JM RAWAT JALAN BPJS

BULAN MEI 2018

NO TANGGAL NO. MR NAMA PASIEN ADM USG DR. JAGA

1 2 Mei 2018 012822 LIDIA TRI WAHYUNI 20,000 0 0
2 2 Mei 2018 012041 RESTI HANDAYANI 20,000 20,000 0
3 2 Mei 2018 013302 SRI WIDIA NINGSIH 20,000 20,000 0
4 2 Mei 2018 013301 MULIA YUVITA 20,000 20,000 0
5 2 Mei 2018 009967 SENJA WULAN SARI 20,000 20,000 0
6 2 Mei 2018 010244 RAHMA FRANSISKA 20,000 0 0
7 2 Mei 2018 012749 FELLA SRI SUMANTI 20,000 20,000 0
8 2 Mei 2018 001980 NURASYIAH 20,000 0 0
9 2 Mei 2018 012008 NENGSI LUSIA 20,000 0 0
10 2 Mei 2018 013308 SUCI PRIMADONA 20,000 20,000 0
11 3 Mei 2018 013311 RIKA SUSILA WIDAYATI 20,000 20,000 0
12 3 Mei 2018 012480 ISRAMA YANTI 20,000 20,000 0
13 3 Mei 2018 012089 KIKI DEWIZA 20,000 20,000 0
14 3 Mei 2018 013182 LUSI NOVIA 20,000 0 0
15 3 Mei 2018 009567 IRONA DARNIS 20,000 0 0
16 3 Mei 2018 011742 REFNIWATI 20,000 0 0
17 3 Mei 2018 013063 MELIATI 20,000 0 0
18 3 Mei 2018 013098 DHINI ANGGRAINI 20,000 0 0
19 3 Mei 2018 013208 DESWITA RENI 20,000 20,000 0
20 4 Mei 2018 012405 SIRAHAYU BANUERA 20,000 0 0
21 4 Mei 2018 012437 VERAWATI 20,000 0 0
22 4 Mei 2018 013209 BY NY MIKO DARLIS 20,000 0 0
23 4 Mei 2018 012841 FADILLA HELINA EFENDI 20,000 0 0
24 4 Mei 2018 013061 FERI IRDAMAYANI 20,000 0 0
25 4 Mei 2018 009224 FEMILIA PERDANA 20,000 0 0
26 4 Mei 2018 007965 NELA FEBRIA SAFITRI 20,000 0 0
27 4 Mei 2018 013197 MARTIS YENI 20,000 0 0
28 4 Mei 2018 013331 LOLINDA 20,000 20,000 0
29 4 Mei 2018 013201 BY NY MARTIS YENI 20,000 0 0
30 4 Mei 2018 013335 MISWIDAYATI 20,000 20,000 0
31 4 Mei 2018 010126 GUSMARNI 20,000 20,000
32 5 Mei 2018 012848 YURNIDAL 20,000 20,000 0
33 5 Mei 2018 012831 NIKEN ARTHESIA 20,000 20,000 0
34 5 Mei 2018 007183 IMA ROHMATIN 20,000 20,000 0
35 5 Mei 2018 011498 ELI OKTAVIA 20,000 20,000 0
36 7 Mei 2018 010223 INANG SURIATI 20,000 20,000 0
37 7 Mei 2018 009808 ANGGIA AGUSTIA 20,000 0 0
38 7 Mei 2018 012716 IKA FRISKA 20,000 0 0
39 7 Mei 2018 012364 BY NY SYEFNI YENTI 20,000 0 0
40 7 Mei 2018 011723 TRI LESTARI 20,000 0 0
41 7 Mei 2018 006435 OSMILA 20,000 20,000 0
42 7 Mei 2018 013143 SYAFNIDA 20,000 0 0
43 7 Mei 2018 013231 BY NY SYAFNIDA 20,000 0 0
44 8 Mei 2018 006602 ANDRIA SEPRINA 20,000 20,000 0
45 8 Mei 2018 007275 YESSI AGUSTRI 20,000 0 0
46 8 Mei 2018 011847 RESI MATRE YENI 20,000 20,000 0
47 8 Mei 2018 013307 MUHAMMAD MUFTHI ASSHIDIQI 20,000 0 0
48 9 Mei 2018 013404 MELA MURTI ROZA 20,000 20,000 0
49 4 Mei 2018 013406 ASVAHERNI 20,000 20,000 0
50 9 Mei 2018 012922 ANNE CICIOLINA PRATIWI 20,000 0 0
51 9 Mei 2018 009759 SRI WAHYUNI 20,000 20,000 0
52 9 Mei 2018 013098 DHINI ANGGRAINI 20,000 0 0
53 9 Mei 2018 013072 LIA NOVITA 20,000 20,000 0
54 9 Mei 2018 001980 NURASYIAH 20,000 0 0
55 9 Mei 2018 010244 RAHMA FRANSISKA 20,000 0 0
56 11 Mei 2018 013182 LUSI NOVIA 20,000 0 0
57 11 Mei 2018 009567 IRONA DARNIS 20,000 0 0
58 11 Mei 2018 012841 FADILLA HELINA EFENDI 20,000 0 0
59 11 Mei 2018 011742 REFNIWATI 20,000 0 0
60 11 Mei 2018 009224 FEMILIA PERDANA 20,000 0 0
61 11 Mei 2018 012721 MIRA JUITA 20,000 0 0
62 11 Mei 2018 012405 SIRAHAYU BANUERA 20,000 0 0
63 11 Mei 2018 013342 BY. NY. MIRA JUITA 20,000 0 0
64 11 Mei 2018 013197 MARTIS YENI 20,000 0 0
65 11 Mei 2018 010704 EVA YOLENA 20,000 20,000 0
66 11 Mei 2018 007965 NELA FEBRIA SAFITRI 20,000 0 0
67 12 Mei 2018 009173 NELVAWATI 20,000 20,000 0
68 12 Mei 2018 012437 VERAWATI 20,000 0 0
69 12 Mei 2018 010506 HAMDA WAHDIAS AZANI 20,000 20,000 0
70 12 Mei 2018 011790 RANI OKTAVIA 20,000 0 0
71 12 Mei 2018 006602 ANDRIA SEPRINA 20,000 0 0
72 12 Mei 2018 012054 NOVI SYOFIANI 20,000 20,000 0
73 12 Mei 2018 001408 WAHYU KURNIA 20,000 0 0
74 12 Mei 2018 013324 BY. NY. WAHYU KURNIA 20,000 0 0
75 14 Mei 2018 012428 AURINA ZALISTY 20,000 20,000 0
76 14 Mei 2018 013478 RIRI NOFRIANTI 20,000 20,000 0
77 14 Mei 2018 005376 SYEFNI YENTI 20,000 0 0
78 14 Mei 2018 009524 SISKA KUMALASARI MALAU 20,000 0 0
79 14 Mei 2018 013343 BY NY SISKA KUMALASARI MALAU 20,000 0 0
80 14 Mei 2018 011603 RIKA MARIANTI 20,000 0 0
81 14 Mei 2018 013344 BY. NY. RIKA MARIANTI 20,000 0 0
82 18 Mei 2018 013143 SYAFNIDA 20,000 0 0
83 15 Mei 2018 013178 ZETRIA AGUSTIN 20,000 0 0
84 15 Mei 2018 013495 FADHILAH RATIB 20,000 20,000 0
85 14 Mei 2018 013480 SHIRAZ AL FATIH HARDJODIKROMO 20,000 0 20,000
86 16 Mei 2018 011990 MAGDALENA DEWI SARTIKA BR NAIBAHO 20,000 0 20,000
87 16 Mei 2018 011670 RINA AFRIMA YOSI 20,000 0 0
88 16 Mei 2018 009967 SENJA WULAN SARI 20,000 20,000 0
89 16 Mei 2018 007275 YESSI AGUSTRI 20,000 20,000 0
90 16 Mei 2018 009885 NOVA YANTI 20,000 20,000 0
91 16 Mei 2018 011189 QEANO REIGA ARTHANY 20,000 0 0
92 17 Mei 2018 012922 ANNE CICIOLINA PRATIWI 20,000 0 0
93 17 Mei 2018 013497 DEWI SUSANTI 20,000 20,000 0
94 17 Mei 2018 013511 PRIMA WIDYA 20,000 20,000 0
95 17 Mei 2018 002784 NENG SULASTRI 20,000 0 0
96 18 Mei 2018 012721 MIRA JUITA 20,000 0 0
97 18 Mei 2018 013530 NURLINDA 20,000 20,000 0
98 18 Mei 2018 012089 KIKI DEWIZA 20,000 20,000 0
99 19 Mei 2018 011790 RANI OKTAVIA 20,000 0 0
100 19 Mei 2018 013143 SYAFNIDA 20,000 0 0
101 19 Mei 2018 013445 BY NY LILI MARLINA 20,000 0 0
102 19 Mei 2018 010106 LILI MARLINA 20,000 0 0
103 19 Mei 2018 008029 MUTIA SASTRA 20,000 0 0
104 19 Mei 2018 001408 WAHYU KURNIA 20,000 0 0
105 21 Mei 2018 011603 RIKA MARIANTI 20,000 0 0
106 21 Mei 2018 013581 SETRI INDRAWATI 20,000 20,000 0
107 21 Mei 2018 013583 LUSI ANDESKA SARI 20,000 20,000 0
108 22 Mei 2018 013178 ZETRIA AGUSTIN 20,000 0 0
109 22 Mei 2018 010014 WIS SUSANTI 20,000 20,000 0
110 22 Mei 2018 013479 BY NY MULYANI 20,000 0 0
111 22 Mei 2018 009758 MULYANI 20,000 0 0
112 22 Mei 2018 012749 FELLA SRI SUMANTI 20,000 20,000 0
113 23 Mei 2018 013616 TIKA SUTRI YENI 20,000 0 20,000
114 23 Mei 2018 012909 ROSMI YANTI PS 20,000 0 0
115 23 Mei 2018 011670 RINA AFRIMA YOSI 20,000 0 0
116 23 Mei 2018 002842 DEFI SRI PUTRI 20,000 20,000 0
117 23 Mei 2018 012480 ISRAMA YANTI 20,000 0 0
118 23 Mei 2018 013494 BY. NY. ISRA MAYANTI 20,000 0 0
119 23 Mei 2018 013511 PRIMA WIDYA 20,000 20,000 0
120 24 Mei 2018 013501 BY NY GITA NOVRI YULITA 20,000 0 0
121 24 Mei 2018 012546 GITA NOVRI YULITA 20,000 0 0
122 24 Mei 2018 013628 FERY YUNDRIA 20,000 20,000 0
123 24 Mei 2018 013295 WIDYA RESTI AGUSTIN 20,000 0 0
124 24 Mei 2018 002784 NENG SULASTRI 20,000 0 0
125 24 Mei 2018 013326 MARTHA SILVIA ERIDA 20,000 20,000 0
126 24 Mei 2018 011751 MEL PUTRI 20,000 20,000 0
127 24 Mei 2018 013513 SHOFY RABKHI ZAHIRA 20,000 0 0
128 23 Mei 2018 013625 WINDA FITRIA 20,000 0 0
129 24 Mei 2018 010725 SRI SUSILAWATI 20,000 20,000 0
130 24 Mei 2018 011787 INAYA AZNI ATHIFA 20,000 0 0
131 24 Mei 2018 001100 RANTI PUSPITA SARI 20,000 20,000 0
132 25 Mei 2018 013497 DEWI SUSANTI 20,000 20,000 0
133 25 Mei 2018 013530 NURLINDA 20,000 20,000 0
134 25 Mei 2018 010330 ROSWITA SARI 20,000 20,000 0
135 25 Mei 2018 013151 ATIKA NORA NASTI 20,000 20,000 0
136 25 Mei 2018 013478 RIRI NOFRIANTI 20,000 0 0
137 26 Mei 2018 010581 TITIK FERAWATI 20,000 20,000 0
138 26 Mei 2018 008029 MUTIA SASTRA 20,000 0 0
139 26 Mei 2018 011171 RENA ANDRIANA 20,000 20,000 0
140 26 Mei 2018 013207 ERINA FADLA 20,000 20,000 0
141 26 Mei 2018 013570 REZKA DWI UMAYA 20,000 20,000 0
142 26 Mei 2018 010506 HAMDA WAHDIAS AZANI 20,000 0 0
143 26 Mei 2018 008823 YANI YUSRIANI 20,000 20,000 0
144 26 Mei 2018 006602 ANDRIA SEPRINA 20,000 20,000 0
145 26 Mei 2018 013558 RAFARDHAN ZAYN ATHAYLAH 20,000 0 0
146 26 Mei 2018 010209 LUSI WULANDARI 20,000 20,000 0
147 28 Mei 2018 013529 NILA SAPUTRI 20,000 0 0
148 28 Mei 2018 013616 TIKA SUTRI YENI 20,000 20,000 0
149 28 Mei 2018 013546 LENI OKTALIA 20,000 0 0
150 28 Mei 2018 013525 DIANA HIDAYATUL KHIRAT 20,000 0 0
151 28 Mei 2018 013702 FARINI 20,000 20,000 0
152 28 Mei 2018 000658 SHINTA LESTARI 20,000 20,000 0
153 28 Mei 2018 010821 KEMALA SARI 20,000 0 0
154 28 Mei 2018 009758 MULYANI 20,000 0 0
155 28 Mei 2018 013388 MARDIANI 20,000 0 0
156 28 Mei 2018 013500 SYAFRIDA 20,000 20,000 0
157 30 Mei 2018 013554 ERLINA 20,000 20,000 0
158 30 Mei 2018 009967 SENJA WULAN SARI 20,000 20,000 0
159 30 Mei 2018 013369 DESI DARMAYANTI 20,000 20,000 0
160 30 Mei 2018 012480 ISRAMA YANTI 20,000 0 0
161 30 Mei 2018 010217 YESI KUMALA SARI 20,000 20,000 0
162 31 Mei 2018 013501 BY NY GITA NOVRI YULITA 20,000 0 0
163 31 Mei 2018 012546 GITA NOVRI YULITA 20,000 0 0
164 31 Mei 2018 013406 ASVAHERNI 20,000 0 0
165 31 Mei 2018 013326 MARTHA SILVIA ERIDA 20,000 20,000 0
166 31 Mei 2018 009554 MARTA DIYOSA 20,000 20,000 0
167 31 Mei 2018 013320 YULIA INDRA YONA 20,000 20,000 0
PJS

KONSUL TV OBAT JUMLAH KETERANGAN

50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 32,500 122,500 DR. EF 122,500
50,000 0 0 90,000 DR. EF 90,000
50,000 0 7,000 97,000 DR. EF 77,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 25,500 155,500 DR. EF 163,500
50,000 60,000 25,500 155,500 DR. EF 95,500
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 30,000 22,500 122,500 DR. EF 122,500
50,000 600,000 33,500 703,500 DR. EF 163,500
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 0 0 70,000 DR.MIZA 70,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 60,000 0 130,000 DR. EF 130,000
50,000 60,000 25,000 155,000 DR. EF 155,000
50,000 60,000 39,500 169,500 DR. EF 169,500
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 70,000 DR.MIZA 70,000
50,000 0 0 90,000 DR. EF 90,000
30,000 0 27,000 97,000 DR. REVI 72,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 14,000 104,000 DR. EF 104,000
50,000 30,000 22,500 122,500 DR. EF 122,500
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 0 70,000 DR.EJI 70,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 0 0 70,000 DR. EJI 70,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 25,000 155,000 DR. EF 155,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 70,000 DR.EJI 70,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 17,000 147,000 DR. EF 147,000
50,000 0 14,000 104,000 DR. EF 104,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 17,000 147,000 DR. EF 147,000
50,000 0 0 70,000 DR. EF 100,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 13,000 83,000 DR. MIZA 83,000
50,000 0 59,000 129,000 DR.EF 129,000
50,000 0 0 90,000 DR.EF 70,000
50,000 30,000 17,000 117,000 DR.EF 117,000
50,000 0 0 90,000 DR.EF 90,000
50,000 30,000 17,000 117,000 DR.EF 117,000
50,000 0 0 90,000 DR.EF 90,000
50,000 60,000 25,000 155,000 DR.EF 155,000
50,000 60,000 35,000 165,000 DR.EF 125,000
50,000 0 0 90,000 DR.EF 90,000
50,000 60,000 24,000 154,000 DR.EF 154,000
50,000 0 0 70,000 DR.MIZA 70,000
50,000 0 0 90,000 DR.EF 90,000
50,000 0 0 90,000 DR.EF 90,000
50,000 30,000 17,000 117,000 DR.EF 117,000
50,000 30,000 25,000 125,000 DR.EF 125,000
50,000 0 0 70,000 DR.MIZA 70,000
50,000 60,000 25,000 155,000 DR.EF 155,000
50,000 0 0 70,000 DR. MIZA 70,000
50,000 30,000 25,000 125,000 DR. EF 125,000
50,000 60,000 25,000 155,000 DR. EF 155,000
50,000 0 0 90,000 DR. EF 90,000
30,000 0 50,000 120,000 DR. HUDRI 120,000
30,000 0 3,500 73,500 DR. REVI 73,500
50,000 60,000 25,500 155,500 DR.EF 155,500
50,000 0 0 90,000 DR.EF 90,000
50,000 0 0 90,000 DR.EF 90,000
50,000 0 0 90,000 DR.EF 90,000
50,000 0 12,000 82,000 DR. MIZA 82,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 0 90,000 DR. EF 75,000
50,000 0 0 90,000 DR. EF 75,000
50,000 60,000 25,000 155,000 DR. EF 155,000
50,000 30,000 17,000 117,000 DR. EF 137,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 30,000 21,000 121,000 DR. EF 121,000
50,000 0 0 70,000 DR. EJI 70,000
50,000 60,000 33,500 163,500 DR.EF 163,500
50,000 60,000 33,500 163,500 DR.EF 163,500
50,000 30,000 0 100,000 DR.EF 100,000
50,000 30,000 17,000 117,000 DR.EF 117,000
50,000 0 0 90,000 DR.EF 90,000
50,000 0 0 90,000 DR.EF 90,000
50,000 30,000 17,000 117,000 DR.EF 117,000
50,000 0 0 90,000 DR.EF 90,000
50,000 0 0 70,000 DR. MIZA 70,000
50,000 60,000 25,000 155,000 DR.EF 155,000
50,000 0 0 90,000 DR.EF 90,000
30,000 0 10,000 80,000 DR. REVI 80,000
50,000 60,000 25,000 155,000 DR. EF 155,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 42,000 172,000 DR. EF 172,000
50,000 0 0 70,000 DR. MIZA 70,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 70,000 DR. EJI 70,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 0 61,000 151,000 DR. EF 151,000
50,000 0 0 70,000 DR. EF 90,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 4,000 74,000 DR. MIZA 74,000
50,000 0 97,700 167,700 DR. EF 167,700
50,000 0 45,000 135,000 DR. EF 135,000
50,000 0 0 70,000 DR. MIZA 70,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 0 0 90,000 DR. EF 90,000
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 0 11,000 101,000 DR. EF 101,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 0 0 90,000 DR. EF 90,000
50,000 0 90,000 DR. EF 90,000
50,000 0 0 70,000 DR. MIZA 70,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 25,000 155,000 DR. EF 155,000
50,000 0 39,600 129,600 DR. EF 129,600
50,000 60,000 25,000 155,000 DR. EF 155,000
50,000 60,000 17,000 147,000 DR. EF 147,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 60,000 33,500 163,500 DR. EF 163,500
50,000 30,000 17,000 117,000 DR. EF 117,000
50,000 60,000 25,000 155,000 DR. EF 155,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 0 0 90,000 DR. EF 90,000
50,000 30,000 19,500 119,500 DR. EF 119,500
50,000 0 90,000 DR. EF 90,000
50,000 0 0 70,000 DR. EJI 70,000
50,000 30,000 0 100,000 DR. NAGA 100,000
50,000 30,000 17,000 117,000 DR. NAGA 117,000
50,000 0 0 90,000 DR. NAGA 90,000
50,000 0 0 90,000 DR. NAGA 90,000
50,000 0 0 90,000 DR. NAGA 90,000
 LAPORAN REKAP KLAIM - RSIA SUKMA BUNDA
Rawat Jalan, Periode Tanggal Pulang: 1 Mei 2018 s/d 31 Mei 2018
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TAR
No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien No. SEP
1 2 Mei 2018 2 Mei 2018 012822 LIDIA TRI WAHYUNI 0055R0010518V000007
2 2 Mei 2018 2 Mei 2018 012041 RESTI HANDAYANI 0055R0010518V000008
3 2 Mei 2018 2 Mei 2018 013302 SRI WIDIA NINGSIH 0055R0010518V000009
4 2 Mei 2018 2 Mei 2018 013301 MULIA YUVITA 0055R0010518V000010
5 2 Mei 2018 2 Mei 2018 009967 SENJA WULAN SARI 0055R0010518V000011
6 2 Mei 2018 2 Mei 2018 010244 RAHMA FRANSISKA 0055R0010518V000012
7 2 Mei 2018 2 Mei 2018 012749 FELLA SRI SUMANTI 0055R0010518V000013
8 2 Mei 2018 2 Mei 2018 001980 NURASYIAH 0055R0010518V000015
9 2 Mei 2018 2 Mei 2018 012008 NENGSI LUSIA 0055R0010518V000016
10 2 Mei 2018 2 Mei 2018 013308 SUCI PRIMADONA 0055R0010518V000018
11 3 Mei 2018 3 Mei 2018 013311 RIKA SUSILA WIDAYATI 0055R0010518V000024
12 3 Mei 2018 3 Mei 2018 012480 ISRAMA YANTI 0055R0010518V000025
13 3 Mei 2018 3 Mei 2018 012089 KIKI DEWIZA 0055R0010518V000026
14 3 Mei 2018 3 Mei 2018 013182 LUSI NOVIA 0055R0010518V000027
15 3 Mei 2018 3 Mei 2018 009567 IRONA DARNIS 0055R0010518V000028
16 3 Mei 2018 3 Mei 2018 011742 REFNIWATI 0055R0010518V000029
17 3 Mei 2018 3 Mei 2018 013063 MELIATI 0055R0010518V000030
18 3 Mei 2018 3 Mei 2018 013098 DHINI ANGGRAINI 0055R0010518V000031
19 3 Mei 2018 3 Mei 2018 013208 DESWITA RENI 0055R0010518V000034
20 4 Mei 2018 4 Mei 2018 012405 SIRAHAYU BANUERA 0055R0010518V000042
21 4 Mei 2018 4 Mei 2018 012437 VERAWATI 0055R0010518V000043
22 4 Mei 2018 4 Mei 2018 013209 BY NY MIKO DARLIS 0055R0010518V000044
23 4 Mei 2018 4 Mei 2018 012841 FADILLA HELINA EFENDI 0055R0010518V000045
24 4 Mei 2018 4 Mei 2018 013061 FERI IRDAMAYANI 0055R0010518V000046
25 4 Mei 2018 4 Mei 2018 009224 FEMILIA PERDANA 0055R0010518V000049
26 4 Mei 2018 4 Mei 2018 007965 NELA FEBRIA SAFITRI 0055R0010518V000050
27 4 Mei 2018 4 Mei 2018 013197 MARTIS YENI 0055R0010518V000051
28 4 Mei 2018 4 Mei 2018 013331 LOLINDA 0055R0010518V000052
29 4 Mei 2018 4 Mei 2018 013201 BY NY MARTIS YENI 0055R0010518V000053
30 4 Mei 2018 4 Mei 2018 013335 MISWIDAYATI 0055R0010518V000054
31 4 Mei 2018 4 Mei 2018 010126 GUSMARNI 0055R0010518V000055
32 5 Mei 2018 5 Mei 2018 012848 YURNIDAL 0055R0010518V000061
33 5 Mei 2018 5 Mei 2018 012831 NIKEN ARTHESIA 0055R0010518V000062
34 5 Mei 2018 5 Mei 2018 007183 IMA ROHMATIN 0055R0010518V000063
35 5 Mei 2018 5 Mei 2018 011498 ELI OKTAVIA 0055R0010518V000068
36 7 Mei 2018 7 Mei 2018 010223 INANG SURIATI 0055R0010518V000077
37 7 Mei 2018 7 Mei 2018 009808 ANGGIA AGUSTIA 0055R0010518V000078
38 7 Mei 2018 7 Mei 2018 012716 IKA FRISKA 0055R0010518V000079
39 7 Mei 2018 7 Mei 2018 012364 BY NY SYEFNI YENTI 0055R0010518V000081
40 7 Mei 2018 7 Mei 2018 011723 TRI LESTARI 0055R0010518V000082
41 7 Mei 2018 7 Mei 2018 006435 OSMILA 0055R0010518V000083
42 7 Mei 2018 7 Mei 2018 013143 SYAFNIDA 0055R0010518V000084
43 7 Mei 2018 7 Mei 2018 013231 BY NY SYAFNIDA 0055R0010518V000085
44 8 Mei 2018 8 Mei 2018 006602 ANDRIA SEPRINA 0055R0010518V000096
45 8 Mei 2018 8 Mei 2018 007275 YESSI AGUSTRI 0055R0010518V000097
46 8 Mei 2018 8 Mei 2018 011847 RESI MATRE YENI 0055R0010518V000098
47 8 Mei 2018 8 Mei 2018 013307 MUHAMMAD MUFTHI ASSHIDIQI 0055R0010518V000099
48 9 Mei 2018 9 Mei 2018 013404 MELA MURTI ROZA 0055R0010518V000103
49 4 Mei 2018 4 Mei 2018 013406 ASVAHERNI 0055R0010518V000104
50 9 Mei 2018 9 Mei 2018 012922 ANNE CICIOLINA PRATIWI 0055R0010518V000105
51 9 Mei 2018 9 Mei 2018 009759 SRI WAHYUNI 0055R0010518V000108
52 9 Mei 2018 9 Mei 2018 013098 DHINI ANGGRAINI 0055R0010518V000109
53 9 Mei 2018 9 Mei 2018 013072 LIA NOVITA 0055R0010518V000110
54 9 Mei 2018 9 Mei 2018 001980 NURASYIAH 0055R0010518V000111
55 9 Mei 2018 9 Mei 2018 010244 RAHMA FRANSISKA 0055R0010518V000112
56 11 Mei 2018 11 Mei 2018 013182 LUSI NOVIA 0055R0010518V000119
57 11 Mei 2018 11 Mei 2018 009567 IRONA DARNIS 0055R0010518V000120
58 11 Mei 2018 11 Mei 2018 012841 FADILLA HELINA EFENDI 0055R0010518V000121
59 11 Mei 2018 11 Mei 2018 011742 REFNIWATI 0055R0010518V000122
60 11 Mei 2018 11 Mei 2018 009224 FEMILIA PERDANA 0055R0010518V000128
61 11 Mei 2018 11 Mei 2018 012721 MIRA JUITA 0055R0010518V000129
62 11 Mei 2018 11 Mei 2018 012405 SIRAHAYU BANUERA 0055R0010518V000130
63 11 Mei 2018 11 Mei 2018 013342 BY. NY. MIRA JUITA 0055R0010518V000131
64 11 Mei 2018 11 Mei 2018 013197 MARTIS YENI 0055R0010518V000132
65 11 Mei 2018 11 Mei 2018 010704 EVA YOLENA 0055R0010518V000133
66 11 Mei 2018 11 Mei 2018 007965 NELA FEBRIA SAFITRI 0055R0010518V000134
67 12 Mei 2018 12 Mei 2018 009173 NELVAWATI 0055R0010518V000140
68 12 Mei 2018 12 Mei 2018 012437 VERAWATI 0055R0010518V000141
69 12 Mei 2018 12 Mei 2018 010506 HAMDA WAHDIAS AZANI 0055R0010518V000142
70 12 Mei 2018 12 Mei 2018 011790 RANI OKTAVIA 0055R0010518V000143
71 12 Mei 2018 12 Mei 2018 006602 ANDRIA SEPRINA 0055R0010518V000144
72 12 Mei 2018 12 Mei 2018 012054 NOVI SYOFIANI 0055R0010518V000145
73 12 Mei 2018 12 Mei 2018 001408 WAHYU KURNIA 0055R0010518V000146
74 12 Mei 2018 12 Mei 2018 013324 BY. NY. WAHYU KURNIA 0055R0010518V000147
75 14 Mei 2018 14 Mei 2018 012428 AURINA ZALISTY 0055R0010518V000151
76 14 Mei 2018 14 Mei 2018 013478 RIRI NOFRIANTI 0055R0010518V000153
77 14 Mei 2018 14 Mei 2018 005376 SYEFNI YENTI 0055R0010518V000154
78 14 Mei 2018 14 Mei 2018 009524 SISKA KUMALASARI MALAU 0055R0010518V000156
79 14 Mei 2018 14 Mei 2018 013343 BY NY SISKA KUMALASARI MALAU 0055R0010518V000157
 80 14 Mei 2018 14 Mei 2018 011603 RIKA MARIANTI 0055R0010518V000159
81 14 Mei 2018 14 Mei 2018 013344 BY. NY. RIKA MARIANTI 0055R0010518V000160
82 18 Mei 2018 18 Mei 2018 013143 SYAFNIDA 0055R0010518V000161
83 15 Mei 2018 15 Mei 2018 013178 ZETRIA AGUSTIN 0055R0010518V000167
84 15 Mei 2018 15 Mei 2018 013495 FADHILAH RATIB 0055R0010518V000168
85 14 Mei 2018 14 Mei 2018 013480 SHIRAZ AL FATIH HARDJODIKROMO 0055R0010518V000169
86 16 Mei 2018 16 Mei 2018 011990 MAGDALENA DEWI SARTIKA BR NAIBAHO 0055R0010518V000171
87 16 Mei 2018 16 Mei 2018 011670 RINA AFRIMA YOSI 0055R0010518V000173
88 16 Mei 2018 16 Mei 2018 009967 SENJA WULAN SARI 0055R0010518V000174
89 16 Mei 2018 16 Mei 2018 007275 YESSI AGUSTRI 0055R0010518V000176
90 16 Mei 2018 16 Mei 2018 009885 NOVA YANTI 0055R0010518V000177
91 16 Mei 2018 16 Mei 2018 011189 QEANO REIGA ARTHANY 0055R0010518V000178
92 17 Mei 2018 17 Mei 2018 012922 ANNE CICIOLINA PRATIWI 0055R0010518V000184
93 17 Mei 2018 17 Mei 2018 013497 DEWI SUSANTI 0055R0010518V000185
94 17 Mei 2018 17 Mei 2018 013511 PRIMA WIDYA 0055R0010518V000186
95 17 Mei 2018 17 Mei 2018 002784 NENG SULASTRI 0055R0010518V000187
96 18 Mei 2018 18 Mei 2018 012721 MIRA JUITA 0055R0010518V000193
97 18 Mei 2018 18 Mei 2018 013530 NURLINDA 0055R0010518V000194
98 18 Mei 2018 18 Mei 2018 012089 KIKI DEWIZA 0055R0010518V000199
99 19 Mei 2018 19 Mei 2018 011790 RANI OKTAVIA 0055R0010518V000208
100 19 Mei 2018 19 Mei 2018 013143 SYAFNIDA 0055R0010518V000209
101 19 Mei 2018 19 Mei 2018 013445 BY NY LILI MARLINA 0055R0010518V000211
102 19 Mei 2018 19 Mei 2018 010106 LILI MARLINA 0055R0010518V000213
103 19 Mei 2018 19 Mei 2018 008029 MUTIA SASTRA 0055R0010518V000214
104 19 Mei 2018 19 Mei 2018 001408 WAHYU KURNIA 0055R0010518V000215
105 21 Mei 2018 21 Mei 2018 011603 RIKA MARIANTI 0055R0010518V000228
106 21 Mei 2018 21 Mei 2018 013581 SETRI INDRAWATI 0055R0010518V000229
107 21 Mei 2018 21 Mei 2018 013583 LUSI ANDESKA SARI 0055R0010518V000230
108 22 Mei 2018 22 Mei 2018 013178 ZETRIA AGUSTIN 0055R0010518V000235
109 22 Mei 2018 22 Mei 2018 010014 WIS SUSANTI 0055R0010518V000236
110 22 Mei 2018 22 Mei 2018 013479 BY NY MULYANI 0055R0010518V000238
111 22 Mei 2018 22 Mei 2018 009758 MULYANI 0055R0010518V000239
112 22 Mei 2018 22 Mei 2018 012749 FELLA SRI SUMANTI 0055R0010518V000241
113 23 Mei 2018 23 Mei 2018 013616 TIKA SUTRI YENI 0055R0010518V000244
114 23 Mei 2018 23 Mei 2018 012909 ROSMI YANTI PS 0055R0010518V000245
115 23 Mei 2018 23 Mei 2018 011670 RINA AFRIMA YOSI 0055R0010518V000246
116 23 Mei 2018 23 Mei 2018 002842 DEFI SRI PUTRI 0055R0010518V000247
117 23 Mei 2018 23 Mei 2018 012480 ISRAMA YANTI 0055R0010518V000250
118 23 Mei 2018 23 Mei 2018 013494 BY. NY. ISRA MAYANTI 0055R0010518V000251
119 23 Mei 2018 23 Mei 2018 013511 PRIMA WIDYA 0055R0010518V000252
120 24 Mei 2018 24 Mei 2018 013501 BY NY GITA NOVRI YULITA 0055R0010518V000258
121 24 Mei 2018 24 Mei 2018 012546 GITA NOVRI YULITA 0055R0010518V000259
122 24 Mei 2018 24 Mei 2018 013628 FERY YUNDRIA 0055R0010518V000260
123 24 Mei 2018 24 Mei 2018 013295 WIDYA RESTI AGUSTIN 0055R0010518V000261
124 24 Mei 2018 24 Mei 2018 002784 NENG SULASTRI 0055R0010518V000263
125 24 Mei 2018 24 Mei 2018 013326 MARTHA SILVIA ERIDA 0055R0010518V000264
126 24 Mei 2018 24 Mei 2018 011751 MEL PUTRI 0055R0010518V000265
127 24 Mei 2018 24 Mei 2018 013513 SHOFY RABKHI ZAHIRA 0055R0010518V000266
128 23 Mei 2018 23 Mei 2018 013625 WINDA FITRIA 0055R0010518V000267
129 24 Mei 2018 24 Mei 2018 010725 SRI SUSILAWATI 0055R0010518V000269
130 24 Mei 2018 24 Mei 2018 011787 INAYA AZNI ATHIFA 0055R0010518V000270
131 24 Mei 2018 24 Mei 2018 001100 RANTI PUSPITA SARI 0055R0010518V000271
132 25 Mei 2018 25 Mei 2018 013497 DEWI SUSANTI 0055R0010518V000278
133 25 Mei 2018 25 Mei 2018 013530 NURLINDA 0055R0010518V000279
134 25 Mei 2018 25 Mei 2018 010330 ROSWITA SARI 0055R0010518V000283
135 25 Mei 2018 25 Mei 2018 013151 ATIKA NORA NASTI 0055R0010518V000286
136 25 Mei 2018 25 Mei 2018 013478 RIRI NOFRIANTI 0055R0010518V000289
137 26 Mei 2018 26 Mei 2018 010581 TITIK FERAWATI 0055R0010518V000294
138 26 Mei 2018 26 Mei 2018 008029 MUTIA SASTRA 0055R0010518V000295
139 26 Mei 2018 26 Mei 2018 011171 RENA ANDRIANA 0055R0010518V000296
140 26 Mei 2018 26 Mei 2018 013207 ERINA FADLA 0055R0010518V000298
141 26 Mei 2018 26 Mei 2018 013570 REZKA DWI UMAYA 0055R0010518V000299
142 26 Mei 2018 26 Mei 2018 010506 HAMDA WAHDIAS AZANI 0055R0010518V000302
143 26 Mei 2018 26 Mei 2018 008823 YANI YUSRIANI 0055R0010518V000304
144 26 Mei 2018 26 Mei 2018 006602 ANDRIA SEPRINA 0055R0010518V000305
145 26 Mei 2018 26 Mei 2018 013558 RAFARDHAN ZAYN ATHAYLAH 0055R0010518V000306
146 26 Mei 2018 26 Mei 2018 010209 LUSI WULANDARI 0055R0010518V000310
147 28 Mei 2018 28 Mei 2018 013529 NILA SAPUTRI 0055R0010518V000326
148 28 Mei 2018 28 Mei 2018 013616 TIKA SUTRI YENI 0055R0010518V000328
149 28 Mei 2018 28 Mei 2018 013546 LENI OKTALIA 0055R0010518V000329
150 28 Mei 2018 28 Mei 2018 013525 DIANA HIDAYATUL KHIRAT 0055R0010518V000330
151 28 Mei 2018 28 Mei 2018 013702 FARINI 0055R0010518V000331
152 28 Mei 2018 28 Mei 2018 000658 SHINTA LESTARI 0055R0010518V000332
153 28 Mei 2018 28 Mei 2018 010821 KEMALA SARI 0055R0010518V000333
154 28 Mei 2018 28 Mei 2018 009758 MULYANI 0055R0010518V000334
155 28 Mei 2018 28 Mei 2018 013388 MARDIANI 0055R0010518V000335
156 28 Mei 2018 28 Mei 2018 013500 SYAFRIDA 0055R0010518V000336
157 30 Mei 2018 30 Mei 2018 013554 ERLINA 0055R0010518V000354
158 30 Mei 2018 30 Mei 2018 009967 SENJA WULAN SARI 0055R0010518V000357
159 30 Mei 2018 30 Mei 2018 013369 DESI DARMAYANTI 0055R0010518V000359
160 30 Mei 2018 30 Mei 2018 012480 ISRAMA YANTI 0055R0010518V000360
161 30 Mei 2018 30 Mei 2018 010217 YESI KUMALA SARI 0055R0010518V000363
162 31 Mei 2018 31 Mei 2018 013501 BY NY GITA NOVRI YULITA 0055R0010518V000381
163 31 Mei 2018 31 Mei 2018 012546 GITA NOVRI YULITA 0055R0010518V000382
164 31 Mei 2018 31 Mei 2018 013406 ASVAHERNI 0055R0010518V000384
165 31 Mei 2018 31 Mei 2018 013326 MARTHA SILVIA ERIDA 0055R0010518V000385
166 31 Mei 2018 31 Mei 2018 009554 MARTA DIYOSA 0055R0010518V000386
167 31 Mei 2018 31 Mei 2018 013320 YULIA INDRA YONA 0055R0010518V000388
Total
Kode RS: 1376016
A BUNDA
8 s/d 31 Mei 2018
ulang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA
INACBG Top Up Total Tarif Tarif RS Jenis
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 122,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 77,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 95,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 122,500 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 163,500 RJ
Q-5-42-0 193,500 70,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 130,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-27-0 194,900 169,500 RJ
Z-3-23-0 582,100 90,000 RJ
Q-5-42-0 193,500 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-23-0 134,700 72,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-23-0 582,100 104,000 RJ
Z-3-27-0 194,900 122,500 RJ
Z-3-27-0 194,900 117,000 RJ
Q-5-42-0 193,500 70,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Q-5-42-0 193,500 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-27-0 194,900 147,000 RJ
Z-3-23-0 582,100 104,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 147,000 RJ
Z-3-27-0 194,900 100,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 117,000 RJ
Q-5-42-0 193,500 83,000 RJ
Z-3-27-0 194,900 129,000 RJ
Z-3-25-0 314,100 70,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-25-0 314,100 125,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 154,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 125,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 155,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 125,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-23-0 582,100 90,000 RJ
Q-5-41-0 306,600 120,000 RJ
Q-5-23-0 134,700 73,500 RJ
Z-3-27-0 194,900 155,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 82,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-23-0 582,100 75,000 RJ
Z-3-25-0 314,100 75,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-27-0 194,900 137,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 121,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 100,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-23-0 134,700 80,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 172,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-23-0 582,100 151,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 74,000 RJ
Q-5-23-0 134,700 167,700 RJ
Z-3-23-0 582,100 135,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 101,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-25-0 314,100 129,600 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-27-0 194,900 147,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 119,500 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 100,000 RJ
Z-3-23-0 582,100 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
45,365,400 18,355,800
 LAPORAN REKAP KLAIM - RSIA SUKMA BUNDA
Rawat Jalan, Periode Tanggal Pulang: 1 Mei 2018 s/d 31 Mei 2018
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TAR
No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien No. SEP
1 2 Mei 2018 2 Mei 2018 012822 LIDIA TRI WAHYUNI 0055R0010518V000007
2 2 Mei 2018 2 Mei 2018 012041 RESTI HANDAYANI 0055R0010518V000008
3 2 Mei 2018 2 Mei 2018 013302 SRI WIDIA NINGSIH 0055R0010518V000009
4 2 Mei 2018 2 Mei 2018 013301 MULIA YUVITA 0055R0010518V000010
5 2 Mei 2018 2 Mei 2018 009967 SENJA WULAN SARI 0055R0010518V000011
6 2 Mei 2018 2 Mei 2018 010244 RAHMA FRANSISKA 0055R0010518V000012
7 2 Mei 2018 2 Mei 2018 012749 FELLA SRI SUMANTI 0055R0010518V000013
8 2 Mei 2018 2 Mei 2018 001980 NURASYIAH 0055R0010518V000015
9 2 Mei 2018 2 Mei 2018 012008 NENGSI LUSIA 0055R0010518V000016
10 2 Mei 2018 2 Mei 2018 013308 SUCI PRIMADONA 0055R0010518V000018
11 3 Mei 2018 3 Mei 2018 013311 RIKA SUSILA WIDAYATI 0055R0010518V000024
12 3 Mei 2018 3 Mei 2018 012480 ISRAMA YANTI 0055R0010518V000025
13 3 Mei 2018 3 Mei 2018 012089 KIKI DEWIZA 0055R0010518V000026
14 3 Mei 2018 3 Mei 2018 013182 LUSI NOVIA 0055R0010518V000027
15 3 Mei 2018 3 Mei 2018 009567 IRONA DARNIS 0055R0010518V000028
16 3 Mei 2018 3 Mei 2018 011742 REFNIWATI 0055R0010518V000029
17 3 Mei 2018 3 Mei 2018 013063 MELIATI 0055R0010518V000030
18 3 Mei 2018 3 Mei 2018 013098 DHINI ANGGRAINI 0055R0010518V000031
19 3 Mei 2018 3 Mei 2018 013208 DESWITA RENI 0055R0010518V000034
20 4 Mei 2018 4 Mei 2018 012405 SIRAHAYU BANUERA 0055R0010518V000042
21 4 Mei 2018 4 Mei 2018 012437 VERAWATI 0055R0010518V000043
22 4 Mei 2018 4 Mei 2018 013209 BY NY MIKO DARLIS 0055R0010518V000044
23 4 Mei 2018 4 Mei 2018 012841 FADILLA HELINA EFENDI 0055R0010518V000045
24 4 Mei 2018 4 Mei 2018 013061 FERI IRDAMAYANI 0055R0010518V000046
25 4 Mei 2018 4 Mei 2018 009224 FEMILIA PERDANA 0055R0010518V000049
26 4 Mei 2018 4 Mei 2018 007965 NELA FEBRIA SAFITRI 0055R0010518V000050
27 4 Mei 2018 4 Mei 2018 013197 MARTIS YENI 0055R0010518V000051
28 4 Mei 2018 4 Mei 2018 013331 LOLINDA 0055R0010518V000052
29 4 Mei 2018 4 Mei 2018 013201 BY NY MARTIS YENI 0055R0010518V000053
30 4 Mei 2018 4 Mei 2018 013335 MISWIDAYATI 0055R0010518V000054
31 4 Mei 2018 4 Mei 2018 010126 GUSMARNI 0055R0010518V000055
32 5 Mei 2018 5 Mei 2018 012848 YURNIDAL 0055R0010518V000061
33 5 Mei 2018 5 Mei 2018 012831 NIKEN ARTHESIA 0055R0010518V000062
34 5 Mei 2018 5 Mei 2018 007183 IMA ROHMATIN 0055R0010518V000063
35 5 Mei 2018 5 Mei 2018 011498 ELI OKTAVIA 0055R0010518V000068
36 7 Mei 2018 7 Mei 2018 010223 INANG SURIATI 0055R0010518V000077
37 7 Mei 2018 7 Mei 2018 009808 ANGGIA AGUSTIA 0055R0010518V000078
38 7 Mei 2018 7 Mei 2018 012716 IKA FRISKA 0055R0010518V000079
39 7 Mei 2018 7 Mei 2018 012364 BY NY SYEFNI YENTI 0055R0010518V000081
40 7 Mei 2018 7 Mei 2018 011723 TRI LESTARI 0055R0010518V000082
41 7 Mei 2018 7 Mei 2018 006435 OSMILA 0055R0010518V000083
42 7 Mei 2018 7 Mei 2018 013143 SYAFNIDA 0055R0010518V000084
43 7 Mei 2018 7 Mei 2018 013231 BY NY SYAFNIDA 0055R0010518V000085
44 8 Mei 2018 8 Mei 2018 006602 ANDRIA SEPRINA 0055R0010518V000096
45 8 Mei 2018 8 Mei 2018 007275 YESSI AGUSTRI 0055R0010518V000097
46 8 Mei 2018 8 Mei 2018 011847 RESI MATRE YENI 0055R0010518V000098
47 8 Mei 2018 8 Mei 2018 013307 MUHAMMAD MUFTHI ASSHIDIQI 0055R0010518V000099
48 9 Mei 2018 9 Mei 2018 013404 MELA MURTI ROZA 0055R0010518V000103
49 4 Mei 2018 4 Mei 2018 013406 ASVAHERNI 0055R0010518V000104
50 9 Mei 2018 9 Mei 2018 012922 ANNE CICIOLINA PRATIWI 0055R0010518V000105
51 9 Mei 2018 9 Mei 2018 009759 SRI WAHYUNI 0055R0010518V000108
52 9 Mei 2018 9 Mei 2018 013098 DHINI ANGGRAINI 0055R0010518V000109
53 9 Mei 2018 9 Mei 2018 013072 LIA NOVITA 0055R0010518V000110
54 9 Mei 2018 9 Mei 2018 001980 NURASYIAH 0055R0010518V000111
55 9 Mei 2018 9 Mei 2018 010244 RAHMA FRANSISKA 0055R0010518V000112
56 11 Mei 2018 11 Mei 2018 013182 LUSI NOVIA 0055R0010518V000119
57 11 Mei 2018 11 Mei 2018 009567 IRONA DARNIS 0055R0010518V000120
58 11 Mei 2018 11 Mei 2018 012841 FADILLA HELINA EFENDI 0055R0010518V000121
59 11 Mei 2018 11 Mei 2018 011742 REFNIWATI 0055R0010518V000122
60 11 Mei 2018 11 Mei 2018 009224 FEMILIA PERDANA 0055R0010518V000128
61 11 Mei 2018 11 Mei 2018 012721 MIRA JUITA 0055R0010518V000129
62 11 Mei 2018 11 Mei 2018 012405 SIRAHAYU BANUERA 0055R0010518V000130
63 11 Mei 2018 11 Mei 2018 013342 BY. NY. MIRA JUITA 0055R0010518V000131
64 11 Mei 2018 11 Mei 2018 013197 MARTIS YENI 0055R0010518V000132
65 11 Mei 2018 11 Mei 2018 010704 EVA YOLENA 0055R0010518V000133
66 11 Mei 2018 11 Mei 2018 007965 NELA FEBRIA SAFITRI 0055R0010518V000134
67 12 Mei 2018 12 Mei 2018 009173 NELVAWATI 0055R0010518V000140
68 12 Mei 2018 12 Mei 2018 012437 VERAWATI 0055R0010518V000141
69 12 Mei 2018 12 Mei 2018 010506 HAMDA WAHDIAS AZANI 0055R0010518V000142
70 12 Mei 2018 12 Mei 2018 011790 RANI OKTAVIA 0055R0010518V000143
71 12 Mei 2018 12 Mei 2018 006602 ANDRIA SEPRINA 0055R0010518V000144
72 12 Mei 2018 12 Mei 2018 012054 NOVI SYOFIANI 0055R0010518V000145
73 12 Mei 2018 12 Mei 2018 001408 WAHYU KURNIA 0055R0010518V000146
74 12 Mei 2018 12 Mei 2018 013324 BY. NY. WAHYU KURNIA 0055R0010518V000147
75 14 Mei 2018 14 Mei 2018 012428 AURINA ZALISTY 0055R0010518V000151
76 14 Mei 2018 14 Mei 2018 013478 RIRI NOFRIANTI 0055R0010518V000153
77 14 Mei 2018 14 Mei 2018 005376 SYEFNI YENTI 0055R0010518V000154
78 14 Mei 2018 14 Mei 2018 009524 SISKA KUMALASARI MALAU 0055R0010518V000156
79 14 Mei 2018 14 Mei 2018 013343 BY NY SISKA KUMALASARI MALAU 0055R0010518V000157
 80 14 Mei 2018 14 Mei 2018 011603 RIKA MARIANTI 0055R0010518V000159
81 14 Mei 2018 14 Mei 2018 013344 BY. NY. RIKA MARIANTI 0055R0010518V000160
82 18 Mei 2018 18 Mei 2018 013143 SYAFNIDA 0055R0010518V000161
83 15 Mei 2018 15 Mei 2018 013178 ZETRIA AGUSTIN 0055R0010518V000167
84 15 Mei 2018 15 Mei 2018 013495 FADHILAH RATIB 0055R0010518V000168
85 14 Mei 2018 14 Mei 2018 013480 SHIRAZ AL FATIH HARDJODIKROMO 0055R0010518V000169
86 16 Mei 2018 16 Mei 2018 011990 MAGDALENA DEWI SARTIKA BR NAIBAHO 0055R0010518V000171
87 16 Mei 2018 16 Mei 2018 011670 RINA AFRIMA YOSI 0055R0010518V000173
88 16 Mei 2018 16 Mei 2018 009967 SENJA WULAN SARI 0055R0010518V000174
89 16 Mei 2018 16 Mei 2018 007275 YESSI AGUSTRI 0055R0010518V000176
90 16 Mei 2018 16 Mei 2018 009885 NOVA YANTI 0055R0010518V000177
91 16 Mei 2018 16 Mei 2018 011189 QEANO REIGA ARTHANY 0055R0010518V000178
92 17 Mei 2018 17 Mei 2018 012922 ANNE CICIOLINA PRATIWI 0055R0010518V000184
93 17 Mei 2018 17 Mei 2018 013497 DEWI SUSANTI 0055R0010518V000185
94 17 Mei 2018 17 Mei 2018 013511 PRIMA WIDYA 0055R0010518V000186
95 17 Mei 2018 17 Mei 2018 002784 NENG SULASTRI 0055R0010518V000187
96 18 Mei 2018 18 Mei 2018 012721 MIRA JUITA 0055R0010518V000193
97 18 Mei 2018 18 Mei 2018 013530 NURLINDA 0055R0010518V000194
98 18 Mei 2018 18 Mei 2018 012089 KIKI DEWIZA 0055R0010518V000199
99 19 Mei 2018 19 Mei 2018 011790 RANI OKTAVIA 0055R0010518V000208
100 19 Mei 2018 19 Mei 2018 013143 SYAFNIDA 0055R0010518V000209
101 19 Mei 2018 19 Mei 2018 013445 BY NY LILI MARLINA 0055R0010518V000211
102 19 Mei 2018 19 Mei 2018 010106 LILI MARLINA 0055R0010518V000213
103 19 Mei 2018 19 Mei 2018 008029 MUTIA SASTRA 0055R0010518V000214
104 19 Mei 2018 19 Mei 2018 001408 WAHYU KURNIA 0055R0010518V000215
105 21 Mei 2018 21 Mei 2018 011603 RIKA MARIANTI 0055R0010518V000228
106 21 Mei 2018 21 Mei 2018 013581 SETRI INDRAWATI 0055R0010518V000229
107 21 Mei 2018 21 Mei 2018 013583 LUSI ANDESKA SARI 0055R0010518V000230
108 22 Mei 2018 22 Mei 2018 013178 ZETRIA AGUSTIN 0055R0010518V000235
109 22 Mei 2018 22 Mei 2018 010014 WIS SUSANTI 0055R0010518V000236
110 22 Mei 2018 22 Mei 2018 013479 BY NY MULYANI 0055R0010518V000238
111 22 Mei 2018 22 Mei 2018 009758 MULYANI 0055R0010518V000239
112 22 Mei 2018 22 Mei 2018 012749 FELLA SRI SUMANTI 0055R0010518V000241
113 23 Mei 2018 23 Mei 2018 013616 TIKA SUTRI YENI 0055R0010518V000244
114 23 Mei 2018 23 Mei 2018 012909 ROSMI YANTI PS 0055R0010518V000245
115 23 Mei 2018 23 Mei 2018 011670 RINA AFRIMA YOSI 0055R0010518V000246
116 23 Mei 2018 23 Mei 2018 002842 DEFI SRI PUTRI 0055R0010518V000247
117 23 Mei 2018 23 Mei 2018 012480 ISRAMA YANTI 0055R0010518V000250
118 23 Mei 2018 23 Mei 2018 013494 BY. NY. ISRA MAYANTI 0055R0010518V000251
119 23 Mei 2018 23 Mei 2018 013511 PRIMA WIDYA 0055R0010518V000252
120 24 Mei 2018 24 Mei 2018 013501 BY NY GITA NOVRI YULITA 0055R0010518V000258
121 24 Mei 2018 24 Mei 2018 012546 GITA NOVRI YULITA 0055R0010518V000259
122 24 Mei 2018 24 Mei 2018 013628 FERY YUNDRIA 0055R0010518V000260
123 24 Mei 2018 24 Mei 2018 013295 WIDYA RESTI AGUSTIN 0055R0010518V000261
124 24 Mei 2018 24 Mei 2018 002784 NENG SULASTRI 0055R0010518V000263
125 24 Mei 2018 24 Mei 2018 013326 MARTHA SILVIA ERIDA 0055R0010518V000264
126 24 Mei 2018 24 Mei 2018 011751 MEL PUTRI 0055R0010518V000265
127 24 Mei 2018 24 Mei 2018 013513 SHOFY RABKHI ZAHIRA 0055R0010518V000266
128 23 Mei 2018 23 Mei 2018 013625 WINDA FITRIA 0055R0010518V000267
129 24 Mei 2018 24 Mei 2018 010725 SRI SUSILAWATI 0055R0010518V000269
130 24 Mei 2018 24 Mei 2018 011787 INAYA AZNI ATHIFA 0055R0010518V000270
131 24 Mei 2018 24 Mei 2018 001100 RANTI PUSPITA SARI 0055R0010518V000271
132 25 Mei 2018 25 Mei 2018 013497 DEWI SUSANTI 0055R0010518V000278
133 25 Mei 2018 25 Mei 2018 013530 NURLINDA 0055R0010518V000279
134 25 Mei 2018 25 Mei 2018 010330 ROSWITA SARI 0055R0010518V000283
135 25 Mei 2018 25 Mei 2018 013151 ATIKA NORA NASTI 0055R0010518V000286
136 25 Mei 2018 25 Mei 2018 013478 RIRI NOFRIANTI 0055R0010518V000289
137 26 Mei 2018 26 Mei 2018 010581 TITIK FERAWATI 0055R0010518V000294
138 26 Mei 2018 26 Mei 2018 008029 MUTIA SASTRA 0055R0010518V000295
139 26 Mei 2018 26 Mei 2018 011171 RENA ANDRIANA 0055R0010518V000296
140 26 Mei 2018 26 Mei 2018 013207 ERINA FADLA 0055R0010518V000298
141 26 Mei 2018 26 Mei 2018 013570 REZKA DWI UMAYA 0055R0010518V000299
142 26 Mei 2018 26 Mei 2018 010506 HAMDA WAHDIAS AZANI 0055R0010518V000302
143 26 Mei 2018 26 Mei 2018 008823 YANI YUSRIANI 0055R0010518V000304
144 26 Mei 2018 26 Mei 2018 006602 ANDRIA SEPRINA 0055R0010518V000305
145 26 Mei 2018 26 Mei 2018 013558 RAFARDHAN ZAYN ATHAYLAH 0055R0010518V000306
146 26 Mei 2018 26 Mei 2018 010209 LUSI WULANDARI 0055R0010518V000310
147 28 Mei 2018 28 Mei 2018 013529 NILA SAPUTRI 0055R0010518V000326
148 28 Mei 2018 28 Mei 2018 013616 TIKA SUTRI YENI 0055R0010518V000328
149 28 Mei 2018 28 Mei 2018 013546 LENI OKTALIA 0055R0010518V000329
150 28 Mei 2018 28 Mei 2018 013525 DIANA HIDAYATUL KHIRAT 0055R0010518V000330
151 28 Mei 2018 28 Mei 2018 013702 FARINI 0055R0010518V000331
152 28 Mei 2018 28 Mei 2018 000658 SHINTA LESTARI 0055R0010518V000332
153 28 Mei 2018 28 Mei 2018 010821 KEMALA SARI 0055R0010518V000333
154 28 Mei 2018 28 Mei 2018 009758 MULYANI 0055R0010518V000334
155 28 Mei 2018 28 Mei 2018 013388 MARDIANI 0055R0010518V000335
156 28 Mei 2018 28 Mei 2018 013500 SYAFRIDA 0055R0010518V000336
157 30 Mei 2018 30 Mei 2018 013554 ERLINA 0055R0010518V000354
158 30 Mei 2018 30 Mei 2018 009967 SENJA WULAN SARI 0055R0010518V000357
159 30 Mei 2018 30 Mei 2018 013369 DESI DARMAYANTI 0055R0010518V000359
160 30 Mei 2018 30 Mei 2018 012480 ISRAMA YANTI 0055R0010518V000360
161 30 Mei 2018 30 Mei 2018 010217 YESI KUMALA SARI 0055R0010518V000363
162 31 Mei 2018 31 Mei 2018 013501 BY NY GITA NOVRI YULITA 0055R0010518V000381
163 31 Mei 2018 31 Mei 2018 012546 GITA NOVRI YULITA 0055R0010518V000382
164 31 Mei 2018 31 Mei 2018 013406 ASVAHERNI 0055R0010518V000384
165 31 Mei 2018 31 Mei 2018 013326 MARTHA SILVIA ERIDA 0055R0010518V000385
166 31 Mei 2018 31 Mei 2018 009554 MARTA DIYOSA 0055R0010518V000386
167 31 Mei 2018 31 Mei 2018 013320 YULIA INDRA YONA 0055R0010518V000388
Total
Kode RS: 1376016
A BUNDA
8 s/d 31 Mei 2018
ulang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA
INACBG Top Up Total Tarif Tarif RS Jenis
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 122,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 77,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 95,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 122,500 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 163,500 RJ
Q-5-42-0 193,500 70,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 130,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-27-0 194,900 169,500 RJ
Z-3-23-0 582,100 90,000 RJ
Q-5-42-0 193,500 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-23-0 134,700 72,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-23-0 582,100 104,000 RJ
Z-3-27-0 194,900 122,500 RJ
Z-3-27-0 194,900 117,000 RJ
Q-5-42-0 193,500 70,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Q-5-42-0 193,500 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-27-0 194,900 147,000 RJ
Z-3-23-0 582,100 104,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 147,000 RJ
Z-3-27-0 194,900 100,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 117,000 RJ
Q-5-42-0 193,500 83,000 RJ
Z-3-27-0 194,900 129,000 RJ
Z-3-25-0 314,100 70,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-25-0 314,100 125,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 154,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 125,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 155,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 125,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-23-0 582,100 90,000 RJ
Q-5-41-0 306,600 120,000 RJ
Q-5-23-0 134,700 73,500 RJ
Z-3-27-0 194,900 155,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 82,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-23-0 582,100 75,000 RJ
Z-3-25-0 314,100 75,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-27-0 194,900 137,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 121,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 100,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-23-0 134,700 80,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 172,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-23-0 582,100 151,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 74,000 RJ
Q-5-23-0 134,700 167,700 RJ
Z-3-23-0 582,100 135,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-25-0 314,100 101,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-25-0 314,100 129,600 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-27-0 194,900 147,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 163,500 RJ
Z-3-27-0 194,900 117,000 RJ
Z-3-27-0 194,900 155,000 RJ
Z-3-23-0 582,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-27-0 194,900 119,500 RJ
Z-3-25-0 314,100 90,000 RJ
Q-5-44-0 192,100 70,000 RJ
Z-3-27-0 194,900 100,000 RJ
Z-3-23-0 582,100 117,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
Z-3-25-0 314,100 90,000 RJ
45,365,400 18,355,800