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LAPORAN PASIEN RAWAT JALAN PPK-BLUD UPT PUSKESMAS SAGARANTEN

BULAN PEBRUARI 2018

NO TANGGAL ASKES Bpjs JAMKESDA Catin Kir POLI UMUM POLI GIGI Kia JUMLAH

1 1 1 12 0 0 1 14 8 8 30
2 2 1 7 1 0 0 10 3 5 18
3 3 1 10 1 0 0 13 5 3 21
4 5 5 20 0 0 0 9 11 10 30
5 6 0 14 1 0 0 13 5 4 22
6 7 1 4 0 0 0 6 9 2 17
7 8 4 19 1 0 0 11 5 13 29
8 9 0 11 2 0 0 15 6 5 26
9 10 1 17 1 0 1 13 4 6 23
10 12 4 27 1 0 0 19 12 12 43
11 13 3 24 0 2 0 16 12 2 30
12 14 1 12 0 0 0 6 5 6 17
13 15 0 8 2 0 0 13 2 9 24
14 17 1 7 0 0 1 12 0 7 19
15 19 2 21 1 0 0 22 0 10 32
16 20 0 18 0 0 0 9 0 5 14
17 21 2 11 1 0 0 7 18 2 27
18 22 1 25 1 0 0 10 4 11 25
19 23 4 12 1 0 0 11 6 6 23
20 24 5 12 0 0 0 13 3 2 18
21 26 3 21 1 0 0 22 10 9 41
22 27 3 13 0 0 0 13 9 6 28
23 28 1 14 0 0 0 12 4 7 23
JUMLAH 44 339 15 2 3 289 141 150 580

Mengetahui, Sukabumi 28 februari 2018


Kepala PPK BLUD UPT Puskesmas sagaranten Petugas RR

KARMI, SKM , MM. SADARWAN


NIP.197010171997031008
TGL KIR KARCIS JUMLAH CATIN KARCIS JUMLAH POLI UMUM KARCIS
1 1 10,000 Rp 10,000 0 20,000 Rp - 14 5,000
2 0 10,000 Rp - 0 20,000 Rp - 10 5,000
3 0 10,000 Rp - 0 20,000 Rp - 13 5,000
5 0 10,000 Rp - 0 20,000 Rp - 9 5,000
6 0 10,000 Rp - 0 20,000 Rp - 13 5,000
7 0 10,000 Rp - 0 20,000 Rp - 6 5,000
8 0 10,000 Rp - 0 20,000 Rp - 11 5,000
9 0 10,000 Rp - 0 20,000 Rp - 15 5,000
10 1 10,000 Rp 10,000 0 20,000 Rp - 13 5,000
12 0 10,000 Rp - 0 20,000 Rp - 19 5,000
13 0 10,000 Rp - 2 20,000 Rp 40,000 16 5,000
14 0 10,000 Rp - 0 20,000 Rp - 6 5,000
15 0 10,000 Rp - 0 20,000 Rp - 13 5,000
17 1 10,000 Rp 10,000 0 20,000 Rp - 12 5,000
19 0 10,000 Rp - 0 20,000 Rp - 22 5,000
20 0 10,000 Rp - 0 20,000 Rp - 9 5,000
21 0 10,000 Rp - 0 20,000 Rp - 7 5,000
22 0 10,000 Rp - 0 20,000 Rp - 10 5,000
23 0 10,000 Rp - 0 20,000 Rp - 11 5,000
24 0 10,000 Rp - 0 20,000 Rp - 13 5,000
26 0 10,000 Rp - 0 20,000 Rp - 22 5,000
27 0 10,000 Rp - 0 20,000 Rp - 13 5,000
28 0 10,000 Rp - 0 20,000 Rp - 12 5,000
JUMLAH 3 Rp 30,000 2 Rp 40,000 289

UMUM 289 5,000 1445000


GIGI 141 5,000 705000
KIA 150 5,000 750000
CATIN 2 20000 40000
KIR 3 10000 30000
JUMLAH 0
2970000
JUMLAH POLI GIGI KARCIS JUMLAH Kia KARCIS JUMLAH TOTAL
Rp 70,000 8 5,000 Rp 40,000 8 5,000 Rp 40,000 Rp 160,000
Rp 50,000 3 5,000 Rp 15,000 5 5,000 Rp 25,000 Rp 90,000
Rp 65,000 5 5,000 Rp 25,000 3 5,000 Rp 15,000 Rp 105,000
Rp 45,000 11 5,000 Rp 55,000 10 5,000 Rp 50,000 Rp 150,000
Rp 65,000 5 5,000 Rp 25,000 4 5,000 Rp 20,000 Rp 110,000
Rp 30,000 9 5,000 Rp 45,000 2 5,000 Rp 10,000 Rp 85,000
Rp 55,000 5 5,000 Rp 25,000 13 5,000 Rp 65,000 Rp 145,000
Rp 75,000 6 5,000 Rp 30,000 5 5,000 Rp 25,000 Rp 130,000
Rp 65,000 4 5,000 Rp 20,000 6 5,000 Rp 30,000 Rp 125,000
Rp 95,000 12 5,000 Rp 60,000 12 5,000 Rp 60,000 Rp 215,000
Rp 80,000 12 5,000 Rp 60,000 2 5,000 Rp 10,000 Rp 190,000
Rp 30,000 5 5,000 Rp 25,000 6 5,000 Rp 30,000 Rp 85,000
Rp 65,000 2 5,000 Rp 10,000 9 5,000 Rp 45,000 Rp 120,000
Rp 60,000 0 5,000 Rp - 7 5,000 Rp 35,000 Rp 105,000
Rp 110,000 0 5,000 Rp - 10 5,000 Rp 50,000 Rp 160,000
Rp 45,000 0 5,000 Rp - 5 5,000 Rp 25,000 Rp 70,000
Rp 35,000 18 5,000 Rp 90,000 2 5,000 Rp 10,000 Rp 135,000
Rp 50,000 4 5,000 Rp 20,000 11 5,000 Rp 55,000 Rp 125,000
Rp 55,000 6 5,000 Rp 30,000 6 5,000 Rp 30,000 Rp 115,000
Rp 65,000 3 5,000 Rp 15,000 2 5,000 Rp 10,000 Rp 90,000
Rp 110,000 10 5,000 Rp 50,000 9 5,000 Rp 45,000 Rp 205,000
Rp 65,000 9 5,000 Rp 45,000 6 5,000 Rp 30,000 Rp 140,000
Rp 60,000 4 5,000 Rp 20,000 7 5,000 Rp 35,000 Rp 115,000
Rp 1,445,000 141 Rp 705,000 150 Rp 750,000 Rp 2,970,000

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