REKAPITULASI CEK LABORATORIUM

1 Juli s/d 31 Juli '2022

No Tanggal Nama Pasien Poli Tarif Adm Lab BPJS
1 7/1/2022 Ny. Maryani Bd. Juhaeriyah Rp 150,000 Rp 5,000
2 7/1/2022 An. Gilang APS Rp 15,000 Rp 5,000

3 7/2/2022 Sdr. Arya dr. Maharani Rp 90,000 Rp 5,000

4 7/2/2022 Sdr. Arya dr. Maharani BPJS

5 7/3/2022 Ny. Ojat Bd. Juhaeriyah Rp 150,000 Rp 5,000

6 7/3/2022 Tn. T. Joeng dr. Dholla Rp 40,000 Rp 5,000
7 7/3/2022 An. Sinay dr. Dholla Rp 180,000 Rp 5,000

8 7/4/2022 Ny. Isyana APS Rp 150,000 Rp 5,000

9 7/4/2022 Ny. Dwi Ratri APS Rp 200,000 Rp 5,000
10 7/4/2022 Nn. Syilmi dr. Toto Rp 180,000 Rp 5,000
11 7/4/2022 Ny. Luth. A APS Rp 200,000 Rp 5,000
12 7/4/2022 Tn. Wahono dr. Toto BPJS

13 7/5/2022 Ny. Anastasia dr. Toto BPJS

14 7/5/2022 Tn. Kusmayadi dr. Toto BPJS
15 7/5/2022 Ny. Nony dr. Toto BPJS

16 7/6/2022 Ny. Fika APS Rp 50,000 Rp 5,000

17 7/6/2022 Ny. Lilis dr. Maharani BPJS
18 7/6/2022 An. Briana. C dr. Maharani BPJS

19 7/7/2022 An. Briana. C dr. Maharani Rp 90,000 Rp 5,000

20 7/7/2022 Tn. Kiagus dr. Maharani BPJS
21 7/7/2022 Ny. Maharani APS Rp 140,000

22 7/8/2022 Ny. Anfi Bd. Juhaeriyah Rp 150,000 Rp 5,000

23 7/8/2022 Ny. Siti APS Rp 120,000 Rp 5,000
24 7/8/2022 Sdr. Akbar APS Rp 160,000 Rp 5,000

25 7/9/2022 Ny. Asiyah Bd. Juhaeriyah Rp 150,000 Rp 5,000

26 7/9/2022 Tn. Reza APS Rp 180,000 Rp 5,000
27 7/9/2022 Tn. Farhan dr. Jayanti Rp 180,000 Rp 5,000

28 7/11/2022 Sdr. Rey andri APS Rp 160,000 Rp 5,000

29 7/12/2022 Ny. Vita dr. Betha BPJS

30 7/12/2022 Ny. Vita dr. Betha Rp 80,000 Rp 5,000

31 7/13/2022 Ny. Atik .N Bd. Juhaeriyah Rp 15,000 Rp 5,000

32 7/14/2022 Ny. Atik Bd. Juhaeriyah Rp 15,000 Rp 5,000
33 7/14/2022 Ny. Manih dr. Dholla BPJS
34 7/14/2022 Tn. Abdul rohman dr. Dholla BPJS
35 7/14/2022 Ny. Desiana Bd. Juhaeriyah Rp 30,000 Rp 5,000

36 7/16/2022 Ny. Ani dr. Maharani BPJS

37 7/18/2022 Ny. Ihya Bd. Juhaeriyah Rp 150,000 Rp 5,000

38 7/19/2022 Ny. Laela BPJS

39 7/19/2022 Tn. Faruq Aps Rp 40,000 Rp 5,000

40 7/20/2022 Ny. Eti dr. Dholla BPJS

41 7/20/2022 Ny. Ani dr. Dholla Rp 40,000 Rp 5,000
42 7/20/2022 Nn. Zakia APS Rp 15,000 Rp 5,000

43 7/22/2022 Ny. Susanti Bd. Juhaeriyah Rp 150,000 Rp 5,000

44 7/23/2022 Nn. Yunizar APS Rp 180,000 Rp 5,000

45 7/24/2022 An. Rafisqy dr. Jayanti BPJS

46 7/24/2022 An. Rafisqy dr. Jayanti Rp 90,000 Rp 5,000
47 7/24/2022 Tn. Agus dr. Jayanti BPJS
48 7/24/2022 Sdr. Bangun S.J APS Rp 160,000 Rp 5,000

49 7/25/2022 Tn. Haidar dr. Toto Rp 180,000 Rp 5,000

50 7/26/2022 Sdr. M . Rifti APS Rp 160,000 Rp 5,000

51 7/27/2022 Ny. Tiara Serly APS Rp 90,000 Rp 5,000

52 7/27/2022 Ny. Dewi. A dr. Dholla Rp 120,000 Rp 5,000

53 7/28/2022 Ny. Nanih dr. Maharani BPJS

54 7/28/2022 Tn. Haidar. H dr. Maharani Rp 90,000 Rp 5,000
55 7/28/2022 Tn. Suyanto dr. Maharani BPJS

56 7/30/2022 Sdr. M. Bintang APS Rp 160,000 Rp 5,000

57 7/31/2022 Ny. Ana Yuliana dr. Jayanti Rp 80,000 Rp 5,000

Jumlah Rp 4,580,000 Rp 190,000
 Jumlah Keterangan Petugas
Rp 155,000 Rawat Jalan Mirna
Rp 20,000 Rawat Jalan Mirna

Rp 95,000 Rawat Jalan Mirna

Rawat Jalan Mirna

Rp 155,000 Rawat Jalan Afifah

Rp 45,000 Rawat Jalan Ayu
Rp 185,000 Rawat Jalan Mirna

Rp 155,000 Rawat Jalan Afifah

Rp 205,000 Rawat Jalan Afifah
Rp 185,000 Rawat Jalan Afifah
Rp 205,000 Rawat Jalan Afifah
Rawat Jalan Afifah

Rawat Jalan Mirna

Rawat Jalan Mirna
Rawat Jalan Mirna

Rp 55,000 Rawat Jalan Afifah

Rawat Jalan Novita
Rawat Jalan Afifah

Rp 95,000 Rawat Jalan Afifah

Rawat Jalan Afifah
Rp 140,000 Rawat Jalan Mirna

Rp 155,000 Rawat Jalan Mirna

Rp 125,000 Rawat Jalan Mirna
Rp 165,000 Rawat Jalan Mirna

Rp 155,000 Rawat Jalan Mirna

Rp 185,000 Rawat Jalan Mirna
Rp 185,000 Rawat Jalan Mirna

Rp 165,000 Rawat Jalan Afifah

Rawat Jalan Mirna

Rp 85,000 Rawat Jalan Mirna

Rp 155,000 Rawat Jalan Afifah

Rp 155,000 Rawat Jalan Afifah
Rawat Jalan Afifah
Rawat Jalan Afifah
Rp 35,000 Rawat Jalan Afifah

Rawat Jalan Mirna

Rp 155,000 Rawat Jalan Afifah

Rawat Jalan Afifah

Rp 45,000 Rawat Jalan Afifah

Rawat Jalan Afifah

Rp 45,000 Rawat Jalan Mirna
Rp 20,000 Rawat Jalan Mirna

Rp 155,000 Rawat Jalan Mirna

Rp 185,000 Rawat Jalan Afifah

Rawat Jalan Afifah

Rp 95,000 Rawat Jalan Afifah
Rawat Jalan Afifah
Rp 165,000 Rawat Jalan Afifah

Rp 185,000 Rawat Jalan Afifah

Rp 165,000 Rawat Jalan Mirna

Rp 95,000 Rawat Jalan Afifah

Rp 125,000 Rawat Jalan Afifah

Rawat Jalan Afifah

Rp 95,000 Rawat Jalan Afifah
Rawat Jalan Mirna

Rp 165,000 Rawat Jalan Afifah

Rp 85,000 Rawat Jalan Afifah

Rp 5,040,000
 REKAPITULASI PASIEN ANTIGEN LAB
1 Juli s/d 31 Juli '2022
1 7/11/2022 Ny. Dwi Rp 89,000 Rp 10,000 Rp 99,000 Mirna
2 7/11/2022 Sdr. Rey andri Rp 89,000 Rp 10,000 Rp 99,000 Afifah

3 7/12/2022 Tn. M yodi Rp 89,000 Rp 10,000 Rp 99,000 Mirna

4 7/12/2022 Tn. Ridwan Rp 89,000 Rp 10,000 Rp 99,000 Afifah

5 7/13/2022 Ny. Bedah Nurjanah Rp 89,000 Rp 10,000 Rp 99,000 Mirna

6 7/13/2022 Fri Nirwani Rp 89,000 Rp 10,000 Rp 99,000 Mirna

7 7/21/2022 Nn. Debrinata Rp 89,000 Rp 10,000 Rp 99,000 Afifah

8 7/23/2022 Ny. Fitri. M Rp 89,000 Rp 10,000 Rp 99,000 Afifah

9 7/27/2022 Ny. Tiara Serly Rp 89,000 Rp 10,000 Rp 99,000 Afifah

10 7/31/2022 An. Ghadaza Rp 55,000 Rp 10,000 Rp 65,000 Afifah

Jumlah Rp 856,000 Rp 100,000 Rp 956,000
AFIFAH 6
MIRNA 4
 LAPORAN PENGGUNAAN BARANG
Juli '2022
No Tanggal Jenis Barang Jumlah
1 7/2/2022 Stick Kolestreol 1 Pack
2 7/6/2022 Tissue 1 Pack
3 7/6/2022 Stick Hbsag 1 Pack
4 7/6/2022 Stick Syfilis 1 Pack
5 7/8/2022 Kertas Goldar 1 Pack
6 7/22/2022 Lancet 1 Pack

REKAPILUTASI PCR Juli 2022

No Tanggal Nama Pasien Kilat 1 X 24 Jam Jumlah petugas