CIREBON
FORMULIR PENGAJUAN KLAIM TINGKAT PERTAMA
Provider : GABUSWETAN
Total Data : 13
NO KUNJUNGAN NAMA PESERTA TGL MASUK TGL PULANG TINDAKAN TENAGA MEDIS BIAYA
102115010220P000619 WINIA HARDI ANTI (0000465903641) 29/02/2020 01/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) RUSTIYANTI ISMA JUHAITA Rp. 700.000
102115010320P000301 L I S A (0000465390279) 04/03/2020 06/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) MAR'ATUS SHALICHAH Rp. 700.000
102115010320P000302 SUSI ERAWATI (0001780858045) 04/03/2020 06/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) RUSTIYANTI ISMA JUHAITA Rp. 700.000
102115010320P000303 TIKA IRENA (0001517625369) 08/03/2020 10/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) RUSTIYANTI ISMA JUHAITA Rp. 700.000
102115010320P000304 SUMARNI (0002696256742) 10/03/2020 12/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) MAR'ATUS SHALICHAH Rp. 700.000
102115010320P000305 SITI AMINAH (0000466305772) 11/03/2020 12/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) WURI HASTUTININGSIH Rp. 700.000
102115010320P000449 FUZIARTI BT.TRISNO (0000466637005) 17/03/2020 18/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) MAR'ATUS SHALICHAH Rp. 700.000
102115010320P000450 NURANI RAHAYU (0002899688646) 17/03/2020 19/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) ANITA ALFIANA Rp. 700.000
102115010320P000451 INTAN LESTARI (0001477956655) 18/03/2020 19/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) IKRIMA HUDA Rp. 700.000
102115010320P000452 ANIYAH (0000473428743) 25/03/2020 27/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) NANI SAEFATUL AINI Rp. 700.000
102115010320P000533 MULYANI (0002923370043) 13/03/2020 14/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) MAR'ATUS SHALICHAH Rp. 700.000
102115010320P000534 ERWA NINGSIH (0002919747767) 27/03/2020 29/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) ANITA ALFIANA Rp. 700.000
102115010320P000553 NOVITA SARI (0000467579924) 30/03/2020 31/03/2020 Paket Persalinan per Vaginam normal (oleh Bidan) ANITA ALFIANA Rp. 700.000