Januari 2015

No. Nama Pasien Kelas Kasus Total Rumah Sakit INA CBG's Selisih Sp.OG.
APS Malam
1 Ny. Ocih K3
2 Ny. Nuke VIP
3 Ny. Erlina VIP
4 Ny. Iis T K2
5 Ny. Suparti K3
6 Ny. Ajeng K3
7 Ny. Sri M VIP
8 Ny. Nanik M K2
9 Ny. Noviyanti VIP
10 Ny. Eka P VIP
11 Ny. Yuli A K2
12 Ny. Lia P K2
13 Ny. Sri H K3
14 Ny. Vinanda VIP
15 Ny. Lilis I VIP
16 Ny. Melia F VIP
17 Ny. Warsiani K2
18 Ny. Lia Dian N K3
19 Ny. Ariyani VIP
20 Ny. Lina Dwi VIP
Total 1 0 0 0 0 0
No. Nama Pasien Kelas Kasus Total Rumah Sakit INA CBG's Selisih Sp.OG. APS Malam
21 Ny. Sri S K1
22 Ny. Erlinda A K2
23 Ny. Puji Lestari VIP
24 Ny. Ninda Dwi K2
25 Ny. Kristin S VIP
26 Ny. Siti R K3
27 Ny. Dewi R VIP
28 Ny. Diandra K1
29 Ny. Wiwik S K3
30 Ny. Rusmayani K1
31 Ny. Harini K1
32 Ny. Maskamah VIP
33 Ny. Diah Laili H VIP
34 Ny. Nur Hidayah K1
35 Ny. Cucu (Prawtn) K3
36 Ny. Dila K VIP
37 Ny. Rahayu S K3
38 Ny. Sri W (Prawtn) K3
39 Ny. Ervin P K2
40 Ny. Magdalena (Curet) VIP
Total 2 0 0 0 0 0
41 Ny. Murgiati K3
42 Ny. Amaliatul VIP
43 Ny. Siti Rahayu K3
44 Ny. Arum S K1
45 Ny. Siti F VIP
46 Ny. Roro Wiranti K3
47 Ny. Sindi P VIP
48 Ny. Fitria S K3
49 Ny. Fera A VIP
50 Ny. Nuria A K2
51 Ny. Minim K3
52 Ny. Sus Eti K3
53 Ny. Verena S K3
54 Ny. Evi Nur D K2
55 Ny. Iis S K1
56 Ny. Dian Rizki K1
57 Ny. Nurul H VIP
58 Ny. Siti Rohmatus VIP
59 Ny. Ummi N K3
60 Ny. Dyah Ariani K2
Total 3 0 0 0 0 0
61 Ny. Sri T VIP
62 Ny. Azelia U (Prawtn) K1
63 Ny. Melia T K3
64 Ny. Wiwit P K1
65 Ny. Euis Cucu VIP
66 Ny. Kolisatun K2
67 Ny. Yunita P VIP
68 Ny. Devi M VIP
69 Ny. Giyanti K1
70 Ny. Agustina (Prawtn) VIP
71 Ny. Suryani K3
72 Ny. Maria Ulfa VIP
73 Ny. Nur W K3
74 Ny. Hadiyah K2
75 Ny. Susanti K2
76 Ny. Zuliani VIP
77 Ny. Setyowati VIP
78 Ny. Tri W VIP

79 Ny. Endah Dwi K K1
80 Ny. Yuni W K1
Total 4
81 Ny. Ernawati K3
82 Ny. Novia W K1
83 Ny. Tri Suli K1
84 Ny. Ozievania K1
85 Ny. Fitriatul (Prawtn)
86 Ny. Suprapti K3
87 Ny. Fany A VIP
88 Ny. Oktavia A K1
89 Ny. Rohma E VIP
90 Ny. Mariana K3
91 Ny. Lusi A K3
92 Ny. Era L K3
93 Ny. Widyawati VIP
94 Ny. Ninawati K3
95
96
97
98
99
100
Total 5
1 Total 1
2 Total 2
3 Total 3
4 Total 4
5 Total 5
6 Total 6
Total 6
Tdk Visit Konsul Konsul
Sp.A. Sp.An. Ass Sp.An. BO Ass Inst Cucian Visite DSA Px Sp.OG Px Sp.A. Px Sp.An.
Sp.OG. Sp.OG Sp.A.
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sp.OG. Sp.OG Sp.A.
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sp.OG. Sp.OG Sp.A.
0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sp.OG. Sp.OG Sp.A.
Sp.OG. Sp.OG Sp.A.
Sp.OG. Sp.OG Sp.A.
Konsul Insersi Placenta Induksi / Balon Ps/Aff Ps/AFF
MOW USG CITO PG HC Injeksi Botol Infus Sup Skiren
Sp.An. IUD Manual Rehidrasi Kateter Infus Kateter
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Injeksi Washen Washen
O2 Gizi Amal Slem Silet Adm Topi Pahe Status Tali Pusat HB NST
Bayi Bayi Ibu
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bayi Bayi Ibu
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bayi Bayi Ibu
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bayi Bayi Ibu
Bayi Bayi Ibu
Bayi Bayi Ibu
Syring Infus Protein
PD PM Total Sisa Keterangan
Pump Pump Urine
0 0 0 0 0 0 0
Pump Pump Urine
0 0 0 0 0 0 0
Pump Pump Urine
0
0
0 0 0 0 0 0 0

Pump Pump Urine
0
0

Pump Pump Urine
0
0

Pump Pump Urine
0
Total Pendapatan RS Januari 2015 Umum dan BPJS
Total RS
No. Nama Pasien Kelas Kasus
Umum BPJS
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Total 1 0 0
Total RS
No. Nama Pasien Kelas
Umum BPJS
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Total 2 0 0
Total RS
Umum BPJS
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
Total 3 0
Total RS
Umum BPJS
1 Total 1
2 Total 2
3 Total 3
Total 0
Jasa Dokter Pasien BPJS
No. Nama Pasien Kelas Kasus Sp.OG. APS Malam Sp.A. Sp.An. Ass Sp.An.
10
11
12
13
14
15
16
17
18
Total 1 0 0 0 0 0
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Total 2 0 0 0 0 0
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
Total 3 0 0 0 0 0
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
Toyal 4 0 0 0 0 0
1 Total 1
2 Total 2
3 Total 3
4 Total 4
Total 0 0 0 0 0
Px Sp.OG Px Sp.A. Px Sp.An. Konsul Sp.OG Konsul Sp.A. Konsul Sp.An. MOW Insersi IUD Placenta Manual
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
USG CITO Induksi / Rehidrasi Balon Kateter Total
0
0 0 0 0
10000
10000
10000
0
0
0 0 0 0
0
0
0 0 0 0
0
0
0 0 0 0
0 0 0 0
Jasa Tindakan Pasien BPJS
No. Nama Pasien Kelas Kasus BO Ass Inst Cucian Visite DSA PG HC
10
11
12
13
14
15
16
17
18
Total 1 0 0 0 0 0 0 0
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Total 2 0 0 0 0 0 0 0
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
Total 3 0 0 0 0 0 0 0
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
Total 4 0 0 0 0 0 0 0
Total 1
Total 2
Total 3
Total 4
Total 0 0 0 0 0 0 0
Injeksi Botol Infus Ps/Aff Infus Ps/AFF Kateter Sup Skiren O2 Slem Silet Adm
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Topi Status Injeksi Bayi Washen Bayi Tali Pusat HB NST Washen Ibu PD PM Syring Pump
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Infus Pump Protein Urine Total
0 0 0
0
0 0 0
0
0
0 0 0
0
0
0 0 0
0 0 0
Kembalian Tidak Setor Masuk Ibu Pasien BPJS
No. Nama Pasien Kelas Kasus Tdk Visit Sp.OG. Px Sp.OG Px Sp.A. Px Sp.An. Konsul Sp.OG Konsul Sp.A. Konsul Sp.An.
10
11
12
13
14
15
16
17
18
Total 1 0 0 0 0 0 0 0
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Total 2 0 0 0 0 0 0 0
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
Total 3 0 0 0 0 0 0 0
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
Total 4 0 0 0 0 0 0 0
1 Total 1
2 Total 2
3 Total 3
4 Total 4
Total 4 0 0 0 0 0 0 0
Dikurangi
Cicilan Mbak Ratih Ke 3
Zakat Mall (Mbak Endah)
Lusy
Sisa
MOW Insersi IUD Placenta Manual USG CITO Induksi / Rehidrasi Balon Kateter Gizi Pahe Total
0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0
0
0
0 0 0 0 0 0 0 0 0
0
0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Jasa Dokter Januari Pasien Umum
No. Nama Pasien Kelas Kasus Sp.OG. APS Malam Sp.A. Sp.An. Ass Sp.An. Px Sp.OG Px Sp.A.
10
11
12
13
14
15
16
17
18
Total 1 0 0 0 0 0 0 0
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Total 1 0 0 0 0 0 0 0
1 Total 1
2 Total 2
Total 1 0 0 0 0 0 0 0
Px Sp.An. Konsul Sp.OG Konsul Sp.A. Konsul Sp.An. MOW Insersi IUD Placenta Manual USG CITO Induksi / Rehidrasi
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Balon Kateter Total
0 0
Balon Kateter Total
0
0 0
Balon Kateter Total
0 0
Jasa Tindakan Pasien Umum
No. Nama Pasien Kelas Kasus BO Ass Inst Cucian Visite DSA PG HC Injeksi
10
11
12
13
14
15
16
17
18
Total 1 0 0 0 0 0 0 0 0
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Total 1 0 0 0 0 0 0 0 0
1 Total 1
2 Total 2
Total 1 0 0 0 0 0 0 0 0
Botol Infus Ps/Aff Infus Ps/AFF Kateter Sup Skiren O2 Slem Silet Adm Topi Status Injeksi Bayi
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Washen Bayi Tali Pusat HB NST Washen Ibu PD PM Syring Pump Infus Pump Protein Urine Total
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Selisih Total Riil RS dengan Klem BPJS
No. Nama Pasien Kelas Kasus Riil RS Groper Klem Selisih
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
Total 1 0 0 0 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
Total 2 0 0 0 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
Total 3 0 0 0 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
Total 4 0 0 0 0
1 Total 1 0
2 Total 2 0
3 Total 3 0
4 Total 4 0
Total 6 0 0 0 0

Januari 2015

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No. Nama Pasien Kelas Kasus Total Rumah Sakit INA CBG's Selisih Sp.OG.

2 Ny. Nuke VIP

3 Ny. Erlina VIP

7 Ny. Sri M VIP

9 Ny. Noviyanti VIP

10 Ny. Eka P VIP

14 Ny. Vinanda VIP

15 Ny. Lilis I VIP

16 Ny. Melia F VIP

18 Ny. Lia Dian N K3

19 Ny. Ariyani VIP

20 Ny. Lina Dwi VIP

23 Ny. Puji Lestari VIP

24 Ny. Ninda Dwi K2

25 Ny. Kristin S VIP

27 Ny. Dewi R VIP

32 Ny. Maskamah VIP

33 Ny. Diah Laili H VIP

34 Ny. Nur Hidayah K1

35 Ny. Cucu (Prawtn) K3

36 Ny. Dila K VIP

38 Ny. Sri W (Prawtn) K3

40 Ny. Magdalena (Curet) VIP

42 Ny. Amaliatul VIP

43 Ny. Siti Rahayu K3

45 Ny. Siti F VIP

46 Ny. Roro Wiranti K3

47 Ny. Sindi P VIP

49 Ny. Fera A VIP

52 Ny. Sus Eti K3

54 Ny. Evi Nur D K2

56 Ny. Dian Rizki K1

57 Ny. Nurul H VIP

58 Ny. Siti Rohmatus VIP

61 Ny. Sri T VIP

62 Ny. Azelia U (Prawtn) K1

65 Ny. Euis Cucu VIP

67 Ny. Yunita P VIP

68 Ny. Devi M VIP

70 Ny. Agustina (Prawtn) VIP

72 Ny. Maria Ulfa VIP

76 Ny. Zuliani VIP

77 Ny. Setyowati VIP

78 Ny. Tri W VIP

83 Ny. Tri Suli K1

85 Ny. Fitriatul (Prawtn)

87 Ny. Fany A VIP

89 Ny. Rohma E VIP

93 Ny. Widyawati VIP

Tdk Visit Konsul Konsul

Konsul Insersi Placenta Induksi / Balon Ps/Aff Ps/AFF

Injeksi Washen Washen

Syring Infus Protein

Syring Infus Protein

Syring Infus Protein

USG CITO Induksi / Rehidrasi Balon Kateter Total

USG CITO Induksi / Rehidrasi Balon Kateter Total

USG CITO Induksi / Rehidrasi Balon Kateter Total

USG CITO Induksi / Rehidrasi Balon Kateter Total

Infus Pump Protein Urine Total

Infus Pump Protein Urine Total

Infus Pump Protein Urine Total

Cicilan Mbak Ratih Ke 3