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LAPORAN REKAP KLAIM - RSUD BALUNG

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Feb 2017 s/d 28 Feb 2017
Filter: Metode Pembayaran = Semua / / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS D PEMERINTAH
No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien No. SEP INACBG Top Up Total Tarif Tarif RS Jenis
1 31 Jan 2017 6 Feb 2017 202253 SAMUJI 1329R00201170001036 J-4-18-I 2.340.400 4.877.492 RI
2 9 Feb 2017 10 Feb 2017 211202 LILIS SUYANTI 1329R00202170000298 L-1-40-I 3.870.300 3.233.693 RI
3 9 Feb 2017 12 Feb 2017 209018 AHMAD SUBHAN 1329R00202170000334 J-1-30-I 5.683.400 8.786.135 RI
4 13 Feb 2017 14 Feb 2017 187007 NASRULLAH 1329R00202170000410 K-4-11-I 2.439.100 1.130.369 RI
5 15 Feb 2017 17 Feb 2017 211533 ALKHALIFI RABBANI ROHMATULLAH 1329R00202170000508 G-4-25-I 1.960.800 874.337 RI
NIELDEE
6 20 Feb 2017 25 Feb 2017 188526 ANIS YULIANI 1329R00202170000640 K-4-18-I 1.300.900 1.406.600 RI
7 22 Feb 2017 27 Feb 2017 211778 SAIFUL BAHRI 1329R00202170000719 I-4-17-I 2.004.800 2.153.443 RI
Total 19.599.700 22.462.069

Kode RS: 3509134 Halaman 1/1