DAFTAR DISTRIBUSI JASA LABORATORIUM MIFTA POLEWALI BULAN mei 2020 RUMAH SAKIT BERSA

KODE HARGA

NO TGL NAMA PASIEN URAIAN TARIF TOTAL

dr BAYAR L KLINIK

1 2 3 4 5 6 7 8 9
RAWAT INAP
1 24/05/2020 TN. ABD. RAUF IB Darah Rutin 64,000
Golongan Dara 17,000
RDT CV19 300,000
L 3,000 3,000

BHP 7,000 7,000

Spoit + Tempat 10,000 401,000 10,000
2 26/5/2020 NY. IRMAYANTI FN Darah Rutin 64,000
Golongan Dara 17,000
RDT CV19 300,000
L 3,000 3,000

BHP 7,000 7,000

Spoit + Tempat 10,000 401,000 10,000
3 25/05/2020NY.A.DARMAWATI EI Darah Rutin 64,000
Darah Rutin 64,000
Elektrolit 265,000 265,000

Kolesterol 36,000
Kolesterol 36,000
Kolesterol 36,000
Asam Urat 33,000
Asam Urat 33,000
Ureum 33,000
Ureum 33,000
Kreatinin 33,000
Kreatinin 33,000
SGPT 33,000

Golongan Dara 17,000

GDS 22,000
GDS 22,000
GDS 22,000
RDT CV19 300,000
L 20,000 20,000

BHP 30,000 30,000

Spoit + Tempat 35,000 1,200,000 35,000
4 27/5/2020 TN. YOSENG IB RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

 Spoit + Tempat 10,000 318,000 10,000
5 28/5/2020 NY. HJ. HASRIANI FN Darah Rutin 64,000
Golongan Dara 17,000
RDT CV19 300,000
L 3,000 3,000

BHP 7,000 7,000

Spoit + Tempat 10,000 401,000 10,000
6 29/05/2020NY.ZASKIA ABIDIN FN Darah Rutin 64,000
Darah Rutin 64,000
Golongan Dara 17,000
RDT CV19 300,000
L 4,000 4,000

BHP 7,000 7,000

Spoit + Tempat 15,000 471,000 15,000
7 30/05/2020
TN.EKO WIJAKSONO KR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
8 30/05/2020 NY.JUMANI SW Darah Rutin 64,000
Darah Rutin 64,000
Golongan Dara 17,000
RDT CV19 300,000
GDS 33,000
GDS 33,000
GDS 33,000
GDS 33,000
Kreatinin 33,000

L 10,000 10,000

BHP 9,000 9,000

Spoit + Tempat 30,000 659,000 30,000
9 2/6/2020 NY.HJ.NONI AA Darah Rutin 64,000
Elektrolit 265,000 265,000

Kolesterol 36,000
GDS 22,000
Asam Urat 33,000

RDT CV19 300,000

L 4,000 4,000

BHP 6,000 6,000

Spoit + Tempat 12,000 742,000 12,000
10 5/6/2020 TN. KIDING EI Darah Rutin 64,000
Ureum 33,000
Kreatinin 33,000
SGOT 33,000
SGPT 33,000
 GDS 22,000
GDS 22,000
L 22,000 22,000

BHP 20,000 20,000

Spoit + Tempat 15,000 297,000 15,000
11 3/6/2020 NY. RASMA FN GDS 33,000
GDS 33,000
Darah Rutin 64,000
Darah Rutin 64,000
Darah Rutin 64,000
Golongan Dara 17,000
RDT CV19 300,000
L 8,000 8,000

BHP 10,000 10,000

Spoit + Tempat 20,000 613,000 20,000
12 7/6/2020 TN.H.MIQDI AA/EI Darah Rutin 64,000
Darah Rutin 64,000
Elektrolit 265,000 265,000

HDL 100,000 100,000

LDL 100,000 100,000

Kolesterol 36,000
Trigliserida 50,000 50,000
Asam Urat 33,000
Ureum 33,000
Ureum 33,000
Kreatinin 33,000
Kreatinin 33,000
SGPT 33,000

Golongan Dara 17,000

GDS 33,000
GDS 33,000
GDS 22,000
GDS 33,000
GDS 33,000
RDT CV19 300,000
L 34,000 34,000

BHP 50,000 50,000

Spoit + Tempat 50,000 1,482,000 50,000
13 7/6/2020 NY.HJ.HALMIA EI Darah Rutin 64,000
Elektrolit 265,000 265,000

Kolesterol 36,000
Ureum 33,000
Kreatinin 33,000

GDS 33,000
RDT CV19 300,000
 Urine Rutin 50,000

L 8,000 8,000

BHP 10,000 10,000

Spoit + Tempat 20,000 852,000 20,000
14 5/6/2020 TN.SUPRIANTO AA Darah Rutin 64,000
Golongan Dara 17,000
Kolesterol 36,000
Asam Urat 33,000

GDS 22,000
GDS 33,000
RDT CV19 300,000
L 15,000 15,000

BHP 19,000 19,000

Spoit + Tempat 30,000 569,000 30,000
15 8/6/2020 NY.HJ.HIDAYATI EI Darah Rutin 64,000
Golongan Dara 17,000
Widal 28,000

RDT CV19 300,000

Urine Rutin 50,000

L 10,000 10,000

BHP 16,000 16,000

Spoit + Tempat 30,000 515,000 30,000
16 14/06/2020 AN.MUH.FIQRI AK Darah Rutin 64,000
Golongan Dara 17,000
RDT CV19 300,000
GDS 33,000
L 3,000 3,000

BHP 10,000 10,000

Spoit + Tempat 18,000 445,000 18,000
17 14/06/2020
TN. H. HASANUDDIN SEI Darah Rutin 64,000
Darah Rutin 64,000
Golongan Dara 17,000
Widal 28,000

RDT CV19 300,000

Urine Rutin 50,000

Kolesterol 36,000
Asam Urat 33,000

GDS 22,000
Kolesterol 36,000
Asam Urat 33,000

GDS 33,000
L 20,000 20,000

BHP 25,000 25,000

Spoit + Tempat 37,000 798,000 37,000
RAWAT JALAN

1 26/05/2020 TN.IMAM TRI IR RDT CV19 300,000

L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
2 26/05/2020 TN.ERWIN IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
3 26/05/2020 TN.M.IDRIS IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
4 26/05/2020 TN. YUSENG IB Darah Rutin 64,000
GDS 33,000
L 2,000 2,000

BHP 7,000 7,000

Spoit + Tempat 10,000 116,000 10,000
5 27/5/2020 TN. SUDIN LL Kolesterol 36,000
Asam Urat 33,000

GDS 22,000
L 3,000 3,000

BHP 2,000 2,000

Spoit + Tempat 14,000 110,000 14,000
6 27/5/2020 TN. ANSARUDDIN LL Darah Rutin 64,000
Kolesterol 36,000
Asam Urat 33,000

L 3,000 3,000
 BHP 2,000 2,000
Spoit + Tempat 10,000 148,000 10,000
7 27/5/2020 TN. WILDANI RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
8 27/5/2020 TN. ARIF BIJAKSANA RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
9 27/5/2020 TN. EDI RUSTANDI RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
10 27/5/2020 TN. M. TRINUR RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
11 27/5/2020 TN.MUAYYAD RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
12 27/5/2020 DION HARISAM RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
13 27/5/2020 TN.MUNDING EI Darah Rutin 64,000
GDS 33,000
Ureum 33,000
Kreatinin 33,000

RDT CV19 300,000

L 6,000 6,000

BHP 7,000 7,000

Spoit + Tempat 15,000 491,000 15,000
14 27/5/2020 TN.MEMET RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
15 27/5/2020 TN.AHMAD NURDIN RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
16 27/5/2020 TN.MUH.RIDWAN RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

 Spoit + Tempat 10,000 318,000 10,000
17 27/5/2020 TN.ABD.RAHMAN RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
18 28/05/2020 TN.RISMAN RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
19 28/05/2020 TN.RASDI RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
20 28/05/2020 TN.HAMKA RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
21 28/05/2020 NY.NURJANNAH BINT IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
22 28/05/2020 TN.ABD.RAHMAN BI IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
23 28/05/2020 TN.SUPARDI IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
24 28/05/2020 TN. SAMSUL RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
25 28/05/2020 TN. MUKHLIS RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
26 28/05/2020 TN. ISMAIL RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
27 28/05/2020 TN. WAYAN SAPUTR RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
28 28/05/2020 TN. MAHFUD RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
29 28/05/2020 TN. SAKIDUL RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
30 28/05/2020 TN. SOLIHIN RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
31 28/05/2020 TN. TAJUDDIN SW GDS 33,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 51,000 10,000
32 28/05/2020 TN. ABD. LATIF SW GDS 33,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 51,000 10,000
33 29/5/2020 NY. RAHYUNI RD GDS 33,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 51,000 10,000
34 29/5/2020 TN.MASRULLAH LL Kolesterol 36,000
Asam Urat 33,000

GDS 22,000
L 3,000 3,000

BHP 2,000 2,000

Spoit + Tempat 15,000 111,000 15,000
35 29/5/2020 TN.MUHLIS RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
36 29/5/2020 NY.HAYANA ALI EI GDS 33,000
RDT CV19 300,000
L 2,000 2,000

BHP 5,000 5,000

Spoit + Tempat 10,000 350,000 10,000
37 30/5/2020 TN. ARSYAD LL Kolesterol 36,000
Asam Urat 33,000

GDS 22,000
L 3,000 3,000

BHP 2,000 2,000

Spoit + Tempat 15,000 111,000 15,000
38 30/5/2020 MUH. QADRI RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
39 30/5/2020 NY,ERNAWATI RD plano test 25,000 25,000

RDT CV19 300,000

L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 343,000 10,000
40 30/5/2020 NY. SURIANTI RD Widal 28,000

Kolesterol 36,000
Asam Urat 33,000

GDS 22,000
L 9,000 9,000

BHP 9,000 9,000

Spoit + Tempat 20,000 157,000 20,000
41 30/5/2020 TN. HAEDAR RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
42 30/5/2020 NT. ILHAM RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
43 30/5/2020 TN. FENDI YUSUF RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
44 30/5/2020 TN. M. NISAR RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
45 30/5/2020 TN. AFDAL ALWI RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
46 30/5/2020 TN. HAFID RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
47 30/5/2020 TN. IRFAN RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
48 06/01/20 TN. WANDA HAFIZ KR RDT CV19 300,000
 L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
49 06/01/20 TN. DEWA MADE KR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
50 06/01/20 TN. MAHSYAR TAUFI KR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
51 06/01/20 TN. EDI PRASONO IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
52 06/01/20 TN. SUGIANTO IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
53 06/01/20 TN. NO'EL JEFFRY IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
54 06/01/20 NN. SRI HANDAYANI IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000

55 06/01/20 TN, ANDRI AWAN AL IR RDT CV19 300,000

L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
56 06/01/20 TN, IR. YULIS MAS'U IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
57 06/01/20 TN.IKBAL IR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
58 06/01/20 TN.H.ABD.SAMAD AA Kolesterol 36,000
Asam Urat 33,000

GDS 22,000
L 3,000 3,000
 BHP 2,000 2,000
Spoit + Tempat 15,000 111,000 15,000
59 06/02/20 TN.MUH.SUKRI RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
60 06/02/20 TN.ABD.KARIM RD RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
61 06/02/20 TN. AKBAR AM RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
62 06/02/20 TN. JENNY AM RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
63 06/02/20 NY. PAIDA AM RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
64 06/03/20 TN. MAHYUDDIN KR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
65 06/03/20 TN. DAN SAPTARIAN AM RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
66 06/03/20 TN. ANDIK SUPRIYA KR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
67 06/03/20 TN. ELO SUPRIY KR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
68 06/03/20 TN. PONADI KR RDT CV19 300,000
L 1,000 1,000

BHP 7,000 7,000

Spoit + Tempat 10,000 318,000 10,000
69 06/03/20 TN. MUH.ARIF KR 318,000
70 06/03/20 TN. DHANIS LINGGA KR 318,000
71 06/03/20 TN.ANDI DWI RISWA KR 318,000
72 06/03/20 NY.SITIAWAN TASWI KR 318,000
73 06/03/20 TN.ILHAM KALIMUT KR 318,000
74 06/03/20 TN.SYAMSU MARLIN RD 318,000
75 06/03/20 TN.YASIN ZAKARIA RD 318,000
76 06/03/20 TN.PURJITO EI 176,000
77 06/03/20 TN.H.LAPADDI AA 51,000
78 06/04/20 TN.MUNDING EI 305,000
79 06/04/20 TN.SUPRIYANTO RD 77,000
80 06/04/20 TN.YUSFARHAM AM 318,000
81 06/04/20 NY.ELVIRA OKTAVIA AM 318,000
82 06/04/20 TN. SAING IM 51,000
83 06/04/20 NY. ST. ASIA AM 111,000
84 06/05/20 NY.NURSILA RD 111,000
85 06/05/20 TN.RAHMAN EI 82,000
86 06/05/20 TN.ZAINUDDIN RD 105,000
87 06/06/20 TN.A.MASDAR AM 335,000
88 06/06/20 TN.ANDI SAMAD AM 335,000
89 06/06/20 TN.SATRIO AM 335,000
90 06/06/20 TN.AHMAD AM 335,000
91 06/06/20 TN.WAHYU AM 335,000
92 06/06/20 NY.NUR SANI AM 335,000
93 06/06/20 TN.MUH.IRDAM AM 335,000
94 06/06/20 TN.YUSMAN AM 335,000
95 06/06/20 TN.RAQIB AM 335,000
96 06/06/20 AN.SYAFIQAH/NY.RE AM 335,000
97 06/06/20 NY.HJ.SUGIARTI AM 119,000
98 06/06/20 NY.RENI AM 335,000
99 06/06/20 NY.A.NURTA AM 335,000
100 06/06/20 TN.NASRI AM 335,000
101 06/06/20 TN.MATAWANG AM 335,000
102 06/06/20 TN.MUH.ICHWAN AM 335,000
103 06/06/20 TN.FIRMAN AM 335,000
104 06/06/20 TN.WAHID AM 335,000
105 06/06/20 TN. SUDIRMAN SW 91,000
106 06/06/20 TN.M.YUNUS SW 51,000
107 06/06/20 TN. MUHAMMAD LA IR 425,000
108 06/08/20 TN, SIMAIL LL 51,000
109 06/08/20 TN. SURAHMAN SW 68,000
110 06/08/20 NY. NANI SOPIANI RD 335,000
111 06/08/20 NY. JONI SANTOSO RD 335,000
112 06/08/20 TN. YULI RISWANDY RD 335,000
113 06/08/20 TN. MUH. NASIR R, S RD 335,000
114 06/08/20 NN. REFIANA NURFA RD 335,000
115 06/08/20 TN.ALWI ABD.RASYI RD 335,000
116 06/08/20 TN.HARLAN RD 335,000
117 06/08/20 TN.RUSLI RD 335,000
118 06/08/20 TN.BAHHIR RD 335,000
119 06/08/20 TN.DIDI WAHYUDI RD 335,000
120 06/08/20 NY.MARDINA IM 51,000
121 06/09/20 TN.RASMAN RD 335,000
122 06/09/20 NY.MARWA AF 335,000
123 06/09/20 TN.ARDY PUTRA RD 335,000
124 06/09/20 AN.MAYRENA YARA RD 335,000
125 06/09/20 NY.UMMI UMAIRAH RD 335,000
126 06/09/20 NY.FATMA RD 335,000
127 06/09/20 TN.HASANUDDIN RD 335,000
128 06/09/20 NY.KURNIAWATI RD 335,000
129 06/09/20 TN.ARDIYANTO RD 335,000
130 06/09/20 NY.HARDIAH RD 335,000
131 06/09/20 TN.NIZAR RD 335,000
132 06/09/20 NY.RAMADHANI RD 335,000
133 06/09/20 TN.SWARDI RD 335,000
134 06/09/20 TN.ADE RD 335,000
135 06/09/20 TN.MUH.ABICHAND RD 335,000
136 06/09/20 TN.SAPARUDDIN RD 335,000
137 06/09/20 TN.KAMARUDDIN RD 335,000
138 06/09/20 TN. ROMA AM 335,000
139 06/09/20 TN. ASDAR AM 335,000
140 06/09/20 TN. SUDIRMAN AM 335,000
141 06/09/20 TN. RAHMAN AM 335,000
142 06/09/20 TN. RASYID AM 335,000
143 06/09/20 TN. ASRULLAH AM 335,000
144 06/09/20 TN. SUWA AM 335,000
145 06/09/20 TN. SALEH AM 335,000
146 06/09/20 TN. SAHARUNA AF 335,000
147 06/09/20 TN. IBNU AKBAR AF 335,000
148 06/09/20 TN.HARIS MUNANDA AF 335,000
149 06/09/20 NY. NURJANNAH AF 335,000
150 06/09/20 TN. SOFIAN AF 335,000
151 06/09/20 KAMARUDDIN AF 335,000
152 06/09/20 NY. HJ. HASNA LL 312,000
153 06/09/20 TN.H.ANDI UNTA LL 244,000
154 06/09/20 TN.ANDI MIFTA AF 335,000
155 06/09/20 TN. SIGIT STEOHADI AF 335,000
156 06/10/20 TN.ROMANSYAH RD 335,000
157 06/10/20 TN.AHMAD NURDIN RD 335,000
158 06/10/20 TN. PITOYO KR 54,000
159 06/10/20 TN.WELAN LL 111,000
160 06/10/20 TN.SAPPAIN RD 335,000
161 06/10/20 NY.FITRIA RD 218,000
162 06/10/20 TN.ABD.BAKAR KADI LL 51,000
163 06/10/20 NY.HJ.ROSLAENI IM 51,000
164 06/11/20 TN.HENDRA AF 335,000
165 06/11/20 TN.NURDIANSYAH AF 335,000
166 06/11/20 TN.ASEP RIDWAN N AF 335,000
167 06/11/20 NY.EVI AF 335,000
168 06/11/20 NY.MASRIANI AF 335,000
169 06/11/20 TN.AZIS AF 335,000
170 06/11/20 NY.ADINDA AF 335,000
171 06/11/20 TN.M.SALHAQ AF 335,000
172 06/11/20 TN. NURDIN AF 335,000
173 06/11/20 TN. I NENGAH BUDI SW 51,000
174 06/11/20 NY. CAMBA SW 77,000
175 06/11/20 AN. KHAIRUL ZAMA AM 335,000
176 06/11/20 AN. AHZAN MA'DUF AM 335,000
177 06/12/20 TN. JULIANTO AF 335,000
178 06/12/20 NY. NURUL FITRI AM 335,000
179 06/12/20 NN. ROBIATUL AM 335,000
180 06/12/20 AN. NASIRAH AM 335,000
181 06/12/20 AN. ARKAN AM 335,000
182 06/12/20 NY.HJ.NARISA RD 153,000
183 06/12/20 TN.MASIMAN RD 335,000
184 06/12/20 AN.ARGYA RD 335,000
185 06/12/20 TN.AHMAD RD 335,000
186 06/12/20 TN.ARIES RESSA RD 335,000
187 06/12/20 TN.MUH.IKHWAN RD 335,000
188 06/12/20 NY.SUGIARTI EI 82,000
189 13/6/2020 NN. NUR WAHDA KU AM 335,000
190 13/6/2020 MAULIDYA AM 335,000
191 13/6/2020 NUR INDAHSARI DA AM 335,000
192 13/6/2020 TN. ALFAT SUDIRMA AF 335,000
193 13/6/2020 NY. NIRWANA AF 335,000
194 13/6/2020 TN. HANADI AF 335,000
195 13/6/2020 TN. SARIPUDDIN AF 335,000
196 13/6/2020 NN. MURDHIAH NUR AF 335,000
197 13/6/2020 AN. NUR AISYAH H AF 335,000
198 13/6/2020 NN. SINTA IRAWATI AF 335,000
199 13/6/2020 NY. ISMAWATI AF 335,000
200 13/6/2020 TN. ARNAM AF 335,000
201 13/6/2020 AN. MUH. LUTFI RUS AF 335,000
202 13/6/2020 TN. BUSMAN AF 335,000
203 13/6/2020 AN. DIMAS AF 335,000
204 13/6/2020 AN. LUTFI AF 335,000
205 13/6/2020 NY. ISTIAMI AF 335,000
206 13/6/2020 AN. NUR ALYA HIDA AF 335,000
207 13/6/2020 TN.MIFTAH AF 335,000
208 13/6/2020 TN.RAHMATULLAH AF 335,000
209 13/6/2020 TN.AL-FITRAH AM 335,000
210 13/6/2020 NY.RWAEDAH SW 184,000
211 13/6/2020 NY.NURAENI FN 82,000
212 13/6/2020 NN.SAFITRI IR 116,000
213 14/6/2020 TN.IFUL KENDY IR 335,000
214 14/6/2020 TN.IBNUL MUNDZIR IR 335,000
215 14/6/2020 AN. MUHAMMAD NA AF 335,000
216 14/6/2020 TN.RANDY ADIZAMA IR 335,000
217 14/6/2020 NN.NUR ZAKIAH IR 335,000
218 14/6/2020 TN.ARMAN ABDULL IR 335,000
219 14/6/2020 NY.HJ.NANNA IR 335,000
220 14/6/2020 TN.ADIP FUADI IR 335,000
221 14/6/2020 NN.AMIRA SRIDINAN IR 335,000
222 14/6/2020 RAHMA IR 335,000
223 14/6/2020 ULFA KAUZARIR IR 335,000
224 14/06/2020 IRDAN KADIR IR 335,000
225 15/06/2020 AN.MUH FITRA FAHR IR 335,000
226 15/06/2020 ANSARI RD 335,000
227 15/06/2020 HARJUNA RD 335,000
228 15/06/2020 RAHMA RD 335,000
229 15/06/2020 HAJARIAH RD 335,000
230 15/06/2020 TN.YOHANES RD 54,000
231 15/06/2020 TN.BAHRUL RD 335,000
232 15/06/2020 TN.M.BASHARI RD 335,000
233 15/06/2020 TN.JONI RD 335,000
234 15/06/2020 NY.NANI LL 82,000
235 15/06/2020 TN.SUBADRI RD 121,000
236 15/06/2020 NY.FADILAH RD 335,000
237 15/06/2020 TN.FADILAH RD 335,000
238 15/06/2020 AN. KAYLA RD 335,000
239 15/06/2020 AN.MUH.AMMAR RD 335,000
240 15/06/2020 INDRIANAH RD 335,000
241 15/06/2020 SURIANI RD 335,000
242 15/06/2020 M.PAJRI RD 335,000
243 15/06/2020 TN. UDING EI 236,000
244 16/06/2020 NY.HJ.BUBA RD 88,000
245 16/06/2020 AN.RANIA RD 335,000
246 16/06/2020 TN.SAMSUL RD 335,000
247 16/06/2020 NY.NASRIANI RD 335,000
248 16/06/2020 NY.HJ.SANAATI LL 111,000
249 16/06/2020 NY.LELA RD 335,000
250 16/06/2020 TN.MURIADI RD 335,000
251 16/06/2020 TN.ARIS SANDY RD 335,000
 252 16/06/2020 TN.RACHMAT RD 335,000
253 16/06/2020 TN. SAUDI NURDIN AF 335,000
254 16/06/2020 NY. WAHYUNI AF 335,000
255 16/06/2020 TN. ABD. ROHMAN IA 335,000
256 17/06/2020 TN. FREDI AKBAR AF 335,000
257 17/06/2020 NY. SYAMSIDAR AF 335,000
258 17/06/2020 AN. ABDILLAAH HA AF 335,000
259 17/06/2020 TN. ZULKIFLI AF 335,000
260 17/06/2020 NN. RESKI AULIAH AF 335,000
261 17/06/2020 TN. MUHAMMAD AL AF 335,000
262 17/06/2020 NY. ST. NUR AF 111,000

TOTAL 30,173,000 29,371,000 262,000 3,109,000

(802,000)

Rincian Rawat Inap 10,482,000 10,482,000 -

Jasa Laboran 1,159,524 Rawat Jalan 19,691,000 19,691,000 -
Total Bruto 30,173,000 30,173,000 -

dr. Nur Rahmi, Sp. PK 1,159,524.00

Reagensia 20,360,200.00
Jasa Klinik 3,542,990.00
BHP 3,109,000.00
L 262,000
6,651,990.00
LAN mei 2020 RUMAH SAKIT BERSALIN & KLINIK SPESIALIS MIFTA
HARGA JASA JASA

Dokter
TOTAL JASA KD AN PJ LABORAN Pengirim
REAGEN KLINIK 55% PEMB. LAB 45% 40% 40 % 20 %

10 11 12 13 14 15 16 17

-
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 401,000
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
- - - - -
K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 401,000
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
- - - - -
K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 1,200,000
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
- -
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
10,000 23,000.00 12,650.00 10,350.00 L 4,140.00 4,140.00 2,070.00
10,000 23,000.00 12,650.00 10,350.00 L 4,140.00 4,140.00 2,070.00
13,500 19,500.00 10,725.00 8,775.00 L 3,510.00 3,510.00 1,755.00
13,500 19,500.00 10,725.00 8,775.00 L 3,510.00 3,510.00 1,755.00
7,500 25,500.00 14,025.00 11,475.00 L 4,590.00 4,590.00 2,295.00
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
 K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
- - - - -
K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 471,000
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
- - - - -
K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 659,000
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
13,500 19,500.00 10,725.00 8,775.00 L 3,510.00 3,510.00 1,755.00
- - - - -
K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 742,000
- -
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 297,000
10,000 23,000.00 12,650.00 10,350.00 L 4,140.00 4,140.00 2,070.00
13,500 19,500.00 10,725.00 8,775.00 L 3,510.00 3,510.00 1,755.00
7,500 25,500.00 14,025.00 11,475.00 L 4,590.00 4,590.00 2,295.00
7,500 25,500.00 14,025.00 11,475.00 L 4,590.00 4,590.00 2,295.00
 5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00

K
K
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00 613,000
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
- - - - -
K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 1,482,000
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
- -
- -
- -
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
- -
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
10,000 23,000.00 12,650.00 10,350.00 L 4,140.00 4,140.00 2,070.00
10,000 23,000.00 12,650.00 10,350.00 L 4,140.00 4,140.00 2,070.00
13,500 19,500.00 10,725.00 8,775.00 L 3,510.00 3,510.00 1,755.00
13,500 19,500.00 10,725.00 8,775.00 L 3,510.00 3,510.00 1,755.00
7,500 25,500.00 14,025.00 11,475.00 L 4,590.00 4,590.00 2,295.00
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 852,000
- -
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
10,000 23,000.00 12,650.00 10,350.00 L 4,140.00 4,140.00 2,070.00
13,500 19,500.00 10,725.00 8,775.00 L 3,510.00 3,510.00 1,755.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
 8,000 42,000.00 23,100.00 18,900.00 L 7,560.00 7,560.00 3,780.00 68,000

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 569,000
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 515,000
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
3,500 24,500.00 13,475.00 11,025.00 L 4,410.00 4,410.00 2,205.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
8,000 42,000.00 23,100.00 18,900.00 L 7,560.00 7,560.00 3,780.00

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 445,000
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
- - - - -
K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 798,000
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00
5,000 12,000.00 6,600.00 5,400.00 L 2,160.00 2,160.00 1,080.00
3,500 24,500.00 13,475.00 11,025.00 L 4,410.00 4,410.00 2,205.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00
8,000 42,000.00 23,100.00 18,900.00 L 7,560.00 7,560.00 3,780.00
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 116,000
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
- - - - -
K
K
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00 110,000
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 148,000
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
- - - - -
 K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
32,000 32,000.00 17,600.00 14,400.00 L 5,760.00 5,760.00 2,880.00 491,000
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00
10,000 23,000.00 12,650.00 10,350.00 L 4,140.00 4,140.00 2,070.00
13,500 19,500.00 10,725.00 8,775.00 L 3,510.00 3,510.00 1,755.00
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
 K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00 51,000

K
K
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00 51,000

K
K
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00 51,000

K
K
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00 111,000
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
20,000 13,000.00 7,150.00 5,850.00 L 2,340.00 2,340.00 1,170.00 350,000
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00

K
K
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00 111,000
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
343,000
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00

K
K
3,500 24,500.00 13,475.00 11,025.00 L 4,410.00 4,410.00 2,205.00 157,000
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000
 K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K

250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
10,200 25,800.00 14,190.00 11,610.00 L 4,644.00 4,644.00 2,322.00 111,000
9,500 23,500.00 12,925.00 10,575.00 L 4,230.00 4,230.00 2,115.00
5,800 16,200.00 8,910.00 7,290.00 L 2,916.00 2,916.00 1,458.00
 K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K
250,000 50,000.00 27,500.00 22,500.00 L 9,000.00 9,000.00 4,500.00 318,000

K
K

318,000
318,000
318,000
318,000
318,000
318,000
318,000
176,000
51,000
305,000
77,000
318,000
318,000
51,000
111,000
111,000
82,000
105,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
119,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
91,000
51,000
425,000
51,000
68,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
51,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
312,000
244,000
335,000
335,000
335,000
335,000
54,000
111,000
335,000
218,000
 51,000
51,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
51,000
77,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
153,000
335,000
335,000
335,000
335,000
335,000
82,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
184,000
82,000
116,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
54,000
335,000
335,000
335,000
82,000
121,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
236,000
88,000
335,000
335,000
335,000
111,000
335,000
335,000
335,000
 335,000

335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
335,000
111,000

20,360,200 6,441,800 3,542,990 2,898,810 - 1,159,524 1,159,524 579,762

-
DR, GOLDA, RAPID TEST

DR, GOLDA, RAPID TEST

DR(2X),GOLDA,GDS(2X),KOL(2X),AU,URE(2X),CREA(2X)SGPT,RDTCOVID,ELECTRO RSUD,GDS,KOL,AU(PUNYA BAPAKNYA)

RAPID TEST
 DR (2X),GOLDA,RAVID TEST

,GOLDA,GDS STRIP( 4X),CREA,RAPID TEST

R,GDS,KOL,AU,ELECTRO,RAPID TEST

R, GDS,URE.CREA,OT.PT. RAPID TEST

 DR,GDS,DOLDA, RAPID TEST

OL,AU,RAVID TEST,ELECTRO,URE,CREA+TG,LDL,HDL RSUD

DR,GDS STRIP,RAFID TEST,UR,URE,CREA,ELECTRO

OLDA,RDT 19 ,GDS,KOL,AU, GDS STRIP

DR,GOLDA,UR,WIDAL,RDT 19

DR,GOLDA ,RAFID TEST

GDS2,KOL2,AU2,WIDAL,UR,RDT COVID
DR, GDS STRIP

GDS,KOL,AU

DR,KOL,AU
RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAVID TEST,DR,GDS,URE,CREA

RAVID TEST

RAVID TEST

RAVID TEST
RAVID TEST

RAVID TEST

RAVID TEST

RAVID TEST

RAVID TEST

RAVID TEST

RAVID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST
RAPID TEST

RAPID TEST

RAPID TEST

GDS STRIP

GDS,KOL,AU

RAVID TEST

GDS,RAVID TEST

GDS,KOL,AU
RAPID TEST

PLANO TEST, RAPID TEST

GDS,KOL,AU,WIDAL

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST
RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

GDS,KOL,AU
RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST

RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
SGOT,SGPT,HBS AG
GDS STRIP
G2PP ,AIC RSUD
GDS,KOL
RAFID TEST
RAFID TEST
GD STRIP
GDS,KOL,AU
DR,WIDAL
DR
DR,GDS
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
GDS STRIP.URE,CREA
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
UR,GDS
GDS STRIP
RAPID TEST
GDS STRIP
UR
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
GDS STRIP
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
DR,GDS,KOL,AU,UR,CREA.OT.PT
DR,GDS,KOL,AU,URE,REA
RAPID TEST
RAPID TEST
RAPID TEST ( PT WINGGS )
RAPID TEST( PT WINNGS )
KOL
GDS,KOL,AU
RAFID TEST
DR,URE,CREA,SGOT,SGPT
GDS STRIP
GDS STRIP
RAFID TEST
RAFID TEST

RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST

GDS STRIP
GDS,KOL

RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
DR,KOL,AU
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
DR
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID
RAFID TEST
RAFID TEST
RAFID TEST
DR,GDS STRIP,URE,CREA
DR
DR,GDS STRIP
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
KOL
RAFID TEST
RAFID TEST
RAFID TEST
DR
DR,WIDAL
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
DR,WIDAL, GDS,KR,OT,PT
KOL,AU
RAFID TEST
RAFID TEST
RAFID TEST
GDS,KOL,AU
RAFID TEST
RAFID TEST
RAFID TEST
RAFID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
RAPID TEST
GDS,KOL,AU
AU(PUNYA BAPAKNYA)