Kode Tindakan Tindakan Harga Jumlah Insentif

TDK0001166 BUKU STATUS DOKTER KANDUNGAN 15,000 16

TDK0001468 DR INDRA SPOG (PASANG RING + POLI) 300,000 1 240,000
TDK0001430 DR. INDRA WAHYU SPOG(POLI+CUCI VA 225,000 1 180,000
TDK0001412 DR.INDRA WAHYU (C V ) 200,000 1 160,000
TDK0001264 E ROHATI SPOG DR (CUCI VAGINA + POLI 225,000 1 180,000
TDK0000829 INDRA WAHYU ALI DR.SPOG (POLI) 150,000 52 6,240,000
TDK0000830 INDRA WAHYU ALI DR.SPOG (TINDAKAN 30,000 5 120,000
TDK0000184 JASA TINDAKAN AFF GV 35,000 3 84,000
TDK0000812 M.TAUFIK CH, SPOG DR (POLI) 75,000 1 67,500
TDK0001316 USG PRINT 2 DR. INDRA WAHYU SPOG 170,000 3 180,000
TDK0000831 USG PRINT INDRA WAHYU ALI SPOG DR 85,000 15 450,000
TDK0000832 USG TANPA PRINT INDRA WAHYU ALI SP 30,000 22 220,000
TDK0000358 USG TRANSVAGINAL 190,000 7 210,000
Total 8331500

Potongan Jumlah
PPh 21 (PKP = Rp. 12,855,000 ) 321,375
Kas bon 794,990
Total 1116365
Tgl Transaksi Kode Transaksi No. Struk Nama Pasien
27-Nov-17 RJ171101427 171101776 KHOIROTUNNISA RINO TRI
27-Nov-17 RJ171101427 171101776 KHOIROTUNNISA RINO TRI
27-Nov-17 RJ171101428 171101797 HADIYATI
27-Nov-17 RJ171101428 171101797 HADIYATI
27-Nov-17 RJ171101428 171101797 HADIYATI
27-Nov-17 RJ171101429 171101798 INEZ CONIELLA
27-Nov-17 RJ171101429 171101798 INEZ CONIELLA
28-Nov-17 RJ171101483 171101857 NUR ROHMAH
28-Nov-17 RJ171101483 171101857 NUR ROHMAH
28-Nov-17 RJ171101480 171101855 IIN INDRIATI
28-Nov-17 RJ171101480 171101855 IIN INDRIATI
28-Nov-17 RJ171101480 171101855 IIN INDRIATI
29-Nov-17 RJ171101551 171101932 HILDA SIAMBATON
29-Nov-17 RJ171101551 171101932 HILDA SIAMBATON
29-Nov-17 RJ171101555 171101951 NINING MEIDA
29-Nov-17 RJ171101555 171101951 NINING MEIDA
29-Nov-17 RJ171101556 171101947 RAISA
29-Nov-17 RJ171101556 171101947 RAISA
29-Nov-17 RJ171101556 171101947 RAISA
29-Nov-17 RJ171101556 171101947 RAISA
29-Nov-17 RJ171101557 171101948 SIREN
5-Dec-17 RJ171200247 171200297 ERNA HERAWATY SULISTIYONO NY.
5-Dec-17 RJ171200237 171200295 NURUL ISTIQOMAH
5-Dec-17 RJ171200237 171200295 NURUL ISTIQOMAH
6-Dec-17 RJ171200320 171200398 MULYANI GIAN
6-Dec-17 RJ171200320 171200398 MULYANI GIAN
6-Dec-17 RJ171200323 171200407 SITI MAFTUKHAH
6-Dec-17 RJ171200323 171200407 SITI MAFTUKHAH
6-Dec-17 RJ171200326 171200408 FARISSA DWI ELITTO A
6-Dec-17 RJ171200326 171200408 FARISSA DWI ELITTO A
7-Dec-17 RJ171200388 171200492 SENTIA
7-Dec-17 RJ171200388 171200492 SENTIA
7-Dec-17 RJ171200388 171200492 SENTIA
7-Dec-17 RJ171200390 171200497 LUPITA ANGGRAITO
7-Dec-17 RJ171200390 171200497 LUPITA ANGGRAITO
7-Dec-17 RJ171200390 171200497 LUPITA ANGGRAITO
7-Dec-17 RJ171200392 171200501 YUSTINA SURYATI
7-Dec-17 RJ171200392 171200501 YUSTINA SURYATI
7-Dec-17 RJ171200393 171200503 CHAURIL AINI H
7-Dec-17 RJ171200393 171200503 CHAURIL AINI H
7-Dec-17 RJ171200394 171200507 SOFIYAH HENDRI
7-Dec-17 RJ171200394 171200507 SOFIYAH HENDRI
7-Dec-17 RJ171200389 171200490 FITRI FIGYAWATI
 7-Dec-17 RJ171200389 171200490 FITRI FIGYAWATI
7-Dec-17 RJ171200391 171200495 HERIYANI MARYONO
7-Dec-17 RJ171200391 171200495 HERIYANI MARYONO
7-Dec-17 RJ171200387 171200481 IIN INDRIATI
8-Dec-17 RJ171200418 171200534 GITA FERRY
8-Dec-17 RJ171200418 171200534 GITA FERRY
8-Dec-17 RJ171200418 171200534 GITA FERRY
8-Dec-17 RJ171200421 171200535 GINA R
8-Dec-17 RJ171200421 171200535 GINA R
8-Dec-17 RJ171200422 171200541 NERVI KUSUMA W
8-Dec-17 RJ171200422 171200541 NERVI KUSUMA W
8-Dec-17 RJ171200423 171200544 FITRI FIGYAWATI
8-Dec-17 RJ171200423 171200544 FITRI FIGYAWATI
12-Dec-17 RJ171200637 171200809 WINDI KOMALASARI
12-Dec-17 RJ171200637 171200809 WINDI KOMALASARI
12-Dec-17 RJ171200641 171200817 ELSA
12-Dec-17 RJ171200641 171200817 ELSA
12-Dec-17 RJ171200646 171200832 SENTIA
12-Dec-17 RJ171200652 171200834 SUPRIANI ROBERTO
12-Dec-17 RJ171200652 171200834 SUPRIANI ROBERTO
12-Dec-17 RJ171200652 171200834 SUPRIANI ROBERTO
12-Dec-17 RJ171200657 171200837 INEZ CONIELLA
12-Dec-17 RJ171200657 171200837 INEZ CONIELLA
12-Dec-17 RJ171200657 171200837 INEZ CONIELLA
12-Dec-17 RJ171200638 171200811 ASTI UTAMI
12-Dec-17 RJ171200638 171200811 ASTI UTAMI
12-Dec-17 RJ171200647 171200833 ANIDAH AAN
12-Dec-17 RJ171200647 171200833 ANIDAH AAN
13-Dec-17 RJ171200737 171200931 ARNIKA WILLIAMS
13-Dec-17 RJ171200737 171200931 ARNIKA WILLIAMS
15-Dec-17 RJ171200936 171201178 RETNO WAHYUNINGSIH
15-Dec-17 RJ171200936 171201178 RETNO WAHYUNINGSIH
15-Dec-17 RJ171200937 171201183 HERIYANI MARYONO
15-Dec-17 RJ171200932 171201169 CLARA CINDY A A
15-Dec-17 RJ171200932 171201169 CLARA CINDY A A
15-Dec-17 RJ171200938 171201184 RISCA AMELIA
15-Dec-17 RJ171200938 171201184 RISCA AMELIA
15-Dec-17 RJ171200935 171201170 BINTANG ASMUNI
15-Dec-17 RJ171200935 171201170 BINTANG ASMUNI
15-Dec-17 RJ171200935 171201170 BINTANG ASMUNI
15-Dec-17 RJ171200935 171201170 BINTANG ASMUNI
19-Dec-17 RJ171201206 171201537 KARIN
19-Dec-17 RJ171201206 171201537 KARIN
19-Dec-17 RJ171201206 171201537 KARIN
19-Dec-17 RJ171201236 171201562 SOPIAHWATI
19-Dec-17 RJ171201236 171201562 SOPIAHWATI
19-Dec-17 RJ171201237 171201563 HAERUNISA
19-Dec-17 RJ171201237 171201563 HAERUNISA
19-Dec-17 RJ171201237 171201563 HAERUNISA
19-Dec-17 RJ171201241 171201565 NUR RAHMA
19-Dec-17 RJ171201241 171201565 NUR RAHMA
19-Dec-17 RJ171201241 171201565 NUR RAHMA
19-Dec-17 RJ171201205 171201533 RIZKY SARAH N
19-Dec-17 RJ171201205 171201533 RIZKY SARAH N
19-Dec-17 RJ171201205 171201533 RIZKY SARAH N
19-Dec-17 RJ171201205 171201533 RIZKY SARAH N
19-Dec-17 RJ171201233 171201560 SOPIAH
19-Dec-17 RJ171201233 171201560 SOPIAH
19-Dec-17 RJ171201231 171201546 SITI JAENAH
19-Dec-17 RJ171201231 171201546 SITI JAENAH
19-Dec-17 RJ171201234 171201555 BINTANG ASMUNI
20-Dec-17 RJ171201321 171201657 KHOIROTUNNISA RINO TRI
20-Dec-17 RJ171201321 171201657 KHOIROTUNNISA RINO TRI
20-Dec-17 RJ171201311 171201673 JENI POGAGA
20-Dec-17 RJ171201311 171201673 JENI POGAGA
20-Dec-17 RJ171201320 171201678 MASITOH
20-Dec-17 RJ171201320 171201678 MASITOH
20-Dec-17 RJ171201320 171201678 MASITOH
20-Dec-17 RJ171201326 171201680 HERLINA EVIYANTI
20-Dec-17 RJ171201326 171201680 HERLINA EVIYANTI
20-Dec-17 RJ171201326 171201680 HERLINA EVIYANTI
20-Dec-17 RJ171201316 171201676 KHOIRUL IFA P
20-Dec-17 RJ171201316 171201676 KHOIRUL IFA P
20-Dec-17 RJ171201316 171201676 KHOIRUL IFA P
22-Dec-17 RJ171201480 171201844 NURLELA SANTI
22-Dec-17 RJ171201480 171201844 NURLELA SANTI
22-Dec-17 RJ171201480 171201844 NURLELA SANTI
22-Dec-17 RJ171201494 171201863 NERVI KUSUMA W
22-Dec-17 RJ171201494 171201863 NERVI KUSUMA W
22-Dec-17 RJ171201495 171201864 GARNIES ASEP
22-Dec-17 RJ171201490 171201862 IKA LINDA NORA HSB NY.
22-Dec-17 RJ171201490 171201862 IKA LINDA NORA HSB NY.
22-Dec-17 RJ171201495 171201864 GARNIES ASEP
22-Dec-17 RJ171201488 171201854 KARTIKA NUR M
22-Dec-17 RJ171201488 171201854 KARTIKA NUR M
 Tindakan Harga Diskon Insentif Pkp
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
USG TRANSVAGINAL 190,000 30,000 190,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (TINDAKA 30,000 24,000 30,000
JASA TINDAKAN AFF GV 35,000 28,000 35,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
JASA TINDAKAN AFF GV 35,000 28,000 35,000
M.TAUFIK CH, SPOG DR (POLI) 75,000 67,500 75,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (TINDAKA 30,000 24,000 30,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
BUKU STATUS DOKTER KANDUNGAN 15,000
DR. INDRA WAHYU SPOG(POLI+CUCI V 225,000 180,000 225,000
DR.INDRA WAHYU (C V ) 200,000 160,000 200,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
BUKU STATUS DOKTER KANDUNGAN 15,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (TINDAKA 30,000 24,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
JASA TINDAKAN AFF GV 35,000 28,000 35,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
BUKU STATUS DOKTER KANDUNGAN 15,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT 2 DR. INDRA WAHYU SPOG 170,000 60,000 170,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT 2 DR. INDRA WAHYU SPOG 170,000 60,000 170,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (TINDAKA 30,000 24,000 30,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TRANSVAGINAL 190,000 30,000 190,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TRANSVAGINAL 190,000 30,000 190,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
INDRA WAHYU ALI DR.SPOG (TINDAKA 30,000 24,000 30,000
BUKU STATUS DOKTER KANDUNGAN 15,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
DR INDRA SPOG (PASANG RING + POLI 300,000 240,000 300,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT 2 DR. INDRA WAHYU SPOG 170,000 60,000 170,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
BUKU STATUS DOKTER KANDUNGAN 15,000
USG TRANSVAGINAL 190,000 30,000 190,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TRANSVAGINAL 190,000 30,000 190,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG PRINT INDRA WAHYU ALI SPOG D 85,000 30,000 85,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
BUKU STATUS DOKTER KANDUNGAN 15,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
E ROHATI SPOG DR (CUCI VAGINA + PO 225,000 180,000 225,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
USG TANPA PRINT INDRA WAHYU ALI 30,000 10,000 30,000
USG TRANSVAGINAL 190,000 30,000 190,000
USG TRANSVAGINAL 190,000 30,000 190,000
INDRA WAHYU ALI DR.SPOG (POLI) 150,000 120,000 150,000
Tgl Transaksi Kode Transaksi No. Struk Nama Pasien
6-Dec-17 RI171200008 TU1712000037 ASTI UTAMI
6-Dec-17 RI171200008 TU1712000037 ASTI UTAMI
6-Dec-17 RI171200008 TU1712000037 ASTI UTAMI
6-Dec-17 RI171200008 TU1712000037 ASTI UTAMI
6-Dec-17 RI171200008 TU1712000036 ASTI UTAMI
6-Dec-17 RI171200009 TU1712000040 YULIERMAWATI
8-Dec-17 RI171200015 TU1712000107 NILA ARIFAH
8-Dec-17 RI171200015 TU1712000101 NILA ARIFAH
10-Dec-17 RI171200020 TU1712000135 SURANTI AGUS
11-Dec-17 RI171200020 TU1712000147 SURANTI AGUS
12-Dec-17 RI171200029 TU1712000166 SOPIAH
12-Dec-17 RI171200029 TU1712000166 SOPIAH
12-Dec-17 RI171200029 TU1712000171 SOPIAH
12-Dec-17 RI171200029 TU1712000171 SOPIAH
12-Dec-17 RI171200029 TU1712000170 SOPIAH
15-Dec-17 RI171200035 TU1712000195 SOPIAHWATI
15-Dec-17 RI171200035 TU1712000195 SOPIAHWATI
16-Dec-17 RI171200035 TU1712000200 SOPIAHWATI
16-Dec-17 RI171200035 TU1712000201 SOPIAHWATI
19-Dec-17 RI171200044 TU1712000262 HAERUNISA
19-Dec-17 RI171200044 TU1712000262 HAERUNISA
19-Dec-17 RI171200044 TU1712000261 HAERUNISA
 Tindakan Kelas Harga Diskon Insentif Pkp
ALKES III 300,000
TINDAKAN HT+CROMIC 00/MANUIL III 150,000
USG PRINT III 85,000 30,000 85,000
INDRA WAHYU ALI DR.SPOG (POLI) III 150,000 120,000 150,000
KURET III 2,000,000 1,600,000 2,000,000
KURET III 2,000,000 15 1,360,000
VISITE DOKTER KEBIDANAN DAN KA PM 150,000 120,000 150,000
SECTIO (SC) PM 1,100,000 1,000,000 1,100,000
VISITE DOKTER KEBIDANAN DAN KA PM 150,000 120,000 150,000
SECTIO (SC) PM 1,100,000 1,000,000 1,100,000
INDRA WAHYU ALI DR.SPOG (POLI) III 150,000 120,000 150,000
USG TRANSVAGINAL III 190,000 30,000 190,000
ALKES III 300,000
TINDAKAN SUCT/MAN/LAM III 150,000
KURET III 2,000,000 1,600,000 2,000,000
INDRA WAHYU ALI DR.SPOG (POLI) III 150,000 120,000 150,000
USG TRANSVAGINAL III 190,000 30,000 190,000
TINDAKAN HT+CROMIC 00/MANUIL III 150,000
ALKES III 300,000
ALKES III 300,000
TINDAKAN SUCT/MAN/LAM III 150,000
KURET +20% III 2,400,000 1,920,000 2,400,000