Master Grand Total Pasien

PERHITUNGAN BIAYA PERAWATAN PASIEN
NAMA : (
TGL LAHIR :
NO. RM :
TGL MASUK : 29/03/19
29/03/19 30/03/19 31/03/19 01/04/19

NO TARIF
HR 1 HR 2 HR 3 HR 4
1 HARI RAWAT Rp 100,000.00
2 DIIT BIASA Rp 53,000.00
3 DIIT TKTP Rp 74,000.00
4 DIIT CAIR Rp 157,500.00
5 SKRINING GIZI Rp 5,000.00
6 VISITE DPJP Rp 45,000.00
7 VISITE DR RUANGAN Rp 15,000.00
8 ASKEP Rp 20,000.00
9 KONSUL SPESIALIS Rp 30,000.00
10 KONSUL VIA TLP. Rp 20,000.00
11 PASANG INFUS Rp 30,000.00
12 INJEKSI Rp 30,000.00
13 SKIN TEST Rp 25,000.00
14 NEBULISASI Rp 40,000.00
15 GANTI BALUTAN Rp 65,000.00
16 NGT Rp 38,000.00
17 CATETER Rp 32,000.00
18 EKG Rp 65,000.00
19 RJP Rp 95,000.00
20 THORAX Rp 75,000.00
21 RO.PELVIS Rp 75,000.00
22 RO.ABDOMEN 3 POSISI Rp 225,000.00
23 RO.EXTRIMITAS Rp 112,500.00
24 RO.CRANIUM Rp 150,000.00
25 RO.VERTEBRAE Rp 150,000.00
26 RO. ABDOMEN Rp 75,000.00
27 FISIOTHERAPI EXC. Rp 20,000.00
28 FISIOTHERAPI IRR. Rp 18,000.00
29 TRANFUSI Rp 360,000.00
30 USG Rp 400,000.00
31 USG KEBIDANAN
32 AMBULANCE/RUJUK Rp 50,000.00
LABORATORIUM
FARMASI
GRAND TOTAL
PAKET
LABORATORIUM
1 CHOLESTEROL TOT Rp 33,000.00

2 DEMGUE IgG/IgM Rp 150,000.00
3 MALARIA Rp 33,000.00
4 ICT MAL Rp 125,000.00
5 ICT TB Rp 125,000.00
6 BTA Rp 33,000.00
7 PENGECATAN GRAM Rp 33,000.00
8 UREUM Rp 35,000.00
9 CREATININ Rp 33,000.00
10 OT/PT Rp 66,000.00
11 PROTEIN TOTAL Rp 33,000.00
12 ALBUMIN Rp 33,000.00
13 BLOBULIN Rp 33,000.00
14 ASAM URAT Rp 33,000.00
15 DARAH LENGKAP Rp 60,000.00
16 LED Rp 15,000.00
17 CT/BT Rp 24,000.00
18 GDT Rp 100,000.00
19 BIL TOT Rp 33,000.00
20 BIL DIREK Rp 33,000.00
21 BIL INDIREK Rp 33,000.00
22 TRIGLISERIDA Rp 33,000.00
23 DR Rp 45,000.00
24 ELEKTROLIT Rp 120,000.00
25 FAECES Rp 22,000.00
26 GULA DARAH Rp 33,000.00
27 HBsAg Rp 65,000.00
28 LDL/HDL Rp 35,000.00
29 PP TEST Rp 20,000.00
30 URINE Rp 37,500.00
31 WIDAL Rp 55,500.00
GRAND TOTAL
FARMASI
1 ABOCATH 18 Rp 28,160.00
2 ABOCATH 20/24 Rp 29,568.00
3 ABOCATH 26 Rp 31,575.00
4 ACARBOSE 100 Rp 983.00
6 ACETYL SISTEINE 200 Rp 458.00
7 ACYCLOVIR 200 MG Rp 614.00
8 ACYCLOVIR ZALF Rp 4,403.00
9 ALBUMIN Rp 1,020,800.00
10 AMBROXOL Rp 260.00
11 AMBROXOL SYR Rp 4,526.00
12 AMINOFLIUD Rp 85,163.00
13 AMINOPHILLIN 200 Rp 102.00
14 AMINOPHILLIN INJ Rp 4,893.00
15 AMLODIPINE 10 Rp 640.00
17 AMOKSISILLIN 500 Rp 444.00
18 AMPICILLIN Rp 12,672.00
19 ANTALGIN Rp 219.00
20 ASAM MEFENAMAT Rp 132.00
21 ASAM TRANEX Rp 2,490.00
22 ASAM TRANEX TAB Rp 1,901.00
23 ASERING 500 Rp 12,347.00
24 ASPILET Rp 998.00
25 B. COMP Rp 150.00
26 BETAHISTIN Rp 191.00
27 CEFADROXIL SYR Rp 7,557.00
28 CEFADROXIL TAB Rp 774.00
29 CEFIXIME 100 MG Rp 2,296.00
31 CEFIXIME SYR Rp 15,206.00
32 CEFOTAXIME 1 GR Rp 10,245.00
33 CEFTRIAXONE 1 GR Rp 5,738.00
34 CETIRIZINE Rp 381.00
35 CETIRIZINE SYR Rp 3,648.00
36 CIPRO Rp 591.00
37 CIPRO INF Rp 12,415.00
38 CITICOLIN 250 IV Rp 14,208.00
39 CITICOLIN 500 MG Rp 6,758.00
40 CLOPIDOGREL 75 MG Rp 2,112.00
41 CODEIN 10 MG Rp 640.00
42 CODEIN 20 MG Rp 1,408.00
43 COMBIVENT Rp 7,296.00
44 CURCUMA Rp 591.00
45 CURVIPLEX Rp 16,000.00
46 DEHIDRALITE Rp 14,784.00
47 DEXAMETHASONE INJ Rp 2,460.00
48 DHP Rp 2,765.00
49 DIATABS Rp 256.00
50 DIAZEPAM 2 MG Rp 58.00
51 DIAZEPAM INJ Rp 8,972.00
52 FE Rp 700.00
53 FLUNARIZINE Rp 2,253.00
54 FUROSEMIDE IV Rp 2,634.00
55 GLUKOSA Rp 6,656.00
56 GLUKOSA 100CC Rp 19,430.00
57 IBUPROFEN Rp 271.00
58 INFUS SET (BLOOD SET) Rp 18,895.00
59 INFUS SET MAKRO Rp 11,021.00
60 INFUS SET MIKRO Rp 12,365.00
61 IRBESARTAN 150 Rp 2,514.00
63 KAEN 1B 500 Rp 12,344.00
64 KAEN 3B Rp 13,691.00
65 KALIPAR Rp 899.00
66 KCL Rp 4,125.00
67 KSR Rp 2,176.00
68 LACTO B Rp 5,815.00
69 LANSOPRAZOL Rp 749.00
70 LANSOPRAZOL INJ Rp 115,970.00
71 LANTUS Rp 105,777.00
72 MANITOL OTSU Rp 50,560.00
73 MECOBALAMIN Rp 1,014.00
74 MECOBALAMIN INJ Rp 10,701.00
75 METFORMIN Rp 120.00
76 METIL PRED 125 INJ Rp 13,824.00
77 METIL PRED 4 MG Rp 172.00
78 NACL Rp 8,205.00
79 NEEDLE Rp 2,957.00
80 NOVORAPID Rp 109,620.00
81 OMEPRAZOLE 40 IV Rp 12,669.00
82 OMEPRAZOLE CAPS Rp 902.00
83 ONDANSENTRON 4 MG Rp 582.00
84 ONDANSENTRON IV Rp 1,370.00
85 PCT Rp 68.00
86 PCT FLASH Rp 14,861.00
87 PCT SYR Rp 6,484.00
88 PIRACETAM 1 GR IV Rp 3,840.00
90 PRIMAQUINE Rp 287.00
91 PROPANOLOL Rp 138.00
92 PULMICORT Rp 12,448.00
93 RANITIDIN Rp 268.00
94 RANITIDIN IV Rp 2,988.00
95 RL Rp 9,152.00
96 SPIRONOLACTON 100 Rp 1,121.00
97 SPIRONOLACTON 25 Rp 250.00
98 SPUIT 3CC Rp 1,457.00
99 SPUIT 5CC Rp 2,048.00
100 SUCRALFATE SUSP Rp 10,504.00
101 VIT. C Rp 133.00
102 WATER INJEKSI Rp 3,661.00
103 ZINC Rp 394.00
104 ZINC SYR Rp 11,263.00
GRAND TOTAL
02/04/19 29/03/19 30/03/19 31/03/19 01/04/19 02/04/19

HR 5 GRAND 1 GRAND 2 GRAND 3 GRAND 4 GRAND 5 TOTAL TARIF
Rp - Rp - Rp - Rp - Rp - Rp -
LABORATORIUM
FARMASI
NAMA Ny.Siti Komariah ( Anemia Aplastik )

TGL LAHIR : 9/9/1965
NO. RM 23.969.14
28/03/19 29/03/19 30/03/19 31/03/19

NO TARIF
HR 1 HR 2 HR 3 HR 4
1 HARI RAWAT Rp 100,000.00 1
2 DIIT BIASA Rp 53,000.00 1
5 SKRINING GIZI Rp 5,000.00 1
7 VISITE DR RUANGAN Rp 15,000.00 1
8 ASKEP Rp 20,000.00 1
11 PASANG INFUS Rp 30,000.00 1
12 INJEKSI Rp 30,000.00 1
16 NGT Rp 38,000.00
17 CATETER Rp 32,000.00
18 EKG Rp 65,000.00
19 RJP Rp 95,000.00
20 RADIOLOGI Rp 75,000.00
24 USG Rp 400,000.00
25 USG KEBIDANAN
26 AMBULANCE Rp 50,000.00
27 LABORATORIUM
28 FARMASI
GRAND TOTAL
PAKET
LABORATORIUM

3 DL Rp 45,000.00
5 FAECES Rp 22,000.00
7 HBsAg Rp 65,000.00
8 LDL/HDL Rp 35,000.00
9 PP TEST Rp 20,000.00
10 URINE Rp 37,500.00
11 WIDAL Rp 55,500.00
GRAND TOTAL
FARMASI
1 ABOCATH 18 Rp 28,160.00
2 ABOCATH 20/24 Rp 29,568.00
3 ABOCATH 26 Rp 31,575.00
9 ALBUMIN Rp 1,020,800.00
23 ASERING 500 Rp 12,347.00
25 B. COMP Rp 150.00
36 CIPRO Rp 591.00
42 CODEIN 20 MG Rp 1,408.00
48 DHP Rp 2,765.00
52 FE Rp 700.00
56 GLUKOSA 100CC Rp 19,430.00
63 KAEN 1B 500 Rp 12,344.00
64 KAEN 3B Rp 13,691.00
66 KCL Rp 4,125.00
67 KSR Rp 2,176.00
68 LACTO B Rp 5,815.00
71 LANTUS Rp 105,777.00
78 NACL Rp 8,205.00
79 NEEDLE Rp 2,957.00
85 PCT Rp 68.00
87 PCT SYR Rp 6,484.00
95 RL Rp 9,152.00
98 SPUIT 3CC Rp 1,457.00
99 SPUIT 5CC Rp 2,048.00
101 VIT. C Rp 133.00
103 ZINC Rp 394.00
104 ZINC SYR Rp 11,263.00
GRAND TOTAL
01/04/19 28/03/19 29/03/19 30/03/19 31/03/19 01/04/19

Rp 100,000.00 Rp - Rp - Rp - Rp - Rp 100,000.00
Rp 53,000.00 Rp - Rp - Rp - Rp - Rp 53,000.00
Rp 5,000.00 Rp - Rp - Rp - Rp - Rp 5,000.00
Rp 15,000.00 Rp - Rp - Rp - Rp - Rp 15,000.00
Rp 20,000.00 Rp - Rp - Rp - Rp - Rp 20,000.00
Rp 30,000.00 Rp - Rp - Rp - Rp - Rp 30,000.00
Rp 30,000.00 Rp - Rp - Rp - Rp - Rp 30,000.00
Rp 253,000.00 Rp - Rp - Rp - Rp - Rp 253,000.00
Rp 2,238,000.00
LABORATORIUM
FARMASI
NAMA Tn.Sadio (
TGL LAHIR : 12/7/1938
NO. RM 23984.19
28/03/19 29/03/19 30/03/19 31/03/19

NO TARIF
HR 1 HR 2 HR 3 HR 4
1 HARI RAWAT Rp 100,000.00 1
8 ASKEP Rp 20,000.00 1
9 KONSUL SPESIALIS Rp 30,000.00 1
12 INJEKSI Rp 30,000.00 2
13 SKIN TEST Rp 25,000.00 1
14 NEBULISASI Rp 40,000.00 1
16 NGT Rp 38,000.00
17 CATETER Rp 32,000.00
18 EKG Rp 65,000.00
19 RJP Rp 95,000.00
24 USG Rp 400,000.00
25 USG KEBIDANAN
27 LABORATORIUM
28 FARMASI
GRAND TOTAL
PAKET
LABORATORIUM

3 DL Rp 45,000.00 1
5 FAECES Rp 22,000.00
6 GULA DARAH Rp 33,000.00 1
7 HBsAg Rp 65,000.00
8 LDL/HDL Rp 35,000.00
9 PP TEST Rp 20,000.00
10 URINE Rp 37,500.00
11 WIDAL Rp 55,500.00 1
GRAND TOTAL
FARMASI
1 ABOCATH 18 Rp 28,160.00
2 ABOCATH 20/24 Rp 29,568.00
3 ABOCATH 26 Rp 31,575.00
9 ALBUMIN Rp 1,020,800.00
23 ASERING 500 Rp 12,347.00
25 B. COMP Rp 150.00
36 CIPRO Rp 591.00
42 CODEIN 20 MG Rp 1,408.00
48 DHP Rp 2,765.00
52 FE Rp 700.00
56 GLUKOSA 100CC Rp 19,430.00
63 KAEN 1B 500 Rp 12,344.00
64 KAEN 3B Rp 13,691.00
66 KCL Rp 4,125.00
67 KSR Rp 2,176.00
68 LACTO B Rp 5,815.00
71 LANTUS Rp 105,777.00
78 NACL Rp 8,205.00
79 NEEDLE Rp 2,957.00
85 PCT Rp 68.00
87 PCT SYR Rp 6,484.00
95 RL Rp 9,152.00
98 SPUIT 3CC Rp 1,457.00
99 SPUIT 5CC Rp 2,048.00
101 VIT. C Rp 133.00
103 ZINC Rp 394.00
104 ZINC SYR Rp 11,263.00
GRAND TOTAL
ERHITUNGAN BIAYA PERAWATAN PASIEN
01/04/19 28/03/19 29/03/19 30/03/19 31/03/19 01/04/19

Rp 100,000.00 Rp - Rp - Rp - Rp - Rp 100,000.00
Rp 53,000.00 Rp - Rp - Rp - Rp - Rp 53,000.00
Rp 5,000.00 Rp - Rp - Rp - Rp - Rp 5,000.00
Rp 15,000.00 Rp - Rp - Rp - Rp - Rp 15,000.00
Rp 20,000.00 Rp - Rp - Rp - Rp - Rp 20,000.00
Rp 30,000.00 Rp - Rp - Rp - Rp - Rp 30,000.00
Rp 30,000.00 Rp - Rp - Rp - Rp - Rp 30,000.00
Rp 60,000.00 Rp - Rp - Rp - Rp - Rp 60,000.00
Rp 25,000.00 Rp - Rp - Rp - Rp - Rp 25,000.00
Rp 40,000.00 Rp - Rp - Rp - Rp - Rp 40,000.00
Rp 133,500.00 Rp - Rp - Rp - Rp - Rp 133,500.00
Rp 511,500.00 Rp - Rp - Rp - Rp - Rp 511,500.00
Rp 2,562,900.00
LABORATORIUM
Rp 45,000.00 Rp - Rp - Rp - Rp - Rp 45,000.00
Rp 33,000.00 Rp - Rp - Rp - Rp - Rp 33,000.00
Rp 55,500.00 Rp - Rp - Rp - Rp - Rp 55,500.00
Rp 133,500.00 Rp - Rp - Rp - Rp - Rp 133,500.00
FARMASI
NAMA Ny.Sulastri (
TGL LAHIR : 42 th
NO. RM 24.020.19
28/03/19 29/03/19 30/03/19 31/03/19

NO TARIF
HR 1 HR 2 HR 3 HR 4
1 HARI RAWAT Rp 100,000.00 1
8 ASKEP Rp 20,000.00 1
10 KONSUL VIA TLP. Rp 20,000.00 1
12 INJEKSI Rp 30,000.00 1
16 NGT Rp 38,000.00
17 CATETER Rp 32,000.00
18 EKG Rp 65,000.00
19 RJP Rp 95,000.00
24 USG Rp 400,000.00
25 USG KEBIDANAN
27 LABORATORIUM
28 FARMASI
GRAND TOTAL
PAKET
LABORATORIUM

2 DEMGUE IgG/IgM Rp 150,000.00 1
3 DL Rp 45,000.00 1
5 FAECES Rp 22,000.00
6 GULA DARAH Rp 33,000.00 1
7 HBsAg Rp 65,000.00
8 LDL/HDL Rp 35,000.00
9 PP TEST Rp 20,000.00
10 URINE Rp 37,500.00
11 WIDAL Rp 55,500.00
GRAND TOTAL
FARMASI
1 ABOCATH 18 Rp 28,160.00
2 ABOCATH 20/24 Rp 29,568.00
3 ABOCATH 26 Rp 31,575.00
9 ALBUMIN Rp 1,020,800.00
15 AMLODIPINE 10 Rp 640.00 1
23 ASERING 500 Rp 12,347.00
25 B. COMP Rp 150.00 3
36 CIPRO Rp 591.00
42 CODEIN 20 MG Rp 1,408.00
48 DHP Rp 2,765.00
52 FE Rp 700.00
56 GLUKOSA 100CC Rp 19,430.00
63 KAEN 1B 500 Rp 12,344.00
64 KAEN 3B Rp 13,691.00
66 KCL Rp 4,125.00
67 KSR Rp 2,176.00
68 LACTO B Rp 5,815.00
71 LANTUS Rp 105,777.00
78 NACL Rp 8,205.00
79 NEEDLE Rp 2,957.00
85 PCT Rp 68.00 3
87 PCT SYR Rp 6,484.00
95 RL Rp 9,152.00 3
98 SPUIT 3CC Rp 1,457.00
99 SPUIT 5CC Rp 2,048.00
101 VIT. C Rp 133.00
103 ZINC Rp 394.00
104 ZINC SYR Rp 11,263.00
GRAND TOTAL
01/04/19 28/03/19 29/03/19 30/03/19 31/03/19 01/04/19

Rp 100,000.00 Rp - Rp - Rp - Rp - Rp 100,000.00
Rp 53,000.00 Rp - Rp - Rp - Rp - Rp 53,000.00
Rp 5,000.00 Rp - Rp - Rp - Rp - Rp 5,000.00
Rp 15,000.00 Rp - Rp - Rp - Rp - Rp 15,000.00
Rp 20,000.00 Rp - Rp - Rp - Rp - Rp 20,000.00
Rp 20,000.00 Rp - Rp - Rp - Rp - Rp 20,000.00
Rp 30,000.00 Rp - Rp - Rp - Rp - Rp 30,000.00
Rp 30,000.00 Rp - Rp - Rp - Rp - Rp 30,000.00
Rp 228,000.00 Rp - Rp - Rp - Rp - Rp 228,000.00
Rp 28,750.00 Rp - Rp - Rp - Rp - Rp 28,750.00
Rp 529,750.00 Rp - Rp - Rp - Rp - Rp 529,750.00
LABORATORIUM
Rp 150,000.00 Rp - Rp - Rp - Rp - Rp 150,000.00
Rp 45,000.00 Rp - Rp - Rp - Rp - Rp 45,000.00
Rp 33,000.00 Rp - Rp - Rp - Rp - Rp 33,000.00
Rp 228,000.00 Rp - Rp - Rp - Rp - Rp 228,000.00
FARMASI
Rp 640.00 Rp - Rp - Rp - Rp - Rp 640.00
Rp 450.00 Rp - Rp - Rp - Rp - Rp 450.00
Rp 204.00 Rp - Rp - Rp - Rp - Rp 204.00
Rp 27,456.00 Rp - Rp - Rp - Rp - Rp 27,456.00
Rp 28,750.00 Rp - Rp - Rp - Rp - Rp 28,750.00
NAMA Tn.Harun (
TGL LAHIR : 58 th
NO. RM 23.914.16
28/03/19 29/03/19 30/03/19 31/03/19

NO TARIF
HR 1 HR 2 HR 3 HR 4
1 HARI RAWAT Rp 100,000.00 1
8 ASKEP Rp 20,000.00 1
10 KONSUL VIA TLP. Rp 20,000.00 1
12 INJEKSI Rp 30,000.00 4
13 SKIN TEST Rp 25,000.00 1
16 NGT Rp 38,000.00
17 CATETER Rp 32,000.00 1
18 EKG Rp 65,000.00 1
19 RJP Rp 95,000.00
24 USG Rp 400,000.00
25 USG KEBIDANAN
27 LABORATORIUM
28 FARMASI
GRAND TOTAL
PAKET
LABORATORIUM

2 ALBUMIN Rp 33,000.00
3 BILIRUBIN DIREK Rp 33,000.00
4 BILIRUBIN INDIREK Rp 33,000.00
5 BILIRUBIN TOTAL Rp 33,000.00
6 CREATININ Rp 35,000.00
8 PROTEIN TOTAL Rp 33,000.00
9 GLOBULIN Rp 33,000.00
10 ASAM URAT Rp 33,000.00
11 DR Rp 45,000.00
13 FAECES Rp 22,000.00
15 HBsAg Rp 65,000.00
16 LDL/HDL Rp 35,000.00
17 PP TEST Rp 20,000.00
18 UREUM Rp 33,000.00
19 URINE Rp 37,500.00
20 WIDAL Rp 55,500.00
GRAND TOTAL
FARMASI
1 ABOCATH 18 Rp 28,160.00
2 ABOCATH 20/24 Rp 29,568.00
3 ABOCATH 26 Rp 31,575.00
9 ALBUMIN Rp 1,020,800.00
23 ASERING 500 Rp 12,347.00
25 B. COMP Rp 150.00
36 CIPRO Rp 591.00
42 CODEIN 20 MG Rp 1,408.00
48 DHP Rp 2,765.00
52 FE Rp 700.00
56 GLUKOSA 100CC Rp 19,430.00
63 KAEN 1B 500 Rp 12,344.00
64 KAEN 3B Rp 13,691.00
66 KCL Rp 4,125.00
67 KSR Rp 2,176.00
68 LACTO B Rp 5,815.00
71 LANTUS Rp 105,777.00
78 NACL Rp 8,205.00
79 NEEDLE Rp 2,957.00
85 PCT Rp 68.00
87 PCT SYR Rp 6,484.00
95 RL Rp 9,152.00
98 SPUIT 3CC Rp 1,457.00
99 SPUIT 5CC Rp 2,048.00
101 VIT. C Rp 133.00
103 ZINC Rp 394.00
104 ZINC SYR Rp 11,263.00
GRAND TOTAL
01/04/19 28/03/19 29/03/19 30/03/19 31/03/19 01/04/19

Rp 100,000.00 Rp - Rp - Rp - Rp - Rp 100,000.00
Rp 53,000.00 Rp - Rp - Rp - Rp - Rp 53,000.00
Rp 5,000.00 Rp - Rp - Rp - Rp - Rp 5,000.00
Rp 15,000.00 Rp - Rp - Rp - Rp - Rp 15,000.00
Rp 20,000.00 Rp - Rp - Rp - Rp - Rp 20,000.00
Rp 20,000.00 Rp - Rp - Rp - Rp - Rp 20,000.00
Rp 30,000.00 Rp - Rp - Rp - Rp - Rp 30,000.00
Rp 120,000.00 Rp - Rp - Rp - Rp - Rp 120,000.00
Rp 25,000.00 Rp - Rp - Rp - Rp - Rp 25,000.00
Rp 32,000.00 Rp - Rp - Rp - Rp - Rp 32,000.00
Rp 65,000.00 Rp - Rp - Rp - Rp - Rp 65,000.00
Rp 485,000.00 Rp - Rp - Rp - Rp - Rp 485,000.00
LABORATORIUM
Rp - Rp - Rp - Rp - Rp -
FARMASI

Master Grand Total Pasien

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Master Grand Total Pasien

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PERHITUNGAN BIAYA PERAWATAN PASIEN

29/03/19 30/03/19 31/03/19 01/04/19

1 CHOLESTEROL TOT Rp 33,000.00

02/04/19 29/03/19 30/03/19 31/03/19 01/04/19 02/04/19

NAMA Ny.Siti Komariah ( Anemia Aplastik )

28/03/19 29/03/19 30/03/19 31/03/19

1 CHOLESTEROL TOT Rp 33,000.00

01/04/19 28/03/19 29/03/19 30/03/19 31/03/19 01/04/19

28/03/19 29/03/19 30/03/19 31/03/19

1 CHOLESTEROL TOT Rp 33,000.00

01/04/19 28/03/19 29/03/19 30/03/19 31/03/19 01/04/19

28/03/19 29/03/19 30/03/19 31/03/19

1 CHOLESTEROL TOT Rp 33,000.00

01/04/19 28/03/19 29/03/19 30/03/19 31/03/19 01/04/19

28/03/19 29/03/19 30/03/19 31/03/19

1 CHOLESTEROL TOT Rp 33,000.00

01/04/19 28/03/19 29/03/19 30/03/19 31/03/19 01/04/19

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