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  • Klinik Pratama "Amal Sehat": Rekening Rawat Inap

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    Muhammad Mahdhy
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    This document contains an invoice for inpatient treatment from Klinik Pratama "Amal Sehat" clinic. It lists the name and address of the patient, admission and discharge dates, and itemizes the costs of administration, examinations, room charges, procedures, care, visits, supplies, medications, infusions, equipment, laboratory tests, accommodation, and nebulizer treatments. The total cost for the patient's 4-day hospitalization was Rp 1,382,000.

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    An Jovano September 2019

    Original Title

    An Jovano September 2019

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    This document contains an invoice for inpatient treatment from Klinik Pratama "Amal Sehat" clinic. It lists the name and address of the patient, admission and discharge dates, and itemizes the costs of administration, examinations, room charges, procedures, care, visits, supplies, medications, infusions, equipment, laboratory tests, accommodation, and nebulizer treatments. The total cost for the patient's 4-day hospitalization was Rp 1,382,000.

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    © All Rights Reserved
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    8 views2 pages

    Klinik Pratama "Amal Sehat": Rekening Rawat Inap

    Uploaded by

    Muhammad Mahdhy
    This document contains an invoice for inpatient treatment from Klinik Pratama "Amal Sehat" clinic. It lists the name and address of the patient, admission and discharge dates, and itemizes the costs of administration, examinations, room charges, procedures, care, visits, supplies, medications, infusions, equipment, laboratory tests, accommodation, and nebulizer treatments. The total cost for the patient's 4-day hospitalization was Rp 1,382,000.

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    © All Rights Reserved
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    of 2

    KLINIK PRATAMA “AMAL SEHAT”

    Desa Sadang Rt 04 Rw 04 No. 44 A Jekulo Kudus Telp. 081225873652 e-mail : amal.sehat@yahoo.com

    REKENING RAWAT INAP


    NAMA : an. ARSYIL ALAMAT : TEMULUS 2/2

    MASUK : 3 september 2019 TGL KELUAR : 6 september 2019

    I. Administrasi : Rp 15.000
    II. Periksa Klinik : Rp 15.000
    III. Ruangan
    @ Rp55.000 x 4 hari : Rp 220.000
    IV. Tindakan : Rp 15.000
    V. Perawatan
    @ Rp12.500 x 4 hari : Rp 60.000
    VI. Visit
    @ Rp12.500 x 4 hari : Rp 60.000
    VII. Bahan Habis Pakai (BHP) : Rp 50.000
    VIII. Obat
     Obat Oral : Rp 149.000
     Obat Injeksi : Rp 220.000
    IX. Cairan infuse : Rp 220.000
    X. Alkesh (abocath, infuse set, spuit, needle, dll) : Rp 31.000
    XI. Laboratorium : Rp 115.000
    XII. Akomodasi : Rp 132.000
    XIII. Nebulizer : RP 80.000

    Total : Rp 1.382.000

    Kudus, 06 SEPTEMBER 2019

    Mengetahui,

    (Bag. Keuangan)

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