DATA FEE RUJUKAN PUSKESMAS MAUK BULAN OKTOBER 2018

No Nama pasien Tanggal Tindakan Instansi

1 Sulastri 10/3/2018 SC BPJS
2 Linah Roslinah 10/3/2018 SC BPJS
3 Aprisyah Muslim 10/5/2018 SC BPJS
4 Santia Dewi 10/7/2018 SC BPJS
5 Wardah 10/8/2018 SC BPJS
6 Nurdianah 10/9/2018 SC BPJS
7 Hartati 10/9/2018 SC BPJS
8 Sati 10/10/2018 SC BPJS
9 Dewi Septianingsih 10/14/2018 SC BPJS
10 Elis 10/15/2018 SC BPJS
11 Junariah 10/15/2018 SC BPJS/FK 1
12 Suherni 10/16/2018 Kuret BPJS
13 Yayatul Mutohiroh 10/19/2018 SC BPJS
14 Sumardiana 10/15/2018 SC BPJS
15 Anupus 10/16/2018 SC BPJS
16 Suherni 10/18/2018 Kuret BPJS
17 Nunung 10/15/2018 SC BPJS
18 Lombardiah 10/19/2018 SC BPJS
19 Fitriah Handayani 10/20/2018 SC BPJS
20 Toyibatul Islamiyah 10/20/2018 SC BPJS
21 Nanni Nuryani 10/21/2018 SC BPJS
22 Darmawati 10/24/2018 Kuret BPJS
23 Tati 10/29/2018 SC BPJS/FK 1
24 Fatmawati 10/29/2018 SC BPJS
25 Wastuni Rohmah 10/30/2018 PARTUS NORMAL-EMERGENCY BPJS
26 Nurleni 10/30/2018 SC BPJS
Total

TINDAKAN PASIEN BPJS

FASKES I BIDAN
PARTUS NORMAL-EMERGENCY 50,000 50,000
SECTIO 50,000 250,000
KURET 50,000 50,000
PERAWATAN OBGYN 50,000 50,000
PERAWATAN DEWASA/ANAK 50,000 50,000
ULAN OKTOBER 2018

fee Bidan
Rp 250,000 Yanti dan Cucu
Rp 250,000 Lely dan Tia
Rp 250,000 Badriah dan Tia
Rp 250,000 Aan dan Della
Rp 250,000 badriah, Leli dan Sisca
Rp 250,000 Siska
Rp 250,000 Dr. Eka T dan Ellin
Rp 250,000 Dr. Eka, Tia dan Lina
Rp 250,000 Siska, anggi dan Dr. Eka T
Rp 250,000 Lely, Lina dan Dr. Eka T
Rp 50,000 Dr. Dudy Afriana
Rp 50,000 Dr. Eka Thesis
Rp 250,000 Anggi, Siska dan Dr. Eka T
Rp 250,000 Aan Azimah
Rp 250,000 Aan Azimah
Rp 50,000 Nining, Anggi, Siska dan Dr. Eka T
Rp 250,000 Anggi, Siska dan Dr. Eka T
Rp 250,000 Anggi, Siska dan Dr. Eka T
Rp 250,000 Yanti dan Tia
Rp 250,000 Helmi Muliani
Rp 250,000 Elin dan Lina
Rp 50,000 Helmi Muliani
Rp 50,000 Dr. Eka Thesis
Rp 250,000 Dr. Eka Thesis
Rp 50,000 Anggi, Tika dan Dr. Eka T
Rp 250,000 Anggi, Tika dan Dr. Eka T
Rp 5,300,000

PASIEN UMUM
BIDAN
200,000
1,000,000
100,000
100,000
100,000
No Nama pasien Tanggal Tindakan Instansi
1 Siti Kholifah 10/3/2018 SC BPJS
2 Deria Metiwati 10/4/2018 SC BPJS
3 Sri Wahyuni 10/4/2018 PARTUS NORMAL-EMERGENCY BPJS
4 Khairunnisa Majidah 10/11/2018 SC Pasien Umum
5 Karyati 10/11/2018 PERAWATAN OBGYN BPJS
6 Lina Tri Handayani 10/11/2018 SC BPJS
7 Endah Komala Sari 10/13/2018 SC BPJS
8 Tuti Kusmiati 10/15/2018 SC BPJS
9 Lina Wati 10/18/2018 Sc BPJS
10 Siti Umyati 10/21/2018 Kuret BPJS
11 Ronika Petrani Naibaho 10/22/2018 SC BPJS
12 Nuryanah 10/28/2018 SC BPJS
13 Siti Susilawati 10/29/2018 SC BPJS
14 Siti Umaroh 10/30/2018 SC Pasien Umum
15 Erni Meliawati 10/31/2018 SC BPJS
TOTAL

TINDAKAN PASIEN BPJS

FASKES I BIDAN
PARTUS NORMAL-EMERGENCY 50,000 50,000
SECTIO 50,000 250,000
KURET 50,000 50,000
PERAWATAN OBGYN 50,000 50,000
PERAWATAN DEWASA/ANAK 50,000 50,000
 fee Bidan
Rp 250,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 50,000 Sari Tarigan
Rp 1,000,000 Sari Tarigan
Rp 50,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 50,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 1,000,000 Sari Tarigan
Rp 250,000 Sari Tarigan
Rp 4,650,000

PASIEN UMUM
BIDAN
200,000
1,000,000
100,000
100,000
100,000
No Nama pasien Tanggal Tindakan Instansi fee
1 Nursiah 10/2/2018 Kuret BPJS Rp 50,000
2 Siti Kholifah Mujiah 10/8/2018 PERAWATAN OBGYN BPJS Rp 50,000
3 Siti Nurseha 10/8/2018 SC BPJS Rp 250,000
4 Yayah Toheriah 10/17/2018 SC BPJS Rp 250,000
5 Nyi Mulyati 10/18/2018 SC BPJS Rp 250,000
6 Zahra 10/26/2018 SC BPJS Rp 250,000
7 Nurhayati Nupus 10/26/2018 SC BPJS Rp 250,000
8 Yulinda 10/31/2018 SC BPJS Rp 250,000
9 Maryati 10/31/2018 SC BPJS Rp 250,000
TOTAL Rp 1,850,000

TINDAKAN PASIEN BPJS PASIEN UMUM

FASKES I BIDAN BIDAN
PARTUS NORMAL-EMERGENCY 50,000 50,000 200,000
SECTIO 50,000 250,000 1,000,000
KURET 50,000 50,000 100,000
PERAWATAN OBGYN 50,000 50,000 100,000
PERAWATAN DEWASA/ANAK 50,000 50,000 100,000
 Bidan

IEN UMUM