Laporan detail tindakan dan biaya pasien rawat jalan & inap
| No | No.Rawat | No.R.M. | Nama Pasien | Poli | Cara Bayar | Dokter Poli | Tgl.Reg | Jam Reg | Status | Status Bayar | No SEP | Tarif INA-CBG | Tarif RS | Dokter | Paramedis | Dokter+Paramedis | Radiologi | Laboratorium | Operasi | Farmasi | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2026/03/01/000023 | 221554 | PUTRY RIANTI | Unit IGD | UMUM | dr. Restiko Maleo Fibullah | 2026-03-01 | 15:53:30 | Sudah | Belum Bayar | - | Rp 0 | Rp 243.478 | Rp 0 | Rp 0 | Rp 52.000 | Rp 0 | Rp 162.500 | Rp 0 | Rp 28.978 | ||
| 2 | 2026/03/01/000025 | 031711 | VENI ERIKA ANDRIANI | Unit IGD | BPJS | dr. Restiko Maleo Fibullah | 2026-03-01 | 15:14:19 | Sudah | Belum Bayar | - | Rp 0 | Rp 52.000 | Rp 0 | Rp 0 | Rp 52.000 | Rp 0 | Rp 0 | Rp 0 | Rp 0 | ||
| 3 | 2026/03/01/000024 | 221555 | ROBINSON | Unit IGD | BPJS | dr. Muhammad Akip Aprianto | 2026-03-01 | 15:12:00 | Sudah | Belum Bayar | - | Rp 0 | Rp 596.000 | Rp 0 | Rp 0 | Rp 154.000 | Rp 162.500 | Rp 279.500 | Rp 0 | Rp 0 | ||
| 4 | 2026/03/01/000022 | 221553 | ELVI BINTI RIDWAN | Unit IGD | BPJS | dr. Restiko Maleo Fibullah | 2026-03-01 | 14:49:22 | Sudah | Belum Bayar | - | Rp 0 | Rp 137.000 | Rp 0 | Rp 0 | Rp 137.000 | Rp 0 | Rp 0 | Rp 0 | Rp 0 | ||
| 5 | 2026/03/01/000021 | 217584 | SUKARDI BIN BADRUN | Unit IGD | BPJS | dr. Muhammad Akip Aprianto | 2026-03-01 | 14:42:21 | Sudah | Belum Bayar | - | Rp 0 | Rp 681.000 | Rp 0 | Rp 0 | Rp 239.000 | Rp 162.500 | Rp 279.500 | Rp 0 | Rp 0 | ||
| 6 | 2026/03/01/000019 | 219201 | KASMA BINTI ZAWAWI | Unit IGD | BPJS | dr. Muhammad Akip Aprianto | 2026-03-01 | 14:34:43 | Sudah | Belum Bayar | - | Rp 0 | Rp 681.000 | Rp 0 | Rp 0 | Rp 239.000 | Rp 162.500 | Rp 279.500 | Rp 0 | Rp 0 | ||
| 7 | 2026/03/01/000018 | 221551 | RATNA DEWI BINTI BEDAN | Unit IGD | UMUM | dr. Restiko Maleo Fibullah | 2026-03-01 | 14:06:17 | Sudah | Belum Bayar | - | Rp 0 | Rp 325.000 | Rp 0 | Rp 0 | Rp 0 | Rp 325.000 | Rp 0 | Rp 0 | Rp 0 | ||
| 8 | 2026/03/01/000016 | 041148 | AMIR HAMZAH | Unit IGD | UMUM | dr. Restiko Maleo Fibullah | 2026-03-01 | 12:59:31 | Meninggal | Sudah Bayar | - | Rp 0 | Rp 137.000 | Rp 0 | Rp 0 | Rp 137.000 | Rp 0 | Rp 0 | Rp 0 | Rp 0 | ||
| 9 | 2026/03/01/000008 | 221544 | SATI | Unit IGD | UMUM | dr. Restiko Maleo Fibullah | 2026-03-01 | 09:27:13 | Sudah | Sudah Bayar | - | Rp 0 | Rp 181.767 | Rp 0 | Rp 0 | Rp 137.000 | Rp 0 | Rp 0 | Rp 0 | Rp 44.767 | ||
| 10 | 2026/03/01/000011 | 221484 | M. ZAKI P | Unit IGD | UMUM | dr. Restiko Maleo Fibullah | 2026-03-01 | 09:15:40 | Sudah | Sudah Bayar | - | Rp 0 | Rp 112.300 | Rp 0 | Rp 0 | Rp 20.000 | Rp 0 | Rp 92.300 | Rp 0 | Rp 0 | ||
| 11 | 2026/03/01/000010 | 221524 | RIRI | Unit IGD | UMUM | dr. Restiko Maleo Fibullah | 2026-03-01 | 09:14:32 | Sudah | Sudah Bayar | - | Rp 0 | Rp 112.300 | Rp 0 | Rp 0 | Rp 20.000 | Rp 0 | Rp 92.300 | Rp 0 | Rp 0 | ||
| 12 | 2026/03/01/000009 | 214568 | ALETA FARWA GHINA | Unit IGD | UMUM | dr. Restiko Maleo Fibullah | 2026-03-01 | 09:12:52 | Sudah | Sudah Bayar | - | Rp 0 | Rp 79.003 | Rp 0 | Rp 0 | Rp 52.000 | Rp 0 | Rp 0 | Rp 0 | Rp 27.003 | ||
| 13 | 2026/03/01/000007 | 129658 | IVAN S | Unit IGD | UMUM | dr. Restiko Maleo Fibullah | 2026-03-01 | 08:58:04 | Sudah | Belum Bayar | - | Rp 0 | Rp 0 | Rp 0 | Rp 0 | Rp 0 | Rp 0 | Rp 0 | Rp 0 | Rp 0 | ||
| 14 | 2026/03/01/000006 | 221542 | MASROH binti umar | Unit IGD | BPJS | dr. Restiko Maleo Fibullah | 2026-03-01 | 08:44:26 | Berkas Diterima | Sudah Bayar |
0603R0010326V000003 INACBG: 0 |
Rp 0 | Rp 1.749.287 | Rp 0 | Rp 0 | Rp 917.000 | Rp 162.500 | Rp 305.500 | Rp 0 | Rp 364.287 | ||
| 15 | 2026/03/01/000004 | 056381 | CHIKA KEIZA ALMIRA ZAHWA | Unit IGD | UMUM | dr. Rini Utami | 2026-03-01 | 06:06:30 | Berkas Diterima | Sudah Bayar | - | Rp 0 | Rp 67.388 | Rp 0 | Rp 0 | Rp 52.000 | Rp 0 | Rp 0 | Rp 0 | Rp 15.388 | ||
| 16 | 2026/03/01/000003 | 221540 | TATIK | Unit IGD | UMUM | dr. Rini Utami | 2026-03-01 | 01:55:29 | Berkas Diterima | Sudah Bayar | - | Rp 0 | Rp 107.928 | Rp 0 | Rp 0 | Rp 52.000 | Rp 0 | Rp 0 | Rp 0 | Rp 55.928 | ||
| TOTAL | Rp 0 | Rp 5.262.451 | Rp 0 | Rp 0 | Rp 2.260.000 | Rp 975.000 | Rp 1.491.100 | Rp 0 | Rp 536.351 | |||||||||||||