No. Layanan Reg. Petugas Kode Reg No.

MR
1 MEDICAL CHECK UP MEIA HARGIANTI RG03112192 317272400574351
2 MEIA HARGIANTI RG03112449 317272400644177
3 MEIA HARGIANTI RG03112459 317272400644179
4 MEIA HARGIANTI RG03112470 3172724X0241340
5 MEIA HARGIANTI RG03112473 317272400644210
6 MEIA HARGIANTI RG03112479 317272400644206
7 MEIA HARGIANTI RG03112483 317272400644200
8 MEIA HARGIANTI RG03112486 317272400644237
9 MEIA HARGIANTI RG03112488 317272400644227
10 MEIA HARGIANTI RG03112489 317272400644225
11 MEIA HARGIANTI RG03112492 3172724X0241341
12 MEIA HARGIANTI RG03112498 3172724X0241342
13 MEIA HARGIANTI RG03112503 3172724X0241343
14 MEIA HARGIANTI RG03112506 3172724X0241344
15 MEIA HARGIANTI RG03112552 317272400644246
16 MEIA HARGIANTI RG03112561 3172724X0241348
17 MEIA HARGIANTI RG03112565 3172724X0241349
18 MEIA HARGIANTI RG03112574 3172724X0241351
19 MEIA HARGIANTI RG03112589 3172724X0241353
20 MEIA HARGIANTI RG03112591 3172724X0241354
21 MEIA HARGIANTI RG03112594 3172724X0241355
22 MEIA HARGIANTI RG03112597 3172724X0241356
23 MEIA HARGIANTI RG03112599 3172724X0241357
24 MEIA HARGIANTI RG03112602 3172724X0241358
25 MEIA HARGIANTI RG03112605 3172724X0241359
26 MEIA HARGIANTI RG03112608 3172724X0241360
27 MEIA HARGIANTI RG03112609 3172724X0241361
28 MEIA HARGIANTI RG03112611 3172724X0241362
29 MEIA HARGIANTI RG03112613 3172724X0241364
30 MEIA HARGIANTI RG03112614 3172724X0241365
31 MEIA HARGIANTI RG03112616 3172724X0241366
32 MEIA HARGIANTI RG03112617 3172724X0241367
33 MEIA HARGIANTI RG03112618 3172724X0241368
34 MEIA HARGIANTI RG03112621 3172724X0241369
35 MEIA HARGIANTI RG03112622 3172724X0241370
36 MEIA HARGIANTI RG03112623 3172724X0241371
37 MEIA HARGIANTI RG03112624 3172724X0241372
38 MEIA HARGIANTI RG03112625 3172724X0241373
39 MEIA HARGIANTI RG03112629 3172724X0241374
40 MEIA HARGIANTI RG03112631 3172724X0241375
41 MEIA HARGIANTI RG03112633 3172724X0241376
42 MEIA HARGIANTI RG03112634 3172724X0241377
43 MEIA HARGIANTI RG03112635 3172724X0241378
44 MEIA HARGIANTI RG03112637 3172724X0241379
45 MEIA HARGIANTI RG03112639 3172724X0241380
46 MEIA HARGIANTI RG03112641 3172724X0241381
47 MEIA HARGIANTI RG03112643 3172724X0241382
48 MEIA HARGIANTI RG03112651 3172724X0241385
49 MEIA HARGIANTI RG03112652 3172724X0241386
50 MEIA HARGIANTI RG03112654 3172724X0241387
51 MEIA HARGIANTI RG03112656 3172724X0241388
52 MEIA HARGIANTI RG03112657 3172724X0241389
53 MEIA HARGIANTI RG03112658 3172724X0241390
54 MEIA HARGIANTI RG03112659 3172724X0241391
55 MEIA HARGIANTI RG03112661 3172724X0241392
56 MEIA HARGIANTI RG03112662 3172724X0241393
57 MEIA HARGIANTI RG03112662 3172724X0241393
58 MEIA HARGIANTI RG03112664 3172724X0241394
59 MEIA HARGIANTI RG03112666 317272400644220
60 MEIA HARGIANTI RG03112666 317272400644220
61 MEIA HARGIANTI RG03112670 317272400644230
62 MEIA HARGIANTI RG03112682 317272400644176
63 MEIA HARGIANTI RG03112683 317272400644240
64 MEIA HARGIANTI RG03112685 317272400644239
65 MEIA HARGIANTI RG03112687 3172724X0241395
66 MEIA HARGIANTI RG03112689 3172724X0241396
67 MEIA HARGIANTI RG03112690 3172724X0241397
68 MEIA HARGIANTI RG03112810 317272400644221
69 MEIA HARGIANTI RG03112813 317272400644218
70 MEIA HARGIANTI RG03113143 3172724X0241486
71 MEIA HARGIANTI RG03113146 3172724X0241487
72 MEIA HARGIANTI RG03113477 3172724X0241543
73 -------------------- ------------------------- ---------- ---------------
74
75 TOTAL
Nama Pasien Instalasi Reg. Jaminan Kas
YONA MIMANDA INST. RAWAT JALAN RS. HAJI JAKARTA 0
MUHAMMAD KURNIA, TN INST. RAWAT JALAN UMUM 1300000
DELIP ATMAJA, TN INST. RAWAT JALAN UMUM 1300000
M NASRIL INST. RAWAT JALAN UMUM 0
ST AFIAH. S. AG INST. RAWAT JALAN UMUM 0
AYUBI INST. RAWAT JALAN UMUM 0
RAGUAN, S.AG.M.H INST. RAWAT JALAN UMUM 1325000
DEDI SATRIA HASMA, TN INST. RAWAT JALAN UMUM 0
AHMAT LATIF INST. RAWAT JALAN UMUM 0
SAPRIANOOR INST. RAWAT JALAN UMUM 1300000
AGUNG PRIYO INST. RAWAT JALAN UMUM 1300000
FAJRIIN INST. RAWAT JALAN UMUM 0
SUGI HADYANTO INST. RAWAT JALAN UMUM 0
MAARUF IBNU CHOIR INST. RAWAT JALAN UMUM 0
H. MUHAMMAD ALBARR, TN INST. RAWAT JALAN UMUM 1300000
BUDI BUDIANA INST. RAWAT JALAN UMUM 0
UTAM ANDRI INST. RAWAT JALAN UMUM 0
MARA HALIM HARAHAP INST. RAWAT JALAN UMUM 1300000
AMALIA KARIM INST. RAWAT JALAN UMUM 1325000
SADIQIN INST. RAWAT JALAN UMUM 1300000
ACHMAD CHRISMAN INST. RAWAT JALAN UMUM 0
IRWAN TAUFIK INST. RAWAT JALAN UMUM 1300000
ALFIH SYAHRUDIN INST. RAWAT JALAN UMUM 0
BASRI INST. RAWAT JALAN UMUM 1300000
SOPIYAN KOMARI INST. RAWAT JALAN UMUM 0
NUR AZIZAH INST. RAWAT JALAN UMUM 1325000
AMRISON PUTRAWAN INST. RAWAT JALAN UMUM 0
BONDAN BAYU AJI INST. RAWAT JALAN UMUM 0
JOKO FIRMANSYAH INST. RAWAT JALAN UMUM 0
FITRIANI MUTHALIB INST. RAWAT JALAN UMUM 1325000
MANGKARTO INST. RAWAT JALAN UMUM 1300000
JAJANG H INST. RAWAT JALAN UMUM 1300000
NEVY SHINTA INST. RAWAT JALAN UMUM 1300000
ZAINAL ARIFIN INST. RAWAT JALAN UMUM 0
KAILANI INST. RAWAT JALAN UMUM 0
IRSYADI INST. RAWAT JALAN UMUM 0
TRI ANDRIANI INST. RAWAT JALAN UMUM 1325000
KHALIDATUL HUSNA INST. RAWAT JALAN UMUM 0
MUSTIKA ANGGIANI PUTRI INST. RAWAT JALAN UMUM 0
YUSMAR BUDI INST. RAWAT JALAN UMUM 0
ANDI HARDIANGSAH INST. RAWAT JALAN UMUM 1300000
LA ODE MARDANGKI INST. RAWAT JALAN UMUM 1300000
SUSANTO INST. RAWAT JALAN UMUM 0
RAMLAN SUDARTO INST. RAWAT JALAN UMUM 1165000
KASMAN INST. RAWAT JALAN UMUM 1300000
SANDY AGUS PURNOMO INST. RAWAT JALAN UMUM 0
SETYO NUGROHO INST. RAWAT JALAN UMUM 0
DADAN RAMDAN INST. RAWAT JALAN UMUM 0
HERMAN DARMAWANTO INST. RAWAT JALAN UMUM 1300000
AHMAD ZAINUL HAMDI INST. RAWAT JALAN UMUM 1300000
ABDUL BASIT SUBADRI INST. RAWAT JALAN UMUM 1300000
M MUHSON INST. RAWAT JALAN UMUM 0
BUDIYONO INST. RAWAT JALAN UMUM 1300000
SUWONO WIDIYANTO INST. RAWAT JALAN UMUM 185000
AHMAD RIDANI INST. RAWAT JALAN UMUM 185000
IKHWANUL MUKMININ INST. RAWAT JALAN UMUM 0
IKHWANUL MUKMININ INST. RAWAT JALAN UMUM 0
LAMPANE INST. RAWAT JALAN UMUM 1300000
MUJIB FAHMI BASYUNI INST. RAWAT JALAN UMUM 0
MUJIB FAHMI BASYUNI INST. RAWAT JALAN UMUM 0
LUKMAN NULHAKIM,SH INST. RAWAT JALAN UMUM 0
NOLAHIRA KAPERA BALI INST. RAWAT JALAN UMUM 0
SYARIFUL AJIB INST. RAWAT JALAN UMUM 1300000
SUNHAJI INST. RAWAT JALAN UMUM 1300000
SARAH AT TAUHIDAH INST. RAWAT JALAN UMUM 0
NURAISAH SEPTIARINI INST. RAWAT JALAN UMUM 0
TSAQIFAH AZLIB TAFAWWUQ INST. RAWAT JALAN UMUM 0
DEWI SEKAR TANJUNG INST. RAWAT JALAN UMUM 0
WAHYU DWI RATNAWATI INST. RAWAT JALAN UMUM 0
M NATSIR INST. RAWAT JALAN UMUM 0
ETTY SHANTI INST. RAWAT JALAN UMUM 185000
NASIR INST. RAWAT JALAN UMUM 185000
------------------------------ -------------------- -------------------- -------------

37130000
Kartu Debit Nama Kartu Debit Kartu Kredit
1325000 DEBET BCA 0
0 0
0 0
1300000 DEBET BCA 0
1325000 TRANSFER BSI 0
1300000 DEBET BCA 0
0 0
1300000 DEBET BCA 0
1300000 TRANSFER BSI 0
0 0
0 0
1300000 TRANSFER BSI 0
1300000 TRANSFER BSI 0
1300000 TRANSFER BSI 0
0 0
1300000 TRANSFER BSI 0
1300000 TRANSFER BSI 0
0 0
0 0
0 0
1300000 TRANSFER BSI 0
0 0
1300000 DEBET BCA 0
0 0
1300000 TRANSFER BSI 0
0 0
1300000 TRANSFER BSI 0
1300000 DEBET BCA 0
1300000 TRANSFER BSI 0
0 0
0 0
0 0
0 0
1300000 TRANSFER BSI 0
1300000 TRANSFER BSI 0
1300000 TRANSFER BSI 0
0 0
1325000 TRANSFER BSI 0
1325000 TRANSFER BSI 0
1300000 DEBET BCA 0
0 0
0 0
1300000 DEBET BCA 0
0 0
0 0
1300000 DEBET BCA 0
1165000 TRANSFER BSI 0
1300000 DEBET BCA 0
0 0
0 0
0 0
1300000 TRANSFER BSI 0
0 0
0 0
0 0
0 0
1300000 TRANSFER BSI 0
0 0
0 0
1300000 TRANSFER BSI 0
1300000 DEBET BCA 0
1325000 TRANSFER BSI 0
0 0
0 0
1325000 DEBET BCA 0
1325000 DEBET BCA 0
1325000 DEBET BCA 0
1325000 DEBET BCA 0
1325000 TRANSFER BSI 0
1300000 DEBET BCA 0
0 0
0 0
------------- ------------------------------ -------------

49515000 0
Nama Kartu Kredit Piutang Potongan Deposit
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 1300000
0 0 0
0 0 0
0 0 1300000
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
------------------------------ ------------- ------------- -------------

0 0 2600000