Professional Documents
Culture Documents
Book 2
Book 2
KONSULTASI
TINDAKAN
NAMA DOKTER
TGL. RUJUK
NO. RM NAMA PASIEN CORPO NAMA
PELAYANAN AN
RATE DOKTE BIAYA KETER
ANGAN
R
DR.
11/1/2022 - TROBOS SUGIANTO UMUM - 0 ANTIGEN
REZKY
DR.
11/1/2022 - SURYADI UMUM - 0 ANTIGEN
REZKY
CORPOR DR.
11/1/2022 - NUR HADI KUNCARA JIHD 0 ANTIGEN
ATE REZKY
CORPOR DR.
11/1/2022 - EVI SYAFIA ATE BAGI REZKY 0 ANTIGEN
CORPOR DR.
11/1/2022 - EVI SYAFIA ATE BAGI REZKY 0 ANTIGEN
CORPOR
11/1/2022 - BUDI SANTOSO ATE PTA DR. RIKA 0 -
LT-22- BEROBAT
11/1/2022 01-47 YOGA WIDYA ISWARA UMUM - DR. RIKA 85,000 + INJEKSI
DR. INJEKSI
11/2/2022 - SHAZIE RAMADHAN UMUM 0
REZKY VIT C
11/2/2022 - ARI PRIYANTO UMUM DR. 0 INJEKSI
REZKY VIT C
DR.
11/2/2022 MUHAMMAD NAJIB UMUM REZKY 0 ANTIGEN
DR.
11/2/2022 KATHERIN HANITA - DHCA REZKY 0 ANTIGEN
DR.
EVA JULIA REZKY 0 ANTIGEN
DR.
HAIRI REZKY 0 ANTIGEN
CORPOR
11/2/2022 ATE JIHD
DR.
KIKI SETIADI REZKY 0 ANTIGEN
DR.
SYAFRIZAL REZKY 0 ANTIGEN
DR.
SHAFIA SAMIYA 0 ANTIGEN
REZKY
DR.
BAGUS SATRIATAMA 0 ANTIGEN
REZKY
CORPOR MEDIA
11/2/2022 ATE CENTER
ERWIN MAHENDRA DR. 0 ANTIGEN
HAMZAH REZKY
CORPOR MEDIA
11/2/2022 DR.
DANANG KUSUMO ATE CENTER 0 ANTIGEN
REZKY
DR.
DARWIN SINAGA 0 ANTIGEN
REZKY
DR.
TEDDY IRJAYA FRANKY 0 ANTIGEN
REZKY
INJEKSI
11/2/2022 - IRA SUSANTI UMUM DR.REZK 0 VITAMIN
Y C
PT
KONTRO
11/2/2022 - SUPARNO SARTEK DR. 85,000 L
GEDUNG REZKY
BAGI JAHITAN
DR.REZK
11/2/2022 - CHRISTINA HARAPAN BAGI Y 0 ANTIGEN
CORPOR
11/2/2022 - IRPAN HADIJAYA JIHD DR.RIKA 0 ANTIGEN
ATE
CORPOR ARTHAKE
11/2/2022 - DESI ROSALINA DR.RIKA 0 -
ATE S
DR.REZK
11/3/2022 - ROBIUL AQLI UMUM Y 0 ANTIGEN
CORPOR DR.REZK
11/3/2022 - CATHERINE ATE BAGI Y 0 ANTIGEN
CORPOR DR.REZK
11/3/2022 - ASMAWI ATE BAGI Y 0 ANTIGEN
CORPOR DR.REZK
11/3/2022 - ATE JIHD Y 0
EDWARD BUDI SUTANTO CORPOR DR.REZK ANTIGEN
11/3/2022 - JIHD 0
ATE Y
YOHANNES GANDA
ANTIGEN
TJIPUTRA
CORPOR DR.
11/3/2022 - IR. AGUNG R. PRABOWO M.SC
ATE JIHD REZKY 0 ANTIGEN
DR.REZK
11/4/2022 - UMUM - 0 ANTIGEN
SANTOSO Y
DR.REZK
11/4/2022 - UMUM - 0 ANTIGEN
RISAL SAFAWI Y
CORPOR DR.REZK
11/4/2022 - NEILA JULIANI. H.SH
ATE BAGI Y 0 -
PT
CORPOR SARTEK DR.REZK
11/4/2022 - SUPARNO 0 BEROBAT
ATE GEDUNG Y
BAGI
PCR
SAMEDA
CORPOR DANAYA DR.REZK Y
11/4/2022 - ACHMAD ALFIAN 0
ATE SA Y
ANTIGEN
ELAN THE
STEVEN SURYADI
ANDREW YUDHA
SUMMA VERITA
AI LING
DR.REZK PCR
11/4/2022 - JULIET CHU UMUM - 0
Y REGULER
CORPOR DRIVER
11/4/2022 - ATING DR.RIKA 0 ANTIGEN
ATE BU ALIU
CORPOR
11/4/2022 - LENNY SUSILAWATY JAMDI ATE ECI DR. RIKA 0 ANTIGEN
INJEKSI
11/4/2022 - DANIEL EDWARD UMUM - DR.RIKA 0 MULTIVI
TAMIN
CORPOR PCR
11/7/2022 - KU SIEW KUAN JIHD DR YULIA 0
ATE KILAT
JESSI NOVIANTI
PUTI NOVIANDINI
YULIA WIDJAJA
KOBULLAH
KHOIRUNNISA
REYNALDI
DADANG
FERA YANTI
SYIFAA MUZDALIFAH
ARI TUMBU HASASTANI
MAHMUDIN
KARYANI
PCR
Ir AGUNG R CORPOR
11/7/2022 - PRABOWO,M,Sc ATE JIHD DR YULIA 0 SAMEDA
Y
DRIVER
CORPOR
11/7/2022 - EKO SUPRIYONO ATE PAK DR YULIA 0 ANTIGEN
AGUNG
CORPOR
11/7/2022 - VIA AMALIA LESMANA ATE IJS DR YULIA 0 ANTIGEN
CORPOR
- SITA ARIANA PANGESTU KMJ DR YULIA 0
ATE
11/7/2022 ANTIGEN
CORPOR
11/7/2022 - RANU ABDUL LATIF ATE WMR DR YULIA 0 ANTIGEN
11/7/2022 - NANIK YUNINGSIH UMUM DR YULIA 0 ANTIGEN
KARISA
DR.REZK
11/8/2022 - UMUM - Y 0 ANTIGEN
INDAH NOPITA SARI
11/8/2022 - UMUM - DR.REZK 0 ANTIGEN
NOVITA SARI Y
DR.REZK
11/8/2022 - UMUM - Y 0 ANTIGEN
ELI ERNAWATI
ANTIGEN
DR.REZK
11/8/2022 - MEI FAN UMUM - Y 0
PCR
REGULER
DR.REZK
11/8/2022 - UMUM - 0 ANTIGEN
Y
PUJI SULASTRI
DR.REZK
11/8/2022 - UMUM - Y 0 ANTIGEN
WAN CHEN WU
11/8/2022 - UMUM - DR.REZK 0 ANTIGEN
ARIANTO Y
ANTIGEN
CORPOR DR.REZK
11/8/2022 - YOHANA PALILING, SH ATE BAG Y 0
PCR
REGULER
ANTIGEN
ARIFIN
ANTIGEN
APRIYANTY
ANTIGEN
ACHMAD MASKHUR
DR.REZK
11/8/2022 - UMUM - Y 0 ANTIGEN
MAMOUDOU KANE
ANTIGEN
ANGGA VASTU
ANTIGEN
SIGIT PAMUNGKAS
ANTIGEN
BAGUS K
ANTIGEN
FAUZAN ALFIQRI
ANTIGEN
AMELIA YULASTRI
ANTIGEN
ALLYSA FATKHIA FIRDAUSA
PCR
REGULER
PCR
REGULER
SHAFIA SAMIYA
PCR
REGULER
11/8/2022 - COPORA MEDIA DR.REZK 0
DIAN HADI FIRMANSYAH TE CENTER Y
PCR
REGULER
BAGUS SATRIATAMA
PCR
REGULER
ALWAN PRABOWO
CORPOR ARTHAKE
11/8/2022 - BUNGA RACHMAWATI DR.RIKA 0 ANTIGEN
ATE S
VENDOR
LT-22- AFF
11/9/2022 01-43 SUPARNO BUANAG DR. RIKA 70,000 HECTING
RAHA
SYABHANNUR ANTIGEN
CORPOR PCR
11/9/2022 - AMRAN SUPARMAN ECI DR. RIKA 0 SAMEDA
ATE Y
AGUS WERNUGROHO
DANANG KUSUMO
ROLAN KRISTIAN R
MUDIYANA
VINA DAMAYANTI
NADIRA NAMIRALITA
YAUMADINA LARASATI
JULITA PRATIWI
CORPOR
11/9/2022 - ATE IJS DR. RIKA 0 ANTIGEN
LODEWYK RUMANGUN
FELIX JUWONO
FAJAR SUHARMAN
SGA
11/9/2022 LT-22- DEDE DEPY CORPOR EQUITY DR YULIA 70,000 BEROBAT
01-69 ATE TOWER
ANTIGEN
SUPRIYANTORO
BAGUS ANDITO
KUSMANTORO
DADAN DAHRONI
M RANGGA DIZA
11/10/2022 - CORPOR JIHD DR YULIA 0 ANTIGEN
ATE
WENDY DARMAWAN
CORPOR
11/10/2022 - ATE IJS DR YULIA 0 ANTIGEN
JONATHAN TIMOTHY
MUHAMMAD ASADUDDIN
MARANATA
SIMANUNGKALIT
CORPOR DR.
11/11/2022 - CATHERINE ATE BAG REZKY 0 ANTIGEN
11/11/2022 - DHAFIA RAKHANAI CORPOR BAG DR. 70,000 BEROBAT
ATE REZKY HC
ANTIGEN
DEWA AYU MADE CORPOR KELUARG DR.
11/11/2022 0
MAYLIANA ATE A BU VIVI REZKY
PCR
KILAT
ANTIGEN
11/11/2022 BONG SIAT KIM CORPOR KELUARG DR. 0
ATE A BU VIVI REZKY PCR
KILAT
CORPOR PCR
11/11/2022 - ATE BAG KILAT
DR. 0
CHRISTINA HARAPAN REZKY
CORPOR DRIVER
ATE BU ALIU ANTIGEN
IMAN SURATMAN
11/11/2022 - UMUM DR. ANTIGEN
SAKINAH REZKY
DR.
11/11/2022 - UMUM ANTIGEN
REZKY
0
DR.
11/11/2022 - UMUM REZKY ANTIGEN
PUJI LESTARI
DR. 0
11/11/2022 - UMUM ANTIGEN
REZKY
NGUYEN THU HUONG
DR.
11/11/2022 - UMUM REZKY ANTIGEN
LAZUARDI RIDHO
MAULANA
CORPOR DR.
ALWAN PRABOWO BAG ANTIGEN
ATE REZKY
11/11/2022 -
GREGORIUS GIOVANNI
GERARD
ERI PADLI
CORPOR DR.
11/11/2022 - JIHD ANTIGEN
ATE REZKY
SAHALA DAMEYANTO
SIHOTANG
FRANS YOHANES
JYESTHA TALITHA
BASHSHA
- CORPOR CITRAWI DR. RIKA 0 PCR
ATE RADAYA REGULER
11/11/2022 ANDY SEPTO AMBARGY
MUHAMMAD KHOERUDIN
CORPOR SGA PCR
11/11/2022 - DR. RIKA
ATE DAMKAR KILAT
RICKO WIBISONO
DANI HERDIANSYAH
JASA
LT-22- TINDAKA
11/12/2022 SUPARNO BAGP DR. RIKA 0
01-43 N GV
KECIL
JASA
LT-22- CORPOR SGA TINDAKA
11/12/2022 AFIK FIRMANSYAH DR. RIKA 70,000
01-72 ATE BAGP N
INJEKASI
CORPOR INJEKSI
11/13/2022 - VIVI HENNY ATE AG DR.YULIA 0 VIT C
BIBIT PRIYANTO
DR.REZK
11/14/2022 - SOLEHUDIN UMUM Y 0 ANTIGEN
TAMIMUL MUWAFAQ
NOVI IRAWAN
TEANTRI ALVIANY
DR.REZK
11/14/2022 - UMUM ANTIGEN
SUGIRAH Y
ABDUL KARIM
AFIK FIRMANSYAH
AGUM HIDAYAT
AGUNG GUMELAR
AMALIA LESTARI
ANTONIUS SIWALETTE
ARDIANSYAH
ANGGIT FADLILA
DONI YUZIFRI
FERDIAN ARIFIN
DANIEL NATANAEL
SIHOMBING
JOKO ALFIANSYAH
DINO PERDIAN
ASEP
FAJAR SUGIHARTO
SUNARYO
ERICK SETYADI
DANDI DAPENSI
FERY SANJAYA
FRANCISKUS GALIH
FEBRIYANTO
FADILLAH HUSEN AL
HABSY
DENI KURNIAWAN
CECEP SETIAWAN
FITRI ARDHIYANTI
SALSABILA
ARYA KUMBARA
ATIKA SURI
JEPRI SAPUTRA
SITI M. PARDEDE
RESI OKTAFIA
HARRY AKBAR
HONGKOP LAMTIUR
DELIAN
BAITUL ROHIM
DIARNO WALLY
MUHAMAD RIDWAN
MUHAMMAD GILANG
RAMADAN
MUHAMAD YUSUP AL
IKBAL
RANJA GUSTIRA
MUHAMMAD NURROHIM
MUHIDIN
M. MARWAN
SYAHRIFAL NUR RAHMAN
MARDIANSYAH
MUHAMMAD RAFY
HAMADILLAH
NASRUL WAFA
PIKY FIRMANSYAH
MUHAMAD RIFKI
MAULANA
M. ISMI AZIS
MARKUS PURBA
YUDI
MIKO
KAEEFOOR IKHSANUL
AKHBAB
MUHAMMAD ABDUL
11/14/2022 - KHOLIK CORPOR SGA DR.REZK PCR
ATE Y REGULER
CORPOR DR.REZK PCR
11/14/2022 - ATE SGA Y REGULER
INDRA SIMANULLANG
M. REZA KUMKELO
ACHMAD FACHRUL
PRAYUDA
RIZKI MAULANA
MUHAMMAD AL FAHRI
RANGGA SANJAYA
HENDARSYAH
RIYAN SAPUTRA
M. RAFLI AGUSTI
YOGI PRASTIO
MITCHELL
M. NOORMAWAN
MATHEOS HUWAE
RIZAL TUASAMU
FAJRUL RAMADHAN
ABDUL KODIR
MI'RAJ NURAINI
RATNA ULANDARI
LAILATUL KHIKMAH
OKTAVIANI
MIMIN NAPITUPULU
KELPIN MAULANA
TAHER TUANAYA
MUHAMAD NUR ARDHI
KURNIA ILLAHI
MAHARI LUSSY
NEDI ARMANDO
VIRGIAWAN ROMANSYAH
AGUNG PUTRA
WICAKSONO
DEDE KOMARUDIN
RIKI SAPUTRA
SAHYA
SUPRIYADI
MALIK FAJAR
M. ZULFANJAYA PUTRA
YAMIN
DEO RIZKI AGUNG
PERMANA
DIYON SAPUTRA
ALI MUSTOFA
NADIAN FIRYANSYAH
HANDI WARSITO
KHOERUL ANWAR
OKTAVIANUS WARURU
ANDIKA SANIKA
SATYAWADA
ROBY SARMAV
FEBRIYONO GULTOM
ROBBY ARDIANSYAH
JUNES TUPAMAHU
PADILAH
LEOPOLD BASTIAN
JAMBORMIAS
FAJRIN ABDIHI
ANJAS IRAWAN
BAGAS SATRIAVI
JOHAN YULIANTO
RUKI
MOH IDRIS
ELI ERNAWATI
11/15/2022 - UMUM DR. RIKA 0 ANTIGEN
TIARA CORNELIA
11/15/2022 - WATTIMENA UMUM DR. RIKA 85,000 ANTIGEN
11/15/2022 - TIARA CORNELIA UMUM DR. RIKA 0 PCR
WATTIMENA REGULER
BELI
11/15/2022 - KEVIN UMUM - DR. RIKA 0 OBAT
INJEKSI
VIT C
CEK GDS
USWATUN HASANAH
TEGUH BUDIANSYAH
RESTU PUTU
DERMAWAN,S.P
RYAN NOVIANSYAH DA
BUDI SETYANTO
LT-22-
11/16/2022 WIWIT NUR MAFTUCHO UMUM - DR YULIA 85,000 ANTIGEN
01-75
11/16/2022 LT-22- WIWIT NUR MAFTUCHO UMUM - DR YULIA 85,000 ANTIGEN
01-75
CORPOR DR.
11/17/2022 RUDY GOLDEN BAG ANTIGEN
ATE REZKY
DR.
11/17/2022 GUSTINA UMUM ANTIGEN
REZKY
DANAYA DR.
11/17/2022 ENI MARYANI CORPOR SA REZKY ANTIGEN
ATE
DR. PCR
11/17/2022 YUMIKO BOENTORO UMUM -
REZKY REGULER
11/17/2022 SUMARNI ADELINA UMUM - DR. ANTIGEN
SIMANJUNTAK REZKY
DANAYA DR.
11/17/2022 PORY KUSMIATI CORPOR ANTIGEN
SA REZKY
ATE
KARYANI
FITRIANI HERSON, A. MD
MAHMUDIN
11/17/2022 ANTIGEN
SYIFAA MUZDALIFAH
CORPOR ARTHAKE DR.
ATE S REZKY
NURUL FAIZANI
PCR
REGULER
DEDE ABDULLAH
ERLANGGA AFFANDI
CORPOR DANAYA PCR
ATE SA REGULER
NABILAH
ENI MARYANI
DR.
11/17/2022 REZKY
RINALDI FIRDAUSI DR.
11/17/2022
REZKY
CORPOR DANAYA
SETIA PERMANA ATE SA ANTIGEN
VIGGY SOEARDI
KAMAL IBRAHIM
DANIEL PARLINDUNGAN
FELIX JUWONO
LODEWYK RUMANGUN
CORPOR DR
11/17/2022 ATE WMR REZKY ANTIGEN
TITAN ARSYA
SHALIHANAFIE
YAUMADINA LARASATI
WULANDARI DESIAS
ANTIGEN
LARAS AYU SARTIKA
CORPOR ARTHATE
11/17/2022 ATE L
DR.
REZKY
LORRAIN MIURA YUDO
MELANDY RATIH
FAJAR SUHARMAN
LAURENTIA SUSY
AGUSTINY
DIKA PRASETIANA
ALFONSO ENRICO
HASUDUNGAN S
AHMAD ALFI FAJRIN CORPOR DR.
11/17/2022 IBS ANTIGEN
ATE REZKY
ENDAH ZANUARTI
CORPOR DR.
11/17/2022 ATE SGA REZKY ANTIGEN
TRI HARYANTO
JESSI NOVIANTI
PUTIH NOVIANDINI
CORPOR ARTAHKE DR.
11/17/2022 ANTIGEN
ATE S REZKY
REYNALDI
KENZI ROSIN
CORPOR
11/17/2022 ATE IJS DR.RIKA ANTIGEN
EVELINA VALENTIN SINTIA
ELVITA DEWI
11/17/2022 ARIYANI UMUM DR.RIKA ANTIGEN
SGA
11/18/2022 BUANGR DR.RIKA ANTIGEN
AHA
ENDRA PRIMA TRI CORPOR
PRABOWO ATE
NADIRA NAMIRALITA
11/18/2022 CORPOR WRM DR.RIKA ANTIGEN
ATE
JULITA PRATIWI
PCR
11/18/2022 STEPHANUS WIJAYA CORPOR ECI DR.RIKA SAMEDA
ATE Y
BAGUS SATRIATAMA
ERWIN MAHENDRA
HAMZAH CORPOR MEDIA PCR
11/18/2022 ATE CENTER DR.RIKA REGULER
MEDIA
11/18/2022 ALWAN PRABOWO CORPOR CENTER DR.RIKA ANTIGEN
ATE
CORPOR PCR
11/18/2022 CHRISTINA HARAPAN BAGI DR.RIKA
ATE KILAT
REINHARD SILITONGA
TORANG LIMBONG
11/18/2022 UMUM DR.RIKA ANTIGEN
11/18/2022 UMUM DR.RIKA ANTIGEN
IENDAH SHINTA
ARIESANTY
DWI MARGIONO
11/18/2022 FATIMAH UMUM DR RIKA ANTIGEN
CORPOR DANAYA
11/18/2022 AGUNG RIN PRABOWO DR RIKA ANTIGEN
ATE SA
AVIANDRA DAMASAPUTRA
CORPOR DANAYA
11/19/2022 - ATE SA DR YULIA 0 ANTIGEN
ANWAR TANJUNG
ANTIGEN
11/19/2022 - SULAEMAN CORPOR AGP DR YULIA 0
ATE PCR
REGULER
VEGGY SOEARDI
CORPOR
11/19/2022 - ATE SGA DR YULIA 0 ANTIGEN
PCR
11/20/2022 - KENG HSUAN CHO UMUM DR. RIKA 0 REGULER
CORPOR
11/21/2022 SUDARMAN,SH ATE DHCA DR. RIKA 75,000 BEROBAT
CORPOR PCR
11/21/2022 ANTON CHRISTIAN ATE BAGI DR. RIKA - REGULER
CORPOR PCR
11/21/2022 DIANA ANGRIANI ATE BGAP DR. RIKA - KILAT
BUNGA RACHMAWATI
PUTI NOVIANDINI
JESSI NOVIANTI
SUDARMAN, SH
CORPOR ARTHAKE
11/21/2022 ATE S DR. RIKA - ANTIGEN
REYNALDI
ANTIGEN
CORPOR
11/21/2022 - SUDARMAN, SH ATE DHCA DR.RIKA -
PCR
REGULER
CORPOR MAGH
11/21/2022 - FITRIA DJAFAR, SE DR. RIKA - ANTIGEN
ATE PP28
CORPOR
11/21/2022 - M.RAKA ANDREA W ATE MAGH DR. RIKA - ANTIGEN
ANTIGEN
CORPOR DRIVER
11/21/2022 - YUS HERYAWAN PAK DR. RIKA -
ATE TONY PCR
REGULER
BEROBAT
JASA
LT-22- TINDAKA
11/21/2022 03-39 EVA SAFITRI YULIANA UMUM DR. RIKA 85,000 N PEM
OKSIGEN
JASA
11/21/2022 LT-22- DHANA ROSITA ZULMI UMUM DR RIKA 85,000 TINDAKA
03-40
N INJEKSI
JASA
LT-22-
11/21/2022 03-40 DHANA ROSITA ZULMI UMUM DR RIKA 85,000 TINDAKA
N INJEKSI
SYIFAA MUZDALIFAH
CORPOR ARTHAKE
11/21/2022 - ATE S DR. RIKA - ANTIGEN
KOBULLAH
KHOIRUNNISA
YULIA WIDJAJA
MAHMUDIN
11/21/2022 - - SUSTER DR YULIA 0 PCR
M VITA SARI BU VIVI KILAT
CORPOR PCR
22/11/20222 - VENI VANESSA HALIM DR YULIA 0
ATE KILAT
BGAP
ABDUL ROSID
FRANS YOHANES
GAMMA DEWAYANTI
PCR
22/11/20222 - WANG SZU HAI - UMUM DR YULIA 0
REGULER
FERA YANTI
CORPOR ARTHAKE DR,REZK
22/11/20222 - ANTIGEN
ATE S Y
REZKY PRATAMA
HERMANSYAH
DR.
22/11/20222 UMUM ANTIGEN
REZKY
ADE SOMARSA
DR.
11/23/2022 RITA UMUM REZKY ANTIGEN
ISTI QOMAH
NOVITA ISTIQOMAH
SITI MUNAWAROH
RISKA RISTYANINGSIH
MELISA CERARIA
EVI NOVITASARI
SOPIYAH ANANDA
PUPUT PUTIHAT
SEPTIA NINGSIH
DR.
11/23/2022 ELA SYAFITRI UMUM REZKY ANTIGEN
MAHARANI PRATAMA
PUTRI
SARSIH
KIKI SETIADI
IRPAN HADIJAYA
MUSTAQFIRIN
11/23/2022 UMUM DR. ANTIGEN
REZKY
DR.
11/23/2022 UMUM REZKY ANTIGEN
EKO PURWANTO
CORPOR DR.REZK
11/23/2022 DHCA ANTIGEN
ATE Y
KATHERINE HANITA
CORPOR
11/23/2022 SYLVIA HASAN ATE AGP DR. RIKA ANTIGEN
THOMAS WIBISONO
YOSEPHINE AMANDA
BONOWATI
CORPOR CITRA
11/23/2022 NUNUK PUJIASTUTI DR. RIKA ANTIGEN
ATE GARUDA
CORPOR
11/24/2022 ADRIAN TANTO HALIM ATE AG DR. RIKA ANTIGEN
11/24/2022 I V AGUNG EKO UMUM DR. RIKA ANTIGEN
PCR
11/24/2022 I V AGUNG EKO UMUM DR. RIKA
REGULER
RIZKA FAHMI
HENDRO PRABOWO
PARLINDUNGAN MANULU
HARI SISWANTO
SUMARNO
HASAN SULIVAN
NURDIYANA
ANTONIUS WISANGGENI
NAILA SYARIF
M. RAKA ABDREA
WARDHANA
PRASETO RUKMANTO
NENI SULTANIA
ACHMAD JUMHARIM
CORPOR
11/24/2022 MAGH DR. RIKA ANTIGEN
ATE
BUDI HARYO PRIHANTORO
EDDY TANTONO
DAVID DESMANTO
SIMBOLON
ABDUL RAHMAN
RETNO WULANDARI
CORPOR
11/24/2022 RICKY ERFIANTO ATE MAGH DR.RIKA ANTIGEN
HADI WIDJAJA
11/24/2022 AULIA RIZKI CORPOR JIHD DR.RIKA ANTIGEN
ATE
CORPOR
11/24/2022 YOHANES GIOVANNI ATE BAGI DR.RIKA ANTIGEN
CORPOR
11/24/2022 - SUGITO SGA DR YULIA ANTIGEN
ATE
CORPOR
11/25/2022 ELVIN HALIM ATE AGI DR YULIA ANTIGEN
11/25/2022 LT-22- TJHIA ING LAI CORPOR BAG DR YULIA 70,000 BEROBAT
03-57 ATE
ASSA DIAS
NAWANGWULAN
CORPOR
11/25/2022 - JIHD DR YULIA 0 ANTIGEN
ATE
YOHANNES GANDA
TJIPUTRA
LT-22- DR.REZK
11/26/2022 03-58 DITHA FRISKA UMUM Y 85,000 BEROBAT
BGAP PCR
KILAT
VENI VANESSA HALIM CORPOR DR.REZK
11/26/2022 - ATE KELUARG Y 0
PCR
A BU REGULAR
RUDY HALIM AYUN
DRIVER DR.REZK
11/26/2022 - DEPI MULYANDINA BU SYLVI ANTIGEN
HASAN Y
ELAN THE
APRIYANTY
STEVEN SURYADI
SUMMAVERITA
SIMATUPANG
AHCMAD MASKUR
HOUSSEIN DEH
PCR
11/28/2022 - - UMUM DR YULIA 0 KILAT
AHMEDOU BEIBATT
PCR
11/28/2022 - VENI VANESSA HALIM DR YULIA 0
KILAT
CORPOR BGAP
ATE
11/28/2022 - VENI VANESSA HALIM DR YULIA 0 INJEK VIT
C
CORPOR
BGAP
ATE
INJEK VIT
11/28/2022 - VENI VANESSA HALIM DR YULIA 0 C
DEDI RIYANTO
11/28/2022 - CORPOR SGA DR YULIA 0 ANTIGEN
ATE
DIDIT RADHITYA
DR.REZK
11/29/2022 - UMUM 85,000 ANTIGEN
Y
MELLYNDA ARIP FATUN
NISA
11/29/2022 - CORPOR BAGI DR.REZK 0 ANTIGEN
CATHERINE ATE Y
LT-22-
11/29/2022 HUSNUL HOTIMAH 85,000
03-73
DR.REZK
UMUM Y BEROBAT
LT-22-
11/29/2022 SITI ROHMA 85,000
03-74
UMUM BEROBAT
Y
LT-22-
11/29/2022 03-74 SITI ROHMA 85,000
ARIFIN
ANDREW YUDHA
CORPOR DR.REZK
11/29/2022 - ATE JIHD Y 0 ANTIGEN
MUHAMMAD BAMBANG
BUDILUHUR
EKO SUPRIYONO
CORPOR DR.REZK
11/29/2022 - ATE WMR Y 0 ANTIGEN
LODEWYK RUMANGUN
CORPOR
11/29/2022 - JIHD DR. RIKA 0 ANTIGEN
ATE
VEBBY INDRAJANA
CORPOR
11/29/2022 INDRASTOMO NUGROHO BAG DR. RIKA 0 ANTIGEN
ATE
CORPOR
11/29/2022 SYABHANNUR JIHD DR. RIKA 0 ANTIGEN
ATE
SENDY YUDHATAMY
CORPOR PCR
11/29/2022 ATE IJS DR. RIKA 0 REGULER
11/29/2022 CORPOR IJS DR. RIKA 0 PCR
NADIA AYU MELISSA ATE REGULER
NURAINI SETIAWATI
TRIJONO
FERNALDI ANGGADHA
WULANDARI DESIAS
MICHAEL WILSON
11/29/2022 CORPOR IBIS DR. RIKA 0 ANTIGEN
ATE
NADIRA NAMIRALITA
YAUMADINA LARASATI
LUKY MAULANA
FIRMANSYAH
FRANCISCA CHRISTY
ROSANA
ICHSAN EMRALD
ALAMSYAH
11/29/2022 UMUM DR.RIKA 0 ANTIGEN
HANKEN AININA
11/29/2022 UMUM DR.RIKA 0 ANTIGEN
RONDLIYAH
CORPOR
11/30/2022 ATE JIS DR.RIKA 0 ANTIGEN
CHRISTINE HENDRI
RICHARD MANDIRI
ANTIGEN
CORPOR DANAYA
11/30/2022 DR.RIKA 0
NAMIRA LARASATI ATE SA
ANDRIAN MT
PCR
REGULER
NAMIRA LARASATI
AI LING
MUHAMMAD RANGGA
DIZA
PCR
REGULER
YAYU GUSTINA RAHAYU
CORPOR
11/30/2022 - JULITA PRATIWI WMR DR YULIA 0 ANTIGEN
ATE
TOTAL ###
ANTIGEN
FAHMI APRIANSYAH
ANTIGEN
SAHALA DAMEYANTO
SIHOTANG
CORPOR
12/1/2022 - ATE JIHD DR YULIA 0
PCR
REGULER
SAHALA DAMEYANTO
SIHOTANG
ANTIGEN
12/1/2022 - SETIA PERMANA CORPOR DANAYA DR YULIA 0
ATE SA PCR
REGULER
CORPOR DANAYA PCR
12/1/2022 - SAMIR ATE SA DR YULIA 0 KILAT
PCR
REGULER
12/1/2022 - NOVY ANGGUN PRATIWI CORPOR PT KAJA DR YULIA 0
ATE
ANTIGEN
CORPOR DR.REZK
12/1/2022 - ATE ECI Y 0 ANTIGEN
ERVIN HILALLUDIN
AGUS SURAHMAN
RUSNANDAR
NANTO AGUNG
MAHENDRA
AGUNG MUDYA
KUSNIGARA CORPOR DR.REZK
12/2/2022 ATE JIHD Y 0 ANTIGEN
WILLIAM DARMA
CORPOR DR PCR
12/2/2022 - ATE BAGI REZKY 0 SAMEDA
YOHANA PALILING, SH Y
SURYATI
RINDI LINURIAH
ESVA NOVITA
SUMAWARDI
12/2/2022
NUR KHAFIFATUROHMAH
SUKAPTI DR
UMUM REZKY 0 ANTIGEN
SRI MULYANI
SUSMIATI
CORPOR DR PCR
12/2/2022 TONY SOESANTO ATE JIHD REZKY 0 KILAT
0 ANTIGEN
CORPOR
12/2/2022 HENDRY ATE JIHD DR RIKA PCR
0 SAMEDA
Y
CORPOR
12/2/2022 DR RIKA 0 ANTIGEN
ATE
AHMAD ALFI FAJRIN IBIS
AGUS SALIM.S.P
NONI
BRIGITTA REVANI
PRIMANTIWI
SHINTAWATY WIBOWO
VIGGY SOEARDI
SURAT
LT-22- CORPOR KETERAN
12/4/2022 03-84 GIN GIN GINANJAR ATE SGA DR YULIA 0 GAN
SEHAT
PCR
IR. AGUNG R. PRABOWO, CORPOR DANAYA REGULER
M.SC ATE SA
ANTIGEN
PCR
CORPOR DANAYA REGULER
PETER LIE
ATE SA
ANTIGEN
PCR
DR,REZK REGULER
12/4/2022 - CORPOR DANAYA 0
RENATE PURNAMA SARI Y
ATE SA
ANTIGEN
PCR
CORPOR DANAYA REGULER
PERDIAN SUCIOKTO ATE SA
ANTIGEN
PCR
CORPOR DANAYA REGULER
PONCO SAPTO ATE SA
ANTIGEN
ANTIGEN
CORPOR SUPIR BU DR.
12/4/2022 - PAIMAN 0
ATE RENATE REZKY PCR
REGULER
CORPOR
12/5/2022 - DR. RIKA 0 ANTIGEN
ATE
NASWAR TEGUH KARYA ,
SH IBIS
CORPOR
12/5/2022 - DR. RIKA 0 ANTIGEN
YURI WASIATI ATE BAGI
CORPOR PCR
12/5/2022 - ATE DR. RIKA 0 REGULER
YURI WASIATI BAGI
IRPAN HADIJAYA
YOHANNES GANDA
TJIPUTRA
SYABHANNUR
ERI PADLI
YOSEPHINE AMANDA
BONOWATI
CORPOR
12/5/2022 - LILI SUSANTI ATE IBIS DR. RIKA 0 ANTIGEN
LENI SUNDARI
WAHYUNING
HADI SUBAGJA
YAN ALRIYADI
DR PCR
12/6/2022 - AHMEDOU BEIBATT UMUM REZKY 0 SAMEDA
Y
CORPOR DANAYA DR
12/6/2022 - 0 ANTIGEN
ERWIN ATE SA REZKY
JASA
CORPOR
12/6/2022 - DEDEN IRAWAN SGA DR.YULIA 70,000 TINDAKA
ATE N
CORPOR PT PCR
12/7/2022 FARIZ AZHARI DR YULIA 270,000
ATE ADINUSA REGULER
PCR
12/7/2022 ANIS INDARIYANI UMUM DR YULIA 345,000 KILAT
CORPOR
12/7/2022 ATE IJS DR YULIA 75,000 ANTIGEN
ALVINDA ATMA PRINCESSA
SELVINA
CORPOR
12/7/2022 - ATE IJS DR YULIA 75,000 ANTIGEN
LINDA OKTAVIANTI
BUDIMAN
TJANDRAWINATA
SUAEB
SUPRIYATNI
DANI SUTOPO
M. TERESA LIVIENNA
WIJAYA
WISNU TRIOBONO
SOMALINGGI
SUMARNI ADELINA
SIMANJUNTAK
KRISTIANTI INDIRA
SISNI PERMATASARI
BIANCA PUTRI
RAMADHANI
META MARGARITA
DIANA ROSALINA
SURAWATI
EKO SUPRIATNO
ANANTO WIMBAJI
YUDITHIA
CORPOR
12/7/2022 - ATE ADIDAS DR YULIA 85,000 ANTIGEN
RONI RAMDANI
CORPOR
12/7/2022 - ATE ADIDAS DR YULIA 85,000 ANTIGEN
HARDEEP SINGH
MOHAMAD DONAL
PRATONDO
SAEPUL HAMDI
HARRY NURMANSYAH
NUGROHO
HERMAWATI
OSCAR SATYAWAN
ZINADDIA
RINI MELIANI
WILMA MARIA
MARGHARETA
COORPO ARTHAKE
12/7/2022 - DESI ROSALINA TRI PUTRI RATE S DR YULIA - ANTIGEN
PARASIAN H. SITOHANG
PT
CORPOR DANAYA DR.
12/8/2022 VERYANTHY SA ANTIGEN
ATE REZKY
ARTHAM
ATA
JULITA PRATIWI
YAUMADINA LARASATI
PCR
CORPOR
12/8/2022 - TONY SOESANTO ATE JIHD DR RIKA 0 SAMEDA
Y
CORPOR PCR
12/8/2022 - LODEWYK RUMANGUN ATE WMR DR RIKA 0 REGULER
PCR
12/9/2022 - MUHAMMAD ILMAN - UMUM DR RIKA 0 SAMEDA
TETO
Y
CORPOR DANAYA PCR
12/9/2022 - SAMIR ATE SA DR RIKA 0 KILAT
MUHAMMAD RANGGA
DIZA
CORPOR PCR
12/9/2022 ATE JIHD DR RIKA 0 REGULER
FRANS YOHANES
CORPOR
12/9/2022 - GREGORIUS GIOVANNI ATE JIHD DR RIKA 0 ANTIGEN
CORPOR DANAYA
12/9/2022 - ENDANG KUSUMA DR YULIA 0 ANTIGEN
ATE SA
JASA
LT-22- TINDAKA
12/10/2022 DIMAS ADI NUGROHO UMUM DR YULIA 85,000
03-94 N WT
SEDANG
JASA
12/10/2022 LT-22- DIMAS ADI NUGROHO UMUM DR YULIA 85,000 TINDAKA
03-94 N WT
SEDANG
JASA
TINDAKA
LT-22- N WT +
12/10/2022 ZAKI YUSUF BAHRY UMUM DR YULIA 85,000
03-95 HECTING
1
JAHITAN
SETIA PERMANA
NONI
RICHARD MANDIRI
ANDRIAN MT
CORPOR PCR
ATE DR YULIA REGULER
BUANG BUDIMAN
12/10/2022
LOCWAZA PIDEKSA
12/10/2022
IRPAN HADIJAYA
LIU YU WEI
CORPOR ARTHATE
SUSAN DR RIKA 0 ANTIGEN
ATE L
12/12/2022 -
TJHANG KIAN KONG CORPOR UMUM DR RIKA 0 ANTIGEN
ATE
ANTIGEN
12/12/2022 - SLAMET RAHARJO CORPOR KCI DR RIKA 0
ATE PCR
REGULER
CORPOR
12/12/2022 FRANS YOHANES ATE JIHD DR RIKA 0 ANTIGEN
CORPOR PCR
12/12/2022 ANDY DHARMA BAG DR RIKA 0
ATE KILAT
SUPRIYANTORO
12/12/2022 - CORPOR MEDIA DR RIKA 0 PCR
ATE CENTER REGULER
ROLAN KRISTIAN R
RAFFANDA NOVEMA
PUTRA
CORPOR PCR
12/12/2022 - LIDYA SETIAWATI BAG DR RIKA 0
ATE KILAT
CORPOR
12/12/2022 MEGA JUNIA ERLIYANDI ATE IJS DR RIKA 70,000 BEROBAT
CORPOR
12/12/2022 MEGA JUNIA ERLIYANDI IJS DR RIKA 70,000 BEROBAT
ATE
COORPO
12/12/2022 - RATE DHCA DR YULIA 0 ANTIGEN
KATHERIN HANITA
SYABHANNUR
DENIAWAN SAMBIRAN
BONDAN KUSWANTORO
ELAN THE
ANTIGEN
COORPO
12/13/2022 - JIHD DR YULIA 0
RATE
WENDY DARMAWAN
PCR
SUMIRO OEMAR KILAT
DANAYA
COORPO SA
12/13/2022 - DR YULIA 0 ANTIGEN
RATE ARTHAT
DRA.RATNESIA NURUL AMA
SYAMSI
12/13/2022 - MUHDIN COORPO IJS DR YULIA 0 ANTIGEN
RATE
COORPO
12/13/2022 - INDAH PUSPITASARI S.SOS RATE BAG DR YULIA 0 ANTIGEN
MAURITS TRIONO
HARI SISWANTO
COORPO ARTHATE
12/13/2022 - DR YULIA 0 ANTIGEN
RATE L
WENDY R. HUTAHAEAN
COORPO
12/13/2022 - HENDRY RATE JIHD DR YULIA 0 ANTIGEN
COORPO DR
12/13/2022 RATE JIHD REZKY 0 ANTIGEN
TONY SOESANTO
COORPO DR PCR
12/13/2022 PTA 0
RATE REZKY KILAT
BUDI SANTOSO
SLAMET ARBI DR
12/14/2022 ADIDAS 0 ANTIGEN
NURZAMAN,SST REZKY
PCR
12/14/2022 CHANG CHENG SHENG UMUM DR 0 SAMEDA
TETO REZKY
Y
FRANSISKA WIIDYASARI
MAYANG WIDYANINGRUM
RADEN A. RIVANA
ANTONIUS VALENTINO
RIYAN HIDAYAT
MUHAMMAD YUSUF
NOVARIANTI PCR
UMUM DR
12/14/2022 0 SAMEDA
TETO REZKY Y
LIU CHUNG KAI
0 PCR
REGULER
PETER LIE COORPO DANAYA DR
12/14/2022
RATE SA REZKY
ANTIGEN
SETIA PERMANA
PT.ARTH
COORPO A DR
12/14/2022 RATE TELEKO REZKY 0 ANTIGEN
MINDO
PARLINDUNGAN MANALU
DR
12/14/2022 SELVI ERMAWATI UMUM REZKY ANTIGEN
DR
12/14/2022 KARLINAH UMUM ANTIGEN
REZKY
DR
12/14/2022 TITIN NURMALASARI UMUM REZKY ANTIGEN
DR
12/14/2022 KARTI FADILLAH UMUM REZKY ANTIGEN
DR
12/14/2022 RINI UMUM ANTIGEN
REZKY
DR
12/14/2022 NURHAYATI UMUM ANTIGEN
REZKY
DR
12/14/2022 KARMILA UMUM REZKY ANTIGEN
DR
12/14/2022 SARTIKA WULANDARI UMUM REZKY ANTIGEN
DARMAWAN SOERYO DR
12/14/2022 TAGIHAN ANTIGEN
MOERSITO REZKY
DIANA ROSALINA
DR
12/14/2022 ADIDAS ANTIGEN
REZKY
12/14/2022 ADIDAS DR ANTIGEN
SUMARNI ADELINA REZKY
SIMANJUNTAK
RINI MELIANI
CORPOR
12/14/2022 - ATE AG DR RIKA ANTIGEN
THOMAS WIBISONO
GAMMA DEWAYANTI
JYESTHA TALITHA
BASHSHA
SYAFRIZAL
DADAN DAHRONI
BEROBAT
LUKA
LT-22- CORPOR SGA ROBEK/
12/15/2022 04-08 A RAHMAN ATE DAMKAR DR RIKA 70,000 VULNUS
LASERAT
UM
UM
MUHAMMAD FIRDAUS
ALI AKBAR
12/16/2022 TAN RUDI UMUM DR YULIA 0 ANTIGEN
EVA JULIA
ASSA DIAS
NAWANGWULAN
CORPOR
12/16/2022 ATE JIHD DR YULIA 0 ANTIGEN
SUMMAVERITA
SIMATUPANG
PT
CORPOR ADINUSA PCR
12/16/2022 - DR YULIA 0
ATE PURIPRA REGULER
GUSNUL MUSTAKIM PT
CORPOR ADINUSA PCR
12/16/2022 - ATE PURIPRA DR YULIA 0 REGULER
ROSULIANDI TAMA
ASMADI
CASINTO
SUSANTO
HERMAN
BAHAGIA SAPUTRA
ANTIGEN
12/16/2022 - YOHANA PALILING. SH CORPOR BAGI DR YULIA 0
ATE PCR
SAMEDA
Y
ANTIGEN
12/16/2022 - JUHAEDI CORPOR DANAYA DR YULIA 0
ATE SA PCR
SAMEDA
Y
DR PCR
12/16/2022 - ADINUSA REZKY 0 REGULER
CORPOR
WINDHY PRAMONO ATE
DR PCR
12/17/2022 - RACHMAT HARTANTO PT KAP 0
REZKY KILAT
CORPOR
ATE
CORPOR DR PCR
12/17/2022 - STEVE WILSONDAUD S PT KAP 0
ATE REZKY KILAT
CORPOR DR PCR
12/17/2022 - MERLY MULIANA ATE PTA REZKY 0 KILAT
CORPOR DR PCR
12/17/2022 - KU SIEW KUAN JIHD 0
ATE REZKY KILAT
CORPOR DR
12/17/2022 - TOMY WINATA PP57 0 PP57
ATE REZKY
LT-22- CORPOR
12/18/2022 04-14 KHUSNUL ALI MUSTHOFA ATE SGA DR RIKA 70,000 BEROBAT
JESSI NOVIANTI
YULIA WIDJAJA
FERA YANTI
KARISA
TAMI
DEDE ABDULLAH
PUTI NOVIANDINI
TESSALONYCA
CICILYA BANSAGA
RIKA INDRIANI BR
KARO KARO
YOKO CATERINE
REYNALDI
KARYANI
FITRIANI HERSON
A JUNIANNA PUSPA
FORTUNA
TEGUH FILIPHIAN
MAHMUDIN
BUNGA RACHMAWATI
STEVEN SURYADI
VEBBY INDRAJANA
12/19/2022 - COORPO JIHD DR RIKA 75,000 ANTIGEN
RATE
COORPO
12/19/2022 - JIHD DR RIKA 75,000 ANTIGEN
RATE
AI LING
PCR
COORPO DANAYA
12/19/2022 - ONGKY HARJA WINATA
RATE SA DR RIKA 270,000 REGUKE
R
PCR
12/19/2022 - COORPO ADINUSA DR RIKA 270,000 REGUKE
RATE
R
RACHMANUR PARANTA
PT
ADHY PRAYITNO BHAKTI ARTHA
12/19/2022 - COORPO DR RIKA 75,000 ANTIGE
RATE TELEK N
SYEHAN DINO OMIND
O
SOPHAN PERMANA
COORPO ARTHAKE DR
12/19/2022 - - ANTIGEN
RATE S REZKY
REZKY PRATAMA HERMANSYAH
WENDY DARMAWAN
KIKI SETIADI
SYIFAA MUZDALIFAH
COORPO ARTHAKE DR REZKY
12/20/2022 ANTIGEN
RATE S
KOBULLAH
KHOIRUNNISA
HENDRO PRABOWO
COORPO ARTHATE DR YULIA
12/20/2022 ANTIGEN
RATE L
DIDIN YULIANTO
DEDIK SUPRIHATIN
12/20/2022 UMUM DR YULIA ANTIGEN
DANIYAH
COORPO
12/20/2022 EKO MULIAWAN DHR DR YULIA ANTIGEN
RATE
ANDREW YUDHA
12/21/2022
COORPO JIHD DR YULIA ANTIGEN
RATE
MICHELLE ERMINA BOOM
MUHAMMAD BAMBANG
BUDILUHUR
LT-22-04-
12/21/2022 18 Ir ELAN SUHERLAN UMUM DR YULIA 85,000 BEROBAT
ENI MARYANI
PT
VIGGY SOERDI DANAYAS
12/21/2022
COORPO A DR YULIA ANTIGEN
RATE ARTHATA
MA
WEDI RAHMAD HIDAYAT
COORPO
12/21/2022 DAIMAN LATEKA RATE
BAG DR YULIA ANTIGEN
ANGGA RANDY PRATAMA
CORPORA ARTHATE
12/21/2022 DR YULIA ANTIGEN
YAHYA SYUHADA TE L
YASIN FAUZI
ANWAR
CORPORA
12/21/2022 AULIA RIZKI JIHD DR RIKA ANTIGEN
TE
FERA YANTI
12/22/2022
LT-22- MUHAMMAD SULAEMAN
CORPORA SGA
DR INDAH 70,000 ANTIGEN
04-20 TE REVENUE
KEVIN
12/22/2022 -
MEI NA CHENG
UMUM DR INDAH - ANTIGEN
MARIYATI
12/22/2022 -
PCR
SELVINA REGUL
ER+AN
TIGEN
CHRISTIN ANGGRAENY P
12/22/2022 - CORPO DR INDAH -
IJS
RATE
FRISTIKA SINAGA ANTIGE
N
MUHAMMAD ASADDUDIN
PCR
MARANATA REGUL
SIMANUNGKALIT ER +
ANTIGE
N
SUYOKO KOESTARYO
PCR
CORPORA BUANA DR
12/23/2022 - JULIANA ONG PEI I TE REGUL
GRAHA REZKY
ER
SHINTA MUTIARA
ABDUL HALIM
APRIYANTY
ARIFIN
FAHMI APRIANSYAH
CORPORA DR ANTIGE
12/23/2022 - NANTO AGUNG MAHENDRA TE JIHD REZKY N
AHMAD MASKUR
WILLIAM DARMA
CHRISTINA HARAPAN
CORPORA DR ANTIGE
12/23/2022 - TE BAGI REZKY N
CORPORA DR ANTIGE
12/23/2022 - TE IJS REZKY N
NADIA AYU MELISSA
- DR ANTIGE
12/26/2022 - REZKY N
RISNA YULIYANA UMUM
DHIAH OKTAFIANI
CORPORA DR ANTIGE
12/26/2022 - TE JIHD -
REZKY N
AGUNG MUDYA KUSNIGARA
SAHALA DAMEYANTO
SIHOTANG
DR ANTIGE
NURAENIH UMUM
12/27/2022 RIKA N
DR ANTIGE
12/27/2022 ACCESTIA CHRISTY UMUM
YULIA N
DIYANA DR ANTIGE
12/29/2022 - UMUM
REZKY N
PCR
CORPO ARTHA DR REGUL
12/29/2022 NURUL FAIZANI RATE KES REZKY ER
NOPRIANTI
UMI AMANAH
TITIN
SUNINGSIH
DR ANTIGE
12/30/2022 UMUM
AYU ANDIRA RIKA N
ELI SEPTIANI
FUJI FAUJIAH
TETI
ENDANG SULARSIH
CARUDI
CORPO ARTHA DR ANTIGE
NURUL FA'IZANI
RATE KES RIKA N
12/30/2022
VALENNISA ALTARI
DR ANTIGE
12/30/2022 UMUM RIKA N
DR ANTIGE
HERI SETIAWAN
RIKA N
12/30/2022 UMUM
DR ANTIGE
GEBY ROSALINA
RIKA N
12/30/2022 UMUM
DR ANTIGE
MUJIANTO
12/30/2022 UMUM RIKA N
SAEFUL ROHIM
ALFI MUHAMMAD
SANY
CORPO DR ANTIGE
12/30/2022 FJI
RATE RIKA N
HENY WIDODO
DENI HAMDAN
GUSDWIYANOS, SE DR ANTIGE
RIKA N
12/30/2022 UMUM
SC20221
85,000 - - 0 0 85,000 11/1/2022
1-0003
SC20221
85,000 - - 0 0 85,000 11/1/2022
1-0004
75,000 - - 0 0 11/1/2022
75,000 - - 0 0 11/1/2022
75,000 - - 0 0 11/1/2022
75,000 - - 0 0 11/1/2022
150,000 SC20221
1-0006
75,000 - - 0 0 11/1/2022
SC20221
75,000 - - 0 0 75,000 11/1/2022
1-0007
AMOXICI
10 5,810 0
LLIN
SC20221
75,000 107,810 1-0008 11/1/2022
SC20221
75,000 LERZINE 10 8,000 0 107,810 1-0008 11/1/2022
ACETYLSI
10 19,000 0
STEIN
SC20221
0 LAFIPED 20 92,000 0 92,000 1-0009 11/1/2022
OMEPRA
1 39,600
ZOLE INJ
WING
NEEDLE 1 21,120
27
SPUIT 10
1 6,292 SC20221
60,000 CC 30,000 367,932 1-0010 11/1/2022
AQUA
BIDES 1 14,300
OMEPRA
ZOLE 10 7,290
CAPS
IMODIU
M 10 104,330
ASCORBI
CACID 1 0
SPUIT 5 2 0
75,000 CC 0
WING
NEDLE 1 0
NO 27
ASCORBI
CACID 1 0
SPUIT 5 1 0
75,000 CC 0
WING
NEDLE 1 0
NO 27
SC20221
300,000 1-0011 11/2/2022
ASCORBI
CACID 1 0
SPUIT 5 1 0
75,000 CC 0
WING
NEDLE 1 0
NO 27
ASCORBI
CACID 1 0
SPUIT 5
CC 1 0
75,000 0
WING
NEDLE 1 0
NO 27
SC20221
85,000 - - 0 0 85,000 1-0012 11/2/2022
SC20221
75,000 - - 0 0 75,000 1-0015 11/2/2022
75,000 - - 0 0
75,000 - - 0 0
SC20221
300,000 1-0016 11/2/2022
75,000 - - 0 0
75,000 - - 0 0
75,000 - - 0 0 75,000
75,000 - - 0 0 75,000
75,000 - - 0 0 75,000
75,000 - - 0 0 75,000
SC20221
1-0017 11/2/2022
75,000 - - 0 0 75,000
SC20221
11/2/2022
75,000 - - 0 0 75,000 1-0017
75,000 - - 0 0 75,000
75,000 - - 0 0 75,000
75,000 - - 0 0 75,000
75,000 - - 0 0 75,000
75,000 - - 0 0 75,000
ASCORBI
CACID 1
SPUIT 5 1
75,000 CC 0 0 75,000 SC20221 11/2/2022
1-0018
WING
NEDLE 1
NO 27
FARGETI 10 5,600
X
0 30,000 147,410 SC20221 11/2/2022
CEFIXIM 1-0019
10 26,810
E
SC20221
75,000 - - 0 0 75,000 1-0020 11/2/2022
SC20221
75,000 - - 0 0 75,000 1-0023 11/2/2022
SC20221
75,000 - - 0 0 75,000 11/2/2022
1-0024
ASCORBI
CACID 1
SPUIT 5
1
75,000 CC 0 0 75,000 SC20221 11/2/2022
1-0025
WING
NEDLE 1
NO 27
OMEPRA SC20221
0 1 39,600 0 39,600 11/2/2022
ZOLE INJ 1-0026
SC20221
85,000 - - 0 0 85,000 1-0027 11/3/2022
SC20221
85,000 - - 0 0 85,000 11/3/2022
1-0029
SC20221
75,000 - - 0 0 75,000 1-0030 11/3/2022
SC20221
75,000 - - 0 0 75,000 1-0031 11/3/2022
75,000 - - 0 0
75,000 - - 0 0
SC20221
375,000 1-0032 11/3/2022
75,000 - - 0 0
375,000 SC20221 11/3/2022
1-0032
75,000 - - 0 0
75,000 - - 0 0
AMOXICI 10 5,810 0
LLIN TAB SC20221
0 45,140 1-0033 11/3/2022
MEDIXS
10 39,330 0
ON
FARGETI
X TAB 10 5,600
500MG
CEFIXIM
E TAB 10 26,810
100 MG
DEXTAMI 10 25,960
N TAB
SC20221
SALEP 30,000 282,370 11/3/2022
1-0034
GENTAM 1 4,000
ICIN 0,1
CEK
1 30,000
GULA
JS TIN
INSISI 1 75,000
ABSES <3
CM
IMODIU
SC20221
0 M TAB 2 10 110,000 0 110,000 1-0035 11/3/2022
MG
SUMAGE
8 7,770
SIC
CURCUM
10 15,000
A FCT SC20221
75,000 30,000 217,920 11/3/2022
1-0036
SC20221
75,000 30,000 217,920 11/3/2022
ACETYLSI 1-0036
STEINE 10 1,850
SALBUTA
MOL 10 3,300
CIPOLAK
0 SASIN 10 8,220 0 8,220 SC20221 11/3/2022
500 MG 1-0040
ALPARA 10 20,000
OMEPRA
ZOLE 10 20,000
KAPSUl
INJEK
OMEPRA 1 39,600
ZOLE
75,000 10,000 287,880 SC20221 11/3/2022
AQUADE 1-0041
1 14,300
S
WING
NEEDLE 1 21,120
27
SPUIT 5
1 2,860
CC
SUMAGE SC20221
0 SIC 8 6,216 0 56,216 1-0044 11/4/2022
MERSIBI 10 20,000
ON TAB
BENANG
SILK
BRAIDED 1 16,500
2/0
TANPA
JARUM
BENNAG 1 16,500
CUT GUT
SC20221
0 0 133,910 11/4/2022
1-0045
KASA
STERIL 1 910
ONE
MED
JS
TINDAKN 1 100,000
JAHITAN
4 CM
SC20221
320,000 - 0 0 0 1-0047
395,000 11/4/2022
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
450,000 SC20221 11/4/2022
1-0048
SC20221
450,000 11/4/2022
1-0048
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
SC20221
75,000 - 1 0 0 75,000 11/5/2022
1-0056
SC20221
75,000 - 1 0 0 75,000 11/5/2022
1-0057
345,000 345,000 SC20221 11/5/2022
1-0058
SC20221
345,000 345,000 11/5/2022
1-0059
345,000
345,000
HOME SC20221
4 250,000 0 ### 11/5/2022
345,000 CARE 1-0060
345,000
345,000 - 1 0 0 345,000
SC20221 11/5/2022
1-0061
345,000 - 1 0 0 345,000
SC20221
270,000 - 1 0 0 270,000 11/6/2022
1-0062
SC20221
345,000 - 1 0 0 345,000 11/6/2022
1-0063
SC20221
85,000 - 1 0 0 85,000 1-0064 11/7/2022
SC20221
345,000 - 1 0 0 345,000 11/7/2022
1-0065
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0 SC20221
### 1-0066 11/7/2022
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
SC20221
85,000 - 1 0 0 85,000 1-0068 11/7/2022
SC20221
320,000 - 1 0 0 320,000 1-0070 11/7/2022
SC20221
75,000 - 1 0 0 75,000 1-0071 11/7/2022
SC20221
75,000 - 1 0 0 75,000 1-0072 11/7/2022
75,000 - 0 0 0
SC20221
150,000 1-0073 11/7/2022
75,000 - 0 0 0
SC20221
75,000 - 1 0 0 75,000 1-0074 11/7/2022
SC20221
85,000 - 1 0 0 85,000 1-0075 11/7/2022
LANZOPR
0 AZOLE 10 26,000
TAB
DOLO 30,000 171,570 SC20221 11/7/2022
0 NEUROBI 10 22,320 1-0076
ON TAB
DONPERI
0 DONE 10 8,250
SC20221
85,000 - 1 0 0 85,000 1-0077 11/7/2022
SC20221
85,000 - 1 0 0 85,000 1-0079 11/7/2022
SC20221
270,000 - 1 0 0 270,000 1-0080 11/7/2022
75,000 - 0 0
SC20221
85,000 - 0 0 0 85,000 11/8/2022
1-0084
SC20221
85,000 - 0 0 0 85,000 1-0085 11/8/2022
85,000 - 0 0 0
SC20221
355,000 1-0088 11/8/2022
270,000 - 0 0 0
SC20221
85,000 - 0 0 0 85,000 11/8/2022
1-0089
SC20221
85,000 - 0 0 0 85,000 11/8/2022
1-0091
SC20221
85,000 - 0 0 0 85,000 1-0092 11/8/2022
75,000 - 0 0 0
SC20221
345,000 1-0094 11/8/2022
270,000 - 0 0 0
75,000 - 0 0 0
75,000 - 0 0 0
SC20221
75,000 - 0 0 0 300,000 1-0095 11/8/2022
75,000 - 0 0 0
SC20221
85,000 - 0 0 0 85,000 1-0096 11/8/2022
85,000 - 0 0 0
85,000 - 0 0 0
85,000 - 0 0 0
85,000 - 0 0 0
85,000 - 0 0 0
940,000 SC20221 11/8/2022
1-0097
85,000 - 0 0 0
85,000 - 0 0 0
75,000 - 0 0 0
270,000 - 0 0 0
270,000 - 0 0 0
270,000 - 0 0 0
### SC20221 11/8/2022
1-0098
270,000 - 0 0 0
270,000 - 0 0 0
SC20221
320,000 - 0 0 0 320,000 11/8/2022
1-0099
SC20221
75,000 - 0 0 0 75,000 11/8/2022
1-00102
INJEKSI
OMEPRA 1
ZOLE
WING
NEEDLE 1
27 81,312
SPUIT 10 1
CC
AQUABI 1
DES
SC20221
60,000 30,000 290,866 11/8/2022
INJEKSI 1-00103
ONDANS
ENTRON 1
E 25,548
SPUIT 3 1
CC
OMEPRA
ZOLE 10 7,290
TAB
VESPERU 4 1,716
M
METRON
10 6,190
IDAZOLE
SC20221
35,000 10,000 127,380 1-00104 11/9/2022
ASAM
MEFENA 10 6,190
MAT
75,000 0 0 0
75,000 0 0 0
75,000 0 0 0
SC20221
270,000 - 7 0 0 ### 1-00108 12/9/2022
SC20221
75,000 - 9 0 0 675,000 1-00109 12/9/2022
270,000 -
SC20221
2 0 0 540,000 1-00116 11/10/2022
270,000 -
320,000 -
320,000 -
75,000
75,000
75,000
75,000
75,000
SC20221
- 6 0 0 450,000 1-00119 11/10/2022
75,000
75,000
75,000
OMEFRA
ZOLE 20 14,580
TAB
SELESMO 20 16,000
L TAB
FLUMUCI 20 176,000
L TAB 0 332,380 SC20221 11/10/2022
1-00120
RAMVIIT 20 22,000
C
HI D
5000 12 40,800
RHINOFE
D 20 63,000
DEXAME
THASON 10 5,000
E 0,5MG 0 11,216 SC20211- 11/10/2022
00121
SUMAGE
8 6,216
SIC
SC20211-
0 1 75,000 0 75,000 00122 11/11/2022
OMEFRA
ZOLE 10 7,290
TAB
OMEFRA
ZOLE 1 39,600
INJEKSI
SALBU
TAMOL 10 3,300
4MG
NASSAL
60,000 CANUL 1 13,860 310,000 548,622 SC20211- 11/11/2022
DEWASA 00123
SPUIT 10 1 6,292
CC
SPUIT 5 1 2,860
CC
WING
NEDELE 1 21,120
NO 27
AQUADE
S 1 14,300
1 75,000
1 345,000 SC20211-
0 250,000 ### 11/11/2022
00125
1 75,000
1 345,000
1 345,000 345,000
0 SC20211- 11/11/2022
00126
1 75,000 75,000
1 85,000 85,000
1 85,000 85,000
1 85,000 85,000
0
1 85,000 85,000
0
1 85,000 85,000
SC20211-
0 00127 11/11/2022
1 85,000 85,000
1 85,000 85,000
0 1 85,000 85,000
SC20211-
75,000 6 0 450,000 11/11/2022
00128
270,000 1 0 270,000 SC20211- 11/11/2022
00129
SC20211-
345,000 4 0 ### 11/11/2022
00130
SC20211-
345,000 1 0 345,000 00131 11/11/2022
SC20211-
270,000 1 0 270,000 11/12/2022
00134
BIOPLAS SC20211-
35,000 1 19,800 54,800 11/12/2022
ENTON 00135
OMEPRA 1
ZOLE INJ
SPUIT 10
CC 1
81,312
81,312
WING
NEEDLE 1
27
AQUA
1
BIDES
KETOROL SC20211-
60,000 1 10,000 261,086 11/12/2022
AC INJ 00136
8,580
SPUIT
3CC 1
KETOPR
OFEN 10
TAB 7,290
OMEPRA
ZOLE 10 17,550
TAB
BUSCOP 1 6,354
AN PLUS
ASCORBI
75,000 1
CACID
SPUIT 5
1 SC20211-
CC 0 0 75,000 00137 11/13/2022
WING
NEDLE 1
NO 27
SC20211-
85,000 7 0 0 85,000 00139 11/14/2022
270,000 1 270,000 SC20211- 11/14/2022
00140
SC20211-
270,000 2 0 270,000 00142 11/14/2022
CENDO
XITROL 1 68,750
10,000 SELESMO 156,750 SC20211- 11/14/2022
00143
L TAB 10 8,000
500MG
SC20211-
85,000 1 85,000 11/14/2022
00144
DEXTAMI
10 25,960
NE
SPUIT 10
CC 1
WING
NEEDLE 1 SC20211-
250,000 27 250,000 0 250,000 11/15/2022
00159
AQUA 1
BIDES
VIVENA 1
75,000 SPUIT 1
5CC
WING
30,000 NEEDLE 1
27
185,000 0 185,000 SC20211- 11/15/2022
00160
30,000
50,000
SALESM 10 8,000
OL
75,000
75,000
75,000
SC20211-
- 8 0 0 600,000 00165 11/16/2022
75,000
75,000
75,000
75,000
75,000
CEK
GULA
DARAH 1 30,000
SEWAKT
U
HCG(TES
T PACK) 1 25,000
RANITIDI
NE
INJEK+SP 1 4,469
UIT 3 CC
SC20211-
85,000 30,000 369,939 11/16/2022
00166
85,000 LANSOPR 30,000 369,939 SC20211- 11/16/2022
10 14,000 00166
AZOLE
DOMEPE 10 8,250
RIDONE
ALPARA 10 20,000
CIPROFL
10 8,220
OXACINE
JASA
TINDAKA 1 60,000
N INJEKSI
HI D
5000 12 40,500
SC20211-
0 69,500
00171 11/16/2022
PROTAVI
TC 20 29,000
SC20211-
75,000 - 1 0 0 75,000 11/17/2022
00172
SC20211-
85,000 - 1 0 0 85,000 11/17/2022
00173
SC20211-
75,000 - 1 0 0 75,000 00174 11/17/2022
SC20211-
270,000 - 1 0 0 270,000 11/17/2022
00175
85,000 - 1 0 0 85,000 SC20211- 11/17/2022
00176
SC20211-
75,000 - 1 0 0 75,000 11/17/2022
00177
75,000 - 8 0 0
870,000 SC20211- 11/17/2022
00178
270,000 1 0 0
270,000 - 2 0 0 540,000
SC20211-
00179 11/17/2022
SC20211-
11/17/2022
00179
75,000 5 0 0 375,000
SC20211-
320,000 2 0 0 640,000 00180 11/17/2022
SC20211-
75,000 7 0 0 525,000 00181 11/17/2022
75,000 3
225,000
SC20211- 11/17/2022
00182
270,000 1 270,000
SC20211-
75,000 3 225,000 00185 11/17/2022
SC20211-
75,000 4 300,000 11/17/2022
00186
SC20211-
75,000 3 225,000
00187 11/17/2022
SC20211-
320,000 1 320,000 00191 11/18/2022
SC20211-
270,000 3 810,000 00192 11/18/2022
SC20211-
75,000 1 0 0 75,000 0208 11/19/2022
75,000 - 1
0 0 345,000 SC20211- 11/19/2022
0209
270,000 - 1
SC20211-
270,000 - 3 0 0 810,000 0210 11/19/2022
SC20211-
75,000 - 1 0 0 75,000 0211 11/19/2022
SC20211-
270,000 - 1 0 0 270,000 0213 11/20/2022
ALPARA 10 20,000
DEXAME
TASONE 10 5,000
0,5MG SC20211-
- 10,000 141,400 0214 11/21/2022
HI-D
5000 6 20,400
PRITAVIT 10 11,000
SC20211-
270,000 - 1 0 0 270,000 0216 11/21/2022
SC20211-
345,000 - 1 0 0 345,000 0217 11/21/2022
SC20211-
85,000 - 1 0 0 85,000 11/21/2022
0218
SC20211-
75,000 - 12 0 0 900,000 0219 11/21/2022
75,000 1 0 0
SC20211-
345,000
0220 11/21/2022
270,000 1 0 0
SC20211-
75,000 1 0 0 75,000 11/21/2022
0221
SC20211-
75,000 1 0 0 75,000
0223 11/21/2022
75,000 1 0 0
SC20211-
345,000 11/21/2022
0224
270,000 1 0 0
SC20211-
30,000 PRITAVIT 1 11,000 30,000 177,860 0226 11/21/2022
SELESMO
L TAB 1 8,000
OMEPRA 1
ZOLE INJ
SPUIT 10
1
CC
81,312
SUMAGE
SIC 8 7,770
SC20211-
75,000 2 0 0 150,000 0228 11/21/2022
50,000 2 0 0 100,000
SC20211-
0236 11/22/2022
30,000 2 0 0 60,000
SC20211-
75,000 3 0 0 225,000 11/22/2022
0237
SC20211-
85,000 5 425,000 0245 11/23/2022
SC20211-
75,000 5 375,000 11/23/2022
0246
SELESMO
L TAB 10 8,000
AMOXILI 10 5,280
N TAB
SALBUTA
MOL TAB 10 3,300 SC20211-
10,000 227,030 0251 11/23/2022
DEXAME
THASON 10 8,000
E
PRITAVIT
TAB 10 14,450
CURCUM
A 10 15,000
OMEFRA
ZOLE INJ 1 39,600
SPUIT 10
1 6,292
CC
AQUA
1 14,300
BIDES
WING
NEDLE 1 21,120
NO 27
ABOCAT 1 23,100
N0 20
INFUSET
ONE 1 6,500
MED
PEMASA
NGAN 1 100,000
INFUS
SELESMO
L TAB 12 8,000
CRUCUM
A TAB 10 18,000
AMOEFR
AZOLE 10 7,290
CAP
PARACET
AMOL 1 26,000
DRIP
SC20211-
75,000 1 75,000
0253 11/23/2022
SC20211-
11/23/2022
0254
75,000 2 150,000
SC20211-
75,000 1 75,000 11/23/2022
0255
SC20211-
75,000 1 75,000
0257 11/24/2022
SC20211-
85,000 1 85,000
0258 11/24/2022
SC20211-
270,000 1 270,000 11/24/2022
0259
SC20211-
75,000 8 600,000 11/24/2022
0261
SC20211-
75,000 11 825,000 11/24/2022
0262
SC20211-
75,000 4 300,000 11/24/2022
0263
75,000 1 SC20211- 11/24/2022
75,000
0264
SC20211-
75,000 2 150,000
0265 11/24/2022
PCR
REGULER 1 270,000 270,000
ALPARA 10
TAB 2,000 20,000 SC20211-
10,000 11/25/2022
0271
OMEPRA
ZOLE 10
KAP 729 7,290
Hi-D 12
5000 IU 3,375 40,500
10
PRITAVIT 1,443 14,430
1 0 SC20211- 11/25/2022
- 85,000 85,000 0272
SC20211-
0 - 4 75,000 0 300,000 11/25/2022
0273
SELESMO
L TAB 10 8,000
345,000 1 345,000
SC20211-
- 0276 11/26/2022
270,000 1 270,000
SC20211-
75,000 - 1 75,000 11/26/2022
0278
SC20211-
270,000 - 1 270,000 11/27/2022
0279
SC20211-
85,000 - 1 0 0 85,000 0280 11/28/2022
SC20211-
85,000 - 1 0 0 85,000 11/28/2022
0283
SC20211-
85,000 - 1 0 0 85,000 0284 11/28/2022
SC20211-
345,000 - 2 0 0 690,000 0285 11/28/2022
SC20211-
345,000 - 1 0 0 345,000 11/28/2022
0286
ASORBID
ACID 1
SC20211-
270,000 - 1 0 0 270,000 11/28/2022
0290
SC20211-
270,000 - 1 0 0 270,000 0291 11/28/2022
SC20211-
75,000 - 1 75,000 0 75,000 11/28/2022
0292
SC20211-
85,000 - 1 85,000 0 85,000 11/29/2022
0293
SC20211-
345,000 - 1 345,000 0 345,000 11/29/2022
0295
SELESMO
L TAB 10 8,000
NASSAL
CANULE 1 13,680 SC20211-
0 DEWASA 30,000 166,680
0296
P
OXIGEN 1 30,000 11/29/2022
>1 JAM
0 SELESMO 10 8,000
L TAB
SC20211-
30,000 130,290
0297
11/29/2022
SC20211-
OMEFRA 30,000 130,290 0297
ZOLE 10 7,290
TAB
SC20211-
75,000 - 5 375,000 0298 11/29/2022
SC20211-
345,000 - 1 0 345,000 11/29/2022
0299
SC20211-
345,000 - 1 0 345,000 0300 11/29/2022
SC20211-
75,000 1 0 75,000 0301 11/29/2022
SC20211-
75,000 - 1 0 75,000 11/29/2022
0302
SC20211-
75,000 1 0 75,000 11/29/2022
0303
SC20211-
75,000 1 0 75,000 11/29/2022
0304
SC20211-
270,000 3 810,000
0305 11/29/2022
270,000 3 SC20211- 11/29/2022
810,000
0305
SC20211-
85,000 5 0 425,000 11/30/2022
0316
SC20211-
85,000 1 0 85,000 11/30/2022
0317
SC20211-
85,000 1 0 85,000 11/30/2022
0318
SC20211-
75,000 1 0 75,000
0320 11/30/2022
75,000 3
0 SC20211-
495,000 11/30/2022
0321
270,000 1 0
75,000 4
0
SC20211- 11/30/2022
570,000
0322
270,000 1 0
75,000
2
75,000
SC20211-
- 0 0 690,000 0329 12/1/2022
270,000
270,000
75,000 1
- 0 0 345,000 SC20211- 12/1/2022
0330
270,000 1
345,000 - 1 0 0 345,000 SC20211- 12/1/2022
0331
270,000 - 1
0 0 345,000 SC20211- 12/1/2022
0332
75,000 - 1
SC20211-
75,000 - 525,000 0 0 525,000 0334 12/2/2022
SC20211-
320,000 - 1 0 0 320,000 0335 12/2/2022
SC20211-
85,000 - 4 0 0 340,000 0337 12/2/2022
SC20211-
345,000 - 1 0 0 345,000 0338 12/2/2022
SELESMO 10 8,000
L TAB
SC20211-
- OMEFRA 310,000 395,290 0339 12/2/2022
ZOLE 10 7,290
TAB
75,000 1 0 0 75,000
SC20211-
- 0340 12/2/2022
320,000 1 0 0 320,000
SC20211-
85,000 - 1 0 0 85,000 0342 12/2/2022
SC20211-
85,000 - 1 0 0 85,000 12/2/2022
0343
SC20211-
75,000 - 1 0 0 75,000 0344 12/2/2022
SC20211-
75,000 - 1 0 0 75,000 12/2/2022
0345
SC20211-
270,000 - 9 0 0 270,000 12/3/2022
0346
SC20211-
75,000 - 1 0 0 75,000 0347 12/4/2022
270,000 1 270,000
75,000 1 75,000
270,000 1 270,000
75,000 1 75,000
75,000 1 75,000
270,000 1 270,000
75,000 1 75,000
270,000 1 270,000
75,000 1 75,000
75,000 - 1 270,000
SC20211-
0 0 12/4/2022
0347
270,000 1 75,000
SC20211-
75,000 1 0 0 75,000 12/5/2022
0352
SC20211-
75,000 1 0 0 75,000 12/5/2022
0353
SC20211-
270,000 1 0 0 270,000 0354 12/5/2022
OMEPRA 1 39,600
ZOLE INJ
SPUIT 10
1 14,300
CC
WING
NEEDLE 1 6,292
27
AQUA 1 21,120
BIDES
SC20211-
60,000 KETOROL 10,000 89,892 12/5/2022
1 5,720 0357
AC INJ
SPUIT
3CC 1 2,860
OMEPRA
ZOLE 10 7,290
TAB
SALESM
6 4,800
OL TAB
RANITIDI
NE 10 3,630
SC20211-
270,000 - 1 0 0 270,000 0359 12/5/2022
75,000
SC20211-
75,000 - 3 0 0 225,000 0360 12/5/2022
75,000
75,000
- 2 0 0 150,000 SC20211- 12/5/2022
0361
75,000
SC20211-
320,000 - 1 0 0 320,000 0363 12/6/2022
SC20211-
75,000 - 1 0 0 75,000 12/6/2022
0364
SC20211-
270,000 - 1 0 0 270,000 0365 12/6/2022
OMEFRA 1 39,600
ZOLE INJ
SPUIT 10 1 6,292
CC
SPUIT 3 1 2,860
CC
KETROLA
C INJ 1 5,720
SC20211-
60,000 AQUABI 1 14,300 10,000 294,724 12/6/2022
DES 0366
WING
NEDLE 1 21,120
NO 27
BUSCOP
AN PLUS 8 50,832
TAB
LANSOPR 10 14,000
ZOLE
SC20211-
- - 1 - - 270,000 12/7/2022
0368
SC20211-
- - 1 - - 345,000 0369 12/7/2022
SC20211-
- - 2 150,000 0370 12/7/2022
SC20211-
- - 1 - - 270,000 12/7/2022
0371
SC20211-
- - 3 225,000 0372 12/7/2022
LANZOPR
AZOLE 10 14,000
30MG
WING
NEEDLE 1 21,120
NO 27
AQUABI
1 14,300
DEST
PEMASA
NGAN
1 100,000
OKSIGEN
>1 JAM
SC20211-
60,000 SPUIT 10,000 647,900 12/7/2022
1 6,292 0376
10CC
OMEPRA 1 39,600
ZOLE INJ
NASAL
CANULE 1 13,860
DEWASA
NRM 1 107,250
DEWASA
IMODIU
M 2MG 6 62,598
TAB
MOLAGI
10 12,380
T TAB
TINDAKA
1 100,000
N EKG
SC20211-
- - 1 75,000 - 75,000 0378 12/7/2022
SC20211-
-- 1 270,000 - 270,000 12/7/2022
0380
SC20211-
2 85,000 170,000 0382 12/7/2022
OMEPRA
ZOLE 40 1 39,600
MG INJ
WING
60,000 NEEDLE 1 12,870 10,000 198,800 SC20221 12/8/2022
NO 25 2-0001
SPUIT 10
CC 1 6,292
PEMBUL 1 38
ATAN
MOLAKRI
M ZALF 1 19,500
0 30,000 140,690 SC20221 12/8/2022
MEFENA 2-0002
10 6,190
MIC ACID
DEXAME
THASON 1 14,300
INJ
ONDANS
ENTRON 1 22,688
INJ
WING
NEEDLE 1 12,870
NO 25
SPUIT
2 5,720
5CC SC20221
60,000 10,000 251,828 12/8/2022
2-0003
OMEPRA
ZOLE 10 7,290
20MG
TAB
DEXTAMI
NE TAB 10 25,960
CURCUM
A FCT 12 15,000
TAB
SALESM
10 8,000
OL TAB
SC20221
75,000 1 75,000 12/8/2022
2-0004
SC20221
85,000 1 85,000 12/8/2022
2-0005
SC20221
75,000 1 75,000 12/8/2022
2-0007
SC20221
270,000 2 540,000 12/8/2022
2-0008
SC20221
270,000 2 540,000 12/8/2022
2-0008
SC20221
270,000 2 540,000 2-0009 12/8/2022
SC20212-
320,000 - 1 0 0 320,000 0010 12/8/2022
SC20212-
270,000 - 1 0 0 270,000 0011 12/8/2022
SC20212-
85,000 - 1 0 0 85,000 0012 12/9/2022
SC20212-
345,000 - 1 0 0 345,000 0014 12/9/2022
-
SC20212-
270,000 2 0 0 540,000 0015 12/9/2022
SC20212-
75,000 - 1 0 0 75,000 0016 12/9/2022
SC20212-
75,000 - 1 0 0 75,000 12/9/2022
0017
KASA
ROLL 10 1 7,150
CM
ELASTIC SC20212-
75,000 BANDAG 1 92,400 30,000 341,990 12/10/2022
E 10 CM 0018
75,000 30,000 341,990 SC20212- 12/10/2022
0018
KAFLAM
TAB 50 10 52,440
MG
NASAL
CANUL 1 13,860
DEWASA
BENANG
CATGUT 1 16,500
CHROMI
C
PEMASA
NGAN SC20212-
50,000 1 100,000 30,000 356,020 12/10/2022
OKSIGEN 0019
2 JAM
KAFLAM
TAB 50 10 52,440
MG
CIPROPL
OXACIN
TAB 500 10 8,220
MG
PCR SC2012-
270,000 REGULER 9 270,000 ### 0020 12/10/2022
270,000 PCR 1 270,000 270,000 SC2012- 12/10/2022
REGULER 0021
PCR SC2012-
270,000 REGULER 1 270,000 270,000 0022 12/10/2022
PCR SC2012-
270,000 1 270,000 270,000 12/10/2022
REGULER 0023
SC2012-
75,000 - 1 0 0 75,000 12/12/2022
0026
SC2012-
75,000 - 1 0 0 75,000 0029 12/12/2022
SC2012-
345,000 - 1 0 0 345,000 12/12/2022
0030
SC2012-
75,000 - 2 0 0 150,000 12/12/2022
0032
SC2012-
85,000 - 1 0 0 85,000 0033 12/12/2022
SC2012-
345,000 - 1 0 0 345,000 12/12/2022
0034
INJEKSI
OMEPRA 1 39,600
ZOLE
OMEPRA
ZOLE 10 7,290
KAP
MOLAGI 10 12,380
T TAB
SC2012-
10,000 183,842 0036 12/12/2022
SC2012-
SPUIT 10,000 183,842 12/12/2022
1 6,292 0036
10CC
SPUIT 5
CC 1 2,860
AQUADE 1 14,300
S
WING
NEDDLE 1 21,120
27
SC2012-
85,000 - 1 0 0 85,000 0038 12/12/2022
SC2012-
75,000 - 2 0 0 150,000 12/12/2022
0039
SC2012-
85,000 - 1 0 0 85,000 12/13/2022
0042
75,000 - 2 0 0 150,000
SC2012-
12/13/2022
0043
345,000 1 0 0 345,000
SC2012-
75,000 1 0 0 75,000 12/13/2022
0044
SC2012-
75,000 - 1 0 0 75,000 0047 12/13/2022
SC2012-
75,000 4 0 0 300,000 12/13/2022
0048
SC2012-
75,000 - 1 0 0 75,000 0049 12/13/2022
SC2012-
75,000 - 1 0 0 75,000 0050 12/13/2022
SC2012-
345,000 1 0 0 345,000 12/13/2022
0051
SC2012-
320,000 1 0 0 320,000 0053 12/14/2022
SC2012-
85,000 1 0 0 85,000 12/14/2022
0055
270,000 1 0 0
SC2012-
345,000 12/14/2022
0059
75,000 1 0 0
SC2012-
75,000 1 0 0 75,000 0060 12/14/2022
SC2012-
85,000 1 85,000 0062 12/14/2022
SC2012-
85,000 1 85,000 12/14/2022
0063
SC2012-
85,000 1 85,000 0064 12/14/2022
SC2012-
85,000 1 85,000 0066 12/14/2022
SC2012-
85,000 1 85,000 12/14/2022
0069
SC2012-
85,000 1 85,000 12/14/2022
0070
SC2012-
85,000 1 85,000 0071 12/14/2022
SC2012-
85,000 1 85,000 0073 12/14/2022
SC2012-
85,000 6 510,000 12/14/2022
0078
85,000 6 510,000 SC2012- 12/14/2022
0078
INJEKSI
OMEPRA 1 39,600
ZOLE
SPUIT 10 1 6,292
CC
AQUADE
S 1 14,300
WING
NEDDLE 1 21,120
27
NASAL
1 13,860
KANUL
JASA
OKSIGEN 1 JAM 50,000
ABOCAT
NO 22 2 28,600
CURCUM
10 15,000
A TAB
OMEPRA
ZOLE 10 7,290
KAP
SELESMO
L 10 8,000
INJEK
RANITIDI
1 4,469
NE
25MG
NASAL
1 13,860
KANUL
JASA
1 JAM 50,000
OKSIGEN
SPUIT 3
CC 1 2,860
ABBOCA
TH 20 1
23,100
ABBOCA
TH 22 1
14,300 SC2012-
30,000 389,519 0080 12/14/2022
INPUSTI
1 14,300
ON
CAIRAN
1 28,050
NACL
JASA
INJEKSI 1 100,000
IV
SELESMO 10 8,000
L
VESVERU 10 4,290
M
OMEPRA
ZOLE 10 7,290
KAP
HISTIGO 4 4,000
SC2012-
75,000 - 6 450,000 0 0 0084 12/15/2022
PRITAVIT 10 14,500
SC2012-
75,000 - 3 - - 225,000 0087 12/15/2022
SC2012-
75,000 - 5 - - 375,000 0089 12/16/2022
SC2012-
270,000 - 9 - - ### 12/16/2022
0090
SC2012-
270,000 - 9 - - ### 0090 12/16/2022
75,000 1
- - - 395,000 SC2012- 12/16/2022
0091
320,000 1
75,000 1
- - - 395,000 SC2012- 12/16/2022
0092
320,000 1
SC2012-
270,000 - 1 - - 270,000 0093 12/16/2022
SC2012-
345,000 - 1 - - 345,000 12/17/2022
0094
SC2012-
345,000 - 1 - - 345,000 12/17/2022
0095
SC2012-
345,000 - 1 - - 345,000 12/17/2022
0097
345,000 - 1 - - 345,000 SC2012- 12/17/2022
0098
SC2012-
345,000 - 1 - - 345,000 0099 12/17/2022
SC2012-
345,000 - 1 - - 345,000 12/17/2022
0101
SC2012-
345,000 - 1 - - 345,000 12/17/2022
0102
ANTIGEN 1 75,000
MOLAGI 10 12,380
T TAB
ALPARA 10 20,000
TAB SC2012-
10,000 207,610 0103 12/18/2022
OMEPRA
ZOLE 10 12,940
KAP
CEFADR
OXCIL 10 7,290
500 MG
SC2012-
75,000 - 26 - - ### 12/19/2022
0104
- - 4 - - 300,000 SC2012- 12/19/2022
0105
SC2012-
- - 4 - - 300,000 12/19/2022
0105
SC2012-
- - 1 - - 270,000 0106 12/19/2022
- - - - SC2012- 12/19/2022
3 225,000 0109
SC2012-
75,000 - 1 - - 75,000 12/19/2022
0110
SC2012-
150,000 - 2 - - 150,000 12/19/2022
0111
75,000
75,000
75,000
75,000
ANTIGEN 1 85,000
EKG 1 100,000
KAFLAM
10 52,440
50 MG 30,000 385,940 SC2012- 12/21/2022
0124
DILAVASK
10 23,000
5MG
ESTALEX 10 10,500
75,000
75,000
3 0 0 225,000 SC2012- 12/21/2022
0125
75,000
SC2012-
75,000 - 1 0 0 75,000 12/21/2022
0128
SC2012-
270,000 2 0 0 540,000 12/22/2022
0129
SC2012-
85,000 1 0 0 85,000 12/22/2022
0130
SC2012-
85,000 1 0 0 85,000 0131 12/22/2022
ALPARA
15 30,000
TAB
SALESMO
10 8,000
L TAB
HI D 500 6 20,400 SC2012-
75,000 10,000 294,930 12/22/2022
PRITAVIT 0132
C 10 14,500
AZITROM
5 67,030
YCIN
SC2012-
0134
75,000
75,000
345,000
SC2012-
- 6 0 0 990,000 12/22/2022
0136
75,000
345,000
Tindakan 1
Gv Kecil Rp. 35.000
Asamefen 10 SC2012-
amat RP. 619 10,000 152,000 12/23/2022
0137
Cefixime 10 Rp. 2.681
Gentamici 1
ne salf 0,1 Rp. 4.000
SC2012-
4 270,000 ### 12/23/2022
0138
SC2012-
6 75,000 450,000 12/23/2022
0139
SC2012-
1 75,000 12/23/2022
0140
SC2012-
1 75,000 12/23/2022
0141
SC2012- 12/25/2022
1 270,000 270,000 0142
SC2012-
1 85,000 12/26/2022
0143
SC2012- 12/26/2022
1 85,000 0144
SC2012-
1 75,000 12/23/2022
0145
SC2012-
1 85,000 12/26/2022
0146
SC2012-
1 85,000 12/26/2022
0147
SUMAGESI
C 600 mg 8 6,216
SC2012- 12/26/2022
30,000 139,216 0148
CURCUMA
FC 12 18,000
SC202212
75,000 - 5 0 0 375,000 12/26/2022
-0149
SC202212 12/26/2022
75,000 - 5 0 0 375,000 -0149
ANTIGE
1 85,000
N
ALPAR
10 20,000
A
SC202212
ZANTIF 30,000 266,000 -0150 12/27/2022
AR 150 10 31,500
MG
PRITAV
10 14,500
IT
SC202212
85,000 - 2 170,000 0 0 -0151 12/27/2022
SC202212
85,000 1 0 0 85,000 -0158 12/27/2022
SC202212
75,000 1 0 0 75,000 -0158 12/27/2022
SC202212
75,000 - 1 0 0 75,000 -0158 12/27/2022
SC202212
85,000 1 0 0 85,000 -0158 12/27/2022
SC202212
75,000 - 1 0 0 75,000 -0158 12/28/2022
SC202212
75,000 - 1 0 0 75,000 -0158 12/28/2022
SC202212
85,000 - 1 0 0 85,000 -0158 12/29/2022
SC202212
85,000 - 1 0 0 85,000 -0159 12/29/2022
SC202212
270,000 - 1 0 0 270,000 -0160 12/29/2022
OMEPR
10 7,290
AZOLE SC202212
10,000 91,580 -0161 12/30/2022
VESPE
10 4,290
RUM
SC202212
85,000 - 11 0 0 935,000 -0162 12/30/2022
SC2012-
75,000 - 1 0 0 75,000 0163 12/30/2022
SC202212
1 85,000 -0164 12/30/2022
85,000
SC202212
1 85,000 -0165 12/30/2022
85,000 0 0
SC202212
1 85,000 -0166 12/30/2022
85,000
SC202212
1 85,000 -0167 12/30/2022
85,000
SC202212
75,000 4 0 0 300,000 -0168 12/30/2022
SC2012-
345,000 1 0 0 345,000 0169 12/30/2022
SC2012-
1 0170 12/30/2022
75,000 0 0 75,000
SC202212
85,000 - 1 0 0 85,000 -0171 12/30/2022
SC202212
1 -0172 12/30/2022
75,000 0 0 75,000
SC202212
85,000 - 1 0 0 85,000 -0173 12/30/2022
SC202212
1 -0174 12/30/2022
345,000 0 0 345,000
SC202212
1 -0175 12/31/2022
345,000 0 0 345,000
SC202212
1 -0176 12/31/2022
345,000 0 0 345,000
MBAYARAN
CHECK
ER
STAF BY
TYPE TOTAL
ADMIN HESTY
FERA
QRIS 170,000 1
FERA
PEMBULATAN 135000
TAGIHAN
SENTUL 395,000 FERA
R15
PEMBUL
CASH 44,460 FERA ATAN
45000
QRIS 85,000 1
FERA
CASH 270,000
PEMBUL
ATAN
CASH 129,728 NISA
272
85,000 1
QRIS NISA
QRIS NISA
270,000 1
CASH 85,000
CASH 85,000
CASH 85,000
KARISA
QRIS 85,000 1
KARISA
CASH 85,000
QRIS
170,000 1
QRIS
TAGIHAN 525,000
FERA
TAGIHAN 150,000
TAGIHAN 225,000
TAGIHAN 150,000
TAGIHAN
AGP 75,000 NISA
TAGIHAN 345,000 NISA
AGP
TRANSFE
R 345,000 DESI
QRIS 272,662 1
QRIS 272,662 1
1
TAGIHAN 225,000 FERA
TAGIHAN
150,000 DESI
TRANSFE DESI
270,000 1
R
KOBULLA
TAGIHAN 270,000
H
TAGIHAN
JIHD KARISA
TAGIHAN
BAGI 320,000 KARISA
TAGIHAN
ECI 395,290 FERA
KOBULLA
QRIS 75,000 1
H
TAGIHAN
PT
KARYA 225,000 FERA
MINERAL
JAYA
KOBULLA
TAGIHAN 75,000 H
QRIS 345,000 NISA 1
TAGIHAN
75,000 NISA
DHR
TRANSFE
R
294,930 FERA 1
TAGIHA
152,000 BUNGA
N
TAGIHA
75,000 BUNGA
N
TAGIHA
75,000 BUNGA
N
CASH 85,000
BUNGA
TAGIHA
375,000 BUNGA
N
TAGIHA
375,000 BUNGA
N
TAGIHA
150,000 NISA
N
TAGIHA
75,000 DAESI
N
TAGIHA
75,000 BUNGA
N
CASH 85,000 BUNGA
1
QRIS 270,000 BUNGA
TAGIHA
91,580 NISA
N
TAGIHA
345,000 NISA
N
TAGIHA
NISA
N
75,000
QRIS DAESI 1
75,000
TAGIHA
DAESI
N
345,000
TAGIHA
KARISA
N
345,000
CASH KARISA
345,000