DATA TRANSAKSI OBAT KRONIS DESEMBER 2021

No Bukti Transaksi Tanggal Transaksi No Registrasi Nama Pasien Total Kotor

AF2112020119 12/2/2021 0:00 RJ2112020063 ANISNAWATI, SAG Rp 41,400

AF2112060048 12/6/2021 0:00 RJ2112060024 SOUFRINUR MUHAMMAD, TN Rp 52,900

AF2112060070 12/8/2021 0:00 RJ2112060102 TATY, NY Rp 23,000

AF2112070077 12/8/2021 0:00 RJ2112070068 INDRA BAYU, TN Rp 23,000
AF2112080066 12/8/2021 0:00 RJ2112080068 HARRY, TN Rp 48,300
AF2112080072 12/8/2021 0:00 RJ2112080052 SUMARTINAH, NY Rp 16,100
AF2112080079 12/9/2021 0:00 RJ2112080045 GET MANITA Rp 172,500
AF2112100135 12/10/2021 0:00 RJ2112090082 ADMIRAL Rp 64,400
AF2112110044 12/11/2021 0:00 RJ2112090176 MAIMUNAH BINTI H. TAYIB Rp 276,000
AF2112130052 12/13/2021 0:00 RJ2112130110 RURY SETIAWAN, NY Rp 195,500
AF2112130070 12/13/2021 0:00 RJ2112130095 PONIAH, NY Rp 23,000
AF2112130126 12/13/2021 0:00 RJ2112130042 MINTEN SORMIN, NY Rp 105,800
AF2112130183 12/13/2021 0:00 RJ2112130082 HASNA DEWI Rp 85,100
AF2112130219 12/13/2021 0:00 RJ2112130166 ABDUL SALAM, TN Rp 209,300
AF2112140162 12/14/2021 0:00 RJ2112140032 BAIHAKI, TN Rp 9,200
AF2112140194 12/14/2021 0:00 RJ2112140200 ROSIANA SIMATUPANG Rp 9,200
AF2112140164 12/15/2021 0:00 RJ2112140167 RUKIAH, NY Rp 43,700
AF2112150139 12/15/2021 0:00 RJ2112150027 ABDUL NASIR, TN Rp 43,700
AF2112150144 12/15/2021 0:00 RJ2112150048 AMBO ASSE Rp 41,400
AF2112160136 12/16/2021 0:00 RJ2112160041 DEFRINA, NY Rp 34,500
AF2112160137 12/16/2021 0:00 RJ2112160063 ANGGIAT SIHOTANG Rp 57,500
AF2112160138 12/16/2021 0:00 RJ2112160013 SUWANDI, TN Rp 64,400
AF2112170147 12/17/2021 0:00 RJ2112170104 ROSMELI, NY Rp 13,800
AF2112150076 12/18/2021 0:00 RJ2112150099 JON MAHYARUDDIN,TN Rp 32,200
AF2112200184 12/20/2021 0:00 RJ2112200056 BAMBANG ISNAINI, TN Rp 62,100
AF2112210102 12/22/2021 0:00 RJ2112210137 ELLA TRININGSIH Rp 96,600

AF2112210188 12/22/2021 0:00 RJ2112210126 ANANG MANDRAGUNA, SDR Rp 146,500

AF2112220077 12/22/2021 0:00 RJ2112220067 AGUNG, TN Rp 13,800

AF2112220080 12/22/2021 0:00 RJ2112220086 MARDIAH BINTI HASAN Rp 23,000
AF2112220133 12/22/2021 0:00 RJ2112220121 IFAN SADEWA ,TN Rp 78,200
AF2112220151 12/22/2021 0:00 RJ2112220087 FERIYANTO Rp 50,600
AF2112220170 12/22/2021 0:00 RJ2112220032 RADEN MUHAMAD SABLI Rp 41,400
AF2112210185 12/23/2021 0:00 RJ2112210222 KHAIRUN NAJWA,NY Rp 87,400
AF2112230049 12/23/2021 0:00 RJ2112230055 SUMARDI, TN Rp 16,100
AF2112230064 12/23/2021 0:00 RJ2112230080 NURHASIBA Rp 23,000
AF2112230071 12/23/2021 0:00 RJ2112230104 NADIRA, NY Rp 57,500
AF2112230131 12/23/2021 0:00 RJ2112230043 BIUNARTI Rp 151,800
AF2112230172 12/23/2021 0:00 RJ2112230081 M ALI, TN Rp 41,400

AF2112230220 12/24/2021 0:00 RJ2112230214 VICTOR IMMANUEL RAMPO, TN Rp 321,200

 AF2112240121 12/24/2021 0:00 RJ2112220118 ANDHYTA PUTRI RAMADHANI Rp 404,200

AF2112240192 12/24/2021 0:00 RJ2112240222 SLAMET ANDI, TN Rp 112,700

AF2112240216 12/24/2021 0:00 RJ2112240201 MEGAWATI Rp 9,200
AF2112230219 12/27/2021 0:00 RJ2112230089 M. HERIYANTO, TN Rp 77,400
AF2112270284 12/28/2021 0:00 RJ2112270290 KURNIAWAN Rp 64,400
AF2112280144 12/28/2021 0:00 RJ2112280039 SABKI YUSUF, TN Rp 18,400
AF2112290162 12/29/2021 0:00 RJ2112290135 PISCKA Rp 41,400
AF2112300156 12/30/2021 0:00 RJ2112300144 FATIMAH Rp 80,500
AF2112270128 12/31/2021 0:00 RJ2112270032 SUHAIRI Rp 46,000
AF2112280187 12/31/2021 0:00 RJ2112280009 YUSNAINI BAITY Rp 135,700
AF2112310142 12/31/2021 0:00 RJ2112310171 NURMA Rp 16,100
AF2112310199 12/31/2021 0:00 RJ2112310053 LIA HERLIANI Rp 52,900
AF2112200121 12/20/2021 RJ2112200124 MUHAMMAD MAIZAN
AF2112040057 12/4/2021 RJ2112040074 NURSIAH
Total Bersih Total HPP Biaya Setuju BPJS
Rp 41,400 Rp 19,779 Rp 13,719

Rp 52,900 Rp 28,380 Rp 8,037

Rp 23,000 Rp 14,555 Rp 4,092

Rp 23,000 Rp 12,697 Rp 4,092
Rp 48,300 Rp 22,755 Rp 2,738
Rp 16,100 Rp 9,974 Rp 4,269
Rp 172,500 Rp 101,514 Rp 61,147
Rp 64,400 Rp 46,483 Rp 14,131
Rp 276,000 Rp 169,400 Rp 2,120
Rp 195,500 Rp 416,587 Rp 41,834
Rp 23,000 Rp 13,915 Rp 10,363
Rp 105,800 Rp 66,872 Rp 14,300
Rp 85,100 Rp 51,820 Rp 29,146
Rp 209,300 Rp 107,354 Rp 105,012
Rp 9,200 Rp 5,484 Rp 1,560
Rp 9,200 Rp 5,484 Rp 1,560
Rp 43,700 Rp 25,276 Rp 9,451
Rp 43,700 Rp 29,044 Rp 4,534
Rp 41,400 Rp 20,512 Rp 8,155
Rp 34,500 Rp 23,293 Rp 2,120
Rp 57,500 Rp 36,548 Rp 6,477
Rp 64,400 Rp 33,209 Rp 12,247
Rp 13,800 Rp 7,646 Rp 6,889
Rp 32,200 Rp 18,129 Rp 30,205
Rp 62,100 Rp 21,175 Rp 15,810
Rp 96,600 Rp 127,636 Rp 81,313

Rp 146,500 Rp 101,833 Rp 9,963

Rp 13,800 Rp 7,691 Rp 3,415

Rp 23,000 Rp 16,218 Rp 4,092
Rp 78,200 Rp 44,226 Rp 29,440
Rp 50,600 Rp 31,825 Rp 9,980
Rp 41,400 Rp 24,977 Rp 6,536
Rp 87,400 Rp 54,569 Rp 51,432
Rp 16,100 Rp 9,694 Rp 4,269
Rp 23,000 Rp 16,218 Rp 4,092
Rp 57,500 Rp 32,213 Rp 7,478
Rp 151,800 Rp 83,975 Rp 59,970
Rp 41,400 Rp 20,512 Rp 8,155

Rp 321,200 Rp 246,193 Rp 156,812

Rp 404,200 Rp 219,220 Rp 40,450

Rp 112,700 Rp 66,394 Rp 59,558

Rp 9,200 Rp 5,485 Rp 1,560
Rp 77,400 Rp 43,476 Rp 7,404
Rp 64,400 Rp 46,355 Rp 6,153
Rp 18,400 Rp 12,540 Rp 0
Rp 41,400 Rp 30,475 Rp 0
Rp 80,500 Rp 39,621 Rp 14,838
Rp 46,000 Rp 19,043 Rp 28,233
Rp 135,700 Rp 77,221 Rp 14,603
Rp 16,100 Rp 10,879 Rp 2,620
Rp 52,900 Rp 19,084 Rp 8,008
Rp 5,041
Rp 5,652
Rp 1,045,075