LAPORAN KLINIK KIMIA FARMA AD

NO TANGGAL NAMA PASIEN

1 NY PUNGKY ERAWATI
2 AN GIBRAN ATTHOBARANI
3 NY RINI RACHMAWATI
4 TN ARGA BUANA
5 1-Nov-21 NY RITANTY WARTO
6 NY RACHMA PRATIWI
7 AN RENZO MUHAMMAD FAHLEVI
8 NY SUYATI
9 TN M. FATHAN RAMADHAN
10 AN LENTERA IMANI
11 AN M ZAIN NUR MUSTAQIN
12 2-Nov-21 AN ANGKASA KHAULAH ROHMANI
13 AN ANGKASA KHAULAH ROHMANI
14 AN ADHYASTHA RAYNAND
15 ABDUR MUNIR
16 FAJRIN KURNIA PUTRA
17 NY NUR AFNI
18 3-Nov-21 NY HARLIANI
19 NY JULIA KURNIA SARI
20 TN MUHAMMAD RANDY
21 NY PUJI RAHAYU
22 TN JOSEF JOHANES TOKAYA
23 TN IMAM KURNIA
24 NY DEVI SHAHIFATUN HASANAH
25 NY NURANI RAHMADINI
26 4-Nov-21 TN AMRI
27 AN ANGKASA KHAULAH ROHMANI
28 TN HERI MULYANTO
29 YOLANDA AUGUSTA HENDRAJAT
30 TAUFIK HANIF AGUSTIAN
31 TN DINDIN ABDUL KHOIR
32 TN SARIP SUBARJA
33 5-Nov-21 NY NOLA OKIVITA IMAMA
34 AN RINOA ALMASYIRA SETIAJI
35 NY NUR FAIZAH
36 TN RUDI
37 AN M ZAIN NUR MUSTAQIN
38 AN OMAR ZAKI ABIMATA
6-Nov-21
39 6-Nov-21 TN JIMI HARDIAN
40 AN RENZO MUHAMMAD FAHLEVI
41 NY ARSELA DEWI O
42 AN GIBRAN ATTHOBARANI ZAYAN AFLAH
43 TN USMAN BIN
44 NY SEMI SUMIATI
45 TN HADI SURYA IRAWAN
46 TN IRIADI BASUKI
47 TN JIYAN SUHADA
8-Nov-21
48 NY RADEN AYU MARIA CHRISTYANINGSIH
49 TN ALI SUSANTO
50 AN MARYAM KAMILA AZZAHRA
51 TN M.TAUFIK FIRDAUS
52 AN ZAKY AZKA FIKRI
53 NY RIZKA ROSMA WIDYANINGSIH
54 TN SIHADANI
55 TN JOKO
56 TN MOHAMMAD NURHADI
57 AN ARKAN KHALIF NUGRAHA
58 NY NUR MARDIKA SAR
59 AN LENTERA IMANI
60 TN ARIE HADY
61 NN FAMELLA FALAH RAHMANILLAH
62 NY ERMA FERDINAWATI
9-Nov-21
63 TN ACHMAD NAUFAL
64 TN ADITYA ROHMANI
65 AN ANGKASA KHAULAH ROHMANI
66 AN ANGKASA KHAULAH ROHMANI
67 NN TANIA ANANDA
68 AN EVENCIO XAN HAGA DAELI
69 NY CAROLINA CYNTIA ADYTA
70 NY ZURAYMA HAKIM
71 TN HASAN BISHRI
72 NY ANNISAA RAHMAWATI SUKARNO
73 ERMIT YAGI HABIBI
74 TAUFIK RESTIARDI
75 MUCHAMMAD RIZKI OMASTIAN
76 SILVIA DWI VERAWATI
77 TN RADITYA PUNTO
78 NY RINA ADRIYANI
10-Nov-21
79 NY AGUSTIN
80 NY AGUSTIN
81 NY HAYATI SETIA INTEN
82 TN ENDY RAIMOND
83 TN MUHAMMAD ABDUL MALIK
84 TN KASZAK
85 NY NININ TRIYANA
86 AN NADIA AIYRA PUTRI
87 NY DEVI SHAHIFATUN HASANAH
88 NY NUR FATHIYYAH
89 11-Nov-21 NY NOVI YULIANTY
90 NY ANITA OKTAVIAS
91 TN STEFANIUS
92 NY SULISTIANI
93 AN UNAIS MALIK
94 TN MUHAMMAD RIZQAN KHAIR
95 TN MUGIAN SAPUTRA
96 TN M TAUFIK FIRDAUS
97 12-Nov-21 AN ZAKY AZKA FIKRI
98 AN M ALGHIFARI
99 EDISON SIMANJUNTAK
100 MAKNUR SIBARANI
101 NY LAELA MUSLIMAH
102 TN SARWONO
103 TN JOSEF JOHANES TOKAYA
104 AN KEISHA CHAIRANI SAPUTRA
105 NY DEWI RESPATI
106 TN IMAM TOFANI
107 AN URWAH AZ ZUBAIR
13-Nov-21
108 MUHAMMAD FIR ZATULLAH
109 TN NURHOLIS
110 TN ADE HARIS MUSTHAFA
111 TN IMAM JALALLUDIN
112 NY YUNITA SURAHMAN
113 NY IIF SYAARIFAH
114 TN WISNU RADIKA PUTRA
115 NY PUTRI HAFIDZ
116 NY MARISA HARYANTI
117 AN KHALISYA PUTRI FAUZI
118 AN AYYANA KIRANIA PUTRI FAUZI
119 NY CHITRA AYU NINGRAT
120 TN AGUS PURWADI
121 15-Nov-21 NY SRI UTAMI ERMAN
122 AN ANZA
123 AN YUMNA MYZAHRAH
124 NY RENA
125 TN SUMARDIN
126 NY RADEN AYU MARIA CHRISTYANINGSIH
127 NY WURI SURYANTI
128 NY EMALIA LIANI HARAHAP
129 TN BUDI WARNI
130 AN GIBRAN ATTHOBARANI ZAYAN AFLAH
131 TN ALVIAN DANU W
132 TN ERICK STRADA
133 TN RIANTO PERMADI
134 AN CAKRA KALANTA
135 AN LENTERA IMANI
136 AN CAKRA KALANTA
137 TN ARIE HADY NUGRAHA
138 TN EMPOH DULHAMSYAH
16-Nov-21
139 NY NINA PERMATA
140 NY INDRI KUSMIAWATI
141 NN RAISA BALGIS
142 NN NURAENI
143 TN SYAMSUL RIZAL
144 TN ANDY
145 AN REYHAN GHIBRAN
146 AN KEYLA CANTIKA
147 NY RAGIL ANGGUN TRI WAHYUNI
148 TN SARIF BUDIAWAN
149 AN RASYA MUHAMMAD ATHAYA
150 TN RIDHA NOVIA IKHSANI
151 17-Nov-21 TN VICKRAM CHANDRA
152 AN SHOFWATUN NISA
153 NY T.M. NUNIEK RESTUWILUJENG
154 NY ENDAH SUPRAPTI
155 TN WISNU RADIKA PUTRA
156 NY NURANI RAHMADINI
157 NY RITA ACTAVIANI
158 AN KHIARA UMAIZA AZKADINA S
159 18-Nov-21 TN BUDI WARNI
160 AN GIBRAN ATTHOBARANI ZAYAN AFLAH
161 TN OMAN SULAEMAN
162 TN MUHAMMAD RANDY
163 NY RATNA
164 AN ABDUR RAZZAQ
165 TN KARTO
166 TN BAMBANG HARYA JAGA
167 TN BAHARUDIN TAUFIQ
168 NY EVY NOVITA
169 NY RA DANILLAH
170 19-Nov-21 AN MUHAMMAD RIZKY PRAWIRO
171 AN MUHAMMAD ABYAN ZAKIR SARFARAZ
172 NY ADINDA BUDIARTI
173 AN ZEAN ERDOGAN HAMIDY
174 NY WAHYULIA
175 TN ILHAM MUDDIN
176 NY SITI NURJANAH

20-Nov-21
177 TN FERIAL CHARLES.GS
20-Nov-21
178 TN AHMAD NASUTION
179 TN SUPRIYANTO
180 NY RATIH SEPTIYANDINI
181 TN BASKORO PANDU ADHITYA
182 NY RINA MULYANI
183 AN RAES AQILAH FARYAL
184 TN ASEP SUHERMAN
185 NY RITA ACTAVIANI
186 NY FATIMAH
187 NY NENDEN MULYANINGSIH
188 TN JIYAN SUHADA
189 22-Nov-21 TN ERIZAL
190 AN PANDARA MUHAMMAD NADLIF
191 AN ABIA QISYA IZZ ZALEA
192 TN DIAN FIRMANSYAH
193 AN STEVEN BRADY ZAVAIR
194 NY SARMILA ANDRIYATI
195 TN DONI TISNA
196 AN AMRINA ISYFA RACHMADI
197 TN ANDY
198 TN MUHAMMAD FARIZ HIDAYAT
199 NY ADINDA DARA FAHADA
200 TN SIHADANI
201 NY HARTUTY
23-Nov-21
202 TN MUHAMMAD MUDZAKAR
203 NY AGUSTIN
204 TN I PUTU SIDHI SEDHANA
205 TN DEDI MULYANA
206 AN ASHILA KHANSA AZKADINA
207 NY TITIEK KADARWATY
208 NY NININ TRIYANA
24-Nov-21
209 NY FANY SEPTIANI
210 NY ANISA RACHMAN
211 TN RAKA ADI PUTRA
212 NY SUNARMI
213 NY NENDEN MULYANINGSIH
214 NY NUR AFIAH
215 NY DELIANA SIBARANI
216 25-Nov-21 TN INDRA GUNAWAN
217 TN IGNATIUS ANDI
218 NY LEN SINAR FEBRIANTY AITONAM
219 NY SITI NURJANAH
220 NY RA DANILLAH
221 AN RAES AQILAH FARYAL
222 AN RACHEL ADREENA FAHEEMA
223 NY ARDHANA NADYASARI
224 TN AYUB
225 AN HASNA KAMILA HANUM
226 TN SARONIH
227 TN FADHILLAH BIMA PRIAWAN
228 AN QHAIRA ZULAIKHA SETIAWAN
229 TN MUHAMMAD FARIZ HIDAYAT
230 26-Nov-21 KOKO BUDIANTO 
231 YUDA PAMUNGKAS
232 MELBA MAULUDINA
233 SULAIAMAN MANOR
234 TN DENI ARISTIANTO
235 AN RASYA MUHAMMAD ATHAYA
236 TN FABIAN D LATUHERU
237 AN ILHAM NURIL ARKHAN
238 TN RUDI
239 AN ABIZAR RIZKI SADEWA
240 TN RIZAL ANDRIAN
241 AN ALINA ZAHEEN
242 TN MUHAMMAD FURQON
243 TN FAJRI HILMUS
244 NY NITIA RAHAJENG
245 TN AHZAID MAULA HAZMI
246 TN DODY NOVRIADI
247 AN RINGGA DAVINO
248 TN RACHMAT ADHI SALEH
249 NY MIRANTI
250 TN MUHAMMAD ARIFIN
27-Nov-21
251 NY PUJI AGUSTINI
252 NY IKE YENI RIYANA
253 AN FATIH ALVARO AZZAMY
254 TN USNAN
255 NY NINA PERMATA
256 AN AZIZAH NUR AFIFAH
257 TN HERI SUSILO
258 TN OHA
259 TN WISNU
260 AN UFAIRA QAMELLA RIQYA
261 NY DIANA SARI
262 NY HASANAH
263 TN IRSAN SUSENO
264 NY SRI RAHAYU NINGSIH
265 TN WIDANI S
266 29-Nov-21 TN JIYAN SUHADA
267 TN SURYA ALAMSYAH
268 NY KRISTY ANDRIANI
 29-Nov-21

269 NY ASSATHYA LONGGO

270 TN WAWAN JUWANDI
271 AN TOMMY ARDHA
272 NY NUR AFIAH
273 AN MUHAMMAD GIBRAN SYARIEF
274 AN AQUILA RAHMAH KHALISA
275 NY PUSPITA NURSARI
276 TN USNAN
277 30-Nov-21 NY NURMAYANTI
278 NY LUFITA INDRI ASTUTI
279 NY RIRIEN SAFARINA, S.SOS.
280 TN IMAM KURNIAWAN
281 TN FATHURRAHMAN
282 NY ROSITA
283 TN DEDI AGUNG SAPUTRO
284
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453
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APORAN KLINIK KIMIA FARMA ADELINA SAWANGAN NOVEMBER 2021

DOKTER JENIS PASIEN KONSULTASI

DR ARIFA INH
DR ARIFA INH
DR ARIFA BPJS
DR ARIFA UMUM Rp 65,000
LITHA AG M.KF
DR ARIFA INH
DR ARIFA INH FFS
DR ARIFA INH
LITHA SWAB AG
DRG ARIN INH FFS
DR DESI BPJS
DRG ARIN BPJS
DRG ARIN UMUM
DR DESI BPJS
DR FULLY UMUM Rp 65,000
RIRI SWAB AG
DRG NAUFAL UMUM Rp 65,000
DR FULLY INH
DR FULLY INH FFS
LITHA SWAB AG
RIRI SWAB AG
DR FULLY BPJS
DR FULLY INH
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN BPJS
DRG ARIN UMUM
DR FULLY INH
DR FULLY INH
DR NIDA INH
LITHA SWAB AG
DR NIDA INH
DR NIDA INH
DRG NAUFAL INH FFS
LITHA SWAB AG
DR FULLY BPJS
DR FULLY INH
 RIRI SWAB AG
DR FULLY INH FFS
DR FULLY UMUM Rp 65,000
DR FULLY INH
DR DESI INH FFS
DR DESI INH FFS
DR DESI NAYAKA
LITHA SWAB AG
LITHA SWAB AG
DR DESI INH FFS
RIRI SWAB AG
DR DESI BPJS
DR DESI BPJS
DR DESI BPJS
DR DESI INH
DR DESI NAYAKA
DR DESI UMUM Rp 65,000
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN BPJS
DR DESI BPJS
DR DESI BPJS
DR DESI BPJS
DRG ARIN BPJS
DRG ARIN UMUM
DRG ARIN INH FFS
DR DESI BPJS
RIRI AG M.KF
DR DESI INH
RIRI SWAB AG
DR DESI INH
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
RIRI SWAB AG
DR NIDA INH
RIRI SWAB AG
RIRI SWAB AG
RIRI AG M.KF
RIRI SWAB AG
DR NIDA INH
 RIRI SWAB AG
DR FULLY INH
DRG ARIN INH FFS
DRG ARIN BPJS
RIRI SWAB AG
RIRI SWAB AG
LITHA AG M.KF
LITHA SWAB AG
DR FULLY UMUM Rp 65,000
RIRI SWAB AG
LITHA AG M.KF
DR NIDA BPJS
DR NIDA BPJS
DR NIDA BPJS
LITHA SWAB AG
LITHA SWAB AG
RIRI SWAB AG
DR NIDA INH FFS
DR NIDA BPJS
DR NIDA UMUM Rp 65,000
DR NIDA INH
DR NIDA INH
DR NIDA INH
DR NIDA BPJS
DR NIDA INH
LITHA SWAB AG
DR NIDA UMUM Rp 65,000
DR NIDA INH
DR NIDA BPJS
DR NIDA INH
DR DESI INH FFS
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR DESI INH
LITHA SWAB AG
DR DESI INH
DR DESI BPJS
LITHA SWAB AG
DR DESI UMUM Rp 65,000
DR DESI INH FFS
DR DESI INH
RIRI SWAB AG
DR DESI INH
DR DESI INH
 DR DESI UMUM Rp 65,000
DR DESI BPJS
DR DESI INH
DR DESI INH FFS
DRG ARIN INH FFS
DRG ARIN INH FFS
DRG ARIN INH FFS
DR DESI INH FFS
DR DESI BPJS
DR DESI INH FFS
RIRI SWAB AG
DRG ARIN UMUM
LITHA SWAB AG
DR DESI INH
DR DESI INH FFS
DR DESI INH FFS
DR DESI INH FFS
DR DESI INH I PRO
DR DESI NAYAKA
LITHA SWAB AG
DR NIDA BPJS
DR NIDA BPJS
RIRI SWAB AG
RIRI SWAB AG
DRG ARIN INH FFS
DRG ARIN INH FFS
DR FULLY INH
DR FULLY INH
DR FULLY INH
DR FULLY INH
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR FULLY UMUM Rp 65,000
DR FULLY INH
DR NIDA BPJS
DR NIDA BPJS
LITHA SWAB AG
DR NIDA NAYAKA
DR NIDA INH
DR NIDA INH
DR NIDA INH FFS
DR NIDA INH FFS
DR NIDA UMUM Rp 65,000
LITHA SWAB AG
DR NIDA INH
 RIRI SWAB AG
RIRI SWAB AG
RIRI SWAB AG
DR NIDA INH
LITHA SWAB AG
DR DESI INH FFS
DR DESI INH FFS
DR DESI INH
DR DESI INH
DR DESI BPJS
DR DESI UMUM Rp 65,000
LITHA SWAB AG
LITHA SWAB AG
DR DESI INH
DR DESI INH
LITHA SWAB AG
DR DESI INH
DR DESI INH
RIRI SWAB AG
DR DESI NAYAKA
DR DESI INH
DR DESI INH
DRG ARIN UMUM Rp 65,000
DR DESI NAYAKA
DR DESI NAYAKA
DR DESI INH
DR DESI INH
LITHA SWAB AG
DR DESI INH
DR INGGIT INH
LITHA SWAB AG
LITHA SWAB AG
DR INGGIT INH
LITHA SWAB AG
LITHA SWAB AG
DR FULLY INH
DR FULLY UMUM Rp 65,000
DRG ARIN UMUM
LITHA SWAB AG
DRG ARIN UMUM
LITHA SWAB AG
LITHA SWAB AG
DR FULLY INH
DR FULLY NAYAKA
DR INGGIT INH FFS
DR INGGIT INH FFS
 DR INGGIT INH
DR INGGIT INH FFS
DR INGGIT INH
RIRI SWAB AG
RIRI SWAB AG
DR INGGIT INH FFS
DR INGGIT INH
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DR INGGIT UMUM Rp 65,000
DR INGGIT NAYAKA
LITHA SWAB AG
DR INGGIT INH
LITHA SWAB AG
DR INGGIT UMUM Rp 65,000
DRG NAUFAL UMUM
DR FULLY INH
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DRG NAUFAL INH FFS
DR FULLY INH
DR FULLY INH
DRG NAUFAL INH FFS
DR FULLY BPJS
DR FULLY INH
DR FULLY INH FFS
DR FULLY UMUM Rp 65,000
DR FULLY UMUM Rp 65,000
DR FULLY BPJS
DR FULLY BPJS
DR DESI BPJS
DR DESI BPJS
DR DESI INH
DR DESI INH
LITHA SWAB AG
LITHA SWAB AG
DR DESI INH FFS
 DR DESI BPJS
DR DESI INH
DR DESI UMUM
DRG ARIN UMUM
DR DESI INH
DRG ARIN INH FFS
RIRI SWAB AG
DRG ARIN INH FFS
RIRI SWAB AG
DR DESI UMUM Rp 65,000
DR DESI INH
DRG ARIN UMUM
DRG ARIN UMUM
DR DESI INH FFS
DR DESI UMUM Rp 65,000
.
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2021

CEK(GDS,AU,CHL) CEK RAPID SWAB AG SWAB PCR

Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000

Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000
Rp 85,000
Rp 85,000

Rp 85,000
QRIS / TF KE PUSAT/ DANA NAMA DOKTERJENIS PASIEN
VAKSINKU DR FAKHRUR
POSITIF DR VIA
EDC DR VIRDHA
MOBILE KF
DR FATIMAH
TINDAKAN DR ILHAM
DR RANDY
DR IGA
DRG NAUFAL

Rp 150,000

Rp 200,000
Rp 200,000
Rp 300,000
 DR INGGIT

Rp 500,000

Rp 250,000
Rp 250,000

Rp 60,000
Rp 65,000
Rp 250,000

Rp 300,000
Rp 65,000
TOTAL KAPITASI
DOKTER UMUM Rp -
DOKTER GIGI Rp -
TOTAL PASIEN
TOTAL PASIEN 283
TOTAL
PENDAPATAN Rp 10,925,000
KLINIK

NAMA DOKTER
UMUM CEK RAPID BPJS INH INH FFS INH I PRO NAYAKA
DR FAKHRUR 0 0 0 0 0 0 0
DR VIA 0 0 0 0 0 0 0
DR DESI 7 0 16 26 15 1 6
DR FULLY 7 0 5 18 3 0 1
DR AJENG 0 0 0 0 0 0 0
DR ARIFA 1 0 1 4 1 0 0
DR NIDA 3 0 10 15 3 0 1
DR INGGIT 2 0 0 6 4 0 1
LITHA 0 0 0 0 0 0 0
RIRI 0 0 0 0 0 0 0
DRG NAUFAL 2 0 0 0 7 0 0
DRG ARIN 10 0 5 0 15 0 0
LAB 0 0 0 0 0 0 0
SUNAT 0 0 0 0 0 0 0
TOTAL 32 0 37 69 48 1 9
 LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
LITHA SWAB AG
TN ANGGA AN RIRI SWAB AG
TN DRS. J. RIRI SWAB AG
TN ERYA WARIRI SWAB AG
TN MOHAMM RIRI SWAB AG
NY SRI REZKIRIRI SWAB AG
TN RODI FAURIRI SWAB AG
156 TN MISPAN RIRI SWAB AG
157 NY DEARINA RIRI SWAB AG
158
159
160
161
162
163
164
165
 JUMLAH PASIEN
SWAB HD SWAB AG HD ANTIGEN HALODOC SWAB PCR AG M.KF RAPID M.KF
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 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 0 0
0 52 0 0 0 3 0
0 30 0 0 0 2 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 0 0
0 82 0 0 0 5 0
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
200000
 JUMLAH SIFT SITTING FEE
AG BCA BCA AG DANAMON AG TIKET.COM TIKET.COM
0 0 0 0 0 Rp -
0 0 0 0 0 Rp -
0 0 0 0 0 117 Rp 2,106,000
0 0 0 0 0 91 Rp 1,638,000
0 0 0 0 0 Rp -
0 0 0 0 0 13 Rp 234,000
0 0 0 0 0 91 Rp 1,638,000
0 0 0 0 0 26 Rp 468,000
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 0 0 0
0 0 0 0 0 Rp 6,084,000
 KAPITASI SIP
KONSULTASI CEK(GDS,AU,CHL) SWAB AG
Rp 500,000 Rp - Rp - Rp -
Rp 500,000 Rp - Rp - Rp -
Rp 390,000 Rp - Rp -
Rp 455,000 Rp - Rp -
Rp - Rp - Rp -
Rp 65,000 Rp - Rp -
Rp 195,000 Rp - Rp -
Rp 130,000 Rp - Rp -
Rp - Rp 4,420,000
Rp - Rp 2,550,000
Rp 616,320 Rp 65,000
Rp 65,000

Rp 616,320 Rp 1,000,000 Rp 1,365,000 Rp - Rp 6,970,000

 FEE FEE
SWAB PCR CEK RAPID TINDAKAN DOKTER RAPID
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 494,000 Rp -
Rp - Rp - Rp 65,000 Rp 188,500 Rp -
Rp - Rp - Rp 60,000 Rp 212,000 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 26,000 Rp -
Rp - Rp - Rp - Rp 78,000 Rp -
Rp - Rp - Rp - Rp 52,000 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 250,000 Rp 252,000
Rp 2,215,000 Rp 1,824,000

Rp - Rp - Rp 2,590,000 Rp 3,126,500 Rp -
 TOTAL

Rp 500,000
Rp 994,000
Rp 2,294,500
Rp 1,850,000
Rp -
Rp 260,000
Rp 1,716,000
Rp 520,000
Rp -
Rp -
Rp 868,320
Rp 1,824,000

Rp 10,826,820
 LAPORAN FEE DOKTER
No Dokter Jumlah px BPJS Jumlah px INH

1 DR FAKHRUR 0 - 0 -
2 DR VIA 0 - 0 -
3 DR DESI 17 51,000 30 126,000
4 DR FULLY 5 15,000 18 75,600
5 DR AJENG 10 30,000 21 88,200
6 DRG NAUFAL 5 15,000 0 -
TOTAL 111,000 289,800
FEE DOKTER ASURANSI NOVEMBER 2021
Jenis
Jumlah Px INH FFS Jumlah px Nayaka Jumlah px INH IDMTY Tindakan

0 - 0 - -
0 - 0 - -
16 67,200 6 144,000 -
3 12,600 1 24,000 -
7 29,400 2 48,000 -
6,672,000 5,337,600 0 - -
5,446,800 216,000
TINDAKAN
TOTAL
Biaya

- -
- -
388,200
- 127,200
- 195,600
- - 5,352,600
6,063,600 6,063,600