Beruflich Dokumente
Kultur Dokumente
<tr class="form">
<td align="center" colspan="9">
<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL POLI UMUM<br>
BULAN 01-01-1970 - 01-01-1970 </span></big></big>
</td>
</tr>
</table>
<table align='center'>
<tr>
<td>Total</td>
<td>:</td>
<td>49</td>
</tr>
</table>
<table align="center" width="98%" border="1">
<tr class="row1">
<td width='3%'>No</td>
<td width='6%'>Tanggal</td>
<td width='6%'>No RM</td>
<td width='10%'>Nama</td>
<td width='6%'>Desa</td>
<td width='5%'>Kecamatan</td>
<td width='5%'>Kabupaten</td>
<td width='6%'>Umur</td>
<td width='2%'>L/P</td>
<td width='7%'>Pekerjaan</td>
<td width='7%'>Ruangan</td>
<td width='4%'>Status</td>
<td>Kasus</td>
<td>Cara Bayar</td>
<td>Biaya</td>
<td>Diagnosa</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
15000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<tr align="left" valign="top">
<td>11</td>
<td>20-06-2017</td>
<td>005565</td>
<td>DWI HANDAYANI</td>
<td>PUTAT</td>
<td>GEGER</td>
<td> MADIUN</td>
<td >13 T-0 B-16 H</td>
<td>P</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS <br>PBI (APBN)<br> <font
color='red'>130703020617Y000527</font></td>
<td>
15000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
<table width='100%' border='1'>
<tr valign="top">
<td width='20%'>T14.1</td>
<td >Open wound of unspecified body region</td>
</tr>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
20000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
15000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
15000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
15000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<tr align="left" valign="top">
<td>46</td>
<td>05-06-2017</td>
<td>005235</td>
<td>ALEX SUHARTANTO</td>
<td>KAIBON</td>
<td>GEGER</td>
<td> MADIUN</td>
<td >22 T-8 B-1 H</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KUNJUNGAN KASUS LAMA</td>
<td>BPJS <br>PEGAWAI SWASTA<br> <font
color='red'>130703020617Y000082</font></td>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
<td>
15000 </td>
<td>
</table>
</td>
</tr>
<td>
5000 </td>
<td>
</table>
</td>
</tr>
</table>