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RINCIAN BIAYA RAWAT INAP

1. Sewa IGD : Rp 25.000............................................................. = Rp.........................


2. Kamar : Rp 50.000............................................................. =RP..........................
3. Pemeriksaan : Dokter Rp 25.000,-........................................... =Rp..........................
Perawat Rp 10.000,-.......................................... =Rp..........................
Askep Rp.10.000,-.............................................. =Rp..........................
4. Tindakan : 1.Set Infuset pertama Rp 150.000....................... =Rp..........................
2. cairan infus selanjutnya @ Rp.25.000.............. =Rp..........................
3. Injek Rp.25.000 .............................................. =Rp..........................
4. ....................................................................... =RP..........................
5. ....................................................................... =Rp..........................
6. ....................................................................... =Rp..........................
5. Obat- obatan : 1. ...................................................................... =Rp..........................
2. ....................................................................... =Rp..........................
3. ........................................................................ =Rp..........................
4. ........................................................................ =Rp..........................
5. ........................................................................ =Rp..........................
6. ........................................................................ =Rp..........................

7. BHP : 1. Alkohol,plester,kasa Rp 15.000.......................... =Rp..........................

2. tambahan abochat Rp 20.000.............................. =Rp..........................

3. spuit 3cc Rp 7000..................................................... =Rp..........................

8. Administrasi : ............................................................................ =Rp..........................

JUMLAH =Rp..........................

Tanjungsiang, .......................................20.....

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