BIAYA

JENIS ADMIN
No. Tanggal NO KWT No. RM NAMA PX PEMERIKSA CARA BAYAR JUMLAH JENIS PASIEN
PEMERIKSAAN DISKON BANK
AN
1 24-Feb-21 KW002414 05.88.93 RINA SARI PCR SAME DAY 980,000 TUNAI 980,000 UMUM
2 24-Feb-21 KW002417 05.88.94 ANGGER BUSHIDO PRATAMA PCR SAME DAY 980,000 TUNAI 980,000 UMUM
3 24-Feb-21 KW002443 05.81.79 RIFQI HIDAYAT PCR NEXT DAY 820,000 TUNAI 820,000 UMUM
4 24-Feb-21 KW002423 05.65.06 DUSTIN FAVIAN PCR NEXT DAY 820,000 TUNAI 820,000 UMUM
5 24-Feb-21 KW002424 05.89.00 DANI SETIAWAN PCR NEXT DAY 820,000 TUNAI 820,000 UMUM
6 24-Feb-21 KW002435 05.86.73 DEWI SUSIATI PCR NEXT DAY 820,000 TUNAI 820,000 UMUM
7 24-Feb-21 KW002442 05.88.99 DHIAN HADI PCR NEXT DAY 820,000 TUNAI 820,000 UMUM
8 24-Feb-21 KW002420 05.85.06 IKA KURNIA PCR NEXT DAY 820,000 1,300 BCA 821,300 UMUM
9 24-Feb-21 KW002445 05.88.98 DWI WULAN PCR NEXT DAY 820,000 TUNAI 820,000 UMUM
10 24-Feb-21 KW002412 05.89.59 AITA YUKURI UTANI ANTIGEN 130,000 TUNAI 130,000 UMUM
11 24-Feb-21 KW002413 05.89.58 RIONO/DRIVER BU KIKI ANTIGEN 130,000 TUNAI 130,000 UMUM
12 24-Feb-21 05.89.13 SUGENG ANTIGEN 130,000 TUNAI 130,000 UMUM
13 24-Feb-21 KW002416 05.89.14 MUHAMMAD RODHI ANTIGEN 130,000 TUNAI 130,000 UMUM
14 24-Feb-21 KW002419 05.89.38 IMAM FADLI ANTIGEN 130,000 TUNAI 130,000 UMUM
15 24-Feb-21 KW002419 05.89.40 DAVID OGGI ANTIGEN 130,000 TUNAI 130,000 UMUM
16 24-Feb-21 KW002419 05.89.42 NURWANTIKA IKA ANTIGEN 130,000 TUNAI 130,000 UMUM
17 24-Feb-21 KW002422 05.89.60 NAZIB NAZAR ANTIGEN 130,000 TUNAI 130,000 UMUM
18 24-Feb-21 KW002421 05.89.44 TETTY DWI ANTIGEN 130,000 TUNAI 130,000 UMUM
19 24-Feb-21 KW002430 05.89.45 BAMBANG HARIYANTO ANTIGEN 130,000 TUNAI 130,000 UMUM
20 24-Feb-21 KW002431 05.89.46 ALIEF YUNI ANTIGEN 130,000 TUNAI 130,000 UMUM
21 24-Feb-21 KW002432 05.89.12 NUDIN LUBIS ANTIGEN 130,000 TUNAI 130,000 UMUM
22 24-Feb-21 KW002432 05.75.69 PIPIN RISKI ANTIGEN 130,000 TUNAI 130,000 UMUM
23 24-Feb-21 KW002433 05.74.90 INDAH ALFIYANAH ANTIGEN 130,000 TUNAI 130,000 UMUM
24 24-Feb-21 KW002433 05.74.89 M.SODIQ ANTIGEN 130,000 TUNAI 130,000 UMUM
25 24-Feb-21 KW002433 05.74.91 SAILA ILMI ANTIGEN 130,000 TUNAI 130,000 UMUM
26 24-Feb-21 KW002434 05.89.07 ROBI OKTOFANI ANTIGEN 130,000 TUNAI 130,000 UMUM
27 24-Feb-21 KW002437 05.89.08 AULIA NURUL ANTIGEN 130,000 TUNAI 130,000 UMUM
28 24-Feb-21 KW002438 05.30.61 DESSY DWI ANTIGEN 130,000 TUNAI 130,000 UMUM
29 24-Feb-21 KW002439 04.99.34 HUBERTUS BRYAN ANTIGEN 130,000 TUNAI 130,000 UMUM
30 24-Feb-21 KW002440 05.89.02 ADITYA KHARISMA ANTIGEN 130,000 TUNAI 130,000 UMUM
31 24-Feb-21 KW002441 05.89.01 HENY LISTIYA ANTIGEN 130,000 200 BCA 130,200 UMUM
32 24-Feb-21 KW002444 05.81.15 KHADIJAH MUTIAH ANTIGEN 130,000 TUNAI 130,000 UMUM
33 24-Feb-21 KW002444 05.89.03 MASYITHAH ATHIRAH ANTIGEN 130,000 TUNAI 130,000 UMUM
34 24-Feb-21 KW002444 05.89.05 AISYAH ALTHOFU ANTIGEN 130,000 TUNAI 130,000 UMUM
35 24-Feb-21 KW002444 05.89.04 MUSA AZZUHAILI ANTIGEN 130,000 TUNAI 130,000 UMUM
36 24-Feb-21 KW002446 05.46.80 ARDY FERDIANTO ANTIGEN 130,000 TUNAI 130,000 UMUM
37 24-Feb-21 KW002448 05.89.62 HERU WIDIJANTO ANTIGEN 130,000 TUNAI 130,000 UMUM
38 24-Feb-21 KW002448 05.89.65 DANISWARA RAKHANANDA ANTIGEN 130,000 TUNAI 130,000 UMUM
39 24-Feb-21 KW002449 05.89.68 RENALDI RAMADHIANSYAH ANTIGEN 130,000 TUNAI 130,000 UMUM
40 24-Feb-21 KC24-027 05.88.82 SUGIWATI ANTIGEN 130,000 TUNAI 130,000 UMUM
41 24-Feb-21 KC24-028 05.88.73 EKO PUJI RAHAYU ANTIGEN 130,000 TUNAI 130,000 UMUM
42 24-Feb-21 KC24-029 05.88.74 YAHYA ADI SANTOSO ANTIGEN 130,000 TUNAI 130,000 UMUM
43 24-Feb-21 KC24-026 05.88.72 TIMO SUTJIPTO ANTIGEN 130,000 TUNAI 130,000 UMUM
44 24-Feb-21 KW002450 05.89.09 RIZKI ALDIANSYAH ANTIGEN 130,000 TUNAI 130,000 UMUM
45 24-Feb-21 KW002453 05.87.78 LILIK SETYOWATI ANTIGEN 130,000 TUNAI 130,000 UMUM
46 24-Feb-21 KW002454 05.89.11 MUCHTAR EFENDI ANTIGEN 130,000 TUNAI 130,000 UMUM
47 24-Feb-21 KW002455 05.89.10 SHOLICHATIN ANTIGEN 130,000 TUNAI 130,000 UMUM
48 24-Feb-21 KW002456 05.89.22 ADAM ANTIGEN 130,000 TUNAI 130,000 UMUM
49 24-Feb-21 KW002456 05.89.20 FIRIAL FAISOL ANTIGEN 130,000 TUNAI 130,000 UMUM
50 24-Feb-21 KW002456 05.89.23 AHLAM LUTFI ANTIGEN 130,000 TUNAI 130,000 UMUM
51 24-Feb-21 KW002458 05.89.25 HANNY FATHUR ROHIM ANTIGEN 130,000 GOPAY 130,000 UMUM
52 24-Feb-21 KW002459 05.89.28 RIKA FAJAR SETYA ANTIGEN 130,000 TUNAI 130,000 UMUM
53 24-Feb-21 KW002460 05.89.31 MEERNANDA DEWI ARISTA ANTIGEN 130,000 TUNAI 130,000 UMUM
54 24-Feb-21 KW002461 05.89.33 LINDA SAFITRI ANTIGEN 130,000 TUNAI 130,000 UMUM
55 24-Feb-21 KW002462 05.89.36 EKO YULIANTO ANTIGEN 130,000 TUNAI 130,000 UMUM
56 24-Feb-21 KW002425 05.89.75 AJI HERMAWAN ANTIBODY 80,000 TUNAI 80,000 UMUM
57 24-Feb-21 KW002426 05.89.76 CHOIRUL ANWAR ANTIBODY 80,000 TUNAI 80,000 UMUM
58 24-Feb-21 KW002427 05.89.74 SYAFRINUZ ZAMRONI ANTIBODY 80,000 TUNAI 80,000 UMUM
59 24-Feb-21 KW002428 05.89.72 MOCH.SAFII ANTIBODY 80,000 TUNAI 80,000 UMUM
60 24-Feb-21 KW002429 05.89.73 DANI FARDYANSYAH ANTIBODY 80,000 TUNAI 80,000 UMUM
61 24-Feb-21 KW002436 05.89.78 DRS DWI HERY ANTIBODY 80,000 TUNAI 80,000 UMUM
62 24-Feb-21 KW002411 05.89.77 LUQMAN HAKIM ANTIBODY 80,000 TUNAI 80,000 UMUM
63 24-Feb-21 KW002447 05.89.80 ARIF BUDIANTO ANTIBODY 80,000 TUNAI 80,000 UMUM
64 24-Feb-21 KW002452 05.37.99 LAILATUL MA'RUFAH ANTIBODY 80,000 TUNAI 80,000 UMUM
65 24-Feb-21 KW002457 05.89.24 ERMA AYU ATIKA ANTIBODY 80,000 TUNAI 80,000 UMUM
66 24-Feb-21 KW002463 05.89.48 MOCH. KEYMAS ROBBY ANTIBODY 80,000 TUNAI 80,000 UMUM
67 24-Feb-21 KC24-035 05.88.37 ANY ANGGRAINI ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
68 24-Feb-21 KC24-036 05.88.38 ARIO MURDIKO ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
69 24-Feb-21 KC24-037 05.88.39 C VEMI ANDIASARI ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
70 24-Feb-21 KC24-038 05.88.40 CHRISTANTI ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
71 24-Feb-21 KC24-039 05.88.41 DEVI OKTAVIANUS SENTOSA ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
72 24-Feb-21 KC24-040 05.88.42 INTAN KUMALASARI ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
73 24-Feb-21 KC24-041 05.88.43 LILI MULYANI ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
74 24-Feb-21 KC24-042 05.88.44 MORENO ANDIARTA ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
75 24-Feb-21 KC24-043 05.88.46 PAULUS BUDIYANTO ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
76 24-Feb-21 KC24-044 05.88.52 RAVIKA ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
77 24-Feb-21 KC24-045 05.88.53 STEFANO HENDRAWAN ADIDHARMA ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
78 24-Feb-21 KC24-046 05.88.55 TAN CHENG MING ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
79 24-Feb-21 KC24-047 05.88.56 TANTI SETIYANI ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
80 24-Feb-21 KC24-048 05.88.57 TJAHYONO ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
81 24-Feb-21 KC24-049 05.88.58 TRIO HARTONO ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
82 24-Feb-21 KC24-050 05.88.59 VERONICA RIA MAYANG SARI ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
83 24-Feb-21 KC24-051 05.88.60 YUSTINA RATNA WARDHANI ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
84 24-Feb-21 KC24-052 05.89.55 TRI FENA WIENDA ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
85 24-Feb-21 KC24-053 05.89.56 NUR M. ROSYID ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
86 24-Feb-21 KC24-054 05.89.61 RACHMAT RAFLIANSYAH ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
87 24-Feb-21 KC24-055 05.89.59 SURYA DANU P ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
88 24-Feb-21 KC24-056 05.89.63 KASIMIN KADIRJA ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
89 24-Feb-21 KC24-057 05.89.64 AHMAD TRI A ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
90 24-Feb-21 KC24-058 05.89.66 WISNU ARYO B ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
91 24-Feb-21 KC24-059 05.89.67 ANGGA HARTANTO ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
92 24-Feb-21 KC24-060 05.89.69 WAHYU DWI P ANTIGEN 275,000 CORPORATE 275,000 BANK CAPITAL SOLO
1500 21,711,500
ANTIBODY 11 880,000
ANTIGEN 46 13,130,200
PCR SAME DAY 2 1,960,000
PCR NEXT DAY 7 5,741,300

CARA BAYAR
TUNAI 13,480,000
BCA 951,500
BNI -
GOPAY 130,000
TRANSFER
CORPORATE 7,150,000

PENDAPATAN 21,711,500
 BIAYA
JENIS ADMIN
No. Tanggal NO KWT No. RM NAMA PX PEMERIKSA CARA BAYAR JUMLAH JENIS PASIEN
PEMERIKSAAN DISKON BANK
AN
1 25-Feb-21 KW002464 05.90.43 HUBERTUS BRYANTOFIAN PCR SAME DAY 980,000 1500 BCA 981,500 UMUM
2 25-Feb-21 KW002478 05.75.60 VIA NUR FADILLAH PCR NEXT DAY 820,000 TUNAI 820,000 UMUM ANTIBODY
3 25-Feb-21 KW002485 05.83.63 TONI KRISTANTO PCR NEXT DAY 820,000 8200 BCA 828,200 UMUM ANTIGEN
4 25-Feb-21 KW002486 05.82.99 GINAH PCR NEXT DAY 820,000 8200 BCA 828,200 UMUM PCR SAME DAY
5 25-Feb-21 KW002487 05.82.61 NIKEN AYU KRISTANTI PCR NEXT DAY 820,000 8200 BCA 828,200 UMUM PCR NEXT DAY
6 25-Feb-21 KW002488 05.90.97 SUTILAH PCR NEXT DAY 820,000 8200 BCA 828,200 UMUM
7 25-Feb-21 KW002489 05.86.15 EDI SUKISNO PCR NEXT DAY 820,000 8200 BCA 828,200 UMUM
8 25-Feb-21 KW002490 05.90.44 RAISYA SHAAQILA ZAFRINA PCR NEXT DAY 820,000 8200 BCA 828,200 UMUM
9 25-Feb-21 KW002491 05.90.45 MUHAMMAD RAFFASYA ASSHIDDIQIE PCR NEXT DAY 820,000 8200 BCA 828,200 UMUM
10 25-Feb-21 KW002503 05.90.58 FELIA FAJAR IMANI PCR NEXT DAY 820,000 TUNAI 820,000 UMUM CARA BAYAR
11 25-Feb-21 KW002465 05.90.72 FAIZZAID GHURRIL MUHAJJALIN ANTIGEN 130,000 TUNAI 130,000 UMUM TUNAI
12 25-Feb-21 KW002466 05.90.71 LUCKY ARIFIANTO ANTIGEN 130,000 TUNAI 130,000 UMUM BCA
13 25-Feb-21 KW002466 05.90.68 DYCA AUGUSTIN SETIAWATI ANTIGEN 130,000 TUNAI 130,000 UMUM BNI
14 25-Feb-21 KW002466 05.90.69 ADHYAKSA ALDRIN YUWONO ANTIGEN 130,000 TUNAI 130,000 UMUM GOPAY
15 25-Feb-21 KW002467 05.90.70 YULIANTO ANTIGEN 130,000 TUNAI 130,000 UMUM TRANSFER
16 25-Feb-21 KW002468 05.90.54 EKO HERI SANTOSO ANTIGEN 130,000 TUNAI 130,000 UMUM CORPORATE
17 25-Feb-21 KW002469 05.90.53 DIDIK SURYONO ANTIGEN 130,000 TUNAI 130,000 UMUM
18 25-Feb-21 KW002470 05.90.55 ELIZA CITRA APRILIA ANTIGEN 130,000 TUNAI 130,000 UMUM PENDAPATAN
19 25-Feb-21 KW002471 05.90.62 MOCH. FIRMAN ANTIGEN 130,000 TUNAI 130,000 UMUM
20 25-Feb-21 KW002472 05.90.61 AGHNA ARMANDIANTORO ADI ANTIGEN 130,000 TUNAI 130,000 UMUM
21 25-Feb-21 KW002472 05.90.60 DWI ADI CAHYO WIDODO ANTIGEN 130,000 TUNAI 130,000 UMUM
22 25-Feb-21 KW002472 05.41.59 ENDANG MARSIYAH ANTIGEN 130,000 TUNAI 130,000 UMUM
23 25-Feb-21 KW002473 05.90.56 RUSMAJAYA ANTIGEN 130,000 TUNAI 130,000 UMUM
24 25-Feb-21 KW002475 05.75.40 KHOIRUL HADI ANTIGEN 130,000 TUNAI 130,000 UMUM
25 25-Feb-21 KW002476 05.90.49 ENDRIKA ANDI MAKMUR ANTIGEN 130,000 TUNAI 130,000 UMUM
26 25-Feb-21 KW002476 05.90.50 RATU FREDELLA OKTAVIA ANTIGEN 130,000 TUNAI 130,000 UMUM
27 25-Feb-21 KW002476 05.90.48 RAJA ANDHIKA ANTIGEN 130,000 TUNAI 130,000 UMUM
28 25-Feb-21 KW002477 05.90.59 NURUL MAFATICH ANTIGEN 130,000 TUNAI 130,000 UMUM
29 25-Feb-21 KW002479 05.85.56 ANTON APRIADI ANTIGEN 130,000 TUNAI 130,000 UMUM
30 25-Feb-21 KW002479 05.85.57 ENY SURYANA ANTIGEN 130,000 TUNAI 130,000 UMUM
31 25-Feb-21 KW002480 05.17.16 SUHARYATI ANTIGEN 130,000 TUNAI 130,000 UMUM
32 25-Feb-21 KW002481 05.90.74 ACHMAD YUSUF ANWARUDDIN ANTIGEN 130,000 TUNAI 130,000 UMUM
33 25-Feb-21 KW002482 05.90.51 CAHYO NUGROHO ANTIGEN 130,000 TUNAI 130,000 UMUM
34 25-Feb-21 KW002483 05.90.52 NANDIKA AGUNG PUTRA BATARA ANTIGEN 130,000 TUNAI 130,000 UMUM
35 25-Feb-21 KW002484 05.90.73 UMAR ABDUL AZIZ ANTIGEN 130,000 TUNAI 130,000 UMUM
36 25-Feb-21 KW002492 05.90.76 SETYO WIDODO ANTIGEN 130,000 TUNAI 130,000 UMUM
37 25-Feb-21 KW002493 05.90.80 AULIA MARTUIN ILHAMI ANTIGEN 130,000 TUNAI 130,000 UMUM
38 25-Feb-21 KW002494 05.90.75 AHMAD BAGUS ADITIA ANTIGEN 130,000 TUNAI 130,000 UMUM
39 25-Feb-21 KW002495 05.90.77 MUTIA FAIZ ASYARI ANTIGEN 130,000 TUNAI 130,000 UMUM
40 25-Feb-21 KW002496 05.90.95 HELMI APRI DIANSYAH ANTIGEN 130,000 TUNAI 130,000 UMUM
41 25-Feb-21 KW002497 05.90.78 ROHAYA ANTIGEN 130,000 TUNAI 130,000 UMUM
42 25-Feb-21 KW002497 05.90.79 RANY HANDINI ANTIGEN 130,000 TUNAI 130,000 UMUM
43 25-Feb-21 KW002497 05.90.81 RAZKA ABDUL RASYID ANTIGEN 130,000 TUNAI 130,000 UMUM
44 25-Feb-21 KW002498 05.90.65 ARIFIN ANTIGEN 130,000 TUNAI 130,000 UMUM
45 25-Feb-21 KW002499 05.90.64 AMALAH ANTIGEN 130,000 TUNAI 130,000 UMUM
46 25-Feb-21 KW002499 05.90.65 RR. AGITYA DEA LESAMANA ANTIGEN 130,000 TUNAI 130,000 UMUM
47 25-Feb-21 KW002500 05.90.63 DEWI ARINY WULANDARI ANTIGEN 130,000 TUNAI 130,000 UMUM
48 25-Feb-21 KW002501 05.90.67 YUMNA ALVINO GIBRAN ANTIGEN 130,000 TUNAI 130,000 UMUM
49 25-Feb-21 KW002502 05.90.96 BINTANG RENIA CAHYANING ANTIGEN 130,000 TUNAI 130,000 UMUM
50 25-Feb-21 KW002504 05.90.83 RATIH MURDIANTI ANTIGEN 130,000 TUNAI 130,000 UMUM
51 25-Feb-21 KW002505 05.90.90 RAKHABRIAN BINTANG REZZAO ANTIGEN 130,000 TUNAI 130,000 UMUM
52 25-Feb-21 KW002506 05.90.91 HJ. FARIHATUL MUZAYADAH ANTIGEN 130,000 TUNAI 130,000 UMUM
53 25-Feb-21 KW002507 05.90.89 AMELIA NURRIDHA PUTRI ANTIGEN 130,000 TUNAI 130,000 UMUM
54 25-Feb-21 KW002508 05.90.87 INAYATUL AROFAH ANTIGEN 130,000 TUNAI 130,000 UMUM
55 25-Feb-21 KW002509 05.90.88 ASTRID HALENA RASYID ANTIGEN 130,000 TUNAI 130,000 UMUM
56 25-Feb-21 KW002510 05.90.93 FIRANDI TANGKETASIK ANTIGEN 130,000 TUNAI 130,000 UMUM
57 25-Feb-21 KW002511 05.90.94 CHRISTALIN CARL BOUNA ANTIGEN 130,000 TUNAI 130,000 UMUM
58 25-Feb-21 KW002474 05.90.56 RUSMAJAYA ANTIBODY 80,000 TUNAI 80,000 UMUM
59 25-Feb-21 KW002513 05.91.04 KRISTINA MARIA VERONICA ANTIBODY 80,000 TUNAI 80,000 UMUM
60 25-Feb-21 KC25-028 05.89.15 TININGSIH ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
61 25-Feb-21 KC25-029 05.89.17 AKIP WARDANA KUSUMA ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
62 25-Feb-21 KC25-030 05.89.18 WIWIK MIATUN ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
63 25-Feb-21 KC25-031 05.89.21 IZZATUL FATIMAH ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
64 25-Feb-21 KC25-032 05.89.27 HENYKE AYU WULANDARI ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
65 25-Feb-21 KC25-033 05.89.29 MITA ASTRI DAMAYANTI ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
66 25-Feb-21 KC25-034 05.89.30 RINA SURYAWATI ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
67 25-Feb-21 KC25-035 05.89.32 NURJIATI ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
68 25-Feb-21 KC25-036 05.89.34 LINA SURTIKA, S.KOM ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
69 25-Feb-21 KC25-037 05.89.35 DESAK MADE KARTIKA DEWI ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
70 25-Feb-21 KC25-038 05.89.37 SAMSU DIDIK PRASETYO ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
71 25-Feb-21 KC25-039 05.90.97 ADHITYA HESTINUGROHO ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
72 25-Feb-21 KC25-040 05.89.47 HADI SUROSO ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
73 25-Feb-21 KC25-041 05.89.49 AKRAM SEPTIADI PRATAMA ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
74 25-Feb-21 KC25-042 05.90.98 NUR IRFANSYAH SHOLEHUDIN ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
75 25-Feb-21 KC25-043 05.90.99 OKTAVIA DWI RISQI ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
76 25-Feb-21 KC25-044 05.91.00 PIPIT AYU WULANDARI ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
77 25-Feb-21 KC25-045 05.91.01 PUTRI AGUSTINA RAHAYU ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
78 25-Feb-21 KC25-046 05.89.51 ARIESSA PURNAMASARI ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
79 25-Feb-21 KC25-047 05.89.52 NINA ZANI KHAULIA ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
80 25-Feb-21 KC25-048 05.89.53 BAYU ANGGA ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
81 25-Feb-21 KC25-049 05.89.54 ADI FIRMANSYAH ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
82 25-Feb-21 KC25-050 05.91.02 AMIROTUH SHOLIKAH ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
83 25-Feb-21 KC25-051 05.91.03 NUR IMAN HAKIM, SH ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
84 25-Feb-21 KC25-052 05.91.05 IWAN PRASETIYA ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
85 25-Feb-21 KC25-053 05.91.07 CUKMANG JARWO ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA
86 25-Feb-21 KC25-054 05.91.06 HARSONO ANTIGEN 130,000 CORPORATE 130,000 JASA RAHARJA

58,900 18,198,900
 2 160,000
74 9,620,000
1 981,500
9 7,437,400

7,910,000
6,778,900
-
-

3,510,000

18,198,900
 JENIS
Tanggal NO KWT No. RM NAMA PX
PEMERIKSAAN
26-Feb-21 KW002519 05.91.59 YUNIFAR AMAD PCR SAME DAY
26-Feb-21 KW002524 05.91.61 TRI ARYATI PCR SAME DAY
26-Feb-21 KW002520 05.91.60 SAFI'I PCR SAME DAY
26-Feb-21 KW002530 05.91.64 DJAENAL ABIDIN PCR SAME DAY
26-Feb-21 KW002601 04.93.28 INA ARIANY PCR SAME DAY
26-Feb-21 KW002526 05.91.63 AGUS SUDARMONO PCR NEXT DAY
26-Feb-21 KW002546 05.91.69 SUJAK PCR NEXT DAY
26-Feb-21 KW002546 05.90.70 WURTI PCR NEXT DAY
26-Feb-21 KW002517 05.91.62 AYU RONA REVINATA PCR REGULAR
26-Feb-21 KW002531 05.91.68 ROZY FATUROHMAN PCR REGULAR
26-Feb-21 KW002531 05.84.60 FERI KRISBIYANTORO PCR REGULAR
26-Feb-21 KW002531 05.91.67 DONI PRATAMA PCR REGULAR
26-Feb-21 KW002544 05.91.65 RIZKI OKTAVIAN PCR REGULAR
26-Feb-21 KW002544 05.91.66 DARAWATI MURDININGRUM PCR REGULAR
26-Feb-21 KW002513 05.91.96 YUSYA HUDAYAWAN PRATAMA ANTIGEN
26-Feb-21 KW002514 05.92.96 WAHYU RISKI ABADI ANTIGEN
26-Feb-21 KW002514 05.92.66 INAS PUJI NURJANNAH\ ANTIGEN
26-Feb-21 KW002515 05.92.68 MADE DWI EKA ANTARA ANTIGEN
26-Feb-21 KW002515 05.92.67 KADEK AYU RATNASARI ANTIGEN
26-Feb-21 KW002516 05.92.69 FUAD HERLAMBANG ANTIGEN
26-Feb-21 KW002518 05.92.71 PUTU SUETRI TUNJUNG SARI ANTIGEN
26-Feb-21 KW002518 05.92.76 LUH MADE AYU DWI WIKANTRI ANTIGEN
26-Feb-21 KW002518 05.92.77 LUH NYOMAN ELVINA ANTIGEN
26-Feb-21 KW002521 05.92.73 KUSMIATI ANTIGEN
26-Feb-21 KW002522 05.92.72 SUHARYATI ANTIGEN
26-Feb-21 KW002523 05.92.74 NUR CHOLIS ANTIGEN
26-Feb-21 KW002525 05.92.75 BUDI SUTRISNO ANTIGEN
26-Feb-21 KW002527 05.91.82 RISA HABIBILLAH ANTIGEN
26-Feb-21 KW002527 05.91.84 ANISA WULANDARI ANTIGEN
26-Feb-21 KW002528 05.91.81 FAHMI AGUNG RAMADHAN ANTIGEN
26-Feb-21 KW002529 05.91.77 FARICO ACHMAD HENFAIR ANTIGEN
26-Feb-21 KW002529 05.91.79 AI'MMATUL MULYA NINGSIH ANTIGEN
26-Feb-21 KW002532 05.91.76 RIZKA TRI NUR CAHYANI ANTIGEN
26-Feb-21 KW002534 05.79.97 APIN FADHILAH HELMI ANTIGEN
26-Feb-21 KW002533 05.92.12 TJIA PAW JIEN ANTIGEN
26-Feb-21 KW002533 05.92.11 ANTHONY HALIM ANTIGEN
26-Feb-21 KW002533 05.92.13 HANNAH VICTORIA ANTIGEN
26-Feb-21 KW002535 05.91.74 FENA AFVILINA ANTIGEN
26-Feb-21 KW002536 05.91.75 DINA AFRILIAN PERMATA SARI ANTIGEN
26-Feb-21 KW002537 05.91.90 FRISKA SETYANINGRUM ANTIGEN
26-Feb-21 KW002538 05.91.93 MAR'ATUS SHOLICHAH ANTIGEN
26-Feb-21 KW002539 05.91.92 ASCA LAILA ANTIGEN
26-Feb-21 KW002540 05.91.91 RAVIL YANTI MARISTYA ANANDA ANTIGEN
26-Feb-21 KW002541 05.92.09 FINGKY MEGA KOURNIKOVA ANTIGEN
26-Feb-21 KW002542 05.92.07 BELLA ANGGARAINI PUTRI PRATIWI ANTIGEN
26-Feb-21 KW002543 05.92.08 IFFATHULLOH ABI ANTIGEN
26-Feb-21 KW002547 05.92.10 DEVI RATNASARI ANTIGEN
26-Feb-21 KW002550 05.91.73 CATUR RIBUT PRISWANTI ANTIGEN
26-Feb-21 KW002548 05.91.72 MARDIATUL HASANAH HARAHAP ANTIGEN
26-Feb-21 KW002549 05.91.78 NADIA MULIA DEWI ANTIGEN
26-Feb-21 KW002551 05.91.83, BUDI MULYARTO ANTIGEN
26-Feb-21 KW002552 05.91.80 IRFAN MARTANTO ANTIGEN
26-Feb-21 KW002553 05.90.85 PRAGOSA SATYA DHARMA PUTRI ANTIGEN
26-Feb-21 KW002554 05.91.86 SHANAZ MASYITHAH ANTIGEN
26-Feb-21 KW002555 05.97.87 ANITA RAHMA HIDAYATI ANTIGEN
26-Feb-21 KW002556 05.91.89 FAIS MOCH KHOIRIL ANTIGEN
26-Feb-21 KW002557 05.91.88 KARTINI ANTIGEN
26-Feb-21 KW002558 05.92.00 JULI LUCYANA ANTIGEN
26-Feb-21 KW002559 05.92.01 ANDI MUHAMMAD FACHRY ANTIGEN
26-Feb-21 KW002560 05.92.02 RACHMAD BUDI PURWANTO ANTIGEN
26-Feb-21 KW002561 05.92.03 SYAFIYAH NUR AZIZAH ANTIGEN
26-Feb-21 KW002562 05.92.05 DIDIK PURDYANTO ANTIGEN
26-Feb-21 KW002563 05.92.04 AFANDI SUHADI ANTIGEN
26-Feb-21 KW002564 05.91.99 KATON FAJAR MAULANA ANTIGEN
26-Feb-21 KW002565 05.91.95 SA'ADA MUKADAR ANTIGEN
26-Feb-21 KW002566 05.92.44 MUHAMMAD SYAIFUDDIN ANTIGEN
26-Feb-21 KW002567 05.92.36 BERILIANA DIAN NOVITA ANTIGEN
26-Feb-21 KW002568 05.92.38 R GENESA ISWANDANU ANTIGEN
26-Feb-21 KW002569 05.92.37 OKTA AGUS MUJIANTO ANTIGEN
26-Feb-21 KW002570 05.92.62 JOKO SUPADMO ANTIGEN
26-Feb-21 KW002571 05.55.29 HARSEPTYANTIYAS ANTIGEN
26-Feb-21 KW002572 05.92.59 BAGUS SUTRISNO ANTIGEN
26-Feb-21 KW002573 05.92.60 RAHMAT SALEH ANTIGEN
26-Feb-21 KW002574 05.92.61 HARIMAN DANA SASMITA ANTIGEN
26-Feb-21 KW002575 05.92.56 HADI JULIANTO ANTIGEN
26-Feb-21 KW002575 05.92.55 HERU SUNARYO ANTIGEN
26-Feb-21 KW002575 05.92.54 SUTARYO ANTIGEN
26-Feb-21 KW002575 05.92.58 MASKUD JUNAIDI ANTIGEN
26-Feb-21 KW002575 05.92.57 SONNY EKO WIBISONO ANTIGEN
26-Feb-21 KW002575 05.92.51 MUHAMMAD DZIKRI DWI PRANYOTO ANTIGEN
26-Feb-21 KW002576 05.92.52 AMIRUDDIN ANTIGEN
26-Feb-21 KW002577 05.92.53 AKRAM YONDA PUTRA ANTIGEN
26-Feb-21 KW002578 05.92.64 SOEYADI ATMO ANTIGEN
26-Feb-21 KW002602 05.92.49 IKA SEDIANINGRUM ANTIGEN
26-Feb-21 KW002602 05.92.48 IRHAM FIRMANSYAH ANTIGEN
26-Feb-21 KW002545 04.46.05 KEINARA CETTA DAVIAN ANTIBODY
26-Feb-21 KW002545 05.91.99 RADIKA MUHAMMAD DAVIAN ANTIBODY
26-Feb-21 KC26-028 05.92.06 LINANIA ANTIGEN
26-Feb-21 KC26-031 05.89.83 DODY FAISAL ANTIGEN
26-Feb-21 KC26-032 05.89.84 ZAELANI ADITYA ROMADHON ANTIGEN
26-Feb-21 KC26-033 05.89.85 PRIMANDA OKTAVIANI ANTIGEN
26-Feb-21 KC26-034 05.89.86 AULIYA ANHAR HAQIEQIE ANTIGEN
26-Feb-21 KC26-035 05.89.88 BUDIANTO SUKAMTO ANTIGEN
26-Feb-21 KC26-036 05.89.89 UNTUNG STIAWAN ANTIGEN
26-Feb-21 KC26-037 05.89.90 ARISTYA NURDIANA PUTRI ANTIGEN
26-Feb-21 KC26-038 05.89.91 DICKE KEZIA FERANDA ANTIGEN
26-Feb-21 KC26-039 05.89.92 AAN SUPRIYANTO ANTIGEN
26-Feb-21 KC26-040 05.89.93 NOVA AGUNG NUGROHO SAPUTRA ANTIGEN
26-Feb-21 KC26-041 05.89.94 ACTA HARI S ANTIGEN
26-Feb-21 KC26-042 05.89.95 MALIYAKIN ANTIGEN
26-Feb-21 KC26-043 05.89.96 DIMAS FARDIYANTO ANTIGEN
26-Feb-21 KC26-044 05.89.97 EDY SANTOSA ANTIGEN
26-Feb-21 KC26-045 05.91.97 DIMAS FEBYANSYAH RAMADHAN ANTIGEN
26-Feb-21 KC26-046 05.91.98 PURNAMA SANDY ANTIGEN
 JENIS
Tanggal NO KWT No. RM NAMA PX
PEMERIKSAAN
26-Feb-21 KC26-031 05.89.83 DODY FAISAL SUNTIK VIT C
26-Feb-21 KC26-032 05.89.84 ZAELANI ADITYA ROMADHON SUNTIK VIT C
26-Feb-21 KC26-034 05.89.86 AULIYA ANHAR HAQIEQIE SUNTIK VIT C
26-Feb-21 KC26-035 05.89.88 BUDIANTO SUKAMTO SUNTIK VIT C
26-Feb-21 KC26-036 05.89.89 UNTUNG STIAWAN SUNTIK VIT C
26-Feb-21 KC26-037 05.89.90 ARISTYA NURDIANA PUTRI SUNTIK VIT C
26-Feb-21 KC26-038 05.89.91 DICKE KEZIA FERANDA SUNTIK VIT C
26-Feb-21 KC26-039 05.89.92 AAN SUPRIYANTO SUNTIK VIT C
26-Feb-21 KC26-040 05.89.93 NOVA AGUNG NUGROHO SAPUTRA SUNTIK VIT C
26-Feb-21 KC26-041 05.89.94 ACTA HARI S SUNTIK VIT C
26-Feb-21 KC26-042 05.89.95 MALIYAKIN SUNTIK VIT C
26-Feb-21 KC26-043 05.89.96 DIMAS FARDIYANTO SUNTIK VIT C
26-Feb-21 KC26-044 05.89.97 EDY SANTOSA SUNTIK VIT C
 JENIS
Tanggal NO KWT No. RM NAMA PX
PEMERIKSAAN
27-Feb-21 KW002585 05.93.42' FAHREZA PUTRA ANDHANA ANTIGEN
27-Feb-21 KW002586 05.94.44' HENDRA JOKO SAPUTRO ANTIGEN
27-Feb-21 KW002579 05.93.36' RAFAEL RUDI HARTONO ANTIGEN
27-Feb-21 KW002580 05.93.34' RETNO SAWITRI ANTIGEN
27-Feb-21 KW002581 05.93.33' ROY INDRA KRISNA ANTIGEN
27-Feb-21 KW002582 05.93.92' M. ILHAM HANGGA DWI WICAKSONO ANTIGEN
27-Feb-21 KW002583 05.93.91' SYAHRUL NURUDDIN ANTIGEN
27-Feb-21 KW002584 05.93.48' TRINAWATI INDAH PENI ANTIGEN
27-Feb-21 KW002604 05.93.29' PUTU BAYU NOVIAN ANTIGEN
27-Feb-21 KW002599 05.93.27' INDAH TRI WIJAYANTI ANTIGEN
27-Feb-21 KW002606 05.93.30' LUSIA MARINA SALIM ANTIGEN
27-Feb-21 KW002610 05.93.18' YASINTA LARASATI ANTIGEN
27-Feb-21 KW002609 05.93.17' VICKY SETIYA RAMDHANI ANTIGEN
27-Feb-21 KW002600 05.93.28' JAKA WASPADA ANTIGEN
27-Feb-21 KW002611 05.93.20' ARIYANTO ADI NUGROHO ANTIGEN
27-Feb-21 KW002612 05.93.19' RESTI LUDVIANI ANTIGEN
27-Feb-21 KW002614 05.93.38' MUHAMMAD RENDRA FAIZAL ANTIGEN
27-Feb-21 KW002615 05.93.41' YULIA MAULIDA RAHMAWATI ANTIGEN
27-Feb-21 KW002616 05.93.39' DIMAS PAMUNGKAS ANTIGEN
27-Feb-21 KW002587 05.93.46' KHAIRANA GHASANI ANTIGEN
27-Feb-21 KW002588 05.93.47' SANDRA HASTA PRASETIO ANTIGEN
27-Feb-21 KW002589 05.93.49' AGUS SULISTYO WAWAN ANTIGEN
27-Feb-21 KW002591 05.93.51' ASLAMIAH ANTIGEN
27-Feb-21 KW002592 05.93.35' YOYOK ADI WALUYO ANTIGEN
27-Feb-21 KW002593 05.93.40' IFAFA NUR FITRIANA ANTIGEN
27-Feb-21 KW002594 05.93.37' MOHAMMAD FATCHURROJI ANTIGEN
27-Feb-21 KW002595 05.93.24' ADILAH NAFI ZUHRI ANTIGEN
27-Feb-21 KW002603 05.93.25' KURNIA AHADIANTO ANTIGEN
27-Feb-21 KW002598 05.93.26' RUSTIAN ARYONO ANTIGEN
27-Feb-21 KW002618 05.93.16' JOJOK SUPADMONO ANTIGEN
27-Feb-21 KW002621 05.93.53' TRI FEBRI PRIHANTORO ANTIGEN
27-Feb-21 KW002623 05.93.12' MUHAMMAD KAHLIKA MUALLIM ANTIGEN
27-Feb-21 KW002624 05.93.37' TAURIQ ANTIGEN
27-Feb-21 KW002628 05.93.43' NOVIKA INDRIANI ANTIGEN
27-Feb-21 KW002622 05.93.11' DEDY KURNIAWAN ANTIGEN
28-Feb-21 KW002651 05.93.50' BAGUS DWI DESIYANTO ANTIGEN
27-Feb-21 KW002590 05.93.14' TIARA MAULANA RESTARI ANTIBODY
27-Feb-21 KW002625 05.93.55' RAHMAT AGUS DARMAWAN ANTIBODY
27-Feb-21 KW002627 05.93.54' FAJAR MAHBUD JUNAIDI ANTIBODY
27-Feb-21 KW002697 05.93.13' YULINDA WIDYA LESTARI ANTIBODY
27-Feb-21 KW002607 05.93.15' MUHAMMAD ZAHFAN ANTIBODY
27-Feb-21 KW002605 05.93.01' HERU BUDIANTO PCR NEXT DAY
27-Feb-21 KW002596 05.93.02' ADITYA HERDIAWAN PCR NEXT DAY
27-Feb-21 KW002613 05.93.00' JOKO SUPADMO PCR REGULAR
27-Feb-21 KW002617 05.92.99' RAKHMAD ARIF PCR REGULAR
27-Feb-21 KW002608 05.92.98' SUWARSI PCR REGULAR
27-Feb-21 KW002619 05.92.95' MUHAMMAD RISQI RADITYA PCR REGULAR
 BIAYA
JENIS
No. Tanggal NO KWT No. RM NAMA PX PEMERIKSA
PEMERIKSAAN
AN
17 28-Feb-21 KW002629 05.94.51 ENDRA ANTIGEN 130,000
18 28-Feb-21 KW002630 05.94.49 MOCH FRENGKI ROLANDO ANTIGEN 130,000
19 28-Feb-21 KW002631 04.75.57 ARI AGUS T ANTIGEN 130,000
20 28-Feb-21 KW002633 05.94.47 NIRMALA FIRDAUSI ANTIGEN 130,000
21 28-Feb-21 KW002634 05.94.50 GUNADI SETYOWIBOWO ANTIGEN 130,000
22 28-Feb-21 KW002634 05.94.48 MIFTA KHUROHMAH ANTIGEN 130,000
23 28-Feb-21 KW002635 05.84.46 MOHAMMAD KHOIRON ANTIGEN 130,000
24 28-Feb-21 KW002636 05.94.45 MOHAMAD RISKI ANTIGEN 130,000
25 28-Feb-21 KW002637 05.84.44 PRIA KURNIJANTO ANTIGEN 130,000
26 28-Feb-21 KW002638 05.94.43 RIZQI NAILUL HIDAYAT ANTIGEN 130,000
27 28-Feb-21 KW002639 05.81.05 DRAJAT BOWO GUNARTO ANTIGEN 130,000
28 28-Feb-21 KW002640 05.94.56 SYAIFUL ANWAR ANTIGEN 130,000
29 28-Feb-21 KW002643 05.94.55 WINDY GERDA WULANDARI ANTIGEN 130,000
30 28-Feb-21 KW002644 05.94.75 DINA MAULIDDAH KHASANAH ANTIGEN 130,000
31 28-Feb-21 KW002645 05.85.12 ADRIAN OCTAVIANO ANTIGEN 130,000
32 28-Feb-21 KW002646 05.94.57 ILHAM JAYA KUSUMA ANTIGEN 130,000
33 28-Feb-21 KW002647 05.94.54 RIZKY FIRMANSYAH ANTIGEN 130,000
34 28-Feb-21 KW002648 05.94.52 EKO PURNOMO ANTIGEN 130,000
35 28-Feb-21 KW002649 05.94.73 BILAL CEMERLANG ANTIGEN 130,000
36 28-Feb-21 KW002649 05.75.69 PIPIN RISKI ANTIGEN 130,000
37 28-Feb-21 KW002649 05.89.12 NUDIN LUBIS ANTIGEN 130,000
38 28-Feb-21 KW002650 05.94.58 SYAMSUL ROESDIANTO ANTIGEN 130,000
39 28-Feb-21 KW002652 05.94.59 DRH. M. G ATIK YULIANI ANTIGEN 130,000
40 28-Feb-21 KW002652 05.94.69 ROBBY ABDILLAH ANTIGEN 130,000
41 28-Feb-21 KW002652 05.94.60 MUHAMMAD SYAHRIE KHAMDANI ANTIGEN 130,000
42 28-Feb-21 KW002652 05.94.53 MASYITHA FIRLY SARWENDAH ANTIGEN 130,000
43 28-Feb-21 KW002653 05.94.72 REYNALDY ARIES ARIYANTO ANTIGEN 130,000
44 28-Feb-21 KW002654 05.89.04 MUSA AZ - ZUHAILI ANTIGEN 130,000
45 28-Feb-21 KW002655 05.69.33 OKTO WICHAKSANA UNGGUL ANTIGEN 130,000
46 28-Feb-21 KW002656 05.26.60 NORIS VARIDO ANTIGEN 130,000
47 28-Feb-21 KW002657 05.07.14 RATRI SEPTYANING PALUPI ANTIGEN 130,000
48 28-Feb-21 KW002660 05.94.87 MOCHAMMAD NASRUDIN ANTIGEN 130,000
49 28-Feb-21 KW002661 05.94.84 DANIEL DWI SURISTA ANTIGEN 130,000
 ADMIN
CARA BAYAR JUMLAH JENIS PASIEN
DISKON BANK
TUNAI 130,000 UMUM ANTIBODY
TUNAI 130,000 UMUM ANTIGEN
TUNAI 130,000 UMUM PCR SAME DAY
TUNAI 130,000 UMUM PCR NEXT DAY
TUNAI 130,000 UMUM PCR REGULAR
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM CARA BAYAR
TUNAI 130,000 UMUM TUNAI
TUNAI 130,000 UMUM BCA
TUNAI 130,000 UMUM BNI
TUNAI 130,000 UMUM GOPAY
TUNAI 130,000 UMUM TRANSFER
TUNAI 130,000 UMUM CORPORATE
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM PENDAPATAN
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
 BIAYA
JENIS
No. Tanggal NO KWT No. RM NAMA PX PEMERIKSA
PEMERIKSAAN
AN
1 1-Mar-21 KW002677 FATIMA SETYANI PCR SAME DAY 850,000
2 1-Mar-21 KW002675 ALI ASHARI PCR SAME DAY 850,000
3 1-Mar-21 KW002670 MOCHAMAD AGUS PUDJIHARTANA PCR SAME DAY 850,000
4 1-Mar-21 KW002669 PRAGOSA SATYA DHARMA PUTRI PCR SAME DAY 850,000
5 1-Mar-21 KW002667 JULIYANTI PCR SAME DAY 850,000
6 1-Mar-21 KW002666 JOKO AGUS SANTOSA PCR SAME DAY 850,000
7 1-Mar-21 KW002684 MAHDI AHMAD ZUBEIR SIREGAR PCR SAME DAY 850,000
8 1-Mar-21 KW002683 LANTIP WIDODO PCR SAME DAY 850,000
9 1-Mar-21 KW002688 FINGKY MEGA KOURNIKOVA PCR SAME DAY 850,000
10 1-Mar-21 KW002690 WAHYU SANTOSO PCR SAME DAY 850,000
11 1-Mar-21 KW002692 GILANG WIDYA PUTRA PCR SAME DAY 850,000
12 1-Mar-21 KW002691 SUMIATI PCR SAME DAY 850,000
13 1-Mar-21 KW002697 RUDI DARMAWAN PCR SAME DAY 850,000
14 1-Mar-21 KW002695 SUPRIONO PCR SAME DAY 850,000
15 1-Mar-21 KW002694 SUNTARI PCR SAME DAY 850,000
16 1-Mar-21 KW002700 ANDY KURNIAWAN PCR SAME DAY 850,000
17 1-Mar-21 KW002709 PURWANTO PCR SAME DAY 850,000
18 1-Mar-21 KW002706 BAYU DWI SETYADI PCR NEXT DAY 700,000
19 1-Mar-21 KW002686 ENES MUGI SEPTYO PUTRIE PCR NEXT DAY 700,000
20 1-Mar-21 KW002703 FAIZA UNSIYAH PCR NEXT DAY 700,000
21 1-Mar-21 KW002668 TAUFIK HARWANTO PCR NEXT DAY 700,000
22 1-Mar-21 KW002678 NETTY SUDARWATI PCR NEXT DAY 700,000
23 1-Mar-21 KW002711 KHAYRU ISLAND PCR NEXT DAY 700,000
24 1-Mar-21 KW002712 YENY SETYOWATI PCR NEXT DAY 700,000
25 1-Mar-21 KW002715 INAYATUL AROFAH PCR NEXT DAY 700,000
26 1-Mar-21 KW002722 ARIA BIMANTARA PCR NEXT DAY 700,000
27 1-Mar-21 KW002725 ARI AGUS TAJUDDIN PCR NEXT DAY 700,000
28 1-Mar-21 KW002737 RIZKA SUDARMANTO PCR NEXT DAY 700,000
32 1-Mar-21 KW002707 QUEENCY SALSABILA ROSY PCR REGULAR 600,000
33 1-Mar-21 KW002701 TASYAH SABILLAH PCR REGULAR 600,000
35 1-Mar-21 KW002671 LAILATUL FAZRIYAH ANTIGEN 130,000
36 1-Mar-21 KW002672 DESIRE MARIA EVS ANTIGEN 130,000
37 1-Mar-21 KW002673 MIRNA NURAINI ANTIGEN 130,000
 ADMIN
CARA BAYAR JUMLAH JENIS PASIEN
DISKON BANK
TUNAI 850,000 UMUM ANTIBODY
TUNAI 850,000 UMUM ANTIGEN
TUNAI 850,000 UMUM PCR SAME DAY
TUNAI 850,000 UMUM PCR NEXT DAY
TUNAI 850,000 UMUM PCR REGULAR
TUNAI 850,000 UMUM
TUNAI 850,000 UMUM
TUNAI 850,000 UMUM
TUNAI 850,000 UMUM CARA BAYAR
TUNAI 850,000 UMUM TUNAI
TUNAI 850,000 UMUM BCA
TUNAI 850,000 UMUM BNI
TUNAI 850,000 UMUM GOPAY
TUNAI 850,000 UMUM TRANSFER
TUNAI 850,000 UMUM CORPORATE
TUNAI 850,000 UMUM
TUNAI 850,000 UMUM PENDAPATAN
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 700,000 UMUM
TUNAI 600,000 UMUM
TUNAI 600,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM
TUNAI 130,000 UMUM