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PEMERIKSAAN

No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test GDS Urine Rutin Bil.Total Bil.Direct CT
1 2/1/2017 Ny.Sutini 15,000 55,000
2 By.Jefri 35,000 35,000
3 Ny.Reni Yuli 80,000 10,000
4 Ny.Sutarti 80,000 25,000
5 Ny.Sri Mulyati 80,000 25,000
6 Ny.Warsini 15,000 55,000 25,000

7 2/2/2017 Ny.Sutarti 15,000


8 Ny.Ismi R 55,000 25,000
9 An.Erifa
10 Ny.Nining S 80,000 25,000
11 Ny.Nanik Suwarni 80,000
12 Ny.Erlin 80,000 10,000
13 Ny.Parni 80,000 25,000
14 Ny.Yunita 80,000 10,000
15 Ny.Siyam 20,000

16 2/3/2017 Ny.Sulasih 15,000 55,000 25,000


17 Ny.Suryati 15,000 55,000 25,000
18 2/4/2017 Ny.Yustia 80,000 55,000 25,000
19 Ny.Panikem 10,000
20 Ny.Umi Wafiroh 80,000 25,000
21 Ny.Alfi Lisiana 80,000
22 Ny.Nufus 80,000 55,000 25,000
23 Ny.Dewi 75,000
24 2/6/2017 Ny.Novita Adiqka 80,000 55,000 25,000
25 By.Risky 80,000
26 By.Nur Khasanah 80,000 35,000 35,000
27 Ny.Nita Yuliana 20,000
28 Ny.Sukarni 80,000 55,000 25,000
29 Ny.Evi Riyani 20,000
30 Ny.Dewi 15,000 55,000 25,000
31 2/7/2017 By.Dewi 80,000
32 By.Diana 80,000
33 By.Evi 80,000
34 By.Susan 80,000
35 Ny.Dyah 80,000
36 Ny.Pariyanti 80,000 55,000 25,000
37 Ny.Dita Puspita 20,000
38 2/8/2017 By.Hafiza 35,000 35,000
39 By.Yayuk 80,000
40 Ny.Nur Ida 15,000 55,000 25,000
41 Ny.Etik Savitri 15,000 55,000 25,000
42 Ny.Hijri Nur 15,000 55,000 25,000
43 Ny.Wiwik 15,000 55,000 25,000
44 Ny.Febriana 15,000 55,000 25,000
45 Ny.Sulisyowati 15,000 55,000 25,000
46 By.Retno Uning 25,000
47 Ny.Suparmi 80,000
48 2/9/2017 Ny.Agustina 15,000 55,000 25,000
49 Ny.Prapti 15,000 55,000
50 Ny.Kiki Andriyani 80,000 25,000
51 2/10/2017 Ny.Mariyam 15,000
52 Ny.Puri Rimawati 20,000
53 Ny.Dewi Milasari 80,000
54 Ny.Rantika 15,000 25,000
55 2/11/2017 Ny.Astutik 15,000 25,000
56 Ny.Eni 15,000
57 Ny.Kiki
58 Ny.Rantika 15,000
59 2/13/2017 Ny.Erni 80,000
60 Ny.Reni 15,000
61 Ny.Untari 80,000
62 Ny.Elina 80,000 25,000
63 Ny.Sri Maryati 80,000 55,000
64 By.Sri Maryati 1 80,000
65 By.Sri Maryati 2 80,000
66 By.Ice Trisnawati 80,000
67 Ny.Amalia 15,000 55,000
68 Ny.Sutarmi 20,000
69 2/14/2017 By.Rofiatun 80,000 25,000
70 By.Amalia 80,000
71 Ny.Adi Rina 15,000 55,000 25,000
72 Ny.Mataqin 80,000
73 Ny.Susilowati 80,000 55,000 10,000
74 By.Adirina 80,000
75 By.Mutaqin 80,000
76 Ny.Yuni W 80,000 20,000
77 Ny.Sukasri 80,000 25,000
78 By.Putri Dewi 80,000
79 By.Wiwik 35,000 35,000
80 By.Sri Mariyati 1 35,000 35,000
81 By.Sri Mariyati 2 35,000 35,000
82 By.Etik 35,000 35,000
83 Ny.Sukasri 15,000
84 Ny.Winarti 15,000 55,000 25,000
85 Ny.Kumsiyati 15,000 55,000 25,000
86 2/16/2017 Ny.Reni Yuli 80,000 10,000
87 Ny.Iis Rustini 80,000 20,000
88 By.Tina 80,000
89 Ny.Darwayi 80,000 25,000
90 Ny.Sunarmi 25,000
91 Tn.Winarno 25,000
92 Tn.Sutarno 25,000
93 Ny.Lusi Ambar 55,000 25,000 10,000
94 Ny.Suprapti 15,000 55,000 25,000
95 By.Winarti 25,000
96 Ny.Atik 15,000 55,000
97 2/17/2017 Ny.Yeni Isnawati 55,000
98 Ny.Winarti 15,000
99 Ny.Ria Febriana 80,000
100 Ny.Erlin 10,000
101 Ny.Giyarti 15,000 25,000
102 Ny.Khotimah 80,000 25,000
103 Ny.Aris Setyo 75,000
104 Ny.Eri Ekawati 15,000 55,000 25,000
105 2/18/2017 Ny.Dwi Lestari 15,000 25,000
106 Ny.Iin 15,000 55,000
107 Ny.Arifitri 15,000 55,000
108 2/19/2017 Ny.Anik Putri 80,000 55,000
109 2/20/2017 Ny.Sri Wahyuni 20,000
110 By.Ani 25,000
111 Ny.Dwi Yulianti 15,000 25,000
112 Ny.Yuniati 15,000 55,000 25,000
113 Ny.Tri Wahyuni 15,000 55,000 25,000 10,000
114 Ny.Sadikem 15,000 55,000
115 Ny.Sriningsih 15,000 55,000
116 Tn.Supardi 15,000
117 Ny.Nanik 80,000 10,000
118 2/21/2017 Ny.Ninik S 20,000
119 Ny.Sutarti 75,000
120 By.Putri 35,000
121 By.Nanik 15,000 25,000
122 Ny.Siti Nurwati 80,000 10,000
123 Ny.Ngatif 20,000
124 2/22/2017 By.Nanik 80,000
125 Ny.Murni 15,000 25,000
126 Ny.Ema 80,000
127 Ny.Gunarsini 15,000 25,000
128 2/23/2017 Ny.Gunarsini 15,000
129 Ny.Reni Yuli 55,000
130 Ny.Sri Partini 55,000
131 Ny.Ardita 15,000 55,000 25,000
132 Ny.Ita Fajarwati 20,000
133 2/24/2017 By.Reni 80,000
134 Ny.Annisa 80,000 55,000 25,000
135 Ny.Glara 15,000 55,000
136 Ny.Sainem 15,000 25,000 25,000
137 Ny.Iva Rahayu 80,000
138 2/25/2017 Ny.Jumani 80,000 55,000
139 2/27/2017 Ny.Iin Maisyaroh 80,000 10,000
140 Ny.Nur C 20,000
141 By.Jumani 80,000
142 By.Purwanti 80,000 35,000 35,000
143 Ny.Qomariah 15,000 55,000 25,000
144 Ny.Pariantini 75,000
145 Ny.Titik S 80,000 10,000
146 Ny.Tri Lestari 20,000
147 Ny.Hastutik 75,000
148 2/28/2017 Ny.Rahmi 80,000
149 Ny.Tri Wahyu 15,000 55,000 25,000
150 Ny.Yuniati 15,000
151 Ny.Sri Windayani 15,000 55,000
152 Ny.Menik 15,000 55,000 25,000
153 Ny.Lanjar Dwi 80,000 10,000
154 Ny.Khusnah 15,000 55,000 25,000
155 Ny.Untari 80,000

JUMLAH 5E+06 780,000 2,640,000 1,325,000 140000 240000 125000 375000 315000 280000 40000

KARYAWAN
RENI 35000
MONIK 90000
125000
AN JUMLAH
BT Ureum Creatinin OT PT Cholesterol AU TG Dengue
70000
70000
90,000
105,000
105,000
95000
535000
15000
80000
300,000 300000
105,000
80,000
90,000
105,000
90,000
20000
885000
40,000 40,000
20,000

20,000
35,000
40000 40000 40000 35000 300000 11835000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test Gds/Gdp
1 3/1/2017 Ny.Yuli Oky 15,000 55,000 25,000 10,000
2 Ny.Yuniati 15,000
3 Ny.Novita 15,000
4 Ny.Sri Supatmi 15,000 55,000 25,000
5 Ny.Sapari 20,000
6 Ny.Menik 15,000
7 Ny.Novita 15,000
8 Ny.Umini 80,000 10,000
9 Ny.Amalya 15,000 55,000 25,000

10 3/2/2017 Ny.Sadikem
11 Ny.Aldiana 80,000 25,000
12 Ny.Rini 80,000 10,000
13 Ny.Sampuri 15,000 25,000
14 Ny.Anita 15,000 55,000
15 By.Sri S 25,000

16 3/3/2017 Ny.Sri Supatmi 15,000


17 Ny.Fitri Nur 15,000 55,000
18 Ny.Puji Hastutik 15,000 55,000 25,000 10,000
19 By.Menik 80,000 25,000
20 Ny.Yuli Lestari 55,000
21 Ny.Rusiana 15,000
22 Ny.Erlin 10,000
23 Ny.Ardiana 15,000
24 Ny.Mardani 15,000 55,000

25 3/4/2017 Ny.Yahmi 15,000 55,000 25,000


26 Ny.Sri Lestari 15,000 55,000 25,000 10,000
27 Ny.Susilowati 15,000 55,000 25,000
28 Ny.Fika Novita 80,000 55,000 25,000

29 3/6/2017 Ny.Partiyah 80,000 10,000


30 Ny.Ria Puspa
31 Ny.Novia 20,000
32 Ny.Dewi Mila 80,000

33 3/7/2017 Ny.Nelisti 20,000


34 Ny.Chairul 15,000 55,000
35 Ny.Winarti 15,000 55,000 25,000
36 Ny.Dewi Miila 55,000

37 3/8/2017 Ny.Murani 15,000 55,000 25,000 25,000


38 Ny.Ike Fitri 80,000 10,000

39 3/9/2017 Ny.Winarti 15,000 55,000


40 Ny.Sugiyarti 80,000
41 By.Winarti
42 Ny.Setyorini 15,000 55,000 25,000

43 3/10/2017 Ny.Sugiyarti 15,000


44 Ny.Sukamti 80,000 55,000 25,000
45 Ny.Alvina 80,000 25,000
46 By.Etik 80,000

47 3/11/2017 Ny.Hesti 80,000 55,000


48 Ny.Kesti 80,000
49 Ny.Dewi 80,000 55,000

50 3/12/2017 Ny.Avina 80,000 55,000


51 Ny.Mahmudatus 80,000 55,000

52 3/13/2017 Ny.Avina 15,000


53 Ny.Ayu Iphe 80,000 55,000 25,000
54 Ny.Nur H 80,000 55,000 25,000
55 Ny.Pipit
56 Ny.Rini W 15,000 55,000
57 Ny.Istiqomah 20,000
58 Ny.Nuraini 80,000 55,000
59 Ny.Tumini 15,000 25,000 20,000
60 Ny.Ida Ririn 80,000 10,000

61 3/14/2017 Ny.Mega V 15,000 55,000 25,000


62 Ny.Nur H 15,000
63 By.Verantya 80,000 25,000
64 Ny.Suryani 15,000
65 Ny.Suryani 80,000 10,000
66 NY.Siti Khot 20,000
67 Ny.Tria Lutfi 80,000

68 3/15/2017 Ny.Vega V 15,000


69 Ny.Giyanti 80,000
70 Ny.Sunarni 15,000 55,000 25,000
71 Ny.Amalya 15,000
72 Ny.Siti Maya 20,000

73 3/16/2017 Ny.Novi Zaidhal 15,000 55,000 25,000


74 Ny.Indah Liliana 20,000
75 Ny.Etik R 15,000 55,000 25,000 10,000
76 Ny.Soliah 55,000
77 Ny.Freti
78 Ny.Lely Faqul 80,000 10,000
79 Ny.Sulisyorini 80,000 25,000

80 3/17/2017 Ny.Samiyati 80,000 25,000


81 Ny.Sri Wahyuni 20,000
82 Ny.Fifi 20,000
83 Ny.Sri Roma 80,000 25,000
84 Ny.Suwanti 15,000 55,000 25,000
85 Ny.Suwarni 20,000
86 Ny.Siti Khot. 80,000
10,000
87 3/18/2017 Ny.Maskamah 15,000 20,000
88 Ny.Dinar Saputri 80,000
89 Ny.Siti Nur H 15,000 55,000
90 By.Yuliana 80,000 25,000
91 Ny.Ungki Pawes 15,000 55,000 25,000 10,000
92 Ny.Catur 15,000 55,000
93 Ny.Lintang 80,000

94 3/19/2017 Ny.Sugianti 55,000


95 Ny.Lia S 80,000 55,000
96 Ny.Siti Khot 80,000 55,000

97 3/20/2017 Ny.Catur 15,000


98 Ny.Puryani 80,000 55,000 25,000 25,000
99 Ny.Suryani 15,000
100 Ny.Meidawati 20,000
101 By.Siti Khot 25,000
102 Ny.Ana Sariah 15,000 55,000 25,000 10,000
103 Ny.Ernawati 15,000 55,000 25,000
104 Ny.Wahyuni 15,000 25,000
105 Ny.Wiwin 20,000

106 3/21/2017 Ny.Khairunisa 15,000


107 Ny.Indra W 15,000 55,000 25,000
108 Ny.Sri Kumaya 15,000 55,000 25,000
109 Ny.Binti 15,000 55,000

110 3/22/2017 Ny.Umi Apriliani 80,000


111 Ny.Sri Lestari 15,000 55,000
112 Ny.Maryati 20,000

113 3/23/2017 Ny.Suryanti 15,000 55,000 25,000 10,000


114 Ny.Evi Mardiana 80,000
115 Ny.Saminah 15,000 55,000 25,000 25,000

116 3/24/2017 Ny.Tri Lestari 80,000


117 Ny.Yuliana 80,000 25,000
118 By.Irawati 25,000

119 3/25/2017 Ny.Siti Mahmud 20,000


120 Ny.Eli Kasim 15,000 25,000
121 Ny.Lutfi 15,000 10,000
122 Ny.Hanik 80,000
123 Ny.Suwarni 20,000
124 Ny.Nina 80,000 55,000
125 Ny.Siti Handayani 15,000 55,000 25,000
126 Ny.Daryani 20,000
127 Ny.Dwi Indarwati 55,000 25,000
128 Ny.Kuswati 80,000 10,000
129 Ny.Sri Marsih 15,000 55,000 25,000
130 By.Nina 80,000 25,000

131 3/27/2017 Ny.Nina 15,000


132 Ny.Nusi Ferawati 15,000 55,000 25,000
133 Ny.Indarwati 80,000
134 Ny.Sumarni 80,000 25,000
135 Ny.Rita Lestari 80,000 55,000 25,000
136 Ny.Panikem
137 Ny.Suwartiningsih 80,000
138 Ny.Linda 20,000
139 Ny.Harsini 20,000

140 3/29/2017 Ny.Rita Lestari 15,000


141 Ny.Rawi Astuti 55,000
142 Ny.Mayasari 80,000
143 Ny.Anit 80,000 55,000 25,000
144 Ny.Rinika 15,000 55,000
145 Ny.Fitrie 20,000
146 Ny.Nia Evi 20,000
147 Ny.Puji Rahayu 80,000 10,000
148 By.Rinika 25,000
149 Ny.Dewi Maryatun 80,000 25,000

150 3/30/2017 Mifta 55,000


151 Ny.Sri Wahyuni 80,000 10,000
152 Ny.Rahayu 80,000 10,000
153 Ny.Nurul Badriyah 80,000 25,000
154 Ny.Mila Aisyah 80,000

155 3/31/2017 Ny.Endang P 80,000 10,000


156 Ny.Anik Setyowati 15,000 55,000
157 Ny.Asih 15,000 55,000 25,000
158 Ny.Titin 15,000 55,000 25,000

JUMLAH 4560000 945,000 ### ### 220,000 440,000 150,000

KARYAWAN
SAHRUL 77,500
HANDAYANI 20,000
97,500
PEMERIKSAAN
Urine Rutin Bil.Total Bil.Direct CT BT Ureum Creatinin OT PT Cholesterol

40,000 40,000

75,000

35,000 35,000
35,000 35,000

75,000

75,000
75,000

20,000 20,000

300,000 70,000 70,000 20,000 20,000 40000 40000


JUMLAH
AU TG
105000
15000
15000
95000
20000
15000
15000
90,000
95000

80000
105,000
90,000
40000
70000
25000

15000
70000
105000
105,000
55000
15000
10000
15000
70000

95000
105000
95000
160,000

90,000
75000
20,000
80,000

20,000
70,000
95,000
55,000

120,000
90,000

70000
80,000
70,000
95,000

15,000
160,000
105,000
150,000

135,000
80,000
135,000

135,000
135,000

15000
160,000
160,000
75,000
70,000
20,000
135,000
60,000
90,000

95,000
15,000
105,000
15,000
90,000
20,000
80,000

15,000
80,000
95,000
15,000
20,000

95,000
20,000
105,000
55,000
75,000
90,000
105,000

105,000
20,000
20,000
105,000
95,000
20,000
80,000
10,000
35,000
80,000
70,000
105,000
105,000
70,000
80,000

55,000
135,000
135,000

15000
185,000
15,000
20,000
25,000
105,000
95,000
40,000
20,000

15,000
95,000
95,000
70,000

80,000
70,000
20,000

105000
80,000
120,000

80,000
105,000
25,000

20000
40,000
25,000
80,000
20,000
135,000
95,000
20,000
80,000
90,000
95,000
105,000

15,000
95,000
80,000
105,000
160,000
75,000
80,000
20,000
20,000

15,000
55,000
80,000
160,000
70,000
20,000
20,000
90,000
25,000
105,000

55,000
90,000
90,000
105,000
120,000

90,000
70,000
95,000
95,000

11555000
PE
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test Gds/Gdp
1 4/1/2017 Ny.Titin Kurniawati 15,000
2 Ny.Suparni 80,000 10,000
3 Ny.Lutfi 15,000
4 Ny.Eka Yulianti 55,000 10,000
5 Ny.Dyah 80,000 10,000
6 Ny.Tri Handayani 80,000 55,000
7 Ny.Dwi Astuti 80,000 25,000
8 Ny.Susana 80,000 55,000
9 Ny.Eni Suyekti 80,000 25,000
10 Ny.Nadhirul 80,000 10,000

11 4/2/2017 Ny.Dwi Astuti 15,000

12 4/3/2017 Ny.Hanifah 20,000

13 4/4/2017 By.Dwi Mulyani 25,000


14 Ny.Mayasari 55,000
15 Ny.Sri Suwanti 80,000 10,000
16 Ny.Nina Prihartini 80,000 55,000 10,000

17 4/5/2017 Ny.Dwi Mulyani 25,000


18 Ny.Dwi Maryati 80,000 10,000
19 Ny.Luana Ekayanti 20,000
20 Nn.Annisa Bakti 15,000 55,000 25,000

21 4/6/2017 Ny.Sunarsih 15,000 55,000 25,000


22 Ny.Siti Romandiyah 80,000
23 Ny.Tri Anasari 15,000
24 Ny.Ria Abdi 80,000 55,000 25,000
25 Ny.Putri 80,000

26 4/7/2017 By.Suci 80,000


27 Ny.Dwi Hastuti 20,000
28 Ny.Eni Purwanti 80,000 10,000
29 Ny.Oktavia 20,000

30 4/8/2017 Ny.Nur Syamsiah 80,000 25,000 25,000


31 Ny.Devi Listiana 80,000
32 Ny.Inggrid 80,000 55,000 25,000
33 Ny.Rumiyati 15,000 55,000
34 Ny.Sri Mulyani 80,000 55,000
35 Ny.Sunarni 80,000 10,000
36 Ny.Tri Sudarwati 80,000 10,000
37 Ny.Diah Ayu 80,000
38 Ny.Yeni Dwi 15,000 55,000
39 Ny.Luana 20,000
40 Ny.Ika Septi 15,000 55,000 25,000
41 4/10/2017 Ny.Ratna Sari 15,000 55,000 25,000
42 Ny.Parti 20,000
43 Ny.Maryati 20,000
44 Ny.Munawaroh 80,000 10,000
45 Ny.Diyah Dewi 80,000 10,000
46 Nn.Alfina 80,000 25,000
47 Ny.siti Lestari 15,000 55,000 25,000

48 4/11/2017 Ny.Ismiyati 80,000 55,000 25,000


49 Ny.Sri peni
50 Ny.Catur 80,000 25,000
51 Ny.Iis Rosita 15,000 55,000 25,000 10,000
52 Ny.Sri Mulyati 15,000 25,000
53 Ny.Esti wahyuni 80,000 20,000
54 Ny.Sri Lestari 15,000 55,000 25,000 10,000

55 4/12/2017 By.Sri Lestari 25,000


56 Ny.Veronika 20,000
57 By.Daris 80,000
58 Ny.Evi Mardina 15,000
59 Ny.wahyu S 80,000
60 Ny.Okta Fatmasari 80,000 10,000

61 4/12/2017 Ny.Ismiyati 80,000


62 By.Sri Lestari 25,000
63 Ny.Tanti Agus 80,000
64 Ny.Endang P 10,000 20,000
65 Ny.Dwi Noviati 10,000
66 Ny.Supartini 80,000 10,000
67 Nn.Mahmudah 80,000 25,000
68 Ny.Widi 80,000 55,000

69 4/15/2017 Ny.Rika 80,000 55,000 25,000


70 Ny.Yuni Wijayanti 80,000 55,000
71 Ny.Ida Ini 15,000 55,000 25,000
72 Ny.Sri Wahyuni 80,000 10,000
73 Ny.Iswanti 15,000 55,000
74 Ny.Ida Ini 15,000
75 Ny.Netik 80,000 10,000
76 Ny.Kartini 10,000
77 Ny.Sari Yanuari 80,000 55,000
78 Ny.Fitri Lestari 15,000 55,000 25,000
79 Ny.Ari Kamini 80,000 10,000
80 Ny.Anik Winarni 15,000 55,000 25,000

81 4/17/2017 Ny.Yuni Wijayanti 80,000


82 Ny.Tri Ismiyati 80,000 55,000 10,000
83 By.Sri Indarwati
84 Ny.Mashamah 20,000
85 Ny.Rosy W 55,000
86 Ny.Erlina 20,000
87 Ny.Nanik 15,000

88 4/18/2017 Ny.Yuni Wijayanti 80,000


89 By.Tri Ismiati 80,000 25,000

90 4/19/2017 By.Sri Indarwati


91 Ny.Sundari Widya 80,000 10,000
92 Ny.Wiwik 15,000 55,000 25,000
93 By.Ita
94 By.Rosy 80,000

95 4/20/2017 Ny.Suyatmi 80,000


96 By.Harsini 80,000 25,000
97 Ny.Suwarni 20,000
98 Ny.Wiwik 15,000
99 Ny.Nida 15,000 55,000 25,000
100 Ny.Sri Dwi 20,000

101 4/21/2017 Ny.Sugiyarti 55,000


102 Ny.Rini Hastuti 15,000 55,000 25,000
103 Ny.Lina 80,000 25,000
104 Ny.Marhati 15,000 55,000 25,000
105 By.Rini 25,000
106 Ny.Arbayada 80,000 55,000
107 Ny.Dhona 80,000

108 4/22/2017 Ny.Mis Haryani 80,000 55,000 25,000


109 Ny.Silvia
110 By.Harsini
111 Ny.Ani 20,000
112 Ny.Atna Septiana 80,000 25,000
113 Ny.Yuyun 55,000

114 4/25/2017 Ny.Ninik 80,000


115 Ny.Murni
116 Ny.Nanik 80,000 20,000
117 Ny.Abida 80,000 25,000
118 Ny.Aditha 80,000 55,000
119 Ny.Rika 15,000
120 Ny.Reni 80,000 55,000
121 Ny.Herni 80,000 25,000
122 Ny.Wagiyem 80,000 25,000
123 Ny.Siti Yulaikha 80,000

124 4/26/2017 Ny.Sri Lestari 80,000 25,000


125 Ny.Partini 80,000 55,000
126 Ny.Sri Lestari 80,000 55,000 10,000
127 Ny.Heni Kurniati 80,000 10,000
128 Ny.Siti Marsiam 80,000
129 Ny.Esta Wahyu 20,000

130 4/27/2017 Ny.Nevi Riastuti 80,000 25,000


131 By.Iswanti
132 Ny.Nurul Dian 80,000 25,000

133 4/28/2017 Ny.Suliyem 80,000 25,000


134 Ny.Warsiti 80,000
135 Ny.Linda 80,000 25,000
136 Ny.Fitri 55,000

137 4/29/2017 Ny.Suliyem 15,000


138 Ny.Harti 15,000 55,000 25,000
139 Ny.Puspita 80,000 55,000 10,000
140 Ny.Dwi Puji 20,000

141 4/30/2017 Ny.Marhati 15,000


142 Ny.Sumiyati 15,000
143 Ny.Yunita 80,000 10,000

JUMLAH 6000000 465,000 2365000 975000 280000 360000 150000


PEMERIKSAAN
Urine RutinBil.Total Bil.Direct CT BT Ureum Creatinin OT PT Cholesterol AU TG

35,000 35,000
75,000

20,000 20,000

35,000 35,000
20,000 20,000

35,000 35,000

35,000 35,000
35,000 35,000

35,000 35,000

75,000
35,000

75,000
35,000 35,000

225000 280000 245000 40000 40000


JUMLAH

15000
90,000
15000
65000
90,000
135,000
105,000
135,000
105,000
90,000

15,000

20000

25000
55000
90,000
145,000

25000
90,000
20,000
95,000

95,000
80,000
15,000
160,000
80,000

150,000
20,000
90,000
20,000

130,000
80,000
160,000
70,000
135,000
90,000
90,000
80,000
70,000
20,000
95,000
95,000
20,000
20,000
90,000
90,000
105,000
95,000

160,000
75,000
105,000
105,000
40,000
100,000
105,000

25,000
20,000
80,000
15,000
80,000
90,000

80,000
25,000
80,000
30,000
10,000
90,000
105,000
135,000

160,000
175,000
95,000
90,000
70,000
15,000
90,000
10,000
135,000
95,000
90,000
95,000

80,000
145,000
70,000
20,000
55,000
20,000
55,000

80,000
105,000

70000
90,000
95,000
70,000
150,000

80,000
175,000
20,000
15,000
95,000
20,000

55,000
95,000
105,000
95,000
25,000
135,000
80,000

160,000
75,000
35,000
20,000
105,000
55,000

80,000
75,000
100,000
105,000
135,000
15,000
135,000
105,000
105,000
80,000

105,000
135,000
145,000
90,000
80,000
20,000

105,000
70,000
105,000

105,000
80,000
105,000
55,000

15,000
95,000
145,000
20,000

15,000
15,000
90,000

11425000
PEMER
No Tanggal Nama DR HB HbsAg Golda RhProt.Urine PP.Test Gds/Gdp
1 5/1/2017 Ny.Sriyatun
2 Ny.Marhati 15,000
3 Ny.Yohana 80,000 55,000

4 5/2/2017 Ny.Sri Sulastri 80,000


5 Ny.Suyanti 80,000 10,000
6 Ny.Titik Ariyanti 80,000 10,000
7 Ny.Heni 80,000 10,000
8 Ny.Ngatmi 80,000 25,000
9 Ny.Retno 20,000
10 Ny.Sutini 80,000
11 Ny.Indrayani 80,000 20,000
12 Ny.Septiana 80,000
13 Ny.Dwi Lestari 15,000 55,000 25,000
14 Ny.Ayu Ekawati 80,000 10,000
15 Ny.Ginem 80,000 25,000
16 Ny.Nanik S 80,000 10,000
17 Ny.Lusiana 80,000

18 5/3/2017 Ny.Enita 55,000 10,000


19 By.Enita 25,000
20 Ny.Nanik 80,000
21 Ny.Ngatmi 15,000
22 Ny.Artini 15,000 55,000
23 Ny.Sri Sugiyani 80,000 55,000 10,000
24 Ny.Mutiah 20,000

25 5/4/2017 Ny.Suyatmi 15,000 55,000 25,000


26 Ny.Sulastri 15,000 25,000
27 Ny.Siti Nurjanah 80,000 10,000
28 Ny.Kurniawati 80,000 55,000 25,000
29 Ny.Sri Hartini 80,000 10,000
30 Ny.Nanik 80,000
31 Ny.Novita 80,000
32 Ny.Yuanda 15,000
33 Ny.Sumini 80,000
34 By.Yuanda 25,000

35 5/5/2017 Ny.Lilik 15,000 55,000


36 By.Yuanda 80,000
37 Ny.Ariyani 80,000 25,000
38 Ny.Suwanti 80,000 10,000
39 Ny.Ana S 80,000 55,000 25,000

40 5/6/2017 Ny.Mujiati 80,000 10,000


41 Ny.Dewi Rusmiyati 15,000 55,000
42 Ny.Retno Ambarwati 20,000
43 Ny.Wulan Hariyanti 80,000 10,000
44 Ny.Siti Nursiyam 15,000 55,000

45 5/7/2017 Ny.Pani 15,000 55,000 25,000


46 By.Pani 25,000
47 Ny.Sulastri 15,000 55,000 25,000

48 5/8/2017 Ny.Sumarni 80,000 55,000 10,000


49 Ny.Sulastri 80,000
50 Ny.Hesti Nuraini 80,000 55,000 10,000
51 Ny.Surti Wahyu 80,000 55,000 25,000
52 Tn.Sutopo 25,000
53 Ny.Siti Romandiyah 80,000 55,000 25,000
54 By.Pani 80,000
55 Ny.Sukini 80,000 55,000 25,000
56 Ny.Lilik
57 Ny.Isgiyanti 15,000 25,000
58 Ny.Sri Rejeki 15,000
59 By.Sukini 25,000
60 Ny.Isgiyanti 15,000
61 Ny.Yuniar 20,000

62 5/9/2017 Ny.Isgiyanti 15,000


63 Ny.Eko Setyo 80,000
64 Ny.Carolyn 80,000

65 5/10/2017 Ny.Septi 80,000 20,000


66 Ny.Dewi 15,000 55,000 25,000
67 Ny.Rahayu 80,000 25,000
68 Ny.Nurul Fitriyani
69 Ny.Sugiyati 55,000

70 5/11/2017 By.Parti 25,000

71 5/12/2017 Ny.Sri Rejeki 80,000 55,000 10,000


72 Ny.Tias Puji 20,000
73 Ny.Vila 80,000
74 Ny.Martini 80,000 25,000
75 Ny.Sri Maryani 80,000 10,000

76 5/13/2017 Ny.Hesti 15,000


77 Ny.Aisyah 80,000
78 Ny.Sukinah 80,000 25,000
79 Ny.Alimatul 20,000
80 Ny.Fitri W 55,000 25,000
81 Ny.Wini9ngsih 55,000
82 Ny.Endang Tri 80,000 55,000
83 Ny.Aris S 80,000
84 Ny.Wulan Nur 80,000 10,000
85 Ny.Luluk Mujiati 80,000 55,000 25,000
86 5/15/2017 Ny.Sutini 80,000 25,000
87 Ny.Eko Setyoningsih 80,000
88 Ny.Triyana 80,000 55,000
89 Ny.Mei Wulandari 20,000
90 Ny.Iin Arihuda 80,000 10,000
91 Ny.Tinar Bukowati 80,000
92 Ny.Diah Ayu 80,000 10,000
93 Ny.Ani Sriyanti 80,000 25,000
94 Ny.Kinanti 80,000
95 Ny.Eko Setyoningsih 55,000

96 5/16/2017 Ny.Santi 80,000 55,000

97 5/17/2017 Ny.Eko S 15,000


98 Ny.Evi 80,000 10,000
99 Ny.Imas 15,000
### Ny.Mei Fitriani 80,000 55,000
### Ny.Suwarni 80,000 25,000
### Ny.Fatihah 80,000 10,000
### Ny.Sussy 80,000 55,000 25,000
### Ny.Heni Irawati 80,000 55,000 25,000 25,000

### 5/18/2017 Ny.Winarti 15,000


### Ny.Istikanah
### Ny.Ratna Dewi 20,000
### Ny.Nina Prihartini 15,000
### Ny.Puji Astuti 20,000
### Ny.Sarmi 20,000
### Ny.Isnaini 20,000
### Ny.Elisabet Dyah 15,000 25,000

### 5/19/2017 Ny.Reza 20,000


### Ny.Noor Rahma 80,000
### Ny.Sofia 20,000
### Ny.Setya 20,000
### Ny.Septi 80,000 10,000
### Ny.Ajeng Ratna 80,000 55,000
### Ny.Septi Wulan 80,000

### 5/20/2017 Ny.Parni 80,000 55,000


### Ny.Intan Nur 80,000 10,000
### Ny.Siti Fatimah 80,000 55,000
### Ny.Tatik Safitri 80,000 55,000 25,000
### Ny.Ngatinem 80,000 55,000 25,000 10,000

### 5/21/2017 Ny.Nafilah 80,000

### 5/22/2017 Ny.Yuliarni 15,000


### Ny.Kurnia 15,000
### Ny.Sri Haryuni 80,000 55,000
### Ny.Umaya 80,000
### Ny.Wulan 80,000 10,000
### Ny.Sari 80,000 55,000

### 5/23/2017 Ny.Sukiyem 80,000 25,000


### Ny.Maryani 80,000 10,000
### Ny.Purwanti 80,000 55,000 25,000
### Ny.Sulasmi 20,000

### 5/24/2017 Ny.Kiryani 15,000 55,000


### Ny.Anis Muniroh 80,000 10,000
### Ny.Anis Muniroh 25,000
### Ny.Sundari 15,000
### Ny.Nurul Mei 80,000 10,000
### Ny.Sri peni 80,000 10,000
### Ny.Dewi Retnowati 80,000 25,000
### Ny.Etik 80,000
### Ny.Tri Wijayanti
### Ny.Nanik

### 5/25/2017 Ny.Siti R 15,000


### Ny.Anis 15,000

### 5/26/2017 Ny.Ria Lestari 80,000 55,000 25,000


### Ny.Setyarini 80,000 10,000
### Ny.Ria Lestari 10,000
### Ny.Ina Ayu 15,000 55,000
### Nn.Yunita 80,000 25,000
### Ny.Nur Maidah 80,000 10,000
### Bp.Toto

### 5/27/2017 Ny.Ria L 15,000


### Ny.Indah Alfatah 80,000 10,000
### Ny.Reni Reviastuti 80,000 55,000 25,000
### Ny.Fita Orti 55,000

### 5/29/2017 Ny.Sere Vina 80,000 55,000 25,000


### By.Irnawati 80,000 25,000 25,000
### Ny.Niken 20,000
### Ny.Laili Alfin 20,000
### Ny.Ana Retnowati 20,000
### Ny.Ervina 80,000 55,000

### 5/30/2017 Ny.Nurul Mei


### Ny.Fitri Lestari 80,000 55,000
### Ny.Emy Riris 20,000
### Ny.Noor Permatasari 80,000 55,000
### Ny.Siti Aminah 80,000 25,000

### 5/31/2017 Ny.Dyah Mega 80,000 55,000 25,000


### Ny.Ernawati 80,000 10,000
### Ny.Suharti 80,000 25,000
### Ny.Anik Sugiarti 80,000 55,000 10,000

JUMLAH 8080000 465000 2750000 1E+06 350000 420000 200000


PEMERIKSAAN
Urine Rutin Bil.Total Bil.Direct CT BT Ureum Creatinin OT PT CholesterolAU TG WIDAL
75,000

75,000

40,000 40,000
75,000

75,000

75,000

35,000 35,000 40,000 40,000


75,000

75,000
75,000
75,000

35,000

10,000
610,000 35000 35000 80000 80000 35000 75000
JUMLAH

75000
15000
135,000

80,000
90,000
90,000
90,000
105,000
20,000
80,000
100,000
80,000
95,000
90,000
180,000
90,000
80,000

65,000
25,000
160,000
15,000
70,000
145,000
20,000

95,000
40,000
90,000
160,000
90,000
80,000
80,000
15,000
80,000
25,000

70,000
80,000
105,000
90,000
160,000

90,000
70,000
20,000
90,000
70,000

95,000
25,000
95,000

145,000
80,000
145,000
160,000
25,000
160,000
80,000
160,000
75,000
40,000
15,000
25,000
15,000
20,000

15,000
80,000
80,000

175,000
95,000
105,000
75,000
55,000

25,000

145,000
20000
80,000
105,000
90,000

15,000
80,000
105,000
20,000
80,000
205,000
135,000
80,000
90,000
160,000
105,000
80,000
135,000
20,000
90,000
80,000
90,000
105,000
80,000
55,000

135,000

15000
90,000
15000
135,000
105,000
90,000
160,000
185,000

15,000
75,000
20,000
15,000
20,000
20,000
20,000
40,000

20,000
80,000
20,000
20,000
90,000
135,000
80,000

135,000
90,000
135,000
160,000
170,000

155,000

15000
15000
135,000
80,000
90,000
135,000

105,000
90,000
160,000
20,000

70,000
90,000
25,000
15,000
90,000
90,000
105,000
80,000
75,000
75,000

15,000
15,000

160,000
90,000
10,000
70,000
105,000
90,000
35,000

15,000
90,000
160,000
55,000

160,000
130,000
20,000
20,000
20,000
135,000

10,000
135,000
20,000
135,000
105,000

160,000
90,000
105,000
145,000

14215000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 6/1/2017 Ny.Ardiastorini 80,000 25,000
2 Ny.Anik Sugiarti
3 By.Sri Peni 80,000 25,000

4 6/2/2017 Ny.Sutarti 80,000


5 Ny.Anisa 20,000
6 Ny.Andri Susi 80,000 55,000 25,000
7 Ny.Erna Mariana 80,000 55,000
8 Ny.Titik 80,000 10,000

9 6/3/2017 Ny.Devi Listiana 80,000 55,000 25,000


10 Ny.Putri Anggraini 80,000 25,000
11 By.Trianingsih
12 Ny.Anis 15,000 25,000
13 Yulian Adi 80,000 10,000
14 NY.Martini 80,000

15 6/5/2017 Ny.Luky Eriyanti 15,000 25,000


16 Ny.Erna 15,000
17 Ny.Ani Masruroh 80,000 55,000 25,000
18 Ny.Rina 15,000 55,000
19 Ny.Susanti 80,000 25,000
20 Ny.Luky Eriyanti 15,000
21 Ny.Mona Muliana 80,000 55,000 10,000
22 Ny.Astri Diah 80,000 10,000

23 6/6/2017 Ny.Nur Fitriana 15,000 55,000 25,000


24 Ny.Sri Wahyuni 80,000 25,000 20,000
25 Ny.Hartatik 55,000
26 Ny.Asri Utami 80,000
27 Ny.Siti Masiam 80,000 55,000

28 6/7/2017 Ny.Wanti 80,000 55,000 25,000


29 Ny.Sri Wahyuni 15,000
30 Ny.Retno Zulaika 80,000 55,000 25,000
31 Ny.Sri Lestari 55,000
32 Ny.Vivin Indiarti 80,000 25,000
33 Ny.Sumarni 80,000 10,000

34 6/8/2017 Ny.Sri Rejeki 80,000


35 Ny.Ambar 80,000
36 Ny.Puji Rinawati 15,000 25,000
37 Ny.Tias Ningsih 80,000 20,000
38 Ny.Winarni 55,000
39 Ny.Novita Ekasari 80,000
40 Ny.Anjar Saraswati
41 Ny.Erna 20,000
42 Ny.Ade Ayu 15,000 55,000
43 By.Mona Muliana 80,000

44 6/9/2017 Ny.Suparni 20,000


45 Ny.Asdinar Ayu 20,000
46 Ny.Mona
47 Ny.Nur Weni 80,000 10,000
48 Ny.Hana Lestari 80,000 55,000
49 Ny.Maryani 80,000 55,000
50 Ny.Emi Safitri 80,000

51 6/10/2017 Ny.Karsini
52 Ny.Fitri Retno 80,000 55,000
53 Ny.Nurul Mei 80,000 10,000
54 Ny.Sri Suwarti 20,000
55 Ny.Ari Kamini 25,000 10,000
56 By.Mona
57 Ny.Erni Widyawati 80,000
58 Ny.Nova Vilda 20,000
59 Ny.Puji Lestari 20,000
60 Ny.Yekti Wulandari

61 6/11/2017 By.Eko Suliwati 80,000


62 Ny.Kundarti 15,000 25,000
63 Ny.Eko Suliwati 15,000

64 6/12/2017 Ny.Desi Novianti 80,000


65 Ny.Erika Damayanti 80,000 55,000
66 Ny.Esra Martiza 80,000 25,000
67 Ny.Sri Supadmi 20,000
68 Ny.Nia Puji 20,000
69 Ny.Tantri 80,000
70 Ny.Estening 80,000 55,000 25,000
71 Ny.Vanesa 80,000 25,000

72 6/13/2017 Ny.Sugiyatmi 80,000 10,000


73 Ny.Kawiyem 80,000 25,000
74 Ny.Denok Saraswati 80,000 55,000
75 Ny.Evi Irawati 80,000
76 Ny.Atik Widowati 80,000
77 Nn.Naswa 80,000 25,000
78 Ny.Ana Finurjanah 80,000 55,000

79 6/14/2017 Ny.Anika 10,000


80 Ny.Merlin 80,000 55,000
81 Ny.Eni 80,000
82 Ny.Warsini 80,000 55,000
83 Ny.Ani Suprapti 80,000
84 Ny.Purwaningsih 80,000 55,000 25,000
85 Ny.Indri Rahmawati 80,000 10,000

86 6/15/2017 Ny.Hana Lestari 15,000


87 By.Reni 80,000 25,000
88 Ny.Ika Yuliana 80,000 25,000
89 Ny.Siti Anaa 15,000 55,000
90 By.Reni 25,000
91 Ny. Umi Salamah 55,000
92 Ny.Puji Suyanti 80,000 20,000
93 6/16/2017 By.Reni 25,000
94 Ny.Winartiningsih 55,000 10,000
95 Ny.Siti Marsiam 15,000
96 Ny.Siti Anna 15,000
97 Ny.Umi Purwandari 80,000

98 6/18/2017 By.Reni
99 Ny.Henny Susulowati 80,000

100 6/19/2017 Ny.Liya Alfatur 80,000 20,000


101 Ny.Jiyem 80,000 25,000
102 Ny.Dwi Lestari 15,000 25,000
103 Ny.Aning 20,000
104 Ny.Erny 80,000 25,000
105 Ny.Evi Rahayu 80,000 25,000

106 6/20/2017 Ny.Bondhan Kinanti 80,000 55,000


107 Ny.Jiyem 15,000

108 6/21/2017 Ny.Surayem 15,000 55,000 25,000


109 Ny.Kinanti 80,000 55,000
110 Ny.Ariatun 80,000 10,000
111 Ny.Emi Untari 80,000
112 Ny.Nurjanah 80,000
113 Ny.Sri Lestari 10,000
114 Ny.Marissa 80,000 55,000
115 Ny.Ita Dwi 10,000

116 6/22/2017 Ny.Nangimatun 15,000


117 Ny.Surayem 15,000
118 Ny.Galuh Putri 80,000
119 Ny.Sihwati
120 Ny.Saliyem 80,000 25,000
121 Ny.Suwari 15,000
122 Ny.Sabti Alifah 10,000
123 Ny.Marsini
124 Ny.Sulastri 80,000 55,000 25,000
125 Ny.Betty Mulat 80,000 55,000 25,000
126 Ny.Sabti Alifah 15,000

127 6/23/2017 By.Nahriah


128 Ny.Nangimatun 15,000
129 Ny.Qoirul Risky 80,000 25,000

130 6/24/2017 Ny.Wiji Lestari 80,000 10,000


131 Ny.Yunita 80,000 10,000
132 Ny.Maryanti 80,000 10,000
133 Ny.Maryanti 80,000 55,000 25,000 10,000
134 Ny.Ike Sulastri 20,000
135 By.Maryanti 25,000
136 Ny.Ita Dwi H 80,000 25,000 10,000

137 6/25/2017 By.Maryanti 25,000


138 Ny.Suryati 15,000 55,000 25,000
139 6/26/2017 Ny.Suryati 15,000

140 6/27/2017 Ny.Oktya 80,000 55,000 25,000 10,000

141 6/28/2017 Ny.Dian Anggraini 80,000


142 Ny.Tukini 80,000 55,000 25,000
143 Ny.Tri W 20,000
144 Ny.Nurhidayah 15,000 25,000
145 Ny.Sriyatun 15,000 55,000 25,000
146 Ny.Darsiwi 80,000
147 Ny.Sutriyani 20,000
148 By.Endra
149 Ny.Giyanti 80,000
150 By.Nur Hidayah 80,000 25,000
151 Ny.Tri W 80,000 55,000 10,000

152 6/29/2017 Ny.Fatmi Rosidah 20,000


153 Ny.Manda 80,000
154 Ny.Murti M 15,000 55,000 25,000
155 Ny.Tri Wijayanti 80,000 25,000
156 Ny.Is Hariyanti 15,000
157 Ny.Sri Waryanti 15,000
158 Ny.Tugiyem 25,000
159 Tn.Ukina 25,000
160 Ny.Titik Iswati 80,000 25,000

161 6/30/2017 Ny.Novieta 10,000


162 Ny.Is Hariyanti 15,000
163 Ny.Saliyem 80,000 20,000
164 Ny.Mantina
165 By.Nurhidayah
166 Ny.Siti Nurjanah 80,000 25,000
167 Ny.Sulasmini 80,000 25,000
168 Ny.Eka Rahmawati 80,000 25,000 10,000

JUMLAH 7,360,000 465000 2200000 ### 250000 380000

KARYAWAN
Bp.Suparso 55,000
Ny.Uswatun 35,000
Jumlah 90,000

JUMLAH PARAMETER 291


PEMERIKSAAN
Gds/Gdp Urine Rutin Bil.Total Bil.Direct Bil.Indirek Trombosit Ureum Creatinin OT PT

40,000 40,000

35,000 35,000

25,000

75,000

25,000
25,000

25,000

75,000
40,000 40,000

25,000 40,000 40,000

75,000
75,000

25,000
35,000

25,000

25,000

25,000

75,000

25,000
35,000 35,000 35,000

55,000

35,000 35,000

250000 375000 140000 105000 35000 55000 40000 40000 80000 80000
JUMLAH
CholesterolAU TG WIDAL
105,000
80000
105,000

80,000
20000
160,000
135,000
90,000

160,000
105,000
70000
40000
90,000
80,000

40000
15000
160,000
70000
105,000
15000
145,000
90,000

95000
125,000
55000
80,000
135,000

160,000
15000
160,000
55000
105,000
115,000

80,000
80,000
40000
100,000
55000
80,000
75000
20000
70000
105,000

20000
20000
25000
90,000
160,000
135,000
80,000

75000
215,000
90,000
20000
35000
105000
80,000
20000
95000
75000

105,000
40000
15000

80,000
135,000
105,000
20000
20000
80,000
160,000
105,000

90,000
105,000
135,000
80,000
80,000
105,000
135,000

10000
135,000
80,000
135,000
80,000
160,000
90,000

15000
105,000
105,000
70000
25000
55000
100,000
25000
65000
15000
15000
80,000

35000
80,000

100,000
105,000
40000
20000
105,000
105,000

135,000
15000

120000
135,000
90,000
80,000
80,000
10000
160,000
10000

15000
15000
80,000
25000
105,000
15000
10000
75000
160,000
160,000
15000

25000
15000
105,000

90,000
90,000
90,000
170,000
20000
25000
115,000

25000
95000
15000

170,000

80,000
160,000
20000
40000
95000
80,000
20000
105000
80,000
105,000
200,000

20000
80,000
95000
105,000
15000
15000
25000
25000
105,000

10000
15000
100,000

70000
105,000
105,000
115,000

13,205,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 7/1/2017 Ny.Suwarni 20,000
2 Ny.Suprihatin 80,000
3 Ny.Anis 80,000
4 Nn.Ana 20,000
5 By.Marsella
6 Ny.Ita 20,000
7 Ny.Vicky 20,000
8 Ny.Patmi 80,000 25,000
9 Ny.Dewi Lestari 80,000 25,000

10 7/2/2017 Ny.Patmi 15,000

11 7/3/2017 Ny.Diana 80,000 25,000


12 Ny.Ayuk 20,000
13 Ny.Tumiyem 80,000 25,000
14 Ny.Poniyati 80,000 10,000
15 Ny.Nitta 80,000 55,000 25,000
16 Ny.Ratna 15,000 55,000 25,000 10,000
17 Ny.Yanti 10,000

18 7/4/2017 Ny.Yanti 15,000 25,000


19 Ny.Elida 20,000
20 Ny.Timur Wanti
21 Ny.Suparni
22 Ny.Sutarni 80,000 10,000
23 Ny.Nuryka 20,000
24 Ny.Awaliha 20,000
25 Ny.Pramita 80,000 25,000
26 Tn.Wiwik 25,000
27 Ny.Yanti 15,000

28 7/5/2017 Ny.Upik 80,000


29 Ny.Atin 80,000 55,000 25,000
30 Ny.Lasmini 80,000 10,000
31 Ny.Anita 80,000
32 Ny.Pramita 15,000
33 Ny.Suyanti 25,000
34 Ny.Nova 20,000
35 Ny.Sugiyanti 80,000 10,000
36 Ny.Veronica 55,000

37 7/6/2017 Ny.Purwaningsih 80,000 55,000 25,000


38 Ny.Tri Sukarni 80,000 55,000
39 Ny.Dewi Handika
40 Ny.Kiki Andriyani 80,000 55,000
41 Ny.Hasbhi 20,000
42 Ny.Yayuk 80,000
43 Ny.Luluk 80,000
44 Ny.Elisa 20,000
45 Nn.Aisah 20,000

46 7/7/2017 Ny.Sumiyati 20,000


47 Ny.Arofah 80,000
48 Ny.Anisa 80,000
49 By.Anis 80,000
50 Ny.Liya 80,000
51 By.Yayuk 80,000
52 By.Mimin 80,000 25,000
53 Ny.Dani Indri 80,000
54 Ny.Jumani 80,000 55,000 25,000
55 Ny.Marliyah 80,000 55,000 25,000
56 Ny.Yulia 80,000 25,000

57 7/8/2017 Ny.Titik 80,000 10,000


58 Ny.Asri 80,000 55,000 25,000
59 Ny.Rini 20,000
60 Ny.Elok Dewi 80,000
61 Ny.Dewi 20,000

62 7/9/2017 Ny.Hartatik 15,000

63 7/10/2017 Ny.Endang 55,000


64 Ny.Heni 15,000 55,000
65 Ny.Lenik 15,000 55,000
66 Ny.Rita 20,000
67 Ny.Tutut 20,000
68 Ny.Tri Wahyuni 80,000 10,000
69 Ny.Suwanti 80,000 10,000
70 Ny.Asih 80,000 55,000

71 7/11/2017 Ny.Yanti 80,000 10,000


72 Ny.Suparni 80,000 25,000
73 Ny.Yuli Setyowati 10,000
74 NY.Fitria
75 Ny.Ayu 20,000

76 7/12/2017 By.Heni 80,000 25,000


77 Ny.Rika 15,000 55,000
78 Ny.Supartini 15,000 55,000
79 Ny.Purniasih 55,000 10,000
80 Ny.Yeni 20,000
81 Ny.Ayuk 20,000
82 Ny.Winingsih 80,000 10,000
83 Ny.Novi 80,000 25,000
84 Ny.Ari N 80,000 25,000
85 Ny.Hareni 80,000 10,000
86 Ny.Yuli Suriani 80,000 25,000
87 Ny.Sugiyanti 80,000 25,000
88 Ny.Dardi 15,000 55,000 25,000 10,000

89 7/13/2017 Ny.Tri Warsiti 80,000 20,000


90 By.Rika 25,000
91 By.Arum 25,000
92 Ny.Novi 15,000

93 7/14/2017 By.Heni
94 Ny.Ariyani 80,000 55,000
95 Ny.Ervina 80,000 10,000
96 Ny.Suparmi 15,000
97 Ny.Ratna Sari 15,000 55,000 25,000

98 7/15/2017 Ny.Tri Winarsih 80,000 55,000 25,000


99 Ny.Yuli 15,000
100 Ny.Sunarsih 80,000 55,000 25,000
101 Ny.Ana 20,000
102 Ny.Ana Robiyani 20,000
103 Ny.Triyatun 80,000 10,000
104 Ny.Erma 80,000 20,000
105 Ny.Ratnasari 15,000
106 Ny.Sri Hartini 80,000 10,000
107 Ny.Sri Purwa 80,000 10,000
108 Ny.Nurul 20,000
109 Ny.Sri Purwa 55,000

110 7/16/2017 By.Sri Purwa 80,000 25,000


111 Ny.Sri Purwa 25,000

112 7/17/2017 Ny.Sri Ngatmini 20,000


113 Ny.Ismiyati 80,000 20,000
114 Ny.Rustik 80,000 55,000
115 By.Abda
116 By.Mega
117 Ny.Yuyun 20,000
118 Ny.Sani 20,000

119 7/18/2017 Ny.Diana 15,000


120 Ny.Nur Kasanah 80,000 55,000 25,000
121 Ny.Musti 80,000 10,000
122 Ny.Silvia 20,000
123 Ny.Murni 80,000 10,000
124 Ny.Hariyani 80,000 55,000 25,000
125 By.Siti Markamah
126 Ny.Suratmi
127 Ny.Yeni 20,000
128 Ny.Retnoningsih 80,000 10,000

129 7/19/2017 Ny.Istafada 20,000


130 Ny.Eka Rahmawati 80,000 55,000
131 By.Sunarsih 80,000 25,000
132 Ny.Murni
133 Ny.Sugiyanti 10,000
134 Ny.Sunarsih 15,000
135 Ny.Erna

136 7/20/2017 By.Siti Marhamah


137 Ny.Siti Marhamah 80,000
138 Ny.Awalia 80,000
139 By.Isma Nur 80,000 25,000
140 Ny.Yulia 20,000
141 Ny.Sri Rustinah 80,000
142 Ny.Novy Rahma 20,000
143 Ny.Nuri 20,000
144 Ny.Tri Andriyani 10,000

145 7/21/2017 Ny.Tri Wahyuni 15,000 55,000 25,000


146 Ny.Jumiyem 80,000 25,000
147 By.Tri Wahyuni 25,000
148 Ny.Sri Lestari 80,000 25,000
149 Ny.Wahyu W 20,000
150 Ny.Siti Fatimah 20,000

151 7/22/2017 By.Catur 80,000 25,000


152 Ny.Supanti
153 Ny.Novi 55,000
154 Ny.Dina 80,000 55,000 10,000
155 By.Tri A

156 7/23/2017 By.Dewi Setyowati 80,000 25,000


157 By.Tri A

158 7/24/2017 Nn.Atik 80,000


159 Nn.Abida 80,000
160 By.Tri A
161 Ny.Triyatun 10,000
162 By.Tentrem
163 Ny.Suminah 15,000 55,000 25,000
164 Ny.Wahyu 80,000 25,000
165 Ny.Ratih 20,000
166 Ny.Wahyuni 80,000
167 Ny.Yunita 80,000 55,000 25,000
168 Ny.Suliati 80,000 25,000

169 7/25/2017 Ny.Sulis


170 Nn.Nur Patwisana 80,000 25,000

171 7/26/2017 Ny.Nevi 80,000 10,000


172 Ny.Sadiyem 15,000 55,000 25,000
173 Ny.Sugiyarti 55,000
174 By.Muh.Farhan
175 Ny.Sulastri 15,000 55,000 25,000
176 Ny.Yuni Lestari 80,000 55,000 25,000
177 Ny.Andi Rohmani 80,000 55,000 25,000
178 Ny.Siti Mutiah 80,000 55,000 25,000
179 Ny.Tri Widiawati 80,000 25,000

180 7/27/2017 Ny.Rista


181 Ny.Murni 55,000
182 Tn.Untung 55,000

183 7/28/2017 Ny.Nova 80,000 55,000 25,000


184 Ny.Mariyati 15,000 10,000
185 Ny.Tri Hastuti 80,000 55,000 25,000
186 Ny.Parmi 80,000 55,000 25,000
187 Ny.Dian Kuncoro 10,000
188 Ny.Lestari 20,000
189 Ny.Atik 80,000
190 Ny.Ika Winarsih 15,000 55,000 25,000

191 7/29/2017 Ny.Suyanti 80,000 55,000 25,000


192 Ny.Yesi 80,000 55,000 25,000
193 Ny.Isla 20,000
194 By.Vira 80,000 25,000
195 By.Winda 80,000 25,000
196 By.Marliyah 80,000 25,000
197 Ny.Ngatmiatun 80,000 55,000 25,000
198 Ny.Nur 80,000
199 Ny.Rita Dewi
200 Ny.Fela 80,000 10,000

201 7/30/2017 Ny.Hariani 15,000


202 By.Winda
203 By.Vira

204 7/31/2017 Ny.Jaminah 15,000 25,000


205 Ny.Wiwik
206 Nn.Sovia 55,000
207 Ny.Sri Mulyani 20,000
208 Ny.Fela 10,000
209 Ny.Winarsih 15,000 55,000

JUMLAH Err:522 Err:522 Err:522 Err:522 Err:522 Err:522

KARYAWAN
Mbak Hany 20,000

JUMLAH PARAMETER 377


PEMERIKSAAN
Gds/Gdp Urine RutinBil.Total Bil.Direct Bil.Indirek Ureum Creatinin OT PT Cholesterol

25,000

25,000

75,000
75,000

75,000
35,000 35,000

75,000

35,000 35,000

35,000 35,000
25,000

35,000 35,000 35,000


35,000 35,000 35,000

35,000 35,000 35,000


75,000

40,000 40,000 40,000 40,000

40,000 40,000

35,000 35,000 35,000

75,000

40,000 40,000 40,000 40,000


25,000
75,000

35,000 35,000

35,000 35,000

35,000 35,000

35,000 35,000
25,000

75,000

25,000

35,000 35,000 35,000

40,000 40,000
40,000 40,000
35,000 35,000
35,000 35,000
35,000 35,000

75,000

35,000 35,000
35,000 35,000

75,000

Err:522 Err:522 Err:522 Err:522 Err:522 Err:522 Err:522 Err:522 Err:522


JUMLAH
AU TG WIDAL
20000
80,000
105,000
20000
25000
20000
20000
105,000
105,000

15000

105,000
20000
105,000
90,000
160,000
105000
10000

40000
20000
75000
75000
90,000
20000
20000
105,000
25000
15000

80,000
160,000
90,000
80,000
15000
25000
20000
90,000
55000

160,000
135,000
75000
135,000
20000
80,000
80,000
20000
20000

20000
80,000
80,000
80,000
80,000
80,000
175000
80,000
160,000
160,000
105,000

90,000
160,000
20000
80,000
20000

15000

55000
70000
70000
20000
20000
90,000
90,000
135,000

90,000
105,000
10000
75000
20000

175,000
70000
70000
65000
20000
20000
90,000
105,000
105,000
90,000
105,000
105,000
105000

100,000
25000
25000
15000

70000
135,000
90,000
15000
95000

160,000
15000
160,000
20000
20000
90,000
100,000
15000
90,000
90,000
20000
55000

130,000
25000

20000
100,000
135,000
105000
105000
20000
20000

15000
160,000
90,000
20000
90,000
160,000
105000
75000
20000
90,000

20000
135,000
105,000
160000
10000
15000
80000

105000
80,000
155,000
105,000
20000
240,000
20000
20000
10000

95000
105,000
25000
105,000
20000
20000

130,000
75000
55,000
145,000
70000

105,000
70000

80,000
80,000
70000
10000
70000
120000
105,000
20000
80,000
160,000
105,000

75000
105,000

90,000
120000
55000
105000
95000
160,000
160,000
160,000
105,000

80000
135000
55000

160,000
25000
160,000
160,000
10000
20000
80,000
95000

160,000
160,000
20000
175,000
175,000
175,000
160,000
80,000
75,000
90,000

15000
70000
70000

40000
75000
55000
20000
10000
70000

Err:522
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine
1 8/1/2017 By.Hariyani
2 Ny.Suyanti 55,000

3 8/2/2017 Ny.Wagini 80,000 10,000


4 Ny.Sugiyanti 80,000 10,000
5 Ny.Rika
6 Ny.Firdha 80,000 55,000 25,000
7 Ny.Abadi 80,000 55,000
8 Ny.Nur Izati 10,000

9 8/3/2017 Ny.Suparni
10 Ny.Ina M 80,000 25,000
11 By.Hariyani

12 8/6/2017 Ny.Ratmi 80,000 10,000

13 8/7/2017 Ny.Fela 10,000


14 Ny.Marchelia
15 Ny.Sri Sulastri 80,000
16 Ny.Titik Iswati 80,000 10,000
17 Ny.Novia 80,000
18 Ny.Partini 80,000 55,000
19 Ny.Titik Iswati 55,000
20 Ny.Heni 15,000 55,000
21 Ny.Marsini 15,000 55,000 10,000
22 Ny.Novita 80,000 10,000
23 Ny.Dwi Lestari 80,000 25,000

24 8/8/2017 Ny.Denisa
25 Ny.Sulis 80,000 10,000
26 Ny.Fatihah 80,000 55,000
27 Ny.Umi
28 Ny.Sri Lestari
29 Ny.Eni 10,000
30 Ny.Sholikah
31 Ny.Sugiyanti 80,000 10,000
32 Ny.Ika Wati 80,000
33 Ny.Yuli 15,000 55,000 25,000

34 8/9/2017 Ny.Muryanti
35 Ny.Sri Sutini 15,000 25,000
36 Ny.Susilowati 55,000
37 Ny.Suprapti 55,000
38 Ny.Indrayani
39 Ny.Natiah 80,000
40 Ny.Sugiyanti 80,000 25,000
41 Ny.Ninuk 80,000 25,000
42 Ny.Susilowati 15,000
43 Ny.Muji 15,000 55,000
44 Ny.Siti R 80,000

45 8/10/2017 Ny.Sri Sutini 15,000


46 Ny.Nur Weni 80,000 10,000
47 Ny.Nurika 80,000
48 Ny.Sri Mei
49 Ny.Ayu S 80,000 55,000

50 8/11/2017 Ny.Gini
51 Ny.Sri Lasmini 80,000 55,000
52 Ny.Dewi Retno
53 Ny.Arofah 15,000 55,000 25,000
54 Ny.Titing 80,000 55,000 25,000

55 8/12/2017 Ny.Nur S 80,000 55,000 25,000


56 Ny.Sri Lestari 15,000 55,000 25,000
57 Ny.Sri lestari 15,000
58 Ny.Imroatul 80,000 55,000
59 Ny.Sunarni 80,000
60 Ny.Suprihatin 80,000 25,000 10,000
61 Ny.Eni

62 8/13/2017 Ny.Dwi Rukmini 15,000 55,000 25,000


63 Ny.Suprihatin 15,000

64 8/14/2017 Nn.Miftakhur
65 Ny.Humi 80,000
66 Ny.Rina 80,000
67 Ny.Humi 25,000
68 Ny.Ariningsih
69 Ny.Sulastri 10,000
70 Ny.Suryanti 80,000 25,000
71 Ny.Nining 80,000 25,000
72 Ny.Mukhormah
73 Ny.Widi Astuti 80,000 55,000 25,000

74 8/15/2017 Ny.Humi 15,000


75 Ny.Anik
76 Ny.Choirul 10,000
77 Ny.Ratih 80,000 55,000 25,000
78 Ny.Pratitis
79 Ny.Devi 80,000
80 By.Lusi 80,000 25,000
81 Ny.Tri Wahyuni 80,000 55,000 10,000

82 8/16/2017 Ny.Tri Sapari 80,000 55,000


83 Ny.Tutik 80,000 10,000
84 An.Naswa 80,000
85 By.Suprapti
86 Ny.Tutik
87 Ny.Hijriyah
88 Ny.Kristiani 80,000 55,000
89 Ny.Siti N 80,000 55,000
90 Ny.Suparti

91 8/18/2017 Ny.Anita 55,000


92 By.Tutik 80,000
92 Ny.Widi 80,000
94 Nn.Oktarina 80,000
95 Ny.Widi 25,000
96 Ny.Siti S 10,000
97 Ny.Partini 55,000
98 Ny.Kholis 80,000 55,000 25,000
99 Ny.Fatma 80,000 55,000 25,000
100 Ny.Galuh 15,000

101 8/19/2017 Ny.Paryanti 15,000 55,000


102 Ny.Iva 15,000 55,000 25,000 10,000
103 Ny.Karsini 80,000 55,000 10,000
104 Ny.Betty 80,000 55,000 10,000
105 Ny.Sri Lestari 15,000
106 Ny.Widi 15,000
107 Ny.Anik 15,000 25,000
108 Ny.Mukhoromah
109 Ny.Hartini 80,000

110 8/20/2017 Ny.Rini 15,000 55,000


111 By.Nur M 80,000 25,000
112 Ny.Dandi 15,000

113 8/21/2017 By.Erlina 80,000 25,000


114 Ny.Sri Supadmi 15,000 55,000
115 Ny.Ester 15,000

116 8/22/2017 Ny.Erlina 15,000


117 Ny.Tri Murni 80,000
118 Ny.Ratih 15,000

119 8/23/2017 Ny.Dewi R 80,000


120 Ny.Gunarwi 55,000
121 Ny.Fatihah 15,000
122 Ny.Riska

123 8/24/2017 Ny.Karni


124 Ny.Vina 15,000
125 Ny.Siti Fatimah 15,000 55,000
126 Ny.Latifah 80,000 55,000
127 Nn.Anisa 80,000 25,000
128 Ny.Latifah 25,000
129 Ny.Dinar 55,000

130 8/25/2017 Ny.Mila 15,000 55,000 25,000


131 Ny.Iis Surya 80,000 55,000
132 Ny.Dian Kuncoro 80,000 10,000
133 Ny.Mila 15,000
134 Ny.Latifah 15,000
135 Ny.Riyani 80,000
136 Ny.Winarsih 80,000 55,000
137 Ny.Sri H 15,000 55,000
138 Ny.Purwanti 80,000 55,000
139 8/26/2017 Ny.Sri Mulyani
140 Ny.Fitri 80,000 55,000 10,000
141 Ny.Nyani 80,000 55,000

142 8/28/2017 Ny.Nanik 80,000 10,000


143 Ny.Fatikha 80,000 10,000
144 Ny.Nur S 15,000
145 Ny.Suparni
146 Ny.Titik Maryati 80,000
147 Ny.Suti Lestari 15,000 55,000 25,000
148 Ny.Walini
149 Ny.Dewi Ratna 80,000 10,000
150 Ny.Ayu Dewi 80,000
151 Ny.Daryanti 80,000 10,000
152 Ny.Rohmah 80,000
153 Ny.Yeni
154 Ny.Dwi Parni 80,000
155 Ny.Handayani 80,000 10,000
156 Ny.Yuni 80,000 25,000
157 Ny.Karmi 15,000 55,000
158 Ny.Sri Lestari 15,000 55,000 25,000

159 8/29/2017 Ny.Yani


160 Ny.Eka Novita 80,000 25,000
161 Ny.Novita Sari 10,000
162 Ny.Lilis
163 Ny.Umi 80,000 55,000
164 Ny.Heni Widi 10,000
165 Ny.Yani 10,000
166 By.Fitri 80,000 25,000

167 8/30/2017 Ny.Sri Tarminah


168 Ny.Sudiah

169 8/31/2017 Ny.Ina


170 Ny.Nurul 80,000 55,000
171 Nn.Salsabila 80,000 25,000
172 Ny.Wiwin 80,000
173 Ny.Hafi
174 Ny.Tri Lisyorini 15,000

JUMLAH 6400000 555000 2,860,000 875000 310000

KARYAWAN
Desti 7,500
Teguh 47,500
Jumlah 55,000

JUMLAH PARAMETER 303


PEMERIKSAAN
PP.Test Gds/Gdp HIV Urine RutinBil.Total Bil.Direct CT BT Ureum Creatinin
35,000 35,000

20,000

20,000

35,000 35,000

20,000
20,000

25,000

20,000

20,000
20,000

20,000

20,000

20,000
75,000

20,000

20,000

20,000

20,000
20,000

25,000

25,000 40,000 40,000


20,000

20,000

20,000

40,000 40,000

35,000 35,000
20,000 20,000
20,000
20,000 20,000

20,000
20,000

20,000

75,000

35,000
20,000
35,000
25,000

40,000 40,000

20,000

25,000

25,000

35,000
35,000

25,000

20,000
35,000

25,000

20,000
35,000

20,000
35,000

540000 200000 245000 150000 105,000 105,000 40000 40000 120000 120000
OT PT Choleste AU TG WIDAL JUMLAH
70000
55000

90,000
90,000
20000
75,000 235,000
135,000
10000

20000
105,000
70000

90,000

10000
20000
100,000
90,000
105,000
135,000
55000
70000
80000
90,000
105,000

20000
90,000
135,000
20000
20000
10000
20000
90,000
80,000
95000

20000
40000
55000
55000
20000
80,000
105,000
105,000
15000
70000
80,000

15000
90,000
80,000
75000
135,000

20000
135,000
20000
95000
160,000

160,000
95000
15000
135,000
80,000
115,000
20000

95000
15000

20000
100,000
80,000
25000
25000
10000
105,000
35,000 35,000 40,000 320,000
20000
160,000

15000
20000
10000
160,000
20000
80,000
185,000
145,000

135,000
90,000
80,000
70000
40,000 40,000 120000
20,000
175,000
135,000
20000

55000
80,000
80,000
80,000
25000
10000
55000
160,000
160,000
15000

70000
105000
145,000
145,000
15000
15000
40000
20000
80,000

70000
105,000
15000

105,000
70000
15000

15000
80,000
15000

80,000
55000
15000
20000

75000
15000
70000
135,000
105,000
25000
55000

95000
170,000
90,000
15000
15000
80,000
135,000
70000
135,000
20000
180,000
160,000

170,000
90,000
15000
20000
80,000
95000
25000
90,000
80,000
90,000
80,000
25000
80,000
90,000
105,000
105000
130000

25000
105,000
10000
20000
170,000
10000
10000
130,000

20000
35000

20000
170,000
105,000
80,000
35,000 35,000 70000
15000

40000 40000 70000 70000 40000 75000 13000000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 9/1/2017 Ny.Novita Sari 80,000 10,000
2 Ny.Jumrotul 15,000 55,000
3 Ny.Yeni 15,000 55,000

4 9/2/2017 Ny.Margiyanti 80,000 10,000


5 Ny.Nailatul 15,000 55,000 25,000
6 Ny.Samiati 20,000
7 Ny.Ririn
8 Nn.Salwa 80,000 25,000
9 Ny.Kholis 15,000
10 Ny.Novita 80,000 25,000

11 9/3/2017 Ny.Novita 15,000


12 Ny.Suwarni 15,000 25,000
13 By.Yeni 80,000 25,000
14 By.Fitri

15 9/4/2017 Ny.Suhaina 15,000


16 Ny.Hartiningsih 80,000 20,000
17 Ny.Tutik 80,000 25,000
18 Ny.Titik 80,000
19 Ny.Sri P 80,000 55,000 10,000
20 Ny.Nuri 80,000 55,000 25,000
21 Ny.Hesti 80,000 55,000
22 Ny.Yulis
23 Ny.Nanik 10,000

24 9/5/2017 Ny.Sri Sudarsih 80,000 10,000


25 Ny.Daniar 80,000 25,000
26 Ny.Aisyah 15,000 55,000

27 9/7/2017 Ny.Dyah Ayu 15,000 25,000


28 Ny.Marchelia 20,000
29 Ny.Nur Halimah 80,000 20,000
30 Ny.Mustaful 80,000 55,000
31 Ny.Deri Puspita 80,000 55,000
32 Ny.Giyarti 80,000
33 Ny.Dewi Lukoto 80,000
34 Ny.Novita Sari 55,000 10,000
35 Ny.Dewi Rosana 15,000
36 Ny.Daryanti 10,000
37 Ny.Iis 80,000 10,000
38 Ny.Vivit 80,000 10,000
39 Ny.Puspita 80,000 55,000

40 9/8/2017 Ny.Siti Rofiah 80,000


41 Ny.Riyatun 80,000 55,000 25,000
42 Ny.Triyatun 80,000 10,000
43 Ny.Ani 20,000
44 Ny.Dian 10,000
45 Ny.Titik Ermiyati 80,000
46 Ny.Heni 10,000
47 Ny.Tri Ginawati 80,000 55,000 25,000

48 9/9/2017 Ny.Ita Sofia 80,000 55,000 25,000


49 Ny.Melian 80,000 55,000 25,000
50 Ny.Arinia 20,000
51 Ny.Sepsi 25,000

52 9/11/2017 Nn.Isnaini 15,000


53 Ny.Umi Muslim 80,000 55,000 25,000
54 Ny.Tri Wahyu 20,000
55 Ny.Ayu Dewi 10,000
56 Ny.Binti 80,000

57 9/12/2017 Ny.Farikha 10,000


58 Ny.Suparti 80,000 10,000
59 Ny.Indiarti 80,000 10,000
60 Ny.Daryanti 55,000 10,000
61 Ny.Latifah 15,000
62 Ny.Ristina 80,000
63 By.Daryanti 80,000 25,000
64 Ny.Nurweni 80,000

65 9/13/2017 Ny.Sudarni 20,000


66 Ny.Astika 80,000 55,000
67 Ny.Endang 80,000 10,000
68 Ny.Sholehah 80,000 10,000
69 Ny.Ari Tri 20,000

70 9/14/2017 Ny.Endang 55,000


71 Ny.Nurweni 15,000
72 Ny.Nuri Rinawati 20,000
73 Ny.Sella 80,000 25,000
74 Ny.Suprapti 20,000
75 Ny.Syarifah 80,000

76 9/15/2017 Ny.Nur Sekha 80,000


77 By.Daryanti 25,000
78 Ny.Umi H 80,000
79 Ny.Warsi 80,000

80 9/16/2017 Ny.Deri 15,000


81 Ny.Tri Murwa 80,000 55,000 25,000
82 Ny.Ika W 80,000 10,000
83 Ny.Ika Suyati 20,000
84 Ny.Syahamah 10,000
85 Ny.Hijriyah 20,000
86 Ny.Supari 80,000 55,000

87 9/17/2017 Ny.Sri R 15,000 55,000


88 Ny.Sulastri 15,000 55,000 25,000

89 9/18/2017 Ny.Margiyanti 10,000


90 Ny.Sulasah 80,000 55,000
91 Ny.Dona 80,000 55,000
92 Ny.Yuli 80,000 55,000
93 Ny.Sumiyati 20,000
94 Ny.Yuni 80,000 55,000
95 Ny.Ariski 80,000 55,000
96 Ny.Novita 80,000 55,000
97 Ny.Tri Hartini 80,000 10,000

98 9/19/2017 Ny.Ima 15,000


99 Ny.Mega 80,000
100 Ny.Yeni 80,000
101 Ny.Suliani 55,000 10,000
102 Ny.Dewi Nur 20,000

103 9/20/2017 Ny.Sunarni 15,000 55,000


104 Ny.Rini 10,000
105 Ny.Astri Diah 80,000 55,000 25,000
106 By.Ima 80,000 25,000
107 Ny.Ambar 80,000 55,000 25,000
108 Ny.Dwi Puji 20,000
109 Ny.Suprawesti 80,000 55,000 25,000
110 Ny.Endang 20,000
111 Ny.Dewi Yunita 80,000 55,000 25,000

112 9/21/2017 Ny.Atik 15,000 55,000


113 By.Eka
114 Ny.Laila 15,000 55,000

115 9/22/2017 Ny.Suparmi


116 Ny.Triyatun
117 Nn.Alfiani 80,000 25,000
118 Ny.Marlia 80,000 55,000
119 Ny.Aprilia 80,000 10,000
120 Ny.Endang 80,000 25,000 10,000
121 Ny.Alfi 80,000 55,000 25,000
122 Ny.Puji Astuti 80,000 10,000
123 Ny.Siti W 20,000

124 9/23/2017 Ny.Dewi lestari 55,000


125 Ny.Elis 80,000 10,000
126 Ny.Rini Lestari 80,000 55,000 25,000

127 9/25/2017 Ny.Sulasmi 80,000 25,000


128 Ny.Prihatin 80,000 55,000 25,000 10,000
129 Ny.Erna 15,000
130 Ny.Sriyatun 20,000
131 Nn.Diah Ayu 20,000
132 Ny.Endartutik 80,000 25,000
133 Ny.Miyarsih 10,000
134 Ny.Dwi Hastuti 80,000 10,000
135 Ny.Titik 20,000
136 Ny.Samtini 80,000 10,000
137 Ny.Muharafah 80,000 25,000
138 Ny.Mei Mega 20,000
139 9/26/2017 Ny.Yayuk 80,000 55,000
140 Ny.Yanti 20,000
141 Ny.Yhunika 80,000
142 Ny.Fitri

143 9/27/2017 Ny.Partini 80,000 55,000 25,000


144 Tn.Mujiono 25,000
145 Ny.Farikha 10,000
146 Ny.Umi N 80,000
147 Ny.Ukik 80,000 55,000
148 Ny.Nur Hidayati 15,000 55,000
149 Ny.Wahyu 80,000 55,000

150 9/28/2017 Ny.Watiani 80,000


151 Ny.Warni 80,000 25,000
152 Ny.Sumini 20,000
153 Ny.Rinawati

154 9/29/2017 Ny.Suparti 80,000


155 Ny.Eka Wahyu 25,000
156 Ny.Susanti 15,000
157 Ny.Ninik 80,000 10,000
158 Ny.Binti 15,000

159 9/30/2017 Ny.Trismiyati 80,000


160 Ny.Al Komariah 80,000 55,000 25,000
161 Ny.Yuni 80,000 25,000 20,000
162 Ny.Cita Indah 15,000 55,000
163 By.Titin 80,000 25,000
164 Ny.Widi Astuti 80,000 10,000
165 Ny.Subekti

JUMLAH 7,120,000 375000 2695000 1000000 360,000 500000

Laborat Gratis
dr.Puji Hbsg
HIV
Kolesterol

Pak Aris Hbsag


HIV
Kolesterol
GDS
Ureum
Kreatin
GDP
TG
DR

JUMLAH PARAMETER 329


Novi 284
Lia 30
Ayu 15
PEMERIKSAAN
Gds/Gdp HIV Urine RutinBil.Total Bil.Direct CT BT Ureum Creatinin OT

20,000 20,000

35,000

75,000

35,000 35,000

75,000

35,000
35,000
75,000

35,000
35,000

35,000

20,000 20,000
35,000
35,000

35,000
35,000

20,000 20,000
35,000

25,000

35,000

35,000

35,000

35,000
35,000

35,000
35,000
35,000

35,000
35,000 35,000
35,000

35,000

35,000

35,000
25,000
35,000

75,000
40,000 40,000

35,000

40,000 40,000 40,000


35,000

35,000

35,000

35,000
35,000

40,000 40,000

35,000

35,000
35,000
35,000

75,000

35,000

35,000

35,000 35,000

25,000

75000 1295000 375000 105000 105000 60000 60000 120000 120000 40000
PT Cholesterol AU TG WIDAL JUMLAH
90,000
110000
70000

90,000
130000
20000
75000
105,000
15000
105,000

15000
40000
105,000
70000

15000
100,000
105,000
155,000
145,000
195,000
170,000
75000
10000

90,000
105,000
70000

40000
20000
100,000
170,000
170,000
80,000
80,000
65000
15000
10000
90,000
90000
170,000

120,000
195,000
90,000
20000
10000
80,000
10000
195,000

195,000
195,000
20000
25000

55,000
195,000
20000
10000
80,000

10000
90,000
90,000
65000
15000
80,000
130000
80,000

20000
170,000
90,000
90,000
20000

55000
15,000
20000
105,000
20000
80,000

80,000
25000
80,000
80,000

15000
195,000
90,000
20000
10000
20000
170,000

70000
95000

10000
170,000
135,000
170,000
20000
170,000
170,000
170000
90,000

15000
80,000
80,000
65000
20000

70000
10000
195,000
175,000
195,000
20000
195,000
20000
195,000

105000
25000
105000

75000
80000
105,000
170,000
90,000
40,000 275,000
195,000
90,000
20000

90000
90,000
195,000

105,000
205,000
15000
20000
20000
105,000
10000
90,000
20000
90,000
105,000
20000
170,000
20000
80,000
80000

195,000
25,000
10,000
80,000
170,000
105000
170,000

80,000
105,000
20000
75000

80,000
25000
15000
90,000
50000

80,000
195,000
125,000
70000
175,000
90,000
25000

40000 14,445,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 10/1/2017 Ny.Nita 15,000
2 Ny.Winarsih 15,000 55,000

3 10/2/2017 By.Titin
4 Ny.Sindi Ayu 20,000
5 Ny.Siti Mutm. 80,000 10,000
6 Ny.Sri W 80,000
7 Ny.Wulan 15,000 55,000
8 Ny.Tetya 80,000 55,000 25,000
9 Ny.Warsi 80,000 55,000 25,000
10 Ny.Wulan 15,000
11 Ny.Rowi 20,000

12 10/3/2017 Ny.Ambar 80,000


13 Ny.Suyatmi 15,000 55,000 25,000 10,000
14 Ny.Wahyuni 80,000 10,000
15 Ny.Lestari 20,000
16 Ny.Novita 10,000
17 Ny.Dewi Nur 20,000
18 Ny.Darsini 80,000

19 10/4/2017 Ny.Tukini 15,000 55,000


20 Ny.Suwarni 80,000
21 Ny.Tukini 2 80,000 25,000
22 Ny.Dewi 80,000 55,000
23 Ny.Dewi Rahma 80,000 10,000
24 Ny.Sutarmi 80,000 25,000
25 Ny.Siti Rofiah 80,000
26 Ny.Widayani 80,000 55,000 25,000
27 Ny.Dwi Indah 10,000
28 Ny.Yayuk 80,000 10,000
29 Ny.Depi Ari 80,000 55,000

30 10/5/2017 Ny.Anggi 20,000


31 Ny.Intan 15,000
32 By.Warsih 80,000 25,000
33 Ny.Nurul 20,000
34 Ny.Wiwit 25,000
35 Ny.Kharisa 80,000

36 10/9/2017 Ny.Rosita 20,000


37 Ny.Eka
38 By.Warsih
39 Ny.Riiyatun 80,000

40 10/7/2017 Ny.Sarni 15,000 55,000 25,000


41 Ny.Elis 80,000 10,000
42 Ny.Siska 80,000 10,000

43 10/8/2017 By.Tukini 2 80,000 25,000


44 Ny.Pri Diana 55,000
45 10/9/2017 Ny.Pani 80,000
46 Ny.Tri Wijayanti 80,000 55,000 10,000
47 Ny.Sendi 80,000 55,000 25,000
48 By.Parti
49 An.Naumi 80,000
50 Ny.Juliastri 15,000 55,000
51 Ny.Erviana 20,000
52 Ny.Nurul 20,000
53 Ny.Tutik 80,000 25,000

54 10/10/2017 Ny.Hartini 80,000


55 Ny.Ngatiyem 80,000
56 Ny.Ngatiyem 25,000
57 Ny.Mei 15,000 55,000
58 Ny.Nurma 20,000
59 Nn.Tutik 15,000

60 10/11/2017 Ny.Ngatiyem 15,000


61 By.Parti
62 Ny.Dwi Mei 80,000
63 Ny.Nursanti 20,000
64 Ny.Yuliana 80,000
65 Ny.Kuati 80,000
66 Ny.Winati 80,000 10,000
67 Nn.Mamik 80,000 55,000 25,000
68 Ny.Sri Lestari 80,000

69 10/12/2017 Ny.Yulia 20,000


70 Ny.Eva 80,000
71 Ny.Sri W 20,000

72 10/13/2017 Ny.Farikha 10,000


73 Ny.Fitri 20,000
74 Ny.Yayuk 10,000

75 10/14/2017 An.Imam 80,000 25,000


76 Ny.Wulan 25,000
77 Ny.Surati 55,000
78 Ny.Sri M 80,000 25,000
79 Ny.Nur 20,000

80 10/16/2017 Ny.Desi Urba 80,000 25,000


81 Ny.Sri Maryani 20,000
82 Ny.Silvia 15,000 55,000
83 Ny.Siti M 20,000
84 Ny.Fajar 15,000 55,000
85 Ny.Sumiyati

86 10/17/2017 Ny.Saira 15,000 55,000 25,000


87 Ny.Titin
88 Ny.Saira 15,000
89 Ny.Erni
90 Ny.Kiki W 80,000 55,000
91 Ny.Sulisyowati
92 Ny.Sri M 80,000 10,000

93 10/18/2017 Ny.Sri Sukini


94 Ny.Siti Mutmainah 10,000
95 Ny.Parmi 15,000
96 Ny.Saira 15,000
97 Ny.Puji Hastuti 80,000 25,000
98 Ny.Wasi 80,000 55,000

99 10/19/2017 Ny.Fela 80,000 55,000


100 Ny.Novi Hariyanti 80,000 55,000
101 Ny.Siti Fatimah 80,000 25,000
102 Ny.Fitriana 80,000
103 Ny.Ida Fitriana
104 Tn.Ziadatul 25,000

105 10/20/2017 By.Tri M 80,000 25,000


106 Ny.Heni S 80,000 55,000

107 10/21/2017 Ny.Deni Ayu 55,000


108 Ny.Syahamah 80,000 10,000

109 10/22/2017 Ny.Novita 15,000 55,000

110 10/23/2017 Ny.Ella 15,000


111 Ny.Anisusianti 80,000
112 Nn.Wanda 80,000 25,000
113 An.Abdulllah
114 Ny.Ita 80,000
115 Ny.Sumarni 55,000
116 Ny.Lestari 80,000
117 Ny.Gunarti 10,000
118 Ny.Saliyem 80,000
119 Nn.Rafifah 80,000 25,000
120 By.Undari 80,000 25,000

121 10/24/2017 Ny.Undari 10,000


122 Ny.Turyanti 80,000
123 Ny.Arnawati 55,000
124 Ny.Supriyati
125 Ny.Ayik 15,000
126 Ny.Naning 80,000
127 Ny.Suparni 80,000 10,000

128 10/25/2017 An.Naura 80,000 25,000


129 Ny.Sugiarti 80,000 55,000
130 Ny.Fitriana 80,000

131 10/26/2017 Ny.Winaati 10,000


132 Ny.Afifah 80,000
133 Nn.Rossalina 55,000
134 Ny.Sumarsih
135 Ny.Sani 80,000
136 By.Lestari 80,000 25,000
137 Ny.Nailul 80,000
138 Ny.Priyani 15,000 55,000

139 10/27/2017 Ny.Dwi S


140 Ny.Warsini 15,000
141 An.Anabella 80,000 25,000
142 Ny.Yuni Yetini 80,000 55,000

143 10/28/2017 Ny.Tatik 15,000 55,000


144 Nn.Alfadiila 80,000 25,000
145 Ny.Tri Mayasari 20,000

146 10/30/2017 Ny.Kuwati 55,000


147 Ny.Raisma 80,000 55,000 25,000
148 Ny.Farikha 80,000 55,000 10,000
149 Ny.Rini Rejeki 80,000 25,000

150 10/31/2017 Ny.Darwanti


151 Ny.Lina 10,000
152 Ny.Sukini 15,000 55,000
153 Ny.Atik 15,000
154 Ny.Siti M 10,000

JUMLAH 5840000 390,000 2090000 800000 230000 360000

JUMLAH PARAMETER 281


Novi 274
Lia 7
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Bil.Total Bil.Direct CT BT Ureum Creatinin OT PT

35,000

35,000 35,000

35,000
25,000

35,000
35,000

35,000

25,000
35,000
35,000

20,000 20,000
35,000

35,000

35,000 35,000

25,000
35,000 35,000

35,000

40,000 40,000

35,000
35,000
35,000
35,000 35,000

35,000

35,000

35,000 35,000

35,000

35,000
75,000

35,000
75,000

75,000
35,000
25,000
25,000

35,000
35,000
25,000

25,000

25,000
35,000

35,000

25,000
35,000 35,000

35,000

25,000

35,000
25,000

35,000

35,000
25,000

25,000
35,000

35,000

35,000

35,000

35,000
35,000
35,000

75,000

35,000

325000 1225000 300000 210000 210000 20000 20000 40000 40000


Cholestero AU TG WIDAL JUMLAH
15000
105000

70000
20000
90,000
80,000
70000
195,000
185,000
15000
20000

80,000
140000
125,000
20000
10000
20000
80,000

105000
80,000
130,000
170,000
125,000
105,000
120,000
195,000
10000
90,000
170,000

20000
15000
175,000
20000
25000
80,000

20000
25000
70000
80,000

130,000
90,000
170,000

105,000
90000
80,000
180,000
195,000
70000
80,000
105000
20000
20000
105,000

80,000
80,000
25000
105000
20000
15000

15000
70000
80,000
20000
80,000
80,000
90000
160,000
80,000

20000
80,000
20000

10000
20000
10000

105,000
25000
55000
105,000
20000

105,000
20000
105000
20000
105000
75000

130,000
75000
15000
75000
170,000
25000
90,000

25000
10000
15000
15000
105,000
135,000

170,000
170,000
130,000
80,000
25000
25000

130,000
170,000

55000
90,000

105000

15000
80,000
130,000
70000
80,000
90000
80,000
10000
80,000
105,000
130,000

10000
80,000
90000
25000
15000
80,000
90,000

105,000
170,000
80,000

10000
80,000
90000
35,000 35,000 40,000 135000
80,000
130,000
80,000
105000

35000
15000
105,000
170,000

105000
105,000
20000

90000
195,000
180,000
105,000

75000
10000
105,000
15,000
10000

35000 35000 40000 12210000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 11/1/2017 Ny.Maryati 80,000 25,000
2 Nn.Anggarayani 80,000 25,000

3 11/2/2017 Ny.Sri Mulyani


4 Ny.Sholekah 80,000 10,000
5 Ny.Ngadi Lestari 80,000

6 11/3/2017 By.Riyatun 80,000 25,000


7 Ny.Tartini 80,000
8 Ny.Ririn 20,000
9 Ny.Reny 80,000

10 11/4/2017 Ny.Suparwanti 15,000 55,000


11 Nn.Wida 80,000 25,000

12 11/6/2017 Ny.Painem 80,000 25,000


13 Ny.Daris 80,000
14 Ny.Ratri 80,000 25,000 20,000

15 11/7/2017 Ny.Fela 80,000


16 Ny.Kasih 80,000 25,000
17 Ny.Nurul 15,000 55,000
18 Ny.Iriana 80,000 20,000
19 Ny.Siti R 15,000 25,000
20 Ny.Lamsini 80,000 25,000

21 11/8/2017 Ny.Latifah 80,000 55,000 25,000

22 11/9/2017 Ny.Sri Hartatik 15,000 55,000


23 By.Ibrahim
24 Ny.Widyaningsih 80,000 10,000
25 Nn.Mafiah 80,000
26 By.Anik 80,000 25,000

27 11/10/2017 Ny.Yatmi 80,000 55,000 25,000


28 Ny.Sri Lestari 20,000
29 Ny.Narsi 80,000 25,000
30 Ny.Indra 80,000
31 Ny.Purwanti 80,000 10,000
32 Ny.Suparyatun 80,000 10,000
33 Ny.Suparyatun

34 11/11/2017 Ny.Suparyatun
35 By.Purwanti
36 Ny.Resminingsih 15,000 25,000
37 Ny.Ika 55,000
38 By.Ika 80,000 25,000
39 Ny.Ika 15,000
40 Ny.Dwi Iska 15,000 55,000
41 Ny.Trimulyati 10,000

42 11/12/2017 By.Purwanti
43 By.Anik 80,000
44 Ny.Resminingsih 15,000
45 Ny.Suparyatun

46 11/13/2017 Ny.Sarsi 80,000


47 Ny.Parwoko
48 Ny.Kiki 80,000 25,000
49 Nn.Sindi 80,000 25,000
50 Ny.Tyas 80,000 25,000
51 Ny.Pipin 15,000 55,000
52 Ny.Suharti 15,000 55,000

53 11/14/2017 By.Winarsih 80,000 25,000


54 Ny.Fitria 10,000
55 Ny.Puryanti 80,000 25,000
56 Ny.Novi
57 Ny.Tyas 15,000
58 Ny.Kiki 80,000
59 Ny.Winda
60 Ny.Kiki 80,000
61 Ny.Nabila 80,000

62 11/15/2017 Ny.Yuni 20,000


63 Ny.Anik 15,000

64 11/16/2017 Ny.Dewi R 80,000 25,000


65 Ny.Sri Purwanti 15,000 55,000
66 By.Anik 80,000 25,000
67 Ny.Lina 80,000
68 Ny.Aning 55,000

69 11/17/2017 Ny.Suparyatun 80,000

70 11/18/2017 Ny.Yuni Lestari 15,000 10,000


71 Ny.Parni 80,000
72 By.Yuni
73 Ny.Siti Mardiyanti
74 Ny.Khotimah 80,000 55,000 25,000
75 Ny.Puspitarani 80,000
76 Ny.Sumiyati 10,000

77 11/19/2017 By.Yuni 25,000


78 Ny.Falhkhiyatul 15,000 55,000

79 11/20/2017 Ny.Menik 15,000


80 By.Tyri Hastuti 80,000 25,000
81 Ny.Ngadiyati 15,000 55,000
82 Ny.Suwarni 80,000

83 11/21/2017 Ny.Tri Supatmi 80,000 10,000


84 Ny.Istisaroh 80,000 55,000
85 Ny.Kris 80,000
86 Ny.Lasmi 10,000
87 11/22/2017 Ny.Yunita 80,000 25,000

88 11/23/2017 Ny.Suparyatun
89 Ny.Wahyuni 80,000 55,000
90 Ny.Sri Khayatun 25,000
91 Ny.Tri Murni 10,000
93 Ny.Ayu Wandira 80,000 10,000

94 11/24/2017 Ny.Dian 80,000 55,000


95 Ny.Sumilah
96 Ny.Lilis 80,000 55,000 25,000
97 By.Tri Hastutik 80,000

98 11/24/2017 Ny.Dwi Hastuti 80,000


99 Ny.Umi 80,000 25,000

100 11/25/2017 Ny.Sugiyarti 20,000


101 Ny.Riyatun 80,000
102 Nn.Aulia 80,000 25,000

103 11/27/2017 Ny.Pipit 15,000 25,000


104 Ny.Ita 80,000 55,000
105 Ny.Nurti
106 Ny.Suwarni 15,000 25,000
107 Ny.Sainah 20,000
108 Ny.Khorifah 80,000

109 11/28/2017 Ny.Tini 80,000 25,000


110 Ny.Fatma 80,000 55,000
111 Ny.Fitria 80,000
112 Ny.Siti Lestari 80,000 25,000
113 Ny.Dwi Lestari 55,000
114 Ny.Ida 80,000 55,000
115 Ny.Sri Lestari 80,000 55,000
116 Ny.Farti 80,000 25,000
117 Ny.Tri S 80,000
118 Ny.Icha 20,000
119 Ny.Eri 80,000 10,000
120 Ny.Tini 15,000

121 11/29/2017 Ny.Tini 15,000


122 Ny.Tri Haryani 80,000 55,000 25,000
123 Ny.Fitriana 20,000
124 Ny.Ryska 80,000
125 Ny.Harni 80,000
126 NY.Heni 15,000

127 11/30/2017 Ny.Wiwin 80,000 55,000 25,000


128 Ny.Arofatun 80,000
129 Ny.Yayuk
130 Nn.Sofia 80,000 25,000

JUMLAH 5,920,000 330,000 1375000 950,000 130000 180000


KARYAWAN
An.Monik 40,000

JUMLAH PARAMETER 241


Novi 185
Wahyu 52
Lia 4
Erika 0
PEMERIKSAAN
Gds/Gdp HIV Urine RutBil.Total Bil.Direk CT BT Ureum Creatinin OT PT

75,000

25,000
35,000

35,000

35,000
35,000 35,000

25,000

35,000

35,000

20,000 20,000 40,000 40,000

25,000
25,000

25,000

25,000
25,000 35,000 35,000

25,000

25,000
75,000

35,000
35,000

25,000
25,000

35,000

75,000

35,000
25,000

25,000

25,000
75,000
35,000

35,000

25,000
35,000

35,000
25,000
35,000

35,000
75,000
35,000
35,000 35,000

35,000
35,000
25,000

35,000

35,000
35,000

35,000

35,000

425,000 805000 375000 105000 105000 20000 20000 40000 40000


CholesteroBil.Indirek Trombosit WIDAL JUMLAH
105,000
105,000

75000
90,000
80,000

105,000
80,000
20,000
80,000

70000
105,000

105,000
80,000
125,000

80,000
130,000
105000
100,000
40,000
105,000

195,000

105,000
70000
90,000
80,000
130,000

195,000
20,000
105,000
80,000
125,000
90,000
120000

25000
25,000
40000
55,000
130,000
15,000
70000
10,000

25000
35,000 210,000
15,000
55,000 80,000

105,000
75000
105,000
105,000
105,000
105000
105,000

130,000
35000
105,000
35000
15000
80,000
75000
80,000
80,000

20,000
15,000

105,000
105000
130,000
80,000
55000

105,000

25000
80,000
25,000
75000
195,000
80,000
10000

25,000
105,000

15000
130,000
105000
80,000

90,000
170,000
80,000
10,000
105,000

55,000 80000
170,000
25000
10000
90,000

170,000
75,000
195,000
150,000

80,000
105,000

20,000
80,000
105,000

75,000
170,000
25000
40000
20000
80,000

105,000
170,000
80,000
105,000
55000
170,000
170,000
105,000
80,000
20000
90,000
15000

15000
195,000
20,000
80,000
80,000
15,000

195,000
80,000
35,000 40,000 75,000
105,000

35000 35000 150000 11,040,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 12/2/2017 Ny.Diyah 20,000
2 Ny.Dinar
3 Ny.Wijiati 15,000
4 Ny.Wiji Seytorini 80,000
5 Ny.Dwi Puji 80,000 25,000
6 Ny.Darwati 15,000 55,000
7 Ny.Warini 80,000
8 Ny.Ariatul 80,000 10,000
9 Ny.Tri 80,000 25,000
10 Ny.Puriyanti 80,000
11 Ny.Saini 80,000
12 Nn.Yunita 20,000
13 Ny.Diah Lestari 80,000 55,000 25,000

14 12/3/2017 Ny.Purwanti 55,000

15 12/4/2017 Ny.Daryanti 80,000 55,000 10,000


16 Ny.Monita 80,000
17 Ny.Tri Supatmi 10,000
18 Ny.Rokhyati 80,000 55,000
19 Ny.Yuliana 10,000
20 Nn.Deta 80,000 25,000
21 Ny.Diana 10,000

22 12/5/2017 Ny.Endang 15,000


23 Ny.Sulastri 20,000
24 Nn.Fajar 80,000 25,000
25 Ny.Kuspriyati 80,000 10,000
26 Ny.Hartanti 80,000 10,000
27 Ny.Suharni
28 Ny.Ngatini 80,000 25,000
29 Ny.Tri Haryanti 80,000 55,000 10,000

30 12/6/2017 An.Videsta 80,000


31 Ny.Ngatini 15,000
32 Ny.Marfuati
33 Nn.Bulan 80,000 25,000
34 Ny.Diah Novi 55,000
35 Ny.Titik L 80,000 10,000

36 12/7/1947 Ny.Kurnia 55,000 10,000


37 Ny.Ratih Dwi 80,000 55,000 10,000
38 Ny.Atik 80,000
39 Ny.Anik 80,000 55,000 25,000
40 An.Hisyam 80,000

41 12/9/2017 Ny.Mulatsari 55,000


42 By.Diah Nur 80,000 25,000
43 Ny.Mulatsari 15,000

44 12/10/2017 Ny.Ita Purnama 80,000


45 Ny.Wiwik 80,000
46 12/11/2017 Ny.Ratih 15,000
47 Ny.Dwi Lestari 80,000 10,000
48 Ny.Winarsih 80,000 55,000
49 Ny.Sutarmi 55,000
50 Ny.Erfin 10,000
51 Ny.Rini 10,000
52 By.Mulatsari 25,000
53 Ny.Faktur 80,000
54 Ny.Nurti 15,000 55,000
55 By.Nurti
56 Ny.Siska 80,000
57 Ny.Tika 80,000 55,000
58 Ny.Wulan 80,000 55,000 25,000
59 Ny.Lilik Marlena 80,000
60 Ny.Ida 15,000

61 12/12/2017 By.Winarsih 80,000 25,000


62 By.Nurti
63 Ny.Siti Munawar 80,000
64 Ny.Putri Dewi 80,000 25,000
65 Ny.Mukiti 20,000
66 Ny.Kartika 80,000 55,000
67 Ny.Fatma 80,000
68 Ny.Puji Wahyu 10,000
69 Ny.Ngatini 55,000

70 12/13/2017 Ny.Ngatini 10,000


71 Ny.Puji Hastuti 80,000
72 By.Wulan
73 Ny.Gandis 15,000 55,000
74 By.Wulan 80,000 25,000
75 Ny.Sri S 80,000
76 Ny.Galih 80,000
77 Ny.Fitri Nunik 80,000

78 12/14/2017 Ny.Esti 80,000


79 Ny.Wulan 15,000
80 Ny.Ngatiyem 80,000 25,000
81 By.Sriyati
82 By.Rini 80,000
83 Ny.Fajarwati 80,000
84 Ny.Ika Putri
85 Ny.Sri Sunarmi 80,000
86 Ny.Endang 80,000 10,000

87 12/15/2017 Ny.Sumini 80,000 10,000


88 Ny.Endang 20,000
89 Ny.Luchiya 15,000 25,000
90 By.Gandes 80,000 25,000
91 By.Rini

92 12/16/2017 Ny.Puji Lestari 80,000 10,000


93 Ny.Fajar 80,000
94 Ny.Fatimah 15,000

95 12/18/2017 Ny.Ririn 80,000


96 Ny.Tri Ginar 80,000 10,000
97 Ny.Maria 80,000
98 Ny.Ike 80,000 10,000
99 Ny.Suhartati 80,000
100 Ny.Intan 55,000

101 12/19/2017 By.Heni


102 Ny.Satiyem 80,000 55,000
103 Ny.Ani Suprapti 80,000
104 Ny.Sri Lestari 80,000 55,000 25,000
105 Ny.Neni Anggraini
106 By.Ana 80,000 25,000

107 12/20/2017 Ny.Yayuk 80,000 55,000 25,000 10,000


108 Nn.Anita 20,000
109 Ny.Anik Lestari 80,000 25,000
110 Ny.Titin 80,000 10,000
111 Ny. Ida Murjanti 80,000 55,000 25,000

112 12/21/2017 Ny.Atiah


113 Ny.Darmini 80,000 25,000
114 Ny.Sri Lestari 80,000 55,000 25,000
115 Ny.Siti S 80,000 10,000
116 Ny.Endang 10,000
117 Ny.Anik 80,000 25,000

118 12/22/2017 Ny.Darti 80,000 25,000


119 Ny.Anik 15,000 55,000
120 Ny.Reni 80,000 25,000
121 Ny.Istiqomah 80,000
122 Ny.Elis 55,000
123 Ny.Puji 10,000
124 Ny.Maya 80,000
125 Ny.Endang 80,000 55,000 25,000
126 Ny.Rini Putri 15,000 55,000

127 12/23/2017 Ny.Sudarmi 80,000 25,000


128 Ny.Rizki 20,000
129 Ny.Nuni 20,000
130 Ny.Aryana 80,000 10,000
131 Ny.Bulan 80,000
132 By.Aryana 80,000 25,000

133 12/25/2017 Ny.Widyaningsih 80,000 10,000

134 12/26/2017 Ny.Rusmiyati 80,000 55,000 25,000


135 Ny.Dwi Aprilia 80,000 55,000

136 12/27/2017 Ny.Nailul 80,000 55,000


137 Ny.Sri Hartini 80,000 10,000
138 By.Ariyana
139 Ny.Siti Wahyuni 80,000
140 Ny.Tantry 80,000
141 Ny.Upiat 80,000
142 Ny.Arina
143 Ny.Vivin

144 12/28/2017 NySupini 80,000 10,000


145 Ny.Mariam 80,000 25,000
146 Ny.Yayuk 80,000 10,000
147 By.Najwa
148 By.Shalwa
149 By.Ariyana
150 Ny.Putri 20,000
151 Ny.Tri 80,000
152 Ny.Indra
153 Ny.Sri Lestari 80,000 25,000
154 Ny.Eka 15,000 55,000 25,000
155 Ny.Eni Rusmi 55,000

156 12/29/2017 Ny.Sumi 15,000 25,000


157 Ny.Saniatun 80,000
158 Ny.Sunarti 80,000
159 Ny.Rini 55,000
160 Ny.Sumariyem 15,000
161 Ny.Eni 15,000
162 Ny.Indah
163 Ny.Endah 80,000 25,000 20,000

164 12/30/2017 Ny.Elvia 20,000


165 Ny.Widi 80,000 55,000
166 Ny.Ratna 80,000
167 Ny.Hesti 80,000 55,000 25,000
168 Ny.Nur Rohmah 80,000
169 Ny.Dwi S 20,000
170 Ny.Dewi 20,000
171 Ny.Ngatini 80,000
172 Ny.Eka 80,000 10,000

173 12/31/2017 Ny.Satiyem 80,000

JUMLAH 8240000 270000 2035000 925000 320000 260,000

JUMLAH PARAMETER 320


Novi 244
Wahyu 74
Lia 1
Erika 1
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Bil.Total Bil.Direk CT BT Ureum Creatinin

75,000

35,000

35,000

25,000

25,000
25,000
75,000

35,000

35,000
35,000

35,000

35,000 35,000
35,000

35,000 35,000

35,000
25,000

35,000
25,000 35,000

25,000
25,000

35,000

35,000

25,000

25,000
35,000 35,000

75,000
25,000

20,000 20,000
25,000 35,000 35,000
35,000 35,000
35,000 35,000

25,000
25,000

35,000
75,000

35,000

35,000

25,000

35,000

35,000
35,000

25,000

25,000 35,000
35,000

35,000
35,000 35,000

75,000
35,000

35,000 35,000
35,000 35,000
35,000 35,000

35,000

35,000

75,000

35,000

35,000

400000 910000 450000 350000 350000 20000 20000


OT PT Lekosit CholesteroTrigiseridaAsam Urat WIDAL JUMLAH
20000
75000
15000
80,000
105,000
70000
80,000
90,000
105,000
80,000
80,000
20000
195,000

55000

145,000
80,000
10000
170,000
10000
105,000
10000

15000
20000
105,000
90,000
90,000
35,000 40,000 35,000 135000
105,000
145,000

75,000 180,000
35,000 75000
75000
105,000
90000
90,000

100000
180,000
80,000
195,000
80,000

55000
175,000
55,000 70000

80,000
80,000
15000
90,000
170,000
55000
10000
10000
95000
80,000
105000
25000
80,000
170,000
220,000
80,000
15000

130,000
25000
80,000
105,000
20000
170,000
80,000
10000
90000

10000
80,000
25000
70000
105,000
80,000
80,000
80,000

80,000
15000
105,000
25000
150,000
80,000
75000
105,000
90,000

80,000 170,000
20000
80000
200,000
70000

90,000
80,000
85000

80,000
90,000
80,000
90,000
80,000
55000

25000
160,000
80,000
195,000
75000
105,000

205,000
20000
105,000
90,000
195,000

25000
105,000
160,000
90,000
10000
105,000

105,000
70000
105,000
80,000
90,000
10000
80,000
195,000
105000

105,000
20000
20000
90,000
80,000
130,000

90,000

220,000
170,000

170,000
90,000
70000
80,000
80000
80000
75000
35000

90,000
105,000
90,000
70000
70000
70000
20000
80,000
35000
105,000
130000
55000

40000
80,000
35,000 35,000 150,000
55000
15,000
15000
75,000
125,000

20000
170,000
80,000
195,000
80,000
20000
20000
80,000
90,000

80,000

80000 55000 105000 40000 70000 75000 14975000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/1/2018 Ny.Anik Sunarsih 80,000

2 1/2/2018 Ny.Yetik 80,000


3 Ny.Iit Dwi 80,000 55,000 25,000
4 Ny.Sri Lestari 80,000 55,000
5 Ny.Kenik 80,000
6 By.Rini
7 Ny.Umi 20,000
8 Ny.Ita Yuliani 80,000
9 Ny.Eka 10,000
10 Ny.Novita 80,000
11 Ny.Ranti 80,000 55,000
12 Ny.Maryati 80,000
13 Ny.Supari 55,000
14 Ny.Asih 15,000 55,000

15 1/3/2018 Ny.Winarti 15,000


16 Ny.Suci 80,000
17 Ny.Ike 10,000
18 Ny.Fitri Nur 80,000 55,000 25,000
19 Ny.Dwi Astuti 80,000

20 1/4/2018 Ny.Siti Wanti 80,000 55,000


21 By.Winarti 80,000 25,000
22 Ny.Agustin 80,000
23 Ny.Erna 10,000
24 Ny.Ani 55,000

25 1/5/2018 Ny.Siti Mariatin 20,000


26 Ny.Sri Wahyuni 80,000
27 Ny.Astika 80,000 55,000
28 Ny.Parti 80,000 25,000
29 Ny.Anik 80,000
30 Ny.Siti Nurul 80,000 25,000
31 Ny.Etik 80,000 20,000
32 Ny.Citra 20,000
33 Ny.Martini 80,000
34 Ny.Fasokah 80,000 10,000

35 1/6/2018 Ny.Eni 80,000 25,000


36 Nn.Linda 80,000
37 Nn.Efri 80,000 55,000
38 Ny.Eni Winarsih 80,000 55,000
39 Ny.Ninik 80,000
40 Ny.Tri Handayani 80,000
41 Ny.Sri Hartini 10,000
42 Ny.Purwanti 80,000
43 Ny.Sri Mulyani 20,000
44 Ny.Wahyuningsih 80,000
45 Ny.Eni 15,000

46 1/8/2018 Ny.Mei Cahya 80,000 10,000


47 Ny.Suyatmi 80,000 10,000
48 Ny.Riri 20,000
49 Ny.Dian 20,000

50 1/9/2018 Ny.Lestari 80,000 25,000


51 Ny.Sri Sulisyowati 55,000
52 Ny.Ari Sukensi 20,000
53 Ny.Mardiyah 80,000 25,000

54 1/10/2018 Ny.Mardiyah 15,000


55 Ny.Asih 80,000 10,000
56 Ny.Narni 80,000 55,000
57 Ny.Rina 55,000
58 Ny.Yunika 80,000
59 Ny.Sugiarti 10,000
60 Ny.Tri Mulyani 80,000 10,000

61 1/11/2018 Ny.Sulastri 10,000


62 Nn.Bunga 80,000 25,000
63 Ny.Darsini 15,000

64 1/12/2018 Ny.Miah 80,000 25,000


65 Ny.Nanik 80,000 10,000
66 Ny.Dwi Wahyu 80,000 55,000
67 Ny.Riski 15,000 55,000

68 1/13/2018 Ny.Mexi 80,000 55,000


69 Ny.Nailul 80,000 10,000
70 Ny.Eka Safitri 10,000
71 Ny.Eni W 15,000
72 Ny.Andiri 80,000 55,000

73 1/14/2018 Ny.Sarda Devi 80,000 25,000

74 1/15/2018 Ny.Nanik 10,000


75 Ny.Noorzi 80,000 10,000
76 Ny.Kusmini 80,000
77 Ny.Sugiyanti 80,000 10,000
78 Ny.Nurul 80,000 55,000
79 By.Endang 80,000 25,000
80 Ny.Nabella 15,000 55,000 25,000
81 Ny.Nur V 10,000
82 Ny.Purwanti 80,000 55,000 10,000
83 Nn.Misri 80,000 25,000
84 Ny.Wiji Lestari 80,000

85 1/16/2018 Ny.Yeni 10,000


86 Ny.Yulianti 80,000

87 1/17/2018 Ny.Ike 10,000


88 Ny.Fitriani 80,000 10,000
89 Nn.Misri 15,000
90 Ny.Puput 80,000 10,000
91 Ny.Yeni 10,000
92 Ny.Astika 10,000
93 Ny.Kurniawati 80,000 55,000
94 Ny.Lilis 20,000

95 1/18/2018 Ny.Istiqomah 80,000


96 Ny.Wahyuni 15,000 25,000
97 By.Wahyuni 80,000 25,000
98 Ny.Ninik 80,000
99 Ny.Supadmi 80,000 25,000

100 1/19/2018 Ny.Wahyuni 15,000


101 Ny.Dwi Lestari 80,000
102 Ny.Sudarsi
103 By.Wahyu
104 By.Puput 80,000 25,000

105 1/20/2018 Ny.Puput 15,000


106 Ny.Caesa 80,000 55,000 10,000
107 Ny.Alimatul 15,000 55,000
108 Ny.Myta 80,000 55,000
109 By.Wahyu

110 1/21/2018 Ny.Rita 15,000 55,000 25,000

111 1/22/2018 Ny.Dwi Wahyuni 80,000


112 Ny.Titik Puspa 80,000 10,000
113 Ny.Silvia 80,000
114 Ny.Endang
115 By.Suminah 80,000 25,000

116 1/23/2018 Ny.Rita 15,000


117 Ny.Mela 20,000
118 Ny.Giyatmi 10,000
119 Ny.Siti R 80,000 25,000
120 Ny.Hartati 15,000 25,000
121 Ny.Ariyati 10,000
122 Ny.Fitri 80,000 55,000 25,000 10,000

123 1/24/2018 Ny.Fauziah 20,000


124 Ny.Anis 80,000 55,000

125 1/25/2018 Ny.Sri Wahyuni 80,000 55,000 25,000


126 Ny.Matfuchatur 80,000
127 Ny.Nurul 25,000

128 1/26/2018 Ny.Sri Rahayu 20,000


129 By.Ariyati 80,000 25,000
130 Ny.Lilis 80,000 55,000
131 Ny.Dwi Paryani 80,000
132 Ny.Aminah 10,000
133 Ny.Latifah 80,000 10,000
134 Ny.Karsih 15,000 55,000
135 Nn.Herlina 80,000
136 1/27/2018 Ny.Ayu Dwi 15,000 55,000
137 Ny.Fitriana 80,000 55,000 25,000
138 Ny.Sulastri 80,000 10,000
139 Ny.Ikrimah 80,000 10,000
140 Ny.Dhina 80,000 55,000 25,000 10,000
141 Ny.Ruli 80,000 55,000 10,000
142 Ny.Novita 80,000 10,000

143 1/29/2018 Ny.Nur H 80,000


144 Ny.Fauziah 20,000
145 Ny.Tanti 80,000 55,000
146 Ny.Marni 20,000
147 Ny.Yeni 20,000
148 Ny.Narwiratun 10,000
149 Ny.Suryani 80,000 55,000

150 1/30/2018 Ny.Indah 80,000 55,000


151 Ny.Suwanti 80,000 25,000
152 By.Dwi A 80,000 25,000
153 Ny.Sukarni 80,000 25,000

154 1/31/2018 Ny.Suwanti 15,000


155 Ny.Sulastri 10,000
156 Ny.Rini 80,000 10,000
157 Ny.Tika 80,000 25,000
158 Ny.Wiwik 80,000 25,000

JUMLAH 7,760,000 285,000 2090000 825000 400,000 300000

JUMLAH PARAMETER 293

RINCIAN

NOVI
Parameter 222
OnCall Tgl Merah 3 Kali

WAHYU
Masuk 11 Kali
Parameter 67
Cito 60,000
On Call Tgl Merah 1 Kali

LIA
On Call tgl Merah 1 kali
Parameter 4
Cito 20,000

ERIKA
On Call Tgl Merah 0
Parameter 0
Cito 0
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Bil.Total Bil.Direct CT BT Ureum Creatinin

35,000
35,000

35,000 35,000

35,000 20,000 20,000

35,000

35,000
25,000

35,000

35,000
25,000

35,000
35,000

75,000

35,000
35,000

35,000

35,000

35,000

35,000

35,000
35,000

25,000

75,000
25,000
25,000

35,000
35,000
35,000
25,000

35,000

75,000
25,000

35,000

35,000

35,000

35,000 35,000
35,000

35,000
35,000
35,000

35,000
35,000

35,000

35,000

35,000
25,000
25,000

225000 1155000 225000 70000 70000 20000 20000


OT PT Cholestero AU TG WIDAL JUMLAH
80,000

80,000
195,000
170,000
80,000
70000
20000
80,000
10000
80,000
210,000
80,000
55000
70000

15000
80,000
10000
195,000
80,000

170,000
130,000
80,000
10000
55000

20000
80,000
170,000
105,000
80,000
105,000
100,000
20000
80,000
90,000

105,000
80,000
135,000
170,000
80,000
80,000
10000
80,000
20000
80,000
15000

90,000
90,000
20000
20000

130,000
55000
20000
105,000

15000
90,000
170,000
90000
80,000
10000
90,000

10000
105,000
15000

180,000
90,000
170,000
105000

170,000
90,000
10000
15000
170,000

105,000

10000
90,000
80,000
90,000
170,000
105,000
130000
10000
180,000
105,000
80,000

10000
80,000

10000
90,000
15000
90,000
10000
10000
170,000
20000

80,000
40000
130000
80,000
105,000

15000
80,000
75000
25000
130,000

15000
180,000
105000
170,000
25000

130000

80,000
90,000
80,000
75000
130,000

15000
20000
10000
105,000
40000
10000
205,000

20000
170,000

195,000
80,000
25000

20000
175,000
170,000
80,000
10000
90,000
105000
80,000
105000
195,000
90,000
90,000
205,000
180,000
90,000

80,000
20000
170,000
20000
20000
10000
170,000

170,000
130,000
130,000
105,000

15000
10000
90,000
105,000
105,000

13,445,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 2/1/2018 Ny.Anisa 80,000 55,000 25,000
2 Ny.Wiwik 15,000
3 Ny.Isna 15,000 55,000

4 2/2/2018 Ny.Ninik R 80,000


5 Ny.Lia 80,000
6 Ny.Sri Purwa 20,000
7 Ny.Renjani 80,000 10,000
8 Ny.Siti B 80,000 55,000 25,000
9 An.Nazril 80,000
10 Ny.Anggun 15,000
11 Ny.Sumarni 20,000
12 Ny.Puji W 80,000 10,000
13 Ny.Sumarni 80,000
14 Ny.Willy 80,000 10,000
15 Ny.Reni
16 Ny.Asih Tri 80,000 10,000
17 Nn.Alisa 80,000 25,000

18 2/3/2018 Ny.Suhartini 10,000


19 Ny.Candra 80,000
20 Ny.Fitriani 10,000
21 Ny.Nuzul 55,000
22 Ny.Partini 15,000
23 Ny.Dwi F 80,000

24 2/4/2018 Ny.Musriah 80,000 25,000


25 Ny.Fitri Nur 55,000
26 Ny.Rahmawati 80,000 20,000

27 2/5/2018 Ny.Sulani 10,000


28 Ny.Ida Marsiah 80,000 10,000
29 Ny.Fitriani 80,000
30 Ny.Alfu 80,000
31 Ny.Suwanti 15,000 55,000
32 Ny.Sumiyem 80,000 25,000
33 Ny.Netri 80,000
34 Ny.Musriah 15,000
35 Ny.Meisaluna 80,000

36 2/6/2018 Ny.Suwanti 15,000


37 Ny.Nurika 80,000 55,000
38 Ny.Sulastri 80,000
39 Ny.Andriani 80,000 10,000
40 Ny.Hasti 80,000 10,000
41 Ny.Tri Wijayanti 80,000
42 Ny.Nanik 80,000 55,000
43 Ny.Henik 80,000

44 2/7/2018 Ny.Sumiyem 15,000


45 Ny.Dyah Ayu
46 Ny.Sumarni 10,000
47 Ny.Miftah 20,000

48 2/8/2018 Ny.Leny Eka 80,000


49 Ny.Wiwik 15,000 55,000
50 Ny.Wagiyah 15,000 55,000 25,000
51 Ny.Sri Rahayu 80,000 10,000
52 Ny.Wahyu 80,000 55,000

53 2/9/2018 Ny.Puji W 80,000 10,000


54 Ny.Sulastri 15,000
55 Ny.Wiwik 15,000
56 Ny.Yatmi 80,000 10,000
57 Ny.Sofi 80,000 25,000
58 Ny.Pujianti 80,000 25,000
59 Ny.Rohmiatun 80,000 10,000

60 2/10/2018 Nn.Sadiyah 80,000 25,000


61 Ny.Fitriyani 80,000 55,000 25,000
62 Ny.Puji Lestari 80,000 10,000
63 Ny.Puji S 10,000
64 Ny.Febia 80,000
65 Ny.Sawitri 20,000

66 1/12/2018 Ny.Pani 80,000 20,000


67 Ny.Sulastri 80,000 20,000
68 Ny.Puji Wahyu 80,000
69 Ny.Sukiyem 80,000 25,000
70 Ny.Pani 25,000
71 Ny.Sulisyowati 20,000
72 By.Anis
73 By.Narni
74 Ny.Kiki 80,000
75 Ny.Maryati 80,000 10,000
76 Ny.Pujianti 80,000
77 Ny.Rika Nanda 80,000

78 2/13/2018 Ny.Pani 15,000


79 Ny.Ida Marsiah 80,000 10,000
80 Ny.Ika 15,000 55,000 25,000
81 Ny.Novita 80,000
82 An.Yuki 80,000
83 By.Narni
84 By.Novita 80,000 25,000
85 Ny.Harum 80,000 10,000

86 2/14/2018 Ny.Novita 15,000


87 Ny.Anita Ayu 80,000
88 Ny.Nita 80,000 25,000
89 Ny.Warsi 80,000
90 Ny.Okky 80,000 55,000
91 Ny.Iin Surya 80,000
92 Ny.Indah 80,000
93 Ny.Parti 80,000 25,000
94 Ny.Nita 15,000
95 2/15/2018 Ny.Parti 15,000
96 Ny.Hasti 15,000
97 Ny.Sulastri 15,000
98 Ny.Giyarti

99 2/16/2018 Ny.Indra 80,000


100 Ny.Sulastri 15,000
101 Bp.Mulyono 55,000
102 Ny.Nuryanti 55,000
103 By.Nuryanti

104 2/17/2018 Ny.Indra 15,000


105 Ny.Mahfiati 20,000
106 Ny.Ratna 80,000 20,000
107 Ny.Nina 80,000
108 By.Ida

109 2/18/2018 Ny.Suharti 20,000

110 2/19/2018 Ny.Susi Suryawati 80,000


111 Ny.Riskina 55,000
112 Nn.Lukita 80,000 25,000
113 Ny.Eka 80,000
114 Ny.Suwartini 80,000 25,000
115 Ny.Nurul 80,000 10,000
116 An.Haidar
117 Ny.Tyas 80,000 55,000
118 Ny.Sri Lestari 80,000
119 Ny.Ina Amelia 80,000
120 Ny.Rtri Sugiyanti 20,000
121 Nn.Fransiska 80,000 25,000
122 Ny.Sanina 80,000
123 Ny.Reni Dwi 80,000 25,000
124 Ny.Icha 80,000 25,000
125 Ny.Indah 80,000

126 2/20/2018 Nn.Lukita 15,000


127 Ny.Ina Amelia 15,000
128 Ny.Winarti
129 Ny.Nanik 80,000 55,000 10,000
130 Ny.Sugini 10,000
131 Ny.Sukiyem 15,000 55,000
132 Ny.Satiti
133 Ny.Surya Nimas 80,000 25,000
134 By.Sukiyem 80,000 25,000
135 Ny.Dyah Ayu 80,000 55,000
136 Ny.Reni Novita 80,000 55,000
137 Ny.Indri Tyas 80,000 55,000
138 Ny.Mei Angraini 20,000

139 2/21/2018 By.Haidar


140 Ny.Dyah Ayu 25,000
141 Ny.Dwi Rawiyanti 10,000
142 Ny.Devi Maya 80,000 55,000 25,000
143 Ny.Hayah 80,000

144 2/22/2018 By.Dyah Ayu


145 Ny.Sri Lestari 80,000 20,000
146 Ny.Dyah Ayu 15,000
147 Ny.Sulis 80,000
148 Ny.Lisa 55,000
149 Ny.Anjar 80,000 10,000

150 2/23/2018 Ny.Purwaningsih 80,000 10,000


151 Ny.Sunarni 55,000
152 An.Fasya 80,000
153 Ny.Mika 80,000 20,000
154 Ny.Kiki 80,000
155 Ny.Melani 80,000 10,000
156 Ny.Asti 80,000 25,000

157 2/24/2018 Ny.Sri Wahyuni 80,000


158 Ny.Rina 20,000
159 Ny.Yani 80,000 10,000
160 Ny.Ririn 80,000 25,000
161 Ny.Waginem 80,000 25,000

162 2/25/2018 Ny.Ririn 15,000


163 Ny.Dewi 15,000 55,000

164 2/26/2018 Ny.Wahyuningsih 80,000


165 Ny.Maria 80,000 55,000
166 Ny.Sugiyanti 80,000 25,000
167 Ny.Dwi Rawiyanti 15,000
168 Ny.Sunarni 80,000 25,000
169 Ny.Maryani 80,000 25,000
170 Ny.Nur Halimah 80,000
171 Ny.Maryani 10,000
172 Ny.Dwi Rawiyanti 15,000
173 Ny.Esti

174 2/27/2018 Ny.Yuniar 15,000 55,000


175 Ny.Yuniar 15,000 25,000
176 Ny.Dwi Rawiyanti 15,000
177 Ny.Maryani 15,000
178 Ny.Sunarni 15,000
179 Ny.Dewi Nur 80,000 55,000 25,000
180 By.Maryani 80,000 25,000
181 Ny.Harun 10,000
182 Ny.Purniawati 80,000
183 Ny.Lilis 10,000
184 Ny.Purniawati 25,000 20,000
185 Ny.Suparti 80,000
186 Ny.Pebriani 80,000 10,000
187 Ny.Chika 80,000 10,000
188 Ny.Endang 80,000 10,000
189 2/28/2018 By.Maimatul 80,000 25,000
190 Ny.Sumarsih 80,000 25,000
191 Ny.Purniawati 15,000
192 Ny.Maimanatul 15,000
193 Ny.Syahidatul 15,000
194 Ny.Iin Surya 55,000
195 Ny.Suryani 80,000 10,000
196 Ny.Murtini 15,000
197 Ny.Parningsih 20,000
198 Ny.Suryani 55,000
199 Ny.Latifah 80,000
200 Ny.Suratmi 15,000 55,000

JUMLAH 9,120,000 585000 1,815,000 925,000 350000 360000

JUMLAH PARAMETER 339

RINCIAN

NOVI
Parameter 274
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 10 Kali
Parameter 58
Cito 40,000
On Call Tgl Merah 1 Kali

LIA
On Call tgl Merah 1 Kali
Parameter 5
Cito 100,000

ERIKA
On Call Tgl Merah 1 Kali
Parameter 2
Cito 20,000

KARYAWAN
Nn.Risya 55,000
Ny.Rebini 107,500
Jumlah 162,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Bil.Total Bil.Direct CT BT Ureum Creatinin
35,000

35,000

75,000

35,000 35,000

25,000

25,000 40,000 40,000

35,000

35,000

25,000
25,000 40,000 40,000
25,000 40,000 40,000
25,000 40,000 40,000

35,000

35,000

35,000 35,000
35,000 35,000

35,000

35,000 35,000

35,000
35,000
75,000

25,000

25,000

35,000 35,000
35,000

25,000
35,000

35,000
75,000

25,000
35,000
35,000
35,000

35,000 35,000
35,000

25,000

35,000

35,000

25,000

35,000

35,000
20,000

35,000

35,000

300000 735,000 225000 245000 210000 20000 160000 160000


OT PT Cholestero AU TG WIDAL JUMLAH
195,000
15000
105000

80,000
80,000
20000
90,000
160,000
80,000
15,000
20,000
90,000
80,000
90,000
75000
90,000
105,000

10000
80,000
10000
40,000 40,000 205000
15000
80,000

105,000
55000
100,000

35000
40,000 40,000 170,000
80,000
80,000
175000
105,000
80,000
15000
80,000

15000
170,000
80,000
90,000
90,000
80,000
170,000
80,000

15000
25000
10000
20000

185,000
175000
200,000
90,000
170,000

90,000
15000
15000
90,000
105,000
105,000
90,000

105,000
195,000
90,000
10000
80,000
20000

100,000
100,000
80,000
105,000
25000
20000
70000
70000
80,000
90,000
35,000 115,000
80,000

15000
90,000
130000
80,000
80,000
70,000
105,000
90,000

15000
80,000
105,000
80,000
170,000
115,000
80,000
105,000
15000
15000
15000
15000
75000

80,000
15000
55000
55000
25000

15000
20000
100,000
80,000
25000

20000

80,000
55000
105,000
80,000
105,000
90,000
70000
170,000
80,000
80,000
20000
105,000
80,000
105,000
105,000
80,000

15000
15000
25,000
180,000
10000
105000
75000
105,000
130,000
170,000
170,000
170,000
20000

70000
25000
10000
195,000
80,000

25000
100,000
15,000
80,000
55000
90,000

90,000
90000
80,000
100,000
80,000
90,000
105,000

80,000
20000
90,000
105,000
105,000

15000
70000

80,000
170,000
105,000
15000
105,000
105,000
80,000
10000
15000
25000

105000
40000
15000
15000
15000
195,000
105,000
10000
80,000
10000
45000
80,000
90,000
90,000
90,000
105,000
105,000
15000
15000
35000
55000
90,000
15000
20000
90000
80,000
105000

80000 80000 35000 15,405,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 3/1/2018 Ny.Siti Marfuah 80,000
2 Ny.Susana 80,000
3 Ny.Siti Nursari
4 NySularah 80,000
5 Ny.Partini 80,000 55,000 25,000

6 3/2/2018 Ny.Purwaningsih 10,000


7 By.Maimunatul 80,000
8 Ny.Partini 15,000
9 Ny.Giyanti 10,000
10 Ny.Tumiyem
11 Ny.Giyanti 80,000

12 3/3/2018 Ny.Warsi 15,000 55,000


13 Ny.Indah Dwi 80,000 55,000 25,000
14 Ny.Wiwin Dwi 80,000
15 Ny.Wiwin 25,000
16 Ny.Darni 15,000 55,000
17 Ny.Lina 15,000
18 Ny.Suwarsih 80,000
19 Ny.Depi Ari 80,000
20 Ny.Noor 80,000
21 Ny.Laila 80,000

22 3/4/2018 Ny.wiwin 15,000

23 3/5/2018 Ny.Febri 80,000 25,000


24 Ny.Eka 55,000
25 Ny.Diah Dewi 80,000
26 Ny.Sugini 80,000
27 Ny.Rina 80,000 55,000
28 Ny.Widyastuti 10,000
29 Ny.Atik Nur 80,000 10,000
30 Ny.Badriah 80,000
31 Ny.Ana 15,000
32 Ny.Harti 80,000 25,000

33 3/6/2018 Ny.Sri Handayani 80,000 55,000 25,000


34 Ny.Dewi Asiyah 80,000 25,000
35 Nn.Lukita 80,000
36 Ny.Dyah Ayu
37 Ny.Ratih Dwi 10,000
38 Ny.Nurhayati 80,000 25,000

39 3/7/2018 Ny.Zulfa 20,000


40 Nn.Lukita 15,000
41 By.Anatrisa
42 Ny.Sari 20,000
43 Ny.Maria Junita 15,000
44 Ny.Endang 10,000
45 Ny.Murtini 80,000 25,000
46 Ny.Atik 20,000
47 Ny.Sriyatun 80,000 55,000

48 3/8/2018 Ny.Warsi 80,000 25,000


49 Ny.Soraya 80,000 10,000
50 Ny.Murtini 15,000
51 Ny.Mamik 15,000

52 3/9/2018 Ny.Kiki 55,000


53 By.Kiki 1 80,000 25,000
54 By.Kiki 2 80,000 25,000
55 Ny.Melani Eka 10,000

56 3/10/2018 Ny.Purwaningsih 55,000


57 Ny.Sri Puji 80,000
58 Ny.Siti Rahayu 80,000 10,000
59 Ny.Chevi
60 Ny.Endang Lestari 80,000 25,000
61 Ny.Iffah 80,000 55,000
62 Ny.Trisetya 55,000
63 Ny.Andiri 80,000 10,000
64 By.Tri Handayani

65 3/12/2018 Ny.Sugiyanti 80,000 10,000


66 Ny.Eni 80,000
67 Ny.Asih Nur 80,000 55,000 25,000
68 Nn.Anisa 80,000 25,000
69 Ny.Winda 80,000
70 Ny.Aprilia 15,000 25,000
71 Ny.Nimas 80,000
72 Ny.Suparti 10,000
73 Ny.Agustin 80,000 25,000
74 Ny.Sulasah 80,000 55,000
75 Ny.Astrid 20,000
76 Ny.Devi 10,000
77 Ny.Nita 80,000 55,000 10,000

78 3/13/2018 Ny.Indri 55,000


79 Ny.Endang 15,000 55,000
80 Ny.Yusita 80,000 25,000
81 Ny.Ikke 80,000 25,000
82 Ny.Retno 20,000

83 3/14/2018 Ny.Hafifah 80,000 55,000 25,000


84 Ny.Sri Wahyuti
85 Ny.Sri Lestari 80,000 10,000
86 Ny.Desy 80,000
87 Ny.Amni 80,000 55,000

88 3/15/2018 Ny.Anis W 80,000


89 Ny.Ary 80,000
90 Ny.Rikha 80,000
91 Ny.Ulfa 80,000
92 Ny.Susmiati 80,000 55,000 25,000
93 Ny.Siti Nurjanah 80,000 55,000
94 Ny.Winda Ayu 80,000
95 Ny.Setyorini 10,000
96 Ny.Giyanti 10,000

97 3/16/2018 Ny.Martini 55,000


98 Ny.Susmiati 15,000
99 Ny.Nurita 80,000
100 Ny.Wulandari
101 Ny.Rita Waning 80,000 10,000
102 Ny.Cika 15,000 55,000

103 3/17/2018 By.Mulyani


104 Ny.Asih 80,000
105 Ny.Eni 15,000 55,000

106 3/18/2018 Ny.Eni 15,000


107 Ny.Mira 15,000 10,000

108 3/19/2018 Ny.Ika 80,000


109 Ny.Amelia 10,000
110 Ny.Fitriani 80,000 10,000
111 Ny.Ovilia 80,000 55,000
112 Ny.Harum 80,000 10,000
113 Ny.Turipah 80,000 10,000
114 Ny.Rina Oktavia 80,000 55,000

115 3/20/2018 Ny.Darsini


116 Ny.Kharisa 80,000 55,000
117 Ny.Siti Nurhayati 80,000

118 3/21/2018 Ny.Suyatmi 20,000


119 Ny.Yunita 80,000 55,000
120 Ny.Lestari 80,000 25,000
121 Ny.Sri Supatmi 20,000

122 3/22/2018 Ny.Dewi Ita 80,000 25,000


123 Ny.Mufti
124 Ny.Sri wahyuni 15,000
125 Ny.Lestari 15,000
126 Ny.Endang 80,000

127 3/23/2018 Ny.Titin Lestari 15,000 55,000


128 Ny.Dewi Ita 15,000
129 Ny.Titin Lestari 15,000
130 Ny.Sri S 80,000
131 Ny.Florentina 80,000 10,000
132 Ny.Suparmi 80,000 10,000
133 Ny.Nurdi 80,000
134 Ny.Suyanti
135 Ny.Ayu 80,000 10,000
136 Ny.Anik 80,000

137 3/24/2018 Ny.Yuli Tri 15,000


138 Ny.Febriana
139 Ny.Linda 80,000 55,000
140 Ny.Umi 15,000 55,000
141 Ny.Nur Hayati 80,000

142 3/26/2018 Ny.Hungadiah 15,000 55,000


143 Ny.Emi Aminah 80,000 55,000
144 Ny.Giyanti 10,000
145 Ny.Tar Qiyatul 10,000
146 Ny.Dwi Novitasari 80,000
147 Ny.Martini

148 3/27/2018 Ny.Atik 80,000


149 Ny.Ernawati 80,000 10,000
150 Ny.Dewi 80,000

151 3/28/2018 Ny.Mulyani 80,000 25,000


152 Ny.Winarsi 80,000 25,000
153 Ny.Fitri 10,000
154 Ny.Wahyuningsih 55,000

155 3/29/2018 Ny.Hana 80,000 55,000


156 Ny.Yeni Anita 80,000 25,000
157 Ny.Luluk 15,000
158 Ny.Sindi 80,000
159 Ny.Ari Catur 80,000 10,000
160 Ny.Nur Sri 80,000
161 Nn.Khusnul 80,000

162 3/30/2018 Ny.Sulastri 15,000


163 Ny.Yeni 15,000

164 3/31/2018 Ny.Purwaningsih 20,000


165 Ny.Nunung 80,000
166 Ny.Rita 10,000
167 Ny.Hildanur
168 Ny.Suliyati 80,000 55,000
169 Ny.Riski 80,000
170 Ny.Siti R 80,000
171 Ny.Intan 80,000 25,000
172 Ny.Titik 80,000 25,000 20,000
173 Ny.Suyanti 80,000 55,000 25,000
174 Ny.Ima 80,000

JUMLAH 8,000,000 420000 2035000 725000 320000 180000

JUMLAH PARAMETER 298

RINCIAN

NOVI
Parameter 232
OnCall Tgl Merah 3 Kali

WAHYU
Masuk 13 Kali
Parameter 59
Cito 40,000
On Call Tgl Merah 1 Kali

LIA
On Call tgl Merah 2 Kali
Parameter 7
Cito 100,000

ERIKA
On Call Tgl Merah 0
Parameter 0
Cito 0

KARYAWAN
Ny.Ida 7,500
An.Grisella 40,000
Jumlah 47,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Bil.Total Bil.Direct CT BT Ureum Creatinin OT

75,000

35,000

75,000
25,000 40,000 40,000 40,000

35,000
35,000

35,000

35,000

25,000

35,000 35,000
35,000

35,000
25,000
25,000

35,000

25,000

35,000

25,000

35,000

20,000 20,000

35,000

35,000

35,000
35,000

35,000
75,000
35,000

35,000
35,000

35,000

25,000

35,000

25,000

35,000

35,000
35,000

35,000

75,000
35,000

35,000

75,000

35,000
75,000

25,000

75,000
35,000
35,000

35,000

75,000

20,000 20,000

35,000

35,000

75,000
35,000
25,000 35,000

250000 1190000 675000 35000 35000 40000 40000 40000 40000 40000
PT Cholestero AU TG WIDAL JUMLAH
80,000
80,000
75000
80,000
195,000

10000
80,000
15000
10000
75000
40,000 265,000

105000
195,000
80,000
25000
70000
15000
80,000
80,000
80,000
80,000

15000

105,000
55000
80,000
80,000
170,000
10000
90,000
80,000
15000
105,000

195,000
105,000
80,000
25000
10000
105,000

20000
15000
70000
20000
15000
10000
105,000
20000
170,000

105,000
90,000
15000
15000

90000
130,000
130,000
10000

90000
80,000
90,000
25000
105,000
170,000
55000
90,000
25000

90,000
80,000
195,000
105,000
80,000
80000
80,000
10000
105,000
170,000
20000
10000
180,000

90000
105000
105,000
105,000
20000

195,000
75000
90,000
80,000
170,000

80,000
80,000
80,000
80,000
195,000
170,000
80,000
10000
10,000

90000
15000
80,000
25000
90,000
105000

25000
80,000
105000

15000
25000

80,000
10000
125,000
170,000
90,000
90,000
170,000

75,000
170,000
80,000

20000
170,000
105,000
20000

105,000
75000
15000
15000
80,000

105000
15000
15000
155,000
90,000
90,000
80,000
25000
90,000
80,000

15000
75000
170,000
105000
80,000

70000
170,000
10000
10000
80,000
75000

80,000
90,000
80,000

145,000
105,000
10000
90000

170,000
105,000
15000
80,000
90,000
80,000
80,000

15000
15000

20000
80,000
10,000
75000
170,000
80,000
80,000
105,000
125,000
220,000
80,000

40000 14,105,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 4/1/2018 Ny.Nur Azizah 55,000
2 Ny.Puji Lestari 15,000 55,000

3 4/2/2018 Ny.Sri Lestari 80,000 55,000


4 Ny.Asih Mawarni 80,000
5 Ny.Dwi Ernawati
6 Ny.Sularsih 80,000
7 Ny.Erika 20,000
8 Ny.Maryati 80,000
9 Ny.Widati 80,000 55,000 25,000
10 Ny.Dian 10,000
11 Ny.Nanik
12 Ny.Winarni 80,000 10,000

13 4/3/2018 Ny.Dian W 80,000 55,000


14 Ny.Wiji Hastutik 10,000
15 Ny.Siti Lestari 80,000
16 Ny.Miftakul 15,000 55,000
17 Ny.Erma 80,000
18 Ny.Dian W 15,000
19 Ny.Hartanti 10,000
20 Ny.Ela 80,000 55,000

21 4/4/2018 Ny.Darsini 80,000


22 Ny.Sri Yulianti 80,000
23 Ny.Rubi 20,000
24 Ny.Maudy 80,000 55,000

25 4/5/2018 Ny.Hana 15,000


26 Ny.Hartanti 20,000
27 Ny.Putri W 20,000

28 4/6/2018 Ny.Marsiti 80,000 55,000


29 Ny.Tiwi 15,000 55,000

30 4/7/2018 Ny.Wuladari 80,000


31 Ny.Tiwi 15,000
32 By.Tiwi 1 80,000 25,000
33 By.Tiwi 2 80,000 25,000
34 Ny.Siska 80,000
35 Ny.Sumiati 80,000 25,000
36 Ny.Suryati 20,000
37 Ny.Yesi 80,000 55,000 25,000
38 Ny.Lutfi
39 Ny.Renny 80,000 55,000
40 Ny.Miftahul 80,000

41 4/9/2018 By.Yeni
42 Nn.Khusnul 15,000 55,000
43 Ny.eline 15,000
44 Ny.Srini 80,000 55,000 25,000
45 Nn.Khusnul 15,000
46 4/10/2018 Ny.Indra 80,000
47 Ny.Nuraini 80,000 55,000 25,000
48 Ny.Nila 20,000
49 Ny.Sri Lestari 80,000 10,000

50 4/11/2018 Ny.Beta 15,000 55,000


51 Ny.Ika Kartika
52 Ny.Sutinah
53 Ny.Rika 80,000 55,000
54 Ny.Endang 80,000 55,000
55 Ny.Winarni 10,000
56 Ny.Novia

57 4/12/2018 Ny.Surati 15,000 55,000


58 Ny.Nadia 80,000
59 Ny.Kus 20,000
60 Nn.Ika Suryani 80,000 55,000 25,000
61 Ny.Nurhayati 80,000
62 Ny.Umi 80,000 55,000
63 Ny.Lasmi 15,000 55,000 25,000
64 Ny.Asri 80,000 55,000

65 4/13/2018 By.Lasmi 80,000 25,000


66 Ny.Nadia 15,000
67 Ny.Lasmi 15,000
68 Ny.Sri Lestari
69 Ny.Upit 80,000 55,000 10,000
70 Ny.Samirem 80,000
71 Ny.Sri wahyuni 15,000

72 4/16/2018 Ny.Rebini
73 Ny.Widya 80,000 55,000
74 Ny.Ngatini 80,000 25,000
75 Ny.Mariana 80,000 10,000

76 4/17/2018 Ny.Sukarsi 80,000


77 Ny.Dian Kartika 80,000 55,000
78 By.Maryani
79 Ny.Ari Catur 55,000
80 Ny.Siti Nur 80,000 55,000
81 Ny.Siti Rohaniah 80,000
82 Ny.Eka Nur 80,000 55,000 10,000
83 Ny.Wiwik 10,000
84 Nn.Maya Eka 80,000
85 Ny.Sulistanti 80,000 10,000

86 4/18/2018 Ny.Chairul 15,000 55,000


87 Ny.Rita 80,000

88 4/19/2018 Ny.Murtini 80,000


89 Ny.Scendy 20,000

90 4/20/2018 Ny.Sulastri 15,000 55,000


91 Ny.Watik 80,000 25,000
92 Ny.Sulastri 55,000
93 Ny.Denni 80,000
94 Ny.Wiwin 80,000 55,000
95 Ny.Rika 55,000

96 4/21/2018 Ny.Rusmiatun 15,000 25,000


97 Ny.Eni 80,000
98 Ny.Watik 15,000

99 4/23/2018 Ny.Supiyati 15,000 55,000 10,000


100 By.Supiyati
101 By.Supiyati 80,000 25,000
102 Ny.Suparti 20,000
103 Ny.Aryanti 80,000
104 Ny.Rini 15,000
105 Ny.Supriyati 15,000
106 Ny.Indar 15,000
107 Ny.Warsini 80,000 10,000
108 Ny.Tri W 80,000 10,000
109 Ny.Hartini 80,000
110 Ny.Erni 80,000 55,000
111 Ny.Suwanti 80,000
112 Nn.Khairunisa 80,000
113 Nn.Khairunisa 25,000

114 4/24/2018 Ny.Ariyanti 15,000


115 Ny.Setiani 15,000
116 Nn.Khairunisa 15,000
117 Ny.Sri Lestari 80,000
118 Ny.Is Mujinah 80,000 25,000

119 4/25/2018 By.Supriyati


120 Ny.Fitri Nurul 80,000 10,000
121 Ny.Nike 80,000 10,000
122 Ny.Sumiati 80,000
123 Ny.Nike
124 Ny.Suryani 80,000 55,000
125 Ny.Rini 15,000 55,000
126 Ny.Nuri 20,000
127 Ny.Nike

128 4/26/2018 By.Tutik 80,000 25,000


129 Ny.Sukamti 80,000 55,000
130 Ny.Is Mujinah 15,000
131 Ny.Sulistanti 80,000 10,000
132 Ny.Purwanti 20,000

133 4/27/2018 Ny.Siswanti 15,000


134 Ny.Reni 80,000 55,000
135 By.Ririn 80,000 25,000
136 Ny.Nike
137 Ny.Yetti 20,000
138 Ny.Yuli Umi 15,000 55,000
139 Ny.Pipit 20,000

140 4/28/2018 Ny.Widiastuti


141 Ny.Rias 80,000 55,000
142 Ny.Nina S 80,000 55,000 25,000
143 Ny.Nuraini 10,000

144 4/30/2018 Ny.Endang 80,000


145 Ny.Supriyati
146 Ny.Sarini 80,000 10,000
147 Ny.Sri S 80,000
148 Ny.Puji Lestari 80,000 10,000
149 Ny.Jariyatun 80,000 55,000
150 Ny.Puryati 80,000 25,000
151 Ny.Lis 20,000
152 Ny.Yanti 80,000 25,000
153 Ny.Mariana 80,000 10,000
154 Ny.Evi 20,000
155 Ny.Heri 20,000
156 Ny.Deni 80,000

JUMLAH 6560000 450000 2,420,000 525000 210000 320000

JUMLAH PARAMETER 288

RINCIAN

NOVI
Parameter 236
OnCall Tgl Merah 3 Kali

WAHYU
Masuk 11 Kali
Parameter 52
Cito 0
On Call Tgl Merah 1 Kali

LIA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

ERIKA
On Call Tgl Merah 1 Kali
Parameter 0
Cito 0

KARYAWAN
Ny.Purwanti 67,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Bil.Total Bil.Direct CT BT Ureum Creatinin

35,000

35,000

25,000

35,000

75,000

35,000

35,000

40,000 40,000

35,000

35,000
35,000

35,000
75,000
35,000

25,000

25,000
35,000

35,000
25,000
40,000 40,000
35,000
35,000

75,000

35,000
35,000
35,000

75,000
35,000

35,000

35,000
25,000
35,000
35,000
20,000 20,000
35,000

35,000

35,000
25,000 40,000 40,000

35,000

25,000 35,000
25,000
25,000
75,000

35,000
25,000

25,000

35,000
35,000

35,000 35,000
25,000

35,000
35,000 35,000

35,000
40,000 40,000
25,000 35,000
35,000

25,000

350000 1190000 375000 70000 70000 20000 20000 160000 160000


OT PT Cholestero AU TG AT JUMLAH
55000
105000

170,000
80,000
25000
80,000
20000
80,000
195,000
10000
75000
90,000

170,000
10000
80,000
70000
80,000
15000
10000
170,000

160,000
80,000
20000
170,000

15000
20000
20000

170,000
105000

80,000
15000
105,000
105,000
80,000
105,000
20000
195,000
75000
170,000
80,000

25000
70000
15000
185,000
15000
80,000
195,000
20000
90,000

105000
25000
80000
170,000
170,000
10,000
75000

70000
80,000
20000
160,000
80,000
170,000
130000
170,000

105,000
15000
15000
75000
180,000
80,000
15000

35,000 35000
170,000
105,000
90,000

80,000
170,000
25000
90,000
170,000
120,000
180,000
10000
80,000
90,000

105000
80,000

80,000
20000

105000
210,000
55000
80,000
170,000
55000

40,000
80,000
15000

140000
25000
130,000
95000
80,000
15000
15000
15000
90,000
90,000
80,000
170,000
35,000 40,000 180,000
80,000
25000

15000
15000
15000
80,000
105,000

25000
90,000
90,000
80,000
40,000 40,000 80000
170,000
105000
20000
55,000 55000

175,000
160,000
15000
90,000
20000

15000
170,000
175,000
55,000 55000
20000
105000
20000

80000
195,000
195,000
10000

80,000
25000
90,000
80,000
90,000
135,000
105,000
20000
105,000
90,000
20000
20000
80,000

40000 40000 35000 35000 40000 110000 13200000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 5/1/2018 By.Reni 80,000 25,000
2 Ny.Deni 15,000
3 Ny.Septika 55,000

4 5/2/2018 Ny.Nike Mustika 80,000


5 Ny.Ayu 10,000
6 By.Surani 80,000 25,000
7 Ny.Sri Supatmi 15,000 55,000
8 Ny.Tira 15,000 55,000
9 Ny.Linda 80,000
10 Ny.Suharni
11 Ny.Sri Mulyani 80,000
12 Ny.Emy 20,000

13 5/3/2018 Ny.Khoiratul 20,000


14 By.Wiji L 80,000 25,000
15 Ny.Minarsih 20,000
16 Ny.Esti 80,000 55,000
17 Ny.Indra 80,000 10,000
18 Ny.Murtini 15,000 55,000
19 By.Surani 20,000
20 Ny.Weni
21 Ny.Parni 80,000 55,000 25,000

22 5/4/2018 Ny.Ika Hastuti 15,000 55,000


23 Ny.Ginem 80,000 25,000
24 Ny.Trias 20,000
25 Ny.Suwarti 80,000
26 By.Ika 80,000 25,000
27 Ny.Dwi Nuryani 80,000 10,000
28 Ny.Sri Handayani
29 Ny.Vivin 80,000
30 Ny.Nurmaini 80,000 55,000
31 Ny.Siti Khotijah 80,000
32 Ny.Ika Hastuti 15,000
33 Nn.Dinda 80,000 25,000
34 Ny.Indah 20,000
35 Ny.Susi 15,000 10,000
36 By.Eka

37 5/5/2018 Ny.Rohetun 80,000 55,000


38 Ny.Rumiyati 80,000 25,000
39 Ny.Pipin 80,000 25,000
40 Ny.Ira 20,000
41 By.Susi 1 80,000 25,000
42 By.Susi 2 80,000 25,000
43 Tantri 80,000 25,000
44 Yuliana 80,000 25,000

45 5/6/2018 Ny.Pipin 15,000 55,000


46 Ny.Susi 15,000
47 5/7/2018 Ny.Nurwahyuning 20,000
48 Ny.Tutik 15,000
49 Ny.Trisnawati

50 5/8/2018 Nn.Hanafi 80,000


51 Ny.Aprilia 80,000
52 Ny.Aan 80,000
53 Ny.Dewi 80,000 55,000 25,000
54 Ny.Puji Lestari 80,000 55,000 10,000

55 5/9/2018 Ny.Umi Syarifah 80,000

56 5/10/2018 By.Umi 80,000 25,000

57 5/11/2018 Ny.Windi 20,000


58 Ny.Endi 80,000 55,000
59 Ny.Rina 80,000 25,000
60 Ny.Watik 80,000
61 Ny.Nanik 80,000
62 Ny.Sulisyowati 20,000
63 Ny.Pujiati 80,000 55,000
64 Ny.Sri Rejeki 80,000 55,000
65 Ny.Mihna 20,000
66 Ny.Srini 80,000
67 Ny.Titik 80,000
68 Ny.Yulanda 80,000 55,000 10,000
69 Ny.Triana

70 5/12/2018 Ny.Rias
71 Ny.Srini 15,000
72 Ny.Fitria 15,000 55,000
73 By.Rias 80,000 25,000
74 By.Fitria 80,000 25,000
75 Ny.Marmi 80,000 25,000
76 Ny.Yuniati 80,000
77 Ny.Nurgiyanti 80,000 25,000
78 Ny.Fitriana 80,000
79 Ny.Parni 80,000
80 Ny.Lika 80,000

81 5/13/2018 By.Yuniati 80,000 25,000

82 5/14/2018 Ny.Siti Dwi 80,000


83 Ny.Sri Lestari 80,000 55,000 25,000
84 Ny.Sumarni 80,000 55,000
85 Ny.Supadmi 80,000
86 Ny.Sri Hartanti 20,000
87 Ny.Sri Mulyani 80,000
88 Ny.Puji Lestari 80,000 10,000

89 5/15/2018 By.Fitria
90 Ny.Yuniyati 15,000
91 Ny.Angelia 15,000
92 Ny.Rizky 80,000 55,000
93 Ny.Viki 20,000
94 Ny.Novia 80,000 10,000

95 5/16/2018 Ny.Leni 15,000


96 Ny.Eka 20,000
97 Ny.Siti N 80,000 55,000 10,000

98 5/17/2018 Ny.Umi 80,000 55,000 25,000


99 Ny.Dewi Manik 80,000 55,000
100 Ny.Siti Komariah 80,000 10,000
101 Ny.Melani 80,000
102 Ny.Tri Lestari 80,000
103 Ny.Yessi 80,000 10,000
104 Ny.Siti Komariah 15,000
105 Ny.Sugiarti 15,000

106 5/18/2018 By.Yuli 1 80,000 25,000


107 Ny.Yuli 2 80,000 25,000
108 By.Fitri
109 Ny.Eva 80,000 55,000 25,000
110 Ny.Tri Peni 80,000 25,000
111 Ny.Hanifah 80,000 55,000 10,000

112 5/19/2018 Ny.Maya 20,000


113 Ny.Sunarni 80,000
114 Ny.Wahyu
115 Ny.Evi A 15,000
116 Ny.Eni Puji 80,000 10,000
117 Ny.Tatik 20,000

118 5/21/2018 Ny.Irma 20,000


119 Ny.Ari Christianti 80,000 10,000
120 Nn.Khoirotun 80,000
121 Ny.Nining 80,000 10,000

122 5/22/2018 Ny.Suwarni 80,000


123 Ny.Johana 20,000
124 Nn.Khoirotun 25,000
125 Ny.Nita 80,000 55,000 10,000
126 Ny.Shella 80,000 10,000

127 5/23/2018 Ny.Partiningsih 80,000 10,000


128 Nn.Khoirotun 15,000
129 Ny.Sunarni 80,000 25,000
130 Ny.Suliyati
131 Ny.Emi 20,000
132 Ny.Ainur 80,000
133 Nn.Mustika 80,000
134 Ny.Esti 80,000 55,000
135 Ny.Prisa 80,000

136 5/24/2018 By.Siti Fatimah 80,000 25,000


137 Ny.Eli 15,000 25,000
138 5/25/2018 Ny.Mami 20,000
139 Ny.Siti Lestari 55,000
140 Ny.Suharsih 80,000
141 Ny.Sampuri 80,000
142 Ny.Dwi Kurniawati 80,000
143 Ny.Endah 20,000
144 Ny.Umi 80,000 55,000
145 Ny.Suci 80,000 55,000
146 Ny.Sularmi 80,000 10,000
147 Ny.Ari 55,000

148 5/26/2018 Ny.Nanik 20,000


149 Ny.Yuni 80,000 10,000
150 Ny.Shella 55,000

151 5/27/2018 Ny.Istihanah 15,000 55,000


152 Ny.Indah 15,000 55,000 25,000

153 5/28/2018 Ny.Hanunah 80,000 10,000


154 Ny.Sartika 80,000
155 Ny.Sunarni 80,000
156 Ny.Parsi 20,000
157 Ny.Riska 80,000
158 Ny.Yuni 20,000
159 Ny.Ayu 80,000 10,000
160 NN.Aisyah 80,000 25,000
161 Ny.Izzatun 80,000 10,000

162 5/30/2018 Ny.Sri Lestari 15,000 55,000


163 Ny.Partiningsih 80,000 10,000
164 Ny.Rani
165 Ny.Rubini 80,000 55,000
166 Nn.Awalia 15,000 55,000
167 Ny.Nur 80,000
168 Ny.Vina 20,000
169 Ny.Sulis 80,000 10,000
170 Ny.Novia 80,000 55,000

171 5/31/2018 Ny.Atik 80,000 55,000 25,000


172 Ny.Sri Lestari 80,000
173 Ny.Mareta 80,000
174 Ny.Elvi 80,000 10,000
175 Ny.Desi
176 Ny.Dwi 80,000 10,000
177 Ny.Sati 80,000 25,000
178 Ny.Fika 20,000
179 Nn.Amanda 80,000
180 Ny.Nina 10,000

8,800,000 360000 2,145,000 875,000 280000 520000

JUMLAH PARAMETER 342


RINCIAN

NOVI
Parameter 269
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 10 Kali
Parameter 67
Cito 100,000
On Call Tgl Merah 2 Kali

LIA
On Call tgl Merah 2 Kali
Parameter 3
Cito 20,000

ERIKA
On Call Tgl Merah 1 Kali
Parameter 3
Cito 20,000

KARYAWAN
Nn.Anggun 35,000
Ny.Fitri 12,500
Ny.Purwanti 7,500
Jumlah 55,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Bil.Total Bil.Direct CT BT Ureum Creatinin
25,000

35,000 35,000
35,000
35,000

25,000

25,000

35,000

35,000
35,000 35,000

25,000

35,000

25,000

75,000

35,000

25,000

25,000 35,000

25,000
25,000
25,000
25,000
75,000

75,000

35,000
35,000

25,000

25,000 35,000

25,000
25,000

35,000
25,000

25,000

35,000
25,000
25,000

25,000

35,000
25,000

35,000 35,000

35,000
35,000
35,000

25,000
25,000
35,000 35,000
35,000

35,000

75,000

40,000 40,000

35,000

75,000

35,000

25,000
35,000
35,000

35,000

35,000
35,000

35,000

75,000
35,000
35,000

35,000

25,000 35,000

35,000

625,000 1085000 450000 140000 140000 40000 40000


OT PT Cholestero AU TG AT JUMLAH
130,000
15000
55000

80,000
10000
175,000
105000
105,000
80,000
35,000 35,000 40,000 135000
80,000
20,000

20,000
130,000
20,000
170,000
90,000
105000
90000

185,000

105,000
105,000
20,000
80,000
130,000
90,000
75000
80,000
170,000
80,000
15000
105,000
20000
25,000
25,000

195,000
105,000
105,000
20000
130,000
130,000
130,000
130,000

70,000
15,000
20000
15,000
75,000

80,000
155,000
80,000
195,000
180,000

80,000

130,000

20,000
195,000
105,000
80,000
80,000
20,000
160,000
160,000
20000
80,000
80,000
40,000 40,000 260,000
25000

25,000
15000
105000
130,000
130,000
105,000
80,000
105,000
80,000
80,000
80,000

130,000

80,000
195,000
160,000
80,000
20,000
80,000
90,000

70,000
15,000
15000
170,000
20,000
90,000

15,000
20000
145,000

195,000
170,000
90,000
80,000
80,000
40,000 40,000 170,000
15000
15,000

130,000
130,000
70,000
195,000
105,000
180,000

20,000
80,000
75000
15000
40,000 40,000 250,000
20000

20,000
90,000
80,000
90,000

80,000
20000
25,000
180,000
90,000

90,000
15,000
105,000
75000
20,000
80,000
80,000
170,000
80,000

130,000
40000
20000
55000
80,000
80,000
80,000
20000
170,000
170,000
90,000
90,000

20,000
90,000
55,000

105,000
130,000

90,000
80,000
80,000
20000
80,000
20000
90,000
105,000
90,000

105000
90,000
75000
170,000
105000
80,000
20000
90,000
170,000

220,000
80,000
80,000
90,000
35000
90,000
105,000
20000
80,000
10000

120000 120000 35000 35000 40000 15,850,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 6/2/2018 By.Awalia
2 Ny.Ika Istiqomah 80,000 55,000
3 Ny.Umi Romadotun 80,000 25,000
4 Ny.Hayatun 15,000 55,000 25,000
5 Ny.Evi 80,000

6 6/4/2018 Ny.Sani 80,000 25,000


7 Ny.Endar 80,000 25,000
8 Ny.Milati 80,000 10,000
9 Ny.Lora 20,000
10 Ny.Siti Mutia 80,000 10,000
11 Ny.Wulandari 15,000 55,000 25,000
12 Ny.Umi 10,000
13 Ny.Emi W 80,000 55,000

14 6/5/2018 Ny.Sani 15,000


15 Ny.Devi A 80,000 55,000
16 Ny.Dewi Putri 20,000

17 6/6/2018 Ny.Lisa 15,000 55,000


18 Nn.Asma 80,000 25,000
19 Ny.Qoirul 80,000
20 Ny.Uswati 80,000
21 Ny.Uswati 25,000
22 Ny.Feli 80,000

23 6/7/2018 Ny.Uswati 15,000


24 Ny.Erna 80,000 55,000 10,000
25 Ny.Jarwati 80,000 55,000 25,000
26 Ny.Sulastri 80,000 10,000
27 Ny.Munafah 80,000 25,000
28 Ny.Winarni 15,000
29 Ny.Suparmi 20,000

30 6/8/2018 Ny.Sindi 80,000 10,000


31 Nn.Asma 15,000
32 Ny.Sutini 80,000 25,000
33 Ny.Rizki 80,000

34 6/9/2018 Ny.Istika Sari 80,000


35 Ny.Yustine 80,000 55,000
36 Ny.Dwi Retno 15,000 55,000

37 6/11/2018 Ny.Hindun 80,000 55,000


38 Ny.Nanik 80,000
39 Ny.Rani 80,000
40 Ny.Wijiati 80,000 25,000
41 Ny.Dian 15,000
42 Ny.Arum 15,000 55,000 10,000
43 Ny.Izzatun 10,000

44 6/12/2018 Ny.Elia 20,000


45 Ny.Samini 80,000 25,000
46 Ny.Sri Asih 80,000
47 Ny.Komsiatun 80,000 55,000
48 Ny.Sri Lestari
49 Ny.Lidya 80,000

50 6/13/2018 Ny.Artini 20,000


51 Ny.Narsi 80,000 55,000
52 Ny.Ira 15,000 10,000
53 Ny.Ester 20,000
54 Ny.Reni 15,000 55,000

55 6/14/2018 Ny.Fitriani 20,000


56 Ny.Linanda 55,000
57 Ny.Marsiah 15,000

58 6/16/2018 Ny.Elvi 55,000

59 6/17/2018 By.Elvi
60 Ny.Siti Mulyani 10,000

61 6/19/2018 Ny.Ngatini 15,000 55,000


62 Ny.Siti 10,000
63 Ny.Tri Suyanti 80,000 55,000 25,000
64 Ny.Litma 15,000
65 Ny.Dewi Lestari 20,000
66 Ny.Dewi Rahayu 80,000 55,000
67 Ny.Sutrisni 80,000 10,000
68 Ny.Novita 80,000 55,000 25,000
69 By.Firliyati 80,000 25,000
70 By.Tri Suyanti 80,000 25,000

71 6/20/2018 By.Yustine 80,000 25,000


72 Ny.Nina 20,000
73 Ny.Tri S 15,000
74 Ny.Wahyu Mega 20,000
75 Ny.Siska 80,000 55,000
76 Ny.Saliyem 80,000 25,000

77 6/21/2018 Ny.Sumarsih 80,000 55,000


78 Ny.Endang 15,000 55,000
79 Ny.Lusyanti 80,000 25,000
80 Ny.Yatmi 20,000

81 6/21/2018 Ny.Muis 80,000


82 Ny.Sutarni 20,000
83 Ny.Haryanti 80,000 55,000
84 By.Yustine
85 Ny.Parni 80,000
86 Ny.Sri Wahyuni 80,000
87 Ny.Sri R 10,000
88 Ny.Triana 80,000

89 6/23/2018 Ny.Lilis 80,000 55,000


90 Ny.Wanti 80,000
91 Ny.Arida 80,000 55,000
92 Ny.Erma 20,000
93 Ny.Nopiati 80,000
94 Ny.Warsiti 80,000 10,000

95 6/25/2018 Ny.Fauziah 80,000


96 Ny.Endang 80,000 55,000
97 Ny.Ida 80,000 55,000
98 Ny.Nuri
99 Ny.Tia 20,000

100 6/26/2018 Ny.Nita 80,000 10,000


101 Ny.Surati 80,000 25,000
102 Ny.Yuni 80,000
103 Ny.Titik 20,000
104 Nn.Rahmalia 80,000 25,000
105 Ny.Tri Suyanti 80,000 25,000
106 Nn.Alvyrdha 20,000

107 6/27/2018 Ny.Warsini 55,000


108 Ny.Siti M 55,000
109 Ny.Pratiwi 15,000 55,000

110 6/28/2018 Ny.Sri Mulyani 20,000


111 Ny.Nur W 80,000 10,000
112 Ny.Ambarwati 15,000 55,000
113 Ny.Nurul 20,000
114 Ny.Yatmi 20,000
115 Ny.Any 80,000 10,000
116 Ny.Intan

117 6/29/2018 An.Yahya 80,000


118 Ny.Risma 20,000
119 Ny.Enggar 15,000 55,000 25,000
120 Ny.Dwi Lestari 20,000
121 Ny.Febriana 20,000
122 Ny.Nori 80,000 55,000
123 Ny.Yuli
124 Ny.Parini 20,000

125 6/30/2018 Ny.Sri Lestari 20,000


126 Ny.Eko 15,000
127 Ny.Ririn 80,000

5,200,000 315000 1,925,000 575,000 170000 480,000

JUMLAH PARAMETER 247

RINCIAN

NOVI
Parameter 205
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 9 Kali
Parameter 42
Cito 40,000
On Call Tgl Merah 2 Kali

LIA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

ERIKA
On Call Tgl Merah 2 Kali
Parameter 0
Cito 0

KARYAWAN
Ny.Ida 30,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Bil.Total Bil.Direct Syphilis CT BT Ureum Creatinin
35,000 35,000
35,000

35,000

35,000

25,000 35,000

35,000

35,000

25,000

35,000
35,000

35,000
35,000
35,000

35,000

35,000
35,000
75,000
25,000

35,000

35,000

35,000

35,000

25,000

35,000

35,000

35,000

35,000
25,000
25,000

25,000 35,000
35,000

35,000
35,000 35,000

35,000
40,000
35,000

40,000 40,000

35,000
35,000 40,000
25,000

35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000

35,000

35,000 40,000
25,000

250,000 1225000 75000 70,000 70,000 240000 40000 40000 40000


OT PT Cholestero AU TG AT JUMLAH
70,000
170,000
105,000
130,000
80,000

105,000
105,000
90,000
20,000
90,000
130,000
10,000
195,000

15,000
170,000
20,000

105000
105,000
80,000
105,000
25,000
80,000

15,000
180,000
195,000
90,000
105,000
15,000
20,000

90,000
15,000
105,000
80,000

115,000
170,000
105,000

170,000
80,000
80,000
105,000
15,000
115000
10,000

20000
105,000
80,000
170,000
75000
105,000

20,000
170,000
25,000
20,000
105,000

20,000
90000
15,000

90,000

25,000
10,000

105,000
10000
195,000
15,000
20,000
170,000
90,000
195,000
130,000
130,000

105,000
20,000
15,000
20,000
135,000
105,000

195,000
105,000
105,000
20,000

80,000
20,000
170,000
70,000
80,000
80,000
10,000
80,000

170,000
120,000
170,000
20,000
80,000
40,000 40,000 250,000

80,000
170,000
210,000
25,000
20,000

90,000
105,000
80,000
20000
105,000
105,000
20,000

130,000
130,000
145,000

20,000
90,000
145000
20,000
20000
90,000
25,000

80,000
20,000
130,000
20,000
20000
210,000
25,000
20,000

20,000
15,000
80,000

40000 40000 10,795,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 7/2/2018 Ny.Sri Lidyowati 20,000
2 Ny.Wanti 80,000
3 Ny.Anis 80,000 10,000
4 Ny.Uun 15,000 55,000 25,000 10,000
5 Ny.Alifah 80,000 25,000
6 Ny.Anis 25,000
7 Ny.Feni 80,000
8 Ny.Parmiati 20,000
9 Ny.Tuminah 80,000 25,000
10 Ny.Istimaul 80,000 25,000
11 Ny.Sobiroh 15,000 55,000

12 7/3/2018 Ny.Mega 20,000


13 Ny.Mela 20,000
14 Ny.Anis 15,000
15 Ny.Agustin 80,000 55,000
16 Ny.Putri 80,000
17 Ny.Anggila 20,000
18 Ny.Yemima 80,000 55,000

19 7/4/2018 Ny.Sri Sugiarti 80,000


20 Ny.Sri Lestari 80,000 25,000
21 Ny.Septia 80,000
22 Ny.Henik 80,000 55,000 25,000

23 7/5/2018 Ny.Siti 80,000


24 An.Adila 80,000
25 Ny.Fenitri 20,000
26 Ny.Sarti 80,000 55,000

27 7/6/2018 Ny.Sri Hartanti 20,000


28 Ny.Nur 80,000 25,000
29 Ny.Dyah Safira 20,000
30 Ny.Ngadi 20,000
31 An.Adiba 80,000
32 Nn.Sherin 80,000 55,000
33 Ny.Rini 80,000 25,000

34 7/7/2018 Ny.Rini 15,000


35 Ny.Ririn 55,000
36 By.Elidha
37 Ny.Sri Ngatmini 20,000
38 Ny.Tia 55,000 25,000
39 Ny.Maratus 15,000 55,000

40 7/9/2018 Ny.Wanti 80,000


41 Ny.Yuli 15,000
42 By.Lusia
43 Ny.Aprillia 80,000 10,000
44 Ny.Sofa 80,000
45 Ny.Septinuryani 80,000 10,000
46 7/10/2018 Ny.Sularni 80,000 25,000
47 Ny.Sri Diah 20,000
48 Ny.Atik 80,000
49 Ny.Sarmini 55,000
50 Ny.Purwa 20,000
51 Ny.Giyanti 80,000 55,000
52 Ny.Hartini 80,000 55,000
53 Ny.Yuni 20,000

54 7/11/2018 Ny.Ginarni 80,000 10,000


55 Ny.Irma 20,000
56 Ny.Harsini 80,000
57 Ny.Sri Lestari 80,000 25,000
58 Ny.Sri Lestari 80,000 25,000

59 7/12/2018 Ny.Sri M 80,000 55,000


60 Ny.Sri Lestari 15,000
61 Ny.Dian 20,000
62 Ny.Suyatni 80,000
63 Ny.Sutarmi 80,000 10,000

64 7/13/2018 Nn.Ima 80,000 25,000


65 Ny.Umi 80,000
66 Ny.Sutarni 80,000 55,000 25,000
67 Ny.Daryanti 80,000 10,000

68 7/14/2018 By.Agustina 80,000 25,000


69 Ny.Siti R 80,000 55,000
70 Ny.Novita 10,000
71 Ny.Tri M 80,000
72 Ny.Mutmainah 80,000 10,000
73 Ny.Sri L 55,000

74 7/16/2018 Ny.Yeli 20,000


75 Ny.Bara 20,000
76 Ny.Hartini 15,000
77 An.Rafasya
78 Ny.Wanti 80,000
79 By.Grahana
80 Ny.Karmini 80,000 55,000
81 Ny.Indri 80,000 55,000

82 7/17/2018 Ny.Ajeng
83 Ny.Putri 80,000
84 Ny.Tatik 80,000
85 Ny.Rina 80,000 10,000

86 7/18/2018 Ny.Suwanti 80,000 10,000


87 Ny.Maryanti 80,000 55,000 10,000
88 Ny.Yuli 20,000
89 Ny.Woro 80,000 10,000
90 Ny.Umi 80,000
91 Ny.Suci 15,000
92 Ny.Sutarni 80,000 25,000
93 7/19/2018 Ny.Daryanti 80,000 55,000
94 Ny.Febri 20,000
95 Ny.Jujuk 20,000

96 7/20/2018 Ny.Novita 80,000 10,000


97 Ny.Efi 80,000 25,000
98 Ny.Sukini 80,000 25,000
99 Ny.Endang 80,000 25,000
100 Ny.Linda 20,000
101 By.Septy 80,000

102 7/21/2018 Ny.Septi 15,000


103 Ny.Narni 80,000
104 Ny.Devi Andani
105 Nn.Efi 15,000
106 Ny.Supadmi 80,000 10,000
107 Ny.Suyanti 80,000 25,000
108 Ny.Partini 80,000

109 7/22/2018 Ny.Mimin 80,000

110 7/23/2018 Ny.Narni 55,000 10,000


111 Ny.Erawati 20,000
112 Ny.Ida Dini 80,000 25,000
113 Ny.Mimin
114 Ny.Sri Partini 80,000 25,000
115 Ny.Wanti 80,000
116 Ny.Selvy 80,000
117 Ny.Dyah 80,000
118 Ny.Retno 80,000
119 Ny.Warsiti 80,000 25,000
120 Ny.Sulis

121 7/24/2018 Ny.Siska 80,000 55,000

122 7/25/2018 Ny.Sri Partini 15,000


123 Ny.Sri D 20,000
124 Ny.Isminah 80,000

125 7/26/2018 Ny.Nur Hayati 80,000 55,000


126 Ny.Sherin 25,000
127 Ny.Dwi Lestari 80,000 10,000
128 Ny.Dwi Sulastri 80,000
129 Ny.Retno 80,000
130 Ny.Ajeng 80,000
131 Ny.Sunarsih 80,000
132 Ny.Hartini 80,000 55,000 25,000
133 Ny.Anastasia 20,000
134 Ny.Sumarmi

135 7/27/2018 Ny.Leni Ambar 20,000


136 Ny.Wahyu 55,000
137 Nn.Ratri 55,000
138 Ny.Heni 80,000
139 Ny.Nurjanah 80,000 10,000
140 Ny.Dwi Riyanti 80,000 10,000

141 7/28/2018 Ny.Santi 80,000


142 Ny.Rela 80,000
143 Ny.Sherin 15,000
144 Ny.Lestari 80,000
145 Ny.Sarmini 80,000 10,000
146 Ny.Mentari 80,000

147 7/30/2018 Ny.Ika Nur 80,000


148 Ny.Nur Radrah 80,000 55,000
149 Ny.Wiwik 20,000
150 Ny.Dwi M 80,000
151 Ny.Riska 20,000
152 Ny.Rina 10,000
153 Ny.Puji Astuti 80,000 10,000
154 Ny.Kholisa 15,000

155 7/31/2018 Ny.Ria 80,000 55,000


156 Ny.Neni
157 Ny.Dwi Fitri 80,000 10,000

JUMLAH 7,600,000 210000 1,595,000 650,000 230,000 540,000

JUMLAH PARAMETER 284

RINCIAN

NOVI
Parameter 225
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 9 Kali
Parameter 57
Cito 40,000
On Call Tgl Mera 1 Kali

LIA
On Call tgl Merah 2 Kali
Parameter 2
Cito 20,000

ERIKA
On Call Tgl Mera 0
Parameter 0
Cito 0
KARYAWAN
Nn.Sari 65,000
Ny.Hani 87,500
Jumlah 152,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Syphilis Bil.Total Bil.Direct CT BT Ureum Creatinin OT

40,000

35,000 40,000

35,000 40,000

35,000

35,000

35,000 40,000

35,000

35,000 40,000

35,000
25,000

35,000 40,000
35,000

40,000

35,000 35,000
35,000
35,000

35,000

25,000

25,000 35,000 35,000


35,000

40,000
25,000 40,000

35,000 35,000
40,000
25,000
35,000 40,000
35,000 40,000

40,000
40,000

40,000

35,000 40,000
35,000 40,000

25,000

25,000

35,000 40,000

25,000

40,000

25,000

35,000

35,000 40,000

35,000

75,000

35,000
40,000

25,000

25,000 35,000 40,000

35,000
75,000

275,000 875000 150000 720,000 105,000 105000 160000


PT Cholestero AU TG AT JUMLAH
20,000
120,000
90,000
180,000
105,000
25000
80,000
20,000
105,000
105,000
145,000

20,000
20,000
15,000
170,000
80,000
20,000
170,000

80,000
105,000
80,000
235,000

80,000
80,000
20,000
170,000

20,000
105,000
20,000
20,000
80,000
210,000
105,000

15,000
90,000
25,000
20,000
155,000
105,000

120,000
15,000
70,000
90,000
80,000
90,000
105,000
20,000
80,000
55000
20,000
170,000
170,000
20,000

90,000
20,000
80,000
105,000
105,000

170,000
15,000
20,000
80,000
90,000

105,000
80,000
185,000
90,000

200,000
170,000
10,000
120,000
155,000
55,000

20,000
20,000
15,000
70,000
120,000
25,000
210,000
210,000

40,000
120,000
80,000
130,000

90,000
220,000
20,000
90,000
80,000
15000
105,000
210,000
20,000
20,000

90,000
105,000
105,000
105,000
20,000
80,000

15,000
80,000
25,000
15000
90,000
105,000
80,000

105,000

140,000
20,000
105,000
25,000
105,000
120,000
80,000
80,000
80,000
105,000
25,000

170,000

15000
20,000
80,000

210,000
25,000
90,000
80,000
80,000
80,000
80,000
195,000
20,000
75,000

20,000
90000
55000
120,000
90,000
90,000

80,000
80,000
15,000
105,000
90,000
80,000

80,000
235,000
20,000
80,000
20,000
10,000
90,000
15,000

170,000
75000
90,000

13,215,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine
1 8/1/2018 Ny.Maulida 80,000 55,000 25,000

2 8/2/2018 Ny.Sri Dariyanti


3 Ny.Tutik
4 Ny.Risma
5 Nn.Tini 80,000 25,000
6 Ny.Puji Suyanti
7 Ny.Isna 80,000 55,000

8 8/3/2018 Ny.Wiji Lestari 80,000 55,000


9 Ny.Sri L
10 Ny.Wahyu 80,000 55,000
11 Ny.Putri 80,000 55,000
12 Ny.Endah
13 Ny.Siti
14 Ny.Erny 80,000 55,000 25,000
15 Ny.Vivi 80,000 55,000 25,000
16 Ny.Ari 80,000
17 Ny.Fatimah 25,000
18 Ny.Giarni 10,000
19 Ny.Pujianti 80,000 25,000
20 Ny.Sukma
21 Ny.Miftahur 80,000 55,000
22 Ny.Dwi Hastuti 80,000 55,000
23 Ny.Ernawati 80,000 55,000
24 Ny.Tri 80,000

25 8/5/2018 Ny.Puji L 15,000

26 8/6/2018 Ny.Wanti 80,000


27 Ny.Pasih 80,000 10,000
28 Ny.Mifta 80,000 55,000
29 Ny.Ayu Dian 80,000 55,000
30 Ny.Dwi Suryani
31 An.Naumi 80,000
32 Ny.Tutik 80,000 25,000
33 Ny.Rina Dwi 80,000 10,000
34 Ny.Sutiyem 80,000 10,000
35 Ny.Andri Dwi 80,000 10,000
36 Ny.Pipit

37 8/7/2018 Ny.Nafisah
38 Ny.Suginem 80,000 25,000
39 Ny.Uun
40 Ny.Sigit Tri 80,000 10,000
41 Nn.Nurul 80,000 25,000
42 Ny.Kusrini 80,000 55,000

43 8/8/2018 Ny.Niken
44 Ny.Surani 80,000
45 Nn.Nurul 15,000
46 Ny.Putri 10,000
47 8/9/2018 Ny.Dian
48 Ny.Puji Utami 80,000
49 Ny.Siwi 80,000

50 8/10/2018 Ny.Dian Kirana 80,000 55,000


51 Ny.Wahyuningsih 80,000 10,000

52 8/11/2018 Ny.Siti Nur


53 Ny.Farida 80,000
54 Ny.Ginarni 10,000
55 Ny.Aldiata 80,000 25,000
56 Ny.Suprapti
57 Ny.Sri Herlina
58 Ny.Septi 80,000
59 Ny.Lestari 80,000
60 Ny.Ari Dwi 80,000 55,000

61 8/13/2018 Ny.Nurul 10,000


62 Ny.Ulil
63 NySepti 25,000
64 Ny.Linda Ayu 80,000 55,000
65 Ny.Wanti 80,000
66 Ny.Ratih
67 Ny.Sutiyem 10,000
68 Ny.Rina Dwi 10,000
69 Ny.Sisca 80,000 55,000
70 Ny.Rosa
71 Ny.Sawitri 80,000

72 8/14/2018 Ny.Septi 15,000


73 Ny.Sutarmi 80,000 25,000
74 Ny.Suryanti 80,000
75 Ny.Dhea 80,000
76 Ny.Reny
77 Ny.Pani 80,000 55,000

78 8/15/2018 Ny.Siti 80,000 55,000


79 Ny.Nurul 80,000
80 Ny.Fifin 80,000 25,000
81 Ny.Daryanti 10,000
82 Ny.Tina
83 Ny.Nuryani 80,000
84 Ny.Sulasih

85 8/16/2018 Ny.Indar 80,000 10,000


86 Ny.Ari Dwi 80,000 10,000
87 Ny.Wahyu
88 Ny.Sumiyati 80,000
89 Ny.Dayanti 80,000

90 8/18/2018 Ny.Rina 80,000 55,000


91 Ny.Purwanti 80,000
92 Ny.Kusmiyati 80,000
93 Ny.Tutik 80,000
94 Ny.Dewi Setyoningsih 80,000 55,000
95 Ny.Sukimi 80,000 55,000
96 Ny.Jariyanti 80,000 10,000

97 8/20/2018 Ny.Ginarni 10,000


98 Ny.Siti Maisaroh 80,000
99 By.Mentari
100 Ny.Hajar 80,000 55,000
101 Ny.Sri W 10,000
102 Ny.Wanti 80,000 55,000 10,000
103 Ny.Retno 80,000
104 Ny.Marvianti
105 Ny.Paryatun 80,000 55,000
106 Ny.Liana 15,000
107 Ny.Anita 80,000 55,000

108 8/21/2018 Ny.Liana 15,000


109 Ny.Yenni 80,000 10,000
110 Ny.Muis 15,000
111 By.Muis 80,000 25,000
112 Ny.Tri
113 Ny.Astika 80,000

114 8/23/2018 Ny.Marlinda 15,000


115 Ny.Dwi Puji
116 Ny.Maryanti 15,000 25,000
117 Ny.Giyanti 80,000 10,000
118 Ny.Rantiwi
119 Ny.Fiftin 80,000 55,000

120 8/24/2018 Ny.Pitri 55,000 25,000


121 Ny.Maryanti 15,000
122 Ny.Fiftin 15,000
123 Ny.Pitri 15,000
124 Ny.Erika 80,000
125 Ny.Nisma
126 Ny.Miftahul
127 Ny.Dwi Astuti 80,000
128 Ny.Suprapti 80,000

129 8/25/2018 Ny.Tri Utami 15,000 55,000


130 Ny.Indah Tri 80,000 25,000
131 Ny.Yuni 15,000
132 Ny.Marsini
133 Ny.Siti
134 Ny.Zaenab
135 Ny.Devi
136 Ny.Ida 80,000
137 Ny.Ajeng 55,000
138 Ny.Khairun Nisa

139 8/27/2018 Ny.Sunarti 80,000 55,000 25,000


140 Ny.Dwi Madyarini 10,000
141 Ny.Ginarni 55,000
142 Ny.Hesti 80,000 10,000
143 Ny.Heri 80,000
144 Ny.Merlin 80,000 25,000
145 Ny.Dewi 80,000

146 8/28/2018 Ny.Fitriani 80,000 55,000 10,000


147 Ny.Sujiati 15,000 55,000
148 Ny.Siti Aisyah 80,000 55,000
149 Ny.Setyo Palupi
150 Ny.Nofi 80,000
151 Ny.Tri W 15,000 55,000

152 8/29/2018 Ny.Nurjanah 80,000 10,000


153 Ny.Retno 10,000
154 By.Nur R 80,000 25,000
155 Ny.Yuyun 80,000 55,000
156 Ny.Warsih 80,000
157 Ny.Asna 15,000
158 Ny.Puryanti 80,000 25,000

159 8/30/2018 Ny.Titin 15,000


160 Ny.Asna 15,000
161 Ny.Luri R 80,000
162 Ny.Luri R 25,000
163 Ny.Sumarni 80,000 55,000 25,000
164 Ny.Nawang
165 Ny.Tri W 80,000
166 Ny.Putri

167 8/31/2018 Ny.Luri 15,000


168 Ny.Yessi 80,000
169 Ny.Nur Arifah 80,000
170 Ny.Susanti 80,000 10,000
171 Ny.Sartini

7,600,000 285000 2,090,000 575,000 270000

JUMLAH PARAMETER 326

RINCIAN

NOVI
Parameter 260
OnCall Tgl Merah 1 Kali

WAHYU
Masuk 10 Kali
Parameter 65
Cito 0
On Call Tgl Merah 2 Kali
LIA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

ERIKA
On Call Tgl Merah 2 Kali
Parameter 1
Cito 20,000

KARYAWAN
Ny.Sumarsih 7,500
Ny.Hani 75,000
Jumlah 82,500
PEMERIKSAAN
PP.Test Gds/Gdp HIV Urine Ruti Syphilis Bil.Total Bil.Direct CT BT
35,000

20,000
25,000
75,000

20,000
35,000 40,000

25,000 35,000
20,000
35,000 40,000
35,000 40,000
20,000
40,000
25,000 35,000
25,000 40,000

25,000
35,000 40,000
35,000 40,000
35,000 40,000

20,000 20,000

35,000 40,000
35,000 40,000
20,000

20,000

20,000

20,000

35,000 40,000

20,000
75,000
20,000 20,000

35,000 40,000

25,000
40,000

20,000
20,000
75,000

35,000 40,000

20,000

35,000 40,000
20,000 20,000
20,000

35,000 40,000
20,000

20,000
25,000 35,000

35,000 40,000

20,000
20,000
20,000

20,000

35,000

40,000
35,000 40,000
35,000

35,000 35,000
35,000 40,000

35,000
35,000
20,000
35,000 40,000

35,000 40,000 20,000 20,000

25,000
20,000

20,000

20,000
35,000 40,000

35,000

20,000
20,000

35,000

20,000
20,000
20,000
25,000

35,000
75,000

35,000
35,000 40,000

20,000

35,000 40,000
35,000
25,000
20,000

35,000

35,000 40,000
20,000

75,000

75,000

620,000 250,000 1,260,000 450000 1,040,000 35,000 35000 80000 80000


Ureum Creatinin OT PT Choles AU TG AT JUMLAH
195,000

20,000
25,000
75,000
105,000
20,000
210,000

195,000
20,000
210,000
210,000
20,000
40,000
220,000
40,000 40,000 305,000
80,000
25,000
10000
105,000
25,000
210,000
210,000
210,000
80,000

15,000

120,000
90,000
210,000
210,000
20,000
80,000
105,000
90,000
90,000
90,000
20,000

20,000
105,000
20,000
90,000
105,000
210,000

20,000
80,000
15,000
10000
75,000
120,000
80,000

210,000
90,000

25,000
120,000
10,000
105,000
20,000
20,000
155,000
80,000
210,000

10,000
20,000
25,000
210,000
120,000
20,000
10,000
10,000
210,000
20,000
80,000

15,000
105,000
80,000
80,000
20,000
195,000

210,000
80,000
105,000
10,000
20,000
100,000
20,000

90,000
90,000
20,000
80,000
80,000

170,000
80,000
120,000
80,000
210,000
170,000
90,000

10,000
80,000
70,000
210,000
10,000
180,000
115,000
20,000
210,000
15,000
250,000

15,000
90,000
15,000
130,000
20,000
80,000

15,000
20,000
40,000
90,000
20,000
210,000

115,000
15,000
15,000
15,000
80,000
20000
20,000
80,000
80,000

105,000
105,000
15,000
20,000
20,000
20,000
25,000
80,000
90000
75000

195,000
40,000 40,000 90000
130,000
90,000
100,000
105,000
80,000

40,000 40,000 300,000


105,000
160,000
20,000
80,000
105,000

90,000
10,000
105,000
135,000
80,000
15000
105,000

15000
15,000
80,000
25,000
235,000
20,000
80,000
75000

15000
80,000
80,000
90,000
75000

80000 80000 40000 40000 14,910,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 9/1/2018 Ny.Iis Sugiarti 80,000
2 Ny.Sri Suwarni 20,000
3 Ny.Lilik 80,000
4 Ny.Ardha 80,000
5 Ny.Marsini 80,000 25,000
6 Ny.Suprawesti 80,000 55,000
7 Ny.Dyah Ayu 80,000 10,000
8 Ny.Dwi Sri 80,000 10,000
9 Ny.Isnur 55,000

10 9/2/2018 Ny.Elia 15,000 55,000

11 9/3/2018 Ny.Sri W 10,000


12 Ny.Poniyem 80,000 25,000 20,000
13 Ny.Sulisyowati 20,000
14 Ny.Radika
15 Ny.Deva 20,000

16 9/4/2018 Ny.Sri Sunani 80,000


17 Ny.Enik 20,000
18 Ny.Ira 15,000 55,000
19 Ny.Sri Lestari 80,000 55,000
20 Ny.Renny 20,000
21 Ny.Erlina 80,000 25,000
22 Ny.Erna 80,000
23 Ny.Anisa 80,000 20,000
24 Ny.Mulyani 80,000 25,000
25 Ny.Marsela 20,000
26 Ny.Siti Fatimah 80,000 25,000

27 9/5/2018 Ny.Hartatik 80,000 10,000


28 NyRetno 10,000
29 Ny.Dinarul
30 Ny.Dita 80,000 10,000

31 9/6/2018 Ny.Erna 15,000


32 Ny.Siti Fatimah 80,000 25,000
33 Ny.Erlina 15,000
34 Ny.Ana 80,000
35 Ny.Dian 80,000
36 Ny.Sukini 80,000 25,000
37 Ny.Srifia 80,000 20,000

38 9/7/2018 Ny.Erlina 15,000


39 Ny.Evita 15,000 55,000 10,000
40 Ny.Noni 80,000 10,000
41 Ny.Dina 80,000
42 Ny.Dian 10,000
43 Ny.Sugiyarti 80,000 25,000
44 Ny.Nur Hidayah 15,000 25,000

45 9/8/2018 Ny.Indah Tri 15,000


46 Ny.Sriyati 20,000
47 Ny.Iis Sugiarti 80,000
48 Ny.Sunarsih 80,000 10,000
49 Ny.Rini 80,000 10,000
50 Ny.Nur Hidayah 15,000
51 Ny.Dh.Rahmawati 20,000
52 Ny.Ratna 80,000 25,000

53 9/9/2018 Ny.Rusmini 80,000 25,000

54 9/10/2018 Ny.Puji Astuti 80,000 10,000


55 Ny.Supadmi 80,000 55,000
56 By.Nurjanah 80,000 25,000
57 Ny.Supadmi 25,000
58 Ny.latifah 55,000
59 Ny.Riniatun 80,000 55,000
60 Ny.Ekowati 20,000

61 9/11/2018 Ny.Supadmi 15,000

62 9/12/2018 Ny.Setyorini 80,000 55,000


63 Ny.Murina 80,000 20,000
64 Ny.Yuli 80,000 55,000
65 Ny.Ria Puji 80,000 55,000
66 Ny.Yulia 80,000 55,000
67 Ny.Wahyu
68 By.Retno
69 By.Ira
70 Ny.Adella 80,000
71 Ny.Ayu 20,000
72 Ny.Puput 80,000 55,000

73 9/13/2018 Ny.Nurjanah
74 Ny.Risa 80,000
75 Ny.Nawang 80,000
76 Ny.Disa 55,000
77 Ny.Risa 25,000

78 9/14/2018 Ny.Wani 80,000 20,000


79 Ny.Ratnawati 80,000 25,000
80 Ny.Yuli Andriyani 80,000 55,000 25,000
81 Ny.Ita 20,000
82 Ny.Widati 80,000
83 Ny.Sukma 80,000 25,000
84 Ny.Widayati 20,000
85 Ny.Rubini 80,000 55,000

86 9/15/2018 Ny.Dewi 80,000 55,000


87 Ny.Ratna
88 Ny.Daning 80,000
89 Ny.Ari 80,000 25,000
90 Ny.Partini 20,000
91 Ny.Anisa 80,000
92 Ny.Dewi Irawati 80,000
93 Ny.Deni 80,000
94 Ny.Nur Ariyah 80,000 25,000

95 9/17/2018 Ny.Windi 80,000


96 Ny.Sarinah 80,000 25,000
97 Ny.Tri 20,000
98 Ny.Atik 80,000
99 Ny.Supadmi 80,000
100 Ny.Tiara 80,000 55,000 25,000
101 Ny.Nia Aprilia 80,000 55,000
102 Ny.Ardella 55,000
103 Tn.Wiwit

104 9/18/2018 Ny.Wulandari 80,000


105 Ny.Puji Lestari 80,000
106 Ny.Krisyantini
107 Ny.Alin 80,000
108 Ny.Ernawati 10,000
109 Ny.Lilis 80,000
110 Ny.Richa 80,000
111 Ny.Nurita 80,000
112 Ny.Sujiani

113 9/19/2018 By.Wuning


114 Ny.Warsi
115 By.Fathiyya
116 Ny.Dwi Muryani 80,000 20,000
117 Ny.Susilowati 80,000
118 Ny.Riska 80,000
119 Ny.Lailatul 80,000 25,000
120 Ny.Endra 20,000
121 Ny.Mei 80,000
122 Ny.Dewi 80,000 10,000
123 Ny.Lestari 80,000
124 Ny.Kamidatun 15,000 25,000
125 Ny.Kasmiyati 15,000 55,000 25,000

126 9/20/2018 By.Reni


127 Ny.Reni 10,000
128 Ny.Kamidatun 15,000 10,000
129 Nn.Iin 80,000
130 Ny.Ria 15,000 55,000
131 Nn.Dewi 80,000 25,000

132 9/21/2018 Ny.Endang Suwarti 80,000 25,000


133 An.Afrizal 80,000
134 Ny.Danik 20,000
135 Tn.Supriyanto
136 Ny.Towi Lestari 55,000
137 Ny.Suwarni

138 9/22/2018 Ny.Ani 20,000


139 Ny.Ginarni
140 Ny.Hayyul 80,000 10,000
141 Nn.Ina 80,000 25,000
142 Ny.Nurfina
143 Ny.Puryati
144 Ny.Nur W 80,000
145 Ny.Wiwin Endang 80,000
146 Ny.Wiwin I 80,000 25,000
147 Ny.Iin Rustini 80,000 10,000
148 Ny.Sri Puputowati 15,000 55,000

149 9/23/2018 Ny.Hayyul 80,000

150 9/24/2018 Ny.Isnaini 15,000


151 Ny.Susilowati 80,000
152 By.Suwarni 80,000 25,000
153 Ny.Nawang 80,000
154 Ny.Marlyla 20,000
155 Ny.Luluk 80,000 55,000

156 9/25/2018 Ny.Siska 80,000


157 Ny.Ika Nuri 80,000
158 Ny.Nunik 80,000

159 9/26/2018 Ny.Haryati 15,000 55,000


160 Ny.Supriharti 15,000
161 Ny.Supani 80,000
162 By.Supriharti 80,000 25,000
163 Ny.Sri L 80,000
164 Ny.Widati 10,000

165 9/27/2018 Ny.Wildan 80,000


166 Ny.Sri P 80,000
167 Ny.Khusnul
168 Ny.Elita 80,000

169 9/28/2018 Ny.Sri Rahayu 20,000


170 Ny.Dewi Irawati 80,000
171 Ny.Fitria 80,000
172 Ny.Ngadinem 80,000 25,000
173 Ny.Dewi Kusmiati 80,000 25,000
174 Ny.Yulia 80,000 10,000

175 9/29/2018 Ny.Siti Haryani 80,000 25,000


176 Ny.Indri Ayu 15,000 55,000
177 Ny.Neti Isnaini 80,000 55,000
178 Ny.Yuli Sawitri 80,000
179 Ny.Tri Retno 55,000
180 Ny.Suparmi
181 Ny.Umi Wardati
182 Ny.Aprilia 80,000
183 Ny.Khusnul 25,000
184 Ny.Intan 80,000 55,000 25,000
185 Ny.Dwi Sri 10,000
8,720,000 285000 1,705,000 875,000 210000 500,000

JUMLAH PARAMETER 336

RINCIAN

NOVI
Parameter 255
OnCall Tgl Merah 3 Kali

WAHYU
Masuk 11 Kali
Parameter 79
Cito 0
On Call Tgl Merah 1 Kali

LIA
On Call tgl Merah 2 Kali
Parameter 2
Cito 20,000

ERIKA
On Call Tgl Merah 0
Parameter 0
Cito 0

KARYAWAN
Ny.Sainem 37,500
Ny.Fitri 7,500
Ny.Indah 7,500
Ny.Desta 20,000
Jumlah 72,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Syphilis Bil.Total Bil.Direct CT BT Ureum
25,000

75,000
25,000

35,000 40,000

35,000

35,000

25,000

35,000
35,000 40,000

25,000

35,000 40,000
25,000

25,000
25,000

25,000 35,000
35,000

35,000 40,000

35,000 40,000
25,000
35,000
75,000
35,000 35,000
35,000 35,000

35,000 40,000

35,000 35,000
25,000

35,000 40,000

75,000
35,000 40,000

35,000 40,000
75,000
25,000
35,000 40,000
35,000 40,000
35,000 40,000
35,000

35,000 40,000
35,000 40,000

75,000

35,000 35,000
75,000
35,000 35,000

35,000

25,000

35,000

40,000
35,000 40,000
75,000

40,000
75,000
25,000

35,000 40,000

25,000 35,000 35,000

35,000 40,000

35,000

25,000

75,000

75,000

25,000

35,000
35,000 40,000

35,000
75,000
25,000

25,000 35,000 40,000


450,000 1,015,000 825000 800,000 280,000 210000 40000
Creatinin OT PT Cholestero AU TG AT JUMLAH
105,000
20,000
155,000
105,000
105,000
210,000
90,000
90,000
90,000

105,000

10,000
125,000
20,000
25,000
20,000

80,000
20000
105,000
210,000
20,000
105,000
80,000
100,000
105,000
20,000
105,000

90,000
10,000
25,000
90,000

15,000
105,000
15,000
80,000
80,000
105,000
100,000

15,000
155,000
90,000
80,000
10,000
105,000
40,000

15000
20,000
105,000
90,000
90,000
15,000
20,000
105,000

105,000

90,000
160,000
130,000
25,000
115,000
170,000
20,000

15,000

210,000
100,000
210,000
160,000
170,000
75,000
70,000
70,000
80,000
20,000
210,000

70,000
105,000
80,000
55,000
25,000

100,000
105,000
235,000
20,000
80,000
105,000
95,000
210,000

210,000
75,000
80,000
105,000
20,000
80,000
80,000
80,000
105,000

80,000
105,000
20,000
80,000
105,000
235,000
210,000
130,000
35,000

80,000
155,000
75,000
80,000
10,000
80,000
80,000
80,000
75,000

70,000
75,000
70,000
100,000
80,000
80,000
105,000
20,000
80,000
90,000
80,000
40,000
130,000

25,000
10,000
25,000
80,000
105,000
105,000

105,000
80,000
20,000
40,000
130,000
75000

20000
40,000 80,000
90,000
105,000
75,000
25,000
80,000
80,000
105,000
90,000
145,000

80,000

15,000
80,000
200,000
80,000
20,000
210,000

80,000
80,000
80,000

105,000
15,000
80,000
130,000
80,000
10,000

80,000
80,000
75,000
80,000

95000
80,000
80,000
130,000
105,000
40,000 40,000 170,000

105,000
105000
210,000
80,000
90000
75000
25000
80,000
25000
260,000
10000
40000 40000 40000 16,035,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 10/1/2018 Ny.Winarni 80,000
2 Ny.Peni 80,000
3 Ny.Iin
4 Ny.Nur Atik 80,000
5 Ny.Asri
6 Ny.Lina 15,000 55,000

7 10/2/2018 Ny.Aprilia 15,000


8 Ny.Siti M
9 Ny.Sugiyem 80,000
10 Ny.Feli F 80,000 55,000 10,000
11 Ny.Tari 80,000 25,000

12 10/3/2018 Ny.Sukarni 80,000


13 Ny.Winingsih 80,000
14 Ny.Dika

15 10/4/2018 Ny.Rima 80,000 25,000


16 Ny.Nungki 80,000
17 Ny.Puji L 15,000

18 10/5/2018 Ny.Nungki 15,000


19 Ny.Heppy 15,000 10,000
20 Ny.Risma 10,000

21 10/6/2018 Ny.Rizki Ayu 15,000 10,000

22 10/8/2018 By.Hafizh
23 Ny.Suji 80,000 25,000
24 Ny.Dewi Mira 15,000 55,000 10,000
25 Ny.Anita 80,000
26 Ny.Tri Ningsih 80,000 25,000
27 Ny.Ida Ayu 20,000
28 Ny.Siti Nurhayati 15,000
29 Ny.Siti Maya 80,000

30 10/9/2018 Ny.Dewi Listyo 80,000


31 Ny.Suji 15,000
32 By.Riska
33 By.Hafizh
34 Ny.Yanis 20,000
35 Ny.Sugiyem
36 Tn.Sutarno
37 Ny.Fita 80,000 25,000
38 Ny.Sri Handayani 80,000
39 Ny.Ernawati 10,000
40 Ny.Eka 80,000 55,000

41 10/10/2018 Ny.Trimiasih 80,000


42 Ny.Sugiyem 80,000
43 Ny.Endah 80,000
44 Ny.Sugiyanti 80,000 55,000
45 Ny.Dewi Mulyani 15,000 25,000

46 10/11/2018 Ny.Winarti 80,000


47 Ny.Dewi Mulyani 15,000
48 Ny.Nur Afifah 80,000 25,000
49 Ny.Anis 20,000
50 Ny.Aprilia 80,000
51 Ny.Fahhatun 80,000

52 10/13/2018 Ny.Siti Aisyah


53 Nn.Inggar 80,000 25,000
54 Ny.Amalya 80,000

55 10/15/2018 Ny.Wulandari 15,000


56 Ny.Sumarni 15,000
57 Ny.Sri Maryati 80,000 55,000 25,000
58 Ny.Fitriningsih 20,000
59 Ny.Sulasih 80,000 55,000
60 Ny.Siti Halimah 80,000

61 10/16/2018 Ny.Setyorini 80,000 25,000


62 Ny.Yusita 10,000
63 Ny.Suparmi 80,000 25,000
64 By.Sumarni 80,000
65 Ny.Desy
66 Ny.Rudayah 80,000
67 Ny.Sumarni 15,000
68 Ny.Yulia 80,000
69 Ny.Lasmiati 20,000
70 Tn.Mukti 25,000

71 10/17/2018 By.Risma
72 Ny.Isna 80,000 10,000
73 Ny.Marlinda 80,000
74 Ny.Mei Jannah 80,000 10,000
75 Ny.Nensi 15,000 55,000
76 Ny.Erna 80,000 55,000

77 10/18/2018 Ny.Yulia 15,000


78 Ny.Triyanti 80,000
79 Ny.Oktavia 20,000
80 Ny.Isnaini 80,000
81 Ny.Putri Indah 80,000 55,000
82 Ny.Monalisa 20,000
83 Ny.Nurul 80,000
84 Ny.Sholikha 80,000 25,000

85 10/19/2018 Ny.Tri Wahyuni 80,000 55,000 25,000


86 Tn.Beny 25,000
87 By.Risma

88 10/20/2018 Ny.Sunarsih 80,000


89 Ny.Sri Mulyani 20,000
90 Ny.Sunarsih 80,000 10,000
91 Ny.Tyas 80,000 55,000
92 Ny.Aisah 80,000
93 Ny.Lia
94 Ny.Puput 80,000
95 Ny.Susi 80,000 55,000
96 Ny.Nia 80,000
97 Ny.Suparni 80,000 25,000
98 Ny.Nenny 80,000
99 Ny.Evita 80,000 55,000 25,000

100 10/22/2018 Ny.Tri W 15,000


101 Ny.Deny 80,000
102 Ny.Arju
103 Ny.Dwi Wahyu 10,000
104 Nn.Nurul 80,000 25,000
105 Ny.Heni 20,000
106 Ny.Nunik

107 10/23/2018 Ny.Isna 80,000


108 Ny.Erna 80,000 25,000
109 Ny.Katmita 20,000
110 Ny.Yuni 80,000
111 Ny.Nimatus 80,000 25,000 10,000

112 10/24/2018 By.Yuni


113 By.Nimatus 80,000 25,000
114 Ny.Dian 15,000 25,000
115 Ny.Nimatus 15,000
116 Ny.Indah 15,000 55,000

117 10/25/2018 Ny.Indah 15,000


118 Ny.Sri Wiji 15,000
119 Ny.Rindu 80,000

120 10/26/2018 Ny.Dewi K 15,000


121 By.Isna 80,000 25,000
122 Ny.Nur Aini
123 Ny.Ratna 80,000 10,000
124 Ny.Mustika 80,000 55,000
25,000
125 10/27/2018 Ny.Rison 80,000 55,000
126 Ny.Erva 80,000
127 Ny.Maretha
128 Ny.Yeni Dwi 80,000 55,000
129 Ny.Rochanik 20,000

130 10/28/2018 Ny.Abidak 80,000


131 Ny.Sri Budi 15,000 55,000
132 Ny.Amrotul 15,000

133 10/29/2018 Ny.Ratna


134 Ny.Hafidah 80,000 55,000
135 Ny.Tukiyem 80,000 25,000
136 By.Siti Aisah
137 Ny.Dariyanti 80,000 25,000
138 Ny.Aprilya 80,000
139 Ny.Putri Kinarsih 20,000

140 10/30/2018 Ny.lisyorini 80,000


141 Ny.Elinda
142 Ny.Dwi Lestari 80,000 55,000 25,000 10,000
143 Ny.Heny 80,000
144 Ny.Melani 80,000

145 10/31/2018 Ny.Ari S 20,000


146 Ny.Peni 80,000
147 Ny.Atik Sri 80,000 25,000

6,480,000 375,000 1,155,000 700,000 140,000 260,000

JUMLAH PARAMETER 256

RINCIAN

NOVI
Parameter 219
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 10 Kali
Parameter 37
Cito 20,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

KARYAWAN
Desti 7,500
Tari 12,500
Jumlah 20,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct CT BT Ureum

40,000

75,000
35,000

75,000

35,000 40,000

25,000

35,000 35,000

35,000

25,000
35,000 35,000

40,000
35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

40,000

35,000 40,000

35,000 35,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 35,000

75,000
35,000 40,000

75,000

75,000

35,000 40,000

75,000

75,000

25,000

35,000 40,000

25,000
75,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000

75,000
35,000 40,000

35,000 35,000
75,000
35,000 40,000

25,000 40,000

125,000 805,000 750,000 960,000 175,000 175,000 40000


Creatinin OT PT Cholestero AU TG AT JUMLAH
80,000
80,000
40,000
80,000
75,000
105,000

15,000
75,000
80,000
220,000
105,000

80,000
105,000

105,000
80,000
15000

15,000
25,000
10,000

25,000

70,000
105,000
115,000
80,000
105,000
20,000
15,000
80,000

80,000
15,000
25,000
70,000
20,000
40,000
75,000
105,000
80,000
10,000
210,000

80,000
80,000
80,000
210,000
40,000

80,000
15,000
105,000
20,000
80,000
80,000

75,000
105,000
80,000

15,000
15,000
235,000
20,000
210,000
80,000

105,000
50,000
105,000
80,000
75,000
80,000
15,000
80,000
20,000
25,000

70,000
90,000
80,000
90,000
70,000
210,000

15,000
80,000
20,000
80,000
210,000
20,000
80,000
105,000

235,000
25,000
70,000

80,000
95,000
90,000
210,000
80,000
75,000
80,000
135,000
155,000
105,000
80,000
235,000

15,000
80,000
75,000
10,000
105,000
20,000
75,000

80,000
105,000
20,000
80,000
115,000

25,000
105,000
40,000
15,000
145,000

15,000
15,000
80,000

15,000
130,000
75000
90,000
210,000
25,000
210,000
80,000
75,000
210,000
20,000

80,000
145,000
15,000

75000
210,000
105,000
70,000
105,000
80,000
20,000

80,000
75,000
245,000
80,000
80,000

20,000
80,000
40,000 210,000

40000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 11/1/2018 Ny.Maryati 15,000
2 Ny.Atik 15,000
3 Ny.Felly 15,000 10,000

4 11/2/2018 Ny.Felly 15,000


5 Ny.Harnanik 80,000
6 Ny.Sugiyem
7 Ny.Kariyem 80,000
8 Ny.Yuli 80,000 55,000 25,000
9 Ny.Puji H 80,000

10 11/3/2018 Ny.Sari Wahyu 20,000


11 Ny.Megawati 80,000
12 Ny.Erva 80,000 10,000
13 Ny.Lutfi 80,000 55,000 25,000
14 Ny.Sumini 80,000 25,000
15 Ny.Wijayanti 80,000 25,000
16 Ny.Sumarti 15,000 55,000

17 11/4/2018 Ny.Erva 15,000


18 Ny.Tirsa 80,000
19 Ny.Kadini 80,000 25,000
20 Ny.Megawati 80,000

21 11/5/2018 Ny.Kadini 15,000


22 Ny.Endang 80,000
23 Ny.Fara 80,000
24 Ny.Megawati 80,000
25 Nn.Anisa 80,000 25,000
26 Ny.Sunarsih 80,000 10,000
27 Ny.Anita 80,000
28 Ny.Warni 80,000 10,000
29 Ny.Sulastri 80,000 25,000

30 11/6/2018 Ny.Adinda 80,000 55,000


31 Nn.Anisa 15,000
32 Nn.Aida 80,000 25,000
33 Ny.Sugini 80,000 25,000
34 Ny.Eni 80,000 25,000
35 Ny.Nurul 20,000
36 Ny.Siswanti 80,000
37 Ny.Sholekah 80,000
38 Ny.Desi M 10,000
39 Ny.Tari 80,000 55,000

40 11/7/2018 Ny.Rina 55,000


41 Ny.Umi 20,000
42 Ny.Suwarti 20,000

43 11/8/2018 An.Muh Isyad 80,000


44 Ny.Ambar 15,000 55,000 25,000
45 11/9/2018 Ny.Sri Lestari 80,000 25,000
46 Ny.Atik 80,000
47 Ny.Yuliana 80,000 55,000
48 By.Tri W
49 Ny.Susi 20,000
50 Ny.Tri Setyowati 80,000 20,000
51 Ny.Fajariyah 20,000
52 Ny.Nur Hayati 80,000 10,000
53 Ny.Sri Maryani 20,000
54 Ny.Atik 15,000

55 11/10/2018 Ny.Daryanti 80,000


56 Ny.Yogi 80,000 10,000
57 Ny.Naila 80,000 25,000
58 Ny.Fitri 20,000
59 Ny.Siti Aisah 80,000 55,000
60 Ny.Sri Hastuti 80,000
61 Ny.Diana 80,000 10,000
62 Ny.Aisah 80,000 55,000

63 11/12/2018 Ny.Nurgiyanti 80,000


64 By.Erna
65 Ny.Tantia 80,000 55,000 25,000
66 Ny.Uut Puji 80,000
67 Ny.Ratna Yulia 80,000 55,000 25,000
68 Ny.Ima 80,000 10,000

69 11/13/2018 Ny.Eni 80,000


70 Ny.Indah 15,000
71 Ny.Sugiyanti 80,000 10,000
72 Ny.Lisyorini 80,000
73 Ny.Dwi Winarsih 80,000 10,000
74 Ny.Siti Maryanti 80,000 10,000

75 11/14/2018 Ny.Endang 20,000


76 Nn.Aisah 80,000
77 Ny.Krisna 80,000 55,000 25,000
78 Ny.Dina 20,000
79 Ny.Susi 80,000 25,000

80 11/15/2018 Ny.Endang 15,000


81 By.Endang
82 By.Fatihatun
83 Ny.Endang 80,000 25,000
84 Ny.Sriyatun 80,000
85 Ny.Endang 10,000
86 Ny.Susi 15,000
87 Ny.Andikawuri 20,000
88 Ny.Dwi Lestari 80,000 25,000
89 Ny.Winarsih 80,000 10,000
90 Ny.Kustina 80,000
91 Nn.Aisah 15,000
92 Ny.Eka Devi 55,000
93 Ny.Noerani 20,000
94 11/16/2018 Ny.Ika Ayu 80,000
95 By.Endang
96 By.Fatihatun
97 Ny.Sutini 80,000
98 Ny.Bayu 80,000
99 Ny.Halimatius 80,000
100 Ny.Ukthi Armi 80,000 25,000
101 Ny.Lestari Rahayu 80,000 55,000 25,000
102 Ny.Ika 80,000

103 11/17/2018 Ny.Rena 20,000


104 Nn.Anita 55,000
105 Ny.Anisah 80,000
106 Ny.Dian 80,000
107 Ny.Supriyatin 20,000

108 11/19/2018 Ny.Sri Asih 15,000 55,000


109 Ny.Tini 80,000 10,000
110 Nn.Ima 80,000
111 Ny.Wiwid 80,000
112 Ny.Tri Wahyuni 80,000 25,000
113 Ny.Sri Lestari 80,000 55,000 25,000
114 Ny.Leni 80,000
115 Ny.Aulia 80,000 55,000
116 Ny.Suparni 80,000
117 Ny.Sukiyem 80,000
118 Ny.Mujiati 80,000 25,000
119 Ny.Mila 80,000

120 11/21/2018 Ny.Tien 80,000


121 Ny.Dewi Tri 80,000
122 Ny.Deny 20,000
123 By.Aqila
124 By.Dewi 80,000
125 Ny.Sumiyem 80,000
126 Ny.Candra 80,000 10,000
127 Ny.Tri S 80,000

128 11/22/2018 Ny.Sunarti 80,000


129 Ny.Endang 80,000
130 Ny.Syntia 80,000
131 Ny.Handayani 80,000 55,000
132 Ny.Warsini 80,000 55,000 25,000

133 11/23/2018 By.Rindu


134 Ny.Maryati 15,000
135 Ny.Suwarti 80,000
136 Ny.Suwarni 80,000 55,000 25,000
137 Ny.Yulianti 15,000 55,000
138 Ny.Sumini

139 11/24/2018 Ny.Ayu Nurdiana 80,000 55,000 10,000


140 Ny.Ngatini 80,000
141 Ny.Ika 80,000
142 Ny.Mihna 80,000
143 Ny.Anis 80,000 10,000
144 Ny.Nur Hayati 80,000 10,000
145 Ny.Kusrini 10,000

146 11/25/2018 Ny.Sakiyuk 15,000 25,000

147 11/26/2018 Ny.Sriyati 80,000 10,000


148 Ny.Sakiyuk 15,000
149 By.Jihana
150 Ny.Kustina 80,000
151 Ny.Hayati 80,000
152 Ny.Murtini 80,000 25,000

153 11/27/2018 Ny.Murtini 15,000


154 Ny.Yuky 80,000
155 Ny.Rury 20,000
156 Ny.Yeni 80,000 55,000
157 Ny.Wehidah 20,000
158 Ny.Nina 80,000 55,000
159 Ny.Neza 25,000

160 11/28/2018 Ny.Aning 80,000


161 Ny.Ayu 80,000
162 Ny.Sugiarti 10,000
163 Ny.Jeny 20,000
164 Ny.Sri P
165 Ny.Ambar 80,000

166 11/29/2018 Ny.Marta 80,000


167 Tn.Suwanto
168 Nn.Lujung
169 Ny.Sulastri 15,000 55,000

170 11/30/2018 Ny.Chotimah 80,000


171 Ny.Dian
172 By.Muhammad 80,000
173 Ny.Kukuh 80,000 55,000
174 Ny.Rina 80,000 55,000 25,000
175 Ny.Esti 20,000
176 Ny.Desy 80,000 55,000

9,040,000 315,000 1,650,000 750,000 220,000 400,000

JUMLAH PARAMETER 328

RINCIAN

NOVI
Parameter 248
OnCall Tgl Merah 2 Kali
WAHYU
Masuk 12 Kali
Parameter 80
Cito 80,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

KARYAWAN
Ny.Rizky 85,000
An.Arsy 35,000
Ny.Rizky 40,000
Ny.Desty 40,000

JUMLAH 200,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct CT BT Ureum

40,000

35,000 40,000

35,000 40,000
25,000 40,000

35,000

25,000 40,000

25,000

35,000 40,000

40,000

35,000 40,000

35,000
75,000

35,000
35,000 35,000

35,000 40,000

35,000 35,000
35,000 40,000

35,000 40,000

40,000

35,000

25,000
25,000
25,000
25,000

35,000 40,000

35,000 40,000

35,000

35,000 40,000

35,000 40,000

35,000 35,000

25,000

75,000

35,000
35,000 40,000

35,000 35,000

25,000 35,000
35,000
25,000

35,000 40,000
40,000

35,000 35,000

35,000 40,000

35,000 40,000

75,000

75,000

25,000
75,000
35,000

75,000
75,000

35,000 40,000
35,000 40,000

40,000

275,000 910,000 525000 760,000 175,000 175000 200000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
15,000
15,000
25,000

15,000
80,000
40,000
80,000
235,000
80,000

20,000
80,000
90,000
235,000
40,000 210,000
105,000
105,000

15000
80,000
40,000 210,000
80,000

15,000
35,000 35,000 40,000 215,000
80,000
80,000
105,000
90,000
80,000
90,000
105,000

210,000
15,000
105,000
105,000
40,000 185,000
20,000
80,000
80,000
10,000
210,000

55,000
20,000
20,000

75,000 155,000
130,000
180,000
80,000
170,000
70,000
20,000
100,000
20,000
90,000
20,000
15,000

80,000
90,000
105,000
20,000
135,000
80,000
90,000
210,000

80,000
70,000
235,000
80,000
235,000
90,000

80,000
15,000
90,000
80,000
90,000
40,000 170,000

20,000
80,000
195,000
20,000
105,000

15,000
25,000
25,000
105,000
80,000
10,000
15,000
20,000
105,000
90,000
80,000
15,000
55,000
20,000
80,000
25,000
25,000
80,000
80,000
80,000
105,000
235,000
80,000

20,000
130,000
80,000
80,000
20,000

105,000
90,000
80,000
80,000
105,000
235,000
80,000
210,000
80,000
80,000
105,000
80,000

80,000
80,000
20,000
70,000
80,000
105,000
90,000
80,000

155,000
80,000
80,000
170,000
235,000

70,000
15,000
80,000
220,000
105000
25000

220,000
80,000
80,000
80,000
90,000
90,000
10,000

40,000

40,000 40,000 40,000 250,000


15,000
70,000
80,000
80,000
105,000

15,000
80,000
20,000
210,000
20000
210,000
25000

80,000
75,000 230,000
10000
20000
75000
80,000

80,000
35,000 35,000 95000
75000
105000

155,000
75000
80,000
210,000
235,000
20,000
175,000

200000 40000 40000 70000 70000 40000 150000 16,005,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 12/1/2018 Ny.Sriyati 80,000 10,000
2 Ny.Dini 15,000
3 Ny.Yuli 15,000
4 By.Muhammad
5 Ny.Betty 80,000 25,000
6 Ny.Miranti 20,000
7 Ny.Marifah 80,000 55,000
8 Ny.Niken 80,000
9 Ny.Puji Astuti 80,000 20,000
10 Ny.Marni 80,000 25,000

11 12/3/2018 Ny.Yuni 80,000 55,000


12 Ny.Efa 20,000
13 Ny.Ferdian 10,000
14 Ny.Vina 80,000 55,000
15 Ny.Rukmanda 80,000 10,000

16 12/4/2018 Ny.Diyan 20,000


17 Ny.Sri Lestari 80,000
18 Ny.Sulastri 80,000
19 Ny.Lustiningsih 80,000 10,000
20 Ny.Nanik 55,000
21 Ny.Khofifah 80,000 55,000
22 Ny.Sulistiyani 80,000
23 Ny.Fika Setiana 80,000 20,000

24 12/5/2018 Ny.Eva 15,000


25 Ny.Sulastri 80,000 25,000
26 Ny.Aprilina 10,000
27 Ny.Nurgiyanti 80,000
28 Ny.Intan 80,000

29 12/6/2018 By.Giyarti
30 Ny.Sri Rejeki 80,000 25,000
31 Ny.Tumiyati
32 Ny.Chrisnawati 80,000 55,000

33 12/7/2018 Ny.Santi 80,000


34 Ny.Kustanti
35 Ny.Santi 80,000
36 Ny.Sugiharti 80,000 25,000
37 Ny.Vetiy 20,000
38 Ny.Vivi 80,000 10,000
39 Ny.Aprilia 80,000 10,000
40 Ny.Putri 80,000 55,000 25,000

41 12/8/2018 Ny.Nur Ika


42 Ny.Zulaika 80,000
43 Ny.Rison 80,000
44 Ny.Zenita 80,000 55,000 25,000

45 12/10/2018 Ny.Rini
46 Ny.Suwarsini 20,000
47 Ny.Anjar 80,000 55,000 25,000
48 Ny.Yunita
49 Ny.Robi 80,000 25,000
50 Ny.Supadmi 80,000 10,000
51 By.Riyan
52 Ny.Heri 80,000
53 Ny.Hajar 80,000
54 Ny.Diah 20,000
55 Ny.Elisa

56 12/11/2018 Ny.Sariatun 20,000


57 Ny.Robi 15,000
58 Ny.Puji Lestari 80,000 10,000
59 Ny.Santi Dwi 20,000
60 Ny.Sunarsih 80,000 10,000

61 12/12/2018 Ny.Sudarmi 80,000


62 Ny.Putri 80,000 55,000 25,000
63 Ny.Ana Yuli 80,000 10,000
64 Ny.Marita 80,000 55,000
65 Ny.Tri Mariyani 80,000
66 Ny.Hafshoh 80,000
67 Ny.Ulfah 55,000 25,000
68 Ny.Yeny
69 Tn.Jonet
70 Ny.Hening 80,000

71 12/13/2018 Ny.Siti S 80,000 10,000


72 Ny.Dwi L 15,000
73 By.Mulyani
74 Ny.Candra Dewi 80,000 25,000
75 Ny.Mariyana 10,000
76 Ny.Isti 80,000 55,000 25,000 10,000
77 Ny.Tri W 80,000 10,000

78 12/14/2018 By.Uswatun
79 An.Fayyola 80,000
80 By.Mulyani

81 12/15/2018 Ny.Patma 80,000


82 By.Uswatun
83 Ny.Sri Supadmi 80,000 55,000

84 12/16/2018 Ny.Deni 80,000 10,000

85 12/17/2018 Ny.Atik 80,000


86 Nn.Rita 80,000 20,000
87 Ny.Dhea
88 Ny.Sarinem 80,000 55,000
89 An.Fahd
90 Ny.Lilik 20,000
91 Ny.Suminah 80,000 25,000
92 By.Dwi S 1
93 By.Dwi S 2
94 Ny.Erwin 80,000 10,000
95 Ny.Suminah 15,000

96 12/18/2018 Ny.Warni 80,000 25,000


97 Ny.Erma
98 Ny.Mei Lestari 10,000
99 Ny.Yuli 80,000
### Ny.Lestari 80,000 10,000
### Ny.Darwati 80,000 55,000 25,000
### Ny.Sri L
### Ny.Wulandari 20,000
### Ny.Ima 80,000 55,000 25,000

### 12/19/2018 Ny.Richa 55,000


### Ny.Suparni 10,000
### Ny.Irin 80,000
### Nn.Rita 15,000

### 12/20/2018 Ny.Sunaryati 80,000


### Ny.Rini 80,000
### By.Cantika

### 12/21/2018 By.Sri W 80,000


### By.Ricka 1
### By.Ricka 2
### Ny.Mening
### Ny.Warinti 80,000
### Ny.Sri Suparti 15,000 55,000 25,000

### 12/22/2018 Ny.Prima 80,000 55,000 25,000


### Ny.Nurlela 80,000
### Ny.Sri Suparti 15,000
### Ny.Suginem 80,000 25,000
### Ny.Widiyanti 80,000
### Ny.Desy Wiji 80,000 55,000
### Ny.Elsa 80,000 25,000
### Ny.Prih Hatini 15,000 55,000
### By.Cantika

### 12/23/2018 Ny.Suginem 15,000


### Ny.Jani 15,000 55,000

### 12/24/2018 Ny.Jani 15,000


### By.Sri Wiji
### Ny.Sukiyem 80,000
### Ny.Anik Sulastri 80,000
### Ny.Novitasari 80,000
### Ny.Eny 20,000

### 12/25/2018 By.Sri Wiji


### Ny.Linda 80,000 25,000 20,000

### 12/26/2018 Ny.Anis 80,000


### Ny.Dewi 20,000
### Ny.Sri Mugi 80,000
### Ny.Wiwik 80,000
### Ny.Parmi 20,000
### Ny.Ririn 80,000
### Ny.Pungky

### 12/27/2018 Ny.Nunuk 80,000


### Ny.Rina 80,000
### By.Sri Suparti
### Ny.Nuryani 80,000
### Ny.Sulastri 80,000 10,000
### Ny.Sumini 80,000 55,000 25,000
### Ny.Sukini

### 12/28/2018 Ny.Rini 80,000


### Ny.Eka 80,000
### Ny.Anik 20,000
### Ny.Rima 20,000
### Ny.Ima 80,000 55,000 10,000
### Ny.Sawitri 20,000

### 12/29/2018 Ny.Sunarsih 15,000


### Ny.Eva 80,000
### Ny.Novita 80,000
### Ny.Supariyati 80,000
### Ny.Lasiyani 80,000 10,000
### Ny.Hartati 80,000 10,000
### Nn.Ainaya 80,000 25,000

### 12/31/2018 Ny.Susi 15,000 55,000


### By Erniawati
### Ny.Nur 10,000
### Ny.Budiarti 80,000 20,000
### Ny.Anastiya 80,000 55,000
### Ny.Mulyani
### Ny.Sri Partini 80,000
### Ny.Ayu A 80,000
### Ny.Tumini
### Ny.Desi 80,000

7,920,000 225,000 1,485,000 600,000 250,000 420,000

JUMLAH PARAMETER 316

RINCIAN

NOVI
Parameter 258
OnCall Tgl Merah 3 Kali
WAHYU
Masuk 8 Kali
Parameter 50
Cito 60,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 4
Cito 40,000

SEPTYA
Masuk 1 Kali
Parameter 4

KARYAWAN
Nn.Anggun 47,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct CT BT Ureum

25,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000

75,000
35,000 40,000

75,000

35,000

35,000 40,000

25,000

35,000 40,000

25,000
35,000 40,000
75,000
25,000

35,000 35,000

25,000

35,000 40,000

35,000 40,000
40,000
40,000

25,000

35,000 40,000

25,000

25,000

25,000
40,000

25,000 40,000
75,000
25,000
35,000 35,000

25,000
25,000

25,000 40,000
35,000

35,000 40,000
40,000

35,000 40,000

35,000

35,000 35,000

35,000 35,000
25,000
25,000
75,000

35,000

35,000 40,000

25,000 40,000

35,000 40,000

35,000
35,000 35,000

35,000

25,000

25,000
25,000

35,000 35,000

25,000
75,000

25,000

35,000

35,000 40,000
25,000

35,000
75,000

25,000 75,000
40,000

625,000 840,000 600000 760,000 210,000 210000 200000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
90,000
15,000
15,000
25,000
105,000
20,000
210,000
80,000
100,000
105,000

210,000
20,000
10,000
210,000
90,000

20,000
80,000
80,000
90,000
55,000
210,000
75,000 155,000
100,000

15,000
105,000
10,000
80,000
80,000

25,000
105,000
75,000
210,000

80,000
75,000
80,000
105,000
20,000
40,000 40,000 205,000
90,000
235,000

25,000
80,000
80,000
235,000

25,000
20,000
235,000
75,000
130,000
90,000
70,000
80,000
80,000
20,000
25,000

20,000
15,000
90,000
20,000
90,000

80,000
160,000
90,000
210,000
80,000
80,000
155,000
40,000
40,000
80,000

90,000
15,000
25,000
105,000
10,000
245,000
90,000

25,000
80,000
25,000

80,000
25,000
175,000

90,000

80,000
40,000 40,000 40,000 285,000
75,000
160,000
70,000
20,000
105,000
25,000
25,000
90,000
15,000

40,000 35,000 35,000 280,000


35,000
10,000
80,000
90,000
235,000
40,000 80,000
20,000
235,000

90,000
10,000
80,000
15,000

80,000
80,000
70,000

150,000
25,000
25,000
75,000
80,000
130,000

235,000
80,000
15,000
40,000 210,000
80,000
210,000
105,000
105,000
70,000

15,000
105,000

15,000
25,000
80,000
80,000
80,000
20,000

25000
125,000

80,000
20,000
80,000
80,000
20,000
80,000
25,000

80,000
80,000
70,000
80,000
90,000
185,000
75,000

80,000
105,000
20,000
20,000
180,000
20,000

15000
80,000
80,000
80,000
90,000
90,000
105,000

145,000
25000
10000
100,000
170,000
75,000
80,000
80,000
100,000
40,000 160,000

200000 80,000 80,000 35000 35000 75000 14,850,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/1/2019 Ny.Tri Yulianti 15,000 55,000

2 1/2/2019 Ny.Sulisyowati 15,000 55,000


3 Ny.Tri R 80,000 55,000
4 Ny.Mei Indah 20,000
5 Ny.Nurita 80,000 55,000 10,000
6 Ny.Umi K 80,000 55,000
7 By.Susi 80,000 25,000
8 Ny.Luluk
9 Ny.Amanda 80,000
10 Ny.Ayu Lisya 55,000
11 Ny.Siti H 80,000
12 Ny.Silvana 80,000 55,000
13 Ny.Rini 80,000
14 Ny.Ramita 80,000
15 Ny.Wiwin 20,000
16 Ny.Sriyanti 80,000

17 1/3/2019 An.Arlena 80,000


18 Ny.Linda 20,000
19 Ny.Novita 80,000
20 Ny.Efita 80,000
21 Ny.Satinah 80,000 25,000
22 Ny.Diana 80,000
23 Ny.Dwi
24 Ny.Iis S 80,000 55,000 25,000

25 1/4/2019 Ny.Nur Flayati 80,000 55,000 25,000


26 Ny.Ririn 80,000 25,000
27 Ny.Suliyati 80,000
28 Ny.Isma 80,000 55,000 25,000
29 Ny.Paryanti 20,000
30 Nn.Ainaya 80,000
31 Ny.Sujinem 20,000
32 Ny.Desy 80,000 25,000
33 Ny.Aning 80,000 25,000
34 Ny.Ruliya 80,000 55,000 10,000
35 Ny.Ike 80,000 10,000
36 Ny.Siwi 80,000 55,000
37 Ny.Nining 20,000
38 Ny.Sri Lestari 55,000

39 1/5/2019 Nn.Woro Tri 80,000


40 Ny.Yuni 80,000 55,000
41 Ny.Isna 80,000
42 Ny.Desy 15,000
43 Ny.Tyas 20,000
44 Ny.Suprapti 80,000 55,000
45 Ny.Evika 20,000
46 Ny.Ririn 15,000
47 Ny.Rohmatun 15,000 55,000 25,000
48 1/6/2019 Ny.Rohmatun 15,000
49 Ny.Yamashita 15,000 55,000
50 By.Rohmatun 80,000

51 1/7/2019 Ny.Desy 15,000


52 Ny.Dewi 20,000
53 Ny.Evita 80,000 25,000
54 Ny.Suyatmi
55 Ny.Aris 20,000
56 Ny.Lasmi
57 By.Siti
58 Ny.Ika 80,000 55,000
59 Ny.Nur Fitriyana
60 Ny.Dwi S
61 Ny.Wahyu 80,000 55,000
62 Ny.Dyah 80,000 25,000

63 1/8/2019 By.Desy
64 Ny.Sulastri 80,000 25,000
65 Ny.Hesti 20,000
66 Ny.Hartini 80,000
67 Ny.Wakiyem
68 Ny.Dian 20,000
69 Ny.Rini R 10,000

70 1/9/2019 Ny.Melani 80,000 25,000


71 By.Siti
72 Ny.Maya 80,000 55,000
73 Ny.Umi 80,000
74 Ny.Suparti 80,000

75 1/10/2019 Ny.Siti S 80,000 10,000


76 Ny.Supariyati 15,000
77 Ny.Aulia 80,000 55,000
78 Ny.Uun
79 Ny.Umi Salamah 20,000
80 Ny.Supatmi
81 Ny.Suwarni 80,000 55,000
82 Ny.Utami 20,000

83 1/11/2019 Ny.Suprapti 20,000


84 Ny.Dela 80,000 25,000
85 By.Melani
86 By.Sri Hartati 20,000
87 By.Siti Nur
88 Ny.Rizki
89 Ny.Nurul 20,000
90 Ny.Suharini 80,000
91 Ny.Tukiyani 20,000

92 1/12/2019 By.Heni 80,000


93 Ny.Eni
94 By.Puji 80,000
95 Ny.Atik 80,000 10,000
96 Nn.Della 15,000
97 Ny.Gendis 80,000
98 Ny.Mila 20,000
99 Ny.Sarni 80,000 25,000

100 1/14/2019 By.Atik 80,000


101 Ny.Sunarti
102 Ny.Siti M
103 By.Dwi Sunesti
104 Nn.Evriana 20,000
105 Ny.Sulastri 80,000
106 Ny.Adelia 20,000
107 Ny.Fitri 80,000

108 1/15/2019 Ny.Idah 80,000 10,000


109 Nn.Umi 80,000 20,000
110 Ny.Prapti 20,000
111 Ny.Sukatmi 80,000
112 Ny.Ariyanti 20,000
113 Ny.Naning 20,000

114 1/16/2019 Ny.Siti Mut. 20,000


115 Ny.Mulatsari
116 Ny.Endarti 80,000 20,000
117 Ny.Nuriyana 20,000
118 Ny.Martini 80,000 10,000
119 Ny.Rini 80,000
120 Ny.Indah 80,000 10,000
121 Ny.Tanti 15,000

122 1/17/2019 Ny.Suparmi 15,000


123 Ny.Penita 80,000
124 Ny.Ulfa 80,000 55,000 25,000
125 Ny.Peni 80,000

126 1/18/2019 Ny.Suparmi 15,000


127 Ny.Siti Hidayati 80,000
128 Ny.Parti 20,000
129 Ny.Ajeng 80,000 25,000
130 Ny.Sri I
131 Ny.Indra W 80,000 55,000
132 Nn.Ambar 80,000 25,000
133 Nn.Indah 80,000
134 Ny.Siti Hidayati

135 1/19/2019 Ny.Siti Aisah 80,000 25,000


136 Ny.Umi 15,000
137 Ny.Desiana 80,000 55,000 25,000
138 Ny.Yanti
139 Ny.Suli 80,000 25,000
140 Ny.Ririn 80,000
141 Ny.Ngatminiatun 80,000 25,000
142 Ny.Dewi 20,000
143 Ny.Dwi 15,000
144 Ny.Siti M 20,000

145 1/21/2019 Nn.Wahyu W 80,000 25,000


146 Ny.Samiyem 80,000 25,000
147 Ny.Mita 15,000 55,000
148 Ny.Sulisyorini 80,000
149 Ny.Suharsi 10,000

150 1/22/2019 Ny.Sri Mulyani 80,000 55,000

151 1/23/2019 By.Sutarmi 80,000 25,000

152 1/24/2019 Ny.Fariska 80,000


153 Ny.Dyah 20,000

154 1/25/2019 Ny.Ayu P 80,000


155 Ny.Nurul M 80,000 55,000 10,000

156 1/26/2019 Ny.Umi K 15,000


157 Ny.Dessi Sulis 15,000 10,000
158 Ny.Fitri 10,000
159 Ny.Hafidah 80,000

160 1/28/2019 Ny.Ngadiyem 20,000


161 Ny.Endang 80,000
162 Ny.Winarti 10,000
163 Ny.Efyn 20,000

164 1/29/2019 Ny.Rela 55,000 10,000


165 Ny.Suwarni 15,000 55,000
166 Ny.Reni 80,000 55,000 10,000
167 Ny.Suwarni 80,000 25,000
168 Ny.suwarni A 15,000

169 1/30/2019 Ny.Wiwin 80,000


170 By.Erna
171 Ny.Novita 10,000
172 Ny.Nurul 80,000 55,000
173 Ny.Suwarni 15,000 20,000
174 Ny.Megawati 15,000 25,000
175 Ny.Iit 80,000 10,000
176 Ny.Adinda 80,000 10,000

177 1/31/2019 Ny.Sri Lestari 80,000 55,000 10,000

7,280,000 330,000 1,815,000 675,000 200,000 700,000

JUMLAH PARAMETER 334

RINCIAN

NOVI
Parameter 252
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 13 Kali
Parameter 78
Cito 40,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 4
Cito 20,000

KARYAWAN
Delta 150,000
Teguh 67,500
Jumlah 217,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct CT BT Ureum
35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000
35,000 35,000
75,000

35,000 40,000

25,000

75,000
35,000 40,000

35,000 40,000

25,000 75,000
35,000 40,000

35,000 40,000

35,000

35,000

35,000 40,000
75,000

35,000 40,000

35,000
75,000

35,000 40,000
25,000
35,000 40,000
25,000
75,000
35,000 40,000

25,000

25,000

25,000
35,000 40,000

75,000

75,000

25,000

25,000
75,000

25,000
75,000
25,000
40,000
25,000
75,000
75,000
35,000 35,000
75,000
75,000

35,000 40,000

75,000
25,000

75,000
35,000 40,000

75,000

75,000
35,000 40,000

35,000 40,000

25,000

35,000 40,000

75,000 35,000 35,000

35,000 40,000
40,000
35,000 40,000

35,000 35,000

35,000 40,000

35,000 40,000

350,000 945,000 1,425,000 1,000,000 140,000 140000 40000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
145,000

70,000
210,000
20,000
220,000
210,000
175,000
75,000
80,000
55,000
80,000
210,000
80,000
80,000
20,000
80,000

80,000
20,000
80,000
105,000
105,000
80,000
75,000
235,000

235,000
105,000
40,000 40,000 35,000 35,000 330,000
235,000
20,000
80,000
20,000
105,000
105,000
220,000
90,000
170,000
20,000
90,000

80,000
210,000
75,000 230,000
15,000
20,000
210,000
20,000
15,000
130,000
15,000
70,000
80,000

15,000
20,000
105,000
75,000
20,000
75,000
25,000
210,000
25,000
75,000
210,000
105,000

25,000
105,000
20,000
80,000
25,000
20,000
10,000

105,000
25,000
210,000
80,000
80,000

90,000
15,000
135,000
75,000
20,000
75,000
135,000
20,000

20,000
105,000
25,000
20,000
25,000
75,000
20,000
80,000
20,000

105,000
75,000
105,000
40,000 40,000 40,000 250,000
15,000
80,000
20,000
105,000

105,000
75,000
75,000
70,000
95,000
155,000
20,000
80,000

90,000
100,000
20,000
80,000
20,000
20,000

20,000
75,000
100,000
20,000
90,000
80,000
90,000
15,000

15,000
155,000
185,000
80,000

15,000
80,000
20,000
105,000
75,000
210,000
105,000
80,000
75,000 150,000

105,000
15,000
160,000
75,000
105,000
80,000
105,000
20,000
15,000
20,000

105,000
105,000
145,000
80,000
10,000

210,000

130,000

80,000
20,000

80,000
220,000

15,000
25,000
10,000
40,000 40,000 305,000

20,000
80,000
10,000
20,000

140,000
110000
220,000
105,000
15,000

75,000 155,000
70,000
10,000
210,000
35,000
40,000
90,000
90,000

220,000

40000 120000 120000 35000 35000 225000 15,615,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 2/1/2019 Ny.Rina Murti 80,000
2 Ny.Suparni 80,000 25,000 20,000
3 Ny.Adinda 80,000

4 2/2/2019 Ny.Suparni 15,000


5 Ny.Lisyorini 80,000
6 Ny.Retno 10,000
7 Ny.Anik Nur 80,000 25,000
8 Ny.Ryan 80,000 55,000
9 Ny.Yeni 80,000
10 Ny.Rusmiati
11 Ny.Riska 80,000
12 Ny.Febria 80,000
13 Ny.Rini W 80,000 55,000
14 Ny.Anik W 10,000

15 2/3/2019 Ny.Anik 15,000

16 2/4/2019 By.Adinda 80,000


17 Ny.Tini Anggra 80,000 10,000
18 Ny.Ayu Puspita 80,000
19 Ny.Ririn 80,000
20 Ny.Sati 80,000
21 Ny.Ismiyati 80,000
22 Ny.Jainah 80,000
23 Ny.Sriyani 80,000 25,000
24 Ny.Adinda 15,000
25 Ny.Hardyah 80,000
26 Ny.Indri 80,000 55,000 10,000
27 Ny.Mita 80,000
28 Ny.Ningrum 15,000
29 Ny.Anik Dwi 80,000 10,000
30 Ny.Umami 80,000 25,000
31 Ny.Melinda 80,000 55,000
32 Ny.Triyani 15,000 55,000

33 2/6/2019 Ny.Fitriana 10,000


34 Ny.Laras 20,000
35 Ny.Adinda 20,000
36 Ny.Sri Utami 80,000
37 Ny.Sri S 80,000 25,000
38 Ny.Uswatun 80,000

39 2/6/2019 Ny.Dian 80,000 10,000


40 Nn.Dita 80,000
41 Ny.Riyanti 80,000
42 Ny.Sadiyem 80,000 25,000

43 2/7/2019 Ny.Pipit 80,000


44 Ny.Fina 80,000 55,000 25,000
45 Ny.Dwi Daryanti 80,000 55,000 25,000
46 Ny.Rina 80,000 55,000
47 Ny.Sadiyem 55,000
48 Ny.Daryanti 10,000
49 Ny.Sri Harjanti 80,000
50 Ny.Watik
51 Ny.Jumari 80,000 10,000
52 Ny.Reni Dwi 80,000 10,000
53 Ny.Fajar 20,000
54 Ny.Suwarni 80,000 25,000

55 2/8/2019 Ny.Faura 10,000


56 Ny.Lastri 80,000
57 Ny.Beta 80,000 55,000
58 Ny.Sadiyem 15,000
59 Ny.Istia 80,000 25,000
60 Ny.Rina 80,000

61 2/9/2019 Ny.Suci 80,000 10,000


62 Ny.Ari 80,000 25,000
63 Ny.Ambar 80,000 10,000
64 Ny.Fitri 80,000
65 Nn.Oktavia 80,000 25,000
66 Ny.Riris 80,000 10,000
67 Ny.Suparti 10,000
68 Ny.Istiqomah 80,000
69 Ny.Jumiah 80,000 10,000
70 Ny.Nur Istianif 80,000
71 Ny.Jumiah

72 2/11/2019 Nn.Diva
73 Ny.Eni 80,000 25,000
74 Ny.Hawin 80,000 25,000
75 Ny.Ririn 80,000
76 Ny.Pasiyem 80,000 25,000
77 Ny.Juni 80,000 10,000
78 Ny.Saraswati 80,000
79 Ny.Suwarni 20,000
80 Ny.Tri Puji 80,000 25,000
81 Ny.Ningrum 15,000
82 Ny.Parwalyani 80,000 55,000

83 2/12/2019 Ny.Suwarti 80,000 25,000


84 Ny.Suwarti 15,000
85 Ny.Tri Puji 15,000
86 Ny.Hidayatul 80,000
87 Ny.Palwalyani 15,000
88 Ny.Ginem 80,000 10,000
89 Ny.Menik 80,000

90 2/13/2019 Ny.Nurita 80,000


91 Ny.Daryanti 80,000
92 By.Avi
93 Ny.Sri Wahyuni 80,000 55,000
94 Ny.Sularsi
95 2/14/2019 Ny.Sri Hantini
96 Ny.Nur Indah 80,000 25,000
97 Ny.Nurhayati 80,000
98 Ny.Supiyani 80,000 25,000 20,000
99 Ny.Dian 80,000 10,000
100 Ny.Surati 80,000 10,000
101 Ny.Supiyani 80,000
102 Ny.Evita 80,000
103 Ny.Hanifah 80,000
104 Ny.Supiyani 15,000

105 2/15/2019 Ny.Retno 10,000


106 Ny.Guni 80,000 55,000
107 Ny.Liza 20,000
108 Ny.Nur Indah 80,000
109 Ny.Wardani 80,000
110 Ny.Marinda 15,000
111 Ny.Murtini 80,000 55,000
112 Ny.Supiyani 15,000 ,

113 2/16/2019 Ny.Maristi 80,000


114 Ny.Parmi 80,000 25,000
115 Ny.Habibah 80,000 55,000
116 Ny.Anita 80,000 55,000
117 Ny.Arsiti 20,000
118 Ny.Tutik Khoma 80,000 10,000
119 Ny.Tutik Ambar 10,000
120 Ny.Sulastri 80,000 10,000
121 Ny.Pesi
122 Ny.Ninik 20,000
123 Ny.Eny 80,000

124 2/18/2019 Ny.Uun 80,000


125 Ny.Puji 80,000
126 Ny.Fransiska 20,000
127 Ny.Setowati 80,000 25,000
128 Ny.Estia 80,000 55,000 10,000
129 Ny.Nanik 20,000
130 Ny.Kasi 80,000 25,000
131 Ny.Umi
132 Ny.Rahmita 80,000 55,000
133 Ny.Wartini 20,000
134 Ny.Kustanti 80,000

135 2/19/2019 Ny.Niken 80,000


136 Ny.Yuni 80,000
137 Ny.Rima 80,000 55,000 10,000
138 Ny.Novita 80,000 10,000
140 Ny.Sugiyem 10,000
141 Ny.Desi 80,000 55,000
142 Ny.Neni 20,000

143 2/20/2019 Ny.Fina 10,000


144 Ny.Sharda 80,000
145 Ny.Lisyo 80,000
146 Ny.Kasi
147 Ny.Indah 80,000 10,000
148 Ny.Tri Narsih 80,000 55,000

149 2/21/2019 Ny.Dian 10,000


150 Ny.Dian Agus 80,000 10,000
151 Ny.Marina 80,000 55,000
152 Ny.Jarwanti 80,000 55,000
153 Ny.Evin 80,000

154 2/22/2019 Ny.Novita 80,000 10,000


155 Ny.Ririn 80,000
156 Ny.Musdalifah 20,000
157 Ny.Puji 20,000
158 Ny.Ayu 55,000
159 Ny.Shada 80,000

160 2/23/2019 Ny.Krisyani 80,000


161 Ny.Ririn
162 Ny.Aji
163 Ny.Endang
164 Ny.Ina 20,000
165 Ny.Tutik 80,000
166 Ny.Arum 80,000 25,000
167 Ny.Amirul 80,000 55,000 25,000
168 Ny.Efita 80,000
169 Ny.Novi 80,000 55,000

170 2/24/2019 Ny.Arum 15,000

171 2/25/2019 Ny.Guni 15,000 25,000


172 Ny.Pungki 80,000 25,000
173 Ny.Karina 20,000
174 Ny.Winarni 80,000
175 Ny.Ryan 80,000
176 Ny.Juana 80,000 10,000
177 An.Dhea 80,000
178 Ny.Murni 80,000
179 Ny.Guni 15,000
180 Ny.Siti Nur 80,000
181 Ny.Iin Kartini 15,000 55,000 25,000
182 Ny.Iin Kartini 15,000

183 2/26/2019 Ny.iin 15,000


184 Ny.Verra 80,000 55,000
185 Ny.Purwanti 80,000
186 Ny.Mahardika 20,000
187 Ny.Nur Farida 80,000

188 2/27/2019 Ny.Fitriyani 15,000


189 Ny.Vivi 80,000 55,000
190 Ny.Umri 80,000
191 Ny.Heni 20,000
192 Ny.Isnani 80,000 55,000
193 Ny.Wahyuni 80,000
194 Ny.Lia 80,000
195 Ny.Suyatmi 80,000 55,000
196 Ny.Atiqotul 80,000 55,000

197 2/28/2019 Ny.Syntia 15,000


198 Ny.Mimik 80,000 25,000
199 Ny.Neti 80,000
200 Ny.Evi 80,000
201 Ny.Nuryamah 80,000 55,000
202 Ny.Nur Hidayah
203 Ny.Juni 80,000 10,000
204 Ny.Rosita 80,000 10,000
205 Ny.Aiby 80,000 55,000
206 Ny.Fitriyati 80,000
207 Ny.Tri Diana 80,000

11,280,000 315,000 1,870,000 700,000 360,000 380,000

JUMLAH PARAMETER 394

RINCIAN

NOVI
Parameter 336
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 10 Kali
Parameter 57
Cito 0
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 1
Cito 20,000

KARYAWAN
Reni 40,000
Rafha 40,000
Jumlah 80,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct CT BT Ureum

35,000 40,000
35,000 40,000
75,000

35,000 40,000

25,000

40,000

40,000
25,000

35,000 40,000

25,000
35,000 40,000
35,000 40,000

25,000

75,000
35,000 40,000
35,000 40,000
35,000 40,000
35,000

75,000

35,000 40,000

25,000

25,000

40,000

40,000

75,000

25,000

25,000

35,000 40,000

35,000 35,000
25,000 35,000
75,000
75,000

40,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000

75,000

25,000
35,000 40,000

25,000
35,000 40,000

35,000 40,000

35,000 40,000
75,000

35,000 40,000

40,000
25,000 40,000
35,000 40,000

25,000

35,000 40,000

25,000
75,000
40,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000
35,000 40,000

25,000
25,000

35,000 40,000

450,000 1,085,000 675000 1,360,000 35,000 35000 120000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
80,000
125,000
80,000

15,000
80,000
10,000
105,000
210,000
155,000
75,000
80,000
80,000
210,000
10,000

15,000

105,000
90,000
80,000
120,000
80,000
120,000
35,000 140,000
105,000
15,000
80,000
220,000
80,000
15,000
90,000
130,000
210,000
145,000

10,000
20,000
20,000
80,000
105,000
80,000

90,000
80,000
80,000
130,000

155,000
235,000
235,000
210,000
90,000
10,000
80,000
75,000
90,000
90,000
20,000
105,000

10,000
80,000
210,000
15,000
130,000
75,000 155,000

90,000
105,000
90,000
105,000
105,000
130,000
10,000
80,000
90,000
75,000 155,000
40,000 40,000 120,000

75,000
105,000
105,000
105,000
105,000
90,000
80,000
20,000
130,000
15,000
210,000

105,000
15,000
15,000
80,000
15,000
90,000
80,000

80,000
80,000
70,000
195,000
75,000
75,000
75,000 180,000
80,000
125,000
90,000
90,000
80,000
80,000
120,000
15,000

10,000
210,000
20,000
80,000
80,000
15,000
210,000
15,000

80,000
105,000
210,000
210,000
20,000
90,000
35,000
90,000
75,000
20,000
80,000

80,000
80,000
20,000
130,000
220,000
20,000
105,000
25,000
210,000
20,000
80,000

80,000
75,000 155,000
220,000
90,000
10,000
210,000
20,000

10,000
80,000
80,000
75,000
90,000
210,000

10,000
40,000 40,000 40,000 250,000
40,000 35,000 40,000 315,000
210,000
80,000

90,000
35,000 35,000 175,000
20,000
20,000
130,000
80,000

75,000 155,000
25,000
75,000
40,000
20000
80,000
105,000
235,000
80,000
210,000

15000

40,000
105,000
20,000
80,000
80,000
90,000
80,000
75,000 155,000
15,000
80,000
95,000
15,000

15,000
210,000
80,000
20000
75,000 155,000

15000
210,000
80,000
20000
210,000
80,000
80,000
160,000
210,000

15,000
105,000
80,000
80,000
160,000
25000
90,000
90,000
210,000
80,000
80,000

80000 80000 80000 70000 70000 40000 525000 19,610,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 3/1/2019 Ny.Retno Untari 80,000 10,000
2 Ny.Candra 80,000 10,000
3 Ny.Eni 20,000
4 Ny.Dewi 80,000
5 Ny.Endang 15,000 55,000
6 Ny.Suwarni 20,000
7 Ny.Wahyu Anisa 80,000 55,000 25,000

8 3/2/2019 Ny.Gati 80,000


9 Ny.Bara Mei 80,000 55,000
10 Ny.Tutik 80,000
11 Ny.Asri Pamung 80,000 55,000
12 Ny.Tina
13 Ny.Lis 20,000
14 Ny.Diana
15 Ny.Siti Nur 80,000 55,000

16 3/3/2019 By.Ririn

17 3/4/2019 Ny.Ana 80,000 10,000


18 By.Ana
19 By.Ririn
20 Ny.Nurul 80,000 10,000
21 Ny.Tuti
22 Ny.Syntia 15,000
23 Ny.Anik 15,000
24 Ny.Ririn
25 Ny.Nita 80,000 10,000
26 Ny.Gina 80,000 10,000
27 Ny.Tri Lestari 15,000
28 Ny.Mici 80,000
29 Ny.Nonis 80,000
30 Ny.Anggi 80,000
31 By.Ana
32 Ny.Wiwik 20,000
33 Ny.Karni 20,000
34 Ny.Supi 80,000
35 Ny.Kusmiati 80,000
36 By.Umri

37 3/5/2019 By.Umri
38 By.Endang
39 Ny.Dwi Waryanti 20,000
40 Ny.Dwi Maryati 55,000
41 Ny.Sri Ambar 20,000
42 Ny.Yulia 80,000 55,000
43 Ny.Ana Hanita 20,000
44 Ny.Lilik 80,000 55,000
45 Nn.Yayuk 80,000 55,000
46 Ny.Aulia 80,000 25,000
47 By.Dwi Maryati

48 6/3/2019 By.Dwi Maryati


49 Ny.Heni Setya 80,000
50 Ny.Evi 80,000
51 Ny.Ayu 80,000
52 By.Elis
53 Ny.Sri Supatmi 80,000
54 Ny.Dewi 20,000
55 Ny.Fatimah 80,000 55,000
56 Ny.Nurul 20,000
57 Ny.Dita 80,000 55,000

58 7/3/2019 By.Sri Utami 80,000


59 By.Nur Wakidah

60 8/3/2019 Ny.Retno 80,000 10,000


61 Ny.Siti Suryanti 80,000 10,000
62 Ny.Arum 80,000
63 Ny.Suwarni 80,000
64 Ny.Nur 80,000
65 Ny.Retno

66 9/3/2019 Ny.Sumiyati 20,000


67 By.Nur Wahidah
68 Ny.Charolina 80,000 55,000

69 10/3/2019 Ny.Warti 80,000


70 By.Eka
71 Ny.Solichatun 15,000 55,000

72 11/3/2019 By.Shakira
73 Ny.Wariyem 80,000 55,000
74 Ny.Sri Wahyuni 55,000
75 Ny.Rahayu 20,000
76 Ny.Dwi Mulyani 20,000
77 Ny. Yuliana K 80,000 55,000 25,000

78 12/3/2019 An.Kenzi 80,000


79 Ny.Anni 20,000
80 Ny.Sri Mugi 80,000 55,000 25,000
81 Ny.Retno P 80,000
82 Ny.Maya M 15,000 25,000
83 Ny.Anik P 15,000 55,000
84 By.Suyatmi 80,000
85 Ny.Kasi 15,000 25,000
86 Ny.Warsi 80,000 55,000
87 Ny.Yuliana 80,000
88 13/03/2019 Ny.Nanik Suryani 80,000 55,000 10,000
89 By.Shakira
90 Ny.Vera Tania 80,000
91 Ny.Wasmi 20,000
92 Ny.Dela E 80,000 55,000

93 14/03/2019 Ny.Rinjawati 80,000 55,000


94 Ny.Retno F 10,000
95 By.Endah 80,000
96 Ny.Dian P 20,000
97 Ny.Wiwik K 80,000 55,000 10,000
98 Ny.Hastho 80,000 55,000
99 Ny.Desi Natalia
100 Ny.Purwanti 25,000
101 Ny.Purwanti 80,000

102 15/03/2019 Ny.Suwarti


103 Ny.Suminah 80,000
104 An.Alghaisan
105 Ny.Beti Sekarsari 80,000
106 Ny.Indah W 10,000
107 Ny.Ayu Novy 80,000
108 Ny.Winarni 55,000

109 16/03/2019 Ny,Kasiani 15,000 55,000


110 Ny.Dewi M 80,000
111 Ny.Tri Ismidiati 80,000 10,000

112 17/03/2019 By.Sri Lestari 80,000

113 18/03/2019 Ny.Bena Dina 80,000 55,000


114 Ny.Sri Sutarni 80,000 25,000
115 Ny.Mici H 80,000
116 Ny.Bikqi O 80,000 55,000
117 Ny.Maini 80,000
118 Ny.Pipin A 80,000
119 Ny.Feli F 80,000

120 19/03/2019 An.Arfan 80,000


121 By.Ny.Indah
122 Ny.Nita Yuliana 10,000
123 Ny.Sri Sutarni 15,000
124 Ny.Santi 80,000 55,000
125 Ny.Waginem 80,000 10,000
126 Ny.Rini Widiati 80,000 10,000
127 Ny.Pariyatun 80,000 25,000
128 By.Ny.Indah
129 By.Ny.Rini W
130 Ny.Muryaningsih 80,000
131 Ny.Purnami 80,000 20,000

132 20/03/2019 By.Ny.Rini W


133 Ny.Nur Larli 15,000
134 Ny.Fitri F 20,000
135 By.Ny.Linna H
136 By.Ny.Linna H
137 By.Ny.Hartatik
138 Ny.Eka Sugi 20,000
139 Ny.Sukarni 80,000 55,000
140 Ny.Sri Mulyani 80,000 55,000

141 21/03/2019 By.Haris


142 Ny. Paryatun 15,000
143 Ny. Nika 20,000
144 Ny.Tari 80,000
145 Ny.Ulfa 20,000

146 22/03/2019 By.Ny.Rucky


147 Ny.Anik Sugiyarti 20,000
148 Ny.Sudarsi 80,000 25,000
149 Ny.Wulansari 80,000 55,000
150 Ny.Nur Fitria 80,000
151 Ny.Sulasih 80,000 10,000

152 23/03/2019 By.Ny.Wahyu


153 Ny.Mariani 15,000 55,000
154 An.Rahardian 80,000
155 Ny.Tari 80,000
156 By.Ny.Alin
157 Ny.Sri Sulastri 80,000 25,000
158 Ny.Sumartini 10,000
159 By.Ny.Wahyu
160 Ny.Wiwit Diah 80,000 55,000 10,000

161 24/03/2019 By.Erna


162 Ny.Miarsih 15,000
163 Ny.Sri Sulastri 15,000
164 By.Erna
165 By.Rokhayatun

166 25/03/2019 An.Rahardian 80,000


167 By.Rokhayatun
168 Ny.Sri Sulastri 15,000
169 Ny.Sri Sutarni 15,000
170 By.Wahyu
171 Ny.Pani 80,000 25,000
172 Ny.Casmini 10,000
173 Ny.Mutiya 80,000 55,000
174 Ny.Restu 10,000
175 Ny.Erna 80,000

176 26/03/2019 Ny.Fety 20,000


177 Ny.Sulastri 80,000
178 Ny.Precilia 20,000
179 Ny.Munafiah 80,000
180 Ny.Sri Lestari 80,000
181 Ny.Nurul 20,000
182 Ny.Inas 80,000

183 27/03/2019 Ny.Alviyana 80,000


184 Ny.Marini 80,000 25,000

185 28/03/2019 An.Hafizh Ahmad 80,000


186 Ny.Wiwin Nuriyati 80,000 55,000

187 29/03/2019 By.Puji Lestari


188 By.Wahyu
189 Ny.Kamines

190 30/03/2019 By.Yuli


191 Ny.Inanda 15,000 55,000
192 By.Yuli
193 Ny.Juwar 15,000 10,000

194 31/03/2019 By.Sumartini


195 By.Puji Lestari

7,600,000 285,000 2,035,000 325,000 220,000 500,000

JUMLAH PARAMETER 347

RINCIAN

NOVI
Parameter 142
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 14 Kali
Parameter 95
Cito 0
On Call Tgl Merah 0

HESI
Masuk 13 Kali
Parameter 100
Cito 140,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 10
Cito 160,000

KARYAWAN
Ida 40,000
Kamilin 77,500
Desti 30,000
Sumarsih 67,500
Jumlah 215,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct+Indir CT BT Ureum

35,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000

75,000
35,000 40,000

25,000

25,000
25,000

75,000

25,000

25,000

25,000

25,000
35,000 35,000

40,000

35,000 40,000

35,000 40,000
25,000

25,000

40,000

35,000 35,000

35,000 40,000

35,000 40,000

25,000

25,000

75,000

35,000 70,000
35,000 40,000

25,000
35,000

35,000
25,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000
40,000
35,000 40,000
35,000 35,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000
10,000

25,000

35,000 35,000

35,000 40,000

35,000
35,000

35,000 40,000

35,000 40,000

25,000

35,000 40,000

25,000
25,000
25,000

25,000
25,000
25,000

35,000
25,000 35,000

35,000 35,000

25,000

25,000

25,000
35,000 40,000

25,000
35,000

35,000 35,000
25,000

25,000
35,000 40,000

25,000

25,000
25,000

25,000

35,000 35,000

35,000 40,000
35,000 40,000

35,000 35,000
35,000 35,000
25,000

25,000
35,000 40,000
25,000

35,000 70,000
35,000 35,000

950,000 1,120,000 235000 1,120,000 455,000 490000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
90,000
90,000
20,000
80,000
105,000
20,000
235,000

80,000
210,000
40,000 40,000 160,000
210,000
25,000
20,000
75,000
210,000

25,000

90,000
25,000
25,000
90,000
75,000
15,000
15,000
25,000
90,000
90,000
15,000
80,000
80,000
80,000
25,000
20,000
20,000
80,000
105,000

25,000
70,000
20,000
95,000
20,000
210,000
20,000
210,000
135,000
35,000 140,000
25,000

25,000
80,000
120,000
80,000
70,000
80,000
20,000
210,000
20,000
210,000

80,000
25,000

90,000
90,000
80,000
105,000
80,000
75,000

20,000
105,000
210,000

80,000
25,000
105,000

35,000
160,000
55,000
20,000
20,000
235,000

80,000
20,000
235,000
80,000
40,000
145,000
80,000
40,000
160,000
120,000
220,000
70,000
80,000
20,000
210,000

210,000
10,000
80,000
20,000
145,000
210,000
25,000
35,000
80,000

25,000
80,000
70,000
75,000 155,000
10,000
80,000
130,000

105,000
115,000
90,000

80,000

210,000
105,000
80,000
210,000
80,000
80,000
75,000 155,000

80,000
25,000
10,000
15,000
210,000
90,000
90,000
105,000
25,000
25,000
80,000
75,000 175,000

25,000
15,000
20,000
25,000
25,000
25,000
20,000
170,000
195,000

70,000
15,000
20,000
105,000
20,000

25,000
20,000
75,000 205,000
210,000
80,000
90,000

25,000
105,000
80,000
80,000
70,000
130,000
10,000
25,000
220,000

25,000
15,000
15000
25,000
25,000

80,000
25,000
15,000
15,000
70,000
105,000
10,000
210,000
10,000
80,000

20,000
80,000
20,000
80,000
80,000
20,000
80,000

80,000
105,000

80,000
210,000

70,000
70000
25,000

25,000
145,000
25,000
25000

105,000
70,000

40000 40000 35000 300000 15,750,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/4/2019 Ny.Ella 20,000
2 Nn.Rika 80,000 25,000
3 Ny.Wiji Rahayu 15,000 55,000

4 2/4/2019 By.Wiji
5 Ny.Nurul 80,000 10,000
6 Ny.Sri Winarsih 80,000 55,000
7 Ny.Mita 10,000
8 By.Minten
9 By.Wiji
10 Ny.Rita 20,000
11 Ny.Ayu Widi 80,000
12 Ny.Suci Handayani 80,000 55,000
13 Ny.Eka W 80,000

14 3/4/2019 By.Tri Handayani

15 4/4/2019 Ny.Tri Wahyuni 15,000 25,000


16 Ny.Tri Wahyuni 80,000
17 Ny.Fitri Lestari 80,000
18 Ny.Alby 80,000
19 By.Ny.Tri H
20 Ny.Suliyem
21 Ny.Luki 80,000 20,000

22 05/04/219 Ny.Ika Restiana


23 Ny.Siti Jariah 80,000 10,000

24 6/4/2019 Ny.Wakinah 80,000


25 Ny.Ani Eka 80,000
26 Ny.Endang 20,000
27 Ny.Vina Muttiah 80,000
28 Ny.Iin Lestari 20,000
29 Ny.Anggraini 80,000 55,000 25,000

30 8/4/2019 Ny.Indri Anis 80,000 10,000


31 Ny.Suwartini
32 Ny.Emilia 80,000
33 Ny.Hafidah 80,000
34 Ny.Niken 80,000 55,000
35 Ny.Sulisyowati 80,000 55,000
36 Ny.Nurifath 80,000 55,000 25,000

37 9/4/2019 Ny.Ayu M 80,000 55,000


38 By.Lela
39 By.Rokhayatun
40 By.Lela
41 Ny.Nurzaini 80,000 10,000
42 Ny.Suryani 80,000 55,000 25,000
43 Ny.Dewi 15,000 55,000
44 10/4/2019 By.Dewi
45 Ny.Nita 80,000 10,000
46 By.Nurifath 80,000
47 Ny.Erna S 80,000
48 By.Dewi
49 Ny.Sri Utami 20,000

50 11/4/2019 Ny.Nurifath 15,000


51 By.Wahyu
52 Ny.Wardani 10,000
53 Ny.Zulfa 80,000 55,000
54 Ny.Uswatun 20,000
55 Ny.Tika Indah 80,000
56 Ny.Nur Prima 80,000

57 12/4/2019 Ny.Hartini 80,000 25,000


58 Ny.Endang 10,000
59 Ny.Fitri 80,000 55,000 25,000
60 Ny.Nurul 10,000
61 Ny.Putri 80,000
62 Ny.Mulyani 80,000
63 Ny.Lia Desita 80,000 55,000
64 Ny.Nanik 80,000
65 Ny.Supriyanti
66 Ny.Luluk 80,000 10,000

67 13/04/2019 Ny.Menik 15,000


68 Ny.Tri Miarsih 80,000 55,000
69 Ny.Fitri 80,000
70 Ny.Maryati 20,000

71 15/04/2019 Ny.Uswatun 15,000 25,000


72 Ny.Indriyani 80,000 55,000 25,000
73 Ny.Rina 80,000
74 Ny.Kamsatun 80,000 55,000
75 Ny.Uswatun 15,000
76 Ny.Vinanti 20,000
77 Ny.Erta 20,000

78 16/04/2019 Ny.Dewi Kurniawati 80,000 10,000


79 Ny.Upik 80,000
80 Ny.Rika 80,000 55,000 25,000
81 Ny.Kurniawati
82 Ny.Sutini 80,000 25,000
83 Ny.Sri S 15,000 55,000
84 By.Sri S

85 17/04/2019 Ny.Sri Lestari 15,000


86 By.Sri S
87 By.Nita
88 Ny.Puji Hastuti 80,000 25,000 20,000
89 By.Nita 25,000
90 18/04/2019 Ny.Susanti 15,000 25,000
91 Ny.Yulaikah
92 Ny.Ninik 20,000
93 Ny.Ana B 80,000 20,000
94 Ny.Vicky 20,000
95 Ny.Tri H
96 Ny.Rahmawati 20,000
97 Ny.Siti 80,000
98 Ny.Luluk 80,000 10,000
99 Ny.Siusanti 15,000
100 Ny.Ningrum 15,000

101 19/04/2019 Ny.Noviana 55,000

102 20/04/2019 Ny.Lutfi 80,000


103 Ny.Siti Sholehah 80,000 55,000
104 Ny.Dwi Lestari 80,000 55,000
105 Ny.Ati 80,000 55,000 25,000
106 By.Luluk
107 Ny.Triyana 80,000

108 21/04/2019 By.Luluk

109 22/04/2019 By.Endah


110 By.Nurifath 25,000
111 Nn.Ika 80,000 20,000
112 By.Endah
113 Ny.Ayu 80,000
114 Ny.Rafika 80,000 55,000
115 Ny.Ana Berlina 15,000
116 Ny.Riska 80,000 55,000
117 Ny.Fitri 80,000
118 Ny.Luky 80,000

119 23/04/2019 Ny.Alby 15,000


120 Ny.Fitriana 80,000 55,000
121 Ny.Ngadinem 80,000 55,000 25,000

122 24/04/2019 Ny.Ajeng 80,000 55,000


123 Ny.Isnani 80,000 25,000
124 Ny.Ana hanifa 20,000
125 Ny.Danik 80,000
126 Ny.Sri Lestari 80,000 10,000

127 25/04/2019 Ny.Tika 80,000


128 Ny.Isnani 15,000
129 Ny.Sartini 80,000 55,000 25,000
130 Ny.Painah 20,000
131 Ny.Eka Sri 20,000
132 Ny.Anita 20,000
133 Ny.Windi 80,000 10,000
134 Ny.Riski 80,000
135 Ny.Sri Mulyani 80,000 10,000
136 By.Dwi W 80,000

137 26/04/2019 By.Dwi W


138 Ny.Dwi L 15,000 55,000
139 Ny.Wardani 10,000
140 Ny.Ayu 15,000
141 Ny.Sri Mastutik 80,000 55,000 25,000
142 Ny.Murina
143 Ny.Suli 55,000
144 Ny.Siti Parniatun 80,000
145 Ny.Dwi Setyowati 80,000 55,000
146 Ny.Wahyu 20,000
147 Ny.Windi 55,000

148 27/04/2019 Ny.Nurul 80,000


149 Ny.Suyani 15,000 55,000
150 Ny.Ratna 80,000
151 Ny.Risquna 20,000
152 Ny.Budi 80,000

153 28/04/2019 By.Dwi 80,000


154 Ny.Riski 80,000 25,000

155 29/04/2019 Ny.Damiyati 80,000 55,000 25,000


156 Ny.Siti Rahayu 80,000
157 Ny.Agustin 80,000 25,000
158 Ny.Karina 20,000
159 Ny.Herlia 20,000
160 Ny.Ika 80,000
161 By.Ayu 80,000
162 Tn.Eko 55,000

163 30/04/2019 Ny.Sri Astuti 80,000 25,000


164 Ny.Ayu Marantika 15,000
165 Ny.Sumarti 80,000
166 Ny.Vety 80,000
167 Ny.Andriyani 80,000 25,000
168 Ny.Leni 80,000
169 Ny.Desy 20,000

7,280,000 285,000 1,980,000 625,000 160,000 500,000

JUMLAH PARAMETER 323

RINCIAN

NOVI
Parameter 287
OnCall Tgl Merah 2 Kali
WAHYU
Masuk 4 Kali
Parameter 31
Cito 40,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 5
Cito 40,000

KARYAWAN
Sainem 35,000
Rayyan 77,500
Zahra 40,000
Tari 45,000
Jumlah 197,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct+Indire CT BT Ureum

35,000

25,000

35,000 40,000

25,000
25,000

35,000 40,000

25,000

25,000 20,000 20,000

25,000
75,000

25,000

35,000 40,000

75,000

35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000
25,000
35,000 35,000
25,000

35,000 40,000
35,000 40,000
25,000

25,000

35,000 35,000

35,000 40,000

25,000
35,000 40,000

35,000 40,000

75,000

35,000 40,000

35,000 40,000

25,000 35,000

35,000 40,000
75,000

35,000 40,000
25,000

25,000
25,000
75,000

25,000

35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000
25,000

25,000

25,000
35,000 70,000

25,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000
25,000

25,000

35,000 40,000
25,000

75,000
35,000 40,000

35,000 40,000

75,000

35,000 35,000

25,000

35,000 40,000

625,000 1,120,000 525000 1,200,000 140,000 175,000 20000 20000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
20,000
105,000
105,000

25,000
90,000
210,000
10,000
25,000
25,000
20,000
80,000
210,000
80,000

25,000

40,000
145,000
75,000 155,000
80,000
25,000
75,000
100,000

25,000
90,000

80,000
80,000
20,000
80,000
20,000
235,000

90,000
75,000
80,000
80,000
210,000
210,000
235,000

210,000
25,000
70,000
25,000
90,000
235,000
145,000
25,000
90,000
80,000
80,000
25,000
20,000

15,000
70,000
10,000
210,000
20,000
105,000
155,000

105,000
10,000
235,000
10,000
75,000 155,000
80,000
135,000
80,000
75,000
90,000

15,000
210,000
80,000
20,000

40,000
235,000
80,000
195,000
15,000
20,000
20,000

90,000
80,000
235,000
75,000
105,000
145,000
25,000

15,000
25,000
25,000
125,000
25,000
40,000
75,000
20,000
100,000
20,000
25,000
20,000
80,000
90,000
15,000
15,000

130,000

80,000
210,000
210,000
235,000
25,000
80,000

25,000

25,000
130,000
100,000
25,000
80,000
210,000
15,000
210,000
75,000 155,000
80,000

15,000
210,000
235,000

210,000
105,000
20,000
80,000
90,000

80,000
15,000
235,000
20,000
20,000
20,000
90,000
75,000 155,000
90,000
105,000

25,000
70,000
10,000
15,000
235,000
25,000
55,000
155,000
210,000
20,000
130,000

80,000
70,000
80,000
20,000
155,000

150,000
105,000

185,000
80,000
105,000
20,000
20,000
80,000
80,000
130,000

105,000
15,000
80,000
80,000
105,000
80,000
20,000

300000 14,955,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/5/2019 Ny. Tri Martini 15,000 55,000
2 NyLuki Sari 15,000
3 By.Ny.Luki Sari 80,000

4 2/5/2019 Ny.Iis Sugiarti 80,000


5 Ny.Luki Sari 15,000
6 By. Wardani
7 Ny.Restu Widiastuti 80,000 55,000 25,000
8 Ny.Sri Lestari 80,000 55,000
9 Ny.Waisa Dewi 15,000 55,000
10 By. Wardani
11 Nn.Rizka 80,000
12 Ny.Ayu 80,000 55,000 25,000
13 Ny.Munafiah 80,000
14 By.Anggraini 80,000

15 3/5/2019 By.Sri Wahyuni 80,000


16 Ny.Banon 15,000 55,000 25,000
17 Ny.Lisa 20,000
18 Ny.Alfi 80,000 55,000 10,000
19 By.Mufidatun
20 Ny.Risna 80,000 10,000
21 By.Sri Wahyuni
22 Ny.Lestari 80,000 55,000
23 Ny.Eni 80,000

24 4/5/2019 Ny.Darsini 80,000


25 Ny.Anastasia 80,000
26 Ny.Putri Linggar 80,000
27 Ny.Intan Ayu 80,000 55,000
28 Ny.Sigit 80,000
29 Ny.Desy 80,000

30 6/5/2019 An.Abda 80,000


31 Ny.Andriyana 80,000
32 By.Sugiarti
33 Ny.Sumarmi 80,000 55,000
34 Ny.Nurhayati 80,000
35 Ny.Puji 80,000 55,000

36 7/5/2019 Ny.Lilik 80,000 55,000


37 Ny.Esti 80,000 55,000
38 Ny.Anis

39 8/5/2019 Ny.Paniyem 80,000 25,000


40 Ny.Sulasmi 80,000 25,000
41 By.Kenzie 80,000
42 Ny.Yuni 80,000 25,000
43 Tn.Tri 25,000
44 Ny.Sri Sutarni 80,000
45 Ny.Diah Sugih 80,000 55,000 25,000 10,000
46 Ny.Suprapti 80,000

47 9/5/2019 Ny.Esti
48 By.Yuni 80,000
49 Ny.Marjiyanti 80,000 20,000
50 Ny.Yuni 15,000
51 Ny.Sri Wahyuni 80,000 10,000

52 10/5/2019 Ny.Sri Lestari 20,000


53 Ny.Dyah 15,000
54 Ny.Sakinah 80,000 55,000 20,000

55 11/5/2019 Ny.Rindi 80,000


56 Ny.Nurul 80,000
57 Ny.Lina 80,000
58 Ny.Wulandari 80,000
59 Ny.Laela 80,000 55,000

60 12/5/2019 Ny.Waginem 15,000 55,000

61 13/05/2019 By.Mia
62 Ny.Marsiti 20,000
63 Ny.Siti 80,000 55,000
64 Ny.Sindu 80,000
65 Ny/.Ari Tri 20,000
66 Ny.Reni 15,000 55,000
67 Ny.Falsafah 80,000
68 Ny.Anis

69 14/05/2019 Ny.Yuli Dwi 80,000 10,000


70 Ny.Dewi K 10,000
71 Ny.Siti Fatimah 20,000
72 Ny.Aris 80,000 55,000 25,000
73 Ny.Pani 80,000 25,000
74 Ny.Sri Sumani 80,000 10,000
75 Nn.Alfyan 80,000 25,000

76 15/05/2019 Ny.Redha 80,000 10,000


77 Ny.Nurita 80,000
78 Ny.Bella 80,000 10,000
79 Ny.Pani 15,000

80 16/05/2019 Ny.Warti 80,000


81 Ny.Pani 15,000
82 Ny.Rafika 80,000
83 By.Fitri

84 17/05/2019 Ny.Susianingsih 55,000


85 By.Fitri
86 Ny.Suminah 80,000
87 Ny.Suminah 55,000
88 Ny.Alfiati 10,000
89 Ny.Yeni 20,000
90 Ny.Wiwin 80,000
91 Ny.Darwanti 80,000 25,000
92 Ny.Mifta 15,000

93 18/05/2019 Ny.Suminah 15,000


94 Ny.Mila 15,000
95 By.Aris
96 By.Sri Andayani
97 Ny.Siti S 15,000
98 By.Aris
99 By.Sri Andayani

### 19/05/2019 By.Darsini


### Ny.Erika 15,000 55,000 25,000
### By.Erika
### By.Erika
### By.Darsini

### 20/05/2019 Ny.Erika 15,000


### Ny.Nur Halimah 20,000
### Ny.Dina Wulandari 80,000 55,000
### Ny.Candra 55,000
### Ny.Watik 80,000 25,000
### Ny.Musfiroh 80,000 55,000
### By.Candra
### Ny.Evin 55,000
### Ny.Meliya 80,000
### Ny.Rini 80,000 10,000
### Ny.Milkhatul 80,000
### Ny.Sumini 20,000

### 21/05/2019 By.Tri Y


### By.Tri Y
### Ny.Ana 10,000
### Ny.Parniati 80,000

### 22/05/2019 Ny.Sumiyati


### Ny.Sri Wahyuni 80,000 25,000
### Ny.Wiji 80,000 25,000
### Ny.Narsi 15,000
### Ny.Winnarti 80,000 10,000

### 23/05/2019 Ny.Yahmi 80,000 55,000 25,000


### Ny.Yeni 80,000 25,000
### By.Bela
### By.Dewi
### By.Fitri
### Ny.Anisa 55,000

### 24/05/2019 By.Dyah 80,000


### By.Tri Yuniati
### By.Tri Yuniati 80,000 25,000
### Ny.Siti Lestari 15,000 25,000
### Ny.Nurma 80,000 55,000
### Ny.Adira 80,000 20,000
### By.Setyo

### 25/05/2019 By.Setyo


### Ny.Amirul 80,000
### Ny.Tartini 80,000 25,000
### Ny.Diyan
### Ny.Siti Lestari 15,000
### Ny.Sri Puji 80,000
### Ny.Ardina 80,000 55,000
### Ny.Erna 80,000 55,000 10,000
### Ny.Kandis 80,000

JUMLAH 6,400,000 300,000 1,760,000 525,000 140,000 220,000

Dirinci dari tgl 01 sampai tanggal 25

JUMLAH PARAMETER Tgl 01 - 25 277


RINCIAN
NOVI
Parameter 237
OnCall Tgl Merah 3 Kali

WAHYU
Masuk 5 Kali
Parameter 40
Cito 0
On Call Tgl Merah 0 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

### 26/05/2019 By.Dewi

### 27/05/2019 Ny.Darsini 20,000


### By.Triyuni 80,000
### Ny.Eni
### Nn.Intan 80,000 25,000
### By.Marsidah
### Ny.Darwanti 80,000 20,000
### Ny.Rizki 80,000 55,000
### Ny.Darwanti 20,000
### Ny.Sukarti 80,000

### 28/05/2019 Ny.Murgiyanti


### Ny.Sri Mulyani 80,000 20,000

### 29/05/2019 Ny.Titik 80,000


### Ny.Yeti 80,000 55,000
### Ny.Hariyanti 20,000
### Nn.Dian 80,000

### 30/05/2019 By.Wiwit


### Ny.Sri Mugi 80,000
### By.Wiwit
### Ny.Verenita 80,000

### 31/05/2019 Ny.Sri Mugi 15,000


### Ny.Ayu P
### Ny.Eka Nur 80,000
### Ny.Yuliana 80,000 55,000
### Ny.Ning Rahayu 80,000 55,000
### Ny.Wanti 20,000
### Ny.Ajeng Ratna 80,000 55,000 25,000

JUMLAH 1,200,000 15,000 275,000 50,000 120,000

Dirinci dari tgl 26 sampai tanggal 31

JUMLAH PARAMETER Tgl 26 - 31 46


RINCIAN
NOVI
Parameter 35
OnCall Tgl Merah 1 Kali

WAHYU
Masuk 1 Kali
Parameter 11
Cito 20,000
On Call Tgl Merah 1 Kali

JUMLAH BULAN MEI


15,175,000

KARYAWAN
An.Athar 40,000
Ny.Handayani 75,000
Jumlah 115,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct+Indir CT BT Ureum
35,000 40,000

25,000
35,000 40,000
35,000 40,000
35,000 40,000
25,000

35,000 40,000

25,000

35,000 40,000
35,000 35,000

25,000
35,000 40,000

35,000 40,000

25,000
35,000 40,000

25,000 35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000
40,000

75,000

35,000 40,000

35,000

25,000

35,000 40,000
35,000 40,000

75,000

35,000 40,000

25,000

35,000
25,000

25,000
40,000

25,000
25,000

25,000
25,000

25,000
35,000
25,000
25,000
25,000

35,000 40,000
35,000 40,000

35,000 40,000
25,000
35,000 40,000

25,000
25,000

75,000

20,000 20,000

25,000

35,000 70,000
35,000 70,000
35,000 70,000

35,000 70,000
35,000 40,000

25,000

25,000

25,000
75,000

35,000 40,000

625,000 945,000 300000 1,040,000 175,000 315,000 20000 20000

35,000 70,000

75,000

25,000

35,000 40,000

25,000
25,000

25,000

75,000

35,000 40,000
35,000 40,000

35,000 40,000

100,000 140,000 150,000 160,000 35,000 70,000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
145,000
15,000
80,000

80,000
15,000
25,000
235,000
210,000
145,000
25,000
80,000
235,000
80,000
80,000

105,000
95,000
20,000
220,000
70,000
90,000
25,000
210,000
80,000

80,000
80,000
80,000
210,000
80,000
80,000

75,000 155,000
80,000
25,000
210,000
80,000
235,000

210,000
210,000
75,000

105,000
105,000
80,000
105,000
25,000
80,000
245,000
80,000

40,000
80,000
175,000
15,000
90,000

20,000
15,000
155,000

80,000
80,000
80,000
80,000
210,000

105,000

25,000
20,000
210,000
155,000
20,000
70,000
80,000
75,000

90,000
10,000
20,000
235,000
105,000
90,000
105,000

90,000
80,000
90,000
15,000

80,000
15,000
80,000
25,000

90,000
25,000
80,000
80,000
10,000
20,000
120,000
105,000
15,000

15,000
15,000
25,000
25,000
15,000
25,000
25,000

25,000
130,000
25,000
25,000
25,000

15,000
20,000
210,000
130,000
105,000
210,000
25,000
130,000
80,000
90,000
80,000
20,000

25,000
25,000
10,000
80,000

75,000
105,000
105,000
55,000
90,000

185,000
105,000
105,000
105,000
105,000
55,000

80,000
105,000
105,000
40,000
210,000
100,000
25,000

25,000
80,000
130,000
75,000
15,000
80,000
210,000
145,000
80,000

75000 12,860,000

105,000

20,000
80,000
75,000
105,000
25,000
100,000
210,000
20,000
80,000

25,000
100,000

80,000
135,000
20,000
80,000

25,000
80,000
25,000
80,000

15,000
75,000
80,000
210,000
210,000
20,000
235,000

2,315,000
No Tanggal Nama DR HB HbsAg
1 1/6/2019 Ny.Yuli Kadarsih 80,000
2 By.Suprapti
3 By.Endang
4 By.Endang

5 2/6/2019 Ny.Tri Rahayu 15,000 55,000


6 By.Tri Rahayu
7 By.Mira
8 By.Tri Rahayu
9 By.Mira
10 Ny.Eni Nur 55,000

11 3/6/2019 Ny.Tri Wahyuni 80,000


12 Ny.Dewi P 80,000
13 Ny.Haryatik 80,000
14 Ny.Apri
15 Ny.Verenita 15,000
16 Ny.Umi Wiji 80,000 55,000
17 Ny.Yuyun 80,000 55,000
18 Ny.Tika 55,000
19 Ny.Uswatun 80,000

20 4/6/2019 Ny.Nur Fitriana 80,000 55,000


21 By.Ekawati
22 By.Isnaini
23 Ny.Sulis 80,000
24 Ny.Lia
25 By.Ekawati
26 By.Isnaini

27 6/6/2019 Ny.Lastri 80,000


28 By.Lastri
29 By.Upik
30 By.Upik
31 By.Arista
32 By.Lastri 80,000

33 8/6/2019 Ny.Lilik 80,000


34 Ny.Lastri 15,000
35 Ny.Partini 80,000
36 Ny.Amanda 80,000 55,000
37 Ny.Vifa 80,000
38 Ny.Desi Lanjar 80,000
39 Ny.Siti
40 Ny.Nurjanah 80,000

41 10/6/2019 By.Dina
42 By.Isnaini 80,000
43 By.Lestari
44 Ny.Candra 80,000
45 Ny.Nurjanah 15,000
46 Ny.Ana 80,000
47 Ny.Sri P 80,000
48 By.Dina
49 By.Lela
50 Ny.Atiqatul 80,000 55,000
51 Ny.Atiqatul
52 Ny.Retno
53 Ny.Rayem 80,000
54 Ny.Puput

55 11/6/2019 Ny.Atul 15,000


56 Ny.Jiyem 80,000
57 Ny.Bondan 80,000 55,000
58 Ny.Martini 15,000
59 Ny.Sri P 15,000
60 Ny.Atiqotul 15,000
61 Ny.Yunia 80,000 55,000
62 Nn.Dhiva 80,000
63 Ny.Nita 80,000
64 Ny.Intan 80,000
65 By.Mariyani
66 Ny.Andika 80,000
67 Ny.Jiyem 15,000
68 Ny.Martini 15,000

69 12/6/2019 By.Mariyani
70 Ny.Jiyem 15,000
71 Ny.Puji Hastuti 80,000
72 Ny.Susi Susanti
73 Ny.Indarti 80,000 55,000
74 Ny.Esa
75 Ny.Ngatini 80,000

76 13/06/2019 Ny.Suharti 15,000


77 Ny.Uswatun 80,000 55,000
78 Ny.Jumiyem 80,000
79 Ny.Siti Ulfah 80,000
80 Ny.Dwi Astuti 80,000
81 Ny.Riry 80,000 55,000
82 Ny.Lis Setyo 80,000 55,000

83 14/06/2019 Ny.Fitri 80,000 55,000


84 Ny.Mawadah
85 Ny.Suginem
86 Ny.Tri Ningsih
87 Ny.Sri Hartini 80,000
88 Ny.Siti Barokah 55,000
89 Nn.Ananda 80,000
90 Ny.Larasati 80,000
91 By.Siti Barokah

92 15/06/2019 Ny.Sri Hartini 15,000


93 Ny.Andriana 80,000
94 By.Siti Barokah
95 By.Mariyani 80,000
96 Ny.Retno 80,000 55,000
97 Nn.Maryanti 80,000
98 Ny.Umi 15,000 55,000

99 16/06/2019 Ny.Umi 15,000


100 Ny.Ajeng 15,000
101 By.Maryani 80,000

102 17/06/2019 Ny.Sulisyowati 15,000


103 By.Ajeng
104 Ny.Jasmi 80,000 55,000
105 By.Sulisyowati 80,000
106 By.Maryani 80,000
107 Ny.Alfi 80,000
108 Ny.Ridha 80,000
109 Ny.Ayu Lestari
110 Ny.Sulisyowati 15,000
111 Ny.Rini Kusuma 80,000 55,000
112 By.Ajeng

113 18/06/2019 Ny.Endang


114 Ny.Alfi 15,000
115 Ny.Amirul
116 Nn.Nabila 80,000
117 Ny.Rihana 80,000
118 Ny.Sumiyati 80,000 55,000
119 Ny.Rifka 80,000
120 Bny.Sri Rejeki 80,000 55,000

121 19/06/2019 By.Tarsi


122 By.Sriyanti
123 By.Tarsi
124 By.Sriyanti
125 Ny.Galuh 80,000
126 Ny.Erlina 80,000 55,000
127 Ny.Neti

128 20/06/2019 Ny.Idah 80,000


129 Ny.Anin 80,000 55,000
130 Ny.Muslimah 80,000
131 Nn.Ecio 80,000
132 Ny.Sri Hartati 80,000

133 21/06/2019 Ny.Haris


134 By.Tama
135 Ny.Thema 15,000

136 22/06/2019 Ny.Dara Ayu


137 Ny.Siti Marsitoh 80,000
138 Ny.Umi Abidah 80,000
139 Ny.Thema 15,000
140 Ny.Wulan 80,000 55,000
141 Ny.Partini 80,000
142 Ny.Kamsini 15,000 55,000
143 By.Kamsini 80,000
144 Ny.Sri Suparni
145 Ny.Sutarmi 80,000

146 23/06/2019 By.Kamsini

147 24/06/2019 By.Sulisyowati


148 Ny.Siti Marsitoh 80,000
149 Ny.Candra 80,000
150 Ny.Serliana 80,000
151 Ny.Darni 80,000
152 Ny.Putri 80,000 55,000

153 25/06/2019 Ny.Dian


154 Ny.Siti Marsitoh 15,000
155 Ny.Surani 15,000 55,000
156 Ny.Nurjanah 80,000
157 Ny.Atik
158 Ny.Putri 80,000
159 Ny.Desi Lanjar 80,000
160 Ny.Larasati
161 Ny.Tri Iswati 80,000 55,000
162 Ny.Endri
163 Ny.Ida 80,000
164 Ny.Ramadhani
165 Ny.Berin
166 Ny.Hamidah 80,000
167 Ny.Dyah 80,000 55,000

168 26/06/2019 Ny.Fahmi 80,000 55,000


169 Ny.Candra 55,000
170 Ny.Musiha 80,000 55,000
171 Tn.Eko
172 Ny.Isna 80,000
173 By.Puput

174 27/06/2019 By.Puput


175 Ny.Andriyani 80,000 55,000
176 Ny.Wahyuningsih
177 Ny.Darsi 80,000 55,000
178 Ny.Purwanti 80,000
179 Ny.Rima 80,000
180 Ny.Indarti 80,000
181 Ny.Sukini 80,000

182 28/06/2019 Ny.Sri Surahmi 80,000


183 By.Kamsini
184 Ny.Ona Ayu 80,000 55,000
185 Ny.Jari 80,000
186 Ny.Nita
187 Ny.Chistina 80,000
188 Ny.Mirawati 15,000

189 29/06/2019 Ny.Riyanti 80,000


190 Ny.Poniyem
191 Ny.Thema 15,000
192 By.Triyana

193 30/06/2019 By.Triyana

JUMLAH 7,840,000 390,000 1,980,000

JUMLAH PARAMETER BLN JUNI 391

Dirinci dari tgl 26 sampai tanggal 31 MEI 2019


JUMLAH PARAMETER Tgl 25 - 31 MEI 46
NOVI
Parameter 35
OnCall Tgl Merah 1 + 2 (kmrn blm dhitung) = 3 Kali

WAHYU
Masuk 1 Kali
Parameter 11
Cito 20,000
On Call Tgl Merah 1 Kali

Dirinci dari tgl 01 sampai tanggal 30 JUNI 2019


NOVI
Parameter 287
OnCall Tgl Merah 3

WAHYU
Masuk 5 Kali
Parameter 28
Cito 40,000
On Call Tgl Merah 0

TOTAL KESELURUHAN 26 MEI - 30 JUNI 2019

JUMLAH PARAMETER 26 MEI - 31 JUNI 2019 46 + 391 = 437


RINCIAN

NOVI
Parameter 35 + 287 = 322
OnCall Tgl Merah 3 +3 = 6 Kali

WAHYU
Masuk 1 + 5 = 6 Kali
Parameter 11 + 28 = 39
Cito 20,000 + 40,000 = 60,000
On Call Tgl Merah 1 Kali

HESI
Masuk 5 Kali
Parameter 59
Cito 60,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 3 Kali
Parameter 17
Cito 180,000
PEMERIKSAAN
Golda Rh Prot.Urine PP.Test Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct+Indir
25,000
35,000 70,000
25,000
25,000

35,000 40,000
25,000
25,000
25,000
25,000
10,000 35,000 40,000

10,000
25,000
20,000

35,000 40,000
35,000 40,000
10,000 35,000 40,000

35,000 40,000
25,000
25,000
10,000
20,000
25,000
25,000

25,000
25,000
25,000
25,000
25,000
25,000

25,000
35,000 40,000

10,000
20,000
25,000 10,000

25,000
35,000 70,000
35,000 70,000
10,000
10,000
25,000
25,000
25,000
10,000 35,000 40,000
25,000
20,000
25,000
20,000

25,000 25,000
35,000 40,000
25,000

35,000 40,000
25,000
10,000
10,000
25,000
10,000

25,000

10,000
20,000
25,000 35,000 40,000
20,000
10,000

35,000 40,000
25,000 25,000

10,000 35,000 40,000


25,000 35,000 40,000

25,000 35,000
20,000
20,000
10,000
25,000
35,000

25,000
25,000
25,000 35,000 70,000
35,000 40,000

35,000

25,000

25,000
25,000
25,000 25,000 35,000

25,000
25,000

20,000

25,000 35,000 40,000


25,000

20,000

10,000
25,000
10,000
25,000 35,000 40,000

25,000 35,000

25,000
25,000
25,000
25,000
10,000
10,000 35,000 40,000
20,000

10,000
25,000 35,000 40,000

25,000
10,000

35,000 70,000

20,000

10,000
10,000 35,000 40,000
25,000 20,000
35,000 40,000
25,000
10,000
25,000

25,000

35,000 70,000

10,000
25,000 25,000
25,000 35,000 40,000

40,000

10,000
20,000

10,000
10,000 25,000
35,000 40,000
75,000
25,000
20,000
20,000

25,000 35,000 40,000

25,000 35,000 40,000


25,000
35,000 40,000
25,000

25,000

25,000
25,000 35,000 40,000
20,000
25,000 35,000 40,000
25,000 25,000
25,000
25,000
10,000

25,000
35,000 70,000
25,000 35,000 40,000
25,000
10,000
25,000
75,000
25,000
25,000

25,000

1,050,000 310,000 360,000 1,125,000 1,190,000 150000 1,200,000 245,000 490000


CT BT Ureum Creatinin OT PT Cholestero AU TG WIDAL
40,000 40,000 40,000 40,000
75,000

40,000 40,000
75,000

80,000 80,000 40,000 40,000 150000


JUMLAH
265,000
105,000
25,000
25,000

145,000
25,000
25,000
25,000
25,000
140,000

80,000
90,000
105,000
20,000
15,000
210,000
210,000
140,000
80,000

210,000
25,000
25,000
90,000
20,000
25,000
25,000

105,000
25,000
25,000
25,000
25,000
105,000

80,000
15,000
105,000
210,000
80,000
90,000
20,000
115,000

25,000
185,000
105,000
90,000
15,000
90,000
105,000
25,000
25,000
220,000
25,000
20,000
105,000
20,000

15,000
130,000
210,000
40,000
15,000
15,000
210,000
105,000
90,000
90,000
25,000
90,000
15,000
15,000

25,000
15,000
90,000
20,000
235,000
20,000
90,000

15,000
210,000
130,000
80,000
80,000
220,000
235,000

195,000
20,000
20,000
10,000
105,000
90,000
80,000
80,000
25,000

15,000
80,000
25,000
210,000
210,000
80,000
105,000

40,000
15,000
80,000

40,000
25,000
220,000
80,000
105,000
105,000
80,000
20,000
15,000
235,000
25,000

20,000
15,000
10,000
105,000
90,000
235,000
80,000
270,000

25,000
25,000
25,000
25,000
90,000
220,000
20,000

90,000
235,000
80,000
105,000
90,000

80,000
105,000
15,000

20,000
80,000
90,000
15,000
220,000
125,000
145,000
105,000
10,000
105,000

25,000

105,000
80,000
80,000
90,000
130,000
235,000

40,000
15,000
70,000
90,000
20,000
80,000
90,000
35,000
210,000
75,000
105,000
20,000
20,000
80,000
235,000

235,000
80,000
210,000
25,000
80,000
25,000

25,000
235,000
20,000
235,000
130,000
105,000
105,000
90,000

105,000
105,000
235,000
105,000
10,000
155,000
15,000

105,000
75,000
40,000
25000

25,000

16,720,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/7/2019 Ny.Siti Komariah 80,000 25,000
2 Ny.Rosmiati 80,000 55,000
3 Ny.Dwi Lestari 80,000
4 Nn.Afifah 80,000
5 By.Siti Komariah
6 Ny.Anis Mitha 80,000
7 Ny.Anis Afianto 80,000 55,000 10,000
8 Ny.Eva 80,000 25,000
9 By.Siti Komariah 80,000 25,000
10 Ny.Rahma 80,000

11 2/7/2019 Ny.Eka Dewi 20,000


12 Ny.Siti Komariah 15,000
13 Ny.Putri 15,000
14 Ny.Siti Fatimah 80,000 10,000
15 Ny.Alvinda 80,000 55,000
16 Ny.Fitria DP 80,000 55,000
17 Ny.Fitri 80,000 55,000 25,000
18 Ny.Pariyem 80,000 55,000
19 Ny.Paryatun 80,000
20 Ny.Anik 80,000 55,000

21 3/7/2019 Ny.Endang 80,000


22 Ny.Isnani 80,000 55,000
23 Ny.Isti Ambar 80,000 55,000 25,000
24 Ny.Yuni 80,000
25 Ny.Anjar 80,000 25,000
26 Ny.Putri 15,000

27 4/7/2019 Ny.Endang S 80,000 25,000


28 Ny.Desi Liana 80,000 55,000
29 Ny.Dewi
30 Ny.Dwi Astuti 80,000
31 Ny.Lita 20,000
32 Ny.Tina 80,000 55,000 10,000
33 Ny.Hanifa 80,000 55,000 25,000 10,000
34 Ny.Dwi Nuryani 80,000 55,000
35 Ny.Novara 80,000 10,000

36 5/7/2019 Ny.Farida 20,000


37 By.Siti Komariah 80,000
38 An.Fatih 80,000
39 Ny.Rahmawati 80,000 55,000 25,000
40 Ny.Suwanti 80,000
41 Ny.Septa 80,000 55,000

42 6/7/2019 Ny.Siti Susanti


43 Ny.Uswatun 80,000
44 Ny.Sulis 55,000 25,000
45 Ny.Riska 80,000
46 Ny.Sri Mulyani 80,000 55,000 25,000
47 By.Nurani
48 By.Nurani
49 Ny.Oktavia 80,000 10,000

50 7/7/2019 By.Siti Komariah

51 8/7/2019 By.Novaria
52 Ny.Deni 80,000 10,000
53 By.Tutik 80,000
54 Ny.Junita 80,000 55,000 25,000
55 Ny.Eko Budi 80,000 55,000
56 By.Novaria
57 Ny.Nabila 80,000 55,000
58 Ny.Suntari 80,000 25,000
59 Ny.Asri 20,000

60 9/7/2019 Ny.Fita 20,000


61 Ny.Linta 20,000
62 Ny.Larasati
63 Ny.Khpirul 80,000 10,000
64 By.Sulis

65 10/7/2019 Ny.Sri Mulyani 80,000


66 Ny.Rubiah 20,000
67 Ny.Sutiyem 80,000 20,000
68 Ny.Khusnul 20,000
69 Ny.Margareta 80,000 55,000
70 Ny.Dewi M 80,000 55,000
71 Ny.Sri Mugi 15,000
72 By.Sri Mugi 80,000

73 11/7/2019 By.Sulis
74 Ny.Ari Puji 80,000
75 Ny.Dewi M 25,000
76 Ny.Binti 80,000 55,000
77 Ny.Aprilia
78 Ny.Nabila 15,000
79 Ny.Itiy 80,000
80 Ny.Galuh 25,000
81 Ny.Nining 20,000
82 Ny.Dewi M 15,000
83 Ny.Sri Riyadi 80,000 25,000

84 12/7/2019 By.Sri Surahmi


85 By.Eka Tri
86 By.Yuni
87 By.Sri Utami
88 By.Maryam 80,000
89 Ny.Maryam 15,000
90 Ny.Pipit 80,000 25,000
91 Ny.Tri H
92 Ny.Titik 80,000 20,000
93 Ny.Niki 80,000 10,000
94 Ny.Musiha 80,000 10,000

95 13/07/2019 By.Musiha 1
96 By.Musiha 2
97 Ny.Pipit 15,000
98 Ny.Dwi Wahyu 80,000 55,000
99 Ny.Maryam 15,000
100 Ny.Sumiarsi 20,000
101 By.Musiah 1
102 By.Musiah 2
103 Ny.Sukini 80,000 25,000 20,000
104 Ny.Sumini
105 Ny.Romadanik 80,000 55,000 25,000
106 Ny.Ayu Puspita 80,000 55,000 10,000
107 Ny.Triyani 80,000

108 14/07/2019 Ny.Mariam 15,000

109 15/07/2019 By.Nurjannah


110 Ny.Sumiyatun 80,000 55,000 25,000
111 Ny.Suti 15,000 55,000
112 Ny.Ratih 80,000 10,000
113 Ny.Dwi L 20,000
114 Ny.Silvia 20,000
115 Ny.Inas 80,000 55,000
116 Ny.Dwi A 80,000
117 Ny.Suparti 20,000

118 16/07/2019 Ny.Sumarni 80,000 55,000 25,000


119 Ny.Muji Lestari 80,000 55,000 25,000
120 Ny.Umi 20,000

121 17/07/2019 Ny.Yuli Yulianti 80,000 55,000 25,000


122 Ny.Anggar 80,000 10,000
123 By.Sri Mugi
124 Ny.Hartatik 10,000
125 Ny.Yayuk 20,000
126 Ny.Siti Mahmu 10,000
127 Ny.Murti 80,000 25,000
128 Ny.Sri W 20,000

129 18/07/2019 Ny.Reni 15,000


130 Ny.Nike 20,000
131 Ny.Sulastri 80,000 25,000
132 Ny.Eni 20,000
133 Ny.Muryani 20,000
134 Ny.Jumani 80,000 55,000
135 By.Siti 25,000
136 Ny.Siti 15,000
137 Ny.Indah 80,000
138 Ny.Sujiati 80,000
139 Ny.Sarwiji 80,000 10,000
140 Ny.Siti F 20,000
141 19/07/2019 By.Siti Ngaisah
142 Ny.Suprapti 80,000 10,000
143 Ny.Dian Indah 80,000 55,000
144 Ny.Ayu 80,000
145 Ny.Suwarni 80,000 25,000

146 20/07/2019 Ny.Eny Yuliati 80,000 25,000


147 Ny.Any Susianti 80,000 55,000
148 Ny.Pinta 20,000
149 Ny.Yuni 20,000
150 Ny.Sri L 80,000 25,000

151 21/07/2019 Ny.Sulastri 80,000 55,000 10,000


152 Ny.Siti Maesaroh 80,000

153 22/07/2019 Ny.Siti Maryanti 20,000


154 Ny.Ina 80,000 25,000
155 Ny.Kandis 80,000
156 Ny.Helena
157 Ny.Junita
158 Ny.Ina Rahma 15,000

159 23/07/2019 Ny.Suwarni 15,000


160 Ny.Nur Hidayati 80,000 25,000
161 Ny.Diana 80,000 10,000
162 Ny.Ida 20,000
163 Ny.Sri Sulastri 80,000
164 Ny.Murniah 80,000 25,000
165 By.Murniati 80,000 25,000

166 24/07/2019 Ny.Ari Hapsari 80,000


167 Ny.Murniati 15,000
168 By.Murniati
169 Ny.Sri Lestari 80,000 25,000
170 Ny.Enok 80,000 55,000
171 Ny.Nurul 20,000

172 25/07/2019 Ny.Eko Budi 80,000 10,000


173 Ny.Mila 15,000 55,000
174 Ny.Alifia 80,000 25,000
175 By.Eko Budi
176 By.Eko Budi
177 Ny.Rika 80,000 25,000

178 26/07/2019 Ny.Trias 80,000 55,000


179 Ny.Tri Winarti 80,000 55,000 25,000
180 Ny.Sri Setyowati 20,000
181 Ny.Vivi 80,000
182 Ny.Dewi 80,000 25,000
183 Ny.Aulia 80,000 25,000
184 Ny.Aulia Wahyu
185 27/07/2019 Ny.Yunda 80,000 55,000
186 Ny.Yulis 80,000 10,000
187 Ny.Anna 80,000 25,000 20,000
188 Ny.Novita 20,000
189 Ny.Aulia 15,000
190 Ny.Intan 80,000
191 Ny.Yunda 15,000

192 29/07/2019 Ny.Anik 80,000 25,000


193 By.Yunda
194 Ny.Suyatmi 80,000 55,000 25,000
195 Ny.Hapy
196 Ny.Siti Aminah 80,000 25,000 10,000
197 Ny.Lilis 80,000 10,000
198 Ny.Mulyani 80,000 10,000
199 Ny.Ramti 80,000 10,000
200 Ny.Gading Mega 20,000

201 30/07/2019 Ny.Sulastri 80,000 25,000


202 Ny.Wahyu 80,000 55,000 25,000
203 Ny.Aprilia 80,000 55,000
204 Ny.Nurjiati 80,000 25,000
205 Ny.Amik 80,000 25,000

206 31/07/2019 Ny.Umi 80,000


207 Ny.Lis Maria 80,000 55,000
208 Ny.Sri Mulyani 80,000 55,000 25,000
209 Ny.Lasmi 80,000 55,000
210 By.Ratna
211 By.Ratno
212 By.Tri 80,000

Jumlah 9,920,000 285,000 2,585,000 1,200,000 250,000 640,000

JUMLAH PARAMETER 454

RINCIAN

NOVI
Parameter 358
OnCall Tgl Merah 1 Kali

WAHYU
Masuk 5 Kali
Parameter 41
Cito 100,000
On Call Tgl Merah 1

HESI
Masuk 5 Kali
Parameter 52
Cito 0
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 3
Cito 20,000

KARYAWAN
Ny.Handayani 55,000
Ny.Handayani 55,000
Jumlah 110,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti VDRL Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000

25,000

35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000
25,000 40,000 40,000

35,000 40,000

35,000 40,000
25,000 35,000

35,000 40,000
25,000

35,000 40,000
35,000 40,000
35,000 40,000

35,000 70,000

35,000 40,000

35,000 40,000

75,000

35,000 40,000

35,000 40,000
25,000
25,000

35,000 70,000

25,000

35,000 40,000
35,000 40,000
25,000
35,000 40,000
25,000 40,000 40,000

25,000

25,000

35,000 40,000
35,000 40,000

25,000

25,000 35,000
75,000

35,000 70,000
35,000 70,000
35,000 70,000
35,000 70,000

75,000
25,000
25,000

35,000 40,000

25,000
25,000

75,000
35,000 40,000
35,000 40,000

35,000 70,000
35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000

35,000 70,000

40,000

35,000 40,000
25,000

35,000 40,000

35,000 40,000

25,000 35,000 40,000

25,000

75,000
25,000

25,000

25,000
25,000
35,000 40,000

35,000

25,000
25,000

35,000 40,000
35,000 40,000
25,000 75,000

40,000 40,000
35,000 40,000

35,000 70,000

35,000 75,000 40,000


75,000

35,000 40,000
35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000
25,000
25,000

750,000 1,540,000 600000 1,680,000 315,000 630000 120,000 120,000


OT PT Cholestero AU TG WIDAL JUMLAH
105,000
210,000
80,000
80,000
25,000
80,000
220,000
105,000
105,000
80,000

20,000
15,000
15,000
90,000
210,000
210,000
235,000
240,000
80,000
210,000

80,000
210,000
220,000
80,000
105,000
15,000

105,000
210,000
25,000
80,000
20,000
220,000
245,000
210,000
90,000

20,000
185,000
80,000
235,000
80,000
210,000

75,000
80,000
155,000
80,000
235,000
25,000
25,000
90,000

105,000

25,000
90,000
80,000
235,000
210,000
25,000
210,000
210,000
20,000

20,000
20,000
25,000
90,000
25,000

80,000
20,000
100,000
20,000
210,000
210,000
15,000
80,000

25,000
80,000
25,000
195,000
75,000
15,000
80,000
25,000
20,000
15,000
105,000

105,000
105,000
105,000
105,000
80,000
15,000
105,000
75,000
100,000
90,000
90,000

25,000
25,000
15,000
210,000
15,000
20,000
25,000
25,000
125,000
75,000
235,000
220,000
80,000

15,000

105,000
235,000
70,000
90,000
20,000
20,000
210,000
80,000
20,000

235,000
235,000
20,000

185,000
90,000
105,000
10,000
20,000
50,000
105,000
20,000

15,000
20,000
105,000
20,000
20,000
210,000
25,000
15,000
80,000
80,000
90,000
20,000
25,000
90,000
210,000
80,000
105,000

105,000
210,000
20,000
20,000
105,000

245,000
80,000

20,000
130,000
80,000
75,000
25,000
15,000

15,000
105,000
90,000
20,000
105,000
105,000
105,000

80,000
15,000
25,000
130,000
210,000
20,000

90,000
105,000
105,000
25,000
25,000
105,000

210,000
235,000
35,000 35,000 190,000
80,000
105,000
105,000
80,000
210,000
90,000
125,000
20,000
15,000
80,000
15000

210,000

310,000
75,000
115,000
90,000
90,000
90,000
20,000

105,000
235,000
210,000
105,000
105,000

80,000
210,000
235,000
210,000
25000
25000
80,000

35000 35000 20,705,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/8/2019 Ny.Indah 15,000 25,000
2 Ny.Devi 80,000
3 Ny.Sifa
4 Ny.Indah 15,000
5 Ny.Kembar 20,000
6 Ny.Suryanti 80,000
7 Ny.Nurul
8 Ny.Inti 15,000
9 By.Inti

10 2/8/2019 By.Inti
11 Ny.Sawanah 80,000 20,000
12 Ny.Aquila 80,000 25,000
13 Ny.Fathia 80,000
14 Ny.Patmasari 80,000

15 3/8/2019 Ny.Suparni 80,000 25,000


16 Ny.Sujiati 80,000 55,000
17 Ny.Pipin Putri 80,000
18 Ny.Susanti 15,000 55,000
19 Ny.Parwanti 80,000 10,000

20 5/8/2019 By.Ratna
21 By.Wijining
22 Ny.Mulyani 80,000 10,000
23 Ny.Ferika Nur
24 Ny.Suwarni 80,000 10,000
25 By.Mulyani
26 Ny.Ika Puji 80,000 10,000
27 Ny.Sakinah 20,000
28 Ny.Puji Lestari 80,000 55,000
29 Ny.Inawati 20,000
30 Ny.Suharti 80,000 25,000
31 Ny.Sri Wahyuning

32 6/8/2019 By.Mulyani
33 By.Sri W
34 Ny.Aris C 20,000
35 By.Sri W 25,000
36 Ny.A Gusti 80,000 55,000 25,000

37 7/8/2019 Ny.Siyah 20,000


38 Nn.Indah 80,000 25,000
39 Ny.Fitria 80,000 25,000
40 Ny.Melisa 20,000

41 8/8/2019 Ny.Fitria
42 By.Pariyem
43 By.Ratih
44 By.Sri W
45 Ny.Rohdiana 20,000
46 Ny.Yunita 15,000

47 9/8/2019 Ny.Tri Utami 20,000


48 Ny.Mulyani 80,000
49 Ny.Murwanti 80,000 55,000

50 10/8/2019 Ny.Susi Kuslia 80,000


51 Ny.Putri 80,000 25,000
52 Ny.Reni Mulyati 80,000 55,000
53 Ny.Reno 80,000

54 12/8/2019 Ny.Suwarni 10,000


55 Ny.Titik M 80,000 55,000 20,000
56 Ny.Yuli 20,000
57 Ny.Intan 15,000
58 Ny.Tri Lestari 15,000 25,000
59 Ny.Uswatun 20,000

60 13/08/2019 Ny.Nur Arifah 80,000


61 Ny.Sharda 80,000 55,000 25,000
62 Ny.Nurul 20,000
63 Ny.Atik 80,000
64 Ny.Andriyani 15,000
65 Ny.Anita 80,000 55,000 25,000
66 Ny.Desita 80,000 55,000 25,000
67 Ny.Triana 20,000

68 14/08/2019 Ny.Linda 80,000


69 Ny.Umi 80,000
70 Ny.Tutik 10,000
71 Ny.Tri Setya 20,000
72 Ny.Chistina 80,000 55,000 25,000 10,000
73 Ny.Linda 15,000
74 By.Chistina

75 15/08/2019 By.Chistina
76 Ny.Umi Kalsum 80,000 55,000
77 Ny.Dianita 80,000 10,000
78 Ny.Sri Kantun 10,000
79 Ny.Tutik 80,000 55,000 25,000
80 By.Sarjiyati 25,000
81 Ny.Sukamti 15,000
82 Ny.Anisa 80,000 55,000
83 Ny.Fitria
84 Ny.Inas 80,000
85 Ny.Anik S 80,000 10,000

86 16/08/2019 By.Sarjiyati
87 Ny.Siti Asiyah 80,000 55,000
88 Ny.Retno 80,000 10,000
89 Ny.Yuli Okti 80,000

90 17/08/2019 Ny.Ratih 80,000 10,000


91 By.Srikatun

92 19/08/2019 Ny.Widyawati
93 Ny.Riyati 80,000 55,000
94 By.Sri Katun
95 Ny.Erna
96 Ny.Endang 80,000 10,000
97 Ny.Sri Usni 80,000 55,000 25,000

98 20/08/2019 Ny.Nur A 80,000


99 Ny.Anis 80,000
100 Ny.Sri Handayani 20,000
101 Ny.Ririn 80,000
102 Ny.Anti P 80,000
103 Ny.Dwi H 20,000
104 Ny.Dita 80,000 10,000

105 21/08/2019 Ny.Rima 80,000 10,000


106 Ny.Ani Susianti 80,000
107 Ny.Nur Farida 80,000
108 Ny.Sri R 80,000

109 22/08/2019 Ny.Nina Fatiah 80,000 55,000 25,000


110 Ny.Marniati 80,000
111 Nn.Masitah 80,000 25,000 20,000
112 Ny.Puspa 20,000
113 Ny.Novi Indah 80,000 10,000
114 Ny.Rohma 80,000 55,000
115 Ny.Mawar 80,000 55,000

116 23/08/2019 Ny.Mariyanti 80,000 55,000


117 Ny.Besti 20,000
118 Ny.Rita 10,000
119 Ny.Puji R 80,000

120 24/08/2019 Tn.Sukiyo 80,000 25,000


121 Ny.Tutik 10,000
122 Ny.Aninda 20,000
123 Ny.Dwi M 80,000 20,000
124 Ny.Briliyani 20,000
125 By.Dewi

126 25/08/2019 By.Dewi

127 26/08/2019 Ny.Sari Purna 80,000


128 Ny.Suwarni 80,000 10,000
129 Ny.Tesi 80,000 10,000
130 Ny.Devia 80,000 55,000
131 Ny.Yuliana 80,000 55,000 25,000
132 Ny.Ina K 80,000 25,000
133 Ny.Siti Dyah 80,000 25,000

134 27/08/2019 Ny.Mariyanti 80,000 25,000


135 Ny.Reynita 80,000 10,000
136 Ny.Mei 80,000 20,000
137 Ny.Iswandyah 80,000 25,000
138 Ny.Miftahul 80,000 55,000 25,000
139 Ny.Afifah
140 Ny.Siti Dyah 15,000
141 Ny.Juminem 10,000
142 Ny.Dewi M 20,000

143 28/08/2019 Ny.Nia K


144 Ny.Maryanti 10,000
145 By.Maryanti 80,000
146 By.Endah
147 Ny.Dianita 10,000
148 By.Nia
149 Ny.Vidianita 80,000
150 Ny.Sri Purwanti 80,000 25,000
151 Ny.Maryanti 15,000
152 Ny.Mei 80,000 10,000

153 29/08/2019 Ny.Dwi Lestari 10,000


154 Ny.Danis 80,000 25,000 20,000
155 Ny.Dwi Lestari 80,000
156 Ny.Siti Aisyah 80,000
157 Ny.Rowita 80,000 55,000

158 30/08/2019 Ny.Wiji 80,000


159 Ny.Shada 15,000
160 Ny.Nur K 80,000
161 Ny.Shada 15,000
162 Ny.Tri S 80,000

163 31/08/2019 Ny.Wulan 80,000 55,000


164 Ny.Nur Hasana 80,000 10,000
165 Ny.Rita 20,000
166 Ny.Nur Kholifah 15,000
167 Ny.Amelia 80,000 10,000
168 Ny.Dwi Nur 80,000 55,000 25,000
169 Ny.Wulan 80,000
170 By.Pingki 80,000 25,000
171 Ny.Endang 80,000
172 Ny.Sugiatun 20,000

7,600,000 225,000 1,485,000 750,000 300,000 540,000

JUMLAH PARAMETER 353

RINCIAN

NOVI
Parameter 309
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 43
Cito 60,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 1
Cito 20,000

KARYAWAN
Ny.dr.Puji Hastuti 215,000
Ny.Winda 57,500
Jumlah 272,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

75,000

75,000

25,000

25,000

35,000 40,000

35,000 70,000
35,000 70,000

75,000

25,000

35,000 40,000

75,000

25,000
25,000

35,000 40,000

25,000

25,000
35,000 70,000
35,000 70,000
35,000 70,000
35,000 40,000

35,000 40,000

25,000

20,000 20,000
25,000 35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000

25,000

25,000
35,000 40,000

35,000 40,000

35,000 40,000
25,000

25,000
25,000

25,000 40,000 40,000


35,000 70,000

35,000 40,000
35,000 70,000
25,000 40,000 40,000

25,000

20,000 20,000

35,000 40,000

35,000 40,000
25,000
25,000

35,000 40,000
35,000 40,000

35,000 40,000

25,000

25,000

35,000 40,000
35,000 40,000

40,000 40,000
25,000

35,000 40,000
25,000

25,000

35,000 70,000

25,000

40,000 40,000
25,000
35,000 40,000

35,000 40,000

35,000 40,000

650,000 840,000 300,000 960,000 280,000 560,000 40000 40000 160,000 160,000
OT PT Cholestero AU TG WIDAL JUMLAH
40,000
80,000
75,000
15,000
20,000
80,000
75,000
15,000
25,000

25,000
100,000
105,000
80,000
80,000

105,000
210,000
80,000
70,000
90,000

105,000
105,000
90,000
75,000
90,000
25,000
90,000
20,000
210,000
20,000
105,000
75,000

25,000
25,000
20,000
25,000
235,000

20,000
105,000
130,000
20,000

25,000
105,000
105,000
105,000
20,000
15,000

20,000
80,000
210,000

80,000
105,000
210,000
80,000

10,000
155,000
20,000
40,000
40,000
20,000

120,000
260,000
20,000
80,000
15,000
235,000
235,000
20,000

80,000
80,000
10,000
20,000
245,000
15,000
25,000

25,000
210,000
90,000
10,000
235,000
25,000
15,000
210,000
25,000
80,000
90,000

25,000
160,000
90,000
75,000 155,000

40,000 40,000 275,000


105,000

75,000 75,000
210,000
105,000
35,000 140,000
90,000
185,000

120,000
80,000
20,000
155,000
80,000
20,000
90,000

90,000
80,000
80,000
80,000

235,000
105,000
40,000 40,000 230,000
20,000
40,000 40,000 170,000
210,000
210,000

210,000
20,000
10,000
80,000

105,000
10,000
20,000
100,000
20,000
25,000

25,000

80,000
90,000
90,000
210,000
235,000
105,000
40,000 40,000 265,000

105,000
90,000
125,000
105,000
235,000
25,000
15,000
10,000
20,000

25,000
10,000
80,000
105,000
10,000
25,000
80,000
105,000
15,000
90,000

10,000
125,000
40,000 40,000 240,000
105,000
210,000

80,000
15,000
80,000
15,000
80,000

210,000
90,000
20,000
15,000
40,000 40,000 170,000
235,000
80,000
105,000
80,000
20,000

240,000 240,000 35000 150000 15,555,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 2/9/2019 Ny.Nur Kasana 55,000
2 Ny.Paryanti 15,000 55,000
3 Ny.Nurhayati 80,000 55,000
4 Ny.Adelia 80,000
5 Ny.Devi 80,000 55,000 25,000
6 Ny.Puji Rahayu 20,000
7 Ny.Eka Dwi 80,000 10,000
8 Ny.Sri Nuryanti 80,000

9 3/9/2019 Ny.Fika 80,000


10 Ny.Kristiani 80,000 55,000
11 Ny.Eka 55,000
12 By.Eka
13 Ny.Miftahul 15,000
14 By.Eka
15 Ny.Susi Sulisyo 80,000 55,000
16 Ny.Devi 15,000
17 Ny.Puji R 15,000
18 By.Miftahul 80,000

19 4/9/2019 Ny.Tutik 80,000 55,000 10,000


20 Ny.Eni L 80,000 55,000 25,000
21 Ny.Sri L 80,000 20,000
22 Ny.Miftakhul 15,000
23 By.Maryanti
24 Ny.Dian 80,000
25 Ny.Yani 20,000
26 Ny.Nur Aini 80,000 25,000
27 Ny.Karwati 80,000 25,000

28 5/9/2019 Ny.Sayem 80,000 25,000


29 An.Sakti 80,000 20,000
30 Ny.Rohdiana
31 Ny.Sucianik
32 Ny.Nila 15,000
33 Ny.Umi 80,000 10,000
34 Ny.Aminah 20,000

35 6/9/2019 Ny.Nila 15,000


36 Ny.Rahayu 80,000 55,000
37 Ny.Dhona 80,000 55,000
38 Ny.Endang 20,000
39 Ny.Ani 15,000
40 By.Ani S 80,000
41 Ny.Putri Puspita 80,000 20,000
42 Ny.Wagiyem

43 7/9/2019 By.Parni
44 Ny.Warsini 80,000
45 Ny.Dewi Ayu 80,000
46 Ny.Nurul 80,000 25,000
47 9/9/2019 By.Retno
48 Ny.Tri S 80,000 25,000
49 Ny.Tesi Anjar 80,000 55,000 25,000 10,000
50 Ny.Sani 20,000
51 Ny.Sri Winarsih 80,000 55,000
52 Ny.Erna 80,000
53 Ny.Nailul 80,000
54 Ny.Endar 20,000
55 Ny.Suharti 80,000
56 By.Retno

57 10/9/2019 Ny.Rina 80,000


58 Ny.Azizah 80,000
59 Ny.Dewi R 20,000
60 Ny.Acik 80,000 55,000
61 Ny.Sri Winarsih 15,000
62 Ny.Dita
63 Ny.Yenita 15,000 25,000

64 11/9/2019 An.Dzaki 80,000


65 Ny.Yenita 15,000
66 Ny.Suwarni 80,000 10,000
67 Ny.Inas 15,000
68 Ny.Palupi 80,000 55,000
69 Ny.Sriyani 80,000 25,000

70 12/9/2019 Ny.Megawati 80,000 25,000


71 Ny.Fetty 80,000 10,000
72 Ny.Sriyani 15,000
73 Ny.Ratna 80,000
74 Ny.Lely 20,000

75 13/09/2019 Ny.Mara 15,000


76 Ny.Rita 20,000
77 Ny.Suparmi 80,000 55,000
78 Ny.Sunarti 80,000 25,000
79 Ny.Warsiki 80,000
80 Ny.Suparmi 25,000
81 Ny.Ayu 20,000
82 Ny.Hariyanti 80,000 10,000

83 14/09/2019 Ny.Mara 15,000


84 Ny.Aji 80,000
85 Ny.Sayem 15,000 55,000
86 Ny.Siti M 15,000 55,000
87 Ny.Sunarti 15,000
88 Ny.Fely 80,000 55,000
89 Ny.Umi
90 Ny.Asri 80,000
91 Ny.Suparmi 15,000
92 Ny.Merry 80,000 25,000
93 Ny.Sartini 80,000
94 Ny.Supapti 20,000
95 Ny.Siskawati 80,000 55,000

96 15/09/2019 Ny.Indah 80,000 25,000

97 16/09/2019 Ny.Suko 80,000


98 Ny.Dewisih 80,000 10,000
99 Ny.Tri Asih 80,000 10,000
100 Ny.Eka 80,000 10,000

101 17/09/2019 By.Sumini


102 Ny.Amelia 80,000
103 Ny.Zunia 80,000 55,000 25,000
104 By.Sumini
105 Ny.Wulan
106 Ny.Eka 20,000
107 Ny.Octaviani 80,000 10,000
108 Ny.Alia 80,000 55,000 25,000
109 Nn.Livia 80,000

110 18/09/2019 Ny.Karni 10,000


111 Ny.Isni 80,000
112 Ny.Anik 20,000
113 Ny.Ratna Susi 80,000 25,000
114 Ny.Chodijatu 80,000
115 Ny.Agustiani 80,000 55,000

116 19/09/2019 Ny.Nur Hidayah 80,000 25,000


117 Ny.Nurul 15,000
118 Ny.Mery Citra 20,000
119 Ny.Ratna Susi 15,000
120 Ny.Yesi 20,000
121 Ny.Atika 80,000 55,000 25,000
122 Ny.Nur Asiah 80,000 25,000
123 Ny.Nurul 15,000
124 By.Aliya 80,000
125 Ny.Warni 80,000 25,000

126 20/09/2019 Ny.Dwi Lestari 80,000


127 Ny.Dian Puji 15,000
128 Ny.Lilis 20,000
129 Ny.Alaya 80,000 25,000
130 Ny.Ervin 80,000 55,000
131 By.Briliant
132 Ny.Arum 20,000
133 Ny.Siti Syamsiah 80,000 55,000 20,000
134 Ny.Erni 80,000
135 Ny.Chodijatu 15,000
136 Ny.Endang 80,000 10,000
137 Ny.Triyani 80,000 10,000

138 21/09/2019 Ny.Siti Syamsiah 15,000


139 Ny.Irma 20,000
140 Ny.Niki Budi 80,000 10,000
141 Ny.Sayem 80,000
142 Ny.Devi 20,000
143 Ny.Pijar 80,000 25,000
144 Ny.Rohmi 20,000
145 Ny.Sayem
146 Ny.Dani Puji 80,000
147 Ny.Dani 25,000
148 Ny.Citra 80,000

149 22/09/2019 Ny.Imrotul 15,000 25,000


150 Ny.Dani 15,000

151 23/09/2019 By.Imrotul 80,000


152 Ny.Dewi 80,000
153 Ny.Dani 15,000
154 Ny.Imrotul 15,000
155 Ny.Dewi 80,000
156 Ny.Warni 80,000
157 Nn.Etik 80,000 25,000
158 Ny.Vidianita 20,000
159 Ny.Wiwik 20,000
160 By.Wulandari
161 Ny.Wiwik 80,000 55,000

162 24/09/2019 Ny.Desita 80,000 10,000


163 Ny.Nailul 80,000 55,000
164 Ny.Wulan 80,000

165 25/09/2019 Ny.Darmini 20,000


166 Ny.Selvia
167 By.Triyuni
168 By.Rani 80,000

169 26/09/2019 Ny.Uswatin 15,000 55,000


170 By.Uswatun
171 By.Cristal
172 Ny.Triyuni
173 Ny.Sri N 20,000
174 Ny.Ninik
175 Ny.Warsiti 80,000 55,000 25,000
176 Ny.Poniyem 80,000 25,000
177 Ny.Yulianti 80,000

178 27/09/2019 Ny.Yuli 20,000


179 By.Uswatun
180 Ny.Dwi Lestari 80,000
181 Nn.Muslihah 80,000 55,000 25,000
182 Ny.Erna 80,000 25,000
183 By.Ulfa
184 Ny.Ulfa 15,000 55,000
185 Ny.Sujinem 80,000 10,000
186 28/09/2019 Ny.Tiara 80,000 25,000
187 Ny.Suharti
188 By.Ulfa
189 Ny.Ririn 80,000
190 Ny.Nuri
191 Ny.Mery 20,000
192 By.Tri Yuni
193 By.Hastho
194 Ny.Meliya 80,000 10,000

195 29/09/2019 By.Hastho

196 30/09/2019 Ny.Fitri 20,000


197 Ny.Hastho
198 Ny.Puri 80,000
199 Ny.Rini 80,000

8,320,000 465,000 1,760,000 800,000 180,000 620,000

JUMLAH PARAMETER 370

RINCIAN

NOVI
Parameter 323
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 47
Cito 60,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

KARYAWAN
An.Alfatih 90,000
Indah 47,500
Desti 7,500
An.Rayyan 90,000
Teguh 40,000
Jumlah 275,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
35,000

35,000 40,000

35,000 40,000

25,000 35,000
35,000 40,000
25,000

25,000
35,000 40,000

35,000 40,000
25,000 35,000

35,000
70,000

25,000
25,000

25,000

75,000

35,000 40,000
35,000 40,000

75,000
75,000

35,000 70,000

25,000
25,000

35,000 40,000

35,000 40,000

25,000

35,000 40,000

75,000

35,000 40,000

25,000 40,000 40,000

35,000 40,000

35,000 40,000
75,000
35,000 40,000

25,000

35,000 40,000
25,000
25,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000

35,000 40,000
35,000 70,000

35,000
25,000 75,000
25,000

35,000 70,000
25,000 35,000

35,000 40,000
25,000

25,000
25,000
25,000

35,000
25,000
35,000 70,000
25,000

75,000
35,000 40,000
25,000
25,000

25,000

25,000
35,000
35,000 40,000
25,000
25,000

75,000

35,000 70,000
25,000

25,000

25,000

825,000 1,015,000 600000 880,000 210,000 420000 40,000 40,000


OT PT Cholestero AU TG WIDAL JUMLAH
90,000
70,000
210,000
80,000
235,000
20,000
90,000
80,000

80,000
195,000
130,000
25,000
15,000
25,000
210,000
15,000
15,000
80,000

40,000 40,000 300,000


220,000
100,000
15,000
35,000
150,000
20,000
130,000
130,000

130,000
100,000

75,000
15,000
90,000
20,000

15,000
210,000
210,000
20,000
15,000
80,000
175,000
75,000

105,000
80,000
105,000
105,000
25,000
105,000
245,000
20,000
210,000
80,000
80,000
20,000
80,000
25,000

80,000
80,000
20,000
210,000
15,000
75,000
40,000

75,000 155,000
15,000
40,000 40,000 170,000
15,000
210,000
105,000

105,000
90,000
15,000
80,000
20,000

15,000
20,000
240,000
105,000
80,000
25,000
20,000
90,000

15,000
80,000
70,000
145,000
15,000
210,000
75,000
80,000
15,000
105,000
80,000
20,000
210,000

105,000

80,000
90,000
90,000
90,000

25,000
80,000
235,000
25,000
25,000
20,000
90,000
235,000
80,000

10,000
80,000
20,000
105,000
80,000
210,000

105,000
15,000
20,000
15,000
20,000
235,000
130,000
15,000
80,000
105,000

40,000 40,000 160,000


15,000
20,000
105,000
210,000
105,000
20,000
190,000
180,000
15,000
90,000
40,000 40,000 170,000

15,000
20,000
90,000
80,000
20,000
105,000
20,000
25,000
75,000 155,000
25,000
80,000

40,000
15,000

80,000
80,000
15,000
15,000
80,000
80,000
105,000
20,000
20,000
105,000
195,000

90,000
210,000
105,000

20,000
25,000
25,000
105,000

105,000
25,000
105,000
25,000
20,000
75,000
235,000
130,000
105,000

20,000
25,000
80,000
160,000
105,000
25,000
105,000
90,000
180,000
25,000
25,000
80,000
75,000
20,000
105,000
25,000
90,000

25,000

20,000
25,000
80,000
80,000

160,000 160,000 150000 16,645,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/10/2019 By.Nurul 80,000
2 Ny.Sumiyati 80,000 10,000
3 Ny.Suryati 80,000 25,000
4 Ny.Nur Septiana 80,000
5 Ny.Linda 80,000 55,000
6 Ny.Funni 20,000
7 Ny.Dwi Setyaningsih 80,000 10,000

8 2/10/2019 Ny.Sumi 15,000


9 Ny.Tarni 20,000
10 Ny.Fina 80,000 25,000
11 Ny.Dwi Wahyuni 80,000 10,000
12 Ny.Markamah 20,000
13 Ny.Wasitarani 80,000
14 Ny.Wahyu 80,000 10,000
15 By.Paryati

16 3/10/2019 By.Paryati
17 Ny.Suparmi 80,000
18 Ny.Amalia 80,000
19 By.Uswatun
20 An.Almaira 80,000
21 Ny.Arilita 80,000
22 Ny.Siti Rob. 20,000
23 Ny.Tri Setyo 80,000

24 4/10/2019 Ny.Sri Supadmi 80,000 55,000


25 Ny.Siti Rosidah 80,000 55,000
26 Ny.Niki Budi 80,000
27 Ny.Helin 80,000 10,000

28 5/10/2019 Ny.Winda 15,000 55,000


29 Ny.Mei Ambar 80,000 10,000
30 Ny.Megawati 80,000
31 Ny.Vivid 80,000 10,000
32 Ny.Putri 55,000 25,000

33 6/10/2019 Ny.Sutriana 15,000


34 Ny.Putri 15,000

35 7/10/2019 Ny.Tutik 20,000


36 Ny.Umi 20,000
37 Ny.Suprapti 80,000 55,000

38 8/10/2019 Ny.Luciana 20,000


39 Ny.Rian 20,000

40 9/10/2019 By.Endang
41 Ny.Febriana 80,000 10,000
42 By.Endang
43 Ny.Amelia 10,000
44 By.Etik
45 Ny.Amelia 55,000

46 10/10/2019 By.Etik
47 Ny.Awit 20,000
48 Ny.Yanti
49 Ny.Nurmiyati 80,000 10,000
50 Ny.Anna 80,000 10,000
51 Ny.Sarah 80,000
52 Ny.Kartini 20,000
53 Ny.Vita 80,000
54 Ny.Sri T 80,000
55 Ny.Yuyun 80,000 10,000

56 11/10/2019 Ny.Aris 80,000


57 Ny.Yayuk 80,000 25,000
58 Ny.Susilowati 80,000
59 Ny.Riya 20,000
60 Ny.Wulandari 80,000 55,000 10,000
61 Ny.Nanda 80,000
62 Ny.Sri Suwarni 80,000 55,000
63 Ny.Deni H 80,000 10,000
64 Ny.Farida 20,000

65 12/10/2019 Ny.Kurnia 80,000 55,000


66 Ny.Maulida 20,000
67 Ny.Erna Ari 55,000 10,000
68 Ny.Anis 20,000
69 Ny.Sri Supadmi 15,000
70 Nn.Devilia 80,000
71 Ny.Nuri 80,000 10,000
72 Ny.Wening 80,000 55,000 25,000 10,000
73 Ny.Sri Lestari 80,000 55,000
74 By.Sri Lestari 80,000
75 Ny.Anissa 80,000

76 13/10/2019 By.Sri Lestari

77 14/10/2019 Ny.Sutarni 80,000 10,000


78 Ny.Nur Samiah 55,000
79 Ny.Haniung 80,000 55,000
80 Ny.Puput 80,000 55,000
81 Ny.Puji 20,000
82 Ny.Nilam 20,000
83 Ny.Dewi 80,000 10,000

84 15/10/2019 Ny.Resmining 80,000 55,000


85 Ny.Tisem 80,000
86 Ny.Sri Nanik 80,000 25,000
87 Ny.Anita 80,000 55,000
88 Ny.Nur Krisna 80,000 25,000

89 16/10/2019 Ny.Eni 80,000 55,000


90 An.Hulya 80,000
91 Ny.Eni 20,000
92 An.Nabila
93 Ny.Endah 20,000
94 Ny.Watik 80,000 25,000

95 17/10/2019 Ny.Tarni 20,000


96 By.Isna
97 Ny.Sri W 80,000 25,000
98 Ny.Inki 80,000 10,000
99 Ny.Yuli 80,000
100 Ny.Ayuk 15,000
101 Ny.Linda 80,000

102 18/10/2019 Ny.Kusrini 80,000 10,000


103 Ny.Upik 80,000 55,000
104 Ny.Dita 80,000 10,000
105 Ny.Dhatik 80,000
106 Ny.Diah 20,000
107 Ny.Kartika
108 Ny.Hartatik 15,000 25,000

109 19/10/2019 By.Anina


110 Ny.Sulastri 80,000 25,000
111 Ny.Megawati 80,000
112 Ny.Wulandari 10,000
113 By.Anina
114 By.Sumiyati
115 Ny.Suprapti 20,000

116 20/10/2019 By.Sumiyati 80,000

117 21/10/2019 Ny.Kiki 15,000 55,000


118 Ny.Lasmini 80,000 55,000 10,000
119 Ny.Candra 80,000 25,000
120 Ny.Erma 20,000
121 Ny.Dewi M 80,000
122 Ny.Jayanti 80,000 10,000

123 22/10/2019 Ny.Imalia 80,000


124 Ny.Alvi 80,000 55,000
125 Ny.Yeni 80,000 55,000 10,000
126 Ny.Shinta 20,000
127 By.Nunik
128 Ny.Wahyu 20,000

129 23/10/2019 By.Nunik


130 Ny.Dwi S
131 Ny.Jumrotul 15,000 55,000
132 Ny.Tri Handayani 20,000
133 Ny.Dewi M 80,000
134 Ny.Sumini 80,000
135 Ny.Anita 25,000
136 Ny.Ayu Widi 80,000 55,000 10,000
137 Ny.Lani 80,000 10,000
138 Ny.Liza 80,000 25,000

139 24/10/2019 By.Anita 80,000


140 Ny.Safinatul 80,000
141 Ny.Sri M 80,000
142 Ny.Liza 15,000
143 Ny.Anita 15,000
144 Nn.Faizal 20,000
145 Ny.Mutmainah 80,000
146 Ny.Ristina 80,000

147 25/10/2019 By.Mariyati


148 Ny.Nike
149 Ny.Sri L 20,000
150 By.Maryati
151 Ny.Misrini 80,000 55,000
152 Ny.Novita 80,000 55,000 10,000

153 26/10/2019 Ny.Rifa 80,000 10,000


154 Ny.Sri P 80,000 25,000 20,000
155 Ny.Noviyanti 15,000
156 Ny.Reni Rahayu 80,000 25,000
157 Ny.Anis 10,000

158 28/10/2019 Ny.Sutini 80,000 55,000 10,000


159 Ny.Sri S 80,000 55,000 25,000
160 Ny.Puput 80,000
161 Ny.Ari 55,000
162 Ny.Eka 80,000
163 Ny.Dwi 80,000 10,000
164 Ny.Trei H 80,000 10,000
165 Ny.Siti Nur 80,000
166 Ny.Ari S 15,000

167 29/10/2019 Ny.Devi 20,000


168 Ny.Warsini 20,000
169 Ny.Ika 20,000
170 Ny.Indah 80,000

171 30/10/2019 Ny.Sadiyem 80,000


172 Ny.Sri Sumi 15,000
173 Ny.Parmi 80,000 10,000
174 Ny.Rusmiyati 80,000 25,000 20,000
175 Ny.Andri
176 Ny.Valia

177 31/10/2019 Ny.Indah 80,000


178 Ny.Murniyati 80,000
179 Ny.Tugini 80,000 25,000
8,240,000 210,000 1,705,000 475,000 350,000 640,000

JUMLAH PARAMETER 329

RINCIAN

NOVI
Parameter 312
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 4 Kali
Parameter 16
Cito 40,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 1
Cito 20,000

KARYAWAN
An.Rayyan 40,000
Ririn 77,500
Ayumi 77,500
Delta 7,500
Desti 40,000
Jumlah 242,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000

25,000

25,000

35,000 70,000

25,000
35,000 40,000

35,000 40,000

35,000

25,000

25,000
25,000
35,000 40,000

25,000

75,000

35,000 40,000

35,000

35,000 40,000

35,000 40,000
75,000

35,000 40,000
35,000 40,000
25,000

25,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 70,000

35,000 70,000
25,000

75,000

35,000 40,000

75,000

25,000

25,000
25,000

25,000

35,000 40,000
35,000 40,000

35,000 40,000
35,000 40,000

25,000

25,000
75,000
25,000
35,000 40,000

25,000
40,000 40,000

25,000
35,000 40,000
35,000 40,000

35,000 40,000
25,000 35,000

35,000

75,000
75,000

75,000
500,000 945,000 600000 920,000 105,000 210000 40,000 40,000
OT PT Cholestero AU TG WIDAL JUMLAH
80,000
90,000
105,000
80,000
210,000
20,000
90,000

15,000
20,000
105,000
90,000
20,000
80,000
90,000
25,000

25,000
40,000 40,000 160,000
80,000
105,000
80,000
80,000
20,000
80,000

160,000
210,000
80,000
90,000

145,000
90,000
80,000
90,000
80,000

15,000
15,000

20,000
20,000
170,000

20,000
20,000

25,000
90,000
25,000
10,000
25,000
130,000

25,000
20,000
75,000
90,000
90,000
80,000
20,000
80,000
80,000
90,000

80,000
105,000
80,000
20,000
220,000
80,000
170,000
90,000
20,000

210,000
20,000
140,000
95,000
15,000
80,000
90,000
245,000
210,000
105,000
80,000

25,000

90,000
55,000
210,000
210,000
20,000
20,000
90,000

210,000
80,000
105,000
210,000
105,000

210,000
75,000 155,000
20,000
105,000
20,000
105,000

20,000
105,000
130,000
90,000
155,000
15,000
80,000

90,000
210,000
90,000
80,000
20,000
75,000
40,000

25,000
105,000
80,000
10,000
25,000
25,000
20,000

105,000

145,000
220,000
105,000
20,000
80,000
90,000

75,000 155,000
210,000
220,000
20,000
25,000
20,000

25,000
75,000
95,000
20,000
80,000
80,000
25,000
220,000
90,000
105,000

80,000
75,000 155,000
80,000
15,000
15,000
20,000
80,000
80,000

25,000
80,000
20,000
25,000
210,000
220,000

90,000
125,000
15,000
105,000
10,000

220,000
220,000
80,000
90,000
80,000
90,000
90,000
80,000
15,000

20,000
20,000
20,000
80,000

80,000
15,000
90,000
125,000
75,000
75,000

155,000
75,000 155,000
105,000
40,000 40,000 300000 15,360,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/11/2019 Ny.Astuti 80,000 10,000
2 Ny.Retno 20,000
3 Ny.Wulandari 10,000
4 Ny.Racmawati 80,000 10,000
5 Ny.Triyani 80,000 10,000

6 2/11/2019 Ny.Tuitik 80,000 10,000


7 Ny.Dwi Astuti 80,000 55,000 25,000
8 Ny.Tri Harti 10,000
9 Ny.Ayu 80,000
10 Ny.Fitri 80,000

11 4/11/2019 Ny.Dian P 80,000 55,000

12 5/11/2019 Ny.Luciana 80,000 25,000


13 Ny.Sumi
14 Ny.Puput 15,000
15 Ny.Lasmini 80,000 10,000
16 Ny.Wening 80,000
17 Ny.Megawati 80,000
18 Ny.Uus 80,000 10,000
19 Ny.Rahayu 80,000

20 6/11/2019 Ny.Sunarti 80,000


21 Ny.Erni 80,000
22 Ny.Nur Hidayati 80,000 55,000
23 Ny.Fetty 80,000 10,000

24 7/11/2019 Ny.Endarti 20,000


25 Ny.Kusrini 80,000 25,000
26 An.Anan 80,000
27 Ny.Paini 80,000 25,000
28 Ny.Diana 80,000 10,000
29 Ny.Wahyu 20,000
30 Ny.Yosefa 80,000 10,000
31 Ny.Titik 20,000
32 Ny.Putri 80,000 10,000

33 8/11/2019 Ny.Kusrini 15,000


34 Ny.Fitria 80,000 10,000
35 Ny.Sri Lestari 80,000 10,000
36 Ny.Vanya
37 Ny.Vita 80,000 10,000

38 9/11/2019 Ny.Sri M 15,000 55,000

39 10/11/2019 Ny.Nining 80,000 55,000 25,000

40 11/11/2019 By.Marheni
41 Ny.Tri S 20,000
42 Ny.Ngatiyem 80,000
43 Ny.Nanik 80,000 55,000 25,000
44 By.Nur A
45 Ny.Dewi Aminah 15,000 55,000
46 By.Nur A
47 Ny.Tri Setyo 80,000 10,000

48 12/11/2019 Ny.Dwi Astuti


49 Ny.Della 80,000 55,000 10,000
50 Ny.Megawati 15,000
51 Ny.Dewi Aminah 15,000
52 Ny.Sri Hastuti 80,000 25,000
53 Ny.Dwi W 80,000 25,000
54 Ny.Sri Wahyuni 80,000 25,000
55 Ny.Alfi 80,000 55,000
56 Ny.Mutmainah 80,000

57 13/11/2019 Ny.Cita Indah 80,000 55,000


58 Ny.Karni 80,000 55,000 25,000
59 Ny.Sri L 80,000
60 Ny.Megawati 15,000
61 By.Megawati 80,000
62 By.Darsi
63 By.Darsi 80,000
64 Ny.Ratmini 80,000 25,000
65 Ny.Eka Sriyanti 20,000
66 Ny.Partini

67 14/11/2019 Ny.Karni 15,000


68 Ny.Megawati 15,000
69 Ny.Sumarni 80,000 10,000
70 Ny.Putri 10,000
71 Ny.Eva 80,000
72 Ny.Nurul 20,000
73 Ny.Nani 20,000
74 Ny.Sumiati 80,000
75 Ny.Dwi Astuti 15,000

76 15/11/2019 Ny.Siti Nurjanah 80,000


77 Ny.Santi 20,000
78 Ny.Dwi Astuti 15,000
79 Ny.Juni 80,000
80 Ny.Suwarni 80,000 55,000
81 Al Umi 55,000
82 Ny.Loreta 20,000
83 Ny.Ari Nur 80,000

84 16/11/2019 Ny.Sri Haryati 80,000 55,000 25,000


85 Ny.Iswi 20,000
86 Ny.Suwarni 15,000
87 By.Atik
88 By.Atik
89 Ny.Iren 80,000
90 18/11/2019 Ny.Eka Diana 80,000
91 Ny.Sriyanti 80,000 55,000 10,000
92 By.Trya 80,000
93 Ny.Tri Utami 20,000
94 Ny.Suwarni 80,000 55,000 25,000
95 Ny.Nurul 80,000
96 Ny.Tika 80,000 55,000 10,000

97 19/11/2019 Ny.Siti 80,000 55,000 25,000 10,000


98 Ny.Sumarni 20,000
99 Ny.Mardiyanti 80,000 55,000 25,000 10,000
100 Ny.Wari 20,000
101 Ny.Erlin 80,000 55,000 25,000
102 Ny.Anisa 80,000 55,000
103 Ny.Ana 80,000
104 Ny.Maryuti 80,000 55,000 25,000

105 20/11/2019 Ny.Ita 15,000 55,000


106 By.Mardiyani 80,000
107 By.Bilal 80,000
108 Ny.Sri S 80,000 25,000
109 Ny.Sri Nanti 20,000
110 By.Bilal 25,000
111 Ny.Mardiyani 15,000
112 Ny.Syamsiyah 80,000
113 Ny.Berin 20,000
114 Ny.Endang 20,000
115 Ny.Rosiana 20,000

116 21/11/2019 Ny.Sulastri 80,000 55,000 25,000


117 Ny.Evi 80,000 10,000
118 Ny.Tri W 15,000
119 Ny.Tri S 80,000 10,000

120 22/11/2019 An.Bilal 80,000


121 Ny.Septiana 80,000 25,000
122 Ny.Ayu 20,000
123 Ny.Dani 55,000
124 An.Corry 80,000
125 Ny.Dian 20,000
126 By.Kiki
127 Ny.Marsiti 15,000 55,000 25,000

128 23/11/2019 Ny.Eko 20,000


129 By.Kiki
130 Ny.Tias 20,000
131 Ny.Rahayu 10,000
132 Ny.Tri W 15,000

133 24/11/2019 By.Kiki 80,000


134 Ny.Tri W 15,000

135 25/11/2019 Ny.Hartati 20,000


136 Ny.Fathinawati 80,000
137 Ny.Wiwin 80,000 55,000
138 Ny.Mika 80,000 55,000 10,000
139 Ny.Imroatul 80,000 55,000 10,000
140 Ny.Sri Rela 80,000 10,000
141 Ny.Siti Diyo 80,000 55,000
142 An.Agil 80,000
143 Ny.Indah 10,000
144 Ny.Sriyati 80,000 25,000
145 Ny.Siti Maliah 80,000 25,000
146 Ny.Eni 80,000 25,000

147 26/11/2019 Ny.Sriyati 15,000


148 Ny.Yesi 80,000 10,000
149 Nn.Dwi 20,000
150 Ny.Anik 80,000
151 Ny.Dani 80,000

152 27/11/2019 Ny.Sriyati 15,000


153 Ny.Sriyati 55,000
154 Ny.Sutiyem 80,000 25,000
155 Ny.Rina 80,000
156 Ny.Rina 25,000
157 Ny.Suyatmi 80,000
158 Ny.Khoirul 80,000 10,000
159 Ny.Sutini 80,000 10,000
160 Ny.Atika 80,000 55,000 25,000
161 Ny.Sriyati 15,000
162 By.Rina 80,000

163 28/11/2019 Ny.Inggar 20,000


164 Ny.Sutiyem 15,000
165 Ny.Rina 15,000
166 Ny.Sriyanti 20,000
167 Ny.Jayanti 80,000 10,000
168 Ny.Rosmiati 80,000 10,000

169 29/11/2019 By.Eka


170 By.Eka
171 Ny.Titik 20,000
172 Ny.Tiyas

173 30/11/2019 Ny.Nurul 80,000 10,000


174 Ny.Ana 80,000
175 By.Tutik
176 Ny.Harjanti 80,000 10,000
177 Ny.Ervina 80,000

8,080,000 345,000 1,760,000 700,000 370,000 540,000

JUMLAH PARAMETER 341


RINCIAN

NOVI
Parameter 301
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 40
Cito 40,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

KARYAWAN

Risa 67,500
Indah 7,500
Indah 7,500
Winda 40,000
Jumlah 122,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000

35,000 40,000

25,000 40,000 40,000

25,000

35,000 40,000

20,000 20,000

35,000 40,000

25,000 35,000

25,000

25,000 40,000 40,000


35,000 40,000
25,000
25,000
25,000

25,000
35,000 40,000

35,000 40,000

35,000 40,000
25,000
40,000

25,000

75,000

75,000

75,000

25,000
35,000 40,000

25,000

25,000
25,000
35,000 40,000

25,000
25,000
35,000 40,000

35,000 40,000

25,000 35,000 40,000

35,000 40,000
35,000 40,000

25,000 35,000 40,000

35,000

25,000

25,000

25,000

25,000

35,000

25,000
35,000

25,000
35,000 40,000
35,000 40,000
35,000 40,000

25,000
25,000
25,000

25,000

25,000

25,000
25,000

75,000

35,000 70,000

800,000 805,000 300,000 800,000 35,000 70000 20000 20000 80,000 80,000
OT PT Cholestero AU TG WIDAL JUMLAH
90,000
20,000
10,000
90,000
90,000

90,000
235,000
10,000
80,000
80,000

210,000

105,000
35,000 35,000 175,000
15,000
90,000
80,000
80,000
90,000
80,000

105,000
80,000
210,000
90,000

20,000
105,000
80,000
105,000
90,000
20,000
90,000
20,000
90,000

15,000
90,000
90,000
40,000
90,000

145,000

220,000

25,000
20,000
35,000 220,000
235,000
25,000
95,000
25,000
90,000

25,000
220,000
15,000
15,000
105,000
105,000
105,000
210,000
80,000

210,000
185,000
120,000
15,000
80,000
25,000
80,000
105,000
20,000
75,000

15,000
15,000
90,000
10,000
80,000
20,000
20,000
155,000
15,000

155,000
20,000
15,000
80,000
160,000
130,000
20,000
80,000

185,000
20,000
15,000
25,000
25,000
80,000
80,000
220,000
80,000
20,000
185,000
105,000
220,000

245,000
20,000
270,000
20,000
235,000
210,000
80,000
260,000

105,000
80,000
80,000
130,000
20,000
25,000
15,000
105,000
20,000
20,000
20,000

185,000
90,000
15,000
90,000

80,000
130,000
20,000
90,000
75,000 155,000
20,000
25,000
130,000

20,000
25,000
20,000
10,000
15,000

80,000
15,000

20,000
80,000
210,000
220,000
220,000
90,000
135,000
80,000
35,000
130,000
130,000
105,000

15,000
90,000
20,000
80,000
80,000

15,000
55,000
130,000
80,000
25,000
75,000 155,000
90,000
90,000
185,000
15,000
80,000

20,000
15,000
15,000
20,000
90,000
90,000

25,000
25,000
20,000
75,000

90,000
80,000
105,000
90,000
80,000

35,000 70,000 150,000 15,060,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 2/12/2019 Ny.Anik 80,000 25,000
2 Ny.Tri L 15,000
3 Ny.Khusnul 80,000 10,000
4 Ny.Riana 20,000
5 Ny.Sri Purwanti 80,000 10,000
6 Ny.Tri L 25,000
7 Nn.Sarwi 20,000
8 By.Novita 80,000
9 Ny.Erika 80,000
10 Ny.Zulfa 80,000
11 Ny.Fitri 80,000 10,000

12 3/12/2019 Ny.Tri L 15,000


13 Ny.Novita 15,000
14 Ny.Kamtini 80,000 55,000
15 Ny.Sukatni 80,000 10,000
16 Ny.Upik 15,000
17 Ny.Kartini 80,000 55,000
18 Ny.Dwi Nuryani 80,000 25,000
19 Ny.Silfi 80,000
20 Ny.Anis 20,000

21 4/12/2019 Ny.Anita 55,000


22 Ny.Ana 80,000
23 Ny.Siti S 80,000
24 Ny.Ninik 80,000 55,000 25,000
,
25 5/12/2019 By.Tutik
26 Ny.Deni 80,000
27 Tn.Agus 80,000
28 Ny.Wahyuningsih 20,000

29 6/12/2019 By.Harjanti 1 80,000


30 By.Harjanti 2 80,000
31 Ny.Suwarti 80,000 25,000
32 Ny.Siti Nur 80,000 55,000 10,000
33 Ny.Ema
34 Ny.Sujiyem 80,000 55,000 25,000
35 Ny.Nita 20,000
36 Ny.Harjanti 15,000
37 Ny.Sulastri 15,000
38 Ny.Endang 80,000 25,000

39 7/12/2019 Ny.Vivid 55,000


40 Ny.Dita 80,000
41 Ny.Yuliani 80,000
42 Ny.Suharni
43 Ny.Nurul 80,000

44 8/12/2019 Ny.Hartatik 80,000 25,000 20,000


45 By.Tutik
46 9/12/2019 Ny.Dinar 80,000 25,000
47 Ny.Febri 20,000
48 By.Warsiti
49 Ny.Maria 80,000 25,000
50 Ny.Siti 80,000 55,000 25,000
51 Ny.Arwi 80,000 55,000
52 Ny.Susi Susanti 80,000
53 Ny.Diana 80,000 10,000
54 Ny.Dyah 80,000
55 Ny.Amelia 20,000
56 Ny.Ayun 80,000 55,000

57 10/12/2019 Ny.Retno 20,000


58 Ny.Punjin 80,000 20,000
59 Ny.Hartini 80,000 25,000
60 Ny.Dewi 80,000 55,000
61 Ny.Rosmiati 80,000
62 Ny.Kurniawati 80,000 20,000

63 11/12/2019 Ny.Surayem 80,000 10,000


64 Ny.Maria 15,000
65 Ny.Samiyati 80,000 25,000
66 Ny.Darwati 80,000
67 Ny.Ana Trisa 15,000

68 12/12/2019 Ny.Ana Trisa 15,000


69 Ny.Puji 55,000
70 Ny.Tiansi 15,000
71 Ny.Ummu 80,000
72 Ny.Ayu 20,000

73 13/12/2019 Ny.Sri
74 Ny.Triyani 80,000 10,000

75 14/12/2019 Ny.Mega 80,000 55,000


76 By.Rahayu
77 Ny.Ernawati 80,000
78 Ny.Tutik 80,000 10,000
79 Ny.Diah 80,000 10,000
80 Ny.Fitria 80,000 10,000
81 Ny.Sri L 80,000 10,000
82 By.Latifa
83 By.Suyuti

84 15/12/2019 By.Suyuti
85 By.Latifa
86 By.Safitri

87 16/12/2019 Ny.Sulasmi 80,000 10,000


88 Ny.Ernawati 80,000
89 Ny.Anik 80,000 25,000
90 Ny.Puji Rahayu 80,000 55,000 25,000
91 17/12/2019 Ny.Anik 15,000
92 An.Felicya
93 Ny.Suranti 20,000

94 18/12/2019 Ny.Windi 80,000 25,000


95 By.Lasmi
96 By.Lasmi
97 Ny.Nurul 80,000 55,000 25,000
98 Ny.Amelia 15,000

99 19/12/2019 Nn.Briliana 80,000 25,000


100 Ny.Hanna 15,000

101 20/12/2019 Ny.Serli 80,000 10,000


102 Ny.Epi 80,000 55,000
103 Ny.Mei 80,000 55,000
104 Ny.Arin 80,000 25,000
105 By.Hanna
106 Ny.Sri L 80,000 20,000
107 Ny.Ervina 80,000 10,000
108 Ny.Ambar 20,000

109 21/12/2019 An Felicya


110 Ny.Suyanti 80,000 55,000
111 Ny.Hesti 80,000 25,000
112 Ny.Hafsah 80,000 55,000
113 Ny.Dwi R 80,000 10,000
114 Ny.Rochanik 80,000
115 Nn.Fauz
116 Ny.Asih 80,000 10,000
117 Ny.Karsini 80,000 10,000

118 22/12/2019 By.Siti Nur

119 23/12/2019 By.Siti Nur


120 Ny.Winda 80,000 55,000
121 Ny.Susanti 20,000
122 Ny.Diyah 80,000
123 An.Bilal 80,000
124 Ny.Eni 15,000
125 Ny.Erna 80,000 10,000
126 Ny.Anik 80,000 10,000
127 Ny.Seniyem 80,000 25,000
128 Ny.Aulia 80,000
129 Ny.Ayu 80,000 55,000

130 24/12/2019 Ny.Anik 20,000


131 Ny.Sukatri 20,000
132 By.Hanna
133 Ny.Intan F 80,000 55,000
134 Ny.Harsi 80,000 25,000
135 Ny.Seniyem 15,000
136 Ny.Wahyu 20,000
137 Ny.Ganis 80,000
138 Ny.Nur Oktavia 80,000 55,000 25,000
139 Ny.Paini 80,000 10,000

140 26/12/2019 Ny.Agustina 80,000 55,000 10,000

141 27/12/2019 Ny.Mulyani 15,000


142 Ny.Deviana 80,000 55,000 10,000
143 Ny.Arin 80,000
144 Ny.Tri 15,000 25,000

145 28/12/2019 Ny.Suparni 10,000


146 Ny.Arin 15,000
147 Ny.Tyri M 15,000
148 Ny.Agustina 20,000

149 29/12/2019 Ny.Partiyah 15,000 55,000


150 Ny.Laila 15,000

151 30/12/2019 Ny.Siti Nur 80,000


152 Ny.Tineke 80,000

7,120,000 315,000 1,430,000 600,000 240,000 400,000

JUMLAH PARAMETER 304

RINCIAN

NOVI
Parameter 277
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 26
Cito 100,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 1
Cito 20,000

KARYAWAN
Lisya 77,500
Danik 7,500
Winda 15,000
Desty 7,500
Anggun 42,500
Rini 47,500
Jumlah 197,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
25,000

25,000

25,000

35,000 40,000
40,000

25,000

35,000 70,000

25,000
35,000 40,000
75,000
25,000

35,000 40,000

75,000

35,000 70,000
35,000 40,000

35,000 70,000

25,000 75,000
35,000 40,000

35,000 40,000

35,000 40,000

25,000

75,000

35,000 40,000
35,000 70,000

25,000
25,000

25,000
25,000
25,000

25,000
35,000 40,000
35,000 70,000

25,000
25,000
25,000
35,000 40,000

35,000 40,000
35,000 40,000

35,000 70,000

35,000 70,000
35,000 40,000

35,000 40,000

75,000

25,000

25,000
35,000 40,000

25,000
25,000
35,000 40,000

35,000 70,000
35,000 40,000
25,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

550,000 735,000 375000 880,000 280,000 560000


OT PT Cholestero AU TG WIDAL JUMLAH
130,000
15,000
90,000
20,000
90,000
25,000
20,000
80,000
80,000
80,000
90,000

15,000
15,000
160,000
90,000
15,000
160,000
75,000 180,000
80,000
20,000

130,000
120,000
80,000
35,000 220,000

105,000
80,000
80,000
20,000

80,000
80,000
130,000
220,000
75,000
185,000
20,000
15,000
15,000
105,000

130,000
80,000
80,000
75,000
80,000

125,000
105,000
180,000
20,000
105,000
105,000
260,000
210,000
80,000
90,000
80,000
20,000
210,000

20,000
100,000
105,000
210,000
80,000
100,000

90,000
15,000
105,000
105,000
15,000

15,000
55,000
15,000
75,000 155,000
20,000

75,000
90,000

210,000
105,000
75,000 155,000
90,000
90,000
90,000
90,000
25,000
25,000

25,000
25,000
25,000

90,000
80,000
130,000
235,000
15,000
105,000
20,000

130,000
25,000
25,000
235,000
15,000

105,000
15,000

90,000
210,000
210,000
105,000
105,000
100,000
90,000
20,000

105,000
210,000
105,000
210,000
90,000
80,000
75,000
90,000
90,000

25,000

25,000
210,000
20,000
80,000
80,000
15,000
90,000
90,000
130,000
35,000 35,000 175,000
210,000

20,000
20,000
105,000
210,000
130,000
15,000
20,000
80,000
235,000
90,000

220,000

15,000
220,000
80,000
40,000

10,000
15,000
15,000
20,000

145,000
15,000

80,000
80,000

35000 70000 225000 13,815,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/1/2020 Ny.Tineke 80,000
2 Ny.Dwi R 80,000

3 2/1/2020 Ny.Mukti 80,000 10,000


4 Ny.Ernawati 80,000 10,000
5 Ny.Dwi R 80,000
6 Ny.Lina 20,000
7 Ny.Ngatini 80,000 10,000

8 3/1/2020 Ny.Fitria 80,000 10,000


9 Ny.Dewi Sekar 55,000
10 Ny.Nella 80,000 10,000
11 Ny.Yuniati 80,000 55,000 10,000
12 Ny.Ryanita 80,000 55,000 10,000
13 Ny.Lilin 80,000 55,000 10,000

14 4/1/2020 Ny.Puji 10,000


15 Ny.Ria 80,000 10,000
16 Ny.Sulastri 20,000
17 Ny.Sri M 20,000
18 By.Yuniasih
19 Ny.Ariska 80,000 10,000
20 Ny.Raras 80,000
21 Ny.Titis 80,000 10,000
22 Ny.Sulastri 20,000

23 5/1/2020 Ny.Rahmawati 80,000


24 By.Yuniasih

25 6/1/2020 Ny.Marsini 80,000 10,000


26 Ny.Siti K 20,000
27 Ny.Umi 80,000
28 Ny.Istikomah 80,000 55,000 25,000
29 Ny.Sulastri 80,000
30 Ny.Chantika 80,000 55,000
31 Ny.Suyatmi 80,000 55,000
32 Ny.Dita 80,000 55,000
33 Ny.Indah 80,000 55,000
34 Ny.Marfuah 20,000
35 Ny.Yuli 80,000 55,000
36 Ny.Ninik 15,000
37 Ny.Ninik 25,000

38 7/1/2020 Ny.Siti Z 80,000


39 Ny.Indah
40 Ny.Ninik 15,000
41 Ny.Gini 20,000
42 Nn.Apriliyani 20,000
43 Ny.Fajar 80,000 10,000
44 Ny.Mery 80,000 55,000
45 By.Nining
46 8/1/2020 By.Nining
47 Ny.Mulyani 80,000
48 Ny.Oktavia 80,000
49 By.Oktavia
50 Ny.Mita 80,000
51 Ny.Chumamah 80,000 25,000

52 9/1/2020 By.Oktavia
53 Ny.Suprihatin
54 Ny.Susilowati 80,000 20,000
55 Ny.Shofuroh 15,000
56 Ny.Ita 20,000
57 Ny.Nuning
58 Ny.Dera 80,000 55,000
59 Ny.Annisa 20,000

60 10/1/2020 By.Rita
61 Ny.Maria 80,000 55,000 25,000
62 Ny.Binti 80,000 55,000
63 Ny.Suparni 80,000 10,000
64 Ny.Dewi 10,000
65 By.Rita
66 Ny.Sakdiah

67 11/1/2020 Ny.Yuyun 80,000


68 Ny.Maria 15,000
69 Ny.Hebtiasih
70 Ny.Parti 80,000 25,000 20,000
71 Ny.Ajeng 80,000

72 12/1/2020 Ny.Rusmawati 15,000

73 13/01/2020 Ny.Wartatik 20,000


74 An.Anya
75 Ny.Sriyani 80,000
76 Ny.Susanti
77 Ny.Halimah 80,000 10,000
78 Ny.Erna 55,000
79 Ny.Mujiatun 20,000
80 Ny.Etik 20,000
81 Ny.Ninik 80,000 25,000

82 14/01/2020 Ny.Siti K 15,000 55,000


83 Ny.Ninik 55,000 20,000
84 Ny.Ninik 15,000
85 Ny.Meilani 55,000
86 Ny.Siti K 10,000
87 Ny.Darsih 20,000
88 Ny.Rizka 80,000
89 Ny.Putri 80,000
90 Ny.Sri Sunani 80,000 55,000 25,000
91 Ny.Ninik 15,000
92 Ny.Titik 20,000
93 Ny.Tutik S 80,000 10,000
94 Ny.Sutarmi 80,000
95 Ny.Ayun 10,000
96 Ny.Winarsih 20,000
97 Ny.Anik 80,000
98 Ny.Siti Zulaika 80,000

99 15/01/2020 By.Anita
100 Nn.Nayla 80,000 25,000
101 Ny.Sri Lestari 80,000 25,000
102 Ny.Supriyanti 80,000 55,000
103 Ny.Wiji Lestari 55,000 10,000
104 By.Anita
105 By.Ninung 80,000 10,000

106 16/01/2020 Ny.Iswi 20,000


107 Ny.Eka 55,000
108 Ny.Siti 80,000 10,000

109 17/01/2020 Ny.Sri Setyani 80,000 25,000


110 Ny.Lailatul 80,000 25,000
111 Nn.Yunik 80,000 25,000
112 Ny.Siti Lestari 55,000
113 Ny.Oga 80,000 25,000 20,000
114 Ny.Emi 20,000
115 Ny.Endang 80,000 55,000 25,000

116 18/01/2020 Ny.Titis 20,000


117 Ny.Elsa 80,000 10,000
118 Ny.Windartini 80,000 55,000 25,000
119 Ny.Anik 15,000

120 20/01/2020 Ny.Yesi 80,000


121 Ny.Nisfi 15,000 55,000
122 Ny.Atin 20,000
123 Ny.Fitri 20,000
124 Ny.Ngatripah 80,000 10,000
125 Ny.Ngatini 80,000 25,000
126 Ny.Suti 20,000
127 Ny.Dewi 80,000 10,000

128 21/01/2020 Ny.Lis Maria


129 Ny.Retno
130 Ny.Anys 80,000 10,000
131 Ny.Nita 80,000 55,000
132 Ny.Sukiyem 80,000

133 22/01/2020 Ny.Sudarwati 15,000 25,000


134 Nn.Shella 80,000 25,000
135 Ny.Sri Rahayu 80,000 55,000 25,000
136 Ny.Tutik 80,000 55,000
137 By.Revan
138 By.Mita
139 Ny.Sudarwati 15,000
140 Ny.Ika 80,000
141 Ny.Mita 15,000
142 Ny.Marsini 80,000 10,000

143 23/01/2020 An.Ammar 80,000


144 Ny.Daryanti 80,000 20,000
145 Ny.Iswi 20,000
146 Ny.Putri K 80,000 55,000 10,000
147 Ny.Maysyaroh 80,000 10,000

148 24/01/2020 Ny.Wahyu 80,000 55,000


149 Ny.Rita N 80,000
150 Ny.Desy Ayu 10,000

151 25/01/2020 Ny.Yessi 10,000

152 27/01/2020 Nn.Nasya 80,000 25,000


153 Nn.Ayuk 20,000
154 An.Bilal 80,000
155 An.Mita 80,000
156 Ny.Ika 80,000 55,000
157 Ny.Dina 80,000 55,000
158 Ny.Sri R
159 Ny.Ayu Andri 80,000 55,000
160 Ny.Tumini 80,000 25,000

161 28/01/2020 Ny.Ninik 20,000


162 By.Riyanti
163 Ny.Muri 80,000 10,000
164 Ny.Waginem
165 Ny.Novia 15,000
166 By.Riyanti
167 Ny.Retno 80,000
168 Ny.Miyarsih 80,000 25,000
169 Ny.Lely 80,000 55,000

170 29/01/2020 Ny.Retno 80,000


171 Nn.Pramita 80,000

172 30/01/2020 Ny.Novi Rinasih 80,000 55,000


173 Ny.Dwi L 80,000
174 By.Hartini

175 31/01/2020 By.Hartini


176 Ny.Sumarni 80,000 25,000
177 Ny.Risma 80,000
178 Ny.Selasari 80,000
179 Ny.Marsini
180 Nn.Dewi 80,000
181 By.Siti N
182 Ny.Suwarsi 80,000 25,000
8,000,000 210,000 1,980,000 600,000 330,000 600,000

JUMLAH PARAMETER 346

RINCIAN

NOVI
Parameter 305
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 38
Cito 40,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 3
Cito 60,000

KARYAWAN
Trimulyani 77,500
Handayani 20,000
Ririn 7,500
Purwanti 17,500
Handayani 17,500
Desti 20,000
Jumlah 160,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000
35,000 40,000
35,000 40,000
35,000 40,000

25,000

25,000

25,000

25,000

25,000

35,000 40,000
35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000

35,000 40,000
25,000
25,000

25,000

25,000
25,000

75,000
35,000 40,000

25,000
35,000 40,000
35,000 40,000

25,000
25,000

35,000 40,000

75,000

75,000

25,000 35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000

25,000
35,000 40,000

25,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000

25,000
75,000

35,000 40,000
25,000

25,000 35,000
35,000 40,000
35,000 70,000
35,000 70,000

25,000
25,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000
75,000
35,000 40,000

25,000

75,000

25,000

35,000 40,000

35,000 40,000

25,000

25,000
25,000

25,000

25,000
25,000
825,000 1,120,000 450000 1,240,000 70,000 140000
OT PT Cholestero AU TG WIDAL JUMLAH
80,000
80,000

90,000
90,000
80,000
20,000
90,000

90,000
55,000
115,000
220,000
220,000
220,000

10,000
115,000
20,000
20,000
25,000
90,000
105,000
90,000
20,000

80,000
25,000

90,000
20,000
80,000
185,000
80,000
210,000
210,000
210,000
210,000
20,000
210,000
15,000
25,000

80,000
25,000
15,000
20,000
20,000
90,000
210,000
25,000
25,000
80,000
80,000
25,000
80,000
105,000

25,000
25,000
100,000
15,000
20,000
75,000
210,000
20,000

25,000
235,000
210,000
90,000
10,000
25,000
25,000

80,000
15,000
75,000
125,000
80,000

15,000

20,000
75,000
80,000
75,000
90,000
155,000
20,000
20,000
105,000

145,000
75,000
15,000
130,000
10,000
20,000
80,000
80,000
235,000
15,000
20,000
90,000
80,000
10,000
20,000
80,000
75,000 155,000

25,000
105,000
130,000
210,000
65,000
25,000
90,000

20,000
55,000
90,000

105,000
105,000
105,000
130,000
125,000
20,000
235,000

20,000
90,000
235,000
15,000

80,000
145,000
20,000
20,000
90,000
130,000
20,000
90,000

25,000
75,000
90,000
210,000
105,000

40,000
105,000
220,000
210,000
105,000
105,000
15,000
80,000
40,000
115,000

80,000
100,000
20,000
220,000
90,000

210,000
80,000
10,000

10,000

105,000
20,000
80,000
80,000
210,000
210,000
75,000
210,000
105,000

20,000
25,000
90,000
75,000
15,000
25,000
80,000
105,000
210,000

80,000
80,000

210,000
80,000
25,000

25,000
130,000
80,000
80,000
25,000
80,000
25,000
130,000
75000 15,640,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/2/2020 Ny.Laela 20,000
2 Ny.Aulia 10,000

3 3/2/2020 Ny.Ria Resti 55,000


4 Ny.Fitria 80,000 55,000
5 Ny.Tina
6 Nn.Intan 80,000 25,000
7 Ny.Kasturi 10,000
8 Ny.Lusi 80,000 10,000

9 4/2/2020 Ny.Windi
10 Ny.Ari 80,000
11 Ny.Nanik
12 By.Aditya
13 Ny.Evi 80,000 10,000
14 An.Ajeng 80,000
15 By.Wiwik
16 Nn.Nanda 80,000 55,000
17 Ny.Rahayu 80,000 25,000
18 Ny.Fitria 15,000
19 Ny.Warsilah 15,000 55,000
20 Ny.Hartini
21 Ny.Anggita 80,000 55,000

22 5/2/2020 Ny.Watik 80,000 55,000


23 Nn.Rini Ambar 80,000
24 Ny.Sulis Lestari 20,000
25 Ny.Heri 80,000 55,000
26 Ny.Catur 80,000 10,000
27 Ny.Saminem 80,000 55,000 25,000

28 6/2/2020 Ny.Novi 80,000 55,000


29 Ny.Mulyani 80,000 20,000
30 Ny.Atik 80,000 55,000
31 Ny.Neni 80,000
32 Ny.Rima 80,000
33 Ny.Catur 80,000
34 Ny.Eva 80,000 25,000

35 7/2/2020 Ny.Tri 80,000


36 Ny.Juni 80,000
37 By.Wiwik
38 Ny.Suyatmi 80,000
39 Ny.Anita 80,000
40 Ny.Ika 80,000
41 Ny.Anggi 15,000
42 Ny.Putri 80,000

43 8/2/2020 Ny.Trisnawati 80,000 10,000


44 Ny.Deta 20,000
45 Ny.Anita 20,000
46 Ny.Lilis 80,000
47 Ny.Fitriyani 80,000 10,000
48 Ny.Depi R 80,000 55,000 10,000
49 Ny.Endah 80,000
50 Ny.Puput 15,000 25,000

51 9/2/2020 Ny.Diah 80,000 55,000 25,000


52 Ny.Linda 15,000
53 Ny.Asih 15,000

54 10/2/2020 Ny.Wartini 15,000 55,000


55 Ny.Ita 80,000
56 Ny.Wahyuningsih
57 Ny.Diah 15,000
58 Ny.Wiwik 80,000 55,000
59 Ny.Retno 80,000 55,000
60 Ny.Linatus 10,000
61 Ny.Ngatini 80,000 25,000
62 Ny.Ika 20,000
63 Ny.Nur Handayani 15,000 55,000
64 Ny.Karti 20,000
65 Ny.Daryanti 80,000 10,000

66 11/2/2020 Ny.NurHandayani
67 By.Nur Handayani 1
68 By.Nur Handayani 2
69 Ny.Sri Rahmi 80,000 25,000
70 By.Imada
71 Ny.Ngatini 15,000
72 Ny.Nursamsiah 20,000
73 Nn.Amanda 80,000 25,000
74 Ny.Padmi 80,000 55,000 25,000
75 Ny.nanik 80,000 55,000 25,000
76 By.Anik

77 12/2/2020 By.Anik
78 Ny.Nur K 80,000 25,000
79 Ny.Nelih 80,000 10,000
80 Ny.Yuli 80,000
81 Ny.Novi 80,000
82 Ny.Ika 80,000
83 Ny.Puji 20,000
84 Ny.Sumiyem 80,000 55,000 25,000

85 13/02/2020 Ny.Ayu 80,000 55,000 25,000


86 By.Nur 80,000
87 Ny.Hilda 80,000
88 Ny.Yesi 15,000
89 Ny.Daryanti 80,000 25,000
90 Ny.Atik 80,000
91 Ny.Novita 80,000 55,000 25,000

92 14/02/2020 Ny.Hilda 25,000


93 Ny.Kentarsih 80,000
94 Ny.Eni 80,000 55,000 10,000
95 Nn.Zahra
96 By.Imada
97 Ny.Alvina 20,000
98 Ny.Sri M 80,000

99 15/02/2020 Ny.Hilda 15,000


100 By.Trisnawati
101 By.Catur
102 Ny.Asih 80,000
103 By.Trisnawati
104 By.Catur
105 Ny.Sulisyowati 80,000 55,000 25,000 10,000
106 Ny.Ira R 80,000 55,000 25,000 10,000
107 Ny.Suparmi 80,000 10,000
108 Ny.Catur 15,000
109 Ny.Rusmini 80,000
110 Ny.Umi 15,000

111 16/02/2020 Ny.Tutik 15,000 55,000

112 17/02/2020 Ny.Ngatini 80,000 25,000


113 Ny.Siti Dyah 80,000
114 Ny.Hartatik 15,000 55,000
115 Ny.Yati 80,000 10,000
116 Ny.Rosalia 20,000
117 Ny.Jimini 15,000
118 Ny.Sudarmi 80,000 25,000
119 Ny.Hartini 80,000 10,000
120 Ny.Mayasari 15,000 25,000
121 Ny.Ifa 80,000 10,000

122 18/02/2020 Ny.Melani 80,000 55,000 25,000


123 Ny.Wartini
124 Ny.Siti Dyah 15,000
125 Ny.Mayasari 15,000
126 By.Hartatik
127 Ny.Dewi 80,000
128 By.Hartatik
129 Ny.Hesti 15,000 25,000
130 Ny.Sri S 80,000 55,000
131 Ny.Wahyuni 80,000 10,000
132 Ny.Daryanti 80,000
133 Ny.Daryanti 55,000

134 19/02/2020 Ny.Maratus 80,000


135 Ny.Alfi 80,000
136 Ny.Daryanti 15,000
137 Ny.Dyah 80,000 55,000
138 Ny.Giyarti 80,000 25,000
139 Ny.Tatik 10,000
140 20/02/2020 Ny.Selfi 20,000
141 Ny.Masyriyah 20,000
142 Ny.Evi 80,000 55,000 25,000
143 Ny.Umiy 20,000
144 By.Nur Fitri 1
145 By.Nur Fitri 2

146 21/02/2020 By.Nur Fitri 1


147 By.Nur Fitri 2
148 Ny.Giyarti 15,000
149 Ny.Sonia 80,000
150 Ny.Nur 15,000
151 Ny.Safira 15,000 25,000
152 Ny.Murni 20,000
153 Ny.Nurani 80,000

154 22/02/2020 Ny.Wemy 80,000 25,000


155 Nn.Sinta 80,000 25,000
156 Ny.Seti 80,000
157 Ny.Ervina 80,000 55,000
158 Ny.Sri W 80,000 25,000

159 23/02/2020 Ny.Vidya 15,000 55,000 10,000


160 Ny.Sri W 15,000
161 Ny.Siti Nur 80,000 10,000

162 24/02/2020 By.Sunarti


163 Ny.Tri 80,000 25,000
164 Ny.Dina 80,000
165 Ny.Harni 80,000 55,000 25,000
166 By.Sunarti
167 By.Ita
168 Ny.Anisa 20,000

169 25/02/2020 By.Ita


170 Ny.Tri S 20,000
171 Ny.Susi
172 Ny.Aprilian 80,000 55,000 10,000
173 Ny.Sudarmi 80,000 55,000 25,000
174 Ny.Murtini 20,000
175 Ny.Siti M 80,000

176 26/02/2020 Ny.Fipi 15,000


177 Ny.Suwarni 80,000
178 Ny.Yuliastuti 80,000
179 Ny.Eli 80,000 55,000

180 27/02/2020 Ny,Dian


181 Ny.Efit 80,000 55,000
182 Ny.Andarwati 80,000 55,000 25,000 20,000
183 Ny.Yuliana 80,000 55,000
184 Ny.Andarwati 80,000
185 Ny.Susi 20,000
186 28/02/2020 Ny.Andarwati 15,000
187 Ny.Sartini 20,000
188 Ny.Sujiyem
189 Ny.Evi 80,000 55,000
190 Ny.Rany 15,000 55,000
191 Ny.Lastri 80,000 25,000
192 Ny.Suminah
193 Ny.Rita 20,000

194 29/02/2020 Ny.Nella 80,000 55,000 25,000


195 Ny.Febby 80,000 55,000 25,000
196 Ny.Alfi 80,000
197 Ny.Sudarmi 80,000
198 Ny.Dyah E 80,000
199 Ny.Rika 80,000
200 Ny.Lastri 15,000

8,560,000 465,000 2,420,000 925,000 230,000 440,000

JUMLAH PARAMETER 436

RINCIAN

NOVI
Parameter 402
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 4 Kali
Parameter 33
Cito 0
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 1
Cito 20,000

KARYAWAN
Tari 30,000
Azon 40,000
Jumlah 70,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000
35,000 40,000
75,000

75,000
40,000
25,000
35,000 70,000

35,000 70,000
35,000 40,000

25,000
35,000 40,000
75,000
35,000 40,000

35,000 40,000

35,000 40,000

25,000 35,000

35,000 40,000

25,000 35,000 40,000


25,000

35,000 70,000
25,000

25,000
35,000 40,000

35,000 40,000

25,000 35,000

20,000 20,000

35,000 40,000
35,000 40,000

25,000

35,000 40,000

25,000
25,000
25,000

35,000 70,000

35,000 40,000
35,000 40,000
25,000

25,000

25,000 35,000

35,000 40,000
35,000 70,000

25,000

35,000 40,000
35,000 40,000
75,000
35,000 70,000

25,000
25,000

25,000
25,000
25,000 35,000 40,000
35,000 40,000

25,000

35,000 40,000

25,000

35,000 40,000

25,000

35,000 40,000
25,000

25,000

25,000

35,000 40,000

35,000 40,000
25,000
35,000 40,000

25,000
25,000

25,000
25,000

25,000

25,000

35,000 40,000
25,000

35,000 40,000

25,000
25,000

25,000
25,000
25,000

25,000

25,000
35,000 40,000
35,000 40,000
75,000

35,000 40,000

25,000
25,000 35,000 40,000
35,000
35,000 40,000
25,000
35,000 40,000
35,000 40,000
25,000
25,000

25,000 35,000 40,000


35,000 40,000

25,000

1,225,000 1,470,000 375000 1,560,000 210,000 420000 20000 20000


OT PT Cholestero AU TG WIDAL JUMLAH
20,000
10,000

130,000
210,000
75,000
105,000
10,000
90,000

75,000
120,000
25,000
105,000
90,000
75,000 155,000
105,000
210,000
105,000
40,000
145,000
75,000
210,000

210,000
80,000
20,000
210,000
90,000
220,000

210,000
100,000
235,000
105,000
80,000
80,000
105,000

80,000
80,000
105,000
105,000
80,000
80,000
15,000
105,000

40,000 40,000 170,000


20,000
20,000
80,000
40,000 40,000 170,000
220,000
80,000
40,000

235,000
15,000
15,000

130,000
75,000 155,000
40,000
15,000
210,000
210,000
10,000
130,000
20,000
145,000
20,000
90,000

25,000
25,000
25,000
105,000
105,000
15,000
20,000
105,000
235,000
235,000
25,000

25,000
105,000
90,000
80,000
80,000
75,000 155,000
20,000
220,000

235,000
185,000
80,000
15,000
130,000
75,000 155,000
235,000

25,000
80,000
220,000
75,000
105,000
20,000
80,000

15,000
25,000
25,000
80,000
25,000
25,000
270,000
245,000
40,000 40,000 170,000
15,000
105,000
15,000

145,000

130,000
80,000
145,000
90,000
20,000
15,000
130,000
90,000
40,000
90,000

235,000
25,000
15,000
15,000
25,000
80,000
25,000
40,000
210,000
90,000
80,000
55,000

80,000
80,000
15,000
210,000
130,000
10,000
20,000
20,000
235,000
20,000
25,000
25,000

25,000
25,000
15,000
80,000
15,000
40,000
20,000
105,000

130,000
105,000
80,000
210,000
130,000

155,000
15,000
40,000 40,000 170,000

25,000
130,000
80,000
185,000
25,000
25,000
20,000

25,000
20,000
25,000
220,000
235,000
95,000
80,000

15,000
80,000
80,000
210,000

25,000
235,000
215,000
210,000
80,000
20,000
15,000
20,000
35,000 35,000 95,000
210,000
145,000
130,000
35,000 35,000 40,000 135,000
20,000

260,000
235,000
80,000
80,000
105,000
80,000
15,000

160,000 160,000 70000 70000 40000 300000 19,140,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 2/3/2020 Ny.Munawaroh 80,000
2 By.Suparni 1
3 By.Suparni
4 Ny.Indah 80,000 55,000 25,000
5 Ny.Nyami 80,000 10,000
6 Ny.Meita 80,000 55,000 25,000
7 Ny.Supriyani 20,000
8 Ny.Parti 80,000 55,000 25,000
9 By.Suparni 1
10 By.Suparni 2
11 Ny.Wijayanti
12 Ny.Heri 80,000 10,000

13 3/3/2020 Ny.Munawaroh 80,000


14 Ny.Munawaroh 25,000
15 By.Raja
16 Ny.Isa 80,000 55,000
17 Ny.Ceri 80,000 10,000
18 Ny.Puput
19 Ny.Suwarni 80,000
20 Ny.Sri Ngatini 80,000 55,000 25,000
21 Ny.Sutiyem 80,000
22 Ny.Retno 80,000 25,000
23 Ny.Eka 80,000 55,000

24 4/3/2020 Ny.Suminah 80,000 25,000


25 Ny.Rita 20,000
26 Ny.Indah
27 Ny.Pratiwi 15,000
28 Ny.Khusnul 80,000 25,000
29 An.Khalandra 25,000
30 Ny.Maratu 80,000
31 Ny.Vita 20,000
32 Ny.Yayuk 80,000 25,000

33 5/3/2020 Ny.Maratu 15,000


34 Ny.Erna 80,000 55,000 25,000
35 Ny.Sri Mulyani 20,000
36 Ny.Sri P 80,000 10,000

37 6/3/2020 Ny.Sriyati 20,000


38 Ny.Suparmi 80,000 25,000
39 An.Medina 80,000
40 By.Yahya
41 Ny.Sri Hartatik
42 Ny.Istiqomah 80,000 10,000
43 By.Hilda
44 By.Hilda
45 Ny.Hasna 80,000 55,000 25,000
46 By.Raja
47 By.Indah 80,000
48 Ny.Sisyanti 20,000
49 Ny.Fatimah 80,000 10,000
50 Ny.Indah 15,000

51 7/3/2020 Ny.Supatmi 80,000 25,000


52 Ny.Anik 80,000 55,000 25,000
53 Ny.Erna 10,000
54 Ny.Sunarti 20,000
55 Ny.Siti Dyah 80,000
56 Ny.Santika
57 Ny.Sri Wahyuni 15,000
58 Ny.Yatini 80,000
59 Ny.Yatini 25,000
60 Ny.Eni 80,000 10,000
61 Ny.Mayangsari 80,000 55,000 25,000

62 8/3/2020 By.Yatini 80,000


63 Ny.Yatini 15,000
64 By.Siti 80,000

65 9/3/2020 Ny.Siti Dyah 15,000


66 Ny.Dina 80,000
67 Ny.Suparmi 20,000
68 Ny.Ajeng 20,000
69 Ny.Fathina 80,000
70 Ny.Dina 25,000
71 Ny.Yudha 20,000
72 Ny.Titik 80,000 55,000 25,000
73 Ny.Imas 20,000

74 10/3/2020 By.Nasya
75 Ny.Dina 15,000
76 Ny.Ara 80,000
77 Ny.Vera 80,000
78 Ny.Ngatmi
79 Ny.Rusmini 80,000 25,000

80 11/3/2020 Ny.Kuswati 15,000


81 Ny.Sugiyarti 80,000 55,000
82 Ny.Anis 80,000 55,000
83 By.Dika
84 By.Sadrina
85 Ny.Kuswati 15,000
86 Ny.Dewi Yuliani 80,000
87 By.Dewi
88 Ny.Yuli 80,000
89 Ny.Sri Suwartini 80,000 25,000

90 12/3/2020 By.Dewi 25,000


91 Ny.Suharni 20,000
92 By.Umi
93 Ny.Yuli 25,000
94 Ny.Sri W 80,000 10,000
95 Ny.Rizki 80,000 55,000
96 By.Umi
97 Ny.Wulansari 15,000
98 Ny.Suminem 15,000 55,000
99 Ny.Yatmi 80,000 25,000
100 Ny.Inah 80,000 25,000
101 Ny.Reni 80,000
102 Ny.Nur H 80,000

103 13/03/2020 Ny.Cici 80,000 10,000


104 Ny.Wulan 80,000
105 Ny.Tatik 80,000 25,000
106 Ny.Vera 15,000
107 Ny.Yuliangga 15,000
108 Ny.Medista 80,000
109 By.Wiwik
110 Ny.Alfi 80,000 55,000
111 Ny.Yumi
112 Ny.Sri M 80,000 55,000

113 14/03/2020 Ny.Anis 80,000


114 By.Wiwik
115 Nn.Vina 15,000 55,000
116 Ny.Elvira 80,000 55,000 25,000
117 By.Septian
118 Ny.Darni 15,000
119 Ny.Rina 20,000
120 By.Septian
121 Ny.Siska 20,000
122 Ny.Riska 80,000 55,000
123 Ny.Anis 25,000
124 Ny.Desy 10,000

125 15/03/2020 By.Anis 80,000

126 16/03/2020 Ny.Woro Galuh 80,000 10,000


127 Ny.Anis 15,000
128 Ny.Endah 80,000 20,000
129 By.Nanik
130 By.Darni
131 Ny.Retno
132 Ny.Rtri M 15,000 25,000
133 Ny.Aulia 20,000
134 Ny.Galuh 80,000
135 Ny.Miranti 80,000 55,000
136 Ny.Elvis 80,000 55,000

137 17/03/2020 Ny.Tri M 15,000


138 Ny.Rika 15,000 55,000
139 Ny.Wanda 20,000
140 Ny.Inaya 80,000 55,000
141 Ny.Siti Nur 80,000 10,000
142 Ny.Nora 80,000 55,000
143 18/03/2020 Ny.Suharni
144 By.Hasna
145 Ny.Susanti 80,000 10,000
146 By.Anis 80,000
147 Ny.Riyani 80,000 10,000
148 By.Melani
149 By.Hasna
150 Nn.Rochmah 80,000 25,000
151 Ny.Legiyem 80,000
152 Ny.Sri Lestari 80,000 10,000
153 Ny.Kartini 80,000 10,000
154 By.Indah

155 19/03/2020 By.Indah


156 Ny.Alfi 10,000
157 Ny.Nadia 80,000 55,000
158 Ny.Rochmah 15,000
159 Ny.Darti 20,000
160 Ny.Suliyem

161 20/03/2020 Ny.Rusmiyati


162 Ny.Suryanti 80,000 25,000

163 21/03/2020 Ny.Dyah 80,000 55,000 25,000


164 Ny.Rini S 80,000 55,000 25,000
165 By.Melani
166 Ny.Nopi 10,000
167 Ny.Sumini 80,000 25,000
168 Ny.Santika 15,000

169 22/03/2020 Ny.Sutrisni 80,000 25,000

170 23/03/2020 Ny.Eni 80,000 10,000


171 Ny.Warsini 15,000 25,000
172 Ny.Sumini 15,000
173 Ny.Sunarni 80,000 25,000
174 Ny.Warsini 15,000
175 Ny.Endang 80,000 25,000
176 Ny.Sutrisni 15,000
177 Ny.Kustanti 20,000
178 Nn.Hanifah 80,000 25,000
179 Ny.Sri Mujiyeni 80,000
180 Ny.Retno Teni 80,000 25,000
181 Ny.Sri Mujiyeni 25,000

182 24/03/2020 By.Siti Nur


183 Ny.Lilis 80,000 55,000 25,000
184 By.Siti Nur
185 By.Sri M 80,000
186 Ny.Sunarni 15,000
187 Ny.Sri Muji 15,000
188 Ny.Miyarsih 80,000
189 Ny.Suhartatik 80,000 10,000
190 Ny.Fika 80,000
191 By.Sutrisni 80,000
192 Ny.Sutrisni 15,000

193 26/03/2020 Ny.Dina 15,000


194 Ny.Suwarni 10,000
195 Ny.Arwi 80,000 55,000 25,000
196 By.Tri Puji
197 BY.Dina 80,000 25,000
198 Ny.Mery 80,000
199 Ny.Yuliastuti 80,000
200 Ny.Dewi M 80,000 10,000
201 Ny.Dina 15,000
202 By.Dewi
203 Ny.Fitriyah 80,000 20,000

204 27/03/2020 By.Dewi


205 Ny.Uswatun 55,000
206 Ny.Fahrun 80,000

207 28/03/2020 Ny.Anis 80,000 55,000 25,000


208 Ny.Semi Puji 80,000 55,000 25,000
209 By.Dina 80,000
210 Ny.Triyani 15,000
211 Ny.Kusriani 80,000 10,000
212 Ny.Herlinda 80,000 10,000
213 Ny.Umi 80,000 10,000
214 Ny.Winarsih 80,000 10,000
215 Ny.Setiasih 80,000 10,000
216 Ny.Parti 80,000 25,000 20,000

217 29/03/2020 Ny.Rika 80,000 25,000


218 By.Uswatun
219 By.Tri Puji

220 30/03/2020 Ny.Nur H 80,000


221 Ny.Ngatini 80,000 55,000
222 Ny.Yeni 80,000 10,000
223 Ny.Nur S 15,000
224 Ny.Anik 55,000

225 31/03/2020 Ny.Nur Samsiah 15,000


226 Ny.Sumini 80,000 55,000 25,000
227 Ny.Tumini 20,000
228 Ny.Untari 80,000 25,000
229 Ny.Dwi L 80,000

9,360,000 495,000 1,980,000 1,250,000 290,000 440,000

JUMLAH PARAMETER 450


RINCIAN

NOVI
Parameter 424
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 24
Cito 60,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 2
Cito 20,000

KARYAWAN
Desti 5,000
Ririn 90,000
Jumlah 95,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000
25,000
35,000 40,000

35,000 40,000

25,000
25,000
25,000
75,000

40,000

35,000 70,000
35,000 40,000
25,000
25,000
75,000
25,000
25,000
25,000
35,000 40,000

25,000

25,000

35,000 40,000

35,000 70,000
25,000

25,000
25,000
35,000 40,000
35,000 70,000
75,000

25,000
35,000 40,000

75,000

35,000 40,000

35,000 70,000

75,000
25,000 40,000 40,000

35,000 40,000
35,000 40,000
35,000 70,000
35,000 70,000

25,000

25,000

25,000
35,000 40,000
25,000

25,000
25,000

25,000

25,000
40,000
75,000
35,000 40,000

25,000
35,000
35,000 40,000
25,000

25,000

35,000 40,000

35,000 70,000
35,000 70,000
20,000 20,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
40,000
25,000

35,000 70,000
25,000

75,000

25,000

25,000

35,000 40,000

75,000

75,000

35,000 40,000
35,000 40,000
35,000 70,000

25,000

25,000

20,000 20,000

25,000
35,000 40,000
25,000
25,000

35,000 40,000
35,000 70,000

25,000

25,000
35,000 40,000

35,000 40,000
35,000 40,000

35,000 70,000
35,000 70,000

35,000 40,000

35,000 40,000

35,000

975,000 1,085,000 675000 1,280,000 455,000 910000 40000 40000 40,000 40,000
OT PT Cholestero AU TG WIDAL JUMLAH
80,000
25,000
25,000
235,000
90,000
235,000
20,000
185,000
25,000
25,000
75,000
90,000

120,000
25,000
105,000
210,000
115,000
25,000
155,000
185,000
105,000
130,000
210,000

130,000
20,000
75,000 75,000
15,000
105,000
25,000
80,000
20,000
130,000

15,000
235,000
20,000
90,000

20,000
105,000
80,000
105,000
35,000 35,000 95,000
90,000
25,000
25,000
235,000
105,000
80,000
95,000
90,000
15,000

130,000
235,000
10,000
20,000
80,000
75,000
15,000
80,000
25,000
90,000
235,000

80,000
15,000
80,000

15,000
80,000
20,000
20,000
80,000
25,000
20,000
160,000
20,000

105,000
15,000
80,000
80,000
75,000
210,000

15,000
210,000
210,000
105,000
105,000
15,000
80,000
25,000
80,000
130,000

25,000
20,000
25,000
25,000
90,000
210,000
25,000
15,000
70,000
130,000
130,000
75,000 155,000
80,000

90,000
80,000
130,000
15,000
15,000
75,000 155,000
25,000
175,000
75,000
210,000

80,000
25,000
105,000
235,000
25,000
15,000
20,000
25,000
20,000
210,000
25,000
10,000

80,000

90,000
15,000
100,000
105,000
105,000
40,000
40,000
20,000
80,000
210,000
210,000

15,000
145,000
20,000
210,000
90,000
210,000
40,000
25,000
40,000 40,000 170,000
80,000
90,000
105,000
25,000
105,000
155,000
90,000
90,000
25,000

25,000
10,000
210,000
15,000
20,000
75,000

75,000
105,000

235,000
235,000
105,000
10,000
130,000
15,000

105,000

90,000
40,000
15,000
130,000
15,000
105,000
15,000
20,000
105,000
80,000
145,000
25,000

25,000
235,000
25,000
80,000
15,000
15,000
80,000
90,000
80,000
105,000
15,000

15,000
10,000
235,000
105,000
105,000
80,000
80,000
90,000
15,000
25,000
100,000

25,000
130,000
80,000

235,000
235,000
80,000
15000
90,000
90,000
90,000
90,000
90,000
125,000

105,000
105,000
105,000

80,000
210,000
90,000
15,000
130,000

15,000
195,000
20,000
105,000
80,000

40,000 40,000 35000 35000 225000 19,730,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/4/2020 Ny.Ayu Dwi 80,000 55,000 25,000
2 By.Ayu Dwi 80,000
3 Ny.Nur Azizah 80,000 25,000
4 Ny.Dyah Endar 80,000 25,000
5 Ny.Ayu Dwi 15,000
6 By.Semi Puji 80,000
7 Ny.Nuri Dewi 80,000 10,000
8 Ny.Sri Suwarni 80,000
9 By.Yati
10 Ny.Reni 80,000

11 2/4/2020 By.Yati
12 Ny.Nadia 80,000 25,000
13 Tn.Muamar 80,000 25,000
14 Ny.Ita Nur 80,000 10,000
15 Ny.Wagiyem 80,000 25,000
16 Ny.Lilis 80,000
17 By.Sulastri
18 Ny.Linda 15,000
19 Ny.Semi Puji 15,000
20 By.Sulastri
21 Ny.Rika 80,000

22 3/4/2020 By.Suwarni
23 By.Alwi 80,000 25,000
24 Ny.Yuli 80,000 10,000
25 Ny.Titin 80,000
26 By.Suwarni
27 Ny.Tanti Wiji 80,000 25,000
28 Ny.Sutini 80,000 25,000
29 Ny.Lailatul 80,000 25,000

30 4/4/2020 By.Alwi 80,000


31 Ny.Asih Nur 80,000
32 Ny.Peni 80,000 55,000 25,000
33 Ny.Rini 15,000
34 Ny.Evi 80,000 55,000 25,000

35 5/4/2020 Ny.Titin 15,000


36 Ny.Rika 15,000
37 By.Rika
38 By.Arwi
39 Ny.Rani 80,000
40 By.Rika
41 By.Dewi 80,000

42 6/4/2020 Ny.Hasiana 80,000 10,000


43 Ny.Supiah 80,000
44 Ny.Suginah 80,000 55,000 25,000
45 Ny.Rani 25,000
46 Ny.Sukarni 80,000 25,000
47 Ny.Sri L 20,000
48 Ny.Sri Suwarni 80,000 55,000

49 7/4/2020 Ny.Rani 15,000


50 Ny.Murtini 80,000
51 Ny.Inaya 15,000
52 Ny.Rusmiati 15,000

53 8/4/2020 Ny.Erlin 80,000


54 Ny.Ngatini 80,000 25,000
55 By.Rusmiyati
56 By.Rusmiyati
57 Ny.Wartini 55,000

58 9/4/2020 By.Dewi 80,000


59 Ny.Wartini
60 Ny.Susiana 80,000 10,000

61 10/4/2020 Ny.Lilis 15,000


62 By.Susiana
63 By.Inaya 80,000
64 By.Susiana

65 11/4/2020 Nn.Audi 20,000


66 By.Rusmiati
67 Ny.Vidia 80,000 55,000 25,000
68 Ny.Sri Utami 80,000 25,000 20,000
69 Ny.Sumini 80,000
70 Ny.Risty
71 Ny.Sasuka 80,000 25,000
72 Ny.Sularti
73 Ny.Etik 15,000 55,000

74 13/04/2020 Ny.Tina 80,000


75 Ny.Ngatini 15,000 55,000
76 Ny.Sutini 80,000
77 Ny.Husnur 80,000
78 Ny.Puriyanti 80,000 55,000
79 Ny.Sriyatun 80,000

80 14/04/2020 Ny.Lisa 20,000


81 Ny.Ika 80,000 55,000
82 Ny.Triningsih 80,000 10,000
83 Ny.Astini
84 Ny.Triyanti 80,000 55,000

85 15/04/2020 Ny.Endang 80,000 25,000


86 Ny.Suyatmi 80,000 55,000
87 Ny.Sindi Ayu 15,000 55,000
88 By.Nathan 80,000
89 Ny.Puryanti 80,000 55,000

90 16/04/2020 Ny.Lilik
91 Ny.Irhasti
92 Ny.Retno Dwi 80,000 25,000
93 Ny.Anik 20,000

94 17/04/2020 By.Riyani
95 Ny.Harsih 80,000 10,000

96 18/04/2020 Ny.Hartini 15,000 55,000


97 Ny.Ulfana 80,000 10,000
98 By.Anif
99 Ny.Fitri 15,000
100 Ny.Musripah 15,000 25,000
101 By.Anif
102 Ny.Risa 80,000 10,000
103 Ny.Harsih 15,000
104 Ny.Tri Utami 15,000 55,000

105 19/04/2020 Ny.Agustina 15,000 55,000

106 20/04/2020 Ny.Prima 80,000


107 Ny.Wiji Lestari 80,000
108 By.Riyani
109 Ny.Ervina 80,000

110 21/04/2020 Ny.Retno 15,000 55,000


111 By.Fauziah
112 Ny.Winarni 80,000 10,000
113 Ny.Suti 20,000
114 Nn.Putri 80,000
115 Ny.Yuli 80,000 10,000
116 Ny.Sri L 80,000
117 Ny.Tias 80,000 55,000
118 By.Fauziah
119 Ny.Tri P
120 Ny.Yulianti 55,000

121 22/04/2020 Ny.Rina 80,000 10,000


122 Ny.Yulianti 15,000
123 Ny.Eka Dara
124 Nn.Alvia 20,000
125 Ny.Rani 80,000
126 Ny.Ulfah 80,000 55,000 25,000
127 Ny.Yanti 80,000 25,000
128 Nn.Arya 80,000
129 Ny.Nunung PL
130 Ny.Novita 80,000 55,000 25,000
131 Ny.Rosita 80,000 55,000 25,000
132 Ny.Ike 80,000 55,000

133 23/04/2020 Ny.Siti Rohani 80,000 25,000


134 Ny.Siti Rohani 15,000
135 An.Kenzo
136 Ny.Fika 15,000
137 Ny.Nurul 80,000 25,000

138 24/04/2020 By.Wahyu


139 Ny.Risky 80,000 55,000
140 Ny.Ninik 20,000
141 By.Endang
142 By.Retno
143 By.Wahyu
144 Ny.Tuti 15,000 55,000
145 Ny.Rita

146 25/04/2020 Ny.Nuratul 80,000 25,000


147 Ny.Sugiyem 80,000 25,000
148 By.Yanti 80,000
149 Ny.Tuginah 80,000 55,000 25,000

150 29/04/2020 By.Wahyuni 80,000


151 Ny.Yanti 15,000
152 Ny.Sutarti 80,000 55,000 25,000
153 By.Wahyuni

154 27/04/2020 Ny.Yanti 15,000


155 Ny.Kurnia 55,000
156 Ny.Tina Nur 80,000
157 Ny.Suparti 80,000 55,000
158 Ny.Tuginah 15,000
159 Ny.Nurul Nisa 15,000
160 Ny.Anita 80,000 55,000
161 Ny.Sutarti 15,000

162 28/04/2020 Ny.Iyoni 80,000


163 Ny.Nella 80,000 55,000 25,000
164 Ny.Dwi Puspita 80,000 25,000
165 Ny.Munawaroh 15,000 25,000
166 Ny.Fathatun 80,000

167 29/04/2020 By.Wahyuni 80,000


168 Ny.Dwi Puspita 15,000
169 Ny.Lilis 80,000 55,000
170 Ny.Dian 80,000
171 Ny.Dian 15,000
172 Ny.Efit 15,000
173 By.Uun 2

174 30/04/2020 By.Uun 2


175 Ny.Novia 15,000
176 Ny.Nunung 80,000
177 Ny.Yatini 80,000 25,000
178 Ny.Puji Lestari 20,000
179 By.Novia 80,000
180 Ny.Fitri 80,000 55,000 25,000 10,000
7,680,000 510,000 1,925,000 925,000 130,000 180,000

JUMLAH PARAMETER 371

RINCIAN

NOVI
Parameter 337
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 34
Cito 180,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

KARYAWAN
Desti 12,500
Desti 5,000
Desti 45,000
Jumlah 62,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
35,000 40,000

25,000

25,000

25,000

25,000

25,000
25,000

25,000

25,000 35,000

35,000 40,000

25,000
35,000 70,000

25,000
25,000

25,000
35,000 40,000

25,000

25,000
25,000
35,000 70,000

25,000
35,000 70,000

25,000

25,000

35,000 70,000
35,000 40,000

75,000
75,000
75,000
35,000 40,000

25,000 35,000
25,000 40,000 40,000

35,000 40,000
25,000

35,000 40,000

25,000
35,000 40,000

25,000
25,000 35,000

35,000 70,000
35,000 40,000

75,000
75,000

35,000 70,000

35,000 40,000

25,000

25,000

35,000 40,000

35,000 40,000

35,000 70,000

35,000 40,000
25,000

35,000 40,000
25,000
75,000

75,000

35,000 40,000

75,000
35,000 40,000
35,000 40,000
35,000 40,000

25,000

35,000 70,000
25,000
35,000 40,000

35,000 70,000
35,000 70,000
25,000
35,000 40,000
75,000

25,000 35,000

25,000

25,000 35,000
25,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000

35,000 70,000

35,000 40,000

25,000

25,000

25,000

25,000
35,000 40,000
1,000,000 1,085,000 675000 1,040,000 385,000 770000 40,000 40,000
OT PT Cholestero AU TG WIDAL JUMLAH
235,000
80,000
105,000
105,000
15,000
80,000
90,000
80,000
25,000
80,000

25,000
105,000
105,000
90,000
105,000
80,000
25,000
15,000
15,000
25,000
75,000 155,000

25,000
130,000
90,000
80,000
25,000
105,000
105,000
105,000

80,000
80,000
220,000
15,000
235,000

15,000
15,000
25,000
105,000
80,000
25,000
105,000

90,000
80,000
185,000
25,000
105,000
20,000
210,000

15,000
105,000
15,000
15,000

80,000
105,000
25,000
25,000
40,000 40,000 240,000

105,000
40,000 40,000 185,000
90,000

15,000
25,000
80,000
25,000

20,000
105,000
235,000
125,000
80,000
75,000
180,000
75,000
145,000

80,000
130,000
185,000
80,000
210,000
105,000

20,000
210,000
90,000
25,000
210,000

130,000
195,000
70,000
185,000
210,000

75,000
75,000
105,000
20,000

105,000
90,000

145,000
90,000
25,000
15,000
40,000
25,000
90,000
15,000
145,000

145,000

80,000
80,000
105,000
80,000

145,000
25,000
90,000
20,000
80,000
90,000
75,000 155,000
210,000
25,000
75,000
55,000

90,000
15,000
75,000
20,000
80,000
235,000
105,000
80,000
75,000
235,000
235,000
210,000

130,000
15,000
105,000
15,000
105,000

25,000
210,000
20,000
105,000
105,000
25,000
145,000
75,000

105,000
105,000
80,000
220,000

105,000
15,000
220,000
25,000

15,000
130,000
80,000
210,000
15,000
15,000
210,000
15,000

80,000
235,000
130,000
40,000
80,000

185,000
15,000
210,000
80,000
15,000
15,000
25,000

25,000
15,000
80,000
130,000
20,000
105,000
245,000
80,000 80,000 150000 16,695,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/5/2020 Ny.Ayu 15,000 25,000
2 Ny.Novia Rini 15,000
3 Ny.Fitri 15,000
4 By.Novia 80,000

5 2/5/2020 Ny.Rosalia 80,000 55,000


6 Ny.Sunarni 80,000 25,000
7 Ny.Suprihatin 80,000 55,000
8 By.Winarni
9 By.Mariam
10 By.Lusiana
11 Ny.Nikha 80,000 10,000
12 Ny.Lusi 80,000 10,000

13 3/5/2020 Ny.Muryani 80,000 10,000


14 By.Lusiana
15 Ny.Retno 80,000 55,000 25,000

16 4/5/2020 By.Ririn
17 Ny.Dian 80,000 10,000
18 Ny.Retno 15,000
19 Ny.Ismastuti 80,000
20 By.Ririn
21 Ny.Darmini 80,000 10,000
22 Ny.Sri Sumarni 80,000 10,000
23 Ny.Susilowati 15,000 25,000

24 5/5/2020 By.Yuyun
25 By.Maya
26 By.Yuyun
27 By.Maya
28 Ny.Ana 80,000 55,000 10,000
29 Ny.Riska 15,000
30 An.Arsinta
31 Ny.Marlyla 80,000 10,000

32 6/5/2020 Ny.Yuni 80,000 25,000


33 Ny.Riski
34 Ny.Riska 15,000
35 Ny.Dwi Ningsih 80,000
36 By.Riski
37 Ny.Fathatun 15,000
38 Ny.Ika Novi 80,000
39 Ny.Siti Fatimah 80,000 55,000
40 Ny.Yunik
41 Ny.Ayuni 80,000 55,000 25,000 10,000

42 7/5/2020 Ny.Sri Mulyani 15,000


43 By.Gita
44 Ny.Gita 15,000 55,000
45 8/5/2020 Ny.Sumarni 80,000 25,000
46 Ny.Rubini 80,000 55,000 10,000
47 Ny.Sugiyarti 80,000 25,000 10,000
48 By.Gita
49 Ny.Kurnia
50 By.Mariam
51 Ny.Nining 80,000 55,000 10,000
52 Ny.Linatus 10,000
53 Ny.Puji Ayu 80,000 10,000
54 Ny.Erlina 10,000
55 Ny.Irma 80,000 10,000

56 9/5/2020 Ny.Dian Karina 80,000 55,000 10,000


57 Ny.Fakhiroh 80,000 10,000
58 Ny.Iva
59 Ny.Narda 80,000 10,000
60 Ny.Erna 15,000
61 Ny.Fitrianingsih 80,000 55,000
62 Ny.Kalinem 80,000

63 10/5/2020 Ny.Noviana 15,000 25,000


64 Ny.Ulfa 80,000
65 Ny.Utami 15,000
66 Tn.Jeratallah 80,000
67 Ny.Niken 80,000 10,000

68 11/5/2020 Ny.Tugiyem 80,000 55,000 25,000


69 Ny.Maryati 10,000
70 Ny.Tina Nur 80,000
71 Ny.Astutik 15,000
72 Ny.Utami 15,000
73 Ny.Ulfa 15,000
74 Ny.Wiwik 80,000 55,000 10,000
75 Ny.Nadia 55,000
76 Ny.Vidia 80,000
77 Ny.Linda 80,000 10,000
78 Ny.Amelia 80,000 55,000 10,000

79 12/5/2020 Ny.Sari 80,000 55,000 10,000


80 Ny.Fatimah 80,000 10,000
81 Ny.Chantika 80,000
82 Ny.Marini 80,000 10,000
83 Ny.Diah Ayu 80,000

84 13/05/2020 Ny.Ratna 80,000 55,000 25,000 10,000


85 Ny.Nur Ismaini 80,000 10,000
86 Ny.Nur Hikmah 80,000 10,000
87 Ny.Fitri 80,000 10,000
88 Ny.Anik 80,000 55,000
89 Ny.Exany 80,000 10,000
90 Ny.Siti Ulfa 80,000 55,000 25,000 20,000

91 14/05/2020 Ny.Siti Ulfa 15,000


92 Ny.Linggar 80,000 10,000
93 Ny.Ayu 80,000 55,000 10,000
94 Nn.Andina 80,000 25,000
95 Ny.Dwi Hartini 80,000 10,000
96 Ny.Dita 80,000
97 By.Sri Murtini

98 15/05/2020 Ny.Sumiyati
99 Ny.Tutut 80,000
100 By.Sri Murtini
101 Ny.Suharni 80,000 25,000
102 Ny.Ida Khusnul
103 Ny.Yunik 80,000
104 Ny.Yunik 25,000

105 15/05/2020 Ny.Ida Sanjaya 80,000 55,000 25,000


106 Ny.Ulfana 80,000 10,000
107 Ny.Yunik 15,000
108 Ny.Devi 80,000 10,000
109 Ny.Eka 80,000 55,000 25,000
110 Ny.Ambar 55,000

111 17/05/2020 Ny.Suwarni 15,000 55,000

112 18/05/2020 Ny.Megawati 80,000 25,000


113 Ny.Sri S 80,000
114 By.Nurul
115 Ny.Sri N 80,000 55,000 25,000 10,000
116 Ny.Indah 80,000 20,000
117 Ny.Lailatul 80,000 10,000
118 Ny.Jariyati 80,000 55,000 10,000
119 Ny.Resha 80,000 25,000
120 Ny.Ngatini 80,000 10,000
121 Ny.Nur Hidayati 80,000 55,000 25,000 10,000

122 19/05/2020 Ny.Endang P 80,000 25,000


123 Ny.Ruri 80,000 10,000
124 Ny.Retno 80,000
125 Ny.Jariyati 15,000
126 By.Ruri
127 Ny.Reni 20,000
128 Ny.Rusmiyati 20,000

129 20/05/2020 Ny.Titik 80,000 55,000 10,000


130 Ny.Paiyem 80,000 25,000
131 By.Ruri
132 Ny.Sekar 80,000
133 Ny.Sari 15,000
134 Ny.Fisesta 80,000
135 By.Wahyuni
136 Ny.Elisabet 80,000 10,000
137 Ny.Ita 80,000
138 21/05/2020 By.Reni
139 By.Ruri 80,000
140 Ny.Lilis 80,000 25,000

141 22/05/2020 Ny.Sugiyarti 80,000 25,000 20,000


142 By.Reni
143 By.Daryanti
144 Ny.Sri Suwarni 80,000 25,000
145 Ny.Nurul 80,000

146 23/05/2020 Ny.Eka 15,000


147 Ny.Lilis 15,000
148 Ny.Daryanti
149 Ny.Wiska 80,000 55,000 25,000 10,000
150 Ny.Suryani 80,000 55,000 10,000
151 Ny.Lilik 80,000 10,000
152 Ny.Wida 15,000 55,000
153 Ny.Tentrem 80,000 25,000

154 25/05/2020 Ny.Riska 80,000


155 By.Nurul
156 By.Nurul
157 Ny.Linda 15,000 25,000

158 26/05/2020 Ny.Vindy 15,000 55,000 25,000 10,000


159 Ny.Linda 15,000
160 By.Linda 80,000

161 27/05/2020 Ny.Anys W.L 80,000 25,000


162 Ny.Harsi 80,000
163 Ny.Indah Sari 80,000 55,000 25,000 10,000
164 Ny.Ambar 80,000 55,000 25,000
165 Ny.Sri Giyarti 80,000 55,000 25,000
166 Ny.Ayu Kusuma 80,000
167 Ny.Vindy 15,000
168 Ny.Linda 15,000
169 Ny.Mey 80,000 55,000 10,000
170 Ny.Kusmini 80,000 10,000
171 By.Sri Utami
172 By.Indah 80,000
173 Ny.Hastuti 15,000
174 Ny.Sri R 80,000 55,000 25,000
175 Ny.Tri Winarni 80,000 55,000 25,000 10,000

176 28/05/2020 Ny.Riya Rofiah 80,000 10,000


177 Ny.Indah 15,000
178 By.Sri Utami
179 Ny.Suparni 80,000 25,000 20,000
180 Ny.Nurul 80,000 10,000
181 Ny.Sugeng 20,000
182 By.Sheila
183 Ny.Intan 80,000 10,000
184 Ny.Ifa 80,000 10,000
185 29/05/2020 Ny.Sri Wahyuni 80,000 55,000 25,000 10,000
186 Ny.Nanik 80,000
187 Ny.Sumarni 80,000
188 Ny.Suparni 80,000 10,000
189 Ny.Sri Nurhayati 15,000
190 Nn.Heice 80,000 25,000
191 Ny.Veronika 80,000 55,000
192 Ny.Mistini 15,000

193 30/05/2020 Ny.Nur Fitri 80,000


194 By.Dwi Nuryanti
195 Ny.Rudayah 80,000
196 Ny.Dwi Hartini 80,000 10,000
197 Ny.Ika P 15,000
198 By.Ulfana 80,000
199 By.Dwi Nuryanti
200 Ny.Rini 80,000 20,000
201 Ny.Sidiq 15,000 55,000

9,520,000 525,000 2,255,000 975,000 600,000 160,000

JUMLAH PARAMETER 456

RINCIAN

NOVI
Parameter 386
OnCall Tgl Merah 3 Kali

WAHYU
Masuk 5 Kali
Parameter 58
Cito 160,000
On Call Tgl Merah 3 Kali

ERIKA
On Call tgl Merah 3 Kali
Parameter 12
Cito 80,000

KARYAWAN
Desti 45,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000

35,000 40,000
25,000
35,000 40,000
35,000 70,000
35,000 70,000
25,000

25,000
35,000 40,000

25,000

25,000

25,000
25,000
25,000
25,000
35,000 40,000

35,000 70,000

25,000
25,000

25,000

40,000
35,000 40,000
75,000 40,000 40,000
35,000 40,000

25,000
35,000 40,000
25,000
35,000 40,000

25,000
75,000 40,000 40,000
35,000 70,000
35,000 40,000

35,000 40,000

75,000

35,000 40,000

25,000
40,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000
35,000 40,000
25,000

25,000

75,000

25,000
25,000
75,000
75,000 40,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000

40,000
35,000 70,000
35,000 40,000

35,000 40,000
75,000

35,000 40,000

25,000

35,000 40,000
25,000
25,000

20,000 20,000
25,000
25,000

25,000

25,000
25,000
25,000

25,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000
25,000

35,000 40,000

25,000
35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000

35,000 40,000
35,000 40,000

25,000

35,000 70,000
35,000 40,000

35,000 40,000

25,000

25,000
25,000

35,000 40,000

975,000 1,400,000 525000 1,680,000 210,000 420000 20000 20000 120,000 120,000
OT PT Cholestero AU TG WIDAL JUMLAH
40,000
15,000
15,000
105,000

210,000
130,000
210,000
105,000
105,000
25,000
90,000
90,000

90,000
25,000
235,000

25,000
90,000
15,000
80,000
25,000
90,000
90,000
40,000

25,000
25,000
25,000
25,000
220,000
15,000
105,000
90,000

130,000
25,000
15,000
80,000
25,000
15,000
120,000
210,000
155,000
245,000

15,000
25,000
145,000
130,000
220,000
115,000
25,000
155,000
105,000
220,000
10,000
90,000
10,000
90,000

220,000
90,000
75,000
90,000
15,000
210,000
80,000

40,000
80,000
15,000
80,000
90,000

185,000
50,000
80,000
15,000
15,000
15,000
220,000
130,000
80,000
90,000
220,000

220,000
90,000
80,000
90,000
80,000

245,000
90,000
90,000
90,000
210,000
90,000
215,000

15,000
90,000
220,000
130,000
90,000
80,000
25,000

75,000
80,000
25,000
130,000
75,000
235,000
25,000

235,000
90,000
15,000
90,000
235,000
130,000

145,000

105,000
120,000
105,000
245,000
100,000
90,000
220,000
180,000
90,000
245,000

105,000
90,000
80,000
15,000
25,000
20,000
20,000

220,000
130,000
25,000
80,000
15,000
120,000
25,000
90,000
80,000
25,000
80,000
130,000

125,000
25,000
25,000
130,000
80,000

15,000
15,000
25,000
245,000
220,000
90,000
145,000
105,000

80,000
25,000
25,000
40,000

180,000
15,000
80,000

105,000
105,000
245,000
235,000
235,000
80,000
15,000
15,000
220,000
90,000
25,000
80,000
15,000
235,000
245,000

90,000
15,000
25,000
125,000
90,000
20,000
105,000
90,000
90,000
245,000
80,000
80,000
90,000
15,000
105,000
210,000
15,000

80,000
25,000
80,000
90,000
15,000
105,000
25,000
100,000
145,000

19,525,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/6/2020 Ny.Dewi 15,000 55,000 25,000
2 Ny.Dwi Nugraheni 15,000 55,000 25,000
3 By.Deni
4 By.Deni
5 By.Dewi

6 2/6/2020 By.Dewi
7 Nn.Ayu 20,000
8 Ny.Dinem 80,000 25,000
9 Ny.Setyowati 80,000 55,000
10 Ny.Aprilia 20,000
11 Ny.Rubini 80,000 55,000
12 Ny.Lestari 80,000 10,000
13 Ny.Widawati 80,000 25,000
14 Ny.Anis 20,000
15 Ny.Lilis 80,000 10,000
16 Ny.Sumiyati 80,000 10,000
17 Ny.Vera 80,000 55,000 25,000
18 Ny.Puji Lestari 55,000

19 3/6/2020 By.Sumiyati
20 Ny.Untari 80,000
21 By.Sumiyati
22 Ny.Novi P 80,000 55,000 25,000
23 Ny.Lina Kusti 80,000 55,000

24 4/6/2020 Ny.Siska 80,000 55,000 10,000


25 Ny.Purwanti 15,000
26 Ny.Aulia 80,000 55,000 10,000
27 Ny.Dheajeng 80,000
28 Ny.Retno 15,000 25,000

29 5/6/2020 By.Dwi Nur


30 Ny.Rachmawati 80,000 55,000
31 By.Dwi Nur
32 By.Lailatul
33 Ny.Sri Handayani 55,000
34 Ny.Harsini 80,000 10,000
35 Ny.Fitri
36 Ny.Adina 80,000 55,000 10,000
37 Ny.Nur Fitri 55,000
38 Ny.Sugiyanti 80,000 25,000

39 6/6/2020 By.Lailatul
40 Ny.Winda 15,000
41 By.Nur Fitri
42 By.Yuli
43 By.Nur Fitri
44 By.Yuli
45 Ny.Immia 80,000 10,000
46 Ny.Soraya 20,000
47 7/6/2020 By.Surani 1
48 By.Surani 2
49 By.Surani 1
50 By.Surani 2

51 8/6/2020 By.Poni 80,000


52 Ny.Windi 80,000 55,000 10,000
53 Ny.Samini 80,000 55,000 25,000

54 9/6/2020 Ny.Rusdiana 80,000 55,000 10,000


55 Ny.Selvia 80,000 25,000
56 Ny.Anita
57 By.Anita

58 10/6/2020 By.Anita
59 Ny.Sirki 80,000 55,000 25,000
60 Ny.Risqiana 80,000 55,000
61 Ny.Trias 80,000

62 11/6/2020 Ny.Sri W 80,000 10,000


63 Ny.Neti
64 By.Tutik 80,000
65 Ny.Astrining 80,000 55,000
66 Ny.Suwanti 80,000 55,000
67 Ny.Sri L 20,000
68 Ny.Heni 80,000
69 Ny.Darmini 80,000

70 12/6/2020 By.Syanum
71 Ny.Meida 80,000 55,000 25,000
72 Ny.Dian 80,000 55,000
73 Ny.Okta 80,000

74 13/06/2020 Ny.Novi 15,000 25,000


75 Ny.Henny 80,000 55,000 10,000
76 Ny.Anisa 20,000
77 Ny.Anita 20,000
78 Ny.Suci 80,000
79 Ny.Welas 80,000 25,000
80 Ny.Rini 80,000 55,000 10,000

81 14/06/2020 By.Rizqiana
82 Ny.Lastri 80,000
83 By.Rizqiana

84 15/06/2020 Ny.Nur Amini 15,000 55,000


85 Ny.Sumiyem 20,000
86 Ny.Sulisyoningsih 80,000 25,000
87 Ny.Wahyuningrum 80,000 55,000
88 Ny.Winda 80,000 10,000
89 Ny.Nana 80,000
90 16/06/2020 By.Syanum
91 By.Basriatun
92 By.Basriatun
93 By.Retno
94 Ny.Retno Dwi 15,000
95 Ny.Intan Murti 80,000 10,000
96 Ny.Enik 80,000 25,000
97 Ny.Anisa 80,000 10,000
98 Ny.Ani 80,000 10,000
99 Ny.Lisiati 80,000 10,000

100 17/06/2020 By.Retno


101 Ny.Ida 80,000 55,000 10,000
102 Ny.Nani 80,000 10,000
103 Ny.Kasminah 80,000 25,000
104 Ny.Winawati 80,000 55,000 25,000 10,000
105 Ny.Novita Nur 80,000 10,000
106 Ny.Yuli 80,000

107 18/06/2020 Ny.Denok 10,000


108 Ny.Retno 80,000 25,000
109 Ny.Ratna 15,000 55,000

110 19/06/2020 Ny.Wastik 80,000


111 Ny.Novita 80,000 55,000 10,000
112 Ny.Suparni 15,000 55,000
113 By.Puji Ayu 80,000 25,000
114 Ny.Datih 80,000 55,000 25,000 10,000
115 Ny.Rokimah 80,000
116 Ny.Nunung 80,000 10,000

117 20/06/2020 By.Richa


118 By.Puji Ayu 80,000
119 Ny.Sariani 80,000 55,000 10,000
120 Ny.Hana 80,000 55,000 25,000
121 By.Richa
122 Ny.Maryati 80,000 10,000
123 Ny.Nina 80,000
124 Ny.Heni 80,000

125 21/06/2020 Ny.Gigi 80,000 25,000


126 By.Puryanti

127 22/6/2020 Ny.Winarni 20,000


128 By.Puryanti
129 By.Puji 80,000
130 Ny.Septiana 80,000 55,000
131 Ny.Desita 20,000
132 By.Puji
133 Ny.Gayatri 80,000 55,000 25,000
134 Ny.Yuli
135 Ny.Sri Sumarni
136 23/06/2020 Ny.Sarni 80,000
137 By.Nurul
138 By.Hanif
139 Ny.Yuli 15,000
140 Ny.Dewi 80,000 25,000
141 Ny.Anita 15,000
142 Ny.Rini 80,000 10,000
143 Ny.Noviana 80,000 55,000 25,000
144 Ny.Tri S 80,000
145 By.Hanif
146 Ny.Lilik 80,000 10,000
147 Ny.Darmini 80,000 25,000
148 Ny.Ria 80,000 55,000 25,000
149 Ny.Hartutik 15,000 25,000

150 24/06/2020 Ny.Tri Mulyani 80,000 10,000


151 Ny.Titik S 80,000 55,000 10,000
152 Ny.Karminah 80,000 25,000
153 Ny.Sri Wahyuni 80,000 10,000
154 Ny.Meidista 80,000 25,000
155 Ny.Linda 10,000
156 Ny.Sumarni 80,000 10,000

157 25/06/2020 Ny.Chantika 15,000 25,000


158 Ny.Atik 80,000 25,000
159 Ny.Chantika 15,000
160 By.Sahasika
161 Ny.Arum 15,000 55,000
162 By.Anum
163 Ny.Sunarni 80,000 55,000 25,000
164 Ny.Yulia 80,000 10,000
165 Ny.Ngatmini 80,000 25,000
166 By.Sulastri

167 26/06/2020 Ny.Nurul 80,000 25,000


168 By.Sulastri
169 By.Anum
170 Ny.Tuminingsih 80,000 25,000
171 By.Anum 80,000
172 By.Nurul

173 27/06/2020 Ny.Novia 55,000


174 Ny.Sujatmi
175 Ny.Sari 80,000 25,000
176 Nn.Mahmudah 80,000 25,000
177 Ny.Desti 20,000
178 Ny.Anita 80,000
179 Ny.Partini 80,000 10,000
180 Ny.Partini 55,000

181 29/06/2020 Ny.Nurul 80,000 10,000


182 Ny.Nanik 80,000 55,000
183 Ny.Hesti 80,000
184 Ny.Dyah 55,000
185 Ny.Darwati 80,000 25,000
186 Ny.Siti 80,000 10,000
187 Ny.Partini 80,000
188 Ny.Sri M 20,000
189 Ny.Husnawati 80,000 10,000

190 30/06/2020 Ny.Efi 80,000 10,000


191 By.Tursia
192 By.Tursia
193 Ny.Dwi Yuliya 80,000 10,000
194 Ny.Siti M
195 Ny.Siska 80,000 10,000
196 Ny.Waginem

8,640,000 240,000 2,530,000 1,000,000 430,000 240,000

JUMLAH PARAMETER 436

RINCIAN

NOVI
Parameter 394
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 38
Cito 80,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 4
Cito 80,000

KARYAWAN
Indah 65,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
35,000 40,000
35,000
25,000
25,000
25,000

25,000

35,000 40,000

35,000 40,000

75,000

35,000 40,000
35,000 40,000

25,000

25,000
35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

25,000
25,000 35,000 40,000
25,000
25,000
35,000 40,000

75,000
35,000 40,000
35,000 40,000
25,000

25,000

25,000
25,000
25,000
25,000
25,000
25,000
25,000
25,000

35,000 40,000
35,000 40,000

35,000 40,000

25,000
25,000

25,000
35,000 40,000
35,000 40,000

75,000
25,000
35,000 40,000
35,000 40,000

75,000

35,000 70,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000
35,000 40,000

25,000

25,000

35,000

35,000 40,000
35,000 70,000
25,000
25,000
25,000

25,000
35,000 40,000

25,000
35,000 40,000

35,000 40,000

25,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000

35,000 40,000
35,000 40,000
25,000

25,000

25,000

35,000 40,000

40,000 40,000
35,000 40,000
75,000
25,000 75,000
35,000 70,000
25,000

35,000 40,000

25,000

25,000
35,000 40,000

35,000 40,000
25,000

25,000

35,000 70,000
35,000 40,000
25,000
35,000 40,000

25,000
25,000

25,000
25,000
25,000
25,000

35,000 70,000

35,000 40,000
75,000
25,000

35,000 40,000

35,000 40,000
35,000 40,000
25,000

25,000
25,000

75,000
40,000 40,000
75,000

1,350,000 1,610,000 675000 1,760,000 175,000 350000 80,000 80,000


OT PT Cholestero AU TG WIDAL JUMLAH
170,000
130,000
25,000
25,000
25,000

25,000
20,000
105,000
210,000
20,000
210,000
90,000
105,000
95,000
90,000
90,000
235,000
130,000

25,000
80,000
25,000
235,000
210,000

220,000
15,000
220,000
80,000
40,000

25,000
235,000
25,000
25,000
130,000
90,000
75,000
220,000
130,000
130,000

25,000
15,000
25,000
25,000
25,000
25,000
90,000
20,000
25,000
25,000
25,000
25,000

80,000
220,000
235,000

220,000
105,000
25,000
25,000

25,000
235,000
210,000
80,000

90,000
75,000
105,000
210,000
210,000
20,000
80,000
155,000

105,000
235,000
210,000
80,000

40,000
220,000
20,000
20,000
80,000
130,000
220,000

25,000
80,000
25,000

105,000
20,000
105,000
210,000
90,000
80,000
105,000
25,000
25,000
25,000
15,000
90,000
105,000
90,000
90,000
90,000

25,000
220,000
90,000
130,000
245,000
90,000
80,000

10,000
105,000
145,000

105,000
220,000
145,000
105,000
245,000
80,000
90,000

25,000
80,000
220,000
235,000
25,000
90,000
80,000
80,000

105,000
25,000

20,000
25,000
80,000
210,000
20,000
80,000
235,000
75,000
100,000
80,000
105,000
25,000
15,000
105,000
15,000
90,000
235,000
80,000
25,000
90,000
130,000
235,000
40,000

90,000
220,000
130,000
90,000
105,000
10,000
90,000

40,000
130,000
15,000
105,000
145,000
25,000
235,000
90,000
130,000
25,000

130,000
25,000
25,000
130,000
80,000
105,000

130,000
75,000
130,000
105,000
20,000
80,000
90,000
130,000

90,000
210,000
80,000
130,000
130,000
90,000
80,000
20,000
90,000

90,000
25,000
25,000
90,000
75,000
170,000
75,000

19,160,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/7/2020 By.Retno 80,000
2 Ny.Siti Fatonah
3 Ny.Novi Rinasih 80,000
4 Ny.Kisni
5 Ny.Sri Wahyuni 80,000
6 Ny.Suwarni 80,000 10,000

7 2/7/2020 Ny.Sukini 80,000 25,000


8 Ny.Dewi Rejeki 80,000 55,000 25,000
9 Ny.Nita Purwanti 80,000 10,000
10 Ny.Rini S 80,000 10,000
11 Ny.Ria Gusti 80,000 10,000

12 3/7/2020 Ny.Dewi Rejeki 15,000


13 Ny.Indarwati 80,000 55,000 10,000

14 4/7/2020 Ny.Ana Inayah 80,000 55,000


15 Ny.Nur Hasanah 80,000 55,000 25,000
16 Ny.Tutik 20,000
17 By.Indarwati

18 5/7/2020 By.Indarwati
19 Ny.Padmi 15,000
20 Ny.Fadila
21 By.Tri C 80,000

22 6/7/2020 Ny.Reni Sri 80,000 25,000


23 Ny.Farida 80,000 55,000 10,000

24 7/7/2020 Ny.Ana 80,000 25,000


25 Ny.Sri Rahayu 80,000 25,000
26 Ny.Sudarwanti 20,000
27 Ny.Sri Prihatin 80,000 25,000
28 Ny.Winda 80,000 10,000
29 Ny.Dyah 80,000 55,000 25,000 10,000
30 Ny.Nurjanah 80,000 10,000
31 Ny.Yulia 80,000 10,000
32 Ny.Sukini 80,000 10,000

33 8/7/2020 Ny.Wiwik 80,000 55,000


34 Ny.Vina 80,000 55,000 25,000 10,000
35 Ny.Nur Hidayah 80,000 55,000 10,000

36 9/7/2020 Ny.Erni 80,000 10,000


37 Ny.Wiwik L 80,000 25,000
38 Ny.Anita 20,000
39 Ny.Sri Lestari 80,000 25,000
40 By.Sariani

41 10/7/2020 By.Sariani
42 Ny.Linda 80,000 10,000
43 11/7/2020 Ny.Yeni Nur 80,000 10,000
44 Ny.Diah Sulis 80,000 10,000
45 Ny.Samini 80,000 10,000
46 Ny.Aisyah 80,000 10,000

47 13/07/2020 Ny.Tri Wahyuni 80,000 10,000


48 Ny.Niken 20,000
49 Ny.Yulia 80,000 10,000
50 Ny.Eka 15,000
51 Ny.Rias 80,000 10,000
52 By.Nur K
53 Ny.Ayu 80,000 55,000

54 14/07/2020 By.Nur K
55 Ny.Irhamna 55,000
56 Ny.Suyatmi 80,000

57 15/07/2020 Ny.Wahyuni 80,000 10,000


58 Ny.Harini 80,000 10,000
59 Ny.Indah 80,000
60 Ny.Wahyu 80,000 55,000
61 Ny.Sutini 80,000 25,000
62 Ny.Indah Yuli 80,000 25,000
63 Ny.Ajeng 80,000

64 16/07/2020 Ny.Nabila 80,000 55,000 25,000


65 Ny.Maylisa 80,000 25,000
66 By.Tutik 80,000
67 Ny.Sunarti 80,000 25,000
68 Ny.Yanti 80,000 25,000
69 Ny.Yuanisa 80,000 10,000
70 Ny.Isa 80,000 55,000
71 Ny.Yuanisa 55,000
72 Ny.Tiara 80,000 25,000

73 17/07/2020 Ny.Eni 80,000 55,000 25,000 10,000


74 By.Raha
75 Ny.Maryamah 55,000
76 Ny.Sularsi
77 Ny.Sekar 80,000 55,000
78 Ny.Suwati 80,000 10,000
79 Ny.Sri Riyadi 80,000 25,000

80 18/07/2020 Ny.Sri Hartini


81 Ny.Dessy 80,000 55,000 10,000
82 Ny.Meinita 55,000
83 Tn.Andreas 55,000
84 Ny.Titik 15,000 25,000
85 Ny.Lia 80,000 10,000
86 Ny.Rini 15,000
87 Ny.Dewi 80,000 10,000
88 Ny.Parmiati 80,000 10,000
89 Ny.Ngatini 55,000
90 Ny.Suwarni

91 19/07/2020 Ny.Titik Susilowati 15,000

92 20/07/2020 Ny.Mega 80,000 55,000 10,000


93 Ny.Ika 80,000 55,000 10,000
94 Ny.Nur Hayati 80,000 20,000
95 Ny.Lilin 80,000 55,000
96 Ny.Ninuk 20,000
97 Ny.Siska 20,000
98 Ny.Lilin 80,000 55,000 10,000

99 21/07/2020 Ny.Suprapti 80,000 10,000


100 Ny.Lilin 25,000
101 Ny.Jini 20,000
102 Ny.Wulansari 20,000
103 Ny.Sumarni 80,000 10,000
104 Ny.Nur Khasanah 80,000 25,000

105 22/07/2020 Ny.Devi 80,000 10,000


106 Ny.Dwi Handayani 80,000 55,000 25,000
107 Ny.Dwi Harsini 80,000 10,000
108 Nn.Nurin 80,000
109 Ny.Deni 80,000 10,000
110 Nn.Nurin 25,000
111 Ny.Amalia 80,000 55,000 25,000 10,000
112 Ny.Paniyem 80,000 10,000
113 Ny.Ernaning 15,000
114 Ny.Dwi Rinawati 80,000 55,000 10,000
115 By.Devi

116 23/07/2020 By.Devi


117 Ny.Tri Mulyani 80,000 10,000
118 Ny.Novi 80,000 10,000
119 Ny.Novi R 55,000
120 Nn.Nurin 15,000
121 Ny.Sukiyem 80,000 10,000
122 Ny.Atik 80,000 10,000
123 Ny.Wulan 80,000 10,000
124 Ny.Karmiatun 80,000
125 Ny.Risna 80,000

126 24/07/2020 Ny.Sri Giyanti 80,000 10,000


127 Ny.Dwi Jayati 80,000 25,000 20,000

128 25/07/2020 Ny.Sri H 80,000 55,000 25,000


129 Ny.Novi 15,000
130 Ny.Betty 80,000 10,000
131 Ny.Laila 80,000 55,000
132 Ny.Sri I 80,000 25,000

133 26/07/2020 Ny.Uswatun 55,000


134 27/07/2020 Ny.Tutut 15,000 25,000
135 Ny.Uswatun 15,000
136 Ny.Fita 80,000
137 Ny.Sri Susilowati 15,000 55,000
138 Ny.Fita 55,000 25,000
139 Ny.Tutut 15,000
140 Ny.Sri L 80,000 10,000
141 Ny.Dwi Astuti 80,000 55,000

142 28/07/2020 Ny.Cindi 80,000 10,000


143 By.Erni
144 Ny.Suwarti 80,000 55,000 25,000
145 Ny.Muslikhah 80,000 55,000 25,000 10,000
146 Ny.Siti 20,000
147 By.Erni
148 Ny.Sukiyem
149 By.Dyah

150 29/07/2020 By.Dyah


151 Ny.Afni 80,000 55,000 25,000
152 Ny.Endang 80,000 55,000
153 By.Eni
154 Ny.Yatmini 80,000 25,000
155 Ny.Yuna 80,000

156 Ny.Iin
157 Ny.Devi 80,000
158 30/07/2020 Ny.Tutik 80,000
159 Ny.Dewi 20,000
160 Ny.Eni 15,000
161 By.Rita

162 31/07/2020 By.Rita

8,240,000 210,000 2,200,000 875,000 520,000 240,000

JUMLAH PARAMETER 376

RINCIAN

NOVI
Parameter 349
OnCall Tgl Merah 2 Kali

WAHYU Q
Masuk 4 Kali
Parameter 26
Cito 120,000
On Call Tgl Merah 2 Kali
ERIKA
On Call tgl Merah 1 Kali
Parameter 1
Cito 20,000

KARYAWAN
Handayani 87,500
Deny 60,000
Handayani 67,500
Indah 40,000
Handayani 30,000
Naswa 55,000
Jumlah 340,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000

75,000

25,000
35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000

25,000

25,000

25,000
35,000 40,000

25,000

25,000

35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000

25,000
25,000

25,000
25,000
35,000 40,000

25,000

25,000 75,000

25,000
35,000 40,000
25,000 40,000 40,000

35,000 40,000

35,000 40,000
35,000

35,000 40,000
35,000 70,000
35,000 40,000
75,000
35,000 40,000

25,000

75,000
35,000 40,000
35,000 40,000
25,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000

25,000

35,000 40,000

25,000

35,000 40,000

35,000 40,000
25,000

35,000 40,000
35,000
35,000 40,000

35,000 40,000

25,000
25,000 35,000
35,000 40,000

25,000
75,000
25,000

25,000
35,000 40,000
25,000 35,000 40,000
25,000
25,000

75,000

25,000

25,000

775,000 1,330,000 450,000 1,400,000 35,000 70000 40,000 40,000


OT PT Cholestero AU TG WIDAL JUMLAH
80,000
75,000
80,000
75,000
80,000
90,000

130,000
235,000
90,000
90,000
90,000

15,000
220,000

210,000
235,000
20,000
25,000

25,000
15,000
25,000
80,000

130,000
220,000

40,000 40,000 185,000


130,000
20,000
130,000
90,000
245,000
90,000
90,000
90,000

210,000
245,000
220,000

90,000
105,000
20,000
130,000
25,000

25,000
90,000
90,000
90,000
40,000 40,000 170,000
90,000

90,000
20,000
90,000
15,000
90,000
25,000
210,000

25,000
55,000
35,000 215,000

90,000
90,000
105,000
210,000
210,000
105,000
80,000

235,000
105,000
80,000
105,000
105,000
90,000
210,000
90,000
105,000

245,000
105,000
130,000
75,000
210,000
90,000
130,000

75,000
220,000
55,000
55,000
40,000
90,000
15,000
90,000
90,000
130,000
25,000

15,000

220,000
220,000
100,000
210,000
20,000
20,000
220,000

90,000
25,000
20,000
20,000
90,000
105,000

90,000
235,000
90,000
80,000
90,000
25,000
245,000
90,000
15,000
220,000
25,000

25,000
90,000
90,000
130,000
15,000
90,000
90,000
90,000
80,000
80,000

90,000
150,000

235,000
15,000
90,000
210,000
130,000

130,000
40,000
15,000
80,000
105,000
155,000
15,000
90,000
210,000

90,000
25,000
220,000
245,000
20,000
25,000
75,000
25,000

25,000
235,000
235,000
25,000
130,000
80,000

75,000
80,000
80,000
20,000
15,000
25,000

25,000

80,000 80,000 35,000 16,620,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/8/2020 Ny.Tri P 80,000 10,000
2 Ny.Rini 80,000 10,000
3 Ny.Dewi 80,000 10,000
4 Ny.Sela 20,000
5 Ny.Indri 80,000 55,000
6 By.Egi 80,000

7 2/8/2020 By.Endah

8 3/8/2020 Ny.Dwi L 80,000 55,000 25,000


9 By.Endah
10 Ny.Fitriani 80,000
11 Ny.Muryani 80,000 55,000 25,000
12 By.Lilin 80,000
13 By.Novi 80,000
14 Ny.Lilin 15,000
15 Ny.Jasmi 80,000
16 Ny.Darni 80,000 25,000
17 Ny.Devi 80,000 25,000
18 Ny.Endah 15,000
19 Ny.Novi 15,000
20 Ny.Dwi Lestari 80,000 55,000

21 4/8/2020 Ny.Tias 80,000 10,000


22 Ny.Hartini 80,000 25,000
23 Ny.Atik 20,000
24 Ny.Dewi 80,000 10,000

25 5/8/2020 Ny.Peni 80,000 55,000 25,000 10,000


26 Ny.Uswatun 20,000
27 Ny.Partini 80,000 25,000
28 Ny.Tutik 80,000 10,000

29 6/8/2020 Ny.Lina
30 Ny.Jasmi 15,000
31 Ny.Ayu 15,000
32 Ny.Nurvi
33 Ny.Curabelh 80,000 55,000 10,000
34 Ny.Hepyera 80,000 55,000 10,000

35 7/8/2020 Ny.Karlinda 80,000 25,000


36 Ny.Anisa 80,000 55,000
37 Ny.Nita 80,000 25,000
38 Ny.Retno 20,000
39 Ny.Fitri 20,000

40 8/8/2020 Ny.Istika 80,000 10,000


41 Ny.Sri Hartini 80,000 25,000
42 Ny.Elizabeth 15,000
43 Ny.Nia 80,000
44 Ny.Setyaningsih 80,000 55,000 25,000
45 10/8/2020 By.Nur
46 Ny.Dessy 80,000 55,000 25,000
47 Ny.Ambar 15,000 55,000
48 By.Nur
49 Ny.Wahyu 10,000
50 By.Bilal
51 Ny.Rita 80,000 10,000
52 Ny.Hanifah 80,000 25,000

53 11/8/2020 Ny.Suryati 80,000 25,000


54 Ny.Anita 10,000
55 By.Nia 80,000
56 Ny.Rina 80,000 25,000

57 12/8/2020 Ny.Rina 15,000


58 By.Suginem
59 Ny.Diah 80,000 10,000

60 13/08/2020 By.Suginem
61 Ny.Erna 20,000
62 Ny.Lasmini 80,000 10,000
63 Ny.Warsini 80,000 25,000
64 By.Bilal

65 14/08/2020 Ny.Niken 80,000


66 Ny.Ina 80,000 10,000
67 Ny.Puji Lestari 10,000

68 15/08/2020 Ny.Ismiah 80,000 10,000


69 Ny.Mardiyatun 80,000
70 Ny.Aninda 80,000
71 Ny.Umi Farida 80,000
72 Ny.Dewi 80,000 25,000
73 Ny.Wahyu 20,000
74 Ny.Dessy 80,000

75 16/08/2020 Ny.Suwarni 15,000 55,000


76 By.Happyana 80,000
77 Ny.Dewi 15,000
78 Ny.Happyana 15,000
79 By.Mifta

80 17/08/2020 By.Mifta
81 Ny.Erfina 15,000

82 18/08/2020 By.Eka
83 Ny.Khusnul
84 Ny.Ngatini 80,000
85 Ny.Kusmini 80,000 10,000
86 Ny.Anis 80,000 55,000
87 Ny.Erlina 80,000
88 Ny.Priyanti 80,000 25,000
89 Ny.Mareta 15,000 55,000
90 Ny.Karti 20,000

91 19/08/2020 Ny.Peni 15,000


92 Ny.Anjar 80,000 55,000 25,000
93 Ny.Endah 80,000 10,000
94 Ny.Candra 80,000 55,000 10,000
95 Ny.Susilowati 80,000 25,000
96 Ny.Dwi L 80,000

97 20/08/2020 Ny.Delta

98 21/08/2020 Ny.Dea 25,000


99 Nn.Ismati 25,000
100 Ny.Fitria 80,000 55,000 25,000
101 Ny.Resi 80,000 55,000 25,000
102 Ny.Sri R 10,000
103 Nn.Gita 80,000 25,000
104 Ny.Suwarni 80,000 10,000
105 Ny.Virsa 80,000 25,000

106 22/08/2020 Ny.Putri 80,000 10,000


107 Ny.Fitria 15,000
108 Ny.Vero 80,000 10,000
109 Ny.Istika 80,000
110 Ny.Darwati 80,000 25,000
111 Ny.Atin 80,000 25,000
112 Ny.Darti 80,000 55,000

113 23/08/2020 Ny.Siska 80,000


114 Ny.Atin 15,000

115 24/08/2020 Ny.Nunuk 80,000 25,000


116 Ny.Eka 80,000
117 Ny.Sadiyem 80,000 25,000
118 Ny.Mutaqin 80,000 25,000
119 Ny.Pita 80,000
120 Nn.Azzahra 80,000 25,000
121 Nn.Hanik 80,000 25,000
122 Ny.Wiwik 80,000 10,000

123 25/08/2020 Ny.Yuliana 15,000 55,000 25,000


124 Ny.Pipin 80,000
125 Ny.Mutaqin 15,000
126 Ny.Resi 15,000
127 By.Fitria
128 By.Fitria

129 26/08/2020 Ny.Lius 80,000 25,000 20,000


130 Ny.Indah 80,000 55,000
131 Ny.Sholikhatun 80,000 10,000

132 27/08/2020 Ny.Sukarni 20,000


133 Ny.Mardiyatun 80,000
134 Ny.Mista 20,000

135 28/08/2020 Nn.Nurin 20,000


136 Ny.Haryanti 55,000
137 Ny.Tri W 20,000
138 Ny.Titin
139 Ny.Prihati
140 Ny.Wasis 80,000 10,000

141 29/08/2020 Ny.Eka 15,000


142 By.Eka 80,000
143 Ny.Wiji
144 Ny.Retno
145 Ny.Suparni 80,000 25,000
146 Ny.Heni 80,000
147 Ny.Widi 15,000 55,000
148 Ny.Nur H 80,000 10,000
149 Ny.Eka 15,000

150 30/08/2020 Ny.Suparni 15,000


151 Ny.Dwi L 15,000
152 Ny.Dena 80,000 25,000
153 Ny.Sugharni

154 31/08/2020 Ny.Resmirang 20,000


155 Nby.Suharni
156 Ny.Imrotus 20,000
157 Ny.Diah 80,000 10,000
158 Nn.Nelly 80,000 25,000
159 By.Tutuk
160 Ny.Yayuk 80,000 10,000
161 Ny.Sri Daryanti 80,000 10,000
162 Ny.Sukamti 20,000
163 Ny.Sugiyanti 80,000 25,000
164 Ny.Ela 80,000 10,000

7,520,000 360,000 1,265,000 975,000 330,000 320,000

JUMLAH PARAMETER 332

RINCIAN

NOVI
Parameter 270
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 54
Cito 140,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 3 Kali
Parameter 8
Cito 140,000

KARYAWAN
Reni 95,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000
25,000

25,000

35,000 40,000
25,000

35,000

25,000
25,000

35,000 40,000

25,000

35,000 40,000

25,000

75,000

75,000
35,000 40,000
35,000 40,000

25,000
35,000 40,000
25,000

40,000

35,000 40,000
25,000
35,000 40,000
35,000 40,000
25,000

35,000 70,000

25,000
40,000
25,000
25,000

25,000

25,000

25,000
35,000 70,000

25,000

35,000

25,000

25,000

35,000 70,000
75,000

35,000 40,000

25,000
35,000 40,000

35,000

35,000 40,000

40,000

35,000 40,000
25,000 35,000

25,000
25,000
35,000 40,000

25,000

35,000 40,000

25,000
25,000

35,000 40,000
35,000 40,000

75,000
75,000

75,000
75,000
25,000

35,000 40,000

25,000

25,000

35,000 70,000

750,000 805,000 525,000 840,000 140,000 280,000 40000


OT PT Cholestero AU TG WIDAL JUMLAH
90,000
90,000
90,000
20,000
210,000
105,000

25,000

235,000
25,000
80,000
195,000
80,000
80,000
15,000
80,000
130,000
130,000
15,000
15,000
210,000
0
90,000
130,000
20,000
90,000

245,000
20,000
130,000
40,000 40,000 170,000

75,000
15,000
15,000
75,000
220,000
220,000

130,000
210,000
130,000
20,000
20,000

130,000
105,000
15,000
80,000
235,000
25,000
235,000
145,000
25,000
10,000
105,000
90,000
105,000

130,000
50,000
105,000
130,000

15,000
25,000
90,000

25,000
20,000
90,000
130,000
105,000

35,000 35,000 40,000 215,000


90,000
10,000

90,000
80,000
80,000
80,000
105,000
20,000
75,000 155,000

105,000
80,000
15,000
15,000
25,000

25,000
15,000

105,000
75,000
80,000
90,000
210,000
80,000
130,000
145,000
20,000

15,000
195,000
90,000
220,000
105,000
80,000

35,000 35,000 40,000 150,000

25,000
25,000
235,000
220,000
10,000
105,000
90,000
105,000

90,000
15,000
90,000
80,000
130,000
130,000
210,000

80,000
15,000

130,000
80,000
105,000
105,000
80,000
105,000
105,000
90,000

170,000
80,000
15,000
15,000
25,000
25,000

125,000
210,000
90,000

20,000
80,000
20,000

20,000
130,000
20,000
75,000
75,000
90,000

15,000
80,000
75,000
75,000
130,000
80,000
145,000
90,000
15,000

15,000
15,000
105,000
25,000

20,000
25,000
20,000
90,000
105,000
105,000
90,000
90,000
20,000
105,000
90,000

40,000 40,000 70000 70000 80000 75000 14,525,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/9/2020 Nn.Sugiyanti 15,000
2 Ny.Anggraini 80,000
3 By.Siswi
4 Ny.Sulis 15,000
5 By.Diah Mei 80,000
6 Ny.Ngatini
7 By.Diah Mei 25,000

8 2/9/2020 By.Siswi
9 Ny.Dyah Mei 15,000
10 Ny.Riska 80,000 55,000
11 Ny.Listanti 80,000
12 By.Dyah Mei 15,000
13 Ny.Sujiyani 80,000 20,000
14 Ny.Komsiatun 80,000 25,000

15 3/9/2020 Ny.Erma 80,000 55,000


16 Ny.Retno 80,000 20,000
17 Ny.Dyah
18 Ny.Siska 80,000 20,000
19 Ny.Lasmini 80,000 20,000
20 Ny.Ana 15,000 55,000 20,000
21 Nn.Novia 80,000 25,000

22 4/9/2020 Ny.Romi 15,000


23 Ny.Tutik
24 Ny.Umi 80,000 55,000 25,000
25 Ny.Septi 20,000
26 Ny.Warni 80,000 25,000
27 Ny.Nisma 80,000 25,000

28 5/9/2020 Ny.Langgeng
29 Ny.Dwi 80,000 20,000

30 6/9/2020 By.Maria 80,000

31 7/9/2020 Ny.Risma 80,000


32 Ny.Anisah 20,000
33 Ny.Indah 80,000 20,000
34 Ny.Nilam 80,000 55,000 25,000 20,000
35 Ny.Erita 80,000 20,000
36 Ny.Lisa 80,000 20,000

37 8/9/2020 Nn.Nia 80,000 25,000


38 Ny.Vina 80,000 55,000
39 Ny.Dwi W 80,000
40 Ny.Dwiyanti 80,000

41 9/9/2020 Ny.Warsini 80,000 20,000


42 By.Zuliyanti 80,000
43 Ny.Asri 20,000
44 Ny.Susanti 80,000 20,000
45 Ny.Arsy 80,000 20,000
46 Ny.Tri Puji 80,000 20,000

47 10/9/2020 Ny.Ely 80,000


48 Ny.Laelly 80,000 20,000
49 Ny.Rani 20,000
50 Ny.Tugiyanti 15,000 25,000

51 11/9/2020 Ny.Yuliarti 80,000 25,000


52 Ny.Yuliartini 15,000
53 Ny.Ayu Tina 80,000 20,000
54 Ny.Marlina 80,000 25,000 20,000
55 Ny.Leni 80,000 20,000
56 Ny.Sutini 15,000

57 12/9/2020 Ny.Aprilia 80,000 55,000 25,000 20,000


58 Ny.Marlina 15,000
59 Ny.Umi 80,000 55,000 20,000
60 Ny.Tri Dewi 80,000 20,000
61 Ny.Sri S 80,000 20,000
62 Ny.Sesilia 80,000 20,000
63 Ny.Putri 80,000 20,000
64 Ny.Suji 80,000 20,000
65 Ny.Dwi H 80,000 25,000

66 13/09/2020 By.Nur
67 By.Nur
68 By.Reza
69 By.Reza
70 Ny.Winarti 80,000 25,000

71 14/09/2020 Ny.Ika 15,000


72 Ny.Romlah 80,000 55,000
73 Ny.Winarti
74 Ny.Aprilia 20,000
75 Ny.Ayi 80,000
76 Ny.Aprilia 80,000 25,000

77 15/09/2020 Ny.Ratna 15,000 55,000


78 Ny.Aulia 80,000 55,000 20,000
79 Nn.Bagas 80,000 25,000 20,000
80 Nn.Bagas
81 Ny.Giyanti 80,000 20,000

82 16/09/2020 Ny.Etik 80,000 20,000


83 Ny.Nuri 80,000 20,000
84 Ny.Retno 20,000

85 17/09/2020 Ny.Iswanti 80,000

86 18/09/2020 By.Dwi
87 Ny.Dika 80,000 25,000
88 By.Dwi R 25,000
89 Ny.Wijayanti 80,000 20,000
90 Ny.Tutuk DL 80,000 20,000

91 19/09/2020 Ny.Sri Lilik 80,000 20,000


92 Ny.Sri Lilik 25,000
93 Ny.Darsini 80,000
94 Ny.Hesti 20,000
95 Ny.Intan 20,000
96 Ny.Titik 80,000 25,000

97 20/09/2020 By.Umi
98 Ny.Sri Lilik 15,000
99 Ny.Purwanti 15,000
100 By.Umi
101 Ny.Rika 15,000

102 21/09/2020 Ny.Lutfiyah 20,000


103 An.Kenzo
104 Ny.Lestari
105 By.Dwi
106 Ny.Diyana 15,000
107 By.Dwi
108 Ny.Novita 80,000 25,000

109 22/09/2020 Ny.Catur 15,000


110 Ny.Miarti 20,000
111 Ny.Ari 80,000 55,000 25,000
112 Ny.Novita 15,000
113 Ny.Pratiwi 80,000 55,000 25,000
114 Ny.Rukayatun 80,000 55,000

115 23/09/2020 Ny.Ngatiyem 80,000 20,000


116 Ny.Aninda 80,000
117 Ny.Sujiyatmi
118 By.Atik
119 By.Srtini

120 24/09/2020 By.Atik


121 By.SArtini
122 Ny.Wahyuningsih 20,000
123 Ny.Suti
124 Ny.Siti Nur 80,000

125 25/09/2020 Ny.Hesti 15,000 55,000


126 Ny.Dewi 80,000 20,000

127 26/09/2020 By.Veronika


128 Ny.Linda 80,000 55,000
129 Ny.Devi 80,000 55,000 25,000
130 Ny.Tania 80,000 25,000
131 By.Veronika
132 Ny.Shafiya 80,000 55,000 25,000
133 Ny.Tia 80,000 20,000

134 27/09/2020 Ny.Siska 80,000


135 Ny.Tania 15,000
136 Ny.Meri 15,000 55,000

137 28/09/2020 By.Meri


138 Ny.Martini 80,000
139 Ny.Siska 80,000 20,000
140 Ny.Ambar 80,000 55,000
141 By.Meri 80,000
142 Ny.Siti 80,000 25,000
143 Ny.Tri W 80,000 25,000

144 29/09/2020 Ny.Hamdina 20,000


145 Ny.Fitri 80,000 55,000 25,000

146 30/09/2020 Ny.Dyan 80,000 55,000


147 Ny.Rochmawati 80,000 55,000 25,000
148 Ny.Dewi 80,000
149 Ny.Evi 15,000
150 Ny.Sudarti 80,000 25,000

6,800,000 330,000 1,265,000 775,000 740,000 240,000

JUMLAH PARAMETER 332

RINCIAN

NOVI
Parameter 270
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 54
Cito 140,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 3 Kali
Parameter 8
Cito 140,000

KARYAWAN
Fitri 105,000
Indah 75,000
Anggun 7,500
Jumlah 187,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000

75,000

25,000

35,000 40,000

25,000

35,000 40,000

75,000

35,000 40,000

75,000
35,000 40,000

25,000

75,000

35,000 40,000
35,000 40,000

35,000 40,000

25,000

25,000
25,000
25,000
25,000
25,000

35,000 40,000
40,000 40,000

35,000 40,000
35,000 40,000

75,000

25,000
25,000
25,000

25,000

25,000

35,000 70,000
75,000 40,000 40,000
25,000

25,000

35,000 40,000

35,000 40,000
35,000 40,000

75,000
25,000
25,000

25,000
25,000

35,000 40,000

35,000 40,000

25,000
35,000 40,000
35,000 40,000

25,000
35,000 40,000
35,000 40,000

25,000

35,000 40,000

25,000
25,000

35,000 40,000

35,000 40,000
25,000 35,000 40,000

25,000

700,000 805,000 525,000 920,000 35,000 70,000 80,000 80,000


OT PT Cholestero AU TG WIDAL JUMLAH
15,000
80,000
25,000
15,000
80,000
75,000
25,000

25,000
15,000
210,000
80,000
15,000
100,000
130,000

210,000
100,000
75,000
100,000
100,000
165,000
105,000

15,000
75,000
235,000
20,000
105,000
130,000

75,000
100,000

80,000

80,000
20,000
100,000
255,000
100,000
100,000

105,000
40,000 40,000 215,000
80,000
80,000

100,000
80,000
20,000
100,000
100,000
100,000

80,000
100,000
20,000
40,000

105,000
15,000
100,000
125,000
100,000
15,000

255,000
15,000
230,000
100,000
100,000
100,000
100,000
100,000
130,000

25,000
25,000
25,000
25,000
130,000

15,000
210,000
80,000
20,000
80,000
105,000

145,000
230,000
125,000
75,000
100,000

100,000
100,000
20,000

80,000

25,000
130,000
25,000
100,000
100,000

100,000
25,000
80,000
20,000
20,000
130,000

25,000
15,000
15,000
25,000
15,000

20,000
105,000
155,000
25,000
15,000
25,000
105,000

15,000
20,000
235,000
15,000
235,000
210,000

100,000
80,000
75,000
25,000
25,000

25,000
25,000
20,000
75,000
75,000 155,000

145,000
100,000

25,000
210,000
235,000
105,000
25,000
235,000
100,000

80,000
15,000
145,000

25,000
80,000
100,000
210,000
80,000
130,000
130,000

20,000
235,000

210,000
260,000
80,000
15,000
130,000

40,000 40,000 75,000 13,520,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/10/2020 By.Jariani 80,000
2 By.Mugi
3 By.Fitri 80,000
4 Ny.Murtinah 80,000 25,000
5 Ny.Casirin 80,000 20,000
6 By.Mugi
7 Ny.Lita 80,000 20,000
8 Ny.Darti 80,000
9 Ny.Darsini 20,000
10 Ny.Fitri 15,000

11 2/10/2020 Ny.Dwi 80,000 25,000


12 An.Kirana 80,000
13 Ny.Dwi 15,000
14 Ny.Musda 80,000 55,000

15 3/10/2020 Ny.Ana 80,000 20,000


16 Ny.Suwarni
17 Ny.Siti 80,000 20,000
18 Ny.Ayu 80,000
19 Ny.Haryanti 80,000 25,000 20,000
20 Ny.Sri
21 Tn.Totok
22 By.Sri

23 4/10/2020 Ny.Yanti 15,000 25,000 20,000


24 By.Sri
25 Ny.Siska 80,000 55,000
26 By.Eri 80,000

27 5/10/2020 Ny.Sunarti 80,000 25,000


28 Ny.Kristina 20,000
29 Ny.Yanti 15,000
30 Ny.Tri 20,000
31 Ny.Sukarni 80,000 25,000
32 Ny.Feri 80,000 55,000 20,000
33 Ny.Kristiyanti 80,000 55,000 25,000
34 Ny.Fiqi 80,000 55,000
35 Ny.Endang 80,000 25,000

36 6/10/2020 Ny.Wiwik 15,000 55,000


37 Ny.Sherly 80,000 55,000 25,000 20,000
38 Ny.Migut 20,000
39 Ny.Febrianti
40 Ny.Margini 20,000
41 Ny.Amalia 15,000 55,000
42 Ny.Imronah 80,000 55,000 25,000 20,000
43 Ny.Ismiyati 20,000

44 7/10/2020 Ny.Umi 80,000


45 Ny.Khairunisa 80,000 55,000 25,000
46 Ny.Aninda 80,000
47 Ny.Marti 80,000 55,000 25,000 20,000

48 8/10/2020 Ny.Dwi 20,000


49 Ny.Andita 80,000 25,000
50 Ny.Yuli
51 Ny.Nur 80,000
52 Ny.Diana 80,000 25,000
53 Ny.Sukini 80,000 55,000 20,000
54 Ny.Septianingsih 80,000 55,000 25,000
55 Ny.Marti 15,000
56 By.Diana 80,000
57 Ny.Andriani 80,000 55,000 25,000
58 Ny.Atik 80,000
59 Ny.Heni 20,000

60 9/10/2020 By.Marti 80,000


61 Ny.Diana 15,000
62 Ny.Marti 15,000
63 Ny.Wina
64 Nn.Qoirunisa 80,000
65 Ny.Yulia 15,000 55,000
66 By.Yulia

67 10/10/2020 By.Yulia
68 Ny.Ida Purwanti 80,000 55,000 20,000
69 Ny.Ina 80,000 20,000
70 By.Imronah 80,000
71 Ny.Imronah 15,000

72 11/10/2020 By.Aprilia
73 Ny.Nuryati 80,000
74 Ny.Indah 80,000 55,000
75 By.Aprilia

76 12/10/2020 Ny.Aprilia 15,000


77 Ny.Rina 80,000 20,000
78 Ny.Tabita 80,000
79 Nn.Aisyah 80,000
80 Ny.Asumini 15,000 55,000
81 Ny.Pinarni 80,000 20,000

82 13/10/2020 Ny.Anik 80,000 20,000


83 Ny.Anis 80,000
84 Ny.Ita 20,000
85 By.Afifah
86 Ny.Dwi 20,000
87 Ny.Ayu 80,000 20,000
88 Ny.Ika 20,000
89 By.Anik

90 14/10/2020 By.Anik
91 Ny.Eka 80,000 20,000
92 Ny.Titin 80,000 55,000
93 Ny.Agustin 80,000 20,000
94 Ny.Nining

95 15/10/2020 Ny.Siti 20,000


96 Ny.Yuli 80,000 55,000 25,000
97 Ny.Afifah 80,000 20,000
98 Ny.Arlinda 80,000 25,000
99 Ny.Suparni 80,000 20,000
100 By.Yusniati

101 16/10/2020 By.Yusniati


102 Ny.Wiji 15,000 55,000
103 Ny.Safitri 80,000 25,000
104 Ny.Aprilia 80,000 25,000
105 Ny.Mulyani 80,000 20,000
106 Ny.Uvix 80,000 55,000 25,000
107 Ny.Ratmini 20,000

108 17/10/2020 Ny.Devi 80,000 55,000 25,000


109 Tn.Suparto 80,000 25,000
110 Ny.Endar 15,000
111 Ny.Rita 80,000 25,000 20,000
112 Ny.Nofi 80,000 55,000

113 18/10/2020 Ny.Khikmawatun 15,000

114 19/10/2020 Ny.Risti 80,000 25,000


115 Ny.Wiji 80,000 20,000
116 By.Suparni
117 Ny.Siti 80,000 20,000
118 By.Suparni
119 By.Mila 1
120 By.Mila 2
121 Ny.Panca
122 Ny.Dwi 80,000 20,000

123 20/10/2020 Ny.Rustiani 80,000 20,000


124 Ny.Ismi 80,000 55,000
125 By.Mila 1
126 By.Mila 2
127 Ny.Mariyani 80,000 55,000 25,000
128 Ny.Linda 80,000
129 Nn.Risti 15,000
130 An.Syakhila
131 Ny.Auliya 15,000 25,000

132 21/10/2020 Ny.Epri 80,000 20,000


133 Ny.Is 80,000 20,000
134 Ny.Anggun 80,000 20,000
135 Ny.Siti 80,000 20,000
136 Ny.Fitri 15,000
137 22/10/2020 By.Siti
138 Ny.Haryanti 80,000
139 Ny.Endang 15,000
140 By.Siti
141 Ny.Diah 80,000 55,000

142 23/10/2020 Ny.Sutinah 80,000 25,000


143 Ny.Endang 15,000
144 By.Warni
145 By.Warni
146 Ny.Ita 20,000
147 Ny.Amin

148 24/10/2020 Ny.Unita 80,000


149 Ny.Ana 80,000 20,000
150 Ny.Yuliana 80,000 55,000
151 Ny.Erna 80,000 20,000
152 Ny.Faruda 80,000 55,000 20,000

153 26/10/2020 Ny.Heni 80,000 55,000 20,000


154 Ny.Asri 80,000 20,000
155 Ny.Maulida 80,000 55,000
156 Nn.Miftahul 80,000 55,000

157 27/10/2020 Ny.Tami 80,000


158 Ny.Karni 15,000
159 Ny.Rahayu 80,000 55,000 25,000
160 Ny.Maulida 15,000
161 Ny.Sutinah 15,000 55,000
162 Ny.Diyah
163 Ny.Lediana 20,000
164 Ny.Tri P 80,000 25,000
165 Ny.Sulastri 55,000

166 28/10/2020 Ny.Sulastri 15,000 25,000


167 Ny.Sulastri 20,000
168 Ny.Suginem 80,000 25,000
169 Ny.Dwi S 80,000 55,000 25,000 20,000
170 Ny.Rin 80,000 55,000 25,000
171 Ny.Devi 15,000
172 Ny.Meliza 80,000 55,000 20,000
173 By.Devi 80,000

174 29/10/2020 By.Nur


175 By.Nur
176 By.Devi
177 Ny.Devi 15,000
178 By.Erna 80,000

179 30/10/2020 Ny.Sunik 20,000


180 Ny.Anis 80,000 55,000 25,000
181 Ny.Evi 80,000 25,000
182 Ny.Novita 80,000 20,000
183 Ny.Sulis 80,000 25,000
184 Ny.Siti 80,000 25,000
185 Nn.Aisyah 80,000 25,000 20,000
186 Ny.Riska 80,000 20,000
187 Ny.Anisa 80,000 55,000 25,000 20,000

188 31/10/2020 Ny.Anis 15,000


189 Ny.Betty 80,000 55,000 25,000
190 Ny.Marisa 80,000 55,000

8,575,000 405,000 2,310,000 1,025,000 760,000 420,000

JUMLAH PARAMETER 434

RINCIAN

NOVI
Parameter 371
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 4 Kali
Parameter 56
Cito 40,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 7
Cito 80,000

KARYAWAN
Wahyu 7,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000

25,000

25,000

35,000 40,000

75,000 40,000 40,000

75,000 40,000 40,000

25,000

25,000
25,000
35,000 40,000
25,000

25,000

25,000

25,000 40,000 40,000


35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000
35,000 40,000

75,000

35,000
35,000 40,000

35,000 40,000
35,000 40,000

75,000

35,000 40,000
35,000 40,000

35,000 40,000

75,000

35,000 40,000
25,000

25,000
35,000 40,000

25,000

35,000 40,000
25,000

35,000

35,000 70,000

25,000

25,000
35,000 40,000

35,000 40,000

35,000 40,000

25,000

25,000

25,000
35,000 40,000

35,000 40,000

35,000 40,000
25,000 40,000 40,000
20,000 20,000

35,000 40,000

25,000

25,000
25,000
25,000
25,000

35,000 40,000
25,000
25,000
35,000 40,000

35,000 70,000
25,000

25,000
35,000 40,000

25,000

25,000
25,000

75,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000

75,000 40,000 40,000


25,000
35,000 40,000

35,000
75,000

25,000
35,000

25,000 40,000 40,000


35,000 40,000
35,000 40,000

35,000 40,000
25,000

25,000
25,000
25,000

35,000 40,000
25,000
25,000

35,000 40,000

25,000
35,000 40,000

1,050,000 1,470,000 600000 1,480,000 70,000 140,000 20000 20000 240,000 240,000
OT PT Cholestero AU TG WIDAL JUMLAH
80,000
25,000
80,000
105,000
100,000
25,000
100,000
105,000
20,000
15,000

105,000
75,000 155,000
15,000
210,000

100,000
155,000
100,000
80,000
125,000
155,000
75,000 75,000
25,000

85,000
25,000
210,000
105,000

130,000
20,000
40,000
20,000
210,000
230,000
235,000
210,000
105,000

145,000
255,000
20,000
75,000
20,000
105,000
255,000
20,000

80,000
235,000
80,000
255,000

20,000
105,000
75,000
80,000
105,000
230,000
235,000
15,000
80,000
235,000
80,000
20,000

80,000
15,000
15,000
75,000
80,000
145,000
25,000

25,000
230,000
100,000
80,000
15,000

25,000
80,000
210,000
25,000

15,000
100,000
80,000
80,000
105,000
100,000

100,000
80,000
20,000
105,000
20,000
100,000
20,000
25,000

25,000
100,000
210,000
100,000
75,000

20,000
235,000
100,000
130,000
40,000 40,000 180,000
25,000

25,000
145,000
105,000
105,000
100,000
235,000
20,000

235,000
210,000
55,000
125,000
210,000

15,000

105,000
100,000
25,000
100,000
25,000
25,000
25,000
25,000
100,000

100,000
210,000
25,000
25,000
235,000
80,000
15,000
105,000
40,000

100,000
100,000
100,000
100,000
15,000
25,000
35,000 35,000 40,000 190,000
15,000
25,000
210,000

130,000
15,000
25,000
25,000
20,000
75,000

80,000
100,000
210,000
100,000
230,000

230,000
100,000
210,000
170,000

235,000
40,000
235,000
15,000
105,000
75,000
20,000
130,000
90,000

40,000
20,000
210,000
255,000
235,000
15,000
230,000
105,000

25,000
25,000
25,000
15,000
80,000

20,000
235,000
130,000
100,000
105,000
130,000
125,000
100,000
255,000

15,000
185,000
210,000

40,000 40,000 35000 35000 40000 150000 19,165,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 2/11/2020 Ny.Ngadiyem 80,000 20,000
2 Ny.Pujiati 80,000 20,000
3 Ny.Tri Wiji
4 Ny.Ulil 80,000 20,000
5 Ny.Nisa 80,000 25,000
6 Ny.Kasminah 80,000 25,000
7 Ny.Anis 80,000
8 Ny.Jariyati 80,000 20,000
9 Ny.Gris 80,000 20,000
10 Ny.Robiatun 80,000

11 3/11/2020 Ny.Mahfiati 80,000 20,000


12 Ny.Melyana 15,000
13 Ny.Dhevi 80,000
14 Ny.Sri 80,000 20,000

15 4/11/2020 Ny.Maharani 80,000 55,000 25,000 20,000


16 Ny.Linda 80,000
17 Ny.Daryati 20,000
18 Ny.Mutia 80,000 25,000
19 Ny.Yuliartini

20 5/11/2020 Ny.Ernawati 80,000 25,000 20,000


21 Ny.Susilowati 15,000 55,000
22 Ny.Dwi 20,000
23 Ny.Sri Wahyuni 80,000 20,000
24 Ny.Amin 80,000 20,000
25 Ny.Sri 80,000 55,000 25,000 20,000

26 6/11/2020 Ny.Maya 20,000


27 Ny.Indah 80,000 20,000
28 Ny.Ernawati 55,000
29 Ny.Sri 15,000
30 Ny.Eko 80,000 55,000 20,000
31 By.Poniyem

32 7/11/2020 By.Poniyem
33 Nn.Nafasya 80,000 25,000
34 Ny.Temon 80,000 25,000 20,000
35 Ny.Fenny 80,000 55,000 20,000
36 Ny.Happy 80,000 25,000 20,000
37 Ny.Indah 80,000 55,000

38 8/11/2020 Ny.Temon 15,000

39 9/11/2020 Ny.Mina 80,000 25,000 20,000


40 Ny.Siti Nur 80,000 55,000 25,000 20,000
41 Ny.Ike 80,000 20,000
42 Ny.Meinita 80,000 55,000 25,000 20,000
43 Ny.Meinita
44 Ny.Endah 80,000 20,000
45 Ny.Devi 80,000
46 Ny.Ngatini 80,000 55,000 25,000
47 Ny.Suparni 80,000 20,000
48 Ny.Mardiani 80,000 55,000 25,000
49 Ny.Sumiati 80,000 20,000
50 Ny.Sri 80,000

51 10/11/2020 Ny.Sulastri 80,000 55,000 25,000 20,000


52 Ny.Ita 20,000
53 Ny.Sanuah 80,000 55,000 20,000
54 Ny.Sumarni
55 Ny.Sri H 80,000 25,000
56 Ny.Retno 20,000

57 11/11/2020 Ny.Dessy 80,000


58 Ny.Musda 80,000 55,000
59 Ny.Sri Ambar 80,000 55,000
60 Ny.Irshana 20,000
61 Ny.Haryanti 80,000
62 By.Dewi
63 Ny.Kurnia 80,000 55,000 25,000

64 12/11/2020 Ny.Dewi
65 Ny.Cucu 15,000 55,000
66 Ny.Sri M 20,000
67 Ny.Nurjanah 80,000 55,000 25,000
68 Ny.Reni 80,000 55,000 25,000
69 Ny.Supadmi 80,000 25,000
70 Ny.Mardiyah 15,000

71 13/11/2020 Ny.Anati
72 Ny.Nurjanah 15,000
73 Ny.Yustina 80,000 20,000
74 Ny.Ina 80,000 55,000 25,000
75 Ny.Erwin 80,000 20,000
76 Ny.Trisni 80,000 20,000
77 Ny.Marlia 80,000 55,000
78 Ny.Candra 80,000 55,000 25,000
79 Ny.Sri 80,000 55,000 25,000

80 14/11/2020 Ny.Solikah 80,000 55,000


81 Ny.Anik 80,000 20,000
82 Ny.Sri 80,000 20,000
83 Ny.Suwarsih 80,000 25,000
84 Ny.Niken 80,000
85 Ny.Pijar 80,000 55,000 20,000
86 Ny.Solikah 15,000
87 By.Niken

88 15/11/2020 By.Niken
89 Ny.Haryanti 15,000
90 By.Rindi
91 By.Anita 80,000
92 16/11/2020 Ny.Diyah
93 Ny.Rahmawati 80,000 20,000
94 By.Rindi
95 Ny.Fitria 20,000
96 Ny.Depri 20,000
97 Ny.Tri H 80,000 20,000
98 Ny.Lilis 80,000 20,000
99 Ny.Hesti
100 Ny.Datih 80,000 20,000

101 17/11/2020 Ny.Hartanti 80,000 20,000


102 By.Ngadiyem
103 Ny.Kasminah 15,000
104 Ny.Yuli 80,000 25,000
105 Ny.Umi 15,000 25,000
106 Ny.Dwi 80,000 20,000
107 Ny.Rika 20,000

108 18/11/2020 Ny.Sri Suwarni 80,000


109 Ny.Linda 80,000
110 Ny.Ari 80,000 20,000
111 Ny.Tri 80,000
112 Ny.Ika

113 19/11/2020 Ny.Retno 80,000 20,000


114 Ny.Sri S 15,000
115 Ny.Sulis 15,000

116 20/11/2020 Ny.Fransiska 80,000 20,000


117 Ny.Dewi 80,000 25,000

118 21/11/2020 Ny.Mutik 20,000


119 Ny.Era 80,000 25,000
120 Ny.Nanda 80,000
121 Ny.Fenny 80,000
122 By.Giyarti 80,000
123 Ny.Eko 80,000 55,000 25,000
124 Ny.Debi 80,000 20,000

125 22/11/2020 Ny.Giyarti 15,000


126 Ny.Dwi Wahyuni 15,000 55,000

127 23/11/2020 Ny.Tri


128 Ny.Yusiana 80,000 55,000 20,000
129 Ny.Elis
130 Ny.Elis 15,000 25,000
131 Ny.Fitri 25,000
132 Ny.Lestari 25,000
133 Tn.Suharto 25,000
134 Ny.Sri Winarti 15,000 25,000
135 Ny.Parwati 80,000 25,000
136 24/11/2020 Ny.Elis 15,000
137 Nn.Nurroh 80,000 25,000
138 Ny.Utfah 80,000 55,000 25,000
139 Ny.Krisna 80,000
140 Ny.Dewi 20,000
141 Ny.Sri 20,000

142 25/11/2020 Ny.Sriwati 55,000


143 Ny.Marsiatun 80,000 55,000 20,000
144 Ny.Dwi Sulastri 80,000 55,000 25,000
145 Ny.Ninik 20,000
146 Ny.Fadilah 80,000 20,000
147 Ny.Mulyani 15,000

148 26/11/2020 By.Prapti


149 Ny.Suparmi
150 By.Prapti
151 Ny.Titik 80,000
152 Ny.Sri Atun 20,000

153 27/11/2020 Ny.Lidya 80,000 25,000


154 Ny.Nur 20,000
155 Ny.Agustin 80,000 55,000 20,000

156 28/11/2020 Ny.Diah 20,000


157 Ny.Nuriana 80,000
158 Ny.Konik 80,000 55,000
159 Ny.Atik 15,000

160 29/11/2020 Ny.Ribut 15,000


161 Ny.Reni 80,000
162 Ny.Darmi 80,000 55,000

163 30/11/2020 Ny.Walidatul 80,000 25,000


164 Ny.Desi 15,000 55,000
165 Ny.Anik 80,000 20,000
166 Ny.Lasmini 80,000 20,000
167 Ny.Siti 80,000 25,000

8,080,000 330,000 1,980,000 1,025,000 840,000 460,000

JUMLAH PARAMETER 385

RINCIAN

NOVI
Parameter 340
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 42
Cito 40,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 3
Cito 20,000

KARYAWAN
Wahyu 10,000
Watik 12,500
Indah 50,000
Indah 37,500
Jumlah 110,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

75,000

25,000

25,000

35,000 40,000

75,000
25,000
75,000

35,000 40,000

35,000

35,000

35,000 40,000
25,000

25,000
25,000
25,000
35,000 40,000
75,000
35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000

25,000

35,000 40,000

35,000 40,000
40,000 40,000

35,000 40,000
35,000 40,000

25,000
35,000 40,000

25,000
35,000 40,000

35,000
35,000 40,000
25,000

75,000

35,000 40,000

35,000 75,000 40,000


35,000 40,000
25,000 35,000

25,000 35,000 40,000

35,000 40,000

25,000

25,000

25,000
75,000

25,000

75,000

25,000

75,000

35,000 40,000

35,000 40,000

35,000 40,000
20,000 20,000

25,000
35,000 40,000

35,000 40,000
25,000 35,000

20,000 20,000

25,000
75,000
25,000
75,000

35,000 40,000

25,000 35,000

25,000
35,000

20,000 20,000
35,000 40,000

625,000 1,190,000 825,000 1,080,000 60000 60000 40,000 40,000


OT PT Cholestero AU TG WIDAL JUMLAH
100,000
100,000
75,000
100,000
105,000
130,000
80,000
100,000
100,000
105,000

100,000
15,000
75,000 155,000
100,000

255,000
80,000
95,000
130,000
75,000

125,000
145,000
20,000
100,000
100,000
215,000

20,000
100,000
90,000
15,000
230,000
25,000

25,000
130,000
150,000
230,000
200,000
210,000

15,000

125,000
255,000
100,000
255,000
40,000 40,000 80,000
100,000
75,000 155,000
235,000
100,000
185,000
100,000
105,000

255,000
20,000
230,000
80,000
105,000
20,000

80,000
210,000
210,000
20,000
80,000
25,000
235,000

25,000
145,000
20,000
195,000
235,000
130,000
15,000

75,000
15,000
40,000 40,000 180,000
235,000
100,000
100,000
285,000
235,000
220,000

235,000
100,000
100,000
105,000
80,000
230,000
15,000
25,000

25,000
15,000
25,000
80,000
75,000
100,000
25,000
20,000
20,000
100,000
100,000
75,000
100,000

40,000 40,000 180,000


25,000
15,000
105,000
40,000
100,000
20,000

80,000
80,000
100,000
75,000 155,000
75,000

100,000
15,000
15,000

100,000
105,000

20,000
105,000
75,000 155,000
80,000
80,000
235,000
100,000

15,000
145,000

75,000 75,000
230,000
40,000
40,000
25,000
25,000
25,000
40,000
130,000
15,000
105,000
235,000
80,000
20,000
20,000

40,000 40,000 135,000


230,000
220,000
20,000
40,000 40,000 180,000
55,000

25,000
75,000
25,000
155,000
20,000

105,000
20,000
230,000

20,000
80,000
195,000
15,000

15,000
105,000
170,000

145,000
145,000
100,000
100,000
105,000

200,000 200,000 375,000 17,410,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/12/2020 Ny.Sri S 80,000 20,000
2 Ny.Krisna 80,000 20,000
3 Ny.Partutik 80,000 55,000
4 Ny.Ika 80,000 20,000
5 Ny.Indah 80,000 20,000
6 Ny.Aning 80,000 25,000

7 2/12/2020 Ny.Agustina 80,000


8 Ny.Siswati 15,000
9 Ny.Aning 15,000
10 Ny.Ratna 80,000
11 Ny.Wiwit 80,000 20,000
12 Ny.Marsiatun
13 Ny.Erni 80,000
14 Ny.Supadmi 80,000 55,000
15 By.Sriwiti

16 3/12/2020 Ny.Siwi 80,000 55,000


17 By.Sriwiti
18 By.Siwi
19 Ny.Linda 80,000
20 By.Setiya 80,000
21 Ny.Arifah
22 By.Siwi
23 Ny.Lilik 80,000 20,000
24 Ny.Inayatul 80,000 55,000 20,000
25 Ny.Supadmi 15,000
26 Ny.Puput
27 Ny.Siti Nur 80,000 55,000
28 Ny.Aning 80,000
29 By.Sumarni 80,000

30 4/12/2020 Ny.Wiwik 80,000 25,000


31 By.Sumarni
32 Ny.Widi 80,000 20,000
33 Ny.Siti 80,000 20,000
34 Ny.Endang 80,000 55,000
35 Ny.Sri 20,000
36 Ny.Ayu Tika 80,000
37 Ny.Siti Rahayu 80,000 25,000
38 Ny.Sukirah 80,000 25,000

39 5/12/2020 Ny.Ida 80,000 20,000


40 Ny.Nunik 80,000
41 Ny.Pitri 80,000 20,000
42 Ny.Novita 20,000
43 Ny.Iis 80,000 20,000
44 Ny.Wida
45 Ny.Novita 80,000 25,000
46 Ny.Anik 20,000
47 Ny.Maryanti 80,000 20,000
48 Ny.Fitri 80,000 25,000
49 Ny.Dwi 15,000 55,000 25,000

50 6/12/2020 Ny.Sri W 15,000 55,000


51 By.Sri W
52 Ny.Sarni 80,000 55,000

53 7/12/2020 By.Sri W
54 Ny.Dea 80,000 20,000
55 Ny.Bayu 80,000 20,000
56 Ny.Sunarni 80,000 25,000
57 Ny.Puji 80,000 20,000
58 By.Qoirin
59 By.Inayah
60 Ny.Rayik 80,000 20,000
61 Ny.Parti 80,000
62 Ny.Kusrini 80,000 25,000
63 Ny.Dewi 80,000
64 Ny.Parti 55,000 25,000
65 Ny.Eva 80,000 20,000
66 Ny.Ella 80,000 55,000
67 Ny.Ekawati 80,000 25,000
68 Ny.Ririn 80,000 20,000
69 Ny.Leni 80,000 20,000
70 By.Datik

71 8/12/2020 Ny.Riani 80,000 55,000


72 By.Datik 80,000
73 Ny.Feri 80,000 20,000
74 Ny.Wahyuni 80,000 20,000
75 By.Muh Zayn
76 Ny.Anis 80,000 20,000
77 Ny.Krisna 80,000 20,000
78 Ny.Aprita 80,000 25,000
79 Nn.Khoiratun 80,000 25,000
80 Ny.Andesa 80,000 20,000
81 Ny.Nadia 80,000 20,000
82 Ny.Tri S 20,000

83 9/12/2020 Ny.Kusrini 15,000


84 By.Meinita
85 By.M Azril
86 By.Meinita

87 10/12/2020 Ny.Nur Atik 80,000


88 By.Sunarti 80,000
89 Ny.Sulastri 80,000 55,000
90 Ny.Fitri 80,000 25,000 20,000
91 Ny.Ice 80,000 20,000
92 Ny.Yanik 80,000 55,000 25,000 20,000
93 Ny.Tirani 80,000 55,000 20,000
94 Ny.Yatmi 80,000 20,000
95 11/12/2020 By.Jumini
96 Ny.Jumini
97 An.Machrin
98 An.Claresta
99 Ny.Sulastri 80,000 20,000
100 By.Sumini
101 By.Siti
102 Ny.Danik 80,000 20,000
103 Ny.Tri 20,000
104 Ny.Intan 80,000

105 12/12/2020 By.Siti


106 Ny.Yuliana 20,000
107 Ny.Monita 80,000
108 Ny.Indah
109 Ny.Muda 15,000
110 Ny.Intan 20,000
111 Ny.Sunarwi 20,000
112 Ny.Ratna 80,000 20,000

113 13/12/2020 Ny.Nurul 15,000


114 By.Hery
115 By.Hery

116 14/12/2020 Ny.Ratna 80,000


117 Ny.Ana Fusiana
118 Ny.Siti 80,000 20,000
119 Ny.Jamiyati 80,000 20,000
120 An.Claresta
121 Ny.Lis 80,000 20,000
122 Ny.Tri 80,000 20,000
123 Ny.Sunti
124 Ny.Indah 55,000
125 Ny.Ina 80,000 20,000
126 Nn.April 80,000 25,000 20,000
127 Ny.Fitri 80,000 20,000
128 Ny.Ika 80,000
129 Ny.Eri 80,000 55,000 25,000 20,000
130 Ny.Nanik 80,000 25,000
131 Nn.Chaha

132 15/12/2020 Ny.Dewi 80,000 20,000


133 Ny.Rina 80,000 20,000
134 Ny.Atik
135 Ny.Maya 80,000 55,000 25,000 20,000
136 Ny.Krisna 80,000 20,000
137 Ny.Umi 80,000 20,000
138 Ny.Dani 80,000
139 Ny.Siti 80,000 20,000
140 Ny.Bekti
141 Ny.Miya 80,000 20,000
142 Ny.Wida 80,000 25,000
143 16/12/2020 Ny.Candra 80,000 20,000
144 Ny.Suwarti
145 By.Mulyani
146 Ny.Atin 20,000
147 Ny.Wida 15,000
148 By.Mulyani
149 By.Anis
150 Ny.Avi 80,000 55,000
151 Ny.Delima 20,000
152 Ny.Wahyu 80,000 25,000 20,000
153 Ny.Purwanti 80,000 25,000
154 Ny.Erna 80,000 55,000 25,000 20,000
155 Nn.Lucky 20,000

156 17/12/2020 Ny.Eka 80,000 55,000 25,000 20,000


157 By.Anis
158 Ny.Nurul 15,000 55,000
159 By.Ibra
160 Ny.Ngatin 20,000
161 Ny.Sartini 80,000 20,000
162 Ny.Rini 80,000 55,000 25,000 20,000
163 Ny.Umi 80,000
164 Ny.Titik 80,000
165 Ny.Ayu 80,000 20,000
166 Ny.Isro 80,000 25,000 20,000

167 18/12/2020 Ny.Rina 15,000 55,000 25,000


168 Ny.Tri Wahyu 80,000
169 Ny.Titik 15,000
170 Ny.Rina 15,000
171 Ny.Atik 20,000
172 By.Febria
173 Ny.Marwiyati 20,000
174 Ny.Isdiati
175 By.Wida
176 Ny.Hanung 80,000 20,000
177 Ny.Sumarsi 80,000 25,000
178 Ny.Ana

179 19/12/2020 Ny.Erna 15,000


180 Ny.Rike 20,000
181 By.Erna 80,000
182 Ny.Rima 80,000 55,000 25,000
183 Ny.Lilin 20,000

184 20/12/2020 Ny.Yatini 80,000 55,000 25,000


185 Ny.Yatini 15,000

186 21/12/2020 Ny.Tri Utami 80,000 55,000 20,000


187 Ny.Linda 80,000 20,000
188 By.Febria
189 By.Nuryanti
190 Ny.Yatini 15,000
191 Ny.Dewi 80,000 55,000 20,000
192 By.Nuryanti
193 Ny.Sulis 80,000
194 Ny.Purwanti 80,000 25,000
195 Ny.Ika 80,000 20,000
196 Ny.Wahyu

197 22/12/2020 Ny.Dwi H 80,000 55,000 25,000


198 Ny.Caariyah 80,000 20,000
199 Ny.Ratih 20,000
200 Ny.Sri L 15,000
201 Ny.Suharti 80,000 20,000
202 Ny.Tutut 80,000 20,000
203 Ny.Sriyatun 80,000 25,000
204 Ny.Imroatin 80,000 20,000
205 By.Widayati
206 Ny.Septiani 80,000 25,000 20,000
207 Ny.Nila 80,000 25,000
208 Ny.Rika 80,000 20,000
209 Ny.Yatmi 80,000 25,000
210 Ny.Lidyani 80,000 25,000

211 23/12/2020 By.Widayati


212 Ny.Endang 80,000 25,000
213 By.Ibra
214 By.Iis 1
215 By.Iis 2
216 By.Nuryanti 80,000
217 Ny.Heni 80,000 25,000
218 Ny.Chyntia 15,000
219 By.Iis 1 25,000
220 By.Iis 2 25,000
221 Ny.Parti 80,000 25,000
222 Ny.Ani 80,000 20,000
223 Ny.Yayuk 80,000 20,000
224 Ny.Andri 80,000 20,000

225 24/12/2020 Ny.Heni 15,000


226 Ny.Endang 15,000
227 Ny.Lilis 80,000
228 Ny.Sri R 20,000
229 Ny.Puji 55,000
230 Ny.Alfina 80,000 20,000
231 By.Affina

232 25/12/2020 By.Alfina


233 Ny.Parni 80,000 25,000
234 Ny.Parni 15,000

235 26/12/2020 Ny.Cuci 80,000 20,000


236 Ny.Marmi 80,000
237 Ny.Sukini 80,000
238 Ny.Sukarni 80,000 55,000 25,000
239 Ny.Dwi 80,000
240 Ny.Novadela 20,000
241 Ny.Sri 20,000
242 Ny.Winarni 80,000 20,000
243 Ny.Lastri 80,000 25,000

244 27/12/2020 Ny.Sukini 15,000

245 28/12/2020 Ny.Meka


246 Nn.Umi 80,000 25,000
247 Ny.Dwi 20,000
248 Ny.Fitriyani 20,000
249 Nn.Indah 80,000 25,000
250 Ny.Warsiti 80,000 20,000
251 Ny.Zakiyah 80,000 25,000
252 Ny.Nunik 80,000 20,000
253 Ny.Noviyanti 20,000
254 Nn.Faura 80,000 25,000

255 29/12/2020 Ny.Panca 80,000 25,000


256 Ny.Wiji 80,000 20,000
257 Ny.Melina 20,000

258 30/12/2020 Ny.Windi 20,000


259 Nn.Amelia 80,000 25,000
260 Ny.Deviana 20,000
261 Ny.Ades 80,000
262 An.Jundi 80,000
263 Ny.Lucky 80,000 20,000
264 Ny.Purnawati 20,000
265 Ny.Titik 80,000 20,000
266 Ny.Triana 80,000
267 Ny.Nurul 80,000 25,000

268 31/12/2020 Ny.Ana 80,000 55,000


269 Ny.Mutmainah 80,000 25,000
270 Ny.Nurul 15,000
271 Ny.Romlah 80,000 20,000
272 Ny.Marfianti 80,000 20,000
273 Ny.Puji
274 Ny.Sri Lestari 80,000 20,000

12,960,000 400,000 1,705,000 1,325,000 1,500,000 680,000

JUMLAH PARAMETER 569

RINCIAN

NOVI
Parameter 508
OnCall Tgl Merah 1 Kali
WAHYU
Masuk 5 Kali
Parameter 49
Cito 140,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 12
Cito 120,000

KARYAWAN
Ana 30,000
Aditya 37,500
Rini 40,000
Jumlah 107,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000

75,000 40,000 40,000


20,000 20,000
25,000 35,000
25,000

35,000 40,000
25,000
25,000

25,000
75,000
25,000

35,000 40,000

35,000 40,000

25,000

25,000

35,000 40,000

25,000
35,000 40,000

35,000 40,000
25,000
35,000 40,000

25,000

35,000 70,000
35,000 70,000

35,000 40,000

35,000 40,000

25,000

35,000 40,000
25,000

40,000 40,000
35,000 70,000

25,000
35,000 70,000
25,000

35,000 40,000

25,000
35,000 40,000
35,000 40,000
25,000
25,000
35,000 70,000
35,000 70,000

25,000
25,000

25,000

75,000

25,000
25,000

25,000

35,000 70,000

75,000
35,000 40,000
25,000

35,000
25,000
75,000

75,000
35,000 40,000

20,000 20,000

75,000
35,000 40,000
25,000

25,000
25,000
35,000 40,000

35,000 40,000

35,000 40,000
25,000
35,000 40,000
35,000 70,000

35,000 40,000

35,000 40,000

35,000 70,000

25,000
25,000

25,000
40,000

35,000 40,000

25,000

35,000 40,000
40,000 40,000
35,000 70,000
25,000
35,000 40,000
25,000

75,000

35,000 40,000

25,000
25,000
25,000

25,000

35,000 70,000
25,000
25,000

25,000

25,000

35,000 40,000
25,000

75,000

25,000

25,000

35,000 40,000
25,000

75,000

1,200,000 1,085,000 750000 1,200,000 385,000 770000 40000 40000 120,000 120,000
OT PT Cholestero AU TG WIDAL JUMLAH
100,000
100,000
210,000
100,000
100,000
105,000

80,000
15,000
15,000
80,000
40,000 40,000 180,000
155,000
120,000
195,000
25,000

210,000
25,000
25,000
80,000
105,000
75,000
25,000
100,000
230,000
15,000
40,000 40,000 80,000
210,000
80,000
105,000

105,000
25,000
100,000
40,000 40,000 180,000
210,000
20,000
75,000 155,000
105,000
105,000

100,000
80,000
40,000 40,000 180,000
20,000
100,000
25,000
105,000
20,000
100,000
105,000
170,000

145,000
25,000
210,000

25,000
100,000
100,000
105,000
100,000
105,000
105,000
100,000
80,000
105,000
80,000
155,000
100,000
210,000
105,000
100,000
100,000
25,000

210,000
105,000
100,000
180,000
105,000
100,000
100,000
105,000
105,000
100,000
100,000
20,000

15,000
25,000
105,000
25,000

80,000
80,000
210,000
125,000
125,000
255,000
230,000
100,000
25,000
25,000
105,000
105,000
40,000 40,000 180,000
25,000
25,000
40,000 40,000 180,000
20,000
80,000

25,000
20,000
80,000
75,000
15,000
20,000
20,000
40,000 40,000 180,000

15,000
25,000
25,000

80,000
25,000
100,000
100,000
105,000
100,000
100,000
75,000
130,000
125,000
125,000
100,000
75,000 155,000
215,000
130,000
75,000

100,000
100,000
75,000
255,000
100,000
100,000
120,000
100,000
75,000
100,000
105,000
100,000
75,000
25,000
20,000
15,000
25,000
25,000
210,000
20,000
125,000
105,000
255,000
20,000

255,000
25,000
145,000
105,000
20,000
100,000
255,000
80,000
80,000
100,000
125,000

170,000
75,000 155,000
15,000
15,000
20,000
105,000
20,000
35,000 35,000 40,000 135,000
25,000
100,000
130,000
40,000

15,000
20,000
80,000
235,000
20,000

185,000
15,000

230,000
40,000 40,000 260,000
105,000
25,000
15,000
230,000
25,000
75,000 155,000
105,000
100,000
75,000

235,000
100,000
20,000
15,000
100,000
100,000
130,000
125,000
25,000
125,000
105,000
100,000
105,000
105,000

25,000
105,000
105,000
25,000
25,000
80,000
105,000
15,000
25,000
25000
105,000
100,000
100,000
100,000

15,000
15,000
75,000 155,000
20,000
40,000 40,000 135,000
100,000
25,000

25,000
105,000
15,000

100,000
80,000
80,000
235,000
80,000
20000
20000
40,000 40,000 180,000
130,000

15000

75000
105,000
20000
20,000
105,000
100,000
130,000
100,000
20,000
105,000

130,000
100,000
20,000

20,000
105,000
20000
80,000
80,000
100,000
20000
100,000
80,000
105,000

210,000
130,000
15000
100,000
100,000
75000
100,000

400,000 400,000 35000 35000 40000 375000 25,565,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/1/2021 Ny.Dwi 15,000

2 2/1/2021 Ny.Sri W 15,000


3 Ny.Lilis 80,000 20,000
4 Ny.Anita 80,000 55,000
5 Ny.Margiati 80,000 20,000
6 Ny.Enik
7 Ny.Daryati 80,000 20,000

8 4/1/2021 Ny.Giyanti 80,000 25,000


9 Ny.Ika 80,000 20,000
10 Ny.Anggun 80,000 20,000
11 Ny.Indah 80,000 55,000 20,000
12 By.Dwi 80,000
13 Ny.Dwi M 80,000 20,000
14 Ny.Kamtini 80,000 25,000
15 Ny.Septiana 80,000 20,000
16 Ny.Danik 20,000
17 Ny.Maryati 80,000 55,000 20,000
18 Ny.Umu 20,000
19 Ny.Suparmi 80,000
20 Ny.Dwi S 80,000 20,000
21 Ny.Dwi R 15,000
22 Ny.Wiwit 80,000 20,000
23 Ny.Affrina 80,000 55,000

24 5/1/2021 Ny.Rahma
25 Ny.Puji 80,000 20,000
26 Ny.Giyarti 80,000 20,000
27 Ny.Yulianti 80,000 55,000 25,000 20,000
28 Ny.Dewi S
29 Ny.Suyatmi 80,000 25,000

30 6/1/2021 By.Dedeh 80,000


31 Ny.Titin 80,000 55,000 20,000
32 Ny.Yuni 80,000 20,000
33 Ny.Dyah 80,000 55,000
34 Ny.Ninik 80,000 20,000
35 Ny.Endang 55,000
36 By.Natasha 25,000
37 Ny.Sri Fatimah 80,000 25,000

38 7/1/2021 Ny.Eni 15,000


39 By.Natasha
40 Ny.Ngatinem 80,000 25,000
41 Ny.Yatini 80,000 55,000 25,000

42 8/1/2021 Ny.Sumiati 15,000 55,000 20,000


43 By.Sumiati
44 By.Sumiati
45 Ny.Indarti 15,000 25,000
46 Ny.Yatini 15,000
47 Ny.Vera 15,000
48 Ny.Suparmi 15,000 25,000
49 Ny.Ani Rosita 15,000 55,000
50 Ny.Ani 15,000 20,000
51 Ny.Etik 15,000 25,000
52 Ny.Pinarni 15,000 20,000

53 9/1/2021 Ny.Sri Wahyuni 80,000 25,000 20,000


54 Ny.Dwi Ari 15,000 55,000
55 Ny.Dian 80,000 25,000
56 Ny.Lutfi 80,000 55,000
57 Ny.Nafisah 80,000 20,000
58 Ny.Dwi P 80,000 25,000
59 Ny.Sri Wahyuningsih 80,000 20,000
60 Ny.Arni Bela 80,000 55,000
61 Ny.Giyarti 80,000 20,000
62 Ny.Herwin 20,000
63 Ny.Devi 20,000

64 10/1/2021 Ny.Wiwid 80,000


65 By.Wiwid

66 11/1/2021 Ny.Fadhilah 80,000 55,000 25,000


67 Ny.Endah 80,000 25,000
68 Ny.Sholih 80,000 25,000
69 By.Wiwid
70 Ny.Sunarwi 20,000
71 Ny.Nuryati 20,000
72 Ny.Fajar 80,000 20,000
73 Ny.Eni 80,000 20,000
74 Ny.Susanti 80,000 20,000
75 Ny.Inul 20,000
76 Ny.Elis 80,000 55,000 20,000

77 12/1/2021 By.Elis 80,000


78 Ny.Solichatun 80,000 55,000 20,000
79 Ny.Ernawati 80,000 55,000
80 Ny.Kiswarni 80,000 25,000
81 Ny.Suparni
82 Nn.Emma 20,000
83 By.Elis
84 Ny.Ani 15,000 25,000
85 By.Ruswindarti
86 By.Wulandari

87 13/01/2021 By.Ruswindarti
88 By.Wulandari
89 Ny.Marlyana 80,000 20,000
90 Ny.Nur Rohmah 80,000 55,000 25,000
91 Ny.Indah 80,000 55,000
92 Ny.Dania 80,000 55,000 25,000
93 Ny.Harima 80,000 55,000 25,000
94 Ny.Lismiati 80,000 55,000 25,000
95 Ny.Putri 80,000 25,000

96 14/01/2021 Ny.Etik 80,000 20,000


97 By.Siti
98 Ny.Sukini 80,000 55,000
99 Ny.Sholikhatin 80,000
100 By.Siti
101 Ny.Dwi L 80,000 20,000
102 Ny.Zaenab 80,000 55,000

103 15/01/2021 Ny.Sutari 80,000 20,000


104 Ny.Erna 80,000 20,000
105 Ny.Nurnaningsih 80,000 20,000
106 Nn.Riski 80,000 55,000 25,000 20,000
107 Ny.Sholikhatin 15,000 25,000
108 By.Dwi

109 16/01/2021 By.Dwi


110 Ny.Erlinda 80,000 25,000
111 Ny.Izka 80,000 55,000
112 Ny.Solikhatin 15,000

113 17/01/2021 Ny.Riski Putri 15,000

114 18/01/2020 Ny.Sugiyatmi 80,000 20,000


115 Ny.Erfiyana
116 Ny.Elva 55,000
117 An.Naira
118 Ny.Mega 80,000 20,000
119 Ny.Fitria 80,000
120 Ny.Mega 25,000
121 Ny.Wiji Lestari 55,000
122 Ny.Dani 80,000
123 Ny.Ade 80,000 55,000 25,000
124 Ny.Iin 80,000 25,000
125 By.Mega 80,000

126 19/01/2021 Ny.Fatmawati 80,000 20,000


127 Ny.Indah 80,000 55,000 25,000
128 Ny.Mega 15,000
129 An.Kinara 80,000
130 Nn.Puput 80,000 25,000 20,000

131 20/01/2021 Ny.Eka 80,000 20,000


132 Ny.Sumini 80,000 25,000
133 Ny.Ninik 80,000 25,000
134 Ny.Siti 80,000 20,000

135 21/01/2021 Ny.Erma 80,000 20,000


136 Ny.Uswatun 80,000 25,000
137 Ny.Azalia 80,000 25,000
138 22/01/2021 Ny.Sukiyem 15,000
139 Ny.Prapti 80,000 55,000 20,000
140 Nn.Azalia 15,000
141 Nn.Azalia 20,000

142 23/01/2021 Ny.Suwarsih 80,000 25,000


143 Ny.Rusmala 80,000 25,000 20,000
144 Ny.Suyanti 80,000 20,000
145 Ny.Bayu 80,000 20,000
146 Ny.Nurul 80,000 25,000
147 Ny.Ana 20,000
148 Ny.Suwarsih 15,000

149 24/01/2021 Ny.Sutini 80,000 25,000


150 Ny.Sutini 15,000

151 25/01/2021 Ny.Devit 80,000 55,000


152 Ny.Sutini 15,000
153 Ny.Eka 80,000 25,000
154 By.Diana
155 Ny.Ika 20,000
156 Ny.Yuliani 80,000 55,000

157 26/01/2021 Ny.Sri W 80,000 55,000 25,000 20,000


158 Ny.Luluk 20,000
159 Tn.Satrio 15,000
160 Ny.Yuliana 20,000
161 Ny.Sri W 80,000
162 Ny.Dianita 20,000

163 27/01/2021 Ny.Sri R 80,000 20,000


164 Ny.Septiana
165 By.Hasbhi
166 By.Siti N
167 Ny.Lidya 15,000 55,000
168 Ny.Maryati 80,000 20,000

169 28/01/2021 By.Hasbhi


170 By.Siti N
171 Ny.Sri S 80,000 20,000
172 Ny.Sukiyem 15,000
173 Ny.Jamiyati 80,000 20,000
174 Ny.Linda 80,000 20,000
175 Ny.Tri 80,000 20,000

176 29/01/2021 Ny.Mika 80,000 25,000


177 Ny.Nur 80,000
178 Ny.Sukarni 80,000
179 Nn.Dwi 20,000

180 30/01/2021 Ny.Novita 80,000 55,000 25,000 20,000


181 Ny.Eni Sri 80,000 20,000
182 Ny.Indah 80,000 20,000
183 Ny.Sri Suwarni 80,000 20,000
184 Ny.Nuryati 80,000 55,000 25,000
185 Ny.Sutini
186 Ny.Endah 80,000 55,000 25,000
187 Ny.Hayyul 80,000

9,040,000 405,000 2,145,000 1,150,000 1,040,000 420,000

JUMLAH PARAMETER 457

RINCIAN

NOVI
Parameter 426
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 3 Kali
Parameter 21
Cito 60,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 10
Cito 60,000

KARYAWAN
Indah 45,000
Handayani 87,500
Wagiman 12,500
Jumlah 145,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000

75,000

25,000 40,000 40,000

35,000 40,000

25,000

35,000 40,000

35,000 40,000

25,000 75,000

35,000 40,000

25,000 75,000

35,000 40,000

35,000 40,000

25,000
25,000 40,000 40,000
35,000

35,000 40,000
25,000
25,000
25,000
35,000 40,000

35,000 40,000
20,000 20,000
35,000 40,000

35,000 40,000

25,000

25,000 35,000 40,000

25,000
25,000

35,000 40,000

25,000
35,000 40,000
35,000 40,000
40,000 40,000

25,000

25,000
25,000

25,000
25,000

25,000 35,000
35,000 40,000
25,000 35,000 40,000
35,000 40,000
35,000 40,000

25,000
25,000 35,000

25,000

35,000 40,000

25,000

25,000

35,000 40,000

35,000 70,000

20,000 20,000
35,000 40,000
25,000

35,000

25,000
25,000
35,000 40,000

25,000

25,000
25,000

35,000 40,000

35,000 70,000

35,000 40,000

35,000 40,000

25,000

25,000
25,000
25,000
35,000 40,000

25,000
25,000

25,000

35,000 40,000
35,000 40,000
25,000
35,000 40,000

1,000,000 1,225,000 225000 1,240,000 70,000 140,000 40000 40000 120,000 120,000
OT PT Cholestero AU TG WIDAL JUMLAH
15,000

15,000
100,000
210,000
100,000
75,000
100,000

210,000
100,000
100,000
230,000
80,000
100,000
130,000
100,000
20,000
230,000
20,000
80,000
100,000
15,000
40,000 40,000 180,000
210,000

100,000
100,000
100,000
255,000
40,000 40,000 80,000
205,000

80,000
230,000
100,000
210,000
100,000
55,000
25,000
105,000

15,000
25,000
210,000
195,000

40,000 40,000 245,000


25,000
25,000
40,000
15,000
15,000
65,000
145,000
40,000 40,000 115,000
40,000
40,000 40,000 115,000

125,000
145,000
145,000
210,000
40,000 40,000 180,000
105,000
40,000 40,000 180,000
210,000
100,000
20,000
20,000

40,000 40,000 160,000


25,000

260,000
105,000
130,000
25,000
20,000
20,000
100,000
100,000
100,000
20,000
230,000

105,000
230,000
210,000
185,000
40,000 40,000 80,000
20,000
25,000
40,000
25,000
25,000

25,000
25,000
100,000
220,000
210,000
260,000
235,000
235,000
105,000

100,000
25,000
195,000
80,000
25,000
100,000
210,000

100,000
40,000 40,000 180,000
100,000
180,000
40,000
25,000

25,000
105,000
210,000
15,000

15,000

40,000 40,000 180,000


40,000 40,000 80,000
40,000 40,000 135,000
105,000
100,000
80,000
25,000
40,000 40,000 135,000
120,000
235,000
130,000
80,000

100,000
195,000
15,000
75,000 155,000
125,000

100,000
130,000
130,000
100,000

100,000
105,000
105,000
15,000
230,000
15,000
20,000

105,000
125,000
100,000
100,000
130,000
20,000
15,000

130,000
40,000

40,000 40,000 290,000


15,000
105,000
105,000
20,000
210,000

255,000
20,000
35,000 35,000 40,000 150,000
20,000
80,000
20,000

100,000
25,000
25,000
25,000
145,000
100,000

25,000
25,000
100,000
40,000
100,000
100,000
100,000

105,000
80,000
80,000
20,000

255,000
100,000
100,000
100,000
235,000
25,000
235,000
80,000

600,000 600,000 35,000 35,000 40,000 75000 19,805,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/2/2021 Ny.Siti Q 20,000
2 Ny.Wiji 80,000 20,000
3 Ny.Andi 80,000 55,000
4 Ny.Prastiyani 80,000 55,000
5 Ny.Eni 80,000 55,000 20,000
6 Nn.Evi 20,000
7 Tn.Jono
8 Ny.Titik 80,000 55,000 25,000
9 Ny.Karti
10 Ny.Asih 80,000 25,000
11 Ny.Susi 20,000
12 Ny.Tyuanita 20,000
13 Ny.Kanza 20,000

14 2/2/2021 Ny.Asih 80,000 55,000


15 By.Suprapti
16 Ny.Fika 20,000
17 Ny.Septiani 80,000 20,000
18 Ny.Sri Harni 80,000 25,000

19 3/2/2021 By.Suprapti
20 Ny.Eka 80,000 55,000 20,000
21 Ny.Titin 80,000
22 Ny.Marsini 80,000 20,000
23 By.Dwi

24 4/2/2021 By.Dwi
25 Ny.Tri 80,000 20,000
26 Ny.Endarti 80,000 25,000
27 Ny.Novi 20,000
28 Ny.Maryati 80,000 20,000

29 5/2/2021 Ny.Pujianti 80,000 20,000


30 Nn.Emma 20,000
31 Nn.Gunita 80,000 25,000
32 Ny.Ninik 80,000 20,000
33 Ny.Parni 80,000 25,000 20,000
34 Ny.Mahfiati 80,000 20,000

35 6/2/2021 Ny.Sumarni 80,000 25,000


36 Ny.Maria 80,000 55,000 25,000
37 Ny.Zelin 80,000 55,000 25,000
38 Ny.Awasti 80,000 55,000 20,000

39 8/2/2021 By.Awasti
40 Ny.Anita 80,000
41 Ny.Dea 80,000 20,000
42 Ny.Titin
43 By.Awasti
44 Nn.Vania 20,000
45 Ny.Sri H 80,000 55,000 20,000
46 Ny.Retno 80,000 25,000

47 9/2/2021 Ny.Erna 80,000 20,000


48 Ny.Aderina 20,000
49 Ny.Lisa 80,000
50 Ny.Isti 80,000 20,000

51 10/2/2021 By.Pujiati
52 By.Pujiati
53 Ny.Tri S 80,000 20,000
54 Ny.Rusmi 80,000 20,000
55 Ny.Tukinem 80,000 25,000
56 Ny.Nika 80,000 20,000
57 Ny.Nurul 55,000
58 Ny.Rahmawati 80,000 55,000

59 11/2/2021 Ny.Puput 80,000 55,000 25,000


60 Ny.Ike Nur 80,000 20,000
61 Ny.Sarti 20,000
62 Ny.Emi 80,000 20,000
63 Ny.Detik 80,000

64 13/02/2021 Ny.Triyani 80,000 20,000


65 Ny.Sukiyem 15,000
66 Ny.Eni 80,000 25,000
67 By.Eka
68 Ny.Yustina 80,000 20,000
69 By.Eka
70 Ny.Yuni 80,000 25,000
71 Ny.Nur Sri 80,000 55,000

72 14/02/2021 Nn.Devita 15,000 55,000

73 15/02/2021 Ny.Suwarni 80,000 25,000


74 Ny.Yuli 80,000 20,000
75 Ny.Giyanti 80,000 25,000
76 Ny.Uswatun 80,000 20,000
77 Ny.Siti N 80,000 55,000 25,000 20,000
78 By.Rusmini 80,000
79 Ny.Gita 15,000
80 Ny.Endah 80,000 20,000
81 Ny.Wiwik 80,000 20,000
82 Ny.Atik 80,000 20,000
83 Ny.Danik 80,000 25,000 20,000
84 Ny.Mulyana 80,000 20,000
85 Ny.Eka Dewi 15,000 55,000
86 Ny.Melisa 80,000 20,000

87 16/02/2021 Ny.Mulyati 80,000 20,000


88 An.Alfian
89 Ny.Eka 80,000 55,000 20,000
90 Nn.Gita 80,000
91 Ny.Candra 15,000
92 Ny.Ayu 80,000 25,000

93 17/02/2021 Ny.Sela Sari 80,000


94 Ny.Tukinem
95 Ny.Terie 80,000 25,000
96 Ny.Eka Puji 80,000 20,000

97 18/02/2021 Ny.Sudarti 80,000 20,000


98 Ny.Eny
99 Ny.Titik 80,000 20,000
100 Ny.Erma 80,000 20,000

101 19/02/2021 By.Atik 80,000


102 Ny.Sri W 15,000
103 Ny.Siska 80,000 55,000 25,000
104 Ny.Sri Wanti 20,000
105 Ny.Suyanti 80,000 20,000

106 20/02/2021 Ny.Endah 15,000


107 Ny.Maya 20,000
108 Ny.Sutiyem 80,000 55,000 25,000
109 Ny.Sayekti 80,000
110 Ny.Diah 80,000 55,000
111 Ny.Finda 80,000 25,000

112 21/2/2021 By.Lailatul


113 Nn.Lailatul 15,000 55,000
114 Ny.Finda 15,000
115 By.Lailatul

116 22/02/2021 Nn.Arya 80,000


117 Ny.Ismiyati 20,000
118 Ny.Sri W 20,000
119 Ny.Vita 80,000 20,000

120 23/02/2021 Ny.Windi 20,000


121 Ny.Santi 80,000
122 Ny.Sri Utami 80,000 20,000
123 Ny.Nadya 80,000 55,000 25,000 20,000
124 Ny.Zaenab 80,000 55,000
125 Nn.Fiana 80,000 55,000 25,000 20,000

126 24/02/2021 Ny.Anik 15,000


127 Ny.Ana 80,000 55,000 25,000 20,000
128 Ny.Yoita 20,000
129 Ny.Hanung 80,000 20,000
130 Ny.Tri 80,000 25,000
131 Ny.Rismita
132 Ny.Tri 15,000

133 25/02/2021 By.Supriyani


134 Ny.Sutini 80,000
135 Ny.Tuti 80,000 25,000
136 By.Supriyani
137 Ny.Fatimah 20,000
138 Ny.Sari 80,000 20,000
139 Ny.Sri W 80,000
140 Ny.Rosita 80,000
141 Ny.Isti 80,000 55,000
142 By.Tuti

143 26/02/2021 By.Tuti 80,000


144 Ny.Tuti 15,000
145 Ny.Rodhiyah 20,000
146 Ny.Lailatul 80,000 55,000 25,000 20,000
147 By.Hanung
148 Ny.Winarni 20,000

149 27/02/2021 By.Hanung


150 Ny.Frisa 80,000 55,000 25,000
151 Ny.Aprilia 80,000
152 Ny.Mahdiyah 55,000
153 Ny.Endah 80,000 20,000
154 Ny.Yuli 55,000

155 28/02/2021 Ny.Atik 15,000


156 By.Sunarsih
157 Ny.Diana 80,000 25,000

7,680,000 195,000 1,705,000 775,000 920,000 440,000

JUMLAH PARAMETER 348

RINCIAN

NOVI
Parameter 310
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 3 Kali
Parameter 36
Cito 20,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 2
Cito 20,000

KARYAWAN
Indah 160,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000
35,000 40,000
35,000 40,000

25,000 40,000 40,000


25,000 35,000
75,000

35,000 40,000
25,000

25,000
35,000 40,000

25,000

25,000

25,000 40,000 40,000


35,000 40,000
35,000 40,000
35,000 40,000

25,000

75,000 40,000 40,000


25,000

35,000 40,000
25,000
25,000

25,000 40,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000

25,000

25,000

35,000 40,000

35,000 40,000

25,000

35,000 40,000
25,000

35,000 40,000

35,000 70,000
35,000 40,000
25,000

25,000

25,000
35,000

40,000 40,000

25,000 35,000

35,000 40,000

25,000
35,000 40,000

25,000

75,000

25,000

35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000 75,000

25,000
25,000

35,000 70,000
25,000

25,000

35,000 40,000
25,000

25,000
35,000 40,000

35,000 40,000

25,000

775,000 1,015,000 300000 1,040,000 70,000 140000 200,000 200,000


OT PT Cholestero AU TG WIDAL JUMLAH
20,000
100,000
210,000
210,000
230,000
20,000
35,000 35,000 175,000
220,000
75,000
105,000
20,000
20,000
20,000

210,000
25,000
20,000
100,000
105,000

25,000
230,000
80,000
100,000
25,000

25,000
100,000
105,000
20,000
100,000

100,000
20,000
105,000
100,000
125,000
100,000

210,000
235,000
235,000
230,000

25,000
75,000 155,000
100,000
155,000
25,000
20,000
230,000
105,000

100,000
20,000
80,000
100,000

25,000
25,000
100,000
100,000
210,000
100,000
130,000
210,000

235,000
100,000
20,000
100,000
80,000

100,000
15,000
105,000
25,000
100,000
25,000
105,000
210,000

145,000

130,000
100,000
105,000
100,000
255,000
105,000
15,000
100,000
100,000
100,000
125,000
100,000
145,000
100,000

100,000
105,000
230,000
80,000
15,000
105,000

80,000
25,000
105,000
100,000

100,000
25,000
100,000
100,000

105,000
50,000
160,000
20,000
180,000

15,000
20,000
220,000
80,000
210,000
105,000

25,000
145,000
15,000
25,000

80,000
95,000
20,000
125,000

20,000
80,000
100,000
255,000
210,000
255,000

15,000
255,000
20,000
100,000
105,000
100,000
15,000

25,000
80,000
105,000
25,000
20,000
100,000
80,000
80,000
240,000
25,000

105,000
15,000
20,000
255,000
25,000
20,000

25,000
235,000
80,000
130,000
100,000
55,000

15,000
25,000
105,000

35000 35000 75,000 15,600,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/3/2021 Ny.Atik 15,000
2 By.Sunarsih
3 Ny.Piyanti 80,000 55,000 25,000
4 Ny.Rindhi
5 By.Sartanti 80,000
6 Ny.Dwi Puji
7 By.Aisyah 80,000
8 Ny.Alfi
9 Ny.Merlin
10 By.Ika
11 By.Ika
12 Ny.Diana 15,000
13 Ny.Evian 80,000 55,000 25,000
14 Ny.Dwi Puji 80,000 20,000

15 2/3/2021 Ny.Nawang 80,000 20,000


16 By.Sartanti 80,000
17 Ny.Dewi Rahayu 20,000
18 Ny.Idayu 80,000
19 Ny.Sri L 80,000 55,000 25,000
20 Ny.Susi 80,000 55,000

21 3/3/2021 Ny.Siti 20,000


22 Ny.Warni 80,000 25,000
23 An.Lintang
24 By.Jaroh 80,000
25 Ny.Elita 80,000 25,000
26 Ny.Warni

27 4/3/2021 Ny.Warni 15,000


28 Ny.Iin 80,000
29 Ny.Sri S 80,000
30 Ny.Sarila 80,000 20,000
31 By.Fitri
32 By.Fitri
33 Ny.Sindi 80,000 20,000

34 5/3/2021 Ny.Suwarni
35 Ny.Dwi M 80,000 20,000
36 Ny.Ardi 80,000
37 By.Nur
38 Ny.Putri 80,000 25,000

39 6/3/2021 By.Dwi
40 Ny.Lela 80,000
41 Ny.Erma 80,000 55,000 25,000
42 Ny.Dina 15,000 55,000
43 Ny.Ikhima 80,000 55,000 25,000
44 Ny.Sutini 80,000 55,000 25,000
45 Ny.Sada 80,000
46 Ny.Nur 80,000 55,000
47 Ny.Wiji 20,000

48 8/3/2021 By.Ina
49 Ny.Ina 15,000
50 Ny.Muryani 80,000 20,000
51 Ny.Kiftiyah 80,000 20,000
52 Ny.Uswatun 20,000
53 By.Ina Puji
54 Ny.Sri Nur 80,000 55,000
55 Ny.Warsuti 80,000 25,000
56 Ny.Devi 80,000

57 9/3/2021 Ny.Ayu 15,000 55,000


58 By.Ayu
59 Ny.Susi 15,000 25,000
60 Ny.Dwi 80,000 55,000
61 Ny.Sri 80,000 25,000
62 Ny.Nunung 80,000 55,000
63 By.Ayu
64 Ny.Parni
65 Ny.Sri 80,000 55,000 25,000
66 Ny.Suwarni 80,000 25,000
67 Ny.Anik 15,000 55,000

68 10/3/2021 Ny.Sutrisni 20,000


69 Ny.Susi Susanti 15,000
70 Ny.Rukinem
71 Ny.Siti
72 By.Syamsiah
73 Ny.Sumarmi 20,000
74 Ny.Dwi 80,000 55,000 25,000 20,000
75 Ny.Sudarti 80,000 20,000
76 Ny.Melani 80,000
77 Ny.Devi 20,000
78 Nn.Berlyan 80,000 25,000
79 Ny.Siti 15,000 55,000

80 11/3/2021 Ny.Dwi F 15,000


81 By.Siti
82 By.Syamsiah
83 Ny.Triana 15,000
84 Nn.Berlyan 15,000
85 By.Siti

86 12/3/2021 Ny.Indria 80,000 55,000


87 Ny.Yuliani 80,000
88 Ny.Avanda 80,000
89 Ny.Nur Hamidah 20,000
90 Ny.Yuridra 80,000 55,000

91 13/03/2021 Ny.Fitri 80,000 20,000


92 Ny.Indah 80,000 20,000
93 Ny.Umiati 20,000
94 Ny.Sri L 80,000 55,000 25,000
95 Ny.Rina 80,000 25,000
96 Ny.Lailatul 20,000
97 Nn.Revalina 80,000 25,000
98 Ny.Chintiya 80,000

99 14/03/2021 Ny.Revalina 15,000


100 Ny.Titik 15,000

101 15/03/2021 Ny.Sukamti 80,000 25,000


102 Ny.Siti 80,000 20,000
103 Ny.Anik 80,000 55,000 25,000
104 Ny.Shelly 20,000
105 Ny.Orinsya 80,000
106 Ny.Audi 80,000 55,000 20,000
107 Ny.Nazila 20,000
108 Ny.Retno 80,000 20,000
109 Ny.Sunarni 80,000 20,000
110 Ny.Karisa 80,000 55,000
111 Ny.Ema 20,000
112 Nn.Nadila 80,000 25,000

113 16/03/2021 Ny.Viqi


114 Ny.Reza 80,000 20,000
115 Ny.Eko 80,000 20,000
116 By.Nawang
117 Ny.Endrawati 80,000 20,000
118 Ny.Tri 80,000 20,000
119 By.Nawang
120 Ny.Risky 20,000
121 Ny.Sarni 80,000

122 17/03/2021 Ny.Partini 80,000 20,000


123 Ny.Suharti 80,000 25,000
124 By.Atika
125 Ny.Sulastri 80,000 25,000 20,000
126 Ny.Marsini 80,000 20,000
127 Ny.Ambar 20,000

128 18/03/2021 By.Atika


129 Ny.Erma 20,000
130 Ny.Dwi 80,000 55,000
131 Ny.Seni 80,000 55,000 25,000
132 Ny.Cahyaning 80,000 55,000
133 NN.Revalina 20,000

134 19/03/2021 Ny.Melani 80,000 55,000


135 Ny.Nurul 15,000
136 Tn.Harno 15,000
137 Ny.Triyani
138 Ny.Wahyu 80,000
139 Ny.Dela 80,000
140 Ny.Sri 20,000
141 Ny.Hari 80,000 20,000
142 Ny.Yuli 20,000
143 Ny.Martini 80,000 25,000

144 20/03/2021 Ny.Suwarni 80,000


145 Ny.Nuri 80,000 55,000
146 Ny.Martini 15,000
147 By.Dewi
148 Ny.Rani 80,000
149 Ny.Yuana 80,000 55,000
150 By.Dewi
151 Ny.Indah 80,000 20,000
152 Ny.Elitha 20,000
153 Ny.Susanti 80,000

154 21/03/2021 By.Nurma 80,000

155 22/03/2021 Ny.Nunik 80,000


156 Ny.Sulastri 20,000
157 Ny.Nurma 15,000
158 Ny.Ninik 80,000 20,000
159 Ny.Nur 80,000 20,000
160 Ny.Riski 80,000
161 Ny.Nurul 80,000
162 Ny.Septian
163 Ny.Sri 20,000
164 Ny.Kristina 80,000
165 Ny.Giarti 80,000 55,000 25,000
166 Ny.Aminin 55,000
167 Ny.Finda 80,000

168 23/03/2021 Ny.Suminem 80,000 55,000 25,000


169 Ny.Finda
170 Ny.Riski 15,000
171 Ny.Listiani
172 Ny.Sumiyati 80,000 25,000 20,000
173 Ny.Suparni 80,000 20,000
174 Ny.Yesika 80,000 55,000 20,000
175 Ny.Finda 15,000
176 Ny.Delta 15,000 55,000
177 Ny.Yuliana 80,000 55,000

178 24/03/2021 Ny.Nyarlinda 80,000


179 Ny.Ika 20,000
180 Ny.Anita 80,000 55,000 20,000
181 Ny.Tugini 80,000 55,000 20,000
182 Ny.Parwati 80,000
183 Ny.Sujinah 20,000
184 Ny.Triana 80,000 20,000
185 Ny.Wulan 80,000
186 Ny.Purwanti 80,000 20,000

187 25/03/2021 Ny.Wiwin 80,000 20,000


188 Ny.Kadiyati
189 Ny.Oktavia 80,000
190 Ny.Ngadinem
191 Ny.Suratmi 20,000
192 Ny.Loreta 80,000 55,000 20,000
193 Ny.Yuliana 15,000
194 Ny.Ismiyati 15,000
195 Ny.Istiqomah 55,000
196 An.Nafiz 80,000
197 Ny.Sulisyawati 80,000 20,000
198 Ny.Intan 80,000 20,000

199 26/03/2021 Nn.Annisah 80,000 20,000


200 Ny.Novita 80,000 55,000
201 Ny.Sumiyem
202 Ny.Muarifah 15,000 55,000
203 An.Nafis 80,000
204 Nn.Oriza 80,000 25,000
205 Ny.Setyorini 80,000 25,000
206 Ny.Distia 80,000 55,000 25,000 20,000
207 Nn.Sugiyarsi 20,000

208 27/03/2021 Ny.Distia 15,000


209 Ny.Isni
210 Ny.Kurnia 15,000
211 Ny.Distia 15,000

212 28/03/2021 Ny.Nadia 80,000

213 29/03/2021 Ny.Sumini 15,000 55,000


214 Ny.Dwi 80,000 55,000 25,000
215 Ny.Sutari 80,000 20,000
216 Ny.Trisna 80,000
217 Ny.Rusmiyati 80,000 20,000
218 Ny.Rosita 80,000 55,000
219 Ny.Feronika 20,000
220 Ny.Sri M 15,000 25,000
221 Ny.Sumini 15,000
222 Ny.Wanti 80,000 25,000
223 Ny.Pipin 80,000 55,000
224 Ny.Partinah 80,000 25,000 20,000
225 Ny.Endang 80,000 25,000 20,000
226 Ny.Nurul
227 Ny.Warsini 80,000 25,000
228 Ny.Siti 80,000 55,000 25,000

229 30/03/2021 Ny.Ninik 80,000 55,000


230 By.Muniana
231 By.Endrajati
232 Ny.Anisa 80,000
233 Ny.Suharti 80,000 55,000 25,000
234 By.Muniana
235 By.Endrajati
236 Ny.Titin 80,000 55,000

237 31/03/2021 Ny.Yayan 15,000


238 Ny.Desi 80,000 25,000 20,000
239 By.Yayan 80,000
240 By.Dias
241 Ny.Amaliya 80,000 55,000
242 Ny.Intan 80,000 55,000 25,000 20,000

10,800,000 480,000 2,860,000 1,050,000 760,000 680,000

JUMLAH PARAMETER 503

RINCIAN

NOVI
Parameter 452
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 41
Cito 20,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 10
Cito 60,000

KARYAWAN
Tri 95,000
Ana 187,500
Jumlah 282,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000
35,000 40,000
75,000

35,000 40,000

75,000
75,000
25,000
25,000

25,000 35,000 40,000

25,000 35,000
35,000 40,000

25,000
35,000 70,000

40,000 40,000

25,000
25,000

75,000

25,000

25,000

35,000 40,000
35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000
25,000

25,000
35,000 40,000
25,000

35,000 40,000
25,000

35,000
25,000
35,000 40,000
25,000
25,000
35,000 40,000
25,000
35,000 40,000

35,000 40,000
35,000 40,000
25,000

35,000

35,000 40,000

25,000
25,000

25,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000

25,000

25,000
25,000

25,000

35,000 40,000
25,000 35,000 40,000
35,000 40,000

25,000 35,000 40,000

75,000
35,000 40,000

25,000
75,000
35,000 40,000
25,000

75,000

25,000 35,000
35,000 40,000

25,000 35,000
25,000

75,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000
40,000 40,000
75,000

75,000

35,000 40,000

35,000

35,000 40,000
75,000
35,000 40,000

35,000

75,000 40,000 40,000

35,000 40,000
35,000 40,000
25,000

35,000 40,000

25,000
35,000 40,000

75,000

25,000

35,000 40,000
25,000
25,000

25,000 35,000
25,000
25,000
35,000 40,000

35,000 70,000
35,000 40,000
35,000 40,000

1,075,000 1,855,000 975000 1,800,000 70,000 140000 120,000 120,000


OT PT Cholestero AU TG WIDAL JUMLAH
15,000
25,000
235,000
75,000
80,000
75,000
80,000
75,000
75,000
25,000
25,000
15,000
260,000
100,000

100,000
80,000
20,000
80,000
220,000
210,000

20,000
130,000
105,000
80,000
105,000
80,000

15,000
80,000
80,000
100,000
25,000
25,000
100,000

75,000
100,000
75,000 155,000
25,000
105,000

25,000
80,000
235,000
145,000
235,000
235,000
80,000
210,000
20,000

25,000
15,000
100,000
100,000
20,000
25,000
210,000
130,000
80,000

145,000
25,000
40,000
170,000
130,000
210,000
25,000
25,000
235,000
130,000
145,000

20,000
15,000
75,000
75,000
25,000
20,000
215,000
100,000
80,000
20,000
105,000
145,000

15,000
25,000
25,000
15,000
15,000
25,000

210,000
80,000
80,000
20,000
210,000

100,000
100,000
20,000
235,000
105,000
20,000
105,000
80,000

15,000
15,000

130,000
100,000
235,000
20,000
80,000
230,000
20,000
100,000
100,000
210,000
20,000
105,000

40,000 40,000 80,000


100,000
100,000
25,000
100,000
100,000
25,000
20,000
80,000

100,000
130,000
25,000
125,000
100,000
20,000

25,000
20,000
210,000
260,000
210,000
20,000

235,000
15,000
15,000
75,000
80,000
80,000
20,000
100,000
20,000
105,000

80,000
210,000
15,000
25,000
155,000
210,000
25,000
100,000
20,000
80,000

80,000

80,000
20,000
15,000
100,000
100,000
80,000
80,000
75,000
20,000
80,000
220,000
130,000
80,000

220,000
25,000
15,000
75,000
125,000
100,000
230,000
15,000
70,000
210,000

80,000
20,000
230,000
230,000
160,000
20,000
100,000
80,000
100,000

100,000
75,000
75,000 155,000
75,000
20,000
230,000
15,000
15,000
90,000
80,000
100,000
100,000

100,000
210,000
75,000
145,000
80,000
105,000
105,000
215,000
20000

15,000
155,000
15,000
15,000

80,000

145,000
235,000
125,000
80,000
100,000
210,000
20,000
40,000
15,000
130,000
210,000
125,000
125,000
75,000
105,000
185,000

210,000
25,000
25000
80,000
220,000
25,000
25000
210,000

15000
125,000
80,000
105000
210,000
255,000

40,000 40,000 150000 23,015,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/4/2021 By.Buriah
2 Ny.Putri 80,000 25,000
3 Ny.Desi 80,000
4 Ny.Vera 80,000 20,000
5 By.Buriah
6 Ny.Siti 80,000 20,000
7 Ny.Liya 20,000
8 By.Titin 80,000
9 Ny.Rahma 80,000 25,000

10 2/4/2021 Ny.Buriyah 15,000

11 3/4/2021 Ny.Hartatik 20,000


12 Ny.Suhartati 20,000
13 Ny.Diyah 20,000

14 4/4/2021 Ny.Letsa 80,000 25,000

15 5/4/2021 Ny.Fadhila 80,000


16 Ny.Wulan 80,000 55,000 20,000
17 Ny.Suharni 80,000 55,000 25,000
18 Ny.Sari 20,000
19 Ny.Elsa 15,000
20 Ny.Daniar 15,000
21 Ny.Tri W
22 Ny.Fitri 80,000 25,000
23 Ny.Vina 20,000
24 Tn.Harno 80,000
25 Ny.Selvi 15,000
26 Ny.Samiyati 80,000 20,000

27 6/4/2021 By.Suwarti
28 Nn.Nadila 80,000
29 Ny.Fitri 15,000
30 By.Mezzaluna
31 Ny.Sri S 80,000 25,000
32 Ny.Agustin 20,000
33 Ny.Heny 80,000 20,000
34 Ny.Ziadatul 15,000

35 7/4/2021 Ny.Zesilia 80,000


36 Ny.Sri W 20,000
37 Ny.Sukiyem
38 Ny.Sri Darsini 80,000 55,000 25,000
39 Ny.Setyo 20,000
40 By.Ikrimah
41 By.Heni 80,000
42 By.Bima 80,000
43 By.Ikrimah
44 Ny.Ziadatul 15,000
45 Ny.Aulia 20,000
46 Ny.Wahyuni 20,000
47 Ny.Siti 80,000 20,000
48 Ny.Dwi 20,000
49 Ny.Heny 15,000

50 8/4/2021 Ny.Sutiyani 80,000 20,000


51 Ny.Yesi Wahyu
52 By.Mutia
53 Ny.Putri 80,000
54 Ny.Tukini 20,000
55 By.Mutia
56 Ny.Warsuli 80,000 55,000 25,000

57 9/4/2021 Ny.Silvia 80,000


58 Ny.Supatmi 80,000
59 Ny.Suryani 80,000 55,000 25,000
60 Ny.Indah 20,000
61 Ny.Siti Nur 80,000 25,000
62 Ny.Siti 20,000
63 Ny.Eli 20,000
64 Ny.Daryani 80,000 55,000 25,000 20,000
65 Ny.Ananda 20,000
66 Ny.Imas 80,000 25,000

67 10/4/2021 An.Bima 80,000


68 Ny.Laras 80,000
69 Ny.Daryati 15,000
70 Ny.Mutaqiati 80,000 55,000 20,000
71 Ny.Warsini 20,000
72 Ny.Endah 20,000
73 Ny.Siti M 20,000
74 Ny.Ernawati 80,000 25,000
75 Ny.Kristi 80,000 20,000

76 11/4/2021 Ny.Endah 80,000 55,000 25,000

77 12/4/2021 Ny.Suyanti 80,000 55,000


78 By.Suyanti 80,000
79 By.Sulastri 80,000
80 Ny.Endang 15,000
81 Ny.Diana 80,000 20,000
82 Ny.Sunarsih 80,000
83 Ny.Endang 15,000
84 Ny.Evita 15,000

85 13/04/2021 Ny.Marni 20,000


86 Ny.Suranti 80,000 20,000
87 Ny.Endang
88 Ny.Samiyem 80,000 20,000
89 Ny.Ayu 80,000 55,000
90 Ny.Leni 80,000 25,000

91 14/04/2021 Ny.Tri 20,000


92 Ny.Mulyani
93 Ny.Migut 80,000 20,000
94 Ny.Evita

95 15/04/2021 Ny.Selvi 15,000


96 Ny.Sulastri 20,000
97 Ny.Ani 80,000 20,000
98 Ny.Aprianti 80,000 55,000
99 Ny.Delta 15,000

100 16/04/2021 Ny.Dela 80,000


101 Ny.Lusi 80,000 55,000
102 Samini 80,000 20,000
103 Ny.Sri Puji 80,000 55,000 20,000
104 Ny.Apriana 20,000
105 Nn.Karisma

106 17/04/2021 Ny.Mita


107 Ny.Rina 80,000 55,000
108 Ny.Parsiyah
109 Ny.Warti 80,000 25,000
110 Ny.Dewi Nur 55,000
111 An.Bening 80,000

112 18/04/2021 Ny.Retno 15,000 55,000


113 Ny.Mariana 80,000

114 19/04/2021 Ny.Dewi L 80,000 20,000


115 Nn.Yuna 80,000
116 Ny.Ikrima 80,000
117 Ny.Ana 80,000 20,000
118 Ny.Ade 20,000
119 By.Govardhan 80,000
120 Ny.Rasmi 80,000 55,000 25,000
121 Ny.Endang 80,000 20,000
122 Tn.Harno 15,000
123 Ny.Martini 80,000 25,000

124 20/04/2021 Ny.Zakiyah 80,000


125 An.Bening 80,000 25,000
126 Nn.Hanum 80,000 25,000
127 Ny.Ernawati 80,000 55,000

128 21/04/2021 Ny.Reni 80,000 55,000 25,000


129 Ny.Ani 20,000
130 Ny.Ikrimah 15,000
131 Nn.Putri 80,000 25,000
132 Ny.Dewi 80,000 55,000 20,000

133 22/04/2021 By.Surani


134 Ny.Warni 20,000
135 Ny.Sindi 80,000
136 Ny.Eva 80,000 25,000
137 Ny.Nurtatik 80,000 55,000 25,000
138 Ny.Fitri 80,000 20,000
139 By.Surani
140 Ny.Fina 80,000
141 Ny.Indah 80,000 20,000

142 23/04/2021 Tn.Teddy


143 Ny.Tri Asih 80,000 20,000
144 Ny.Indah 80,000
145 Ny.Sri L 80,000 25,000
146 Ny.Suparni 80,000 25,000

147 24/04/2021 Ny.Tety 80,000


148 Ny.Sutinah 80,000 20,000
149 Ny.Dyah 80,000

150 25/04/2021 By.Siti


151 By.Siti
152 By.Ryana 80,000

153 26/04/2021 Ny.Retno 80,000 20,000


154 Ny.Ryana 15,000
155 Nn.Afira 80,000 25,000
156 Nn.Cindi 80,000 25,000
157 Ny.Kustanti 80,000 55,000 25,000 20,000
158 Ny.Sulistiana 80,000 20,000
159 By.Bintar
160 Ny.Wahyu 80,000 55,000 20,000
161 Ny.Fitri 80,000 25,000
162 Ny.Tyas 55,000

163 27/04/2021 Ny.Khonatal 80,000 55,000


164 Ny.Hartatik 20,000
165 Ny.Sunarni 80,000 20,000
166 Ny.Fitri 15,000
167 Ny.Setiyani 80,000 20,000
168 Ny.Khoirul 80,000 55,000

169 28/04/2021 By.Bintar


171 Ny.Ani 15,000 55,000
172 Ny.Purwati 80,000 20,000
173 Ny.Rok'in 80,000 25,000
174 Ny.Niti 15,000 55,000

175 29/04/2021 Ny.Nurul 80,000 20,000


176 Ny.Siti 80,000 55,000 25,000
177 Ny.Rinata 20,000
178 Ny.Suparni 80,000 20,000
179 Ny.Khunfaya 80,000 55,000 25,000
180 Ny.Sri Lestari 80,000 55,000
181 Ny.Luky 80,000 55,000 25,000

182 30/04/2021 Ny.Sarti 80,000 25,000


183 Ny.Sri L 15,000
184 Ny.Windi 80,000 25,000
185 Ny.Wahyuni 15,000 25,000
186 Ny.Kiswatik 80,000 25,000
187 Ny.Watik 80,000
188 By.Wahyuni 80,000

8,720,000 345,000 1,760,000 950,000 660,000 600,000

JUMLAH PARAMETER 385

RINCIAN

NOVI
Parameter 346
OnCall Tgl Merah 1 Kali

WAHYU
Masuk 5 Kali
Parameter 33
Cito 100,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 6
Cito 60,000

KARYAWAN
Winda 7,500
Rafka 40,000
Aditya 37,500
Jumlah 85,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
25,000

25,000

25,000

35,000 40,000
25,000 35,000

75,000

25,000

25,000

35,000 70,000

75,000
25,000 35,000

25,000

25,000
75,000
25,000

25,000
35,000 40,000

35,000 40,000

35,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000

75,000

25,000 35,000
75,000

75,000 40,000 40,000

35,000 40,000

35,000

35,000 40,000

75,000

35,000 40,000
75,000
40,000 40,000

35,000 40,000

25,000
25,000 35,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000

25,000
35,000 40,000

25,000

25,000

25,000
25,000

25,000
25,000

35,000 40,000

35,000 70,000
35,000 40,000
25,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 70,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000 35,000
35,000 40,000
625,000 1,085,000 600000 960,000 105,000 210,000 80,000 80,000
OT PT Cholestero AU TG WIDAL JUMLAH
25,000
105,000
80,000
100,000
25,000
100,000
20,000
105,000
105,000

15,000

20,000
20,000
20,000

105,000

80,000
230,000
220,000
20,000
15,000
15,000
75,000
105,000
20,000
35,000 35,000 175,000
15,000
100,000

25,000
80,000
15,000
105,000
105,000
20,000
100,000
15,000

80,000
20,000
75,000
220,000
20,000
25,000
80,000
80,000
25,000
15,000
20,000
20,000
100,000
20,000
15,000

100,000
75,000
25,000
80,000
20,000
25,000
235,000

80,000
80,000
235,000
20,000
105,000
20,000
20,000
215,000
20,000
105,000

80,000
80,000
15,000
230,000
20,000
20,000
20,000
105,000
100,000

235,000

210,000
105,000
80,000
15,000
100,000
80,000
15,000
15,000

20,000
100,000
75,000
100,000
195,000
105,000

20,000
75,000
100,000
155,000

15,000
20,000
40,000 40,000 180,000
210,000
15,000

80,000
170,000
100,000
230,000
20,000
75,000

40,000 40,000 80,000


210,000
75,000
185,000
55,000
80,000

145,000
80,000

100,000
80,000
80,000
40,000 40,000 180,000
20,000
105,000
220,000
40,000 40,000 180,000
15,000
105,000

80,000
105,000
105,000
210,000

235,000
20,000
15,000
105,000
230,000

25,000
20,000
80,000
130,000
235,000
100,000
25,000
80,000
100,000

35,000 35,000 40,000 135,000


100,000
105,000
130,000
105,000

80,000
100,000
80,000

25,000
25,000
80,000

40,000 40,000 180,000


15,000
105,000
105,000
255,000
40,000 40,000 180,000
105,000
230,000
130,000
130,000

210,000
20,000
40,000 40,000 180,000
15,000
100,000
210,000

105,000
145,000
100,000
105,000
145,000

100,000
235,000
20,000
100,000
235,000
195,000
235,000

105,000
15,000
105,000
40,000
105,000
80,000
80,000

280,000 280,000 70000 70000 40000 17,520,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/5/2021 Ny.Wahyuni 15,000

2 3/5/2021 Ny.Triana 15,000


3 Ny.Paryanti 80,000 20,000
4 Ny.Nunik 20,000
5 Ny.Diah Ayu 15,000 55,000 25,000 20,000
6 Ny.Nurul 80,000
7 By.Pujiati

8 4/5/2021 By.Pujiati
9 Ny.Rifky 80,000 55,000
10 Ny.Sukiyem
11 Ny.Reza 80,000 20,000
12 Ny.Tri Murti 80,000 20,000

13 5/5/2021 Ny.Darsini 80,000 55,000 20,000


14 Ny.Farida 20,000
15 Ny.Kamsiyah 80,000 25,000
16 Ny.Wiwik 80,000
17 Ny.Yunia 80,000
18 Ny.Habibi 80,000 55,000
19 Ny.Nurlaila 20,000
20 Ny.Sri W 80,000 25,000
21 Ny.Dwi Indah 80,000 20,000
22 Ny.Heni 55,000
23 Ny.Sri W 80,000 20,000

24 6/5/2021 Ny.Jumini 80,000 20,000


25 Ny.Reka 20,000
26 Ny.Siwi 80,000
27 Ny.Sri Lestari 80,000 25,000
28 Ny.Sri Lestari 15,000
29 Ny.Aisyah 80,000 55,000 25,000 20,000
30 Ny.Sri S 80,000

31 7/5/2021 Ny.Sulastri 80,000 30,000


32 Ny.Sudarwanti 80,000
33 Ny.Sulastri
34 Ny.Yuliana 80,000 55,000 20,000
35 Ny.Hartini 80,000 20,000

36 8/5/2021 Ny.Tetty 80,000 55,000


37 Ny.Nardaning 80,000 55,000
38 Ny.Nur Hikmah 80,000 55,000
39 Ny.Rita 80,000 20,000
40 Ny.Puput 80,000 20,000
41 Ny.Sugiyanti 80,000 20,000
42 Ny.Dian 80,000
43 Ny.Eva 80,000 55,000

44 9/5/2021 By.Hajar
45 By.Hajar

46 10/5/2021 By.Tri H
47 Ny.Dwi Ninik
48 Ny.Suprapti 80,000 55,000 25,000
49 Ny.Tutut 80,000
50 Ny.Sindi 80,000 20,000
51 Ny.Farida 80,000
52 By.Tri H

53 11/5/2021 Ny.Vingka 20,000


54 Ny.Praharsini 80,000 20,000
55 Ny.Kartika
56 By.Sri S
57 Ny.Sri S 15,000
58 Ny.Siti R 20,000
59 Nn.Kayla 80,000 25,000
60 An.Akhdan 80,000
61 By.Sri Sumarsih
62 Ny.Suyatmi
63 By.Dwi 80,000
64 Ny.Indah 80,000 55,000

65 12/5/2021 Ny.Dewi Ika 20,000


66 Ny.Diviga
67 Ny.Dewi Ika 80,000 25,000
68 Ny.Dwi Mei 15,000
69 Ny.Sulastri 80,000 25,000 20,000
70 An.Rafanda
71 Ny.Dewi Ika 15,000

72 13/05/2021 By.Mei 80,000


73 Ny.Mei 15,000
74 Ny.Asmaul 80,000 55,000

75 15/05/2021 Ny.Diah Ayu 20,000


76 Ny.Dhina 20,000
77 Ny.Khoirul 80,000 20,000
78 Nn.Alifah 80,000 25,000

79 17/05/2021 Ny.Wiwik 80,000 25,000


80 Ny.Siti 80,000 20,000
81 Ny.Dewi 80,000
82 Ny.Nur 80,000 20,000
83 Ny.Siska 20,000

84 18/05/2021 Ny.Suprapti 80,000 55,000


85 Ny.Ratna 80,000 25,000
86 Ny.Riska 80,000 20,000
87 Ny.Jumirah 80,000
88 Ny.Paini 80,000 55,000

89 19/05/2021 By.Ratih 80,000


90 Ny.Wiwik 15,000
91 Ny.Jumirah 15,000
92 Ny.Hanim 80,000 20,000
93 By.Jumirah 80,000
94 Ny.Indah 80,000 20,000
95 By.Wiwik 80,000
96 Ny.Setiyani 55,000
97 Ny.Dyah 80,000
98 Ny.Rianti 80,000 55,000 25,000
99 Ny.Setiyani 15,000

100 20/05/2021 Ny.Novi 15,000 55,000


101 Nn.Risrina 80,000 25,000
102 Ny.Sri L 80,000
103 Ny.Dewi 15,000
104 Ny.Eni 80,000 25,000

105 21/05/2021 Nn.Risrina 15,000


106 Ny.Tri 20,000
107 Ny.Parni 15,000
108 Ny.Fathul 55,000

109 22/05/2021 Ny.Sarila 80,000 20,000


110 Ny.Nabila 80,000 55,000
111 Ny.Siti 80,000 55,000 25,000
112 Ny.Yayuk 80,000 25,000
113 Ny.Parwanti 80,000 25,000
114 Ny.Sumiati 20,000
115 Ny.Suwarsi 80,000 25,000
116 Ny.Sukarsih 20,000
117 Ny.Eva 80,000
118 Ny.Annisa 20,000
119 By.Titik

120 23/05/2021 By.Titik

121 24/05/2021 Ny.Ayu 20,000


122 An.Afifa 80,000
123 Ny.Yuni 80,000 25,000 20,000
124 Ny.Dania 80,000 55,000
125 Ny.Lilik 80,000 25,000

126 25/05/2021 Tn.Wakiran


127 Ny.Saliyem
128 Ny.Diah 80,000 20,000
129 An.Hasna 80,000
130 Ny.Mira 15,000 55,000
131 By.Shena
132 Nn.Maharani

133 26/05/2021 By.Diah


134 By.Diah
135 27/05/2021 Ny.Sumarni 80,000 20,000
136 Ny.Suparni 20,000
137 Ny.Purwati 80,000 25,000
138 Ny.Wahyu 80,000 55,000
139 Ny.Sholikah 15,000 55,000 25,000
140 Ny.Sutarti 80,000 25,000
141 Ny.Endang 20,000

142 28/05/2021 Ny.Sholikah 15,000


143 Ny.Miyatun 80,000 25,000
144 Ny.Siti 80,000 20,000
145 Ny.Indah
146 Ny.Asma 80,000 55,000
147 Ny.Ninuk 80,000
148 Nn.Ardiaga 80,000 55,000

149 29/05/2021 Ny.Atien 80,000


150 Ny.Lutfi 80,000 55,000
151 Ny.Soraya 15,000
152 Ny.Eka 80,000 25,000 20,000
153 Ny.Sulastri 80,000 20,000
154 By.Sulastri
155 Ny.Eka 80,000
156 Ny.Septian 80,000 55,000
157 Ny.Suyatmi 80,000 55,000 25,000

158 30/05/2021 By.Sulastri 25,000


159 Ny.Sulastri 25,000
160 Ny.Suyatmi 15,000
161 Ny.Eka 15,000
162 Ny.Lisa 80,000 25,000

163 31/05/2021 Ny.Giyanti 80,000 25,000


164 Ny.Eva 15,000
165 Ny.Giyanti 80,000 20,000
166 By.Tarwatik
167 Ny.Umi 80,000 25,000
168 Ny.Endang 80,000 20,000
169 Ny.Sheila 80,000 55,000 25,000
170 Ny.Sri Wahyuni 80,000 55,000 25,000

8,000,000 330,000 1,815,000 850,000 670,000 340,000

JUMLAH PARAMETER 354

RINCIAN

NOVI
Parameter 304
OnCall Tgl Merah 3 Kali
WAHYU
Masuk 5 Kali
Parameter 48
Cito 180,000
On Call Tgl Merah 3 Kali

ERIKA
On Call tgl Merah 3 Kali
Parameter 2
Cito 40,000

KARYAWAN
Purwanti 77,500
Raffa 52,500
Adhitya 55,000
Winda 105,000
Jumlah 290,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000 35,000 40,000

25,000

25,000
25,000 35,000 40,000
25,000

35,000 40,000

40,000 40,000

35,000 40,000

35,000 40,000

35,000
25,000
35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000
25,000

25,000

25,000 35,000

25,000
25,000

75,000
25,000

25,000
75,000

35,000 40,000

40,000

35,000 70,000

35,000 40,000

25,000 35,000
25,000

25,000 35,000

25,000
25,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000
25,000

25,000

25,000

25,000

35,000 40,000

25,000
25,000

35,000 40,000
25,000
75,000

25,000
25,000
35,000 40,000
35,000 40,000
25,000

25,000

75,000
35,000 40,000

35,000 40,000

35,000 40,000

25,000
25,000

35,000 40,000
25,000 35,000 40,000

25,000
25,000

35,000 40,000
35,000

875,000 1,120,000 300000 1,120,000 35,000 70,000 40,000 40,000


OT PT Cholestero AU TG WIDAL JUMLAH
15,000

15,000
100,000
20,000
215,000
80,000
25,000

25,000
235,000
25,000
100,000
100,000

230,000
20,000
185,000
80,000
80,000
210,000
20,000
105,000
100,000
55,000
100,000

100,000
20,000
80,000
105,000
15,000
255,000
80,000

110,000
115,000
25,000
230,000
100,000

210,000
210,000
210,000
100,000
100,000
100,000
80,000
210,000

25,000
25,000

25,000
40,000 40,000 80,000
220,000
80,000
100,000
105,000
25,000

20,000
100,000
75,000
25,000
15,000
20,000
105,000
80,000
25,000
75,000
80,000
210,000

20,000
40,000
105,000
15,000
125,000
105,000
15,000

80,000
15,000
210,000

20,000
20,000
100,000
105,000

105,000
100,000
80,000
100,000
20,000

195,000
130,000
100,000
80,000
195,000

105,000
15,000
15,000
40,000 40,000 205,000
80,000
100,000
80,000
130,000
80,000
235,000
15,000

145,000
105,000
80,000
15,000
105,000

15,000
20,000
15,000
55,000

100,000
210,000
235,000
130,000
105,000
20,000
130,000
20,000
80,000
20,000
25,000

25,000

20,000
80,000
125,000
210,000
105,000

35,000 35,000 40,000 135,000


35,000 35,000 40,000 135,000
100,000
80,000
145,000
25,000
75,000

25,000
25,000
100,000
20,000
105,000
210,000
170,000
130,000
20,000

15,000
130,000
100,000
75,000
210,000
80,000
210,000

80,000
210,000
15,000
125,000
125,000
25,000
80,000
210,000
260,000

25,000
25,000
15,000
15,000
105,000

105,000
15,000
100,000
25,000
130,000
100,000
235,000
195,000

80,000 80,000 70000 70000 80000 15,985,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/6/2021 Ny.Sri W 15,000

2 2/6/2021 Ny.Depit
3 Ny.Yuli 80,000 20,000
4 Ny.Rahmini 80,000 20,000
5 Ny.Giyarni 80,000 20,000
6 Ny.Anik 80,000 20,000
7 Ny.Sayekti 80,000 25,000
8 Ny.Fitri 20,000
9 Ny.Ika 20,000
10 Ny.Sri Rahayu 20,000

11 3/6/2021 Ny.Lastri 80,000 55,000 25,000


12 By.Erni 80,000
13 Ny.Rahmawati 80,000
14 Ny.Erni 15,000
15 Ny.Asih 80,000 25,000
16 Ny.Nanik 80,000
17 Ny.Tatik 80,000 55,000 25,000
18 Ny.Lastri 15,000
19 Ny.Ilaika 80,000 25,000
20 Ny.Dayana 80,000 55,000 25,000
21 Ny.Arik 15,000

22 4/6/2021 By.Nanik 80,000


23 Ny.Siti Awanah 80,000 25,000
24 Ny.Sulastri
25 Ny.Yuvita 80,000 20,000
26 Ny.Nanik 15,000

27 5/6/2021 Ny.Siti Awanah 15,000


28 Ny.Siti Nur 80,000 55,000
29 Ny.Ajeng 80,000 55,000 25,000
30 Ny.Niza 20,000
31 Ny.Ratih 15,000 55,000
32 Ny.Sarah 80,000 20,000
33 Ny.Anisyah 20,000
34 Ny.Sugiyarti 80,000 20,000

35 6/6/2021 Ny.Sarah 15,000 55,000


36 By.Sugiyarti 80,000

38 7/6/2021 Ny.Sumarmi
39 Ny.Yuliana 55,000
40 Ny.Aprilia 80,000 20,000
41 Ny.Defi 55,000
42 Ny.Lisnawati 80,000 20,000

43 8/6/2021 Ny.Nining 80,000 55,000


44 Ny.Eny 80,000 55,000
45 Ny.Jumini 80,000 25,000
46 Ny.Putri
47 Ny.Veri 80,000 55,000 25,000
48 Ny.Retno 80,000 20,000

49 9/6/2021 Ny.Dania 80,000 20,000


50 Ny.Siti 80,000 25,000
51 Ny.Tutik 20,000
52 Ny.Eko 80,000
53 Ny.Liliana
54 Ny.Rika 20,000
55 Ny.Eri 80,000 25,000
56 Ny.Haryati 80,000 20,000
57 Ny.Kiki 80,000 25,000

58 10/6/2021 Ny.Rokin 55,000


59 Ny.Sumairah 20,000
60 By.Rokin
61 Ny.Wargini 80,000 20,000
62 Ny.Ninuk 20,000
63 Ny.Kiki 15,000
64 Ny.Lia 55,000 25,000
65 Ny.Cahyaning 80,000 20,000
66 Ny.Sunarsih 80,000 25,000
67 Ny.Sumini 80,000 25,000
68 Ny.Farida

69 11/6/2021 By.Rokin
70 Ny.Siti 80,000 20,000
71 Ny.Wiji 20,000
72 Ny.Luki 80,000 25,000
73 Nn.Dona 80,000 25,000
74 Ny.Suci 80,000 20,000
75 Ny.Muzayanah 80,000 20,000

76 12/6/2021 Ny.Dian
77 Ny.Asri 80,000 55,000 25,000
78 Nn.Trska 80,000 25,000
79 Ny.Yuli 80,000 20,000
80 By.Pingky
81 Ny.Ninuk
82 Ny.Sheila 80,000 20,000
83 By.Dian

84 13/06/2021 By.Dian
85 An.Naya 80,000

86 14/06/2021 Ny.Winarni 20,000


87 An.Naya 80,000
88 By.Sheila
89 Ny.Hariyati 80,000 20,000
90 Ny.Tri P 80,000 55,000
91 By.Ineke 80,000
92 Ny.Selpia 80,000 20,000
93 By.Sheila
94 Ny.Arini 80,000 55,000
95 Ny.Dinda 80,000 20,000
96 Ny.Agustina 80,000 55,000

97 15/06/2021 Ny.Sri R 80,000 20,000


98 Ny.Adelia 80,000 25,000
99 Ny.Fitri 15,000 55,000
100 Ny.Partini 80,000 20,000
101 By.Fitri
102 Ny.Endang 80,000 20,000
103 Ny.Fitri 15,000
104 By.Endang

105 16/06/2021 By.Fitri


106 By.Endang
107 Ny.Jumiyem 80,000 25,000
108 An.Naja 80,000
109 By.Intan
110 By.Fitri 80,000
111 By.Intan
112 Ny.Agustina 80,000 55,000 20,000
113 Ny.Riana 80,000
114 Ny.Sri Ngatmini 80,000 20,000

115 17/06/2021 An.Nabila 80,000


116 Ny.Devia 80,000 55,000
117 Ny.Waginem 80,000
118 Ny.Chistin 80,000 20,000
119 Ny.Yuli 20,000

120 18/06/2021 Ny.Tegar 80,000 55,000 25,000


121 Ny.Dwi 80,000
122 Ny.Sri Hayu 80,000 20,000
123 Ny.Fatimah 80,000 55,000

124 19/06/2021 An.Nabila 80,000


125 Ny.Mulyani 80,000 20,000
126 Ny.Putri 80,000 25,000

127 20/06/2021 By.Maryati

128 21/06/2021 Ny.Cahyaning 15,000


129 Ny.Siti 80,000 20,000
130 By.Maryati
131 An.Nabila 80,000
132 By.Cahyaning 80,000
133 An.Edgar
134 Ny.Sumini
135 Ny.Nika 80,000
136 Ny.Tri 80,000 20,000
137 Ny.Tri W 80,000 55,000
138 22/06/2021 Ny.Tri K 80,000
139 Ny.Cahyaning 15,000
140 Ny.Giyarni
141 Ny.Hesti 80,000

142 23/06/2021 Ny.Susi 80,000 20,000


143 Ny.Suparni 15,000 55,000
144 An.Edgar
145 Ny.Dian 80,000 55,000
146 An.Muh Alhar 80,000

147 24/06/2021 Ny.Shinta 80,000 55,000


148 Ny.Giyarni
149 Ny.Isnawatik 80,000 25,000
150 Ny.Migut 80,000 20,000
151 Ny.Putri 80,000 25,000
152 Ny.Krismiati 80,000

153 25/06/2021 Ny.Purani 80,000 55,000


154 NY.Putri 15,000
155 Ny.Krismiati
156 Ny.Susanti 80,000 20,000
157 Ny.Nur 20,000
158 Ny.Eni 80,000 55,000

159 26/06/2021 Ny.Dewi 80,000 55,000


160 Ny.Sulastri 80,000 20,000
161 An.Muh Alhanan 80,000
162 By.Isnawatik 80,000
163 Ny.Rani 80,000 25,000
164 Ny.Purwanti 20,000
165 Ny.Parti 80,000 20,000
166 Ny.Isnawati 15,000
167 Ny.Sutisni
168 Tn.Supriyanto
169 Ny.Anjarsari 80,000

170 27/06/2021 Ny.Sumiyem 80,000 20,000

171 28/06/2021 Ny.Dwi Fajar 80,000 55,000


172 Ny.Eny 80,000 55,000
173 Ny.Erna 20,000
174 Ny.Warsiti 20,000

175 29/06/2021 Ny.Rohana 80,000 55,000 20,000


176 By.Tutik
177 BY.Tutik
178 Ny.Suyanti 80,000 20,000
179 Ny.Triana 80,000 55,000 20,000
180 Nn.Lujung
181 Ny.Nur 80,000 20,000

182 30/06/2021 Ny.Erni 80,000


183 Ny.Ika 20,000
184 Ny.Suyarti 55,000
185 Ny.Giyarni
186 Ny.Linda 80,000 25,000
187 Ny.Tiara 25,000
188 By.Suyarti
189 By.Suyarti
190 By.Anik

8,960,000 240,000 1,925,000 725,000 820,000 360,000

JUMLAH PARAMETER 392

RINCIAN

NOVI
Parameter 354
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 4 Kali
Parameter 34
Cito 60,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 4
Cito 40,000

KARYAWAN
Tn.Sukamto 12,500
Ana 55,000
Winda 15,000
Ririn 77,500
Jumlah 160,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

75,000

25,000 35,000

35,000 40,000

35,000 40,000

25,000
25,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000
25,000

25,000 75,000
35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000
25,000
35,000 40,000

25,000

75,000

35,000 40,000

25,000

25,000 35,000

40,000 40,000
25,000
75,000

25,000

25,000

35,000 40,000

35,000 70,000
25,000

25,000

25,000

25,000

35,000 40,000
25,000
25,000
35,000 40,000

35,000 40,000

35,000 40,000

25,000

25,000

25,000
25,000
25,000

25,000

25,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000

25,000

35,000 70,000
25,000

35,000 40,000
25,000

35,000
35,000 70,000
35,000 40,000

35,000 40,000
25,000

25,000

35,000 40,000

25,000

35,000 40,000

35,000 40,000

40,000
40,000

35,000 40,000
35,000 40,000

35,000 40,000
25,000
25,000

35,000 40,000
75,000
35,000 40,000
25,000

25,000
25,000
25,000

950,000 1,225,000 375000 1,360,000 105,000 210,000 40,000 40,000


OT PT Cholestero AU TG WIDAL JUMLAH
15,000

75,000
100,000
100,000
100,000
100,000
105,000
20,000
20,000
20,000

220,000
80,000
80,000
15,000
105,000
80,000
235,000
15,000
105,000
235,000
15,000

80,000
130,000
25,000
100,000
15,000

15,000
210,000
235,000
20,000
145,000
100,000
20,000
100,000

145,000
105,000

100,000
130,000
100,000
130,000
100,000

210,000
210,000
130,000
40,000 40,000 80,000
235,000
100,000

100,000
130,000
20,000
80,000
75,000
20,000
105,000
100,000
105,000

130,000
20,000
25,000
100,000
20,000
15,000
140,000
100,000
40,000 40,000 265,000
130,000
75,000

25,000
100,000
20,000
130,000
105,000
100,000
100,000

75,000 75,000
235,000
105,000
100,000
105,000
25,000
100,000
25,000

25,000
80,000

20,000
80,000
25,000
40,000 40,000 180,000
210,000
105,000
100,000
25,000
210,000
40,000 40,000 180,000
210,000

100,000
105,000
145,000
100,000
25,000
40,000 40,000 180,000
15,000
25,000

25,000
25,000
130,000
80,000
25,000
80,000
25,000
230,000
80,000
100,000

80,000
210,000
80,000
100,000
20,000

235,000
80,000
100,000
210,000

75,000 155,000
100,000
105,000

25,000

15,000
100,000
25,000
80,000
80,000
105,000
35,000 35,000 40,000 135,000
80,000
100,000
210,000
80,000
15,000
25,000
80,000

100,000
105,000
105,000
210,000
80,000

210,000
25,000
105,000
100,000
105,000
105,000

210,000
15,000
25,000
100,000
20,000
210,000

210,000
100,000
80,000
80,000
105,000
20,000
100,000
15,000
40,000
40,000
80,000

100,000

210,000
210,000
20,000
20,000

230,000
25,000
25,000
40,000 40,000 180,000
230,000
75,000
100,000

75,000 155,000
20,000
130,000
25,000
105,000
25,000
25,000
25,000
25,000

240,000 240,000 35000 35000 40000 225000 18,150,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/7/2021 By.Anik
2 Ny.Triana 15,000
3 Ny.Mutaqiati 80,000 20,000
4 Ny.Rahayu 80,000
5 Ny.Surahyem 80,000 25,000
6 Ny.Mey 20,000

7 2/7/2021 Ny.Sawitri 80,000


8 By.Sri
9 Ny.Shinta 80,000
10 By.Sri M
11 Ny.Etin 15,000 55,000

12 3/7/2021 Ny.Khoirotun 80,000


13 Ny.Dyna 20,000
14 Ny.Akhinda 80,000 55,000 25,000
15 Ny.Nunik 80,000 55,000

16 5/7/2021 Ny.Angga 80,000 55,000 25,000


17 Ny.Rizki 80,000 20,000

18 6/7/2021 Ny.Sarini 80,000 20,000


19 Ny.Dwi 80,000 20,000
20 Ny.Nur 80,000 25,000
21 Ny.Sutini 80,000 20,000
22 Ny.Inani 80,000 20,000
23 Ny.Yuliana 80,000 55,000

24 7/7/2021 Ny.Eni 55,000


25 Ny.Retno 80,000 55,000 25,000
26 Ny.Sri

27 9/7/2021 Ny.Rahmini 80,000 25,000


28 Ny.Sunarni 80,000 55,000 20,000
29 Ny.Ninik 15,000
30 Ny.Sinem 80,000 20,000
31 Ny.Sumini 80,000 25,000
32 Ny.Rahmini 15,000

33 10/7/2021 Ny.Leni 80,000 55,000 25,000 20,000


34 Ny.Citra 15,000
35 Ny.Isma 15,000
36 Ny.Enik
37 Ny.Dasiyem 80,000 20,000
38 Ny.Meikah 80,000 55,000 25,000
39 Ny.Agustina 80,000 55,000
40 Ny.Tri P 80,000 55,000 25,000 20,000
41 Ny.Cicik 80,000 25,000
42 Ny.Surani 80,000
43 Ny.Tri P 15,000
44 Ny.Sri P 80,000 55,000 25,000
45 Ny.Juwita
46 Ny.Cicik 15,000

47 12/7/2021 Ny.Oktona 80,000 20,000


48 By.Amindita
49 Ny.Surani
50 Ny.Nova 80,000 55,000 25,000
51 An.Albian 80,000
52 Ny.Uvix 80,000 25,000
53 Ny.Tri 20,000
54 By.Safitri
55 By.Naning

56 13/07/2021 By.Naning
57 By.Safitri
58 Ny.Henik 80,000 55,000 25,000
59 Ny.Rindhi 80,000 55,000 25,000
60 Ny.Lutfi 80,000 55,000 25,000 20,000
61 Ny.Rohana 80,000 20,000

62 14/07/2021 Ny.Eli 80,000 55,000


63 Ny.Tri W 80,000 55,000
64 Ny.Ika R 80,000 20,000
65 Ny.Nina 80,000 20,000
66 Ny.Adhita 80,000
67 By.Reni

68 15/07/2021 By.Reni
69 Ny.Lutfi 15,000

70 17/07/2021 Ny.Ani 15,000 55,000


71 By.Reni

72 19/07/2021 Ny.Suji 15,000 55,000 20,000


73 By.Suji 80,000
74 Ny.Tanti 15,000

75 20/07/2021 Ny.Tentya 20,000


76 By.Subarini

77 21/07/2021 By.Subarini
78 Ny.Casndra 80,000 20,000

79 22/07/2021 Ny.Pitri 20,000


80 Ny.Afifah

81 23/07/2021 Ny.Mitasari 15,000 20,000


82 Ny.Dwi L 80,000 55,000
83 Ny.Mustika 20,000

84 24/07/2021 Ny.Vivit 20,000


85 By.Ayu 1
86 By.Ayu 2
87 25/07/2021 By.Triana
88 By.Ayu 1
89 By.Ayu 2
90 By.Triana
91 Ny.Tri A 15,000 25,000

92 26/07/2021 Ny.Nur 80,000


93 Ny.Anik 20,000
94 An.Afifa 80,000
95 Ny.Anis 80,000 20,000
96 Ny.Anjarwati 20,000
97 Ny.Amy 80,000 25,000
98 Ny.Rosianah 80,000
99 By.Sri H
100 Ny.Rosianah 55,000

101 27/07/2021 Ny.Sari


102 Ny.Rusmini
103 By.Sri H
104 Ny.Sulis 80,000
105 Ny.Nur 80,000 25,000
106 Ny.Lupi 80,000 55,000 25,000
107 Ny.Dinda 80,000 55,000
108 Ny.Susanti 80,000 55,000 25,000
109 Ny.Beti 20,000

110 28/07/2021 Ny.Ika 80,000 20,000


111 Ny.Anik 20,000

112 29/07/2021 Ny.Tri Ningsih 80,000 55,000


113 Ny.Suprapti 80,000 55,000 25,000
114 Ny.Ambar 80,000
115 Ny.Linda 80,000 55,000
116 Ny.Agustin 80,000 55,000 25,000

117 30/07/2021 Nn.Catur 80,000 25,000


118 Ny.Ami 15,000 55,000
119 Tn.Ahmad
120 Ny.Sumiyem 80,000
121 Ny.Lilik 55,000
122 Ny.Nuryanti 80,000 25,000
123 Ny.Nanik 20,000
124 Nn.Dwi Mia 80,000 20,000

125 31/07/2021 By.Reni


126 By.Nova
127 Ny.Okta 80,000 55,000

128 31/07/2021 Ny.Sumiyem 80,000 55,000 25,000


129 Ny.Handwini 20,000
130 By.Reni
131 By.Nova
132 Ny.Sumiyem 80,000
133 Ny.Sumiyem 80,000
134 Ny.Judulengkeri 80,000
135 Ny.Erlin 25,000
136 Ny.Tri M 25,000
137 Tn.Ferdian 25,000

5,600,000 225,000 1,870,000 750,000 420,000 280,000

JUMLAH PARAMETER 307

RINCIAN

NOVI
Parameter 296
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 3 Kali
Parameter 11
Cito 40,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

KARYAWAN
Tn.Sukamto 12,500
Ny.Hani 87,500
Jumlah 100,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
25,000

25,000

25,000

25,000
35,000 40,000

75,000

35,000
35,000 40,000

35,000 40,000

25,000

35,000 40,000

35,000 40,000
75,000

35,000 40,000

35,000 40,000

40,000
25,000

35,000 40,000
35,000 40,000
25,000 35,000

35,000 40,000
75,000

35,000 70,000

35,000 40,000

25,000
25,000

25,000
25,000
35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000
35,000 40,000

25,000

25,000

35,000 40,000
35,000 70,000

35,000 40,000
25,000

25,000

25,000

75,000

35,000 40,000

25,000
25,000
25,000
25,000
25,000
25,000

25,000
35,000 40,000

75,000
35,000
25,000

25,000
35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000
35,000

35,000 40,000

25,000
25,000
35,000 40,000

25,000 35,000

25,000
25,000
750,000 1,225,000 375,000 1,240,000 70,000 140000
OT PT Cholestero AU TG WIDAL JUMLAH
25,000
15,000
40,000 40,000 180,000
80,000
130,000
20,000

80,000
25,000
80,000
25,000
145,000

155,000
20,000
195,000
210,000

235,000
100,000

100,000
100,000
130,000
100,000
100,000
210,000

40,000 40,000 135,000


235,000
75,000

105,000
40,000 40,000 310,000
15,000
100,000
105,000
15,000

255,000
15,000
55,000
35,000 35,000 40,000 135,000
40,000 40,000 180,000
235,000
210,000
240,000
105,000
80,000
15,000
235,000
75,000
15,000

100,000
105,000
40,000 40,000 80,000
235,000
75,000 155,000
105,000
20,000
25,000
25,000

25,000
25,000
235,000
235,000
255,000
100,000

210,000
210,000
100,000
100,000
80,000
25,000

25,000
15,000

145,000
105,000

165,000
105,000
15,000

20,000
25,000

25,000
100,000

20,000
75,000

35,000
210,000
20,000

20,000
25,000
25,000
25,000
25,000
25,000
25,000
40,000

80,000
20,000
80,000
40,000 40,000 180,000
20,000
105,000
80,000
25,000
130,000

75,000
35,000
25,000
80,000
130,000
235,000
210,000
235,000
20,000

100,000
20,000

210,000
235,000
80,000
210,000
235,000

105,000
145,000
35,000
80,000
130,000
105,000
20,000
100,000

25,000
25,000
210,000

220,000
20,000
25,000
25,000
80,000
80,000
80,000
25,000
25,000
25,000

240,000 240,000 35000 35000 40000 75,000 13,610,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/8/2021 By.Nova 80,000
2 Ny.Sumiyem 15,000
3 By.Sagita 80,000

4 2/8/2021 Ny.Ari Catur 15,000 55,000


5 Ny.Wisma 80,000 55,000
6 Ny.Ririn 80,000 55,000
7 Ny.Amelia 80,000 55,000 25,000
8 By.Lina
9 Ny.Eli 80,000 25,000
10 Ny.Ajeng 80,000 55,000
11 By.Lina
12 Ny.Shinta 55,000
13 Tn.Faud 55,000
14 Ny.Dwi Puji 80,000 55,000

15 3/8/2021 Ny.Eli 15,000


16 Ny.Sudarti 80,000 55,000

17 4/8/2021 An.Gretasha 80,000


18 Ny.Ngatinem 80,000 25,000
19 Ny.Beny 55,000
20 Ny.Darwati 80,000 55,000
21 Ny.Ajeng 80,000
22 Ny.Sonia 80,000
23 Ny.Ningrum 80,000 55,000 20,000
24 Ny.Setyowati
25 Nn.Dwi Mia 20,000
26 Tn.Oktario
27 Ny.Suwarni 15,000

28 5/8/2021 Ny.Evi 80,000 25,000 20,000


29 By.Evi 1
30 By.Evi 2
31 Ny.Catur Wulan 80,000
32 Ny.Alfi 80,000 55,000 25,000
33 By.Evi 1 80,000
34 By.Evi 2 80,000
35 Ny.Rima 80,000
36 By.Evi 1
37 By.Evi 2
38 Ny.Indah 80,000 25,000
39 Ny.Tanjung
40 By.Catur
41 Ny.Mujiati 80,000 20,000

42 6/8/2021 Ny.Ferina 20,000


43 Ny.Siti 80,000 20,000
44 Ny.Evi 15,000
45 By.Catur
46 Ny.Partini 20,000
47 An.Fatan 80,000
48 Ny.Siti Asanah 80,000 55,000
49 Ny.Sulis 80,000 20,000
50 Ny.Oktaviana 80,000 55,000 20,000

51 7/8/2021 Ny.Sulastri 80,000 55,000 25,000


52 Ny.Lutafiah 20,000
53 Ny.Erwina 80,000 55,000 20,000

54 9/8/2021 Ny.Putri 80,000 55,000 25,000


55 Ny.Nur Q 80,000 55,000 25,000
56 Ny.Ine 80,000
57 Ny.Mursini 80,000 25,000
58 Ny.Lilis 80,000 20,000
59 Ny.Mursini 15,000 55,000

60 10/8/2021 Ny.Danik
61 Ny.Sulastri 80,000 25,000 20,000
62 Ny.Titik 80,000 20,000
63 Ny.Diah
64 By.Dwi
65 By.Tri
66 Ny.Ika April 80,000 55,000 25,000
67 By.Dwi
68 By.Tri
69 By.Danik

70 11/8/2021 Ny.Mulyani 15,000 55,000


71 Ny.Suparmi 80,000 20,000
72 By.Danik
73 By.Siti
74 An.Fahril 80,000
75 By.Siti

76 12/8/2021 Ny.Eny 80,000 20,000


77 Ny.Uun 80,000
78 Ny.Pipit 20,000
79 Ny.Martini 80,000

80 13/08/2021 By.Shinta
81 By.Tri W
82 Ny.Reni 80,000 55,000 25,000
83 Ny.Ana 20,000
84 By.Shinta
85 By.Tri W
86 Ny.Suminem 80,000 25,000
87 By.Rafadhan 80,000
88 Ny.Apriana 80,000 20,000
89 Ny.Siti 80,000
90 Ny.Dian 20,000
91 By.Ika
92 Ny.Reni 15,000
93 14/08/2021 Ny.Ayu 80,000 55,000 25,000
94 Ny.Sunarti 80,000 25,000
95 By.Ika
96 Ny.Nuri 80,000
97 Ny.Yuli 80,000 20,000
98 An.Muh Azhari 80,000
99 Ny.Judul 80,000 20,000
100 Ny.Aprilia 20,000

101 16/08/2021 Ny.Marlina 80,000 55,000


102 Ny.Eva 20,000
103 Ny.Sartini 80,000 55,000 25,000
104 Ny.Sundari 80,000 55,000 25,000
105 Ny.Asmah
106 Ny.Pujiati 80,000 20,000
107 Ny.Dwi Ratna 80,000 20,000
108 An.Muh Azhari 80,000
109 Ny.Sultonul 80,000 20,000
110 By.Sartini 80,000
111 By.Sultonul

112 17/08/2021 Ny.Sartini 15,000


113 By.Sultonul
114 Ny.Sunarni 80,000

115 18/08/2021 Ny.Aris 80,000 55,000


116 Ny.Lia
117 Ny.Natalia 80,000 55,000 25,000
118 Ny.Nur 20,000

119 19/08/2021 By.Nina


120 Ny.Prita 20,000
121 Ny.Rusmiyati 80,000 55,000
122 By.Nina
123 Ny.Eka 80,000
124 Ny.Sungatmi 80,000 20,000

125 20/08/2021 An.Mikhaela 80,000


126 Ny.Dea 80,000 20,000
127 Ny.Ristina 15,000
128 Ny.Ratih 80,000 20,000
129 Ny.Yuliana 80,000 20,000

130 21/08/2021 Ny.Jiyem 80,000 25,000


131 Ny.Wagiyem
132 Ny.Siti Aisyah 80,000 20,000
133 Ny.Kasmi
134 Ny.Evi 80,000
135 Ny.Denik 80,000
136 Ny.Muhayatun 80,000
137 Ny.Maya 80,000
138 Ny.Ully 80,000 20,000
139 Ny.Winarni 80,000
140 Ny.Suryani
141 Ny.Usma 80,000 55,000
142 Ny.Pipit 80,000 20,000
143 Ny.Gigi 80,000

144 22/08/2021 Ny.Jiyem 15,000

145 23/08/2021 Ny.Asmah


146 Ny.Riyanti 80,000 55,000 25,000
147 An.Mikhaila 80,000
148 Ny.Novita 20,000
149 Ny.Linda 80,000
150 Ny.Ganes 80,000 20,000
151 Ny.Suparsih 80,000 20,000
152 Ny.Ely 80,000 55,000 25,000
153 Ny.Tiara 15,000 55,000
154 Ny.Indria 80,000 25,000
155 Ny.Diana 80,000 25,000
156 Ny.Faradila 80,000 55,000 25,000
157 Ny.Fitri 80,000 20,000
158 Ny.Diana 15,000

159 24/08/2021 Ny.Sumini 80,000 55,000


160 By.Ganes
161 Ny.Kristina 80,000 55,000 25,000
162 An.Mikhaila 80,000
163 Ny.Ituk
164 By.Ganes
165 Ny.Sutarmi 20,000

166 25/08/2021 Ny.Sudarti


167 Ny.Khas 80,000 20,000
168 Ny.Lilis 80,000 25,000
169 Ny.Hartini 80,000 25,000 20,000
170 Ny.Nur 80,000 25,000

171 26/08/2021 Ny.Laila 15,000 55,000


172 Ny.Muzarah 20,000
173 Ny.Siti S 80,000 20,000
174 Ny.Siti R 55,000
175 Ny.Pipit 20,000
176 Ny.Risda 80,000
177 Ny.Aminah 80,000 25,000

178 27/08/2021 Ny.Kasiyem 80,000 25,000


179 Ny.Nisa 80,000 55,000
180 Ny.Haryatmi 80,000 25,000
181 Ny.Mulatsari 80,000 55,000 25,000
182 Ny.Nanik 80,000 20,000
183 Ny.Ratih 80,000 55,000 25,000 20,000

184 28/08/2021 Ny.Narwati 80,000


185 Ny.Kiswatik 80,000 55,000
186 Ny.Ririn 80,000 25,000
187 Ny.Heppy 80,000 55,000 25,000
188 Ny.Riza 80,000 55,000
189 Ny.Werdati 80,000 55,000
190 Ny.Vidianita 20,000
191 Ny.Wemy 80,000 25,000

192 29/08/2021 By.Siti


193 By.Dwi

194 30/08/2021 Ny.Yunika 55,000


195 By.Dwi
196 By.Siti 80,000
197 Ny.Supriyati 80,000
198 Ny.Alis 80,000 20,000
199 Ny.Septi 80,000 20,000
200 Nn.Rasya 80,000 20,000
201 Ny.Ratna 20,000
202 Ny.Laras 80,000 55,000 20,000
203 Ny.Apriyana 80,000 20,000

204 31/08/2021 Ny.Indah 20,000


205 Ny.Dwi H 80,000 55,000 20,000
206 By.Alis
207 Ny.Intan 80,000 20,000
208 Ny.Ngatini 80,000 25,000
209 Ny.Sri S 80,000 20,000
210 Ny.Sukatini 80,000 55,000
211 By.Alis
212 Ny.Siti
213 Ny.Sutarmi 80,000 25,000
214 Ny.Yesi

10,320,000 265,000 2,695,000 975,000 700,000 480,000

JUMLAH PARAMETER 481

RINCIAN

NOVI
Parameter 442
OnCall Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 33
Cito 60,000
On Call Tgl Merah 2 Kali
ERIKA
On Call tgl Merah 3 Kali
Parameter 6
Cito 40,000

KARYAWAN
Tari 7,500
Elva 40,000
Reni 170,000
Kinar 37,500
Jumlah 255,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
25,000

25,000

35,000 40,000
35,000 40,000
35,000 40,000
35,000 40,000
25,000

35,000 40,000
25,000
35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000

40,000 40,000
35,000 40,000
35,000 40,000

25,000 35,000 40,000


40,000

40,000

25,000
25,000

35,000 40,000

25,000
25,000

75,000
25,000

25,000
25,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

35,000

25,000

75,000
25,000
25,000
35,000 40,000
25,000
25,000
25,000

35,000 40,000

25,000
25,000

25,000

25,000
25,000
35,000 40,000

25,000
25,000
25,000 40,000 40,000

25,000
35,000 40,000
25,000
25,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000

25,000

35,000 40,000
40,000
35,000 40,000

25,000

35,000
25,000

25,000

75,000

75,000
75,000
35,000 40,000

75,000

25,000
35,000 40,000

75,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000
25,000
35,000 40,000

40,000
25,000

75,000

35,000

40,000 40,000
35,000 40,000
25,000
35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000
35,000 40,000

25,000

25,000
25,000

35,000 40,000
25,000
25,000

35,000 40,000

35,000 40,000
25,000

35,000 40,000 40,000


25,000
75,000
40,000 40,000
40,000

1,125,000 1,715,000 675000 2,000,000 200,000 200,000


OT PT Cholestero AU TG WIDAL JUMLAH
105,000
15,000
105,000

145,000
210,000
210,000
235,000
25,000
105,000
210,000
25,000
130,000
130,000
210,000

15,000
210,000

80,000
185,000
130,000
210,000
80,000
80,000
255,000
40,000
20,000
40,000
15,000

40,000 40,000 205,000


25,000
25,000
80,000
235,000
80,000
80,000
80,000
25,000
25,000
105,000
75,000
25,000
40,000 40,000 180,000

20,000
40,000 40,000 180,000
15,000
25,000
20,000
105,000
210,000
40,000 40,000 180,000
230,000

235,000
20,000
230,000

235,000
235,000
80,000
105,000
100,000
105,000

40,000 40,000 80,000


150,000
100,000
75,000
25,000
25,000
235,000
25,000
25,000
25,000

145,000
100,000
25,000
25,000
80,000
25,000

100,000
40,000 40,000 160,000
20,000
80,000

25,000
25,000
235,000
20,000
25,000
25,000
210,000
80,000
100,000
80,000
20,000
25,000
15,000
235,000
130,000
25,000
80,000
100,000
80,000
100,000
20,000

210,000
20,000
235,000
235,000
40,000 40,000 80,000
100,000
100,000
80,000
100,000
80,000
25,000

15,000
25,000
80,000

210,000
40,000
235,000
20,000

25,000
20,000
170,000
25,000
80,000
100,000

105,000
100,000
15,000
100,000
100,000

105,000
75,000
100,000
75,000
80,000
80,000
80,000
80,000
100,000
80,000
75,000
210,000
100,000
155,000

15,000

25,000
235,000
80,000
20,000
155,000
40,000 40,000 180,000
100,000
235,000
145,000
105,000
105,000
235,000
100,000
15,000

210,000
25,000
235,000
75,000 155,000
40,000
25,000
20,000

75,000
100,000
105,000
125,000
105,000

105,000
20,000
100,000
40,000 40,000 135,000
20,000
80,000
105,000

40,000 40,000 265,000


210,000
130,000
235,000
100,000
255,000

80,000
210,000
105,000
235,000
210,000
210,000
20,000
130,000

25,000
25,000

130,000
25,000
105,000
80,000
40,000 40,000 180,000
100,000
100,000
20,000
230,000
100,000

20,000
230,000
25,000
100,000
105,000
100,000
40,000 40,000 330,000
25,000
75,000
40,000 40,000 265,000
40,000

520,000 520,000 75000 22,465,000

.
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/9/2021 Ny.Dwi 80,000 55,000 25,000
2 Ny.Suwarti 80,000 25,000
3 Ny.Desi 20,000
4 Ny.Siti 80,000 55,000 25,000
5 Ny.Nanik

6 2/9/2021 Ny.Tatik 80,000 20,000


7 Ny.Ngatini 15,000
8 Ny.Eka Nur 15,000 25,000
9 Ny.Anjar 20,000
10 Ny.Mimi 15,000
11 By.Eka
12 By.Tatik

13 3/9/2021 By.Eka
14 By.Tatik
15 Ny.Eka Nur 15,000
16 Ny.Julaekah 80,000 55,000 25,000 20,000
17 Ny.Diah 20,000
18 Ny.Fatmi 80,000 20,000
19 Ny.Suiwanti 80,000 25,000
20 Ny.Adhila 80,000 20,000
21 Ny.Sri S 80,000 20,000
22 By.Dwi H

23 4/9/2021 Ny.Dewi R 20,000


24 Ny.Dwi H
25 Ny.Novita
26 Ny.Vina 80,000 20,000
27 Ny.Anggita 80,000 55,000 25,000
28 Ny.Mulatsari 15,000
29 Ny.Sutarmi 80,000 20,000
30 Ny.Intan 20,000
31 Ny.Lena 80,000 55,000 25,000
32 By.Sutarmi
33 By.Rasya
34 Ny.Nur 80,000 20,000

35 5/9/2021 By.Sutarmi
36 By.Rasya
37 Ny.Rosita
38 Tn.Agus
39 Ny.Suyatmi
40 Ny.Ratih 80,000
41 By.Sumiyati 80,000
42 By.Umi
43 Ny.Ferina 20,000

44 7/9/2021 Ny.Laila 80,000 55,000


45 By.Umi
46 Ny.Silfia
47 Ny.Kartika 80,000 55,000

48 8/9/2021 Ny.Lestari 80,000


49 Ny.Putri 20,000
50 An.Abdan
51 Ny.Bela 80,000 20,000
52 Ny.Richa
53 By.Jarmega
54 By.Jarmega
55 Ny.Silfia 80,000
56 Ny.Nur S 20,000
57 Ny.Anik 55,000
58 Ny.Risky 20,000
59 Nn.Dyah 80,000 25,000
60 Ny.Daryani

61 9/9/2021 Ny.Ana 80,000 55,000


62 Ny.Vika 80,000 55,000 20,000
63 Ny.Aulia 80,000 55,000
64 Ny.Agustina 20,000
65 By.Tatik
66 By.Mitasari
67 By.Marifah
68 Ny.Arum 80,000 55,000 25,000
69 Ny.Rina 80,000 20,000
70 Ny.Yuli 80,000
71 Ny.Novitri 80,000 20,000
72 Ny.Sartika 80,000
73 Ny.Iin K 80,000 25,000

74 10/9/2021 Ny.Iin
75 Ny.Hari 55,000
76 Ny.Puji 80,000 20,000
77 Ny.Sulastri 80,000 20,000
78 Ny.Sorta 20,000

79 11/9/2021 Ny.Sukiyem
80 Ny.Winarsih 20,000
81 Ny.Wahyu 80,000 25,000
82 Ny.Siti M 80,000 25,000
83 Ny.Siti N 80,000 55,000 25,000
84 Ny.Malita 80,000 55,000 25,000
85 Ny.Dwi 55,000
86 Ny.Puji 15,000

87 12/9/2021 Ny.Suyatmi 80,000 55,000 25,000

88 13/09/2021 Ny.Alviani 80,000


89 Ny.Istiqomah 20,000
90 An.Nugraha 80,000
91 Ny.Dwi P 20,000
92 Ny.Suyatmi
93 Ny.Aurelia 80,000 55,000
94 By.Suparmi
95 Ny.Suyatmi 15,000
96 Ny.Sri W 80,000 25,000

97 14/09/2021 Ny.Risma
98 Ny.Reni 80,000 55,000
99 Ny.Raudhatul 55,000
100 Ny.Iin Rahmawati 80,000
101 By.Erma
102 Ny.Ika 80,000 20,000
103 Ny.Ikawati 80,000 25,000
104 Ny.Diah Ayu 80,000

105 15/09/2021 By.Erma


106 Ny.Suryani 80,000 20,000
107 Ny.Henik 80,000 20,000
108 By.Jarmegawati
109 Ny.Siti 15,000 25,000
110 Ny.Catur 80,000 25,000
111 Ny.Wahyu 80,000 20,000

112 16/09/2021 Ny.Prapti


113 By.Siti 80,000
114 By.Ria 80,000

115 17/09/2021 Ny.Julaekah 20,000


116 Ny.Musyarofah 80,000
117 Ny.Anggia 20,000
118 Ny.Ummus 80,000 55,000 20,000
119 Ny.Sabela 80,000 30,000
120 Ny.Siti 80,000 20,000
121 Ny.Yuli 15,000 55,000

122 18/09/2021 Ny.Sri Hartatik 20,000


123 Ny.Helma
124 Ny.Fika 80,000 20,000
125 Ny.Suwarni 80,000 55,000 25,000 20,000
126 Ny.Febya 80,000 55,000 25,000
127 Ny.Dewi 80,000 55,000 25,000
128 Ny.Ningsih 80,000 20,000
129 Ny.Anggita
130 Ny.Dina 15,000 55,000

131 20/09/2021 Ny.Desy 80,000 55,000 25,000


132 Ny.Marisa 80,000 20,000
133 Ny.Ratih
134 Ny.Mika 80,000 55,000 25,000
135 Ny.Adhila 80,000 25,000
136 Ny.Etmi 80,000 25,000
137 Ny.Dwi L 80,000 25,000 20,000
138 Ny.Nila 15,000 55,000
139 By.Nila
140 Ny.Sri 80,000 55,000 25,000
141 21/09/2021 Ny.Neni 80,000 25,000
142 Ny.Ratna
143 Ny.Wiwin 20,000
144 Ny.Asrani 20,000
145 By.Nila
146 Ny.Sri Marni 15,000

147 22/09/2021 Ny.Mursri 80,000 55,000 25,000


148 By.Nursri 80,000
149 By.Sumiyem
150 By.Ria 80,000
151 By.Sumiyem

152 23/09/2021 Ny.Nursri 15,000


153 Ny.Ida 20,000
154 Ny.Erna 15,000 55,000
155 By.Aldila

156 24/09/2021 Ny.Indriya 80,000 20,000


157 Ny.Umi 80,000 20,000
158 Ny.Nindia 80,000 20,000
159 Ny.Nika 80,000 55,000 25,000
160 By.Aldila
161 Ny.Beti 80,000 25,000
162 By.Riski
163 Ny.Ismi 80,000 55,000 25,000
164 Ny.Puji 80,000 55,000 25,000

165 25/09/2021 Ny.Yatmi 80,000 25,000 20,000


166 By.Riski
167 By.Indri 1
168 By.Indri 2
169 By.Indri 1
170 By.Indri 2
171 Ny.Suharni 80,000 55,000
172 Ny.Desi 80,000 55,000
173 Ny.Ayu 80,000
174 Ny.Indri 15,000
175 Ny.Nurhayati 55,000 20,000

176 27/09/2021 By.Mayasari


177 Ny.Ana 80,000
178 Ny.Yuni 80,000 20,000
179 By.Mayasari

180 28/09/2021 Ny.Dian 80,000 55,000 25,000


181 Ny.Arifati 80,000 55,000 25,000
182 Ny.Sri H 15,000 25,000
183 Ny.Anggita 55,000
184 Ny.Sukamsi 80,000 20,000
185 Ny.Denik 80,000 55,000 25,000
186 By.Wiwik
187 29/092021 By.Wiwik
188 Ny.Sri H 15,000
189 By.Evi
190 Ny.Inas 80,000
191 Ny.Sulastri 20,000
192 By.Evi
193 Ny.Idayani 80,000 20,000
194 Ny.Porika 80,000 55,000 25,000
195 Ny.Litfiah 20,000
196 Ny.Darmini
197 Ny.Suryanti 80,000 20,000

198 30/09/2021 Ny.Anita 80,000


199 Ny.Umi 20,000
200 Ny.Budi 80,000
201 Ny.Andini 80,000 25,000
202 By.Puryanti 80,000 25,000

7,840,000 255,000 2,365,000 1,075,000 650,000 520,000

JUMLAH PARAMETER 464

RINCIAN

NOVI
Parameter 406
On Call Tgl Merah 1 Kali

WAHYU
Masuk 5 Kali
Parameter 58
Cito 80,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 0
Cito 0

KARYAWAN
Hani 72,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
35,000 40,000
40,000 40,000

35,000 40,000
75,000

25,000
25,000

25,000
25,000

35,000 40,000

25,000

25,000
75,000

35,000 40,000

35,000 40,000
25,000
25,000

25,000
25,000
40,000
40,000

20,000 20,000
25,000
25,000

35,000 40,000
25,000
35,000 40,000

35,000 70,000

75,000
25,000
25,000

75,000

35,000 40,000
35,000 40,000
35,000 40,000

35,000 70,000
35,000 70,000
35,000 70,000
35,000 40,000

25,000 40,000 40,000

25,000 40,000 40,000


35,000 40,000

25,000

35,000 40,000
35,000 40,000

25,000 35,000 40,000

25,000
35,000 40,000
35,000 70,000

40,000
35,000 40,000
35,000 40,000

25,000

25,000

25,000

35,000 70,000

25,000

25,000 75,000
25,000
25,000

35,000 40,000
25,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000

40,000
35,000 40,000

35,000 40,000

20,000 20,000
35,000 40,000

25,000

35,000 40,000
25,000
35,000 40,000
25,000
75,000 40,000 40,000

25,000

35,000 40,000

25,000
35,000 70,000
25,000

35,000 40,000
25,000

35,000 40,000
25,000

25,000
35,000 40,000
35,000 40,000

25,000
25,000
25,000
25,000
25,000
35,000 40,000
35,000 40,000

35,000 40,000

25,000

25,000

35,000 40,000
35,000 40,000

35,000 40,000
25,000
25,000

25,000

25,000

35,000 40,000

25,000

35,000

25,000

1,250,000 1,470,000 450000 1,800,000 245,000 490000 40000 40000 160,000 160,000
OT PT Cholestero AU TG WIDAL JUMLAH
235,000
185,000
20,000
235,000
75,000

40,000 40,000 180,000


15,000
40,000
20,000
15,000
25,000
25,000

25,000
25,000
15,000
255,000
20,000
100,000
105,000
100,000
100,000
25,000

20,000
25,000
75,000
100,000
235,000
15,000
40,000 40,000 180,000
20,000
235,000
25,000
25,000
100,000

25,000
25,000
40,000
40,000
35,000 35,000
120,000
105,000
25,000
20,000

210,000
25,000
35,000 35,000 40,000 110,000
210,000

80,000
20,000
105,000
40,000 40,000 180,000
75,000
25,000
25,000
75,000 155,000
20,000
40,000 40,000 135,000
20,000
105,000
75,000

210,000
230,000
210,000
20,000
105,000
105,000
105,000
235,000
100,000
80,000
100,000
80,000
40,000 40,000 290,000

105,000
130,000
100,000
100,000
20,000

25,000
20,000
105,000
105,000
235,000
235,000
40,000 40,000 135,000
15,000

260,000

80,000
20,000
75,000 155,000
20,000
25,000
210,000
105,000
15,000
105,000

40,000
210,000
130,000
80,000
25,000
100,000
105,000
105,000

25,000
40,000 40,000 180,000
40,000 40,000 180,000
105,000
40,000
130,000
40,000 40,000 180,000

100,000
105,000
105,000

20,000
80,000
20,000
230,000
135,000
100,000
145,000

20,000
75,000
100,000
255,000
235,000
235,000
40,000 40,000 180,000
40,000
145,000

235,000
100,000
40,000
235,000
105,000
130,000
125,000
145,000
25,000
235,000
130,000
155,000
20,000
20,000
25,000
15,000

235,000
80,000
25,000
185,000
25,000

15,000
20,000
145,000
25,000

100,000
100,000
100,000
235,000
25,000
105,000
25,000
235,000
235,000

125,000
25,000
25,000
25,000
25,000
25,000
210,000
210,000
80,000
15,000
150,000

25,000
80,000
100,000
25,000

235,000
235,000
40,000
40,000 40,000 135,000
100,000
235,000
25,000
25,000
15,000
25,000
80,000
20,000
25,000
100,000
235,000
20,000
25,000
100,000

115,000
20,000
80,000
105,000
130,000

440,000 440,000 35000 70000 40000 150000 19,985,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/10/2021 Ny.Intan 55,000
2 Ny.Suyatmi 15,000 55,000
3 Ny.Fitria 80,000 55,000 25,000
4 Ny.Windi 80,000 20,000
5 Ny.Andini 15,000
6 Ny.Adix 80,000 55,000
7 Ny.Windi 55,000
8 By.Puryanti 15,000
9 Ny.Siti R 80,000
10 Ny.Kusmiati 80,000 20,000

11 2/10/2021 Ny.Faunia 55,000


12 By.Kusmiati 80,000
13 Ny.Dewi Ika 80,000 55,000
14 By.Puryanti 80,000
15 Ny.Yuda 80,000 20,000

16 3/10/2021 Ny.Nur 80,000 25,000


17 Ny.Rokibah 15,000 55,000
18 By.Rokibah
19 By.Elvan 80,000
20 By.Rokibah
21 Ny.Nur M

22 4/10/2021 Ny.Aisyah 80,000 55,000 20,000


23 By.Aisyah
24 Ny.Sumiyah 20,000
25 By.Aisyah
26 By.Nur
27 Ny.Dena 20,000
28 Ny.Nila 80,000
29 Ny.Ruswanti 80,000 20,000
30 Ny.Sri 80,000 55,000 25,000
31 Ny.Maya
32 By.Nur 80,000
33 Ny.Yesi 80,000 20,000
34 Ny.Lia 80,000 20,000

35 5/10/2021 Ny.Dewi 15,000 55,000


36 An.Elvan 80,000
37 Ny.Ambarini 20,000
38 Ny.Andini 80,000
39 Ny.Retnowati 55,000
40 Ny.Yuana 15,000 55,000
41 Ny.Eni 80,000 20,000
42 Ny.Ana 80,000 20,000
43 Ny.Ari 80,000 55,000 25,000

44 6/10/2021 Ny.Komsiati 80,000


45 By.Lia
46 Ny.Siti 55,000
47 Ny.Gunanti 15,000 55,000
48 By.Gunanti
49 By.Lia
50 Ny.Sovita 80,000 20,000
51 Ny.Umi 80,000 55,000 25,000
52 Ny.Ida 80,000

53 7/10/2021 Ny.Maratus 80,000 20,000


54 Ny.Arum 80,000 20,000
55 By.Gunanti
56 By.Puryanti 80,000
57 Ny.Sani 80,000 25,000
58 Ny.Sri 20,000
59 Ny.Umi 20,000
60 Ny.Putri 80,000 55,000 25,000
61 Ny.Fatimah 80,000 20,000
62 Ny.Eka 80,000
63 Ny.Reni 20,000
64 Ny.Anita 80,000 25,000
65 Ny.Sani 15,000
66 Ny.Desita 20,000
67 Ny.Ernita 80,000 55,000
68 Ny.Dwi R 80,000
69 Ny.Purwanti 80,000 55,000 25,000
70 Ny.Vika 80,000
71 Ny.Dwi 80,000 20,000
72 Nn.Dewi 80,000 25,000

73 9/10/2021 Ny.Ine 80,000


74 Ny.Ismiati 20,000
75 Ny.Dewi Astuti 80,000 20,000
76 Ny.Shinta 80,000 20,000

77 10/10/2021 Ny.Nisrina 15,000


78 Ny.Abel 15,000

79 11/10/2021 Ny.Suyatmi 80,000


80 Ny.Umi 80,000
81 Ny.Erna 80,000
82 Ny.Riyanti 80,000
83 Ny.Nisrina 15,000
84 Ny.Dwi 80,000
85 Ny.Rahmawati 80,000

86 12/10/2021 Ny.Suyatmi 15,000


87 Ny.Pur 80,000
88 Ny.Dewi 80,000
89 Ny.Septi 20,000
90 Ny.Abidah 15,000 55,000
91 Ny.Alfian 15,000
92 Ny.Heni 80,000 55,000 25,000
93 Ny.Puji 80,000
94 Ny.Tiwi 20,000
95 Ny.Suyatmi 15,000

96 13/10/2021 Ny.Abidah 15,000 25,000


97 Ny.Wahyu 80,000
98 Ny.Ririn
99 Ny.Bintang 20,000
100 Ny.Sarbekti 80,000
101 Ny.Abidah 15,000
102 Ny.Gilang 80,000 55,000 25,000

103 14/10/2021 By.Gilang 80,000


104 Ny.Parni 80,000 20,000
105 Ny.Dwi 20,000
106 Ny.Gilang 15,000
107 Ny.Shinta 15,000

108 15/10/2021 Ny.Sri Dewi 15,000 25,000


109 Ny.Dwi 80,000
110 By.Sri 80,000
111 By.Kusmiati 80,000
112 Ny.Fitria 80,000 55,000 25,000
113 By.Riyanti
114 Ny.Sri 15,000
115 By.Sumarni 1
116 By.Sumarni 2

117 16/10/2021 By.Riyanti


118 Ny.Ummus 80,000
119 Ny.Isdiati 15,000
120 By.Ummus 80,000

121 17/10/2021 Ny.Indah 80,000 25,000


122 By.Ummus
123 Ny.Indah 15,000

124 18/10/2021 Ny.Parwanti 80,000 20,000


125 Ny.Giyarsi 80,000 25,000
126 Ny.Nurjanah 80,000 55,000

127 19/10/2021 Ny.Atik 80,000


128 Ny.Nur
129 Ny.Eka
130 Ny.Indah 15,000 55,000

131 20/10/2021 Ny.Depik 80,000


132 Ny.Susi 25,000
133 Ny.Ratih 80,000
134 An.Anezka

135 21/10/2021 Ny.Riski 80,000 20,000


136 By.Susi 80,000
137 Ny.Sutiyem
138 Ny.Susi 15,000
139 Ny.Titik 80,000 20,000
140 Ny.Purwanti 80,000 20,000
141 Nn.Umi
142 Ny.Dwi 15,000 55,000
143 Ny.Mila 15,000 25,000
144 Ny.Idayu 80,000 20,000
145 Ny.Nur Janah 15,000 55,000
146 Ny.Warsi 80,000 20,000
147 Ny.Desy 80,000 20,000
148 Ny.Dwi Nur 15,000 25,000

149 22/10/2021 Ny.Lisna 80,000 20,000


150 Ny.Yunita 80,000
151 Ny.Susi 15,000
152 By.Neni
153 Ny.Dwi 15,000
154 An.Aneska
155 Ny.Rio 80,000 55,000 25,000
156 Ny.Budi 80,000 55,000

157 23/10/2021 Ny.Ida 80,000 20,000


158 By.Neni
159 Ny.Sunarti

160 25/10/2021 Ny.Dwi 80,000 20,000


161 Ny.Retno 80,000
162 Ny.Fitriyani 80,000 55,000
163 Ny.Tumiyati 80,000 25,000
164 Ny.Rujiyanti 80,000 25,000
165 Ny.Vingka 80,000 55,000 25,000
166 Ny.Eni 80,000 25,000

167 26/10/2021 Ny.Rujiyanti 15,000


168 Ny.Tumiyati 15,000
169 Ny.Eni 15,000
170 An.Shakila 80,000
171 Ny.Paesah 15,000
172 By.Exel 80,000
173 Ny.Riva 15,000 55,000 25,000
174 By.Riva 80,000
175 Ny.Paesah 15,000 25,000
176 Ny.Faya 20,000
177 Ny.Amalia 20,000
178 Ny.Paesah 55,000
179 Ny.Paesah 15,000

180 27/10/2021 Ny.Arum 80,000 55,000 25,000


181 Ny.Rima 80,000 25,000
182 Ny.Rina 15,000 55,000
183 Ny.Paesah 15,000
184 Ny.Riva 15,000
185 Ny.Sunarti 80,000 20,000
186 Ny.Eni 80,000
187 2810/2021 An.Nuha 80,000
188 Ny.Uun 80,000 20,000
189 Nn.Agila 80,000 25,000
190 Ny.Sri 80,000
191 Ny.Narti 80,000
192 Ny.Hartini 80,000 25,000
193 Ny.Sumiyati 80,000

194 29/10/2021 Ny.Nurul 80,000 20,000


195 Ny.Fiyriyani 80,000 25,000
196 Ny.Hartini 15,000
197 Ny.Lilis
198 Ny.Lia 80,000 55,000 25,000
199 Ny.Fenny 20,000

200 30/10/2021 Ny.Mustaqimah 80,000


201 By.Mustaqimah 80,000
202 By.Mustaqimah
203 Ny.Yuni 80,000 25,000 20,000
204 Ny.Septiana 80,000 25,000
205 Ny.Lilis 80,000 25,000
206 Ny.Etik 80,000 25,000

9,120,000 740,000 1,925,000 925,000 560,000 360,000

JUMLAH PARAMETER 422

RINCIAN

NOVI
Parameter 348
On Call Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 68
Cito 100,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 6
Cito 40,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
35,000 40,000
35,000 40,000
35,000 40,000

35,000 40,000
35,000 40,000
25,000

35,000 40,000
25,000
35,000 40,000

35,000 40,000
25,000

25,000
25,000

35,000 40,000
25,000

25,000
25,000

35,000 40,000
75,000
25,000

25,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000
25,000
35,000 40,000
25,000
25,000

35,000 40,000

25,000

75,000 40,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000

20,000

35,000 40,000

35,000 40,000
25,000

35,000 40,000

25,000
35,000 40,000
25,000

25,000
25,000

25,000

25,000
25,000

35,000 70,000

35,000 40,000

25,000

35,000 40,000

20,000 20,000
35,000 70,000

75,000
75,000
35,000 40,000

35,000 40,000

25,000

35,000 70,000
35,000 40,000
35,000 40,000

25,000
75,000

35,000 40,000

35,000 40,000
25,000

25,000

25,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000 40,000 40,000


25,000

75,000
35,000 40,000

25,000
25,000

850,000 1,225,000 470000 1,400,000 105,000 210000 20000 20000 80,000 80,000
OT PT Cholestero AU TG WIDAL JUMLAH
130,000
145,000
235,000
100,000
15,000
210,000
130,000
40,000
80,000
100,000

130,000
105,000
210,000
80,000
100,000

105,000
145,000
25,000
80,000
25,000
25,000

230,000
25,000
20,000
25,000
25,000
20,000
80,000
100,000
235,000
75,000
105,000
100,000
40,000 40,000 205,000

145,000
80,000
20,000
80,000
40,000 40,000 135,000
145,000
40,000 40,000 180,000
40,000 40,000 180,000
235,000

105,000
25,000
40,000 40,000 135,000
145,000
25,000
25,000
100,000
235,000
80,000

100,000
100,000
25,000
80,000
260,000
20,000
20,000
235,000
100,000
80,000
20,000
105,000
15,000
20,000
210,000
80,000
235,000
80,000
100,000
105,000

80,000
20,000
100,000
100,000

15,000
15,000

80,000
80,000
105,000
80,000
15,000
80,000
80,000

15,000
75,000 155,000
100,000
20,000
145,000
15,000
235,000
80,000
20,000
15,000

40,000
80,000
40,000 40,000 80,000
20,000
105,000
15,000
235,000

80,000
100,000
20,000
15,000
15,000

40,000
80,000
80,000
105,000
235,000
25,000
15,000
25,000
25,000

25,000
80,000
35,000 35,000 40,000 150,000
105,000

105,000
105,000
15,000

100,000
105,000
210,000

80,000
25,000
40,000 40,000 80,000
145,000

80,000
25,000
120,000
105,000

100,000
80,000
75,000
15,000
100,000
100,000
75,000
145,000
40,000
100,000
145,000
100,000
100,000
40,000

100,000
80,000
15,000
25,000
15,000
105,000
235,000
210,000

40,000 40,000 180,000


25,000
75,000

100,000
80,000
210,000
105,000
105,000
235,000
130,000

15,000
15,000
15,000
105,000
15,000
105,000
170,000
80,000
40,000
20,000
20,000
130,000
15,000

235,000
105,000
145,000
15,000
15,000
100,000
185,000
105,000
100,000
105,000
80,000
80,000
105,000
80,000

100,000
105,000
15,000
75,000
235,000
20,000

80,000
105,000
25,000
125,000
105,000
105,000
105,000

320,000 320,000 35000 35000 40000 75000 18,915,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/11/2021 Ny.Nur A 80,000 55,000 25,000
2 Ny.Suyatmi 80,000
3 Ny.Suwanti 80,000 25,000

4 2/11/2021 Ny.Yana
5 Ny.Hartiningsih 80,000 55,000 25,000
6 Ny.Ninik 80,000 25,000
7 Nn.Gita 80,000 25,000

8 3/11/2021 Nn.Nur 80,000 25,000


9 Ny.Retno 15,000

10 4/11/2021 Ny.Atun 80,000 25,000 20,000


11 Ny.Paniyem 80,000 20,000
12 An.Adam 80,000
13 Ny.Alfi 80,000
14 Ny.Retno 15,000
15 Ny.Titik 80,000 20,000
16 Ny.Erwin 20,000

17 5/11/2021 An.Aisyah 80,000


18 Ny.Fitri
19 Ny.Ana

20 6/11/2021 Ny.Setyorini 80,000 20,000


21 Nn.Lisda 80,000 25,000

22 7/11/2021 Ny.Khomsiati 80,000 55,000

23 8/11/2021 Ny.Oviana 80,000


24 By.Wiji
25 Ny.Dwi 15,000
26 Ny.Dewi
27 Ny.Jumatun 80,000 25,000
28 By.Wiji
29 By.Henik 1
30 By.Henik 2
31 Ny.Puri
32 Ny.Uut 80,000 25,000
33 Ny.Sri W 80,000 20,000
34 Ny.Ragil 80,000 25,000
35 Ny.Mai 80,000 20,000
36 Nn.Salwa 80,000

37 9/11/2021 Ny.Nur C 80,000 55,000 25,000


38 By.Henik 1
39 By.Henik 2
40 Nn.Ayuk 80,000 25,000
41 Nn.Ririn 80,000 25,000

42 10/11/2021 Ny.Intan 55,000


43 Ny.Nur C 15,000
44 Ny.Dewi 80,000 55,000 20,000
45 Ny.Tatik 80,000 20,000
46 Ny.Lita 80,000 55,000

47 11/11/2021 Ny.Rima 80,000


48 Ny.Sri W 20,000
49 Ny.Anis
50 Ny.Sunarti 80,000 20,000
51 Ny.Suliyati 80,000 25,000 20,000

52 13/11/2021 Ny.Oviana 80,000


53 By.Sulis 80,000
54 Ny.Dwi Puji 20,000
55 By.Uun

56 14/11/2021 By.Uun

57 15/11/2021 Ny.Dwi P 80,000 20,000


58 Ny.Dwi A 15,000
59 Ny.Dwi R
60 Ny.Dwi R 15,000
61 Ny.Rina 20,000

62 16/11/2021 Ny.Musyarofah 80,000 25,000


63 By.Dwi R 80,000
64 Ny.Mei 25,000
65 Tn.Danang 25,000
66 Ny.Lia 80,000 25,000
67 Ny.Sutini 80,000 55,000 20,000
68 Ny.Siti 80,000 20,000
69 Ny.Marhaeni 80,000 55,000 25,000

70 17/11/2021 Ny.Marhseni 15,000


71 Ny.Susi

72 18/11/2021 Nn.Indah 80,000 25,000


73 Ny.Muzayanah 80,000 25,000
74 Ny.Sri
75 Ny.Khusnul 15,000 55,000

76 19/11/2021 By.Alvi 80,000


77 Ny.Yenni 80,000 20,000
78 Ny.Hary 80,000 20,000
79 Ny.Uang 80,000 25,000
80 Ny.Lina 80,000

81 20/11/2021 Ny.Desi 80,000 55,000 25,000


82 Ny.Lisa 15,000 55,000
83 Ny.Nur 80,000
84 Ny.Suliyati 80,000 20,000
85 Ny.Dina 80,000
86 Ny.Desi 80,000
87 21/11/2021 Ny.Asih 15,000
88 Ny.Tri 15,000
89 By.Tri 80,000

90 22/11/2021 Ny.Laela 80,000 55,000


91 Ny.Aprilia 80,000 55,000 25,000
92 Nn.Arda 20,000

93 23/11/2021 Ny.Sumarti 80,000 55,000 25,000


94 Ny.Sutini 15,000 25,000
95 Ny.Susi Lestari 80,000 20,000
96 Ny.Natalia 15,000
97 Ny.Suharni 15,000
98 Ny.Kesuma 20,000
99 Ny.Rio 15,000

100 24/11/2021 Ny.Ida 80,000 55,000 25,000


101 Ny.Mulyani 80,000 20,000

102 25/11/2021 Ny.Endang Sri 80,000 20,000


103 Ny.Fatma 80,000

104 26/11/2021 Ny.Yunita 80,000 55,000 25,000


105 By.Sri 80,000
106 Ny.Laukhin 80,000 55,000
107 Ny.Yulisa 80,000 25,000
108 Ny.Sri 15,000
109 Ny.Titik 80,000 20,000
110 Ny.Nofita 80,000 20,000
111 Ny.Yulisa 80,000

112 27/11/2021 Ny.Titin 15,000 55,000


113 By.Titin
114 Ny.Intan 80,000 55,000 25,000
115 Ny.Paini 80,000 20,000
116 Ny.Fatma 80,000
117 By.Titin
118 Ny.Puput 80,000

119 29/11/2021 By.Alis


120 By.Alis
121 By.Puji
122 Ny.Melina 20,000
123 Ny.Yuliani 80,000 20,000
124 Ny.Erni 80,000 25,000
125 Ny.Nur 80,000 20,000
126 Nn.Solekah 80,000 25,000 20,000
127 Ny.Sukiyam
128 Ny.Suparti 80,000 20,000
129 Ny.Anis 20,000
130 Ny.Kris 80,000 20,000
131 30/11/2021 By.Sukiyam
132 By.Sutini
133 Ny.Eni 80,000 55,000 25,000

6,400,000 255,000 1,155,000 850,000 400,000 300,000

JUMLAH PARAMETER 277

RINCIAN

NOVI
Parameter 252
On Call Tgl Merah 2 Kali

WAHYU
Masuk 4 Kali
Parameter 24
Cito 60,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 1
Cito 20,000

KARYAWAN
Elva 40,000
Rafka 40,000
Ana 67,500
Jumlah 147,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
35,000 40,000

75,000
35,000 40,000

75,000
40,000

35,000 75,000 40,000

25,000

75,000
25,000
25,000
25,000
25,000
75,000

35,000 40,000
25,000
25,000

35,000 40,000
35,000 40,000

35,000 40,000

75,000

25,000

25,000

25,000

25,000

40,000

35,000 40,000

25,000 35,000 40,000

75,000

75,000
35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000
35,000 40,000
75,000

35,000 40,000

25,000 35,000

35,000 40,000
25,000
35,000 40,000

40,000 40,000

35,000 40,000
25,000
35,000 40,000

25,000

25,000
25,000
35,000 70,000

35,000
25,000
35,000 70,000
35,000 40,000

475,000 770,000 675000 880,000 70,000 140,000 40,000 40,000


OT PT Cholestero AU TG WIDAL JUMLAH
235,000
80,000
105,000

75,000
235,000
105,000
105,000

105,000
15,000

125,000
100,000
80,000
80,000
15,000
100,000
20,000

80,000
75,000
40,000

100,000
105,000

75,000 360,000

75,000 155,000
25,000
15,000
75,000
130,000
25,000
25,000
25,000
75,000
105,000
100,000
105,000
100,000
80,000

235,000
25,000
25,000
105,000
105,000

130,000
15,000
230,000
100,000
210,000

80,000
20,000
75,000
100,000
150,000

80,000
105,000
20,000
25,000

25,000

100,000
15,000
40,000
15,000
20,000

105,000
80,000
25,000
25,000
105,000
230,000
100,000
260,000

15,000
75,000

105,000
105,000
75,000
145,000

80,000
100,000
100,000
105,000
75,000 155,000

235,000
145,000
80,000
100,000
80,000
80,000
15,000
15,000
80,000

210,000
235,000
95,000

235,000
40,000
100,000
15,000
15,000
20,000
15,000

220,000
100,000

100,000
80,000

235,000
105,000
210,000
105,000
15,000
40,000 40,000 260,000
40,000 40,000 180,000
80,000

145,000
25,000
235,000
100,000
75,000 155,000
25,000
80,000

25,000
25,000
105,000
20,000
100,000
105,000
100,000
125,000
35,000
40,000 40,000 180,000
20,000
100,000
25,000
105,000
235,000

120,000 120,000 300,000 12,990,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/12/2021 By.Puji
2 Ny.Putri 20,000
3 Ny.Fitria 20,000
4 Ny.Sapto 80,000

5 2/12/2021 By.Ika
6 Ny.Dwi 80,000 25,000
7 Ny.Erika 80,000 55,000 25,000
8 Ny.Nunik 80,000 20,000
9 Ny.Lia 15,000
10 Nn.Kharisma 80,000 25,000
11 Nn.Accessha 80,000 25,000
12 Ny.Risqi

13 3/12/2021 Ny.Ayu 20,000


14 Ny.Mulyani 80,000 20,000
15 Ny.Erika 15,000
16 Ny.Wiwik 80,000 20,000

17 4/12/2021 Ny.Ririn 55,000


18 Ny.Umi 80,000
19 Ny.Deni 80,000
20 Nn.Anggita 20,000
21 Nn.Frisky 80,000 25,000
22 Ny.Sri 80,000 20,000
23 Ny.Triwik 80,000 25,000
24 Ny.Umi 80,000

25 5/12/2021 Ny.Mulyani 55,000 25,000


26 By.Mulyani 80,000
27 By.Zulitz

28 6/12/2021 Ny.Ana 55,000


29 Ny.Suyatmi 80,000
30 Ny.Mulyani 15,000
31 Ny.Sri S 55,000
32 Ny.Vera 80,000 55,000 25,000
33 Ny.Sari 20,000
34 Ny.Sariyem 80,000
35 Ny.Junita 80,000 55,000
36 Ny.Astuti 80,000 20,000
37 By.Zulita
38 Ny.Nurul J 80,000 20,000
39 Ny.Nurul I 80,000

40 7/12/2021 Ny.Mahardika 80,000 20,000


41 Ny.Harsini 80,000 55,000
42 Ny.Syratmi 80,000 20,000
43 Ny.Dwi 80,000 55,000 25,000
44 Ny.Eko H 80,000 20,000
45 Ny.Suwarni 80,000
46 Ny.Winarni 80,000 55,000

47 8/12/2021 Ny.Fitri 80,000 55,000


48 Ny.Puji 80,000
49 Ny.Fitri 15,000 25,000
50 Ny.Dian 80,000 55,000
51 Ny.Mirah 80,000
52 Ny.Amalia 80,000 20,000
53 Ny.Rusmini 15,000 55,000

54 9/12/2021 Ny.Ida 15,000 55,000


55 Ny.Fitri 15,000
56 Ny.Susi 80,000 20,000
57 Ny.Tina 80,000 20,000
58 Ny.Wahyuni 20,000
59 Ny.Sumiyati 80,000 25,000

60 10/12/2021 Ny.Rusmiyati 80,000 25,000


61 Ny.Etik 20,000
62 Nn.Lutfi 15,000 55,000
63 Ny.Tria 20,000
64 Ny.Sumini 80,000 25,000
65 Ny.Sri S 80,000 25,000

66 11/12/2021 Ny.Sandra 80,000 25,000


67 Ny.Intan 15,000
68 Ny.Rohimah
69 Ny.Sumini 15,000
70 Ny.Tri Wahyu 80,000 20,000
71 Ny.Tri Wijaya 80,000 30,000
72 Ny.Titik 80,000 20,000
73 Ny.Roviana 80,000 25,000

74 12/12/2021 Ny.Lestari 80,000 55,000

75 13/12/2021 Ny.Erna 20,000


76 Ny.Dyah 20,000
77 Ny.Intan 20,000
78 Ny.Eka 80,000
79 Ny.Fitria 20,000
80 Ny.Indah 20,000
81 Ny.Sutrisni 80,000 55,000 20,000
82 An.Kenzo 80,000

83 14/12/21 By.Sutrisni 80,000


84 Ny.Neni
85 Ny.Pangestika 80,000 55,000 25,000 20,000
86 Ny.Ariani 20,000
87 Ny.Evi 80,000 20,000
88 By.Sutrisni
89 Ny.Jumini 80,000 20,000
90 By.Asri
91 Ny.Eko 55,000
92 15/12/21 By.Asri
93 By.Beni
94 Ny.Lindha 80,000 20,000
95 Ny.Anita
96 An.Kenzo 80,000
97 By.Reni
98 Ny.Partini 80,000 20,000
99 Ny.Wiwin 80,000
100 Ny.Sinta 20,000
101 Ny.Mami 20,000
102 By.Paniyem
103 Ny.Shilfia 80,000 55,000 20,000

104 16/12/2021 Ny.Suyatmi 55,000


105 Ny.Tutik
106 By.Paniyem
107 By.Suyatmi 80,000
108 Ny.Sandra 80,000 55,000
109 By.Ayu
110 Ny.Enik 80,000 55,000
111 Ny.Ayu 15,000

112 17/12/2021 By.Ayu


113 Ny.Kristina 80,000
114 Ny.Tistigar 80,000 20,000
115 Ny.Suiyatmi 15,000
116 Ny.Kristina 80,000 25,000

117 18/12/2021 Ny.Kristina 80,000


118 Ny.Umi 55,000
119 By.Prihatiningsih 80,000
120 Ny.Rika 80,000

121 19/12/2021 Ny.Prihatiningsih 15,000


122 By.Pariyem
123 By.Pariyem
124 By.Eni

125 20/12/2021 By.Eni


126 Ny.Sumarni 20,000
127 Nn.Risti 80,000 25,000
128 Ny.Sri Sujatmi

129 21/12/2021 Ny.Tutik 15,000


130 Ny.Suwarni 15,000 55,000
131 By.Suwarni
132 Ny.Wina 80,000 25,000
133 Ny.Dewi 80,000 20,000
134 By.Sutrisni
135 By.Asri
136 By.Suwarni
137 Nn.Risti 15,000
138 By.Selvi

139 22/12/2021 By.Selvi


140 By.Ari
141 By.Ralinsya
142 Ny.Dwi 80,000 20,000
143 Ny.Setyo 80,000 55,000
144 Ny.Yuliani 80,000
145 Ny.Selly 80,000 55,000 25,000

146 23/12/2021 Ny.Surati 80,000 25,000


147 Ny.Deni 80,000 25,000
148 Ny.Suparti 80,000 55,000 20,000
149 Ny.Dwi 80,000 25,000 20,000
150 Nn.Hidayatul 80,000 25,000 20,000
151 Ny.Sri Rahayu 80,000 55,000 25,000
152 Ny.Sri Lestari 80,000 20,000
153 By.Lilis

154 24/12/2021 By.Lilis


155 Ny.Intan 80,000 55,000
156 Ny.Dwi Nur 80,000 20,000
157 Ny.Enni 80,000 20,000

158 25/12/2021 Ny.Dewi 80,000 25,000


159 Ny.Evi 55,000
160 Ny.Riskah 80,000 20,000

161 26/12/2021 Ny.Anggita 80,000 25,000


162 By.Anggita 80,000

163 27/12/2021 Ny.Anggi 80,000 25,000 20,000


164 Ny.Siwi 20,000
165 Ny.Surati 55,000
166 Ny.Anggita 15,000
167 Ny.Adix 80,000 55,000 25,000

168 28/12/2021 By.Nur 80,000


169 Ny.Umi 80,000 55,000 20,000
170 Ny.Mita 80,000 55,000 25,000 20,000
171 Ny.Rofi 80,000 55,000
172 Ny.Wagirah 80,000 20,000
173 Ny.Damiyanti 80,000 25,000
174 Ny.Risma 55,000
175 Ny.Wahyu 15,000
176 Ny.Wahyu 15,000
177 An.Evano 80,000
178 Ny.Vina 80,000 20,000
179 Ny.Eni 80,000 20,000

180 29/12/2021 Ny.Nia 80,000 55,000


181 Ny.Nia
182 Ny.Devi 80,000 55,000 25,000
183 Ny.Rinasih 20,000
184 Ny.Puri 20,000
185 Ny.Endang 15,000 55,000

186 30/12/2021 Ny.Eni 80,000 25,000


187 An.Nabila 80,000
188 Ny.Prapti 20,000
189 Ny.Hartatik 80,000 25,000 20,000

190 31/12/2021 Ny.Iyun 80,000 55,000 25,000


191 Ny.Rosita 80,000 55,000 25,000
192 Ny.Murti 80,000 25,000
193 Ny.Rita 80,000 20,000
194 Ny.Rosita 15,000
195 Ny.Sri Sumarni 80,000 25,000

8,720,000 315,000 2,310,000 975,000 620,000 610,000

JUMLAH PARAMETER 447

RINCIAN

NOVI
Parameter 379
On Call Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 64
Cito 160,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 1 Kali
Parameter 4
Cito 20,000

KARYAWAN
Zahra 40,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
35,000 70,000

25,000

35,000 40,000

35,000

35,000 40,000

40,000 40,000

35,000 40,000

35,000 70,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 70,000

20,000 20,000

35,000 40,000

35,000 40,000
25,000 35,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000 20,000

25,000
25,000

25,000
25,000
25,000 20,000 20,000

35,000 40,000

35,000 40,000

25,000 40,000
25,000
25,000 35,000 40,000

25,000

25,000
35,000
25,000
25,000

40,000

25,000

25,000
35,000 40,000

35,000 40,000
75,000
25,000

35,000 40,000
25,000
35,000 40,000

25,000

40,000 40,000

35,000 70,000

25,000
25,000
25,000

25,000

75,000

35,000 40,000
25,000

25,000
35,000 70,000
35,000 70,000
25,000
25,000

25,000
35,000 70,000
35,000 70,000

35,000 40,000

35,000 40,000

25,000
75,000
35,000 40,000

35,000 40,000

25,000

25,000
35,000 40,000

35,000

35,000 40,000

35,000 40,000

25,000
35,000 40,000
35,000 40,000
35,000 40,000

25,000

25,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000
75,000

35,000 40,000
35,000 40,000
25,000

25,000

950,000 1,365,000 300000 1,480,000 280,000 560,000 40000 60000 80,000 80,000
OT PT Cholestero AU TG WIDAL JUMLAH
105,000
20,000
20,000
80,000

25,000
105,000
235,000
100,000
15,000
105,000
105,000
35,000

20,000
100,000
15,000
100,000

130,000
80,000
80,000
20,000
105,000
40,000 40,000 180,000
105,000
40,000 40,000 240,000

155,000
80,000
105,000

40,000 40,000 135,000


80,000
15,000
130,000
235,000
20,000
80,000
210,000
100,000
105,000
100,000
120,000

100,000
210,000
100,000
235,000
100,000
80,000
195,000

210,000
80,000
40,000
210,000
80,000
100,000
145,000

145,000
15,000
100,000
100,000
20,000
105,000

105,000
20,000
40,000 40,000 195,000
20,000
130,000
130,000

105,000
15,000
40,000 40,000 80,000
15,000
100,000
135,000
125,000
170,000

210,000

20,000
20,000
20,000
80,000
20,000
20,000
230,000
75,000 155,000

145,000
25,000
280,000
20,000
100,000
25,000
100,000
25,000
90,000
25,000
25,000
100,000
40,000
80,000
25,000
100,000
80,000
20,000
20,000
25,000
230,000

130,000
75,000
25,000
80,000
210,000
25,000
210,000
15,000

25,000
75,000 155,000
180,000
15,000
105,000

80,000
40,000 40,000 240,000
80,000
80,000

15,000
25,000
25,000
25,000

25,000
20,000
105,000
75,000

15,000
145,000
25,000
105,000
125,000
105,000
105,000
25,000
15,000
25,000

25,000
105,000
105,000
100,000
210,000
80,000
235,000

130,000
180,000
230,000
125,000
125,000
235,000
100,000
25,000

25,000
210,000
100,000
100,000

105,000
90,000
40,000 40,000 180,000

105,000
80,000

125,000
20,000
130,000
15,000
235,000

105,000
230,000
255,000
210,000
40,000 40,000 180,000
130,000
55,000
15,000
15,000
80,000
100,000
125,000

210,000
40,000 40,000 80,000
235,000
20,000
20,000
145,000

130,000
155,000
20,000
125,000

235,000
235,000
130,000
40,000 40,000 180,000
15,000
75,000

400,000 400,000 225000 19,770,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine
1 1/1/2022 Ny.Arien 80,000

2 2/1/2022 Ny.Nuria 80,000 25,000

3 3/1/2022 Ny.Erna 80,000 20,000


4 Ny.Alwi 80,000 20,000
5 Ny.Woni
6 Ny.Arin 80,000
7 Ny.Inah Siti 80,000

8 4/1/2022 Ny.Uun 80,000 20,000


9 Ny.Winarsi 80,000 20,000
10 Ny.Sri S 80,000 25,000
11 Ny.Sri S 80,000 20,000
12 Ny.Maria 80,000 55,000
13 Ny.Sri S 55,000
14 Nn.Nadia 80,000 25,000
15 Ny.Anis 15,000

16 5/1/2022 Ny.Pitri 80,000 20,000


17 Ny.Anis 80,000 25,000
18 Ny.Ana 80,000 55,000
19 Ny.Septi 80,000 25,000
20 Ny.Novia 80,000 25,000
21 Ny.Elis
22 Nn.Nadia 15,000

23 6/1/2022 Ny.Narti 80,000 25,000


24 Ny.Nurul 80,000 25,000
25 Ny.Beti 55,000
26 Ny.Sumiati
27 Ny.Endang 80,000 20,000
28 Ny.Suryaningsih 55,000
29 By.Sri 80,000
30 An.Rafisqi 80,000
31 An.Saquila 80,000
32 Ny.Isti 55,000
33 Ny.Ayu
34 Ny.Dwi 80,000 25,000
35 Ny.Yuli
36 Ny.Anis

37 7/1/2022 Ny.Poni 80,000 25,000


38 Ny.Reni 80,000 20,000
39 By.Ispri
40 By.Ispri
41 Ny.Anik

42 8/1/2022 Ny.Novia 80,000


43 Ny.Wahyu
44 Ny.Dewi 15,000
45 9/1/2022 Ny.Sumiyem 80,000 25,000
50 Ny.Sarni 80,000
51 Ny.Rifqi 80,000
52 By.Ispri
53 Ny.Indar 80,000 55,000

54 10/1/2021 Ny.Dwi 80,000 20,000


55 Ny.Indar
56 An.Umair 80,000
57 Ny.Sumiyem 15,000
58 Nn.Shilma 80,000 25,000
59 Ny.Sumarni 80,000 25,000
60 Ny.Oktarina 80,000 20,000
61 Ny.Putri
62 Ny.Endang 80,000 20,000
63 Ny.Susi 80,000 20,000
64 Ny.Sri Sumarni
65 Ny.Partiningsih
66 Ny.Supartini 80,000 25,000

67 11/1/2022 Ny.Prapti 80,000 55,000


68 Ny.Sri Rahayu 80,000 25,000
69 Ny.Siti
70 Ny.Sri Rahayu 80,000
71 An.Faira 80,000
72 Ny.Nurwatik 80,000
73 Ny.Yunik 80,000 20,000
74 Nn.Anisa 80,000 25,000
75 By.Sri R 80,000

76 12/1/2022 Ny.Tiara 80,000 55,000 25,000


77 Ny.Datik 80,000 55,000 25,000
78 An.Jissy 80,000
79 An.Gigih 80,000
80 Ny.Tratih
81 Ny.Jihan
82 Ny.Lasmini 80,000 20,000

83 13/01/2022 An.Faira 80,000


84 An.Gigih 80,000
85 An.Jissy 80,000
86 Ny.Martini 80,000 55,000
87 Ny.Sunarti 80,000 25,000
88 Ny.Sri M
89 Ny.Martini 15,000
90 Ny.Sri K 80,000 20,000

91 14/01/2022 An.Gigih 80,000


92 Ny.Suharni 80,000 25,000
93 An.Jissy 80,000
94 Ny.Nurul
95 Ny.Putriani 80,000 55,000
96 15/01/2022 Ny.Anggita 80,000 55,000 20,000
97 Ny.Satriana 80,000
98 Ny.Sukiyem 15,000
99 Ny.Bornia 80,000 55,000 25,000
100 Ny.Sri Rahayu 80,000 25,000
101 Ny.Reni 80,000 20,000
102 Ny.Anjar 80,000 20,000
103 Ny.Ratmini 15,000
104 By.Umi

105 16/01/2022 By.Umi


106 Ny.Sri Rahayu 15,000
107 Ny.Sri W 80,000
108 Ny.Setyorini 80,000 55,000

109 17/01/2022 Ny.Setyowati 15,000 25,000


110 Ny.Kamsiati 80,000 55,000
111 Ny.Lina 80,000 55,000
112 Ny.Dessy 80,000 55,000 25,000
113 Nn.Dea 80,000 25,000
114 Ny.Ngatini

115 18/01/2022 Ny.Setyowati 15,000


116 Ny.Novita 80,000 20,000
117 Ny.Isnu 80,000 20,000
118 Nn.Afroza 80,000 25,000
119 Ny.Isnawati
120 Ny.Dwi 55,000

121 19/01/2022 Ny.Rini


122 Ny.Via 80,000 55,000
123 Ny.Siti M 80,000 55,000 25,000
124 Ny.Widia
125 Nn.Septiana 80,000 25,000
126 Ny.Kesi 80,000

127 20/01/2022 Nn.Syakira 80,000 25,000


128 Ny.Siti Aminah 80,000 55,000 25,000
129 Nn.Septiana 15,000

130 21/01/2022 By.Septiani


131 Ny.Lilik 55,000
132 Ny.Dian
133 Ny.Nila 80,000 55,000
134 Ny.Sri Darsini 55,000

135 22/01/2022 Ny.Sutarmi


136 Ny.Suparni 80,000 55,000
137 Ny.Aprilia 80,000 55,000 25,000
138 Ny.Wulandari 15,000 25,000
139 Ny.Merlita 80,000 20,000
140 Ny.Heni 80,000 20,000
141 Ny.Usma 80,000
142 By.Merlita

143 23/01/2022 By.Merlita


144 Ny.Wulandari 15,000
145 By.Septiani
146 By.Wulandari 80,000

147 24/01/2022 By.Wulandari 80,000


148 Ny.Andrini
149 Ny.Ana 80,000 25,000
150 Ny.Usma 25,000
151 An.Anggun 80,000
152 Ny.Supadmi 80,000 20,000
153 Ny.Thirra 80,000 25,000
154 Ny.Supriyatun 80,000
155 Ny.Indah 80,000 55,000
156 Ny.Ana 15,000
157 Ny.Usma 15,000

158 25/01/2022 Ny.Sisri 80,000 20,000


159 An.Anggun 80,000
160 Ny.Parniati
161 Ny.Nenti
162 Ny.Painem 80,000 20,000
163 Ny.Tirra 15,000
164 Ny.Sri L 80,000 20,000

165 26/01/2022 Ny.Ema 80,000


166 By.Indrawati
167 Ny.Nor 20,000
168 An.Anggun 80,000
169 Ny.Nurul 55,000
170 By.Indrawati
171 Nn.Erlina
172 Ny.Dwi Retno 80,000 25,000

173 27/01/2022 Ny.Elis 15,000 55,000


174 Ny.Martini 80,000 20,000
175 An.Anggun 80,000
176 By.Iswanti
177 Ny.Iswanti 15,000 20,000

178 28/01/2022 Ny.Nurjanah


179 By.Iswanti
180 By.Erna
181 Ny.Novita 80,000 55,000 25,000

182 29/01/2022 By.Erna


183 Ny.Erna 15,000 25,000
184 Ny.Triana 80,000
185 Nn.Nola 80,000
186 Ny.Hilwa 80,000
187 Ny.Diana
188 Ny.Ernawati 20,000
189 Ny.Febya 80,000
190 Ny.Suparti 80,000 25,000
191 Ny.Erna 15,000
192 Ny.Ani 15,000 25,000

193 30/01/2022 Ny.Sundriyah 15,000 55,000


194 Ny.Ari 15,000
195 Ny.Ana 80,000 25,000

196 31/01/2022 Ny.Sumini 80,000


197 Ny.Luluk
198 Ny.Kasiem
199 Ny.Ngatmi 80,000 25,000
200 Ny.Yunita 80,000 55,000 25,000
201 Ny.Supari 80,000 55,000
202 Ny.Ani 80,000 25,000
203 Ny.Setyo 80,000 20,000
204 Ny.Wiwin 80,000 25,000
205 Nn.Rizki 80,000 25,000
206 Ny.Asyifa 80,000
207 Ny.Dewi 80,000 55,000 25,000

9,840,000 345,000 1,925,000 1175000 620,000

JUMLAH PARAMETER 452

RINCIAN

NOVI
Parameter 382
On Call Tgl Merah 3 Kali

WAHYU
Masuk 5 Kali
Parameter 66
Cito 60,000
On Call Tgl Merah 1 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 4
Cito 20,000

KARYAWAN
Kinan 200,000
Risa 50,000
Pamungkas 77,500
Hani 55,000
Lisya 77,500
Jumlah 460,000
PEMERIKSAAN
PP.Test Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum

75,000

75,000

25,000

25,000 35,000 40,000


35,000 40,000
20,000 25,000

35,000 40,000

20,000
20,000

25,000

35,000 40,000
25,000 40,000

35,000 40,000
25,000

20,000
20,000 20,000
20,000
40,000

25,000

25,000
25,000
20,000

20,000
25,000
20,000 75,000
25,000 35,000
35,000 70,000
25,000 35,000 40,000

25,000

20,000

20,000
20,000
20,000

35,000 40,000

20,000

25,000
20,000 20,000

35,000 40,000
35,000 40,000

20,000
20,000

25,000 35,000
20,000
20,000

20,000

20,000
35,000 40,000
35,000 40,000
20,000
25,000
35,000 40,000
20,000

40,000
25,000

25,000

35,000 40,000

35,000 40,000
35,000 40,000
35,000 40,000
25,000
20,000

20,000
35,000 40,000

75,000
35,000 40,000
25,000 35,000 40,000

25,000

35,000 40,000

35,000 70,000
35,000 40,000
25,000
35,000 40,000
35,000 40,000

20,000
35,000 40,000
35,000 40,000
25,000

25,000

35,000 70,000

20,000
20,000 25,000

20,000 25,000
20,000
25,000 35,000 40,000

20,000
75,000

25,000

35,000 40,000
25,000
20,000

35,000 40,000

25,000

20,000
25000
25000
35,000 40,000

25,000
25,000

25,000

35,000 40,000

25,000
20,000
20,000
20,000
35,000 40,000
35,000 40,000

25,000

35,000 40,000

680,000 925,000 1,225,000 375,000 1,400,000 105,000 210,000 40,000 40,000 40,000
Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
80,000

75,000 180,000

40,000 40,000 180,000


40,000 40,000 180,000
75,000
80,000
155,000

40,000 40,000 180,000


40,000 40,000 180,000
130,000
40,000 40,000 180,000
235,000
130,000
150,000
15,000

40,000 40,000 180,000


105,000
210,000
105,000
125,000
20,000
15,000

130,000
105,000
130,000
40,000 35,000 35,000 40,000 215,000
40,000 40,000 180,000
130,000
105,000
80,000
80,000
55,000
20,000
145,000
20,000
40,000

130,000
100,000
25,000
25,000
20,000

80,000
20,000
15,000
130,000
175,000
140,000
105,000
235,000

100,000
25,000
80,000
15,000
105,000
105,000
100,000
20,000
100,000
100,000
20,000
20,000
125,000

210,000
105,000
20,000
80,000
75,000 180,000
120,000
100,000
105,000
80,000

235,000
235,000
80,000
80,000
20,000
20,000
100,000

80,000
80,000
80,000
195,000
125,000
20,000
15,000
100,000

80,000
125,000
80,000
20,000
210,000
230,000
100,000
40,000
235,000
125,000
100,000
100,000
55,000
25,000

25,000
15,000
80,000
210,000

40,000
210,000
210,000
235,000
130,000
20,000

15,000
100,000
100,000
105,000
20,000
130,000

75,000
210,000
260,000
35,000 35,000
130,000
80,000

105,000
235,000
15,000

105,000
130,000
25,000
210,000
130,000

20,000
210,000
235,000
40,000
100,000
40,000 40,000 180,000
80,000
25,000

25,000
15,000
105,000
80,000

80,000
20,000
150,000
25,000
80,000
100,000
150,000
100,000
235,000
15,000
15,000

100,000
80,000
20,000
75,000
40,000 40,000 180,000
15,000
40,000 40,000 180,000

75,000 155,000
25,000
20,000
80,000
130,000
25,000
20,000
105,000

145,000
40,000 40,000 180,000
80,000
25,000
35,000

20,000
25,000
25,000
235,000

25,000
40,000
80,000
80,000
80,000
25,000
20,000
80,000
130,000
15,000
40,000

145,000
15,000
105,000

35,000 35,000 40,000 215,000


20,000
20,000
125,000
235,000
210,000
105,000
100,000
130,000
105,000
80,000
235,000

40,000 440,000 440,000 70000 105,000 80,000 225000 20,345,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/2/2022 Ny.Ani 80,000
2 By.Usma 80,000
3 By.Endang
4 Ny.Siti 15,000 25,000
5 Ny.Mujiati 80,000 55,000
6 Ny.Ernika 80,000
7 By.Endang
8 Ny.Dewi 15,000
9 Ny.Okta
10 Ny.Nur 80,000 25,000 20,000
11 Ny.Anni 80,000 25,000

12 2/2/2022 Ny.Ika 80,000 55,000 25,000


13 Ny.Reni 80,000 25,000
14 Ny.Desi 80,000 55,000

15 3/2/2022 Ny.Devi 80,000


16 Ny.Miyatun 80,000 25,000
17 Nn.Surya 20,000
18 Ny.Anis 20,000
19 Ny.Iin 20,000
20 Ny.Luklu 80,000 55,000 25,000

21 4/2/2022 Ny.Aning
22 Ny.Wiwik 80,000
23 Ny.Agustina 80,000
24 Ny.Uswatun 80,000 55,000 25,000

25 5/2/2022 Ny.Juniyarti 80,000 55,000 25,000


26 Ny.Mulyani 80,000
27 Ny.Nur 80,000
28 Ny.Ana 80,000 55,000 25,000
29 Ny.Nuri 80,000 55,000 25,000 20,000
30 Ny.Ana R 80,000 20,000
31 Ny.Rahayu 80,000 55,000 25,000
32 Ny.Pepi 80,000 20,000
33 Ny.Sulastri 80,000 20,000
34 Ny.Ngatini 80,000
35 Nn.Rahayu 80,000 25,000
36 Ny.Tami 80,000 20,000

37 6/2/2022 Ny.Mujiatun 15,000 55,000


38 Ny.Suparti 15,000

39 7/2/2022 Ny.Kartina 80,000 55,000


40 By.Kartina 80,000
41 Ny.Kartina 15,000
42 Ny.Agustina
43 An.Hakim 80,000

44 8/2/2022 Ny.Margiyati 80,000


45 Ny.Endang 80,000 55,000 25,000 20,000
46 Ny.Sulastri 80,000 55,000 25,000
47 Ny.Tri
48 Nn.Arindi 80,000 25,000
49 Nn.Denas 80,000 25,000
50 By.Suwarti 80,000

51 9/2/2022 By.Suwarti
52 An.Hakim 80,000
53 Ny.Ayu 80,000 20,000
54 Ny.Suwarti 15,000
55 Ny.Ayu 80,000 20,000
56 Ny.Tri 20,000
57 Bny.Erna
58 Ny.Muifta
59 Ny.Distia 80,000 25,000
60 Nn.Arindi 15,000

61 10/2/2022 Ny.Merda 55,000


62 Ny.Surani 20,000
63 Ny.Sulasih
64 Ny.Nopi 80,000 25,000

65 11/2/2022 Ny.Keren 10,000


66 Ny.Novi Tri 80,000 55,000 25,000

67 12/2/2022 Ny.Waridatun 80,000 55,000 25,000 20,000


68 Ny.Silviana 25,000 20,000
69 Ny.Karmi 80,000 25,000

70 13/02/2022 Ny.Reni 15,000


71 Ny.Huni 80,000 25,000
72 By.Reni
73 By.Reni
74 Ny.Wahyu 55,000

75 14/02/2022 Ny.Lasmini 80,000 20,000


76 Ny.Deni 80,000 55,000 25,000
77 Ny.Wahyuni 20,000
78 Ny.Maulinda 80,000 55,000 25,000
79 Ny.Miftahul 80,000
80 Ny.Nurma 20,000
81 Ny.Endah
82 Ny.Tatik 20,000
83 By.Dina

84 15/02/2022 Ny.Komala 80,000


85 Ny.Gendro 80,000 25,000
86 By.Dina
87 Ny.Ismi 15,000
88 Ny.Mifta 80,000 55,000 25,000
89 Ny.Larsini 80,000 20,000
90 16/02/2022 Ny.Puji 15,000
91 An.Quenza 80,000
92 An.Qianzy 80,000
93 Ny.Ari 80,000 55,000 20,000
94 Ny.Saskia 20,000
95 By.Sri 80,000

96 17/02/2022 Ny.Ari 15,000


97 By.Ari 80,000
98 Ny.Fitri
99 An.Faza 80,000

100 18/02/2022 Ny.Sugiyanti 80,000 55,000


101 Tn.Didik 25,000
102 Ny.Tri W 80,000
103 Ny.Rodliyyah 55,000
104 Ny.Warsi 15,000 55,000
105 Ny.Arista 20,000
106 Ny.Ani 80,000 20,000
107 Ny.Srinem 80,000 25,000
108 Ny.Warsi 15,000
109 Ny.Warsi 15,000
110 Ny.Mastutik

111 19/02/2022 Ny.Wiwik


112 Ny.Komalasari 20,000
113 Ny.Ciklan 80,000 55,000
114 Nn.Alya
115 Ny.Parsi 20,000
116 Ny.Anis 80,000 55,000

117 20/02/2021 By.Ciklan


118 By.Ciklan

119 21/02/2022 Ny.Diah 20,000


120 Ny.Ana
121 By.Ana
122 Ny.Endang 80,000 20,000
123 Ny.Habib 15,000
124 Ny.Liza 80,000 55,000 25,000
125 Ny.Atus 80,000 25,000

126 22/02/2022 Ny.Lasmini 55,000


127 Ny.Ike 20,000
128 Ny.Sri 80,000 25,000
129 Ny.Kustini 20,000
130 Ny.Rohmiatun 55,000
131 Ny.Sri 80,000 25,000
132 Ny.Laila 80,000 30,000
133 By.Farah 80,000
134 By.Yuni

135 23/02/2022 By.Yuni


136 Ny.Amar 80,000 55,000
137 Ny.Farah 15,000
138 Ny.Lasmini
139 An.Kanaya 80,000
140 Ny.Niken 80,000 20,000
141 Ny.Arnia 80,000
142 Ny.Afrida 20,000

143 24/02/2022 Ny.Niken 55,000


144 Ny.Katmini 80,000 25,000 20,000
145 Ny.Isti 80,000

146 25/02/2022 Ny.Sumarni 20,000


147 Ny.Susi
148 Ny.Asyfa 80,000 20,000
149 Ny.Katmini 15,000
150 Ny.Sugi 80,000 25,000

151 26/02/2022 Ny.Diana 80,000 55,000


152 Ny.Tri 20,000
153 Ny.Rahmawati 20,000
154 Ny.Ismi 80,000 20,000
155 Ny.Sisi 15,000
156 Nn.Alfina 80,000 25,000
157 Ny.Nurul 80,000 20,000
158 Ny.Parti 80,000 25,000

159 27/02/2022 Ny.Erifatul 80,000


160 Ny.Erifatul 15,000

161 28/02/2022 Ny.Mujiatun 80,000 25,000

6,960,000 285,000 1,760,000 975,000 460,000 380,000

JUMLAH PARAMETER 343

RINCIAN

NOVI
Parameter 312
On Call Tgl Merah 2 Kali

WAHYU
Masuk 3 Kali
Parameter 22
Cito 140,000
On Call Tgl Merah 2 Kali

ERIKA
On Call tgl Merah 2 Kali
Parameter 9
Cito 40,000

KARYAWAN
Hayyin 40,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000

35,000 40,000

25,000

40,000 40,000

25,000

35,000 40,000

35,000 40,000

25,000

35,000 40,000

75,000

35,000 40,000

35,000 40,000
20,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

40,000
25,000

75,000
35,000 40,000
25,000 35,000
40,000

25,000

75,000

35,000 40,000

75,000

25,000
35,000 40,000

35,000 40,000

40,000 40,000

25,000
25,000
35,000 40,000

35,000 40,000

35,000 40,000

75,000

25,000

25,000
25,000
25,000

35,000 40,000
35,000 40,000

25,000

25,000
25,000 35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

25,000 40,000 40,000

40,000

35,000 40,000

35,000 40,000
75,000

35,000 40,000

25,000
25,000

25,000
25,000

35,000 40,000

35,000 40,000

25,000

35,000 40,000

25,000

25,000

25,000
35,000 40,000

25,000

35,000 40,000
25,000

25,000

25,000

35,000 40,000

750,000 1,190,000 470,000 1,440,000 120,000 120,000


OT PT Cholestero AU TG WIDAL JUMLAH
80,000
80,000
25,000
40,000
210,000
80,000
25,000
15,000
35,000 35,000 40,000 190,000
125,000
130,000

235,000
105,000
210,000

80,000
130,000
20,000
20,000
20,000
235,000

75,000
80,000
80,000
235,000

235,000
100,000
80,000
235,000
255,000
100,000
235,000
100,000
40,000 40,000 180,000
80,000
105,000
100,000

145,000
15,000

210,000
80,000
15,000
40,000
105,000

155,000
255,000
220,000
40,000
105,000
105,000
80,000
25,000

80,000
100,000
15,000
100,000
20,000
75,000
40,000 40,000 80,000
105,000
15,000

130,000
20,000
75,000
105,000

35,000
40,000 40,000 315,000

255,000
45,000
185,000

15,000
105,000
25,000
25,000
130,000

100,000
235,000
20,000
235,000
80,000
20,000
75,000
20,000
25,000

105,000
130,000
25,000
15,000
235,000
100,000
15,000
80,000
80,000
230,000
20,000
105,000

15,000
105,000
100,000
75,000 155,000

210,000
25,000
80,000
130,000
145,000
20,000
100,000
210,000
15,000
15,000
40,000

75,000
20,000
210,000
75,000
20,000
210,000

25,000
25,000

20,000
25,000
25,000
100,000
15,000
235,000
105,000

130,000
20,000
130,000
20,000
130,000
105,000
135,000
80,000
25,000

25,000
210,000
15,000
25,000
80,000
100,000
80,000
20,000

130,000
150,000
80,000

20,000
25,000
100,000
15,000
130,000

210,000
20,000
20,000
100,000
15,000
105,000
100,000
105,000

80,000
15,000

105,000

120,000 120,000 35000 35000 40000 75000 15,335,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/3/2022 Ny.Rosiana 80,000
2 Nn.Alfina 15,000
3 Ny.Fitri 80,000 20,000
4 Ny.Diyah 80,000 55,000
5 NY.Afifah 20,000

6 2/3/2022 Ny.Kanem 80,000 25,000


7 By.Vingka
8 Ny.Nyumi 80,000 25,000
9 Ny.Ismiyati 80,000
10 Ny.Saminem
11 An.Bening 80,000
12 By.Vingka
13 Ny.Etik 80,000 25,000 20,000
14 Ny.Dewi 80,000 20,000
15 By.Ismi 80,000
16 Ny.Ismiyati 15,000

17 3/3/2022 By.Karminah 80,000


18 Ny.Anggi 80,000

19 4/3/2022 Ny.Atik 80,000 20,000


20 Ny.Nur 80,000

21 5/3/2022 Ny.Nur Hidayah 15,000


22 Ny.Rina 80,000 20,000
23 Ny.Ambar 20,000
24 Ny.Anita 80,000 55,000 25,000

25 6/3/2022 Ny.Novi 80,000


26 Ny.Sumarti 80,000 55,000

27 7/3/2022 Ny.Anggun 80,000 20,000


28 Ny.Elisa 80,000 20,000
29 Ny.Nur Kholifah 80,000 55,000
30 Ny.Liza 55,000
31 Ny.Elisa 15,000
32 Ny.Rini 80,000 20,000

33 8/3/2022 Ny.Emi Untari 80,000 55,000


34 Ny.Dina 80,000
35 Ny.Suparti 20,000
36 Ny.Riska 80,000 55,000
37 Ny.Umi 80,000 20,000

38 9/3/2022 Ny.Novia 80,000 25,000


39 Ny.Eka 15,000 25,000
40 Ny.Santika 20,000
41 Ny.Fiki 20,000
42 Ny.Armelia 80,000
43 10/3/2022 Ny.Eki 15,000
44 Ny.Surani 20,000
45 Ny.Darmi 80,000 55,000 25,000
46 Ny.Wiwik 20,000
47 Ny.Okky 80,000 55,000 25,000

48 11/3/2022 Ny.Mukti 20,000


49 Ny.Suryani 20,000
50 Ny.Linda 15,000 20,000
51 Ny.Tri 15,000 55,000
52 Ny.Budi
53 Ny.Lintang 20,000
54 An.Kela 80,000
55 Ny.Khoirun
56 Ny.Sumiyati 80,000 55,000

57 12/3/2022 Ny.Sainem 20,000


58 An.Aisyah 80,000
59 Ny.Iswatun 80,000 25,000
60 By.Khoirun 80,000
61 Ny.Wuwun 80,000 55,000
62 Ny.Heni 15,000 55,000

63 13/03/2022 By.Heni
64 An.Febi 80,000
65 By.Merdina 80,000
66 Ny.Merdinasari 80,000

67 14/03/2022 Ny.Merdinasari 15,000


68 Ny.Ayu
69 Ny.Sudarmi 80,000
70 Ny.Siti 80,000
71 Ny.Ningsih 20,000
72 Ny.Endang 80,000 30,000
73 Ny.Lina 20,000
74 Ny.Paisih 20,000
75 Ny.Isti 20,000

76 15/03/2022 Ny.Sumarsih 80,000


77 Nn.Tantri 80,000 25,000
78 Ny.Mardiyanti 80,000 20,000
79 Ny.Jojor 80,000 20,000

80 16/03/2022 Ny.Dwi 80,000 55,000 25,000


81 Ny.Lilis 80,000 55,000 25,000
82 Ny.Rizki 80,000
83 Ny.Yuli 20,000
84 Ny.Sri 80,000

85 17/03/2022 Ny.Ariya 20,000


86 Ny.Lilis 80,000
87 Ny.Partini 80,000 25,000
88 Ny.Aka 80,000 55,000 25,000
89 Ny.Fela 20,000
90 Ny.Triana
91 Ny.Riska 20,000
92 Ny.Nofika 80,000 55,000 25,000
93 Ny.Siti 80,000 20,000

94 18/03/2022 Ny.Astri 80,000 55,000 20,000


95 Ny.Juminem
96 By.Elvi 80,000
97 Ny.Wulan 80,000
98 Ny.Yunita 80,000 55,000

99 19/03/2022 Ny.Indah 80,000 20,000


100 Ny.Anita 80,000
101 Ny.Indah 55,000
102 Ny.Ayu 55,000
103 Ny.Sharah 20,000
104 Ny.Dwi 80,000

105 21/03/2022 Ny.Mukti 80,000 25,000


106 Ny.Mya 80,000 20,000
107 Ny.Purwanti
108 Ny.Ika 80,000 20,000
109 Ny.Margaret 20,000
110 Ny.Elvi 80,000

111 22/03/2022 Ny.Puji Lestari 80,000

112 23/03/2022 Ny.Suparmi 80,000 25,000


113 Ny.Sri M 80,000 55,000
114 Ny.Nanik 80,000 20,000
115 Ny.Virgo 80,000
116 Ny.Galuh 80,000 20,000
117 Ny.Wahyu 80,000 25,000
118 Ny.Nova

119 24/03/2022 Ny.Sulastri 80,000 20,000


120 Ny.Madiyanti 55,000
121 Ny.Dyah 80,000 25,000
122 Ny.Berlian 20,000
123 Ny.Belinda 80,000

124 25/03/2022 Ny.Nur H 80,000 25,000


125 Ny.Priyanti 80,000 55,000 25,000
126 Ny.Karni 80,000 25,000
127 Ny.Fladela 20,000
128 Ny.Ervina 80,000
129 Ny.Novi 80,000 20,000
130 Ny.Sumarni 80,000 25,000

131 26/03/2022 Ny.Winarti 80,000 20,000


132 Ny.Anita 80,000 55,000
133 Ny.Lisda 80,000 55,000 25,000
134 Ny.Karni 80,000
135 Ny.Nur 80,000
136 Ny.Waginem 80,000 25,000
137 Ny.Santia 20,000
138 Ny.Suharni

139 27/03/2022 Ny.Mutmainah 20,000

140 28/03/2022 An.Rafiszi 80,000


141 An.Muh Fahmi 80,000
142 Nn.Nela

143 29/03/2022 Ny.Junda 20,000


144 Ny.Pepi 80,000 55,000 25,000
145 Ny.Diah Ayu 55,000
146 Ny.Sukarsih 80,000
147 Ny.Tumiyem 80,000 25,000
148 Ny.Risma 20,000
149 Ny.Ervina
150 Ny.Sriyanti 80,000 20,000

151 30/03/2022 Ny.Suprapti 80,000 20,000


152 Ny.Setianingsih
153 Ny.Pramudita 80,000 20,000
154 Ny.Titik 80,000 20,000
155 Ny.Melani 80,000
156 Ny.Mintasih 80,000
157 By.Heni
158 Ny.Mintasih 80,000 25,000 20,000

159 31/03/2022 Ny.Mintasih 80,000


160 Ny.Melani 80,000
161 Ny.Isti 80,000 25,000
162 Ny.Bety
163 By.Diana
164 Ny.Jas 80,000 25,000
165 By.Diana
166 Ny.Condro 80,000
167 By.Jeis 80,000
168 Ny.Siti 80,000 20,000
169 Ny.Puji 80,000 55,000 25,000

8,640,000 150,000 1,595,000 775,000 630,000 500,000

JUMLAH PARAMETER 335

RINCIAN

NOVI
Parameter 295
On Call Tgl Merah 3 Kali
WAHYU
Masuk 5 Kali
Parameter 40
Cito 100,000
On Call Tgl Merah 2 Kali

KARYAWAN
Fitri 77,500
Ana 95,000
Lisya 107,500
Jumlah 280,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

35,000 40,000

25,000 40,000 40,000


25,000

75,000

25,000

25,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000
25,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000
75,000

35,000
35,000 40,000

25,000

25,000
35,000 40,000
35,000 40,000

25,000

25,000

25,000

25,000

40,000

35,000 40,000
35,000 40,000
75,000

35,000 40,000

35,000 40,000
75,000

35,000 40,000

35,000
35,000 40,000

75,000

20,000 20,000

25,000 40,000 40,000


35,000 40,000

75,000
40,000

35,000 40,000

35,000 40,000
25,000

35,000

25,000

35,000 40,000
35,000 40,000
75,000

35,000 40,000
35,000 40,000

25,000

40,000

75,000

25,000

35,000
25,000

25,000

35,000 40,000

450000 1,085,000 600,000 1,200,000 20,000 20,000 80,000 80,000


OT PT Cholestero AU TG WIDAL JUMLAH
80,000
15,000
100,000
210,000
20,000

210,000
25,000
105,000
80,000
75,000
80,000
25,000
125,000
100,000
80,000
15,000

105,000
80,000

100,000
80,000

15,000
100,000
20,000
235,000

80,000
210,000

100,000
100,000
210,000
130,000
15,000
100,000

210,000
105,000
20,000
210,000
100,000

105,000
40,000
20,000
20,000
80,000
15,000
20,000
235,000
20,000
235,000

20,000
20,000
35,000
145,000
75,000
20,000
80,000
35,000
210,000

20,000
75,000 180,000
105,000
105,000
210,000
145,000

25,000
80,000
105,000
80,000

15,000
25,000
80,000
80,000
20,000
135,000
20,000
60,000
20,000

80,000
105,000
100,000
100,000

235,000
235,000
80,000
20,000
80,000

20,000
80,000
105,000
160,000
20,000
75,000
20,000
235,000
100,000

230,000
75,000
80,000
80,000
210,000

100,000
80,000
90,000
130,000
20,000
80,000

105,000
100,000
75,000
100,000
20,000
80,000

120,000

210,000
210,000
100,000
75,000 155,000
100,000
180,000
40,000

100,000
130,000
105,000
20,000
75,000 155,000

105,000
235,000
130,000
20,000
115,000
100,000
130,000

100,000
210,000
235,000
80,000
80,000
105,000
20,000
40,000 40,000 80,000

20,000

75,000 155,000
75,000 155,000
75,000

20,000
235,000
130,000
80,000
130,000
20,000
40,000
100,000

100,000
75,000
100,000
100,000
80,000
80,000
25,000
125,000

80,000
80,000
105,000
35,000
25,000
105,000
25,000
80,000
80,000
100,000
235,000

40,000 40,000 375000 16,280,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/4/2022 Ny.Nani 80,000 25,000
2 Ny.Heni 20,000
3 Ny.Istiana 15,000
4 Ny.Jeis 15,000
5 Ny.Partini 80,000 55,000 25,000
6 Ny.Ayu 20,000
7 Ny.Syariah 15,000 55,000
8 Ny.Siti 20,000
9 Ny.Rina 20,000
10 Ny.Wiji 80,000

11 2/4/2022 Ny.Aka 80,000


12 Ny.Indarti 80,000 55,000 25,000
13 Ny.Ari 80,000
14 Ny.Eva 80,000
15 Ny.Anita 20,000

16 4/4/2022 Ny.Poniyem 80,000 20,000


17 Ny.Indarti 15,000
18 Ny.Umi 80,000 55,000
19 Ny.Aka 15,000
20 Ny.Puput 80,000 55,000 25,000
21 Ny.Novi 80,000
22 Ny.Sri 80,000 55,000
23 Ny.Isti 80,000 55,000 25,000

24 5/4/2022 Ny.Ariana
25 Ny.Endang 20,000
26 Ny.Endang S 80,000 55,000
27 Ny.Istiqomah 15,000
28 An.Rafasya 80,000 25,000
29 Ny.Sumiyati 15,000
30 Nn.Evi 80,000
31 Ny.Lis 80,000 55,000

32 6/4/2022 Nn.Nisrina 80,000 25,000


33 Ny.Reni 80,000 55,000
34 Ny.Sumarsih 80,000
35 Nn.Dian 20,000
36 Nn.Calyca 80,000 25,000
37 Ny.Anik 80,000 55,000 20,000

38 7/4/2022 Ny.Reni 15,000


39 Ny.Ita 80,000 20,000

40 8/4/2022 Ny.Siti 20,000


41 Ny.Uun 20,000
42 Ny.Rosita 15,000
43 Ny.Sulastri 80,000 20,000
44 Ny.Sherly 80,000
45 Ny.Aprilia 80,000 25,000
46 9/4/2022 Ny.Etik 20,000
47 Ny.Suli 80,000 25,000 20,000
48 Ny.Ratna 80,000 55,000
49 Ny.Hasna 80,000 20,000

50 11/4/2022 Ny.Painem 55,000


51 Nn.Junika 80,000 25,000
52 Ny.Rita 80,000 20,000

53 12/4/2022 Ny.Warih 80,000 25,000 20,000


54 Ny.Tancho 20,000
55 Ny.Dwi 80,000 55,000

56 13/04/2022 Ny.Rukiyanti 80,000 55,000


57 By.Suyatmi
58 By.Rukiyanti
59 Ny.Ngatini 80,000 25,000
60 Ny.Suliha 20,000
61 By.Rukiyanti
62 By.Suyatni
63 Ny.Nike 80,000

64 14/04/2022 By.Setyani
65 Ny.Henifah 15,000
66 Nn.Zeni 80,000 25,000 20,000
67 Ny.Aspu 80,000 25,000 20,000
68 Ny.Aprilia 80,000 55,000
69 By.Setiani
70 Ny.Wiwik 15,000
71 Ny.Andri 15,000

72 15/04/2022 Ny.Kamtini 80,000 25,000 20,000


73 By.Dwi H 1
74 By.Dwi H 2
75 By.Indah
76 Ny.Tri 55,000
77 By,Dwi H 1
78 By.Dwi H 2
79 By.Indah
80 By.Andriyani

81 16/04/2022 By.Andriyani
82 Ny.Al Amin 80,000 20,000
83 Nn.Dian 20,000
84 Ny.Marga 80,000
85 Ny.Purwanti 20,000
86 Ny.Bella 80,000

87 18/04/2022 Nn.Adelia 80,000 25,000


88 Ny.Sumarni 80,000 20,000
89 Ny.Darsini 20,000
90 Ny.Diah 80,000 55,000 25,000
91 Ny.Nirma
92 Ny.Dyah 80,000 20,000
93 Ny.Sumarsih 80,000
94 Ny.Dewi 80,000 30,000
95 By.Nirma 80,000

96 19/04/2022 Ny.Elis 80,000 20,000


97 Ny.Muryani 80,000 55,000 25,000
98 Ny.Lilis 80,000 25,000
99 Ny.Puji 80,000 25,000

100 20/04/2022 Ny.Agustina 80,000 25,000


101 Ny.Ruroh
102 Ny.Ayu 20,000
103 Ny.Tayem 20,000
104 Ny.Yunita 80,000 55,000
105 Ny.Irwahyu 80,000 20,000
106 Ny.Siti 80,000 25,000 20,000
107 Ny.Ratih 80,000 55,000

108 21/04/2022 Ny.Suwarsih 80,000 25,000


109 Ny.Mufikatus 80,000
110 Ny.Suparni 80,000 25,000

111 22/04/2022 Ny.Eka 80,000 55,000


112 Ny.Sonia 20,000
113 Nn.Ayes
114 Ny.Tika 20,000
115 Ny.Sumiyati 80,000
116 Ny.Fitria 80,000

117 23/04/2022 Ny.Eka


118 Ny.Miftakhur 20,000
119 Ny.Catur 80,000 20,000
120 Ny.Vidi 80,000 55,000 25,000 20,000
121 Ny.Tri W 20,000
122 Nn.Nani 80,000 25,000
123 Ny.Muslimah 80,000
124 Ny.Anita 20,000

125 24/04/2022 Ny.Trisna


126 By.Trisna

127 25/04/2022 Ny.Sri 80,000 55,000 25,000


128 Ny.Yuliastuti 80,000 20,000
129 By.Trisna
130 Ny.Nur 80,000 55,000 25,000 20,000
131 Ny.Wahyu
132 Ny.Yulia
133 Ny.Yulia 15,000
134 Ny.Ardani 80,000 55,000
135 Ny.Diagma
136 26/04/2022 Nn.Alipuma 80,000 20,000
137 Ny.Anik 80,000
138 By.Wahyu 80,000
139 Nn.Ririn 80,000 25,000
140 Ny.Ninik 80,000 20,000
141 Ny.Olivia 15,000 55,000

142 27/04/2022 Ny.Wahyu 15,000


143 Ny.Tiara 80,000 55,000 20,000
144 Ny.Siti 80,000 20,000
145 Ny.Dewi
146 Ny.Nurohmah 80,000
147 Ny.Rani 80,000 25,000 20,000
148 Nn.Risca 80,000 20,000
149 Ny.Indah
150 Tn.Hendro
151 Ny.Sulis 25,000
152 By.Sulis 80,000
153 Ny.Sirki 80,000 55,000 25,000 20,000

154 28/04/2022 Ny.Ranti 80,000


155 Ny.Sulis 80,000
156 Nn.Nur 80,000 25,000
157 Ny.Sita 20,000
158 Nn.Astri 20,000
159 Ny.Sumisih
160 By.Sumisih 80,000

7,120,000 225,000 1,595,000 850,000 390,000 680,000

JMH PARAMETER TGL 1-28 328

RINCIAN
NOVI
Parameter 306
On Call Tgl Merah 2 Kali

WAHYU
Masuk 4 Kali
Parameter 22
Cito 60,000
On Call Tgl Merah 3 Kali

161 29//04/2022 Ny.Yuni 80,000 25,000 20,000


162 Ny.Anisa 80,000 20,000
163 Ny.Elly 80,000
164 By.Sumisih
165 Nn.Jesica 80,000 25,000
166 Ny.Fitri 80,000
167 Ny.Wahyuni 80,000 20,000
168 Nn.Anik 20,000
169 Nn.Deni 80,000 25,000

170 30/04/2022 Ny.Sumisih 80,000


171 By.Sumisih 80,000
172 Ny.Emi 80,000
173 Ny.Partini 80,000 25,000
174 Nn.Aska 80,000

960,000 100,000 40,000 40,000

JMH PARAMETER TGL 29-30 23

RINCIAN
NOVI
Parameter 20

WAHYU
Masuk 1 Kali
Parameter 3

TOTAL BLN APRIL 15,820,000


TOTAL PARAMETER 351

KARYAWAN
Akari 12,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
25,000

25,000 35,000

35,000 40,000

25,000 35,000 40,000

75,000

35,000 40,000

35,000 40,000

35,000 40,000
35,000 40,000

35,000 40,000

25,000 35,000

20,000 20,000

35,000 40,000

35,000 40,000
20,000 20,000

35,000 40,000

40,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
25,000
25,000

25,000
25,000

25,000

25,000
25,000 35,000 40,000
25,000

40,000

25,000
25,000
25,000
35,000 40,000
25,000
25,000
25,000
25,000

25,000

35,000 40,000
35,000

25,000

35,000 40,000
25,000
25,000

75,000

35,000 40,000

35,000 40,000

25,000

35,000 40,000

75,000

25,000

40,000

35,000 40,000
25,000

35,000
25,000

25,000

25,000
35,000 40,000
40,000
35,000

35,000 40,000
25,000
35,000 40,000

35,000 40,000

40,000
40,000

35,000

40,000
25,000

775,000 1,120,000 225,000 1,320,000 40000 40000

25,000
25,000
OT PT Cholestero AU TG WIDAL JUMLAH
130,000
20,000
15,000
15,000
220,000
20,000
145,000
20,000
20,000
80,000

80,000
260,000
80,000
80,000
20,000

175,000
15,000
210,000
15,000
235,000
80,000
210,000
235,000

75,000
20,000
195,000
15,000
105,000
55,000
80,000
210,000

105,000
210,000
120,000
20,000
105,000
230,000

15,000
100,000

20,000
20,000
55,000
100,000
80,000
105,000
20,000
125,000
210,000
100,000

130,000
105,000
100,000

125,000
20,000
210,000

210,000
25,000
25,000
105,000
20,000
25,000
25,000
80,000

25,000
15,000
125,000
150,000
235,000
25,000
15,000
55,000

125,000
25,000
25,000
25,000
130,000
25,000
25,000
25,000
25,000

25,000
100,000
20,000
80,000
20,000
80,000

105,000
100,000
20,000
235,000
35,000
100,000
80,000
135,000
80,000

100,000
235,000
35,000 165,000
130,000

180,000

20,000
20,000
210,000
100,000
125,000
210,000

130,000
80,000
105,000

210,000
20,000
75,000
20,000
105,000
80,000

40,000
20,000
100,000
255,000
45,000
105,000
80,000
20,000

35,000
25,000

185,000
100,000
25,000
255,000
40,000
35,000
15,000
210,000
25,000
100,000
80,000
80,000
105,000
40,000 40,000 180,000
145,000

15,000
230,000
100,000
40,000 40,000 80,000
80,000
125,000
100,000
40,000
40,000
25,000
80,000
215,000

80,000
80,000
105,000
20,000
20,000
40,000
105,000

80,000 80,000 35000 14,575,000

40,000 40,000 205,000


100,000
80,000
25,000
105,000
80,000
100,000
20,000
105,000

80,000
80,000
80,000
105,000
80,000

40,000 40,000 1,245,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/5/2022 Ny.Yuni 80,000 25,000 20,000
2 Ny.Putri 55,000

3 4/5/2022 Ny.Fatimah 80,000


4 Ny.Suprapti 80,000 20,000
5 Ny.Mintarsih 80,000
6 Ny.Kustriyani 80,000 55,000 25,000 20,000
7 Ny.Widia 80,000
8 Ny.Novia 80,000
9 Ny.Putri 20,000
10 Ny.Novia 55,000
11 By.Sri
12 Ny.Umul 80,000 20,000
13 Ny.Arlinda 80,000 25,000
14 By.Arlinda 80,000
15 Ny.Sri S
16 By.Vera

17 5/5/2022 By,Sri S
18 By.Vera
19 Ny.Sumarni 80,000 25,000
20 Ny.Ika 80,000 20,000
21 Ny.Arlinda 15,000
22 Ny.Ulfa 80,000 55,000 25,000

23 6/5/2022 Ny.Sri 80,000 20,000


24 Ny.Ihda 80,000 20,000
25 Ny.Yuli 20,000
26 An.Raffi 80,000
27 Ny.Anik 20,000
28 Ny.Esti 80,000 20,000
29 Ny.Siti 80,000 20,000
30 Ny.Suwarti 20,000
31 Ny.Candra 80,000 20,000
32 Ny.Irwahyu 20,000

33 7/5/2022 By.Ummi
34 Ny.Suprapti 80,000 55,000 25,000 20,000
35 By.Suwarti
36 Ny.Dewi 80,000
37 By.Ummi
38 By.Suwarti
39 Ny.Anik 80,000 20,000

40 8/5/2022 By.Nur
41 By.Nur
42 Nn.Dwi 80,000 55,000 20,000

43 9/5/2022 Nn.Dwi 15,000


44 By.Dwi
45 Ny.Muhdi 80,000 20,000
46 Ny.Sugini 80,000 25,000
47 Ny.Yunia 80,000 55,000
48 Ny.Yuli 80,000 55,000
49 By.Dwi
50 Ny.Alfi 20,000
51 Ny.Mutiah 80,000
52 Ny.Heni 80,000
53 Ny.Nuri 80,000 20,000

54 10/5/2022 Ny.Kurnita 80,000 55,000


55 By.Ajeng
56 Ny.Aning 20,000
57 Ny.Endang 80,000 55,000 25,000
58 Ny.Ganny 20,000
59 Ny.Tiara 80,000 55,000 25,000
60 Ny.Fitri
61 Ny.Luluk 20,000

62 11/5/2022 Ny.Nurul 80,000 55,000


63 Ny.Mutmainah 80,000 20,000
64 Ny.Trei 80,000 55,000
65 Ny.Laras
66 Ny.Tri 80,000 20,000
67 Ny.Ita 80,000 20,000
68 Ny.Septi 80,000 20,000

69 12/5/2022 Ny.Riyan 20,000


70 Ny.Wahyuni 20,000
71 Ny.Umi 20,000
72 Ny.Awalin 80,000
73 Ny.Muji 20,000
74 Ny.Agustina 80,000
75 Ny.Mawar 20,000
76 Ny.Elisya 80,000

77 13/05/2022 Ny.Dewi 80,000 55,000


78 Ny.Siti 20,000
79 Ny.Sumini 80,000 25,000
80 Ny.Rini 80,000 20,000
81 Ny.Nurul 80,000 20,000
82 Ny.Yuniota 80,000 20,000

83 14/05/2022 Ny.Erna 20,000


84 Ny.Sukiyem 15,000
85 Ny.Umi 15,000 25,000
86 Ny.Rofiul 15,000 25,000
87 By.Umi 80,000
88 Ny.Putri 20,000
89 Ny.Mei 80,000 20,000
90 Ny.Suwanti 55,000
91 Ny.Umi 15,000

92 16/05/2022 Ny.Indah 80,000


93 Ny.Indah 15,000
94 Ny.Naning 80,000 55,000

95 17/05/2022 Ny.Dewi 80,000 55,000 25,000 20,000


96 Ny.Nining 80,000 20,000
97 Ny.Aminah 80,000 55,000 25,000
98 Ny.Jeni 80,000 20,000
99 Ny.Catur 80,000 55,000 25,000
100 Ny.Minarsih 80,000 25,000 20,000
101 Ny.Eny 15,000
102 Ny.Suparmi 80,000 25,000

103 18/05/2022 Ny.Yunita 80,000 20,000


104 Ny.Desi 80,000 20,000
105 Ny.Hesto 80,000 55,000 25,000
106 Nn.Yusmita 20,000
107 Ny.Tia 80,000
108 Ny.Oktavia 80,000 25,000
109 Ny.Tia 25,000

110 19/05/2022 Ny.Suwarni 80,000 20,000


111 Ny.Tia 80,000
112 Ny.Dasrtatik 80,000 55,000 25,000 20,000
113 Ny.Nunung 80,000 25,000
114 Ny.Dewi 80,000 20,000
115 Ny.Nuryati 80,000 20,000
116 Ny.Nur Rohmah 80,000
117 Ny.Diana 80,000 20,000

118 20/05/2022 Ny.Anisa 80,000 55,000 20,000


119 Ny.Rita 20,000
120 Ny.Nur 80,000 20,000
121 Ny.Maryani 80,000 55,000 25,000
122 Ny.Oktavia
123 Ny.Erni 80,000 20,000

124 21/05/2022 Ny.Refil 20,000


125 Ny.Sulastri 20,000
126 Ny.Erna 80,000
127 Ny.Nikmatul 80,000 25,000
128 Ny.Yulanda 80,000 55,000 25,000 20,000

129 23/05/2022 Ny.Umul 80,000 20,000


130 Ny.Sinta 80,000 55,000
131 Ny.Tutik 80,000 20,000
132 Ny.Sunarti 80,000 25,000
133 Ny.Dina 80,000 55,000
134 Ny.Yayuk 80,000 55,000 25,000
135 Ny.Evita 80,000 20,000
136 Ny.Pipit 80,000 20,000
137 Ny.Heti 80,000

138 24/05/2022 Ny.Heni 80,000 20,000


139 Ny.Sutarmi 20,000
140 Ny.Intan 80,000 20,000
141 Ny.Desy 20,000
142 Ny.Tri W 20,000
143 Ny.Dinda 20,000
144 Ny.Triwati
145 Ny.Trimuryani 20,000
146 Ny.Agustina 55,000
147 By.Maulinda

148 24/05/2022 By.Maulinda


149 Ny.Agustina 80,000
150 Ny.Alisa 80,000 55,000 25,000

151 25/05/2022 Ny.Agustina 15,000


152 Ny.Rika 80,000 25,000

153 26/05/2022 By.Latifah 80,000


154 Ny.Juri 80,000 25,000

155 27/05/2022 Ny.Ana 20,000


156 Ny.Juri 15,000 20,000
157 Ny.Wariyanti 80,000 20,000
158 Ny.Astuti 80,000
159 Ny.Daryanti 80,000 20,000
160 Ny.Diyan 80,000 20,000
161 Ny.Virna 80,000 20,000
162 Ny.Hajeng 80,000 55,000

163 28/05/2022 By.Umul


164 Ny.Atika 80,000 20,000
165 Ny.Mawar 80,000
166 Ny.Umul 80,000
167 Ny.Sumarsih 80,000
168 By.Umul
169 Ny.Vicky
170 Ny.Melawati 20,000
171 Ny.Mega 80,000 25,000

172 29/05/2022 By.Wariyati


173 Ny.Sri 80,000 25,000
174 Ny.Heri 80,000 25,000

175 30/05/2022 Ny.Sharah 80,000 20,000


176 Ny.Yulida 80,000
177 Ny.Heni 80,000 25,000
178 Ny.Suyatmi 20,000
179 Ny.Ihda 80,000 20,000
180 Ny.Yayuk 80,000
181 Ny.Riris 80,000 55,000 20,000
182 By.Heni

183 31/05/2022 Ny.Maratu 80,000


184 By.Heni
185 Ny.Wahyu 80,000 55,000 20,000
186 Ny.Lina 80,000 55,000 25,000
187 Ny.Rina 80,000 55,000
188 Ny.Desita 80,000 55,000

9,440,000 150,000 1,925,000 875,000 1,060,000 600,000

JMH PARAMETER TGL 29-30 APRI 23


NOVI
Parameter 20

WAHYU
Masuk 1 Kali
Parameter 3

JUMLAH PARAMETER BLN MEI 406


NOVI
Parameter 375
On Call Tgl Merah 6 Kali

WAHYU
Masuk 3 Kali
Parameter 31
Cito 100,000
On Call Tgl Merah 3 Kali

JADI JMH KESELURUHAN


TGL 29 APRIL - 31 MEI

NOVI
Parameter 395
On Call Tgl Merah 6 Kali

WAHYU
Masuk 4 Kali
Parameter 34
Cito 100,000
On Call Tgl Merah 3 Kali

KARYAWAN
Alya 397,500
Akmal 637,500
JUMLAH 1,035,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
25,000 40,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000
25,000

40,000

25,000
25,000

25,000
25,000
40,000 40,000

35,000 40,000

25,000
25,000 35,000 40,000
25,000
25,000
25,000

25,000
25,000
35,000 40,000

25,000
25,000
35,000 40,000
35,000 40,000
25,000

35,000 40,000
25,000

35,000 40,000

35,000 40,000
75,000

35,000 40,000

35,000 40,000
75,000

35,000 40,000

25,000

25,000

35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

25,000

35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000
40,000

35,000 40,000

35,000 40,000

25,000
35,000 40,000
35,000 40,000
75,000

35,000 40,000
25,000

25,000

35,000 40,000

35,000 70,000

35,000 40,000

25,000

25,000
75,000

35,000 70,000

25,000 40,000 40,000

25000 35,000
25000
25,000
35,000 40,000
35,000 40,000
35,000 40,000
35,000 40,000

725,000 1,225,000 300,000 1,440,000 70,000 140,000 120,000 120,000


OT PT Cholestero AU TG WIDAL JUMLAH
40,000 40,000 310,000
130,000

40,000 40,000 160,000


100,000
80,000
255,000
80,000
80,000
20,000
130,000
25,000
100,000
145,000
80,000
25,000
25,000

25,000
25,000
185,000
100,000
15,000
235,000

100,000
100,000
20,000
80,000
20,000
100,000
100,000
20,000
100,000
20,000

25,000
280,000
25,000
105,000
25,000

100,000

25,000
25,000
230,000

15,000
25,000
40,000 40,000 180,000
130,000
210,000
210,000
25,000
20,000
80,000
80,000
100,000

210,000
25,000
20,000
235,000
20,000
235,000
75,000
20,000

210,000
100,000
210,000
75,000
100,000
100,000
100,000

20,000
20,000
20,000
80,000
20,000
80,000
20,000
80,000

210,000
20,000
130,000
100,000
100,000
100,000

20,000
35,000 35,000 110,000
40,000
40,000
80,000
20,000
100,000
130,000
15,000

80,000
15,000
210,000

255,000
100,000
235,000
100,000
235,000
125,000
15,000
130,000

100,000
100,000
235,000
20,000
80,000
105,000
25,000

100,000
80,000
255,000
105,000
100,000
100,000
80,000
100,000

230,000
20,000
100,000
235,000
40,000
100,000

20,000
20,000
80,000
105,000
255,000

100,000
210,000
100,000
130,000
210,000
235,000
100,000
100,000
80,000

100,000
20,000
100,000
20,000
20,000
20,000
75,000
20,000
130,000
25,000

25,000
80,000
235,000

15,000
105,000

185,000
105,000

20,000
35,000
100,000
80,000
100,000
100,000
100,000
210,000

25,000
100,000
80,000
80,000
80,000
25,000
75,000
20,000
105,000

105,000
105,000
210,000

100,000
80,000
105,000
20,000
100,000
80,000
215,000
25,000

80,000
25,000
230,000
235,000
210,000
210,000

120,000 120,000 35000 35000 18,500,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/6/2022 Ny.Mei 80,000
2 By.Yayuk 80,000

3 2/6/2022 Ny.Sulis 80,000


4 Ny.Yayuk 15,000
5 By.Natas
6 Ny.Maria 80,000 25,000
7 Ny.Adelia 80,000 55,000 25,000
8 Ny.Maya 20,000
9 By.Tria

10 3/6/2022 Ny.Alim 80,000


11 Ny.Ima
12 Ny.Hapy 80,000
13 By.Natas
14 By.Tria
15 Ny.Ika 80,000 55,000 20,000
16 Ny.Linda 80,000 20,000
17 Ny.Maria 80,000
18 Ny.Juvita 80,000 55,000 25,000
19 Ny.Kartini 80,000 25,000
20 Ny.Siswanti 80,000 25,000
21 Ny.Dartatik 80,000
22 Ny.Suparmi 80,000 25,000
23 Ny.Giyatmi 80,000

24 4/6/2022 By.Ananda 1 80,000


25 By.Ananda 2 80,000
26 Ny.Dwi L 80,000 55,000 25,000
27 Ny.Nurjanatul 20,000
28 Ny.Yeni 80,000 20,000
29 Ny.Riza
30 Ny.Yuli 20,000
31 Ny.Mutiah 20,000
32 Ny.Mira 80,000 20,000
33 Ny.Muji 80,000 20,000
34 Ny.Sri 20,000
35 Ny.Suparni 80,000 25,000

36 5/6/2022 Ny.Sri L 80,000


37 By.Anita

38 6/6/2022 By.Anita
39 Ny.Hepy 80,000
40 Ny.Sri H 80,000
41 Ny.Septiana 80,000 20,000
42 Ny.Erna
43 Ny.Khusnul 20,000
44 Ny.Darmi 80,000 20,000
45 Ny.Tri C 80,000
46 Ny.Lusiana 80,000 55,000 20,000
47 Ny.Dias 80,000 55,000 25,000
48 Ny.Yeni 20,000
49 Ny.Siti 80,000 25,000 20,000

50 7/6/2022 Ny.Anik 80,000 55,000


51 Ny.Susi 80,000 20,000
52 Ny.Beti 80,000 55,000
53 Ny.Dea 20,000
54 By.Susi

55 8/6/2022 Ny.Sugiyem 80,000 55,000 25,000


56 Ny.Atin 80,000 55,000 25,000
57 By.Susio
58 Ny.Siti 80,000
59 Ny.Umi 80,000 20,000
60 Ny.Susi
61 Ny.Ngarini 20,000
62 Ny.Elmi 80,000 20,000
63 Ny.Nilam 80,000 20,000
64 Ny.Dina 80,000 20,000
65 Nn.Sri R 80,000

66 9/6/2022 Ny.Sugiyem 15,000


67 Ny.Suparti 80,000 55,000
68 Ny.Dewi 80,000 20,000
69 Ny.Robyatun 80,000
70 Ny.Eko 80,000 55,000 25,000
71 Nn.Afiska 20,000

72 10/6/2022 By.Lina
73 Ny.Supartini 80,000 25,000
74 Ny.Rosi 80,000 55,000 25,000
75 By.Lina
76 Ny.Hepy 80,000
77 Ny.Eri 80,000 20,000
78 Ny.Lia 80,000 55,000 25,000

79 11/6/2022 Ny.Fahmi 80,000 20,000


80 Ny.Supiah 80,000 55,000
81 Ny.Sosuko 80,000
82 Ny.Desita 20,000
83 Ny.Astuti 15,000 55,000
84 Ny.Yunita 15,000

85 13/06/2022 Ny.Winda 20,000


86 Ny.Lia 15,000
87 Ny.Suyati 80,000 25,000
88 Ny.Hendrik 80,000 20,000
89 Ny.Eka Suci 80,000 25,000 20,000
90 Ny.Siti 80,000 55,000 25,000

91 14/06/2022 Ny.Fristian 80,000 20,000


92 Ny.Siti 80,000 20,000
93 Ny.Iin 25,000
94 Ny.Rita 80,000

95 15/06/2022 Ny.Siti 15,000


96 By.Dina
97 By.Risa
98 Ny.Binti 80,000 55,000
99 By.Beti
100 By.Dina
101 Ny.Tri
102 Ny.Ila 80,000 55,000

103 16/06/2022 Ny.Aprilia 80,000


104 Ny.Semi 20,000
105 Ny.Binti 15,000
106 Ny.Miyatun 80,000 55,000
107 Ny.Ngatini 20,000
108 Ny.Suminah 80,000 25,000
109 Ny.Sri 20,000
110 Ny.Sinta 80,000 20,000

111 17/06/2022 Ny.Ika 80,000 55,000


112 Ny.Maratus 80,000
113 Ny.Putri 80,000 25,000
114 Ny.Daniati 15,000
115 Ny.Eva 20,000
116 Ny.Dewi 80,000 55,000 20,000
117 Ny.Tri 20,000
118 Ny.Dwi 20,000
119 Ny.Anisa

120 19/06/2022 Ny.Sumiyati 15,000

121 20/06/2022 Ny.Retno 80,000 20,000


122 By.Rina
123 Ny.Yuyun
124 Ny.Maryati 80,000 55,000 25,000
125 Ny.Yuyun 15,000
126 Ny.Eka 20,000
127 Ny.Tri P 20,000
128 Ny.Wiwik 80,000

129 21/06/2022 Ny.Maryati 80,000


130 By.Bela 20,000
131 Ny.Disty 80,000 55,000 20,000

132 22/06/2022 Ny.Ipah


133 Ny.Santi 80,000
134 Ny.Rini 15,000 20,000
135 Ny.Siti 20,000

136 23/06/2022 Ny.Sukarti 15,000


137 Ny.Retno 20,000
138 Ny.Retno 80,000
139 Ny.Yuli 20,000

140 24/06/2022 Ny.Weni 80,000 55,000


141 Ny.Supirah 80,000 55,000

142 25/06/2022 Ny.Tukini 80,000 25,000


143 Ny.Prihantini 80,000 55,000 20,000
144 Ny.Winarsih 80,000 20,000
145 Ny.Erika 80,000 20,000
146 Ny.Anisa 80,000

147 26/06/2022 Ny.Aprilia 80,000 20,000

148 27/06/2022 Ny.Ari 80,000 25,000


149 Ny.Yuyun 80,000
150 Ny.Suminah 80,000 25,000
151 Ny.Mimin 20,000
152 Ny.Fitria 80,000 25,000
153 Ny.Rina 80,000
154 Ny.Tahara 80,000 55,000 25,000 20,000

155 28/06/2022 Ny.Fitria 15,000


156 Nn.Khoirun 80,000 25,000
157 By.Fitria 80,000
158 Ny.Suminah 80,000

159 29/06/2022 By.Tri


160 By.Tri
161 Ny.Laely 80,000 55,000
162 Ny.Heni 80,000 55,000
163 Ny.Dwi 80,000 55,000 20,000
164 Ny.Indra 80,000 20,000
165 Ny.Indra 55,000
166 Ny.Rahmawati 80,000

167 30/06/2022 An.Ibra 80,000


168 An.Aisyah 80,000
169 Ny.Siska 80,000 55,000 25,000
170 Ny.Sri S 80,000 25,000 20,000
171 Ny.Sri S 55,000
172 Ny.Marmi 20,000
173 Ny.Sri Sutarmi 15,000

8,400,000 210,000 1,870,000 775,000 620,000 580,000

JUMLAH PARAMETER 352

RINCIAN

NOVI
Parameter 318
On Call Tgl Merah 3 Kali

WAHYU
Masuk 5 Kali
Parameter 34
Cito 60,000
On Call Tgl Merah 2 Kali

KARYAWAN
Indah 35,000
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

25,000

35,000 40,000

25,000

75,000

25,000
25,000
35,000 40,000

35,000 40,000

25,000
25,000
35,000 40,000

75,000

25,000

25,000

75,000

35,000 40,000
35,000 40,000

35,000 40,000
25,000
35,000 40,000

25,000

25,000 35,000
35,000 40,000
25,000

25,000

35,000 40,000

35,000 40,000

25,000
25,000
35,000 40,000
25,000

35,000 40,000

35,000

35,000 40,000

35,000 40,000
25,000
35,000 70,000
25,000 35,000 40,000
35,000 70,000
25,000
75,000
35,000 40,000

25,000 35,000

35,000 40,000

35,000 40,000

40,000

35,000 70,000
40,000
35,000 40,000

40,000

35,000 40,000

75,000
75,000
35,000 40,000
35,000 40,000

35,000 40,000

20,000 20,000

35,000 40,000

25,000
25,000
35,000 40,000
35,000 40,000

35,000 40,000

35,000 40,000

35,000 40,000

550000 1,155,000 450,000 1,320,000 105,000 210,000 20,000 20,000


OT PT Cholestero AU TG WIDAL JUMLAH
80,000
80,000

80,000
15,000
25,000
105,000
235,000
20,000
25,000

80,000
75,000
80,000
25,000
25,000
230,000
100,000
80,000
235,000
105,000
105,000
80,000
105,000
80,000

105,000
105,000
235,000
20,000
100,000
75,000
20,000
20,000
100,000
100,000
20,000
105,000

80,000
25,000

25,000
80,000
80,000
100,000
75,000
20,000
100,000
80,000
230,000
235,000
20,000
125,000

210,000
125,000
210,000
20,000
25,000

220,000
235,000
25,000
80,000
100,000
25,000
20,000
100,000
100,000
100,000
80,000

15,000
210,000
100,000
80,000
235,000
20,000

25,000
130,000
235,000
25,000
80,000
100,000
235,000

100,000
170,000
80,000
20,000
145,000
15,000

20,000
15,000
105,000
100,000
125,000
235,000

100,000
100,000
25,000
80,000

15,000
25,000
105,000
235,000
105,000
25,000
75,000
210,000

80,000
20,000
15,000
195,000
20,000
105,000
20,000
100,000

210,000
80,000
105,000
15,000
20,000
230,000
20,000
20,000
40,000

15,000

100,000
105,000
40,000
235,000
15,000
20,000
20,000
120,000

80,000
20,000
230,000

75,000
155,000
35,000
20,000

15,000
20,000
40,000 40,000 160,000
20,000

210,000
210,000

105,000
230,000
100,000
100,000
80,000

100,000

145,000
80,000
105,000
20,000
105,000
80,000
255,000

15,000
105,000
80,000
80,000

25,000
25,000
210,000
210,000
155,000
100,000
130,000
80,000

80,000
80,000
235,000
125,000
130,000
20,000
15,000

40,000 40,000 16,365,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine
1 1/7/2022 Ny.Alfi 80,000 55,000 25,000
2 Ny.Aprilia
3 Ny.Linda 80,000 20,000
4 Ny.Tika 80,000 55,000
5 Ny.Foqqi
6 Ny.Parni 80,000 25,000

7 2/7/2022 Ny.Murni 80,000 25,000


8 Ny.Narsi 80,000 20,000
9 Ny.Nisa 80,000
10 Ny.Mei 80,000

11 3/7/2022 Ny.Sulis
12 Ny.Umi 80,000 25,000
13 Ny.Riski 15,000 55,000
14 Ny.Dias 80,000 25,000
15 Ny.Fiki

16 4/7/2022 Ny.Rita 80,000 25,000


17 Ny.Rita 55,000
18 Ny.Sariyani 80,000 25,000
19 Ny.Tri M 80,000 20,000
20 Ny.Umi
21 Ny.Sayekti 80,000
22 Ny.Sri Maryati 80,000 20,000
23 Ny.Desi
24 Ny.Jumini 80,000
25 Ny.Yuli 80,000
26 Ny.Tutik 80,000 20,000

27 5/7/2022 Ny.Rizki 80,000


28 Ny.Sukarti 80,000
29 Ny.Fijinia 80,000 55,000 25,000
30 Ny.Erna
31 Ny.Diah
32 Ny.Fijinia

33 6/7/2022 Ny.Liani
34 Ny.Setya 80,000 20,000
35 Ny.Addini 55,000 25,000
36 Ny.Addini 80,000
37 Ny.Liani 80,000
38 Ny.Yahmi 80,000
39 Ny.Lilis 80,000
40 Ny.Heni 80,000
41 Ny.Mega 80,000

42 7/7/2022 Ny.Ima 80,000 55,000 25,000


43 Ny.Sri :L 80,000 25,000
44 Ny.Vivi 80,000 20,000
45 Ny.Yenita 80,000 55,000 25,000
46 Ny.Debi 80,000 55,000 25,000
47 Nn.Puri 80,000 25,000

48 8/7/2022 Ny.Sri L 80,000 55,000


49 Ny.Ernawati 80,000 55,000 20,000
50 Ny.Dian 80,000 20,000
51 Ny.Marsi 80,000 25,000
52 Ny.Sri L 15,000
53 Ny.Hesti

54 9/7/2022 Ny.Dewi 80,000


55 Ny.Novia 80,000
56 Ny.Marsi 15,000

57 10/7/2022 Ny.Putri 80,000

58 11/7/2022 An.Maria
59 Ny.Veronika 80,000
60 Ny.Desi 80,000
61 Ny.Umi
62 Ny.Dita 80,000
63 Ny.Arie 80,000
64 Ny.Ayu 80,000 20,000

65 12/7/2022 Ny.Dina
66 Ny.Tariyem 80,000 25,000
67 Ny.Darsini 80,000 20,000
68 Ny.Hilda 80,000

69 13/07/2022 Ny.Megatha 80,000 20,000


70 Ny.Ike 80,000 25,000
71 Ny.Rumiyati 80,000
72 Ny.Rosi 80,000
73 An.Bassum
74 By.Ike 80,000
75 Nn.Hasna 80,000
76 Ny.Anin 80,000 20,000
77 Ny.Siti 80,000 25,000
78 Ny.Ragil 20,000
79 Ny.Ike 15,000

80 14/07/2022 Ny.Indah 80,000


81 Ny.Dina 80,000
82 Ny.Susilowati 80,000 55,000

83 15/07/2022 Ny.Ermawati
84 Ny.Sintya 80,000 55,000 25,000
85 Ny.Mariyani 80,000
86 Ny.Rianti
87 Ny.Rina 80,000 25,000
88 Ny.Tariyem 80,000

89 16/07/2022 By.Endang
90 Ny.Titik P 80,000 55,000 20,000
91 Ny.Endang 80,000
92 Ny.Ardani 80,000 20,000
93 By.Ardani 80,000
94 Ny.Ratna 80,000
95 Ny.Dwi Astuti 80,000 25,000
96 Ny.Fijinia 80,000
97 By.Ardani
98 Ny.Marsi 15,000
99 Ny.Fitriana 80,000
100 Ny.Anan 80,000
101 Ny.Deva

102 17/07/2022 Ny.Indar 80,000 20,000


103 By.Indar
104 By.Indar
105 Ny.Asri 80,000

106 18/07/2022 Ny.Indar 80,000


107 Ny.Anik 80,000
108 Ny.Ismiyati
109 Nn.Laila
110 Ny.Susiana
111 Ny.Endri 55,000
112 Ny.Juanda
113 Ny.Hebtiasih
114 Tn.Handoko
115 Ny.Hilda 80,000
116 Ny.Kasini
117 Ny.Safitri 80,000
118 Ny.Sinta 80,000 20,000
119 Ny.Tria
120 Ny.Yuniar 80,000
121 Ny.Febri 20,000

122 19/07/2022 Ny.Emi 80,000


123 Ny.Ratri 80,000
124 Ny.Niken 80,000
125 Ny.Yahmi 80,000 25,000
126 Ny.Ria
127 Ny.Anisa
128 Ny.Ritanis
129 Ny.Aisyah 80,000 55,000

130 20/07/2022 Ny.Nia 80,000 55,000


131 Ny.Nur 80,000
132 Ny.Hartini 80,000 55,000 25,000
133 Ny.Nur 25,000
134 Ny.Tria

135 21/07/2022 Ny.Suranti 80,000


136 By.Novi
137 Ny.Wahyu 80,000
138 Ny.Dias 80,000
139 Ny.Nunik 80,000 20,000
140 Ny.Tri
141 Ny.Novi 80,000
142 Ny.Nur 80,000
143 By.Novi
144 Ny.Darmi 80,000 20,000

145 22/07/2022 Ny.Fauzianti 80,000


146 Ny.Ika 80,000
147 Ny.Ismiyati 80,000 25,000
148 Ny.Yayang 80,000 20,000
149 Ny.Iin 80,000
150 Ny.Feby

151 23/07/2022 Ny.Risma 80,000


152 Ny.Sita 80,000
153 Ny.Ivonia 80,000
154 Ny.Mei 80,000 25,000
155 Ny.Feby 80,000
156 By.Mei 80,000
157 Ny.Atika
158 Ny.Jariatun 80,000

159 25/07/2022 Ny.Nur 80,000 20,000


160 Nn.Umi 80,000 25,000
161 Ny.Nurohimah 80,000 20,000
162 Ny.Anis 80,000
163 Ny.Sri H 80,000
164 Ny.Yuliana 80,000
165 Ny.Mei 15,000
166 Ny.Rahma 80,000 25,000
167 Ny.Nurul 80,000
168 Ny.Sri H 80,000
169 Ny.Fera
170 Ny.Danik 80,000 20,000
171 Ny.Yeni 80,000 20,000
172 Ny.Danik 55,000
173 Ny.Danik 80,000
174 Ny.Clara 80,000 55,000 25,000
175 Ny.Fera 80,000 25,000
176 Ny.Nur 80,000

177 26/07/2022 Ny.Mifta 80,000


178 Ny.Clara 15,000
179 Ny.Rimba 80,000 55,000 25,000
180 Ny.Nurul 15,000
181 Ny.Widiati 80,000 25,000
182 By.Yuli
183 Ny.Clarita
184 Ny.Anjar 80,000
185 Ny.Yuli 80,000
186 Ny.Sulastri 80,000
187 Ny.Risa 80,000
188 Ny.Karmilla
189 Ny.Erna 80,000

190 27/07/2022 Ny.Susanti 80,000 20,000


191 By.Yuli
192 Ny.Siti Nur 80,000
193 Ny.Narti 80,000
194 Ny.Nuri 80,000
195 Ny.Ririn 80,000 20,000
196 Ny.Wari 80,000
197 Ny.Oktavia 80,000

198 28/07/2022 Ny.Ayu


199 Ny.Noerma
200 Ny.Windy 80,000
201 Ny.Farida 80,000 25,000
202 Ny.Sumarni 80,000 55,000
203 Ny.Agustin 80,000 55,000 20,000
204 Ny.Dina 80,000
205 Ny.Novia

206 29/07/2022 Ny.Hidayatul


207 Ny.Suwarsi 80,000 20,000
208 Nn.Uliy 80,000
209 Ny.Yana 80,000 55,000
210 Ny.Fitriah 80,000
211 Ny.Tipuk 80,000 20,000
212 By.Sintia 80,000

213 30/07/2022 By.Fitriah 80,000


214 Ny.Sumarni 80,000
215 Ny.Sintya 80,000
216 Ny.Nur Wulan 80,000
217 Ny.Siti R 80,000
218 Ny.Yana 80,000
219 Ny.Vensy 80,000 55,000
220 Ny.Catur 80,000
221 By.Catur 80,000

222 31/07/2022 Ny.Umi 80,000

12,720,000 120,000 1,375,000 825,000 620,000

JUMLAH PARAMETER 386

RINCIAN

NOVI
Parameter 333
On Call Tgl Merah 4 Kali
WAHYU
Masuk 5 Kali
Parameter 53
Cito 200,000
On Call Tgl Merah 3 Kali

KARYAWAN
Ana 37,500
Anggun 57,500
Amy 105,000
Adit 97,500
Jumlah 297,500
PEMERIKSAAN
PP.Test Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum
35,000 40,000
20,000

35,000 40,000
20,000
20,000

40,000
25,000
35,000 40,000

40,000

20,000
35,000 40,000
25,000

75,000

20,000
25,000

35,000 40,000
25,000
20,000
75,000

40,000

25,000 35,000 40,000


20,000

20,000

25,000 35,000 40,000


25,000

35,000 40,000
35,000 40,000

35,000
35,000 40,000

20,000

20,000

25,000

35,000 70,000
25,000

75,000
20,000
25,000

40,000

20,000

35,000 70,000

35,000 40,000

20,000
35,000 40,000

20,000
20,000

25,000
35,000 40,000

25,000

20,000

25,000
25,000

20,000
20,000
40,000

20,000
20,000
40,000
20,000
20,000

20,000
20,000

20,000
20,000
20,000
35,000 40,000

35,000 40,000

25,000 35,000 70,000

20,000

25,000
20,000

25,000

25,000

40,000

20,000

40,000

35,000 40,000

35,000

35,000 40,000

25,000
25,000
20,000
20,000
25,000

25,000
25,000

20,000 20,000
20,000

25,000
20,000

25,000 35,000
35,000 40,000

20,000

20,000

20,000
35,000 40,000

35,000 40,000

740,000 625,000 805,000 225,000 1,120,000 105,000 210000 20000 20,000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
235,000
20,000
100,000
210,000
20,000
125,000

105,000
100,000
80,000
80,000

40,000
130,000
145,000
105,000
40,000

125,000
130,000
130,000
100,000
75,000
80,000
100,000
20,000
105,000
80,000
100,000

80,000
80,000
75,000 310,000
25,000
20,000
75,000

40,000
100,000
180,000
100,000
80,000
80,000
80,000
80,000
100,000

260,000
130,000
100,000
235,000
235,000
105,000

170,000
230,000
100,000
125,000
15,000
20,000

80,000
80,000
15,000

105,000

105,000
105,000
75,000 155,000
75,000
100,000
105,000
100,000

40,000
105,000
100,000
100,000

100,000
105,000
80,000
80,000
105,000
80,000
80,000
100,000
105,000
20,000
15,000

80,000
80,000
210,000

20,000
235,000
80,000
20,000
125,000
80,000

25,000
230,000
80,000
100,000
80,000
80,000
105,000
80,000
25,000
15,000
80,000
80,000
20,000

100,000
25,000
25,000
80,000

80,000
80,000
20,000
20,000
40,000
55,000
20,000
20,000
40,000
100,000
20,000
80,000
100,000
20,000
100,000
20,000

80,000
80,000
80,000
105,000
20,000
20,000
20,000
210,000

210,000
80,000
290,000
25,000
20,000

80,000
25,000
80,000
80,000
100,000
20,000
80,000
105,000

100,000

80,000
80,000
130,000
100,000
80,000
40,000

80,000
80,000
80,000
105,000
80,000
80,000
20,000
80,000

100,000
105,000
100,000
80,000
80,000
80,000
15,000
105,000
80,000
80,000
40,000
100,000
100,000
130,000
80,000
195,000
105,000
80,000

80,000
15,000
235,000
15,000
130,000
25,000
20,000
80,000
80,000
80,000
100,000
25,000
75,000 155,000

100,000
25,000
105,000
80,000
80,000
100,000
120,000
100,000

25,000
20,000
80,000
105,000
195,000
230,000
80,000
20,000

20,000
100,000
100,000
210,000
80,000
100,000
80,000

80,000
80,000
80,000
80,000
80,000
80,000
210,000
80,000
80,000

80,000

225000 19,755,000
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine
1 1/8/2022 Ny.Febri
2 Ny.Sukiyem 15,000
3 Ny.Siti 80,000
4 By.Ida
5 Ny.Rohdiana 80,000 55,000 25,000
6 Ny.Anik 80,000
7 Ny.Dewi 80,000 20,000
8 Ny.Uswatun 80,000
9 Ny.Sumarni 80,000
10 Ny.Dewi 80,000
11 Ny.Febri 80,000 25,000

12 2/8/2022 Ny.Ratih 80,000 20,000


13 Ny.Wahyuni 80,000 55,000 20,000
14 Ny.Winarsih
15 Ny.Nur 80,000
16 By.Winarsih
17 Ny.Winarsih 80,000 25,000
18 By.Winarsih 80,000
19 Nn.Septina
20 Ny.Sumiyati 80,000

21 3/8/2022 Ny.Saininmg 80,000 25,000


22 Nn.Feny 80,000 25,000
23 Ny.Lia
24 Ny.Dela 80,000 20,000
25 An.Bagas 80,000
26 An.Wafi 80,000
27 Ny.Winarsih 15,000
28 Ny.Ines 80,000
29 Ny.Dela 80,000
30 Ny.Sinta 80,000
31 By.Dela
32 Ny.Dela

33 4/8/2022 Ny.Winarsih 80,000 55,000


34 Ny.Wahyuni 80,000
35 By.Dela
36 Ny.Winarsih 80,000 25,000
37 Ny.Siti 80,000
38 Ny.Anggi 80,000
39 Ny.pipit
40 Ny.Suwan
41 By.Winarsih 80,000
42 Ny.Sintia

43 5/8/2022 Ny.Darsi
44 Ny.Ery 80,000
45 Ny.Winarsih 15,000
46 Ny.Dela 80,000
47 By.Sri
48 Ny.Daimah 80,000
49 Ny.Milenia
50 Ny.Anita 80,000
51 An.Adila 80,000
52 Ny.Darsi 80,000
53 Ny.Sri Harsini 80,000
54 By.Sri H
55 Ny.Eka 80,000

56 6/8/2022 Ny.Selly 80,000 55,000


57 Ny.Aditya 80,000 55,000
58 Ny.Indah 80,000
59 Ny.Selly 80,000
60 Ny.Wahyuni 80,000
61 Ny.Siti M 80,000
62 Ny.Sumiyati 80,000
63 Nn.Naysila 80,000 25,000
64 Ny.Siti S 80,000
65 Ny.Pariyem 80,000
66 Ny.Ervita

67 8/8/2022 Ny.Sri R 80,000 55,000


68 Ny.Kusriyati 80,000 55,000 25,000
69 Ny.Nurul 80,000
70 By.Nurul 80,000
71 Ny.Rohdian 80,000
72 Ny.Heni 80,000
73 Ny.Wahyuni 80,000 20,000
74 Ny.Tamisah 80,000 25,000
75 Ny.Nur H 20,000
76 Ny.Ngadiyem 80,000 25,000
77 Ny.Inderawati 80,000
78 Ny.Febriana 80,000

79 9/8/2022 Ny.Asri
80 Ny.Elly
81 Ny.Lilis
82 Ny.Desi 80,000
83 Ny.Tika 80,000
84 Ny.Yusli 80,000
85 Ny.Rofika 80,000

86 10/8/2022 Ny.Anik 80,000 25,000


87 Ny.Eka 55,000
88 An.Naura
89 Ny.Umi 80,000 55,000 25,000
90 Ny.Dita 80,000
91 Ny.Fiya 80,000 55,000 20,000

92 11/8/2022 Ny.Ginarti 80,000


93 Ny.Fatimah 80,000
94 By.Fatimah
95 Nn.Wandan 80,000
96 By.Fatimah
97 An.Naura

98 12/8/2022 Ny.Sulastri 80,000 25,000


99 Ny.Yuli N

100 13/08/2022 Ny.Yuning 80,000 55,000 20,000


101 Ny.Dwi 80,000
102 Ny.Vera
103 Ny.Tutik 80,000 55,000 25,000 20,000
104 Ny.Puryanti 80,000
105 Ny.Sri W 80,000 20,000
106 Ny.Iklima 80,000 55,000 25,000
107 Ny.Diah 80,000 55,000
108 Ny.Tri Utami 80,000 25,000

109 14/08/2022 Ny.Endang 80,000


110 Ny.Dwi 80,000

111 15/08/2022 Ny.Yuli 80,000 20,000


112 Ny.Winarni
113 Ny.Sri W 80,000
114 Ny.Indang 80,000 55,000
115 Ny.Siti 80,000 25,000
116 Ny.Yuni 80,000 20,000
117 Ny.Maulida 80,000 55,000 25,000
118 Ny.Dwi L
119 Ny.Novia 80,000
120 Ny.Yuli 15,000
121 Ny.Windarti 80,000 25,000

122 16/08/2022 Ny.Lutfi 80,000 55,000 25,000


123 Ny.Siti
124 Ny.Siti Aisyah 80,000 55,000 25,000
125 Ny.Lutfi 15,000
126 Ny.Aini 80,000
127 Ny.Ani
128 Ny.Ardani 80,000 25,000
129 Ny.Angraini 80,000 55,000 25,000
130 Ny.Deni 80,000 25,000
131 Ny.Yuyun 80,000 20,000

132 17/08/2022 Ny.Anik 80,000


133 Ny.Ardani 15,000
134 Ny.Yuninmgsih 80,000
135 Ny.Puryanti 80,000 20,000

136 18/08/2022 Ny.Riya 80,000


137 Ny.Novika 80,000 55,000 25,000
138 Ny.Izzatul 80,000
139 Ny.Arina 80,000 55,000 25,000
140 Ny.Dwi A 55,000
141 Ny.Dwi A 80,000
142 Ny.Siska 80,000

143 19/08/2022 Ny.Sih R 80,000


144 Ny.Suyatmi 80,000
145 Ny.Nita 80,000 55,000 25,000
146 Ny.Apriyani 80,000

147 20/08/2022 Ny,Devi 80,000


148 Ny.Iin 80,000
149 Ny.Yuliana 80,000
150 Ny.Arina 80,000
151 Ny.Mardiana 80,000
152 Ny.Silma 80,000 55,000 20,000
153 Ny.Sitri 80,000 20,000
154 Ny.Silma 80,000
155 Ny.Vemy

156 21/08/2022 Ny.Yunita 80,000

157 22/08/2022 Ny.Matus 80,000


158 Ny.Astika 80,000
159 Ny.Silvia 80,000 20,000
160 Ny.Novita 80,000 55,000 25,000
161 An.Abizar 80,000
162 An.Arkenza 80,000
163 By.Mardiana
164 Ny.Susanti 80,000
165 Ny.Delania 80,000 30,000
166 Ny.Susanti 80,000
167 Ny.Diah 80,000
168 Ny.Anggun 80,000 55,000 25,000
169 Ny.Eni 80,000
170 Ny.Diah 20,000

171 23/08/2022 Ny.Yuli


172 By.Mardiana
173 Ny.Yeni 80,000
174 By.Yeni
175 Ny.Umi 80,000 55,000 25,000
176 Ny.Dewi 80,000 20,000

177 24/08/2022 By.Yeni


178 Ny.Dewi 80,000
179 Ny.Sutarni 80,000
180 Ny.Septiana 80,000
181 Ny.Zahari
182 Ny.Yuli 80,000

183 25/08/2022 Ny.Dina 80,000


184 Ny.Erni 80,000 20,000
185 Ny.Sumini 80,000 25,000
186 Ny.Wiwin 80,000 55,000 25,000 20,000
187 26/08/2022 Ny.Anisa
188 Ny.Nepi
189 Ny.Dewi 80,000
190 Ny.Endfang 80,000 20,000

191 27/08/2022 Ny.Eka 80,000


192 Ny.Karunia
193 By.Aditya
194 Ny.Aditya 80,000
195 Ny.Arika 80,000 55,000 25,000
196 Ny.Kusriyati 80,000 20,000
197 By.Aditya
198 Ny.Samiyati 80,000 25,000
199 Ny.Kusriyati 80,000
200 Ny.Daimah 80,000
201 Ny.Wagiyanti 80,000 25,000
202 Ny.Puspa 80,000 55,000 25,000

203 28/08/2022 Ny.Puspa


204 Ny.Eky 80,000

205 29/08/2022 Ny.Jarwi


206 Ny.Sudarwati 80,000
207 Ny.Ririn 80,000
208 Ny.Sudarwati 15,000
209 By.Arika 80,000
210 Ny.Nunuk 80,000 20,000
211 Nn.Helena 80,000 25000
212 Ny.Atika 80,000

213 30/08/2022 Ny.Novita 80,000


214 Ny.Winarsih

215 31/08/2022 Ny.Khayatun


216 Ny.Siti A 80,000 20,000
217 Ny.Puji Lestari 15,000 25,000
218 Ny.Atika 80,000 20,000
219 By.Puji Lestari 80,000
220 Ny.Puji Lestari 80,000 20,000

12,960,000 120,000 1,650,000 1/3/4501 570,000

JUMLAH PARAMETER 400

RINCIAN

NOVI
Parameter 389
On Call Tgl Merah 3 Kali
WAHYU
Masuk 4 Kali
Parameter 11
Cito 20,000
On Call Tgl Merah 2 Kali

KARYAWAN
Desty 47,500
Fitria 130,000
Tri Budi 77,500
Rafka 40,000
Jumlah 295,000
PEMERIKSAAN
PP.Test Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+ CT BT Ureum
20,000
25,000

35,000 70,000
35,000 40,000

35,000 40,000
20,000

25,000

25,000
20,000

20,000

25,000

35,000 40,000

25,000

75,000
75,000

20,000

40,000

25,000
20,000
20,000

25,000

35,000 40,000
35,000 40,000

25,000

20,000

35,000 40,000
20,000 35,000 40,000

25,000

20,000
20,000
20,000

35,000 70,000
35,000 40,000
25,000
35,000 40,000

25,000
25,000
35,000 70,000

20,000

35,000 40,000

75,000
35,000 40,000

35,000 40,000
35,000 40,000

20,000
20,000
35,000 40,000

35,000 40,000
20,000

20,000
35,000 40,000

20,000

35,000 40,000

35,000 40,000

35,000
35,000 40,000
35,000 40,000

20,000

35,000 40,000

20,000

35,000 40,000

35,000 70,000

25,000

35,000 40,000
20,000 20,000

20,000
35,000 70,000

25,000

25,000

20,000

25000
35,000 40,000
20,000
20,000
20,000

25,000
20,000
25,000

35,000 40,000

25,000
25,000

25,000
35,000 40,000

25,000

25,000
25,000

20,000

20,000

560,000 600,000 945,000 225,000 1,080,000 175,000 350000 20000 20,000


Creatinin OT PT Cholestero AU TG WIDAL JUMLAH
20,000
40,000
80,000
105,000
235,000
80,000
100,000
80,000
80,000
80,000
105,000

100,000
230,000
20,000
80,000
25,000
105,000
105,000
20,000
80,000

105,000
105,000
20,000
100,000
75,000 155,000
75,000 155,000
15,000
80,000
80,000
80,000
25,000
40,000 40,000 80,000

210,000
80,000
25,000
105,000
80,000
75,000 155,000
75,000
75,000
80,000
20,000

40,000
80,000
15,000
80,000
25,000
80,000
20,000
100,000
80,000
80,000
80,000
25,000
80,000

210,000
210,000
80,000
80,000
80,000
80,000
105,000
105,000
80,000
80,000
20,000

210,000
255,000
80,000
80,000
80,000
80,000
100,000
130,000
20,000
105,000
80,000
80,000

20,000
20,000
20,000
80,000
80,000
80,000
80,000

105,000
55,000
105,000
235,000
105,000
230,000

80,000
80,000
25,000
80,000
25,000
105,000

105,000
20,000

230,000
80,000
75,000
255,000
80,000
100,000
235,000
210,000
105,000

80,000
80,000

100,000
20,000
100,000
210,000
105,000
100,000
235,000
20,000
80,000
15,000
105,000

160,000
20,000
235,000
15,000
80,000
20,000
105,000
235,000
105,000
100,000

80,000
15,000
80,000
100,000

80,000
235,000
80,000
195,000
130,000
80,000
80,000

80,000
80,000
235,000
80,000

80,000
80,000
100,000
80,000
80,000
230,000
100,000
80,000
20,000

80,000

80,000
80,000
100,000
235,000
80,000
80,000
105,000
80,000
135,000
80,000
80,000
235,000
120,000
20,000

20,000
105,000
80,000
25,000
160,000
100,000

25,000
80,000
80,000
75,000 155,000
20,000
80,000

80,000
100,000
130,000
255,000
20,000
20,000
100,000
100,000

105,000
20,000
25,000
80,000
235,000
100,000
25,000
130,000
80,000
80,000
130,000
235,000

25,000
80,000

25,000
105,000
80,000
15,000
80,000
100,000
105,000
80,000

80,000
20,000

20,000
100,000
40,000
100,000
80,000
100,000

40,000 40,000 300,000 20,605,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/9/2022 Ny.Lilik 80,000 55,000
2 Ny.Erlin 80,000
3 Ny.Ninikl 80,000
4 An.Abil 80,000
5 Ny.Heti 80,000 20,000
6 Ny.Nurul 80,000
7 Ny.Ria 80,000
8 Ny.Nia 80,000

9 2/9/2022 Ny.Alkoriah 80,000


10 Ny.Kasmirah 80,000 20,000

11 3/9/2022 Ny.Mifta 20,000


12 Ny.Gesti 20,000
13 Ny.Sinta 80,000 20,000
14 Ny.Yuni 80,000
15 Ny.Ziin 80,000

16 4/9/2022 Ny.Vega 80,000


17 Ny.Rohmatul 80,000
18 Ny.Rokin 80,000 25,000

19 5/9/2022 Ny.Sutarni 80,000 25,000


20 Ny.Rokin 80,000
21 Ny.Titik 80,000 20,000
22 Ny.Windy
23 Ny.Tara
24 An.Fahril 80,000
25 Ny.Erlina 80,000
26 Ny.Siswanti 20,000
27 Ny.Puji 80,000
28 Ny.Puji 20,000
29 Ny.Choirul 80,000
30 Ny.Nita 80,000 55,000 20,000
31 Ny.Tutik 80,000 20,000
32 Ny.Siti 80,000
33 Ny.Purgi 20,000
34 Ny.Susi 55,000

35 6/9/2022 Ny.Dosi 80,000 20,000


36 Ny.Wahyu 80,000
37 Ny.Stefi 80,000
38 Ny.Catri 20,000
39 Ny.Lilin 80,000
40 Ny.Arum 80,000 20,000
41 Ny.Anik 80,000 25,000

42 7/9/2022 Ny.Fitriyani 80,000 55,000 25,000


43 Ny.Andriyani 20,000
44 Ny.Titik 80,000
45 Ny.Novita 80,000
46 Ny.Ndari 80,000
47 Ny.Diah 80,000 55,000 25,000
48 Ny.Dyah F 80,000 20,000
49 Ny.Ndari 20,000

50 8/9/2022 Ny.Sumi
51 Ny.Siti N 80,000 25,000
52 Ny.Rimba 80,000
53 Ny.Diah 80,000
54 Ny.Fitri 80,000
55 Ny.Wahyuni 80,000
56 Ny.Darmi 80,000
57 Ny.Ummi 80,000
58 Ny.Tri 80,000 25,000
59 By.Tri 80,000

60 9/9/2022 Ny.Tri P 15,000


61 Ny.Siti N 15,000
62 Ny.Kasmiati 20,000
63 Ny.Ellik 80,000
64 Ny.Ana 80,000

65 10/9/2022 Ny.Sumarni 80,000 30,000


66 Ny.Sutini 80,000 25,000
67 Ny.Hartini 80,000 55,000
68 Ny.Fajar 80,000 25,000

69 11/9/2022 Ny.Surati 80,000 25,000

70 12/9/2022 Ny.Marini 80,000 55,000


71 Ny.Diah 20,000
72 Ny.Yesi 80,000 55,000
73 Ny.Nunik 80,000 20,000
74 Ny.Puput 80,000 20,000
75 Ny.Saryanti 80,000
76 Ny.Titik 80,000

77 13/09/2022 Ny.Fatma 80,000 25,000


78 By.Fatma 80,000
79 Ny.Fanty 80,000
80 Ny.Putri 80,000
81 Ny.Endang
82 Ny.Siti 80,000
83 Ny.Novi 20,000

84 14/09/2022 Ny.Dea 80,000 55,000


85 By.Yesi
86 Ny.Dwi 80,000
87 Ny.Sri 80,000
88 Ny.Yesi 80,000
89 Ny.Mei 80,000
90 Ny.Dea 80,000
91 An.Hafika 80,000
92 By.Yesi
93 Ny.Yeni 20,000
94 Ny.Kartika 80,000
95 Ny.Rima 80,000 55,000
96 Ny.Rima 80,000
97 Ny.Dwi Lestari 80,000 55,000

98 15/09/2022 Ny.Dwi L 80,000


99 Ny.Sumiyati 20,000
100 Ny.Desi 80,000 55,000
101 Ny.Suwarni 80,000 20,000
102 Ny.Tutik 80,000 20,000
103 Ny.Heni 80,000 55,000 25,000
104 Ny.Anisa 80,000
105 Ny.Suryani 15,000 55,000

106 16/09/2022 Ny.Suryani 80,000


107 Ny.Parinem
108 Ny.Nur 80,000
109 Ny.Lia 80,000
110 Ny.Rima 80,000
111 Nn.Yasmin 80,000
112 Ny.Devi 80,000
113 Ny.Sarni 80,000

114 17/09/2022 Ny.Heni 80,000 20,000


115 Ny.Yuyun 80,000 20,000

116 18/09/2022 Ny.Hana 80,000

117 19/09/2022 Ny.Nurul


118 Ny.Retno 80,000 55,000 25,000
119 Ny.Dwi 20,000
120 Ny.Tukini 80,000 25,000
121 An.Matya 80,000 25,000
122 An.Shaquile 80,000
123 Ny.Sutini 80,000 55,000 25,000

124 19/09/2022 Ny.Parlina 80,000


125 Ny.Nunik 80,000
126 Ny.Tri 80,000
127 Ny.Maya 20,000
128 Ny.Rahma 80,000 55,000
129 Ny.Nur 80,000 25,000
130 By.Nur 80,000
131 Ny.Sayem 25,000
132 By.Nunik

133 20/09/2022 Ny.Atus 80,000 25,000


134 By.Nunik
135 Ny.Nur 80,000
136 Ny.Surtini 80,000
137 Ny.Septi 80,000
138 Ny.Puji L 20,000
139 Ny.Peti 80,000

140 21/09/2022 An.Giandra


141 Ny.Anik 80,000 20,000
142 Ny.Sumarni 20,000
143 Ny.Mardiyem 80,000
144 Ny.Umi 80,000
145 Ny.Shovia 20,000
146 Ny.Suwarni 80,000

147 22/09/2022 Ny.Anik 15,000


148 An.Elvia 80,000
149 Ny.Sri L 80,000 55,000
150 Nn.Suryani 20,000

151 23/09/2022 Ny.Kunarsi 80,000 25,000 20,000


152 Ny.Tutik 80,000 20,000
153 Ny.Dewi 80,000 55,000
154 Ny.Nur 80,000 25,000
155 Ny.Dewi 55,000
156 Ny.Suwarsi 80,000 25,000
157 An.Giandra

158 24/09/2022 Ny.Nuryani 80,000 25,000 20,000


159 Ny.Nuir 15,000
160 Ny.Khoirunisa 80,000
161 Ny.Iis 80,000
162 Ny.Julian 20,000
163 Ny.Desi 80,000 55,000 25,000
164 Ny.Novi 80,000 25,000
165 Ny.Suhartini 80,000
166 By.Tutik 80,000
167 By.Desi 80,000
168 Ny.Dzuri
169 Ny.Ngumdah 80,000

170 25/09/2022 Ny.Khoirunisa 15,000


171 Ny.Iia 15,000
172 Ny.Desi 15,000
173 Ny.Tutik 80,000
174 Ny.Nuryani 80,000

175 26/09/2022 Ny.Suci 80,000


176 Ny.Ana 20,000
177 Ny.Siti 80,000 55,000 25,000
178 Ny.Dosi 80,000
179 Ny.Suci 80,000
180 Ny.Endang 20,000
181 Ny.Hanifa 80,000
182 Ny.Anik 80,000 55,000 25,000
183 Ny.Puji 80,000 25,000
184 Ny.Sikem 25,000
185 Ny.Ninik 80,000 20,000

186 27/09/2022 Ny.Anik 80,000


187 Ny.Puji 80,000
188 Ny.Ana 15,000
189 Ny.Andika 80,000 55,000 25,000
190 By.Andika 80,000
191 Ny.Nia 80,000

192 28/09/2022 Ny.Nurul 80,000 20,000


193 Ny.Andika 15,000 20,000
194 Ny.Puji 80,000 55,000
195 Ny.Evi 20,000
196 Ny.Suryani 20,000
197 Ny.Eka 80,000 20,000
198 Ny.Fitri 20,000
199 Ny.Husnawati 80,000 20,000
200 Ny.Wuwuh 80,000
201 Ny.Sumiati 80,000
202 Ny.Sri 80,000
203 Ny.Ilma 80,000 55,000

204 29/09/2022 Ny.Wiwik 80,000 25,000 20,000


205 Ny.Verenita 80,000 20,000
206 Ny.Listina 80,000
207 Ny.Tarisa 20,000

208 30/09/2022 Ny.Pujiati 80,000


209 Ny.Uchtifa 80,000
210 Ny.Sugiyanti 80,000 25,000
211 Ny.Erlinda 80,000 20,000
212 Ny.Nursri 20,000
213 Nn.Rita 80,000 25000

12,720,000 150,000 1,430,000 800,000 430,000 705,000

JUMLAH PARAMETER 378

RINCIAN

NOVI
Parameter 326
On Call Tgl Merah 2 Kali

WAHYU
Masuk 5 Kali
Parameter 52
Cito 80,000
On Call Tgl Merah 2 Kali
KARYAWAN
Uswatun 35,000
Heru 12,500
Jumlah 47,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
40,000 40,000

25,000

25,000 40,000 40,000

25,000

25,000

50,000 50,000 40,000 40,000

25,000

50,000 50,000
50,000 50,000

25,000
25,000
50,000 50,000
25,000

50,000 50,000

50,000 50,000

75,000

50,000 50,000
25,000
25,000

50,000 50,000

50,000 50,000

50,000 50,000

25,000
50,000 50,000

75,000

25,000
25,000 50,000 50,000

25,000
25,000

50,000 50,000

25,000 50,000 50,000

25,000

25,000
35,000 70,000

50,000 50,000

25,000

50,000 50,000

25,000
35,000 70,000

25,000

50,000 50,000

50,000 50,000

50,000 50,000

50,000 50,000
50,000 50,000

50,000 50,000

50,000 50,000

25,000

25,000

575,000 1,150,000 150,000 1,150,000 70,000 140,000 120,000 120,000


OT PT Cholestero AU TG WIDAL JUMLAH
40,000 40,000 295,000
80,000
80,000
80,000
100,000
105,000
80,000
80,000

80,000
100,000

20,000
20,000
100,000
80,000
80,000

80,000
80,000
210,000

130,000
80,000
100,000
25,000

75,000 155,000
80,000
20,000
80,000
20,000
80,000
40,000 40,000 415,000
40,000 40,000 180,000
80,000
20,000
55,000

100,000
80,000
80,000
20,000
80,000
100,000
130,000

260,000
20,000
80,000
80,000
80,000
260,000
100,000
20,000

35,000 40,000 75,000


105,000
80,000
80,000
80,000
40,000 40,000 160,000
80,000
80,000
105,000
80,000

15,000
15,000
20,000
80,000
80,000

135,000
130,000
235,000
130,000

105,000

235,000
20,000
235,000
100,000
100,000
80,000
80,000

105,000
80,000
80,000
80,000
75,000
80,000
20,000

235,000
25,000
80,000
80,000
80,000
80,000
80,000
80,000
25,000
20,000
80,000
235,000
80,000
235,000

80,000
20,000
235,000
100,000
125,000
260,000
80,000
70,000

80,000
75,000
80,000
80,000
80,000
80,000
80,000
80,000

100,000
100,000

80,000

25,000
285,000
20,000
130,000
130,000
80,000
260,000

80,000
80,000
80,000
20,000
260,000
105,000
80,000
25,000
25,000

105,000
25,000
80,000
80,000
80,000
20,000
80,000

105,000
100,000
20,000
80,000
80,000
20,000
80,000

15,000
80,000
235,000
20,000

150,000
100,000
235,000
105,000
40,000 40,000 135,000
130,000
105,000

150,000
15,000
80,000
80,000
20,000
260,000
105,000
80,000
80,000
80,000
100,000
75,000 155,000

15,000
15,000
15,000
80,000
80,000

80,000
20,000
260,000
80,000
80,000
20,000
80,000
260,000
105,000
25,000
100,000

80,000
80,000
15,000
260,000
80,000
80,000

100,000
35,000
235,000
20,000
20,000
100,000
20,000
100,000
80,000
80,000
80,000
235,000

150,000
100,000
80,000
20,000

80,000
80,000
130,000
100,000
20,000
105,000

200,000 200,000 35000 40000 150000 20,335,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
1 1/10/2022 Ny.Onik 80,000 25,000
2 Ny.Sugiyarti 20,000
3 Ny.Dewi 80,000
4 Ny.Novika 80,000
5 Ny.Manda 20,000
6 Ny.Sri M 80,000

7 2/10/2022 Ny.Ifah 80,000 25,000


8 Ny.Sugini 80,000 25,000

9 3/10/2022 Ny.Ifah 15,000


10 Ny.Inggrit 80,000
11 Ny.Fitri 80,000
12 Ny.Ngatini 20,000
13 Ny.Rika 80,000
14 Ny.Aning 80,000 20,000
15 Ny.Umi 80,000 55,000 25,000
16 Ny.Zulfa 80,000 55,000 20,000
17 Ny.Meika 80,000 20,000
18 Ny.Anik 80,000 55,000 25,000
19 Ny.Nurul 20,000
20 Ny.Dian 80,000 25,000
21 Ny.Nia 80,000

22 4/10/2022 Ny.Meika 80,000


23 Ny.Nia 15,000
24 Ny.Anik 15,000
25 By.Ifah
26 Ny.Sumiyati 80,000 20,000
27 Ny.Titik 80,000
28 Ny.Sri 80,000
29 By.Sumiyati 80,000 55,000
30 Ny.Tarmini 20,000

31 5/10/2022 Ny.Sumiyati 80,000


32 Ny.Setyowati 80,000
33 Ny.Nurul 80,000
34 An.Hamidzan 80,000
35 Nn.Amanda 80,000 25,000

36 6/10/2022 Ny.Dewi Sri 80,000 25,000


37 Ny.Tutik 80,000 25,000
38 Ny.Danik 80,000
39 Ny.Marita 80,000
40 Ny.Suparmi 80,000 20,000
41 Ny.Ummi 80,000
42 Ny.Nurjanah 80,000 20,000
43 Ny.Jinem 80,000

44 7/10/2022 Ny.Danik 55,000


45 8/10/2022 Ny.Sitri 80,000
46 Ny.Danik 80,000

47 10/10/2022 Nn.Uswatun 80,000 25,000


48 Ny.Mareza 20,000
49 Ny.Pipit 80,000
50 Ny.Satiyem 80,000 20,000
51 Ny.Dwi 80,000 55,000 20,000
52 Ny.Lia 20,000
53 Ny.Titin 80,000 25,000

54 11/10/2022 Ny.Titin 15,000


55 Ny.Meri 80,000
56 Ny.Anik 80,000 55,000 25,000
57 Ny.Wandan 20,000
58 Ny.Nanik 80,000 25,000
59 Ny.Kartini 80,000 25,000

60 12/10/2022 Ny.Manik 80,000 55,000


61 Ny.Erna 20,000
62 Ny.Siti 80,000 20,000

63 13/10/2022 Ny.Manik 80,000


64 Ny.Dewi 80,000
65 Ny.Suparmi 80,000 25,000 20,000
66 Ny.Anik 80,000
67 Ny.Afhbir 80,000 20,000

68 14/10/2022 Ny.Suci 80,000


69 Ny.Tini 80,000 55,000
70 Ny.Ida 20,000
71 Ny.Ike 80,000 20,000
72 Ny.Nur 20,000
73 By.Sapitri
74 Ny.Ike 15,000 25,000
75 Ny.Tini 80,000
76 Ny.Sapitri 80,000

77 15/10/2022 Ny.Khayatun 20,000


78 By.Sapitri
79 Nn.Mutiah 80,000 25,000
80 Ny.Suparmi 80,000
81 Ny.Sinta 20,000
82 Ny.Jumiyem 80,000 25,000
83 Ny.Budi 80,000
84 Ny.Nuryani 80,000 25,000

85 16/10/2022 Ny.Desy K 80,000 25,000


86 Ny.Jumiyem 80,000
87 Ny.Desy K 15,000

88 17/10/2022 Ny.Putri 80,000


89 Ny.Dwi 80,000
90 Ny.Dwi Nur 80,000
91 An.Vrea 80,000
92 Ny.Laminem 80,000 55,000 25,000
93 Ny.Dwi Nur 20,000
94 Ny.Winarti 20,000

95 18/10/2022 By.Dwi L
96 Ny.Sumarmi 80,000
97 Ny.Asiyah 80,000
98 Nn.Fatimah 80,000 25,000
99 Ny.Indri 20,000
100 Ny.Sulasih 20,000
101 Ny.Eka 80,000 25,000
102 Ny.Catri 80,000
103 Ny.Novia 25,000
104 Ny.Nining

105 19/10/2022 Ny.Sayyida 80,000


106 Ny.Gisih 80,000 55,000
107 Nn.Fatimah 15,000

108 20/10/2022 Ny.Yunita


109 Ny.Sukarni 80,000 55,000
110 Ny.Dewi 80,000 55,000 20,000
111 By.Dewi 80,000

112 21/10/2022 Ny.Yulianti 80,000 20,000


113 Ny.Sukiyem
114 Ny.Sugiyarti 80,000
115 Ny.Warsiti 80,000 25,000 20,000
116 Ny.Fatimah 80,000 55,000 20,000
117 Ny.Ana 80,000
118 Ny.Yulianti 80,000
119 Ny.Sri W 80,000
120 Ny.Force 80,000

121 22/10/2022 Ny.Tri 80,000 55,000 25,000


122 Ny.Ervina 80,000
123 Ny.Ana 80,000
124 Ny.Agustina 20,000
125 Ny.Bahru 80,000 55,000

126 23/10/2022 Ny.Eka 80,000


127 Ny.Yuli 80,000

128 24/10/2022 Ny.Siti 80,000


129 Ny.Nyananik 80,000 20,000
130 Ny.Suparmi 20,000
131 Ny.Susanti 80,000 55,000
132 Ny.Sulastri 80,000

133 25/10/2022 Ny.Susanti 15,000


134 Ny.Dwi 80,000 25,000
135 By.Dwi A 80,000
136 Ny.Pri
137 Ny.Karni 80,000 25,000 20,000
138 Ny.Sela 20,000
139 Ny.Dwi 15,000

140 26//10/2022 Ny.Anisa 80,000 25,000


141 Ny.Delfy 80,000 20,000
142 Ny.Hanti 80,000 20,000

143 27/10/2022 By.Priyantari


144 Ny.Rina 80,000 55,000
145 Ny.Priyantari 80,000
146 Ny.Sutiyah 80,000 20,000
147 Ny.Novita 20,000

148 28/10/20222 Ny.Indang 80,000 20,000


149 Ny.Ima 80,000 55,000
150 By.Priyantari
151 Ny.Syofa 80,000 55,000
152 Ny.Girnawati 80,000
153 Ny.Indang 15,000
154 Ny.Anisya 80,000
155 Ny.Kristini 80,000 55,000 25,000

156 29/10/2022 Ny.Wahyuni 80,000


157 Ny.Berta 80,000
158 Ny.Ngatini 20,000
159 Nn.Clara 20,000
160 Ny.Sri L 20,000
161 Ny.Elin 80,000 55,000 20,000
162 Ny.Santi 20,000

163 30/10/2022 Ny.Tutik 80,000

164 31/10/2022 Ny.Khusnul 80,000


165 Ny.Dewi 20,000
166 Ny.Winarti 20,000
167 Ny.Nur Aini 80,000

9,440,000 150,000 1,210,000 750,000 360,000 640,000

JUMLAH PARAMETER 378

RINCIAN

NOVI
Parameter 279
On Call Tgl Merah 4 Kali
WAHYU
Masuk 4 Kali
Parameter 25
Cito 60,000
On Call Tgl Merah 2 Kali

KARYAWAN
Fitri 35,000
Duta 52,500
Jumlah 87,500
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin

50,000 50,000
50,000 50,000

50,000 50,000

35,000 70,000

25,000

25,000
25,000

25,000

50,000 50,000
50,000 50,000

25,000 50,000 50,000

25,000

20,000 20,000

50,000 50,000

25,000

25,000

25,000
50,000 50,000

25,000

25,000 50,000 40,000 40,000


75,000

50,000 50,000

25,000
50,000 50,000
50,000 50,000
25,000

25,000

25,000
25,000 50,000

25,000 50,000

50,000 50,000

50,000 50,000
25,000

25,000
50,000 50,000

50,000 50,000
25,000
50,000 50,000
25,000

50,000 50,000

50,000 50,000

500,000 1,000,000 100,000 950,000 35,000 70,000 20000 20000 40,000 40,000
OT PT Cholestero AU TG WIDAL JUMLAH
105,000
20,000
80,000
80,000
20,000
80,000

105,000
105,000

15,000
80,000
80,000
20,000
80,000
100,000
260,000
255,000
100,000
260,000
20,000
105,000
80,000

80,000
15,000
15,000
105,000
100,000
80,000
80,000
160,000
20,000

80,000
80,000
80,000
75,000 155,000
105,000

130,000
130,000
80,000
80,000
100,000
80,000
100,000
105,000

155,000
80,000
80,000

105,000
20,000
80,000
100,000
255,000
20,000
105,000

15,000
80,000
285,000
20,000
105,000
130,000

175,000
20,000
100,000

80,000
80,000
125,000
80,000
100,000

80,000
235,000
20,000
100,000
20,000
25,000
40,000
80,000
80,000

20,000
25,000
105,000
80,000
20,000
130,000
80,000
105,000

105,000
80,000
15,000

80,000
80,000
80,000
75,000 155,000
260,000
20,000
20,000

25,000
80,000
80,000
105,000
20,000
20,000
105,000
75,000 155,000
35,000 215,000
75,000

80,000
235,000
15,000

25,000
235,000
40,000 295,000
105,000

100,000
35,000 60,000
80,000
150,000
230,000
80,000
80,000
80,000
80,000

235,000
80,000
80,000
20,000
235,000

80,000
80,000

80,000
100,000
20,000
235,000
80,000

15,000
105,000
80,000
25,000
125,000
20,000
15,000

105,000
100,000
100,000

25,000
235,000
80,000
100,000
20,000

100,000
235,000
25,000
235,000
105,000
15,000
80,000
260,000

80,000
80,000
20,000
20,000
20,000
255,000
20,000

80,000

80,000
20,000
20,000
80,000

40,000 35000 35000 225000 15,660,000


No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
OT PT Cholestero AU TG WIDAL JUMLAH
No Tanggal Nama DR HB HbsAg Golda Rh Prot.Urine PP.Test
PEMERIKSAAN
Gds/Gdp HIV Urine Ruti Shypilis Bil.Total Bil.Direct+CT BT Ureum Creatinin
OT PT Cholestero AU TG WIDAL JUMLAH

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