Lab Agust Minggu 2

7/25/2019 Lab Agust Minggu 2

1/78

TGL NO NAMA PASIEN PENGIRIM JENIS PEMERIKSAAN

1/6/2014 1 Rifky Aps GDS, Cholesterol 45000

3/6/2014 1 Muhaa! Ali Dr "#a GDS 22000

4/6/2014 1 Raha$ Aps GDS,Cholesterol 4%000

5/6/2014 1 &u$ae!y M Ali Aps Cholesterol, 'A 50000

2 (y )us$iah Aps GDS

3 *pk (ursuki Aps GDS

4 )+ akiyah Aps GDS

5 ) )us$i -ari$ Aps GDS

6 ". -eah Aps GDS% ". )uriah Aps GDS

". Ai$ah Aps GDS

ale u+i Aps GDS

10 rsiaa$ Aps GDS

11 ) uka$ Aps GDS

12 Maesarah Aps GDS

13 Muri! Aps GDS

14 *. Sukia$i Aps GDS

15 ". Rauhu$ Aps GDS

16 Mariah Aps GDS1% (ur!i$ Aps GDS

1 )+ atah Aps GDS

1 &u$ae!y M Ali Aps GDS

20 Daat Aps GDS

21 Mulyato &u$ai!i Aps GDS

22 )+ arhiah Aps GDS

23 A$i Rahaya$i Aps GDS

6/6/2014 1 Surya *akti (Sp! Aps D,GDS,Chol,-7,'A,8-,- 22000

2 ) (aai Aps GDS

3 *pk Mahli Aps GDS4 *pk 9ire (e7ara Aps GDS

5 *pk DRS *ustai$ Aps GDS

6 ":u A$!i Aisyah Aps GDS

% Rohati Aps GDS

A. Mursi$ Aps GDS

". Mah$i Aps GDS

10 Suke$ah Aps GDS

(Rp.)

Klinik Cahaya Medika

LABORATORIM KLINIKCA!A"A ME#IKA

Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k Ten&Telp. ( ,-,) /01112

LAPORAN JMLA! PASIEN 3 BLAN J4,51


2/78

11 ariah Aps GDS

12 Sri )aryati Aps GDS

13 M )a!i Aps GDS

14 ) Darai Aps GDS

15 ) As$ai Aps GDS

16 ) Sapoa$ Aps GDS

%/6/2014 1 ) Maar!i !r ira Ati Asa 'rat 250002 "!ris Aps GDS

3 ". Ra:iah Aps GDS

4 Ayep Aps GDS

5 Drs)A;halik Aps GDS

6 Mustia$ah Aps GDS

% au


3/78

KET.

'u

'u

'u

'u

Gratis

Gratis

Gratis

Gratis

GratisGratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

GratisGratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

GratisGratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

h NTB

I


4/78

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

'uGratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis

Gratis'u

'u

'u

'u

'u

Gratis

'u

Gratis

'u

'u

'u

'u

'u

'u

'u


5/78

TGL NO NAMA PASIEN d PENGIRIM KET

2/%/2014 1 (y )eraati Dr Dei D,',SC,8-,- 143000 'u

10/%/2014 1 )+ Suhari Dr De!e D,GDS %5000 'u

1 Sairu$ Dr 9i$a$7u$ 3%4000 'u

11/%/2014 1 ":u So$ah Dr Ayu D,GDS %5000 'u

12/%/2014 1 ":u Ruisah Dr (uh D,GDS %5000 'u

14/%/14 1 (y Ria Apriya$ti Dr ari! D 53000 'u

15/%/14 1 (ita Aps )*SAG 25000 Gratis

1 -arik Aps GDS 20000 'u

1 Mahu!i$ DDR 3%000 'u

16/%/14 1 *pkA Musa$ip Dr Sri Mulyati GD,2& 44000 'u

1 )aliah Dr Ayu D 55000 'u

1/%/14 1 )ati A


6/78


7/78

TGL NO NAMA PASIEN d PENGIRIM KET

2//2014 1 *. Aalia Dr ara D 55000 'u

3//2014 1 *. Aalia Dr ara 20000 'u

1 )+ Mah$u$ AS GDS 22000 'u

1 *pk )eria$to AS 'R'M,SC,'A %5000 'u

4//2014 1 )& ;iiaati GDS 22000 'u

5//2014 1 )& ;iiaati Dr *asiru$ 160000 'u

1 *. Aalia Dr A!i,SpA D 55000 Gratis

1 Ra:iah Aps D 55000 'u6//2014 1 *y Mo$alisa Dr uspa D,G8DA 6000 'u

1 A. "ra$ Dr (uh 163000 'u

%//2014 1 Ai$ah AS G8DA 15000 'u

//2014 1 Rali Dr 9i$a$7u$ 36%000 'u

//2014 1 (y Mis:ah AS C)8,GDS,'A %4000 'u

1 (> >uli Sri )arya$i AS GDS,C)8,'A %5000 'u11//2014 1 Raisa (araya Dr A!i,SpA D 55000 'u

12//2014 1 aura Dr Cahya D 25000 'u

1 M "+a


8/78

1%//14 1 -$ ikri &aal Dr ari! D 55000 'u

1//14 1 (a$!a Dr ara 9i!al 2000 uu

1 (y Sao!ah Dr De!e 132000 uu

21//14 1 ) uka$ Dr 9i$!u,SpD D,',GDS,SC 115000 uu

21//14 1 ) (uru!i$ Dr Safri


9/78


10/78


11/78

TGL NO NAMA PASIEN d PENGIRIM JENIS PEMERIKSAAN

1//2014 1 Aha! Sauko$i Dr >a$ D 55000

2 Ra:iah AS GDS 22000

3 (y akiati Dr >a$ GDS,C)8,-G,)D,D 10000

2//2014 1 (iah Dr ara D,' 0000

2 (y akiati Dr ara GD 22000

3 Aha! Sauko$i Dr ara D 55000

4 *pk -arik AS GD 22000

5 )+ )ili$i Dr De!e D 55000

6 Ra:iah Dr De!e GDS 22000

3//2014 1 Aha! Sauko$i Dr Ayu D, 55000

2 -$ "!a$ Dr ara 244000

4//2014 Aha! Sauko$i Dr >a$ D 55000

5//2014 1 ) Malaai Dr (uh D,9"DA,DDR 11%000

2 *y (> (urya$ti Griya Astiti GDS 20000

6//2014 (y Siti Mutai$ah AS D,G8DA %0000

//2014 1 *. Alifa (afara Dr A!i SpA D 55000

2 Gaup Dr 9i$!utaa SpD 1%000

//2014 1 Meri Dr 9i$!utaa SpD D,' %5000

2 (y atah Dr >a$ GDS 20000

11//2014 1 ) Mak:ul Dr 9"(A(G'(,SpD D,',GDSC)8,-G, 20000

2 *pk Sahrah Dr ('h ' 20000

12//2014 Al=i$o Dr A!i D 55000

15/0/14 1 Mahulu!i$ AS *'(,SC 55000

2 -$ Asyah Dr -u$+u$7 1%%000

16/0/14 1 (y Mira Dr 9i$!u,SpD C)8 35000

2 (y Ayu$iah Dr )e$ry GDS 220001%/0/14 1 A$ Maula$ Dr ara D,9"DA 0000

2 (y -yas AS D 55000

1/0/14 (> Sri i$!a 9ati Dr De!e D,9i!al 0000

1/0/14 (y Mas$ah Dr De!e D,',GDS,C)8,'A 14%000

22/0/14 (y Mas$ah Dr De!e GDS 22000

23/0/14 1 (y Sukati AS 1%000

TARIF(Rp.)

D,GDS,C)8,-G,*'(,SC,8-,-

GDS,C)8,-G,'A,)D

D

GDS,C)8,-G,)D,D,SC 136

GD,C)8,-G,)D,D'



Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k Ten&ahTelp. ( ,-,) /01112

LAPORAN JMLA! PASIEN 3 BLAN SEPTEM4,51


12/78

2 *a:a$7 Rahi$ A!+i Dr 9i$!utaa SpD Dl,' %5000

3 *y (y r$i Dr A!i SpA GDS 42000

4 -$ ;ukuh 9i#akso$o Dr >a$ D 55000

5 *. Me7aati Dr >a$ D,',GDS 5000

26/0/14 (y Siti Mutai$ah Dr Sutaa ' 20000

2%/0/14 1 ". -ei$ Dr 9i$!utaa SpD D,',DS 5000

2 Siti Ai$ah Dr ('h GDS 22000

2/0/14 *y (y ;)aera$ik Griya Astiti D,GDS 110000

2/0/14 1 (y Ra:iah AS GDS 20000

30/0/14 1 )& MAh$u$ AS GDS 22000

2 *. Me7aati Dr ara ' 20000

JMLA! PASIEN 3 1- ORANG SB TOTAL 3 -.5-


13/78

KET

'u

'u

'u

'u

'u

'u

Gratis

'u

'u

'u

'u

'u

'u

'u

'u

'u

uu

uu

uu

'u

'u

'u

'u

'u

'u

'u'u

'u

uu

uu

'u

uu

TB

BER


14/78

'u

'u

'u

'u

'u

'u

'u

'u

'u

'u

'u

.,,,


15/78

TGL NO NAMA PASIEN d PENGIRIM

2/10/2014 1 9i!iatu$ Soleha Dr ;t A!i 9 SpA D,9"DA 0000

2 >usro Dr Sutaa,Sp8G A$alisa Spera 110000

3 (y Ai$ah Dr -u$+u$7 SpS 250000

4 *. Mustai$ah Dr -u$+u$7 SpS GDS,C)8,-G,SC 112000

3/10/2014 1 )& Maesarah Dr ara D,C)8,'A,GDS 12%000

2 >u!ia$ Dr *asiru$ D,9"DA,DDR,' 115000

/10/2014 1 Solehatu$ Dr Sutaa Sp8G D,DDR,' 112000

2 (y Ra:iah Dr ara GDS 22000/10/2014 1 )+ Maleha Dr 9i$!u SpD GDS,' 42000

2 M ae$al A Dr )eri C)8,'A 55000

10/10/2014 1 Rus$ah Dr "ka D,GDS,C)8 5000

2 A$ Al!i Dr "ka ' 20000

11/10/2014 1 Maalia Dr A!i SpA ' 20000

2 (> Diah Dr 9i$!u SpD D 55000

3 (y Suarti$i Dr "ka D,GDS,C)8 10000

12/10/2014 1 (y Suar$iati AS GDS,C)8,'A %5000

2 )asa$ Rus!i AS C)8,-G %3000

3 ) Musleh AS ',GDS 45000

4 Sah$i Dr "ka GDS,C)8,-G,'A 112000

13/10/14 1 A:!ul ;ari AS GD, GD2&aM 44000

2 Asyah Dr -u$+u$7 C)8 3%000

3 Su$ar!i Dr "ka GDS 25000

14/10/14 1 (> Surya$i Dr 9i$!u GDS, C)8, 'A %5000

2 *y $y ka Griya Astiti D, GDS 110000

3 Mah$u$ Dr >uaris - 15000

16/10/14 1 (y Asiah Dr ara 1%4000

1%/10/14 1 AB S' Dr ara D, ', 8-, - 121000

1/10/14 1 A*D Ga$i 165000

2 Dei "!aa$ Dr )ery ' 20000

1/10/14 1 MA$!ika Maula$a AS D, 9"DA 0000

22/10/14 1 *> (> "ra ) Griya Astiti GDS 40000

23/10/14 1 (> D"A( AS C)8, 'A, GD %5000

2 *> (> 8kta R Griya A GDS 40000

JENISPEMERIKSAAN

TARIF(Rp.)

GDS,C)8,-G,'A,SC,)D,D,D

D, GDS, 'R'M,SC, 8-, -

D, GDS, C)8, -G,'



Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k Ten&aTelp. ( ,-,) /01112

LAPORAN JMLA! PASIEN 3 BLAN OKTOBER 4,51


16/78

3 *> (> "$!ah Griya A GDS 40000

4 (> a!i$ Dr "ka GDS, D, 'A 5000

2%/10/14 1 ('("; Dr Ayu 11%000

2/10/14 1 (y Ra:iah AS GDS 25000

2 Muksi$ Dr 9i$!u D,GDS,C)8,-G 145000

3 Su:ur )a:i:i Dr Ayu D,'A, %50004 (y Dei "!aa$ Dr Sutaa - 15000

5 A. ;e$ari Dr ara D,9"DA,DDR 11%000

30/10/14 1 )+ Mah$u$ AS GD 22000

2 -$ e:ria$to Dr ara C)8,'A 55000

3 )us$ul )atiah AS D,G8DA, ' 0000

31/10/14 1 A. ;e$ari Dr )ery D 55000

2 -$ ae$al A:i!i$ Dr Sutaa A$alisa Spera 110000

3 -$ A$to AS GDS 22000

4 A$77ri Dr )ery D,',9"DA 100000

D, MAAR"A,9""DA

JMLA! PASIEN 3 12 ORANG SB TOTAL 3 -.4


17/78

KET

'u

'u

'u

'u

'u

Gratis

'u

'u'u

'u

'u

'u

'u

'u

'u

'u

uu

uu

uu

'u

'u

'u

'u

'u

'u

'u

'u

'u

uu

uu

'u

uu

'u

h NTB


18/78

'u

'u

'u

'u

'u

'u'u

'u

'u

'u

'u

'u

'u

'u

'u

.,,,


19/78

TGL NO NAMA PASIEN d PENGIRIM

1/11/2014 1 Muha!!i$ Dr 9i$!u Dp D D 55000

2 Suirah AS GDS 22000

3/11/2014 1 *y (y iri S Griya Astiti D,GDS 115000

4/11/2014 1 (y Surya$i Dr 9i$!u Dp D GDS 22000

5/11/2014 1 ". uhai$i Dr Saiful *ahri GDS 22000

2 "rfa$ Dr Saiful *ahri C)8S-R8 34000

6/11/2014 1 A. Atu$ Dr *asiru$ D,DDR,9"DA 115000

2 Mur!i Dr "ka 'A 23000

3 ) A:! A


20/78

3 Melo!i Dr "ka D, 9i!al %5000

4 Ayyis Dr ka D, *il D/-, Gol!a 116000

5 ) ahrup Dr "ka 211000

23/11/14 1 A. ;a$e Dr :asiru$ 9i!al 25000

2 *ahri Dr *asiru$ 9i!al 25000

3 (y a!i$ AS GDS, C)8, -R"G 000024/11/14 1 M Si7it rasetyo AS ' 20000

26/11/14 1 )asa$ Rus!i AS C)8,-G,'A 3,000

2 (y osaliya AS D 55,000

2%/11/14 1 )& )arya$ah Dr 9i$a$7u$ D,8-,-,' 121,000

2 Ra+ia$oor >ahya AS D 55,000

2/11/14 1 A:! )a!i AS GDS 25,000

2 -apsir Dr 9i$!u SpD GDS,'A 45,000

30/11/14 1 ". &a


21/78

KET

'u

'u

'u

'u

'u

'u

'u

'u

'u

'u

'u

'u

'u

'u

'u

uu

uu

uu

'u

'u

'u

'u

'u

'u

'u

'u

'u

uu

uu

'u

uu

'u

'u

'u

ah NTB

,51


22/78

'u

'u

'u

'u

'u

'u'u

'u

'u

'u

'u

'u

'u

'u

p.


23/78

-G (8 (AMA AS"( !r (G"R"M &("S MR";SAA( ;-

1/12/2014 1 (y >ulia AS Dl, 9i!al 0000 'u

2 Arsya AS DDR, 9i!al 62000 'u

3 "khsa$ Dr >a$ 12%000 'u

4 ;hus$ul khotiah AS D 55000 'u

2/12/2014 1 Ra!a$ Dr Sutaa A$alisa Spera 110000 'u

3/12/2014 1 )artaa$ Dr 9i$a$7u$ 3%4000 'u

/12/2014 1 Ra:iah AS GDS, C)8 54000 'u

/12/2014 1 )+ Aisah AS GDS 22000 'u

2 *. rti$a AS D, ', GDS 5000 'u

10/12/2014 1 Asti Dr "ka D, 9"DA 0000 'u

2 Mu$aar ;SE Dr "ka D,9"DA 100000 ;S

11/12/2014 1 )+ &ui )artaati Dr Sutaa ' 20000 'u

2 A. 9i$!asari Dr ara D, 9"DA 0000 'u

12/12/2014 1 Suira$ AS GDS 22000 'u

2 M A77a Dr "ka D, 9"DA, DDR 13%000 'u

13/12/14 1 Saterah AS 8-,-, )*SA7, *" D/- 11%000 'u

2 Di!i Dr (uh GDS, C)8 54000 'u

15/12/14 1 *. (y Ret$o Griya Astiti D %5000 'u

2 'faira Dr *asiru$ D, 9"DA 0000 'u

16/12/14 1 alu Muksi$ AS GDS, C)8, 'A, D 12%000 'u

2 (urul Muki$ah AS GDS,C)8, 'A %4000 'u

1/12/14 1 *ai. Mustia$ah Dr )e$ry D, *-/C- 6000 'u

20/12/14 1 *p Suira$ AS GDS 22000 'u

22/12/14 1 ":u Rauhu$ Saiful *ahri D 53000 'u

2 " Gusti a$a$7 S Dr DD 2%%000 'u

23/12/14 1 *ayi "$ak Dei Griya Astiti D %5000 'u

24/12/14 1 utri Dr ara D, 9"DA 0000 'u

2 -itis AS D 55000 'u

25/12/14 1 utri Dr "ka D 55000 'u

2 -$ Muliya$to - ak sahri 13%000 'u

-AR"RpE

D, GDS, 'A,Cholesterol

D,',GDS,Chol,-G,'A, SC,8-,-,*" D/-,

)*SA7

D, ',C)8,8-,-,'R,SC

GDS,-G,C)8,'A)*SA7



Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k Ten&ahNTB

Telp. ( ,-,) /01112

LAPORAN JMLA! PASIEN 3 BLAN #ESEMBER4,51


24/78

3 -$ Mulyat$o AS 13%000 'u

4 (y Ra:iah AS ' 20000 'u

5 (y )a!ia$a Griya Astiti D %5000 'u

26/12/14 1 (y Ra:iah AS GD 20000 'u

2 utri Dr(uh D 55000 'u

2%/12/14 1 utri Dr "ka D 55000 'u2 )ai!ah Dr (uh D, 9"DA 0000 'u

2/12/14 1 utri Dr ara D 55000 'u

2/12/14 1 )+ Suta+i GD,C)8,-G )D, D 15%000 'u

2 utri Dr ara D 55000 'u

3 (y Rita Dr ara D, 9"DA 0000 'u

4 *y (y "!a Ayu Griya Astiti D %5000 'u

30/12/14 1 &a$ Dr (uh GDS, C)8S-R8 54000 'u

2 >u$ita AS GD,GD2&AM,','A 2000 'u

3 >u$ita AS C)8S-R8 32000 'u

4 ) Sasu!i$ Dr 9i$!u D, C)8, SG8-, SG- 133000 'u

5 Ri$a Dr 9i$!u D, C)8, SG8-, SG- 133000 'u

31/12/14 1 Su$ar )ira$ AS GDS 22000 'u

2 Su#i Rahayu Dr A!i D, C-,*- 6000 'u

3 "r ":rahi Dr "ka 152000 'u

GDS,-G,C)8,'A,)*SA7

D, GDS, C)8, 9"DA,'A

&'MA) AS"( ? 198RA(G -8-A ? Rp 1.-,9000


25/78


26/78


27/78

-G (8 (AMA AS"( !r (G"R"M &("S MR";SAA(

1/1/2015 1 Ria$ D

2 (y Asti$ Griya Astiti D

3 (a:il Dr A!e D, i!al, alaria

4/1/2015 1 Rita raat i$apE Dr A!e D

5/1/2015 1 Rita raat i$apE Dr De!e D

2 *apak A$har AS D, 9i!al

3 A$ ur$aa 9ahyu!i Dr *asiru$ D, 9i!al, Malaria

4 Al=i$o Dr A!i D

5 )+ Mahu AS GDS

6/1/2015 1 *u Solatiah AS '

2 (y Susilaati Dr >a$ D, 'A, Choles

3 -$ ) (ursala Dr )e$ry D

4 A$ "$77a Dr A!i D

1 *o: 8kale Dr >a$ D, Choles, GDS

/1/2015 2 (y Ayu$ah Dr )e$ry GDS

3 Siti )erlisa Dr )e$ry

4 (y Mas$iaati Griya Astiti D

1 Aelia Dr *asiru$ D

/1/2015 1 ) alu 9ira$ata Dr *asiru$ D, GDS

12/1/2015 2 -$ )era$ Dr ara D

1 )+ Rau!atul &a$ah Dr *asiru$ Choles, 'A, GDS

13/01/15 2 Arya Cha$!ra Dr 9i$!u '

3 M a+ar AS D, 9i!al1 ) (ursala Dr )e$ry D, D

15/01/15 2 *ai. 9ire Sari Dr "ka D, GDS, Choles, 'A

3 )+ Ai$ah Dr "ka D, GDS, Choles, 'A

4 Mah!i >u!i Dr G$ Sutaa A$alisa Spera

5 )ario Dr "ka D, 9i!al

1 Dr ari! D

16/01/15 1 8ki (o=ia$ Susa$to Dr A!i D

1%/01/15 2 *ai. Raisa Dr Me7a ae#es e$7kap

3 alu i:$i Dr 9i$!u D, 8-, -

4 8ki (o=ia$ Susa$to Dr Me7a D

5 8ki (o=ia$ Susa$to Dr A!i D

1 8ki (o=ia$ Susa$to Dr A!i D

1/01/15 2 )apsah Dr (uh GDS

3 "!a Ayu M Dr >a$ D, '

4 8ki (o=ia$ Susa$to Dr >a$ D

5 *ai. )apsah Dr >a$ D

D, 9i!al, 'reu, ;reati$i$,SG8-, SG-, GDS, Cholesterol

D, D, GDS, SG8-, SG-,;reati$i$, 'reu

8ki (o=ia$ Susa$toraat i$apE



Jln. Ga$ah Mada %akan Lenen&' Paya' L*+Telp. ( ,-,) /

LAPORAN JMLA! PASIEN 3 BLAN JANARI


28/78

5 A$ Arfa AS "7G, i7M De$7ue

6 Sua$tro$ Dr ari! D, Choles

% 8ki (o=ia$ Susa$to Dr A!i D

)asa$ Rusli AS GDS, Choles, -7

1 Masiah DR Di$i D, GDS20/01/15 2 Aa. "!a Dr *asiru$ D, DDR, 9"DA

3 ) Musleh Dr Di$i

1 Marlia uhro Dr ari! D

22/01/15 2 -$ &aela$$i Dr *asiru$ D, DDR, 9"DA

1 *> (y Mulia$a Gria Astiti D

23/01/15 2 ". Murak Sasu!i$ GDS, 'A

3 ". Se$ah Sasu!i$ GDS, 'A, Cholesterol

4 -iti ka 9ahyu$i Dr Di$i D, 9ia!al

1 M Sai!i !r 9i$!u D,'A,C)8,',GDS

24/01/15 2 alu Aha!i 9 !r De$ara D, D) "7G/"7M

3 -$ )a!i AS A$alisa Spera

1 alu Aha!i 9 !r De$ara D

25/01/15 1 alu Aha!i 9 !r 9ar!a$i D

26/01/15 1 alu Aha!i 9 !r >a$ D

2%/01/15 1 M Rifki )aki !r a!i, SA D

2/01/15 2 M Rifki )aki !r a!i, SA D

3 ) )as$ah !r "ka GDS, C)8, 'A

4 M Rifki )aki !ra!i,SA D


2/01/15 2 9asatul Baar !r 9i$!u D,',C)8,GDS,*'(,'A,SC

3 *> (y )i+riati Griya Astiti D

4 M Rifki )aki !r a!i, SA D

5 )+ (urhi!ayah !r 9i$!u D, GDS

6 Ri$i !r Sutaa -

% M Rifki )aki !ra!i,SA D


30/01/15 2 M Rifki )aki !ra!i,SA D

3 (urili Dr *asiru$ D, 9"DA

4 )ariy Dr *asiru$ D, i!al, alaria5 M Rifki )aki !ra!i,SA D, "7G, i7M

31/01/15 1 )+ (urhi!ayah Dr 9i$!u GDS

2 A$ elia !r ya$ D, 9i!al

3 (urai$i saiful :ahri -4, -S)s

4 :y$y A$a Maria$a Griya Astiti D

-otal ? Rp %66000,@

J:*lah Pa;ien 3 22 an&

D, GDS, C)8, 'R'M,CRA-"("(


29/78

-AR" RpE ;-

0000 'u

0000 'u

231000 'u

56000 'u

55000 'u

%5000 'u

11%000 'u

55000 'u

55000 'u

0000 'u

115000 'u

56000 'u

22000 'u

20000 'u

10%000 'u

55000 'u

56000

10%000 'u

22000 'u

14000 'u

%5000 'u

53000 'u

%5000 'u

55000 'u

%5000 'u

20000 'u

0000 'u%5000 'u

12000 'u

12000 'u

110000 'u

0000 'u

55000 'u

55000 'u

20000 'u

101000 'u

55000 'u

55000 'u

55000 'u

22000 'u

%5000 ;S

55000 'u

55000 'u

k Ten&ah NTB01112

4,50


30/78

1%3000 'u

%000 'u

55000 'u

2000 'u

%5000 'u115000 'u

160000 'u

55000 'u

115000 'u

%5000 'u

40000 'u

%2000 'u

%5000 'u

14%000 'u

225000 'u

110000 'u

5%000 'u

55000 'u

55000 'u

5000 'u

55000 'u

%5000 'u

55000 'u

55000 'u

200000 'u

%5000 'u

55000 'u

%5000 'u

15000 'u

55000 'u

55000 'u

55000 'u

%000 'u

115000 'u225000 'u

23000 'u

0000 'u

510000 'u

%5000


31/78


1/2/2015 1 *y Susti Ariya$ti Griya Astiti D

1 )ary !r *asiru$ D

1 ;haerul )a!i !r 8ktaria D, 9i!al, "7G/"7M

1 *y (yo$ya Citra 9ati Griya Astiti D

2/2/2015 1 A$ elia !r De$u$a D, MAAR"A, "7G/"7M

1 Stefa$syah AS GDS

1 (y aela urae!a Griya Astiti D

3/2/2015 1 A$ elia !r A!i D

1 -$ aula AS GDS, Choles, 'A, 9i!al1 A$ elia !r A!i D

4/2/2015 1 (esa ;o$iala Sari Griya Astiti D, '

1 A$ elia !r A!i D

1 A$ elia !r A!i D

1 Sara$ !r 8ktaria

1 (y (ur !r 8ktaria D, MAAR"A, 9"DA

1 *y (y Melati Griya Astiti D

1 sa:!i !r 8kataria

D, MAAR"A,9"DA,"7G/"7M

5/2/2015 1 )eri Murtaa$ AS D, 9"DA, MAAR"A

1 sa:!i !r 9i$!u D

1 A$ elia !r A!i D

1 -$ Slaet ;arya!i !r >a$

1 A$ elia !r A!i D

6/2/2015 1 -$ Dary AS D, 9"DA

1 -$ Saifullah AS D, GDS,'A

1 sa:!i !r 9i$!u D

%/2/2015 1 sa:!i !r >a$ D

1 *ai. Dei Sartika Griya Astiti D

1 )+ Mah$u$ AS GDS

1 )+ (urhi!ayah AS GDS, SG-, SG8-

/2/2015 1 sa:!i !r >a$ D

/2/2015 1 sa:!i !r >a$ D

1 (y "$!ra Dei S !r 8ktaria

10/2/2015 1 sa:!i !r 8ktaria D

1 *y Sakyah Griya Astiti D

1 A$ Arif )a


32/78

1 *y(y (urul Griya Astiti D

1 *y (y Asri$i Griya Astiti D

15/2/2015 1 Se$irah !r Dita Sputu

1 *y (y Ra:iah Griya Astiti D, GDS

1 A$ ahi


33/78

-AR" RpE ;-

%5000 uu

53000 uu

252000 uu

%5000 uu

2%000 uu

22000 uu

%5000 uu

53000 uu

000 uu55000 uu

5000 uu

55000 uu

55000 uu

245000 uu

11%000 uu

55000 uu

2%000 uu

11%000 uu

55000 uu

55000 uu

2%6000 uu

55000 uu

%000 uu

3000 uu

53000 uu

55000 uu

%5000 uu

20000 uu

6000 uu

55000 uu

55000 uu

25000 uu

55000 uu

%5000 uu

56000 uu

56000 uu%6000 uu

23000 uu

22000 uu

1000 uu

%6000 uu


34/78

53000 uu

53000 uu

5000 uu

%3000 uu

56000 uu20000 uu

126000 uu

55000 uu

14000 uu

1%6000 uu

23000 uu

23000 uu

23000 uu55000 uu

%5000 uu

56000 uu

211000 uu

20000 uu

55000 uu

%3000 uu

122000 uu

55000 uu

2%5000 uu

1%4000 uu

20000 uu

11000 uu

510000 uu

1000 uu

112000 uu

56000 uu

55000 uu

20000 uu

000 uu

14000 uu

55000 uu

23000 uu

65000 ;S

%%1000


35/78

-G (8 (AMA AS"( !r (G"R"M

1/3/2015 1 (> ('R !r >a$

1 (> )& S"-" S8"A) !r >a$

1 *>(>";A Griya Astiti

1 (> )& S"-" S8"A)

2/3/2015 1 (> ('R !r 8ktaria

1 *> (> S';AR"A-'( Griya Astiti

1 (> )& S"-" S8"A) !r 8ktaria

1 *> (> M'-MA"(A) Griya Astiti

1 (> M'-MA"(A) Griya Astiti3/3/2015 1 A>' '-R" AS

1 * S'>AD" AS

1 -( ADR"A( '-RA AS

5/3/2015 1 *> (> S"-" >'"A(" Griya Astiti

1 *> (> (";" RS-' Griya Astiti

1 (> *B A)R8-' !r 8ktaria

1 A( A !r 8ktaria

1 *B 'S9A-'( AS

1 )& )A("A) !r 8kataria

1 *> (> 9ARD>A Griya Astiti

6/3/2015 1 )& )A("A) !r 9i$!u

1 D"MAS )"MA9A( !r 8ktaria

%/3/2015 1 )& )A("A) !r 9i$!u

/3/2015 1 ASM">A) AS

1 R">A(;A ('GRA)A !r *asiru$

1 S'(D8>8 AS

10/3/2015 1 )+ (urhi!ayah !r 9i$!u

1 A)MAD AM" AS

1 M A" -A'A( AS

11/3/2015 1 R">A(;A ('GRA)A !r *asiru$

12/3/2015 1 R";A A'"A !r 9i$!u

1 -( *A"-' !r >a$

13/3/15 1 )M SAM" AS

1 (> RA)MA) AS

1 A*D' 9A)A* AS

1 R8SD"A(A ARSA( AS

1 ) ('RS"D" AS

1 (> "-R" !r ari!

LA

Jln. Ga$ah Mada %

LAPORAN



36/78

14/3/15 1 A( GA"(G !r A!i

1 A( AM" !r *asiru$

1 -( A)R'RR8" AS

1 (> ;A RASAS-" AS

15/3/15 1 A( A'D> !r A!i16/3/15 1 A( A'D> !r A!i

1 ) M')DA( !r Satria

1 (> SAMA) !r Satria

1%/3/15 1 A( A)M" AMAR !r 8ktaria

1 (> SAMA) !r 9i$!u

1 -( M')DA( !r 9i$!u

1 A( CS> !r 8ktaria

1 A( "R( A;A !r 8ktaria

1 A( A)M" AMAR !r 8ktaria

1/3/15 1 '-RA9A( AS1 A( A'D> !r A!i

1 -( M')DA( !r 9i$!u

1 (> *B M'>A-" AS

1 (> )& S"-" RA)MA !r >a$

1/3/15 1 ) SA)MAD AS

1 A( A)M" AMAR !r A!i

1 ) M')DA( !r 9i$!u

1 A( RA;A !r A!i

1 -( AMAB BAMAR !r 9i$!u

1 "B S'ARMA( !r Ditha

1 A( M G'(-'R !r Ditha

1 *> M'-"ARA !r Satria

20/3/15 1 A( M G'(-'R !r A!i

1 *> M'-"ARA !r A!i

1 (> ('RA"(" AS

1 -( M')DA( !r 9i$!u

1 "S !r 8ktaria

1 MA"("M AS

1 )& AS"A) AS

21/3/15 1 SA('S" !r *asiru$

22/3/15 1 A( A("(" !r ari!

23/3/15 1 A( A("(" !r A!i

1 A(A)MAD 'MAR !r ahi

1 -( SA('S" !r *asiru$

1 (> RA-(A A>' !r *asiru$

1 RA;>A AS

1 AR" AS

1 *A"B S"-" AM"(A) AS


37/78

1 A( (A"A !r ari!

24/3/15 1 -( ) &'MA)"R AS

25/3/15 1 *' SA-"MA) AS

1 *' A-"; AS

1 -$ SA)"D" r G ( S'-AM1 ) Moh (A9A9" !r AR"D

26/3/2015 1 -$ S' !r ) *asiru$

1 (y "( AA !r 8ktaria

1 *B ('R &A((A) !r 8ktaria

2%/3/2015 1 (y S"-" "MRA( AS

1 (y M'"A-" !r ) *asiru$

1 (y S"-" "MRA( !r 9"(D'

2/3/2015 1 (y)& ('R)"DA>A) !r 9"(D'

1 (> )& &'MA"R"A) !r 9"(D'

1 -( )'S(" !r 9"(D'1 (> "SA( AS

1 A)MAD R"S9A( "D(

1 *>(>*B ('R' A"(" GR">A AS-"-"

2/3/2015 1 )& S"-" &'9A"R"A) AS

1 (> "S-";)ARA) !r (')

30/3/2015 1 -$ A(-8(" AS

1 *y (y ataati GR">A AS-"-"

1 A. RA)MA- !r *AS"R'(

31/3/2015 1 -$ ) M')"D"( !r 9"(D'

1 ". 9A)>'(" !r *AS"R'(

105


38/78

&("S MR";SAA( -AR" RpE ;-

GDS 22000 uu

GDS, CRA-, 'R'M, 'A %000 uu

D %5000 uu

GDS 22000 uu

GDS 22000 uu

D, G8DA 6000 uu

GDS 22000 uu

D,GDS %5000 uu

D 55000 uuGDS 22000 uu

C)8, -G %4000 uu

D,'A, GDS, 8-,- C)8, -G 213000 uu

D 53000 uu

D 53000 uu

D,', CRA- 6000 uu

D, 9"DA 1000 uu

D 5%000 uu

D, GDS %3000 uu

D 53000 uu

GDS, 'R'M, SC, 8-, - 123000 uu

D, 9"DA 102000 uu

GDS 20000 uu

D 5%000 uu

D, 9"DA, )*sA7 11000 ;S

GDS, C)8, 'A %6000 uu

GDS, C)8 56000 uu

G8DA 15000 uu

D, 9"DA 2000 uu

SG8-, SG-, ' 100000 ;S

' 20000 uu

D, 9"DA, DDR, D(G' "77 "7 2000 uu

D, 'A, GD, GD2, ', C)8 16000 uu

GDS 20000 uu

C)8 46000 ;S

GDS, C)8, D 13000 ;S

D, ', SC, 'R'M 130000 uu

D, 9"DA 2000 uu

BORATORIM KLINIKCA!A"A ME#IKA

akan Lenen&' Paya' L*+k Ten&ah NTBTelp. ( ,-,) /01112

JMLA! PASIEN 3 BLAN MARET 4,50


39/78

D 5%000 uu

D, 9"DA 2000 uu

D 5%000 uu

D, ' %%000 uu

D 5%000 uuD, ' %%000 uu

D, 9"DA, DDR, GDS 13000 uu

D, GDS %%000 uu

D, 9"DA 2000 uu

8-, -, 'R'M, CRA- 103000 uu

D, 8-, -, ''M, CRA-, D(G' "77 "7 346000 uu

D, 9"DA 2000 uu

D, 9"DA 2000 uu

D 5%000 uu

-G, C)8, 'A 0000 uuD, 9"DA 2000 uu

D 5%000 uu

GDS, -G 62000 uu

D, GDS, 8-, -, C)8, 'R'M, CRA-, 'A 22000 uu

' 20000 uu

D, D %%000 uu

D 5%000 uu

D 5%000 uu

D, ', GDS, C)8, -G, 8-, -, 'A, SC, 'R'M 26000 uu

D, 'A %%000 uu

D 5%000 uu

D 5%000 uu

ACS (G;A 20000 uu

ACS (G;A 20000 uu

D, DDR, 9"DA 11000 uu

D 5%000 uu

D, DDR, 9"DA 11000 uu

D, DDR 4000 uu

GDS 24000 uu

D, 9"DA 2000 uu

D 5%000 uu

D 5%000 uu

D, 9"DA 2000 uu

MAAR"A 3%000 uu

D, 9"DA %000 uu

'A 24000 uu

GDS 20000 uu

GDS 24000 uu


40/78

D,GDS %%000 uu

GDS 24000 uu

GDS, -G, 'A 142000 )C

-G, 'A 102000 )C

A(A"SA SRMA 110000 uuD,GDS,-G,C)8,)D,D,'R"'M,CRA-"("(,'A 25000 uu

D, MAAR"A, 9"DA 115000 uu

D, GDS %%000 uu

D, 9"DA 2000 uu

Cho, 'A 56000 uu

D, 9"DA %000 uu

-G, )D, D 103000 uu

C)8, GDS 5%000 uu

C)8, GDS 5%000 uu

D, GDS, 8-,-, 'R'M , CRA-"("( 1%6000 uuD 5%000 uu

D, ' 115000 uu

D 55000 uu

' 20000 uu

D, GDS %%000 uu

C)8, GDS 56000 uu

D 5%000 uu

D, MAAR"A, 9"DA 115000 uu

GDS, SG8-, SG-, SC 0000 uu

D, 9"DA, MAAR"A 11000 uu

6%6000


41/78


2/4/2015 1 M RA SA'-RA AS G8DA

3/4/2015 1 (> ((> R'A)A>' AS G8DA

2 A' AS G8DA

4/4/2015 1 A( RD" DR 9"(D' D, 9"DA, '

2 M'(A9AR AS D, 9"DA, MAAR"A

3 S89A AS D

MINGG 5 66al 3 1 pa;ien

5/4/2015 4 (> R8SS"A9A-" DRS"(D" D, GDS, 'R'M, SC

1 A( RD" DR 9"(D' D

2 )& S"-" &'A"R"A) AS '

3 (> SAM"A) DR -'(&'(G

4 -( A)MAD DR 8;-AR"A )*SAG, SG8-, SG-

6/4/2015 1 A( RD" DR 9"(D' D

2 )A"R'(("SA AS G8DA

3 (> S'-"A(" DR 8;-AR"A )*SAG, SG8-, SG-

4 A( (8A )"M-"A DR 8;-AR"A D,9"DA

%/4/2015 1 )& MA)('( AS GDS

2 A( RD" DR9"(D' D3 (> *A"B ;'R("A9A-" AS D, DDR, 9"DA, '

/4/2015 1 A( RD" DR 9"(D' D

2 *> (> ('RA>A -8*"(G GR">A AS-"-" D

3 AR"A(A DR>A( D, "GG/"GM, 9"DA

4 AR"A(A AS GDS, C)8S

5 ) A' MA;*' DR >A( D, GDS, C)8S, SG8-, SG-, 'A

6 )& *A"B 9A)"DA) DR>A( D, GDS, C)8S, -G, 'A

% A( RD" DR 9"(D' D

*> (> R"-A ;R"S-"(A GR">A AS-"-" D

/4/2015 1 *> S'AA) GR">A AS-"-" D

2 -( S'R"AD" RA' &'(AD D, '

10/4/2015 1 (> *A"B A-M"A9A-" DR AR"D D, GDS, C)8S, -G, )D, D

11/4/2015 1 (> ) ('R)"DA>A) DR S"- GDS, C)8S, 'A

2 -( A*D' ;AR"M AS GDS, C)8S, SG8-, SG-

3 "MA( DR S"- D, 9"DA

4 (> ("A DR S'-AMA D

MINGG 4 66al 3 4/ pa;ien

12/4/2015 1 A( "R"("A DR 8;-AR"A D

2 A( (A*"A AS D, 9"DA

13/4/2015 1 M (A'A DR 8;-AR"A D, 9"DA

2 A( 9'A( S>"A DR >A( D, 9"DA, DDR

3 )& MA(>A) GR">A AS-"-" D, '

D, GDS,C)8S, -G,)D,D,'A,'R'M,SC


Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k Ten&ahNTB

Telp. ( ,-,) /01112

LAPORAN JMLA! PASIEN 3 BLAN APRIL 4,50



42/78

4 A( *A"B R";" A("SSA DR AD" D, 9"DA, SG8-, SG-

14/4/2015 1 ;)AD"&A) DR *AS"R'( C)8S, SG8-, SG-

2 AMAB RA DR *AS"R'( D, DDR, 9"DA,

3 A( *A"B R";" A("SSA DR AD" '

4 A( *A"B >'" A" GR">A AS-"-" D

15/4/2015 1 A( M (A'A DR AD" D, D

16/4/2015 1 A( M (A'A DR AD" D

2 A( *A"B R";" A("SSA DR AD" D

3 (> S'RA>A) DR S'-AMA -

4 ) A' M"RA(G"( DR 8;-AR"A D, 9"DA, 'R'M, SC

1%/4/2015 1 *> (> "S-"A GR">A AS-"-" D

2 *> (> -"(" )AR-"(" GR">A AS-"-" D

3 (>)&'*A"DA) DR DA(" D, GDS

4 (> " ;'SM"ASAR" DR S'-AMA D, 8-, -, ', 'R'M, SC, )*SAG

1/4/2015 1 AR";> DR AD" D

MINGG - 66al 3 5/ pa;ien

1/4/2015 1 )& S("9A-" AS GDS, C)8S, 'A

2 )(DR"A(A "(A AS C)8S, 'A

3 -( "RA( AS C)8S

4 (> S'RA-M" R '(('R' ) '

20/4/2015 1 (> S"-" A"S>A) AS C)8S

2 SAMARA 'A"RA A;A DR*AS"R'( D, 9"DA

21/4/2015 1 MA;>A) DR>A-" D, GD, GD2

2 RAA* SA DR)(R> D, *-, C-

24/4/2015 1 -()AS"M AS

25/4/2015 1 (>('R)"DA>A) AS GDS, C)8S-R8

2 AG'S M'A(" AS D

MINGG 1 66al 3 55 pa;ien

26/4/2015 1 )S"-" AM"(A) DR&'(AD"

2/4/2015 1 *>(>"DA>A(" GR">A AS-"-"

2 *>(> ;A GR">A AS-"-" D

-8-A ? 6% R

D, GDS, ', SG8-, SG-, C)8,CRA-"("(, 'A, 9"DA

D, *-, C-, D, )*sA7,SG8-,SG-,GDS

D, *""R'*"( D"RC,-8-A,G8DA


43/78

-AR" RpE ;-

15000 uu

15000 uu

15000 uu

102000 uu

11000 uu

5%000 uu

130000 uu

5%000 uu

20000 uu

25000 uu

%5000 uu

5%000 uu

15000 uu

%5000 uu

2000 uu

24000 uu

5%000 uu13000 uu

5%000 uu

53000 uu

252000 uu

52000 uu

1%5000 uu

16%000 uu

5%000 uu

53000 uu

53000 uu

%%000 uu

212000 uu

%6000 uu

102000 uu

2000 uu

5%000 uu

53000 uu

2000 uu

2000 uu

11000 uu

%3000 uu


44/78

12000 uu

2000 uu

11000 uu

20000 uu

53000 uu

%%000 uu

5%000 uu

5%000 uu

15000 uu

155000 uu

53000 uu

%5000 uu

%%000 uu

201000 uu

5%000 uu

%6000 uu

56000 uu

36000 uu

20000 uu

36000 uu

2000 uu

101000 uu

%1000 uu

240000 uu

56000 uu

53000 uu

162000 uu

162000 uu

53000 uu

5%03000

5%03000,00


45/78

TGL NO NAMA PASIEN d. PENGIRIM JENIS PEMERIKSAAN

2/4/2015 1 M RA SA'-RA AS G8DA3/4/2015 2 ((> R'A)A>' AS G8DA

3 A' " AS G8DA

4/4/2015 4 RD" !r 9"(D' D9"DA'

5 M'(A9AR AS D9"DAMAAR"A

6 S89A AS D

% R8SS"A9A-" DGDS'R'MCRA-"("(

5/4/2015 1 RD" !r 9"(D' D

2 )& S"-" &'A"R"A) AS '

3 SAMA) !r -'(&'(G

4 A)MAD" !r 8;-AR"A )*sA7,SG8-,SG-

6/4/2015 5 RD" !r 9"(D' D

6 )A"R'(("SA AS G8DA

% S'-"A(" !r 8;-AR"A )*sA7,SG8-,SG-

(8A )"M-"AS !r 8;-AR"A D,9"DA

%/4/2015 MA)('( AS GDS

10 RD" !r 9"(D' D

11 *B ;'R("A9A( AS D, 9"DA, MAAR"A,'

/4/2015 12 RD" !r 9"(D'D

13 *> ('RA>A -8*"(G !r >A( D

14 AR"A(A !r >A( D, "7G/"7M,9"DA

15 AR"A(A !r >A( GDS, C)8

16 ) MA;*' !r >A( D,GDS,C)8,SG8-,SG-,'A

1% )& *B 9A)"DA) !r >A( D,GDS,C)8S,-G,'A

1 RD" !r 9"(D' D

1 *> R"-A ;R"S-"(A GR">A AS-"-" D

/4/2015 20 *> S'AA) GR">A AS-"-" D

21 S'R"AD" !r &'(A"D" D,'

10/4/2015 22 *BA-M"A-" !r AR"D D,GDS,C)8,-G,)D,D11/4/2015 23 )& ('R)"DA>A) !r S"- GDS, C)8,'A

24 A*D' ;AR"M AS GDS,C)8,SG8-,SG-

25 "MAM !r D,9"DA

26 (A !r S'-AMA D

12/4/2015 1 "R"("A !r 8;-AR"A D

2 (A*"A AS D, 9"DA

13/4/2015 3 (A'A !r 8;-AR"A D, 9"DA

4 9'A( S>A !r >A( D,9"DA, MAAR"A

5 )& MAR">A) GR"A>A AS-"-" D, '

6 *B R";" A("SA !r D, 9"DA, SG8-, SG-14/4/2015 % ;)AD"&A) !r *AS"R'( C)8, SG8-, SG-

AMAB RA !r *AS"R'( D, 9"DA, MAAR"A

*B R";" A("SA !r AD" '

10 *B >'"A-" "(A>A) GR"A>A AS-"-" D

D,GDS,C)8,-G,)D,D,'A,'R'M,CRA-"("(



LAPORAN JMLA! PASIEN PERMINGG 3 BLAN APRIL



46/78

15/4/2015 11 M (A'A !r AD" D, D

16/4/2015 12 M (A'A !r AD" D

13 *B R";" A("SA !r AD" D

14 S'RA">A) !r S'-AMA -es

15 ) M"RA(G"( !r 8;-AR"A D, 9"DA, 'R'M, CRA-"("(

1%/4/2015 16 *> "S-"A GR"A>A AS-"-" D1% *> -"(" )AR-"(" GR"A>A AS-"-" D

1 )& '*ADA) !r DA(" D, GDS

1 " ;'SM"ASAR" !r S'-AMAD, SG8-, SG-, 'R"'M, CRA-"("(

OTAL 3 04 Pa6ien


47/78

P. TERBAN"AK

D,G8DA,9"DA

D, GDS,C)8S-R8, 8-,-

NTB

4,50


48/78

D, 9"DA


49/78


1/5/2015 1 A$ '-RA !r *AS"R'( D, 9"DA2 *y (y (" AG'S-"(A GR">A AS-"-" D

2/5/2015 1 A$ M AR" !r *AS"R'( D, MAAR"A, 9"DA

2 (y R8)A(" !r 9ARDA(" D, G8DA

MINGGU 1 TOTAL; 4 PASIEN

3/5/2015 1 -$ SAR" !r 8;-AR"A D, MAAR"A, 9"DA

2 (y MAR"(A GR">A AS-"-" D

3 (y S'RA-" !r 8;-AR"A -

4/5/2015 1 (y )+ ('R;8MAR"A) AS GDS, ):A1#, 'R'M, 'A,'

2 -$ "D" AS GDS, C)8S-R8

5/5/2015 1 A$ D8D" AR"AD" !r AD" D2 -$ "D" AS GD

3 (y SA"A) !r S'-AMA D

4 (y RA*"A) AS GDS

6/5/2015 1 (y R'SMA( !r *AS"R'( D, MAAR"A, 9"DA

%/5/2015 1 ) A-')'RRA)MA( !r 9"(D'

2 M ";)SA( AS 'A, C)8, -G, )D, D

3 >8A( RA-AMA !r 8;-AR"A D, 9"DA

4 A 'M" M !r D9" -

/5/2015 1 -$ Maar!i !r S'-AMA A$alisa SperaMINGGU 2 TOTAL; 15 PASIEN

11/5/2015 1 )+ MA)('( AS GD, GD2

2 *. S"-" AM"(A) !r S9";A GDS

12/5/2015 1 M &8)AR" AS D, ', 'R'M, SC, 'A

13/5/2015 1 -$ R> AR>A !r 9"(A(G'(

2 A)MAD )ARA( AS D

3 ) A)MAD AS D,9"DA,C)8,-G

4 A$ *. (A*"A !r AD" D

14/5/2015 1 (y S'M"A-" !r 8;-AR"A D, 9"DA2 (y R";A '*"R !r 8;-AR"A D, DDR

3 A$ A*> !r 8;-AR"A D, 9"DA

4 -$ RA&A* !r 8;-AR"A D, *-, C-

15/5/2015 1 *., )A(> ;8MAA !r S'-AMA D, *-, C-

16/5/2015 1 *y (y R"8 !r AD" D, D, GDS, G8DA

2 A$ RA !r AD" D, D

3 R"(" RA)M"A-" !r D9" -

MINGGU 3 TOTAL; 15 PASIEN

1%/5/2015 1 (y )+ A(" !r AD D, GDS

2 A$ M AR;A AS D

3 M >ASR" !r AD D,GDS,'R'MSC

4 -$ 9"R !r C)A(DRA

1/5/2015 1 A*D' ;AR"M AS GDS

1/5/2015 1 A$ 'A"RA !r AD" D,',CS

2 *y (y M"AR-" GR">A AS-"-" D

D GDS 'R'M CRA-" *- C-

D,',GDS,C)8,)D,D,8-,-,'R'M,SC,-G,'A

D,',GD,8-,-,C)8,-G,D,'R'M,SC,'A

D,',GDS,'A,SC,'R'M,8-,-,C)8S,)D,D,-G,9"DA,



LAPORAN JMLA! PASIEN 3 BLAN MEI 4,50



50/78

22/5/2015 1 -$ >A)>A !r ";A D, 'RM, SC, '

2 SA*AR"A) AS GDS

3 -$ ) A'" AS GDS, C)8S, 'A

23/5/2015 1 RA"DA) AS 8-, -, 'R'M, CRA

2 RA"DA) !r 'RBA( *" -/D

MINGG 1 TOTAL< 5 PASIEN

24/5/2015 1 RA"DA) !r 9i$!u GDS

25/5/2015 1 RA"DA) !r 9i$!u D, GDS

2 ) MAS-'R AM"( !r >ati D 'R'M, CRA-"("(3 ) MAS-'R AM"( !r *asiru$ '

4 -( A(D" S'R>A "D( D, 9"DA

26/5/2015 1 (> *B ('R' ) !r (uh D, *-/C-

2 9ARD"MA( S'R>AD" AS '

3 RA"DA) !r 9"(D' D, GDS, 8-,-

4 *>(> *B ('R' ) !r A!i D, G8DA

5 (> R"MA) AS G8DA

6 (> ('RSADA) GR">A AS-"-" D, G8DA

2%/5/2015 1 SARA) !r (uh D, GDS, 'A, C)8S-R8

2 "9A( S-"A9A( AS

2/5/2015 1 MA"("M S-AR" !r *AS"R'( D, 9"DA, DDR

2 A*D' SA)"D !r )e$ry D, *-/C-

2/5/2015 1 ";*AR' )AR" !r >ati D, *-/C-

30/5/2015 1 -( &AM"'D"( !r S'-AMA A$alisa Spera

2 *> (>"(" AR"A-" GR">A AS-"-" D

3 M B)AR' )A((A( !r >ati D, GDS, 'R'M, CRA

31/5/2015 1 -( S'R8S8 !r Riya$ GDS, C)8S-R8, 'A, '

2 M B)AR' )A((A( !r 9i$!u GDS

MINGG 0 TOTAL 3 45 PASIEN

D, 'R'M, CRA-"("(, 'A,GDS, )*sA7, 8-, -, C)8

TOTAL 3 4 PASIEN


51/78

-AR" RpE ;-

2000 uu%%000 uu

11000 uu

%2000 uu

11000 uu

5%000 uu

15000 uu

332000 uu

56000 uu

5%000 uu24000 uu

5%000 uu

24000 uu

115000 uu

351000 uu

15000 uu

102000 ;S

15000 uu

110000 uu

4000 uu

24000 uu

150000 uu

301000 uu

5%000 uu

15000 uu

53000 uu

2000 uu4000 uu

2000 uu

%1000 uu

%1000 uu

112000 uu

%%000 uu

15000 uu

%%000 uu

53000 uu

130000 uu

30000 uu

24000 uu

%000 uu

53000 uu

NTB


52/78

130000 uu

24000 uu

%6000 uu

106000 uu

50000 uu

20000 uu

%%000 uu

110000 uu20000 uu

122000 uu

%1000 uu

20000 uu

123000 uu

%6000 uu

15000 uu

6000 uu

12000 uu

2%3000 uu

11000 uu

%1000 uu

%1000 uu

110000 uu

%3000 uu

130000 uu

6000 uu

24000 uu

655%000


53/78

1%/5/2015 1 (y )+ A(" !r AD D, GDS

2 A$ M AR;A AS D

3 M >ASR" !r AD D,GDS,'R'MSC

4 -$ 9"R !r C)A(DRA A,SC,'R'M,8-,-,C)8S,)D,D

1/5/2015 1 A*D' ;AR"M AS GDS

1/5/2015 1 A$ 'A"RA !r AD" D,',CS

2 *y (y M"AR-" GR">A AS-"-" D

3 "B A !r AR>A D, GDS, 'R'M, CRA-",*-, C-

4 )+ ;"M"A9A-" AS GDS

20/5/2015 1 )+ RA)MA) AS -G, C)8S

2 *y (y SR" 'A>A(-" GR">A AS-"-" D

21/5/2015 1 *y (y S'R" )AR-A-" GR">A AS-"-" D

22/5/2015 1 -$ >A)>A !r ";A D, 'RM, SC, '

2 SA*AR"A) AS GDS

3 -$ ) A'" AS GDS, C)8S, 'A

23/5/2015 1 RA"DA) AS 8-, -, 'R'M, CRA

2 RA"DA) !r 'RBA( *" -/D

MINGG 1 TOTAL< 5 PASIEN


Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k Ten&ah N Telp. ( ,-,) /01112

LAPORAN JMLA! PASIEN 3 BLAN MEI 4,50



54/78

%%000 uu

53000 uu

130000 uu

30000 uu

24000 uu

%000 uu

53000 uu

144000 uu

20000 uu

%4000 uu

53000 uu

53000 uu

130000 uu

24000 uu

%6000 uu

106000 uu

50000 uu

5011,,,

B


55/78

24/5/2015 1 RA"DA) !r 9i$!u GDS

25/5/2015 1 RA"DA) !r 9i$!u D, GDS

2 ) MAS-'R AM"( !r >ati D 'R'M, CRA-"("(

3 ) MAS-'R AM"( !r *asiru$ '

4 -( A(D" S'R>A "D( D, 9"DA

26/5/2015 1 (> *B ('R' ) !r (uh D, *-/C-

2 9ARD"MA( S'R>AD" AS '

3 RA"DA) !r 9"(D' D, GDS, 8-,-

4 *>(> *B ('R' ) !r A!i D, G8DA5 (> R"MA) AS G8DA

6 (> ('RSADA) GR">A AS-"-" D, G8DA

2%/5/2015 1 SARA) !r (uh D, GDS, 'A, C)8S-R8

2 "9A( S-"A9A( AS

2/5/2015 1 MA"("M S-AR" !r *AS"R'( D, 9"DA, DDR

2 A*D' SA)"D !r )e$ry D, *-/C-

2/5/2015 1 ";*AR' )AR" !r >ati D, *-/C-

30/5/2015 1 -( &AM"'D"( !r S'-AMA A$alisa Spera

2 *> (>"(" AR"A-" GR">A AS-"-" D

3 M B)AR' )A((A( DR >A-" D, GDS, 'R'M, CRA

31/5/2015 1 -( S'R8S8 !r Riya$ GDS, C)8S-R8, 'A, '

2 M B)AR' )A((A( !r 9i$!u GDS


D, 'R'M, CRA-"("(, 'A, GDS,)*sA7, 8-, -, C)8



Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k Ten&ah NTB Telp. ( ,-,) /01112

LAPORAN JMLA! PASIEN MINGG 0 ( MEI 4,50 )


56/78

20000 uu

%%000 uu

110000 uu

20000 uu

122000 uu

%1000 uu

20000 uu

123000 uu

%6000 uu15000 uu

6000 uu

12000 uu

2%3000 uu

11000 uu

%1000 uu

%1000 uu

110000 uu

%3000 uu

130000 uu

6000 uu

24000 uu

11000


57/78


1/6/2015 1 M B)AR' )A((A( DR 9"(D' GDS

2 *> (> A(A) GR">A AS-"-" D

2/6/2015 1 (> *B *'D"A-" DR 9"(D' D, GDS, C)8H, -G, 8-,-

2 ) "MRA( DR 9"(D' D, G8DA

3 A)MAD >'S' DR *AS"R'( D, 9"DA

4 (> )R(" DR 9"(D' D, G8DA

5 -( RAS"D" DR R"A( D, 8-, -, *" D/- )*sA7

3/6/2015 1 D"A( SA;"(A) DR 9"(D'

2 A*D' )AD" AS -G

4/6/2015 1 D"A( SA;"(A) DR 9"(D' D

2 "B MAR"A) DR R8*"(

3 *B M"(AR(" AS D

4 A( SR"(A A DR '(('R' D

5/6/2015 1&AA)"(GA( DR D('(A D, GDS

2 "B MAR"A) DR 9"(D' GDS

3 "B MAR"A) DR AR>A GDS

4 "(DA) DR D('(A D, )*sA7

5 M S>A) RA GA(D" DR D('(A D, '6 *> (> -A-" SR" GR">A AS-"-" D

% D"A( SA;"(A) DR 9"(D' D

"B MAR"A) DR 9"(D' GDS

AB A(-" DR R8*"( D, 8-, -

10-( A9A'D"( DR S'-AMA A(A"SA SRMA

6/6/2015 1 D"A( SA;"(A) DR 9"(D' D

2 *> (> D(8; SAR" GR">A AS-"-" D

3 )& S'ASM"(" AS GDS, C)8, 'A

4 D9A SA-A DR R"A( D,

5 (> A-"MA) DR >'AR"S -S-MINGGU 1 TOTAL PASIEN : 28 PASIEN

D, GDS, 8-, -, 'R'M,CRA-"("(

D, *-, C-, GDS, 'R'M,CRA-"("(



Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k TenTelp. ( ,-,) /01112

LAPORAN JMLA! PASIEN 3 BLAN JNI 4,50

LABORATORIM KLINIK


58/78


6/%/2015 1 D"A( SA;"(A) DR 9"(D' D2 (> 9-R"A(" DR R"A( -S

3 -( (ASR'D"( AS D

6//2015 1 *>(>SR" GR">A AS-"-" D,GDS

2 -( (A&A"( DR S9";A D, GDS, *-, C-

3 (> ('RA"(" DR AR>A D, 9"DA

4 (> ('R' DR AR>A D, 9"DA

5 (> ('("(G DR )(DR> D, D, GDS, 'A

6//2015 1 )& ('R)"DA>A) DR 9"(D' GDS, C)8

2 (> RA DR S'-AMA

6/10/2015 1 )& SAMA) DR (') D, GDS

2 A' ("AM DR (') D, *-, C-

6/11/2015 1 ) MA)('( AS GDS

2 *>(>(AD"A GR">A AS-"-" D

6/13/2015 1 9A9A( DR (') D, GDS, 9"DA, DDR

2 A( 8;" (8"-A S DR AD"- D, 9"DA

3 (> -'-" ;AR-";A DR >'AR"S D



6/14/2015 1 (> S'D"A) DR (') D, G8DA, GDS, 'R'M, CR

2 (> )RMA9A-" , AS SG8-, SG-, )*sA7

6/15/2015 1 "SA R8S-"A(" DR";A2 S"-" )ASA(A) AS D

3 *> DAMA" DRAD" D

6/16/2015 1 *> (> ('R)"DA>A-" GR">A AS-"-" D

6/1%/2015 1 ;';') AS G8DA

6/1/2015 1 &A(9AR DR )(DR> D, GDS, *-, C-

2 "B "SM" DR *AS"R'( GDS

3 (> (A'D>A DA)"A DR AD"- D, GDS, 9"Dal

4 *> -A("A DR AR>A D, GDS

D, *-, C-, GDS, 'R'M,CRA-"("(, SG8-, SG-

',D,9"DA,,DDR,GDS,8-,

-

CA!A"A ME#IKA


LAPORAN JMLA! PASIEN 3 MINGG II BLAN JNI 4,




LAPORAN JMLA! PASIEN 3 MINGG II BLAN JNI



59/78

6/1/2015 1 -( R"A( AS D, 'R'M, CRA-"("(, G8D

6/20/2015 1 A( "S DRAD" '

2 *> (> ('RMAA GR">A AS-"-" D, GDS

3 -( R"A( AS D

MINGG - 3TOTAL 50 PASIEN


6/21/2015 1 A( (A*"A DR R"A( D

2 MASI' DR R"A( D, GDS, C)8S

6/22/2015 1 A( GA8R" DR AD" D, D2 *> (> ("RMAA DR AD" D, *" -/D

3 (> )ASA) DR S9";A D, GDS, C)8S, 9"DA

4 -( M"DASRA DR S9";A D, 8-,-,'R,SC,)*SAG

5 (> >'S-"(A) DR SA;-" D, GDS

6/23/2015 1 (> >'S-"(A) DR9"(D' GDS, C)8, -G

2 A( A-";A DR AD" '

6/24/2015 1 (> >'S-"(A) DR9"(D' GDS,

6/25/2015 1 *B )RA9A-" DR AD"- D, 9"DA

2 A( SA*R"(A DR AD" D

3 A*D' MA&"D DR AR>A D

4A*D' MA&"D DR AR>A *-, C-

5 *B )RA9A-" DR9"(D' GDS, 8-, -

6 (> >'S-"(A) DR9"(D' GDS, 'R'M, SC

% *> (> D9" GR">A AS-"-" D

*> (> MGA DR R"A( D

6/2%/2015 1 (> >'S-"(A) DR9"(D' GDS

2 ) 9"RA(A( DR AD GDS S-"C;

6/2/2015 1 A( M GA8S DR >A-" D, 9"DA, "GG/GM

2 (> ('R)A>A-" DR AD"- D, GDS

3 A( M GA8S DR AD" D

6/30/2015 1 *B M'S-AM"RA DR AD"- D, GDS


3 A(D" S8"A( DR 9"(A(G'( C; (G;A )*SAG

4 (> ('R)A>A-" DR9"(D' D, GDS, 'R,SC, 8-/-,"GG/"


TOTAL 3 42 pa;ien


60/78

TOTAL PASIEN SELR!N"A = 22 PASIEN


61/78

-AR" RpE ;-

24000 'M'M

5%000 'M'M

13000'M'M

6000 'M'M

%000 'M'M

6000 'M'M

1%4000'M'M

1%6000'M'M

42000 'M'M

5%000 'M'M

144000'M'M

5%000 'M'M

53000 'M'M

%%000 'M'M

24000 'M'M

24000 'M'M

2000 'M'M

%%000 'M'M%5000 'M'M

5%000 'M'M

24000 'M'M

103000'M'M

110000'M'M

5%000 'M'M

53000 'M'M

%6000 'M'M

%%000 'M'M

15000 'M'M4E>,,/

&ah NTB


62/78

-AR" RpE ;-

5%000 'M'M15000 'M'M

5%000 'M'M

113000'M'M

1000 'M'M

2000 'M'M

2000 'M'M

11%000'M'M

56000 'M'M

10000'M'M

%%000 'M'M

%1000 'M'M

24000 'M'M

5%000 'M'M

13000'M'M

2000 'M'M

5%000 'M'M

5-/,,,

-AR" RpE ;-

11000

%1000 'M'M

205000'M'M5%000 'M'M

5%000 'M'M

53000 'M'M

15000 'M'M

1000 'M'M

20000 'M'M

102000'M'M

1000 'M'M

TB

0

NTB

,50


63/78

125000'M'M

20000 'M'M

%3000 'M'M

53000 'M'M

5451,,,

-AR" RpE ;-

5%000 'M'M

10000'M'M

%%000 'M'M103000'M'M

134000'M'M

11000'M'M

%%000 'M'M

4000 'M'M

20000 'M'M

24000 'M'M

2000 'M'M

5%000 'M'M

5%000 'M'M

1000 'M'M

%0000 'M'M

%%000 'M'M

53000 'M'M

53000 'M'M

24000 'M'M

20000 'M'M

252000'M'M

%3000 'M'M

5%000 'M'M

%%000 'M'M

5%000 'M'M

3%6000'M'M

346000'M'M

5%000 'M'M

4/24,,,


64/78

OTAL = .-20.,,


65/78


6/14/2015 1 (> S'D"A) DR (') D, G8DA, GDS, 'R'M, CRA-, SG8-, SG-

2 (> )RMA9A-" , AS SG8-, SG-, )*sA7

6/15/2015 1 "SA R8S-"A(" DR";A

2 S"-" )ASA(A) AS D

3 *> DAMA" DRAD" D

6/16/2015 1 *> (> ('R)"DA>A-" GR">A AS-"-" D

6/1%/2015 1 ;';') AS G8DA

6/1/2015 1 &A(9AR DR )(DR> D, GDS, *-, C-

2 "B "SM" DR *AS"R'( GDS

3 (> (A'D>A DA)"A DR AD"- D, GDS, 9"Dal

4 *> -A("A DR AR>A D, GDS

6/1/2015 1 -( R"A( AS D, 'R'M, CRA-"("(, G8DA

6/20/2015 1 A( "S DRAD" '

2 *> (> ('RMAA GR">A AS-"-" D, GDS

3 -( R"A( AS D

MINGG - 3TOTAL 50 PASIEN



LAPORAN JMLA! PASIEN 3 MINGG III BLAN JNI 4,50



66/78

-AR" RpE ;-

11000 'M'M

%1000 'M'M

205000 'M'M

5%000 'M'M

5%000 'M'M

53000 'M'M

15000 'M'M

1000 'M'M

20000 'M'M

102000 'M'M

1000 'M'M

1000 'M'M

20000 'M'M

%3000 'M'M

53000 'M'M

55,,,,


67/78


6/21/2015 1 A( (A*"A DR R"A( D

2 MASI' DR R"A( D, GDS, C)8S

6/22/2015 1 A( GA8R" DR AD" D, D

2 *> (> ("RMAA D, *" -/D

3 (> )ASA) DR S9";A D, GDS, C)8S, 9"DA

4 -( M"DASRA DR S9";A D, 8-,-,'R,SC,)*SAG

5 (> >'S-"(A) DR SA;-" D, GDS

6/23/2015 1 (> >'S-"(A) GDS, C)8, -G

2 A( A-";A DR '6/24/2015 1 (> >'S-"(A) DR9"(D' GDS,

6/25/2015 1 *B )RA9A-" DR AD"- D, 9"DA

2 A( SA*R"(A DR AD" D

3A*D' MA&"D DR AR>A D

4A*D' MA&"D DR AR>A *-, C-

5 *B )RA9A-" DR9"(D' GDS, 8-, -

6 (> >'S-"(A) DR9"(D' GDS, 'R'M, SC

% *> (> D9" GR">A AS-"-" D

*> (> MGA DR R"A( D

6/2%/2015 1 (> >'S-"(A) DR9"(D' GDS

2 ) 9"RA(A( DR AD GDS S-"C;

6/2/2015 1 A( M GA8S DR >A-" D, 9"DA, "GG/GM

2 (> ('R)A>A-" DR AD"- D, GDS


6/30/2015 1 *B M'S-AM"RA DR AD"- D, GDS


3A(D" S8"A( DR 9"(A(G'(C; (G;A )*SAG

4(> ('R)A>A-" DR9"(D' D, GDS, 'R,SC, 8-/-,"GG/"G


MINGG 1 TOTAL 42 PASIEN


Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k TTelp. ( ,-,) /011

LAPORAN JMLA! PASIEN 3 BLAN JNI 4,50



68/78

-AR" RpE ;-

5%000 'M'M

10000'M'M

%%000 'M'M

103000'M'M

134000'M'M

11000'M'M

%%000 'M'M

4000 'M'M

20000 'M'M24000 'M'M

2000 'M'M

5%000 'M'M

5%000 'M'M

1000 'M'M

%0000 'M'M

%%000 'M'M

53000 'M'M

53000 'M'M

24000 'M'M

20000 'M'M

252000'M'M

%3000 'M'M

5%000 'M'M

%%000 'M'M

5%000 'M'M

3%6000'M'M

346000'M'M

5%000 'M'M

4/24,,,

n&ah NTB2


69/78

-G (8 (AMA AS"( !r (G"R"M &("S MR";SAA( -AR" RpE ;-

1/%/2015 1 A( GA8S DRAD" D 5%000 'M'M2 A( GA8S DR AD" D 5%000 'M'M

3 A()AR (D" DR >A-" 144000 'M'M

4 -( A'D"( AS GDS 24000 'M'M

5 (>MA;"(A) AS GDS 24000 'M'M

6 A( GA8S DR AD" D 5%000 'M'M

2/%/2015 1 (> D"A( )ASR"(" AS GDS 24000 'M'M

2 A( GA8S DR AD" D 5%000 'M'M

3 (> ('R)"DA>A9AR(" DR R"A( D, *-, C- %1000 'M'M

3/%/2015 1 " G'S-" ((GA) '-RA DR AD"- 212000 'M'M

4/%/2015 1 *B ("RMAA GR">A AS-"-" D, MAAR"A 0000 'M'M

2 *> (> *B C)R> GR">A AS-"-" D 53000 'M'M

3 *> RA)"DA>A-" GR">A AS-"-" D 53000 'M'M

4 *> ("RMAA GR">A AS-"-" D 53000 'M'M

5>'"A(A AR"DA AS G8DA 15000 'M'M

6 *B "(DA SAR" AS G8DA 15000 'M'M

5/%/2015 1-( MA(S>'R AS GDS, C)8, 'A %2000 'M'M

6/%/2015 1 (> RA"A) AS GDS 24000 'M'M

2 *>S"R"( DR AD"- 'M'M

3 A( ARA( DR AD"- 'M'M

%/%/2015 1 A( ARA( DRAD" ' 20000 'M'M

2 A( *B S"R"( DRAD" ' 20000 'M'M

D, GDS,'R'M,CRA-, *-, C-

D, GDS, C)8, -G,)D, D

Klinik CahayaMedika



LAPORAN JMLA! PASIEN 3 BLAN JLI 4,50


70/78

3 A( AR""A DR D('(A D 5%000 'M'M

4 )AR>8(8 DR 9"(D' 351000 'M'M

5 )& S"-" )ARS"A) DR )(R> 156000 'M'M

/%/2015 1 *> R8)A(" GR">A AS-"-" D 53000 'M'M

/%/2015 1 A( ARA( DRAD" D 5%000 'M'M

2 (> SR" )A(DA>A(" DR>A-" D, 9"DA, MAAR"A 11000 'M'M

3 (> SR" )A(DA>A(" DR 9"(D' 366000 'M'M

10/%/2015 1 AMAB "(D'( DR AR>A GDS 24000 'M'M

2 (> SR" )A(DA>A(" DR 9"(D' D 5%000 'M'M

3 (> A(" >'"A R DR AR>A D, 9"DA %000 'M'M

4 *> (> DS" "A(A DR *AS"R'( D 53000 'M'M

11/%/2015 1 9(D> MA";A DRAD"- D, *-, C-, GDS 1000 'M'M

MINGGU 1 TOTAL PASIEN : 34 PASIEN 4/,1,,,

12/%/2015 1 (> AM(A9A-" DRR"A( D, ' %%000 'M'M

2 A"BA) DR R"A( D 5%000 'M'M

14/0%/2015 1 AB AG'(G DR *AS"R'( 10000 'M'M

2 (> ("(D" DR *AS"R'( ' 20000'M'M

3 (>SA*AR"A) AS GDS 24000 'M'M

4 )& *B ;AR-"('( DR '(('R' 145000 'M'M

1%/0%/2015 1 -( S';AR(A DR R"A( ' 20000 'M'M

1/0%/2015 1 (> )"(D'( DR AD"->A D, GDS, 'R'M, SC 130000 'M'M

MINGG 4 TOTAL 3 2 PASIEN //-,,,

D, ', GDS, C)8,-G, 'A, )D, D,'R'M, CRA-, 8-, -

D, GDS, 8-, -,'R'M, CRA-

D, GDS, 'R'M,CRA-, 'A, 8-, -,"GG,"GM

D, 9"DA, 8-, -,*"-/D GDS

D, GDS, 'R'M,CRA-, G8DA


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12/%/2015 1 (> AM(A9A-" DRR"A( D, '

2 A"BA) DR R"A( D

14/0%/2015 1 AB AG'(G DR *AS"R'( D, 9"DA, 8-, -, *"-/D GDS

2 (> ("(D" DR *AS"R'( '

3 (>SA*AR"A) AS GDS

4 )& *B ;AR-"('( DR '(('R'D, GDS, 'R'M, CRA-, G8DA

1%/0%/2015 1 -( S';AR(A DR R"A( '

1/0%/2015 1 (> )"(D'( DR AD"->A D, GDS, 'R'M, SC

MINGG 4 TOTAL 3 2 PASIEN //-,,


Jln. Ga$ah Mada %akan Lenen&' Paya' LTelp. ( ,-

LAPORAN JMLA! PASIEN 3 BLAN JL


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-G (8 (AMA AS"( DR (G"R"M &("S MR";SAA(

20/%/2015 1 (> S')A"(" AS D

2 (> )& MA)('( AS GDS

3 (> SA)R AS GDS

21/%/2015 1 'AR"A) DR*AS"R'( D,DDR,9"DA

22/%/2015 1 A( S"G"- DRAD" D

2 -"-"S AS GD,C)8S,)D,D,'A,-G

3 RA"DA) AS D, GDS, SG8-,SG-,'R'M,SC

4 (> )"M"(A DR S'-AMA '

5 (> )"M"(A DR S'-AMA '

6 (> )ARA(" DR AD"->A D,'

23/%/2015 1 -( SA"J" AS D, GDS, C)8S, 'A,

2 (> S8"A) AS G8DA

3 -( A9A'D"( AS G8DA

4 (> G"-A D

25/%/2015 1 -( ;)A"R' DR 8;-AR"A GDS

2 -( 9"&A>A AS '

MINGG - TOTAL 3 5/ PASIEN

LABORATORIM KLICA!A"A ME#IKA

Jln. Ga$ah Mada %akan Lenen&' PayTelp. (

LAPORAN JMLA! PASIEN 3 BLAN J


73/78


%%000 'M'M

5%000 'M'M -G (8 (AMA AS"( DR (G"R"M

10000 'M'M 26/%/2015 1 &'MRA) AS

20000 'M'M 2%/%/2015 1 )& S')AR" DR 8;-AR"A

24000 'M'M 2 )& S')AR" DR 9"(D'

145000 'M'M 2/%/2015 1 )& S')AR" AS

20000 'M'M 2 *> (> R8S"-A GR">A AS-"-"

130000 'M'M 3 )& ('R)"DA>A) DR 9"(D'

4 M'RA)A(" DR 9"(D'

2/%/2015 1 A( ARA( M DR D('(A

2 A( )A";A DR

30/%/2015 1 ) )'S(" DR AD"-

2 (> S'MA( DR AD"-

3 (> S'MA( DR AD"-

31/%/2015 1 ) )'S(" DR 9"(D'

2*A"B MAR"AM DR D('(A

3*A"B MAR"A(A AS


TOTAL PASIEN SELR!N"

*+k Ten&ah NTB) /01112

I 4,50

Jln. Ga

LAPORAN JML


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-AR" ;-

5%000 'M'M

24000 'M'M

24000 'M'M

11000 'M'M

5%000 'M'M

1%000 'M'M

1%6000 'M'M

20000 'M'M

20000 'M'M

%%000 'M'M

12000 'M'M

15000 'M'M

15000 'M'M

5%000 'M'M

24000 'M'M

20000 'M'M

1013000

NIK' L*+k Ten&ah NTB

,-,) /01112

LI 4,50


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&("S MR";SAA( -AR" ;-

D,*-,C- %1000 'M'M

D,9"DA 2000 'M'M

GDS, 8-,-,CRA, DDR 12%000 'M'M

' 20000 'M'M

D 53000 'M'M

GDS, C)8S 56000 'M'M

D 5%000 'M'M

D,*-,C- %1000 'M'M

D 5%000 'M'M

D, DDR 4000 'M'M

D 5%000 'M'M

GDS, 'R'M, CRA, *-, C- 1000 'M'M

GDS,-G,C)8S,8-,-,CRA,'R'M 13000 'M'M

D, CRA, 'R'M, ' 130000 'M'M

D 5%000 'M'M

1216000

= - PASIEN TOTAL =0.19/.,,,


ah Mada %akan Lenen&' Paya' L*+k Ten&ah NTB Telp. ( ,-,) /01112

A! PASIEN 3 BLAN JLI 4,50


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2//2015 1 *B R8SMA D9" !r D(MA D, C-, *-

2 M'AD"S ;MRG(C> D, G8DA

3//2015 1 A)MAD R"AI" !r AR>A D, *-, C-, GDS

2 A)MAD R"AI" !r 9"(D' GDS

3 A)MAD R"AI" !r 9"(D' GDS

4//2015 1 A)MAD R"AI" !r 9"(D' GDS

2 A' &)8( AS '

5//2015 1 ) A)MAD AS9A( !r"-"(" GDS stik

2 AB SAR" !r AR" D, GDS, 'R'M, CRA-"("(

3 "B ("(GS") !r AR" D, GDS, *-, C-

4 *> A9A("SA !r AR" D, GDS

6//2015 1 "DA *AG'S RA;A AS D

2 AB SAR" !r 9"(D' GDS

3 "SMA9A-" !r 8;-AR"A D, ', 'R'M, CRA-"("(

4 *8)AR" AS GDS, C)8S-R8

5 ("(GS") D

%//2015 1 ("(GS") !r )(R> D

2 A)MAD *'D'" R !r D('(A D, i7G/i7M, 9"DA, GDS

//2015 1 AB SAR" !r 9"(D' GDS

M"(GG' 2 ? 1 8RA(G

10//2015 1 9"(DA !r '(('R' D, *-, C-

11//2015 1 *y (y R"R" ( GR">A AS-"-" D

12//2015 1 )R("A-" R"SA RAA(A '

2 )R("A-" G8DA

13//2015 1 *> (> ;";" GR">A AS-"-" D, G8DA

2 RA A" !r >A-"; D, 8-, -, 9"DA

3 A( D"MAS AR" A(D";DR AD" D

15//2016 1 *B )'S(' DR 9"(D' D

2 SA;"A AS D, 9"DA

MINGGU 2 : 9 ORANG



Jln. Ga$ah Mada %akan Lenen&' Paya' L*+k TeTelp. ( ,-,) /0111

LAPORAN JMLA! PASIEN 3 BLAN AGSTS


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-AR" RpE ;-

%1000 'M'M

6000 'M'M

5000 'M'M

24000 'M'M

24000 'M'M

24000 'M'M

20000 'M'M

20000 'M'M

130000 'M'M

0000 'M'M

%%000 'M'M

5%000 'M'M

24000 'M'M

130000 'M'M

65000 'M'M

5%000 'M'M

5%000 'M'M

2%2000 'M'M

24000 'M'M

132000

%1000 'M'M

53000 'M'M

20000 'M'M

15000 'M'M

%2000 'M'M

12000 'M'M

5%000 'M'M

5%000 'M'M

2000 'M'M

555000

n&ah NTB

,50

Lab Agust Minggu 2

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