NO Tanggal No. RM Nama Pasien No.

SEP Total Tarif Tarif RS

061693
1 5/22/2019 AMARIS NICOLAS SIBURIAN 0069R0450519V005237
2 5/22/2019 140412 BORAIDA 0069R0450519V005254 29,353 224,061
3 5/22/2019 143501 FERIANDI 0069R0450519V005341 35,316 151,294
4 5/22/2019 137453 SOPEN 0069R0450519V005347 23,198 164,749
5 5/22/2019 158518 MARLIN HENDRAH 0069R0450519V005355 23,198 118,989
6 5/23/2019 071722 DAHLIYAMIN DAULAY 0069R0450519V005392 2,915 11,546
7 5/23/2019 086058 ROSLIANA DEWI 0069R0450519V005398 7,420 98,946
8 5/23/2019 158740 YARNALIS 0069R0450519V005400 13,867 43,677
9 5/23/2019 105427 DESMAN 0069R0450519V005418 25,761 39,698
10 5/23/2019 132686 ENDANG INDRASARI 0069R0450519V005419 20,431 192,717
11 5/23/2019 090191 SITI RAUDAH 0069R0450519V005426 39,186 147,269
12 5/23/2019 134838 NURSIAH 0069R0450519V005430 39,097 114,471
13 5/23/2019 129735 KASMAWATI R 0069R0450519V005435 19,607 156,469
14 5/23/2019 139879 NURHAYATI 0069R0450519V005461 45,809 172,224
15 5/23/2019 088480 ASNA 0069R0450519V005484 19,587 170,706
16 5/23/2019 075467 NURHAILA 0069R0450519V005497 33,238 253,713
17 5/23/2019 159602 RISMA BR SIANTURI 0069R0450519V005601 29,970 39,629
18 5/23/2019 154434 BAYU NURMAIDI 0069R0450519V005606 23,198 164,749
19 5/23/2019 153893 HOTRIANI SARAGIH 0069R0450519V005629 10,334 207,828
20 5/23/2019 081353 RANDY GANTARA 0069R0450519V005633 18,635 151,294
21 5/24/2019 078116 ACHMAD PETER 0069R0450519V005676 4,623 38,180
22 5/24/2019 064423 MASNAULI 0069R0450519V005693 2,208 34,454
23 5/24/2019 137478 SUGIANTI 0069R0450519V005713 46,633 210,358
24 5/24/2019 099999 AWIRA 0069R0450519V005757 32,767 91,195
25 5/24/2019 128650 ZULKIFLI HENDRO SUKARDI 0069R0450519V005768 166,365 191,274
26 5/24/2019 094769 ROSLAINI 0069R0450519V005772 5,712 72,312
27 5/25/2019 000648 SUDARTO 0069R0450519V005928 20,990 60,835
28 5/25/2019 099072 LILI SURYANI 0069R0450519V005933 50,637 277,472
29 5/25/2019 084347 JUSMAN BSC 0069R0450519V005937 7,420 98,946
30 5/25/2019 138277 KUKUH SUGIARTO 0069R0450519V005939 7,420 98,946
31 5/25/2019 066810 RUSIAH MURNI 0069R0450519V005944 15,691 79,856
32 5/25/2019 140719 SYAMSINAR 0069R0450519V005951 7,420 98,946
33 5/25/2019 072466 YUNI ISNARIA 0069R0450519V005978 14,573 84,456
34 5/25/2019 091066 SUDIRMAN 0069R0450519V005984 26,291 87,124
35 5/25/2019 124401 ATRYOFITA 0069R0450519V005996 55,819 215,027
36 5/25/2019 104922 ERIANTO 0069R0450519V005999 7,742 19,826
37 5/25/2019 123737 SAMINI 0069R0450519V006011 17,635 131,399
38 5/25/2019 032799 WAN DUPANI 0069R0450519V006027 20,579 20,907
39 5/25/2019 129086 BARI YANTO 0069R0450519V006028 12,689 88,757
40 5/25/2019 108693 WIDYA NOFRIANTI 0069R0450519V006036 122,912 268,497
41 5/25/2019 108225 ZAINAL ABIDIN 0069R0450519V006064 10,952 50,807
42 5/25/2019 143322 KHEYSIA APRLIA PUTRI 0069R0450519V006137 21,490 60,060
43 5/28/2019 071722 DAHLIYAMIN DAULAY 0069R0450519V006225 68,625 165,761
44 5/28/2019 107512 TUTY HERAWATI 0069R0450519V006226 99,625 257,048
45 5/28/2019 064462 NINING AMELIA 0069R0450519V006232 60,882 191,291
46 5/28/2019 124352 HALIMAH TUSSA'DIAH 0069R0450519V006246 32,767 91,195
47 5/28/2019 081401 HETI HARMUNIS 0069R0450519V006251 32,767 91,195
48 5/28/2019 156093 MUADIL 0069R0450519V006270 13,955 54,303
49 5/28/2019 106028 RISDA WATI 0069R0450519V006319 14,838 70,633
50 5/28/2019 016619 SYARIFAH INDRIATI 0069R0450519V006351 382,955 455,401
51 5/28/2019 068478 MARLINCE FITRIANI S 0069R0450519V006354 14,838 70,633
52 5/28/2019 085967 RIZA ELEPEN 0069R0450519V006355 138,567 43,677
53 5/28/2019 159808 MUSLIM 0069R0450519V006376 16,810 95,703
54 5/28/2019 158278 GUSTI NINGSIH 0069R0450519V006414 47,605 125,971
55 5/28/2019 075771 AGUSMAN 0069R0450519V006463 48,724 177,675
56 5/28/2019 092508 MURNIATI 0069R0450519V006502 8,037 65,780
57 5/28/2019 152375 SYARIFUL MAHYA 0069R0450519V006516 43,454 207,920
58 5/28/2019 089175 NEHEMIA SIANTURI 0069R0450519V006534 64,470 180,180
No. Resep Keterangan
obat tidak bisa dientry px brobat
001 terahir tgl 01/5/2019
002
003
004
005
006
007
008
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
028
029
030
031
032
033 PRB
034
035
036
037
038
039
040
041
042
043
044
045
046
047
048
049
050
051
052
053
054
055
056
057
058