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  • Klim Tindakan April - Des 2017

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    Muhammad Redi
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    1. This document lists 12 medical procedures provided in April 2017 at Puskesmas Beruntung Baru health center in Beruntung Baru district, totaling 640,000 rupiah in fees. 2. It also recaps the total fees for procedures from April to December 2017, amounting to 9,250,000 rupiah with a 21% tax of 462,500 rupiah, for a net total of 8,787,500 rupiah. 3. The document was signed off by the head of Puskesmas Beruntung Baru health center and the head of the Banjar Regency Health Office.

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    Klim Tindakan April- Des 2017

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    1. This document lists 12 medical procedures provided in April 2017 at Puskesmas Beruntung Baru health center in Beruntung Baru district, totaling 640,000 rupiah in fees. 2. It also recaps the total fees for procedures from April to December 2017, amounting to 9,250,000 rupiah with a 21% tax of 462,500 rupiah, for a net total of 8,787,500 rupiah. 3. The document was signed off by the head of Puskesmas Beruntung Baru health center and the head of the Banjar Regency Health Office.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    20 views3 pages

    Klim Tindakan April - Des 2017

    Uploaded by

    Muhammad Redi
    1. This document lists 12 medical procedures provided in April 2017 at Puskesmas Beruntung Baru health center in Beruntung Baru district, totaling 640,000 rupiah in fees. 2. It also recaps the total fees for procedures from April to December 2017, amounting to 9,250,000 rupiah with a 21% tax of 462,500 rupiah, for a net total of 8,787,500 rupiah. 3. The document was signed off by the head of Puskesmas Beruntung Baru health center and the head of the Banjar Regency Health Office.

    Copyright:

    © All Rights Reserved
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    of 3

    DAFTAR TANDA TERIMA PEMBAYARAN KLIM TINDAKAN BERUPA JASA PELAYANAN PROGRAM

    JAMKESOSDA PUSKESMAS BERUNTUNG BARU KEC.BERUNTUNG BARU BULAN APRIL 2017

    NO NAMA TINDAKAN JUMLAH TARIF JUMLAH NAMA GOL JUMLAH TANDA


    PASIEN DITERIMA DITERIMA TANGAN
    1. Hecting luar 1-5 2 20.000 40.000 Syaiza P PTT 40.000

    2. Hecting luar 6-10 1 40.000 40.000 Ainiah PTT 40.000

    3. Hecting dalam 1-5 40.000 Nurul AF IID


    4. Heacting dalam 6 - 60.000 Herlina IIIA
    10
    5. Insisi Abses 2 25.000 50.000 Alimul F TKS 50.000
    6. Mengobati luka 5 10.000 50.000 Khairati TKS 50.000
    lecet
    7. Angkat benda asing 3 40.000 120.000 Mawardi IIB 120.000
    8. Penambalan gigi 2 10.000 20.000 Neni R IIC 20.000
    tetap
    9. Pencabutan gigi 16 10.000 160.000 Drg.Heryu IIIC 160.000
    tetap ntari
    10. Pemeriksaan darah 6 10.000 60.000 Reiry, AS IIIA 60.000
    rutin

    11. Asam Urat 4 10.000 40.000 Reiry, AS IIIA 40.000

    12 PPT TEST STICK 6 10.000 60.000 Reiry, AS IIIA 60.000

    JUMLAH 640,000 640,000

    Kampung Baru , Februari 2018

    Mengetahui ,

    Kepala UPT Puskesmas Beruntung Baru

    SUGIAN NOOR , SKM

    NIP : 19621204 198404 1 00


    REKAPITULASI JASA TINDAKAN PROGRAM JAMKESOSDA BULAN APRIL S/D DESEMBER 2017
    PUSKESMAS BERUNTUNG BARU KEC. BERUNTUNG BARU

    NO BULAN JUMLAH UANG TINDAKAN PPH Pasal 21 TOTAL


    1. APRIL Rp 640,000 32,000 RP 608,000

    2. MEI Rp 1,130,000 56,500 Rp 1,073.500

    3. JUNI Rp 895,000 44,750 Rp 850,250

    4. JULI Rp. 1,150,000 57,500 Rp. 1,092,500

    5. AGUSTUS Rp. 1,130,000 56,500 Rp. 1,073,500

    6. SEPTEMBER Rp. 1,200,000 60,000 Rp. 1,140,000

    7. OKTOBER Rp. 1,315,000 65,750 R p. 1 ,249,250

    8. NOVEMBER Rp. 1,070,000 53,500 Rp. 1,016,500

    9. DESEMBER Rp. 720,000 36,000 Rp. 684,000

    JUMLAH Rp 9,250,000 462,500 Rp. 8,787,500

    Kepala Dinas Kesehatan Kab Banjar Kampung Baru , Februari 2018

    Mengetahui ,

    Kepala Puskesmas Beruntung Baru

    Ikhwansyah,M.Kes

    NIP:19670817 198812 1 001 SUGIAN NOOR , SKM

    NIP : 19621204 198403 1 003

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