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PERMOHONAN BIAYA MAKAN HARIAN

PASIEN RAWAT INAP

BULAN : FEBRUARI 2021

KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA


NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
1 PS VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair/Sonde 0 Rp0.00
0 Rp0.00
2 Cendrawasih VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair 0 Rp0.00
3 Kolibri VIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 27 25 16 16 17 16 17 21 16 18 21 19 17 14 16 20 18 18 16 14 12 13 10 8 7 5 4 4 425 Rp65,000.00 Rp27,625,000.00
Cair 0 Rp0.00
0 Rp0.00
4 Jalak I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 1 1 2 Rp32,000.00 Rp64,000.00
Diit 0 Rp0.00
Cair 0 Rp0.00
0 Rp0.00
5 Gelatik II Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 1 4 6 6 7 7 7 7 6 5 2 1 2 1 2 3 3 3 3 3 2 4 2 2 1 90 Rp26,000.00 Rp2,340,000.00
Cair 0 Rp0.00
0 Rp0.00
KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA
NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
6 Kenari III Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 1 1 Rp24,000.00 Rp24,000.00
Diit 2 1 1 1 2 2 2 2 1 1 15 Rp24,000.00 Rp360,000.00
Cair 0 Rp0.00
0 Rp0.00
7 ICU I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair 0 Rp0.00
0 Rp0.00
JML PASIEN 30 30 23 23 26 25 26 30 23 24 24 21 20 15 18 23 21 21 19 17 14 17 12 10 8 5 4 4 0 0 533
JUMLAH BIAYA Rp30,413,000.00

Purworejo , Mei 2021

Mengetahui
Kepala Instalasi Gizi PJ Penyelenggaraan Makanan

Tri Wardhani, S.Si.T Galuh Palupi, AMG


NIP. 19740512 200312 2 006 NIP.197610052011012003
PERMOHONAN BIAYA MAKAN HARIAN
PASIEN RAWAT INAP

BULAN : MARET 2021

KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA


NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
1 PS VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair/Sonde 0 Rp0.00
0 Rp0.00
2 Cendrawasih VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair 0 Rp0.00
3 Kolibri VIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 4 4 4 3 6 9 7 7 6 4 8 10 7 8 8 8 4 5 4 4 3 3 2 2 2 3 2 2 3 3 2 147 Rp65,000.00 Rp9,555,000.00
Cair 0 Rp0.00
0 Rp0.00
4 Jalak I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 1 1 1 1 1 2 2 9 Rp32,000.00 Rp288,000.00
Cair 0 Rp0.00
0 Rp0.00
5 Gelatik II Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair 0 Rp0.00
0 Rp0.00
KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA
NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
6 Kenari III Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 1 1 2 2 3 3 2 2 1 17 Rp24,000.00 Rp408,000.00
Cair 0 Rp0.00
0 Rp0.00
7 ICU I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 1 1 1 3 Rp 32,000.00 Rp96,000.00
Cair 1 1 1 3 Rp 32,000.00 Rp96,000.00
0 Rp0.00
JML PASIEN 4 4 4 3 6 9 7 8 7 4 8 10 7 8 8 8 4 7 6 7 6 5 4 3 3 4 4 4 6 6 174
JUMLAH BIAYA Rp10,443,000.00

Purworejo , Mei 2021

Purworejo , Mei 2021

Mengetahui
Kepala Instalasi Gizi PJ Penyelenggaraan Makanan

Tri Wardhani, S.Si.T Galuh Palupi, AMG


NIP. 19740512 200312 2 006 NIP.197610052011012003
PERMOHONAN BIAYA MAKAN HARIAN
PASIEN RAWAT INAP

BULAN : APRIL 2021

KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA


NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
1 PS VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair/Sonde 0 Rp0.00
0 Rp0.00
2 Cendrawasih VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 4 1 1 1 1 1 9 Rp65,000.00 Rp585,000.00
Cair 0 Rp0.00
3 Kolibri VIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 4 3 4 3 3 3 3 1 1 1 2 1 1 2 2 2 3 6 5 4 4 4 2 2 3 3 3 3 1 2 81 Rp65,000.00 Rp5,265,000.00
Cair 0 Rp0.00
0 Rp0.00
4 Jalak I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair 1 1 1 3 Rp32,000.00 Rp96,000.00
0 Rp0.00
5 Gelatik II Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair 0 Rp0.00
0 Rp0.00
KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA
NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
6 Kenari III Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 1 1 Rp24,000.00 Rp24,000.00
Diit 1 1 1 1 1 2 2 2 1 1 1 1 1 1 1 1 2 21 Rp24,000.00 Rp504,000.00
Cair 0 Rp0.00
0 Rp0.00
7 ICU I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair 0 Rp0.00
0 Rp0.00
JML PASIEN 10 5 5 3 3 3 4 2 1 1 4 4 4 4 3 3 4 8 6 6 5 4 2 2 3 3 3 4 2 4 115
JUMLAH BIAYA Rp6,474,000.00

Purworejo , Mei 2021

Mengetahui
Kepala Instalasi Gizi PJ Penyelenggaraan Makanan

Tri Wardhani, S.Si.T Galuh Palupi, AMG


NIP. 19740512 200312 2 006 NIP.197610052011012003
PERMOHONAN BIAYA MAKAN HARIAN
PASIEN RAWAT INAP

BULAN : MEI 2021

KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA


NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
1 PS VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair/Sonde 0 Rp0.00
0 Rp0.00
2 Cendrawasih VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp65,000.00 Rp0.00
Cair 0 Rp0.00
3 Kolibri VIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 2 3 3 4 4 4 3 3 3 1 1 1 1 2 4 5 4 4 3 2 2 2 2 4 5 4 4 4 3 3 4 94 Rp65,000.00 Rp6,110,000.00
Cair 1 2 2 1 6 Rp0.00
0 Rp0.00
4 Jalak I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 2 2 Rp0.00
Diit 3 3 2 2 1 1 1 2 2 1 1 2 1 1 23 Rp32,000.00 Rp736,000.00
Cair 1 1 1 3 Rp32,000.00 Rp96,000.00
0 Rp0.00
5 Gelatik II Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 1 1 1 3 Rp0.00
Diit 1 2 2 4 2 1 1 1 2 2 3 2 23 Rp0.00
Cair 0 Rp0.00
0 Rp0.00
KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA
NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
6 Kenari III Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 1 1 2 Rp24,000.00 Rp48,000.00
Diit 1 3 2 3 3 3 3 4 5 6 3 2 1 3 4 5 5 2 2 2 3 5 6 7 5 5 6 6 7 112 Rp24,000.00 Rp2,688,000.00
Cair 2 1 1 4 Rp0.00
0 Rp0.00
7 ICU I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 17 Rp 32,000.00 Rp544,000.00
Cair 1 2 1 1 3 3 3 3 3 3 2 3 1 2 1 1 2 2 2 1 1 1 42 Rp 32,000.00 Rp1,344,000.00
0 Rp0.00
JML PASIEN 3 6 5 8 9 9 7 9 6 8 8 8 8 10 13 17 18 16 13 8 8 9 9 15 18 17 16 15 12 10 13 331
JUMLAH BIAYA Rp11,566,000.00

Purworejo , Juni 2021

Mengetahui
Kepala Instalasi Gizi PJ Penyelenggaraan Makanan

Tri Wardhani, S.Si.T Galuh Palupi, AMG


NIP. 19740512 200312 2 006 NIP.197610052011012003
PERMOHONAN BIAYA MAKAN HARIAN
PASIEN RAWAT INAP

BULAN : JUNI 2021

KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA


NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
1 PS VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair/Sonde 0 Rp0.00
0 Rp0.00
2 Cendrawasih VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp65,000.00 Rp0.00
Cair 0 Rp0.00
3 Kolibri VIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 6 7 8 8 10 10 6 6 6 7 8 11 15 21 17 19 17 21 24 17 21 21 19 18 17 19 17 18 19 19 432 Rp65,000.00 Rp28,080,000.00
Cair 1 1 2 2 1 7 Rp65,000.00 Rp455,000.00
0 Rp0.00
4 Jalak I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 1 2 2 3 2 2 3 2 1 1 1 1 1 3 3 4 3 3 3 3 4 9 6 7 7 6 5 9 9 15 121 Rp32,000.00 Rp3,872,000.00
Cair 1 1 1 1 1 1 6 Rp32,000.00 Rp192,000.00
0 Rp0.00
5 Gelatik II Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 1 1 1 1 1 1 3 4 1 2 2 2 3 2 1 1 5 5 4 2 12 21 21 23 26 24 22 25 217 Rp32,000.00 Rp6,944,000.00
Cair 1 1 1 3 Rp0.00
0 Rp0.00
KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA
NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
6 Kenari III Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 1 1 Rp24,000.00 Rp24,000.00
Diit 7 11 8 7 9 7 9 2 4 3 3 4 2 3 5 10 8 5 2 11 15 19 18 16 19 20 28 30 31 34 350 Rp24,000.00 Rp8,400,000.00
Cair 1 3 3 7 Rp0.00
0 Rp0.00
7 ICU I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 1 1 1 1 2 6 Rp 32,000.00 Rp192,000.00
Cair 1 1 1 2 1 1 1 1 2 1 2 2 1 1 1 19 Rp 32,000.00 Rp608,000.00
0 Rp0.00
JML PASIEN 16 22 21 20 24 21 22 14 13 15 17 20 21 30 29 35 31 32 35 36 44 51 57 64 66 71 79 84 84 95 0 1169
JUMLAH BIAYA Rp48,767,000.00

Purworejo , Juli 2021

Mengetahui
Kepala Instalasi Gizi PJ Penyelenggaraan Makanan

Tri Wardhani, S.Si.T Galuh Palupi, AMG


NIP. 19740512 200312 2 006 NIP.197610052011012003
PERMOHONAN BIAYA MAKAN HARIAN
PASIEN RAWAT INAP

BULAN : JULI 2021

KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA


NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
1 PS VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair/Sonde 0 Rp0.00
0 Rp0.00
2 Cendrawasih VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 3 3 4 3 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 2 3 3 3 3 3 3 3 2 2 81 Rp65,000.00 Rp5,265,000.00
Cair 0 Rp0.00
3 Kolibri VIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 15 17 18 16 13 13 13 17 16 17 13 16 17 15 15 16 17 16 16 13 13 17 16 17 14 16 16 16 14 16 15 479 Rp65,000.00 Rp31,135,000.00
Cair 1 1 Rp65,000.00 Rp65,000.00
0 Rp0.00
4 Jalak I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 18 19 22 18 18 17 18 14 15 13 17 20 16 15 33 27 21 26 21 30 30 37 23 27 25 16 15 18 10 8 3 610 Rp32,000.00 Rp19,520,000.00
Cair 1 1 2 Rp32,000.00 Rp64,000.00
0 Rp0.00
5 Gelatik II Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 23 22 22 20 20 18 15 15 19 23 23 24 23 26 24 24 25 26 25 25 24 24 24 23 23 21 17 21 16 18 19 672 Rp26,000.00 Rp17,472,000.00
Cair 2 3 3 1 1 1 1 1 1 1 2 1 2 2 2 2 2 2 30 Rp26,000.00 Rp780,000.00
0 Rp0.00
KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA
NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
6 Kenari III Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 28 30 28 29 29 26 27 20 21 25 26 26 28 33 28 28 26 24 26 27 27 24 27 26 27 27 22 23 16 17 12 783 Rp24,000.00 Rp18,792,000.00
Cair 1 1 2 2 1 1 1 1 1 1 1 2 1 2 18 Rp24,000.00 Rp432,000.00
0 Rp0.00
7 ICU I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 5 3 3 3 3 4 3 4 4 4 3 2 5 4 4 4 3 3 3 3 2 3 4 4 3 3 3 3 4 4 4 107 Rp 32,000.00 Rp3,424,000.00
Cair 1 1 2 1 1 1 1 1 1 2 1 1 1 1 1 17 Rp 32,000.00 Rp544,000.00
0 Rp0.00
JML PASIEN 95 98 102 92 88 82 80 74 78 85 85 91 94 96 107 102 98 101 95 101 103 110 98 103 98 90 81 87 64 65 57 2800
JUMLAH BIAYA Rp97,493,000.00

Purworejo, 6 Agustus 2021

Mengetahui
Kepala Instalasi Gizi PJ Penyelenggaraan Makanan

Tri Wardhani, S.Si.T Galuh Palupi, AMG


NIP. 19740512 200312 2 006 NIP.197610052011012003
PERMOHONAN BIAYA MAKAN HARIAN
PASIEN RAWAT INAP

BULAN : AGUSTUS 2021

KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA


NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
1 PS VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp0.00
Cair/Sonde 0 Rp0.00
0 Rp0.00
2 Cendrawasih VVIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 0 Rp65,000.00 Rp0.00
Cair 0 Rp0.00
3 Kolibri VIP Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 11 14 13 12 50 Rp65,000.00 Rp3,250,000.00
Cair 1 1 1 3 Rp65,000.00 Rp195,000.00
0 Rp0.00
4 Jalak I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 5 5 5 5 20 Rp32,000.00 Rp640,000.00
Cair 0 Rp32,000.00 Rp0.00
0 Rp0.00
5 Gelatik II Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 19 19 16 16 70 Rp26,000.00 Rp1,820,000.00
Cair 2 2 2 2 8 Rp26,000.00 Rp208,000.00
0 Rp0.00
KELAS JUMLAH PENDERITA SATUAN BIAYA JUMLAH BIAYA
NO RUANG JENIS JUMLAH
PERAWATAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (RP) (RP)
6 Kenari III Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 13 12 15 20 60 Rp24,000.00 Rp1,440,000.00
Cair 3 2 2 7 Rp24,000.00 Rp168,000.00
0 Rp0.00
7 ICU I Saring 0 Rp0.00
TKTP 0 Rp0.00
B/T/N 0 Rp0.00
Diit 4 4 4 4 16 Rp 32,000.00 Rp512,000.00
Cair 0 Rp 32,000.00 Rp0.00
0 Rp0.00
JML PASIEN 58 59 58 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234
JUMLAH BIAYA Rp8,233,000.00

Purworejo, 10 Agustus 2021

Mengetahui
Kepala Instalasi Gizi PJ Penyelenggaraan Makanan

Tri Wardhani, S.Si.T Galuh Palupi, AMG


NIP. 19740512 200312 2 006 NIP.197610052011012003
PERMOHONAN BIAYA MAKAN HARIAN
PASIEN MONDOK

TANGGAL :1/4/21

KELAS JUMLAH SATUAN BIAYA JUMLAH BIAYA


NO RUANG JENIS
PERAWATAN PENDERITA (RP) (RP)
1 PS VVIP Saring Rp0.00
TKTP
B/T/N Rp0.00
Diit Rp0.00
Cair/Sonde Rp0.00

2 VIP VIP Saring Rp0.00


TKTP
B/T/N Rp0.00
Diit 4 Rp0.00
Cair Rp0.00

3 Jalak I Saring Rp0.00


TKTP
B/T/N Rp0.00
Diit Rp0.00
Cair 1 Rp0.00

4 Gelatik II Saring Rp0.00


TKTP
B/T/N Rp0.00
Diit Rp0.00
Cair Rp0.00

5 Kenari III Saring Rp0.00


TKTP
B/T/N Rp0.00
Diit 1 Rp0.00
Cair Rp0.00

6 ICU I Saring Rp0.00


TKTP Rp0.00
B/T/N Rp0.00
Diit Rp0.00
Cair Rp0.00

7 Saring Rp0.00
TKTP Rp0.00
B/T/N Rp0.00
Diit Rp0.00
Cair Rp0.00

8 Saring Rp0.00
TKTP Rp0.00
B/T/N Rp0.00
Diit Rp0.00
Cair Rp0.00

7 Saring Rp0.00
TKTP Rp0.00
B/T/N Rp0.00
Diit Rp0.00
Cair Rp0.00

JML PASIEN 6
JUMLAH BIAYA Rp0.00

Purworejo , Mei 2021

Mengetahui
Kepala Instalasi Gizi

Tri Wardhani, S.Si.T


NIP. 1974p512 200312 2 006
REKAPAN BIAYA MAKAN PASIEN

BULAN : AGUSTUS
TANGGAL JUMLAH PASIEN SIANG JUMLAH PASIEN SORE TOTAL BIAYA

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 302 Rp 16,226,800.00
16
17
18
19
20 309 Rp -
21 328 Rp17,324,200.00
22 326 17,
23 295 Rp 15,637,600.00
24
25
26 314 Rp 167,843.60
27 317 Rp16.901.400
28
29
30
31
TOTAL BIAYA

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