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    8 views2 pages

    Retribusi

    Uploaded by

    Noverina Wulandari
    Form rekap retribusi

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    BULAN : JULI 2019

    Form Jumlah Resep Harga


    Tindakan
    No. Tanggal Resep No. Nama Pasien (Obat / Obat Obat Harga
    BMHP) Harga Obat Total Harga
    Jadi Racik BMHP
    1 2 3 4 5 6 7 8=6+7
    PELAYANAN PASIEN UMUM RAWAT JALAN
    1 Selasa, 09/07/2019 1 Ny. Nurmaya 1 1 Rp 33,444 Rp 45,581 Rp 79,025
    2 Rabu, 10/07/2019 2 Tn. La Inu 1 Rp 10,200 Rp 10,200
    3 Jumat, 11/07/2019 3 Ny. Wd. Nia 1 Rp 2,600 Rp 2,600
    4 Sabtu, 13/07/2019 4 Tn. La Dae 1 Rp 3,060 Rp 3,060
    5 Senin, 15/07/2019 5 An. Riki 1 Rp 1,500 Rp 1,500
    6 Rabu, 17/07/2019 6 Tn. La Baena 1 Rp 9,810 Rp 9,810
    7 Ny. Lina 1 Rp 5,246 Rp 5,246
    7 Sabtu, 20/07/2019 8 Ny. Wa Abi 1 Rp 7,040 Rp 7,040
    8 Senin, 22/07/2019 9 Ny. Wa Muna 1 1 Rp 63,613 Rp 9,500 Rp 73,113
    9 Selasa, 23/07/2019 10 Ny. Wa Faena 1 1 Rp 3,710 Rp 3,710
    10 Rabu, 24/07/2019 11 Tn. La Halia 1 Rp 4,172 Rp 4,172
    11 Kamis, 25/07/2019 12 Sartina 1 Rp 4,810 Rp 4,810
    13 Wd. Nia 1 Rp 1,810 Rp 1,810
    12 Minggu, 28/07/2019 14 Wa Ndaga 1 1 Rp 14,317 Rp 31,359 Rp 45,676
    13 Senin, 29/07/2019 15 Hamdan 1 1 Rp 18,630 Rp 1,337 Rp 19,967
    14 Selasa, 30/07/2019 16 Tn. La Ude 1 1 Rp 1,113 Rp 5,980 Rp 7,093
    17 Sukirno 1 1 Rp 5,907 Rp 5,980 Rp 11,887

    TOTAL Rp 141,196 Rp 149,523 Rp 290,719


    PerBub Jasa Total Jasa Pelayanan per Resep
    Pelayanan per resep
    Total Ket.
    Pembayaran
    Obat
    Obat Jadi Obat Racik Obat Jadi Total Jasa
    Racik
    9 10 11=4*9 12=5*10 13=11+12 14=8+13 15
    WAT JALAN
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 84,025 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 15,200 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 7,600 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 8,060 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 6,500 UMUM
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 14,810 P. GIGI
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 10,246 UMUM
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 12,040 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 78,113 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 8,710 IGD
    Rp 5,000 Rp 10,000 Rp - Rp - Rp - Rp 4,172 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 9,810 P. GIGI
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 6,810 UMUM
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 50,676 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 24,967 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 12,093 IGD
    Rp 5,000 Rp 10,000 Rp 5,000 Rp - Rp 5,000 Rp 16,887 IGD

    Rp 80,000 Rp 80,000 Rp 370,719

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