04 - April 2019 - Proses

NO NAMA NOMOR REKENING JUMLAH
1 dr. VINI HEMA RUT GOSAL MANDIRI - 1500013586761 Rp 13,362,500.00

2 dr. STEPHANIE CHRISTY P. LOONG MANDIRI - 1500013549892 Rp 10,580,000.00
3 dr. CRISTY LUCIA RATTU MANDIRI - 1500013549777 Rp 10,685,000.00
4 dr. BILLY MAMANUA, Biomed. FIAS MANDIRI - 1500052500525 Rp 9,650,000.00
5 drg. FITRIYANI NASUTION MANDIRI - 1500013637002 Rp 2,670,000.00
6 dr. MARTHALINA SITORUS, Mkes, SpPK MANDIRI - 1500013839772 Rp 5,000,000.00
7 dr. IRENE MOUDY SUMAYKU MANDIRI - 1500013835846 Rp 10,945,000.00
8 dr. GRACE I. THUNGARI, Sp.OG MANDIRI - 1500011801188 Err:509
9 dr. ANASTASIA LUMENTUT, Sp.OG MANDIRI - 1500000052355 Err:509
10 dr. WINSTON TANZIL, Sp.A MANDIRI - 1500006190977 Err:509
11 ANSYE FRIDA PONGOH, SE.Par. MANDIRI - 1500013550171 Rp 1,535,000.00
12 HERODION JUKONO, S.K.M. MANDIRI - 1500013576838 Rp 1,248,000.00
13 INDRIA ISMAIL, S Kep., Ns. MANDIRI - 1500013550106 Rp 1,248,000.00
14 DANCE SALIPENG, S. Kep., Ns. MANDIRI - 1500013576614 Rp 1,092,000.00
15 CERI LONGDONG MANDIRI - 1500013576218 Rp 1,056,000.00
16 ESTER FRANCISKA OINTU MANDIRI - 1500013576267 Rp 1,100,000.00
17 ADRIAN SAHAY, SPd MANDIRI - 1500013550148 Rp 1,012,000.00
18 SUMARLIN AMINA TINE, S.AP MANDIRI - 1500013636996 Rp 1,012,000.00
19 RISKA NOVIASARI, Amd. AK MANDIRI - 1500013549975 Rp 1,505,000.00
20 NOVIYANTI RUMINGAN.Amd.AK MANDIRI - 1500013549942 Rp 1,445,000.00
21 KARINA FARISTIANI RARUNG, Amd.AK MANDIRI - 1500013576846 Rp 1,385,000.00
22 HALID YONAS MANDIRI - 1500013550247 Rp 1,500,000.00
23 MARSELINA B LATUNY MANDIRI - 1500013576879 Rp 1,575,000.00
24 RIO BENNY LENGKEY MANDIRI - 1500013576887 Rp 1,500,000.00
25 SUSI KANTOHE MANDIRI - 1500013576549 Rp 1,500,000.00
26 WARTINI MANDIRI - 1500013835788 Rp 1,500,000.00
27 YUSAKAR ABDUL HELLO, S. Kep. MANDIRI - 1500013576366 Rp 2,313,000.00
29 AGRITLIA IRMIN MAWATI, S.Kep. MANDIRI - 1500013549926 Rp -
30 STEVA ANASTASYA KADAMEHANG, S.Kep. MANDIRI - 1500013550197 Rp 2,429,000.00
32 PRISILIA CHRISTIN SURIATI SENEN, S.Kep, Ns MANDIRI - 1500013550114 Rp 2,989,000.00
33 OLIVIA MITHA, S.Kep., Ns MANDIRI - 1500013576309 Rp 3,471,000.00
34 YUYU DWI KARMILASARI, Amd. Kep. MANDIRI - 1500013576598 Rp 4,151,000.00
35 MARYANTI CHRISTI DALITA, Amd. Kep. MANDIRI - 1500013576341 Rp 4,767,000.00
36 ROFI IBRAEL, Amd. Kep MANDIRI - 1500013550437 Rp 2,256,000.00
37 PARAMITHA RATNASARI PUTRI, Amd. Kep MANDIRI - 1500013576515 Rp 2,715,000.00
38 SERIJHESSY HARMAN, Amd. Kep. MANDIRI - 1500013549983 Rp 2,066,000.00
40 YANTRI SASELA, Amd. Kep MANDIRI - 1500013550072 Rp 2,010,000.00
41 CENDY WOKAS, S. Kep MANDIRI - 1500013576259 Rp 2,990,000.00
44 CONNY BARAKATI,S.Kep, Ns MANDIRI - 1500013550502 Rp 2,809,000.00
45 SULASMI MARLIN RUUNG, Amd. Keb. MANDIRI - 1500013550056 Rp 960,000.00
46 SULISTIWATY, Amd Keb. MANDIRI - 1500013550460 Rp 1,856,000.00
47 DEISYE E. ROTTIE, Amd. Keb. MANDIRI - 1500013586779 Rp 1,008,000.00
48 SUSMA DJABU, S. Kep MANDIRI - 1500013839780 Rp 1,905,000.00
50 YUNENGSIH, Amd.AK MANDIRI - 1500013591548 Rp 1,440,000.00
51 TOMMY ULAG MANDIRI - 1500013835754 Rp 1,200,000.00
52 JEIF YUBAL AGE WULLUR, SE MANDIRI - 1500013835838 Rp 1,056,000.00
53 ERIKSON PATRAS MANDIRI - 1500012146013 Rp 4,350,000.00
54 LIDIYA FERONIKA KALENSE, S.Kep Ners, MANDIRI - 1500014159196 Rp 2,055,000.00
55 SITTI HARDIANTI SANDALA MUSTIR Amd, Kep MANDIRI - 1500014170250 Rp 2,442,000.00
56 RAINI SINTIA LALISIANG, Amd, Kep MANDIRI - 1500014170128 Rp 2,937,000.00
57 NOVALIA RAHMAWATI, S.Tr. Kep MANDIRI - 1500014170003 Rp 2,863,000.00
58 RIPSON SUKU, Amd. Kep MANDIRI - 1500014170235 Rp 1,879,000.00
59 EKO D. SUNARTO, Amd. Kep MANDIRI - 1500014170201 Rp 1,185,000.00
60 CHERLINY LOVELY REY, S.Keb MANDIRI - 1500014159295 Rp 1,907,000.00
61 dr. INDAH ROHMAWATI MANDIRI - 1500014241259 Rp 8,135,000.00
62 CHRISTOPHER Y RONDONUWU,Amd. Far MANDIRI - 1500014241143 Rp 1,500,000.00
63 dr. RINAL PORDUMUAN PURBA, Sp. An MANDIRI - 1450012146110 Rp 12,204,824.00
64 NI WAYAN SUPARTIASIH, A.md. Kep MANDIRI - 1500014265688 Rp 1,947,000.00
65 EDWIN MANGANTARA, S.Kep MANDIRI - 1500014265746 Rp 1,056,000.00
69 NEVILIN KANONENG MANDIRI - 1500014270803 Rp 1,324,000.00
70 BARNETJE HARYAWAN MANDIRI - 1500014283038 Rp 1,440,000.00
71 KARSUM THAIB MANDIRI - 1500014284028 Rp 1,500,000.00
72 MARIA VERLIANCE SARINUSA MANDIRI - 1500014283913 Rp 1,020,000.00
73 PURNAMA TUMONDA MANDIRI - 1500014284465 Rp 2,495,000.00
74 MUHAMAD D TINUNGKI MANDIRI - 1500014284549 Rp 1,948,000.00
75 VONNY WANGKA MANDIRI - 1500013576499 Rp 1,380,000.00
76 LIE CHRISTIAN TIKOALU MANDIRI - 1500014203218 Rp 2,500,000.00
77 NURFITIRI EFENDI Amd. Keb N/A Rp 2,059,000.00
80 BERLIN VIRGIAWAN, A.md, Rad N/A Rp -
81 MOHAMMAD SETIAWAN KASOGI USMAN, Amd. R N/A Rp -
82 INDRIANTY AHMAD, Amd. Kes MANDIRI - 1500014306938 Rp 1,100,000.00
83 EDWIN MANGANTARA, S.Kep MANDIRI - 1500014265746 Rp 1,056,000.00
84 ISMAR KARIM, S.Tr. KL MANDIRI - 1500014373680 Rp 1,100,000.00
85 ANEKE BOLANGTIMUHE, Amd. Kep N/A Rp 1,100,000.00
86 NESYA SAVITRI TABO, S.Kep, Ns N/A Rp 1,248,000.00
87 SISKA PATEDA, S.Kep, Ns N/A Rp 884,000.00
88 INDRAWATI HORMATI, Amd. Kep N/A Rp 1,012,000.00
89 MARZSELIN ANGGARENI SELAR, Amd. Kep N/A Rp 1,100,000.00
90 CLARENSIA FEBRIN KATINDAGHO, S.Kep. Ns N/A Rp 1,300,000.00
91 ENDA DAVID. Amd Kep N/A Rp 1,100,000.00
92 PURNAMA TUMONDA , Amd Kep N/A Rp 968,000.00
93 FITRI SAAUN, S.Kep, Ns N/A Rp 1,300,000.00
94 NURUL SOLEHAH, S.Kep Ns N/A Rp 1,300,000.00
95 GLEDIS SRIKANDY MELUENSENG, A.md Far N/A Rp 1,100,000.00
96 JEYNI ALFIONITA LENAK, A.Md. Kep N/A Rp 1,100,000.00
97 AKBAR LATJOLO A.Md.Kep N/A Rp 1,100,000.00
98 NS. MARIA ANIKE BANI, S.Kep N/A Rp 1,100,000.00
99 CLAUDIA SAMPELAN, Amd. Kep N/A Rp 1,100,000.00
100 EKA SAFITRI, Amd Kep N/A Rp 1,100,000.00
101 VERONICA KANARANG, Amd Kep N/A Rp 1,100,000.00
102 KRISTIN NAFALIS TINUDE, Amd. Kep. N/A Rp 1,100,000.00
103 JUWITA F. LINTUHASENG, Amd Kep N/A Rp 1,100,000.00
104 IRENE CHRISILIA KARAME, Amd Kep N/A Rp 1,100,000.00
105 DIANA FEBRIANI MAMB, Amd. Keb N/A Rp 1,100,000.00
106 CAHYANI WALUKOW, Amd. Keb N/A Rp 1,100,000.00
107 DAYANA TATANGIN N/A Rp 1,500,000.00
NO NAMA INSTALASI
N O N M E D I C TEAM - MANAG E M E NT
1 dr. BILLY MAMANUA, M.BioMed. FIAS K. KOMITE MEDIK
2 dr. ENDRU CIAKAREN K. TEAM ANTI FRAUD
N O N M E D I C T EAM - AD M I N I S T RAT I O N
3 ANSYE FRIDA PONGOH, SE.Par. ADMINISTRASI - I
4 HERODION JUKONO, S.K.M. ADMINISTRASI - II
5 INDRIA ISMAIL, S Kep., Ns. ADMINISTRASI - II
6 DANCE SALIPENG, S. Kep., Ns. ADMINISTRASI - II
7 CERI LONGDONG ADMINISTRASI - III
8 ESTER FRANCISKA OINTU ADMINISTRASI - III
9 ADRIAN SAHAY, S,Pd ADMINISTRASI - III
10 SUMARLIN AMINA TINE, S.AP ADMINISTRASI - III
11 JEIF YUBAL AGE WULLUR, SE ADMINISTRASI - III
12 EDWIN MANGANTARA, S.Kep MEDICAL RECORD
13 SULASMI MARLIN RUUNG, Amd. Keb. BIDAN
14 ISMAR KARIM, S.Tr. KL SANITARIAN
15 INDRIANTY AHMAD, Amd. Kes MEDICAL RECORD
M E D I CAL TEAM - G E N E RAL PRACTITI O N E R / D E NTI ST
16 dr. VINI HEMA RUT GOSAL GP
17 dr. STEPHANIE CHRISTY P. LOONG GP
18 dr. CRISTY LUCIA RATTU GP
19 drg. FITRIYANI NASUTION DENTIST
20 dr. IRENE MOUDY SUMAYKU GP
21 dr. INDAH ROHMAWATI GP
22 dr. MICHELLE RAYVI JACINTHA SUMAMPOUW GP
M E D I CAL T EAM - S PE C IALI S T / C O N S U LTAN T
23 dr. HALIM RONAL CIAKAREN, Sp.PD SP
24 dr. WINSTON TANZIL, Sp. A SP
25 dr. GERRY JANTJE WULLUR, Sp.B SP
26 dr. GRACE IMELDA THUNGARI, SpOG SP
27 dr. ANASTASIA LUMENTUT,Sp.OG SP
28 dr. RINAL PARDOMUAN PURBA, Sp. An SP
29 dr. MARTHALINA SITORUS, Mkes, SpPK SP
M E D I CAL T EAM - ANALYS T
30 RISKA NOVIASARI, Amd. AK ANALIS KESEHATAN
31 NOVIYANTI RUMINGAN.Amd.AK ANALIS KESEHATAN
32 KARINA FARISTIANI RARUNG, Amd.AK ANALIS KESEHATAN
33 YUNENGSIH, Amd.AK ANALIS KESEHATAN
M E D I CAL TEAM - PHAR MACY
34 OLFICE KATIANDAGHO APOTEKER
35 LIE CHRISTIAN TIKOALU, S.Farm. Apt APOTEKER
36 HALID YONAS FARMASI
37 MARSELINA BETSY LATUNY, S.Kep FARMASI
38 CHRISTOPHER Y RONDONUWU, Amd. Far FARMASI
39 NEVILIN KANONENG, S.Kep FARMASI
M E D I CAL TEAM - N U R S E S
40 PARAMITHA RATNASARI PUTRI, Amd. Kep PERAWAT
41 SERIJHESSY HARMAN, Amd. Kep. PERAWAT
42 PURNAMA TUMONDA, Amd Kep (START 4/2/2019) PERAWAT
43 YANTRI SASELA, Amd. Kep PERAWAT
44 RIPSON SUKU, Amd. Kep PERAWAT
45 SITTI HARDIANTI SANDALA MUSTIR, Amd. Kep PERAWAT
46 RAINI SINTIA LALISIANG, A.md. Kep PERAWAT
47 EKO. D. SUNARTO, A.md. Kep PERAWAT
49 LENA PONTOH, Amd Kep. (START 4/2/2019) PERAWAT
50 MUHAMAD DAHLAN TINUNGKI (START 4/2/2019) PERAWAT
51 MARDIANUS HARMAN, Amd.Kep (START 25/2/2019) PERAWAT
52 IMELDA YASMIN MENONGKAWUA, Amd.Kep (START 1/2/2019) PERAWAT
53 YUYU DWI KARMILASARI, Amd. Kep. PERAWAT
54 MARYANTI CHRISTI DALITA, Amd. Kep. PERAWAT
55 ROFI IBRAEL, Amd. Kep PERAWAT
56 CENDY WOKAS, S. Kep PERAWAT
57 YUSAKAR ABDUL HELLO, S. Kep. PERAWAT
58 AGRITLIA IRMIN MAWATI, S.Kep. PERAWAT
59 STEVA ANASTASYA KADAMEHANG, S.Kep. PERAWAT
60 PRISILIA CHRISTIN SURIATI SENEN, S.Kep, Ns PERAWAT
61 OLIVIA MITHA, S.Kep., Ns PERAWAT
62 CONNY BARAKATI,S.Kep, Ns PERAWAT
63 SUSMA DJABU, S. Kep PERAWAT
64 LIDIYA FERINIKA KALENSE, S.Kep. Ners PERAWAT
65 NOVALIA RAHMAWATI, S.Tr. Kep PERAWAT
66 HEIDY PRISILIA ZAKAWERUS, S.Kep. Ns (START 4/2/2019) PERAWAT
67 HANLY ROY GIGHILE, S.Kep. Ns (START 25/2/2019) PERAWAT
68 ERIKSON PATRAS PENATA ANASTESI
69 SRY KURNIATI SENEN, Amd.Kep PERAWAT
70 DESMIN BULAMEI, Amd Kep. PERAWAT
71 ANEKE BOLANGTIMUHE, Amd. Kep PERAWAT
72 NESYA SAVITRI TABO, S.Kep, Ns PERAWAT
73 SISKA PATEDA, S.Kep, Ns PERAWAT
74 INDRAWATI HORMATI, Amd. Kep PERAWAT
75 MARZSELIN ANGGARENI SELAR, Amd. Kep PERAWAT
76 CLARENSIA FEBRIN KATINDAGHO, S.Kep. Ns PERAWAT
77 ENDA DAVID. Amd Kep PERAWAT
78 PURNAMA TUMONDA , Amd Kep PERAWAT
79 FITRI SAAUN, S.Kep, Ns PERAWAT
80 NURUL SOLEHAH, S.Kep Ns PERAWAT
81 GLEDIS SRIKANDY MELUENSENG, A.md Far PERAWAT
82 JEYNI ALFIONITA LENAK, A.Md. Kep PERAWAT
83 AKBAR LATJOLO A.Md.Kep PERAWAT
84 NS. MARIA ANIKE BANI, S.Kep PERAWAT
85 CLAUDIA SAMPELAN, Amd. Kep PERAWAT
86 EKA SAFITRI, Amd Kep PERAWAT
87 VERONICA KANARANG, Amd Kep PERAWAT
88 KRISTIN NAFALIS TINUDE, Amd. Kep. PERAWAT
89 JUWITA F. LINTUHASENG, Amd Kep PERAWAT
90 IRENE CHRISILIA KARAME, Amd Kep PERAWAT
M E D I C A L T E A M - RADIOGRAFER
75 BERLIN VIRGIAWAN, A.md, Rad RADIOGRAFER
76 MOHAMMAD SETIAWAN KASOGO USMAN, Amd. Rad RADIOGRAFER
M E D I CAL TEAM - M I DWI F E
77 SULISTIWATY, Amd Keb. BIDAN
78 DEISYE E. ROTTIE, Amd. Keb. BIDAN
79 CHERLINY LOVELY REY,Amd.Keb BIDAN
80 NURFITIRI EFENDI, A.md. Keb BIDAN
81 YANTI KANSIL, Amd Keb (START 4/2/18) BIDAN
82 NI WAYAN SUPARTIASIH, Amd. Keb (START 1/2/2019) BIDAN
91 DIANA FEBRIANI MAMB, Amd. Keb BIDAN
92 CAHYANI WALUKOW, Amd. Keb BIDAN
N O N M E D I C T EAM - AN C I L LAR Y
83 ALBERT RANTUNG SECURITY
84 MAYOR TOUFIQ SECURITY
85 SERDA BURHANUDIN SECURITY
86 TOMMY ULAG SECURITY
87 ELLEN KAWUWUNG CHEF
88 ANDRIS DALLERU DRIVER
89 RIO BENNY LENGKEY CS
90 SUSI ELEN KANTOHE CS
91 WARTINI CS
92 VONNY WANGKA CS
93 MARIA VERLIANCE SARINUSA CS
94 KARSUMI THALIB (SUMIATI) CS
95 BARNTJE HARYAWAN CS
96 DAYANA TATANGIN CS
SIGN
RECEIVED BY :
POTONGAN
DASAR JASMED BONUS OOD
POT @ HARI S/I/A POT @ JAM TOTAL
(JAM)
2,250,000 7,400,000 - - - - - -
5,000,000 - - - - - -
1,600,000 - - 65,000 1 5,500 - 65,000

1,300,000 - - 52,000 1 4,500 - 52,000
1,300,000 - - 52,000 1 4,500 - 52,000
1,300,000 - - 52,000 4 4,500 - 208,000
1,100,000 - - 44,000 1 3,750 - 44,000
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 2 3,750 - 88,000
1,100,000 - - 44,000 2 3,750 - 88,000
1,100,000 - - 44,000 1 3,750 - 44,000
1,100,000 - - 44,000 1 3,750 - 44,000
1,200,000 - - 48,000 5 4,000 - 240,000
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
2,400,000 10,962,500 - 100,000 - 10,000 - -

2,400,000 8,180,000 - 100,000 - 10,000 - -
2,400,000 8,285,000 - 100,000 - 10,000 - -
2,500,000 170,000 - 100,000 - 10,000 - -
2,400,000 8,545,000 - 100,000 - 10,000 - -
2,400,000 5,735,000 - 100,000 - 10,000 - -
2,400,000 7,990,000 - 100,000 - 10,000 - -
- - - - - - - -
5,000,000 Err:509 - - - - - -
5,000,000 Err:509 - - - - - -
5,000,000 Err:509 - - - - - -
5,000,000 Err:509 - - - - - -
5,000,000 7,204,824 - - - - - -
5,000,000 - - - - - - -
1,500,000 5,000 - 60,000 - 5,000 - -

1,500,000 5,000 - 60,000 1 5,000 - 60,000
1,500,000 5,000 - 60,000 2 5,000 - 120,000
1,500,000 - - 60,000 1 5,000 - 60,000
- - - - - - - -
2,500,000 - - - - - - -
1,500,000 - - 60,000 - 5,000 - -
1,500,000 75,000 - 44,000 - 3,750 - -
1,500,000 - - 44,000 - 3,750 - -
1,500,000 - - 44,000 4 3,750 - 176,000
1,100,000 1,615,000 - 44,000 - 3,750 - -

1,100,000 1,230,000 - 44,000 6 3,750 - 264,000
1,100,000 1,395,000 - 44,000 - 3,750 - -
1,100,000 1,130,000 - 44,000 5 3,750 - 220,000
1,100,000 1,175,000 - 44,000 9 3,750 - 396,000
1,100,000 1,430,000 - 44,000 2 3,750 - 88,000
1,100,000 1,925,000 - 44,000 2 3,750 - 88,000
1,100,000 525,000 - 44,000 10 3,750 - 440,000
1,100,000 1,360,000 - 44,000 1 3,750 - 44,000
1,100,000 1,200,000 - 44,000 8 3,750 - 352,000
1,100,000 1,575,000 - 44,000 - 3,750 - -
- - - 44,000 - 3,750 - -
1,200,000 3,095,000 - 48,000 3 4,000 - 144,000
1,200,000 3,615,000 - 48,000 1 4,000 - 48,000
1,200,000 1,440,000 - 48,000 8 4,000 - 384,000
1,300,000 1,690,000 - 52,000 - 3,750 - -
1,300,000 1,065,000 - 52,000 1 4,500 - 52,000
- - - 52,000 - 4,500 - -
1,300,000 1,285,000 - 52,000 3 4,500 - 156,000
1,300,000 2,105,000 - 52,000 8 4,500 - 416,000
1,300,000 2,275,000 - 52,000 2 4,500 - 104,000
1,300,000 1,665,000 - 52,000 3 3,750 - 156,000
1,300,000 1,125,000 - 52,000 10 3,750 - 520,000
1,300,000 1,015,000 - 52,000 5 4,500 - 260,000
1,300,000 1,615,000 - 52,000 1 3,750 - 52,000
1,300,000 1,575,000 - 52,000 2 3,750 - 104,000
1,300,000 1,520,000 - 52,000 - 3,750 - -
1,500,000 2,850,000 - 44,000 - 3,750 - -
1,100,000 1,200,000 - 44,000 10 3,750 - 440,000
1,100,000 1,705,000 - 44,000 10 3,750 - 440,000
1,100,000 - - 44,000 - 3,750 - -
1,300,000 - - 52,000 1 3,750 - 52,000
1,300,000 - - 52,000 8 3,750 - 416,000
1,100,000 - - 44,000 2 3,750 - 88,000
1,100,000 - - 44,000 - 3,750 - -
1,300,000 - - 52,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 3 3,750 - 132,000
1,300,000 - - 52,000 - 3,750 - -
1,300,000 - - 52,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
1,200,000 800,000 - 48,000 3 4,000 - 144,000

1,200,000 - - 48,000 4 4,000 - 192,000
1,100,000 1,115,000 - 44,000 7 3,750 - 308,000
1,100,000 1,135,000 - 44,000 4 3,750 - 176,000
1,100,000 1,305,000 - 44,000 3 3,750 - 132,000
1,100,000 1,155,000 - 44,000 7 3,750 - 308,000
1,100,000 - - 44,000 - 3,750 - -
1,100,000 - - 44,000 - 3,750 - -
-
-
-
1,200,000 - - 48,000 - 4,000 - -
2,500,000 - - 100,000 - 8,333 - -
1,500,000 - - 60,000 3 5,000 - 180,000
1,500,000 - - 60,000 - 5,000 - -
1,500,000 - - 60,000 - 5,000 - -
1,500,000 - - 60,000 - 5,000 - -
1,500,000 - - 60,000 2 5,000 - 120,000
1,500,000 - - 60,000 8 5,000 - 480,000
1,500,000 - - 60,000 - 5,000 - -
1,500,000 - - 60,000 1 5,000 - 60,000
1,500,000 - - 60,000 - 5,000 - -
TOTAL NOMOR REKENING SIGN LAIN-LAIN
9,650,000 MANDIRI-150-00525-00525
- OCBC NISP - 292810053994
1,535,000 MANDIRI - 1500013550171

1,248,000 MANDIRI - 1500013576838
1,248,000 MANDIRI - 1500013550106
1,092,000 MANDIRI - 1500013576614
1,056,000 MANDIRI - 1500013576218
1,100,000 MANDIRI - 1500013576267
1,012,000 MANDIRI - 150 0013550148
1,012,000 MANDIRI - 1500013636996
1,056,000 MANDIRI - 1500013835838
1,056,000 MANDIRI - 1500014265746
960,000 MANDIRI - 1500013550056
1,100,000 MANDIRI - 1500014373680
1,100,000 MANDIRI - 1500014306938
13,362,500 MANDIRI - 1500013586761

10,580,000 MANDIRI - 1500013549892
10,685,000 MANDIRI - 1500013549777
2,670,000 MANDIRI - 150 0013637002
10,945,000 MANDIRI - 1500013835846
8,135,000 MANDIRI - 1500014241259
10,390,000 MANDIRI - 1500014372336
- N/A
Err:509 MANDIRI - 1500006190977
Err:509 BNI-0116748570
Err:509 MANDIRI - 1500011801188
Err:509 MANDIRI - 1500000052355
12,204,824 MANDIRI - 1450012146110
5,000,000 MANDIRI - 1500013839772
1,505,000 MANDIRI - 1500013549975

1,445,000 MANDIRI - 1500013549942
1,385,000 MANDIRI - 1500013576846
1,440,000 MANDIRI - 1500013591548
- BRI - 52180-1000-263-503
2,500,000 MANDIRI - 1500014203218
1,500,000 MANDIRI - 1500013550247
1,575,000 MANDIRI - 1500013576879
1,500,000 MANDIRI - 1500014241143
1,324,000 MANDIRI - 1500014270803
2,715,000 MANDIRI - 1500013576515 4

2,066,000 MANDIRI - 1500013549983 5
2,495,000 MANDIRI - 1500014284465
2,010,000 MANDIRI - 1500013550072 7
1,879,000 MANDIRI - 1500014170235 23
2,442,000 N/A 26
2,937,000 N/A 27
1,185,000 N/A 28
2,416,000 MANDIRI - 1500014373649
1,948,000
2,675,000
-
4,151,000 MANDIRI - 1500013576598 1
4,767,000 MANDIRI - 1500013576341 2
2,256,000 MANDIRI - 1500013550437 3
2,990,000 MANDIRI - 1500013576259 8
2,313,000 MANDIRI - 1500013576366 11
- MANDIRI - 1500013549926 13
2,429,000 MANDIRI - 1500013550197 14
2,989,000 MANDIRI - 1500013550114 16
3,471,000 MANDIRI - 1500013576309 17
2,809,000 MANDIRI - 1500013550502 18
1,905,000 MANDIRI - 1500013839780 20
2,055,000 MANDIRI - 1500014159196 22
2,863,000 N/A 30
2,771,000
2,820,000
4,350,000 MANDIRI - 1500012146013 21
1,860,000 MANDIRI - 1500014320707
2,365,000
1,100,000
1,248,000
884,000
1,012,000
1,100,000
1,300,000
1,100,000
968,000
1,300,000
1,300,000
1,100,000
1,100,000
1,100,000
1,100,000
1,100,000
1,100,000
1,100,000
1,100,000
1,100,000
1,100,000
- N/A
- N/A
1,856,000 MANDIRI - 1500013550460

1,008,000 MANDIRI - 1500013586779
1,907,000 BRI - 513701009172533
2,059,000 N/A
2,273,000 MANDIRI - 1500014373466
1,947,000
1,100,000
1,100,000
-
-
-
1,200,000 MANDIRI - 1500013835754
2,500,000 CASH
1,320,000 CASH CASHBON
1,500,000 MANDIRI - 1500013576887 CASHBON
1,500,000 MANDIRI - 1500013576549 CASHBON
1,500,000 MANDIRI - 1500013576499
1,380,000
1,020,000
1,500,000
1,440,000
1,500,000
CASH
Err:509 DONE
TRANS
SRI KURNIATI SENEN, Amd. Kep
NI WAYAN SUPARTIASIH
FAZRIAH BACHMID
TANGGAL NO BILL NAMA PASIEN URAIAN HARGA TOTAL HARGA TOTAL APRIL 2019
1ST CLASS
AN
2ND CLASS
NG
3RD CLASS
A
RU
DELIVERY PACAGE 3RD
N ER ET A
DELIVERY PACAGE 2RD
B AK R G
LI
P A
DELIVERY PACAGE 1RD
SA
DR.RONAL CIAKAREN, SPPD
N
DR.WINSTON TANZIL, SPA
RA
A
DR.GRACE THUNGARI,SPOG
FT
A
DR.ANASTASIA LUMENTUT,SPOG
ND
DR.GERY WULLUR,SPB
PE
DRG.FITRIYANI NASUTION
ER EMERGENCY
ASSESMENT GP PENDAFTARAN
IV REMOVAL CABUT INFUS
IV INSERTION PASANG INFUS
REMOVAL CATH CABUT KATETER
INSERTION CATH PASANG KATETER
INS/REMV IV PASANG CABUT INFUS
PENYAKIT DALAM VISITE
E
ANAK VISITE
S IT
VI
OBS GRACE SPOG VISITE
OBS ANASTASIA SPOG VISITE
BEDAH VISITE
HECTING
NO SUTURE WOUND DRESSING
WITH SUTURE WOUND DRESSING
TANGGAL NO BILL NAMA PASIEN URAIAN HARGA TOTAL HARGA TOTAL APRIL 2019
01 April 2019 20336 MARTHEN RAMPEN AMBULANCE Rp 300,000 Rp 300,000 Rp 300,000
01 April 2019 20337 LIDIA UNTU LAB DOA 5 PANEL Rp 300,000 Rp 300,000 Rp 600,000
01 April 2019 20338 SENOVLEN KAWILARANG PF GP Rp 50,000 Rp 1,651,000
ER Rp 100,000 Rp 1,651,000
3RD CLASS Rp 300,000 Rp 1,651,000
01 April 2019 20338 SENOVLEN KAWILARANG VISIT DR WINSTON Rp 225,000 Rp 1,651,000
INSE REMO Rp 20,000 Rp 1,651,000
MACRO SET Rp 25,000 Rp 1,651,000
VENFLON 24 G Rp 120,000 Rp 1,651,000
DISPO 1 CC TBC Rp 4,000 Rp 1,651,000
Rp 1,051,000
RANITIDINE INJ Rp 70,000 Rp 1,651,000
01 April 2019 20339 SENOVLEN KAWILARANG RL 500 ML Rp 30,000 Rp 1,651,000
PARACETAMOL BS Rp 5,000 Rp 1,651,000
CEFIXIME DRY SYR Rp 40,000 Rp 1,651,000
ZINC TAB Rp 2,000 Rp 1,651,000
ORALIT SACHET Rp 10,000 Rp 1,651,000
CEFIXIME DRY SYR Rp 40,000 Rp 1,651,000
ZINC TAB Rp 10,000 Rp 1,651,000
01 April 2019 20226 SRI DARISE ACCM ER Rp 100,000 Rp 1,781,000
Rp 130,000
NO SUTURE Rp 30,000 Rp 1,781,000
01 April 2019 20340 JEINERYA WOWILING PF GP Rp 50,000 Rp 2,395,000
ACCM ER Rp 100,000 Rp 2,395,000
3RD CLASS Rp 150,000 Rp 2,395,000
INSE REMO Rp 20,000 Rp 2,395,000
VENFLON 22 G Rp 60,000 Rp 2,395,000
DISPO 1 CC TBC Rp 2,000 Rp 2,395,000
DISPO 3 CC Rp 2,500 Rp 2,395,000
DISPO 10 CC Rp 5,000 Rp 2,395,000
Rp 614,000
KETOROLAC INJ Rp 75,000 Rp 2,395,000
01 April 2019 20341 JEINERYA WOWILING CEFTRIAXONE INJ Rp 75,000 Rp 2,395,000
SCOPMA PLUS TAB Rp 14,000 Rp 2,395,000
OMEGTAMIN TAB Rp 6,000 Rp 2,395,000
METRONIDAZOLE TAB Rp 4,000 Rp 2,395,000
LIVRON B PLEX Rp 8,000 Rp 2,395,000
ANTASIDA DOEN BS Rp 7,500 Rp 2,395,000
01 April 2019 20342 ANJUL RAUPU SKD Rp 50,000 Rp 2,515,000
RANITIDINE TAB Rp 20,000 Rp 2,515,000
Rp 120,000
KOLIGCON TAB Rp 35,000 Rp 2,515,000
01 April 2019 20343 MARCELIA LUMAHU ACCM ER Rp 100,000 Rp 2,660,000
CHLORAMPHENICOL OINTMENT Rp 10,000 Rp 2,660,000
Rp 145,000
01 April 2019 20344 ADITYA ANDASIA ACCM ER Rp 100,000 Rp 2,857,000
CEFADROXIL TAB Rp 15,000 Rp 2,857,000
ASAM MEFENAMAT TAB Rp 10,000 Rp 197,000 Rp 2,857,000
CITICOLIN 500 MG TAB Rp 60,000 Rp 2,857,000
02 April 2019 20345 MEYKE PANAGDILAN PF DR RONAL Rp 75,000 Rp 3,361,500
LEVOFLOXACIN 500 MG TAB Rp 24,500 Rp 3,361,500
DEXTEEM PLUS TAB Rp 22,500 Rp 3,361,500
GRANTUSIF TAB Rp 15,000 Rp 504,500 Rp 3,361,500
OMEPRAZOLE 20 MG TAB Rp 30,000 Rp 3,361,500
CLINDAMYCIN 300 MG TAB Rp 112,500 Rp 3,361,500
FOTO THORAX AP/PA Rp 225,000 Rp 3,361,500
02 April 2019 20346 FREDERICO REYNALDI PF GP Rp 50,000 Rp 4,011,500
ACCM ER Rp 100,000 Rp 4,011,500
3RD CLASS Rp 150,000 Rp 4,011,500
VST GP Rp 50,000 Rp 4,011,500
INSE REMO Rp 20,000 Rp 4,011,500
NO SUTURE WOUND DRESSING Rp 30,000 Rp 4,011,500
MACRO SET Rp 25,000 Rp 650,000 Rp 4,011,500
VENFLON 22 G Rp 60,000 Rp 4,011,500
DISPO 3 CC Rp 5,000 Rp 4,011,500
KETOROLAC INJ Rp 75,000 Rp 4,011,500
02 April 2019 20347 FREDERICO REYNALDI RANITIDINE INJ Rp 35,000 Rp 4,011,500
NACL 0.9% 500 ML Rp 30,000 Rp 4,011,500
CEFIXIME 100 MG TAB Rp 20,000 Rp 4,011,500
02 April 2019 20348 FIRMAN SABA ACCM ER Rp 100,000 Rp 4,242,000
VIT B KPK Rp 12,000 Rp 4,242,000
EMERAN 10 MG TAB Rp 12,000 Rp 4,242,000
RANITIDINE TAB Rp 12,000 Rp 230,500 Rp 4,242,000
SEREMIG 10 MG TAB Rp 48,000 Rp 4,242,000
HISTIGO 5 MG TAB Rp 37,500 Rp 4,242,000
02 April 2019 20349 ARBI NURHAYATI PF DR RONAL Rp 75,000 Rp 4,459,500
CIPROFLOXACIN 500 MG TAB Rp 52,500 Rp 4,459,500
METRONIDAZOLE TAB Rp 15,000 Rp 4,459,500
Rp 217,500
GRAFADON FORTE 650 MG TAB Rp 30,000 Rp 4,459,500
02 April 2019 20350 ELVANO TAWARIS ACCM ER Rp 100,000 Rp 4,609,500
IBUPROFEN 400 MG TAB Rp 20,000 Rp 4,609,500
Rp 150,000
CETIRIZINE TAB Rp 15,000 Rp 4,609,500
02 April 2019 20351 MADE ROBY SUHARTA PF DR RONAL Rp 75,000 Rp 4,964,500
CEFIXIME TAB Rp 100,000 Rp 4,964,500
MELOXICAM 7.5 MG TAB Rp 30,000 Rp 4,964,500
OMEPRAZOLE 20 MG TAB Rp 60,000 Rp 355,000 Rp 4,964,500
AMLODIPIN 10 MG TAB Rp 45,000 Rp 4,964,500
DEXTEEM PLUS TAB Rp 15,000 Rp 4,964,500
HOTIN EMS GEL Rp 30,000 Rp 4,964,500
02 April 2019 20352 CERLY MARCELA LAB DOA 5 PANEL Rp 300,000 Rp 300,000 Rp 5,264,500
02 April 2019 20353 JUNIKE MAKINGGUNG UP CLASS 1ST CLASS Rp 675,000 Rp 675,000 Rp 5,939,500
02 April 2019 20354 SENY WOWOR ER Rp 100,000 Rp 6,276,500
IV INSE REMO Rp 20,000 Rp 6,276,500
WOUND DRESSING NO SUTURE Rp 30,000 Rp 6,276,500
VENFLON 20G Rp 60,000 Rp 6,276,500
KETOROLAC INJ Rp 75,000 Rp 337,000 Rp 6,276,500
DISPO 3CC Rp 5,000 Rp 6,276,500
ASAM MEFENAMAT TAB Rp 2,000 Rp 6,276,500
02 April 2019 20355 REXGILT LANGELO PRONEURON 500 MG Rp 125,000 Rp 125,000 Rp 6,401,500
02 April 2019 20356 SARLOTA SASAE PF GP Rp 50,000 Rp 11,168,000
ER Rp 100,000 Rp 11,168,000
3RD CLASS Rp 750,000 Rp 11,168,000
VISIT SPECIALIST Rp 900,000 Rp 11,168,000
INSE REMO Rp 20,000 Rp 11,168,000
MICRO SET Rp 25,000 Rp 11,168,000
VENFLON 24 G Rp 60,000 Rp 11,168,000
CEFTRIAXONE INJ Rp 750,000 Rp 11,168,000
DISPO 10 CC Rp 50,000 Rp 11,168,000
DISPO 1 CC ISL Rp 2,000 Rp 11,168,000
Rp 4,766,500
02 April 2019 20357 SARLOTA SASAE RANITIDINE INJ Rp 210,000 Rp 11,168,000
KETOROLAC INJ Rp 1,050,000 Rp 11,168,000
NO SUTURE WOUND DRESSING Rp 60,000 Rp 11,168,000
CITICOLIN INJ Rp 500,000 Rp 11,168,000
DISPO 3 CC Rp 37,500 Rp 11,168,000
NACL 0.9% 500 ML Rp 150,000 Rp 11,168,000
VIT B KPK Rp 16,000 Rp 11,168,000
02 April 2019 20358 INGKEDIO MAKAHANAP PF DR RONAL Rp 75,000 Rp 11,440,500
BISOPROLOL FUMARATE 5 MG TAB Rp 17,500 Rp 11,440,500
TUGESAL 50 MG TAB Rp 52,500 Rp 11,440,500
CIPROFLOXACIN 500 MG TAB Rp 52,500 Rp 272,500 Rp 11,440,500
LANZOPRAZOLE 30 MG TAB Rp 30,000 Rp 11,440,500
ISOSORBID DINIRATE 5 MG TAB Rp 22,500 Rp 11,440,500
02 April 2019 20359 NOVITA KADUA ACCM ER Rp 100,000 Rp 11,688,000
Rp 247,500
BUFENOL 350 MG TAB Rp 35,000 Rp 11,688,000
ANTASIDA DOEN BS Rp 7,500 Rp 11,688,000
02 April 2019 20360 CHRISTY KAMAGI ACCM ER Rp 100,000 Rp 11,945,500
GENTAMYCIN INJ Rp 75,000 Rp 11,945,500
WOUND DRESSING NO SUTURE Rp 30,000 Rp 257,500 Rp 11,945,500
02 April 2019 20361 CINDY TURANGAN PF GP Rp 50,000 Rp 12,493,000
ACCM ER Rp 100,000 Rp 12,493,000
3RD CLASS Rp 150,000 Rp 12,493,000
INSE REMO Rp 20,000 Rp 12,493,000
VISIT SPECIALIST Rp 75,000 Rp 12,493,000
Rp 547,500
ONDANSETRON 4MG INJ Rp 50,000 Rp 12,493,000
NORVOM 10 MG TAB Rp 1,500 Rp 12,493,000
PCM TAB Rp 1,000 Rp 12,493,000
02 April 2019 20362 CINDY TURANGAN BIO MOM TAB Rp 35,000 Rp 12,493,000
PCM TAB Rp 10,000 Rp 12,493,000
03 April 2019 20363 PASIEN BETAMETHASONE CREAM 5 MG Rp 20,000 Rp 12,523,000
Rp 30,000
DEXAMETHASONE 0.5 MG TAB Rp 10,000 Rp 12,523,000
03 April 2019 20364 MELI TALIB BETAMETHASONE CREAM 5 MG Rp 20,000 Rp 20,000 Rp 12,543,000
03 April 2019 20370 NO NAME ACCM ER Rp 100,000 Rp 12,721,000
Rp 178,000
04 April 2019 20386. YONATHAN LUKAS ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 13,366,000
R-AMBULANCE Rp 300,000 Rp 13,366,000
SOL - NACL 0.9 % / 500 ML Rp 30,000 Rp 13,366,000
CEFTRIAXONE 1 GR / INJ VIAL Rp 75,000 Rp 645,000 Rp 13,366,000
KETOROLAC 3% 30 MG/ML INJ AMP Rp 75,000 Rp 13,366,000
RANITIDINE 50 MG / 2 ML INJ AM Rp 35,000 Rp 13,366,000
IV-WOUND DRESSING(NO SUTURE) Rp 30,000 Rp 13,366,000
04 April 2019 20387. SYITH ABDUL AQSO TOLOLIU ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 13,488,500
ANTASIDA DOEN BTL SYR Rp 7,500 Rp 122,500 Rp 13,488,500
04 April 2019 20388. NA NN NN LAB-DOA-5 PANEL Rp 300,000 Rp 300,000 Rp 13,788,500
04 April 2019 20389. SALMA AMBEDA PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 14,207,500
DEXTEEM PLUS 0.5 MG/2 MG/TAB Rp 30,000 Rp 14,207,500
GRAFADON FORTE 650 MG / TAB Rp 45,000 Rp 419,000 Rp 14,207,500
OMEPRAZOLE 20 MG / TAB Rp 45,000 Rp 14,207,500
CEFIXIME 100 MG / TAB Rp 224,000 Rp 14,207,500
04 April 2019 20390. HENDRIK A. NEGLEN PF GENERAL PRACTITIONER (REG) Rp 150,000 Rp 150,000 Rp 14,357,500
04 April 2019 20391. RENDIZ TEDA PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 50,000 Rp 14,407,500
04 April 2019 20392. RENDIZ TEDA PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 50,000 Rp 14,457,500
04 April 2019 20393. FERNANDO LIUW ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 14,605,000
GASTRUCID BTL SYR Rp 7,500 Rp 14,605,000
Rp 147,500
RANITIDINE 150 MG / TAB Rp 20,000 Rp 14,605,000
IBUPROFEN 400 MG / TAB Rp 20,000 Rp 14,605,000
04 Mei 2019 20394. APEN DAUD ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 14,780,000
GRAFADON FORTE 650 MG / TAB Rp 12,000 Rp 14,780,000
Rp 175,000
OMEGTAMINE 0.5 MG/2 MG/TABLET Rp 9,000 Rp 14,780,000
ANTIDIA 2 MG / TAB Rp 12,000 Rp 14,780,000
04 Mei 2019 24242 ARISAL MAKU PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 14,990,500
TERNIX PLUS BTL SYR Rp 15,000 Rp 14,990,500
Rp 210,500
CURCUMA PLUS BTL SYR (60 ML) Rp 35,000 Rp 14,990,500
05 April 2019 20395 JAERANI INDI ACCM ER Rp 100,000 Rp 15,095,500
Rp 105,000
PARACETAMOL BS Rp 5,000 Rp 15,095,500
06 April 2019 20396 NATHANARL LAGARENS ACCM ER Rp 100,000 Rp 15,245,500
DOMPERIDONE SYR Rp 35,000 Rp 150,000 Rp 15,245,500
06 April 2019 20397. SYAMSUDIN ALI ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 16,145,500
IV-BLUE CODE (RESUS CALL) Rp 500,000 Rp 900,000 Rp 16,145,500
AMBULANCE Rp 300,000 Rp 16,145,500
06 April 2019 20398. SIDIQ MONOARFA ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 16,296,500
NATRIUM DIKLOFENAK 50 MG / TAB Rp 9,000 Rp 16,296,500
Rp 151,000
06 April 2019 20399. DANIEL TAPAHING PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 16,657,500
Rp 361,000
FUROSEMIDE 40 MG / TAB Rp 12,000 Rp Rp 16,657,500
361,000
LANZOPRAZOLE 30 MG / TAB Rp 30,000 Rp 16,657,500
ALLOPURINOL 100 MG / TAB Rp 37,500 Rp 16,657,500
MELOXICAM 7.5 MG / TAB Rp 14,000 Rp 16,657,500
06 April 2019 20400. JUAN TAPAHING PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 16,971,000
LEVOFLOXACIN 500 MG /TAB Rp 24,500 Rp 16,971,000
CLINDAMYCIN 300 MG / TAB Rp 112,500 Rp 16,971,000
OMEGTAMINE 0.5 MG/2 MG/TABLET Rp 22,500 Rp 313,500 Rp 16,971,000
REXAVIN 500 MG / TAB Rp 35,000 Rp 16,971,000
06 April 2019 20401. MIGUEL TAMPI PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 17,400,000
CEFIXIME DRY SYRUP (100 MG / 5 Rp 40,000 Rp 17,400,000
Rp 429,000
DISPOSIBLE 5 CC Rp 3,500 Rp 17,400,000
LAB-DARAH LENGKAP (DL) Rp 150,000 Rp 17,400,000
LAB-WIDAL Rp 100,000 Rp 17,400,000
06 April 2019 20402. RONALD WUNER PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 17,599,000
RIFAMPICIN 450 MG / TAB Rp 21,000 Rp 17,599,000
GRAFALIN 2 MG / TAB Rp 22,500 Rp 17,599,000
ISONIAZID 300 MG / TAB Rp 14,000 Rp 17,599,000
06 April 2019 20402 ESTERLITA MANGINTIKU LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 17,704,000
06 April 2019 20403. JONATHAN ADREY PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 18,172,000
GRANTUSIF 15MG/100MG/5MG/TAB Rp 15,000 Rp 18,172,000
GRAFALIN 4 MG / TAB Rp 7,000 Rp 468,000 Rp 18,172,000
SELTIFORT BTL SYR Rp 20,000 Rp 18,172,000
LAB-WIDAL Rp 100,000 Rp 18,172,000
06 April 2019 20404. RANI ANGGRAINI PF DR.WINSTON TANZIL,SP.A(REG) Rp 75,000 Rp 75,000 Rp 18,247,000
06 April 2019 20407. YULCE LUNGKANG PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 50,000 Rp 18,297,000
06 April 2019 20408. NADIA KANTUE PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 19,229,000
ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 19,229,000
ACCM ROOM-3RD CLASS (6 BED) Rp 150,000 Rp 19,229,000
IV-INSERTION & REMOVAL Rp 20,000 Rp 19,229,000
VISITE GENERAL PRAC (REG)/HARI Rp 50,000 Rp 19,229,000
LAB-ELECTROLYTE-NA K CL Rp 275,000 Rp 19,229,000
LAB-WIDAL Rp 100,000 Rp 19,229,000
SOL - RL / 500 ML Rp 30,000 Rp 932,000 Rp 19,229,000
ONDANSETRON 4 MG / TAB Rp 10,000 Rp 19,229,000
06 April 2019 20409 NADIA KANTUE SCOPMA PLUS (10 MG/500 MG/TAB) Rp 42,000 Rp 19,229,000
OMEPROKSIL 500 MG / TAB Rp 30,000 Rp 19,229,000
METRONIDAZOLE 500 MG / TAB Rp 12,000 Rp 19,229,000
EMERAN 10 MG / TAB Rp 4,000 Rp 19,229,000
06 April 2019 20410. NOVELIA VANDERMOL LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 19,334,000
06 April 2019 20411 ENGELHARD LAIKUN PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 20,674,500
BISOPROLOL FUMARATE 5 MG/TAB Rp 28,000 Rp 20,674,500
ISOSORBID DINITRATE(ISDN) 5MG Rp 45,000 Rp 20,674,500
TUGESAL 50 MG / TAB Rp 225,000 Rp 20,674,500
CLOPIDOGREL 75 MG / TAB Rp 187,500 Rp 20,674,500
DOMPERIDONE 10 MG / TAB Rp 60,000 Rp 1,340,500 Rp 20,674,500
HOTIN DCL EMULSI GEL Rp 60,000 Rp 20,674,500
LAB-URINALISIS Rp 50,000 Rp 20,674,500
LAB-PROFIL LIPID (CT-LDL-HDL-T Rp 200,000 Rp 20,674,500
06 April 2019 20412 ENGELHARD LAIKUN LAB-S. UREUM Rp 50,000 Rp 20,674,500
LAB-S. CREATININE Rp 50,000 Rp 20,674,500
06 April 2019 20413. LEATJE BAWOLE PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 22,935,000
PF GENERAL PRACTITIONER (REG) Rp 150,000 Rp 22,935,000
LAB-KIMIA DARAH Rp 460,000 Rp 22,935,000
06 April 2019 20414 LEATJE BAWOLE RANITIDINE 50 MG / 2 ML INJ AM Rp 105,000 Rp 22,935,000
CIPROFLOXACIN 500 MG / TAB Rp 14,000 Rp 22,935,000
SCOPMA PLUS (10 MG/500 MG/TAB) Rp 21,000 Rp 22,935,000
ONDANSETRON 4 MG/2 ML INJ AMP Rp 50,000 Rp 2,260,500 Rp 22,935,000
DOMPERIDONE 10 MG / TAB Rp 14,000 Rp 22,935,000
SOL - NACL 0.9 % / 500 ML Rp 150,000 Rp 22,935,000
SOL - KCL 7.46 % - 25 ML Rp 50,000 Rp 22,935,000
SOL - RL / 500 ML Rp 30,000 Rp 22,935,000
06 April 2019 20415 LEATJE BAWOLE MICONAZOLE (2%/10GR/TUBE) Rp 12,500 Rp 22,935,000
MICONAZOLE (2%/10GR/TUBE) Rp 125,000 Rp 22,935,000
06 April 2019 20416. FITRIANI MOKODONGAN ANDALAN 3 BULANAN (3 ML INJ VI Rp 30,000 Rp 30,000 Rp 22,965,000
06 April 2019 20417 DELA LEGI ANDALAN 3 BULANAN (3 ML INJ VI Rp 30,000 Rp 30,000 Rp 22,995,000
06 April 2019 20418 ERIKA RUUS ANDALAN 3 BULANAN (3 ML INJ VI Rp 30,000 Rp 30,000 Rp 23,025,000
06 April 2019 20419 RISKI TAMPILANG ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 23,155,000
Rp 130,000
06 April 2019 20420 MICHAEL PAPUDI ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 23,315,000
Rp 160,000
ASAM MEFENAMAT 500 MG / TAB Rp 10,000 Rp 23,315,000
VITAMIN B KOMPLEKS IPI TABLET Rp 20,000 Rp 23,315,000
07 April 2019 20422 JOSHUA MAMENGKO ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 23,627,500
VENFLON 24G Rp 60,000 Rp 23,627,500
RANITIDINE 50 MG / 2 ML INJ AM Rp 35,000 Rp 312,500 Rp 23,627,500
07 April 2019 20423 ALBERT SAMALANGI ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 28,295,500
ACCM ROOM-3RD CLASS (6 BED) Rp 1,350,000 Rp 28,295,500
VENFLON 22G Rp 60,000 Rp 28,295,500
07 April 2019 20424 ALBERT SAMALANGI INFUSSION SET-MACRO SET Rp 25,000 Rp 28,295,500
SOL - NACL 0.9 % / 500 ML Rp 390,000 Rp 28,295,500
NEUROBION5000 IA (AMP I)-B1+B6 Rp 25,000 Rp 28,295,500
GASTRUCID BTL SYR Rp 7,500 Rp 4,668,000 Rp 28,295,500
07 April 2019 20425 ALBERT SAMALANGI VITAMIN B KOMPLEKS IPI TABLET Rp 40,000 Rp 28,295,500
ASAM FOLAT 1 MG / TAB Rp 27,500 Rp 28,295,500
KAPSUL GARAM 500 MG / CAP Rp 28,000 Rp 28,295,500
SOL - KCL 7.46 % - 25 ML Rp 100,000 Rp 28,295,500
BAMGETOL 200 MG / TAB Rp 35,000 Rp 28,295,500
KOLICGON (10 MG/500 MG/TAB) Rp 3,500 Rp 28,295,500
07 April 2019 20426 ALBERT SAMALANGI INFUSSION SET-MACRO SET Rp 25,000 Rp 28,295,500
VENFLON 22G Rp 60,000 Rp 28,295,500
ASAM FOLAT 1 MG / TAB Rp 12,500 Rp 28,295,500
07 April 2019 20427 SYITH ABDUL AQSO TOLOLIU ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 29,618,000
07 April 2019 20427 SYITH ABDUL AQSO TOLOLIU VISITE DR.WINSTON TANZIL,SP.A( Rp 150,000 Rp 29,618,000
LAB-WIDAL Rp 100,000 Rp 29,618,000
VENFLON 20G Rp 60,000 Rp 29,618,000
DIAZEPAM 5MG/ML INJ AMP (1ML) Rp 75,000 Rp 29,618,000
Rp 1,322,500
07 April 2019 20428 SYITH ABDUL AQSO TOLOLIU TERNIX PLUS BTL SYR Rp 15,000 Rp 29,618,000
PARACETAMOL 500 MG / TAB Rp 1,000 Rp 29,618,000
ZINC DIAR 20 MG / TAB Rp 6,000 Rp 29,618,000
DISPOSIBLE 1 CC TUBERCULIN Rp 6,000 Rp 29,618,000
ZINC DIAR 20 MG / TAB Rp 14,000 Rp 29,618,000
07 April 2019 20429 FADINI BASTIAN ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 30,143,500
VENFLON 20G Rp 60,000 Rp 30,143,500
KETOROLAC 3% 30 MG/ML INJ AMP Rp 75,000 Rp 525,500 Rp 30,143,500
ONDANSETRON 4 MG/2 ML INJ AMP Rp 50,000 Rp 30,143,500
07 April 2019 20430 FADINI BASTIAN OMEGTAMINE 0.5 MG/2 MG/TABLET Rp 12,000 Rp 30,143,500
07 April 2019 20431 SRI YUNI NANDUK ANDALAN 3 BULAN Rp 30,000 Rp 30,000 Rp 30,173,500
07 April 2019 20432. SILKY KAUROW ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 30,298,500
YUSIMOX DRY SYRUP (125MG/5ML) Rp 20,000 Rp 125,000 Rp 30,298,500
PARACETAMOL BTL SYR (120 MG / Rp 5,000 Rp 30,298,500
07 April 2019 20433. TIFANNI KAWAEHE ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 30,486,500
CEFADROXYL 500 MG / TAB Rp 15,000 Rp 30,486,500
RANITIDINE 150 MG / TAB Rp 12,000 Rp 188,000 Rp 30,486,500
ANTASIDA DOEN TAB Rp 20,000 Rp 30,486,500
07 April 2019 20434. MELIANDO UMBAS ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 30,666,500
Rp 180,000
DOMPERIDONE 5 MG / 5 ML Rp 35,000 Rp 30,666,500
08 April 2019 20435. ATVIN GAREGA ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 30,801,500
Rp 135,000
BIO MOM TABLET Rp 35,000 Rp 30,801,500
08 April 2019 20436. MARIA BATLAYERI PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 31,129,000
PREGNASE TABLET Rp 52,500 Rp 327,500 Rp 31,129,000
R-USG ABDOMEN Rp 200,000 Rp 31,129,000
08 April 2019 20437. FABIO RUMENGAN PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 31,254,000
Rp 125,000
08 April 2019 20438. YOHANIS AMPING LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 31,359,000
08 April 2019 20439. MERLIN SALEH ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 31,534,000
Rp 175,000
GASELA 150 MG / TAB Rp 20,000 Rp 31,534,000
08 April 2019 20440. KETLIN PUASA LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 31,639,000
08 April 2019 20441. FERNANDY KOLE PF GENERAL PRACTITIONER (REG) Rp 63,000 Rp 34,141,500
ACCM ROOM-2ND CLASS (4 BED) Rp 600,000 Rp 34,141,500
VENFLON 22G Rp 75,000 Rp 34,141,500
LAB-WIDAL Rp 125,000 Rp 34,141,500
SCOPMA PLUS (10 MG/500 MG/TAB) Rp 4,000 Rp 2,502,500 Rp 34,141,500
08 April 2019 20444. JIETCY TUMIMOMOR PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 34,387,500
Rp 246,000
08 April 2019 20445. DANIEL TULAR ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 34,557,500
Rp 170,000
09 April 2019 20302 LIONEL BAWATAA ACCM ER Rp 100,000 Rp 34,767,500
PER 27/03/2019 IV - WOUNDRESING (NO STR) Rp 30,000 Rp 34,767,500
PANJAR SIMPANAN 150.000 CEFIXIME 100 MG TAB Rp 50,000 Rp 210,000 Rp 34,767,500
PELUNASAN 60.000 AMF 500 MG TAB Rp 10,000 Rp 34,767,500
Rp 210,000
KTP DIKEMBALIKAN (LUNAS) VITAMIN B KPK IPI TAB Rp 20,000 Rp 34,767,500

09 April 2019 20446 INE PONGE ACCM ER Rp 100,000 Rp 34,901,000
GASTRUICID SYR BS Rp 7,500 Rp 34,901,000
Rp 133,500
PARACETAMOL 500 MG TAB Rp 6,000 Rp 34,901,000
09 April 2019 20447 DESY LUMANSIT PF GP Rp 50,000 Rp 36,654,000
ACCM ER Rp 100,000 Rp 36,654,000
ACCM 3RD CLASS Rp 300,000 Rp 36,654,000
VISIT DR SPESIALIST DR. RONAL Rp 225,000 Rp 36,654,000
IV INSE REMOVAL Rp 20,000 Rp 36,654,000
INFUS SET MACRO SET Rp 25,000 Rp 36,654,000
VENFLON 24G Rp 60,000 Rp 36,654,000
LAB - URINALIS Rp 50,000 Rp 36,654,000
LAB - ELECTROLITE NA K CL Rp 275,000 Rp 36,654,000
CTX 1GR / IV Rp 150,000 Rp 36,654,000
09 April 2019 20448 DESY LUMANSIT RANITIDINE 150 MG TAB Rp 8,000 Rp 36,654,000
Rp 1,753,000
GRAFADONE FORTE 650 MG TAB Rp 12,000 Rp 36,654,000
CEFADROXILE 500MG TAB Rp 15,000 Rp 36,654,000
VITAMINE B KPK IPI TAB Rp 12,000 Rp 36,654,000
SOL - NCL 0.9 % / 500 ML Rp 90,000 Rp 36,654,000
ONDASENTRON 4MG / 2 ML IA Rp 200,000 Rp 36,654,000
RANITIDINE 150 MG TAB Rp 20,000 Rp 36,654,000
09 April 2019 20449 DESY LUMANSIT GRAFADONE FORTE 650 MG TAB Rp 30,000 Rp 36,654,000
CEFADROXILE 500MG TAB Rp 25,000 Rp 36,654,000
09 April 2019 20450. JULTJE TENDEAN PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 36,918,500
OMEPRAZOLE 20 MG / TAB Rp 30,000 Rp 264,500 Rp 36,918,500
KETOCONAZOLE 200 MG / TAB Rp 10,500 Rp 36,918,500
OVISKIN-N CREAM 5 GRAM TUBE Rp 12,500 Rp 36,918,500
09 April 2019 20451. SUWITO SUWITO PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 37,129,500
MELOXICAM 7.5 MG / TAB Rp 14,000 Rp 211,000 Rp 37,129,500
10 April 2019 20452 JOSEPH KINSALE IV-PMC (FML) Rp 2,500,000 Rp 2,500,000 Rp 39,629,500
10 April 2019 20453 Rp 100,000
TRIA SUMAPTO ACCM ER Rp 39,891,500
GTM 40 MG / ML (2ML) IA Rp 75,000 Rp 39,891,500
CEFIXIME 100 MG TAB Rp 30,000 Rp 262,000 Rp 39,891,500
Rp 45,000
TUGESAL 50 MG TAB Rp 39,891,500
10 April 2019 20454 ABDULLAH MARONTONG ACCM ER Rp 100,000 Rp 40,114,500
AMLODIPINE 10 MG TAB Rp 18,000 Rp 40,114,500
Rp 223,000
AMBROXOLE 30 MG TAB Rp 20,000 Rp 40,114,500
OMEGTAMINE 0.5 MG / 2 MG TAB Rp 15,000 Rp 40,114,500
10 April 2019 20455 AKING ACCM ER Rp 100,000 Rp 40,266,000
BAMGETOL 200 MG TAB Rp 10,000 Rp 40,266,000
CAVIPLEX TAB Rp 17,500 Rp 151,500 Rp 40,266,000
10 April 2019 20456 MARTA SIDALUWU ACCM ER Rp 100,000 Rp 40,399,000
OMEGTAMINE 0.5 MG /2 MG TAB Rp 9,000 Rp 40,399,000
Rp 133,000
IPF 400 MG TAB Rp 12,000 Rp 40,399,000
10 April 2019 20457 NN NN NN METFORMIN 500 MG TAB Rp 10,000 Rp 10,000 Rp 40,409,000
10 April 2019 20458 SELINA MANDAS ACCM ER Rp 100,000 Rp 40,933,000
IV- WOUNDRESING (STR) Rp 50,000 Rp 40,933,000
IV-HECTING 6-10 Rp 300,000 Rp 40,933,000
Rp 524,000
IPF 400 MG TAB Rp 12,000 Rp 40,933,000
10 April 2019 2459 NN AMLODIPIN 10 MG TAB Rp 30,000 Rp 30,000 Rp 40,963,000
10 April 2019 20460 PRINCESS P RUMONDOR EMERGENCY ROOM Rp 100,000 Rp 41,118,000
BRONCHITIN EXPECTORANT SYR Rp 15,000 Rp 155,000 Rp 41,118,000
CEFIXIME SYR Rp 40,000 Rp 41,118,000
10 April 2019 20461 PRINCESS P RUMONDOR DOMPERIDONE SYR Rp 35,000 Rp 35,000 Rp 41,153,000
11 April 2019 20462 FATMA MAGA CEFIXIME 100 MG TAB Rp 140,000 Rp 41,359,500
Rp 206,500
11 April 2019 20463 CHRISTY TAMBUWUN PF DR. GRACE SP.OG Rp 75,000 Rp 41,559,500
Rp 200,000
R-USG BIDAN Rp 125,000 Rp 41,559,500
11 April 2019 20464 NN PF GP HAJI (8) Rp 600,000 Rp 600,000 Rp 42,159,500
11 April 2019 20465 JUANITA BALANGSAWANG ACCM ER (MANDIRI) Rp 100,000 Rp 42,649,500
02 NRM MED GAS OKSIGEN Rp 360,000 Rp 490,000 Rp 42,649,500
IV-RL Rp 30,000 Rp 42,649,500
11 April 2019 20465 LEATJE BAWOLE PF DR.RONAL Rp 75,000 Rp 42,989,000
HOTIN HCL EMS GEL Rp 30,000 Rp 42,989,000
LEVOLAXACIN 500 MG/TAB Rp 24,500 Rp 42,989,000
OMEPRAZOLE 20 MG/TAB Rp 30,000 Rp 42,989,000
Rp 339,500
OMEGTAMIN 0.5 MG/TAB Rp 22,500 Rp 42,989,000
CLINDAMICIN Rp 112,500 Rp 42,989,000
DPR 10 MG/TAB Rp 30,000 Rp 42,989,000
GTS 15 MG Rp 15,000 Rp 42,989,000
12 April 2019 20469. SELINA MANDAS ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 43,167,000
IV-WOUND DRESSING(NO SUTURE) Rp 30,000 Rp 178,000 Rp 43,167,000
SEREMIG 10 MG / TAB Rp 48,000 Rp 43,167,000
12 April 2019 20470. SUKARNI SUMA LAB-GOLONGAN DARAH Rp 50,000 Rp 50,000 Rp 43,217,000
12 April 2019 20471. KEVIN NURKAMIDEN PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 44,312,500
INFUSSION SET-MACRO SET Rp 25,000 Rp 44,312,500
Rp 1,095,500
VENFLON 22G Rp 60,000 Rp 44,312,500
12 April 2019 20472. KEVIN NURKAMIDEN DISPOSIBLE 5 CC Rp 3,500 Rp 44,312,500
SOL - NACL 0.9 % / 500 ML Rp 30,000 Rp 44,312,500
12 April 2019 20473. TELLY BAWOLE PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 46,114,500
12 April 2019 20474. TELLY BAWOLE INFUSSION SET-MACRO SET Rp 25,000 Rp 46,114,500
VENFLON 22G Rp 60,000 Rp 46,114,500
SOL - NACL 0.9 % / 500 ML Rp 60,000 Rp 46,114,500
DISPOSIBLE 10 CC Rp 10,000 Rp 1,802,000 Rp 46,114,500
CEFTRIAXONE 1 GR / INJ VIAL Rp 225,000 Rp 46,114,500
12 April 2019 20475. TELLY BAWOLE CEFIXIME 100 MG / TAB Rp 50,000 Rp 46,114,500
AMLODIPINE 5 MG / TAB Rp 10,000 Rp 46,114,500
12 April 2019 20476. MARSIKI BUKUNGSENGGO ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 46,649,500
IV-WOUND DRESSING(WITH SUTURE) Rp 50,000 Rp 46,649,500
IV-HECTING (SUTURE) 6-10 Rp 300,000 Rp 46,649,500
Rp 535,000
IV-DEBRIDEMENT Rp 50,000 Rp 46,649,500
12 April 2019 20477. YANTI BAKAR ANDALAN 3 BULANAN (3 ML INJ VI Rp 30,000 Rp 30,000 Rp 46,679,500
12 April 2019 20478. RAJID BOYOH PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 47,602,000
LAB-WIDAL Rp 200,000 Rp 47,602,000
VENFLON 24G Rp 60,000 Rp 922,500 Rp 47,602,000
12 April 2019 20479. RAJID BOYOH YUSIMOX DRY SYRUP (125MG/5ML) Rp 20,000 Rp 47,602,000
ANTASIDA DOEN BTL SYR Rp 7,500 Rp 47,602,000
YUSIMOX DRY SYRUP (125MG/5ML) Rp 20,000 Rp 47,602,000
ANTASIDA DOEN BTL SYR Rp 7,500 Rp 47,602,000
12 April 2019 20480. MEYLAND TAMBAHINGIDE ANDALAN 3 BULANAN (3 ML INJ VI Rp 30,000 Rp 30,000 Rp 47,632,000
13 April 2019 20488 EDITH ONGOH PF DR. RONAL CIAKAREN SP.PD Rp 75,000 Rp 47,748,000
LEVOFLOXAXIN 500 MG TAB Rp 10,500 Rp 47,748,000
MELOXICAM 7.5 MG TAB Rp 6,000 Rp 116,000 Rp 47,748,000
LANZOPRAZOLE 30 MG TAB Rp 14,000 Rp 47,748,000
OMEGTAMIN 0.5 MG TAB Rp 10,500 Rp 47,748,000
13 April 2019 20489 OGOTAN MARCELINO ACCM ER Rp 100,000 Rp 47,915,500
IV-WOUNDRESING (NO STR) Rp 30,000 Rp 47,915,500
OVISKIN N CRM 5GR TUB Rp 12,500 Rp 167,500 Rp 47,915,500
CEFADROXIL 500 MG TAB Rp 15,000 Rp 47,915,500
AMF 500 MG TAB Rp 10,000 Rp 47,915,500
14 April 2019 20490.. NO NAME AMLODIPINE 5 MG / TAB Rp 20,000 Rp 20,000 Rp 47,935,500
14 April 2019 20491.. JECITA SAUYAI ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 48,180,500
Rp 50,000 Rp 48,180,500
IV-WOUND DRESSING(NO SUTURE) Rp 30,000 Rp 245,000 Rp 48,180,500
DRUG PREP - PULVUS Rp 15,000 Rp 48,180,500
14 April 2019 20492 WILLY PATLY S. MAMEBA ACCM ER Rp 100,000 Rp 48,370,500
IV-WOUNDRESING DRS (STR) Rp 50,000 Rp 48,370,500
Rp 190,000
CEFADROXILE 500 MG TAB Rp 25,000 Rp 48,370,500
AMF 500 MG TAB Rp 15,000 Rp 48,370,500
14 April 2019 20493 FRANS NGILU ACCM ER Rp 100,000 Rp 49,060,500
IV-WOUNDRESING DRS (STR) Rp 50,000 Rp 49,060,500
IV-HECTING 16-20 Rp 500,000 Rp 690,000 Rp 49,060,500
AMF 500 MG TAB Rp 15,000 Rp 49,060,500
14 April 2019 20494 ROSADI ACCM ER Rp 100,000 Rp 49,230,500
IV-WOUNDRESING DRS (NO STR) Rp 30,000 Rp 49,230,500
Rp 170,000
AMF 500 MG TAB Rp 15,000 Rp 49,230,500
14 April 2019 20495 SATRIA HUSEN PF GP Rp 50,000 Rp 50,318,000
ACCM ER Rp 100,000 Rp 50,318,000
INFU SET MACRO SET Rp 25,000 Rp 50,318,000
IV-INSE REMOVAL Rp 20,000 Rp 50,318,000
VENFLON 22 GR Rp 60,000 Rp 50,318,000
SOL RL / 500 ML Rp 30,000 Rp 50,318,000
Rp 1,087,500
CEFOTAXIME 1 GR IV Rp 87,500 Rp 50,318,000
KETOROLAC 3% 30 MG /ML IA Rp 75,000 Rp 50,318,000
RANITINE 50 MG /2ML IA Rp 35,000 Rp 50,318,000
LAB-ECG Rp 75,000 Rp 50,318,000
15 April 2019 20496 SATRIA HUSEN IV-BLOOD CODE Rp 500,000 Rp 50,318,000
MED GAS OKSIGEN Rp 30,000 Rp 50,318,000
15 April 2019 20497 WOLTER PONTOH PF GENERAL PRACTITIONER (REG) Rp 75,000 Rp 75,000 Rp 50,393,000
15 April 2019 20498 NO NAME PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 50,000 Rp 50,443,000
15 April 2019 24252 STEVEN SUMARAU PF DRG FITRIYANI(REG) Rp 75,000 Rp 50,758,000
D-EXTRACTION-MODERATE Rp 200,000 Rp 50,758,000
AMOXICILLIN 500 MG / TAB Rp 10,000 Rp 315,000 Rp 50,758,000
VITAMIN C IPI 50 MG / TABLET Rp 20,000 Rp 50,758,000
15 April 2019 21502 YONATAN BILL RUMERE PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 50,842,000
Rp 84,000
15 April 2019 21503 ROLOS PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 51,006,000
CEFIXIME 100 MG / TAB Rp 60,000 Rp 164,000 Rp 51,006,000
15 April 2019 21504 NO NAME ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 135,000 Rp 51,141,000
GENTAMYCIN CREAM 0.1 % / 5 GRA Rp 5,000 Rp 51,141,000
15 April 2019 21505. MARIETJE EMMA SIWY ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 51,296,000
Rp 155,000
15 April 2019 21506. JEMS RONAL TOAR ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 51,608,000
KOLICGON (10 MG/500 MG/TAB) Rp 35,000 Rp 51,608,000
Rp 312,000
16 April 2019 21507. KAMIL SULAIMAN ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 51,738,000
AMLODIPINE 10 MG / TAB Rp 18,000 Rp 130,000 Rp 51,738,000
16 April 2019 21508 WOLTER MANAGAPI UP CLASS 2ND CLASS Rp 450,000 Rp 450,000 Rp 52,188,000
16 April 2019 21509. MERRY JU PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 52,645,000
SOL - RL / 500 ML Rp 30,000 Rp 52,645,000
Rp 457,000
VENFLON 24G Rp 60,000 Rp 52,645,000
Rp 457,000

16 April 2019 21511. ARSANDI ISMAIL PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 50,000 Rp 52,695,000
16 April 2019 21512. VENY NATARI PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 53,019,000
Rp 324,000
NYSTATIN BTL DROP 12 ML Rp 50,000 Rp 53,019,000
16 April 2019 21513. KAREL MINGKID PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 53,191,000
FUROSEMIDE 40 MG / TAB Rp 12,000 Rp 53,191,000
Rp 172,000
16 April 2019 21514. SALMA LITTI PF GENERAL PRACTITIONER (REG) Rp 75,000 Rp 58,631,000
ACCM ROOM-1ST CLASS (2 BED) Rp 1,800,000 Rp 58,631,000
LAB-ECG (ELECTROCARDIOGRAPHY) Rp 113,000 Rp 58,631,000
16 April 2019 21515 SALMA LITTI INFUSSION SET-MACRO SET Rp 38,000 Rp 58,631,000
VENFLON 22G Rp 90,000 Rp 58,631,000
FUROSEMIDE 10MG/ML(4ML)INJ AMP Rp 106,000 Rp 58,631,000
16 April 2019 21516 SALMA LITTI OMEGTAMINE 0.5 MG/2 MG/TABLET Rp 12,000 Rp 58,631,000
GRAFADON FORTE 650 MG / TAB Rp 6,000 Rp 5,440,000 Rp 58,631,000
COMBIVENT UDV 2.5 ML NEBULE Rp 113,000 Rp 58,631,000
SOL - NACL 0.9 % / 500 ML Rp 180,000 Rp 58,631,000
METFORMIN 500 MG / TAB Rp 4,000 Rp 58,631,000
16 April 2019 21517 SALMA LITTI OMEGTAMINE 0.5 MG/2 MG/TABLET Rp 4,000 Rp 58,631,000
ASPAR K TAB Rp 35,000 Rp 58,631,000
CURCUMA FCT TAB Rp 80,000 Rp 58,631,000
16 April 2019 21518 SALMA LITTI ANTASIDA DOEN BTL SYR Rp 12,000 Rp 58,631,000
FUROSEMIDE 40 MG / TAB Rp 15,000 Rp 58,631,000
16 April 2019 21519. ABDUL HARIS PALAMANI PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 60,640,000
16 April 2019 21520 ABDUL HARIS PALAMANI SOL - NACL 0.9 % / 500 ML Rp 150,000 Rp 60,640,000
VENFLON 22G Rp 60,000 Rp 60,640,000
Rp 2,009,000
16 April 2019 21521 ABDUL HARIS PALAMANI RANITIDINE 150 MG / TAB Rp 4,000 Rp 60,640,000
SIMVASTATIN 10 MG / TAB Rp 10,000 Rp 60,640,000
16 April 2019 21522. MUHAMAD PURWANTO NGT TUBE NO. 18 (FEEDING TUBE) Rp 40,000 Rp 40,000 Rp 60,680,000
16 April 2019 21523. MUHAMAD PURWANTO PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 60,780,000
Rp 100,000
IV-NGT INSERTION Rp 50,000 Rp 60,780,000
16 April 2019 21524. RUSTIN HULUKIBA ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 60,972,000
Rp 192,000
16 April 2019 21525. ANJAS BIMA PRATAMA LAB-DOA 5 PANEL Rp 300,000 Rp 300,000 Rp 61,272,000
17 April 2019 21524 KRIZIA USOAH ACCM ER Rp 100,000 Rp 61,462,000
COLDREXINE BS Rp 15,000 Rp 190,000 Rp 61,462,000
NEBU COMBIVENT Rp 75,000 Rp 61,462,000
17 April 2019 21527 HASAN RAHMADONAL ACCM ER Rp 100,000 Rp 61,627,000
GESEK BNI AMOXILIN BS SYR Rp 50,000 Rp 165,000 Rp 61,627,000
COLDREXINE SYR Rp 15,000 Rp 61,627,000
17 April 2019 21528 ABDULLAH QUENCESS ACCM ER Rp 100,000 Rp 61,789,500
OVISKIN N CRM 5 GR TUB Rp 12,500 Rp 61,789,500
IV-WOUNDRESING NO STR Rp 30,000 Rp 162,500 Rp 61,789,500
AMOXILIN 500 MG TAB Rp 10,000 Rp 61,789,500
18 April 2019 21529 NATANIA PANGAIANG ACCM ER Rp 100,000 Rp 62,004,500
PYREXIN SUPP 160 MG Rp 75,000 Rp 62,004,500
YUSIMOX DRY SYRUP Rp 20,000 Rp 215,000 Rp 62,004,500
COLD REXIN BOTTLE SYRUP Rp 15,000 Rp 62,004,500
PARACETAMOL SYRUP Rp 5,000 Rp 62,004,500
18 April 2019 21530 ADITYA A. Y. GULA UP CLASS 1ST CLASS (2MALAM) Rp 675,000 Rp 675,000 Rp 62,679,500
18 April 2019 21531 JECSON WAYONGKERE PF GP SURAT KEMATIAN Rp 75,000 Rp 75,000 Rp 62,754,500
18 April 2019 21532 RICKY KOJANSOW LAB-DOA ( NARKOBA ) GESEK (BNI) Rp 300,000 Rp 300,000 Rp 63,054,500
18 April 2019 21533 JALRAHMAN DJAWAS LAB- DOA ( NARKOBA ) Rp 300,000 Rp 300,000 Rp 63,354,500
18 April 2019 21534 MAUREEN BP LUMANAUW UP CLASS 2ND / 1ST CLASS Rp 1,012,500 Rp 1,012,500 Rp 64,367,000
18 April 2019 21536 ERNAWATI ACCM ER Rp 100,000 Rp 64,527,000
HISTIGO 5 MG TAB Rp 25,000 Rp 64,527,000
Rp 160,000
ANTASIDA TAB Rp 20,000 Rp 64,527,000
18 April 2019 21535 WENI SARERO ACCM ER Rp 100,000 Rp 64,972,000
IV-WOUNDRESING WIT SUTURE Rp 50,000 Rp 64,972,000
IV-HCT 3-5 Rp 200,000 Rp 64,972,000
CEFIXIME 100 MG TAB Rp 50,000 Rp 445,000 Rp 64,972,000
AMF 500 MG TAB Rp 10,000 Rp 64,972,000
18 April 2019 21536 MEGAWATI BUDIMAN PF GP Rp 50,000 Rp 66,396,500
ACCM ER Rp 100,000 Rp 66,396,500
VISIT DR.SPESIALIST Rp 150,000 Rp 66,396,500
INFU SET MACRO SET Rp 25,000 Rp 66,396,500
VENFLON 24 G Rp 60,000 Rp 66,396,500
COMB NEBU Rp 150,000 Rp 66,396,500
RANITIDIN 50 MG INJ Rp 105,000 Rp 66,396,500
IBUPROFEN Rp 6,000 Rp 66,396,500
Rp 1,424,500
18 April 2019 21537 MEGAWATI BUDIMAN CIPRO 500 G TAB Rp 10,000 Rp 66,396,500
GTS 15 MG 100 MG TAB Rp 2,000 Rp 66,396,500
SEREMIG 10 MG TAB Rp 24,000 Rp 66,396,500
LAB-PAKET KIMIA DARAH Rp 460,000 Rp 66,396,500
LEVO 500 MG TAB Rp 17,500 Rp 66,396,500
GTS 15 MG TAB Rp 10,000 Rp 66,396,500
IPF 400 MG TAB Rp 20,000 Rp 66,396,500
OMEGTAMINE 0.5 MG TBA Rp 15,000 Rp 66,396,500
VISELA TAB Rp 30,000 Rp 66,396,500
18 April 2019 21538 MEGAWATI BUDIMAN OMEP 20 MG TAB Rp 20,000 Rp 66,396,500
18 April 2019 21540. KEITHEN MIRA PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 66,592,000
SELTIFORT BTL SYR Rp 20,000 Rp 195,500 Rp 66,592,000
18 April 2019 21541. MIRA KEISYA PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 66,783,500
GRANTUSIF 15MG/100MG/5MG/TAB Rp 7,000 Rp 191,500 Rp 66,783,500
18 April 2019 21542. ONSENT CIPROFLOXACIN 500 MG / TAB Rp 35,000 Rp 66,853,500
VITAMIN B KOMPLEKS IPI TABLET Rp 20,000 Rp 70,000 Rp 66,853,500
18 April 2019 21543. EDITH ONGOH PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 67,139,500
TRAMADOL 50 MG / TAB Rp 52,500 Rp 286,000 Rp 67,139,500
METHYL-PREDNISOLONE 4MG/TAB Rp 15,000 Rp 67,139,500
19 April 2019 21544 FANISSA PASSA AMBULANCE Rp 300,000 Rp 300,000 Rp 67,439,500
19 April 2019 21545 AMAR DUGIAN ACCM ER Rp 100,000 Rp 67,650,500
CVP TAB Rp 21,000 Rp 67,650,500
CFD 500 MG TAB Rp 25,000 Rp 211,000 Rp 67,650,500
BFN 350 MG / 200MG TAB Rp 35,000 Rp 67,650,500
IV-WOUND DRS (NO STR) Rp 30,000 Rp 67,650,500
19 April 2019 21546. SURTINI JUMPU PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 70,273,500
VISITE DR.RONAL,SP.PD(REG) Rp 150,000 Rp 70,273,500
INFUSSION SET-MICRO SET Rp 25,000 Rp 70,273,500
VENFLON 24G Rp 60,000 Rp 70,273,500
19 April 2019 21547. SURTINI JUMPU SOL - NACL 0.9 % / 500 ML Rp 150,000 Rp 70,273,500
EMERAN 10 MG / TAB Rp 10,000 Rp 2,623,000 Rp 70,273,500
MUCIFAT 500 MG/5 ML (100 ML) Rp 160,000 Rp 70,273,500
19 April 2019 21548. SURTINI JUMPU KETOROLAC 3% 30 MG/ML INJ AMP Rp 225,000 Rp 70,273,500
ASPAR K TAB Rp 22,500 Rp 70,273,500
19 April 2019 21549 ANDRI MOONTI PF GP Rp 50,000 Rp 72,152,000
ACCM ER Rp 100,000 Rp 72,152,000
VISIT SPEISIALIST Rp 150,000 Rp 72,152,000
INFUS SET MAC SET Rp 25,000 Rp 72,152,000
VENFLON 24G Rp 60,000 Rp 72,152,000
DM/PM DUTY 14-04-
LAB-URN Rp 50,000 Rp
19 72,152,000
LAB-PAKET KIMIA DARAH Rp 460,000 Rp
ADM: ESTER ,ANSYE 72,152,000
19 April 2019 21550 ANDRI MOONTI LAB-ELEC NA K CL Rp 275,000 Rp
REGIS: ADRIAN 72,152,000
SOL - NCL 0.9 %/ 500 ML Rp 90,000 Rp 1,878,500 Rp 72,152,000
ANTIDIA 2MG TAB Rp 6,000 Rp 72,152,000
KETOROLAC 3% 30 MG 2ML IA Rp 150,000 Rp 72,152,000
CIPROFLOXAXINE 500MG TAB Rp 17,500 Rp 72,152,000
EMERAN 10MG TAB Rp 10,000 Rp 72,152,000
SCOPMA PLS 10 MG TAB Rp 17,500 Rp 72,152,000
OMEGTAMINE 0.5 MG /500MG TAB Rp 7,500 Rp 72,152,000
RANITIDINE 150MG TAB Rp 10,000 Rp 72,152,000
RANITIDINE 150MG TAB Rp 20,000 Rp 72,152,000
19 April 2019 21551 ANDRI MOONTI SCOPMA PLS 10 MG TAB Rp 52,500 Rp 72,152,000
GTC BS Rp 7,500 Rp 72,152,000
19 April 2019 21552 FABIO RATUWELA PF GP Rp 50,000 Rp 72,762,000
ACCM ER Rp 100,000 Rp 72,762,000
INFU SET MAC SET Rp 25,000 Rp 72,762,000
VENFLON 24 G Rp 60,000 Rp 610,000 Rp 72,762,000
SOL RL / 500 ML Rp 30,000 Rp 72,762,000
RCD 15 ML IV Rp 30,000 Rp 72,762,000
DEXTEEM (5MG/ML) IA Rp 35,000 Rp 72,762,000
RANITIDINE 50 MG /2ML IA Rp 35,000 Rp 72,762,000
19 April 2019 21553 FABIO RATUWELA MED GAS O'2 OKSIGEN Rp 150,000 Rp 72,762,000
19 April 2019 21554 IKKE TATANGINATU ACCM ER Rp 100,000 Rp 72,983,500
GTC BS Rp 7,500 Rp 72,983,500
VISELA TAB Rp 18,000 Rp 72,983,500
HISTIGO TAB Rp 20,000 Rp 221,500 Rp 72,983,500
EMERAN TAB Rp 16,000 Rp 72,983,500
19 April 2019 21555 GERRY BOLUNG PF GP SKD Rp 50,000 Rp 50,000 Rp 73,033,500
19 April 2019 21556 BARAKATI SUKRI ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 73,153,000
OMEPRAZOLE 20 MG / TAB Rp 12,000 Rp 119,500 Rp 73,153,000
20 April 2019 21557 SURYATIN ABDUL ER Rp 100,000 Rp 73,283,000
Rp 130,000
IV WOUND DRESSING NO SUTURE Rp 30,000 Rp 73,283,000
20 April 2019 21558 DJIFOR PANGEMANAN GP Rp 50,000 Rp 74,878,500
ER Rp 100,000 Rp 74,878,500
3RD CLASS Rp 150,000 Rp 74,878,500
VISITE INTERNA Rp 150,000 Rp 74,878,500
IV INSERT / REMOVAL Rp 20,000 Rp 74,878,500
LAB PAKET KIMIA DARAH Rp 460,000 Rp 74,878,500
LAB ELEKTROLIT Rp 275,000 Rp 74,878,500
SOL RL 500 ML Rp 90,000 Rp 74,878,500
20 April 2019 21559 DJIFOR PANGEMANAN INFUS SET MACRO Rp 25,000 Rp 74,878,500
ONDANSENTRON 4 MG INJ Rp 50,000 Rp 74,878,500
VENFLON 20 G Rp 60,000 Rp 74,878,500
DISPO 3 CC Rp 5,000 Rp 1,595,500 Rp 74,878,500
DOMPERIDONE 10 MG TAB Rp 8,000 Rp 74,878,500
VIT B KOMP TAB Rp 4,000 Rp 74,878,500
20 April 2019 21560 DJIFOR PANGEMANAN ALLOPURINOL 100 MG TAB Rp 10,000 Rp 74,878,500
ASAM FOLAT TAB Rp 15,000 Rp 74,878,500
ALLOPURINOL 100 MG TAB Rp 12,500 Rp 74,878,500
20 April 2019 21561 YNGWIE HONG GP Rp 50,000 Rp 82,206,000
ER Rp 100,000 Rp 82,206,000
3RD CLASS Rp 300,000 Rp 82,206,000
20 April 2019 21561 YNGWIE HONG VISITE BEDAH Rp 150,000 Rp 82,206,000
20 April 2019 21561 YNGWIE HONG IV MAJOR SURGERY SMALL Rp 5,000,000 Rp 82,206,000
IV INSERTION Rp 10,000 Rp 82,206,000
IV WOUND DRESSING S Rp 50,000 Rp 82,206,000
LAB DL Rp 85,000 Rp 82,206,000
LAB GDS Rp 30,000 Rp 82,206,000
20 April 2019 21562 YNGWIE HONG LAB ELEKTROLIT Rp 275,000 Rp 82,206,000
LAB CT Rp 30,000 Rp 82,206,000
LAB BT Rp 30,000 Rp 82,206,000
AMBULANCE Rp 300,000 Rp 82,206,000
SOL RL 500 ML Rp 90,000 Rp 7,327,500 Rp 82,206,000
VENFLON 20 G Rp 60,000 Rp 82,206,000
INFUS SET MACRO Rp 25,000 Rp 82,206,000
CEFOTAXIME 1 GR INJ Rp 300,000 Rp 82,206,000
DISPO 10 CC Rp 20,000 Rp 82,206,000
DISPO 1 CC Rp 2,000 Rp 82,206,000
20 April 2019 21563 YNGWIE HONG RANITIDINE INJ Rp 140,000 Rp 82,206,000
KETOROLAC 3% INJ Rp 225,000 Rp 82,206,000
DISPO 3 CC Rp 12,500 Rp 82,206,000
VIT C IPI TAB Rp 8,000 Rp 82,206,000
GASTRUCID SYR Rp 7,500 Rp 82,206,000
MICONAZOLE TAB Rp 3,000 Rp 82,206,000
HANDSCOEN STR 7,0 Rp 12,500 Rp 82,206,000
20 April 2019 21564 YNGWIE HONG PF INTERNA Rp 75,000 Rp 82,519,500
LEVOFLOXACINE 500 MG TAB Rp 24,500 Rp 82,519,500
CLINDAMYCINE 300 MG TAB Rp 112,500 Rp 82,519,500
OMEGTAMINE 0,5 MG TAB Rp 22,500 Rp 313,500 Rp 82,519,500
MELOXICAM 7,5 MG TAB Rp 14,000 Rp 82,519,500
REXAVINE 500 MG TAB Rp 35,000 Rp 82,519,500
20 April 2019 21565 DORENCY TARUSY ER Rp 100,000 Rp 82,762,000
Rp 242,500
OMEGTAMINE TAB Rp 15,000 Rp 82,762,000
GASELA 150 MG TAB Rp 20,000 Rp 82,762,000
20 April 2019 21566 ALBERD DOMINTINGIDE AMBULANCE Rp 300,000 Rp 300,000 Rp 83,062,000
20 April 2019 21567 ALBERD DOMINTINGIDE DOC DEATH CERTFIFICATE Rp 75,000 Rp 75,000 Rp 83,137,000
20 April 2019 21568 HENDRA GUSASI PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 83,429,500
20 April 2019 21569 NURNANINGSIH WAHAB PF INTERNA Rp 75,000 Rp 83,647,000
LANZOPRAZOLE 30 MG TAB Rp 30,000 Rp 217,500 Rp 83,647,000
METHYL PRED 4 MG TAB Rp 30,000 Rp 83,647,000
LEVOFLOXACIN 500 MG TAB Rp 52,500 Rp 83,647,000
20 April 2019 21570. KRISTO TULANDI ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 83,834,000
TUGESAL 50 MG / TAB Rp 45,000 Rp 83,834,000
Rp 187,000
20 April 2019 21571. MARCELINO KALENGKONGAN ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 84,018,000
CEFIXIME 100 MG / TAB Rp 30,000 Rp 184,000 Rp 84,018,000
20 April 2019 21572. STEFANUS LUMANDER ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 84,227,000
Rp 209,000
GENTAMYCIN CREAM 0.1 % / 5 GRA Rp 5,000 Rp 84,227,000
21 April 2019 21573. MUAYA MATHEW ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 84,369,500
ANTASIDA DOEN BTL SYR Rp 7,500 Rp 142,500 Rp 84,369,500
21 April 2019 21574. MARINI TULANGO ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 84,569,500
Rp 200,000
YUSIMOX DRY SYRUP (125MG/5ML) Rp 20,000 Rp 84,569,500
22 April 2019 21575.. ARLIS ROBO ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 84,884,500
KOLICGON (10 MG/500 MG/TAB) Rp 35,000 Rp 315,000 Rp 84,884,500
22 April 2019 21578. JOEL NONTAH DOC - DEATH CERTIFICATE Rp 75,000 Rp 75,000 Rp 84,959,500
22 April 2019 21579. ENGEL LAIKUN PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 85,527,500
BISOPROLOL FUMARATE 5 MG/TAB Rp 28,000 Rp 85,527,500
TUGESAL 50 MG / TAB Rp 112,500 Rp 568,000 Rp 85,527,500
CLOPIDOGREL 75 MG / TAB Rp 187,500 Rp 85,527,500
ISOSORBID DINITRATE(ISDN) 5MG Rp 45,000 Rp 85,527,500
22 April 2019 21580. ADRIAN MAKAHANAP PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 85,917,500
LANZOPRAZOLE 30 MG / TAB Rp 60,000 Rp 390,000 Rp 85,917,500
22 April 2019 21581. HENDRIK PASULATAN LAB DL Rp 105,000 Rp 105,000 Rp 86,022,500
22 April 2019 21582. PERMENAS MAKASOMBO LAB DL Rp 105,000 Rp 105,000 Rp 86,127,500
22 April 2019 21583. TERESIA ANGNESIA LEPA PF DR.ANASTASIA LUMENTUT,SP.OG Rp 75,000 Rp 86,382,500
BIO MOM TABLET Rp 35,000 Rp 86,382,500
Rp 255,000
LIVRON B PLEX 325 MG / TAB Rp 20,000 Rp 86,382,500
R-USG KEBIDANAN Rp 125,000 Rp 86,382,500
22 April 2019 21584. JONATHAN INARAY ACCM EMERGENCY ROOM Rp 100,000 Rp 86,500,000
PARACETAMOL 500 MG TAB Rp 5,000 Rp 117,500 Rp 86,500,000
OVISKIN N CREAM 5 GR TUBE Rp 12,500 Rp 86,500,000
22 April 2019 21585 SANDY PINONTOAN ACCM ER Rp 100,000 Rp 86,667,500
GESEK BCA IV-WOUNDRESING (NO STR) Rp 30,000 Rp 86,667,500
CEFADROXILE 500 MG TAB Rp 15,000 Rp 167,500 Rp 86,667,500
OVISKIN N CRM 5 GR TUB Rp 12,500 Rp 86,667,500
AMF 500 MG TAB Rp 10,000 Rp 86,667,500
22 April 2019 21586 THEN JUN PO PF DR.RONAL SP.PD REG Rp 75,000 Rp 87,001,500
DEXTEEM PLS 0.5 MG /2 MG TAB Rp 22,500 Rp 87,001,500
Rp 334,000
LANZOPRASOL 30 MG TAB Rp 30,000 Rp 87,001,500
KOLIGON 10 MG / 500 MG / TAB Rp 52,500 Rp 87,001,500
23 April 2019 21587 NO NAME ANDALAN 3 BULANAN (3 ML INJ VI Rp 30,000 Rp 30,000 Rp 87,031,500
23 April 2019 21589 NO NAME UP CLASS Rp 450,000 Rp 450,000 Rp 87,481,500
23 April 2019 21590 NO NAME SOL-NACL 0.9% / 500 ML Rp 30,000 Rp 30,000 Rp 87,511,500
23 April 2019 21591 NO NAME SOL-NACL 0.9% / 500 ML Rp 30,000 Rp 30,000 Rp 87,541,500
23 April 2019 21592. KENNARD YULIUS ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 87,649,000
Rp 107,500
24 April 2019 21597 MARIANA MAKASUDEDE LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 87,754,000
24 April 2019 24598 GEOVANI TAWALUYAN PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 87,849,000
Rp 95,000
Rp 87,849,000
24 April 2019 21599 NO NAME LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 87,954,000
24 April 2019 21600 NO NAME UNDERPAD Rp 35,000 Rp 35,000 Rp 87,989,000
24 April 2019 21601 MOH SHARUL LAHATI PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 89,422,000
VISITE DR.RONAL,SP.PD(REG) Rp 75,000 Rp 89,422,000
VENFLON 22G Rp 120,000 Rp 89,422,000
Rp 1,433,000
DEXAMETHASONE INJ AMP (5MG/ML) Rp 35,000 Rp 89,422,000
24 April 2019 21602. MOH SHARUL LAHATI DISPOSIBLE 3 CC Rp 5,000 Rp 89,422,000
GASELA 150 MG / TAB Rp 20,000 Rp 89,422,000
24 April 2019 21603. NOVLI LAPIAN ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 89,613,000
Rp 191,000
VISELA TAB Rp 9,000 Rp 89,613,000
24 April 2019 21604. NO NAME ANTASIDA DOEN TAB Rp 20,000 Rp 20,000 Rp 89,633,000
24 April 2019 21605. BRAYEN TUMEWU ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 89,761,000
AMOXICILLIN 500 MG / TAB Rp 2,000 Rp 89,761,000
DEXAMETHASONE 0.5 MG / TAB Rp 2,000 Rp 128,000 Rp 89,761,000
ALLERON 4 MG / TAB Rp 5,000 Rp 89,761,000
DRUG PREP - PULVUS Rp 15,000 Rp 89,761,000
25 April 2019 21606 ANNEKE TOAR ACCM ER Rp 100,000 Rp 89,976,000
DOC - VISUM ET RPT Rp 75,000 Rp 89,976,000
Rp 215,000
CEFADOXIL 500 MG TAB Rp 25,000 Rp 89,976,000
AMF 500 MG TAB Rp 15,000 Rp 89,976,000
25 April 2019 21607 GEVARIEL RAU PF GP Rp 50,000 Rp 91,351,500
ACCM ER Rp 100,000 Rp 91,351,500
25 April 2019 21607 GEVARIEL RAU VISI DR. SPEISIALIS WINSTON TANZIL Rp 150,000 Rp 91,351,500
INFUS SET MACRO SET Rp 25,000 Rp 91,351,500
VENFLON 24 G Rp 60,000 Rp 91,351,500
LAB- ELT NA K CL Rp 275,000 Rp 91,351,500
ONDASENTRON 4 MG / 2 ML IA Rp 50,000 Rp 91,351,500
Rp 1,375,500
25 April 2019 21508 GEVARIEL RAU PCM 120 MG / 5 ML BS Rp 5,000 Rp 91,351,500
AMX BD 100 MG / ML Rp 50,000 Rp 91,351,500
DPS 3 CC Rp 7,500 Rp 91,351,500
DPS 1 CC Rp 8,000 Rp 91,351,500
SOL - D5 % / 500 ML Rp 60,000 Rp 91,351,500
RNT 50 MG / 2 ML IA Rp 105,000 Rp 91,351,500
CEFIXIME DRY SYR 100 MG / 5 ML Rp 40,000 Rp 91,351,500
SOL - NCL 0.9 % / 500 ML Rp 30,000 Rp 91,351,500
CFX DRY SYR 100 MG / 5 ML Rp 40,000 Rp 91,351,500
25 April 2019 21609 SELVA PF DRG FITRIANY Rp 75,000 Rp 91,446,500
AMX 500 MG TAB Rp 10,000 Rp 95,000 Rp 91,446,500
AMF 500 MG TAB Rp 10,000 Rp 91,446,500
25 April 2019 21610 TETTI MUNTE PF GP REG Rp 50,000 Rp 92,965,000
ACCM ER Rp 100,000 Rp 92,965,000
LAB- ELECTROLIT NA K CL Rp 275,000 Rp 92,965,000
SOL RL / 500 ML Rp 90,000 Rp 92,965,000
OMEPRAZOLE 40 MG TAB Rp 125,000 Rp 1,518,500 Rp 92,965,000
RANITIDINE 50 MG / 2 ML IA Rp 105,000 Rp 92,965,000
MCF 500 MG / 5 ML (100 ML) Rp 160,000 Rp 92,965,000
25 April 2019 21611 TETTI MUNTE DPR 10 MG TAB Rp 10,000 Rp 92,965,000
CLONEX 500 MG TAB Rp 3,500 Rp 92,965,000
MCF 500 MG / 5 ML (100 ML) Rp 80,000 Rp 92,965,000
25 April 2019 21612 JENIFER TOUWAK PF GP SKBS Rp 75,000 Rp 75,000 Rp 93,040,000
25 April 2019 21613 VITRI HAMADI ANDALAN 3BULAN Rp 30,000 Rp 30,000 Rp 93,070,000
25 April 2019 21614 YUSUF PONTOH PF DR.RONAL SP PD Rp 75,000 Rp 93,555,000
HOTIN HCL EMS GEL Rp 60,000 Rp 93,555,000
DIAZEPAM 5 MG TAB Rp 50,000 Rp 93,555,000
Rp 485,000
TUGESAL 50 MG TAB Rp 112,500 Rp 93,555,000
LEVOFLOXAXIN 500 MG TAB Rp 52,500 Rp 93,555,000
25 April 2019 21615 HANAFI MOHAMAD ER Rp 100,000 Rp 93,734,000
IV WOUND DRESSING N/S Rp 30,000 Rp 93,734,000
Rp 179,000
CEFADROXIL 500 MG TAB Rp 15,000 Rp 93,734,000
Rp 179,000
COTRIMOXAZOLE 10 MG TAB Rp 12,500 Rp 93,734,000
OMEGTAMINE 0,5 MG TAB Rp 9,000 Rp 93,734,000
OVISKIN CREAM 5 GR Rp 12,500 Rp 93,734,000
25 April 2019 51616 LEDI ENGLAND ER Rp 100,000 Rp 94,209,000
HECTING 7 Rp 300,000 Rp 94,209,000
IV WOUND DRESSING WITH SUTURE Rp 50,000 Rp 475,000 Rp 94,209,000
YUSIMOX SYR Rp 20,000 Rp 94,209,000
PARACETAMOL SYR Rp 5,000 Rp 94,209,000
25 April 2019 21617 CONNY TAROREH (DEBIT) PF GENERAL PRACTITIONER (REG) Rp 75,000 Rp 96,441,000
ACCM ROOM-1ST CLASS (2 BED) Rp 450,000 Rp 96,441,000
SOL - NACL 0.9 % / 500 ML Rp 45,000 Rp 96,441,000
25 April 2019 216218 CONNY TAROREH (DEBIT) INFUSSION SET-MACRO SET Rp 38,000 Rp 96,441,000
Rp 2,232,000
VENFLON 22G Rp 90,000 Rp 96,441,000
25 April 2019 21619. FARADILA BAGINDA PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 99,700,500
25 April 2019 21620 FARADILA BAGINDA CITICOLIN 250 MG / 2 ML INJ AM Rp 50,000 Rp 99,700,500
SOL - NACL 0.9 % / 500 ML Rp 270,000 Rp 99,700,500
Rp 3,259,500
VENFLON 22G Rp 120,000 Rp 99,700,500
NEUROTROPIC INJ VIAL Rp 50,000 Rp 99,700,500
25 April 2019 21621 FARADILA BAGINDA DISPOSIBLE 5 CC Rp 3,500 Rp 99,700,500
26 April 2019 21622 BANI ADAM KATULISTIWA LAB-DOA ANTI NARKOBA Rp 300,000 Rp 300,000 Rp 100,000,500
26 April 2019 21623 DIN SOAMOLE PF DR. RONAL SP PD Rp 75,000 Rp 100,361,000
FRS 40 MG TAB Rp 12,000 Rp 100,361,000
TRB APL 80 MG TAB Rp 14,000 Rp 100,361,000
AVC 20 MG TAB Rp 70,000 Rp 100,361,000
Rp 360,500
LVF 500 MG TAB Rp 24,500 Rp 100,361,000
OTM 0.5 MG TAB Rp 22,500 Rp 100,361,000
NTK RTD 2.5 MG C Rp 112,500 Rp 100,361,000
OPZ 20 MG TAB Rp 30,000 Rp 100,361,000
26 April 2019 21626 PF SKBS SKBS Rp 50,000 Rp 50,000 Rp 100,411,000
26 April 2019 21627 ASON HUSIN PF GP Rp 50,000 Rp 100,700,000
R-USG ABD Rp 200,000 Rp 100,700,000
Rp 289,000
OTM 0.5 MG / 2 MG TAB Rp 9,000 Rp 100,700,000
VISELA TAB Rp 30,000 Rp 100,700,000
26 April 2019 21628 JOHNY LUMI UP CLASS VIP ROOM Rp 900,000 Rp 900,000 Rp 101,600,000
26 April 2019 21629 LINTJE JACOB UP CLASS 1ST CLASS Rp 1,350,000 Rp 1,350,000 Rp 102,950,000
26 April 2019 21630 BAYI CINDY KANSILO PF GP REG Rp 50,000 Rp 103,337,000
ACCM ER Rp 100,000 Rp 103,337,000
Rp 387,000
26 April 2019 21630 BAYI CINDY KANSILO VISI DR. WINSTON TANZIL Rp 75,000 Rp 103,337,000
DPS 1 CC 1 SL Rp 2,000 Rp 103,337,000
CRP OPH OINT Rp 10,000 Rp 103,337,000
27 April 2019 21631. LISBET DAVID AMBULANCE Rp 300,000 Rp 300,000 Rp 103,637,000
27 April 2019 21632 KEREN RATTU PF REG Rp 50,000 Rp 103,762,000
IV WOUND DRESSING N/S Rp 30,000 Rp 103,762,000
CEFADROXYL 500 MG/TAB Rp 15,000 Rp 125,000 Rp 103,762,000
ASAM MEFENAMAT 500 MG/TAB Rp 10,000 Rp 103,762,000
OVISKIN 10 GR TUBE Rp 20,000 Rp 103,762,000
27 April 2019 21633 GIVANYA SUMOLANG DOC- BIRTH CERTIFICATE Rp 75,000 Rp 75,000 Rp 103,837,000
27 April 2019 21634 MILEA KASEULIRI PF REG Rp 50,000 Rp 104,247,000
ACC ER Rp 100,000 Rp 104,247,000
ACC 3 RD CLASS Rp 150,000 Rp 104,247,000
27 April 2019 21634 MILEA KASEULIRI VISIT SPESIALIS DR WINSTON Rp 75,000 Rp 104,247,000
Rp 410,000
PARACETAMOL 500 MG/T Rp 2,000 Rp 104,247,000
CEFIXIME 100 MG/T Rp 10,000 Rp 104,247,000
ZINDIA 20 MG/T Rp 8,000 Rp 104,247,000
27 April 2019 21635 UNANG MUHSIN PF GP, SKD Rp 50,000 Rp 50,000 Rp 104,297,000
27 April 2019 21636 DAVID MANDAGIE PF GP REGISTRASI Rp 50,000 Rp 106,042,000
ACC EMERGENCY Rp 100,000 Rp 106,042,000
ACC 1ST CLASS Rp 450,000 Rp 106,042,000
VISITE SPESIALIS DR RONAL Rp 75,000 Rp 106,042,000
IV INSERT REMOVAL Rp 20,000 Rp 106,042,000
LAB, KIMIA DARAH Rp 460,000 Rp 106,042,000
LAB ELECTROLYTE Rp 275,000 Rp 106,042,000
VENFLON 22 G Rp 60,000 Rp 106,042,000
DISPO 3 CC Rp 2,500 Rp 106,042,000
27 April 2019 21637 DAVID MANDAGIE DISPO 5 CC Rp 3,500 Rp 106,042,000
RANITIDINE IN JEKSI Rp 35,000 Rp 106,042,000
RECODRYL INJEKSI Rp 30,000 Rp 106,042,000
Rp 1,745,000
OMEPAZOLE 20 MG TAB Rp 4,000 Rp 106,042,000
SCOPMA PLUS Rp 7,000 Rp 106,042,000
OMEGTAMINE Rp 3,000 Rp 106,042,000
HISTIGO Rp 5,000 Rp 106,042,000
OMEPAZOLE 20 MG TAB Rp 20,000 Rp 106,042,000
ALLOPURINOL 100 MG/T Rp 12,500 Rp 106,042,000
DIAZEPAM 5 MG/TAB Rp 10,000 Rp 106,042,000
27 April 2019 21638 DAVID MANDAGIE SIMVASTATIN 20 MG/T Rp 15,000 Rp 106,042,000
SCOPMA PLUS Rp 52,500 Rp 106,042,000
OMEGTAMINE Rp 15,000 Rp 106,042,000
HISTIGO Rp 25,000 Rp 106,042,000
DIAZEPAM 5 MG/TAB Rp 15,000 Rp 106,042,000
28 April 2019 21639 GENEVAN KENDATI ACCM ER Rp 100,000 Rp 106,204,500
CFX DRY SYRUP 100 MG Rp 40,000 Rp 106,204,500
Rp 162,500
COLDREXIN BS Rp 15,000 Rp 106,204,500
GRANTUSIF BS Rp 7,500 Rp 106,204,500
28 April 2019 21640. JOSIS KANSILO ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 106,402,000
Rp 197,500
OVISKIN-N CREAM 5 GRAM TUBE Rp 12,500 Rp 106,402,000
28 April 2019 21641. MAKRUM SAMAN PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 107,869,000
INFUSSION SET-MICRO SET Rp 25,000 Rp 107,869,000
28 April 2019 21642. MAKRUM SAMAN VENFLON 24G Rp 60,000 Rp 107,869,000
SOL - NACL 0.9 % / 500 ML Rp 60,000 Rp 107,869,000
HISTIGO 6 MG / TAB Rp 7,500 Rp 107,869,000
Rp 1,467,000
GABAPENTIN 300 MG / TAB Rp 10,000 Rp 107,869,000
28 April 2019 21643. MAKRUM SAMAN OMEPRAZOLE 20 MG / TAB Rp 20,000 Rp 107,869,000
GABAPENTIN 300 MG / TAB Rp 50,000 Rp 107,869,000
29 April 2019 21644 RULI NUSI ANDALAN 3BULAN Rp 30,000 Rp 30,000 Rp 107,899,000
29 April 2019 21645 INDAH VERA ACCM ER Rp 100,000 Rp 108,065,000
CFD 500 MG / T Rp 15,000 Rp 108,065,000
OTM 0.5 MG / 2 MG / T Rp 9,000 Rp 108,065,000
Rp 166,000
RNT 150 MG / T Rp 12,000 Rp 108,065,000
GRANTUSIF TAB Rp 10,000 Rp 108,065,000
GFD FRT 650 MG / T Rp 20,000 Rp 108,065,000
29 April 2019 21646. WAGINEM OVISKIN-N CREAM 5 GRAM TUBE Rp 25,000 Rp 25,000 Rp 108,090,000
29 April 2019 21647. KIMBERLY RENGKUAN PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 108,406,000
ACCM ROOM-3RD CLASS (6 BED) Rp 150,000 Rp 316,000 Rp 108,406,000
AMOXICILLIN 500 MG / TAB Rp 8,000 Rp 108,406,000
29 April 2019 21648. ESTEFANUS SASELAH LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 108,511,000
29 April 2019 21649. IMANUEL KANSIL PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 108,863,500
ERYTHROMYCIN 500 MG / TAB Rp 75,000 Rp 108,863,500
Rp 352,500
PRONEURON 500 MG / 2 MG / TAB Rp 75,000 Rp 108,863,500
BAMGETOL 200 MG / TAB Rp 75,000 Rp 108,863,500
29 April 2019 21650. FRENS TAKALAUKANG PF DR.RONAL,SP.PD(REG) Rp 75,000 Rp 109,343,500
ERYTHROMYCIN 500 MG / TAB Rp 150,000 Rp 109,343,500
Rp 480,000
KETOCONAZOLE 200 MG / TAB Rp 22,500 Rp 109,343,500
29 April 2019 21651. DEITY ZACHAWERUS PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 119,405,000
29 April 2019 21651. DEITY ZACHAWERUS VISITE DR.GERRY,SP.B(REG) Rp 450,000 Rp 119,405,000
LAB-ECG (ELECTROCARDIOGRAPHY) Rp 75,000 Rp 119,405,000
29 April 2019 21652. DEITY ZACHAWERUS LAB-BLEEDING TIME (BT) Rp 30,000 Rp 119,405,000
LAB-CLOTTING TIME (BT) Rp 30,000 Rp 119,405,000
IV-MAJOR SURGERY - SMALL Rp 5,000,000 Rp 119,405,000
VENFLON 22G Rp 120,000 Rp 119,405,000
DISPOSIBLE 3 CC Rp 40,000 Rp 10,061,500 Rp 119,405,000
KETOROLAC 3% 30 MG/ML INJ AMP Rp 1,125,000 Rp 119,405,000
29 April 2019 21653. DEITY ZACHAWERUS CEFOTAXIME 1 GR / INJ VIAL Rp 962,500 Rp 119,405,000
SOL - RL / 500 ML Rp 210,000 Rp 119,405,000
HYDROCHLOROTHIAZIDE 25MG TAB Rp 20,000 Rp 119,405,000
VITAMIN C IPI 50 MG / TABLET Rp 24,000 Rp 119,405,000
VISELA TAB Rp 30,000 Rp 119,405,000
29 April 2019 21654. LEONATHAN OROH ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 119,640,000
PARACETAMOL BTL SYR (120 MG / Rp 5,000 Rp 235,000 Rp 119,640,000
30 April 2019 21655. MUHAMMAD HAJIRAT LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 119,745,000
30 April 2019 21656. FANLY SETIA LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 119,850,000
30 April 2019 21657. NUR LIPUTO LAB-DARAH LENGKAP (DL) Rp 105,000 Rp 105,000 Rp 119,955,000
30 April 2019 21658. NA NN NN HOTIN DCL EMULSI GEL Rp 30,000 Rp 30,000 Rp 119,985,000
30 April 2019 21659. SAMSUDIN SANGAJI PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 120,239,500
Rp 254,500
30 April 2019 21660. KARLINA JURIAN PF GENERAL PRACTITIONER (REG) Rp 50,000 Rp 120,373,500
GRAFADON FORTE 650 MG / TAB Rp 20,000 Rp 134,000 Rp 120,373,500
LIVRON B PLEX 325 MG / TAB Rp 12,000 Rp 120,373,500
30 April 2019 21661. GLORIA KEZIA ACCM ROOM-ER - EMERGENCY ROOM Rp 100,000 Rp 120,641,000
GASTRUCID BTL SYR Rp 7,500 Rp 267,500 Rp 120,641,000
D M Y Pt Dx
11 4 2019 LANI BUKANAUNG G3P2A0 35TH H 8-9 MGG HYPEREMESIS
GRAVIDARUM
12 4 2019 ERLINA MUKU G1P0A0 17TH H 35-36 MGG , ISK , JIUTH
12 4 2019 JACELIN PADE G2P1A0 25TH, H 12-13 MGG ABORTUS
IMMIN, TENTARIAL
13 4 2019 LIA PALONY CA CERVIX STD II B , DMT II,
ELECTROLYTE IMBLANCE
19 4 2019 NINA YULITA BOSMAN G2A1P0 25 TH H 7-8 MGG HYPEREMESIS
GRAVIDARUM
25 4 2019 ANGGRAINI SUTISNA R10.4
24 4 2019 NATALIA DIANA KAREPOUWANO42.9
5 4 2019 FITRIANTI JUMAING Z09.9
25 4 2019 NATALIA DIANA KAREPOUWANO42.9
4 2019 NURMIN P4A0 POST PARTUM PERVAGINAM ,
PERIREAL LACERATION GR II
2 4 2019 RANI LUSIA P1A0 POST PARTUM PERVAGINAM,
PERIREAL LACERATION GR II-III
4 2019 LENI KASIM ABORTUS INCOMPLETE
3 4 2019 MERCYLINA SUMENDAP POST KURET
6 4 2019 CARMENITA BAWOLE KISTA BARTHOLIN DEXTRA
12 4 2019 RAHMAN TULENAN P5A1 POST PARTUM PERVAGINAM, HIGH
RISK PREGNANCY
20 4 2019 MAILANY MACARAW P1A1 ABORTUS COMPLETE
25 4 2019 FELISYE SINGALE HYPEREMESIS GRAVIDARUM, G2P2 H 8
MNGG, ELECTROLYTE IMBALANCE
26 4 2019 WINDA LANASA ACUTE GASTROENTERITIS G1P0 H 30-31
MGG
24 4 2019 NANCHY EMANUEL SYOK HYPOVEOLEMIK EC ACUTE
BLOOD LOSS, ABORTUS INCOMPLETE
P4A1, ANEMIA
25 4 2019 CINDY KANSILO P2A0 POST PARTUM PERVAGINAM,
PERIREAL LACERATION GR IV
23 4 2019 LANNY BUKANAUNG HYPEREMESIS GRAVIDARUM G3P2 H 9
MINGGU, HYPOKLAEMIA
5 4 2019 LANNY BUKANAUNG HYPEREMESIS GRAVIDARUM GEP2 H 6
MGG
10 4 2019 LENY KASIM Z09.9
10 4 2019 MERCYLINA ANGGRAINY SARTZ09.9
10 4 2019 NURMIN Z09.9
10 4 2019 JULIWIGATI D25
25 4 2019 MEILANY MACARAU Z09.9
14 4 2019 JERICHO KALENGKONGAN VULNUS LACERASI CRURIS D 1/3
TENGAH V
4 2019 HENDRIK NEGELEN ULKUS PLANTAR PEDIS SINISTRA
10 4 2019 ARTIN TAMANGGE SOFT TISSUE TUMOR PEDIS
2019 DJUHIRA DUNGGIO CA MAMMAE
31 3 2019 MARKUS KALUWULANG SOFT TISSUE TUMOR
4 2019 PAULINA MANU ISK, TRAUMA THUMPUL THORAX, DM
TYPE II, HYPERERUCEMIA
2 4 2019 DONNA MONINGKEY APPENDICITIS ACUTE
11 4 2019 KASIM DAUD ABSCESS INTERCHANGE 2&3 MANUS
POST OP H1
10 4 2019 SULASTRI ABAS ABSCESS LUAS , ISK, HYPERERUCEMIA
12 4 2019 YOPPY PAMIKIRAN COMBATSIO GR I - II
2 4 2019 OLLY UMBOH SOFT TISSUE MAMMAE,
HYPERERUCEMIA
17 4 2019 DONNA MONINGKEY ABSCESS ABDOMEN LAT
21 4 2019 IRWIN LALENOH SOFT TISSUE TUMOR
20 4 2019 CHRISTIAN PANESE TRAUMATIC AMPUTASI DIGITI II
PLANTAR PEDIS MANUS
22 4 2019 ALMA MANGADIL ABSCEES ABDOMEN LAT
19 4 2019 MACELLIN LIWUTANG V LACERATUM VOLEY DIGITI II PEDIS
10 4 2019 FRESHLY WUISAN TAK ADA APA APA
1 4 2019 ASRI LAHOPE Z09.9
1 4 2019 ALMA CHRISTIN MANGADIL Z09.9
2 4 2019 JEREMIA SAMPOUW S89
2 4 2019 jacobus dotulung Z09.9
2 4 2019 INGE DIANDINI POERMEDI C50
3 4 2019 LEOPOLD ROTINSULU N40
8 4 2019 OKU HASAN Z09.8
11 4 2019 OLLY UMBOH Z09.9
11 4 2019 MASNI KAMPE I84.9
11 4 2019 FEIKI YUN ALAN TAMAHEANG K40.9
11 4 2019 KASIM DAUD Z03.9
12 4 2019 hendrik arnold negelen Z09.9
15 4 2019 DONNA CHRISTIN MONINGKEYZ09.9
15 4 2019 PAULA ALEXANDRA TAWALUY Z09.9
15 4 2019 DJUHURIA DUNGGIO Z09.9
16 4 2019 hendrik arnold negelen L02.9
16 4 2019 SRI NINGSI MANGGO R10.4
18 4 2019 SILVA LOGHOR Z09.0
18 4 2019 FATHUL WAHAB Z09.9
18 4 2019 VENTJE PINONTOAN Z09.9
20 4 2019 KASIM DAUD Z09.9
20 4 2019 PAULA ALEXANDRA TAWALUY Z01.8
20 4 2019 SULASTRI ABAS Z09.9
20 4 2019 KASIM MUHIDIN Z09.8
22 4 2019 jacobus dotulung Z01.9
22 4 2019 RAHMAN BAWOLE N40
22 4 2019 OKU HASAN Z09.8
22 4 2019 JERICHO K Z09.9
23 4 2019 YOPY PAMIKIRAN Z09.9
23 4 2019 DECKY SANGGELORANG Z09.9
23 4 2019 DONNA CHRISTIN MONINGKEYZ09.9
24 4 2019 YAFET TAKAPAHA N40
25 4 2019 ALISTER YAHYA TORIPALU Z01.9
26 4 2019 IRWIN ELDRIDGE LALENOH Z09.9
26 4 2019 CHRISTIANUS PANESE Z09.9
29 4 2019 JONES HAMBALI D29.1
30 4 2019 CHRISTIANUS PANESE Z09.9
30 4 2019 hendrik arnold negelen Z09.9
23 3 2019 AZRIEL HORMAANG DEMAM THYPOID, EI
23 3 2019 KIMBERLY BIJ DEMAM THYPOID, HYPOKALEMI
23 3 2019 ZEFANYA LANTANG DEMAM THYPOID , STOMATITIS
24 3 2019 VALENTINO ISK
24 3 2019 ANDIKA ABAS KDK, DEMAM DENGUE
25 3 2019 ARZELI MALANGKASE VIRAL INFECTION
26 3 2019 KALVIN ERUNGAN DEMAM THYPOID, KD
27 3 2019 GRENFIL SILOM DEMAM THYPOID, EI
28 3 2019 ALEYNA INKIRIWANG POST DIARE AKUT DRS
30 3 2019 MUHAMMAD RANSA ASTHMA BRONCHIALE, INTERMITTEN
SERANGAN SEDANG
30 3 2019 JOSHUA LANTANG DEMAM THYPOID , EI
30 3 2019 SENOVLEN KAMALIRA DEMAM THYPOID, GIZI KURANG
30 3 2019 RAFISQI ISMAIL DHF GR II , KDS
31 3 2019 DANIEL WORAN IBA, KDS
31 3 2019 AMELIA NGEO DEMAM PARATHYPOID
1 4 2019 VHIQYLA TILAAR DEMAM THYPOID
31 3 2019 DANIEL KASIM DEMAM THYPOID
1 4 2019 GABRIELA NATHALIE DEMAM THYPOID, EI
26 3 2019 STOCY BAWANDA DENGUE
26 3 2019 GRACIA TAMBENGI DEMAM THYPOID
1 4 2019 FABIO RUMENGAN ISK
2 4 2019 BY NY RANI LUTIA BCB SMK
2 4 2019 ZEFANYA MAKANAUNG DEMAM DENGUE, EI
2 4 2019 MANUELA MAKANAUNG DEMAM THYPOID, EI
2 4 2019 NADIRA ABUDI DERMATITIS
2 4 2019 NADILA ABUDI TONSILITS AKUT
2 4 2019 FERNANDO BASTIAN INTOKSIKASI MINYAK TANAH
2 4 2019 RIANSYAH KINSALE DEMAM THYPOID
3 4 2019 ABIGAEL POTU SYND DYSPEPSIA
4 4 2019 ALEYTA INKIRIWANG DEMAM THYPOID, EI
4 4 2019 XENA ALUSINSING BRONCHOPNEUMONIA
5 4 2019 JIHAN IGRISA DEMAM THYPOID, EI
4 4 2019 BELVANIA LOLONG DEMAM PARATHYPOID
4 4 2019 EDGAR RIWO DEMAM THYPOID
4 4 2019 RHEY RORI DEMAM THYPOID, KDS
5 4 2019 BY NY NURMIN BCB SMK
5 4 2019 SYITH TOLOLIU DATD
5 4 2019 AZZHALIQA HULLAH BRONCHOPNEUMONIA, KDK
6 4 2019 ESTERLITA MANGINTIKU FEVER
6 4 2019 FEBRIAN HUDODO BRONCHOPNEUMONIA
6 4 2019 BRILL BIDA DEMAM DENGUE
6 4 2019 AVRYIYANTO LANTEMONA TONSILITIS AKUT
6 4 2019 GRACIO RATON DEMAM THYPOID
8 4 2019 MELIANDO UMBAS DENGUE FEVER
8 4 2019 GOODWIN HARIBAE PNEUMONIA
8 4 2019 FABRIO KEMBUAN THYPOID
8 4 2019 RICHEL LUMI DEMAM THYPOID
8 4 2019 KHEREN MANOPPO DEMAM THYPOID
8 4 2019 MUHAMMAD LUCAS
8 4 2019 SYALOMITHA WARTABONE
10 4 2019 RASYID BOYO SYND DYSPEPSIA
10 4 2019 KIRANA INSYAH TONSILITIS AKUT
9 4 2019 ZKARNEIGER OMBENA TONSILITIS AKUT
12 4 2019 GABRIEL NICOLAAS BRONCHOPNEUMONIA
12 4 2019 BY NY RAHMAH TULENAN BCB SMK
12 4 2019 KATHRIN PAULUS DEMAM THYPOID
10 4 2019 ENGELIA TALUMINGAN DEMAM THYPOID, EI
10 4 2019 SEVANYA PONDAAG DEMAM THYPOID
13 4 2019 KAINZEN TUALANGI IBA
13 4 2019 RESYA THAIR DEMAM THYPOID, EI
12 4 2019 FEBRIAN SALAWATI DEMAM THYPOID
13 4 2019 VIRGINIA JUNGINGER TONSILITIS AKUT
13 4 2019 JEVELIN MAMAHIT BRONCHOPNEUMONIA
14 4 2019 RAFISKI TANGKA DEMAM THYPOID
14 4 2019 EDEN SILAP BRONCHOPNEUMONIA
14 4 2019 FEBRIO KEMBUAN DEMAM THYPOID
15 4 2019 RIFKY RATON DEMAM THYPOID
15 4 2019 QUEENCY PONTOH IBA, KDS
16 4 2019 MARSYA TITJO IBA, KDS
16 4 2019 GENINDRA LAFANDER BRONCHOPNEUMONIA BERAT
16 4 2019 SYITH TOLOLIU BRONCHOPNEUMONIA BERAT
16 4 2019 ADITYA GULA DEMAM THYPOID
16 4 2019 JIHAN LAHINGIDE TONSILITIS AKUT
17 4 2019 DELFI MANGANTARA DEMAM THYPOID
18 4 2019 TREEVENA WALEAN CEPHALGIA
19 4 2019 CHRISTOVEL TABIAS DEMAM THYPOID
19 4 2019 ANJANI WAWULINGO DEMAM THYPOID, EI
20 4 2019 PRICILIA PAGELANG DEMAM THYPOID, OMSK
2019 YUDAN HARUB MENINGITIS STD AWAL
20 4 2019 DEAN MAMONTO BRONCHOPNEUMONIA
21 4 2019 MARIN TULANGOW IBA, KRS, GIZI KURANG
22 4 2019 ALVINA TAWERA DEMAM THYPOID
23 4 2019 GEVARIEL RAU IBA
22 4 2019 KIREI PANDEIROTH DEMAM THYPOID, POST DIARE AKUT
DRS
24 4 2019 DAVID LUMENAN ASTHMA BRONCHIALE, INTERMITTEN
POST SERANGANS EDANG, ANGIODEMA
1 4 2019 GRACIA SEBATINI TAMBENGI Z09.9

1 4 2019 ANDIKA ABASI Z09.9
2 4 2019 KALVIN JOHART ERUNGAN Z09.9
2 4 2019 RABIAH DZIKRIKA DJIUWA Z09.8
4 4 2019 MUHAMAD FAIDZAN RANSA Z09.9
4 4 2019 joshua jonathan lantang Z09.9
4 4 2019 ALEYNA MIGUELA INKIRIWAN Z09.9
5 4 2019 DANIEL CHRISTOVEL AGUERO Z09.9
6 4 2019 AMELIA NGOE Z09.9
6 4 2019 ZEGLEE MARIO D TENGKER J18.9
6 4 2019 VHICQYLA BILCQYZ DAMONGIZ09.9
8 4 2019 XENA MICHAELA ALUSINSING Z09.9
8 4 2019 RIANSYAH ALFARIZ KINSALE Z09.9
9 4 2019 JIHAN ANISSA IGIRISA Z09.9
9 4 2019 ZHEFANYA FAITH CHAEZAR M Z09.9
9 4 2019 MANUELLA SHARON MAKANAZ09.9
10 4 2019 RHEY VANJERRI VELASCO RORZ09.9
10 4 2019 AZZHALIQA SHAQUEENA MEIZZ09.9
13 4 2019 FEBRIAND VALENTINO HUDODZ09.9
16 4 2019 SYALOMMITA ABIGAEL T. WAR Z09.9
16 4 2019 GRACIO YEHEZKIEL DELIF RATZ09.9
16 4 2019 sevanya sharon pondaag Z09.9
16 4 2019 MELIANDO UMBAS Z09.9
16 4 2019 EDGAR FILIPO RIWO Z09.9
18 4 2019 ENGELIA TALUMINGIN Z09.9
18 4 2019 RAFKA DICKY IGIRISA Z09.9
18 4 2019 KHEREN RAPHAELA MANOPO Z09.9
18 4 2019 FEBRIO JAVIER ALDIANO KEM Z09.9
20 4 2019 JEFELIN EUGENIA MAMAHIT Z09.9
20 4 2019 EDEN DANIEL SILAP Z09.9
20 4 2019 GEANINDA LASANDER Z09.9
23 4 2019 JIHAN ARSILA NADIA PUTRI LAZ09.9
24 4 2019 SYITH ABDUL AQSO TOLOLIU Z09.9
25 4 2019 PRICILLIA PANGEIANG Z09.9
25 4 2019 ZEGLEE MARIO D TENGKER Z09.9
30 3 2019 ARZELI MALANGKASE Z09.9
30 3 2019 PUTRI ISHAK Z09.9
30 3 2019 NATHANAEL MANUS Z09.9
30 3 2019 AZRIEL HORINANG Z09.9
30 3 2019 PRICILIA PANGELANG Z09.9
30 3 2019 ZAFANYA LANTANG Z09.9
30 3 2019 DENADA HADIKUSUMA Z09.9
30 3 2019 ZEGLEE MARIO D TENGKER Z09.9
4 4 2019 SENOVLAN KOMMALIRA Z09.9
4 4 2019 ASLEY MAKALUAS Z09.9
6 4 2019 BY NY RANI LUTIA Z09.9
16 4 2019 BRILL BIDA Z09.9
1 4 2019 SENOVLEN KAWILARANG VISITE 3X
6 4 2019 RANI ANGGRAINI ASSESMENT
7 4 2019 SYITH ABDUL AQSO TOLOLIU VISITE 2X
25 4 2019 GEVARIEL RAU VISITE 2X
26 4 2019 BAYI CINDY KANSILO VISITE 1X
27 4 2019 MILEA KASEULIRI VISITE 1X
2 4 2019 DONNA MONINGKEY APP ACUTE APPENDECTOMI - BSA
2 4 2019 JUNIOR ULAG V LACERATUM DORSUM PEDIS - BSA
2 4 2019 HENDRIK NEGELEN ULCUS PLANTAR PEDIS- BSA
15 4 2019 SULASTRI ABAS ABSCESS LUAS - GA
15 4 2019 JERIKO KALENGKONGAN VULNUS LACERATUM LUAS CRURIS -
GA
15 4 2019 YOPPI PAMIKIRAN COMBUTSIO GR I-II - GA
15 4 2019 KASIM DAUD ABSCESS DIABETIC - GA
15 4 2019 OLLY UMBOH SOFT TISSUE TUMOR MAMMAE DEXTRA
- GA
15 4 2019 ARIFIN TAMNAGGE STT DORSUM PEDIS EXCISI - BSA
16 4 2019 DECKY SANGGELORANG FISTAL LUAS PERIANAL MULTIPLE -
BSA
18 4 2019 DONNA MONINGKEY ABSCESS ABDOMEN LAT - BSA
18 4 2019 WIE HONG COMBUTSIO GR I, II, III 32% - GA
22 4 2019 MECLIN LIWUTANG VULNUS LACRATUM VOLEY DIGITI II
PEDIS - GA
22 4 2019 CHRISTIAN PALESE TRAUMATIC AMPUTASI PHALANX
DISTAL DIGITI II - GA
22 4 2019 IRWIN LALENOK SOFT TISSUE TUMOR EXVISI TUMOR -
GA
22 4 2019 SUPARJO ABSCESS SCROTUM - BSA
22 4 2019 ALMA MANGADIL ABSCESS ABDOMEN LAT - BSA
25 4 2019 NOVA DURANT APPENDICITIS - BSA
25 4 2019 NOVRIKO BAWOTONG TRAUMA AMPUTASI DIGITI II -BSA
25 4 2019 DEITY ZAKAWERUS RUPTUR ACHILES - BSA
25 4 2019 RAMLI AGUK JAR NEKROTIK LUAS - BSA
25 4 2019 SAFRIANA RAHMOLA V LACERATUM DORSUM PEDIS - BSA
29 4 2019 GILBERT MAMUANE VULNUS ICTUM THORAX POST
DEBRIDEMEN - GA
29 4 2019 MICHAEL KAPARANG APPENDICITIS INFIL TRAT - BSA
29 4 2019 HAMDIA V LACERATUM LUAS HEMATOM PATELA
- BSA
29 4 2019 ESTEFANUS SASELA HEMOROID GR IV SCRCUMPLEX - BSA
29 4 2019 ALMA MADILE TOPHUS DIGITI I PEDIS SCRICUMPLEX
29 4 2019 VINCENTINUS JACOBUS HERNIA MEDIALIS - BSA
Prc JASMED Sp
DR. ANASTASYA LUMENTUT,SpOG Rp 435,666 OBGYN

DR. ANASTASYA LUMENTUT,SpOG Rp 50,000 OBG

DR. GRACE THUNGARY, Sp,OG Rp 403,854 OBGYN


DR. GRACE THUNGARY, Sp,OG OBGYN

DR. GERRY J WULLUR, Sp.B Rp - BEDAH
DR. GERRY J WULLUR, Sp.B Rp 725,582 BEDAH



DR. GERRY J WULLUR, Sp.B Rp 1,370,270 BEDAH

DR WINSTON TANZIL, Sp.A Rp 479,864 ANAK

DR WINSTON TANZIL, Sp.A Rp - ANAK

150,000
50,000
100,000
100,000
50,000
50,000
DR. RINAL PORDOMUAN PURBA, Sp. An Rp 558,316 ANASTESI
DR. RINAL PORDOMUAN PURBA, Sp. An Rp - ANASTESI



DR. RINAL PORDOMUAN PURBA, Sp. An Rp 1,370,270 ANASTESI



DR. RINAL PORDOMUAN PURBA, Sp. An TotRp 7,204,824
Grand Total Rp 64,143,570
SEP INACBG
Rp 1,980,300.00
Rp 1,980,300.00
Rp 1,122,400.00
Rp 1,980,300.00
Rp 2,772,500.00
0309R0170419V001467
0309R0170419V001530
0309R0170419V000280
0309R0170419V001423
Rp 1,835,700.00
Rp 1,529,800.00
Rp 1,506,900.00
Rp 1,808,300.00
Rp 2,486,800.00
Rp 1,529,800.00
Rp 839,900.00
Rp 1,980,300.00
Rp 1,980,300.00
Rp 1,980,300.00
Rp 1,529,800.00
Rp 1,980,300.00
Rp 1,980,300.00
0309R0170419V000598
0309R0170419V000609
0309R0170419V000610
0309R0170419V000737
0309R0170419V001483
Rp -
Rp 3,298,100.00
Rp 1,988,000.00
Rp 1,988,000.00
Rp 2,486,000.00
Rp 2,022,000.00
Rp 2,537,800.00
Rp 1,148,000.00
Rp 1,148,000.00
Rp 3,486,100.00
Rp 3,492,200.00
Rp 1,148,000.00
Rp 3,492,200.00
Rp 6,228,500.00
Rp 1,148,000.00
Rp 2,244,500.00
Rp 1,148,000.00
0309R0170419V000047
0309R0170419V000029
0309R0170419V000086
0309R0170419V000085
0309R0170419V000104
0309R0170419V000152
0309R0170419V000435
0309R0170419V000668
0309R0170419V000675
0309R0170419V000683
0309R0170419V000676
0309R0170419V000688
0309R0170419V000753
0309R0170419V000833
0309R0170419V000875
0309R0170419V000876
0309R0170419V000942
0309R0170419V000928
0309R0170419V001007
0309R0170419V001006
0309R0170419V001091
0309R0170419V001088
0309R0170419V001096
0309R0170419V001101
0309R0170419V001175
0309R0170419V001157
0309R0170419V001206
0309R0170419V001180
0309R0170419V001193
0309R0170419V001163
0309R0170419V001257
0309R0170419V001287
0309R0170419V001295
0309R0170419V001305
0309R0170419V001263
0309R0170419V001339
0309R0170419V001361
0309R0170419V001362
0309R0170419V001366
0309R0170419V001394
0309R0170419V001499
0309R0170419V001492
0309R0170419V001532
0309R0170419V001531
0309R0170419V001570
0309R0170419V001695
0309R0170419V001756
0309R0170419V001778
0309R0170419V001752
0309R0170419V001786
Rp 2,181,200
Rp 2,617,400
Rp 2,181,200
Rp 2,022,000
Rp 1,091,500
Rp 1,091,500
Rp 2,181,200
Rp 2,181,200
Rp 1,125,300
Rp 2,033,000
Rp 2,181,200
Rp 1,091,500
Rp 2,181,200
Rp 2,181,200
Rp 2,181,200
Rp 2,181,200
Rp 3,053,600
Rp 1,091,500
Rp 2,167,400
Rp 2,022,000
Rp 1,309,800
Rp 2,617,400
Rp 1,346,900
Rp 2,181,200
Rp 1,130,000
Rp 2,181,200
Rp 3,300,100
Rp 2,181,200
Rp 2,617,400
Rp 2,181,200
Rp 2,617,400
Rp 3,960,100
Rp 2,485,100
Rp 3,300,100
Rp 1,808,500
Rp 2,617,400
Rp 1,091,500
Rp 3,300,100
Rp 2,181,200
Rp 3,053,600
Rp 2,181,200
Rp 2,531,900
Rp 2,170,200
Rp 3,960,100
Rp 2,181,200
Rp 2,181,200
Rp 2,181,200
Rp 2,181,200
Rp 2,181,200
Rp 2,181,200
Rp 1,808,500
Rp 3,300,100
Rp 2,181,200
Rp 3,300,100
Rp 2,181,200
Rp 2,617,400
Rp 3,300,100
Rp 3,300,100
Rp 2,617,400
Rp 1,808,500
Rp 2,181,200
Rp 1,789,600
Rp 2,181,200
Rp 2,181,200
Rp 2,181,200
Rp 2,495,500
Rp 3,300,100
Rp 2,181,200
Rp 2,181,200
Rp 2,617,400
Rp 2,033,000
UMUM
UMUM
UMUM
UMUM
Rp 225,000
Rp 75,000 Rp 75,000
Rp 150,000
Rp 150,000
Rp 75,000
Rp 75,000
Rp 2,537,800
Rp 3,298,100
Rp 1,148,000
Rp 3,486,100
Rp 1,148,000
Rp 3,492,200
Rp 1,988,000
Rp 2,537,800
Rp 2,244,500
Rp 6,228,500
Rp 3,492,200
Rp 1,148,000
01 April 2019 20338 SENOVLEN KAWILARANG VISIT DR WINSTON
06 April 2019 20404. RANI ANGGRAINI PF DR.WINSTON TANZIL,SP.A(REG)
07 April 2019 20427 SYITH ABDUL AQSO TOLOLIU VISITE DR.WINSTON TANZIL,SP.A(
25 April 2019 21607 GEVARIEL RAU VISI DR. SPEISIALIS WINSTON TANZIL
26 April 2019 21630 BAYI CINDY KANSILO VISI DR. WINSTON TANZIL
27 April 2019 21634 MILEA KASEULIRI VISIT SPESIALIS DR WINSTON
11 April 2019 20463 CHRISTY TAMBUWUN PF DR. GRACE SP.OG

R-USG BIDAN
22 April 2019 21583. TERESIA ANGNESIA LEPA PF DR.ANASTASIA LUMENTUT,SP.OG

R-USG KEBIDANAN
20 April 2019 21561 YNGWIE HONG VISITE BEDAH

20 April 2019 21561 YNGWIE HONG IV MAJOR SURGERY SMALL
29 April 2019 21651. DEITY ZACHAWERUS VISITE DR.GERRY,SP.B(REG)

150,000 Rp 225,000
ON TANZIL,SP.A(REG) 50,000 Rp 75,000 Rp 75,000
NSTON TANZIL,SP.A( 100,000 Rp 150,000
IALIS WINSTON TANZIL 100,000 Rp 150,000
TON TANZIL 50,000 Rp 75,000
IS DR WINSTON 50,000 Rp 75,000
50,000 Rp 75,000
Rp 200,000
50,000 Rp 125,000
ASIA LUMENTUT,SP.OG 50,000 Rp 75,000

50,000 Rp 125,000
50,000 Rp 150,000
RGERY SMALL 1,500,000 Rp 5,000,000
RRY,SP.B(REG) 300,000 Rp 450,000

DATMONTHYEAR AGEPATIENT AGE GEN
INTERVENSION DOCTOR
DR. CHRISTY L RATTU Total
DR. INDAH ROHMAWATY Total
DR. IRENE MOUDY SUMAYKU Total
DR. MICHELLE SUMAMPOUW Total
DR. STEPHANIE PUTRI CHRISTI LOONG To
dr.VINI GOSAL Total
Grand Total
JASMED
8,285,000
5,735,000
8,545,000
7,990,000
8,180,000
10,962,500
49,697,500
DATE MONTH YEAR DUTY PATIENT AGE
GENDER INTERVENSION NURSE
CHERLINY LOVELY REY A.md, Keb Total
NI WAYAN SUPARTIASIH, A.Md KEB Total
NURFITRI EFENDY A.md, Keb Total
SULISTIWATY, A.Md Keb Total
YANTI KANSIL, Amd Keb Total
Grand Total
JASMED
Rp 1,115,000
Rp 1,155,000
Rp 1,135,000
Rp 800,000
Rp 1,305,000
Rp 5,510,000
DATE MONTH YEAR DUTY PATIENT AGE
GENDER INTERVENSION
NURSE JASMED
CENDY WOKAS, A.Kep Total Rp 1,690,000
CONNY BARAKATI, S Kep Ns Total Rp 1,665,000
DESMIN BULAMEI, A.Md Kep Total Rp 1,705,000
EKO DECKY SUNARTO, A.md Kep Total Rp 525,000
FAZRIAH BACHMID Total Rp 1,900,000
HANLY ROY GHIGILE A.Md, Kep Total Rp 1,520,000
HEIDI ZAKAWERUS, S.Kep, Ns Total Rp 1,575,000
INDRAH DODORE, CWCAA, Ns Total Rp 1,800,000
LENA PONTOH, A.Md Kep Total Rp 1,360,000
LIDIYA FERONIKA KALENSE, S. Kep, Ns Total Rp 1,015,000
MARDIANUS HARMAN, A.Md Kep Total Rp 1,575,000
MARYANTI CHRISTI DALITA, A.Md Kep Total Rp 3,615,000
MUHAMMAD DAHLAN TINUNGKI, A.md Kep Total Rp 1,200,000
NOVALIA RAHMAWATY S.Tr Kep Total Rp 1,615,000
OLIVIA MITHA, S.Kep Ns Total Rp 2,275,000
PARAMITHA RATNASARI PUTRI, A.Md Kep Total Rp 1,615,000
PRISILIA KURNIATI SENEN, S.Kep, Ns Total Rp 2,105,000
PURNAMA TUMONDA, A.Md Kep Total Rp 1,395,000
RAINI SINTIA LALISANG, A.md, Kep Total Rp 1,925,000
RIPSON SUKU, A.md, Kep Total Rp 1,175,000
ROFI IBRAEL, A.Md Kep Total Rp 1,440,000
SERIJHESSY HARMAN, A.Md kep Total Rp 1,230,000
SITTI SANDALA MUSTIR, A.Md Kep Total Rp 1,430,000
SRI SENEN, A.Md Kep Total Rp 1,200,000
STEVA KADAMEHANG, S.Kep Total Rp 1,285,000
SUSMA DJABU, S.Kep Total Rp 1,125,000
YANTRI LISNAK SASELA, A.Md Kep Total Rp 1,130,000
YUSAKAR ABDUL HELLO, S.Kep Total Rp 1,065,000
YUYU DWIKARMILASARI, A.Md Kep Total Rp 3,095,000
Grand Total Rp 46,250,000
DATE MONTH YEAR DUTY PATIENT AGE GENDER
INTERVENSION PETUGAS
RISKA NOVIASARI, A.md, AK Total
KARINA RARUNG, A.Md AK Total
NOVIYANTI RUMINGAN, A.Md AK Total
YUNENGSIH, A.Md AK Total
Grand Total
JASMED
Rp 2,950,000
Rp 2,755,000
Rp 1,665,000
Rp 2,505,000
Rp 9,875,000
DATE MONTH YEAR PATIENT VISITE RUJUK
1 4 2019 FRANKY LENSUN √ -
3 4 2019 ARON JAWARI √ √
3 4 2019 HELLY TAKUMANGSANG √ √
3 4 2019 JONAS HAMBALI √ √
3 4 2019 MATENSI LALENOH √ √
4 4 2019 ARON JAWARI √ -
4 4 2019 HELLY TAKUMANGSANG √ -
4 4 2019 JONAS HAMBALI √ -
4 4 2019 MATENSI LALENOH √ -
7 4 2019 ELLEN PONDAAG √ √
7 4 2019 HELLY WEKU √ √
7 4 2019 SABIBI √ √
7 4 2019 SUMAN B √ √
7 4 2019 YOUTJE WONGKAREN √ √
8 4 2019 ELLEN PONDAAG √ -
8 4 2019 FITARY WALANGITAN √ √
8 4 2019 MARTA TATULUS √ √
8 4 2019 SABIBI √ -
8 4 2019 SISKA RONGKONUSA √ √
8 4 2019 SUMARNI √ √
9 4 2019 ELLEN PONDAAG √ -
9 4 2019 MARTHA TATULUS √ -
9 4 2019 SABIBI √ -
9 4 2019 SISKA RONGKONUSA √ -
9 4 2019 SUMARNI √ -
10 4 2019 MARTHA TATULUS √ -
10 4 2019 SISKA RONGKONUSA √ -
10 4 2019 SUMARNI √ -
17 4 2019 MARIA TARIWANE √ √
18 4 2019 ALBERT MANGUNDAP √ √
18 4 2019 MEISKE KUMENDONG √ √
18 4 2019 REJAWIN TARIWANE √ √
19 4 2019 BRYAN MANDAS √ √
19 4 2019 JUWITA √ √
19 4 2019 MEISKE KUMENDONG √ -
19 4 2019 YULITA BOSMAN √ √
20 4 2019 BRYAN MANDAS √ -
20 4 2019 LINTJE SAUD √ √
20 4 2019 MEYLANI M √ √
20 4 2019 YULITA BOSMAN √ -
21 4 2019 BRYAN MANDAS √ -
21 4 2019 LINTJE SAUD √ -
21 4 2019 MEYLANI M √ -
22 4 2019 ANDRIS PUSUNG √ √
22 4 2019 ROOSYE RUUS √ √
22 4 2019 SYANE SIGAR √ √
23 4 2019 ANDRIS PUSUNG √ -
23 4 2019 ELSA MAMOTO √ √
23 4 2019 FRANS MAKARAUNG √ √
23 4 2019 ROOSYE RUUS √ -
23 4 2019 SALINA LAHATI √ √
23 4 2019 SYANE SIGAR √ -
24 4 2019 ALMENDO LASERO √ √
24 4 2019 FRANS MAKARAUNG √ -
24 4 2019 HASAN ABAS √ √
24 4 2019 JOUTJE RAWUNG √ √
24 4 2019 RIZKY KARIM √ √
24 4 2019 ROBBY DAMA √ √
24 4 2019 SALINA LAHATI √ -
25 4 2019 ALMENDO LASERO √ -
25 4 2019 FRANKY LENSUN √ √
25 4 2019 FRANS MAKARAUNG √ -
25 4 2019 FRED TAWALUYAN √ √
25 4 2019 HASAN ABAS √ -
25 4 2019 HENDRA PANGKEY √ √
25 4 2019 JOUTJE RAWUNG √ -
25 4 2019 RIZKY KARIM √ -
25 4 2019 ROBBY DAMA √ -
26 4 2019 ELIAS HALBARE √ √
26 4 2019 FRED TAWALUYAN √ -
26 4 2019 HASAN ABAS √ -
26 4 2019 HENDRA PANGKEY √ -
26 4 2019 JOUTJE RAWUNG √ -
26 4 2019 MARTHENS P √ √
26 4 2019 ROBBY DAMA √ -
27 4 2019 HASAN ABAS √ -
27 4 2019 MARTHENS P √ -
27 4 2019 ROBBY DAMA √ -
27 4 2019 TENNY POLAU √ √
28 4 2019 ELIAS HALBARE √ -
28 4 2019 SENAM PROLANIS
28 4 2019 TENNY POLAU √ -
30 3 2019 FRANKY LENSUN √ √
1845 411 205938
DOCTOR JASMED
DR. BILLY MAMANUA, M.BioMed, FIAS Rp 50,000.00
Rp 7,400,000.00
Rp -
DATE MONTYEAR PATIENT INTERVENSION
1 4 2019 AMRUN ARBIE EKSTRAKSI
4 4 2019 BURHANUDIN EKSTRAKSI
4 4 2019 ALICIA DWI WULANDARI SCALING, TAMBAL GIGI 11×21
15 4 2019 STEVEN SUMARAW TAMBAL SEMENTARA
22 4 2019 ESTER TASIAN PREMEDIKASI
22 4 2019 STEVEN SUMARAW EKSTRAKSI
23 4 2019 STEVEN SUMARAW TAMBAL PERMANEN
23 4 2019 ESTER TASIAN VISIT
23 4 2019 JUNITA TASIAM PREMEDIKASI
25 4 2019 SELVA PREMEDIKASI
16 4 2019 SWINLI VERYANTO HUMOPA K05.0
18 4 2019 ANDI RIFQI ALFATIR K04.0
22 4 2019 ANDI RIFQI ALFATIR K04.0
POLI DPJP JASMED INACBG
L drg. FITRI NASUTION 286,400
L drg. FITRI NASUTION Rp - 286,400
P drg. FITRI NASUTION Rp -
L drg. FITRI NASUTION Rp - -
P drg. FITRI NASUTION Rp 5,000.00
L drg. FITRI NASUTION Rp - 286,400
L drg. FITRI NASUTION Rp - -
GIG drg. FITRI NASUTION Rp 50,000.00
Rp 170,000.00
BPJS
BPJS
UMUM
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
UMUM
0309R0170419V000977
0309R0170419V001085
0309R0170419V001276
DATE MONTH YEAR PATIENT AGE
INTERVENTION PETUGAS JASMED
ERIKSON PATRAS Total Rp 2,850,000.00
Grand Total 2,850,000

DATE MONTH YEAR DUTYPATIENT AGE GENDER
INTERVENTION PETUGAS
MARSELINA BETTY LATUNI, S.Kep Total
JASMED
Rp 75,000.00

04 - April 2019 - Proses

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04 - April 2019 - Proses

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NO NAMA NOMOR REKENING JUMLAH

1 dr. VINI HEMA RUT GOSAL MANDIRI - 1500013586761 Rp 13,362,500.00

1,600,000 - - 65,000 1 5,500 - 65,000

2,400,000 10,962,500 - 100,000 - 10,000 - -

1,500,000 5,000 - 60,000 - 5,000 - -

1,100,000 1,615,000 - 44,000 - 3,750 - -

1,200,000 800,000 - 48,000 3 4,000 - 144,000

1,535,000 MANDIRI - 1500013550171

13,362,500 MANDIRI - 1500013586761

1,505,000 MANDIRI - 1500013549975

2,715,000 MANDIRI - 1500013576515 4

1,856,000 MANDIRI - 1500013550460

KTP DIKEMBALIKAN (LUNAS) VITAMIN B KPK IPI TAB Rp 20,000 Rp 34,767,500

DISPOSIBLE 1 CC TUBERCULIN Rp 2,000 Rp 52,645,000

1 4 2019 GRACIA SEBATINI TAMBENGI Z09.9

DR. ANASTASYA LUMENTUT,SpOG Rp 435,666 OBGYN

DR. ANASTASYA LUMENTUT,SpOG Rp 435,666 OBGYN

DR. ANASTASYA LUMENTUT,SpOG Rp 609,950 OBGYN

DR. ANASTASYA LUMENTUT,SpOG Rp 50,000 OBG

DR. GRACE THUNGARY, Sp,OG Rp 336,556 OBGYN

DR. GRACE THUNGARY, Sp,OG Rp 331,518 OBGYN

DR. GRACE THUNGARY, Sp,OG Rp 184,778 OBGYN

DR. GRACE THUNGARY, Sp,OG Rp 435,666 OBGYN

DR. GRACE THUNGARY, Sp,OG Rp 435,666 OBGYN

DR. GRACE THUNGARY, Sp,OG Rp 336,556 OBGYN

DR. GRACE THUNGARY, Sp,OG Rp 435,666 OBGYN

DR. GRACE THUNGARY, Sp,OG OBGYN

DR. GRACE THUNGARY, Sp,OG Rp 50,000 OBGYN

DR. GERRY J WULLUR, Sp.B Rp 725,582 BEDAH

DR. GERRY J WULLUR, Sp.B Rp 558,316 BEDAH

DR. GERRY J WULLUR, Sp.B Rp 252,560 BEDAH

DR. GERRY J WULLUR, Sp.B Rp 252,560 BEDAH

DR WINSTON TANZIL, Sp.A Rp 479,864 ANAK

DR WINSTON TANZIL, Sp.A Rp 447,260 ANAK

DR WINSTON TANZIL, Sp.A Rp 50,000 ANAK

DR. RINAL PORDOMUAN PURBA, Sp. An Rp 766,942 ANASTESI

DR. RINAL PORDOMUAN PURBA, Sp. An Rp 437,360 ANASTESI

DR. RINAL PORDOMUAN PURBA, Sp. An Rp 558,316 ANASTESI

DR. RINAL PORDOMUAN PURBA, Sp. An Rp 1,370,270 ANASTESI

DR. RINAL PORDOMUAN PURBA, Sp. An Rp 768,284 ANASTESI

DR. RINAL PORDOMUAN PURBA, Sp. An Rp - ANASTESI

DR. RINAL PORDOMUAN PURBA, Sp. An Rp - ANASTESI

DR. RINAL PORDOMUAN PURBA, Sp. An Rp - ANASTESI

11 April 2019 20463 CHRISTY TAMBUWUN PF DR. GRACE SP.OG

22 April 2019 21583. TERESIA ANGNESIA LEPA PF DR.ANASTASIA LUMENTUT,SP.OG

20 April 2019 21561 YNGWIE HONG VISITE BEDAH

29 April 2019 21651. DEITY ZACHAWERUS VISITE DR.GERRY,SP.B(REG)

ASIA LUMENTUT,SP.OG 50,000 Rp 75,000

RRY,SP.B(REG) 300,000 Rp 450,000

Grand Total 2,850,000

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