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LAPORAN REKAP
Pasien KLAIM
Rawat - RSUD
Inap GANDUS
dan Rawat Jalan, Periode Tanggal Pulang: 1 Jul 2020 s/d 31 Agu 2020
Filter: / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS D PEMERIN

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien

1 2 Jul 2020 2 Jul 2020 001289 NOVITA AGUSTINA, AMD. KEP
2 3 Jul 2020 3 Jul 2020 002472 TRI RIZKIAH
3 3 Jul 2020 3 Jul 2020 002470 RANDHO DESPANDO
4 4 Jul 2020 4 Jul 2020 002475 GILANG GANDHI PRASETYO
5 5 Jul 2020 5 Jul 2020 002477 AHMAD ZAKI
6 5 Jul 2020 5 Jul 2020 002476 RM. ELZIKRAN YUANDRA
7 6 Jul 2020 6 Jul 2020 001445 EKA RIA SANTHY
8 7 Jul 2020 7 Jul 2020 002479 SUPINGAH
9 7 Jul 2020 7 Jul 2020 002478 SURATNO B. DAHLAN
10 8 Jul 2020 8 Jul 2020 002482 DANI ARDIANSYAH
11 8 Jul 2020 8 Jul 2020 002481 NAJAMUDIN
12 10 Jul 2020 10 Jul 2020 001585 DEWI FITRI
13 10 Jul 2020 10 Jul 2020 001986 SUPRIYADI
14 15 Jul 2020 15 Jul 2020 001043 DR. NURUL ALIYA
15 15 Jul 2020 15 Jul 2020 002487 MASIYUN
16 15 Jul 2020 15 Jul 2020 002486 LEMILTA CAKTY PRATAMA
17 20 Jul 2020 20 Jul 2020 000301 ENY KURNIATI
18 20 Jul 2020 20 Jul 2020 002488 NUR HATIMAH
19 21 Jul 2020 21 Jul 2020 002489 NURLINA
20 23 Jul 2020 23 Jul 2020 0023490 JUMAIDI
21 24 Jul 2020 24 Jul 2020 000967 DWI TIARA PUTRI
22 25 Jul 2020 25 Jul 2020 002491 RAHMAD YOGI P
23 27 Jul 2020 27 Jul 2020 000009 DEASY ARIYANTI
24 28 Jul 2020 28 Jul 2020 000905 TIRA MAHARANI
25 29 Jul 2020 29 Jul 2020 001157 SLAMET RIYADI
Total
Kode RS: 1671350

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IF RS KELAS D PEMERINTAH

No. SEP INACBG Top Up Total Tarif Tarif RS Jenis

0090R0540720V000001 Q-5-25-0 126,600 129,802 RJ
0090R0540720V000002 Q-5-42-0 175,000 143,581 RJ
0090VR0540720V000003 Q-5-42-0 175,000 408,571 RJ
0090VR0540720V000004 M-2-52-0 407,000 220,674 RJ
0090VR0540720V000006 M-2-32-0 333,100 228,671 RJ
0090VR0540720V000005 Q-5-42-0 175,000 113,841 RJ
0090VR0540720V000007 Q-5-42-0 175,000 104,325 RJ
0090R0540720V000009 Q-5-42-0 175,000 221,000 RJ
0090VR0540720V000008 Q-5-39-0 120,200 102,084 RJ
0090R0540720V000011 Q-5-42-0 175,000 115,927 RJ
0090R0540720V000010 Q-5-44-0 177,800 700,913 RJ
0090R0540720V000013 Q-5-42-0 175,000 147,239 RJ
0090R0540720V000012 Q-5-44-0 177,800 269,388 RJ
0090R0540720V000018 Q-5-44-0 177,800 113,040 RJ
0090R0540720V000016 Q-5-42-0 175,000 113,380 RJ
0090R0540720V000015 Q-5-42-0 175,000 115,972 RJ
0090R0540720V000020 J-3-13-0 295,500 297,444 RJ
0090VR0540720V000019 Q-5-41-0 277,300 183,000 RJ
0090VR0540720V000021 J-3-13-0 295,500 282,331 RJ
0090VR0540720V000022 Q-5-39-0 120,200 229,788 RJ
0090VR0540720V000023 J-3-13-0 295,500 230,404 RJ
0090VR0540720V000024 Q-5-42-0 175,000 137,133 RJ
0090VR0540720V000025 Q-5-42-0 175,000 119,626 RJ
0090VR0540720V000026 Q-5-42-0 175,000 149,384 RJ
0090VR0540720V000027 J-3-13-0 295,500 232,466 RJ
5,199,800 5,109,984

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