TARIF MAKAN PASIEN BPJS RUANG MELATI

Bulan : Agustus 2020

No Tgl KRS Nama Kelas Makan Asnut Konsul Total
1 1-Aug-20 P. Markani 3 246,800 15,000 10,000 271,800
2 P. Purwanto 3 1,579,800 55,000 10,000 1,644,800
3 2-Aug-20 P. Supraptoyo 3 243,000 15,000 10,000 268,000
4 P. Kabir 3 374,100 10,000 10,000 394,100
5 3-Aug-20 P.yadi 2 114,900 5,000 10,000 129,900
6 P. Suparni 3 1,058,400 40,000 10,000 1,108,400
7 4-Aug-20 P. Sutadji 1 307,000 15,000 10,000 332,000
8 P. Bakat 2 374,800 20,000 10,000 404,800
9 P. Darmani 3 90,000 5,000 10,000 105,000
10 P. Pujo 3 982,800 50,000 10,000 1,042,800
11 B. Kartiyem 3 135,000 10,000 10,000 155,000
12 B. Sumini 3 27,000 5,000 0 32,000
13 5-Aug-20 P. Fatkhul 3 372,000 25,000 10,000 407,000
14 B. Istini 3 75,600 5,000 10,000 90,600
15 B. Tri 3 270,000 15,000 10,000 295,000
16 6-Aug-20 P. Marijono 2 135,000 10,000 10,000 155,000
17 P. Ardi 3 151,200 10,000 10,000 171,200
18 B. Yayuk 3 342,400 25,000 10,000 377,400
19 P. Djayadi 3 586,200 30,000 10,000 626,200
20 7-Aug-20 P. Sugeng 3 206,800 15,000 10,000 231,800
21 B. Farikhah 3 186,800 15,000 10,000 211,800
22 8-Aug-20 P. Suwito 2 152,800 10,000 10,000 172,800
23 P. Supardi 2 75,600 5,000 10,000 90,600
24 P. Slamet 3 36,600 5,000 0 41,600
25 P. Mujiono 3 290,400 20,000 10,000 320,400
26 9-Aug-20 P. Eko 1 281,600 15,000 10,000 306,600
27 P. Ponimin 3 182,800 10,000 10,000 202,800
28 10-Aug-20 P. Bonaji 3 324,000 15,000 10,000 349,000
29 P. Rokim 3 426,600 20,000 10,000 456,600
30 P. Apung 3 459,000 25,000 10,000 494,000
31 B. Mutatun 3 339,400 20,000 10,000 369,400
32 11-Aug-20 P. Aris 3 224,400 10,000 10,000 244,400
33 B. Yahmi 3 851,600 45,000 10,000 906,600
34 12-Aug-20 B. Else 3 307,600 20,000 10,000 337,600
35 P. Sugito 3 338,000 20,000 10,000 368,000
36 B. Supadmi 3 324,000 20,000 10,000 354,000
37 13-Aug-20 B. Wiji 3 206,800 15,000 10,000 231,800
38 B. Satuna 3 451,200 25,000 10,000 486,200
39 14-Aug-20 P. Mujiatno 3 246,800 20,000 10,000 276,800
40 B. Sustiana 3 531,200 35,000 10,000 576,200
41 B. Sukarti 3 55,600 5,000 10,000 70,600
42 P. Dwi purwanto 3 0 5,000 0 5,000
43 15-Aug-20 P. Rimun 3 472,800 35,000 10,000 517,800
44 16-Aug-20 P. Purwoto 2 492,800 30,000 10,000 532,800
45 18-Aug-20 P. Jaenan 3 433,600 25,000 10,000 468,600
46 P. Ahmad Aisa 3 2,483,800 25,000 10,000 2,518,800
47 19-Aug-20 P. Dany 2 453,600 25,000 10,000 488,600
48 P. Kateni 3 302,400 15,000 10,000 327,400
49 B. Paikem 3 0 5,000 0 5,000
50 P. Rusdi 3 398,000 20,000 10,000 428,000
51 P. Jaenudin 3 405,000 20,000 10,000 435,000
52 B. Mukijem 3 448,900 10,000 10,000 468,900
53 20-Aug-20 P. Marsono 3 151,200 5,000 10,000 166,200
54 B. Sunarti 3 552,400 20,000 10,000 582,400
55 P. Slamet W 3 151,200 5,000 10,000 166,200
56 22-Aug-20 P. Fatoni 3 243,000 10,000 10,000 263,000
57 P. Wakit 3 236,000 10,000 10,000 256,000
58 B. Sri Swarti 3 951,200 35,000 10,000 996,200
59 B. Naning 3 972,000 40,000 10,000 1,022,000
60 P. Imam 3 635,600 25,000 10,000 670,600
61 23-Aug-20 B. Sustiana 3 265,600 15,000 10,000 290,600
62 24-Aug-20 B. Irmina 2 352,000 10,000 10,000 372,000
63 B. desi 3 398,000 15,000 10,000 423,000
64 P. Parmanto 3 702,000 25,000 10,000 737,000
65 B. St. Amanah 3 486,000 25,000 10,000 521,000
66 B. tumirah 3 146,400 15,000 10,000 171,400
67 25-Aug-20 P. Jumito 3 109,800 5,000 10,000 124,800
68 P. Sulaiman 3 1,038,400 50,000 10,000 1,098,400
69 26-Aug-20 Sdr. Avisena 3 398,000 20,000 10,000 428,000
70 B. Siti nur 3 151,200 10,000 10,000 171,200
71 B. Ponimah 3 151,200 10,000 10,000 171,200
72 P. Ismangil 3 449,600 25,000 10,000 484,600
73 27-Aug-20 B. Sumiyah 3 1,458,000 65,000 10,000 1,533,000
74 28-Aug-20 B. tita 3 272,900 15,000 10,000 297,900
75 B. Yahmi 3 522,800 40,000 10,000 572,800
76 B. Semi 3 131,200 10,000 10,000 151,200
77 P. Buchori 3 182,800 10,000 10,000 202,800
78 29-Aug-20 P. Slamet 3 0 5,000 0 5,000
79 B. Kamsih 3 73,400 5,000 10,000 88,400
80 P. Sutajit 3 246,800 15,000 10,000 271,800
81 30-Aug-20 B. Dinun 3 20,000 5,000 0 25,000
82 P. Saeroji 3 108,000 5,000 10,000 123,000
83 31-Aug-20 P. Bambang 1 331,800 15,000 10,000 356,800
84 B. Naning 3 135,000 5,000 10,000 150,000
Total 31,880,000 1,540,000 780,000 34,200,000
 TARIF MAKAN PASIEN UMUM RUANG MELATI
Bulan : Agustus 2020
No Tgl KRS Nama Kelas Makan Asnut Konsul Total
1 1-Aug-20 B. Siti m 3 582,800 35,000 10,000 627,800
2 3-Aug-20 P. Kasbandi 2 837,000 40,000 10,000 887,000
3 P. Mustofa 3 433,600 20,000 10,000 463,600
4 P. Nursiaji 3 151,200 10,000 10,000 171,200
5 4-Aug-20 B. Sudarwati 3 98,700 5,000 10,000 113,700
6 B. Mesiyah 3 206,800 15,000 10,000 231,800
7 8-Aug-20 P. Mursid 2 191,200 15,000 10,000 216,200
8 17-Aug-20 P. Jani 3 277,500 5,000 10,000 292,500
9 25-Aug-20 B. Wiyanik 3 457,600 20,000 10,000 487,600
10 27-Aug-20 P. Marni 3 282,400 15,000 10,000 307,400
11 B. Suminten 3 239,800 15,000 10,000 264,800
12 28-Aug-20 B. Katiem 2 140,800 10,000 10,000 160,800
13 29-Aug-20 P. Mesyanto 3 584,400 25,000 10,000 619,400
Total 4,483,800 230,000 130,000 4,843,800
 TARIF MAKAN PASIEN JAMKESDA RUANG MELATI
Bulan : Agustus 2020
No Tgl KRS Nama Kelas Makan Asnut Konsul Total
1 12-Aug-20 B. Isgiati 3 529,200 40,000 10,000 579,200
2 13-Aug-20 P. Siswandi 3 584,800 35,000 10,000 629,800
3 25-Aug-20 B. Widjati 3 788,600 25,000 10,000 823,600
Total 1,902,600 100,000 30,000 2,032,600
 TARIF MAKAN PASIEN KEMENKES RUANG MELATI
Bulan : Agustus 2020
No Tgl KRS Nama Kelas Makan Asnut Konsul Total
1 4-Aug-20 By. Riska 1 0 5,000 0 5,000
2 5-Aug-20 B. Ramiani 1 107,200 5,000 10,000 122,200
3 7-Aug-20 By. Sunarlin 1 0 5,000 0 5,000
4 11-Aug-20 By. Awalia 1 0 5,000 0 5,000
5 12-Aug-20 P. Supardi 1 370,000 15,000 10,000 395,000
6 P. Minto 1 370,000 15,000 10,000 395,000
7 16-Aug-20 P. Maryono 1 180,000 5,000 10,000 195,000
8 22-Aug-20 Sdr. Azha 1 342,800 10,000 10,000 362,800
9 26-Aug-20 P. heru 1 157,800 10,000 10,000 177,800
10 29-Aug-20 By. Retno 1 0 5,000 0 5,000
Total 1,527,800 80,000 60,000 1,667,800
 LAPORAN STATUS GIZI PASIEN LAPORAN KONSULTASI GIZI
Bulan : Agustus 2020 Bulan : Agustus 2020
Ruang :Melati Ruang :Melati
Jumlah Status Gizi UMUM BPJS SPM KEMENKES
Tgl No JENIS DIET JUMLAH
Pasien Buruk Kurang Normal Lebih Obesitas 1 2 3 1 2 3 3 1
1 1 Alergi 0
2 2 Batu Ginjal 0
3 3 CVA 0
4 4 Diabetes Mellitus 0
5 5 Dislipidemia 0
6 6 GGK Dialisa 0
7 7 Gizi Lansia 0
8 8 Hati 0
9 9 Hiperemesis 0
10 10 Jantung 0
11 11 Makanan Balita 0
12 12 Makanan Bayi 0
13 13 Makanan Ibu Hamil 0
14 14 Makanan Ibu Menyusui 0
15 15 Makanan Lewat Pipa 0
16 16 Motivasi Gizi 0
17 17 Lambung 0
18 18 Pasca Bedah 0
19 19 Rendah Garam 0
20 20 Rendah Kalori 0
21 21 Rendah Kolesterol 0
22 22 Rendah Lemak 0
23 23 Rendah Protein 0
24 24 Rendah Purin 0
25 25 Rendah Serat 0
26 26 Rendah Sisa 0
27 27 Rendah Trigliserida 0
28 28 TETP 0
29 29 0
30 30
31 31
å 0 0 0 0 0 0 32
% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Jumlah 0 0 0 0 0 0 0 0 0
 LAPORAN SISA MAKAN PASIEN

Bulan : Agustus 2020 Bentuk Makanan : Cair

Ruang :Melati

No Nama Pasien Intake ( %) Waste (%)

1 100
2 100
3 100
4 100
5 100
6 100
7 100
8 100
9 100
10 100
11 100
12 100
13 100
14 100
15 100
16 100
17 100
18 100
19 100
20 100
21 100
å 0 2100
% -31.25 131.25