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INSTALASI FARMASI RSU BUNDA (KASIR)

RS.BUNDA SURABAYA
Tanggal : 08.02.2016 S/d 08.02.2016
UserID : 113 Jenis Pembayaran : TUNAI

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


1 U0217100522 08.02.2017 ARIE SURYA KUSUMAWAT UMUM RENI SPOG, DR 835,710 118
2 U0217100523 08.02.2017 ARIE SURYA KUSUMAWAT UMUM RENI SPOG, DR 144,719 118
3 U0217100524 08.02.2017 ENIK ERNAWATI, NY. UMUM DWI SETYAWAN, D 323,659 118
4 U0217100525 08.02.2017 ICA RAHMAWATI, NN. UMUM DWI SETYAWAN, D 284,128 118
5 U0217100526 08.02.2017 WIWIK IDAYATI NUR IM UMUM DWI SETYAWAN, D 402,878 118
6 U0217100527 08.02.2017 SITI MARIVA, NY. UMUM RENI SPOG, DR 29,763 118
7 U0217100528 08.02.2017 HALIMATUL FITRIYAH, BPJS KESEHATAN APS 17,818 118
8 U0217100529 08.02.2017 TONO ANGGORO, TN. BPJS KESEHATAN ARIYA TEJA S. d 8,845 118
9 U0217100530 08.02.2017 MACHMUD, TN. UMUM HENDRATA,dr SpP 135,931 114
10 U0217100531 08.02.2017 TRI SULASTRI, BY, NY UMUM HARIYZON, DR Sp 8,900 114
11 U0217100532 08.02.2017 PUTRA SULTON ULIYEK, UMUM ARIYA TEJA S. d 48,050 114
12 U0217100533 08.02.2017 UMI KAYATUN, NY. UMUM CHRISTIAN ADI N 35,250 114
13 U0217100534 08.02.2017 KEISYA ENJELINA TOLI UMUM CHRISTIAN ADI N 96,589 114
14 U0217100535 08.02.2017 MOCHAMMAD FAREL DWI UMUM AFIF, DR SPB 185,986 114
15 J0217100536 08.02.2017 LILIK NUR INDAH SARI BPJS KESEHATAN APS 90,156 114
16 J0217100537 08.02.2017 ARIESKA LITA W, NY. BPJS KESEHATAN APS 7,564 114
17 U0217100538 08.02.2017 SAFA NUR RAMADHANI, UMUM HARIYZON, DR Sp 354,766 114
18 U0217100539 08.02.2017 APRILIA RIZKYANA, NY UMUM DIDI D. SP.OG,D 56,098 114
19 U0217100540 08.02.2017 RB BUNDA BANYU URIP UMUM APS 389,490 114
20 U0217100541 08.02.2017 SYAFIYYAH KEYLAKHANS UMUM HARIYZON, DR Sp 122,204 114
21 U0217100542 08.02.2017 AHMADA SYABIL RESA P UMUM HARIYZON, DR Sp 21,486 114
22 U0217100543 08.02.2017 FERLITO FARDIYATA, A UMUM HARIYZON, DR Sp 126,844 114
23 U0217100544 08.02.2017 ACHMAD ARDIANTO, TN. UMUM AFIF, DR SPB 652,737 114
24 U0217100545 08.02.2017 WIWIK IDAYATI NUR IM UMUM EMIL DR SPPD 63,217 114
25 U0217100546 08.02.2017 SITI MARIVA, NY. UMUM JIMMI SPOG, DR 364,803 114
26 U0217100547 08.02.2017 NADZA ADREENA FAWNIA UMUM HARIYZON, DR Sp 21,486 114
27 U0217100548 08.02.2017 FELICIA GRACE , AN. UMUM HARIYZON, DR Sp 93,000 114
28 U0217100549 08.02.2017 AZKA ARTHA A, AN. UMUM HARIYZON, DR Sp 86,910 114
29 U0217100550 08.02.2017 SITI MARIVA, NY. UMUM JIMMI SPOG, DR 39,150 114
30 U0217100551 08.02.2017 MOCH. RIDWAN ARSENIO UMUM HARIYZON, DR Sp 55,329 114
31 U0217100552 08.02.2017 IRENA PRAMESTI, AN. UMUM HARIYZON, DR Sp 178,670 114
32 U0217100553 08.02.2017 UBAID YUDHA P, AN. UMUM HARIYZON, DR Sp 72,076 114
33 U0217100554 08.02.2017 AIKO SYBILLA HERLAMB UMUM HARIYZON, DR Sp 32,245 114
34 U0217100555 08.02.2017 DZAKY SHALAHUDDIN AL UMUM HARIYZON, DR Sp 21,153 114
35 U0217100556 08.02.2017 DAVINA SYAUQIA, AN. UMUM HARIYZON, DR Sp 72,076 114
36 U0217100557 08.02.2017 ISMAIL KENZO LAKSONO UMUM HARIYZON, DR Sp 29,156 114
37 U0217100558 08.02.2017 ARIESKA LITA W, NY. BPJS KESEHATAN APS 17,618 114
38 U0217100559 08.02.2017 IRENA PRAMESTI, AN. UMUM HARIYZON, DR Sp 12,789 114
39 U0217100560 08.02.2017 RAHAYU, NY. UMUM CHRISTIAN ADI N 115,001 114
40 U0217100561 08.02.2017 WIWIK IDAYATI NUR IM UMUM EMIL DR SPPD 34,604 114
41 U0217100562 08.02.2017 SAFA NUR RAMADHANI, UMUM HARIYZON, DR Sp 48,050 114
42 U0217100563 08.02.2017 RAHAYU, NY. UMUM CHRISTIAN ADI N 223,472 114
43 U0217100564 08.02.2017 SITI MARIVA, NY. UMUM HARIYZON, DR Sp 71,683 114
44 J0217100565 08.02.2017 EMI DWI SUSANTI, NY. BPJS KESEHATAN APS 21,120 115
45 U0217100566 08.02.2017 MEILDHA DWI A, NN. UMUM APS 3,410 104
46 U0217100567 08.02.2017 MEILDHA DWI A, NN. UMUM APS 11,745 104
47 U0217100568 08.02.2017 SITI MARIVA, NY. UMUM JIMMI SPOG, DR 70,714 104
48 J0217100569 08.02.2017 MEILDHA DWI A, NN. UMUM APS 7,544 104
49 U0217100570 08.02.2017 ARIE SURYA KUSUMAWAT UMUM RENI SPOG, DR 54,431 104
50 U0217100571 08.02.2017 ACHMAD ARDIANTO, TN. UMUM AFIF, DR SPB 1,123,175 104
51 U0217100572 08.02.2017 ACHMAD ARDIANTO, TN. UMUM MORISKA, dr SpA 110,190 104
52 U0217100573 08.02.2017 ACHMAD ARDIANTO, TN. UMUM AFIF, DR SPB 931,810 104
53 U0217100574 08.02.2017 ACHMAD ARDIANTO, TN. UMUM AFIF, DR SPB 9,425 104
54 U0217100575 08.02.2017 DAFA ZAIDAN ABUPUTRA UMUM ADENDRA S. dr. 37,166 104
55 U0217100576 08.02.2017 PURNAWATI, NY. PT. ASM ADENDRA S. dr. 14,863 104
56 U0217100577 08.02.2017 ASRANTO TAHIR, TN. UMUM ADENDRA S. dr. 15,824 104
57 U0217100578 08.02.2017 DWI MARYANTO, TN. UMUM ADENDRA S. dr. 52,944 104
58 U0217100579 08.02.2017 SURATMAN, TN. UMUM ADENDRA S. dr. 49,802 104
59 U0217100580 08.02.2017 WIWIK IDAYATI NUR IM UMUM EMIL DR SPPD 373,013 104
60 U0217100581 08.02.2017 WIWIK IDAYATI NUR IM UMUM ROXANTIN, DR Sp 71,993 104
61 U0217100582 08.02.2017 ELIZABETH LILIK, NY. UMUM BIDAN ENI FATMA 88,088 104
62 U0217100583 08.02.2017 ELIZABETH LILIK, NY. UMUM BIDAN ENI FATMA 35,435 104
63 U0217100584 08.02.2017 ELIZABETH LILIK, NY. UMUM BIDAN ENI FATMA 17,618 104
64 U0217100585 08.02.2017 DESI NUR KHOLIPAH, N UMUM RENI SPOG, DR 239,250 104
65 U0217100586 08.02.2017 FEBRIAN HENDRAWAN, S UMUM ADENDRA S. dr. 174,835 104
66 U0217100587 08.02.2017 ALUH YULIANTINI, NY. UMUM RENI SPOG, DR 107,707 104
67 U0217100588 08.02.2017 DIDIK JUNAIDI, TN. UMUM ADENDRA S. dr. 151,956 104
68 U0217100589 08.02.2017 SAFA NUR RAMADHANI, UMUM HARIYZON, DR Sp 17,110 104
69 J0217100590 08.02.2017 MEILDHA DWI A, NN. UMUM APS 14,256 104
70 J0217100591 08.02.2017 WIDIASTI YUDHI ANAND BPJS KESEHATAN APS 533,250 104
71 J0217100592 08.02.2017 MEILDHA DWI A, NN. UMUM APS 3,907 104
72 U0217100593 08.02.2017 YURI MARIATIN, NY. UMUM RENI SPOG, DR 141,919 104
73 U0217100594 08.02.2017 VIOLETTA, NY. UMUM RENI SPOG, DR 21,950 104
74 U0217100595 08.02.2017 FAIZAH AQILAH SAHIRA UMUM ADENDRA S. dr. 42,833 106
75 U0217100596 08.02.2017 RIDHA AYU CHRISTINA, UMUM RENI SPOG, DR 24,157 106
76 U0217100597 08.02.2017 WIWUK SATRIANA DEWI, UMUM RENI SPOG, DR 119,808 106
77 U0217100598 08.02.2017 RR MAYA INDAH DWI H, UMUM RENI SPOG, DR 416,933 106
78 U0217100599 08.02.2017 KURNIAWATI, NY. UMUM RENI SPOG, DR 23,200 106
79 U0217100600 08.02.2017 KAIYA FIRIZA A, AN. UMUM RISKI, DR SPA 133,188 106
80 U0217100601 08.02.2017 MEITA LINAWATI, NY. UMUM ARIYA TEJA S. d 112,433 106
81 U0217100602 08.02.2017 DITA AFRIYANTI, NY. UMUM RENI SPOG, DR 238,270 106
82 U0217100603 08.02.2017 ALDEBARAN MUHAMMAD, UMUM RISKI, DR SPA 90,692 106
83 U0217100604 08.02.2017 SULIANA, NY. UMUM RENI SPOG, DR 184,628 106
84 U0217100605 08.02.2017 CHINTYA NINDY P, NY. UMUM RENI SPOG, DR 8,751 106
85 U0217100606 08.02.2017 FITRIYAH, NY. UMUM RENI SPOG, DR 160,255 106
86 U0217100607 08.02.2017 ILUK RISTIANI, NY. UMUM HERU SUTJAHJO A 386,321 106
87 U0217700467 08.02.2017 CALON BAYI NY RAHAYU BPJS KESEHATAN APS 79,341 104

Total Seluruh Halaman 12,559,319

Total Penjualan Tunai [LN] : 6,459,110


Total Penjualan Tunai [BB] : 5,710,719
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 389,490
Page : 1

JENIS LAYANAN |
UMM003 [RANAP 2] BB
UMM003 [RANAP 2] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] BB
UMM008 [IGD] LN
UMM003 [RANAP 2] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] LN
UMM002 [RANAP 1] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] LN
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] LN
UMM002 [RANAP 1] BB
UMM003 [RANAP 2] LN
URB000 [RB BUNDA] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] BB
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM001 [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
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] BB
UMM008 [IGD] LN
UMM002 [RANAP 1] LN
JMS001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM003 [RANAP 2] BB
JMS001 [RAWAT JALAN] LN
UMM003 [RANAP 2] LN
UMM009 [OK] BB
UMM009 [OK] BB
UMM009 [OK] BB
UMM009 [OK] BB
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] BB
UMM002 [RANAP 1] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM002 [RANAP 1] BB
JMS001 [RAWAT JALAN] LN
JMS001 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM008 [IGD] BB
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] LN
UMM001 [RAWAT JALAN] BB
UMM001 [RAWAT JALAN] LN
UMM003 [RANAP 2] LN
UMM001 [RAWAT JALAN] BB
INSTALASI FARMASI RSU BUNDA (KASIR)
RS.BUNDA SURABAYA
Tanggal : 08.02.2016 S/d 08.02.2016
UserID : 113 Jenis Pembayaran : NON TUNAI

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


1 P0217100109 08.02.2017 NURAINI, NY. BPJS KESEHATAN DIDI D. SP.OG,D 10,712 118
2 P0217100110 08.02.2017 HALIMATUL FITRIYAH, BPJS KESEHATAN HERU SUTJAHJO A 81,498 114
3 P0217100111 08.02.2017 HALIMATUL FITRIYAH, BPJS KESEHATAN MORISKA, dr SpA 26,400 114
4 P0217100112 08.02.2017 ANISA USWATUN C, BY, PT ASURANSI ASTR HARIYZON, DR Sp 56,381 104
5 P0217100113 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 31,502 106
6 P0217100114 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN DWI SETYAWAN, D 366,757 106
7 P0217100115 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 363,752 106
8 P0217100116 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 11,762 106
9 P0217100117 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN ROXANTIN, DR Sp 65,538 106
10 P0217100118 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 339,570 106
11 P0217100119 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN DWI SETYAWAN, D 117,312 106
12 J0217700446 08.02.2017 ACHMAD SALMAN SAHAL BPJS KESEHATAN ARIYA TEJA S. d 22,921 118
13 J0217700447 08.02.2017 ANTONIUS HALEH, TN. BPJS KESEHATAN ARIYA TEJA S. d 32,932 118
14 J0217700448 08.02.2017 SAKRI RIANTO, TN. BPJS KESEHATAN ARIYA TEJA S. d 41,368 118
15 J0217700449 08.02.2017 RAFDAN MAULANA L, AN BPJS KESEHATAN ARIYA TEJA S. d 17,865 118
16 C0217700450 08.02.2017 NATSUMI PUTRI O, AN. AIA FINANCIAL CHRISTIAN ADI N 86,868 114
17 C0217700451 08.02.2017 ABIYAKSA AL GIBRAN I PT. ASM CHRISTIAN ADI N 25,856 114
18 J0217700452 08.02.2017 NITA TRI H, NY. BPJS KESEHATAN ARIYA TEJA S. d 52,278 114
19 C0217700453 08.02.2017 M FAIZ FAJAR IBNU A, LIPPO INSURANCE CHRISTIAN ADI N 11,368 114
20 C0217700454 08.02.2017 JEFRI SANDIAWAN, TN. PT. FELTICO CHRISTIAN ADI N 52,490 114
21 C0217700455 08.02.2017 PUTRI CINDY CANTIKAS MEDICARE CHRISTIAN ADI N 135,879 114
22 C0217700456 08.02.2017 THAFANA RAISYA GHASS PT. CAR HARIYZON, DR Sp 178,187 114
23 C0217700457 08.02.2017 MUJIATI, NY. PT. CAR CHRISTIAN ADI N 219,982 114
24 J0217700458 08.02.2017 NUR CHOMARIAH, NY. BPJS KESEHATAN CHRISTIAN ADI N 34,611 114
25 J0217700459 08.02.2017 TITA NURDIAH SARI, N BPJS KESEHATAN DIDI D. SP.OG,D 37,730 114
26 J0217700460 08.02.2017 DAVINA AZZAHRA, AN. BPJS KESEHATAN ANDI.THT,DR 48,256 104
27 J0217700461 08.02.2017 SRI HARYANTI NY BPJS KESEHATAN ANDI.THT,DR 57,915 104
28 J0217700462 08.02.2017 KASTINI, NY. BPJS KESEHATAN ANDI.THT,DR 21,773 104
29 J0217700463 08.02.2017 MATHEYS TUHUMENA, TN BPJS KESEHATAN ANDI.THT,DR 31,858 104
30 J0217700464 08.02.2017 MUYANAH, NY. BPJS KESEHATAN ANDI.THT,DR 21,773 104
31 J0217700465 08.02.2017 ROHMAT, TN. BPJS KESEHATAN ANDI.THT,DR 42,055 104
32 C0217700466 08.02.2017 DIA INDAH LESTARI, N PT. CEMERLANG CHRISTIAN ADI N 60,719 104
33 J0217700468 08.02.2017 SULAMI, NY. BPJS KESEHATAN ANDI.THT,DR 6,910 104
34 J0217700469 08.02.2017 MUHAMMAD HABIBI LUKM BPJS KESEHATAN ANDI.THT,DR 44,841 104
35 J0217700470 08.02.2017 PUJI ASTUTIK, NY. BPJS KESEHATAN ANDI.THT,DR 21,484 104
36 J0217700471 08.02.2017 RIYONO HIDAYAT H,TN BPJS KESEHATAN CHRISTIAN ADI N 12,725 104
37 J0217700472 08.02.2017 HERI SUPRIANTO, TN. BPJS KESEHATAN ANDI.THT,DR 48,774 104
38 C0217700473 08.02.2017 HANDAYANI, TN. PT. FELTICO ARIES SUBIANTO, 42,718 104
39 J0217700474 08.02.2017 SUWOTO, TN. BPJS KESEHATAN AFIF, DR SPB 59,644 104
40 J0217700475 08.02.2017 NURSAM, TN. BPJS KESEHATAN AFIF, DR SPB 8,501 104
41 J0217700476 08.02.2017 PURYANI, NY. BPJS KESEHATAN AFIF, DR SPB 15,893 104
42 J0217700477 08.02.2017 CINDY AULIA PUTRI AR BPJS KESEHATAN AFIF, DR SPB 2,552 104
43 J0217700478 08.02.2017 VERA MAHARANI, NY. BPJS KESEHATAN AFIF, DR SPB 3,802 104
44 J0217700479 08.02.2017 KHANSA NIDA OKTAVIAN BPJS KESEHATAN ADENDRA S. dr. 29,045 104
45 C0217700480 08.02.2017 SUGENG PRAYITNO, TN. MEDICARE ADENDRA S. dr. 119,102 104
46 C0217700481 08.02.2017 ABELIA DAFANIA Z, AN PT. ASURANSI BINT ADENDRA S. dr. 33,701 104
47 J0217700482 08.02.2017 SULTAN MAHMUD AL K,A BPJS KESEHATAN ADENDRA S. dr. 13,205 104
48 J0217700483 08.02.2017 FARID KURNIAWAN S, S BPJS KESEHATAN ADENDRA S. dr. 22,143 104
49 J0217700484 08.02.2017 SUGITO, TN. BPJS KESEHATAN REDDY P.SPJP, D 6,922 104
50 C0217700485 08.02.2017 DIANA TRI W, NY. PT. MANULIFE FINA RENI SPOG, DR 130,045 104
51 J0217700486 08.02.2017 ENDANG YULIATIN, NY. BPJS KESEHATAN RENI SPOG, DR 17,232 104
52 J0217700487 08.02.2017 EMY SUMIATI, NY. BPJS KESEHATAN RENI SPOG, DR 3,802 104
53 J0217700488 08.02.2017 KASIYANTO, TN. BPJS KESEHATAN HENDRATA,dr SpP 5,331 104
54 J0217700489 08.02.2017 KASIYANTO, TN. BPJS KESEHATAN HENDRATA,dr SpP 17,518 104
55 J0217700490 08.02.2017 UYUN NUR ROHMAH, NY. BPJS KESEHATAN ADENDRA S. dr. 54,700 104
56 J0217700491 08.02.2017 ARIS PRATAMA, SDR. BPJS KESEHATAN HENDRATA,dr SpP 50,155 104
57 J0217700492 08.02.2017 BUNATI, NY. BPJS KESEHATAN ADENDRA S. dr. 13,815 104
58 J0217700493 08.02.2017 FITRI NUR AZIZAH, NY BPJS KESEHATAN RENI SPOG, DR 1,432 106
59 J0217700494 08.02.2017 NOVI TRI LESTARI, NY BPJS KESEHATAN RENI SPOG, DR 1,432 106
60 J0217700495 08.02.2017 SARI INDRIATI NY BPJS KESEHATAN RENI SPOG, DR 37,293 106
61 J0217700496 08.02.2017 FITRIYAH AGUSTINA, N BPJS KESEHATAN RENI SPOG, DR 9,471 106
62 J0217700497 08.02.2017 YENI UDANIARTI, NY. BPJS KESEHATAN RENI SPOG, DR 9,471 106
63 J0217700498 08.02.2017 SRI SUWARNI, NY. BPJS KESEHATAN RENI SPOG, DR 8,580 106
64 J0217700499 08.02.2017 DIANYUNIATI, NY. BPJS KESEHATAN RENI SPOG, DR 15,262 106
65 J0217700500 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN ARIYA TEJA S. d 193,776 106
66 C0217700501 08.02.2017 NUR LAILI YUNI H, NY PT. MANULIFE FINA JIMMI SPOG, DR 12,912 106
67 J0217700502 08.02.2017 LUCYANA MARGARETHA, BPJS KESEHATAN JIMMI SPOG, DR 2,534 106

Total Seluruh Halaman 3,782,591

Total Penjualan Tunai [LN] : 0


Total Penjualan Tunai [BB] : 3,782,591
Total Penjualan Tunai RB [LN] : 0
Total Penjualan Tunai RB [BB] : 0
Page : 1

JENIS LAYANAN |
JMS003 [RANAP 2] BB
JMS003 [RANAP 2] BB
JMS003 [RANAP 2] BB
COR101 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS002 [RANAP 1] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] BB
COR108 [IGD] BB
COR108 [IGD] BB
JMS007 [IGD] BB
COR108 [IGD] BB
COR108 [IGD] BB
COR108 [IGD] BB
COR100 [RAWAT JALAN] BB
COR108 [IGD] BB
JMS007 [IGD] BB
JMS003 [RANAP 2] 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
JMS007 [IGD] 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
JMS007 [IGD] BB
COR108 [IGD] BB
COR108 [IGD] BB
JMS007 [IGD] BB
JMS007 [IGD] 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
JMS007 [IGD] BB
JMS001 [RAWAT JALAN] 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
JMS007 [IGD] BB
COR100 [RAWAT JALAN] BB
JMS001 [RAWAT JALAN] BB
LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 08.02.2016 S/d 08.02.2016
UserID : 113 Jenis Pembayaran : TUNAI

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


1 R0217100133 08.02.2017 MACHMUD, TN. UMUM HENDRATA,dr SpP 10,962 114
2 R0217100134 08.02.2017 MACHMUD, TN. UMUM HENDRATA,dr SpP 293,625 114
3 R0217100137 08.02.2017 SITI MARIVA, NY. UMUM JIMMI SPOG, DR 2,538 114
4 R0217100138 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 63,217 114
5 R0217100139 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 196,433 114
6 R0217100140 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN DWI SETYAWAN, D 32,190 114
7 R0217100141 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN ARIYA TEJA S. d 5,220 114
8 R0217100142 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 58,000 114
9 R0217100145 08.02.2017 ACHMAD ARDIANTO, TN. UMUM AFIF, DR SPB 29,844 104
10 R0217100146 08.02.2017 ANISA USWATUN C, BY, PT ASURANSI ASTRAHARIYZON, DR Sp 52,744 104
11 R0217100147 08.02.2017 ELIZABETH LILIK, NY. UMUM BIDAN ENI FATMA 88,090 104
12 R0217100148 08.02.2017 RR MAYA INDAH DWI H, UMUM RENI SPOG, DR 3,770 106
13 R0217100149 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 373,015 106
14 R0217100150 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN ROXANTIN, DR Sp 71,995 106
15 R0217100151 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 34,605 106
16 R0217100152 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN DWI SETYAWAN, D 402,880 106
17 R0217100153 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 138,675 106
18 R0217100154 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN ARIYA TEJA S. d 207,641 106
19 R0217100155 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN EMIL DR SPPD 13,125 106
20 R0217100156 08.02.2017 WIWIK IDAYATI NUR IM BPJS KESEHATAN DWI SETYAWAN, D 90,628 106

Total Seluruh Halaman 2,169,197


Page

U0217100530/RI
U0217100324/RI
U0217100546/RJ
U0217100545/RI
U0217100468/RI
U0217100503/RI
U0217100464/RJ
U0217100468/RI
U0217100573/RI
U0217100508/RI
U0217100582/RJ
U0217100598/RJ
U0217100580/RI
U0217100581/RI
U0217100561/RI
U0217100526/RI
U0217100468/RI
U0217100464/RJ
U0217100479/RI
U0217100503/RI
LAPORAN (RETUR)
RS.BUNDA SURABAYA
Tanggal : 08.02.2016 S/d 08.02.2016
UserID : 113 Jenis Pembayaran : NON TUNAI

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


1 R0217100135 08.02.2017 ANISA USWATUN CHASAN PT ASURANSI ASTRADICKY, DR SpAn 18,833 114
2 R0217100136 08.02.2017 ANISA USWATUN CHASAN PT ASURANSI ASTRARENI SPOG, DR 11,315 114
3 R0217100143 08.02.2017 HANDAYANI, TN. PT. FELTICO ARIES SUBIANTO, 22,512 104
4 R0217100144 08.02.2017 NITA TRI H, NY. BPJS KESEHATAN ARIYA TEJA S. d 52,279 104

Total Seluruh Halaman 104,939


Page

P0217100101/RI
P0217100089/RI
C0217700422/RJ
J0217700452/RJ
REKAPITULASI INSTALASI FARMASI PER-UNIT (PENJUALAN) TUNAI

Periode : 08.02.2017 S/D 08.02.2017


No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 1,805,429 335,311 0 71,726 0 5,800 0 2,218,266
2 1 POLI 3,552,416 36,907 79,341 533,250 0 19,400 3,410 4,224,724
3 2 RAWAT BERSALIN 788,602 597,953 0 143,100 0 1,400 34,756 1,565,811
4 3 RAWAT INAP UMUM 2,061,945 301,514 0 0 0 2,800 9,659 2,375,918
5 4 ICU/OK 1,500,277 674,323 0 0 0 0 0 2,174,600
9,708,669 1,946,008 79,341 748,076 0 29,400 47,825 12,559,319

Surabaya, 09 Februari 2017


Manager F&A Kasir

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

Periode : 08.02.2017 S/D 08.02.2017


No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 1,099,527 185,022 0 0 0 2,800 0 1,287,349
2 1 POLI 968,978 0 0 0 0 3,600 13,750 986,328
3 2 RAWAT BERSALIN 117,378 38,962 0 0 0 0 0 156,340
4 3 RAWAT INAP UMUM 1,196,372 156,202 0 0 0 0 0 1,352,574
5 4 ICU/OK 0 0 0 0 0 0 0 0
3,382,255 380,186 0 0 0 6,400 13,750 3,782,591

Surabaya, 09 Februari 2017


Manager F&A Kasir

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

Periode : 08.02.2017 S/D 08.02.2017


No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 57,421 157,978 0 0 0 0 0 215,399
2 1 POLI 91,860 0 0 0 0 0 0 91,860
3 2 RAWAT BERSALIN 0 0 0 0 0 0 0 0
4 3 RAWAT INAP UMUM 1,620,669 210,825 0 0 0 600 0 1,832,094
5 4 ICU/OK 0 29,844 0 0 0 0 0 29,844
1,769,950 398,647 0 0 0 600 0 2,169,197

Surabaya, 09 Februari 2017


Manager F&A Kasir

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

Periode : 08.02.2017 S/D 08.02.2017


No. Kd-Unit Nama Unit Obat Alkes Susu Vaksin Pulv Resep OTC
1 0 IGD/UMUM 51,190 1,089 0 0 0 0 0 52,279
2 1 POLI 22,512 0 0 0 0 0 0 22,512
3 2 RAWAT BERSALIN 18,833 11,315 0 0 0 0 0 30,148
4 3 RAWAT INAP UMUM 0 0 0 0 0 0 0 0
5 4 ICU/OK 0 0 0 0 0 0 0 0
92,535 12,404 0 0 0 0 0 104,939

Surabaya, 09 Februari 2017


Manager F&A Kasir

( Primita ) ( )

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