REKAPITULASI PELAYANAN RAWAT INAP

Jumlah Besaran
Tanggal Tanggal
No Nama Peserta Nomor Identitas Alamat No. Telepon Diagnosa Hari tarif Jumlah tagihan
Masuk Keluar
1 Hartini 0000355662876 Pringkumpul 085609301357 Coloc Abdomen 04/03/2023 07/03/2023 Rawat 3 Paket
300000 Rp 900,000
2 Nasikin 0002791174408 Jatiagung 085768168139 Obs. Febris 04/03/2023 08/03/2023 4 300000 Rp 1,200,000
3 Parsin 0002762098929 Karang Kembang febris, viral infection 02/03/2023 05/03/2023 3 300000 Rp 900,000
4 Satiyah 0003161842211 Sumberdadi 085768844332 colic abdomen 28/02/2023 03/03/2023 3 300000 Rp 900,000
5 Alisa Azahra 0000997045795 Sampang 085788229940 febris, faringitis 09/03/2023 12/03/2023 3 300000 Rp 900,000
6 Susmiyati 0002069862129 Margakaya 085758991306 Dyspepsia 09/03/2023 12/03/2023 3 300000 Rp 900,000
7 Fazhilal Khair Kafah 0002481148563 Pringkumpul 085369265703 ISPA 07/03/2023 12/03/2023 5 300000 Rp 1,500,000
8 Nursidah 0000997050857 Pringkumpul 081274471182 HT, Dyspepsia 15/03/2023 18/03/2023 3 300000 Rp 900,000
9 Sukesi 0002778493656 Sampang 081379074413 Dyspepsia 23/03/2023 26/03/2023 3 300000 Rp 900,000
10 Fakhri Khairan Alli 0003,503176277 Pringkumpul 089529612098 GE akut 25/03/2023 28/03/2023 3 300000 Rp 900,000
11 Vian Pratama 0001849501754 Trimulyo 082377341761 Dyspepsia 26/03/2023 29/03/2023 3 300000 Rp 900,000
12 Rosidah 0003315323125 Pandan Surat 085268739087 Anemia 16/03/2023 17/03/2023 1 300000 Rp 300,000
13 Kasih 00020348939 Pringkumpul 081368189845 HT, LBP 10/03/2023 13/03/2023 3 300000 Rp 900,000
14 Antina 0000357451558 Margakaya 085783147778 Dyspepsia, Vertigo 11/03/2023 14/03/2023 3 300000 Rp 900,000
15 Siti Delpha 0002314651915 Margakaya 085788295946 Faringitis 17/03/2023 20/03/2023 3 300000 Rp 900,000
16 0 300000 Rp -
17 0 300000 Rp -
18 0 300000 Rp -
19 0 300000 Rp -
20 0 300000 Rp -
21 0 300000 Rp -
22 0 300000 Rp -
23 0 300000 Rp -
24 0 300000 Rp -
25 0 300000 Rp -
26 0 300000 Rp -
27 0 300000 Rp -
28 0 300000 Rp -
29 0 300000 Rp -
30 0 300000 Rp -
31 0 300000 Rp -
32 0 300000 Rp -
33 0 300000 Rp -
34 0 300000 Rp -
35 0 300000 Rp -
36 0 300000 Rp -
37 0 300000 Rp -
38 0 300000 Rp -
Jumlah 46 Rp 13,800,000