PENDAPATAN PUSKESMAS PERAWATAN SALEMAN BERDASARKAN PERDA NO 14 TAHUN 2007

Bulan Januari
PERINCIAN TINDAKAN SESUAI DENGAN PERDA No 14 TAHUN 2007 ( DALAM RUPIAH )
Tindakan Tindakan Konsultasi Tindakan Surat Tindakan Tindakan Tindakan Tindakan Tindakan Pengujian Pengurusan Pengawasan
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 2/1/2024 Ny Sumarni 01 02 0219 1,250 300
2 A/n Taita 01 03 0507 1,250 300
3 A/n Defita 01 05 0141 1,250 350
4 A/n Ariyandi Makatita 01 06 0019 1,250 400
5 A/n Fauzan 01 03 0508 1,250 300
6 Ny Ariyani 01 02 0504 1,250 400
7 3/1/2024 Ny Suyami 01 02 0031 1,250 350
8 A/n Angga Makuituin 01 04 0053 1,250 350
9 Ny Ajima 01 02 0380 1,250 200
10 A/n Muh Alfatih 01 05 0148 1,250 400
11 Tn Mutalib Makatita 01 01 0375 1,250 350
12 Ny Muliyati Ialuhun 01 02 0197 1,250 200 2,500
13 4/1/2024 A/n Muh Rizky 01 04 0146 1,250 300
14 Ny Rasmia Ialuhun 01 02 0033 1,250 350
15 Ny Halija Makatita 01 02 0268 1,250 200
16 Ny Nuryani 01 02 0145 1,250 400
17 5/1/2024 Ny Linda Bugis 01 02 0080 1,250 300
18 A/n Nurmega 01 03 0375 1,250 350
19 A/n Reva Latuheru 01 07 0248 1,250 400
20 A/n Sahrul Wailisa 01 04 0072 1,250 300
21 A/n Azza Wailissa 01 05 0072 1,250 350
22 Ny Rajiba Upuolat 01 01 0438 1,250 400
23 6/1/2024 Nn Erlin Manaty 02 03 0061 1,250 250 2,500
24 Ny Naomi 02 02 0061 1,250 350
25 A/n Saputra 01 03 0114 1,250 300
26 Nn Neti Makuituin 01 07 0024 1,250 350 2,500
27 Tn Albar Makuituin 01 01 0024 1,250 300
28 8/1/2024 Ny Fitriani Ohorella 01 02 0479 1,250 300
29 A/n Saite Patalatu 02 10 0062 500 250
30 A/n Rizky Ramadhani 01 09 0121 1,250 350
31 Ny Siti Johoria 01 02 0352 1,250 250
32 Ny Ani Hayoto 01 02 0079 1,250 300
33 Tn Martinus P 02 01 0013 1,250 250
34 9/1/2024 Tn Abdullah Aloahiit 01 01 0155 1,250 400
35 Ny Amina Makatita 01 02 0172 1,250 300
36 A/n Afdal Aloatuan 01 05 0243 1,250 400
37 Ny Leni Latumapina 02 02 0063 500 350
38 Ny Saadia Latuconisna 01 02 0012 1,250 400
39 10/1/2024 Nn Anti Makuituin 01 02 0198 1,250 450 2,500
40 A/n Defita sari 01 04 0141 1,250 350
41 Ny Saana Makuituin 01 02 0265 500 300
42 Ny Laila Makatita 01 01 0061 500 450
43 Ny Sitra Makatita 01 01 0417 500 350
44 Tn Albar Makuituin 01 01 0024 500 300
45 12/1/2024 A/n Insyanaziha 01 05 0034 500 300
46 A/n Maulana Abi 01 06 0138 500 400
47 A/n Madani Upate 01 03 0399 500 400
48 Ny Nasia Makatita 01 01 0362 1,250 400
49 13/01/2024 Ny Sitiria Raharusun 01 02 0017 1,250 350
50 Ny M Kolohuwey 02 02 0041 500 400
51 Ny Ode Rahia 01 02 0188 1,250 450
52 Ny Nurhasna M 01 02 0249 1,250 300
53 A/n Ranesha M 01 04 0400 1,250 350
54 15/01/2024 A/n Azmin Makatita 01 06 0138 1,250 350
55 A/n Nursafira 01 03 0401 1,250 400
56 Tn Abdullah Aloahiit 01 01 0155 1,250 300
57 Nn Puput Hariyanto 02 03 0060 500 350
58 Tn Jupri Makatita 01 01 0343 1,250 350
59 16/01/2024 A/n Angga Makuituin 01 04 0053 1,250 400
60 Ny Umi Makuituin 01 01 0027 1,250 300
61 Ny Siti Makatita 01 02 0036 1,250 350
62 Tn Kamal pasa Ialuhun 01 01 0234 1,250 350
63 A/n Ahmad Aloatuan 01 04 0311 1,250 300
64 17/01/2024 A/n Abdul latuconisna 01 03 0131 1,250 400
65 Ny Rina Mustolani 01 02 0295 1,250 250
66 A/n Rafasya Kamaruzaman 01 03 0295 1,250 300
67 A/n Nazril Kamaruzaman 01 04 0295 1,250 450
68 Ny Saana Makuituin 01 02 0265 1,250 350
69 Ny Irma Lampung 01 02 0462 1,250 450
70 18/01/2024 Ny Amina Makatita 01 02 0172 1,250 300
71 Tn Lames Lamadi 01 01 0229 1,250 350
72 A/n Salsabila Makuituin 01 03 0230 1,250 400
73 Tn Tempo bugis 01 01 0211 1,250 400
74 Ny Asriyani Makatita 01 01 0251 1,250 300
75 20/01/2024 Ny Sardia Ialuhun 01 02 0121 1,250 250
76 Nn Nurain Samuda 01 03 0012 1,250 250
77 Nn Masna maswatu 01 02 0104 1,250 250
78 Ny Marwia Rumaolat 01 01 0161 1,250 250
79 Ny Raihan Aloatuan 01 02 0024 1,250 300
80 22/01/2024 Ny Rasmia Ialuhun 01 02 0033 1,250 250
81 Nn Satri Soleha K 01 04 0246 1,250 300 2,500
82 Ny Kumala Nur 01 01 0254 1,250 350
83 Ny Basria Ialuhun 01 01 0313 1,250 200
84 Ny Tia Lusy 01 02 0501 1,250 400
85 23/01.2024 Tn Murad Upuolat 01 01 0378 1,250 350
86 Ny Darni Makatita 01 02 0290 1,250 300
87 Ny Fatima 01 01 0046 1,250 200
88 Tn Hanan Makatita 01 01 0510 1,250 250
89 A/n Dinda Banyal 01 04 0057 1,250 350
90 25/01/2024 Tn Mutalib Makatita 01 01 0335 1,250 400
91 Tn Zulfahmi Kmz 01 01 0295 1,250 350
92 Ny Nurjanna 01 01 0432 1,250 350
93 A/n Naela 02 09 0019 500 300
94 27/01/2024 A/n M Nazir Upuolat 01 01 0024 1,250 350
95 Ny Alwia 01 02 0175 1,250 300
96 A/n Athar Makatita 01 03 0153 1,250 200
97 Tn Bachtiar 01 01 0154 1,250 250
98 Ny Werda Aloahiit 01 02 0152 1,250 200
99 29/012024 A/n Almaheera 01 03 0448 1,250 200
100 A/n Khairul Rizal 01 03 0287 1,250 200
101 Nn Kalsum Upuolat 01 04 0504 1,250 200
102 30/01/2024 A.n Aisyah Ialuhun 01 03 0495 1,250 200
103 Tn Ibrahim Mahali 01 01 0291 1,250 200
104 Ny Siti Hawa 01 01 0445 1,250 200
105 A/n Berry Husen 01 06 0275 1,250 300
JUMLAH 122,250 - - 33,750 - - - 12,500 - - - - - - - - - - -
Saleman, Januari 2024
Mengetahui : Bendahara Retribusi Puskesmas
Pimpinan Puskesmas Perawatan Saleman

Rosma K Junedi , SKM Haryatmi Makuituin, AMd.Kep

NIP. 19770517 200212 2 009 NIP. 198903212017042008
122,250.0 33,750.0
Total

1,550
1,550
1,600
1,650
1,550
1,650
1,600
1,600
1,450
1,650
1,600
3,950
1,550
1,600
1,450
1,650
1,550
1,600
1,650
1,550
1,600
1,650
4,000
1,600
1,550
4,100
1,550
1,550
750
1,600
1,500
1,550
1,500
1,650
1,550
1,650
850
1,650
4,200
1,600
800
950
850
 800
800
900
900
1,650
1,600
900
1,700
1,550
1,600
1,600
1,650
1,550
850
1,600
1,650
1,550
1,600
1,600
1,550
1,650
1,500
1,550
1,700
1,600
1,700
1,550
1,600
1,650
1,650
1,550
1,500
1,500
1,500
1,500
1,550
1,500
4,050
1,600
1,450
1,650
1,600
1,550
1,450
1,500
1,600
1,650
 1,600
1,600
800
1,600
1,550
1,450
1,500
1,450
1,450
1,450
1,450
1,450
1,450
1,450
1,550
168,500
168,500.0