DAFTAR NAMA PEMBELIAN MASKER

TGL BELI NAMA JUMLAH HARGA

18-Nov FATONAH 2 Rp 5,000
5-Nov RULI 2 Rp 5,000
9-Nov RIYANTO 2 Rp 5,000
10-Nov INUN 2 Rp 5,000
11-Dec JAMRUD 2 Rp 5,000
13-DES DIAH 2 Rp 5,000
22-DES ACH. ZAMRONI 2 Rp 5,000
24-DES M.ISLAH 2 Rp 5,000
24-Dec ANDRI 2 Rp 5,000
27-Dec ELY 2 Rp 5,000
1-Jan ARGA 2 Rp 5,000
14-Jan PUTRY 2 Rp 2,500
14-Jan SRIAWAN 2 Rp 2,500
14-Jan SITI KOLIFA 2 Rp 2,500
14-Jan AIRLANGGA 2 Rp 5,000
15-Jan CHAYATUN 2 Rp 5,000
15-Jan SUPIATI 2 Rp 5,000
15-Jan FITRIATUL 2 Rp 5,000
16-Jan ABDUL MUIS 2 Rp 5,000
16-Jan AHMAD YANI 2 Rp 5,000
16-Jan LILIS 2 Rp 5,000
16-Jan DEDY PURNOMO 2 Rp 5,000
17-Jan NINING 2 Rp 5,000
17-Jan TUTIK 2 Rp 5,000
17-Jan SULIS 2 Rp 5,000
 TOTAL (1)

Rp 225,000
Rp -
Rp 150,000
Rp 300,000
Rp 474,300
Rp -
Rp 220,000
Rp -
Rp -
Rp 10,000
Rp 27,020
Rp -
Rp -
Rp -
Rp 45,000
Rp 15,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,466,320
Rp -
Rp -
Rp -
Rp 1,466,320
Rp 1,466,320
 TOTAL (1)
Rp -
Rp -
Rp 700,000
Rp 1,400,000
Rp 1,874,025
Rp 150,000
Rp 630,000
Rp 200,000
Rp -
Rp 20,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 4,974,025
Rp -
Rp -
Rp -
Rp 4,974,025
Rp 4,974,025
NO NAMA & NO. REKAM MEDIS NOMINAL KET
1 788609
2 788610
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
NO FARMASI

81 Rp 109,300
82 Rp 246,500
83 Rp 34,400
84 Rp 132,000
85
NO FARMASI

Rp 206,800
Rp 30,100
Rp 25,600
Rp 145,800
Rp 89,700
Rp 30,200

Rp 108,800
Rp 45,600
Rp 24,100
Rp 228,000
Rp 175,865
Rp 48,000
 NO FARMASI LABORAT KARCIS DOKTER TINDAKAN RADIOLOGI SEWA RWT INAP RJ EXES IGD AMBULAN DP KARTU LAIN LAIN MATERAI EDC QRIS TRANSFER FREE REFUND

13 Rp 193,000 Rp 50,000 Rp 100,000 Rp 50,000 Rp 7,500,000 Rp 15,000 Rp 10,000 Rp 343,000 Rp 124,100

14 Rp 52,000 Rp 50,000 Rp 100,000 Rp 15,000 Rp 252,000
15 Rp 92,000 Rp 50,000 Rp 100,000
16 Rp 188,900 Rp 50,000 Rp 100,000
17 Rp 124,100
18 Rp 62,100 Rp 7,500,000
19 Rp 124,000
20 Rp 477,000
21

22

23

24

25

26

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

FARMASI LABORAT KARCIS DOKTER TINDAKAN RADIOLOGI SEWA RWT INAP RAWAT JLN EXES IGD AMBULAN DP KARTU LAIN LAIN MATERAI EDC QRIS TRANSFER FREE REFUND
TOTAL
Rp 1,313,100 Rp - Rp 200,000 Rp 400,000 Rp 50,000 Rp - Rp - Rp - Rp - Rp - Rp - Rp 7,500,000 Rp 30,000 Rp - Rp 10,000 Rp 595,000 Rp 7,624,100 Rp - Rp - Rp -
DEBET EDC Rp 8,219,100
JUMLAH
JUMLAH
AKHIR
Rp 1,284,000 Rp 1,284,000
 NO FARMASI LABORAT KARCIS DOKTER TINDAKAN SEWA AMBULAN RADIOLOGI RAWAT INAP EX RI JENAZAH DP PAKET KARTU LAIN EDC QRIS TRANSFER FREE

35 Rp 110,000 Rp 230,000 Rp 2,000,000 Rp 600,000 Rp 429,300 Rp 2,000,000

36 Rp 746,900 Rp 10,000,000 Rp 200,000 Rp 182,700 Rp 216,500
37 Rp 24,900 Rp 335,000 Rp 749,900
38 Rp 17,200 Rp 24,900 Rp 17,200
39 Rp 235,300 Rp 10,000,000
40
41
42
43
44
45
46
47 Rp 249,300 Rp 50,000 Rp 100,000 Rp 30,000
48 Rp 29,400 Rp 50,000 Rp 100,000 Rp 45,000
49 Rp 132,700 Rp 50,000
50 Rp 66,500 Rp 50,000 Rp 100,000
51 Rp 185,000 Rp 50,000 Rp 100,000
52 Rp 85,300 Rp 50,000 Rp 100,000
53 Rp 111,500 Rp 50,000 Rp 100,000 Rp 30,000
54 Rp 30,500 Rp 50,000 Rp 100,000
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74

FARMASI LABORAT KARCIS DOKTER TINDAKAN SEWA AMBULAN RADIOLOGI RAWAT INAP EX RI JENAZAH DP PAKET KARTU LAIN EDC QRIS TRANSFER FREE
TOTAL
Rp 1,789,200 Rp 230,000 Rp 400,000 Rp 700,000 Rp 105,000 Rp - Rp - Rp - Rp - Rp - Rp - Rp 12,000,000 Rp - Rp - Rp 800,000 Rp 1,207,200 Rp 12,983,600 Rp - Rp -
Rp 14,190,800
JUMLAH
JUMLAH
AKHIR
Rp 1,833,400 Rp 1,616,900

RETUR Rp 150,000
Rp 66,500
FREE
PB
 REFUND

REFUND
Rp - Rp 30,215,000
 KARTU BEROBAT
NO NAMA DAN RM HARGA

1
2
TOTAL
 16 - 28 FEB 2022 16 - 28 FEB 2022

DAHRI DANDI
16 - 28 FEB 2022 16 - 28 FEB 2022

NOVAN ROMLAH
16 - 28 FEB 2022 16 - 28 FEB 2022

RIFDAH SHINTA