Lap6 CT Usg Radio 6 - 2017

LAPORAN ADMINISTRASI KEUANGAN RS AKADEMIS
UNIT RADIODIAGNOSTIK DENGAN PESAWAT GE BULAN JANUARI 2015

1
1
NOMOR JML KET. TUNAI TAGIHAN CITO HONOR DR. INS. PEG. HARGA FILM
ALKES
TANGGAL NAMA PENDERITA PEMERIKSAAN FILM INSTANSI (LOKET) R.INAP R.JALAN FOTO 33 1/3% X TUN 5% X TUN /BAHAN NETTO
URUT FOTO
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
1 R.081.0081 9-Jan-15 DR.GASALBA,SP.PD BNO 3 POSISI 3 PASIEN UMUM - 400,000 - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
TOTAL TUNAI 3 - 400,000 - - - - - - - -
TAGIHAN RAWAT INAP RADIODIAGNOSTIK YANG MASUK KE RSA BULAN JANUARI 2015
1 RI.3850 31-Jan-15 SYAMSUDDIN,TN BNO 3 POSISI 3 FT.31/12 400,000 - - - 400,000 133,320 20,000 69,900 176,780
2 RI.3737 31-Jan-15 NIRWANA,NN BNO 3 POSISI 3 FT.17/12 400,000 - - - 400,000 133,320 20,000 69,900 176,780
3 RI.1812 31-Jan-15 DR.GASALBA,SP.PD BNO 3 POSISI 3 FT.9/1 400,000 - - - 400,000 133,320 20,000 69,900 176,780
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
9 1,200,000 - - - - 1,200,000 399,960 60,000 209,700 530,340
TOTAL RAWAT INAP 9 1,200,000 - - - - 1,200,000 399,960 60,000 209,700 530,340
TOTAL KESELURUHAN 12 1,200,000 400,000 - - - 1,200,000 399,960 60,000 209,700 530,340
Ket: Makassar, 10 FEBRUARI 2015

- Harga Film/Lbr 23,300 Ka. Instalasi Radiologi RSA "Jaury"
(Dr>Achmad Dara Sp.Rad)

UNIT RADIODIAGNOSTIK BULAN APRIL 2017 2
ALKES/MTR
URUT FOTO
1 R.001.1878 1-Jun-17 HJ A MARIANNA,NY Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
2 R.002.1879 1-Jun-17 HANDRY,TN Thorax 1 BPJS - 150,000 - - - - - - -
3 R.003.1880 1-Jun-17 FRENGKY LAWALATA,TN Thorax 1 BPJS - 150,000 - - - - - - -
4 R.004.1881 1-Jun-17 MARHAENI,NY Thorax 1 BPJS - 195,000 - - - - - - -
5 R.005.1882 2-Jun-17 BILLY PUSUNG,TN Thorax 1 BPJS - - 150,000 - - - - - -
6 R.006.1883 2-Jun-17 HERMANUS M,TN Thorax 1 PLN - 150,000 - - - - - - -
7 R.007.1884 2-Jun-17 SINCE FONGIMAN,NY CERVICAL SYN 1 PASIEN UMUM - 400,000 - - - - - - -
8 R.008.1885 2-Jun-17 SARAKA DG KULLE,TN COLON IN LOOP 2 PASIEN UMUM - 1,500,000 - - - - - - -
9 R.009.1886 2-Jun-17 INDAR JAYA M,TN Thorax 1 BPJS - 150,000 - - - - - - -
10 R.010.1887 2-Jun-17 A ADAM RAMAD,AN Thorax 1 BPJS - 195,000 - - - - - - -
11 R.011.1888 2-Jun-17 ABD.KADIR SIBALI,TN Thorax 1 BPJS - 150,000 - - - - - - -
12 R.012.1889 2-Jun-17 FATMAWATI GULLA,NY BNO 1 BPJS - - 150,000 - - - - - -
13 R.013.1890 2-Jun-17 AMBO TUO HAM,TN Uretrocystografi 2 PASIEN UMUM 1,000,000 - - - 1,000,000 333,300 50,000 46,600 570,100
14 R.014.1891 2-Jun-17 DR FAISAL,TN Thorax 1 PASIEN UMUM 100,000 - - - 100,000 33,330 5,000 23,300 38,370
15 R.015.1892 2-Jun-17 HARIYANSYAH,TN Thorax 1 BPJS - - 150,000 - - - - - -
16 R.016.1893 2-Jun-17 RIJANTI A BARANG,NY Thorax 1 BPJS - - 150,000 - - - - - -
17 R.017.1894 2-Jun-17 MUH.NASIR,TN BNO 1 BPJS - - 150,000 - - - - - -
18 R.018.1895 2-Jun-17 RABIYATUL HADAWIYAH,NN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
19 R.019.1896 2-Jun-17 VERAYANTI,NY Thorax 1 BPJS - 135,000 - - - - - - -
20 R.020.1897 2-Jun-17 BY YASIRA Thorax 1 PASIEN UMUM - 195,000 - - - - - - -
21 R.021.1898 3-Jun-17 AGUNG DJAFAR,TN Thorax 1 BPJS - 150,000 - - - - - - -
22 R.022.1899 3-Jun-17 JAMES PHANDEAN,TN Thorax 1 BPJS - 150,000 - - - - - - -
23 R.023.1900 3-Jun-17 HJ KAMARIAH,NY Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
24 R.024.1901 3-Jun-17 ABD.AZIS ABBAS,TN Thorax 1 BPJS - 150,000 - - - - - - -
25 R.025.1902 3-Jun-17 TESAR AVIANDI,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
26 R.026.1903 3-Jun-17 DG TENE,NY Thorax 1 BPJS - - 150,000 - - - - - -
27 R.027.1904 3-Jun-17 SAMIMMA SKM,NY Thorax 1 BPJS - 150,000 - - - - - - -
28 R.028.1905 3-Jun-17 ABDUL LATIEF,TN COLON IN LOOP 2 BPJS - 1,500,000 - - - - - - -
29 R.029.1906 3-Jun-17 SITI NUR ALIZHA,AN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
30 R.030.1907 3-Jun-17 ANDI HARTATI,NY Thorax 1 BPJS - 150,000 - - - - - - -
31 R.031.1908 3-Jun-17 ABD.RAHMAN,TN BNO 1 BPJS - - 150,000 - - - - - -
32 R.032.1909 3-Jun-17 ROSIDA,NY Thorax 1 BPJS - - 150,000 - - - - - -
33 R.033.1910 3-Jun-17 SULTAN RADI,AN Thorax 1 BPJS - - 150,000 - - - - - -
34 R.034.1911 3-Jun-17 DR.ABD.WAHAB,TN Thorax 1 PASIEN UMUM 100,000 - - - 100,000 33,330 5,000 23,300 38,370
37 1,500,000 6,070,000 1,350,000 - - 1,500,000 499,950 75,000 139,800 785,250
ALKES/MTR
URUT FOTO
37 1,500,000 6,070,000 1,350,000 - - 1,500,000 499,950 75,000 139,800 785,250
35 R.035.1912 3-Jun-17 RAHMAT RAIHAN,AN Thorax 1 BPJS - - 150,000 - - - - - -
36 R.036.1913 3-Jun-17 AGUS SALIM SYUKUR,TN Thorax 1 INHEALTH - - 135,000 - - - - - -
37 R.037.1914 4-Jun-17 HJ CALLE,NY Thorax 1 BPJS - 150,000 - - - - - - -
38 R.038.1915 4-Jun-17 MISKAH TANISHA,AN Thorax 1 BPJS - 150,000 - - - - - - -
39 R.039.1916 4-Jun-17 VICTOR JUNCEN T,TN MANUS 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
40 R.040.1917 5-Jun-17 DRS.H ABU NUSU,TN BNO 1 BPJS - 150,000 - - - - - - -
41 R.041.1918 5-Jun-17 HJ B PUJI,NY Thorax 1 BPJS - 150,000 - - - - - - -
42 R.042.1919 5-Jun-17 FAIZ HIDAYATULLAH,AN Thorax 1 BPJS - 150,000 - - - - - - -
43 R.043.1920 5-Jun-17 NORMA,NY Thorax 1 BPJS - - 150,000 - - - - - -
44 R.044.1921 5-Jun-17 ZAINAL ABIDIN,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
45 R.045.1922 5-Jun-17 HASNA,NY Thorax 1 BPJS - - 150,000 - - - - - -
46 R.046.1923 5-Jun-17 MUNIAH SOEMARYO,NY Thorax 1 BPJS - 150,000 - - - - - - -
47 R.047.1924 5-Jun-17 DG BEDDU,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
48 R.048.1925 5-Jun-17 AL FARHAN MUH,TN ANTEBRACHI S 1 BPJS - - 250,000 - - - - - -
49 R.049.1926 6-Jun-17 A ROSMINI PANTJARA,NY Thorax 1 BPJS - 150,000 - - - - - - -
50 R.050.1927 6-Jun-17 BENNY TEJOWARDY,TN Thorax 1 BPJS - - 150,000 - - - - - -
51 R.051.1928 6-Jun-17 NURLINDA,NY Thorax 1 BPJS - 195,000 - - - - - - -
52 R.052.1929 6-Jun-17 HJ MASITA,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
53 R.053.1930 6-Jun-17 BASRI WIDJAYA,TN Thorax 1 BPJS - 195,000 - - - - - - -
54 R.054.1931 6-Jun-17 SARAKA DG KULLE,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
55 R.055.1932 6-Jun-17 BENNY TEJOWARDY,TN SHOULDER 1 BPJS - 195,000 - - - - - - -
56 R.056.1933 6-Jun-17 JAMALUDDIN H,TN BNO 1 BPJS - - 150,000 - - - - - -
57 R.057.1934 6-Jun-17 JUNAEDE,TN Thorax 1 BPJS - - 150,000 - - - - - -
58 R.058.1935 6-Jun-17 BASO DARWIS,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
59 R.059.1936 6-Jun-17 NATHASIA P,NN Thorax 1 BPJS - - 150,000 - - - - - -
60 R.060.1937 7-Jun-17 AMINAH,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
61 R.061.1938 7-Jun-17 USMAN DG NGITUNG,TN Thorax 1 BPJS - 150,000 - - - - - - -
62 R.062.1939 7-Jun-17 OEI GIOK TJOE,TN Thorax 1 BPJS - 150,000 - - - - - - -
63 R.063.1940 7-Jun-17 ANNEKE,NY TORACOLUMBAL 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
64 R.064.1941 7-Jun-17 ANDI HARTATI,NY BNO 1 BPJS - - 150,000 - - - - - -
65 R.065.1942 7-Jun-17 HADRA M MUSA,NY Thorax+ANKLE 2 INHEALTH - - 360,000 - - - - - -
66 R.066.1943 7-Jun-17 SUMIATI,NY MANUS 1 BPJS - - 250,000 - - - - - -
67 R.067.1944 7-Jun-17 SALIHU TAHA,TN Thorax 1 INHEALTH - - 135,000 - - - - - -
68 R.068.1945 7-Jun-17 MARWIAH,NY Thorax 1 BPJS - - 150,000 - - - - - -
ALKES/MTR
URUT FOTO
35 950,000 2,385,000 2,480,000 - - 950,000 316,635 47,500 116,500 469,365
72 2,450,000 8,455,000 3,830,000 - - 2,450,000 816,585 122,500 256,300 1,254,615
69 R.069.1946 7-Jun-17 ADI MULIADI,TN Thorax 1 PASIEN UMUM - - 150,000 - - - - - -
70 R.070.1947 7-Jun-17 HIDAYATULLAH,TN Thorax 1 INDOFOOD - 150,000 - - - - - - -
71 R.071.1948 8-Jun-17 MANG ARFAH,MM,TN Thorax 1 BPJS - 150,000 - - - - - - -
72 R.072.1949 8-Jun-17 H MAHFUD,TN Thorax 1 PLN - - 150,000 - - - - - -
73 R.073.1950 8-Jun-17 TAJUDDIN,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
74 R.074.1951 8-Jun-17 NURHAEDAH,NY LUMBOSACRAL 1 BPJS - - 250,000 - - - - - -
75 R.075.1952 8-Jun-17 ANDI ANWAR SUMUDY,TN Thorax 1 BPJS - 150,000 - - - - - - -
76 R.076.1953 8-Jun-17 MURNI,AN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
77 R.077.1954 8-Jun-17 NOURMA SUTINEM,NY Thorax 1 BPJS - 150,000 - - - - - - -
78 R.078.1955 8-Jun-17 LU CUK FUNG,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
79 R.079.1956 8-Jun-17 LO VONNY,NY Thorax+SINUS 2 PASIEN UMUM 400,000 - - - 400,000 133,320 20,000 46,600 200,080
80 R.080.1957 8-Jun-17 HJ FATMAWATI,NY Thorax 1 BPJS - - 150,000 - - - - - -
81 R.081.1958 8-Jun-17 USMAN RASYID,TN BNO 1 BPJS - - 150,000 - - - - - -
82 R.082.1959 8-Jun-17 ABD.RAHMAN KUBE,TN LUMBOSACRAL 1 INHEALTH - - 225,000 - - - - - -
83 R.083.1960 8-Jun-17 IRA MAYANTI,NY BNO 1 BPJS - - 150,000 - - - - - -
84 R.084.1961 8-Jun-17 RUSMAN K LOTTA,TN BNO 1 BPJS - - 150,000 - - - - - -
85 R.085.1962 9-Jun-17 RIKAYANTI,NN Thorax 1 BPJS - 150,000 - - - - - - -
86 R.086.1963 9-Jun-17 HANA SULILING,NY Thorax 1 BPJS - 150,000 - - - - - - -
87 R.087.1964 9-Jun-17 ABDUL MAJID,TN Thorax 1 BPJS - 150,000 - - - - - - -
88 R.088.1965 9-Jun-17 HASNIA,NY Thorax 1 BPJS - 150,000 - - - - - - -
89 R.089.1966 9-Jun-17 AFWAN RIJAL,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
90 R.090.1967 9-Jun-17 HJ SADARIAH,NY TORACOLUMBAL 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
91 R.091.1968 9-Jun-17 LUKAS LOBO,TN Thorax 1 BPJS - 150,000 - - - - - - -
92 R.092.1969 9-Jun-17 INDRA,TN Thorax 1 BPJS - - 150,000 - - - - - -
93 R.093.1970 9-Jun-17 ANSAR,TN Thorax 1 BPJS - - 150,000 - - - - - -
94 R.094.1971 9-Jun-17 LINCE WIJAYA,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
95 R.095.1972 9-Jun-17 HJ I JUBA,NY Thorax 1 INHEALTH - - 135,000 - - - - - -
96 R.096.1973 10-Jun-17 MUSTAFA,TN Thorax 1 BPJS - 150,000 - - - - - - -
97 R.097.1974 10-Jun-17 ST NURALAM,NY BNO 1 BPJS - 150,000 - - - - - - -
98 R.098.1975 10-Jun-17 MURIATI,NY Thorax 1 BPJS - 150,000 - - - - - - -
99 R.099.1976 10-Jun-17 IRA RISWANA,NN Thorax 1 BPJS - 150,000 - - - - - - -
100 R.100.1977 10-Jun-17 HJ INTANG,NY Thorax 1 BPJS - 150,000 - - - - - - -
101 R.101.1978 10-Jun-17 HJ YONENG,NY PEDIS 1 INHEALTH - - 225,000 - - - - - -
ALKES/MTR
URUT FOTO
102 R.102.1979 10-Jun-17 AYU SARTIKA,NY Thorax 1 INHEALTH - 135,000 - - - - - - -
35 1,400,000 2,235,000 2,035,000 - - 1,400,000 466,620 70,000 186,400 676,980
107 3,850,000 10,690,000 5,865,000 - - 3,850,000 1,283,205 192,500 442,700 1,931,595
103 R.103.1980 10-Jun-17 NUR ASMA,NY BNO 1 BPJS - - 150,000 - - - - - -
104 R.104.1981 10-Jun-17 SUBU CARA,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
105 R.105.1982 11-Jun-17 ANDI HERMANTO,TN KEPALA 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
106 R.106.1983 12-Jun-17 MELANIE DE GRAVE,NY BONE SURVEY 3 BPJS - 1,350,000 - - - - - - -
107 R.107.1984 12-Jun-17 NURSIAH DG MALANG,NY Fmr+LS+T.Lumbal 3 PLN - - 750,000 - - - - - -
108 R.108.1985 12-Jun-17 A MUH.TRISTAN S,AN Thorax 1 BPJS - 150,000 - - - - - - -
109 R.109.1986 12-Jun-17 ANDI SALAHUDDIN,TN Thorax 1 BPJS - - 150,000 - - - - - -
110 R.110.1987 12-Jun-17 ILHAM CHALIQ S,TN Thorax 1 BPJS - 150,000 - - - - - - -
111 R.111.1988 12-Jun-17 SLAMET POERWINDARI,TN CERVICAL 1 PLN - 250,000 - - - - - - -
112 R.112.1989 12-Jun-17 ST HJ NORMAH,NY Thorax 1 PLN - 150,000 - - - - - - -
113 R.113.1990 12-Jun-17 INGRIANI,NY Thorax 1 BPJS - - 150,000 - - - - - -
114 R.114.1991 12-Jun-17 AINUL ARSYAD,TN Thorax 1 BPJS - - 150,000 - - - - - -
115 R.115.1992 12-Jun-17 ALIEFKA FATUR RAHMAT,TN Thorax 1 BPJS - - 150,000 - - - - - -
116 R.116.1993 12-Jun-17 A NURHIDAYAT,TN GENU 1 BPJS - - 250,000 - - - - - -
117 R.117.1994 12-Jun-17 ROSNI ZULGAWI P,NY LUMBOSACRAL 1 BPJS - - 250,000 - - - - - -
118 R.118.1995 13-Jun-17 NUR MUHAMMAD,TN Thorax 1 PLN - 150,000 - - - - - - -
119 R.119.1996 13-Jun-17 AMBO TUO HAM,TN Thorax 1 BPJS - 150,000 - - - - - - -
120 R.120.1997 13-Jun-17 SUHARDI,TN CRURIS 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
121 R.121.1998 13-Jun-17 ABD HARIS,TN Thorax 1 BPJS - 150,000 - - - - - - -
122 R.122.1999 13-Jun-17 HARNIDA RAIS,NY ANTEBRACHI S 1 TELKOM - - 225,000 - - - - - -
123 R.123.2000 13-Jun-17 RISAL ARFANDI,TN CRURIS 1 BPJS - - 250,000 - - - - - -
124 R.124.2001 13-Jun-17 ANDI MUH.FAHRUL,TN GENU D 1 BPJS - - 250,000 - - - - - -
125 R.125.2002 13-Jun-17 CECEP SUPRIADI,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
126 R.126.2003 13-Jun-17 SURIYANI,NY CERVICAL SYN 1 PASIEN UMUM 400,000 - - - 400,000 133,320 20,000 23,300 223,380
127 R.127.2004 13-Jun-17 A A GD NGURAH,TN Thorax 1 BPJS - - 150,000 - - - - - -
128 R.128.2005 13-Jun-17 HJ KARTINI,NY TORACOLUMBAL 1 BPJS - 150,000 - - - - - - -
129 R.129.2006 14-Jun-17 DAMIS,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
130 R.130.2007 14-Jun-17 ANDI BESSE YUSNANI,NN Thorax 1 BPJS - 150,000 - - - - - - -
131 R.131.2008 14-Jun-17 HJ ZAKIAH HASBULLAH,NY LUMBOSACRAL 1 BPJS - 250,000 - - - - - - -
132 R.132.2009 14-Jun-17 ARDY,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
133 R.133.2010 14-Jun-17 SUNUSI COANG,TN LUMBOSACRAL 1 BPJS - - 250,000 - - - - - -
134 R.134.2011 14-Jun-17 ARMILA YUNUS,NY Thorax 1 BPJS - 150,000 - - - - - - -
ALKES/MTR
URUT FOTO
135 R.135.2012 14-Jun-17 MARIA KANDIRI,NY OMD FOTO 2 BPJS - 1,000,000 - - - - - - -
136 R.136.2013 14-Jun-17 TAHIR,TN BNO 1 BPJS - - 150,000 - - - - - -
39 1,200,000 4,500,000 3,275,000 - - 1,200,000 399,960 60,000 116,500 623,540
146 5,050,000 15,190,000 9,140,000 - - 5,050,000 1,683,165 252,500 559,200 2,555,135
137 R.137.2014 14-Jun-17 SYAFRIA,NY Thorax 1 INHEALTH - - 135,000 - - - - - -
138 R.138.2015 14-Jun-17 LIA,NY Thorax 1 BPJS - - 150,000 - - - - - -
139 R.139.2016 14-Jun-17 FRENGKY LAWALATA,TN Thorax 1 BPJS - 195,000 - - - - - - -
140 R.140.2017 14-Jun-17 FAJAR,TN Thorax 1 BPJS - 150,000 - - - - - - -
141 R.141.2018 15-Jun-17 MUH.ALIF,TN Thorax 1 BPJS - 150,000 - - - - - - -
142 R.142.2019 15-Jun-17 ASMAH,NY Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
143 R.143.2020 15-Jun-17 KHO MEI ING,NY Thx+Pelvis+Femur 3 PASIEN UMUM 550,000 - - - 550,000 183,315 27,500 69,900 269,285
144 R.144.2021 15-Jun-17 MUSNENI TANI,NY Thorax 1 BPJS - 150,000 - - - - - - -
145 R.145.2022 15-Jun-17 MUSTAMIN M,TN PELVIS 1 BPJS - 150,000 - - - - - - -
146 R.146.2023 15-Jun-17 ARWINY,NY COLON IN LOOP 2 INHEALTH - - 1,500,000 - - - - - -
147 R.147.2024 15-Jun-17 FRISISKA MANUKRANTE,NY Thorax 1 BPJS - - 150,000 - - - - - -
148 R.148.2025 15-Jun-17 ST HASNAH,NY COLON IN LOOP 2 BPJS - 1,500,000 - - - - - - -
149 R.149.2026 15-Jun-17 ROSMALA DG NGAI,NY Thorax 1 BPJS - 150,000 - - - - - - -
150 R.150.2027 15-Jun-17 INTAN RISKY H,AN Thorax 1 BPJS - 150,000 - - - - - - -
151 R.151.2028 15-Jun-17 JALIL,SE,TN Thorax 1 INHEALTH - 135,000 - - - - - - -
152 R.152.2029 15-Jun-17 MUH.TAHIR,TN Thorax 1 BPJS - 150,000 - - - - - - -
153 R.153.2030 15-Jun-17 HASIYAH,NY Thorax 1 BPJS - - 150,000 - - - - - -
154 R.154.2031 16-Jun-17 LIFANDY TUNIARY,TN Thorax 1 BPJS - 150,000 - - - - - - -
155 R.155.2032 16-Jun-17 FAISAL SYUKUR,TN Thorax 1 BPJS - 150,000 - - - - - - -
156 R.156.2033 16-Jun-17 RUSDY WIJAYA,TN FEMUR D 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
157 R.157.2034 16-Jun-17 AINA ZAHRA S,AN Thorax 1 BPJS - - 150,000 - - - - - -
158 R.158.2035 16-Jun-17 EMMY RAKHMAN,NY Thorax 1 BPJS - 150,000 - - - - - - -
159 R.159.2036 16-Jun-17 BACHRI B,TN BNO 3 POSISI 3 PASIEN UMUM - 400,000 - - - - - - -
160 R.160.2037 16-Jun-17 MAPPELAWA,TN Thorax 1 BPJS - - 150,000 - - - - - -
161 R.161.2038 16-Jun-17 SYAMSIR YASIN,TN BNO 1 BPJS - - 150,000 - - - - - -
162 R.162.2039 16-Jun-17 WA ODE SITTI RISNAWATI,NY BNO 1 BPJS - - 150,000 - - - - - -
163 R.163.2040 16-Jun-17 RENALDI,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
164 R.164.2041 16-Jun-17 JEAN TOLANGI,NN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
165 R.165.2042 16-Jun-17 ABD.KADIR SIBALI,TN Cholangiografi 2 BPJS - - 800,000 - - - - - -
166 R.166.2043 17-Jun-17 M RIDWAN HAMING,TN Thorax 1 PLN - 150,000 - - - - - - -
167 R.167.2044 17-Jun-17 YURI ELISABETH,AN Thorax+BNO 2 PASIEN UMUM - 300,000 - - - - - - -
ALKES/MTR
URUT FOTO
168 R.168.2045 17-Jun-17 HASANUDDIN,TN Thorax 1 BPJS - - 150,000 - - - - - -
169 R.169.2046 17-Jun-17 ISHAK,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
170 R.170.2047 17-Jun-17 ABD.HAMJAH ALI,TN WRIST 1 BPJS - - 250,000 - - - - - -
42 1,250,000 4,330,000 3,885,000 - - 1,250,000 416,625 62,500 163,100 607,775
188 6,300,000 19,520,000 13,025,000 - - 6,300,000 2,099,790 315,000 722,300 3,162,910
171 R.171.2048 17-Jun-17 ULFA MAUDINA,NN Thorax 1 BPJS - - 150,000 - - - - - -
172 R.172.2049 17-Jun-17 NURLIANI,NY Thorax 1 PLN - - 150,000 - - - - - -
173 R.173.2050 17-Jun-17 DAWANG DG PUJI,NY BNO-IVP 2 BPJS - 1,800,000 - - - - - - -
174 R.174.2051 17-Jun-17 HERMAN TANUMIHARJA,TN GENU 1 BPJS - - 250,000 - - - - - -
175 R.175.2052 17-Jun-17 ABD SALAM,TN PELVIS 1 BPJS - - 150,000 - - - - - -
176 R.176.2053 17-Jun-17 PINCE LALONG,NY Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
177 R.177.2054 17-Jun-17 ROBIN MARTEN,TN BNO 1 BPJS - - 150,000 - - - - - -
178 R.178.2055 17-Jun-17 ELISABETH,NY Thorax 1 BPJS - - 150,000 - - - - - -
179 R.179.2056 17-Jun-17 MANDA DG NGUNJUNG,NY Thorax 1 BPJS - 150,000 - - - - - - -
180 R.180.2057 17-Jun-17 MAWARA PADU,NY Thorax 1 BPJS - 150,000 - - - - - - -
181 R.181.2058 19-Jun-17 FACHRUL SUDIRMAN,TN MANUS 1 BPJS - - 150,000 - - - - - -
182 R.182.2059 19-Jun-17 KUNNU DG BETA,TN PEDIS 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
183 R.183.2060 19-Jun-17 MUH.AWAL,TN PEDIS 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
184 R.184.2061 19-Jun-17 JENNY WIDJAYA,NY TORACOLUMBAL 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
185 R.185.2062 19-Jun-17 ALISHA AZZAHRA A,AN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
186 R.186.2063 19-Jun-17 HJ RAHMAH SYAM,NY GENU D 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
187 R.187.2064 19-Jun-17 GO MEI TJOE,NN Thorax 1 INHEALTH - 135,000 - - - - - - -
188 R.188.2065 19-Jun-17 H AGUS SALIM,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
189 R.189.2066 19-Jun-17 HJ NUMIATI MAS'UD,NY Thorax 1 BPJS - 150,000 - - - - - - -
190 R.190.2067 19-Jun-17 HJ SAIYAH,NY Thorax 1 BPJS - - 150,000 - - - - - -
191 R.191.2068 19-Jun-17 ST SOHO,NY PELVIS 1 BPJS - - 150,000 - - - - - -
192 R.192.2069 19-Jun-17 DIMPAN PANGARIBUAN,TN GENU 1 BPJS - - 250,000 - - - - - -
193 R.193.2070 19-Jun-17 SYAM B GOWA,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
194 R.194.2071 20-Jun-17 FONNY,NY LUMBOSACRAL 1 PASIEN UMUM - 250,000 - - - - - - -
195 R.195.2072 20-Jun-17 MAWARA PADU,NY LUMBOSACRAL 1 PLN - 250,000 - - - - - - -
196 R.196.2073 20-Jun-17 NURDIN,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
197 R.197.2074 20-Jun-17 HJ ST MAEMUNAH,NY Thorax 1 BPJS - 150,000 - - - - - - -
198 R.198.2075 20-Jun-17 A NASTAINUL HAQ,TN Thorax 1 BPJS - 150,000 - - - - - - -
199 R.199.2076 20-Jun-17 SYARIPUDDIN,TN Thorax 1 BPJS - 150,000 - - - - - - -
200 R.200.2077 20-Jun-17 LIFANDY TUNIARY,TN Thorax 1 BPJS - 150,000 - - - - - - -
ALKES/MTR
URUT FOTO
201 R.201.2078 20-Jun-17 H IR.ARMAN JAYA,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
202 R.202.2079 20-Jun-17 ARDYANSYAH R,TN ANTEBRACHI S 1 BPJS - - 250,000 - - - - - -
203 R.203.2080 20-Jun-17 SANABO,NY Thorax 1 INHEALTH - 135,000 - - - - - - -
204 R.204.2081 20-Jun-17 KAMSING,TN Thorax 1 BPJS - - 150,000 - - - - - -
35 1,450,000 4,070,000 2,100,000 - - 1,450,000 483,285 72,500 163,100 731,115
223 7,750,000 23,590,000 15,125,000 - - 7,750,000 2,583,075 387,500 885,400 3,894,025
205 R.205.2082 20-Jun-17 ADOLFINA S TIMISELA,NY Thorax 1 BPJS - 150,000 - - - - - - -
206 R.206.2083 20-Jun-17 A RUHAENI,NY Thorax 1 BPJS - - 150,000 - - - - - -
207 R.207.2084 20-Jun-17 HASNIATI,NY LUMBOSACRAL 1 SURYA RAYA - - 250,000 - - - - - -
LESTARI
208 R.208.2085 21-Jun-17 HJ NURUNG,NY T.Lumbal+LS 2 PASIEN UMUM - 500,000 - - - - - - -
209 R.209.2086 21-Jun-17 ZAKI,AN MANUS 1 PLN - - 250,000 - - - - - -
210 R.210.2087 21-Jun-17 LIEN HONG TJIO,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
211 R.211.2088 21-Jun-17 HJ SITTI HUDAJAH,NY Thorax 1 TELKOM - 135,000 - - - - - - -
212 R.212.2089 21-Jun-17 MARIA FEBRY JENISA,NN CERVICAL+LS 2 PASIEN UMUM 500,000 - - - 500,000 166,650 25,000 46,600 261,750
213 R.213.2090 21-Jun-17 HJ INTAN DIANTI,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
214 R.214.2091 21-Jun-17 HARRY E RIEUPASSA,TN Thorax 1 INHEALTH - - 135,000 - - - - - -
215 R.215.2092 21-Jun-17 DIANA PASIA AKDILA,NY Thorax 1 BPJS - - 150,000 - - - - - -
216 R.216.2093 21-Jun-17 MUH.JUFRI,TN Thorax 1 INHEALTH - - 135,000 - - - - - -
217 R.217.2094 22-Jun-17 WAWAN HENDRA,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
218 R.218.2095 22-Jun-17 HJ MASITA,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
219 R.219.2096 22-Jun-17 MUH.NUR LILI,TN TORACOLUMBAL 1 PASIEN UMUM - 250,000 - - - - - - -
220 R.220.2097 22-Jun-17 KHAYLANNISA AZZAHRA,AN ANTEBRACHI S/D 2 BPJS - - 500,000 - - - - - -
221 R.221.2098 22-Jun-17 H ABDULLAH,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
222 R.222.2099 22-Jun-17 MELDA WUISAN,NY Thorax 1 BPJS - 150,000 - - - - - - -
223 R.223.2100 22-Jun-17 HJ ST MAEMUNAH,NY Thorax 1 BPJS - 150,000 - - - - - - -
224 R.224.2101 23-Jun-17 SILVIA YOSEP,NY Thorax 1 BPJS - - 150,000 - - - - - -
225 R.225.2102 23-Jun-17 ST MAIDURI P,NY Thorax 1 BPJS - 150,000 - - - - - - -
226 R.226.2103 23-Jun-17 MEI NOERHADI,TN LUMBOSACRAL 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
227 R.227.2104 23-Jun-17 HAJERAH,NY Thorax 1 BPJS - 150,000 - - - - - - -
228 R.228.2105 24-Jun-17 M HAMZUL,TN Thorax 1 BPJS - 150,000 - - - - - - -
229 R.229.2106 25-Jun-17 HALIMAH,NY Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
230 R.230.2107 25-Jun-17 DG TALABIRI,NY Thorax 1 BPJS - 195,000 - - - - - - -
231 R.231.2108 25-Jun-17 HJ FARIDA,NY Thorax 1 PLN - 150,000 - - - - - - -
232 R.232.2109 26-Jun-17 INA YANCI RAIB,NY PELVIS 1 PASIEN UMUM - 150,000 - - - - - - -
233 R.233.2110 26-Jun-17 KASINAH,NY Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
ALKES/MTR
URUT FOTO
234 R.234.2111 26-Jun-17 INA YANCI RAIB,NY Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
235 R.235.2112 26-Jun-17 LA ODE HAZAKRI,TN ANTEBRACHI 1 BPJS - - 250,000 - - - - - -
236 R.236.2113 26-Jun-17 THE TJHUN NJU,NY ANTEBRACHI 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
237 R.237.2114 26-Jun-17 ZAINUDDIN,TN PEDIS 1 INHEALTH - - 225,000 - - - - - -
238 R.238.2115 26-Jun-17 SONNY,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
37 1,450,000 3,180,000 2,195,000 - - 1,450,000 483,285 72,500 163,100 731,115
260 9,200,000 26,770,000 17,320,000 - - 9,200,000 3,066,360 460,000 1,048,500 4,625,140
239 R.239.2116 27-Jun-17 H ABD.HALIM ISHAK,TN Thorax 1 YAKES TELKOM - 150,000 - - - - - - -
240 R.240.2117 27-Jun-17 HJ JIBO MEMANG,NY Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
241 R.241.2118 27-Jun-17 FONNY,NY Thorax 1 BPJS - 150,000 - - - - - - -
242 R.242.2119 27-Jun-17 JENNY ANDRIES,TN Thorax 1 BPJS - 150,000 - - - - - - -
243 R.243.2120 27-Jun-17 HJ BUNGATANG RAPID,NY Thorax 1 BPJS - 150,000 - - - - - - -
244 R.244.2121 27-Jun-17 FERY ISWANDI,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
245 R.245.2122 28-Jun-17 SITTI HASNAH PADU,NY Thorax 1 BPJS - 150,000 - - - - - - -
246 R.246.2123 28-Jun-17 HJ NUPE,NY Thorax 1 BPJS - 195,000 - - - - - - -
247 R.247.2124 28-Jun-17 SAHRUNI,NY Thorax 1 BPJS - 150,000 - - - - - - -
248 R.248.2125 28-Jun-17 M HAMZUL,TN Thorax 1 BPJS - 150,000 - - - - - - -
249 R.249.2126 28-Jun-17 SANTI FARADIBA,NY Thorax 1 BPJS - 150,000 - - - - - - -
250 R.250.2127 28-Jun-17 HJ DEMMAWATI,NY Thorax 1 BPJS - 150,000 - - - - - - -
251 R.251.2128 28-Jun-17 H ABDULLAH,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
252 R.252.2129 28-Jun-17 LILI HS,NY Thorax 1 PASIEN UMUM - - 150,000 - - - - - -
253 R.253.2130 28-Jun-17 IKBAL,TN Thorax 1 BPJS - - 150,000 - - - - - -
254 R.254.2131 28-Jun-17 DR.NUKMAN,TN Thorax 1 PASIEN UMUM - - 150,000 - - - - - -
255 R.255.2132 28-Jun-17 JOS DHANI SONISA,TN Thorax 1 BPJS - 150,000 - - - - - - -
256 R.256.2133 28-Jun-17 AHNAF MARWANTO,AN Thorax 1 BPJS - - 150,000 - - - - - -
257 R.257.2134 28-Jun-17 LIEKE SOLIHAN,NY Thorax 1 BPJS - - 150,000 - - - - - -
258 R.258.2135 29-Jun-17 MARTHA MARGARETHA,NY Thorax 1 TELKOM - 135,000 - - - - - - -
259 R.259.2136 29-Jun-17 COOTJE L FERDINANDUS,NY Thorax 1 BPJS - 150,000 - - - - - - -
260 R.260.2137 29-Jun-17 TAMRIN J,TN Thorax 1 BPJS - 150,000 - - - - - - -
261 R.261.2138 29-Jun-17 HAWIAH,NY BNO 3 POSISI 3 BPJS - 400,000 - - - - - - -
262 R.262.2139 29-Jun-17 ALIMAN,TN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
263 R.263.2140 29-Jun-17 MUH.REZA,AN Thorax 1 PASIEN UMUM - - 150,000 - - - - - -
264 R.264.2141 29-Jun-17 AHMAD HAMIZAN,AN Thorax 1 PASIEN UMUM - 150,000 - - - - - - -
265 R.265.2142 29-Jun-17 MARKUS TANDI,TN LUMBOSACRAL 1 PASIEN UMUM - - 250,000 - - - - - -
266 R.266.2143 29-Jun-17 YULIANA MINGGU,NY Thorax 1 BPJS - - 150,000 - - - - - -
ALKES/MTR
URUT FOTO
267 R.267.2144 29-Jun-17 DR.DENNY M,TN ANKLE 1 PASIEN UMUM - - 200,000 - - - - - -
268 R.268.2145 29-Jun-17 AGUS SALIM,TN Thorax 1 PASIEN UMUM - - 150,000 - - - - - -
269 R.269.2146 30-Jun-17 NURUL IFADAH F,AN Thorax+Cervical 2 BPJS - - 300,000 - - - - - -
270 R.270.2147 30-Jun-17 HJ JINNE,NY Thorax 1 BPJS - 150,000 - - - - - - -
271 R.271.2148 30-Jun-17 ALEX SAMPEPAYUNG,TN Thorax 1 BPJS - 150,000 - - - - - - -
272 R.272.2149 30-Jun-17 FATHIAN SHARIQ F,AN Thorax 1 BPJS - 150,000 - - - - - - -
37 - 3,730,000 1,950,000 - - - - - - -
297 9,200,000 30,500,000 19,270,000 - - 9,200,000 3,066,360 460,000 1,048,500 4,625,140
273 R.273.2150 30-Jun-17 ASDAR,TN Thorax 1 BPJS - - 150,000 - - - - - -
274 R.274.2151 30-Jun-17 SYAMSUDDIN DM,TN Thorax 1 BPJS - 150,000 - - - - - - -
275 R.275.2152 30-Jun-17 M TAHIR MAING,TN Thorax 1 BPJS - 195,000 - - - - - - -
276 R.276.2153 30-Jun-17 GRACE PAOTONAN,NY Thorax 1 BPJS - 150,000 - - - - - - -
277 R.277.2154 30-Jun-17 MUH.NABIL UKAIL,AN Thorax 1 BPJS - 150,000 - - - - - - -
278 R.296.1803 24-May-17 DANDI MAULANA TUTU,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
279 R.304.1811 26-May-17 ANNISA ZAZA,AN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
280 R.308.1815 26-May-17 SURGA DIAN NOVITA,NN PEDIS 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
281 R.309.1816 26-May-17 SUBHAN AR,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
282 R.312.1819 26-May-17 WENNY TJIA,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
283 R.314.1821 27-May-17 LENNY SUHARTONO,NY T.Lumbal+LS 2 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 46,600 107,575
284 R.319.1826 27-May-17 LILY TJANDRA,NY LUMBOSACRAL 1 PASIEN UMUM 250,000 - - - 250,000 83,325 12,500 23,300 130,875
285 R.332.1839 29-May-17 MUH.AGUS JULIANTO,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
286 R.338.1845 29-May-17 KASMA,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
287 R.347.1854 30-May-17 DORCE PAKOMBONG,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
288 R.348.1855 30-May-17 A SUYUTI P,TN Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
289 R.352.1859 30-May-17 HJ TISNAWATI TISI,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
290 R.363.1870 31-May-17 HJ SUHRA,NY Thorax 1 PASIEN UMUM 150,000 - - - 150,000 49,995 7,500 23,300 69,205
291 R.366.1873 31-May-17 ARWINDA HANNI,NY Fistulografi 2 PASIEN UMUM 1,000,000 - - - 1,000,000 333,300 50,000 46,600 570,100
21 3,250,000 645,000 150,000 - - 3,250,000 1,083,225 162,500 372,800 1,631,475

TOTAL TUNAI 318 12,450,000 31,145,000 19,420,000 - - 12,450,000 4,149,585 622,500 1,421,300 6,256,615
TAGIHAN RAWAT INAP RADIODIAGNOSTIK YANG MASUK KE RSA BULAN JUNI 2017
1 RI.1884 30-Jun-17 SINCE FONGIMAN,NY CERVICAL SYN 1 FT.2/6 400,000 - - - 400,000 133,320 20,000 23,300 223,380
2 RI.1878 30-Jun-17 A MARIANNA HJ,NY Thorax 1 FT.1/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
3 RI.1900 30-Jun-17 KAMARIAH HJ,NY Thorax 1 FT.3/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
ALKES/MTR
URUT FOTO
4 RI.1897 30-Jun-17 BY YASIRA Thorax 1 FT.2/6 195,000 - - 45,000 150,000 49,995 7,500 23,300 69,205
5 RI.1872 30-Jun-17 NIARTI,AN Thorax 1 FT.31/5 150,000 - - - 150,000 49,995 7,500 23,300 69,205
6 RI.1902 30-Jun-17 TESAR AVIANDI,TN Thorax 1 FT.3/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
7 RI.1871 30-Jun-17 A ROSDIANA HJ,NY Thorax 1 FT.31/5 150,000 - - - 150,000 49,995 7,500 23,300 69,205
8 RI.1867 30-Jun-17 HERLINA K USMAN,NY Thorax 1 FT.30/5 150,000 - - - 150,000 49,995 7,500 23,300 69,205
9 RI.1921 30-Jun-17 ZAINAL ABIDIN,TN Thorax 1 FT.5/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
10 RI.1931 30-Jun-17 SARAKA DG KULLE H,TN Thorax 1 FT.5/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
10 1,795,000 - - 45,000 - 1,750,000 583,275 87,500 233,000 846,225
10 1,795,000 - - 45,000 - 1,750,000 583,275 87,500 233,000 846,225
11 RI.1885 30-Jun-17 SARAKA DG KULLE H,TN COLON IN LOOP 2 FT.2/6 1,500,000 - - - 1,500,000 499,950 75,000 46,600 878,450
12 RI.1852 30-Jun-17 SARAKA DG KULLE H,TN BNO 3 POSISI 3 FT.30/5 400,000 - - - 400,000 133,320 20,000 69,900 176,780
13 RI.1095 30-Jun-17 ABDUL LATIEF PALESANG,TN Thorax 1 PUSRI.29/3 150,000 - - - 150,000 49,995 7,500 23,300 69,205
14 RI.0536 30-Jun-17 AMINAH JD ABD.RACHMAN,NY Thorax 1 ASKES.9/2 135,000 - - - 135,000 44,996 6,750 23,300 59,955
15 RI.0916 30-Jun-17 BAMBANG PRAYOGA,TN COLON IN LOOP 2 FT.13/3 1,500,000 - - - 1,500,000 499,950 75,000 46,600 878,450
16 RI.1935 30-Jun-17 BASO DARWIS,TN Thorax 1 FT.6/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
17 RI.0841 30-Jun-17 BASRI WIDJAJA,TN Thorax 1 PUSRI.4/3 150,000 - - - 150,000 49,995 7,500 23,300 69,205
18 RI.1189 30-Jun-17 DARWIS H,TN Thorax 1 ANTAM.6/4 150,000 - - - 150,000 49,995 7,500 23,300 69,205
19 RI.0979 30-Jun-17 DEDY LUTHER,TN Thorax 1 SURYA.18/3 150,000 - - - 150,000 49,995 7,500 23,300 69,205
20 RI.0804 30-Jun-17 HJ FARIDA,NN Thorax 1 PLN.2/3 150,000 - - - 150,000 49,995 7,500 23,300 69,205
21 RI.0660 30-Jun-17 FATMAWATI,NY Thorax 1 PLN.20/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
22 RI.1142 30-Jun-17 HJ HANAFIAH,NY Thorax 1 PLN.3/4 150,000 - - - 150,000 49,995 7,500 23,300 69,205
23 RI.1534 30-Jun-17 HJ HASNAH SALIM RAHMAN,NY BNO 3 POSISI 3 FT.3/5 400,000 - - - 400,000 133,320 20,000 69,900 176,780
24 RI.0980 30-Jun-17 HATIJAH MASSESE HJ,NY Thorax 1 FT.16/3 150,000 - - - 150,000 49,995 7,500 23,300 69,205
25 RI.0849 30-Jun-17 KOMARUDDIN,TN Thorax+Cruris 2 SURYA.6/3 400,000 - - - 400,000 133,320 20,000 46,600 200,080
26 RI.0674 30-Jun-17 LA KADI,TN Thorax 1 PLN.20/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
27 RI.1448 30-Jun-17 LESSY HUSAIN H,TN Thorax+Pedis 2 ADMDK.26/4 400,000 - - - 400,000 133,320 20,000 46,600 200,080
28 RI.1445 30-Jun-17 MAHKAMAL,TN Thorax 1 M.LIFE.25/4 150,000 - - - 150,000 49,995 7,500 23,300 69,205
29 RI.0655 30-Jun-17 MAMAD GASIM,TN Pedis 1 LTT.19/2 250,000 - - - 250,000 83,325 12,500 23,300 130,875
30 RI.1020 30-Jun-17 MAMMA,TN COLON IN LOOP 2 FT.21/3 1,500,000 - - - 1,500,000 499,950 75,000 46,600 878,450
31 RI.0840 30-Jun-17 MANSYUR ABDULLAH H,TN Thorax+Manus 2 PLN.9/3 400,000 - - - 400,000 133,320 20,000 46,600 200,080
32 RI.0698 30-Jun-17 MARWAN BINTANG,TN Thorax 1 PLN.21/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
33 RI.1017 30-Jun-17 M HANAR ARSYAD,TN COLON IN LOOP 2 FT.21/3 1,500,000 - - - 1,500,000 499,950 75,000 46,600 878,450
34 RI.0909 30-Jun-17 HASYIM NATIJAH,TN Thorax 1 ASKES.13/3 150,000 - - - 150,000 49,995 7,500 23,300 69,205
35 RI.0783 30-Jun-17 MUCHLIS RA,TN Thorax 1 PLN.28/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
36 RI.0929 30-Jun-17 MUH DAVA RESKI,AN OMD FOTO 2 FT.14/3 1,000,000 - - - 1,000,000 333,300 50,000 46,600 570,100
ALKES/MTR
URUT FOTO
37 RI.0156 30-Jun-17 MUH.RAIS,AN LOPOGRAFI 1 FT.13/1 1,500,000 - - - 1,500,000 499,950 75,000 23,300 901,750
38 RI.1130 30-Jun-17 MUH YUNUS,TN Thorax 1 ASTRA.2/4 150,000 - - - 150,000 49,995 7,500 23,300 69,205
39 RI.1294 30-Jun-17 NOVIANUS LOLOALLO,TN Thorax 1 T.KINDO.13/4 150,000 - - - 150,000 49,995 7,500 23,300 69,205
40 RI.1056 30-Jun-17 NURHAYATI,NY Thorax 1 ASKES.24/3 135,000 - - - 135,000 44,996 6,750 23,300 59,955
41 RI.0386 30-Jun-17 NURJANNAH WARIS,NN Thorax 1 ASKES.30/1 135,000 - - - 135,000 44,996 6,750 23,300 59,955
42 RI.0181 30-Jun-17 NURJANNAH WARIS,NN Thorax 1 ASKES.15/1 175,500 - - 40,500 135,000 44,996 6,750 23,300 59,955
43 RI.0150 30-Jun-17 NURJANNAH WARIS,NN Thorax 1 ASKES.13/1 175,500 - - 40,500 135,000 44,996 6,750 23,300 59,955
44 RI.0028 30-Jun-17 NURJANNAH WARIS,NN LUMBOSACRAL 1 ASKES.4/1 225,000 - - - 225,000 74,993 11,250 23,300 115,458
46 14,131,000 - - 81,000 - 14,050,000 4,682,865 702,500 1,071,800 7,592,835
56 15,926,000 - - 126,000 - 15,800,000 5,266,140 790,000 1,304,800 8,439,060
45 RI.0461 30-Jun-17 RATNASARI TRI UTAMI,NN Thorax 1 ASKES.4/1 135,000 - - - 135,000 44,996 6,750 23,300 59,955
46 RI.1193 30-Jun-17 RISAL,TN Thorax 1 ASTRA.6/4 150,000 - - - 150,000 49,995 7,500 23,300 69,205
47 RI.0965 30-Jun-17 RUSLI,TN Pedis 1 J.HARJA.17/3 250,000 - - - 250,000 83,325 12,500 23,300 130,875
48 RI.0640 30-Jun-17 SANGKALA,TN Thorax 1 PLN.16/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
49 RI.0330 30-Jun-17 SRI WULANNINGSIH,NY Thorax 1 ASKES.24/2 135,000 - - - 135,000 44,996 6,750 23,300 59,955
50 RI.0987 30-Jun-17 SUKARDI,TN Thorax 1 J.HARJA.18/3 250,000 - - - 250,000 83,325 12,500 23,300 130,875
51 RI.0608 30-Jun-17 SYAFRUDDIN WAHAB,TN Thorax 1 PLN.15/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
52 RI.0057 30-Jun-17 YOHANA,NY LUMBOSACRAL 1 PLN.6/1 250,000 - - - 250,000 83,325 12,500 23,300 130,875
53 RI.1981 30-Jun-17 SUBU CARA,TN Thorax 1 FT.10/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
54 RI.1825 30-Jun-17 LA ODE MUH NAUFAL A,AN Thorax 1 FT.27/5 150,000 - - - 150,000 49,995 7,500 23,300 69,205
55 RI.0707 30-Jun-17 ROSMIATY,SE,NY Thorax 1 ASKES.22/2 135,000 - - - 135,000 44,996 6,750 23,300 59,955
56 RI.2053 30-Jun-17 PINCE LALONG,NY Thorax 1 FT.17/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
57 RI.2071 30-Jun-17 FONNY,NY LUMBOSACRAL 1 FT.19/6 250,000 - - - 250,000 83,325 12,500 23,300 130,875
58 RI.2062 30-Jun-17 ALISHA AZZAHRA ANZAR,AN Thorax 1 FT.18/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
59 RI.2019 30-Jun-17 ASMAH,NN Thorax 1 FT.14/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
60 RI.2087 30-Jun-17 LIEN HONG TJI,TN Thorax 1 FT.21/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
61 RI.2085 30-Jun-17 HJ NURUNG,NY T.LUMBAL+LS 2 FT.21/6 500,000 - - - 500,000 166,650 25,000 46,600 261,750
62 RI.2096 30-Jun-17 MUH.NUR LILI,TN THORACOLUMBAL 1 FT.22/6 250,000 - - - 250,000 83,325 12,500 23,300 130,875
63 RI.2078 30-Jun-17 ARMAN JAYA IR,TN Thorax 1 FT.20/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
64 RI.2106 30-Jun-17 HALIMAH,NY Thorax 1 FT.25/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
65 RI.2117 30-Jun-17 JIBO MEMANG HJ,NY Thorax 1 FT.27/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
66 RI.2121 30-Jun-17 FERY ISWANDI,TN Thorax 1 FT.27/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
67 RI.2110 30-Jun-17 KASINAH,NY Thorax 1 FT.26/6 150,000 - - - 150,000 49,995 7,500 23,300 69,205
ALKES/MTR
URUT FOTO
24 4,255,000 - - - - 4,255,000 1,418,192 212,750 559,200 2,064,859
TOTAL RAWAT INAP 80 20,181,000 - - 126,000 - 20,055,000 6,684,332 1,002,750 1,864,000 10,503,919
TAGIHAN RAWAT JALAN RADIODIAGNOSTIK YANG MASUK KE RSA BULAN JUNI 2017
1 RJ.1058 30-Jun-17 HOMSATUN CHASANA,NY HSG Foto 2 SURYA.25/3 1,000,000 - - - 1,000,000 333,300 50,000 46,600 570,100
2 RJ.0453 30-Jun-17 H MAHANING,TN Thorax 1 PLN.4/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
3 RJ.0526 30-Jun-17 NUR WARDAH,NN Thorax 1 PLN.8/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
4 RJ.0579 30-Jun-17 HJ ROSMIATI,NY Thorax 1 PLN.13/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
5 RJ.0355 30-Jun-17 WAHYUNI MEYDINA,NN Thorax 1 PLN.27/1 150,000 - - - 150,000 49,995 7,500 23,300 69,205
6 RJ.0714 30-Jun-17 HJ SAENAB,NY GENU 1 PLN.0714 250,000 - - - 250,000 83,325 12,500 23,300 130,875
7 1,850,000 - - - - 1,850,000 616,605 92,500 163,100 977,795
7 1,850,000 - - - - 1,850,000 616,605 92,500 163,100 977,795
7 RJ.0506 30-Jun-17 FATIMASANG,NY PELVIS 1 PLN.7/2 150,000 - - - 150,000 49,995 7,500 23,300 69,205
8 RJ.0513 30-Jun-17 MACHFUD,TN Thorax+Pedis 2 PLN.7/2 400,000 - - - 400,000 133,320 20,000 46,600 200,080
9 RJ.0403 30-Jun-17 ALFONS YOSEP ,TN Thorax+Bahu 2 PLN.1/2 300,000 - - - 300,000 99,990 15,000 46,600 138,410
10 RJ.0879 30-Jun-17 JUMRAWATI,NY MANUS 1 PLN.8/3 253,000 - - - 3,000 250,000 83,325 12,500 23,300 130,875
11 RJ.0874 30-Jun-17 IDHAM KHALID,TN Thorax 1 PLN.8/3 150,000 - - - 150,000 49,995 7,500 23,300 69,205
12 RJ.0630 30-Jun-17 ALIF DARMAWAN,TN Thorax 1 ASKES.17/2 135,000 - - - 135,000 44,996 6,750 23,300 59,955
13 RJ.0646 30-Jun-17 NUR ASMA,NY BNO 1 ASKES.18/2 135,000 - - - 135,000 44,996 6,750 23,300 59,955
14 RJ.0833 30-Jun-17 JESAYAS DG LUHULIMA,TN WRIST 1 ASKES.4/3 200,000 - - - 200,000 66,660 10,000 23,300 100,040
15 RJ.0900 30-Jun-17 NUR ASMA,NY Thorax 1 ASKES.11/3 100,000 - - - 100,000 33,330 5,000 23,300 38,370
16 RJ.1062 30-Jun-17 DEWI HANDAYANI,NY PELVIS 1 ASKES.25/3 135,000 - - - 135,000 44,996 6,750 23,300 59,955
- - - - - - - - -
- - - - - - - - -
12 1,958,000 - - - 3,000 1,955,000 651,602 97,750 279,600 926,049

TOTAL RAWAT JALAN 19 3,808,000 - - - 3,000 3,805,000 1,268,207 190,250 442,700 1,903,844
TOTAL KESELURUHAN 417 36,439,000 31,145,000 19,420,000 126,000 3,000 36,310,000 12,102,123 1,815,500 3,728,000 18,664,377
Ket: Makassar, 15 JULI 2017

- Harga Film/Lbr 23,300 Ka. Instalasi Radiologi RSA "Jaury"
(Dr.Achmad Dara Sp.Rad)

LAPORAN ADMINISTRASI KEUANGAN RS. AKADEMIS
UNIT ULTRASONOGRAFI BULAN APRIL 2017 14
MTR
TANGGAL NAMA PENDERITA PEMERIKSAAN FILM INSTANSI (LOKET) R.INAP R.JALAN FOTO 30% X TUN 2.5% X TUN /BAHAN NETTO
URUT FOTO
1 U.001.0884 2-Jun-17 SINCE FONGIMAN,NY USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
2 U.002.0885 2-Jun-17 FARIDA,NY USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
3 U.003.0886 2-Jun-17 ADRIAN ABRAHAM,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
4 U.004.0887 2-Jun-17 ABD.KADIR SIBALI,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
5 U.005.0888 3-Jun-17 LOMPO TJONG,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
6 U.006.0889 3-Jun-17 SAMIMMA SKM,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
7 U.007.0890 3-Jun-17 AGNES PIRADE,NN USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
8 U.008.0891 3-Jun-17 DRS H ABU NUSU,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
9 U.009.0892 3-Jun-17 RIA WARDA,NY USG OBSTETRI 1 BPJS - - 350,000 - - - - - -
10 U.010.0893 3-Jun-17 DENNI SUSANTO,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
11 U.011.0894 4-Jun-17 ZAINUDDIN,TN USG Abdomen 1 BPJS - 420,000 - - - - - - -
12 U.012.0895 5-Jun-17 MERYANA WUATEN,NY USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
13 U.013.0896 5-Jun-17 FATHAN ATMAR,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
14 U.014.0897 5-Jun-17 HJ B PUJI,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
15 U.015.0898 5-Jun-17 HASNIA,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
16 U.016.0899 5-Jun-17 FARIDA,NY USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
17 U.017.0900 5-Jun-17 ANDY SAPUTRA ASDAR,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
18 U.018.0901 5-Jun-17 A M HARIYANTO A,TN USG LEHER 1 BPJS - - 350,000 - - - - - -
19 U.019.0902 5-Jun-17 HJ I JUBA,NY USG Abdomen 1 INHEALTH - - 300,000 - - - - - -
20 U.020.0903 6-Jun-17 BERNADETH DUMA,NY USG OBSTETRI 1 BPJS - 350,000 - - - - - - -
21 U.021.0904 6-Jun-17 HJ NURMAWATI,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
22 U.022.0905 6-Jun-17 SUKRINA,NN USG Abdomen 1 BPJS - - 350,000 - - - - - -
23 U.023.0906 6-Jun-17 DIANA PASIA EKDILA,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
24 U.024.0907 6-Jun-17 DIAN ANGGRAENY,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
25 U.025.0908 6-Jun-17 AMBO DALLE,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
26 U.026.0909 7-Jun-17 SYAMSUDDIN,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
27 U.027.0910 7-Jun-17 FARIDA BASO REWA,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
28 U.028.0911 7-Jun-17 PURNAMA ISTI,NN USG Abdomen 1 BPJS - - 350,000 - - - - - -
29 U.029.0912 7-Jun-17 LEONARDUS KADANG,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
30 U.030.0913 7-Jun-17 DWINDA PRATIWI,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
31 U.031.0914 7-Jun-17 NIRWANI,NN USG Abdomen 1 BPJS - - 350,000 - - - - - -
32 U.032.0915 7-Jun-17 HJ AISYAH,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
33 U.033.0916 8-Jun-17 HADRA M MUSA,NY USG Abdomen 1 INHEALTH - - 300,000 - - - - - -
34 U.034.0917 8-Jun-17 NOURMA SUTINEM,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
35 U.035.0918 8-Jun-17 A ANWAR SUANDY,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
36 U.036.0919 8-Jun-17 ROSITA,NY USG OBSTETRI 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
37 U.037.0920 8-Jun-17 USMAN DG NGITUNG,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
37 1,050,000 5,670,000 6,200,000 - - 1,050,000 315,000 26,250 30,450 678,300
MTR
URUT FOTO
37 1,050,000 5,670,000 6,200,000 - - 1,050,000 315,000 26,250 30,450 678,300
38 U.038.0921 9-Jun-17 BASO DARWIS,TN USG THORAX 1 PASIEN - 350,000 - - - - - - -
UMUM
39 U.039.0922 10-Jun-17 AYU SARTIKA,NY USG Abdomen 1 INHEALTH - 300,000 - - - - - - -
40 U.040.0923 10-Jun-17 THIO PO LAN,NY USG Abdomen 1 PT.AIA - - 350,000 - - - - - -
41 U.041.0924 10-Jun-17 H MARZUKI,TN USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
42 U.042.0925 10-Jun-17 GO ENG FOEK,NY USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
43 U.043.0926 10-Jun-17 MANDA DG NGUNJUNG,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
44 U.044.0927 10-Jun-17 LUKAS LOBO,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
45 U.045.0928 10-Jun-17 MEYLINA PAKIDING,NY USG Abdomen 1 PASIEN 300,000 - - - 300,000 90,000 7,500 10,150 192,350
UMUM
46 U.046.0929 10-Jun-17 SRI AMALIA,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
47 U.047.0930 12-Jun-17 ABD.HARIS,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
48 U.048.0931 12-Jun-17 HASNIA,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
49 U.049.0932 12-Jun-17 ARMILA YUNUS,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
50 U.050.0933 12-Jun-17 NUR ALIAH,NY USG MAMMAE 1 BPJS - - 350,000 - - - - - -
51 U.051.0934 12-Jun-17 SLAMET POERWINDARI,TN USG Abdomen 1 PLN - 350,000 - - - - - - -
52 U.052.0935 12-Jun-17 RISMA ISHAK,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
53 U.053.0936 12-Jun-17 ILHAM CHALIQ S,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
54 U.054.0937 12-Jun-17 HAKING,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
55 U.055.0938 12-Jun-17 RISMAWATI,NY USG OBSTETRI 1 BPJS - 350,000 - - - - - - -
56 U.056.0939 12-Jun-17 ABD.MADJID,SOS,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
57 U.057.0940 12-Jun-17 TATOK SUJARWANTO,TN USG LEHER 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
58 U.058.0941 12-Jun-17 HASANUDDIN,TN USG LEHER 1 BPJS - - 350,000 - - - - - -
59 U.059.0942 12-Jun-17 JEMMI,TN USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
60 U.060.0943 13-Jun-17 HAMSIAH,NY USG LEHER 1 BPJS - - 350,000 - - - - - -
61 U.061.0944 13-Jun-17 NURUL IZZAH S,NN USG Abdomen 1 INDOFOOD - 350,000 - - - - - - -
62 U.062.0945 13-Jun-17 HASNAH,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
63 U.063.0946 13-Jun-17 BAHARUDDIN ACOK,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
64 U.064.0947 13-Jun-17 LATANG,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
65 U.065.0948 13-Jun-17 AHMAD SULAIMAN,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
66 U.066.0949 13-Jun-17 HJ KARTINI,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
67 U.067.0950 14-Jun-17 ULFA,NY USG LEHER 1 BPJS - - 350,000 - - - - - -
68 U.068.0951 14-Jun-17 ABD.HARIS,TN USG THORAX 1 BPJS - 350,000 - - - - - - -
69 U.069.0952 14-Jun-17 RISMAWATI,NY USG OBSTETRI 1 BPJS - 350,000 - - - - - - -
70 U.070.0953 14-Jun-17 HJ INDO TUWO,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
71 U.071.0954 14-Jun-17 LIEKE SOLIHAN,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
72 U.072.0955 14-Jun-17 SYAFRIA,NY USG Abdomen 1 INHEALTH - - 300,000 - - - - - -
73 U.073.0956 14-Jun-17 IRYANTI SYAHRIR,NY USG OBSTETRI 1 BPJS - 350,000 - - - - - - -
74 U.074.0957 14-Jun-17 FAJAR,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
MTR
URUT FOTO
37 1,700,000 5,900,000 5,200,000 - - 1,700,000 510,000 42,500 50,750 1,096,750
74 2,750,000 11,570,000 11,400,000 - - 2,750,000 825,000 68,750 81,200 1,775,050
75 U.075.0958 15-Jun-17 SAMMY,TN USG Abdomen 1 PT.AIA - - 350,000 - - - - - -
76 U.076.0959 15-Jun-17 ANDI BESSE YUSNAENI,NN USG GYNEKOLOGI 1 BPJS - 350,000 - - - - - - -
77 U.077.0960 15-Jun-17 SADARIAH,NY USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
78 U.078.0961 15-Jun-17 MUHAMMAD SAAD,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
79 U.079.0962 15-Jun-17 ROSMALA DG NGAI,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
80 U.080.0963 16-Jun-17 HJ TIMANG,NY USG LEHER 1 BPJS - - 350,000 - - - - - -
81 U.081.0964 16-Jun-17 H BAHARUDDIN,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
82 U.082.0965 16-Jun-17 MUHAIDIR,TN USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
83 U.083.0966 16-Jun-17 ASMAH,NN USG THORAX 1 PASIEN - 350,000 - - - - - - -
UMUM
84 U.084.0967 16-Jun-17 EMMY RAKHMAN,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
85 U.085.0968 16-Jun-17 H MAHFUD,TN USG Abdomen 1 PLN - - 350,000 - - - - - -
86 U.086.0969 17-Jun-17 LIFANDY TUNIARY,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
87 U.087.0970 17-Jun-17 LIFANDY TUNIARY,TN USG THORAX 1 BPJS - 350,000 - - - - - - -
88 U.088.0971 17-Jun-17 MUH.NUR LILI,TN USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
89 U.089.0972 17-Jun-17 ANDRY JAYA ARUNG,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
90 U.090.0973 17-Jun-17 NURHUDAYA,NY USG Abdomen 1 RSA - - 350,000 - - - - - -
91 U.091.0974 17-Jun-17 RATNA ENTENGO,NY USG Abdomen 1 TELKOM - 350,000 - - - - - - -
92 U.092.0975 17-Jun-17 SAKINAH,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
93 U.093.0976 17-Jun-17 DAWANG DG PUJI,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
94 U.094.0977 17-Jun-17 NURDIN AZIS,TN USG Abdomen 1 PLN - - 350,000 - - - - - -
95 U.095.0978 17-Jun-17 MUTMAINNAH,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
96 U.096.0979 17-Jun-17 SUSAN,NY USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
97 U.097.0980 17-Jun-17 HAJERIAH,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
98 U.098.0981 19-Jun-17 GO MEI TJOE,NN USG Abdomen 1 INHEALTH - 300,000 - - - - - - -
99 U.099.0982 19-Jun-17 H ABD.RAHMAN TIRO,TN USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
100 U.100.0983 19-Jun-17 HJ ANDI NORMAH,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
101 U.101.0984 19-Jun-17 HJ MURNIATI MAS'UD,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
102 U.102.0985 20-Jun-17 AMINUDDIN,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
103 U.103.0986 20-Jun-17 DEBBIE WULANDARI,NN USG Abdomen 1 BPJS - - 350,000 - - - - - -
104 U.104.0987 20-Jun-17 ADOLFINA S TIMISELA,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
105 U.105.0988 20-Jun-17 NAJAMUDDIN,TN USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
106 U.106.0989 20-Jun-17 ST SULEHA,NY USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
107 U.107.0990 21-Jun-17 SARIFAH BERLIAN,AN USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
108 U.108.0991 21-Jun-17 SUMARNI,NY USG MAMMAE 1 BPJS - - 350,000 - - - - - -
109 U.109.0992 21-Jun-17 HJ ST MAEMUNAH,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
110 U.110.0993 21-Jun-17 ANDI TENRI SANNAH,NY USG OBSTETRI 1 BPJS - - 350,000 - - - - - -
MTR
URUT FOTO
111 U.111.0994 21-Jun-17 LIEN HONG TJIO,TN USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
37 1,750,000 6,250,000 4,900,000 - - 1,750,000 525,000 43,750 50,750 1,130,500
111 4,500,000 17,820,000 16,300,000 - - 4,500,000 1,350,000 112,500 131,950 2,905,550
112 U.112.0995 21-Jun-17 HJ SITTI HUDAJAH,NY USG Abdomen 1 TELKOM - 350,000 - - - - - - -
113 U.113.0996 21-Jun-17 LIANA TUNIARY,NY USG Abdomen 1 BPJS - - 350,000 - - - - - -
114 U.114.0997 21-Jun-17 NURUL FITRIAH R,AN USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
115 U.115.0998 22-Jun-17 ABD.KARIM,TN USG Abdomen 1 BPJS - - 350,000 - - - - - -
116 U.116.0999 22-Jun-17 MELDA WUISAN,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
117 U.117.1000 22-Jun-17 SURYANINGSIH,NY USG GYNEKOLOGI 1 RSA - - 350,000 - - - - - -
118 U.118.1001 22-Jun-17 A.AHMAD SUKARNA,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
119 U.119.1002 23-Jun-17 MEGAWATI BAHARUDDIN,NY USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
120 U.120.1003 23-Jun-17 IRAWATI,NY USG Abdomen 1 PASIEN - - 350,000 - - - - - -
UMUM
121 U.121.1004 24-Jun-17 ACHMAD,TN USG Abdomen 1 PASIEN 300,000 - - - 300,000 90,000 7,500 10,150 192,350
UMUM
122 U.122.1005 24-Jun-17 ST MAIDURI P,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
123 U.123.1006 24-Jun-17 HAJERAH,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
124 U.124.1007 27-Jun-17 JENNY ANDRIES,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
125 U.125.1008 27-Jun-17 BUNGATAN RAPID HJ,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
126 U.126.1009 27-Jun-17 FONNY,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
127 U.127.1010 27-Jun-17 FERY ISWANDI,TN USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
128 U.128.1011 28-Jun-17 HJ DEMMAWATI,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
129 U.129.1012 28-Jun-17 SANTI FARADIBA,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
130 U.130.1013 28-Jun-17 RAMLAH,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
131 U.131.1014 28-Jun-17 MUH.SAID,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
132 U.132.1015 28-Jun-17 HJ JIBO MEMANG,NY USG Abdomen 1 PASIEN - 350,000 - - - - - - -
UMUM
133 U.133.1016 28-Jun-17 DR.NUKMAN,TN USG Abdomen 1 PASIEN - - 300,000 - - - - - -
UMUM
134 U.134.1017 28-Jun-17 LUKAS HERI,TN USG Abdomen 1 PASIEN - - 350,000 - - - - - -
UMUM
135 U.135.1018 28-Jun-17 AHNAF MARWANTO,AN USG Abdomen 1 BPJS - - 350,000 - - - - - -
136 U.136.1019 29-Jun-17 COOTJE L FERDINANDUS,NY USG Abdomen 1 BPJS - 350,000 - - - - - - -
137 U.137.1020 29-Jun-17 ANANDA NUR FADILLAH,NN USG MAMMAE 1 BPJS - - 350,000 - - - - - -
138 U.138.1021 30-Jun-17 TAMRIN J,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
139 U.139.1022 30-Jun-17 SYAMSUDDIN,TN USG Abdomen 1 BPJS - 350,000 - - - - - - -
140 U.164.0847 26-May-17 FITRIANI,NY USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
141 U.187.0870 30-May-17 DARSEN RUPA,TN USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
142 U.191.0874 30-May-17 ITA,NY USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
143 U.199.0882 1-Apr-17 HALIJAH,NY USG Abdomen 1 PASIEN 350,000 - - - 350,000 105,000 8,750 10,150 226,100
UMUM
32 2,050,000 6,300,000 2,750,000 - - 2,050,000 615,000 51,250 60,900 1,322,850

MTR
URUT FOTO
TOTAL TUNAI 143 6,550,000 24,120,000 19,050,000 - - 6,550,000 1,965,000 163,750 192,850 4,228,400
TAGIHAN RAWAT INAP ULTRASONOGRAFI YANG MASUK KE RSA BULAN JUNI 2017
1 RI.0884 30-Jun-17 SINCE FONGIMAN,NY USG Abdomen 1 FT.2/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
2 RI.0867 30-Jun-17 KAMARIAH HJ,NY USG Abdomen 1 FT.30/5 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
3 RI.0880 30-Jun-17 NIARTI,AN USG Abdomen 1 FT.31/5 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
4 RI.0885 30-Jun-17 FARIDHA,NY USG Abdomen 1 FT.2/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
5 RI.0509 30-Jun-17 AJENG ZAKIAH,NN USG Abdomen 1 ANTAM.3/4 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
6 RI.0921 30-Jun-17 BASO DARWIS,TN USG Abdomen 1 FT.9/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
7 RI.0298 30-Jun-17 FATMAWATI,NY USG Abdomen 1 PLN.21/2 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
8 RI.0696 30-Jun-17 HASNAH SALIM RAHMAN HJ,NY USG Abdomen 1 FT.3/5 420,000 - - 70,000 - 350,000 105,000 8,750 10,150 226,100
9 RI.0442 30-Jun-17 HATIJAH MASSESE HJ,NY USG Abdomen 1 FT.18/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
10 RI.0448 30-Jun-17 ISMAIL H,TN USG Abdomen 1 TELKOM.20/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
11 RI.0323 30-Jun-17 LA KADI,TN USG PARU 1 PLN.22/2 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
12 RI.0605 30-Jun-17 MELANIE MARIE,NY USG Abdomen 1 T.KINDO.18/4 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
13 RI.0422 30-Jun-17 HASYIM NATIJAH,NY USG Abdomen 1 ASKES.14/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
14 RI.0597 30-Jun-17 NOVIANUS LOLOALLO,TN USG PARU 1 T.KINDO.17/4 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
15 RI.0199 30-Jun-17 RATNA SARI UTAMI,NN USG Abdomen 1 ASKES.4/2 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
16 RI.0289 30-Jun-17 SANGKALA,TN USG Abdomen 1 PLN.20/2 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
17 RI.0330 30-Jun-17 SRI WULANNINGSIH,NY USG Abdomen 1 ASKES.24/2 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
18 RI.0852 30-Jun-17 LA ODE MUH NAUFAL A,AN USG Abdomen 1 FT.27/5 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
19 RI.0844 30-Jun-17 SYAMSIAH,NY USG Abdomen 1 FT.26/5 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
20 RI.0313 30-Jun-17 ROSMIATY,SE,NY USG Abdomen 1 ASKES.22/2 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
21 RI.0965 30-Jun-17 MUHAIDIR,TN USG Abdomen 1 FT.16/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
22 RI.0982 30-Jun-17 ABD.RAHMAN TIRO,TN USG Abdomen 1 FT.19/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
23 RI.0966 30-Jun-17 ASMAH,NN USG PARU 1 FT.16/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
24 RI.0994 30-Jun-17 LIEN HONG TJI,TN USG Abdomen 1 FT.21/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
25 RI.0971 30-Jun-17 MUH.NUR LILI,TN USG Abdomen 1 FT.17/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
26 RI.1015 30-Jun-17 HJ JIBO MEMANG,NY USG Abdomen 1 FT.28/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
27 RI.1010 30-Jun-17 FERY ISWANDI,TN USG Abdomen 1 FT.27/6 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
27 9,370,000 - - 70,000 - 9,300,000 2,790,000 232,500 274,050 6,003,450

TOTAL RAWAT INAP 27 9,370,000 - - 70,000 - 9,300,000 2,790,000 232,500 274,050 6,003,450
TAGIHAN RAWAT JALAN ULTRASONOGRAFI YANG MASUK KE RSA BULAN JUNI 2017
1 RJ.0348 30-Jun-17 SYAHRIANI USG MAMMAE 1 BPJS.1/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
2 RJ.0354 30-Jun-17 ERVINA YUSHANA USG OBSTETRI 1 BPJS.1/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
3 RJ.0356 30-Jun-17 SERLY SUMARNO USG Abdomen 1 BPJS.2/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
MTR
URUT FOTO
4 RJ.0359 30-Jun-17 AHMAD SUKARNA USG Abdomen 1 BPJS.2/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
5 RJ.0360 30-Jun-17 HJ MARHANI USG Abdomen 1 BPJS.2/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
6 RJ.0363 30-Jun-17 H SUDIRMAN USG Abdomen 1 BPJS.2/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
7 RJ.0362 30-Jun-17 AHMAD MUNIR USG Abdomen 1 BPJS.2/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
8 RJ.0366 30-Jun-17 JUMAEDAR V USG Abdomen 1 BPJS.3/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
9 RJ.0369 30-Jun-17 ANDAYANI KAHAR USG GYNEKOLOGI 1 BPJS.3/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
10 RJ.0371 30-Jun-17 ST HERLINA USG GYNEKOLOGI 1 BPJS.3/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
11 RJ.0373 30-Jun-17 INTAN USG GYNEKOLOGI 1 BPJS.4/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
12 RJ.0375 30-Jun-17 YANTI CHRIS USG Abdomen 1 BPJS.6/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
13 RJ.0378 30-Jun-17 MURNIATY HAS USG Abdomen 1 BPJS.6/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
14 RJ.0377 30-Jun-17 NURSAN S.SOS USG Abdomen 1 BPJS.6/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
15 RJ.0379 30-Jun-17 SERLINA PAPILAYA USG Abdomen 1 BPJS.6/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
16 RJ.0381 30-Jun-17 LEONG GET LAN USG Abdomen 1 BPJS.6/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
17 RJ.0385 30-Jun-17 DG KANANG USG Abdomen 1 BPJS.7/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
18 RJ.0382 30-Jun-17 DARMAWATI USG Abdomen 1 BPJS.7/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
19 RJ.0390 30-Jun-17 SRI AMALIA USG OBSTETRI 1 BPJS.2/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
20 RJ.0387 30-Jun-17 ALIMUDDIN USG Abdomen 1 BPJS.7/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
21 RJ.0389 30-Jun-17 MARYAM TAHIR USG Abdomen 1 BPJS.8/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
22 RJ.0388 30-Jun-17 SYAMSURYANI USG Abdomen 1 BPJS.8/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
23 RJ.0386 30-Jun-17 UDDING USG Abdomen 1 BPJS.7/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
24 RJ.0392 30-Jun-17 IRMA USG GYNEKOLOGI 1 BPJS.8/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
25 RJ.0394 30-Jun-17 TAMRIN HM MANSYUR USG Abdomen 1 BPJS.8/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
26 RJ.0393 30-Jun-17 MUSLIM USG Abdomen 1 BPJS.7/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
27 RJ.0397 30-Jun-17 MUH ARIDA USG Abdomen 1 BPJS.9/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
28 RJ.0399 30-Jun-17 DJAWARIAH USG Abdomen 1 BPJS.9/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
29 RJ.0401 30-Jun-17 SULAEMAN USG Abdomen 1 BPJS.9/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
30 RJ.0403 30-Jun-17 MUTMAINNAH USG OBSTETRI 1 BPJS.9/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
31 RJ.0407 30-Jun-17 ELCE PUTRI BONTONG USG OBSTETRI 1 BPJS.10/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
32 RJ.0409 30-Jun-17 IKA ZUSNITA USG OBSTETRI 1 BPJS.11/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
33 RJ.0408 30-Jun-17 ARDIA NINGSIH USG Abdomen 1 BPJS.11/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
34 RJ.0412 30-Jun-17 MARIA USG Abdomen 1 BPJS.11/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
35 RJ.0419 30-Jun-17 IRWIN IDRUS USG Abdomen 1 BPJS.13/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
36 RJ.0433 30-Jun-17 MARIA USG OBSTETRI 1 BPJS.15/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
37 RJ.0432 30-Jun-17 MUH ALI S USG Abdomen 1 BPJS.15/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
38 RJ.0431 30-Jun-17 HELENA DATU KARUA USG OBSTETRI 1 BPJS.15/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
39 RJ.0430 30-Jun-17 ANDI HARIYANTI USG GYNEKOLOGI 1 BPJS.15/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
40 RJ.0429 30-Jun-17 SUBAEDA USG Abdomen 1 BPJS.15/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
41 RJ.0426 30-Jun-17 HERMAN INDARWANSA USG Abdomen 1 BPJS.15/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
MTR
URUT FOTO
42 RJ.0424 30-Jun-17 RAHMAT SYAH USG Abdomen 1 BPJS.15/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
43 RJ.0428 30-Jun-17 ROSNANI RAHIM USG MAMMAE 1 BPJS.15/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
44 RJ.0429 30-Jun-17 AMIRUDDIN ARIEF USG Abdomen 1 BPJS.14/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
45 RJ.0438 30-Jun-17 ST HADIJAH SYAM USG Abdomen 1 BPJS.16/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
46 RJ.0436 30-Jun-17 HAKING USG Abdomen 1 BPJS.16/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
47 RJ.0440 30-Jun-17 ROBIN MARTHEN USG Abdomen 1 BPJS.18/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
48 RJ.0441 30-Jun-17 HJ KAMBO USG Abdomen 1 BPJS.18/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
49 RJ.0439 30-Jun-17 KRISTIAN FK USG Abdomen 1 BPJS.18/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
50 RJ.0447 30-Jun-17 NOKIE TRI HAKIM USG Abdomen 1 BPJS.18/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
51 RJ.0452 30-Jun-17 ST WILWAH USG LEHER 1 BPJS.18/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
52 RJ.0451 30-Jun-17 HASMIRA USG Abdomen 1 BPJS.18/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
53 RJ.0450 30-Jun-17 ARBAYA JOHAN USG Abdomen 1 BPJS.18/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
54 RJ.0455 30-Jun-17 HADIJAH ANGGRIANI USG LEHER 1 BPJS.21/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
55 RJ.0456 30-Jun-17 HALIMA USG LEHER 1 BPJS.21/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
56 RJ.0463 30-Jun-17 MUKARRAH USG Abdomen 1 BPJS.23/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
57 RJ.0461 30-Jun-17 DARMA USG Abdomen 1 BPJS.23/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
58 RJ.0462 30-Jun-17 AYU SURYA PRATIWI USG MAMMAE 1 BPJS.23/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
59 RJ.0459 30-Jun-17 SRIWANGI SYAMSUDDIN USG GYNEKOLOGI 1 BPJS.23/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
60 RJ.0465 30-Jun-17 FADLIANA S.PD USG MAMMAE 1 BPJS.23/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
61 RJ.0469 30-Jun-17 HASINA USG GYNEKOLOGI 1 BPJS.25/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
62 RJ.0470 30-Jun-17 HASNAWI USG Abdomen 1 BPJS.25/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
63 RJ.0472 30-Jun-17 SYAHRUL YUSUF USG SCROTUM 1 BPJS.25/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
64 RJ.0471 30-Jun-17 MARDIANA USG OBSTETRI 1 BPJS.25/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
65 RJ.0475 30-Jun-17 KAHARUDDIN USG Abdomen 1 BPJS.27/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
66 RJ.0477 30-Jun-17 NURHIDAYAT USG Abdomen 1 BPJS.27/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
67 RJ.0478 30-Jun-17 ANDI WAHYU USG Abdomen 1 BPJS.27/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
68 RJ.0482 30-Jun-17 MARJUNI USG Abdomen 1 BPJS.29/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
69 RJ.0483 30-Jun-17 NURAENI USG Abdomen 1 BPJS.29/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
70 RJ.0481 30-Jun-17 HARSIANG USG PELVIS 1 BPJS.29/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
71 RJ.0484 30-Jun-17 SITI SAENAB N USG Abdomen 1 BPJS.29/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
72 RJ.0487 30-Jun-17 MINGGUS DG SITUJU USG Abdomen 1 BPJS.29/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
73 RJ.0491 30-Jun-17 ABDUL HALIM USG Abdomen 1 BPJS.30/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
74 RJ.0492 30-Jun-17 ANDI MAPPEARE USG Abdomen 1 BPJS.31/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
75 RJ.0221 30-Jun-17 SAHABUDDIN,TN USG Abdomen 1 PLN.8/2 353,000 - - - 3,000 350,000 105,000 8,750 10,150 226,100
76 RJ.0281 30-Jun-17 SURYANTI,NY USG MAMMAE 1 ASKES.18/2 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
77 RJ.0315 30-Jun-17 HASBULLAH,TN USG Abdomen 1 ASKES.22/2 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
78 RJ.0404 30-Jun-17 HASNIDAR,NY USG Abdomen 1 ASKES.10/3 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
79 RJ.0468 30-Jun-17 SRI SURATMI,NY USG Abdomen 1 ASKES.25/3 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
MTR
URUT FOTO
80 RJ.0480 30-Jun-17 ST SAENAB,NY USG Abdomen 1 ASKES.29/3 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
81 RJ.0485 30-Jun-17 ZAHRA IMANI,AN USG MAMMAE 1 ASKES.29/3 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
82 RJ.0486 30-Jun-17 AGUS PRAMONO,TN USG Abdomen 1 ASKES.30/3 300,000 - - - - 300,000 90,000 7,500 10,150 192,350
83 RJ.0396 30-Jun-17 SAMSUDDIN USG Abdomen 1 BPJS.8/3 350,000 - - - - 350,000 105,000 8,750 10,150 226,100
- - - - - - - - -
83 28,703,000 - - - 3,000 28,700,000 8,610,000 717,500 842,450 18,530,050
TOTAL RAWAT JALAN 83 28,703,000 - - - 3,000 28,700,000 8,610,000 717,500 842,450 18,530,050
TOTAL KESELURUHAN 253 44,623,000 24,120,000 19,050,000 70,000 3,000 44,550,000 13,365,000 1,113,750 1,309,350 28,761,900
Ket: Makassar, 15 JULI 2017

- Harga Film/Lbr 10,150 Ka. Instalasi Radiologi Unit Ultrasonografi RSA "Jaury"

UNIT CT-SCAN BULAN JUNI 2017
22
NOMOR JML KET. TUNAI TAGIHAN CITO TINDAKAN HONOR DR. INS. PEG. HARGA FILM
UR TANGGAL NAMA PENDERITA PEMERIKSAAN (LOKET) R.INAP R.JALAN FOTO KONTR. ANAST ALKES/MTR Rp. 15% X TUN 5% X TUN /BAHAN NETTO
FOTO FILM INSTANSI
UT Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
1 C.001.0263 6-Jun-17 NADIRAH,NY CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
2 C.002.0264 6-Jun-17 ABDUL MALIK HUSAIN,TN CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
3 C.003.0265 6-Jun-17 SRI PURNAMAWATY,NN CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
4 C.004.0266 6-Jun-17 SARI NUR INTAN,NY CT.SCAN UROLOGI 1 BPJS - - 1,500,000 - - - - - -
5 C.005.0267 7-Jun-17 FONNY PRIANTO,NY CT.SCAN Kepala 1 PASIEN UMUM - 800,000 - - - - - - -
6 C.006.0268 7-Jun-17 BASO DARWIS,TN CT.SCAN THORAX 3 PASIEN UMUM - 1,500,000 - - - - - - -
7 C.007.0269 7-Jun-17 SARAKA DG KULLE,TN CT.SCAN THORAX 3 PASIEN UMUM - 1,500,000 - - - - - - -
8 C.008.0270 7-Jun-17 AZIKIN,TN CT.SCAN SINUS PN 1 BPJS - 800,000 - - - - - - -
9 C.009.0271 8-Jun-17 DAMIS,TN CT.SCAN MASTOID 1 PASIEN UMUM 800,000 - - - 800,000 120,000 40,000 109,000 531,000
10 C.010.0272 8-Jun-17 ANDI SULOLIPU,TN CT.SCAN ABDOMEN 3 BPJS - - 1,500,000 - - - - - -
11 C.011.0273 9-Jun-17 LIE EDDY SUGIANTO,TN CT.SCAN Kepala 1 BPJS - - 800,000 - - - - - -
12 C.012.0274 9-Jun-17 A ROSMINI PANIJARA,NY CT.SCAN ABDOMEN 3 BPJS - - 1,500,000 - - - - - -
13 C.013.0275 9-Jun-17 ANSAR,TN CT.SCAN MASTOID 1 BPJS - - 800,000 - - - - - -
14 C.014.0276 9-Jun-17 ST NORMAH,NY CT.SCAN Kepala 1 PLN - 800,000 - - - - - - -
15 C.015.0277 10-Jun-17 ONIE SATU,TN CT.SCAN Kepala 1 BPJS - - 800,000 - - - - - -
16 C.016.0278 12-Jun-17 MUH.RAYHAN,AN CT.SCAN Kepala 1 PASIEN UMUM 800,000 - - - 800,000 120,000 40,000 109,000 531,000
17 C.017.0279 12-Jun-17 ANDI ANWAR SUNUDY,TN CT.SCAN ABDOMEN 3 BPJS - 1,500,000 - - - - - - -
18 C.018.0280 12-Jun-17 ABD.HARIS,TN CT.SCAN ABDOMEN 3 BPJS - 1,500,000 - - - - - - -
19 C.019.0281 12-Jun-17 HJ FARIDA,NN CT.SCAN THORAX 3 PLN - 1,500,000 - - - - - - -
20 C.020.0282 13-Jun-17 AMIR L,TN CT.SCAN MASTOID 1 BPJS - - 800,000 - - - - - -
21 C.021.0283 13-Jun-17 HADANAH,NY CT.SCAN Kepala 1 BPJS - - 800,000 - - - - - -
22 C.022.0284 14-Jun-17 MEGAWATI,NN CT.SCAN LEHER 1 BPJS - 1,000,000 - - - - - - -
23 C.023.0285 14-Jun-17 SLAMET POERWINDARI,TN CT.SCAN Kepala 1 PLN - 800,000 - - - - - - -
24 C.024.0286 14-Jun-17 ADNAN BOLONGAN,TN CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
25 C.025.0287 15-Jun-17 KAMSING,TN CT.SCAN LEHER 1 BPJS - - 1,000,000 - - - - - -
26 C.026.0288 15-Jun-17 JALIL,SE,TN CT.SCAN Kepala 1 INHEALTH - 800,000 - - - - - - -
27 C.027.0289 15-Jun-17 BACHRI,TN CT.SCAN Kepala 1 PASIEN UMUM - 800,000 - - - - - - -
28 C.028.0290 16-Jun-17 SELFIATY FITRI,NY CT.SCAN Kepala 1 PASIEN UMUM - 800,000 - - - - - - -
29 C.029.0291 17-Jun-17 BOHARI DG NGIRI,TN CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
30 C.030.0292 17-Jun-17 ABD.LATIEF S,TN CT.SCAN Kepala 1 PASIEN UMUM - 800,000 - - - - - - -
31 C.031.0293 17-Jun-17 YURI ELISABETH,AN CT.SCAN ABDOMEN 3 PASIEN UMUM - 1,500,000 - - - - - - -
32 C.032.0294 20-Jun-17 H IR.ARMAN JAYA,TN CT.SCAN Kepala 1 PASIEN UMUM - 800,000 - - - - - - -
33 C.033.0295 20-Jun-17 IBAKERAH,NY CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
23
FOTO FILM INSTANSI
49 1,600,000 22,000,000 9,500,000 - - - - 1,600,000 240,000 80,000 218,000 1,062,000
49 1,600,000 22,000,000 9,500,000 - - - - 1,600,000 240,000 80,000 218,000 1,062,000
34 C.034.0296 20-Jun-17 SANABA,NY CT.SCAN Kepala 1 INHEALTH - 800,000 - - - - - - -
35 C.035.0297 20-Jun-17 DRS.H ABU NUSU,TN CT.SCAN ABDOMEN 3 BPJS - - 1,500,000 - - - - - -
36 C.036.0298 21-Jun-17 ASMAH,NN CT.SCAN THORAX 3 PASIEN UMUM - 1,500,000 - - - - - - -
37 C.037.0299 21-Jun-17 HJ HAMSIAH,NY CT.SCAN Kepala 1 PASIEN UMUM 800,000 - - - 800,000 120,000 40,000 109,000 531,000
38 C.038.0300 21-Jun-17 SYARIFUDDIN,TN CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
39 C.039.0301 22-Jun-17 MUHAMMAD MASDAR,TN CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
40 C.040.0302 22-Jun-17 KAYLEN VANESSA,AN CT.SCAN ABDOMEN 3 PASIEN UMUM 1,500,000 - - - 1,500,000 225,000 75,000 327,000 873,000
41 C.041.0303 22-Jun-17 RAHMATIAH,NY CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
42 C.042.0304 23-Jun-17 HARRY E RIEUWPESSA,TN CT.SCAN Kepala 1 INHEALTH - - 800,000 - - - - - -
43 C.043.0305 23-Jun-17 FEBRIANTI HALIM,NY CT.SCAN UROLOGI 3 BPJS - - 1,500,000 - - - - - -
44 C.044.0306 23-Jun-17 HAJERAH,NY CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
45 C.045.0307 26-Jun-17 HALIMAH,NY CT.SCAN Kepala 1 PASIEN UMUM - 800,000 - - - - - - -
46 C.046.0308 27-Jun-17 SONNY,TN CT.SCAN Kepala 1 PASIEN UMUM - 800,000 - - - - - - -
47 C.047.0309 28-Jun-17 HJ DEMMAWATI,NY CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
48 C.048.0310 28-Jun-17 KULLIN,NY CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
49 C.049.0311 28-Jun-17 WARDA LINA B,NY CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
50 C.050.0312 29-Jun-17 SUBEHANG,TN CT.SCAN Kepala 1 BPJS - 800,000 - - - - - - -
51 C.051.0313 29-Jun-17 DRS.RUKMAN,TN CT.SCAN Kepala 1 BPJS - - 800,000 - - - - - -
52 C.052.0314 29-Jun-17 SYAFRI,TN CT.SCAN Kepala 1 PASIEN UMUM - 800,000 - - - - - - -
53 C.053.0315 30-Jun-17 TADJUDDIN,TN CT.SCAN Kepala 1 TELKOM - 800,000 - - - - - - -
28 2,300,000 11,900,000 4,600,000 - - - - 2,300,000 345,000 115,000 436,000 1,404,000

TOTAL TUNAI 77 3,900,000 33,900,000 14,100,000 - - - - 3,900,000 585,000 195,000 654,000 2,466,000
TAGIHAN R. INAP CT SCAN YANG MASUK KE RSA BULAN JUNI 2017
1 RI.0267 30-Jun-17 FONNY PRIANTO,NY CT.SCAN Kepala 1 FT.7/6 800,000 - - - 800,000 120,000 40,000 109,000 531,000
2 RI.0269 30-Jun-17 SARAKA DG KULLE H,TN CT.SCAN ABDOMEN 3 FT.7/6 1,500,000 - - - 1,500,000 225,000 75,000 327,000 873,000
3 RI.0186 30-Jun-17 ABDUL LATIEF P,DRS,TN CT.SCAN Kepala 1 PUSRI.29/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
4 RI.0268 30-Jun-17 BASO DARWIS,TN CT.SCAN THORAX 3 FT.7/6 1,500,000 - - - 1,500,000 225,000 75,000 327,000 873,000
5 RI.0241 30-Jun-17 MAHKAMAL,TN CT.SCAN SINUS PN 1 M.LIFE.25/4 800,000 - - - 800,000 120,000 40,000 109,000 531,000
6 RI.0225 30-Jun-17 NOVIANUS LOLOALLO,TN CT.SCAN Kepala 1 T.KINDO.12/4 800,000 - - - 800,000 120,000 40,000 109,000 531,000
24
FOTO FILM INSTANSI
7 RI.0040 30-Jun-17 NURJANNAH WARIS,NN CT.SCAN Kepala 1 ASKES.16/1 800,000 - - - 800,000 120,000 40,000 109,000 531,000
8 RI.0824 30-Jun-17 NURJANNAH WARIS,NN CT.SCAN ABDOMEN 3 ASKES.31/12 1,500,000 - - - 1,500,000 225,000 75,000 327,000 873,000
14 8,500,000 - - - - - - 8,500,000 1,275,000 425,000 1,526,000 5,274,000
14 8,500,000 - - - - - - 8,500,000 1,275,000 425,000 1,526,000 5,274,000
9 RI.0128 30-Jun-17 SRI WULANNINGSIH,NY CT.SCAN Kepala 1 ASKES.6/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
10 RI.0174 30-Jun-17 YOHANES ZETIMAU,TN CT.SCAN MASTOID 1 PT.ASTRA.24/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
11 RI.0298 30-Jun-17 ASMAH,NN CT.SCAN THORAX 3 FT.21/6 1,500,000 - - - 1,500,000 225,000 75,000 327,000 873,000
12 RI.0294 30-Jun-17 IR.H ARMAN JAYA,TN CT.SCAN Kepala 1 FT.19/6 800,000 - - - 800,000 120,000 40,000 109,000 531,000
13 RI.0307 30-Jun-17 HALIMAH,NY CT.SCAN Kepala 1 FT.25/6 800,000 - - - 800,000 120,000 40,000 109,000 531,000
7 4,700,000 - - - - - - 4,700,000 705,000 235,000 763,000 2,997,000

TOTAL RAWAT INAP 21 13,200,000 - - - - - - 13,200,000 1,980,000 660,000 2,289,000 8,271,000
TAGIHAN R. JALAN CT SCAN YANG MASUK KE RSA BULAN JUNI 2017
1 RJ.0124 30-Jun-17 SOFYAN MAKU CT.SCAN ABDOMEN 2 BPJS.2/3 1,500,000 - - - - 1,500,000 225,000 75,000 218,000 982,000
2 RJ.0129 30-Jun-17 MAIL CT.SCAN ABDOMEN 2 BPJS.8/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
3 RJ.0122 30-Jun-17 HASENG CT.SCAN ABDOMEN 2 BPJS.1/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
4 RJ.0131 30-Jun-17 SARIBULAN CT.SCAN ABDOMEN 2 BPJS.7/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
5 RJ.0132 30-Jun-17 YUSRIANA CT.SCAN Kepala 1 BPJS.8/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
6 RJ.0133 30-Jun-17 ISLAMIAH CT.SCAN ABDOMEN 2 BPJS.8/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
7 RJ.0138 30-Jun-17 MIFTAHUL KHAERAT CT.SCAN Kepala 1 BPJS.10/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
8 RJ.0143 30-Jun-17 NURHAYATI CT.SCAN Kepala 1 BPJS.13/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
9 RJ.0146 30-Jun-17 COLLE CT.SCAN ABDOMEN 2 BPJS.13/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
10 RJ.0150 30-Jun-17 MUH NAWIR CT.SCAN MASTOID 1 BPJS.15/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
11 RJ.0153 30-Jun-17 SULAIMAN CT.SCAN ABDOMEN 2 BPJS.15/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
12 RJ.0151 30-Jun-17 SAMSIA CT.SCAN THORAX 2 BPJS.15/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
13 RJ.0156 30-Jun-17 NURLIA CT.SCAN Kepala 1 BPJS.16/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
14 RJ.0158 30-Jun-17 ABDUL RAHMAN CT.SCAN ABDOMEN 2 BPJS.18/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
15 RJ.0169 30-Jun-17 MUH WAHYU AL AVIV CT.SCAN THORAX 2 BPJS.22/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
16 RJ.0172 30-Jun-17 ANDI NEILIAWATI CT.SCAN ABDOMEN 2 BPJS.23/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
17 RJ.0173 30-Jun-17 DEBIYANTI HERMAN CT.SCAN TEMPORAL 1 BPJS.23/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
18 RJ.0178 30-Jun-17 IRWIN IDRUS CT.SCAN UROLOGI 2 BPJS.25/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
19 RJ.0179 30-Jun-17 ALDYTIA GEMA SUKMA CT.SCAN MASTOID 1 BPJS.25/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
25
FOTO FILM INSTANSI
20 RJ.0180 30-Jun-17 HARIANI CT.SCAN Kepala 1 BPJS.25/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
21 RJ.0184 30-Jun-17 HASNAWI CT.SCAN ABDOMEN 2 BPJS.29/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
22 RJ.0187 30-Jun-17 ISMAIL CT.SCAN ABDOMEN 2 BPJS.30/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
23 RJ.0191 30-Jun-17 IR HJ PATMAWATI SYANDY CT.SCAN THORAX 2 BPJS.31/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
38 28,900,000 - - - - - - 28,900,000 4,335,000 1,445,000 4,142,000 18,978,000
38 28,900,000 - - - - - - 28,900,000 4,335,000 1,445,000 4,142,000 18,978,000
24 RJ.0190 30-Jun-17 EDY K CT.SCAN Kepala 1 BPJS.31/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
25 RJ.0189 30-Jun-17 NURHIKMA WAHYUNI CT.SCAN Kepala 1 BPJS.31/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
26 RJ.0192 30-Jun-17 MUH SUANTO CT.SCAN SINUS PN 1 BPJS.31/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
27 RJ.0164 30-Jun-17 FIRA CT.SCAN Kepala 1 BPJS.22/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
28 RJ.0182 30-Jun-17 ANDI ZAINAL ABIDIN CT.SCAN Kepala 1 ASKES.27/3 800,000 - - - 800,000 120,000 40,000 109,000 531,000
29 RJ.0185 30-Jun-17 HJ MARDIAH NUR CT.SCAN CERVICAL 2 ASKES.29/3 1,500,000 - - - 1,500,000 225,000 75,000 218,000 982,000
- - - - - - - - -
7 5,500,000 - - - - - - 5,500,000 825,000 275,000 763,000 3,637,000

TOTAL RAWAT JALAN 45 34,400,000 - - - - - - 34,400,000 5,160,000 1,720,000 4,905,000 22,615,000
TOTAL KESELURUHAN 143 51,500,000 33,900,000 14,100,000 - - - - 51,500,000 7,725,000 2,575,000 7,848,000 33,352,000
Makassar, 15 JULI 2017
Ka. Instalasi Radiologi Unit CT-Scan RSA "Jaury"
Ket :
- Harga Film/Lbr : 109,000 (Dr.Achmad Dara Sp.Rad)

PEMASUKAN INSTALASI RADIOLOGI BULAN JUNI 2017
NO URAIAN JUMLAH JUMLAH

Rp. Rp.
1 PENERIMAAN TUNAI DI LOKET RADIOLOGI RSA
RADIODIAGNOSTIK 12,450,000
- CITO -
- OBAT -
ULTRASONOGRAFI 6,550,000
-
- CITO -
CT SCAN
- TUNAI LOKET 3,900,000
- CITO -
- OBAT -
JUMLAH 22,900,000
2 TAGIHAN RAWAT INAP YANG TERBAYAR MASUK KAS DI RSA
- OBAT -
- CITO 126,000
- OBAT -
- CITO 70,000
CT SCAN
- CITO -
- OBAT -
JUMLAH 42,751,000
3 TAGIHAN RAWAT JALAN YANG TERBAYAR MASUK KAS DI RSA
- MATERAI 3,000
- CITO -
- MATERAI 3,000
- CITO -
CT SCAN
- CITO -
- MATERAI/OBAT -
JUMLAH 66,911,000
JUMLAH TOTAL 132,562,000
Ka. Instalasi Radiologi RSA Jaury

PEMASUKAN/PENGELUARAN & SALDO ULTRASONOGRAFI BULAN JUNI 2017
PEMASUKAN PENGELUARAN NETTO

NO TANGGAL KETERANGAN
Rp. Rp. Rp.
1 30-JUN-17 PINDAHAN BRUTO PEMASUKAN ULTRASONOGRAFI
BULAN JUNI 2017
- TUNAI : 44,550,000
- MATERAI : 3,000
- CITO : 70,000
PERHITUNGAN HONOR :
HONOR DOKTER :
Pemasukan Total Rp 44,623,000

Pemasukan Materai : Rp 3,000
Pemasukan Cito-Cito : Rp 70,000
Sisa Rp 44,550,000
Honor : 30 % x Rp 44,550,000 13,365,000

Insentif Karyawan 2,5 % x Rp 44,550,000 1,113,750
HARGA FILM 1,309,350

MATERAI 3,000
CITO 70,000
PEMASUKAN 44,623,000
PENGELUARAN 15,861,100
SISA SALDO 28,761,900
MAKASSAR, 15 JULI 2017

Ka. Instalasi Radiologi Unit USG RSA Jaury

PEMASUKAN/PENGELUARAN & SALDO RADIODIAGNOSTIK BULAN JUNI 2017
PESAWAT SIEMENS PESAWAT GENERAL ELECTRIC

NO TANGGAL KETERANGAN PEMASUKAN PENGELUARAN NETTO PEMASUKANPENGELUARAN NETTO
Rp. Rp. Rp. Rp. Rp. Rp.
1. 30-JUN-2017 PINDAHAN BRUTO PEMASUKAN RADIODIAGNOSTIK
BULAN JUNI 2017
- TUNAI : 36,310,000 -
- CITO : 126,000 -
- MATERAI/OBAT : 3,000 -
PERHITUNGAN UNTUK PESAWAT SIEMENS
PEMASUKAN BRUTO : Rp 36,439,000

DIKELUARKAN CITO : Rp 126,000
OBAT + HARGA TAMBAHAN : Rp 3,000
SISA : Rp 36,310,000
HONOR DOKTER :
RADIODIAGNOSTIK : 33 1/3% x Rp 36,310,000 12,102,123
TUNJANGAN RADIASI KARYAWAN : Rp 36,310,000 1,815,500
CITO 126,000
PERHITUNGAN UNTUK PESAWAT GE
PEMASUKAN BRUTO : Rp -
DIKELUARKAN CITO : Rp -
OBAT + HARGA TAMBAHAN : Rp -
SISA : Rp -
HONOR DOKTER :
RADIODIAGNOSTIK : 33 1/3% x Rp - 0
TUNJANGAN RADIASI KARYAWAN : Rp - 0
CITO 0
OBAT/MATERAI 3,000
HARGA FILM 3,728,000 0
PEMASUKAN 36,439,000 0
PENGELUARAN 17,774,623 0
SISA SALDO 18,664,377 0
MAKASSAR, 15 JULI 2017

Ka. Instalasi Radiologi RSA Jaury

mad Dara Sp.Rad)
PEMASUKAN/PENGELUARAN DAN SISA SALDO CT SCAN BULAN JUNI 2017
JML JML PEMASUKAN HONOR TINDAKAN TINDAKAN CITO ALKES/ TUNJ. RAD. HARGA FILM/
PEND. FILM TUNAI DOKTER 15% ANESTESI KONTRAST FOTO MATERAI KARYAWAN 5% MAINTENANCE NETTO
TANGGAL KETERANGAN
BAHAN D.L.L
30-Jun-17
-
- YANG BAYAR : Rp 800,000 25 25 20,000,000 3,000,000 1,000,000 2,725,000 13,275,000
- YANG BAYAR : Rp 1,500,000 21 47 31,500,000 4,725,000 1,575,000 5,123,000 20,077,000
- - - - -
- - - - -
- CITO FOTO : - x Rp 30,000 0 0
- Obat + Materai - -
46 72 51,500,000 7,725,000 - - - - 2,575,000 7,848,000 33,352,000
Ket :
- Harga Film : Rp. 109.000
Ka. Instalasi Radiologi Unit CT Scan RSA Jaury

Nomor Tanggal nama pend periksa jml KET radio cito
RI.001 31-Des-09 Kasmin Syarief, Tn CT Kepala 1 Ft.25/11

RI.002 31-Des-09 Sari Banong RPG+Thorax+BNO- 11 Ft,28/11 1,700,000
RI.003 31-Des-09 Sari Banong USG Abdomen 1 ft.21/11
RI.004 31-Des-09 Hasmuddin, H Thorax 1 ft.21/11 100,000
RI.005 31-Des-09 Hasmuddin, H USG Abdomen 1 ft.24/11
RI.006 31-Des-09 Martha Utan Thorax 1 ft.21/11 100,000
RI.007 31-Des-09 Nadya Wijaya Antebrachi 4 ft.30/11 300,000 45,000
RI.008 31-Des-09 Nadya Wijaya USG Abdomen 1 ft.30/11
RI.009 31-Des-09 Irene Thorax 1 ft.2/12 100,000
RI.010 31-Des-09 Jawiyah, Hj. Thorax 1 ft.29/11 100,000
RI.011 31-Des-09 Rita Tri Lestari USG Abdomen 1 ft.28/11
RI.012 31-Des-09 Hasan Basri Thorax 1 Ft.25/11 130,000
RI.013 31-Des-09 Muddin, H Thorax 1 ft.16/11 130,000
RI.014 31-Des-09 Samingin Thorax 1 ft.16/11 130,000
RI.015 31-Des-09 Asri USG Abdomen 1 ft.30/11
RI.016 31-Des-09 Puang Terru,H CT Abdomen 2 ft.18/11
RI.017 31-Des-09 Puang Terru,H 2x Thorax 2 ft.5/11 200,000 30,000
RI.018 31-Des-09 Serly Thorax 1 ft.29/11 100,000
RI.019 31-Des-09 Serly USG Abdomen 1 ft.30/11
RI.020 31-Des-09 Meety 4x Thorax 4 ft.6/11 400,000 120,000
RI.021 31-Des-09 Deby Thorax 1 ft.3/12 100,000
RI.022 31-Des-09 Deby USG Abdomen 1 ft.2/12
RI.023 31-Des-09 Ardy, By Thorax 1 ft.25/11 100,000 30,000
RI.024 31-Des-09 Davin Humerus 2 ft.3/12 150,000
RI.025 31-Des-09 Adam Thorax 1 ft.4/12 100,000 30,000
RI.026 31-Des-09 Adam USG Abdomen 1 ft.4/12
RI.027 31-Des-09 Isnaeni USG Abdomen 1 Ft.14/4
RI.028 31-Des-09 Isnaeni Thorax 1 Ft.14/4 100,000 30,000
RI.029 31-Des-09 Muchtar Hafie CT Kepala 1 ft.29/11
RI.030 31-Des-09 Hasiah Said, Hj Thorax 1 ft.2/12 100,000
RI.031 31-Des-09 Hasiah Said, Hj USG Abdomen 1 ft.2/12
RI.032 31-Des-09 Indah Riani Pelvis+TH+Ankle+P 6 ft.28/11 500,000 120,000
RI.033 31-Des-09 Jamaliah Dg. Ti'no Thorax 1 ft.1/12 100,000 30,000
RI.034 31-Des-09 Rosmini, Hj Thorax 1 ft.24/11 100,000 30,000
RI.035 31-Des-09 Rosmini, Hj USG Abdomen 1 ft.24/11
RI.036 31-Des-09 Saleng Thorax 1 ft.1/12 100,000
RI.037 31-Des-09 Mashoreng Thorax 1 ft.30/11 100,000 30,000
RI.038 31-Des-09 Yuspinus Thorax 1 Ft.25/11 100,000 30,000
RI.039 31-Des-09 Raiya, Hj USG Abdomen 1 ft.2/12
RI.040 31-Des-09 Harry Kadir Thorax 1 ft.2/12 100,000
RI.041 31-Des-09 Tajuddin Thorax 1 ft.30/11 100,000 30,000
RI.042 31-Des-09 Nenang, Hj L Sacral 2 ft.2/12 150,000
RI.043 31-Des-09 Nenang, Hj CT Kepala 1 ft.28/11
RI.044 31-Des-09 Syahrul Thorax 1 ft.5/12 100,000 30,000
RI.045 31-Des-09 Sohra Ibarahim, Hj Thorax 1 ft.2/12 100,000
RI.046 31-Des-09 Sohra Ibarahim, Hj USG Abdomen 1 ft.2/12
RI.047 31-Des-09 Mastura Thorax 1 ft.12/10 100,000 30,000
RI.048 31-Des-09 Osmanto Wijaya Thorax 1 Ft.25/11 100,000
RI.049 31-Des-09 Osmanto Wijaya USG Abdomen 1 Ft.25/11
RI.050 31-Des-09 Ince Haisyah, Hj Thorax 1 ft.3/12 100,000 30,000
RI.051 31-Des-09 Al-Fiqri, An Thorax 1 ft.1/12 100,000
RI.052 31-Des-09 Haking. A.Hj Thorax 1 ft.4/12 100,000
RI.053 31-Des-09 Kamariah, Ny Thorax 1 ft.3/12 100,000
RI.054 31-Des-09 Kamariah, Ny USG Abdomen 1 ft.3/12
RI.055 31-Des-09 Kamariah, Ny CT Abdomen U/+Ko 2 ft.5/12
RI.056 31-Des-09 Dike Wibisono Thorax 1 ft.7/12 100,000 30,000
RI.057 31-Des-09 Ritonga, H.D Thorax 1 ft.5/12 100,000 30,000
RI.058 31-Des-09 Kamaruddin Femur+Thorax 3 ft.30/11 250,000 45,000
RI.059 31-Des-09 Aldian, An BNO-IVP 5 ft.2/12 800,000
RI.060 31-Des-09 Syamsuddin, H USG Abdomen 1 ft.22/12
RI.061 31-Des-09 Nadjma Hakka, Ny USG Abdomen 1 ft.3/12
RI.062 31-Des-09 Indo Lebbi, Hj Thorax 1 ft.28/11 100,000
RI.063 31-Des-09 Frida Yauri Thorax 1 ft.23/11 100,000 30,000
RI.064 31-Des-09 Frida Yauri CT Kepala 1 ft.24/11
RI.065 31-Des-09 Sakka B USG Abdomen 1 ft.28/11
RI.066 31-Des-09 Sakka B 2x Thorax 2 ft.23/11 200,000 60,000
RI.067 31-Des-09 Arif Rahman, An Thorax 1 ft.1/12 100,000 30,000
RI.068 31-Des-09 Naufal Zaki Ahmad, An Colon Inloop + Thor 6 ft.17/11 700,000
RI.069 31-Des-09 Fachruddin Sofwan 2x Thorax 2 ft.17/11 200,000 60,000
RI.070 31-Des-09 Fachruddin Sofwan CT Kepala 1 ft.20/11
RI.072 31-Des-09 Aminah, St 2x Thorax 2 ft.17/11 200,000 30,000
RI.073 31-Des-09 Aminah, St USG Abdomen 1 ft.18/11
RI.074 31-Des-09 Aminah, St CT Thorax 2 ft.28/11
RI.075 31-Des-09 Sanusi, H.M CT Abdomen 2 ft.3/12
RI.076 31-Des-09 Sanusi, H.M Pelvis 1 ft.12/11 100,000
RI.077 31-Des-09 Sanusi, H.M USG Abdomen 1 ft.12/11
RI.078 31-Des-09 Aisyah Yunus, St Thorax 1 ft.5/12 100,000
RI.079 31-Des-09 Norma Dg. Sompa, hj Pedis+Thorax 3 ft.5/12 250,000 45,000
RI.080 31-Des-09 Lasennang, Tn BNO 3 Posisi+Thor 4 ft.1/12
RI.081 31-Des-09 Lasennang, Tn USG Abdomen 1 ft.5/12
RI.082 31-Des-09 Juma Daeng Puji, Ny Thorax 1 ft.2/12 100,000 30,000
RI.083 31-Des-09 Sangging Dg. Caya,Ny Thorax 1 ft.30/11 90,000
RI.084 31-Des-09 Sangging Dg. Caya,Ny USG Abdomen 1 ft.30/11
RI.085 31-Des-09 Junusiah, Ny CT Kepala 1 ft.7/12
RI.086 31-Des-09 Megawati, Ny CT Abdomen 2 ft.5/12
RI.087 31-Des-09 Megawati, Ny USG Abdomen 1 ft.3/12
RI.088 31-Des-09 Hasrul, Tn Thorax 1 ft.5/12 100,000 30,000
RI.089 31-Des-09 Ali Topan, Tn Thorax 1 ft.4/12 100,000
RI.090 31-Des-09 Ali Topan, Tn USG Abdomen 1 ft.4/12
RI.091 31-Des-09 Muhammad Amin, Tn Thorax 1 ft.7/12 100,000 30,000
RI.092 31-Des-09 Sunardi, Tn CT Kepala 1 ft.30/11
RI.094 31-Des-09 Sunardi, Tn Thorax 1 ft.30/11 100,000 30,000
RI.095 31-Des-09 Tajang, H,Tn USG Abdomen 1 ft.3/12
RI.096 31-Des-09 Mansyur, H.Tn Pedis+Thorax 3 ft.8/12 250,000
RI.097 31-Des-09 Nur Ali Santoso, Tn USG Abdomen 1 ft.4/12
RI.098 31-Des-09 Arman, Tn Thorax 1 ft.7/12 100,000
RI.099 31-Des-09 Zaenal Ilmi, Tn Pedis+Thorax 3 ft.2/9 250,000 45,000
RI.100 31-Des-09 Dahlan, H. Tn Thorax 1 ft.3/12 100,000
RI.101 31-Des-09 Muh. Ashar, Tn Thorax 1 ft.8/12 100,000 30,000
RI.102 31-Des-09 Patte, H. Tn Thorax 1 ft.9/12 100,000
RI.103 31-Des-09 Patte, H. Tn CT Kepala 1 ft.4/12
RI.104 31-Des-09 Syamsiar, Hj.Ny CT Kepala 1 ft.9/12
RI.105 31-Des-09 Syamsiar, Hj.Ny Thorax 1 ft.7/12 100,000
RI.106 31-Des-09 Nelly Siona, Ny Thorax 1 ft.7/12 100,000
RI.107 31-Des-09 Nelly Siona, Ny USG Abdomen 1 ft.9/12
RI.108 31-Des-09 Susi, Nn BNO 1 ft.2/12 100,000
RI.109 31-Des-09 Bustang, H.Tn 2x Thorax 2 Telkom.5/8 200,000
RI.110 31-Des-09 Bustang, H.Tn USG Abdomen 1 Telkom.5/8
RI.111 31-Des-09 Muh. Sahada, Tn CT Kepala 1 Telkom.24/8
RI.112 31-Des-09 Ahmad, Tn Thorax 1 Telkom.1/9 100,000
RI.113 31-Des-09 Ahmad, Tn USG Abdomen 1 Telkom.1/9
RI.114 31-Des-09 Widarta, Tn Thorax 1 Telkom.28/ 100,000
RI.115 31-Des-09 Nurhayati, Ny Thorax 1 Telkom.18/ 100,000
RI.116 31-Des-09 Zam-zam Juddah Thorax 1 Allianz.4/7 100,000
RI.117 31-Des-09 Hanna P, Ny Panggul+Thorax 2 Allianz,30/ 200,000 30,000
RI.118 31-Des-09 Marianus, Tn BNO-IVP+TH+BNO 7 Lestari TT, 1,000,000
RI.119 31-Des-09 Simon Patadungan, Tn USG Abdomen 1 Allianz,19/8
RI.120 31-Des-09 Simon Patadungan, Tn Thorax 1 Allianz,19/ 100,000
RI.121 31-Des-09 Arief, M.Tn Thorax 1 AIA,26/8 100,000
RI.122 31-Des-09 Arief, M.Tn USG Abdomen 1 AIA,26/8
RI.123 31-Des-09 Sri Destari, Ny Thorax 1 Prodia,1/9 100,000
RI.124 31-Des-09 Sri Destari, Ny CT Kepala 1 Prodia,1/9
RI.125 31-Des-09 Hastiana Thorax 1 B.Asih,16/ 100,000
RI.126 31-Des-09 Gintoro, Tn Thorax 1 SRL,2/7 100,000
RI.127 31-Des-09 Dudi Rachmadi, Tn 3xPedis+2xAnkle+K 10 Allianz,13/ 750,000 135,000
RI.128 31-Des-09 Adenah Masua, Ny Thorax 1 Allianz,5/9 100,000
RI.129 31-Des-09 Adenah Masua, Ny USG Abdomen 1 Allianz,5/9
RI.130 31-Des-09 Muh. Naufal Said B Thorax 1 GSM,30/6 100,000 30,000
RI.131 31-Des-09 Muh. Rizal Clavicula+Thorax 2 Jamsostek, 200,000 30,000
RI.132 31-Des-09 Indrawati, Ny USG Abdomen 1 Japfa,11/8
RI.133 31-Des-09 Indrawati, Ny Thorax 1 Japfa,11/8 100,000
RI.134 31-Des-09 Rauhdiar, Ny USG Abdomen 1 Japfa,8/9
RI.135 31-Des-09 Jordiansyah, An Thorax 1 C.Cola,11/ 100,000
RI.136 31-Des-09 Burhanuddin, Tn Thorax 1 Manulife,1/ 100,000
RI.137 31-Des-09 Burhanuddin, Tn USG Abdomen 1 Manulife,1/8
RI.138 31-Des-09 Awal, Tn Thorax 1 Manulife,1 100,000
RI.139 31-Des-09 Sri Yanti, Ny Thorax 1 Manulife,2 100,000
RI.140 31-Des-09 Sri Yanti, Ny CT Kepala 1 Manulife,29/8
RI.141 31-Des-09 Afrihandy Hasanuddin CT urografin 2 Adm.Medika,12/10
RI.142 31-Des-09 Afrihandy Hasanuddin USG Abdomen 1 Adm.Medika,12/10
RI.143 31-Des-09 Syaharuddin, Tn CT Kepala 1 PTPN,5/8
RI.144 31-Des-09 Syaharuddin, Tn Thorax 1 PTPN,19/8 100,000 30,000
RI.145 31-Des-09 Ahmad Rizal, Tn Thorax 1 FIF,1/8 100,000
RI.146 31-Des-09 Ahmad Rizal, Tn 2x USG Abdomen 2 FIF,1/8
RI.147 31-Des-09 Syarifuddin, Tn 2x Thorax 2 AIA,13/8 200,000 60,000
RI.148 31-Des-09 Ismail Afiq, An BNO 1 CAR,8/9 100,000
RI.149 31-Des-09 Ismail Afiq, An USG Abdomen 1 CAR,8/9
RI.150 31-Des-09 Ismail Afiq, An CT Abdomen 1 CAR,8/9
RI.151 31-Des-09 Muhammad Nur,Tn CT Kepala 1 CAR,19/10
RI.152 31-Des-09 Muslimin, Tn Thorax 1 ft.12/12 100,000 30,000
RI.153 31-Des-09 Dg.Manompo,H.M.K,Tn Thorax 1 ft.1/12 50,000
RI.154 31-Des-09 Dg.Manompo,H.M.K,Tn CT Kepala 1 ft.1/12
RI.155 31-Des-09 Ali Santaliu, Tn Thorax 1 ft.8/12 100,000
RI.156 31-Des-09 Muh. Ilyas, Tn USG Abdomen 1 ft.12/12
RI.157 31-Des-09 Bachtiar Bakri, Atn Thorax 1 ft.2/12 100,000 30,000
RI.158 31-Des-09 Herman, A.Tn BNO 3 Posisi+Thor 4 ft.30/11
RI.159 31-Des-09 Abd. Fattah, H.Tn CT Abdomen 1 ft.1/12
RI.160 31-Des-09 Tjioe Kok Lie, Tn CT Kepala 1 ft.3/12
RI.161 31-Des-09 Fahmi Rijani, Tn Thorax 1 ft.11/12 100,000 30,000
RI.162 31-Des-09 Tajuddin, Tn BNO 3 Posisi 3 ft.8/12
RI.163 31-Des-09 Tajuddin, Tn USG Abdomen 1 ft.8/12
RI.164 31-Des-09 Nur Akbar, Tn 2x Thorax 2 ft.9/12 200,000 60,000
RI.165 31-Des-09 Nur Akbar, Tn USG Abdomen 1 ft.10/12
RI.166 31-Des-09 Hatijah, Hj.Ny Lumbu Sacral 2 ft.3/12 150,000
RI.167 31-Des-09 Muh. Raditya, An Thorax 1 ft.7/12 100,000
RI.168 31-Des-09 Isran Alim, Tn Shoulder+Thorax 4 Berdikari,7 325,000
RI.169 31-Des-09 Noval, An USG Abdomen 1 ft.9/12
RI.170 31-Des-09 Bahra Yusuf, Hj.Ny Thorax 1 ft.8/12 100,000
RI.171 31-Des-09 Bahra Yusuf, Hj.Ny CT Kepala 1 ft.5/12
RI.172 31-Des-09 Bahra Yusuf, Hj.Ny USG Abdomen 1 ft.4/12
RI.173 31-Des-09 Bau Dg.Kanang, Hj.ny Thorax 1 ft.11/12 100,000 30,000
RI.174 31-Des-09 Halike, H.Tn Cruris 2 ft.16/11 250,000 45,000
RI.175 31-Des-09 Yenni Chandra, Ny 2x Thorax 2 ft.21/10 200,000 60,000
RI.176 31-Des-09 Yenni Chandra, Ny CT Kepala 1 ft.20/10
RI.178 31-Des-09 Yusri, Tn Thorax 1 ft.10/12 100,000
RI.179 31-Des-09 Yusri, Tn CT Kepala 1 ft.10/12
RI.180 31-Des-09 Maryam Razak, Ny Thorax 1 ft.20/1 75,000
RI.181 31-Des-09 Maryam Razak, Ny USG Abdomen 1 ft.20/1
RI.182 31-Des-09 Wandy Sidianto, Tn Thorax 1 ft.11/12 100,000
RI.183 31-Des-09 Wandy Sidianto, Tn USG Abdomen 1 ft.11/12
RI.184 31-Des-09 Alwi Winiarto, Tn Colon Inloop + Thor 6 ft.14/12
RI.185 31-Des-09 Muh. Jalias, H.Tn USG Abdomen 1 ft.14/12
RI.186 31-Des-09 Muh. Irfan, Tn Thorax 1 ft.15/12 100,000
RI.187 31-Des-09 Alison Moli Tjandra,Tn Thorax 1 ft.14/12 100,000 30,000
RI.188 31-Des-09 Alison Moli Tjandra,Tn USG Abdomen 1 ft.14/12
RI.189 31-Des-09 Paramma, H.Tn Thorax 1 ft.13/12 100,000 30,000
RI.190 31-Des-09 Yan Patanda, Tn BNO 3 Posisi 3 ft.16/9
RI.191 31-Des-09 Sahuji, St.Ny 2x Thorax 2 ft.10/12 200,000 30,000
RI.192 31-Des-09 Sahuji, St.Ny 2x USG Abdomen 2 ft.10/12
RI.193 31-Des-09 Yulianti, Ny USG Abdomen 1 ft.16/12
RI.195 31-Des-09 Margaretha, Ny USG Abdomen 1 ft.9/12
RI.196 31-Des-09 Margaretha, Ny Thorax 1 ft.6/12 100,000 30,000
RI.197 31-Des-09 Selliha, Hj.Ny Thorax 1 ft.16/12 100,000
RI.198 31-Des-09 Selliha, Hj.Ny USG Abdomen 1 ft.16/12
RI.199 31-Des-09 Ridwan, Tn USG Abdomen 1 ft.16/12
RI.200 31-Des-09 Muh. Abi Said, An USG Abdomen 1 ft.15/12
RI.201 31-Des-09 Andi Murni, Ny Thorax 1 ft.16/12 100,000
RI.202 31-Des-09 Andi Murni, Ny USG Abdomen 1 ft.16/12
RI.203 31-Des-09 Alisila, Tn Thorax 1 ft.1/7 100,000
RI.204 31-Des-09 Alisila, Tn USG Abdomen 1 ft.1/7
RI.205 31-Des-09 Rosdiana, Ny USG Abdomen 1 Askes.3/10
RI.206 31-Des-09 Maryanti, Ny USG Obstetri 1 Askes.8/10
RI.207 31-Des-09 Rezki Mandasari, nn CT Kepala 1 Askes,6/10
RI.208 31-Des-09 Darwis, Tn Thorax 1 Askes,17/6 100,000
RI.209 31-Des-09 Rahmatia, Ny Thorax 1 Askes,10/7 100,000
RI.210 31-Des-09 Robby Al Fred, Tn 2x Thorax 2 Askes,31/8 200,000
RI.211 31-Des-09 Musdalifa Thamrin, Nn Thorax 1 Askes,2/9 100,000
RI.212 31-Des-09 Musdalifa Thamrin, Nn USG Abdomen 1 Askes,2/9
RI.213 31-Des-09 Annisa Aulia, Nn Thorax 1 Askes,7/9 100,000
RI.214 31-Des-09 Muchlis, Tn CT Kepala 1 Askes,14/9
RI.215 31-Des-09 Muchlis, Tn CT Abdomen 2 Askes,5/9
RI.216 31-Des-09 Muchlis, Tn USG Abdomen 1 Askes,4/9
RI.217 31-Des-09 Kadir Yayo, Tn Thorax 1 Askes,9/9 100,000
RI.218 31-Des-09 Kadir Yayo, Tn USG Abdomen 1 Askes,9/9
RI.219 31-Des-09 Filky Dwi Sakti, Tn USG Abdomen 1 Askes,9/9
RI.220 31-Des-09 Sriyati, Ny LS3x+THLBL5x+TH 10 Askes,26/8 1,010,000 105,000
RI.221 31-Des-09 Nur Annisa Autia, An Thorax 1 Askes,6/9 100,000
RI.222 31-Des-09 Alfiana Latumakulita, Ny BNO-IVP+Thorax 6 Askes,8/6 900,000
RI.223 31-Des-09 Mustafa, Tn Thorax 1 Askes,2/6 100,000
RI.224 31-Des-09 Mustafa, Tn USG Abdomen 1 Askes,2/6
RI.225 31-Des-09 Asmianti, Ny Thorax 1 Askes,18/8 100,000
RI.226 31-Des-09 Asmianti, Ny USG Abdomen 1 Askes,18/8
RI.227 31-Des-09 Muliana, Ny USG Abdomen 1 Askes,5/8
RI.228 31-Des-09 Muliana, Ny LDK + Thorax 2 Askes,4/8 150,000
RI.229 31-Des-09 Yulhaidir, Tn Thorax 1 Askes,1/8 100,000
RI.230 31-Des-09 Yulhaidir, Tn USG Abdomen 1 Askes,1/8
RI.231 31-Des-09 Abd. Malik, Tn Thorax 1 Askes,1/8 100,000
RI.232 31-Des-09 Soraya Satria, Nn USG Abdomen 1 Askes,30/7
RI.233 31-Des-09 Khalil Syamsu, Tn CT Sinus 1 Askes,4/8
RI.234 31-Des-09 Jusfin Amiruddin, Tn Thorax 1 Askes,1/8 100,000
RI.235 31-Des-09 Ansar, Tn Thorax 1 Askes,4/8 100,000
RI.236 31-Des-09 Mastin Alitani, Ny THLBL+Thorax 2 Askes,4/8 250,000
RI.237 31-Des-09 Mastin Alitani, Ny USG Abdomen 1 Askes,22/8
RI.238 31-Des-09 Nurdin, Tn Thorax 1 Askes,3/8 100,000
RI.239 31-Des-09 Mahrul, Tn Thorax 1 Askes,13/8 100,000
RI.240 31-Des-09 Juti Budana, Ny Thorax 1 Askes,24/7 100,000
RI.241 31-Des-09 Dwi Nirmala Sari, Nn Thorax 1 Askes,30/7 100,000
RI.242 31-Des-09 Fatmawati, Ny Thorax 1 Askes,11/8 100,000
RI.243 31-Des-09 Dwi Nirmala Sari, Nn USG Abdomen 1 Askes,30/7
RI.244 31-Des-09 Fatmawati, Ny USG Abdomen 1 Askes,13/8
RI.245 31-Des-09 Riskawati, Ny USG Abdomen 1 Askes,4/8
RI.246 31-Des-09 Sriyati, Ny 2x Thorax 2 Askes,27/7 200,000
RI.247 31-Des-09 Naufal, An Thorax 1 Askes,15/8 100,000
RI.248 31-Des-09 Carolina L.Kairupan, Ny CT Sinus 1 Askes,15/8
RI.249 31-Des-09 Carolina L.Kairupan, Ny Lumbu Sacral+TH 3 Askes,13/8 250,000
RI.250 31-Des-09 Ardiansyah Jasman, Tn Thorax 1 Askes,22/8 100,000
RI.251 31-Des-09 Muh. Ibnu, Tn Thorax 1 Askes,10/7 100,000
RI.252 31-Des-09 Usman, H.Tn Thorax 1 Askes,1/8 100,000
RI.253 31-Des-09 Sirajuddin, Tn BNO-IVP + BNO 6 Askes,12/8 900,000
RI.254 31-Des-09 Halima, Ny Kepala+Cervical+T 4 Askes,5/8 350,000
RI.255 31-Des-09 Halima, Ny CT Kepala 1 Askes,5/8
RI.256 31-Des-09 Arsin Yusnita, Ny USG Obstetri 1 Askes,20/8
RI.257 31-Des-09 Surani, Hj.Ny Thorax 1 Askes,25/8 100,000
RI.258 31-Des-09 Asyhah, Nn USG Abdomen 1 Askes,13/8
RI.259 31-Des-09 Muchlis, Tn 2x USG Abdomen 2 Askes,8/8
RI.260 31-Des-09 Muchlis, Tn 2x Thorax 2 Askes,8/8 200,000
RI.261 31-Des-09 Tjiang Goe Siu, Ny CT Kepala 1 ft.21/10
RI.262 31-Des-09 Tjiang Goe Siu, Ny Kontras+CT Kepala 1 ft.21/10
RI.263 31-Des-09 Tjiang Goe Siu, Ny Thorax 1 ft.23/10 100,000 30,000
RI.264 31-Des-09 Makmur, Tn USG Abdomen 1 ft.12/12
RI.265 31-Des-09 Makmur, Tn Kontras+CT Thorax 2 ft.18/12
RI.266 31-Des-09 Ramlah, Ny CT Kepala 1 ft.3/12
RI.267 31-Des-09 Maiseng, Hj.Ny Thorax 1 ft.15/12 100,000
RI.268 31-Des-09 Maiseng, Hj.Ny USG Abdomen 1 ft.16/12
RI.269 31-Des-09 Muhammad Yahya Thorax 1 ft.14/12 100,000
RI.270 31-Des-09 Sobong, A.Ny.Hj Thorax 1 ft.14/12 100,000
RI.271 31-Des-09 Suyanto, Tn USG Abdomen 1 ft.16/12
RI.272 31-Des-09 Suyanto, Tn Thorax 1 ft.16/12 100,000
RI.273 31-Des-09 Muhammad Dg.Naba Thorax 1 ft.14/12 100,000 30,000
RI.274 31-Des-09 Abbas, H.Tn Thorax 1 ft.16/12 100,000
RI.275 31-Des-09 Asri, Ny Thorax 1 ft.15/12 100,000
RI.276 31-Des-09 Asri, Ny USG Abdomen 1 ft.15/12
RI.277 31-Des-09 Abdul Azis, A.Tn USG Abdomen 1 ft.15/11
RI.278 31-Des-09 Abdul Azis, A.Tn Kontras+CT Abdom 2 ft.15/11
RI.279 31-Des-09 Paleppe, Tn BNO + Thorax 2 ft.17/12 200,000
RI.280 31-Des-09 Paleppe, Tn USG Abdomen 1 ft.17/12
RI.281 31-Des-09 Paleppe, Tn CT urografin 2 ft.17/12
RI.282 31-Des-09 Elly Purnama Sari USG Abdomen 1 ft.1/12
RI.283 31-Des-09 Muh. Kamit Salim, Tn Thorax 1 ft,16/12 100,000
RI.284 31-Des-09 Muh. Kamit Salim, Tn USG Abdomen 1 ft.16/12
RI.285 31-Des-09 Abdul Halik, H.Tn Thorax 1 ft.19/12 100,000 30,000
RI.286 31-Des-09 Abdul Halik, H.Tn USG Abdomen 1 ft.19/12
RI.287 31-Des-09 Halima, Ny Thorax 1 ft.19/12 100,000 30,000
RI.288 31-Des-09 Halima, Ny USG Abdomen 1 ft.19/12
RI.289 31-Des-09 Djon C. Tawar, Tn Wrist Ap. Lat 2 ft.19/12 150,000 45,000
RI.290 31-Des-09 Muh. Hudi, Tn Kaki + Thorax 3 ft.16/12 250,000 45,000
RI.291 31-Des-09 Firdaus Talitti, Tn BNO + Thorax 2 ft.16/12 200,000 30,000
RI.292 31-Des-09 Marwan, Tn Thorax 1 ft.15/12 100,000
RI.293 31-Des-09 Marwan, Tn USG Abdomen 1 ft.15/12
RI.294 31-Des-09 Ardy, Nn CT Kepala 1 ft.11/12
RI.295 31-Des-09 Muh. Ilyas, Tn 4x Thorax 4 ft.3/12 400,000 120,000
RI.297 31-Des-09 Dahliah Kadang, Ny Thorax 1 ft.6/10 100,000
RI.298 31-Des-09 Ismojo, S.Ny Pelvis+Femur+Thor 4 ft.10/12 350,000 45,000
RI.299 31-Des-09 Yacob Bisi, Tn Thorax 1 ft.14/12 100,000
RI.300 31-Des-09 Yacob Bisi, Tn USG Abdomen 1 ft.14/12
RI.301 31-Des-09 Anwar, H.Tn Thorax 1 ft.16/12 100,000
RI.302 31-Des-09 Agustina Alam, Ny USG Abdomen 1 ft.19/12
RI.303 31-Des-09 Zainuddin, H.Tn CT Kepala 1 ft.21/12
RI.304 31-Des-09 Naufal Zaki Ahmad, An BNO 3 Posisi 3 ft.17/12 300,000 30,000
RI.305 31-Des-09 Emmyanti, Ny 2x Thorax 2 ft.3/12 200,000 30,000
RI.306 31-Des-09 Emmyanti, Ny CT Kepala 1 ft.16/12
RI.309 31-Des-09 Putri Natasya, Nn Thorax 1 ft.19/12 100,000
RI.310 31-Des-09 Daud Yolanda, Tn Uretrografin+Thorax 6 ft.16/12 550,000
RI.311 31-Des-09 Daud Yolanda, Tn USG Abdomen 1 ft.15/12
RI.312 31-Des-09 Ismojo, S.Ny Thorax 1 ft.20/12 100,000
RI.313 31-Des-09 Ismojo, S.Ny USG Abdomen 1 ft.20/12
RI.314 31-Des-09 Erick, An USG Abdomen 1 ft.21/12
RI.315 31-Des-09 Burhanuddin, Tn USG Abdomen 1 ft.17/12
RI.316 31-Des-09 Burhanuddin, Tn CT Kepala 1 ft.15/12
RI.317 31-Des-09 Sangkala Gani, Tn Pedis + Thorax 3 ft.14/12 250,000
RI.318 31-Des-09 Fanny, Ny Pelvis 1 ft.20/12 100,000
RI.319 31-Des-09 Soewito Hadisoenarto Thorax 1 ft.11/12 100,000 30,000
RI.320 31-Des-09 Soewito Hadisoenarto USG Abdomen 1 ft.11/12
RI.321 31-Des-09 Soewito Hadisoenarto CT Kepala 1 ft.16/12
RI.322 31-Des-09 Sri Hasniawati, Ny Thorax 1 ft.21/12 100,000
RI.323 31-Des-09 Nida Ulhaq, Tn Thorax 1 ft.19/12 100,000
RI.324 31-Des-09 Ratnawati, A.Ny L Sacral 2 ft.23/12 150,000
RI.325 31-Des-09 Ratnawati, A.Ny USG Abdomen 1 ft.22/12
RI.326 31-Des-09 Aidy Sila, Ir,Tn USG Abdomen 1 ft.23/12
RI.327 31-Des-09 Aidy Sila, Ir,Tn Thorax 1 ft.23/12 100,000
RI.328 31-Des-09 Rosida, nn CT Kepala 1 ft.22/12
RI.329 31-Des-09 Hana Endang Utami,Ny USG Abdomen 1 ft.22/12
RI.330 31-Des-09 Yuyun Eko Setiawan, Tn Thorax 1 ft.21/12 100,000
RI.331 31-Des-09 Abd. Karim, Tn Thorax 1 ft.19/12 100,000
RI.332 31-Des-09 Reinhard, Tn Thorax 1 ft.19/12 100,000
RI.333 31-Des-09 Reinhard, Tn USG Abdomen 1 ft.19/12
RI.334 31-Des-09 Rika Afrianti, Nn 2x Pelvis (OK) 2 ft.14/12 200,000 60,000
RI.335 31-Des-09 Rika Afrianti, Nn USG Abdomen 1 ft.14/12
RI.336 31-Des-09 Muh. Sukfiyantun THLBL+Thorax 3 ft.15/12 250,000
RI.337 31-Des-09 Parman, Tn Thorax 1 ft.15/12 100,000
RI.338 31-Des-09 Parman, Tn CT Abdomen 2 ft.15/12
RI.339 31-Des-09 The Ai Hoa, Ny USG Abdomen 1 ft.22/12
RI.340 31-Des-09 The Ai Hoa, Ny L Sacral+Thorax 3 ft.22/12 250,000
RI.341 31-Des-09 The Ai Hoa, Ny CT Kepala 1 ft.24/12
RI.342 31-Des-09 Andi Makkasau, Tn Thorax 1 ft.22/12 100,000 30,000
RI.343 31-Des-09 Andi Makkasau, Tn USG Abdomen 1 ft.22/12
RI.344 31-Des-09 Jamalia, Hj.Ny Thorax 1 ft.22/12 100,000
RI.345 31-Des-09 Jamalia, Hj.Ny USG Abdomen 1 ft.22/12
RI.346 31-Des-09 Monica, Ny Thorax 1 ft.24/12 100,000
RI.347 31-Des-09 Monica, Ny USG Abdomen 1 ft.22/12
RI.348 31-Des-09 Nurul Aisyah, An 3x Thorax 3 ft.20/12 300,000 60,000
RI.349 31-Des-09 Chang Ye Nie, Ny Thorax 1 ft.26/12 100,000
RI.350 31-Des-09 Nonci, H.Tn Thorax 1 ft.19/12 100,000 30,000
RI.351 31-Des-09 Franky L Sieciadi, Tn Thorax 1 ft.22/12 100,000 30,000
RI.352 31-Des-09 Usman, H.Tn USG Abdomen 1 ft.22/12
RI.353 31-Des-09 Hendrik Chandra, Tn L Sacral+4x Thorax 6 ft.4/9 450,000 25,000
RI.354 31-Des-09 Hendrik Chandra, Tn CT Kepala 1 ft.6/9
RI.355 31-Des-09 Rosnah, Ny CT Kepala 1 ft.22/12
RI.356 31-Des-09 Susi, Nn BNO-IVP+Thorax 6 ft.9/11 900,000
RI.357 31-Des-09 Susi, Nn USG Abdomen 1 ft.9/11
RI.358 31-Des-09 Musribuh, Hj.Ny USG Abdomen 1 ft.9/12
RI.359 31-Des-09 Musribuh, Hj.Ny Thorax 1 ft.9/12 100,000 0
RI.360 31-Des-09 Musribuh, Hj.Ny CT Kepala 1 ft.11/12
RI.361 31-Des-09 Hertoq Lasut, Tn Thorax 1 ft.9/12 100,000 30,000
RI.362 31-Des-09 Muchtar, A.H.Tn Thorax 1 ft.23/12 100,000
RI.363 31-Des-09 Muchtar, A.H.Tn USG Abdomen 1 ft.23/12
RI.364 31-Des-09 Didik Alief, A.An CT Kepala 1 ft.26/12
RI.365 31-Des-09 Jean, Nn USG Obstetri 1 ft.28/12
RI.366 31-Des-09 Roslim Abu Bakar,Ny Thorax 1 ft.26/12 100,000
RI.367 31-Des-09 Abd.Rahman, H.Tn CT Thorax 2 ft.29/12
RI.368 31-Des-09 Abd.Rahman, H.Tn USG Abdomen 1 ft.28/12
RI.369 31-Des-09 Abd.Rahman, H.Tn Thorax 1 ft.26/12 100,000
RI.370 31-Des-09 Imaduddyn Giling, Tn 2x Thorax 2 ft.19/12 200,000 60,000
RI.371 31-Des-09 Slmaet Rohadi, Tn Thorax 1 ft.30/11 100,000 30,000
RI.372 31-Des-09 Aisyah, Ny Thorax 1 ft.7/12 100,000 30,000
RI.373 31-Des-09 Musdanil, Tn Thorax 1 ft.24/12 100,000
RI.374 31-Des-09 Mahfud, A.Tn Thorax 1 ft.24/12 100,000
RI.375 31-Des-09 Mahfud, A.Tn USG Abdomen 1 ft.24/12
RI.376 31-Des-09 Kadarwati, Ny USG Abdomen 1 ft.24/12
RI.377 31-Des-09 Efendi, Tn USG Abdomen 1 ft.23/12
RI.378 31-Des-09 Kamal Machmud, tn CT Kepala 1 ft.26/12
RI.379 31-Des-09 Andreas Gunawan, Tn CT Kepala 1 ft.28/12
RI.381 31-Des-09 Reski Sukmawati, Nn USG Abdomen 1 ft.29/12
RI.382 31-Des-09 Suliati, Ny Thorax 1 ft.26/12 100,000
RI.383 31-Des-09 Suliati, Ny USG Abdomen 1 ft.26/12
RI.384 31-Des-09 Anis, Tn Thorax 1 ft.21/12 100,000 30,000
RI.385 31-Des-09 Remba, H.Tn CT Kepala 1 ft.24/12
RI.386 31-Des-09 Remba, H.Tn Thorax 1 ft.24/12 100,000 30,000
RI.387 31-Des-09 Mulyadi Nursah, Tn CT Kepala 1 ft.28/12
RI.388 31-Des-09 Abd, Wahid, H.Drs.Tn BNO 3 P+Thorax 4 ft.28/12
RI.389 31-Des-09 Makhirah, Nn 2xFemur+2xPelv+T 11 ft.14/12 850,000 45,000
RI.390 31-Des-09 Novita Maria, Ny CT Kepala 1 ft.29/12
RI.391 31-Des-09 Tenri Djaja, A.Hj.Ny Thorax 1 ft.26/12 100,000 30,000
RI.392 31-Des-09 Rahmatia, Ny Thorax 1 ft.30/12 100,000 30,000
RI.393 31-Des-09 Rahmatia, Ny USG Abdomen 1 ft.30/12
RI.394 31-Des-09 Alfatih, A.An Thorax 1 ft.29/12 100,000
RI.395 31-Des-09 Indi Cahyani, An Thorax 1 ft.19/12 100,000 30,000
RI.396 31-Des-09 Faizal Rachman, Tn 2x Thorax 2 ft.24/12 200,000
RI.397 31-Des-09 Faizal Rachman, Tn USG Abdomen 1 ft.24/12
RI.398 31-Des-09 Sartim, Tn USG Abdomen 1 ft.31/12
RI.399 31-Des-09 Andi Rifaldi, Tn CT Kepala 1 Inco,15/5
RI.400 31-Des-09 Andi Rifaldi, Tn Femur 2x+Thorax 5 Inco,16/5 400,000 30,000
RI.401 31-Des-09 Asiani Wagino, Ny 3x Thorax 3 inco,9/7 300,000 30,000
RI.402 31-Des-09 Asiani Wagino, Ny USG Abdomen 1 Inco,7/7
RI.403 31-Des-09 Hasnah, Ny BNO-IVP+2x Thora 8 Inco,18/7 1,000,000 30,000
RI.404 31-Des-09 Hasnah, Ny USG Abdomen 1 Inco,17/7
RI.405 31-Des-09 Nurmin Nurdin, ny USG Abdomen 1 Inco,18/7
RI.406 31-Des-09 Nurmin Nurdin, ny Thorax 1 Inco,18/7 100,000
RI.407 31-Des-09 Muh. Irvan Fatta Thorax 1 B.Mandiri,1 100,000
RI.408 31-Des-09 Muh. Irvan Fatta USG Abdomen 1 B.Mandiri,11/8
RI.409 31-Des-09 Felly J.Tumbal, Tn CT Kepala 1 P.mina,1/6
RI.410 31-Des-09 Marjam T.L, Ny Thorax 1 P.mina,21/ 100,000
RI.411 31-Des-09 Hamidah, Hj,Ny USG Abdomen 1 P.mina,28/5
RI.412 31-Des-09 Hamidah, Hj,Ny L Sacral 2 P.mina,28/ 150,000
RI.413 31-Des-09 Jalang, Ny Thorax 1 P.mina,27/ 75,000
RI.414 31-Des-09 Jalang, Ny USG Abdomen 1 P.mina,27/4
RI.415 31-Des-09 Djafar Sonda, H.Tn L Sacral 2 P.mina,29/ 150,000
RI.416 31-Des-09 Djafar Sonda, H.Tn USG Abdomen 1 P.mina,29/4
RI.417 31-Des-09 Rasiah, Hj.Ny USG Abdomen 1 P.mina,19/5
RI.418 31-Des-09 Rasiah, Hj.Ny Thorax 1 P,mina,19/ 75,000
RI.419 31-Des-09 Attas Mataliu, H.Tn Thorax 1 P.mina,13/ 100,000
RI.420 31-Des-09 Eideth, Ny Thorax 1 P.mina,4/5 100,000
RI.421 31-Des-09 Hadiyah H.Nurdin,Ny Thorax 1 P.mina,22/ 75,000
RI.422 31-Des-09 Marselinus Padung, Tn Thorax 1 Antam,11/ 100,000
RI.423 31-Des-09 Sukarman, Tn Pedis + Thorax 3 Antam,25/ 250,000
RI.424 31-Des-09 Sarmila, Ny CT Kepala 1 Antam,4/7
RI.425 31-Des-09 Sarmila, Ny Thorax 1 Antam,4/7 100,000 30,000
RI.426 31-Des-09 Syarifuddin, Tn 2xPedis+Thorax 5 S.Tonasa,3 400,000 45,000
RI.427 31-Des-09 Syarifuddin, Tn CT Kepala 1 S.Tonasa,3/8
RI.428 31-Des-09 Cevin Anwar, Tn Thorax 1 Pelindo,22 100,000 30,000
RI.429 31-Des-09 Wiwik Subianto, Ny Thorax 1 Pelindo,18 100,000 30,000
RI.430 31-Des-09 Rukiah Ramli, Ny Thorax 1 Pelindo,18 100,000
RI.431 31-Des-09 Wan Afrizul, Tn CT Kepala 1 B.Mandiri,10/8
RI.432 31-Des-09 Syahrim A.Kumala, tn Genu 2 S.Tonasa,2 150,000 45,000
RI.433 31-Des-09 Frans Bagiri, Tn Kepala 2 S.Tonasa,2 150,000
RI.434 31-Des-09 Nurlela Umar, Ny Thorax 1 Pelindo,20 100,000
RI.435 31-Des-09 Asrul, Tn Kepala Ap.Lat 2 S.Tonasa,3 200,000 60,000
RI.436 31-Des-09 Kartika Andi Gobel, Nn Thorax 1 S.tonasa,1 100,000 30,000
RI.437 31-Des-09 Machdaliana, Ny Thorax 1 S.Tonasa,6 100,000 20,000
RI.438 31-Des-09 Machdaliana, Ny CT Kepala 1 S.Tonasa,13/8
RI.439 31-Des-09 Kartika Andi Gobel, Nn USG Abdomen 1 S.tonasa,14/8
RI.440 31-Des-09 Lie Tjiu Han, Ny Thorax 1 ft.14/12 100,000 30,000
RI.441 31-Des-09 Ilham Malik, Tn Pedis Ap. Obliq 2 ft.4/6 150,000 45,000
RI.442 31-Des-09 Rahma Hafsah, Ny Antebrachi 2 KTC,24/6 150,000
RI.443 31-Des-09 Mustari Mara, Tn Manus Ap. Lat 2 ktC,29/6 150,000 45,000
RI.444 31-Des-09 Muh. Azfar Waris, An Thorax 1 PLN,6/8 100,000
42,215,000 3,600,000
0 0
RI.002 31-Des-09 Sari Banong RPG+Thorax+BNO- 11 Ft,28/11 1,700,000
RI.004 31-Des-09 Hasmuddin, H Thorax 1 ft.21/11 100,000
RI.006 31-Des-09 Martha Utan Thorax 1 ft.21/11 100,000
RI.007 31-Des-09 Nadya Wijaya Antebrachi 4 ft.30/11 300,000 45,000
RI.009 31-Des-09 Irene Thorax 1 ft.2/12 100,000
RI.010 31-Des-09 Jawiyah, Hj. Thorax 1 ft.29/11 100,000
RI.012 31-Des-09 Hasan Basri Thorax 1 Ft.25/11 130,000
RI.013 31-Des-09 Muddin, H Thorax 1 ft.16/11 130,000
RI.014 31-Des-09 Samingin Thorax 1 ft.16/11 130,000
RI.017 31-Des-09 Puang Terru,H 2x Thorax 2 ft.5/11 200,000 30,000
RI.018 31-Des-09 Serly Thorax 1 ft.29/11 100,000
RI.020 31-Des-09 Meety 4x Thorax 4 ft.6/11 400,000 120,000
RI.021 31-Des-09 Deby Thorax 1 ft.3/12 100,000
RI.023 31-Des-09 Ardy, By Thorax 1 ft.25/11 100,000 30,000
RI.024 31-Des-09 Davin Humerus 2 ft.3/12 150,000
RI.025 31-Des-09 Adam Thorax 1 ft.4/12 100,000 30,000
RI.028 31-Des-09 Isnaeni Thorax 1 Ft.14/4 100,000 30,000
RI.030 31-Des-09 Hasiah Said, Hj Thorax 1 ft.2/12 100,000
RI.032 31-Des-09 Indah Riani Pelvis+TH+Ankle+P 6 ft.28/11 500,000 120,000
RI.033 31-Des-09 Jamaliah Dg. Ti'no Thorax 1 ft.1/12 100,000 30,000
RI.034 31-Des-09 Rosmini, Hj Thorax 1 ft.24/11 100,000 30,000
RI.036 31-Des-09 Saleng Thorax 1 ft.1/12 100,000
RI.037 31-Des-09 Mashoreng Thorax 1 ft.30/11 100,000 30,000
RI.038 31-Des-09 Yuspinus Thorax 1 Ft.25/11 100,000 30,000
RI.040 31-Des-09 Harry Kadir Thorax 1 ft.2/12 100,000
RI.041 31-Des-09 Tajuddin Thorax 1 ft.30/11 100,000 30,000
RI.042 31-Des-09 Nenang, Hj L Sacral 2 ft.2/12 150,000
RI.044 31-Des-09 Syahrul Thorax 1 ft.5/12 100,000 30,000
RI.045 31-Des-09 Sohra Ibarahim, Hj Thorax 1 ft.2/12 100,000
RI.047 31-Des-09 Mastura Thorax 1 ft.12/10 100,000 30,000
RI.048 31-Des-09 Osmanto Wijaya Thorax 1 Ft.25/11 100,000
RI.050 31-Des-09 Ince Haisyah, Hj Thorax 1 ft.3/12 100,000 30,000
RI.051 31-Des-09 Al-Fiqri, An Thorax 1 ft.1/12 100,000
RI.052 31-Des-09 Haking. A.Hj Thorax 1 ft.4/12 100,000
RI.053 31-Des-09 Kamariah, Ny Thorax 1 ft.3/12 100,000
RI.056 31-Des-09 Dike Wibisono Thorax 1 ft.7/12 100,000 30,000
RI.057 31-Des-09 Ritonga, H.D Thorax 1 ft.5/12 100,000 30,000
RI.058 31-Des-09 Kamaruddin Femur+Thorax 3 ft.30/11 250,000 45,000
RI.059 31-Des-09 Aldian, An BNO-IVP 5 ft.2/12 800,000
RI.062 31-Des-09 Indo Lebbi, Hj Thorax 1 ft.28/11 100,000
RI.063 31-Des-09 Frida Yauri Thorax 1 ft.23/11 100,000 30,000
RI.066 31-Des-09 Sakka B 2x Thorax 2 ft.23/11 200,000 60,000
RI.067 31-Des-09 Arif Rahman, An Thorax 1 ft.1/12 100,000 30,000
RI.068 31-Des-09 Naufal Zaki Ahmad, An Colon Inloop + Thor 6 ft.17/11 700,000
RI.069 31-Des-09 Fachruddin Sofwan 2x Thorax 2 ft.17/11 200,000 60,000
RI.072 31-Des-09 Aminah, St 2x Thorax 2 ft.17/11 200,000 30,000
RI.076 31-Des-09 Sanusi, H.M Pelvis 1 ft.12/11 100,000
RI.078 31-Des-09 Aisyah Yunus, St Thorax 1 ft.5/12 100,000
RI.079 31-Des-09 Norma Dg. Sompa, hj Pedis+Thorax 3 ft.5/12 250,000 45,000
RI.082 31-Des-09 Juma Daeng Puji, Ny Thorax 1 ft.2/12 100,000 30,000
RI.083 31-Des-09 Sangging Dg. Caya,Ny Thorax 1 ft.30/11 90,000
RI.088 31-Des-09 Hasrul, Tn Thorax 1 ft.5/12 100,000 30,000
RI.089 31-Des-09 Ali Topan, Tn Thorax 1 ft.4/12 100,000
RI.091 31-Des-09 Muhammad Amin, Tn Thorax 1 ft.7/12 100,000 30,000
RI.094 31-Des-09 Sunardi, Tn Thorax 1 ft.30/11 100,000 30,000
RI.096 31-Des-09 Mansyur, H.Tn Pedis+Thorax 3 ft.8/12 250,000
RI.098 31-Des-09 Arman, Tn Thorax 1 ft.7/12 100,000
RI.099 31-Des-09 Zaenal Ilmi, Tn Pedis+Thorax 3 ft.2/9 250,000 45,000
RI.100 31-Des-09 Dahlan, H. Tn Thorax 1 ft.3/12 100,000
RI.101 31-Des-09 Muh. Ashar, Tn Thorax 1 ft.8/12 100,000 30,000
RI.102 31-Des-09 Patte, H. Tn Thorax 1 ft.9/12 100,000
RI.105 31-Des-09 Syamsiar, Hj.Ny Thorax 1 ft.7/12 100,000
RI.106 31-Des-09 Nelly Siona, Ny Thorax 1 ft.7/12 100,000
RI.108 31-Des-09 Susi, Nn BNO 1 ft.2/12 100,000
RI.109 31-Des-09 Bustang, H.Tn 2x Thorax 2 Telkom.5/8 200,000
RI.112 31-Des-09 Ahmad, Tn Thorax 1 Telkom.1/9 100,000
RI.114 31-Des-09 Widarta, Tn Thorax 1 Telkom.28/ 100,000
RI.115 31-Des-09 Nurhayati, Ny Thorax 1 Telkom.18/ 100,000
RI.116 31-Des-09 Zam-zam Juddah Thorax 1 Allianz.4/7 100,000
RI.117 31-Des-09 Hanna P, Ny Panggul+Thorax 2 Allianz,30/ 200,000 30,000
RI.118 31-Des-09 Marianus, Tn BNO-IVP+TH+BNO 7 Lestari TT, 1,000,000
RI.120 31-Des-09 Simon Patadungan, Tn Thorax 1 Allianz,19/ 100,000
RI.121 31-Des-09 Arief, M.Tn Thorax 1 AIA,26/8 100,000
RI.123 31-Des-09 Sri Destari, Ny Thorax 1 Prodia,1/9 100,000
RI.125 31-Des-09 Hastiana Thorax 1 B.Asih,16/ 100,000
RI.126 31-Des-09 Gintoro, Tn Thorax 1 SRL,2/7 100,000
RI.127 31-Des-09 Dudi Rachmadi, Tn 3xPedis+2xAnkle+K 10 Allianz,13/ 750,000 135,000
RI.128 31-Des-09 Adenah Masua, Ny Thorax 1 Allianz,5/9 100,000
RI.130 31-Des-09 Muh. Naufal Said B Thorax 1 GSM,30/6 100,000 30,000
RI.131 31-Des-09 Muh. Rizal Clavicula+Thorax 2 Jamsostek, 200,000 30,000
RI.133 31-Des-09 Indrawati, Ny Thorax 1 Japfa,11/8 100,000
RI.135 31-Des-09 Jordiansyah, An Thorax 1 C.Cola,11/ 100,000
RI.136 31-Des-09 Burhanuddin, Tn Thorax 1 Manulife,1/ 100,000
RI.138 31-Des-09 Awal, Tn Thorax 1 Manulife,1 100,000
RI.139 31-Des-09 Sri Yanti, Ny Thorax 1 Manulife,2 100,000
RI.144 31-Des-09 Syaharuddin, Tn Thorax 1 PTPN,19/8 100,000 30,000
RI.145 31-Des-09 Ahmad Rizal, Tn Thorax 1 FIF,1/8 100,000
RI.147 31-Des-09 Syarifuddin, Tn 2x Thorax 2 AIA,13/8 200,000 60,000
RI.148 31-Des-09 Ismail Afiq, An BNO 1 CAR,8/9 100,000
RI.152 31-Des-09 Muslimin, Tn Thorax 1 ft.12/12 100,000 30,000
RI.153 31-Des-09 Dg.Manompo,H.M.K,Tn Thorax 1 ft.1/12 50,000
RI.155 31-Des-09 Ali Santaliu, Tn Thorax 1 ft.8/12 100,000
RI.157 31-Des-09 Bachtiar Bakri, Atn Thorax 1 ft.2/12 100,000 30,000
RI.161 31-Des-09 Fahmi Rijani, Tn Thorax 1 ft.11/12 100,000 30,000
RI.164 31-Des-09 Nur Akbar, Tn 2x Thorax 2 ft.9/12 200,000 60,000
RI.166 31-Des-09 Hatijah, Hj.Ny Lumbu Sacral 2 ft.3/12 150,000
RI.167 31-Des-09 Muh. Raditya, An Thorax 1 ft.7/12 100,000
RI.168 31-Des-09 Isran Alim, Tn Shoulder+Thorax 4 Berdikari,7 325,000
RI.170 31-Des-09 Bahra Yusuf, Hj.Ny Thorax 1 ft.8/12 100,000
RI.173 31-Des-09 Bau Dg.Kanang, Hj.ny Thorax 1 ft.11/12 100,000 30,000
RI.174 31-Des-09 Halike, H.Tn Cruris 2 ft.16/11 250,000 45,000
RI.175 31-Des-09 Yenni Chandra, Ny 2x Thorax 2 ft.21/10 200,000 60,000
RI.178 31-Des-09 Yusri, Tn Thorax 1 ft.10/12 100,000
RI.180 31-Des-09 Maryam Razak, Ny Thorax 1 ft.20/1 75,000
RI.182 31-Des-09 Wandy Sidianto, Tn Thorax 1 ft.11/12 100,000
RI.186 31-Des-09 Muh. Irfan, Tn Thorax 1 ft.15/12 100,000
RI.187 31-Des-09 Alison Moli Tjandra,Tn Thorax 1 ft.14/12 100,000 30,000
RI.189 31-Des-09 Paramma, H.Tn Thorax 1 ft.13/12 100,000 30,000
RI.191 31-Des-09 Sahuji, St.Ny 2x Thorax 2 ft.10/12 200,000 30,000
RI.196 31-Des-09 Margaretha, Ny Thorax 1 ft.6/12 100,000 30,000
RI.197 31-Des-09 Selliha, Hj.Ny Thorax 1 ft.16/12 100,000
RI.201 31-Des-09 Andi Murni, Ny Thorax 1 ft.16/12 100,000
RI.203 31-Des-09 Alisila, Tn Thorax 1 ft.1/7 100,000
RI.208 31-Des-09 Darwis, Tn Thorax 1 Askes,17/6 100,000
RI.209 31-Des-09 Rahmatia, Ny Thorax 1 Askes,10/7 100,000
RI.210 31-Des-09 Robby Al Fred, Tn 2x Thorax 2 Askes,31/8 200,000
RI.211 31-Des-09 Musdalifa Thamrin, Nn Thorax 1 Askes,2/9 100,000
RI.213 31-Des-09 Annisa Aulia, Nn Thorax 1 Askes,7/9 100,000
RI.217 31-Des-09 Kadir Yayo, Tn Thorax 1 Askes,9/9 100,000
RI.220 31-Des-09 Sriyati, Ny LS3x+THLBL5x+TH 10 Askes,26/8 1,010,000 105,000
RI.221 31-Des-09 Nur Annisa Autia, An Thorax 1 Askes,6/9 100,000
RI.222 31-Des-09 Alfiana Latumakulita, Ny BNO-IVP+Thorax 6 Askes,8/6 900,000
RI.223 31-Des-09 Mustafa, Tn Thorax 1 Askes,2/6 100,000
RI.225 31-Des-09 Asmianti, Ny Thorax 1 Askes,18/8 100,000
RI.228 31-Des-09 Muliana, Ny LDK + Thorax 2 Askes,4/8 150,000
RI.229 31-Des-09 Yulhaidir, Tn Thorax 1 Askes,1/8 100,000
RI.231 31-Des-09 Abd. Malik, Tn Thorax 1 Askes,1/8 100,000
RI.234 31-Des-09 Jusfin Amiruddin, Tn Thorax 1 Askes,1/8 100,000
RI.235 31-Des-09 Ansar, Tn Thorax 1 Askes,4/8 100,000
RI.236 31-Des-09 Mastin Alitani, Ny THLBL+Thorax 2 Askes,4/8 250,000
RI.238 31-Des-09 Nurdin, Tn Thorax 1 Askes,3/8 100,000
RI.239 31-Des-09 Mahrul, Tn Thorax 1 Askes,13/8 100,000
RI.240 31-Des-09 Juti Budana, Ny Thorax 1 Askes,24/7 100,000
RI.241 31-Des-09 Dwi Nirmala Sari, Nn Thorax 1 Askes,30/7 100,000
RI.242 31-Des-09 Fatmawati, Ny Thorax 1 Askes,11/8 100,000
RI.246 31-Des-09 Sriyati, Ny 2x Thorax 2 Askes,27/7 200,000
RI.247 31-Des-09 Naufal, An Thorax 1 Askes,15/8 100,000
RI.249 31-Des-09 Carolina L.Kairupan, Ny Lumbu Sacral+TH 3 Askes,13/8 250,000
RI.250 31-Des-09 Ardiansyah Jasman, Tn Thorax 1 Askes,22/8 100,000
RI.251 31-Des-09 Muh. Ibnu, Tn Thorax 1 Askes,10/7 100,000
RI.252 31-Des-09 Usman, H.Tn Thorax 1 Askes,1/8 100,000
RI.253 31-Des-09 Sirajuddin, Tn BNO-IVP + BNO 6 Askes,12/8 900,000
RI.254 31-Des-09 Halima, Ny Kepala+Cervical+T 4 Askes,5/8 350,000
RI.257 31-Des-09 Surani, Hj.Ny Thorax 1 Askes,25/8 100,000
RI.260 31-Des-09 Muchlis, Tn 2x Thorax 2 Askes,8/8 200,000
RI.263 31-Des-09 Tjiang Goe Siu, Ny Thorax 1 ft.23/10 100,000 30,000
RI.267 31-Des-09 Maiseng, Hj.Ny Thorax 1 ft.15/12 100,000
RI.269 31-Des-09 Muhammad Yahya Thorax 1 ft.14/12 100,000
RI.270 31-Des-09 Sobong, A.Ny.Hj Thorax 1 ft.14/12 100,000
RI.272 31-Des-09 Suyanto, Tn Thorax 1 ft.16/12 100,000
RI.273 31-Des-09 Muhammad Dg.Naba Thorax 1 ft.14/12 100,000 30,000
RI.274 31-Des-09 Abbas, H.Tn Thorax 1 ft.16/12 100,000
RI.275 31-Des-09 Asri, Ny Thorax 1 ft.15/12 100,000
RI.279 31-Des-09 Paleppe, Tn BNO + Thorax 2 ft.17/12 200,000
RI.283 31-Des-09 Muh. Kamit Salim, Tn Thorax 1 ft,16/12 100,000
RI.285 31-Des-09 Abdul Halik, H.Tn Thorax 1 ft.19/12 100,000 30,000
RI.287 31-Des-09 Halima, Ny Thorax 1 ft.19/12 100,000 30,000
RI.289 31-Des-09 Djon C. Tawar, Tn Wrist Ap. Lat 2 ft.19/12 150,000 45,000
RI.290 31-Des-09 Muh. Hudi, Tn Kaki + Thorax 3 ft.16/12 250,000 45,000
RI.291 31-Des-09 Firdaus Talitti, Tn BNO + Thorax 2 ft.16/12 200,000 30,000
RI.292 31-Des-09 Marwan, Tn Thorax 1 ft.15/12 100,000
RI.295 31-Des-09 Muh. Ilyas, Tn 4x Thorax 4 ft.3/12 400,000 120,000
RI.297 31-Des-09 Dahliah Kadang, Ny Thorax 1 ft.6/10 100,000
RI.298 31-Des-09 Ismojo, S.Ny Pelvis+Femur+Thor 4 ft.10/12 350,000 45,000
RI.299 31-Des-09 Yacob Bisi, Tn Thorax 1 ft.14/12 100,000
RI.301 31-Des-09 Anwar, H.Tn Thorax 1 ft.16/12 100,000
RI.304 31-Des-09 Naufal Zaki Ahmad, An BNO 3 Posisi 3 ft.17/12 300,000 30,000
RI.305 31-Des-09 Emmyanti, Ny 2x Thorax 2 ft.3/12 200,000 30,000
RI.309 31-Des-09 Putri Natasya, Nn Thorax 1 ft.19/12 100,000
RI.310 31-Des-09 Daud Yolanda, Tn Uretrografin+Thorax 6 ft.16/12 550,000
RI.312 31-Des-09 Ismojo, S.Ny Thorax 1 ft.20/12 100,000
RI.317 31-Des-09 Sangkala Gani, Tn Pedis + Thorax 3 ft.14/12 250,000
RI.318 31-Des-09 Fanny, Ny Pelvis 1 ft.20/12 100,000
RI.319 31-Des-09 Soewito Hadisoenarto Thorax 1 ft.11/12 100,000 30,000
RI.322 31-Des-09 Sri Hasniawati, Ny Thorax 1 ft.21/12 100,000
RI.323 31-Des-09 Nida Ulhaq, Tn Thorax 1 ft.19/12 100,000
RI.324 31-Des-09 Ratnawati, A.Ny L Sacral 2 ft.23/12 150,000
RI.327 31-Des-09 Aidy Sila, Ir,Tn Thorax 1 ft.23/12 100,000
RI.330 31-Des-09 Yuyun Eko Setiawan, Tn Thorax 1 ft.21/12 100,000
RI.331 31-Des-09 Abd. Karim, Tn Thorax 1 ft.19/12 100,000
RI.332 31-Des-09 Reinhard, Tn Thorax 1 ft.19/12 100,000
RI.334 31-Des-09 Rika Afrianti, Nn 2x Pelvis (OK) 2 ft.14/12 200,000 60,000
RI.336 31-Des-09 Muh. Sukfiyantun THLBL+Thorax 3 ft.15/12 250,000
RI.337 31-Des-09 Parman, Tn Thorax 1 ft.15/12 100,000
RI.340 31-Des-09 The Ai Hoa, Ny L Sacral+Thorax 3 ft.22/12 250,000
RI.342 31-Des-09 Andi Makkasau, Tn Thorax 1 ft.22/12 100,000 30,000
RI.344 31-Des-09 Jamalia, Hj.Ny Thorax 1 ft.22/12 100,000
RI.346 31-Des-09 Monica, Ny Thorax 1 ft.24/12 100,000
RI.348 31-Des-09 Nurul Aisyah, An 3x Thorax 3 ft.20/12 300,000 60,000
RI.349 31-Des-09 Chang Ye Nie, Ny Thorax 1 ft.26/12 100,000
RI.350 31-Des-09 Nonci, H.Tn Thorax 1 ft.19/12 100,000 30,000
RI.351 31-Des-09 Franky L Sieciadi, Tn Thorax 1 ft.22/12 100,000 30,000
RI.353 31-Des-09 Hendrik Chandra, Tn L Sacral+4x Thorax 6 ft.4/9 450,000 25,000
RI.356 31-Des-09 Susi, Nn BNO-IVP+Thorax 6 ft.9/11 900,000
RI.359 31-Des-09 Musribuh, Hj.Ny Thorax 1 ft.9/12 100,000 0
RI.361 31-Des-09 Hertoq Lasut, Tn Thorax 1 ft.9/12 100,000 30,000
RI.362 31-Des-09 Muchtar, A.H.Tn Thorax 1 ft.23/12 100,000
RI.366 31-Des-09 Roslim Abu Bakar,Ny Thorax 1 ft.26/12 100,000
RI.369 31-Des-09 Abd.Rahman, H.Tn Thorax 1 ft.26/12 100,000
RI.370 31-Des-09 Imaduddyn Giling, Tn 2x Thorax 2 ft.19/12 200,000 60,000
RI.371 31-Des-09 Slmaet Rohadi, Tn Thorax 1 ft.30/11 100,000 30,000
RI.372 31-Des-09 Aisyah, Ny Thorax 1 ft.7/12 100,000 30,000
RI.373 31-Des-09 Musdanil, Tn Thorax 1 ft.24/12 100,000
RI.374 31-Des-09 Mahfud, A.Tn Thorax 1 ft.24/12 100,000
RI.382 31-Des-09 Suliati, Ny Thorax 1 ft.26/12 100,000
RI.384 31-Des-09 Anis, Tn Thorax 1 ft.21/12 100,000 30,000
RI.386 31-Des-09 Remba, H.Tn Thorax 1 ft.24/12 100,000 30,000
RI.389 31-Des-09 Makhirah, Nn 2xFemur+2xPelv+T 11 ft.14/12 850,000 45,000
RI.391 31-Des-09 Tenri Djaja, A.Hj.Ny Thorax 1 ft.26/12 100,000 30,000
RI.392 31-Des-09 Rahmatia, Ny Thorax 1 ft.30/12 100,000 30,000
RI.394 31-Des-09 Alfatih, A.An Thorax 1 ft.29/12 100,000
RI.395 31-Des-09 Indi Cahyani, An Thorax 1 ft.19/12 100,000 30,000
RI.396 31-Des-09 Faizal Rachman, Tn 2x Thorax 2 ft.24/12 200,000
RI.400 31-Des-09 Andi Rifaldi, Tn Femur 2x+Thorax 5 Inco,16/5 400,000 30,000
RI.401 31-Des-09 Asiani Wagino, Ny 3x Thorax 3 inco,9/7 300,000 30,000
RI.403 31-Des-09 Hasnah, Ny BNO-IVP+2x Thora 8 Inco,18/7 1,000,000 30,000
RI.406 31-Des-09 Nurmin Nurdin, ny Thorax 1 Inco,18/7 100,000
RI.407 31-Des-09 Muh. Irvan Fatta Thorax 1 B.Mandiri,1 100,000
RI.410 31-Des-09 Marjam T.L, Ny Thorax 1 P.mina,21/ 100,000
RI.412 31-Des-09 Hamidah, Hj,Ny L Sacral 2 P.mina,28/ 150,000
RI.413 31-Des-09 Jalang, Ny Thorax 1 P.mina,27/ 75,000
RI.415 31-Des-09 Djafar Sonda, H.Tn L Sacral 2 P.mina,29/ 150,000
RI.418 31-Des-09 Rasiah, Hj.Ny Thorax 1 P,mina,19/ 75,000
RI.419 31-Des-09 Attas Mataliu, H.Tn Thorax 1 P.mina,13/ 100,000
RI.420 31-Des-09 Eideth, Ny Thorax 1 P.mina,4/5 100,000
RI.421 31-Des-09 Hadiyah H.Nurdin,Ny Thorax 1 P.mina,22/ 75,000
RI.422 31-Des-09 Marselinus Padung, Tn Thorax 1 Antam,11/ 100,000
RI.423 31-Des-09 Sukarman, Tn Pedis + Thorax 3 Antam,25/ 250,000
RI.425 31-Des-09 Sarmila, Ny Thorax 1 Antam,4/7 100,000 30,000
RI.426 31-Des-09 Syarifuddin, Tn 2xPedis+Thorax 5 S.Tonasa,3 400,000 45,000
RI.428 31-Des-09 Cevin Anwar, Tn Thorax 1 Pelindo,22 100,000 30,000
RI.429 31-Des-09 Wiwik Subianto, Ny Thorax 1 Pelindo,18 100,000 30,000
RI.430 31-Des-09 Rukiah Ramli, Ny Thorax 1 Pelindo,18 100,000
RI.432 31-Des-09 Syahrim A.Kumala, tn Genu 2 S.Tonasa,2 150,000 45,000
RI.433 31-Des-09 Frans Bagiri, Tn Kepala 2 S.Tonasa,2 150,000
RI.434 31-Des-09 Nurlela Umar, Ny Thorax 1 Pelindo,20 100,000
RI.435 31-Des-09 Asrul, Tn Kepala Ap.Lat 2 S.Tonasa,3 200,000 60,000
RI.436 31-Des-09 Kartika Andi Gobel, Nn Thorax 1 S.tonasa,1 100,000 30,000
RI.437 31-Des-09 Machdaliana, Ny Thorax 1 S.Tonasa,6 100,000 20,000
RI.440 31-Des-09 Lie Tjiu Han, Ny Thorax 1 ft.14/12 100,000 30,000
RI.441 31-Des-09 Ilham Malik, Tn Pedis Ap. Obliq 2 ft.4/6 150,000 45,000
RI.442 31-Des-09 Rahma Hafsah, Ny Antebrachi 2 KTC,24/6 150,000
RI.443 31-Des-09 Mustari Mara, Tn Manus Ap. Lat 2 ktC,29/6 150,000 45,000
RI.444 31-Des-09 Muh. Azfar Waris, An Thorax 1 PLN,6/8 100,000
RI.080 31-Des-09 Lasennang, Tn BNO 3 Posisi+Thor 4 ft.1/12
RI.158 31-Des-09 Herman, A.Tn BNO 3 Posisi+Thor 4 ft.30/11
RI.162 31-Des-09 Tajuddin, Tn BNO 3 Posisi 3 ft.8/12
RI.184 31-Des-09 Alwi Winiarto, Tn Colon Inloop + Thor 6 ft.14/12
RI.190 31-Des-09 Yan Patanda, Tn BNO 3 Posisi 3 ft.16/9
RI.388 31-Des-09 Abd, Wahid, H.Drs.Tn BNO 3 P+Thorax 4 ft.28/12
RI.003 31-Des-09 Sari Banong USG Abdomen 1 ft.21/11
RI.005 31-Des-09 Hasmuddin, H USG Abdomen 1 ft.24/11
RI.008 31-Des-09 Nadya Wijaya USG Abdomen 1 ft.30/11
RI.011 31-Des-09 Rita Tri Lestari USG Abdomen 1 ft.28/11
RI.015 31-Des-09 Asri USG Abdomen 1 ft.30/11
RI.019 31-Des-09 Serly USG Abdomen 1 ft.30/11
RI.022 31-Des-09 Deby USG Abdomen 1 ft.2/12
RI.026 31-Des-09 Adam USG Abdomen 1 ft.4/12
RI.027 31-Des-09 Isnaeni USG Abdomen 1 Ft.14/4
RI.031 31-Des-09 Hasiah Said, Hj USG Abdomen 1 ft.2/12
RI.035 31-Des-09 Rosmini, Hj USG Abdomen 1 ft.24/11
RI.039 31-Des-09 Raiya, Hj USG Abdomen 1 ft.2/12
RI.046 31-Des-09 Sohra Ibarahim, Hj USG Abdomen 1 ft.2/12
RI.049 31-Des-09 Osmanto Wijaya USG Abdomen 1 Ft.25/11
RI.054 31-Des-09 Kamariah, Ny USG Abdomen 1 ft.3/12
RI.061 31-Des-09 Nadjma Hakka, Ny USG Abdomen 1 ft.3/12
RI.065 31-Des-09 Sakka B USG Abdomen 1 ft.28/11
RI.073 31-Des-09 Aminah, St USG Abdomen 1 ft.18/11
RI.077 31-Des-09 Sanusi, H.M USG Abdomen 1 ft.12/11
RI.081 31-Des-09 Lasennang, Tn USG Abdomen 1 ft.5/12
RI.084 31-Des-09 Sangging Dg. Caya,Ny USG Abdomen 1 ft.30/11
RI.087 31-Des-09 Megawati, Ny USG Abdomen 1 ft.3/12
RI.090 31-Des-09 Ali Topan, Tn USG Abdomen 1 ft.4/12
RI.095 31-Des-09 Tajang, H,Tn USG Abdomen 1 ft.3/12
RI.097 31-Des-09 Nur Ali Santoso, Tn USG Abdomen 1 ft.4/12
RI.107 31-Des-09 Nelly Siona, Ny USG Abdomen 1 ft.9/12
RI.110 31-Des-09 Bustang, H.Tn USG Abdomen 1 Telkom.5/8
RI.113 31-Des-09 Ahmad, Tn USG Abdomen 1 Telkom.1/9
RI.119 31-Des-09 Simon Patadungan, Tn USG Abdomen 1 Allianz,19/8
RI.122 31-Des-09 Arief, M.Tn USG Abdomen 1 AIA,26/8
RI.129 31-Des-09 Adenah Masua, Ny USG Abdomen 1 Allianz,5/9
RI.132 31-Des-09 Indrawati, Ny USG Abdomen 1 Japfa,11/8
RI.134 31-Des-09 Rauhdiar, Ny USG Abdomen 1 Japfa,8/9
RI.137 31-Des-09 Burhanuddin, Tn USG Abdomen 1 Manulife,1/8
RI.142 31-Des-09 Afrihandy Hasanuddin USG Abdomen 1 Adm.Medika,12/10
RI.146 31-Des-09 Ahmad Rizal, Tn 2x USG Abdomen 2 FIF,1/8
RI.149 31-Des-09 Ismail Afiq, An USG Abdomen 1 CAR,8/9
RI.163 31-Des-09 Tajuddin, Tn USG Abdomen 1 ft.8/12
RI.165 31-Des-09 Nur Akbar, Tn USG Abdomen 1 ft.10/12
RI.169 31-Des-09 Noval, An USG Abdomen 1 ft.9/12
RI.172 31-Des-09 Bahra Yusuf, Hj.Ny USG Abdomen 1 ft.4/12
RI.181 31-Des-09 Maryam Razak, Ny USG Abdomen 1 ft.20/1
RI.183 31-Des-09 Wandy Sidianto, Tn USG Abdomen 1 ft.11/12
RI.185 31-Des-09 Muh. Jalias, H.Tn USG Abdomen 1 ft.14/12
RI.188 31-Des-09 Alison Moli Tjandra,Tn USG Abdomen 1 ft.14/12
RI.192 31-Des-09 Sahuji, St.Ny 2x USG Abdomen 2 ft.10/12
RI.193 31-Des-09 Yulianti, Ny USG Abdomen 1 ft.16/12
RI.195 31-Des-09 Margaretha, Ny USG Abdomen 1 ft.9/12
RI.198 31-Des-09 Selliha, Hj.Ny USG Abdomen 1 ft.16/12
RI.199 31-Des-09 Ridwan, Tn USG Abdomen 1 ft.16/12
RI.200 31-Des-09 Muh. Abi Said, An USG Abdomen 1 ft.15/12
RI.202 31-Des-09 Andi Murni, Ny USG Abdomen 1 ft.16/12
RI.204 31-Des-09 Alisila, Tn USG Abdomen 1 ft.1/7
RI.205 31-Des-09 Rosdiana, Ny USG Abdomen 1 Askes.3/10
RI.206 31-Des-09 Maryanti, Ny USG Obstetri 1 Askes.8/10
RI.212 31-Des-09 Musdalifa Thamrin, Nn USG Abdomen 1 Askes,2/9
RI.216 31-Des-09 Muchlis, Tn USG Abdomen 1 Askes,4/9
RI.218 31-Des-09 Kadir Yayo, Tn USG Abdomen 1 Askes,9/9
RI.219 31-Des-09 Filky Dwi Sakti, Tn USG Abdomen 1 Askes,9/9
RI.224 31-Des-09 Mustafa, Tn USG Abdomen 1 Askes,2/6
RI.226 31-Des-09 Asmianti, Ny USG Abdomen 1 Askes,18/8
RI.227 31-Des-09 Muliana, Ny USG Abdomen 1 Askes,5/8
RI.230 31-Des-09 Yulhaidir, Tn USG Abdomen 1 Askes,1/8
RI.232 31-Des-09 Soraya Satria, Nn USG Abdomen 1 Askes,30/7
RI.237 31-Des-09 Mastin Alitani, Ny USG Abdomen 1 Askes,22/8
RI.243 31-Des-09 Dwi Nirmala Sari, Nn USG Abdomen 1 Askes,30/7
RI.244 31-Des-09 Fatmawati, Ny USG Abdomen 1 Askes,13/8
RI.245 31-Des-09 Riskawati, Ny USG Abdomen 1 Askes,4/8
RI.256 31-Des-09 Arsin Yusnita, Ny USG Obstetri 1 Askes,20/8
RI.258 31-Des-09 Asyhah, Nn USG Abdomen 1 Askes,13/8
RI.259 31-Des-09 Muchlis, Tn 2x USG Abdomen 2 Askes,8/8
RI.264 31-Des-09 Makmur, Tn USG Abdomen 1 ft.12/12
RI.268 31-Des-09 Maiseng, Hj.Ny USG Abdomen 1 ft.16/12
RI.271 31-Des-09 Suyanto, Tn USG Abdomen 1 ft.16/12
RI.276 31-Des-09 Asri, Ny USG Abdomen 1 ft.15/12
RI.277 31-Des-09 Abdul Azis, A.Tn USG Abdomen 1 ft.15/11
RI.280 31-Des-09 Paleppe, Tn USG Abdomen 1 ft.17/12
RI.282 31-Des-09 Elly Purnama Sari USG Abdomen 1 ft.1/12
RI.284 31-Des-09 Muh. Kamit Salim, Tn USG Abdomen 1 ft.16/12
RI.286 31-Des-09 Abdul Halik, H.Tn USG Abdomen 1 ft.19/12
RI.288 31-Des-09 Halima, Ny USG Abdomen 1 ft.19/12
RI.293 31-Des-09 Marwan, Tn USG Abdomen 1 ft.15/12
RI.300 31-Des-09 Yacob Bisi, Tn USG Abdomen 1 ft.14/12
RI.302 31-Des-09 Agustina Alam, Ny USG Abdomen 1 ft.19/12
RI.311 31-Des-09 Daud Yolanda, Tn USG Abdomen 1 ft.15/12
RI.313 31-Des-09 Ismojo, S.Ny USG Abdomen 1 ft.20/12
RI.314 31-Des-09 Erick, An USG Abdomen 1 ft.21/12
RI.315 31-Des-09 Burhanuddin, Tn USG Abdomen 1 ft.17/12
RI.320 31-Des-09 Soewito Hadisoenarto USG Abdomen 1 ft.11/12
RI.325 31-Des-09 Ratnawati, A.Ny USG Abdomen 1 ft.22/12
RI.326 31-Des-09 Aidy Sila, Ir,Tn USG Abdomen 1 ft.23/12
RI.329 31-Des-09 Hana Endang Utami,Ny USG Abdomen 1 ft.22/12
RI.333 31-Des-09 Reinhard, Tn USG Abdomen 1 ft.19/12
RI.335 31-Des-09 Rika Afrianti, Nn USG Abdomen 1 ft.14/12
RI.339 31-Des-09 The Ai Hoa, Ny USG Abdomen 1 ft.22/12
RI.343 31-Des-09 Andi Makkasau, Tn USG Abdomen 1 ft.22/12
RI.345 31-Des-09 Jamalia, Hj.Ny USG Abdomen 1 ft.22/12
RI.347 31-Des-09 Monica, Ny USG Abdomen 1 ft.22/12
RI.352 31-Des-09 Usman, H.Tn USG Abdomen 1 ft.22/12
RI.357 31-Des-09 Susi, Nn USG Abdomen 1 ft.9/11
RI.358 31-Des-09 Musribuh, Hj.Ny USG Abdomen 1 ft.9/12
RI.363 31-Des-09 Muchtar, A.H.Tn USG Abdomen 1 ft.23/12
RI.365 31-Des-09 Jean, Nn USG Obstetri 1 ft.28/12
RI.368 31-Des-09 Abd.Rahman, H.Tn USG Abdomen 1 ft.28/12
RI.375 31-Des-09 Mahfud, A.Tn USG Abdomen 1 ft.24/12
RI.376 31-Des-09 Kadarwati, Ny USG Abdomen 1 ft.24/12
RI.377 31-Des-09 Efendi, Tn USG Abdomen 1 ft.23/12
RI.381 31-Des-09 Reski Sukmawati, Nn USG Abdomen 1 ft.29/12
RI.383 31-Des-09 Suliati, Ny USG Abdomen 1 ft.26/12
RI.393 31-Des-09 Rahmatia, Ny USG Abdomen 1 ft.30/12
RI.397 31-Des-09 Faizal Rachman, Tn USG Abdomen 1 ft.24/12
RI.398 31-Des-09 Sartim, Tn USG Abdomen 1 ft.31/12
RI.402 31-Des-09 Asiani Wagino, Ny USG Abdomen 1 Inco,7/7
RI.404 31-Des-09 Hasnah, Ny USG Abdomen 1 Inco,17/7
RI.405 31-Des-09 Nurmin Nurdin, ny USG Abdomen 1 Inco,18/7
RI.408 31-Des-09 Muh. Irvan Fatta USG Abdomen 1 B.Mandiri,11/8
RI.411 31-Des-09 Hamidah, Hj,Ny USG Abdomen 1 P.mina,28/5
RI.414 31-Des-09 Jalang, Ny USG Abdomen 1 P.mina,27/4
RI.416 31-Des-09 Djafar Sonda, H.Tn USG Abdomen 1 P.mina,29/4
RI.417 31-Des-09 Rasiah, Hj.Ny USG Abdomen 1 P.mina,19/5
RI.439 31-Des-09 Kartika Andi Gobel, Nn USG Abdomen 1 S.tonasa,14/8
RI.001 31-Des-09 Kasmin Syarief, Tn CT Kepala 1 Ft.25/11
RI.016 31-Des-09 Puang Terru,H CT Abdomen 2 ft.18/11
RI.029 31-Des-09 Muchtar Hafie CT Kepala 1 ft.29/11
RI.043 31-Des-09 Nenang, Hj CT Kepala 1 ft.28/11
RI.055 31-Des-09 Kamariah, Ny CT Abdomen U/+Ko 2 ft.5/12
RI.064 31-Des-09 Frida Yauri CT Kepala 1 ft.24/11
RI.074 31-Des-09 Aminah, St CT Thorax 2 ft.28/11
RI.075 31-Des-09 Sanusi, H.M CT Abdomen 2 ft.3/12
RI.085 31-Des-09 Junusiah, Ny CT Kepala 1 ft.7/12
RI.086 31-Des-09 Megawati, Ny CT Abdomen 3 ft.5/12
RI.103 31-Des-09 Patte, H. Tn CT Kepala 1 ft.4/12
RI.104 31-Des-09 Syamsiar, Hj.Ny CT Kepala 1 ft.9/12
RI.111 31-Des-09 Muh. Sahada, Tn CT Kepala 1 Telkom.24/8
RI.124 31-Des-09 Sri Destari, Ny CT Kepala 1 Prodia,1/9
RI.140 31-Des-09 Sri Yanti, Ny CT Kepala 1 Manulife,29/8
RI.141 31-Des-09 Afrihandy Hasanuddin CT urografin 3 Adm.Medika,12/10
RI.143 31-Des-09 Syaharuddin, Tn CT Kepala 1 PTPN,5/8
RI.150 31-Des-09 Ismail Afiq, An CT Abdomen 1 CAR,8/9
RI.151 31-Des-09 Muhammad Nur,Tn CT Kepala 1 CAR,19/10
RI.154 31-Des-09 Dg.Manompo,H.M.K,Tn CT Kepala 1 ft.1/12
RI.159 31-Des-09 Abd. Fattah, H.Tn CT Abdomen 2 ft.1/12
RI.160 31-Des-09 Tjioe Kok Lie, Tn CT Kepala 1 ft.3/12
RI.171 31-Des-09 Bahra Yusuf, Hj.Ny CT Kepala 2 ft.5/12
RI.179 31-Des-09 Yusri, Tn CT Kepala 1 ft.10/12
RI.207 31-Des-09 Rezki Mandasari, nn CT Kepala 1 Askes,6/10
RI.214 31-Des-09 Muchlis, Tn CT Kepala 1 Askes,14/9
RI.215 31-Des-09 Muchlis, Tn CT Abdomen 2 Askes,5/9
RI.233 31-Des-09 Khalil Syamsu, Tn CT Sinus 1 Askes,4/8
RI.248 31-Des-09 Carolina L.Kairupan, Ny CT Sinus 1 Askes,15/8
RI.255 31-Des-09 Halima, Ny CT Kepala 1 Askes,5/8
RI.261 31-Des-09 Tjiang Goe Siu, Ny CT Kepala 1 ft.21/10
RI.262 31-Des-09 Tjiang Goe Siu, Ny Kontras+CT Kepala 1 ft.21/10
RI.265 31-Des-09 Makmur, Tn Kontras+CT Thorax 3 ft.18/12
RI.266 31-Des-09 Ramlah, Ny CT Kepala 1 ft.3/12
RI.278 31-Des-09 Abdul Azis, A.Tn Kontras+CT Abdom 2 ft.15/11
RI.281 31-Des-09 Paleppe, Tn CT urografin 3 ft.17/12
RI.294 31-Des-09 Ardy, Nn CT Kepala 1 ft.11/12
RI.303 31-Des-09 Zainuddin, H.Tn CT Kepala 1 ft.21/12
RI.316 31-Des-09 Burhanuddin, Tn CT Kepala 1 ft.15/12
RI.321 31-Des-09 Soewito Hadisoenarto CT Kepala 1 ft.16/12
RI.328 31-Des-09 Rosida, nn CT Kepala 1 ft.22/12
RI.338 31-Des-09 Parman, Tn CT Abdomen 3 ft.15/12
RI.341 31-Des-09 The Ai Hoa, Ny CT Kepala 1 ft.24/12
RI.354 31-Des-09 Hendrik Chandra, Tn CT Kepala 1 ft.6/9
RI.355 31-Des-09 Rosnah, Ny CT Kepala 1 ft.22/12
RI.360 31-Des-09 Musribuh, Hj.Ny CT Kepala 1 ft.11/12
RI.364 31-Des-09 Didik Alief, A.An CT Kepala 1 ft.26/12
RI.367 31-Des-09 Abd.Rahman, H.Tn CT Thorax 2 ft.29/12
RI.378 31-Des-09 Kamal Machmud, tn CT Kepala 1 ft.26/12
RI.379 31-Des-09 Andreas Gunawan, Tn CT Kepala 1 ft.28/12
RI.385 31-Des-09 Remba, H.Tn CT Kepala 1 ft.24/12
RI.387 31-Des-09 Mulyadi Nursah, Tn CT Kepala 1 ft.28/12
RI.390 31-Des-09 Novita Maria, Ny CT Kepala 1 ft.29/12
RI.399 31-Des-09 Andi Rifaldi, Tn CT Kepala 1 Inco,15/5
RI.409 31-Des-09 Felly J.Tumbal, Tn CT Kepala 1 P.mina,1/6
RI.424 31-Des-09 Sarmila, Ny CT Kepala 1 Antam,4/7
RI.427 31-Des-09 Syarifuddin, Tn CT Kepala 1 S.Tonasa,3/8
RI.431 31-Des-09 Wan Afrizul, Tn CT Kepala 1 B.Mandiri,10/8
RI.438 31-Jan-10 Machdaliana, Ny CT Kepala 1 S.Tonasa,13/8
GE cito usg cito scan cito kontras anastesi dll
550,000 110,000
200,000
200,000
200,000
200,000
200,000
800,000
200,000
200,000 40,000
200,000 40,000
200,000 40,000
550,000 110,000
200,000
200,000
200,000
550,000
200,000
200,000
200,000
850,000 50,000
200,000
200,000
550,000 110,000
200,000 40,000
550,000 110,000
550,000 110,000
200,000
750,000
800,000
200,000
400,000 90,000
200,000
180,000
550,000 110,000
900,000
200,000
200,000
550,000 110,000
550,000 110,000
200,000
200,000
550,000
550,000 110,000
200,000
200,000
550,000 110,000
200,000
200,000
200,000
550,000 110,000
300,000
200,000
200,000
200,000
550,000
950,000 50,000
300,000
550,000 110,000
400,000
200,000
600,000
550,000
325,000
200,000
400,000 90,000
800,000
550,000
300,000 30,000
200,000
200,000 40,000
200,000
800,000
200,000 40,000
550,000 110,000
550,000 110,000
550,000
175,000
200,000
600,000
200,000
200,000 40,000
300,000
400,000 40,000
200,000
300,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
550,000 110,000
200,000
550,000
800,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
550,000
200,000
200,000
200,000
200,000
550,000
550,000
175,000
300,000
400,000
550,000
550,000 110,000
200,000
950,000 50,000
550,000 110,000
200,000
200,000
200,000
200,000
850,000 50,000
300,000
1,150,000 50,000
200,000
200,000
200,000 40,000
200,000 40,000
200,000
550,000
200,000
200,000
200,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
200,000
200,000
200,000 40,000
300,000
550,000 110,000
200,000 40,000
550,000
200,000
200,000
550,000
200,000 40,000
200,000
200,000 40,000
1,150,000 50,000
300,000
550,000
200,000 40,000
200,000
200,000
200,000
500,000
550,000 110,000
200,000
300,000
550,000
200,000
550,000 110,000
175,000
750,000
200,000 40,000
200,000
200,000
200,000
550,000 110,000
550,000 110,000
200,000
200,000
200,000
550,000 110,000
550,000
400,000 30,000
550,000
200,000 40,000
200,000
200,000 40,000
550,000 110,000
200,000 40,000
200,000 40,000
200,000
300,000
500,000
175,000
175,000
175,000
175,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
200,000 40,000
2,400,000 240,000 26,280,000 840,000 41,725,000 3,300,000 300,000 0 0
0
400,000 90,000
400,000 90,000
300,000 30,000
600,000
300,000
400,000 30,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000 40,000
200,000 40,000
200,000 40,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000 40,000
200,000
200,000
200,000
180,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
300,000
200,000
200,000
200,000
300,000
400,000
200,000
200,000
200,000
200,000 40,000
200,000
200,000 40,000
175,000
200,000
200,000
200,000 40,000
400,000 40,000
200,000
300,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
300,000
400,000
200,000
200,000
200,000
200,000
200,000
300,000
200,000
200,000
200,000 40,000
200,000 40,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000 40,000
300,000
200,000 40,000
200,000
200,000
200,000 40,000
200,000
200,000 40,000
300,000
200,000 40,000
200,000
200,000
200,000
200,000
300,000
200,000
175,000
200,000 40,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000 40,000
200,000
200,000 40,000
200,000 40,000
200,000 40,000
200,000
300,000
175,000
175,000
175,000
175,000
200,000 40,000
550,000 110,000
800,000
550,000 110,000
550,000
850,000 50,000
550,000 110,000
550,000 110,000
550,000 110,000
750,000
800,000
550,000 110,000
900,000
550,000 110,000
550,000 110,000
550,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
950,000 50,000
550,000 110,000
600,000
550,000
325,000
800,000
550,000
800,000
550,000 110,000
550,000 110,000
550,000
550,000 110,000
550,000
800,000
550,000
550,000
550,000
550,000
550,000 110,000
950,000 50,000
550,000 110,000
850,000 50,000
1,150,000 50,000
550,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
550,000 110,000
550,000
550,000
1,150,000 50,000
550,000
500,000
550,000 110,000
550,000
550,000 110,000
750,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
550,000
550,000 110,000
500,000
550,000 110,000
550,000 110,000
550,000 110,000
550,000
total
660,000
1,700,000
200,000
100,000
200,000
100,000
345,000
200,000
100,000
100,000
200,000
130,000
130,000
130,000
200,000
800,000
230,000
100,000
200,000
520,000
100,000
240,000
130,000
150,000
130,000
240,000
240,000
130,000
660,000
100,000
200,000
620,000
130,000
130,000
200,000
100,000
130,000
130,000
200,000
100,000
130,000
150,000
550,000
130,000
100,000
200,000
130,000
100,000
200,000
130,000
100,000
100,000
100,000
200,000
900,000
130,000
130,000
295,000
800,000
200,000
200,000
100,000
130,000
660,000
240,000
260,000
130,000
700,000
260,000
660,000
660,000
230,000
200,000
750,000
800,000
100,000
200,000
100,000
295,000
490,000
200,000
130,000
90,000
180,000
660,000
900,000
200,000
130,000
100,000
200,000
130,000
660,000
660,000
130,000
200,000
250,000
200,000
100,000
295,000
100,000
130,000
100,000
550,000
660,000
100,000
100,000
200,000
100,000
200,000
200,000
660,000
100,000
200,000
100,000
100,000
100,000
230,000
1,000,000
200,000
100,000
100,000
200,000
100,000
660,000
100,000
100,000
885,000
100,000
300,000
130,000
230,000
200,000
100,000
200,000
100,000
100,000
200,000
100,000
100,000
550,000
1,000,000
300,000
660,000
130,000
100,000
400,000
260,000
100,000
200,000
600,000
550,000
130,000
50,000
325,000
100,000
200,000
130,000
490,000
800,000
550,000
130,000
330,000
200,000
260,000
240,000
150,000
100,000
325,000
200,000
100,000
800,000
240,000
130,000
295,000
260,000
660,000
660,000
100,000
550,000
75,000
175,000
100,000
200,000
600,000
200,000
100,000
130,000
240,000
130,000
300,000
230,000
440,000
200,000
300,000
130,000
100,000
200,000
200,000
200,000
100,000
200,000
100,000
200,000
200,000
175,000
660,000
100,000
100,000
200,000
100,000
200,000
100,000
550,000
800,000
200,000
100,000
200,000
200,000
1,115,000
100,000
900,000
100,000
200,000
100,000
200,000
200,000
150,000
100,000
200,000
100,000
200,000
550,000
100,000
100,000
250,000
200,000
100,000
100,000
100,000
100,000
100,000
200,000
200,000
200,000
200,000
100,000
550,000
250,000
100,000
100,000
100,000
900,000
350,000
550,000
175,000
100,000
300,000
400,000
200,000
550,000
660,000
130,000
200,000
1,000,000
660,000
100,000
200,000
100,000
100,000
200,000
100,000
130,000
100,000
100,000
200,000
200,000
900,000
200,000
300,000
1,200,000
200,000
100,000
200,000
130,000
240,000
130,000
240,000
195,000
295,000
230,000
100,000
200,000
550,000
520,000
200,000
100,000
395,000
100,000
200,000
100,000
200,000
660,000
330,000
230,000
660,000
660,000
550,000
100,000
550,000
200,000
100,000
200,000
240,000
300,000
660,000
250,000
100,000
130,000
240,000
550,000
100,000
100,000
150,000
200,000
200,000
100,000
550,000
240,000
100,000
100,000
100,000
200,000
260,000
240,000
250,000
100,000
1,200,000
300,000
250,000
550,000
130,000
240,000
100,000
200,000
100,000
200,000
360,000
100,000
130,000
130,000
200,000
475,000
500,000
660,000
900,000
200,000
300,000
100,000
550,000
130,000
100,000
200,000
660,000
175,000
100,000
750,000
240,000
100,000
260,000
130,000
130,000
100,000
100,000
200,000
200,000
200,000
660,000
660,000
200,000
200,000
100,000
200,000
130,000
660,000
130,000
550,000
430,000
895,000
550,000
130,000
130,000
240,000
100,000
130,000
200,000
200,000
240,000
660,000
430,000
330,000
240,000
1,030,000
240,000
200,000
100,000
100,000
300,000
500,000
100,000
175,000
150,000
75,000
175,000
150,000
175,000
175,000
75,000
100,000
100,000
75,000
100,000
250,000
660,000
130,000
445,000
660,000
130,000
130,000
100,000
660,000
195,000
150,000
100,000
260,000
130,000
120,000
550,000
240,000
130,000
195,000
150,000
195,000
100,000
0
0
120,900,000
1,700,000
100,000
100,000
345,000
100,000
100,000
130,000
130,000
130,000
230,000
100,000
520,000
100,000
130,000
150,000
130,000
130,000
100,000
620,000
130,000
130,000
100,000
130,000
130,000
100,000
130,000
150,000
130,000
100,000
130,000
100,000
130,000
100,000
100,000
100,000
130,000
130,000
295,000
800,000
100,000
130,000
260,000
130,000
700,000
260,000
230,000
100,000
100,000
295,000
130,000
90,000
130,000
100,000
130,000
130,000
250,000
100,000
295,000
100,000
130,000
100,000
100,000
100,000
100,000
200,000
100,000
100,000
100,000
100,000
230,000
1,000,000
100,000
100,000
100,000
100,000
100,000
885,000
100,000
130,000
230,000
100,000
100,000
100,000
100,000
100,000
130,000
100,000
260,000
100,000
130,000
50,000
100,000
130,000
130,000
260,000
150,000
100,000
325,000
100,000
130,000
295,000
260,000
100,000
75,000
100,000
100,000
130,000
130,000
230,000
130,000
100,000
100,000
100,000
100,000
100,000
200,000
100,000
100,000
100,000
1,115,000
100,000
900,000
100,000
100,000
150,000
100,000
100,000
100,000
100,000
250,000
100,000
100,000
100,000
100,000
100,000
200,000
100,000
250,000
100,000
100,000
100,000
900,000
350,000
100,000
200,000
130,000
100,000
100,000
100,000
100,000
130,000
100,000
100,000
200,000
100,000
130,000
130,000
195,000
295,000
230,000
100,000
520,000
100,000
395,000
100,000
100,000
330,000
230,000
100,000
550,000
100,000
250,000
100,000
130,000
100,000
100,000
150,000
100,000
100,000
100,000
100,000
260,000
250,000
100,000
250,000
130,000
100,000
100,000
360,000
100,000
130,000
130,000
475,000
900,000
100,000
130,000
100,000
100,000
100,000
260,000
130,000
130,000
100,000
100,000
100,000
130,000
130,000
895,000
130,000
130,000
100,000
130,000
200,000
430,000
330,000
1,030,000
100,000
100,000
100,000
150,000
75,000
150,000
75,000
100,000
100,000
75,000
100,000
250,000
130,000
445,000
130,000
130,000
100,000
195,000
150,000
100,000
260,000
130,000
120,000
130,000
195,000
150,000
195,000
100,000
490,000
490,000
330,000
600,000
300,000
430,000
200,000
200,000
200,000
200,000
200,000
200,000
240,000
240,000
240,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
240,000
200,000
200,000
200,000
180,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
300,000
200,000
200,000
200,000
300,000
400,000
200,000
200,000
200,000
240,000
200,000
240,000
175,000
200,000
200,000
240,000
440,000
200,000
300,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
200,000
175,000
300,000
400,000
200,000
200,000
200,000
200,000
200,000
300,000
200,000
200,000
240,000
240,000
200,000
200,000
200,000
200,000
200,000
200,000
240,000
300,000
240,000
200,000
200,000
240,000
200,000
240,000
300,000
240,000
200,000
200,000
200,000
200,000
300,000
200,000
175,000
240,000
200,000
200,000
200,000
200,000
200,000
200,000
240,000
200,000
240,000
240,000
240,000
200,000
300,000
175,000
175,000
175,000
175,000
240,000
660,000
800,000
660,000
550,000
900,000
660,000
660,000
660,000
750,000
800,000
660,000
900,000
660,000
660,000
550,000
660,000
660,000
660,000
550,000
1,000,000
660,000
600,000
550,000
325,000
800,000
550,000
800,000
660,000
660,000
550,000
660,000
550,000
800,000
550,000
550,000
550,000
550,000
660,000
1,000,000
660,000
900,000
1,200,000
550,000
660,000
660,000
660,000
550,000
660,000
550,000
550,000
1,200,000
550,000
500,000
660,000
550,000
660,000
750,000
660,000
660,000
660,000
550,000
550,000
660,000
500,000
660,000
660,000
660,000
550,000
Nomor Tanggal nama pend periksa jml KET radio cito
RJ.001 31-Des-09 Miswar Amir, Tn Thorax 1 ft.25/8 100,000 30,000

RJ.002 31-Des-09 Silmy Aulia Kepala 2 S.Bosowa, 150,000 45,000
RJ.003 31-Des-09 Silmy Aulia CT Kepala 1 S.Bosowa,7/4
RJ.004 31-Des-09 Abd. Hamid Thorax 1 S.bosowa,2 100,000
RJ.005 31-Des-09 Heriati, Ny Genu + Thorax 3 S.Bosowa, 250,000
RJ.006 31-Des-09 Heriati, Ny USG Abdomen 1 S.Bosowa,20/5
RJ.007 31-Des-09 Muh. Saleh Thorax 1 S.Bosowa, 100,000
RJ.008 31-Des-09 Muh. Saleh USG Abdomen 1 S.Bosowa,6/5
RJ.009 31-Des-09 Arif Tahir, M.Ir Thorax 1 S.Bosowa, 100,000
RJ.010 31-Des-09 Supianty, Ny Thorax 1 S.Bosowa, 100,000
RJ.011 31-Des-09 Sri Sumiati, Ny Thorax 1 S.Bosowa, 100,000
RJ.012 31-Des-09 Syamsul Rijal, Ny Cervical 2 S.Bosowa, 150,000
RJ.013 31-Des-09 Muliana, Ny USG Obstetri 1 S.Bosowa,7/5
RJ.014 31-Des-09 Arif Tahir, M.Ir USG Abdomen 1 S.Bosowa,23/5
RJ.015 31-Des-09 Agustina, Ny USG Obstetri 1 S.Bosowa,3/6
RJ.016 31-Des-09 Nurfadillah, A Thorax 1 S.Bosowa, 100,000
RJ.017 31-Des-09 Agustina, Ny HSG 5 S.Bosowa, 450,000
RJ.018 31-Des-09 Jalaluddin, Tn Thorax 1 S.Bosowa, 100,000
RJ.019 31-Des-09 Jalaluddin, Tn CT Sinus 1 S.Bosowa,25/6
RJ.020 31-Des-09 Arifin, M.Tn Thorax 1 S.Bosowa, 100,000
RJ.021 31-Des-09 Arifin, M.Tn USG Abdomen 1 S.Bosowa,6/5
RJ.022 31-Des-09 Jamaluddin, Tn USG Abdomen 1 S.Bosowa,2/6
RJ.023 31-Des-09 Idris, Tn USG Abdomen 1 S.Bosowa,12/6
RJ.024 31-Des-09 Hamka, Tn USG Abdomen 1 S.Bosowa,4/5
RJ.025 31-Des-09 Muliani, Ny USG Pelvis 1 S.Bosowa,24/6
RJ.026 31-Des-09 Abd. Khair, Tn Thorax 1 S.Bosowa, 100,000
RJ.027 31-Des-09 Basri, Tn Thorax 1 S.Bosowa, 100,000
RJ.028 31-Des-09 Rosma, Ny Thorax 1 S.Bosowa, 100,000
RJ.029 31-Des-09 Muh. Taufik, An Thorax 1 S.Bosowa, 100,000
RJ.030 31-Des-09 Bachtiar Mansyur,Tn Lumbu Sacral 2 Tamaco,14 150,000
RJ.031 31-Des-09 Bachtiar Mansyur,Tn USG Abdomen 1 Tamaco,14/8
RJ.032 31-Des-09 Anwar Bagenda, Tn Lumbu Sacral 1 Tamaco,5/ 150,000
RJ.033 31-Des-09 Anwar Bagenda, Tn USG Abdomen 1 Tamaco,5/8
RJ.034 31-Des-09 Adrianus, Tn Cervical Syndrom 4 SOS,8/6 300,000
RJ.035 31-Des-09 Mutmain, Tn CT Kepala 1 Inco,28/8
RJ.036 31-Des-09 Tandi Daniel L Sacral + Thoracol 4 P.mina,11/ 300,000
RJ.037 31-Des-09 Abd. Gaffar Thalib,T USG Abdomen 1 P.mina,10/6
RJ.038 31-Des-09 Saripa Fatima, Ny Colon Inloop+Thora 6 S.Tonasa,2 600,000
RJ.039 31-Des-09 Rosa Hardiman, Ny CT Kepala 1 S.Tonasa,16/9
RJ.040 31-Des-09 Asrijal Syamsuddin Anteb + Manus 2 KTC,19/8 150,000
RJ.041 31-Des-09 Sukriadi, Tn Kaki 2 KTC,21/6 150,000
RJ.042 31-Des-09 Abd. Waris Basolle USG Abdomen 1 PLN,18/7
RJ.043 31-Des-09 Amin, M.Ny Thorax 1 PLN,21/8 100,000
RJ.044 31-Des-09 Amin, M.Ny USG Tyroid 1 PLN,22/8
RJ.045 31-Des-09 Amin, M.Ny CT Toraks 2 PLN,21/8
RJ.046 31-Des-09 Duharman, Tn Lutut 2 PLN,27/8 150,000
RJ.047 31-Des-09 Marwiah, St.Ny Thorax 1 PLN,4/8 100,000
RJ.048 31-Des-09 Bunawardi Hade, Tn Thorax 1 Askes,2/10 100,000
RJ.049 31-Des-09 Fatmawati, Ny Thorax 1 Askes,3/10 100,000
RJ.050 31-Des-09 Anisa Satria, Ny Thorax 1 Askes,7/10 100,000
RJ.051 31-Des-09 Fatmawati, Ny USG Abdomen 1 Askes,3/10
RJ.052 31-Des-09 Soni Indarto, Tn Thorax 1 Askes,9/10 100,000
RJ.053 31-Des-09 Sirajuddin, Tn BNO 1 Askes,10/1 100,000
RJ.054 31-Des-09 Herlina CT Kepala 1 Askes,14/10
RJ.055 31-Des-09 Suleha Laside, Ny Thorax 1 Askes,23/1 100,000
RJ.056 31-Des-09 Hasliani, Ny Thorax 1 Askes,27/1 100,000
RJ.057 31-Des-09 Rizki Eka Wiratama Thorax 1 Askes,29/1 100,000
RJ.058 31-Des-09 Mardiana, Ny Thorax 1 Askes,29/1 100,000
RJ.059 31-Des-09 Mardiana, Ny USG Abdomen 1 Askes,29/10
RJ.060 31-Des-09 Nasmawati, Nn Thorax 1 Askes,1/7 100,000
RJ.061 31-Des-09 Yusliani Yunus, Ny Thorax 1 Askes,1/7 100,000
RJ.062 31-Des-09 Mapparessa, Tn Thorax 1 Askes,1/7 100,000
RJ.063 31-Des-09 Dahlan, Tn Thorax 1 Askes,1/7 100,000
RJ.064 31-Des-09 Musdar Rivai, Tn USG Tyroid 1 Askes,1/7
RJ.065 31-Des-09 Nur Hasnani, Nn Thorax 1 Askes,1/7 100,000
RJ.066 31-Des-09 Jumriah, Ny Thorax 1 Askes,2/7 100,000
RJ.067 31-Des-09 Syamsiah, Ny USG Pelvis 1 Askes,2/7
RJ.068 31-Des-09 Anie Anike Nara, Ny Thorax 1 Askes,2/7 100,000
RJ.069 31-Des-09 Purnamayanti, Ny Thorax 1 Askes,3/7 100,000
RJ.070 31-Des-09 Purnamayanti, Ny CT Abdomen 1 Askes,3/7
RJ.071 31-Des-09 Santriani Amin, Ny USG Pelvis 1 Askes,3/7
RJ.072 31-Des-09 Firman Syahal, Tn Thorax 1 Askes,3/7 100,000
RJ.073 31-Des-09 Abd. Halik, Tn Thorax 1 Askes,6/7 100,000
RJ.074 31-Des-09 Andi Hasliani, Ny Thorax 1 Askes,6/7 100,000
RJ.075 31-Des-09 Rina Riskiana, Ny Thorax 1 Askes,6/7 100,000
RJ.076 31-Des-09 Hakim Rahim, Tn Thorax 1 Askes,7/7 100,000
RJ.077 31-Des-09 Arel Gaurilla, An Lengan atas 2 Askes,7/7 150,000
RJ.078 31-Des-09 Bardan, Tn Thorax 1 Askes,7/7 100,000
RJ.079 31-Des-09 Hakim Rahim, Tn CT Kepala 1 Askes,7/7
RJ.080 31-Des-09 Marlina Abu, Ny USG Pelvis 1 Askes,9/7
RJ.081 31-Des-09 Arni Agusaputra, Nn Sinus PN 3 Askes,9/7 200,000
RJ.082 31-Des-09 Pariaman Sinaga, TnThorax 1 Askes,9/7 100,000
RJ.083 31-Des-09 Rismala Hasan, Nn Thorax 1 Askes,9/7 100,000
RJ.084 31-Des-09 Eddy Latumahina, T Thorax 1 Askes,10/7 100,000
RJ.085 31-Des-09 Wafirah, Ny USG Pelvis 1 Askes,10/7
RJ.086 31-Des-09 Azhar, Tn Thorax 1 Askes,10/7 100,000
RJ.087 31-Des-09 Septiana Adiska Thorax 1 Askes,11/7 100,000
RJ.088 31-Des-09 Muh. Safri, AS.Tn USG Abdomen 1 Askes,11/7
RJ.089 31-Des-09 Syarifuddin, Tn Thorax 1 Askes,11/7 100,000
RJ.090 31-Des-09 Machmuddin Tuwo USG Abdomen 1 Askes,11/7
RJ.091 31-Des-09 Atikah, St.Ny Thorax 1 Askes,13/7 100,000
RJ.092 31-Des-09 Dewi Purwanti, Ny Thorax 1 Askes,13/7 100,000
RJ.093 31-Des-09 Suwardi, Tn Manus 2 Askes,13/7 150,000
RJ.094 31-Des-09 Kumalasari, A.Tn Thorax 1 Askes,14/7 100,000
RJ.095 31-Des-09 Marhaeni, Ny Thorax 1 Askes,15/7 100,000
RJ.096 31-Des-09 Marhaeni, Ny USG Abdomen 1 Askes,15/7
RJ.097 31-Des-09 Chok Sudiarti, Tn Thorax 1 Askes,15/7 100,000
RJ.098 31-Des-09 Iskandar Elyas, Tn Thorax 1 Askes,15/7 100,000
RJ.099 31-Des-09 Irvan Asyari, Tn Thorax 1 Askes,15/7 100,000
RJ.100 31-Des-09 Irwan Daud, Tn Thorax 1 Askes,16/7 100,000
RJ.101 31-Des-09 Sanrah F.Putri Thorax 1 Askes,17/7 100,000
RJ.102 31-Des-09 Wahyuni USG Abdomen 1 Askes,18/7
RJ.103 31-Des-09 Idris Ichsan Ramadh Thorax 1 Askes,18/7 100,000
RJ.104 31-Des-09 Muh. Basri, Tn USG Abdomen 1 Askes,18/7
RJ.105 31-Des-09 Martang, Ny USG Pelvis 1 Askes,18/7
RJ.106 31-Des-09 Nurnia, Ny Femur + Anteb 4 Askes,20/7 300,000
RJ.107 31-Des-09 Muliana, Ny Thorax 1 Askes,21/7 100,000
RJ.108 31-Des-09 Darmawati, Ny Thorax 1 Askes,22/7 100,000
RJ.109 31-Des-09 Darmawati, Ny CT Sinus 1 Askes,22/7
RJ.110 31-Des-09 Siti Suleha, Ny USG Pelvis 1 Askes,23/7
RJ.111 31-Des-09 Darnisah, Ny USG Pelvis 1 Askes,24/7
RJ.112 31-Des-09 Agustina, Ny Thorax 1 Askes,27/7 100,000
RJ.113 31-Des-09 Agustina, Ny CT Abdomen 2 Askes,27/7
RJ.114 31-Des-09 Robby Tan, Tn Thorax 1 Askes,27/7 100,000
RJ.115 31-Des-09 Robertus Tri, Tn Thorax 1 Askes,27/7 100,000
RJ.116 31-Des-09 Robertus Tri, Tn CT Sinus 1 Askes,27/7
RJ.117 31-Des-09 Rizal Ramli, Tn USG Abdomen 1 Askes,28/7
RJ.118 31-Des-09 Marlina Mashud, Tn USG Pelvis 1 Askes,28/7
RJ.119 31-Des-09 Andi Elling Sabita Wrist Joint 2 Askes,28/7 150,000
RJ.120 31-Des-09 Much. Rezaldy, An Manus 2 Askes,28/7 150,000
RJ.121 31-Des-09 Nurida, Ny Thorax 1 Askes,29/7 100,000
RJ.122 31-Des-09 Efransyah, Tn USG Abdomen 1 Askes,29/7
RJ.123 31-Des-09 Soraya, Ny Thorax 1 Askes,29/7 100,000
RJ.124 31-Des-09 Krisna Lamba, Tn Thorax 1 Askes,30/7 100,000
RJ.125 31-Des-09 Syamsinar Sampe Thorax 1 Askes,30/7 100,000
RJ.126 31-Des-09 Syamsinar Sampe CT Sinus 1 Askes,30/7
RJ.127 31-Des-09 Widyawati, Ny Thorax 1 Askes,30/7 100,000
RJ.129 31-Des-09 Ani, Ny Thorax 1 Askes,1/8 100,000
RJ.130 31-Des-09 Ani, Ny USG Abdomen 1 Askes,1/8
RJ.131 31-Des-09 Reyhan Putri, Nn Thorax 1 Askes,5/8 100,000
RJ.132 31-Des-09 Reyhan Putri, Nn CT Kepala 1 Askes,5/8
RJ.133 31-Des-09 Sirajuddin, Tn USG Abdomen 1 Askes,5/8
RJ.134 31-Des-09 Maryanti, Ny USG Pelvis 1 Askes,5/8
RJ.135 31-Des-09 Hamdana Hafid, Ny USG Pelvis 1 Askes,5/8
RJ.136 31-Des-09 Juadi Mustihar, Tn Thorax 1 Askes,6/8 100,000
RJ.137 31-Des-09 Matheus P, Tn BNO 1 Askes,8/8 100,000
RJ.138 31-Des-09 Rita Yanti, Ny USG Abdomen 1 Askes,8/8
RJ.140 31-Des-09 Rusdi, Tn Cervical Syndrom 4 Askes,8/8 300,000
RJ.141 31-Des-09 Nismawati, A.Ny Panggul+Cervical 3 Askes,10/8 250,000
RJ.142 31-Des-09 Tris Alfa Thorax 1 Askes,11/8 100,000
RJ.143 31-Des-09 Jufriadi, Tn Thorax 1 Askes,11/8 100,000
RJ.144 31-Des-09 Ni'man, Tn USG Abdomen 1 Askes,12/8
RJ.145 31-Des-09 Matheus P, Tn USG Abdomen 1 Askes,12/8
RJ.146 31-Des-09 Jufriadi, Tn Sinus PN 3 Askes,12/8 200,000
RJ.147 31-Des-09 Novariska, ny USG Abdomen 1 Askes,12/8
RJ.148 31-Des-09 Nur Naila Aqilah, An Thorax 1 Askes,14/8 100,000
RJ.149 31-Des-09 Muzakkir, Tn USG Abdomen 1 Askes,15/8
RJ.151 31-Des-09 Hikma, Ny USG Pelvis 1 Askes,16/8
RJ.152 31-Des-09 Adie Wisnu, An Thorax 1 Askes,18/8 100,000
RJ.153 31-Des-09 Nurida, Ny USG Abdomen 1 Askes,19/8
RJ.154 31-Des-09 Rahmawati, Ny USG Pelvis 1 Askes,19/8
RJ.156 31-Des-09 Saidah, St.Ny USG Pelvis 1 Askes,21/8
RJ.157 31-Des-09 Wahidah, Ny Thorax 1 Askes,22/8 100,000
RJ.158 31-Des-09 Khadijah, Ny USG Leher 1 Askes,22/8
RJ.159 31-Des-09 Dina Bontong, Ny Thorax 1 Askes,22/8 100,000
RJ.160 31-Des-09 Dina Bontong, Ny USG Abdomen 1 Askes,22/8
RJ.161 31-Des-09 Lilik Wulandari, Ny USG Abdomen 1 Askes,22/8
RJ.162 31-Des-09 Amran Nur Dody, Tn Thorax 1 Askes,24/8 100,000
RJ.163 31-Des-09 Hadi Prayoga, M.Tn USG Abdomen 1 Askes,25/8
RJ.164 31-Des-09 Nurhayah Yunus, Ny Pelvis Ap.Lat 2 Askes,26/8 150,000
RJ.165 31-Des-09 Musdar Rivai, Tn Thorax 1 Askes,26/8 100,000
RJ.166 31-Des-09 Khadijah, Ny Thorax 1 Askes,26/8 100,000
RJ.168 31-Des-09 Djemi Djafri, Ny L Sacral + Pelvis 3 Askes,29/8 250,000
RJ.169 31-Des-09 Rahmi, Ny Thorax 1 Askes,29/8 100,000
RJ.170 31-Des-09 Nurdiana, Ny Thorax 1 Askes,31/8 100,000
RJ.171 31-Des-09 Hans Hendrik, Tn Thorax 1 Askes,31/8 100,000
RJ.172 31-Des-09 Bungaisa Thorax 1 Askes,12/8 100,000
RJ.173 31-Des-09 Isa Ansari, Tn USG Abdomen 1 Askes,2/9
RJ.174 31-Des-09 Kemal Yanto, Tn Thorax 1 Askes,2/9 100,000
RJ.175 31-Des-09 Sulaiman, Tn USG Abdomen 1 Askes,2/9
RJ.176 31-Des-09 Tiar Arisandy, Tn Pelvis Ap.Lat 1 Askes,5/9 100,000
RJ.177 31-Des-09 Sitti Tang, Ny USG Abdomen 1 Askes,8/9
RJ.178 31-Des-09 Mahsuri Jamise, Tn Thorax 1 Askes,8/9 100,000
RJ.179 31-Des-09 Nurnia, Ny Femur 2 Askes,9/9 150,000
RJ.180 31-Des-09 Nurhayati, Ny USG Pelvis 1 Askes,10/9
RJ.181 31-Des-09 Tjiang Arifin, Tn Pelvis + L Sacral 4 Askes,10/9 300,000
RJ.182 31-Des-09 Sitti Tang, Ny USG Gluleus 1 Askes,11/9
RJ.183 31-Des-09 Firman Batari, Tn Lumbu Sacral 2 Askes,11/9 150,000
RJ.184 31-Des-09 Sitti Tang, Ny Thorax 1 Askes,14/9 100,000
RJ.186 31-Des-09 Abbas, Tn Thorax 1 Askes,27/9 100,000 30,000
RJ.187 31-Des-09 Robby Tan, Tn Clavicula 1 Askes,28/9 100,000
RJ.188 31-Des-09 Sri Arianti, Ny Thorax 1 Askes,29/9 100,000
RJ.189 31-Des-09 Ratriana USG Abdomen 1 Askes,30/9
RJ.190 31-Des-09 Suwedi Hanafi, Tn USG Abdomen 1 Askes,30/9
14,900,000 105,000
RJ.001 31-Des-09 Miswar Amir, Tn Thorax 1 ft.25/8 100,000 30,000

RJ.002 31-Des-09 Silmy Aulia Kepala 2 S.Bosowa, 150,000 45,000
RJ.004 31-Des-09 Abd. Hamid Thorax 1 S.bosowa,2 100,000
RJ.005 31-Des-09 Heriati, Ny Genu + Thorax 3 S.Bosowa, 250,000
RJ.007 31-Des-09 Muh. Saleh Thorax 1 S.Bosowa, 100,000
RJ.009 31-Des-09 Arif Tahir, M.Ir Thorax 1 S.Bosowa, 100,000
RJ.010 31-Des-09 Supianty, Ny Thorax 1 S.Bosowa, 100,000
RJ.011 31-Des-09 Sri Sumiati, Ny Thorax 1 S.Bosowa, 100,000
RJ.012 31-Des-09 Syamsul Rijal, Ny Cervical 2 S.Bosowa, 150,000
RJ.016 31-Des-09 Nurfadillah, A Thorax 1 S.Bosowa, 100,000
RJ.017 31-Des-09 Agustina, Ny HSG 5 S.Bosowa, 450,000
RJ.018 31-Des-09 Jalaluddin, Tn Thorax 1 S.Bosowa, 100,000
RJ.020 31-Des-09 Arifin, M.Tn Thorax 1 S.Bosowa, 100,000
RJ.026 31-Des-09 Abd. Khair, Tn Thorax 1 S.Bosowa, 100,000
RJ.027 31-Des-09 Basri, Tn Thorax 1 S.Bosowa, 100,000
RJ.028 31-Des-09 Rosma, Ny Thorax 1 S.Bosowa, 100,000
RJ.029 31-Des-09 Muh. Taufik, An Thorax 1 S.Bosowa, 100,000
RJ.030 31-Des-09 Bachtiar Mansyur,Tn Lumbu Sacral 2 Tamaco,14 150,000
RJ.032 31-Des-09 Anwar Bagenda, Tn Lumbu Sacral 1 Tamaco,5/ 150,000
RJ.034 31-Des-09 Adrianus, Tn Cervical Syndrom 4 SOS,8/6 300,000
RJ.036 31-Des-09 Tandi Daniel L Sacral + Thoracol 4 P.mina,11/ 300,000
RJ.038 31-Des-09 Saripa Fatima, Ny Colon Inloop+Thora 6 S.Tonasa,2 600,000
RJ.040 31-Des-09 Asrijal Syamsuddin Anteb + Manus 2 KTC,19/8 150,000
RJ.041 31-Des-09 Sukriadi, Tn Kaki 2 KTC,21/6 150,000
RJ.043 31-Des-09 Amin, M.Ny Thorax 1 PLN,21/8 100,000
RJ.046 31-Des-09 Duharman, Tn Lutut 2 PLN,27/8 150,000
RJ.047 31-Des-09 Marwiah, St.Ny Thorax 1 PLN,4/8 100,000
RJ.048 31-Des-09 Bunawardi Hade, Tn Thorax 1 Askes,2/10 100,000
RJ.049 31-Des-09 Fatmawati, Ny Thorax 1 Askes,3/10 100,000
RJ.050 31-Des-09 Anisa Satria, Ny Thorax 1 Askes,7/10 100,000
RJ.052 31-Des-09 Soni Indarto, Tn Thorax 1 Askes,9/10 100,000
RJ.053 31-Des-09 Sirajuddin, Tn BNO 1 Askes,10/1 100,000
RJ.055 31-Des-09 Suleha Laside, Ny Thorax 1 Askes,23/1 100,000
RJ.056 31-Des-09 Hasliani, Ny Thorax 1 Askes,27/1 100,000
RJ.057 31-Des-09 Rizki Eka Wiratama Thorax 1 Askes,29/1 100,000
RJ.058 31-Des-09 Mardiana, Ny Thorax 1 Askes,29/1 100,000
RJ.060 31-Des-09 Nasmawati, Nn Thorax 1 Askes,1/7 100,000
RJ.061 31-Des-09 Yusliani Yunus, Ny Thorax 1 Askes,1/7 100,000
RJ.062 31-Des-09 Mapparessa, Tn Thorax 1 Askes,1/7 100,000
RJ.063 31-Des-09 Dahlan, Tn Thorax 1 Askes,1/7 100,000
RJ.065 31-Des-09 Nur Hasnani, Nn Thorax 1 Askes,1/7 100,000
RJ.066 31-Des-09 Jumriah, Ny Thorax 1 Askes,2/7 100,000
RJ.068 31-Des-09 Anie Anike Nara, Ny Thorax 1 Askes,2/7 100,000
RJ.069 31-Des-09 Purnamayanti, Ny Thorax 1 Askes,3/7 100,000
RJ.072 31-Des-09 Firman Syahal, Tn Thorax 1 Askes,3/7 100,000
RJ.073 31-Des-09 Abd. Halik, Tn Thorax 1 Askes,6/7 100,000
RJ.074 31-Des-09 Andi Hasliani, Ny Thorax 1 Askes,6/7 100,000
RJ.075 31-Des-09 Rina Riskiana, Ny Thorax 1 Askes,6/7 100,000
RJ.076 31-Des-09 Hakim Rahim, Tn Thorax 1 Askes,7/7 100,000
RJ.077 31-Des-09 Arel Gaurilla, An Lengan atas 2 Askes,7/7 150,000
RJ.078 31-Des-09 Bardan, Tn Thorax 1 Askes,7/7 100,000
RJ.081 31-Des-09 Arni Agusaputra, Nn Sinus PN 3 Askes,9/7 200,000
RJ.082 31-Des-09 Pariaman Sinaga, TnThorax 1 Askes,9/7 100,000
RJ.083 31-Des-09 Rismala Hasan, Nn Thorax 1 Askes,9/7 100,000
RJ.084 31-Des-09 Eddy Latumahina, T Thorax 1 Askes,10/7 100,000
RJ.086 31-Des-09 Azhar, Tn Thorax 1 Askes,10/7 100,000
RJ.087 31-Des-09 Septiana Adiska Thorax 1 Askes,11/7 100,000
RJ.091 31-Des-09 Atikah, St.Ny Thorax 1 Askes,13/7 100,000
RJ.092 31-Des-09 Dewi Purwanti, Ny Thorax 1 Askes,13/7 100,000
RJ.093 31-Des-09 Suwardi, Tn Manus 2 Askes,13/7 150,000
RJ.094 31-Des-09 Kumalasari, A.Tn Thorax 1 Askes,14/7 100,000
RJ.095 31-Des-09 Marhaeni, Ny Thorax 1 Askes,15/7 100,000
RJ.097 31-Des-09 Chok Sudiarti, Tn Thorax 1 Askes,15/7 100,000
RJ.098 31-Des-09 Iskandar Elyas, Tn Thorax 1 Askes,15/7 100,000
RJ.099 31-Des-09 Irvan Asyari, Tn Thorax 1 Askes,15/7 100,000
RJ.100 31-Des-09 Irwan Daud, Tn Thorax 1 Askes,16/7 100,000
RJ.101 31-Des-09 Sanrah F.Putri Thorax 1 Askes,17/7 100,000
RJ.103 31-Des-09 Idris Ichsan Ramadh Thorax 1 Askes,18/7 100,000
RJ.106 31-Des-09 Nurnia, Ny Femur + Anteb 4 Askes,20/7 300,000
RJ.112 31-Des-09 Agustina, Ny Thorax 1 Askes,27/7 100,000
RJ.114 31-Des-09 Robby Tan, Tn Thorax 1 Askes,27/7 100,000
RJ.115 31-Des-09 Robertus Tri, Tn Thorax 1 Askes,27/7 100,000
RJ.119 31-Des-09 Andi Elling Sabita Wrist Joint 2 Askes,28/7 150,000
RJ.120 31-Des-09 Much. Rezaldy, An Manus 2 Askes,28/7 150,000
RJ.121 31-Des-09 Nurida, Ny Thorax 1 Askes,29/7 100,000
RJ.123 31-Des-09 Soraya, Ny Thorax 1 Askes,29/7 100,000
RJ.124 31-Des-09 Krisna Lamba, Tn Thorax 1 Askes,30/7 100,000
RJ.125 31-Des-09 Syamsinar Sampe Thorax 1 Askes,30/7 100,000
RJ.127 31-Des-09 Widyawati, Ny Thorax 1 Askes,30/7 100,000
RJ.129 31-Des-09 Ani, Ny Thorax 1 Askes,1/8 100,000
RJ.131 31-Des-09 Reyhan Putri, Nn Thorax 1 Askes,5/8 100,000
RJ.136 31-Des-09 Juadi Mustihar, Tn Thorax 1 Askes,6/8 100,000
RJ.137 31-Des-09 Matheus P, Tn BNO 1 Askes,8/8 100,000
RJ.140 31-Des-09 Rusdi, Tn Cervical Syndrom 4 Askes,8/8 300,000
RJ.141 31-Des-09 Nismawati, A.Ny Panggul+Cervical 3 Askes,10/8 250,000
RJ.142 31-Des-09 Tris Alfa Thorax 1 Askes,11/8 100,000
RJ.143 31-Des-09 Jufriadi, Tn Thorax 1 Askes,11/8 100,000
RJ.146 31-Des-09 Jufriadi, Tn Sinus PN 3 Askes,12/8 200,000
RJ.148 31-Des-09 Nur Naila Aqilah, An Thorax 1 Askes,14/8 100,000
RJ.152 31-Des-09 Adie Wisnu, An Thorax 1 Askes,18/8 100,000
RJ.157 31-Des-09 Wahidah, Ny Thorax 1 Askes,22/8 100,000
RJ.159 31-Des-09 Dina Bontong, Ny Thorax 1 Askes,22/8 100,000
RJ.162 31-Des-09 Amran Nur Dody, Tn Thorax 1 Askes,24/8 100,000
RJ.164 31-Des-09 Nurhayah Yunus, Ny Pelvis Ap.Lat 2 Askes,26/8 150,000
RJ.165 31-Des-09 Musdar Rivai, Tn Thorax 1 Askes,26/8 100,000
RJ.166 31-Des-09 Khadijah, Ny Thorax 1 Askes,26/8 100,000
RJ.168 31-Des-09 Djemi Djafri, Ny L Sacral + Pelvis 3 Askes,29/8 250,000
RJ.169 31-Des-09 Rahmi, Ny Thorax 1 Askes,29/8 100,000
RJ.170 31-Des-09 Nurdiana, Ny Thorax 1 Askes,31/8 100,000
RJ.171 31-Des-09 Hans Hendrik, Tn Thorax 1 Askes,31/8 100,000
RJ.172 31-Des-09 Bungaisa Thorax 1 Askes,12/8 100,000
RJ.174 31-Des-09 Kemal Yanto, Tn Thorax 1 Askes,2/9 100,000
RJ.176 31-Des-09 Tiar Arisandy, Tn Pelvis Ap.Lat 1 Askes,5/9 100,000
RJ.178 31-Des-09 Mahsuri Jamise, Tn Thorax 1 Askes,8/9 100,000
RJ.179 31-Des-09 Nurnia, Ny Femur 2 Askes,9/9 150,000
RJ.181 31-Des-09 Tjiang Arifin, Tn Pelvis + L Sacral 4 Askes,10/9 300,000
RJ.183 31-Des-09 Firman Batari, Tn Lumbu Sacral 2 Askes,11/9 150,000
RJ.184 31-Des-09 Sitti Tang, Ny Thorax 1 Askes,14/9 100,000
RJ.186 31-Des-09 Abbas, Tn Thorax 1 Askes,27/9 100,000 30,000
RJ.187 31-Des-09 Robby Tan, Tn Clavicula 1 Askes,28/9 100,000
RJ.188 31-Des-09 Sri Arianti, Ny Thorax 1 Askes,29/9 100,000
RJ.006 31-Des-09 Heriati, Ny USG Abdomen 1 S.Bosowa,20/5
RJ.008 31-Des-09 Muh. Saleh USG Abdomen 1 S.Bosowa,6/5
RJ.013 31-Des-09 Muliana, Ny USG Obstetri 1 S.Bosowa,7/5
RJ.014 31-Des-09 Arif Tahir, M.Ir USG Abdomen 1 S.Bosowa,23/5
RJ.015 31-Des-09 Agustina, Ny USG Obstetri 1 S.Bosowa,3/6
RJ.021 31-Des-09 Arifin, M.Tn USG Abdomen 1 S.Bosowa,6/5
RJ.022 31-Des-09 Jamaluddin, Tn USG Abdomen 1 S.Bosowa,2/6
RJ.023 31-Des-09 Idris, Tn USG Abdomen 1 S.Bosowa,12/6
RJ.024 31-Des-09 Hamka, Tn USG Abdomen 1 S.Bosowa,4/5
RJ.025 31-Des-09 Muliani, Ny USG Pelvis 1 S.Bosowa,24/6
RJ.031 31-Des-09 Bachtiar Mansyur,Tn USG Abdomen 1 Tamaco,14/8
RJ.033 31-Des-09 Anwar Bagenda, Tn USG Abdomen 1 Tamaco,5/8
RJ.037 31-Des-09 Abd. Gaffar Thalib,T USG Abdomen 1 P.mina,10/6
RJ.042 31-Des-09 Abd. Waris Basolle USG Abdomen 1 PLN,18/7
RJ.044 31-Des-09 Amin, M.Ny USG Tyroid 1 PLN,22/8
RJ.051 31-Des-09 Fatmawati, Ny USG Abdomen 1 Askes,3/10
RJ.059 31-Des-09 Mardiana, Ny USG Abdomen 1 Askes,29/10
RJ.064 31-Des-09 Musdar Rivai, Tn USG Tyroid 1 Askes,1/7
RJ.071 31-Des-09 Santriani Amin, Ny USG Pelvis 1 Askes,3/7
RJ.085 31-Des-09 Wafirah, Ny USG Pelvis 1 Askes,10/7
RJ.088 31-Des-09 Muh. Safri, AS.Tn USG Abdomen 1 Askes,11/7
RJ.090 31-Des-09 Machmuddin Tuwo USG Abdomen 1 Askes,11/7
RJ.096 31-Des-09 Marhaeni, Ny USG Abdomen 1 Askes,15/7
RJ.102 31-Des-09 Wahyuni USG Abdomen 1 Askes,18/7
RJ.104 31-Des-09 Muh. Basri, Tn USG Abdomen 1 Askes,18/7
RJ.105 31-Des-09 Martang, Ny USG Pelvis 1 Askes,18/7
RJ.110 31-Des-09 Siti Suleha, Ny USG Pelvis 1 Askes,23/7
RJ.111 31-Des-09 Darnisah, Ny USG Pelvis 1 Askes,24/7
RJ.117 31-Des-09 Rizal Ramli, Tn USG Abdomen 1 Askes,28/7
RJ.118 31-Des-09 Marlina Mashud, Tn USG Pelvis 1 Askes,28/7
RJ.122 31-Des-09 Efransyah, Tn USG Abdomen 1 Askes,29/7
RJ.130 31-Des-09 Ani, Ny USG Abdomen 1 Askes,1/8
RJ.133 31-Des-09 Sirajuddin, Tn USG Abdomen 1 Askes,5/8
RJ.134 31-Des-09 Maryanti, Ny USG Pelvis 1 Askes,5/8
RJ.135 31-Des-09 Hamdana Hafid, Ny USG Pelvis 1 Askes,5/8
RJ.138 31-Des-09 Rita Yanti, Ny USG Abdomen 1 Askes,8/8
RJ.144 31-Des-09 Ni'man, Tn USG Abdomen 1 Askes,12/8
RJ.145 31-Des-09 Matheus P, Tn USG Abdomen 1 Askes,12/8
RJ.147 31-Des-09 Novariska, ny USG Abdomen 1 Askes,12/8
RJ.149 31-Des-09 Muzakkir, Tn USG Abdomen 1 Askes,15/8
RJ.151 31-Des-09 Hikma, Ny USG Pelvis 1 Askes,16/8
RJ.153 31-Des-09 Nurida, Ny USG Abdomen 1 Askes,19/8
RJ.154 31-Des-09 Rahmawati, Ny USG Pelvis 1 Askes,19/8
RJ.156 31-Des-09 Saidah, St.Ny USG Pelvis 1 Askes,21/8
RJ.158 31-Des-09 Khadijah, Ny USG Leher 1 Askes,22/8
RJ.160 31-Des-09 Dina Bontong, Ny USG Abdomen 1 Askes,22/8
RJ.161 31-Des-09 Lilik Wulandari, Ny USG Abdomen 1 Askes,22/8
RJ.163 31-Des-09 Hadi Prayoga, M.Tn USG Abdomen 1 Askes,25/8
RJ.173 31-Des-09 Isa Ansari, Tn USG Abdomen 1 Askes,2/9
RJ.175 31-Des-09 Sulaiman, Tn USG Abdomen 1 Askes,2/9
RJ.177 31-Des-09 Sitti Tang, Ny USG Abdomen 1 Askes,8/9
RJ.180 31-Des-09 Nurhayati, Ny USG Pelvis 1 Askes,10/9
RJ.182 31-Des-09 Sitti Tang, Ny USG Gluleus 1 Askes,11/9
RJ.189 31-Des-09 Ratriana USG Abdomen 1 Askes,30/9
RJ.190 31-Des-09 Suwedi Hanafi, Tn USG Abdomen 1 Askes,30/9
RJ.003 31-Des-09 Silmy Aulia CT Kepala 1 S.Bosowa,7/4
RJ.019 31-Des-09 Jalaluddin, Tn CT Sinus 1 S.Bosowa,25/6
RJ.035 31-Des-09 Mutmain, Tn CT Kepala 1 Inco,28/8
RJ.039 31-Des-09 Rosa Hardiman, Ny CT Kepala 1 S.Tonasa,16/9
RJ.045 31-Des-09 Amin, M.Ny CT Toraks 2 PLN,21/8
RJ.054 31-Des-09 Herlina CT Kepala 1 Askes,14/10
RJ.070 31-Des-09 Purnamayanti, Ny CT Abdomen 2 Askes,3/7
RJ.079 31-Des-09 Hakim Rahim, Tn CT Kepala 1 Askes,7/7
RJ.109 31-Des-09 Darmawati, Ny CT Sinus 1 Askes,22/7
RJ.113 31-Des-09 Agustina, Ny CT Abdomen 2 Askes,27/7
RJ.116 31-Des-09 Robertus Tri, Tn CT Sinus 1 Askes,27/7
RJ.126 31-Des-09 Syamsinar Sampe CT Sinus 1 Askes,30/7
RJ.132 31-Des-09 Reyhan Putri, Nn CT Kepala 1 Askes,5/8
dll GE cito usg cito scan cito kontras anastesi
550,000 110,000
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3,000
3,000
3,000
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200,000
175,000
200,000
175,000
200,000
200,000
200,000 40,000
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200,000
200,000
200,000
200,000
200,000
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200,000
175,000
175,000
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200,000
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175,000
175,000
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200,000
200,000
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200,000
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200,000
200,000
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200,000
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10,000
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550,000 110,000
550,000
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dll total
130,000
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453,000
100,000
3,000 553,000
100,000
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200,000
240,000
200,000
175,000
100,000
100,000
100,000
100,000
150,000
200,000
153,000
200,000
300,000
3,000 553,000
300,000
200,000
603,000
3,000 553,000
150,000
150,000
200,000
100,000
200,000
750,000
150,000
100,000
100,000
100,000
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200,000
100,000
200,000
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175,000
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100,000
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9,000 34,333,000
0
0
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01-Jan-2010 14062 U.001.001 MUH ICHLAS RAHMAN.TN USG
01-Jan-2010 11824 U.002.002 MARAWIAH.NY USG
02-Jan-2010 163285 R.10.010 ALIMUDDIN . TN USG
02-Jan-2010 157545 U. MUH.YAHYA TN/ USG
02-Jan-2010 160240 U. MANIKAM SAMAD.NY USG
02-Jan-2010 163463 U. RAHMAD TN USG
02-Jan-2010 163727 U.006.0006 ROBIN T,TN USG
02-Jan-2010 163712 U.007.0007 ANDI SIANGNGATI SULTAN .NY USG
02-Jan-2010 163325 U.009.0009 DINA TANGKEARUNG,NY USG
02-Jan-2010 163803 U.08.008 IRMAN TN/ USG
02-Jan-2010 163812 U.11.011 ROSWITA.NN USG
03-Jan-2010 163830 U.12.012 ARTHA / TN USG
04-Jan-2010 163809 U.13.013 ASIA ASAF.HJ.NY USG
04-Jan-2010 73124 U.14.014 M.ARAS,TN USG
04-Jan-2010 163823 U.15.015 MAESARAH AMIR, NN USG
04-Jan-2010 163555 U.16.016 MARIA . NY USG
04-Jan-2010 163813 U.17.017 MULYADI TN/ USG
04-Jan-2010 162856 U.18.018 M.YUSUF ISMAIL,AN USG
04-Jan-2010 121704 U.19.019 KAREL G R TN USG
05-Jan-2010 149459 U.20.020 ST.HADINDA NY USG
05-Jan-2010 149260 U.21.021 NUR AWALIYAH MAHARANI , NN USG
05-Jan-2010 163826 U.22.022 INCE . NY USG
05-Jan-2010 163876 U.23.023 AGUSTINA NY USG
05-Jan-2010 163818 U.24.024 ROHANI, HJ, NY USG
06-Jan-2010 163964 U.25.025 A.HASMAH HJ. NY/` USG
06-Jan-2010 163957 U.26.026 HASAN SORE H TN USG
06-Jan-2010 163611 U.27.027 MUTIARA NY/ USG
06-Jan-2010 91456 U.28.028 SIFA.NY USG
06-Jan-2010 137571 U.29.029 A.SURIYANI,NY USG
06-Jan-2010 163988 U.30.030 RESKI AMALIA USG
06-Jan-2010 163989 U.31.031 ANDI SYARIFUDDIN UNDE USG
06-Jan-2010 163936 U.32.032 HADRIA BOOY.NY USG
06-Jan-2010 163994 U.33.033 PDT. BERTHA DIAZ NY USG
06-Jan-2010 163996 U.340.34 YUSNITA,NY USG
06-Jan-2010 164006 U.35.035 BUDI AHDAM.TN USG
07-Jan-2010 163962 U.36.036 RAHMAT KUSUMA TN USG
07-Jan-2010 17477 U.37.037 MAURAGA H. TN USG
07-Jan-2010 163893 U.38.038 DG.MAKKITA H TN/ USG
07-Jan-2010 163890 U.39.039 HENDRIK BENYAMIN TN/ USG
07-Jan-2010 164018 U.40.040 MUH.RISA TN/ USG
07-Jan-2010 86505 U.41.041 SULTHAN RAWADI.TN USG
07-Jan-2010 163847 U.42.042 RAFIKA DEWI NY/ USG
07-Jan-2010 164037 U.43.043 TUHANI.HJ.NY USG
07-Jan-2010 164021 U.44.044 JOHANNES TUMBELAKA TN/ USG
07-Jan-2010 164024 U.45.045 ESRON TODING,TN USG
07-Jan-2010 108430 U.46.046 YENNY,NY USG
07-Jan-2010 163995 U.47.047 RATNA,NY USG
07-Jan-2010 164028 U.48.048 WARDAH,NY USG
07-Jan-2010 164014 U.49.049 NURHAENI, NY USG
07-Jan-2010 164074 U.50.050 MUSTARI GAPI , TN USG
08-Jan-2010 163967 U.051.0051 HASNAH HJ. NY/ USG
08-Jan-2010 161695 U.052.0052 JERNIATI, NY USG
08-Jan-2010 164017 U.053.0053 KARTINI NY USG
08-Jan-2010 104686 U.054.0054 MUH HADI PRAYOGO USG
08-Jan-2010 164088 U.55.055 HALWI,TN USG
08-Jan-2010 164105 U.56.056 MARHAEN , NY USG
09-Jan-2010 164112 U.57.057 KARTINA SKM KES NY USG
09-Jan-2010 164079 U.58.058 AYU NY USG
09-Jan-2010 130289 U.59.059 WIWITADI SETYANINGSIH USG
09-Jan-2010 164133 U.60.060 MARIYANI,NY USG
09-Jan-2010 163778 U.61.061 YULIANA SIPRIANUS . NY USG
10-Jan-2010 164152 U.62.062 HUSNA . NY USG
10-Jan-2010 127578 U.63.063 ESTERLIATI NY USG
10-Jan-2010 164157 U.64.064 EDA NY/ USG
11-Jan-2010 164163 U.65.065 H.A.MUSTARI YUSUF .TN USG
11-Jan-2010 164142 U.66.066 THEOFIULUS BAYU DWINUGROHO.TN/ USG
12-Jan-2010 164144 U.67.067 DJUMASIAH NY/ USG
12-Jan-2010 164143 U.68.068 YOHANNA RAHMAN NY/ USG
12-Jan-2010 164201 U.69.069 MAPPA TN USG
12-Jan-2010 163983 U.70.070 FATMAH BAISANG.NY USG
12-Jan-2010 164205 U.71.071 RUDY WIBOWO TN/ USG
12-Jan-2010 164244 U.72.072 BAGUNG,TN USG
13-Jan-2010 164251 U.73.073 UMAR BAHA SOAN,TN USG
13-Jan-2010 164225 U.74.074 ALMIRA,NY USG
13-Jan-2010 164225 U.74.074 ALMIRA,NY USG
13-Jan-2010 164148 U.75.075 HARDINI.NN USG
13-Jan-2010 164196 U.76.076 RENY.NY USG
13-Jan-2010 163528 U.77.077 HENNY YANAN,NY USG
13-Jan-2010 119436 U.78.078 RINDA ARYANI,NY USG
13-Jan-2010 164275 U.79.079 KAMASE . NY USG
13-Jan-2010 164276 U.80.080 HJ.KAMARIAH,NY USG
13-Jan-2010 47866 U.81.081 CICI,NY USG
13-Jan-2010 98667 U.82.082 HARIYANI. NY USG
14-Jan-2010 154166 U.83.083 BASRI RAKHMAN,TN USG
14-Jan-2010 164285 U.84.084 PATIMASANG . NY USG
14-Jan-2010 130686 U.85.085 HAMDANA HAFID,NY USG
14-Jan-2010 164188 U.86.086 H.A.MUH.ALI YUSUF,TN USG
14-Jan-2010 164189 U.87.087 HJ.A.DALIMA,NY USG
14-Jan-2010 164051 U.88.088 DEVIANTI,NN USG
14-Jan-2010 164050 U.89.089 YULIANA,NY USG
14-Jan-2010 164311 U.90.090 ARTATI,NY USG
14-Jan-2010 164324 U.91.091 ANNISA A, ICHWAN . NN USG
14-Jan-2010 164327 U.92.092 KARTINI M . NY USG
14-Jan-2010 164339 U.93.093 AGUSALIM TN/ USG
15-Jan-2010 104666 U.095.095 MUH SIDIK ARMAN.TN USG
15-Jan-2010 164353 U.096.096 ANDI BAKRI ATJO. TN USG
15-Jan-2010 164246 U.097.97 JANNUS SIRAIT,TN USG
15-Jan-2010 164333 U.94.094 HANA GOMI NY USG
16-Jan-2010 164249 U.100.100 AGUSLUMBA,NY USG
16-Jan-2010 162542 U.101.101 RIDWAN TN USG
16-Jan-2010 114670 U.102.102 SUKMAWATI,NY USG
16-Jan-2010 119004 U.103.103 HADARIA DALLA,NY USG
16-Jan-2010 123133 U.98.98 ST.HARDIANTI MAHAR B,NN USG
16-Jan-2010 24955 U.99.099 KATRIN SANGER,ZTR USG
17-Jan-2010 164401 U.104.104 SYUKUR USG
17-Jan-2010 164402 U.105.105 DG MILE . TN USG
17-Jan-2010 164424 U.106.0106 MAHWATY WAWI NY/ USG
18-Jan-2010 164397 U.107.107 ELLY. ,NY USG
18-Jan-2010 161621 U.108.108 SURIANA, NY USG
18-Jan-2010 161030 U.109.109 ST.SUHADA,NY USG
18-Jan-2010 142522 U.110.110 MARKUS AWAY,TN USG
18-Jan-2010 164434 U.111.111 SANDY . TN USG
18-Jan-2010 164395 U.112.112 MASUD,TN USG
18-Jan-2010 154938 U.113.113 IR.MUSTARI,TN USG
18-Jan-2010 163699 U.114.114 ANDI MARWANI,NY USG
18-Jan-2010 164345 U.115.115 AMANDA SARI BELBY NN USG
18-Jan-2010 164399 U.116.116 ROSLIMANG,HJ,NY USG
18-Jan-2010 164432 U.117.11 H, ABD. MALIK. TN USG
18-Jan-2010 159352 U.118.118 ARIEF JUNUS,TN USG
18-Jan-2010 164449 U.119.119 HARTATI,NY USG
18-Jan-2010 164471 U.120.120 SUTAMI USG
18-Jan-2010 164479 U.122.0122 MARYANA ALLO LAYUK,NY USG
19-Jan-2010 164491 R.127.127 RAHMADANI MIZWAR. TN USG
19-Jan-2010 164438 U.122.122 SAIDAH.H.NY USG
19-Jan-2010 83966 U.123.123 JERRI HAMDANI.TN USG
19-Jan-2010 86757 U.124.124 ZAM ZAM ,NY USG
19-Jan-2010 164483 U.125.125 TAJUDDIN.TN/ USG
19-Jan-2010 164473 U.126.126 YOGIE ANDI PUTRA,AN USG
19-Jan-2010 164444 U.128.128 ANISA ARSYAD, NY USG
19-Jan-2010 148068 U.129.129 HJ. FAUZIAH , NY USG
19-Jan-2010 110577 U.130.130 H.DARMING,TN USG
19-Jan-2010 164501 U.131.131 STEPANUS,TN USG
19-Jan-2010 154332 U.132.132 PINCI,NY USG
19-Jan-2010 164493 U.133.133 RATNA ALTING,NY USG
20-Jan-2010 143346 U.134.134 MUSIBAH,HJ.NY USG
20-Jan-2010 164458 U.135.135 MUH. PRADITYA, AN USG
20-Jan-2010 164534 U.136.136 HUSAIN T ST MT TN USG
20-Jan-2010 164511 U.137.137 DIANA SABARA,NY USG
20-Jan-2010 164562 U.138.138 HESTI MUSYAROFAH,NY USG
20-Jan-2010 164358 U.139.139 M YUSUF . TN USG
20-Jan-2010 164528 U.140.140 SUMANG H TN USG
20-Jan-2010 164566 U.141.141 SYARI ANTO,TN USG
21-Jan-2010 164578 U.142.142 MUDDAING SAMIALLAH.TN/ USG
21-Jan-2010 164422 U.143.143 HANS PHE. TN/ USG
21-Jan-2010 164474 U.144.144 HAMZAH, TN USG
21-Jan-2010 164565 U.145.145 YULIUS SURIANTO TN USG
21-Jan-2010 164406 U.146.146 SYAMSIDAR . NY USG
21-Jan-2010 164406 U.146.146 SYAMSIDAR . NY USG
21-Jan-2010 111323 U.147.147 HARYAWATI HASAN,NY USG
22-Jan-2010 164583 U. UMAR WONGGO TN/ USG
22-Jan-2010 164649 U. ANDI MUKMIN . AN USG
23-Jan-2010 164662 U.150.150 USMAN TN USG
23-Jan-2010 164641 U.151.151 KARASIAH . NY USG
23-Jan-2010 164668 U.152.152 DG.TARRING.NY/ USG
23-Jan-2010 164670 U.153.153 NUR HIKMA PRATIWI.NY/ USG
23-Jan-2010 9840 U.154.154 HASRIAH,NY USG
23-Jan-2010 164612 U.155.155 HINDONG NY USG
23-Jan-2010 164691 U.156.156 H.A.USMAN,TN USG
23-Jan-2010 164603 U.157.157 BAJI H.NY USG
25-Jan-2010 164734 U.158.0158 ROSDIANA H ALWI NY USG
25-Jan-2010 164646 U.159.0159 SUKATNO . TN USG
25-Jan-2010 152111 U.160.0160 AMINAH ARIFIN, NY USG
25-Jan-2010 164710 U.161.0161 RAHMAWATI NY USG
25-Jan-2010 110728 U.162.0162 YUSRIADI,A/ USG
25-Jan-2010 112172 U.163.0163 FARMAN.TN USG
25-Jan-2010 161315 U.164.0164 NIRMA,NY USG
25-Jan-2010 164674 U.165.165 ANI,NY USG
25-Jan-2010 153813 U.166.166 MUH.ILHAM SYAM,TN USG
26-Jan-2010 164641 U.167.167 KARASIAH . NY USG
26-Jan-2010 154954 U.168.168 HJ DALANG NY USG
26-Jan-2010 5060 U.169.169 SYAMSIAH IDRUS, NY USG
26-Jan-2010 127896 U.170.170 HJ. NAIMAH. NY USG
26-Jan-2010 164614 U.171.171 NISWATI ZULFAH NN USG
26-Jan-2010 164785 U.172.172 MUHAMMAD ISRAR,AN USG
26-Jan-2010 164800 U.173.173 AIDA NABILA,AN USG
26-Jan-2010 164742 U.174.174 NURLAELA REMBA HJ.NY/ USG
27-Jan-2010 164820 U.175.175 ERIKA, NY USG
27-Jan-2010 152618 U.176.176 RANDIKA.AN USG
27-Jan-2010 164824 U.177.177 KALE, NY USG
27-Jan-2010 164795 U.178.178 SALIMAH.AN/ USG
27-Jan-2010 164827 U.179.179 JUMATI . NY USG
27-Jan-2010 164821 U.180.180 WAFIU, NY USG
27-Jan-2010 7031 U.181.181 SALMA UMAR,ZTR USG
27-Jan-2010 164715 U.182.182 AJENG BASRI . NY USG
27-Jan-2010 151689 U.183.183 NUR MERYAM,NY USG
28-Jan-2010 96422 U.184.184 ST.FATIMAH SAM,NY USG
28-Jan-2010 164863 U.185.185 MUCHTAR, TN USG
28-Jan-2010 101083 U.186.186 EKO RAHMAT SAPUTRO, AN USG
28-Jan-2010 164857 U.187.187 RITA WATI NAINGGOLAN.NY/ USG
28-Jan-2010 164834 U.188.188 UMAR,TN USG
28-Jan-2010 693 U.189.189 LANI PURWATI.T,NY USG
28-Jan-2010 164868 U.190.190 AHMAD FAHRI.S.PT,TN USG
28-Jan-2010 164872 U.191.191 NAPISAH,NY USG
28-Jan-2010 160085 U.192.192 MARLINA SALAM,NY USG
29-Jan-2010 4393 U.193.193 JAKIAH SYAKIR AR .NY USG
29-Jan-2010 164901 U.194.194 M.IDRIS RUHI,TN/ USG
29-Jan-2010 164892 U.195.195 IRWAN HAMDANI WILLIAM,TN USG
29-Jan-2010 164893 U.196.196 JULDRITA BANDHASO,NY USG
29-Jan-2010 163996 U.197.197 YUSNITA,NY USG
29-Jan-2010 164766 U.198.198 BADERU AMRULLAH,TN USG
30-Jan-2010 153493 U.199.199 NURHAERATI,NY USG
30-Jan-2010 164887 U.200.200 ELIA SAPAN TN USG
30-Jan-2010 165026 U.201.201 ST FATIMAH NY USG
30-Jan-2010 164913 U.201.207 JOFYAN MARSUKI.TN USG
30-Jan-2010 164897 U.202.202 JUHE HJ NY USG
30-Jan-2010 56067 U.203.203 HASANUDDIN.TN USG
30-Jan-2010 165018 U.204.204 CONSTANTINA M L NY USG
30-Jan-2010 165046 U.205.205 RAHMAWATI,NN USG
30-Jan-2010 165045 U.206.0206 AMINULLAH NUR,TN USG
30-Jan-2010 164897 U.208.208 JUHE HJ NY USG
31-Jan-2010 164905 U. SYAMSUDDIN.M.TN/ USG
31-Jan-2010 165062 U. DG.LONNNA.NY/ USG
31-Jan-2010 165006 U.211.211 RASDI MISWAR,TN USG
ABDOMEN - NON PAV / SUPER VIP (HB) ACHMAD DA 1 0 0 215000
ABDOMEN - NON PAV / SUPER VIP (HB) Prof. DR. 1 0 0 215000
Abdomen - Pav / Super VIP ( HB ) Prof. DR. 1 0 0 300000
ABDOMEN - NON PAV / SUPER VIP (HB) Prof. DR. 1 23300 -23300 215000
Abdomen - Pav / Super VIP ( HB ) ACHMAD DA 1 0 0 300000
USG: Leher Non VIP/S.VIP Prof. DR. 1 0 0 200000
USG: Pelvis (Non Paviliun/ SVip) Prof. DR. 1 0 0 175000
Abdomen+Pelvis - Non Super VIP (HB) ACHMAD DA 1 0 0 335000
USG: Mammae Non VIP/S.VIP Prof. DR. 1 0 0 400000
ABDOMEN - NON PAV / SUPER VIP (HB) Prof. DR. 1 23300 -23300 200000
Abdomen+Pelvis - Non Super VIP (HB) Prof. DR. 1 0 0 335000
USG: Pelvis (Non Paviliun/ SVip) PUTRA RIM 1 0 0 175000
USG: Pelvis (Non Paviliun/ SVip) ACHMAD DA 1 0 0 175000
ABDOMEN - NON PAV / SUPER VIP (HB) ACHMAD DA 1 23300 -23300 200000
USG: Leher Non VIP/S.VIP ACHMAD DA 1 0 0 200000
ABDOMEN - NON PAV / SUPER VIP (HB) ACHMAD DA 1 23300 -23300 200000
USG: Mammae Non VIP/S.VIP Prof. DR. 1 0 0 200000
USG : Paru Non Super VIP Prof. DR. 1 0 0 200000
ABDOMEN - NON PAV / SUPER VIP (HB) H. MISBAHU 1 0 0 215000
USG: Leher Non VIP/S.VIP ACHMAD DA 1 0 0 200000
USG : Paru Non Super VIP ACHMAD DA 1 0 0 200000
ABDOMEN - NON PAV / SUPER VIP (HB) NURLAILY 1 0 0 200000
Abdomen - Pav / Super VIP ( HB ) NURLAILY 1 0 0 300000
USG: Pelvis (Non Paviliun/ SVip) NURLAILY 1 0 0 175000
USG: Pelvis (Non Paviliun/ SVip) NURLAILY 1 0 0 175000
USG : Paru Super VIP Prof. DR. 1 0 0 300000
Abdomen+Pelvis - Non Super VIP (HB) Prof. DR. 1 0 0 300000
USG : Paru Super VIP Prof. DR. 1 0 0 300000
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LAPORAN ADMINISTRASI KEUANGAN RS AKADEMIS

UNIT RADIODIAGNOSTIK DENGAN PESAWAT GE BULAN JANUARI 2015

Ket: Makassar, 10 FEBRUARI 2015

(Dr>Achmad Dara Sp.Rad)

21 3,250,000 645,000 150,000 - - 3,250,000 1,083,225 162,500 372,800 1,631,475

12 1,958,000 - - - 3,000 1,955,000 651,602 97,750 279,600 926,049

Ket: Makassar, 15 JULI 2017

(Dr.Achmad Dara Sp.Rad)

32 2,050,000 6,300,000 2,750,000 - - 2,050,000 615,000 51,250 60,900 1,322,850

27 9,370,000 - - 70,000 - 9,300,000 2,790,000 232,500 274,050 6,003,450

Ket: Makassar, 15 JULI 2017

(Dr.Achmad Dara Sp.Rad)

28 2,300,000 11,900,000 4,600,000 - - - - 2,300,000 345,000 115,000 436,000 1,404,000

7 4,700,000 - - - - - - 4,700,000 705,000 235,000 763,000 2,997,000

7 5,500,000 - - - - - - 5,500,000 825,000 275,000 763,000 3,637,000

- Harga Film/Lbr : 109,000 (Dr.Achmad Dara Sp.Rad)

NO URAIAN JUMLAH JUMLAH

2 TAGIHAN RAWAT INAP YANG TERBAYAR MASUK KAS DI RSA

3 TAGIHAN RAWAT JALAN YANG TERBAYAR MASUK KAS DI RSA

JUMLAH TOTAL 132,562,000

Makassar, 15 JULI 2017

Ka. Instalasi Radiologi RSA Jaury

(Dr.Achmad Dara Sp.Rad)

PEMASUKAN PENGELUARAN NETTO

Pemasukan Total Rp 44,623,000

Honor : 30 % x Rp 44,550,000 13,365,000

HARGA FILM 1,309,350

SISA SALDO 28,761,900

MAKASSAR, 15 JULI 2017

(Dr.Achmad Dara Sp.Rad)

PESAWAT SIEMENS PESAWAT GENERAL ELECTRIC

PEMASUKAN BRUTO : Rp 36,439,000

PERHITUNGAN UNTUK PESAWAT GE

MAKASSAR, 15 JULI 2017

(Dr.Achmad Dara Sp.Rad)

- YANG BAYAR : Rp 800,000 25 25 20,000,000 3,000,000 1,000,000 2,725,000 13,275,000

- YANG BAYAR : Rp 1,500,000 21 47 31,500,000 4,725,000 1,575,000 5,123,000 20,077,000

- CITO FOTO : - x Rp 30,000 0 0

46 72 51,500,000 7,725,000 - - - - 2,575,000 7,848,000 33,352,000

(Dr.Achmad Dara Sp.Rad)

RI.001 31-Des-09 Kasmin Syarief, Tn CT Kepala 1 Ft.25/11

2,400,000 240,000 26,280,000 840,000 41,725,000 3,300,000 300,000 0 0

RJ.001 31-Des-09 Miswar Amir, Tn Thorax 1 ft.25/8 100,000 30,000

RJ.001 31-Des-09 Miswar Amir, Tn Thorax 1 ft.25/8 100,000 30,000

9,000 0 0 11,310,000 40,000 7,850,000 110,000 0 0

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