PENDAPATAN PUSKESMAS PERAWATAN SALEMAN BERDASARKAN PERDA NO 14 TAHUN 2007

Bulan : Agustus
PERINCIAN TINDAKAN SESUAI DENGAN PERDA No 14 TAHUN 2007 ( DALAM RUPIAH )
Tindakan Tindakan Konsultasi Tindakan Surat Tindakan Tindakan Tindakan Tindakan Tindakan Pengujian Pengurusan Pengawasan Total
No Tanggal Nama Pasien Nomor Karcis No Rekam Medik
Retribusi Medis Non Medis Farmasi Laboratorium Gizi Gigi Keterangan P3K Persalinan Medis Medis Medis KIA/KB Oksigen Ambulance Kesehatan Jenazah Kualitas
Operatif Operatif Ringan Sedang Berat Air
1 1/8/2023 A/n Hakkan 000 3755 01 01 0119 1,250 300 1,550.0
2 Tn bahtiar 000 3756 01 01 0154 1,250 300 1,550.0
3 An Hafiza 000 3757 01 04 0356 1,250 350 1,600.0
4 Ny jainab salaputa 000 3758 01 02 0028 1,250 400 1,650.0
5 An Aiman 000 3759 01 05 0039 1,250 300 1,550.0
6 2/8/2023 An Nurain 000 3760 01 05 0454 1,250 400 1,650.0
7 Tn Amrizal Tatisina 000 3761 01 01 0444 1,250 350 1,600.0
8 An Devi kinara 000 3762 01 03 0057 1,250 350 1,600.0
9 An Faira Nafeeza 000 3763 01 07 0111 1,250 200 1,450.0
10 5/9/2023 Tn Muh ali 000 3764 01 01 0015 1,250 400 1,650.0
11 Ny Amuna 000 3765 01 01 0046 1,250 350 1,600.0
12 A/n Alvaro 000 3766 01 01 0019 1,250 200 1,450.0
13 Nn linda 000 3767 01 05 0008 1,250 300 1,550.0
14 Tn Igo Maelan 000 3768 01 04 0343 1,250 350 1,600.0
15 Ny Rifma 000 3769 01 05 0083 1,250 200 1,450.0
16 Nn Umi Latuian 000 3770 01 02 0058 1,250 400 1,650.0
17 7/8/2023 Tn ahmad 000 3771 01 02 0093 1,250 300 1,550.0
18 Ny Nurheni 000 3772 01 06 0455 1,250 350 1,600.0
19 Ny Norma 000 3773 01 02 0225 1,250 400 1,650.0
20 a/n izan 000 3774 01 04 0311 1,250 300 1,550.0
21 Ny Rossi 000 3775 01 07 0026 1,250 350 1,600.0
22 Tn ibni maelan 000 3776 01 01 0076 1,250 400 1,650.0
23 8/8/2023 A/n Hakkan 000 3777 01 02 0384 1,250 250 1,500.0
24 A/n fatin 000 3778 01 02 0456 1,250 350 1,600.0
25 ny nurlela 000 3779 01 01 0046 1,250 300 1,550.0
26 tn zainudin 000 3780 01 05 0397 1,250 350 1,600.0
27 NY salamun 000 3781 01 04 0356 1,250 300 1,550.0
28 Tn ikra Aloahiit 000 3782 01 01 0155 1,250 300 1,550.0
29 9/8/2023 Tn bahtiar 000 3783 01 01 0438 1,250 250 1,500.0
30 A/n Hafiza 000 3784 01 01 0457 1,250 350 1,600.0
31 Ny jainab 000 3785 01 03 0356 1,250 250 1,500.0
32 A/n Aiman 000 3786 01 02 0441 1,250 300 1,550.0
33 A/n Nurain 000 3709 01 01 0409 500 250 750.0
34 Ny Ramhia kouwe 000 3710 01 02 0175 500 400 900.0
35 10/8/2023 A/n Devi Kinara 000 3711 01 02 0072 500 300 800.0
36 A/n Faira 000 3712 01 01 0001 500 400 900.0
37 Tn Muh Ali 002 601 01 01 0002 500 350 850.0
38 Ny Amuna 002 602 01 01 0003 500 400 900.0
39 A/n Alvaro 000 3715 01 01 0076 500 450 950.0
40 Nn linda maelan 000 3716 01 01 0055 500 350 850.0
41 Tn Igo Maelan 000 3717 01 01 0062 500.0 300 800.0
42 12/8/2023 Ny Rifma Hajar 000 3718 01 01 0066 500.0 450 950.0
43 Nn Umi Latuian 002 604 01 01 0069 500.0 350 850.0
44 Ny bini 002 605 01 01 0010 1,250 300 1,550.0
45 Tn subagio 000 3718 01 01 0023 1,250 300 1,550.0
46 Tn Ramadhan 000 3719 01 01 0012 1,250 400 1,650.0
47 A/n hendra 000 3720 01 01 0025 1,250 400 1,650.0
48 Ny Rasna 000 3701 01 01 0014 1,250 400 1,650.0
49 Ny erna 000 3702 01 01 0016 1,250 350 1,600.0
50 14/08/2023 Tn aburaji 000 3703 01 01 0017 1,250 400 1,650.0
51 Tn Adam malik 000 3704 01 01 0086 1,250 450 1,700.0
52 Tn sayuti 000 3705 01 01 0122 1,250 300 1,550.0
53 Tn yudi purnomo 000 3706 01 01 0020 1,250 350 1,600.0
54 Tn ahmad 000 3707 01 01 0067 1,250 350 1,600.0
55 Tn Abdul Rifai 000 3708 01 01 0022 1,250 400 1,650.0
56 A/n khlas 000 3732 01 02 0047 1,250 300 1,550.0
57 15/08/2023 A/n Juan 000 3733 01 02 0160 1,250 350 1,600.0
58 A/n Nona 000 3734 01 01 0223 1,250 350 1,600.0
59 Tn adurabu 000 3735 01 01 0248 1,250 400 1,650.0
60 Tn Alimudin 000 3736 01 01 0254 1,250 300 1,550.0
61 Ny saiya 000 3737 01 04 0268 1,250 350 1,600.0
62 A/n Junaid 000 3738 01 01 0273 1,250 350 1,600.0
63 Nn astira 000 3739 01 02 0288 1,250 300 1,550.0
64 16/08/2023 A/n Adiva Putri 000 3726 01 03 0014 1,250 400 1,650.0
65 Tn Yamin Rumeon 000 3727 01 05 0233 1,250 250 1,500.0
66 Nn Nina 000 3728 01 05 0270 1,250 300 1,550.0
67 Tn Sadlin 000 3729 01 02 0280 1,250 450 1,700.0
68 Ny Ujunia 000 3730 01 02 0345 1,250 350 1,600.0
69 Tn Kamal Pasa 000 3714 01 05 0375 1,250 450 1,700.0
70 17/08/2023 Ny hamida 000 3731 01 01 0280 1,250 300 1,550.0
71 Tn Kamarudin 000 3740 01 01 0359 1,250 350 1,600.0
72 Tn Zulfahmi 000 3741 01 02 0359 1,250 400 1,650.0
73 Tn ali Upuolat 000 3742 01 07 0022 1,250 400 1,650.0
74 Ny Halipa 000 3743 01 05 0022 1,250 300 2,500.0 4,050.0
75 NY Jena 000 2744 01 03 0405 1,250 250 2,500.0 4,000.0
76 NY Alwia 000 3745 01 05 0405 1,250 250 1,500.0
77 Ny maryam 000 3746 01 01 0405 1,250 250 1,500.0
78 Ny Rawia 0000 3747 01 01 0120 1,250 250 1,500.0
79 19/08/2023 Tn Mansur 000 3748 01 02 0283 1,250 300 1,550.0
80 Tn abidin 000 3749 01 01 0283 1,250 250 1,500.0
81 Tn hamran 000 3750 01 01 0123 1,250 300 1,550.0
82 Tn marjan 000 3751 01 01 0015 1,250 350 1,600.0
83 Tn eksan 000 3752 01 01 0234 1,250 200 1,450.0
84 21/08./2023 Tn Tamrin 000 3753 01 02 0022 1,250 400 1,650.0
85 Tn hadir 000 3754 01 01 0371 1,250 350 1,600.0
86 Ny Anya 000 3721 01 01 0295 1,250 300 1,550.0
87 Tn jauhari 000 3722 01 01 0218 1,250 200 1,450.0
88 Tn lutfi 000 3723 01 02 0218 1,250 250 1,500.0
89 23/08/2023 Tn jalil 000 3724 01 02 0258 1,250 350 1,600.0
90 Tn faruk 000 3787 01 01 0425 1,250 400 1,650.0
91 Ny Jidna Ilma 002 606 01 01 0343 1,250 350 1,600.0
92 Ny Rusmini 002 607 01 01 0439 1,250 350 1,600.0
93 28/08/2023 A/n M Riski 002 610 01 05 0005 1,250 200 2,500.0 3,950.0
94 A/n Nurul Azmi 002 611 01 04 0005 1,250 350 1,600.0
95 Tn La Mes 002 612 01 01 0005 1,250 300 1,550.0
96 Tn Hilal 002 613 01 07 0005 1,250 200 2,500.0 3,950.0
97 Ny Nafsia 002 614 01 01 0119 1,250 200 1,450.0
jumlah 113,000 - - 31,900 - - - 10,000 - - - - - - - - - - - 154,900
Saleman, Agustus 2023
Mengetahui : Bendahara Retribusi Puskesmas
Pimpinan Puskesmas Perawatan Saleman

Rosma K Junedi , SKM Haryatmi Makuituin, AMd.Kep

NIP. 19770517 200212 2 009 NIP. 198903212017042008
113,000.0 31,900.0 154,900.0