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DETAILS OF HOSPITAL TREATMENT (COAST)

EKA HOSPITAL MEDICAL CENTER BSD


Periode : 24 February - 1 March 2023

Registration Number 322231212


Patient Name Muhammad Alexander Ellaisi
Birth date 11/03/2001
Main doctor Dr. Abrar arham, Sp.BS
Date of entry 25/02/2023
Room Ruby

Service Date Room Unit Qty Cost

Emergency 25/02/2023 RUBY 5.000.000 IDR 1 5.000.000


Reg-fee

Emergency 25/02/2023 RUBY 1.250.000 IDR 1 1.250.000


treatment

Opration 25/02/2023 RUBY 17.000.000 IDR 1 17.000.000


Kraniotomi
traumatic
Treatment room 25/02/2023 RUBY 550.000 IDR 1 550.000
Treatment 25/02/2023 RUBY 550.000 IDR 1 550.000
room
TOTAL 24.350.000 IDR
Doktor visited

Adi Kurniawan 25/02/2023 RUBY 500.000 IDR 1 500.000


Sp.PD
Abrar arham 25/02/2023 RUBY 450.000 IDR 1 450.000
Sp.BS
Agni anastasya 26/02/2023 RUBY 700.000 IDR 1 700.000
Sp.KK
Akmal alfaritsi 26/02/2023 RUBY 622.000 IDR 1 622.000
Sp.BTKV
Abrar arham 27/02/2023 RUBY 700.000 IDR 1 700.000
Sp.BS
Adi kurniawan 28/02/2023 RUBY 450.000 IDR 1 450.000
Sp.PD
TOTAL 3.422.000
Fishiotheraphy treatment

MODALITAS 25/02/2023 RUBY 1.222.500 IDR 1 1.222.500


USED-1
NEBULIZER+CH 25/02/2023 RUBY 1.500.000 IDR 1 1.500.000
EST
PHSYOTERAPH
Y
MODALITAS 26/02/2023 RUBY 1.222.500 IDR 1 1.222.500
USED -1
MODALITAS 27/02/2023 RUBY 3.000.000 IDR 1 3.000.000
USED -1
NEBULIZER+CH 28/02/2023 RUBY 1.500.000 IDR 1 1.500.000
EST
PHSYOTHERAP
HY
TOTAL 8.445.000

Daily Treatment

NEBULIZER 25/02/2023 RUBY 500.000 IDR 1 500.000


OXYGEN 25/02/2023 RUBY 700.000 IDR 1 700.000
INJECTION 26/02/2023 RUBY 500.000 IDR 1 500.000
VITAMIN
INFUSION 26/08/2023 RUBY 500.000 IDR 2 500.000
TOTAL 3.200.000
Medicine and Medical Device

Medicine and 25/02/2023 RUBY 3.500.000 IDR 1x 3.500.000


medical Action
Recipe 26/02/2023 RUBY 250.000 IDR 2X 500.000
Recipe 27/02/2023 RUBY 250.000 IDR 2X 500.000
Recipe 28/02/2023 RUBY 250.000 IDR 2X 500.000
TOTAL 5.000.000

Hospital Registration and facilities

In patient 28/02/2023 RUBY 5.500.000 IDR 1 5.500.000


administration
fee
TOTAL 5.500.000

THE AMOUNT OF THE BILL 44.917.000 IDR


ADMINISTRASTION 0.00
SERVICE 0.00
MATRIAL 0.00
44.917.000 IDR

DOWN PAYMENT 40.000.000


REPAYMENT 40.000.000 IDR
OTHERS 0.00
REST OF THE BIL 4.917.000 IDR

Tangerang, 1 March 2023

Administration Staff

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