Filter Dokter Penanggungjawab

DPJP
DR RIZKI DARMAWAN SP.PD
DR. BUDI DARSONO , SP.B
DR. BUDI DARSONO SP. B
DR. ELVITA ASRIL, SP. OG
DR. ELVITA ASRIL,SP. OG
DR. HALOAN SIMON TAMBUNAN, SP.S,M.SI.MED
DR. HUMINSA RANTO MORISON PANJAITAN,SP.A
DR. MUHAMMAD NASRULLAH,SP.OT
DR. MUHAMMAD NASRULLOH, SP.OT
DR. RIZKI DARMAWAN, SP. PD
DR. RIZKI DARMAWAN, SP.PD
 Daftar Pasien

Nama Pasien Tarif CBG Tarif RS Surplus/Defisit

AN, ABIL AQIL JULIANDI 193,500.00 126,230.00 67,270.00
AN, MARSYA NAYA ARISTA DEWI 3,533,600.00 1,912,143.00 1,621,457.00
AN, REZA MAULANA 3,161,200.00 3,199,229.00 -38,029.00
AN, SALSABILA RAMADHANI 192,100.00 219,466.00 -27,366.00
AN. AFRIDA WIRAKA MUKTI 5,158,100.00 6,135,117.00 -977,017.00
AN. AGUSTIN FITRIANI 2,902,100.00 1,893,051.00 1,009,049.00
AN. AIDA 2,133,600.00 1,920,274.00 213,326.00
AN. AIRA ANGGRAINI 193,500.00 122,870.00 70,630.00
AN. AJI NUROHIM 192,100.00 498,755.00 -306,655.00
AN. AKMAL PUTRA ARISMA 3,512,100.00 2,745,898.00 766,202.00
AN. AMALIA SAFITRI 384,200.00 304,178.00 80,022.00
AN. AMANDA CALISTA WIJAYA 4,267,200.00 1,764,808.00 2,502,392.00
AN. AMELIA DINA MARLITA 192,100.00 130,000.00 62,100.00
AN. ANITA 1,291,400.00 2,276,387.00 -984,987.00
AN. ARIL PUTRA PRATAMA 3,461,200.00 1,955,531.00 1,505,669.00
AN. DIFA DANIK 194,900.00 435,553.00 -240,653.00
AN. DIKI SAPUTRA 384,200.00 416,929.00 -32,729.00
AN. DINA AZIZAH 192,100.00 118,164.00 73,936.00
AN. EDI SUSANTO 1,998,900.00 3,043,934.00 -1,045,034.00
AN. EKA SANDRA 3,842,100.00 6,071,934.00 -2,229,834.00
AN. FAHRELIANTO 1,963,200.00 4,041,920.00 -2,078,720.00
AN. FATHAN DZIKRI ALGHIFANI 203,900.00 223,799.00 -19,899.00
AN. FEBRI MAULANA 192,100.00 139,260.00 52,840.00
AN. GLANDHI G 384,200.00 235,121.00 149,079.00
AN. GUGUH ULMAWAN 192,100.00 178,754.00 13,346.00
AN. IHWAN NUDIN 192,100.00 123,418.00 68,682.00
AN. IRSAN PRATAMA SABIT ELFATIN 1,753,800.00 1,632,662.00 121,138.00
AN. ISSABELLA BEAUTY ANJANI 193,500.00 152,405.00 41,095.00
AN. IVAN RIZKIANTO 384,200.00 351,620.00 32,580.00
AN. M GILANG ANGGA K 2,174,700.00 3,261,254.00 -1,086,554.00
AN. MASRIFAN 193,500.00 158,505.00 34,995.00
AN. MUHAMAD SALAFUDIN AFIF 192,100.00 212,602.00 -20,502.00
AN. MUHAMMAD NASRULLAH 3,865,100.00 16,320,722.00 -12,455,622.00
AN. MUHAMMAD RAFLI AKBAR SIDK 143,700.00 206,500.00 -62,800.00
AN. NAUFAL AQILAH 1,753,800.00 1,272,019.00 481,781.00
AN. PIRDA 2,624,500.00 2,191,008.00 433,492.00
AN. REZA NUR AHMAD RAFLY 192,100.00 168,069.00 24,031.00
AN. RIFKI KURNIAWAN 3,522,700.00 7,023,215.00 -3,500,515.00
AN. TASYA QUITASARI 2,624,500.00 3,612,973.00 -988,473.00
BAYI NY AISYA RIFISANI 192,100.00 110,000.00 82,100.00
BAYI NY INTI MAYASARI 3,649,100.00 1,364,222.00 2,284,878.00
BAYI NY NILA NOVIANA 3,457,000.00 1,558,649.00 1,898,351.00
BAYI NY OKTAVIA DWI ASTUTI 3,457,000.00 1,679,594.00 1,777,406.00
BAYI NY. BIBIT NURSININGSIH 3,457,000.00 1,695,456.00 1,761,544.00
 Daftar Pasien

BAYI NY. PONIYEM 3,457,000.00 2,151,487.00 1,305,513.00

HI. AGUS MAKSUM 2,868,900.00 2,617,212.00 251,688.00
NN. ARA WAHYU FADILAH 2,133,600.00 1,865,600.00 268,000.00
NN. EKA WULANDARI 1,605,500.00 2,345,142.00 -739,642.00
NN. INDAH TRI LESTARI 4,618,900.00 6,782,022.00 -2,163,122.00
NN. INTAN AYU INDRIYANI 584,700.00 556,713.00 27,987.00
NN. NOPI 3,377,300.00 3,475,051.00 -97,751.00
NN. PURWA DIYANTI 192,100.00 136,993.00 55,107.00
NN. SEMIATI 192,100.00 230,844.00 -38,744.00
NN. SILVI FITYIANI 256,500.00 466,109.00 -209,609.00
NN. SITI FADILAH 1,484,900.00 2,393,286.00 -908,386.00
NN. USWATUN KHASANAH 314,100.00 257,778.00 56,322.00
NN. YULYANTIKA 384,200.00 289,411.00 94,789.00
NT. MULYOTO 4,173,000.00 7,826,403.00 -3,653,403.00
NY, ASIH 256,500.00 141,088.00 115,412.00
NY, ERVITA LESTYANINGSIH 1,635,900.00 2,062,817.00 -426,917.00
NY, HAMIDAH 3,775,100.00 12,209,922.00 -8,434,822.00
NY, JUMILAH 192,100.00 405,219.00 -213,119.00
NY, KHADIJAH 192,100.00 365,987.00 -173,887.00
NY, MARPUAH 192,100.00 240,074.00 -47,974.00
NY, NUNUNG NUR SAMSI 256,500.00 214,595.00 41,905.00
NY, SAMINAH 192,100.00 319,150.00 -127,050.00
NY, SUBAIDAH 382,600.00 312,940.00 69,660.00
NY, SULASTRI 192,100.00 182,954.00 9,146.00
NY, SUNTA WATI 192,100.00 249,802.00 -57,702.00
NY, WAHID DATUL WULAN 194,900.00 199,861.00 -4,961.00
NY. ADE ERAWATI 194,900.00 267,931.00 -73,031.00
NY. ADELIA BAHARANI 192,100.00 119,012.00 73,088.00
NY. AIDA WATI SARTIKA 192,100.00 134,169.00 57,931.00
NY. AISYAH RIFISANI 5,214,800.00 9,720,881.00 -4,506,081.00
NY. ALFIYAH 3,461,400.00 3,243,125.00 218,275.00
NY. AMINAH 4,858,000.00 3,797,346.00 1,060,654.00
NY. ANA SUPRAPTI 314,100.00 272,667.00 41,433.00
NY. ANAISAH 1,815,900.00 1,767,198.00 48,702.00
NY. ANI P 256,500.00 130,000.00 126,500.00
NY. ANITA RIA 314,100.00 272,667.00 41,433.00
NY. ARIA SUNDARI 3,461,400.00 3,087,639.00 373,761.00
NY. ASNIYANI 1,605,500.00 2,375,943.00 -770,443.00
NY. AYU MAS 193,500.00 169,158.00 24,342.00
NY. BAKTI KHOBSAH 194,900.00 229,525.00 -34,625.00
NY. BIBIT NURSI NINGSIH 5,019,900.00 6,892,944.00 -1,873,044.00
NY. BORIYAH 192,100.00 220,604.00 -28,504.00
NY. BUNAIYAH 6,301,300.00 11,732,170.00 -5,430,870.00
NY. DASINI 384,200.00 520,531.00 -136,331.00
NY. DESI RATIKA SARI 314,100.00 368,675.00 -54,575.00
 Daftar Pasien

NY. DEWI ARDIA N 452,500.00 472,936.00 -20,436.00

NY. DEWI ARDIAN 5,513,600.00 7,252,075.00 -1,738,475.00
NY. DEWI MUSTIKA 314,100.00 273,055.00 41,045.00
NY. DIAH 193,500.00 200,476.00 -6,976.00
NY. DIANA PUTRI 5,019,900.00 7,246,694.00 -2,226,794.00
NY. DIANA WARI 7,154,900.00 11,897,831.00 -4,742,931.00
NY. DIMAN 2,521,400.00 2,456,622.00 64,778.00
NY. DUNATI 193,500.00 359,326.00 -165,826.00
NY. DWI RAHAYU 7,153,900.00 10,620,086.00 -3,466,186.00
NY. DWI SUWARTINI 1,656,400.00 2,478,229.00 -821,829.00
NY. EKA PRAHARTINI 5,019,900.00 6,456,723.00 -1,436,823.00
NY. EKA WAHYUDI 2,431,200.00 3,429,039.00 -997,839.00
NY. EKAWATI 314,100.00 302,009.00 12,091.00
NY. ENDANG SRI WINARSIH 2,546,600.00 3,269,047.00 -722,447.00
NY. FETI 2,769,000.00 6,372,204.00 -3,603,204.00
NY. GIYAH 192,100.00 380,861.00 -188,761.00
NY. HABESAH 2,497,300.00 3,035,722.00 -538,422.00
NY. HADIJAH 5,416,400.00 5,026,606.00 389,794.00
NY. HAFIPAH 314,100.00 329,775.00 -15,675.00
NY. HALIYANA SAODAH 192,100.00 340,808.00 -148,708.00
NY. HERNAWATI 192,100.00 238,355.00 -46,255.00
NY. HESTI YUNITA WATI 314,100.00 285,140.00 28,960.00
NY. INTI MAYASARI 5,212,000.00 6,653,038.00 -1,441,038.00
NY. IPUNG VERIANTI 5,214,800.00 6,954,876.00 -1,740,076.00
NY. JAENAH 1,747,400.00 3,335,053.00 -1,587,653.00
NY. JAMILAH 384,200.00 781,830.00 -397,630.00
NY. JANI 192,100.00 178,895.00 13,205.00
NY. JAYAMAH 314,100.00 331,377.00 -17,277.00
NY. JEMUAH 3,022,700.00 3,647,040.00 -624,340.00
NY. JUMIYEM 3,980,500.00 3,228,908.00 751,592.00
NY. JURIYAH 701,100.00 623,455.00 77,645.00
NY. JUWITA 5,302,400.00 7,713,846.00 -2,411,446.00
NY. KALSUM 382,600.00 525,900.00 -143,300.00
NY. KAMERIA 3,161,200.00 2,007,407.00 1,153,793.00
NY. KAMINAH 192,100.00 190,603.00 1,497.00
NY. KARTI 192,100.00 130,000.00 62,100.00
NY. KARTINI 5,497,300.00 7,195,987.00 -1,698,687.00
NY. KARTINI. S.KOM 4,845,900.00 5,770,432.00 -924,532.00
NY. KASIH 400,200.00 548,100.00 -147,900.00
NY. KASMIATI 2,304,300.00 5,005,160.00 -2,700,860.00
NY. KATI 2,765,500.00 2,298,936.00 466,564.00
NY. KATINI 3,404,200.00 5,695,222.00 -2,291,022.00
NY. KEMILAH 385,600.00 453,379.00 -67,779.00
NY. KHUSNUL KAHTIMAH 314,100.00 273,055.00 41,045.00
NY. KOTIM 387,000.00 366,829.00 20,171.00
 Daftar Pasien

NY. KURNIA RESTI DEWI 192,100.00 229,739.00 -37,639.00

NY. LALA SUMIATI 582,100.00 257,677.00 324,423.00
NY. LATIYAH 1,947,300.00 2,879,710.00 -932,410.00
NY. LIA NOVITA SARI 314,100.00 324,309.00 -10,209.00
NY. LILIK NURFAUZIAH 8,427,600.00 5,952,934.00 2,474,666.00
NY. LUSIANTI 385,600.00 632,314.00 -246,714.00
NY. MARDIYAH 5,324,900.00 1,460,061.00 3,864,839.00
NY. MARIYEM 4,429,400.00 2,100,705.00 2,328,695.00
NY. MARSILAH 552,100.00 369,858.00 182,242.00
NY. MARSINEM 382,600.00 548,188.00 -165,588.00
NY. MARTANI 260,400.00 157,811.00 102,589.00
NY. MARTINAH 389,800.00 494,979.00 -105,179.00
NY. MARYAM 4,564,500.00 7,474,793.00 -2,910,293.00
NY. MARYAMAH 1,977,200.00 5,398,355.00 -3,421,155.00
NY. MASMUNAH 192,100.00 295,522.00 -103,422.00
NY. MEI INDARWATI 1,623,500.00 1,467,601.00 155,899.00
NY. MILA N 1,605,500.00 1,957,740.00 -352,240.00
NY. MINAWATI 314,100.00 273,055.00 41,045.00
NY. MISTIANI 2,305,200.00 3,000,000.00 -694,800.00
NY. MUHAINI 3,408,000.00 5,966,537.00 -2,558,537.00
NY. MUNIJAH 1,344,300.00 1,673,206.00 -328,906.00
NY. MUNTAMAH 3,653,500.00 2,845,308.00 808,192.00
NY. MURIYEM 2,280,600.00 3,346,718.00 -1,066,118.00
NY. MURNI 2,535,400.00 2,725,133.00 -189,733.00
NY. MUSRIAH 192,100.00 159,681.00 32,419.00
NY. NANDRA FARIDA 306,600.00 319,492.00 -12,892.00
NY. NERI 1,605,500.00 1,774,205.00 -168,705.00
NY. NETI ROBIANA 192,100.00 125,410.00 66,690.00
NY. NG NYIPLO 3,037,000.00 5,808,361.00 -2,771,361.00
NY. NGATIYEM 1,363,200.00 4,131,336.00 -2,768,136.00
NY. NMYAMI 2,496,400.00 6,716,299.00 -4,219,899.00
NY. NOFITASARI 5,302,400.00 5,670,259.00 -367,859.00
NY. NOR ASIYAH 1,596,900.00 1,366,180.00 230,720.00
NY. NUR ASANAH 4,618,900.00 5,888,705.00 -1,269,805.00
NY. NUR BAITI 1,700,500.00 6,194,818.00 -4,494,318.00
NY. NUR FAIZIAH 6,385,900.00 3,566,834.00 2,819,066.00
NY. NUR LAILI 314,100.00 272,778.00 41,322.00
NY. NURAINI 570,600.00 486,875.00 83,725.00
NY. NURHAYATI 8,215,400.00 7,128,016.00 1,087,384.00
NY. NURYANA 385,600.00 317,150.00 68,450.00
NY. NYARAH 1,483,500.00 3,237,344.00 -1,753,844.00
NY. OKTAVIA DWI ASTUTI 194,900.00 214,809.00 -19,909.00
NY. OVI SITI QOMARIYAH 314,100.00 276,068.00 38,032.00
NY. PAIJAH 3,685,700.00 6,249,725.00 -2,564,025.00
NY. PAIJEM 6,873,600.00 6,978,899.00 -105,299.00
 Daftar Pasien

NY. PAIKEM 192,100.00 367,838.00 -175,738.00

NY. PAISAH 192,100.00 170,864.00 21,236.00
NY. PARMI 3,842,100.00 7,764,100.00 -3,922,000.00
NY. PARTI 145,200.00 672,940.00 -527,740.00
NY. PARTINI 314,100.00 272,778.00 41,322.00
NY. PONIYEM 5,528,900.00 7,462,649.00 -1,933,749.00
NY. QONIATUL HIDAYAH 192,100.00 243,848.00 -51,748.00
NY. RASIKEM 3,915,400.00 2,121,233.00 1,794,167.00
NY. RATNA DEWI 774,200.00 483,365.00 290,835.00
NY. RATNA PERMATA 314,100.00 263,055.00 51,045.00
NY. REPET 384,200.00 427,001.00 -42,801.00
NY. RINA MUTIARI HANAFI 2,594,400.00 2,962,716.00 -368,316.00
NY. RITA BUDI LESTARI 314,100.00 272,778.00 41,322.00
NY. ROBAYAH 469,700.00 537,866.00 -68,166.00
NY. ROPEAH 2,665,600.00 5,472,423.00 -2,806,823.00
NY. ROSILAWATI 192,100.00 210,000.00 -17,900.00
NY. ROSIYATI 3,868,800.00 2,171,710.00 1,697,090.00
NY. RUBIAH 256,500.00 213,659.00 42,841.00
NY. RUBINI 5,934,700.00 9,905,187.00 -3,970,487.00
NY. RUKMANA 337,300.00 394,922.00 -57,622.00
NY. RUPIAH 384,200.00 493,436.00 -109,236.00
NY. SAHARI 192,100.00 130,000.00 62,100.00
NY. SAINAH 4,982,100.00 8,235,511.00 -3,253,411.00
NY. SAIYAH 4,555,600.00 4,291,414.00 264,186.00
NY. SALAMAH 2,019,800.00 2,054,754.00 -34,954.00
NY. SAMINI 2,305,200.00 3,849,810.00 -1,544,610.00
NY. SARI ASIH 192,100.00 272,778.00 -80,678.00
NY. SARILAH 1,461,500.00 2,983,762.00 -1,522,262.00
NY. SARMI 192,100.00 389,630.00 -197,530.00
NY. SARMINI 314,100.00 260,555.00 53,545.00
NY. SARNI 314,100.00 427,733.00 -113,633.00
NY. SARYATI 2,868,900.00 2,785,600.00 83,300.00
NY. SATIPAH 4,984,900.00 7,540,900.00 -2,556,000.00
NY. SELI AFITA 314,100.00 254,116.00 59,984.00
NY. SEPTIYANTI 1,095,100.00 991,886.00 103,214.00
NY. SIH WINARTI 384,200.00 376,716.00 7,484.00
NY. SIHONO 143,700.00 310,000.00 -166,300.00
NY. SIMAH 3,055,400.00 6,528,530.00 -3,473,130.00
NY. SITI A 1,961,800.00 4,683,585.00 -2,721,785.00
NY. SITI ANJANI 2,779,300.00 1,789,518.00 989,782.00
NY. SITI HALIJAH 314,100.00 260,278.00 53,822.00
NY. SITI KHUSUSIYAH 192,100.00 172,760.00 19,340.00
NY. SITI KUNZAINIAH 5,019,900.00 6,575,225.00 -1,555,325.00
NY. SITI MAHMUDAH 192,100.00 163,867.00 28,233.00
NY. SITI MUNAWAROH 192,100.00 313,616.00 -121,516.00
 Daftar Pasien

NY. SITI NGAISAH 314,100.00 275,185.00 38,915.00

NY. SIYAM 192,100.00 169,497.00 22,603.00
NY. SIYAMI 1,483,500.00 2,625,233.00 -1,141,733.00
NY. SOLEHATI 2,496,500.00 2,177,731.00 318,769.00
NY. SOPIAH 192,100.00 160,490.00 31,610.00
NY. SRI KHOTIMAH 1,808,000.00 1,956,769.00 -148,769.00
NY. SRI MARYANI 2,938,100.00 4,983,783.00 -2,045,683.00
NY. SRI NURHAYATI 2,909,700.00 2,939,747.00 -30,047.00
NY. SRI WAHYUNI 194,900.00 230,196.00 -35,296.00
NY. SUBAIDAH 192,100.00 187,431.00 4,669.00
NY. SUCIATI 576,300.00 470,926.00 105,374.00
NY. SUDARMI 4,819,200.00 11,794,504.00 -6,975,304.00
NY. SUDARTI 3,262,600.00 2,585,629.00 676,971.00
NY. SUGINEM 4,229,100.00 5,932,392.00 -1,703,292.00
NY. SUGIYATI 192,100.00 322,206.00 -130,106.00
NY. SUGIYEM 689,200.00 461,370.00 227,830.00
NY. SUHARIYANTI 1,461,500.00 2,499,086.00 -1,037,586.00
NY. SUKARTINI 193,500.00 278,016.00 -84,516.00
NY. SUKATI 335,800.00 450,059.00 -114,259.00
NY. SULASTRI 2,141,800.00 4,326,849.00 -2,185,049.00
NY. SUMARNI 145,200.00 379,844.00 -234,644.00
NY. SUMARSIH 2,557,400.00 3,425,626.00 -868,226.00
NY. SUMINAH 387,000.00 502,561.00 -115,561.00
NY. SUMINI 960,500.00 1,406,400.00 -445,900.00
NY. SUMIYATI 1,900,300.00 2,201,872.00 -301,572.00
NY. SUNARIA 582,100.00 407,142.00 174,958.00
NY. SUNDARTI 314,100.00 253,185.00 60,915.00
NY. SUPARMI 576,300.00 699,666.00 -123,366.00
NY. SUPARTI 1,966,000.00 2,462,556.00 -496,556.00
NY. SUPIATI 384,200.00 372,953.00 11,247.00
NY. SUPIATUN 959,900.00 1,031,944.00 -72,044.00
NY. SUPRIHATIN 628,200.00 545,833.00 82,367.00
NY. SURATMI 192,100.00 259,175.00 -67,075.00
NY. SURIP 1,082,900.00 936,144.00 146,756.00
NY. SURYANTI 5,692,200.00 3,604,523.00 2,087,677.00
NY. SURYATI 314,100.00 252,667.00 61,433.00
NY. SUTIJAH 4,348,900.00 4,347,883.00 1,017.00
NY. SUTIYAH 1,827,700.00 1,894,321.00 -66,621.00
NY. SUWARTI 5,315,300.00 7,504,530.00 -2,189,230.00
NY. TASARI 384,200.00 387,999.00 -3,799.00
NY. TRI WAHYUNI 5,528,900.00 6,536,134.00 -1,007,234.00
NY. TUTI ERYANTI 193,500.00 162,739.00 30,761.00
NY. UMI NARSIH 389,800.00 409,317.00 -19,517.00
NY. UMIYATI 192,100.00 235,765.00 -43,665.00
NY. UNTIAH 779,600.00 980,807.00 -201,207.00
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NY. WAGINAH 192,100.00 180,910.00 11,190.00

NY. WAHYU AGUSTIN 314,100.00 330,522.00 -16,422.00
NY. WAHYU RUTINI 5,019,900.00 7,155,211.00 -2,135,311.00
NY. WARILAH 384,200.00 386,936.00 -2,736.00
NY. WARNI 576,300.00 503,023.00 73,277.00
NY. WASTINI 256,500.00 644,315.00 -387,815.00
NY. WATI 314,100.00 325,961.00 -11,861.00
NY. WAYAN EKA 314,100.00 245,774.00 68,326.00
NY. WIJAYANTI 3,059,400.00 4,662,317.00 -1,602,917.00
NY. WIJIANI 1,901,100.00 3,276,617.00 -1,375,517.00
NY. WIJIATI 134,100.00 308,016.00 -173,916.00
NY. WINDI SETAWATI 1,926,700.00 2,629,716.00 -703,016.00
NY. YOLANDA APRIANTIKA 3,518,800.00 1,926,194.00 1,592,606.00
NY. YOYOH 8,637,600.00 8,379,404.00 258,196.00
NY.SUMINAH 314,100.00 336,018.00 -21,918.00
SDR. DADANG 2,853,900.00 5,219,830.00 -2,365,930.00
SDR. DEDEK IRAWAN 768,400.00 644,746.00 123,654.00
SDR. LUKMAN NUR HAKIM 384,200.00 910,341.00 -526,141.00
SDR. MEGAS 1,722,200.00 4,495,518.00 -2,773,318.00
SDR. MUHAMMAD RIDUAN 6,790,600.00 17,485,748.00 -10,695,148.00
SDR. MUNSIR 192,100.00 130,000.00 62,100.00
SDR. PRAMONO 3,095,200.00 10,304,866.00 -7,209,666.00
SDR. RIYAWAN 192,100.00 248,597.00 -56,497.00
SDR. SAHRUL DARMAWAN 1,461,500.00 1,625,140.00 -163,640.00
T. SUYADI 277,600.00 170,061.00 107,539.00
TN KARNO 384,200.00 363,505.00 20,695.00
TN SURYADI 3,034,200.00 5,603,385.00 -2,569,185.00
TN, CHADIRMAN 192,100.00 342,237.00 -150,137.00
TN, IMAM SUBAWEH 192,100.00 133,944.00 58,156.00
TN, MGS ADHARI 192,100.00 253,991.00 -61,891.00
TN, SUNARYO 448,600.00 378,173.00 70,427.00
TN, TOHA 192,100.00 188,975.00 3,125.00
TN, TUKIMIN 192,100.00 520,774.00 -328,674.00
TN. UMAR 2,274,600.00 2,219,768.00 54,832.00
TN. A. NAWAWI 2,846,800.00 2,458,657.00 388,143.00
TN. ABDUL KADIR AHMAD 6,015,600.00 9,847,302.00 -3,831,702.00
TN. ABDUL KARIM 513,000.00 404,195.00 108,805.00
TN. ABDUL LATIF 4,704,000.00 4,572,113.00 131,887.00
TN. ABDUL ROKIB 4,133,500.00 12,158,191.00 -8,024,691.00
TN. ABDULLAH 192,100.00 220,141.00 -28,041.00
TN. ABIDIN 3,306,400.00 2,540,871.00 765,529.00
TN. ADAM 134,100.00 240,765.00 -106,665.00
TN. ADAM S 192,100.00 372,015.00 -179,915.00
TN. AGUS BUDIONO 4,790,000.00 8,035,642.00 -3,245,642.00
TN. AHANDI 3,723,900.00 3,677,086.00 46,814.00
 Daftar Pasien

TN. AHMAD KUSEN 6,551,000.00 5,528,576.00 1,022,424.00

TN. AHMAD SYAFI'I NOOR 2,046,000.00 5,845,765.00 -3,799,765.00
TN. ALI MASHAR 6,734,900.00 10,557,659.00 -3,822,759.00
TN. ASKAD 3,463,500.00 2,648,995.00 814,505.00
TN. ASNGARI 4,755,700.00 7,414,710.00 -2,659,010.00
TN. BAMBANG SUPARNO 265,600.00 519,527.00 -253,927.00
TN. BASAR 469,700.00 793,632.00 -323,932.00
TN. BUDI SANTOSO 3,461,200.00 2,169,563.00 1,291,637.00
TN. BUKHORI 4,156,800.00 8,853,924.00 -4,697,124.00
TN. DAMAS 192,100.00 185,095.00 7,005.00
TN. DWI IRNALDI 1,947,300.00 3,552,483.00 -1,605,183.00
TN. EDDY 4,758,500.00 11,812,439.00 -7,053,939.00
TN. EKO WAHONO 2,853,900.00 5,316,416.00 -2,462,516.00
TN. GATOT SUMARDJOKO 192,100.00 119,182.00 72,918.00
TN. GEMI 3,461,400.00 2,979,256.00 482,144.00
TN. H. SOLIKHIN 3,212,100.00 2,874,146.00 337,954.00
TN. HABIB HASYIM 2,846,800.00 24,016,324.00 -21,169,524.00
TN. HARIYONO 1,568,400.00 4,921,968.00 -3,353,568.00
TN. HARTOMO 2,477,400.00 5,152,228.00 -2,674,828.00
TN. HARUN 3,038,900.00 3,234,344.00 -195,444.00
TN. HARUN ALRASID 192,100.00 216,820.00 -24,720.00
TN. HASAN PNA 1,461,500.00 2,519,176.00 -1,057,676.00
TN. HASANUDIN 1,291,400.00 2,897,150.00 -1,605,750.00
TN. HASYIM 401,700.00 299,305.00 102,395.00
TN. HAUD RAJIANTO 387,000.00 537,831.00 -150,831.00
TN. HERDIYANTO 968,900.00 1,530,226.00 -561,326.00
TN. HERMANSYAH 192,100.00 173,330.00 18,770.00
TN. I MADE SUWANDI 838,600.00 473,523.00 365,077.00
TN. IBRAHIM 326,800.00 396,219.00 -69,419.00
TN. IMAM SAHRONI 4,229,100.00 6,136,373.00 -1,907,273.00
TN. JAMAD 194,900.00 225,881.00 -30,981.00
TN. JAMALUDIN 7,719,300.00 8,020,279.00 -300,979.00
TN. JAMAN 6,737,700.00 17,139,294.00 -10,401,594.00
TN. JAMUAL SITANGGANG 527,900.00 652,801.00 -124,901.00
TN. KARIMIN 145,200.00 195,981.00 -50,781.00
TN. KASADI 1,901,100.00 3,041,867.00 -1,140,767.00
TN. KGS ABDULAH 1,549,700.00 2,416,349.00 -866,649.00
TN. KHAIRUL SALEH 2,688,000.00 2,554,662.00 133,338.00
TN. KHOIRUL ANA 1,291,400.00 5,612,229.00 -4,320,829.00
TN. KUSWANDI 2,305,200.00 5,672,834.00 -3,367,634.00
TN. KUWADI 384,200.00 289,538.00 94,662.00
TN. LASIO 384,200.00 564,547.00 -180,347.00
TN. LEGISO 5,045,300.00 7,415,971.00 -2,370,671.00
TN. M MA'RUF HABIBI 192,100.00 148,322.00 43,778.00
TN. M SALEH 277,600.00 110,000.00 167,600.00
 Daftar Pasien

TN. M ZEN 779,600.00 1,325,081.00 -545,481.00

TN. M. ILO SEREN 192,100.00 193,804.00 -1,704.00
TN. MADRAM 192,100.00 166,108.00 25,992.00
TN. MADYUSWAN 192,100.00 521,807.00 -329,707.00
TN. MARDIYANTO 265,600.00 110,000.00 155,600.00
TN. MARIYO 552,100.00 299,822.00 252,278.00
TN. MARTONO 4,706,700.00 8,673,325.00 -3,966,625.00
TN. MARYONO 2,127,700.00 1,979,831.00 147,869.00
TN. MARZUKI 552,100.00 165,200.00 386,900.00
TN. MATNUR 6,248,400.00 6,356,135.00 -107,735.00
TN. MEGA SUHANDOKO 3,244,700.00 2,606,334.00 638,366.00
TN. MESRAN 469,700.00 857,103.00 -387,403.00
TN. MIFTAHUL ULUM 384,200.00 297,571.00 86,629.00
TN. MISBAHRUDIN 513,000.00 403,484.00 109,516.00
TN. MK NGELIMO SEH 192,100.00 266,290.00 -74,190.00
TN. MK PAKU PARDI 3,294,800.00 4,559,878.00 -1,265,078.00
TN. MK R I 2,013,800.00 2,327,496.00 -313,696.00
TN. MUHLANI 3,387,800.00 4,571,790.00 -1,183,990.00
TN. MUHTAROM 3,218,700.00 7,527,716.00 -4,309,016.00
TN. MUJADI 2,432,100.00 2,672,536.00 -240,436.00
TN. MULUT 1,461,500.00 1,642,534.00 -181,034.00
TN. MUNAJAD 5,158,300.00 6,355,578.00 -1,197,278.00
TN. MUSTAKIM RAMLI 192,100.00 460,627.00 -268,527.00
TN. NASIP RAHAYU 387,000.00 413,069.00 -26,069.00
TN. NIKO DWI YANTORO 192,100.00 345,546.00 -153,446.00
TN. NYOMAN KONTEN 192,100.00 130,000.00 62,100.00
TN. PANDU IRAWAN 192,100.00 186,115.00 5,985.00
TN. PANUT 3,102,700.00 2,598,640.00 504,060.00
TN. PURWO WINARNO 4,963,200.00 8,753,380.00 -3,790,180.00
TN. R. HADIYONO 192,100.00 130,000.00 62,100.00
TN. RADIN TULIN IDRUS 4,787,200.00 10,639,549.00 -5,852,349.00
TN. RAHMAD K 396,000.00 415,574.00 -19,574.00
TN. RAHMAN JAYO PUTRA 6,042,600.00 15,719,619.00 -9,677,019.00
TN. RAMIDI 4,201,400.00 9,781,657.00 -5,580,257.00
TN. RASTAM 389,800.00 403,713.00 -13,913.00
TN. RUSIDI 7,055,000.00 6,611,354.00 443,646.00
TN. S TRIMINTO 145,200.00 191,181.00 -45,981.00
TN. SAHID 192,100.00 621,099.00 -428,999.00
TN. SAHURI 385,600.00 407,071.00 -21,471.00
TN. SAIFUDIN 776,800.00 797,760.00 -20,960.00
TN. SAIFUL 145,200.00 186,247.00 -41,047.00
TN. SAIMIN 4,595,100.00 7,356,483.00 -2,761,383.00
TN. SAINO 384,200.00 318,102.00 66,098.00
TN. SAJIMIN 193,500.00 136,153.00 57,347.00
TN. SALIMIN 2,432,100.00 4,821,654.00 -2,389,554.00
 Daftar Pasien

TN. SAMSUDIN 974,500.00 1,390,243.00 -415,743.00

TN. SAMSURI 2,237,300.00 3,210,504.00 -973,204.00
TN. SAPRIL 3,463,500.00 1,510,784.00 1,952,716.00
TN. SARBAN 776,800.00 799,927.00 -23,127.00
TN. SARBINI 382,600.00 239,980.00 142,620.00
TN. SARDI 1,166,600.00 1,264,533.00 -97,933.00
TN. SARIMIN 448,600.00 595,974.00 -147,374.00
TN. SARMIN 137,300.00 307,877.00 -170,577.00
TN. SELAMAT 18,976,800.00 21,262,332.00 -2,285,532.00
TN. SELAMET 1,547,900.00 1,428,248.00 119,652.00
TN. SLAMET 3,868,800.00 2,328,001.00 1,540,799.00
TN. SOIMAN 4,328,400.00 10,647,442.00 -6,319,042.00
TN. SOIMUN 3,129,800.00 2,665,733.00 464,067.00
TN. SUBAKIR 3,991,200.00 1,615,405.00 2,375,795.00
TN. SUBARDI 192,100.00 508,534.00 -316,434.00
TN. SUCIPTO 1,363,200.00 2,022,842.00 -659,642.00
TN. SUDARMAN 2,957,600.00 2,960,256.00 -2,656.00
TN. SUGIONO 1,291,400.00 1,812,391.00 -520,991.00
TN. SUGIYANTO 3,560,700.00 3,193,883.00 366,817.00
TN. SUHAILI 4,770,800.00 6,748,540.00 -1,977,740.00
TN. SUHARDIYANTO 3,868,800.00 2,306,102.00 1,562,698.00
TN. SUHARIYONO 584,700.00 762,669.00 -177,969.00
TN. SUKADI 1,718,000.00 1,710,326.00 7,674.00
TN. SUKARNO 3,673,000.00 12,462,154.00 -8,789,154.00
TN. SUKIYATNO 290,400.00 544,266.00 -253,866.00
TN. SULAIMAN 384,200.00 247,855.00 136,345.00
TN. SULAIMAN EFENDI 192,100.00 124,300.00 67,800.00
TN. SUMARDI 577,700.00 599,925.00 -22,225.00
TN. SUMARJITO 3,844,000.00 3,657,001.00 186,999.00
TN. SUMARMI 3,608,300.00 3,106,021.00 502,279.00
TN. SUMARSONO 3,102,700.00 3,147,772.00 -45,072.00
TN. SUPARMO 384,200.00 669,581.00 -285,381.00
TN. SUPARYOT 193,500.00 140,157.00 53,343.00
TN. SUPENDI 2,505,600.00 2,554,855.00 -49,255.00
TN. SUPRIONO 6,485,100.00 5,819,682.00 665,418.00
TN. SURADI 6,553,800.00 5,166,619.00 1,387,181.00
TN. SURIP 192,100.00 169,886.00 22,214.00
TN. SUTAR 4,173,000.00 4,693,011.00 -520,011.00
TN. SUTARDI 2,676,800.00 3,182,822.00 -506,022.00
TN. SUTARNO 192,100.00 273,676.00 -81,576.00
TN. SUTRIONO 2,279,400.00 3,443,227.00 -1,163,827.00
TN. SUWADI 290,400.00 1,023,947.00 -733,547.00
TN. SUWITO 4,901,600.00 7,412,732.00 -2,511,132.00
TN. SUYUD 4,156,800.00 1,382,757.00 2,774,043.00
TN. SYAIFULLAH 4,177,600.00 3,350,296.00 827,304.00
 Daftar Pasien

TN. SYAI'UN 2,470,700.00 3,693,498.00 -1,222,798.00

TN. TREVINO MAINIR 192,100.00 265,454.00 -73,354.00
TN. TUKIMAN 3,560,900.00 1,806,107.00 1,754,793.00
TN. TUMBALI 6,201,200.00 6,731,347.00 -530,147.00
TN. TUMENGGUNG SALEH 5,158,300.00 3,014,283.00 2,144,017.00
TN. TUMIJAN 194,900.00 218,768.00 -23,868.00
TN. UMAK 1,461,500.00 1,256,085.00 205,415.00
TN. UMPAK 3,868,800.00 1,789,822.00 2,078,978.00
TN. WAGIMAN 3,455,600.00 4,310,256.00 -854,656.00
TN. WAGIMIN 6,943,600.00 5,539,793.00 1,403,807.00
TN. WANTO 2,496,500.00 2,234,866.00 261,634.00
TN. WARINDI 192,100.00 149,702.00 42,398.00
TN. WARNO 5,096,500.00 11,508,250.00 -6,411,750.00
TN. WAYAN BENTET 384,200.00 1,273,466.00 -889,266.00
TN. WAYAN SUDAMA 6,787,700.00 6,240,849.00 546,851.00
TN. WIDJI 193,500.00 186,247.00 7,253.00
TN. WINARDI 389,800.00 700,148.00 -310,348.00
TN. WITO WIYONO 4,898,800.00 9,176,494.00 -4,277,694.00
TN. WIYOTO 584,700.00 837,743.00 -253,043.00
TN. YOTO SUWARNO 256,500.00 159,219.00 97,281.00
TN. YUSUF 192,100.00 280,000.00 -87,900.00
TN. ZAINAL ARIFIN 4,851,600.00 5,616,785.00 -765,185.00
TN.MUSLIMIN 192,100.00 167,930.00 24,170.00
TN.SUWANDI 2,127,700.00 5,000,000.00 -2,872,300.00
YN. CAHYANI NINGSIH 314,100.00 269,634.00 44,466.00
 Rekap Per Dokter

Nama Dokter Jml. Kasus Tarif CBG Tarif RS

DR RIZKI DARMAWAN SP.PD 20 11,215,900.00 21,974,066.00
DR. BUDI DARSONO , SP.B 210 260,579,100.00 443,210,466.00
DR. BUDI DARSONO SP. B 62 36,250,900.00 59,494,603.00
DR. ELVITA ASRIL, SP. OG 96 137,265,000.00 176,962,980.00
DR. ELVITA ASRIL,SP. OG 13 13,064,200.00 24,202,800.00
DR. HALOAN SIMON TAMBUNAN, SP.S,M.SI.MED 86 53,910,600.00 51,894,327.00
DR. HUMINSA RANTO MORISON PANJAITAN,SP.A 40 58,378,300.00 45,819,461.00
DR. MUHAMMAD NASRULLAH,SP.OT 15 17,734,900.00 27,334,729.00
DR. MUHAMMAD NASRULLOH, SP.OT 5 4,184,500.00 7,969,205.00
DR. RIZKI DARMAWAN, SP. PD 221 301,463,500.00 348,021,043.00
DR. RIZKI DARMAWAN, SP.PD 58 40,127,500.00 46,835,285.00

dr. Rizki Darmawan, Sp.PD 299 352,806,900 416,830,394

dr. Budi Darsono, Sp. B 272 296,830,000 502,705,069
dr. Elvita Asril, Sp. OG 109 150,329,200 201,165,780
dr. H. Simon T, Sp. S Msi. Med 86 53,910,600 51,894,327
dr. H. Ranto MP, Sp. A 40 58,378,300 45,819,461
dr. M. Nasrulloh, Sp. OT 20 21,919,400 35,303,934
 Rekap Per Dokter

Surplus/Defisit
-10,758,166.00
-182,631,366.00
-23,243,703.00
-39,697,980.00
-11,138,600.00
2,016,273.00
12,558,839.00
-9,599,829.00
-3,784,705.00
-46,557,543.00
-6,707,785.00

-64,023,494
-205,875,069
-50,836,580
2,016,273
12,558,839
-13,384,534
dr. Rizki Darmawan, Sp.PD #REF! #REF! #REF! #REF!
dr. Budi Darsono, Sp. B #REF! #REF! #REF! #REF!
dr. Elvita Asril, Sp. OG #REF! #REF! #REF! #REF!
dr. H. Simon T, Sp. S Msi. Med Rp 86 #REF! #REF! #REF!
dr. H. Ranto MP, Sp. A Rp 40 #REF! #REF! #REF!
dr. M. Nasrulloh, Sp. OT #REF! #REF! #REF! #REF!
 Rekap Pasien Per Perawatan

Perawatan Jml Kasus Total Tarif CBG Total Tarif RS Surplus/Defisit

RI 244 806,077,100.00 1,096,401,103.00 -290,324,003.00
RJ 582 128,097,300.00 157,317,862.00 -29,220,562.00
Sum = 934,174,400.00 Sum = 1,253,718,965.00 Sum = -319,544,565.00