RUMAH SAKIT UMUM DAERAH ANDI DJEMMA MASAMBA

SENSUS HARIAN PELAYANAN RADIOLOGI

BULAN : MEI 2023
JUMLAH KUNJUNGAN PASIEN JUMLAH FILM TERPAKAI JUMLAH FILM RUSAK
TGL
FOTO USG CT.SCAN KET
DR1 DR2 24 CR.10 CR.11 CT DR1 DR2 24 CR.10 CR.11 CT
RJ RI IGD TTL RJ RI IGD TTL RJ RI IGD TTL

1 2 6 8 0 0 8

2 16 2 7 25 6 11 17 4 1 5 21 6 5

3 22 5 2 29 10 7 17 3 3 6 22 7 6

4 45 5 3 53 12 7 19 5 1 6 47 6 8

5 31 2 2 35 4 4 8 0 35 2

6 13 5 6 24 2 3 5 1 1 2 24 2

7 6 1 4 11 0 0 10 1

8 23 4 5 32 14 7 1 22 3 2 5 32 7

9 23 8 5 36 9 5 14 4 3 7 34 4 8

10 15 2 1 18 12 4 16 3 1 4 18 1 5

11 15 5 2 22 6 9 1 16 1 1 18 3 1

12 20 2 2 24 6 5 11 4 4 23 1 6

13 9 2 2 13 5 4 9 1 2 3 13 3

14 2 5 7 0 2 2 6 1 2

15 15 8 6 29 14 9 23 4 4 25 4 4

16 4 3 3 10 10 4 14 3 2 5 9 1 5

17 10 5 15 10 11 21 1 2 3 15 4

18 1 2 6 9 0 1 1 10 1

19 12 7 3 22 6 5 1 12 2 1 3 19 5 3

20 3 3 1 7 3 7 10 1 3 1 5 6 1 4

21 6 6 0 0 6 1

22 12 1 3 16 8 5 13 2 1 3 14 3 3

23 18 7 4 29 7 6 1 14 3 4 7 26 5 8

24 12 9 1 22 12 2 1 15 3 4 7 22 2 8

25 13 2 2 17 7 4 11 1 2 1 4 16 1 5

26 5 3 7 15 2 5 7 1 4 2 7 15 8

27 5 5 5 15 5 5 10 2 2 2 6 13 1 2

28 3 3 0 0 3 1

29 16 6 7 29 9 14 23 3 1 4 26 3 6

30 11 3 3 17 9 7 1 17 1 1 17 2 1
 31 26 4 6 36 14 1 1 16 5 5 34 4 6
TTL 403 113 118 634 202 151 7 360 110 587 66 121 0 0 0 0 0 0

BPJS 335 BPJS 327 BPJS 100 Jumlah Pemakaian Fil 653 film foto+CT 774
UMUM 293 UMUM 32 UMUM 10 Jumlah film CT 121
JR 5 JR 1 JR 0 Jumlah Film Rusak 0
GR 1 GR 0 GR 0
JUMLAH 634 JUMLAH 360 JUMLAH 110 Total 774

Pasien Baru 619 312 103

pasien Lama 15 48 7
 FOTO USG CT
TGL
BPJS UMUM JR GR total pasien BPJS UMUM JR GR total pasien BPJS UMUM JR GR total pasien

1 6 2 8 0 0

2 12 13 25 16 1 17 5 5

3 16 13 29 17 17 4 2 6

4 15 38 53 18 1 19 5 1 6

5 6 28 1 35 8 8 0

6 11 13 24 4 1 5 2 2

7 5 6 11 0 0

8 15 17 32 21 1 22 4 1 5

9 17 18 1 36 14 14 7 7

10 4 14 18 14 2 16 4 4

11 10 12 22 13 3 16 1 1

12 10 14 24 10 1 11 4 4

13 10 2 1 13 9 9 3 3

14 6 1 7 0 2 2

15 15 14 29 19 3 1 23 4 4

16 7 3 10 13 1 14 4 1 5

17 9 6 15 21 21 3 3

18 7 2 9 0 1 1

19 17 5 22 8 4 12 2 1 3

20 7 7 10 10 5 5

21 6 6 0 0

22 8 7 1 16 11 2 13 3 3

23 17 12 29 11 3 14 7 7

24 17 4 1 22 12 3 15 6 1 7

25 8 9 17 11 11 3 1 4

26 13 2 15 6 1 7 7 7

27 11 4 15 9 1 10 6 6

28 3 3 0 0

29 20 8 1 29 21 2 23 4 4

30 9 8 17 16 1 17 1 1
 31 18 18 36 15 1 16 4 1 5
TOTAL 335 293 5 1 634 327 32 1 0 100 10 0 0
360 110
 Keterangan

pasien lutfana calon bpjs,jaminan 300rb

 LAPORAN HARIAN PEMERIKSAAN RADIOLOGI

BULAN : MEI 2023

JENIS PEMERIKSAAN TANGGAL
NO RADIODIAGNOSTIK 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Foto Thorax 8 20 20 45 32 24 11 27 27 14 17 22 11 6 22 8 10 9 15 5
2 Foto Kepala 3 1 1 1 1 2 1
3 Foto Vertebrata Cervical 2
4 Foto Vertebrata Thoracal 1 1 2
5 Foto Lumbal /LS 2 3 4 1 1 2 1 1 1 1 3
6 Foto Pelvis 1 1 1 1 1
7 Foto Extrimitas atas 1 2 1 2 1 1 1 1 2 3 1
8 Foto Extrimitas Bawah 1 1 2 1 4 1 1 2 1
9 Foto Dental 1 1 1
10 Foto BNO IVP
11 Foto BNO 3 Posisi
12 Foto BNO Polos 1 1 1
13 Foto Colon In Loop 1 1
14 Foto OMD
15 Foto Cystografi
16 Foto Uretro Cystografi
17 Foto Fistulografi
TOTAL 8 25 29 53 36 24 12 32 37 18 22 24 13 7 29 10 15 9 22 7
NO USG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 USG Abdomen 12 14 14 4 3 14 11 15 16 9 7 19 11 16 9 7
2 USG Kepala
3 USG Payudara 1 2 1 3 1 1 1 1 1 2
4 USG Leher 2 1 2 4 1 1 1 2 1
5 USG Obstetry 1 2 1
6 USG Ginekology 2 2 2 1
7 USG Scrotum 1 1 1 1
8 USG Musculoskeletal 1 1 1 2
9 USG Small part/soft tissue 1 1 2
10 USG Lengan
11 USG Inguinal
12 USG Thorax
13 USG Urology
TOTAL 0 17 17 19 8 5 0 22 14 16 16 11 9 0 23 14 21 0 12 10
NO CT SCAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 Kepala 5 6 4 2 4 6 3 1 2 2 4 4 2 1 3 5
2 Abdomen 1 1 1 2 3 1
3 Thorax 1
4 Leher 1
5 Cruris
6 Vertebrata Thoracal
7 Lumbosacral
8 Musculoskletal 1
0 5 6 6 0 2 0 5 7 4 1 4 3 2 4 5 3 1 3 5
GI

21 22 23 24 25 26 27 28 29 30 31 Total
5 19 13 14 14 12 2 21 15 31 499
10 1 1 2 24
3 2 7
4
1 3 1 1 1 1 1 29
2 1 1 9
3 2 5 1 1 1 3 2 34 ANTEBMANUS
1 2 1 1 1 20
3
0
1 1 1 1 1 1 6
3
2
0
0
0
0
6 16 31 23 17 15 15 3 29 17 36 640
21 22 23 24 25 26 27 28 29 30 31 Total
9 11 12 9 5 9 20 16 10 282
1 1
1 2 2 1 1 1 2 24
1 1 1 1 1 3 23
1 5
7
1 5
1 1 1 8
4
0
0
1 1
0
0 13 14 15 11 7 10 0 23 17 16 360
21 22 23 24 25 26 27 28 29 30 31 Total
3 6 6 3 5 5 2 1 4
1 1 1 2
1 1 1 1

0 3 7 7 4 7 6 0 4 1 5 110
 RAWAT JALAN dr. FATMAWATY, Sp.RAD, M.Kes
BULAN APRIL
USG

No Nama RM dr.PENGIRIM SEP PEMERIKSAAN TGL TARIF

1 FREYA DYANDRA 260768 ARIS 1184 USG ABDOMEN 9 112,500
2 BURINDA 051442 AWAL 1322 USG SCROTUM 9 90,000
3 JARIMIN 012035 AWAL 1351 USG ABDOMEN 9 112,500
4 MASJUNI 156678 AWAL 1354 USG ABDOMEN 9 112,500
5 HARDIYANSYAH 220789 AWAL 1308 USG ABDOMEN 9 112,500
6 LAUGU 265315 AWAL 1365 USG ABDOMEN 9 112,500
7 SANAWIAH 034724 NASHAR 1384 USG GINEKOLOGY 9 90,000
8 NURUL ISNAENI 186038 MINI 1412 USG ABDOMEN 9 112,500
9 JUWITA 035426 MINI 1457 USG ABDOMEN 9 112,500
10 JULIA 268389 AWAL 1800 USG ABDOMEN 11 112,500
11 RUBIATI 253457 AWAL 1850 USG ABDOMEN 11 112,500
12 WINDY WIDYASTUTY 212253 MADE 1859 USG ABDOMEN 11 112,500
13 NURJAYANA 268401 DESY 1888 USG ABDOMEN 11 112,500
14 IDA RUDDIN 232990 MADE 1884 USG ABDOMEN 11 112,500
15 CINNA 256269 AWAL 2267 USG ABDOMEN 13 112,500
16 ANITA LIMBONG 042549 AWAL 2156 USG ABDOMEN 13 112,500
17 ABD WAHID 268437 AWAL 2243 USG ABDOMEN 13 112,500
18 JAHIDIN 268443 AWAL 2346 USG ABDOMEN 13 112,500
19 M.ALIMUDDIN 267444 AWAL 2353 USG LEHER 13 90,000
20 SITI MARYAM 215628 ARIS 2613 USG ABDOMEN 16 112,500
21 H A YUSUF 194193 AWAL 2750 USG ABDOMEN 16 112,500
22 PURNAWATI 234790 ARIS 2625 USG MAMMAE 16 90,000
23 LABAUSENG 266290 MADE 2798 USG ABDOMEN 16 112,500
24 LAGIAN GAFAR 001216 MADE 2808 USG ABDOMEN 16 112,500
25 AMBO TUO 268479 MINI 2789 USG ABDOMEN 16 112,500
26 YULIANA S 251683 AYU 2841 USG MUSCOLESKELETAL 16 90,000
27 NYOMAN MANIK C 261687 MADE 2869 USG ABDOMEN 16 112,500
28 ESRIANTI 135829 MINI 2739 USG ABDOMEN 16 112,500
29 RASIDA 165619 MADE 3250 USG LEHER 19 90,000
30 SULAEMAN 268512 MADE 3257 USG LEHER 19 90,000
31 TAHIR 258647 RISWAN 3302 USG ABDOMEN 19 112,500
32 TIA 268538 MADE 3506 USG MAMMAE 20 90,000
33 INDO AKO 133344 MADE 3493 USG PAYUDARA 20 90,000
34 LINDA FRANICA 268632 NASHAR 3643 USG ABDOMEN 22 112,500
35 WAHIDA H 104959 AWAL 3576 USG ABDOMEN 22 112,500
36 ASSA'ADATUL KAMILAH 153591 RISWAN 3740 USG ABDOMEN 22 112,500
37 PETRUS RATTE 267852 MADE 3710 USG SCROTUM 22 90,000
38 ETI ROHAYATI 268553 MADE 3701 USG ABDOMEN 22 112,500
39 RIBKA 173391 MADE 3762 USG PAYUDARA 22 90,000
40 TUWO 115806 AYU 3651 USG LEHER 22 90,000
41 DRS.HAMKA 003740 AYU 3657 USG MUSCOLESKELETAL 22 90,000
42 REDER 268562 AYU 3745 USG ABDOMEN 23 112,500
43 RASMIATI 235656 MADE 3880 USG LEHER 23 90,000
44 SURATNO 042352 MINI 3867 USG ABDOMEN 23 112,500
45 NELSA SAMOLI 268590 MADE 4031 USG PAYUDARA 23 90,000
46 VERIANTI 260794 MADE 4029 USG ABDOMEN 23 112,500
47 SUHARDI 253445 AWAL 4537 USG ABDOMEN 27 112,500
48 ROSLINA 265245 AWAL 4711 USG ABDOMEN 27 112,500
49 NASRUN 000881 DESY 4677 USG ABDOMEN 27 112,500
50 UMASIA 263913 MADE 4726 USG LEHER 27 90,000
51 A.SULOLIPU 259059 MINI 4724 USG ABDOMEN 27 112,500
52 ABD BASRA 251753 AYU 5178 USG ABDOMEN 30 112,500
53 SRI HARTATI 266861 MINI 5255 USG ABDOMEN 30 112,500
54 SRI TUTIANI 178026 MADE 5253 USG ABDOMEN 30 112,500
55 BARIA 218448 MADE 5181 USG PAYUDARA 30 90,000
56 SULDIANA LATIEF 132149 MINI 5298 USG ABDOMEN 30 112,500
57 MAYAWI 269106 MINI 5304 USG ABDOMEN 30 112,500
58 MADE SUASTI 255561 AYU 5264 USG ABDOMEN 30 112,500
Total 6,142,500

REKAPAN TARIF PASIEN BPJS

NO DOKTER TARIF
1 ARIS 315,000
 2 AWAL 1,755,000
3 AYU 607,500
4 BADARIA
5 DESY 225,000
6 MADE 1,800,000
7 MINI 1,012,500
8 NASHAR 202,500
9 NASRUL
10 NIA
11 RAHMATIA
12 RISWAN 225,000
13 SRI RAHAYU
14 TENRI
TOTAL 6,142,500
RAWAT JALAN dr. FATMAWATY, Sp.RAD, M.Kes
BULAN APRIL
FOTO

No.URUT Nama RM dr.PENGIRIM SEP PEMERIKSAAN TGL TARIF

1 TAMRIN RANDAN 266345 AYU 1293 CERVICAL 9 87,750
2 SINTA 098618 MADE 1324 LUMBOSACRAL 9 87,750
3 HERMAYANTI 183941 MADE 1404 SKULL 9 87,750
4 AMRI 268334 AYU 1462 CERVICAL 9 87,750
5 AFFAN IMAM A RESYA 268324 MADE 1419 GENU 9 87,750
6 SAHRUL SYAM 288336 MINI 1467 THORAX 9 67,500
7 SYAFAAT RAIHAN 187552 MADE 1898 CRURIS 11 87,750
8 SUBUR 268196 RISWAN 1894 LUMBOSACRAL 11 87,750
9 ISMAYANTI 268399 AWAL 1962 THORAX 11 67,500
10 ABD.WAHID 268437 AWAL 2243 THORAX 13 67,500
11 MARSELINA 268440 AWAL 2315 THORAX 13 67,500
12 WAHYU 268364 BADARIA 2330 THORAX 13 67,500
13 SAIDIL 226502 DESY 2281 PEDIS 13 87,750
14 MUH.ADRIAN 218828 BADARIA 2358 THORAX 13 67,500
15 ST.HADIJAYANTI 268442 AWAL 2337 THORAX 13 67,500
16 DRS.ABD.RAHMAN 136875 AWAL 2316 THORAX 13 67,500
17 MUH.ABID GOZAL 268393 NIA 2748 THORAX 16 67,500
18 CHRISTIAN POLE 225001 TENRI 2844 ESHLER 16 63,000
19 ELMIS 099307 AWAL 3202 THORAX 19 67,500
20 RAHMAWATI 258758 AWAL 3204 THORAX 19 67,500
21 AKSARULLAH 268513 AWAL 3263 THORAX 19 67,500
22 SULAM 268518 RISWAN 5292 THORAX 19 67,500
23 KURNIA 267675 MADE 3328 WRIST JOINT 19 87,750
24 NURDANIATI JANNA 091399 MADE 3329 THORAX 19 67,500
25 RESKI TANDI LAMBI 239480 RISWAN 3355 THORAX 19 67,500
26 NURUL FITRIAH 090588 MADE 3356 MANUS 19 87,750
27 RAHMAWATY 044629 AYU 3454 PEDIS 20 87,750
28 JAMALUDDIN 267149 ARIS 3442 SKULL 20 87,750
29 NOLA 268532 MADE 3424 THORAX 20 67,500
30 GIBRAN RAMADAN 268544 MADE 3637 ELBOW 22 87,750
31 JUSNIA 268549 MADE 3695 MANUS 22 87,750
32 RASNI 252014 RISWAN 3747 THORAX 22 67,500
33 PONIRAH 185574 AYU 3658 LUMBOSACRAL 22 87,750
34 SUPARTI 268548 AYU 3699 LUMBOSACRAL 23 87,750
35 SUGIATUN 176527 MADE 3820 ANKLE 23 87,750
36 ISTIKOMAH 239653 MADE 3889 THORAX 23 67,500
37 SUWARNO 268573 MADE 3920 MANUS 23 87,750
38 ENDANG 268577 DESY 3953 CERVICAL 23 87,750
39 NASRUDDIN 187200 MINI 4010 THORAX 23 67,500
40 MULIADI 268581 MADE 4006 CRURIS 23 87,750
41 SUJIMAN 087174 SRI RAHAYU 4732 THORAX 27 67,500
42 SUTRI 224221 MADE MANUS 27 87,750
43 LISNA 269062 SRI RAHAYU 4747 THORAX 27 67,500
44 NURHAJRAH PUTRI N 165152 SRI RAHAYU 5096 THORAX 30 67,500
45 ABIDA 174679 MINI 5207 THORAX 30 67,500
46 DAMARIS 107387 AYU 5210 LUMBOSACRAL 30 87,750
47 MARTHA LAMBAN 236994 MINI 5175 THORAX 30 67,500
Total 3,613,500

REKAPAN TARIF PASIEN BPJS

NO DOKTER TARIF
1 ARIS 87,750
2 AWAL 540,000
3 AYU 526,500
4 BADARIA 135,000
5 DESY 175,500
6 MADE 1,255,500
7 MINI 270,000
8 NASHAR
9 NASRUL
10 NIA 67,500
11 RAHMATIA
12 RISWAN 290,250
13 SRI RAHAYU 202,500
14 TENRI 63,000
TOTAL 3,613,500
 RAWAT JALAN dr. FATMAWATY, Sp.RAD, M.Kes
BULAN MEI 2023
CT SCAN

No.Urut Nama RM dr.PENGIRIM SEP PEMERIKSAAN TGL TARIF

1 ASEP MULYANA 192297 AYU 1162 CT KEPALA 9 360,000
2 GOMBLOH 267695 AYU 1363 CT KEPALA 9 360,000
3 BUNGAWATI 219224 AYU 1482 CT KEPALA 9 360,000
4 SARI BULAN 264990 AYU 1159 CT KEPALA 9 360,000
5 JUSRANA 174247 DESY 1828 CT KEPALA 11 360,000
6 VIANA 268436 DESY 2252 CT KEPALA 13 360,000
7 SETIONO 268326 AYU 2671 CT KEPALA 16 360,000
8 YUSNI 257800 ARIS 2439 CT FEMUR 16 576,000
9 ARNI ANTI 262982 AYU 2565 CT KEPALA 16 360,000
10 SAMI 244869 AYU 3290 CT KEPALA 19 360,000
11 HASNA `100590 AYU 3324 CT KEPALA 19 360,000
12 RUSLIKA 225044 AYU 3394 CT KEPALA 20 360,000
13 Drs.HASBI 268541 AYU 3618 CT KEPALA 22 360,000
14 RAHMAWATI KAPENG 262382 MADE 3683 CT KEPALA 22 360,000
15 IRMA 268488 DESY 4048 CT KEPALA 23 360,000
16 SUPARMAN 237867 DESY 3896 CT KEPALA 23 360,000
17 SULITIO 268576 MADE 3946 CT ABDOMEN 23 576,000
18 IDA SURIATI 159750 DESY 4113 CT KEPALA 25 360,000
19 OMBONG 269050 DESY 4592 CT KEPALA 27 360,000
20 WAYAN SULIS BUDANA 269054 DESY 4694 CT KEPALA 27 360,000
21 MARYAM 266000 AYU 4937 CT KEPALA 30 360,000
Total 7,992,000
REKAPAN TARIF
DOKTER TARIF
ARIS 576,000
AYU 3,960,000
DESY 2,520,000
MADE 936,000
TOTAL 7,992,000
 RAWAT INAP dr. FATMAWATY, Sp.RAD, M.Kes
BULAN JANUARI
FOTO
No.Urut Nama RM dr.PENGIRIM SEP PEMERIKSAAN TGL
MUH.NURUH HUDA 213726 YUSUF THORAX 1
SINTA KUMALA SARI 251385 BADARIA 5554 THORAX 1
ACHMAN ACHLAN 266758 ARIS 5560 THORAX 1
 RAWAT INAP dr. WAHYUNI DJAFAR, Sp.RAD, M.Kes
BULAN APRIL
USG

No.URUT Nama RM dr.PENGIRIM SEP PEMERIKSAAN TGL TARIF

1 ZHAFIRA ANINDIA R 268110 NIA 0050 USG ABDOMEN 2 112,500
2 KARTINA 111177 AWAL 0093 USG ABDOMEN 2 112,500
3 MAHMUDDIN 081341 MADE 0115 USG ABDOMEN 2 112,500
4 SALEH 074236 MADE 0133 USG MUSCOLESKELETAL 2 90,000
5 YULIASTRI 156628 MADE 0121 USG PAYUDARA 2 90,000
6 ABD RISWADI 264997 AWAL 0375 USG ABDOMEN 3 112,500
7 SAHID 002703 AWAL 0372 USG ABDOMEN 3 112,500
8 TIMANG 268150 AWAL 0351 USG ABDOMEN 3 112,500
9 AINUL MARLIA 244700 ARIS 0425 USG LEHER 3 90,000
10 SAMAR 200039 AYU 0414 USG LEHER 3 90,000
11 SULPIATI 106117 RISWAN 0458 USG ABDOMEN 3 112,500
12 RUSPIAN 254567 RISWAN 0327 USG ABDOMEN 3 112,500
13 SRI SURAENI 215103 RISWAN 0448 USG ABDOMEN 3 112,500
14 SRI LESTARI 268166 RISWAN 0471 USG ABDOMEN 3 112,500
15 NYOMAN JENOK 268170 ARIS 0503 USG INGUINAL 3 90,000
16 HJ ILALA 266183 AWAL 0581 USG ABDOMEN 4 112,500
17 SATTARIAH 248616 MADE 0570 USG MAMMA 4 90,000
18 NURUL KHOFIFA 178513 MADE 0634 USG MAMMA 4 90,000
19 SUBUR 268196 AWAL 0640 USG ABDOMEN 4 112,500
20 YULIAWATI 159850 AWAL 0668 USG ABDOMEN 4 112,500
21 BUNGATANG 268213 AWAL USG ABDOMEN 4 112,500
22 ADI SUHARTONO 253233 DESY 0664 USG ABDOMEN 4 112,500
23 DITA 268217 MADE 0709 USG ABDOMEN 4 112,500
24 FITRI 266966 MADE 0722 USG ABDOMEN 4 112,500
25 CENING SUARJANA 268214 RISWAN 0688 USG ABDOMEN 4 112,500
26 SULESTIN 106091 RISWAN 0743 USG LEHER 4 90,000
27 NI NENGAH SUARTINI 265366 AWAL 0812 USG ABDOMEN 5 112,500
28 RASWAN 165222 ARIS 0780 USG MAMMA 5 90,000
29 DAUD SAILAH 266487 ARIS 0814 USG ABDOMEN 5 112,500
30 SUTRI 224221 ARIS 0862 USG SOFT TISSUE 5 90,000
31 RISWANA 103084 NASRUL 0838 USG LEHER 6 90,000
32 SAKARUDDIN 030704 AWAL 1070 USG ABDOMEN 8 112,500
33 MUH. NUR 064523 AWAL 1100 USG ABDOMEN 8 112,500
34 FITRA ANNISA 242846 ARIS 1113 USG LEHER 8 90,000
35 MISMANI 268106 AWAL 1112 USG LEHER 8 90,000
36 M.ADYAQSA 268246 ARIS 1132 USG SOFT TISSUE 8 90,000
37 ASRIFA 074704 AWAL 1160 USG ABDOMEN 8 112,500
38 SALMA SUL 234471 ARIS 1158 USG MAMMA 8 90,000
39 HARMAWATI 196980 ARIS 1175 USG MAMMA 8 90,000
40 M.ADRIAN 218828 NIA 1181 USG LEHER 8 90,000
41 HARTATI 261494 RISWAN 1168 USG ABDOMEN 8 112,500
42 ARIYANTI 265323 ARIS 1240 USG MAMMA 8 90,000
43 IKSAN 268313 ARIS 1238 USG ABDOMEN 8 112,500
44 SITI FADILAH J 229185 ARIS 1236 USG LEHER 8 90,000
45 HARMAWATI 104724 RISWAN 1226 USG ABDOMEN 8 112,500
46 LANTIK ANDI SATTUANG 102755 AWAL 1616 USG ABDOMEN 10 112,500
47 ALFIYA SALSABILA 091185 AWAL 1622 USG ABDOMEN 10 112,500
48 KARTISA 230469 AWAL 1612 USG ABDOMEN 10 112,500
49 YULIUS TADANG 268156 AYU 1634 USG ABDOMEN 10 112,500
50 ARBAIN 264737 AYU 1626 USG ABDOMEN 10 112,500
51 PRISKA AMIL PUSPITA 129290 NIA 1599 USG ABDOMEN 10 112,500
52 WAHYU 268364 NIA 1648 USG ABDOMEN 10 112,500
53 MARTHINA SIM L 212709 AYU 1649 USG ABDOMEN 10 112,500
54 MARKUS RUBAK 228360 ARIS 1687 USG ABDOMEN 10 112,500
55 MANJUHRAH 199888 MINI 1685 USG ABDOMEN 10 112,500
56 MARNI 132962 ARIS 1697 USG ABDOMEN 10 112,500
57 NAOMI NOTA 260623 AWAL 2100 USG ABDOMEN 12 112,500
58 ARIL LAHUL MAHFUD 260687 ARIS 2107 USG ABDOMEN 12 112,500
 59 LINGAR JATI 268418 ARIS 2104 USG MAMMA 12 90,000
60 HJ.KURSIA 268431 ARIS 2171 USG LEHER 12 90,000
61 USMAN 268430 ARIS 2196 USG ABDOMEN 12 112,500
62 YUSNI 257800 ARIS 2439 USG SOFT TISSUE 15 90,000
63 WIANA 088189 AYU 2473 USG MUSCOLESKELETAL 15 90,000
64 SYARIFUDDIN 166052 AYU 2462 USG ABDOMEN 15 112,500
65 RAHMAWATI 181748 RISWAN 2455 USG ABDOMEN 15 112,500
66 HUSNI 079430 RISWAN 2539 USG ABDOMEN 15 112,500
67 MINCE 121567 RISWAN 2554 USG ABDOMEN 15 112,500
68 SAFNAN AZAKIA 261821 BADARIA 2553 USG ABDOMEN 15 112,500
69 SUBIHA 268471 RISWAN 2627 USG ABDOMEN 15 112,500
70 JUMIATI 268449 ARIS USG ABDOMEN 15 112,500
71 YULIUS TUGIMIN 236741 RISWAN 2622 USG ABDOMEN 15 112,500
72 DERITA 259526 ARIS 2442 USG SOFT TISSUE 15 90,000
73 ELMIS 099307 AWAL 2953 USG ABDOMEN 17 112,500
74 YUNI 213625 MINI 2949 USG ABDOMEN 17 112,500
75 NURBANA 221296 AWAL 3002 USG ABDOMEN 17 112,500
76 NUR ALIM 255148 AWAL 3026 USG ABDOMEN 17 112,500
77 UNI 145191 AYU 2992 USG MUSCOLESKELETAL 17 90,000
78 NURHAYATI 066752 AYU USG MUSCOLESKELETAL 17 90,000
79 RESKI TANDI LAMBI 238480 MINI 3107 USG ABDOMEN 17 112,500
80 FATMAWATI 215021 RISWAN 3080 USG MAMMA 17 90,000
81 ROSDIANA P 119574 RISWAN 3102 USG ABDOMEN 17 112,500
82 RASYID 179591 MADE 3033 USG ABDOMEN 17 112,500
83 YOSPINA 268595 MINI 4052 USG ABDOMEN 24 112,500
84 YANTRI TANDIARA 268598 MADE 4065 USG PAYUDARA 24 90,000
85 CINNAWATI 167238 AWAL 4151 USG ABDOMEN 24 112,500
86 BETTY YUNITA 003457 AWAL 4055 USG ABDOMEN 24 112,500
87 M.SALENG 175457 AWAL 4169 USG ABDOMEN 24 112,500
88 YULIATI MUHAJIR 138446 DESY 4123 USG ABDOMEN 24 112,500
89 MARLINA 255910 MADE 4108 USG ABDOMEN 24 112,500
90 ANITA 177542 MADE 4126 USG ABDOMEN 24 112,500
91 MARTINUS P 268505 DESY 4173 USG MUSCOLESKELETAL 24 90,000
92 FHANY CHAERUNNISA 242770 MADE 4194 USG PAYUDARA 24 90,000
93 AKRUM 269020 AWAL 4253 USG ABDOMEN 25 112,500
94 SUPRIADI 011320 AWAL 4310 USG ABDOMEN 25 112,500
95 RUHAYA 171380 MADE 4343 USG PAYUDARA 25 90,000
96 M.HAFID 175503 MADE 4374 USG ABDOMEN 25 112,500
97 JUMIATI 159667 MINI 4387 USG ABDOMEN 25 112,500
98 HJ.HERNIA 269031 MINI 4402 USG ABDOMEN 25 112,500
99 DIAH RINAWATI 198695 MINI 4423 USG ABDOMEN 25 112,500
100 RIA OKTAVIANI 245019 MADE 4556 USG ABDOMEN 25 112,500
101 M.ADIKA A RELLANG 269074 RISWAN 4956 USG LEHER 29 90,000
102 INDRAYATI 252949 RISWAN 4975 USG ABDOMEN 29 112,500
103 SATTU 261491 RISWAN 5010 USG ABDOMEN 29 112,500
104 WISRAH 269556 RISWAN 5003 USG ABDOMEN 29 112,500
105 NURMI 268783 RISWAN 5011 USG ABDOMEN 29 112,500
106 YUSUF 235792 RISWAN 4995 USG ABDOMEN 29 112,500
107 YURIADI 269105 MADE 5316 USG LEHER 31 90,000
108 SUTRIYAH 269116 MINI 5350 USG LEHER 31 90,000
109 RAHMIWATI 193340 AWAL 5224 USG ABDOMEN 31 112,500
110 H.SAINUDDIN 246551 AWAL 4503 USG ABDOMEN 31 112,500
111 ACCAN 182425 AYU 5389 USG MUSCOLESKELETAL 31 90,000
112 ANDI TENRI 136873 AYU 5420 USG ABDOMEN 31 112,500
113 I KOMANG SUDIATNIKO 269124 AYU 5434 USG LEHER 31 90,000
114 SYAHRIYANTI 145449 MADE 5431 USG ABDOMEN 31 112,500
115 HIYANI 141040 MADE 5477 USG PAYUDARA 31 90,000
116 SRI RISTIANI 269132 MADE 5492 USG ABDOMEN 31 112,500
117 INDO AKO 133344 MADE 5496 USG PAYUDARA 31 90,000
118 JAMIL 181673 MADE 5506 USG ABDOMEN 31 112,500
119 HJ.DELLO 237881 MADE 5531 USG ABDOMEN 31 112,500
Total 12,532,500
 REKAPAN
NO DOKTER TOTAL TARIF
1 ARIS 2,047,500
2 AWAL 3,015,000
3 AYU 1,102,500
4 BADARIA 112,500
5 DESY 315,000
6 MADE 2,250,000
7 MINI 877,500
8 NASHAR
9 NASRUL 90,000
10 NIA 427,500
11 RAHMATIA
12 RISWAN 2,295,000
13 SRI RAHAYU
14 TENRI
TOTAL 12,532,500

RAWAT JALAN dr. WAHYUNI DJAFAR, Sp.RAD, M.Kes

BULAN MEI 2023
FOTO

No.URUT Nama RM dr.PENGIRIM SEP PEMERIKSAAN TGL TARIF

1 SYARTI JAYA 155563 RAHMATIA 0147 ESHLER 2 63,000
2 RESKI RANDE SALLI 261176 AWAL 0172 THORAX 2 67,500
3 HAMKA 262655 MADE 0041 SHOULDER 2 63,000
4 YENI MAMESA 268129 MADE SKULL 3 87,750
5 FIRMANSYAH 268131 NIA 0255 THORAX 3 67,500
6 SAWIA 190412 AWAL 0323 THORAX 3 67,500
7 AR GALENTHA 268168 AYU 0498 THORAX 3 67,500
8 ANISA 265158 ARIS SKULL SKULL 3 87,750
9 FITRIANI 137883 RISWAN 0439 THORAX 3 67,500
10 ULVA RAFINA 268151 NASRUL 0361 THORAX 3 67,500
11 DYAN MAYASARI 166524 ARIS 0476 PEDIS 3 87,750
12 SERLI JANUARESKI 053122 ARIS THORAX 3 67,500
13 SOPHIA 264124 NASRUL 0381 THORAX 4 67,500
14 ABD.IRSAD 114541 AYU 0486 THORACOLUMBAL 4 87,750
15 PIRDA PERTIWI 266364 DESY 0609 LUMBOSACRAL 4 87,750
16 YOHANIS PITER 246167 MADE 0635 ANTEBRACHI 4 87,750
17 SITANTU PANAPI 028201 MADE 0622 LUMBOSACRAL 4 87,750
18 IIN OCTAVIANI 251132 DESY LUMBOSACRAL 4 87,750
19 WAYAN MUSTINI 146380 MINI 0679 PEDIS 4 87,750
20 YAHYA RIDWAN 268229 MADE 0738 THORAX 4 67,500
21 MUH. RAJAB 250498 NASRUL 0791 THORAX 5 67,500
22 NADHILLA 148217 BADARIA 0855 THORAX 5 67,500
23 HJ.SUARNI 143718 DESY 0870 LUMBOSACRAL 5 87,750
24 NURHAYATI 152750 AWAL 1102 THORAX 8 67,500
25 ROSMAEDA 164834 TENRI 1096 ESHLER 8 63,000
26 RAHMAWATI 255999 AWAL 1069 THORAX 8 67,500
27 NURDIN AWA 072255 AWAL 1079 THORAX 8 67,500
28 IKSAN M 268313 ARIS 1238 FEMUR 8 87,750
29 SUWARNI 268310 ARIS 1223 PELVIS 8 63,000
30 ADNAN SYABUR PARDENG 192517 NIA 1617 THORAX 10 67,500
31 MULIATI 268367 MINI 1666 THORAX 10 67,500
32 ABDU 202566 ARIS 1714 GENU 10 87,750
33 HIKMAWATY 153283 DESY 2051 MANUS 12 87,750
34 JASRUM 060724 ARIS 2060 LUMBOSACRAL 12 87,750
35 SUPARDIN 268419 AWAL 2113 THORAX 12 67,500
36 BAYU ANDIKA 181974 AWAL 1918 THORAX 12 67,500
37 NURDIA 268423 RISWAN 2120 THORAX 12 67,500
 38 TRIANI NICHA 268422 BADARIA 2130 THORAX 12 67,500
39 HJ.JAWARIA 264558 DESY 2332 THORAX 15 67,500
40 SUNARDIN 223262 AWAL 2518 THORAX 15 67,500
41 MUKMIN 268126 RISWAN 2567 THORAX 15 67,500
42 MUSLIM 260730 ARIS 2503 THORAX 15 67,500
43 YOSIS ELDAD 268493 MINI 2914 THORAX 17 67,500
44 DADANG SYAMSUDDIN 214189 AWAL 2963 THORAX 17 67,500
45 SALEH KINDONG 195022 AYU 2993 HUMERUS 17 87,750
46 HATIA 000184 AYU 3023 SHOULDER 17 63,000
47 DION MARVEL 265556 NIA 4040 THORAX 24 67,500
48 MUH.TANG 130877 AWAL 4140 THORAX 24 67,500
49 WINDA SARI BELLA 213856 MADE 4037 ANKLE 24 87,750
50 ABD TALIB 269000 MADE 4073 PELVIS 24 63,000
51 RUHABA 110564 DESY 4119 PELVIS 24 63,000
52 SUBAIR 239697 DESY 4189 CERVICAL 24 87,750
53 ISMAIL 269014 SRI RAHAYU 4193 THORAX 24 67,500
54 SATTU BUTU 007382 DESY 4152 SHOULDER 24 63,000
55 NORMA 185354 MADE 4128 THORAX 25 67,500
56 RAIYA 235406 DESY 4313 LUMBOSACRAL 25 87,750
57 HERTI 178208 SRI RAHAYU 4388 THORAX 25 67,500
58 MAKAELO JESLIN L 269021 BADARIA THORAX 25 67,500
59 YENI WINDIYARTI 183469 AWAL 4541 THORAX 26 67,500
60 NAWRA RAHMADANI 269042 BADARIA 4534 THORAX 26 67,500
61 DHAFINE GABRIAN M 256887 BADARIA 4531 THORAX 26 67,500
62 SUPIYANTI 237792 AWAL 4843 THORAX 29 67,500
63 HJ.PARIDA 268469 AYU 4813 LUMBOSACRAL 29 87,750
64 YETTY 099821 AWAL 4824 THORAX 29 67,500
65 NUR FAJRIA 235401 NIA THORAX 29 67,500
66 SUBARDI 196851 MADE 4819 KEPALA 29 87,750
67 SANUSI GALA 098457 MADE 4829 PEDIS 29 87,750
68 DRA.CRISTINA P 188272 NASHAR 4853 PELVIS 29 63,000
69 MARTINA SARANGA 108633 MADE 4983 THORAX 29 67,500
70 FAIS AL FAUZI 269080 NIA 4969 THORAX 29 67,500
71 CAHYANI 186331 AYU 5244 LUMBOSACRAL 31 87,750
72 SAFIRA RAHMAN 269113 NIA 5327 THORAX 31 67,500
73 H.SAINUDDIN 246551 AWAL 5403 THORAX 31 67,500
74 HASIM 269127 SRI RAHAYU 5442 THORAX 31 67,500
75 KONRIMBA BONDON 057052 SRI RAHAYU 5465 THORAX 31 67,500
76 SUTRIYAH 269116 AWAL THORAX 31 67,500
77 MAHMUDDIN 188410 AYU 5516 THORAX 31 67,500
78 NYOMAN JENOK 268170 MADE 5455 LUMBOSACRAL 31 87,750
79 SUWARSI 269138 MADE 5504 THORAX 31 67,500
Total 5,757,750

REKAPAN TARIF PASIEN BPJS

NO DOKTER TARIF
1 ARIS 636,750
2 AWAL 1,012,500
3 AYU 549,000
4 BADARIA 337,500
5 DESY 720,000
6 MADE 1,010,250
7 MINI 222,750
8 NASHAR 63,000
9 NASRUL 202,500
10 NIA 405,000
11 RAHMATIA 63,000
12 RISWAN 202,500
13 SRI RAHAYU 270,000
14 TENRI 63,000
TOTAL 5,757,750
 RAWAT INAP dr. WAHYUNI DJAFAR, Sp.RAD, M.Kes
BULAN MEI 2023
CT SCAN

No.URUT Nama RM dr.PENGIRIM SEP PEMERIKSAAN TGL TARIF

1 CANDRA 266336 AYU CT KEPALA 2 360,000
2 GAMA 268114 AYU 0014 CT KEPALA 2 360,000
3 YORDAN 268104 AYU 0152 CT KEPALA 2 360,000
4 MASRIANI 218962 MADE 0164 CT KEPALA 2 360,000
5 MADE KARTIKO 155943 AYU 0435 CT KEPALA 3 360,000
6 YULIUS TODANG 268156 AYU CT KEPALA 3 360,000
7 JUMAIN 255120 AYU 0553 CT KEPALA 3 360,000
8 TAHIR 258647 AYU 0406 CT KEPALA 3 360,000
9 KETUT GUNAWAN 076526 MADE 2887 CT LEHER 3 360,000
10 ERWIN MUHIDIN 268264 DESY 0996 CT KEPALA 6 360,000
11 NURSIA 038267 AYU 1071 CT KEPALA 8 360,000
12 SAWIA 190412 AWAL 1076 CT THORAX 8 403,200
13 IRWAN HAFID 214204 AYU 1045 CT KEPALA 8 360,000
14 RAFNI SATRIANI 188655 AYU 1582 CT KEPALA 10 360,000
15 RUDI HERMAWAN 268365 ARIS 1668 CT ABDOMEN 10 576,000
16 SAMPE 268374 AYU 1749 CT KEPALA 10 360,000
17 ARMAWATY 160037 AYU 2909 CT KEPALA 17 360,000
18 HASRIA 251210 DESY 4034 CT KEPALA 24 360,000
19 MUSLIMIN 268587 SRI RAHAYU 4114 CT THORAX 24 403,200
20 NGATINAH 114612 DESY 4459 CT KEPALA 26 360,000
21 SUYATEN 268560 AYU 4861 CT KEPALA 29 360,000
22 NOLA 258532 DESY 5014 CT KEPALA 29 360,000
23 HASRUL 186028 MADE 4937 CT ABDOMEN 29 576,000
24 MUSTIKASARI 268103 AYU 5284 CT KEPALA 31 360,000
25 ANI 269118 AYU 5321 CT KEPALA 31 360,000
26 M.TANG 130677 SRI RAHAYU 5438 CT THORAX 31 403,200
27 AHMAD USMAN 250573 AYU 5441 CT KEPALA 31 360,000
Total 10,281,600

REKAPAN TARIF
DOKTER TOTAL TARIF
ARIS 576,000
AWAL 403,200
AYU 5,760,000
DESY 1,440,000
MADE 1,296,000
SRI RAHAYU 806,400
TOTAL 10,281,600
 RAWAT INAP dr. WAHYUNI DJAFAR, Sp.RAD, M.Kes
BULAN APRIL
FOTO
No.URUT Nama RM dr.PENGIRIM SEP PEMERIKSAAN TGL

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
 57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
116
117
118
119
120
121
122
123
124
125
126
127
128
129
 REKAPAN TARIF PASIEN RAWAT
PASIEN BPJS dr.WAHYUNI JAFAR,Sp.Rad
TARIF PEMERIKSAAN
NO DOKTER TOTAL
FOTO USG CT SCAN
1 dr.ARIS -
2 dr.AWAL -
3 dr.AYU -
4 dr.DESY -
5 dr.MADE -
6 dr.MINI -
7 dr.NASRUL -
8 dr.NIA -
9 dr.RISWAN -
10 dr.SUWANTO -
11 dr.YANTI -
12 dr.BADARIA -
13 dr.NENENG -
14 dr.RAHMATIAH -
15 dr.TENRI -
16 dr.NASHAR -
17 dr.SRI RAHAYU -
-
-
-
-
TOTAL - - 0 -
IF PASIEN RAWAT JALAN BPJS
PASIEN BPJS dr.FATMAWATY Z,Sp.Rad
TARIF PEMERIKSAAN
NO DOKTER TOTAL
FOTO USG CT SCAN
1 dr.ARIS -
2 dr.AWAL -
3 dr.AYU -
4 dr.BADARIA -
5 dr.DESY -
6 dr.INDRA -
7 dr.MADE -
8 dr.MINI -
9 dr.NASRUL -
10 dr.NIA -
11 dr.RISWAN -
12 dr.SUWANTO -
13 dr.TENRI -
14 dr.ASRIYANTI -
15 dr.NASHAR -
16 dr.SRI RAHAYU -
-
-
-
-
-
TOTAL - 0 0 -