KEPADA YTH. PT.

SENTOSA KARYA MAKMUR

PWT,25/11/2010
TGL MCU NAMA CTKI TUJUAN HASIL
8/20/2010 POPI WIDAYANTI PH+HIV UNFIT
9/17/2010 PUJI RAHAYU PH+HIV FIT
WIWIT AGUSTUS SETIA WATI PT+HIV FIT
9/22/2010 ARI NUR CAHYANTI PS+HIV FIT
9/28/2010 NUR ARIFAH PT+HIV UNFIT
IS SUBARKAH PT+HIV UNFIT
ENI SUSWATI PH+HIV FIT
9/30/2010 KEKURANGAN BIAYA MEDIKAL
10/2/2010 LAELI NUR SAFARIAH PS+HIV UNFIT
10/4/2010 FITRI YANTI PS+HIV FIT
10/5/2010 DARWATI PS+HIV UNFIT

10/13/2010 ANGSURAN
10/8/2010 ROVIKA HIDAYATI PS+HIV FIT
10/14/2010 TURYATI PS+HIV FIT
ASMAWIKARTA NAIKEM PH+HIV FIT

10/18/2010 KUSMIYATI PH+HIV FIT

10/19/2010 HAYATI AL ASIYAH PS+HIV UNFIT
10/23/2010 WARYANTI PS+HIV FIT
10/25/2010 KARSITI PS+HIV UNFIT
10/26/2010 BANI UMAYA PS+HIV
SUHARTI PT+HIV

10/27/2010 LENA SETIANA PS+HIV UNFIT

10/28/2010 SETIARINI PH+HIV FIT
JAMILATUN PH+HIV FIT
11/1/2010 TUHARTI PS+HIV FIT
11/2/2010 RIYANI PT+HIV FIT
11/5/2010 ANGSURAN

11/10/2010 SUGIYATI PS+HIV FIT

11/15/2010 SUDARSIH PH+HIV FIT
11/19/2010 NUR ARIYATI KATIMAN PT+HIV FIT
11/22/2010 SITI AISAH PS+HIV FIT
11/25/2010 RIYANI PH+HIV

NO.REKENING BCA : 046-0637341 A/N ARLINA DYAH SOEKOWATI, BCA CABANG PURWOKERTO
 KETERANGAN HARGA
BENJOLAN,AMANDEL T2-T2 115,000
115,000
115,000
115,000
GONDOK 115,000
TANGAN KIRI BENGKOK KRN PATAH TULANG 115,000
115,000
120,000
HAMIL 115,000
115,000
GONDOK 115,000
TOTAL TAGIHAN 08/10/10 1,270,000
-1,000,000
KACAMATA - 1<5 MATA KA-KI,PROTEIN URINE + 115,000
115,000
115,000
TOTAL TAGIHAN 15/10/2010 615,000
115,000
HBSAG + > 2000 115,000
PROTEIN URINE + SARAN BANYAK MINUM,AMBEIN + 115,000
HBSAG + 1000 115,000
115,000
115,000
TOTAL TAGIHAN 26/10/10 1,305,000
AMANDEL T2-T2,TATTO DI PINGGANG 115,000
115,000
115,000
VISUS MATA KA-KI 6/120 115,000
115,000
-1,000,000
TOTAL TAGIHAN 08/11/10 880,000
115,000
115,000
115,000
115,000
115,000
TOTAL TAGIHAN 1,455,000
SOEKOWATI, BCA CABANG PURWOKERTO

KLINIK MARCHSYA