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RSUD SIAK PERINCIAN Akomodasi & Pelayanan

Jl. Raja Kecik No.1 Kampung Dalam Siak Sri Indrapura Telp. (0764) 20012
101135 DARYATI

*101135062*
BPJS-NON PBI
No. Registrasi : 101135062
TELUK MERBAU RT/RW 002/001 Dayun Siak

No.Jaminan - No.ID : 0412R0010718V0006041408065305620001 DPJP : DR. AKHMAD YAHIN
RUANG / INSTALASI KELAS / JENIS PELAYANAN FREQ BAHP PENJAM IN BIAYA VALID DATE

SARAF
11/07/2018 S/D 11/07/2018 0 0 0
KONSULTASI KONSULTASI DOKTER SPESIALIS 1 0 0 12.000 11/07/2018 9:28:22
DR. REVITA PUTRI NASARI, SPS
PENDAFTARAN RAWAT JALAN 1 0 0 0 11/07/2018 9:28:22
ADMINISTRATOR
REHABILITASI MEDIK
11/07/2018 S/D 11/07/2018 0 0 0
KONSULTASI KONSULTASI DOKTER SPESIALIS 1 0 0 12.000 11/07/2018 10:20:54
DR. AKHMAD YAHIN
APOTIK PELAYANAN OBAT/ ALKES RAWAT 1 5.855 0 5.855 11/07/2018 10:23:29
APOTEKER/ ASSISTEN
FISIOTHERAPI SHORT WAVE 1 0 0 23.000 11/07/2018 10:30:18
FISIOTHERAPIS
FISIOTHERAPI TENS 1 0 0 15.000 11/07/2018 10:30:28
FISIOTHERAPIS
FISIOTHERAPI EXERCISE KHUSUS 1 0 0 14.000 11/07/2018 10:30:35
FISIOTHERAPIS
TOTAL BAYAR : 0 TOTAL : 0 81.855

RUPIAH

TOTAL BIAYA : 81.855 4
TOTAL TERTANGGUNG : 0
Petugas Kasir/ Bendahara Verifikator Pasien/ Penanggungjaw ab
TOTAL DISKON (JRS) : 0
TOTAL DISKON (JP) : 0

TOTAL TAGIHAN : 81.855
TOTAL BAYAR : 0
user
SISA (TAGIHAN) : (81.855)
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