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Laporan LABORAT Oktober 2022
Laporan LABORAT Oktober 2022
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
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
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
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
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
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
75,000
40,000 40,000
75,000
75,000
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
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
98 6/18/2017 By.Reni
99 Ny.Henny Susulowati 80,000
KARYAWAN
Bp.Suparso 55,000
Ny.Uswatun 35,000
Jumlah 90,000
40,000 40,000
35,000 35,000
25,000
75,000
25,000
25,000
25,000
75,000
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
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
KARYAWAN
Mbak Hany 20,000
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
40,000 40,000
75,000
35,000 35,000
35,000 35,000
35,000 35,000
35,000 35,000
25,000
75,000
25,000
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
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
9 8/3/2017 Ny.Suparni
10 Ny.Ina M 80,000 25,000
11 By.Hariyani
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
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
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
KARYAWAN
Desti 7,500
Teguh 47,500
Jumlah 55,000
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
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
Laborat Gratis
dr.Puji Hbsg
HIV
Kolesterol
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
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
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
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
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
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
75,000
25,000
35,000
35,000
35,000
35,000 35,000
25,000
35,000
35,000
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
59 6/17/2018 By.Elvi
60 Ny.Siti Mulyani 10,000
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
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
82 7/17/2018 Ny.Ajeng
83 Ny.Putri 80,000
84 Ny.Tatik 80,000
85 Ny.Rina 80,000 10,000
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
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
35,000
75,000
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
29 12/6/2018 By.Giyarti
30 Ny.Sri Rejeki 80,000 25,000
31 Ny.Tumiyati
32 Ny.Chrisnawati 80,000 55,000
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
78 12/14/2018 By.Uswatun
79 An.Fayyola 80,000
80 By.Mulyani
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
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
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
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
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
35,000 40,000
40,000
35,000 40,000
35,000 35,000
35,000 40,000
35,000 40,000
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
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
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
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
16 3/3/2019 By.Ririn
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
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
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
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
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
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
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
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
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
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
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
WAHYU
Masuk 1 Kali
Parameter 11
Cito 20,000
On Call Tgl Merah 1 Kali
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
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
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
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
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
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
WAHYU
Masuk 1 Kali
Parameter 11
Cito 20,000
On Call Tgl Merah 1 Kali
WAHYU
Masuk 5 Kali
Parameter 28
Cito 40,000
On Call Tgl Merah 0
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
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
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
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
40,000 40,000
75,000
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
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
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
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
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
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 40,000
35,000 40,000
35,000 40,000
35,000 40,000
35,000 40,000
25,000
25,000
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
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
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
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
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
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
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
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
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
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
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
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
80,000
195,000
130,000
25,000
15,000
25,000
210,000
15,000
15,000
80,000
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
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
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
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
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
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
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
35,000 40,000
20,000 20,000
35,000 40,000
25,000 35,000
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
35,000 40,000
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
73 13/12/2019 Ny.Sri
74 Ny.Triyani 80,000 10,000
84 15/12/2019 By.Suyuti
85 By.Latifa
86 By.Safitri
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
81 14/06/2020 By.Rizqiana
82 Ny.Lastri 80,000
83 By.Rizqiana
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
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
18 5/7/2020 By.Indarwati
19 Ny.Padmi 15,000
20 Ny.Fadila
21 By.Tri C 80,000
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
54 14/07/2020 By.Nur K
55 Ny.Irhamna 55,000
56 Ny.Suyatmi 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
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
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
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
7 2/8/2020 By.Endah
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
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
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
97 20/08/2020 Ny.Delta
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
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
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
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
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
28 5/9/2020 Ny.Langgeng
29 Ny.Dwi 80,000 20,000
66 13/09/2020 By.Nur
67 By.Nur
68 By.Reza
69 By.Reza
70 Ny.Winarti 80,000 25,000
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
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
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
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
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
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
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
25,000
25,000
25,000
35,000 40,000
25,000
25,000
25,000
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
35,000
75,000
25,000
35,000
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
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
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
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
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 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
35,000 40,000
25,000
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
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
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
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
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
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
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
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
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
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
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
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
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
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
80,000
100,000
80,000
25,000
25,000
80,000
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
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
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
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
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
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
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
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
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
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
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
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
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
68 15/07/2021 By.Reni
69 Ny.Lutfi 15,000
77 21/07/2021 By.Subarini
78 Ny.Casndra 80,000 20,000
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
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
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
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
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
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
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
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
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
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
.
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
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
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
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
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
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
35,000 40,000
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
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
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
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
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
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
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
56 14/11/2021 By.Uun
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
63 13/03/2022 By.Heni
64 An.Febi 80,000
65 By.Merdina 80,000
66 Ny.Merdinasari 80,000
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
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
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
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
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
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
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
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
RINCIAN
NOVI
Parameter 20
WAHYU
Masuk 1 Kali
Parameter 3
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
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
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
80,000
105,000
80,000
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
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
WAHYU
Masuk 1 Kali
Parameter 3
WAHYU
Masuk 3 Kali
Parameter 31
Cito 100,000
On Call Tgl Merah 3 Kali
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
25000 35,000
25000
25,000
35,000 40,000
35,000 40,000
35,000 40,000
35,000 40,000
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
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
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
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
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
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
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
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
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
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
20,000
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
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
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
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
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
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
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
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
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
25,000
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
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
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
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
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
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
20,000 20,000
50,000 50,000
25,000
25,000
25,000
50,000 50,000
25,000
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