Hal.

1/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

No No.SEP Tgl. Verifikasi Biaya

Riil RS Diajukan Disetujui
1 0617R0010921V000001 2021-11-04 566,949 183,500 183,500
2 0617R0010921V000002 2021-11-04 596,670 183,500 183,500
3 0617R0010921V000003 2021-11-04 125,524 183,500 183,500
4 0617R0010921V000004 2021-11-04 471,417 183,500 183,500
5 0617R0010921V000005 2021-11-04 539,437 183,500 183,500
6 0617R0010921V000006 2021-11-04 671,587 183,500 183,500
7 0617R0010921V000007 2021-11-04 977,736 919,900 919,900
8 0617R0010921V000008 2021-11-04 356,468 183,500 183,500
9 0617R0010921V000009 2021-11-04 196,374 183,500 183,500
10 0617R0010921V000010 2021-11-04 126,393 183,500 183,500
11 0617R0010921V000011 2021-11-04 188,462 183,500 183,500
12 0617R0010921V000012 2021-11-04 191,190 183,500 183,500
13 0617R0010921V000014 2021-11-04 245,025 184,800 184,800
14 0617R0010921V000015 2021-11-04 365,342 183,500 183,500
15 0617R0010921V000016 2021-11-04 110,653 183,500 183,500
16 0617R0010921V000017 2021-11-04 144,888 183,500 183,500
17 0617R0010921V000018 2021-11-04 163,000 183,500 183,500
18 0617R0010921V000019 2021-11-04 270,062 183,500 183,500
19 0617R0010921V000020 2021-11-04 144,401 183,500 183,500
20 0617R0010921V000021 2021-11-04 180,693 183,500 183,500
21 0617R0010921V000023 2021-11-04 206,400 183,500 183,500
22 0617R0010921V000024 2021-11-04 104,798 183,500 183,500
23 0617R0010921V000025 2021-11-04 550,223 183,500 183,500
24 0617R0010921V000026 2021-11-04 217,687 183,500 183,500
25 0617R0010921V000027 2021-11-04 78,462 183,500 183,500
26 0617R0010921V000028 2021-11-04 520,523 183,500 183,500
27 0617R0010921V000029 2021-11-04 298,065 184,800 184,800
28 0617R0010921V000030 2021-11-04 740,787 183,500 183,500
29 0617R0010921V000031 2021-11-04 319,568 184,800 184,800
30 0617R0010921V000032 2021-11-04 3,736,586 159,600 159,600
31 0617R0010921V000033 2021-11-04 103,025 183,500 183,500
32 0617R0010921V000035 2021-11-04 100,171 183,500 183,500
 Hal.2/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

33 0617R0010921V000036 2021-11-04 1,291,502 183,500 183,500

34 0617R0010921V000040 2021-11-04 406,046 183,500 183,500
35 0617R0010921V000041 2021-11-04 364,825 184,800 184,800
36 0617R0010921V000042 2021-11-04 457,387 184,800 184,800
37 0617R0010921V000046 2021-11-04 573,403 245,000 245,000
38 0617R0010921V000047 2021-11-04 263,962 184,800 184,800
39 0617R0010921V000048 2021-11-04 730,662 184,800 184,800
40 0617R0010921V000052 2021-11-04 1,422,192 919,900 919,900
41 0617R0010921V000053 2021-11-04 66,000 183,500 183,500
42 0617R0010921V000054 2021-11-04 1,005,612 183,500 183,500
43 0617R0010921V000055 2021-11-04 169,486 183,500 183,500
44 0617R0010921V000056 2021-11-04 148,385 183,500 183,500
45 0617R0010921V000057 2021-11-04 135,250 209,100 209,100
46 0617R0010921V000058 2021-11-04 222,036 183,500 183,500
47 0617R0010921V000059 2021-11-04 653,692 183,500 183,500
48 0617R0010921V000060 2021-11-04 134,844 183,500 183,500
49 0617R0010921V000062 2021-11-04 732,979 292,900 292,900
50 0617R0010921V000063 2021-11-04 48,675 183,500 183,500
51 0617R0010921V000064 2021-11-04 373,681 183,500 183,500
52 0617R0010921V000065 2021-11-04 243,515 184,800 184,800
53 0617R0010921V000066 2021-11-04 180,774 183,500 183,500
54 0617R0010921V000067 2021-11-04 475,417 183,500 183,500
55 0617R0010921V000069 2021-11-04 138,990 245,000 245,000
56 0617R0010921V000070 2021-11-04 63,000 183,500 183,500
57 0617R0010921V000072 2021-11-04 440,750 300,000 300,000
58 0617R0010921V000076 2021-11-04 169,350 183,500 183,500
59 0617R0010921V000077 2021-11-04 395,967 183,500 183,500
60 0617R0010921V000079 2021-11-04 243,031 183,500 183,500
61 0617R0010921V000080 2021-11-04 188,782 183,500 183,500
62 0617R0010921V000082 2021-11-04 184,736 183,500 183,500
63 0617R0010921V000083 2021-11-04 178,750 183,500 183,500
64 0617R0010921V000085 2021-11-04 356,386 183,500 183,500
65 0617R0010921V000087 2021-11-04 353,337 184,800 184,800
66 0617R0010921V000091 2021-11-04 0 292,900 292,900
 Hal.3/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

67 0617R0010921V000093 2021-11-04 313,510 183,500 183,500

68 0617R0010921V000096 2021-11-04 313,357 184,800 184,800
69 0617R0010921V000097 2021-11-04 295,000 292,900 292,900
70 0617R0010921V000098 2021-11-04 231,256 184,800 184,800
71 0617R0010921V000099 2021-11-04 266,897 184,800 184,800
72 0617R0010921V000101 2021-11-04 291,786 137,300 137,300
73 0617R0010921V000103 2021-11-04 203,123 183,500 183,500
74 0617R0010921V000104 2021-11-04 270,812 183,500 183,500
75 0617R0010921V000105 2021-11-04 255,186 183,500 183,500
76 0617R0010921V000106 2021-11-04 96,124 183,500 183,500
77 0617R0010921V000107 2021-11-04 661,492 183,500 183,500
78 0617R0010921V000108 2021-11-04 365,385 183,500 183,500
79 0617R0010921V000109 2021-11-04 439,518 183,500 183,500
80 0617R0010921V000110 2021-11-04 768,855 183,500 183,500
81 0617R0010921V000111 2021-11-04 1,067,707 183,500 183,500
82 0617R0010921V000112 2021-11-04 394,203 184,800 184,800
83 0617R0010921V000113 2021-11-04 419,530 183,500 183,500
84 0617R0010921V000114 2021-11-04 969,167 919,900 919,900
85 0617R0010921V000115 2021-11-04 106,737 183,500 183,500
86 0617R0010921V000116 2021-11-04 107,236 183,500 183,500
87 0617R0010921V000117 2021-11-04 278,022 183,500 183,500
88 0617R0010921V000118 2021-11-04 158,705 183,500 183,500
89 0617R0010921V000119 2021-11-04 222,000 183,500 183,500
90 0617R0010921V000120 2021-11-04 568,698 183,500 183,500
91 0617R0010921V000121 2021-11-04 106,107 183,500 183,500
92 0617R0010921V000122 2021-11-04 88,000 183,500 183,500
93 0617R0010921V000123 2021-11-04 124,124 183,500 183,500
94 0617R0010921V000124 2021-11-04 138,314 183,500 183,500
95 0617R0010921V000125 2021-11-04 229,799 183,500 183,500
96 0617R0010921V000127 2021-11-04 184,224 183,500 183,500
97 0617R0010921V000128 2021-11-04 434,237 183,500 183,500
98 0617R0010921V000129 2021-11-04 63,000 183,500 183,500
99 0617R0010921V000130 2021-11-04 73,000 209,100 209,100
100 0617R0010921V000131 2021-11-04 113,170 183,500 183,500
 Hal.4/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

101 0617R0010921V000132 2021-11-04 104,456 183,500 183,500

102 0617R0010921V000133 2021-11-04 131,713 183,500 183,500
103 0617R0010921V000134 2021-11-04 135,187 183,500 183,500
104 0617R0010921V000135 2021-11-04 109,654 183,500 183,500
105 0617R0010921V000136 2021-11-04 63,000 183,500 183,500
106 0617R0010921V000137 2021-11-04 195,287 183,500 183,500
107 0617R0010921V000138 2021-11-04 190,212 128,100 128,100
108 0617R0010921V000141 2021-11-04 237,801 183,500 183,500
109 0617R0010921V000142 2021-11-04 113,000 209,100 209,100
110 0617R0010921V000144 2021-11-04 63,000 183,500 183,500
111 0617R0010921V000145 2021-11-04 119,697 183,500 183,500
112 0617R0010921V000146 2021-11-04 257,161 137,300 137,300
113 0617R0010921V000147 2021-11-04 115,000 186,500 186,500
114 0617R0010921V000152 2021-11-04 446,684 108,700 108,700
115 0617R0010921V000155 2021-11-04 337,886 137,300 137,300
116 0617R0010921V000156 2021-11-04 899,625 184,800 184,800
117 0617R0010921V000157 2021-11-04 361,360 184,800 184,800
118 0617R0010921V000158 2021-11-04 237,307 184,800 184,800
119 0617R0010921V000162 2021-11-04 507,998 184,800 184,800
120 0617R0010921V000165 2021-11-04 438,110 183,500 183,500
121 0617R0010921V000166 2021-11-04 331,749 137,300 137,300
122 0617R0010921V000167 2021-11-04 156,743 137,300 137,300
123 0617R0010921V000168 2021-11-04 312,355 183,500 183,500
124 0617R0010921V000170 2021-11-04 89,742 184,800 184,800
125 0617R0010921V000172 2021-11-04 553,781 137,300 137,300
126 0617R0010921V000174 2021-11-04 351,150 186,500 186,500
127 0617R0010921V000175 2021-11-04 119,299 183,500 183,500
128 0617R0010921V000178 2021-11-04 300,441 184,800 184,800
129 0617R0010921V000183 2021-11-04 215,000 183,500 183,500
130 0617R0010921V000187 2021-11-04 243,112 184,800 184,800
131 0617R0010921V000188 2021-11-04 419,342 184,800 184,800
132 0617R0010921V000189 2021-11-04 312,297 245,000 245,000
133 0617R0010921V000190 2021-11-04 307,324 183,500 183,500
134 0617R0010921V000191 2021-11-04 1,394,429 265,100 265,100
 Hal.5/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

135 0617R0010921V000192 2021-11-04 819,050 365,500 365,500

136 0617R0010921V000195 2021-11-04 238,233 183,500 183,500
137 0617R0010921V000197 2021-11-04 245,000 292,900 292,900
138 0617R0010921V000199 2021-11-04 938,304 611,300 611,300
139 0617R0010921V000200 2021-11-04 302,018 183,500 183,500
140 0617R0010921V000201 2021-11-04 373,942 183,500 183,500
141 0617R0010921V000202 2021-11-04 589,618 183,500 183,500
142 0617R0010921V000203 2021-11-04 116,686 183,500 183,500
143 0617R0010921V000204 2021-11-04 177,175 183,500 183,500
144 0617R0010921V000205 2021-11-04 506,855 183,500 183,500
145 0617R0010921V000206 2021-11-04 313,000 556,000 556,000
146 0617R0010921V000207 2021-11-04 194,324 183,500 183,500
147 0617R0010921V000208 2021-11-04 174,924 183,500 183,500
148 0617R0010921V000209 2021-11-04 118,487 183,500 183,500
149 0617R0010921V000210 2021-11-04 106,425 300,000 300,000
150 0617R0010921V000211 2021-11-04 187,429 183,500 183,500
151 0617R0010921V000212 2021-11-04 982,916 919,900 919,900
152 0617R0010921V000213 2021-11-04 952,873 919,900 919,900
153 0617R0010921V000214 2021-11-04 277,623 183,500 183,500
154 0617R0010921V000215 2021-11-04 361,126 183,500 183,500
155 0617R0010921V000216 2021-11-04 297,498 184,800 184,800
156 0617R0010921V000217 2021-11-04 335,254 183,500 183,500
157 0617R0010921V000218 2021-11-04 220,611 183,500 183,500
158 0617R0010921V000219 2021-11-04 222,478 184,800 184,800
159 0617R0010921V000220 2021-11-04 418,137 183,500 183,500
160 0617R0010921V000221 2021-11-04 122,974 183,500 183,500
161 0617R0010921V000222 2021-11-04 142,325 183,500 183,500
162 0617R0010921V000223 2021-11-04 1,056,300 183,500 183,500
163 0617R0010921V000224 2021-11-04 319,150 183,500 183,500
164 0617R0010921V000225 2021-11-04 312,154 183,500 183,500
165 0617R0010921V000226 2021-11-04 141,062 300,000 300,000
166 0617R0010921V000227 2021-11-04 149,343 184,800 184,800
167 0617R0010921V000228 2021-11-04 66,685 128,700 128,700
168 0617R0010921V000229 2021-11-04 1,604,600 919,900 919,900
 Hal.6/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

169 0617R0010921V000230 2021-11-04 90,843 300,000 300,000

170 0617R0010921V000231 2021-11-04 92,645 209,100 209,100
171 0617R0010921V000232 2021-11-04 309,525 184,800 184,800
172 0617R0010921V000235 2021-11-04 382,001 183,500 183,500
173 0617R0010921V000236 2021-11-04 265,024 183,500 183,500
174 0617R0010921V000237 2021-11-04 144,424 183,500 183,500
175 0617R0010921V000239 2021-11-04 284,947 248,700 248,700
176 0617R0010921V000240 2021-11-04 265,000 183,500 183,500
177 0617R0010921V000241 2021-11-04 253,424 183,500 183,500
178 0617R0010921V000242 2021-11-04 63,000 183,500 183,500
179 0617R0010921V000243 2021-11-04 238,268 183,500 183,500
180 0617R0010921V000244 2021-11-04 177,937 184,800 184,800
181 0617R0010921V000245 2021-11-04 154,714 183,500 183,500
182 0617R0010921V000247 2021-11-04 261,625 183,500 183,500
183 0617R0010921V000248 2021-11-04 174,410 183,500 183,500
184 0617R0010921V000250 2021-11-04 131,000 119,400 119,400
185 0617R0010921V000255 2021-11-04 111,587 183,500 183,500
186 0617R0010921V000257 2021-11-04 176,025 184,800 184,800
187 0617R0010921V000258 2021-11-04 146,462 183,500 183,500
188 0617R0010921V000259 2021-11-04 232,752 184,800 184,800
189 0617R0010921V000266 2021-11-04 178,411 137,300 137,300
190 0617R0010921V000268 2021-11-04 1,683,539 183,500 183,500
191 0617R0010921V000269 2021-11-04 248,962 184,800 184,800
192 0617R0010921V000270 2021-11-04 415,052 186,200 186,200
193 0617R0010921V000271 2021-11-04 1,199,312 611,300 611,300
194 0617R0010921V000273 2021-11-04 366,336 184,800 184,800
195 0617R0010921V000274 2021-11-04 309,960 183,500 183,500
196 0617R0010921V000275 2021-11-04 317,218 183,500 183,500
197 0617R0010921V000276 2021-11-04 338,137 183,500 183,500
198 0617R0010921V000277 2021-11-04 550,781 183,500 183,500
199 0617R0010921V000278 2021-11-04 473,837 183,500 183,500
200 0617R0010921V000279 2021-11-04 347,803 183,500 183,500
201 0617R0010921V000280 2021-11-04 187,357 183,500 183,500
202 0617R0010921V000281 2021-11-04 125,291 183,500 183,500
 Hal.7/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

203 0617R0010921V000282 2021-11-04 197,412 245,000 245,000

204 0617R0010921V000283 2021-11-04 98,165 184,800 184,800
205 0617R0010921V000284 2021-11-04 76,174 183,500 183,500
206 0617R0010921V000285 2021-11-04 146,911 183,500 183,500
207 0617R0010921V000286 2021-11-04 100,212 183,500 183,500
208 0617R0010921V000287 2021-11-04 371,233 183,500 183,500
209 0617R0010921V000288 2021-11-04 63,000 183,500 183,500
210 0617R0010921V000289 2021-11-04 88,000 183,500 183,500
211 0617R0010921V000290 2021-11-04 118,945 183,500 183,500
212 0617R0010921V000291 2021-11-04 128,931 183,500 183,500
213 0617R0010921V000292 2021-11-04 173,355 183,500 183,500
214 0617R0010921V000293 2021-11-04 387,849 183,500 183,500
215 0617R0010921V000294 2021-11-04 191,774 292,900 292,900
216 0617R0010921V000295 2021-11-04 63,000 88,000 88,000
217 0617R0010921V000297 2021-11-04 63,000 183,500 183,500
218 0617R0010921V000298 2021-11-04 88,424 183,500 183,500
219 0617R0010921V000299 2021-11-04 63,000 183,500 183,500
220 0617R0010921V000301 2021-11-04 212,212 183,500 183,500
221 0617R0010921V000303 2021-11-04 360,367 183,500 183,500
222 0617R0010921V000305 2021-11-04 242,992 183,500 183,500
223 0617R0010921V000306 2021-11-04 102,721 183,500 183,500
224 0617R0010921V000307 2021-11-04 63,000 183,500 183,500
225 0617R0010921V000308 2021-11-04 63,000 183,500 183,500
226 0617R0010921V000310 2021-11-04 203,173 183,500 183,500
227 0617R0010921V000313 2021-11-04 115,000 184,800 184,800
228 0617R0010921V000318 2021-11-04 317,035 183,500 183,500
229 0617R0010921V000319 2021-11-04 332,986 183,500 183,500
230 0617R0010921V000320 2021-11-04 78,000 183,500 183,500
231 0617R0010921V000321 2021-11-04 330,266 183,500 183,500
232 0617R0010921V000322 2021-11-04 213,000 556,000 556,000
233 0617R0010921V000323 2021-11-04 113,210 183,500 183,500
234 0617R0010921V000324 2021-11-04 216,999 183,500 183,500
235 0617R0010921V000325 2021-11-04 408,593 183,500 183,500
236 0617R0010921V000326 2021-11-04 373,049 183,500 183,500
 Hal.8/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

237 0617R0010921V000327 2021-11-04 674,005 183,500 183,500

238 0617R0010921V000328 2021-11-04 213,000 183,500 183,500
239 0617R0010921V000329 2021-11-04 278,481 184,800 184,800
240 0617R0010921V000330 2021-11-04 213,000 183,500 183,500
241 0617R0010921V000331 2021-11-04 90,000 209,100 209,100
242 0617R0010921V000332 2021-11-04 269,116 183,500 183,500
243 0617R0010921V000334 2021-11-04 119,560 183,500 183,500
244 0617R0010921V000335 2021-11-04 237,537 183,500 183,500
245 0617R0010921V000337 2021-11-04 596,391 183,500 183,500
246 0617R0010921V000338 2021-11-04 186,622 184,800 184,800
247 0617R0010921V000339 2021-11-04 140,737 209,100 209,100
248 0617R0010921V000340 2021-11-04 663,718 183,500 183,500
249 0617R0010921V000341 2021-11-04 63,000 183,500 183,500
250 0617R0010921V000342 2021-11-04 974,986 919,900 919,900
251 0617R0010921V000344 2021-11-04 176,524 183,500 183,500
252 0617R0010921V000345 2021-11-04 63,000 183,500 183,500
253 0617R0010921V000346 2021-11-04 337,462 183,500 183,500
254 0617R0010921V000347 2021-11-04 183,798 183,500 183,500
255 0617R0010921V000348 2021-11-04 63,000 183,500 183,500
256 0617R0010921V000349 2021-11-04 339,651 183,500 183,500
257 0617R0010921V000350 2021-11-04 277,903 183,500 183,500
258 0617R0010921V000351 2021-11-04 63,000 183,500 183,500
259 0617R0010921V000352 2021-11-04 128,062 183,500 183,500
260 0617R0010921V000353 2021-11-04 63,000 183,500 183,500
261 0617R0010921V000354 2021-11-04 59,012 183,500 183,500
262 0617R0010921V000355 2021-11-04 228,345 213,700 213,700
263 0617R0010921V000357 2021-11-04 124,974 183,500 183,500
264 0617R0010921V000359 2021-11-04 496,437 184,800 184,800
265 0617R0010921V000360 2021-11-04 669,478 184,800 184,800
266 0617R0010921V000361 2021-11-04 420,887 245,000 245,000
267 0617R0010921V000362 2021-11-04 150,974 184,800 184,800
268 0617R0010921V000363 2021-11-04 249,178 245,000 245,000
269 0617R0010921V000364 2021-11-04 200,839 183,500 183,500
270 0617R0010921V000366 2021-11-04 233,405 183,500 183,500
 Hal.9/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

271 0617R0010921V000367 2021-11-04 387,268 183,500 183,500

272 0617R0010921V000368 2021-11-04 182,778 183,500 183,500
273 0617R0010921V000369 2021-11-04 272,532 183,500 183,500
274 0617R0010921V000370 2021-11-04 198,072 183,500 183,500
275 0617R0010921V000371 2021-11-04 168,842 183,500 183,500
276 0617R0010921V000372 2021-11-04 108,711 184,800 184,800
277 0617R0010921V000373 2021-11-04 154,712 183,500 183,500
278 0617R0010921V000374 2021-11-04 318,516 183,500 183,500
279 0617R0010921V000375 2021-11-04 232,343 183,500 183,500
280 0617R0010921V000377 2021-11-04 155,000 108,700 108,700
281 0617R0010921V000378 2021-11-04 134,862 119,400 119,400
282 0617R0010921V000379 2021-11-04 247,810 183,500 183,500
283 0617R0010921V000380 2021-11-04 191,511 183,500 183,500
284 0617R0010921V000382 2021-11-04 299,489 183,500 183,500
285 0617R0010921V000385 2021-11-04 232,006 183,500 183,500
286 0617R0010921V000386 2021-11-04 141,547 183,500 183,500
287 0617R0010921V000387 2021-11-04 114,262 183,500 183,500
288 0617R0010921V000388 2021-11-04 145,697 183,500 183,500
289 0617R0010921V000390 2021-11-04 79,862 183,500 183,500
290 0617R0010921V000391 2021-11-04 942,598 919,900 919,900
291 0617R0010921V000392 2021-11-04 466,255 183,500 183,500
292 0617R0010921V000393 2021-11-04 145,205 3,506,600 3,506,600
293 0617R0010921V000394 2021-11-04 249,611 183,500 183,500
294 0617R0010921V000395 2021-11-04 110,287 183,500 183,500
295 0617R0010921V000396 2021-11-04 223,875 213,700 213,700
296 0617R0010921V000397 2021-11-04 189,523 183,500 183,500
297 0617R0010921V000400 2021-11-04 221,094 184,800 184,800
298 0617R0010921V000401 2021-11-04 228,750 183,500 183,500
299 0617R0010921V000402 2021-11-04 97,150 183,500 183,500
300 0617R0010921V000403 2021-11-04 256,651 213,700 213,700
301 0617R0010921V000404 2021-11-04 143,375 184,800 184,800
302 0617R0010921V000407 2021-11-04 315,000 184,800 184,800
303 0617R0010921V000409 2021-11-04 97,000 183,500 183,500
304 0617R0010921V000410 2021-11-04 162,260 183,500 183,500
 Hal.10/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

305 0617R0010921V000411 2021-11-04 408,151 253,700 253,700

306 0617R0010921V000416 2021-11-04 875,202 183,500 183,500
307 0617R0010921V000418 2021-11-04 449,841 245,000 245,000
308 0617R0010921V000419 2021-11-04 220,737 265,100 265,100
309 0617R0010921V000420 2021-11-04 456,954 184,800 184,800
310 0617R0010921V000421 2021-11-04 608,114 137,300 137,300
311 0617R0010921V000424 2021-11-04 421,069 248,700 248,700
312 0617R0010921V000429 2021-11-04 150,511 184,800 184,800
313 0617R0010921V000430 2021-11-04 318,655 183,500 183,500
314 0617R0010921V000431 2021-11-04 115,537 183,500 183,500
315 0617R0010921V000432 2021-11-04 253,143 183,500 183,500
316 0617R0010921V000433 2021-11-04 188,041 183,500 183,500
317 0617R0010921V000434 2021-11-04 610,105 183,500 183,500
318 0617R0010921V000435 2021-11-04 213,000 556,000 556,000
319 0617R0010921V000436 2021-11-04 189,723 183,500 183,500
320 0617R0010921V000437 2021-11-04 478,330 183,500 183,500
321 0617R0010921V000438 2021-11-04 141,838 183,500 183,500
322 0617R0010921V000439 2021-11-04 212,636 183,500 183,500
323 0617R0010921V000440 2021-11-04 162,801 183,500 183,500
324 0617R0010921V000441 2021-11-04 106,107 183,500 183,500
325 0617R0010921V000442 2021-11-04 88,000 183,500 183,500
326 0617R0010921V000443 2021-11-04 106,107 183,500 183,500
327 0617R0010921V000444 2021-11-04 212,415 183,500 183,500
328 0617R0010921V000445 2021-11-04 121,637 137,300 137,300
329 0617R0010921V000446 2021-11-04 176,602 183,500 183,500
330 0617R0010921V000447 2021-11-04 215,000 183,500 183,500
331 0617R0010921V000448 2021-11-04 144,525 183,500 183,500
332 0617R0010921V000449 2021-11-04 118,762 183,500 183,500
333 0617R0010921V000450 2021-11-04 187,036 183,500 183,500
334 0617R0010921V000451 2021-11-04 93,293 183,500 183,500
335 0617R0010921V000452 2021-11-04 470,130 183,500 183,500
336 0617R0010921V000453 2021-11-04 63,000 183,500 183,500
337 0617R0010921V000455 2021-11-04 117,828 209,100 209,100
338 0617R0010921V000456 2021-11-04 146,000 159,600 159,600
 Hal.11/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

339 0617R0010921V000457 2021-11-04 95,330 183,500 183,500

340 0617R0010921V000458 2021-11-04 987,778 919,900 919,900
341 0617R0010921V000459 2021-11-04 271,730 183,500 183,500
342 0617R0010921V000461 2021-11-04 106,037 184,800 184,800
343 0617R0010921V000462 2021-11-04 463,000 183,500 183,500
344 0617R0010921V000463 2021-11-04 287,141 183,500 183,500
345 0617R0010921V000464 2021-11-04 166,253 183,500 183,500
346 0617R0010921V000465 2021-11-04 227,587 184,800 184,800
347 0617R0010921V000466 2021-11-04 321,000 184,800 184,800
348 0617R0010921V000467 2021-11-04 183,086 183,500 183,500
349 0617R0010921V000468 2021-11-04 595,155 183,500 183,500
350 0617R0010921V000469 2021-11-04 103,000 88,000 88,000
351 0617R0010921V000470 2021-11-04 213,000 183,500 183,500
352 0617R0010921V000471 2021-11-04 250,000 183,500 183,500
353 0617R0010921V000472 2021-11-04 63,000 183,500 183,500
354 0617R0010921V000473 2021-11-04 110,831 300,000 300,000
355 0617R0010921V000477 2021-11-04 319,601 183,500 183,500
356 0617R0010921V000480 2021-11-04 405,803 207,200 207,200
357 0617R0010921V000481 2021-11-04 181,285 137,300 137,300
358 0617R0010921V000482 2021-11-04 628,422 245,000 245,000
359 0617R0010921V000484 2021-11-04 252,374 184,800 184,800
360 0617R0010921V000485 2021-11-04 175,500 183,500 183,500
361 0617R0010921V000489 2021-11-04 519,004 183,500 183,500
362 0617R0010921V000492 2021-11-04 994,696 137,300 137,300
363 0617R0010921V000493 2021-11-04 249,035 183,500 183,500
364 0617R0010921V000495 2021-11-04 115,250 137,300 137,300
365 0617R0010921V000496 2021-11-04 232,737 183,500 183,500
366 0617R0010921V000498 2021-11-04 132,000 183,500 183,500
367 0617R0010921V000499 2021-11-04 133,000 183,500 183,500
368 0617R0010921V000500 2021-11-04 105,012 184,800 184,800
369 0617R0010921V000501 2021-11-04 293,000 183,500 183,500
370 0617R0010921V000502 2021-11-04 186,890 184,800 184,800
371 0617R0010921V000503 2021-11-04 1,685,985 138,700 138,700
372 0617R0010921V000506 2021-11-04 338,029 137,300 137,300
 Hal.12/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

373 0617R0010921V000509 2021-11-04 180,035 184,800 184,800

374 0617R0010921V000510 2021-11-04 187,686 184,800 184,800
375 0617R0010921V000513 2021-11-04 187,686 184,800 184,800
376 0617R0010921V000518 2021-11-04 290,925 183,500 183,500
377 0617R0010921V000519 2021-11-04 201,607 183,500 183,500
378 0617R0010921V000520 2021-11-04 453,362 245,000 245,000
379 0617R0010921V000521 2021-11-04 189,775 183,500 183,500
380 0617R0010921V000522 2021-11-04 88,891 184,800 184,800
381 0617R0010921V000523 2021-11-04 432,398 245,000 245,000
382 0617R0010921V000524 2021-11-04 284,954 183,500 183,500
383 0617R0010921V000525 2021-11-04 176,975 265,100 265,100
384 0617R0010921V000526 2021-11-04 262,980 183,500 183,500
385 0617R0010921V000527 2021-11-04 298,291 183,500 183,500
386 0617R0010921V000528 2021-11-04 337,647 183,500 183,500
387 0617R0010921V000529 2021-11-04 232,072 183,500 183,500
388 0617R0010921V000530 2021-11-04 367,570 183,500 183,500
389 0617R0010921V000531 2021-11-04 221,061 183,500 183,500
390 0617R0010921V000533 2021-11-04 125,082 183,500 183,500
391 0617R0010921V000534 2021-11-04 165,297 183,500 183,500
392 0617R0010921V000535 2021-11-04 96,448 183,500 183,500
393 0617R0010921V000536 2021-11-04 345,785 183,500 183,500
394 0617R0010921V000537 2021-11-04 163,125 183,500 183,500
395 0617R0010921V000538 2021-11-04 208,330 183,500 183,500
396 0617R0010921V000540 2021-11-04 231,602 183,500 183,500
397 0617R0010921V000541 2021-11-04 381,953 183,500 183,500
398 0617R0010921V000542 2021-11-04 223,149 183,500 183,500
399 0617R0010921V000543 2021-11-04 295,554 183,500 183,500
400 0617R0010921V000544 2021-11-04 1,056,300 183,500 183,500
401 0617R0010921V000545 2021-11-04 95,000 183,500 183,500
402 0617R0010921V000546 2021-11-04 180,933 183,500 183,500
403 0617R0010921V000547 2021-11-04 267,393 183,500 183,500
404 0617R0010921V000549 2021-11-04 318,200 300,000 300,000
405 0617R0010921V000550 2021-11-04 177,355 184,800 184,800
406 0617R0010921V000551 2021-11-04 501,887 245,000 245,000
 Hal.13/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

407 0617R0010921V000552 2021-11-04 335,787 183,500 183,500

408 0617R0010921V000553 2021-11-04 219,150 137,300 137,300
409 0617R0010921V000554 2021-11-04 1,042,636 183,500 183,500
410 0617R0010921V000555 2021-11-04 112,362 183,500 183,500
411 0617R0010921V000556 2021-11-04 83,918 209,100 209,100
412 0617R0010921V000557 2021-11-04 95,814 184,800 184,800
413 0617R0010921V000558 2021-11-04 63,000 183,500 183,500
414 0617R0010921V000559 2021-11-04 704,068 183,500 183,500
415 0617R0010921V000560 2021-11-04 251,779 183,500 183,500
416 0617R0010921V000562 2021-11-04 100,000 183,500 183,500
417 0617R0010921V000563 2021-11-04 115,939 183,500 183,500
418 0617R0010921V000564 2021-11-04 196,712 183,500 183,500
419 0617R0010921V000565 2021-11-04 260,661 184,800 184,800
420 0617R0010921V000567 2021-11-04 63,000 119,400 119,400
421 0617R0010921V000568 2021-11-04 157,000 183,500 183,500
422 0617R0010921V000570 2021-11-04 584,595 183,500 183,500
423 0617R0010921V000572 2021-11-04 161,000 183,500 183,500
424 0617R0010921V000573 2021-11-04 293,725 248,700 248,700
425 0617R0010921V000576 2021-11-04 143,750 183,500 183,500
426 0617R0010921V000578 2021-11-04 472,262 128,100 128,100
427 0617R0010921V000580 2021-11-04 99,636 184,800 184,800
428 0617R0010921V000581 2021-11-04 689,593 245,000 245,000
429 0617R0010921V000583 2021-11-04 141,106 184,800 184,800
430 0617R0010921V000584 2021-11-04 323,863 183,500 183,500
431 0617R0010921V000585 2021-11-04 118,900 184,800 184,800
432 0617R0010921V000586 2021-11-04 753,811 183,500 183,500
433 0617R0010921V000587 2021-11-04 160,326 183,500 183,500
434 0617R0010921V000588 2021-11-04 351,220 183,500 183,500
435 0617R0010921V000589 2021-11-04 377,736 183,500 183,500
436 0617R0010921V000590 2021-11-04 446,448 183,500 183,500
437 0617R0010921V000591 2021-11-04 88,000 292,900 292,900
438 0617R0010921V000592 2021-11-04 494,851 183,500 183,500
439 0617R0010921V000593 2021-11-04 283,294 183,500 183,500
440 0617R0010921V000594 2021-11-04 154,040 183,500 183,500
 Hal.14/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

441 0617R0010921V000595 2021-11-04 237,969 183,500 183,500

442 0617R0010921V000596 2021-11-04 119,654 300,000 300,000
443 0617R0010921V000597 2021-11-04 372,375 183,500 183,500
444 0617R0010921V000598 2021-11-04 268,357 183,500 183,500
445 0617R0010921V000599 2021-11-04 193,791 183,500 183,500
446 0617R0010921V000602 2021-11-04 80,250 209,100 209,100
447 0617R0010921V000603 2021-11-04 124,968 184,800 184,800
448 0617R0010921V000604 2021-11-04 159,280 183,500 183,500
449 0617R0010921V000605 2021-11-04 319,712 183,500 183,500
450 0617R0010921V000606 2021-11-04 427,456 184,800 184,800
451 0617R0010921V000607 2021-11-04 828,798 919,900 919,900
452 0617R0010921V000608 2021-11-04 89,625 183,500 183,500
453 0617R0010921V000610 2021-11-04 262,720 184,800 184,800
454 0617R0010921V000611 2021-11-04 207,475 183,500 183,500
455 0617R0010921V000612 2021-11-04 317,022 183,500 183,500
456 0617R0010921V000615 2021-11-04 85,275 300,000 300,000
457 0617R0010921V000616 2021-11-04 0 184,800 184,800
458 0617R0010921V000620 2021-11-04 217,016 184,800 184,800
459 0617R0010921V000621 2021-11-04 217,475 300,000 300,000
460 0617R0010921V000622 2021-11-04 173,037 365,500 365,500
461 0617R0010921V000623 2021-11-04 201,000 183,500 183,500
462 0617R0010921V000624 2021-11-04 63,000 183,500 183,500
463 0617R0010921V000625 2021-11-04 269,595 183,500 183,500
464 0617R0010921V000627 2021-11-04 440,000 183,500 183,500
465 0617R0010921V000628 2021-11-04 136,844 184,800 184,800
466 0617R0010921V000632 2021-11-04 248,075 183,500 183,500
467 0617R0010921V000635 2021-11-04 65,000 183,500 183,500
468 0617R0010921V000637 2021-11-04 215,000 245,000 245,000
469 0617R0010921V000640 2021-11-04 65,000 184,800 184,800
470 0617R0010921V000645 2021-11-04 225,062 184,800 184,800
471 0617R0010921V000647 2021-11-04 237,962 292,900 292,900
472 0617R0010921V000648 2021-11-04 340,447 184,800 184,800
473 0617R0010921V000649 2021-11-04 332,768 183,500 183,500
474 0617R0010921V000650 2021-11-04 266,899 183,500 183,500
 Hal.15/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

475 0617R0010921V000651 2021-11-04 432,762 183,500 183,500

476 0617R0010921V000652 2021-11-04 118,075 88,000 88,000
477 0617R0010921V000653 2021-11-04 232,000 183,500 183,500
478 0617R0010921V000654 2021-11-04 213,000 556,000 556,000
479 0617R0010921V000655 2021-11-04 72,000 183,500 183,500
480 0617R0010921V000656 2021-11-04 188,040 183,500 183,500
481 0617R0010921V000658 2021-11-04 880,000 128,700 128,700
482 0617R0010921V000659 2021-11-04 256,722 184,800 184,800
483 0617R0010921V000661 2021-11-04 164,979 183,500 183,500
484 0617R0010921V000662 2021-11-04 239,504 184,800 184,800
485 0617R0010921V000663 2021-11-04 208,688 184,800 184,800
486 0617R0010921V000664 2021-11-04 115,125 265,100 265,100
487 0617R0010921V000665 2021-11-04 238,362 183,500 183,500
488 0617R0010921V000667 2021-11-04 63,000 245,000 245,000
489 0617R0010921V000668 2021-11-04 268,225 184,800 184,800
490 0617R0010921V000669 2021-11-04 254,222 137,300 137,300
491 0617R0010921V000670 2021-11-04 1,614,426 919,900 919,900
492 0617R0010921V000672 2021-11-04 122,587 88,000 88,000
493 0617R0010921V000673 2021-11-04 203,000 184,800 184,800
494 0617R0010921V000674 2021-11-04 167,828 184,800 184,800
495 0617R0010921V000675 2021-11-04 365,262 183,500 183,500
496 0617R0010921V000677 2021-11-04 112,281 184,800 184,800
497 0617R0010921V000678 2021-11-04 1,035,000 128,700 128,700
498 0617R0010921V000679 2021-11-04 286,225 137,300 137,300
499 0617R0010921V000680 2021-11-04 232,374 137,300 137,300
500 0617R0010921V000681 2021-11-04 393,077 184,800 184,800
501 0617R0010921V000682 2021-11-04 99,455 184,800 184,800
502 0617R0010921V000684 2021-11-04 426,142 183,500 183,500
503 0617R0010921V000685 2021-11-04 65,000 209,100 209,100
504 0617R0010921V000692 2021-11-04 586,086 342,400 342,400
505 0617R0010921V000695 2021-11-04 152,681 183,500 183,500
506 0617R0010921V000696 2021-11-04 63,000 183,500 183,500
507 0617R0010921V000697 2021-11-04 383,085 183,500 183,500
508 0617R0010921V000698 2021-11-04 355,788 183,500 183,500
 Hal.16/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

509 0617R0010921V000699 2021-11-04 157,209 183,500 183,500

510 0617R0010921V000700 2021-11-04 646,167 183,500 183,500
511 0617R0010921V000701 2021-11-04 294,399 183,500 183,500
512 0617R0010921V000702 2021-11-04 744,218 183,500 183,500
513 0617R0010921V000703 2021-11-04 310,200 183,500 183,500
514 0617R0010921V000704 2021-11-04 785,770 183,500 183,500
515 0617R0010921V000705 2021-11-04 213,000 300,000 300,000
516 0617R0010921V000706 2021-11-04 87,570 183,500 183,500
517 0617R0010921V000707 2021-11-04 219,310 183,500 183,500
518 0617R0010921V000708 2021-11-04 258,850 183,500 183,500
519 0617R0010921V000709 2021-11-04 63,000 183,500 183,500
520 0617R0010921V000711 2021-11-04 103,000 183,500 183,500
521 0617R0010921V000712 2021-11-04 174,375 183,500 183,500
522 0617R0010921V000713 2021-11-04 212,374 137,300 137,300
523 0617R0010921V000714 2021-11-04 213,000 556,000 556,000
524 0617R0010921V000715 2021-11-04 140,400 209,100 209,100
525 0617R0010921V000716 2021-11-04 63,000 300,000 300,000
526 0617R0010921V000717 2021-11-04 223,875 183,500 183,500
527 0617R0010921V000718 2021-11-04 224,012 184,800 184,800
528 0617R0010921V000719 2021-11-04 63,000 183,500 183,500
529 0617R0010921V000721 2021-11-04 131,380 183,500 183,500
530 0617R0010921V000722 2021-11-04 133,105 183,500 183,500
531 0617R0010921V000725 2021-11-04 313,015 245,000 245,000
532 0617R0010921V000726 2021-11-04 192,052 183,500 183,500
533 0617R0010921V000727 2021-11-04 178,162 184,800 184,800
534 0617R0010921V000728 2021-11-04 221,449 183,500 183,500
535 0617R0010921V000731 2021-11-04 115,000 184,800 184,800
536 0617R0010921V000732 2021-11-04 800,700 128,700 128,700
537 0617R0010921V000733 2021-11-04 204,742 184,800 184,800
538 0617R0010921V000734 2021-11-04 317,400 138,700 138,700
539 0617R0010921V000735 2021-11-04 178,732 184,800 184,800
540 0617R0010921V000736 2021-11-04 223,986 183,500 183,500
541 0617R0010921V000737 2021-11-04 149,650 184,800 184,800
542 0617R0010921V000740 2021-11-04 110,700 184,800 184,800
 Hal.17/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

543 0617R0010921V000741 2021-11-04 160,068 184,800 184,800

544 0617R0010921V000742 2021-11-04 406,125 253,700 253,700
545 0617R0010921V000743 2021-11-04 169,719 183,500 183,500
546 0617R0010921V000744 2021-11-04 115,112 183,500 183,500
547 0617R0010921V000745 2021-11-04 844,580 183,500 183,500
548 0617R0010921V000746 2021-11-04 220,222 183,500 183,500
549 0617R0010921V000748 2021-11-04 169,124 183,500 183,500
550 0617R0010921V000749 2021-11-04 133,000 183,500 183,500
551 0617R0010921V000750 2021-11-04 412,581 209,100 209,100
552 0617R0010921V000751 2021-11-04 1,601,371 919,900 919,900
553 0617R0010921V000753 2021-11-04 375,766 183,500 183,500
554 0617R0010921V000754 2021-11-04 218,928 184,800 184,800
555 0617R0010921V000755 2021-11-04 146,873 183,500 183,500
556 0617R0010921V000756 2021-11-04 185,004 183,500 183,500
557 0617R0010921V000757 2021-11-04 368,304 183,500 183,500
558 0617R0010921V000758 2021-11-04 114,727 183,500 183,500
559 0617R0010921V000759 2021-11-04 131,708 183,500 183,500
560 0617R0010921V000760 2021-11-04 63,000 183,500 183,500
561 0617R0010921V000761 2021-11-04 540,000 183,500 183,500
562 0617R0010921V000762 2021-11-04 63,000 183,500 183,500
563 0617R0010921V000763 2021-11-04 272,000 183,500 183,500
564 0617R0010921V000764 2021-11-04 1,054,056 919,900 919,900
565 0617R0010921V000765 2021-11-04 146,000 183,500 183,500
566 0617R0010921V000766 2021-11-04 227,793 183,500 183,500
567 0617R0010921V000767 2021-11-04 102,662 183,500 183,500
568 0617R0010921V000768 2021-11-04 111,025 128,100 128,100
569 0617R0010921V000769 2021-11-04 141,250 184,800 184,800
570 0617R0010921V000770 2021-11-04 70,916 183,500 183,500
571 0617R0010921V000771 2021-11-04 182,589 183,500 183,500
572 0617R0010921V000773 2021-11-04 235,339 183,500 183,500
573 0617R0010921V000774 2021-11-04 220,760 183,500 183,500
574 0617R0010921V000775 2021-11-04 70,535 183,500 183,500
575 0617R0010921V000776 2021-11-04 268,674 183,500 183,500
576 0617R0010921V000779 2021-11-04 217,150 184,800 184,800
 Hal.18/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

577 0617R0010921V000780 2021-11-04 312,466 137,300 137,300

578 0617R0010921V000781 2021-11-04 140,062 265,100 265,100
579 0617R0010921V000783 2021-11-04 154,967 183,500 183,500
580 0617R0010921V000785 2021-11-04 149,650 183,500 183,500
581 0617R0010921V000786 2021-11-04 109,132 184,800 184,800
582 0617R0010921V000789 2021-11-04 166,130 209,100 209,100
583 0617R0010921V000790 2021-11-04 170,090 209,100 209,100
584 0617R0010921V000791 2021-11-04 174,375 300,000 300,000
585 0617R0010921V000792 2021-11-04 213,000 183,500 183,500
586 0617R0010921V000793 2021-11-04 63,000 184,800 184,800
587 0617R0010921V000796 2021-11-04 137,000 209,100 209,100
588 0617R0010921V000798 2021-11-04 106,107 183,500 183,500
589 0617R0010921V000801 2021-11-04 220,928 184,800 184,800
590 0617R0010921V000802 2021-11-04 184,712 184,800 184,800
591 0617R0010921V000803 2021-11-04 210,337 184,800 184,800
592 0617R0010921V000804 2021-11-04 171,050 184,800 184,800
593 0617R0010921V000808 2021-11-04 156,517 184,800 184,800
594 0617R0010921V000809 2021-11-04 159,246 137,300 137,300
595 0617R0010921V000810 2021-11-04 183,325 184,800 184,800
596 0617R0010921V000811 2021-11-04 209,287 119,400 119,400
597 0617R0010921V000813 2021-11-04 902,842 245,000 245,000
598 0617R0010921V000819 2021-11-04 154,350 119,400 119,400
599 0617R0010921V000820 2021-11-04 373,917 183,500 183,500
600 0617R0010921V000822 2021-11-04 439,474 183,500 183,500
601 0617R0010921V000823 2021-11-04 495,665 128,100 128,100
602 0617R0010921V000824 2021-11-04 129,385 183,500 183,500
603 0617R0010921V000825 2021-11-04 166,543 183,500 183,500
604 0617R0010921V000829 2021-11-04 852,973 245,000 245,000
605 0617R0010921V000830 2021-11-04 144,250 183,500 183,500
606 0617R0010921V000831 2021-11-04 378,599 183,500 183,500
607 0617R0010921V000832 2021-11-04 310,037 183,500 183,500
608 0617R0010921V000833 2021-11-04 591,879 183,500 183,500
609 0617R0010921V000834 2021-11-04 131,874 186,200 186,200
610 0617R0010921V000835 2021-11-04 311,862 183,500 183,500
 Hal.19/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

611 0617R0010921V000836 2021-11-04 463,693 183,500 183,500

612 0617R0010921V000837 2021-11-04 219,231 183,500 183,500
613 0617R0010921V000838 2021-11-04 463,855 183,500 183,500
614 0617R0010921V000840 2021-11-04 520,468 183,500 183,500
615 0617R0010921V000841 2021-11-04 672,037 556,000 556,000
616 0617R0010921V000842 2021-11-04 455,179 183,500 183,500
617 0617R0010921V000843 2021-11-04 225,000 184,800 184,800
618 0617R0010921V000844 2021-11-04 953,697 919,900 919,900
619 0617R0010921V000847 2021-11-04 321,231 183,500 183,500
620 0617R0010921V000848 2021-11-04 159,793 184,800 184,800
621 0617R0010921V000850 2021-11-04 95,237 265,100 265,100
622 0617R0010921V000851 2021-11-04 166,000 183,500 183,500
623 0617R0010921V000852 2021-11-04 1,056,300 183,500 183,500
624 0617R0010921V000853 2021-11-04 337,558 183,500 183,500
625 0617R0010921V000856 2021-11-04 143,922 183,500 183,500
626 0617R0010921V000857 2021-11-04 88,774 184,800 184,800
627 0617R0010921V000858 2021-11-04 131,296 183,500 183,500
628 0617R0010921V000859 2021-11-04 90,076 183,500 183,500
629 0617R0010921V000860 2021-11-04 152,077 184,800 184,800
630 0617R0010921V000861 2021-11-04 114,727 137,300 137,300
631 0617R0010921V000863 2021-11-04 291,048 183,500 183,500
632 0617R0010921V000864 2021-11-04 63,000 183,500 183,500
633 0617R0010921V000865 2021-11-04 202,122 183,500 183,500
634 0617R0010921V000866 2021-11-04 425,704 183,500 183,500
635 0617R0010921V000868 2021-11-04 242,987 183,500 183,500
636 0617R0010921V000869 2021-11-04 198,000 184,800 184,800
637 0617R0010921V000870 2021-11-04 1,485,487 245,000 245,000
638 0617R0010921V000874 2021-11-04 63,000 183,500 183,500
639 0617R0010921V000876 2021-11-04 213,000 183,500 183,500
640 0617R0010921V000878 2021-11-04 226,992 184,800 184,800
641 0617R0010921V000879 2021-11-04 330,147 253,700 253,700
642 0617R0010921V000880 2021-11-04 1,219,473 527,300 527,300
643 0617R0010921V000882 2021-11-04 331,453 184,800 184,800
644 0617R0010921V000886 2021-11-04 186,622 184,800 184,800
 Hal.20/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

645 0617R0010921V000887 2021-11-04 314,417 137,300 137,300

646 0617R0010921V000889 2021-11-04 280,294 184,800 184,800
647 0617R0010921V000890 2021-11-04 326,972 245,000 245,000
648 0617R0010921V000892 2021-11-04 202,227 292,900 292,900
649 0617R0010921V000893 2021-11-04 261,243 245,000 245,000
650 0617R0010921V000894 2021-11-04 319,413 312,200 312,200
651 0617R0010921V000895 2021-11-04 122,024 137,300 137,300
652 0617R0010921V000897 2021-11-04 174,724 184,800 184,800
653 0617R0010921V000898 2021-11-04 206,334 184,800 184,800
654 0617R0010921V000899 2021-11-04 192,450 184,800 184,800
655 0617R0010921V000900 2021-11-04 360,395 183,500 183,500
656 0617R0010921V000901 2021-11-04 63,000 183,500 183,500
657 0617R0010921V000902 2021-11-04 440,593 183,500 183,500
658 0617R0010921V000903 2021-11-04 176,703 183,500 183,500
659 0617R0010921V000904 2021-11-04 202,491 183,500 183,500
660 0617R0010921V000905 2021-11-04 116,569 183,500 183,500
661 0617R0010921V000906 2021-11-04 66,037 183,500 183,500
662 0617R0010921V000907 2021-11-04 213,000 183,500 183,500
663 0617R0010921V000908 2021-11-04 315,349 183,500 183,500
664 0617R0010921V000909 2021-11-04 192,662 183,500 183,500
665 0617R0010921V000910 2021-11-04 641,843 183,500 183,500
666 0617R0010921V000911 2021-11-04 141,000 265,100 265,100
667 0617R0010921V000912 2021-11-04 151,543 183,500 183,500
668 0617R0010921V000913 2021-11-04 326,512 253,700 253,700
669 0617R0010921V000914 2021-11-04 159,793 184,800 184,800
670 0617R0010921V000915 2021-11-04 145,205 183,500 183,500
671 0617R0010921V000916 2021-11-04 188,268 183,500 183,500
672 0617R0010921V000917 2021-11-04 99,475 183,500 183,500
673 0617R0010921V000918 2021-11-04 455,993 186,200 186,200
674 0617R0010921V000919 2021-11-04 96,562 119,400 119,400
675 0617R0010921V000920 2021-11-04 63,000 183,500 183,500
676 0617R0010921V000922 2021-11-04 174,380 183,500 183,500
677 0617R0010921V000923 2021-11-04 94,120 183,500 183,500
678 0617R0010921V000924 2021-11-04 182,267 183,500 183,500
 Hal.21/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

679 0617R0010921V000926 2021-11-04 182,267 183,500 183,500

680 0617R0010921V000927 2021-11-04 64,612 183,500 183,500
681 0617R0010921V000928 2021-11-04 232,536 183,500 183,500
682 0617R0010921V000929 2021-11-04 172,157 184,800 184,800
683 0617R0010921V000930 2021-11-04 976,147 919,900 919,900
684 0617R0010921V000932 2021-11-04 407,451 183,500 183,500
685 0617R0010921V000934 2021-11-04 116,325 137,300 137,300
686 0617R0010921V000935 2021-11-04 259,094 183,500 183,500
687 0617R0010921V000937 2021-11-04 292,875 183,500 183,500
688 0617R0010921V000938 2021-11-04 65,000 253,700 253,700
689 0617R0010921V000939 2021-11-04 95,574 183,500 183,500
690 0617R0010921V000940 2021-11-04 63,000 266,000 266,000
691 0617R0010921V000941 2021-11-04 220,876 184,800 184,800
692 0617R0010921V000942 2021-11-04 135,187 183,500 183,500
693 0617R0010921V000943 2021-11-04 220,768 183,500 183,500
694 0617R0010921V000944 2021-11-04 230,109 183,500 183,500
695 0617R0010921V000946 2021-11-04 63,000 183,500 183,500
696 0617R0010921V000947 2021-11-04 284,897 183,500 183,500
697 0617R0010921V000949 2021-11-04 193,903 248,700 248,700
698 0617R0010921V000953 2021-11-04 613,000 183,500 183,500
699 0617R0010921V000959 2021-11-04 83,480 184,800 184,800
700 0617R0010921V000961 2021-11-04 919,650 184,800 184,800
701 0617R0010921V000963 2021-11-04 135,813 137,300 137,300
702 0617R0010921V000965 2021-11-04 221,835 253,700 253,700
703 0617R0010921V000966 2021-11-04 1,011,915 184,800 184,800
704 0617R0010921V000967 2021-11-04 459,997 88,000 88,000
705 0617R0010921V000968 2021-11-04 143,515 184,800 184,800
706 0617R0010921V000969 2021-11-04 296,290 183,500 183,500
707 0617R0010921V000970 2021-11-04 145,411 183,500 183,500
708 0617R0010921V000971 2021-11-04 261,237 183,500 183,500
709 0617R0010921V000972 2021-11-04 101,030 183,500 183,500
710 0617R0010921V000973 2021-11-04 189,049 183,500 183,500
711 0617R0010921V000974 2021-11-04 103,000 183,500 183,500
712 0617R0010921V000975 2021-11-04 626,700 183,500 183,500
 Hal.22/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

713 0617R0010921V000976 2021-11-04 556,286 183,500 183,500

714 0617R0010921V000977 2021-11-04 230,537 183,500 183,500
715 0617R0010921V000978 2021-11-04 173,024 183,500 183,500
716 0617R0010921V000979 2021-11-04 421,642 183,500 183,500
717 0617R0010921V000980 2021-11-04 195,025 183,500 183,500
718 0617R0010921V000981 2021-11-04 198,824 183,500 183,500
719 0617R0010921V000982 2021-11-04 235,424 183,500 183,500
720 0617R0010921V000983 2021-11-04 303,632 183,500 183,500
721 0617R0010921V000984 2021-11-04 158,105 183,500 183,500
722 0617R0010921V000985 2021-11-04 121,114 183,500 183,500
723 0617R0010921V000986 2021-11-04 179,300 184,800 184,800
724 0617R0010921V000987 2021-11-04 411,727 183,500 183,500
725 0617R0010921V000988 2021-11-04 63,137 183,500 183,500
726 0617R0010921V000989 2021-11-04 48,675 183,500 183,500
727 0617R0010921V000990 2021-11-04 230,109 183,500 183,500
728 0617R0010921V000991 2021-11-04 192,000 183,500 183,500
729 0617R0010921V000997 2021-11-04 65,000 184,800 184,800
730 0617R0010921V000998 2021-11-04 169,778 184,800 184,800
731 0617R0010921V001003 2021-11-04 1,089,606 183,500 183,500
732 0617R0010921V001004 2021-11-04 1,636,005 183,500 183,500
733 0617R0010921V001005 2021-11-04 201,070 184,800 184,800
734 0617R0010921V001006 2021-11-04 115,172 183,500 183,500
735 0617R0010921V001007 2021-11-04 368,991 183,500 183,500
736 0617R0010921V001008 2021-11-04 119,136 183,500 183,500
737 0617R0010921V001009 2021-11-04 124,253 183,500 183,500
738 0617R0010921V001010 2021-11-04 283,361 183,500 183,500
739 0617R0010921V001011 2021-11-04 867,948 183,500 183,500
740 0617R0010921V001012 2021-11-04 77,860 183,500 183,500
741 0617R0010921V001013 2021-11-04 631,816 183,500 183,500
742 0617R0010921V001014 2021-11-04 242,674 183,500 183,500
743 0617R0010921V001015 2021-11-04 330,548 183,500 183,500
744 0617R0010921V001016 2021-11-04 313,211 183,500 183,500
745 0617R0010921V001017 2021-11-04 231,638 183,500 183,500
746 0617R0010921V001018 2021-11-04 196,861 183,500 183,500
 Hal.23/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

747 0617R0010921V001019 2021-11-04 230,961 183,500 183,500

748 0617R0010921V001020 2021-11-04 319,252 183,500 183,500
749 0617R0010921V001021 2021-11-04 286,517 183,500 183,500
750 0617R0010921V001022 2021-11-04 140,972 183,500 183,500
751 0617R0010921V001023 2021-11-04 181,113 183,500 183,500
752 0617R0010921V001026 2021-11-04 109,163 265,100 265,100
753 0617R0010921V001028 2021-11-04 155,669 184,800 184,800
754 0617R0010921V001029 2021-11-04 63,000 183,500 183,500
755 0617R0010921V001030 2021-11-04 173,180 183,500 183,500
756 0617R0010921V001031 2021-11-04 1,227,722 183,500 183,500
757 0617R0010921V001032 2021-11-04 84,899 183,500 183,500
758 0617R0010921V001033 2021-11-04 187,598 209,100 209,100
759 0617R0010921V001034 2021-11-04 185,796 183,500 183,500
760 0617R0010921V001035 2021-11-04 99,012 183,500 183,500
761 0617R0010921V001036 2021-11-04 311,806 183,500 183,500
762 0617R0010921V001037 2021-11-04 63,000 209,100 209,100
763 0617R0010921V001038 2021-11-04 253,000 183,500 183,500
764 0617R0010921V001039 2021-11-04 143,025 183,500 183,500
765 0617R0010921V001040 2021-11-04 148,750 207,200 207,200
766 0617R0010921V001041 2021-11-04 311,806 183,500 183,500
767 0617R0010921V001044 2021-11-04 96,737 183,500 183,500
768 0617R0010921V001045 2021-11-04 132,000 183,500 183,500
769 0617R0010921V001046 2021-11-04 572,612 265,100 265,100
770 0617R0010921V001047 2021-11-04 188,475 183,500 183,500
771 0617R0010921V001050 2021-11-04 166,402 245,000 245,000
772 0617R0010921V001053 2021-11-04 215,530 183,500 183,500
773 0617R0010921V001054 2021-11-04 373,408 184,800 184,800
774 0617R0010921V001055 2021-11-04 338,499 183,500 183,500
775 0617R0010921V001061 2021-11-04 121,168 184,800 184,800
776 0617R0010921V001063 2021-11-04 111,400 194,800 194,800
777 0617R0010921V001064 2021-11-04 231,311 183,500 183,500
778 0617R0010921V001065 2021-11-04 560,468 183,500 183,500
779 0617R0010921V001066 2021-11-04 1,013,212 183,500 183,500
780 0617R0010921V001067 2021-11-04 284,748 183,500 183,500
 Hal.24/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

781 0617R0010921V001068 2021-11-04 119,874 183,500 183,500

782 0617R0010921V001069 2021-11-04 940,212 183,500 183,500
783 0617R0010921V001070 2021-11-04 199,735 183,500 183,500
784 0617R0010921V001071 2021-11-04 190,460 183,500 183,500
785 0617R0010921V001072 2021-11-04 703,918 183,500 183,500
786 0617R0010921V001073 2021-11-04 155,649 183,500 183,500
787 0617R0010921V001074 2021-11-04 283,426 183,500 183,500
788 0617R0010921V001075 2021-11-04 341,337 183,500 183,500
789 0617R0010921V001076 2021-11-04 696,543 183,500 183,500
790 0617R0010921V001077 2021-11-04 253,000 183,500 183,500
791 0617R0010921V001078 2021-11-04 223,979 184,800 184,800
792 0617R0010921V001079 2021-11-04 1,009,534 919,900 919,900
793 0617R0010921V001080 2021-11-04 208,024 183,500 183,500
794 0617R0010921V001081 2021-11-04 218,287 183,500 183,500
795 0617R0010921V001082 2021-11-04 687,720 183,500 183,500
796 0617R0010921V001083 2021-11-04 170,736 183,500 183,500
797 0617R0010921V001084 2021-11-04 143,621 183,500 183,500
798 0617R0010921V001085 2021-11-04 135,117 183,500 183,500
799 0617R0010921V001086 2021-11-04 193,774 183,500 183,500
800 0617R0010921V001087 2021-11-04 209,561 183,500 183,500
801 0617R0010921V001089 2021-11-04 543,568 183,500 183,500
802 0617R0010921V001090 2021-11-04 228,005 183,500 183,500
803 0617R0010921V001092 2021-11-04 179,780 183,500 183,500
804 0617R0010921V001093 2021-11-04 185,532 183,500 183,500
805 0617R0010921V001094 2021-11-04 140,317 183,500 183,500
806 0617R0010921V001095 2021-11-04 106,037 183,500 183,500
807 0617R0010921V001096 2021-11-04 192,224 183,500 183,500
808 0617R0010921V001097 2021-11-04 999,145 919,900 919,900
809 0617R0010921V001098 2021-11-04 95,330 183,500 183,500
810 0617R0010921V001100 2021-11-04 211,000 183,500 183,500
811 0617R0010921V001102 2021-11-04 122,892 183,500 183,500
812 0617R0010921V001103 2021-11-04 316,328 183,500 183,500
813 0617R0010921V001104 2021-11-04 63,000 183,500 183,500
814 0617R0010921V001105 2021-11-04 1,643,171 919,900 919,900
 Hal.25/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

815 0617R0010921V001106 2021-11-04 161,325 186,200 186,200

816 0617R0010921V001107 2021-11-04 178,022 183,500 183,500
817 0617R0010921V001108 2021-11-04 152,412 253,700 253,700
818 0617R0010921V001109 2021-11-04 771,129 183,500 183,500
819 0617R0010921V001110 2021-11-04 150,689 184,800 184,800
820 0617R0010921V001111 2021-11-04 194,335 137,300 137,300
821 0617R0010921V001115 2021-11-04 115,000 137,300 137,300
822 0617R0010921V001118 2021-11-04 670,407 138,700 138,700
823 0617R0010921V001119 2021-11-04 256,661 183,500 183,500
824 0617R0010921V001120 2021-11-04 441,127 137,300 137,300
825 0617R0010921V001121 2021-11-04 199,753 184,800 184,800
826 0617R0010921V001122 2021-11-04 166,790 183,500 183,500
827 0617R0010921V001123 2021-11-04 502,961 209,100 209,100
828 0617R0010921V001124 2021-11-04 298,235 183,500 183,500
829 0617R0010921V001125 2021-11-04 96,725 183,500 183,500
830 0617R0010921V001126 2021-11-04 145,198 209,100 209,100
831 0617R0010921V001127 2021-11-04 63,000 183,500 183,500
832 0617R0010921V001128 2021-11-04 220,612 209,100 209,100
833 0617R0010921V001129 2021-11-04 887,329 183,500 183,500
834 0617R0010921V001130 2021-11-04 159,825 183,500 183,500
835 0617R0010921V001131 2021-11-04 103,000 209,100 209,100
836 0617R0010921V001132 2021-11-04 175,162 183,500 183,500
837 0617R0010921V001133 2021-11-04 293,674 183,500 183,500
838 0617R0010921V001134 2021-11-04 487,437 183,500 183,500
839 0617R0010921V001135 2021-11-04 171,300 183,500 183,500
840 0617R0010921V001136 2021-11-04 63,000 245,000 245,000
841 0617R0010921V001137 2021-11-04 418,025 183,500 183,500
842 0617R0010921V001139 2021-11-04 63,000 183,500 183,500
843 0617R0010921V001141 2021-11-04 103,000 183,500 183,500
844 0617R0010921V001143 2021-11-04 323,856 184,800 184,800
845 0617R0010921V001144 2021-11-04 144,537 183,500 183,500
846 0617R0010921V001147 2021-11-04 442,005 245,000 245,000
847 0617R0010921V001149 2021-11-04 544,414 183,500 183,500
848 0617R0010921V001150 2021-11-04 330,001 245,000 245,000
 Hal.26/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

849 0617R0010921V001151 2021-11-04 119,077 184,800 184,800

850 0617R0010921V001152 2021-11-04 178,662 184,800 184,800
851 0617R0010921V001155 2021-11-04 651,064 245,000 245,000
852 0617R0010921V001157 2021-11-04 421,713 137,300 137,300
853 0617R0010921V001159 2021-11-04 2,162,797 207,200 207,200
854 0617R0010921V001160 2021-11-04 356,877 184,800 184,800
855 0617R0010921V001163 2021-11-04 153,625 184,800 184,800
856 0617R0010921V001164 2021-11-04 219,461 137,300 137,300
857 0617R0010921V001166 2021-11-04 366,364 312,200 312,200
858 0617R0010921V001167 2021-11-04 200,506 184,800 184,800
859 0617R0010921V001168 2021-11-04 173,583 137,300 137,300
860 0617R0010921V001170 2021-11-04 137,240 184,800 184,800
861 0617R0010921V001172 2021-11-04 434,607 245,000 245,000
862 0617R0010921V001173 2021-11-04 401,267 183,500 183,500
863 0617R0010921V001174 2021-11-04 323,097 186,200 186,200
864 0617R0010921V001175 2021-11-04 124,061 183,500 183,500
865 0617R0010921V001176 2021-11-04 1,236,070 183,500 183,500
866 0617R0010921V001177 2021-11-04 231,550 183,500 183,500
867 0617R0010921V001179 2021-11-04 163,261 184,800 184,800
868 0617R0010921V001180 2021-11-04 254,311 183,500 183,500
869 0617R0010921V001181 2021-11-04 432,174 183,500 183,500
870 0617R0010921V001182 2021-11-04 65,000 183,500 183,500
871 0617R0010921V001183 2021-11-04 312,000 183,500 183,500
872 0617R0010921V001184 2021-11-04 822,110 183,500 183,500
873 0617R0010921V001185 2021-11-04 522,942 183,500 183,500
874 0617R0010921V001186 2021-11-04 688,154 183,500 183,500
875 0617R0010921V001187 2021-11-04 407,399 183,500 183,500
876 0617R0010921V001188 2021-11-04 504,099 183,500 183,500
877 0617R0010921V001189 2021-11-04 342,293 213,700 213,700
878 0617R0010921V001190 2021-11-04 214,363 183,500 183,500
879 0617R0010921V001191 2021-11-04 301,398 183,500 183,500
880 0617R0010921V001192 2021-11-04 218,405 183,500 183,500
881 0617R0010921V001193 2021-11-04 651,949 183,500 183,500
882 0617R0010921V001194 2021-11-04 564,829 183,500 183,500
 Hal.27/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

883 0617R0010921V001195 2021-11-04 166,175 183,500 183,500

884 0617R0010921V001196 2021-11-04 142,200 183,500 183,500
885 0617R0010921V001197 2021-11-04 227,025 183,500 183,500
886 0617R0010921V001198 2021-11-04 1,702,726 919,900 919,900
887 0617R0010921V001199 2021-11-04 958,900 919,900 919,900
888 0617R0010921V001200 2021-11-04 1,056,300 183,500 183,500
889 0617R0010921V001201 2021-11-04 143,237 183,500 183,500
890 0617R0010921V001202 2021-11-04 112,024 183,500 183,500
891 0617R0010921V001204 2021-11-04 168,599 184,800 184,800
892 0617R0010921V001205 2021-11-04 141,169 183,500 183,500
893 0617R0010921V001207 2021-11-04 63,000 183,500 183,500
894 0617R0010921V001208 2021-11-04 187,847 186,200 186,200
895 0617R0010921V001209 2021-11-04 143,887 183,500 183,500
896 0617R0010921V001210 2021-11-04 174,787 183,500 183,500
897 0617R0010921V001211 2021-11-04 215,993 183,500 183,500
898 0617R0010921V001212 2021-11-04 165,732 183,500 183,500
899 0617R0010921V001213 2021-11-04 108,375 119,400 119,400
900 0617R0010921V001214 2021-11-04 554,787 207,200 207,200
901 0617R0010921V001215 2021-11-04 190,075 183,500 183,500
902 0617R0010921V001217 2021-11-04 298,000 183,500 183,500
903 0617R0010921V001218 2021-11-04 216,375 300,000 300,000
904 0617R0010921V001220 2021-11-04 63,000 183,500 183,500
905 0617R0010921V001221 2021-11-04 235,769 184,800 184,800
906 0617R0010921V001223 2021-11-04 370,275 183,500 183,500
907 0617R0010921V001224 2021-11-04 184,837 88,000 88,000
908 0617R0010921V001225 2021-11-04 264,551 183,500 183,500
909 0617R0010921V001231 2021-11-04 273,118 183,500 183,500
910 0617R0010921V001235 2021-11-04 1,169,109 207,200 207,200
911 0617R0010921V001238 2021-11-04 415,931 245,000 245,000
912 0617R0010921V001239 2021-11-04 321,539 184,800 184,800
913 0617R0010921V001241 2021-11-04 316,324 183,500 183,500
914 0617R0010921V001242 2021-11-04 599,793 183,500 183,500
915 0617R0010921V001243 2021-11-04 378,210 183,500 183,500
916 0617R0010921V001244 2021-11-04 364,425 183,500 183,500
 Hal.28/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

917 0617R0010921V001245 2021-11-04 137,980 183,500 183,500

918 0617R0010921V001246 2021-11-04 607,430 183,500 183,500
919 0617R0010921V001247 2021-11-04 98,837 183,500 183,500
920 0617R0010921V001248 2021-11-04 116,062 183,500 183,500
921 0617R0010921V001249 2021-11-04 409,858 183,500 183,500
922 0617R0010921V001250 2021-11-04 78,462 183,500 183,500
923 0617R0010921V001251 2021-11-04 100,774 183,500 183,500
924 0617R0010921V001252 2021-11-04 185,893 183,500 183,500
925 0617R0010921V001253 2021-11-04 402,186 183,500 183,500
926 0617R0010921V001254 2021-11-04 1,616,124 919,900 919,900
927 0617R0010921V001255 2021-11-04 457,595 88,000 88,000
928 0617R0010921V001256 2021-11-04 332,625 556,000 556,000
929 0617R0010921V001257 2021-11-04 63,000 183,500 183,500
930 0617R0010921V001258 2021-11-04 83,375 209,100 209,100
931 0617R0010921V001259 2021-11-04 308,288 159,600 159,600
932 0617R0010921V001260 2021-11-04 100,112 183,500 183,500
933 0617R0010921V001261 2021-11-04 285,057 183,500 183,500
934 0617R0010921V001262 2021-11-04 74,112 183,500 183,500
935 0617R0010921V001263 2021-11-04 327,608 183,500 183,500
936 0617R0010921V001264 2021-11-04 227,727 183,500 183,500
937 0617R0010921V001265 2021-11-04 384,600 183,500 183,500
938 0617R0010921V001266 2021-11-04 344,798 183,500 183,500
939 0617R0010921V001267 2021-11-04 63,000 183,500 183,500
940 0617R0010921V001268 2021-11-04 276,412 183,500 183,500
941 0617R0010921V001269 2021-11-04 783,174 183,500 183,500
942 0617R0010921V001270 2021-11-04 435,924 183,500 183,500
943 0617R0010921V001271 2021-11-04 63,000 184,800 184,800
944 0617R0010921V001272 2021-11-04 107,861 183,500 183,500
945 0617R0010921V001273 2021-11-04 350,375 183,500 183,500
946 0617R0010921V001274 2021-11-04 339,107 159,600 159,600
947 0617R0010921V001275 2021-11-04 600,821 183,500 183,500
948 0617R0010921V001276 2021-11-04 199,209 183,500 183,500
949 0617R0010921V001277 2021-11-04 321,833 183,500 183,500
950 0617R0010921V001278 2021-11-04 71,643 128,100 128,100
 Hal.29/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

951 0617R0010921V001279 2021-11-04 95,000 108,700 108,700

952 0617R0010921V001282 2021-11-04 153,511 184,800 184,800
953 0617R0010921V001283 2021-11-04 161,594 183,500 183,500
954 0617R0010921V001284 2021-11-04 167,724 137,300 137,300
955 0617R0010921V001285 2021-11-04 225,809 184,800 184,800
956 0617R0010921V001286 2021-11-04 245,000 183,500 183,500
957 0617R0010921V001287 2021-11-04 784,721 245,000 245,000
958 0617R0010921V001292 2021-11-04 80,412 183,500 183,500
959 0617R0010921V001294 2021-11-04 137,149 137,300 137,300
960 0617R0010921V001295 2021-11-04 147,294 184,800 184,800
961 0617R0010921V001297 2021-11-04 211,000 245,000 245,000
962 0617R0010921V001298 2021-11-04 286,699 183,500 183,500
963 0617R0010921V001299 2021-11-04 258,588 183,500 183,500
964 0617R0010921V001300 2021-11-04 140,497 183,500 183,500
965 0617R0010921V001301 2021-11-04 808,575 213,700 213,700
966 0617R0010921V001302 2021-11-04 132,000 183,500 183,500
967 0617R0010921V001303 2021-11-04 63,000 183,500 183,500
968 0617R0010921V001304 2021-11-04 402,096 183,500 183,500
969 0617R0010921V001305 2021-11-04 163,742 183,500 183,500
970 0617R0010921V001306 2021-11-04 129,714 183,500 183,500
971 0617R0010921V001307 2021-11-04 276,986 183,500 183,500
972 0617R0010921V001308 2021-11-04 443,295 183,500 183,500
973 0617R0010921V001309 2021-11-04 114,562 183,500 183,500
974 0617R0010921V001310 2021-11-04 248,968 183,500 183,500
975 0617R0010921V001311 2021-11-04 234,118 184,800 184,800
976 0617R0010921V001313 2021-11-04 150,175 183,500 183,500
977 0617R0010921V001314 2021-11-04 251,425 183,500 183,500
978 0617R0010921V001315 2021-11-04 299,684 183,500 183,500
979 0617R0010921V001317 2021-11-04 199,040 183,500 183,500
980 0617R0010921V001318 2021-11-04 63,000 95,900 95,900
981 0617R0010921V001319 2021-11-04 528,000 183,500 183,500
982 0617R0010921V001320 2021-11-04 144,353 184,800 184,800
983 0617R0010921V001322 2021-11-04 167,247 184,800 184,800
984 0617R0010921V001324 2021-11-04 245,865 184,800 184,800
 Hal.30/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

985 0617R0010921V001325 2021-11-04 143,515 184,800 184,800

986 0617R0010921V001326 2021-11-04 199,392 184,800 184,800
987 0617R0010921V001331 2021-11-04 244,672 183,500 183,500
988 0617R0010921V001333 2021-11-04 503,070 183,500 183,500
989 0617R0010921V001334 2021-11-04 354,862 245,000 245,000
990 0617R0010921V001336 2021-11-04 204,016 184,800 184,800
991 0617R0010921V001338 2021-11-04 616,827 245,000 245,000
992 0617R0010921V001339 2021-11-04 216,062 183,500 183,500
993 0617R0010921V001342 2021-11-04 1,989,408 509,800 509,800
994 0617R0010921V001343 2021-11-04 207,098 183,500 183,500
995 0617R0010921V001344 2021-11-04 218,329 183,500 183,500
996 0617R0010921V001345 2021-11-04 172,260 183,500 183,500
997 0617R0010921V001346 2021-11-04 355,000 183,500 183,500
998 0617R0010921V001347 2021-11-04 176,977 183,500 183,500
999 0617R0010921V001348 2021-11-04 896,093 183,500 183,500
1000 0617R0010921V001349 2021-11-04 618,218 183,500 183,500
1001 0617R0010921V001350 2021-11-04 658,766 183,500 183,500
1002 0617R0010921V001351 2021-11-04 169,900 183,500 183,500
1003 0617R0010921V001352 2021-11-04 632,613 183,500 183,500
1004 0617R0010921V001353 2021-11-04 109,675 137,300 137,300
1005 0617R0010921V001354 2021-11-04 260,430 183,500 183,500
1006 0617R0010921V001355 2021-11-04 129,324 183,500 183,500
1007 0617R0010921V001356 2021-11-04 433,288 183,500 183,500
1008 0617R0010921V001357 2021-11-04 288,082 207,200 207,200
1009 0617R0010921V001358 2021-11-04 212,287 183,500 183,500
1010 0617R0010921V001359 2021-11-04 260,125 183,500 183,500
1011 0617R0010921V001360 2021-11-04 136,861 183,500 183,500
1012 0617R0010921V001361 2021-11-04 59,012 183,500 183,500
1013 0617R0010921V001362 2021-11-04 59,012 183,500 183,500
1014 0617R0010921V001363 2021-11-04 174,832 207,200 207,200
1015 0617R0010921V001364 2021-11-04 103,986 108,700 108,700
1016 0617R0010921V001365 2021-11-04 101,174 183,500 183,500
1017 0617R0010921V001366 2021-11-04 73,822 183,500 183,500
1018 0617R0010921V001368 2021-11-04 212,840 183,500 183,500
 Hal.31/31

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH

Tingkat Pelayanan : RJTL
Bulan Pelayanan : September 2021

1019 0617R0010921V001369 2021-11-04 91,460 183,500 183,500

1020 0617R0010921V001370 2021-11-04 132,000 209,100 209,100
1021 0617R0010921V001371 2021-11-04 957,587 919,900 919,900
1022 0617R0010921V001372 2021-11-04 191,224 183,500 183,500
1023 0617R0010921V001373 2021-11-04 247,050 183,500 183,500
1024 0617R0010921V001374 2021-11-04 319,086 186,200 186,200
1025 0617R0010921V001375 2021-11-04 199,600 183,500 183,500
1026 0617R0010921V001376 2021-11-04 113,293 183,500 183,500
1027 0617R0010921V001377 2021-11-04 848,753 207,200 207,200
1028 0617R0010921V001378 2021-11-04 155,397 183,500 183,500
1029 0617R0010921V001379 2021-11-04 224,687 184,800 184,800
1030 0617R0010921V001381 2021-11-04 279,600 183,500 183,500
1031 0617R0010921V001382 2021-11-04 1,602,015 919,900 919,900
1032 0617R0010921V001385 2021-11-04 111,011 184,800 184,800
1033 0617R0010921V001392 2021-11-04 295,174 312,200 312,200
TOTAL 311,900,336 218,081,600 218,081,600

RESUME
Total Bea.Diajukan : 218,081,600
Total Bea.Disetujui : 218,081,600

Menyetujui Mengetahui
Direktur RS BPJS KESEHATAN

dr. Lismayoni