REKAP JASA MEDIS 26 MEI 2016 s/d 25 JUNI 2016

UMUM
No Tanggal
Nama Nominal
Masuk Keluar
1 5/25/2016 5/30/2016 An. Arini Usyaeroh (III-Ut) Rp 190,000
2 5/28/2016 5/30/2016 An. Ahmad Minan.A (III) Rp 45,000
3 5/27/2016 5/31/2016 An. Dimas Gathan.N (Ut) Rp 175,000
4 6/17/2016 6/18/2016 An.Alfaro (III) Rp 30,000
5 6/14/2016 6/19/2016 An. Alia Lulu. R (I) Rp 180,000
6 5/22/2016 5/26/2016 An. Najwa Auliya (III) Rp 100,000
7 5/26/2016 5/2/2016 An.M.Zaki (Ut) Rp 280,000
8 5/30/2016 6/1/2016 An. M.Zidnil Umri (III) Rp 45,000
9 5/26/2016 03/06/2016 An. Zaki Pratama (I-Ut) Rp 275,000
10 5/31/2016 03/06/2016 An.Moh.Azzam Nur(I) Rp 80,000
11 6/1/2016 03/06/2016 An. Fairel (Ut) Rp 105,000
12 6/2/2016 6/6/2016 An. Tasya Faradila (Ut) Rp 175,000
13 6/5/2016 6/9/2016 An.M.Azza Fauzi (III) Rp 75,000
14 6/9/2016 6/11/2016 An.Attar (Vip) Rp 120,000
15 6/10/2016 6/11/2016 An. Salman Alfarizi (Ut) Rp 70,000
16 6/10/2016 6/13/2016 An.Fatimah (Ut) Rp 140,000
17 6/12/2016 6/15/2016 An.Yudistira Atmaja (Ut) Rp 140,000
18 6/14/2016 6/17/2016 An.Nazril Gibran (Ut) Rp 140,000
19 6/17/2016 6/20/2016 An. Luthfi Santoso (I) Rp 120,000
20 6/18/2016 6/21/2016 An. Nada Nafisah (III) Rp 60,000
21 6/21/2016 6/21/2016 Tn.Badori (III) Rp 15,000
22 6/18/2016 6/22/2016 An. Ramadhan Alfaro (III) Rp 75,000
23 6/21/2016 6/22/2016 An.Fairel (Ut) Rp 70,000
24 6/20/2016 6/23/2016 Ny. Sarjonah (III) Rp 60,000
25 6/23/2016 6/24/2016 Ny. Aisyah (II) Rp 40,000
Rp 2,805,000
Pajak 1% Rp 28,050
Rp 2,776,950
JM (40%*Rp.2.776.950,-) Rp 1,110,780

REKAP JASA MEDIS 26 MEI 2016 s/d 25 JUNI 2016

BPJS
No Tanggal
Nama Nominal 50%
Masuk Keluar
1 5/25/2016 5/28/2016 An. Wafa Albanan (II) Rp 80,000 Rp 40,000
2 5/26/2016 5/28/2016 An. Bagus Satrio.P (III) Rp 45,000 Rp 22,500
3 5/26/2016 5/28/2016 An. M. Riski Katabillah (III) Rp 45,000 Rp 22,500
 4 5/27/2016 5/28/2016 An. Tsamara Janis.P (I) Rp 60,000 Rp 30,000
5 5/26/2016 5/30/2016 An. Alfi Rizka (II) Rp 100,000 Rp 50,000
6 5/27/2016 5/30/2016 Ny. Muhatiyah (III) Rp 60,000 Rp 30,000
7 5/31/2016 01/06/2016 An. Feri Muraizam (III) Rp 30,000 Rp 15,000
8 6/2/2016 04/06/2016 An. Agastya (III) Rp 45,000 Rp 22,500
9 6/2/2016 05/06/2016 Sdr. Ulil Absor (III) Rp 60,000 Rp 30,000
10 6/4/2016 6/8/2016 An. Nuruz Zahra (III) Rp 75,000 Rp 37,500
11 6/6/2016 6/9/2016 An. Aulia Qurottuayun (III) Rp 60,000 Rp 30,000
12 6/9/2016 6/10/2016 An. Zalika Yumna (III) Rp 30,000 Rp 15,000
13 6/8/2016 6/11/2016 Ny. Sumarni (III) Rp 60,000 Rp 30,000
14 6/10/2016 6/13/2016 Ny. Tarmiah (III) Rp 60,000 Rp 30,000
15 6/9/2016 6/13/2016 Ny.Supiyah (III) Rp 75,000 Rp 37,500
16 6/15/2016 6/17/2016 An. M. Sidqi Nafi P (I) Rp 90,000 Rp 45,000
17 6/15/2016 6/17/2016 Tn. Alip (III) Rp 45,000 Rp 22,500
18 6/15/2016 6/18/2016 An. Shindi Aninda.L (III) Rp 60,000 Rp 30,000
19 6/19/2016 6/22/2016 Ny. Suratmi (III) Rp 60,000 Rp 30,000
Rp 570,000

BPJS Naik Kelas Rp 570,000

1 5/25/2016 5/26/2016 Ny. Mainem (I-Vip) Rp 80,000 Rp 40,000
2 5/24/2016 5/27/2016 An. Tsamara (I-Ut) Rp 140,000 Rp 70,000
3 6/5/2016 6/8/2016 An. Rizki Khaerunisa (I-Ut) Rp 140,000 Rp 70,000
4 6/4/2016 6/13/2016 An. Rafaza (I-Ut) Rp 350,000 Rp 175,000
Rp 925,000

JAMKESDA Rp 925,000
1 6/4/2016 6/6/2016 An. Disti (III) Rp 45,000 Rp 22,500
2 6/22/2016 6/24/2016 Ny. Turyanti (III) Rp 45,000 Rp 22,500
Rp 970,000
Pajak 1% Rp 9,700
Rp 960,300
JM (40%*Rp.960.300,-) Rp 384,120
BPJS

BPJS Naik KLS

Jamkesda