UMPAN BALIK RAWAT JALAN BULAN MARET 2020

SeMAngAT BisA..........
Biaya
No. No.SEP Nama
RS TIPE D
1. 0141R0130320V000009 NY MANISEM 185.000
2. 0141R0130320V000010 NY SUMIDAH 185.000
3. 0141R0130320V000011 NY NGADINI 185.000
4. 0141R0130320V000012 NY ASLIYAH 185.000
5. 0141R0130320V000013 NY SUNGIDAH 185.000
6. 0141R0130320V000014 NY SUNARTI 127.800
7. 0141R0130320V000015 SDR RESTI ROSITA SARI 185.000
8. 0141R0130320V000016 NY SAIRAH 185.000
9. 0141R0130320V000017 NY NASIKEM 185.000
10. 0141R0130320V000018 NY CHAERIYAH 127.800
11. 0141R0130320V000019 NY SUCI WIDAYATI 185.000
12. 0141R0130320V000020 TN SAWIN 185.000
13. 0141R0130320V000021 TN SUROTO 185.000
14. 0141R0130320V000022 TN SUDARMAN ABU
BARDO
185.000
15. 0141R0130320V000023 NY MUDRIAH 185.000
16. 0141R0130320V000024 NY SITI FATIMAH, SE 295.500
17. 0141R0130320V000025 NY KHUSNUL KHOTIMAH 295.500
18. 0141R0130320V000026 NY ANTIK NURWANTI 178.700
19. 0141R0130320V000027 NY SATIRAH 295.500
20. 0141R0130320V000028 NY WIDIARTI 295.500
21. 0141R0130320V000029 TN KASIYANTO HUDIONO 185.000
22. 0141R0130320V000030 BY NY ANTIK NURWANTI 185.000
23. 0141R0130320V000031 BY NY SATIRAH 127.800
24. 0141R0130320V000032 BY NY WIDIARTI 185.000
25. 0141R0130320V000033 BY NY SUKARNI 185.000
26. 0141R0130320V000034 BY NY NURAETI 185.000
27. 0141R0130320V000035 NY GUNARTI 295.500
28. 0141R0130320V000036 NY SUMIYATI
295.500
29. 0141R0130320V000037 AN DAFA RIZKI HABIB 127.800
30. 0141R0130320V000038 NY ISTURI WAHYU
NINGSIH
178.700
31. 0141R0130320V000039 NY MUSINAH 295.500
32. 0141R0130320V000040 NY SITI LATIFAH 295.500
33. 0141R0130320V000041 NY NUR’AETI 178.700
34. 0141R0130320V000043 NY UPI FURIYATI 295.500
35. 0141R0130320V000044 NY ROSIYATI DZAKIATUN 178.700
36. 0141R0130320V000045 NY SUPRIYATIN 295.500
37. 0141R0130320V000046 AN ALMIRA NAJIYATUL
FAUZIYAH
127.800
38. 0141R0130320V000047 SDR FUAD NUROHMAN 127.800
39. 0141R0130320V000048 BY NY SUPRIYATIN 127.800
40. 0141R0130320V000049 NY MELISTA INDAH SARI 178.700
41. 0141R0130320V000050 AN CHERIKA NADHIDA
MECCA
127.800
42. 0141R0130320V000051 SDR DEVI WINARSIH 178.700
43. 0141R0130320V000052 BY NY SITI NURYATI 185.000
44. 0141R0130320V000053 AN DHEA FEBRIANA 185.000
45. 0141R0130320V000055 NY NURDINI DIAH 295.500
46. 0141R0130320V000056 NY NUNIK DARMAWATI 123.500
47. 0141R0130320V000060 NY MUJIANI 178.700
48. 0141R0130320V000063 NY FITRIANA L 127.800
49. 0141R0130320V000064 NY SUPINAH 178.700
50. 0141R0130320V000066 NY KHALIMAH DEWI. A 295.500
51. 0141R0130320V000073 NY TISNGATUN
KHAMIMAH
295.500
52. 0141R0130320V000077 SDR MIS ALIA AFNI 295.500
53. 0141R0130320V000078 NY PARYATI 127.800
54. 0141R0130320V000079 NY ROBIYAHNINGSIH 185.000
55. 0141R0130320V000081 BY NY SUPINAH 127.800
56. 0141R0130320V000082 NY SITI SUNDARI 295.500
57. 0141R0130320V000083 BY NY SITI SUNDARI 127.800
58. 0141R0130320V000084 AN ATHAFARIZ M.F 127.800
59. 0141R0130320V000085 NY HARTINI 178.700
60. 0141R0130320V000086 BY NY HARTATI 127.800
61. 0141R0130320V000087 BY NY KHALIMAH DEWI. A 127.800
62. 0141R0130320V000088 AN NAILA CALISTA PUTRI 185.000
63. 0141R0130320V000089 NY MARTININGSIH 295.500
64. 0141R0130320V000090 NY SITI SAEFAH . J 533.600
65. 0141R0130320V000094 AN AYU SALMA QONITA 127.800
66. 0141R0130320V000095 NY DASIYEM 185.000
67. 0141R0130320V000098 TN TARMAN 185.000
68. 0141R0130320V000097 TN DIRMAN 185.000
69. 0141R0130320V000100 NY SALMAH 185.000
70. 0141R0130320V000101 TN SLAMET 127.800
71. 0141R0130320V000103 TN HADI
SUTRISNO.W
185.000
72. 0141R0130320V000110 NY INDRIYANTI
SETIANINGSIH
178.700
73. 0141r0130320v000111 BY NY NUR’AENI 127.800
74. 0141R0130320V000113 HJ. KHAYATI 185.000
75. 0141R0130320V000115 NY DARIYAH 185.000
76. 0141R0130320V000116 NY HARTINAH 185.000
77. 0141r0130320v000117 BY NY INDRIYANTI 127.800
78. 0141r0130320v000124 BY NY SAKDIYAH 127.800
79. 0141r0130320v000197 BY NY RUMAISAH 127.800
80. 0141r0130320v000199 BY NY ADE TRI K 127.800
81. 0141r0130320v000200 BY NY UMIATI 127.800
82. 0141r0130320v000201 PUTRI AULIA 185.000
83. 0141r0130320v000202 BY NY UNI HIDAYAH 127.800
84. 0141r0130320v000203 BY NY PARYUNI 127.800
85. 0141r0130320v000208 BY NY SUMIYATI 127.800
86. 0141r0130320v000209 ARSAKHA KENZIE 185.000
87. 0141r0130320v000210 RIZA DZUHHRI 185.000
88. 0141r0130320v000277 BY NY ROJIAH 127.800
89. 0141r0130320v000295 BY NY SITI KUSMIATUN 185.000
90. 0141r0130320v000300 BY NY SRIYANTI 185.000
91. 0141r0130320v000376 BY NY SRI LESATRI 185.000
92. 0141r0130320v000382 RIZA 127.800
93. 0141r0130320v000432 BY NY RELA 185.000
94. 0141r0130320v000433 ELVANDRA NUR 185.000
95. 0141r0130320v000434 BY NY RIYANI 239.800
96. 0141r0130320v000435 BY NY MISRIYANTI 185.000
97. 0141r0130320v000439 BY NY DEVI KURNIAWATI 185.000
98. 0141r0130320v000440 BY NY TRI MARISAH 185.000
99. 0141r0130320v000371 BY NY EKA . W 185.000
100. 0141r0130320v000441 BY NY MEI SUSANTI 127.800
101. 0141r0130320v000443 BY NY SALIMAH 185.000
102. 0141r0130320v000444 KHANZA NURUL AZIZAH 127.800
103. 0141r0130320v000452 BY NY PARYATI 185.000
104. 0141r0130320v000453 HANIFAH AMINI 185.000
105. 0141r0130320v000455 BY NY NOVI 185.000
106. 0141r0130320v000456 BY NY NUR’AENI 185.000
107. 0141r0130320v000458 FARIZA NUR 185.000
108. 0141r0130320v000462 BY NY SUMIYATI 185.000
109. 0141r0130320v000510 BY NY DEWI 185.000
110. 0141r0130320v000514 BY NY SULIS . M 127.800
111. 0141r0130320v000518 BY NY RIZKA 127.800
112. 0141r0130320v000544 BY NY SEPTININGSIH 127.800
113. 0141r0130320v000545 RIYAN WAHYUDI 185.000
114. 0141r0130320v000569 AN FATWA 185.000
115. 0141r0130320v000598 SUMIYATUN 178.700
116. 0141r0130320v000700 NGADINI 185.000
117. 0141r0130320v000701 TN MARTOREJA 185.000
118. 0141r0130320v000702 NY MUDRIAH 185.000
119. 0141r0130320v000703 SAIRAH 185.000
120. 0141r0130320v000704 ALI WARSONO 185.000
121. 0141r0130320v000705 NY SAWIRAH 185.000
122. 0141r0130320v000706 MUSRIYAH 185.000
123. 0141r0130320v000707 SARTINI 185.000
124. 0141r0130320v000709 MADNASIR 185.000
125. 0141r0130320v000710 MARHAMAH 295.500
126. 0141r0130320v000711 DWI HANDOYO 185.000
127. 0141r0130320v000712 MAHJUB 127.800
128. 0141r0130320v000713 NY YASIN 127.800
129. 0141r0130320v000715 WARTI 185.000
130. 0141r0130320v000716 KASIRAH 185.000
131. 0141r0130320v000717 IKHWAN 185.000
132. 0141r0130320v000718 NY KAMISEM 185.000
133. 0141r0130320v000719 SARIYAH 295.500
134. 0141r0130320v000721 SUPARNI 123.500
135. 0141r0130320v000722 NY EKA PARWATI 178.700
136. 0141r0130320v000724 NY SITI .R 295.500
137. 0141r0130320v000727 NY MUSTANGINAH 178.700
138. 0141r0130320v000728 NY MURIDAH 178.700
139. 0141r0130320v000729 TAHTA KANSELIR 178.700
140. 0141r0130320v000745 SUSIYATI 295.500
141. 0141r0130320v000746 AYU. P 295.500
142. 0141r0130320v000747 NOFITRI 295.500
143. 0141r0130320v000748 TIKA PURNAMA 123.500
144. 0141r0130320v000749 IVON 123.500
145. 0141r0130320v000750 LASMINI 178.700
146. 0141r0130320v000751 ZAKIYATUL. M 295.500
147. 0141r0130320v000752 ROJI 178.700
148. 0141r0130320v000757 NY SUMIYATUN 178.700
149. 0141r0130320v000759 NY RATIYEM 178.700
150. 0141r0130320v000768 MAHFUDHOTUL 295.500
151. 0141r0130320v000769 NY ENI ROHAYATI 178700
 UMPAN BALIK RAWAT INAP BULAN MARET 2020
Horeee mau ganti tahun..........
Biaya
No. No.SEP Nama
TIPE D
1. 0141R0130220V000781 NY SAWEN 4.582.500

2. 0141R0130320V000828 AN PUTRI AULIA 2.155.300

NURYANI
3. 0141R0130220V000832 NY SARWO 4.194.600
MAHANANI
4. 0141R0130320V000843 NY DAMAYANTI 1.511.600

5. 0141R0130220V000844 NY RATIJAH 3.017.400

6. 0141R0130320V000003 NY PUJI SISWATI 2.116.300

7. 0141R0130320V000004 NY FITRI M 1.998.000

8. 0141R0130320V000005 NY SAMINAH 1.178.700

9. 0141R0130320V000007 NY ENI ROHAYATI 3.322.000

10. 0141R0130320V000008 AN ADZRA 2.155.300

FARZANA AYUNINDYA
11. 0141R0130320V000180 AN ARSHAKA 2.471.000
KENZIE AMZAR
12. 0141R0130320V000

PASIEN GIGI
Harus semangat guys...
Biaya
No. No.SEP Nama

1. 0141R0130320V000062 NY RUMINAH 127.800

2.
 AKHIRNYA RAWAT INAP
Happy new years..........
Biaya
No. No.SEP Nama

1. 0141R0130320V000080 NY MISRIYATI PRESBO REN SC

2. 0141R0130320V000104 SDR ADHI SETIAWAN SIROSIS HEART

3. 0141R0130320V000105 NY NUR’AINI INPARTU

4. 0141R0130320V000107 NY DEVI KURNIAWATI REN SC

5. 0141R0130320V000122 NY RASINAH ULKUS DM

6. 0141R0130320V000154 TN SAWON HILL

7. 0141R0130320V000431 BY NY TUSLIMAH OMPALITIS

8. 0141R0130320V000450 NY MUDRIYAH HIL

9. 0141R0130320V000454 NY RATIYAH AB INCOMPLITE

10. 0141R0130320V000470 NY ROHMAWATI HEG

11. 0141R0130320V000501 NY SOLIAH INPARTU

12. 0141R0130320V000534 BY NY MUSRIYATUN FEVER

13. 0141R0130320V000570 watmi induksi

14. 0141R0130320V000572 Ny siswati induksi

15. 0141R0130320V000575 By ny ariynti ikterik

16. 0141R0130320V000579 solikhatun presbo

17. 0141r0130320v000639 NY SANDRASARI INPARTU

18. 0141r0130320v000645 TN SANKARDI NEOPLASMA OF SKIN

19. 0141r0130320v000650 AN BALQIS KANYAKA DHEA GEA

20. 0141r0130320v000 NY WASIAH INPARTU

21. 0141r0130320v000 NY JENI KRISMYDAYANTI APENDIKSITIS

22. 0141R0130320V000 Ny andes

23. 0141R0130320V000708 Ny watiah inpartu

24. 0141R0130320V000720 Ny linda p lmpadenopati

25. 0141R0130320V000725 tn hartono Pro fistulektomi

26. 0141R0130320V000726 Ny sumiati neoplasma of skin

27. 0141r0130320v000790 rina inpartu

28. 0141R0130320V000795 BY NY IIN KHAMILIYA jundice

29. 0141r0130320v000887 rusmiyati inpatu

30. 0141r0130320v000897 By nyb sandrasari malaria

31. 0141r0130320v000909 tn daryono Selulitis anus

32. 0141r0130320v000911 Ny arti hill

33. 0141r0130320v000913 Ny suwarni Ab incomplite

34. 0141r0130320v000920 Ny nurdini inpaertu

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