Laboratorium Diagnostik Hayam Wuruk

Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi Bedah Sentral RS. Muhammadiyah

Periode Desember 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 1-Dec-23 K.232278 Ny. Armi dr. Fitrah Karman, SpB Ca. Mamma (D) (6 Block) 400,000
2 K.232279 Ny. Muciawati dr. Fitrah Karman, SpB Tumor Mamma (S) Susp. Ganas 210,000
3 K.232280 Tn. Budiono dr. Ardian Bayu, SpU BPH 280,000
4 K.232281 Tn. M.Nabhan Radika dr. Agus K, Sp. THT Tumor Cavum Nasi (S) 210,000
5 K.232282 Tn. Sariadi dr. Ardian Bayu, SpU BPH 280,000
6 K.232283 Tn. Suyadi dr. Ardian Bayu, SpU BPH 280,000
7 K.232284 Tn. Suwadji dr. Ardian Bayu, SpU BPH 280,000
8 K.232285 Tn. Fatchur Rochim dr. Ardian Bayu, SpU BPH 280,000
9 K.232286 Tn. Suparna dr. Ardian Bayu, SpU BPH 280,000
10 K.232287 Ny. Mariyatun dr. Nikmah E, SpOG Myoma Uteri (5 Block) 340,000
11 6-Dec-23 K.232301 Ny. Suharti dr. Fitrah Karman, SpB Susp. Tumor Ganas Kulit 280,000
12 K.232302 Ny. Yasrumi dr. Heru Tri, SpOG Tumor Vagina 210,000
13 K.232303 Ny. Miatun dr. Nikmah E, SpOG Susp. Ca. Carvix 170,000
14 K.232304 Ny. Siti Zulaichah dr. Nikmah E, SpOG AUB – Myoma Uteri 340,000
15 K.232305 Ny. Poniyem dr. Nikmah E, SpOG AUB ( Ca. Cervix ) 170,000
16 K.232306 Ny. Titik Irawati dr. Nikmah E, SpOG Myoma Uteri (5 Block) 340,000
17 K.232307 Ny. Nurul Khofifah dr. Nikmah E, SpOG Kista Endometriosis (S) 280,000
18 K.232308 Tn. Supardi dr. Edy S, SpB Tumor Dinding Abdomen 280,000
19 K.232309 Tn. Sutjipto dr. Ardian Bayu, SpU BPH 280,000
20 K.232310 Tn. Suyoto dr. Ardian Bayu, SpU BPH 280,000
21 K.232311 Ny. Sumarmi dr. Ardian Bayu, SpU Cystitis 170,000
22 9-Dec-23 K.232336 Ny. Kustiyah dr. Nikmah E, SpOG A U B ( Susp. Ca. Cervix ) 170,000
23 K.232337 Ny. Saripah dr. Ardian Bayu, SpU Tumor OF Bladder 280,000
24 K.232338 Ny. Robiah dr. Fitrah Karman, SpB Tumor Mamma (S) Susp. Ganas 210,000
25 K.232339 Tn. Sasmito dr. Fitrah Karman, SpB Tumor Kulit Susp. Mandibula 210,000
26 K.232340 Ny. Yatirah dr. Jody H, SpB Haemorrhoid Grade IV 210,000
27 13-Dec-23 K.232355 Nn. Nerina Tita R dr. Agus K, Sp. THT Susp. Polip Nasi 210,000
28 K.232356 Tn. Sujono, SPD dr. Fitrah Karman, SpB Struma Uni Nodusa (S) 280,000
29 K.232357 Ny. Ana Nur Aida dr. Nikmah E, SpOG Myoma Uteri DD : Adenomyosis 280,000
30 16-Dec-23 K.232383 Ny. Sri Utami dr. Fitrah Karman, SpB Tumor Mamma (S) Susp. Ganas 210,000
31 K.232384 Ny. Nana Rahayuningtyas dr. Nikmah E, SpOG Kista Ovarii (S) 280,000
32 K.232385 Tn. Hadi Santoso dr. Wahyu Aji, SpOT Primary Tumor Distal Femur 210,000
33 K.232386 Tn. Kasno dr. Ardian Bayu, SpU BPH 280,000
34 K.232387 Tn. Paryono dr. Ardian Bayu, SpU BPH 280,000
35 K.232388 Tn. Mustajib dr. Ardian Bayu, SpU BPH 280,000
36 K.232389 Tn. Jasemi dr. Ardian Bayu, SpU BPH 280,000
37 K.232390 Ny. Linda Setiawati dr. Ardian Bayu, SpU Cystitis 170,000
38 K.232391 Ny. Marlia dr. Heru Tri, SpOG AUB 170,000
39 20-Dec-23 K.232410 Tn. Michael M. G dr. Fitrah Karman, SpB Susp. Lymphadenpati et TB 210,000
40 K.232411 Tn. Sholikin dr. Ardian Bayu, SpU BPH 280,000
41 K.232412 Tn. Suparman dr. Ardian Bayu, SpU BPH 280,000
42 K.232413 Ny. Siti Munawaroh dr. Heru Tri, SpOG Myoma Uteri (5 Block) 340,000
43 K.232414 Tn. Wawan Agus C. A dr. Heru Tri, SpOG A U B Simple Hyperplasia 170,000
44 K.232415 Ny. Suryani dr. Nikmah E, SpOG Kista Ovarii (D) 280,000
45 K.232416 Ny. Siti Nur H dr. S Vika P, SpOG DUB 170,000
46 K.232417 Tn. Rukimin dr. Ardian Bayu, SpU BPH 280,000
47 K.232418 Tn. M. Fauzi dr. Ardian Bayu, SpU BPH 280,000
48 K.232419 Sdr. Ainun Najib dr. Edy S, SpB Soft Tissue Tumor Antebrachii 210,000
49 K.232420 Ny. Nyamiatun dr. Fitrah Karman, SpB Tumor Mamma (D) Susp. Ganas 210,000
50 K.232421 Ny. Ratna Sukma D dr. Fitrah Karman, SpB Tumor Mamma (S) Susp. Ganas 210,000
51 23-Dec-23 K.232443 Tn. Mat Yasin dr. Ardian Bayu, SpU BPH 280,000
52 K.232444 Tn. Kaseni dr. Ardian Bayu, SpU BPH 280,000
53 K.232445 Tn. Suroto dr. Ardian Bayu, SpU BPH 280,000
54 K.232446 Ny. Ira Lusyana dr. Fitrah Karman, SpB Soft Tissue Tumor Abdomen 210,000
55 K.232447 Ny. Karti dr. Fitrah Karman, SpB Tumor Parotis (S) 210,000
56 30-Dec-23 K.232472 Tn. Yulius Suni dr. Ardian Bayu, SpU BPH 280,000
57 K.232473 Ny. Sumiati dr. Fitrah Karman, SpB Tumor Mamma (S) Susp. Ganas 210,000
58 K.232474 Ny. Farida Ekaningrum dr. Fitrah Karman, SpB Limphadenopaty Colli (D) 210,000
59 K.232475 Nn. Elvionita Muji R dr. Nikmah E, SpOG Kista Ovarium (S) 280,000
60 K.232476 Tn. Rajiman dr. Ardian Bayu, SpU BPH 280,000
61 K.232477 Tn. Maksum dr. Ardian Bayu, SpU BPH 280,000
62 K.232478 Tn. Sodikin dr. Ardian Bayu, SpU BPH 280,000
63 K.232479 Ny. Krisdyana Dewi dr. Nikmah E, SpOG TOA 280,000
64 K.232480 An. Marsha Dwi A dr. Edy S, SpB Ductus Thyroglosus 210,000
65 K.232481 Tn. Mohammad Toib dr. Ardian Bayu, SpU BPH 280,000
 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

66 K.232482 Tn. Gunawan dr. Ardian Bayu, SpU BPH 280,000

16,700,000

1670000
15,030,000
Malang,

Nonny Yogha Pupita. SE,Ak

1
2
3
4
5
6
7
 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

k 170
s 210
b 280
 Page 4

Tagihan Pemeriksaan Patologi Anatomi Bedah Sentral RS. Bhayangkara Nganjuk

Periode Desember 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 1-Dec-23 K.232272 Ny. Maya Galuh S dr. Elyani, SpOG KET 280,000
2 6-Dec-23 K.232296 Ny. Sukowati dr. Elyani, SpOG Cysta Nabothy (S) 210,000
3 K.232297 Ny. Mariyatul K dr. Gazali Rusdi, SpB Kista Ovarium Kiri Terplintir 280,000
4 K.232298 Tn. Wakimin dr. Rahmad K, SpU BPH 280,000
5 9-Dec-23 K.232332 Tn. Marimin dr. Rahmad K, SpU BPH 280,000
6 13-Dec-23 K.232348 Ny. Jaminah dr. Sonia Rahayu, SpOG P U A (Post Menopousal Bleeding) 165,000
7 K.232349 Ny. Ulya Zahrona A. M dr. Gazali Rusdi, SpB Abses Bartholine 165,000
8 K.232350 Tn. Paijan dr. Rahmad K, SpU BPH 280,000
9 16-Dec-23 K.232376 Ny. Sukarti dr. Elyani, SpOG Kista Bartholine (D) 210,000
10 K.232377 Tn. Gunadi dr. Rahmad K, SpU BPH 280,000
11 23-Dec-23 K.232433 Ny. Suwarni dr. Elyani, SpOG Cystoma Ovarii (S) 280,000
12 K.232434 Ny. Ami Sulistyorini dr. Elyani, SpOG PUA 165,000
13 K.232435 Ny. Yuli Purwati dr. Elyani, SpOG Erosi Portio IVA 165,000
14 K.232436 Ny. Sarijem dr. Elyani, SpOG Prolaps Uteri 280,000
15 K.232437 Ny. Sarti dr. Elyani, SpOG Erosio Portio IVA 165,000
16 K.232438 Tn. Widjianto dr. Rahmad K, SpU BPH 280,000
17 K.232439 Tn. Putut Kuntadi dr. Rahmad K, SpU BPH 280,000
4,045,000

4,045,000
 Page 5

k 165
s 210
b 280
 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi RSI Aisyiyah Nganjuk Periode Desember 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 1-Dec-23 K.232268 Tn. Sugiatno dr. Puruhito Eko, SpU BPH 285,000
2 K.232269 Ny. Norma dr. Dwanda Yuniro, SpB Susp. Ca. Mammae (D) 215,000
3 6-Dec-23 K.232290 Ny. Suliyah dr. Dilendras K, SpOG PUA 165,000
4 K.232291 Ny. Partini dr. Dwanda Yuniro, SpB Struma (S) Susp. Jinak 285,000
5 K.232292 Tn. Muhajid dr. Dwanda Yuniro, SpB Susp. Ca. Testis (S) 285,000
6 9-Dec-23 K.232322 Tn. Erwanto Sugiman dr. Puruhito Eko, SpU B P H DD : Ca. Prostat 285,000
7 K.232323 Ny. Nurchalimatus S dr. Dwanda Yuniro, SpB Mastitis (S) Susp. TB 215,000
8 K.232324 Ny. Suratmi dr. dwanda Yuniro, SpB Soft Tissue Tumor 215,000
9 13-Dec-23 K.232347 Ny. Musrikah dr. Jaka Nugraha, SpOG Myoma Uteri (6 Block) 405,000
10 16-Dec-23 K.232368 Ny. Winarni dr. Sugeng B.D, SpOG Polip Endocervix 165,000
11 K.232369 Ny. Sumiati dr. Dwanda Yuniro, SpB Cholesistitis 285,000
12 K.232370 Tn. Lasidi dr. Puruhito Eko, SpU B P H DD : Ca. Prostat 285,000
13 20-Dec-23 K.232400 Ny. Nur Gadia G dr. Jaka Nugraha, SpOG K E T (D) 285,000
14 K.232401 Ny. Minem dr. Jaka Nugraha, SpOG Ca. Cervix 165,000
15 23-Dec-23 K.232429 Ny. Pipit Ayu Dewi A. R dr. Jaka Nugraha, SpOG K E T (S) 285,000
16 K.232430 Ny. Indah Kurniawati R dr. Sugeng B.D, SpOG Myoma Uteri Submucosa 285,000
17 K.232431 Ny. Niswatusoimah dr. Dwanda Yuniro, SpB Ca. Mamma (D) (6 Block) 405,000
4,515,000
451,500
4,063,500
Malang,

Nonny Yogha Pupita. SE,Ak

 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

k 165
s 215
b 285
 Tagihan Pemeriksaan Patologi Anatomi RS DKT
Periode Desember 2023

Sediaan Reg Nama Nama Diagnosa

No.
diterima PA penderita dokter Klinis
1 1-Dec-23 K.232270 Ny. Maria Margaretha dr. Arti Lukitosari, SpM Soft Tissue Tumor
2 K.232271 Ny. Yuni Purwaning dr. Ririen Indah, SpOG Cysta Ovarii Bilateral
3 6-Dec-23 K.232293 Ny. Ilil Trinanda dr. Ririen Indah, SpOG DUB
4 K.232294 Ny. Nurul Hidayati dr. Ririen Indah, SpOG
5 K.232295 Ny. Beti Delia dr. Ririen Indah, SpOG DUB
6 9-Dec-23 K.232325 Ny. Siti Muntamah dr. Sulung M, SpOG Myoma Uteri + Cyste
7 K.232326 Ny. Putri Ayu dr. Ardi P, SpOG Cyste Ovarii (S)
8 K.232327 Ny. Yuliatiningrum dr. Ririen Indah, SpOG
9 K.232328 Ny. Tutik Widayati dr. Ririen Indah, SpOG DUB
10 K.232329 Ny. Sulistyani dr. Ririen Indah, SpOG D U B Polip
11 K.232330 Ny. Rosasiningsih dr. Ardi P, SpOG DUB
12 K.232331 Ny. Asnaini Nurul F dr. Edy S, SpB FAM (D)
13 16-Dec-23 K.232371 Tn. M. Bagus Yudha k dr. Edy S, SpB Soft Tissue Tumor Femur (D)
14 K.232372 Ny. Ani Susanti dr. Ardi P, SpOG DUB
15 K.232373 Ny. Puput Handayani dr. Sulung M, SpOG Cyste + Myoma
16 K.232374 Ny. Ita Purnamasari dr. Edy S, SpB Soft Tissue Tumor Cervical (D)
17 K.232375 Ny. Tri Wahyuni dr. Edy S, SpB Soft Tissue Tumor R. Humerus (D)
18 20-Dec-23 K.232402 Ny. Sutrisni dr. Ardi P, SpOG Susp. Ca. Cervix
19 K.232403 Ny. Heni Mujaroh dr. Ardi P, SpOG Cyste Ovarii
20 K.232404 Ny. Putri Wahyu W dr. Ririen Indah, SpOG
21 K.232422 Ny. Elsabeth dr. Sulung M, SpOG Kista Coklat
22 K.232423 Ny. Artin Andriyanti dr. Edy S, SpB Struma Uni Nodusa
23 23-Dec-23 K.232432 Ny. Lina Minggu Asti dr. Ririen Indah, SpOG Myoma Uteri + Kista Coklat (S)
24 30-Dec-23 K.232462 Ny. Zeti Oftafia dr. Ardi P, SpOG Menometrorrhagia
25 K.232463 Ny. Hanik Nur C dr. Sulung M, SpOG Polip Endometrium
Anatomi RS DKT
2023

Jumlah
(Rp)
210,000 k 170
280,000 s 210
170,000 b 280
280,000
170,000
280,000
280,000
280,000
170,000
170,000
170,000
210,000
210,000
170,000
280,000
210,000
210,000
170,000
280,000
280,000
280,000
210,000
280,000
170,000
170,000
5,590,000
 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi RSUD Kertosono

Periode Desember 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 1-Dec-23 K.232273 Ny. Kabsoh dr. IPK. Yudasmara, SpOG 180,000
2 K.232274 Ny. Ramini dr. R. Imam Muhajirin, SpB Ca. Sigmoid (6 Block) 410,000
3 K.232275 Ny. Sriani dr. R. Imam Muhajirin, SpB Soft Tissue Tumor Colli 220,000
4 K.232276 Tn. Sharlu Nizamudin H dr. R. Imam Muhajirin, SpB Limfadenitis Colli 220,000
5 K.232277 Tn. Sambudi dr. Ardian Bayu, SpU BPH 290,000
6 6-Dec-23 K.232299 Tn. Agus Sugianto dr. dwijo, SpOT Susp. Gout Artritis Elbow 220,000
7 K.232300 Tn. Mujiasri dr. Ardian Bayu, SpU BPH 180,000
8 9-Dec-23 K.232333 Ny. Samingan dr. R. Imam Muhajirin, SpB 290,000
9 K.232334 Ny. Wahyu Utami dr. Woro S, SpTHT-KL Kista Gluteus 220,000
10 K.232335 Ny. Samini dr. Satiyo, SpOT Disuwa DD : Cystitis 180,000
11 13-Dec-23 K.232351 Ny. Nadia Ulil dr. R. Imam Muhajirin, SpB Ileus ec Susp. TB 220,000
12 K.232352 Ny. Naima Nuryati dr. R. Imam Muhajirin, SpB Struma 290,000
13 K.232353 Ny. Nurul Rahma dr. R. Imam Muhajirin, SpB Myoma Uteri 290,000
14 K.232354 Tn. Sukarno dr. Ardian Bayu, SpU BPH 290,000
15 16-Dec-23 K.232378 Ny. Siti Muhimatun dr. R. Imam Muhajirin, SpB Tumor Mamma (D) 220,000
16 K.232379 Tn. Fery Susanti dr. R. Imam Muhajirin, SpB Soft Tissue Tumor Manus (S) 220,000
17 K.232380 Tn. Sumarji dr. Ardian Bayu, SpU Cystitis 180,000
18 K.232381 Ny. Parmi dr. Ardian Bayu, SpU Cystitis 180,000
19 K.232382 Ny. Sundari dr. IPK. Yudasmara, SpOG Myoma Uteri 290,000
20-Dec-23 K.232405 Tn. Not Rohadi dr. R. Imam Muhajirin, SpB Abses 180,000
K.232406 Tn. Surip dr. R. Imam Muhajirin, SpB Granuloma DD : Tumor R. Cheek 220,000
K.232407 Ny. Ambarwati dr. sunarman, SpB Tumor Mammae (D) + Axilla (D) 290,000
K.232408 Tn. Slamaet dr. Ardian Bayu, SpU BPH 290,000
K.232409 Ny. Siti Cholisah dr. I Made S, SpOG Myoma Uteri 290,000
23-Dec-23 K.232440 Ny. Srikah dr. Woro S, SpTHT-KL M A E (S) 180,000
K.232441 Ny. Sugiati dr. R. Imam Muhajirin, SpB Soft Tissue Tumor Antebrachii 220,000
K.232442 Ny. Anik Sunkharis dr. R. Imam Muhajirin, SpB Tumor Mamma (D) 220,000
30-Dec-23 K.232467 Ny. Luluil Azaliyah dr. sunarman, SpB Abscess Limfonodi 180,000
K.232468 Tn. Abdul Kodir dr. Ardian Bayu, SpU Cystitis 180,000
K.232469 Ny. Dela Putri dr. R. Imam Muhajirin, SpB Struma (D) 220,000
K.232470 Ny. Ulfa Nur A dr. I Made S, SpOG Tumor Padat Ovarium (D) 220,000
K.232471 Tn. Raditya Mahesa dr. Woro S, SpTHT-KL Susp. Antrocoanal Polip 180,000
7,460,000

746000
6,714,000
Malang,

Nonny Yogha Pupita. SE,Ak

1
2
3
4
5
6
7
 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

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 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi RS Ratih Periode Desember 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1 16-Dec-23 K.232367 Ny. Binti Siabu dr. Surinto, SpOG Menometrorrhagia
2 23-Dec-23 K.232428 Ny. Eni Kusdiyatun dr. Surinto, SpOG Susp. Ganas
3 30-Dec-23 K.232461 Ny. Nana Maretha dr. Surinto, SpOG Menometrorrhagia
-
0
0

Malang,

Nonny Yogha Pupita. SE,Ak

 Laboratorium Diagnostik Hayam Wuruk
Jl. Hayam Wuruk No. 53, Telp. (0354) 681123, 682110 Fax. Bagian Patologi Anatomi (0341) 403782
Layanan Konsumen 08883338731, 081334263813

Tagihan Pemeriksaan Patologi Anatomi RS Melinda Periode Desember 2023

Sediaan Reg Nama Nama Diagnosa Jumlah

No.
diterima PA penderita dokter Klinis (Rp)
1
2
3
4
5
-
0
0

Malang,

Nonny Yogha Pupita. SE,Ak

 Tagihan Pemeriksaan Patologi Anatomi RS Daha Husada Periode Desember 2023

Sediaan Reg Nama Nama

No.
diterima PA penderita dokter

1 30-Dec-23 K.232460 Ny. Hartutik dr Jody Hernanto, SpB

2
3
4

Malang,

Nonny Yogha Pupita. SE,Ak

sada Periode Desember 2023

Diagnosa Jumlah
Klinis (Rp)

Struma Multi Nodusa Non

Toxica

-
0
0
 Pemeriksaan Patologi Anatomi Tunai
Periode Desember 2023

Tanggal No Reg Nama Dokter

1-Dec-23 1 K.232259 Ny. Dian Christiana dr. Andoko, Sp. OG
2 K.232260 Ny. Nurlaili Adinda dr. Nur Aini Fatah, Sp. OG
3 K.232261 Ny. Denni Ermawati dr. Erika Kusuma, Sp. B
4 K.232262 Ny. Kamsiyah dr. Dodo Wikanto, Sp. U
5 K.232263 Tn. Kamsari dr. Dodo Wikanto, Sp. U
6 K.232264 Ny. Winarti dr. Erika Kusuma, Sp. B
7 K.232265 Ny. Lilin Ruswanti dr. Donny Irawan, Sp. OG
8 K.232266 Ny. Sukarni dr. Zahruddin Ahmad, Sp. DV
9 K.232267 Ny. Siti Isronik dr. Jody Hernanto, Sp. B
6-Dec-23 10 K.232288 Ny. Ririn dr. I Made Saria, Sp. OG
11 K.232289 Tn. Sujono dr. Erika Kusuma, Sp. B
9-Dec-23 12 K.232312 Ny. Asmin Susi P dr. Sulung M, Sp. OG
13 K.232313 Ny. Ester Pratiwi P dr. Sulung M, Sp. OG
14 K.232314 Akmal Hisyam I dr. Bobby Budiono, Sp. B-BA
15 K.232315 Nn. Ika Nur Afni Y. S dr. Erika Kusuma, Sp. B
16 K.232316 Ny. Nur Masitah dr. Erika Kusuma, Sp. B
17 K.232317 Ny. Ririn Indrawati dr. Erika Kusuma, Sp. B
18 K.232318 Tn. Sampan dr. Dodo Wikanto, Sp. U
19 K.232319 Tn. Adi Kuncoro dr. Dodo Wikanto, Sp. U
20 K.232320 Ny. Dewi Susanti dr. Erika Kusuma, Sp. B
21 K.232321 Ny. Ida Rahmawati dr. IPK. Yudasmara, Sp. OG
13-Dec-23 22 K.232341 Ny. Tuharni dr. Andika, Sp. OG
23 K.232342 Ny. Reni Candra dr. Hamidah T.H, Sp. OG
24 K.232343 Ny. Tri Sajekti dr. Jody Hernanto, Sp. B
25 K.232344 Tn. Eko H dr. Erika Kusuma, Sp. B
26 K.232345 Ny. Yayuk Istiqomah dr. Dhamayanti Eka O, Sp. OG
27 K.232346 Ny. Pujiwati dr. Donny Irawan, Sp. OG
16-Dec-23 28 K.232358 An. Putri Nur dr. Erika Kusuma, Sp. B
29 K.232359 Ny. Aprilian D dr. Dadang Wibowo, Sp. OG
30 K.232360 An. Akbar Nurdafa P dr. Erika Kusuma, Sp. B
31 K.232361 Ny. Yanti dr. Erika Kusuma, Sp. B
32 K.232362 Ny. Iggiriza dr. Jonathan Candra N, Sp. OG
33 K.232363 Ny. Ribut dr. Jody Hernanto, Sp. B
34 K.232364 An. Renata Elysia S dr. Jody Hernanto, Sp. B
35 K.232365 Nn. Okta Nia R dr. Jody Hernanto, Sp. B
36 K.232366 Tn. Abdul Rahman dr. Jody Hernanto, Sp. B
20-Dec-23 37 K.232392 Ny. Ririn dr. I Made Saria, Sp. OG
38 K.232393 Ny. Binti Muawanah dr. Dhamayanti Eka O, Sp. OG
39 K.232394 Ny. Esther Pinaria dr. Andoko, Sp. OG
40 K.232395 Ny. Setiyorini dr. Erika Kusuma, Sp. B
41 K.232396 Ny. Suprapti dr. Dwanda Yuniro, Sp. B
42 K.232397 Ny. Eka Isti Rahayu V dr. Heru Tribawono, Sp. B
43 K.232398 Ny. Ajeng Ayu R dr. Donny Irawan, Sp. OG
44 K.232399 Ny. Rahayu P dr. Donny Irawan, Sp. OG
45 K.232424 Tn. Kristiono dr. Zahruddin Ahmad, Sp. DV
46 K.232425 Ny. Sutiah dr. Jody Hernanto, Sp. B
23-Dec-23 47 K.232426 Ny. Nafik dr. Hamidah Tri H, Sp. OG
48 K.232427 Tn. Oki Debrizansyah dr. Fitrah Karman A, Sp. B
49 K.232448 Sdr. M. Fuad Hasan dr. Jody Hernanto, Sp. B
 50 K.232449 Ny. Sri Utari dr. Jody Hernanto, Sp. B
51 K.232450 Ny. Safitri dr. Jonathan Candra N, Sp. OG
52 K.232451 An. Nikmatul Hafidhoh dr. Bobby Budiono, Sp. B-BA
53 K.232452 Tn. Arif Wibowo dr. Erika Kusuma, Sp. B
30-Dec-23 54 K.232453 Ny. Yasinta Septi R dr. Nikmah Ernawati, Sp. OG
55 K.232454 Tn. Sutoyo dr. Erika Kusuma, Sp. B
56 K.232455 Ny. Sumiati dr. Erika Kusuma, Sp. B
57 K.232456 Ny. Binti Khoirotin dr. Dhamayanti Eka O, Sp. OG
58 K.232457 Erna Mike Puji R dr. Erika Kusuma, Sp. B
59 K.232458 Mujiono dr. Erika Kusuma, Sp. B
60 K.232459 Darsih dr. Erika Kusuma, Sp. B
61 K.232483 Tn. Mesdi dr. Erika Kusuma, Sp. B
 saan Patologi Anatomi Tunai
eriode Desember 2023

RS Diagnosa Blok Tarip cn nirmala

RS. Bhayangkara Kediri Susp. Polip Cervix K1 171,000
RSUM. Surya Melati AUB K1 171,000
RS. Aura Syifa Tumor Occipital S1 171,000
RS. Wilujeng Tumor Buli B1 270,000
RS. Wilujeng BPH B1 270,000
RS. Wilujeng Tumor Punggung (S) S2 207,000
RSIA. Nirmala AUB K1 190,000 19,000
RSU. Daha Husada Tumor Fascialis S1 180,000
RSU. Daha Husada Ca. Mamma B7 387,000
RB. Dharma Husada Pap Smear 90,000
RSU. Wilujeng Tumor Pedis (S) S2 207,000
Jl. Brigjen. Katamso 51 Kdr Susp. Ca. Cervix K1 171,000
Jl. Brigjen. Katamso 51 Kdr Susp. CIN I K1 171,000
RS. Aura Syifa Abses S1 171,000
RS. Aura Syifa Tumor Mamma (D) S1 171,000
RS. Aura Syifa Tumor Colli (D) S1 171,000
RS. Aura Syifa Tumor Mammae (D) S1 171,000
RSU. Wilujeng Evaluasi Clocth B2 270,000
RSU. Wilujeng BPH B2 270,000
RSU. Wilujeng Tumor Dinding Abdomen S2 207,000
RSUD. Kertosono Myoma Uteri B3 279,000
RS. Aura Syifa Pap Smear 81,000
Jl. HOS. Cokroaminoto Pap Smear 81,000
Klinik. Salsabila Medika Susp. Melanoma Maligna S1 171,000
RSU. Wilujeng Tumor Punggung (D) S2 207,000
RSU. Wilujeng Susp. Ca. Cervix K1 171,000
RSIA. Nirmala AUB K1 190,000 19,000.00
RSU. Wilujeng Lymphadenopati Inguinal (D) S1 171,000
RSU. Wilujeng AUB K2 171,000
RSU. Wilujeng Tumor Axilla (D) S1 171,000
RSU. Wilujeng Tumor Axilla (D) S2 270,000
RSUD. Daha Husada Myoma Uteri B5 279,000
RSUD. Daha Husada Susp. Tumor Mamma S1 216,000
RSUD. Daha Husada Tumor Lidah K1 171,000
RSUD. Daha Husada Tumor Mamma Multiple S2 216,000
RSUD. Daha Husada Tumor Axilla S2 216,000
RB. Dharma Husada Polyp Cervix K1 180,000
RSU. Wilujeng AUB DD : Missed Abortion K1 171,000
RS. Aura Syifa DUB + Myoma Uteri K1 171,000
RS. Aura Syifa Tumor Mamma (D) S2 207,000
RS. Aura Syifa Susp. Ca. Mamma (D) B6 378,000
RSIA. Nirmala Kista B2 300,000 30,000.00
RSIA. Nirmala AUB K1 190,000 19,000.00
RSIA. Nirmala AUB K1 190,000 19,000.00
RSUD. Daha Husada Tumor Fasicialis K1 180,000
RSUD. Daha Husada Tumor Mamma K1 279,000
Jl. HOS. Cokro Aminoto 70 A Susp. Ca. Cervix K1 171,000
RSUM. Surya Melati Lymphadenopati Axilla (S) S2 171,000
RSUD. Daha Husada Susp. Peritonitis TB 2xS 3 279,000
RSUD. Daha Husada Tumor Mammae S1 180,000
RSUD. Daha Husada AUB K1 180,000
RS. Aura Syifa Tumor Axilla K1 171,000
RS. Aura Syifa Lymphadenopati Axilla (S) S2 207,000
Jl. KH. Hasyim Asyari Pap Smear 81,000
RS. Wilujeng DD : Maligna B2 207,000
RS. Wilujeng Tumor Humerus (D) S1 207,000
RS. Wilujeng Kista Coklat Bilateral 2xB 3 270,000
RS. Wilujeng Mastitis DD : Malignancy S1 207,000
RS. Wilujeng Tumor Colli S2 207,000
RS. Wilujeng S2 207,000
RS. Aura Syifa Tumor Ankle (D) S1 207,000
12,346,000
106,000.00
CN Nirmala 106,000

Sisa 12,240,000