LAPORAN KESELURUHAN TANGGAL 26 JUNI - 25 JULI 2021

NO NAMA PASIEN TANGGAL STATUS TUSLAH

1 NY. VINA DWI JAYANTI Tuesday, May 25, 2021 IN-HEALTH Rp 166,800
2 TN. MUHAMMAD ILHAMSYAH Wednesday, June 2, 2021 IN-HEALTH Rp 56,400
3 NY. PUJIA NINGSIH Thursday, June 3, 2021 IN-HEALTH Rp 39,000
4 NY. VANILLA FLANI POLIA ANDRESS Thursday, June 3, 2021 GARDA MEDIKA Rp 37,200
5 TN. MAT RADAWI Saturday, June 19, 2021 THM Rp 221,800
6 TN. FIQRI ROSADY Monday, June 21, 2021 UMUM Rp 88,800
7 NY. SITI AISYAH Monday, June 21, 2021 THS Rp 172,800
8 TN. SYAMSUDDIN Tuesday, June 22, 2021 UMUM Rp 65,400
9 AN. M. ARSYA Tuesday, June 22, 2021 UMUM Rp 55,200
10 NY. MUNIROH Tuesday, June 22, 2021 UMUM Rp 184,200
11 NY. LINDA PERMATA SARI Wednesday, June 23, 2021 UMUM Rp 183,600
12 BY. NY. MAULIDA Z Thursday, June 24, 2021 UMUM Rp 20,400
13 NY. NURUL HIKMAH Thursday, June 24, 2021 THM Rp 109,200
14 NY. SYARIFAH MAWARDAH Tuesday, June 29, 2021 UMUM Rp 115,200
15 AN. RAFFASYA ABIDZAR PRIBADI Monday, June 28, 2021 UMUM Rp 91,000
16 AN. NUR SA'DA KAMILA Tuesday, June 29, 2021 UMUM Rp 38,400
17 AN. MUHAMMAD RIZKI Wednesday, June 30, 2021 UMUM Rp 50,400
18 AN. M.IQBAL Wednesday, June 30, 2021 UMUM Rp 58,800
19 NY. HJ. RUSNANI Thursday, July 1, 2021 UMUM Rp 239,800
20 TN. HENDRA Thursday, July 1, 2021 THM Rp 119,400
21 AN. M. NAOUFAL PRATAMA Saturday, July 3, 2021 UMUM Rp 56,800
22 NY. MASRUPAH Saturday, July 3, 2021 THM Rp 99,400
23 BY. DINAN HANINA Saturday, July 3, 2021 UMUM Rp 30,000
24 AN. MUHAMMAD TAUFIK Monday, July 5, 2021 THM Rp 111,800
25 TN. BUHARI Monday, July 5, 2021 THM Rp 101,400
26 NY. RINI HAPSARI Tuesday, July 6, 2021 UMUM Rp 238,400
27 NY. YENNIE BUDHI LESTARI Thursday, July 8, 2021 UMUM Rp 53,000
28 NY. SRIYATUN Thursday, July 8, 2021 UMUM Rp 139,200
29 NY. LAILA NORWAHIDAH Monday, July 12, 2021 THM Rp 154,200
30 AN. FISSILMI YARA HAMIDA Monday, July 12, 2021 UMUM Rp 71,100
31 NY. HJ. FITRIAH Tuesday, July 13, 2021 THM Rp 62,800
32 AN. AKHMAD RIDUAN Tuesday, July 13, 2021 UMUM Rp 55,200
33 TN. H. JOKO BAGUS SUBAGIO Wednesday, July 14, 2021 UMUM Rp 22,200
34 NY. FATIMAH Monday, July 19, 2021 UMUM Rp 64,700
35 NY. HJ.GUSTI RISARINA PURNAMAWATI Wednesday, July 21, 2021 UMUM Rp 796,200
36 NY. JESSICA DWI ARIESTA Friday, July 23, 2021 UMUM Rp 170,400
37 AN. ARDA PRANANDA MUGIAJI Saturday, July 24, 2021 UMUM Rp 52,600
38 RAWAT JALAN + SWAMED 26/6 - 25/7 UMUM Rp 1,370,900
TOTAL Rp 5,764,100
Banjarbaru, 25 JULI 2021
Apt. Henni Selvina, S.Farm.
 PEMBAGIAN TUSLAH
TOTAL Rp 5,764,100
APOTEKER Rp 576,410
TOTAL JP TTK Rp 5,187,690
JP PER TTK Rp 1,296,923
 LAPORAN TUSLAH RAWAT INAP BULAN MEI TANGGAL 25 JUNI - 25 JULI 2021
NO NAMA PASIEN TANGGAL STATUS JUMLAH UMUM TUSLAH UMUM
1 NY. NURUL HIKMAH Friday, June 25, 2021 THM
2 TN. SYAMSUDDIN Monday, June 21, 2021 UMUM Rp 9,339,525 Rp 65,400
3 NY. LINDA PERMATA SARI Wednesday, June 23, 2021 UMUM Rp 6,406,461 Rp 183,600
4 BY. NY. MAULIDA Z Friday, June 25, 2021 UMUM Rp 829,250 Rp 20,400
5 NY. SYARIFAH MAWARDAH Tuesday, June 29, 2021 UMUM Rp 1,590,000 Rp 115,200
6 AN. RAFFASYA ABIDZAR PRIBADI Monday, June 28, 2021 UMUM Rp 718,532 Rp 91,000
7 AN. NUR SA'DA KAMILA Tuesday, June 29, 2021 UMUM Rp 1,611,660 Rp 38,400
8 TN. MAT RADAWI Saturday, June 19, 2021 THM
9 AN. MUHAMMAD RIZKI Wednesday, June 30, 2021 UMUM Rp 1,594,925 Rp 50,400
10 AN. M.IQBAL Wednesday, June 30, 2021 UMUM Rp 2,300,300 Rp 58,800
11 AN. M. NAOUFAL PRATAMA Saturday, July 3, 2021 UMUM Rp 378,544 Rp 56,800
12 NY. YONA ERIZCA HAFSARI Friday, July 2, 2021 IN HEALTH
13 BY. DINAN HANINA Saturday, July 3, 2021 UMUM Rp 482,125 Rp 30,000
14 AN. MUHAMMAD TAUFIK Monday, July 5, 2021 THM
15 NY. HJ. RUSNANI Thursday, July 1, 2021 UMUM Rp 7,380,212 Rp 239,800
16 NY. RINI HAPSARI Tuesday, July 6, 2021 UMUM Rp 5,664,256 Rp 238,400
17 NY. EKA SUJIATI Tuesday, July 6, 2021 KPP
18 NY. MEYADINIYATI Tuesday, July 6, 2021 KPP
19 TN. HENDRA Thursday, July 1, 2021 THM
20 NY. MASRUPAH Saturday, July 3, 2021 THM
21 TN. BUHARI Monday, July 5, 2021 THM
22 NY. NOVI ANTA PINEM Tuesday, July 6, 2021 ASURANSI
23 NY. YENNIE BUDHI LESTARI Thursday, July 8, 2021 UMUM Rp 1,460,875 Rp 53,000
24 NY. SRIYATUN Thursday, July 8, 2021 UMUM Rp 6,608,264 Rp 139,200
25 TN. AJIMI ZULFIKAR Saturday, July 10, 2021 GARDA
26 AN. FISSILMI YARA HAMIDA Monday, July 12, 2021 UMUM Rp 1,882,325 Rp 71,100
27 NY. LAILA NORWAHIDAH Monday, July 12, 2021 THM
28 AN. AKHMAD RIDUAN Tuesday, July 13, 2021 UMUM Rp 3,016,000 Rp 55,200
29 NY. SITI MULKANAH Wednesday, July 14, 2021 GARDA
30 TN. H. JOKO BAGUS SUBAGIO Wednesday, July 14, 2021 UMUM Rp 345,500 Rp 22,200
31 NY. HJ. FITRIAH Tuesday, July 13, 2021 THM
32 AN. ALEXANDRA AGUSTINA SINAGA Friday, July 16, 2021 IN HEALTH
33 NY. FATIMAH Monday, July 19, 2021 UMUM Rp 919,450 Rp 64,700
34 NY. HJ.GUSTI RISARINA PURNAMAWATI Wednesday, July 21, 2021 UMUM Rp 10,224,025 Rp 796,200
35 NY. JESSICA DWI ARIESTA Friday, July 23, 2021 UMUM Rp 8,653,450 Rp 170,400
36 AN. ARDA PRANANDA MUGIAJI Saturday, July 24, 2021 UMUM Rp 275,275 Rp 52,600
TOTAL Rp 51,263,254 Rp 2,612,800

Banjarbaru, 25 JUNI 2021

Apt. Henni Selvina, S.Farm.

I - 25 JULI 2021
JUMLAH ASURANSI TUSLAH ASURANSI TOTAL SWAMEDIKASI BULAN JULI TUSLAH UMUM
Rp 706,225 Rp 109,200 Rp 590,905 Rp 2,612,800

TOTAL RAWAT JALAN BULAN JUNI TUSLAH ASURANSI

Rp 32,319,118 Rp 1,856,000

TOTAL RAWAT INAP UMUM BULAN JUNI Total Tuslah 0

Rp 51,263,254
Rp 21,384,740 Rp 221,800 Tuslah
TOTAL RAWAT ASURANSI BULAN JUNI Tuslah \ Orang 0
Rp 62,492,674

Rp 5,931,191 Rp 177,000

Rp 849,800 Rp 111,800
Rp 5,938,425 Rp 175,200
Rp 6,679,998 Rp 188,400
Rp 1,659,350 Rp 119,400
Rp 1,341,390 Rp 99,400
Rp 1,655,500 Rp 101,400
Rp 9,479,512 Rp 205,600

Rp 618,418 Rp 44,200

Rp 3,307,275 Rp 154,200

Rp 1,641,066 Rp 60,400

Rp 942,625 Rp 62,800
Rp 357,159 Rp 25,200

Rp 62,492,674 Rp 1,856,000
 LAPORAN RAWAT JALAN TANGGAL 26 AGUSTUS - 25 SEPTEMBER 2022

NO NAMA PASIEN TANGGAL STATUS TOTAL BIAYA

1 NN. ELYA UMUM Rp 43,200

2 TN. FREDDY SAPUTRA UMUM Rp 36,250
3 AGUS PRASETYA UMUM Rp 25,520
4 AN. M. FALIH UMUM Rp 64,553
5 AN. RIFQANAYYA UMUM Rp 55,870
6 NY. RAHAYU UMUM Rp 138,861
7 AN. YEVANYA UMUM Rp 114,491
8 AN. M. AZKA UMUM Rp 112,685
9 NY. LISMAYANI UMUM Rp 411,289
10 TN. HAFIZH UMUM Rp 30,380
11 AN. M. NAFIS UMUM Rp 52,110
12 TN. SUPIAN UMUM Rp 124,200
13 AN. SHAQILLA UMUM Rp 47,925
14 AN. SYAKIRA UMUM Rp 54,000
15 AN. YEHEZKHIEL UMUM Rp 91,665
16 M. DAFFA UMUM Rp 51,538
17 NY. RIA UMUM Rp 323,385
18 AN. AHMAD JAMILI UMUM Rp 73,440
19 NY. SITI NUR UMUM Rp 4,730
20 DELLILA UMUM Rp 141,420
21 TN. SYAIFULLAH UMUM Rp 67,734
22 YASMIN UMUM Rp 127,515
23 ANINDITA UMUM Rp 222,320
24 TN. RAMADHAN UMUM Rp 427,335
25 TN. NASRULLAH UMUM Rp 509,685
26 NY. NURHIKMAH UMUM Rp 841,490
27 TN. ANDI UMUM Rp 249,750
28 NY. ANA UMUM Rp 186,540
29 NY. HJ. ASIAH UMUM Rp 105,226
30 NINA RAFIKA UMUM Rp 321,300
31 AN. M. DZEKO UMUM Rp 20,790
32 TN. M. HAYU UMUM Rp 183,419
33 TN. WIEN UMUM Rp 80,163
34 AN. AEEFA UMUM Rp 236,358
35 AN. NURUL UMUM Rp 142,898
36 NY. MISBAH UMUM Rp 23,625
37 TN. RUSMANI UMUM Rp 50,625
38 AN. ZEA UMUM Rp 19,845
39 LANANK UMUM Rp 139,226
40 AN. RATU UMUM Rp 191,870
41 AN. KAMEELA UMUM Rp 186,840
42 NY. PUTRIA UMUM Rp 83,646
43 TN. RUDIANSYAH UMUM Rp 147,636
44 AN. NABIL UMUM Rp 8,870
45 AN. TEGAR UMUM Rp 80,321
46 AN. M. SAKHA UMUM Rp 14,850
47 AN. NAHLAN UMUM Rp 76,370
48 AN. M. RAZAN UMUM Rp 175,365
49 NY. FATHUL UMUM Rp 55,355
50 TN. RAMLI UMUM Rp 152,820
51 NN. LUBNA UMUM Rp 70,355
52 NY. RAHMI UMUM Rp 37,125
53 NADHIRA UMUM Rp 96,525
54 AN. NAYRA UMUM Rp 8,506
55 AN. KEYSHA UMUM Rp 222,750
56 RAISYA UMUM Rp 86,400
57 NY. VEBRI UMUM Rp 77,490
58 NY. YUSTINA UMUM Rp 15,530
59 AN. ANINDYA UMUM Rp 70,110
60 AN. AZKA UMUM Rp 89,710
61 NY. NAZUA UMUM Rp 24,775
62 TN. JOKO UMUM Rp 11,610
63 TN. ISDIANTO UMUM Rp 96,228
64 AN. JASON UMUM Rp 34,047
65 NN. RIKA UMUM Rp 309,204
66 AN. UBAY UMUM Rp 96,525
67 AN. M. HANIF UMUM Rp 171,450
68 AN. SHIMA UMUM Rp 141,558
69 AN. M. FAZRIN UMUM Rp 24,772
70 RASYA UMUM Rp 210,330
71 NY. ARFITA UMUM Rp 244,976
72 TN. MALANI UMUM Rp 29,710
73 NY. RATIH UMUM Rp 124,540
74 AN. AHMAD HAFI UMUM Rp 35,100
75 AN. M. ATHOILLAH UMUM Rp 198,923
76 NY. MASRAUDAH UMUM Rp 178,011
77 NY. ASNIWATI UMUM Rp 264,751
78 NN. SITI NUR UMUM Rp 112,219
79 NY. PASYIKA UMUM Rp 168,704
80 TN. SURATMAN UMUM Rp 198,005
81 NY. DHESTA UMUM Rp 48,605
82 ABDILLAH UMUM Rp 430,471
83 AN. M. HAMIZ UMUM Rp 72,630
84 NY. RITA UMUM Rp 24,530
 85 AN. SYAFIRA UMUM Rp 100,440
86 TN. STEVEN UMUM Rp 5,400
87 AN. ANIS UMUM Rp 193,050
88 AN. AGNI UMUM Rp 56,025
89 AN. MISHA UMUM Rp 45,365
90 NN. WIDYA UMUM Rp 207,063
91 AN. OMAR UMUM Rp 116,506
92 TN. ADE UMUM Rp 34,070
93 NN. CHAIRUNNISA UMUM Rp 37,125
94 IRVIN UMUM Rp 32,400
95 AN.RIFKY UMUM Rp 36,065
96 AN. GHEA UMUM Rp 193,509
97 TN. SUHARTONO UMUM Rp 105,302
98 AN. M. FAHMI UMUM Rp 51,980
99 TN. MADHEA UMUM Rp 31,660
100 TN. DWI UMUM Rp 169,290
101 AN. RESQI UMUM Rp 52,650
102 AN. M. NADZRIL UMUM Rp 100,440
103 AN. NAYYARA UMUM Rp 41,646
104 AN. RAFIFA UMUM Rp 13,500
105 TN. BEDJO UMUM Rp 111,526
106 TN. MAHPUD UMUM Rp 31,428
107 NY. UPI UMUM Rp 171,854
108 TN. RUDI UMUM Rp 295,639
109 TN. M. HERIANSYAH UMUM Rp 109,366
110 TN. SUKARDI UMUM Rp 36,900
111 AN. M. NADZRIL UMUM Rp 56,025
112 AN. KINZIE UMUM Rp 73,764
113 TN. M. GALANG UMUM Rp 161,595
114 AN. RAIHANAH UMUM Rp 46,338
115 NY. UPI UMUM Rp 41,045
116 AN. ZELINE UMUM Rp 59,940
117 AN. ALIF UMUM Rp 6,750
118 TN. M. NUR UMUM Rp 70,875
119 NY. SISKIA UMUM Rp 22,950
120 AN. AHMAD FAIZ UMUM Rp 87,645
121 TN. SAID LUKMAN UMUM Rp 156,714
122 AN. NUR AISYAH UMUM Rp 268,948
123 NY. MIFTAHUL UMUM Rp 79,738
124 NY. UMAMAH UMUM Rp 48,200
125 NY. NOR FADHILAH UMUM Rp 108,210
126 HJ. AISYAH UMUM Rp 239,901
127 AN. ADZRIL UMUM Rp 60,120
128 NN. MUSYAROFAH UMUM Rp 310,910
129 NY. LISMAYANI UMUM Rp 48,941
130 NY. NINDIA UMUM Rp 83,535
131 NY. UMI UMUM Rp 280,655
132 AN. HERSHITA UMUM Rp 474,930
133 AN. RAISYA UMUM Rp 124,376
134 NY. AGUSTINA UMUM Rp 151,125
135 NY. HJ. AISYAH UMUM Rp 732,390
136 NY. SITI MAJADIAH UMUM Rp 163,965
137 TN. FERY UMUM Rp 61,484
138 NY. FARISSA UMUM Rp 495,515
139 NN. ALIZA UMUM Rp 331,485
140 NY. AULIA UMUM Rp 358,140
141 NY. HALIMATUS UMUM Rp 293,162
142 TN. H. FAHMI UMUM Rp 353,085
143 TN. OFAN UMUM Rp 281,070
144 NY. AMINATUL UMUM Rp 465,080
145 NY. LAILA UMUM Rp 74,630
146 NY. NIDA UMUM Rp 157,350
147 AN. SHAKILA UMUM Rp 47,250
148 NY. SITI AMINAH UMUM Rp 71,640
149 NY. SUKMA UMUM Rp 124,880
150 NY. HJ. BAHRIAH UMUM Rp 240,720
151 TN. H. BAMBANG UMUM Rp 155,515
152 NN. MUSYAROFAH UMUM Rp 176,180
153 AN. SHANUM UMUM Rp 124,362
154 AN. AQILA UMUM Rp 49,986
155 ZULFAH UMUM Rp 247,730
156 NN. ZAHRATUN UMUM Rp 104,890
157 TN. KHAIRIL UMUM Rp 249,351
158 NY. ROKHIMAH UMUM Rp 193,320
159 NY. AYU ITA UMUM Rp 491,805
160 NY. NOOR SRI UMUM Rp 867,140
161 TT. SUPARNO UMUM Rp 233,405
162 TN. BUJAIRIMI UMUM Rp 104,890
163 TN. TARSIYEM UMUM Rp 579,540
164 TN. DARMANSYAH UMUM Rp 54,324
165 TN. NIKO UMUM Rp 105,334
166 NY. YULIANA UMUM Rp 139,725
167 NN. ANIDA UMUM Rp 56,025
168 AN. AISYAH UMUM Rp 78,300
169 NY. MEREDEKAWATI UMUM Rp 312,540
170 NY. AYU ITA UMUM Rp 4,860
171 NY. PUTRI UMUM Rp 278,445
172 AN. KHALISAH UMUM Rp 106,032
173 AN. SHANUM UMUM Rp 25,816
174 NY. HERLINA UMUM Rp 327,380
175 AN. MUSTAQIN UMUM Rp 157,335
176 NY. DEPI UMUM Rp 4,860
177 NY. MELIIYANA UMUM Rp 124,360
178 NY. RATIH UMUM Rp 11,475
179 NY. SUWARNI UMUM Rp 267,720
180 NY. SUMIATI UMUM Rp 328,050
181 AN. ZAHRO UMUM Rp 37,290
182 AN. HERSHITA UMUM Rp 446,720
183 NY. DWI UMUM Rp 395,815
184 NY. RADIAH UMUM Rp 535,460
185 NY. MUSLIMAH UMUM Rp 272,010
186 NY. RIZKA UMUM Rp 411,360
187 NY. RISNIA UMUM Rp 23,625
188 NY. ANIS UMUM Rp 239,760
189 NY. FARIDA UMUM Rp 199,800
190 NY. BASKIAH UMUM Rp 382,140
191 NY. INES UMUM Rp 190,593
192 TN. BURHANUDIN UMUM Rp 150,530
193 NY. KHAIRUNISA UMUM Rp 357,610
194 NY. SITI HOLIZAH UMUM Rp 8,100
195 AN. AHLA UMUM Rp 368,220
196 TN. M. FAJRUL UMUM Rp 80,330
197 TN. SONY UMUM Rp 12,830
198 AN. NAJMA UMUM Rp 75,882
199 NY. HERLLIYANA UMUM Rp 116,033
200 NY. SITI AMINAH UMUM Rp 70,875
201 NY. MEITY UMUM Rp 52,650
202 M. ALI AKBAR UMUM Rp 72,900
203 NY. SUHARTINI UMUM Rp 64,200
204 NN. RUSMINA UMUM Rp 134,400
205 AN. NAILA UMUM Rp 43,200
206 NN. MUSYAROFAH UMUM Rp 310,910
207 AN. ADZRIL UMUM Rp 60,120
208 HJ. AISYAH UMUM Rp 239,901
209 NY. NOR FADHILAH UMUM Rp 108,210
210 NY. UMAMAH UMUM Rp 48,200
211 UMUM
212 UMUM
TOTAL Rp 32,319,118

Banjarbaru, 25 SEPTEMBER 2022

Apt. Henni Selvina, S.Farm.

 f

SEPTEMBER 2022 PENDAPATAN RAWAT JALAN DOKTER

KODE NO NAMA DOKTER

IKWAN 1 dr. Adjo Admart, Sp.OG

REBECA 2 dr. Budi Zulhardi , Sp.OG
REBECA 3 dr. Deddy Hermawan, Sp.S.
REBECA 4 dr. Lingga Suryakusumah, Sp.PD
REBECA 5 dr. Juliansyih.,Sp.THT.
TIA 6 dr. Rahmat Ikhwani
IKWAN 7 dr. Yosi rizal
REBECA 8 dr. Ryan Andre
IKWAN 9 dr. Abdurahman Siddiq
IKWAN 10 dr. Tia Ajarida
IKWAN 11 dr. sibin
IKWAN 12 dr. RINNY
TIA 13 dr. GUSTI
IKWAN 14 dr. ardi
REBECA 15 dr. rebecca
SIDIQ 16 DR. NANING
JULI 17
JULI 18
BUDI TOTAL
BUDI
RINNY
RINNY
JULI
JULI
JULI
ARDI
JULI
BUDI
DEDDY
JULI
RYAN
REBECA
SIDIQ
IKWAN
SIDIQ
YOSI
 YOSI
IKWAN
IKWAN
IKWAN
IKWAN
TIA
SIDIQ
SIDIQ
IKWAN
RYAN
REBECA
REBECA
REBECA
SIDIQ
TIA
RYAN
RYAN
TIA
TIA
TIA
SIDIQ
SIDIQ
IKWAN
REBECA
REBECA
REBECA
REBECA
REBECA
REBECA
REBECA
TIA
RYAN
RYAN
RYAN
RYAN
IKWAN
IKWAN
TIA
SIDIQ
TIA
SIDIQ
SIDIQ
IKWAN
RYAN
RYAN
REBECA
REBECA
REBECA
REBECA
REBECA
REBECA
IKWAN
IKWAN
IKWAN
IKWAN
IKWAN
SIDIQ
IKWAN
IKWAN
REBECA
REBECA
REBECA
REBECA
RYAN
RYAN
RYAN
RYAN
RYAN
REBECA
SIDIQ
TIA
TIA
TIA
TIA
SIDIQ
REBECA
TIA
TIA
SIDIQ
SIDIQ
SIDIQ
REBECA
REBECA
IKWAN
REBECA
REBECA
REBECA
BUDI
DEDDY
DEDDY
JULI
JULI
LINGGA
ARDI
JULI
JULI
 JULI
ATJO
DEDDY
RINNY
RINNY
JULI
JULI
ARDI
JULI
JULI
JULI
DEDDY
DEDDY
BUDI
RINNY
BUDI
JULI
JULI
JULI
JULI
JULI
JULI
JULI
JULI
DEDDY
GUSTI
ARDI
DEDDY
JULI
JULI
DEDDY
RINNY
RINNY
RINNY
RINNY
RINNY
ARDI
ARDI
JULI
JULI
JULI
ARDI
JULI
ARDI
BUDI
BUDI
ARDI
JULI
 JULI
JULI
JULI
ARDI
BUDI
BUDI
JULI
ATJO
ATJO
BUDI
SIDIQ
JULI
JULI
RINNY
JULI
JULI
JULI
JULI
DEDDY
BUDI
BUDI
LINGGA
RINNY
RINNY
JULI
JULI
JULI
DEDDY
DEDDY
BUDI

SEPTEMBER 2022

elvina, S.Farm.
AN RAWAT JALAN DOKTER
TOTAL PENDAPATAN KOTOR FEE DOKTER

Rp 590,685
Rp 1,982,950
Rp 3,885,612
Rp 121,841
Rp 9,953,841
Rp 2,692,333
Rp 74,250
Rp 1,415,062
Rp 1,675,744
Rp 1,864,696

Rp 1,108,356
Rp 193,320
Rp 3,227,790
Rp 3,532,638

Rp 32,319,118
Banjarbaru, 25 SEPTEMBER 2022

Apt. Henni Selvina, S.Farm.

 ASURANSI CAIR
NO NAMA PASIEN TANGGAL STATUS TOTAL BIAYA TUSLAH

1 NY. VINA DWI JAYANTI Tuesday, May 25, 2021 IN-HEALTH Rp 2,211,398 Rp 166,800
2 NY. VANILLA FLANI POLIA ANDRESS Thursday, June 3, 2021 GARDA MEDIKA Rp 1,305,191 Rp 37,200
3 NY. PUJIA NINGSIH Thursday, June 3, 2021 IN-HEALTH Rp 1,037,578 Rp 39,000
4 TN. MUHAMMAD ILHAMSYAH Wednesday, June 2, 2021 IN-HEALTH Rp 902,790 Rp 56,400
5 NY. SITI AISYAH Monday, June 21, 2021 THS Rp 3,789,335 Rp 172,800
6 TN. MAT RADAWI Saturday, June 19, 2021 THM Rp 21,384,740 Rp 221,800
7 NY. NURUL HIKMAH Friday, June 25, 2021 THM Rp 706,225 Rp 109,200
8 AN. MUHAMMAD TAUFIK Monday, July 5, 2021 THM Rp 849,800 Rp 111,800
9 TN. HENDRA Thursday, July 1, 2021 THM Rp 1,659,350 Rp 119,400
10 NY. MASRUPAH Saturday, July 3, 2021 THM Rp 1,341,390 Rp 99,400
11 TN. BUHARI Monday, July 5, 2021 THM Rp 1,655,500 Rp 101,400
12 NY. LAILA NORWAHIDAH Monday, July 12, 2021 THM Rp 3,307,275 Rp 154,200
13 NY. HJ. FITRIAH Tuesday, July 13, 2021 THM Rp 942,625 Rp 62,800

TOTAL Rp 41,093,197 Rp 1,452,200

Banjarbaru, 25 JULI 2021

Apt. Henni Selvina, S.Farm.

 LAPORAN SWAMEDIKASI TANGGAL 26 MARET - 25 APRIL 2022
NO NAMA PASIEN TANGGAL STATUS TOTAL BIAYA

1 TN. SAYYID HASAN 25-Mar-22 THM Rp 178,158

2 TN. H. MANSYUR 30-Mar-22 THM Rp 202,839
3 TN. H. MANSYUR 30-Mar-22 THM Rp 73,719
4 BU LISA 24-Apr-22 THM Rp 136,189
5
6
7
8
9
10
TOTAL Rp 590,905
 TUNGGAKAN ASURANSI
NO NAMA PASIEN TANGGAL STATUS BIAYA OBAT TUSLAH
1 NY. ARMAYANTI Thursday, April 1, 2021 IN HEALTH Rp 1,196,475 Rp 37,800
2 AN. ESTHER PASKARIA WIBOWO Sunday, May 16, 2021 ADMEDIKA Rp 281,285 Rp 46,320
3 NY. MUSTAIDAH Wednesday, May 19, 2021 ADARO Rp 502,737 Rp 31,800
4 NY. CITA PERMATASARI Tuesday, May 18, 2021 BRI Rp 11,228,000 Rp 186,600
5 TN. M.FAZRI Sunday, May 23, 2021 SINAR MAS Rp 2,281,364 Rp 77,400
6 AN. NISMARA ICHIKA MELODYA Friday, June 11, 2021 GARDA MEDIKA Rp 1,465,078 Rp 30,000
7 NY. YONA ERIZCA HAFSARI Friday, July 2, 2021 IN HEALTH Rp 5,931,191 Rp 177,000
8 NY. EKA SUJIATI Tuesday, July 6, 2021 KPP Rp 5,938,425 Rp 175,200
9 NY. MEYADINIYATI Tuesday, July 6, 2021 KPP Rp 6,679,998 Rp 188,400
10 NY. NOVI ANTA PINEM Tuesday, July 6, 2021 ASURANSI Rp 9,479,512 Rp 205,600
11 TN. AJIMI ZULFIKAR Saturday, July 10, 2021 GARDA Rp 618,418 Rp 44,200
12 NY. SITI MULKANAH Wednesday, July 14, 2021 GARDA Rp 1,641,066 Rp 60,400
13 AN. ALEXANDRA AGUSTINA SINAGA Friday, July 16, 2021 IN HEALTH Rp 357,159 Rp 25,200
TOTAL Rp 47,600,708 Rp 1,285,920
Banjarbaru, 25 JULI 2021

Apt. Henni Selvina, S.Farm.

LAPORAN RINCIAN KEUANGAN KESELURUHAN TAGIHAN PASIEN
TOTAL PERIODE 26 JUNI - 25 JULI 2021
TOTAL PEMAKAIAN OBAT
TUNGGAKAN ASURANSI Rp 47,600,708
ASURANSI CAIR Rp 41,093,197
RAWAT INAP Rp 51,263,254
RAWAT JALAN Rp 32,319,118
SWAMEDIKASI Rp 6,983,148
TOTAL Rp 131,658,717

Banjarbaru, 25 JULI 2021

Apt. Henni Selvina, S.Farm.