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    Feblin Versiliantina
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    The document is a billing report listing items, quantities, billing amounts, cost of goods sold, and discounts for a patient. It includes items billed for room and board, laboratory tests, medications, medical supplies and equipment, medical procedures, and doctor visits. The total billing was Rs. 17,250,000 and the total cost of goods sold was Rs. 7,297,149, resulting in a 57.7% margin for the patient.

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    The document is a billing report listing items, quantities, billing amounts, cost of goods sold, and discounts for a patient. It includes items billed for room and board, laboratory tests, medications, medical supplies and equipment, medical procedures, and doctor visits. The total billing was Rs. 17,250,000 and the total cost of goods sold was Rs. 7,297,149, resulting in a 57.7% margin for the patient.

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    2 views4 pages

    Asuransi VIP

    Uploaded by

    Feblin Versiliantina
    The document is a billing report listing items, quantities, billing amounts, cost of goods sold, and discounts for a patient. It includes items billed for room and board, laboratory tests, medications, medical supplies and equipment, medical procedures, and doctor visits. The total billing was Rs. 17,250,000 and the total cost of goods sold was Rs. 7,297,149, resulting in a 57.7% margin for the patient.

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    of 4

    Rs No RM Nomor RegisNo KwitansiGrup Item Item Qty Billing Cogs Discount

    RSIABPA 6040897 2301140107IP-2692 AdministrasiAdministras 1 35,000 0 0


    Biaya Admin 1 1,000,000 0 0
    Materai 1 10,000 0 0
    Kamar Tind Kamar Opera 1 525,447 0 0
    Laboratoriu Cloting Tim 1 42,000 31,500 0
    Glukosa Sew 1 36,000 34,200 0
    Hematologi 1 128,000 121,600 0
    Urinalisis R 1 48,000 45,600 0
    Waktu Perda 1 50,000 47,500 0
    Obat ABBOCATH 1 7,770 0 0
    ANALTRAM 24 373,224 183,954 0
    APRON FIL 3 17,280 8,191 0
    ASAM TRANE 3 42,624 14,534 0
    Bayi-BETAD 1 13,054 0 0
    Bayi-KASA 1 8,081 0 0
    Bayi-TOPI 1 227,584 0 0
    Bayi-VAKSI 1 1 0 0
    BECOM C T 10 24,860 11,988 0
    BUCAIN SPI 1 93,240 59,520 0
    CEFILA 200 26 1,212,120 624,000 0
    CEFTRIAXO 1 108,780 9,179 0
    CEFXON 1 2 699,300 315,000 0
    DEXAMETHA 2 6,788 4,572 0
    FEEDING T 1 62,160 37,971 0
    FENTANYL 0 1 52,836 34,000 0
    FOLEY CAT 1 32,634 21,888 0
    KASA ROLL 5 14,210 11,091 0
    LABUMIN 5 20 202,020 104,636 0
    LACTAMAM 15 69,930 30,238 0
    LANSOPRAZ 15 19,100 7,210 0
    MASKER DO 7 3,479 2,289 0
    MESH NOM 1 7,650 4,837 0
    METHYLERG 1 5,950 3,188 0
    METOCLOPR 1 10,878 5,621 0
    MISOPROST 3 25,500 12,235 0
    NACL 0.9% 1 11,029 7,538 0
    NAZOVEL S 6 138,468 89,100 0
    NURSE CA 7 3,794 2,663 0
    ONDANSETR 4 104,428 32,208 0
    OPSITE PO 2 139,860 99,681 0
    OPTILENE 3 1 173,384 74,308 0
    OXYLA 10 I 8 149,184 59,500 0
    PARACETAM 1 93,240 18,956 0
    PENA COU 1 49,001 35,481 0
    PLAIN 2-0 1 81,620 54,329 0
    PROMAVIT 20 108,780 61,250 0
    RINGER LA 5 74,316 39,968 0
    SARUNG TA 10 6,860 3,439 0
    SARUNG TA 1 8,364 4,711 0
    SARUNG TA 2 12,388 10,056 0
    SARUNG TA 2 12,432 9,781 0
    SELANG OX 1 8,236 0 0
    SET INFUS 1 5,905 0 0
    SPUIT 1 CC 1 2,458 563 0
    SPUIT 3 CC 4 4,848 2,355 0
    SPUIT 5 CC 4 4,916 2,340 0
    SPUIT 10 C 2 4,896 2,268 0
    T-VIO POL 2 306,000 169,830 0
    TRAMADOL I 3 23,310 11,671 0
    TRIWAY 1 6,216 0 0
    UMBILICAL 1 3,885 1,837 0
    URINE BAG 1 6,682 4,776 0
    Peralatan Oksigen (O2 2 120,000 0 0
    Ruang RawaBayi-Room 2 400,000 0 0
    Room Char 3 1,800,000 0 0
    Tindakan Jasa Assiste 1 120,000 0 0
    Konsultasi D 1 50,000 20,000 0
    Pemakaian 1 10,000 0 0
    Pemasangan 1 70,000 0 0
    Perawat Pen 1 100,000 0 0
    Tindakan OpBEDAH OBGYN 1 1,207,500 724,500 0
    BEDAH OBGYN 1 4,025,000 2,415,000 0
    BEDAH OBGYN 1 2,012,500 1,207,500 0
    Visite Bayi-Visite 1 125,000 75,000 0
    Visite Andy 3 450,000 270,000 0
    Grand Total 269 17,250,000 7,297,149 0
    Margin Pasien
    % Margin Pasien
    35,000 100.00%
    1,000,000 100.00%
    10,000 100.00%
    525,447 100.00%
    10,500 25.00%
    1,800 5.00%
    6,400 5.00%
    2,400 5.00%
    2,500 5.00%
    7,770 100.00%
    189,270 50.71%
    9,089 52.60%
    28,090 65.90%
    13,054 100.00%
    8,081 100.00%
    227,584 100.00%
    1 100.00%
    12,872 51.78%
    33,720 36.16%
    588,120 48.52%
    99,601 91.56%
    384,300 54.95%
    2,216 32.64%
    24,189 38.91%
    18,836 35.65%
    10,746 32.93%
    3,119 21.95%
    97,384 48.20%
    39,692 56.76%
    11,890 62.25%
    1,190 34.21%
    2,813 36.77%
    2,762 46.42%
    5,257 48.32%
    13,265 52.02%
    3,491 31.65%
    49,368 35.65%
    1,131 29.80%
    72,220 69.16%
    40,179 28.73%
    99,076 57.14%
    89,684 60.12%
    74,284 79.67%
    13,520 27.59%
    27,291 33.44%
    47,530 43.69%
    34,348 46.22%
    3,421 49.87%
    3,654 43.68%
    2,332 18.82%
    2,651 21.33%
    8,236 100.00%
    5,905 100.00%
    1,895 77.09%
    2,493 51.43%
    2,576 52.40%
    2,628 53.68%
    136,170 44.50%
    11,639 49.93%
    6,216 100.00%
    2,048 52.71%
    1,906 28.53%
    120,000 100.00%
    400,000 100.00%
    1,800,000 100.00%
    120,000 100.00%
    30,000 60.00%
    10,000 100.00%
    70,000 100.00%
    100,000 100.00%
    483,000 40.00%
    1,610,000 40.00%
    805,000 40.00%
    50,000 40.00%
    180,000 40.00%
    9,952,851 57.70%

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