DAFTAR TAGIHAN KLAIM JALAN JAMKESMAS DALAM DAN LUAR GEDUNG

PROVINSI : KEPRI BULAN : JUN I TAHUN : 2012

KAB/KOTA : TANJUNGPINANG PUSKESMAS : TANJUNGPINANG
Kepada Yth
Kepala Dinas Kesehatan Kota Tanjungpinang
di- Tempat
Bersama ini kami ajukan tagihan Klaim Pelayanan Kesehatan Umum Rawat Jalan Peserta Jamkesmas
NO NAMA PASIEN NO.KARTU PESERTA UMUR JK TANGGAL DIAGNOSA PEL KES DAN BESARAN TARIF SESUAI DENGAN PERDA TOTAL BIAYA
JAMKESMAS (THN) L/P KUNJUNGAN POLI UMUM IGD POLI GIGI PEM.PENUNJANG POLI SPESIALISTIK
1 terenggano 0000593070636 42 l 26/05/2012 ispa 7,000 7,000
2 suryana 0000593122241 43 l 28/05/2012 sakit pegal-pegal 7,000 7,000
3 cicit 0000593064999 10 p pilek + demam 7,000 7,000
4 rahmawati 0000593064988 29 p pilek + demam 7,000 7,000
5 pramudia ardana 0000593109279 10 p demam 7,000 7,000
6 sutarti 0000593058609 51 p nyeri-nyeri 7,000 7,000
7 nira 0000593066393 64 p sakit kaki 7,000 7,000
8 tasya 0000593123229 11 p batuk 7,000 7,000
9 suyanti 0000593094508 37 p suntik kb 15,000 15,000
10 tjian tjoe tjhin 0000593208483 73 l batuk 7,000 7,000
11 fadhil heryanto 0000593088276 12 l 29/05/2012 febris 7,000 7,000
12 viona 0000593067159 20 p batuk pilek 7,000 7,000
13 jumiati 0000593108189 41 p sakit perut 7,000 7,000
14 yusnaniar 0000593088524 55 p pusing 7,000 7,000
15 nurmawan 0000593092326 68 l sesak 7,000 7,000
16 radit yoga 0000593112971 6 l batuk 7,000 7,000
17 reski yusmareta 0000593088535 7 p demam 7,000 7,000
18 nirda sri 0000593114589 24 p demam 7,000 7,000
19 suryati 0000593112609 53 p HT 7,000 7,000
20 martini 0000593091404 42 p batuk 7,000 7,000
21 sri subariyah 00001460038656 53 p 30/05/2012 HT 7,000 7,000
22 rajab 0000602157756 38 l asma 7,000 7,000
23 santi hirawati 0000593125806 28 p batuk 7,000 7,000
24 asniati 0000593120261 36 p batuk 7,000 7,000
25 ari oktavio 0000593116637 11 l batuk 7,000 7,000
26 syamsuar 0000593103982 47 l batuk 7,000 7,000
27 hartati 0000593150354 34 p 31/05/2012 batuk pilek 7,000 7,000
28 piani yuliana 0000593095555 30 p cepalgia 7,000 7,000
29 erdawati 0000593095544 51 p HT 7,000 7,000
30 m. rafiko 00005993090133 54 l alergi 7,000 7,000
31 subali 0000593058598 63 l batuk pilek 7,000 7,000
32 egi 0000593075711 7 l febris 7,000 7,000
33 sarmiati 0000593095083 43 p 1/6/2012 HT 7,000 7,000
34 sriyanti 0000593082674 40 p keputihan 7,000 7,000
35 yuni budiarti 0000593209023 28 p aff heacting 10,000 10,000
36 julia eka 0000593099199 10 p diare 7,000 7,000
37 ahmad joni 0000593274082 41 l asma 7,000 7,000
38 mardiah 0000593105619 36 p suntik kb 10,000 10,000
39 jumin 0000593097761 60 l ambien 7,000 7,000
40 jeprik 0000593088006 73 p sakit kaki 7,000 7,000
41 mujiadmi 0000593071143 54 p 2/6/2012 batuk pilek 7,000 7,000
42 aditia riski 0000593098558 13 l demam 7,000 7,000
43 lidia 0000593061996 13 p demam 7,000 7,000
44 febriansyah 0000593067519 23 p sakit kepala 7,000 7,000
45 nemi 0000593067497 44 p batuk pilek 7,000 7,000
46 susarni 0000593097827 40 p gastritis 7,000 7,000
47 sarah 0000593151412 52 p 4/6/2012 batuk 7,000 7,000
48 mulyati 0000593155012 53 p pegal 7,000 7,000
49 duwi 0000593106467 20 p pencabutan gigi tetap+obat 10,000 10,000
50 enisalawati 0000593207572 43 p sakit perut 7,000 7,000
51 olih 0000593106445 43 p sesak nafas 7,000 7,000
52 halimah 0000593118189 53 p HT 7,000 7,000
53 sian tjoe 0000593208483 72 l HT + sakit kepala 7,000 7,000
54 teguh puja 0000593209438 14 l demam 7,000 7,000
55 sartika 0000593121881 16 p pilek 7,000 7,000
56 susi 0000593098536 36 p 5/6/2012 pencabutan gigi tetap+obat 20,000 20,000
57 febrianti 0000593118437 15 p bisul 7,000 7,000
58 safi'i 0000593061388 46 l sakit gigi 10,000 10,000
59 fadri mod arsya 0000593115063 59 l pening 7,000 7,000
60 abbas jalil 0000593116942 83 l kudis 7,000 7,000
61 joko nuryono 000059328709 53 l pencabutan gigi tetap+obat 20,000 20,000
62 nurhayati 0000593103567 44 p suntik kb 15,000 15,000
63 renoivan 0000593096916 7 l 6/6/2012 batuk 7,000 7,000
64 samriyah 0000593092541 48 p batuk 7,000 7,000
65 nova enjelina 0000593075439 9 p muntah + sakit perut 7,000 7,000
66 siti fatimah 0000593122271 32 p diare 7,000 7,000
67 asniati 0000593120261 36 p batuk 7,000 7,000
68 yudi manggara 0000593096894 29 l pencabutan gigi tetap+obat 20,000 20,000
69 ahmad joni 0000593274082 41 l asma 7,000 7,000
70 edi samai 0000593061412 65 l gatal 7,000 7,000
71 basriyah 0000593095094 16 p 7/6/2012 sakit mata 7,000 7,000
72 susilawati 0000593116378 35 p pusing 7,000 7,000
73 suprianto 0000593122408 33 l kuku lepas + ganti perban 10,000 10,000
74 riawati 0000593123139 43 p pilek 7,000 7,000
75 juernawati 0000593059195 50 p kb 3 bulan 15,000 15,000
76 surya mahendra 0000593103609 10 l pencabutan gigi tetap+obat 15,000 15,000
 77 rejo 0000593100077 35 l diare 7,000 7,000
78 m. usman 0000593166082 10 l gatal 7,000 7,000
79 nurmawan 0000593092326 68 l pusing 7,000 7,000
80 m. ali 0000593077396 78 l 10/6/2012 batuk 7,000 7,000
81 susi 0000593098536 36 p pencabutan gigi tetap+obat 20,000 20,000
82 anisah 0000593066744 17 p febris 7,000 7,000
83 saiful hammah 0000593073887 30 l pencabutan gigi tetap+obat 7,000 7,000
84 agus supandi 0000593097816 38 l demam 7,000 7,000
85 azizah 0000591165856 59 p batuk 7,000 7,000
86 endang mularsih 0000593089503 30 p bengkak 7,000 7,000
87 moli hardiani 0000593113151 30 p kb 3 bulan 7,000 7,000
88 herni ermawati 0000593110642 30 p maag 7,000 7,000
89 kamasiyah 0000593065721 61 p HT + batuk 7,000 7,000
90 erniati 0000593080378 49 p demam 7,000 7,000
91 muriani 0000593095522 55 p pusing 7,000 7,000
92 ikhsan mubarak 0000593088388 11 l panas 7,000 7,000
93 nadhira 0000593120024 8 p begok + panas 7,000 7,000
94 guslim 0000593071097 46 l pegal 7,000 7,000
95 susi 0000593098536 36 p pencabutan gigi tetap+obat 20,000 20,000
96 jumainah 0000593119416 35 p 11/6/2012 kesemutan 7,000 7,000
97 kiebah 0000593064404 50 l HT 7,000 7,000
98 yoso 0000593066845 8 l muntah + panas 7,000 7,000
99 nuraina ali 0000593120002 50 p HT 7,000 7,000
100 halimah 0000593118189 53 p HT + sakit kepala 7,000 7,000
101 rohani 0000593117785 29 p pencabutan gigi tetap+obat 20,000 20,000
102 tjung oei 0000593150769 62 l HT 7,000 7,000
103 sari 0000593087927 40 p sakit perut 7,000 7,000
104 nadila 0000593073854 8 p batuk 7,000 7,000
105 lukman 0000593082707 50 l sakit pinggang 7,000 7,000
106 yusha yadi 0000593065855 13 l batuk 7,000 7,000
107 sri maulina 0000593109347 47 p sakit bahu, nyeri 7,000 7,000
108 bayu 0000593075373 7 l sakit perut 7,000 7,000
109 armani 0000593094756 55 p pusing 7,000 7,000
110 sulastri 0000593101462 42 p batuk 7,000 7,000
111 slamet r 00005930836753 53 l sesak 7,000 7,000
112 sri wulan 0000593083629 9 p batuk pilek 7,000 7,000
113 salmahwati 0000593083574 36 p gastritis 7,000 7,000
114 tyo 0000595098582 11 l pencabutan gigi susu 10,000 10,000
115 yulinar 0000593092091 42 p pil kb 5,000 5,000
116 daeng talebi 0000594136877 51 l diare 7,000 7,000
117 sri hartati 0000593088377 34 p sakit perut 7,000 7,000
118 sri subariyah 0001460038656 53 p ispa 7,000 7,000
119 siti murtini 0000593110686 44 p pencbtn gigi tetap,obat,kb 13,000 15,000 28,000
120 sinta 0000593070658 18 p sakit pinggang 7,000 7,000
121 bramtika 0000593114758 18 l 12/6/2012 gastritis 7,000 7,000
122 halimah 0000593118189 53 p HT 7,000 7,000
123 yuni hartina 0000593091415 32 p gatritis 7,000 7,000
124 yurhaini 0000593274093 39 p pencbtan gigi tetap+obat 20,000 20,000
125 mul sugitowati 0000593207673 45 l gastritis 7,000 7,000
126 m. ali 0000593077296 79 l HT 7,000 7,000
127 sulaiman 0000593070401 63 l sakit dada 7,000 7,000
128 sudarsih 0000593090278 17 p gastritis 7,000 7,000
129 fatimah 0000593108122 58 p diare 7,000 7,000
130 dewi 000059306971 29 p 13/06/2012 demam 7,000 7,000
131 titin sumarni 0000593095959 34 p sakit mata 7,000 7,000
132 titin sumarni 0000593095959 34 p suntik kb 15,000 15,000
133 nurlela 0000593116817 35 p suntik kb 15,000 15,000
134 amri 0000593082663 45 l sakit pinggang 7,000 7,000
135 suamiyati 0000593100505 30 p 15/06/2012 suntik kb 15,000 15,000
136 darto 0000593060672 49 l batuk 7,000 7,000
137 raifal 0000593074293 11 bulan l batuk 7,000 7,000
138 sumriyah 0000593092541 48 p pegal-pegal 7,000 7,000
139 elma y 0000593103666 30 p demam 7,000 7,000
140 yusnaniar 0000593088524 31 p 18 /06/2012 ispa 7,000 7,000
141 mahdar 0000593166058 57 l HT 7,000 7,000
142 mardiana 0000593094848 30 p suntik kb 15,000 15,000
143 ilham budiono 0000593060837 50 l 19/06/2012 HT 7,000 7,000
144 hadijah 0000593096016 45 p pusing 7,000 7,000
145 suan tjor tjhin 0000593208483 40 l HT 7,000 7,000
146 dina nofirna 0000593059206 19 p demam 7,000 7,000
147 er 000060212098 42 p pencbtn gigi tetap+kompli+obat 35,000 35,000
148 lukman 0000593082707 45 l batuk 7,000 7,000
149 mayangsari 0000593116198 41 p suntik kb 15,000 15,000
150 mardiana 0000593119192 46 p 20/06/2012 batuk 7,000 7,000
151 tumiyem 0000593120441 55 p batuk 7,000 7,000
152 hasan basri 0000593119991 35 l ispa 7,000 7,000
153 mustafa kamal 0000593122994 60 l gastritis 7,000 7,000
154 nozilailiyana 0000593070423 34 p suntik kb 15,000 15,000
155 djaya suratmin 0000593120463 21 l batuk 7,000 7,000
156 yunizar 0000593109123 34 l ispa 7,000 7,000
157 ramzani 0000593070311 19 p ispa 7,000 7,000
158 ratna citra dewi 0000593090818 36 p pencbtn gigi tetap +obat 20,000 20,000
159 herlina 0000593067813 46 p gastritis 7,000 7,000
160 eli umiati 0000593103025 43 p suntik kb 15,000 15,000
161 dea putri 0000593116222 8 p ispa 7,000 7,000
162 m. supriyanto 0000593100674 10 l 21/06/2012 batuk 7,000 7,000
163 endang 0000593089503 30 p asam urat 7,000 7,000
164 rafiah 0000593064538 30 p suntik kb 15,000 15,000
165 dahlia 0000593098266 54 p pegal-pegal 7,000 7,000
166 radiah 0000593110451 30 P pencbtan gigi tetap+obat 20,000 20,000
167 sumiyati 0000593071007 53 p DM 7,000 7,000
168 kamariyah 0000593124614 20 p 22/06/2012 ispa 7,000 7,000
169 ine dewi 0000593094734 35 p demam 7,000 7,000
170 er 0000602120981 47 p pencbtn gigi tetap+obat 20,000 20,000
171 la bolang 0000593151041 67 l gastritis 7,000 7,000
172 sutarno 0000593096422 55 l gastritis 7,000 7,000
173 m.raihan 0000593267499 15 l ispa 7,000 7,000
174 sujadi 0000593102373 65 l 23/06/2012 HT 7,000 7,000
175 mustapa kamal 0000593122934 66 l HT 7,000 7,000
176 eti salmiati 0000593074293 40 p ispa 7,000 7,000
177 duwi 0000593106467 20 p 25/06/2012 pencbtn gigi tetap +obat 20,000 20,000
178 titin sumarni 0000593093959 34 p batuk 7,000 7,000
179 sartika 0000593114769 16 p sakit perut 7,000 7,000
180 asni 0000593120261 36 p batuk 7,000 7,000
181 darmawati 0000593065596 40 p pegal-pegal 7,000 7,000
182 ria jumaini 0000593092923 37 p suntik kb 15,000 15,000

183 agus supandi 0000593097816 38 p pil kb 5,000 5,000

184 sumiati 0000593071007 40 p ispa 7,000 7,000
185 juraidah 0000593098828 54 p HT 7,000 7,000
186 ramzani 0000593070311 19 p ispa 7,000 7,000
187 dahlia 0000593098266 54 p batuk 7,000 7,000
188 herlina 0000593067813 46 p ispa 7,000 7,000
JUMLAH TOTAL 1,626,000
TERBILANG satu juta enam ratus dua puluh enam ribu rupiah

Mengetahui Tanjungpinang, 27 Juni 2012

Kepala Puskesmas Tanjungpinang PJ. Pengelola Keuangan Jamkesmas Puskesmas Tanjungpinang

dr. Hj. RAJA LISA RIANTUTI SRI PUJI LESTARI, AMK

Penata Penat Muda
NIP. 19741007 200502 2 006 NIP. 19760621 200312 2 007
 DAFTAR TAGIHAN KLAIM JALAN JAMKESMAS DALAM DAN LUAR GEDUNG

PROVINSI : KEPRI BULAN : JULI TAHUN : 2012

KAB/KOTA : TANJUNGPINANG PUSKESMAS : TANJUNGPINANG
Kepada Yth
Kepala Dinas Kesehatan Kota Tanjungpinang
di- Tempat
Bersama ini kami ajukan tagihan Klaim Pelayanan Kesehatan Umum Rawat Jalan Peserta Jamkesmas
NO.KARTU PESERTA UMUR JK TANGGAL PEL KES DAN BESARAN TARIF SESUAI DENGAN PERDA
NO NAMA PASIEN DIAGNOSA TOTAL BIAYA
JAMKESMAS (THN) L/P KUNJUNGAN POLI UMUM IGD POLI GIGI PEM. PENUNJANG POLI SPESIALISTIK
1 angga setiawan 00005931109145 16 l 26/06/2012 ispa 7,000 7,000
2 tiovan 0000593090043 12 l pilek 7,000 7,000
3 susarni 0000593097827 40 p demam 7,000 7,000
4 safii 0000593061388 43 l batuk 7,000 7,000
5 nurhasanah 0000593124603 23 p demam 7,000 7,000
6 marlina 0000593118009 31 p suntik kb 3 bln 15,000 15,000
7 rendivan 0000393096916 7 l ispa 7,000 7,000
8 susarni 0000593097827 40 p batuk 7,000 7,000
9 sumriyah 0000593092541 48 p batuk 7,000 7,000
10 ahmad gumelar 0000593092585 12 l batuk 7,000 7,000
11 mardiah 0000593100369 50 p ispa 7,000 7,000
12 khairunisa 0000593110653 11 p gatal 7,000 7,000
13 la bolong 0000593151041 70 l HT 7,000 7,000
14 azizan 0000593165856 59 l batuk 7,000 7,000
15 erny susanti 0000593118821 36 p planotest 15,000 15,000
16 suryati 0000593112609 53 p 27/06/2012 gatal 7,000 7,000
17 sunarti 0000593058341 53 p HT 7,000 7,000
18 iskandar 0000593098312 50 l ispa 7,000 7,000
19 hartati 0000593150354 34 p sakit pinggang 7,000 7,000
20 fatimah 0000593124917 55 p gastriis 7,000 7,000
21 djalal 0000593089187 55 l gastriis 7,000 5,000
22 karisi 0000593073044 34 p ANC 7,000 7,000
23 riko 0000593150376 13 l bisul 7,000 7,000
24 waode nurliana 0000593123117 32 p pencabtn gigi tetap +obat 20,000 20,000
25 tjung oei 00005931507697 62 p HT 7,000 7,000
26 teranggano 0000593070636 43 l 28/06/2012 pilek 7,000 7,000
27 rian falini 0000593088298 7 l ispa 7,000 7,000
28 kamsiah 0000593070491 56 l pusing 7,000 7,000
29 syaiful hamsah 0000593073887 29 l susah tidur 7,000 7,000
30 anisa 0000593066744 17 p gatal 7,000 7,000
31 nira 0000593066373 62 p HT 7,000 7,000
32 nemi 0000593067497 44 p ispa 7,000 7,000
33 radiah 0000593110451 35 p pencabtn gigi tetap +obat 20,000 20,000
34 suharman 0000593099098 44 l alergi 7,000 7,000
35 januardi 0000593075417 35 l demam 7,000 7,000
36 sabariah 0000593122386 55 p 29/06/2012 pencabtn gigi tetap +obat 20,000 20,000
37 sri hartati 0000593088377 8 p batuk 7,000 7,000
38 zainul abidin 0000593094868 61 l sariawan 7,000 7,000
39 hasan basri 0000593119991 67 l diare 7,000 7,000
40 mustopa kamal 0000593122994 60 l 30/06/2012 batuk 7,000 7,000
41 yogo pradiansah 0000593112947 8 l gondok 7,000 7,000
42 dwi rahayu fariza 0000593088287 8,5 p ispa 7,000 7,000
43 eny salawati 0000593207572 43 p 2/7/2012 sakit perut 7,000 7,000
44 elfi suprianti 0000593124197 25 p pil kb 5,000 5,000
45 sutarti 0000593058609 51 p sakit tangan 7,000 7,000
46 tjung oei 0000593150769 62 l HT 7,000 7,000
47 maisarah 00005932092692 13 p demam 7,000 7,000
48 ahmad safrudin 0000593209247 54 l sakit tulang 7,000 7,000
49 fatma sari 0000595064303 40 p demam 7,000 7,000
50 radia 0000593110451 35 p pencabtn gigi tetap +obat 20,000 20,000
51 zainimar 0000593095408 62 p sakit pinggang 7,000 7,000
52 er 0000602120987 40 p pencabtn gigi tetap +obat 20,000 20,000
53 susarni 0000593097827 40 p 3/7/2012 sakit kulit 7,000 7,000
54 ahmad joni 0000593274082 41 l asma 7,000 7,000
55 endang mularsih 0000593089503 52 p sakit tulang 7,000 7,000
56 saiful hamzah 0000592073087 29 l susah tidur 7,000 7,000
57 wulan 0000593073898 27 p pencabtn gigi tetap +obat 20,000 20,000
58 erni rahayu 0000593109346 46 p gatal 7,000 7,000
59 titin sumarni 0000593095959 34 p ispa 7,000 7,000
60 lasmi 0000593059239 64 p 7,000 7,000
61 fatimah 0000593150308 54 p gastriis 7,000 7,000
62 restu 0000593062132 43 l demam 7,000 7,000
63 wiji 0000593090638 80 l HT 7,000 7,000
64 eva septiani 0000593125817 24 p 4/7/2012 ANC 7,000 7,000
65 rohani 0000593117785 29 p demam 7,000 7,000
66 edi samai 0000593061412 65 l HT 7,000 7,000
67 yopi ardiansah 0000593129226 12 l Gv 10,000 10,000
68 eri susanti 0000593125795 36 p Anc 7,000 7,000
69 sri subariyah 0000146003868 53 p gastriis 7,000 7,000
70 irma suryani 000059311136 46 p sakit kaki 7,000 7,000
71 roslina 0000593064843 77 p gastriis 7,000 7,000
72 khairunisa 0000593110653 14 p gatal 7,000 7,000
73 nina 0000593093722 54 p alergi 7,000 7,000
74 mustopa kamal 0000593122994 60 l HT 7,000 7,000
75 setia warsih 0000593125198 43 p suntik kb 3 bln 15,000 15,000
76 afriani 0000593665629 32 p ANC 7,000 7,000
 77 nairi 0000593072471 65 p HT 7,000 7,000
78 melati 0000593118483 16 p pencabtn gigi tetap +obat 20,000 20,000
79 reffa 0000593097535 23 l 5/7/2012 batuk 7,000 7,000
80 lili susanti 0000593099109 40 p suntik kb 3 bln 15,000 15,000
81 amir 0000593092326 63 l HT 7,000 7,000
82 ratna citra 0000593120261 36 p ispa 7,000 7,000
83 bagio 0000593100022 55 l sakit kaki 7,000 7,000
84 tio wicaksono 0000593098582 11 l 6/7/2012 sariawan 7,000 7,000
85 rhuly 0000593097669 23 l sakit mata 7,000 7,000
86 rianila 0000593090155 20 p HT 7,000 7,000
87 fatmi susanti 0000593093373 34 p ANC 7,000 7,000
88 m.rafika 0000593090133 53 l gatal 7,000 7,000
89 syamsuar 0000593103982 47 p batuk 7,000 7,000
90 darsono 0000593110642 7,000 7,000
91 ratna wilis 0000593110124 46 p batuk 7,000 7,000
92 sumarno 0000593095667 72 l ispa 7,000 7,000
93 mardiana 0000593094846 50 p 7/7/2012 demam 7,000 7,000
94 hadijah 0000593096016 72 p ht 7,000 7,000
95 surya malende 0000593103609 56 l demam 7,000 7,000
96 sefa saniriah 0000593089931 12 p febris 7,000 7,000
97 bagio 0000593100022 55 l ispa 7,000 7,000
98 nurhidayat 0000593103598 60 l demam 7,000 7,000
99 maya sintya 0000593060861 45 p demam 7,000 7,000
100 bryan 0000593120553 7 l 9/7/2012 diare 7,000 7,000
101 melati pupita 0000593118483 15 p pencabtn gigi tetap +obat 20,000 20,000
102 nusbar 0000593113509 56 l demam 7,000 7,000
103 asrah 0000593151412 52 p demam 7,000 7,000
104 tjung oei 0000593150769 70 l ht 7,000 7,000
105 tegar ahmad 0000593074776 8 l sakit begok 7,000 7,000
106 mardawati 0000593101416 54 p suntik kb 3 bln 15,000 15,000
107 desi 0000593092124 17 p demam 7,000 7,000
108 jamalia 0000593112734 41 p sakit kaki 7,000 7,000
109 sian tjoe thin 0000593208483 78 l batuk 7,000 7,000
110 siti rohma 0000593269108 41 p ht 7,000 7,000
111 syamsiah 0000593071053 48 p sakit perut 7,000 7,000
112 rubayah 0000593065552 37 p suntik kb 3 bln 15,000 15,000
113 subali 0000593058598 63 l sakit kaki 7,000 7,000
114 salmah wati 0000593083574 54 p 10/7/2012 gastriis 7,000 7,000
115 m. pauleta 0000593111619 6 l ispa 7,000 7,000
116 asidah 000059151003 34 p demam 7,000 7,000
117 safii 0000593061388 47 l asma 7,000 7,000
118 ahmad joni 0000593274082 12 l batuk 7,000 7,000
119 amanda 0000593111597 9 p batuk 7,000 7,000
120 rio hartanto 0000593060679 20 l batuk 7,000 7,000
121 restu yuanda 0000593062132 13 l 11/7/2012 batuk 7,000 7,000
122 m.sood 0000593208009 52 l pencabtn gigi tetap +obat 20,000 20,000
123 levy yosepa 0000593187851 35 l pencabtn gigi tetap +obat 20,000 20,000
124 radiah 0000593110451 35 p pusing 7,000 7,000
125 nurliana 0000593124928 59 p sakit dada 7,000 7,000
126 sumriyah 0000593092541 48 p ht 7,000 7,000
127 lukman 0000593082707 50 l batuk 7,000 7,000
128 sri hartati 0000593088377 38 p demam 7,000 7,000
129 zainimar 0000593095408 62 p demam 7,000 7,000
130 supriyaanto 0000593083708 21 l gv 10,000 10,000
131 hasan basri 0000593119991 60 l gastriis 7,000 7,000
132 mustafa 0000593122994 60 l 12/7/2012 sesak nafas 7,000 7,000
133 zuherlina 0000593066305 35 p asma 7,000 7,000
134 ahmad safrudin 0000593209247 54 l sakit badan 7,000 7,000
135 salamah 0000593075351 29 p pusing 7,000 7,000
136 chairunisa 0000593177714 10 p gatal 7,000 7,000
137 rospita 0005931106884 45 p 13/07/2012 diare 7,000 7,000
138 hj daeng 0000594136077 67 l demam 7,000 7,000
139 charles nasution 0000593091426 15 l 14/07/2012 ispa 7,000 7,000
140 yeni ariyani 0000593062446 36 p batuk 7,000 7,000
141 meri mariati 0000593092934 13 p sakit telinga 7,000 7,000
142 dwi riska 0005931185386 24 p sakit mata 7,000 7,000
143 arni 0000593195062 12 p ispa 7,000 7,000
144 m.sood 0000593208009 52 l pencabtn gigi tetap +obat 20,000 20,000
145 intan 0000593116277 22 p ANC 10,000 10,000
146 elma yusniwati 0000593103666 34 p sakit dada 7,000 7,000
147 jumainah 0000593119416 37 p 16/07/2012 gatal 7,000 7,000
148 yogi s ardiansah 0000593120237 7 l demam 7,000 7,000
149 ayu nofianti 0000593066248 17 p demam 7,000 7,000
150 endang mularsih 0000593089503 50 p sakit tulang 7,000 7,000
151 selfi zaliyanti 0000593087279 7,3 p ispa 7,000 7,000
152 surati 0000593090717 37 p suntik kb 3 bln 15,000 15,000
153 lukman 0000593082707 50 L batuk 7,000 7,000
154 sumriyah 0000593092541 48 p diare 7,000 7,000
155 sugiyati 0000593075428 31 p demam 7,000 7,000
156 jasmita 0000593090864 10 p demam 7,000 7,000
157 darmawati 0000593074269 54 p ht 7,000 7,000
158 innawati 0000593097524 43 p batuk 7,000 7,000
159 m.sood 0000593208009 52 l 17/07/2012 pencabtn gigi tetap +obat 20,000 20,000
160 asniati 0000593120261 36 p batuk 7,000 7,000
161 terenggono 0000593070636 42 l batuk 7,000 7,000
162 wulan ratna 0000593073898 27 p pencabtn gigi tetap +obat 20,000 20,000
163 rohani 0000593117785 29 p pencabtn gigi tetap +obat 7,000 7,000
164 sri hartati 0000593088377 9 p 18/07/2012 batuk 7,000 7,000
165 ismaleny 0000593110214 50 p gastriis 7,000 7,000
166 sumiati 0000593100505 30 p demam 7,000 7,000
167 herman 0000593062108 42 l demam 7,000 7,000
168 rizky praswetya 0000593123218 15 l batuk 7,000 7,000
169 sri hartati 0000593088377 38 p batuk 7,000 7,000
170 hasan basri 0000593119991 60 l demam 7,000 7,000
171 charles 0000593091426 15 l ispa 7,000 7,000
172 erdawati 0000593095544 37 p asma 7,000 7,000
173 wanalia 0000593118898 11 p batuk 7,000 7,000
174 melati puspita 0000593118483 16 p pencabtn gigi tetap +obat 7,000 7,000
175 anggita 0000593113498 13 p 19/07/2012 sariawan 7,000 7,000
176 indrawati 0000593117965 33 p batuk 7,000 7,000
177 siti aisah 0000593123455 42 p pusing 7,000 7,000
178 sri subariyah 0001460038656 53 p demam 7,000 7,000
179 melati 0000593118483 16 p pencabtn gigi tetap +obat 20,000 20,000
180 zulkarnain 0000593082685 15 l sakit kuku 7,000 7,000
181 aliyah 0000593064606 53 p tulang sakit 7,000 7,000
182 kamaludin 0000593064652 22 l pencabtn gigi tetap +obat 20,000 20,000
183 ahmad joni 0000593274082 41 l asma 7,000 7,000
184 sunarno 0000593095667 73 l 20/07/2012 batuk 7,000 7,000
185 muhdar 0000593166058 38 l asma 7,000 7,000
186 umi kalsum 0000593094879 49 p sakit perut 7,000 7,000
187 niar 0000593108842 32 p batuk 7,000 7,000
188 ratna 0000408134463 31 p ispa 7,000 7,000
189 jumakir 0000593180638 62 l tangan sakit 7,000 7,000
190 umiyana 0000593166069 35 p batuk 7,000 7,000
191 alfa 0000593108853 7 l ispa 7,000 7,000
192 darmawati 0000593065596 53 p ht 7,000 7,000
193 tumiyem 0000593120441 55 p ht 7,000 7,000
194 rohanis 0000593065989 50 p 21/07/2012 ispa 7,000 7,000
195 ali nurdin 0000593059184 50 l gastriis 7,000 7,000
196 maisurah 0000593100224 13 p batuk 7,000 7,000
197 mudjiatmi 0000593071143 43 p 23/07/2012 ispa 7,000 7,000
198 sunarti 0000593058341 53 p batuk 7,000 7,000
199 slamet r 0000593083675 52 l gastritis 7,000 7,000
200 zulkarnain 0000593082685 15 l batuk 7,000 7,000
201 zulbetri 0000593122937 46 p batuk 7,000 7,000
202 inayah 0000593122961 12 p batuk 7,000 7,000
203 salbiah jamaludin 0000593060038 44 p gastritis 7,000 7,000
204 taharudin 0000593060027 65 l asma 7,000 7,000
205 desi 0000593110269 21 p demam 7,000 7,000
206 yudi 0000593065585 17 l sakit perut 7,000 7,000
207 tjung oei 0000593150769 62 l ht 7,000 7,000
208 reza 0000593118966 14 l batuk 7,000 7,000
209 zulkifli 0000593099926 48 l 24/07/2012 sakit kaki 7,000 7,000
210 raidan safitri 0000593097996 12 l sakit tenggorokan 7,000 7,000
211 sian tjoe tjin 0000593208484 72 p ht 7,000 7,000
212 lisnawati 0000593170762 36 p suntik kb 3 bln 15,000 15,000
213 s.lumban toruan 0000593070118 61 l batuk 7,000 7,000
214 asniati 0000593120261 36 p batuk 7,000 7,000
215 ine 0000593094734 7,5 p 25/07/2012 batuk 7,000 7,000
216 m. taufik 0000593098661 35 l batuk 7,000 7,000
217 salmah wati 0000593083574 54 p sesak nafas 7,000 7,000
218 jeprik 0000593088006 73 l sakit kaki 7,000 7,000
219 bayu 0000593075373 7 l batuk 7,000 7,000
220 anisa 0000593103069 16 p batuk 7,000 7,000
221 amir hamzah 0000593086509 39 l demam 7,000 7,000
222 dwi yanto 0000593109202 46 l alergi 7,000 7,000
223 titin sumarni 0000593095959 34 p batuk 7,000 7,000
JUMLAH TOTAL 1,825,000
TERBILANG Satu juta delapan ratus dua puluh lima ribu rupiah

Mengetahui Tanjungpinang, 27 Juli 2012

Kepala Puskesmas Tanjungpinang PJ. Pengelola Keuangan Jamkesmas Puskesmas Tanjungpinang

dr. Hj. RAJA LISA RIANTUTI SRI PUJI LESTARI, AMK

Penata Penata Muda
NIP. 19741007 200502 2 006 NIP. 19760621 200312 2 007
 7,000
7,000
7,000
7,000
7,000