Scribd Logo
Upload

Welcome to Scribd!

  • Nomor FKTP

    Uploaded by

    Jehan Iskandar
    7 views2 pages
    Uuubbb

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Uuubbb

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views2 pages

    Nomor FKTP

    Uploaded by

    Jehan Iskandar
    Uuubbb

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Nomor FKTP : P1910000052566

    Provider : Warureja
    Bulan Pelayanan : SEPTEMBER 2020
    Pelayanan : Promotif
    Total Data : 25 PESERTA
    Total Tagihan : Rp 500.000,-

    NO NO. KUNJUNGAN NAMA TANGGAL TINDAKAN HASIL TENAGA BIAYA


    MEDIS
    1. 110818010920P000396 ROIDAH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 153 mg/dl Wiji Astuti Rp 20.000,-

    2. 110818010920P000398 DAMIRI 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 363 mg/dl Wiji Astuti Rp 20.000,-

    3. 110818010920P000399 WASMAH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 176 mg/dl Wiji Astuti Rp 20.000,-

    4. 110818010920P000400 SABAR 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 117 mg/dl Wiji Astuti Rp 20.000,-

    5. 110818010920P000401 CARMNI 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 149 mg/dl Wiji Astuti Rp 20.000,-

    6. 110818010920P000403 KASTIYAH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 122 mg/dl Wiji Astuti Rp 20.000,-

    7. 110818010920P000405 ANI ASTUTI 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 174 mg/dl Wiji Astuti Rp 20.000,-

    8. 110818010920P000406 AGUS 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 339 mg/dl Wiji Astuti Rp 20.000,-
    SUTRISNO
    9. 110818010920P000407 SARINAH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 344 mg/dl Wiji Astuti Rp 20.000,-
    10. 110818010920P000408 JUMINAH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 86 mg/dl Wiji Astuti Rp 20.000,-

    11. 110818010920P000410 SAMIH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 226 mg/dl Wiji Astuti Rp 20.000,-

    12. 110818010920P000413 A, soleh 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 432 mg/dl Wiji Astuti Rp 20.000,-

    13. 110818010920P000414 SRIYATIN 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 262 mg/dl Wiji Astuti Rp 20.000,-

    14. 110818010920P000416 ISAROH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 150 mg/dl Wiji Astuti Rp 20.000,-

    15. 110818010920P000417 DAIROH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 88 mg/dl Wiji Astuti Rp 20.000,-

    16. 110818010920P000421 CARINI 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 244 mg/dl Wiji Astuti Rp 20.000,-

    17. 110818010920P000425 SRIYATUN 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 149 mg/dl Wiji Astuti Rp 20.000,-

    18. 110818010920P000426 JAMSARI 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 203 mg/dl Wiji Astuti Rp 20.000,-

    19. 110818010920P000427 DARNISIH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 157 mg/dl Wiji Astuti Rp 20.000,-

    20. 110818010920P000428 ROHANAH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 343 mg/dl Wiji Astuti Rp 20.000,-

    21. 110818010920P000466 KUSMIYATI 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 222 mg/dl Wiji Astuti Rp 20.000,-

    22. 110818010920P000467 ROKHIMAH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 190 mg/dl Wiji Astuti Rp 20.000,-

    23. 110818010920P000470 SUTIARTI 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 281 mg/dl Wiji Astuti Rp 20.000,-

    24. 110818010920P000472 DAMIAH 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 217mg/dl Wiji Astuti Rp 20.000,-

    25. 110818010920P000473 NUROFIQ 11-09-2020 Gula Darah Puasa ( GDP) – PRB/Prolanis 313 mg/dl Wiji Astuti Rp 20.000,-

    You might also like