| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | No. | Tgl. Masuk | Tgl. Pulang | No. RM | Nama Pasien | No. Klaim / SEP | INACBG | Top Up | Total Tarif | Tarif RS | Jenis | Status Berkas | Keterangan | |||||||||||||
2 | 1 | 29 Mei 2024 | 29 Mei 2024 | 1320071160 | AZZAM AFIFI SAMIN | 0106R0530524V007465 | F-5-14-0 | 271.900 | - | RJ | ||||||||||||||||
3 | 2 | 29 Mei 2024 | 29 Mei 2024 | 1320066554 | MUHAMMAD ADRIAN PRADIPTA | 0106R0530524V007401 | Z-3-12-0 | 170.800 | - | RJ | ||||||||||||||||
4 | 3 | 29 Mei 2024 | 29 Mei 2024 | 1320064367 | ADI LATIF SETIAWAN | 0106R0530524V007452 | Z-3-12-0 | 170.800 | - | RJ | ||||||||||||||||
5 | 4 | 29 Mei 2024 | 29 Mei 2024 | 1320050031 | SULAIMAN | 0106R0530524V007442 | M-3-16-0 | 135.700 | 223.000 | RJ | ||||||||||||||||
6 | 5 | 29 Mei 2024 | 29 Mei 2024 | 1320047850 | MURSIDAYANTI | 0106R0530524V007365 | M-3-16-0 | 135.700 | 223.000 | RJ | ||||||||||||||||
7 | 6 | 29 Mei 2024 | 29 Mei 2024 | 1320017455 | RAHMANIA | 0106R0530524V007362 | M-3-16-0 | 135.700 | 185.000 | RJ | ||||||||||||||||
8 | 7 | 29 Mei 2024 | 29 Mei 2024 | 1320063414 | FATONAH | 0106R0530524V007378 | M-3-16-0 | 135.700 | 223.000 | RJ | ||||||||||||||||
9 | 8 | 29 Mei 2024 | 29 Mei 2024 | 1320064513 | MEGAWATI LIVIA PUTRI | 0106R0530524V007363 | Q-5-44-0 | 198.100 | 225.000 | RJ | ||||||||||||||||
10 | 9 | 29 Mei 2024 | 29 Mei 2024 | 1320071856 | SITI NURBAYA | 0106R0530524V007356 | Q-5-44-0 | 198.100 | - | RJ | ||||||||||||||||
11 | 10 | 29 Mei 2024 | 29 Mei 2024 | 1320033762 | SYAUQI ATHARRAZKA IBRAHIM | 0106R0530524V007376 | Q-5-42-0 | 200.700 | 238.829 | RJ | ||||||||||||||||
12 | 11 | 29 Mei 2024 | 29 Mei 2024 | 1320065238 | MELI DWI SAPUTRI | 0106R0530524V007371 | L-3-12-0 | 304.500 | 570.985 | RJ | ||||||||||||||||
13 | 12 | 29 Mei 2024 | 29 Mei 2024 | 1320022169 | YENNY KRIHNA MURTHY | 0106R0530524V007370 | L-3-12-0 | 304.500 | 534.911 | RJ | ||||||||||||||||
14 | 13 | 29 Mei 2024 | 29 Mei 2024 | 1320067707 | AYU WANDIRA | 0106R0530524V007383 | Z-3-23-0 | 584.700 | 1.284.345 | RJ | ||||||||||||||||
15 | 14 | 29 Mei 2024 | 29 Mei 2024 | 1320071629 | ZARTAJ TSAMARA INAYAH | 0106R0530524V007392 | Q-5-42-0 | 200.700 | 237.077 | RJ | ||||||||||||||||
16 | 15 | 29 Mei 2024 | 29 Mei 2024 | 1320034910 | ZYAN ALFARIZ | 0106R0530524V007429 | Q-5-44-0 | 198.100 | 225.000 | RJ | ||||||||||||||||
17 | 16 | 29 Mei 2024 | 29 Mei 2024 | 1320057050 | ADE SRI MARYATI | 0106R0530524V007404 | Q-5-44-0 | 198.100 | 234.828 | RJ | ||||||||||||||||
18 | 17 | 29 Mei 2024 | 29 Mei 2024 | 1320046787 | NURIAH | 0106R0530524V007414 | Z-3-23-0 | 584.700 | 1.213.680 | RJ | ||||||||||||||||
19 | 18 | 29 Mei 2024 | 29 Mei 2024 | 1320071869 | MURNI SABDO LESTARI | 0106R0530524V007403 | Q-5-42-0 | 200.700 | 229.973 | RJ | ||||||||||||||||
20 | 19 | 29 Mei 2024 | 29 Mei 2024 | 1320068591 | NILAM ANDINI | 0106R0530524V007396 | Q-5-42-0 | 200.700 | 229.973 | RJ | ||||||||||||||||
21 | 20 | 29 Mei 2024 | 29 Mei 2024 | 1320071321 | INA KAPORINA | 0106R0530524V007394 | M-3-11-0 | 448.800 | 779.000 | RJ | ||||||||||||||||
22 | 21 | 29 Mei 2024 | 29 Mei 2024 | 1320069546 | NI MADE NOVIA REZKIANTI | 0106R0530524V007409 | Z-3-23-0 | 584.700 | 919.432 | RJ | ||||||||||||||||
23 | 22 | 29 Mei 2024 | 29 Mei 2024 | 1320071915 | YULIYANTI | 0106R0530524V007614 | K-5-18-0 | 256.900 | - | RJ | cppt dr nesya | |||||||||||||||
24 | 23 | 29 Mei 2024 | 29 Mei 2024 | 1320057923 | BAYEZID AR-RAIHAN MAKKY | 0106R0530524V007585 | Z-3-12-0 | 170.800 | 124.000 | RJ | ||||||||||||||||
25 | 24 | 29 Mei 2024 | 29 Mei 2024 | 1320069210 | AYDAN ALDEBARAN ANKARIAN | 0106R0530524V007421 | Z-3-12-0 | 170.800 | 124.000 | RJ | ||||||||||||||||
26 | 25 | 29 Mei 2024 | 29 Mei 2024 | 1320047753 | RADHIKA XANDER WU | 0106R0530524V007381 | Z-3-12-0 | 170.800 | 124.000 | RJ | ||||||||||||||||
27 | 26 | 29 Mei 2024 | 29 Mei 2024 | 1320053199 | RAISYA AZMYA RAMADHANI | 0106R0530524V007540 | Z-3-12-0 | 170.800 | 124.000 | RJ | ||||||||||||||||
28 | 27 | 29 Mei 2024 | 29 Mei 2024 | 1320037451 | MUHAMMAD ATTALA SHAFARAZ AL RASYID | 0106R0530524V007424 | Z-3-12-0 | 170.800 | 124.000 | RJ | ||||||||||||||||
29 | 28 | 29 Mei 2024 | 29 Mei 2024 | 1320032983 | AKBAR RAYYAN ALFARIZQI | 0106R0530524V007487 | Q-5-44-0 | 198.100 | 161.000 | RJ | ||||||||||||||||
30 | 29 | 29 Mei 2024 | 29 Mei 2024 | 1320064893 | DIMAS ADI NUGROHO | 0106R0530524V007602 | Z-3-12-0 | 170.800 | 138.000 | RJ | ||||||||||||||||
31 | 30 | 29 Mei 2024 | 29 Mei 2024 | 1320047251 | JAMES SIREGAR | 0106R0530524V007596 | Z-3-12-0 | 170.800 | 138.000 | RJ | ||||||||||||||||
32 | 31 | 29 Mei 2024 | 29 Mei 2024 | 1320026750 | BUDI HAFIZ WICAKSONO | 0106R0530524V007469 | Z-3-12-0 | 170.800 | 138.000 | RJ | ||||||||||||||||
33 | 32 | 29 Mei 2024 | 29 Mei 2024 | 1320043774 | GHAFIRA AZZAHRA SHEZA | 0106R0530524V007406 | Z-3-12-0 | 170.800 | 138.000 | RJ | ||||||||||||||||
34 | 33 | 29 Mei 2024 | 29 Mei 2024 | 1320046296 | AGHNA MAQIL HAMADA | 0106R0530524V007395 | Z-3-12-0 | 170.800 | 138.000 | RJ | ||||||||||||||||
35 | 34 | 29 Mei 2024 | 29 Mei 2024 | 1320071864 | LILIS SULINDA | 0106R0530524V007397 | Q-5-44-0 | 198.100 | 1.408.000 | RJ | ||||||||||||||||
36 | 35 | 29 Mei 2024 | 29 Mei 2024 | 1320065603 | SASTRA WINATA | 0106R0530524V007410 | Q-5-44-0 | 198.100 | 228.552 | RJ | ||||||||||||||||
37 | 36 | 29 Mei 2024 | 29 Mei 2024 | 1320064908 | QORY GEA KARUNIA ESA | 0106R0530524V007468 | Q-5-44-0 | 198.100 | 225.000 | RJ | ||||||||||||||||
38 | 37 | 29 Mei 2024 | 29 Mei 2024 | 1320044106 | M. TEGAR ALDIAN TURAYA | 0106R0530524V007407 | Q-5-44-0 | 198.100 | 251.873 | RJ | ||||||||||||||||
39 | 38 | 29 Mei 2024 | 29 Mei 2024 | 1320062000 | MAZHER | 0106R0530524V007415 | Q-5-44-0 | 198.100 | 225.000 | RJ | ||||||||||||||||
40 | 39 | 29 Mei 2024 | 29 Mei 2024 | 1320041894 | SOVINA MALALEUKA | 0106R0530524V007451 | Q-5-44-0 | 198.100 | - | RJ | ||||||||||||||||
41 | 40 | 29 Mei 2024 | 29 Mei 2024 | 1320066304 | DESTIANI REVITA PUTRI | 0106R0530524V007438 | Q-5-44-0 | 198.100 | 236.508 | RJ | ||||||||||||||||
42 | 41 | 29 Mei 2024 | 29 Mei 2024 | 1320070532 | ERWIN DJUNAEDI POHAN | 0106R0530524V007405 | Q-5-44-0 | 198.100 | 233.903 | RJ | ||||||||||||||||
43 | 42 | 29 Mei 2024 | 29 Mei 2024 | 1320061886 | AYU | 0106R0530524V007459 | Q-5-44-0 | 198.100 | 236.000 | RJ | ||||||||||||||||
44 | 43 | 29 Mei 2024 | 29 Mei 2024 | 1320071348 | ABU MOSA | 0106R0530524V007458 | Q-5-44-0 | 198.100 | 254.141 | RJ | ||||||||||||||||
45 | 44 | 29 Mei 2024 | 29 Mei 2024 | 1320071549 | NOFIATI SULASTRI | 0106R0530524V007463 | Q-5-42-0 | 200.700 | - | RJ | ||||||||||||||||
46 | 45 | 29 Mei 2024 | 29 Mei 2024 | 1320050781 | HENRY IVANSA KARAMOY | 0106R0530524V007423 | Q-5-44-0 | 198.100 | 302.918 | RJ | ||||||||||||||||
47 | 46 | 29 Mei 2024 | 29 Mei 2024 | 1320046314 | ALIYA | 0106R0530524V007439 | Q-5-44-0 | 198.100 | 265.848 | RJ | ||||||||||||||||
48 | 47 | 29 Mei 2024 | 29 Mei 2024 | 1320054265 | HANIFAH AMRU | 0106R0530524V007464 | Z-3-23-0 | 584.700 | 1.044.326 | RJ | ||||||||||||||||
49 | 48 | 29 Mei 2024 | 29 Mei 2024 | 1320066645 | AFRY SHINTA | 0106R0530524V007430 | Z-3-25-0 | 327.100 | 945.651 | RJ | ||||||||||||||||
50 | 49 | 29 Mei 2024 | 29 Mei 2024 | 1320071883 | NUR HABIBAH | 0106R0530524V007446 | Q-5-42-0 | 200.700 | 279.527 | RJ | ||||||||||||||||
51 | 50 | 29 Mei 2024 | 29 Mei 2024 | 1320071890 | FIDIAH PUTRI | 0106R0530524V007473 | Q-5-44-0 | 198.100 | - | RJ | ||||||||||||||||
52 | 51 | 29 Mei 2024 | 29 Mei 2024 | 1320068075 | SEPTIANA LOVIA NINGRUM | 0106R0530524V007477 | Q-5-42-0 | 200.700 | 243.470 | RJ | ||||||||||||||||
53 | 52 | 29 Mei 2024 | 29 Mei 2024 | 1320019462 | M NATSIR EFFENDY | 0106R0530524V007425 | Q-5-42-0 | 200.700 | 239.887 | RJ | ||||||||||||||||
54 | 53 | 29 Mei 2024 | 29 Mei 2024 | 1320055181 | HERA NOPIYANTI.SS | 0106R0530524V007460 | Z-3-23-0 | 584.700 | 1.207.700 | RJ | ||||||||||||||||
55 | 54 | 29 Mei 2024 | 29 Mei 2024 | 1320056856 | BERTA YULIANA | 0106R0530524V007408 | Z-3-25-0 | 327.100 | 614.000 | RJ | ||||||||||||||||
56 | 55 | 29 Mei 2024 | 29 Mei 2024 | 1320071875 | MONIC ANJANI JULIANA | 0106R0530524V007419 | Z-3-25-0 | 327.100 | 956.426 | RJ | ||||||||||||||||
57 | 56 | 29 Mei 2024 | 29 Mei 2024 | 1320019368 | MIRZA ZAINUN NISA | 0106R0530524V007433 | Z-3-23-0 | 584.700 | 1.044.326 | RJ | ||||||||||||||||
58 | 57 | 29 Mei 2024 | 29 Mei 2024 | 1320063964 | RIKA HAZARWATI | 0106R0530524V007448 | Z-3-27-0 | 203.100 | 442.505 | RJ | ||||||||||||||||
59 | 58 | 29 Mei 2024 | 29 Mei 2024 | 1320058112 | SRI WULANDRI | 0106R0530524V007457 | Q-5-44-0 | 198.100 | 225.000 | RJ | ||||||||||||||||
60 | 59 | 29 Mei 2024 | 29 Mei 2024 | 1320055559 | RIA SARI | 0106R0530524V007427 | Z-3-23-0 | 584.700 | 1.044.326 | RJ | ||||||||||||||||
61 | 60 | 29 Mei 2024 | 29 Mei 2024 | 1320071903 | ROZA LAVENIA | 0106R0530524V007552 | Q-5-44-0 | 198.100 | 225.000 | RJ | ||||||||||||||||
62 | 61 | 29 Mei 2024 | 29 Mei 2024 | 1320058841 | ENDANG KUSMIATI | 0106R0530524V007386 | Q-5-44-0 | 198.100 | 259.383 | RJ | ||||||||||||||||
63 | 62 | 29 Mei 2024 | 29 Mei 2024 | 1320071895 | ZULFIANA QURTA AYUN | 0106R0530524V007493 | Z-3-25-0 | 327.100 | 1.829.000 | RJ | ||||||||||||||||
64 | 63 | 29 Mei 2024 | 29 Mei 2024 | 1320071860 | ZAHRA CHIKA PURNOMO | 0106R0530524V007379 | Q-5-42-0 | 200.700 | 459.864 | RJ | ||||||||||||||||
65 | 64 | 29 Mei 2024 | 29 Mei 2024 | 1320039904 | INDRI SURYANI | 0106R0530524V007445 | Z-3-25-0 | 327.100 | 614.000 | RJ | ||||||||||||||||
66 | 65 | 29 Mei 2024 | 29 Mei 2024 | 1320014664 | DWI SEFTIYANA | 0106R0530524V007435 | Z-3-23-0 | 584.700 | 1.005.662 | RJ | ||||||||||||||||
67 | 66 | 29 Mei 2024 | 29 Mei 2024 | 1320071768 | SUKERI | 0106R0530524V007483 | Q-5-44-0 | 198.100 | 880.615 | RJ | ||||||||||||||||
68 | 67 | 29 Mei 2024 | 29 Mei 2024 | 1320062553 | HUSEN | 0106R0530524V007426 | Q-5-43-0 | 280.600 | 1.244.349 | RJ | ||||||||||||||||
69 | 68 | 29 Mei 2024 | 29 Mei 2024 | 1320030275 | MUHAMMAD ARSYAD | 0106R0530524V007443 | Q-5-44-0 | 198.100 | 258.408 | RJ | ||||||||||||||||
70 | 69 | 29 Mei 2024 | 29 Mei 2024 | 1320053298 | HASNANIARTI | 0106R0530524V007422 | Q-5-44-0 | 198.100 | 640.884 | RJ | ||||||||||||||||
71 | 70 | 29 Mei 2024 | 29 Mei 2024 | 1320065751 | ANGGITA WIDYA LESTARI | 0106R0530524V007441 | Z-3-23-0 | 584.700 | 805.219 | RJ | ||||||||||||||||
72 | 71 | 29 Mei 2024 | 29 Mei 2024 | 1320071905 | ALFINO PUTRA DEWANTORO | 0106R0530524V007577 | Q-5-44-0 | 198.100 | - | RJ | ||||||||||||||||
73 | 72 | 29 Mei 2024 | 29 Mei 2024 | 1320071891 | EKA SUSILOWATI | 0106R0530524V007475 | Z-3-25-0 | 327.100 | 2.016.000 | RJ | ||||||||||||||||
74 | 73 | 29 Mei 2024 | 29 Mei 2024 | 1320071119 | NURHAYATI | 0106R0530524V007538 | Z-3-19-0 | 1.418.500 | 2.359.608 | RJ | ||||||||||||||||
75 | 74 | 29 Mei 2024 | 29 Mei 2024 | 1320070386 | RENI PERMATA SARI | 0106R0530524V007456 | Q-5-12-0 | 253.100 | 682.000 | RJ | ||||||||||||||||
76 | 75 | 29 Mei 2024 | 29 Mei 2024 | 1320071092 | MALANY APRILLIA PUTRI | 0106R0530524V007551 | U-3-16-0 | 309.400 | 853.000 | RJ | ||||||||||||||||
77 | 76 | 29 Mei 2024 | 29 Mei 2024 | 1320071276 | KIKI JAYATI | 0106R0530524V007560 | Q-5-12-0 | 253.100 | 682.000 | RJ | ||||||||||||||||
78 | 77 | 29 Mei 2024 | 29 Mei 2024 | 1320063445 | LUSI MUSTIKA WATI | 0106R0530524V007559 | U-3-16-0 | 309.400 | 853.000 | RJ | ||||||||||||||||
79 | 78 | 29 Mei 2024 | 29 Mei 2024 | 1320071884 | TRI PURWANTI | 0106R0530524V007453 | Q-5-42-0 | 200.700 | 472.527 | RJ | ||||||||||||||||
80 | 79 | 29 Mei 2024 | 29 Mei 2024 | 1320059128 | PEBRIANTI | 0106R0530524V007444 | Z-3-25-0 | 327.100 | 647.592 | RJ | ||||||||||||||||
81 | 80 | 29 Mei 2024 | 29 Mei 2024 | 1320061489 | AYU PERMATA PUTRI KESUMA | 0106R0530524V007503 | Z-3-23-0 | 584.700 | 1.164.201 | RJ | ||||||||||||||||
82 | 81 | 29 Mei 2024 | 29 Mei 2024 | 1320065724 | YULIANA | 0106R0530524V007471 | U-3-16-0 | 309.400 | 853.000 | RJ | ||||||||||||||||
83 | 82 | 29 Mei 2024 | 29 Mei 2024 | 1320071892 | RIA OKTAVIA | 0106R0530524V007478 | K-5-18-0 | 256.900 | - | RJ | ||||||||||||||||
84 | 83 | 29 Mei 2024 | 29 Mei 2024 | 1320049882 | HERLINA EFENDI | 0106R0530524V007544 | U-3-15-0 | 266.300 | 662.690 | RJ | ||||||||||||||||
85 | 84 | 29 Mei 2024 | 29 Mei 2024 | 1320048744 | MUROD SATYANEGARA | 0106R0530524V007417 | Q-5-44-0 | 198.100 | 1.125.337 | RJ | ||||||||||||||||
86 | 85 | 29 Mei 2024 | 29 Mei 2024 | 1320051841 | KAIBU BERSLAM | 0106R0530524V007507 | Q-5-44-0 | 198.100 | 421.338 | RJ | ||||||||||||||||
87 | 86 | 29 Mei 2024 | 29 Mei 2024 | 1320066465 | LASMY | 0106R0530524V007509 | Q-5-44-0 | 198.100 | 863.159 | RJ | ||||||||||||||||
88 | 87 | 29 Mei 2024 | 29 Mei 2024 | 1320036552 | WINA PRAMITA | 0106R0530524V007505 | Q-5-44-0 | 198.100 | 498.565 | RJ | ||||||||||||||||
89 | 88 | 29 Mei 2024 | 29 Mei 2024 | 1320069900 | ACENG | 0106R0530524V007447 | Q-5-44-0 | 198.100 | 644.839 | RJ | ||||||||||||||||
90 | 89 | 29 Mei 2024 | 29 Mei 2024 | 1320066083 | VENNA DERINDA SARI | 0106R0530524V007561 | Q-5-12-0 | 253.100 | 682.000 | RJ | ||||||||||||||||
91 | 90 | 29 Mei 2024 | 29 Mei 2024 | 1320071863 | UJANG EFFENDI | 0106R0530524V007474 | Q-5-44-0 | 198.100 | 1.009.567 | RJ | ||||||||||||||||
92 | 91 | 29 Mei 2024 | 29 Mei 2024 | 1320057369 | MUCHLIS RUHASIP | 0106R0530524V007380 | Q-5-44-0 | 198.100 | 1.392.875 | RJ | ekg | |||||||||||||||
93 | 92 | 29 Mei 2024 | 29 Mei 2024 | 1320048741 | AYU NIAR | 0106R0530524V007581 | Z-3-23-0 | 584.700 | 936.482 | RJ | ||||||||||||||||
94 | 93 | 29 Mei 2024 | 29 Mei 2024 | 1320060817 | SAHARDAN | 0106R0530524V007508 | U-3-16-0 | 309.400 | 853.000 | RJ | ||||||||||||||||
95 | 94 | 29 Mei 2024 | 29 Mei 2024 | 1320045170 | HARWIN BOEHAR | 0106R0530524V007510 | Q-5-44-0 | 198.100 | 839.677 | RJ | ||||||||||||||||
96 | 95 | 29 Mei 2024 | 29 Mei 2024 | 1320071133 | NURZEN APRIZAL | 0106R0530524V007563 | Q-5-12-0 | 253.100 | 682.000 | RJ | ||||||||||||||||
97 | 96 | 29 Mei 2024 | 29 Mei 2024 | 1320062028 | AHMAD BADRI | 0106R0530524V007512 | Q-5-44-0 | 198.100 | 837.969 | RJ | ||||||||||||||||
98 | 97 | 29 Mei 2024 | 29 Mei 2024 | 1320059770 | EDY KURNIAWAN | 0106R0530524V007476 | Q-5-44-0 | 198.100 | 857.476 | RJ | ||||||||||||||||
99 | 98 | 29 Mei 2024 | 29 Mei 2024 | 1320049771 | MELINDA LESTARI | 0106R0530524V007611 | H-3-12-0 | 248.100 | 676.000 | RJ | ||||||||||||||||
100 | 99 | 29 Mei 2024 | 29 Mei 2024 | 1320070929 | JUNARIYAH | 0106R0530524V007517 | Q-5-44-0 | 198.100 | 502.827 | RJ |