Nama Pasien: Alexander Chandra (5) : Batal TGL - Pelayanan No - RM Cara Masuk Polikilinik/ Ruang Cara Bayar

BATAL TGL.PELAYANAN NO.
RM CARA MASUK POLIKILINIK/ RUANG CARA BAYAR
- NAMA PASIEN : ALEXANDER CHANDRA (5)
False 27/02/2023 16:48:07 00317124 RAWAT DARURAT RAWAT DARURAT LAINNYA BPJS KESEHATAN
5
- NAMA PASIEN : ASSYIFA PUTRI SHAKILA (4)
4
- NAMA PASIEN : AYU DHIA LISNA / KRY (5)
5
- NAMA PASIEN : DARNIS ST MANTARI (3)
3
- NAMA PASIEN : DESI INDRIANI /KRY (3)
3
- NAMA PASIEN : DESI YARNERI (4)
4
- NAMA PASIEN : DESY MAFRIATY / KRY (3)
3
- NAMA PASIEN : DIAN RAHMANEZY (5)
5
- NAMA PASIEN : DIMAS RAMADHANI (4)
4
- NAMA PASIEN : EDDY FAUZI (3)
3
- NAMA PASIEN : ELFIANIS (4)
4
- NAMA PASIEN : HARMAINI B (5)
5
- NAMA PASIEN : HAURA NAZHIFA GIFARI / ANK KARY (3)
3
- NAMA PASIEN : HERMANTO (4)
4
- NAMA PASIEN : IIZ IZMUDDIN (4)
4
- NAMA PASIEN : LILYAN SARI (7)
7
- NAMA PASIEN : MAY INDAH (3)
3
- NAMA PASIEN : MELSHY PUTRI CHANTIKA (4)
4
- NAMA PASIEN : MISWARNI (4)
4
- NAMA PASIEN : NABIL FARIT RAMADHAN (6)
6
- NAMA PASIEN : NASIR BIN DURIN (6)
6
- NAMA PASIEN : NURMAINI (6)
6
- NAMA PASIEN : OVIA LISANDRI / KRY (3)
3
- NAMA PASIEN : RAHMI YUNANDA PUTRI (4)
4
- NAMA PASIEN : RIZKI FEBRIANDI (4)
4
- NAMA PASIEN : ROSMINI (4)
4
- NAMA PASIEN : RUYILIS (4)
4
- NAMA PASIEN : SHOFIYYAH ALFATHUNNISA (3)
3
- NAMA PASIEN : SOVIA (4)
4
- NAMA PASIEN : TRI IFA RAMANISA (3)
3
- NAMA PASIEN : YETTI BINTI MUDAHAR (4)
4
- NAMA PASIEN : YOHANES SP.MM (4)
4
- NAMA PASIEN : YUSEF ANWAR (3)
3
- NAMA PASIEN : ZALDI (4)
4
- NAMA PASIEN : ZURMAYATI (5)
5
144
NO.SEP/SLiP DOKTER/ OPERATOR/ PELAKSANA JENIS PELAYANAN JS
0304R0050223V013334 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013334 DR. RAHMI NAIM JASA DOKTER JAGA (IGD) 0
0304R0050223V013334 LISA RAKHMADHANI, A.MD KEP ECG (TERMASUK BACA ECG 10.000) 0
0304R0050223V013334 LISA RAKHMADHANI, A.MD KEP INJEKSI (INJEKSI LANGSUNG) 0
0304R0050223V013334 NURFAUZANA OBAT / ALKES RAWAT DARURAT 0
0

0304R0050223V013350 DR. MAYA MELISA WIRYA JASA DOKTER JAGA (IGD) 0
0304R0050223V013350 NOVIA LIZADRI, A.MD KEP INJEKSI (INJEKSI LANGSUNG) 0
0

0304R0050223V013273 DR. AZIZAH AFDILA PUTRI JASA DOKTER JAGA (IGD) 0
0304R0050223V013273 RAHMAWATI YUNITA INDAH, A.MD K INJEKSI (INJEKSI LANGSUNG) 0
0

0304R0050223V013348 DR. INTAN DWI PUTRI JASA DOKTER JAGA (IGD) 0
0

0304R0050223V013357 WELSAF SETIA PUTRA , AMD , KEP INJEKSI (INJEKSI LANGSUNG) 0
0

0304R0050223V013298 DR. ANDRI, SP.PK DARAH LENGKAP 0
0
0304R0050223V012657 DR. INDAH PARADIFA SARI JASA DOKTER JAGA (IGD) 0
0

0304R0050223V013275 RAHMAWATI YUNITA INDAH, A.MD K EXPLORASI 0
0

0304R0050223V013349 DR. YANUEL AZIZ, SP.RAD ANKLE JOINT AP/LAT 0
0

0304R0050223V012837 DR. RINALDI SYAHPUTRA JASA DOKTER JAGA (IGD) 0
0

0

0304R0050223V013338 ANDRA NELITA, AMK INJEKSI (INJEKSI LANGSUNG) 0
0304R0050223V013338 ANDRA NELITA, AMK ECG (TERMASUK BACA ECG 10.000) 0
0
0

0304R0050223V013356 WELSAF SETIA PUTRA , AMD , KEP OKSIGEN (PER LITER)/JAM 5,000
5,000

0304R0050223V013352 RISSA VIOLITA, A.MD KEP INJEKSI (INJEKSI LANGSUNG) 0
0

0304R0050223V013178 METTY FRI AGUSTIN, S.KEP,NS INJEKSI (INJEKSI LANGSUNG) 0
0304R0050223V013178 METTY FRI AGUSTIN, S.KEP,NS GULA DARAH RANDOM 0
0

0

0304R0050223V013342 DR. DUILLA HUSAINA JASA DOKTER JAGA (IGD) 0
0
0304R0050223V012974 DR. YANUEL AZIZ, SP.RAD THORAX DEWASA 0
0

0304R0050223V013347 ANDRA NELITA, AMK NEBULIZER ( > 1 X )PER HARI (MAKSIMAL 4X SEHARI) 0
0

0304R0050223V013337 ANDRA NELITA, AMK ECG (TERMASUK BACA ECG 10.000) 0
0304R0050223V013337 ANDRA NELITA, AMK INJEKSI (INJEKSI LANGSUNG) 0
0

0304R0050223V013354 RISSA VIOLITA, A.MD KEP INJEKSI (INJEKSI LANGSUNG) 0
0304R0050223V013354 RISSA VIOLITA, A.MD KEP ECG (TERMASUK BACA ECG 10.000) 0
0

0

0304R0050223V012692 DR. INDAH PARADIFA SARI JASA DOKTER JAGA (IGD) 0
0

0304R0050223V013345 DR. ANDRI, SP.PK DARAH LENGKAP 0
0304R0050223V013345 DR. DUILLA HUSAINA JASA DOKTER JAGA (IGD) 0
0

0

0

0

0

0
0

0304R0050223V012656 HAMDI FADLI, A.MD KEP INJEKSI (INJEKSI LANGSUNG) 0
0

0

0

0304R0050223V013070 RAHMAWATI YUNITA INDAH, A.MD K ECG (TERMASUK BACA ECG 10.000) 0
0
5,000
JP BAHP TOT.BIAYA TGL.PULANG
20,000 0 20,000 27/02/2023 16:48:00

50,000 0 50,000 27/02/2023 16:48:00
45,000 0 45,000 27/02/2023 16:48:00
35,000 0 35,000 27/02/2023 16:48:00
0 26,009 26,009 27/02/2023 16:48:00
150,000 26,009 176,009
20,000 0 20,000 27/02/2023 21:01:00

50,000 0 50,000 27/02/2023 21:01:00
35,000 0 35,000 27/02/2023 21:01:00
0 37,728 37,728 27/02/2023 21:01:00
105,000 37,728 142,728
20,000 0 20,000 27/02/2023 13:23:00

50,000 0 50,000 27/02/2023 13:23:00
35,000 0 35,000 27/02/2023 13:23:00
0 101,239 101,239 27/02/2023 13:23:00
0 14,569 14,569 27/02/2023 13:23:00
105,000 115,808 220,808
20,000 0 20,000 27/02/2023 21:15:00

0 18,274 18,274 27/02/2023 21:15:00
50,000 0 50,000 27/02/2023 21:15:00
70,000 18,274 88,274
20,000 0 20,000 27/02/2023 22:57:00

50,000 0 50,000 27/02/2023 22:57:00
35,000 0 35,000 27/02/2023 22:57:00
105,000 0 105,000
20,000 0 20,000 27/02/2023 13:48:00

80,000 0 80,000 27/02/2023 13:48:00
0 14,570 14,570 27/02/2023 13:48:00
50,000 0 50,000 27/02/2023 13:48:00
150,000 14,570 164,570
20,000 0 20,000 27/02/2023 5:57:00
0 65,995 65,995 27/02/2023 5:57:00
50,000 0 50,000 27/02/2023 5:57:00
70,000 65,995 135,995
20,000 0 20,000 27/02/2023 12:58:00

50,000 0 50,000 27/02/2023 12:58:00
35,000 0 35,000 27/02/2023 12:58:00
60,000 0 60,000 27/02/2023 12:58:00
0 262,753 262,753 27/02/2023 12:58:00
165,000 262,753 427,753
20,000 0 20,000 27/02/2023 20:43:00

200,000 0 200,000 27/02/2023 20:43:00
50,000 0 50,000 27/02/2023 20:43:00
0 125,605 125,605 27/02/2023 20:43:00
270,000 125,605 395,605
20,000 0 20,000 27/02/2023 7:56:00

0 36,496 36,496 27/02/2023 7:56:00
50,000 0 50,000 27/02/2023 7:56:00
70,000 36,496 106,496
20,000 0 20,000 27/02/2023 11:27:00

50,000 0 50,000 27/02/2023 11:27:00
35,000 0 35,000 27/02/2023 11:27:00
0 94,079 94,079 27/02/2023 11:27:00
105,000 94,079 199,079
20,000 0 20,000 27/02/2023 18:13:00

0 85,586 85,586 27/02/2023 18:13:00
50,000 0 50,000 27/02/2023 18:13:00
35,000 0 35,000 27/02/2023 18:13:00
45,000 0 45,000 27/02/2023 18:13:00
150,000 85,586 235,586
20,000 0 20,000 27/02/2023 8:31:00
0 104,425 104,425 27/02/2023 8:31:00
50,000 0 50,000 27/02/2023 8:31:00
70,000 104,425 174,425
20,000 0 20,000 27/02/2023 23:22:00

50,000 0 50,000 27/02/2023 23:22:00
35,000 0 35,000 27/02/2023 23:22:00
5,000 0 10,000 27/02/2023 23:22:00
110,000 0 115,000
20,000 0 20,000 27/02/2023 21:45:00

0 59,575 59,575 27/02/2023 21:45:00
50,000 0 50,000 27/02/2023 21:45:00
35,000 0 35,000 27/02/2023 21:45:00
105,000 59,575 164,575
20,000 0 20,000 27/02/2023 9:29:00

50,000 0 50,000 27/02/2023 9:29:00
35,000 0 35,000 27/02/2023 9:29:00
25,000 0 25,000 27/02/2023 9:29:00
0 4,780 4,780 27/02/2023 9:29:00
0 14,788 14,788 27/02/2023 9:29:00
0 7,450 7,450 27/02/2023 9:29:00
130,000 27,018 157,018
20,000 0 20,000 27/02/2023 21:30:00

50,000 0 50,000 27/02/2023 21:30:00
0 33,092 33,092 27/02/2023 21:30:00
70,000 33,092 103,092
20,000 0 20,000 27/02/2023 19:50:00

0 21,159 21,159 27/02/2023 19:50:00
0 44,567 44,567 27/02/2023 19:50:00
50,000 0 50,000 27/02/2023 19:50:00
70,000 65,726 135,726
20,000 0 20,000 27/02/2023 8:30:00
120,000 0 120,000 27/02/2023 8:30:00
0 34,980 34,980 27/02/2023 8:30:00
50,000 0 50,000 27/02/2023 8:30:00
190,000 34,980 224,980
20,000 0 20,000 27/02/2023 20:22:00

0 94,028 94,028 27/02/2023 20:22:00
0 18,590 18,590 27/02/2023 20:22:00
0 (18,590) (18,590) 27/02/2023 20:22:00
50,000 0 50,000 27/02/2023 20:22:00
50,000 0 50,000 27/02/2023 20:22:00
120,000 94,028 214,028
20,000 0 20,000 27/02/2023 17:13:00

50,000 0 50,000 27/02/2023 17:13:00
45,000 0 45,000 27/02/2023 17:13:00
35,000 0 35,000 27/02/2023 17:13:00
0 64,551 64,551 27/02/2023 17:13:00
0 2,805 2,805 27/02/2023 17:13:00
150,000 67,356 217,356
20,000 0 20,000 27/02/2023 21:12:00

50,000 0 50,000 27/02/2023 21:12:00
35,000 0 35,000 27/02/2023 21:12:00
45,000 0 45,000 27/02/2023 21:12:00
0 11,738 11,738 27/02/2023 21:12:00
0 8,560 8,560 27/02/2023 21:12:00
150,000 20,298 170,298
20,000 0 20,000 27/02/2023 10:23:00

50,000 0 50,000 27/02/2023 10:23:00
0 28,771 28,771 27/02/2023 10:23:00
70,000 28,771 98,771
20,000 0 20,000 27/02/2023 7:01:00

50,000 0 50,000 27/02/2023 7:01:00
70,000 0 70,000 27/02/2023 7:01:00
0 32,022 32,022 27/02/2023 7:01:00
140,000 32,022 172,022
20,000 0 20,000 27/02/2023 20:05:00

80,000 0 80,000 27/02/2023 20:05:00
50,000 0 50,000 27/02/2023 20:05:00
0 27,212 27,212 27/02/2023 20:05:00
150,000 27,212 177,212
20,000 0 20,000 27/02/2023 8:11:00

50,000 0 50,000 27/02/2023 8:11:00
35,000 0 35,000 27/02/2023 8:11:00
0 33,939 33,939 27/02/2023 8:11:00
105,000 33,939 138,939
20,000 0 20,000 27/02/2023 10:09:00

0 33,939 33,939 27/02/2023 10:09:00
50,000 0 50,000 27/02/2023 10:09:00
35,000 0 35,000 27/02/2023 10:09:00
105,000 33,939 138,939
20,000 0 20,000 27/02/2023 8:27:00

0 122,863 122,863 27/02/2023 8:27:00
50,000 0 50,000 27/02/2023 8:27:00
70,000 122,863 192,863
20,000 0 20,000 27/02/2023 9:25:00

0 33,939 33,939 27/02/2023 9:25:00
50,000 0 50,000 27/02/2023 9:25:00
35,000 0 35,000 27/02/2023 9:25:00
105,000 33,939 138,939
20,000 0 20,000 27/02/2023 1:55:00

0 3,993 3,993 27/02/2023 1:55:00
50,000 0 50,000 27/02/2023 1:55:00
70,000 3,993 73,993
20,000 0 20,000 27/02/2023 0:22:00
0 11,840 11,840 27/02/2023 0:22:00
50,000 0 50,000 27/02/2023 0:22:00
35,000 0 35,000 27/02/2023 0:22:00
105,000 11,840 116,840
20,000 0 20,000 27/02/2023 2:36:00

50,000 0 50,000 27/02/2023 2:36:00
35,000 0 35,000 27/02/2023 2:36:00
0 24,291 24,291 27/02/2023 2:36:00
105,000 24,291 129,291
20,000 0 20,000 27/02/2023 0:09:00

0 32,610 32,610 27/02/2023 0:09:00
50,000 0 50,000 27/02/2023 0:09:00
70,000 32,610 102,610
20,000 0 20,000 27/02/2023 22:42:00

50,000 0 50,000 27/02/2023 22:42:00
35,000 0 35,000 27/02/2023 22:42:00
0 35,906 35,906 27/02/2023 22:42:00
105,000 35,906 140,906
20,000 0 20,000 27/02/2023 8:12:00

50,000 0 50,000 27/02/2023 8:12:00
45,000 0 45,000 27/02/2023 8:12:00
35,000 0 35,000 27/02/2023 8:12:00
0 58,883 58,883 27/02/2023 8:12:00
150,000 58,883 208,883
4,030,000 1,869,609 5,904,609

Nama Pasien: Alexander Chandra (5) : Batal TGL - Pelayanan No - RM Cara Masuk Polikilinik/ Ruang Cara Bayar

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Nama Pasien: Alexander Chandra (5) : Batal TGL - Pelayanan No - RM Cara Masuk Polikilinik/ Ruang Cara Bayar

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BATAL TGL.PELAYANAN NO.

RM CARA MASUK POLIKILINIK/ RUANG CARA BAYAR

- NAMA PASIEN : ALEXANDER CHANDRA (5)

0304R0050223V013334 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013350 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013273 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013348 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013357 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013298 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013275 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013349 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V012837 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013249 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013338 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013356 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013352 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013178 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013351 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013342 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013347 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013337 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013354 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013182 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V012692 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013345 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V012983 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013137 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V012915 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013126 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V012655 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V012656 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V012653 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013355 SYSTEM REGISTRASI RAWAT DARURAT 0

0304R0050223V013070 SYSTEM REGISTRASI RAWAT DARURAT 0

20,000 0 20,000 27/02/2023 16:48:00

20,000 0 20,000 27/02/2023 21:01:00

20,000 0 20,000 27/02/2023 13:23:00

20,000 0 20,000 27/02/2023 21:15:00

20,000 0 20,000 27/02/2023 22:57:00

20,000 0 20,000 27/02/2023 13:48:00

20,000 0 20,000 27/02/2023 12:58:00

20,000 0 20,000 27/02/2023 20:43:00

20,000 0 20,000 27/02/2023 7:56:00

20,000 0 20,000 27/02/2023 11:27:00

20,000 0 20,000 27/02/2023 18:13:00

20,000 0 20,000 27/02/2023 23:22:00

20,000 0 20,000 27/02/2023 21:45:00

20,000 0 20,000 27/02/2023 9:29:00

20,000 0 20,000 27/02/2023 21:30:00

20,000 0 20,000 27/02/2023 19:50:00

20,000 0 20,000 27/02/2023 20:22:00

20,000 0 20,000 27/02/2023 17:13:00

20,000 0 20,000 27/02/2023 21:12:00

20,000 0 20,000 27/02/2023 10:23:00

20,000 0 20,000 27/02/2023 7:01:00

20,000 0 20,000 27/02/2023 20:05:00

20,000 0 20,000 27/02/2023 8:11:00

20,000 0 20,000 27/02/2023 10:09:00

20,000 0 20,000 27/02/2023 8:27:00

20,000 0 20,000 27/02/2023 9:25:00

20,000 0 20,000 27/02/2023 1:55:00

20,000 0 20,000 27/02/2023 2:36:00