SUMMARY INVOICE FROM DR FAIZAH

PT AMNT GRP - MC MAHON - Batu Hijau

No INVOICE: 02/APRIL/2021/DR FAIZAH

NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

1 MH1842 NOVITASARI MUHAMMAD JAFAR 16-Apr-21 dr.FAIZAH MYALGIA + NEUROPATHY 25,000 15,000 CATAFLAM 50 MG 10 - 40,000
ATORVASTATIN 20 MG 10

2 MH2202 NURMI KHAIRUDDIN 16-Apr-21 dr.FAIZAH BPPV + FURUNKULOSIS 25,000 15,000 MERTIGO 10 0 40,000
ATORVASTATIN 20 MG 10
GENOLON ZALF 10

3 MH2531 SUSANTI AGUSTINA IRWANSYAH 16-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 INPEPSA SYR 1 #REF! #REF!

4 MH2531 RENA ISWANTARI IRWANSYAH 16-Apr-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 CERINI SYR 1 0 40,000
IMBOOST FORCE SYR 1
EXTROPECT SYR 1

5 MH1922 FATHIR ALFAREYZA IKHSAN 16-Apr-21 dr.FAIZAH OF + ISPA + MALAISE 25,000 15,000 BDM SYR 1 0 40,000
IMBOOST FORCE SYR 1
EXTROPECT SYR 1
CUPANOL SYR 1

6 MH2434 SUMIATI HAERI PUTRAWANSYAH 16-Apr-21 dr.FAIZAH CEPHALGIA 25,000 15,000 CATAFLAM 50 MG 10 - 40,000
IMBOOST FORCE 10
NEUROHAX 10

7 A035678 M. ZAKI ATHALLAH AWALUDDIN HAYATUSSALAM 16-Apr-21 dr.FAIZAH SCABIES 25,000 15,000 SCABIMED ZALF 1 - 40,000
LORAN 10

8 MH1159 NURAZISA RAMADHANI FAHRUL ROZY 16-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 1 - 40,000
ANFLAT SYR 1
L-BIO SACH 5

9 MH0227 ADITYA NURSAL JUSMAYADI 16-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 1 #REF! #REF!
ANFLAT SYR 1

10 MH2278 ELIANA HARDIN 16-Apr-21 dr.FAIZAH 25,000 15,000 FG THROCES 10 0 40,000

TONSILO FARINGITIS
STENIROL 4 MG 10
IMBOOST FORCE 10

11 MH2309 FAHIRA ELMAYADI EDI DASMAYADI 16-Apr-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 LAPICEF SYR 125 MG 1 #REF! #REF!
DHAVIT SYR 1
TRIAMINIC SYR EXPECT 1

12 MH1959 ARMANS ADHE PUTRA ARMANS ADHE PUTRA 16-Apr-21 dr.FAIZAH DYSPEPSIA DD ULCUS PEPTICUM 25,000 15,000 LASGAN 10 - 40,000
ZEVASK 5 MG 10
NUCRAL TAB 10

13 MH1955 ANISA ABDULLAH B NASRULLAH 17-Apr-21 dr.FAIZAH URTIKARIA 25,000 15,000 SCABIMED ZALF 10 #REF! #REF!

14 A016400 AZKIRA GHASSANI SIRJAN SANI 17-Apr-21 dr.FAIZAH ISPA + OF + MALAISE 25,000 15,000 BDM SYR 1 - 40,000
PAMOL SYR 1
IMBOOST FORCE SYR 1

15 A036718 MUH. ABI DEVIAN SOFIAN 17-Apr-21 dr.FAIZAH DYSPEPSIA + VOMITUS 25,000 15,000 ONDANE SYR 1 #REF! #REF!

16 MS1024 ALANIS HUMAIRA MUHAMMAD FAKHRURROZI 17-Apr-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 #REF! #REF!
OBS. VOMITUS + GEA
L-BIO SACH 1
CUPANOL SYR 1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
17 MH1814 ALYSA RAMADHANI MUH . ALI 17-Apr-21 dr.FAIZAH 25,000 15,000 THE CORT ZALF 1 #REF! #REF!
URTIKARIA + INF.SEKUNDER
GENOLON ZALF 1
LEOMOXYL SYR 1

18 MH0227 M.YUSRIEL IKHSAN JUSMAYADI 17-Apr-21 dr.FAIZAH 25,000 15,000 CERINI SYR 1 - 40,000
ISPA + MALAISE
EXTROPECT SYR 1
IMBOOST FORCE SYR 1

19 A032991 ENI HANDAYANI KALAMUDDIN 17-Apr-21 OF + URTIKARIA +DD MYCOSIS 25,000 15,000 INJ. DYPHENHIDRAMINT FUNGASOL ZALF 1 #REF!
dr.FAIZAH #REF!
INJ. KETOROLAC IMBOOST FORCE TAB 10
LORAN 10
MAGANOL TAB 10

20 MH2314 ALIFAH HIBATILLAH IRAWAN 17-Apr-21 dr.FAIZAH OBS. GEA + VOMITUS 25,000 15,000 ONDANE SYR 1 #REF! #REF!
L-BIO SACH 10

21 MH2279 JAESAN JAESAN 17-Apr-21 dr.FAIZAH 25,000 15,000 CATAFLAM 50 MG 10 0 40,000

MYALGIA + FURUNKLE
PREGABALIN 75 MG 10
ATORVASTATIN 20 MG 10
GENOLON ZALF 1

22 MH2157 MARLINA MUH. TAHSEN 17-Apr-21 dr.FAIZAH 25,000 15,000 ATOFAR 10 0 #REF!
MYALGIA + CEPHLAGIA
MAGANOL TAB 10

23 MH2157 MUH. TAHSEN MUH. TAHSEN 17-Apr-21 dr.FAIZAH 25,000 15,000 MYONEP 10 - 40,000
MYALGIA + SPASME OTOT
CATAFLAM 50 MG 10
ATORVASTATIN 20 MG 10

24 MH2079 SYIHABUDDIN SYIHABUDDIN 17-Apr-21 dr.FAIZAH 25,000 15,000 LORAN 10 #REF! #REF!
ISPA + MALAISE
STENIROL 4 MG 10
LEOMOXYL TAB 10

25 MH2678 VIVI NURCAHYANINGSIH ZULKARNAIN 17-Apr-21 dr.FAIZAH 25,000 15,000 THE CORT ZALF 1 #REF! #REF!
URTIKARIA + INF.SEKUNDER
MAGANOL TAB 10

26 MH2328 SARDIANSYAH SARDIANSYAH 19-Apr-21 dr.FAIZAH 25,000 15,000 CATAFLAM 50 MG 10 0 40,000

MYALGIA + MALAISE
IMBOOST FORCE TAB 10
PREGABALIN 75 MG 10

27 MH1955 M. AMZARI NASRULLAH 19-Apr-21 dr.FAIZAH OBS. VOMITUS + OF 25,000 15,000 ONDANE SYR 1 #REF! #REF!
CUPANOL SYR 1

28 MH2220 NURLAILI SAFI'IN ARDI 19-Apr-21 dr.FAIZAH 25,000 15,000 RHINOS 10 #REF! #REF!
RHINITIS
STENIROL 4 MG 10

29 MH2425 SISKA JULIANTI SLAMET 19-Apr-21 dr.FAIZAH FURUNKULOSIS 25,000 15,000 GENOLON ZALF 1 #REF! #REF!

30 MH2182 MARINA ROSTIANI DAVIED PURNAMA 19-Apr-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 LORAN 10 #REF! #REF!
IMBOOST FORCE 10

31 MH1829 MUH. YUSUF MUH. YUSUF 19-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 LASGAN 10 #REF! #REF!

32 A016007 LIVI OLIVIA LIVI OLIVIA 19-Apr-21 dr.FAIZAH 25,000 15,000 CEK GDS CATAFLAM 50 MG 10 0 40,000
MYALGIA + NEUROPATHY
CEK ASAM URAT IMBOOST FORCE TAB 10
NEUROHAX 10

33 MH2134 SULTAN FAIQ AHMAD LADONI 19-Apr-21 dr.FAIZAH SUSP. ISK 25,000 15,000 CERINI SYR 1 #REF! #REF!
THE CORT ZALF 1
GENOLON ZALF 1
CUPANOL SYR 1

34 MH2548 DWI WULANDARI IRFANSYAH 19-Apr-21 dr.FAIZAH OF + ISPA + MALAISE 25,000 15,000 STENIROL 4 MG 10 #REF! #REF!
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
LEOMOXYL TAB 10
IMBOOST FORCE TAB 10

35 MH2430 ABDUL MALIK ABDUL MALIK 19-Apr-21 dr.FAIZAH CEPHALGIA 25,000 15,000 KAFLAM 10 0 40,000
ATORVASTATIN 20 MG 10

36 MH2279 JULIAN ILHAM MIRIN JAESAN 19-Apr-21 dr.FAIZAH 25,000 15,000 LEOMOXYL TAB 10 0 40,000
ISPA + MALAISE
CERINI TAB 10
IMBOOST FORCE SYR 1

37 MH1757 NORSIAM M YAKOP 19-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 LASGAN 10 #REF! #REF!

38 MH2411 HENDI KUSUMA ATMAJA HENDI KUSUMA ATMAJA 19-Apr-21 dr.FAIZAH 25,000 15,000 FUNGASOL TAB 10 0 40,000
MYCOSIS + URTIKARIA
LORAN 10
GENOLON ZALF 1

39 MH1761 ERNI ASRI YULITA JUNAIDI 20-Apr-21 dr.FAIZAH 25,000 15,000 SCABIMED ZALF 10 0 40,000
ISPA + URTIKARIA
GENOLON ZALF 10
IMBOOST FORCE TAB 10
CERINI SYR 1

40 MH2411 SRI HARTATI HENDI KUSUMA ATMAJA 20-Apr-21 dr.FAIZAH 25,000 15,000 KAFLAM 10 0 40,000
MYALGIA + URTIKARIA
IMBOOST FORCE TAB 10
LORAN 10

41 MH1842 FADIL MAULANA V MUHAMMAD JAFAR 20-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 1 #REF! #REF!

42 MH2328 FIRDA USWATUNNISA SARDIANSYAH 20-Apr-21 dr.FAIZAH 25,000 15,000 TRIAMINIC SYR EXPECT 1 0 40,000
OF + ISPA
IMBOOST FORCE SYR 1
PROFEN SYR 1

43 MH2202 ABDI CIPTA NUGRA KHAIRUDDIN 20-Apr-21 SCABIES 25,000 15,000 SCABIMED ZALF -
dr.FAIZAH 1 40,000

44 MH1829 RINI KUSRIANI MUH. YUSUF 20-Apr-21 dr.FAIZAH 25,000 15,000 LORAN 10 #REF! #REF!
OF + ISPA
MAGANOL TAB 10

45 MH2134 SAHARA AHMAD LADONI 20-Apr-21 dr.FAIZAH CEPHALGIA + 25,000 15,000 ATORVASTATIN 20 MG 10 0 40,000
POLYNEUROPATHY PONSAMIC 10
ANFLAT SYR 1

46 MH1986 EVAN JULIANDRA ANTO SUSWANTO 20-Apr-21 dr.FAIZAH DKA 25,000 15,000 THE CORT ZALF 1 #REF! #REF!

47 A032991 QALBIADI ALAMSYAH KALAMUDDIN 20-Apr-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 0 40,000
L-BIO SACH 5

48 MH2430 NURGAWATI ABDUL MALIK 20-Apr-21 dr.FAIZAH 25,000 15,000 RHODIUM 10 #REF! #REF!
HEMOROID INTERNA
ULSAFAT SYR 1

49 MH1170 KTUT AINI HETTY JENNY ISMAIL 20-Apr-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 IMBOOST FORCE TAB 10 #REF! #REF!
EXTROPECT TAB 10

50 MH2079 NADIRAH RISMA PUTRI SYIHABUDDIN 20-Apr-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 NORVOM SYR 1 - 40,000
ANFLAT SYR 1
CUPANOL SYR 1

51 MH1209 IMRAN IMRAN 20-Apr-21 dr.FAIZAH 25,000 15,000 SCABIMED ZALF 1 #REF! #REF!
OBS. FEBRIS + PRURITUS
MAGANOL TAB 10

52 MH2248 INDRI CAHYANING PITALOKA TOTO KISWANTO 21-Apr-21 dr.FAIZAH SCABIES 25,000 15,000 SCABIMED ZALF 1 - 40,000

53 MH1316 M. YUDHI APRILIANSYAH MAHDAR 21-Apr-21 dr.FAIZAH 25,000 15,000 TRIAMINIC SYR EXPECT 1 #REF! #REF!
ISPA + MALAISE
LEOMOXYL TAB 10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

54 MH2425 JIAN MUSTIKA AYU SLAMET SLAMET 21-Apr-21 dr.FAIZAH DKA DD DKI 25,000 15,000 CERINI SYR 1 #REF! #REF!
THE CORT ZALF 1

55 MS0644 FIRDAUS AUNURRAFIQ ATSIQAH 21-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 NUCRAL SYR 1 #REF! #REF!
ANFLAT SYR 1

56 MH1947 GHANIA AZRINA ZAREEN ANTONI ASTRAWINATA 21-Apr-21 ISPA + OF + MALAISE 25,000 15,000 EXTROPECT SYR #REF!
dr.FAIZAH 1 #REF!
BDM SYR 1
IMBOOST FORCE SYR 1

57 MH2430 ZASKIA WINA RAMADHANI ABDUL MALIK 21-Apr-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 #REF! #REF!
L-BIO SACH 10

58 MH225O MUHAMMAD VALENT MUHIDIN 21-Apr-21 dr.FAIZAH URTIKARIA 25,000 15,000 SCABIMED ZALF 1 #REF! #REF!

59 MH2308 ROHANA SOLIHIN 21-Apr-21 dr.FAIZAH 25,000 15,000 FUNGASOL TAB 10 0 40,000
VAGINOSIS BACTERIAL
LORAN 10
FUNGASOL ZALF 1

60 MH1757 GILANG SAPUTRA M YAKOP 21-Apr-21 dr.FAIZAH 25,000 15,000 0 40,000

61 MH1761 RIHLATUS SOFA ASRI JUNAIDI 21-Apr-21 dr.FAIZAH 25,000 15,000 10 #REF! #REF!
10

62 MH1947 WALID HABIB TAURIO ANTONI ASTRAWINATA 22-Apr-21 dr.FAIZAH URTIKARIA + ISPA 25,000 15,000 CERINI SYR 1 0 40,000
GENOLON ZALF 1
LEOMOXYL SYR 1
IMBOOST FORCE SYR 1

63 MS1024 YULIA ASMI MUHAMMAD FAKHRURROZI 22-Apr-21 dr.FAIZAH 25,000 15,000 CEK ASAM URAT EXAFLAM 10 0 40,000
CEPHALGIA
CEK GDS IMBOOST FORCE 10
CEK KOLESTROL ANFLAT SYR 1

64 A036552 FIRA SYAFIRA MUKHSIN EFENDI 22-Apr-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 Q-CEF SYR 1 #REF! #REF!
BDM SYR 1

65 MH1170 RETNO DWI SAGITA JENNY ISMAIL 22-Apr-21 dr.FAIZAH OF + MALAISE 25,000 15,000 IMBOOST FORCE 10 #REF! #REF!
MAGANOL TAB 12

66 A036531 AYDIN KHALFANI DONNY SATRIA L 22-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 1 #REF! #REF!

67 A036531 ROSMAWATI DONNY SATRIA L 22-Apr-21 dr.FAIZAH RHINITIS ALERGICA 25,000 15,000 RHINOS 10 0 40,000
STENIROL 4 MG 10
IMBOOST FORCE TAB 6

68 MH1316 RAHMAD HAIKAL MAHDAR 22-Apr-21 dr.FAIZAH ISPA + OF 25,000 15,000 CERINI SYR 1 #REF! #REF!
EXTROPECT SYR 1
MAGANOL TAB 10
LEOMOXYL SYR 1

67 MH2220 ARTA LIANSAPUTRA SAFI'IN ARDI 22-Apr-21 dr.FAIZAH URTIKARIA 25,000 15,000 RYDIAN TAB 10 #REF! #REF!

68 MH1989 GIRAS FURQANI EDI SUPRIADI 22-Apr-21 PRURITUS 25,000 15,000 SCABIMED ZALF #REF!
dr.FAIZAH #REF!

69 MS0644 FATONA AUNURRAFIQ ATSIQAH 23-Apr-21 dr.FAIZAH DIABETES + POLYNEUROPATHY 25,000 15,000 DIAFORMIN 500 MG 10 #REF! #REF!
PREGABALIN 75 MG 10
ETHIOGOBAL 10

70 MH2280 HELMI HELMI 23-Apr-21 dr.FAIZAH MYALGIA + MALAISE 25,000 15,000 CATAFLAM 50 MG 10 0 40,000
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
IMBOOST FORCE 10

71 MH2134 NAJLA ARIQAH MUTHI'AH AHMAD LADONI 23-Apr-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 #REF! #REF!
L-BIO SACH 10

72 MS1024 FITRAHTUL AULIYAH UNSYA MUHAMMAD FAKHRURROZI 23-Apr-21 dr.FAIZAH ISPA + URTIKARIA DD DKA 25,000 15,000 CERINI SYR 1 0 40,000
IMBOOST FORCE SYR 1
THE CORT ZALF 1
GENOLON ZALF 1

73 MH2314 ALFATIH FIQRY IRAWAN IRAWAN 23-Apr-21 dr.FAIZAH 25,000 15,000 SCABIMED ZALF 1 #REF! #REF!
URTIKARIA DD SKI
GENOLON ZALF 1

74 MH2308 AMIRA SOLIHIN 23-Apr-21 dr.FAIZAH 25,000 15,000 PROFEN SYR 1 0 40,000
ISPA + OF + MALAISE
IMBOOST FORCE SYR 1
LAPIMOX 250 MG 1
CERINI SYR 1

75 MH2308 ANAS SOLIHAN 23-Apr-21 dr.FAIZAH ISPA + OF + MALAISE 25,000 15,000 BIOFOS SYR 1 0 40,000
LAPIMOX 125 MG 1
RHELAFEN SYR 1
CERINI SYR 1

76 MH2308 RODIYAH FILLAH SOLIHIN 23-Apr-21 dr.FAIZAH TONSILO FARINGITIS KRONIS 25,000 15,000 IMBOOST FORCE SYR 1 0 #REF!
EX AKUT LAPICEF SYR 125 MG 1
PROFEN SYR 1

77 MH2202 DZAKA RAHDIAN SURYA KHAIRUDDIN 23-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 1 #REF! #REF!

78 MH2411 M. MAULIDDIN NAZRI HENDI KUSUMA ATMAJA 23-Apr-21 dr.FAIZAH OF DD THYPOID FEVER 25,000 15,000 LAPCICEF SYR 125 MG 1 0 40,000
NUFIT SYR 1
SANMOL SYR 250 MG 1
ANFLAT SYR 1

79 MH2280 FIRDAUS HELMI 24-Apr-21 dr.FAIZAH URTIKARIA + OF 25,000 15,000 PROFEN SYR 1 #REF! #REF!
THE CORT ZALF 1

80 MH2280 KHALID HELMI 24-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 10 #REF! #REF!

81 MH2633 DEFI APRIANTI IBRAHIM AMIN BAFADAL 24-Apr-21 dr.FAIZAH 25,000 15,000 LASGAN 1 #REF! #REF!
ANFLAT SYR 1
DYSPEPSIA
DOBRIZOL 10

82 A016007 LALU MUHAMMAD AKBAR LIVI OLIVIA 24-Apr-21 dr.FAIZAH OBS. VOMITUS + MALAISE 25,000 15,000 ONDANE SYR 1 #REF! #REF!
CUPANOL SYR 1
CAVIPLEX SYR 1

83 MH1986 HADIJAH ANTO SUSWANTO 24-Apr-21 dr.FAIZAH MYALGIA 25,000 15,000 CATAFLAM 50 MG 10 0 40,000
IMBOOST FORCE TAB 10

84 MH0227 ADITYA NURSAL JUSMAYADI 24-Apr-21 dr.FAIZAH ISPA 25,000 15,000 LEOMOXYL TAB 10 0 40,000
LORAN 10
EXTROPECT TAB 10

85 MH2314 MURSIDAH IRAWAN 24-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 NUCRAL SYR 1 #REF! #REF!
DOBRIZOL 10
ANFLAT SYR 1

86 MH2250 FITRIAWATI MUHIDIN 24-Apr-21 dr.FAIZAH CEPHALGIA 25,000 15,000 CATAFLAM 50 MG 10 #REF! #REF!

87 MH1532 ADIB AGUSTIAWAN H NURDIN 24-Apr-21 dr.FAIZAH OF + ISPA + MALAISE 25,000 15,000 TRIAMINIC SYR EXPECT 1 0 40,000
PRAXION FORTE 1
IMBOOST FORCE SYR 1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

88 A016400 CHERYL RHEA ALIKA SIRJAN SANI 24-Apr-21 dr.FAIZAH ISPA + FURUNKULOSIS + 25,000 15,000 CERINI SYR 1 0 40,000
MALAISE Q-CEF SYR 1
GENOLON ZALF 1

89 MH1757 SILVIA M. YAKOP 24-Apr-21 dr.FAIZAH URTIKARIA 25,000 15,000 BDM SYR 1 #REF! #REF!
THE CORT ZALF 1

90 MH1159 MELY YUNITA FAHRUL ROZY 26-Apr-21 dr.FAIZAH 25,000 15,000 NUCRAL SYR 1 0 40,000
DYSPEPSIA
ANFLAT SYR 1

91 A036552 FAREL MAHENDRA MUKHSIN EFENDI 26-Apr-21 dr.FAIZAH 25,000 15,000 IREMAX 10 0 40,000
OF + ISPA
LEOMOXYL TAB 10
BDM SYR 1
IMBOOST FORCE TAB 10

92 A035022 NURUL AISYAH ERWIN 26-Apr-21 dr.FAIZAH URTIKARIA 25,000 15,000 SCABIMED ZALF 1 - 40,000
GENOLON ZALF 1
LERZIN SYR 1

93 A036531 AFSUNY NESYA QOLBIAH DONNY SATRIA L 26-Apr-21 dr.FAIZAH 25,000 15,000 SCABIMED ZALF 1 0 40,000
URTIKARIA
THE CORT ZALF 1

94 MH1530 MASDAINI RUSLAN A GANI 26-Apr-21 dr.FAIZAH 25,000 15,000 FUNGASOL TAB 10 0 40,000
TINEA CRURIS
LORAN 10

95 MH1864 M. FAUZI MIRZA SIRAJUDDIN 26-Apr-21 dr.FAIZAH REAKSI HYPERSENSITIFITAS 25,000 15,000 SCABIMED ZALF 1 0 40,000
TYPE 1 + KONJUNGTIVITIS THE CORT ZALF 1
CENDOLYTERS 1

96 A016400 GITA DESILA SIRJAN SANI 26-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 NUCRAL SYR 1 0 40,000
ANFLAT SYR 1
DOBRIZOL 10

97 MH2531 ERIKA ISWANTARI IRAWANSYAH 26-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 1 #REF! #REF!

98 MH1989 HARTINI EDI SUPRIADI 26-Apr-21 dr.FAIZAH SPASME OTOT 25,000 15,000 MYONEP 10 0 40,000

99 A035024 SABARIA JOLLY ARETA 27-Apr-21 dr.FAIZAH 25,000 15,000 RYDIAN TAB 10 #REF! #REF!
ISPA + MALAISE
LEOMOXYL TAB 10

100 A033036 RAHMAT WAHYU KUDRATULLAH 27-Apr-21 dr.FAIZAH DYSPEPSIA + ABDOMINAL 25,000 15,000 LASGAN 10 0 40,000
DYSCOMFORT BUSCOPAN 10
ULSIDEX TAB 10

101 A036552 ROSDIANA MUKHSIN EFENDI 27-Apr-21 dr.FAIZAH CEPHALGIA + 25,000 15,000 PREGABALIN 75 MG 10 #REF! #REF!
POLYNEUROPATHY ATORVASTATIN 20 MG 10

102 MH2309 FAHIRA ELMAYADI EDI DASMAYADI 27-Apr-21 dr.FAIZAH OF + URTIKARIA +DD 25,000 15,000 PROFEN SYR 1 0 40,000
FURUNKLE IMBOOST FORCE SYR 1
GENOLON ZALF 1

103 A035022 ERSYA PUTRI SHALSABILA ERWIN 27-Apr-21 dr.FAIZAH 25,000 15,000 TRIAMINIC SYR EXPECT 1 0 40,000
OF + ISPA
PRAXION FORTE 1

104 MH1864 NONY EJIKAYATRI SIRAJUDDIN 27-Apr-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 - 40,000
DYSPEPSIA + TINEA
ANFLAT SYR 1
FUNGARES ZALF 1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
105 A032382 NURHAYATI AHMAD YANI 27-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 INPEPSA SYR 1 #REF! #REF!

106 MH0173 PUTRI DINURA RAMADHANI SAFRUDDIN SOMBAL 28-Apr-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 - 40,000
OBS. VOMITUS
L-BIO SACH 10

107 MH1947 GHANIA AZRINA ZAREEN ANTONI ASTRAWINATA 28-Apr-21 dr.FAIZAH ISPA + OF + MALAISE 25,000 15,000 EXTROPECT SYR 1 - 40,000
IMBOOST FORCE SYR 1
CERINI SYR 1

108 MH2548 DWI WULANDARI IRFANSYAH 28-Apr-21 dr.FAIZAH 25,000 15,000 CIFLOS 10 - 40,000
SUSP. ISK

109 MH2314 ALIFAH HIBATILLAH IRAWAN 28-Apr-21 dr.FAIZAH 25,000 15,000 SCABIMED ZALF 1 - 40,000
URTIKARIA
GENOLON ZALF 1
RYDIAN TAB 10

110 MH2632 FAQIH RASYA ATHAYA MUSTAR 28-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 1 #REF! #REF!

111 MH1864 HARYANTI SIRAJUDDIN 28-Apr-21 dr.FAIZAH 25,000 15,000 RHODIUM 10 - 40,000
HEMOROID INTERNA
NEXA 10
PONSAMIC 10
ANFLAT SYR 1

112 MH2220 NURLAILI SAFI'IN ARDI 28-Apr-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 ONDANE SYR 1 40,000

113 MH0173 NURJANNAH SAFRUDDIN SOMBAL 29-Apr-21 RHINITIS ALERGICA + MALAISE 25,000 15,000 RHINOS TAB 10
dr.FAIZAH 40,000
IMBOOST FORCE TAB 10
LEOMOXYL TAB 10

114 MH1922 WINDHA CLARA SUKMA IKHSAN 29-Apr-21 dr.FAIZAH ABDOMINAL DYSCOMFORT 25,000 15,000 NORSEC 4
NUCRAL SYR 1
BUSCOPAN 10

115 MH2182 MARINA ROSTIANI DAVIED PURNAMA 29-Apr-21 dr.FAIZAH URTIKARIA + OF 25,000 15,000 LORAN 10 40,000
THE CORT ZALF 1
MAGANOL TAB 10

116 MH2134 AHMAD LADONI AHMAD LADONI 29-Apr-21 dr.FAIZAH MYALGIA + MALAISE 25,000 15,000 CATAFLAM 50 MG 10
IMBOOST FORCE TAB 10

117 A033036 NAUFAL SYAHRUL RAMADHAN KUDRATULLAH 29-Apr-21 OMA + ISPA 25,000 15,000 OTTOPAIN TTS TELINGA 1
dr.FAIZAH
MOLEXFLUE 10
AMOXAN 500 MG 10
NEUROHAX 10

118 MH2157 MARLINA MUH. TAHSEN 29-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 NUCRAL SYR 1 40,000
DOBRIZOL 10
ANFLAT SYR 1

119 MH1316 SRI HARTATI MAHDAR 29-Apr-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 ULSAFAT SYR 1
ANFLAT SYR 1

118 MH1757 NORSIAM M. YAKOP 29-Apr-21 dr.FAIZAH MYALGIA + MALAISE 25,000 15,000 EXAFLAM 10 40,000
IMBOOST FORCE TAB 10
NEUROHAX 10

119 MH2134 SAHARA AHMAD LADONI 30-Apr-21 dr.FAIZAH URTIKARIA +DKI 25,000 15,000 THE CORT ZALF 1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

120 MH2632 KHOIRUNNISA KHARISMAWATI MUSTAR 30-Apr-21 OF H1 25,000 15,000 CUPANOL SYR 1
dr.FAIZAH

121 MH2308 ROHANA SOLIHIN 30-Apr-21 dr.FAIZAH KARBUNKLE + ISPA 25,000 15,000 THE CORT ZALF 1 40,000
NELCO SPECIAL 1
LEOMOXYL TAB 10
IMBOOST FORCE TAB 10

122 MH1532 HERNI NURDIN 30-Apr-21 dr.FAIZAH URTIKARIA + DYSPEPSIA 25,000 15,000 NUCRAL SYR 1
LORAN 10

123 MH1989 DESI ADEKAYANTI EDI SUPRIADI 30-Apr-21 dr.FAIZAH SCABIES 25,000 15,000 SCABIMED ZALF 1 40,000

124 A032382 IMAM AKBARSYAH AHMAD YANI 30-Apr-21 dr.FAIZAH INFEKSI SUPP KULIT 25,000 15,000 CINOLON ZALF 1 40,000
CERINI TAB 10
STENIROL 4 MG 10

OF + CEPHALGIA + REAKSI
125 MH1965 ASYIFAH NUR MAHDANIA KAIMAN 25,000 15,000 BDM SYR 1
dr.FAIZAH ALERGI
BIOFOS SYR 1
PRAXION FORTE SYR 1
GENOLON ZALF 1

126 A030098 NURLAILY HUSNUL MUBIN dr.FAIZAH MYALGIA + NEUROPATHY 25,000 15,000 KAMAFLAM 10 40,000
PREGABALIN 75 MG 10
IMBOOST FORCE 10

3,250,000 1,950,000 - - - - #REF! #REF!

TOTAL
TOTAL TAGIHAN #REF!
ADMINISTRASI 1,950,000
DISC 11.5% (OBAT) #REF!
DISC.20% TINDAKAN -
TOTAL TAGIHAN(NETT) #REF!

1 MAH427 MEISYA SULFIA FIRMAN MULYAWAN 04-Jan-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 ANFLAT SYR 1 - 40,000
ORALIT 6

2 MH0173 NURJANNAH SAFRUDDIN SOMBAL 04-Jan-21 dr.FAIZAH OF + MALAISE 25,000 15,000 IMBOOST FORCE 10 0 40,000
MAGANOL TAB 10

3 MH1522 ZAKIYYAH RAHIL HARDIANSYAH 04-Jan-21 dr.FAIZAH OBS. VOMITUS + OF 25,000 15,000 ONDANE SYR 1 - 40,000
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
MAGANOL TAB 10

4 MH2464 SYANDRA SILVIA SUNARDI 04-Jan-21 dr.FAIZAH DKA DD DKI + INF. SEKUNDER 25,000 15,000 - THE CORT ZALF 1 0 40,000
GENOLON ZALF 1

5 MH2260 M. JAELANI M. JAELANI 04-Jan-21 dr.FAIZAH MYALGIA 25,000 15,000 CEK KOLESTROL EXAFLAM 10 0 40,000
IMBOOST FORCE 10

6 MH2111 SUMIATI MUHARDINATA 04-Jan-21 dr.FAIZAH VAGINOSIS BACTERIAL 25,000 15,000 - FUNGASOL 200MG 10 - 40,000
CERINI TAB 10

7 MH1429 LIN MARTAUTARI SUTONO 04-Jan-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 - ONDANE SYR 1 - 40,000

8 MH1532 ADIB GUSTIAWAN H NURDIN 04-Jan-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 - ONDANE SYR 1 - 40,000

9 MH1955 NASRULLAH 04-Jan-21 dr.FAIZAH RHINITIS ALERGICA 25,000 15,000 CEFILA 10 - 40,000
ANNISA ABDULLAH BAWAZIR
RYDIAN TAB 10
METHYLPREDNISOLON 10

10 MH2430 ABDUL MALIK ABDUL MALIK 04-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
URTIKARIA + ISPA + MALAISE
LORAN 10

11 MH1375 ERMI CAHYATI EDI SUPRIADI 04-Jan-21 dr.FAIZAH 25,000 15,000 MYONEP 10 0 40,000
SPASME OTOT +MALAISE
NEUROHAX 10
IMBOOST FORCE 10

12 A033036 RAHMAT WAHYU AJI KUDRATULLAH 04-Jan-21 dr.FAIZAH TONSILOFARINGITIS AKUT + 25,000 15,000 BROADAMOX 250 MG SYR 1 - 40,000
MALAISE ANFLAT SYR 1
CAVIPLEX SYR 1
PRORIS FORTE SYR 1

13 MH2260 BAIQ SUJANA M. JAELANI 05-Jan-21 dr.FAIZAH TINEA CRURIS 25,000 15,000 - FUNGASOL 200MG 10 - 40,000
FUNGASOL ZALF 1
CERINI TAB 10

14 MH2187 SUSANTI NUR EFENDI 05-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 RYDIAN TAB 10 0 40,000
STENIROL 4 MG 10
LEOMOXYL TAB 10
EXTROPECT TAB 10

15 A016414 ANI AKHDIYANTI JUNAIDI 05-Jan-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 NUCRAL SYR 1 - 40,000
ONDANE SYR 1

16 A035898 ALIF HARDIANSYAH HASANUDDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 CERINI SYR 1 - 40,000
ISPA + OF
LEOMOXYL SYR 1
IMBOOST FORCE SYR 1

17 MH2572 KHAIDIR ARDIANSYAH KHAIDIR ARDIANSYAH 05-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
MYALGIA + ISPA
EXAFLAM 10
EXTROPECT TAB 10
MAGANOL TAB 10

18 A035494 NAAFI'UL INSAN HENDRA DINATA 05-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 - 40,000
OBS. VOMITUS + GEA + OF
L-BIO SACH 8
CERINI SYR 1
MAGANOL TAB 10

19 MH2074 FLORANCE BEVERLY 05-Jan-21 dr.FAIZAH 25,000 15,000 GENOLON ZALF 1 - 40,000
KHRISTIAN MARFIL KAKELOME FURUNKULOSIS
CERINI SYR 1

20 MH2251 SALAHUDIN SALAHUDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 - 40,000
MYALGIA + MALAISE
NEUROHAX 10
VOLTADEX GEL 1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

21 MH2179 MUHAMMAD RIZKY ADITYA ADE PUTRA 05-Jan-21 dr.FAIZAH ISPA + OF 25,000 15,000 EXTROPECT SYR 1 0 40,000
IMBOOST FORCE SYR 1
CERINI SYR 1
MAGANOL TAB 10

22 MH2278 NAURA SAILA CAHYANI HARDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 SILADEX BIRU + DX PULV 1 0 40,000
OF + ISPA
YUSIMOX SYR 1
MIRASIC SYR 1
ANFLAT SYR 1

23 MH2278 NAHDA ATIKA PUTRI HARDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 0 40,000
OBS. VOMITUS + OF + GEA
L-BIO SACH 15
CUPANOL SYR 1

24 MH1530 RUSLAN A GANI 05-Jan-21 dr.FAIZAH 25,000 15,000 CEK KOLESTROL EXAFLAM 10 - 40,000
MASDAINI MYALGIA + MALAISE
INJ. NEUROTROPIC IMBOOST FORCE 8

25 MH2531 SUSANTI AGUSTINA IRWANSYAH 05-Jan-21 dr.FAIZAH URTIKARIA + INF.SEKUNDER + 25,000 15,000 LORAN 10 0 40,000
KONJUNGTIVITIS LEOMOXYL TAB 10
CENDOCYTROL TTS MATA 1
MAGANOL TAB 10

26 A036330 M. NABIL APRIYADI JUMRAN HADI 05-Jan-21 dr.FAIZAH 25,000 15,000 LEOMOXYL SYR 1 0 40,000
ISPA + MALAISE
CERINI SYR 1
EXTROPECT SYR 1
CUPANOL SYR 1

27 MH2079 NADIRA RISMA SYIHABUDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 CANESTEN ZALF 1 0 40,000
MYCOSIS + INF. SEKUNDER
Q-CEF SYR 1

28 MH2248 ANDRE SAPUTRA TOTO KISWANTO 06-Jan-21 dr.FAIZAH TONSILO FARINGITIS 25,000 15,000 LEOMOXYL SYR 1 0 40,000
PROFEN SYR 1
DHAVIT SYR 1

29 MH2248 TOTO KISWANTO TOTO KISWANTO 06-Jan-21 dr.FAIZAH 25,000 15,000 RYDIAN TAB 10 0 40,000
ISPA
STENIROL 4 MG 10
LEOMOXYL TAB 10
EXTROPECT TAB 10

30 MH1829 INTAN MONTASYA RJ M. YUSUF 06-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 - 40,000
OBS. VOMITUS + GEA
L-BIO SACH 10
CUPANOL SYR 1

31 A032060 FAHRULLAH IBRAH RIFAI M. DARWIS 06-Jan-21 dr.FAIZAH TONSILOFARINGITIS 25,000 15,000 NOVAFLOX 10 0 40,000
NUCRAL SYR 1
CERINI TAB 10
STENIROL 4 MG 10

32 MH2572 KHAIDIR ARDIANSYAH 06-Jan-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 L-BIO SACH 10 - 40,000
MUHAMMAD AHSAN KHALIS
ONDANE SYR 1

33 A030098 NURLAILY HUSNUL MUBIN 06-Jan-21 dr.FAIZAH 25,000 15,000 CEK KOLESTROL EXAFLAM 10 0 40,000
MYALGIA + CEPHLAGIA
CEK GDS NEUROHAX 10
CEK ASAM URAT FUNGASOL ZALF 1

34 MH2493 RABIATI ABDUL KARIM 06-Jan-21 dr.FAIZAH MYALGIA + CEPHLAGIA 25,000 15,000 EXAFLAM 10 0 40,000
NEUROHAX 10
MAGANOL TAB 10

35 MH1413 MEIDISYA PUTRI A. SUWONO 06-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 CERINI SYR 1 0 40,000
IMBOOST FORCE SYR 1
EXTROPECT SYR 1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
LOSTACEF SYR 1

36 MH2525 TATIK HARTATI DAHMAN 06-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 STENIROL 4 MG 10 0 40,000
RYDIAN TAB 10
LEOMOXYL TAB 10

37 MH1971 TUTI APRILIANA MUH. ZARKASI 06-Jan-21 dr.FAIZAH TINEA CRURIS + 25,000 15,000 FUNGASOL 200MG 10 0 40,000
KONJUNGITIVITIS LORAN 10
CENDOLYTERS 1

38 MH1318 EKA YULIANTI MUSLIMIN 06-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000
VAGINOSIS BACTERIAL + ISPA
FUNGASOL 200MG 10
EXTROPECT TAB 10

39 MH1765 YUDI UDAYANA YUDI UDAYANA 06-Jan-21 dr.FAIZAH MYALGIA + MALAISE + 25,000 15,000 CEK ASAM URAT EXAFLAM 10 0 40,000
POLYNEUROPATHY CEK GDS IMBOOST FORCE 10
CEK KOLESTROL NEUROHAX 10
INJ. NEUROTROPIC

40 MH1554 SILVA ZAKIAH PANCA HERMANTO 06-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000
ISPA + OF + MALAISE
IMBOOST FORCE 10
LEOMOXYL TAB 10

41 A036330 NAJUWA PUTRI AZIZAH JUMRAN HADI 06-Jan-21 dr.FAIZAH 25,000 15,000 CUPANOL SYR 1 0 40,000
OF + ISPA
IMBOOST FORCE SYR 1
CERINI SYR 1

42 MH1989 HARTINI EDI SUPRIADI 06-Jan-21 dr.FAIZAH TONSILOFARINGITIS + 25,000 15,000 ASTHIN FORCE 8 - 40,000
KONJUNGTIVITIS SANEXON 16 MG 6
CENDOLYTERS 1

43 A035678 SINAR KOMALASARI AWALUDIN 07-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 0 40,000
GRAVIDE + VOMITUS
ANFLAT SYR 1

44 MAH 427 SULHIYAH FIRMAN MAULANA 07-Jan-21 dr.FAIZAH SUSP. ISK 25,000 15,000 CIFLOS 10 - 40,000

45 MH1765 DEWI SUSANTI YUDI UDAYANA 07-Jan-21 dr.FAIZAH 25,000 15,000 CEK GDS EXAFLAM 10 0 40,000
MYALGIA + POLYNEUROPATHY
CEK ASAM URAT NEUROHAX 10
CEK KOLESTROL IMBOOST FORCE 10
INJ. NEUROTROPIC

46 MH2309 RAEHAN FAIZU EDI DASMAYADI 07-Jan-21 dr.FAIZAH 25,000 15,000 BDM SYR 1 0 40,000
URTIKARIA + MYCOSIS
CALADIN 100GR 2
SALYCIL TALK 1

47 MH2309 FAHIRA ELMAYADI EDI DASMAYADI 07-Jan-21 dr.FAIZAH URTIKARIA + INF.SEKUNDER 25,000 15,000 BDM SYR 1 0 40,000
GENOLON ZALF 1

48 MH1554 MURNIATI PANCA HERMANTO 07-Jan-21 dr.FAIZAH ISPA + URTIKARIA 25,000 15,000 RYDIAN TAB 10 0 40,000
STENIROL 4 MG 10
IMBOOST FORCE 10

49 A036718 NURYATI SOFIAN 07-Jan-21 dr.FAIZAH ASMA BRONKIALE + SUSP. 25,000 15,000 VENTOLIN INH. 200DOS 1 0 40,000
BATU TK BATUGIN ELIXIR 1
SALBUTAMOL 2MG 10
EXTROPECT TAB 10

50 A035395 GHAZALI SULTAN ZULKIFLI ISMAIL 07-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 IMBOOST FORCE 10 0 40,000
ALPARA 10
CEFADROXYL 10
STENIROL 4 MG 10

51 MAH 441 MUHAMMAD SYAFII MUHAMMAD SYAFII 07-Jan-21 dr.FAIZAH ISPA + URTIKARIA 25,000 15,000 CEK GDS LORAN 10 - 40,000
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
CEK KOLESTROL IMBOOST FORCE 10

52 MH2079 SYIHABUDDIN SYIHABUDDIN 07-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000

DISLIPIDEMIA + URTIKARIA
FASTOR-10 10
NEUROHAX 10

53 MH1267 IFA FATMAH WALID 07-Jan-21 dr.FAIZAH CEPHALGIA 25,000 15,000 LAPISTAN 10 - 40,000

54 A036007 LIVI OLIVIA LIVI OLIVIA 08-Jan-21 dr.FAIZAH 25,000 15,000 CERINI TAB 10 0 40,000
ISPA + OF + MALAISE
STENIROL 4 MG 10
LEOMOXYL TAB 10
EXTROPECT TAB 10

55 MH2153 SAFRI WIJAYA PUTRA SAFRI WIJAYA PUTRA 08-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 EXTROPECT TAB 10 0 40,000
RYDIAN TAB 10
IMBOOST FORCE 10
STENIROL 4 MG 10
CEFADROXYL 10

56 MH2276 HAMIDAH ASRUL WAHAB 08-Jan-21 dr.FAIZAH SPASME OTOT +MALAISE 25,000 15,000 INJ. NEUROTROPIC MYONEP 10 0 40,000
STENIROL 4 MG 10
NEUROHAX 10
IMBOOST FORCE 10

57 MH1955 MUH. AMZARI NASRULLAH 08-Jan-21 dr.FAIZAH ISPA + OF 25,000 15,000 PROFEN SYR 1 0 40,000
CERINI SYR 1
IMBOOST FORCE SYR 1
CENDOLYTERS 1

58 A035898 HADESTA PRASETYA HASANUDDIN 08-Jan-21 dr.FAIZAH ISPA + OF 25,000 15,000 EXTROPECT SYR 1 0 40,000
PROFEN SYR 1
CERINI SYR 1
MAGANOL TAB 10

59 MH2572 LILIS RABIATUL KHAMSIAH KHAIDIR ARDIANSYAH 08-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
ISPA + MALAISE
LORAN 10
STENIROL 4 MG 10

60 MH2251 SRI HARTATI SALAHUDIN 08-Jan-21 dr.FAIZAH 25,000 15,000 FUNGASOL 200MG 10 0 40,000
TINEA CRURIS + ISPA
MAGANOL TAB 10
EXTROPECT TAB 10

61 MH1159 MELY YUNITA FAHRUL ROZY 08-Jan-21 dr.FAIZAH MYALGIA + MALAISE + 25,000 15,000 CEK GDS EXAFLAM 10 0 40,000
POLYNEUROPATHY CEK ASAM URAT IMBOOST FORCE 7
CEK KOLESTROL

62 MH2430 NURGAWATI ABDUL MALIK 08-Jan-21 dr.FAIZAH ISPA + FURUNKULOSIS + 25,000 15,000 IMBOOST FORCE 10 0 40,000
MALAISE GENOLON ZALF 1
LORAN 10

63 MH1985 JANDARIAH AGUSTANUDDIN 09-Jan-21 dr.FAIZAH CEPHALGIA + ISPA 25,000 15,000 IREMAX 10 0 40,000
LORAN 10

64 MH1271 HENRY SRI ENDAH JOKO SUTRISNO 09-Jan-21 dr.FAIZAH 25,000 15,000 CEK GDS NUCRAL TAB 10 0 40,000
DYSPEPSIA + MALAISE
INJ. RANITIDIN ANFLAT SYR 1
DOBRIZOL 10
CUPANOL SYR 1

65 MH1271 SITI MARWAH JOKO SUTRISNO 09-Jan-21 dr.FAIZAH NEUROPATHY DIABETICUM 25,000 15,000 CEK GDS DIAFORMIN 10 0 40,000
NUCRAL TAB 10
NEUROHAX 10
IMBOOST FORCE 10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
66 A033014 HERI ARIFIN HERI ARIFIN 09-Jan-21 dr.FAIZAH ISPA + OF + MALAISE 25,000 15,000 LEOMOXYL TAB 10 0 40,000
IMBOOST FORCE 10
STENIROL 4 MG 10
DEMACOLIN 10

67 A033014 MUH. AZRIEL RIFLI HERI ARIFIN 09-Jan-21 dr.FAIZAH URTIKARIA + ISPA + 25,000 15,000 NUFIT SYR 1 0 40,000
KONJUNGTIVITIS LORAN 10
STENIROL 4 MG 10
CENDOCYTROL 1

68 MH2187 ADILAH FITRI EFENDI NUR EFENDI 09-Jan-21 dr.FAIZAH FURUNKULOSIS + MALAISE 25,000 15,000 GENOLON ZALF 1 0 40,000
LEOMOXYL TAB 10
IMBOOST FORCE SYR 1

69 MH2181 M. RANGGAWASITA BUDIARTO 09-Jan-21 dr.FAIZAH CEPHALGIA + MALAISE 25,000 15,000 IREMAX 10 0 40,000
IMBOOST FORCE 10
NEUROHAX 10

70 A032991 ENI HANDAYANI KALAMUDDIN 09-Jan-21 dr.FAIZAH RHINITIS ALERGICA 25,000 15,000 STENIROL 4 MG 10 0 40,000
NUFIT SYR 1
LORAN 10
MAGANOL TAB 10

71 MH1971 NAYLA AZ-ZAHRA MUH. ZARKASI 09-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 EXTROPECT SYR 1 0 40,000
CERINI SYR 1
LEOMOXYL TAB 10
CUPANOL SYR 1

72 MAH644 FATONA AUNURRAFIQ ATSIQAH 09-Jan-21 dr.FAIZAH DIABETES MELITUS 25,000 15,000 DIAFORMIN 30 0 40,000
CURVIT TAB 10
ANFLAT SYR 1

73 MH2430 ALYA JAZILAH GAISANI ABDUL MALIK 09-Jan-21 dr.FAIZAH FURUNKULOSIS + MALAISE 25,000 15,000 GENOLON ZALF 1 0 40,000
IMBOOST FORCE SYR 1

74 MAH 295 FAQIH RASYA ATHAYA MUSTAR 11-Jan-21 dr.FAIZAH FURUNKULOSIS + OF 25,000 15,000 Q-CEF SYR 1 0 40,000
CUPANOL SYR 1
GENOLON ZALF 1

75 MH1965 ASYIFAH NUR MAHDANIA KAIMAN 11-Jan-21 dr.FAIZAH FARINGITIS + DYSPEPSIA 25,000 15,000 CUPANOL SYR 1 0 40,000
IMBOOST FORCE SYR 1
POLYSILANE SYR 1

76 MH2486 BETTY AGUSTA EFENDI 11-Jan-21 dr.FAIZAH 25,000 15,000 EXAFLAM 10 0 40,000
MYALGIA + MALAISE
NEUROHAX 10
IMBOOST FORCE 10

77 MH2554 IKA RAHMATULLAH RIO ADIGUNA 11-Jan-21 dr.FAIZAH ISPA + OF + MALAISE + 25,000 15,000 IREMAX 10 0 40,000
KONJUNGTIVITIS RYDIAN TAB 10
LEOMOXYL TAB 10
CENDOCYTROL 1

78 MH1413 SAFANI PUTRI ARYONO SUWONO 11-Jan-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 0 40,000
L-BIO SACH 8
ORALIT 3

79 MH2328 SARDIANSYAH SARDIANSYAH 11-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
ISPA + MALAISE
LORAN 10
EXTROPECT TAB 10

80 MH1530 YOLA AUDIA KAMILA RUSLAN A GANI 11-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 EXTROPECT SYR 1 0 40,000
CERINI SYR 1
IMBOOST FORCE SYR 1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

81 MH0173 NURJANNAH SAFRUDDIN SOMBAL 11-Jan-21 dr.FAIZAH MYALGIA + NEUROPATHY 25,000 15,000 CEK ASAM URAT EXAFLAM 10 0 40,000
CEK GDS NEUROHAX 10
CEK KOLESTROL
INJ. NEUROTROPIC

82 A036718 NABILA PUTRI SOFIAN 11-Jan-21 dr.FAIZAH ISPA + OF + MALAISE 25,000 15,000 SANMOL SYR 1 0 40,000
EXTROPECT SYR 1
IMBOOST FORCE SYR 1
LEOMOXYL SYR 1

83 A035678 GHALIH ACHBAR AWALUDIN 12-Jan-21 dr.FAIZAH 25,000 15,000 CERINI SYR 1 0 40,000
URTIKARIA
THE CORT ZALF 1
GENOLON ZALF 1

84 MH1522 YETI NINGSIH HARDIANSYAH 12-Jan-21 dr.FAIZAH 25,000 15,000 RYDIAN TAB 10 0 40,000
ISPA + OF + KONJUNGITIVITIS
STENIROL 4 MG 10
CENDOCYTROL 1
MAGANOL TAB 10

85 MH2186 DARMIANI TAUFIQURRAHMAN 12-Jan-21 dr.FAIZAH 25,000 15,000 NUCRAL SYR 1 0 40,000
OBS. DYSPEPSIA + OF
ANFLAT SYR 1
MAGANOL TAB 10

86 MH2498 JUNAIDI HARDIN JUNAIDI HARDIN 12-Jan-21 dr.FAIZAH MYALGIA + MALAISE 25,000 15,000 IMBOOST FORCE 10 0 40,000
EXAFLAM 10

87 MH2498 ALFINA MEILANI PUTRI JUNAIDI HARDIN 12-Jan-21 dr.FAIZAH OBS. VOMITUS + ISPA 25,000 15,000 ONDANE SYR 1 0 40,000
EXTROPECT TAB 10

88 MH2399 KUSMAWATI SUPIADI 12-Jan-21 dr.FAIZAH 25,000 15,000 EXAFLAM 10 0 40,000

MYALGIA + MALAISE
IMBOOST FORCE 10

89 MH2399 SUPIADI SUPIADI 12-Jan-21 dr.FAIZAH ISPA + OF + MYALGIA 25,000 15,000 CEK ASAM URAT LORAN 10 0 40,000
CEK GDS MAGANOL TAB 10
CEK KOLESTROL
INJ. NEUROTROPIC

90 MH2531 MOZA ISWANTARI IRWANSYAH 12-Jan-21 dr.FAIZAH SCABIES DD : URTIKARIA 25,000 15,000 SCABIMED ZALF 1 0 40,000
LORAN 10

91 MH1318 AGUS LEONARDI MUSLIMIN 12-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000
URTIKARIA + KONJUNGTIVITIS
CENDOLYTERS 10
STENIROL 4 MG 10
MAGANOL TAB 10

92 MH2314 ALIFAH HIBATILLAH IRAWAN 12-Jan-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 0 40,000
L-BIO SACH 8

93 MH1965 IDAYANTI KAIMAN 13-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000

URTIKARIA
STENIROL 4 MG 10

94 MH1209 IMRAN IMRAN 13-Jan-21 dr.FAIZAH 25,000 15,000 CERINI TAB 10 0 40,000
URTIKARIA
STENIROL 4 MG 10

95 MH1985 GILANG EKA APRILIAN AGUSTANUDDIN 13-Jan-21 dr.FAIZAH OF 25,000 15,000 PRORIS FORTE SYR 1 - 40,000

96 MH2498 RITA KUSNA DEWI JUNAIDI HARDIN 13-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
ISPA + URTIKARIA
THE CORT ZALF 1
CERINI TAB 10

97 MAH 427 MESYA SULFIA FIRMAN MULYAWAN 13-Jan-21 dr.FAIZAH 25,000 15,000 RYDIAN TAB 10 0 40,000
ISPA + OF
STENIROL 4 MG 10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
MAGANOL TAB 10

98 MH2328 FIRDA USWATUNNISA SARDIANSYAH 13-Jan-21 dr.FAIZAH 25,000 15,000 CERINI SYR 1 0 40,000
ISPA + MALAISE
EXTROPECT SYR 1
IMBOOST FORCE SYR 1

99 MH1959 FADHIL ADHE MAULANA ARMANS ADHE PUTRA 13-Jan-21 dr.FAIZAH POST OP PENIS + INFEKSI 25,000 15,000 Q-CEF SYR 1 0 40,000
BDM SYR 1
GENOLON ZALF 1

100 MAH644 FIRDAUS AUNURRAFIQ ATSIQAH 13-Jan-21 dr.FAIZAH OF + MALAISE 25,000 15,000 APETIC FORTE 1 0 40,000
IMBOOST FORCE SYR 1

101 MH1159 NURAZISA RAMADHANI FAHRUL ROZY 13-Jan-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 0 40,000
L-BIO SACH 8

102 MH2411 SRI HARTATI HENDI KUSUMA ATMAJA 14-Jan-21 dr.FAIZAH 25,000 15,000 FUNGARES ZALF 1 0 40,000
MYCOSIS + INF. SEKUNDER
FUNGASOL 200MG 10
RYDIAN TAB 10
GENOLON ZALF 1

103 MH2434 HAERI PUTRAWANSYAH HAERI PUTRAWANSYAH 14-Jan-21 dr.FAIZAH MYCOSIS + ISPA + 25,000 15,000 MYCORAL 10 0 40,000
NEUROPATHY SIMVASTATIN 10
ALPARA 10
IMBOOST FORCE 10

104 MH1922 WINDHA CLARA SUKMA IKHSAN 14-Jan-21 dr.FAIZAH 25,000 15,000 ALPARA 10 0 40,000
OF + ISPA + MALAISE
LEOMOXYL TAB 10
IMBOOST FORCE 10
STENIROL 4 MG 10

105 MH1959 FAUZAN ADHE MAULANA ARMANS ADHE PUTRA 14-Jan-21 dr.FAIZAH 25,000 15,000 Q-CEF SYR 1 0 40,000
POST OP PENIS + INFECTION
BDM SYR 1
GENOLON ZALF 1

106 MH2314 MURSIDAH IRAWAN 14-Jan-21 dr.FAIZAH URTIKARIA + ANEMIA + 25,000 15,000 INJ. DYPHENHIDRAMINT FEROSPAT EFERVESSENT 1 0 40,000
CEPHALGIA IREMAX 10
LORAN 10

107 MH1814 M. ALI M. ALI 14-Jan-21 dr.FAIZAH 25,000 15,000 CEK ASAM URAT IMBOOST FORCE 10 - 40,000
MYALGIA + POLYNEUROPATHY
CEK GDS EXAFLAM 10
CEK KOLESTROL
INJ. NEUROTROPIC

108 A036007 RIFKI FAHMI LIVI OLIVIA 15-Jan-21 dr.FAIZAH 25,000 15,000 CEK KOLESTROL EXAFLAM 10 - 40,000
MYALGIA + MALAISE
NEUROHAX 10
IMBOOST FORCE 10

109 MH2359 M. SAID M. SAID 15-Jan-21 dr.FAIZAH 25,000 15,000 CEK ASAM URAT EXAFLAM 10 - 40,000
MYALGIA + MALAISE + ISPA
CEK GDS IMBOOST FORCE 10
CEK KOLESTROL EXTROPECT TAB 10

110 MH1971 TUTI APRILIANA MUH. ZARKASI 15-Jan-21 dr.FAIZAH SCABIES + INF. SEKUNDER 25,000 15,000 GENOLON ZALF 1 - 40,000
SCABIMED ZALF 1
LERZIN SYR 1

111 A032060 HARMINI M. DARWIS 15-Jan-21 dr.FAIZAH 25,000 15,000 RHINOS 10 - 40,000
RHINITIS ALERGICA + MALAISE
STENIROL 4 MG 10
IMUNOS 8

112 MH2179 YULIANTI ADE PUTRA 15-Jan-21 dr.FAIZAH 25,000 15,000 INJ. DYPHENHIDRAMINT FUNGASOL 200MG 10 - 40,000
TINEA CAPITIS + OF
CERINI TAB 10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
MAGANOL TAB 10

113 MH2280 HELMI HELMI 15-Jan-21 dr.FAIZAH 25,000 15,000 EXAFLAM 10 - 40,000
MYALGIA + MALAISE + ISPA
IMBOOST FORCE 10
CERINI TAB 10

114 MH1318 TRI PERMATA AULIA MUSLIMIN 15-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 - 40,000
DYSPEPSIA + VOMITUS + ISPA
CUPANOL SYR 1
ANFLAT SYR 1
EXTROPECT SYR 1

115 MH2552 JAYADI INDER JAYADI INDER 15-Jan-21 dr.FAIZAH 25,000 15,000 INJ. NEUROTROPIC IMBOOST FORCE 10 40,000
RHINITIS ALERGICA + MALAISE
NEUROHAX 10
RHINOS 10

116 MH1375 ERMI CAHYATI EDI SUPRIADI 15-Jan-21 dr.FAIZAH MYALGIA + SCABIES 25,000 15,000 STENIROL 4 MG 10 40,000
KAFLAM 10
SCABIMED ZALF 1
 SUMMARY INVOICE FROM DR FAIZAH
PT AMNT GRP - MC MAHON - Batu Hijau
No INVOICE: 02/APRIL/2021/DR FAIZAH

NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

1 16-Apr-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10

2 16-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

3 16-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

1

4 16-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

1

5 16-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

1

6 16-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10
10
10

7 16-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

10

8 16-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

10
10

9 16-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

5
10

10 16-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

11 18-Jan-21 dr.FAIZAH 25,000 15,000 12 0 40,000

10
10
1

12 18-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

10

13 18-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10
10

14 18-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

1
1
1

15 18-Jan-21 dr.FAIZAH 25,000 15,000 5 - 40,000

10
10
10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
16 18-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000
1
10

17 18-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1
1

18 18-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10
1

19 18-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

1
10
10

20 18-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

1
10

21 19-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

22 19-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

11

23 19-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
1

24 19-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

25 19-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

10
10

26 19-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

1
1

27 19-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
1
1

28 19-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10

29 19-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10

30 19-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10
10

31 19-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

32 20-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1

33 20-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

34 20-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10
10

35 20-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

36 20-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1
1

37 20-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

8
10
1

38 20-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1
1

39 20-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1

40 20-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

41 20-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10
1

42 20-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1
1

43 20-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

10

44 21-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

7

45 21-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

10

46 21-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

47 21-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

1
10

48 21-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

49 21-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10

50 21-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

51 21-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1

52 21-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

53 22-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1

54 22-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

10

55 22-Jan-21 dr.FAIZAH 25,000 15,000 8 0 40,000

1

56 22-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

57 22-Jan-21 dr.FAIZAH 25,000 15,000 12 0 40,000

10

58 22-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10

59 22-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10

60 22-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

6
1

61 22-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

10
10
10

62 23-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

63 23-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

64 23-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
65 23-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000
1

66 23-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10
10

67 23-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10
8

68 23-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10
10
10

69 25-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10

70 25-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1

71 25-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

72 25-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
1

73 25-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
1

74 25-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

75 25-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

76 26-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

10

77 26-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

10
1

78 26-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10
10

79 26-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

80 26-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

10

81 27-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
10

82 27-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
10

83 27-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10

84 27-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10

85 27-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1
1

86 27-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

87 27-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1

88 27-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1

89 27-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10
10

90 28-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

91 28-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10

92 28-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

10
10

93 28-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1

94 28-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

95 28-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10
1

96 28-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10
1

97 28-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

98 28-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1
1

99 28-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10

100 29-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

1
10
10

101 29-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10

102 29-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

1
1

103 29-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1

104 29-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

1

105 29-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

1
1
10

106 29-Jan-21 dr.FAIZAH 25,000 15,000 10 0 40,000

10
10

107 30-Jan-21 dr.FAIZAH 25,000 15,000 1 0 40,000

10

108 30-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10
10

109 30-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000

10
10
1

110 30-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

1
1
1

111 30-Jan-21 dr.FAIZAH 25,000 15,000 6 - 40,000

12
10
1
4

112 30-Jan-21 dr.FAIZAH 25,000 15,000 1 - 40,000

1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
113 30-Jan-21 dr.FAIZAH 25,000 15,000 10 - 40,000
10
1
10

2,825,000 1,695,000 - - - - - 4,520,000

TOTAL
TOTAL TAGIHAN 4,520,000
ADMINISTRASI 1,695,000
DISC 11.5% (OBAT) -
DISC.20% TINDAKAN -
TOTAL TAGIHAN(NETT) 2,825,000

1 MAH427 MEISYA SULFIA FIRMAN MULYAWAN 04-Jan-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 ANFLAT SYR 1 - 40,000
ORALIT 6

2 MH0173 NURJANNAH SAFRUDDIN SOMBAL 04-Jan-21 dr.FAIZAH OF + MALAISE 25,000 15,000 IMBOOST FORCE 10 0 40,000
MAGANOL TAB 10

3 MH1522 ZAKIYYAH RAHIL HARDIANSYAH 04-Jan-21 dr.FAIZAH OBS. VOMITUS + OF 25,000 15,000 ONDANE SYR 1 - 40,000
MAGANOL TAB 10

4 MH2464 SYANDRA SILVIA SUNARDI 04-Jan-21 dr.FAIZAH DKA DD DKI + INF. SEKUNDER 25,000 15,000 - THE CORT ZALF 1 0 40,000
GENOLON ZALF 1

5 MH2260 M. JAELANI M. JAELANI 04-Jan-21 dr.FAIZAH MYALGIA 25,000 15,000 CEK KOLESTROL EXAFLAM 10 0 40,000
IMBOOST FORCE 10

6 MH2111 SUMIATI MUHARDINATA 04-Jan-21 dr.FAIZAH VAGINOSIS BACTERIAL 25,000 15,000 - FUNGASOL 200MG 10 - 40,000
CERINI TAB 10

7 MH1429 LIN MARTAUTARI SUTONO 04-Jan-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 - ONDANE SYR 1 - 40,000

8 MH1532 ADIB GUSTIAWAN H NURDIN 04-Jan-21 dr.FAIZAH OBS. VOMITUS 25,000 15,000 - ONDANE SYR 1 - 40,000

9 MH1955 NASRULLAH 04-Jan-21 dr.FAIZAH RHINITIS ALERGICA 25,000 15,000 CEFILA 10 - 40,000
ANNISA ABDULLAH BAWAZIR
RYDIAN TAB 10
METHYLPREDNISOLON 10

10 MH2430 ABDUL MALIK ABDUL MALIK 04-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
URTIKARIA + ISPA + MALAISE
LORAN 10

11 MH1375 ERMI CAHYATI EDI SUPRIADI 04-Jan-21 dr.FAIZAH 25,000 15,000 MYONEP 10 0 40,000
SPASME OTOT +MALAISE
NEUROHAX 10
IMBOOST FORCE 10

12 A033036 RAHMAT WAHYU AJI KUDRATULLAH 04-Jan-21 dr.FAIZAH TONSILOFARINGITIS AKUT + 25,000 15,000 BROADAMOX 250 MG SYR 1 - 40,000
MALAISE ANFLAT SYR 1
CAVIPLEX SYR 1
PRORIS FORTE SYR 1

13 MH2260 BAIQ SUJANA M. JAELANI 05-Jan-21 dr.FAIZAH TINEA CRURIS 25,000 15,000 - FUNGASOL 200MG 10 - 40,000
FUNGASOL ZALF 1
CERINI TAB 10

14 MH2187 SUSANTI NUR EFENDI 05-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 RYDIAN TAB 10 0 40,000
STENIROL 4 MG 10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
LEOMOXYL TAB 10
EXTROPECT TAB 10

15 A016414 ANI AKHDIYANTI JUNAIDI 05-Jan-21 dr.FAIZAH DYSPEPSIA 25,000 15,000 NUCRAL SYR 1 - 40,000
ONDANE SYR 1

16 A035898 ALIF HARDIANSYAH HASANUDDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 CERINI SYR 1 - 40,000
ISPA + OF
LEOMOXYL SYR 1
IMBOOST FORCE SYR 1

17 MH2572 KHAIDIR ARDIANSYAH KHAIDIR ARDIANSYAH 05-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
MYALGIA + ISPA
EXAFLAM 10
EXTROPECT TAB 10
MAGANOL TAB 10

18 A035494 NAAFI'UL INSAN HENDRA DINATA 05-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 - 40,000
OBS. VOMITUS + GEA + OF
L-BIO SACH 8
CERINI SYR 1
MAGANOL TAB 10

19 MH2074 FLORANCE BEVERLY 05-Jan-21 dr.FAIZAH 25,000 15,000 GENOLON ZALF 1 - 40,000
KHRISTIAN MARFIL KAKELOME FURUNKULOSIS
CERINI SYR 1

20 MH2251 SALAHUDIN SALAHUDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 - 40,000
MYALGIA + MALAISE
NEUROHAX 10
VOLTADEX GEL 1

21 MH2179 MUHAMMAD RIZKY ADITYA ADE PUTRA 05-Jan-21 dr.FAIZAH ISPA + OF 25,000 15,000 EXTROPECT SYR 1 0 40,000
IMBOOST FORCE SYR 1
CERINI SYR 1
MAGANOL TAB 10

22 MH2278 NAURA SAILA CAHYANI HARDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 SILADEX BIRU + DX PULV 1 0 40,000
OF + ISPA
YUSIMOX SYR 1
MIRASIC SYR 1
ANFLAT SYR 1

23 MH2278 NAHDA ATIKA PUTRI HARDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 0 40,000
OBS. VOMITUS + OF + GEA
L-BIO SACH 15
CUPANOL SYR 1

24 MH1530 RUSLAN A GANI 05-Jan-21 dr.FAIZAH 25,000 15,000 CEK KOLESTROL EXAFLAM 10 - 40,000
MASDAINI MYALGIA + MALAISE
INJ. NEUROTROPIC IMBOOST FORCE 8

25 MH2531 SUSANTI AGUSTINA IRWANSYAH 05-Jan-21 dr.FAIZAH URTIKARIA + INF.SEKUNDER + 25,000 15,000 LORAN 10 0 40,000
KONJUNGTIVITIS LEOMOXYL TAB 10
CENDOCYTROL TTS MATA 1
MAGANOL TAB 10

26 A036330 M. NABIL APRIYADI JUMRAN HADI 05-Jan-21 dr.FAIZAH 25,000 15,000 LEOMOXYL SYR 1 0 40,000
ISPA + MALAISE
CERINI SYR 1
EXTROPECT SYR 1
CUPANOL SYR 1

27 MH2079 NADIRA RISMA SYIHABUDIN 05-Jan-21 dr.FAIZAH 25,000 15,000 CANESTEN ZALF 1 0 40,000
MYCOSIS + INF. SEKUNDER
Q-CEF SYR 1

28 MH2248 ANDRE SAPUTRA TOTO KISWANTO 06-Jan-21 dr.FAIZAH TONSILO FARINGITIS 25,000 15,000 LEOMOXYL SYR 1 0 40,000
PROFEN SYR 1
DHAVIT SYR 1

29 MH2248 TOTO KISWANTO TOTO KISWANTO 06-Jan-21 dr.FAIZAH 25,000 15,000 RYDIAN TAB 10 0 40,000
ISPA
STENIROL 4 MG 10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
LEOMOXYL TAB 10
EXTROPECT TAB 10

30 MH1829 INTAN MONTASYA RJ M. YUSUF 06-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 - 40,000
OBS. VOMITUS + GEA
L-BIO SACH 10
CUPANOL SYR 1

31 A032060 FAHRULLAH IBRAH RIFAI M. DARWIS 06-Jan-21 dr.FAIZAH TONSILOFARINGITIS 25,000 15,000 NOVAFLOX 10 0 40,000
NUCRAL SYR 1
CERINI TAB 10
STENIROL 4 MG 10

32 MH2572 KHAIDIR ARDIANSYAH 06-Jan-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 L-BIO SACH 10 - 40,000
MUHAMMAD AHSAN KHALIS
ONDANE SYR 1

33 A030098 NURLAILY HUSNUL MUBIN 06-Jan-21 dr.FAIZAH 25,000 15,000 CEK KOLESTROL EXAFLAM 10 0 40,000
MYALGIA + CEPHLAGIA
CEK GDS NEUROHAX 10
CEK ASAM URAT FUNGASOL ZALF 1

34 MH2493 RABIATI ABDUL KARIM 06-Jan-21 dr.FAIZAH MYALGIA + CEPHLAGIA 25,000 15,000 EXAFLAM 10 0 40,000
NEUROHAX 10
MAGANOL TAB 10

35 MH1413 MEIDISYA PUTRI A. SUWONO 06-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 CERINI SYR 1 0 40,000
IMBOOST FORCE SYR 1
EXTROPECT SYR 1
LOSTACEF SYR 1

36 MH2525 TATIK HARTATI DAHMAN 06-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 STENIROL 4 MG 10 0 40,000
RYDIAN TAB 10
LEOMOXYL TAB 10

37 MH1971 TUTI APRILIANA MUH. ZARKASI 06-Jan-21 dr.FAIZAH TINEA CRURIS + 25,000 15,000 FUNGASOL 200MG 10 0 40,000
KONJUNGITIVITIS LORAN 10
CENDOLYTERS 1

38 MH1318 EKA YULIANTI MUSLIMIN 06-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000
VAGINOSIS BACTERIAL + ISPA
FUNGASOL 200MG 10
EXTROPECT TAB 10

39 MH1765 YUDI UDAYANA YUDI UDAYANA 06-Jan-21 dr.FAIZAH MYALGIA + MALAISE + 25,000 15,000 CEK ASAM URAT EXAFLAM 10 0 40,000
POLYNEUROPATHY CEK GDS IMBOOST FORCE 10
CEK KOLESTROL NEUROHAX 10
INJ. NEUROTROPIC

40 MH1554 SILVA ZAKIAH PANCA HERMANTO 06-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000
ISPA + OF + MALAISE
IMBOOST FORCE 10
LEOMOXYL TAB 10

41 A036330 NAJUWA PUTRI AZIZAH JUMRAN HADI 06-Jan-21 dr.FAIZAH 25,000 15,000 CUPANOL SYR 1 0 40,000
OF + ISPA
IMBOOST FORCE SYR 1
CERINI SYR 1

42 MH1989 HARTINI EDI SUPRIADI 06-Jan-21 dr.FAIZAH TONSILOFARINGITIS + 25,000 15,000 ASTHIN FORCE 8 - 40,000
KONJUNGTIVITIS SANEXON 16 MG 6
CENDOLYTERS 1

43 A035678 SINAR KOMALASARI AWALUDIN 07-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 0 40,000
GRAVIDE + VOMITUS
ANFLAT SYR 1

44 MAH 427 SULHIYAH FIRMAN MAULANA 07-Jan-21 dr.FAIZAH SUSP. ISK 25,000 15,000 CIFLOS 10 - 40,000

45 MH1765 DEWI SUSANTI YUDI UDAYANA 07-Jan-21 dr.FAIZAH 25,000 15,000 CEK GDS EXAFLAM 10 0 40,000
MYALGIA + POLYNEUROPATHY
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
MYALGIA + POLYNEUROPATHY
CEK ASAM URAT NEUROHAX 10
CEK KOLESTROL IMBOOST FORCE 10
INJ. NEUROTROPIC

46 MH2309 RAEHAN FAIZU EDI DASMAYADI 07-Jan-21 dr.FAIZAH 25,000 15,000 BDM SYR 1 0 40,000
URTIKARIA + MYCOSIS
CALADIN 100GR 2
SALYCIL TALK 1

47 MH2309 FAHIRA ELMAYADI EDI DASMAYADI 07-Jan-21 dr.FAIZAH URTIKARIA + INF.SEKUNDER 25,000 15,000 BDM SYR 1 0 40,000
GENOLON ZALF 1

48 MH1554 MURNIATI PANCA HERMANTO 07-Jan-21 dr.FAIZAH ISPA + URTIKARIA 25,000 15,000 RYDIAN TAB 10 0 40,000
STENIROL 4 MG 10
IMBOOST FORCE 10

49 A036718 NURYATI SOFIAN 07-Jan-21 dr.FAIZAH ASMA BRONKIALE + SUSP. 25,000 15,000 VENTOLIN INH. 200DOS 1 0 40,000
BATU TK BATUGIN ELIXIR 1
SALBUTAMOL 2MG 10
EXTROPECT TAB 10

50 A035395 GHAZALI SULTAN ZULKIFLI ISMAIL 07-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 IMBOOST FORCE 10 0 40,000
ALPARA 10
CEFADROXYL 10
STENIROL 4 MG 10

51 MAH 441 MUHAMMAD SYAFII MUHAMMAD SYAFII 07-Jan-21 dr.FAIZAH ISPA + URTIKARIA 25,000 15,000 CEK GDS LORAN 10 - 40,000
CEK KOLESTROL IMBOOST FORCE 10

52 MH2079 SYIHABUDDIN SYIHABUDDIN 07-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000

DISLIPIDEMIA + URTIKARIA
FASTOR-10 10
NEUROHAX 10

53 MH1267 IFA FATMAH WALID 07-Jan-21 dr.FAIZAH CEPHALGIA 25,000 15,000 LAPISTAN 10 - 40,000

54 A036007 LIVI OLIVIA LIVI OLIVIA 08-Jan-21 dr.FAIZAH 25,000 15,000 CERINI TAB 10 0 40,000
ISPA + OF + MALAISE
STENIROL 4 MG 10
LEOMOXYL TAB 10
EXTROPECT TAB 10

55 MH2153 SAFRI WIJAYA PUTRA SAFRI WIJAYA PUTRA 08-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 EXTROPECT TAB 10 0 40,000
RYDIAN TAB 10
IMBOOST FORCE 10
STENIROL 4 MG 10
CEFADROXYL 10

56 MH2276 HAMIDAH ASRUL WAHAB 08-Jan-21 dr.FAIZAH SPASME OTOT +MALAISE 25,000 15,000 INJ. NEUROTROPIC MYONEP 10 0 40,000
STENIROL 4 MG 10
NEUROHAX 10
IMBOOST FORCE 10

57 MH1955 MUH. AMZARI NASRULLAH 08-Jan-21 dr.FAIZAH ISPA + OF 25,000 15,000 PROFEN SYR 1 0 40,000
CERINI SYR 1
IMBOOST FORCE SYR 1
CENDOLYTERS 1

58 A035898 HADESTA PRASETYA HASANUDDIN 08-Jan-21 dr.FAIZAH ISPA + OF 25,000 15,000 EXTROPECT SYR 1 0 40,000
PROFEN SYR 1
CERINI SYR 1
MAGANOL TAB 10

59 MH2572 LILIS RABIATUL KHAMSIAH KHAIDIR ARDIANSYAH 08-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
ISPA + MALAISE
LORAN 10
STENIROL 4 MG 10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

60 MH2251 SRI HARTATI SALAHUDIN 08-Jan-21 dr.FAIZAH 25,000 15,000 FUNGASOL 200MG 10 0 40,000
TINEA CRURIS + ISPA
MAGANOL TAB 10
EXTROPECT TAB 10

61 MH1159 MELY YUNITA FAHRUL ROZY 08-Jan-21 dr.FAIZAH MYALGIA + MALAISE + 25,000 15,000 CEK GDS EXAFLAM 10 0 40,000
POLYNEUROPATHY CEK ASAM URAT IMBOOST FORCE 7
CEK KOLESTROL

62 MH2430 NURGAWATI ABDUL MALIK 08-Jan-21 dr.FAIZAH ISPA + FURUNKULOSIS + 25,000 15,000 IMBOOST FORCE 10 0 40,000
MALAISE GENOLON ZALF 1
LORAN 10

63 MH1985 JANDARIAH AGUSTANUDDIN 09-Jan-21 dr.FAIZAH CEPHALGIA + ISPA 25,000 15,000 IREMAX 10 0 40,000
LORAN 10

64 MH1271 HENRY SRI ENDAH JOKO SUTRISNO 09-Jan-21 dr.FAIZAH 25,000 15,000 CEK GDS NUCRAL TAB 10 0 40,000
DYSPEPSIA + MALAISE
INJ. RANITIDIN ANFLAT SYR 1
DOBRIZOL 10
CUPANOL SYR 1

65 MH1271 SITI MARWAH JOKO SUTRISNO 09-Jan-21 dr.FAIZAH NEUROPATHY DIABETICUM 25,000 15,000 CEK GDS DIAFORMIN 10 0 40,000
NUCRAL TAB 10
NEUROHAX 10
IMBOOST FORCE 10

66 A033014 HERI ARIFIN HERI ARIFIN 09-Jan-21 dr.FAIZAH ISPA + OF + MALAISE 25,000 15,000 LEOMOXYL TAB 10 0 40,000
IMBOOST FORCE 10
STENIROL 4 MG 10
DEMACOLIN 10

67 A033014 MUH. AZRIEL RIFLI HERI ARIFIN 09-Jan-21 dr.FAIZAH URTIKARIA + ISPA + 25,000 15,000 NUFIT SYR 1 0 40,000
KONJUNGTIVITIS LORAN 10
STENIROL 4 MG 10
CENDOCYTROL 1

68 MH2187 ADILAH FITRI EFENDI NUR EFENDI 09-Jan-21 dr.FAIZAH FURUNKULOSIS + MALAISE 25,000 15,000 GENOLON ZALF 1 0 40,000
LEOMOXYL TAB 10
IMBOOST FORCE SYR 1

69 MH2181 M. RANGGAWASITA BUDIARTO 09-Jan-21 dr.FAIZAH CEPHALGIA + MALAISE 25,000 15,000 IREMAX 10 0 40,000
IMBOOST FORCE 10
NEUROHAX 10

70 A032991 ENI HANDAYANI KALAMUDDIN 09-Jan-21 dr.FAIZAH RHINITIS ALERGICA 25,000 15,000 STENIROL 4 MG 10 0 40,000
NUFIT SYR 1
LORAN 10
MAGANOL TAB 10

71 MH1971 NAYLA AZ-ZAHRA MUH. ZARKASI 09-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 EXTROPECT SYR 1 0 40,000
CERINI SYR 1
LEOMOXYL TAB 10
CUPANOL SYR 1

72 MAH644 FATONA AUNURRAFIQ ATSIQAH 09-Jan-21 dr.FAIZAH DIABETES MELITUS 25,000 15,000 DIAFORMIN 30 0 40,000
CURVIT TAB 10
ANFLAT SYR 1

73 MH2430 ALYA JAZILAH GAISANI ABDUL MALIK 09-Jan-21 dr.FAIZAH FURUNKULOSIS + MALAISE 25,000 15,000 GENOLON ZALF 1 0 40,000
IMBOOST FORCE SYR 1

74 MAH 295 FAQIH RASYA ATHAYA MUSTAR 11-Jan-21 dr.FAIZAH FURUNKULOSIS + OF 25,000 15,000 Q-CEF SYR 1 0 40,000
CUPANOL SYR 1
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
GENOLON ZALF 1

75 MH1965 ASYIFAH NUR MAHDANIA KAIMAN 11-Jan-21 dr.FAIZAH FARINGITIS + DYSPEPSIA 25,000 15,000 CUPANOL SYR 1 0 40,000
IMBOOST FORCE SYR 1
POLYSILANE SYR 1

76 MH2486 BETTY AGUSTA EFENDI 11-Jan-21 dr.FAIZAH 25,000 15,000 EXAFLAM 10 0 40,000
MYALGIA + MALAISE
NEUROHAX 10
IMBOOST FORCE 10

77 MH2554 IKA RAHMATULLAH RIO ADIGUNA 11-Jan-21 dr.FAIZAH ISPA + OF + MALAISE + 25,000 15,000 IREMAX 10 0 40,000
KONJUNGTIVITIS RYDIAN TAB 10
LEOMOXYL TAB 10
CENDOCYTROL 1

78 MH1413 SAFANI PUTRI ARYONO SUWONO 11-Jan-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 0 40,000
L-BIO SACH 8
ORALIT 3

79 MH2328 SARDIANSYAH SARDIANSYAH 11-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
ISPA + MALAISE
LORAN 10
EXTROPECT TAB 10

80 MH1530 YOLA AUDIA KAMILA RUSLAN A GANI 11-Jan-21 dr.FAIZAH ISPA + MALAISE 25,000 15,000 EXTROPECT SYR 1 0 40,000
CERINI SYR 1
IMBOOST FORCE SYR 1

81 MH0173 NURJANNAH SAFRUDDIN SOMBAL 11-Jan-21 dr.FAIZAH MYALGIA + NEUROPATHY 25,000 15,000 CEK ASAM URAT EXAFLAM 10 0 40,000
CEK GDS NEUROHAX 10
CEK KOLESTROL
INJ. NEUROTROPIC

82 A036718 NABILA PUTRI SOFIAN 11-Jan-21 dr.FAIZAH ISPA + OF + MALAISE 25,000 15,000 SANMOL SYR 1 0 40,000
EXTROPECT SYR 1
IMBOOST FORCE SYR 1
LEOMOXYL SYR 1

83 A035678 GHALIH ACHBAR AWALUDIN 12-Jan-21 dr.FAIZAH 25,000 15,000 CERINI SYR 1 0 40,000
URTIKARIA
THE CORT ZALF 1
GENOLON ZALF 1

84 MH1522 YETI NINGSIH HARDIANSYAH 12-Jan-21 dr.FAIZAH 25,000 15,000 RYDIAN TAB 10 0 40,000
ISPA + OF + KONJUNGITIVITIS
STENIROL 4 MG 10
CENDOCYTROL 1
MAGANOL TAB 10

85 MH2186 DARMIANI TAUFIQURRAHMAN 12-Jan-21 dr.FAIZAH 25,000 15,000 NUCRAL SYR 1 0 40,000
OBS. DYSPEPSIA + OF
ANFLAT SYR 1
MAGANOL TAB 10

86 MH2498 JUNAIDI HARDIN JUNAIDI HARDIN 12-Jan-21 dr.FAIZAH MYALGIA + MALAISE 25,000 15,000 IMBOOST FORCE 10 0 40,000
EXAFLAM 10

87 MH2498 ALFINA MEILANI PUTRI JUNAIDI HARDIN 12-Jan-21 dr.FAIZAH OBS. VOMITUS + ISPA 25,000 15,000 ONDANE SYR 1 0 40,000
EXTROPECT TAB 10

88 MH2399 KUSMAWATI SUPIADI 12-Jan-21 dr.FAIZAH 25,000 15,000 EXAFLAM 10 0 40,000

MYALGIA + MALAISE
IMBOOST FORCE 10

89 MH2399 SUPIADI SUPIADI 12-Jan-21 dr.FAIZAH ISPA + OF + MYALGIA 25,000 15,000 CEK ASAM URAT LORAN 10 0 40,000
CEK GDS MAGANOL TAB 10
CEK KOLESTROL
INJ. NEUROTROPIC
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT

90 MH2531 MOZA ISWANTARI IRWANSYAH 12-Jan-21 dr.FAIZAH SCABIES DD : URTIKARIA 25,000 15,000 SCABIMED ZALF 1 0 40,000
LORAN 10

91 MH1318 AGUS LEONARDI MUSLIMIN 12-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000
URTIKARIA + KONJUNGTIVITIS
CENDOLYTERS 10
STENIROL 4 MG 10
MAGANOL TAB 10

92 MH2314 ALIFAH HIBATILLAH IRAWAN 12-Jan-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 0 40,000
L-BIO SACH 8

93 MH1965 IDAYANTI KAIMAN 13-Jan-21 dr.FAIZAH 25,000 15,000 LORAN 10 0 40,000

URTIKARIA
STENIROL 4 MG 10

94 MH1209 IMRAN IMRAN 13-Jan-21 dr.FAIZAH 25,000 15,000 CERINI TAB 10 0 40,000
URTIKARIA
STENIROL 4 MG 10

95 MH1985 GILANG EKA APRILIAN AGUSTANUDDIN 13-Jan-21 dr.FAIZAH OF 25,000 15,000 PRORIS FORTE SYR 1 - 40,000

96 MH2498 RITA KUSNA DEWI JUNAIDI HARDIN 13-Jan-21 dr.FAIZAH 25,000 15,000 IMBOOST FORCE 10 0 40,000
ISPA + URTIKARIA
THE CORT ZALF 1
CERINI TAB 10

97 MAH 427 MESYA SULFIA FIRMAN MULYAWAN 13-Jan-21 dr.FAIZAH 25,000 15,000 RYDIAN TAB 10 0 40,000
ISPA + OF
STENIROL 4 MG 10
MAGANOL TAB 10

98 MH2328 FIRDA USWATUNNISA SARDIANSYAH 13-Jan-21 dr.FAIZAH 25,000 15,000 CERINI SYR 1 0 40,000
ISPA + MALAISE
EXTROPECT SYR 1
IMBOOST FORCE SYR 1

99 MH1959 FADHIL ADHE MAULANA ARMANS ADHE PUTRA 13-Jan-21 dr.FAIZAH POST OP PENIS + INFEKSI 25,000 15,000 Q-CEF SYR 1 0 40,000
BDM SYR 1
GENOLON ZALF 1

100 MAH644 FIRDAUS AUNURRAFIQ ATSIQAH 13-Jan-21 dr.FAIZAH OF + MALAISE 25,000 15,000 APETIC FORTE 1 0 40,000
IMBOOST FORCE SYR 1

101 MH1159 NURAZISA RAMADHANI FAHRUL ROZY 13-Jan-21 dr.FAIZAH OBS. VOMITUS + GEA 25,000 15,000 ONDANE SYR 1 0 40,000
L-BIO SACH 8

102 MH2411 SRI HARTATI HENDI KUSUMA ATMAJA 14-Jan-21 dr.FAIZAH 25,000 15,000 FUNGARES ZALF 1 0 40,000
MYCOSIS + INF. SEKUNDER
FUNGASOL 200MG 10
RYDIAN TAB 10
GENOLON ZALF 1

103 MH2434 HAERI PUTRAWANSYAH HAERI PUTRAWANSYAH 14-Jan-21 dr.FAIZAH MYCOSIS + ISPA + 25,000 15,000 MYCORAL 10 0 40,000
NEUROPATHY SIMVASTATIN 10
ALPARA 10
IMBOOST FORCE 10

104 MH1922 WINDHA CLARA SUKMA IKHSAN 14-Jan-21 dr.FAIZAH 25,000 15,000 ALPARA 10 0 40,000
OF + ISPA + MALAISE
LEOMOXYL TAB 10
IMBOOST FORCE 10
STENIROL 4 MG 10

105 MH1959 FAUZAN ADHE MAULANA ARMANS ADHE PUTRA 14-Jan-21 dr.FAIZAH 25,000 15,000 Q-CEF SYR 1 0 40,000
POST OP PENIS + INFECTION
BDM SYR 1
GENOLON ZALF 1

106 MH2314 MURSIDAH IRAWAN 14-Jan-21 dr.FAIZAH URTIKARIA + ANEMIA + 25,000 15,000 INJ. DYPHENHIDRAMINT FEROSPAT EFERVESSENT 1 0 40,000
CEPHALGIA IREMAX 10
 NAMA TOTAL
NO. NO NAMA PASIEN NO ID NAMA KARYAWAN TGL DOKTER/ DIAGNOSA JASA MEDIS ADMIN NAMA TINDAKAN BIAYA
NAMA OBAT JML HARGA HARGA TOTAL TAGIHAN
BADGE PASIEN TINDAKAN OBAT OBAT
LAB/ OPTIK OBAT
LORAN 10

107 MH1814 M. ALI M. ALI 14-Jan-21 dr.FAIZAH 25,000 15,000 CEK ASAM URAT IMBOOST FORCE 10 - 40,000
MYALGIA + POLYNEUROPATHY
CEK GDS EXAFLAM 10
CEK KOLESTROL
INJ. NEUROTROPIC

108 A036007 RIFKI FAHMI LIVI OLIVIA 15-Jan-21 dr.FAIZAH 25,000 15,000 CEK KOLESTROL EXAFLAM 10 - 40,000
MYALGIA + MALAISE
NEUROHAX 10
IMBOOST FORCE 10

109 MH2359 M. SAID M. SAID 15-Jan-21 dr.FAIZAH 25,000 15,000 CEK ASAM URAT EXAFLAM 10 - 40,000
MYALGIA + MALAISE + ISPA
CEK GDS IMBOOST FORCE 10
CEK KOLESTROL EXTROPECT TAB 10

110 MH1971 TUTI APRILIANA MUH. ZARKASI 15-Jan-21 dr.FAIZAH SCABIES + INF. SEKUNDER 25,000 15,000 GENOLON ZALF 1 - 40,000
SCABIMED ZALF 1
LERZIN SYR 1

111 A032060 HARMINI M. DARWIS 15-Jan-21 dr.FAIZAH 25,000 15,000 RHINOS 10 - 40,000
RHINITIS ALERGICA + MALAISE
STENIROL 4 MG 10
IMUNOS 8

112 MH2179 YULIANTI ADE PUTRA 15-Jan-21 dr.FAIZAH 25,000 15,000 INJ. DYPHENHIDRAMINT FUNGASOL 200MG 10 - 40,000
TINEA CAPITIS + OF
CERINI TAB 10
MAGANOL TAB 10

113 MH2280 HELMI HELMI 15-Jan-21 dr.FAIZAH 25,000 15,000 EXAFLAM 10 - 40,000
MYALGIA + MALAISE + ISPA
IMBOOST FORCE 10
CERINI TAB 10

114 MH1318 TRI PERMATA AULIA MUSLIMIN 15-Jan-21 dr.FAIZAH 25,000 15,000 ONDANE SYR 1 - 40,000
DYSPEPSIA + VOMITUS + ISPA
CUPANOL SYR 1
ANFLAT SYR 1
EXTROPECT SYR 1

115 MH2552 JAYADI INDER JAYADI INDER 15-Jan-21 dr.FAIZAH 25,000 15,000 INJ. NEUROTROPIC IMBOOST FORCE 10 40,000
RHINITIS ALERGICA + MALAISE
NEUROHAX 10
RHINOS 10

116 MH1375 ERMI CAHYATI EDI SUPRIADI 15-Jan-21 dr.FAIZAH MYALGIA + SCABIES 25,000 15,000 STENIROL 4 MG 10 40,000
KAFLAM 10
SCABIMED ZALF 1