LAPORAN PASIEN POLI KEBIDANAN

BULAN OKTOBER 2018

Tanggal dr.Wahdi Ket. dr Dalmy Ket.

B U BPJS Murni BPJS Rawat B U BPJS Murni BPJS Rawat
1 5 16 5 13 14 12 1
2 5 16 5 15 7 12 3
3 9 10 10 9 1
4 4 22 4 15 7 11 4
5 3 16 3 12 9 9 3
6 9 15 9 10 9 7 3
7
8 4 7 4 11 11 8 3
9 3 12 3 8 10 5 3
10 2 19 2 21 7 6 5
11 1 6 1 17 7 16 1
12 3 6 3 11 9 9 2
13 3 11 3 9 7 9
14
15 10 14 10 21 7 15 6
16 6 4 6 13 8 12 1
17 4 12 4 13 4 9 4
18 15 13 13 2
19 13 14 10 3
20 3 11 2 1 17 14 16 1
21
22 3 18 3
23 9 18 8 1
24 2 9 2
25 4
26
27
28
29 5 10 5
30 1
31 5 7 4 1
AN

dr Danil Ket.
B U BPJS Murni BPJS Rawat

10 8 9 1
11 9 10 1
9 7 9
12 4 10 2
9 8 7 2
12 7 8 4

18 8 16 2
12 11 11 1
7 4 5 2
 REKAPAN
POLI KEBIDANAN RSIA AMC
BULAN OKTOBER 2018
Tgl Jasa dokter USG PRINT ADM VT OBAT
1 Rp2,350,000 Rp1,400,000 Rp1,275,000 Rp560,000 Rp10,441,000
2 Rp2,185,000 Rp1,150,000 Rp1,075,000 Rp460,000 Rp10,000 Rp3,990,000
3 Rp2,150,000 Rp850,000 Rp700,000 Rp340,000 Rp3,922,000
4 Rp3,000,000 Rp1,400,000 Rp1,250,000 Rp560,000 Rp10,765,000
5 Rp2,450,000 Rp1,050,000 Rp925,000 Rp420,000 Rp6,723,000
6 Rp3,150,000 Rp950,000 Rp925,000 Rp380,000 Rp11,640,000
7
8 Rp2,150,000 Rp900,000 Rp725,000 Rp360,000 Rp5,370,000
9 Rp2,300,000 Rp950,000 Rp750,000 Rp380,000 Rp5,289,000
10 Rp3,000,000 Rp1,250,000 Rp1,000,000 Rp500,000 Rp6,701,000
11 Rp1,350,000 Rp600,000 Rp600,000 Rp240,000 Rp1,721,000
12 Rp1,450,000 Rp750,000 Rp725,000 Rp300,000 Rp3,064,000
13 Rp2,000,000 Rp900,000 Rp725,000 Rp360,000 Rp7,428,000
14
15 Rp2,250,000 Rp950,000 Rp925,000 Rp380,000 Rp4,268,000
16 Rp1,150,000 Rp600,000 Rp450,000 Rp240,000 Rp2,245,000
17 Rp1,550,000 Rp750,000 Rp725,000 Rp300,000 Rp6,948,000
18 Rp1,200,000 Rp650,000 Rp350,000 Rp260,000 Rp1,610,000
19 Rp1,400,000 Rp700,000 Rp475,000 Rp280,000 Rp2,064,000
20 Rp1,100,000 Rp650,000 Rp400,000 Rp260,000 Rp2,949,000
21
22 Rp2,450,000 Rp1,150,000 Rp800,000 Rp460,000 Rp10,000 Rp10,409,000
23 Rp2,800,000 Rp1,250,000 Rp1,226,000 Rp500,000 Rp5,100,000
24 Rp1,900,000 Rp800,000 Rp700,000 Rp320,000 Rp4,127,000
25 Rp850,000 Rp400,000 Rp375,000 Rp160,000 Rp2,388,000
26 Rp1,450,000 Rp700,000 Rp600,000 Rp280,000 Rp2,960,000
27 Rp1,400,000 Rp800,000 Rp775,000 Rp320,000 Rp3,497,000
28
29 Rp2,000,000 Rp900,000 Rp775,000 Rp360,000 Rp4,821,000
30 Rp1,200,000 Rp550,000 Rp500,000 Rp220,000 Rp2,931,000
31 Rp1,050,000 Rp550,000 Rp400,000 Rp220,000 Rp4,846,000

jumlah Rp51,285,000 Rp23,550,000 Rp20,151,000 Rp9,420,000 Rp20,000 Rp138,217,000

 KET.
Rp16,026,000
Rp8,870,000
Rp7,962,000
Rp16,975,000
Rp11,568,000
Rp17,045,000

Rp9,505,000
Rp9,669,000
Rp12,451,000
Rp4,511,000
Rp6,289,000
Rp11,413,000

Rp8,773,000
Rp4,685,000
Rp10,273,000
Rp4,070,000
Rp4,919,000
Rp5,359,000

Rp15,279,000
Rp10,876,000
Rp7,847,000
Rp4,173,000
Rp5,990,000
Rp6,792,000

Rp8,856,000
Rp5,401,000
Rp7,066,000

Rp242,643,000
 REKAPAN POLI KEBIDANAN
RSIA AMC METRO 2018

Tanggal jml pasien Jasa Dokter USG Print Adm VT Obat

Oktober
1 48 Rp2,350,000 Rp1,400,000 Rp1,275,000 Rp560,000 Rp10,441,000
kas

2 43 Rp2,185,000 Rp1,150,000 Rp1,075,000 Rp460,000 Rp10,000 Rp3,990,000

kas

es + tebs Bapak

3 29 Rp2,150,000 Rp850,000 Rp700,000 Rp340,000 Rp3,922,000

kas

Ny. Tika retur Promovit, Utro 28

4 48 Rp3,000,000 Rp1,400,000 Rp1,250,000 Rp560,000 Rp10,765,000

kas

5 40 Rp2,450,000 Rp1,050,000 Rp925,000 Rp420,000 Rp6,723,000

kas

6 43 Rp3,150,000 Rp950,000 Rp925,000 Rp380,000 Rp11,640,000

kas

Ny. Siti Badriah retur IUD Andalan

F2 Bapak

8 33 Rp2,150,000 Rp900,000 Rp725,000 Rp360,000 Rp5,370,000

kas

9 33 Rp2,300,000 Rp950,000 Rp750,000 Rp380,000 Rp5,289,000

kas

10 49 Rp3,000,000 Rp1,250,000 Rp1,000,000 Rp500,000 Rp6,701,000

kas
11 31 Rp1,350,000 Rp600,000 Rp600,000 Rp240,000 Rp1,721,000
kas

kripik bapak

12 29 Rp1,450,000 Rp750,000 Rp725,000 Rp300,000 Rp3,064,000

kas

13 30 Rp2,000,000 Rp900,000 Rp725,000 Rp360,000 Rp7,428,000

kas

15 52 Rp2,250,000 Rp950,000 Rp925,000 Rp380,000 Rp4,268,000

16 31 Rp1,150,000 Rp600,000 Rp450,000 Rp240,000 Rp2,245,000

kas

Ny. Lina Retur Veridin + Provagin

17 33 Rp1,550,000 Rp750,000 Rp725,000 Rp300,000 Rp6,948,000

kas

es dawet bapak

18 28 Rp1,200,000 Rp650,000 Rp350,000 Rp260,000 Rp1,610,000

kas

19 27 Rp1,400,000 Rp700,000 Rp475,000 Rp280,000 Rp2,064,000

kas

20 31 Rp1,100,000 Rp650,000 Rp400,000 Rp260,000 Rp2,949,000

kas

22 39 Rp2,450,000 Rp1,150,000 Rp800,000 Rp460,000 Rp10,000 Rp10,409,000

kas

23 47 Rp2,800,000 Rp1,250,000 Rp1,226,000 Rp500,000 Rp5,100,000

 kas

24 27 Rp1,900,000 Rp800,000 Rp700,000 Rp320,000 Rp4,127,000

kas

25 20 Rp850,000 Rp400,000 Rp375,000 Rp160,000 Rp2,388,000

kas

26 27 Rp1,450,000 Rp700,000 Rp600,000 Rp280,000 Rp2,960,000

kas

Retur CP Nn. Lia

27 32 Rp1,400,000 Rp800,000 Rp775,000 Rp320,000 Rp3,497,000

kas

F2 Bapak

29 41 Rp2,000,000 Rp900,000 Rp775,000 Rp360,000 Rp4,821,000

kas

30 24 Rp1,200,000 Rp550,000 Rp500,000 Rp220,000 Rp2,931,000

kas

31 23 Rp1,050,000 Rp550,000 Rp400,000 Rp220,000 Rp4,846,000

kas
 Ket

Rp16,026,000
Rp1,355,000
Rp17,381,000

Rp8,870,000
Rp1,165,000
Rp10,035,000
Rp10,000
Rp10,025,000

Rp7,962,000
Rp1,087,000
Rp9,049,000
Rp540,000
Rp8,509,000

Rp16,975,000
Rp1,462,000
Rp18,437,000

Rp11,568,000
Rp1,330,000
Rp12,898,000

Rp17,045,000
Rp1,425,000
Rp18,470,000
Rp250,000
Rp18,220,000
Rp3,250,000
Rp14,970,000

Rp9,505,000
Rp1,630,000
Rp11,135,000

Rp9,669,000
Rp1,344,000
Rp11,013,000

Rp12,451,000
Rp995,000
Rp13,446,000
Rp4,511,000
Rp951,000
Rp5,462,000
Rp5,000
Rp5,457,000

Rp6,289,000
Rp1,540,000
Rp7,829,000

Rp11,413,000
Rp1,153,000
Rp12,566,000

Rp8,773,000
Rp1,076,000
Rp9,849,000

Rp4,685,000
Rp996,000
Rp5,681,000
Rp365,000
Rp5,316,000

Rp10,273,000
Rp1,259,000
Rp11,532,000
Rp10,000
Rp11,522,000

Rp4,070,000
Rp1,179,000
Rp5,249,000

Rp4,919,000
Rp1,148,000
Rp6,067,000

Rp5,359,000
Rp1,307,000
Rp6,666,000

Rp15,279,000
Rp1,286,000
Rp16,565,000

Rp10,876,000
 Rp1,110,000
Rp11,986,000

Rp7,847,000
Rp1,207,000
Rp9,054,000

Rp4,173,000
Rp630,000
Rp4,803,000

Rp5,990,000
Rp590,000
Rp6,580,000
Rp190,000
Rp6,390,000

Rp6,792,000
Rp732,000
Rp7,524,000
Rp750,000
Rp6,774,000

Rp8,856,000
Rp788,000
Rp9,644,000

Rp5,401,000
Rp839,000
Rp6,240,000

Rp7,066,000
Rp855,000
Rp7,921,000
 JADWAL POLIKLINIK KEBIDANAN
DOKTER SPESIALIS KANDUNGAN
RSIA AMC METRO
BULAN NOVEMBER 2018
Tanggal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Kms Jmt Sbt Mgg Snn Sls Rab Kms Jmt Sbt Mgg Snn Sls Rab Kms Jmt Sbt Mgg Snn Sls Rab Kms Jmt Sbt Mgg Snn Sls Rab Kms Jmt

J J J J J J J J J J J J J J J J J J J J J J J J J J
dr . Wahdi
J J J J J J J J J J J J J J J J J J J J J
dr. Dalmy
J J J J J J J J J
dr. Danil
 LAPORAN KOLPOSKOPI
POLI KEBIDANAN RSIA AMC
BULAN OKTOBER 2018

NO Tanggal Nama Pasien Alamat & No. Telp Ket

1 3-Oct-18 Ny. Yulius (40 th) Yosomulyo
Tn. Triono 0853 6687 1828

2 3-Oct-18 Ny. Asih ( 43 th) Marga Tiga

Tn. Edi 0853 6982 1057

3 5-Oct-18 Ny. Mistiah (35 th) Sumber Fajar

0823 7836 1853

4 5-Oct-18 Ny. Dewi (30 th) Purbolinggo

` 0813 7979 0724

5 5-Oct-18 Ny. Amina (42 th) Rumbia

Tn. Khobi 0832 7174 2573

6 5-Oct-18 Ny. Wayan ( 41 th) Rumbia

Tn. Wayan 0852 1036 4610

7 6-Oct-18 Ny. C. Dewi Way Bungur

0852 6965 4079

8 8-Oct-18 Ny. Marinta ( 34 th) Mataram Udik IVA +

0821 7951 5178

9 8-Oct-18 Ny. Pujiatun ( 48 th) Way Seputih

Tn. Ponirin 0852 6924 4343

10 9-Oct-18 Ny. Astri (32 th) Sekampung IVA +

Tn. Agus 0858 4048 8875

11 10-Oct-18 Ny. Istining (50 th) Margorejo

Tn. Rafiudin 0812 7807 3623

12 11-Oct-18 Ny. Dewi Septiani Purbolinggo

0821 8487 3623

13 15-Oct-18 Ny. Endang (42 th) Pekalongan IVA +

Tn. Subraini 0813 6952 3493

14 23-Oct-18 Ny. Siti Juwariyah ( 30 th) Trimurjo

Tn. Sutrimo 0813 7983 7768

15 23-Oct-18 Ny. Nursinah ( 49 th) Tulang Bawang

Tn. Riadi 0853 5794 7719

16 24-Oct-18 Ny. Niki (23 th) Sritejo IVA +

Tn. Anjar 0852 6995 9554
 LAPORAN KOLPOSKOPI
POLI KEBIDANAN RSIA AMC
BULAN OKTOBER 2018

NO Tanggal Nama Pasien Alamat & No. Telp Biaya Ket

1 3-Oct-18 Ny. Yulius (40 th) Yosomulyo Rp 400,000
Tn. Triono 0853 6687 1828

2 3-Oct-18 Ny. Asih ( 43 th) Marga Tiga Rp 850,000

Tn. Edi 0853 6982 1057

3 5-Oct-18 Ny. Mistiah (35 th) Sumber Fajar Rp 400,000

0823 7836 1853

4 5-Oct-18 Ny. Dewi (30 th) Purbolinggo Rp 2,800,000

` 0813 7979 0724

5 5-Oct-18 Ny. Amina (42 th) Rumbia Rp 738,000

Tn. Khobi 0832 7174 2573

6 5-Oct-18 Ny. Wayan ( 41 th) Rumbia Rp 744,000

Tn. Wayan 0852 1036 4610

7 6-Oct-18 Ny. C. Dewi Way Bungur Rp 1,100,000

0852 6965 4079

8 8-Oct-18 Ny. Marinta ( 34 th) Mataram Udik Rp 2,323,000 IVA (+)

0821 7951 5178

9 8-Oct-18 Ny. Pujiatun ( 48 th) Way Seputih Rp 400,000

Tn. Ponirin 0852 6924 4343

10 9-Oct-18 Ny. Astri (32 th) Sekampung Rp 2,296,000 IVA (+) PA

Tn. Agus 0858 4048 8875

10 10-Oct-18 Ny. Istining (50 th) Margorejo Rp 890,000

Tn. Rafiudin 0812 7807 3623

11 11-Oct-18 Ny. Dewi Septiani Purbolinggo Rp 400,000

0821 8487 3623

12 15-Oct-18 Ny. Endang (42 th) Pekalongan Rp 1,849,000 IVA (+) PA

Tn. Subraini 0813 6952 3493

13 23-Oct-18 Ny. Siti Juwariyah ( 30 th) Trimurjo Rp 760,000

Tn. Sutrimo 0813 7983 7768

14 23-Oct-18 Ny. Nursinah ( 49 th) Tulang Bawang Rp 400,000

 Tn. Riadi 0853 5794 7719

15 24-Oct-18 Ny. Niki (23 th) Sritejo Rp 2,685,000 IVA (+) PA

Tn. Anjar 0852 6995 9554
 POLI KEBIDANAN RSIA AMC
BULAN OKTOBER 2018

Tanggal Nama Dokter, Jumlah Pasien Jumlah

Pasien
dr. Wahdi dr Dalmy dr Danil
jml pasien jml pasien jml pasien
1 21 27 48
2 21 22 43
3 9 20 29
4 26 22 48
5 19 21 40
6 24 19 43
7
8 11 22 33
9 15 18 33
10 21 28 49
11 7 24 31
12 9 20 29
13 14 16 30
14
15 24 28 52
16 10 21 31
17 16 17 33
18 28 28
19 27 27
20 31 31
21
22 21 18 39
23 27 20 47
24 10 17 27
25 4 16 20
26 10 17 27
27 12 20 32
28
29 15 26 41
30 1 23 24
31 12 11 23

jml 359 411 168 0 0 0 938

 LAPORAN IUD
POLI KEBIDANAN RSIA AMC
BULAN OKTOBER 2018

NO Tanggal Nama Pasien Alamat & no telp Ket.

1 6-Oct-18 Ny. Sugiyem P3 22 pasang
dr Wahdi IUD MIRENA

2 6-Oct-18 Ny. Sundari P3 GB pasang

dr Wahdi IUD MIRENA

3 6-Oct-18 Ny. Siti Badriah Ko-Ga aff IUD

dr Wahdi 0813 6949 7785

4 8-Oct-18 Ny. Siti Khuzaimah P3 Batang hari pasang

dr Wahdi Tn Sukemi 0858 4029 8044 IUD MIRENA

5 9-Oct-18 Ny. Sulainah P1 (30 th) Tulang Bawang pasang

dr Wahdi Tn. Nurdin 0823 7334 4299 IUD MIRENA

6 9-Oct-18 Ny. Nanik P1 (35 th) Way Jepara Aff Mirena

dr Wahdi Tn. Basio 0853 7864 5263

7 10-Oct-18 Ny. Putu P2 Seputih Raman Aff Mirena

dr Wahdi 0813 6944 4551

8 17-Oct-18 Ny. Sunarsih Gaya Baru pasang

dr Wahdi 0852 0802 1116 IUD MIRENA
 JADWAL POLI KEBIDANAN
RSIA ANUGERAH MEDIKAL CENTER
BULAN NOVEMBER 2018
Tanggal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Kms Jmt Sbt Mgg Snn Sls Rab Kms Jmt Sbt Mgg Snn Sls Rab Kms Jmt Sbt Mgg Snn Sls Rab Kms Jmt Sbt Mgg Snn Sls Rab Kms Jmt

Uut S P S S P S S P S S P S S P S S P S S P S S P S S P
Evi P S P P S P P S P P S P P S P P S P P S P P S P P S
Peni P S S P S S P P S P S S P P S P S S P P S P S S P P
Made S P P S P P S S P S P P S S P S P P S S P S P P S S