RUMAH SAKIT METRO MEDIKA

Jl. Jend Sudirman no. 18 A Rembiga Selaparang Mataram - NTB

Telp. (0370) 7847171 / 081977847171, E-mail : info@metromedikal.com

NOMINATIF HONOR JASA POLI / RANAP SPESIALIS DALAM

BULAN JULI

NAMA DOKTER : dr. FADLI, Sp.OG

JASA POLI
NO NAMA PASIEN TANGGAL RUANGAN
VOL TARIF
1 DESTA MUTIARA BAHRI 7/27/2020 POLI 1 Rp 80,000
2 ZINNURAIN 7/27/2020 POLI 1 Rp 80,000
3 MAESUM 7/27/2020 POLI 1 Rp 80,000

1 NAVIH HIDAYAH 7/28/2020 POLI 1 Rp 80,000

2 LILIK MULIMATUR 7/28/2020 POLI 1 Rp 80,000
3 DIANTI 7/28/2020 POLI 1 Rp 50,000
4 JUMINTEN 7/28/2020 VK 1

1 PARTINI ADNI 7/29/2020 POLI 1 Rp 80,000

2 HUSNIAH 7/29/2020 POLI 1 Rp 80,000
3 SAHNIM 7/29/2020 POLI 1 Rp 80,000
4 PARTINI IDNI 7/29/2020 VK 1
5 SUHAERIAH 7/29/2020 VK 1

1 SRI HANDAYANI 30/07/20202 POLI 1 Rp 80,000

2 MURTINI 30/07/20203 POLI 1 Rp 80,000
3 JANATUL AINI 30/07/20204 POLI 1 Rp 80,000
4 DWI AYU T 30/07/20205 VK 1

JUMLAH Rp 930,000
TERBILANG SEMBILAN RATUS TIGA PULUH RIBU RUPIAH
METRO MEDIKA
mbiga Selaparang Mataram - NTB
71, E-mail : info@metromedikal.com

LI / RANAP SPESIALIS DALAM

N JULI

JUMLAH KET
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 50,000 RAWAT LUKA
SC

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
APN, DITOLONG BIDAN
KURETASE (ANATESI LOKAL,TANPA TIM ANASTESI)

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
KURETASE (ANATESI LOKAL,TANPA TIM ANASTESI)

930,000
RIBU RUPIAH

Mataram, Juli 2020

Direktur Rumah Sakit Metro Medika

dr. H.I.Putu Diatmika,M.Biomed.,Sp.KJ

NIK : 840710.2002.1.001
 RUMAH SAKIT METRO MEDIKA
Jl. Jend Sudirman no. 18 A Rembiga Selaparang Mataram - NTB
Telp. (0370) 7847171 / 081977847171, E-mail : info@metromedikal.com

NOMINATIF HONOR JASA POLI / RANAP SPESIALIS DALAM

BULAN AGUSTUS

NAMA DOKTER : dr. FADIL , Sp.OG

JASA POLI
NO NAMA PASIEN TANGGAL RUANGAN
VOL TARIF
1 SHOLATUL HIDAYATI 8/3/2020 POLI 1 Rp 80,000
2 MIMI AFRIANI 8/3/2020 POLI 1 Rp 80,000
3 NYOMAN YULIANI 8/3/2020 POLI 1 Rp 80,000

1 SURIANI 8/4/2020 POLI 1 Rp 80,000

2 NI KADEK SANTY VERONIKA 8/4/2020 POLI 1 Rp 80,000
3 NYOMAN YULIANI 8/4/2020 POLI 1 Rp 80,000
4 NURMINIATI 8/4/2020 VK 1

1 RATMAH 8/5/2020 POLI 1 Rp 80,000

2 RISMAYAN 8/5/2020 POLI 1 Rp 80,000
3 SRI RAUHUN 8/5/2020 POLI 1 Rp 80,000
4 NYOMAN YULIANI 8/5/2020 VK 1
5 RATMAH 8/5/2020 VK 1

1 SITI REHANUN 8/6/2020 VK 1

2 WAYAN GISKA 8/6/2020 VK 1

1 PARIAH SETIAWATI 8/7/2020 POLI 1 Rp 80,000

2 MASAAH 8/7/2020 POLI 1 Rp 80,000
3 YULIANI 8/7/2020 POLI 1 Rp 80,000
4 ULFA HASANAH 8/7/2020 POLI 1 Rp 80,000
5 NILA ASMI 8/7/2020 POLI 1 Rp 80,000
6 HARIANI 8/7/2020 POLI 1 Rp 80,000
7 BQ. JUNITA BUNGA 8/7/2020 VK 1
8 SAENAH 8/7/2020 VK 1

1 MARINI 8/10/2020 POLI 1 Rp 80,000

2 BAEAH 8/10/2020 POLI 1 Rp 80,000
3 NYOMAN YULIANI 8/10/2020 POLI 1 Rp 80,000
4 NUGRAH 8/10/2020 POLI 1 Rp 80,000
5 ZAMRATUL 8/10/2020 POLI 1 Rp 80,000
6 MISTIANI 8/10/2020 POLI 1 Rp 80,000
7 MUHAINI 8/10/2020 POLI 1 Rp 80,000
8 MARIANUN 8/10/2020 POLI 1 Rp 80,000
9 NURMINATI 8/10/2020 POLI 1 Rp 80,000

1 PARIDAH 8/11/2020 POLI 1 Rp 80,000

2 TINA 8/11/2020 POLI 1 Rp 80,000
3 SAIAH 8/11/2020 POLI 1 Rp 50,000
4 TINA SULISTIANA 8/11/2020 VK 1

1 MISTIANA 8/12/2020 VK 1

1 ELISA 8/13/2020 POLI 1 Rp 80,000

1 RIPAAH 8/14/2020 POLI 1 Rp 80,000

2 QANAAH 8/14/2020 POLI 1 Rp 80,000
3 ROSDIANA 8/14/2020 POLI 1 Rp 80,000
4 SINUR 8/14/2020 POLI 1 Rp 80,000
5 MITA AMELIA 8/14/2020 POLI 1 Rp 80,000
6 FARLAMAYANTI 8/14/2020 POLI 1 Rp 80,000
7 EKAWATI 8/14/2020 POLI 1 Rp 50,000

1 FAISSATUS S 8/17/2020 POLI 1 Rp 80,000

2 MUSTIARAH 8/17/2020 POLI 1 Rp 80,000
3 ZUHAIRYAH 8/17/2020 POLI 1 Rp 80,000
4 SUHARTINI 8/17/2020 POLI 1 Rp 80,000

1 SHEILA MARWATI 7/19/2020 POLI 1 Rp 80,000

2 FAISSATUS S 8/19/2020 POLI 1
3 DIAN INDAH ANGGRAENI 9/19/2020 VK 1

1 SAHIRI 8/21/2020 POLI 1 Rp 80,000

2 NILAWATI 8/21/2020 POLI 1 Rp 80,000
3 HAYATUN 8/21/2020 POLI 1 Rp 80,000
4 ASAH YANTI 8/21/2020 POLI 1 Rp 80,000
5 dr. NI MADE NOVI P 8/21/2020 POLI 1 Rp 80,000

1 SAMIRA 8/22/2020 VK 1

1 NENGAH KARTINI 8/24/2020 POLI 1 Rp 80,000

2 SOLEHA P 8/24/2020 POLI 1 Rp 80,000
3 USWATUN 8/24/2020 POLI 1 Rp 80,000

1 HARIANI 8/27/2020 POLI 1 Rp 80,000

2 NONIK NUR 8/27/2020 POLI 1 Rp 80,000
 1 YUNI VERA 8/29/2020 POLI 1 Rp 80,000
2 MUNAWARAH 8/29/2020 POLI 1 Rp 80,000
3 RAODAH 8/29/2020 POLI 1 Rp 80,000
4 NUR HIKMAH 8/29/2020 POLI 1 Rp 80,000

JUMLAH Rp 4,260,000
TERBILANG EMPAT JUTA DUA RATUS ENAM PULUH RIBU RUPIAH
ETRO MEDIKA
iga Selaparang Mataram - NTB
1, E-mail : info@metromedikal.com

/ RANAP SPESIALIS DALAM

USTUS

JUMLAH KET
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
SC

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
KURETASE (ANATESI LOKAL,TANPA TIM ANASTESI)
KURETASE (ANATESI LOKAL,TANPA TIM ANASTESI)

SC
APN, DITOLONG BIDAN

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
SC
SC

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 50,000 RAWAT LUKA
APN, DITOLONG BIDAN

SC

Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 50,000 RAWAT LUKA

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
AFF IUD
APN, DITOLONG BIDAN

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

SC

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
 Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

4,260,000
LUH RIBU RUPIAH

Mataram, Agustus 2020

Direktur Rumah Sakit Metro Medika

dr. H.I.Putu Diatmika,M.Biomed.,Sp.KJ

NIK : 840710.2002.1.001
 RUMAH SAKIT METRO MEDIKA
Jl. Jend Sudirman no. 18 A Rembiga Selaparang Mataram - NTB
Telp.(0370) 7847171 / 081977847171, E-mail : info@metromedikal.com

BULAN : MARET 2020

NAMA DOKTER : DR, I KETUT SEPIDIARTA, Sp.Og

JASA POLI
NO NAMA PASIEN TANGGAL RUANGAN
vol TARIF
1 RONANI 3/2/2020 POLI 1 Rp 80,000
2 SITI MAESARAH 3/2/2020 POLI 1 Rp 80,000
3 TITIN FEBRIYANTI 3/2/2020 POLI 1 Rp 80,000
4 FITRIANI 3/2/2020 POLI 1 Rp 80,000

1 NI PUTU LESTARI 2/3/2020 POLI 1 Rp 80,000

2 HALIMAH 2/3/2020 POLI 1 Rp 80,000
3 LAELA ZULHIDAYAH 2/3/2020 POLI 1 Rp 80,000
4 PUJI ROHMAWATI 2/3/2020 POLI 1 Rp 80,000
5 NURUL AINI 2/3/2020 POLI 1 Rp 80,000
6 SAHMIN 2/3/2020 POLI 1 Rp 80,000

1 WIWIN SUNARSIH 3/4/2020 POLI 1 Rp 80,000

2 MUSNIATI 3/4/2020 POLI 1 Rp 80,000
3 HAINIAH 3/4/2020 POLI 1 Rp 80,000
4 AMINATUN 3/4/2020 POLI 1 Rp 80,000
5 NURHADANI 3/4/2020 POLI 1 Rp 80,000

1 MAIDAH 3/5/2020 POLI 1 Rp 80,000

2 MUNIAH 3/5/2020 POLI 1 Rp 80,000
3 MASKANAH 3/5/2020 POLI 1 Rp 80,000
4 FITRIANI 3/5/2020 POLI 1 Rp 80,000
5 EKA NURUL 3/5/2020 POLI 1 Rp 80,000

1 YUNITA IRMADIYANTI 3/6/2020 POLI 1 Rp 80,000

1 NENI 3/9/2020 POLI 1 Rp 80,000

2 NI WAYAN SUASTINI 3/9/2020 POLI 1 Rp 80,000
3 NI MADE AYU 3/9/2020 POLI 1 Rp 80,000
4 SUMARNI 3/9/2020 POLI 1 Rp 80,000
5 PITANA 3/9/2020 POLI 1 Rp 80,000
6 SUCIANA 3/9/2020 POLI 1 Rp 80,000
7 PUJI ROHMAWATI 3/9/2020 POLI 1 Rp 80,000
8 AYUNI SARAH 3/9/2020 POLI 1 Rp 80,000
9 HATMAH 3/9/2020 POLI 1 Rp 80,000

1 HARIKA SAFITRI 3/10/2020 POLI 1 Rp 80,000

2 SOPIANA 3/10/2020 POLI 1 Rp 80,000
3 WIDI ASTINI 3/10/2020 POLI 1 Rp 80,000
4 MARDIANA 3/10/2020 POLI 1 Rp 80,000

1 SRI DAMAYANTI 3/11/2020 POLI 1 Rp 80,000

2 SUNIATI 3/11/2020 POLI 1 Rp 80,000
3 HJ RINAYAH 3/11/2020 POLI 1 Rp 80,000
4 NURHIDAYANTI 3/11/2020 POLI 1 Rp 80,000
5 VENI LUCITA 3/11/2020 POLI 1 Rp 80,000
6 DWI MARTINI 3/11/2020 POLI 1 Rp 80,000
7 NENING SUCIANI 3/11/2020 POLI 1 Rp 80,000
8 NURUL HIKMAH 3/11/2020 POLI 1 Rp 80,000
9 NURSEHA 3/11/2020 POLI 1 Rp 80,000

1 BQ MASTAH 3/12/2020 POLI 1 Rp 80,000

2 MULIATI 3/12/2020 POLI 1 Rp 80,000
3 NYOMAN DHIAH 3/12/2020 POLI 1 Rp 80,000
4 BAIQ NURUL F 3/12/2020 POLI 1 Rp 80,000
5 KADEK SRI DEWI 3/12/2020 POLI 1 Rp 80,000
6 SAHWIN 3/12/2020 POLI 1 Rp 50,000

1 HERMAWATI 3/13/2020 POLI 1 Rp 80,000

2 SAHMI 3/13/2020 POLI 1 Rp 80,000
3 MISTIANI 3/13/2020 POLI 1 Rp 80,000

1 SUMARNI 3/14/2020 POLI 1 Rp 80,000

2 YANA RISMA 3/14/2020 POLI 1 Rp 80,000
3 SUHARTINI 3/14/2020 POLI 1 Rp 80,000
4 NURMALA 3/14/2020 POLI 1 Rp 80,000
5 RANI 3/14/2020 POLI 1 Rp 80,000
6 ZAHRATUL 3/14/2020 POLI 1 Rp 80,000

1 MARNAH 3/16/2020 POLI 1 Rp 80,000

2 MUFINI 3/16/2020 POLI 1 Rp 80,000
3 NI MADE S 3/16/2020 POLI 1 Rp 80,000
4 SUMARNI 3/16/2020 POLI 1 Rp 80,000
5 SRI HARTINI 3/16/2020 POLI 1 Rp 50,000

1 FITRIANI 3/17/2020 POLI 1 Rp 80,000

2 JUMANAH 3/17/2020 POLI 1 Rp 80,000
3 NI MADE SUDARSINI 3/17/2020 POLI 1 Rp 80,000
1 ELISA PUTRI 3/18/2020 POLI 1 Rp 80,000
2 WAHYU KURNIA ASTUTI 3/18/2020 POLI 1 Rp 80,000
3 SUHARTINI 3/18/2020 POLI 1 Rp 80,000
4 KADEK DWI J 3/18/2020 POLI 1 Rp 80,000
5 NI WAYAN EKA 3/18/2020 POLI 1 Rp 80,000
6 SAHRIAH 3/18/2020 POLI 1 Rp 80,000

1 NI LUH JELITA 3/19/2020 POLI 1 Rp 80,000

1 RAODATUL MITA SARI 3/20/2020 POLI 1 Rp 80,000

2 SITI SOPIANI 3/20/2020 POLI 1 Rp 80,000
3 NURWAHIDAH 3/20/2020 POLI 1 Rp 80,000
4 CITRA PERMATA 3/20/2020 POLI 1 Rp 80,000
5 MEGA PUTRI 3/20/2020 POLI 1 Rp 80,000
6 MIRNAWATI 3/20/2020 POLI 1 Rp 80,000

1 YULIANA 3/21/2020 POLI 1 Rp 80,000

2 SITI SUPIANI 3/21/2020 POLI 1 Rp 80,000
3 ERNAWATI 3/21/2020 POLI 1 Rp 80,000

1 MULIATI 3/22/2020 POLI 1 Rp 80,000

1 IDA AYU NENGAH 3/23/2020 POLI 1 Rp 80,000

2 HERLIANTI 3/23/2020 POLI 1 Rp 80,000
3 MARNIWATI 3/23/2020 POLI 1 Rp 80,000
4 MAWARDIANTI 3/23/2020 POLI 1 Rp 80,000
5 HURNIATI 3/23/2020 POLI 1 Rp 80,000
6 SURITINA 3/23/2020 POLI 1 Rp 80,000

1 SUNI 4/24/2020 POLI 1 Rp 80,000

2 MARIA ULFA 4/24/2020 POLI 1 Rp 80,000
3 DWI FEBRIANA 4/24/2020 POLI 1 Rp 80,000

1 FITRI HERMAWATI 3/26/2020 POLI 1 Rp 80,000

2 MARTINI 3/26/2020 POLI 1 Rp 80,000
3 ELA INTAN 3/26/2020 POLI 1 Rp 80,000
4 SRI ANDINI 3/26/2020 POLI 1 Rp 80,000
5 NOVIATI 3/26/2020 POLI 1 Rp 80,000

1 MUNAWARAH 3/27/2020 POLI 1 Rp 80,000

2 NI NENGAH AYU S 3/27/2020 POLI 1 Rp 80,000
3 GST AYU SWATHY 3/27/2020 POLI 1 Rp 80,000

1 WAHYU KARNI ASTUTUI 3/28/2020 POLI 1 Rp 80,000

2 JOHARIAH 3/28/2020 POLI 1 Rp 80,000
3 NOVIANTI 3/28/2020 POLI 1 Rp 80,000
4 RIPAAH 3/28/2020 POLI 1 Rp 80,000
5 NURWAHYUNI 3/28/2020 POLI 1 Rp 80,000
6 HUSNIATI 3/28/2020 POLI 1 Rp 80,000
7 NURMAYANA 3/28/2020 POLI 1 Rp 80,000
8 ZUYYINA LILLMAKWA 3/28/2020 POLI 1 Rp 80,000

1 NI KOMANG SUKASNING 3/30/2020 POLI 1 Rp 80,000

2 RINA 3/30/2020 POLI 1 Rp 80,000
3 NURUL HIKMAH 3/30/2020 POLI 1 Rp 80,000
4 SUMARNI 3/30/2020 POLI 1 Rp 80,000

1 FUJI ROHMAWATI 3/4/2020 VK 1 Rp 500,000

1 MARIATUN 3/22/2020 VK 1 Rp 1,200,000

1 DISSA 3/27/2020 VK 1 Rp 500,000

1 AINUN 28/03/202 VK 1 Rp 1,160,000

1 NOVIANTI 3/29/2020 VK 1
IKA
g Mataram - NTB
metromedikal.com

Jumlah KET

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 50,000 RAWAT LUKA

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 RAWAT LUKA
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 50,000 RAWAT LUKA

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG
Rp 80,000 USG

Rp 500,000 KURETASE

Rp 1,200,000 SC

Rp 500,000 KURETASE

Rp 1,160,000 PARTUS NORMAL

Rp 435,000 PASANG IUD

Rp 12,695,000