RSIA Wempe

Jl Gunung Sari No.10, Kel. Pasiran Singkawang

PERINCIAN TAGIHAN PASIEN

No. Reg. : I-22-001847 Tgl. Reg. : 44842.6944444444

No. RM : 015667 Tgl. Keluar : -
Nama Pasien : IZAFIFTRIA ZAHRA ZAGITA, AN Klasifikasi : Admedika
Alamat : TANJUNG BATU HARAPAN 002/001 KEL SEDAU
Keterangan Kamar
(Inap) - (RUANG LANTAI 2) - (Kelas III) - (08-10-2022 16:40 sd 11-10-2022 19:25)
RUANG LANTAI 1
dr. Diana Bancin, Sp.A-Konsultasi Via Telphone(4) 440,0 00
dr. Anthoni -Konsultasi dokter umum.(1) 110,0 00
dr. Diana Bancin, Sp.A-Visite dokter (3) 300,0 00
Pemakaian Oksimetri(4) 240,0 00
Rontgen Thorax(1) 300,0 00
Injeksi Obat Obatan(12) 840,0 00
Nebulizer.(9) 540,0 00
Pasang Infus bayi / anak(1) 60,0 00
Administrasi rawat inap(1) 150,0 00
Sub Total : 2,980,0 00
RUANG LANTAI 2
Sewa Kamar(4) 1,000,0 00
Uff infus/Uff kateter/Uff Transfusi(1) 25,0 00
Bahan Habis Pakai 779,0 00
Sub Total : 1,804,0 00
Laboratorium
Swab Rapid Antigen (1) 90,0 00
Hematologi Rutin Analizer(1) 90,0 00
Widal (Aglutinasi) - 1 Paket(1) 55,0 00
Sub Total : 235,0 00
Petugas Total : 5,019,0 00
Total Resep Obat : 1,890,0 00
Total Retur Obat : 0
Administrasi : 0
Gita Sukma Jayanti Total Tagihan : 6,909,000
Total Deposit : 0
StampSvr:11-10-22 19:28 "P":1 Sisa Tagihan : 6,909,000