DAFTAR NAMA PEMBELIAN MASKER

TGL BELI NAMA JUMLAH HARGA

18-Nov FATONAH 2 Rp 5,000
5-Nov RULI 2 Rp 5,000
9-Nov RIYANTO 2 Rp 5,000
10-Nov INUN 2 Rp 5,000
11-Dec JAMRUD 2 Rp 5,000
13-DES DIAH 2 Rp 5,000
22-DES ACH. ZAMRONI 2 Rp 5,000
24-DES M.ISLAH 2 Rp 5,000
24-Dec ANDRI 2 Rp 5,000
27-Dec ELY 2 Rp 5,000
1-Jan ARGA 2 Rp 5,000
14-Jan PUTRY 2 Rp 2,500
14-Jan SRIAWAN 2 Rp 2,500
14-Jan SITI KOLIFA 2 Rp 2,500
14-Jan AIRLANGGA 2 Rp 5,000
15-Jan CHAYATUN 2 Rp 5,000
15-Jan SUPIATI 2 Rp 5,000
15-Jan FITRIATUL 2 Rp 5,000
16-Jan ABDUL MUIS 2 Rp 5,000
16-Jan AHMAD YANI 2 Rp 5,000
16-Jan LILIS 2 Rp 5,000
16-Jan DEDY PURNOMO 2 Rp 5,000
17-Jan NINING 2 Rp 5,000
17-Jan TUTIK 2 Rp 5,000
17-Jan SULIS 2 Rp 5,000
 TOTAL (1)
Rp 2,350,000
Rp 1,250,000
Rp 1,150,000
Rp 2,200,000
Rp 7,215,844
Rp -
Rp 1,792,500
Rp 125,000
Rp -
Rp 50,000
Rp 10,000
Rp 750,000
Rp -
Rp -
Rp 15,000
Rp 15,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 16,923,344
Rp 2,131,213
Rp -
Rp -
Rp 14,792,131
Rp 14,792,131
 TOTAL (1)
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
NO. RESEP NOMINAL
Rp 129,354
Rp 60,553
Rp 119,826
Rp 14,380
Rp 64,363
Rp 11,600
Rp 255,170
Rp 114,280
Rp 113,439
Rp 88,190
Rp 51,069
Rp 93,550

Rp 1,115,774
 PERAWATAN
NO FARMASI LABORAT KARCIS DOKTER TINDAKAN SEWA BHP RADIOLOGI RAWAT JLN EX RI MATERAI K BEROBAT DP LAIN LAIN EDC QRIS TF FRE\BATAL REFUND
JENAZAH
Rp 234,031 Rp 60,000 Rp 50,000 Rp 100,000 Rp 30,000 Rp 25,000 Rp 8,000 Rp 208,165 Rp 422,031 Rp 195,000
Rp 289,618 Rp 50,000 Rp 100,000 Rp 187,626 Rp 54,438
Rp 20,165 Rp 50,000 Rp 100,000 Rp 289,618
Rp 187,626 Rp 50,000 Rp 100,000 Rp 30,000 Rp 8,000 Rp 288,790
Rp 11,180
Rp 12,300
Rp 54,438
Rp 113,790
Rp 30,340

FARMASI LABORAT KARCIS DOKTER TINDAKAN SEWA BHP RADIOLOGI RAWAT JLN EX RI MATERAI PERAWATAN JENAZAH K BEROBAT DP LAIN LAIN EDC QRIS TF FRE\BATAL REFUND
TOTAL
Rp 953,488 Rp 60,000 Rp 200,000 Rp 400,000 Rp 60,000 Rp 25,000 Rp 16,000 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 974,199 Rp 476,469 Rp - Rp - Rp 195,000
DEBET EDC Rp 1,450,668
JUMLAH
JUMLAH
AKHIR
Rp 68,820 Rp 68,820

KW IJO

RETUR
NO FARMASI LABORAT KARCIS

200 Rp 84,834 Rp 115,000 Rp 50,000

201 Rp 186,090 Rp 70,000 Rp 50,000
202 Rp 499,685 Rp 660,000 Rp 50,000
203 Rp 539,590 Rp 630,000 Rp 50,000
204 Rp 137,796 Rp 50,000
205 Rp 131,898 Rp 50,000
206 Rp 15,760 Rp 50,000
207 Rp 87,820 Rp 50,000
208 Rp 170,074 Rp 50,000
209 Rp 1,266,683 Rp 50,000
210 Rp 18,954 Rp 50,000
211 Rp 151,058
212 Rp 199,839
213 Rp 46,010
214 Rp 101,080
215 Rp 75,870
Rp 34,055
 FARMASI LABORAT KARCIS
TOTAL
Rp 3,747,096 Rp 1,475,000 Rp 550,000

JUMLAH
JUMLAH
AKHIR
Rp 7,117,661 Rp 6,727,431

FREE

RETUR Rp 6,330

KW IJO
PB

BATAL

MASUK RSI Rp 383,900

ACC SDM
 DOKTER TINDAKAN SEWA ALAT RADIOLOGI AMBULANCE

Rp 100,000 Rp 127,500 Rp 350,000

Rp 100,000 Rp 500,000
Rp 195,000 Rp 400,000
Rp 100,000 Rp 30,000
Rp 100,000 Rp 340,000
Rp 100,000 Rp 215,000
Rp 100,000 Rp 100,000
Rp 100,000 Rp 30,000
Rp 100,000 Rp 125,000
Rp 100,000 Rp 50,000
Rp 100,000
DOKTER TINDAKAN SEWA ALAT RADIOLOGI AMBULANCE
Rp 1,000,000 Rp 1,162,500 Rp 50,000 Rp 1,250,000 Rp -
RAWAT JLN EXESS IGD RWT INAP DEPOSIT
Rp 750,000
 RAWAT JLN EXESS IGD RWT INAP DEPOSIT
Rp - Rp - Rp 750,000 Rp -

Rp -
BHP KARTU LAIN LAIN MATERAI

Rp 15,000
 BHP KARTU LAIN LAIN MATERAI
Rp - Rp 15,000 Rp - Rp -
 EDC QRIS TRANSFER FREE

Rp 84,834 Rp 376,898
Rp 463,590
Rp 499,685
Rp 900,000
Rp 180,000
Rp 151,058
Rp 225,870
 EDC QRIS TRANSFER FREE
Rp 2,505,037 Rp 376,898 Rp - Rp -
Rp 2,881,935
QR + EDC
REUND DP
 REUND DP
Rp -
NO FARMASI LABORAT KARCIS DOKTER
188 Rp 344,120 Rp 230,000 Rp 50,000 Rp 100,000
189 Rp 110,463 Rp 230,000 Rp 50,000 Rp 100,000
190 Rp 58,948 Rp 180,000 Rp 50,000 Rp 100,000
191 Rp 139,475 Rp 230,000 Rp 50,000 Rp 100,000
192 Rp 88,596 Rp 230,000
193 Rp 115,000
194 Rp 660,000
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
 FARMASI LABORAT KARCIS DOKTER
TOTAL
Rp 741,602 Rp 1,875,000 Rp 200,000 Rp 400,000

JUMLAH
JUMLAH
AKHIR
Rp 9,392,482 Rp 8,732,482

REFUND Rp 660,000

FREE
KW IJO

RETUR

PB

BATAL
 TINDAKAN RADIOLOGI SEWA RWT INAP
Rp 75,000 Rp 180,000 Rp 1,793,304
Rp 150,000
Rp 30,000
Rp 30,000
 TINDAKAN RADIOLOGI SEWA RWT INAP
Rp 285,000 Rp 180,000 Rp - Rp 1,793,304
RAWAT JLN BHP EXCESS IGD LAIN LAIN
Rp 25,000
 RAWAT JLN BHP EXCESS IGD LAIN LAIN
Rp - Rp - Rp 25,000 Rp -
PARKIR DP MATERAI EDC QRIS
Rp 1,000,000 Rp 10,000 Rp 344,120 Rp 300,000
Rp 4,000,000 Rp 10,000 Rp 25,000 Rp 660,000
Rp 2,000,000 Rp 10,000 Rp 1,793,304 Rp -
Rp 10,000 Rp 230,000
Rp 10,000 Rp 295,000
PKET Rp 10,000
Rp 500,000
 PARKIR DP MATERAI EDC QRIS
Rp - Rp 7,500,000 Rp 50,000 Rp 2,697,424 Rp 960,000
DEBET EDC Rp 3,657,424
TRANSFER BATAL REFUND
 TRANSFER BATAL REFUND
Rp - Rp - Rp -
 NO FARMASI LABORAT KARCIS DOKTER TINDAKAN SEWA AMBULAN RADIOLOGI RAWAT JLN RAWAT INAP EXCESS IGD DP MATERAI KARTU LAIN EDC QRIS

997 Rp 92,145 Rp 50,000 Rp 100,000 Rp 100,000 Rp 10,000 Rp 324,539 Rp 10,000 Rp 547,525 Rp 642,769
998 Rp 100,453 Rp 80,000 Rp 50,000 Rp 100,000 Rp 50,000
999 Rp 32,363 Rp 50,000 Rp 100,000
1000 Rp 147,525 Rp 50,000 Rp 100,000 Rp 30,000
1001 Rp 146,243
1002 Rp 72,316
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
1013
1014
1015

9939
9940
9941

FARMASI LABORAT KARCIS DOKTER TINDAKAN SEWA AMBULAN RADIOLOGI RAWAT JLN RAWAT INAP EXCESS IGD DP MATERAI KARTU LAIN EDC QRIS
TOTAL
Rp 591,045 Rp 80,000 Rp 200,000 Rp 400,000 Rp 180,000 Rp - Rp - Rp - Rp - Rp - Rp 10,000 Rp 324,539 Rp 10,000 Rp - Rp - Rp 547,525 Rp 642,769
Rp 1,190,294
JUMLAH
JUMLAH
AKHIR
Rp 1,795,584 Rp 1,795,584

RETUR

FREE

BATAL
 TRANSFER FRE REFUND

TRANSFER FRE REFUND

Rp - Rp - Rp -
 KARTU BEROBAT
NO NAMA DAN RM HARGA

1
2
TOTAL
 16 - 28 FEB 2022 16 - 28 FEB 2022

DAHRI DANDI
16 - 28 FEB 2022 16 - 28 FEB 2022

NOVAN ROMLAH
16 - 28 FEB 2022 16 - 28 FEB 2022

RIFDAH SHINTA