You are on page 1of 3

TANGGAL NO.

KUITANO RM - NALAMAT PAINSTALASI KODE KETERANGKATEGORI PENJAMIN


01/11/20220221101-00-00-00-0Jl. Perala Aysa DentaTIN-0004 Scaling kl 1Estetik Umum / Pr
05/11/20220221105-00-00-00 Malindo TeAysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
07/11/20220221107-00-00-00-1Jl. Jatice Aysa DentaTIN-0007 scaling /ra Estetik Umum / Pr
07/11/20220221107-00-00-00-1Cip Kebemb Aysa DentaTIN-0011 Gic SimplePerawatanUmum / Pr
07/11/20220221107-00-00-00-1Vila Mutia Aysa DentaTIN-0004 Scaling kl 1Estetik Umum / Pr
08/11/20220221108-00-00-00-1Jl. Curug J Aysa DentaTIN-0004 Scaling kl 1Estetik Umum / Pr
08/11/20220221108-00-00-00-1Jl. Curug J Aysa DentaTIN-0012 Gic KomplePerawatanUmum / Pr
11/11/20220221111-00-00-00-1PandansariAysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
12/11/20220221112-00-00-00- Billy & Mo Aysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
12/11/20220221112-00-00-00- Billy & Mo Aysa DentaTIN-0001 Konsultasi Semua JeniUmum / Pr
12/11/20220221112-00-00-00- Billy & Mo Aysa DentaTIN-0024 DesensitisaKonservasiUmum / Pr
12/11/20220221112-00-00-00- Billy & Mo Aysa DentaTIN-0025 occlusal a KonservasiUmum / Pr
14/11/20220221114-00-00-00-1Cip Kebemb Aysa DentaTIN-0011 Gic SimplePerawatanUmum / Pr
17/11/20220221117-00-00-00-1Jl. Curyg JaAysa DentaTIN-0033 exo dgn ceProsthetik Umum / Pr
18/11/20220221118-00-00-00-1Jl. Cikas T Aysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
19/11/20220221119-00-00-00- Jl. Elang MAysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
21/11/20220221121-00-00-00-2Jl. Curug J Aysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
24/11/20220221124-00-00-00-2Jl. Curug J Aysa DentaTIN-0027 exo komplKonservasiUmum / Pr
25/11/20220221125-00-00-00-2Gang MaatAysa DentaTIN-0011 Gic SimplePerawatanUmum / Pr
25/11/20220221125-00-00-00- JatiwaringiAysa DentaTIN-0014 CompositePerawatan
k Umum / Pr
25/11/20220221125-00-00-00- JatiwaringiAysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
25/11/20220221125-00-00-00-2Jl. Curug J Aysa DentaTIN-0026 Exo simpleKonservasiUmum / Pr
28/11/20220221128-00-00-00-2Jl. Curug J Aysa DentaTIN-0005 Scaling kl 2Estetik Umum / Pr
29/11/20220221129-00-00-00-2Jl. Curug J Aysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
30/11/20220221130-00-00-00- Jl. SwadayaAysa DentaTIN-0005 Scaling kl 2Estetik Umum / Pr
30/11/20220221130-00-00-00-2Kp. Curug Aysa DentaTIN-0006 Scaling kl 3Estetik Umum / Pr
METODE PHARGA SA JUMLAH DISKON PESUB TOTALNAMA DOKNAMA PERAWAT
TUNAI 250000 1 100000 150000 drg.Sindy Windiya Oktaviana Karlinda
TUNAI 250000 1 100000 150000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 150000 1 50000 100000 drg. Septi drg. Septien Dwitanti Kusuma
TUNAI 250000 1 100000 150000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 300000 1 150000 150000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 250000 1 100000 150000 drg.Latifahdrg.Latifah Edlies Trisnaini
TUNAI 300000 1 150000 150000 drg.Latifahdrg.Latifah Edlies Trisnaini
TUNAI 300000 1 150000 150000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 250000 1 Rp0 250000 drg. Septi drg. Septien Dwitanti Kusuma
TUNAI 150000 1 Rp0 150000 drg. Septi drg. Septien Dwitanti Kusuma
TUNAI 300000 1 Rp0 300000 drg. Septi drg. Septien Dwitanti Kusuma
TUNAI 250000 2 Rp0 500000 drg. Septi drg. Septien Dwitanti Kusuma
TUNAI 250000 1 100000 150000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 200000 1 100000 100000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 250000 1 100000 150000 drg.Latifahdrg.Latifah Edlies Trisnaini
TUNAI 400000 1 150000 250000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 400000 1 200000 200000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 450000 1 150000 300000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 250000 1 Rp0 250000 drg. Septi drg. Septien Dwitanti Kusuma
TUNAI 300000 1 50000 250000 drg.Latifahdrg.Latifah Edlies Trisnaini
TUNAI 250000 1 100000 150000 drg.Latifahdrg.Latifah Edlies Trisnaini
TUNAI 300000 1 150000 150000 drg. Septi drg. Septien Dwitanti Kusuma
TUNAI 350000 1 100000 250000 drg. Septi drg. Septien Dwitanti Kusuma
TUNAI 250000 1 Rp0 250000 drg.Latifahdrg.Latifah Edlies Trisnaini
TUNAI 250000 1 150000 100000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
TUNAI 400000 1 150000 250000 drg.Sindy drg.Sindy Windiya Oktaviana Karlinda
Sub Total 5150000
Total Dis Rp0
Total PPN Rp0
Total Bia Rp0
Total PemRp0
Grand Tot 5150000
ktaviana Karlinda

ktaviana Karlinda
ktaviana Karlinda

ktaviana Karlinda

ktaviana Karlinda
ktaviana Karlinda

ktaviana Karlinda
ktaviana Karlinda
ktaviana Karlinda

ktaviana Karlinda
ktaviana Karlinda

You might also like