LAPORAN BULANAN RAWAT INAP DR.DIDYNO NAMA PASIEN CM DIAGNOSA TINDAKAN TANGIHAN RS1SAMSIR HARAHAP 2306DM TYPE 2 EKG 6,252.602ASNAWI NASUTION 2716GASTRITIS 866.593HARIADI 2714CEPAGIA 1,171.974INDA HASI!UAN 2563GASTRO AKUT USG 1,571.265KOSIM HASI!UAN 337!RONCOPENOMIA 3,187.416"AINA!UN PUUNGAN 2731GEA 1,257.267MASINI HASI!UAN 2518T!C 3,239.038SARTONO 2091GASTRITIS 1,275.069AI NURDIN U!IS 2641GASTRO AKUT 962.4010MUHAMMAD TAYAMIN 2643SEPSIS 1,480.8011NUR MINA 401PPOK 3,711.5812SITI AM!AT 2509GASTRO AKUT 1,276.1113ROSAN PUUNGAN 2629HIPERTENSI EKG 1,683.9214ROHANA HASI!UAN 1197SEPSIS EKG 1,786.8915RAHMAT SANI 2717DYSPEPSIA 726.0216MUKMIN HASI!UAN 2759STROKE 1,838.4917SARTONO 2091CH# EKG 4,397.8218NURHA!I!AH 3121HIPERTENSI USG 4,916.91JUMLAH 41,602.11TANGIHAN BPJS3,428,600.001,569,600.001,888,000.002,860,800.003,516,500.002,748,100.003,610,900.001,883,600.002,860,800.003,368,700.003,118,100.002,812,700.003,865,900.003,930,600.003,375,000.002,858,700.004,630,400.005,240,300.0057,567,00.00LAPORAN BULANAN RAWAT INAP DR. ARI! ISMAILNO NAMA PASIENCM DISGNOSA TINDAKAN TANGIHAN RS1MUHAMMAD $I!RAN A%ARO 3017DIARE AKUT 1,174.652AHMAD DIA#ARI 3067T!C 1,337.133#ADI HASI!UAN 2972DYSPEPSIA 1,988.574AATIH KEN"IE #AIRI 3037DEHIDRASI 1,299.885RI"KY AMNA 2273DYSPEPSIA RONGSEN 2,538.206HAMDAN HAIM DAUAY 2875DIARE AKUT 1,492.707NOR "AI#AR !.RO"I 2510TYROID #E%ER 1,811.098I$!A NASUTION 2651DIARE AKUT 717.009SA!RINA I%IA DWI 2828TYROID #E%ER 1,637.8810RAHMI PE!RIANI 2535DYSPEPSIA 1,461.37JUMLAH 15,45".4"TANGIHAN !P'S3,461,500.004,220,400.002,812,700.002,006,900.003,375,000.003,461,500.002,807,300.001,968,700.003,368,700.002,812,700.000,2#5,400.00LAPORAN BULANAN RAWAT INAP DR.M.RISNANDARNO NAMA PASIENCM DIANGNOSA TINDAKANTANGIHAN RS1KOMARIA 2767DYSPEPSIA EKG 1,548.332MARASA HASI!UAN 2671SEPSIS EKG,!TA 3,433.183SYA#RI"A PANE 2805PNEUNOMIA RO THORA( 1,690.544ROSMINA1267HIPERTENSI EKG 349.795ROMUNDUM PUUNGAN 519PPOK 1,632.996TAMRIN 2444AO ATRITIS RO THORA( 5,013.667M.IIYAS 2957DYSPEPSIA 1,108.428!ANGINDA SIREGAR 2900%ERTIGO RO THORA( 2,339.849M.HATTA HASI!UAN 2918STROKE USG 1,621.8210SUMIATI 9746DEMAM TYROID 1,781.0511A!DUAH U!IS 2930CEPAGIA 1,678.7212SUTAN RA'A 232T! PARU 3,460.3413#IRMANSYAH 3072DYSPEPSIA 1,226.7714NGOUTAN 3012DYSPEPSIA 916.9815WARSO 2953PNEUNOMIA 1,760.6716U!ASARI 426DYSPE!SIA 3,945.1917SITI ROUN 2929T! PARU 2,785.2618ASRITA 2725MAARIA 2,893.0619TK. AISYAH!ANA 3170HIPOGIKEMIA 1,361.2920SUDARWIN 261DYSPEPSIA 435.3721TOI! U!IS 1415CH# 1,958.3822MARTUA 2899UROSEPSIS 2,424.8223ASAIMIAH 3015UROSEPSIS 2,806.3024ROSINA HARAHAP 3133CE#AGIA 1,182.1725AGGARA 2943STROKE 1,688.5226#ITRIYANI 3098ISK 1,034.1627MANIYEM 1083ISK 2,648.4028MUHAMMAD SYUKUR 3076CH# 1,504.9729SITI MARIA 2506DM TYPE 2 10,294.8330ISANUDDIN 3157T!C 3,420.2231NUR DIANA 594ASMAH 2,436.0632MADNESA 3132HIPERTENSI 2,605.13JUMLAH 74,#"7.2TANGIHAN !P'S3,375,000.002,110,000.008,800,200.003,221,300.002,426,800.005,042,300.003,375,000.005,402,400.002,843,500.003,368,700.001,573,500.006,050,100.003,375,000.003,375,000.008,178,200.003,937,800.004,220,400.003,610,900.004,941,600.002,812,700.006,023,100.003,610,900.002,821,600.001,573,500.002,382,200.001,568,900.002,826,800.004,501,900.005,906,700.005,908,600.002,199,000.009,194,300.0010,557,#00.00LAPORAN BULANAN RAWAT INAP DR. AMIR !AJARNO NAMA PASIENCM DIAGNOSA TINDAKAN 1#AHRI TAN'UNG 3030N21,0 57.992NUR EA SARI 2452C50,9 85.993HERMAN SIMAMORA 2484N21,0 57.994AHMADI HARAHAP 2710D23,7 80.915WARYADI 2685K35,16GIRSANG 2454M31,9 84.917AHMAD A#ANDI 2559D23,4 168M YUSU# 2574K40,4 53.159I'UK SIMAMORA 2442D23,5 83.4910MU#IDAH HA#NI 265202,4 83.0911SAMSIR HARAHAP 238602,4 83.0912SRI SU'IATI 3090D24 85.9913CHESEA 2669K35,1 54.1114#ITRI ANA 3078D21,9 83.3915#UTRI WARDANI 2888D21,9 83.3916MEYANI 2800D21,9 83.3917PAIAH 2702K35,1 54.1118IRDAN SAEH 3147M46,919M.SADENAN 2810K40,4 53.5520TONGKU AI 2686K40,4 53.1521RAHMAD TAHIR 2523K35,1 54.11JUMLAHTANGIHAN RS TANGIHAN BPJS9,342,298.00 5,983,400.005,890,135.00 5,158,800.008,048,632.00 5,983,400.00598,082.00 6,307,900.008,102,762.00 4,335,000.006,629,687.00 7,365,600.006,581,466.00 12,494,800.008,566,076.00 4,335,000.001,043,169.00 4,929,400.009,888,955.00 9,888,200.002,558,724.00 9,888,200.007,185,283.00 5,158,800.0013,828,300.00 5,744,100.006,820,909.00 4,929,400.006,798,086.00 6,901,200.005,347,205.00 4,929,400.009,975,940.00 6,893,600.001,078,613.00 3,368,700.009,869,875.00 5,057,000.006,789,871.00 3,451,500.009,935,150.00 8,041,700.00144,"7#,21".00 11,145,100.00LAPORAN BULANAN RAWAT INAP DR. RIJALNO NAMA PASIENCM DIAGNOSA TINDAKAN 1ARMY NO!RIANA 3158KPD SC2SA#ITRI 2611HIPEREMESIS USG3MINTANA NASUTION 2261HIPEREMESIS USG4RAHMA YANA 2817KPD SC5NUR HAIMA NST 2813POST KURETASE KURETASE6MASNA WARI 619POST SC USG,SC7SITI OM!UN PUUNGAN 2824POST SC SC8EPI ANNUM 2397POST KURETASE KURETASE9NUR HEMI 2845POST SC SC10ROSIDAH 2440KPD EKG,SC11MERI MINTA 2526POST SC SC12SA#RIDA 2761PARTUS UAR SC13SARI !UAN SON'A 2825POST SC SC14EMI #ADIAH 675POST SC USG,SC15E#RIDA 'ANNA 1727POST SC SC,TRAN#USI16DERAN 3176HAMI)35&36 MG* USG17ERNA WATI 3151POST PARTUS NORMA USG18INDA RISWANA 2735POST SC SC19ERMA YUIS 3095POST SC SC20NURHANDAYANI 2876POST SC SC,TRAN#USI21HOTMAIA 2925POST SC SC22SANTI EPEINA 2553PASENTA PRE%IA TRAN#USI23RISMA WATI 3177POST PASENTA MANUPA PASENTA24NURHAIMA SITUMEANG 2885POST SC SC25MEY HAYATI 2849POST KURETASE KURETASE26E%I "U%I 2964POST SC SC.TRAN#USI27ADE IN ASURYANI 831POST SC USG,SC,TU!EKTOMY28NUR HAIMA NASUTION 2813POST KURETASE KURETASE29NUR SAIDA DY 3022POST SC SC,TRAN#USIJUMLAHTANGIHAN RS TANGIHAN BPJS8,440,077 4,883,600.001,398,969 2,532,200.001,316,956 2,110,000.008,655,711 4,491,300.001,998,171 2,765,200.0011,233,806 4,883,600.008,121,800 4,069,700.002,918,128 2,765,200.0010,858,764 4,883,600.008,076,977 4,069,700.007,125,683 4,069,700.003,149,035 2,156,500.007,221,207 4,491,300.009,054,377 5,698,100.0011,349,365 6,287,900.001,186,757 1,414,400.001,722,743 2,812,700.008,207,626 4,069,700.008,862,609 5,698,100.0011,352,047 4,069,700.007,335,381 4,069,700.002,781,654 3,950,300.002,854,408 2,821,600.007,742,352 4,069,700.001,706,316 2,765,200.0020,305,420 4,491,300.0011,233,806 4,069,700.001,998,171 2,765,200.007,239,029 4,491,300.001#5,447,45 111,716,200.00