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LAPORAN REKAP
Pasien KLAIM
Rawat - RSB
Inap AINUNJalan, Periode Tanggal Pulang: 1 Jun 2018 s/d 30 Jun 2018
dan Rawat
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = T

No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien

1 31 Mei 2018 2 Jun 2018 005177 ZUMROTUS SOLIKAH
2 31 Mei 2018 2 Jun 2018 005882 BY NY ZUMROTUS SOLIKAH II
3 31 Mei 2018 2 Jun 2018 005883 BY NY ZUMROTUS SOLIKAH
4 1 Jun 2018 3 Jun 2018 004883 DIYAN TRI KARTIKAWATI
5 1 Jun 2018 3 Jun 2018 005886 BY NY DIYAN TRI KARTIKAWATI
6 3 Jun 2018 4 Jun 2018 004358 EKA SETYANINGSIH
7 3 Jun 2018 4 Jun 2018 005894 BY NY EKA SETYANINGSIH
8 5 Jun 2018 7 Jun 2018 005431 SITI FATIMAH
9 5 Jun 2018 7 Jun 2018 005902 BY NY SITI FATIMAH
10 5 Jun 2018 7 Jun 2018 005904 BY NY MARIAM
11 6 Jun 2018 7 Jun 2018 005147 MIRAWATI
12 5 Jun 2018 7 Jun 2018 005795 MARIAM
13 7 Jun 2018 8 Jun 2018 005780 HANIFAH
14 7 Jun 2018 8 Jun 2018 005930 BY NY HANIFAH
15 8 Jun 2018 9 Jun 2018 005914 NORHIDAYATI
16 8 Jun 2018 9 Jun 2018 005917 BY NY NORHIDAYATI
17 9 Jun 2018 10 Jun 2018 005921 BY NY SYARIFAH
18 9 Jun 2018 10 Jun 2018 004719 SYARIFAH
19 9 Jun 2018 11 Jun 2018 004484 RUSMIATI
20 9 Jun 2018 11 Jun 2018 005922 BY NY RUSMIATI
21 11 Jun 2018 14 Jun 2018 005021 SRI SUSANTI
22 12 Jun 2018 14 Jun 2018 005938 BY NY SRI SUSANTI
23 19 Jun 2018 20 Jun 2018 005818 DARTI SUTINI
24 19 Jun 2018 21 Jun 2018 005962 BY NY ITA PURNAMASARI
25 18 Jun 2018 21 Jun 2018 005430 ITA PURNAMA SARI
26 22 Jun 2018 23 Jun 2018 005847 ECIN KUMALASARI
27 24 Jun 2018 25 Jun 2018 006004 BY NY RUSMALINA
28 23 Jun 2018 25 Jun 2018 004874 HARISA PUTRI
29 24 Jun 2018 25 Jun 2018 004454 RUSMALINA
30 26 Jun 2018 28 Jun 2018 005953 TUMINI
31 26 Jun 2018 28 Jun 2018 006018 BY NY TUMINI
Total
Kode RS: 6301014

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ang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA

No. SEP INACBG Top Up Total Tarif Tarif RS Jenis

0281R0010518V000151 O-6-10-II 5,397,000 11,187,000 RI
0281R0010518V000153 P-8-13-II 8,233,800 6,243,500 RI
0281R0010518V000152 P-8-13-II 8,233,800 6,243,500 RI
0281R0010618V000001 O-6-10-I 7,153,300 13,047,000 RI
0281R0010618V000005 P-8-17-I 4,926,200 7,673,500 RI
0281R0010618V000006 O-6-13-II 2,321,000 5,417,000 RI
0281R0010618V000007 P-8-17-I 4,222,400 4,618,500 RI
0281R0010618V000017 O-6-10-II 6,476,300 12,407,000 RI
0281R0010618V000019 P-8-17-I 4,222,400 8,363,500 RI
0281R0010618V000026 P-8-08-I 4,876,300 8,363,500 RI
0281R0010618V000024 O-6-13-II 1,934,200 5,147,000 RI
0281R0010618V000025 O-6-10-I 5,109,500 12,407,000 RI
0281R0010618V000027 O-6-13-II 1,934,200 5,147,000 RI
0281R0010618V000035 P-8-17-I 3,518,700 3,673,500 RI
0281R0010618V000034 O-6-13-I 1,961,000 5,417,000 RI
0281R0010618V000062 P-8-17-I 4,222,400 4,618,500 RI
0281R0010618V000061 P-8-13-I 7,389,300 5,028,500 RI
0281R0010618V000039 O-6-13-II 2,707,900 5,927,000 RI
0281R0010618V000038 O-6-10-I 6,131,400 12,407,000 RI
0281R0010618V000043 P-8-17-I 4,222,400 8,363,500 RI
0281R0010618V000048 O-6-10-I 5,109,500 11,187,000 RI
0281R0010618V000049 P-8-17-I 3,518,700 6,243,500 RI
0281R0010618V000058 O-6-13-II 2,707,900 5,927,000 RI
0281R0010618V000060 P-8-17-I 3,518,700 6,243,500 RI
0281R0010618V000056 O-6-10-I 5,109,500 11,187,000 RI
0281R0010618V000066 W-1-11-I 1,752,900 4,154,000 RI
0281R0010618V000091 P-8-17-I 4,222,400 4,618,500 RI
0281R0010618V000072 O-6-10-I 6,131,400 12,407,000 RI
0281R0010618V000073 O-6-13-II 2,321,000 5,417,000 RI
0281R0010618V000081 O-6-10-I 6,131,400 13,047,000 RI
0281R0010618V000082 P-8-17-I 4,222,400 8,363,500 RI
139,939,300 240,495,000

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