Tgl Tgl Jth

No Register No FPK NOBUKTI Tgl Reg Kd Faskes Nm Faskes

Memorial Tempo

1013P042200010 P2202000005191 202204TMB0034 4/6/2022 4/6/2022 4/26/2022 10230603 SUKADANA

1013P042200011 P2202000032472 202204TMB0035 4/6/2022 4/6/2022 4/26/2022 10230603 SUKADANA

1013P042200012 P2202000032504 202204TMB0036 4/6/2022 4/6/2022 4/26/2022 10230603 SUKADANA

1013P042200013 P2202000033335 202204TMB0037 4/6/2022 4/6/2022 4/26/2022 10230603 SUKADANA

1013P042200014 P2202000005838 202204TMB0038 4/6/2022 4/6/2022 4/26/2022 10230802 SUKAMANTRI

1013P042200015 P2202000012020 202204TMB0039 4/6/2022 4/6/2022 4/26/2022 10230802 SUKAMANTRI

1013P042200016 P2202000016675 202204TMB0040 4/6/2022 4/6/2022 4/26/2022 10230802 SUKAMANTRI

1013P042200017 P2202000035973 202204TMB0041 4/6/2022 4/6/2022 4/26/2022 10230802 SUKAMANTRI

1013P042200018 P2202000033048 202204TMB0042 4/6/2022 4/6/2022 4/26/2022 10230103 BAREGBEG

1013P042200019 P2202000033059 202204TMB0043 4/6/2022 4/6/2022 4/26/2022 10230103 BAREGBEG

WAWAT
1013P042200020 P2202000033065 202204TMB0044 4/6/2022 4/6/2022 4/26/2022 B0009898 HERNAWATI,SS
T
WAWAT
1013P042200021 P2202000033078 202204TMB0045 4/6/2022 4/6/2022 4/26/2022 B0009898 HERNAWATI,SS
T

1013P042200022 P2202000010901 202204TMB0046 4/6/2022 4/6/2022 4/26/2022 10230801 PANJALU

1013P042200023 P2202000034815 202204TMB0047 4/6/2022 4/6/2022 4/26/2022 10230801 PANJALU

1013P042200024 P2202000034817 202204TMB0048 4/6/2022 4/6/2022 4/26/2022 10230801 PANJALU

1013P042200026 P2202000035261 202204TMB0049 4/6/2022 4/6/2022 4/26/2022 10230801 PANJALU

1013P042200027 P2202000035262 202204TMB0050 4/6/2022 4/6/2022 4/26/2022 10230801 PANJALU

SILVA NURUL
1013P042200028 P2202000036365 202204TMB0051 4/6/2022 4/6/2022 4/26/2022 B0013916 FADILA,
AM.KEB

SILVA NURUL
1013P042200029 P2202000036366 202204TMB0052 4/6/2022 4/6/2022 4/26/2022 B0013916 FADILA,
AM.KEB

1013P042200030 P2202000036458 202204TMB0053 4/6/2022 4/6/2022 4/26/2022 10230201 SINDANGKASIH

1013P042200031 P2202000033082 202204TMB0054 4/6/2022 4/6/2022 4/26/2022 B0009575 Iis Susilawati,SST

1013P042200032 P2202000033088 202204TMB0055 4/6/2022 4/6/2022 4/26/2022 B0009575 Iis Susilawati,SST

1013P042200033 P2201000037420 202204TMB0186 4/6/2022 4/8/2022 4/27/2022 10310101 PURWAHARJA I

1013P042200034 P2201000037446 202204TMB0187 4/6/2022 4/8/2022 4/27/2022 10310101 PURWAHARJA I

1013P042200035 P2201000037499 202204TMB0188 4/6/2022 4/8/2022 4/27/2022 10310101 PURWAHARJA I

1013P042200036 P2202000032388 202204TMB0056 4/6/2022 4/6/2022 4/26/2022 0123B049 Klinik Khasanah

1013P042200037 P2202000032389 202204TMB0057 4/6/2022 4/6/2022 4/26/2022 0123B049 Klinik Khasanah

1013P042200038 P2202000032390 202204TMB0058 4/6/2022 4/6/2022 4/26/2022 0123B049 Klinik Khasanah

1013P042200039 P2202000032407 202204TMB0059 4/6/2022 4/6/2022 4/26/2022 0123B049 Klinik Khasanah

1013P042200040 P2202000032414 202204TMB0060 4/6/2022 4/6/2022 4/26/2022 0123B049 Klinik Khasanah

1013P042200041 P2201000037960 202204TMB0217 4/6/2022 4/8/2022 4/27/2022 10231202 TAMBAKSARI

1013P042200042 P2201000039639 202204TMB0218 4/6/2022 4/8/2022 4/27/2022 10231202 TAMBAKSARI

1013P042200043 P2201000039642 202204TMB0219 4/6/2022 4/8/2022 4/27/2022 10231202 TAMBAKSARI

1013P042200044 P2201000038334 202204TMB0202 4/6/2022 4/8/2022 4/27/2022 10231602 SIDAHARJA

1013P042200045 P2201000038335 202204TMB0203 4/6/2022 4/8/2022 4/27/2022 10231602 SIDAHARJA

1013P042200046 P2202000005148 202204TMB0189 4/6/2022 4/8/2022 4/27/2022 B0015100 ERMILA

1013P042200047 P2202000005149 202204TMB0190 4/6/2022 4/8/2022 4/27/2022 B0015100 ERMILA

1013P042200048 P2202000015602 202204TMB0136 4/6/2022 4/8/2022 4/27/2022 0123B038 Klinik Nur Falah

1013P042200049 P2202000015676 202204TMB0137 4/6/2022 4/8/2022 4/27/2022 0123B038 Klinik Nur Falah

1013P042200050 P2202000036598 202204TMB0126 4/6/2022 4/8/2022 4/27/2022 0111B004 Klinik Vita Medika

1013P042200051 P2203000005384 202204TMB0127 4/6/2022 4/8/2022 4/27/2022 10230703 KAWALIMUKTI

1013P042200052 P2203000005545 202204TMB0128 4/6/2022 4/8/2022 4/27/2022 10230703 KAWALIMUKTI

1013P042200053 P2203000005920 202204TMB0129 4/6/2022 4/8/2022 4/27/2022 10230302 SUKAMULYA

1013P042200054 P2203000005928 202204TMB0130 4/6/2022 4/8/2022 4/27/2022 10230302 SUKAMULYA

1013P042200055 P2203000005963 202204TMB0138 4/6/2022 4/8/2022 4/27/2022 10230701 KAWALI

1013P042200056 P2203000005972 202204TMB0139 4/6/2022 4/8/2022 4/27/2022 10230701 KAWALI

1013P042200057 P2203000005982 202204TMB0140 4/6/2022 4/8/2022 4/27/2022 10230701 KAWALI

KLINIK DAWA
1013P042200058 P2203000006161 202204TMB0141 4/6/2022 4/8/2022 4/27/2022 0123B057
MEDIKA
 Klinik Hiban Nur
1013P042200059 P2203000007350 202204TMB0142 4/6/2022 4/8/2022 4/27/2022 0123U028
Medika

Klinik Hiban Nur

1013P042200060 P2203000007358 202204TMB0143 4/6/2022 4/8/2022 4/27/2022 0123U028
Medika

Klinik Hiban Nur

1013P042200061 P2203000007366 202204TMB0144 4/6/2022 4/8/2022 4/27/2022 0123U028
Medika

Klinik Hiban Nur

1013P042200062 P2203000007628 202204TMB0145 4/6/2022 4/8/2022 4/27/2022 0123U028
Medika

1013P042200063 P2203000007912 202204TMB0154 4/6/2022 4/8/2022 4/27/2022 10231402 CIDOLOG

1013P042200064 P2203000008113 202204TMB0155 4/6/2022 4/8/2022 4/27/2022 10231402 CIDOLOG

Klinik Pelopor
1013P042200065 P2203000007978 202204TMB0177 4/6/2022 4/8/2022 4/27/2022 0123B037
Maju Mandiri

Klinik Pelopor
1013P042200066 P2203000009013 202204TMB0178 4/6/2022 4/8/2022 4/27/2022 0123B037
Maju Mandiri

1013P042200067 P2203000008449 202204TMB0220 4/6/2022 4/8/2022 4/27/2022 10310302 PATARUMAN II

1013P042200068 P2203000008479 202204TMB0221 4/6/2022 4/8/2022 4/27/2022 10310302 PATARUMAN II

KLINIK KASTA
1013P042200069 P2203000008736 202204TMB0131 4/6/2022 4/8/2022 4/27/2022 0111B010
MEDIKA

KLINIK KASTA
1013P042200070 P2203000008739 202204TMB0132 4/6/2022 4/8/2022 4/27/2022 0111B010
MEDIKA

1013P042200071 P2203000010331 202204TMB0119 4/6/2022 4/8/2022 4/27/2022 10231401 CIMARAGAS

1013P042200072 P2203000011820 202204TMB0156 4/6/2022 4/8/2022 4/27/2022 10310202 BANJAR II

1013P042200073 P2203000011822 202204TMB0157 4/6/2022 4/8/2022 4/27/2022 10310202 BANJAR II

1013P042200074 P2203000011828 202204TMB0158 4/6/2022 4/8/2022 4/27/2022 10310202 BANJAR II

1013P042200075 P2203000011836 202204TMB0159 4/6/2022 4/8/2022 4/27/2022 10310202 BANJAR II

Klinik Cahaya
1013P042200081 P2203000005269 202204TMB0146 4/7/2022 4/8/2022 4/27/2022 0123B009
Medika

Klinik Cahaya
1013P042200082 P2203000005298 202204TMB0147 4/7/2022 4/8/2022 4/27/2022 0123B009
Medika

Klinik Cahaya
1013P042200083 P2203000005311 202204TMB0148 4/7/2022 4/8/2022 4/27/2022 0123B009
Medika
 Klinik Cahaya
1013P042200084 P2203000005314 202204TMB0149 4/7/2022 4/8/2022 4/27/2022 0123B009
Medika

1013P042200085 P2203000009078 202204TMB0179 4/7/2022 4/8/2022 4/27/2022 10231201 RANCAH

1013P042200086 P2203000009090 202204TMB0180 4/7/2022 4/8/2022 4/27/2022 10231201 RANCAH

1013P042200087 P2203000012754 202204TMB0181 4/7/2022 4/8/2022 4/27/2022 10231201 RANCAH

1013P042200088 P2203000013173 202204TMB0182 4/7/2022 4/8/2022 4/27/2022 10231201 RANCAH

1013P042200089 P2203000014567 202204TMB0183 4/7/2022 4/8/2022 4/27/2022 10231201 RANCAH

1013P042200090 P2203000020996 202204TMB0184 4/7/2022 4/8/2022 4/27/2022 10231201 RANCAH

1013P042200091 P2203000018884 202204TMB0160 4/7/2022 4/8/2022 4/27/2022 0123B034 Klinik Amal Bakti

1013P042200092 P2203000019936 202204TMB0161 4/7/2022 4/8/2022 4/27/2022 0123B034 Klinik Amal Bakti

1013P042200093 P2203000019939 202204TMB0162 4/7/2022 4/8/2022 4/27/2022 0123B034 Klinik Amal Bakti

Klinik Bakti Insan

1013P042200094 P2203000020048 202204TMB0191 4/7/2022 4/8/2022 4/27/2022 0123B008
Medika

Klinik Bakti Insan

1013P042200095 P2203000020049 202204TMB0192 4/7/2022 4/8/2022 4/27/2022 0123B008
Medika

Klinik Bakti Insan

1013P042200096 P2203000020058 202204TMB0193 4/7/2022 4/8/2022 4/27/2022 0123B008
Medika

Ari Risdianti,
1013P042200097 P2203000014199 202204TMB0133 4/7/2022 4/8/2022 4/27/2022 B0013962
Amd.Keb

Ari Risdianti,
1013P042200098 P2203000014200 202204TMB0134 4/7/2022 4/8/2022 4/27/2022 B0013962
Amd.Keb

1013P042200099 P2203000016256 202204TMB0120 4/7/2022 4/8/2022 4/27/2022 10231101 CISAGA

1013P042200100 P2203000016287 202204TMB0121 4/7/2022 4/8/2022 4/27/2022 10231101 CISAGA

Lab. Klinik
1013P042200129 P2202000036490 202204TMB0174 4/8/2022 4/8/2022 4/27/2022 0111L005
Pertama
 Uang HutangPel
NmPlyn Bulan Plyn Thn Plyn Biaya Pajak
Muka kes

RITP February 2022 18,720,000 18,720,000

RITP February 2022 3,500,000 3,500,000

RJTP February 2022 1,202,000 1,202,000

RJTP February 2022 2,945,000 2,945,000

RITP February 2022 3,500,000 3,500,000

RJTP February 2022 2,260,000 2,260,000

RITP February 2022 6,600,000 6,600,000

RJTP February 2022 380,000 380,000

RITP February 2022 15,400,000 15,400,000

RJTP February 2022 2,970,000 2,970,000

RITP February 2022 2,100,000 52,500 2,047,500

RJTP February 2022 325,000 8,125 316,875

RITP February 2022 13,200,000 13,200,000

RITP February 2022 33,925,000 33,925,000

RJTP February 2022 3,550,000 3,550,000

RJTP February 2022 500,000 500,000

RJTP February 2022 1,500,000 1,500,000

RITP February 2022 700,000 17,500 682,500

RJTP February 2022 50,000 1,250 48,750

RJTP February 2022 7,035,000 7,035,000

RITP February 2022 2,100,000 52,500 2,047,500

RJTP February 2022 640,000 16,000 624,000

RJTP January 2022 500,000 500,000

RJTP January 2022 1,400,000 1,400,000

RJTP January 2022 475,000 475,000

RJTP February 2022 600,000 600,000

RJTP February 2022 1,255,250 1,255,250

RJTP February 2022 200,000 200,000

RITP February 2022 66,480,000 66,480,000

RITP February 2022 8,400,000 8,400,000

RJTP January 2022 2,280,000 2,280,000

RITP January 2022 8,760,000 8,760,000

RITP January 2022 8,750,000 8,750,000

RITP January 2022 2,800,000 2,800,000

RJTP January 2022 1,650,000 1,650,000

RITP February 2022 700,000 17,500 682,500

RJTP February 2022 250,000 6,250 243,750

RITP February 2022 700,000 700,000

RJTP February 2022 95,000 95,000

Promotif February 2022 435,000 435,000

RITP March 2022 6,300,000 6,300,000

RJTP March 2022 750,000 750,000

RITP March 2022 7,700,000 7,700,000

RJTP March 2022 2,535,000 2,535,000

RITP March 2022 14,880,000 14,880,000

RJTP March 2022 750,000 750,000

RITP March 2022 1,400,000 1,400,000

RITP March 2022 2,820,000 2,820,000

RJTP March 2022 450,000 450,000

RJTP March 2022 480,000 480,000

RITP March 2022 2,100,000 2,100,000

RITP March 2022 21,440,000 21,440,000

RJTP March 2022 180,000 180,000

RITP March 2022 5,000,000 5,000,000

RITP March 2022 38,080,000 38,080,000

RITP March 2022 1,400,000 1,400,000

RITP March 2022 5,200,000 5,200,000

RJTP March 2022 3,225,000 3,225,000

RITP March 2022 1,400,000 1,400,000

RJTP March 2022 200,000 200,000

RITP March 2022 10,400,000 10,400,000

RITP March 2022 2,100,000 2,100,000

RJTP March 2022 50,000 50,000

RJTP March 2022 150,000 150,000

RJTP March 2022 540,000 540,000

RITP March 2022 8,640,000 8,640,000

RITP March 2022 8,400,000 8,400,000

RJTP March 2022 850,000 850,000

RJTP March 2022 210,000 210,000

RJTP March 2022 50,000 50,000

RJTP March 2022 650,000 650,000

RJTP March 2022 5,555,000 5,555,000

RITP March 2022 17,100,000 17,100,000

RJTP March 2022 3,020,000 3,020,000

RJTP March 2022 1,000,000 1,000,000

RITP March 2022 12,120,000 12,120,000

RITP March 2022 2,800,000 2,800,000

RJTP March 2022 400,000 400,000

RITP March 2022 17,600,000 17,600,000

RJTP March 2022 1,101,000 1,101,000

RITP March 2022 2,100,000 2,100,000

RITP March 2022 2,800,000 70,000 2,730,000

RJTP March 2022 1,575,000 39,375 1,535,625

RITP March 2022 7,000,000 7,000,000

RJTP March 2022 2,985,000 2,985,000

Promotif February 2022 26,740,000 26,740,000