REKAP GL

PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-000954-00 HERMAS DAWAN 01/05/2023 PL/R/1244/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
2 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-000957-00 ORIANO HENOK RONSUMBRE 02/05/2023 PL/R/1238/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
3 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-001468-00 MAINUS WENDA 24/05/2023 PL/R/1303/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
4 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-001658-00 YOSUA HILKIA ANES 12/07/2023 PL/R/1322/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
5 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002093-00 PRILLI PRICILIA MANSAWAN 24/08/2023 PL/R/1706/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
6 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002012-00 ZHAMPARY DECK JARANGGA 22/09/2023 PL/R/1707/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
7 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002606-00 SENDY SIAGIAN 23/09/2023 PL/R/1851/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
8 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002131-00 AYUB DAVID SOLEMAN SOSELISA 24/09/2023 PL/R/1705/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
9 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002132-00 MERIANA MOFU 24/09/2023 PL/R/1716/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
10 RS TNI AL DR R. GANDHI AT, KAB. BIAK NUMFOR 2000-2023-002190-00 IWAN SALIM 05/10/2023 PL/R/1690/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
11 RS TNI AL DR R. GANDHI AT, KAB. BIAK NUMFOR 2000-2023-002189-00 DEBORA MANDASA 05/10/2023 PL/R/1691/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
12 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002186-00 IVONNE YOLANDA POLNAYA 05/10/2023 PL/R/1692/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
13 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002150-00 MUH. RAFLI 10/10/2023 PL/R/1703/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
14 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002181-00 NOAK MANSNANDIFU 14/10/2023 PL/R/1694/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
15 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002183-00 MAIMUNA 14/10/2023 PL/R/1693/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
16 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002198-00 ANTHONIO HADHY M 29/10/2023 PL/R/1689/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
17 RSUD BIAK, KAB. BIAK NUMFOR 2000-2023-002402-00 COSMAS YEHUDA ANGGASAI 01/11/2023 PL/R/1718/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
18 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 387.000.000 Rp -
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD KAB. BOVEN DIGOEL 2000-2023-000986-00 THADIUS KWAMAYTUN NENOP 11/02/2023 PL/R/1269/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
2 RSUD KAB. BOVEN DIGOEL 2000-2023-000698-00 UMAR MARASABESSY 02/04/2023 PL/R/537/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
3 RSUD KAB. BOVEN DIGOEL 2000-2023-000806-00 FIRDA ROMBE 13/04/2023 25/04/2023 PL/R/619/GL/2023 Rp 21.500.000 Rp 10.201.000 SUDAH DITAGIHKAN
4 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 86.000.000 Rp 10.201.000
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD KWAINGGA, KAB. KEEROM 2000-2023-001357-00 ADRIAN SUMULE KMUR 27/04/2023 PL/R/921/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
2 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002602-00 MUHAMAD IRIADY WICAKSANA 11/08/2023 PL/R/1790/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
3 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002605-00 RACHMAT ALWAYUDI 24/08/2023 PL/R/1793/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
4 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002166-00 RIAN ARDIANSYAH 25/10/2023 PL/R/1652/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
5 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002455-00 A.N TAMINO 04/11/2023 08/11/2023 PL/R/1733/GL/2023 Rp 21.500.000 Rp 4.125.000 TAGIHAN BELUM DIOTORISASI
6 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002543-00 YOHANES BOROTIAN 10/11/2023 PL/R/1755/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
7 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002638-00 A.N MISRODI 18/11/2023 PL/R/1821/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
8 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002622-00 MUHAMMAD ANDIKA PUTRA SYAHTI 24/11/2023 25/11/2023 PL/R/1798/GL/2023 Rp 21.500.000 Rp 869.000 SUDAH DITAGIHKAN
9 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002639-00 ARIF PRIANTO 24/11/2023 PL/R/1824/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
10 RSUD KWAINGGA, KAB. KEEROM 2000-2023-002695-00 AHMAD ALFAN DIKA 24/11/2023 PL/R/1850/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
11 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 236.500.000 Rp 4.994.000
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD KAB. MAPPI 2000-2023-000312-00 YOHANES AL. MATURAN 16/01/2023 PL/R/260/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
2 RSUD KAB. MAPPI 2000-2023-001252-00 NAHRAN AZIZAH BAHRI 07/03/2023 PL/R/1286/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
3 RSUD KAB. MAPPI 2000-2023-000781-00 THOMAS ROMANUS DENION TOPAN YERMOGOIN
27/03/2023 PL/R/1259/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
4 RSUD KAB. MAPPI 2000-2023-001535-00 SALFATOR KAIBU 16/06/2023 PL/R/1308/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
5 RSUD KAB. MAPPI 2000-2023-002160-00 GABRIEL AMARE KAMKOPIMU 05/10/2023 PL/R/1698/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
6 RSUD KAB. MAPPI 2000-2023-002159-00 ASWAN 05/10/2023 PL/R/1699/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
7 RSUD KAB. MAPPI 2000-2023-002536-00 MARINCE PAKAIMU 04/11/2023 04/11/2023 PL/R/1791/GL/2023 Rp 21.500.000 Rp 1.490.000 SUDAH DITAGIHKAN
8 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 172.000.000 Rp 1.490.000
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD KAB. MERAUKE 2000-2023-001804-00 RAYMUNDUS MARCELLINO NGAMEL 01/09/2023 05/09/2023 PL/R/1885/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
2 RSUD KAB. MERAUKE 2000-2023-001810-00 NOJE BARTHOLOMEUS 02/09/2023 PL/R/1838/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
3 RSUD KAB. MERAUKE 2000-2023-001814-00 TRIFENA RUMBEKWAN 03/09/2023 PL/R/1742/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
4 RSUD KAB. MERAUKE 2000-2023-001816-00 MIRA MARLIN TAHITOE 03/09/2023 PL/R/1743/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
5 RSUD KAB. MERAUKE 2000-2023-001853-00 RUFINUS JAFTORAN 07/09/2023 PL/R/1740/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
6 RSUD KAB. MERAUKE 2000-2023-001865-00 ADE MARTINI 10/09/2023 PL/R/1886/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
7 RSUD KAB. MERAUKE 2000-2023-001890-00 MILYON FERDINANDUS 13/09/2023 PL/R/1887/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
8 RSUD KAB. MERAUKE 2000-2023-001906-00 LUKAS CIWE 14/09/2023 PL/R/1745/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
9 RSUD KAB. MERAUKE 2000-2023-001909-00 FERNANDO XAVERIUS CIWE 14/09/2023 PL/R/1746/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
10 RSUD KAB. MERAUKE 2000-2023-001908-00 DAVID S LAUN 14/09/2023 PL/R/1888/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
11 RSUD KAB. MERAUKE 2000-2023-002314-00 MUHAMAD RAYHAN NURMANSYAH 18/09/2023 19/09/2023 PL/R/1843/GL/2023 Rp 21.500.000 Rp 793.000 SUDAH DITAGIHKAN
12 RSUD KAB. MERAUKE 2000-2023-002324-00 SELA ANAKARU 22/09/2023 23/09/2023 PL/R/1839/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
13 RSUD KAB. MERAUKE 2000-2023-002308-00 VERONIKA KANEMBUT 26/09/2023 PL/R/1741/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
14 RSUD KAB. MERAUKE 2000-2023-002321-00 NURUL ALFIAH HIDAYATI 28/09/2023 PL/R/1747/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
15 RSUD KAB. MERAUKE 2000-2023-002323-00 HAYYUL HAQ 30/09/2023 03/10/2023 PL/R/1842/GL/2023 Rp 21.500.000 Rp 8.045.053 SUDAH DITAGIHKAN
16 RSUD KAB. MERAUKE 2000-2023-002340-00 NUR RIZKY ALIFIA 30/09/2023 PL/R/1739/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
17 RSUD KAB. MERAUKE 2000-2023-002340-00 NUR RIZKY ALIFIA 30/09/2023 PL/R/1739/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
18 RSUD KAB. MERAUKE 2000-2023-002318-01 ZETH HISKIA FRANS 01/10/2023 PL/R/1738/GL/2023 Rp 9.824.464 Rp - TERBIT JAMINAN
19 RS BUNDA PENGHARAPAN, KAB. MERAUKE 2000-2023-002318-00 ZETH HISKIA FRANS 02/10/2023 05/10/2023 PL/R/1737/GL/2023 Rp 21.500.000 Rp 11.675.536 SUDAH DITAGIHKAN
20 RSUD KAB. MERAUKE 2000-2023-002325-00 ALMAIRA NUR SYAIBA, 03/10/2023 06/10/2023 PL/R/1834/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
21 RSUD KAB. MERAUKE 2000-2023-002320-00 ADI SAPUTRA 04/10/2023 18/10/2023 PL/R/1833/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
22 RSUD KAB. MERAUKE 2000-2023-002309-00 ROSI MINDA GUAMERJAI 11/10/2023 13/10/2023 PL/R/1841/GL/2023 Rp 21.500.000 Rp 2.524.750 SUDAH DITAGIHKAN
23 RSUD KAB. MERAUKE 2000-2023-002316-00 FARHAN ZIKRULLAH LATARISSA 15/10/2023 22/10/2023 PL/R/1835/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
24 RSUD KAB. MERAUKE 2000-2023-002319-00 SUSANTI HIBORANG 20/10/2023 24/10/2023 PL/R/1840/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
25 RSUD KAB. MERAUKE 2000-2023-002310-00 MUHAMMAD FIKRI WIBOWO 31/10/2023 PL/R/1837/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
26 RS TNI AL MERAUKE, KAB. MERAUKE 2000-2023-002394-00 ALFONSIUS KUPKIM 06/11/2023 PL/R/1817/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
27 RSUD KAB. MERAUKE 2000-2023-002393-00 FRANKY SUWONDO 06/11/2023 06/11/2023 PL/R/1836/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
28 RS TNI AL MERAUKE, KAB. MERAUKE 2000-2023-002537-01 A. MUH. IRFAN ASSIDIQ 10/11/2023 PL/R/1845/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
29 RS TNI AL MERAUKE, KAB. MERAUKE 2000-2023-002569-00 HELDA SALOME BASIK BASIK 14/11/2023 PL/R/1815/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
30 RS TNI AL MERAUKE, KAB. MERAUKE 2000-2023-002570-00 WILLIBRODUS LEFTUNGUN 14/11/2023 PL/R/1816/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
31 RSUD KAB. MERAUKE 2000-2023-001717-00 MUHAMMAD MAULANA DZAR FADLAN 17/11/2023 17/11/2023 PL/R/1744/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
32 RS TNI AD TK IV LB MOERDANI, KAB. MERAUKE 2000-2023-002748-00 FAIZAL CHANDRA R. LAHAMINI 02/12/2023 PL/R/1864/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
33 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 697.824.464 Rp 23.038.339
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD KAB. MIMIKA 2000-2023-001182-00 YASAYAS MARATIPIA 03/06/2023 PL/R/782/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
2 RSUD KAB. MIMIKA 2000-2023-002786-00 MUHAMMAD ARIFIN 03/06/2023 PL/R/1892/GL/2023 Rp 8.335.885 Rp - TERBIT JAMINAN
3 RSUD KAB. MIMIKA 2000-2022-002716-03 MISTER EDWARD SIHOMBING 17/10/2023 PL/R/1826/GL/2023 Rp 5.191.617 Rp - TERBIT JAMINAN
4 RSUD KAB. MIMIKA 2000-2023-002126-00 JAMAL 17/10/2023 PL/R/1619/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
5 RSUD KAB. MIMIKA 2000-2023-002136-00 TASMIN 17/10/2023 PL/R/1623/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
6 RSUD KAB. MIMIKA 2000-2023-002154-00 MUHAMMAD IRSAL 22/10/2023 PL/R/1625/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
7 RSUD KAB. MIMIKA 2000-2023-001944-01 CHARLY ADITYA MAGRIBI 24/10/2023 PL/R/1827/GL/2023 Rp 1.900.035 Rp - TERBIT JAMINAN
8 RSUD KAB. MIMIKA 2000-2023-002388-00 HAIRUN 03/11/2023 PL/R/1672/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
9 RS MITRA MASYARAKAT, KAB. MIMIKA 2000-2023-002514-00 ERMI NIWILINGGAME 09/11/2023 PL/R/1735/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
10 RSUD KAB. MIMIKA 2000-2023-002516-00 ERZA FIRERZA AHEK 11/11/2023 PL/R/1736/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
11 RSUD KAB. MIMIKA 2000-2023-002539-00 MEGAWATI NUR NUR 14/11/2023 PL/R/1753/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
12 RS MITRA MASYARAKAT, KAB. MIMIKA 2000-2023-002549-00 SUKARDI 17/11/2023 PL/R/1758/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
13 RSUD KAB. MIMIKA 2000-2023-002550-00 BAMBANG RADISWAN 18/11/2023 PL/R/1759/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
14 RSUD KAB. MIMIKA 2000-2023-002765-00 MUNIRI 08/12/2023 PL/R/1871/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
15 RSUD KAB. MIMIKA 2000-2023-002789-00 ABDUL RAHMAN YAMPI 10/12/2023 PL/R/1895/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
16 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 294.927.537 Rp -
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD KAB. NABIRE 2000-2023-001002-00 AKSAMINA YEIMO 01/05/2023 PL/R/855/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
2 RSUD KAB. NABIRE 2000-2023-001272-01 WELLEM RUMBOISANO 19/06/2023 PL/R/1862/GL/2023 Rp 18.700.000 Rp - TERBIT JAMINAN
3 RSUD KAB. NABIRE 2000-2023-001430-00 YAN EDOWAI 04/07/2023 PL/R/962/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
4 RSUD KAB. NABIRE 2000-2023-001485-00 PARINUS WAKER 12/07/2023 PL/R/1022/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
5 RSUD KAB. NABIRE 2000-2023-001562-00 HEIN JEREMI KAIWAY 21/07/2023 PL/R/1108/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
6 RSUD KAB. NABIRE 2000-2023-001561-00 YAKOP RUMBEKWAN 23/07/2023 PL/R/1107/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
7 RSUD KAB. NABIRE 2000-2023-001563-00 LIM TJIU HOA 26/07/2023 PL/R/1109/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
8 RSUD KAB. NABIRE 2000-2023-001564-00 JUNIATI TANDUK THOMAS 28/07/2023 01/08/2023 PL/R/1110/GL/2023 Rp 21.500.000 Rp 4.658.000 SUDAH DITAGIHKAN
9 RSUD KAB. NABIRE 2000-2023-001700-00 TANDRI ABENG 05/08/2023 PL/R/1198/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
10 RSUD KAB. NABIRE 2000-2023-001842-00 AFRIZAL GUSNADI ALENTADU 01/09/2023 PL/R/1395/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
11 RSUD KAB. NABIRE 2000-2023-001929-00 NOVITA ESTER MUABUAY 17/09/2023 PL/R/1486/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
12 RSUD KAB. NABIRE 2000-2023-001928-00 YULIANA MUABUAY 17/09/2023 PL/R/1485/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
13 RSUD KAB. NABIRE 2000-2023-001962-00 SITI ASIYAH 21/09/2023 PL/R/1528/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
14 RSUD KAB. NABIRE 2000-2023-001960-00 RONARDO JITMAU 22/09/2023 05/10/2023 PL/R/1526/GL/2023 Rp 21.500.000 Rp 10.958.000 SUDAH DITAGIHKAN
15 RSUD KAB. NABIRE 2000-2023-001961-00 MARIA YULIANA SENENG 28/09/2023 PL/R/1527/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
16 RSUD KAB. NABIRE 2000-2023-002109-00 OKTOVIANUS DEGEY 10/10/2023 PL/R/1601/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
17 RSUD KAB. NABIRE 2000-2023-002108-00 YOSUA BRIAN ADIPUTRA 12/10/2023 PL/R/1602/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
18 RSUD KAB. NABIRE 2000-2023-002107-00 LENSI LARENAU 13/10/2023 PL/R/1603/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
19 RSUD KAB. NABIRE 2000-2023-002761-00 RANDIKA GILANG ASMARA 15/10/2023 PL/R/1870/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
20 RSUD KAB. NABIRE 2000-2023-002386-00 MARLINA 29/10/2023 PL/R/1670/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
21 RSUD KAB. NABIRE 2000-2023-002548-00 MAPPIARE 14/11/2023 PL/R/1757/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
22 RSUD KAB. NABIRE 2000-2023-002615-00 ETY KRISTINA KONDO 17/11/2023 PL/R/1795/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
23 RSUD KAB. NABIRE 2000-2023-002616-00 ANDRI SUMAHENDRA 21/11/2023 PL/R/1796/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
24 RSUD KAB. NABIRE 2000-2023-002698-00 ARJUNA ERI ADI 23/11/2023 PL/R/1848/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
25 RSUD KAB. NABIRE 2000-2023-002700-00 LITINUS JIKWA 23/11/2023 PL/R/1847/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
26 RSUD KAB. NABIRE 2000-2023-002632-00 AMINA LAMAE 27/11/2023 PL/R/1818/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
27 RSUD KAB. NABIRE 2000-2023-002760-00 MUHAMMAD AL FATIH 02/12/2023 PL/R/1869/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
28 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 599.200.000 Rp 15.616.000
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-000543-01 VERLANDO RAN DAVID SUWANAS 10/03/2023 PL/R/1258/GL/2023 Rp 1.500.000 Rp - TERBIT JAMINAN
2 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-000730-00 RAIMOND ANDREAS BONARATE 01/04/2023 PL/R/549/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
3 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-001403-00 RAHAB MARICE WEYASU 28/04/2023 PL/R/1053/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
4 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-001529-00 MUHAMAD SANDI HUTABARAT 03/05/2023 PL/R/1054/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
5 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-001386-00 DWI YOKU 13/06/2023 PL/R/1292/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
6 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-001610-00 BERLY THENU 15/07/2023 16/07/2023 PL/R/1191/GL/2023 Rp 21.500.000 Rp 1.833.400 SUDAH DITAGIHKAN
7 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002588-00 FEBRIAN GILBERT SABIRA 18/08/2023 PL/R/1788/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
8 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002585-01 SUYATMI 24/08/2023 PL/R/1884/GL/2023 Rp 2.813.152 Rp - TERBIT JAMINAN
9 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002636-00 MUHAMAD AL MUHARAM 26/08/2023 PL/R/1819/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
10 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002637-00 DENIS SAPRANIM 30/08/2023 PL/R/1820/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
11 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-001634-00 ALOKNIP THEODATUS GIRBERTH 31/08/2023 PL/R/1179/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
12 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002534-00 MUH. RIDWAN HASIM 12/09/2023 PL/R/1749/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
13 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002535-00 FERIDA TOKORO 13/09/2023 PL/R/1750/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
14 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002162-00 DAVID DIMES 12/10/2023 12/10/2023 PL/R/1646/GL/2023 Rp 21.500.000 Rp 2.210.899 SUDAH DITAGIHKAN
15 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002454-00 MEGA APRILIA SAWERI SAWERI 12/10/2023 PL/R/1732/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
16 RSUD YOWARI SENTANI, KAB. JAYAPURA 2000-2023-002790-00 JOSEVINE HILDA GRAZIA ELLY 30/11/2023 PL/R/1896/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN
17 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 326.813.152 Rp 4.044.299
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD SERUI, KAB. KEP. YAPEN 2000-2023-001272-00 WELLEM RUMBOISANO 15/06/2023 16/06/2023 PL/R/840/GL/2023 Rp 21.500.000 Rp 1.300.000 SUDAH DITAGIHKAN
2 RSUD SERUI, KAB. KEP. YAPEN 2000-2023-002125-00 NANDA AURA LEWA 08/10/2023 18/10/2023 PL/R/1618/GL/2023 Rp 21.500.000 Rp 5.824.000 SUDAH DITAGIHKAN
3 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 64.500.000 Rp 7.124.000
 REKAP GL
PER 01/01/2023 Sd 14/12/2023

NO NAMA RS ID JAMINAN NAMA KORBAN TGL MASUK TANGGAL KELUAR NO SURAT JUMLAH PENGAJUAN JUMLAH DIGUNAKAN STATUS JAMINAN
1 RSUD WAMENA, KAB. JAYAWIJAYA 2000-2023-001031-00 ROY ARIANTO PAEMBONAN 08/05/2023 15/05/2023 PL/R/687/GL/2023 Rp 21.500.000 Rp 10.027.000 SUDAH DITAGIHKAN
2 RSUD WAMENA, KAB. JAYAWIJAYA 2000-2023-001172-00 ANDREAS ANGGA WISNU WARDANA 31/05/2023 02/06/2023 PL/R/777/GL/2023 Rp 21.500.000 Rp 6.285.000 SUDAH DITAGIHKAN
3 RSUD WAMENA, KAB. JAYAWIJAYA 2000-2023-001822-00 MORRIS CERULLO A WOWOR 09/07/2023 01/08/2023 PL/R/1381/GL/2023 Rp 21.500.000 Rp 5.230.000 SUDAH DITAGIHKAN
4 RSUD WAMENA, KAB. JAYAWIJAYA 2000-2023-001654-00 DESTI MABEL 29/07/2023 30/07/2023 PL/R/1171/GL/2023 Rp 21.500.000 Rp 8.392.000 SUDAH DITAGIHKAN
5 RSUD DOK II, KOTA JAYAPURA 2000-2023-002804-00 YNEGO ORTES DE RETES WAMBRAUW 12/12/2023 PL/R/1910/GL/2023 Rp 21.500.000 Rp - TERBIT JAMINAN

Rp 107.500.000 Rp 29.934.000