PENJAMIN KUNJUNGAN PENUNJANG RAWAT INAP

TANGGAL
OWNUSE (NSM) PIHAK 3 (PTPN,SWASTA ASURANSI (JACIVIC MISSIONBPJS KES
01/04/2023 15 1 39
02/04/2023 4 1 34
03/04/2023 8 41
04/04/2023 4 76
05/04/2023 1 43
06/04/2023 6 64
07/04/2023 6 55
08/04/2023 12 1 39
09/04/2023 7 2 45
10/04/2023 12 1 82
11/04/2023 16 62
12/04/2023 8 63
13/04/2023 8 39
14/04/2023 1 34
15/04/2023 1 25 2 59
16/04/2023 1 5 1 37
17/04/2023 5 56
18/04/2023 12 84
19/04/2023 35
20/04/2023 8 49
21/04/2023 5 38
22/04/2023 2 29
23/04/2023 3 18
24/04/2023 10 53
25/04/2023 15 39
26/04/2023 9 36
27/04/2023 4 68
28/04/2023 6 4 76
29/04/2023 4 62
30/04/2023 1 2 56
9 0 220 0 10 1511
 PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN
BPJS TK OWNUSE (NSMPIHAK 3 (PTPN,SWASTA ASURANSI (JACIVIC MISSIONBPJS KES
20 85
2 13 87
12 3 80
20 107
8 3 91
5 3 125
1 57 7 89
3 23 28
23 3 135
16 3 97
1 24 104
5 33 80
25 98
3 30 98
5 38 5 58
6 23
19 3 102
9 3 65
14 101
33 55
18 72
16 49
15 102
5 39 102
50 3 97
28 3 123
14 31 152
3 25 78
10 107
22 90
5 37 0 682 0 39 2680
N
BPJS TK antigen pcr
160 1 0
141 2 0
144 0 0
207 3 0
5 151 1 0
203 3 0
7 222 3 0
106 2 0
215 0 0
211 2 0
207 3 0
189 1 0
3 173 0 0
166 1 0
193 1 0
73 0 0
185 2 0
173 1 0
150 0 0
145 1 0
133 1 0
96 1 0
138 3 0
209 4 0
204 3 0
199 1 0
269 4 0
192 1 0
183 4 0
171 2 0
15 5208 51 0
 PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN
TANGGAL
OWNUSE (NSMPIHAK 3 (PTPN,SWASTA ASURANSI (JACIVIC MISSIONBPJS KES
01/04/2023 0 0
02/04/2023 0 0
03/04/2023 0 0
04/04/2023 0 0
05/04/2023 4 0 0
06/04/2023 0 0
07/04/2023 0 0
08/04/2023 0 0
09/04/2023 0 0
10/04/2023 4 0 1
11/04/2023 4 0 1
12/04/2023 0 0
13/04/2023 4 0
14/04/2023 4 4 0
15/04/2023 0 0
16/04/2023 0 0
17/04/2023 4 4 1
18/04/2023 0 0
19/04/2023 0 0
20/04/2023 0 0
21/04/2023 0 0
22/04/2023 0 0
23/04/2023 0 0
24/04/2023 0 0
25/04/2023 0 0
26/04/2023 0 0
27/04/2023 0 0
28/04/2023 4 0
29/04/2023 0 0
30/04/2023 0 0
24 12 3 0 0 0

-
N PENJAMIN KUNJUNGAN PENUNJANG RAWAT INAP
BPJS TK OWNUSE (NSMPIHAK 3 (PTPN,SWASTA ASURANSI (JACIVIC MISSIONBPJS KES

4
4

4 4

1 4

4
4
4

4 3
4

3
4 4

24 0 0 5 4 0 22
P
BPJS TK
0
0
4
4
4
8
0
0
0
10
5
4
8
12
0
0
9
7
4
0
0
0
0
0
0
0
3 6
12
0
8
3
 PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN
TANGGAL
OWNUSE (NSMPIHAK 3 (PTPN,SWASTA ASURANSI (JACIVIC MISSIONBPJS KES
01/04/2023
02/04/2023 1 1
03/04/2023
04/04/2023 1
05/04/2023
06/04/2023 1
07/04/2023
08/04/2023
09/04/2023
10/04/2023
11/04/2023
12/04/2023
13/04/2023 3
14/04/2023
15/04/2023
16/04/2023
17/04/2023
18/04/2023 1
19/04/2023
20/04/2023
21/04/2023
22/04/2023
23/04/2023
24/04/2023
25/04/2023
26/04/2023
27/04/2023
28/04/2023
29/04/2023
30/04/2023
0 0 1 0 0 7
N PENJAMIN KUNJUNGAN PENUNJANG RAWAT INAP
BPJS TK OWNUSE (NSM) PIHAK 3 (PTPN, PT KAI, DLL)SWASTA ASURANSI (JASA
8
5
1 1
1 3
5
4
1 4 1
1 1 6
1 9
7
7
8
1 6
7
13
9
1 7
4
1
7
3
5
6
6
11
1 10
6
2 5
3 12
1 7
0 9 6 192 1
NJANG RAWAT INAP @
CIVIC MISSION (JA BPJS KES BPJS TK TOTAL
1 35 44
38 45
38 40
39 44
1 36 42
1 24 1 31
32 38
1 34 43
1 21 32
42 49
1 33 41
47 55
46 56
33 1 41
1 30 44
2 22 33
15 23
19 24
24 25
38 45
22 25
22 27
24 30
30 36
31 42
1 31 43
1 39 46
39 46
42 57
43 51
11 969 2 1198
KUNJ RONTGEN
PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN PENJAMIN KUNJUNGAN PENUNJANG RAW
TANGGAL
OWNUS CIVIC M BPJS KESBPJS TK OWNUSE PIHAK 3 SWASTASURANS
PIHAK 3 SWASTAASURA
01/04/2023 7 4 4
02/04/2023 0 0 1
03/04/2023 6 6 0
04/04/2023 4 2 1
05/04/2023 2 9 0
06/04/2023 0 4 1
07/04/2023 3 0 6
08/04/2023 2 2 3
09/04/2023 0 0 3
10/04/2023 4 14 2
11/04/2023 2 5 3
12/04/2023 3 5 2
13/04/2023 2 4 6
14/04/2023 4 6 5
15/04/2023 7 1 6
16/04/2023 0 0 0
17/04/2023 7 7 7
18/04/2023 3 3 4
19/04/2023 8 4 2
20/04/2023 1 2 13
21/04/2023 2 0 1
22/04/2023 0 0 1
23/04/2023 0 0 1
24/04/2023 5 0 9
25/04/2023 4 0 16
26/04/2023 3 4 11
27/04/2023 4 3 9
28/04/2023 4 7 2
29/04/2023 5 1 0
30/04/2023

0 0 92 0 0 93 0 0 0 119 0
USG
PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN PENJAMIN KUNJUNGAN PENUNJANG RAW
TANGGAL
OWNUSPIHAK 3 SWASTAASURA
CIVIC M BPJS KESBPJS TK OWNUSE PIHAK 3 SWASTASURANS
01/04/2023 0 0 0
02/04/2023 0 0 0
03/04/2023 4 13 1
04/04/2023 3 18 0
05/04/2023 2 15 0
06/04/2023 3 8 0
07/04/2023 0 0 0
08/04/2023 0 0 0
09/04/2023 0 0 0
10/04/2023 1 13 1
11/04/2023 4 7 0
12/04/2023 1 11 1
13/04/2023 0 9 0
14/04/2023 7 14 0
15/04/2023 0 0 0
16/04/2023 0 0 0
17/04/2023 2 7 2
18/04/2023 6 10 0
19/04/2023 1 15 3
20/04/2023 2 5 0
21/04/2023 0 0 0
22/04/2023 0 0 0
23/04/2023 0 0 0
24/04/2023 0 0 0
25/04/2023 0 0 0
26/04/2023 0 0 1
27/04/2023 6 16 0
28/04/2023 7 23 1
29/04/2023 0 0 0
30/04/2023

0 0 49 0 0 184 0 0 0 10 0
CT- SCAN / MRI
PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN PENJAMIN KUNJUNGAN PENUNJANG RAW
TANGGAL
OWNUS PIHAK 3 SWASTAASURACIVIC M BPJS KESBPJS TK OWNUSE PIHAK 3 SWASTASURANS
01/04/2023 0 0 0
02/04/2023 0 0 0
03/04/2023 0 0 0
04/04/2023 0 0 1
05/04/2023 0 0 1
06/04/2023 0 0 0
07/04/2023 0 0 0
08/04/2023 0 0 1
09/04/2023 0 0 0
10/04/2023 0 0 0
11/04/2023 0 0 1
12/04/2023 0 0 0
13/04/2023 0 0 0
14/04/2023 0 0 0
15/04/2023 0 0 0
16/04/2023 0 0 0
17/04/2023 0 0 0
18/04/2023 0 0 0
19/04/2023 0 0 0
20/04/2023 0 0 0
21/04/2023 0 0 0
22/04/2023 0 0 0
23/04/2023 0 0 0
24/04/2023 0 0 0
25/04/2023 0 0 1
26/04/2023 0 0 0
27/04/2023 0 0 0
28/04/2023 0 0 0
29/04/2023 0 0 0
30/04/2023

HSG
PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN PENJAMIN KUNJUNGAN PENUNJANG RAW
TANGGAL
OWNUSPIHAK 3 SWASTAASURA
CIVIC M BPJS KESBPJS TK OWNUSE PIHAK 3 SWASTASURANS
01/04/2023 0 0 0
02/04/2023 0 0 0
03/04/2023 0 0 0
04/04/2023 0 0 0
05/04/2023 0 0 0
06/04/2023 0 0 0
07/04/2023 0 0 0
08/04/2023 0 0 0
09/04/2023 0 0 0
10/04/2023 0 0 0
11/04/2023 0 0 0
12/04/2023 0 0 0
13/04/2023 0 0 0
14/04/2023 0 0 0
15/04/2023 0 0 0
16/04/2023 0 0 0
17/04/2023 0 0 0
18/04/2023 0 0 0
19/04/2023 0 0 0
20/04/2023 0 0 0
21/04/2023 0 0 0
22/04/2023 0 0 0
23/04/2023 0 0 0
24/04/2023 0 0 0
25/04/2023 0 0 0
26/04/2023 0 0 0
27/04/2023 0 0 0
28/04/2023 0 0 0
29/04/2023 0 0 0
30/04/2023
0 0 0 0 0 0 0 0 0 0 0
UNGAN PENUNJANG RAWAT INAP
CIVIC MI BPJS KESBPJS TK
7 22
8 9
22 34
17 24
17 28
27 32
12 21
8 15
10 13
19 39
16 26
14 24
17 29
12 27
7 21 13 8
1 1 0 1
7 28 14 14
11 21 7 14
14 28 10 18
12 28 14 14
10 13 3 10
5 6 #REF! #REF!
5 6 1 5
34 48 14 34
10 30 20 10
17 35 14 21
15 31 13 23
20 33
18

0 392 0

UNGAN PENUNJANG RAWAT INAP 0

CIVIC MI BPJS KESBPJS TK 0
0 0
0 0
9 27
8 29
8 25
0 11
0 0
 0 0
0 0
5 20
0 11
7 20
0 9
5 26 7 19
0 0 0 0
0 0 0 0
4 15 4 11
2 18 6 12
5 24 4 20
0 7 2 5
0 0 0 0
0 0 0 0
0 0 1 5
0 0 0 0
0 0 0 0
1 2 1 1
0 22
9 40
0

0 63 0 306

UNGAN PENUNJANG RAWAT INAP 0

CIVIC MI BPJS KESBPJS TK 0
0 0
0 0
1 1
0 1
0 1
1 1
1 1
0 1
0 0
1 1
1 2
3 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 1 1
0 0
0 0
0 0
0 0
1 2
0 0
1 1
1 1
0

UNGAN PENUNJANG RAWAT INAP 0

CIVIC MISSION (JA BPJS TK 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0 0 0
40]``2
PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN
OWNUSE (NSMPIHAK 3 (PTPN,SWASTA ASURANSI (JACIVIC MISSIONBPJS KES
01/04/2023 35 70
02/04/2023 30 25
03/04/2023 7 46 246
04/04/2023 10 42 200
05/04/2023 10 30 240
06/04/2023 6 40 208
07/04/2023 10 55
08/04/2023 3 135
09/04/2023 10
10/04/2023 12 50 397
11/04/2023 7 37 155
12/04/2023 7 35 237
13/04/2023 7 36 290
14/04/2023 8 28 300
15/04/2023 3 57 123
16/04/2023 8 11
17/04/2023 42 356
18/04/2023 45 137
19/04/2023 4 43 206
20/04/2023 3 37 117
21/04/2023 25 10
22/04/2023 26 7
23/04/2023 10 4
24/04/2023 50
25/04/2023 39 63
26/04/2023 4 59 98
27/04/2023 4 60 319
28/04/2023 5 69 370
29/04/2023 2 25 87
30/04/2023 2 20 1

0 104 1034 0 0 4477

TOT RAJAL
N PENJAMIN KUNJUNGAN PENUNJANG RAWAT INAP
BPJS TK OWNUSE (NSMPIHAK 3 (PTPN,SWASTA ASURANSI (JACIVIC MISSIONBPJS KES
5 25 3 221
6 30 4 240
18 12 1 203
9 24 3 163
10 25 2 158
3 14 3 185
5 20 4 200
20 20 4 189
15 20 3 155
5 4 44 2 218
3 42 33 4 250
1 20 38 6 270
15 47 2 229
21 50 10 280
10 44 5 224
3 35 2 172
6 20 12 2 180
4 21 4 132
5 12 3 189
4 30 2 125
5 20 120
3 37 116
4 24 135
6 46 169
2 48 3 178
4 55 245
30 3 200
5 60 5 285
6 25 3 250
3 30 2 185

15 0 277 931 0 85 5866

TOT RANAP
5630
P
BPJS TK
359
335
533
451
475
3 462
294
371
203
1 733
531
614
1 627
3 700
2 468
231
618
343
462
318
180
189
177
271
333
465
616
799
398
243

10 12799
7169 7169
5630
12799 12799
0
0
 PENJAMIN KUNJUNGAN PENUNJANG RAWAT JALAN
OWNUSE (NSMPIHAK 3 (PTPN,SWASTA ASURANSI (JACIVIC MISSIONBPJS KES
01/02/2023 0 5 114 0 5 461
02/02/2023 2 6 84 0 5 433
03/02/2023 1 25 90 0 4 658
04/02/2023 1 19 101 0 3 631
05/02/2023 4 20 72 0 7 617
06/02/2023 0 9 77 0 7 646
07/02/2023 0 6 106 1 11 443
08/02/2023 1 24 66 0 6 435
09/02/2023 0 16 62 0 9 376
10/02/2023 4 16 139 0 6 891
11/02/2023 4 49 127 0 5 632
12/02/2023 5 27 129 0 6 738
13/02/2023 4 23 130 0 2 739
14/02/2023 7 33 132 0 10 782
15/02/2023 6 13 190 0 13 502
16/02/2023 1 3 63 0 5 266
17/02/2023 4 25 104 0 5 734
18/02/2023 0 4 104 4 7 467
19/02/2023 0 9 84 0 3 593
20/02/2023 0 7 131 0 2 403
21/02/2023 0 5 74 0 0 272
22/02/2023 0 3 87 0 0 228
23/02/2023 0 4 59 0 0 288
24/02/2023 5 6 165 0 0 388
25/02/2023 0 2 183 0 6 418
26/02/2023 1 8 176 0 4 555
27/02/2023 14 4 150 0 4 815
28/02/2023 11 14 177 0 5 911
29/02/2023 3 8 81 0 3 567
30/02/2023 1 6 81 0 2 375
31/02/2023 79 18 1103 5 60 5189
158 417 4441 10 205 21453
N
BPJS TK
0 585
0 530
4 782
4 759
5 725
8 747
8 575
3 535
0 463
6 1062
4 821
1 906
4 902
8 972
2 726
0 338
6 878
0 586
4 693
0 543
0 351
0 318
0 351
0 564
0 609
0 744
3 990
4 1122
0 662
0 465
49 6503
123