Jumlah Pasien BPJS Rawat Jalan

Tanggal : 30-Agust-2017
Sampai Tanggal: 30-Agust-2017

No Tgl.Registrasi No. Registrasi Nama Pasien No MR Ditanggung Sendiri

1. 30-08-2017 R-17091487 An. HABIBIE SECHA EL 084577 122,040.00 0.00
2. 12:29:15 AM
30-08-2017 R-17091488 An. MUMTAZY
NASHITA KHAIRIYA 104876 88,820.00 0.00
3. 12:39:15 AM
30-08-2017 R-17091493 Ny. PUTRI
DEWI SUSANTI 063360 211,160.00 0.00
4. 1:27:44 AM
30-08-2017 R-17091495 Tn. MARDIANSYAH BIN R. 171455 111,920.00 0.00
5. 2:32:34 AM
30-08-2017 R-17091500 Tn. DASWIR
INDRA SYAFRIN 202173 189,080.00 0.00
6. 4:05:43 AM
30-08-2017 R-17091503 Ny. DENI PRIANTI 112353 132,360.00 0.00
7. 4:24:47 AM
30-08-2017 R-17091507 Ny. ANGGIA DWI KOMALA 212604 110,000.00 0.00
8. 6:36:58 AM
30-08-2017 R-17091508 Ny. AFNITA 138095 376,870.00 0.00
9. 7:05:20 AM
30-08-2017 R-17091509 Ny. HASNAH 137931 235,000.00 0.00
10. 7:10:20 AM
30-08-2017 R-17091510 Ny. JUMIATI MARTALENA 212139 590,900.00 0.00
11. 7:13:55 AM
30-08-2017 R-17091511 Tn. FIRDAUS BIN RAJUDIN 190702 226,230.00 0.00
12. 7:17:57 AM
30-08-2017 R-17091512 Ny. YANROMILAILA BINTI 213160 211,250.00 0.00
13. 7:19:21 AM
30-08-2017 R-17091513 Tn. SUHEK
IR SURJOSO 117515 190,000.00 0.00
14. 7:20:07 AM
30-08-2017 R-17091515 Tn. D. H SITOMPUL 175857 520,670.00 0.00
15. 7:23:28 AM
30-08-2017 R-17091517 Tn. BUDI MULIA 210399 235,000.00 0.00
16. 7:25:49 AM
30-08-2017 R-17091518 Ny. THE SIOE LIAN NIO 212064 235,000.00 0.00
17. 7:26:35 AM
30-08-2017 R-17091519 Ny. MAISUPRIHATIN BINTI 189477 90,000.00 0.00
18. 7:27:37 AM
30-08-2017 R-17091520 Ny. USMAN
MARTINIBAKAR
NURHASWIR 183119 109,050.00 0.00
19. 7:30:13 AM
30-08-2017 R-17091521 Ny. YUSNA 077130 628,580.00 0.00
20. 7:30:15 AM
30-08-2017 R-17091522 Ny. SARINAM BINTI JAMIN 211223 190,000.00 0.00
21. 7:30:32 AM
30-08-2017 R-17091523 Tn. SYAHRIL DAIK 127113 342,469.95 0.00
22. 7:35:17 AM
30-08-2017 R-17091524 Ny. GUSMAYELI BINTI 210827 235,000.00 0.00
23. 7:35:23 AM
30-08-2017 R-17091525 Ny. GUSMANTO
MERY SIMANJUNTAK 211967 235,000.00 0.00
24. 7:36:47 AM
30-08-2017 R-17091528 An. AGA ILHAM YUNIOR 204015 257,750.00 0.00
25. 7:39:41 AM
30-08-2017 R-17091529 An. ADELIA ELSA FRIYANA 201495 114,300.00 0.00
26. 7:42:08 AM
30-08-2017 R-17091530 Ny. YUSMA 148914 235,000.00 0.00
27. 7:42:55 AM
30-08-2017 R-17091532 Ny. TRI SUSILAWATI 210362 460,300.00 0.00
28. 7:43:24 AM
30-08-2017 R-17091533 Ny. SULMIATI 078316 190,000.00 0.00
29. 7:43:42 AM
30-08-2017 R-17091536 Ny. ELMA 133641 162,510.00 0.00
30. 7:46:42 AM
30-08-2017 R-17091539 Ny. ASMAWATI 162826 235,000.00 0.00
31. 7:47:21 AM
30-08-2017 R-17091538 An. AURA DZILLIVA IZZATI 212801 83,970.00 0.00
32. 7:48:08 AM
30-08-2017 R-17091540 Tn. ARSAL.R 185714 963,850.00 0.00
33. 7:49:12 AM
30-08-2017 R-17091542 Tn. HERMAN HUSIN 201964 190,000.00 0.00
34. 7:51:41 AM
30-08-2017 R-17091544 Ny. DEVI MULYANI 128453 267,740.00 0.00
35. 7:54:29 AM
30-08-2017 R-17091546 Ny. LENNY FRIDA 070338 148,020.00 0.00
36. 7:59:07 AM
30-08-2017 R-17091547 Tn. LASMARIA
KLIWON IRYONO 201356 170,000.00 0.00
8:00:59 AM SITUMORANG
37. 30-08-2017 R-17091548 Ny. YUSNIAR 191469 149,050.00 0.00
38. 8:01:06 AM
30-08-2017 R-17091551 Ny. IRA SUCI FITRI 023818 260,480.00 0.00
39. 8:02:46 AM
30-08-2017 R-17091552 Ny. SITI JARIYAH 122048 235,000.00 0.00
40. 8:03:14 AM
30-08-2017 R-17091553 Ny. DAHLENAR 056500 143,250.00 0.00
41. 8:05:13 AM
30-08-2017 R-17091556 Tn. FENDREAS 211433 190,000.00 0.00
42. 8:07:42 AM
30-08-2017 R-17091560 Ny. RITA SUSANTI 212775 170,000.00 0.00
43. 8:08:25 AM
30-08-2017 R-17091561 Ny. MARINEM 201264 190,000.00 0.00
44. 8:09:11 AM
30-08-2017 R-17091562 Tn. JAMINTER SIMAMORA 175496 214,250.03 0.00
45. 8:12:47 AM
30-08-2017 R-17091563 Ny. DESLY MANALU 117437 140,620.00 0.00
46. 8:13:11 AM
30-08-2017 R-17091564 Ny. SUSANTY 145910 963,630.00 0.00
8:13:50 AM
47. 30-08-2017 R-17091565 Tn. MAKMUR 115634 443,110.00 0.00
8:16:14 AM

Dewis, 23 Sep 2017 10:43:04 RS. SYAFIRA Hal 1 / 5

 No Tgl.Registrasi No. Registrasi Nama Pasien No MR Ditanggung Sendiri
48. 30-08-2017 R-17091566 Tn. SYAMSUARDI DT TAN 190172 119,249.95 0.00
49. 8:16:22 AM
30-08-2017 R-17091567 Tn. LANGIT
MAHYUDIN 160388 110,299.97 0.00
50. 8:18:36 AM
30-08-2017 R-17091568 Tn. JOHAR ARIEF 146382 109,749.97 0.00
51. 8:18:59 AM
30-08-2017 R-17091569 Tn. SURYA MAULANA 164691 423,000.00 0.00
52. 8:19:56 AM
30-08-2017 R-17091572 Tn. DODY DANIL 159351 108,179.98 0.00
53. 8:22:46 AM
30-08-2017 R-17091573 Tn. ARMANTO 206122 410,000.00 0.00
54. 8:23:13 AM
30-08-2017 R-17091574 Ny. IMELDA SUCIANA 211441 170,000.00 0.00
55. 8:26:06 AM
30-08-2017 R-17091577 Tn. SABAR BIN MARTUN 213334 99,700.00 0.00
56. 8:27:25 AM
30-08-2017 R-17091578 Ny. ROSA YUSHAMNITA 140969 76,930.00 0.00
57. 8:29:01 AM
30-08-2017 R-17091580 Tn. SYAFRIZAL YAMIN 204918 114,000.00 0.00
58. 8:32:10 AM
30-08-2017 R-17091579 Tn. PARISTON MARPAUNG 210893 235,000.00 0.00
59. 8:32:14 AM
30-08-2017 R-17091581 Tn. GUNAWAN BIN 207955 3,496,200.00 0.00
60. 8:32:54 AM
30-08-2017 R-17091582 Ny. ROSIMUN
TIORASI 211858 206,140.00 0.00
61. 8:33:58 AM
30-08-2017 R-17091584 Ny. PANGARIBUAN
ROSIDAH 186385 438,750.00 0.00
62. 8:34:34 AM
30-08-2017 R-17091587 Ny. SITUMORANG
MAISYARAH 119486 496,609.71 0.00
63. 8:38:12 AM
30-08-2017 R-17091589 Ny. KHAIRANIS BINTI 213172 359,050.00 0.00
64. 8:40:10 AM
30-08-2017 R-17091590 Ny. SAMSUDIN
DALINAN 125069 269,699.95 0.00
65. 8:41:05 AM
30-08-2017 R-17091594 Ny. SUSILAWATI BINTI 212712 235,000.00 0.00
66. 8:42:56 AM
30-08-2017 R-17091597 Tn. SYARIF SANI
SUPARYONO 181332 963,850.00 0.00
67. 8:44:41 AM
30-08-2017 R-17091598 Tn. BENNY LIAWANDY 213336 70,000.00 0.00
68. 8:45:29 AM
30-08-2017 R-17091600 Tn. YUSRIL MAHENDRA 212199 98,699.95 0.00
69. 8:47:47 AM
30-08-2017 R-17091606 Ny. LINDA GUSMA 141311 190,000.00 0.00
70. 8:55:48 AM
30-08-2017 R-17091610 Ny. ROSDA 210473 140,000.00 0.00
71. 9:03:38 AM
30-08-2017 R-17091613 Tn. IDHAM HALID 168337 145,000.00 0.00
72. 9:05:05 AM
30-08-2017 R-17091612 Tn. HARAHAP
MAKMUR HENDRIK 212793 190,000.00 0.00
73. 9:05:13 AM
30-08-2017 R-17091615 Ny. SALMIA 136615 788,300.00 0.00
74. 9:08:18 AM
30-08-2017 R-17091617 Ny. TETTI HERAWATI 210456 90,350.00 0.00
75. 9:08:40 AM
30-08-2017 R-17091619 Tn. SIREGAR
ABD. MUTALIB 162135 601,600.00 0.00
76. 9:09:44 AM
30-08-2017 R-17091620 Tn. T ABDUL KARIM 212172 145,000.00 0.00
77. 9:09:59 AM
30-08-2017 R-17091621 Nn. NADIA SALSABILAH 197170 83,420.00 0.00
78. 9:10:44 AM
30-08-2017 R-17091623 Tn. TARMIZI BIN M. NUH 212781 190,000.00 0.00
79. 9:13:03 AM
30-08-2017 R-17091625 Tn. DARMAN 190163 145,000.00 0.00
80. 9:15:20 AM
30-08-2017 R-17091627 Tn. JAHJA NUR PRAMANA 213174 366,200.00 0.00
81. 9:16:23 AM
30-08-2017 R-17091628 Ny. RITA DEWI 186583 222,250.00 0.00
82. 9:16:37 AM
30-08-2017 R-17091629 Nn. MITHA PRATIWI 213026 415,000.00 0.00
83. 9:18:23 AM
30-08-2017 R-17091631 Tn. ADI IRAWAN 213340 191,570.00 0.00
84. 9:21:55 AM
30-08-2017 R-17091632 Nn. KHAMELIA NOFIANI 213339 90,000.00 0.00
85. 9:22:01 AM
30-08-2017 R-17091634 Ny. WIWIET WIDYATI 193669 114,660.00 0.00
86. 9:23:02 AM
30-08-2017 R-17091636 Ny. MASNAR 126329 190,000.00 0.00
87. 9:25:03 AM
30-08-2017 R-17091637 Ny. NINGSIH ROSTANTI 146081 753,769.95 0.00
88. 9:25:20 AM
30-08-2017 R-17091639 Ny. ELISABET LIMARIA 210651 325,100.00 0.00
89. 9:28:18 AM
30-08-2017 R-17091641 Tn. SORMIN
JONNAIDI MS 203998 145,000.00 0.00
90. 9:29:17 AM
30-08-2017 R-17091642 Ny. ANDRINI BINTI M.ZEIN 212862 190,000.00 0.00
91. 9:30:32 AM
30-08-2017 R-17091643 Tn. MIAN ROASIADONG 210795 325,750.00 0.00
92. 9:35:22 AM
30-08-2017 R-17091644 Tn. SITOHANG
MARPAUNG 105861 190,000.00 0.00
93. 9:38:28 AM
30-08-2017 R-17091645 An. RAISYA SYIFA NASHIRA 213341 303,450.00 0.00
94. 9:39:03 AM
30-08-2017 R-17091646 Tn. AIWAN RAMADHAN 207461 114,550.00 0.00
95. 9:39:28 AM
30-08-2017 R-17091650 An. HARAHAP
JULIANO ANDREAS 213342 96,860.10 0.00
96. 9:44:06 AM
30-08-2017 R-17091652 Ny. DEWI PUSPITA SARI 162901 134,200.00 0.00
97. 9:44:58 AM
30-08-2017 R-17091654 Tn. ARMAN JAUHARIS 212806 78,800.00 0.00
9:45:46 AM
98. 30-08-2017 R-17091655 Ny. ASMIDA BR RAJA 213344 334,290.00 250,000.00
99. 9:46:41 AM
30-08-2017 R-17091658 GUGKGUK
Ny. SITIWATI 209899 160,660.00 0.00
9:49:37 AM PERANGINANGIN
Dewis, 23 Sep 2017 10:43:04 RS. SYAFIRA Hal 2 / 5
 No Tgl.Registrasi No. Registrasi Nama Pasien No MR Ditanggung Sendiri
100. 30-08-2017 R-17091659 Tn. SABARUDDIN BIN 211356 190,000.00 0.00
101. 9:51:03 AM
30-08-2017 R-17091662 Tn. LASAN
EKO ZULIARTO 124027 267,790.00 0.00
102. 9:53:46 AM
30-08-2017 R-17091666 Ny. SARIFAH 150483 137,549.92 0.00
103. 9:57:03 AM
30-08-2017 R-17091667 Nn. NURHAYANI PRAWITA 186531 76,000.00 0.00
104. 9:57:10 AM
30-08-2017 R-17091668 Tn. GHUFRON LUTFI 213347 193,100.00 0.00
105. 9:58:02 AM
30-08-2017 R-17091670 Ny. DESWARTI BINTI 212933 116,200.00 0.00
106. 9:58:30 AM
30-08-2017 R-17091671 Tn. AWALUDDIN
RAHMAT HIDAYAT 212196 180,000.00 0.00
107. 9:59:31 AM
30-08-2017 R-17091680 Tn. JUNAIDI BIN ALI RUDIN 200911 153,730.00 0.00
108. 10:03:09 AM
30-08-2017 R-17091674 Tn. BAMBANG HERIANTO 212588 152,370.00 0.00
109. 10:03:19 AM
30-08-2017 R-17091682 Ny. DEWY 207497 307,010.00 0.00
110. 10:04:10 AM
30-08-2017 R-17091683 Tn. RUSLI M 112377 190,000.00 0.00
111. 10:04:40 AM
30-08-2017 R-17091687 Ny. RISKI AYU. WS 212578 145,570.00 0.00
112. 10:09:05 AM
30-08-2017 R-17091690 Ny. AFRITA BINTI 212185 355,700.00 0.00
113. 10:11:25 AM
30-08-2017 R-17091692 Ny. SAMSUDIN
SITI NAILAN LUBIS 213348 81,220.00 0.00
114. 10:12:31 AM
30-08-2017 R-17091694 An. AYU HELENA PUTRI 213349 106,500.00 0.00
115. 10:12:47 AM
30-08-2017 R-17091693 Ny. ERMAYULINIS BINTI 182825 944,260.00 0.00
116. 10:12:49 AM
30-08-2017 R-17091695 Tn. DARUSAM
JONI 060604 980,440.00 0.00
117. 10:13:19 AM
30-08-2017 R-17091696 Ny. SUWARNI 213350 633,600.00 0.00
118. 10:14:47 AM
30-08-2017 R-17091697 Ny. SURYANA BINTI 212516 225,500.00 0.00
119. 10:14:54 AM
30-08-2017 R-17091698 Ny. MAKMUR
MISRATI BINTI 213351 107,550.03 0.00
120. 10:15:51 AM
30-08-2017 R-17091703 Ny. RASYIDDIN
SRI HERDA, A.MD 166705 85,400.00 0.00
121. 10:21:14 AM
30-08-2017 R-17091704 Ny. GUSNIATI BINTI RAJIB 201414 281,900.00 0.00
122. 10:22:24 AM
30-08-2017 R-17091706 Tn. ZULKARNAEN 136485 523,580.00 0.00
123. 10:23:24 AM
30-08-2017 R-17091707 An. SJAMSUDDIN, BSC
ZIO FERLIANSYAH 209011 125,000.00 0.00
124. 10:24:47 AM
30-08-2017 R-17091709 Ny. KARDERINA 167602 90,000.00 0.00
125. 10:27:01 AM
30-08-2017 R-17091710 Tn. HARRY YUZANO 175390 123,250.00 0.00
126. 10:27:15 AM
30-08-2017 R-17091712 Ny. RISTAULI BR 095392 224,400.00 0.00
127. 10:28:47 AM
30-08-2017 R-17091717 Ny. SIALLAGAN
SRI WAHYUNI 205966 256,300.00 0.00
128. 10:31:55 AM
30-08-2017 R-17091718 Ny. HARTA ULINA 210305 190,000.00 0.00
129. 10:33:56 AM
30-08-2017 R-17091722 An. SEMBIRING
AISHA VATHIMA 213354 175,840.00 0.00
130. 10:40:21 AM
30-08-2017 R-17091725 Ny. AZZARYA
ANGGRAINI 067716 237,430.00 0.00
131. 10:43:55 AM
30-08-2017 R-17091726 An. STY VANITIO LAVIONAH 213356 285,650.00 0.00
132. 10:46:54 AM
30-08-2017 R-17091727 Tn. PANERI 153140 181,470.00 0.00
133. 10:47:06 AM
30-08-2017 R-17091728 An. BAGAS IMMANUEL 213357 294,590.00 0.00
134. 10:48:39 AM
30-08-2017 R-17091730 Ny. DARLENI 055602 131,070.00 0.00
135. 10:49:31 AM
30-08-2017 R-17091732 Ny. YULIA HARIENTI 123622 284,500.00 0.00
136. 10:50:30 AM
30-08-2017 R-17091734 Ny. KOMALASARI BR 213358 119,150.00 0.00
137. 10:55:25 AM
30-08-2017 R-17091735 Tn. BANGUN
AHMAD MUKHTAR 191704 90,000.00 0.00
138. 10:55:53 AM
30-08-2017 R-17091736 An. BINTANG YEREMIA 213359 299,599.96 0.00
139. 10:57:48 AM
30-08-2017 R-17091737 Ny. ELIDA PASARIBU 212792 447,750.00 0.00
140. 10:58:06 AM
30-08-2017 R-17091738 Tn. ZAIZAL ENTOL 204188 90,000.00 0.00
141. 10:58:48 AM
30-08-2017 R-17091739 Ny. NURMI 118199 95,300.00 0.00
142. 10:59:50 AM
30-08-2017 R-17091741 Tn. AMIRUDDIN 204685 121,400.02 0.00
143. 11:02:20 AM
30-08-2017 R-17091744 Tn. HERMANSYAH BIN 212795 220,000.00 0.00
144. 11:03:59 AM
30-08-2017 R-17091742 Ny. SUHARTO
TRI UTAMI SUMANTRI 025735 149,200.00 0.00
145. 11:05:02 AM
30-08-2017 R-17091743 By. KEYLA AMEERA 213360 176,600.00 0.00
146. 11:06:07 AM
30-08-2017 R-17091747 Ny. RANISYA
GADIS MADARIANA 213363 107,550.03 0.00
147. 11:07:49 AM
30-08-2017 R-17091748 Ny. OKTARIA SITORUS 213364 82,540.00 0.00
148. 11:08:22 AM
30-08-2017 R-17091752 An. NOVHENDRA FITRA 212094 125,400.00 0.00
149. 11:13:31 AM
30-08-2017 R-17091754 Ny. ROSDIANA 067685 246,400.00 0.00
11:14:36 AM
150. 30-08-2017 R-17091757 An. ADINDA SHANAS 159713 131,120.00 0.00
151. 11:18:54 AM
30-08-2017 R-17091759 Tn. FATILAH
RIPKI SEPTIAN TORO 141314 134,020.00 0.00
11:18:55 AM
Dewis, 23 Sep 2017 10:43:04 RS. SYAFIRA Hal 3 / 5
 No Tgl.Registrasi No. Registrasi Nama Pasien No MR Ditanggung Sendiri
152. 30-08-2017 R-17091760 Ny. DEWIANA BINTI 190532 109,400.00 0.00
153. 11:20:15 AM
30-08-2017 R-17091762 Tn. MARSUDI
AHMAD SHAUMBAQI 109469 145,000.00 0.00
154. 11:21:15 AM
30-08-2017 R-17091763 Nn. RAMADHAN
ANGGI DARSYA 213365 119,470.00 0.00
155. 11:26:55 AM
30-08-2017 R-17091768 Tn. PRATIWI
AHMAD NARDO. P 213367 125,000.00 0.00
156. 11:32:58 AM
30-08-2017 R-17091770 An. CARLA CARISHA PUTRI 213368 132,810.00 0.00
157. 11:35:18 AM
30-08-2017 R-17091771 An. NAHAK
IZZUL FATTA AL RASYID 212808 80,230.00 0.00
158. 11:36:34 AM
30-08-2017 R-17091772 An. AZAHRA 213369 109,160.00 0.00
159. 11:39:38 AM
30-08-2017 R-17091774 Ny. MARLIAH BINTI 204064 155,000.00 0.00
160. 11:40:46 AM
30-08-2017 R-17091775 Ny. MARIJAN
SUCI AMELIA 212002 222,750.00 0.00
161. 11:43:56 AM
30-08-2017 R-17091776 Tn. AKMALZUHARI BIN 181836 170,000.00 0.00
162. 11:47:02 AM
30-08-2017 R-17091778 Ny. SYAHRIZUL
EVA YANTI 213370 85,400.00 0.00
163. 11:47:37 AM
30-08-2017 R-17091779 Ny. LINDA SULISTYAWATI 129644 70,000.00 0.00
164. 11:47:46 AM
30-08-2017 R-17091781 Ny. ERIKA MAYER 204603 191,440.00 0.00
165. 11:48:49 AM
30-08-2017 R-17091780 Nn. DWI SULASTRI 213371 115,080.00 0.00
166. 11:51:46 AM
30-08-2017 R-17091784 Ny. HERMIATI 193349 131,070.00 0.00
167. 11:55:25 AM
30-08-2017 R-17091786 Ny. JUNITA TIODOR 189164 135,670.00 0.00
168. 11:56:12 AM
30-08-2017 R-17091790 An. MARBUN
JONATAN WILIAM S 213374 78,550.00 0.00
169. 12:00:50 PM
30-08-2017 R-17091798 An. CHARISSA ZASKIA 213378 119,310.00 0.00
170. 12:26:40 PM
30-08-2017 R-17091799 Ny. MECCA
NINING DWI JAYANTI 135623 87,600.00 0.00
171. 12:33:31 PM
30-08-2017 R-17091800 An. KHAIRIL FAHMI 027260 100,410.00 0.00
172. 12:38:06 PM
30-08-2017 R-17091803 Ny. SRI ASTUTI 212071 87,600.00 0.00
173. 12:41:35 PM
30-08-2017 R-17091807 Ny. VERONICA ELLYANA 168310 963,410.00 0.00
174. 12:47:33 PM
30-08-2017 R-17091805 Ny. MAYAWATI
MARDIATI 213380 142,140.00 0.00
175. 12:52:12 PM
30-08-2017 R-17091814 Tn. ASRIL BIN ADLIN 189502 70,000.00 0.00
176. 1:02:20 PM
30-08-2017 R-17091816 An. SYIHA OKTAVIA 212721 131,120.00 0.00
177. 1:14:04 PM
30-08-2017 R-17091822 Tn. ISHAK M AMIN 192766 274,600.00 0.00
178. 1:27:03 PM
30-08-2017 R-17091823 Tn. ASNAN SYAH 108291 147,049.95 0.00
179. 1:30:24 PM
30-08-2017 R-17091824 Ny. ANA NAZFI 090044 259,540.00 0.00
180. 1:31:46 PM
30-08-2017 R-17091825 Ny. KASMILAH 204341 998,410.00 0.00
181. 1:32:19 PM
30-08-2017 R-17091832 Ny. NURBAINI BINTI JASMA 213387 180,900.00 0.00
182. 1:48:56 PM
30-08-2017 R-17091838 An. NICHOLAS FERDINAN 198193 73,000.00 0.00
183. 1:59:24 PM
30-08-2017 R-17091840 Nn. ROSSI FITRIA 212820 72,750.00 0.00
184. 2:01:09 PM
30-08-2017 R-17091843 Tn. AMBARWATI
RAINAL HAQ 187055 129,140.00 0.00
185. 2:05:23 PM
30-08-2017 R-17091847 An. AQILA SASNI AL 189467 99,500.00 0.00
186. 2:19:21 PM
30-08-2017 R-17091848 An. FIANSYAH
ARSYLA PUTRI 208000 190,770.00 0.00
187. 2:20:05 PM
30-08-2017 R-17091851 An. ZAKARIA
KEYSA PUTRI ADIPA 202079 146,890.01 0.00
188. 2:29:07 PM
30-08-2017 R-17091856 Tn. BAMBANG ASNAWI 213391 134,350.00 0.00
189. 2:35:19 PM
30-08-2017 R-17091860 Ny. YUSMA BINTI ISMAIL 194465 101,350.00 0.00
190. 2:37:02 PM
30-08-2017 R-17091862 Ny. YUNI ELYSABET 212445 190,000.00 0.00
191. 2:44:37 PM
30-08-2017 R-17091863 Ny. ERITA SITUMORANG 213362 261,800.00 0.00
192. 2:51:03 PM
30-08-2017 R-17091864 Ny. DARLAINI BINTI ABBAS 213353 124,199.95 0.00
193. 2:56:24 PM
30-08-2017 R-17091867 Ny. NETTY NAPITUPULU 213392 310,640.00 0.00
194. 3:04:27 PM
30-08-2017 R-17091868 Tn. TOGU TAMBA 169642 159,540.00 0.00
195. 3:13:16 PM
30-08-2017 R-17091873 Ny. KHUROTUN NAIMAH 212262 163,170.00 0.00
196. 3:32:13 PM
30-08-2017 R-17091878 An. NATASYA PURNAMA 002795 170,000.00 0.00
197. 3:35:34 PM
30-08-2017 R-17091888 Ny. EVA SUSANTI 213400 255,970.00 0.00
198. 3:59:11 PM
30-08-2017 R-17091890 Tn. HERMAN R 213084 99,240.00 0.00
199. 4:23:10 PM
30-08-2017 R-17091892 Tn. PATSIN DINATA 213155 170,000.00 0.00
200. 4:29:33 PM
30-08-2017 R-17091899 Tn. HANAFI SAPUTRA 039655 126,280.00 0.00
201. 5:06:41 PM
30-08-2017 R-17091912 Tn. FAUZAN KAHFI 213409 60,000.00 0.00
5:59:44 PM
202. 30-08-2017 R-17091920 Tn. YANTO EFENDI 213223 132,240.00 0.00
203. 6:47:28 PM
30-08-2017 R-17091921 Tn. AL FIKRI SYAHPUTRA 208851 126,280.00 0.00
6:54:35 PM
Dewis, 23 Sep 2017 10:43:04 RS. SYAFIRA Hal 4 / 5
 No Tgl.Registrasi No. Registrasi Nama Pasien No MR Ditanggung Sendiri
204. 30-08-2017 R-17091926 Ny. ROSMANIDAR BINTI 213413 253,250.00 0.00
205. 7:19:36 PM
30-08-2017 R-17091928 Ny. HARUN
WIWIN SUHARIANI 213414 277,200.00 0.00
206. 7:32:45 PM
30-08-2017 R-17091930 Ny. EVA NOVRITA 156693 135,570.00 0.00
207. 9:07:06 PM
30-08-2017 R-17091934 Ny. DIAH RAHMAWATI 013692 148,850.00 0.00
208. 9:33:00 PM
30-08-2017 R-17091941 Ny. TIKA FELISIA 124875 213,650.00 0.00
10:37:02 PM
TOTAL 49,989,369.38 250,000.00
Dewis, 23 Sep 2017 10:43:04 RS. SYAFIRA Hal 5 / 5