RSIA. TAMAN HARAPAN BARU - Jl. Taman Harapan Baru Raya R-1 No.

20, Pejuang, Medan Satria

LAPORAN SETORAN KASIR

Kasir : agustina
Shift : Rabu, 01/07/2020 14:04:44
Page : 1 of 4
Nama Pasien Nama Dokter Pembayaran / No.Mesin EDC Transaksi / No.Kartu Kredit TRX (Rp.) PAY (Rp.)

RINCIAN SETORAN KASIR

TUNAI (ADMINISTRASI)
BY NY YULIANTI 0 ADMINISTRASI 0 01/07/2020 14:40:24 P202007000082 01/07/2020 14:40:02 ADMN202007000003 40,000.00 40,000.00
NY AYU 0 ADMINISTRASI 0 01/07/2020 19:41:20 P202007000168 01/07/2020 19:40:22 ADMN202007000004 15,000.00 15,000.00
SUBTOTAL : TUNAI (ADMINISTRASI) = 55,000.00

TUNAI (INSTALASI FARMASI)

tunai 01/07/2020 15:56:00 P202007000087 01/07/2020 15:50:10 IF202007000058 25,600.00 25,600.00
tunai 01/07/2020 16:05:43 P202007000089 01/07/2020 16:04:23 IF202007000060 25,300.00 25,300.00
ULFA MISLIA NY dr. Helmina SpOG., 01/07/2020 17:56:21 P202007000111 01/07/2020 17:54:31 IF202007000066 198,000.00 198,000.00
NITA UTAMI WIDIATY NY dr. Helmina SpOG., 01/07/2020 18:09:03 P202007000126 01/07/2020 18:06:46 IF202007000068 326,100.00 326,100.00
KURNIAWATI NY dr. Helmina SpOG., 01/07/2020 18:13:21 P202007000131 01/07/2020 18:10:29 IF202007000069 11,500.00 11,500.00
AMINAH AL MASKATI NY dr. Helmina SpOG., 01/07/2020 18:21:15 P202007000133 01/07/2020 18:17:12 IF202007000070 28,000.00 28,000.00
ACHMAD WILDAN ALFARIZI AN dr. Magdalena 01/07/2020 18:23:14 P202007000134 01/07/2020 18:20:34 IF202007000071 272,700.00 272,700.00
PIPIT YULIANTI NY dr. Helmina SpOG., 01/07/2020 18:31:13 P202007000142 01/07/2020 18:28:11 IF202007000074 334,300.00 334,300.00
TUNAI 01/07/2020 18:41:17 P202007000143 01/07/2020 18:30:53 IF202007000075 55,500.00 55,500.00
tita ny 01/07/2020 18:48:02 P202007000147 01/07/2020 17:42:24 IF202007000065 55,500.00 55,500.00
BU AYU KANTOR 01/07/2020 18:48:43 P202007000148 01/07/2020 18:36:43 IF202007000076 30,000.00 30,000.00
TUNAI 01/07/2020 18:49:16 P202007000149 01/07/2020 18:38:35 IF202007000077 55,500.00 55,500.00
NURUL ILLAHI ULFA NY dr. Helmina SpOG., 01/07/2020 19:20:53 P202007000160 01/07/2020 19:19:07 IF202007000083 11,500.00 11,500.00
RETNO TRIASIH NY dr. Helmina SpOG., 01/07/2020 19:36:55 P202007000166 01/07/2020 19:28:18 IF202007000085 195,200.00 195,200.00
TUNAI 01/07/2020 19:53:48 P202007000176 01/07/2020 19:07:35 IF202007000080 55,500.00 55,500.00
KARINA GUNANSIS NY dr. Helmina SpOG., 01/07/2020 19:56:45 P202007000178 01/07/2020 19:54:35 IF202007000088 40,100.00 40,100.00
AGATHA DESSY PARAMITA NY dr. Helmina SpOG., 01/07/2020 20:22:37 P202007000186 01/07/2020 20:19:21 IF202007000093 285,300.00 285,300.00
SUBTOTAL : TUNAI (INSTALASI FARMASI) = 2,005,600.00

TUNAI (LABORATORIUM)
DEWI NUR YUNIARTI NY Analis Lab. 01/07/2020 15:08:15 P202007000083 01/07/2020 14:55:04 LAB202007000027 250,000.00 250,000.00
UUN HUSNAH NY Analis Lab. 01/07/2020 15:09:01 P202007000084 01/07/2020 14:53:48 LAB202007000026 250,000.00 250,000.00
MILA KARLINA NY Analis Lab. 01/07/2020 15:10:40 P202007000085 01/07/2020 14:32:31 LAB202007000023 250,000.00 250,000.00
PIPIT YULIANTI NY Analis Lab. 01/07/2020 18:30:51 P202007000141 01/07/2020 17:25:44 LAB202007000030 180,000.00 180,000.00
SYARIFAH NY Analis Lab. 01/07/2020 18:46:53 P202007000146 01/07/2020 18:23:14 LAB202007000033 40,000.00 40,000.00
TRI AMRI PUJININGSIH NY Analis Lab. 01/07/2020 19:43:08 P202007000169 01/07/2020 19:31:44 LAB202007000035 250,000.00 250,000.00
YESI PURWANINGSIH NY Analis Lab. 01/07/2020 20:08:36 P202007000182 01/07/2020 19:48:00 LAB202007000037 40,000.00 40,000.00
RENCIANA LUMBAN GAOL Analis Lab. 01/07/2020 20:32:42 P202007000188 01/07/2020 17:36:37 LAB202007000031 250,000.00 250,000.00
SUBTOTAL : TUNAI (LABORATORIUM) = 1,510,000.00

TUNAI (KEBIDANAN & KANDUNGAN)

ULFA MISLIA NY dr. Helmina SpOG., 01/07/2020 17:56:07 P202007000110 01/07/2020 16:44:13 POB1202007000015 170,000.00 170,000.00
NITA UTAMI WIDIATY NY dr. Helmina SpOG., 01/07/2020 18:08:45 P202007000125 01/07/2020 16:25:04 POB1202007000011 260,000.00 260,000.00
KARINA VIDYARINI dr. Helmina SpOG., 01/07/2020 18:11:33 P202007000127 01/07/2020 16:24:45 POB1202007000010 240,000.00 30,000.00
KURNIAWATI NY dr. Helmina SpOG., 01/07/2020 18:13:11 P202007000130 01/07/2020 16:48:29 POB1202007000017 170,000.00 170,000.00
AMINAH AL MASKATI NY dr. Helmina SpOG., 01/07/2020 18:20:45 P202007000132 01/07/2020 16:26:38 POB1202007000012 240,000.00 240,000.00
PIPIT YULIANTI NY dr. Helmina SpOG., 01/07/2020 18:30:28 P202007000140 01/07/2020 16:35:50 POB1202007000013 240,000.00 240,000.00
NURUL ILLAHI ULFA NY dr. Helmina SpOG., 01/07/2020 19:20:28 P202007000159 01/07/2020 18:29:45 POB1202007000034 170,000.00 170,000.00
RETNO TRIASIH NY dr. Helmina SpOG., 01/07/2020 19:36:36 P202007000165 01/07/2020 17:18:20 POB1202007000024 240,000.00 240,000.00
SITI LATIPAH NY dr. Helmina SpOG., 01/07/2020 19:51:32 P202007000175 01/07/2020 17:42:03 POB1202007000030 265,000.00 265,000.00

Printed : 01/07/2020 20:32 - - Id.Report: [kasir-setoran-print]

 RSIA. TAMAN HARAPAN BARU - Jl. Taman Harapan Baru Raya R-1 No.20, Pejuang, Medan Satria

LAPORAN SETORAN KASIR

Kasir : agustina
Shift : Rabu, 01/07/2020 14:04:44
Page : 2 of 4
Nama Pasien Nama Dokter Pembayaran / No.Mesin EDC Transaksi / No.Kartu Kredit TRX (Rp.) PAY (Rp.)

KARINA GUNANSIS NY dr. Helmina SpOG., 01/07/2020 19:56:16 P202007000177 01/07/2020 17:47:10 POB1202007000031 245,000.00 245,000.00
SOLEHA NY dr. Helmina SpOG., 01/07/2020 20:01:38 P202007000180 01/07/2020 17:57:54 POB1202007000032 240,000.00 240,000.00
AGATHA DESSY PARAMITA NY dr. Helmina SpOG., 01/07/2020 20:22:21 P202007000185 01/07/2020 19:09:07 POB1202007000036 240,000.00 240,000.00
SUBTOTAL : TUNAI (KEBIDANAN & KANDUNGAN) = 2,510,000.00

TUNAI (RAWAT INAP)

TRI AMRI PUJININGSIH NY dr. Helmina SpOG., 01/07/2020 19:22:27 P202007000161 01/07/2020 19:21:57 RI202007000034 1,100,000.00 1,100,000.00
SUBTOTAL : TUNAI (RAWAT INAP) = 1,100,000.00

TUNAI (UGD)
ACHMAD WILDAN ALFARIZI AN dr. Magdalena 01/07/2020 18:23:31 P202007000135 01/07/2020 17:56:25 UGD202007000013 85,000.00 85,000.00
SUBTOTAL : TUNAI (UGD) = 85,000.00
TOTAL PEMBAYARAN : TUNAI = 7,265,600.00

BCA DEBIT CARD (INSTALASI FARMASI)

umum 01/07/2020 15:43:12 P202007000086 01/07/2020 15:40:01 IF202007000057 115,500.00 115,500.00
MILA KARMILA 50081354688-D 60019001642028413
ABHIRAMA RAFIF ANUGRAH AN dr. Magdalena 01/07/2020 19:17:11 P202007000157 01/07/2020 19:13:32 IF202007000081 264,000.00 264,000.00
ABHIRAMA 50081354688-D 5307952027902106
SUBTOTAL : BCA DEBIT CARD (INSTALASI FARMASI) = 379,500.00

BCA DEBIT CARD (KEBIDANAN & KANDUNGAN)

NITA NY dr. Helmina SpOG., 01/07/2020 20:28:59 P202007000187 01/07/2020 19:29:55 POB1202007000038 240,000.00 240,000.00
NITA 50081354688-D 6019008512085951
SUBTOTAL : BCA DEBIT CARD (KEBIDANAN & KANDUNGAN) = 240,000.00

BCA DEBIT CARD (POLI UMUM)

ABHIRAMA RAFIF ANUGRAH AN dr. Magdalena 01/07/2020 19:17:31 P202007000158 01/07/2020 18:52:14 PU01202007000001 80,000.00 80,000.00
ABHIRAMA 50081354688-D 5307952027902106
SUBTOTAL : BCA DEBIT CARD (POLI UMUM) = 80,000.00
TOTAL PEMBAYARAN : BCA DEBIT CARD = 699,500.00

PIUTANG PERUSAHAAN/ASURANSI (INSTALASI FARMASI)

NOVI RATNASARI NY dr. Pandji SpOG., 01/07/2020 15:57:10 P202007000088 01/07/2020 15:54:31 IF202007000059 42,900.00 42,900.00
KARTIKA AYUNINGSIH NY dr. Helmina SpOG., 01/07/2020 17:43:06 P202007000093 01/07/2020 17:39:39 IF202007000064 11,000.00 11,000.00
KARINA VIDYARINI dr. Helmina SpOG., 01/07/2020 18:11:54 P202007000129 01/07/2020 18:05:09 IF202007000067 130,844.00 130,844.00
HARUM SARI NY dr. Helmina SpOG., 01/07/2020 18:26:33 P202007000137 01/07/2020 18:25:31 IF202007000072 25,300.00 25,300.00
TITA KHOLIFA NINGSIH NY dr. Helmina SpOG., 01/07/2020 18:29:07 P202007000139 01/07/2020 18:26:40 IF202007000073 11,000.00 11,000.00
DEWANTI NY dr. Helmina SpOG., 01/07/2020 18:52:11 P202007000151 01/07/2020 18:47:09 IF202007000078 457,598.00 457,598.00
SRI AMBIASTUTI NY dr. Helmina SpOG., 01/07/2020 18:53:48 P202007000153 01/07/2020 18:52:06 IF202007000079 48,400.00 48,400.00
HASMIDAR NY dr. Helmina SpOG., 01/07/2020 19:16:30 P202007000156 01/07/2020 19:14:59 IF202007000082 42,900.00 42,900.00
SUKINAH NY dr. Helmina SpOG., 01/07/2020 19:27:52 P202007000163 01/07/2020 19:26:16 IF202007000084 25,300.00 25,300.00
HARYANI NY dr. Helmina SpOG., 01/07/2020 19:46:58 P202007000173 01/07/2020 19:46:00 IF202007000087 11,000.00 11,000.00
MARLIA NN dr. Helmina SpOG., 01/07/2020 20:18:42 P202007000183 01/07/2020 20:15:07 IF202007000092 43,230.00 43,230.00
SUBTOTAL : PIUTANG PERUSAHAAN/ASURANSI (INSTALASI FARMASI) = 849,472.00

PIUTANG PERUSAHAAN/ASURANSI (KEBIDANAN & KANDUNGAN)

NOVI RATNASARI NY dr. Pandji SpOG., 01/07/2020 17:08:19 P202007000090 01/07/2020 13:26:01 POB1202007000006 310,000.00 310,000.00
SUWATI NY dr. Helmina SpOG., 01/07/2020 17:38:21 P202007000091 01/07/2020 15:56:08 POB1202007000008 240,000.00 240,000.00
KARTIKA AYUNINGSIH NY dr. Helmina SpOG., 01/07/2020 17:39:58 P202007000092 01/07/2020 16:37:42 POB1202007000014 170,000.00 170,000.00

Printed : 01/07/2020 20:32 - - Id.Report: [kasir-setoran-print]

 RSIA. TAMAN HARAPAN BARU - Jl. Taman Harapan Baru Raya R-1 No.20, Pejuang, Medan Satria

LAPORAN SETORAN KASIR

Kasir : agustina
Shift : Rabu, 01/07/2020 14:04:44
Page : 3 of 4
Nama Pasien Nama Dokter Pembayaran / No.Mesin EDC Transaksi / No.Kartu Kredit TRX (Rp.) PAY (Rp.)

AMIRA ULAYYA SANGI NY dr. Helmina SpOG., 01/07/2020 17:53:26 P202007000106 01/07/2020 15:49:55 POB1202007000007 240,000.00 240,000.00
TRI AMRI PUJININGSIH NY dr. Helmina SpOG., 01/07/2020 18:02:16 P202007000122 01/07/2020 16:14:10 POB1202007000009 240,000.00 240,000.00
KARINA VIDYARINI dr. Helmina SpOG., 01/07/2020 18:11:44 P202007000128 01/07/2020 16:24:45 POB1202007000010 210,000.00 210,000.00
HARUM SARI NY dr. Helmina SpOG., 01/07/2020 18:25:26 P202007000136 01/07/2020 17:22:14 POB1202007000026 170,000.00 170,000.00
TITA KHOLIFA NINGSIH NY dr. Helmina SpOG., 01/07/2020 18:27:41 P202007000138 01/07/2020 17:03:26 POB1202007000019 170,000.00 170,000.00
NATALIA FRANSISKA NY dr. Helmina SpOG., 01/07/2020 18:41:19 P202007000144 01/07/2020 16:56:44 POB1202007000018 240,000.00 240,000.00
SYARIFAH NY dr. Helmina SpOG., 01/07/2020 18:43:22 P202007000145 01/07/2020 16:47:06 POB1202007000016 240,000.00 240,000.00
DEWANTI NY dr. Helmina SpOG., 01/07/2020 18:52:00 P202007000150 01/07/2020 17:06:21 POB1202007000020 245,000.00 245,000.00
SRI AMBIASTUTI NY dr. Helmina SpOG., 01/07/2020 18:52:52 P202007000152 01/07/2020 17:08:53 POB1202007000021 240,000.00 240,000.00
SITI MUN'IMAH NY dr. Helmina SpOG., 01/07/2020 19:14:26 P202007000154 01/07/2020 17:30:10 POB1202007000028 170,000.00 170,000.00
HASMIDAR NY dr. Helmina SpOG., 01/07/2020 19:15:02 P202007000155 01/07/2020 17:13:47 POB1202007000023 245,000.00 245,000.00
SUKINAH NY dr. Helmina SpOG., 01/07/2020 19:27:34 P202007000162 01/07/2020 18:50:27 POB1202007000035 170,000.00 170,000.00
ENI WIDIASTUTI NY dr. Helmina SpOG., 01/07/2020 19:30:20 P202007000164 01/07/2020 17:19:43 POB1202007000025 245,000.00 245,000.00
AYU PRIHATININGSIH NY dr. Helmina SpOG., 01/07/2020 19:40:15 P202007000167 01/07/2020 17:23:14 POB1202007000027 245,000.00 245,000.00
HARYANI NY dr. Helmina SpOG., 01/07/2020 19:46:37 P202007000172 01/07/2020 19:19:59 POB1202007000037 170,000.00 170,000.00
YESI PURWANINGSIH NY dr. Helmina SpOG., 01/07/2020 20:07:52 P202007000181 01/07/2020 17:41:56 POB1202007000029 345,000.00 345,000.00
MARLIA NN dr. Helmina SpOG., 01/07/2020 20:20:34 P202007000184 01/07/2020 18:17:17 POB1202007000033 240,000.00 240,000.00
SUBTOTAL : PIUTANG PERUSAHAAN/ASURANSI (KEBIDANAN & KANDUNGAN) = 4,545,000.00
TOTAL PEMBAYARAN : PIUTANG PERUSAHAAN/ASURANSI = 5,394,472.00

Printed : 01/07/2020 20:32 - - Id.Report: [kasir-setoran-print]

 RSIA. TAMAN HARAPAN BARU - Jl. Taman Harapan Baru Raya R-1 No.20, Pejuang, Medan Satria

LAPORAN SETORAN KASIR

Kasir : agustina
Shift : Rabu, 01/07/2020 14:04:44
Page : 4 of 4
Nama Pasien Nama Dokter Pembayaran / No.Mesin EDC Transaksi / No.Kartu Kredit TRX (Rp.) PAY (Rp.)

REKAP SETORAN KASIR

TUNAI
ADMINISTRASI 55,000.00
INSTALASI FARMASI 2,005,600.00
LABORATORIUM 1,510,000.00
KEBIDANAN & KANDUNGAN 2,510,000.00
RAWAT INAP 1,100,000.00
UGD 85,000.00
TOTAL TUNAI 7,265,600.00

BCA DEBIT CARD

INSTALASI FARMASI 379,500.00
KEBIDANAN & KANDUNGAN 240,000.00
POLI UMUM 80,000.00
TOTAL BCA DEBIT CARD 699,500.00

PIUTANG PERUSAHAAN/ASURANSI
INSTALASI FARMASI 849,472.00
KEBIDANAN & KANDUNGAN 4,545,000.00
TOTAL PIUTANG PERUSAHAAN/ASURANSI 5,394,472.00

Printed : 01/07/2020 20:32 - - Id.Report: [kasir-setoran-print]