REKAPITULASI JAMKESDA RSUD WAMENA

BANGSAL PENYAKIT DALAM - BULAN JUNI 2018

P / PP /
NO NO MR NO KPS NAMA JK UMUR ALAMAT DIAGNOSA R/M

1 2 3 4 5 6 7 8 9

1 94.94.10 44798 AN. PASKALIS WILIL L 13 KURULU MALARIA TERSIANA P

2 86.96.10 67118 TN. ARIBEN WENDA L 43 WALANI STEMI K

3 35.64.09 26710 TN. PAMIUS KOGOYA L 23 SINAKMA TYPOID FEVER P
4 24.95.10 66996 TN. SELO ALIKNOE L 28 MISSI DBD P
5 55.37.03 66958 NY. MATU WEYA P 49 JB. WENAS B20 PP
6 93.95.10 67050 NY. WAREKE MABEL P 68 KURULU PPOK P
7 14.56.06 13669 TN. ISMAIL KAROBA L 34 HOM-HOM B20 P
8 52.94.10 66939 TN. OLEAK WETIPO L 50 LOKASI 3 PPOK P
9 46.95.10 67009 NY. MINCE ITLAY P 30 ITLAY HISAGE B20 PP

10 89.85.10 66300 TN. EIRON BEMBOK L 23 KARUJAYA PLEURITIS TB P

11 42.37.10 38509 TN. EDISON HUBY L 53 POTIKELEK VERTIGO P

12 53.79.10 66115 TN. ALEX WALILO L 48 DUSUN NASIA TB MILIER P
13 78.59.06 47651 TN. KORNELES YANDO L 27 JL. BHAYANGKARA ASMA BRONCHIALE P
14 03.78.10 65682 NY. NITENA TABO P 43 HOM-HOM SIROSIS HEPATIS P
15 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI CHEPALGIA P
16 17.38.05 19611 NY. NURLINCE GOBAY P 24 ASOLOGAIMA B20 P
17 75.97.10 67187 NY. LINA WENDA P 29 SINAKMA ISK P
18 14.06.03 12717 NY. OROS MATUAN P 30 POTIKELEK TB PARU + ASCITES PP
19 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI AR
20 65.98.10 67253 NY. YOSPINA WANIMBO P 20 JL. PANJAITAN ANEMIA P
21 75.98.10 67261 TN. NABAS KOGOYA L 43 JL. IRIAN PJK PP
22 41.45.07 31557 NY. KRISTINA AROMPA P 29 HOLASILI MALARIA TROPIKA P
23 67.62.10 64528 TN. ABRAHAM DABY L 26 JL. BHAYANGKARA SIROSIS HEPATIS + TB PARU P
24 82.90.10 66661 TN. JERINUS KOGOYA L 28 JL. PIKHE B20 + TB PARU P
25 52.96.10 67089 TN. KODE MURIB L 21 NAPUA MALARIA TERSIANA PP
26 15.11.05 13850 TN. PANIUS WETIPO L 27 HOM-HOM TYPOID FEVER P
27 99.50.09 63648 NY. MAKDA WENDA P 35 JL. IRIAN TUMOR ABDOMEN R
28 95.37.04 67453 NY. ERINA HESELO P 19 HOM-HOM RHEMATIC ACUTE P
29 08.93.10 66840 NY. ALINA SIEP P 27 WOUMA CARDIOMEOPTY P
30 61.41.08 38335 NY. SERLI HILAPOK P 23 JL. BHAYANGKARA LEUKOSITOSIS P
31 23.97.10 67143 NY. YERLI PAYOKMAI P 39 JL. AHMAD YANI B20 + TB PARU P
32 90.40.06 - NY. APIA WETAPO P 20 WOKEN SIROSIS HATI P
33 27.30.10 62158 TN. PIT RUMBEKWAN L 72 KOMP. DPU CHF + BRONCHITIS P
34 38.81.04 67326 TN. NAGA KAROBA L 60 KARUJAYA CAP + VERTIGO P
35 69.93.10 66880 NY. KURIGE ASSO P 40 MEGAPURA MELENA P
36 57.01.11 67466 NN. FLORENSIA HUBY P 18 PIKHE GEA P
37 53.44.05 22262 TN. OTIS HILAPOK L - GUNUNG SUSU PPOK P
38 99.95.10 67055 NY. MARTA ITLAY P 60 MAPLIMA TB PARU + ISK P

39 34.91.10 66709 TN. SEPI SIEP L 34 WOUMA EFUSI PLEURA + ASCITES P

40 34.73.10 65336 TN. SUNDENI WENDA L 34 JL. IRIAN B20 + HEPATITIS B K

PENURUNAN KESADARAN + B20 +
41 97.98.10 9515 NN. APRIANCE GOBAY P 21 KIMBIM M
TB MILIER
42 05.02.11 67506 TN. RUBEN WENDA L 30 LOKASI 3 TYPOID FEVER P
43 24.02.11 67521 TN. SIMSON ELOPERE L 45 KAMA GEA P
44 49.01.11 67460 TN. OLABO ALITNOWE L 50 ILEKMA TB PARU P
45 27.03.11 67832 NY. SERLY OAGAY P 21 PISUGI MALARIA TROPIKA P
46 42.00.11 67377 TN. MELIET UNUWE L 33 JL. IRIAN B20 PP
NY. ROSALINA MAUKALANG
47 43.03.11 67612 WENDA P 18 JL. YOS SUDARSO MALARIA TERSIANA P

48 75.01.11 67831 NY. MAKRIWA WISABLA P 25 WOUMA TYPOID FEVER P

49 79.22.08 48586 NY. MARLINA LOKOBAL P 27 ASOLOKOBAL HIPERTENSI P
50 04.03.11 67584 NY. AWINAREN HISAGE P 40 LOKASI 3 TYPOID FEVER P
51 16.04.11 67671 TN. HERMANUS PEYON L 32 HOM-HOM ASMA BRONCHIALE P
52 22.04.11 67676 TN. ARI METLAMA L 40 MAPLIMA MALARIA TROPIKA P
53 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI SOL P
54 37.88.10 66479 TN. TONI ITLAY L 34 PUGIMA MALARIA TROPIKA P
55 19.66.09 54208 NY. OKOWA ASSO P 62 HONAI LAMA DECOMCORDIS P
56 66.95.04 66419 TN. PINIET PAHABOL L 23 SINAKMA OBS. FEBRIS P
57 05.05.11 61456 NY. KRISTINA HALUK P 30 WALELAGAMA MALARIA TERSIANA P
58 91.68.10 65025 NY. MELFI ITLAY P 19 KAMA TYPOID FEVER P
59 20.05.11 18308 NN. PINCE MATUAN P 16 POTIKELEK ISK P

60 23.95.10 66995 TN. HABIA WETAPO L 21 ASOTIPO TB PARU P

61 41.00.11 67376 TN. MERINUS TABUNI L 46 WALA EFUSI PLEURA + TB PARU P

62 44.75.09 58027 TN. ELIAS ASSO L 70 NAPUA STROKE ISKEMIK + CHF P
63 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI P
64 50.68.09 44045 TN. NIUS SAMA L 20 MAPLIMA ASMA BRONCHIALE P
65 79.71.04 12969 NN. ANI WENDA KOGOYA P 24 WESAPUT B20 P
66 41.27.02 1494 TN. PAILES KOGOYA L 45 JL. BHAYANGKARA B20 + TB PARU M
67 20.96.04 31245 NY. YESINA KOGOYA P 26 POTIKELEK CARDIAC ARREST M
68 86.85.10 66297 TN. NIKSON PAHABOL L 23 HETUMA TB PARU P
69 49.06.11 67852 NY. FETERINA HELEMBO P 30 MAPLIMA TYPOID FEVER P
70 13.03.11 67590 NY. JONETA KOGOYA P 30 GUNUNG SUSU TB PARU P
71 69.96.18 1293 TN. SIMON KOGOYA L 40 JL. THAMRIN ASMA BRONCHIALE P
72 39.92.10 66785 NY. TEMINA KOGOYA P 43 MAPLIMA ASCITES P

73 75.08.11 68047 NN. MARIA APRILIA FAIDIBAN P 19 JL. BHAYANGKARA TYPOID FEVER PP

74 79.08.11 68049 TN. FIDEL PAKAGE L 30 WESAPUT ASMA BRONCHIALE PP

75 91.04.11 67734 NN. MINA KOGOYA P 25 JL. YOS SUDARSO B20 P

76 97.17.08 48086 TN. MONOGO WALALUA L 60 WALELAGAMA PPOK K

77 41.04.11 67689 NY. MANA WETAPO P 30 ASOTIPO ISK P

78 00.07.11 67900 NN. NELCE IMBURI P 18 JL. TRIKORA TYPOID FEVER P
79 97.08.11 68062 NY. TENDINA WANIMBO P 33 JL. YOS SUDARSO BRONCHITIS PP

80 92.03.11 67650 NY. TAWE KOSSAY P 35 HONAI LAMA HEPATOSPLENOMEGALI R

81 79.13.05 20839 NY. KARTINI LOGOWAN P 50 WOUMA TB PARU P

82 64.02.11 61137 NY. MINA JIKWA P 50 KARUJAYA B20 P

83 36.75.10 68301 TN. OTTO TABUNI L 45 KOYABAME HEMATEMESIS M

84 32.25.08 5682 TN. SAVERIUS WETIPO L 45 MUSATFAK MALARIA TROPIKA P
85 94.99.10 44798 AN. PASKALIS WILIL L 13 KURULU PARATITIS P

86 86.31.06 9360 NY. DWI BALIANI PUJIRAHAYU P 31 MISSI HIPERTENSI P

87 22.10.11 68167 TN. LETES JIKWA L 28 POTIKELEK MALARIA TROPIKA P

88 79.07.03 46980 TN. BOAS RUMKABU L 56 HOM-HOM PJK + VERTIGO P
89 32.63.08 50240 TN. WEDO WUKA L 23 POTIKELEK B20 P
 REKAPITULASI JAMKESDA RSUD WAMENA
BANGSAL PENYAKIT DALAM - BULAN JUNI 2018

TGL JASA DOKTER SPESIALIS JASA DOKTER UMUM JASA KONSUL JASA PERAWAT
NO HARI RWT JASA GIZI TOTAL
JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN
MRS KRS
10 11 12 13 14 15 16 17 18 19 20 21 27 28

1 6 308,425 - 189,800 - - - 245,700 148,200 39,000 931,125

5/27/2018 6/1/2018
5/31/2018 6/1/2018 2 2 61,685 - - - - - 81,900 49,400 7,800 200,785

5/30/2018 6/1/2018 3 3 123,370 - 94,900 - - - 122,850 74,100 15,600 430,820

5/28/2018 6/1/2018 4 5 246,740 - 189,800 - - - 204,750 123,500 31,200 795,990
5/26/2018 6/1/2018 5 7 370,110 - - - - - 286,650 172,900 46,800 876,460
5/29/2018 6/2/2018 6 5 246,740 - 47,450 - - - 204,750 123,500 31,200 653,640
5/8/2018 6/2/2018 7 26 1,542,125 - 949,000 - - - 1,064,700 642,200 195,000 4,393,025
5/26/2018 6/2/2018 8 8 431,795 - 284,700 - - - 327,600 197,600 54,600 1,296,295
5/28/2018 6/2/2018 9 6 308,425 - 94,900 - - - 245,700 148,200 39,000 836,225

5/18/2018 6/4/2018 10 18 1,048,645 - 284,700 - - - 737,100 444,600 132,600 2,647,645

5/27/2018 6/4/2018 11 9 493,480 - 284,700 - - - 368,550 222,300 62,400 1,431,430

5/23/2018 6/4/2018 12 13 740,220 - 284,700 - - - 532,350 321,100 93,600 1,971,970
5/30/2018 6/4/2018 13 6 308,425 - 94,900 - - - 245,700 148,200 39,000 836,225
4/19/2018 6/5/2018 14 49 2,960,880 - 1,376,050 - - - 2,006,550 1,210,300 374,400 7,928,180
5/29/2018 6/5/2018 15 8 740,220 - 189,800 - - - 327,600 197,600 54,600 1,509,820
5/16/2018 6/5/2018 16 21 1,233,700 - 474,500 - - - 859,950 518,700 156,000 3,242,850
6/1/2018 6/5/2018 17 5 246,740 - 47,450 - - - 204,750 123,500 31,200 653,640
6/2/2018 6/5/2018 18 4 185,055 - - - - - 163,800 98,800 23,400 471,055
6/2/2018 6/6/2018 19 5 246,740 - 142,350 - - - 204,750 123,500 31,200 748,540
6/2/2018 6/6/2018 20 5 246,740 - 142,350 - - - 204,750 123,500 31,200 748,540
6/3/2018 6/6/2018 21 4 185,055 - 142,350 - - - 163,800 98,800 23,400 613,405
6/4/2018 6/6/2018 22 3 123,370 - 94,900 - - - 122,850 74,100 15,600 430,820
4/16/2010 6/6/2018 23 52 3,145,935 - 1,186,250 - - - 2,129,400 1,284,400 397,800 8,143,785
5/19/2018 6/6/2018 24 19 1,110,330 - 474,500 - - - 778,050 469,300 140,400 2,972,580
5/31/2018 6/6/2018 25 7 370,110 - 142,350 - - - 286,650 172,900 46,800 1,018,810
5/29/2018 6/7/2018 26 9 493,480 - 284,700 - - - 368,550 222,300 62,400 1,431,430
6/2/2018 6/7/2018 27 5 246,740 - 142,350 - - - 204,750 123,500 31,200 748,540
6/1/2018 6/7/2018 28 7 370,110 - 237,250 - - - 286,650 172,900 46,800 1,113,710
5/24/2018 6/8/2018 29 16 925,275 - 332,150 - - - 655,200 395,200 117,000 2,424,825
6/6/2018 6/8/2018 30 3 123,370 - 94,900 - - - 122,850 74,100 15,600 430,820
5/31/2018 6/8/2018 31 9 493,480 - 284,700 - - - 368,550 222,300 62,400 1,431,430
6/3/2018 6/9/2018 32 7 370,110 - 94,900 - - - 286,650 172,900 46,800 971,360
6/6/2018 6/9/2018 33 4 185,055 - - - - - 163,800 98,800 23,400 471,055
6/5/2018 6/9/2018 34 4-Jan 246,740 - - - - - 204,750 123,500 31,200 606,190
5/24/2018 6/11/2018 35 18 1,233,700 - 379,600 - - - 737,100 444,600 132,600 2,927,600
6/8/2018 6/11/2018 36 4 185,055 - 47,450 - - - 163,800 98,800 23,400 518,505
6/6/2018 6/12/2018 37 7 370,110 - 94,900 - - - 286,650 172,900 46,800 971,360
5/29/2018 6/12/2018 38 15 863,590 - 142,350 - - - 614,250 370,500 109,200 2,099,890

5/20/2018 6/12/2018 39 24 1,418,755 - 474,500 - 20,000 - 982,800 592,800 179,400 3,668,255

6/5/2018 6/12/2018 40 8 431,795 - 94,900 - - - 327,600 197,600 54,600 1,106,495

6/6/2018 6/12/2018 41 6 308,425 - 94,900 - - - 245,700 148,200 39,000 836,225

6/9/2018 6/13/2018 42 6 308,425 - 142,350 - - - 245,700 148,200 39,000 883,675

6/12/2018 6/13/2018 43 2 61,685 - 47,450 - - - 81,900 49,400 7,800 248,235
6/8/2018 6/15/2018 44 8 431,795 - 237,250 - - - 327,600 197,600 54,600 1,248,845
6/12/2018 6/15/2018 45 4 185,055 - 142,350 - - - 163,800 98,800 23,400 613,405
6/6/2018 6/15/2018 46 10 555,165 - 332,150 - - - 409,500 247,000 70,200 1,614,015

6/12/2018 6/15/2018 47 4 185,055 - 142,350 - - - 163,800 98,800 23,400 613,405

6/11/2018 6/15/2018 48 5 246,740 - 142,350 - - - 204,750 123,500 31,200 748,540

6/8/2018 6/15/2018 49 8 431,795 - 284,700 - - - 327,600 197,600 54,600 1,296,295
6/12/2018 6/16/2018 50 5 246,740 - 189,800 - - - 204,750 123,500 31,200 795,990
6/15/2018 6/16/2018 51 2 61,685 - 47,450 - - - 81,900 49,400 7,800 248,235
6/14/2018 6/16/2018 52 3 123,370 - 94,900 - - - 122,850 74,100 15,600 430,820
6/15/2018 6/16/2018 53 2 61,685 - 47,450 - - - 81,900 49,400 7,800 248,235
6/15/2018 6/18/2018 54 4 185,055 - 47,450 - - - 163,800 98,800 23,400 518,505
6/7/2018 6/18/2018 55 12 678,535 - 379,600 - - - 491,400 296,400 85,800 1,931,735
6/2/2018 6/18/2018 56 17 1,357,070 - 474,500 - - - 696,150 419,900 124,800 3,072,420
6/16/2018 6/18/2018 57 3 123,370 - 47,450 - - - 122,850 74,100 15,600 383,370
6/16/2018 6/18/2018 58 3 123,370 - 47,450 - - - 122,850 74,100 15,600 383,370
6/16/2018 6/18/2018 59 3 123,370 - 94,900 - - - 122,850 74,100 15,600 430,820

6/4/2018 6/18/2018 60 15 863,590 - 332,150 - - - 614,250 370,500 109,200 2,289,690

6/9/2018 6/20/2018 61 11 678,535 - 379,600 - - - 450,450 271,700 78,000 1,858,285

6/7/2018 6/21/2018 62 15 1,233,700 - 474,500 - - - 614,250 370,500 109,200 2,802,150
6/11/2018 6/21/2018 63 11 616,850 - 427,050 - - - 450,450 271,700 78,000 1,844,050
6/16/2018 6/21/2018 64 6 308,425 - 189,800 - - - 245,700 148,200 39,000 931,125
31-06-18 6/21/2018 65 22 1,295,385 - 569,400 - - - 900,900 543,400 163,800 3,472,885
5/18/2018 6/22/2018 66 37 2,220,660 - 1,186,250 - - - 1,515,150 913,900 280,800 6,116,760
6/13/2018 6/22/2018 67 10 555,165 - 284,700 - - - 409,500 247,000 70,200 1,566,565
5/8/2018 6/23/2018 68 49 5,366,595 - 1,423,500 - - - 2,006,550 1,210,300 374,400 10,381,345
6/19/2018 6/23/2018 69 5 246,740 - 189,800 - - - 204,750 123,500 31,200 795,990
6/14/2018 6/23/2018 70 10 555,165 - 284,700 - - - 409,500 247,000 70,200 1,566,565
6/13/2018 6/23/2018 71 11 616,850 - 427,050 - - - 450,450 271,700 78,000 1,844,050
5/26/2018 6/23/2018 72 29 1,727,180 - 1,138,800 - - - 1,187,550 716,300 218,400 4,988,230

6/23/2018 6/24/2018 73 2 61,685 - - - - - 81,900 49,400 7,800 200,785

6/23/2018 6/24/2018 74 2 61,685 - - - - - 81,900 49,400 7,800 200,785

6/16/2018 6/25/2018 75 10 555,165 - 332,150 - 20,000 - 409,500 247,000 70,200 1,634,015

5/7/2018 6/25/2018 76 50 3,022,565 - 1,803,100 - 61,685 - 2,047,500 1,235,000 382,200 8,552,050

6/15/2018 6/26/2018 77 12 678,535 - 427,050 - - - 491,400 296,400 85,800 1,979,185

6/21/2018 6/27/2018 78 7 370,110 - 237,250 - - - 286,650 172,900 46,800 1,113,710
6/24/2018 6/26/2018 79 3 123,370 - - - - - 122,850 74,100 15,600 335,920

6/15/2018 6/26/2018 80 12 678,535 - 237,250 - 50,000 - 491,400 296,400 85,800 1,839,385

6/7/2018 6/28/2018 81 22 1,295,385 - 379,600 - - - 900,900 543,400 163,800 3,283,085

6/11/2018 6/28/2018 82 18 1,048,645 - 379,600 - - - 737,100 444,600 132,600 2,742,545

6/27/2018 6/28/2018 83 2 61,685 - - - - - 81,900 49,400 7,800 200,785

6/25/2018 6/29/2018 84 5 246,740 - 189,800 - - - 204,750 123,500 31,200 795,990
6/25/2018 6/29/2018 85 5 246,740 - 189,800 - - - 204,750 123,500 31,200 795,990

6/27/2018 6/29/2018 86 3 123,370 - - - - - 122,850 74,100 15,600 335,920

6/26/2018 6/29/2018 87 4 185,055 - 142,350 - - - 163,800 98,800 23,400 613,405

6/21/2018 6/29/2018 88 9 493,480 - - - - - 368,550 222,300 62,400 1,146,730
6/19/2018 6/30/2018 89 12 1,357,070 - 427,050 - - - 491,400 296,400 85,800 2,657,720
57,675,475 - 25,006,150 - - - 39,025,350 23,539,100 6,739,200 152,136,960
 KETERANGAN

29
dr. ANTO 5X & dr. ASNA 4X

dr. ANTO 1X
dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 4X & dr. ASNA 4X
dr. ICHWAN 6X
dr. ANTO 4X & dr. ASNA 1X
dr. ANTO 25X & dr. ASNA 20X
dr. ICHWAN 7X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X

dr. ICHWAN 17X & dr. ASNA 6X

dr. ICHWAN 8X & dr. ASNA 6X

dr. ICHWAN 12X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ANTO 38X & dr. ANTO 9X & dr. ASNA 29X
dr. ICHWAN 7X & dr. INDRA 5X & dr. ASNA 4X
dr. ANTO 20X & dr. ASNA 10X
dr. ICHWAN 4X & dr. ASNA 1X
dr. ICHWAN 3X
dr. INDRA 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 2X & dr. ASNA 2X
dr. ANTO 42X & dr. ICHWAN 9X & dr. ASNA 25X
dr. ANTO 18X & dr. ASNA 10X
dr. ICHWAN 6X & dr. ASNA 3X
dr. ANTO 8X & dr. ASNA 6X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 15X & dr. ASNA 7X
dr. ICHWAN 2X & dr. ASNA 2X
 dr. ANTO 8X & dr. ASNA 6X
dr. ICHWAN 6X & dr. ASNA 2X
dr. ICHWAN 3X
dr. ICHWAN 4X
dr. ANTO 17X & dr. INDRA 3X & dr. ASNA 8X
dr. ANTO 3X & dr. ASNA 1X
dr. ICHWAN 4X & dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 12X & dr. ANTO 2X & dr. ASNA 3X

dr. ANTO 23X & dr. ASNA 10X & KONSELING ANGGREK 1X

dr. ANTO 7X & dr. ASNA 2X

dr. ICHWAN 2X & dr. ANTO 3X & dr. ASNA 2X

dr. ANTO 5X & dr. ASNA 3X

dr. ANTO 1X & dr. ASNA 1X
dr. ANTO 6X & dr. INDRA 1X & dr. ASNA 5X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 8X & dr. INDRA 1X & dr. ASNA 7X

dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X

dr. ANTO 3X & dr. INDRA 1X & dr. ASNA 3X

dr. INDRA 7X & dr. ASNA 6X
dr. INDRA 2X & dr. ANTO 2X & dr. ASNA 4X
dr. INDRA 1X & dr. ASNA 1X
dr.INDRA 2X & dr. ASNA 2X
dr. INDRA 1X & dr. ASNA 1X
dr. INDRA 3X & dr. ASNA 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 8X
dr. ANTO 14X & dr. INDRA 8X & dr. ASNA 10X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 2X
dr. ICHWAN 5X & dr. ANTO 5X & dr. INDRA 4X & dr. ASNA
7X
dr. ANTO 6X & dr. INDRA 5X & dr. ASNA 8X
dr. ICHWAN 2X & dr. ANTO 7X & dr. INDRA 11X & dr.
ASNA 10X
dr. INDRA 10X & dr. ASNA 9X
dr. INDRA 3X & dr. ANTO 2X & dr. ASNA 4X
dr. ANTO 15X & dr. INDRA 6X & dr. ASNA 12X
dr. ANTO 30X & dr. INDRA 6X & dr. ASNA 25X
 dr. ANTO 3X & dr. INDRA 6X & dr. ASNA 6X
dr. ANTO 39X & dr. INDRA 48X & dr. ASNA 30X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. INDRA 5X & dr. ASNA 6X
dr. ANTO 5X & dr. INDRA 5X & dr. ASNA 9X
dr. ANTO 22X & dr. INDRA 6X & dr. ASNA 24X

dr. ANTO 1X

dr. ANTO 1X
dr. INDRA 3X & dr. ANTO 6X & dr. ASNA 7X & KONSELING
ANGGREK 1X
dr. ANTO 43X & dr. INDRA 6X & dr. ASNA 38X & KONSUL
dr. DECKY 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 9X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 2X
dr. ICHWAN 5X & dr. ANTO 2X & dr. INDRA 4X & dr. ASNA
5X & USG dr. ANTON 1X
dr.ICHWAN 9X & dr. ANTO 7X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 8X & dr. ANTO 4X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 1X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. ASNA 4X

dr. ANTO 2X

dr. ANTO 3X & dr. ASNA 3X

dr. ICHWAN 8X
dr. ANTO 11X & dr. INDRA 11X & dr. ASNA 9X
 REKAPITULASI JAMKESDA RSUD WAMENA
BANGSAL PENYAKIT DALAM - BULAN JUNI 2018

TGL
NO NO MR NO KPS NAMA JK UMUR ALAMAT DIAGNOSA P / PP / R/M
MRS
1 2 3 4 5 6 7 8 9 10

1 94.94.10 44798 AN. PASKALIS WILIL L 13 KURULU MALARIA TERSIANA P

5/27/2018
2 86.96.10 67118 TN. ARIBEN WENDA L 43 WALANI STEMI K 5/31/2018
3 35.64.09 26710 TN. PAMIUS KOGOYA L 23 SINAKMA TYPOID FEVER P 5/30/2018
4 24.95.10 66996 TN. SELO ALIKNOE L 28 MISSI DBD P 5/28/2018
5 55.37.03 66958 NY. MATU WEYA P 49 JB. WENAS B20 PP 5/26/2018
6 93.95.10 67050 NY. WAREKE MABEL P 68 KURULU PPOK P 5/29/2018
7 14.56.06 13669 TN. ISMAIL KAROBA L 34 HOM-HOM B20 P 5/8/2018
8 52.94.10 66939 TN. OLEAK WETIPO L 50 LOKASI 3 PPOK P 5/26/2018
9 46.95.10 67009 NY. MINCE ITLAY P 30 ITLAY HISAGE B20 PP 5/28/2018
10 89.85.10 66300 TN. EIRON BEMBOK L 23 KARUJAYA PLEURITIS TB P 5/18/2018
11 42.37.10 38509 TN. EDISON HUBY L 53 POTIKELEK VERTIGO P 5/27/2018
12 53.79.10 66115 TN. ALEX WALILO L 48 DUSUN NASIA TB MILIER P 5/23/2018
13 78.59.06 47651 TN. KORNELES YANDO L 27 JL. BHAYANGKARA ASMA BRONCHIALE P 5/30/2018
14 03.78.10 65682 NY. NITENA TABO P 43 HOM-HOM SIROSIS HEPATIS P 4/19/2018
15 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI CHEPALGIA P 5/29/2018
16 17.38.05 19611 NY. NURLINCE GOBAY P 24 ASOLOGAIMA B20 P 5/16/2018
17 75.97.10 67187 NY. LINA WENDA P 29 SINAKMA ISK P 6/1/2018
18 14.06.03 12717 NY. OROS MATUAN P 30 POTIKELEK TB PARU + ASCITES PP 6/2/2018
19 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI AR 6/2/2018
20 65.98.10 67253 NY. YOSPINA WANIMBO P 20 JL. PANJAITAN ANEMIA P 6/2/2018
21 75.98.10 67261 TN. NABAS KOGOYA L 43 JL. IRIAN PJK PP 6/3/2018
22 41.45.07 31557 NY. KRISTINA AROMPA P 29 HOLASILI MALARIA TROPIKA P 6/4/2018
23 67.62.10 64528 TN. ABRAHAM DABY L 26 JL. BHAYANGKARA SIROSIS HEPATIS + TB PARU P 4/16/2010
24 82.90.10 66661 TN. JERINUS KOGOYA L 28 JL. PIKHE B20 + TB PARU P 5/19/2018
25 52.96.10 67089 TN. KODE MURIB L 21 NAPUA MALARIA TERSIANA PP 5/31/2018
26 15.11.05 13850 TN. PANIUS WETIPO L 27 HOM-HOM TYPOID FEVER P 5/29/2018
27 99.50.09 63648 NY. MAKDA WENDA P 35 JL. IRIAN TUMOR ABDOMEN R 6/2/2018
28 95.37.04 67453 NY. ERINA HESELO P 19 HOM-HOM RHEMATIC ACUTE P 6/1/2018
29 08.93.10 66840 NY. ALINA SIEP P 27 WOUMA CARDIOMEOPTY P 5/24/2018
30 61.41.08 38335 NY. SERLI HILAPOK P 23 JL. BHAYANGKARA LEUKOSITOSIS P 6/6/2018
31 23.97.10 67143 NY. YERLI PAYOKMAI P 39 JL. AHMAD YANI B20 + TB PARU P 5/31/2018
32 90.40.06 - NY. APIA WETAPO P 20 WOKEN SIROSIS HATI P 6/3/2018
33 27.30.10 62158 TN. PIT RUMBEKWAN L 72 KOMP. DPU CHF + BRONCHITIS P 6/6/2018
34 38.81.04 67326 TN. NAGA KAROBA L 60 KARUJAYA CAP + VERTIGO P 6/5/2018
35 69.93.10 66880 NY. KURIGE ASSO P 40 MEGAPURA MELENA P 5/24/2018
36 57.01.11 67466 NN. FLORENSIA HUBY P 18 PIKHE GEA P 6/8/2018
37 53.44.05 22262 TN. OTIS HILAPOK L - GUNUNG SUSU PPOK P 6/6/2018
38 99.95.10 67055 NY. MARTA ITLAY P 60 MAPLIMA TB PARU + ISK P 5/29/2018

39 34.91.10 66709 TN. SEPI SIEP L 34 WOUMA EFUSI PLEURA + ASCITES P 5/20/2018

40 34.73.10 65336 TN. SUNDENI WENDA L 34 JL. IRIAN B20 + HEPATITIS B K 6/5/2018
PENURUNAN KESADARAN + B20 +
41 97.98.10 9515 NN. APRIANCE GOBAY P 21 KIMBIM M 6/6/2018
TB MILIER
42 05.02.11 67506 TN. RUBEN WENDA L 30 LOKASI 3 TYPOID FEVER P 6/9/2018
43 24.02.11 67521 TN. SIMSON ELOPERE L 45 KAMA GEA P 6/12/2018
44 49.01.11 67460 TN. OLABO ALITNOWE L 50 ILEKMA TB PARU P 6/8/2018
45 27.03.11 67832 NY. SERLY OAGAY P 21 PISUGI MALARIA TROPIKA P 6/12/2018
46 42.00.11 67377 TN. MELIET UNUWE L 33 JL. IRIAN B20 PP 6/6/2018
47 43.03.11 67612 NY. ROSALINA MAUKALANG WENDA P 18 JL. YOS SUDARSO MALARIA TERSIANA P 6/12/2018
48 75.01.11 67831 NY. MAKRIWA WISABLA P 25 WOUMA TYPOID FEVER P 6/11/2018
49 79.22.08 48586 NY. MARLINA LOKOBAL P 27 ASOLOKOBAL HIPERTENSI P 6/8/2018
50 04.03.11 67584 NY. AWINAREN HISAGE P 40 LOKASI 3 TYPOID FEVER P 6/12/2018
51 16.04.11 67671 TN. HERMANUS PEYON L 32 HOM-HOM ASMA BRONCHIALE P 6/15/2018
52 22.04.11 67676 TN. ARI METLAMA L 40 MAPLIMA MALARIA TROPIKA P 6/14/2018
53 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI SOL P 6/15/2018
54 37.88.10 66479 TN. TONI ITLAY L 34 PUGIMA MALARIA TROPIKA P 6/15/2018
55 19.66.09 54208 NY. OKOWA ASSO P 62 HONAI LAMA DECOMCORDIS P 6/7/2018
56 66.95.04 66419 TN. PINIET PAHABOL L 23 SINAKMA OBS. FEBRIS P 6/2/2018
57 05.05.11 61456 NY. KRISTINA HALUK P 30 WALELAGAMA MALARIA TERSIANA P 6/16/2018
58 91.68.10 65025 NY. MELFI ITLAY P 19 KAMA TYPOID FEVER P 6/16/2018
59 20.05.11 18308 NN. PINCE MATUAN P 16 POTIKELEK ISK P 6/16/2018

60 23.95.10 66995 TN. HABIA WETAPO L 21 ASOTIPO TB PARU P 6/4/2018

61 41.00.11 67376 TN. MERINUS TABUNI L 46 WALA EFUSI PLEURA + TB PARU P 6/9/2018
62 44.75.09 58027 TN. ELIAS ASSO L 70 NAPUA STROKE ISKEMIK + CHF P 6/7/2018
63 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI P 6/11/2018
64 50.68.09 44045 TN. NIUS SAMA L 20 MAPLIMA ASMA BRONCHIALE P 6/16/2018
65 79.71.04 12969 NN. ANI WENDA KOGOYA P 24 WESAPUT B20 P 31-06-18
66 41.27.02 1494 TN. PAILES KOGOYA L 45 JL. BHAYANGKARA B20 + TB PARU M 5/18/2018
67 20.96.04 31245 NY. YESINA KOGOYA P 26 POTIKELEK CARDIAC ARREST M 6/13/2018

68 86.85.10 66297 TN. NIKSON PAHABOL L 23 HETUMA TB PARU P 5/8/2018

69 49.06.11 67852 NY. FETERINA HELEMBO P 30 MAPLIMA TYPOID FEVER P 6/19/2018

70 13.03.11 67590 NY. JONETA KOGOYA P 30 GUNUNG SUSU TB PARU P 6/14/2018
71 69.96.18 1293 TN. SIMON KOGOYA L 40 JL. THAMRIN ASMA BRONCHIALE P 6/13/2018
72 39.92.10 66785 NY. TEMINA KOGOYA P 43 MAPLIMA ASCITES P 5/26/2018
73 75.08.11 68047 NN. MARIA APRILIA FAIDIBAN P 19 JL. BHAYANGKARA TYPOID FEVER PP 6/23/2018
74 79.08.11 68049 TN. FIDEL PAKAGE L 30 WESAPUT ASMA BRONCHIALE PP 6/23/2018

75 91.04.11 67734 NN. MINA KOGOYA P 25 JL. YOS SUDARSO B20 P 6/16/2018

76 97.17.08 48086 TN. MONOGO WALALUA L 60 WALELAGAMA PPOK K 5/7/2018

77 41.04.11 67689 NY. MANA WETAPO P 30 ASOTIPO ISK P 6/15/2018

78 00.07.11 67900 NN. NELCE IMBURI P 18 JL. TRIKORA TYPOID FEVER P 6/21/2018
79 97.08.11 68062 NY. TENDINA WANIMBO P 33 JL. YOS SUDARSO BRONCHITIS PP 6/24/2018

80 92.03.11 67650 NY. TAWE KOSSAY P 35 HONAI LAMA HEPATOSPLENOMEGALI R 6/15/2018

81 79.13.05 20839 NY. KARTINI LOGOWAN P 50 WOUMA TB PARU P 6/7/2018

82 64.02.11 61137 NY. MINA JIKWA P 50 KARUJAYA B20 P 6/11/2018

83 36.75.10 68301 TN. OTTO TABUNI L 45 KOYABAME HEMATEMESIS M 6/27/2018

84 32.25.08 5682 TN. SAVERIUS WETIPO L 45 MUSATFAK MALARIA TROPIKA P 6/25/2018
85 94.99.10 44798 AN. PASKALIS WILIL L 13 KURULU PARATITIS P 6/25/2018
86 86.31.06 9360 NY. DWI BALIANI PUJIRAHAYU P 31 MISSI HIPERTENSI P 6/27/2018
87 22.10.11 68167 TN. LETES JIKWA L 28 POTIKELEK MALARIA TROPIKA P 6/26/2018
88 79.07.03 46980 TN. BOAS RUMKABU L 56 HOM-HOM PJK + VERTIGO P 6/21/2018
89 32.63.08 50240 TN. WEDO WUKA L 23 POTIKELEK B20 P 6/19/2018
JUMLAH
GL JASA DOKTER SPESIALIS
HARI RWT
JASA TINDAKAN dr.ANTO,Sp.PD dr.INDRA,Sp.S dr.ICHWAN,Sp.PD
KRS
11 13 14 15 JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN

6 308,425 0 308,425
6/1/2018
6/1/2018 2 61,685 0 61,685

6/1/2018 3 123,370 0 123,370

6/1/2018 5 246,740 0 246,740
6/1/2018 7 370,110 0 370,110
6/2/2018 5 246,740 0 246,740
6/2/2018 26 1,542,125 0 1,542,125
6/2/2018 8 431,795 0 431,795
6/2/2018 6 308,425 0 308,425
6/4/2018 18 1,048,645 0 1,048,645
6/4/2018 9 493,480 0 493,480
6/4/2018 13 740,220 0 740,220
6/4/2018 6 308,425 0 308,425
6/5/2018 49 2,960,880 0 2,393,903 566,977
6/5/2018 8 740,220 0 308,425 431,795
6/5/2018 21 1,233,700 0 1,233,700
6/5/2018 5 246,740 0 246,740
6/5/2018 4 185,055 0 185,055
6/6/2018 5 246,740 0 246,740
6/6/2018 5 246,740 0 246,740
6/6/2018 4 185,055 0 185,055
6/6/2018 3 123,370 0 123,370
6/6/2018 52 3,145,935 0 2,590,770 555,165
6/6/2018 19 1,110,330 0 1,110,330
6/6/2018 7 370,110 0 370,110
6/7/2018 9 493,480 0 493,480
6/7/2018 5 246,740 0 246,740
6/7/2018 7 370,110 0 370,110
6/8/2018 16 925,275 0 925,275
6/8/2018 3 123,370 0 123,370
 6/8/2018 9 493,480 0 493,480
6/9/2018 7 370,110 0 370,110
6/9/2018 4 185,055 0 185,055
6/9/2018 4-Jan 246,740 0 246,740
6/11/2018 18 1,233,700 0 1,048,645 185,055
6/11/2018 4 185,055 0 185,055
6/12/2018 7 370,110 0 123,370 246,740
6/12/2018 15 863,590 0 123,370 740,220

6/12/2018 24 1,418,755 0 1,418,755

6/12/2018 8 431,795 0 431,795

6/12/2018 6 308,425 0 185,055 123,370

6/13/2018 6 308,425 0 308,425

6/13/2018 2 61,685 0 61,685
6/15/2018 8 431,795 0 370,110 61,685
6/15/2018 4 185,055 0 123,370 61,685
6/15/2018 10 555,165 0 493,480 61,685
6/15/2018 4 185,055 0 123,370 61,685
6/15/2018 5 246,740 0 185,055 61,685
6/15/2018 8 431,795 0 431,795
6/16/2018 5 246,740 0 123,370 123,370
6/16/2018 2 61,685 0 61,685
6/16/2018 3 123,370 0 123,370
6/16/2018 2 61,685 0 61,685
6/18/2018 4 185,055 0 185,055
6/18/2018 12 678,535 0 431,795 246,740
6/18/2018 17 1,357,070 0 863,590 493,480
6/18/2018 3 123,370 0 123,370
6/18/2018 3 123,370 0 123,370
6/18/2018 3 123,370 0 123,370

6/18/2018 15 863,590 0 431,795 431,795

6/20/2018 11 678,535 0 370,110 308,425

6/21/2018 15 1,233,700 0 959,544 274,156
6/21/2018 11 616,850 0 616,850
6/21/2018 6 308,425 0 123,370 185,055
6/21/2018 22 1,295,385 0 925,275 370,110
6/22/2018 37 2,220,660 0 1,850,550 370,110
6/22/2018 10 555,165 0 185,055 370,110

6/23/2018 49 5,366,595 0 2,405,715 2,960,880

6/23/2018 5 246,740 0 246,740

6/23/2018 10 555,165 0 246,740 308,425
6/23/2018 11 616,850 0 308,425 308,425
6/23/2018 29 1,727,180 0 1,357,070 370,110
6/24/2018 2 61,685 0 61,685
6/24/2018 2 61,685 0 61,685

6/25/2018 10 555,165 0 370,110 185,055

6/25/2018 50 3,022,565 0 2,652,455 370,110

6/26/2018 12 678,535 0 431,795 246,740

6/27/2018 7 370,110 0 370,110
6/26/2018 3 123,370 0 123,370

6/26/2018 12 678,535 0 193,867 484,668

6/28/2018 22 1,295,385 0 566,731 728,654

6/28/2018 18 1,048,645 0 349,548 699,097

6/28/2018 2 61,685 0 61,685

6/29/2018 5 246,740 0 246,740
6/29/2018 5 246,740 0 246,740
6/29/2018 3 123,370 0 123,370
6/29/2018 4 185,055 0 185,055
6/29/2018 9 493,480 0 493,480
6/30/2018 12 1,357,070 0 678,535 678,535
### Rp - Rp 34,319,134 Rp - Rp 11,361,852 Rp - Rp 11,994,489 Rp -

PEMBAGIAN JASA MEDIS JAMKESDA BANGZAL INTERNA_BULAN

 JASA DOKTER SPESIALIS JASA DOKTER UMUM JASA KONSUL
NAMA
JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN
dr.ANTO,Sp.PD Rp 34,319,134 Rp -
dr.INDRA,Sp.S Rp 11,361,852 Rp -
dr.ICHWAN,Sp.PD Rp 11,994,489 Rp -
dr.ASNA Rp 25,006,150 Rp -
dr.DECKY,Sp.M Rp 61,685 Rp -
dr.ANTON Rp 40,000 Rp -
ANGGREK Rp 40,000 Rp -
Perawat
Gizi
TOTAL Rp 57,675,475 Rp - Rp 25,006,150 Rp - Rp 141,685 Rp -
 JASA DOKTER UMUM

4 JASA TINDAKAN dr.ASNA dr.DEBORA

JMLH
JASA TINDAKAN 16 17 JASA TINDAKAN JASA

308,425 189,800 0 189,800

61,685 0 0
123,370 94,900 0 94,900
246,740 189,800 0 189,800
370,110 0 0
246,740 47,450 0 47,450
1,542,125 949,000 0 949,000
431,795 284,700 0 284,700
308,425 94,900 0 94,900
1,048,645 284,700 0 284,700
493,480 284,700 0 284,700
740,220 284,700 0 284,700
308,425 94,900 0 94,900
2,960,880 1,376,050 0 1,376,050
740,220 189,800 0 189,800
1,233,700 474,500 0 474,500
246,740 47,450 0 47,450
185,055 0 0
246,740 142,350 0 142,350
246,740 142,350 0 142,350
185,055 142,350 0 142,350
123,370 94,900 0 94,900
3,145,935 1,186,250 0 1,186,250
1,110,330 474,500 0 474,500
370,110 142,350 0 142,350
493,480 284,700 0 284,700
246,740 142,350 0 142,350
370,110 237,250 0 237,250
925,275 332,150 0 332,150
123,370 94,900 0 94,900
 493,480 284,700 0 284,700
370,110 94,900 0 94,900
185,055 0 0
246,740 0 0
1,233,700 379,600 0 379,600
185,055 47,450 0 47,450
370,110 94,900 0 94,900
863,590 142,350 0 142,350

1,418,755 474,500 0 474,500

431,795 94,900 0 94,900

308,425 94,900 0 94,900

308,425 142,350 0 142,350

61,685 47,450 0 47,450
431,795 237,250 0 237,250
185,055 142,350 0 142,350
555,165 332,150 0 332,150
185,055 142,350 0 142,350
246,740 142,350 0 142,350
431,795 284,700 0 284,700
246,740 189,800 0 189,800
61,685 47,450 0 47,450
123,370 94,900 0 94,900
61,685 47,450 0 47,450
185,055 47,450 0 47,450
678,535 379,600 0 379,600
1,357,070 474,500 0 474,500
123,370 47,450 0 47,450
123,370 47,450 0 47,450
123,370 94,900 0 94,900

863,590 332,150 0 332,150

678,535 379,600 0 379,600

1,233,700 474,500 0 474,500
616,850 427,050 0 427,050
308,425 189,800 0 189,800
1,295,385 569,400 0 569,400
2,220,660 1,186,250 0 1,186,250
 555,165 284,700 0 284,700

5,366,595 1,423,500 0 1,423,500

246,740 189,800 0 189,800

555,165 284,700 0 284,700
616,850 427,050 0 427,050
1,727,180 1,138,800 0 1,138,800
61,685 0 0
61,685 0 0

555,165 332,150 0 332,150

3,022,565 1,803,100 0 1,803,100

678,535 427,050 0 427,050

370,110 237,250 0 237,250
123,370 0 0

678,535 237,250 0 237,250

1,295,385 379,600 0 379,600

1,048,645 379,600 0 379,600

61,685 0 0
246,740 189,800 0 189,800
246,740 189,800 0 189,800
123,370 0 0
185,055 142,350 0 142,350
493,480 0 0
1,357,070 427,050 0 427,050
Rp - Rp - 57,675,475 Rp 25,006,150 Rp - Rp 25,006,150 Rp - Rp -

BANGZAL INTERNA_BULAN JUNI_2018

 JASA PERAWAT
JASA GIZI TOTAL 12.5% BERSIH
JASA TINDAKAN
Rp 34,319,134 Rp 4,289,892 Rp 30,029,242
Rp 11,361,852 Rp 1,420,232 Rp 9,941,621
Rp 11,994,489 Rp 1,499,311 Rp 10,495,178
Rp 25,006,150 Rp 3,125,769 Rp 21,880,381
Rp 61,685 Rp 7,711 Rp 53,974
Rp 40,000 Rp 5,000 Rp 35,000
Rp 40,000 Rp 5,000 Rp 35,000
Rp 38,984,400 Rp 23,514,400 Rp 62,498,800 Rp 7,812,350 Rp 54,686,450
Rp 6,739,200 Rp 6,739,200 Rp 842,400 Rp 5,896,800
Rp 38,984,400 Rp 23,514,400 Rp 6,739,200 Rp 152,061,310 Rp 19,007,664 Rp 133,053,646

SELISIH Rp -

Rp 25,058,961
 JASA KONSUL

7 8 JASA TINDAKAN dr.DECKY,Sp.M dr.ANTON dr.DENNY,Sp.B

JMLH
TINDAKAN JASA TINDAKAN JASA TINDAKAN 18 19 JASA TINDAKAN JASA TINDAKAN JASA

189,800 0 0

0 0 0
94,900 0 0
189,800 0 0
0 0 0
47,450 0 0
949,000 0 0
284,700 0 0
94,900 0 0
284,700 0 0
284,700 0 0
284,700 0 0
94,900 0 0
1,376,050 0 0
189,800 0 0
474,500 0 0
47,450 0 0
0 0 0
142,350 0 0
142,350 0 0
142,350 0 0
94,900 0 0
1,186,250 0 0
474,500 0 0
142,350 0 0
284,700 0 0
142,350 0 0
237,250 0 0
332,150 0 0
94,900 0 0
284,700 0 0
94,900 0 0
0 0 0
0 0 0
379,600 0 0
47,450 0 0
94,900 0 0
142,350 0 0

474,500 20,000 0

94,900 0 0

94,900 0 0

142,350 0 0
47,450 0 0
237,250 0 0
142,350 0 0
332,150 0 0
142,350 0 0
142,350 0 0
284,700 0 0
189,800 0 0
47,450 0 0
94,900 0 0
47,450 0 0
47,450 0 0
379,600 0 0
474,500 0 0
47,450 0 0
47,450 0 0
94,900 0 0

332,150 0 0

379,600 0 0
474,500 0 0
427,050 0 0
189,800 0 0
569,400 0 0
1,186,250 0 0
 284,700 0 0

1,423,500 0 0

189,800 0 0
284,700 0 0
427,050 0 0
1,138,800 0 0
0 0 0
0 0 0

332,150 20,000 0

1,803,100 61,685 0 61,685

427,050 0 0
237,250 0 0
0 0 0

237,250 40,000 0 40,000

379,600 0 0

379,600 0 0

0 0 0
189,800 0 0
189,800 0 0
0 0 0
142,350 0 0
0 0 0
427,050 0 0
Rp - Rp - Rp - Rp - Rp - 25,006,150 ### Rp - Rp 61,685 Rp - Rp 40,000 Rp - Rp -
 JASA PERAWAT
JASA GIZI TOTAL
NY,Sp.B ANGGREK JASA TINDAKAN
JMLH
TINDAKAN JASA TINDAKAN 20 21 27 28

0 204,750 123,500 39,000 865,475

0 81,900 49,400 7,800 200,785

0 122,850 74,100 15,600 430,820
0 204,750 123,500 31,200 795,990
0 286,650 172,900 46,800 876,460
0 204,750 123,500 31,200 653,640
0 1,064,700 642,200 195,000 4,393,025
0 327,600 197,600 54,600 1,296,295
0 245,700 148,200 39,000 836,225
0 737,100 444,600 132,600 2,647,645
0 368,550 222,300 62,400 1,431,430
0 532,350 321,100 93,600 1,971,970
0 245,700 148,200 39,000 836,225
0 2,006,550 1,210,300 374,400 7,928,180
0 327,600 197,600 54,600 1,509,820
0 859,950 518,700 156,000 3,242,850
0 204,750 123,500 31,200 653,640
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 748,540
0 204,750 123,500 31,200 748,540
0 163,800 98,800 23,400 613,405
0 122,850 74,100 15,600 430,820
0 2,129,400 1,284,400 397,800 8,143,785
0 778,050 469,300 140,400 2,972,580
0 286,650 172,900 46,800 1,018,810
0 368,550 222,300 62,400 1,431,430
0 204,750 123,500 31,200 748,540
0 286,650 172,900 46,800 1,113,710
0 655,200 395,200 117,000 2,424,825
0 122,850 74,100 15,600 430,820
 0 368,550 222,300 62,400 1,431,430
0 286,650 172,900 46,800 971,360
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 606,190
0 737,100 444,600 132,600 2,927,600
0 163,800 98,800 23,400 518,505
0 286,650 172,900 46,800 971,360
0 614,250 370,500 109,200 2,099,890

20,000 20,000 982,800 592,800 179,400 3,668,255

0 327,600 197,600 54,600 1,106,495

0 245,700 148,200 39,000 836,225

0 245,700 148,200 39,000 883,675

0 81,900 49,400 7,800 248,235
0 327,600 197,600 54,600 1,248,845
0 163,800 98,800 23,400 613,405
0 409,500 247,000 70,200 1,614,015
0 163,800 98,800 23,400 613,405
0 204,750 123,500 31,200 748,540
0 327,600 197,600 54,600 1,296,295
0 204,750 123,500 31,200 795,990
0 81,900 49,400 7,800 248,235
0 122,850 74,100 15,600 430,820
0 81,900 49,400 7,800 248,235
0 163,800 98,800 23,400 518,505
0 491,400 296,400 85,800 1,931,735
0 696,150 419,900 124,800 3,072,420
0 122,850 74,100 15,600 383,370
0 122,850 74,100 15,600 383,370
0 122,850 74,100 15,600 430,820

0 614,250 370,500 109,200 2,289,690

0 450,450 271,700 78,000 1,858,285

0 614,250 370,500 109,200 2,802,150
0 450,450 271,700 78,000 1,844,050
0 245,700 148,200 39,000 931,125
0 900,900 543,400 163,800 3,472,885
0 1,515,150 913,900 280,800 6,116,760
 0 409,500 247,000 70,200 1,566,565

0 2,006,550 1,210,300 374,400 10,381,345

0 204,750 123,500 31,200 795,990

0 409,500 247,000 70,200 1,566,565
0 450,450 271,700 78,000 1,844,050
0 1,187,550 716,300 218,400 4,988,230
0 81,900 49,400 7,800 200,785
0 81,900 49,400 7,800 200,785

20,000 20,000 409,500 247,000 70,200 1,634,015

61,685 2,047,500 1,235,000 382,200 8,552,050

0 491,400 296,400 85,800 1,979,185

0 286,650 172,900 46,800 1,113,710
0 122,850 74,100 15,600 335,920

40,000 491,400 296,400 85,800 1,829,385

0 900,900 543,400 163,800 3,283,085

0 737,100 444,600 132,600 2,742,545

0 81,900 49,400 7,800 200,785

0 204,750 123,500 31,200 795,990
0 204,750 123,500 31,200 795,990
0 122,850 74,100 15,600 335,920
0 163,800 98,800 23,400 613,405
0 368,550 222,300 62,400 1,146,730
0 491,400 296,400 85,800 2,657,720
Rp - Rp 40,000 Rp - 141,685 Rp 38,984,400 Rp 23,514,400 Rp 6,739,200 152,061,310
 KETERANGAN

29

dr. ANTO 5X & dr. ASNA 4X

dr. ANTO 1X
dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 4X & dr. ASNA 4X
dr. ICHWAN 6X
dr. ANTO 4X & dr. ASNA 1X
dr. ANTO 25X & dr. ASNA 20X
dr. ICHWAN 7X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ICHWAN 17X & dr. ASNA 6X
dr. ICHWAN 8X & dr. ASNA 6X
dr. ICHWAN 12X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ANTO 38X & dr. INDRA 9X & dr. ASNA 29X
dr. ICHWAN 7X & dr. INDRA 5X & dr. ASNA 4X
dr. ANTO 20X & dr. ASNA 10X
dr. ICHWAN 4X & dr. ASNA 1X
dr. ICHWAN 3X
dr. INDRA 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 2X & dr. ASNA 2X
dr. ANTO 42X & dr. ICHWAN 9X & dr. ASNA 25X
dr. ANTO 18X & dr. ASNA 10X
dr. ICHWAN 6X & dr. ASNA 3X
dr. ANTO 8X & dr. ASNA 6X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 15X & dr. ASNA 7X
dr. ICHWAN 2X & dr. ASNA 2X
 dr. ANTO 8X & dr. ASNA 6X
dr. ICHWAN 6X & dr. ASNA 2X
dr. ICHWAN 3X
dr. ICHWAN 4X
dr. ANTO 17X & dr. INDRA 3X & dr. ASNA 8X
dr. ANTO 3X & dr. ASNA 1X
dr. ICHWAN 4X & dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 12X & dr. ANTO 2X & dr. ASNA 3X

dr. ANTO 23X & dr. ASNA 10X & KONSELING ANGGREK 1X

dr. ANTO 7X & dr. ASNA 2X

dr. ICHWAN 2X & dr. ANTO 3X & dr. ASNA 2X

dr. ANTO 5X & dr. ASNA 3X

dr. ANTO 1X & dr. ASNA 1X
dr. ANTO 6X & dr. INDRA 1X & dr. ASNA 5X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 8X & dr. INDRA 1X & dr. ASNA 7X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 3X & dr. INDRA 1X & dr. ASNA 3X
dr. INDRA 7X & dr. ASNA 6X
dr. INDRA 2X & dr. ANTO 2X & dr. ASNA 4X
dr. INDRA 1X & dr. ASNA 1X
dr.INDRA 2X & dr. ASNA 2X
dr. INDRA 1X & dr. ASNA 1X
dr. INDRA 3X & dr. ASNA 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 8X
dr. ANTO 14X & dr. INDRA 8X & dr. ASNA 10X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 2X
dr. ICHWAN 5X & dr. ANTO 5X & dr. INDRA 4X & dr. ASNA
7X
dr. ANTO 6X & dr. INDRA 5X & dr. ASNA 8X
dr. ICHWAN 2X & dr. ANTO 7X & dr. INDRA 11X & dr.
ASNA 10X
dr. INDRA 10X & dr. ASNA 9X
dr. INDRA 3X & dr. ANTO 2X & dr. ASNA 4X
dr. ANTO 15X & dr. INDRA 6X & dr. ASNA 12X
dr. ANTO 30X & dr. INDRA 6X & dr. ASNA 25X
 dr. ANTO 3X & dr. INDRA 6X & dr. ASNA 6X
dr. ANTO 39X & dr. INDRA 48X & dr. ASNA 30X (RAWAT
GABUNG)
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. INDRA 5X & dr. ASNA 6X
dr. ANTO 5X & dr. INDRA 5X & dr. ASNA 9X
dr. ANTO 22X & dr. INDRA 6X & dr. ASNA 24X
dr. ANTO 1X
dr. ANTO 1X
dr. INDRA 3X & dr. ANTO 6X & dr. ASNA 7X & KONSELING
ANGGREK 1X
dr. ANTO 43X & dr. INDRA 6X & dr. ASNA 38X & KONSUL
dr. DECKY 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 9X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 2X
dr. ICHWAN 5X & dr. ANTO 2X & dr. INDRA 4X & dr. ASNA
5X & USG dr. ANTON 1X
dr.ICHWAN 9X & dr. ANTO 7X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 8X & dr. ANTO 4X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 1X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 2X
dr. ANTO 3X & dr. ASNA 3X
dr. ICHWAN 8X
dr. ANTO 11X & dr. INDRA 11X & dr. ASNA 9X
 REKAPITULASI JAMKESDA RSUD WAMENA
BANGSAL PENYAKIT DALAM - BULAN JUNI 2018

TGL
NO NO MR NO KPS NAMA JK UMUR ALAMAT DIAGNOSA P / PP / R/M
MRS
1 2 3 4 5 6 7 8 9 10

1 94.94.10 44798 AN. PASKALIS WILIL L 13 KURULU MALARIA TERSIANA P

5/27/2018
2 86.96.10 67118 TN. ARIBEN WENDA L 43 WALANI STEMI K 5/31/2018
3 35.64.09 26710 TN. PAMIUS KOGOYA L 23 SINAKMA TYPOID FEVER P 5/30/2018
4 24.95.10 66996 TN. SELO ALIKNOE L 28 MISSI DBD P 5/28/2018
5 55.37.03 66958 NY. MATU WEYA P 49 JB. WENAS B20 PP 5/26/2018
6 93.95.10 67050 NY. WAREKE MABEL P 68 KURULU PPOK P 5/29/2018
7 14.56.06 13669 TN. ISMAIL KAROBA L 34 HOM-HOM B20 P 5/8/2018
8 52.94.10 66939 TN. OLEAK WETIPO L 50 LOKASI 3 PPOK P 5/26/2018
9 46.95.10 67009 NY. MINCE ITLAY P 30 ITLAY HISAGE B20 PP 5/28/2018
10 89.85.10 66300 TN. EIRON BEMBOK L 23 KARUJAYA PLEURITIS TB P 5/18/2018
11 42.37.10 38509 TN. EDISON HUBY L 53 POTIKELEK VERTIGO P 5/27/2018
12 53.79.10 66115 TN. ALEX WALILO L 48 DUSUN NASIA TB MILIER P 5/23/2018
13 78.59.06 47651 TN. KORNELES YANDO L 27 JL. BHAYANGKARA ASMA BRONCHIALE P 5/30/2018
14 03.78.10 65682 NY. NITENA TABO P 43 HOM-HOM SIROSIS HEPATIS P 4/19/2018
15 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI CHEPALGIA P 5/29/2018
16 17.38.05 19611 NY. NURLINCE GOBAY P 24 ASOLOGAIMA B20 P 5/16/2018
17 75.97.10 67187 NY. LINA WENDA P 29 SINAKMA ISK P 6/1/2018
18 14.06.03 12717 NY. OROS MATUAN P 30 POTIKELEK TB PARU + ASCITES PP 6/2/2018
19 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI AR 6/2/2018
20 65.98.10 67253 NY. YOSPINA WANIMBO P 20 JL. PANJAITAN ANEMIA P 6/2/2018
21 75.98.10 67261 TN. NABAS KOGOYA L 43 JL. IRIAN PJK PP 6/3/2018
22 41.45.07 31557 NY. KRISTINA AROMPA P 29 HOLASILI MALARIA TROPIKA P 6/4/2018
23 67.62.10 64528 TN. ABRAHAM DABY L 26 JL. BHAYANGKARA SIROSIS HEPATIS + TB PARU P 4/16/2010
24 82.90.10 66661 TN. JERINUS KOGOYA L 28 JL. PIKHE B20 + TB PARU P 5/19/2018
25 52.96.10 67089 TN. KODE MURIB L 21 NAPUA MALARIA TERSIANA PP 5/31/2018
26 15.11.05 13850 TN. PANIUS WETIPO L 27 HOM-HOM TYPOID FEVER P 5/29/2018
27 99.50.09 63648 NY. MAKDA WENDA P 35 JL. IRIAN TUMOR ABDOMEN R 6/2/2018
28 95.37.04 67453 NY. ERINA HESELO P 19 HOM-HOM RHEMATIC ACUTE P 6/1/2018
29 08.93.10 66840 NY. ALINA SIEP P 27 WOUMA CARDIOMEOPTY P 5/24/2018
30 61.41.08 38335 NY. SERLI HILAPOK P 23 JL. BHAYANGKARA LEUKOSITOSIS P 6/6/2018
31 23.97.10 67143 NY. YERLI PAYOKMAI P 39 JL. AHMAD YANI B20 + TB PARU P 5/31/2018
32 90.40.06 - NY. APIA WETAPO P 20 WOKEN SIROSIS HATI P 6/3/2018
33 27.30.10 62158 TN. PIT RUMBEKWAN L 72 KOMP. DPU CHF + BRONCHITIS P 6/6/2018
34 38.81.04 67326 TN. NAGA KAROBA L 60 KARUJAYA CAP + VERTIGO P 6/5/2018
35 69.93.10 66880 NY. KURIGE ASSO P 40 MEGAPURA MELENA P 5/24/2018
36 57.01.11 67466 NN. FLORENSIA HUBY P 18 PIKHE GEA P 6/8/2018
37 53.44.05 22262 TN. OTIS HILAPOK L - GUNUNG SUSU PPOK P 6/6/2018
38 99.95.10 67055 NY. MARTA ITLAY P 60 MAPLIMA TB PARU + ISK P 5/29/2018

39 34.91.10 66709 TN. SEPI SIEP L 34 WOUMA EFUSI PLEURA + ASCITES P 5/20/2018

40 34.73.10 65336 TN. SUNDENI WENDA L 34 JL. IRIAN B20 + HEPATITIS B K 6/5/2018
PENURUNAN KESADARAN + B20 +
41 97.98.10 9515 NN. APRIANCE GOBAY P 21 KIMBIM M 6/6/2018
TB MILIER
42 05.02.11 67506 TN. RUBEN WENDA L 30 LOKASI 3 TYPOID FEVER P 6/9/2018
43 24.02.11 67521 TN. SIMSON ELOPERE L 45 KAMA GEA P 6/12/2018
44 49.01.11 67460 TN. OLABO ALITNOWE L 50 ILEKMA TB PARU P 6/8/2018
45 27.03.11 67832 NY. SERLY OAGAY P 21 PISUGI MALARIA TROPIKA P 6/12/2018
46 42.00.11 67377 TN. MELIET UNUWE L 33 JL. IRIAN B20 PP 6/6/2018
47 43.03.11 67612 NY. ROSALINA MAUKALANG WENDA P 18 JL. YOS SUDARSO MALARIA TERSIANA P 6/12/2018
48 75.01.11 67831 NY. MAKRIWA WISABLA P 25 WOUMA TYPOID FEVER P 6/11/2018
49 79.22.08 48586 NY. MARLINA LOKOBAL P 27 ASOLOKOBAL HIPERTENSI P 6/8/2018
50 04.03.11 67584 NY. AWINAREN HISAGE P 40 LOKASI 3 TYPOID FEVER P 6/12/2018
51 16.04.11 67671 TN. HERMANUS PEYON L 32 HOM-HOM ASMA BRONCHIALE P 6/15/2018
52 22.04.11 67676 TN. ARI METLAMA L 40 MAPLIMA MALARIA TROPIKA P 6/14/2018
53 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI SOL P 6/15/2018
54 37.88.10 66479 TN. TONI ITLAY L 34 PUGIMA MALARIA TROPIKA P 6/15/2018
55 19.66.09 54208 NY. OKOWA ASSO P 62 HONAI LAMA DECOMCORDIS P 6/7/2018
56 66.95.04 66419 TN. PINIET PAHABOL L 23 SINAKMA OBS. FEBRIS P 6/2/2018
57 05.05.11 61456 NY. KRISTINA HALUK P 30 WALELAGAMA MALARIA TERSIANA P 6/16/2018
58 91.68.10 65025 NY. MELFI ITLAY P 19 KAMA TYPOID FEVER P 6/16/2018
59 20.05.11 18308 NN. PINCE MATUAN P 16 POTIKELEK ISK P 6/16/2018

60 23.95.10 66995 TN. HABIA WETAPO L 21 ASOTIPO TB PARU P 6/4/2018

61 41.00.11 67376 TN. MERINUS TABUNI L 46 WALA EFUSI PLEURA + TB PARU P 6/9/2018
62 44.75.09 58027 TN. ELIAS ASSO L 70 NAPUA STROKE ISKEMIK + CHF P 6/7/2018
63 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI P 6/11/2018
64 50.68.09 44045 TN. NIUS SAMA L 20 MAPLIMA ASMA BRONCHIALE P 6/16/2018
65 79.71.04 12969 NN. ANI WENDA KOGOYA P 24 WESAPUT B20 P 31-06-18
66 41.27.02 1494 TN. PAILES KOGOYA L 45 JL. BHAYANGKARA B20 + TB PARU M 5/18/2018
67 20.96.04 31245 NY. YESINA KOGOYA P 26 POTIKELEK CARDIAC ARREST M 6/13/2018

68 86.85.10 66297 TN. NIKSON PAHABOL L 23 HETUMA TB PARU P 5/8/2018

69 49.06.11 67852 NY. FETERINA HELEMBO P 30 MAPLIMA TYPOID FEVER P 6/19/2018

70 13.03.11 67590 NY. JONETA KOGOYA P 30 GUNUNG SUSU TB PARU P 6/14/2018
71 69.96.18 1293 TN. SIMON KOGOYA L 40 JL. THAMRIN ASMA BRONCHIALE P 6/13/2018
72 39.92.10 66785 NY. TEMINA KOGOYA P 43 MAPLIMA ASCITES P 5/26/2018
73 75.08.11 68047 NN. MARIA APRILIA FAIDIBAN P 19 JL. BHAYANGKARA TYPOID FEVER PP 6/23/2018
74 79.08.11 68049 TN. FIDEL PAKAGE L 30 WESAPUT ASMA BRONCHIALE PP 6/23/2018

75 91.04.11 67734 NN. MINA KOGOYA P 25 JL. YOS SUDARSO B20 P 6/16/2018

76 97.17.08 48086 TN. MONOGO WALALUA L 60 WALELAGAMA PPOK K 5/7/2018

77 41.04.11 67689 NY. MANA WETAPO P 30 ASOTIPO ISK P 6/15/2018

78 00.07.11 67900 NN. NELCE IMBURI P 18 JL. TRIKORA TYPOID FEVER P 6/21/2018
79 97.08.11 68062 NY. TENDINA WANIMBO P 33 JL. YOS SUDARSO BRONCHITIS PP 6/24/2018

80 92.03.11 67650 NY. TAWE KOSSAY P 35 HONAI LAMA HEPATOSPLENOMEGALI R 6/15/2018

81 79.13.05 20839 NY. KARTINI LOGOWAN P 50 WOUMA TB PARU P 6/7/2018

82 64.02.11 61137 NY. MINA JIKWA P 50 KARUJAYA B20 P 6/11/2018

83 36.75.10 68301 TN. OTTO TABUNI L 45 KOYABAME HEMATEMESIS M 6/27/2018

84 32.25.08 5682 TN. SAVERIUS WETIPO L 45 MUSATFAK MALARIA TROPIKA P 6/25/2018
85 94.99.10 44798 AN. PASKALIS WILIL L 13 KURULU PARATITIS P 6/25/2018
86 86.31.06 9360 NY. DWI BALIANI PUJIRAHAYU P 31 MISSI HIPERTENSI P 6/27/2018
87 22.10.11 68167 TN. LETES JIKWA L 28 POTIKELEK MALARIA TROPIKA P 6/26/2018
88 79.07.03 46980 TN. BOAS RUMKABU L 56 HOM-HOM PJK + VERTIGO P 6/21/2018
89 32.63.08 50240 TN. WEDO WUKA L 23 POTIKELEK B20 P 6/19/2018
JUMLAH
GL JASA DOKTER SPESIALIS
HARI RWT
JASA TINDAKAN dr.ANTO,Sp.PD dr.INDRA,Sp.S dr.ICHWAN,Sp.PD
KRS
11 13 14 15 JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN

6 308,425 0 308,425
6/1/2018
6/1/2018 2 61,685 0 61,685

6/1/2018 3 123,370 0 123,370

6/1/2018 5 246,740 0 246,740
6/1/2018 7 370,110 0 370,110
6/2/2018 5 246,740 0 246,740
6/2/2018 26 1,542,125 0 1,542,125
6/2/2018 8 431,795 0 431,795
6/2/2018 6 308,425 0 308,425
6/4/2018 18 1,048,645 0 1,048,645
6/4/2018 9 493,480 0 493,480
6/4/2018 13 740,220 0 740,220
6/4/2018 6 308,425 0 308,425
6/5/2018 49 2,960,880 0 2,393,903 566,977
6/5/2018 8 740,220 0 308,425 431,795
6/5/2018 21 1,233,700 0 1,233,700
6/5/2018 5 246,740 0 246,740
6/5/2018 4 185,055 0 185,055
6/6/2018 5 246,740 0 246,740
6/6/2018 5 246,740 0 246,740
6/6/2018 4 185,055 0 185,055
6/6/2018 3 123,370 0 123,370
6/6/2018 52 3,145,935 0 2,590,770 555,165
6/6/2018 19 1,110,330 0 1,110,330
6/6/2018 7 370,110 0 370,110
6/7/2018 9 493,480 0 493,480
6/7/2018 5 246,740 0 246,740
6/7/2018 7 370,110 0 370,110
6/8/2018 16 925,275 0 925,275
6/8/2018 3 123,370 0 123,370
 6/8/2018 9 493,480 0 493,480
6/9/2018 7 370,110 0 370,110
6/9/2018 4 185,055 0 185,055
6/9/2018 4-Jan 246,740 0 246,740
6/11/2018 18 1,233,700 0 1,048,645 185,055
6/11/2018 4 185,055 0 185,055
6/12/2018 7 370,110 0 123,370 246,740
6/12/2018 15 863,590 0 123,370 740,220

6/12/2018 24 1,418,755 0 1,418,755

6/12/2018 8 431,795 0 431,795

6/12/2018 6 308,425 0 185,055 123,370

6/13/2018 6 308,425 0 308,425

6/13/2018 2 61,685 0 61,685
6/15/2018 8 431,795 0 370,110 61,685
6/15/2018 4 185,055 0 123,370 61,685
6/15/2018 10 555,165 0 493,480 61,685
6/15/2018 4 185,055 0 123,370 61,685
6/15/2018 5 246,740 0 185,055 61,685
6/15/2018 8 431,795 0 431,795
6/16/2018 5 246,740 0 123,370 123,370
6/16/2018 2 61,685 0 61,685
6/16/2018 3 123,370 0 123,370
6/16/2018 2 61,685 0 61,685
6/18/2018 4 185,055 0 185,055
6/18/2018 12 678,535 0 431,795 246,740
6/18/2018 17 1,357,070 0 863,590 493,480
6/18/2018 3 123,370 0 123,370
6/18/2018 3 123,370 0 123,370
6/18/2018 3 123,370 0 123,370

6/18/2018 15 863,590 0 431,795 431,795

6/20/2018 11 678,535 0 370,110 308,425

6/21/2018 15 1,233,700 0 959,544 274,156
6/21/2018 11 616,850 0 616,850
6/21/2018 6 308,425 0 123,370 185,055
6/21/2018 22 1,295,385 0 925,275 370,110
6/22/2018 37 2,220,660 0 1,850,550 370,110
6/22/2018 10 555,165 0 185,055 370,110

6/23/2018 49 5,366,595 0 2,405,715 2,960,880

6/23/2018 5 246,740 0 246,740

6/23/2018 10 555,165 0 246,740 308,425
6/23/2018 11 616,850 0 308,425 308,425
6/23/2018 29 1,727,180 0 1,357,070 370,110
6/24/2018 2 61,685 0 61,685
6/24/2018 2 61,685 0 61,685

6/25/2018 10 555,165 0 370,110 185,055

6/25/2018 50 3,022,565 0 2,652,455 370,110

6/26/2018 12 678,535 0 431,795 246,740

6/27/2018 7 370,110 0 370,110
6/26/2018 3 123,370 0 123,370

6/26/2018 12 678,535 0 193,867 484,668

6/28/2018 22 1,295,385 0 566,731 728,654

6/28/2018 18 1,048,645 0 349,548 699,097

6/28/2018 2 61,685 0 61,685

6/29/2018 5 246,740 0 246,740
6/29/2018 5 246,740 0 246,740
6/29/2018 3 123,370 0 123,370
6/29/2018 4 185,055 0 185,055
6/29/2018 9 493,480 0 493,480
6/30/2018 12 1,357,070 0 678,535 678,535
### Rp - Rp 34,319,134 Rp - Rp 11,361,852 Rp - Rp 11,994,489 Rp -

PEMBAGIAN JASA MEDIS JAMKESDA BANGZAL INTERNA_BULAN

 JASA DOKTER SPESIALIS JASA DOKTER UMUM JASA KONSUL
NAMA
JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN
dr.ANTO,Sp.PD Rp 34,319,134 Rp -
dr.INDRA,Sp.S Rp 11,361,852 Rp -
dr.ICHWAN,Sp.PD Rp 11,994,489 Rp -
dr.ASNA Rp 12,529,481 Rp -
dr.DECKY,Sp.M Rp 61,685 Rp -
dr.ANTON Rp 40,000 Rp -
ANGGREK Rp 40,000 Rp -
Perawat
Gizi
TOTAL Rp 57,675,475 Rp - Rp 12,529,481 Rp - Rp 141,685 Rp -
 JASA DOKTER UMUM

4 JASA TINDAKAN dr.ASNA dr.DEBORA

JMLH
JASA TINDAKAN 16 17 JASA TINDAKAN JASA

308,425 95,100 0 95,100

61,685 0 0
123,370 47,550 0 47,550
246,740 95,100 0 95,100
370,110 0 0
246,740 23,775 0 23,775
1,542,125 475,502 0 475,502
431,795 142,651 0 142,651
308,425 47,550 0 47,550
1,048,645 142,651 0 142,651
493,480 142,651 0 142,651
740,220 142,651 0 142,651
308,425 47,550 0 47,550
2,960,880 689,478 0 689,478
740,220 95,100 0 95,100
1,233,700 237,751 0 237,751
246,740 23,775 0 23,775
185,055 0 0
246,740 71,325 0 71,325
246,740 71,325 0 71,325
185,055 71,325 0 71,325
123,370 47,550 0 47,550
3,145,935 594,378 0 594,378
1,110,330 237,751 0 237,751
370,110 71,325 0 71,325
493,480 142,651 0 142,651
246,740 71,325 0 71,325
370,110 118,876 0 118,876
925,275 166,426 0 166,426
123,370 47,550 0 47,550
 493,480 142,651 0 142,651
370,110 47,550 0 47,550
185,055 0 0
246,740 0 0
1,233,700 190,201 0 190,201
185,055 23,775 0 23,775
370,110 47,550 0 47,550
863,590 71,325 0 71,325

1,418,755 237,751 0 237,751

431,795 47,550 0 47,550

308,425 47,550 0 47,550

308,425 71,325 0 71,325

61,685 23,775 0 23,775
431,795 118,876 0 118,876
185,055 71,325 0 71,325
555,165 166,426 0 166,426
185,055 71,325 0 71,325
246,740 71,325 0 71,325
431,795 142,651 0 142,651
246,740 95,100 0 95,100
61,685 23,775 0 23,775
123,370 47,550 0 47,550
61,685 23,775 0 23,775
185,055 23,775 0 23,775
678,535 190,201 0 190,201
1,357,070 237,751 0 237,751
123,370 23,775 0 23,775
123,370 23,775 0 23,775
123,370 47,550 0 47,550

863,590 166,426 0 166,426

678,535 190,201 0 190,201

1,233,700 237,751 0 237,751
616,850 213,976 0 213,976
308,425 95,100 0 95,100
1,295,385 285,301 0 285,301
2,220,660 594,378 0 594,378
 555,165 142,651 0 142,651

5,366,595 713,253 0 713,253

246,740 95,100 0 95,100

555,165 142,651 0 142,651
616,850 213,976 0 213,976
1,727,180 570,603 0 570,603
61,685 0 0
61,685 0 0

555,165 166,426 0 166,426

3,022,565 903,454 0 903,454

678,535 213,976 0 213,976

370,110 118,876 0 118,876
123,370 0 0

678,535 118,876 0 118,876

1,295,385 190,201 0 190,201

1,048,645 190,201 0 190,201

61,685 0 0
246,740 95,100 0 95,100
246,740 95,100 0 95,100
123,370 0 0
185,055 71,325 0 71,325
493,480 0 0
1,357,070 213,976 0 213,976
Rp - Rp - 57,675,475 Rp 12,529,481 Rp - Rp 12,529,481 Rp - Rp -

BANGZAL INTERNA_BULAN JUNI_2018

 JASA PERAWAT
JASA GIZI TOTAL 12.5% BERSIH
JASA TINDAKAN
Rp 34,319,134 Rp 4,289,892 Rp 30,029,242
Rp 11,361,852 Rp 1,420,232 Rp 9,941,621
Rp 11,994,489 Rp 1,499,311 Rp 10,495,178
Rp 12,529,481 Rp 1,566,185 Rp 10,963,296
Rp 61,685 Rp 7,711 Rp 53,974
Rp 40,000 Rp 5,000 Rp 35,000
Rp 40,000 Rp 5,000 Rp 35,000
Rp 38,984,400 Rp 23,514,400 Rp 62,498,800 Rp 7,812,350 Rp 54,686,450
Rp 6,739,200 Rp 6,739,200 Rp 842,400 Rp 5,896,800
Rp 38,984,400 Rp 23,514,400 Rp 6,739,200 Rp 139,584,641 Rp 17,448,080 Rp 122,136,561

SELISIH Rp -
 JASA KONSUL

7 8 JASA TINDAKAN dr.DECKY,Sp.M dr.ANTON dr.DENNY,Sp.B

JMLH
TINDAKAN JASA TINDAKAN JASA TINDAKAN 18 19 JASA TINDAKAN JASA TINDAKAN JASA

95,100 0 0

0 0 0
47,550 0 0
95,100 0 0
0 0 0
23,775 0 0
475,502 0 0
142,651 0 0
47,550 0 0
142,651 0 0
142,651 0 0
142,651 0 0
47,550 0 0
689,478 0 0
95,100 0 0
237,751 0 0
23,775 0 0
0 0 0
71,325 0 0
71,325 0 0
71,325 0 0
47,550 0 0
594,378 0 0
237,751 0 0
71,325 0 0
142,651 0 0
71,325 0 0
118,876 0 0
166,426 0 0
47,550 0 0
142,651 0 0
47,550 0 0
0 0 0
0 0 0
190,201 0 0
23,775 0 0
47,550 0 0
71,325 0 0

237,751 20,000 0

47,550 0 0

47,550 0 0

71,325 0 0
23,775 0 0
118,876 0 0
71,325 0 0
166,426 0 0
71,325 0 0
71,325 0 0
142,651 0 0
95,100 0 0
23,775 0 0
47,550 0 0
23,775 0 0
23,775 0 0
190,201 0 0
237,751 0 0
23,775 0 0
23,775 0 0
47,550 0 0

166,426 0 0

190,201 0 0
237,751 0 0
213,976 0 0
95,100 0 0
285,301 0 0
594,378 0 0
 142,651 0 0

713,253 0 0

95,100 0 0
142,651 0 0
213,976 0 0
570,603 0 0
0 0 0
0 0 0

166,426 20,000 0

903,454 61,685 0 61,685

213,976 0 0
118,876 0 0
0 0 0

118,876 40,000 0 40,000

190,201 0 0

190,201 0 0

0 0 0
95,100 0 0
95,100 0 0
0 0 0
71,325 0 0
0 0 0
213,976 0 0
Rp - Rp - Rp - Rp - Rp - 12,529,481 ### Rp - Rp 61,685 Rp - Rp 40,000 Rp - Rp -
 JASA PERAWAT
JASA GIZI TOTAL
NY,Sp.B ANGGREK JASA TINDAKAN
JMLH
TINDAKAN JASA TINDAKAN 20 21 27 28

0 204,750 123,500 39,000 770,775

0 81,900 49,400 7,800 200,785

0 122,850 74,100 15,600 383,470
0 204,750 123,500 31,200 701,290
0 286,650 172,900 46,800 876,460
0 204,750 123,500 31,200 629,965
0 1,064,700 642,200 195,000 3,919,527
0 327,600 197,600 54,600 1,154,246
0 245,700 148,200 39,000 788,875
0 737,100 444,600 132,600 2,505,596
0 368,550 222,300 62,400 1,289,381
0 532,350 321,100 93,600 1,829,921
0 245,700 148,200 39,000 788,875
0 2,006,550 1,210,300 374,400 7,241,608
0 327,600 197,600 54,600 1,415,120
0 859,950 518,700 156,000 3,006,101
0 204,750 123,500 31,200 629,965
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 677,515
0 204,750 123,500 31,200 677,515
0 163,800 98,800 23,400 542,380
0 122,850 74,100 15,600 383,470
0 2,129,400 1,284,400 397,800 7,551,913
0 778,050 469,300 140,400 2,735,831
0 286,650 172,900 46,800 947,785
0 368,550 222,300 62,400 1,289,381
0 204,750 123,500 31,200 677,515
0 286,650 172,900 46,800 995,336
0 655,200 395,200 117,000 2,259,101
0 122,850 74,100 15,600 383,470
 0 368,550 222,300 62,400 1,289,381
0 286,650 172,900 46,800 924,010
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 606,190
0 737,100 444,600 132,600 2,738,201
0 163,800 98,800 23,400 494,830
0 286,650 172,900 46,800 924,010
0 614,250 370,500 109,200 2,028,865

20,000 20,000 982,800 592,800 179,400 3,431,506

0 327,600 197,600 54,600 1,059,145

0 245,700 148,200 39,000 788,875

0 245,700 148,200 39,000 812,650

0 81,900 49,400 7,800 224,560
0 327,600 197,600 54,600 1,130,471
0 163,800 98,800 23,400 542,380
0 409,500 247,000 70,200 1,448,291
0 163,800 98,800 23,400 542,380
0 204,750 123,500 31,200 677,515
0 327,600 197,600 54,600 1,154,246
0 204,750 123,500 31,200 701,290
0 81,900 49,400 7,800 224,560
0 122,850 74,100 15,600 383,470
0 81,900 49,400 7,800 224,560
0 163,800 98,800 23,400 494,830
0 491,400 296,400 85,800 1,742,336
0 696,150 419,900 124,800 2,835,671
0 122,850 74,100 15,600 359,695
0 122,850 74,100 15,600 359,695
0 122,850 74,100 15,600 383,470

0 614,250 370,500 109,200 2,123,966

0 450,450 271,700 78,000 1,668,886

0 614,250 370,500 109,200 2,565,401
0 450,450 271,700 78,000 1,630,976
0 245,700 148,200 39,000 836,425
0 900,900 543,400 163,800 3,188,786
0 1,515,150 913,900 280,800 5,524,888
 0 409,500 247,000 70,200 1,424,516

0 2,006,550 1,210,300 374,400 9,671,098

0 204,750 123,500 31,200 701,290

0 409,500 247,000 70,200 1,424,516
0 450,450 271,700 78,000 1,630,976
0 1,187,550 716,300 218,400 4,420,033
0 81,900 49,400 7,800 200,785
0 81,900 49,400 7,800 200,785

20,000 20,000 409,500 247,000 70,200 1,468,291

61,685 2,047,500 1,235,000 382,200 7,652,404

0 491,400 296,400 85,800 1,766,111

0 286,650 172,900 46,800 995,336
0 122,850 74,100 15,600 335,920

40,000 491,400 296,400 85,800 1,711,011

0 900,900 543,400 163,800 3,093,686

0 737,100 444,600 132,600 2,553,146

0 81,900 49,400 7,800 200,785

0 204,750 123,500 31,200 701,290
0 204,750 123,500 31,200 701,290
0 122,850 74,100 15,600 335,920
0 163,800 98,800 23,400 542,380
0 368,550 222,300 62,400 1,146,730
0 491,400 296,400 85,800 2,444,646
Rp - Rp 40,000 Rp - 141,685 Rp 38,984,400 Rp 23,514,400 Rp 6,739,200 139,584,641
 KETERANGAN

29

dr. ANTO 5X & dr. ASNA 4X

dr. ANTO 1X
dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 4X & dr. ASNA 4X
dr. ICHWAN 6X
dr. ANTO 4X & dr. ASNA 1X
dr. ANTO 25X & dr. ASNA 20X
dr. ICHWAN 7X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ICHWAN 17X & dr. ASNA 6X
dr. ICHWAN 8X & dr. ASNA 6X
dr. ICHWAN 12X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ANTO 38X & dr. INDRA 9X & dr. ASNA 29X
dr. ICHWAN 7X & dr. INDRA 5X & dr. ASNA 4X
dr. ANTO 20X & dr. ASNA 10X
dr. ICHWAN 4X & dr. ASNA 1X
dr. ICHWAN 3X
dr. INDRA 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 2X & dr. ASNA 2X
dr. ANTO 42X & dr. ICHWAN 9X & dr. ASNA 25X
dr. ANTO 18X & dr. ASNA 10X
dr. ICHWAN 6X & dr. ASNA 3X
dr. ANTO 8X & dr. ASNA 6X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 15X & dr. ASNA 7X
dr. ICHWAN 2X & dr. ASNA 2X
 dr. ANTO 8X & dr. ASNA 6X
dr. ICHWAN 6X & dr. ASNA 2X
dr. ICHWAN 3X
dr. ICHWAN 4X
dr. ANTO 17X & dr. INDRA 3X & dr. ASNA 8X
dr. ANTO 3X & dr. ASNA 1X
dr. ICHWAN 4X & dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 12X & dr. ANTO 2X & dr. ASNA 3X

dr. ANTO 23X & dr. ASNA 10X & KONSELING ANGGREK 1X

dr. ANTO 7X & dr. ASNA 2X

dr. ICHWAN 2X & dr. ANTO 3X & dr. ASNA 2X

dr. ANTO 5X & dr. ASNA 3X

dr. ANTO 1X & dr. ASNA 1X
dr. ANTO 6X & dr. INDRA 1X & dr. ASNA 5X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 8X & dr. INDRA 1X & dr. ASNA 7X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 3X & dr. INDRA 1X & dr. ASNA 3X
dr. INDRA 7X & dr. ASNA 6X
dr. INDRA 2X & dr. ANTO 2X & dr. ASNA 4X
dr. INDRA 1X & dr. ASNA 1X
dr.INDRA 2X & dr. ASNA 2X
dr. INDRA 1X & dr. ASNA 1X
dr. INDRA 3X & dr. ASNA 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 8X
dr. ANTO 14X & dr. INDRA 8X & dr. ASNA 10X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 2X
dr. ICHWAN 5X & dr. ANTO 5X & dr. INDRA 4X & dr. ASNA
7X
dr. ANTO 6X & dr. INDRA 5X & dr. ASNA 8X
dr. ICHWAN 2X & dr. ANTO 7X & dr. INDRA 11X & dr.
ASNA 10X
dr. INDRA 10X & dr. ASNA 9X
dr. INDRA 3X & dr. ANTO 2X & dr. ASNA 4X
dr. ANTO 15X & dr. INDRA 6X & dr. ASNA 12X
dr. ANTO 30X & dr. INDRA 6X & dr. ASNA 25X
 dr. ANTO 3X & dr. INDRA 6X & dr. ASNA 6X
dr. ANTO 39X & dr. INDRA 48X & dr. ASNA 30X (RAWAT
GABUNG)
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. INDRA 5X & dr. ASNA 6X
dr. ANTO 5X & dr. INDRA 5X & dr. ASNA 9X
dr. ANTO 22X & dr. INDRA 6X & dr. ASNA 24X
dr. ANTO 1X
dr. ANTO 1X
dr. INDRA 3X & dr. ANTO 6X & dr. ASNA 7X & KONSELING
ANGGREK 1X
dr. ANTO 43X & dr. INDRA 6X & dr. ASNA 38X & KONSUL
dr. DECKY 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 9X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 2X
dr. ICHWAN 5X & dr. ANTO 2X & dr. INDRA 4X & dr. ASNA
5X & USG dr. ANTON 1X
dr.ICHWAN 9X & dr. ANTO 7X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 8X & dr. ANTO 4X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 1X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 2X
dr. ANTO 3X & dr. ASNA 3X
dr. ICHWAN 8X
dr. ANTO 11X & dr. INDRA 11X & dr. ASNA 9X
 REKAPITULASI JAMKESDA RSUD WAMENA
BANGSAL PENYAKIT DALAM - BULAN JUNI 2018

TGL
NO NO MR NO KPS NAMA JK UMUR ALAMAT DIAGNOSA P / PP / R/M
MRS
1 2 3 4 5 6 7 8 9 10

1 94.94.10 44798 AN. PASKALIS WILIL L 13 KURULU MALARIA TERSIANA P

5/27/2018
2 86.96.10 67118 TN. ARIBEN WENDA L 43 WALANI STEMI K 5/31/2018
3 35.64.09 26710 TN. PAMIUS KOGOYA L 23 SINAKMA TYPOID FEVER P 5/30/2018
4 24.95.10 66996 TN. SELO ALIKNOE L 28 MISSI DBD P 5/28/2018
5 55.37.03 66958 NY. MATU WEYA P 49 JB. WENAS B20 PP 5/26/2018
6 93.95.10 67050 NY. WAREKE MABEL P 68 KURULU PPOK P 5/29/2018
7 14.56.06 13669 TN. ISMAIL KAROBA L 34 HOM-HOM B20 P 5/8/2018
8 52.94.10 66939 TN. OLEAK WETIPO L 50 LOKASI 3 PPOK P 5/26/2018
9 46.95.10 67009 NY. MINCE ITLAY P 30 ITLAY HISAGE B20 PP 5/28/2018
10 89.85.10 66300 TN. EIRON BEMBOK L 23 KARUJAYA PLEURITIS TB P 5/18/2018
11 42.37.10 38509 TN. EDISON HUBY L 53 POTIKELEK VERTIGO P 5/27/2018
12 53.79.10 66115 TN. ALEX WALILO L 48 DUSUN NASIA TB MILIER P 5/23/2018
13 78.59.06 47651 TN. KORNELES YANDO L 27 JL. BHAYANGKARA ASMA BRONCHIALE P 5/30/2018
14 03.78.10 65682 NY. NITENA TABO P 43 HOM-HOM SIROSIS HEPATIS P 4/19/2018
15 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI CHEPALGIA P 5/29/2018
16 17.38.05 19611 NY. NURLINCE GOBAY P 24 ASOLOGAIMA B20 P 5/16/2018
17 75.97.10 67187 NY. LINA WENDA P 29 SINAKMA ISK P 6/1/2018
18 14.06.03 12717 NY. OROS MATUAN P 30 POTIKELEK TB PARU + ASCITES PP 6/2/2018
19 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI AR 6/2/2018
20 65.98.10 67253 NY. YOSPINA WANIMBO P 20 JL. PANJAITAN ANEMIA P 6/2/2018
21 75.98.10 67261 TN. NABAS KOGOYA L 43 JL. IRIAN PJK PP 6/3/2018
22 41.45.07 31557 NY. KRISTINA AROMPA P 29 HOLASILI MALARIA TROPIKA P 6/4/2018
23 67.62.10 64528 TN. ABRAHAM DABY L 26 JL. BHAYANGKARA SIROSIS HEPATIS + TB PARU P 4/16/2010
24 82.90.10 66661 TN. JERINUS KOGOYA L 28 JL. PIKHE B20 + TB PARU P 5/19/2018
25 52.96.10 67089 TN. KODE MURIB L 21 NAPUA MALARIA TERSIANA PP 5/31/2018
26 15.11.05 13850 TN. PANIUS WETIPO L 27 HOM-HOM TYPOID FEVER P 5/29/2018
27 99.50.09 63648 NY. MAKDA WENDA P 35 JL. IRIAN TUMOR ABDOMEN R 6/2/2018
28 95.37.04 67453 NY. ERINA HESELO P 19 HOM-HOM RHEMATIC ACUTE P 6/1/2018
29 08.93.10 66840 NY. ALINA SIEP P 27 WOUMA CARDIOMEOPTY P 5/24/2018
30 61.41.08 38335 NY. SERLI HILAPOK P 23 JL. BHAYANGKARA LEUKOSITOSIS P 6/6/2018
31 23.97.10 67143 NY. YERLI PAYOKMAI P 39 JL. AHMAD YANI B20 + TB PARU P 5/31/2018
32 90.40.06 - NY. APIA WETAPO P 20 WOKEN SIROSIS HATI P 6/3/2018
33 27.30.10 62158 TN. PIT RUMBEKWAN L 72 KOMP. DPU CHF + BRONCHITIS P 6/6/2018
34 38.81.04 67326 TN. NAGA KAROBA L 60 KARUJAYA CAP + VERTIGO P 6/5/2018
35 69.93.10 66880 NY. KURIGE ASSO P 40 MEGAPURA MELENA P 5/24/2018
36 57.01.11 67466 NN. FLORENSIA HUBY P 18 PIKHE GEA P 6/8/2018
37 53.44.05 22262 TN. OTIS HILAPOK L - GUNUNG SUSU PPOK P 6/6/2018
38 99.95.10 67055 NY. MARTA ITLAY P 60 MAPLIMA TB PARU + ISK P 5/29/2018

39 34.91.10 66709 TN. SEPI SIEP L 34 WOUMA EFUSI PLEURA + ASCITES P 5/20/2018

40 34.73.10 65336 TN. SUNDENI WENDA L 34 JL. IRIAN B20 + HEPATITIS B K 6/5/2018
PENURUNAN KESADARAN + B20 +
41 97.98.10 9515 NN. APRIANCE GOBAY P 21 KIMBIM M 6/6/2018
TB MILIER
42 05.02.11 67506 TN. RUBEN WENDA L 30 LOKASI 3 TYPOID FEVER P 6/9/2018
43 24.02.11 67521 TN. SIMSON ELOPERE L 45 KAMA GEA P 6/12/2018
44 49.01.11 67460 TN. OLABO ALITNOWE L 50 ILEKMA TB PARU P 6/8/2018
45 27.03.11 67832 NY. SERLY OAGAY P 21 PISUGI MALARIA TROPIKA P 6/12/2018
46 42.00.11 67377 TN. MELIET UNUWE L 33 JL. IRIAN B20 PP 6/6/2018
47 43.03.11 67612 NY. ROSALINA MAUKALANG WENDA P 18 JL. YOS SUDARSO MALARIA TERSIANA P 6/12/2018
48 75.01.11 67831 NY. MAKRIWA WISABLA P 25 WOUMA TYPOID FEVER P 6/11/2018
49 79.22.08 48586 NY. MARLINA LOKOBAL P 27 ASOLOKOBAL HIPERTENSI P 6/8/2018
50 04.03.11 67584 NY. AWINAREN HISAGE P 40 LOKASI 3 TYPOID FEVER P 6/12/2018
51 16.04.11 67671 TN. HERMANUS PEYON L 32 HOM-HOM ASMA BRONCHIALE P 6/15/2018
52 22.04.11 67676 TN. ARI METLAMA L 40 MAPLIMA MALARIA TROPIKA P 6/14/2018
53 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI SOL P 6/15/2018
54 37.88.10 66479 TN. TONI ITLAY L 34 PUGIMA MALARIA TROPIKA P 6/15/2018
55 19.66.09 54208 NY. OKOWA ASSO P 62 HONAI LAMA DECOMCORDIS P 6/7/2018
56 66.95.04 66419 TN. PINIET PAHABOL L 23 SINAKMA OBS. FEBRIS P 6/2/2018
57 05.05.11 61456 NY. KRISTINA HALUK P 30 WALELAGAMA MALARIA TERSIANA P 6/16/2018
58 91.68.10 65025 NY. MELFI ITLAY P 19 KAMA TYPOID FEVER P 6/16/2018
59 20.05.11 18308 NN. PINCE MATUAN P 16 POTIKELEK ISK P 6/16/2018

60 23.95.10 66995 TN. HABIA WETAPO L 21 ASOTIPO TB PARU P 6/4/2018

61 41.00.11 67376 TN. MERINUS TABUNI L 46 WALA EFUSI PLEURA + TB PARU P 6/9/2018
62 44.75.09 58027 TN. ELIAS ASSO L 70 NAPUA STROKE ISKEMIK + CHF P 6/7/2018
63 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI P 6/11/2018
64 50.68.09 44045 TN. NIUS SAMA L 20 MAPLIMA ASMA BRONCHIALE P 6/16/2018
65 79.71.04 12969 NN. ANI WENDA KOGOYA P 24 WESAPUT B20 P 31-06-18
66 41.27.02 1494 TN. PAILES KOGOYA L 45 JL. BHAYANGKARA B20 + TB PARU M 5/18/2018
67 20.96.04 31245 NY. YESINA KOGOYA P 26 POTIKELEK CARDIAC ARREST M 6/13/2018

68 86.85.10 66297 TN. NIKSON PAHABOL L 23 HETUMA TB PARU P 5/8/2018

69 49.06.11 67852 NY. FETERINA HELEMBO P 30 MAPLIMA TYPOID FEVER P 6/19/2018

70 13.03.11 67590 NY. JONETA KOGOYA P 30 GUNUNG SUSU TB PARU P 6/14/2018
71 69.96.18 1293 TN. SIMON KOGOYA L 40 JL. THAMRIN ASMA BRONCHIALE P 6/13/2018
72 39.92.10 66785 NY. TEMINA KOGOYA P 43 MAPLIMA ASCITES P 5/26/2018
73 75.08.11 68047 NN. MARIA APRILIA FAIDIBAN P 19 JL. BHAYANGKARA TYPOID FEVER PP 6/23/2018
74 79.08.11 68049 TN. FIDEL PAKAGE L 30 WESAPUT ASMA BRONCHIALE PP 6/23/2018

75 91.04.11 67734 NN. MINA KOGOYA P 25 JL. YOS SUDARSO B20 P 6/16/2018

76 97.17.08 48086 TN. MONOGO WALALUA L 60 WALELAGAMA PPOK K 5/7/2018

77 41.04.11 67689 NY. MANA WETAPO P 30 ASOTIPO ISK P 6/15/2018

78 00.07.11 67900 NN. NELCE IMBURI P 18 JL. TRIKORA TYPOID FEVER P 6/21/2018
79 97.08.11 68062 NY. TENDINA WANIMBO P 33 JL. YOS SUDARSO BRONCHITIS PP 6/24/2018

80 92.03.11 67650 NY. TAWE KOSSAY P 35 HONAI LAMA HEPATOSPLENOMEGALI R 6/15/2018

81 79.13.05 20839 NY. KARTINI LOGOWAN P 50 WOUMA TB PARU P 6/7/2018

82 64.02.11 61137 NY. MINA JIKWA P 50 KARUJAYA B20 P 6/11/2018

83 36.75.10 68301 TN. OTTO TABUNI L 45 KOYABAME HEMATEMESIS M 6/27/2018

84 32.25.08 5682 TN. SAVERIUS WETIPO L 45 MUSATFAK MALARIA TROPIKA P 6/25/2018
85 94.99.10 44798 AN. PASKALIS WILIL L 13 KURULU PARATITIS P 6/25/2018
86 86.31.06 9360 NY. DWI BALIANI PUJIRAHAYU P 31 MISSI HIPERTENSI P 6/27/2018
87 22.10.11 68167 TN. LETES JIKWA L 28 POTIKELEK MALARIA TROPIKA P 6/26/2018
88 79.07.03 46980 TN. BOAS RUMKABU L 56 HOM-HOM PJK + VERTIGO P 6/21/2018
89 32.63.08 50240 TN. WEDO WUKA L 23 POTIKELEK B20 P 6/19/2018
JUMLAH
GL JASA DOKTER SPESIALIS
HARI RWT
JASA TINDAKAN dr.ANTO,Sp.PD dr.INDRA,Sp.S dr.ICHWAN,Sp.PD
KRS
11 13 14 15 JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN

6 308,425 0 308,425
6/1/2018
6/1/2018 2 61,685 0 61,685

6/1/2018 3 123,370 0 123,370

6/1/2018 5 246,740 0 246,740
6/1/2018 7 370,110 0 370,110
6/2/2018 5 246,740 0 246,740
6/2/2018 26 1,542,125 0 1,542,125
6/2/2018 8 431,795 0 431,795
6/2/2018 6 308,425 0 308,425
6/4/2018 18 1,048,645 0 1,048,645
6/4/2018 9 493,480 0 493,480
6/4/2018 13 740,220 0 740,220
6/4/2018 6 308,425 0 308,425
6/5/2018 49 2,960,880 0 2,393,903 566,977
6/5/2018 8 740,220 0 308,425 431,795
6/5/2018 21 1,233,700 0 1,233,700
6/5/2018 5 246,740 0 246,740
6/5/2018 4 185,055 0 185,055
6/6/2018 5 246,740 0 246,740
6/6/2018 5 246,740 0 246,740
6/6/2018 4 185,055 0 185,055
6/6/2018 3 123,370 0 123,370
6/6/2018 52 3,145,935 0 2,590,770 555,165
6/6/2018 19 1,110,330 0 1,110,330
6/6/2018 7 370,110 0 370,110
6/7/2018 9 493,480 0 493,480
6/7/2018 5 246,740 0 246,740
6/7/2018 7 370,110 0 370,110
6/8/2018 16 925,275 0 925,275
6/8/2018 3 123,370 0 123,370
 6/8/2018 9 493,480 0 493,480
6/9/2018 7 370,110 0 370,110
6/9/2018 4 185,055 0 185,055
6/9/2018 4-Jan 246,740 0 246,740
6/11/2018 18 1,233,700 0 1,048,645 185,055
6/11/2018 4 185,055 0 185,055
6/12/2018 7 370,110 0 123,370 246,740
6/12/2018 15 863,590 0 123,370 740,220

6/12/2018 24 1,418,755 0 1,418,755

6/12/2018 8 431,795 0 431,795

6/12/2018 6 308,425 0 185,055 123,370

6/13/2018 6 308,425 0 308,425

6/13/2018 2 61,685 0 61,685
6/15/2018 8 431,795 0 370,110 61,685
6/15/2018 4 185,055 0 123,370 61,685
6/15/2018 10 555,165 0 493,480 61,685
6/15/2018 4 185,055 0 123,370 61,685
6/15/2018 5 246,740 0 185,055 61,685
6/15/2018 8 431,795 0 431,795
6/16/2018 5 246,740 0 123,370 123,370
6/16/2018 2 61,685 0 61,685
6/16/2018 3 123,370 0 123,370
6/16/2018 2 61,685 0 61,685
6/18/2018 4 185,055 0 185,055
6/18/2018 12 678,535 0 431,795 246,740
6/18/2018 17 1,357,070 0 863,590 493,480
6/18/2018 3 123,370 0 123,370
6/18/2018 3 123,370 0 123,370
6/18/2018 3 123,370 0 123,370

6/18/2018 15 863,590 0 431,795 431,795

6/20/2018 11 678,535 0 370,110 308,425

6/21/2018 15 1,233,700 0 959,544 274,156
6/21/2018 11 616,850 0 616,850
6/21/2018 6 308,425 0 123,370 185,055
6/21/2018 22 1,295,385 0 925,275 370,110
6/22/2018 37 2,220,660 0 1,850,550 370,110
6/22/2018 10 555,165 0 185,055 370,110

6/23/2018 49 5,366,595 0 2,405,715 2,960,880

6/23/2018 5 246,740 0 246,740

6/23/2018 10 555,165 0 246,740 308,425
6/23/2018 11 616,850 0 308,425 308,425
6/23/2018 29 1,727,180 0 1,357,070 370,110
6/24/2018 2 61,685 0 61,685
6/24/2018 2 61,685 0 61,685

6/25/2018 10 555,165 0 370,110 185,055

6/25/2018 50 3,022,565 0 2,652,455 370,110

6/26/2018 12 678,535 0 431,795 246,740

6/27/2018 7 370,110 0 370,110
6/26/2018 3 123,370 0 123,370

6/26/2018 12 678,535 0 193,867 484,668

6/28/2018 22 1,295,385 0 566,731 728,654

6/28/2018 18 1,048,645 0 349,548 699,097

6/28/2018 2 61,685 0 61,685

6/29/2018 5 246,740 0 246,740
6/29/2018 5 246,740 0 246,740
6/29/2018 3 123,370 0 123,370
6/29/2018 4 185,055 0 185,055
6/29/2018 9 493,480 0 493,480
6/30/2018 12 1,357,070 0 678,535 678,535
### Rp - Rp 34,319,134 Rp - Rp 11,361,852 Rp - Rp 11,994,489 Rp -

PEMBAGIAN JASA MEDIS JAMKESDA BANGZAL INTERNA_BULAN JUNI_2018 REV O

 JASA DOKTER SPESIALIS JASA DOKTER UMUM JASA KONSUL
NAMA
JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN
dr.ANTO,Sp.PD Rp 30,029,242 Rp - Rp - Rp - Rp - Rp -
dr.INDRA,Sp.S Rp 9,941,621 Rp - Rp - Rp - Rp - Rp -
dr.ICHWAN,Sp.PD Rp 10,495,178 Rp - Rp - Rp - Rp - Rp -
dr.ASNA Rp - Rp - Rp 10,963,296 Rp - Rp - Rp -
dr.DECKY,Sp.M Rp - Rp - Rp - Rp - Rp 53,974 Rp -
dr.ANTON Rp - Rp - Rp - Rp - Rp 35,000 Rp -
ANGGREK Rp - Rp - Rp - Rp - Rp 35,000 Rp -
Perawat Rp - Rp - Rp - Rp - Rp - Rp -
Gizi Rp - Rp - Rp - Rp - Rp - Rp -
TOTAL Rp 50,466,041 Rp - Rp 10,963,296 Rp - Rp 123,974 Rp -
 JASA DOKTER UMUM

4 JASA TINDAKAN dr.ASNA dr.DEBORA

JMLH
JASA TINDAKAN 16 17 JASA TINDAKAN JASA

308,425 95,100 0 95,100

61,685 0 0
123,370 47,550 0 47,550
246,740 95,100 0 95,100
370,110 0 0
246,740 23,775 0 23,775
1,542,125 475,502 0 475,502
431,795 142,651 0 142,651
308,425 47,550 0 47,550
1,048,645 142,651 0 142,651
493,480 142,651 0 142,651
740,220 142,651 0 142,651
308,425 47,550 0 47,550
2,960,880 689,478 0 689,478
740,220 95,100 0 95,100
1,233,700 237,751 0 237,751
246,740 23,775 0 23,775
185,055 0 0
246,740 71,325 0 71,325
246,740 71,325 0 71,325
185,055 71,325 0 71,325
123,370 47,550 0 47,550
3,145,935 594,378 0 594,378
1,110,330 237,751 0 237,751
370,110 71,325 0 71,325
493,480 142,651 0 142,651
246,740 71,325 0 71,325
370,110 118,876 0 118,876
925,275 166,426 0 166,426
123,370 47,550 0 47,550
 493,480 142,651 0 142,651
370,110 47,550 0 47,550
185,055 0 0
246,740 0 0
1,233,700 190,201 0 190,201
185,055 23,775 0 23,775
370,110 47,550 0 47,550
863,590 71,325 0 71,325

1,418,755 237,751 0 237,751

431,795 47,550 0 47,550

308,425 47,550 0 47,550

308,425 71,325 0 71,325

61,685 23,775 0 23,775
431,795 118,876 0 118,876
185,055 71,325 0 71,325
555,165 166,426 0 166,426
185,055 71,325 0 71,325
246,740 71,325 0 71,325
431,795 142,651 0 142,651
246,740 95,100 0 95,100
61,685 23,775 0 23,775
123,370 47,550 0 47,550
61,685 23,775 0 23,775
185,055 23,775 0 23,775
678,535 190,201 0 190,201
1,357,070 237,751 0 237,751
123,370 23,775 0 23,775
123,370 23,775 0 23,775
123,370 47,550 0 47,550

863,590 166,426 0 166,426

678,535 190,201 0 190,201

1,233,700 237,751 0 237,751
616,850 213,976 0 213,976
308,425 95,100 0 95,100
1,295,385 285,301 0 285,301
2,220,660 594,378 0 594,378
 555,165 142,651 0 142,651

5,366,595 713,253 0 713,253

246,740 95,100 0 95,100

555,165 142,651 0 142,651
616,850 213,976 0 213,976
1,727,180 570,603 0 570,603
61,685 0 0
61,685 0 0

555,165 166,426 0 166,426

3,022,565 903,454 0 903,454

678,535 213,976 0 213,976

370,110 118,876 0 118,876
123,370 0 0

678,535 118,876 0 118,876

1,295,385 190,201 0 190,201

1,048,645 190,201 0 190,201

61,685 0 0
246,740 95,100 0 95,100
246,740 95,100 0 95,100
123,370 0 0
185,055 71,325 0 71,325
493,480 0 0
1,357,070 213,976 0 213,976
Rp - Rp - 57,675,475 Rp 12,529,481 Rp - Rp 12,529,481 Rp - Rp -

A_BULAN JUNI_2018 REV OK

 JASA PERAWAT
JASA GIZI TOTAL
JASA TINDAKAN
Rp - Rp - Rp Rp 30,029,242
-
Rp - Rp - Rp Rp 9,941,621
-
Rp - Rp - Rp Rp 10,495,178
-
Rp - Rp - Rp Rp 10,963,296
-
Rp - Rp - Rp Rp - 53,974
Rp - Rp - Rp Rp - 35,000
Rp - Rp - Rp Rp - 35,000
Rp 34,111,350 Rp 20,575,100 Rp Rp 54,686,450
-
Rp - Rp - Rp Rp 5,896,800
5,896,800
Rp 34,111,350 Rp 20,575,100 Rp 5,896,800 Rp 122,136,561

SELISIH Rp 17,448,080
 JASA KONSUL

7 8 JASA TINDAKAN dr.DECKY,Sp.M dr.ANTON dr.DENNY,Sp.B

JMLH
TINDAKAN JASA TINDAKAN JASA TINDAKAN 18 19 JASA TINDAKAN JASA TINDAKAN JASA

95,100 0 0

0 0 0
47,550 0 0
95,100 0 0
0 0 0
23,775 0 0
475,502 0 0
142,651 0 0
47,550 0 0
142,651 0 0
142,651 0 0
142,651 0 0
47,550 0 0
689,478 0 0
95,100 0 0
237,751 0 0
23,775 0 0
0 0 0
71,325 0 0
71,325 0 0
71,325 0 0
47,550 0 0
594,378 0 0
237,751 0 0
71,325 0 0
142,651 0 0
71,325 0 0
118,876 0 0
166,426 0 0
47,550 0 0
142,651 0 0
47,550 0 0
0 0 0
0 0 0
190,201 0 0
23,775 0 0
47,550 0 0
71,325 0 0

237,751 20,000 0

47,550 0 0

47,550 0 0

71,325 0 0
23,775 0 0
118,876 0 0
71,325 0 0
166,426 0 0
71,325 0 0
71,325 0 0
142,651 0 0
95,100 0 0
23,775 0 0
47,550 0 0
23,775 0 0
23,775 0 0
190,201 0 0
237,751 0 0
23,775 0 0
23,775 0 0
47,550 0 0

166,426 0 0

190,201 0 0
237,751 0 0
213,976 0 0
95,100 0 0
285,301 0 0
594,378 0 0
 142,651 0 0

713,253 0 0

95,100 0 0
142,651 0 0
213,976 0 0
570,603 0 0
0 0 0
0 0 0

166,426 20,000 0

903,454 61,685 0 61,685

213,976 0 0
118,876 0 0
0 0 0

118,876 40,000 0 40,000

190,201 0 0

190,201 0 0

0 0 0
95,100 0 0
95,100 0 0
0 0 0
71,325 0 0
0 0 0
213,976 0 0
Rp - Rp - Rp - Rp - Rp - 12,529,481 ### Rp - Rp 61,685 Rp - Rp 40,000 Rp - Rp -
 JASA PERAWAT
JASA GIZI TOTAL
NY,Sp.B ANGGREK JASA TINDAKAN
JMLH
TINDAKAN JASA TINDAKAN 20 21 27 28

0 204,750 123,500 39,000 770,775

0 81,900 49,400 7,800 200,785

0 122,850 74,100 15,600 383,470
0 204,750 123,500 31,200 701,290
0 286,650 172,900 46,800 876,460
0 204,750 123,500 31,200 629,965
0 1,064,700 642,200 195,000 3,919,527
0 327,600 197,600 54,600 1,154,246
0 245,700 148,200 39,000 788,875
0 737,100 444,600 132,600 2,505,596
0 368,550 222,300 62,400 1,289,381
0 532,350 321,100 93,600 1,829,921
0 245,700 148,200 39,000 788,875
0 2,006,550 1,210,300 374,400 7,241,608
0 327,600 197,600 54,600 1,415,120
0 859,950 518,700 156,000 3,006,101
0 204,750 123,500 31,200 629,965
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 677,515
0 204,750 123,500 31,200 677,515
0 163,800 98,800 23,400 542,380
0 122,850 74,100 15,600 383,470
0 2,129,400 1,284,400 397,800 7,551,913
0 778,050 469,300 140,400 2,735,831
0 286,650 172,900 46,800 947,785
0 368,550 222,300 62,400 1,289,381
0 204,750 123,500 31,200 677,515
0 286,650 172,900 46,800 995,336
0 655,200 395,200 117,000 2,259,101
0 122,850 74,100 15,600 383,470
 0 368,550 222,300 62,400 1,289,381
0 286,650 172,900 46,800 924,010
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 606,190
0 737,100 444,600 132,600 2,738,201
0 163,800 98,800 23,400 494,830
0 286,650 172,900 46,800 924,010
0 614,250 370,500 109,200 2,028,865

20,000 20,000 982,800 592,800 179,400 3,431,506

0 327,600 197,600 54,600 1,059,145

0 245,700 148,200 39,000 788,875

0 245,700 148,200 39,000 812,650

0 81,900 49,400 7,800 224,560
0 327,600 197,600 54,600 1,130,471
0 163,800 98,800 23,400 542,380
0 409,500 247,000 70,200 1,448,291
0 163,800 98,800 23,400 542,380
0 204,750 123,500 31,200 677,515
0 327,600 197,600 54,600 1,154,246
0 204,750 123,500 31,200 701,290
0 81,900 49,400 7,800 224,560
0 122,850 74,100 15,600 383,470
0 81,900 49,400 7,800 224,560
0 163,800 98,800 23,400 494,830
0 491,400 296,400 85,800 1,742,336
0 696,150 419,900 124,800 2,835,671
0 122,850 74,100 15,600 359,695
0 122,850 74,100 15,600 359,695
0 122,850 74,100 15,600 383,470

0 614,250 370,500 109,200 2,123,966

0 450,450 271,700 78,000 1,668,886

0 614,250 370,500 109,200 2,565,401
0 450,450 271,700 78,000 1,630,976
0 245,700 148,200 39,000 836,425
0 900,900 543,400 163,800 3,188,786
0 1,515,150 913,900 280,800 5,524,888
 0 409,500 247,000 70,200 1,424,516

0 2,006,550 1,210,300 374,400 9,671,098

0 204,750 123,500 31,200 701,290

0 409,500 247,000 70,200 1,424,516
0 450,450 271,700 78,000 1,630,976
0 1,187,550 716,300 218,400 4,420,033
0 81,900 49,400 7,800 200,785
0 81,900 49,400 7,800 200,785

20,000 20,000 409,500 247,000 70,200 1,468,291

61,685 2,047,500 1,235,000 382,200 7,652,404

0 491,400 296,400 85,800 1,766,111

0 286,650 172,900 46,800 995,336
0 122,850 74,100 15,600 335,920

40,000 491,400 296,400 85,800 1,711,011

0 900,900 543,400 163,800 3,093,686

0 737,100 444,600 132,600 2,553,146

0 81,900 49,400 7,800 200,785

0 204,750 123,500 31,200 701,290
0 204,750 123,500 31,200 701,290
0 122,850 74,100 15,600 335,920
0 163,800 98,800 23,400 542,380
0 368,550 222,300 62,400 1,146,730
0 491,400 296,400 85,800 2,444,646
Rp - Rp 40,000 Rp - 141,685 Rp 38,984,400 Rp 23,514,400 Rp 6,739,200 139,584,641
 KETERANGAN

29

dr. ANTO 5X & dr. ASNA 4X

dr. ANTO 1X
dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 4X & dr. ASNA 4X
dr. ICHWAN 6X
dr. ANTO 4X & dr. ASNA 1X
dr. ANTO 25X & dr. ASNA 20X
dr. ICHWAN 7X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ICHWAN 17X & dr. ASNA 6X
dr. ICHWAN 8X & dr. ASNA 6X
dr. ICHWAN 12X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ANTO 38X & dr. INDRA 9X & dr. ASNA 29X
dr. ICHWAN 7X & dr. INDRA 5X & dr. ASNA 4X
dr. ANTO 20X & dr. ASNA 10X
dr. ICHWAN 4X & dr. ASNA 1X
dr. ICHWAN 3X
dr. INDRA 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 2X & dr. ASNA 2X
dr. ANTO 42X & dr. ICHWAN 9X & dr. ASNA 25X
dr. ANTO 18X & dr. ASNA 10X
dr. ICHWAN 6X & dr. ASNA 3X
dr. ANTO 8X & dr. ASNA 6X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 15X & dr. ASNA 7X
dr. ICHWAN 2X & dr. ASNA 2X
 dr. ANTO 8X & dr. ASNA 6X
dr. ICHWAN 6X & dr. ASNA 2X
dr. ICHWAN 3X
dr. ICHWAN 4X
dr. ANTO 17X & dr. INDRA 3X & dr. ASNA 8X
dr. ANTO 3X & dr. ASNA 1X
dr. ICHWAN 4X & dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 12X & dr. ANTO 2X & dr. ASNA 3X

dr. ANTO 23X & dr. ASNA 10X & KONSELING ANGGREK 1X

dr. ANTO 7X & dr. ASNA 2X

dr. ICHWAN 2X & dr. ANTO 3X & dr. ASNA 2X

dr. ANTO 5X & dr. ASNA 3X

dr. ANTO 1X & dr. ASNA 1X
dr. ANTO 6X & dr. INDRA 1X & dr. ASNA 5X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 8X & dr. INDRA 1X & dr. ASNA 7X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 3X & dr. INDRA 1X & dr. ASNA 3X
dr. INDRA 7X & dr. ASNA 6X
dr. INDRA 2X & dr. ANTO 2X & dr. ASNA 4X
dr. INDRA 1X & dr. ASNA 1X
dr.INDRA 2X & dr. ASNA 2X
dr. INDRA 1X & dr. ASNA 1X
dr. INDRA 3X & dr. ASNA 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 8X
dr. ANTO 14X & dr. INDRA 8X & dr. ASNA 10X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 2X
dr. ICHWAN 5X & dr. ANTO 5X & dr. INDRA 4X & dr. ASNA
7X
dr. ANTO 6X & dr. INDRA 5X & dr. ASNA 8X
dr. ICHWAN 2X & dr. ANTO 7X & dr. INDRA 11X & dr.
ASNA 10X
dr. INDRA 10X & dr. ASNA 9X
dr. INDRA 3X & dr. ANTO 2X & dr. ASNA 4X
dr. ANTO 15X & dr. INDRA 6X & dr. ASNA 12X
dr. ANTO 30X & dr. INDRA 6X & dr. ASNA 25X
 dr. ANTO 3X & dr. INDRA 6X & dr. ASNA 6X
dr. ANTO 39X & dr. INDRA 48X & dr. ASNA 30X (RAWAT
GABUNG)
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. INDRA 5X & dr. ASNA 6X
dr. ANTO 5X & dr. INDRA 5X & dr. ASNA 9X
dr. ANTO 22X & dr. INDRA 6X & dr. ASNA 24X
dr. ANTO 1X
dr. ANTO 1X
dr. INDRA 3X & dr. ANTO 6X & dr. ASNA 7X & KONSELING
ANGGREK 1X
dr. ANTO 43X & dr. INDRA 6X & dr. ASNA 38X & KONSUL
dr. DECKY 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 9X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 2X
dr. ICHWAN 5X & dr. ANTO 2X & dr. INDRA 4X & dr. ASNA
5X & USG dr. ANTON 1X
dr.ICHWAN 9X & dr. ANTO 7X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 8X & dr. ANTO 4X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 1X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 2X
dr. ANTO 3X & dr. ASNA 3X
dr. ICHWAN 8X
dr. ANTO 11X & dr. INDRA 11X & dr. ASNA 9X
 REKAPITULASI JAMKESDA RSUD WAMENA
BANGSAL PENYAKIT DALAM - BULAN JUNI 2018

TGL
NO NO MR NO KPS NAMA JK UMUR ALAMAT DIAGNOSA P / PP / R/M
MRS
1 2 3 4 5 6 7 8 9 10

1 94.94.10 44798 AN. PASKALIS WILIL L 13 KURULU MALARIA TERSIANA P

5/27/2018
2 86.96.10 67118 TN. ARIBEN WENDA L 43 WALANI STEMI K 5/31/2018
3 35.64.09 26710 TN. PAMIUS KOGOYA L 23 SINAKMA TYPOID FEVER P 5/30/2018
4 24.95.10 66996 TN. SELO ALIKNOE L 28 MISSI DBD P 5/28/2018
5 55.37.03 66958 NY. MATU WEYA P 49 JB. WENAS B20 PP 5/26/2018
6 93.95.10 67050 NY. WAREKE MABEL P 68 KURULU PPOK P 5/29/2018
7 14.56.06 13669 TN. ISMAIL KAROBA L 34 HOM-HOM B20 P 5/8/2018
8 52.94.10 66939 TN. OLEAK WETIPO L 50 LOKASI 3 PPOK P 5/26/2018
9 46.95.10 67009 NY. MINCE ITLAY P 30 ITLAY HISAGE B20 PP 5/28/2018
10 89.85.10 66300 TN. EIRON BEMBOK L 23 KARUJAYA PLEURITIS TB P 5/18/2018
11 42.37.10 38509 TN. EDISON HUBY L 53 POTIKELEK VERTIGO P 5/27/2018
12 53.79.10 66115 TN. ALEX WALILO L 48 DUSUN NASIA TB MILIER P 5/23/2018
13 78.59.06 47651 TN. KORNELES YANDO L 27 JL. BHAYANGKARA ASMA BRONCHIALE P 5/30/2018
14 03.78.10 65682 NY. NITENA TABO P 43 HOM-HOM SIROSIS HEPATIS P 4/19/2018
15 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI CHEPALGIA P 5/29/2018
16 17.38.05 19611 NY. NURLINCE GOBAY P 24 ASOLOGAIMA B20 P 5/16/2018
17 75.97.10 67187 NY. LINA WENDA P 29 SINAKMA ISK P 6/1/2018
18 14.06.03 12717 NY. OROS MATUAN P 30 POTIKELEK TB PARU + ASCITES PP 6/2/2018
19 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI AR 6/2/2018
20 65.98.10 67253 NY. YOSPINA WANIMBO P 20 JL. PANJAITAN ANEMIA P 6/2/2018
21 75.98.10 67261 TN. NABAS KOGOYA L 43 JL. IRIAN PJK PP 6/3/2018
22 41.45.07 31557 NY. KRISTINA AROMPA P 29 HOLASILI MALARIA TROPIKA P 6/4/2018
23 67.62.10 64528 TN. ABRAHAM DABY L 26 JL. BHAYANGKARA SIROSIS HEPATIS + TB PARU P 4/16/2010
24 82.90.10 66661 TN. JERINUS KOGOYA L 28 JL. PIKHE B20 + TB PARU P 5/19/2018
25 52.96.10 67089 TN. KODE MURIB L 21 NAPUA MALARIA TERSIANA PP 5/31/2018
26 15.11.05 13850 TN. PANIUS WETIPO L 27 HOM-HOM TYPOID FEVER P 5/29/2018
27 99.50.09 63648 NY. MAKDA WENDA P 35 JL. IRIAN TUMOR ABDOMEN R 6/2/2018
28 95.37.04 67453 NY. ERINA HESELO P 19 HOM-HOM RHEMATIC ACUTE P 6/1/2018
29 08.93.10 66840 NY. ALINA SIEP P 27 WOUMA CARDIOMEOPTY P 5/24/2018
30 61.41.08 38335 NY. SERLI HILAPOK P 23 JL. BHAYANGKARA LEUKOSITOSIS P 6/6/2018
31 23.97.10 67143 NY. YERLI PAYOKMAI P 39 JL. AHMAD YANI B20 + TB PARU P 5/31/2018
32 90.40.06 - NY. APIA WETAPO P 20 WOKEN SIROSIS HATI P 6/3/2018
33 27.30.10 62158 TN. PIT RUMBEKWAN L 72 KOMP. DPU CHF + BRONCHITIS P 6/6/2018
34 38.81.04 67326 TN. NAGA KAROBA L 60 KARUJAYA CAP + VERTIGO P 6/5/2018
35 69.93.10 66880 NY. KURIGE ASSO P 40 MEGAPURA MELENA P 5/24/2018
36 57.01.11 67466 NN. FLORENSIA HUBY P 18 PIKHE GEA P 6/8/2018
37 53.44.05 22262 TN. OTIS HILAPOK L - GUNUNG SUSU PPOK P 6/6/2018
38 99.95.10 67055 NY. MARTA ITLAY P 60 MAPLIMA TB PARU + ISK P 5/29/2018

39 34.91.10 66709 TN. SEPI SIEP L 34 WOUMA EFUSI PLEURA + ASCITES P 5/20/2018

40 34.73.10 65336 TN. SUNDENI WENDA L 34 JL. IRIAN B20 + HEPATITIS B K 6/5/2018
PENURUNAN KESADARAN + B20 +
41 97.98.10 9515 NN. APRIANCE GOBAY P 21 KIMBIM M 6/6/2018
TB MILIER
42 05.02.11 67506 TN. RUBEN WENDA L 30 LOKASI 3 TYPOID FEVER P 6/9/2018
43 24.02.11 67521 TN. SIMSON ELOPERE L 45 KAMA GEA P 6/12/2018
44 49.01.11 67460 TN. OLABO ALITNOWE L 50 ILEKMA TB PARU P 6/8/2018
45 27.03.11 67832 NY. SERLY OAGAY P 21 PISUGI MALARIA TROPIKA P 6/12/2018
46 42.00.11 67377 TN. MELIET UNUWE L 33 JL. IRIAN B20 PP 6/6/2018
47 43.03.11 67612 NY. ROSALINA MAUKALANG WENDA P 18 JL. YOS SUDARSO MALARIA TERSIANA P 6/12/2018
48 75.01.11 67831 NY. MAKRIWA WISABLA P 25 WOUMA TYPOID FEVER P 6/11/2018
49 79.22.08 48586 NY. MARLINA LOKOBAL P 27 ASOLOKOBAL HIPERTENSI P 6/8/2018
50 04.03.11 67584 NY. AWINAREN HISAGE P 40 LOKASI 3 TYPOID FEVER P 6/12/2018
51 16.04.11 67671 TN. HERMANUS PEYON L 32 HOM-HOM ASMA BRONCHIALE P 6/15/2018
52 22.04.11 67676 TN. ARI METLAMA L 40 MAPLIMA MALARIA TROPIKA P 6/14/2018
53 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI SOL P 6/15/2018
54 37.88.10 66479 TN. TONI ITLAY L 34 PUGIMA MALARIA TROPIKA P 6/15/2018
55 19.66.09 54208 NY. OKOWA ASSO P 62 HONAI LAMA DECOMCORDIS P 6/7/2018
56 66.95.04 66419 TN. PINIET PAHABOL L 23 SINAKMA OBS. FEBRIS P 6/2/2018
57 05.05.11 61456 NY. KRISTINA HALUK P 30 WALELAGAMA MALARIA TERSIANA P 6/16/2018
58 91.68.10 65025 NY. MELFI ITLAY P 19 KAMA TYPOID FEVER P 6/16/2018
59 20.05.11 18308 NN. PINCE MATUAN P 16 POTIKELEK ISK P 6/16/2018

60 23.95.10 66995 TN. HABIA WETAPO L 21 ASOTIPO TB PARU P 6/4/2018

61 41.00.11 67376 TN. MERINUS TABUNI L 46 WALA EFUSI PLEURA + TB PARU P 6/9/2018
62 44.75.09 58027 TN. ELIAS ASSO L 70 NAPUA STROKE ISKEMIK + CHF P 6/7/2018
63 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI P 6/11/2018
64 50.68.09 44045 TN. NIUS SAMA L 20 MAPLIMA ASMA BRONCHIALE P 6/16/2018
65 79.71.04 12969 NN. ANI WENDA KOGOYA P 24 WESAPUT B20 P 31-06-18
66 41.27.02 1494 TN. PAILES KOGOYA L 45 JL. BHAYANGKARA B20 + TB PARU M 5/18/2018
67 20.96.04 31245 NY. YESINA KOGOYA P 26 POTIKELEK CARDIAC ARREST M 6/13/2018

68 86.85.10 66297 TN. NIKSON PAHABOL L 23 HETUMA TB PARU P 5/8/2018

69 49.06.11 67852 NY. FETERINA HELEMBO P 30 MAPLIMA TYPOID FEVER P 6/19/2018

70 13.03.11 67590 NY. JONETA KOGOYA P 30 GUNUNG SUSU TB PARU P 6/14/2018
71 69.96.18 1293 TN. SIMON KOGOYA L 40 JL. THAMRIN ASMA BRONCHIALE P 6/13/2018
72 39.92.10 66785 NY. TEMINA KOGOYA P 43 MAPLIMA ASCITES P 5/26/2018
73 75.08.11 68047 NN. MARIA APRILIA FAIDIBAN P 19 JL. BHAYANGKARA TYPOID FEVER PP 6/23/2018
74 79.08.11 68049 TN. FIDEL PAKAGE L 30 WESAPUT ASMA BRONCHIALE PP 6/23/2018

75 91.04.11 67734 NN. MINA KOGOYA P 25 JL. YOS SUDARSO B20 P 6/16/2018

76 97.17.08 48086 TN. MONOGO WALALUA L 60 WALELAGAMA PPOK K 5/7/2018

77 41.04.11 67689 NY. MANA WETAPO P 30 ASOTIPO ISK P 6/15/2018

78 00.07.11 67900 NN. NELCE IMBURI P 18 JL. TRIKORA TYPOID FEVER P 6/21/2018
79 97.08.11 68062 NY. TENDINA WANIMBO P 33 JL. YOS SUDARSO BRONCHITIS PP 6/24/2018

80 92.03.11 67650 NY. TAWE KOSSAY P 35 HONAI LAMA HEPATOSPLENOMEGALI R 6/15/2018

81 79.13.05 20839 NY. KARTINI LOGOWAN P 50 WOUMA TB PARU P 6/7/2018

82 64.02.11 61137 NY. MINA JIKWA P 50 KARUJAYA B20 P 6/11/2018

83 36.75.10 68301 TN. OTTO TABUNI L 45 KOYABAME HEMATEMESIS M 6/27/2018

84 32.25.08 5682 TN. SAVERIUS WETIPO L 45 MUSATFAK MALARIA TROPIKA P 6/25/2018
85 94.99.10 44798 AN. PASKALIS WILIL L 13 KURULU PARATITIS P 6/25/2018
86 86.31.06 9360 NY. DWI BALIANI PUJIRAHAYU P 31 MISSI HIPERTENSI P 6/27/2018
87 22.10.11 68167 TN. LETES JIKWA L 28 POTIKELEK MALARIA TROPIKA P 6/26/2018
88 79.07.03 46980 TN. BOAS RUMKABU L 56 HOM-HOM PJK + VERTIGO P 6/21/2018
89 32.63.08 50240 TN. WEDO WUKA L 23 POTIKELEK B20 P 6/19/2018
JUMLAH
GL JASA DOKTER SPESIALIS
HARI RWT
JASA TINDAKAN dr.ANTO,Sp.PD dr.INDRA,Sp.S dr.ICHWAN,Sp.PD
KRS
11 13 14 15 JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN

6 ### 0 308,425
6/1/2018
6/1/2018 2 ### 0 61,685

6/1/2018 3 ### 0 123,370

6/1/2018 5 ### 0 246,740
6/1/2018 7 ### 0 370,110
6/2/2018 5 ### 0 246,740
6/2/2018 26 ### 0 1,542,125
6/2/2018 8 ### 0 431,795
6/2/2018 6 ### 0 308,425
6/4/2018 18 ### 0 1,048,645
6/4/2018 9 ### 0 493,480
6/4/2018 13 ### 0 740,220
6/4/2018 6 ### 0 308,425
6/5/2018 49 ### 0 2,393,903 566,977
6/5/2018 8 ### 0 308,425 431,795
6/5/2018 21 ### 0 1,233,700
6/5/2018 5 ### 0 246,740
6/5/2018 4 ### 0 185,055
6/6/2018 5 ### 0 246,740
6/6/2018 5 ### 0 246,740
6/6/2018 4 ### 0 185,055
6/6/2018 3 ### 0 123,370
6/6/2018 52 ### 0 2,590,770 555,165
6/6/2018 19 ### 0 1,110,330
6/6/2018 7 ### 0 370,110
6/7/2018 9 ### 0 493,480
6/7/2018 5 ### 0 246,740
6/7/2018 7 ### 0 370,110
6/8/2018 16 ### 0 925,275
6/8/2018 3 ### 0 123,370
 6/8/2018 9 ### 0 493,480
6/9/2018 7 ### 0 370,110
6/9/2018 4 ### 0 185,055
6/9/2018 4-Jan ### 0 246,740
6/11/2018 18 ### 0 1,048,645 185,055
6/11/2018 4 ### 0 185,055
6/12/2018 7 ### 0 123,370 246,740
6/12/2018 15 ### 0 123,370 740,220

6/12/2018 24 ### 0 1,418,755

6/12/2018 8 ### 0 431,795

6/12/2018 6 ### 0 185,055 123,370

6/13/2018 6 ### 0 308,425

6/13/2018 2 ### 0 61,685
6/15/2018 8 ### 0 370,110 61,685
6/15/2018 4 ### 0 123,370 61,685
6/15/2018 10 ### 0 493,480 61,685
6/15/2018 4 ### 0 123,370 61,685
6/15/2018 5 ### 0 185,055 61,685
6/15/2018 8 ### 0 431,795
6/16/2018 5 ### 0 123,370 123,370
6/16/2018 2 ### 0 61,685
6/16/2018 3 ### 0 123,370
6/16/2018 2 ### 0 61,685
6/18/2018 4 ### 0 185,055
6/18/2018 12 ### 0 431,795 246,740
6/18/2018 17 ### 0 863,590 493,480
6/18/2018 3 ### 0 123,370
6/18/2018 3 ### 0 123,370
6/18/2018 3 ### 0 123,370

6/18/2018 15 ### 0 431,795 431,795

6/20/2018 11 ### 0 370,110 308,425

6/21/2018 15 ### 0 959,544 274,156
6/21/2018 11 ### 0 616,850
6/21/2018 6 ### 0 123,370 185,055
6/21/2018 22 ### 0 925,275 370,110
6/22/2018 37 ### 0 1,850,550 370,110
6/22/2018 10 ### 0 185,055 370,110

6/23/2018 49 ### 0 2,405,715 2,960,880

6/23/2018 5 ### 0 246,740

6/23/2018 10 ### 0 246,740 308,425
6/23/2018 11 ### 0 308,425 308,425
6/23/2018 29 ### 0 1,357,070 370,110
6/24/2018 2 ### 0 61,685
6/24/2018 2 ### 0 61,685

6/25/2018 10 ### 0 370,110 185,055

6/25/2018 50 ### 0 2,652,455 370,110

6/26/2018 12 ### 0 431,795 246,740

6/27/2018 7 ### 0 370,110
6/26/2018 3 ### 0 123,370

6/26/2018 12 ### 0 193,867 484,668

6/28/2018 22 ### 0 566,731 728,654

6/28/2018 18 ### 0 349,548 699,097

6/28/2018 2 ### 0 61,685

6/29/2018 5 ### 0 246,740
6/29/2018 5 ### 0 246,740
6/29/2018 3 ### 0 123,370
6/29/2018 4 ### 0 185,055
6/29/2018 9 ### 0 493,480
6/30/2018 12 ### 0 678,535 678,535
### Rp - Rp 34,319,134 Rp - Rp 11,361,852 Rp - Rp 11,994,489 Rp -

PEMBAGIAN JASA MEDIS JAMKESDA BANGZAL INTE

 JASA DOKTER SPESIALIS JASA DOKTER UMUM JASA KONSUL
NAMA
JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN
dr.ANTO,Sp.PD Rp 34,319,134 Rp -
dr.INDRA,Sp.S Rp 11,361,852 Rp -
dr.ICHWAN,Sp.PD Rp 11,994,489 Rp -
dr.ASNA Rp 12,529,481 Rp -
dr.DECKY,Sp.M Rp 61,685 Rp -
dr.ANTON Rp 40,000 Rp -
ANGGREK Rp 40,000 Rp -
Perawat
Gizi
TOTAL Rp 57,675,475 Rp - Rp 12,529,481 Rp - Rp 141,685 Rp -
dr.Anto/dr.ASNA Rp 2,662,812
dr.Indra/dr.ASNA Rp 641,928
dr.Ichwan/dr.ASNA Rp 1,117,430
dr.Anto-dr.Indra/dr.Asna Rp 6,347,953
dr.Anto-dr.Ichwan/dr.Asna Rp 760,803
dr.Debora Rp -
dr.Ichwan-dr.Indra/dr.Asna Rp 95,100
dr.Anto-dr.Ichwan-dr.Indra/dr.Asna Rp 903,454
JUMLAH: Rp 12,529,481
SELISIH: Rp -
 JASA DOKTER UMUM

4 JASA JASA TINDAKAN dr.ASNA

JMLH
JASA TINDAKAN 16 16 17 JASA

308,425 2 2 95,100 0 95,100

61,685 0 0 0 0
123,370 1 1 47,550 0 47,550
246,740 2 2 95,100 0 95,100
370,110 0 0 0 0
246,740 1 1 23,775 0 23,775
1,542,125 10 10 475,502 0 475,502
431,795 3 3 142,651 0 142,651
308,425 1 1 47,550 0 47,550
1,048,645 3 3 142,651 0 142,651
493,480 3 3 142,651 0 142,651
740,220 3 3 142,651 0 142,651
308,425 1 1 47,550 0 47,550
2,960,880 15 15 689,478 0 689,478
740,220 2 2 95,100 0 95,100
1,233,700 5 5 237,751 0 237,751
246,740 1 1 23,775 0 23,775
185,055 0 0 0 0
246,740 2 2 71,325 0 71,325
246,740 2 2 71,325 0 71,325
185,055 2 2 71,325 0 71,325
123,370 1 1 47,550 0 47,550
3,145,935 13 13 594,378 0 594,378
1,110,330 5 5 237,751 0 237,751
370,110 2 2 71,325 0 71,325
493,480 3 3 142,651 0 142,651
246,740 2 2 71,325 0 71,325
370,110 3 3 118,876 0 118,876
925,275 4 4 166,426 0 166,426
123,370 1 1 47,550 0 47,550
 493,480 3 3 142,651 0 142,651
370,110 1 1 47,550 0 47,550
185,055 0 0 0 0
246,740 0 0 0 0
1,233,700 4 4 190,201 0 190,201
185,055 1 1 23,775 0 23,775
370,110 1 1 47,550 0 47,550
863,590 2 2 71,325 0 71,325

1,418,755 5 5 237,751 0 237,751

431,795 1 1 47,550 0 47,550

308,425 1 1 47,550 0 47,550

308,425 2 2 71,325 0 71,325

61,685 1 1 23,775 0 23,775
431,795 3 3 118,876 0 118,876
185,055 2 2 71,325 0 71,325
555,165 4 4 166,426 0 166,426
185,055 2 2 71,325 0 71,325
246,740 2 2 71,325 0 71,325
431,795 3 3 142,651 0 142,651
246,740 2 2 95,100 0 95,100
61,685 1 1 23,775 0 23,775
123,370 1 1 47,550 0 47,550
61,685 1 1 23,775 0 23,775
185,055 1 1 23,775 0 23,775
678,535 4 4 190,201 0 190,201
1,357,070 5 5 237,751 0 237,751
123,370 1 1 23,775 0 23,775
123,370 1 1 23,775 0 23,775
123,370 1 1 47,550 0 47,550

863,590 4 4 166,426 0 166,426

678,535 4 4 190,201 0 190,201

1,233,700 5 5 237,751 0 237,751
616,850 5 5 213,976 0 213,976
308,425 2 2 95,100 0 95,100
1,295,385 6 6 285,301 0 285,301
2,220,660 13 13 594,378 0 594,378
 555,165 3 3 142,651 0 142,651

5,366,595 15 15 713,253 0 713,253

246,740 2 2 95,100 0 95,100

555,165 3 3 142,651 0 142,651
616,850 5 5 213,976 0 213,976
1,727,180 12 12 570,603 0 570,603
61,685 0 0 0 0
61,685 0 0 0 0

555,165 4 4 166,426 0 166,426

3,022,565 19 19 903,454 0 903,454

678,535 5 5 213,976 0 213,976

370,110 3 3 118,876 0 118,876
123,370 0 0 0 0

678,535 3 3 118,876 0 118,876

1,295,385 4 4 190,201 0 190,201

1,048,645 4 4 190,201 0 190,201

61,685 0 0 0 0
246,740 2 2 95,100 0 95,100
246,740 2 2 95,100 0 95,100
123,370 0 0 0 0
185,055 2 2 71,325 0 71,325
493,480 0 0 0 0
1,357,070 5 5 213,976 0 213,976
Rp - Rp - 57,675,475 Rp 265 Rp 264 Rp 12,529,481 Rp - Rp 12,529,481

AMKESDA BANGZAL INTERNA_BULAN JUNI_2018

 JASA PERAWAT
JASA GIZI TOTAL TOTAL 12.5% BERSIH
JASA TINDAKAN
Rp 34,319,134 Rp 34,319,134 Rp 4,289,892 Rp 30,029,242
Rp 11,361,852 Rp 11,361,852 Rp 1,420,232 Rp 9,941,621
Rp 11,994,489 Rp 11,994,489 Rp 1,499,311 Rp 10,495,178
Rp 12,529,481 Rp 12,529,481 Rp 1,566,185 Rp 10,963,296
Rp 61,685 Rp 61,685 Rp 7,711 Rp 53,974
Rp 40,000 Rp 40,000 Rp 5,000 Rp 35,000
Rp 40,000 Rp 40,000 Rp 5,000 Rp 35,000
Rp 38,984,400 Rp 23,514,400 Rp 62,498,800 Rp 62,498,800 Rp 7,812,350 Rp 54,686,450
Rp 6,739,200 Rp - Rp 6,739,200 Rp 842,400 Rp 5,896,800
Rp 38,984,400 Rp 23,514,400 Rp 6,739,200 Rp 132,845,460 Rp 139,584,641 Rp 17,448,080 Rp 122,136,561
SELISIH Rp(126,106,260) Rp -
NA dr.DEBORA 7 8 dr.Anto/dr.ASNA
JMLH
TINDAKAN JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN

95,100 95,100

0 0
47,550 47,550
95,100
0
23,775 23,775
475,502 475,502
142,651
47,550
142,651
142,651
142,651
47,550
689,478
95,100
237,751 237,751
23,775
0
71,325
71,325 71,325
71,325 71,325
47,550 47,550
594,378
237,751 237,751
71,325
142,651 142,651
71,325 71,325
118,876 118,876
166,426
47,550
142,651 142,651
47,550
0
0
190,201
23,775 23,775
47,550
71,325

237,751 237,751

47,550 47,550

47,550

71,325 71,325
23,775 23,775
118,876
71,325
166,426
71,325
71,325
142,651
95,100
23,775
47,550
23,775
23,775
190,201
237,751
23,775
23,775
47,550

166,426

190,201
237,751
213,976
95,100
285,301
594,378
 142,651

713,253

95,100 95,100
142,651
213,976
570,603
0 0
0 0

166,426

903,454

213,976
118,876 118,876
0

118,876

190,201

190,201

0
95,100 95,100
95,100 95,100
0 0
71,325 71,325
0
213,976
Rp - Rp - Rp - Rp - Rp - Rp - Rp - 12,529,481 Rp 2,662,812 Rp -
 dr.Indra/dr.ASNA dr.Ichwan/dr.ASNA dr.Anto-dr.Indra/dr.Asna dr.Anto-dr.Ichwan/dr.Asna dr.Debora

JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN

95,100

142,651
47,550
142,651
142,651
142,651
47,550
689,478

23,775

71,325

594,378

71,325

166,426
47,550
 47,550

190,201

47,550
71,325

47,550

118,876
71,325
166,426
71,325
71,325
142,651
95,100
23,775
47,550
23,775
23,775
190,201
237,751
23,775
23,775
47,550

190,201

213,976
95,100
285,301
594,378
 142,651

713,253

142,651
213,976
570,603

166,426

903,454

213,976

213,976
Rp 641,928 Rp - ### Rp - ### Rp - Rp 760,803 Rp - Rp - Rp -
 JASA KONSUL

dr.Ichwan-dr.Indra/dr.Asna dr.Anto-dr.Ichwan-dr.Indra/dr.Asna JASA TINDAKAN dr.DECKY,Sp.M dr.ANTON

JMLH
JASA TINDAKAN JASA TINDAKAN 18 19 JASA TINDAKAN JASA TINDAKAN

95,100 0 0

0 0 0
47,550 0 0
95,100 0 0
0 0 0
23,775 0 0
475,502 0 0
142,651 0 0
47,550 0 0
142,651 0 0
142,651 0 0
142,651 0 0
47,550 0 0
689,478 0 0
95,100 95,100 0 0
237,751 0 0
23,775 0 0
0 0 0
71,325 0 0
71,325 0 0
71,325 0 0
47,550 0 0
594,378 0 0
237,751 0 0
71,325 0 0
142,651 0 0
71,325 0 0
118,876 0 0
166,426 0 0
47,550 0 0
 142,651 0 0
47,550 0 0
0 0 0
0 0 0
190,201 0 0
23,775 0 0
47,550 0 0
71,325 0 0

237,751 20,000 0

47,550 0 0

47,550 0 0

71,325 0 0
23,775 0 0
118,876 0 0
71,325 0 0
166,426 0 0
71,325 0 0
71,325 0 0
142,651 0 0
95,100 0 0
23,775 0 0
47,550 0 0
23,775 0 0
23,775 0 0
190,201 0 0
237,751 0 0
23,775 0 0
23,775 0 0
47,550 0 0

166,426 166,426 0 0

190,201 0 0
237,751 237,751 0 0
213,976 0 0
95,100 0 0
285,301 0 0
594,378 0 0
 142,651 0 0

713,253 0 0

95,100 0 0
142,651 0 0
213,976 0 0
570,603 0 0
0 0 0
0 0 0

166,426 20,000 0

903,454 61,685 0 61,685

213,976 0 0
118,876 0 0
0 0 0

118,876 118,876 40,000 0 40,000

190,201 190,201 0 0

190,201 190,201 0 0

0 0 0
95,100 0 0
95,100 0 0
0 0 0
71,325 0 0
0 0 0
213,976 0 0
Rp 95,100 Rp - Rp 903,454 Rp - 12,529,481 ### Rp - Rp 61,685 Rp - Rp 40,000 Rp -
 JASA PERAWAT
JASA GIZI TOTAL
dr.DENNY,Sp.B ANGGREK JASA TINDAKAN
JMLH
JASA TINDAKAN JASA TINDAKAN 20 21 27 28

0 204,750 123,500 39,000 770,775

0 81,900 49,400 7,800 200,785

0 122,850 74,100 15,600 383,470
0 204,750 123,500 31,200 701,290
0 286,650 172,900 46,800 876,460
0 204,750 123,500 31,200 629,965
0 1,064,700 642,200 195,000 3,919,527
0 327,600 197,600 54,600 1,154,246
0 245,700 148,200 39,000 788,875
0 737,100 444,600 132,600 2,505,596
0 368,550 222,300 62,400 1,289,381
0 532,350 321,100 93,600 1,829,921
0 245,700 148,200 39,000 788,875
0 2,006,550 1,210,300 374,400 7,241,608
0 327,600 197,600 54,600 1,415,120
0 859,950 518,700 156,000 3,006,101
0 204,750 123,500 31,200 629,965
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 677,515
0 204,750 123,500 31,200 677,515
0 163,800 98,800 23,400 542,380
0 122,850 74,100 15,600 383,470
0 2,129,400 1,284,400 397,800 7,551,913
0 778,050 469,300 140,400 2,735,831
0 286,650 172,900 46,800 947,785
0 368,550 222,300 62,400 1,289,381
0 204,750 123,500 31,200 677,515
0 286,650 172,900 46,800 995,336
0 655,200 395,200 117,000 2,259,101
0 122,850 74,100 15,600 383,470
 0 368,550 222,300 62,400 1,289,381
0 286,650 172,900 46,800 924,010
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 606,190
0 737,100 444,600 132,600 2,738,201
0 163,800 98,800 23,400 494,830
0 286,650 172,900 46,800 924,010
0 614,250 370,500 109,200 2,028,865

20,000 20,000 982,800 592,800 179,400 3,431,506

0 327,600 197,600 54,600 1,059,145

0 245,700 148,200 39,000 788,875

0 245,700 148,200 39,000 812,650

0 81,900 49,400 7,800 224,560
0 327,600 197,600 54,600 1,130,471
0 163,800 98,800 23,400 542,380
0 409,500 247,000 70,200 1,448,291
0 163,800 98,800 23,400 542,380
0 204,750 123,500 31,200 677,515
0 327,600 197,600 54,600 1,154,246
0 204,750 123,500 31,200 701,290
0 81,900 49,400 7,800 224,560
0 122,850 74,100 15,600 383,470
0 81,900 49,400 7,800 224,560
0 163,800 98,800 23,400 494,830
0 491,400 296,400 85,800 1,742,336
0 696,150 419,900 124,800 2,835,671
0 122,850 74,100 15,600 359,695
0 122,850 74,100 15,600 359,695
0 122,850 74,100 15,600 383,470

0 614,250 370,500 109,200 2,123,966

0 450,450 271,700 78,000 1,668,886

0 614,250 370,500 109,200 2,565,401
0 450,450 271,700 78,000 1,630,976
0 245,700 148,200 39,000 836,425
0 900,900 543,400 163,800 3,188,786
0 1,515,150 913,900 280,800 5,524,888
 0 409,500 247,000 70,200 1,424,516

0 2,006,550 1,210,300 374,400 9,671,098

0 204,750 123,500 31,200 701,290

0 409,500 247,000 70,200 1,424,516
0 450,450 271,700 78,000 1,630,976
0 1,187,550 716,300 218,400 4,420,033
0 81,900 49,400 7,800 200,785
0 81,900 49,400 7,800 200,785

20,000 20,000 409,500 247,000 70,200 1,468,291

61,685 2,047,500 1,235,000 382,200 7,652,404

0 491,400 296,400 85,800 1,766,111

0 286,650 172,900 46,800 995,336
0 122,850 74,100 15,600 335,920

40,000 491,400 296,400 85,800 1,711,011

0 900,900 543,400 163,800 3,093,686

0 737,100 444,600 132,600 2,553,146

0 81,900 49,400 7,800 200,785

0 204,750 123,500 31,200 701,290
0 204,750 123,500 31,200 701,290
0 122,850 74,100 15,600 335,920
0 163,800 98,800 23,400 542,380
0 368,550 222,300 62,400 1,146,730
0 491,400 296,400 85,800 2,444,646
Rp - Rp - Rp 40,000 Rp - 141,685 Rp 38,984,400 Rp 23,514,400 Rp 6,739,200 139,584,641
 KETERANGAN

29

dr. ANTO 5X & dr. ASNA 4X

dr. ANTO 1X
dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 4X & dr. ASNA 4X
dr. ICHWAN 6X
dr. ANTO 4X & dr. ASNA 1X
dr. ANTO 25X & dr. ASNA 20X
dr. ICHWAN 7X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ICHWAN 17X & dr. ASNA 6X
dr. ICHWAN 8X & dr. ASNA 6X
dr. ICHWAN 12X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ANTO 38X & dr. INDRA 9X & dr. ASNA 29X
dr. ICHWAN 7X & dr. INDRA 5X & dr. ASNA 4X
dr. ANTO 20X & dr. ASNA 10X
dr. ICHWAN 4X & dr. ASNA 1X
dr. ICHWAN 3X
dr. INDRA 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 2X & dr. ASNA 2X
dr. ANTO 42X & dr. ICHWAN 9X & dr. ASNA 25X
dr. ANTO 18X & dr. ASNA 10X
dr. ICHWAN 6X & dr. ASNA 3X
dr. ANTO 8X & dr. ASNA 6X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 15X & dr. ASNA 7X
dr. ICHWAN 2X & dr. ASNA 2X
 dr. ANTO 8X & dr. ASNA 6X
dr. ICHWAN 6X & dr. ASNA 2X
dr. ICHWAN 3X
dr. ICHWAN 4X
dr. ANTO 17X & dr. INDRA 3X & dr. ASNA 8X
dr. ANTO 3X & dr. ASNA 1X
dr. ICHWAN 4X & dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 12X & dr. ANTO 2X & dr. ASNA 3X

dr. ANTO 23X & dr. ASNA 10X & KONSELING ANGGREK 1X

dr. ANTO 7X & dr. ASNA 2X

dr. ICHWAN 2X & dr. ANTO 3X & dr. ASNA 2X

dr. ANTO 5X & dr. ASNA 3X

dr. ANTO 1X & dr. ASNA 1X
dr. ANTO 6X & dr. INDRA 1X & dr. ASNA 5X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 8X & dr. INDRA 1X & dr. ASNA 7X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 3X & dr. INDRA 1X & dr. ASNA 3X
dr. INDRA 7X & dr. ASNA 6X
dr. INDRA 2X & dr. ANTO 2X & dr. ASNA 4X
dr. INDRA 1X & dr. ASNA 1X
dr.INDRA 2X & dr. ASNA 2X
dr. INDRA 1X & dr. ASNA 1X
dr. INDRA 3X & dr. ASNA 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 8X
dr. ANTO 14X & dr. INDRA 8X & dr. ASNA 10X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 2X
dr. ICHWAN 5X & dr. ANTO 5X & dr. INDRA 4X & dr. ASNA
7X
dr. ANTO 6X & dr. INDRA 5X & dr. ASNA 8X
dr. ICHWAN 2X & dr. ANTO 7X & dr. INDRA 11X & dr.
ASNA 10X
dr. INDRA 10X & dr. ASNA 9X
dr. INDRA 3X & dr. ANTO 2X & dr. ASNA 4X
dr. ANTO 15X & dr. INDRA 6X & dr. ASNA 12X
dr. ANTO 30X & dr. INDRA 6X & dr. ASNA 25X
 dr. ANTO 3X & dr. INDRA 6X & dr. ASNA 6X
dr. ANTO 39X & dr. INDRA 48X & dr. ASNA 30X (RAWAT
GABUNG)
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. INDRA 5X & dr. ASNA 6X
dr. ANTO 5X & dr. INDRA 5X & dr. ASNA 9X
dr. ANTO 22X & dr. INDRA 6X & dr. ASNA 24X
dr. ANTO 1X
dr. ANTO 1X
dr. INDRA 3X & dr. ANTO 6X & dr. ASNA 7X & KONSELING
ANGGREK 1X
dr. ANTO 43X & dr. INDRA 6X & dr. ASNA 38X & KONSUL
dr. DECKY 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 9X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 2X
dr. ICHWAN 5X & dr. ANTO 2X & dr. INDRA 4X & dr. ASNA
5X & USG dr. ANTON 1X
dr.ICHWAN 9X & dr. ANTO 7X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 8X & dr. ANTO 4X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 1X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 2X
dr. ANTO 3X & dr. ASNA 3X
dr. ICHWAN 8X
dr. ANTO 11X & dr. INDRA 11X & dr. ASNA 9X
 REKAPITULASI JAMKESDA RSUD WAMENA
BANGSAL PENYAKIT DALAM - BULAN JUNI 2018

TGL
NO NO MR NO KPS NAMA JK UMUR ALAMAT DIAGNOSA P / PP / R/M
MRS
1 2 3 4 5 6 7 8 9 10

1 94.94.10 44798 AN. PASKALIS WILIL L 13 KURULU MALARIA TERSIANA P

5/27/2018
2 86.96.10 67118 TN. ARIBEN WENDA L 43 WALANI STEMI K 5/31/2018
3 35.64.09 26710 TN. PAMIUS KOGOYA L 23 SINAKMA TYPOID FEVER P 5/30/2018
4 24.95.10 66996 TN. SELO ALIKNOE L 28 MISSI DBD P 5/28/2018
5 55.37.03 66958 NY. MATU WEYA P 49 JB. WENAS B20 PP 5/26/2018
6 93.95.10 67050 NY. WAREKE MABEL P 68 KURULU PPOK P 5/29/2018
7 14.56.06 13669 TN. ISMAIL KAROBA L 34 HOM-HOM B20 P 5/8/2018
8 52.94.10 66939 TN. OLEAK WETIPO L 50 LOKASI 3 PPOK P 5/26/2018
9 46.95.10 67009 NY. MINCE ITLAY P 30 ITLAY HISAGE B20 PP 5/28/2018
10 89.85.10 66300 TN. EIRON BEMBOK L 23 KARUJAYA PLEURITIS TB P 5/18/2018
11 42.37.10 38509 TN. EDISON HUBY L 53 POTIKELEK VERTIGO P 5/27/2018
12 53.79.10 66115 TN. ALEX WALILO L 48 DUSUN NASIA TB MILIER P 5/23/2018
13 78.59.06 47651 TN. KORNELES YANDO L 27 JL. BHAYANGKARA ASMA BRONCHIALE P 5/30/2018
14 03.78.10 65682 NY. NITENA TABO P 43 HOM-HOM SIROSIS HEPATIS P 4/19/2018
15 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI CHEPALGIA P 5/29/2018
16 17.38.05 19611 NY. NURLINCE GOBAY P 24 ASOLOGAIMA B20 P 5/16/2018
17 75.97.10 67187 NY. LINA WENDA P 29 SINAKMA ISK P 6/1/2018
18 14.06.03 12717 NY. OROS MATUAN P 30 POTIKELEK TB PARU + ASCITES PP 6/2/2018
19 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI AR 6/2/2018
20 65.98.10 67253 NY. YOSPINA WANIMBO P 20 JL. PANJAITAN ANEMIA P 6/2/2018
21 75.98.10 67261 TN. NABAS KOGOYA L 43 JL. IRIAN PJK PP 6/3/2018
22 41.45.07 31557 NY. KRISTINA AROMPA P 29 HOLASILI MALARIA TROPIKA P 6/4/2018
23 67.62.10 64528 TN. ABRAHAM DABY L 26 JL. BHAYANGKARA SIROSIS HEPATIS + TB PARU P 4/16/2010
24 82.90.10 66661 TN. JERINUS KOGOYA L 28 JL. PIKHE B20 + TB PARU P 5/19/2018
25 52.96.10 67089 TN. KODE MURIB L 21 NAPUA MALARIA TERSIANA PP 5/31/2018
26 15.11.05 13850 TN. PANIUS WETIPO L 27 HOM-HOM TYPOID FEVER P 5/29/2018
27 99.50.09 63648 NY. MAKDA WENDA P 35 JL. IRIAN TUMOR ABDOMEN R 6/2/2018
28 95.37.04 67453 NY. ERINA HESELO P 19 HOM-HOM RHEMATIC ACUTE P 6/1/2018
29 08.93.10 66840 NY. ALINA SIEP P 27 WOUMA CARDIOMEOPTY P 5/24/2018
30 61.41.08 38335 NY. SERLI HILAPOK P 23 JL. BHAYANGKARA LEUKOSITOSIS P 6/6/2018
31 23.97.10 67143 NY. YERLI PAYOKMAI P 39 JL. AHMAD YANI B20 + TB PARU P 5/31/2018
32 90.40.06 - NY. APIA WETAPO P 20 WOKEN SIROSIS HATI P 6/3/2018
33 27.30.10 62158 TN. PIT RUMBEKWAN L 72 KOMP. DPU CHF + BRONCHITIS P 6/6/2018
34 38.81.04 67326 TN. NAGA KAROBA L 60 KARUJAYA CAP + VERTIGO P 6/5/2018
35 69.93.10 66880 NY. KURIGE ASSO P 40 MEGAPURA MELENA P 5/24/2018
36 57.01.11 67466 NN. FLORENSIA HUBY P 18 PIKHE GEA P 6/8/2018
37 53.44.05 22262 TN. OTIS HILAPOK L - GUNUNG SUSU PPOK P 6/6/2018
38 99.95.10 67055 NY. MARTA ITLAY P 60 MAPLIMA TB PARU + ISK P 5/29/2018

39 34.91.10 66709 TN. SEPI SIEP L 34 WOUMA EFUSI PLEURA + ASCITES P 5/20/2018

40 34.73.10 65336 TN. SUNDENI WENDA L 34 JL. IRIAN B20 + HEPATITIS B K 6/5/2018
PENURUNAN KESADARAN + B20 +
41 97.98.10 9515 NN. APRIANCE GOBAY P 21 KIMBIM M 6/6/2018
TB MILIER
42 05.02.11 67506 TN. RUBEN WENDA L 30 LOKASI 3 TYPOID FEVER P 6/9/2018
43 24.02.11 67521 TN. SIMSON ELOPERE L 45 KAMA GEA P 6/12/2018
44 49.01.11 67460 TN. OLABO ALITNOWE L 50 ILEKMA TB PARU P 6/8/2018
45 27.03.11 67832 NY. SERLY OAGAY P 21 PISUGI MALARIA TROPIKA P 6/12/2018
46 42.00.11 67377 TN. MELIET UNUWE L 33 JL. IRIAN B20 PP 6/6/2018
47 43.03.11 67612 NY. ROSALINA MAUKALANG WENDA P 18 JL. YOS SUDARSO MALARIA TERSIANA P 6/12/2018
48 75.01.11 67831 NY. MAKRIWA WISABLA P 25 WOUMA TYPOID FEVER P 6/11/2018
49 79.22.08 48586 NY. MARLINA LOKOBAL P 27 ASOLOKOBAL HIPERTENSI P 6/8/2018
50 04.03.11 67584 NY. AWINAREN HISAGE P 40 LOKASI 3 TYPOID FEVER P 6/12/2018
51 16.04.11 67671 TN. HERMANUS PEYON L 32 HOM-HOM ASMA BRONCHIALE P 6/15/2018
52 22.04.11 67676 TN. ARI METLAMA L 40 MAPLIMA MALARIA TROPIKA P 6/14/2018
53 22.96.10 67072 NN. NOFRIDA WANIMBO P 21 MISSI SOL P 6/15/2018
54 37.88.10 66479 TN. TONI ITLAY L 34 PUGIMA MALARIA TROPIKA P 6/15/2018
55 19.66.09 54208 NY. OKOWA ASSO P 62 HONAI LAMA DECOMCORDIS P 6/7/2018
56 66.95.04 66419 TN. PINIET PAHABOL L 23 SINAKMA OBS. FEBRIS P 6/2/2018
57 05.05.11 61456 NY. KRISTINA HALUK P 30 WALELAGAMA MALARIA TERSIANA P 6/16/2018
58 91.68.10 65025 NY. MELFI ITLAY P 19 KAMA TYPOID FEVER P 6/16/2018
59 20.05.11 18308 NN. PINCE MATUAN P 16 POTIKELEK ISK P 6/16/2018

60 23.95.10 66995 TN. HABIA WETAPO L 21 ASOTIPO TB PARU P 6/4/2018

61 41.00.11 67376 TN. MERINUS TABUNI L 46 WALA EFUSI PLEURA + TB PARU P 6/9/2018
62 44.75.09 58027 TN. ELIAS ASSO L 70 NAPUA STROKE ISKEMIK + CHF P 6/7/2018
63 18.93.03 28948 TN. DEMIANUS HESEGEM L 18 WOUMA EPILEPSI P 6/11/2018
64 50.68.09 44045 TN. NIUS SAMA L 20 MAPLIMA ASMA BRONCHIALE P 6/16/2018
65 79.71.04 12969 NN. ANI WENDA KOGOYA P 24 WESAPUT B20 P 31-06-18
66 41.27.02 1494 TN. PAILES KOGOYA L 45 JL. BHAYANGKARA B20 + TB PARU M 5/18/2018
67 20.96.04 31245 NY. YESINA KOGOYA P 26 POTIKELEK CARDIAC ARREST M 6/13/2018

68 86.85.10 66297 TN. NIKSON PAHABOL L 23 HETUMA TB PARU P 5/8/2018

69 49.06.11 67852 NY. FETERINA HELEMBO P 30 MAPLIMA TYPOID FEVER P 6/19/2018

70 13.03.11 67590 NY. JONETA KOGOYA P 30 GUNUNG SUSU TB PARU P 6/14/2018
71 69.96.18 1293 TN. SIMON KOGOYA L 40 JL. THAMRIN ASMA BRONCHIALE P 6/13/2018
72 39.92.10 66785 NY. TEMINA KOGOYA P 43 MAPLIMA ASCITES P 5/26/2018
73 75.08.11 68047 NN. MARIA APRILIA FAIDIBAN P 19 JL. BHAYANGKARA TYPOID FEVER PP 6/23/2018
74 79.08.11 68049 TN. FIDEL PAKAGE L 30 WESAPUT ASMA BRONCHIALE PP 6/23/2018

75 91.04.11 67734 NN. MINA KOGOYA P 25 JL. YOS SUDARSO B20 P 6/16/2018

76 97.17.08 48086 TN. MONOGO WALALUA L 60 WALELAGAMA PPOK K 5/7/2018

77 41.04.11 67689 NY. MANA WETAPO P 30 ASOTIPO ISK P 6/15/2018

78 00.07.11 67900 NN. NELCE IMBURI P 18 JL. TRIKORA TYPOID FEVER P 6/21/2018
79 97.08.11 68062 NY. TENDINA WANIMBO P 33 JL. YOS SUDARSO BRONCHITIS PP 6/24/2018

80 92.03.11 67650 NY. TAWE KOSSAY P 35 HONAI LAMA HEPATOSPLENOMEGALI R 6/15/2018

81 79.13.05 20839 NY. KARTINI LOGOWAN P 50 WOUMA TB PARU P 6/7/2018

82 64.02.11 61137 NY. MINA JIKWA P 50 KARUJAYA B20 P 6/11/2018

83 36.75.10 68301 TN. OTTO TABUNI L 45 KOYABAME HEMATEMESIS M 6/27/2018

84 32.25.08 5682 TN. SAVERIUS WETIPO L 45 MUSATFAK MALARIA TROPIKA P 6/25/2018
85 94.99.10 44798 AN. PASKALIS WILIL L 13 KURULU PARATITIS P 6/25/2018
86 86.31.06 9360 NY. DWI BALIANI PUJIRAHAYU P 31 MISSI HIPERTENSI P 6/27/2018
87 22.10.11 68167 TN. LETES JIKWA L 28 POTIKELEK MALARIA TROPIKA P 6/26/2018
88 79.07.03 46980 TN. BOAS RUMKABU L 56 HOM-HOM PJK + VERTIGO P 6/21/2018
89 32.63.08 50240 TN. WEDO WUKA L 23 POTIKELEK B20 P 6/19/2018
JUMLAH
GL JASA DOKTER SPESIALIS
HARI RWT
JASA TINDAKAN dr.ANTO,Sp.PD dr.INDRA,Sp.S dr.ICHWAN,Sp.PD
KRS
11 13 14 15 JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN

6 308,425 0 308,425
6/1/2018
6/1/2018 2 61,685 0 61,685

6/1/2018 3 123,370 0 123,370

6/1/2018 5 246,740 0 246,740
6/1/2018 7 370,110 0 370,110
6/2/2018 5 246,740 0 246,740
6/2/2018 26 1,542,125 0 1,542,125
6/2/2018 8 431,795 0 431,795
6/2/2018 6 308,425 0 308,425
6/4/2018 18 1,048,645 0 1,048,645
6/4/2018 9 493,480 0 493,480
6/4/2018 13 740,220 0 740,220
6/4/2018 6 308,425 0 308,425
6/5/2018 49 2,960,880 0 2,393,903 566,977
6/5/2018 8 740,220 0 308,425 431,795
6/5/2018 21 1,233,700 0 1,233,700
6/5/2018 5 246,740 0 246,740
6/5/2018 4 185,055 0 185,055
6/6/2018 5 246,740 0 246,740
6/6/2018 5 246,740 0 246,740
6/6/2018 4 185,055 0 185,055
6/6/2018 3 123,370 0 123,370
6/6/2018 52 3,145,935 0 2,590,770 555,165
6/6/2018 19 1,110,330 0 1,110,330
6/6/2018 7 370,110 0 370,110
6/7/2018 9 493,480 0 493,480
6/7/2018 5 246,740 0 246,740
6/7/2018 7 370,110 0 370,110
6/8/2018 16 925,275 0 925,275
6/8/2018 3 123,370 0 123,370
 6/8/2018 9 493,480 0 493,480
6/9/2018 7 370,110 0 370,110
6/9/2018 4 185,055 0 185,055
6/9/2018 4-Jan 246,740 0 246,740
6/11/2018 18 1,233,700 0 1,048,645 185,055
6/11/2018 4 185,055 0 185,055
6/12/2018 7 370,110 0 123,370 246,740
6/12/2018 15 863,590 0 123,370 740,220

6/12/2018 24 1,418,755 0 1,418,755

6/12/2018 8 431,795 0 431,795

6/12/2018 6 308,425 0 185,055 123,370

6/13/2018 6 308,425 0 308,425

6/13/2018 2 61,685 0 61,685
6/15/2018 8 431,795 0 370,110 61,685
6/15/2018 4 185,055 0 123,370 61,685
6/15/2018 10 555,165 0 493,480 61,685
6/15/2018 4 185,055 0 123,370 61,685
6/15/2018 5 246,740 0 185,055 61,685
6/15/2018 8 431,795 0 431,795
6/16/2018 5 246,740 0 123,370 123,370
6/16/2018 2 61,685 0 61,685
6/16/2018 3 123,370 0 123,370
6/16/2018 2 61,685 0 61,685
6/18/2018 4 185,055 0 185,055
6/18/2018 12 678,535 0 431,795 246,740
6/18/2018 17 1,357,070 0 863,590 493,480
6/18/2018 3 123,370 0 123,370
6/18/2018 3 123,370 0 123,370
6/18/2018 3 123,370 0 123,370

6/18/2018 15 863,590 0 431,795 431,795

6/20/2018 11 678,535 0 370,110 308,425

6/21/2018 15 1,233,700 0 959,544 274,156
6/21/2018 11 616,850 0 616,850
6/21/2018 6 308,425 0 123,370 185,055
6/21/2018 22 1,295,385 0 925,275 370,110
6/22/2018 37 2,220,660 0 1,850,550 370,110
6/22/2018 10 555,165 0 185,055 370,110

6/23/2018 49 5,366,595 0 2,405,715 2,960,880

6/23/2018 5 246,740 0 246,740

6/23/2018 10 555,165 0 246,740 308,425
6/23/2018 11 616,850 0 308,425 308,425
6/23/2018 29 1,727,180 0 1,357,070 370,110
6/24/2018 2 61,685 0 61,685
6/24/2018 2 61,685 0 61,685

6/25/2018 10 555,165 0 370,110 185,055

6/25/2018 50 3,022,565 0 2,652,455 370,110

6/26/2018 12 678,535 0 431,795 246,740

6/27/2018 7 370,110 0 370,110
6/26/2018 3 123,370 0 123,370

6/26/2018 12 678,535 0 193,867 484,668

6/28/2018 22 1,295,385 0 566,731 728,654

6/28/2018 18 1,048,645 0 349,548 699,097

6/28/2018 2 61,685 0 61,685

6/29/2018 5 246,740 0 246,740
6/29/2018 5 246,740 0 246,740
6/29/2018 3 123,370 0 123,370
6/29/2018 4 185,055 0 185,055
6/29/2018 9 493,480 0 493,480
6/30/2018 12 1,357,070 0 678,535 678,535
### Rp - Rp 34,319,134 Rp - Rp 11,361,852 Rp - Rp 11,994,489 Rp -

PEMBAGIAN JASA MEDIS JAMKESDA BANGZAL INTERNA_BULAN JUNI_2018 OK

 JASA DOKTER SPESIALIS JASA DOKTER UMUM JASA KONSUL
NAMA
JASA TINDAKAN JASA TINDAKAN JASA TINDAKAN
dr.ANTO,Sp.PD Rp 30,029,242 Rp - Rp - Rp - Rp - Rp -
dr.INDRA,Sp.S Rp 9,941,621 Rp - Rp - Rp - Rp - Rp -
dr.ICHWAN,Sp.PD Rp 10,495,178 Rp - Rp - Rp - Rp - Rp -
dr.ASNA Rp - Rp - Rp 21,880,381 Rp - Rp - Rp -
dr.DECKY,Sp.M Rp - Rp - Rp - Rp - Rp 53,974 Rp -
dr.ANTON Rp - Rp - Rp - Rp - Rp 35,000 Rp -
ANGGREK Rp - Rp - Rp - Rp - Rp 35,000 Rp -
Perawat Rp - Rp - Rp - Rp - Rp - Rp -
Gizi Rp - Rp - Rp - Rp - Rp - Rp -
TOTAL Rp 50,466,041 Rp - Rp 21,880,381 Rp - Rp 123,974 Rp -
 JASA DOKTER UMUM

4 JASA TINDAKAN dr.ASNA dr.DEBORA

JMLH
JASA TINDAKAN 16 17 JASA TINDAKAN JASA

308,425 189,800 0 189,800

61,685 0 0
123,370 94,900 0 94,900
246,740 189,800 0 189,800
370,110 0 0
246,740 47,450 0 47,450
1,542,125 949,000 0 949,000
431,795 284,700 0 284,700
308,425 94,900 0 94,900
1,048,645 284,700 0 284,700
493,480 284,700 0 284,700
740,220 284,700 0 284,700
308,425 94,900 0 94,900
2,960,880 1,376,050 0 1,376,050
740,220 189,800 0 189,800
1,233,700 474,500 0 474,500
246,740 47,450 0 47,450
185,055 0 0
246,740 142,350 0 142,350
246,740 142,350 0 142,350
185,055 142,350 0 142,350
123,370 94,900 0 94,900
3,145,935 1,186,250 0 1,186,250
1,110,330 474,500 0 474,500
370,110 142,350 0 142,350
493,480 284,700 0 284,700
246,740 142,350 0 142,350
370,110 237,250 0 237,250
925,275 332,150 0 332,150
123,370 94,900 0 94,900
 493,480 284,700 0 284,700
370,110 94,900 0 94,900
185,055 0 0
246,740 0 0
1,233,700 379,600 0 379,600
185,055 47,450 0 47,450
370,110 94,900 0 94,900
863,590 142,350 0 142,350

1,418,755 474,500 0 474,500

431,795 94,900 0 94,900

308,425 94,900 0 94,900

308,425 142,350 0 142,350

61,685 47,450 0 47,450
431,795 237,250 0 237,250
185,055 142,350 0 142,350
555,165 332,150 0 332,150
185,055 142,350 0 142,350
246,740 142,350 0 142,350
431,795 284,700 0 284,700
246,740 189,800 0 189,800
61,685 47,450 0 47,450
123,370 94,900 0 94,900
61,685 47,450 0 47,450
185,055 47,450 0 47,450
678,535 379,600 0 379,600
1,357,070 474,500 0 474,500
123,370 47,450 0 47,450
123,370 47,450 0 47,450
123,370 94,900 0 94,900

863,590 332,150 0 332,150

678,535 379,600 0 379,600

1,233,700 474,500 0 474,500
616,850 427,050 0 427,050
308,425 189,800 0 189,800
1,295,385 569,400 0 569,400
2,220,660 1,186,250 0 1,186,250
 555,165 284,700 0 284,700

5,366,595 1,423,500 0 1,423,500

246,740 189,800 0 189,800

555,165 284,700 0 284,700
616,850 427,050 0 427,050
1,727,180 1,138,800 0 1,138,800
61,685 0 0
61,685 0 0

555,165 332,150 0 332,150

3,022,565 1,803,100 0 1,803,100

678,535 427,050 0 427,050

370,110 237,250 0 237,250
123,370 0 0

678,535 237,250 0 237,250

1,295,385 379,600 0 379,600

1,048,645 379,600 0 379,600

61,685 0 0
246,740 189,800 0 189,800
246,740 189,800 0 189,800
123,370 0 0
185,055 142,350 0 142,350
493,480 0 0
1,357,070 427,050 0 427,050
Rp - Rp - 57,675,475 Rp 25,006,150 Rp - Rp 25,006,150 Rp - Rp -

RNA_BULAN JUNI_2018 OK
 JASA PERAWAT
JASA GIZI TOTAL
JASA TINDAKAN
Rp - Rp - Rp Rp 30,029,242
-
Rp - Rp - Rp Rp 9,941,621
-
Rp - Rp - Rp Rp 10,495,178
-
Rp - Rp - Rp Rp 21,880,381
-
Rp - Rp - Rp Rp - 53,974
Rp - Rp - Rp Rp - 35,000
Rp - Rp - Rp Rp - 35,000
Rp 34,111,350 Rp 20,575,100 Rp Rp 54,686,450
-
Rp - Rp - Rp Rp 5,896,800
5,896,800
Rp 34,111,350 Rp 20,575,100 Rp 5,896,800 Rp 133,053,646

SELISIH Rp 19,007,664
 JASA KONSUL

7 8 JASA TINDAKAN dr.DECKY,Sp.M dr.ANTON dr.DENNY,Sp.B

JMLH
TINDAKAN JASA TINDAKAN JASA TINDAKAN 18 19 JASA TINDAKAN JASA TINDAKAN JASA

189,800 0 0

0 0 0
94,900 0 0
189,800 0 0
0 0 0
47,450 0 0
949,000 0 0
284,700 0 0
94,900 0 0
284,700 0 0
284,700 0 0
284,700 0 0
94,900 0 0
1,376,050 0 0
189,800 0 0
474,500 0 0
47,450 0 0
0 0 0
142,350 0 0
142,350 0 0
142,350 0 0
94,900 0 0
1,186,250 0 0
474,500 0 0
142,350 0 0
284,700 0 0
142,350 0 0
237,250 0 0
332,150 0 0
94,900 0 0
284,700 0 0
94,900 0 0
0 0 0
0 0 0
379,600 0 0
47,450 0 0
94,900 0 0
142,350 0 0

474,500 20,000 0

94,900 0 0

94,900 0 0

142,350 0 0
47,450 0 0
237,250 0 0
142,350 0 0
332,150 0 0
142,350 0 0
142,350 0 0
284,700 0 0
189,800 0 0
47,450 0 0
94,900 0 0
47,450 0 0
47,450 0 0
379,600 0 0
474,500 0 0
47,450 0 0
47,450 0 0
94,900 0 0

332,150 0 0

379,600 0 0
474,500 0 0
427,050 0 0
189,800 0 0
569,400 0 0
1,186,250 0 0
 284,700 0 0

1,423,500 0 0

189,800 0 0
284,700 0 0
427,050 0 0
1,138,800 0 0
0 0 0
0 0 0

332,150 20,000 0

1,803,100 61,685 0 61,685

427,050 0 0
237,250 0 0
0 0 0

237,250 40,000 0 40,000

379,600 0 0

379,600 0 0

0 0 0
189,800 0 0
189,800 0 0
0 0 0
142,350 0 0
0 0 0
427,050 0 0
Rp - Rp - Rp - Rp - Rp - 25,006,150 ### Rp - Rp 61,685 Rp - Rp 40,000 Rp - Rp -
 JASA PERAWAT
JASA GIZI TOTAL
NY,Sp.B ANGGREK JASA TINDAKAN
JMLH
TINDAKAN JASA TINDAKAN 20 21 27 28

0 204,750 123,500 39,000 865,475

0 81,900 49,400 7,800 200,785

0 122,850 74,100 15,600 430,820
0 204,750 123,500 31,200 795,990
0 286,650 172,900 46,800 876,460
0 204,750 123,500 31,200 653,640
0 1,064,700 642,200 195,000 4,393,025
0 327,600 197,600 54,600 1,296,295
0 245,700 148,200 39,000 836,225
0 737,100 444,600 132,600 2,647,645
0 368,550 222,300 62,400 1,431,430
0 532,350 321,100 93,600 1,971,970
0 245,700 148,200 39,000 836,225
0 2,006,550 1,210,300 374,400 7,928,180
0 327,600 197,600 54,600 1,509,820
0 859,950 518,700 156,000 3,242,850
0 204,750 123,500 31,200 653,640
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 748,540
0 204,750 123,500 31,200 748,540
0 163,800 98,800 23,400 613,405
0 122,850 74,100 15,600 430,820
0 2,129,400 1,284,400 397,800 8,143,785
0 778,050 469,300 140,400 2,972,580
0 286,650 172,900 46,800 1,018,810
0 368,550 222,300 62,400 1,431,430
0 204,750 123,500 31,200 748,540
0 286,650 172,900 46,800 1,113,710
0 655,200 395,200 117,000 2,424,825
0 122,850 74,100 15,600 430,820
 0 368,550 222,300 62,400 1,431,430
0 286,650 172,900 46,800 971,360
0 163,800 98,800 23,400 471,055
0 204,750 123,500 31,200 606,190
0 737,100 444,600 132,600 2,927,600
0 163,800 98,800 23,400 518,505
0 286,650 172,900 46,800 971,360
0 614,250 370,500 109,200 2,099,890

20,000 20,000 982,800 592,800 179,400 3,668,255

0 327,600 197,600 54,600 1,106,495

0 245,700 148,200 39,000 836,225

0 245,700 148,200 39,000 883,675

0 81,900 49,400 7,800 248,235
0 327,600 197,600 54,600 1,248,845
0 163,800 98,800 23,400 613,405
0 409,500 247,000 70,200 1,614,015
0 163,800 98,800 23,400 613,405
0 204,750 123,500 31,200 748,540
0 327,600 197,600 54,600 1,296,295
0 204,750 123,500 31,200 795,990
0 81,900 49,400 7,800 248,235
0 122,850 74,100 15,600 430,820
0 81,900 49,400 7,800 248,235
0 163,800 98,800 23,400 518,505
0 491,400 296,400 85,800 1,931,735
0 696,150 419,900 124,800 3,072,420
0 122,850 74,100 15,600 383,370
0 122,850 74,100 15,600 383,370
0 122,850 74,100 15,600 430,820

0 614,250 370,500 109,200 2,289,690

0 450,450 271,700 78,000 1,858,285

0 614,250 370,500 109,200 2,802,150
0 450,450 271,700 78,000 1,844,050
0 245,700 148,200 39,000 931,125
0 900,900 543,400 163,800 3,472,885
0 1,515,150 913,900 280,800 6,116,760
 0 409,500 247,000 70,200 1,566,565

0 2,006,550 1,210,300 374,400 10,381,345

0 204,750 123,500 31,200 795,990

0 409,500 247,000 70,200 1,566,565
0 450,450 271,700 78,000 1,844,050
0 1,187,550 716,300 218,400 4,988,230
0 81,900 49,400 7,800 200,785
0 81,900 49,400 7,800 200,785

20,000 20,000 409,500 247,000 70,200 1,634,015

61,685 2,047,500 1,235,000 382,200 8,552,050

0 491,400 296,400 85,800 1,979,185

0 286,650 172,900 46,800 1,113,710
0 122,850 74,100 15,600 335,920

40,000 491,400 296,400 85,800 1,829,385

0 900,900 543,400 163,800 3,283,085

0 737,100 444,600 132,600 2,742,545

0 81,900 49,400 7,800 200,785

0 204,750 123,500 31,200 795,990
0 204,750 123,500 31,200 795,990
0 122,850 74,100 15,600 335,920
0 163,800 98,800 23,400 613,405
0 368,550 222,300 62,400 1,146,730
0 491,400 296,400 85,800 2,657,720
Rp - Rp 40,000 Rp - 141,685 Rp 38,984,400 Rp 23,514,400 Rp 6,739,200 152,061,310
 KETERANGAN

29

dr. ANTO 5X & dr. ASNA 4X

dr. ANTO 1X
dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 4X & dr. ASNA 4X
dr. ICHWAN 6X
dr. ANTO 4X & dr. ASNA 1X
dr. ANTO 25X & dr. ASNA 20X
dr. ICHWAN 7X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ICHWAN 17X & dr. ASNA 6X
dr. ICHWAN 8X & dr. ASNA 6X
dr. ICHWAN 12X & dr. ASNA 6X
dr. ICHWAN 5X & dr. ASNA 2X
dr. ANTO 38X & dr. INDRA 9X & dr. ASNA 29X
dr. ICHWAN 7X & dr. INDRA 5X & dr. ASNA 4X
dr. ANTO 20X & dr. ASNA 10X
dr. ICHWAN 4X & dr. ASNA 1X
dr. ICHWAN 3X
dr. INDRA 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 2X & dr. ASNA 2X
dr. ANTO 42X & dr. ICHWAN 9X & dr. ASNA 25X
dr. ANTO 18X & dr. ASNA 10X
dr. ICHWAN 6X & dr. ASNA 3X
dr. ANTO 8X & dr. ASNA 6X
dr. ANTO 4X & dr. ASNA 3X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 15X & dr. ASNA 7X
dr. ICHWAN 2X & dr. ASNA 2X
 dr. ANTO 8X & dr. ASNA 6X
dr. ICHWAN 6X & dr. ASNA 2X
dr. ICHWAN 3X
dr. ICHWAN 4X
dr. ANTO 17X & dr. INDRA 3X & dr. ASNA 8X
dr. ANTO 3X & dr. ASNA 1X
dr. ICHWAN 4X & dr. ANTO 2X & dr. ASNA 2X
dr. ICHWAN 12X & dr. ANTO 2X & dr. ASNA 3X

dr. ANTO 23X & dr. ASNA 10X & KONSELING ANGGREK 1X

dr. ANTO 7X & dr. ASNA 2X

dr. ICHWAN 2X & dr. ANTO 3X & dr. ASNA 2X

dr. ANTO 5X & dr. ASNA 3X

dr. ANTO 1X & dr. ASNA 1X
dr. ANTO 6X & dr. INDRA 1X & dr. ASNA 5X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 8X & dr. INDRA 1X & dr. ASNA 7X
dr. ANTO 2X & dr. INDRA 1X & dr. ASNA 3X
dr. ANTO 3X & dr. INDRA 1X & dr. ASNA 3X
dr. INDRA 7X & dr. ASNA 6X
dr. INDRA 2X & dr. ANTO 2X & dr. ASNA 4X
dr. INDRA 1X & dr. ASNA 1X
dr.INDRA 2X & dr. ASNA 2X
dr. INDRA 1X & dr. ASNA 1X
dr. INDRA 3X & dr. ASNA 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 8X
dr. ANTO 14X & dr. INDRA 8X & dr. ASNA 10X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 1X
dr. INDRA 2X & dr. ASNA 2X
dr. ICHWAN 5X & dr. ANTO 5X & dr. INDRA 4X & dr. ASNA
7X
dr. ANTO 6X & dr. INDRA 5X & dr. ASNA 8X
dr. ICHWAN 2X & dr. ANTO 7X & dr. INDRA 11X & dr.
ASNA 10X
dr. INDRA 10X & dr. ASNA 9X
dr. INDRA 3X & dr. ANTO 2X & dr. ASNA 4X
dr. ANTO 15X & dr. INDRA 6X & dr. ASNA 12X
dr. ANTO 30X & dr. INDRA 6X & dr. ASNA 25X
 dr. ANTO 3X & dr. INDRA 6X & dr. ASNA 6X
dr. ANTO 39X & dr. INDRA 48X & dr. ASNA 30X (RAWAT
GABUNG)
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. INDRA 5X & dr. ASNA 6X
dr. ANTO 5X & dr. INDRA 5X & dr. ASNA 9X
dr. ANTO 22X & dr. INDRA 6X & dr. ASNA 24X
dr. ANTO 1X
dr. ANTO 1X
dr. INDRA 3X & dr. ANTO 6X & dr. ASNA 7X & KONSELING
ANGGREK 1X
dr. ANTO 43X & dr. INDRA 6X & dr. ASNA 38X & KONSUL
dr. DECKY 1X
dr. ANTO 7X & dr. INDRA 4X & dr. ASNA 9X
dr. ANTO 6X & dr. ASNA 5X
dr. ICHWAN 2X
dr. ICHWAN 5X & dr. ANTO 2X & dr. INDRA 4X & dr. ASNA
5X & USG dr. ANTON 1X
dr.ICHWAN 9X & dr. ANTO 7X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 8X & dr. ANTO 4X & dr. INDRA 5X & dr. ASNA
8X
dr. ICHWAN 1X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 4X & dr. ASNA 4X
dr. ANTO 2X
dr. ANTO 3X & dr. ASNA 3X
dr. ICHWAN 8X
dr. ANTO 11X & dr. INDRA 11X & dr. ASNA 9X