Jalan BPJS 1 237,316 154,255 Stroke Amlodipin, Captopril, Cloridine
Trigeminal Neweogia Methylprednisolone, Cetirizine, Gabapentin, Amitriptyline,
6-Oct-22 Ny. Nur Ayanah Rawat Jalan BPJS 1 279,708 181,810 Simtimatik Pct, Natrium Diklofenak
6-Oct-22 Ny. Rina Rawat Jalan BPJS 1 267,598 173,939 LBP + Sindrom Radicular Gabapentin, Natrium Diklofenak, Pct, AMITRIPTYLINE, Vit B
Complex
Gabapentin, Amitriptyline, Natrium Diklofenak, Amlodipine,
6-Oct-22 Ny. Juenah Rawat Jalan BPJS 1 281,757 183,142 LBP + Sindrom Radicular Eperison, Lansoprazole
SUBTOTAL BPJS 13 3,574,226 2,323,247
1-Oct-22 Tn. Yudi Patriot Rawat Inap BICC 1 3,365,159 3,365,159 Abdominal Pain IVFD NS 500 / 20 tpm, Inj. Ketorolak, Inj. Tramadol
1-Oct-22 Ny. Lilik Rawat Inap Umum 1 2,488,489 2,488,489 SNH IVFD Aceting 500 ml
SUBTOTAL UMUM 2 5,853,648 5,853,648
TOTAL 15 9,427,874 8,176,895
RS SUCI PARAMITA
Nama Dokter : dr. Eko Chris Budiharto, SP. S

Spesialis : Syaraf

Jenis Keterangan
BPJS - - - - - - - - - -
Rawat Inap
Umum 2 5,853,648 - - - - - - - -
BPJS - - - - - - 6 1,042,558 2 368,359
Rawat Jalan
Umum - - - - - - - - - -
TOTAL 2 5,853,648 - - - - 6 1,042,558 2 368,359
RS SUCI PARAMITA
Nama Dokter : dr. Rinaldo Parulian, Sp. B

Spesialis : Bedah
Jenis Penerimaan Penerimaan

Tanggal Nama Pasien Umum/BPJS Pasien Keterangan Diagnosa Penyakit Obat-obatan yang diberikan
Perawatan (Invoice) (Estimasi)
2-Oct-22 Nn. Fitri Amelinda Rawat Inap BPJS 1 4,633,063 3,011,491 Susp APP Infus RL 500 cc
10-Oct-22 Tn. Moh Fidrik Rawat Jalan BPJS 1 425,900 276,835 STT a/r Cruris
10-Oct-22 Ny. Nuryati Rawat Jalan BPJS 1 328,282 213,383 Post Debridement Metronidazole, Omz, Meloxicam, Natrium Clorida, Gentamycin
SUBTOTAL BPJS 3 5,387,245 3,501,709
TOTAL 3 5,387,245 3,501,709
RS SUCI PARAMITA
Nama Dokter : dr. Rinaldo Parulian, Sp. B

Spesialis : Bedah

Jenis Keterangan
BPJS 1 3,011,491 - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL 1 3,011,491 - - - - - - - -
RS SUCI PARAMITA
Nama Dokter : dr. Oktavian Irawadi Purba, Sp. OT

Spesialis : Orthopedi
Jenis Penerimaan Penerimaan

Tanggal Nama Pasien Umum/BPJS Pasien Keterangan Diagnosa Penyakit Obat-obatan yang diberikan
Perawatan (Invoice) (Estimasi)
10-Oct-22 Ny. Rini Rawat Inap BPJS TK 1 - Finger Tip Injury IVFD RL 500 cc / 8 jam
10-Oct-22 Tn. Aditya Supriyatna Rawat Jalan BPJS TK 1 - Post Orif Tofedex, Becom Zet
10-Oct-22 Tn. Wem Agusta Rawat Jalan BPJS TK 1 1,385,469 900,555 Post Orif Tofedex, Cal-95, Mecobalamin, Oskom, Becom Zet
10-Oct-22 Tn. Hasan Basri Rawat Jalan BPJS TK 1 120,000 78,000 Post Orif
SUBTOTAL BPJS 4 1,505,469 978,555
10-Oct-22 Tn. Ahmad Yani Rawat Jalan Umum 1 1,181,620 1,181,620 Post Orif
SUBTOTAL UMUM 1 1,181,620 1,181,620
TOTAL 5 2,687,089 2,160,175
RS SUCI PARAMITA
Nama Dokter : dr. Oktavian Irawadi Purba, Sp. OT

Spesialis : Orthopedi

Jenis
BPJS - - - - - - - - - -
Rawat Inap
Umum - - - - - - - - - -
BPJS - - - - - - - - - -
Rawat Jalan
Umum - - - - - - - - - -
TOTAL - - - - - - - - - -
RS SUCI PARAMITA
SUMMARY PENERIMAAN PASIEN
1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22 6-Oct-22 7-Oct-22 8-Oct-22

No Nama Dokter Spesialis
Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total
Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan
A. FULL TIME
1 dr. Kenny Stefanus, SP. OG Kandungan 3 5,621,544 1 6,184,557 4 834,909 1 275,691 2 565,887 1 272,835 3 5,044,722 - -
2 dr. Wenny Victory Sp. A Anak 7 11,861,747 - - 4 670,063 1 143,000 1 2,113,759 8 1,218,361 4 7,378,063 2 1,634,296
3 dr. Antonny Cahyono, SpPD Penyakit Dalam 11 5,451,691 3 7,511,586 17 9,568,194 10 3,030,947 8 6,233,882 15 15,020,388 10 9,515,681 4 6,231,878
4 drg. Christ Alia Mandaranie Gigi - - - - - - 1 223,836 1 870,867 - - 1 159,432 - -
5 dr. Cut Khairiyannisa UGD 2 585,057 - - - - - - 1 154,727 2 518,709 - - 3 494,530
6 dr. Mangku UGD 1 145,428 3 1,056,794 - - - - 3 451,189 - - - - - -
7 dr. Harsono Umum - - - - - - - - - - 2 730,511 - - 2 352,429
8 dr. Adi Umum 1 1,239,839 1 270,000 5 766,799 2 777,526 2 843,712 - - 5 3,202,156 - -
TOTAL DOKTER FULL TIME 25 24,905,306 8 15,022,937 30 11,839,965 15 4,451,000 18 11,234,023 28 17,760,804 23 25,300,054 11 8,713,132
B. HALF TIME
1 dr. Yohanes Friedi Tama, SP. OG Kandungan 1 2,794,511 - - 3 803,611 - - - - 1 253,353 - - 1 5,204,560
2 drg. Shintia Olvya Gigi - - - - - - - - - - - - - - - -
3 dr. Cut Zamania Fitri Amin, SP. M Mata - - - - - - - - - - - - 20 3,731,430 - -
4 dr. Eko Chris Budiharto, SP. S Syaraf 2 5,853,648 - - - - 6 1,042,558 2 368,359 5 912,330 - - - -
5 dr. Rinaldo Parulian N, Sp. B Bedah 1 3,011,491 - - - - - - - - - - - - - -
6 dr. Oktavian Irawadi Purba, Sp. OT Orthopaedi dan - - - - - - - - - - - - - - - -
traumatologi
7 dr. Sumarsudi Bedah - - - - - - - - - - - - - - - -
8 dr. Budi Cahyadi Suciadi, SP. PK Laboratorium - - - - - - - - - - - - - - - -
9 dr. Dani Aminusin Siregar, SP. AN Anatesi - - - - - - - - - - - - - - - -
10 dr. Sri Pardiastuti, SP. RAD Radiologi - - - - - - - - - - - - - - - -
TOTAL DOKTER HALF TIME 4 11,659,650 - - 3 803,611 6 1,042,558 2 368,359 6 1,165,683 20 3,731,430 1 5,204,560
GRAND TOTAL 29 36,564,956 8 15,022,937 33 12,643,575 21 5,493,558 20 11,602,382 34 18,926,487 43 29,031,484 12 13,917,693
TOTAL 01 - 10 Oktober
9-Oct-22 10-Oct-22 2022
No Nama Dokter Spesialis
Total Total Total Total Total Total
Pasien Penerimaan Pasien Penerimaan Pasien Penerimaan
A. FULL TIME
1 dr. Kenny Stefanus, SP. OG Kandungan - - 2 583,845 17 19,383,990
2 dr. Wenny Victory Sp. A Anak 1 1,347,038 3 238,450 31 26,604,777
3 dr. Antonny Cahyono, SpPD Penyakit Dalam 4 826,079 16 1,714,350 98 65,104,676
4 drg. Christ Alia Mandaranie Gigi - - - - 3 1,254,135
5 dr. Mulya Gunawan UGD - - - - - -
5 dr. Cut Khairiyannisa UGD 2 396,929 - - 10 2,149,952
6 dr. Elfrida Santy BR Purba UGD - - - - - -
7 dr. Agtaria Dwi Molita UGD - - - - - -
6 dr. Mangku UGD - - 1 315,674 8 1,969,085
7 dr. Harsono Umum - - - - 4 1,082,940
8 dr. Adi Umum - - 2 1,253,317 18 8,353,349
TOTAL DOKTER FULL TIME 7 2,570,046 24 4,105,636 189 125,902,903
B. HALF TIME
1 dr. Yohanes Friedi Tama, SP. OG Kandungan - - 5 972,084 11 10,028,119
2 drg. Shintia Olvya Gigi - - - - - -
3 dr. Cut Zamania Fitri Amin, SP. M Mata - - - - 20 3,731,430
4 dr. Eko Chris Budiharto, SP. S Syaraf - - - - 15 8,176,895
5 dr. Rinaldo Parulian N, Sp. B Bedah - - 2 490,218 3 3,501,709
6 dr. Oktavian Irawadi Purba, Sp. OT Orthopaedi dan - - 5 2,160,175

traumatologi
5 2,160,175
7 dr. Sumarsudi Bedah - - - - - -
8 dr. Budi Cahyadi Suciadi, SP. PK Laboratorium - - - - - -
9 dr. Dani Aminusin Siregar, SP. AN Anatesi - - - - - -
10 dr. Sri Pardiastuti, SP. RAD Radiologi - - - - - -
TOTAL DOKTER HALF TIME - - 12 3,622,477 54 27,598,327
GRAND TOTAL 7 2,570,046 36 7,728,113 243 153,501,230
RS SUCI PARAMITA
MONTHLY SUMMARY PENERIMAAN PASIEN
a b c=a+b d = a x 65% e = b x 100% f=d+e g=f-c
Penerimaan Penerimaan
Guarantee Uang Duduk Jumlah (Invoice) (Estimasi)
No Nama Dokter Spesialis Variance**
Fee / bulan / bulan Pasien Pasien Pasien Pasien BPJS Pasien
Total Total
BPJS Umum (65%)* Umum
A. FULL TIME
1 dr. Kenny Stefanus, SP. OG Kandungan 27,000,000 - 17 28,566,931 815,485 29,382,416 18,568,505 815,485 19,383,990 (9,998,426)
2 dr. Wenny Victory Sp. A Anak 25,000,000 - 31 34,157,933 4,402,120 38,560,053 22,202,656 4,402,120 26,604,776 (11,955,277)
3 dr. Antonny Cahyono, SpPD Internis 25,000,000 - 98 86,064,422 9,162,801 95,227,223 55,941,874 9,162,801 65,104,675 (30,122,548)
4 drg. Christ Alia Mandaranie Gigi - - 3 - 1,254,135 1,254,135 - 1,254,135 1,254,135 -
5 dr. Cut Khairiyannisa UGD - - 10 241,961 1,992,677 2,234,638 157,275 1,992,677 2,149,952 (84,686)
6 dr. Mangku UGD - - 8 785,410 1,458,568 2,243,978 510,517 1,458,568 1,969,085 (274,894)
7 dr. Harsono Umum - - 4 - 1,082,940 1,082,940 - 1,082,940 1,082,940 -
8 dr. Adi Umum - - 18 - 8,486,042 8,486,042 - 8,353,349 8,353,349 (132,693)
TOTAL DOKTER FULL TIME 189 149,816,657 28,654,768 178,471,425 97,380,827 28,522,075 125,902,902 (52,568,523)
B. HALF TIME
1 dr. Yohanes Friedi Tama, SP. OG Kandungan 20,000,000 - 11 14,215,761 787,875 15,003,636 9,240,245 787,875 10,028,120 (4,975,516)
100.000 /
2 drg. Shintia Olvya Gigi - Kedatangan - - - - - - - -
1.500.000 /
3 dr. Cut Zamania Fitri Amin, SP. M Mata - Kedatangan 20 5,740,661 - 5,740,661 3,731,430 - 3,731,430 (2,009,231)
4 dr. Eko Chris Budiharto, SP. S Syaraf 10,000,000 - 15 3,574,226 5,853,648 9,427,874 2,323,247 5,853,648 8,176,895 (1,250,979)
5 dr. Rinaldo Parulian N, Sp. B Bedah 20,000,000 - 3 5,387,245 - 5,387,245 3,501,709 - 3,501,709 (1,885,536)
Orthopaedi dan
6 dr. Oktavian Irawadi Purba, SpOT traumatologi 10,000,000 - 5 1,505,469 1,181,620 2,687,089 978,555 1,181,620 2,160,175 (526,914)
7 dr. Sumarsudi Bedah 9,000,000 - - - - - - - - -

8 dr. Budi Cahyadi Suciadi, SP. PK Laboratorium - 10,000,000 - - - - - - - -
9 dr. Dani Aminusin Siregar, SP. AN Anatesi 20,000,000 - - - - - - - - -
10 dr. Sri Pardiastuti, SP. RAD Radiologi - 8,000,000 - - - - - - - -
TOTAL DOKTER HALF TIME 54 30,423,362 7,823,143 38,246,505 19,775,185 7,823,143 27,598,328 (10,648,177)
GRAND TOTAL 243 180,240,019 36,477,911 216,717,930 117,156,012 36,345,218 153,501,231 (63,216,699)

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RS SUCI PARAMITA

DETAIL PENERIMAAN PASIEN

Nama Dokter : dr. Kenny Stefanus, SP. OG

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Kenny Stefanus, SP. OG

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Nama Dokter : dr. Wenny Victory Sp. A

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Wenny Victory Sp. A

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Nama Dokter : dr. Antonny Cahyono, SP. PD

Jenis Umum Penerimaan Penerimaan

Nama Dokter : dr. Antonny Cahyono, SP. PD

Jenis Umum Penerimaan Penerimaan

Nama Dokter : dr. Antonny Cahyono, SP. PD

Jenis Umum Penerimaan Penerimaan

Dispepsia + Low Intake +

SUBTOTAL BPJS 89 86,064,422 55,941,874

Nama Dokter : dr. Antonny Cahyono, SP. PD

Jenis Umum Penerimaan Penerimaan

Typhoid Fever + Obs Febris ec

SUBTOTAL UMUM 9 9,162,801 9,162,801

Nama Dokter : dr. Antonny Cahyono, SP. PD

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Nama Dokter : drg. Christ Alia Mandaranie

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : drg. Christ Alia Mandaranie

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Nama Dokter : dr. Mulya Gunawan

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Mulya Gunawan

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 Err:509

Nama Dokter : dr. Cut Khairiyannisa

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Cut Khairiyannisa

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Nama Dokter : dr. Elfrida Santy BR Purba

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Elfrida Santy BR Purba

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 Err:509

Nama Dokter : dr. Agtaria Dwi Molita

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Agtaria Dwi Molita

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 Err:509

Nama Dokter : dr. Mangku

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Mangku

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Nama Dokter dr. Adi

Jenis Umum/ Penerimaan

NRM 10 lpm, Aspilet

Myonal, Na Diclofenak, Inj. Ketorolak

Lansoprazole, Episan, Domperidone

Inj. Dexamethasone, IVFD Nacl 0,9% 500 ml / 8 jam

Nama Dokter : dr. Adi

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Nama Dokter : dr. Harsono

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Harsono

1-Oct-22 2-Oct-22 3-Oct-22 4-Oct-22 5-Oct-22

Nama Dokter : dr. Yohanes Friedi Tama, SP. OG

Jenis Umum/ Penerimaan Penerimaan

Nama Dokter : dr. Yohanes Friedi Tama, SP. OG