You are on page 1of 8

JUMLAH

PROSENTASE
NO JENIS PEMERIKSAAN KEGIATAN
PEMBOBOTAN
PERHARI

Darah Lengkap 14,500 23.547


1
Widal 10,000 16.239
2
Wktu Pendarahan (BT) 2 0.003
3
Waktu Pembekuan (CT) 2 0.003
4
Gol. Darah ABO+RHESUS 10,000 16.239
5
Urine Lengkap 7,000 11.368
6
Plano Test 200 0.325
7
Feaces Lengkap 100 0.162
8
Albumin 1,000 1.624
9
SGOT (ASAT) 1,500 2.436
10
SGPT (ALAT) 1,500 2.436
11
Cholesterol Total 750 1.218
12
Trigliserida 750 1.218
13
HDL Cholesterol 450 0.731
14
LDL Cholesterol 450 0.731
15
Urea Nitrogen (BUN) 1,500 2.436
16
Creatinine 1,580 2.566
17
Uric Acid (Asam Urat) 200 0.325
18
Gula Darah Puasa 2,400 3.897
19
Gula Darah 2 Jam PP 1,000 1.624
20
Gula Darah Sewaktu 2,700 4.385
21
HBsAg 1,000 1.624
22
Anti Hbs 995 1.616
23
IgM Anti HIV 1,000 1.624
24
Prep. BTA 1,000 1.624
25

JUMLAH 61,579 100.000


LABORATORIUM KLINIK
RSUD SUMBERREJO
Jln.Raya Sumberrejo No.231 Telp.0353-331
Bojonegoro

BIAYA KAPAS
SPUIT PLASTERIN K3 PLAIN
REAGEN ALKOHOL

21,500 1,500 250 150 2,500 -

2,500 1,500 250 150 - -

- 1,500 250 150 - -

- 1,500 250 150 - 2,000

5,000 1,500 250 150 2,500 -

- - - - - -

- - - - - -

4,000 - - - - -

4,000 1,500 250 150 - 2,000

6,000 1,500 250 150 - 2,000

6,000 1,500 250 150 - 2,000

9,000 1,500 250 150 - 2,000

9,000 1,500 250 150 - 2,000

7,500 1,500 250 150 - 2,000

7,500 1,500 250 150 - 2,000

9,000 1,500 250 150 - 2,000

9,000 1,500 250 150 - 2,000

9,000 1,500 250 150 - 2,000


8,000 1,500 250 150 - 2,000

8,000 1,500 250 150 - 2,000

8,000 1,500 250 150 - 2,000

63,000 1,500 250 150 - 2,000

13,500 1,500 250 150 - 2,000

63,000 1,500 250 150 - 2,000

17,000 - - - - -
M KLINIK
ERREJO
1 Telp.0353-331530

STIK
POT OBJECT COVER
HANDSCOON MASKER
URINE GLASS GLASS
URINE

1,500 1,000 - - -

1,500 1,000 - 300 -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - 300 -

1,500 1,000 4,500 3,000 300 100

1,500 1,000 4,500 3,000 - -

1,500 1,000 3,000 300 100

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -
1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 - - -

1,500 1,000 3,000 300 -


JUMLAH TARIF (Rp) LABA

42,924 74,000 (31,076)

17,216 25,000 (7,784)

4,402 20.000 4,382

6,402 20.000 6,382

22,216 38,000 (15,784)

17,411 35000 (17,589)

10,200 15,000 (4,800)

10,000 20,000 (10,000)

11,402 30,000 (18,598)

13,902 25,000 (11,098)

13,902 25,000 (11,098)

16,151 30,000 (13,849)

16,151 30,000 (13,849)

14,351 27,000 (12,649)

14,351 28,000 (13,649)

16,902 25,000 (8,098)

16,983 25,000 (8,017)

15,600 25,000 (9,400)


16,804 20,000 (3,196)

15,402 20,000 (4,598)

17,104 20,000 (2,896)

70,402 25,000 45,402

20,897 115,000 (94,103)

70,402 60,000 10,402

23,802 25,000 (1,198)

You might also like