You are on page 1of 4

RSUD DR.

MOHAMMAD ZYN
JL. RAJAWALI NO. 10 SAMPANG TELP. / FAX. 0323-323956, SAMPANG

Tgl. : 12-02-2022 10:43:04


Petugas : FAUZIYAH

Informasi Jasa Medis Detil Tindakan


Periode : 01-08-2021 s/d 31-08-2021

Nama Petugas Medis Kode Trs. Tindakan Tipe Tgl Tindakan Jam
ACH. SALMAN FARIDZI, DR.SP.OG TD5238997A OPERASI BESAR CITO 2021-08-24 13:24:52
TD5238996A OPERASI BESAR CITO 2021-08-24 13:24:52
TD5240153A OPERASI BESAR CITO 2021-08-25 09:44:46
TD5241068A OPERASI BESAR CITO 2021-08-25 21:59:45
TD5242227A OPERASI BESAR CITO 2021-08-26 21:43:45
TD5243148A OPERASI BESAR CITO 2021-08-27 20:01:46
TD5243285A OPERASI BESAR CITO 2021-08-27 20:01:46
TD5247322A OPERASI BESAR CITO 2021-08-30 15:00:00

TURAH, DR, SP. OG TD5230794A OPERASI BESAR CITO 2021-08-17 14:58:18


TD5232537A OPERASI BESAR CITO 2021-08-18 14:14:01
TD5233573A OPERASI BESAR CITO 2021-08-19 20:50:19
TD5236833A OPERASI BESAR CITO 2021-08-22 10:22:03
TD5239813A OPERASI BESAR CITO 2021-08-25 14:12:18
TD5245289A OPERASI BESAR CITO 2021-08-29 06:24:08

YUSKI AMIN, DR. SP.OG TD5223680A OPERASI BESAR CITO 2021-08-09 11:13:14
TD5223069A OPERASI BESAR CITO 2021-08-09 11:29:02
TD5224097A OPERASI BESAR CITO 2021-08-10 13:02:21
TD5227511A OPERASI BESAR CITO 2021-08-13 13:08:34
TD5228897A OPERASI BESAR CITO 2021-08-15 13:08:28
TD5231256A OPERASI BESAR CITO 2021-08-18 12:30:09

ZAKY, DR., SP.OG TD5222995A OPERASI BESAR CITO 2021-08-09 10:29:02


TD5234873A OPERASI BESAR CITO 2021-08-21 11:00:18
TD5247324A OPERASI BESAR CITO 2021-08-31 10:00:00
TD5247818A OPERASI KHUSUS CITO 2021-08-31 12:39:22
TD5248248A OPERASI BESAR CITO 2021-08-31 16:02:01
No. Kuitansi No Registrasi Nama Pasien Tgl Masuk Tgl Keluar LD Rujukan Dari
0000803595 ISTIYANAH NY 2021-08-24 3000-01-01 0
0000803621 MUSEY NY 2021-08-24 2021-08-25 2
0000803649 IDOH, NY 2021-08-24 2021-08-26 3
0000803812 MAISUN NY 2021-08-25 3000-01-01 3
0000804014 NUR HASANAH, NY 2021-08-26 2021-08-28 3
0000803816 MAHMODAH, NY 2021-08-25 2021-08-28 4 PUSKESMAS SRESEH
0000804168 HOLILAH, NY 2021-08-27 2021-08-30 4
0000804522 HAWEIN NY 2021-08-30 2021-08-31 2
0
0000802468 SOFIANA WULANDARI 2021-08-17 2021-08-18 2 PUSKESMAS TORJUN
0000802700 FARIDATUL JANNAH.NY 2021-08-18 3000-01-01 0
0000802929 SUMA NY 2021-08-19 2021-08-27 10
0000803151 SAKIYAH, NY 2021-08-22 2021-08-24 3
0000803628 ROFI´AH NY 2021-08-24 2021-08-26 3
0000804237 JUMAADAH, NY 2021-08-28 2021-08-30 3
0
0000801426 ROMIYAH, NY 2021-08-09 2021-08-12 4
0000801514 IRMA FEBRIANA NY 2021-08-09 2021-08-10 2
0000801361 SAMSIYEH, NY 2021-08-08 2021-08-11 3
0000802102 MARDIYA NY 2021-08-13 2021-08-14 2
0000802217 HOZAIMAH NY 2021-08-15 2021-08-17 2
0000802580 MARYAM, NY 2021-08-18 2021-08-20 2
0
0000801373 NURAZIZAH, NY 2021-08-09 2021-08-10 2
0000803081 SURIYAH, NY 2021-08-20 2021-08-24 5
0000804577 SU´IDEH, NY 2021-08-31 2021-09-01 2
0000804578 ROMLAH, NY 2021-08-31 2021-09-01 2
0000804766 ROKAYYAH,NY 2021-08-31 2021-09-01 2
0
Nama Layanan Nama Instalasi Nama Jaminan Nama Kelas Nilai Potongan
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
Total >> 0 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS ICU 3,024,450 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
Total >> 0 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
Total >> 0 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,817,750 0
BEDAH SENTRAL BEDAH SENTRAL JAMPERSAL KELAS III 2,431,000 0
Total >> 0 0
Sub Total
2,431,000
2,431,000
2,431,000
2,431,000
2,431,000
2,431,000
2,431,000
2,431,000
19,448,000
2,431,000
2,431,000
3,024,450
2,431,000
2,431,000
2,431,000
15,179,450
2,431,000
2,431,000
2,431,000
2,431,000
2,431,000
2,431,000
14,586,000
2,431,000
2,431,000
2,431,000
2,817,750
2,431,000
12,541,750

You might also like