PEMERINTAH KABUPATEN REMBANG 1

RUMAH SAKIT UMUM DAERAH dr.R SOETRASNO

Jalan Pahlawan No. 16 Telp. 691444 Fax 692613
REMBANG – 59218
FORMULIR PEMBUKUAN KAS
Nomor : 1 / 7 / 2021

Nomor Formulir : FPK 000001

Tanggal : JULI 2021
Dokumen pendukung : RPTH
No Tanggal Kode Rekening Uraian Referensi Debet Kredit Saldo
1 01/07/21 401020000 RAWAT DARURAT LKH 1 254,480 254,480
2 401030000 RAWAT INAP LKH 1 396,000 650,480
3 401060000 TIND. MEDIS LKH 1 2,416,495 3,066,975
4 401070000 TIND. KEPERAWATAN LKH 1 126,071 3,193,046
5 401090000 PELY. PNJNG DIAGNOSTIK LKH 1 740,167 3,933,213
6 401100000 PELY. FARMASI LKH 1 788,196 4,721,409
7 401130000 PELY. KONSULTASI KHUSUS LKH 1 60,000 4,781,409
8 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 1 279,000 5,060,409
9 401200000 PELAY. SWAB LKH 1 60,000 5,120,409
10 Setor Kebendahara Penerimaan 5,120,409 -
11 02/07/21 401020000 RAWAT DARURAT LKH 2 117,400 117,400
12 401030000 RAWAT INAP LKH 2 1,142,500 1,142,500
13 401050000 PELY. PERISTI LKH 2 928,000 928,000
14 401070000 TIND. KEPERAWATAN LKH 2 590,642 590,642
15 401080000 PELY. PERSALINAN LKH 2 580,000 580,000
16 401090000 PELY. PNJNG DIAGNOSTIK LKH 2 793,817 793,817
17 401100000 PELY. FARMASI LKH 2 43,434 43,434
18 401130000 PELY. KONSULTASI KHUSUS LKH 2 90,000 90,000
19 401170000 PELY. MEDIKO LEGAL LKH 2 5,000 5,000
20 Setor Kebendahara Penerimaan 4,290,793 -
21 7/3/2021 401030000 RAWAT INAP LKH 3 930,800 930,800
22 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 3 70,000 70,000
23 Setor Kebendahara Penerimaan 1,000,800 -
24 7/4/2021 401020000 RAWAT DARURAT LKH 4 562,710 562,710
25 401030000 RAWAT INAP LKH 4 208,000 208,000
26 401050000 PELY. PERISTI LKH 4 268,000 268,000
27 401070000 TIND. KEPERAWATAN LKH 4 441,622 441,622
28 401080000 PELY. PERSALINAN LKH 4 380,000 380,000
29 401090000 PELY. PNJNG DIAGNOSTIK LKH 4 3,367,124 3,367,124
30 401100000 PELY. FARMASI LKH 4 738,949 738,949
31 401130000 PELY. KONSULTASI KHUSUS LKH 4 10,000 10,000
32 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 4 210,000 210,000
33 401170000 PELY. MEDIKO LEGAL LKH 4 15,000 15,000
34 401200000 PELAY. SWAB LKH 4 30,000 30,000
35 Setor Kebendahara Penerimaan 6,231,405 -
36 7/5/2021 401020000 RAWAT DARURAT LKH 5 113,500 113,500
37 401030000 RAWAT INAP LKH 5 376,000 376,000
38 401050000 PELY. PERISTI LKH 5 906,000 906,000
39 401070000 TIND. KEPERAWATAN LKH 5 664,128 664,128
40 401090000 PELY. PNJNG DIAGNOSTIK LKH 5 2,447,217 2,447,217
41 401100000 PELY. FARMASI LKH 5 975,640 975,640
42 401130000 PELY. KONSULTASI KHUSUS LKH 5 10,000 10,000
43 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 5 180,000 180,000
44 401200000 PELAY. SWAB LKH 5 30,000 30,000
Setor Kebendahara Penerimaan 5,702,485 -
JUMLAH JALAN 22,345,892 22,345,892 -
 PEMERINTAH KABUPATEN REMBANG 2
RUMAH SAKIT UMUM DAERAH dr.R SOETRASNO
Jalan Pahlawan No. 16 Telp. 691444 Fax 692613
REMBANG – 59218
FORMULIR PEMBUKUAN KAS
Nomor : 2 /7 / 2021

Nomor Formulir : FPK 000001

Tanggal : JULI 2021
Dokumen pendukung : RPTH
No Tanggal Kode Rekening Uraian Referensi Debet Kredit Saldo
45 JUMLAH PINDAHAN 22,345,892 22,345,892 -
46 06/07/21 401020000 RAWAT DARURAT LKH 6 129,000 129,000
47 401030000 RAWAT INAP LKH 6 538,000 667,000
48 401050000 PELY. PERISTI LKH 6 316,000 983,000
49 401070000 TIND. KEPERAWATAN LKH 6 491,859 1,474,859
50 401080000 PELY. PERSALINAN LKH 6 580,000 2,054,859
51 401090000 PELY. PNJNG DIAGNOSTIK LKH 6 3,610,842 5,665,701
52 401100000 PELY. FARMASI LKH 6 350,526 6,016,227
53 401130000 PELY. KONSULTASI KHUSUS LKH 6 50,000 6,066,227
54 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 6 1,165,800 7,232,027
55 401170000 PELY. MEDIKO LEGAL LKH 6 5,000 7,237,027
56 Setor Kebendahara Penerimaan 7,237,027 -
57 7/7/2021 401020000 RAWAT DARURAT LKH 7 215,480 215,480
58 401030000 RAWAT INAP LKH 7 628,000 843,480
59 401050000 PELY. PERISTI LKH 7 268,000 1,111,480
60 401070000 TIND. KEPERAWATAN LKH 7 129,500 1,240,980
61 401090000 PELY. PNJNG DIAGNOSTIK LKH 7 2,106,959 3,347,939
62 401100000 PELY. FARMASI LKH 7 192,840 3,540,779
63 401130000 PELY. KONSULTASI KHUSUS LKH 7 80,000 3,620,779
64 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 7 286,000 3,906,779
65 401200000 PELAY. SWAB LKH 7 60,000 3,966,779
66 Setor Kebendahara Penerimaan 3,966,779 -
67 7/8/2021 401020000 RAWAT DARURAT LKH 8 237,980 237,980
68 401030000 RAWAT INAP LKH 8 1,683,800 1,921,780
69 401050000 PELY. PERISTI LKH 8 1,268,000 3,189,780
70 401070000 TIND. KEPERAWATAN LKH 8 968,153 4,157,933
71 401090000 PELY. PNJNG DIAGNOSTIK LKH 8 1,512,067 5,670,000
72 401100000 PELY. FARMASI LKH 8 400,954 6,070,954
73 401130000 PELY. KONSULTASI KHUSUS LKH 8 20,000 6,090,954
74 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 8 240,800 6,331,754
75 401200000 PELAY. SWAB LKH 8 90,000 6,421,754
76 Setor Kebendahara Penerimaan 6,421,754 -
77 7/9/2021 401020000 RAWAT DARURAT LKH 9 272,780 272,780
78 401030000 RAWAT INAP LKH 9 542,000 814,780
79 401040000 PELY.ICU LKH 9 1,820,000 2,634,780
80 401070000 TIND. KEPERAWATAN LKH 9 1,372,633 4,007,413
81 401090000 PELY. PNJNG DIAGNOSTIK LKH 9 6,820,842 10,828,255
82 401100000 PELY. FARMASI LKH 9 4,029,721 14,857,976
83 401130000 PELY. KONSULTASI KHUSUS LKH 9 410,000 15,267,976
84 401140000 REHAB MEDIS / FISIOTERAPI LKH 9 55,500 15,323,476
85 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 9 160,000 15,483,476
86 401200000 PELAY. SWAB LKH 9 90,000 15,573,476
87 Setor Kebendahara Penerimaan 15,573,476 -
88 7/10/2021 401020000 RAWAT DARURAT LKH 10 150,000 150,000
89 401030000 RAWAT INAP LKH 10 306,000 456,000
90 401040000 PELY.ICU LKH 10 940,000 1,396,000
91 401060000 TIND. MEDIS LKH 10 2,434,395 3,830,395
92 401070000 TIND. KEPERAWATAN LKH 10 1,019,412 4,849,807
93 401090000 PELY. PNJNG DIAGNOSTIK LKH 10 2,655,442 7,505,249
94 401100000 PELY. FARMASI LKH 10 2,109,062 9,614,311
95 401130000 PELY. KONSULTASI KHUSUS LKH 10 20,000 9,634,311
96 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 10 232,000 9,866,311
97 401200000 PELAY. SWAB LKH 10 30,000 9,896,311
Setor Kebendahara Penerimaan 9,896,311 -
JUMLAH JALAN 65,441,239 65,441,239
 PEMERINTAH KABUPATEN REMBANG 3
RUMAH SAKIT UMUM DAERAH dr.R SOETRASNO
Jalan Pahlawan No. 16 Telp. 691444 Fax 692613
REMBANG – 59218
FORMULIR PEMBUKUAN KAS
Nomor : 3 / 7 / 2021

Nomor Formulir : FPK 000001

Tanggal : JULI 2021
Dokumen pendukung : RPTH
No Tanggal Kode Rekening Uraian Referensi Debet Kredit Saldo
98 JUMLAH PINDAHAN 65,441,239 65,441,239 -
99 11/07/21 401020000 RAWAT DARURAT LKH 11 207,280 207,280
100 401030000 RAWAT INAP LKH 11 406,000 613,280
101 401050000 PELY. PERISTI LKH 11 509,500 1,122,780
102 401060000 TIND. MEDIS LKH 11 3,516,995 4,639,775
103 401070000 TIND. KEPERAWATAN LKH 11 518,693 5,158,468
104 401090000 PELY. PNJNG DIAGNOSTIK LKH 11 910,217 6,068,685
105 401100000 PELY. FARMASI LKH 11 719,978 6,788,663
106 401130000 PELY. KONSULTASI KHUSUS LKH 11 80,000 6,868,663
107 401170000 PELY. MEDIKO LEGAL LKH 11 5,000 6,873,663
108 Setor Kebendahara Penerimaan 6,873,663 -
109 12/07/21 401020000 RAWAT DARURAT LKH 12 25,000 25,000
110 401030000 RAWAT INAP LKH 12 99,000 124,000
111 401050000 PELY. PERISTI LKH 12 59,500 183,500
112 401060000 TIND. MEDIS LKH 12 210,000 393,500
113 401070000 TIND. KEPERAWATAN LKH 12 352,426 745,926
114 401080000 PELY. PERSALINAN LKH 12 350,000 1,095,926
115 401090000 PELY. PNJNG DIAGNOSTIK LKH 12 356,917 1,452,843
116 401100000 PELY. FARMASI LKH 12 5,838 1,458,681
117 401130000 PELY. KONSULTASI KHUSUS LKH 12 10,000 1,468,681
118 401170000 PELY. MEDIKO LEGAL LKH 12 5,000 1,473,681
119 Setor Kebendahara Penerimaan 1,473,681 -
120 7/13/2021 401020000 RAWAT DARURAT LKH 13 597,880 597,880
121 401030000 RAWAT INAP LKH 13 2,067,700 2,665,580
122 401050000 PELY. PERISTI LKH 13 1,609,000 4,274,580
123 401060000 TIND. MEDIS LKH 13 10,187,415 14,461,995
124 401070000 TIND. KEPERAWATAN LKH 13 1,423,726 15,885,721
125 401090000 PELY. PNJNG DIAGNOSTIK LKH 13 6,228,918 22,114,639
126 401100000 PELY. FARMASI LKH 13 4,257,365 26,372,004
127 401130000 PELY. KONSULTASI KHUSUS LKH 13 117,500 26,489,504
128 401170000 PELY. MEDIKO LEGAL LKH 13 15,000 26,504,504
129 401200000 PELAY. SWAB LKH 13 30,000 26,534,504
130 Setor Kebendahara Penerimaan 26,534,504 -
131 7/14/2021 401020000 RAWAT DARURAT LKH 14 495,060 495,060
132 401030000 RAWAT INAP LKH 14 443,000 938,060
133 401060000 TIND. MEDIS LKH 14 2,947,540 3,885,600
134 401070000 TIND. KEPERAWATAN LKH 14 145,963 4,031,563
135 401090000 PELY. PNJNG DIAGNOSTIK LKH 14 1,932,359 5,963,922
136 401100000 PELY. FARMASI LKH 14 710,273 6,674,195
137 401130000 PELY. KONSULTASI KHUSUS LKH 14 100,000 6,774,195
138 Setor Kebendahara Penerimaan 6,774,195 -
139 7/15/2021 401030000 RAWAT INAP LKH 15 10,000 10,000
140 401050000 PELY. PERISTI LKH 15 292,000 302,000
141 401060000 TIND. MEDIS LKH 15 612,500 914,500
142 401070000 TIND. KEPERAWATAN LKH 15 307,459 1,221,959
143 401090000 PELY. PNJNG DIAGNOSTIK LKH 15 189,750 1,411,709
144 401100000 PELY. FARMASI LKH 15 77,984 1,489,693
145 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 15 250,000 1,739,693
146 401170000 PELY. MEDIKO LEGAL LKH 15 5,000 1,744,693
147 401200000 PELAY. SWAB LKH 15 30,000 1,774,693
Setor Kebendahara Penerimaan 1,774,693 -
JUMLAH JALAN 108,871,975 108,871,975
 PEMERINTAH KABUPATEN REMBANG 4
RUMAH SAKIT UMUM DAERAH dr.R SOETRASNO
Jalan Pahlawan No. 16 Telp. 691444 Fax 692613
REMBANG – 59218
FORMULIR PEMBUKUAN KAS
Nomor : 4 / 7 / 2021

Nomor Formulir : FPK 000001

Tanggal : JULI 2021
Dokumen pendukung : RPTH
No Tanggal Kode Rekening Uraian Referensi Debet Kredit Saldo
148 JUMLAH PINDAHAN 108,871,975 108,871,975 -
149 7/16/2021 401020000 RAWAT DARURAT LKH 16 489,460 489,460
150 401030000 RAWAT INAP LKH 16 483,000 972,460
151 401070000 TIND. KEPERAWATAN LKH 16 442,489 1,414,949
152 401080000 PELY. PERSALINAN LKH 16 480,000 1,894,949
153 401090000 PELY. PNJNG DIAGNOSTIK LKH 16 3,043,649 4,938,598
154 401100000 PELY. FARMASI LKH 16 1,021,087 5,959,685
155 401130000 PELY. KONSULTASI KHUSUS LKH 16 67,500 6,027,185
156 401170000 PELY. MEDIKO LEGAL LKH 16 5,000 6,032,185
157 Setor Kebendahara Penerimaan 6,032,185 -
158 7/17/2021 401020000 RAWAT DARURAT LKH 17 172,280 172,280
159 401030000 RAWAT INAP LKH 17 2,190,000 2,362,280
160 401050000 PELY. PERISTI LKH 17 2,654,000 5,016,280
161 401070000 TIND. KEPERAWATAN LKH 17 3,876,187 8,892,467
162 401090000 PELY. PNJNG DIAGNOSTIK LKH 17 1,780,350 10,672,817
163 401100000 PELY. FARMASI LKH 17 1,268,310 11,941,127
164 401130000 PELY. KONSULTASI KHUSUS LKH 17 30,000 11,971,127
165 401170000 PELY. MEDIKO LEGAL LKH 17 5,000 11,976,127
166 401200000 PELAY. SWAB LKH 17 30,000 12,006,127
167 Setor Kebendahara Penerimaan 12,006,127 -
168 7/18/2021 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 18 284,000 284,000
169 Setor Kebendahara Penerimaan 284,000 -
170 7/19/2021 401030000 RAWAT INAP LKH 19 605,000 605,000
171 401050000 PELY. PERISTI LKH 19 414,000 1,019,000
172 401060000 TIND. MEDIS LKH 19 2,307,270 3,326,270
173 401070000 TIND. KEPERAWATAN LKH 19 716,175 4,042,445
174 401090000 PELY. PNJNG DIAGNOSTIK LKH 19 998,007 5,040,452
175 401100000 PELY. FARMASI LKH 19 820,677 5,861,129
176 401130000 PELY. KONSULTASI KHUSUS LKH 19 40,000 5,901,129
177 Setor Kebendahara Penerimaan 5,901,129 -
178 7/20/2021 401020000 RAWAT DARURAT LKH 20 744,330 744,330
179 401030000 RAWAT INAP LKH 20 1,576,500 2,320,830
180 401060000 TIND. MEDIS LKH 20 9,305,301 11,626,131
181 401070000 TIND. KEPERAWATAN LKH 20 1,008,931 12,635,062
182 401090000 PELY. PNJNG DIAGNOSTIK LKH 20 3,714,547 16,349,609
183 401100000 PELY. FARMASI LKH 20 8,585,233 24,934,842
184 401130000 PELY. KONSULTASI KHUSUS LKH 20 127,500 25,062,342
185 401140000 REHAB MEDIS / FISIOTERAPI LKH 20 28,000 25,090,342
186 401170000 PELY. MEDIKO LEGAL LKH 20 5,000 25,095,342
187 401200000 PELAY. SWAB LKH 20 30,000 25,125,342
188 Setor Kebendahara Penerimaan 25,125,342 -
189 7/21/2021 401020000 RAWAT DARURAT LKH 21 213,780 213,780
190 401030000 RAWAT INAP LKH 21 292,000 505,780
191 401060000 TIND. MEDIS LKH 21 1,243,311 1,749,091
192 401070000 TIND. KEPERAWATAN LKH 21 138,884 1,887,975
193 401090000 PELY. PNJNG DIAGNOSTIK LKH 21 878,067 2,766,042
194 401100000 PELY. FARMASI LKH 21 477,458 3,243,500
195 401130000 PELY. KONSULTASI KHUSUS LKH 21 20,000 3,263,500
196 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 21 948,000 4,211,500
Setor Kebendahara Penerimaan 4,211,500 -
JUMLAH JALAN 162,432,258 162,432,258
 PEMERINTAH KABUPATEN REMBANG 5
RUMAH SAKIT UMUM DAERAH dr.R SOETRASNO
Jalan Pahlawan No. 16 Telp. 691444 Fax 692613
REMBANG – 59218
FORMULIR PEMBUKUAN KAS
Nomor : 5 / 7 / 2021

Nomor Formulir : FPK 000001

Tanggal : JULI 2021
Dokumen pendukung : RPTH
No Tanggal Kode Rekening Uraian Referensi Debet Kredit Saldo
197 JUMLAH PINDAHAN 162,432,258 162,432,258 -
198 7/22/2021 401020000 RAWAT DARURAT LKH 22 494,780 494,780
199 401030000 RAWAT INAP LKH 22 466,000 960,780
200 401040000 PELY.ICU LKH 22 550,000 1,510,780
201 401050000 PELY. PERISTI LKH 22 190,000 1,700,780
202 401060000 TIND. MEDIS LKH 22 6,169,094 7,869,874
203 401070000 TIND. KEPERAWATAN LKH 22 894,664 8,764,538
204 401090000 PELY. PNJNG DIAGNOSTIK LKH 22 1,659,780 10,424,318
205 401100000 PELY. FARMASI LKH 22 2,376,979 12,801,297
206 401130000 PELY. KONSULTASI KHUSUS LKH 22 120,000 12,921,297
207 401170000 PELY. MEDIKO LEGAL LKH 22 5,000 12,926,297
208 Setor Kebendahara Penerimaan 12,926,297 -
209 7/23/2021 401020000 RAWAT DARURAT LKH 23 336,780 336,780
210 401030000 RAWAT INAP LKH 23 315,000 651,780
211 401070000 TIND. KEPERAWATAN LKH 23 30,196 681,976
212 401080000 PELY. PERSALINAN LKH 23 450,000 1,131,976
213 401090000 PELY. PNJNG DIAGNOSTIK LKH 23 527,217 1,659,193
214 401100000 PELY. FARMASI LKH 23 1,760,583 3,419,776
215 401130000 PELY. KONSULTASI KHUSUS LKH 23 10,000 3,429,776
216 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 23 208,800 3,638,576
217 401170000 PELY. MEDIKO LEGAL LKH 23 5,000 3,643,576
218 401200000 PELAY. SWAB LKH 23 30,000 3,673,576
219 Setor Kebendahara Penerimaan 3,673,576 -
220 7/24/2021 401020000 RAWAT DARURAT LKH 24 348,330 348,330
221 401030000 RAWAT INAP LKH 24 553,500 901,830
222 401050000 PELY. PERISTI LKH 24 734,000 1,635,830
223 401060000 TIND. MEDIS LKH 24 3,176,403 4,812,233
224 401070000 TIND. KEPERAWATAN LKH 24 520,758 5,332,991
225 401090000 PELY. PNJNG DIAGNOSTIK LKH 24 642,317 5,975,308
226 401100000 PELY. FARMASI LKH 24 481,162 6,456,470
227 401130000 PELY. KONSULTASI KHUSUS LKH 24 90,000 6,546,470
228 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 24 348,000 6,894,470
229 401170000 PELY. MEDIKO LEGAL LKH 24 5,000 6,899,470
230 401200000 PELAY. SWAB LKH 24 30,000 6,929,470
231 Setor Kebendahara Penerimaan 6,929,470 -
232 7/25/2021 401030000 RAWAT INAP LKH 25 30,000 30,000
233 401050000 PELY. PERISTI LKH 25 220,000 250,000
234 401060000 TIND. MEDIS LKH 25 210,000 460,000
235 401070000 TIND. KEPERAWATAN LKH 25 259,051 719,051
236 401090000 PELY. PNJNG DIAGNOSTIK LKH 25 189,750 908,801
237 401100000 PELY. FARMASI LKH 25 35,180 943,981
238 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 25 638,000 1,581,981
239 401170000 PELY. MEDIKO LEGAL LKH 25 5,000 1,586,981
240 401200000 PELAY. SWAB LKH 25 30,000 1,616,981
241 Setor Kebendahara Penerimaan 1,616,981 -
242 7/26/2021 401020000 RAWAT DARURAT LKH 26 70,250 70,250
243 401030000 RAWAT INAP LKH 26 188,000 258,250
244 401050000 PELY. PERISTI LKH 26 246,000 504,250
245 401070000 TIND. KEPERAWATAN LKH 26 290,071 794,321
246 401080000 PELY. PERSALINAN LKH 26 380,000 1,174,321
247 401090000 PELY. PNJNG DIAGNOSTIK LKH 26 390,767 1,565,088
248 401100000 PELY. FARMASI LKH 26 78,607 1,643,695
249 401130000 PELY. KONSULTASI KHUSUS LKH 26 10,000 1,653,695
250 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 26 110,000 1,763,695
Setor Kebendahara Penerimaan 1,763,695 -
JUMLAH JALAN 189,342,277 189,342,277
 PEMERINTAH KABUPATEN REMBANG 6
RUMAH SAKIT UMUM DAERAH dr.R SOETRASNO
Jalan Pahlawan No. 16 Telp. 691444 Fax 692613
REMBANG – 59218
FORMULIR PEMBUKUAN KAS
Nomor : 6 / 7 / 2021

Nomor Formulir : FPK 000001

Tanggal : JULI 2021
Dokumen pendukung : RPTH
No Tanggal Kode Rekening Uraian Referensi Debet Kredit Saldo
251 JUMLAH PINDAHAN 189,342,277 189,342,277 -
252 7/27/2021 401020000 RAWAT DARURAT LKH 27 483,560 483,560
253 401030000 RAWAT INAP LKH 27 20,000 503,560
254 401040000 PELY.ICU LKH 27 440,000 943,560
255 401050000 PELY. PERISTI LKH 27 734,000 1,677,560
256 401070000 TIND. KEPERAWATAN LKH 27 431,437 2,108,997
257 401090000 PELY. PNJNG DIAGNOSTIK LKH 27 3,990,367 6,099,364
258 401100000 PELY. FARMASI LKH 27 1,431,872 7,531,236
259 401130000 PELY. KONSULTASI KHUSUS LKH 27 180,000 7,711,236
260 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 27 70,000 7,781,236
261 401200000 PELAY. SWAB LKH 27 120,000 7,901,236
262 Setor Kebendahara Penerimaan 7,901,236 -
263 7/28/2021 401020000 RAWAT DARURAT LKH 28 730,780 730,780
264 401030000 RAWAT INAP LKH 28 987,500 1,718,280
265 401040000 PELY.ICU LKH 28 1,226,000 2,944,280
266 401050000 PELY. PERISTI LKH 28 198,000 3,142,280
267 401060000 TIND. MEDIS LKH 28 4,657,290 7,799,570
268 401070000 TIND. KEPERAWATAN LKH 28 1,101,993 8,901,563
269 401090000 PELY. PNJNG DIAGNOSTIK LKH 28 3,298,093 12,199,656
270 401100000 PELY. FARMASI LKH 28 8,428,654 20,628,310
271 401130000 PELY. KONSULTASI KHUSUS LKH 28 140,000 20,768,310
272 401170000 PELY. MEDIKO LEGAL LKH 28 5,000 20,773,310
273 Setor Kebendahara Penerimaan 20,773,310 -
274 7/29/2021 401020000 RAWAT DARURAT LKH 29 351,560 351,560
275 401030000 RAWAT INAP LKH 29 1,780,000 2,131,560
276 401040000 PELY.ICU LKH 29 1,300,000 3,431,560
277 401060000 TIND. MEDIS LKH 29 4,851,674 8,283,234
278 401070000 TIND. KEPERAWATAN LKH 29 2,243,768 10,527,002
279 401090000 PELY. PNJNG DIAGNOSTIK LKH 29 6,608,184 17,135,186
280 401100000 PELY. FARMASI LKH 29 4,437,875 21,573,061
281 401130000 PELY. KONSULTASI KHUSUS LKH 29 157,500 21,730,561
282 401140000 REHAB MEDIS / FISIOTERAPI LKH 29 139,000 21,869,561
283 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 29 358,000 22,227,561
284 402030000 PENDAPATAN LAIN-LAIN LKH 29 693 22,228,254
285 Setor Kebendahara Penerimaan 22,228,254 -
286 30/07/21 401020000 RAWAT DARURAT LKH 30 172,280 172,280
287 401030000 RAWAT INAP LKH 30 679,100 851,380
288 401070000 TIND. KEPERAWATAN LKH 30 110,884 962,264
289 401090000 PELY. PNJNG DIAGNOSTIK LKH 30 265,650 1,227,914
290 401100000 PELY. FARMASI LKH 30 236,469 1,464,383
291 401130000 PELY. KONSULTASI KHUSUS LKH 30 20,000 1,484,383
292 Setor Kebendahara Penerimaan 1,484,383 -
293 31/07/21 401020000 RAWAT DARURAT LKH 31 555,310 555,310
294 401030000 RAWAT INAP LKH 31 486,500 1,041,810
295 401040000 PELY.ICU LKH 31 400,000 1,441,810
296 401050000 PELY. PERISTI LKH 31 756,000 2,197,810
297 401060000 TIND. MEDIS LKH 31 3,781,295 5,979,105
298 401070000 TIND. KEPERAWATAN LKH 31 1,765,496 7,744,601
299 401080000 PELY. PERSALINAN LKH 31 350,000 8,094,601
300 401090000 PELY. PNJNG DIAGNOSTIK LKH 31 5,202,816 13,297,417
301 401100000 PELY. FARMASI LKH 31 1,737,667 15,035,084
302 401130000 PELY. KONSULTASI KHUSUS LKH 31 60,000 15,095,084
303 401160000 PELY.MOBIL AMBLN & JENAZAH LKH 31 856,000 15,951,084
304 401170000 PELY. MEDIKO LEGAL LKH 31 15,000 15,966,084
305 401200000 PELAY. SWAB LKH 31 60,000 16,026,084
Setor Kebendahara Penerimaan 16,026,084.00 -
JUMLAH JALAN 257,755,544 257,755,544

Bendahara Penerimaan Bendahara Pembantu

RUBIASTUTIK DWI HASTUTIK

NIP 19780727 199703 2 001 NIP 19790206 200901 2 001

Mengetahui
Ka. Bag . TaTa Usaha
Selaku Pejabat Keuangan

Dra. SUTARTIK
NIP 19681015 199303 2 009