UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

No No.SEP Tgl. Verifikasi

1 1702R00206170000002 23/08/2017
2 1702R00206170000006 23/08/2017
3 1702R00206170000007 23/08/2017
4 1702R00206170000008 23/08/2017
5 1702R00206170000009 23/08/2017
6 1702R00206170000010 23/08/2017
7 1702R00206170000011 23/08/2017
8 1702R00206170000012 23/08/2017
9 1702R00206170000013 23/08/2017
10 1702R00206170000014 23/08/2017
11 1702R00206170000015 23/08/2017
12 1702R00206170000016 23/08/2017
13 1702R00206170000017 23/08/2017
14 1702R00206170000018 23/08/2017
15 1702R00206170000019 23/08/2017
16 1702R00206170000020 23/08/2017
17 1702R00206170000021 23/08/2017
18 1702R00206170000022 23/08/2017
19 1702R00206170000023 23/08/2017
20 1702R00206170000024 23/08/2017
21 1702R00206170000025 23/08/2017
22 1702R00206170000027 23/08/2017
23 1702R00206170000028 23/08/2017
24 1702R00206170000030 23/08/2017
25 1702R00206170000031 23/08/2017
26 1702R00206170000035 23/08/2017
27 1702R00206170000037 23/08/2017
28 1702R00206170000038 23/08/2017
29 1702R00206170000039 23/08/2017
30 1702R00206170000040 23/08/2017
31 1702R00206170000041 23/08/2017
32 1702R00206170000042 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

33 1702R00206170000043 23/08/2017
34 1702R00206170000044 23/08/2017
35 1702R00206170000045 23/08/2017
36 1702R00206170000046 23/08/2017
37 1702R00206170000047 23/08/2017
38 1702R00206170000048 23/08/2017
39 1702R00206170000049 23/08/2017
40 1702R00206170000052 23/08/2017
41 1702R00206170000054 23/08/2017
42 1702R00206170000055 23/08/2017
43 1702R00206170000056 23/08/2017
44 1702R00206170000059 23/08/2017
45 1702R00206170000060 23/08/2017
46 1702R00206170000061 23/08/2017
47 1702R00206170000062 23/08/2017
48 1702R00206170000063 23/08/2017
49 1702R00206170000064 23/08/2017
50 1702R00206170000065 23/08/2017
51 1702R00206170000066 23/08/2017
52 1702R00206170000067 23/08/2017
53 1702R00206170000068 23/08/2017
54 1702R00206170000069 23/08/2017
55 1702R00206170000070 23/08/2017
56 1702R00206170000071 23/08/2017
57 1702R00206170000072 23/08/2017
58 1702R00206170000073 23/08/2017
59 1702R00206170000076 23/08/2017
60 1702R00206170000078 23/08/2017
61 1702R00206170000079 23/08/2017
62 1702R00206170000081 23/08/2017
63 1702R00206170000082 23/08/2017
64 1702R00206170000083 23/08/2017
65 1702R00206170000084 23/08/2017
66 1702R00206170000085 23/08/2017
67 1702R00206170000086 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

68 1702R00206170000087 23/08/2017
69 1702R00206170000088 23/08/2017
70 1702R00206170000090 23/08/2017
71 1702R00206170000091 23/08/2017
72 1702R00206170000092 23/08/2017
73 1702R00206170000093 23/08/2017
74 1702R00206170000094 23/08/2017
75 1702R00206170000096 23/08/2017
76 1702R00206170000097 23/08/2017
77 1702R00206170000099 23/08/2017
78 1702R00206170000100 23/08/2017
79 1702R00206170000102 23/08/2017
80 1702R00206170000103 23/08/2017
81 1702R00206170000104 23/08/2017
82 1702R00206170000105 23/08/2017
83 1702R00206170000106 23/08/2017
84 1702R00206170000109 23/08/2017
85 1702R00206170000110 23/08/2017
86 1702R00206170000112 23/08/2017
87 1702R00206170000114 23/08/2017
88 1702R00206170000117 23/08/2017
89 1702R00206170000118 23/08/2017
90 1702R00206170000119 23/08/2017
91 1702R00206170000120 23/08/2017
92 1702R00206170000121 23/08/2017
93 1702R00206170000122 23/08/2017
94 1702R00206170000123 23/08/2017
95 1702R00206170000124 23/08/2017
96 1702R00206170000126 23/08/2017
97 1702R00206170000127 23/08/2017
98 1702R00206170000128 23/08/2017
99 1702R00206170000129 23/08/2017
100 1702R00206170000130 23/08/2017
101 1702R00206170000131 23/08/2017
102 1702R00206170000132 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

103 1702R00206170000133 23/08/2017

104 1702R00206170000134 23/08/2017
105 1702R00206170000135 23/08/2017
106 1702R00206170000136 23/08/2017
107 1702R00206170000138 23/08/2017
108 1702R00206170000139 23/08/2017
109 1702R00206170000140 23/08/2017
110 1702R00206170000141 23/08/2017
111 1702R00206170000144 23/08/2017
112 1702R00206170000145 23/08/2017
113 1702R00206170000147 23/08/2017
114 1702R00206170000150 23/08/2017
115 1702R00206170000152 23/08/2017
116 1702R00206170000153 23/08/2017
117 1702R00206170000154 23/08/2017
118 1702R00206170000155 23/08/2017
119 1702R00206170000157 23/08/2017
120 1702R00206170000158 23/08/2017
121 1702R00206170000159 23/08/2017
122 1702R00206170000160 23/08/2017
123 1702R00206170000161 23/08/2017
124 1702R00206170000162 23/08/2017
125 1702R00206170000168 23/08/2017
126 1702R00206170000169 23/08/2017
127 1702R00206170000170 23/08/2017
128 1702R00206170000171 23/08/2017
129 1702R00206170000173 23/08/2017
130 1702R00206170000174 23/08/2017
131 1702R00206170000175 23/08/2017
132 1702R00206170000176 23/08/2017
133 1702R00206170000177 23/08/2017
134 1702R00206170000178 23/08/2017
135 1702R00206170000179 23/08/2017
136 1702R00206170000180 23/08/2017
137 1702R00206170000181 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

138 1702R00206170000182 23/08/2017

139 1702R00206170000183 23/08/2017
140 1702R00206170000185 23/08/2017
141 1702R00206170000186 23/08/2017
142 1702R00206170000187 23/08/2017
143 1702R00206170000188 23/08/2017
144 1702R00206170000190 23/08/2017
145 1702R00206170000191 23/08/2017
146 1702R00206170000192 23/08/2017
147 1702R00206170000193 23/08/2017
148 1702R00206170000196 23/08/2017
149 1702R00206170000197 23/08/2017
150 1702R00206170000198 23/08/2017
151 1702R00206170000199 23/08/2017
152 1702R00206170000201 23/08/2017
153 1702R00206170000202 23/08/2017
154 1702R00206170000203 23/08/2017
155 1702R00206170000204 23/08/2017
156 1702R00206170000205 23/08/2017
157 1702R00206170000206 23/08/2017
158 1702R00206170000207 23/08/2017
159 1702R00206170000209 23/08/2017
160 1702R00206170000210 23/08/2017
161 1702R00206170000214 23/08/2017
162 1702R00206170000217 23/08/2017
163 1702R00206170000218 23/08/2017
164 1702R00206170000219 23/08/2017
165 1702R00206170000220 23/08/2017
166 1702R00206170000221 23/08/2017
167 1702R00206170000222 23/08/2017
168 1702R00206170000223 23/08/2017
169 1702R00206170000224 23/08/2017
170 1702R00206170000225 23/08/2017
171 1702R00206170000226 23/08/2017
172 1702R00206170000227 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

173 1702R00206170000228 23/08/2017

174 1702R00206170000229 23/08/2017
175 1702R00206170000230 23/08/2017
176 1702R00206170000231 23/08/2017
177 1702R00206170000232 23/08/2017
178 1702R00206170000233 23/08/2017
179 1702R00206170000235 23/08/2017
180 1702R00206170000237 23/08/2017
181 1702R00206170000238 23/08/2017
182 1702R00206170000239 23/08/2017
183 1702R00206170000240 23/08/2017
184 1702R00206170000241 23/08/2017
185 1702R00206170000243 23/08/2017
186 1702R00206170000244 23/08/2017
187 1702R00206170000245 23/08/2017
188 1702R00206170000246 23/08/2017
189 1702R00206170000247 23/08/2017
190 1702R00206170000249 23/08/2017
191 1702R00206170000250 23/08/2017
192 1702R00206170000251 23/08/2017
193 1702R00206170000252 23/08/2017
194 1702R00206170000253 23/08/2017
195 1702R00206170000255 23/08/2017
196 1702R00206170000256 23/08/2017
197 1702R00206170000257 23/08/2017
198 1702R00206170000259 23/08/2017
199 1702R00206170000260 23/08/2017
200 1702R00206170000261 23/08/2017
201 1702R00206170000262 23/08/2017
202 1702R00206170000264 23/08/2017
203 1702R00206170000266 23/08/2017
204 1702R00206170000267 23/08/2017
205 1702R00206170000268 23/08/2017
206 1702R00206170000269 23/08/2017
207 1702R00206170000272 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

208 1702R00206170000273 23/08/2017

209 1702R00206170000275 23/08/2017
210 1702R00206170000276 23/08/2017
211 1702R00206170000279 23/08/2017
212 1702R00206170000282 23/08/2017
213 1702R00206170000284 23/08/2017
214 1702R00206170000285 23/08/2017
215 1702R00206170000286 23/08/2017
216 1702R00206170000287 23/08/2017
217 1702R00206170000288 23/08/2017
218 1702R00206170000289 23/08/2017
219 1702R00206170000290 23/08/2017
220 1702R00206170000291 23/08/2017
221 1702R00206170000293 23/08/2017
222 1702R00206170000294 23/08/2017
223 1702R00206170000295 23/08/2017
224 1702R00206170000296 23/08/2017
225 1702R00206170000297 23/08/2017
226 1702R00206170000298 23/08/2017
227 1702R00206170000300 23/08/2017
228 1702R00206170000301 23/08/2017
229 1702R00206170000302 23/08/2017
230 1702R00206170000304 23/08/2017
231 1702R00206170000305 23/08/2017
232 1702R00206170000308 23/08/2017
233 1702R00206170000312 23/08/2017
234 1702R00206170000313 23/08/2017
235 1702R00206170000314 23/08/2017
236 1702R00206170000315 23/08/2017
237 1702R00206170000317 23/08/2017
238 1702R00206170000318 23/08/2017
239 1702R00206170000319 23/08/2017
240 1702R00206170000320 23/08/2017
241 1702R00206170000321 23/08/2017
242 1702R00206170000322 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

243 1702R00206170000323 23/08/2017

244 1702R00206170000324 23/08/2017
245 1702R00206170000325 23/08/2017
246 1702R00206170000326 23/08/2017
247 1702R00206170000328 23/08/2017
248 1702R00206170000329 23/08/2017
249 1702R00206170000330 23/08/2017
250 1702R00206170000331 23/08/2017
251 1702R00206170000332 23/08/2017
252 1702R00206170000333 23/08/2017
253 1702R00206170000334 23/08/2017
254 1702R00206170000336 23/08/2017
255 1702R00206170000339 23/08/2017
256 1702R00206170000340 23/08/2017
257 1702R00206170000343 23/08/2017
258 1702R00206170000344 23/08/2017
259 1702R00206170000345 23/08/2017
260 1702R00206170000347 23/08/2017
261 1702R00206170000348 23/08/2017
262 1702R00206170000349 23/08/2017
263 1702R00206170000350 23/08/2017
264 1702R00206170000351 23/08/2017
265 1702R00206170000352 23/08/2017
266 1702R00206170000353 23/08/2017
267 1702R00206170000354 23/08/2017
268 1702R00206170000355 23/08/2017
269 1702R00206170000356 23/08/2017
270 1702R00206170000357 23/08/2017
271 1702R00206170000358 23/08/2017
272 1702R00206170000359 23/08/2017
273 1702R00206170000361 23/08/2017
274 1702R00206170000362 23/08/2017
275 1702R00206170000363 23/08/2017
276 1702R00206170000364 23/08/2017
277 1702R00206170000365 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

278 1702R00206170000366 23/08/2017

279 1702R00206170000369 23/08/2017
280 1702R00206170000370 23/08/2017
281 1702R00206170000371 23/08/2017
282 1702R00206170000375 23/08/2017
283 1702R00206170000377 23/08/2017
284 1702R00206170000380 23/08/2017
285 1702R00206170000385 23/08/2017
286 1702R00206170000386 23/08/2017
287 1702R00206170000388 23/08/2017
288 1702R00206170000389 23/08/2017
289 1702R00206170000390 23/08/2017
290 1702R00206170000391 23/08/2017
291 1702R00206170000392 23/08/2017
292 1702R00206170000393 23/08/2017
293 1702R00206170000394 23/08/2017
294 1702R00206170000395 23/08/2017
295 1702R00206170000396 23/08/2017
296 1702R00206170000398 23/08/2017
297 1702R00206170000402 23/08/2017
298 1702R00206170000404 23/08/2017
299 1702R00206170000405 23/08/2017
300 1702R00206170000407 23/08/2017
301 1702R00206170000408 23/08/2017
302 1702R00206170000409 23/08/2017
303 1702R00206170000410 23/08/2017
304 1702R00206170000411 23/08/2017
305 1702R00206170000412 23/08/2017
306 1702R00206170000413 23/08/2017
307 1702R00206170000414 23/08/2017
308 1702R00206170000416 23/08/2017
309 1702R00206170000418 23/08/2017
310 1702R00206170000419 23/08/2017
311 1702R00206170000420 23/08/2017
312 1702R00206170000421 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

313 1702R00206170000422 23/08/2017

314 1702R00206170000423 23/08/2017
315 1702R00206170000425 23/08/2017
316 1702R00206170000426 23/08/2017
317 1702R00206170000427 23/08/2017
318 1702R00206170000428 23/08/2017
319 1702R00206170000429 23/08/2017
320 1702R00206170000431 23/08/2017
321 1702R00206170000437 23/08/2017
322 1702R00206170000438 23/08/2017
323 1702R00206170000439 23/08/2017
324 1702R00206170000440 23/08/2017
325 1702R00206170000441 23/08/2017
326 1702R00206170000442 23/08/2017
327 1702R00206170000443 23/08/2017
328 1702R00206170000444 23/08/2017
329 1702R00206170000445 23/08/2017
330 1702R00206170000446 23/08/2017
331 1702R00206170000447 23/08/2017
332 1702R00206170000449 23/08/2017
333 1702R00206170000451 23/08/2017
334 1702R00206170000453 23/08/2017
335 1702R00206170000454 23/08/2017
336 1702R00206170000455 23/08/2017
337 1702R00206170000456 23/08/2017
338 1702R00206170000457 23/08/2017
339 1702R00206170000458 23/08/2017
340 1702R00206170000460 23/08/2017
341 1702R00206170000461 23/08/2017
342 1702R00206170000462 23/08/2017
343 1702R00206170000464 23/08/2017
344 1702R00206170000466 23/08/2017
345 1702R00206170000467 23/08/2017
346 1702R00206170000468 23/08/2017
347 1702R00206170000469 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

348 1702R00206170000471 23/08/2017

349 1702R00206170000472 23/08/2017
350 1702R00206170000473 23/08/2017
351 1702R00206170000474 23/08/2017
352 1702R00206170000476 23/08/2017
353 1702R00206170000477 23/08/2017
354 1702R00206170000479 23/08/2017
355 1702R00206170000480 23/08/2017
356 1702R00206170000481 23/08/2017
357 1702R00206170000482 23/08/2017
358 1702R00206170000483 23/08/2017
359 1702R00206170000484 23/08/2017
360 1702R00206170000485 23/08/2017
361 1702R00206170000486 23/08/2017
362 1702R00206170000487 23/08/2017
363 1702R00206170000488 23/08/2017
364 1702R00206170000489 23/08/2017
365 1702R00206170000491 23/08/2017
366 1702R00206170000493 23/08/2017
367 1702R00206170000494 23/08/2017
368 1702R00206170000495 23/08/2017
369 1702R00206170000497 23/08/2017
370 1702R00206170000498 23/08/2017
371 1702R00206170000499 23/08/2017
372 1702R00206170000500 23/08/2017
373 1702R00206170000501 23/08/2017
374 1702R00206170000502 23/08/2017
375 1702R00206170000503 23/08/2017
376 1702R00206170000504 23/08/2017
377 1702R00206170000505 23/08/2017
378 1702R00206170000506 23/08/2017
379 1702R00206170000508 23/08/2017
380 1702R00206170000509 23/08/2017
381 1702R00206170000510 23/08/2017
382 1702R00206170000511 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

383 1702R00206170000512 23/08/2017

384 1702R00206170000513 23/08/2017
385 1702R00206170000514 23/08/2017
386 1702R00206170000516 23/08/2017
387 1702R00206170000517 23/08/2017
388 1702R00206170000518 23/08/2017
389 1702R00206170000520 23/08/2017
390 1702R00206170000521 23/08/2017
391 1702R00206170000522 23/08/2017
392 1702R00206170000523 23/08/2017
393 1702R00206170000524 23/08/2017
394 1702R00206170000525 23/08/2017
395 1702R00206170000526 23/08/2017
396 1702R00206170000527 23/08/2017
397 1702R00206170000528 23/08/2017
398 1702R00206170000530 23/08/2017
399 1702R00206170000531 23/08/2017
400 1702R00206170000532 23/08/2017
401 1702R00206170000533 23/08/2017
402 1702R00206170000534 23/08/2017
403 1702R00206170000535 23/08/2017
404 1702R00206170000536 23/08/2017
405 1702R00206170000537 23/08/2017
406 1702R00206170000540 23/08/2017
407 1702R00206170000541 23/08/2017
408 1702R00206170000542 23/08/2017
409 1702R00206170000545 23/08/2017
410 1702R00206170000546 23/08/2017
411 1702R00206170000547 23/08/2017
412 1702R00206170000549 23/08/2017
413 1702R00206170000551 23/08/2017
414 1702R00206170000552 23/08/2017
415 1702R00206170000553 23/08/2017
416 1702R00206170000555 23/08/2017
417 1702R00206170000556 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

418 1702R00206170000558 23/08/2017

419 1702R00206170000559 23/08/2017
420 1702R00206170000560 23/08/2017
421 1702R00206170000561 23/08/2017
422 1702R00206170000562 23/08/2017
423 1702R00206170000563 23/08/2017
424 1702R00206170000565 23/08/2017
425 1702R00206170000567 23/08/2017
426 1702R00206170000569 23/08/2017
427 1702R00206170000570 23/08/2017
428 1702R00206170000571 23/08/2017
429 1702R00206170000572 23/08/2017
430 1702R00206170000573 23/08/2017
431 1702R00206170000574 23/08/2017
432 1702R00206170000575 23/08/2017
433 1702R00206170000576 23/08/2017
434 1702R00206170000577 23/08/2017
435 1702R00206170000578 23/08/2017
436 1702R00206170000579 23/08/2017
437 1702R00206170000580 23/08/2017
438 1702R00206170000581 23/08/2017
439 1702R00206170000582 23/08/2017
440 1702R00206170000583 23/08/2017
441 1702R00206170000584 23/08/2017
442 1702R00206170000585 23/08/2017
443 1702R00206170000586 23/08/2017
444 1702R00206170000587 23/08/2017
445 1702R00206170000588 23/08/2017
446 1702R00206170000590 23/08/2017
447 1702R00206170000591 23/08/2017
448 1702R00206170000592 23/08/2017
449 1702R00206170000593 23/08/2017
450 1702R00206170000594 23/08/2017
451 1702R00206170000595 23/08/2017
452 1702R00206170000597 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

453 1702R00206170000598 23/08/2017

454 1702R00206170000599 23/08/2017
455 1702R00206170000600 23/08/2017
456 1702R00206170000601 23/08/2017
457 1702R00206170000603 23/08/2017
458 1702R00206170000604 23/08/2017
459 1702R00206170000606 23/08/2017
460 1702R00206170000607 23/08/2017
461 1702R00206170000608 23/08/2017
462 1702R00206170000609 23/08/2017
463 1702R00206170000610 23/08/2017
464 1702R00206170000611 23/08/2017
465 1702R00206170000612 23/08/2017
466 1702R00206170000613 23/08/2017
467 1702R00206170000614 23/08/2017
468 1702R00206170000615 23/08/2017
469 1702R00206170000616 23/08/2017
470 1702R00206170000617 23/08/2017
471 1702R00206170000618 23/08/2017
472 1702R00206170000619 23/08/2017
473 1702R00206170000622 23/08/2017
474 1702R00206170000623 23/08/2017
475 1702R00206170000624 23/08/2017
476 1702R00206170000625 23/08/2017
477 1702R00206170000626 23/08/2017
478 1702R00206170000628 23/08/2017
479 1702R00206170000629 23/08/2017
480 1702R00206170000630 23/08/2017
481 1702R00206170000631 23/08/2017
482 1702R00206170000632 23/08/2017
483 1702R00206170000633 23/08/2017
484 1702R00206170000634 23/08/2017
485 1702R00206170000635 23/08/2017
486 1702R00206170000636 23/08/2017
487 1702R00206170000637 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

488 1702R00206170000640 23/08/2017

489 1702R00206170000641 23/08/2017
490 1702R00206170000642 23/08/2017
491 1702R00206170000643 23/08/2017
492 1702R00206170000645 23/08/2017
493 1702R00206170000646 23/08/2017
494 1702R00206170000647 23/08/2017
495 1702R00206170000650 23/08/2017
496 1702R00206170000651 23/08/2017
497 1702R00206170000652 23/08/2017
498 1702R00206170000653 23/08/2017
499 1702R00206170000654 23/08/2017
500 1702R00206170000655 23/08/2017
501 1702R00206170000656 23/08/2017
502 1702R00206170000657 23/08/2017
503 1702R00206170000658 23/08/2017
504 1702R00206170000660 23/08/2017
505 1702R00206170000661 23/08/2017
506 1702R00206170000662 23/08/2017
507 1702R00206170000663 23/08/2017
508 1702R00206170000664 23/08/2017
509 1702R00206170000666 23/08/2017
510 1702R00206170000667 23/08/2017
511 1702R00206170000668 23/08/2017
512 1702R00206170000669 23/08/2017
513 1702R00206170000670 23/08/2017
514 1702R00206170000671 23/08/2017
515 1702R00206170000672 23/08/2017
516 1702R00206170000674 23/08/2017
517 1702R00206170000675 23/08/2017
518 1702R00206170000676 23/08/2017
519 1702R00206170000677 23/08/2017
520 1702R00206170000678 23/08/2017
521 1702R00206170000679 23/08/2017
522 1702R00206170000680 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

523 1702R00206170000681 23/08/2017

524 1702R00206170000682 23/08/2017
525 1702R00206170000683 23/08/2017
526 1702R00206170000684 23/08/2017
527 1702R00206170000685 23/08/2017
528 1702R00206170000688 23/08/2017
529 1702R00206170000689 23/08/2017
530 1702R00206170000691 23/08/2017
531 1702R00206170000692 23/08/2017
532 1702R00206170000693 23/08/2017
533 1702R00206170000694 23/08/2017
534 1702R00206170000696 23/08/2017
535 1702R00206170000697 23/08/2017
536 1702R00206170000698 23/08/2017
537 1702R00206170000699 23/08/2017
538 1702R00206170000700 23/08/2017
539 1702R00206170000701 23/08/2017
540 1702R00206170000702 23/08/2017
541 1702R00206170000703 23/08/2017
542 1702R00206170000704 23/08/2017
543 1702R00206170000706 23/08/2017
544 1702R00206170000707 23/08/2017
545 1702R00206170000708 23/08/2017
546 1702R00206170000709 23/08/2017
547 1702R00206170000710 23/08/2017
548 1702R00206170000711 23/08/2017
549 1702R00206170000712 23/08/2017
550 1702R00206170000713 23/08/2017
551 1702R00206170000714 23/08/2017
552 1702R00206170000718 23/08/2017
553 1702R00206170000719 23/08/2017
554 1702R00206170000720 23/08/2017
555 1702R00206170000721 23/08/2017
556 1702R00206170000723 23/08/2017
557 1702R00206170000724 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

558 1702R00206170000725 23/08/2017

559 1702R00206170000726 23/08/2017
560 1702R00206170000728 23/08/2017
561 1702R00206170000729 23/08/2017
562 1702R00206170000730 23/08/2017
563 1702R00206170000732 23/08/2017
564 1702R00206170000734 23/08/2017
565 1702R00206170000735 23/08/2017
566 1702R00206170000736 23/08/2017
567 1702R00206170000738 23/08/2017
568 1702R00206170000740 23/08/2017
569 1702R00206170000742 23/08/2017
570 1702R00206170000744 23/08/2017
571 1702R00206170000745 23/08/2017
572 1702R00206170000748 23/08/2017
573 1702R00206170000749 23/08/2017
574 1702R00206170000750 23/08/2017
575 1702R00206170000753 23/08/2017
576 1702R00206170000754 23/08/2017
577 1702R00206170000755 23/08/2017
578 1702R00206170000756 23/08/2017
579 1702R00206170000757 23/08/2017
580 1702R00206170000759 23/08/2017
581 1702R00206170000760 23/08/2017
582 1702R00206170000761 23/08/2017
583 1702R00206170000762 23/08/2017
584 1702R00206170000763 23/08/2017
585 1702R00206170000764 23/08/2017
586 1702R00206170000765 23/08/2017
587 1702R00206170000766 23/08/2017
588 1702R00206170000767 23/08/2017
589 1702R00206170000768 23/08/2017
590 1702R00206170000769 23/08/2017
591 1702R00206170000770 23/08/2017
592 1702R00206170000771 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

593 1702R00206170000773 23/08/2017

594 1702R00206170000777 23/08/2017
595 1702R00206170000778 23/08/2017
596 1702R00206170000779 23/08/2017
597 1702R00206170000780 23/08/2017
598 1702R00206170000781 23/08/2017
599 1702R00206170000782 23/08/2017
600 1702R00206170000783 23/08/2017
601 1702R00206170000784 23/08/2017
602 1702R00206170000785 23/08/2017
603 1702R00206170000787 23/08/2017
604 1702R00206170000792 23/08/2017
605 1702R00206170000793 23/08/2017
606 1702R00206170000794 23/08/2017
607 1702R00206170000796 23/08/2017
608 1702R00206170000798 23/08/2017
609 1702R00206170000806 23/08/2017
610 1702R00206170000807 23/08/2017
611 1702R00206170000808 23/08/2017
612 1702R00206170000809 23/08/2017
613 1702R00206170000810 23/08/2017
614 1702R00206170000811 23/08/2017
615 1702R00206170000812 23/08/2017
616 1702R00206170000813 23/08/2017
617 1702R00206170000814 23/08/2017
618 1702R00206170000815 23/08/2017
619 1702R00206170000816 23/08/2017
620 1702R00206170000817 23/08/2017
621 1702R00206170000818 23/08/2017
622 1702R00206170000819 23/08/2017
623 1702R00206170000820 23/08/2017
624 1702R00206170000821 23/08/2017
625 1702R00206170000823 23/08/2017
626 1702R00206170000824 23/08/2017
627 1702R00206170000825 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

628 1702R00206170000826 23/08/2017

629 1702R00206170000828 23/08/2017
630 1702R00206170000829 23/08/2017
631 1702R00206170000830 23/08/2017
632 1702R00206170000831 23/08/2017
633 1702R00206170000840 23/08/2017
634 1702R00206170000841 23/08/2017
635 1702R00206170000842 23/08/2017
636 1702R00206170000843 23/08/2017
637 1702R00206170000844 23/08/2017
638 1702R00206170000845 23/08/2017
639 1702R00206170000846 23/08/2017
640 1702R00206170000847 23/08/2017
641 1702R00206170000849 23/08/2017
642 1702R00206170000850 23/08/2017
643 1702R00206170000851 23/08/2017
644 1702R00206170000852 23/08/2017
645 1702R00206170000853 23/08/2017
646 1702R00206170000854 23/08/2017
647 1702R00206170000855 23/08/2017
648 1702R00206170000856 23/08/2017
649 1702R00206170000857 23/08/2017
650 1702R00206170000858 23/08/2017
651 1702R00206170000859 23/08/2017
652 1702R00206170000863 23/08/2017
653 1702R00206170000864 23/08/2017
654 1702R00206170000865 23/08/2017
655 1702R00206170000866 23/08/2017
656 1702R00206170000867 23/08/2017
657 1702R00206170000868 23/08/2017
658 1702R00206170000878 23/08/2017
659 1702R00206170000879 23/08/2017
660 1702R00206170000880 23/08/2017
661 1702R00206170000881 23/08/2017
662 1702R00206170000882 23/08/2017
 UMPAN BALIK HASIL VERIFIKASI

Nama RS : RSUD ABD AZIS MARABAHAN

Tingkat Pelayanan : RJTL
Tgl.Pelayanan : 01 Juni 2017 s/d 30 Juni 2017

663 1702R00206170000884 23/08/2017

664 1702R00206170000885 23/08/2017
665 1702R00206170000886 23/08/2017
666 1702R00206170000887 23/08/2017
667 1702R00206170000888 23/08/2017
TOTAL

RESUME
Total Bea.Diajukan : 135,878,200
Total Bea.Disetujui : 135,878,200

Menyetujui Mengetahui
Direktur RS BPJS KESEHATAN

Dr.H.Fathurrahman, MSc,SpPD Rabiatul Adawiyah

IFIKASI

Hal.1/1

Biaya
Diajukan Disetujui
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
IFIKASI

Hal.1/1

188,900 188,900
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
216,900 216,900
210,200 210,200
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
260,300 260,300
216,900 216,900
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
535,200 535,200
257,700 257,700
188,900 188,900
186,300 186,300
257,700 257,700
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
216,900 216,900
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
252,400 252,400
186,300 186,300
257,700 257,700
291,500 291,500
186,300 186,300
216,900 216,900
257,700 257,700
316,800 316,800
188,900 188,900
186,300 186,300
257,700 257,700
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
316,800 316,800
186,300 186,300
257,700 257,700
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
188,900 188,900
257,700 257,700
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
304,400 304,400
216,900 216,900
316,800 316,800
257,700 257,700
186,300 186,300
321,500 321,500
321,500 321,500
186,300 186,300
186,300 186,300
216,900 216,900
291,500 291,500
216,900 216,900
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
257,700 257,700
186,300 186,300
186,300 186,300
212,200 212,200
186,300 186,300
216,900 216,900
291,500 291,500
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
212,200 212,200
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
291,500 291,500
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
216,900 216,900
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
188,900 188,900
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
257,700 257,700
186,300 186,300
304,400 304,400
186,300 186,300
304,400 304,400
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
313,200 313,200
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
188,900 188,900
187,600 187,600
186,300 186,300
188,900 188,900
316,800 316,800
186,300 186,300
186,300 186,300
216,900 216,900
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
257,700 257,700
216,900 216,900
186,300 186,300
188,900 188,900
186,300 186,300
316,800 316,800
186,300 186,300
216,900 216,900
186,300 186,300
291,500 291,500
186,300 186,300
186,300 186,300
212,200 212,200
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
248,600 248,600
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
517,400 517,400
188,900 188,900
316,800 316,800
316,800 316,800
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
187,600 187,600
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
216,900 216,900
186,300 186,300
186,300 186,300
316,800 316,800
257,700 257,700
186,300 186,300
186,300 186,300
186,300 186,300
257,700 257,700
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
IFIKASI

Hal.1/1

316,800 316,800
186,300 186,300
188,900 188,900
212,200 212,200
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
188,900 188,900
216,900 216,900
316,800 316,800
186,300 186,300
316,800 316,800
187,600 187,600
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
186,300 186,300
188,900 188,900
186,300 186,300
188,900 188,900
316,800 316,800
186,300 186,300
186,300 186,300
252,400 252,400
186,300 186,300
252,400 252,400
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
188,900 188,900
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
291,500 291,500
304,400 304,400
186,300 186,300
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
186,300 186,300
316,800 316,800
186,300 186,300
IFIKASI

Hal.1/1

304,400 304,400
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
216,900 216,900
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
186,300 186,300
216,900 216,900
188,900 188,900
186,300 186,300
186,300 186,300
517,400 517,400
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
291,500 291,500
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
186,300 186,300
188,900 188,900
216,900 216,900
IFIKASI

Hal.1/1

212,200 212,200
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
257,700 257,700
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
304,400 304,400
316,800 316,800
216,900 216,900
186,300 186,300
188,900 188,900
216,900 216,900
186,300 186,300
186,300 186,300
304,400 304,400
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
257,700 257,700
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
188,900 188,900
186,300 186,300
316,800 316,800
186,300 186,300
188,900 188,900
316,800 316,800
186,300 186,300
187,600 187,600
186,300 186,300
186,300 186,300
216,900 216,900
188,900 188,900
186,300 186,300
216,900 216,900
216,900 216,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
216,900 216,900
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
304,400 304,400
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
291,500 291,500
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
IFIKASI

Hal.1/1

188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
188,900 188,900
187,600 187,600
186,300 186,300
188,900 188,900
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
316,800 316,800
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
187,600 187,600
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
297,200 297,200
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
257,500 257,500
187,600 187,600
316,800 316,800
186,300 186,300
IFIKASI

Hal.1/1

186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
186,300 186,300
135,878,200 135,878,200

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