Laporan Bulanan

LAPORAN BULANAN LABORATORIUM
DES-2016
IGD
RAWAT INAP RAWAT JALAN
NO PEMERIKSAAN RI RJ
BPJS U UP MS BPJS U UP MS BPJS U UP MS BPJS U UP
1 Darah Rutine
2 Masa Pendarahan
3 Masa Pembekuan
4 Golongan Darah
5 Morfologi
6 Ferritin
7 Urine Rutine
8 Feaces Rutine
9 Kehamilan
10 BTA
11 KGD
12 Bilirubin Total
13 Bilirubin Direct
14 Bilirubin Indirect
15 SGOT
16 SGPT
17 Alkaliposphatase
18 Total Protein
19 Albumin
20 Globulin
21 HBsAg
22 HBsAb
23 Anti HCV
24 IgG IgM HAV
25 Cholestrol
26 Trigliserida
27 HDL
28 LDL
29 CKMB
30 Triponin T
31 D-Dimer
32 Ureum
33 Creatinine
34 Asam Urat
35 Natrium
36 Kalium
37 Clorida
37 Calcium
38 Widal
39 Tubex
40 ICT-Malaria
41 IgG IgM Dengue
42 AGDA
43 ASTO
44 CRP
45 RF
46 HIV
47 T3
48 T4
49 TSH
50 FT4
51 CEA
52 Ca 125
53 Ca 19-9
54 AFT
55 TPSA
56 Narkoba
Diketahui
Ka.Inst.Laboratorium
( dr.M.Yusuf, SpPK )
AWAT JALAN
TOTAL TARIF JLH UANG
MS
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0 60,000 0
0
Pengeluaran Reagent
Total Pendapatan 0
Ka.Ru.Laboratorium
Andi Syahputra, Amd.AK

Nov-16
IGD
NO PEMERIKSAAN RI RJ TOTAL
BPJS U UP BPJS U UP BPJS U UP BPJS U UP
1 Darah Rutine 771 42 16 184 61 953 19 9 129 25 2209
2 Masa Pendarahan 47 2 1 92 6 2 150
3 Masa Pembekuan 47 2 1 92 6 2 150
4 Golongan Darah 27 1 1 2 49 1 81
5 Morfologi 2 2
6 Ferritin 8 8
7 Urine Rutine 2 1 196 9 1 209
8 Feaces Rutine 35 2 37
9 Kehamilan 1 2 1 2 6
10 BTA 37 32 69
11 KGD 444 10 3 58 5 721 7 1 850 6 2105
12 Bilirubin Total 1 124 4 4 133
13 Bilirubin Direct 1 124 4 4 133
14 Bilirubin Indirect 0
15 SGOT 1 164 12 5 182
16 SGPT 1 156 12 5 174
17 Alkaliposphatase 1 124 4 4 133
18 Total Protein 1 125 5 4 135
19 Albumin 23 1 24
20 Globulin 9 1 10
21 HBsAg 20 2 22
22 HBsAb 0
23 Anti HCV 14 1 15
24 IgG IgM HAV 1 1
25 Cholestrol 196 1 55 5 257
26 Trigliserida 201 2 5 5 213
27 HDL 190 2 4 4 200
28 LDL 208 2 34 5 249
29 CKMB 16 40 56
30 Triponin T 15 38 53
31 D-Dimer 1 1
32 Ureum 9 370 2 44 6 431
33 Creatinine 9 343 2 44 6 404
34 Asam Urat 6 333 3 58 7 407
35 Natrium 82 3 1 2 1 276 3 2 370
36 Kalium 82 3 1 2 1 276 3 2 370
37 Clorida 82 3 1 2 1 276 3 2 370
37 Calcium 0
38 Widal 39 2 6 4 86 1 6 4 148
39 Tubex 1 114 2 117
40 ICT-Malaria 1 4 5
41 IgG IgM Dengue 0
42 AGDA 3 39 42
43 ASTO 2 2
44 CRP 2 2
45 RF 0
46 HIV 1 9 2 12
47 T3 4 10 14
48 T4 4 18 22
49 TSH 4 13 17
50 FT4 0
51 CEA 0
52 Ca 125 4 4
53 Ca 19-9 0
54 AFT 0
55 TPSA 0
56 Narkoba 5 5
0
Pengeluaran reagen
Total Pendapatan
Diketahui
Ka.Inst.Laboratorium ka.Ru.Laboratorium
( dr.M.Yusuf, SpPK ) (Andi Syahputra,Amd.AK)

TARIF JLH UANG
60,000 132,540,000
60,000 2,100,000
60,000 2,100,000
60,000 1,215,000
60,000 120,000
60,000 1,416,000
60,000 6,270,000
60,000 1,295,000
60,000 240,000
60,000 2,760,000
60,000 56,835,000
60,000 3,990,000
60,000 3,990,000
60,000 0
60,000 5,460,000
60,000 5,220,000
60,000 3,990,000
60,000 4,050,000
60,000 864,000
60,000 700,000
60,000 2,530,000
60,000 0
60,000 7,500,000
60,000 250,000
60,000 8,995,000
60,000 7,455,000
60,000 8,000,000
60,000 16,185,000
60,000 8,960,000
60,000 13,780,000
60,000 275,000
60,000 15,085,000
60,000 14,140,000
60,000 14,245,000
60,000 12,950,000
60,000 12,950,000
60,000 12,950,000
60,000 0
60,000 10,360,000
60,000 21,645,000
60,000 800,000
60,000 0
60,000 4,620,000
60,000 120,000
60,000 150,000
60,000 0
60,000 2,100,000
60,000 2,100,000
60,000 3,300,000
60,000 2,890,000
60,000 0
60,000 0
60,000 1,540,000
60,000 0
60,000 0
60,000 0
60,000 875,000
60,000 0
Total 441,905,000
Pengeluaran reagen 149,488,153
Total Pendapatan 292,416,847
ka.Ru.Laboratorium
(Andi Syahputra,Amd.AK)
Dec-16
IGD
1 Darah Rutine 684 53 11 152 32 1 944 14 1 120 10 2022
2 Masa Pendarahan 47 5 2 81 17 152
3 Masa Pembekuan 47 5 2 81 17 152
4 Golongan Darah 36 2 1 58 2 99
5 Morfologi 2 2
6 Ferritin 2 2
7 Urine Rutine 1 150 5 156
9 Kehamilan 1 1 1 2 5
10 BTA 44 26 70
11 KGD 382 16 4 45 4 733 1 676 1 1862
12 Bilirubin Total 1 139 1 141
13 Bilirubin Direct 1 139 1 141
15 SGOT 1 151 4 156
16 SGPT 1 151 4 156
17 Alkaliposphatase 1 138 1 140
18 Total Protein 1 140 1 142
19 Albumin 2 35 37
20 Globulin 18 18
21 HBsAg 17 1 18
22 HBsAb 0
23 Anti HCV 11 11
24 IgG IgM HAV 1 1
25 Cholestrol 1 167 53 1 222
26 Trigliserida 168 9 1 178
27 HDL 159 4 1 164
28 LDL 170 45 1 216
29 CKMB 5 55 1 61
30 Triponin T 5 56 2 63
31 D-Dimer 2 2
32 Ureum 7 1 375 40 3 426
33 Creatinine 7 1 366 40 3 417
34 Asam Urat 6 1 1 1 307 48 1 365
35 Natrium 64 3 2 318 4 391
36 Kalium 64 3 2 318 4 391
37 Clorida 64 3 2 318 4 391
37 Calcium 0
38 Widal 29 2 1 15 4 78 4 8 3 144
39 Tubex 1 1 103 105
40 ICT-Malaria 6 6
41 IgG IgM Dengue 0
42 AGDA 2 47 49
43 ASTO 0
44 CRP 1 1
45 RF 0
46 HIV 10 10
47 T3 5 7 12
48 T4 5 21 26
49 TSH 5 15 20
50 FT4 0
51 CEA 0
52 Ca 125 4 2 6
53 Ca 19-9 0
54 AFT 0
55 TPSA 0
56 Narkoba 0
0
Pengeluaran reag
Total Pendapatan
Diketahui
Ka.Inst.Laboratorium ka.Ru.Laboratorium
( dr.M.Yusuf, SpPK ) (Andi Syahputra,Amd

TARIF JLH UANG
60,000 121,320,000
12,000 1,824,000
12,000 1,824,000
15,000 1,485,000
60,000 120,000
190,000 380,000
30,000 4,680,000
35,000 1,295,000
40,000 200,000
40,000 2,800,000
27,000 50,274,000
30,000 4,230,000
30,000 4,230,000
30,000 0
30,000 4,680,000
30,000 4,680,000
30,000 4,200,000
36,000 5,112,000
36,000 1,332,000
70,000 1,260,000
115,000 2,070,000
120,000 0
275,000 3,025,000
295,000 295,000
35,000 7,770,000
35,000 6,230,000
40,000 6,560,000
65,000 14,040,000
160,000 9,760,000
260,000 16,380,000
275,000 550,000
35,000 14,910,000
35,000 14,595,000
35,000 12,775,000
35,000 13,685,000
35,000 13,685,000
35,000 13,685,000
45,000 0
70,000 10,080,000
185,000 19,425,000
155,000 930,000
250,000 0
110,000 5,390,000
60,000 0
75,000 75,000
60,000 0
170,000 1,700,000
150,000 1,800,000
150,000 3,900,000
170,000 3,400,000
210,000 0
210,000 0
385,000 2,310,000
385,000 0
210,000 0
275,000 0
175,000 0
Total 414,951,000
Pengeluaran reag 174,027,438
ka.Ru.Laboratorium
JANUARI 2017
IGD
NO PEMERIKSAAN RI RJ TOTAL TARIF
1 Darah Rutine 701 52 11 111 28 767 2 3 156 19 1850 60,000
2 Masa Pendarahan 58 1 1 3 1 83 16 163 12,000
3 Masa Pembekuan 58 1 1 3 1 83 16 163 12,000
4 Golongan Darah 75 4 2 53 3 137 15,000
5 Morfologi 3 2 5 60,000
6 Ferritin 1 34 35 190,000
7 Urine Rutine 2 163 17 1 183 30,000
8 Feaces Rutine 20 1 1 22 35,000
9 Kehamilan 1 1 1 1 9 13 40,000
10 BTA 17 15 32 40,000
11 KGD 411 18 8 46 3 768 1 769 4 2028 27,000
12 Bilirubin Total 1 128 1 13 1 144 30,000
13 Bilirubin Direct 1 128 1 13 1 144 30,000
14 Bilirubin Indirect 0 30,000
15 SGOT 1 139 1 49 1 191 30,000
16 SGPT 1 139 1 49 1 191 30,000
17 Alkaliposphatase 127 1 38 1 167 30,000
18 Total Protein 128 1 11 1 141 36,000
19 Albumin 42 42 36,000
20 Globulin 18 18 70,000
21 HBsAg 15 2 17 115,000
22 HBsAb 0 120,000
23 Anti HCV 14 14 275,000
24 IgG IgM HAV 0 295,000
25 Cholestrol 169 62 4 235 35,000
26 Trigliserida 182 16 4 202 35,000
27 HDL 166 13 3 182 40,000
28 LDL 180 34 3 217 65,000
29 CKMB 5 48 2 55 160,000
30 Triponin T 4 38 3 45 260,000
31 D-Dimer 3 3 275,000
32 Ureum 10 417 1 54 2 484 35,000
33 Creatinine 10 417 1 52 2 482 35,000
34 Asam Urat 5 358 1 70 2 436 35,000
35 Natrium 61 3 2 1 1 196 1 9 274 35,000
36 Kalium 61 3 2 1 1 196 1 9 274 35,000
37 Clorida 61 3 2 1 1 196 1 9 274 35,000
37 Calcium 0 45,000
38 Widal 33 57 3 1 9 103 70,000
39 Tubex 3 2 82 1 1 89 185,000
40 ICT-Malaria 1 8 1 10 155,000
41 IgG IgM Dengue 3 3 250,000
42 AGDA 47 47 110,000
43 ASTO 1 1 60,000
44 CRP 1 1 75,000
45 RF 0 60,000
46 HIV 9 1 1 11 170,000
47 T3 6 8 1 15 150,000
48 T4 7 13 1 21 150,000
49 TSH 6 8 1 15 170,000
50 FT4 0 210,000
51 CEA 0 210,000
52 Ca 125 1 1 385,000
53 Ca 19-9 0 385,000
54 AFT 0 210,000
55 TPSA 0 275,000
56 Narkoba 9 9 175,000
1563 83 27 171 0 5637 19 0 1569 76 0 9189
0 Total
Pengeluaran rea
Total Pendapatan
Diketahui
Ka.Inst.Laboratorium Ka.Ru.Laboratorium

IGD
JLH UANG NO PEMERIKSAAN RI
BPJS U UP
111,000,000 1 Darah Rutine 42,060,000 3,120,000 660,000
1,956,000 2 Masa Pendarahan 3,480,000 60,000 60,000
1,956,000 3 Masa Pembekuan 3,480,000 60,000 60,000
2,055,000 4 Golongan Darah 4,500,000 - -
300,000 5 Morfologi - - -
6,650,000 6 Ferritin - - -
5,490,000 7 Urine Rutine 120,000 - -
770,000 8 Feaces Rutine - - -
520,000 9 Kehamilan 60,000 60,000 -
1,280,000 10 BTA - - -
54,756,000 11 KGD 24,660,000 1,080,000 480,000
4,320,000 12 Bilirubin Total 60,000 - -
4,320,000 13 Bilirubin Direct 60,000 - -
0 14 Bilirubin Indirect - - -
5,730,000 15 SGOT 60,000 - -
5,730,000 16 SGPT 60,000 - -
5,010,000 17 Alkaliposphatase - - -
5,076,000 18 Total Protein - - -
1,512,000 19 Albumin - - -
1,260,000 20 Globulin - - -
1,955,000 21 HBsAg - - -
0 22 HBsAb - - -
3,850,000 23 Anti HCV - - -
0 24 IgG IgM HAV - - -
8,225,000 25 Cholestrol - - -
7,070,000 26 Trigliserida - - -
7,280,000 27 HDL - - -
14,105,000 28 LDL - - -
8,800,000 29 CKMB 300,000 - -
11,700,000 30 Triponin T 240,000 - -
825,000 31 D-Dimer - - -
16,940,000 32 Ureum 600,000 - -
16,870,000 33 Creatinine 600,000 - -
15,260,000 34 Asam Urat 300,000 - -
9,590,000 35 Natrium 3,660,000 180,000 120,000
9,590,000 36 Kalium 3,660,000 180,000 120,000
9,590,000 37 Clorida 3,660,000 180,000 120,000
0 37 Calcium - - -
7,210,000 38 Widal 1,980,000 - -
16,465,000 39 Tubex 180,000 - -
1,550,000 40 ICT-Malaria - 60,000 -
750,000 41 IgG IgM Dengue - - -
5,170,000 42 AGDA - - -
60,000 43 ASTO - - -
75,000 44 CRP - - -
0 45 RF - - -
1,870,000 46 HIV - - -
2,250,000 47 T3 - - -
3,150,000 48 T4 - - -
2,550,000 49 TSH - - -
0 50 FT4 - - -
0 51 CEA - - -
385,000 52 Ca 125 - - -
0 53 Ca 19-9 - - -
0 54 AFT - - -
0 55 TPSA - - -
1,575,000 56 Narkoba - - -
93,780,000 4,980,000 1,620,000
404,401,000 -
155,020,012
249,380,988
u.Laboratorium
Syahputra,Amd.AK)
IGD
RJ
BPJS U UP BPJS U UP BPJS U UP
6,660,000 1,680,000 - 46,020,000 120,000 180,000 9,360,000 1,140,000 -
180,000 60,000 - 4,980,000 - - 960,000 - -
180,000 60,000 - 4,980,000 - - 960,000 - -
240,000 120,000 - 3,180,000 - - 180,000 - -
- - - 180,000 - - 120,000 - -
- - - 60,000 - - 2,040,000 - -
- - - 9,780,000 - - 1,020,000 60,000 -
- - - 1,200,000 - - 60,000 60,000 -
60,000 60,000 - 540,000 - - - - -
- - - 1,020,000 - - 900,000 - -
2,760,000 180,000 - 46,080,000 60,000 - 46,140,000 240,000 -
- - - 7,680,000 60,000 - 780,000 60,000 -
- - - 7,680,000 60,000 - 780,000 60,000 -
- - - - - - - - -
- - - 8,340,000 60,000 - 2,940,000 60,000 -
- - - 8,340,000 60,000 - 2,940,000 60,000 -
- - - 7,620,000 60,000 - 2,280,000 60,000 -
- - - 7,680,000 60,000 - 660,000 60,000 -
- - - 2,520,000 - - - - -
- - - 1,080,000 - - - - -
- - - 900,000 - - - 120,000 -
- - - - - - - - -
- - - 840,000 - - - - -
- - - - - - - - -
- - - 10,140,000 - - 3,720,000 240,000 -
- - - 10,920,000 - - 960,000 240,000 -
- - - 9,960,000 - - 780,000 180,000 -
- - - 10,800,000 - - 2,040,000 180,000 -
- - - 2,880,000 - - 120,000 - -
- - - 2,280,000 - - 180,000 - -
- - - 180,000 - - - - -
- - - 25,020,000 60,000 - 3,240,000 120,000 -
- - - 25,020,000 60,000 - 3,120,000 120,000 -
- - - 21,480,000 60,000 - 4,200,000 120,000 -
60,000 60,000 - 11,760,000 60,000 - 540,000 - -
60,000 60,000 - 11,760,000 60,000 - 540,000 - -
60,000 60,000 - 11,760,000 60,000 - 540,000 - -
- - - - - - - - -
- - - 3,420,000 180,000 - 60,000 540,000 -
- 120,000 - 4,920,000 - - 60,000 60,000 -
- - - 480,000 60,000 - - - -
- - - 180,000 - - - - -
- - - 2,820,000 - - - - -
- - - - - - 60,000 - -
- - - - - - 60,000 - -
- - - - - - - - -
- - - 540,000 - - 60,000 60,000 -
- - - 360,000 - - 480,000 60,000 -
- - - 420,000 - - 780,000 60,000 -
- - - 360,000 - - 480,000 60,000 -
- - - - - - - - -
- - - - - - - - -
- - - 60,000 - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - 540,000 -
10,260,000 2,460,000 338,220,000 1,140,000 180,000 94,140,000 4,560,000
TOTAL
111,000,000
9,780,000
9,780,000
8,220,000
300,000
2,100,000
10,980,000
1,320,000
780,000
1,920,000
121,680,000
8,640,000
8,640,000
-
11,460,000
11,460,000
10,020,000
8,460,000
2,520,000
1,080,000
1,020,000
-
840,000
-
14,100,000
12,120,000
10,920,000
13,020,000
3,300,000
2,700,000
180,000
29,040,000
28,920,000
26,160,000
16,440,000
16,440,000
16,440,000
-
6,180,000
5,340,000
600,000
180,000
2,820,000
60,000
60,000
-
660,000
900,000
1,260,000
900,000
-
-
60,000
-
-
-
540,000
551340000
###
FEBRUARI 2017
IGD
1 Darah Rutine 589 34 14 71 20 490 9 1 141 14 1383 60,000
2 Masa Pendarahan 45 10 3 55 1 19 1 134 12,000
3 Masa Pembekuan 45 10 3 55 1 19 1 134 12,000
4 Golongan Darah 29 1 2 43 1 1 2 79 15,000
5 Morfologi 2 2 60,000
6 Ferritin 1 9 10 190,000
7 Urine Rutine 2 1 1 1 151 13 2 171 30,000
8 Feaces Rutine 2 23 25 35,000
9 Kehamilan 4 1 5 1 2 13 40,000
10 BTA 21 29 50 40,000
11 KGD 368 12 6 34 7 655 2 783 7 1874 27,000
12 Bilirubin Total 125 1 5 5 136 30,000
13 Bilirubin Direct 120 1 5 4 130 30,000
15 SGOT 140 1 17 4 162 30,000
16 SGPT 140 1 17 4 162 30,000
18 Total Protein 120 1 3 4 128 36,000
19 Albumin 52 3 55 36,000
20 Globulin 11 11 70,000
21 HBsAg 16 1 1 18 115,000
22 HBsAb 0 120,000
23 Anti HCV 13 1 14 275,000
24 IgG IgM HAV 1 1 295,000
25 Cholestrol 146 62 7 215 35,000
26 Trigliserida 156 17 5 178 35,000
27 HDL 146 8 5 159 40,000
28 LDL 156 34 5 195 65,000
29 CKMB 1 53 1 1 56 160,000
30 Triponin T 2 40 42 260,000
31 D-Dimer 3 3 275,000
32 Ureum 3 339 1 38 6 387 35,000
33 Creatinine 3 339 1 38 6 387 35,000
34 Asam Urat 2 291 1 55 6 355 35,000
35 Natrium 45 1 1 291 1 7 346 35,000
36 Kalium 45 1 1 291 1 7 346 35,000
37 Clorida 45 1 1 291 1 7 346 35,000
37 Calcium 0 45,000
38 Widal 28 2 1 5 6 45 3 5 95 70,000
39 Tubex 1 78 1 80 185,000
40 ICT-Malaria 5 5 155,000
41 IgG IgM Dengue 0 250,000
42 AGDA 1 26 27 110,000
43 ASTO 4 4 60,000
44 CRP 3 3 75,000
45 RF 1 1 60,000
46 HIV 6 1 7 170,000
47 T3 5 19 24 150,000
48 T4 5 21 26 150,000
49 TSH 4 17 21 170,000
50 FT4 0 210,000
51 CEA 0 210,000
52 Ca 125 4 4 385,000
53 Ca 19-9 0 385,000
54 AFT 0 210,000
55 TPSA 0 275,000
56 Narkoba 4 4 175,000
1260 74 28 114 35 0 5086 17 10 1413 109 0 8146
0 Total
Pengeluaran rea
Total Pendapatan
Diketahui

IGD
JLH UANG NO PEMERIKSAAN RI RJ
BPJS U UP BPJS
82,980,000 1 Darah Rutine 35,340,000 2,040,000 840,000 4,260,000
1,608,000 2 Masa Pendarahan 2,700,000 600,000 180,000 -
1,608,000 3 Masa Pembekuan 2,700,000 600,000 180,000 -
1,185,000 4 Golongan Darah 1,740,000 60,000 - -
120,000 5 Morfologi - - - -
1,900,000 6 Ferritin - - - -
5,130,000 7 Urine Rutine 120,000 60,000 60,000 60,000
875,000 8 Feaces Rutine 120,000 - - -
520,000 9 Kehamilan 240,000 60,000 - -
2,000,000 10 BTA - - - -
50,598,000 11 KGD 22,080,000 720,000 360,000 2,040,000
4,080,000 12 Bilirubin Total - - - -
3,900,000 13 Bilirubin Direct - - - -
0 14 Bilirubin Indirect - - - -
4,860,000 15 SGOT - - - -
4,860,000 16 SGPT - - - -
4,140,000 17 Alkaliposphatase - - - -
4,608,000 18 Total Protein - - - -
1,980,000 19 Albumin - - - -
770,000 20 Globulin - - - -
2,070,000 21 HBsAg - - - -
0 22 HBsAb - - - -
3,850,000 23 Anti HCV - - - -
295,000 24 IgG IgM HAV - - - -
7,525,000 25 Cholestrol - - - -
6,230,000 26 Trigliserida - - - -
6,360,000 27 HDL - - - -
12,675,000 28 LDL - - - -
8,960,000 29 CKMB 60,000 - - -
10,920,000 30 Triponin T 120,000 - - -
825,000 31 D-Dimer - - - -
13,545,000 32 Ureum 180,000 - - -
13,545,000 33 Creatinine 180,000 - - -
12,425,000 34 Asam Urat 120,000 - - -
12,110,000 35 Natrium 2,700,000 60,000 - 60,000
12,110,000 36 Kalium 2,700,000 60,000 - 60,000
12,110,000 37 Clorida 2,700,000 60,000 - 60,000
0 37 Calcium - - - -
6,650,000 38 Widal 1,680,000 120,000 60,000 300,000
14,800,000 39 Tubex 60,000 - - -
775,000 40 ICT-Malaria - - - -
0 41 IgG IgM Dengue - - - -
2,970,000 42 AGDA 60,000 - - -
240,000 43 ASTO - - - -
225,000 44 CRP - - - -
60,000 45 RF - - - -
1,190,000 46 HIV - - - -
3,600,000 47 T3 - - - -
3,900,000 48 T4 - - - -
3,570,000 49 TSH - - - -
0 50 FT4 - - - -
0 51 CEA - - - -
1,540,000 52 Ca 125 - - - -
0 53 Ca 19-9 - - - -
0 54 AFT - - - -
0 55 TPSA - - - -
700,000 56 Narkoba - - - -
75,600,000 4,440,000 1,680,000 6,840,000
353,497,000 -
157,284,537
196,212,463
u.Laboratorium
Syahputra,Amd.AK)
RJ TOTAL
U UP BPJS U UP BPJS U UP
1,200,000 - 29,400,000 540,000 60,000 840,000 - 82,980,000
- - 3,300,000 60,000 - 1,140,000 60,000 - 8,040,000
- - 3,300,000 60,000 - 1,140,000 60,000 - 8,040,000
120,000 - 2,580,000 60,000 - 60,000 120,000 - 4,740,000
- - 120,000 - - - - - 120,000
- - 60,000 - - 540,000 - - 600,000
- - 9,060,000 - - 780,000 120,000 - 10,260,000
- - 1,380,000 - - - - - 1,500,000
- - 300,000 - - 60,000 120,000 - 780,000
- - 1,260,000 - - 1,740,000 - - 3,000,000
420,000 - 39,300,000 120,000 - 46,980,000 420,000 - 112,440,000
- - 7,500,000 - 60,000 300,000 300,000 - 8,160,000
- - 7,200,000 - 60,000 300,000 240,000 - 7,800,000
- - - - - - - - -
- - 8,400,000 - 60,000 1,020,000 240,000 - 9,720,000
- - 8,400,000 - 60,000 1,020,000 240,000 - 9,720,000
- - 7,200,000 - 60,000 780,000 240,000 - 8,280,000
- - 7,200,000 - 60,000 180,000 240,000 - 7,680,000
- - 3,120,000 - - 180,000 - - 3,300,000
- - 660,000 - - - - - 660,000
- - 960,000 - - 60,000 60,000 - 1,080,000
- - - - - - - - -
- - 780,000 - - - 60,000 - 840,000
- - - - - - 60,000 - 60,000
- - 8,760,000 - - 3,720,000 420,000 - 12,900,000
- - 9,360,000 - - 1,020,000 300,000 - 10,680,000
- - 8,760,000 - - 480,000 300,000 - 9,540,000
- - 9,360,000 - - 2,040,000 300,000 - 11,700,000
- - 3,180,000 - - 60,000 60,000 - 3,360,000
- - 2,400,000 - - - - - 2,520,000
- - 180,000 - - - - - 180,000
- - 20,340,000 - 60,000 2,280,000 360,000 - 23,220,000
- - 20,340,000 - 60,000 2,280,000 360,000 - 23,220,000
- - 17,460,000 - 60,000 3,300,000 360,000 - 21,300,000
- - 17,460,000 60,000 - 420,000 - - 20,760,000
- - 17,460,000 60,000 - 420,000 - - 20,760,000
- - 17,460,000 60,000 - 420,000 - - 20,760,000
- - - - - - - - -
360,000 - 2,700,000 - - 180,000 300,000 - 5,700,000
- - 4,680,000 - - - 60,000 - 4,800,000
- - 300,000 - - - - - 300,000
- - - - - - - - -
- - 1,560,000 - - - - - 1,620,000
- - 240,000 - - - - - 240,000
- - 180,000 - - - - - 180,000
- - 60,000 - - - - - 60,000
- - 360,000 - - - 60,000 - 420,000
- - 300,000 - - 1,140,000 - - 1,440,000
- - 300,000 - - 1,260,000 - - 1,560,000
- - 240,000 - - 1,020,000 - - 1,260,000
- - - - - - - - -
- - - - - - - - -
- - 240,000 - - - - - 240,000
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - 240,000 - 240,000
2,100,000 - 305,160,000 1,020,000 600,000 76,320,000 6,540,000 - 488,760,000
977,520,000
MARET 2017
IGD
1 Darah Rutine 723 49 10 57 21 10 671 7 138 14 1700 60,000
2 Masa Pendarahan 49 2 1 59 22 133 12,000
3 Masa Pembekuan 49 2 1 59 22 133 12,000
4 Golongan Darah 36 1 2 1 60 100 15,000
6 Ferritin 1 1 190,000
7 Urine Rutine 5 2 160 15 3 185 30,000
8 Feaces Rutine 13 13 35,000
9 Kehamilan 2 1 3 3 2 1 12 40,000
10 BTA 27 24 51 40,000
11 KGD 445 14 7 18 6 7 703 783 4 1987 27,000
12 Bilirubin Total 117 1 6 4 128 30,000
15 SGOT 130 3 10 4 147 30,000
16 SGPT 130 3 10 4 147 30,000
18 Total Protein 118 1 6 4 129 36,000
19 Albumin 1 60 1 62 36,000
20 Globulin 1 22 23 70,000
21 HBsAg 13 13 115,000
22 HBsAb 0 120,000
23 Anti HCV 12 12 275,000
24 IgG IgM HAV 0 295,000
25 Cholestrol 145 73 4 222 35,000
26 Trigliserida 145 20 3 168 35,000
27 HDL 145 10 3 158 40,000
28 LDL 145 50 3 198 65,000
29 CKMB 10 1 49 1 61 160,000
30 Triponin T 10 1 41 1 53 260,000
31 D-Dimer 0 275,000
32 Ureum 5 1 338 2 49 5 400 35,000
33 Creatinine 5 1 338 2 43 5 394 35,000
34 Asam Urat 2 1 312 1 62 4 382 35,000
35 Natrium 90 1 218 2 6 317 35,000
36 Kalium 90 1 218 2 6 317 35,000
37 Clorida 90 1 218 2 6 317 35,000
37 Calcium 0 45,000
38 Widal 36 6 1 3 5 1 54 1 1 5 113 70,000
39 Tubex 4 72 1 1 78 185,000
40 ICT-Malaria 3 3 155,000
42 AGDA 24 1 25 110,000
43 ASTO 1 1 60,000
44 CRP 0 75,000
45 RF 1 1 60,000
46 HIV 12 12 170,000
47 T3 6 1 14 21 150,000
48 T4 6 1 25 32 150,000
49 TSH 6 1 20 27 170,000
50 FT4 0 210,000
51 CEA 0 210,000
52 Ca 125 6 6 385,000
53 Ca 19-9 0 385,000
54 AFT 0 210,000
55 TPSA 0 275,000
56 Narkoba 4 4 175,000
1653 83 18 85 10 5095 5095 34 0 1439 82 0 8545
0 Total
Pengeluaran reage
Total Pendapatan
Diketahui

IGD
BPJS U UP BPJS
102,000,000 1 Darah Rutine 43,380,000 2,940,000 600,000 3,420,000
1,596,000 2 Masa Pendarahan 2,940,000 120,000 - 60,000
1,596,000 3 Masa Pembekuan 2,940,000 120,000 - 60,000
1,500,000 4 Golongan Darah 60,000 - 120,000
120,000 5 Morfologi - - - -
190,000 6 Ferritin - - - -
5,550,000 7 Urine Rutine 300,000 - - -
455,000 8 Feaces Rutine - - - -
480,000 9 Kehamilan 120,000 60,000 - 180,000
2,040,000 10 BTA - - - -
53,649,000 11 KGD 26,700,000 840,000 420,000 1,080,000
3,840,000 12 Bilirubin Total - - - -
3,840,000 13 Bilirubin Direct - - - -
4,410,000 15 SGOT - - - -
4,410,000 16 SGPT - - - -
3,870,000 17 Alkaliposphatase - - - -
4,644,000 18 Total Protein - - - -
2,232,000 19 Albumin 60,000 - - -
1,610,000 20 Globulin 60,000 - - -
1,495,000 21 HBsAg - - - -
0 22 HBsAb - - - -
3,300,000 23 Anti HCV - - - -
0 24 IgG IgM HAV - - - -
7,770,000 25 Cholestrol - - - -
5,880,000 26 Trigliserida - - - -
6,320,000 27 HDL - - - -
12,870,000 28 LDL - - - -
9,760,000 29 CKMB 600,000 60,000 - -
13,780,000 30 Triponin T 600,000 60,000 - -
0 31 D-Dimer - - - -
14,000,000 32 Ureum 300,000 60,000 - -
13,790,000 33 Creatinine 300,000 60,000 - -
13,370,000 34 Asam Urat 120,000 60,000 - -
11,095,000 35 Natrium 5,400,000 60,000 - -
11,095,000 36 Kalium 5,400,000 60,000 - -
11,095,000 37 Clorida 5,400,000 60,000 - -
0 37 Calcium - - - -
7,910,000 38 Widal 2,160,000 360,000 60,000 180,000
14,430,000 39 Tubex 240,000 - - -
465,000 40 ICT-Malaria - - - -
2,750,000 42 AGDA - - - -
60,000 43 ASTO - - - -
0 44 CRP - - - -
60,000 45 RF - - - -
2,040,000 46 HIV - - - -
3,150,000 47 T3 - - - -
4,800,000 48 T4 - - - -
4,590,000 49 TSH - - - -
0 50 FT4 - - - -
0 51 CEA - - - -
2,310,000 52 Ca 125 - - - -
0 53 Ca 19-9 - - - -
0 54 AFT - - - -
0 55 TPSA - - - -
700,000 56 Narkoba - - - -
97,020,000 4,980,000 1,080,000 5,100,000
376,917,000 -
165,550,659
211,366,341
Laboratorium
Syahputra,Amd.AK)
RJ TOTAL
1,260,000 600,000 40,260,000 420,000 - 8,280,000 840,000 - 102,000,000
- - 3,540,000 - - 1,320,000 - - 7,980,000
- - 3,540,000 - - 1,320,000 - - 7,980,000
60,000 - 3,600,000 - - - - - 6,000,000
- - 120,000 - - - - - 120,000
- - - - - 60,000 - - 60,000
120,000 - 9,600,000 - - 900,000 180,000 - 11,100,000
- - 780,000 - - - - - 780,000
180,000 - 120,000 - - 60,000 - - 720,000
- - 1,620,000 - - 1,440,000 - - 3,060,000
360,000 420,000 42,180,000 - - 46,980,000 240,000 - 119,220,000
- - 7,020,000 60,000 - 360,000 240,000 - 7,680,000
- - 7,020,000 60,000 - 360,000 240,000 - 7,680,000
- - - - - - - - -
- - 7,800,000 180,000 - 600,000 240,000 - 8,820,000
- - 7,800,000 180,000 - 600,000 240,000 - 8,820,000
- - 7,020,000 60,000 - 420,000 240,000 - 7,740,000
- - 7,080,000 60,000 - 360,000 240,000 - 7,740,000
- - 3,600,000 - - 60,000 - - 3,720,000
- - 1,320,000 - - - - - 1,380,000
- - 780,000 - - - - - 780,000
- - - - - - - - -
- - 720,000 - - - - - 720,000
- - - - - - - - -
- - 8,700,000 - - 4,380,000 240,000 - 13,320,000
- - 8,700,000 - - 1,200,000 180,000 - 10,080,000
- - 8,700,000 - - 600,000 180,000 - 9,480,000
- - 8,700,000 - - 3,000,000 180,000 - 11,880,000
- - 2,940,000 - - 60,000 - - 3,660,000
- - 2,460,000 - - 60,000 - - 3,180,000
- - - - - - - - -
- - 20,280,000 120,000 - 2,940,000 300,000 - 24,000,000
- - 20,280,000 120,000 - 2,580,000 300,000 - 23,640,000
- - 18,720,000 60,000 - 3,720,000 240,000 - 22,920,000
- - 13,080,000 120,000 - 360,000 - - 19,020,000
- - 13,080,000 120,000 - 360,000 - - 19,020,000
- - 13,080,000 120,000 - 360,000 - - 19,020,000
- - - - - - - - -
300,000 60,000 3,240,000 60,000 - 60,000 300,000 - 6,780,000
- - 4,320,000 60,000 - - 60,000 - 4,680,000
- - 180,000 - - - - - 180,000
- - - - - - - - -
- - 1,440,000 60,000 - - - - 1,500,000
- - 60,000 - - - - - 60,000
- - - - - - - - -
- - 60,000 - - - - - 60,000
- - 720,000 - - - - - 720,000
- - 360,000 60,000 - 840,000 - - 1,260,000
- - 360,000 60,000 - 1,500,000 - - 1,920,000
- - 360,000 60,000 - 1,200,000 - - 1,620,000
- - - - - - - - -
- - - - - - - - -
- - 360,000 - - - - - 360,000
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - 240,000 - 240,000
2,280,000 1,080,000 305,700,000 2,040,000 - 86,340,000 4,920,000 - 512,700,000
1,025,400,000
Apr-17
IGD
1 Darah Rutine 718 29 8 52 19 682 1 1 123 11 1
2 Masa Pendarahan 42 3 1 66 15
3 Masa Pembekuan 42 3 1 66 15
4 Golongan Darah 21 3 1 51 3
5 Morfologi 1 7
6 Ferritin 1
8 Feaces Rutine 21
9 Kehamilan 2 1 2 6
10 BTA 1 16 30
11 KGD 410 18 3 15 5 882 1 1 673 1 1
12 Bilirubin Total 120 2
13 Bilirubin Direct 120 2
15 SGOT 138 6
16 SGPT 138 6
17 Alkaliposphatase 120 4
18 Total Protein 120 2
19 Albumin 37 1
20 Globulin 13
21 HBsAg 15 1
22 HBsAb
23 Anti HCV 8
24 IgG IgM HAV
25 Cholestrol 148 1 40 3 1
27 HDL 148 1 4 1 1
28 LDL 148 1 33 1 1
29 CKMB 3 36
30 Triponin T 2 22
31 D-Dimer
32 Ureum 3 1 337 1 41 4 1
33 Creatinine 3 1 337 1 41 4 1
34 Asam Urat 3 322 1 55 5 1
35 Natrium 71 5 214 1 9 1
36 Kalium 71 5 214 1 9 1
37 Clorida 71 5 214 1 9 1
37 Calcium
38 Widal 31 1 1 2 1 51 2 1 2
39 Tubex 4 101 1
40 ICT-Malaria
41 IgG IgM Dengue 6
42 AGDA 1 34
43 ASTO
44 CRP
45 RF
46 HIV 2 7
47 T3 3 13
48 T4 3 26
49 TSH 4 14
50 FT4
51 CEA
52 Ca 125 3 2
53 Ca 19-9
54 AFT
55 TPSA
56 Narkoba 3
1503 78 12 72 28 0 5275 8 9 1207 43 9
Diketahui
( dr.M.Yusuf, SpPK )
IGD
TOTAL TARIF JLH UANG NO PEMERIKSAAN RI
BPJS U UP
1645 60,000 98,700,000 1 Darah Rutine 43,080,000 1,740,000 480,000
127 12,000 1,524,000 2 Masa Pendarahan 2,520,000 180,000 -
127 12,000 1,524,000 3 Masa Pembekuan 2,520,000 180,000 -
79 15,000 1,185,000 4 Golongan Darah 1,260,000 180,000 -
8 60,000 480,000 5 Morfologi 60,000 - -
1 190,000 190,000 6 Ferritin - - -
165 30,000 4,950,000 7 Urine Rutine 120,000 180,000 -
21 35,000 735,000 8 Feaces Rutine - - -
11 40,000 440,000 9 Kehamilan 120,000 - -
47 40,000 1,880,000 10 BTA - 60,000 -
2010 27,000 54,270,000 11 KGD 24,600,000 1,080,000 180,000
122 30,000 3,660,000 12 Bilirubin Total - - -
122 30,000 3,660,000 13 Bilirubin Direct - - -
0 30,000 0 14 Bilirubin Indirect - - -
144 30,000 4,320,000 15 SGOT - - -
144 30,000 4,320,000 16 SGPT - - -
124 30,000 3,720,000 17 Alkaliposphatase - - -
122 36,000 4,392,000 18 Total Protein - - -
38 36,000 1,368,000 19 Albumin - - -
13 70,000 910,000 20 Globulin - - -
16 115,000 1,840,000 21 HBsAg - - -
0 120,000 0 22 HBsAb - - -
8 275,000 2,200,000 23 Anti HCV - - -
0 295,000 0 24 IgG IgM HAV - - -
193 35,000 6,755,000 25 Cholestrol - - -
170 35,000 5,950,000 26 Trigliserida - - -
155 40,000 6,200,000 27 HDL - - -
184 65,000 11,960,000 28 LDL - - -
39 160,000 6,240,000 29 CKMB 180,000 - -
24 260,000 6,240,000 30 Triponin T 120,000 - -
0 275,000 0 31 D-Dimer - - -
388 35,000 13,580,000 32 Ureum 180,000 60,000 -
388 35,000 13,580,000 33 Creatinine 180,000 60,000 -
387 35,000 13,545,000 34 Asam Urat 180,000 - -
301 35,000 10,535,000 35 Natrium 4,260,000 300,000 -
301 35,000 10,535,000 36 Kalium 4,260,000 300,000 -
301 35,000 10,535,000 37 Clorida 4,260,000 300,000 -
0 45,000 0 37 Calcium - - -
92 70,000 6,440,000 38 Widal 1,860,000 60,000 60,000
106 185,000 19,610,000 39 Tubex 240,000 - -
0 155,000 0 40 ICT-Malaria - - -
6 250,000 1,500,000 41 IgG IgM Dengue - - -
35 110,000 3,850,000 42 AGDA 60,000 - -
0 60,000 0 43 ASTO - - -
0 75,000 0 44 CRP - - -
0 60,000 0 45 RF - - -
9 170,000 1,530,000 46 HIV 120,000 - -
16 150,000 2,400,000 47 T3 - - -
29 150,000 4,350,000 48 T4 - - -
18 170,000 3,060,000 49 TSH - - -
0 210,000 0 50 FT4 - - -
0 210,000 0 51 CEA - - -
5 385,000 1,925,000 52 Ca 125 - - -
0 385,000 0 53 Ca 19-9 - - -
0 210,000 0 54 AFT - - -
0 275,000 0 55 TPSA - - -
3 175,000 525,000 56 Narkoba - - -
8244 90,180,000 4,680,000 720,000
0 Total 357,113,000 -
Pengeluaran reagen166,765,351
Ka.Ru.Laboratorium
IGD
RJ
3,120,000 1,140,000 - 40,920,000 60,000 60,000 7,380,000 660,000 60,000
60,000 - - 3,960,000 - - 900,000 - -
60,000 - - 3,960,000 - - 900,000 - -
- 60,000 - 3,060,000 - - - 180,000 -
- - - 420,000 - - - - -
- - - - - - 60,000 - -
- - - 8,940,000 - - 660,000 - -
- - - 1,260,000 - - - - -
60,000 120,000 - 360,000 - - - - -
- - - 960,000 - - 1,800,000 - -
900,000 300,000 - 52,920,000 60,000 60,000 40,380,000 60,000 60,000
- - - 7,200,000 - - 120,000 - -
- - - 7,200,000 - - 120,000 - -
- - - - - - - - -
- - - 8,280,000 - - 360,000 - -
- - - 8,280,000 - - 360,000 - -
- - - 7,200,000 - - 240,000 - -
- - - 7,200,000 - - 120,000 - -
- - - 2,220,000 - - 60,000 - -
- - - 780,000 - - - - -
- - - 900,000 - - - 60,000 -
- - - - - - - - -
- - - 480,000 - - - - -
- - - - - - - - -
- - - 8,880,000 - 60,000 2,400,000 180,000 60,000
- - - 8,880,000 - 60,000 1,140,000 60,000 60,000
- - - 8,880,000 - 60,000 240,000 60,000 60,000
- - - 8,880,000 - 60,000 1,980,000 60,000 60,000
- - - 2,160,000 - - - - -
- - - 1,320,000 - - - - -
- - - - - - - - -
- - - 20,220,000 - 60,000 2,460,000 240,000 60,000
- - - 20,220,000 - 60,000 2,460,000 240,000 60,000
- - - 19,320,000 - 60,000 3,300,000 300,000 60,000
- - - 12,840,000 60,000 - 540,000 60,000 -
- - - 12,840,000 60,000 - 540,000 60,000 -
- - - 12,840,000 60,000 - 540,000 60,000 -
- - - - - - - - -
120,000 60,000 - 3,060,000 120,000 - 60,000 120,000 -
- - - 6,060,000 60,000 - - - -
- - - - - - - - -
- - - 360,000 - - - - -
- - - 2,040,000 - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - 420,000 - - - - -
- - - 180,000 - - 780,000 - -
- - - 180,000 - - 1,560,000 - -
- - - 240,000 - - 840,000 - -
- - - - - - - - -
- - - - - - - - -
- - - 180,000 - - 120,000 - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - 180,000 -
4,320,000 1,680,000 - 316,500,000 480,000 540,000 72,420,000 2,580,000 540,000
TOTAL
98,700,000
7,620,000
7,620,000
4,740,000
480,000
60,000
9,900,000
1,260,000
660,000
2,820,000
120,600,000
7,320,000
7,320,000
-
8,640,000
8,640,000
7,440,000
7,320,000
2,280,000
780,000
960,000
-
480,000
-
11,580,000
10,200,000
9,300,000
11,040,000
2,340,000
1,440,000
-
23,280,000
23,280,000
23,220,000
18,060,000
18,060,000
18,060,000
-
5,520,000
6,360,000
-
360,000
2,100,000
-
-
-
540,000
960,000
1,740,000
1,080,000
-
-
300,000
-
-
-
180,000
494,640,000
989,280,000
Mei 2017
IGD
1 Darah Rutine 656 27 5 70 15 655 2 136 10 1576
2 Masa Pendarahan 59 3 2 1 62 21 148
3 Masa Pembekuan 59 3 2 1 62 21 148
4 Golongan Darah 38 2 1 3 54 1 99
5 Morfologi 4 4
6 Ferritin 3 2 5
9 Kehamilan 3 1 3 7
10 BTA 19 23 42
11 KGD 392 9 2 23 3 749 2 979 2159
15 SGOT 1 153 1 47 4 206
16 SGPT 1 151 1 47 4 204
18 Total Protein 1 153 1 5 2 162
19 Albumin 1 48 1 50
20 Globulin 13 1 14
21 HBsAg 31 4 35
22 HBsAb 0
23 Anti HCV 18 18
24 IgG IgM HAV 2 2
25 Cholestrol 182 1 47 6 236
27 HDL 174 1 4 4 183
28 LDL 174 1 37 4 216
29 CKMB 1 42 43
31 D-Dimer 1 1
32 Ureum 6 367 3 59 2 437
33 Creatinine 6 367 3 59 2 437
34 Asam Urat 5 367 2 64 4 442
35 Natrium 51 2 2 215 1 6 1 278
36 Kalium 51 2 2 215 1 6 1 278
37 Clorida 51 2 2 215 1 6 1 278
37 Calcium 0
38 Widal 19 2 1 1 38 1 6 68
39 Tubex 2 61 2 1 66
40 ICT-Malaria 2 2
41 IgG IgM Dengue 4 2 6
42 AGDA 49 1 50
43 ASTO 0
44 CRP 0
45 RF 1 1
46 HIV 13 1 14
47 T3 3 12 15
48 T4 3 25 28
49 TSH 2 16 18
50 FT4 0
51 CEA 0
52 Ca 125 1 1
53 Ca 19-9 0
54 AFT 0
55 TPSA 0
56 Narkoba 4 4
1405 52 7 106 24 0 5457 25 1 1699 77 0 8853
0
Pengeluaran reag
Total Pendapatan
Diketahui
(dr.Fani Ade Irma,Sp.PK) (Andi Syahputra,Amd.AK

IGD
TARIF JLH UANG NO PEMERIKSAAN RI
BPJS U UP
60,000 94,560,000 1 Darah Rutine 39,360,000 1,620,000 300,000
12,000 1,776,000 2 Masa Pendarahan 3,540,000 180,000 -
12,000 1,776,000 3 Masa Pembekuan 3,540,000 180,000 -
15,000 1,485,000 4 Golongan Darah 2,280,000 120,000 -
60,000 240,000 5 Morfologi - - -
190,000 950,000 6 Ferritin - - -
30,000 3,870,000 7 Urine Rutine 60,000 - -
35,000 490,000 8 Feaces Rutine - - -
40,000 280,000 9 Kehamilan 180,000 - -
40,000 1,680,000 10 BTA - - -
27,000 58,293,000 11 KGD 23,520,000 540,000 120,000
30,000 4,740,000 12 Bilirubin Total - - -
30,000 4,680,000 13 Bilirubin Direct - - -
30,000 0 14 Bilirubin Indirect - - -
30,000 6,180,000 15 SGOT 60,000 - -
30,000 6,120,000 16 SGPT 60,000 - -
30,000 5,790,000 17 Alkaliposphatase - - -
36,000 5,832,000 18 Total Protein 60,000 - -
36,000 1,800,000 19 Albumin 60,000 - -
70,000 980,000 20 Globulin - - -
115,000 4,025,000 21 HBsAg - - -
120,000 0 22 HBsAb - - -
275,000 4,950,000 23 Anti HCV - - -
295,000 590,000 24 IgG IgM HAV - - -
35,000 8,260,000 25 Cholestrol - - -
35,000 6,685,000 26 Trigliserida - - -
40,000 7,320,000 27 HDL - - -
65,000 14,040,000 28 LDL - - -
160,000 6,880,000 29 CKMB 60,000 - -
260,000 8,060,000 30 Triponin T 60,000 - -
275,000 275,000 31 D-Dimer - - -
35,000 15,295,000 32 Ureum 360,000 - -
35,000 15,295,000 33 Creatinine 360,000 - -
35,000 15,470,000 34 Asam Urat 300,000 - -
35,000 9,730,000 35 Natrium 3,060,000 120,000 -
35,000 9,730,000 36 Kalium 3,060,000 120,000 -
35,000 9,730,000 37 Clorida 3,060,000 120,000 -
45,000 0 37 Calcium - - -
70,000 4,760,000 38 Widal 1,140,000 120,000 -
185,000 12,210,000 39 Tubex 120,000 - -
155,000 310,000 40 ICT-Malaria - - -
250,000 1,500,000 41 IgG IgM Dengue - - -
110,000 5,500,000 42 AGDA - - -
60,000 0 43 ASTO - - -
75,000 0 44 CRP - - -
60,000 60,000 45 RF - - -
170,000 2,380,000 46 HIV - - -
150,000 2,250,000 47 T3 - - -
150,000 4,200,000 48 T4 - - -
170,000 3,060,000 49 TSH - - -
210,000 0 50 FT4 - - -
210,000 0 51 CEA - - -
385,000 385,000 52 Ca 125 - - -
385,000 0 53 Ca 19-9 - - -
210,000 0 54 AFT - - -
275,000 0 55 TPSA - - -
175,000 700,000 56 Narkoba - - -
84,300,000 3,120,000 420,000
Total 375,172,000 -
Ka.Ru.Laboratorium
IGD
RJ
4,200,000 900,000 - 39,300,000 120,000 - 8,160,000 600,000 -
120,000 60,000 - 3,720,000 - - 1,260,000 - -
120,000 60,000 - 3,720,000 - - 1,260,000 - -
60,000 180,000 - 3,240,000 - - 60,000 - -
- - - 240,000 - - - - -
- - - - - - 180,000 120,000 -
- - - 7,380,000 - - 300,000 - -
- - - 780,000 - 60,000 - - -
60,000 - - 180,000 - - - - -
- - - 1,140,000 - - 1,380,000 - -
1,380,000 180,000 - 44,940,000 120,000 - 58,740,000 - -
- - - 8,940,000 60,000 - 240,000 240,000 -
- - - 8,940,000 60,000 - 240,000 120,000 -
- - - - - - - - -
- - - 9,180,000 60,000 - 2,820,000 240,000 -
- - - 9,060,000 60,000 - 2,820,000 240,000 -
- - - 8,820,000 60,000 - 2,580,000 120,000 -
- - - 9,180,000 60,000 - 300,000 120,000 -
- - - 2,880,000 - - 60,000 - -
- - - 780,000 - - 60,000 - -
- - - 1,860,000 - - - 240,000 -
- - - - - - - - -
- - - 1,080,000 - - - - -
- - - 120,000 - - - - -
- - - 10,920,000 60,000 - 2,820,000 360,000 -
- - - 10,440,000 60,000 - 720,000 240,000 -
- - - 10,440,000 60,000 - 240,000 240,000 -
- - - 10,440,000 60,000 - 2,220,000 240,000 -
- - - 2,520,000 - - - - -
- - - 1,800,000 - - - - -
- - - 60,000 - - - - -
- - - 22,020,000 180,000 - 3,540,000 120,000 -
- - - 22,020,000 180,000 - 3,540,000 120,000 -
- - - 22,020,000 120,000 - 3,840,000 240,000 -
120,000 - - 12,900,000 60,000 - 360,000 60,000 -
120,000 - - 12,900,000 60,000 - 360,000 60,000 -
120,000 - - 12,900,000 60,000 - 360,000 60,000 -
- - - - - - - - -
60,000 60,000 - 2,280,000 - - 60,000 360,000 -
- - - 3,660,000 - - 120,000 60,000 -
- - - 120,000 - - - - -
- - - 240,000 - - - 120,000 -
- - - 2,940,000 - - 60,000 - -
- - - - - - - - -
- - - - - - - - -
- - - - - - 60,000 - -
- - - 780,000 - - - 60,000 -
- - - 180,000 - - 720,000 - -
- - - 180,000 - - 1,500,000 - -
- - - 120,000 - - 960,000 - -
- - - - - - - - -
- - - - - - - - -
- - - 60,000 - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - 240,000 -
6,360,000 1,440,000 - 327,420,000 1,500,000 60,000 101,940,000 4,620,000 -
TOTAL
94,560,000
8,880,000
8,880,000
5,940,000
240,000
300,000
7,740,000
840,000
420,000
2,520,000
129,540,000
9,480,000
9,360,000
-
12,360,000
12,240,000
11,580,000
9,720,000
3,000,000
840,000
2,100,000
-
1,080,000
120,000
14,160,000
11,460,000
10,980,000
12,960,000
2,580,000
1,860,000
60,000
26,220,000
26,220,000
26,520,000
16,680,000
16,680,000
16,680,000
-
4,080,000
3,960,000
120,000
360,000
3,000,000
-
-
60,000
840,000
900,000
1,680,000
1,080,000
-
-
60,000
-
-
-
240,000
531,180,000
1,062,360,000
Mei 2017
IGD
1 Darah Rutine 656 27 5 70 15 655 2 136 10
3 Masa Pembekuan 59 3 2 1 62 21
5 Morfologi 4
6 Ferritin 3 2
7 Urine Rutine 1 123 5
8 Feaces Rutine 13 1
9 Kehamilan 3 1 3
10 BTA 19 23
11 KGD 392 9 2 23 3 749 2 979
12 Bilirubin Total 149 1 4 4
13 Bilirubin Direct 149 1 4 2
15 SGOT 1 153 1 47 4
16 SGPT 1 151 1 47 4
17 Alkaliposphatase 147 1 43 2
19 Albumin 1 48 1
20 Globulin 13 1
21 HBsAg 31 4
22 HBsAb
23 Anti HCV 18
24 IgG IgM HAV 2
25 Cholestrol 182 1 47 6
26 Trigliserida 174 1 12 4
27 HDL 174 1 4 4
28 LDL 174 1 37 4
29 CKMB 1 42
30 Triponin T 1 30
31 D-Dimer 1
32 Ureum 6 367 3 59 2
33 Creatinine 6 367 3 59 2
34 Asam Urat 5 367 2 64 4
35 Natrium 51 2 2 215 1 6 1
36 Kalium 51 2 2 215 1 6 1
37 Clorida 51 2 2 215 1 6 1
37 Calcium
38 Widal 19 2 1 1 38 1 6
39 Tubex 2 61 2 1
40 ICT-Malaria 2
41 IgG IgM Dengue 4 2
42 AGDA 49 1
43 ASTO
44 CRP
45 RF 1
46 HIV 13 1
47 T3 3 12
48 T4 3 25
49 TSH 2 16
50 FT4
51 CEA
52 Ca 125 1
53 Ca 19-9
54 AFT
55 TPSA
56 Narkoba 4
Pengeluaran reagen
Total Pendapatan
Diketahui
(dr.Fani Ade Irma,Sp.PK)

I
BPJS U
1576 60,000 94,560,000 1 Darah Rutine 39,360,000 1,620,000
148 12,000 1,776,000 2 Masa Pendarahan 3,540,000 180,000
148 12,000 1,776,000 3 Masa Pembekuan 3,540,000 180,000
99 15,000 1,485,000 4 Golongan Darah 2,280,000 120,000
4 60,000 240,000 5 Morfologi - -
5 190,000 950,000 6 Ferritin - -
129 30,000 3,870,000 7 Urine Rutine 60,000 -
14 35,000 490,000 8 Feaces Rutine - -
7 40,000 280,000 9 Kehamilan 180,000 -
42 40,000 1,680,000 10 BTA - -
2159 27,000 58,293,000 11 KGD 23,520,000 540,000
158 30,000 4,740,000 12 Bilirubin Total - -
156 30,000 4,680,000 13 Bilirubin Direct - -
0 30,000 0 14 Bilirubin Indirect - -
206 30,000 6,180,000 15 SGOT 60,000 -
204 30,000 6,120,000 16 SGPT 60,000 -
193 30,000 5,790,000 17 Alkaliposphatase - -
162 36,000 5,832,000 18 Total Protein 60,000 -
50 36,000 1,800,000 19 Albumin 60,000 -
14 70,000 980,000 20 Globulin - -
35 115,000 4,025,000 21 HBsAg - -
0 120,000 0 22 HBsAb - -
18 275,000 4,950,000 23 Anti HCV - -
2 295,000 590,000 24 IgG IgM HAV - -
236 35,000 8,260,000 25 Cholestrol - -
191 35,000 6,685,000 26 Trigliserida - -
183 40,000 7,320,000 27 HDL - -
216 65,000 14,040,000 28 LDL - -
43 160,000 6,880,000 29 CKMB 60,000 -
31 260,000 8,060,000 30 Triponin T 60,000 -
1 275,000 275,000 31 D-Dimer - -
437 35,000 15,295,000 32 Ureum 360,000 -
437 35,000 15,295,000 33 Creatinine 360,000 -
442 35,000 15,470,000 34 Asam Urat 300,000 -
278 35,000 9,730,000 35 Natrium 3,060,000 120,000
278 35,000 9,730,000 36 Kalium 3,060,000 120,000
278 35,000 9,730,000 37 Clorida 3,060,000 120,000
0 45,000 0 37 Calcium - -
68 70,000 4,760,000 38 Widal 1,140,000 120,000
66 185,000 12,210,000 39 Tubex 120,000 -
2 155,000 310,000 40 ICT-Malaria - -
6 250,000 1,500,000 41 IgG IgM Dengue - -
50 110,000 5,500,000 42 AGDA - -
0 60,000 0 43 ASTO - -
0 75,000 0 44 CRP - -
1 60,000 60,000 45 RF - -
14 170,000 2,380,000 46 HIV - -
15 150,000 2,250,000 47 T3 - -
28 150,000 4,200,000 48 T4 - -
18 170,000 3,060,000 49 TSH - -
0 210,000 0 50 FT4 - -
0 210,000 0 51 CEA - -
1 385,000 385,000 52 Ca 125 - -
0 385,000 0 53 Ca 19-9 - -
0 210,000 0 54 AFT - -
0 275,000 0 55 TPSA - -
4 175,000 700,000 56 Narkoba - -
- -
0 Total 375,172,000 -
Ka.Ru.Laboratorium
IGD
RAWAT INAP
RI RJ
UP BPJS U UP BPJS U UP
300,000 4,200,000 900,000 - 39,300,000 120,000 -
- 120,000 60,000 - 3,720,000 - -
- 120,000 60,000 - 3,720,000 - -
- 60,000 180,000 - 3,240,000 - -
- - - - 240,000 - -
- - - - - - -
- - - - 7,380,000 - -
- - - - 780,000 - 60,000
- 60,000 - - 180,000 - -
- - - - 1,140,000 - -
120,000 1,380,000 180,000 - 44,940,000 120,000 -
- - - - 8,940,000 60,000 -
- - - - 8,940,000 60,000 -
- - - - - - -
- - - - 9,180,000 60,000 -
- - - - 9,060,000 60,000 -
- - - - 8,820,000 60,000 -
- - - - 9,180,000 60,000 -
- - - - 2,880,000 - -
- - - - 780,000 - -
- - - - 1,860,000 - -
- - - - - - -
- - - - 1,080,000 - -
- - - - 120,000 - -
- - - - 10,920,000 60,000 -
- - - - 10,440,000 60,000 -
- - - - 10,440,000 60,000 -
- - - - 10,440,000 60,000 -
- - - - 2,520,000 - -
- - - - 1,800,000 - -
- - - - 60,000 - -
- - - - 22,020,000 180,000 -
- - - - 22,020,000 180,000 -
- - - - 22,020,000 120,000 -
- 120,000 - - 12,900,000 60,000 -
- 120,000 - - 12,900,000 60,000 -
- 120,000 - - 12,900,000 60,000 -
- - - - - - -
- 60,000 60,000 - 2,280,000 - -
- - - - 3,660,000 - -
- - - - 120,000 - -
- - - - 240,000 - -
- - - - 2,940,000 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - 780,000 - -
- - - - 180,000 - -
- - - - 180,000 - -
- - - - 120,000 - -
- - - - - - -
- - - - - - -
- - - - 60,000 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
RAWAT JALAN
TOTAL
BPJS U UP
8,160,000 600,000 - 94,560,000
1,260,000 - - 8,880,000
1,260,000 - - 8,880,000
60,000 - - 5,940,000
- - - 240,000
180,000 120,000 - 300,000
300,000 - - 7,740,000
- - - 840,000
- - - 420,000
1,380,000 - - 2,520,000
58,740,000 - - 129,540,000
240,000 240,000 - 9,480,000
240,000 120,000 - 9,360,000
- - - -
2,820,000 240,000 - 12,360,000
2,820,000 240,000 - 12,240,000
2,580,000 120,000 - 11,580,000
300,000 120,000 - 9,720,000
60,000 - - 3,000,000
60,000 - - 840,000
- 240,000 - 2,100,000
- - - -
- - - 1,080,000
- - - 120,000
2,820,000 360,000 - 14,160,000
720,000 240,000 - 11,460,000
240,000 240,000 - 10,980,000
2,220,000 240,000 - 12,960,000
- - - 2,580,000
- - - 1,860,000
- - - 60,000
3,540,000 120,000 - 26,220,000
3,540,000 120,000 - 26,220,000
3,840,000 240,000 - 26,520,000
360,000 60,000 - 16,680,000
360,000 60,000 - 16,680,000
360,000 60,000 - 16,680,000
- - - -
60,000 360,000 - 4,080,000
120,000 60,000 - 3,960,000
- - - 120,000
- 120,000 - 360,000
60,000 - - 3,000,000
- - - -
- - - -
60,000 - - 60,000
- 60,000 - 840,000
720,000 - - 900,000
1,500,000 - - 1,680,000
960,000 - - 1,080,000
- - - -
- - - -
- - - 60,000
- - - -
- - - -
- - - -
- 240,000 - 240,000
- - - -
531,180,000
Juni 2017
IGD
1 Darah Rutine 45 33 15 614 18 598 3 137 6
3 Masa Pembekuan 1 3 3 59 56 12
4 Golongan Darah 1 3 1 23 48 2 7
5 Morfologi 5
6 Ferritin 1 1
7 Urine Rutine 2 119 5
8 Feaces Rutine 16
9 Kehamilan 1 2 5 1
10 BTA 13 21
11 KGD 19 20 4 378 4 665 1 729 3
12 Bilirubin Total 116 2 2
13 Bilirubin Direct 116 2 2
15 SGOT 1 1 118 22 2
16 SGPT 1 1 118 22 2
17 Alkaliposphatase 116 16 2
18 Total Protein 113 2 2
19 Albumin 1 43 2
20 Globulin 10 1
21 HBsAg 17
22 HBsAb
23 Anti HCV 15
24 IgG IgM HAV
25 Cholestrol 118 37 3
26 Trigliserida 116 12 3
27 HDL 117 1 3
28 LDL 118 31 3
29 CKMB 2 4 57
31 D-Dimer 2
32 Ureum 2 314 1 36 2
33 Creatinine 2 314 1 36 2
34 Asam Urat 2 306 1 49 3
35 Natrium 4 55 203 1 5
36 Kalium 4 55 203 1 5
37 Clorida 4 55 203 1 5
37 Calcium
38 Widal 1 1 10 1 38 4 3
39 Tubex 4 54 1
40 ICT-Malaria 5
41 IgG IgM Dengue 4
42 AGDA 1 28 1
43 ASTO 2
44 CRP 1
45 RF
46 HIV 5
47 T3 1 7
48 T4 2 19
49 TSH 2 13
50 FT4
51 CEA
52 Ca 125 1
53 Ca 19-9
54 AFT
55 TPSA
56 Narkoba 1
69 79 26 1334 25 0 4621 11 0 1250 52 0
Pengeluaran reagen
Total Pendapatan
Diketahui
(dr.Fani Ade Irma,Sp.PK)

IGD
BPJS U
1469 60,000 88,140,000 1 Darah Rutine 2,700,000 1,980,000
134 12,000 1,608,000 2 Masa Pendarahan 60,000 180,000
134 12,000 1,608,000 3 Masa Pembekuan 60,000 180,000
85 15,000 1,275,000 4 Golongan Darah 60,000 180,000
5 60,000 300,000 5 Morfologi - -
2 190,000 380,000 6 Ferritin - -
126 30,000 3,780,000 7 Urine Rutine - -
16 35,000 560,000 8 Feaces Rutine - -
9 40,000 360,000 9 Kehamilan 60,000 -
34 40,000 1,360,000 10 BTA - -
1823 27,000 49,221,000 11 KGD 1,140,000 1,200,000
120 30,000 3,600,000 12 Bilirubin Total - -
120 30,000 3,600,000 13 Bilirubin Direct - -
0 30,000 0 14 Bilirubin Indirect - -
144 30,000 4,320,000 15 SGOT - -
144 30,000 4,320,000 16 SGPT - -
134 30,000 4,020,000 17 Alkaliposphatase - -
117 36,000 4,212,000 18 Total Protein - -
46 36,000 1,656,000 19 Albumin - -
11 70,000 770,000 20 Globulin - -
17 115,000 1,955,000 21 HBsAg - -
0 120,000 0 22 HBsAb - -
15 275,000 4,125,000 23 Anti HCV - -
0 295,000 0 24 IgG IgM HAV - -
158 35,000 5,530,000 25 Cholestrol - -
131 35,000 4,585,000 26 Trigliserida - -
121 40,000 4,840,000 27 HDL - -
152 65,000 9,880,000 28 LDL - -
63 160,000 10,080,000 29 CKMB - 120,000
50 260,000 13,000,000 30 Triponin T - 60,000
2 275,000 550,000 31 D-Dimer - -
355 35,000 12,425,000 32 Ureum - -
355 35,000 12,425,000 33 Creatinine - -
361 35,000 12,635,000 34 Asam Urat - -
268 35,000 9,380,000 35 Natrium - 240,000
268 35,000 9,380,000 36 Kalium - 240,000
268 35,000 9,380,000 37 Clorida - 240,000
0 45,000 0 37 Calcium - -
58 70,000 4,060,000 38 Widal 60,000 60,000
59 185,000 10,915,000 39 Tubex - -
5 155,000 775,000 40 ICT-Malaria - -
4 250,000 1,000,000 41 IgG IgM Dengue - -
30 110,000 3,300,000 42 AGDA - 60,000
2 60,000 120,000 43 ASTO - -
1 75,000 75,000 44 CRP - -
0 60,000 0 45 RF - -
5 170,000 850,000 46 HIV - -
8 150,000 1,200,000 47 T3 - -
21 150,000 3,150,000 48 T4 - -
15 170,000 2,550,000 49 TSH - -
0 210,000 0 50 FT4 - -
0 210,000 0 51 CEA - -
1 385,000 385,000 52 Ca 125 - -
0 385,000 0 53 Ca 19-9 - -
0 210,000 0 54 AFT - -
0 275,000 0 55 TPSA - -
1 175,000 175,000 56 Narkoba - -
7467 4,140,000 4,740,000
0 Total 323,815,000 -
Ka.Ru.Laboratorium
IGD
RI RJ
UP BPJS U UP BPJS U UP BPJS
900,000 36,840,000 1,080,000 - 35,880,000 180,000 - 8,220,000
180,000 3,540,000 - - 3,360,000 - - 720,000
180,000 3,540,000 - - 3,360,000 - - 720,000
60,000 1,380,000 - - 2,880,000 - - 120,000
- - - - 300,000 - - -
- - - - - - - 60,000
- 120,000 - - 7,140,000 - - 300,000
- - - - 960,000 - - -
- 120,000 - - 300,000 - - 60,000
- - - - 780,000 - - 1,260,000
240,000 22,680,000 240,000 - 39,900,000 60,000 - 43,740,000
- - - - 6,960,000 - - 120,000
- - - - 6,960,000 - - 120,000
- - - - - - - -
- 60,000 60,000 - 7,080,000 - - 1,320,000
- 60,000 60,000 - 7,080,000 - - 1,320,000
- - - - 6,960,000 - - 960,000
- - - - 6,780,000 - - 120,000
- 60,000 - - 2,580,000 - - 120,000
- - - - 600,000 - - 60,000
- - - - 1,020,000 - - -
- - - - - - - -
- - - - 900,000 - - -
- - - - - - - -
- - - - 7,080,000 - - 2,220,000
- - - - 6,960,000 - - 720,000
- - - - 7,020,000 - - 60,000
- - - - 7,080,000 - - 1,860,000
- 240,000 - - 3,420,000 - - -
- 300,000 - - 2,640,000 - - -
- - - - 120,000 - - -
- 120,000 - - 18,840,000 60,000 - 2,160,000
- 120,000 - - 18,840,000 60,000 - 2,160,000
- 120,000 - - 18,360,000 60,000 - 2,940,000
- 3,300,000 - - 12,180,000 60,000 - 300,000
- 3,300,000 - - 12,180,000 60,000 - 300,000
- 3,300,000 - - 12,180,000 60,000 - 300,000
- - - - - - - -
- 600,000 60,000 - 2,280,000 - - 240,000
- 240,000 - - 3,240,000 - - 60,000
- - - - 300,000 - - -
- - - - 240,000 - - -
- - - - 1,680,000 60,000 - -
- - - - 120,000 - - -
- - - - 60,000 - - -
- - - - - - - -
- - - - 300,000 - - -
- - - - 60,000 - - 420,000
- - - - 120,000 - - 1,140,000
- - - - 120,000 - - 780,000
- - - - - - - -
- - - - - - - -
- - - - 60,000 - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
1,560,000 80,040,000 1,500,000 - 277,260,000 660,000 - 75,000,000
RAWAT JALAN
TOTAL
U UP
360,000 - 88,140,000
- - 8,040,000
- - 8,040,000
420,000 - 5,100,000
- - 300,000
60,000 - 120,000
- - 7,560,000
- - 960,000
- - 540,000
- - 2,040,000
180,000 - 109,380,000
120,000 - 7,200,000
120,000 - 7,200,000
- - -
120,000 - 8,640,000
120,000 - 8,640,000
120,000 - 8,040,000
120,000 - 7,020,000
- - 2,760,000
- - 660,000
- - 1,020,000
- - -
- - 900,000
- - -
180,000 - 9,480,000
180,000 - 7,860,000
180,000 - 7,260,000
180,000 - 9,120,000
- - 3,780,000
- - 3,000,000
- - 120,000
120,000 - 21,300,000
120,000 - 21,300,000
180,000 - 21,660,000
- - 16,080,000
- - 16,080,000
- - 16,080,000
- - -
180,000 - 3,480,000
- - 3,540,000
- - 300,000
- - 240,000
- - 1,800,000
- - 120,000
- - 60,000
- - -
- - 300,000
- - 480,000
- - 1,260,000
- - 900,000
- - -
- - -
- - 60,000
- - -
- - -
- - -
60,000 - 60,000
3,120,000 - 448,020,000
896,040,000
288471
288471
00/01/19002333
IGD
1 Darah Rutine 45 33 15 614 18 598 3 137 6 1469 60,000
2 Masa Pendarahan 1 3 3 59 56 12 134 12,000
3 Masa Pembekuan 1 3 3 59 56 12 134 12,000
4 Golongan Darah 1 3 1 23 48 2 7 85 15,000
6 Ferritin 1 1 2 190,000
7 Urine Rutine 2 119 5 126 30,000
8 Feaces Rutine 16 16 35,000
9 Kehamilan 1 2 5 1 9 40,000
10 BTA 13 21 34 40,000
11 KGD 19 20 4 378 4 665 1 729 3 1823 27,000
12 Bilirubin Total 116 2 2 120 30,000
13 Bilirubin Direct 116 2 2 120 30,000
15 SGOT 1 1 118 22 2 144 30,000
16 SGPT 1 1 118 22 2 144 30,000
17 Alkaliposphatase 116 16 2 134 30,000
18 Total Protein 113 2 2 117 36,000
19 Albumin 1 43 2 46 36,000
20 Globulin 10 1 11 70,000
21 HBsAg 17 17 115,000
22 HBsAb 0 120,000
23 Anti HCV 15 15 275,000
24 IgG IgM HAV 0 295,000
25 Cholestrol 118 37 3 158 35,000
26 Trigliserida 116 12 3 131 35,000
27 HDL 117 1 3 121 40,000
28 LDL 118 31 3 152 65,000
29 CKMB 2 4 57 63 160,000
30 Triponin T 1 5 44 50 260,000
31 D-Dimer 2 2 275,000
32 Ureum 2 314 1 36 2 355 35,000
33 Creatinine 2 314 1 36 2 355 35,000
34 Asam Urat 2 306 1 49 3 361 35,000
35 Natrium 4 55 203 1 5 268 35,000
36 Kalium 4 55 203 1 5 268 35,000
37 Clorida 4 55 203 1 5 268 35,000
37 Calcium 0 45,000
38 Widal 1 1 10 1 38 4 3 58 70,000
39 Tubex 4 54 1 59 185,000
40 ICT-Malaria 5 5 155,000
42 AGDA 1 28 1 30 110,000
43 ASTO 2 2 60,000
44 CRP 1 1 75,000
45 RF 0 60,000
46 HIV 5 5 170,000
47 T3 1 7 8 150,000
48 T4 2 19 21 150,000
49 TSH 2 13 15 170,000
50 FT4 0 210,000
51 CEA 0 210,000
52 Ca 125 1 1 385,000
53 Ca 19-9 0 385,000
54 AFT 0 210,000
55 TPSA 0 275,000
56 Narkoba 1 1 175,000
0 Total
Pengeluaran reagen
Total Pendapatan
Diketahui
(dr.Fani Ade Irma,Sp.PK) (Andi Syahputra,Amd.AK)

IGD
BPJS U UP BPJS U UP BPJS U UP BPJS
1 Darah Rutine * - - - - - - - - -
2 Masa Pendarahan - - - - - - - - - -
3 Masa Pembekuan - - - - - - - - - -
4 Golongan Darah - - - - - - - - - -
5 Morfologi - - - - - - - - - -
6 Ferritin - - - - - - - - - -
7 Urine Rutine - - - - - - - - - -
8 Feaces Rutine - - - - - - - - - -
9 Kehamilan - - - - - - - - - -
10 BTA - - - - - - - - - -
11 KGD - - - - - - - - - -
12 Bilirubin Total - - - - - - - - - -
13 Bilirubin Direct - - - - - - - - - -
14 Bilirubin Indirect - - - - - - - - - -
15 SGOT - - - - - - - - - -
16 SGPT - - - - - - - - - -
17 Alkaliposphatase - - - - - - - - - -
18 Total Protein - - - - - - - - - -
19 Albumin - - - - - - - - - -
20 Globulin - - - - - - - - - -
21 HBsAg - - - - - - - - - -
22 HBsAb - - - - - - - - - -
23 Anti HCV - - - - - - - - - -
24 IgG IgM HAV - - - - - - - - - -
25 Cholestrol - - - - - - - - - -
26 Trigliserida - - - - - - - - - -
27 HDL - - - - - - - - - -
28 LDL - - - - - - - - - -
29 CKMB - - - - - - - - - -
30 Triponin T - - - - - - - - - -
31 D-Dimer - - - - - - - - - -
32 Ureum - - - - - - - - - -
33 Creatinine - - - - - - - - - -
34 Asam Urat - - - - - - - - - -
35 Natrium - - - - - - - - - -
36 Kalium - - - - - - - - - -
37 Clorida - - - - - - - - - -
37 Calcium - - - - - - - - - -
38 Widal - - - - - - - - - -
39 Tubex - - - - - - - - - -
40 ICT-Malaria - - - - - - - - - -
41 IgG IgM Dengue - - - - - - - - - -
42 AGDA - - - - - - - - - -
43 ASTO - - - - - - - - - -
44 CRP - - - - - - - - - -
45 RF - - - - - - - - - -
46 HIV - - - - - - - - - -
47 T3 - - - - - - - - - -
48 T4 - - - - - - - - - -
49 TSH - - - - - - - - - -
50 FT4 - - - - - - - - - -
51 CEA - - - - - - - - - -
52 Ca 125 - - - - - - - - - -
53 Ca 19-9 - - - - - - - - - -
54 AFT - - - - - - - - - -
55 TPSA - - - - - - - - - -
56 Narkoba - - - - - - - - - -
- - - - - - - - - -
-
boratorium
ahputra,Amd.AK)
RAWAT JALAN
TOTAL
U UP
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
JULI 2017
IGD
1 Darah Rutine 766 34 14 19 7 753 6 1 100 14 1714 60,000
2 Masa Pendarahan 52 5 2 99 3 1 31 193 12,000
3 Masa Pembekuan 52 5 2 99 3 1 31 193 12,000
4 Golongan Darah 42 4 1 70 8 125 15,000
5 Morfologi 10 10 60,000
6 Ferritin 47 47 190,000
7 Urine Rutine 2 173 1 17 193 30,000
8 Feaces Rutine 2 23 1 26 35,000
9 Kehamilan 1 1 9 1 12 40,000
10 BTA 15 15 40,000
11 KGD 432 6 5 7 780 1 739 6 1976 27,000
12 Bilirubin Total 1 88 8 2 99 30,000
14 Bilirubin Indirect 1 2 3 30,000
15 SGOT 2 128 8 2 140 30,000
16 SGPT 2 128 8 2 140 30,000
18 Total Protein 1 88 7 2 98 36,000
19 Albumin 37 37 36,000
20 Globulin 14 14 70,000
21 HBsAg 21 1 22 115,000
22 HBsAb 0 120,000
23 Anti HCV 16 16 275,000
24 IgG IgM HAV 1 1 295,000
25 Cholestrol 1 147 61 4 213 35,000
26 Trigliserida 1 136 9 2 148 35,000
27 HDL 1 123 5 2 131 40,000
28 LDL 1 158 44 2 205 65,000
29 CKMB 5 54 2 61 160,000
30 Triponin T 5 45 3 53 260,000
31 D-Dimer 3 3 275,000
32 Ureum 6 368 46 2 422 35,000
33 Creatinine 6 368 46 2 422 35,000
34 Asam Urat 6 1 313 67 5 392 35,000
35 Natrium 50 2 242 15 1 310 35,000
36 Kalium 50 2 242 15 1 310 35,000
37 Clorida 50 2 242 15 1 310 35,000
37 Calcium 0 45,000
38 Widal 12 1 1 50 2 4 1 71 70,000
39 Tubex 77 1 1 79 185,000
40 ICT-Malaria 1 1 2 155,000
42 AGDA 41 1 42 110,000
43 ASTO 1 1 60,000
44 CRP 1 1 75,000
45 RF 0 60,000
46 HIV 14 1 15 170,000
47 T3 6 6 12 150,000
48 T4 7 22 29 150,000
49 TSH 7 10 17 170,000
50 FT4 0 210,000
51 CEA 0 210,000
52 Ca 125 1 1 385,000
53 Ca 19-9 0 385,000
54 AFT 0 210,000
55 TPSA 0 275,000
56 Narkoba 2 2 175,000
1549 57 29 27 10 0 5418 6 5 1342 68 0 8520
0 Total
Pengeluaran reagen
Total Pendapatan
Diketahui
( dr. Fani Ade Irma, SpPK ) (Andi Syahputra,Amd.AK)

IG
JLH UANG NO PEMERIKSAAN RI
BPJS
102,840,000 1 Darah Rutine 45,960,000
2,316,000 2 Masa Pendarahan 624,000
2,316,000 3 Masa Pembekuan 624,000
1,875,000 4 Golongan Darah 630,000
600,000 5 Morfologi -
8,930,000 6 Ferritin -
5,790,000 7 Urine Rutine 60,000
910,000 8 Feaces Rutine -
480,000 9 Kehamilan 40,000
600,000 10 BTA -
53,352,000 11 KGD 11,664,000
2,970,000 12 Bilirubin Total 30,000
3,000,000 13 Bilirubin Direct 30,000
90,000 14 Bilirubin Indirect -
4,200,000 15 SGOT 60,000
4,200,000 16 SGPT 60,000
2,790,000 17 Alkaliposphatase 30,000
3,528,000 18 Total Protein 36,000
1,332,000 19 Albumin -
980,000 20 Globulin -
2,530,000 21 HBsAg -
0 22 HBsAb -
4,400,000 23 Anti HCV -
295,000 24 IgG IgM HAV -
7,455,000 25 Cholestrol 35,000
5,180,000 26 Trigliserida 35,000
5,240,000 27 HDL 40,000
13,325,000 28 LDL 65,000
9,760,000 29 CKMB 800,000
13,780,000 30 Triponin T 1,300,000
825,000 31 D-Dimer -
14,770,000 32 Ureum 210,000
14,770,000 33 Creatinine 210,000
13,720,000 34 Asam Urat 210,000
10,850,000 35 Natrium 1,750,000
10,850,000 36 Kalium 1,750,000
10,850,000 37 Clorida 1,750,000
0 37 Calcium -
4,970,000 38 Widal 840,000
14,615,000 39 Tubex -
310,000 40 ICT-Malaria -
250,000 41 IgG IgM Dengue -
4,620,000 42 AGDA -
60,000 43 ASTO -
75,000 44 CRP -
0 45 RF -
2,550,000 46 HIV -
1,800,000 47 T3 -
4,350,000 48 T4 -
2,890,000 49 TSH -
0 50 FT4 -
0 51 CEA -
385,000 52 Ca 125 -
0 53 Ca 19-9 -
0 54 AFT -
0 55 TPSA -
350,000 56 Narkoba -
68,843,000
378,924,000
168,867,475
210,056,525
aboratorium
ahputra,Amd.AK)
IGD
RAWAT INAP
RI RJ
2,040,000 120,000 - - - 1,188,000 180,000 60,000
300,000 120,000 - - - 1,188,000 180,000 60,000
300,000 - - 60,000 - 1,050,000 - -
240,000 - - - - 600,000 - -
- - - - - 8,930,000 - -
- - - - - 5,190,000 60,000 -
- - - - - 805,000 - -
120,000 - - 60,000 - 360,000 - -
- - - - - 600,000 - -
- 300,000 420,000 - - 21,060,000 60,000 -
162,000 - - - - 2,640,000 - -
- - - - - 2,670,000 - -
- - - - - - - -
- - - - - 3,840,000 - -
- - - - - 3,840,000 - -
- - - - - 2,520,000 - -
- - - - - 3,168,000 - -
- - - - - 1,332,000 - -
- - - - - 980,000 - -
- - - - - 2,415,000 - -
- - - - - - - -
- - - - - 4,400,000 - -
- - - - - 295,000 - -
- - - - - 5,145,000 - -
- - - - - 4,760,000 - -
- - - - - 4,920,000 - -
- - - - - 10,270,000 - -
- - - - - 8,640,000 - -
- - - - - 11,700,000 - -
- - - - - 825,000 - -
- - - - - 12,880,000 - -
- - - - - 12,880,000 - -
- - - 60,000 - 10,955,000 - -
- 120,000 - - - 8,470,000 - -
- 120,000 - - - 8,470,000 - -
- 120,000 - - - 8,470,000 - -
- - - - - - - -
- - 60,000 - - 3,500,000 - 120,000
60,000 - - - - 14,245,000 - -
- - - - - 155,000 - -
- - - - - 250,000 - -
- - - - - 4,510,000 60,000 -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - 2,380,000 - -
- - - - - 900,000 - -
- - - - - 1,050,000 - -
- - - - - 1,190,000 - -
- - - - - - - -
- - - - - - - -
- - - - - 385,000 - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- 1,740,000 1,620,000 600,000 - - 360,000 300,000
3,222,000 2,640,000 2,100,000 780,000 206,021,000 900,000 540,000
RAWAT JALAN
TOTAL
BPJS U UP
1,860,000 - - 11,580,000
1,860,000 - - 11,580,000
- 480,000 - 7,500,000
- - - 600,000
- - - 2,820,000
1,020,000 - - 11,580,000
60,000 - - 1,560,000
60,000 - - 720,000
- - - 900,000
44,340,000 360,000 - 118,560,000
480,000 120,000 - 5,940,000
480,000 120,000 - 6,000,000
60,000 120,000 - 180,000
480,000 120,000 - 8,400,000
480,000 120,000 - 8,400,000
360,000 120,000 - 5,580,000
420,000 120,000 - 5,880,000
- - - 2,220,000
- - - 840,000
60,000 - - 1,320,000
- - - -
- - - 960,000
- - - 60,000
3,660,000 240,000 - 12,780,000
540,000 120,000 - 8,880,000
300,000 120,000 - 7,860,000
2,640,000 120,000 - 12,300,000
120,000 - - 3,660,000
180,000 - - 3,180,000
- - - 180,000
2,760,000 120,000 - 25,320,000
2,760,000 120,000 - 25,320,000
4,020,000 300,000 - 23,520,000
900,000 60,000 - 18,600,000
900,000 60,000 - 18,600,000
900,000 60,000 - 18,600,000
- - - -
240,000 60,000 - 4,260,000
60,000 60,000 - 4,740,000
60,000 - - 120,000
- - - 60,000
- - - 2,520,000
60,000 - - 60,000
60,000 - - 60,000
- - - -
60,000 - - 900,000
360,000 - - 720,000
1,320,000 - - 1,740,000
600,000 - - 1,020,000
- - - -
- - - -
- - - 60,000
- - - -
- - - -
- - - -
- 120,000 - 120,000
80,520,000 4,080,000 - 511,200,000
155,040,000 7,320,000
919,560,000
AGUSTUS 2017
IGD
NO PEMERIKSAAN RI RJ TOTAL TARIF JLH UANG
1 Darah Rutine 762 41 5 38 13 627 4 137 1627 60,000 97,620,000
2 Masa Pendarahan 66 4 1 1 85 1 26 184 12,000 2,208,000
3 Masa Pembekuan 66 4 1 1 85 1 26 184 12,000 2,208,000
4 Golongan Darah 46 1 1 2 72 2 124 15,000 1,860,000
5 Morfologi 6 6 60,000 360,000
6 Ferritin 1 5 6 190,000 1,140,000
7 Urine Rutine 4 1 170 9 184 30,000 5,520,000
8 Feaces Rutine 30 1 31 35,000 1,085,000
9 Kehamilan 4 1 4 9 40,000 360,000
10 BTA 20 1 21 40,000 840,000
11 KGD 458 14 1 19 4 855 1 945 8 2305 27,000 62,235,000
12 Bilirubin Total 116 1 5 2 124 30,000 3,720,000
13 Bilirubin Direct 116 1 5 2 124 30,000 3,720,000
14 Bilirubin Indirect 0 30,000 0
15 SGOT 128 1 11 2 142 30,000 4,260,000
16 SGPT 128 1 11 2 142 30,000 4,260,000
17 Alkaliposphatase 10 116 1 7 2 136 30,000 4,080,000
18 Total Protein 116 1 6 2 125 36,000 4,500,000
19 Albumin 35 35 36,000 1,260,000
20 Globulin 11 11 70,000 770,000
21 HBsAg 25 3 3 31 115,000 3,565,000
22 HBsAb 0 120,000 0
23 Anti HCV 21 1 22 275,000 6,050,000
24 IgG IgM HAV 0 295,000 0
25 Cholestrol 180 52 7 239 35,000 8,365,000
26 Trigliserida 182 3 4 189 35,000 6,615,000
27 HDL 180 2 4 186 40,000 7,440,000
28 LDL 182 32 5 219 65,000 14,235,000
29 CKMB 5 1 52 1 59 160,000 9,440,000
30 Triponin T 6 1 32 1 40 260,000 10,400,000
31 D-Dimer 4 4 275,000 1,100,000
32 Ureum 8 375 1 63 8 455 35,000 15,925,000
33 Creatinine 8 367 1 62 8 446 35,000 15,610,000
34 Asam Urat 8 349 1 67 8 433 35,000 15,155,000
35 Natrium 55 1 1 1 246 1 10 2 317 35,000 11,095,000
36 Kalium 55 1 1 1 246 1 10 2 317 35,000 11,095,000
37 Clorida 55 1 1 1 246 1 10 2 317 35,000 11,095,000
37 Calcium 0 45,000 0
38 Widal 2 1 1 34 1 2 6 47 70,000 3,290,000
39 Tubex 3 1 89 1 94 185,000 17,390,000
40 ICT-Malaria 2 2 155,000 310,000
41 IgG IgM Dengue 3 3 250,000 750,000
42 AGDA 51 1 52 110,000 5,720,000
43 ASTO 1 1 2 60,000 120,000
44 CRP 1 1 2 75,000 150,000
45 RF 0 60,000 0
46 HIV 2 17 1 20 170,000 3,400,000
47 T3 4 4 150,000 600,000
48 T4 5 10 15 150,000 2,250,000
49 TSH 5 8 13 170,000 2,210,000
50 FT4 0 210,000 0
51 CEA 0 210,000 0
52 Ca 125 3 3 385,000 1,155,000
53 Ca 19-9 0 385,000 0
54 AFT 0 210,000 0
55 TPSA 0 275,000 0
56 Narkoba 0 175,000 0
1613 66 12 62 37 0 5623 17 4 1535 82 0 9051
0 Total 386,536,000
Diketahui

IGD
BPJS U UP BPJS U UP
1 Darah Rutine 45,720,000 2,460,000 300,000 2,280,000 780,000 -
2 Masa Pendarahan 792,000 48,000 12,000 12,000 - -
3 Masa Pembekuan 792,000 48,000 12,000 12,000 - -
4 Golongan Darah 690,000 - 15,000 15,000 30,000 -
5 Morfologi - - - - - -
6 Ferritin - - - - - -
7 Urine Rutine 120,000 - - - 30,000 -
8 Feaces Rutine - - - - - -
9 Kehamilan 160,000 - - - 40,000 -
10 BTA - - - - - -
11 KGD 12,366,000 378,000 27,000 513,000 108,000 -
12 Bilirubin Total - - - - - -
13 Bilirubin Direct - - - - - -
14 Bilirubin Indirect - - - - - -
15 SGOT - - - - - -
16 SGPT - - - - - -
17 Alkaliposphatase - - - - 300,000 -
18 Total Protein - - - - - -
19 Albumin - - - - - -
20 Globulin - - - - - -
21 HBsAg - - - - - -
22 HBsAb - - - - - -
23 Anti HCV - - - - - -
24 IgG IgM HAV - - - - - -
25 Cholestrol - - - - - -
26 Trigliserida - - - - - -
27 HDL - - - - - -
28 LDL - - - - - -
29 CKMB 800,000 - - - 160,000 -
30 Triponin T 1,560,000 - - - 260,000 -
31 D-Dimer - - - - - -
32 Ureum 280,000 - - - - -
33 Creatinine 280,000 - - - - -
34 Asam Urat 280,000 - - - - -
35 Natrium 1,925,000 35,000 35,000 - 35,000 -
36 Kalium 1,925,000 35,000 35,000 - 35,000 -
37 Clorida 1,925,000 35,000 35,000 - 35,000 -
37 Calcium - - - - - -
38 Widal 140,000 - - 70,000 70,000 -
39 Tubex 555,000 - - 185,000 - -
40 ICT-Malaria - - - - - -
41 IgG IgM Dengue - - - - - -
42 AGDA - - - - - -
43 ASTO - - - - - -
44 CRP - - - - - -
45 RF - - - - - -
46 HIV 340,000 - - - - -
47 T3 - - - - - -
48 T4 - - - - - -
49 TSH - - - - - -
50 FT4 - - - - - -
51 CEA - - - - - -
52 Ca 125 - - - - - -
53 Ca 19-9 - - - - - -
54 AFT - - - - - -
55 TPSA - - - - - -
56 Narkoba - - - - - -
70,650,000 3,039,000 471,000 3,087,000 1,883,000 -
TOTAL
BPJS U UP BPJS U UP
37,620,000 240,000 - 8,220,000 - - 97,620,000
1,020,000 12,000 - 312,000 - - 2,208,000
1,020,000 12,000 - 312,000 - - 2,208,000
1,080,000 - - - 30,000 - 1,860,000
360,000 - - - - - 360,000
190,000 - - 950,000 - - 1,140,000
5,100,000 - - 270,000 - - 5,520,000
1,050,000 - - 35,000 - - 1,085,000
160,000 - - - - - 360,000
800,000 - - - 40,000 - 840,000
23,085,000 - 27,000 25,515,000 216,000 - 62,235,000
3,480,000 30,000 - 150,000 60,000 - 3,720,000
3,480,000 30,000 - 150,000 60,000 - 3,720,000
- - - - - - -
3,840,000 30,000 - 330,000 60,000 - 4,260,000
3,840,000 30,000 - 330,000 60,000 - 4,260,000
3,480,000 30,000 - 210,000 60,000 - 4,080,000
4,176,000 36,000 - 216,000 72,000 - 4,500,000
1,260,000 - - - - - 1,260,000
770,000 - - - - - 770,000
2,875,000 - - 345,000 345,000 - 3,565,000
- - - - - - -
5,775,000 - - 275,000 - - 6,050,000
- - - - - - -
6,300,000 - - 1,820,000 245,000 - 8,365,000
6,370,000 - - 105,000 140,000 - 6,615,000
7,200,000 - - 80,000 160,000 - 7,440,000
11,830,000 - - 2,080,000 325,000 - 14,235,000
8,320,000 - - 160,000 - - 9,440,000
8,320,000 - - 260,000 - - 10,400,000
1,100,000 - - - - - 1,100,000
13,125,000 - 35,000 2,205,000 280,000 - 15,925,000
12,845,000 - 35,000 2,170,000 280,000 - 15,610,000
12,215,000 - 35,000 2,345,000 280,000 - 15,155,000
8,610,000 35,000 - 350,000 70,000 - 11,095,000
8,610,000 35,000 - 350,000 70,000 - 11,095,000
8,610,000 35,000 - 350,000 70,000 - 11,095,000
- - - - - - -
2,380,000 70,000 - 140,000 420,000 - 3,290,000
16,465,000 - - 185,000 - - 17,390,000
310,000 - - - - - 310,000
750,000 - - - - - 750,000
5,610,000 110,000 - - - - 5,720,000
60,000 - - 60,000 - - 120,000
75,000 - - 75,000 - - 150,000
- - - - - - -
2,890,000 - - 170,000 - - 3,400,000
600,000 - - - - - 600,000
750,000 - - 1,500,000 - - 2,250,000
850,000 - - 1,360,000 - - 2,210,000
- - - - - - -
- - - - - - -
1,155,000 - - - - - 1,155,000
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
249,811,000 735,000 132,000 53,385,000 3,343,000 - 386,536,000
773,072,000
Sep-17
IGD
1 Darah Rutine 797 27 2 59 18 666 2 154 12 1737
3 Masa Pembekuan 61 2 43 20 1 127
5 Morfologi 1 1
6 Ferritin 0
8 Feaces Rutine 22 22
9 Kehamilan 3 1 4
10 BTA 30 30
11 KGD 424 9 16 6 863 691 3 2012
15 SGOT 1 117 46 5 169
16 SGPT 1 117 46 5 169
19 Albumin 42 2 44
20 Globulin 9 9
21 HBsAg 1 1 2
22 HBsAb 0
23 Anti HCV 22 22
24 IgG IgM HAV 3 3
25 Cholestrol 1 1 141 37 8 188
26 Trigliserida 1 1 141 13 5 161
27 HDL 1 1 141 7 5 155
28 LDL 1 1 141 23 5 171
29 CKMB 9 41 50
30 Troponin I 24 24
31 D-Dimer 0
32 Ureum 16 2 329 50 6 403
33 Creatinine 16 2 329 52 6 405
34 Asam Urat 16 1 310 53 5 385
35 Natrium 64 1 1 310 3 379
36 Kalium 64 1 1 310 3 379
37 Clorida 64 1 1 310 3 379
37 Calcium 0
38 Widal 1 1 7 1 10
39 salmonella Tphydot 6 24 30
40 ICT-Malaria 2 2
41 IgG IgM Dengue 6 6
42 AGDA 3 35 38
43 ASTO 2 2
44 CRP 1 1
45 RF 0
46 HIV 14 8 1 23
47 T3 3 9 12
48 T4 3 8 11
49 TSH 3 3
50 FT4 0
51 CEA 0
52 Ca 125 1 1
53 Ca 19-9 0
54 AFT 0
55 TPSA 0
56 Narkoba 0
57 Tubex 106 1 107
58 Troponin T 9 21 30
59 0
60 1658 50 2 79 28 0 5414 3 0 1325 90 0 8649
Pengeluaran reagen
Total Pendapatan
Diketahui
( dr. Fani Ade Irma, SpPK ) (Andi Syahputra,Amd

IGD
TARIF JLH UANG NO PEMERIKSAAN RI
BPJS U UP
70,000 121,590,000 1 Darah Rutine 55,790,000 1,890,000 140,000
15,000 1,905,000 2 Masa Pendarahan 915,000 30,000 -
15,000 1,905,000 3 Masa Pembekuan 915,000 30,000 -
16,000 1,600,000 4 Golongan Darah 512,000 32,000 -
70,000 70,000 5 Morfologi - - -
240,000 0 6 Ferritin - - -
35,000 5,880,000 7 Urine Rutine 70,000 - -
40,000 880,000 8 Feaces Rutine - - -
40,000 160,000 9 Kehamilan 120,000 - -
50,000 1,500,000 10 BTA - - -
28,000 56,336,000 11 KGD 11,872,000 252,000 -
35,000 4,410,000 12 Bilirubin Total 35,000 - -
35,000 4,375,000 13 Bilirubin Direct 35,000 - -
35,000 0 14 Bilirubin Indirect - - -
35,000 5,915,000 15 SGOT 35,000 - -
35,000 5,915,000 16 SGPT 35,000 - -
35,000 6,055,000 17 Alkaliposphatase 35,000 - -
38,000 4,712,000 18 Total Protein 38,000 - -
38,000 1,672,000 19 Albumin - - -
75,000 675,000 20 Globulin - - -
120,000 240,000 21 HBsAg - - -
120,000 0 22 HBsAb - - -
300,000 6,600,000 23 Anti HCV - - -
295,000 885,000 24 IgG IgM HAV - - -
40,000 7,520,000 25 Cholestrol 40,000 - -
40,000 6,440,000 26 Trigliserida 40,000 - -
45,000 6,975,000 27 HDL 45,000 - -
70,000 11,970,000 28 LDL 70,000 - -
165,000 8,250,000 29 CKMB 1,485,000 - -
260,000 6,240,000 30 Triponin T - - -
275,000 0 31 D-Dimer - - -
40,000 16,120,000 32 Ureum 640,000 80,000 -
40,000 16,200,000 33 Creatinine 640,000 80,000 -
40,000 15,400,000 34 Asam Urat 640,000 40,000 -
40,000 15,160,000 35 Natrium 2,560,000 40,000 -
40,000 15,160,000 36 Kalium 2,560,000 40,000 -
40,000 15,160,000 37 Clorida 2,560,000 40,000 -
45,000 0 37 Calcium - - -
75,000 750,000 38 Widal 75,000 - -
180,000 5,400,000 39 Tubex 1,080,000 - -
165,000 330,000 40 ICT-Malaria - - -
290,000 1,740,000 41 IgG IgM Dengue - - -
13,000 494,000 42 AGDA 39,000 - -
70,000 140,000 43 ASTO - - -
80,000 80,000 44 CRP - - -
70,000 0 45 RF - - -
175,000 4,025,000 46 HIV - - -
170,000 2,040,000 47 T3 - - -
170,000 1,870,000 48 T4 - - -
185,000 555,000 49 TSH - - -
210,000 0 50 FT4 - - -
210,000 0 51 CEA - - -
410,000 410,000 52 Ca 125 - - -
385,000 0 53 Ca 19-9 - - -
210,000 0 54 AFT - - -
275,000 0 55 TPSA - - -
185,000 0 56 Narkoba - - -
200,000 21,400,000 57 Tubex - - -
275,000 8,250,000 58 Tropinin T 2,475,000 - -
185,000 0 85,356,000 2,554,000 140,000
200,000 1,729,800,000 331,600,000 10,000,000 400,000
Total 2,151,159,000
Total Pendapatan 1,976,962,771
Ka.Ru.Laboratorium
IGD
RJ
4,130,000 1,260,000 - 46,620,000 140,000 - 10,780,000 840,000 -
- - - 645,000 - - 300,000 15,000 -
- - - 645,000 - - 300,000 15,000 -
- - - 992,000 - - 48,000 16,000 -
- - - - 70,000 - - - -
- - - - - - - - -
- - - 5,705,000 - - 105,000 - -
- - - 880,000 - - - - -
- - - 40,000 - - - - -
- - - 1,500,000 - - - - -
448,000 168,000 - 24,164,000 - - 19,348,000 84,000 -
- - - 3,990,000 - - 210,000 175,000 -
- - - 3,990,000 - - 210,000 140,000 -
- - - - - - - - -
- - - 4,095,000 - - 1,610,000 175,000 -
- - - 4,095,000 - - 1,610,000 175,000 -
- - - 3,990,000 - - 1,855,000 175,000 -
- - - 4,332,000 - - 190,000 152,000 -
- - - 1,596,000 - - 76,000 - -
- - - 675,000 - - - - -
- - - - - - 120,000 120,000 -
- - - - - - - - -
- - - 6,600,000 - - - - -
- - - 885,000 - - - - -
- 40,000 - 5,640,000 - - 1,480,000 320,000 -
- 40,000 - 5,640,000 - - 520,000 200,000 -
- 45,000 - 6,345,000 - - 315,000 225,000 -
- 70,000 - 9,870,000 - - 1,610,000 350,000 -
- - - 6,765,000 - - - - -
- - - 6,240,000 - - - - -
- - - - - - - - -
- - - 13,160,000 - - 2,000,000 240,000 -
- - - 13,160,000 - - 2,080,000 240,000 -
- - - 12,400,000 - - 2,120,000 200,000 -
40,000 - - 12,400,000 - - 120,000 - -
40,000 - - 12,400,000 - - 120,000 - -
40,000 - - 12,400,000 - - 120,000 - -
- - - - - - - - -
75,000 - - 525,000 - - - 75,000 -
- - - 4,320,000 - - - - -
- - - 330,000 - - - - -
- - - 1,740,000 - - - - -
- - - 455,000 - - - - -
- - - 140,000 - - - - -
- - - 80,000 - - - - -
- - - - - - - - -
- - - 2,450,000 - - 1,400,000 175,000 -
- - - 510,000 - - 1,530,000 - -
- - - 510,000 - - 1,360,000 - -
- - - 555,000 - - - - -
- - - - - - - - -
- - - - - - - - -
- - - 410,000 - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - 21,200,000 - - - - -
- - - - - - - -
4,773,000 1,623,000 - 265,084,000 210,000 - 51,537,000 4,107,000 -
15,800,000 5,600,000 - 1,082,800,000 600,000 - 265,000,000 18,000,000 -
TOTAL
121,590,000
1,905,000
1,905,000
1,600,000
70,000
-
5,880,000
880,000
160,000
1,500,000
56,336,000
4,410,000
4,375,000
-
5,915,000
5,915,000
6,055,000
4,712,000
1,672,000
675,000
240,000
-
6,600,000
885,000
7,520,000
6,440,000
6,975,000
11,970,000
8,250,000
6,240,000
-
16,120,000
16,200,000
15,400,000
15,160,000
15,160,000
15,160,000
-
750,000
5,400,000
330,000
1,740,000
494,000
140,000
80,000
-
4,025,000
2,040,000
1,870,000
555,000
-
-
410,000
-
-
-
-
21,200,000
2,475,000
415,384,000
###
###
Oktober 2017
IGD
1 Darah Rutine 888 23 2 113 38 5 621 16 187 30 1923 70,000
2 Masa Pendarahan 36 1 1 1 45 20 104 15,000
3 Masa Pembekuan 36 1 1 1 45 20 104 15,000
4 Golongan Darah 14 52 66 16,000
5 Morfologi 1 3 1 5 70,000
6 Ferritin 1 1 240,000
7 Urine Rutine 2 1 157 14 1 175 35,000
8 Feaces Rutine 17 17 34 40,000
9 Kehamilan 1 2 3 40,000
10 BTA 32 32 50,000
11 KGD 430 7 24 4 2 766 1 869 1 2104 28,000
12 Bilirubin Total 112 1 8 121 35,000
13 Bilirubin Direct 112 1 8 121 35,000
15 SGOT 119 23 1 143 35,000
16 SGPT 119 23 1 143 35,000
17 Alkaliposphatase 114 23 137 35,000
18 Total Protein 112 6 118 38,000
19 Albumin 22 2 24 38,000
20 Globulin 6 6 75,000
21 HBsAg 15 4 19 120,000
22 HBsAb 0 120,000
23 Anti HCV 9 9 300,000
24 IgG IgM HAV 2 2 295,000
25 Cholestrol 149 44 5 198 40,000
26 Trigliserida 149 14 3 166 40,000
27 HDL 149 6 3 158 45,000
28 LDL 149 18 3 170 70,000
29 CKMB 5 45 50 165,000
30 Troponin I 4 30 34 260,000
31 D-Dimer 4 4 275,000
32 Ureum 6 309 60 3 1 379 40,000
33 Creatinine 6 309 60 4 1 380 40,000
34 Asam Urat 5 309 66 2 382 40,000
35 Natrium 48 2 1 201 1 10 263 40,000
36 Kalium 48 2 1 201 1 10 263 40,000
37 Clorida 48 2 1 201 1 10 263 40,000
37 Calcium 0 45,000
38 Widal 1 1 1 1 1 1 8 14 75,000
39 salmonella Tphydot 6 1 158 5 3 173 180,000
40 ICT-Malaria 2 2 165,000
42 AGDA 1 47 1 49 13,000
43 ASTO 1 1 70,000
44 CRP 0 80,000
45 RF 0 70,000
46 HIV 1 14 1 16 175,000
47 T3 11 1 12 170,000
48 T4 11 12 23 170,000
49 TSH 10 6 16 185,000
50 FT4 0 210,000
51 CEA 0 210,000
52 Ca 125 0 410,000
53 Ca 19-9 0 385,000
54 AFT 0 210,000
55 TPSA 0 275,000
56 Narkoba 1 1 185,000
57 Tubex 4 2 1 3 10 200,000
58 Troponin T 0 275,000
59
60 1604 39 2 44 44 9 4946 30 0 1530 72 2 8421
Total
Pengeluaran reagen
Total Pendapatan
Diketahui

JLH UANG
134,610,000
1,560,000
1,560,000
1,056,000
350,000
240,000
6,125,000
1,360,000
120,000
1,600,000
58,912,000
4,235,000
4,235,000
0
5,005,000
5,005,000
4,795,000
4,484,000
912,000
450,000
2,280,000
0
2,700,000
590,000
7,920,000
6,640,000
7,110,000
11,900,000
8,250,000
8,840,000
1,100,000
15,160,000
15,200,000
15,280,000
10,520,000
10,520,000
10,520,000
0
1,050,000
31,140,000
330,000
0
637,000
70,000
0
0
2,800,000
2,040,000
3,910,000
2,960,000
0
0
0
0
0
0
185,000
2,000,000
0
0
0
418,266,000
190,970,138
227,295,862
hputra,Amd.AK)
Nov-17
IGD
1 Darah Rutine 3 56 33 2 60 45 57 26 35 317 70,000
2 Masa Pendarahan 5 7 1 5 18 15,000
3 Masa Pembekuan 5 7 1 5 18 15,000
4 Golongan Darah 5 2 2 2 1 12 16,000
5 Morfologi 0 70,000
6 Ferritin 0 240,000
7 Urine Rutine 10 13 2 25 35,000
8 Feaces Rutine 4 4 8 40,000
9 Kehamilan 1 1 2 40,000
10 BTA 3 3 50,000
11 KGD 3 26 13 1 7 40 31 1 13 2 137 28,000
12 Bilirubin Total 3 3 8 3 17 35,000
15 SGOT 4 7 6 4 21 35,000
16 SGPT 4 7 6 4 21 35,000
18 Total Protein 3 3 4 3 13 38,000
19 Albumin 6 6 38,000
20 Globulin 2 2 75,000
21 HBsAg 1 1 120,000
22 HBsAb 0 120,000
23 Anti HCV 0 300,000
24 IgG IgM HAV 0 295,000
25 Cholestrol 1 3 2 8 1 15 40,000
26 Trigliserida 1 3 1 5 1 11 40,000
27 HDL 1 3 1 5 1 11 45,000
28 LDL 1 3 1 5 1 11 70,000
29 CKMB 0 165,000
30 Troponin I 0 260,000
31 D-Dimer 1 1 275,000
32 Ureum 1 6 13 10 5 2 37 40,000
33 Creatinine 1 6 13 10 5 2 37 40,000
34 Asam Urat 1 5 13 9 8 36 40,000
35 Natrium 1 1 6 9 7 24 40,000
36 Kalium 2 1 1 6 9 7 26 40,000
37 Clorida 2 1 1 6 9 7 26 40,000
37 Calcium 2 2 45,000
38 Widal 7 9 16 75,000
39 salmonella Tphydot 1 9 7 5 22 180,000
40 ICT-Malaria 0 165,000
42 AGDA 2 3 5 13,000
43 ASTO 0 70,000
44 CRP 0 80,000
45 RF 0 70,000
46 HIV 1 1 175,000
47 T3 1 1 170,000
48 T4 1 1 170,000
49 TSH 1 1 185,000
50 FT4 0 210,000
51 CEA 0 210,000
52 Ca 125 0 410,000
53 Ca 19-9 0 385,000
54 AFT 0 210,000
55 TPSA 0 275,000
56 Narkoba 2 2 185,000
57 Tubex 1 5 1 7 200,000
58 Troponin T 0 275,000
59
60
Total
Pengeluaran re
Total Pendapata
Diketahui

IGD
BPJS U UP BPJS
22,190,000 1 Darah Rutine 210,000 3,920,000 2,310,000 140,000
270,000 2 Masa Pendarahan - 75,000 105,000 -
270,000 3 Masa Pembekuan 915,000 75,000 105,000 -
192,000 4 Golongan Darah - 80,000 32,000 -
0 5 Morfologi - - - -
0 6 Ferritin - - - -
875,000 7 Urine Rutine - - - -
320,000 8 Feaces Rutine - - - -
80,000 9 Kehamilan - - 40,000 -
150,000 10 BTA - - - -
3,836,000 11 KGD 84,000 728,000 364,000 28,000
595,000 12 Bilirubin Total - - - -
420,000 13 Bilirubin Direct - - - -
735,000 15 SGOT - - - -
735,000 16 SGPT - - - -
420,000 17 Alkaliposphatase - - - -
494,000 18 Total Protein - - - -
228,000 19 Albumin - - - -
150,000 20 Globulin - - - -
120,000 21 HBsAg - - - -
0 22 HBsAb - - - -
0 23 Anti HCV - - - -
0 24 IgG IgM HAV - - - -
600,000 25 Cholestrol - - - -
440,000 26 Trigliserida - - - -
495,000 27 HDL - - - -
770,000 28 LDL - - - -
0 29 CKMB - - - -
0 30 Triponin T - - - -
275,000 31 D-Dimer - - - -
1,480,000 32 Ureum - - - -
1,480,000 33 Creatinine - - - -
1,440,000 34 Asam Urat - - - -
960,000 35 Natrium - - 40,000 -
1,040,000 36 Kalium - 80,000 40,000 -
1,040,000 37 Clorida - 80,000 40,000 -
90,000 37 Calcium - 90,000 - -
1,200,000 38 Widal - - - -
3,960,000 39 Tubex - - 180,000 -
0 40 ICT-Malaria - - - -
65,000 42 AGDA - - - -
0 43 ASTO - - - -
0 44 CRP - - - -
0 45 RF - - - -
175,000 46 HIV - - - -
170,000 47 T3 - - - -
170,000 48 T4 - - - -
185,000 49 TSH - - - -
0 50 FT4 - - - -
0 51 CEA - - - -
0 52 Ca 125 - - - -
0 53 Ca 19-9 - - - -
0 54 AFT - - - -
0 55 TPSA - - - -
370,000 56 Narkoba - - - -
1,400,000 57 Tubex - - - -
0 58 Tropinin T - - - -
0 1,209,000 5,128,000 3,256,000 168,000
0 - - - -
49,885,000
38,665,178
11,219,822
Ru.Laboratorium
di Syahputra,Amd.AK)
RJ
4,200,000 - 3,150,000 3,990,000 1,820,000 - 2,450,000 -
- - - 15,000 75,000 - - -
- - - 15,000 75,000 - - -
32,000 - - 32,000 16,000 - - -
- - - - - - - -
- - - - - - - -
- - 350,000 455,000 - - 70,000 -
- - 160,000 160,000 - - - -
40,000 - - - - - - -
- - 150,000 - - - - -
196,000 - 1,120,000 868,000 28,000 - 364,000 56,000
- - 105,000 105,000 280,000 - 105,000 -
- - 105,000 105,000 105,000 - 105,000 -
- - - - - - - -
- - 140,000 245,000 210,000 - 140,000 -
- - 140,000 245,000 210,000 - 140,000 -
- - 105,000 70,000 140,000 - 105,000 -
- - 114,000 114,000 152,000 - 114,000 -
- - - 228,000 - - - -
- - - 150,000 - - - -
- - - 120,000 - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
40,000 - 120,000 80,000 - - 320,000 40,000
40,000 - 120,000 40,000 - - 200,000 40,000
45,000 - 135,000 45,000 - - 225,000 45,000
70,000 - 210,000 70,000 - - 350,000 70,000
- - - - - - - -
- - - - - - - -
- - - 275,000 - - - -
40,000 - 240,000 520,000 400,000 - 200,000 80,000
40,000 - 240,000 520,000 400,000 - 200,000 80,000
40,000 - 200,000 520,000 360,000 - 320,000 -
- 40,000 240,000 360,000 280,000 - - -
- 40,000 240,000 360,000 280,000 - - -
- 40,000 240,000 360,000 280,000 - - -
- - - - - - - -
525,000 - - - - - 675,000 -
- - 1,620,000 1,260,000 900,000 - - -
- - - - - - - -
- - - - - - - -
- - 26,000 39,000 - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - 175,000 -
- - - 170,000 - - - -
- - - 170,000 - - - -
- - - 185,000 - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - 370,000 -
- - 200,000 1,000,000 - - - -
- - - - - - -
5,308,000 120,000 9,470,000 12,891,000 6,011,000 - 2,450,000 355,000
- - - - - - - -
TOTAL
22,190,000
270,000
1,185,000
192,000
-
-
875,000
320,000
80,000
150,000
3,836,000
595,000
420,000
-
735,000
735,000
420,000
494,000
228,000
150,000
120,000
-
-
-
600,000
440,000
495,000
770,000
-
-
275,000
1,480,000
1,480,000
1,440,000
960,000
1,040,000
1,040,000
90,000
1,200,000
3,960,000
-
-
65,000
-
-
-
175,000
170,000
170,000
185,000
-
-
-
-
-
-
370,000
1,200,000
-
46,366,000
-
96,966,000
Nov-17
IGD
NO PEMERIKSAAN RI RJ TOTAL TARIF JLH UANG
1 Darah Rutine 3 56 33 2 60 45 57 26 35 317 70,000 22,190,000
2 Masa Pendarahan 5 7 1 5 18 15,000 270,000
3 Masa Pembekuan 5 7 1 5 18 15,000 270,000
4 Golongan Darah 5 2 2 2 1 12 16,000 192,000
5 Morfologi 0 70,000 0
6 Ferritin 0 240,000 0
7 Urine Rutine 10 13 2 25 35,000 875,000
8 Feaces Rutine 4 4 8 40,000 320,000
9 Kehamilan 1 1 2 40,000 80,000
10 BTA 3 3 50,000 150,000
11 KGD 3 26 13 1 7 40 31 1 13 2 137 28,000 3,836,000
12 Bilirubin Total 3 3 8 3 17 35,000 595,000
13 Bilirubin Direct 3 3 3 3 12 35,000 420,000
14 Bilirubin Indirect 0 35,000 0
15 SGOT 4 7 6 4 21 35,000 735,000
16 SGPT 4 7 6 4 21 35,000 735,000
17 Alkaliposphatase 3 2 4 3 12 35,000 420,000
18 Total Protein 3 3 4 3 13 38,000 494,000
19 Albumin 6 6 38,000 228,000
20 Globulin 2 2 75,000 150,000
21 HBsAg 1 1 120,000 120,000
22 HBsAb 0 120,000 0
23 Anti HCV 0 300,000 0
24 IgG IgM HAV 0 295,000 0
25 Cholestrol 1 3 2 8 1 15 40,000 600,000
26 Trigliserida 1 3 1 5 1 11 40,000 440,000
27 HDL 1 3 1 5 1 11 45,000 495,000
28 LDL 1 3 1 5 1 11 70,000 770,000
29 CKMB 0 165,000 0
30 Troponin I 0 260,000 0
31 D-Dimer 1 1 275,000 275,000
32 Ureum 1 6 13 10 5 2 37 40,000 1,480,000
33 Creatinine 1 6 13 10 5 2 37 40,000 1,480,000
34 Asam Urat 1 5 13 9 8 36 40,000 1,440,000
35 Natrium 1 1 6 9 7 24 40,000 960,000
36 Kalium 2 1 1 6 9 7 26 40,000 1,040,000
37 Clorida 2 1 1 6 9 7 26 40,000 1,040,000
37 Calcium 2 2 45,000 90,000
38 Widal 7 9 16 75,000 1,200,000
39 salmonella Tphydot 1 9 7 5 22 180,000 3,960,000
40 ICT-Malaria 0 165,000 0
41 IgG IgM Dengue 0 290,000 0
42 AGDA 2 3 5 13,000 65,000
43 ASTO 0 70,000 0
44 CRP 0 80,000 0
45 RF 0 70,000 0
46 HIV 1 1 175,000 175,000
47 T3 1 1 170,000 170,000
48 T4 1 1 170,000 170,000
49 TSH 1 1 185,000 185,000
50 FT4 0 210,000 0
51 CEA 0 210,000 0
52 Ca 125 0 410,000 0
53 Ca 19-9 0 385,000 0
54 AFT 0 210,000 0
55 TPSA 0 275,000 0
56 Narkoba 2 2 185,000 370,000
57 Tubex 1 5 1 7 200,000 1,400,000
58 Troponin T 0 275,000 0
59 6 103 67 0 84 45 181 233 124 0 10 10 938 0
60 0
Total 49,885,000
Pengeluaran rea 38,665,178
Total Pendapata 11,219,822
Diketahui

DESEMBER 2017
IGD
BPJS U UP BPJS U UP BPJS U UP BPJS U
1 Darah Rutine 52 30 21 34 18 12
2 Masa Pendarahan 6 7 2 1 1
3 Masa Pembekuan 6 7 2 1 1
5 Morfologi
6 Ferritin
7 Urine Rutine
8 Feaces Rutine
9 Kehamilan 2
10 BTA 1
11 KGD 19 6 5 10 19 5
12 Bilirubin Total 1
13 Bilirubin Direct 1
15 SGOT 5 1 3
16 SGPT 5 1 3
17 Alkaliposphatase 1 1
18 Total Protein 1
19 Albumin 1
20 Globulin
21 HBsAg 1
22 HBsAb
23 Anti HCV 1
24 IgG IgM HAV
25 Cholestrol 2 3
26 Trigliserida 2 1
27 HDL 2 1
28 LDL 2 1
29 CKMB
30 Troponin I 1 1
31 D-Dimer
32 Ureum 1 3 10 3 5
33 Creatinine 1 3 10 3 5
34 Asam Urat 6 1 3
35 Natrium 7 4 1 8 3
36 Kalium 7 4 1 8 3
37 Clorida 7 4 1 8 3
37 Calcium
38 Widal 1 1 4
39 salmonella Tphydot 4 2 5
40 ICT-Malaria 1
41 IgG IgM Dengue
42 AGDA 2
43 ASTO
44 CRP
45 RF
46 HIV 2 1
47 T3 1 2
48 T4 1 2
49 TSH 1 2
50 FT4
51 CEA
52 Ca 125
53 Ca 19-9
54 AFT
55 TPSA
56 Narkoba
57 Tubex 7 2 1
58 Troponin T
59
60
Diketahui
( dr. Fani Ade Irma, SpPK )

IGD
RAWAT JALAN
UP BPJS U UP
167 70,000 11,690,000 1 Darah Rutine - 3,640,000 2,100,000
17 15,000 255,000 2 Masa Pendarahan - 90,000 105,000
17 15,000 255,000 3 Masa Pembekuan 90,000 105,000
15 16,000 240,000 4 Golongan Darah - 32,000 96,000
0 70,000 0 5 Morfologi - - -
0 240,000 0 6 Ferritin - - -
0 35,000 0 7 Urine Rutine - - -
0 40,000 0 8 Feaces Rutine - - -
2 40,000 80,000 9 Kehamilan - - -
1 50,000 50,000 10 BTA - - -
64 28,000 1,792,000 11 KGD - 532,000 168,000
1 35,000 35,000 12 Bilirubin Total - - -
1 35,000 35,000 13 Bilirubin Direct - - -
0 35,000 0 14 Bilirubin Indirect - - -
9 35,000 315,000 15 SGOT - - -
9 35,000 315,000 16 SGPT - - -
2 35,000 70,000 17 Alkaliposphatase - - -
1 38,000 38,000 18 Total Protein - - -
1 38,000 38,000 19 Albumin - - -
0 75,000 0 20 Globulin - - -
1 120,000 120,000 21 HBsAg - - -
0 120,000 0 22 HBsAb - - -
1 300,000 300,000 23 Anti HCV - - -
0 295,000 0 24 IgG IgM HAV - - -
5 40,000 200,000 25 Cholestrol - - -
3 40,000 120,000 26 Trigliserida - - -
3 45,000 135,000 27 HDL - - -
3 70,000 210,000 28 LDL - - -
0 165,000 0 29 CKMB - - -
2 260,000 520,000 30 Triponin T - - -
0 275,000 0 31 D-Dimer - - -
22 40,000 880,000 32 Ureum - 40,000 120,000
22 40,000 880,000 33 Creatinine - 40,000 120,000
10 40,000 400,000 34 Asam Urat - - -
23 40,000 920,000 35 Natrium - 280,000 160,000
23 40,000 920,000 36 Kalium - 280,000 160,000
23 40,000 920,000 37 Clorida - 280,000 160,000
0 45,000 0 37 Calcium - - -
6 75,000 450,000 38 Widal - 75,000 -
11 180,000 1,980,000 39 Tubex - - 720,000
1 165,000 165,000 40 ICT-Malaria - - -
0 290,000 0 41 IgG IgM Dengue - - -
2 13,000 26,000 42 AGDA - - -
0 70,000 0 43 ASTO - - -
0 80,000 0 44 CRP - - -
0 70,000 0 45 RF - - -
3 175,000 525,000 46 HIV - - -
3 170,000 510,000 47 T3 - - -
3 170,000 510,000 48 T4 - - -
3 185,000 555,000 49 TSH - - -
0 210,000 0 50 FT4 - - -
0 210,000 0 51 CEA - - -
0 410,000 0 52 Ca 125 - - -
0 385,000 0 53 Ca 19-9 - - -
0 210,000 0 54 AFT - - -
0 275,000 0 55 TPSA - - -
0 185,000 0 56 Narkoba - - -
10 200,000 2,000,000 57 Tubex - - -
0 275,000 0 58 Tropinin T - - -
0 - 5,379,000 4,014,000
0 - - -
Total 28,454,000
Ka.Ru.Laboratorium
IGD
RJ
- 1,470,000 - - 2,380,000 1,260,000 - 840,000 -
- 30,000 - - 15,000 15,000 - - -
- 30,000 - - 15,000 15,000 - - -
- 16,000 - - 48,000 16,000 - 32,000 -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- 80,000 - - - - - - -
- 50,000 - - - - - - -
- 140,000 - - 280,000 532,000 - 140,000 -
- - - - - - - 35,000 -
- - - - - - - 35,000 -
- - - - - - - - -
- - - - 175,000 35,000 - 105,000 -
- - - - 175,000 35,000 - 105,000 -
- - - - 35,000 - - 35,000 -
- - - - - - - 38,000 -
- - - - 38,000 - - - -
- - - - - - - - -
- - - - - 120,000 - - -
- - - - - - - - -
- - - - - 300,000 - - -
- - - - - - - - -
- - - - 80,000 - - 120,000 -
- - - - 80,000 - - 40,000 -
- - - - 90,000 - - 45,000 -
- - - - 140,000 - - 70,000 -
- - - - - - - - -
- - - - 260,000 260,000 - - -
- - - - - - - - -
- - - - 400,000 120,000 - 200,000 -
- - - - 400,000 120,000 - 200,000 -
- - - - 240,000 40,000 - 120,000 -
- 40,000 - - 320,000 120,000 - - -
- 40,000 - - 320,000 120,000 - - -
- 40,000 - - 320,000 120,000 - - -
- - - - - - - - -
- - - - 75,000 - - 300,000 -
- - - - 360,000 900,000 - - -
- - - - 165,000 - - - -
- - - - - - - - -
- - - - 26,000 - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - 350,000 - 175,000 -
- - - - - 170,000 - 340,000 -
- - - - - 170,000 - 340,000 -
- - - - - 185,000 - 370,000 -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - 1,400,000 400,000 - - -
- - - - - - - -
- 1,936,000 - - 7,837,000 5,403,000 - 840,000 -
- - - - - - - - -
TOTAL
11,690,000
255,000
255,000
240,000
-
-
-
-
80,000
50,000
1,792,000
35,000
35,000
-
315,000
315,000
70,000
38,000
38,000
-
120,000
-
300,000
-
200,000
120,000
135,000
210,000
-
520,000
-
880,000
880,000
400,000
920,000
920,000
920,000
-
450,000
1,980,000
165,000
-
26,000
-
-
-
525,000
510,000
510,000
555,000
-
-
-
-
-
-
-
1,800,000
-
25,409,000
-
53,663,000

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LAPORAN BULANAN LABORATORIUM

Andi Syahputra, Amd.AK

( dr.M.Yusuf, SpPK ) (Andi Syahputra,Amd.AK)

( dr.M.Yusuf, SpPK ) (Andi Syahputra,Amd

( dr.M.Yusuf, SpPK ) (Andi Syahputra,Amd.AK)

( dr.M.Yusuf, SpPK ) (Andi Syahputra,Amd.AK)

( dr.M.Yusuf, SpPK ) (Andi Syahputra,Amd.AK)

(dr.Fani Ade Irma,Sp.PK) (Andi Syahputra,Amd.AK

(dr.Fani Ade Irma,Sp.PK)

(dr.Fani Ade Irma,Sp.PK)

(dr.Fani Ade Irma,Sp.PK) (Andi Syahputra,Amd.AK)

( dr. Fani Ade Irma, SpPK ) (Andi Syahputra,Amd.AK)

( dr. Fani Ade Irma, SpPK ) (Andi Syahputra,Amd.AK)

( dr. Fani Ade Irma, SpPK ) (Andi Syahputra,Amd

( dr. Fani Ade Irma, SpPK ) (Andi Syahputra,Amd.AK)

( dr. Fani Ade Irma, SpPK ) (Andi Syahputra,Amd.AK)

( dr. Fani Ade Irma, SpPK ) (Andi Syahputra,Amd.AK)

( dr. Fani Ade Irma, SpPK )

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