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RUMAH SAKIT ISLAM KARAWANG

Telp. (0267) 414520-524


Jl. Pangkal Perjuangan KM 2 By Pass Karawang
Dicetak pada : 15-11-2017 / 10:30:21

Laporan Pemeriksaan Laboratorium 01-11-2017 s/d 15-11-2017


Jumlah Pemeriksaan : 871
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000079 000.07.31.36 PUTRI AZZAHRA RAHMADINI,AN (8 (3) thn) DIDI SUKANDI, dr. SP.A BPJS - 117.000 140.400 -23.400 02-11-2017/08:25:44 - Rawat Inap 1/02112017
44000080 000.07.31.36 PUTRI AZZAHRA RAHMADINI,AN (8 (3) thn) DIDI SUKANDI, dr. SP.A BPJS - 52.000 140.400 -88.400 02-11-2017/08:38:14 - Rawat Inap 2/02112017
44000081 000.07.30.36 REGGY KHAIRUNISA RAMADHANI, NN (23 (.. RAHMATIKA, dr UMUM - 112.000 111.600 400 02-11-2017/11:27:41 - Rawat Jalan 3/02112017
44000082 000.07.31.39 BUDI HIDAYAT,TN (29 (1) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 117.000 140.400 -23.400 02-11-2017/11:32:37 - Rawat Inap 4/02112017
44000083 000.05.52.58 KOYAH, NY (59 (5) thn) YUDITH E, dr. SP.S BPJS - 33.000 39.600 -6.600 02-11-2017/11:35:00 - Rawat Jalan 5/02112017
44000084 000.05.21.89 ACIH, NY (49 (8) thn) YUDITH E, dr. SP.S UMUM - 79.200 79.200 0 02-11-2017/11:36:22 - Rawat Jalan 6/02112017
44000085 000.07.11.35 WARSIH, NY (35 (5) thn) H. M. SALEH, dr. SP.OG BPJS - 30.000 36.000 -6.000 02-11-2017/11:38:32 - Rawat Jalan 7/02112017
44000086 000.07.12.25 KUSHERYANTO,TN (56 (11) thn) YUDITH E, dr. SP.S BPJS - 105.000 126.000 -21.000 02-11-2017/11:42:38 - Rawat Jalan 8/02112017
44000087 000.07.12.25 KUSHERYANTO,TN (56 (11) thn) YUDITH E, dr. SP.S BPJS - 33.000 39.600 -6.600 02-11-2017/11:43:02 - Rawat Jalan 9/02112017
44000088 000.07.31.08 ANTON NUR MARJUKI,TN (34 (8) thn) RAHMATIKA, dr BPJS - 225.000 270.000 -45.000 02-11-2017/11:46:26 - Rawat Inap 10/02112017
44000089 000.06.12.46 ANAM, TN (75 (3) thn) RAJASA, dr. SP.URO BPJS - 65.000 78.000 -13.000 02-11-2017/11:48:07 - Rawat Inap 11/02112017
44000090 000.07.31.48 ASIFA,AN (4 (5) thn) DIDI SUKANDI, dr. SP.A BPJS - 117.000 140.400 -23.400 02-11-2017/11:52:56 - Rawat Inap 12/02112017
44000091 000.04.55.56 OON BINTI ASNIM, NY (55 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 02-11-2017/13:38:35 - Rawat Jalan 13/02112017
44000092 000.04.89.92 DARSIH, NY (62 (1) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 02-11-2017/13:39:17 - Rawat Jalan 14/02112017
44000093 000.07.09.82 ENI NURAENI, NY (40 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 02-11-2017/13:40:21 - Rawat Jalan 15/02112017
44000094 000.02.90.04 SONAH ,NY (60 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 02-11-2017/13:41:25 - Rawat Jalan 16/02112017
44000095 000.07.31.60 TATI, NY (52 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 02-11-2017/13:55:27 - Rawat Jalan 17/02112017
44000096 000.07.28.33 M ISHAQ,TN (68 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 02-11-2017/13:57:35 - Rawat Jalan 18/02112017
44000097 000.05.93.38 ENTAN KURTATI, NY (45 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 34.000 33.600 400 02-11-2017/14:00:11 - Rawat Jalan 19/02112017
44000098 000.07.31.56 LINA, NY (24 (8) thn) TETY MARTALENA, dr. SP.PK UMUM - 140.400 140.400 0 02-11-2017/14:07:47 - Rawat Jalan 20/02112017
44000099 000.07.17.66 DEDE RISWANTO, TN (39 (1) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 285.000 342.000 -57.000 02-11-2017/14:11:10 - Rawat Inap 21/02112017
44000100 000.05.95.74 TAMIN, TN (60 (0) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 213.000 255.600 -42.600 02-11-2017/14:15:28 - Rawat Jalan 22/02112017
44000101 000.05.18.56 IMAS , NY (36 (4) thn) ADE NURKACAN, dr. SP.AN BPJS - 213.000 255.600 -42.600 02-11-2017/14:16:56 - Rawat Inap 23/02112017
44000102 000.02.82.34 MURTINAH, NY (59 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 213.000 255.600 -42.600 02-11-2017/14:18:28 - Rawat Jalan 24/02112017
44000103 000.06.94.75 JAJANG BAHAUDIN, H, SDR (29 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 131.000 157.200 -26.200 02-11-2017/14:19:34 - Rawat Jalan 25/02112017
44000104 000.03.65.82 ISKHAQ , TN (60 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 131.000 157.200 -26.200 02-11-2017/14:20:59 - Rawat Jalan 26/02112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000105 000.02.76.37 AMAH, NY (46 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 131.000 157.200 -26.200 02-11-2017/14:25:27 - Rawat Jalan 27/02112017
44000106 000.06.83.54 HAMDAH, NY (57 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 02-11-2017/14:30:12 - Rawat Jalan 28/02112017
44000107 000.07.24.62 ABDUL ROHMAN, TN (37 (9) thn) RAHMATIKA, dr BPJS - 313.000 375.600 -62.600 02-11-2017/14:37:07 - Rawat Inap 29/02112017
44000108 000.06.78.02 UJI, TN (49 (11) thn) ADE NURKACAN, dr. SP.AN BPJS - 313.000 375.600 -62.600 02-11-2017/14:49:48 - Rawat Inap 30/02112017
44000109 000.06.41.34 NYI HARTATI, NY (57 (7) thn) ADE NURKACAN, dr. SP.AN UMUM - 230.800 230.400 400 02-11-2017/14:51:34 - Rawat Inap 31/02112017
44000110 000.07.17.36 SAFAATUN, NY (33 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 131.000 157.200 -26.200 02-11-2017/14:53:38 - Rawat Jalan 32/02112017
44000111 000.06.40.67 DAREM, NY (51 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 213.000 255.600 -42.600 02-11-2017/14:57:21 - Rawat Jalan 33/02112017
44000112 000.07.30.15 ANAH,NY (30 (7) thn) H. M. SALEH, dr. SP.OG UMUM - 142.000 141.600 400 02-11-2017/15:00:24 - Rawat Inap 34/02112017
44000113 000.06.03.78 CANTI, NY (50 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 213.000 255.600 -42.600 02-11-2017/15:12:07 - Rawat Jalan 35/02112017
44000114 000.07.30.15 ANAH,NY (30 (7) thn) H. M. SALEH, dr. SP.OG UMUM - 158.400 158.400 0 02-11-2017/15:13:37 - Rawat Inap 36/02112017
44000115 000.03.54.22 SARINI ,NY (56 (8) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 213.000 255.600 -42.600 02-11-2017/15:15:14 - Rawat Jalan 37/02112017
44000116 000.04.40.17 YAYAN SURYANA, TN (35 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 128.000 153.600 -25.600 02-11-2017/15:17:11 - Rawat Jalan 38/02112017
44000117 000.07.31.64 CUCUN KARLINA, NY (28 (7) thn) WURY ISWARSIGIT, dr. SP. B BPJS - 101.000 121.200 -20.200 02-11-2017/16:53:42 - Rawat Jalan 39/02112017
44000118 000.07.19.84 OPID,TN (57 (6) thn) JOHNI SINAGA, dr. SP.P BPJS - 28.000 33.600 -5.600 02-11-2017/16:55:11 - Rawat Jalan 40/02112017
44000119 000.07.31.46 DIANA RIZKIA, NN (18 (2) thn) WURY ISWARSIGIT, dr. SP. B BPJS - 101.000 121.200 -20.200 02-11-2017/16:56:11 - Rawat Jalan 41/02112017
44000120 000.07.31.41 EWI, NY (78 (10) thn) WURY ISWARSIGIT, dr. SP. B BPJS - 101.000 121.200 -20.200 02-11-2017/16:57:13 - Rawat Jalan 42/02112017
44000121 000.03.24.69 TIARA FAJUANI,AN (6 (4) thn) RAHMATIKA, dr BPJS - 262.000 314.400 -52.400 02-11-2017/17:00:06 - Rawat Jalan 43/02112017
44000122 000.07.31.66 MUNAJAT,TN (51 (9) thn) JOHNI SINAGA, dr. SP.P BPJS - 225.000 270.000 -45.000 02-11-2017/17:01:43 - Rawat Inap 44/02112017
44000123 000.07.31.68 IRIH,TN (36 (5) thn) JOHNI SINAGA, dr. SP.P BPJS - 93.000 111.600 -18.600 02-11-2017/17:03:10 - Rawat Inap 45/02112017
44000124 000.04.40.17 YAYAN SURYANA, TN (35 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 373.000 435.600 -62.600 02-11-2017/17:06:23 - Rawat Jalan 46/02112017
44000125 000.07.31.65 WIRYO,TN (53 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 145.000 174.000 -29.000 02-11-2017/17:13:53 - Rawat Inap 47/02112017
44000126 000.07.31.65 WIRYO,TN (53 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 02-11-2017/17:14:31 - Rawat Inap 48/02112017
44000127 000.07.31.69 CARKESIH,NY (54 (7) thn) MOCH PURNOMO, dr SP.PD BPJS - 93.000 111.600 -18.600 02-11-2017/17:15:23 - Rawat Inap 49/02112017
44000128 000.06.41.34 NYI HARTATI, NY (57 (7) thn) ADE NURKACAN, dr. SP.AN UMUM - 112.000 111.600 400 02-11-2017/17:29:49 - Rawat Inap 50/02112017
44000129 000.07.31.74 AHMAD ZIDAN MUBAROK,AN (1 (5) thn) DIDI SUKANDI, dr. SP.A UMUM - 78.000 78.000 0 02-11-2017/18:36:03 - Rawat Inap 51/02112017
44000130 000.07.31.75 MUMUN,NY (40 (9) thn) TETY MARTALENA, dr. SP.PK UMUM - 78.000 78.000 0 02-11-2017/18:56:15 - Rawat Jalan 52/02112017
44000131 000.07.31.72 HERMAWANSYAH,TN (43 (3) thn) MOCH PURNOMO, dr SP.PD BPJS - 93.000 111.600 -18.600 02-11-2017/19:08:51 - Rawat Inap 53/02112017
44000132 000.07.31.74 AHMAD ZIDAN MUBAROK,AN (1 (5) thn) DIDI SUKANDI, dr. SP.A UMUM - 62.400 62.400 0 02-11-2017/19:15:26 - Rawat Inap 54/02112017
44000133 000.06.61.23 SYIFA RIZKIA IRAWAN, NN (15 (10) thn) MOCH PURNOMO, dr SP.PD ASURANSI - 0 78.000 -78.000 02-11-2017/20:29:32 - Rawat Inap 55/02112017
44000134 000.06.61.23 SYIFA RIZKIA IRAWAN, NN (15 (10) thn) MOCH PURNOMO, dr SP.PD UMUM - 78.000 78.000 0 02-11-2017/20:31:28 - Rawat Inap 56/02112017
44000135 000.07.31.77 IAH JAMIAH,BY,NY (0 (2) thn) DIDI SUKANDI, dr. SP.A BPJS - 101.000 118.800 -17.800 02-11-2017/20:34:59 - Rawat Inap 57/02112017
44000136 000.06.91.64 MATAL, TN (80 (5) thn) RAJASA, dr. SP.URO BPJS - 420.000 48.000 372.000 03-11-2017/07:35:44 - Rawat Jalan 1/03112017
44000137 000.07.31.78 TUTI SULASTRI,AN (14 (11) thn) DOKTER LUAR UMUM - 164.400 164.400 0 03-11-2017/07:40:45 - Rawat Jalan 2/03112017
44000138 000.07.31.79 AYU LESTARI, NN (15 (11) thn) TETY MARTALENA, dr. SP.PK UMUM - 164.400 164.400 0 03-11-2017/07:42:35 - Rawat Jalan 3/03112017
44000139 000.07.31.39 BUDI HIDAYAT,TN (29 (1) thn) MOCH PURNOMO, dr SP.PD BPJS - 65.000 78.000 -13.000 03-11-2017/07:51:52 - Rawat Inap 4/03112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000140 000.07.11.24 WAREM, NY (58 (10) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 03-11-2017/08:07:34 - Rawat Inap 5/03112017
44000141 000.06.09.28 YAHYA, TN (61 (7) thn) DOKTER LUAR BPJS - 277.000 332.400 -55.400 03-11-2017/08:25:02 - Rawat Inap 6/03112017
44000142 000.07.31.72 HERMAWANSYAH,TN (43 (3) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 03-11-2017/08:41:55 - Rawat Inap 7/03112017
44000143 000.07.31.44 AFWAPIK MALIK IBRAHIM,AN (4 (8) thn) DIDI SUKANDI, dr. SP.A UMUM - 140.400 140.400 0 03-11-2017/08:45:38 - Rawat Inap 8/03112017
44000144 000.07.24.74 ENIH,NY (38 (3) thn) ADE NURKACAN, dr. SP.AN BPJS - 285.000 342.000 -57.000 03-11-2017/08:49:24 - Rawat Inap 9/03112017
44000145 000.07.30.36 REGGY KHAIRUNISA RAMADHANI, NN (23 (.. DOKTER LUAR UMUM - 112.000 111.600 400 03-11-2017/08:51:44 - Rawat Jalan 10/03112017
44000146 000.03.52.51 EEM SUHAEBAH, NY (50 (9) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 03-11-2017/09:14:35 - Rawat Jalan 11/03112017
44000147 000.07.31.81 WAWAN GUNAWAN,TN (65 (0) thn) MOCH PURNOMO, dr SP.PD BPJS - 277.000 332.400 -55.400 03-11-2017/09:16:09 - Rawat Inap 12/03112017
44000148 000.07.28.60 INTAN PARAWANSA, NN (24 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 321.000 375.600 -54.600 03-11-2017/09:41:59 - Rawat Inap 13/03112017
44000149 000.05.96.88 AHMAD, TN (42 (2) thn) MOCH PURNOMO, dr SP.PD UMUM BPJS JAMKESMAS 34.000 33.600 400 03-11-2017/09:47:56 - Rawat Jalan 14/03112017
44000150 000.06.40.73 DAREM, NY (LAB) (51 (8) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 03-11-2017/10:10:24 - Rawat Jalan 15/03112017
44000151 000.07.31.85 CANTI, NY (50 (5) thn) DOKTER LUAR UMUM - 200.000 0 200.000 03-11-2017/10:11:57 - Rawat Jalan 16/03112017
44000152 000.05.06.21 SARINI ( LAB ) (51 (10) thn) DOKTER LUAR UMUM - 200.000 0 200.000 03-11-2017/10:13:12 - Rawat Jalan 17/03112017
44000153 000.05.06.91 YAYAN SURYANA, TN (LAB) (34 (11) thn) DOKTER LUAR UMUM - 200.000 0 200.000 03-11-2017/10:14:35 - Rawat Jalan 18/03112017
44000154 000.03.92.15 ANI, NY (55 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS 28.000 33.600 -5.600 03-11-2017/12:46:38 - Rawat Jalan 19/03112017
44000155 000.02.99.31 ILAH ,NY (53 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 93.000 111.600 -18.600 03-11-2017/12:47:49 - Rawat Jalan 20/03112017
44000156 000.04.39.80 UMI KULSUM, NY (42 (6) thn) MOCH PURNOMO, dr SP.PD BPJS - 166.000 199.200 -33.200 03-11-2017/12:49:41 - Rawat Jalan 21/03112017
44000157 000.07.31.20 LINDA SUKMAWATI, NN (14 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS II 225.000 270.000 -45.000 03-11-2017/12:51:46 - Rawat Inap 22/03112017
44000158 000.03.66.78 SUBRATA, TN (51 (8) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 03-11-2017/12:52:50 - Rawat Jalan 23/03112017
44000159 000.07.15.27 MUNAWAR, AMD, SE, TN (53 (7) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 03-11-2017/12:54:27 - Rawat Jalan 24/03112017
44000160 000.04.96.87 IMAS MIARSIH, HJ, NY (52 (2) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 03-11-2017/12:55:37 - Rawat Jalan 25/03112017
44000161 000.07.31.62 SRI RAHAYU,NN (17 (7) thn) ADE NURKACAN, dr. SP.AN BPJS JAMSOSTEK I 145.000 174.000 -29.000 03-11-2017/12:58:20 - Rawat Inap 26/03112017
44000162 000.04.39.80 UMI KULSUM, NY (42 (6) thn) MOCH PURNOMO, dr SP.PD BPJS - 33.000 39.600 -6.600 03-11-2017/13:14:54 - Rawat Jalan 27/03112017
44000163 000.07.31.92 BAGUS FATURRAHMAN,AN (10 (3) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS PNS II 65.000 78.000 -13.000 03-11-2017/13:23:14 - Rawat Inap 28/03112017
44000164 000.07.31.66 MUNAJAT,TN (51 (9) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM III 28.000 33.600 -5.600 03-11-2017/14:22:55 - Rawat Inap 29/03112017
44000165 000.07.31.96 TITI,NY (51 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS 145.000 174.000 -29.000 03-11-2017/14:24:20 - Rawat Inap 30/03112017
44000166 000.07.31.97 WARSAH KOMALASARI,NY (22 (0) thn) H. AGUS M SUKANDAR, dr. MH., M... BPJS - 117.000 140.400 -23.400 03-11-2017/15:00:25 - Rawat Jalan 31/03112017
44000167 000.04.69.01 LAELA BADRIYAH, NY (44 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 93.000 111.600 -18.600 03-11-2017/15:09:39 - Rawat Inap 32/03112017
44000168 000.07.31.98 ITI,NY (38 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS 93.000 111.600 -18.600 03-11-2017/15:11:45 - Rawat Inap 33/03112017
44000169 000.07.31.98 ITI,NY (38 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS 52.000 62.400 -10.400 03-11-2017/15:12:38 - Rawat Inap 34/03112017
44000170 000.07.26.88 DINI MARYANI, NY (29 (8) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 192.000 230.400 -38.400 03-11-2017/15:24:10 - Rawat Jalan 35/03112017
44000171 000.07.31.89 ENEUNG, NY (51 (0) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS 156.000 187.200 -31.200 03-11-2017/15:40:50 - Rawat Jalan 36/03112017
44000172 000.07.32.00 TOMI,TN (57 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 145.000 174.000 -29.000 03-11-2017/16:00:01 - Rawat Inap 37/03112017
44000173 000.06.22.83 PITU JOKO SUSILO, TN (50 (6) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS 93.000 111.600 -18.600 03-11-2017/16:03:52 - Rawat Inap 38/03112017
44000174 000.07.32.01 SAININ,TN (57 (5) thn) H. AGUS M SUKANDAR, dr. MH., M... BPJS BPJS JAMKESMAS 145.000 174.000 -29.000 03-11-2017/18:30:00 - Rawat Jalan 39/03112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000175 000.05.85.11 WANGSIH, NY (24 (10) thn) H. AGUS M SUKANDAR, dr. MH., M... BPJS - 107.000 174.000 -67.000 03-11-2017/08:05:57 - Rawat Jalan 18/08112017
44000176 000.07.08.18 MULYADI, TN (50 (4) thn) MOCH PURNOMO, dr SP.PD UMUM - 174.400 174.000 400 03-11-2017/18:35:01 - Rawat Inap 41/03112017
44000177 000.07.31.98 ITI,NY (38 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS 132.000 158.400 -26.400 03-11-2017/19:01:45 - Rawat Inap 42/03112017
44000178 000.04.69.01 LAELA BADRIYAH, NY (44 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 132.000 158.400 -26.400 03-11-2017/19:02:50 - Rawat Inap 43/03112017
44000179 000.06.41.34 NYI HARTATI, NY (57 (7) thn) ADE NURKACAN, dr. SP.AN UMUM BPJS PNS III 158.400 158.400 0 03-11-2017/21:48:27 - Rawat Inap 44/03112017
44000180 000.07.31.72 HERMAWANSYAH,TN (43 (3) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 04-11-2017/08:46:22 - Rawat Inap 1/04112017
44000181 000.07.31.08 ANTON NUR MARJUKI,TN (34 (8) thn) MOCH PURNOMO, dr SP.PD BPJS - 82.000 81.600 400 04-11-2017/08:50:33 - Rawat Jalan 2/04112017
44000182 000.07.31.08 ANTON NUR MARJUKI,TN (34 (8) thn) MOCH PURNOMO, dr SP.PD BPJS - 47.000 0 47.000 04-11-2017/08:52:09 - Rawat Inap 3/04112017
44000183 000.06.41.34 NYI HARTATI, NY (57 (7) thn) ADE NURKACAN, dr. SP.AN UMUM BPJS PNS III 132.800 0 132.800 04-11-2017/08:53:18 - Rawat Inap 4/04112017
44000184 000.07.08.18 MULYADI, TN (50 (4) thn) MOCH PURNOMO, dr SP.PD UMUM - 34.000 33.600 400 04-11-2017/08:56:06 - Rawat Inap 5/04112017
44000185 000.07.31.81 WAWAN GUNAWAN,TN (65 (0) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 28.000 33.600 -5.600 04-11-2017/08:56:48 - Rawat Inap 6/04112017
44000186 000.07.31.39 BUDI HIDAYAT,TN (29 (1) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 28.000 33.600 -5.600 04-11-2017/08:59:12 - Rawat Inap 7/04112017
44000187 000.03.20.96 KARMI (24 (11) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 04-11-2017/09:00:07 - Rawat Jalan 8/04112017
44000188 000.07.31.65 WIRYO,TN (53 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 65.000 78.000 -13.000 04-11-2017/09:02:45 - Rawat Inap 9/04112017
44000189 000.07.25.40 IDEN, TN (74 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 159.000 190.800 -31.800 04-11-2017/09:04:19 - Rawat Inap 10/04112017
44000190 000.07.32.15 ANYI RASMAWATI, NY (36 (11) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 225.000 270.000 -45.000 04-11-2017/09:06:17 - Rawat Inap 11/04112017
44000191 000.04.33.45 RADITIA NOFAL ATALLAH,AN (2 (10) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 117.000 140.400 -23.400 04-11-2017/09:09:56 - Rawat Inap 12/04112017
44000192 000.07.25.40 IDEN, TN (74 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 66.000 79.200 -13.200 04-11-2017/09:24:50 - Rawat Inap 13/04112017
44000193 000.02.47.80 MICA ,TN (40 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 148.000 177.600 -29.600 04-11-2017/09:28:52 - Rawat Jalan 14/04112017
44000194 000.05.06.28 MICA, TN (LAB ) (40 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM BPJS UMUM III 200.000 0 200.000 04-11-2017/09:31:22 - Rawat Jalan 15/04112017
44000195 000.02.13.06 DADANG KOMARUDIN , TN (50 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 308.000 357.600 -49.600 04-11-2017/09:32:31 - Rawat Jalan 16/04112017
44000196 000.06.19.53 DADANG KOMARUDIN, TN ( LAB ) (50 (11) t.. ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 200.000 0 200.000 04-11-2017/09:34:40 - Rawat Jalan 17/04112017
44000197 000.02.37.69 NANDANG, TN (37 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 308.000 357.600 -49.600 04-11-2017/09:35:40 - Rawat Jalan 18/04112017
44000198 000.05.06.27 NANDANG, TN (LAB) (37 (11) thn) DOKTER LUAR UMUM BPJS UMUM III 200.000 0 200.000 04-11-2017/09:36:26 - Rawat Jalan 19/04112017
44000199 000.04.72.34 WAR I SUKAEDI , SPD , TN (54 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 308.000 357.600 -49.600 04-11-2017/09:51:56 - Rawat Jalan 20/04112017
44000200 000.03.62.27 SRIKAH, NY (42 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM II 308.000 357.600 -49.600 04-11-2017/09:52:38 - Rawat Jalan 21/04112017
44000201 000.06.18.51 WAR I SUKAEDI, SPD, TN ( LAB) (55 (11) thn) DOKTER LUAR UMUM - 200.000 0 200.000 04-11-2017/09:53:51 - Rawat Jalan 22/04112017
44000202 000.05.07.50 SRIKAH, NY( LAB ) (38 (11) thn) DOKTER LUAR BPJS BPJS UMUM II 200.000 0 200.000 04-11-2017/09:55:08 - Rawat Jalan 23/04112017
44000203 000.05.84.03 ENTIN SUTINI, NY (50 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 283.600 277.200 6.400 04-11-2017/09:58:32 - Rawat Jalan 24/04112017
44000204 000.07.32.19 AZKA HUMAIRA,AN (0 (10) thn) ALINDA, dr UMUM - 140.400 140.400 0 04-11-2017/10:36:03 - Rawat Jalan 25/04112017
44000205 000.05.89.18 SITI KUSNYATI , NY (47 (3) thn) MOCH PURNOMO, dr SP.PD BPJS - 225.000 270.000 -45.000 04-11-2017/10:40:59 - Rawat Inap 26/04112017
44000206 000.07.31.36 PUTRI AZZAHRA RAHMADINI,AN (8 (3) thn) DIDI SUKANDI, dr. SP.A BPJS - 117.000 140.400 -23.400 04-11-2017/10:44:58 - Rawat Inap 27/04112017
44000207 000.05.97.37 IIS RASMILAWATI, NY (40 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 373.000 435.600 -62.600 04-11-2017/11:02:36 - Rawat Jalan 28/04112017
44000208 000.03.91.05 ENDI SUHENDI,TN (28 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 425.000 498.000 -73.000 04-11-2017/11:04:58 - Rawat Jalan 29/04112017
44000209 000.06.40.92 MUCHTAR MADHALIM, TN (64 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 373.000 435.600 -62.600 04-11-2017/11:08:16 - Rawat Jalan 30/04112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000210 000.07.32.25 MUHAMAD ABYAN RIZKY,AN (2 (9) thn) ALINDA, dr BPJS - 117.000 140.400 -23.400 04-11-2017/11:32:27 - Rawat Inap 31/04112017
44000211 000.07.32.21 ACEM,NY (34 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 270.400 270.000 400 04-11-2017/11:34:04 - Rawat Inap 32/04112017
44000212 000.07.32.28 HARTANTO,TN (29 (11) thn) AUZIA TANIA UTAMI, dr BPJS JAMSOSTEK I 145.000 174.000 -29.000 04-11-2017/11:47:09 - Rawat Inap 33/04112017
44000213 000.05.19.31 TAMINUDIN SUDIRO, S.PD, TN (54 (11) thn) MOCH PURNOMO, dr SP.PD BPJS - 145.000 174.000 -29.000 04-11-2017/11:49:30 - Rawat Inap 34/04112017
44000214 000.07.32.29 IIS DAHLIA, NN (23 (10) thn) AUZIA TANIA UTAMI, dr BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 04-11-2017/11:51:00 - Rawat Inap 35/04112017
44000215 000.05.93.08 SANIP, TN (45 (9) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM III 192.000 230.400 -38.400 04-11-2017/12:28:09 - Rawat Inap 36/04112017
44000216 000.07.32.34 TARMO SUTRISNO, TN (29 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 04-11-2017/12:28:39 - Rawat Inap 37/04112017
44000217 000.07.32.35 YANI MULYANI, NY (45 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 174.500 174.000 500 04-11-2017/07:47:26 - Rawat Inap 18/08112017
44000218 000.07.28.60 INTAN PARAWANSA, NN (24 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 195.000 234.000 -39.000 04-11-2017/12:55:01 - Rawat Inap 39/04112017
44000219 000.07.24.62 ABDUL ROHMAN, TN (37 (9) thn) ADE NURKACAN, dr. SP.AN BPJS - 63.000 75.600 -12.600 04-11-2017/12:59:11 - Rawat Inap 40/04112017
44000220 000.06.78.02 UJI, TN (49 (11) thn) ALINDA, dr BPJS - 63.000 75.600 -12.600 04-11-2017/13:02:23 - Rawat Inap 41/04112017
44000221 000.07.24.74 ENIH,NY (38 (3) thn) ALINDA, dr BPJS - 63.000 75.600 -12.600 04-11-2017/13:03:37 - Rawat Inap 42/04112017
44000222 000.07.17.66 DEDE RISWANTO, TN (39 (1) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 63.000 75.600 -12.600 04-11-2017/13:04:39 - Rawat Inap 43/04112017
44000223 000.07.19.94 ACENG, S.PD (53 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 04-11-2017/13:08:14 - Rawat Jalan 44/04112017
44000224 000.07.19.94 ACENG, S.PD (53 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 04-11-2017/13:12:04 - Rawat Jalan 45/04112017
44000225 000.05.97.38 IIS RASMILAWATI, NY (LAB) (40 (7) thn) DOKTER LUAR UMUM - 200.000 0 200.000 04-11-2017/13:22:08 - Rawat Jalan 46/04112017
44000226 000.06.20.90 ENDI SUHENDI, TN (28 (4) thn) DOKTER LUAR UMUM - 200.000 0 200.000 04-11-2017/13:23:47 - Rawat Jalan 47/04112017
44000227 000.07.32.36 MUCHTAR MADHALIM, TN (64 (11) thn) DOKTER LUAR UMUM - 200.000 0 200.000 04-11-2017/13:24:33 - Rawat Jalan 48/04112017
44000228 000.07.32.13 UJANG KARMITA, TN (63 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 28.000 33.600 -5.600 04-11-2017/13:25:47 - Rawat Jalan 49/04112017
44000229 000.05.95.44 JABARULLOH, TN (44 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK I 28.000 33.600 -5.600 04-11-2017/13:26:19 - Rawat Jalan 50/04112017
44000230 000.06.76.10 ABD. RAHMAT KAMURA, TN (35 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK I 129.000 154.800 -25.800 04-11-2017/13:45:00 - Rawat Jalan 51/04112017
44000231 000.07.16.48 MARKUM,TN (39 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 28.000 33.600 -5.600 04-11-2017/13:49:25 - Rawat Jalan 52/04112017
44000232 000.04.69.45 IIS ISNAWATI BINTI ERSIN, NY (29 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 04-11-2017/14:11:34 - Rawat Inap 53/04112017
44000233 000.06.98.62 KARSEM, NY (47 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM II 131.000 157.200 -26.200 04-11-2017/14:33:07 - Rawat Jalan 54/04112017
44000234 000.03.48.39 YANDI DJATNIKA ,TN (48 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 373.000 435.600 -62.600 04-11-2017/14:39:24 - Rawat Jalan 55/04112017
44000235 000.05.85.95 NISOT, NY (47 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 373.000 435.600 -62.600 04-11-2017/14:41:34 - Rawat Jalan 56/04112017
44000236 000.03.38.19 ENCANG CARMINAH, HJ, NY (62 (1) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 373.000 435.600 -62.600 04-11-2017/14:43:45 - Rawat Jalan 57/04112017
44000237 000.02.07.13 KARTINI , NY (34 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 373.000 435.600 -62.600 04-11-2017/14:45:16 - Rawat Jalan 58/04112017
44000238 000.05.85.08 IMI HARTIMI, NY (47 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS KETENAGAKER.. 373.000 435.600 -62.600 04-11-2017/14:46:49 - Rawat Jalan 59/04112017
44000239 000.06.38.67 SAPTAR, TN (58 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 04-11-2017/08:20:28 - Rawat Inap 19/08112017
44000240 000.07.32.40 MA'RU SANAH, NY (67 (3) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM II 225.000 270.000 -45.000 04-11-2017/15:04:34 - Rawat Inap 61/04112017
44000241 000.07.32.42 NADITA ANNISA PUTRI (2 (10) thn) ALINDA, dr UMUM - 141.000 140.400 600 04-11-2017/15:11:07 - Rawat Jalan 62/04112017
44000242 000.07.32.44 IHAT HAYATI,NY (49 (3) thn) MOCH PURNOMO, dr SP.PD BPJS - 313.000 375.600 -62.600 04-11-2017/15:46:04 - Rawat Inap 63/04112017
44000243 000.02.44.86 OMA,TN (66 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 373.000 435.600 -62.600 04-11-2017/15:54:10 - Rawat Jalan 64/04112017
44000244 000.07.32.39 AKBAR SOPYAN,TN (26 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 04-11-2017/15:59:07 - Rawat Inap 65/04112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000245 000.07.32.39 AKBAR SOPYAN,TN (26 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 52.000 62.400 -10.400 04-11-2017/15:59:46 - Rawat Inap 66/04112017
44000246 000.07.32.38 DURAHMAN, TN (61 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 04-11-2017/16:01:05 - Rawat Inap 67/04112017
44000247 000.07.32.41 ROSIDI,TN (58 (6) thn) MOCH PURNOMO, dr SP.PD BPJS - 225.000 270.000 -45.000 04-11-2017/16:03:52 - Rawat Inap 68/04112017
44000248 000.07.31.92 BAGUS FATURRAHMAN,AN (10 (3) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS PNS II 13.000 0 13.000 04-11-2017/16:05:30 - Rawat Inap 69/04112017
44000249 000.07.32.24 AJEM, HJ NY (58 (8) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 225.000 270.000 -45.000 04-11-2017/16:08:15 - Rawat Inap 70/04112017
44000250 000.07.32.24 AJEM, HJ NY (58 (8) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 52.000 62.400 -10.400 04-11-2017/16:09:01 - Rawat Inap 71/04112017
44000251 000.07.32.47 WARSIH,NY (19 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 04-11-2017/16:48:51 - Rawat Inap 72/04112017
44000252 000.05.95.89 SITI MUJANAH, NY (64 (8) thn) SETIAWAN WIDYANTORO, dr (Dokt.. BPJS BPJS PNS IV 373.000 435.600 -62.600 04-11-2017/17:05:18 - Rawat Jalan 73/04112017
44000253 000.06.80.12 ESIH, NY (42 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 378.000 441.600 -63.600 04-11-2017/17:06:33 - Rawat Jalan 74/04112017
44000254 000.07.32.45 OMA,TN (65 (4) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 04-11-2017/17:08:56 - Rawat Inap 75/04112017
44000255 000.07.32.48 DASEM,NY (51 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 277.000 332.400 -55.400 04-11-2017/17:12:12 - Rawat Inap 76/04112017
44000256 000.05.08.90 OMAN SUBAGYO , TN (66 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS III 373.000 435.600 -62.600 04-11-2017/17:25:12 - Rawat Jalan 77/04112017
44000257 000.07.32.00 TOMI,TN (57 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 132.000 158.400 -26.400 04-11-2017/17:28:50 - Rawat Inap 78/04112017
44000258 000.07.08.18 MULYADI, TN (50 (4) thn) MOCH PURNOMO, dr SP.PD UMUM - 200.000 198.000 2.000 04-11-2017/17:29:57 - Rawat Inap 79/04112017
44000259 000.07.32.01 SAININ,TN (57 (5) thn) H. M. SALEH, dr. SP.OG BPJS BPJS JAMKESMAS/KIS 132.000 158.400 -26.400 04-11-2017/17:31:23 - Rawat Inap 80/04112017
44000260 000.05.85.11 WANGSIH, NY (24 (10) thn) MOCH PURNOMO, dr SP.PD BPJS KARAWANGSEHAT 114.000 158.400 -44.400 04-11-2017/08:04:26 - Rawat Inap 18/08112017
44000261 000.04.69.01 LAELA BADRIYAH, NY (44 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 132.000 158.400 -26.400 04-11-2017/17:33:17 - Rawat Inap 82/04112017
44000262 000.07.32.49 MARHAYATI,NY (56 (5) thn) MOCH PURNOMO, dr SP.PD BPJS - 145.000 174.000 -29.000 04-11-2017/18:52:07 - Rawat Inap 83/04112017
44000263 000.07.32.49 MARHAYATI,NY (56 (5) thn) MOCH PURNOMO, dr SP.PD BPJS - 132.000 158.400 -26.400 04-11-2017/18:55:07 - Rawat Inap 84/04112017
44000264 000.06.17.39 NENI DAMAYANTI, NY (35 (7) thn) MOCH PURNOMO, dr SP.PD UMUM - 112.000 111.600 400 04-11-2017/19:02:38 - Rawat Inap 85/04112017
44000265 000.04.73.65 KHANZA FELLYCIA AZAHRA,AN (4 (7) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK I 117.000 140.400 -23.400 04-11-2017/21:37:46 - Rawat Inap 86/04112017
44000266 000.07.32.55 VANIA NUR KIRANA,AN (4 (6) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK I 117.000 140.400 -23.400 04-11-2017/22:11:21 - Rawat Inap 87/04112017
44000267 000.07.17.99 ENDANG SUHANA , TN (52 (3) thn) RAJASA, dr. SP.URO BPJS BPJS PNS III 112.000 111.600 400 04-11-2017/15:21:17 - Rawat Inap 54/08112017
44000268 000.06.28.73 DEDE RUSTANA, TN (45 (5) thn) SETIAWAN WIDYANTORO, dr BPJS JAMSOSTEK I 117.000 140.400 -23.400 04-11-2017/22:35:50 - Rawat Jalan 89/04112017
44000269 000.07.32.56 ENDEH,NY (27 (8) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 04-11-2017/23:32:02 - Rawat Inap 90/04112017
44000270 000.07.31.68 IRIH,TN (36 (5) thn) JOHNI SINAGA, dr. SP.P BPJS - 66.000 79.200 -13.200 05-11-2017/06:51:17 - Rawat Inap 1/05112017
44000271 000.07.32.04 ERZA RAMANOVAL PRATAMA,SDR (15 (0) t.. MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 65.000 78.000 -13.000 05-11-2017/06:53:15 - Rawat Inap 2/05112017
44000272 000.07.32.03 KOMALASARI,NY (58 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS II 28.000 33.600 -5.600 05-11-2017/06:54:17 - Rawat Inap 3/05112017
44000273 000.06.22.83 PITU JOKO SUSILO, TN (50 (6) thn) YUNUS, dr. SP. B BPJS - 28.000 33.600 -5.600 05-11-2017/06:58:21 - Rawat Inap 4/05112017
44000274 000.04.69.45 IIS ISNAWATI BINTI ERSIN, NY (29 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 99.000 118.800 -19.800 05-11-2017/07:04:19 - Rawat Inap 5/05112017
44000275 000.07.31.39 BUDI HIDAYAT,TN (29 (1) thn) MOCH PURNOMO, dr SP.PD BPJS - 65.000 78.000 -13.000 05-11-2017/07:06:05 - Rawat Inap 6/05112017
44000276 000.07.31.65 WIRYO,TN (53 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 65.000 78.000 -13.000 05-11-2017/07:07:51 - Rawat Inap 7/05112017
44000277 000.07.32.38 DURAHMAN, TN (61 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 05-11-2017/07:08:35 - Rawat Inap 8/05112017
44000278 000.07.31.81 WAWAN GUNAWAN,TN (65 (0) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 28.000 33.600 -5.600 05-11-2017/07:09:29 - Rawat Inap 9/05112017
44000279 000.07.31.69 CARKESIH,NY (54 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 05-11-2017/07:12:57 - Rawat Inap 10/05112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000280 000.07.31.66 MUNAJAT,TN (51 (9) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM III 28.000 33.600 -5.600 05-11-2017/07:13:35 - Rawat Inap 11/05112017
44000281 000.07.08.18 MULYADI, TN (50 (4) thn) MOCH PURNOMO, dr SP.PD UMUM - 34.000 33.600 400 05-11-2017/07:14:34 - Rawat Inap 12/05112017
44000282 000.05.12.74 MUTIARA AGUSTIN RAMDANI, AN (5 (9) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS PNS III 117.000 140.400 -23.400 05-11-2017/09:49:23 - Rawat Inap 13/05112017
44000283 000.07.32.61 RACHELIA IRAWAN, AN (2 (8) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 05-11-2017/10:13:35 - Rawat Inap 14/05112017
44000284 000.07.32.62 MISNA, TN (67 (8) thn) RAJASA, dr. SP.URO UMUM - 204.000 201.600 2.400 05-11-2017/10:47:54 - Rawat Inap 15/05112017
44000285 000.07.32.63 ERNAWATI, NY (20 (1) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 93.000 111.600 -18.600 05-11-2017/11:03:50 - Rawat Inap 16/05112017
44000286 000.07.32.64 ARNAH, NY (62 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 05-11-2017/12:53:02 - Rawat Inap 17/05112017
44000287 000.07.32.64 ARNAH, NY (62 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 132.000 158.400 -26.400 05-11-2017/12:54:14 - Rawat Inap 18/05112017
44000288 000.07.32.65 SAENIH, NY (66 (5) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 225.000 270.000 -45.000 05-11-2017/13:38:54 - Rawat Inap 19/05112017
44000289 000.07.32.66 IHSAN MUHAMMADIN, AN (12 (9) thn) DIDI SUKANDI, dr. SP.A UMUM - 141.000 140.400 600 05-11-2017/13:40:50 - Rawat Inap 20/05112017
44000290 000.04.03.35 TIARA NOVIARIZKY,AN (4 (0) thn) ENDANG, dr BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 05-11-2017/15:15:32 - Rawat Inap 21/05112017
44000291 000.07.32.68 ASEP SUTISNA,TN (44 (5) thn) AUZIA TANIA UTAMI, dr BPJS JAMSOSTEK II 145.000 174.000 -29.000 05-11-2017/15:55:53 - Rawat Inap 22/05112017
44000292 000.07.32.67 ELFAREZA GIANTARA PRIONO, AN (0 (5) th.. DIDI SUKANDI, dr. SP.A UMUM - 141.000 140.400 600 05-11-2017/15:57:44 - Rawat Inap 23/05112017
44000293 000.07.32.69 KARYA,TN (52 (10) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM III 145.000 174.000 -29.000 05-11-2017/15:58:52 - Rawat Inap 24/05112017
44000294 000.07.32.71 WARTONO,TN (47 (5) thn) AUZIA TANIA UTAMI, dr BPJS BPJS JAMKESMAS/KIS 277.000 332.400 -55.400 05-11-2017/16:00:34 - Rawat Inap 25/05112017
44000295 000.07.32.72 HILMA FARIDAH,AN (9 (5) thn) DIDI SUKANDI, dr. SP.A UMUM - 140.500 140.400 100 05-11-2017/09:21:21 - Rawat Inap 26/08112017
44000296 000.07.32.69 KARYA,TN (52 (10) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM III 132.000 158.400 -26.400 05-11-2017/16:50:56 - Rawat Inap 27/05112017
44000297 000.07.32.68 ASEP SUTISNA,TN (44 (5) thn) AUZIA TANIA UTAMI, dr BPJS JAMSOSTEK II 132.000 158.400 -26.400 05-11-2017/16:51:52 - Rawat Inap 28/05112017
44000298 000.07.32.73 FIKA ANDINI,NN (20 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 183.000 219.600 -36.600 05-11-2017/17:22:12 - Rawat Inap 29/05112017
44000299 000.07.32.03 KOMALASARI,NY (58 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS II 277.000 332.400 -55.400 05-11-2017/17:24:05 - Rawat Inap 30/05112017
44000300 000.07.32.74 MAEMUNAH,HJ NY (60 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 272.000 270.000 2.000 05-11-2017/14:50:06 - Rawat Inap 53/10112017
44000301 000.05.12.48 SALSABILLA ANNAZWA, AN (2 (10) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK I 117.000 140.400 -23.400 05-11-2017/18:41:18 - Rawat Inap 32/05112017
44000302 000.05.23.05 ROFIAH, NY (30 (8) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 145.000 174.000 -29.000 05-11-2017/19:04:54 - Rawat Inap 33/05112017
44000303 000.07.32.76 VILANI FAJRIAH,NY (23 (7) thn) H. M. SALEH, dr. SP.OG UMUM - 316.000 313.200 2.800 05-11-2017/19:14:23 - Rawat Inap 34/05112017
44000304 000.07.32.09 SAMAN, TN (46 (6) thn) DOKTER LUAR BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 05-11-2017/19:46:42 - Rawat Inap 35/05112017
44000305 000.07.32.79 HADI,TN (34 (4) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 05-11-2017/19:58:28 - Rawat Inap 36/05112017
44000306 000.07.32.82 SAJIMAN,TN (57 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 05-11-2017/20:36:56 - Rawat Inap 37/05112017
44000307 000.07.32.74 MAEMUNAH,HJ NY (60 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 62.500 62.400 100 05-11-2017/14:50:41 - Rawat Inap 53/10112017
44000308 000.07.32.76 VILANI FAJRIAH,NY (23 (7) thn) H. M. SALEH, dr. SP.OG UMUM - 30.000 30.000 0 05-11-2017/20:44:54 - Rawat Inap 39/05112017
44000309 000.07.32.83 TITIN SUPRIATIN,NY (28 (3) thn) AUZIA TANIA UTAMI, dr BPJS JAMSOSTEK II 93.000 111.600 -18.600 05-11-2017/21:57:03 - Rawat Inap 40/05112017
44000310 000.07.32.22 TUMINAH,NY (53 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 05-11-2017/22:09:19 - Rawat Inap 41/05112017
44000311 000.07.32.84 NANANG,TN (28 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 05-11-2017/22:10:00 - Rawat Inap 42/05112017
44000312 000.07.32.86 UMAR SAID,TN (26 (6) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM III 117.000 140.400 -23.400 05-11-2017/22:10:57 - Rawat Inap 43/05112017
44000313 000.04.82.92 SUBANDI, SDR (20 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 117.000 140.400 -23.400 05-11-2017/22:11:36 - Rawat Inap 44/05112017
44000314 000.07.32.38 DURAHMAN, TN (61 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 06-11-2017/06:08:54 - Rawat Inap 1/06112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000315 000.07.31.72 HERMAWANSYAH,TN (43 (3) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 06-11-2017/06:50:43 - Rawat Inap 2/06112017
44000316 000.07.32.62 MISNA, TN (67 (8) thn) RAJASA, dr. SP.URO UMUM - 34.000 33.600 400 06-11-2017/06:51:29 - Rawat Inap 3/06112017
44000317 000.06.22.83 PITU JOKO SUSILO, TN (50 (6) thn) YUNUS, dr. SP. B BPJS - 28.000 33.600 -5.600 06-11-2017/06:52:58 - Rawat Inap 4/06112017
44000318 000.07.08.18 MULYADI, TN (50 (4) thn) MOCH PURNOMO, dr SP.PD UMUM - 34.000 33.600 400 06-11-2017/06:53:48 - Rawat Inap 5/06112017
44000319 000.04.69.45 IIS ISNAWATI BINTI ERSIN, NY (29 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 06-11-2017/06:55:16 - Rawat Inap 6/06112017
44000320 000.07.32.35 YANI MULYANI, NY (45 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 40.000 39.600 400 06-11-2017/06:56:56 - Rawat Inap 7/06112017
44000321 000.06.28.73 DEDE RUSTANA, TN (45 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK I 65.000 78.000 -13.000 06-11-2017/06:57:57 - Rawat Jalan 8/06112017
44000322 000.07.32.04 ERZA RAMANOVAL PRATAMA,SDR (15 (1) t.. MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 65.000 78.000 -13.000 06-11-2017/06:59:05 - Rawat Inap 9/06112017
44000323 000.07.31.69 CARKESIH,NY (54 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 06-11-2017/07:02:24 - Rawat Inap 10/06112017
44000324 000.07.31.66 MUNAJAT,TN (51 (9) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM III 28.000 33.600 -5.600 06-11-2017/07:03:04 - Rawat Inap 11/06112017
44000325 000.07.15.27 MUNAWAR, AMD, SE, TN (53 (7) thn) YUNUS, dr. SP. B BPJS BPJS PNS IV 392.000 388.800 3.200 07-11-2017/13:50:05 - Rawat Inap 56/07112017
44000326 000.07.30.35 IDAT SUDRAJAT, SDR (52 (5) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 324.000 388.800 -64.800 06-11-2017/07:28:14 - Rawat Inap 13/06112017
44000327 000.06.12.46 ANAM, TN (75 (3) thn) RAJASA, dr. SP.URO BPJS - 324.000 388.800 -64.800 06-11-2017/07:30:33 - Rawat Inap 14/06112017
44000328 000.07.31.46 DIANA RIZKIA, NN (18 (2) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 63.000 75.600 -12.600 06-11-2017/07:43:07 - Rawat Inap 15/06112017
44000329 000.05.23.58 NENGSU, HJ, NY (62 (5) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 66.000 79.200 -13.200 06-11-2017/07:47:09 - Rawat Jalan 16/06112017
44000330 000.05.23.58 NENGSU, HJ, NY (62 (5) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 40.000 48.000 -8.000 06-11-2017/07:48:43 - Rawat Jalan 17/06112017
44000331 000.07.32.89 GONI ACIM, H, TN (57 (6) thn) RAJASA, dr. SP.URO UMUM - 80.000 79.200 800 06-11-2017/07:49:58 - Rawat Jalan 18/06112017
44000332 000.07.32.89 GONI ACIM, H, TN (57 (6) thn) RAJASA, dr. SP.URO UMUM - 48.000 48.000 0 06-11-2017/07:51:47 - Rawat Jalan 19/06112017
44000333 000.06.21.51 CASMADI, TN (55 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 373.000 435.600 -62.600 06-11-2017/08:10:42 - Rawat Jalan 20/06112017
44000334 000.04.66.46 OOM WIKARTA,TN (52 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 373.000 435.600 -62.600 06-11-2017/08:11:49 - Rawat Jalan 21/06112017
44000335 000.04.52.59 ADING, H, TN (62 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 373.000 435.600 -62.600 06-11-2017/08:16:22 - Rawat Jalan 22/06112017
44000336 000.02.31.02 TITIN SRI WAHYUNI , NY (39 (0) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 373.000 435.600 -62.600 06-11-2017/08:21:38 - Rawat Jalan 23/06112017
44000337 000.07.32.91 NANA SUPARNA, TN (39 (0) thn) RAJASA, dr. SP.URO BPJS BPJS KETENAGAKER.. 192.000 230.400 -38.400 06-11-2017/08:30:41 - Rawat Jalan 24/06112017
44000338 000.07.30.27 ADE DARMAWAN, H, TN (64 (11) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 165.000 198.000 -33.000 06-11-2017/08:58:00 - Rawat Jalan 25/06112017
44000339 000.05.09.75 ACIM BIN USA H, TN (78 (9) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM III 165.000 198.000 -33.000 06-11-2017/09:08:27 - Rawat Jalan 26/06112017
44000340 000.07.31.70 EWI, NY (78 (10) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 195.000 234.000 -39.000 06-11-2017/09:16:05 - Rawat Inap 27/06112017
44000341 000.07.33.01 SURI, TN (55 (7) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 66.000 79.200 -13.200 06-11-2017/09:19:12 - Rawat Jalan 28/06112017
44000342 000.07.32.94 MUHTAR, TN (57 (9) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 192.000 230.400 -38.400 06-11-2017/09:22:07 - Rawat Jalan 29/06112017
44000343 000.06.99.83 RASTA, TN (42 (5) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 324.000 388.800 -64.800 06-11-2017/09:26:06 - Rawat Inap 30/06112017
44000344 000.06.64.09 MIMI, NY (52 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 225.000 270.000 -45.000 06-11-2017/09:33:14 - Rawat Inap 31/06112017
44000345 000.06.78.84 WAJI, TN (54 (11) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 324.000 388.800 -64.800 06-11-2017/09:41:36 - Rawat Inap 32/06112017
44000346 000.07.28.24 NIRAN, TN (56 (11) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 329.000 394.800 -65.800 06-11-2017/09:47:53 - Rawat Inap 33/06112017
44000347 000.07.23.26 SAEFULLOH, TN (39 (7) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 296.000 355.200 -59.200 06-11-2017/09:51:04 - Rawat Inap 34/06112017
44000348 000.07.32.07 SRI WAHYUNI, NY (41 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 255.000 253.200 1.800 06-11-2017/09:51:51 - Rawat Inap 35/06112017
44000349 000.05.41.29 IKAH RUSYANTI, NY (46 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 06-11-2017/09:54:10 - Rawat Jalan 36/06112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000350 000.06.19.08 NATALIA MAULINA, NY (34 (11) thn) SETIAWAN WIDYANTORO, dr ASURANSI MEDICARE 0 111.600 -111.600 06-11-2017/10:00:05 - Rawat Inap 37/06112017
44000351 000.06.19.08 NATALIA MAULINA, NY (34 (11) thn) SETIAWAN WIDYANTORO, dr ASURANSI MEDICARE 93.000 111.600 -18.600 06-11-2017/10:03:16 - Rawat Inap 38/06112017
44000352 000.07.33.09 YADI SURYADI, TN (41 (5) thn) RAHMATIKA, dr UMUM - 175.000 174.000 1.000 06-11-2017/10:04:29 - Rawat Jalan 39/06112017
44000353 000.06.22.47 ATIH, NY (59 (1) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 28.000 33.600 -5.600 06-11-2017/10:16:53 - Rawat Jalan 40/06112017
44000354 000.07.32.10 FAIRUZ RAKHA KHOIRUZZAD, AN (3 (2) thn) ENDANG, dr BPJS JAMSOSTEK I 117.000 140.400 -23.400 06-11-2017/10:17:53 - Rawat Inap 41/06112017
44000355 000.06.77.62 MAEMUNAH,HJ, NY (68 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS POLRI/TNI IV 28.000 33.600 -5.600 06-11-2017/10:30:34 - Rawat Jalan 42/06112017
44000356 000.07.32.63 ERNAWATI, NY (20 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 19.000 0 19.000 06-11-2017/10:41:13 - Rawat Inap 43/06112017
44000357 000.06.10.84 SANIH, NY (41 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 06-11-2017/10:51:49 - Rawat Jalan 44/06112017
44000358 000.07.32.96 UJANG SUHERMAN, TN (58 (5) thn) MOCH PURNOMO, dr SP.PD UMUM - 312.000 309.600 2.400 06-11-2017/10:56:05 - Rawat Inap 45/06112017
44000359 000.07.33.20 NIDA SEPTIANI, NY (30 (2) thn) RAHMATIKA, dr UMUM - 36.000 36.000 0 06-11-2017/11:11:41 - Rawat Jalan 46/06112017
44000360 000.07.33.09 YADI SURYADI, TN (41 (5) thn) RAHMATIKA, dr BPJS BPJS UMUM I 80.000 79.200 800 06-11-2017/11:13:47 - Rawat Jalan 47/06112017
44000361 000.07.13.79 UCIM MAHPUDIN,H, TN (75 (0) thn) MOCH PURNOMO, dr SP.PD UMUM - 192.000 190.800 1.200 06-11-2017/11:32:30 - Rawat Inap 48/06112017
44000362 000.07.13.79 UCIM MAHPUDIN,H, TN (75 (0) thn) MOCH PURNOMO, dr SP.PD UMUM - 80.000 79.200 800 06-11-2017/11:34:17 - Rawat Inap 49/06112017
44000363 000.06.08.91 TITIN MARYANI, NY (58 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM II 213.000 255.600 -42.600 06-11-2017/11:39:08 - Rawat Jalan 50/06112017
44000364 000.07.33.20 NIDA SEPTIANI, NY (30 (2) thn) H. M. SALEH, dr. SP.OG UMUM - 316.000 313.200 2.800 06-11-2017/12:09:40 - Rawat Inap 51/06112017
44000365 000.07.33.15 ANDI BIN NASAN, TN (45 (9) thn) MOCH PURNOMO, dr SP.PD UMUM - 48.000 48.000 0 06-11-2017/12:15:08 - Rawat Jalan 52/06112017
44000366 000.07.32.69 KARYA,TN (52 (10) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM III 33.000 39.600 -6.600 06-11-2017/13:02:47 - Rawat Inap 53/06112017
44000367 000.07.32.84 NANANG,TN (28 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 40.000 48.000 -8.000 06-11-2017/13:05:32 - Rawat Inap 54/06112017
44000368 000.07.32.84 NANANG,TN (28 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 06-11-2017/13:18:06 - Rawat Inap 55/06112017
44000369 000.06.04.33 HASANAH, NY (43 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 06-11-2017/13:19:17 - Rawat Jalan 56/06112017
44000370 000.07.31.32 NYAI,NY (54 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 06-11-2017/13:20:10 - Rawat Jalan 57/06112017
44000371 000.07.32.98 WIWI WIDANINGSIH, NY (26 (6) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 261.000 313.200 -52.200 07-11-2017/10:28:31 - Rawat Inap 22/07112017
44000372 000.07.33.30 SULISTRIYANTO, TN (29 (7) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 225.000 270.000 -45.000 06-11-2017/13:48:59 - Rawat Inap 59/06112017
44000373 000.07.16.65 AI NURHAYATI,NY (40 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 06-11-2017/13:57:42 - Rawat Jalan 60/06112017
44000374 000.07.33.36 KHAIFATUL RAMADHAN, AN (2 (5) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 117.000 140.400 -23.400 06-11-2017/13:59:06 - Rawat Inap 61/06112017
44000375 000.06.28.73 DEDE RUSTANA, TN (45 (6) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 36.500 0 36.500 06-11-2017/14:20:00 - Rawat Inap 62/06112017
44000376 000.06.55.35 NURJANAH, NY (28 (5) thn) H. M. SALEH, dr. SP.OG UMUM - 316.000 313.200 2.800 06-11-2017/14:32:22 - Rawat Inap 63/06112017
44000377 000.07.33.38 SANIM SETIAWAN, TN (35 (4) thn) AUZIA TANIA UTAMI, dr BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 06-11-2017/14:34:37 - Rawat Inap 64/06112017
44000378 000.07.11.24 WAREM, NY (58 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 06-11-2017/14:36:29 - Rawat Jalan 65/06112017
44000379 000.04.24.98 SUCIPTO,TN (67 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 197.000 236.400 -39.400 06-11-2017/15:08:54 - Rawat Inap 66/06112017
44000380 000.07.31.24 DZAKIRA TALITA ZAHRA, AN (2 (9) thn) WURY ISWARSIGIT, dr. SP. B BPJS JAMSOSTEK I 101.000 121.200 -20.200 06-11-2017/15:23:29 - Rawat Jalan 67/06112017
44000381 000.07.33.32 TINAH, NY (45 (6) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 101.000 121.200 -20.200 06-11-2017/15:24:35 - Rawat Jalan 68/06112017
44000382 000.04.69.45 IIS ISNAWATI BINTI ERSIN, NY (29 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 99.000 118.800 -19.800 06-11-2017/15:49:04 - Rawat Inap 69/06112017
44000383 000.06.22.83 PITU JOKO SUSILO, TN (50 (6) thn) YUNUS, dr. SP. B BPJS - 192.000 230.400 -38.400 06-11-2017/15:50:54 - Rawat Inap 70/06112017
44000384 000.05.21.05 ASINIH, NY (51 (5) thn) YUDITH E, dr. SP.S BPJS - 312.000 309.600 2.400 06-11-2017/16:33:41 - Rawat Inap 71/06112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000385 000.01.30.19 DAUD, H, TN (72 (2) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM I 272.000 270.000 2.000 06-11-2017/17:24:16 - Rawat Inap 72/06112017
44000386 000.07.32.60 ETI, NY (60 (6) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 06-11-2017/17:24:58 - Rawat Inap 73/06112017
44000387 000.07.33.39 ARMI, NY (53 (9) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM III 93.000 111.600 -18.600 06-11-2017/18:13:25 - Rawat Inap 74/06112017
44000388 000.07.33.40 SUMIATI, NY (26 (3) thn) AVIANDO ADITYA PUTRA, dr UMUM - 141.000 140.400 600 06-11-2017/18:14:01 - Rawat Jalan 75/06112017
44000389 000.07.33.42 RAHMAT SUPRATMAN, TN (35 (11) thn) YUNUS, dr. SP. B BPJS BPJS POLRI/TNI II 156.000 154.800 1.200 06-11-2017/16:15:34 - Rawat Inap 64/07112017
44000390 000.05.37.67 VIKRI , AN (3 (11) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 65.000 78.000 -13.000 06-11-2017/19:20:14 - Rawat Inap 77/06112017
44000391 000.05.37.67 VIKRI , AN (3 (11) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 20.000 24.000 -4.000 06-11-2017/19:20:42 - Rawat Inap 78/06112017
44000392 000.07.33.41 ENDANG, TN (49 (6) thn) AUZIA TANIA UTAMI, dr BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 06-11-2017/19:21:44 - Rawat Inap 79/06112017
44000393 000.05.21.27 KOMARYADI , TN (53 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS III 93.000 111.600 -18.600 06-11-2017/19:53:17 - Rawat Inap 80/06112017
44000394 000.04.01.98 DEWI KUMALA PUSPITASARI, NN (25 (4) thn) AVIANDO ADITYA PUTRA, dr UMUM - 141.000 140.400 600 06-11-2017/19:57:48 - Rawat Jalan 81/06112017
44000395 000.06.66.24 MUHAMAD ALBADAY,AN (4 (6) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 117.000 140.400 -23.400 06-11-2017/20:13:21 - Rawat Inap 82/06112017
44000396 000.07.05.59 ARSYILA QIANA NADIRA, AN (0 (6) thn) AUZIA TANIA UTAMI, dr BPJS JAMSOSTEK II 65.000 78.000 -13.000 06-11-2017/21:33:49 - Rawat Inap 83/06112017
44000397 000.07.33.44 NOVIA NURPADILAH,NN (21 (0) thn) AUZIA TANIA UTAMI, dr (DOKTER 2) UMUM - 36.000 36.000 0 06-11-2017/21:51:48 - Rawat Jalan 84/06112017
44000398 000.07.22.61 KUMPUL,TN (62 (6) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 420.000 48.000 372.000 06-11-2017/22:08:55 - Rawat Inap 85/06112017
44000399 000.06.12.46 ANAM, TN (75 (3) thn) RAJASA, dr. SP.URO BPJS - 420.000 48.000 372.000 06-11-2017/22:09:46 - Rawat Inap 86/06112017
44000400 000.07.31.46 DIANA RIZKIA, NN (18 (2) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 420.000 48.000 372.000 06-11-2017/22:39:07 - Rawat Inap 87/06112017
44000401 000.04.01.98 DEWI KUMALA PUSPITASARI, NN (25 (4) thn) AVIANDO ADITYA PUTRA, dr UMUM - 36.000 36.000 0 06-11-2017/22:39:58 - Rawat Jalan 88/06112017
44000402 000.07.33.48 HERA FAUZIAH,AN (0 (8) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 07-11-2017/04:21:00 - Rawat Inap 1/07112017
44000403 000.04.59.07 TARSIH, NY (37 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 373.000 435.600 -62.600 07-11-2017/07:28:55 - Rawat Jalan 2/07112017
44000404 000.06.55.35 NURJANAH, NY (28 (5) thn) H. M. SALEH, dr. SP.OG UMUM - 78.000 78.000 0 07-11-2017/07:42:23 - Rawat Inap 3/07112017
44000405 000.07.22.61 KUMPUL,TN (62 (6) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 210.000 252.000 -42.000 07-11-2017/07:48:09 - Rawat Inap 4/07112017
44000406 000.06.22.83 PITU JOKO SUSILO, TN (50 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 07-11-2017/07:49:20 - Rawat Inap 5/07112017
44000407 000.07.32.48 DASEM,NY (51 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 07-11-2017/07:51:14 - Rawat Inap 6/07112017
44000408 000.07.31.69 CARKESIH,NY (54 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 07-11-2017/07:51:52 - Rawat Inap 7/07112017
44000409 000.07.32.28 HARTANTO,TN (29 (11) thn) AUZIA TANIA UTAMI, dr BPJS JAMSOSTEK I 65.000 78.000 -13.000 07-11-2017/07:56:09 - Rawat Inap 8/07112017
44000410 000.07.32.04 ERZA RAMANOVAL PRATAMA,SDR (15 (1) t.. MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 65.000 78.000 -13.000 07-11-2017/07:56:52 - Rawat Inap 9/07112017
44000411 000.07.33.47 BY NY NURJANAH (0 (0) thn) DIDI SUKANDI, dr. SP.A UMUM - 108.000 108.000 0 07-11-2017/07:57:46 - Rawat Inap 10/07112017
44000412 000.04.69.45 IIS ISNAWATI BINTI ERSIN, NY (29 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 66.000 79.200 -13.200 07-11-2017/07:58:42 - Rawat Inap 11/07112017
44000413 000.07.32.82 SAJIMAN,TN (57 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 07-11-2017/08:03:55 - Rawat Inap 12/07112017
44000414 000.07.31.72 HERMAWANSYAH,TN (43 (3) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 07-11-2017/08:04:47 - Rawat Inap 13/07112017
44000415 000.05.86.95 ANI JULAENI, NY (23 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 373.000 435.600 -62.600 07-11-2017/08:37:43 - Rawat Jalan 14/07112017
44000416 000.07.33.52 NANA SUMARNA, TN (50 (5) thn) MOCH PURNOMO, dr SP.PD BPJS - 277.000 332.400 -55.400 07-11-2017/08:44:49 - Rawat Inap 15/07112017
44000417 000.07.31.64 CUCUN KARLINA, NY (28 (7) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 288.000 345.600 -57.600 07-11-2017/08:49:55 - Rawat Inap 16/07112017
44000418 000.07.33.49 HASANUDIN, TN (19 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 183.000 219.600 -36.600 07-11-2017/08:53:08 - Rawat Inap 17/07112017
44000419 000.07.30.86 RINA MULYANI, NN (20 (8) thn) YUNUS, dr. SP. B BPJS BPJS UMUM III 261.000 313.200 -52.200 07-11-2017/08:59:24 - Rawat Inap 18/07112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000420 000.07.33.55 WENI FEBRINA, NY (34 (9) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK I 261.000 313.200 -52.200 07-11-2017/09:23:15 - Rawat Inap 19/07112017
44000421 000.04.56.01 EMI BINTI MOJI, NY (38 (3) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM II 261.000 313.200 -52.200 07-11-2017/09:27:04 - Rawat Inap 20/07112017
44000422 000.07.33.42 RAHMAT SUPRATMAN, TN (35 (11) thn) YUNUS, dr. SP. B BPJS BPJS POLRI/TNI II 236.000 234.000 2.000 07-11-2017/16:16:50 - Rawat Inap 64/07112017
44000423 000.06.18.27 CASMADI, TN (55 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/12:03:10 - Rawat Jalan 33/07112017
44000424 000.06.01.31 SITI MUJANAH, NY (LAB) (64 (8) thn) DOKTER LUAR UMUM - 200.000 0 200.000 07-11-2017/10:42:52 - Rawat Jalan 23/07112017
44000425 000.07.33.51 ARUMI DZAKIA, BY (0 (0) thn) DIDI SUKANDI, dr. SP.A UMUM - 108.000 108.000 0 07-11-2017/10:48:14 - Rawat Inap 24/07112017
44000426 000.01.89.01 DARSA , H,TN (68 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 65.000 78.000 -13.000 07-11-2017/10:54:58 - Rawat Inap 25/07112017
44000427 000.07.33.65 SRI ANENGSIH, NY (67 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 225.000 270.000 -45.000 07-11-2017/10:59:20 - Rawat Inap 26/07112017
44000428 000.06.20.66 SUTROTI,NY (52 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM II 373.000 435.600 -62.600 07-11-2017/11:22:18 - Rawat Jalan 27/07112017
44000429 000.05.06.23 TITIN MARYANI, NY (LAB ) (51 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/11:55:06 - Rawat Jalan 28/07112017
44000430 000.06.18.37 OMAN SUBAGYO,TN(LAB) (66 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/11:56:37 - Rawat Jalan 29/07112017
44000431 000.05.06.93 KARTINI (LAB ) (33 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/11:57:29 - Rawat Jalan 30/07112017
44000432 000.07.33.64 NISOT, NY (47 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/11:59:32 - Rawat Jalan 31/07112017
44000433 000.05.06.92 ENCANG, HJ, NY(LAB) (67 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/12:00:46 - Rawat Jalan 32/07112017
44000434 000.07.33.60 CASMADI, TN (55 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/12:05:03 - Rawat Jalan 33/07112017
44000435 000.07.33.59 OOM WIKARTA, TN (52 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/12:05:43 - Rawat Jalan 34/07112017
44000436 000.06.17.79 TITIN SRI WAHYUNI, NY ( LAB ) (39 (1) thn) DOKTER LUAR UMUM - 200.000 0 200.000 07-11-2017/12:06:26 - Rawat Jalan 35/07112017
44000437 000.06.18.99 ADING, H, TN (62 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/12:07:09 - Rawat Jalan 36/07112017
44000438 000.07.33.70 ANI JULAENI, NY (23 (9) thn) DOKTER LUAR UMUM - 200.000 0 200.000 07-11-2017/12:07:54 - Rawat Jalan 37/07112017
44000439 000.05.06.95 TARSIH, NY ( LAB ) (36 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/12:08:49 - Rawat Jalan 38/07112017
44000440 000.07.33.71 SUTROTI, NY (51 (11) thn) DOKTER LUAR UMUM - 200.000 0 200.000 07-11-2017/12:09:52 - Rawat Jalan 39/07112017
44000441 000.04.01.98 DEWI KUMALA PUSPITASARI, NN (25 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 279.600 277.200 2.400 07-11-2017/12:15:34 - Rawat Inap 40/07112017
44000442 000.06.22.83 PITU JOKO SUSILO, TN (50 (6) thn) YUNUS, dr. SP. B BPJS - 132.000 158.400 -26.400 07-11-2017/12:19:26 - Rawat Inap 41/07112017
44000443 000.07.32.76 VILANI FAJRIAH,NY (23 (7) thn) H. M. SALEH, dr. SP.OG UMUM - 78.000 78.000 0 07-11-2017/12:33:34 - Rawat Inap 42/07112017
44000444 000.04.48.74 NENENG ROCHAYA , NY (60 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 28.000 33.600 -5.600 07-11-2017/12:40:59 - Rawat Jalan 43/07112017
44000445 000.05.21.85 ENDANG JUHARA, TN (75 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 28.000 33.600 -5.600 07-11-2017/12:41:46 - Rawat Jalan 44/07112017
44000446 000.07.32.21 ACEM,NY (34 (11) thn) MOCH PURNOMO, dr SP.PD UMUM - 112.000 111.600 400 07-11-2017/12:44:41 - Rawat Inap 45/07112017
44000447 000.07.33.50 NANI MULYANI, NY (25 (0) thn) H. M. SALEH, dr. SP.OG UMUM - 36.000 36.000 0 07-11-2017/12:51:22 - Rawat Jalan 46/07112017
44000448 000.06.28.73 DEDE RUSTANA, TN (45 (6) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 13.000 0 13.000 07-11-2017/13:20:50 - Rawat Inap 47/07112017
44000449 000.07.33.62 IMI HARTIMI, NY (47 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 200.000 0 200.000 07-11-2017/13:23:48 - Rawat Jalan 48/07112017
44000450 000.06.31.42 YAYAH, NY (51 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 07-11-2017/13:25:03 - Rawat Jalan 49/07112017
44000451 000.07.15.26 YUNIH,NY (52 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 28.000 33.600 -5.600 07-11-2017/13:26:02 - Rawat Jalan 50/07112017
44000452 000.04.74.49 SAITEM , NY (59 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 07-11-2017/13:27:21 - Rawat Jalan 51/07112017
44000453 000.07.23.13 ATIH,NY (57 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 07-11-2017/13:28:02 - Rawat Jalan 52/07112017
44000454 000.04.75.03 ENJU BINTI AMIN, NY (55 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 07-11-2017/13:29:24 - Rawat Jalan 53/07112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000455 000.04.20.71 AHMAD MAWARDI, H, TN (66 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 28.000 33.600 -5.600 07-11-2017/13:29:58 - Rawat Jalan 54/07112017
44000456 000.05.53.05 LINDA KURNIAWATI,NY (34 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK I 28.000 33.600 -5.600 07-11-2017/13:30:48 - Rawat Jalan 55/07112017
44000457 000.07.33.30 SULISTRIYANTO, TN (29 (7) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 40.000 48.000 -8.000 07-11-2017/13:52:23 - Rawat Inap 56/07112017
44000458 000.06.10.18 MUHAMMAD FADIL, AN (1 (9) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 65.000 78.000 -13.000 07-11-2017/13:55:20 - Rawat Inap 57/07112017
44000459 000.06.10.18 MUHAMMAD FADIL, AN (1 (9) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 63.000 75.600 -12.600 07-11-2017/13:56:30 - Rawat Inap 58/07112017
44000460 000.06.44.56 ATI,NY (43 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 07-11-2017/14:13:07 - Rawat Jalan 59/07112017
44000461 000.07.14.43 MINAH,NY (51 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 07-11-2017/14:13:35 - Rawat Jalan 60/07112017
44000462 000.07.33.72 H MOCH AFANDI, TN (59 (3) thn) JOHNI SINAGA, dr. SP.P UMUM - 272.000 270.000 2.000 07-11-2017/14:23:48 - Rawat Inap 61/07112017
44000463 000.06.22.47 ATIH, NY (59 (1) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM II 93.000 111.600 -18.600 07-11-2017/14:34:10 - Rawat Inap 62/07112017
44000464 000.07.33.66 ROHENDI, TN (60 (0) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 101.000 121.200 -20.200 07-11-2017/15:42:15 - Rawat Jalan 63/07112017
44000465 000.07.33.73 TINA KRISTINA, NN (18 (0) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 101.000 121.200 -20.200 07-11-2017/16:43:41 - Rawat Jalan 64/07112017
44000466 000.07.33.78 NELIH, TN (46 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 07-11-2017/16:44:07 - Rawat Inap 65/07112017
44000467 000.07.33.77 SITI HANIFAH, NY (27 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 112.000 111.600 400 07-11-2017/16:44:41 - Rawat Inap 66/07112017
44000468 000.07.33.79 NENG RINI, NY (34 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 93.000 111.600 -18.600 07-11-2017/17:07:38 - Rawat Inap 67/07112017
44000469 000.03.58.33 NENENG SITI KHODIJAH,NY (44 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 93.000 111.600 -18.600 07-11-2017/18:10:07 - Rawat Inap 68/07112017
44000470 000.07.30.81 MINAH, NY (44 (10) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 134.000 160.800 -26.800 07-11-2017/19:01:43 - Rawat Jalan 69/07112017
44000471 000.04.69.45 IIS ISNAWATI BINTI ERSIN, NY (29 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 99.000 118.800 -19.800 07-11-2017/20:01:57 - Rawat Inap 70/07112017
44000472 000.07.33.81 EVA KUSHARYANTI, NN (22 (1) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 93.000 111.600 -18.600 07-11-2017/20:03:07 - Rawat Inap 71/07112017
44000473 000.07.33.82 MINDA, TN (57 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 07-11-2017/20:04:00 - Rawat Inap 72/07112017
44000474 000.07.33.82 MINDA, TN (57 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 52.000 62.400 -10.400 07-11-2017/20:17:04 - Rawat Inap 73/07112017
44000475 000.07.30.86 RINA MULYANI, NN (20 (8) thn) YUNUS, dr. SP. B BPJS BPJS UMUM III 420.000 48.000 372.000 07-11-2017/21:22:23 - Rawat Inap 74/07112017
44000476 000.04.56.01 EMI BINTI MOJI, NY (38 (3) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM II 420.000 48.000 372.000 07-11-2017/21:23:36 - Rawat Inap 75/07112017
44000477 000.07.31.64 CUCUN KARLINA, NY (28 (7) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 420.000 48.000 372.000 08-11-2017/00:03:31 - Rawat Inap 1/08112017
44000478 000.04.69.45 IIS ISNAWATI BINTI ERSIN, NY (29 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 08-11-2017/00:16:17 - Rawat Inap 2/08112017
44000479 000.07.33.85 ANI SATUL KHALIDA,AN (3 (0) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 65.000 78.000 -13.000 08-11-2017/02:11:49 - Rawat Inap 3/08112017
44000480 000.07.32.35 YANI MULYANI, NY (45 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 40.000 39.600 400 08-11-2017/07:48:58 - Rawat Inap 18/08112017
44000481 000.07.33.72 H MOCH AFANDI, TN (59 (3) thn) JOHNI SINAGA, dr. SP.P UMUM - 34.000 33.600 400 08-11-2017/06:51:18 - Rawat Inap 5/08112017
44000482 000.05.21.05 ASINIH, NY (51 (6) thn) YUDITH E, dr. SP.S BPJS - 34.000 33.600 400 08-11-2017/06:52:11 - Rawat Inap 6/08112017
44000483 000.06.22.47 ATIH, NY (59 (1) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM II 164.000 196.800 -32.800 08-11-2017/07:11:52 - Rawat Inap 7/08112017
44000484 000.07.31.69 CARKESIH,NY (54 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 08-11-2017/07:14:21 - Rawat Inap 8/08112017
44000485 000.07.32.96 UJANG SUHERMAN, TN (58 (5) thn) MOCH PURNOMO, dr SP.PD UMUM - 34.000 33.600 400 08-11-2017/07:15:57 - Rawat Inap 9/08112017
44000486 000.04.46.53 RITA SAHARA BINTI IKIN, NY (33 (9) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 302.000 300.000 2.000 08-11-2017/07:23:13 - Rawat Inap 10/08112017
44000487 000.06.28.73 DEDE RUSTANA, TN (45 (6) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 78.000 78.000 0 08-11-2017/07:24:18 - Rawat Inap 11/08112017
44000488 000.04.46.53 RITA SAHARA BINTI IKIN, NY (33 (9) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 78.000 78.000 0 08-11-2017/07:28:51 - Rawat Inap 12/08112017
44000489 000.07.32.76 VILANI FAJRIAH,NY (23 (8) thn) H. M. SALEH, dr. SP.OG UMUM - 78.000 78.000 0 08-11-2017/07:30:09 - Rawat Inap 13/08112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000490 000.07.32.82 SAJIMAN,TN (57 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 08-11-2017/07:31:31 - Rawat Inap 14/08112017
44000491 000.07.33.84 BY NY RITA SAHARA (0 (0) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 90.000 108.000 -18.000 09-11-2017/10:14:11 - Rawat Inap 15/09112017
44000492 000.07.26.88 DINI MARYANI, NY (29 (9) thn) YUNUS, dr. SP. B BPJS BPJS UMUM III 296.000 355.200 -59.200 08-11-2017/07:34:33 - Rawat Inap 16/08112017
44000493 000.07.29.44 HENDRIK MUJIB, TN (36 (0) thn) RAJASA, dr. SP.URO BPJS JAMSOSTEK I 324.000 388.800 -64.800 08-11-2017/07:39:04 - Rawat Inap 17/08112017
44000494 000.07.31.89 ENEUNG, NY (51 (1) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 168.000 201.600 -33.600 08-11-2017/08:10:13 - Rawat Inap 18/08112017
44000495 000.07.33.87 DESI JANUANTI,NY (38 (10) thn) V HARY, dr. SP.OG BPJS JAMSOSTEK I 261.000 313.200 -52.200 08-11-2017/08:24:16 - Rawat Inap 19/08112017
44000496 000.04.39.26 LINDA, NY (37 (5) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 28.000 33.600 -5.600 08-11-2017/09:00:26 - Rawat Jalan 20/08112017
44000497 000.04.91.32 JAYA BIN ACE, TN (58 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 08-11-2017/09:03:24 - Rawat Jalan 21/08112017
44000498 000.04.69.45 IIS ISNAWATI BINTI ERSIN, NY (29 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 33.000 39.600 -6.600 08-11-2017/09:06:57 - Rawat Inap 22/08112017
44000499 000.06.78.84 WAJI, TN (54 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 131.000 157.200 -26.200 08-11-2017/09:12:59 - Rawat Inap 23/08112017
44000500 000.07.32.69 KARYA,TN (52 (10) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM III 66.000 79.200 -13.200 08-11-2017/09:13:15 - Rawat Inap 24/08112017
44000501 000.06.78.84 WAJI, TN (54 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 66.000 79.200 -13.200 08-11-2017/09:18:18 - Rawat Inap 25/08112017
44000502 000.07.21.12 ASIH,NY (45 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 133.000 159.600 -26.600 08-11-2017/09:31:41 - Rawat Jalan 26/08112017
44000503 000.07.32.53 CARTI,NY (22 (7) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 08-11-2017/09:33:01 - Rawat Inap 27/08112017
44000504 000.06.94.00 HERMAN, TN (67 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 28.000 33.600 -5.600 08-11-2017/09:36:01 - Rawat Jalan 28/08112017
44000505 000.06.99.78 SURYANI, NY (34 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 105.000 126.000 -21.000 08-11-2017/09:38:22 - Rawat Jalan 29/08112017
44000506 000.07.32.24 AJEM, HJ NY (58 (8) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 57.500 0 57.500 08-11-2017/09:53:17 - Rawat Inap 30/08112017
44000507 000.07.33.53 KARSEM, NY (36 (11) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 233.000 279.600 -46.600 08-11-2017/09:59:49 - Rawat Inap 31/08112017
44000508 000.06.36.36 SUKARMAN,TN (52 (0) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 08-11-2017/10:02:46 - Rawat Jalan 32/08112017
44000509 000.03.73.70 ARIF SONJAYA , TN (49 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 94.000 112.800 -18.800 08-11-2017/10:05:19 - Rawat Jalan 33/08112017
44000510 000.04.68.95 SITI HASANAH BINTI SAIN, NY (64 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 133.000 159.600 -26.600 08-11-2017/10:06:25 - Rawat Jalan 34/08112017
44000511 000.07.33.90 TITIE SUKIRMAN, NN (39 (5) thn) JOHNI SINAGA, dr. SP.P UMUM - 334.500 332.400 2.100 08-11-2017/10:13:08 - Rawat Inap 35/08112017
44000512 000.04.05.18 KURAESIN,NY (59 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 28.000 33.600 -5.600 08-11-2017/10:47:04 - Rawat Jalan 36/08112017
44000513 000.07.33.93 ENDAH JUBAEDAH, NY (55 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 65.000 78.000 -13.000 08-11-2017/10:48:26 - Rawat Inap 37/08112017
44000514 000.06.47.53 AMINAH,NY (53 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 105.000 126.000 -21.000 08-11-2017/11:44:32 - Rawat Jalan 38/08112017
44000515 000.07.32.21 ACEM,NY (34 (11) thn) MOCH PURNOMO, dr SP.PD UMUM - 272.000 270.000 2.000 08-11-2017/11:49:45 - Rawat Inap 39/08112017
44000516 000.07.32.21 ACEM,NY (34 (11) thn) MOCH PURNOMO, dr SP.PD UMUM - 112.000 111.600 400 08-11-2017/11:50:53 - Rawat Inap 40/08112017
44000517 000.07.32.40 MA'RU SANAH, NY (67 (4) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM II 420.000 48.000 372.000 08-11-2017/12:17:38 - Rawat Inap 41/08112017
44000518 000.05.00.39 UJANG KHOERUDIN, TN (55 (2) thn) MOCH PURNOMO, dr SP.PD BPJS - 28.000 33.600 -5.600 08-11-2017/12:24:44 - Rawat Jalan 42/08112017
44000519 000.05.18.99 E, KOSASIH, TN (63 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS II 28.000 33.600 -5.600 08-11-2017/12:27:22 - Rawat Jalan 43/08112017
44000520 000.06.87.07 JENAB, NY (73 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 08-11-2017/12:27:52 - Rawat Jalan 44/08112017
44000521 000.07.32.84 NANANG,TN (28 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 200.000 240.000 -40.000 08-11-2017/12:32:56 - Rawat Inap 45/08112017
44000522 000.07.33.97 ILIN, TN (89 (11) thn) SETIAWAN WIDYANTORO, dr BPJS BPJS JAMKESMAS/KIS 286.000 343.200 -57.200 08-11-2017/12:45:50 - Rawat Inap 46/08112017
44000523 000.02.50.94 KARMINAH ,NY (70 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS POLRI/TNI IV 28.000 33.600 -5.600 08-11-2017/12:56:47 - Rawat Jalan 47/08112017
44000524 000.03.95.83 WANGSIH , NY (53 (1) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 93.000 111.600 -18.600 08-11-2017/12:57:21 - Rawat Jalan 48/08112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000525 000.07.28.95 UMAT,TN (46 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 08-11-2017/13:15:41 - Rawat Jalan 49/08112017
44000526 000.07.33.91 HANI ALIVIA MEILANI, NN (20 (6) thn) WURY ISWARSIGIT, dr. SP. B BPJS JAMSOSTEK II 101.000 121.200 -20.200 08-11-2017/14:49:40 - Rawat Jalan 50/08112017
44000527 000.07.31.83 SUTINAH, NY (20 (6) thn) WURY ISWARSIGIT, dr. SP. B BPJS JAMSOSTEK I 101.000 121.200 -20.200 08-11-2017/15:03:13 - Rawat Jalan 51/08112017
44000528 000.07.33.92 ANNITA, NN (15 (8) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 101.000 121.200 -20.200 08-11-2017/15:09:56 - Rawat Jalan 52/08112017
44000529 000.07.34.02 KUSMIATI,NY (52 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 08-11-2017/15:20:59 - Rawat Inap 53/08112017
44000530 000.07.34.05 NURHAYATI,NY (29 (4) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 261.000 313.200 -52.200 08-11-2017/15:24:17 - Rawat Inap 54/08112017
44000531 000.07.34.03 ONASIH,NY (45 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 08-11-2017/15:39:50 - Rawat Inap 55/08112017
44000532 000.05.91.36 NENDA, NY (55 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 225.000 270.000 -45.000 08-11-2017/15:57:19 - Rawat Inap 56/08112017
44000533 000.07.32.73 FIKA ANDINI,NN (20 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 08-11-2017/17:07:47 - Rawat Inap 57/08112017
44000534 000.07.33.49 HASANUDIN, TN (19 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 85.000 102.000 -17.000 08-11-2017/17:08:40 - Rawat Inap 58/08112017
44000535 000.06.22.47 ATIH, NY (59 (1) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM II 99.000 118.800 -19.800 08-11-2017/17:09:55 - Rawat Inap 59/08112017
44000536 000.04.43.48 ENDANG SOBARI,TN (69 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 93.000 111.600 -18.600 08-11-2017/17:27:29 - Rawat Inap 60/08112017
44000537 000.06.48.15 WARSIH, NY (64 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 08-11-2017/18:06:12 - Rawat Inap 61/08112017
44000538 000.07.34.06 KARSIH,NY (57 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 08-11-2017/18:18:45 - Rawat Inap 62/08112017
44000539 000.02.86.19 ARDIAH, DRA, NY (55 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 93.000 111.600 -18.600 08-11-2017/18:19:48 - Rawat Inap 63/08112017
44000540 000.07.34.07 SANIM,TN (58 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 145.000 174.000 -29.000 08-11-2017/18:42:10 - Rawat Inap 64/08112017
44000541 000.07.34.08 MUHAMAD ZIDAN RAMADHAN,AN (4 (4) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK I 117.000 140.400 -23.400 08-11-2017/19:31:08 - Rawat Inap 65/08112017
44000542 000.07.30.77 NITI SURAMANGSA, TN (52 (3) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 174.500 174.000 500 08-11-2017/10:09:15 - Rawat Inap 33/10112017
44000543 000.07.34.10 ELI HAYATI,NY (41 (6) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 65.000 78.000 -13.000 08-11-2017/19:56:27 - Rawat Inap 67/08112017
44000544 000.06.83.79 IIS ISMAYANTI,NY (35 (7) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 420.000 48.000 372.000 08-11-2017/20:29:03 - Rawat Inap 68/08112017
44000545 000.07.34.12 EUIS NURJANAH,NY (38 (9) thn) MOCH PURNOMO, dr SP.PD UMUM - 112.000 111.600 400 08-11-2017/20:44:56 - Rawat Inap 69/08112017
44000546 000.07.34.09 INAH,NY (44 (1) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 08-11-2017/20:46:26 - Rawat Inap 70/08112017
44000547 000.07.34.11 ACIH BINTI EDI,NY (39 (0) thn) H. M. SALEH, dr. SP.OG UMUM - 316.000 313.200 2.800 08-11-2017/20:48:22 - Rawat Inap 71/08112017
44000548 000.06.12.25 YETI, NY (35 (1) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK I 261.000 313.200 -52.200 08-11-2017/20:49:48 - Rawat Inap 72/08112017
44000549 000.07.34.14 IRWAN FAHRUDIN,TN (27 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 08-11-2017/21:19:25 - Rawat Inap 73/08112017
44000550 000.07.34.15 TAMIN,TN (30 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 159.000 190.800 -31.800 08-11-2017/21:21:20 - Rawat Inap 74/08112017
44000551 000.07.31.89 ENEUNG, NY (51 (1) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 420.000 48.000 372.000 08-11-2017/21:41:06 - Rawat Inap 75/08112017
44000552 000.07.26.88 DINI MARYANI, NY (29 (9) thn) YUNUS, dr. SP. B BPJS BPJS UMUM III 420.000 48.000 372.000 08-11-2017/21:42:12 - Rawat Inap 76/08112017
44000553 000.07.34.17 ENGKAM, NY (59 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 08-11-2017/22:23:41 - Rawat Inap 77/08112017
44000554 000.07.34.16 KIKI ZULKIFLI, TN (31 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK I 65.000 78.000 -13.000 08-11-2017/22:30:24 - Rawat Inap 78/08112017
44000555 000.07.34.18 LINYI, NY (84 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 159.000 190.800 -31.800 08-11-2017/22:44:02 - Rawat Inap 79/08112017
44000556 000.07.34.20 RINAH, NY (40 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 93.000 111.600 -18.600 09-11-2017/04:54:13 - Rawat Inap 1/09112017
44000557 000.07.12.56 FIRMAN,TN (62 (1) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM III 93.000 111.600 -18.600 09-11-2017/04:56:20 - Rawat Inap 2/09112017
44000558 000.06.78.84 WAJI, TN (54 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 28.000 33.600 -5.600 09-11-2017/06:20:36 - Rawat Inap 3/09112017
44000559 000.07.32.96 UJANG SUHERMAN, TN (58 (5) thn) MOCH PURNOMO, dr SP.PD UMUM - 112.000 111.600 400 09-11-2017/06:24:11 - Rawat Inap 4/09112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000560 000.02.86.19 ARDIAH, DRA, NY (55 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 09-11-2017/06:24:53 - Rawat Inap 5/09112017
44000561 000.07.34.13 WILDAN,AN (1 (8) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 117.000 140.400 -23.400 09-11-2017/06:27:11 - Rawat Inap 6/09112017
44000562 000.07.34.07 SANIM,TN (58 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 65.000 78.000 -13.000 09-11-2017/06:28:16 - Rawat Inap 7/09112017
44000563 000.07.33.72 H MOCH AFANDI, TN (59 (3) thn) JOHNI SINAGA, dr. SP.P UMUM - 34.000 33.600 400 09-11-2017/06:36:11 - Rawat Inap 8/09112017
44000564 000.07.34.23 AGUS BUDIANA, TN (48 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 112.000 111.600 400 09-11-2017/06:37:53 - Rawat Inap 9/09112017
44000565 000.07.33.81 EVA KUSHARYANTI, NN (22 (1) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 40.000 48.000 -8.000 09-11-2017/07:20:36 - Rawat Inap 10/09112017
44000566 000.05.31.52 ASEP MUHTAR,TN (58 (4) thn) MOCH PURNOMO, dr SP.PD BPJS - 174.500 174.000 500 09-11-2017/07:57:23 - Rawat Inap 11/09112017
44000567 000.07.34.28 ADE ANGGRAENI YUNENGSIH,NY (22 (11) t.. AUZIA TANIA UTAMI, dr UMUM - 112.000 111.600 400 09-11-2017/08:16:19 - Rawat Inap 12/09112017
44000568 000.03.85.50 ENDANG PUJIARTI HANDAYANI, NY (36 (1) .. ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 20.000 24.000 -4.000 09-11-2017/08:17:42 - Rawat Jalan 13/09112017
44000569 000.07.34.36 RIZKI SAMSUDIN, AN (10 (11) thn) DOKTER LUAR UMUM - 24.000 24.000 0 09-11-2017/09:55:36 - Rawat Jalan 14/09112017
44000570 000.06.04.82 MELDA HOERIAH, AN (2 (7) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 117.000 140.400 -23.400 09-11-2017/10:16:19 - Rawat Inap 15/09112017
44000571 000.04.67.92 YUSUP EPENDI,TN (56 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 225.000 270.000 -45.000 09-11-2017/10:20:26 - Rawat Inap 16/09112017
44000572 000.07.33.72 H MOCH AFANDI, TN (59 (3) thn) JOHNI SINAGA, dr. SP.P UMUM - 174.000 174.000 0 09-11-2017/11:14:52 - Rawat Inap 17/09112017
44000573 000.05.36.45 AKHDAN CHEFA ABQORY, AN (5 (4) thn) DIDI SUKANDI, dr. SP.A BPJS - 140.500 140.400 100 09-11-2017/11:23:47 - Rawat Inap 18/09112017
44000574 000.07.34.45 RAKHA PRAYUDA ROMANSYAH, AN (9 (10) .. DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 117.000 140.400 -23.400 09-11-2017/12:40:18 - Rawat Inap 19/09112017
44000575 000.07.34.46 SULIS AL WAFIKHA ROMANSYAH, AN (5 (0).. DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 117.000 140.400 -23.400 09-11-2017/12:40:57 - Rawat Inap 20/09112017
44000576 000.04.89.92 DARSIH, NY (62 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 09-11-2017/12:41:06 - Rawat Jalan 21/09112017
44000577 000.07.09.82 ENI NURAENI, NY (40 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 28.000 33.600 -5.600 09-11-2017/12:53:43 - Rawat Jalan 22/09112017
44000578 000.04.89.92 DARSIH, NY (62 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 215.000 258.000 -43.000 09-11-2017/13:08:32 - Rawat Jalan 23/09112017
44000579 000.06.85.63 NURLAELA, NY (49 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM II 28.000 33.600 -5.600 09-11-2017/13:28:15 - Rawat Jalan 24/09112017
44000580 000.05.09.13 ROHAYATI BINTI JUMA, NY (54 (0) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 09-11-2017/13:31:16 - Rawat Jalan 25/09112017
44000581 000.07.30.84 ADJI DULKHAIRIN, TN (57 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. ASURANSI KARAWANGSEHAT 0 33.600 -33.600 09-11-2017/13:33:53 - Rawat Jalan 26/09112017
44000582 000.05.93.38 ENTAN KURTATI, NY (45 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 28.000 33.600 -5.600 09-11-2017/13:36:36 - Rawat Jalan 27/09112017
44000583 000.07.34.52 DITO SATRIO BAHARI, SDR (15 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 28.000 33.600 -5.600 09-11-2017/13:43:15 - Rawat Jalan 28/09112017
44000584 000.07.34.42 SUNATA, TN (60 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 128.000 153.600 -25.600 09-11-2017/14:08:17 - Rawat Jalan 29/09112017
44000585 000.06.83.54 HAMDAH, NY (57 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 09-11-2017/14:23:45 - Rawat Jalan 30/09112017
44000586 000.07.34.27 WASTINAH, NY (48 (4) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 261.000 313.200 -52.200 09-11-2017/14:34:19 - Rawat Inap 31/09112017
44000587 000.04.16.48 IMAS MASIDA,NY (23 (1) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 93.000 111.600 -18.600 09-11-2017/14:35:40 - Rawat Inap 32/09112017
44000588 000.07.34.53 RENA FARENA,NY (29 (8) thn) V HARY, dr. SP.OG BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 09-11-2017/14:36:46 - Rawat Inap 33/09112017
44000589 000.07.34.55 SUNATA, TN (60 (5) thn) DOKTER LUAR UMUM - 282.000 282.000 0 09-11-2017/15:02:19 - Rawat Jalan 34/09112017
44000590 000.07.34.07 SANIM,TN (58 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 40.000 48.000 -8.000 09-11-2017/15:06:27 - Rawat Inap 35/09112017
44000591 000.07.34.56 DEVI ANGGRAINI,NY (24 (6) thn) H. M. SALEH, dr. SP.OG UMUM - 112.000 111.600 400 09-11-2017/15:31:18 - Rawat Inap 36/09112017
44000592 000.07.34.57 METI,NY (51 (10) thn) H. M. SALEH, dr. SP.OG UMUM - 272.000 270.000 2.000 09-11-2017/17:30:26 - Rawat Inap 37/09112017
44000593 000.07.17.29 SUKARSIH, NY (45 (3) thn) YUNUS, dr. SP. B BPJS - 192.000 230.400 -38.400 09-11-2017/17:48:07 - Rawat Jalan 38/09112017
44000594 000.07.27.04 ENGKES,NY (47 (3) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 192.000 230.400 -38.400 09-11-2017/17:49:38 - Rawat Jalan 39/09112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000595 000.07.34.43 ICAM, TN (57 (9) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 129.000 154.800 -25.800 09-11-2017/18:03:32 - Rawat Jalan 40/09112017
44000596 000.07.34.37 MUHAMAD TABRONI, TN (38 (5) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 192.000 230.400 -38.400 09-11-2017/18:05:45 - Rawat Jalan 41/09112017
44000597 000.07.34.43 ICAM, TN (57 (9) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 128.000 153.600 -25.600 09-11-2017/18:08:57 - Rawat Jalan 42/09112017
44000598 000.06.08.15 EUIS RAHAYU, NY (49 (11) thn) AUZIA TANIA UTAMI, dr BPJS BPJS PNS III 112.000 111.600 400 09-11-2017/18:10:05 - Rawat Inap 43/09112017
44000599 000.07.31.61 ROHMAH, NN (16 (0) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 192.000 230.400 -38.400 09-11-2017/18:14:35 - Rawat Jalan 44/09112017
44000600 000.05.02.59 KURTUBI, TN (55 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 225.000 270.000 -45.000 09-11-2017/18:45:30 - Rawat Inap 45/09112017
44000601 000.06.17.92 MAPTUH, TN (50 (5) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 192.000 230.400 -38.400 09-11-2017/18:47:16 - Rawat Jalan 46/09112017
44000602 000.07.34.27 WASTINAH, NY (48 (4) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 420.000 48.000 372.000 09-11-2017/18:56:29 - Rawat Inap 47/09112017
44000603 000.07.34.58 WILDANI ABDUSSALAM,SDR (15 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 117.000 140.400 -23.400 09-11-2017/19:06:22 - Rawat Inap 48/09112017
44000604 000.07.34.61 UTARI DWI PRAMULIA,NN (25 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 93.000 111.600 -18.600 09-11-2017/19:41:57 - Rawat Inap 49/09112017
44000605 000.07.34.60 SARNAN,TN (60 (0) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 09-11-2017/19:43:51 - Rawat Inap 50/09112017
44000606 000.07.34.62 RATNA,NY (28 (8) thn) DOKTER LUAR UMUM - 48.000 48.000 0 09-11-2017/20:21:06 - Rawat Jalan 51/09112017
44000607 000.05.05.21 AYU YOLANDA LESTARI, NY (24 (7) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 174.500 174.000 500 09-11-2017/21:25:56 - Rawat Inap 52/09112017
44000608 000.07.34.63 RISDIANTO WARDANA, SDR (20 (10) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 159.000 190.800 -31.800 09-11-2017/23:30:13 - Rawat Inap 53/09112017
44000609 000.07.34.16 KIKI ZULKIFLI, TN (31 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK I 117.000 140.400 -23.400 10-11-2017/00:06:08 - Rawat Inap 1/10112017
44000610 000.07.34.20 RINAH, NY (40 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 28.000 33.600 -5.600 10-11-2017/00:06:45 - Rawat Inap 2/10112017
44000611 000.07.33.97 ILIN, TN (89 (11) thn) SETIAWAN WIDYANTORO, dr BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 10-11-2017/00:07:14 - Rawat Inap 3/10112017
44000612 000.05.31.52 ASEP MUHTAR,TN (58 (4) thn) MOCH PURNOMO, dr SP.PD BPJS - 78.000 78.000 0 10-11-2017/00:08:18 - Rawat Inap 4/10112017
44000613 000.07.30.77 NITI SURAMANGSA, TN (52 (3) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 410.000 409.200 800 10-11-2017/10:09:43 - Rawat Inap 33/10112017
44000614 000.07.34.07 SANIM,TN (58 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 65.000 78.000 -13.000 10-11-2017/00:33:20 - Rawat Inap 6/10112017
44000615 000.07.34.09 INAH,NY (44 (1) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 10-11-2017/00:33:56 - Rawat Inap 7/10112017
44000616 000.07.33.93 ENDAH JUBAEDAH, NY (55 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 52.000 62.400 -10.400 10-11-2017/00:34:26 - Rawat Inap 8/10112017
44000617 000.06.22.47 ATIH, NY (59 (1) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM II 65.000 78.000 -13.000 10-11-2017/00:35:37 - Rawat Inap 9/10112017
44000618 000.02.86.19 ARDIAH, DRA, NY (55 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 10-11-2017/00:36:10 - Rawat Inap 10/10112017
44000619 000.07.34.28 ADE ANGGRAENI YUNENGSIH,NY (22 (11) t.. AUZIA TANIA UTAMI, dr UMUM - 264.000 258.000 6.000 10-11-2017/00:37:35 - Rawat Inap 11/10112017
44000620 000.06.04.82 MELDA HOERIAH, AN (2 (7) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 20.000 24.000 -4.000 10-11-2017/00:38:20 - Rawat Inap 12/10112017
44000621 000.07.34.13 WILDAN,AN (1 (8) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 20.000 24.000 -4.000 10-11-2017/00:38:46 - Rawat Inap 13/10112017
44000622 000.07.34.64 SULIYA, NY (27 (1) thn) V HARY, dr. SP.OG UMUM - 352.000 349.200 2.800 10-11-2017/01:30:54 - Rawat Inap 14/10112017
44000623 000.07.33.66 ROHENDI, TN (60 (0) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 288.000 345.600 -57.600 10-11-2017/07:18:07 - Rawat Inap 15/10112017
44000624 000.07.33.73 TINA KRISTINA, NN (18 (0) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 288.000 345.600 -57.600 10-11-2017/07:23:14 - Rawat Inap 16/10112017
44000625 000.07.33.92 ANNITA, NN (15 (8) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 288.000 345.600 -57.600 10-11-2017/07:26:26 - Rawat Inap 17/10112017
44000626 000.05.41.45 SIDIN ROSIDIN, TN (45 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 213.000 255.600 -42.600 10-11-2017/08:10:33 - Rawat Jalan 18/10112017
44000627 000.05.46.50 SIDIN ROSIDIN, TN ( LAB ) (45 (7) thn) DOKTER LUAR UMUM - 180.000 180.000 0 10-11-2017/08:11:46 - Rawat Jalan 19/10112017
44000628 000.07.30.81 MINAH, NY (44 (11) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 260.000 312.000 -52.000 10-11-2017/08:13:21 - Rawat Inap 20/10112017
44000629 000.07.26.25 NAIKAH, NY (43 (5) thn) YUNUS, dr. SP. B BPJS BPJS UMUM II 128.000 153.600 -25.600 10-11-2017/08:14:26 - Rawat Inap 21/10112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000630 000.07.31.24 DZAKIRA TALITA ZAHRA, AN (2 (9) thn) WURY ISWARSIGIT, dr. SP. B BPJS JAMSOSTEK I 128.000 153.600 -25.600 10-11-2017/08:15:22 - Rawat Inap 22/10112017
44000631 000.07.34.57 METI,NY (51 (10) thn) H. M. SALEH, dr. SP.OG UMUM - 48.000 48.000 0 10-11-2017/08:26:34 - Rawat Inap 23/10112017
44000632 000.06.75.65 HERMAWAN,TN (29 (4) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 334.500 332.400 2.100 10-11-2017/08:37:53 - Rawat Inap 24/10112017
44000633 000.03.28.05 AGUS BUDIANA, TN (48 (2) thn) MOCH PURNOMO, dr SP.PD BPJS - 410.000 409.200 800 10-11-2017/13:57:37 - Rawat Inap 48/10112017
44000634 000.05.00.55 AYUSTUTILAH, HJ , NY (57 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 166.000 199.200 -33.200 10-11-2017/09:35:38 - Rawat Jalan 26/10112017
44000635 000.05.96.88 AHMAD, TN (42 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 10-11-2017/09:36:25 - Rawat Jalan 27/10112017
44000636 000.07.34.69 AHMAD SANUSI,TN (48 (3) thn) AUZIA TANIA UTAMI, dr ASURANSI - 174.000 270.000 -96.000 10-11-2017/16:20:40 - Rawat Inap 36/11112017
44000637 000.07.21.92 NANI KARANITA,NY (40 (7) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 233.000 279.600 -46.600 10-11-2017/09:42:15 - Rawat Inap 29/10112017
44000638 000.06.16.55 TATIN SUPRIATIN, HJ, NY (54 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 94.000 112.800 -18.800 10-11-2017/09:53:36 - Rawat Jalan 30/10112017
44000639 000.06.18.62 HAMDANI, TN (52 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 65.000 78.000 -13.000 10-11-2017/09:54:25 - Rawat Jalan 31/10112017
44000640 000.02.64.57 EUIS NURYATI, NY (48 (3) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 28.000 33.600 -5.600 10-11-2017/10:01:47 - Rawat Jalan 32/10112017
44000641 000.07.29.98 EMPUT, TN (70 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 10-11-2017/10:45:09 - Rawat Jalan 33/10112017
44000642 000.04.87.59 OYOK KURNIASIH, NY (61 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 10-11-2017/11:04:47 - Rawat Jalan 34/10112017
44000643 000.03.85.94 LASMANAH, HJ, NY (72 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 65.000 78.000 -13.000 10-11-2017/11:06:09 - Rawat Jalan 35/10112017
44000644 000.07.34.72 MUHAMMAD FAQIH KHAIRYRAHMAN,AN (3 .. DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 65.000 78.000 -13.000 10-11-2017/11:13:51 - Rawat Inap 36/10112017
44000645 000.07.34.72 MUHAMMAD FAQIH KHAIRYRAHMAN,AN (3 .. DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 52.000 62.400 -10.400 10-11-2017/11:22:46 - Rawat Inap 37/10112017
44000646 000.07.34.77 RAYSAD MUHAMAD AZRIN,AN (4 (5) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 117.000 140.400 -23.400 10-11-2017/11:38:15 - Rawat Inap 38/10112017
44000647 000.04.43.48 ENDANG SOBARI,TN (69 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 225.000 270.000 -45.000 10-11-2017/12:40:20 - Rawat Inap 39/10112017
44000648 000.07.34.82 NADIH,TN (67 (2) thn) YUDITH E, dr. SP.S BPJS BPJS UMUM II 225.000 270.000 -45.000 10-11-2017/12:42:17 - Rawat Inap 40/10112017
44000649 000.07.34.80 ALFIAN ZULKIFAR,TN (26 (5) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 277.000 332.400 -55.400 10-11-2017/12:43:55 - Rawat Inap 41/10112017
44000650 000.03.92.15 ANI, NY (56 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 10-11-2017/12:53:00 - Rawat Jalan 42/10112017
44000651 000.06.24.41 AMAH MARHAMAH, NY (58 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS II 28.000 33.600 -5.600 10-11-2017/13:20:46 - Rawat Jalan 43/10112017
44000652 000.03.09.49 HAYATI, NY (36 (4) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 28.000 33.600 -5.600 10-11-2017/13:24:04 - Rawat Jalan 44/10112017
44000653 000.07.34.79 TARSIM,TN (53 (0) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 10-11-2017/13:33:03 - Rawat Inap 45/10112017
44000654 000.05.56.16 IWAN DARMAWAN,TN (51 (4) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK I 117.000 140.400 -23.400 10-11-2017/13:40:34 - Rawat Inap 46/10112017
44000655 000.04.43.48 ENDANG SOBARI,TN (69 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 65.000 78.000 -13.000 10-11-2017/13:54:39 - Rawat Inap 47/10112017
44000656 000.06.44.08 DULAH SAEPULOH, TN (64 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 159.000 190.800 -31.800 10-11-2017/14:24:12 - Rawat Jalan 48/10112017
44000657 000.07.01.38 ATAT SUMIATI, HJ, NY (57 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 33.000 39.600 -6.600 10-11-2017/14:40:36 - Rawat Jalan 49/10112017
44000658 000.07.34.61 UTARI DWI PRAMULIA,NN (25 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 231.000 277.200 -46.200 10-11-2017/14:42:23 - Rawat Inap 50/10112017
44000659 000.04.43.48 ENDANG SOBARI,TN (69 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 25.000 30.000 -5.000 10-11-2017/14:43:19 - Rawat Inap 51/10112017
44000660 000.07.34.83 UMAR, TN (54 (2) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 156.000 187.200 -31.200 10-11-2017/14:47:04 - Rawat Jalan 52/10112017
44000661 000.07.31.91 SELVIA NUR, NN (16 (4) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 128.000 153.600 -25.600 10-11-2017/15:07:10 - Rawat Jalan 53/10112017
44000662 000.07.31.52 ANITA GUSTIANI, NY (36 (3) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 30.000 36.000 -6.000 10-11-2017/15:24:37 - Rawat Jalan 54/10112017
44000663 000.07.34.84 UUN SAUNAH,NY (65 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 225.000 270.000 -45.000 10-11-2017/15:36:44 - Rawat Inap 55/10112017
44000664 000.07.34.86 SATRIA ADI FERNANDA,SDR (19 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 10-11-2017/16:14:50 - Rawat Inap 56/10112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000665 000.07.34.84 UUN SAUNAH,NY (65 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 145.000 174.000 -29.000 10-11-2017/16:50:53 - Rawat Inap 57/10112017
44000666 000.06.78.84 WAJI, TN (54 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 40.000 48.000 -8.000 10-11-2017/17:44:49 - Rawat Inap 58/10112017
44000667 000.07.34.87 DENIZ FRASETIA,AN (8 (8) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 10-11-2017/19:02:50 - Rawat Inap 59/10112017
44000668 000.07.34.88 MAR'AH,NY (41 (4) thn) H. AGUS M SUKANDAR, dr. MH., M... BPJS BPJS JAMKESMAS/KIS 238.000 285.600 -47.600 10-11-2017/19:51:31 - Rawat Jalan 60/10112017
44000669 000.07.34.88 MAR'AH,NY (41 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 10-11-2017/20:16:54 - Rawat Inap 61/10112017
44000670 000.07.33.91 HANI ALIVIA MEILANI, NN (20 (6) thn) YUNUS, dr. SP. B BPJS JAMSOSTEK II 288.000 345.600 -57.600 10-11-2017/20:20:30 - Rawat Inap 62/10112017
44000671 000.06.34.84 NENA SITI AISAH, NY (46 (1) thn) AUZIA TANIA UTAMI, dr BPJS JAMSOSTEK I 93.000 111.600 -18.600 10-11-2017/23:52:36 - Rawat Inap 63/10112017
44000672 000.07.34.90 IYET, NY (65 (0) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 192.000 190.800 1.200 11-11-2017/00:30:56 - Rawat Inap 1/11112017
44000673 000.07.30.17 TOHIKAH,NY HJ (67 (11) thn) ENDANG, dr BPJS BPJS UMUM II 272.000 270.000 2.000 11-11-2017/13:07:09 - Rawat Jalan 16/12112017
44000674 000.07.34.91 SYAMSUL MAARIF ANSYAH, AN (3 (6) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 117.000 140.400 -23.400 11-11-2017/01:35:49 - Rawat Inap 3/11112017
44000675 000.07.34.92 NURSOLEHA, NY (42 (8) thn) MOCH PURNOMO, dr SP.PD KARAWA.. - 60.000 111.600 -51.600 11-11-2017/16:38:36 - Rawat Inap 38/11112017
44000676 000.05.02.59 KURTUBI, TN (55 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 11-11-2017/02:43:15 - Rawat Inap 5/11112017
44000677 000.04.67.92 YUSUP EPENDI,TN (56 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 28.000 33.600 -5.600 11-11-2017/02:43:47 - Rawat Inap 6/11112017
44000678 000.06.22.47 ATIH, NY (59 (1) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM II 99.000 118.800 -19.800 11-11-2017/02:44:14 - Rawat Inap 7/11112017
44000679 000.07.34.07 SANIM,TN (58 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 65.000 78.000 -13.000 11-11-2017/02:44:44 - Rawat Inap 8/11112017
44000680 000.07.34.93 TAWIS, NY (47 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 11-11-2017/03:03:39 - Rawat Inap 9/11112017
44000681 000.07.34.96 K. KUHRIADIN, TN (62 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 334.500 332.400 2.100 11-11-2017/07:55:10 - Rawat Inap 10/11112017
44000682 000.04.67.92 YUSUP EPENDI,TN (56 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 197.000 236.400 -39.400 11-11-2017/08:52:06 - Rawat Inap 11/11112017
44000683 000.07.33.65 SRI ANENGSIH, NY (67 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 272.000 270.000 2.000 11-11-2017/09:21:50 - Rawat Inap 12/11112017
44000684 000.07.34.97 CIYAH,NY,BY (0 (0) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK I 90.000 108.000 -18.000 11-11-2017/09:54:52 - Rawat Inap 13/11112017
44000685 000.07.21.92 NANI KARANITA,NY (40 (7) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 420.000 48.000 372.000 11-11-2017/10:00:24 - Rawat Inap 14/11112017
44000686 000.06.90.41 MARYATI, NY (49 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 145.000 174.000 -29.000 11-11-2017/11:02:30 - Rawat Inap 15/11112017
44000687 000.05.12.30 KENIH, NY (46 (4) thn) MOCH PURNOMO, dr SP.PD UMUM - 174.500 174.000 500 11-11-2017/11:06:38 - Rawat Inap 16/11112017
44000688 000.04.66.74 SUHANDI,TN (61 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM II 93.000 111.600 -18.600 11-11-2017/12:06:12 - Rawat Inap 14/12112017
44000689 000.07.35.04 ANNISA JULIA R, AN (4 (4) thn) ALINDA, dr ASURANSI MULTISTRADA, PT 140.500 140.400 100 11-11-2017/11:41:30 - Rawat Inap 14/12112017
44000690 000.03.94.12 CADEM , NY (44 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM III 28.000 33.600 -5.600 11-11-2017/13:06:01 - Rawat Jalan 19/11112017
44000691 000.03.04.68 OMIS , NY (49 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 11-11-2017/13:07:17 - Rawat Jalan 20/11112017
44000692 000.03.85.95 SRI YATI,NY (51 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 28.000 33.600 -5.600 11-11-2017/13:20:20 - Rawat Jalan 21/11112017
44000693 000.04.54.82 EKA KHAERIAH , NY (54 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS III 28.000 33.600 -5.600 11-11-2017/13:22:21 - Rawat Jalan 22/11112017
44000694 000.06.48.15 WARSIH, NY (64 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 11-11-2017/13:35:58 - Rawat Inap 23/11112017
44000695 000.07.35.05 RIFALDI HAIKAL,AN (5 (7) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM II 117.000 140.400 -23.400 11-11-2017/13:38:07 - Rawat Inap 24/11112017
44000696 000.07.35.07 MUHAMMAD RAFI,TN (34 (2) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK I 117.000 140.400 -23.400 11-11-2017/13:40:39 - Rawat Inap 25/11112017
44000697 000.07.17.55 ROMLAH,NY (55 (8) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 28.000 33.600 -5.600 11-11-2017/13:52:18 - Rawat Jalan 26/11112017
44000698 000.07.16.48 MARKUM,TN (39 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 28.000 33.600 -5.600 11-11-2017/13:58:12 - Rawat Jalan 27/11112017
44000699 000.07.16.48 MARKUM,TN (39 (5) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK II 28.000 33.600 -5.600 11-11-2017/14:01:53 - Rawat Jalan 28/11112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000700 000.07.32.82 SAJIMAN,TN (57 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 11-11-2017/14:06:48 - Rawat Jalan 29/11112017
44000701 000.05.57.23 CAWI,NY (52 (3) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 65.000 33.600 31.400 11-11-2017/14:09:37 - Rawat Jalan 30/11112017
44000702 000.04.03.83 WILLY KURNIAWAN, TN (30 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 174.500 174.000 500 11-11-2017/13:13:13 - Rawat Inap 16/12112017
44000703 000.07.29.50 NURUL FARIDA, NY (21 (8) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 30.000 36.000 -6.000 11-11-2017/15:18:28 - Rawat Jalan 32/11112017
44000704 000.07.35.10 KUNANG,TN (42 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 11-11-2017/15:43:12 - Rawat Inap 33/11112017
44000705 000.07.35.09 MOHAMMAD SYAHLAN ALFARIZI,SDR (14 (.. MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 11-11-2017/15:44:21 - Rawat Inap 34/11112017
44000706 000.07.35.11 MISRI WULANDARI,BY,NY (0 (8) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 11-11-2017/16:00:12 - Rawat Inap 35/11112017
44000707 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 370.000 444.000 -74.000 11-11-2017/16:33:39 - Rawat Inap 36/11112017
44000708 000.04.12.86 ROYALI , TN (41 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 145.000 174.000 -29.000 11-11-2017/16:36:18 - Rawat Inap 37/11112017
44000709 000.04.12.86 ROYALI , TN (41 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 132.000 158.400 -26.400 11-11-2017/16:57:36 - Rawat Inap 38/11112017
44000710 000.06.18.62 HAMDANI, TN (52 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 65.000 78.000 -13.000 11-11-2017/17:25:07 - Rawat Inap 39/11112017
44000711 000.07.35.06 BONIN,TN (62 (11) thn) MOCH PURNOMO, dr SP.PD UMUM - 174.500 174.000 500 11-11-2017/17:28:24 - Rawat Inap 40/11112017
44000712 000.07.12.56 FIRMAN,TN (62 (2) thn) AUZIA TANIA UTAMI, dr BPJS BPJS UMUM III 99.000 118.800 -19.800 11-11-2017/17:30:31 - Rawat Inap 41/11112017
44000713 000.07.35.12 ACIH ANASIH,NY (55 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 11-11-2017/17:48:57 - Rawat Inap 42/11112017
44000714 000.05.23.08 IIN WINANGSIH, NY (47 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 145.000 174.000 -29.000 11-11-2017/17:50:29 - Rawat Inap 43/11112017
44000715 000.07.35.14 REVAN ADITYA,BY (0 (9) thn) DIDI SUKANDI, dr. SP.A UMUM - 78.000 78.000 0 11-11-2017/18:50:54 - Rawat Inap 44/11112017
44000716 000.05.55.19 WARNI , NY (47 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 11-11-2017/11:05:19 - Rawat Inap 14/12112017
44000717 000.07.34.90 IYET, NY (65 (0) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM - 34.000 33.600 400 12-11-2017/11:20:23 - Rawat Inap 14/12112017
44000718 000.07.34.09 INAH,NY (44 (2) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 12-11-2017/16:25:46 - Rawat Inap 76/13112017
44000719 000.07.35.12 ACIH ANASIH,NY (55 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 11-11-2017/11:11:11 - Rawat Inap 14/12112017
44000720 000.05.55.19 WARNI , NY (47 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 11-11-2017/11:05:49 - Rawat Inap 14/12112017
44000721 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 12-11-2017/12:51:40 - Rawat Inap 16/12112017
44000722 000.07.30.17 TOHIKAH,NY HJ (67 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 34.000 33.600 400 12-11-2017/13:07:41 - Rawat Inap 16/12112017
44000723 000.07.35.21 KOMARIAH, NY (53 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 12-11-2017/09:19:51 - Rawat Inap 7/12112017
44000724 000.07.34.95 CIYAH, NY (33 (3) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK I 93.000 111.600 -18.600 11-11-2017/09:21:19 - Rawat Inap 8/12112017
44000725 000.07.33.73 TINA KRISTINA, NN (18 (0) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS JAMKESMAS/KIS 420.000 48.000 372.000 12-11-2017/09:34:10 - Rawat Inap 9/12112017
44000726 000.07.30.81 MINAH, NY (44 (11) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 420.000 48.000 372.000 12-11-2017/09:34:59 - Rawat Inap 10/12112017
44000727 000.07.26.25 NAIKAH, NY (43 (5) thn) YUNUS, dr. SP. B BPJS BPJS UMUM II 420.000 48.000 372.000 12-11-2017/09:35:43 - Rawat Inap 11/12112017
44000728 000.07.27.93 EUIS ISMAWATI, NY (35 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 12-11-2017/10:12:22 - Rawat Inap 12/12112017
44000729 000.05.70.37 CASHUDI PERMANA, AN (1 (11) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 65.000 78.000 -13.000 12-11-2017/11:02:31 - Rawat Inap 13/12112017
44000730 000.07.35.23 NANA ROESLANA, TN (49 (4) thn) ENDANG, dr BPJS BPJS UMUM III 93.000 111.600 -18.600 12-11-2017/12:12:16 - Rawat Inap 14/12112017
44000731 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 12-11-2017/12:13:35 - Rawat Inap 15/12112017
44000732 000.04.32.89 YUYUN , NY (49 (5) thn) MOCH PURNOMO, dr SP.PD BPJS - 225.000 270.000 -45.000 12-11-2017/13:34:47 - Rawat Inap 16/12112017
44000733 000.07.35.26 KOKOM, NY (53 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 12-11-2017/15:27:27 - Rawat Inap 17/12112017
44000734 000.07.35.27 DIAN MARDIANI, NY (38 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 145.000 174.000 -29.000 12-11-2017/16:17:23 - Rawat Inap 18/12112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000735 000.07.04.39 AMIH, NY (48 (5) thn) ENDANG, dr BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 12-11-2017/16:32:27 - Rawat Jalan 19/12112017
44000736 000.07.35.31 KOSIM, TN (40 (5) thn) RATNA GINA, dr. SP.Rad. UMUM - 140.500 140.400 100 12-11-2017/17:44:07 - Rawat Jalan 20/12112017
44000737 000.07.35.31 KOSIM, TN (40 (5) thn) RATNA GINA, dr. SP.Rad. UMUM - 24.000 24.000 0 12-11-2017/17:50:08 - Rawat Jalan 21/12112017
44000738 000.07.35.30 MUNIN BIN UTI, TN (63 (7) thn) MOCH PURNOMO, dr SP.PD UMUM - 174.500 174.000 500 12-11-2017/18:50:29 - Rawat Inap 22/12112017
44000739 000.07.35.32 ALIF, AN (0 (3) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK I 65.000 78.000 -13.000 12-11-2017/18:51:58 - Rawat Inap 23/12112017
44000740 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 93.000 111.600 -18.600 12-11-2017/18:53:29 - Rawat Inap 24/12112017
44000741 000.07.35.28 HEDI, TN (52 (10) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 159.000 190.800 -31.800 12-11-2017/18:58:42 - Rawat Inap 25/12112017
44000742 000.07.35.18 NAYOT, NY (74 (8) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 12-11-2017/18:59:25 - Rawat Inap 26/12112017
44000743 000.07.35.35 ACHMAD BAEHAKI ALFATIH, AN (0 (8) thn) DIDI SUKANDI, dr. SP.A UMUM - 140.500 140.400 100 12-11-2017/19:48:55 - Rawat Inap 27/12112017
44000744 000.07.35.36 CICIH SUHERTI, NY (24 (11) thn) H. M. SALEH, dr. SP.OG UMUM - 156.000 154.800 1.200 12-11-2017/20:30:57 - Rawat Inap 28/12112017
44000745 000.07.35.38 ANITA, NY (29 (9) thn) MOCH PURNOMO, dr SP.PD BPJS JAMSOSTEK II 145.000 174.000 -29.000 12-11-2017/21:03:22 - Rawat Inap 29/12112017
44000746 000.07.35.37 KARWILAH WAHYUNI, NY (40 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 145.000 174.000 -29.000 12-11-2017/21:09:47 - Rawat Inap 30/12112017
44000747 000.07.35.39 LASMI, NY (28 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 12-11-2017/21:30:12 - Rawat Inap 31/12112017
44000748 000.07.35.40 INA FARLINA,NY (31 (6) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 129.000 154.800 -25.800 12-11-2017/22:29:52 - Rawat Inap 32/12112017
44000749 000.07.35.41 AHMAD RIZAL PURNAMA,AN (10 (1) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 12-11-2017/23:02:45 - Rawat Inap 33/12112017
44000750 000.03.50.36 MURSANIH, NY (41 (2) thn) MOCH PURNOMO, dr SP.PD BPJS - 272.000 270.000 2.000 12-11-2017/12:00:09 - Rawat Inap 36/14112017
44000751 000.07.28.67 MUHAMMAD ERYANA MULYARSO, SDR (26.. MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 159.000 190.800 -31.800 12-11-2017/23:27:11 - Rawat Inap 35/12112017
44000752 000.07.30.39 MAHMUDIN, TN (57 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 93.000 111.600 -18.600 12-11-2017/00:02:56 - Rawat Inap 1/13112017
44000753 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 12-11-2017/23:51:28 - Rawat Inap 37/12112017
44000754 000.06.69.81 SULARSIH,NY (59 (6) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS PNS IV 225.000 270.000 -45.000 13-11-2017/00:26:30 - Rawat Inap 2/13112017
44000755 000.07.35.40 INA FARLINA,NY (31 (6) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 195.000 234.000 -39.000 13-11-2017/00:36:05 - Rawat Inap 3/13112017
44000756 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 13-11-2017/00:37:13 - Rawat Inap 4/13112017
44000757 000.07.30.17 TOHIKAH,NY HJ (67 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 370.000 369.600 400 13-11-2017/00:41:22 - Rawat Inap 5/13112017
44000758 000.05.55.19 WARNI , NY (47 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 13-11-2017/00:49:33 - Rawat Inap 6/13112017
44000759 000.07.34.09 INAH,NY (44 (2) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 13-11-2017/00:51:38 - Rawat Inap 7/13112017
44000760 000.06.78.84 WAJI, TN (55 (0) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 94.000 112.800 -18.800 13-11-2017/00:53:15 - Rawat Inap 8/13112017
44000761 000.07.35.21 KOMARIAH, NY (53 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 13-11-2017/00:55:03 - Rawat Inap 9/13112017
44000762 000.04.66.74 SUHANDI,TN (61 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 65.000 78.000 -13.000 13-11-2017/00:56:19 - Rawat Inap 10/13112017
44000763 000.07.35.30 MUNIN BIN UTI, TN (63 (7) thn) MOCH PURNOMO, dr SP.PD UMUM - 78.000 78.000 0 13-11-2017/00:57:25 - Rawat Inap 11/13112017
44000764 000.07.35.42 KUSNADI,TN (58 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 13-11-2017/01:02:24 - Rawat Inap 12/13112017
44000765 000.07.02.14 SABINA ZAHRA, AN (6 (1) thn) DIDI SUKANDI, dr. SP.A BPJS - 65.000 78.000 -13.000 13-11-2017/10:14:16 - Rawat Inap 36/13112017
44000766 000.07.35.40 INA FARLINA,NY (31 (6) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 63.000 75.600 -12.600 13-11-2017/06:27:54 - Rawat Inap 14/13112017
44000767 000.07.34.43 ICAM, TN (57 (9) thn) YUNUS, dr. SP. B BPJS BPJS UMUM III 160.000 192.000 -32.000 13-11-2017/07:49:10 - Rawat Inap 15/13112017
44000768 000.07.30.23 AHMAD SYARIPUDIN H, TN (66 (4) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM III 195.000 234.000 -39.000 13-11-2017/08:07:38 - Rawat Jalan 16/13112017
44000769 000.07.34.83 UMAR, TN (54 (2) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 201.000 235.200 -34.200 13-11-2017/08:09:37 - Rawat Inap 17/13112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000770 000.07.35.45 RUMSAH, NY (48 (6) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 131.000 157.200 -26.200 13-11-2017/08:14:47 - Rawat Jalan 18/13112017
44000771 000.07.27.04 ENGKES,NY (47 (3) thn) YUNUS, dr. SP. B BPJS BPJS UMUM III 160.000 192.000 -32.000 13-11-2017/08:23:29 - Rawat Inap 19/13112017
44000772 000.07.26.02 ENUR, TN (62 (5) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 132.000 158.400 -26.400 13-11-2017/08:25:48 - Rawat Jalan 20/13112017
44000773 000.07.35.15 ADIM,H (70 (2) thn) RAJASA, dr. SP.URO UMUM - 76.000 75.600 400 13-11-2017/08:40:59 - Rawat Inap 21/13112017
44000774 000.07.34.37 MUHAMAD TABRONI, TN (38 (6) thn) YUNUS, dr. SP. B BPJS BPJS UMUM III 132.000 158.400 -26.400 13-11-2017/08:50:01 - Rawat Inap 22/13112017
44000775 000.07.35.50 ERVAN YUSUF NASUTION,AN (6 (6) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS PNS IV 117.000 140.400 -23.400 13-11-2017/08:52:53 - Rawat Inap 23/13112017
44000776 000.07.09.01 SITI NURLALA SARI, NN (15 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 13-11-2017/08:54:20 - Rawat Inap 24/13112017
44000777 000.05.23.58 NENGSU, HJ, NY (62 (5) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 33.000 39.600 -6.600 13-11-2017/09:06:43 - Rawat Jalan 25/13112017
44000778 000.04.64.37 LAIN, TN (51 (7) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 33.000 154.800 -121.800 13-11-2017/09:44:18 - Rawat Jalan 26/13112017
44000779 000.07.35.57 IIN MUTMAINAH,NY (39 (7) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK I 129.000 154.800 -25.800 13-11-2017/09:53:33 - Rawat Inap 27/13112017
44000780 000.07.35.49 SUPARMI, NY (50 (4) thn) YUDITH E, dr. SP.S BPJS JAMSOSTEK II 33.000 39.600 -6.600 13-11-2017/09:53:44 - Rawat Jalan 28/13112017
44000781 000.06.44.08 DULAH SAEPULOH, TN (64 (4) thn) YUDITH E, dr. SP.S BPJS BPJS JAMKESMAS/KIS 33.000 39.600 -6.600 13-11-2017/09:55:16 - Rawat Jalan 29/13112017
44000782 000.06.42.29 MOHAMAD YUSUF, TN (44 (2) thn) RAJASA, dr. SP.URO BPJS BPJS PNS III 94.000 112.800 -18.800 13-11-2017/09:57:36 - Rawat Jalan 30/13112017
44000783 000.07.08.29 NYOAN, TN (69 (11) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM III 469.000 562.800 -93.800 13-11-2017/10:03:28 - Rawat Inap 31/13112017
44000784 000.04.64.37 LAIN, TN (51 (7) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 129.000 154.800 -25.800 13-11-2017/10:06:16 - Rawat Jalan 32/13112017
44000785 000.07.31.45 RININ, TN (72 (3) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM III 129.000 154.800 -25.800 13-11-2017/10:08:49 - Rawat Jalan 33/13112017
44000786 000.03.17.73 AKAS,TN (73 (8) thn) MOCH PURNOMO, dr SP.PD BPJS - 93.000 111.600 -18.600 13-11-2017/10:27:26 - Rawat Jalan 38/13112017
44000787 000.07.35.52 ALAN,TN (72 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 225.000 270.000 -45.000 13-11-2017/10:12:18 - Rawat Inap 35/13112017
44000788 000.07.27.58 ANGKON NAWIRA, TN (60 (4) thn) RAJASA, dr. SP.URO UMUM - 566.000 562.800 3.200 13-11-2017/10:22:43 - Rawat Inap 36/13112017
44000789 000.06.19.72 SRI MURSIDAH FIKRIYATI , NY (59 (0) thn) MOCH PURNOMO, dr SP.PD UMUM - 78.000 33.600 44.400 13-11-2017/10:23:05 - Rawat Jalan 37/13112017
44000790 000.07.25.47 HAMID,TN (75 (5) thn) dr. RAHMATIKA BPJS BPJS UMUM III 406.000 487.200 -81.200 13-11-2017/10:48:52 - Rawat Inap 38/13112017
44000791 000.06.77.62 MAEMUNAH,HJ, NY (68 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS POLRI/TNI IV 28.000 33.600 -5.600 13-11-2017/10:53:42 - Rawat Jalan 39/13112017
44000792 000.06.08.39 DWITA LEGAWASARI, NY (32 (1) thn) YUDITH E, dr. SP.S BPJS JAMSOSTEK I 131.000 157.200 -26.200 13-11-2017/10:58:17 - Rawat Jalan 40/13112017
44000793 000.07.22.99 M.KARSID.S,TN (61 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 225.000 270.000 -45.000 13-11-2017/11:00:52 - Rawat Inap 41/13112017
44000794 000.07.35.58 SATIM,TN (68 (0) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 13-11-2017/11:03:51 - Rawat Inap 42/13112017
44000795 000.07.34.20 RINAH, NY (40 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 33.000 33.600 -600 13-11-2017/11:09:06 - Rawat Jalan 43/13112017
44000796 000.04.46.07 SITI KOMARIAH, HJ, NY (71 (0) thn) RAJASA, dr. SP.URO BPJS - 131.000 157.200 -26.200 13-11-2017/11:11:12 - Rawat Jalan 44/13112017
44000797 000.07.32.92 AJID SAEPUDIN, TN (53 (3) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 134.000 154.800 -20.800 13-11-2017/11:15:57 - Rawat Jalan 45/13112017
44000798 000.07.35.00 AAS PRIYANTI,NN (14 (8) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 131.000 157.200 -26.200 13-11-2017/11:19:10 - Rawat Jalan 46/13112017
44000799 000.07.32.94 MUHTAR, TN (57 (9) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 160.000 192.000 -32.000 13-11-2017/11:20:30 - Rawat Jalan 47/13112017
44000800 000.07.35.59 ENEN, NY (44 (5) thn) YUDITH E, dr. SP.S UMUM - 612.000 609.600 2.400 13-11-2017/11:29:48 - Rawat Inap 48/13112017
44000801 000.06.44.60 NENI SUARTINI, NY (40 (4) thn) AUZIA TANIA UTAMI, dr BPJS JAMSOSTEK II 277.000 332.400 -55.400 13-11-2017/11:32:51 - Rawat Inap 49/13112017
44000802 000.07.30.27 ADE DARMAWAN, H, TN (64 (11) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 145.000 174.000 -29.000 13-11-2017/11:34:15 - Rawat Inap 50/13112017
44000803 000.07.35.70 GABRIEL CHRISTIAN WIJAYA (17 (5) thn) AVIANDO ADITYA PUTRA, dr UMUM - 300.000 0 300.000 13-11-2017/11:36:47 - Rawat Jalan 51/13112017
44000804 000.07.35.65 ADE ROHANA, SDR (14 (9) thn) YUDITH E, dr. SP.S BPJS BPJS UMUM III 211.000 253.200 -42.200 13-11-2017/11:51:10 - Rawat Jalan 52/13112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000805 000.06.18.22 WASMAH, NY (66 (6) thn) MOCH PURNOMO, dr SP.PD UMUM BPJS UMUM I 28.000 33.600 -5.600 13-11-2017/12:44:08 - Rawat Jalan 53/13112017
44000806 000.07.31.32 NYAI,NY (54 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 13-11-2017/12:44:48 - Rawat Jalan 54/13112017
44000807 000.05.38.81 LIESNAWATI, NY (55 (8) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 28.000 33.600 -5.600 13-11-2017/12:45:46 - Rawat Jalan 55/13112017
44000808 000.07.17.29 SUKARSIH, NY (45 (3) thn) YUNUS, dr. SP. B BPJS - 160.000 192.000 -32.000 13-11-2017/13:09:17 - Rawat Inap 56/13112017
44000809 000.05.36.56 EVI NINGSIH , HJ , NY (52 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 272.000 270.000 2.000 13-11-2017/12:10:33 - Rawat Inap 36/14112017
44000810 000.07.35.72 LUSI SUSILAWATI,NN (16 (11) thn) RAHMATIKA, dr BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 13-11-2017/13:18:26 - Rawat Inap 58/13112017
44000811 000.07.16.65 AI NURHAYATI,NY (40 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 13-11-2017/13:36:42 - Rawat Jalan 59/13112017
44000812 000.07.35.63 KENZIE AL FAWWAAZ, AN (4 (7) thn) RAHMATIKA, dr UMUM - 198.000 196.800 1.200 13-11-2017/13:42:07 - Rawat Inap 60/13112017
44000813 000.02.76.37 AMAH, NY (46 (11) thn) RAHMATIKA, dr BPJS BPJS JAMKESMAS/KIS 304.000 364.800 -60.800 13-11-2017/13:45:57 - Rawat Inap 61/13112017
44000814 000.02.76.37 AMAH, NY (46 (11) thn) RAHMATIKA, dr BPJS BPJS JAMKESMAS/KIS 66.000 79.200 -13.200 13-11-2017/13:54:55 - Rawat Inap 62/13112017
44000815 000.07.35.63 KENZIE AL FAWWAAZ, AN (4 (7) thn) DIDI SUKANDI, dr. SP.A UMUM - 194.000 192.000 2.000 13-11-2017/14:30:34 - Rawat Inap 67/13112017
44000816 000.06.12.25 YETI, NY (35 (1) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK I 129.000 154.800 -25.800 13-11-2017/18:52:26 - Rawat Inap 81/13112017
44000817 000.06.38.57 KAJA, TN (65 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 257.000 332.400 -75.400 13-11-2017/14:43:07 - Rawat Inap 68/13112017
44000818 000.04.77.40 ARMAT, H, TN (70 (2) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM II 129.000 154.800 -25.800 13-11-2017/14:22:45 - Rawat Jalan 66/13112017
44000819 000.07.35.64 SARYADI, TN (48 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 13-11-2017/14:40:53 - Rawat Jalan 67/13112017
44000820 000.07.35.69 ENDIN SYAMSUDDIN, SDR (32 (11) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 129.000 154.800 -25.800 13-11-2017/14:47:34 - Rawat Jalan 68/13112017
44000821 000.07.00.43 IMAN KOHARUDIN, AN (5 (8) thn) YUNUS, dr. SP. B BPJS JAMSOSTEK II 128.000 153.600 -25.600 13-11-2017/14:48:40 - Rawat Jalan 69/13112017
44000822 000.07.35.51 MUHAMMAD AKHDAN ARSYAD, AN (2 (11) t.. DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 85.000 102.000 -17.000 13-11-2017/14:59:23 - Rawat Jalan 70/13112017
44000823 000.07.35.75 ARSHAKA YUSUF DESTIANA, BY (0 (1) thn) DIDI SUKANDI, dr. SP.A UMUM - 198.000 196.800 1.200 13-11-2017/15:13:47 - Rawat Inap 71/13112017
44000824 000.06.80.16 MIMIN KUSMINIARTI, NY (46 (3) thn) YUNUS, dr. SP. B BPJS BPJS UMUM I 160.000 230.400 -70.400 13-11-2017/15:16:33 - Rawat Jalan 72/13112017
44000825 000.06.56.01 AISAH,NY (52 (1) thn) MOCH PURNOMO, dr SP.PD BPJS - 225.000 270.000 -45.000 13-11-2017/15:28:02 - Rawat Inap 73/13112017
44000826 000.06.24.01 EMEH, NY (46 (0) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 33.000 33.600 -600 13-11-2017/16:05:41 - Rawat Jalan 74/13112017
44000827 000.07.35.01 AISYAH, NY (52 (5) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 192.000 230.400 -38.400 13-11-2017/16:17:55 - Rawat Jalan 75/13112017
44000828 000.05.57.68 MUMUN MAEMUNAH, NY (39 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 225.000 270.000 -45.000 13-11-2017/16:33:50 - Rawat Inap 76/13112017
44000829 000.04.62.86 IDA SASTRA PRAYITNA, NY (50 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 225.000 270.000 -45.000 13-11-2017/16:41:15 - Rawat Inap 77/13112017
44000830 000.07.35.84 LAYLY ROCHMATUN NIMAH, AN (2 (7) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 65.000 78.000 -13.000 13-11-2017/17:40:24 - Rawat Inap 78/13112017
44000831 000.06.81.88 EMIS, NY (65 (5) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 65.000 33.600 31.400 13-11-2017/17:41:04 - Rawat Jalan 79/13112017
44000832 000.07.35.86 OCOH, NY (67 (4) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 13-11-2017/18:48:40 - Rawat Inap 80/13112017
44000833 000.06.73.46 EUIS DARYANTI,NY (32 (9) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 288.000 345.600 -57.600 13-11-2017/20:43:14 - Rawat Inap 83/13112017
44000834 000.07.35.83 RICHAL DUDI PERMANA, AN (6 (3) thn) ADE NURKACAN, dr. SP.AN UMUM - 78.000 78.000 0 13-11-2017/20:28:14 - Rawat Inap 82/13112017
44000835 000.07.35.12 ACIH ANASIH,NY (55 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/07:03:56 - Rawat Inap 1/14112017
44000836 000.07.35.30 MUNIN BIN UTI, TN (63 (7) thn) MOCH PURNOMO, dr SP.PD UMUM - 78.000 78.000 0 14-11-2017/07:04:35 - Rawat Inap 2/14112017
44000837 000.06.69.81 SULARSIH,NY (59 (6) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS PNS IV 28.000 33.600 -5.600 14-11-2017/07:06:00 - Rawat Inap 3/14112017
44000838 000.07.35.21 KOMARIAH, NY (53 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/07:06:56 - Rawat Inap 4/14112017
44000839 000.07.22.99 M.KARSID.S,TN (61 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 243.000 291.600 -48.600 14-11-2017/09:05:06 - Rawat Inap 22/14112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000840 000.07.30.27 ADE DARMAWAN, H, TN (64 (11) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 210.000 252.000 -42.000 14-11-2017/07:13:41 - Rawat Inap 6/14112017
44000841 000.07.35.15 ADIM,H (70 (2) thn) AUZIA TANIA UTAMI, dr UMUM - 252.000 252.000 0 14-11-2017/07:14:39 - Rawat Inap 7/14112017
44000842 000.07.30.17 TOHIKAH,NY HJ (67 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 34.000 33.600 400 14-11-2017/09:24:53 - Rawat Inap 22/14112017
44000843 000.03.50.36 MURSANIH, NY (41 (2) thn) MOCH PURNOMO, dr SP.PD BPJS - 258.000 258.000 0 14-11-2017/12:01:32 - Rawat Inap 36/14112017
44000844 000.07.35.42 KUSNADI,TN (58 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/07:21:55 - Rawat Inap 10/14112017
44000845 000.05.55.19 WARNI , NY (47 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/07:23:12 - Rawat Inap 11/14112017
44000846 000.06.18.62 HAMDANI, TN (52 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 33.000 39.600 -6.600 14-11-2017/07:24:15 - Rawat Inap 12/14112017
44000847 000.04.66.74 SUHANDI,TN (61 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 14-11-2017/07:26:06 - Rawat Inap 13/14112017
44000848 000.07.35.26 KOKOM, NY (53 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/07:27:23 - Rawat Inap 14/14112017
44000849 000.03.48.39 YANDI DJATNIKA ,TN (48 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 159.000 190.800 -31.800 14-11-2017/07:29:57 - Rawat Inap 15/14112017
44000850 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 14-11-2017/07:47:46 - Rawat Inap 16/14112017
44000851 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 14-11-2017/07:48:45 - Rawat Inap 17/14112017
44000852 000.07.17.99 ENDANG SUHANA , TN (52 (3) thn) RAJASA, dr. SP.URO BPJS BPJS PNS III 566.000 562.800 3.200 14-11-2017/08:31:44 - Rawat Inap 21/14112017
44000853 000.03.76.73 AMRAN,TN (75 (9) thn) MOCH PURNOMO, dr SP.PD BPJS - 225.000 270.000 -45.000 14-11-2017/08:09:54 - Rawat Inap 19/14112017
44000854 000.07.34.70 PRATIWI PUSPITASARI, NN (21 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. UMUM BPJS UMUM I 78.000 78.000 0 14-11-2017/08:12:15 - Rawat Inap 20/14112017
44000855 000.05.21.58 ALDEBARAN PRADIPTA PRIANTO, AN (1 (1.. DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK I 85.000 102.000 -17.000 14-11-2017/08:38:26 - Rawat Inap 21/14112017
44000856 000.07.35.96 SUKARDI,TN (89 (6) thn) JOHNI SINAGA, dr. SP.P BPJS - 225.000 270.000 -45.000 14-11-2017/10:09:28 - Rawat Inap 22/14112017
44000857 000.01.81.51 SUTARWIN,TN (77 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM I 225.000 270.000 -45.000 14-11-2017/10:38:07 - Rawat Inap 23/14112017
44000858 000.07.35.97 SANI, NY (55 (5) thn) ANGGUN, drg UMUM - 34.000 33.600 400 14-11-2017/10:52:59 - Rawat Jalan 24/14112017
44000859 000.07.35.79 IFANA SAFITRI,NY (24 (1) thn) DIDI SUKANDI, dr. SP.A UMUM - 78.000 78.000 0 14-11-2017/10:56:13 - Rawat Inap 25/14112017
44000860 000.05.60.33 SITI AISAH, NY (40 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 14-11-2017/11:00:40 - Rawat Jalan 26/14112017
44000861 000.07.35.99 IPIH PIHRIYAH, NY (53 (5) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 225.000 270.000 -45.000 14-11-2017/11:19:44 - Rawat Inap 27/14112017
44000862 000.05.57.68 MUMUN MAEMUNAH, NY (39 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 99.000 118.800 -19.800 14-11-2017/11:20:40 - Rawat Inap 28/14112017
44000863 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 65.000 78.000 -13.000 14-11-2017/11:35:43 - Rawat Inap 29/14112017
44000864 000.07.23.13 ATIH,NY (57 (9) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/11:47:08 - Rawat Jalan 30/14112017
44000865 000.07.36.01 SARIHAM,NY (29 (2) thn) ADE NURKACAN, dr. SP.AN BPJS BPJS JAMKESMAS/KIS 117.000 140.400 -23.400 14-11-2017/11:56:34 - Rawat Inap 35/14112017
44000866 000.07.36.00 VIA OKTARA, AN (7 (1) thn) ADE NURKACAN, dr. SP.AN BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 14-11-2017/11:50:02 - Rawat Inap 32/14112017
44000867 000.07.34.94 NOVI TRIYANTI, NN (17 (2) thn) JOHNI SINAGA, dr. SP.P UMUM - 78.000 78.000 0 14-11-2017/11:50:58 - Rawat Inap 33/14112017
44000868 000.07.22.99 M.KARSID.S,TN (61 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 28.000 33.600 -5.600 14-11-2017/11:51:52 - Rawat Inap 34/14112017
44000869 000.07.17.99 ENDANG SUHANA , TN (52 (3) thn) RAJASA, dr. SP.URO BPJS BPJS PNS III 34.000 33.600 400 14-11-2017/11:59:44 - Rawat Inap 35/14112017
44000870 000.06.18.62 HAMDANI, TN (52 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 40.000 48.000 -8.000 14-11-2017/12:20:31 - Rawat Inap 36/14112017
44000871 000.06.25.95 AMAT RAHMAT,TN (67 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 28.000 33.600 -5.600 14-11-2017/12:28:02 - Rawat Jalan 37/14112017
44000872 000.02.36.77 TARKIWAN, TN (70 (8) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 14-11-2017/12:28:44 - Rawat Jalan 38/14112017
44000873 000.05.21.85 ENDANG JUHARA, TN (75 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 28.000 33.600 -5.600 14-11-2017/12:30:20 - Rawat Jalan 39/14112017
44000874 000.04.20.71 AHMAD MAWARDI, H, TN (66 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 28.000 33.600 -5.600 14-11-2017/12:56:30 - Rawat Jalan 40/14112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000875 000.04.74.49 SAITEM , NY (59 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/12:57:07 - Rawat Jalan 41/14112017
44000876 000.06.40.92 MUCHTAR MADHALIM, TN (65 (0) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS PNS IV 28.000 33.600 -5.600 14-11-2017/12:57:46 - Rawat Jalan 42/14112017
44000877 000.07.36.06 SUYATI,NN (22 (6) thn) SANTO ISMANTO, dr UMUM - 153.600 153.600 0 14-11-2017/13:19:33 - Rawat Jalan 43/14112017
44000878 000.07.36.03 FAIZHA SYAHLA KAMILA, AN (4 (11) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK I 117.000 140.400 -23.400 14-11-2017/13:22:33 - Rawat Inap 44/14112017
44000879 000.05.53.05 LINDA KURNIAWATI,NY (34 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS JAMSOSTEK I 28.000 33.600 -5.600 14-11-2017/13:24:29 - Rawat Jalan 45/14112017
44000880 000.06.06.36 DEWI PUTRI PERMATASARI, NN (21 (0) thn) DOKTER LUAR RSI KARA.. - 255.600 255.600 0 14-11-2017/13:26:19 - Rawat Jalan 46/14112017
44000881 000.06.31.42 YAYAH, NY (51 (7) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 14-11-2017/13:27:43 - Rawat Jalan 47/14112017
44000882 000.07.30.84 ADJI DULKHAIRIN, TN (58 (0) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. KARAWA.. - 20.000 33.600 -13.600 14-11-2017/13:35:50 - Rawat Jalan 48/14112017
44000883 000.07.36.04 MIJIH, TN (37 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/13:36:43 - Rawat Jalan 49/14112017
44000884 000.06.44.56 ATI,NY (43 (10) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/14:04:59 - Rawat Jalan 50/14112017
44000885 000.07.14.43 MINAH,NY (51 (11) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 14-11-2017/14:06:25 - Rawat Jalan 51/14112017
44000886 000.07.36.06 SUYANTI,NN (22 (6) thn) YUNUS, dr. SP. B UMUM - 204.000 201.600 2.400 14-11-2017/14:08:30 - Rawat Inap 52/14112017
44000887 000.05.77.95 MAKSUM , TN (55 (6) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS - 28.000 33.600 -5.600 14-11-2017/14:13:54 - Rawat Jalan 53/14112017
44000888 000.07.25.40 IDEN, TN (74 (4) thn) ISMAIL YUSUF, dr. SP. PD (DOKTER.. BPJS BPJS UMUM I 261.000 313.200 -52.200 14-11-2017/14:55:38 - Rawat Inap 54/14112017
44000889 000.06.39.47 KINAH, NY (53 (7) thn) SANTO ISMANTO, dr UMUM - 334.500 332.400 2.100 14-11-2017/14:59:13 - Rawat Inap 55/14112017
44000890 000.04.60.83 UCU, HJ, NY (55 (9) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 313.000 375.600 -62.600 14-11-2017/15:01:00 - Rawat Inap 56/14112017
44000891 000.05.99.17 DEVINA SRIRAHAYU, AN (1 (6) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 117.000 140.400 -23.400 14-11-2017/15:02:25 - Rawat Inap 57/14112017
44000892 000.04.48.07 EDAH,NY (40 (6) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM II 28.000 33.600 -5.600 14-11-2017/15:20:56 - Rawat Jalan 58/14112017
44000893 000.03.63.30 NETTI SADRIS WARTINI, NY (52 (2) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS PNS III 28.000 33.600 -5.600 14-11-2017/15:23:57 - Rawat Jalan 59/14112017
44000894 000.07.36.15 ENCAR, NY (60 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 14-11-2017/16:04:46 - Rawat Inap 60/14112017
44000895 000.07.36.13 NENI, NY (37 (5) thn) H. AGUS M SUKANDAR, dr. MH., M... BPJS JAMSOSTEK II 225.000 270.000 -45.000 14-11-2017/16:08:00 - Rawat Inap 61/14112017
44000896 000.07.20.18 HIDAYAT,TN (60 (3) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM II 28.000 33.600 -5.600 14-11-2017/16:09:03 - Rawat Jalan 62/14112017
44000897 000.07.36.12 ASMANAH, NY (63 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 93.000 111.600 -18.600 14-11-2017/16:11:55 - Rawat Inap 63/14112017
44000898 000.07.20.18 HIDAYAT,TN (60 (3) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM II 28.000 33.600 -5.600 14-11-2017/16:13:37 - Rawat Jalan 64/14112017
44000899 000.07.36.15 ENCAR, NY (60 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 52.000 62.400 -10.400 14-11-2017/16:20:03 - Rawat Inap 65/14112017
44000900 000.03.86.72 UDJU ZULKARNAEN , TN (46 (6) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS UMUM III 225.000 270.000 -45.000 14-11-2017/16:25:10 - Rawat Inap 66/14112017
44000901 000.07.35.08 DASEM, NY (50 (8) thn) YUNUS, dr. SP. B BPJS BPJS UMUM III 129.000 154.800 -25.800 14-11-2017/17:02:02 - Rawat Jalan 67/14112017
44000902 000.07.02.96 ADE ANDRIYANI,NN (17 (1) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 65.000 78.000 -13.000 14-11-2017/17:08:45 - Rawat Inap 68/14112017
44000903 000.07.36.16 ELVIOLA OKTAVIANI, AN (7 (1) thn) H. AGUS M SUKANDAR, dr. MH., M... ASURANSI MEDICARE 140.500 140.400 100 14-11-2017/17:13:28 - Rawat Inap 69/14112017
44000904 000.07.27.58 ANGKON NAWIRA, TN (60 (4) thn) RAJASA, dr. SP.URO UMUM - 112.000 111.600 400 14-11-2017/17:39:12 - Rawat Inap 70/14112017
44000905 000.05.75.23 SRIYAMI, NY (49 (11) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 304.000 370.800 -66.800 14-11-2017/18:18:03 - Rawat Inap 71/14112017
44000906 000.07.36.17 ANING, TN (82 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 126.000 151.200 -25.200 14-11-2017/18:49:28 - Rawat Inap 72/14112017
44000907 000.04.19.66 DAVINA SAHIRA ANDRIANSYAH, AN (5 (5) t.. H. AGUS M SUKANDAR, dr. MH., M... BPJS BPJS UMUM II 117.000 140.400 -23.400 14-11-2017/21:14:33 - Rawat Inap 73/14112017
44000908 000.07.36.18 OOM MARYAMAH, NY (40 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 277.000 332.400 -55.400 14-11-2017/21:46:06 - Rawat Inap 74/14112017
44000909 000.05.60.28 NURMALITA SARI, NY (28 (5) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 324.000 388.800 -64.800 14-11-2017/21:50:08 - Rawat Inap 75/14112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000910 000.06.54.04 SITI LISTIANA DEWI, AN (1 (8) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 117.000 140.400 -23.400 14-11-2017/22:37:53 - Rawat Inap 76/14112017
44000911 000.05.66.17 NADA FAJRA NADIFA, AN (2 (10) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS PNS IV 78.000 78.000 0 15-11-2017/05:00:29 - Rawat Inap 1/15112017
44000912 000.07.17.99 ENDANG SUHANA , TN (52 (3) thn) RAJASA, dr. SP.URO BPJS BPJS PNS III 78.000 78.000 0 15-11-2017/05:02:28 - Rawat Inap 2/15112017
44000913 000.07.35.79 IFANA SAFITRI,NY (24 (1) thn) MOCH PURNOMO, dr SP.PD UMUM - 78.000 78.000 0 15-11-2017/05:03:37 - Rawat Inap 3/15112017
44000914 000.07.36.17 ANING, TN (82 (4) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 15-11-2017/07:05:49 - Rawat Inap 4/15112017
44000915 000.07.35.42 KUSNADI,TN (58 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 15-11-2017/07:06:24 - Rawat Inap 5/15112017
44000916 000.06.73.46 EUIS DARYANTI, NY (32 (9) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 65.000 78.000 -13.000 15-11-2017/07:07:21 - Rawat Inap 6/15112017
44000917 000.05.60.28 NURMALITA SARI, NY (28 (5) thn) H. M. SALEH, dr. SP.OG BPJS BPJS UMUM III 65.000 78.000 -13.000 15-11-2017/07:08:14 - Rawat Inap 7/15112017
44000918 000.07.22.99 M.KARSID.S,TN (61 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM III 243.000 291.600 -48.600 15-11-2017/07:11:40 - Rawat Inap 8/15112017
44000919 000.07.35.99 IPIH PIHRIYAH, NY (53 (5) thn) WURY ISWARSIGIT, dr. SP. B BPJS BPJS UMUM III 28.000 33.600 -5.600 15-11-2017/07:12:40 - Rawat Inap 9/15112017
44000920 000.07.35.21 KOMARIAH, NY (53 (6) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 15-11-2017/07:13:24 - Rawat Inap 10/15112017
44000921 000.07.35.26 KOKOM, NY (53 (3) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 15-11-2017/07:13:58 - Rawat Inap 11/15112017
44000922 000.06.69.81 SULARSIH,NY (59 (6) thn) JOHNI SINAGA, dr. SP.P BPJS BPJS PNS IV 28.000 33.600 -5.600 15-11-2017/07:14:46 - Rawat Inap 12/15112017
44000923 000.03.95.83 WANGSIH , NY (53 (2) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS III 28.000 33.600 -5.600 15-11-2017/07:15:37 - Rawat Inap 13/15112017
44000924 000.06.80.16 MIMIN KUSMINIARTI, NY (46 (3) thn) YUNUS, dr. SP. B BPJS BPJS UMUM I 132.000 158.400 -26.400 15-11-2017/07:34:23 - Rawat Inap 14/15112017
44000925 000.07.36.20 EUIS DARYANTI, BY NY (0 (1) thn) DIDI SUKANDI, dr. SP.A BPJS JAMSOSTEK II 90.000 108.000 -18.000 15-11-2017/07:36:05 - Rawat Inap 15/15112017
44000926 000.07.36.21 NURMALITA SARI,BY NY (0 (0) thn) DIDI SUKANDI, dr. SP.A BPJS BPJS UMUM III 90.000 108.000 -18.000 15-11-2017/07:37:04 - Rawat Inap 16/15112017
44000927 000.04.77.40 ARMAT, H, TN (70 (2) thn) YUNUS, dr. SP. B BPJS BPJS UMUM II 195.000 234.000 -39.000 15-11-2017/07:40:01 - Rawat Inap 17/15112017
44000928 000.07.31.03 HERDI, TN (55 (3) thn) RAJASA, dr. SP.URO BPJS BPJS PNS IV 160.000 192.000 -32.000 15-11-2017/08:17:56 - Rawat Jalan 18/15112017
44000929 000.07.36.22 ABDULOH, TN (27 (4) thn) RAJASA, dr. SP.URO BPJS BPJS JAMKESMAS/KIS 66.000 79.200 -13.200 15-11-2017/08:18:33 - Rawat Jalan 19/15112017
44000930 000.07.36.26 NOVIA, NY (22 (0) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM III 66.000 79.200 -13.200 15-11-2017/08:41:50 - Rawat Jalan 20/15112017
44000931 000.05.09.75 ACIM BIN USA H, TN (78 (9) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM III 420.000 48.000 372.000 15-11-2017/08:53:07 - Rawat Inap 21/15112017
44000932 000.07.36.23 KARNA WIJAYA, H, TN (67 (7) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM III 192.000 230.400 -38.400 15-11-2017/09:00:17 - Rawat Jalan 22/15112017
44000933 000.04.91.32 JAYA BIN ACE, TN (58 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 15-11-2017/09:04:59 - Rawat Jalan 23/15112017
44000934 000.07.36.28 ATIM, TN (62 (11) thn) RAHMATIKA, dr BPJS BPJS JAMKESMAS/KIS 225.000 270.000 -45.000 15-11-2017/09:12:01 - Rawat Jalan 24/15112017
44000935 000.07.21.90 YAN LIH WIJAYA, NY (34 (0) thn) H. M. SALEH, dr. SP.OG BPJS JAMSOSTEK II 296.000 355.200 -59.200 15-11-2017/09:14:30 - Rawat Inap 25/15112017
44000936 000.07.36.26 NOVIA, NY (22 (0) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM III 98.000 117.600 -19.600 15-11-2017/09:16:18 - Rawat Jalan 26/15112017
44000937 000.07.36.35 SITI NURAISYAH, NY (23 (7) thn) AVIANDO ADITYA PUTRA, dr (DOKT.. UMUM - 180.000 78.000 102.000 15-11-2017/09:17:59 - Rawat Jalan 27/15112017
44000938 000.07.31.91 SELVIA NUR, NN (16 (5) thn) YUNUS, dr. SP. B BPJS BPJS JAMKESMAS/KIS 168.000 201.600 -33.600 15-11-2017/09:18:11 - Rawat Inap 28/15112017
44000939 000.07.02.62 R. NAFIDI FEBRI MADURATNO, TN (42 (9) th.. MOCH PURNOMO, dr SP.PD KARAWA.. - 85.250 165.600 -80.350 15-11-2017/09:20:42 - Rawat Jalan 29/15112017
44000940 000.07.36.32 SYAMSUDIN HUTAJULU, TN (62 (6) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM II 192.000 230.400 -38.400 15-11-2017/09:22:00 - Rawat Jalan 30/15112017
44000941 000.04.91.32 JAYA BIN ACE, TN (58 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 15-11-2017/09:22:33 - Rawat Jalan 31/15112017
44000942 000.07.32.62 MISNA, TN (67 (9) thn) RAJASA, dr. SP.URO BPJS BPJS UMUM I 66.000 79.200 -13.200 15-11-2017/09:30:30 - Rawat Jalan 32/15112017
44000943 000.03.80.35 JAMIDI, TN (68 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 28.000 33.600 -5.600 15-11-2017/09:34:22 - Rawat Jalan 33/15112017
44000944 000.04.03.75 SRI DWININGSIH, NY (61 (10) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 28.000 33.600 -5.600 15-11-2017/09:47:59 - Rawat Jalan 34/15112017
No Reg No RM Pasien Dr Pengirim Jenis Pa.. Penjamin Nilai(.. U.Cost(.. R/L(R.. Tgl / Jam Ana.. Jalan/In.. No Urut
44000945 000.03.80.35 JAMIDI, TN (68 (7) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS PNS IV 28.000 33.600 -5.600 15-11-2017/09:48:31 - Rawat Jalan 35/15112017
44000946 000.07.36.34 A. MURTANI, S.PD.I, TN (63 (6) thn) YUDITH E, dr. SP.S BPJS BPJS JAMKESMAS/KIS 33.000 39.600 -6.600 15-11-2017/09:53:33 - Rawat Jalan 36/15112017
44000947 000.07.35.17 MASIR,TN (87 (4) thn) ADE NURKACAN, dr. SP.AN BPJS BPJS JAMKESMAS/KIS 347.000 375.600 -28.600 15-11-2017/10:04:16 - Rawat Inap 37/15112017
44000948 000.07.36.34 A. MURTANI, S.PD.I, TN (63 (6) thn) YUDITH E, dr. SP.S BPJS BPJS JAMKESMAS/KIS 28.000 33.600 -5.600 15-11-2017/10:28:32 - Rawat Jalan 38/15112017
44000949 000.06.16.71 PATIMAH, NY (45 (5) thn) MOCH PURNOMO, dr SP.PD BPJS BPJS UMUM II 28.000 33.600 -5.600 15-11-2017/10:29:05 - Rawat Jalan 39/15112017

Total Transaksi : Rp 119.119.950


Total Unit Cost : Rp 123.039.600
__________________________________________
Rugi/Laba : Rp -3.919.650

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