Pendapatan Selisih Paket

RS Indriati Solo Baru
Jl. Palem Raya, Langenharjo

Solo Baru
Phone (0271) - 572 2000
Fax -
LEDGER DETAIL REPORT
RS Indriati Solo Baru
Tanggal : 01-Oct-2022 s/d 31-Oct-2022
Date Journal Code Description Debit Credit

4.1.2.1.02 PENDAPATAN SELISIH PAKET
01-10-2022 INITIAL BALANCE 0.00 0.00
04-10-2022 ACR221004-01869 REG#:REG/OP/221003-0762. PAT#:013934 - KODRAT 0.00 2,327,833.00
SETYANI. ITEM:MCU.000063-PHACO IOL BPJS - OP
package price difference# SU221004-1050
04-10-2022 ACR221004-01881 REG#:REG/OP/221003-0757. PAT#:027412 - SURANI. 0.00 2,327,833.00
ITEM:MCU.000063-PHACO IOL BPJS - OP package price
difference# SU221004-1058
04-10-2022 ACR221004-01888 REG#:REG/OP/221003-0758. PAT#:170001 - TRI 0.00 2,327,833.00
DALIYAH. ITEM:MCU.000063-PHACO IOL BPJS - OP
04-10-2022 ACR221004-01892 REG#:REG/OP/221003-0767. PAT#:140886 - LIES 0.00 2,327,833.00
TJANDRAKUSUMA. ITEM:MCU.000063-PHACO IOL
BPJS - OP package price difference# SU221004-1069
04-10-2022 ACR221004-01897 REG#:REG/OP/221003-0725. PAT#:171096 - SUKISNO. 0.00 2,327,833.00
04-10-2022 ACR221004-03829 REG#:REG/OP/221004-0581. PAT#:170525 - KASDI. 0.00 2,327,833.00
04-10-2022 ACR221004-03840 REG#:REG/OP/221004-0628. PAT#:166556 - SAMINAH. 0.00 2,327,833.00
04-10-2022 ACR221004-03841 REG#:REG/OP/221004-0679. PAT#:170526 - SILVESTER 0.00 2,327,833.00
MANOPPO. ITEM:MCU.000063-PHACO IOL BPJS - OP
04-10-2022 ACR221004-03844 REG#:REG/OP/221004-0685. PAT#:147989 - JUMBADI. 0.00 2,327,833.00

06-10-2022 ACR221006-00886 REG#:REG/OP/221005-0624. PAT#:020603 - SRIMAN 0.00 458,526.00
SRIHARTO WIYONO. ITEM:MCU.000063-PHACO IOL
06-10-2022 ACR221006-00900 REG#:REG/OP/221005-0584. PAT#:171174 - SUKIRNO. 0.00 1,695,848.00
06-10-2022 ACR221006-00917 REG#:REG/OP/221005-0631. PAT#:168766 - MURNIATI. 0.00 1,141,314.00
06-10-2022 ACR221006-00931 REG#:REG/OP/221005-0649. PAT#:171097 - REJEB. 0.00 1,469,029.00
06-10-2022 ACR221006-00948 REG#:REG/OP/221005-0616. PAT#:066897 - SUDWIJO. 0.00 1,178,430.00
06-10-2022 ACR221006-00981 REG#:REG/OP/221005-0667. PAT#:053661 - LUKITO. 0.00 2,349,910.00
06-10-2022 ACR221006-03589 REG#:REG/OP/221006-0230. PAT#:167216 - PARJIYEM. 0.00 2,448,333.00
06-10-2022 ACR221006-03597 REG#:REG/OP/221006-0236. PAT#:171242 - SRIYANI. 0.00 2,448,333.00
06-10-2022 ACR221006-03606 REG#:REG/OP/221006-0333. PAT#:160891 - SUKINEM. 0.00 2,448,333.00
06-10-2022 ACR221006-03609 REG#:REG/OP/221006-0364. PAT#:052989 - TUKARI 0.00 2,448,333.00
PURWANTO. ITEM:MCU.000063-PHACO IOL BPJS - OP
06-10-2022 ACR221006-03615 REG#:REG/OP/221006-0403. PAT#:168276 - SRIYONO 0.00 2,448,333.00
SISWO MULYONO. ITEM:MCU.000063-PHACO IOL BPJS
- OP package price difference# SU221006-1886
06-10-2022 ACR221006-03623 REG#:REG/OP/221006-0416. PAT#:024567 - FAIK M 0.00 2,448,333.00
ALAYDRUS. ITEM:MCU.000063-PHACO IOL BPJS - OP
06-10-2022 ACR221006-03632 REG#:REG/OP/221006-0422. PAT#:032771 - MULYANI. 0.00 2,448,333.00
07-10-2022 ACR221007-03876 REG#:REG/OP/221007-0536. PAT#:122248 - SUGINEM. 0.00 2,448,333.00
07-10-2022 ACR221007-03881 REG#:REG/OP/221007-0530. PAT#:165802 - SRI 0.00 2,448,333.00
SUPARTI. ITEM:MCU.000063-PHACO IOL BPJS - OP
AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1
REG#:REG/OP/221007-0530. PAT#:165802 - SRI
SUPARTI. ITEM:MCU.000063-PHACO IOL BPJS - OP
07-10-2022 ACR221007-03883 REG#:REG/OP/221007-0572. PAT#:171252 - WAGINEM. 0.00 2,448,333.00
07-10-2022 ACR221007-03884 REG#:REG/OP/221007-0662. PAT#:171320 - SUWANTO. 0.00 2,448,333.00
07-10-2022 ACR221007-03885 REG#:REG/OP/221007-0641. PAT#:125906 - SUMARDI. 0.00 2,448,333.00
07-10-2022 ACR221007-04054 REG#:REG/IP/221007-0017. PAT#:171071 - SUKAMTINI. 0.00 6,877,150.00
ITEM:MCU.000051-STAPLER HEMOROID DR. YOSE -
KELAS 3 package price difference# SU221007-1507
10-10-2022 ACR221010-00907 REG#:REG/OP/221010-0174. PAT#:056879 - JIYEM. 0.00 41,000.00

ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package
price difference# SU221010-0394
10-10-2022 ACR221010-01124 REG#:REG/OP/221010-0262. PAT#:100863 - ASIH. 0.00 41,000.00
10-10-2022 ACR221010-01549 REG#:REG/OP/221010-0407. PAT#:041434 - 0.00 41,000.00
SUDARSONO. ITEM:MCU.000062-PRE-OP PHACO IOL
BPJS package price difference# SU221010-0794
10-10-2022 ACR221010-01765 REG#:REG/OP/221010-0400. PAT#:048437 - WARTI. 0.00 41,000.00
10-10-2022 ACR221010-02057 REG#:REG/OP/221010-0384. PAT#:172138 - SRI 0.00 41,000.00
HARYANTO. ITEM:MCU.000062-PRE-OP PHACO IOL
10-10-2022 ACR221010-02848 REG#:REG/OP/221010-0757. PAT#:000012 - STEPHANIE 0.00 41,275.00
HARTONO. ITEM:MCU.000013-MCU BASIC 2022
MULYANI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
10-10-2022 ACR221010-03363 REG#:REG/OP/221010-0897. PAT#:061278 - PANDIMIN 0.00 41,000.00
HADI SUMARNO. ITEM:MCU.000062-PRE-OP PHACO
IOL BPJS package price difference# SU221010-1913
10-10-2022 ACR221010-03590 REG#:REG/OP/221010-0935. PAT#:172194 - SARTO 0.00 41,000.00

SEMITO SARTIYEM. ITEM:MCU.000062-PRE-OP PHACO
10-10-2022 ACR221010-04189 REG#:REG/OP/221010-1054. PAT#:169318 - SEMI. 0.00 41,000.00

10-10-2022 ACR221010-04201 REG#:REG/OP/221010-0809. PAT#:130619 - NANIK 0.00 2,448,333.00
RUSTANTI. ITEM:MCU.000063-PHACO IOL BPJS - OP
10-10-2022 ACR221010-04206 REG#:REG/OP/221010-0720. PAT#:170821 - TRISNO 0.00 2,448,333.00
KLIWON. ITEM:MCU.000063-PHACO IOL BPJS - OP
10-10-2022 ACR221010-04210 REG#:REG/OP/221010-0729. PAT#:163930 - SUWARMI. 0.00 2,448,333.00
10-10-2022 ACR221010-04216 REG#:REG/OP/221010-0664. PAT#:166932 - SUTOPO. 0.00 2,448,333.00
10-10-2022 ACR221010-04219 REG#:REG/OP/221010-0732. PAT#:170735 - MARSO. 0.00 2,448,333.00
10-10-2022 ACR221010-04225 REG#:REG/OP/221010-0739. PAT#:128115 - PARTINI. 0.00 2,448,333.00
11-10-2022 ACR221011-00963 REG#:REG/OP/221011-0205. PAT#:172234 - SUHARNO. 0.00 48,500.00
ITEM:MCU.000030-EKONOMIS C - 22 package price
11-10-2022 ACR221011-01892 REG#:REG/OP/221011-0350. PAT#:171990 - SOKO 0.00 41,000.00
PRAPTO DIHARJO. ITEM:MCU.000062-PRE-OP PHACO
11-10-2022 ACR221011-02158 REG#:REG/OP/221011-0147. PAT#:103947 - HARJANTA. 0.00 41,000.00

11-10-2022 ACR221011-02996 REG#:REG/OP/221011-0305. PAT#:068166 - NGATIMIN 0.00 41,000.00
HARJOSUWITO. ITEM:MCU.000062-PRE-OP PHACO IOL
11-10-2022 ACR221011-03765 REG#:REG/OP/221011-0893. PAT#:021538 - SUPARNI. 0.00 41,000.00

11-10-2022 ACR221011-04043 REG#:REG/OP/221011-0701. PAT#:170509 - SUTARMI. 0.00 2,448,333.00
11-10-2022 ACR221011-04047 REG#:REG/OP/221011-0630. PAT#:171719 - LEGIYEM. 0.00 2,448,333.00

11-10-2022 ACR221011-04048 REG#:REG/OP/221011-0647. PAT#:164977 - TUGINEM. 0.00 2,448,333.00
11-10-2022 ACR221011-04052 REG#:REG/OP/221011-0656. PAT#:168142 - PANIYEM. 0.00 2,448,333.00
11-10-2022 ACR221011-04054 REG#:REG/OP/221011-0661. PAT#:170468 - KASMI. 0.00 2,448,333.00
12-10-2022 ACR221012-00545 REG#:REG/OP/221012-0091. PAT#:172324 - FEBRI ISRA 0.00 48,500.00
HERMANSYAH. ITEM:MCU.000030-EKONOMIS C - 22
12-10-2022 ACR221012-01293 REG#:REG/OP/221012-0196. PAT#:172330 - MURDIYO 0.00 41,000.00
HARJO SUWITO. ITEM:MCU.000062-PRE-OP PHACO
12-10-2022 ACR221012-01484 REG#:REG/OP/221012-0229. PAT#:172334 - SITI 0.00 41,000.00
FATIMAH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
12-10-2022 ACR221012-02350 REG#:REG/OP/221012-0459. PAT#:172348 - HADI 0.00 41,000.00
SLAMET. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
12-10-2022 ACR221012-02573 REG#:REG/OP/221012-0474. PAT#:110321 - MADIMIN 0.00 41,000.00
MARJOKOPUTRO. ITEM:MCU.000062-PRE-OP PHACO
12-10-2022 ACR221012-02584 REG#:REG/OP/221012-0500. PAT#:019802 - SUMINTO. 0.00 41,000.00

12-10-2022 ACR221012-04297 REG#:REG/OP/221012-0607. PAT#:141124 - SUGINEM. 0.00 2,454,983.00
12-10-2022 ACR221012-04298 REG#:REG/OP/221012-0631. PAT#:101550 - SUTARI. 0.00 2,454,983.00
12-10-2022 ACR221012-04303 REG#:REG/OP/221012-0593. PAT#:171587 - KARSIYEM. 0.00 2,454,983.00
12-10-2022 ACR221012-04305 REG#:REG/OP/221012-0619. PAT#:166083 - SUPARDI. 0.00 2,454,983.00
12-10-2022 ACR221012-04307 REG#:REG/OP/221012-0627. PAT#:069810 - SUPONO 0.00 2,454,983.00
WAKIJO. ITEM:MCU.000063-PHACO IOL BPJS - OP
12-10-2022 ACR221012-04310 REG#:REG/OP/221012-0830. PAT#:030565 - NINA 0.00 41,000.00
HARYATI. ITEM:IBS0000003-paket1 package price
12-10-2022 ACR221012-04313 REG#:REG/OP/221012-0912. PAT#:169279 - BARTO 0.00 41,000.00
WIYONO. ITEM:IBS0000003-paket1 package price
12-10-2022 ACR221012-04336 REG#:REG/OP/221012-0535. PAT#:039815 - SUMARJO. 0.00 2,454,983.00
13-10-2022 ACR221013-01313 REG#:REG/OP/221013-0301. PAT#:164943 - WASIYEM. 0.00 41,000.00
13-10-2022 ACR221013-01683 REG#:REG/OP/221013-0374. PAT#:031344 - 0.00 41,000.00
PURNANING. ITEM:MCU.000062-PRE-OP PHACO IOL
13-10-2022 ACR221013-02026 REG#:REG/OP/221013-0442. PAT#:130567 - SRI PUJI 0.00 41,000.00
MULTASIH. ITEM:MCU.000062-PRE-OP PHACO IOL
13-10-2022 ACR221013-02286 REG#:REG/OP/221013-0188. PAT#:172408 - SUMARNO 0.00 41,000.00
DIHARJO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
13-10-2022 ACR221013-02287 REG#:REG/OP/221013-0258. PAT#:172416 - SAMTO 0.00 41,000.00

MULYONO. ITEM:MCU.000062-PRE-OP PHACO IOL
13-10-2022 ACR221013-02460 REG#:REG/OP/221013-0562. PAT#:037703 - MARDI 0.00 41,000.00
SUPADYO. ITEM:MCU.000062-PRE-OP PHACO IOL
13-10-2022 ACR221013-02924 REG#:REG/OP/221013-0548. PAT#:172442 - ATEMO 0.00 41,000.00
SEMITO NGATIMIN. ITEM:MCU.000062-PRE-OP PHACO
13-10-2022 ACR221013-02975 REG#:REG/OP/221013-0530. PAT#:172439 - SISWATI. 0.00 41,000.00

13-10-2022 ACR221013-03397 REG#:REG/OP/221013-0498. PAT#:165341 - DWI 0.00 41,000.00
PARWANTO RAHARJO S. ITEM:MCU.000062-PRE-OP
PHACO IOL BPJS package price difference# SU221013-
1716
13-10-2022 ACR221013-04113 REG#:REG/OP/221013-0881. PAT#:172467 - PAINEM. 0.00 41,000.00
13-10-2022 ACR221013-04175 REG#:REG/OP/221013-0922. PAT#:172474 - TITIEK SRI 0.00 41,000.00
RAHAYU. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS

13-10-2022 ACR221013-04212 REG#:REG/OP/221013-0930. PAT#:169949 - SUMARSI. 0.00 41,000.00
13-10-2022 ACR221013-04246 REG#:REG/OP/221013-0919. PAT#:168279 - SUPARNO. 0.00 41,000.00
13-10-2022 ACR221013-04304 REG#:REG/OP/221013-0136. PAT#:171853 - SRIYONO. 0.00 2,448,333.00
ITEM:ODS.000133-PHACO IOL BPJS - OP package price
13-10-2022 ACR221013-04310 REG#:REG/OP/221013-0502. PAT#:171480 - KARTIPIN. 0.00 2,448,333.00
13-10-2022 ACR221013-04313 REG#:REG/OP/221013-0223. PAT#:168457 - M WAHYU 0.00 2,448,333.00
HIDAYAT. ITEM:ODS.000133-PHACO IOL BPJS - OP
13-10-2022 ACR221013-04318 REG#:REG/OP/221013-0349. PAT#:062312 - TITIK 0.00 2,448,333.00
SOEWARNI. ITEM:ODS.000133-PHACO IOL BPJS - OP
13-10-2022 ACR221013-04322 REG#:REG/OP/221013-0365. PAT#:169318 - SEMI. 0.00 2,448,333.00
RAHAYU. ITEM:ODS.000133-PHACO IOL BPJS - OP
13-10-2022 ACR221013-04326 REG#:REG/OP/221013-0459. PAT#:171734 - SUPATMI. 0.00 2,448,333.00
14-10-2022 ACR221014-01189 REG#:REG/OP/221014-0390. PAT#:040833 - ALANDRIEK 0.00 223,000.00
TJANDRA. ITEM:MCU.000083-INFLUENZA PROMO
14-10-2022 ACR221014-01494 REG#:REG/OP/221014-0455. PAT#:172512 - DZAKIYA 0.00 223,000.00

ALIFAH HUSNA NURALLAM. ITEM:MCU.000083-
INFLUENZA PROMO package price difference#
SU221014-0696
14-10-2022 ACR221014-01608 REG#:REG/OP/221014-0154. PAT#:067802 - 0.00 41,000.00
MUNAWAROH. ITEM:MCU.000062-PRE-OP PHACO IOL
14-10-2022 ACR221014-01690 REG#:REG/OP/221014-0358. PAT#:172503 - PARMI 0.00 41,000.00
CIPTO DIHARJO. ITEM:MCU.000062-PRE-OP PHACO
RODHIYATUN. ITEM:MCU.000062-PRE-OP PHACO IOL
14-10-2022 ACR221014-03097 REG#:REG/OP/221014-0723. PAT#:164633 - SUKARNI. 0.00 41,000.00
14-10-2022 ACR221014-03358 REG#:REG/OP/221003-0770. PAT#:039815 - SUMARJO. 0.00 2,448,333.00
14-10-2022 ACR221014-03363 REG#:REG/OP/221014-0479. PAT#:051972 - PONIYEM. 0.00 2,448,333.00
14-10-2022 ACR221014-03374 REG#:REG/OP/221014-0482. PAT#:043009 - YOHANES 0.00 2,448,333.00
HERMAWAN BUDI SAMBODO. ITEM:ODS.000133-
PHACO IOL BPJS - OP package price difference#
SU221014-1749
14-10-2022 ACR221014-03379 REG#:REG/OP/221014-0517. PAT#:171802 - SUHARTO 0.00 2,448,333.00
HARTO WIYONO. ITEM:ODS.000133-PHACO IOL BPJS -
OP package price difference# SU221014-1752
14-10-2022 ACR221014-03384 REG#:REG/OP/221014-0518. PAT#:140436 - SATIMIN. 0.00 2,448,333.00

14-10-2022 ACR221014-03386 REG#:REG/OP/221014-0525. PAT#:171759 - SUTOPO. 0.00 2,448,333.00
15-10-2022 ACR221015-00663 REG#:REG/OP/221015-0061. PAT#:092451 - DIANATALY 0.00 73,180.00
LIMAWAN. ITEM:MCU.000082-MCU KARYAWAN BCA -
FULLERTON HEALTH (TIRTA) package price difference#
SU221015-0202
15-10-2022 ACR221015-00666 REG#:REG/OP/221015-0062. PAT#:092450 - BENYAMIN 0.00 73,180.00
POERNOMO NUGROHO. ITEM:MCU.000082-MCU
KARYAWAN BCA - FULLERTON HEALTH (TIRTA)
17-10-2022 ACR221017-01867 REG#:REG/OP/221017-0492. PAT#:172702 - SUTOYO 0.00 41,000.00

CIPTO MARTOYO. ITEM:MCU.000062-PRE-OP PHACO
17-10-2022 ACR221017-01903 REG#:REG/OP/221017-0551. PAT#:169653 - BASIRUN. 0.00 41,000.00

17-10-2022 ACR221017-03825 REG#:REG/OP/221017-1012. PAT#:172188 - HUSNI 0.00 41,000.00
TAMRIN. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
17-10-2022 ACR221017-04060 REG#:REG/OP/221017-0700. PAT#:171967 - NGADIYEM. 0.00 2,448,333.00
REG#:REG/OP/221017-0700. PAT#:171967 - NGADIYEM.
17-10-2022 ACR221017-04075 REG#:REG/OP/221017-0709. PAT#:163791 - PARNI. 0.00 2,448,333.00
17-10-2022 ACR221017-04081 REG#:REG/OP/221017-0672. PAT#:160629 - SUTARTO. 0.00 2,448,333.00
17-10-2022 ACR221017-04083 REG#:REG/OP/221017-0682. PAT#:152473 - TIO TJONG 0.00 2,448,333.00
HOUW. ITEM:ODS.000133-PHACO IOL BPJS - OP
17-10-2022 ACR221017-04084 REG#:REG/OP/221017-0717. PAT#:056879 - JIYEM. 0.00 2,448,333.00
18-10-2022 ACR221018-01707 REG#:REG/OP/221018-0189. PAT#:172802 - WIYARTO 0.00 41,000.00
NARNO WIRATMOJO. ITEM:MCU.000062-PRE-OP
PHACO IOL BPJS package price difference# SU221018-
0869
PURWANI. ITEM:MCU.000062-PRE-OP PHACO IOL
18-10-2022 ACR221018-02152 REG#:REG/OP/221018-0490. PAT#:169897 - SADIKEM. 0.00 41,000.00
18-10-2022 ACR221018-03325 REG#:REG/OP/221018-0811. PAT#:172871 - RAJIYEM. 0.00 41,000.00
18-10-2022 ACR221018-03454 REG#:REG/OP/221018-0590. PAT#:172194 - SARTO 0.00 2,448,333.00
SEMITO SARTIYEM. ITEM:ODS.000133-PHACO IOL
18-10-2022 ACR221018-03457 REG#:REG/OP/221018-0573. PAT#:061278 - PANDIMIN 0.00 2,448,333.00
HADI SUMARNO. ITEM:ODS.000133-PHACO IOL BPJS -
19-10-2022 ACR221019-01527 REG#:REG/OP/221019-0140. PAT#:172341 - KANITO. 0.00 41,000.00

19-10-2022 ACR221019-01570 REG#:REG/OP/221019-0317. PAT#:019796 - HARY 0.00 41,000.00
TAMTOMO. ITEM:MCU.000062-PRE-OP PHACO IOL
SABARIAH. ITEM:MCU.000062-PRE-OP PHACO IOL
19-10-2022 ACR221019-01794 REG#:REG/OP/221019-0437. PAT#:172913 - MUJIYATI. 0.00 41,000.00
19-10-2022 ACR221019-03089 REG#:REG/OP/221019-0767. PAT#:169943 - 0.00 41,000.00
SUGIYANTA. ITEM:MCU.000062-PRE-OP PHACO IOL
19-10-2022 ACR221019-03487 REG#:REG/OP/221019-0854. PAT#:169690 - 0.00 41,000.00
MARYAMAH. ITEM:MCU.000062-PRE-OP PHACO IOL
19-10-2022 ACR221019-03524 REG#:REG/OP/221019-0857. PAT#:168957 - SUTARMI. 0.00 41,000.00
19-10-2022 ACR221019-03546 REG#:REG/OP/221019-0594. PAT#:048437 - WARTI. 0.00 2,448,333.00
HARYANTO. ITEM:ODS.000133-PHACO IOL BPJS - OP
19-10-2022 ACR221019-03557 REG#:REG/OP/221019-0622. PAT#:100863 - ASIH. 0.00 2,448,333.00
19-10-2022 ACR221019-03559 REG#:REG/OP/221019-0634. PAT#:041434 - 0.00 2,448,333.00
SUDARSONO. ITEM:ODS.000133-PHACO IOL BPJS - OP
19-10-2022 ACR221019-03578 REG#:REG/OP/221019-0818. PAT#:172956 - SINAH. 0.00 41,000.00
20-10-2022 ACR221020-01187 REG#:REG/OP/221020-0204. PAT#:170171 - WIJI. 0.00 41,000.00
20-10-2022 ACR221020-01527 REG#:REG/OP/221020-0338. PAT#:028952 - SUPATMI. 0.00 41,000.00
20-10-2022 ACR221020-02167 REG#:REG/OP/221020-0419. PAT#:172998 - SUJARMI. 0.00 41,000.00
20-10-2022 ACR221020-02179 REG#:REG/OP/221020-0491. PAT#:169889 - SIE SIAN 0.00 41,000.00
IEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
20-10-2022 ACR221020-03099 REG#:REG/OP/221020-0138. PAT#:030565 - NINA 0.00 2,448,333.00
HARYATI. ITEM:ODS.000133-PHACO IOL BPJS - OP
20-10-2022 ACR221020-03103 REG#:REG/OP/221020-0427. PAT#:021538 - SUPARNI. 0.00 2,448,333.00

20-10-2022 ACR221020-03110 REG#:REG/OP/221020-0434. PAT#:172188 - HUSNI 0.00 2,448,333.00
TAMRIN. ITEM:ODS.000133-PHACO IOL BPJS - OP
20-10-2022 ACR221020-03115 REG#:REG/OP/221020-0442. PAT#:172474 - TITIEK SRI 0.00 2,448,333.00
20-10-2022 ACR221020-03119 REG#:REG/OP/221020-0457. PAT#:169279 - BARTO 0.00 2,448,333.00
WIYONO. ITEM:ODS.000133-PHACO IOL BPJS - OP
20-10-2022 ACR221020-03121 REG#:REG/OP/221020-0432. PAT#:168279 - SUPARNO. 0.00 2,448,333.00
20-10-2022 ACR221020-03122 REG#:REG/OP/221020-0451. PAT#:172467 - PAINEM. 0.00 2,448,333.00
20-10-2022 ACR221020-03127 REG#:REG/OP/221020-0472. PAT#:169949 - SUMARSI. 0.00 2,448,333.00
20-10-2022 ACR221020-03807 REG#:REG/OP/221020-0804. PAT#:170206 - SUPARTI. 0.00 41,000.00
21-10-2022 ACR221021-01658 REG#:REG/OP/221021-0247. PAT#:170104 - HASRI BUDI 0.00 41,000.00
BORANSA. ITEM:MCU.000062-PRE-OP PHACO IOL
21-10-2022 ACR221021-01887 REG#:REG/OP/221021-0400. PAT#:093937 - SUMARAH 0.00 41,000.00
WIDYASTUTI. ITEM:MCU.000062-PRE-OP PHACO IOL
21-10-2022 ACR221021-03498 REG#:REG/OP/221021-0534. PAT#:110321 - MADIMIN 0.00 2,448,333.00

MARJOKOPUTRO. ITEM:ODS.000133-PHACO IOL BPJS
21-10-2022 ACR221021-03501 REG#:REG/OP/221021-0617. PAT#:172348 - HADI 0.00 2,448,333.00
SLAMET. ITEM:ODS.000133-PHACO IOL BPJS - OP
21-10-2022 ACR221021-03502 REG#:REG/OP/221021-0610. PAT#:171990 - SOKO 0.00 2,448,333.00
PRAPTO DIHARJO. ITEM:ODS.000133-PHACO IOL BPJS
21-10-2022 ACR221021-03503 REG#:REG/OP/221021-0593. PAT#:103947 - HARJANTA. 0.00 2,448,333.00
21-10-2022 ACR221021-03504 REG#:REG/OP/221021-0655. PAT#:172334 - SITI 0.00 2,448,333.00
FATIMAH. ITEM:ODS.000133-PHACO IOL BPJS - OP
MULYANINGSIH. ITEM:MCU.000062-PRE-OP PHACO
24-10-2022 ACR221024-01465 REG#:REG/OP/221024-0168. PAT#:026883 - YANTI 0.00 41,000.00
FEFIRA. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
24-10-2022 ACR221024-02702 REG#:REG/OP/221024-0634. PAT#:173232 - SUKARDI. 0.00 41,000.00
24-10-2022 ACR221024-02938 REG#:REG/OP/221024-0448. PAT#:173240 - SINAH. 0.00 41,000.00
24-10-2022 ACR221024-02947 REG#:REG/OP/221024-0652. PAT#:173258 - WASNO. 0.00 41,000.00
24-10-2022 ACR221024-04066 REG#:REG/OP/221024-1045. PAT#:167857 - TEGUH 0.00 41,000.00
RAHAYU. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
24-10-2022 ACR221024-04176 REG#:REG/OP/221024-0717. PAT#:172416 - SAMTO 0.00 2,448,333.00
MULYONO. ITEM:ODS.000133-PHACO IOL BPJS - OP
24-10-2022 ACR221024-04184 REG#:REG/OP/221024-0719. PAT#:031344 - 0.00 2,448,333.00
PURNANING. ITEM:ODS.000133-PHACO IOL BPJS - OP
24-10-2022 ACR221024-04187 REG#:REG/OP/221024-0702. PAT#:019802 - SUMINTO. 0.00 2,448,333.00
24-10-2022 ACR221024-04194 REG#:REG/OP/221024-0739. PAT#:164943 - WASIYEM. 0.00 2,448,333.00
25-10-2022 ACR221025-00611 REG#:REG/OP/221025-0144. PAT#:160636 - ARIEL 0.00 41,850.00
GERSON OKTAVIAN. ITEM:MCU.000027-EKONOMIS A -
22 package price difference# SU221025-0168
25-10-2022 ACR221025-00901 REG#:REG/OP/221025-0306. PAT#:173324 - WASI EDI 0.00 41,275.00
DEWANTO. ITEM:MCU.000013-MCU BASIC 2022
25-10-2022 ACR221025-01220 REG#:REG/OP/221025-0032. PAT#:170646 - HADI 0.00 41,000.00
SUMARTO. ITEM:MCU.000062-PRE-OP PHACO IOL
25-10-2022 ACR221025-02184 REG#:REG/OP/221025-0437. PAT#:158159 - DARMIN 0.00 41,000.00
SISWO SUTOPO. ITEM:MCU.000062-PRE-OP PHACO
25-10-2022 ACR221025-02627 REG#:REG/OP/221025-0612. PAT#:170618 - MARIDI. 0.00 41,000.00

WAHYUNI. ITEM:MCU.000062-PRE-OP PHACO IOL
26-10-2022 ACR221026-01313 REG#:REG/OP/221026-0264. PAT#:165367 - SUHARNI. 0.00 41,000.00
26-10-2022 ACR221026-01645 REG#:REG/OP/221026-0353. PAT#:083715 - MIMIN AP. 0.00 41,000.00
26-10-2022 ACR221026-03290 REG#:REG/OP/221026-0744. PAT#:168265 - SUPIYATI. 0.00 41,000.00
26-10-2022 ACR221026-03753 REG#:REG/OP/221026-0396. PAT#:173417 - 0.00 41,000.00
PUJIANTORO NARSO SULARNO. ITEM:MCU.000062-
PRE-OP PHACO IOL BPJS package price difference#
SU221026-1882
26-10-2022 ACR221026-03778 REG#:REG/OP/221026-0867. PAT#:170796 - SUGINEM. 0.00 41,000.00
26-10-2022 ACR221026-03820 REG#:REG/OP/221026-0871. PAT#:170330 - CH WIEDYA 0.00 41,000.00
HA. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS
26-10-2022 ACR221026-03843 REG#:REG/OP/221026-0869. PAT#:170537 - SADINAH. 0.00 41,000.00
26-10-2022 ACR221026-04045 REG#:REG/OP/221026-0579. PAT#:172408 - SUMARNO 0.00 2,448,333.00
DIHARJO. ITEM:ODS.000133-PHACO IOL BPJS - OP
26-10-2022 ACR221026-04065 REG#:REG/OP/221026-0588. PAT#:172503 - PARMI 0.00 2,448,333.00
CIPTO DIHARJO. ITEM:ODS.000133-PHACO IOL BPJS -
26-10-2022 ACR221026-04068 REG#:REG/OP/221026-0594. PAT#:037703 - MARDI 0.00 2,448,333.00
SUPADYO. ITEM:ODS.000133-PHACO IOL BPJS - OP
26-10-2022 ACR221026-04069 REG#:REG/OP/221026-0613. PAT#:172439 - SISWATI. 0.00 2,448,333.00
26-10-2022 ACR221026-04071 REG#:REG/OP/221026-0635. PAT#:165341 - DWI 0.00 2,448,333.00
PARWANTO RAHARJO S. ITEM:ODS.000133-PHACO
IOL BPJS - OP package price difference# SU221026-2030
26-10-2022 ACR221026-04073 REG#:REG/OP/221026-0622. PAT#:172442 - ATEMO 0.00 2,448,333.00

SEMITO NGATIMIN. ITEM:ODS.000133-PHACO IOL
27-10-2022 ACR221027-01308 REG#:REG/OP/221027-0388. PAT#:173512 - AYESHA 0.00 223,000.00
YUMNA AZZAHRA. ITEM:MCU.000083-INFLUENZA
PROMO package price difference# SU221027-0596
MULYANINGSIH. ITEM:ODS.000133-PHACO IOL BPJS -
27-10-2022 ACR221027-02890 REG#:REG/OP/221027-0273. PAT#:172956 - SINAH. 0.00 2,448,333.00
27-10-2022 ACR221027-02898 REG#:REG/OP/221027-0328. PAT#:170206 - SUPARTI. 0.00 2,448,333.00
27-10-2022 ACR221027-02904 REG#:REG/OP/221027-0382. PAT#:168957 - SUTARMI. 0.00 2,448,333.00
27-10-2022 ACR221027-02915 REG#:REG/OP/221027-0292. PAT#:167857 - TEGUH 0.00 2,448,333.00
27-10-2022 ACR221027-02918 REG#:REG/OP/221027-0363. PAT#:172871 - RAJIYEM. 0.00 2,448,333.00
27-10-2022 ACR221027-02923 REG#:REG/OP/221027-0404. PAT#:169690 - 0.00 2,448,333.00
MARYAMAH. ITEM:ODS.000133-PHACO IOL BPJS - OP
27-10-2022 ACR221027-03479 REG#:REG/OP/221027-0339. PAT#:173507 - WARDI. 0.00 41,000.00
27-10-2022 ACR221027-03669 REG#:REG/OP/221027-0049. PAT#:173484 - 0.00 41,000.00
ISWININGSIH. ITEM:MCU.000062-PRE-OP PHACO IOL
28-10-2022 ACR221028-02376 REG#:REG/OP/221028-0080. PAT#:173574 - 0.00 41,000.00
SUPRIYANTO. ITEM:MCU.000062-PRE-OP PHACO IOL
29-10-2022 ACR221029-00875 REG#:REG/OP/221029-0236. PAT#:140330 - ANINDA 0.00 223,000.00
SEPTIA PUTRI. ITEM:MCU.000083-INFLUENZA PROMO
31-10-2022 ACR221031-01422 REG#:REG/OP/221031-0290. PAT#:171096 - SUKISNO. 0.00 41,000.00
31-10-2022 ACR221031-01652 REG#:REG/OP/221031-0409. PAT#:141013 - DARSI. 0.00 41,000.00
31-10-2022 ACR221031-01729 REG#:REG/OP/221031-0481. PAT#:044099 - MARYONO. 0.00 41,000.00
REG#:REG/OP/221031-0481. PAT#:044099 - MARYONO.
31-10-2022 ACR221031-02530 REG#:REG/OP/221031-0572. PAT#:171088 - YENNI 0.00 41,000.00
TRISNOWATI. ITEM:MCU.000062-PRE-OP PHACO IOL
31-10-2022 ACR221031-03844 REG#:REG/OP/221031-0267. PAT#:106216 - 0.00 41,000.00
PURWANTA. ITEM:MCU.000062-PRE-OP PHACO IOL
31-10-2022 ACR221031-03919 REG#:REG/OP/221031-0668. PAT#:169897 - SADIKEM. 0.00 2,448,333.00
31-10-2022 ACR221031-03979 REG#:REG/OP/221031-0690. PAT#:170278 - SITI 0.00 2,448,333.00
RODHIYATUN. ITEM:ODS.000133-PHACO IOL BPJS -
PURWANI. ITEM:ODS.000133-PHACO IOL BPJS - OP
31-10-2022 ACR221031-03981 REG#:REG/OP/221031-0664. PAT#:172802 - WIYARTO 0.00 2,448,333.00
NARNO WIRATMOJO. ITEM:ODS.000133-PHACO IOL
31-10-2022 ACR221031-03988 REG#:REG/OP/221031-0675. PAT#:172702 - SUTOYO 0.00 2,448,333.00
CIPTO MARTOYO. ITEM:ODS.000133-PHACO IOL BPJS
31-10-2022 ACR221031-03992 REG#:REG/OP/221031-0757. PAT#:169653 - BASIRUN. 0.00 2,448,333.00
0.00 258,766,001.00

Balance
0.00
2,327,833.00
4,655,666.00
6,983,499.00
9,311,332.00
11,639,165.00
13,966,998.00
16,294,831.00
18,622,664.00
20,950,497.00
21,409,023.00
23,104,871.00
24,246,185.00
25,715,214.00
26,893,644.00
29,243,554.00
31,691,887.00
34,140,220.00
36,588,553.00
39,036,886.00
41,485,219.00
43,933,552.00
46,381,885.00
48,830,218.00
51,278,551.00

53,726,884.00
56,175,217.00
58,623,550.00
65,500,700.00
65,541,700.00
65,582,700.00
65,623,700.00
65,664,700.00
65,705,700.00
65,746,975.00
65,787,975.00
65,828,975.00
65,869,975.00
65,910,975.00
68,359,308.00
70,807,641.00
73,255,974.00
75,704,307.00
78,152,640.00
80,600,973.00
80,649,473.00
80,690,473.00
80,731,473.00
80,772,473.00
80,813,473.00
83,261,806.00
85,710,139.00

88,158,472.00
90,606,805.00
93,055,138.00
93,103,638.00
93,144,638.00
93,185,638.00
93,226,638.00
93,267,638.00
93,308,638.00
95,763,621.00
98,218,604.00
100,673,587.00
103,128,570.00
105,583,553.00
105,624,553.00
105,665,553.00
108,120,536.00
108,161,536.00
108,202,536.00
108,243,536.00
108,284,536.00
108,325,536.00
108,366,536.00
108,407,536.00
108,448,536.00
108,489,536.00
108,530,536.00
108,571,536.00

108,612,536.00
108,653,536.00
111,101,869.00
113,550,202.00
115,998,535.00
118,446,868.00
120,895,201.00
123,343,534.00
125,791,867.00
126,014,867.00
126,237,867.00
126,278,867.00
126,319,867.00
126,360,867.00
126,401,867.00
128,850,200.00
131,298,533.00
133,746,866.00
136,195,199.00
138,643,532.00
141,091,865.00
141,165,045.00
141,238,225.00
141,279,225.00
141,320,225.00
141,361,225.00
143,809,558.00

146,257,891.00
148,706,224.00
151,154,557.00
153,602,890.00
153,643,890.00
153,684,890.00
153,725,890.00
153,766,890.00
156,215,223.00
158,663,556.00
158,704,556.00
158,745,556.00
158,786,556.00
158,827,556.00
158,868,556.00
158,909,556.00
158,950,556.00
161,398,889.00
163,847,222.00
166,295,555.00
168,743,888.00
168,784,888.00
168,825,888.00
168,866,888.00
168,907,888.00
168,948,888.00
171,397,221.00
173,845,554.00

176,293,887.00
178,742,220.00
181,190,553.00
183,638,886.00
186,087,219.00
188,535,552.00
188,576,552.00
188,617,552.00
188,658,552.00
191,106,885.00
193,555,218.00
196,003,551.00
198,451,884.00
200,900,217.00
200,941,217.00
200,982,217.00
201,023,217.00
201,064,217.00
201,105,217.00
201,146,217.00
203,594,550.00
206,042,883.00
208,491,216.00
210,939,549.00
210,981,399.00
211,022,674.00
211,063,674.00
211,104,674.00
211,145,674.00

211,186,674.00
211,227,674.00
211,268,674.00
211,309,674.00
211,350,674.00
211,391,674.00
211,432,674.00
211,473,674.00
213,922,007.00
216,370,340.00
218,818,673.00
221,267,006.00
223,715,339.00
226,163,672.00
226,386,672.00
228,835,005.00
231,283,338.00
233,731,671.00
236,180,004.00
238,628,337.00
241,076,670.00
243,525,003.00
243,566,003.00
243,607,003.00
243,648,003.00
243,871,003.00
243,912,003.00
243,953,003.00
243,994,003.00

244,035,003.00
244,076,003.00
246,524,336.00
248,972,669.00
251,421,002.00
253,869,335.00
256,317,668.00
258,766,001.00

Date Journal Code Description Debit Credit Balance
### ACR221004-01869 REG#:REG/OP/221003- 0.00 ### ###
### ACR221004-01881 REG#:REG/OP/221003- 0.00 ### ###
### ACR221004-01888 REG#:REG/OP/221003- 0.00 ### ###
### ACR221004-01892 REG#:REG/OP/221003- 0.00 ### ###
### ACR221004-01897 REG#:REG/OP/221003- 0.00 ### ###
### ACR221004-03829 REG#:REG/OP/221004- 0.00 ### ###
### ACR221004-03840 REG#:REG/OP/221004- 0.00 ### ###
### ACR221004-03841 REG#:REG/OP/221004- 0.00 ### ###
### ACR221004-03844 REG#:REG/OP/221004- 0.00 ### ###
### ACR221006-00886 REG#:REG/OP/221005- 0.00 ### ###
### ACR221006-00900 REG#:REG/OP/221005- 0.00 ### ###
### ACR221006-00917 REG#:REG/OP/221005- 0.00 ### ###
### ACR221006-00931 REG#:REG/OP/221005- 0.00 ### ###
### ACR221006-00948 REG#:REG/OP/221005- 0.00 ### ###
### ACR221006-00981 REG#:REG/OP/221005- 0.00 ### ###
### ACR221006-03589 REG#:REG/OP/221006- 0.00 ### ###
### ACR221006-03597 REG#:REG/OP/221006-0 0.00 ### ###
### ACR221006-03606 REG#:REG/OP/221006- 0.00 ### ###
### ACR221006-03609 REG#:REG/OP/221006- 0.00 ### ###
### ACR221006-03615 REG#:REG/OP/221006- 0.00 ### ###
### ACR221006-03623 REG#:REG/OP/221006- 0.00 ### ###
### ACR221006-03632 REG#:REG/OP/221006- 0.00 ### ###
### ACR221007-03876 REG#:REG/OP/221007- 0.00 ### ###
### ACR221007-03881 REG#:REG/OP/221007-0 0.00 ### ###
### ACR221007-03883 REG#:REG/OP/221007- 0.00 ### ###
### ACR221007-03884 REG#:REG/OP/221007- 0.00 ### ###
### ACR221007-03885 REG#:REG/OP/221007- 0.00 ### ###
### ACR221007-04054 REG#:REG/IP/221007- 0.00 ### ###
### ACR221010-00907 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-01124 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-01549 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-01765 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-02057 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-02848 REG#:REG/OP/221010- 0.00 41,275.00 ###
### ACR221010-02885 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-03363 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-03590 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-04189 REG#:REG/OP/221010- 0.00 41,000.00 ###
### ACR221010-04201 REG#:REG/OP/221010- 0.00 ### ###
### ACR221010-04206 REG#:REG/OP/221010- 0.00 ### ###
### ACR221010-04210 REG#:REG/OP/221010- 0.00 ### ###
### ACR221010-04216 REG#:REG/OP/221010- 0.00 ### ###
### ACR221010-04219 REG#:REG/OP/221010- 0.00 ### ###
### ACR221010-04225 REG#:REG/OP/221010- 0.00 ### ###
### ACR221011-00963 REG#:REG/OP/221011- 0.00 48,500.00 ###
### ACR221011-01892 REG#:REG/OP/221011- 0.00 41,000.00 ###
### ACR221011-02158 REG#:REG/OP/221011- 0.00 41,000.00 ###
### ACR221011-02996 REG#:REG/OP/221011- 0.00 41,000.00 ###
### ACR221011-03765 REG#:REG/OP/221011- 0.00 41,000.00 ###
### ACR221011-04043 REG#:REG/OP/221011- 0.00 ### ###
### ACR221011-04047 REG#:REG/OP/221011- 0.00 ### ###
### ACR221011-04048 REG#:REG/OP/221011- 0.00 ### ###
### ACR221011-04052 REG#:REG/OP/221011- 0.00 ### ###
### ACR221011-04054 REG#:REG/OP/221011- 0.00 ### ###
### ACR221012-00545 REG#:REG/OP/221012- 0.00 48,500.00 ###
### ACR221012-01293 REG#:REG/OP/221012- 0.00 41,000.00 ###
### ACR221012-01484 REG#:REG/OP/221012- 0.00 41,000.00 ###
### ACR221012-02350 REG#:REG/OP/221012- 0.00 41,000.00 ###
### ACR221012-02573 REG#:REG/OP/221012- 0.00 41,000.00 ###
### ACR221012-02584 REG#:REG/OP/221012- 0.00 41,000.00 ###
### ACR221012-04297 REG#:REG/OP/221012- 0.00 ### ###
### ACR221012-04298 REG#:REG/OP/221012- 0.00 ### ###
### ACR221012-04303 REG#:REG/OP/221012- 0.00 ### ###
### ACR221012-04305 REG#:REG/OP/221012- 0.00 ### ###
### ACR221012-04307 REG#:REG/OP/221012- 0.00 ### ###
### ACR221012-04310 REG#:REG/OP/221012- 0.00 41,000.00 ###
### ACR221012-04313 REG#:REG/OP/221012- 0.00 41,000.00 ###
### ACR221012-04336 REG#:REG/OP/221012- 0.00 ### ###
### ACR221013-01313 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-01683 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-02026 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-02286 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-02287 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-02460 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-02924 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-02975 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-03397 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-04113 REG#:REG/OP/221013- 0.00 41,000.00 ###
### ACR221013-04175 REG#:REG/OP/221013- 0.00 41,000.00 ###
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### ACR221020-02179 REG#:REG/OP/221020- 0.00 41,000.00 ###
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Date Journal Code
04-10-2022 ACR221004-01869
04-10-2022 ACR221004-01881
04-10-2022 ACR221004-01888
04-10-2022 ACR221004-01892
04-10-2022 ACR221004-01897
04-10-2022 ACR221004-03829
04-10-2022 ACR221004-03840
04-10-2022 ACR221004-03841
04-10-2022 ACR221004-03844
06-10-2022 ACR221006-00886
06-10-2022 ACR221006-00900
06-10-2022 ACR221006-00917
06-10-2022 ACR221006-00931
06-10-2022 ACR221006-00948
06-10-2022 ACR221006-00981
06-10-2022 ACR221006-03589
06-10-2022 ACR221006-03597
06-10-2022 ACR221006-03606
06-10-2022 ACR221006-03609
06-10-2022 ACR221006-03615
06-10-2022 ACR221006-03623
06-10-2022 ACR221006-03632
07-10-2022 ACR221007-03876
07-10-2022 ACR221007-03881
07-10-2022 ACR221007-03883
07-10-2022 ACR221007-03884
07-10-2022 ACR221007-03885
07-10-2022 ACR221007-04054
10-10-2022 ACR221010-00907
10-10-2022 ACR221010-01124
10-10-2022 ACR221010-01549
10-10-2022 ACR221010-01765
10-10-2022 ACR221010-02057
10-10-2022 ACR221010-02848
10-10-2022 ACR221010-02885
10-10-2022 ACR221010-03363
10-10-2022 ACR221010-03590
10-10-2022 ACR221010-04189
10-10-2022 ACR221010-04201
10-10-2022 ACR221010-04206
10-10-2022 ACR221010-04210
10-10-2022 ACR221010-04216
10-10-2022 ACR221010-04219
10-10-2022 ACR221010-04225
11-10-2022 ACR221011-00963
11-10-2022 ACR221011-01892
11-10-2022 ACR221011-02158
11-10-2022 ACR221011-02996
11-10-2022 ACR221011-03765
11-10-2022 ACR221011-04043
11-10-2022 ACR221011-04047
11-10-2022 ACR221011-04048
11-10-2022 ACR221011-04052
11-10-2022 ACR221011-04054
12-10-2022 ACR221012-00545
12-10-2022 ACR221012-01293
12-10-2022 ACR221012-01484
12-10-2022 ACR221012-02350
12-10-2022 ACR221012-02573
12-10-2022 ACR221012-02584
12-10-2022 ACR221012-04297
12-10-2022 ACR221012-04298
12-10-2022 ACR221012-04303
12-10-2022 ACR221012-04305
12-10-2022 ACR221012-04307
12-10-2022 ACR221012-04310
12-10-2022 ACR221012-04313
12-10-2022 ACR221012-04336
13-10-2022 ACR221013-01313
13-10-2022 ACR221013-01683
13-10-2022 ACR221013-02026
13-10-2022 ACR221013-02286
13-10-2022 ACR221013-02287
13-10-2022 ACR221013-02460
13-10-2022 ACR221013-02924
13-10-2022 ACR221013-02975
13-10-2022 ACR221013-03397
13-10-2022 ACR221013-04113
13-10-2022 ACR221013-04175
13-10-2022 ACR221013-04212
13-10-2022 ACR221013-04246
13-10-2022 ACR221013-04304
13-10-2022 ACR221013-04310
13-10-2022 ACR221013-04313
13-10-2022 ACR221013-04318
13-10-2022 ACR221013-04322
13-10-2022 ACR221013-04324
13-10-2022 ACR221013-04326
14-10-2022 ACR221014-01189
14-10-2022 ACR221014-01494
14-10-2022 ACR221014-01608
14-10-2022 ACR221014-01690
14-10-2022 ACR221014-01919
14-10-2022 ACR221014-03097
14-10-2022 ACR221014-03358
14-10-2022 ACR221014-03363
14-10-2022 ACR221014-03374
14-10-2022 ACR221014-03379
14-10-2022 ACR221014-03384
14-10-2022 ACR221014-03386
15-10-2022 ACR221015-00663
15-10-2022 ACR221015-00666
17-10-2022 ACR221017-01867
17-10-2022 ACR221017-01903
17-10-2022 ACR221017-03825
17-10-2022 ACR221017-04060
17-10-2022 ACR221017-04075
17-10-2022 ACR221017-04081
17-10-2022 ACR221017-04083
17-10-2022 ACR221017-04084
18-10-2022 ACR221018-01707
18-10-2022 ACR221018-01834
18-10-2022 ACR221018-02152
18-10-2022 ACR221018-03325
18-10-2022 ACR221018-03454
18-10-2022 ACR221018-03457
19-10-2022 ACR221019-01527
19-10-2022 ACR221019-01570
19-10-2022 ACR221019-01700
19-10-2022 ACR221019-01794
19-10-2022 ACR221019-03089
19-10-2022 ACR221019-03487
19-10-2022 ACR221019-03524
19-10-2022 ACR221019-03546
19-10-2022 ACR221019-03552
19-10-2022 ACR221019-03557
19-10-2022 ACR221019-03559
19-10-2022 ACR221019-03578
20-10-2022 ACR221020-01187
20-10-2022 ACR221020-01527
20-10-2022 ACR221020-02167
20-10-2022 ACR221020-02179
20-10-2022 ACR221020-03099
20-10-2022 ACR221020-03103
20-10-2022 ACR221020-03110
20-10-2022 ACR221020-03115
20-10-2022 ACR221020-03119
20-10-2022 ACR221020-03121
20-10-2022 ACR221020-03122
20-10-2022 ACR221020-03127
20-10-2022 ACR221020-03807
21-10-2022 ACR221021-01658
21-10-2022 ACR221021-01887
21-10-2022 ACR221021-03498
21-10-2022 ACR221021-03501
21-10-2022 ACR221021-03502
21-10-2022 ACR221021-03503
21-10-2022 ACR221021-03504
22-10-2022 ACR221022-01986
24-10-2022 ACR221024-01465
24-10-2022 ACR221024-02702
24-10-2022 ACR221024-02938
24-10-2022 ACR221024-02947
24-10-2022 ACR221024-04066
24-10-2022 ACR221024-04176
24-10-2022 ACR221024-04184
24-10-2022 ACR221024-04187
24-10-2022 ACR221024-04194
25-10-2022 ACR221025-00611
25-10-2022 ACR221025-00901
25-10-2022 ACR221025-01220
25-10-2022 ACR221025-02184
25-10-2022 ACR221025-02627
25-10-2022 ACR221025-03730
26-10-2022 ACR221026-01313
26-10-2022 ACR221026-01645
26-10-2022 ACR221026-03290
26-10-2022 ACR221026-03753
26-10-2022 ACR221026-03778
26-10-2022 ACR221026-03820
26-10-2022 ACR221026-03843
26-10-2022 ACR221026-04045
26-10-2022 ACR221026-04065
26-10-2022 ACR221026-04068
26-10-2022 ACR221026-04069
26-10-2022 ACR221026-04071
26-10-2022 ACR221026-04073
27-10-2022 ACR221027-01308
27-10-2022 ACR221027-02885
27-10-2022 ACR221027-02890
27-10-2022 ACR221027-02898
27-10-2022 ACR221027-02904
27-10-2022 ACR221027-02915
27-10-2022 ACR221027-02918
27-10-2022 ACR221027-02923
27-10-2022 ACR221027-03479
27-10-2022 ACR221027-03669
28-10-2022 ACR221028-02376
29-10-2022 ACR221029-00875
31-10-2022 ACR221031-01422
31-10-2022 ACR221031-01652
31-10-2022 ACR221031-01729
31-10-2022 ACR221031-02530
31-10-2022 ACR221031-03844
31-10-2022 ACR221031-03919
31-10-2022 ACR221031-03979
31-10-2022 ACR221031-03980
31-10-2022 ACR221031-03981
31-10-2022 ACR221031-03988
31-10-2022 ACR221031-03992
Description
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REG#:REG/OP/221003-0757. PAT#:027412 - SURANI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU22
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REG#:REG/OP/221003-0767. PAT#:140886 - LIES TJANDRAKUSUMA. ITEM:MCU.000063-PHACO IOL BPJS - OP package price d
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REG#:REG/OP/221004-0581. PAT#:170525 - KASDI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU221
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REG#:REG/OP/221004-0679. PAT#:170526 - SILVESTER MANOPPO. ITEM:MCU.000063-PHACO IOL BPJS - OP package price diff
REG#:REG/OP/221004-0685. PAT#:147989 - JUMBADI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221005-0624. PAT#:020603 - SRIMAN SRIHARTO WIYONO. ITEM:MCU.000063-PHACO IOL BPJS - OP package p
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REG#:REG/OP/221005-0631. PAT#:168766 - MURNIATI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221005-0649. PAT#:171097 - REJEB. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU221
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REG#:REG/OP/221005-0667. PAT#:053661 - LUKITO. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU22
REG#:REG/OP/221006-0230. PAT#:167216 - PARJIYEM. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
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REG#:REG/OP/221006-0364. PAT#:052989 - TUKARI PURWANTO. ITEM:MCU.000063-PHACO IOL BPJS - OP package price diffe
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REG#:REG/OP/221006-0416. PAT#:024567 - FAIK M ALAYDRUS. ITEM:MCU.000063-PHACO IOL BPJS - OP package price differe
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REG#:REG/OP/221007-0536. PAT#:122248 - SUGINEM. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
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REG#:REG/OP/221007-0641. PAT#:125906 - SUMARDI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/IP/221007-0017. PAT#:171071 - SUKAMTINI. ITEM:MCU.000051-STAPLER HEMOROID DR. YOSE - KELAS 3 package
REG#:REG/OP/221010-0174. PAT#:056879 - JIYEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU
REG#:REG/OP/221010-0262. PAT#:100863 - ASIH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU2
REG#:REG/OP/221010-0407. PAT#:041434 - SUDARSONO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221010-0400. PAT#:048437 - WARTI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU
REG#:REG/OP/221010-0384. PAT#:172138 - SRI HARYANTO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differe
REG#:REG/OP/221010-0757. PAT#:000012 - STEPHANIE HARTONO. ITEM:MCU.000013-MCU BASIC 2022 package price differe
REG#:REG/OP/221010-0533. PAT#:041696 - SRI MULYANI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221010-0897. PAT#:061278 - PANDIMIN HADI SUMARNO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package
REG#:REG/OP/221010-0935. PAT#:172194 - SARTO SEMITO SARTIYEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package p
REG#:REG/OP/221010-1054. PAT#:169318 - SEMI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU2
REG#:REG/OP/221010-0809. PAT#:130619 - NANIK RUSTANTI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price differen
REG#:REG/OP/221010-0720. PAT#:170821 - TRISNO KLIWON. ITEM:MCU.000063-PHACO IOL BPJS - OP package price differen
REG#:REG/OP/221010-0729. PAT#:163930 - SUWARMI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221010-0664. PAT#:166932 - SUTOPO. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221010-0732. PAT#:170735 - MARSO. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU22
REG#:REG/OP/221010-0739. PAT#:128115 - PARTINI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221011-0205. PAT#:172234 - SUHARNO. ITEM:MCU.000030-EKONOMIS C - 22 package price difference# SU22
REG#:REG/OP/221011-0350. PAT#:171990 - SOKO PRAPTO DIHARJO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package pri
REG#:REG/OP/221011-0147. PAT#:103947 - HARJANTA. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference
REG#:REG/OP/221011-0305. PAT#:068166 - NGATIMIN HARJOSUWITO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package
REG#:REG/OP/221011-0893. PAT#:021538 - SUPARNI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221011-0701. PAT#:170509 - SUTARMI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221011-0630. PAT#:171719 - LEGIYEM. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221011-0647. PAT#:164977 - TUGINEM. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221011-0656. PAT#:168142 - PANIYEM. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221011-0661. PAT#:170468 - KASMI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU221
REG#:REG/OP/221012-0091. PAT#:172324 - FEBRI ISRA HERMANSYAH. ITEM:MCU.000030-EKONOMIS C - 22 package price di
REG#:REG/OP/221012-0196. PAT#:172330 - MURDIYO HARJO SUWITO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package
REG#:REG/OP/221012-0229. PAT#:172334 - SITI FATIMAH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221012-0459. PAT#:172348 - HADI SLAMET. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221012-0474. PAT#:110321 - MADIMIN MARJOKOPUTRO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package
REG#:REG/OP/221012-0500. PAT#:019802 - SUMINTO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221012-0607. PAT#:141124 - SUGINEM. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221012-0631. PAT#:101550 - SUTARI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU22
REG#:REG/OP/221012-0593. PAT#:171587 - KARSIYEM. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221012-0619. PAT#:166083 - SUPARDI. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221012-0627. PAT#:069810 - SUPONO WAKIJO. ITEM:MCU.000063-PHACO IOL BPJS - OP package price differe
REG#:REG/OP/221012-0830. PAT#:030565 - NINA HARYATI. ITEM:IBS0000003-paket1 package price difference# SU221012-20
REG#:REG/OP/221012-0912. PAT#:169279 - BARTO WIYONO. ITEM:IBS0000003-paket1 package price difference# SU221012-
REG#:REG/OP/221012-0535. PAT#:039815 - SUMARJO. ITEM:MCU.000063-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221013-0301. PAT#:164943 - WASIYEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221013-0374. PAT#:031344 - PURNANING. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differenc
REG#:REG/OP/221013-0442. PAT#:130567 - SRI PUJI MULTASIH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price di
REG#:REG/OP/221013-0188. PAT#:172408 - SUMARNO DIHARJO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price d
REG#:REG/OP/221013-0258. PAT#:172416 - SAMTO MULYONO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price di
REG#:REG/OP/221013-0562. PAT#:037703 - MARDI SUPADYO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price diff
REG#:REG/OP/221013-0548. PAT#:172442 - ATEMO SEMITO NGATIMIN. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package
REG#:REG/OP/221013-0530. PAT#:172439 - SISWATI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# S
REG#:REG/OP/221013-0498. PAT#:165341 - DWI PARWANTO RAHARJO S. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS packag
REG#:REG/OP/221013-0881. PAT#:172467 - PAINEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# S
REG#:REG/OP/221013-0922. PAT#:172474 - TITIEK SRI RAHAYU. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price di
REG#:REG/OP/221013-0930. PAT#:169949 - SUMARSI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221013-0919. PAT#:168279 - SUPARNO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221013-0136. PAT#:171853 - SRIYONO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221013-0502. PAT#:171480 - KARTIPIN. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221013-0223. PAT#:168457 - M WAHYU HIDAYAT. ITEM:ODS.000133-PHACO IOL BPJS - OP package price diffe
REG#:REG/OP/221013-0349. PAT#:062312 - TITIK SOEWARNI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differenc
REG#:REG/OP/221013-0365. PAT#:169318 - SEMI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2210
REG#:REG/OP/221013-0495. PAT#:094922 - SRI RAHAYU. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# S
REG#:REG/OP/221013-0459. PAT#:171734 - SUPATMI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221014-0390. PAT#:040833 - ALANDRIEK TJANDRA. ITEM:MCU.000083-INFLUENZA PROMO package price diffe
REG#:REG/OP/221014-0455. PAT#:172512 - DZAKIYA ALIFAH HUSNA NURALLAM. ITEM:MCU.000083-INFLUENZA PROMO pac
REG#:REG/OP/221014-0154. PAT#:067802 - MUNAWAROH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differe
REG#:REG/OP/221014-0358. PAT#:172503 - PARMI CIPTO DIHARJO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package pric
REG#:REG/OP/221014-0396. PAT#:170278 - SITI RODHIYATUN. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price diff
REG#:REG/OP/221014-0723. PAT#:164633 - SUKARNI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221003-0770. PAT#:039815 - SUMARJO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221014-0479. PAT#:051972 - PONIYEM. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221014-0482. PAT#:043009 - YOHANES HERMAWAN BUDI SAMBODO. ITEM:ODS.000133-PHACO IOL BPJS - OP
REG#:REG/OP/221014-0517. PAT#:171802 - SUHARTO HARTO WIYONO. ITEM:ODS.000133-PHACO IOL BPJS - OP package pric
REG#:REG/OP/221014-0518. PAT#:140436 - SATIMIN. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221014-0525. PAT#:171759 - SUTOPO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU22
REG#:REG/OP/221015-0061. PAT#:092451 - DIANATALY LIMAWAN. ITEM:MCU.000082-MCU KARYAWAN BCA - FULLERTON H
REG#:REG/OP/221015-0062. PAT#:092450 - BENYAMIN POERNOMO NUGROHO. ITEM:MCU.000082-MCU KARYAWAN BCA - F
REG#:REG/OP/221017-0492. PAT#:172702 - SUTOYO CIPTO MARTOYO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package p
REG#:REG/OP/221017-0551. PAT#:169653 - BASIRUN. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221017-1012. PAT#:172188 - HUSNI TAMRIN. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differ
REG#:REG/OP/221017-0700. PAT#:171967 - NGADIYEM. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221017-0709. PAT#:163791 - PARNI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU221
REG#:REG/OP/221017-0672. PAT#:160629 - SUTARTO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221017-0682. PAT#:152473 - TIO TJONG HOUW. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differe
REG#:REG/OP/221017-0717. PAT#:056879 - JIYEM. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2210
REG#:REG/OP/221018-0189. PAT#:172802 - WIYARTO NARNO WIRATMOJO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS pack
REG#:REG/OP/221018-0441. PAT#:019692 - SRI PURWANI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221018-0490. PAT#:169897 - SADIKEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221018-0811. PAT#:172871 - RAJIYEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221018-0590. PAT#:172194 - SARTO SEMITO SARTIYEM. ITEM:ODS.000133-PHACO IOL BPJS - OP package price
REG#:REG/OP/221018-0573. PAT#:061278 - PANDIMIN HADI SUMARNO. ITEM:ODS.000133-PHACO IOL BPJS - OP package pri
REG#:REG/OP/221019-0140. PAT#:172341 - KANITO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# S
REG#:REG/OP/221019-0317. PAT#:019796 - HARY TAMTOMO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price diff
REG#:REG/OP/221019-0404. PAT#:169474 - SITI SABARIAH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differe
REG#:REG/OP/221019-0437. PAT#:172913 - MUJIYATI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221019-0767. PAT#:169943 - SUGIYANTA. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differenc
REG#:REG/OP/221019-0854. PAT#:169690 - MARYAMAH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differenc
REG#:REG/OP/221019-0857. PAT#:168957 - SUTARMI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221019-0594. PAT#:048437 - WARTI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU221
REG#:REG/OP/221019-0627. PAT#:172138 - SRI HARYANTO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference
REG#:REG/OP/221019-0622. PAT#:100863 - ASIH. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU22101
REG#:REG/OP/221019-0634. PAT#:041434 - SUDARSONO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference#
REG#:REG/OP/221019-0818. PAT#:172956 - SINAH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU
REG#:REG/OP/221020-0204. PAT#:170171 - WIJI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU22
REG#:REG/OP/221020-0338. PAT#:028952 - SUPATMI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221020-0419. PAT#:172998 - SUJARMI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221020-0491. PAT#:169889 - SIE SIAN IEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221020-0138. PAT#:030565 - NINA HARYATI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference
REG#:REG/OP/221020-0427. PAT#:021538 - SUPARNI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221020-0434. PAT#:172188 - HUSNI TAMRIN. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference
REG#:REG/OP/221020-0442. PAT#:172474 - TITIEK SRI RAHAYU. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differe
REG#:REG/OP/221020-0457. PAT#:169279 - BARTO WIYONO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differenc
REG#:REG/OP/221020-0432. PAT#:168279 - SUPARNO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221020-0451. PAT#:172467 - PAINEM. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU22
REG#:REG/OP/221020-0472. PAT#:169949 - SUMARSI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221020-0804. PAT#:170206 - SUPARTI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# S
REG#:REG/OP/221021-0247. PAT#:170104 - HASRI BUDI BORANSA. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price
REG#:REG/OP/221021-0400. PAT#:093937 - SUMARAH WIDYASTUTI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package pri
REG#:REG/OP/221021-0534. PAT#:110321 - MADIMIN MARJOKOPUTRO. ITEM:ODS.000133-PHACO IOL BPJS - OP package pri
REG#:REG/OP/221021-0617. PAT#:172348 - HADI SLAMET. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference#
REG#:REG/OP/221021-0610. PAT#:171990 - SOKO PRAPTO DIHARJO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price d
REG#:REG/OP/221021-0593. PAT#:103947 - HARJANTA. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221021-0655. PAT#:172334 - SITI FATIMAH. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference#
REG#:REG/OP/221022-0299. PAT#:012508 - SRI MULYANINGSIH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price d
REG#:REG/OP/221024-0168. PAT#:026883 - YANTI FEFIRA. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221024-0634. PAT#:173232 - SUKARDI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221024-0448. PAT#:173240 - SINAH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU
REG#:REG/OP/221024-0652. PAT#:173258 - WASNO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# S
REG#:REG/OP/221024-1045. PAT#:167857 - TEGUH RAHAYU. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price diffe
REG#:REG/OP/221024-0717. PAT#:172416 - SAMTO MULYONO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differe
REG#:REG/OP/221024-0719. PAT#:031344 - PURNANING. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# S
REG#:REG/OP/221024-0702. PAT#:019802 - SUMINTO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221024-0739. PAT#:164943 - WASIYEM. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU
REG#:REG/OP/221025-0144. PAT#:160636 - ARIEL GERSON OKTAVIAN. ITEM:MCU.000027-EKONOMIS A - 22 package price di
REG#:REG/OP/221025-0306. PAT#:173324 - WASI EDI DEWANTO. ITEM:MCU.000013-MCU BASIC 2022 package price differen
REG#:REG/OP/221025-0032. PAT#:170646 - HADI SUMARTO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price diffe
REG#:REG/OP/221025-0437. PAT#:158159 - DARMIN SISWO SUTOPO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package p
REG#:REG/OP/221025-0612. PAT#:170618 - MARIDI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# S
REG#:REG/OP/221025-0831. PAT#:115850 - SRI WAHYUNI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221026-0264. PAT#:165367 - SUHARNI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221026-0353. PAT#:083715 - MIMIN AP. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221026-0744. PAT#:168265 - SUPIYATI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221026-0396. PAT#:173417 - PUJIANTORO NARSO SULARNO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS pack
REG#:REG/OP/221026-0867. PAT#:170796 - SUGINEM. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221026-0871. PAT#:170330 - CH WIEDYA HA. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differe
REG#:REG/OP/221026-0869. PAT#:170537 - SADINAH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221026-0579. PAT#:172408 - SUMARNO DIHARJO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price diffe
REG#:REG/OP/221026-0588. PAT#:172503 - PARMI CIPTO DIHARJO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price di
REG#:REG/OP/221026-0594. PAT#:037703 - MARDI SUPADYO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differen
REG#:REG/OP/221026-0613. PAT#:172439 - SISWATI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU22
REG#:REG/OP/221026-0635. PAT#:165341 - DWI PARWANTO RAHARJO S. ITEM:ODS.000133-PHACO IOL BPJS - OP package pr
REG#:REG/OP/221026-0622. PAT#:172442 - ATEMO SEMITO NGATIMIN. ITEM:ODS.000133-PHACO IOL BPJS - OP package pric
REG#:REG/OP/221027-0388. PAT#:173512 - AYESHA YUMNA AZZAHRA. ITEM:MCU.000083-INFLUENZA PROMO package price
REG#:REG/OP/221027-0139. PAT#:012508 - SRI MULYANINGSIH. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differ
REG#:REG/OP/221027-0273. PAT#:172956 - SINAH. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU221
REG#:REG/OP/221027-0328. PAT#:170206 - SUPARTI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU22
REG#:REG/OP/221027-0382. PAT#:168957 - SUTARMI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221027-0292. PAT#:167857 - TEGUH RAHAYU. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differenc
REG#:REG/OP/221027-0363. PAT#:172871 - RAJIYEM. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221027-0404. PAT#:169690 - MARYAMAH. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# S
REG#:REG/OP/221027-0339. PAT#:173507 - WARDI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU
REG#:REG/OP/221027-0049. PAT#:173484 - ISWININGSIH. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221028-0080. PAT#:173574 - SUPRIYANTO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differen
REG#:REG/OP/221029-0236. PAT#:140330 - ANINDA SEPTIA PUTRI. ITEM:MCU.000083-INFLUENZA PROMO package price diff
REG#:REG/OP/221031-0290. PAT#:171096 - SUKISNO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference#
REG#:REG/OP/221031-0409. PAT#:141013 - DARSI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference# SU
REG#:REG/OP/221031-0481. PAT#:044099 - MARYONO. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price difference
REG#:REG/OP/221031-0572. PAT#:171088 - YENNI TRISNOWATI. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price d
REG#:REG/OP/221031-0267. PAT#:106216 - PURWANTA. ITEM:MCU.000062-PRE-OP PHACO IOL BPJS package price differenc
REG#:REG/OP/221031-0668. PAT#:169897 - SADIKEM. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
REG#:REG/OP/221031-0690. PAT#:170278 - SITI RODHIYATUN. ITEM:ODS.000133-PHACO IOL BPJS - OP package price differen
REG#:REG/OP/221031-0746. PAT#:019692 - SRI PURWANI. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference#
REG#:REG/OP/221031-0664. PAT#:172802 - WIYARTO NARNO WIRATMOJO. ITEM:ODS.000133-PHACO IOL BPJS - OP package
REG#:REG/OP/221031-0675. PAT#:172702 - SUTOYO CIPTO MARTOYO. ITEM:ODS.000133-PHACO IOL BPJS - OP package price
REG#:REG/OP/221031-0757. PAT#:169653 - BASIRUN. ITEM:ODS.000133-PHACO IOL BPJS - OP package price difference# SU2
Debit Credit Balance
0.00 2,327,833.00 2,327,833.00
0.00 2,327,833.00 4,655,666.00
0.00 2,327,833.00 6,983,499.00
0.00 2,327,833.00 9,311,332.00
0.00 2,327,833.00 11,639,165.00
0.00 2,327,833.00 13,966,998.00
0.00 2,327,833.00 16,294,831.00
0.00 2,327,833.00 18,622,664.00
0.00 2,327,833.00 20,950,497.00
0.00 458,526.00 21,409,023.00
0.00 1,695,848.00 23,104,871.00
0.00 1,141,314.00 24,246,185.00
0.00 1,469,029.00 25,715,214.00
0.00 1,178,430.00 26,893,644.00
0.00 2,349,910.00 29,243,554.00
0.00 2,448,333.00 31,691,887.00
0.00 2,448,333.00 34,140,220.00
0.00 2,448,333.00 36,588,553.00
0.00 2,448,333.00 39,036,886.00
0.00 2,448,333.00 41,485,219.00
0.00 2,448,333.00 43,933,552.00
0.00 2,448,333.00 46,381,885.00
0.00 2,448,333.00 48,830,218.00
0.00 2,448,333.00 51,278,551.00
0.00 2,448,333.00 53,726,884.00
0.00 2,448,333.00 56,175,217.00
0.00 2,448,333.00 58,623,550.00
0.00 6,877,150.00 65,500,700.00
0.00 41,000.00 65,541,700.00
0.00 41,000.00 65,582,700.00
0.00 41,000.00 65,623,700.00
0.00 41,000.00 65,664,700.00
0.00 41,000.00 65,705,700.00
0.00 41,275.00 65,746,975.00
0.00 41,000.00 65,787,975.00
0.00 41,000.00 65,828,975.00
0.00 41,000.00 65,869,975.00
0.00 41,000.00 65,910,975.00
0.00 2,448,333.00 68,359,308.00
0.00 2,448,333.00 70,807,641.00
0.00 2,448,333.00 73,255,974.00
0.00 2,448,333.00 75,704,307.00
0.00 2,448,333.00 78,152,640.00
0.00 2,448,333.00 80,600,973.00
0.00 48,500.00 80,649,473.00
0.00 41,000.00 80,690,473.00
0.00 41,000.00 80,731,473.00
0.00 41,000.00 80,772,473.00
0.00 41,000.00 80,813,473.00
0.00 2,448,333.00 83,261,806.00
0.00 2,448,333.00 85,710,139.00
0.00 2,448,333.00 88,158,472.00
0.00 2,448,333.00 90,606,805.00
0.00 2,448,333.00 93,055,138.00
0.00 48,500.00 93,103,638.00
0.00 41,000.00 93,144,638.00
0.00 41,000.00 93,185,638.00
0.00 41,000.00 93,226,638.00
0.00 41,000.00 93,267,638.00
0.00 41,000.00 93,308,638.00
0.00 2,454,983.00 95,763,621.00
0.00 2,454,983.00 98,218,604.00
0.00 2,454,983.00 100,673,587.00
0.00 2,454,983.00 103,128,570.00
0.00 2,454,983.00 105,583,553.00
0.00 41,000.00 105,624,553.00
0.00 41,000.00 105,665,553.00
0.00 2,454,983.00 108,120,536.00
0.00 41,000.00 108,161,536.00
0.00 41,000.00 108,202,536.00
0.00 41,000.00 108,243,536.00
0.00 41,000.00 108,284,536.00
0.00 41,000.00 108,325,536.00
0.00 41,000.00 108,366,536.00
0.00 41,000.00 108,407,536.00
0.00 41,000.00 108,448,536.00
0.00 41,000.00 108,489,536.00
0.00 41,000.00 108,530,536.00
0.00 41,000.00 108,571,536.00
0.00 41,000.00 108,612,536.00
0.00 41,000.00 108,653,536.00
0.00 2,448,333.00 111,101,869.00
0.00 2,448,333.00 113,550,202.00
0.00 2,448,333.00 115,998,535.00
0.00 2,448,333.00 118,446,868.00
0.00 2,448,333.00 120,895,201.00
0.00 2,448,333.00 123,343,534.00
0.00 2,448,333.00 125,791,867.00
0.00 223,000.00 126,014,867.00
0.00 223,000.00 126,237,867.00
0.00 41,000.00 126,278,867.00
0.00 41,000.00 126,319,867.00
0.00 41,000.00 126,360,867.00
0.00 41,000.00 126,401,867.00
0.00 2,448,333.00 128,850,200.00
0.00 2,448,333.00 131,298,533.00
0.00 2,448,333.00 133,746,866.00
0.00 2,448,333.00 136,195,199.00
0.00 2,448,333.00 138,643,532.00
0.00 2,448,333.00 141,091,865.00
0.00 73,180.00 141,165,045.00
0.00 73,180.00 141,238,225.00
0.00 41,000.00 141,279,225.00
0.00 41,000.00 141,320,225.00
0.00 41,000.00 141,361,225.00
0.00 2,448,333.00 143,809,558.00
0.00 2,448,333.00 146,257,891.00
0.00 2,448,333.00 148,706,224.00
0.00 2,448,333.00 151,154,557.00
0.00 2,448,333.00 153,602,890.00
0.00 41,000.00 153,643,890.00
0.00 41,000.00 153,684,890.00
0.00 41,000.00 153,725,890.00
0.00 41,000.00 153,766,890.00
0.00 2,448,333.00 156,215,223.00
0.00 2,448,333.00 158,663,556.00
0.00 41,000.00 158,704,556.00
0.00 41,000.00 158,745,556.00
0.00 41,000.00 158,786,556.00
0.00 41,000.00 158,827,556.00
0.00 41,000.00 158,868,556.00
0.00 41,000.00 158,909,556.00
0.00 41,000.00 158,950,556.00
0.00 2,448,333.00 161,398,889.00
0.00 2,448,333.00 163,847,222.00
0.00 2,448,333.00 166,295,555.00
0.00 2,448,333.00 168,743,888.00
0.00 41,000.00 168,784,888.00
0.00 41,000.00 168,825,888.00
0.00 41,000.00 168,866,888.00
0.00 41,000.00 168,907,888.00
0.00 41,000.00 168,948,888.00
0.00 2,448,333.00 171,397,221.00
0.00 2,448,333.00 173,845,554.00
0.00 2,448,333.00 176,293,887.00
0.00 2,448,333.00 178,742,220.00
0.00 2,448,333.00 181,190,553.00
0.00 2,448,333.00 183,638,886.00
0.00 2,448,333.00 186,087,219.00
0.00 2,448,333.00 188,535,552.00
0.00 41,000.00 188,576,552.00
0.00 41,000.00 188,617,552.00
0.00 41,000.00 188,658,552.00
0.00 2,448,333.00 191,106,885.00
0.00 2,448,333.00 193,555,218.00
0.00 2,448,333.00 196,003,551.00
0.00 2,448,333.00 198,451,884.00
0.00 2,448,333.00 200,900,217.00
0.00 41,000.00 200,941,217.00
0.00 41,000.00 200,982,217.00
0.00 41,000.00 201,023,217.00
0.00 41,000.00 201,064,217.00
0.00 41,000.00 201,105,217.00
0.00 41,000.00 201,146,217.00
0.00 2,448,333.00 203,594,550.00
0.00 2,448,333.00 206,042,883.00
0.00 2,448,333.00 208,491,216.00
0.00 2,448,333.00 210,939,549.00
0.00 41,850.00 210,981,399.00
0.00 41,275.00 211,022,674.00
0.00 41,000.00 211,063,674.00
0.00 41,000.00 211,104,674.00
0.00 41,000.00 211,145,674.00
0.00 41,000.00 211,186,674.00
0.00 41,000.00 211,227,674.00
0.00 41,000.00 211,268,674.00
0.00 41,000.00 211,309,674.00
0.00 41,000.00 211,350,674.00
0.00 41,000.00 211,391,674.00
0.00 41,000.00 211,432,674.00
0.00 41,000.00 211,473,674.00
0.00 2,448,333.00 213,922,007.00
0.00 2,448,333.00 216,370,340.00
0.00 2,448,333.00 218,818,673.00
0.00 2,448,333.00 221,267,006.00
0.00 2,448,333.00 223,715,339.00
0.00 2,448,333.00 226,163,672.00
0.00 223,000.00 226,386,672.00
0.00 2,448,333.00 228,835,005.00
0.00 2,448,333.00 231,283,338.00
0.00 2,448,333.00 233,731,671.00
0.00 2,448,333.00 236,180,004.00
0.00 2,448,333.00 238,628,337.00
0.00 2,448,333.00 241,076,670.00
0.00 2,448,333.00 243,525,003.00
0.00 41,000.00 243,566,003.00
0.00 41,000.00 243,607,003.00
0.00 41,000.00 243,648,003.00
0.00 223,000.00 243,871,003.00
0.00 41,000.00 243,912,003.00
0.00 41,000.00 243,953,003.00
0.00 41,000.00 243,994,003.00
0.00 41,000.00 244,035,003.00
0.00 41,000.00 244,076,003.00
0.00 2,448,333.00 246,524,336.00
0.00 2,448,333.00 248,972,669.00
0.00 2,448,333.00 251,421,002.00
0.00 2,448,333.00 253,869,335.00
0.00 2,448,333.00 256,317,668.00
0.00 2,448,333.00 258,766,001.00

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Date Journal Code Description Debit Credit

04-10-2022 ACR221004-03844 REG#:REG/OP/221004-0685. PAT#:147989 - JUMBADI. 0.00 2,327,833.00

10-10-2022 ACR221010-00907 REG#:REG/OP/221010-0174. PAT#:056879 - JIYEM. 0.00 41,000.00

10-10-2022 ACR221010-03590 REG#:REG/OP/221010-0935. PAT#:172194 - SARTO 0.00 41,000.00

10-10-2022 ACR221010-04189 REG#:REG/OP/221010-1054. PAT#:169318 - SEMI. 0.00 41,000.00

11-10-2022 ACR221011-02158 REG#:REG/OP/221011-0147. PAT#:103947 - HARJANTA. 0.00 41,000.00

11-10-2022 ACR221011-03765 REG#:REG/OP/221011-0893. PAT#:021538 - SUPARNI. 0.00 41,000.00

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

12-10-2022 ACR221012-02584 REG#:REG/OP/221012-0500. PAT#:019802 - SUMINTO. 0.00 41,000.00

13-10-2022 ACR221013-02287 REG#:REG/OP/221013-0258. PAT#:172416 - SAMTO 0.00 41,000.00

13-10-2022 ACR221013-02975 REG#:REG/OP/221013-0530. PAT#:172439 - SISWATI. 0.00 41,000.00

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

14-10-2022 ACR221014-01494 REG#:REG/OP/221014-0455. PAT#:172512 - DZAKIYA 0.00 223,000.00

14-10-2022 ACR221014-03384 REG#:REG/OP/221014-0518. PAT#:140436 - SATIMIN. 0.00 2,448,333.00

17-10-2022 ACR221017-01867 REG#:REG/OP/221017-0492. PAT#:172702 - SUTOYO 0.00 41,000.00

17-10-2022 ACR221017-01903 REG#:REG/OP/221017-0551. PAT#:169653 - BASIRUN. 0.00 41,000.00

19-10-2022 ACR221019-01527 REG#:REG/OP/221019-0140. PAT#:172341 - KANITO. 0.00 41,000.00

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

21-10-2022 ACR221021-03498 REG#:REG/OP/221021-0534. PAT#:110321 - MADIMIN 0.00 2,448,333.00

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

26-10-2022 ACR221026-04073 REG#:REG/OP/221026-0622. PAT#:172442 - ATEMO 0.00 2,448,333.00

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

AVIAT HIS, Print Date : 21-12-2022 08:20 Page 1 Of 1

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