Laporan Hemodialisis Januari 2018.docx
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LAPORAN HEMODIALISIS JANUARI 2018 BPJS (RAWAT JALAN) NO 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
TANGGAL 01-01-2018
NAMA JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO SITI RAHAYU IDAWATI ADI SAPUTRO REME NABABAN
RM 40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 46-62-67 40-68-73 21-63-22 46-67-64
12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23.
MIMIE
40-18-70
02-01-2018
MISWANTI M. YUSUF BANGUN RIBOETINA JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN IKHTIAR LASE KAMIJO KURNIAWAN
41-67-97 39-36-68 45-56-46 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97 46-03-33 37-68-88 40-29-39
03-01-2018
HJ DELIMA RASMIANNA PURBA SRI NETI WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-84-61 45-85-14 45-99-23
EMRIN PURBA OIE SIEK NIEN BANTIN GINTING EMALIA JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO IDAWATI ADI SAPUTRO REME NABABAN
45-85-75 41-37-97 44-88-82 44-02-39 40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 40-68-73 21-63-22 46-67-64
MIMIE SALMAH RARIS TARINGAN MISWANTI M. YUSUF BANGUN
24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45.
04-01-2018
05-01-2018
JENIS TINDAKAN HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
KETERANGAN INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
HONOR TINDAKAN Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
40-18-70
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
46-90-53 42-53-28 41-67-97 39-36-68
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000;
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
NO 46. 47. 48. 49. 50. 51. 52. 53. 54. 55.
TANGGAL 05-01-2018
NAMA RIBOETINA JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN IKHTIAR LASE KAMIJO SRI NETI
RM 45-56-46 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97 46-03-33 37-68-88 45-84-61
06-01-2018
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA OIE SIEK NIEN BANTIN GINTING KURNIAWAN JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO IDAWATI ADI SAPUTRO REME NABABAN
45-85-75 41-37-97 44-88-82 40-29-39 40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 40-68-73 21-63-22 46-67-64
MIMIE
40-18-70
SITI RAHAYU MISWANTI M. YUSUF BANGUN RIBOETINA JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN IKHTIAR LASE KAMIJO
46-62-67 41-67-97 39-36-68 45-56-46 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97 46-03-33 37-68-88
87.
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
88. 89. 90. 91. 92. 93.
EMRIN PURBA OIE SIEK NIEN BANTIN GINTING KURNIAWAN SRI NETI EMALIA
45-85-75 41-37-97 44-88-82 40-29-39 45-84-61 44-02-39
56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86.
08-01-2018
09-01-2018
10-01-2018
JENIS TINDAKAN HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
KETERANGAN INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
HONOR TINDAKAN Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
NO 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. 113. 114. 115.
TANGGAL 11-01-2018
12-01-2018
13-01-2018
116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131. 132. 133. 134. 135. 136. 137. 138. 139. 140. 141. 142.
15-01-2018
16-01-2018
NAMA JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO ADI SAPUTRO REME NABABAN
RM 40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 21-63-22 46-67-64
JENIS TINDAKAN HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
KETERANGAN INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
MIMIE
40-18-70
SITI RAHAYU RARIS TARINGAN MISWANTI M. YUSUF BANGUN RIBOETINA JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN IKHTIAR LASE KAMIJO
46-62-67 42-53-28 41-67-97 39-36-68 45-56-46 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97 46-03-33 37-68-88
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA OIE SIEK NIEN BANTIN GINTING KURNIAWAN SRI NETI
45-85-75 41-37-97 44-88-82 40-29-39 45-84-61
ABDULLAH
46-95-69
JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO ADI SAPUTRO IDAWATI REME NABABAN
40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 21-63-22
MIMIE
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
40-18-70
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
SITI RAHAYU MISWANTI M. YUSUF BANGUN JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN
46-62-67 41-67-97 39-36-68 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
46-67-64
HONOR TINDAKAN Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168. 169. 170. 171. 172. 173. 174. 175. 176. 177. 178. 179. 180. 181. 182. 183. 184. 185. 186. 187. 188. 189.
17-01-2018
18-01-2018
19-01-2018
20-01-2018
22-01-2018
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
ABDULLAH
46-95-69
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NETI
45-84-61
EMALIA
44-88-82
JUAH GINTING
40-68-73
ISKANDAR PERANGIN-ANGIN
44-77-35
RADIVAL AKBAR
44-96-10
HANI ARMERO
42-68-86
NURBAINI
44-60-17
RANDIANTO
44-11-85
ADI SAPUTRO
21-63-22
REME NABABAN
46-67-64
IDAWATI
46-48-73
SITI RAHAYU
46-62-67
RARIS TARINGAN
42-53-28
MISWANTI
41-67-97
M. YUSUF BANGUN
39-36-68
JUMARNI
44-01-23
ANASTASYA
46-03-33
M. SYAHRIAL
30-26-59
ROSMINAH PURBA
45-06-34
PAINTEN
45-05-97
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
ABDULLAH
46-95-69
RIBOETINA
45-56-46
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NONDA SRI NETI
44-88-04 45-48-61
JUAH GINTING
40-68-73
ISKANDAR PERANGIN-ANGIN
44-77-35
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. 214. 215. 216. 217. 218. 219. 220. 221. 222. 223. 224. 225. 226. 227. 228. 229. 230. 231. 232. 233. 234. 235. 236. 237.
23-01-2018
24-01-2018
25-01-2018
RADIVAL AKBAR
44-96-10
HANI ARMERO
42-68-86
NURBAINI RANDIANTO
44-60-17 44-11-85
ADI SAPUTRO
21-63-22
REME NABABAN
46-67-64
IDAWATI
46-48-73
MISWANTI
41-67-97
M. YUSUF BANGUN
39-36-68
JUMARNI
44-01-23
ANASTASYA
46-03-33
M. SYAHRIAL
30-26-59
ROSMINAH PURBA
45-06-34
PAINTEN
45-05-97
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
ABDULLAH
46-95-69
RIBOETINA
45-56-46
RESMONE
42-83-21
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NETI
45-84-61
EMALIA
44-02-39
JUAH GINTING
40-68-73
ISKANDAR PERANGIN-ANGIN
44-77-35
RADIVAL AKBAR
44-96-10
HANI ARMERO
42-68-86
NURBAINI
44-60-17
RANDIANTO
44-11-85
ADI SAPUTRO
21-63-22
REME NABABAN
46-67-64
IDAWATI
46-48-73
RARIS TARINGAN
26-01-2018
42-53-28
MISWANTI
41-67-97
M. YUSUF BANGUN
39-36-68
JUMARNI
44-01-23
ANASTASYA
46-03-33
M. SYAHRIAL
30-26-59
ROSMINAH PURBA
45-06-34
PAINTEN
45-05-97
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD
Rp. 100.000; Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
238. 239. 240. 241. 242. 243. 244. 245. 246. 247. 248. 249. 250. 251. 252. 253. 254. 255. 256. 257. 258. 259. 260. 261. 262. 263. 264. 265. 266. 267. 268. 269. 270. 271. 272. 273. 274. 275. 276.
27-01-2018
29-01-2018
30-01-2018
31-01-2018
ABDULLAH
46-95-69
RIBOETINA
45-56-46
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NETI
45-84-61
JUAH GINTING
40-68-73
ISKANDAR PERANGIN-ANGIN
44-77-35
RADIVAL AKBAR
44-96-10
HANI ARMERO
42-68-86
NURBAINI
44-60-17
RANDIANTO
44-11-85
ADI SAPUTRO
21-63-22
REME NABABAN
46-67-64
IDAWATI
46-48-73
MISWANTI
41-67-97
M. YUSUF BANGUN
39-36-68
JUMARNI
44-01-23
ANASTASYA
46-03-33
M. SYAHRIAL
30-26-59
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
RIBOETINA
45-56-46
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NETI
45-84-61
ABDULLAH
46-95-83
EMALIA
44-02-39
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
TOTAL Mengetahui,
Dr. Sabar P. Sembiring, Sp.PD, FINASIM
Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp.27.600.000;
Ka. Instalasi Hemodialisis
LAPORAN HEMODIALISIS JANUARI 2018 (RAWAT INAP) NO 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24.
TGL 28-09-2017 05-10-2017 09-10-2017
NAMA PASIEN Jumarni M.YUSUF SUCIPTO
RM 44-01-23 39-36-68
17-10-2017
SALAM SURBATIK
44-42-12
09-09-2017 18-09-2017 13-11-2017 15-11-2017
RIBOETINA RIBOETINA
45-56-46 45-56-46
SITI RAHAYU BATIN BR GINTING
46-62-67 444-88-82
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
17-11-2017
ADI SHAPUTRO
21-63-22
HEMODIALISIS
24-11-2017 11-12-2017 05-12-2017
ANASTASYA
46-03-33
UPIK ANI IKHTIAR LASE
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
42-18-14
05-12-2017
KAMIJO
07-12-2017 12-12-2017 13-12-2017 14-12-2017 17-12-2017 20-12-2017 21-12-2017 06-01-2018 08-01-2018 16-01-2018 16-01-2018
ERWANSAH MISWANTI KAMIJO
46-76-43 46-63-90 37-68-88 46-76-98 41-67-93 37-68-88
RANDIANTO MADSYAH
44-11-85 44-80-00
ADI SAPUTRO
21-63-22
REME NABABAN SITI RAHAYU SRI NONDA RESMONE RIBOETINA
46-67-64 46-62-67 44-88-04 42-83-21 45-89-80
* : Belum dibayarkan sebelumnya
JENIS TINDAKAN KETERANGAN HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
TINDAKAN PEMASANGAN DOUBLE LUMEN/TRIPLE LUMEN JANUARI 2018 NO
TGL
NAMA PASIEN
RM
JENIS TINDAKAN
OPERATOR
1.
16-112017
SITI RAHAYU
46-62-67
DR,SABAR P.SEMBIRING,SpPD
2.
16-112017
BATIN BR GINRING
44-88-82
PEMASANGAN DOUBLE LUMEN PEMASANGAN DOUBLE LUMEN
3.
25-112017
ANASTASYA
46-03-2017
PEMASANGAN DOUBLE LUMEN
4.
05-122017
IKHTIAR LASE
46-63-90
PEMASANGAN DOUBLE LUMEN
5.
10-122017
UPIK ANI
46-76-63
6.
10-122017
WILSON
39-52-95
7.
10-122017
KAMIJO SOLIN
37-68-88
8.
10-012018
HJ SRI NONDA
44-88-04
PEMASANGAN DOUBLE LUMEN
9.
31-012018
SRIYANI
47-04-76
PEMASANGAN DOUBLE LUMEN
PEMASANGAN DOUBLE LUMEN PEMASANGAN TRIPLE LUMEN PEMASANGAN DOUBLE LUMEN
HONOR TINDAKAN Rp. 750.000;
DR.SABAR P. SEMBIRING,SpPD FINASIM DR.SABAR P. SEMBIRING,SpPD FINASIM DR.SABAR P. SEMBIRING,SpPD FINASIM DR,SABAR P.SEMBIRING,SpPD DR,SABAR P.SEMBIRING,SpPD
Rp. 750.000;
DR.SABAR P. SEMBIRING,SpPD FINASIM DR.SABAR P. SEMBIRING,SpPD FINASIM DR.SABAR P. SEMBIRING,SpPD FINASIM
Rp. 750.000;
TOTAL
Rp. 750.000;
Rp. 750.000;
Rp. 750.000; Rp. 750.000;
Rp. 750.000;
Rp. 750.000;
Rp6.750.00;
TANDA “*” : BELUM DIBAYARKAN SEBELUMNYA
Mengetahui,
Dr. Sabar P. Sembiring, Sp.PD, FINASIM Ka. Instalasi Hemodial
KET
DAFTAR PASIEN RAWAT INAP JANUARI 2018 Dr. Sabar Petrus Sembiring, Sp.PD, FINASIM NO 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42.
NAMA PASIEN JUNIAR ZAILANI AMINAH MARIATI ULINA IDA WATI ZAKIAYAH SAIMAN RANDIANTO HALIMATUSSADIAH SITI RAHAYU BANTIN BR GINGTING OIE SIEK NIEN MENANTI WIDYA MEILANI MONTO ADI SHAPUTRO ERLINAWATI NATASYAH DANIEL HASUGIAN ENDRI SIREGAR ABADI GURUSINGA JOHANIS FUJI DEVA IKHTIAR LASE KAMIJO ERWANSYAH UPIK ANI WILSON MISWANTI KAMIJO RANDIANTO BANTUAN M.HUSNI THAMRIN MADSYAH ADI SAPUTRO REME NABABAN RIBUT SITI RAHAYU NURSIA MANURUNG MARTHA SRI NONDA PATIMAH
NO RM 45-79-27 45-76-40 46-29-76 46-47-39 45-13-65 46-48-47 37-53-70 45-73-27
37-52-84 46-61-70 46-62-67 44-88-82 41-37-97 43-24-85 45-85-14 46-54-35 21-63-22 46-65-56 46-03-33 42-70-92 39-49-47 46-72-35 37-52-84
46-77-67 46-63-90 37-68-88 46-76-98 46-76-43 39-52-95 41-67-93
37-68-88 44-11-85
46-80-00 21-63-22 46-67-64 46-86-92 46-62-67 46-87-50 46-90-66 44-88-04
TANGGAL 18-07-2017 30-08-2017 28-09-2017 18-10-2017 19-10-2017 20.10-2017 26-10-2017 01-11-2017 05-11-2017 10-11-2017 13-11-2017 15-11-2017 15-11-2017 16-11-2017 18-11-2017 04-11-2017 17-11-2017 17-11-2017 24-11-2017 26-11-2017 26-11-2017 28-11-22017 30-11-2017 05-12-2017 05-12-2017 05-12-2017 07-12-2017 10-12-2017 10-12-2017 12-12-2017 13-12-2017 14-12-2017 15-12-2017 16-12-2017 17-12-2017 20-12-2017 21-12-2017 28-12-2017 06-01-2018 06-01-2018 06-01-2018 08-01-2018
KETERANGAN DPJP KONSULEN KONSULEN KONSULEN DPJP DPJP KONSULEN KONSULEN DPJP DPJP DPJP DPJP DPJP KONSULEN DPJP KONSULEN KONSULEN KONSULEN DPJP DPJP DPJP KONSULEN KONSULEN KONSULEN DPJP DPJP KONSULEN DPJP DPJP DPJP DPJP DPJP DPJP KONSULEN DPJP DPJP KONSULEN KONSULEN DPJP DPJP DPJP DPJP
43. 44. 45. 46. 47. 48. 49. 50. 51. 52.
MISNAH TARINGAN PAIRIN OSTEN PASARIBU SRI NONDA RESMONE RIBOETINA PARNINGOTAN RISNAWATI SITEPU SENANGATE SAIFUL
45-88-38 46-94-95 46-95-63 44-88-04 42-83-21 45-89-80 46-96-96 46-40-64 46-95-61
09-01-2018 11-01-2018 13-01-2018 16-01-2018 16-01-2018 16-01-2018 16-01-2018 16-01-2018 16-01-2018 16-01-2018
DPJP DPJP DPJP DPJP DPJP DPJP DPJP DPJP DPJP DPJP
TANDA “*” : BELUM DIBAYARKAN SEBELUMNYA Mengetahui,
dr. Sabar P. Sembiring, Sp.PD, FINASIM Ka. Instalasi Hemodialisis
TANGGAL 01-01-2018
NAMA JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO SITI RAHAYU IDAWATI ADI SAPUTRO REME NABABAN
RM 40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 46-62-67 40-68-73 21-63-22 46-67-64
12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23.
MIMIE
40-18-70
02-01-2018
MISWANTI M. YUSUF BANGUN RIBOETINA JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN IKHTIAR LASE KAMIJO KURNIAWAN
41-67-97 39-36-68 45-56-46 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97 46-03-33 37-68-88 40-29-39
03-01-2018
HJ DELIMA RASMIANNA PURBA SRI NETI WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-84-61 45-85-14 45-99-23
EMRIN PURBA OIE SIEK NIEN BANTIN GINTING EMALIA JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO IDAWATI ADI SAPUTRO REME NABABAN
45-85-75 41-37-97 44-88-82 44-02-39 40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 40-68-73 21-63-22 46-67-64
MIMIE SALMAH RARIS TARINGAN MISWANTI M. YUSUF BANGUN
24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45.
04-01-2018
05-01-2018
JENIS TINDAKAN HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
KETERANGAN INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
HONOR TINDAKAN Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
40-18-70
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
46-90-53 42-53-28 41-67-97 39-36-68
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000;
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
NO 46. 47. 48. 49. 50. 51. 52. 53. 54. 55.
TANGGAL 05-01-2018
NAMA RIBOETINA JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN IKHTIAR LASE KAMIJO SRI NETI
RM 45-56-46 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97 46-03-33 37-68-88 45-84-61
06-01-2018
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA OIE SIEK NIEN BANTIN GINTING KURNIAWAN JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO IDAWATI ADI SAPUTRO REME NABABAN
45-85-75 41-37-97 44-88-82 40-29-39 40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 40-68-73 21-63-22 46-67-64
MIMIE
40-18-70
SITI RAHAYU MISWANTI M. YUSUF BANGUN RIBOETINA JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN IKHTIAR LASE KAMIJO
46-62-67 41-67-97 39-36-68 45-56-46 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97 46-03-33 37-68-88
87.
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
88. 89. 90. 91. 92. 93.
EMRIN PURBA OIE SIEK NIEN BANTIN GINTING KURNIAWAN SRI NETI EMALIA
45-85-75 41-37-97 44-88-82 40-29-39 45-84-61 44-02-39
56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86.
08-01-2018
09-01-2018
10-01-2018
JENIS TINDAKAN HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
KETERANGAN INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
HONOR TINDAKAN Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
NO 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. 113. 114. 115.
TANGGAL 11-01-2018
12-01-2018
13-01-2018
116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131. 132. 133. 134. 135. 136. 137. 138. 139. 140. 141. 142.
15-01-2018
16-01-2018
NAMA JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO ADI SAPUTRO REME NABABAN
RM 40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 21-63-22 46-67-64
JENIS TINDAKAN HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
KETERANGAN INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
MIMIE
40-18-70
SITI RAHAYU RARIS TARINGAN MISWANTI M. YUSUF BANGUN RIBOETINA JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN IKHTIAR LASE KAMIJO
46-62-67 42-53-28 41-67-97 39-36-68 45-56-46 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97 46-03-33 37-68-88
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA OIE SIEK NIEN BANTIN GINTING KURNIAWAN SRI NETI
45-85-75 41-37-97 44-88-82 40-29-39 45-84-61
ABDULLAH
46-95-69
JUAH GINTING ISKANDAR PERANGIN-ANGIN RADIVAL AKBAR HANI ARMERO NURBAINI RANDIANTO ADI SAPUTRO IDAWATI REME NABABAN
40-68-73 44-77-35 44-96-10 42-68-86 44-60-17 44-11-85 21-63-22
MIMIE
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
40-18-70
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
SITI RAHAYU MISWANTI M. YUSUF BANGUN JUMARNI ANASTASYA M. SYAHRIAL ROSMINAH PURBA PAINTEN
46-62-67 41-67-97 39-36-68 44-01-23 46-03-33 30-26-59 45-06-34 45-05-97
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
46-67-64
HONOR TINDAKAN Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168. 169. 170. 171. 172. 173. 174. 175. 176. 177. 178. 179. 180. 181. 182. 183. 184. 185. 186. 187. 188. 189.
17-01-2018
18-01-2018
19-01-2018
20-01-2018
22-01-2018
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
ABDULLAH
46-95-69
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NETI
45-84-61
EMALIA
44-88-82
JUAH GINTING
40-68-73
ISKANDAR PERANGIN-ANGIN
44-77-35
RADIVAL AKBAR
44-96-10
HANI ARMERO
42-68-86
NURBAINI
44-60-17
RANDIANTO
44-11-85
ADI SAPUTRO
21-63-22
REME NABABAN
46-67-64
IDAWATI
46-48-73
SITI RAHAYU
46-62-67
RARIS TARINGAN
42-53-28
MISWANTI
41-67-97
M. YUSUF BANGUN
39-36-68
JUMARNI
44-01-23
ANASTASYA
46-03-33
M. SYAHRIAL
30-26-59
ROSMINAH PURBA
45-06-34
PAINTEN
45-05-97
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
ABDULLAH
46-95-69
RIBOETINA
45-56-46
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NONDA SRI NETI
44-88-04 45-48-61
JUAH GINTING
40-68-73
ISKANDAR PERANGIN-ANGIN
44-77-35
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. 214. 215. 216. 217. 218. 219. 220. 221. 222. 223. 224. 225. 226. 227. 228. 229. 230. 231. 232. 233. 234. 235. 236. 237.
23-01-2018
24-01-2018
25-01-2018
RADIVAL AKBAR
44-96-10
HANI ARMERO
42-68-86
NURBAINI RANDIANTO
44-60-17 44-11-85
ADI SAPUTRO
21-63-22
REME NABABAN
46-67-64
IDAWATI
46-48-73
MISWANTI
41-67-97
M. YUSUF BANGUN
39-36-68
JUMARNI
44-01-23
ANASTASYA
46-03-33
M. SYAHRIAL
30-26-59
ROSMINAH PURBA
45-06-34
PAINTEN
45-05-97
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
ABDULLAH
46-95-69
RIBOETINA
45-56-46
RESMONE
42-83-21
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NETI
45-84-61
EMALIA
44-02-39
JUAH GINTING
40-68-73
ISKANDAR PERANGIN-ANGIN
44-77-35
RADIVAL AKBAR
44-96-10
HANI ARMERO
42-68-86
NURBAINI
44-60-17
RANDIANTO
44-11-85
ADI SAPUTRO
21-63-22
REME NABABAN
46-67-64
IDAWATI
46-48-73
RARIS TARINGAN
26-01-2018
42-53-28
MISWANTI
41-67-97
M. YUSUF BANGUN
39-36-68
JUMARNI
44-01-23
ANASTASYA
46-03-33
M. SYAHRIAL
30-26-59
ROSMINAH PURBA
45-06-34
PAINTEN
45-05-97
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD
Rp. 100.000; Rp. 100.000;
HEMODIALISIS
INSTALASI HD
Rp. 100.000;
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.
100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000; 100.000;
238. 239. 240. 241. 242. 243. 244. 245. 246. 247. 248. 249. 250. 251. 252. 253. 254. 255. 256. 257. 258. 259. 260. 261. 262. 263. 264. 265. 266. 267. 268. 269. 270. 271. 272. 273. 274. 275. 276.
27-01-2018
29-01-2018
30-01-2018
31-01-2018
ABDULLAH
46-95-69
RIBOETINA
45-56-46
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NETI
45-84-61
JUAH GINTING
40-68-73
ISKANDAR PERANGIN-ANGIN
44-77-35
RADIVAL AKBAR
44-96-10
HANI ARMERO
42-68-86
NURBAINI
44-60-17
RANDIANTO
44-11-85
ADI SAPUTRO
21-63-22
REME NABABAN
46-67-64
IDAWATI
46-48-73
MISWANTI
41-67-97
M. YUSUF BANGUN
39-36-68
JUMARNI
44-01-23
ANASTASYA
46-03-33
M. SYAHRIAL
30-26-59
IKHTIAR LASE
46-03-33
KAMIJO
37-68-88
RIBOETINA
45-56-46
HJ DELIMA RASMIANNA PURBA WIDYA MEILANI WIDYA NOVRILDA
41-63-90 45-45-47 45-85-14 45-99-23
EMRIN PURBA
45-85-75
OIE SIEK NIEN
41-37-97
BANTIN GINTING
44-88-82
KURNIAWAN
40-29-39
SRI NETI
45-84-61
ABDULLAH
46-95-83
EMALIA
44-02-39
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD INSTALASI HD
TOTAL Mengetahui,
Dr. Sabar P. Sembiring, Sp.PD, FINASIM
Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp. 100.000; Rp.27.600.000;
Ka. Instalasi Hemodialisis
LAPORAN HEMODIALISIS JANUARI 2018 (RAWAT INAP) NO 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24.
TGL 28-09-2017 05-10-2017 09-10-2017
NAMA PASIEN Jumarni M.YUSUF SUCIPTO
RM 44-01-23 39-36-68
17-10-2017
SALAM SURBATIK
44-42-12
09-09-2017 18-09-2017 13-11-2017 15-11-2017
RIBOETINA RIBOETINA
45-56-46 45-56-46
SITI RAHAYU BATIN BR GINTING
46-62-67 444-88-82
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
17-11-2017
ADI SHAPUTRO
21-63-22
HEMODIALISIS
24-11-2017 11-12-2017 05-12-2017
ANASTASYA
46-03-33
UPIK ANI IKHTIAR LASE
HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
42-18-14
05-12-2017
KAMIJO
07-12-2017 12-12-2017 13-12-2017 14-12-2017 17-12-2017 20-12-2017 21-12-2017 06-01-2018 08-01-2018 16-01-2018 16-01-2018
ERWANSAH MISWANTI KAMIJO
46-76-43 46-63-90 37-68-88 46-76-98 41-67-93 37-68-88
RANDIANTO MADSYAH
44-11-85 44-80-00
ADI SAPUTRO
21-63-22
REME NABABAN SITI RAHAYU SRI NONDA RESMONE RIBOETINA
46-67-64 46-62-67 44-88-04 42-83-21 45-89-80
* : Belum dibayarkan sebelumnya
JENIS TINDAKAN KETERANGAN HEMODIALISIS HEMODIALISIS HEMODIALISIS HEMODIALISIS
TINDAKAN PEMASANGAN DOUBLE LUMEN/TRIPLE LUMEN JANUARI 2018 NO
TGL
NAMA PASIEN
RM
JENIS TINDAKAN
OPERATOR
1.
16-112017
SITI RAHAYU
46-62-67
DR,SABAR P.SEMBIRING,SpPD
2.
16-112017
BATIN BR GINRING
44-88-82
PEMASANGAN DOUBLE LUMEN PEMASANGAN DOUBLE LUMEN
3.
25-112017
ANASTASYA
46-03-2017
PEMASANGAN DOUBLE LUMEN
4.
05-122017
IKHTIAR LASE
46-63-90
PEMASANGAN DOUBLE LUMEN
5.
10-122017
UPIK ANI
46-76-63
6.
10-122017
WILSON
39-52-95
7.
10-122017
KAMIJO SOLIN
37-68-88
8.
10-012018
HJ SRI NONDA
44-88-04
PEMASANGAN DOUBLE LUMEN
9.
31-012018
SRIYANI
47-04-76
PEMASANGAN DOUBLE LUMEN
PEMASANGAN DOUBLE LUMEN PEMASANGAN TRIPLE LUMEN PEMASANGAN DOUBLE LUMEN
HONOR TINDAKAN Rp. 750.000;
DR.SABAR P. SEMBIRING,SpPD FINASIM DR.SABAR P. SEMBIRING,SpPD FINASIM DR.SABAR P. SEMBIRING,SpPD FINASIM DR,SABAR P.SEMBIRING,SpPD DR,SABAR P.SEMBIRING,SpPD
Rp. 750.000;
DR.SABAR P. SEMBIRING,SpPD FINASIM DR.SABAR P. SEMBIRING,SpPD FINASIM DR.SABAR P. SEMBIRING,SpPD FINASIM
Rp. 750.000;
TOTAL
Rp. 750.000;
Rp. 750.000;
Rp. 750.000; Rp. 750.000;
Rp. 750.000;
Rp. 750.000;
Rp6.750.00;
TANDA “*” : BELUM DIBAYARKAN SEBELUMNYA
Mengetahui,
Dr. Sabar P. Sembiring, Sp.PD, FINASIM Ka. Instalasi Hemodial
KET
DAFTAR PASIEN RAWAT INAP JANUARI 2018 Dr. Sabar Petrus Sembiring, Sp.PD, FINASIM NO 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42.
NAMA PASIEN JUNIAR ZAILANI AMINAH MARIATI ULINA IDA WATI ZAKIAYAH SAIMAN RANDIANTO HALIMATUSSADIAH SITI RAHAYU BANTIN BR GINGTING OIE SIEK NIEN MENANTI WIDYA MEILANI MONTO ADI SHAPUTRO ERLINAWATI NATASYAH DANIEL HASUGIAN ENDRI SIREGAR ABADI GURUSINGA JOHANIS FUJI DEVA IKHTIAR LASE KAMIJO ERWANSYAH UPIK ANI WILSON MISWANTI KAMIJO RANDIANTO BANTUAN M.HUSNI THAMRIN MADSYAH ADI SAPUTRO REME NABABAN RIBUT SITI RAHAYU NURSIA MANURUNG MARTHA SRI NONDA PATIMAH
NO RM 45-79-27 45-76-40 46-29-76 46-47-39 45-13-65 46-48-47 37-53-70 45-73-27
37-52-84 46-61-70 46-62-67 44-88-82 41-37-97 43-24-85 45-85-14 46-54-35 21-63-22 46-65-56 46-03-33 42-70-92 39-49-47 46-72-35 37-52-84
46-77-67 46-63-90 37-68-88 46-76-98 46-76-43 39-52-95 41-67-93
37-68-88 44-11-85
46-80-00 21-63-22 46-67-64 46-86-92 46-62-67 46-87-50 46-90-66 44-88-04
TANGGAL 18-07-2017 30-08-2017 28-09-2017 18-10-2017 19-10-2017 20.10-2017 26-10-2017 01-11-2017 05-11-2017 10-11-2017 13-11-2017 15-11-2017 15-11-2017 16-11-2017 18-11-2017 04-11-2017 17-11-2017 17-11-2017 24-11-2017 26-11-2017 26-11-2017 28-11-22017 30-11-2017 05-12-2017 05-12-2017 05-12-2017 07-12-2017 10-12-2017 10-12-2017 12-12-2017 13-12-2017 14-12-2017 15-12-2017 16-12-2017 17-12-2017 20-12-2017 21-12-2017 28-12-2017 06-01-2018 06-01-2018 06-01-2018 08-01-2018
KETERANGAN DPJP KONSULEN KONSULEN KONSULEN DPJP DPJP KONSULEN KONSULEN DPJP DPJP DPJP DPJP DPJP KONSULEN DPJP KONSULEN KONSULEN KONSULEN DPJP DPJP DPJP KONSULEN KONSULEN KONSULEN DPJP DPJP KONSULEN DPJP DPJP DPJP DPJP DPJP DPJP KONSULEN DPJP DPJP KONSULEN KONSULEN DPJP DPJP DPJP DPJP
43. 44. 45. 46. 47. 48. 49. 50. 51. 52.
MISNAH TARINGAN PAIRIN OSTEN PASARIBU SRI NONDA RESMONE RIBOETINA PARNINGOTAN RISNAWATI SITEPU SENANGATE SAIFUL
45-88-38 46-94-95 46-95-63 44-88-04 42-83-21 45-89-80 46-96-96 46-40-64 46-95-61
09-01-2018 11-01-2018 13-01-2018 16-01-2018 16-01-2018 16-01-2018 16-01-2018 16-01-2018 16-01-2018 16-01-2018
DPJP DPJP DPJP DPJP DPJP DPJP DPJP DPJP DPJP DPJP
TANDA “*” : BELUM DIBAYARKAN SEBELUMNYA Mengetahui,
dr. Sabar P. Sembiring, Sp.PD, FINASIM Ka. Instalasi Hemodialisis
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