You are on page 1of 11

RSV NO TGL RM No PASIEN Rsv Status JAMINAN UGD

REG1802011 06/04/2018 171005 KARI I MADE RJ BPJS 0


REG1802076 06/04/2018 185129 DARYA NYOMAN RI BPJS 130,000
REG1802095 10/04/2018 170986 Ni Nengah Jamini RI BPJS 50,000
REG1802101 09/04/2018 173051 Gusti Nyoman Wista RI BPJS 0
REG1802125 11/04/2018 185179 MANDARI GUSTI AYU RI BPJS 800,000
REG1802135 12/04/2018 185183 WINDA MADE RI BPJS 135,000
REG1802157 13/04/2018 185192 MUDIANA I WAYAN RI BPJS 540,000
REG1802168 13/04/2018 185195 NI PUTU ERAWATI RI BPJS 150,000
REG1802177 13/04/2018 185198 SUDARMA I KETUT RI BPJS 490,000
REG1802216 16/04/2018 185202 NI KETUT SURIANI RI BPJS 0
REG1802222 16/04/2018 185183 WINDA MADE RJ BPJS 0
REG1802236 17/04/2018 185226 I NYOMAN SUSANA WIRA ADI RI BPJS 0
REG1802245 18/04/2018 185230 MADE TRESNIASIH RI BPJS 120,000
REG1802257 18/04/2018 184424 MADE TUNAS RI BPJS 0
REG1802261 18/04/2018 185179 MANDARI GUSTI AYU RJ BPJS 0
REG1802278 19/04/2018 185183 WINDA MADE RJ BPJS 0
REG1802293 20/04/2018 185202 NI KETUT SURIANI RJ BPJS 0
REG1802296 20/04/2018 185195 NI PUTU ERAWATI RJ BPJS 0
REG1802302 20/04/2018 185255 SETYO TEGUH SANTOSO RJ BPJS 0
REG1802304 20/04/2018 173719 Kadek Damayanti RI BPJS 0
REG1802308 20/04/2018 185256 SUTARSA NYOMAN RI BPJS 120,000
REG1802320 20/04/2018 170773 Ketut Sanjaya RI BPJS 0
REG1802335 23/04/2018 185262 NI MADE SUWITRI RI BPJS 160,000
REG1802338 23/04/2018 185202 NI KETUT SURIANI RJ BPJS 0
REG1802358 24/04/2018 184701 DARMASIH NENGAH RJ BPJS 0
REG1802359 24/04/2018 185270 CINDRA I KETUT RJ BPJS 0
REG1802360 24/04/2018 173719 Kadek Damayanti RJ BPJS 0
REG1802371 24/04/2018 185275 I NYOMAN SULUNG RJ BPJS 130,000
REG1802377 25/04/2018 185278 KEMIL NI KETUT RI BPJS 0
REG1802378 25/04/2018 160200 MADE KEPEK RI BPJS 170,000
REG1802401 26/04/2018 185275 I NYOMAN SULUNG RJ BPJS 0
REG1802420 27/04/2018 185202 NI KETUT SURIANI RJ BPJS 0
REG1802423 27/04/2018 173719 Kadek Damayanti RJ BPJS 0
REG1802429 27/04/2018 184747 LUH RENASIH RI BPJS 230,000
REG1802436 28/04/2018 185304 KUDI NI WAYAN RI BPJS 215,000
REG1802453 29/04/2018 185313 KUNDRI NI WAYAN RI BPJS 230,000
REG1802464 29/04/2018 185320 NI NYOMAN BESOL RI BPJS 185,000
REG1802469 30/04/2018 185278 KEMIL NI KETUT RJ BPJS 0
REG1802470 30/04/2018 160200 MADE KEPEK RJ BPJS 0
REG1802477 30/04/2018 185262 NI MADE SUWITRI RJ BPJS 0
REG1802485 30/04/2018 173719 Kadek Damayanti RJ BPJS 0
REG1802489 30/04/2018 185202 NI KETUT SURIANI RJ BPJS 0
REG1802491 30/04/2018 185275 I NYOMAN SULUNG RJ BPJS 0
RADIOLOGI FARMASI LABORATORIUM MCU VK OK ICU R. TUNJUNG R. CEMPAKA R. JEPUN
0 25,000 0 0 0 0 0 0 0 0
110,000 2,215,900 335,000 0 0 0 0 0 0 0
0 305,800 1,900,000 0 0 0 0 0 1,642,500 0
0 3,264,500 731,000 0 0 0 0 0 0 0
220,000 5,049,600 0 0 0 0 0 0 3,295,000 0
0 187,600 0 0 0 0 0 0 0 0
0 728,400 531,000 0 0 0 0 0 2,402,500 0
0 1,108,000 209,000 0 0 0 0 0 2,085,000 187,500
220,000 996,100 296,000 0 0 0 0 0 0 0
0 716,100 296,000 0 0 1,730,000 0 0 0 0
0 26,000 0 0 0 0 0 0 0 0
0 1,798,700 2,604,000 0 0 0 0 0 1,835,000 0
0 733,900 504,000 0 0 0 0 0 1,292,500 0
0 1,502,800 492,000 0 0 0 0 0 0 0
0 20,000 0 0 0 0 0 0 0 0
0 33,000 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 20,000 0 0 0 0 0 0 0 0
0 228,000 0 0 0 0 0 0 0 0
0 1,599,000 0 0 0 4,810,000 0 0 1,310,000 0
0 410,500 95,000 0 0 0 0 0 0 0
0 498,000 580,000 0 0 0 0 0 1,317,500 0
110,000 615,000 1,069,000 0 0 0 0 0 0 0
0 15,000 0 0 0 0 0 0 0 0
0 40,000 0 0 0 0 0 0 0 0
0 71,000 0 0 0 0 0 0 0 0
0 20,000 0 0 0 0 0 0 0 0
0 128,500 0 0 0 0 0 0 0 0
110,000 630,700 395,000 0 0 0 0 0 0 0
0 358,000 341,000 0 0 0 0 0 0 0
0 20,000 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 13,000 0 0 0 0 0 0 0 0
110,000 819,800 207,000 0 0 0 0 0 0 1,367,500
110,000 1,531,100 431,000 0 0 0 0 0 0 2,240,000
110,000 1,076,600 800,000 0 0 0 0 0 0 0
110,000 2,521,000 2,261,000 0 0 0 0 0 0 0
0 17,000 0 0 0 0 0 0 0 0
0 123,000 0 0 0 0 0 0 0 0
0 20,000 0 0 0 0 0 0 0 0
0 40,000 0 0 0 0 0 0 0 0
0 20,000 0 0 0 0 0 0 0 0
0 23,000 0 0 0 0 0 0 0 0
PENDAPATAN RUMAH SAKIT
R. SANDAT POLI UMUM POLI ANAK POLI BEDAH POLI OBGYN POLI GIGI POLI INTERNIST HCU
0 0 0 0 0 0 30,000 0
1,770,000 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 4,937,500
0 0 0 0 0 0 0 0
1,337,500 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1,440,000 0 0 0 0 0 0 0
892,500 0 0 130,000 0 0 0 0
0 0 0 60,000 0 0 0 0
0 130,000 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1,140,000 0 0 348,000 0 0 0 0
0 0 0 60,000 0 0 0 0
0 0 0 60,000 0 0 0 0
0 0 0 95,000 0 0 0 0
0 0 0 0 0 0 60,000 0
0 0 0 70,000 0 0 0 0
0 0 0 130,000 0 0 0 0
810,000 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
862,500 0 0 0 0 0 0 0
0 0 0 95,000 0 0 0 0
0 0 0 0 0 0 60,000 0
0 0 0 60,000 0 0 0 0
0 45,000 0 50,000 0 0 0 0
0 0 0 0 0 0 0 0
787,500 0 0 180,000 0 0 0 0
787,500 0 0 0 0 0 0 0
0 0 0 95,000 0 0 0 0
0 0 0 115,000 0 0 0 0
0 0 0 115,000 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1,595,000 0 0 0 0 0 0 0
1,365,000 0 0 0 0 0 0 0
0 0 0 0 0 0 60,000 0
0 0 0 0 0 0 60,000 0
0 0 0 60,000 0 0 0 0
0 0 0 100,000 0 0 0 0
0 0 0 60,000 0 0 0 0
0 0 0 95,000 0 0 0 0
POLI PENYAKIT DALAM RR (RECOVERY ROOM) T Biaya Medis T Biaya Obat T Disk Manual BM
0 0 30,000 25,000 0
0 0 2,345,000 2,215,900 0
0 0 3,592,500 305,800 0
0 0 5,668,500 3,264,500 0
0 0 4,315,000 5,049,600 0
0 0 1,472,500 187,600 0
0 0 3,473,500 728,400 0
0 0 2,631,500 1,108,000 0
0 0 2,446,000 996,100 0
0 0 3,048,500 716,100 0
0 0 60,000 26,000 0
0 0 4,569,000 1,798,700 0
0 0 1,916,500 733,900 0
0 0 1,980,000 1,502,800 0
0 0 60,000 20,000 0
0 0 60,000 33,000 0
0 0 95,000 0 0
0 0 60,000 20,000 0
0 0 40,000 228,000 0
0 0 6,250,000 1,599,000 0
0 0 1,025,000 410,500 0
0 0 1,897,500 498,000 0
0 0 2,201,500 615,000 0
0 0 95,000 15,000 0
0 0 60,000 40,000 0
0 0 60,000 71,000 0
0 0 95,000 20,000 0
0 0 130,000 128,500 0
0 0 1,472,500 630,700 0
0 0 1,298,500 358,000 0
0 0 95,000 20,000 0
0 0 115,000 0 0
0 0 115,000 13,000 0
0 0 1,914,500 819,800 0
0 0 2,996,000 1,531,100 0
0 0 2,735,000 1,076,600 0
0 0 3,921,000 2,521,000 0
0 0 60,000 17,000 0
0 0 60,000 123,000 0
0 0 60,000 20,000 0
0 0 100,000 40,000 0
0 0 60,000 20,000 0
0 0 95,000 23,000 0
T Disk Manual BO TOTAL FINAL BILLING DEPOSIT PAYMENT BALANCE
0 55,000 0 55,000 0
0 4,560,900 0 4,560,900 0
0 3,898,300 0 3,898,300 0
0 8,933,000 0 8,933,000 0
0 9,364,600 0 9,364,600 0
0 1,660,100 0 1,660,100 0
0 4,201,900 0 4,201,900 0
0 3,739,500 0 3,739,500 0
0 3,442,100 0 3,442,100 0
0 3,764,600 0 3,764,600 0
0 86,000 0 86,000 0
0 6,367,700 0 0 6,367,700
0 2,650,400 0 2,650,400 0
0 3,482,800 0 3,482,800 0
0 80,000 0 80,000 0
0 93,000 0 93,000 0
0 95,000 0 95,000 0
0 80,000 0 80,000 0
0 268,000 0 268,000 0
0 7,849,000 0 7,849,000 0
0 1,435,500 0 1,435,500 0
0 2,395,500 0 2,395,500 0
0 2,816,500 0 2,816,500 0
0 110,000 0 110,000 0
0 100,000 0 100,000 0
0 131,000 0 131,000 0
0 115,000 0 115,000 0
0 258,500 0 258,500 0
0 2,103,200 0 2,103,200 0
0 1,656,500 0 1,656,500 0
0 115,000 0 115,000 0
0 115,000 0 115,000 0
0 128,000 0 128,000 0
0 2,734,300 0 2,734,300 0
0 4,527,100 0 4,527,100 0
0 3,811,600 0 3,811,600 0
0 6,442,000 0 6,442,000 0
0 77,000 0 77,000 0
0 183,000 0 183,000 0
0 80,000 0 80,000 0
0 140,000 0 140,000 0
0 80,000 0 80,000 0
0 118,000 0 118,000 0
NO RM NAMA PX KUNJUNGAN JAMINAN
185129 DARYA NYOMAN UGD BPJS
170986 Ni Nengah Jamini UGD BPJS
185179 MANDARI GUSTI AYU UGD BPJS
185183 WINDA MADE UGD BPJS
185192 MUDIANA I WAYAN UGD BPJS
185195 NI PUTU ERAWATI UGD BPJS
185198 SUDARMA I KETUT UGD BPJS
185202 NI KETUT SURIANI UGD BPJS
185226 I NYOMAN SUSANA WIRA ADI UGD BPJS
185230 MADE TRESNIASIH UGD BPJS
185256 SUTARSA NYOMAN UGD BPJS
185262 NI MADE SUWITRI UGD BPJS
185278 KEMIL NI KETUT UGD BPJS
160200 MADE KEPEK UGD BPJS
184747 LUH RENASIH UGD BPJS
185304 KUDI NI WAYAN UGD BPJS
185313 KUNDRI NI WAYAN UGD BPJS
185320 NI NYOMAN BESOL UGD BPJS

You might also like