RUMAH SAKIT KHUSUS DAERAH DUREN SAWIT

Jl. Duren Sawit Baru No.02

JAKARTA TIMUR Kode Pos 13440 Telp. 0218615555

LAPORAN DATA PENGAMBILAN ARV

Periode : 25 Maret 2017 s/d 26 April 2017

TGL NAMA PASIEN RUANG UMUR

DUVI
2017-03-25 YULI SANTOSO Rajal 36.00
2017-03-25 JAKA SUGIRI Rajal 35.00
2017-03-25 Sarman Bin Matias Rajal 39.00
2017-03-25 NOFRIYENI BT NURHAN Rajal 39.00
2017-03-27 SENDY SUYITNO Rajal 36.00
2017-03-27 TUA HASUDUNGAN Rajal 39.00
2017-03-27 M. TOHA Rajal 37.00
2017-03-27 RUDOLF SIAGIAN Rajal 38.00
2017-03-27 IRSAD SIDIK Rajal 29.00
2017-03-27 SAPTA DARAJAT Rajal 36.00
2017-03-29 DONI HANDRIA Rajal 44.00
2017-03-29 CANDRA SAKTI Rajal 35.00
2017-03-29 IMAM PRAYITNO Rajal 40.00
2017-03-29 ARDITO BIN MISWAR BANAR Rajal 37.00
2017-03-30 HARUN BIN MAT ZEN Rajal 34.00
2017-03-30 ISWAHANA PRIANTO Rajal 39.00
2017-03-30 DOLLY SITOMPUL Rajal 35.00
2017-03-31 DYAH RAHINOWATI Rajal 61.00
2017-03-31 MARHAMAH Rajal 32.00
2017-04-01 RUSMIATI Rajal 43.00
2017-04-01 ALIA MEIFYONA Rajal 33.00
2017-04-01 HIMLER PULUNGAN Rajal 45.00
2017-04-01 ROMY MUSTAROM Rajal 39.00
2017-04-03 ACHMAD SOFYAN Rajal 41.00
2017-04-03 MOCHAMAD REYHAN GAOS Rajal 33.00
2017-04-03 ARIS AGUSTIN Rajal 33.00
2017-04-03 ROHMAD DESANTO Rajal 29.00
2017-04-04 TRIGAR MEDI Rajal 34.00
2017-04-04 HIDAYAT BIN SUMARDI Rajal 41.00
2017-04-04 M. IBRAHIM KASMAN Rajal 37.00
2017-04-04 GODLIEF A. SUMADIO Rajal 40.00
2017-04-04 ENGKAR BIN NAMAN Rajal 57.00
2017-04-04 YUNINGSIH Ranap 37.00
2017-04-05 FAISAL MUCHTAR Rajal 41.00
2017-04-05 TIOLINA BR PURBA Rajal 64.00
2017-04-05 DODY DJUARDI Rajal 36.00
2017-04-05 BUDI SLAMET SISWANTO Rajal 37.00
2017-04-06 TEGUH ANDI SAPUTRA Rajal 35.00
2017-04-06 HENNY WAHYUNI Rajal 33.00
2017-04-06 JUWATI HARTONO Rajal 39.00
2017-04-06 DEDI AGUSMAN Rajal 33.00
2017-04-06 ANGGI BIN SAHARUDDIN Rajal 31.00
2017-04-06 ROLAN TUMPAL PARLINDUNGAN Rajal 38.00
2017-04-06 AHMAD SUANDI Rajal 35.00
2017-04-06 RIRI PRIANTI Rajal 30.00
2017-04-06 MUHAMAD SALIM Rajal 45.00
2017-04-10 DIMAZ NUGROHO Rajal 37.00
2017-04-10 TABITA LA ROUSE ARITONANG Rajal 32.00
2017-04-11 HANY PRASTOWO Rajal 39.00
2017-04-11 FARIED ATROS Rajal 39.00
2017-04-12 FERRY BIN RUDI JAPRIADI Rajal 42.00
2017-04-12 NARLI SIMBOLON Rajal 29.00
2017-04-13 SUMARTONO SAPTO P Rajal 34.00
2017-04-13 I NENGAH SABA ARYAWAN Rajal 38.00
2017-04-13 SUPARNI BT AINY MADSUKARTO Rajal 30.00
2017-04-13 AHMAD ZARKONIH Rajal 40.00
2017-04-17 YANANTO TRI PRASETYO Rajal 35.00
2017-04-17 D. OVIANTO Rajal 41.00
2017-04-17 LUDI SUBAGJA Rajal 36.00
2017-04-17 VERA GANDA TRESNA Rajal 33.00
2017-04-17 RIDWAN SATRIA NOVANSYAH Rajal 33.00
2017-04-17 LASMA HUTAHAEAN Rajal 40.00
2017-04-18 SANTIKO LIANTONO Rajal 39.00
2017-04-18 ISMANTO BIN AJISMAN Rajal 36.00
2017-04-18 WIEN SULISTYANING Rajal 40.00
2017-04-18 ANDRO BIN AGOES HARIANTO Rajal 34.00
2017-04-20 ADI PAMUNGKAS Rajal 33.00
2017-04-20 BAMBANG MUHIDIN Rajal 40.00
2017-04-21 SANDHY AFRIANDY Rajal 42.00
2017-04-21 EDWI KUSUMAWATI Rajal 42.00
2017-04-22 Aisah Bt Mahmud Rajal 36.00
2017-04-22 AZIZ KHAN UKTOLSEJA Rajal 40.00
2017-04-22 KWOK SOEN IE Rajal 58.00
2017-04-25 M. TOHA Rajal 37.00
2017-04-25 ARIEF WIDODO Rajal 38.00
2017-04-25 ARIEF GUNADI Rajal 39.00
2017-04-25 DANI Rajal 53.00
2017-04-25 SYARIFAH BT HASBULLOH Rajal 30.00
2017-04-25 SAPTA DARAJAT Rajal 37.00

TOTAL PASIEN = 77

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25/04/2017 17:29:31 Page -1 of 1

A PENGAMBILAN ARV

et 2017 s/d 26 April 2017

NAMA OBAT

NEVI EF 600 HIVI STAV TENOF

60.00 60.00
30.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
14.00 14.00 7.00
30.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 30.00
60.00 60.00 30.00
 60.00 60.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
30.00 60.00 30.00
30.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
30.00 60.00 30.00
60.00 60.00 30.00
60.00 30.00
60.00 60.00 30.00
60.00 60.00 30.00
60.00 30.00
60.00 30.00
60.00 60.00 30.00
60.00 30.00
60.00 60.00 30.00
60.00 60.00
60.00 60.00 30.00
60.00 60.00

1,080.00 4,094.00 300.00 3,614.00 1,807.00

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