INSTALASI FARMASI RSU BUNDA (KASIR)

RS.BUNDA SURABAYA
Tanggal : 06.02.2016 S/d 06.02.2016
UserID : 113 Jenis Pembayaran : TUNAI

NO NO.KWITANSI TANGGAL NAMA Px KATEGORI Px DOKTER TOTAL CID

1 J0217100393 06.02.2017 MUHAMMAD FAIREL ATHA BPJS KESEHATAN ADITYA KUSUMA R 14,190 104
2 U0217100394 06.02.2017 NINIK OCTAVIA, NN UMUM ADITYA KUSUMA R 275,900 104
3 U0217100395 06.02.2017 RYANDRA ERRIZAL M, A UMUM ADITYA KUSUMA R 49,663 104
4 U0217100396 06.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 308,763 104
5 U0217100397 06.02.2017 SITI MUTMAINAH L, NY UMUM DWI SETYAWAN, D 170,854 104
6 U0217100398 06.02.2017 SITI MUTMAINAH L, NY UMUM DWI SETYAWAN, D 49,300 104
7 U0217100399 06.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 19,920 104
8 U0217100400 06.02.2017 IQBAL SATRIA ABDILLA UMUM ADITYA KUSUMA R 35,437 121
9 U0217100401 06.02.2017 MACHMUD, TN. UMUM HENDRATA,dr SpP 134,188 121
10 U0217100402 06.02.2017 H. NASIR, TN. UMUM HENDRATA,dr SpP 72,935 121
11 U0217100403 06.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 39,150 121
12 J0217100404 06.02.2017 SOFIA MUTHOHARO ZARR BPJS KESEHATAN APS 3,410 121
13 U0217100405 06.02.2017 SOFIA MUTHOHARO ZARR BPJS KESEHATAN APS 71,400 121
14 U0217100406 06.02.2017 ANISA USWATUN C, BY, UMUM APS 106,462 121
15 U0217100407 06.02.2017 MIFTACHUL CANDRA SON UMUM CHRISTIAN ADI N 65,902 121
16 U0217100408 06.02.2017 SITI SHOFIYAH, NY. UMUM ADENDRA S. dr. 32,850 121
17 J0217100409 06.02.2017 KHANSA AZKALIA AN UMUM HARIYZON, DR Sp 67,745 121
18 U0217100410 06.02.2017 DAVIN CHRISTIAN NAEL UMUM HARIYZON, DR Sp 106,960 121
19 U0217100411 06.02.2017 HERMAN SUDIBYO, SDR. UMUM CHRISTIAN ADI N 58,320 121
20 U0217100412 06.02.2017 YAMAESSA PUTRA Y, AN UMUM HARIYZON, DR Sp 89,946 121
21 U0217100413 06.02.2017 M. FACHRI ANUGRAWAN, UMUM HARIYZON, DR Sp 121,838 121
22 U0217100414 06.02.2017 SJAHRA BERLIAN ANDRI UMUM HARIYZON, DR Sp 92,281 121
23 U0217100415 06.02.2017 RASYA ATHAYA RAMADHA UMUM HARIYZON, DR Sp 95,120 121
24 U0217100416 06.02.2017 RAPHAEL ANGELO LAIKS UMUM HARIYZON, DR Sp 80,260 121
25 U0217100417 06.02.2017 RS BUNDA WADUNGASRI UMUM APS 127,502 121
26 U0217100418 06.02.2017 SABRINA AMANAUIS S, UMUM CHRISTIAN ADI N 128,810 121
27 J0217100419 06.02.2017 YULIANTO DWI P, TN. BPJS KESEHATAN CHRISTIAN ADI N 61,942 121
28 U0217100420 06.02.2017 ENDAH SOERATMIJATI, UMUM CHRISTIAN ADI N 66,900 121
29 U0217100421 06.02.2017 SABRINA CALLISTA PUT UMUM CHRISTIAN ADI N 70,815 121
30 U0217100422 06.02.2017 MASULAH, NY. BPJS KESEHATAN EMIL DR SPPD 20,477 106
31 U0217100423 06.02.2017 SOERATI, NY. UMUM EMIL DR SPPD 27,550 106
32 U0217100424 06.02.2017 FAHRIYAH HANIM, NY. UMUM ARIO,dr SpB 159,645 106
33 U0217100425 06.02.2017 MUJIATI, NY. BPJS KESEHATAN EMIL DR SPPD 18,016 106
34 U0217100426 06.02.2017 ASIYAH, NY. UMUM ARIO,dr SpB 22,475 106
35 U0217100427 06.02.2017 ENDANG RUDYATI, NY. BPJS KESEHATAN EMIL DR SPPD 1,929 106
36 U0217100428 06.02.2017 ADELIA AYU SYAFITRI, UMUM ADITYA KUSUMA R 179,186 106
37 U0217100429 06.02.2017 PUTRI CARRISA AZ-ZAH UMUM ADITYA KUSUMA R 47,411 106
38 U0217100430 06.02.2017 SUDARMANTO, TN. UMUM ADITYA KUSUMA R 108,750 106
39 U0217100431 06.02.2017 NURAINI, NY. BPJS KESEHATAN APS 115,633 106
40 U0217100432 06.02.2017 RS BUNDA WADUNGASRI UMUM APS 535,000 106
41 U0217100433 06.02.2017 TABIRH ALZIDHAN I, A UMUM ADITYA KUSUMA R 42,770 106
42 U0217100434 06.02.2017 SITI MUTMAINAH L, NY UMUM SUSI DRG 14,842 106
43 U0217100435 06.02.2017 WAHYU MEGA DWI S, NN UMUM APS 5,873 106
44 U0217100436 06.02.2017 RS BUNDA WADUNGASRI UMUM APS 33,000 106
45 U0217100437 06.02.2017 IBNU ASYAM ATHALLAH, UMUM ADITYA KUSUMA R 72,538 106
46 U0217100438 06.02.2017 SRI WAHYUNINGSIH, NY UMUM ADITYA KUSUMA R 124,127 106
 47 U0217100439 06.02.2017 AMIR SUMARSONO, TN. BPJS KESEHATAN APS 54,049 106
48 U0217100440 06.02.2017 TITIN KASPARI, NY. UMUM ADITYA KUSUMA R 64,001 118
49 J0217100441 06.02.2017 SITI NURAISYAH, NN. UMUM DIDI D. SP.OG,D 211,411 118
50 J0217100442 06.02.2017 ARIYA TEJA S, DR. UMUM APS 240,000 118
51 U0217100443 06.02.2017 R.WIKI WIRATNO, TN. BPJS KESEHATAN HENDRATA,dr SpP 20,880 118
52 J0217100444 06.02.2017 KHASAN, TN. BPJS KESEHATAN ARIYA TEJA S. d 27,753 118
53 U0217100445 06.02.2017 KAYLA PUTRI ARSYIFA, UMUM AMIR, SPM 56,188 118
54 U0217100446 06.02.2017 RB BUNDA UMUM APS 526,442 118
55 U0217100447 06.02.2017 MISTIANI, NY. UMUM DIDI D. SP.OG,D 75,908 118
56 U0217100448 06.02.2017 CITRA LISTIANIRMALA, BPJS KESEHATAN DIDI D. SP.OG,D 239,650 118
57 U0217100449 06.02.2017 SUWARNI, NY. UMUM DIDI D. SP.OG,D 248,860 118
58 U0217100450 06.02.2017 ACH.ROFIQ, TN UMUM ARIYA TEJA S. d 48,300 118
59 U0217100451 06.02.2017 IRA WAHYU WIJAYANTI, UMUM DIDI D. SP.OG,D 231,820 118
60 U0217100452 06.02.2017 ACH.ROFIQ, TN UMUM ARIYA TEJA S. d 1,923 118
61 U0217700297 06.02.2017 CALON BAYI NY RAHAYU BPJS KESEHATAN APS 52,744 106

Total Seluruh Halaman 6,247,914

Total Penjualan Tunai [LN] : 2,999,486

Total Penjualan Tunai [BB] : 2,026,484
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 1,221,944
Page : 1

JENIS LAYANAN |
JMS007 [IGD] BB
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] LN
UMM001 [RAWAT JALAN] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] BB
JMS001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM003 [RANAP 2] BB
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
JMS001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
URB000 [RB BUNDA] BB
UMM008 [IGD] LN
JMS001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] BB
UMM008 [IGD] BB
UMM008 [IGD] BB
UMM008 [IGD] LN
UMM003 [RANAP 2] BB
URB000 [RB BUNDA] BB
UMM008 [IGD] BB
UMM002 [RANAP 1] BB
UMM001 [RAWAT JALAN] LN
URB000 [RB BUNDA] BB
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
JMS007 [IGD] BB
UMM001 [RAWAT JALAN] LN
URB000 [RB BUNDA] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] BB
 INSTALASI FARMASI RSU BUNDA (KASIR)
RS.BUNDA SURABAYA
Tanggal : 06.02.2016 S/d 06.02.2016
UserID : 113 Jenis Pembayaran : NON TUNAI

NO NO.KWITANSI TANGGAL NAMA Px KATEGORI Px DOKTER TOTAL CID

1 P0217100098 06.02.2017 SITI KHOLIFAH, NY. BPJS KESEHATAN DWI SETYAWAN, D 4,620 104
2 P0217100099 06.02.2017 DIAN AGUSTINA, NY. BPJS KESEHATAN HERU SUTJAHJO A 7,855 121
3 P0217100100 06.02.2017 CALON BAYI NY RAHAYU BPJS KESEHATAN HARIYZON, DR Sp 60,001 121
4 P0217100101 06.02.2017 ANISA USWATUN CHASAN PT ASURANSI ASTR DICKY, DR SpAn 106,718 121
5 P0217100102 06.02.2017 NURAINI, NY. BPJS KESEHATAN DIDI D. SP.OG,D 106,681 106
6 J0217700253 06.02.2017 MUHAMMAD NUR BAGUS R BPJS KESEHATAN ADITYA KUSUMA R 39,877 104
7 J0217700254 06.02.2017 URIP MUDJAYANAH, NY. BPJS KESEHATAN ADITYA KUSUMA R 24,361 104
8 C0217700255 06.02.2017 FAHIRA SAVINA FAIZ, PT. ASURANSI ADIR HARIYZON, DR Sp 179,986 121
9 C0217700256 06.02.2017 FAHIRA SAVINA FAIZ, PT. ASURANSI ADIR HARIYZON, DR Sp 713 121
10 C0217700257 06.02.2017 MUHAMAD ARKHAN FAIZ, PT. ASURANSI ADIR HARIYZON, DR Sp 44,642 121
11 J0217700258 06.02.2017 MUKLISHON, TN. BPJS KESEHATAN DWI SETYAWAN, D 7,983 121
12 J0217700259 06.02.2017 MUKLISHON, TN. BPJS KESEHATAN DWI SETYAWAN, D 31,933 121
13 J0217700260 06.02.2017 MUJIATI, NY. BPJS KESEHATAN ROXANTIN, DR Sp 22,583 121
14 J0217700261 06.02.2017 MUJIATI, NY. BPJS KESEHATAN ROXANTIN, DR Sp 74,200 121
15 J0217700262 06.02.2017 JOKO UTOMO, TN. BPJS KESEHATAN EMIL DR SPPD 396,000 121
16 J0217700263 06.02.2017 MOCH. MARWI, TN. BPJS KESEHATAN EMIL DR SPPD 396,000 121
17 J0217700264 06.02.2017 HERY KOESHERNANTO, T BPJS KESEHATAN DWI SETYAWAN, D 22,583 121
18 J0217700265 06.02.2017 HERY KOESHERNANTO, T BPJS KESEHATAN DWI SETYAWAN, D 74,200 121
19 J0217700266 06.02.2017 KUSTOYO, TN. BPJS KESEHATAN DWI SETYAWAN, D 61,206 121
20 J0217700267 06.02.2017 RAMELAN, TN. BPJS KESEHATAN DWI SETYAWAN, D 61,206 121
21 J0217700268 06.02.2017 KUSTOYO, TN. BPJS KESEHATAN DWI SETYAWAN, D 18,628 121
22 J0217700269 06.02.2017 KRISTINA YENI N, NY. BPJS KESEHATAN EMIL DR SPPD 32,062 106
23 J0217700270 06.02.2017 ENDANG RUDYATI, NY. BPJS KESEHATAN EMIL DR SPPD 28,575 106
24 J0217700271 06.02.2017 ENDANG RUDYATI, NY. BPJS KESEHATAN EMIL DR SPPD 94,911 106
25 J0217700272 06.02.2017 FATONAH SARONI, NY. BPJS KESEHATAN EMIL DR SPPD 18,953 106
26 J0217700273 06.02.2017 FATONAH SARONI, NY. BPJS KESEHATAN EMIL DR SPPD 9,346 106
27 J0217700274 06.02.2017 FATONAH SARONI, NY. BPJS KESEHATAN EMIL DR SPPD 3,960 106
28 J0217700275 06.02.2017 MASULAH, NY. BPJS KESEHATAN EMIL DR SPPD 16,548 106
29 J0217700276 06.02.2017 MASULAH, NY. BPJS KESEHATAN EMIL DR SPPD 18,641 106
30 J0217700277 06.02.2017 KASMINAH, NY. BPJS KESEHATAN EMIL DR SPPD 38,635 106
31 J0217700278 06.02.2017 KASMINAH, NY. BPJS KESEHATAN EMIL DR SPPD 70,314 106
32 J0217700279 06.02.2017 KASMI, NY. BPJS KESEHATAN EMIL DR SPPD 44,674 106
33 J0217700280 06.02.2017 KASMI, NY. BPJS KESEHATAN EMIL DR SPPD 4,166 106
34 J0217700281 06.02.2017 WAHJUNI GUNAWAN, NY. BPJS KESEHATAN EMIL DR SPPD 24,673 106
35 J0217700282 06.02.2017 WAHJUNI GUNAWAN, NY. BPJS KESEHATAN EMIL DR SPPD 63,952 106
36 J0217700283 06.02.2017 SITI SUNDARI, NY. BPJS KESEHATAN EMIL DR SPPD 13,305 106
37 J0217700284 06.02.2017 SITI SUNDARI, NY. BPJS KESEHATAN EMIL DR SPPD 7,985 106
38 J0217700285 06.02.2017 KASMINAH, NY. BPJS KESEHATAN EMIL DR SPPD 39,317 106
39 J0217700286 06.02.2017 HARWITO, TN. BPJS KESEHATAN EMIL DR SPPD 32,375 106
40 J0217700287 06.02.2017 TERYANCHO THEMOTHEUS UMUM ARIO,dr SpB 2,534 106
41 J0217700288 06.02.2017 NASIKAN, TN. BPJS KESEHATAN EMIL DR SPPD 6,677 106
42 J0217700289 06.02.2017 NASIKAN, TN. BPJS KESEHATAN EMIL DR SPPD 4,166 106
43 J0217700290 06.02.2017 MUJIATI, NY. BPJS KESEHATAN EMIL DR SPPD 137,331 106
44 J0217700291 06.02.2017 MUJIATI, NY. BPJS KESEHATAN EMIL DR SPPD 281,518 106
45 J0217700292 06.02.2017 TRI KUMORO, TN. BPJS KESEHATAN ARIO,dr SpB 2,534 106
46 J0217700293 06.02.2017 HARWITO, TN. BPJS KESEHATAN EMIL DR SPPD 6,125 106
47 J0217700294 06.02.2017 KASMI, NY. BPJS KESEHATAN EMIL DR SPPD 6,125 106
48 J0217700295 06.02.2017 ABDUR ROZAQI, SDR. BPJS KESEHATAN ARIO,dr SpB 5,005 106
49 J0217700296 06.02.2017 AMIR SUMARSONO, TN. BPJS KESEHATAN REDDY P.SPJP, D 38,713 106
50 C0217700298 06.02.2017 RONNI SANTOSO, SDR. RELIANCE INSURAN ADITYA KUSUMA R 83,772 106
51 J0217700299 06.02.2017 DWI ESTI RAHAYU, NY. BPJS KESEHATAN ADITYA KUSUMA R 90,349 106
52 J0217700300 06.02.2017 NURSIM, TN. BPJS KESEHATAN HENDRATA,dr SpP 3,465 106
53 J0217700301 06.02.2017 NURSIM, TN. BPJS KESEHATAN HENDRATA,dr SpP 1,756 106
54 J0217700302 06.02.2017 NURSIM, TN. BPJS KESEHATAN HENDRATA,dr SpP 5,768 106
55 J0217700303 06.02.2017 AMIR SUMARSONO, TN. BPJS KESEHATAN HENDRATA,dr SpP 104,400 106
56 J0217700304 06.02.2017 AMIR SUMARSONO, TN. BPJS KESEHATAN HENDRATA,dr SpP 104,400 106
57 J0217700305 06.02.2017 SUYATI, NY. BPJS KESEHATAN AMIR, SPM 29,700 106
58 J0217700306 06.02.2017 MARMIATI, NY. BPJS KESEHATAN AMIR, SPM 29,700 106
59 J0217700307 06.02.2017 SUWARNI, NY. BPJS KESEHATAN REDDY P.SPJP, D 7,614 106
60 J0217700308 06.02.2017 SUWARNI, NY. BPJS KESEHATAN REDDY P.SPJP, D 5,869 106
61 J0217700309 06.02.2017 ADI SASTRA, TN. BPJS KESEHATAN AMIR, SPM 59,565 106
62 J0217700310 06.02.2017 ADI SASTRA, TN. BPJS KESEHATAN AMIR, SPM 40,425 106
63 J0217700311 06.02.2017 UNTUNG BASUKI, TN. BPJS KESEHATAN REDDY P.SPJP, D 24,264 106
64 C0217700312 06.02.2017 RAFA RADITYA PUTRA H MEDICARE ADITYA KUSUMA R 27,344 118
65 J0217700313 06.02.2017 YATINI, NY. BPJS KESEHATAN REDDY P.SPJP, D 19,380 118
66 J0217700314 06.02.2017 YATINI, NY. BPJS KESEHATAN REDDY P.SPJP, D 64,216 118
67 J0217700315 06.02.2017 ASTUTIK, NY. BPJS KESEHATAN REDDY P.SPJP, D 47,462 118
68 J0217700316 06.02.2017 ASTUTIK, NY. BPJS KESEHATAN REDDY P.SPJP, D 61,398 118
69 J0217700317 06.02.2017 SUPARMIASIH NY BPJS KESEHATAN AMIR, SPM 45,817 118
70 J0217700318 06.02.2017 DWI NUFITASARI, NY. BPJS KESEHATAN AMIR, SPM 29,700 118
71 J0217700319 06.02.2017 TASMIATI, NY. BPJS KESEHATAN REDDY P.SPJP, D 752 118
72 J0217700320 06.02.2017 TASMIATI, NY. BPJS KESEHATAN REDDY P.SPJP, D 3,010 118
73 J0217700321 06.02.2017 LILIK SUMILAH, NY. BPJS KESEHATAN REDDY P.SPJP, D 20,885 118
74 J0217700322 06.02.2017 LILIK SUMILAH, NY. BPJS KESEHATAN REDDY P.SPJP, D 64,216 118
75 J0217700323 06.02.2017 KARTIAH, NY. BPJS KESEHATAN HENDRATA,dr SpP 17,549 118
76 J0217700324 06.02.2017 KARTIAH, NY. BPJS KESEHATAN HENDRATA,dr SpP 4,604 118
77 J0217700325 06.02.2017 ANITA, NY. BPJS KESEHATAN AMIR, SPM 29,700 118
78 J0217700326 06.02.2017 SRIHARIYATI, NY. BPJS KESEHATAN REDDY P.SPJP, D 8,629 118
79 J0217700327 06.02.2017 SRIHARIYATI, NY. BPJS KESEHATAN REDDY P.SPJP, D 4,752 118
80 J0217700328 06.02.2017 MASRIKATUN, NY. BPJS KESEHATAN HENDRATA,dr SpP 43,256 118
81 J0217700329 06.02.2017 SRI SAATI, NY. BPJS KESEHATAN AMIR, SPM 59,235 118
82 J0217700330 06.02.2017 R.WIKI WIRATNO, TN. BPJS KESEHATAN HENDRATA,dr SpP 60,855 118
83 J0217700331 06.02.2017 R.WIKI WIRATNO, TN. BPJS KESEHATAN HENDRATA,dr SpP 50,878 118
84 J0217700332 06.02.2017 SUGITO, TN. BPJS KESEHATAN REDDY P.SPJP, D 49,892 118
85 J0217700333 06.02.2017 SUGITO, TN. BPJS KESEHATAN REDDY P.SPJP, D 78,952 118
86 C0217700334 06.02.2017 ZHAFRAN NAUFAL AL R, PT. ABDA INSURANCRISKI, DR SPA 97,473 118
87 C0217700335 06.02.2017 SRI RAHAYU, NY. MEDICARE REDDY P.SPJP, D 27,943 118
88 C0217700336 06.02.2017 SRI RAHAYU, NY. MEDICARE HENDRATA,dr SpP 92,535 118
89 C0217700337 06.02.2017 ELVITA TRIARTA N, NY FWD LIFE INDONESIDIDI D. SP.OG,D 81,143 118
90 J0217700338 06.02.2017 MARIA FLORIDA MESAK, BPJS KESEHATAN DIDI D. SP.OG,D 5,427 118
91 J0217700339 06.02.2017 SUYANTO, TN. BPJS KESEHATAN HENDRATA,dr SpP 40,397 118
92 C0217700340 06.02.2017 QURROTA AYUN NISA AS PT. MANULIFE FINA AMIR, SPM 34,875 118
93 J0217700341 06.02.2017 SUYANTO, TN. BPJS KESEHATAN HENDRATA,dr SpP 125,368 118
94 C0217700342 06.02.2017 QURROTA AYUN NISA AS PT. MANULIFE FINA AMIR, SPM 155,775 118
95 J0217700343 06.02.2017 YAYUK INDAH KUSUMAWA BPJS KESEHATAN DIDI D. SP.OG,D 7,854 118
96 J0217700344 06.02.2017 DUTI PHIDIASTANTRI, BPJS KESEHATAN DIDI D. SP.OG,D 23,760 118
97 J0217700345 06.02.2017 NOVA ANASTASIA RAHAY BPJS KESEHATAN DIDI D. SP.OG,D 6,215 118
98 J0217700346 06.02.2017 ERNAWATI, NY. BPJS KESEHATAN DIDI D. SP.OG,D 1,584 118
99 J0217700347 06.02.2017 RETNO WULANDARI, NY. BPJS KESEHATAN DIDI D. SP.OG,D 2,455 118
 Total Seluruh Halaman 4,881,429

Total Penjualan Tunai [LN] : 0

Total Penjualan Tunai [BB] : 4,881,429
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 0
Page : 1

JENIS LAYANAN |
JMS002 [RANAP 1] BB
JMS003 [RANAP 2] BB
JMS006 [NICU] BB
COR102 [RANAP 2] BB
JMS003 [RANAP 2] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
COR100 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
COR108 [IGD] BB
JMS007 [IGD] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
COR108 [IGD] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
COR100 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
 LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 06.02.2016 S/d 06.02.2016
UserID : 113 Jenis Pembayaran : TUNAI

NO NO.KWITANSI TANGGAL Nama Px KATEGORI Px DOKTER TOTAL CID

1 R0217100093 06.02.2017 MASULAH, NY. BPJS KESEHATAN EMIL DR SPPD 20,493 106
2 R0217100097 06.02.2017 ENDANG RUDYATI, NY. BPJS KESEHATAN EMIL DR SPPD 1,932 106
3 R0217100099 06.02.2017 SITI MUTMAINAH L, NY UMUM DWI SETYAWAN, D 100,820 106
4 R0217100100 06.02.2017 SITI MUTMAINAH L, NY UMUM WIDIASTI, DR 7,250 106
5 R0217100101 06.02.2017 SITI MUTMAINAH L, NY UMUM DWI SETYAWAN, D 32,161 106
6 R0217100102 06.02.2017 SITI MUTMAINAH L, NY UMUM WIDIASTI, DR 10,150 106
7 R0217100106 06.02.2017 CHOLIK, TN. PT. FELTICO APS 5,873 106

Total Seluruh Halaman 178,679

Page

U0217100422/RJ
U0217100427/RJ
U0217100243/RI
U0217100180/RJ
U0217100255/RI
U0217100175/RJ
U0117101914/RJ
 LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 06.02.2016 S/d 06.02.2016
UserID : 113 Jenis Pembayaran : NON TUNAI

NO NO.KWITANSI TANGGAL Nama Px KATEGORI Px DOKTER TOTAL CID

1 R0217100090 06.02.2017 RAHAYU HARTINI, NY. BPJS KESEHATAN HERU SUTJAHJO A 8,580 121
2 R0217100091 06.02.2017 WINDA RUSTININGTYAS, BPJS KESEHATAN HERU SUTJAHJO A 8,580 121
3 R0217100092 06.02.2017 SITI SHOFIYAH, NY. UMUM ADENDRA S. dr. 29,905 121
4 R0217100094 06.02.2017 SRI WAHYUNINGSIH, NY BPJS KESEHATAN HERU SUTJAHJO A 16,860 106
5 R0217100095 06.02.2017 KASMI, NY. BPJS KESEHATAN EMIL DR SPPD 383 106
6 R0217100096 06.02.2017 TERYANCHO THEMOTHEUS PT. ASURANSI JAYA PARIO,dr SpB 2,530 106
7 R0217100098 06.02.2017 ENDANG RUDYATI, NY. BPJS KESEHATAN EMIL DR SPPD 1,004 106
8 R0217100103 06.02.2017 SITI KHOLIFAH, NY. BPJS KESEHATAN CHRISTIAN ADI N 17,160 106
9 R0217100104 06.02.2017 SITI KHOLIFAH, NY. BPJS KESEHATAN CHRISTIAN ADI N 73,331 106
10 R0217100105 06.02.2017 SITI KHOLIFAH, NY. BPJS KESEHATAN CHRISTIAN ADI N 8,632 106
11 R0217100107 06.02.2017 ADI SASTRA, TN. BPJS KESEHATAN AMIR, SPM 29,865 106
12 R0217100108 06.02.2017 QURROTA AYUN NISA AS PT. MANULIFE FINA AMIR, SPM 34,875 118

Total Seluruh Halaman 231,705

Page

P0217100045/RI
P0217100049/RI
J0217700011/RJ
P0217100071/RI
J0217700279/RJ
J0217700287/RJ
J0217700270/RJ
J0217700243/RJ
J0217700242/RJ
J0217700248/RJ
J0217700309/RJ
C0217700340/RJ
 REKAPITULASI INSTALASI FARMASI PER-UNIT (PENJUALAN) TUNAI

Periode : 06.02.2017 S/D 06.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 1,283,166 57,941 0 0 0 6,200 0 1,347,307
2 1 POLI 2,628,443 1,101,963 71,400 0 0 10,600 3,410 3,815,816
3 2 RAWAT BERSALIN 9,996 8,990 106,462 71,550 0 0 25,097 222,095
4 3 RAWAT INAP UMUM 628,737 233,559 0 0 0 400 0 862,696
5 4 ICU/OK 0 0 0 0 0 0 0 0
4,550,342 1,402,453 177,862 71,550 0 17,200 28,507 6,247,914

Surabaya, 07 Februari 2017

Manager F&A Kasir

( Primita ) ( )
 REKAPITULASI INSTALASI FARMASI PER-UNIT (PENJUALAN) NON TUNAI

Periode : 06.02.2017 S/D 06.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 238,326 25,377 0 0 0 2,000 0 265,703
2 1 POLI 3,704,623 620,628 0 0 0 4,600 0 4,329,851
3 2 RAWAT BERSALIN 145,813 75,441 0 0 0 0 0 221,254
4 3 RAWAT INAP UMUM 4,620 60,001 0 0 0 0 0 64,621
5 4 ICU/OK 0 0 0 0 0 0 0 0
4,093,382 781,447 0 0 0 6,600 0 4,881,429

Surabaya, 07 Februari 2017

Manager F&A Kasir

( Primita ) ( )
 REKAPITULASI RETUR INSTALASI FARMASI PER-UNIT (PENJUALAN) TUNAI

Periode : 06.02.2017 S/D 06.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 17,400 0 0 0 0 0 0 17,400
2 1 POLI 22,425 5,873 0 0 0 0 0 28,298
3 2 RAWAT BERSALIN 0 0 0 0 0 0 0 0
4 3 RAWAT INAP UMUM 97,514 35,467 0 0 0 0 0 132,981
5 4 ICU/OK 0 0 0 0 0 0 0 0
137,339 41,340 0 0 0 0 0 178,679

Surabaya, 07 Februari 2017

Manager F&A Kasir

( Primita ) ( )
 REKAPITULASI RETUR INSTALASI FARMASI PER-UNIT (PENJUALAN) NON TUNAI

Periode : 06.02.2017 S/D 06.02.2017

No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 122,044 6,984 0 0 0 0 0 129,028
2 1 POLI 68,657 0 0 0 0 0 0 68,657
3 2 RAWAT BERSALIN 0 0 0 0 0 0 0 0
4 3 RAWAT INAP UMUM 0 0 0 0 0 0 0 0
5 4 ICU/OK 34,020 0 0 0 0 0 0 34,020
224,721 6,984 0 0 0 0 0 231,705

Surabaya, 07 Februari 2017

Manager F&A Kasir

( Primita ) ( )