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  • Laporan Kasir 2022 10 26 2022 10 26

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    UPTD Puskesmas Cimpaeun
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    The document is a payment recap report from the CIMPAEUN health center for the period of October 26, 2022 to October 26, 2022. It consists of a table with 30 entries listing patient information such as name, gender, service received, amount paid and health center for each transaction during that period. Services included morning consultations, dental treatments and medical certificates.

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    laporan-kasir-2022-10-26-2022-10-26

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    The document is a payment recap report from the CIMPAEUN health center for the period of October 26, 2022 to October 26, 2022. It consists of a table with 30 entries listing patient information such as name, gender, service received, amount paid and health center for each transaction during that period. Services included morning consultations, dental treatments and medical certificates.

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    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
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    6 views8 pages

    Laporan Kasir 2022 10 26 2022 10 26

    Uploaded by

    UPTD Puskesmas Cimpaeun
    The document is a payment recap report from the CIMPAEUN health center for the period of October 26, 2022 to October 26, 2022. It consists of a table with 30 entries listing patient information such as name, gender, service received, amount paid and health center for each transaction during that period. Services included morning consultations, dental treatments and medical certificates.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 8

    <table width="400px">

    <tr align="center">
    <td colspan="8">LAPORAN Rekapan Pembayaran</td>
    </tr>
    <tr>
    <td>PKM : CIMPAEUN</td>
    </tr>
    <tr>
    <td>Periode : 2022-10-26 s.d 2022-10-26</td>
    </tr>
    <tr>
    <td><b>No.</td>
    <td><b>Tanggal</td>
    <td><b>No. Registrasi</b></td>
    <td><b> Nama</b></td>
    <td><b>Jenis Kelamin</b></td>
    <td><b>Jenis Pelayanan</td>
    <td><b>Jumlah</b></td>
    <td><b>Biaya</b></td>
    <td><b>Puskesmas</b></td>
    </tr>
    </table>

    <table>

    <tr>
    <td> 1</td>
    <td> 2022-10-26 07:40:00 </td>
    <td> 40210025128</td>
    <td> AISAH </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 2</td>
    <td> 2022-10-26 07:51:00 </td>
    <td> 40210004482</td>
    <td> IKA NURJANA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 3</td>
    <td> 2022-10-26 07:52:00 </td>
    <td> 40210027430</td>
    <td> GITA PERMATA SARI </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 4</td>
    <td> 2022-10-26 07:52:00 </td>
    <td> 40210015287</td>
    <td> UMAYASARI </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 5</td>
    <td> 2022-10-26 09:41:00 </td>
    <td> 40210015287</td>
    <td> UMAYASARI </td>
    <td> Perempuan </td>
    <td> Penambalan Sementara Satu Gigi Susu Atau Gigi Tetap </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 6</td>
    <td> 2022-10-26 09:41:00 </td>
    <td> 40210015287</td>
    <td> UMAYASARI </td>
    <td> Perempuan </td>
    <td> Penambalan Sementara Satu Gigi Susu Atau Gigi Tetap </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 7</td>
    <td> 2022-10-26 07:55:00 </td>
    <td> 40210027446</td>
    <td> DIAN PUSPITA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 8</td>
    <td> 2022-10-26 08:35:00 </td>
    <td> 40210027446</td>
    <td> DIAN PUSPITA </td>
    <td> Perempuan </td>
    <td> Doppler </td>
    <td> 1 </td>
    <td> 4000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 9</td>
    <td> 2022-10-26 08:03:00 </td>
    <td> 40210027723</td>
    <td> YAZID AYYASH </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 10</td>
    <td> 2022-10-26 08:47:00 </td>
    <td> 40210027723</td>
    <td> YAZID AYYASH </td>
    <td> Laki-laki </td>
    <td> Surat Keterangan Sehat (termasuk Tes Ichihara)/Orang </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 11</td>
    <td> 2022-10-26 08:10:00 </td>
    <td> 40210022207</td>
    <td> ISMA SOFIYA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 12</td>
    <td> 2022-10-26 08:12:00 </td>
    <td> 40210015015</td>
    <td> CAMELIA ULFA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 13</td>
    <td> 2022-10-26 08:24:00 </td>
    <td> 40210020937</td>
    <td> MARKUS SUBASTIAN HUTABARAT </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 14</td>
    <td> 2022-10-26 08:25:00 </td>
    <td> 40210019060</td>
    <td> BHAGASKARA SANDI RAMADHAN </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 15</td>
    <td> 2022-10-26 08:32:00 </td>
    <td> 40210015287</td>
    <td> UMAYASARI </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 16</td>
    <td> 2022-10-26 08:33:00 </td>
    <td> 40210026141</td>
    <td> MUHAMAD MIN FALLAH </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 17</td>
    <td> 2022-10-26 08:36:00 </td>
    <td> 40210018867</td>
    <td> ASEP SUHATA </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 18</td>
    <td> 2022-10-26 08:37:00 </td>
    <td> 40210021543</td>
    <td> Muhamad Haikal afandi </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 19</td>
    <td> 2022-10-26 08:38:00 </td>
    <td> 40210027033</td>
    <td> YUSUP AL GHOZALI </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 20</td>
    <td> 2022-10-26 08:50:00 </td>
    <td> 40210013150</td>
    <td> MUHAMMAD DAFA SEPTIANA </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 21</td>
    <td> 2022-10-26 08:58:00 </td>
    <td> 40210016009</td>
    <td> ANDIKA AHMAD RAFIANTO </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 22</td>
    <td> 2022-10-26 09:00:00 </td>
    <td> 40210025486</td>
    <td> NAURA KHANSA SALSABILA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 23</td>
    <td> 2022-10-26 09:03:00 </td>
    <td> 40210027724</td>
    <td> JULEHA </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 24</td>
    <td> 2022-10-26 11:04:00 </td>
    <td> 40210027724</td>
    <td> JULEHA </td>
    <td> Perempuan </td>
    <td> Penambalan Sementara Satu Gigi Susu Atau Gigi Tetap </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 25</td>
    <td> 2022-10-26 11:04:00 </td>
    <td> 40210027724</td>
    <td> JULEHA </td>
    <td> Perempuan </td>
    <td> Penambalan Sementara Satu Gigi Susu Atau Gigi Tetap </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 26</td>
    <td> 2022-10-26 09:07:00 </td>
    <td> 40210013120</td>
    <td> ANDRI GUNAWAN </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 27</td>
    <td> 2022-10-26 09:27:00 </td>
    <td> 40210023555</td>
    <td> PUTRI AGISNI GUNAWAN </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 28</td>
    <td> 2022-10-26 09:27:00 </td>
    <td> 40210022394</td>
    <td> NANI MULYANAWATI </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 29</td>
    <td> 2022-10-26 09:45:00 </td>
    <td> 40210027706</td>
    <td> ALISAH </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 30</td>
    <td> 2022-10-26 11:03:00 </td>
    <td> 40210027706</td>
    <td> ALISAH </td>
    <td> Perempuan </td>
    <td> Pencabutan Satu Gigi Dengan Suntikan </td>
    <td> 1 </td>
    <td> 20000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 31</td>
    <td> 2022-10-26 09:53:00 </td>
    <td> 40210016882</td>
    <td> YUSAK SAPUTRA </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 32</td>
    <td> 2022-10-26 09:56:00 </td>
    <td> 40210025645</td>
    <td> AI FITRIAH SETIAWAN </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 33</td>
    <td> 2022-10-26 10:15:00 </td>
    <td> 40210025645</td>
    <td> AI FITRIAH SETIAWAN </td>
    <td> Perempuan </td>
    <td> Surat Keterangan Sehat (termasuk Tes Ichihara)/Orang </td>
    <td> 1 </td>
    <td> 10000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 34</td>
    <td> 2022-10-26 10:08:00 </td>
    <td> 40210014716</td>
    <td> REZKI MAULANA MAHALI </td>
    <td> Laki-laki </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>

    <tr>
    <td> 35</td>
    <td> 2022-10-26 10:36:00 </td>
    <td> 40210017073</td>
    <td> MEGA SEPTI HARNAH </td>
    <td> Perempuan </td>
    <td> Pelayanan Pagi </td>
    <td> 1 </td>
    <td> 2000 </td>
    <td> CIMPAEUN</td>
    </tr>
    </table>
    <br />
    <br />
    <br />

    <table width="400px">
    <tr align="center">
    <td colspan="8">LAPORAN Rekapan Pembayaran Pelayanan Non
    Kesehatan</td>
    </tr>
    <tr>
    <td><b>No.</td>
    <td><b>Tanggal</td>
    <td><b> Nama</b></td>
    <td><b>Nama Instansi</b></td>
    <td><b>Jenis Pembayaran</b></td>
    <td><b>Harga Satuan</b></td>
    <td><b>Jumlah</b></td>
    <td><b>Biaya</b></td>
    <td><b>Puskesmas</b></td>
    </tr>
    </table>

    <table>
    </table>

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