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DATA TRANSFUSI PASIEN PERIODE NOVEMBER 2018

HARGA
NO NO.RM NAMA PERAWATAN TGL TRANSFUSI NO. HP JUMLAH KET
SATUAN TOTAL
1 002071 NY LENTENG RANAP BAWAH 11/2/2018 82349101960 2 Rp300,000 Rp600,000
2 002087 NY BAJI RANAP BAWAH 11/5/2018 82144343224 1 Rp300,000 Rp300,000
3 002111 NY VIVI SULVIANTI RANAP BAWAH 05/11/18 - 06/11/18 85298290729 2 Rp300,000 Rp600,000
4 002211 NY SABI RANAP BAWAH 11/12/2018 85146114630 2 Rp300,000 Rp600,000
5 002240 NY SYAMSIAH DG NGUGI RANAP BAWAH 11/15/2018 85256949243 1 Rp325,000 Rp325,000
6 002286 NY ROSI DG MINNE RANAP BAWAH 11/18/2018 85321102075 2 Rp300,000 Rp600,000
7 002227 TN HJ BACCO DG DG NASSANG RANAP ATAS 11/14/2018 85234968765 1 Rp300,000 Rp300,000
8 002191 TN MATTAJAKANG DG ROPU RANAP ATAS 11/11/18 - 12/11/18 82191974341 2 Rp300,000 Rp600,000
9 002308 TN RAWING RANAP ATAS 21/11/18 -25/11/18 - 26/11/18 82395936656 3 Rp300,000 Rp950,000
10 002313 AGUS R RANAP ATAS 11/20/2018 81242997145 1 Rp300,000 Rp300,000
11 002599 TN ZALLI SAITE RANAP ATAS 08/12/18 - 09/12/18 85245189669 3 Rp300,000 Rp925,000
12 002122 TN SYAFUDDIN AZALEA 06/11/2018 - 07/11/18 -09/11/18 81242939424 5 Rp300,000 Rp1,500,000
13 002172 TN AGUS AZALEA 10/11/18 - 11/11/18 85242421260 2 Rp300,000 Rp600,000
14 003242 TN MAKKARAUSU AZALEA 22/11/18 - 23/11/18 85298043807 2 Rp300,000 Rp600,000

TOTAL Rp8,800,000

Tanggal 13 Februari 2019

Direktur Petugas Casemix

( Dr. H. A. Rivai Ibrahim ) ( )


DATA TRANSFUSI PASIEN PERIODE DESEMBER 2018
HARGA
NO NO.RM NAMA PERAWATAN TGL TRANSFUSI NO. HP JUMLAH KET
SATUAN TOTAL
1 001492 NY RASNAH RANAP BAWAH 12/10/2018 85242806821 1 Rp325,000 Rp325,000
2 002695 NY HAMIDA DG NGASSENG RANAP BAWAH 12/14/2018 82153136136 3 Rp300,000 Rp900,000
3 002713 NY KARANNUANG RANAP BAWAH 12/19/2018 85396156008 1 Rp300,000 Rp300,000
4 002732 NY SINA DG KEBO RANAP BAWAH 12/22/2018 85396283472 1 Rp300,000 Rp300,000
5 002928 NY HASNIA DG GASSENG RANAP BAWAH 29/12/18 - 30/12/18 82397858564 3 Rp300,000 Rp900,000
6 002535 TN HARTONO RANAP ATAS 04/12/18 -05/12/18 8124343331 3 Rp300,000 Rp900,000
7 002819 NY PATIMA DG SUNGGU RANAP ATAS 12/22/2018 82349306927 2 Rp300,000 Rp600,000
8 002836 TN KENI DG BAYA RANAP ATAS 12/23/2018 85343719128 2 Rp300,000 Rp600,000
9 002499 NY ROSNI USMAN AZALEA 01/12/18 - 02/12/18 85254669998 2 Rp300,000 Rp600,000
10 002764 TN H KANTO AZALEA 12/20/2018 82344776428 1 Rp300,000 Rp300,000
11 002760 TN ANDI IRWAN AZALEA 12/20/2018 85255021325 1 Rp300,000 Rp300,000

TOTAL Rp6,025,000

Tanggal 12 Maret 2019

Direktur Petugas Casemix

( Dr. H. A. Rivai Ibrahim ) ( )


DATA TRANSFUSI PASIEN PERIODE JANUARI 2019
HARGA
NO NO.RM NAMA PERAWATAN TGL TRANSFUSI NO. HP JUMLAH KET
SATUAN TOTAL
1 003034 NY PUJIATI RANAP BAWAH 1/5/2019 85216073828 2 Rp 300,000 Rp 600,000
2 002991 NY SARIPA RANAP BAWAH 1/3/2019 85298342089 1 Rp 300,000 Rp 300,000
3 003314 NY NABA LIBU RANAP BAWAH 1/23/2019 85394792486 2 Rp 300,000 Rp 600,000
4 003153 NY MARUNG BOLLO RANAP ATAS 1/11/2019 85395370244 1 Rp 300,000 Rp 300,000
5 003057 NY ASRIANI RANAP ATAS 06/01/19 - 07/01/19 085242645737 2 Rp 300,000 Rp 600,000
6 003296 NY SAHARIBULANG RANAP ATAS 18/01/19 - 20/01/19 81355460845 3 Rp 300,000 Rp 900,000
7 003355 TN TAKIYUDDIN RANAP ATAS 1/24/2019 82151374768 1 Rp 300,000 Rp 300,000
8 003350 TN TARAMPODG NGERANG RANAP ATAS 1/24/2018 85298285246 2 Rp 300,000 Rp 600,000
9 002992 NY TAEBA AZALEA 1/3/2019 85298826686 2 Rp 300,000 Rp 600,000
10 003113 NY HASNAH DG KACA AZALEA 1/7/2019 82293305662 1 Rp 300,000 Rp 300,000
11 003060 TN MURTALA A HCU 1/4/2019 82344000374 2 Rp 300,000 Rp 600,000

TOTAL Rp5,700,000

Tanggal 10 April 2019

Direktur Petugas Casemix

( Dr. H. A. Rivai Ibrahim ) ( )


DATA TRANSFUSI PASIEN PERIODE FEBRUARI 2019
HARGA
NO NO.RM NAMA PERAWATAN TGL TRANSFUSI NO. HP JUMLAH KET
SATUAN TOTAL
1 003648 TN MATTUDG SIKKI RANAP BAWAH 11/02/19 - 12/02/19 81333620111 3 Rp 300,000 Rp 900,000
2 003778 NY KUDA DG TE'NE RANAP ATAS 2/16/2019 82347276907 2 Rp 300,000 Rp 600,000
3 002978 TN MURSALIM RANAP ATAS 31/02/19 82191982842 2 Rp 300,000 Rp 600,000
4 003542 TN HASRUL DG LAWA RANAP ATAS 2/3/2019 85298722313 2 Rp 300,000 Rp 600,000
5 003843 TN MUSA RANAP ATAS 2/20/2019 85394181244 2 Rp 300,000 Rp 600,000
6 003725 NY NURLIA DG NGAI RANAP ATAS 2/10/2019 85215713123 2 Rp 300,000 Rp 600,000
6 003807 TN YUSENG AZALEA 2/18/2019 81242818487 3 Rp 300,000 Rp 900,000
7 003378 NY HALANG AZALEA 2/26/2019 81343654543 1 Rp 300,000 Rp 300,000

TOTAL Rp 5,100,000

Tanggal 24 April 2019

Direktur Petugas Casemix

( Dr. H. A. Rivai Ibrahim ) ( )


DATA TRANSFUSI PASIEN PERIODE MARET 2019
HARGA
NO NO.RM NAMA PERAWATAN TGL TRANSFUSI NO. HP JUMLAH KET
SATUAN TOTAL
1 003995 NY SONA DG KEMBONG RANAP BAWAH 2/27/2019 82347714495 1 Rp 300,000 Rp 300,000
2 004229 NY SYAHNIARTI RANAP BAWAH 3/11/2019 85398276416 1 Rp 300,000 Rp 300,000
3 004305 NY SABA NY SABA 3/14/2019 82348681581 1 Rp 300,000 Rp 300,000
4 005353 NY SITTI DAENG SAKKING RANAP BAWAH 15/03/19 - 19/03/19 85240542836 3 Rp 300,000 Rp 900,000
5 004400 NY HASNA RANAP BAWAH 19/03/19 - 20/03/19 82347087903 4 Rp 300,000 Rp 1,200,000
1 Rp 325,000 Rp 325,000
6 001133 TN SAHARUDDIN KR LEO RANAP ATAS 10/03/19 - 12/03/19 82292895805
2 Rp 300,000 Rp 600,000
1 Rp 325,000 Rp 325,000
7 003057 NY ASRIANI RANAP ATAS 24/03/19 - 26/03/19 85242645737
1 Rp 300,000 Rp 300,000
8 004471 NY MARIATI DG RANNE RANAP ATAS 24/03/19 - 26/03/19 85394484399 3 Rp 300,000 Rp 900,000
9 004155 TN MUHAMMAD FAIZ AZALEA 10/03/19 - 12/03/19 85298815113 2 Rp 300,000 Rp 600,000

TOTAL Rp 6,050,000

Tanggal 27 Mei 2019

Direktur Petugas Casemix

( Dr. H. A. Rivai Ibrahim ) ( )

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