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DAFTAR PASIEN BPJS PROLANIS JUNI 2016

No. Tanggal Nama Nomor RM Harga RS Harga BPJS


1 1-Jun-16 Kunarto 43198 206500 226440
2 2-Jun-16 Sutimi 134332 150200 26731.52
3 2-Jun-16 Gunawan 103162 177700 113761.28
4 2-Jun-16 Mulyani 103695 35500 17016.32
5 2-Jun-16 Windarto 132533 164900 109811.2
6 2-Jun-16 Hadi kUsnan 138473 49600 31265.28
7 2-Jun-16 Agus Mulyanto 131795 308000 324685.6
8 2-Jun-16 Sugiyarti 116702 53000 36387.84
9 2-Jun-16 Siti Aisyah 125553 108300 113344
10 2-Jun-16 Wong Joe Liong 118329 143600 100949.76
11 3-Jun-16 Ni luh Wirastuti 144028 315600 334748
12 3-Jun-16 Titik Indarjati 126572 265800 277200
13 3-Jun-16 Martina Dwi S 126519 32700 19665.92
14 3-Jun-16 Purwanto 119173 216700 220088
15 3-Jun-16 Suwardi 111627 554600 571269.12
16 3-Jun-16 E Sugiyanto 126520 685100 706483.52
17 4-Jun-16 Sumiyati 117201 23900 15691.52
18 4-Jun-16 Bekti Rohmanto 129698 127200 114757.12
19 4-Jun-16 Rini Harwati 123067 24500 16280.32
20 4-Jun-16 Jaka Susena 125215 13900 10863.36
21 4-Jun-16 Slamet Raharjo 110675 158300 123942.4
22 4-Jun-16 Subiyanto 124782 437500 451151.04
23 6-Jun-16 Wagiyanta 90533 55400 52992
24 7-Jun-16 Wagirah 127988 50000 32560.64
25 7-Jun-16 Daryati 135698 241100 130961.92
26 7-Jun-16 Fitriyah 131537 51500 38978.56
27 7-Jun-16 V Sri Haryanti 118247 168500 163686.4
28 8-Jun-16 Kartini 122393 24500 16280.32
29 8-Jun-16 Kasini 245071 48000 27320.33
30 8-Jun-16 Suroyo 117993 125900 105248
31 9-Jun m sri rahayu 127061 107900 100684
32 9-Jun-16 enoh ernawati 144407 42400 33002.24
33 10-Jun-16 satini 68289 37500 25053.44
34 10-Jun-16 Manto wiyono 111173 36000 19872
35 10-Jun-16 Fx Sugiyem 123260 112600 107397.12
36 10-Jun-16 Rahmat purbando 145136 209100 214200
37 10-Jun-16 M Sutarmanto 145166 55900 55641.6
38 10-jun-16 Amin Rohmani 144515 309200 328860
39 10-Jun-16 Widodo 86398 241200 74730.24
40 11-Jun-16 Sulasmi 136290 107200 33856
41 11-Jun-16 Supriyono 138735 111600 104070.4
42 11-Jun-16 Sudarta mm 112841 13900 12305.92
43 13-Jun-16 Januar Yusuf 94060 62600 2914.56
44 14-Jun-16 Kiswadi 115886 148100 120792.32
45 14-Jun-16 Endang Yunani 145299 362000 354596.64
46 14-Jun-16 Suwarno 144341 36500 17781.76
47 15-Jun-16 Patah Hidayat 126671 606300 630000
48 15-Jun-16 Supini 144804 312900 332245.6
49 15-Jun-16 YCH Suratno 119207 199700 176051.2
50 16-Jun-16 Ignatius Sumbulno 138468 124200 25713.92
51 16-Jun-16 Sarjono 145394 74000 57260.8
52 16-Jun-16 Sunarti 145395 74000 57260.8
53 16-Jun-16 Bambang Sulakso 106673 112800 105248
54 16-Jun-16 Maryadi 145389 314100 319924.8
55 17-Jun-16 Chistina Rabini 61316 24100 16192
56 18-Jun-16 Mur Sayekti 104755 84400 34883.84
57 20-Jun-16 Samuel Bisowarno 121770 33600 19901.44
58 20-Jun-16 Sri ismudiyati 133514 728600 740405.6
59 20-Jun-16 Pariyem 131954 58100 28144.64
60 21-jun-116 Daryono 98801 34600 25495.04
61 21-Jun-16 Endang Mintoro 99973 468500 223591.36
62 22-Jun-16 Sri utami 126939 353200 360478.56
63 22-Jun-16 Suparmi 125818 313800 245141.44
64 22-Jun-16 Y Mulyani 116838 518300 551485.6
65 22-Jun-16 Rita Mariani 131199 107900 100684.8
66 22-Jun-16 Suranto 110200 187600 114963.2
67 22-Jun-16 Marini 115852 56700 31531.52
68 22-Jun-16 TH Sumarni 116099 121200 124410.72
69 22-Jun-16 FJ Nuning 132312 107900 100684.8
70 23-Jun-16 Sri Kadaryati 187700 187700 162832.64
71 23-Jun-16 Dasiyem 122697 48600 26437.12
72 23-Jun-16 Sugiyah 129026 195300 25699.84
73 27-Jun-16 Christina Nuryani 123827 35500 22227.2
74 27-Jun-16 Suyati 140637 312400 332245.6
75 29-Jun-16 Chistina endang 122722 44900 15397.12
76 28-Jun-16 Muhamad amirudin 134102 37800 19165.44
77 28-Jun-16 Nanik Handayani 118899 289400 153029.12
78 28-Jun-16 Romdoni 100050 979100 837165.92
79 29-Jun-16 Sartini 95863 355900 214200
80 29-Jun-16 Tuminah 136894 28200 19665.92
81 29-Jun-16 Sukamto 117111 17400 10304
82 29-Jun-16 Z F Sri wastuti 60416 75100 58673.92
83 29-Jun-16 Suprijanti 118626 250000 221329.92
84 29-Jun-16 CH Soetarti 105724 57600 16280.32
85 30-Jun-16 Lianingsih 101257 331000 345558.56
86 30-Jun-16 Sukinem 127840 29700 15397.12
87 30-Jun-16 Sri mulyani 144548 53600 32531.2
88 30-Jun-16 Y Fransiska S 128688 446600 451963.52
89 30-Jun-16 Sunarti 72036 181400 133186.56
90 30-Jun-16 Sainah 104414 636500 656342.4
91 30-Jun-16 Agustina Sri S 127755 68600 33237.76
Selisih
-19940
123468.48
63938.72
18483.68
55088.8
18334.72
-16685.6
16612.16
-5044
42650.24
-19148
-11400
13034.08
-3388
-16669.12
-21383.52
8208.48
12442.88
8219.68
3036.64
34357.6
-13651.04
2408
17439.36
110138.08
12521.44
4813.6
8219.68
20679.67
20652
7216
9397.76
12446.56
16128
5202.88
-5100
258.4
-19660
166469.76
73344
7529.6
1594.08
59685.44
27307.68
7403.36
18718.24
-23700
-19345.6
23648.8
98486.08
16739.2
16739.2
7552
-5824.8
7908
49516.16
13698.56
-11805.6
29955.36
9104.96
244908.64
-7278.56
68658.56
-33185.6
7215.2
72636.8
25168.48
-3210.72
7215.2
24867.36
22162.88
169600.16
13272.8
-19845.6
29502.88
18634.56
136370.88
141934.08
141700
8534.08
7096
16426.08
28670.08
41319.68
-14558.56
14302.88
21068.8
-5363.52
48213.44
-19842.4
35362.24
2329609.59
DAFTAR PASIEN BPJS PROLANIS MEI 2016

No. Tanggal Nama Nomor RM Harga RS Harga BPJS


1 2-May-16 Slamet Widodo 129748 358100 259896
2 2-May-16 Suyamto 134347 517100 546445.6
3 2-May-16 Surani 138873 31700 22757.12
4 3-May-16 Supriyanti 137533 513800 556985.12
5 3-May-16 Sarman 121780 411500 435960
6 3-May-16 Budi S 102337 36300 22698.24
7 4-May-16 Khoe Kiem Suan 123261 255900 231216.32
8 4-May-16 Sriyati 135810 29600 22845.44
9 4-May-16 Hadi Suparto 115257 26300 5888
10 9-May-16 Sunarni 111342 51100 21815.04
11 9-May-16 Slamet A 130641 38500 14396.16
12 9-May-16 Suharjo 142221 100500 65768.96
13 10-May-16 Achmad Harris 66553 154100 46515.2
14 10-May-16 Eny Dwi H 101665 565500 546151.2
15 10-May-16 Suyamti 100347 54900 29763.84
16 10-May-16 Usman 121542 40600 21667.84
17 11-May-16 Sugeng Adi 116873 49900 30853.12
18 11-May-16 Isbat Diwoso 140500 166100 44997.12
19 11-May-16 Suharyanti 135947 31500 9273.6
20 12-May-16 Supriyani 44316 169200 120497.92
21 12-May-16 Rahayu S 62592 242400 240578.24
22 13-May-16 Wahyu 135758 537300 560288
23 14-May-16 Mariyah 116872 89500 29145.6
24 16-May-16 Mit Dwi Karyanto 52452 107900 100684.8
25 16-May-16 Minnummah 137693 75100 28939.52
26 17-May-16 Kasiman 119606 111000 100684.8
27 17-May-16 Fatimah 121915 514900 543060
28 17-May-16 Sri Hastuti 143474 50500 14750.4
29 17-May-16 Rina Kusumawati 120600 62100 32972.8
30 17-May-16 Tarsis S 100517 362600 378179.2
31 17-May-16 Dwi S 143268 313600 314884.8
32 17-May-16 Fransiska S 105809 157400 106867.2
33 18-May-16 Januar Yusuf 94060 64400 2915.56
34 18-May-16 Maryatun 144237 344800 243385.6
35 18-May-16 Lamiyem 121027 88500 39773.44
36 18-May-16 Rosidan 120993 344800 243385.6
37 19-May-16 Sri mulyani 140368 30300 8832
38 20-May-16 Sutiyem 142498 68400 56083.2
39 20-May-16 Ngatimin 120448 28700 4032
40 20-May-16 Wahyuni 92495 309200 332245.6
41 21-May-16 Harjanti 144362 15600 3091.2
42 21-May-16 Utami Sri 90580 128600 114609.92
43 23-May-16 Widya Okta 123781 91100 39773.44
44 23-May-16 Suparni Ny 138405 26300 12364.8
45 24-May-16 Sugiharti 126852 402700 355368
46 24-May-16 Sri Maryati 121339 258900 136277.76
47 24-May-16 Abu Umar 43939 44300 32177.92
48 24-May-16 Ennie 119799 45700 12806.4
49 25-May-16 Sucipto 137738 318700 330192
50 25-May-16 Saminten 131345 202400 104070.4
51 25-May-16 Supiyah 129861 312700 326340
52 26-May-16 Jumiyem 117985 127500 114609.92
53 26-May-16 Kartika 128351 29500 18635.52
54 27-May-16 Sri Yuriah 143993 252600 227006.4
55 27-May-16 Nanik Handayani 118899 187300 110728.96
56 27-May-16 Damianus 143020 37800 15308.8
57 28-May-16 Sumanto 132014 132700 43953.2
58 28-May-16 Etik Sandrayati 116413 221000 158413.12
59 30-May-16 Sukamti 109079 71400 59468.8
60 30-May-16 Leo Agung 118249 45100 30205.44
61 11-May-06 Th Sudarni 116897 65000 11545.6
Selisih
98204
-29345.6
8942.88
-43185.12
-24460
13601.76
24683.68
6754.56
20412
29284.96
24103.84
34731.04
107584.8
19348.8
25136.16
18932.16
19046.88
121102.88
22226.4
48702.08
1821.76
-22988
60354.4
7215.2
46160.48
10315.2
-28160
35749.6
29127.2
-15579.2
-1284.8
50532.8
61484.44
101414.4
48726.56
101414.4
21468
12316.8
24668
-23045.6
12508.8
13990.08
51326.56
13935.2
47332
122622.24
12122.08
32893.6
-11492
98329.6
-13640
12890.08
10864.48
25593.6
76571.04
22491.2
88746.8
62586.88
11931.2
14894.56
53454.4
1827472.2
DAFTAR PASIEN BPJS PROLANIS APRIL 2016

No. Tanggal Nama Nomor RM Harga RS Harga BPJS


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Selisih
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