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02129189999
50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 3:34 02/04/2019
jemi gunawan
heni
minta hub ke klaim kendaraan
12018
terputus

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 3:44 02/04/2019
rani
awal bros panam

8000161318192120
LEXANDRIA ALANA RIZKY SAKHA
PT. ELNUSA PETROFIN
dx : smotatts angularis , rfa
obat : ozen sirup 1 plet, epekso sirup, zamel , obat : alokeler spray,

8000161318192104
ALFARO FAUSTA HADRIAN RIZKY
PT. ELNUSA PETROFIN
dx : varicela
obat : fraksion forte , asiklofler krim , river, obat : asikloflet tab

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 4:22 02/04/2019
RS & OPTIK pekanbaru
rEtno

8000161316094047
40056201900070
1359b
RETNO TRI UTAMI
PT. TELEKOMUNIKASI SELULAR

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 4:55 02/04/2019
IRIYANTI
PERJANG
RUMAH
01N02201800112
085289426898 087742260183
IRWANDI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 5:34 02/04/2019
RIYAN
RS RISA SENTRA MEDIKA

8000161318208793
BUNGA DWILIKA
PT. BANK BRISYARIAH

Pembatalan pendaftaran

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 6:52 02/04/2019
nori
CIPUTRA HOSPITAL TANGERANG

488b
SURYANINGSIH
PT. CENTRAL PROTEINAPRIMA TBK

ACC tindakan mnunggu kelengkapan LMA

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

7. 7:54 02/04/2019
DIKI
MITRA KMYORAN

SAMBUNG KE KA DANI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

8. 8:01 02/04/2019
STEVIA
RS PERMATA CIBUBUR

8000161312448304
NENA MUTMAINAH
PT. BANK BRISYARIAH

dx : komn cold
obat : dumin, rinos, teragran, mefinal
anmsnesa : demam pilek

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

9. 8:12 PM 4/2/2019
agung
KLINIK SPESIALIS SARI MULIA

8000161316824740
40117201800174
5206a
WICHITA SEPARTYNUS GUNAWAN
PT. BUKIT MAKMUR MANDIRI UTAMA

PEMBATALAN MANUAL BIAYA SEBESAR RP 1.210.000 DIKARENAKAN SALAH INPUT BIAYA, INFO
BPK AGUNG, BY RANI CC

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

10. 8:26 PM 4/2/2019


NELA
MSIG

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

11. 8:31 PM 4/2/2019


PIPI *1306 6101
RS PONDOK INDAH

2835e
MUHAMMAD AL FATIH PRADITA
PT TELEKOMUNIKASI SELULAR

dx : efusi pleura sinista bak inf


tgl : 2
rm : 100210191
dr : yovita sp a
e : adm.rawatinap@rspondokindah.co.id
kamar : vip 2.15
kamar : kls 1 975.000

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

12. 8:47 PM 4/2/2019


rs pondok indah

8000161317835000
RINA
PT. ELEPHANT AGUNG PERKASA

dx : atralgia sika sindrom


kel : nyeri sendi 96 tendon kaki, kel : tendon kanan putus, cikungunya, kel
: mata mulut sering, sering lupa, kel : gatal2 punggung,
tind : lab ana if AUTOIMUN, anaprofil tind : AUTOANTIBODI, anti dfdna tind
: AUTOANTIBODI DSDNA, tind : rematoid saktor IG G, tind : hscrpJANTNG
SEPSIS, cc3c4 tind : SLE, atumimun

Acc ka adit

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

13. 9:19 PM 4/2/2019


hafiz
8000161316566440

PEMBATALAN MANUAL BIAYA SEBESAR RP 649.261 DIKARENAKAN SALAH INPUT BIAYA, INFO BPK
HAFIZ, BY RANI CC

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

14. 11:39 PM 4/2/2019


NISA *120
MULYA SARI

668a
DICKY MAHARDIKA SAPUTRA
PT. MITSUI LEASING CAPITAL INDONESIA
40056201800237

tgl : 2
dx : feb 2 mngg , eklausa inf sek, dem tyopo
rm : 060263
dr : yasir pd
e : adminri@rsmulyasari.com
kamar : 1b 500

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

02129189999
50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 3:27 PM 4/3/2019
teo
asuransi individu

08118817818 // 081286864637

cover baru individu


(terputus)

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 5:02 PM 4/3/2019
alya
rs pku muh yogaya

hub ke mba laras

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 5:18 PM 4/3/2019
olivia

8000161317210915
MASON OLIVER GAW
PT. GLOBAL PAY INDONESIA
40175201900002
1c

jaminan imunisasi

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 6:15 PM 4/3/2019
inas
OMNI MEDICAL CENTER, RS

179a
AHMAD ARPAN
PT. SMART - JAKARTA

surat jaminan

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 7:14 PM 4/3/2019
SARI MULIA BANJARMASIN, RS
wardah

5206a
WICHITA SEPARTYNUS GUNAWAN
PT. BUKIT MAKMUR MANDIRI UTAMA

RONGEN dan USG masuk ke rajal


dan konfirmasi pengiriman email hasil untuk rawat inap
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6.

Dear Dokter,

Konfirmasi tindakan sudah terbit surat jaminan pasien :

Rs : KUSUMA MEDICAL CENTER BATU KAJANG,


An : DAKSA AL FAEYZA KESUMA
PT : Buma
Reg : 4455d
Dx : Fever With Chills + Nausea and Vomiting, usia 4 Thn

Plant kamar : 475.000

SJ : Sudah Terbit
Terlampir : Etimasi Tindakan

Apakah dapat di acc dok?

salam,

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

7. 10:23 PM 4/3/2019
ira*7210
ST. ELISABETH SEMARANG, RS

8650c
NAOMI CALLISTA FEODORA ARIANE
PT. SURYA MADISTRINDO

dx : feb hari ke 4, obs vmts, low intake


tgl : 3
rm : 0232962017
e : kantoradm_elisabeth@yahoo.com
kls : eks 760.000
aps
vip 700

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

02129189999
50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 2:49 PM 4/6/2019
indra
RS pondok indah

8000161315987902
HENDY MULYONO
PT. TELEKOMUNIKASI SELULAR

dx : kolik ureter renal


td : ctscan urlogi
kel : kolik pngg kiri , hermaeturia
biay : 5.150

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 2:56 PM 4/6/2019
irvan
RS ASRI siloam

8000161316060519
ADITYA MUHAMMAD NUR
PT. TELEKOMUNIKASI SELULAR

dx : varicocel bilaeral
tdk : USG testis
kode : i86.1

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 3:07 PM 4/6/2019
opi
RSIA BUNDA JKT

8000161317912403
ROSELINE SETYONO
ZURICH INSURANCE INDONESIA

dx : adenomioma
tdk : dk usg transvagina
obat : arimidex HORMONAL
kel : nyri perut bawah

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 3:19 PM 4/6/2019
dwi

dwi atnisetiawati
manggala alam lestari
54b

tdk ada benefit rawat jalan

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 4:06 PM 4/6/2019
suparman
02232201610123
kerusaskan : bp bkg nambak tiang listrik
depan kiri penyok
tgl : 6
081314016460 // 0215842435

DONE

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 4:25 PM 4/6/2019
MUTIARA BUNDA CILEDUG, RS
AGNES*102

CALLYSTA PUTRI NAVIZA


PT. CENTRAL PROTEINAPRIMA TBK
80c

dx : ispa b i
tgl : 6
rm : 033668
dr : laila spa a
kamar : v600
e : mutiarabunda310@gmail.com

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

7. 4:47 PM 4/6/2019
sandi
RS GRHA KEDOYA

8000161316349979
HARRIS GUNAWAN
PT. PINDO DELI PULP & PAPER
40056201800118
192a

dx : frgt akut, VI
obat : lameson, digirolusISPA, OBAT : provitables, deslotin obat :
regustenISPA,

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

8. 5:43 PM 4/6/2019
dede
RS SENTRA MEDIKA CBNG
8000161317037151
246a
40054201800029

PEMBATALAN MANUAL BIAYA SEBESAR RP 2.460.041 DIKARENAKAN SALAH INPUT BIAYA, INFO
IBU DEDE, BY RANI CC

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

9. 10:01 PM 4/6/2019
KUSUMA MEDIKA TANAH BUMBU, KLINIK
Irda*05122541172

12430b
SOFIATUN
PT. BUKIT MAKMUR MANDIRI UTAMA

dx : Hiperemesis Gravidarum hml 8-9 mngg + Syndrom Dyspesia


tgl : 6
rm : 12823
dr : riky
KAMAR : 250.
e : klinik.safira.satui@gmail.com

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

10. 10:51 PM 4/6/2019


lion air

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

11. 10:56 PM 4/6/2019


anisa
RS SILOAM HOSP JAMBI

8000161318188813
KHRIEFNI SARI
PT. ELNUSA PETROFIN

kel : nyeri perut bawah pungg


dx : g2p1a hamil mng 28 29
lab : urinlrutin cito
obat : (histolen) relaksasi uterus obat : (siges) mencegah
obat : terjadinya keguguran pada obat : masa-masa awal kehamilan

besar sesar 12
prematur

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

12. 11:19 PM 4/6/2019


hasan
RS MELIA CIBUBUR

239b
dwi nur
pt : mrdc
19.196.000
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

02129189999
50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40118201800045 OTO MULTIARTA

SIMASSEHAT.COM

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 3:52 PM 4/7/2019
rara*197
PERMATA DEPOK, RS

451a
WULANDA ANDEZTA
PT. GRAHA LAYAR PRIMA TBK
40118201800018

DX : ob sfebris , df, mielgia , g1 p0a0 DX : hmil 34


rm : 029562
tgl : 7
dr : yakub pd
kamar : 1.650
e : fo.rspermatadepok@gmail.com

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 4:45 PM 4/7/2019
MIMI
RS HERMINA DEPOK

8000161318119123
FILEAS KEVEN ELHAZIQ EBPA
PT. BANK BRISYARIAH
PEMBATALAN MANUAL BIAYA SEBESAR RP 368.650 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
MIMI, BY RANI CC

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 5:52 PM 4/7/2019
RISKA
JIH JOGJA

REG :
RATNA HARDANI
REG : 1639b
PT : ANK SINAR

357200 redacit 2 retur 1, koten3, redacit obt pulng 15

374500

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 6:40 PM 4/7/2019
riska
4 obat oral
kotten 3 kali

4 koten acc ssuai in mdis


18.768.592

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 7:19 PM 4/7/2019
ivan*3206
EKA HOSPITAL PEKANBARU

40059201900001
345b
MELISA
PT. BANK SINARMAS - A

dx : g1p0a0 parturien, 38 39
dx : kala 1 fase laten
tgl : 7
rm : 004256
dr : feri sp og
kamar : vip b 85.
e : kasir_pku@ekahospital.com

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 8:20 PM 4/7/2019
TUMBUH KEMBANG, RSIA
dewi *300

HANUM ASSYAFIRA FUADA


4678d
PT. SURYA MADISTRINDO

dx : ged deh sed intake sulit


tgl : 7
dr : sriwahyu a
rm : 206750
kamar : 2.400
e : keuangan@rsia-tumbuhkembang.co.id

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

7. 10:08 PM 4/7/2019
b1286pod
trisno
derek
tol arah bsd

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

8. 11:06 PM 4/7/2019
fidra
07458623
an : emrayhan
pt : wom
nebu igd
dx : asma
ob :

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

02129189999
50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 5:04 PM 4/9/2019
3298a
fadli
telkomsel

endoskopi siloam mksr


obatnya tdk ada d rs
beli di luar
rawat inap

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 5:30 PM 4/9/2019
sala tiga
aditya eka

18813a
oto fine
40118201800047
biaya non medis suplmnt

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 6:10 PM 4/9/2019
rina
RS HARAPAN BUNDA

8000161317892449
KHANSA BELVA TSABITHA
PT. TEGAR INTI SENTOSA

PEMBATALAN SEBELUMNYA

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 6:41 PM 4/9/2019
amel
neli
klaim
mobil
2 mnggu
bengkel tunggu spk
monti
02.202.2018.00517

081806195992neli // 081284827738 suami monti

note : minta dikabarui besok jam 12


progres

sudah email

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 7:14 PM 4/9/2019
devi
MULIA PAJAJARAN, RS

8000161312463402
an : lili soliha
bris
tindakan lab na kcl kol lengkap , radiologi torak , es : 1.250.000

LILIH SHOLIHAH

proses ka kokom

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 7:54 PM 4/9/2019
putri

reg : 1713c
alfarezi
caen santosa

dx : kejang demam sdg gea


2.5
1.450.
dr : 154.2
tb : 2.633.898

2. 300 penuh
3. 125

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

7. 8:08 PM 4/9/2019
fani
RS PERMATA PAMULANG

8000161316554412
DWITUR BAMBANG SRIJENAWI
PT. REVENTON MITRA PRATAMA I

dx : dm ht
kel : lanjutan
obat : candesartanHT , alzakton Aldactone HT, medikson RADANG nyeri otot dan
kejang otot,. amadiabGLUKO, glukopekDM,

Tnd : glu sewa darah rutin

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

8. 8:29 PM 4/9/2019
olivia
kendari

terputus
rs di daerah kendari

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

9. 8:40 PM 4/9/2019
rs pertmn balik papan

reg : 7837b
an : normila
pt : buma
plan kamar

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

10. 8:59 PM 4/9/2019


JAKARTA, RS
mei *166

385a
NICKY AGDEVIA
BANK INDONESIA
40117201800123

1. 785
kls 1.

v. 1.275

dx : ds gas typoid
tgl : 9
dr : teddy sp pd
rm : 374560
e : admission.rsj@gmail.com

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

11. 9:39 PM 4/9/2019


nisa
MULYASARI JAKARTA UTARA, RS

668a
DICKY MAHARDIKA SAPUTRA
PT. MITSUI LEASING CAPITAL INDONESIA

penjelasan jaminan akhir

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

12. 9:51 PM 4/9/2019


fredis
oto multi arta

09287160
40118201800045
2790a

jaminan rajal 80%

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

13. 10:03 PM 4/9/2019


PUSAT PERTAMINA, RS
sugi

KEYZRA ALEGRIA CHARLOTTE SIAHAAN


kultur urin
konsulnrscm
ambulan
reg : 1025c
asuransi

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 4:13 PM 4/10/2019

konsul anak
dx: HERNIA
6thn
oprasi 15
ga
800016131117193
14330344
an : syaza
pt : OTO
reg : 547d

est : 48.000.000

boarding

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 5:04 PM 4/10/2019
RANAP
SIDOARDJO

JESIKA > CS SIMASSEHAT


*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 6:40 PM 4/10/2019
NADIA

16188674
AN : STEVANI
PT : D UNI

CEK HMIL
OBAT TES DIAGNOSA

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 6:56 PM 4/10/2019
nevo
RS JEC KEDOYA

8000161315566532
ANDREW GOZAL
PT. CAKRAWALA MEGA INDAH

dx : konjungtvts
obat : cenfresh TDK ACC, tobradek
kel : mata merah

CENFRESH TDK DIJAMIN

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 7:22 PM 4/10/2019
ULAN
RS PREMIER JATNER

8000161318408856
ANGGITA PUTRI
PT. DUTA INTI DAYA

SARAF > REHAB MEDIK

6 APRL

DX : STRAINGHT WIS DIGIT 5 KANAN


TDK LASER LASER TERAP PENGHUILANG NYERI

KELUHAN : PERGELANGAN TGN KANAN

FISIOTERAP US SPAEN

UNTUK 6 KALI

880.000

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 7:53 PM 4/10/2019
OKTA
EKA HOS BSD
PT. INNOVATE MAS INDONESIA
8000161317646357
AMALIA YUNITASARI

PEMBATALAN MANUAL BIAYA SEBESAR RP 521.339 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
OKTA, BY RANI CC

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

7. 8:19 PM 4/10/2019
LENA
16809154
an : makaramu
pt : buma

dx : nefrolitiasis d/s
obat : renalok, tiston,
konsul
urologi ultsn ... usg pngg

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

8.10:26 PM 4/10/2019
sri
16650244
an : avi susan
pt : telkoms
dx : kontrol avmirena iud
obat : yas
630.800
2 strip
2 bulan
kel : kmren iud copot, pmakian

1 bulan dijaminkan, nanti silahkan di itter

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

9. 10:41 PM 4/10/2019
indah *1229
restu balilikpapan

reg : 7137c
an : ranu
pt : buma

dx : fimosis, retensi urn


tgl : 10
rm : 492408
dr : pras sp.u
kamar : 380.000 2
e : tp2ri@yahoo.com
admpasienrestuibu@gmail.com

sudah input

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
10. 11:28 PM 4/10/2019
karsel
ana pkayon

reg : 322b
an : heni
pt : telkoms

gol tranfs
tyas
lma
10

konfirmasi email

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

11. 11:36 PM 4/10/2019


indah

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 3:39 PM 4/11/2019
mandaya hos
vina

8000161316476111
RIFKI SINTAMI
PT. TELEKOMUNIKASI SELULAR

pembatalan pendaftran tdk jd rawat jalan

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 4:01 PM 4/11/2019
dewi

reg : 4625a
an : topk
pt : kaldu

SJ TD

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 4:45 PM 4/11/2019
NANDA
RS BAPTIS KEDIRI

8000161318603142
FALISHA KIRANA PUTRI
PT. BANK BRISYARIAH
2542d
S7117201900003

KONTROL POST HAMIL


DX : BAYI SEHAT
bayi sehat tdk acc (info ka icen, ka amel, ka inggar)

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 5:20 PM 4/11/2019
bela
RSU HERMINA PASTEUR

8000161315999089
SUCI TRISIANA
PT. TELEKOMUNIKASI SELULAR

dx : mioma uteri
lab : cea, ca125, scc, beta hsg
estm : 2.742.000

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 5:59 PM 4/11/2019
sarah
MITRA KELUARGA CIBUBUR, RS

841c
NASYWA ANINDYA HANAFI
PT TELEKOMUNIKASI SELULAR

glove non stres 15


wash glo(wash lap) 2
spalek
wash lap tdk dijamin by ka joice

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 6:26 PM 4/11/2019
sarah
MITRA KELUARGA CIBUBUR, RS

841c
NASYWA ANINDYA HANAFI
PT TELEKOMUNIKASI SELULAR

REVISI BILLING

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

7. 6:43 PM 4/11/2019
NAYA
AWAL BNROS MAKASAR

8000161316565343
ANDI DINAH ROZINAH
PT. PINUS MERAH ABADI

DX : os ulkul kornnea
kel : mata luka , mata mrahj, KEL : nyeri, kering
obat : hiALUB ey drop, lefosin ttes
OBAT : siklidon, sanekson,
KODE : h16

HIALUB TDK ACC

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

8. 7:23 PM 4/11/2019
TERMOLISA

BCA
11900000040003

VITUAL ACCONT
TF

HUB DI JAM KERJA

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

9. 8:11 PM 4/11/2019
DEDE
APOTIK KASIH IBU

18278788
RABIAH
PT. BUKIT MAKMUR MANDIRI UTAMA

PEMBATLAAN PNDFTN

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
10. 8:15 PM 4/11/2019
IIS
ANI
OFISEP GG HORMON KRN KGMUKAN

DX : UTERI BLEED
PT. DAIMLER COMMERCIAL VEHICL

ACC DR INA

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

11. 8:34 PM 4/11/2019


RS TEBET
YANI *114 7058

REG : 301d
an : hani
pt : sina mitra sepdan

dx : sus bro pne


tgl
:
11
rm : 264068
dr : hartatai sp a
kamar : vip 1.000.
e : rawatinaprstebet@gmail.com

40898201900001

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

12. 10:08 PM 4/11/2019


guntur*106
PERTAMINA TANJUNG, RS

6746a
DESSY SUSANTI
PT. BUKIT MAKMUR MANDIRI UTAMA

dx : pro sc hamiil 37mh


g2p0a1
tgl : 11
rm : J16010102
dr : ketut og
kaar : vip 600
500.
1.400

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

13. 11:36 PM 4/11/2019


yeni
klaim
keruskn : body dpn nambak penyok pah nbrak
nabrak tembo
082226269911 // 087770562506
SUDAH EMAIL

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 3:31 PM 4/13/2019
gunawan

8000161318187393
GUNAWAN SATRIO
PT. ELNUSA PETROFIN
40120201800024
141b

sisa limit

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 4:24 PM 4/13/2019
fahmi

8000161315483936
FAHMI BOER
HOLIDAY INN JAKARTA KEMAYORAN
40802201800003
9a

cek limit melahirkan istri

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 5:46 PM 4/14/2019
yuli

8000161316058513
RIZKY AGAM
PT. TELEKOMUNIKASI SELULAR

sisa plafon rawat jalan


4.9

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 7:23 PM 4/14/2019
romi

tumor kaki tindakan besok


novi
pendaftran

sinar mas bank


rs stela maris makasar

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 8:34 PM 4/14/2019
nova

RS daerah purwokerto
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 5:56 PM 4/15/2019
vendri

prososal
wilayah jk tim
e : f3n_dricxz@yahoo.com
08179122290

COVER BARU

sudah email

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035
40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 3:41 16/04/2019nurul
nurul
bris
fitiani
reg : 130rb
pmyaran kalim tgl 20 feb sesuai cek retur, proses bayar
4 januari
10 4 kalim ini apkh sudah di retur
8000161316678344
085260967122 // fitri

admin.hid.ac@sinarmas.co.id

PERMATA

SDM

KETIDAKHADIRAN

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 3:59 16/04/2019
LESTARI
POLIS KENDARAN
11900000039398

PEMBAYRAN POLS KENDRAAN

02129189999

13007 // 13008

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 6:44 16/04/2019
pondok indah
mahkota prima
RS REKANAN PONDOK INDAH JAKSEL

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
4. 10:04 16/04/2019
02232201800812
WAWAN

survey aturan hari ini, tdk jadi karena hujan

081288116553
KAMIS
jam 11an
dikantr gendung mid lava 2 jend su kav 10 11
karet tengsin jakpus

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 6:23 19/04/2019
rekhi

auto debet
800015111
MSIG

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 9:07 19/04/2019
ketut

oto kredit motor


dk 466 ik
kecelakaan
pnyok depan belkgn
mhktgrvhdxk001771
g001771
085738688846 // 087862287785

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 5:08 PM 4/21/2019
ULFA

40056201800188
23b
8000161318477315
ULPHA ANDRI YANI
JO COLAS RAIL - IRODA MITRA

081281159678 // ulfa

0 tahun anaknya

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 4:20 PM 4/22/2019
abdulah wahid
kesehan
bcn

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 5:15 PM 4/24/2019
saturday
filght
47572921
friday
cancel
02163798000
- 08041778899

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 9:37 PM 4/24/2019
8:55 PM 4/24/2019
ani
17688110
an : rafanda
pt : kldu
081316803323 //

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 4:56 PM 4/27/2019
budi
11800000076373
keusakn
nyenggol mobil bp belkg
087887736757 // indra
baret pintu kanan blkg
085216677575 // 081219858278

sudah email

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 5:06 PM 4/27/2019
hasan
kantor tanah abang

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1.7:20 PM 4/28/2019
yasin
ismaya

telkomsel

8000161318241380 an
nama figiloi
40056201900070
03925a

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 3:36 PM 4/29/2019
ari
PT. epidens id

verifikasi data
asuransi kendaran

mkt.pld <mkt.pld@sinarmas.co.id>

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 5:14 PM 4/29/2019
dira
restu kasih

8000161316475030
UTHARI NURHAFSYAH
PT. BANK CAPITAL INDONESIA

PEMBATALAN PENDAFTARAN

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 5:37 PM 4/29/2019
anton

reg : 5507b
an : riska
pt : telkom

limit melahirkan
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4.6:00 PM 4/29/2019
elsa
plan kamar
nanti karena blm ada reg

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5.6:10 PM 4/29/2019
fitri
reg: 331a
an : ani
pt : unive

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 9:13 PM 4/29/2019
herman

1.4.20

11900000034665

pembayaran dijam kerja

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 5:08 PM 5/5/2019
sunodi

H.SUNOHDI SE
02.078.2017.00914

MASUK JURANG
KANTOR PENGELOLA TOL CIUNJUNG

0811123822 // 0811127230
A1546TY

sudah email

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 8:57 PM 5/5/2019
kunto

hermina galaksi
8000161318550749
PT. UA INDO SOURCING
KUNTO ANTARIKSA

Rekanan

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 6:31 PM 5/6/2019
RIKO
klaim kendaran
survey 2.3

simasnet

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 2:12 07/05/2019
lusia

02232201501638
teguh arwik0

081905853737 lucia

sudah email

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 3:04 PM 5/7/2019
LEVINA

PROGRAES

sambungkan

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
3. 6:37 PM 5/7/2019
daniel
07425697
deri
wom

sisaa limit

terputus

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 7:19 07/05/2019
fedri

refund
kode akumulasi
57070201600979

081318605133 bu meli // 081315050258


PT BANK DANAMON INDONESIA TBK QQ KHIOE HOA JUNG

sudah email

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 7:51 07/05/2019
linda

prjngn polis mobil

survey

terbitkan polis

11900000051735

XPANDER 1,5L EXCEED-K (4X2) M/T


PUTIH

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 8:37 07/05/2019
putri

69a
ari

multipn eksresvasi
tb : 6.114.176

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

7. 8:42 07/05/2019
oca
SARI MULIA BANJARMASIN, RS

vivi
reg : 7247b
an : ida
pt : buma

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

8. 8:54 07/05/2019
rini

18355628
an : aiden
pt : zurik

prevenar

ispa

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 6:31 PM 5/12/2019
pujo
BUMA

mmc
bnyumanik

TDK REKANAN

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
2. 9:57 PM 5/12/2019
putri

b2184byj

KLAIM MBU
tdk jadi

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 7:04 PM 5/13/2019
mira
RS SILAOM BALIKPPN

8000161316090136
YOHANA TRISETYA ABIGAIL SIREGA
PT. TELEKOMUNIKASI SELULAR

8.3.
629.000

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1.

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
2.

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3.

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4.

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5.

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

Absen tidak terecord. Masuk shift middle. Masuk pukul 14.50 pulang pukul 00.08

12.3
14.50 - 00.08 ......................

17.3
14.40 - 00.03 17 APRIL SALAH TGL

2a- 00.05 .............................

21.3
14.50 - 00.01 .......................................

24.3
14.47 - 00.03 ........................................

26.3
14.30 - 00.04 ......................................................

27.3
14.41 - 00.06 ...............................

28.3
14.52 - 00.01 .......................

30.3
14.30 - 00.04 ..........................

31.3
14.58 - 00.08..............................
7.4
14.37

9.4
14.47

10.4
14.43

sisanya di foto

5:00 03/06/2019
siska
18590620
an : maulina
pt : bris
g1
nyeri peur
usg abdomen 1 print konsul

5:49 03/06/2019
nindi
18391417
an : own surya
pt : erikson
lasal , amtocort, mukopek, tremntza
uap mikromit
bawa
Admedika123

6:25 03/06/2019
klinik kusuma med ce batu kajang
eka *082148630501
reg : 1237d
an : kristina
pt : buma
dx : fever wil child, nause n vmtg,
rm : 028032
tgl : 3
dr : amirullah dr
e : frontofficekmc.bkj01@gmail.com
40117201800174
[1] Bila pasien pulang SEMUA BIAYA KE ASM DAHULU dan pasien dapat di pulangkan
tanpa konfirmasi ke ASM dahulu. [2] Dx/ Fever With Chill + Nausea + Vomiting, usia
3th, RM.028032 (Eka*082148630501) E.frontofficekmc.bkj01@gmail.com [3] Mohon hasil
LAB, RESUME MEDIS, Dll dilampirkan saat penagihan. [4] Mohon perincian di-fax ke
ASM. (Rani)
1237c
an : maria
pt :
dx : degue fever , fer w c, nause vtm
003518
2 ... 275.000 makan
dr : dr aslam

6:42 03/06/2019
nunik
17854217
AN : leona
pt : kaldu
cek uji analisa sperma
dx :
3thm menikah blm punya ank
Admedika123

mujiati
buma
irda
16767154
PEMBATALN 290.000

7:42 03/06/2019
RIANTI
b1439fra
MHKG2JK2JFK019831
3SZDFK5412
KANAN TERGORES, BEMPER ATAS KANAN COPOT ,
081315805465 RIANTI
PIHAK
BENGKEL OTO BODI REPAI DAIHAITSU NAROGOT
02202201501603

9:22 03/06/2019
alfi
samrinda
reg 3773a
buma
2, 448.000
delux, 1.269.000 aps
ina

10:32 03/06/2019
risa*100
rs dr hafis cianjur
reg : 1608a
an : dodi
bris
dx : sepsis, bac inf of
tgl : 3
rm : 002997
dr : mastrin sp pd
e : cianjur.rsdh@gmail.com
vb 485.000

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5:23 PM 6/4/2019
tamrincilengsi
tari
17955998
an : beti
pt : plaza ind
radiologi abdomen , lab, : urin
uti
kel : Admedika123

6:17 PM 6/4/2019
rina
reg : 3250c
an : putu
pt : pinu
dx : frktur pra kondi hum sin post
hr : 1
kmar : 2.200
tb : 10.130.750
Pass1234

7:14 PM 6/4/2019
kori
reg : 6113b
nora
surya
tb : 8.304.888
dr : 190.1

7:26 PM 6/4/2019
rs siloam surbaya
ela
949b
an : kanistri
pt : ikkp
plan kmaar

7:46 PM 6/4/2019
bmc bogor
noel

9:33 PM 6/4/2019
lina*05435230262
klinik med cen batu kajang
reg : 15620a
an : rigmal
buma
dx : akut bron , aku rbadmn
tgl ?: 4
rm : 000476
dr : m habibi umum
kaamr : 2.275 mkan
e : frontofficekmc.bkj01@gmail.com

11:27 PM 6/4/2019
5:10 PM 6/9/2019
feni
18148718
an : asila
pt : telkom
flu singapur HFMD
demm binting merah tangan kaki mulut
obat : isprinol antivrus, napreksirup pct, ritezgatal, cakian krim salgestam
diprosone

6:48 PM 6/9/2019
DEDI
deo mael tam
17138447
sumit
dx : fever
lab : ldr lgkp igm salmonela

6:59 PM 6/9/2019
rahma
rs simpangan depok
8000161317897158
NOVITA RAHAYU
PT. MERCEDES-BENZ DISTRIBUTION
ekses ke asm

7:11 PM 6/9/2019
andrina
riska
g1 37 38mngg
ns t
keluhan : mules
17778283
pt mitsui ind

7:33 PM 6/9/2019
bayu*100
hermina pasteur
reg : 1407c
an : maza ya
pt : telkomsel
dx : dengu efver
rm : g117129
tgl : 9
dr : yoke sp a
kamar : vip 1.269.000
aps
e : admrwi.herminapst@gmail.com
0226072525
0226037815

8:29 PM 6/9/2019
citra insani
hermawan
reg : 3611b
an : novi muriska
bris
permintaan sendiri pindah rs
lab
8000161318192435
lia
PEMBATALAN MANUAL BIAYA SEBESAR RP 162.000 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
LIA, BY RANI CC

888888888888888888888888888

3:29 10/06/2019
mimi
11900000060651
alamt risiko : s3
0815
--------
4:33 10/06/2019
amel *226
rs : budi kemulyaan jakpus
a/n : nevi fitrianisanadi
pt : asuransi simas jiwa
dx : p1a1 post sc iufd bekas sc 1x
reg :000090a
tgl masuk 6/6-10/6
kamar kls 1/ 450.000
visit dokter 200.000
subjeck : pasien pulang a/n

puti
rs
reg : 15a
an : nur kurniati
kurita ind

ayu*111
rs islam klaten
reg : 4176b
an :lela kusmastuti
pt : buma
dx: g1 atmn inpartu
tgl : 10
rm : 215139
dr : zamyuri sp.og
kamar : vip 675.000 aps
e : asuransirsik@gmail.com

6:33 10/06/2019
siska
17993569
an : jurian
pt facebok
vaskuler hdcs
skit kpla
sidalut????, racikan neulinMMPERBAIKI DAYA INGT pct ericap,
amitriptilinANTIDEPRESI, ctpplm???? , perisan b
merislon, sntimo, donperidom

9:03 10/06/2019
SRI
18625111
AN : sri
pt : zurich
dx : ht g1 oprsi kista isk
obat : sanxon 4, tremensaISPA, blopress, formuno

9:27 10/06/2019
BERLY
8000161318545764
AN : safrif
pt erikson
kandungan fase proliferasi akhir
dufaston, polafit, askardia
kel : -

ipul*1881
rs premier bintaro
670b
an : velisia
pt ikkp a lokal
dx : dispepsia
tgl : 10
rm : 58001
dr : abewardolo pd
kamar : vip 2.000.000asps
e : adminri-camar@ramsayhealth.co.id
40056201800117

11:17 10/06/2019
SUDARMAN
18496349
an : novita
pt : unggul
ca.cervix

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

SELAMAT PAGI
SELAMAT PAGI
SELAMAT PAGI
SELAMAT PAGI
SELAMAT PAGI
SELAMAT PAGI
SELAMAT PAGI
SELAMAT PAGI
SELAMAT PAGI
SELAMAT PAGI

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 8:53 AM 6/11/2019
KARINDA
BRI
hub ke HRD
DATA KARYAWAN

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 9:46 AM 6/11/2019
labora
siloam semanggi
pt dizikomerz ind
rs rekanan setiabudi
infeksi & nyeri lambung

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3. 2:27 PM 6/11/2019
simanjuntak
perpajangan
11900000057690
simasmobil.com
autorisk
bengkel

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 2:39 PM 6/11/2019
jesika
cabang sidoarjo
klaim gigi
110 lebih 90
150
16496879
an :
pt : asurasni

**********************************************
**********************************************

ratna
Admedika123
8000161316037038
an : sujarno
pt : telkom
mcu tdk bs lgsg
nasabah ke hrd - minta jaminan

**********************************************

3:22 12/06/2019
pt enery sejahterah mas
reg :
15 sblm lebaran
40056201900077
205b
an : estiyeni

**********************************************

4:10 12/06/2019
8000161315533292
diana
15533292
an : likui ling
pt cakrawala
tht. ekstrasi bnda asing
duri ikan

**********************************************

4:24 12/06/2019
purwanto

**********************************************

5:07 12/06/2019
dias
jec cibubur
pt merc ind

**********************************************

5:37 12/06/2019
titi
puri handia
umum.
hbsag
dx : j.o6
8000161311637253
pt : summit
karena tdk sesuai. tdk dijamin karena bersifat preventif

**********************************************

5:54 12/06/2019
amalia
8000161318054130
PT. BUKIT MAKMUR MANDIRI UTAMA
RAHMA SEPTIVIANI
gigi impaksi hanya konsul sj

**********************************************

5:57 12/06/2019
lidia
8000161317624511
MUHAMMAD FAROUQ
PT. PROTEKINDO SANITA
tdk ada jaminan kacamata hny op n ip

**********************************************
6:08 12/06/2019
rahmat*125
rs permata bunda ciamis
reg : 1925a
an : ade sudrajat
pt surya mad
dx ; kolik renal
tgl : 12
rm : 068950
dr : primahati pd
kamar : vip 450 aps
e : rspermatabunda1@gmail.com

**********************************************

7:35 12/06/2019
laras
RS AQIDAH
8000161312142253
ROSADAH
PT. KB INSURANCE INDONESIA
Pembatalan regst

**********************************************

7:49 12/06/2019
sukardi
m : L15Z13642377
R : MHRDD4850JJ702332
DEPAN
08127971517 //
02079201801432

**********************************************

rut
18556969
an : nndi
pt : csf
dx : g1 mhl 30 31
obat : vitamam 3 prolakta

**********************************************

9:27 12/06/2019
sri* 1229
reastu ibu bliikpapa
reg : 15a
an : andreas
pt : broul coul
dx : ca recti
tgl : 12
rm : 213226
dr : sumaryono beda
kamar : 845 vip corkoperte
e : tp2ri@yahoo.com
adminpasienrestuib

u@gmail.com
ctcsan abd , kolos

**********************************************

********************************
********************************

5:34 PM 6/13/2019
Rita
8000161317911850
RITA IRAWAN
ZURICH INSURANCE INDONESIA
limit rajal dan gigi

*********************************

5:57 PM 6/13/2019
02047201701027
avanti
KANA penyok baret kIRI depan
08118704794

*********************************

6:23 13/06/2019
tri
8000161317651605
NAFISHA SHANUM AHMAD
PT. TELEKOMUNIKASI SELULAR
tipim
Z24

*********************************

6:58 13/06/2019
LUKI
18459537

BINTARON
mitsui
sarung tangan 2 psg, polidiptali alas yg didda masker

ardi 10 .
dx : nekrosis of pulpa

*********************************

esti*123
rs medika sohc
reg : 23d
an : alwalet
pt : oil tank nus persd
dx : bkri akut
tgl : 13
rm : 002199
dr : remy a
kamar :
8000161317376005
SP VIP 350
admisi.rsu.meds@gmail.com

kadija
5208e
*********************************

11:28 13/06/2019
indah
15a
brol col

*********************************

mega
rs islam
11317013
an : silvani
pt wom

*********************************
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI
40117201800170 kalibesar

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

1. 2:52 15/06/2019
adi
18532598
an : fatan
pt : kalibesar
dx : pro vaksin
prevrenar flukuardi
feriz

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

2. 3:15 PM 6/15/2019
MITRA BARAT
RISKA *1912
REG 28a
an : dina
pt : kali besra ustama
dx : dhf
tgl : 15
rm : 84689
dr : herman pd
kamar : 1. 890.000
e : kas-ranap.bb@mitrakeluarga.com

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3.4:04 PM 6/15/2019
LISA
reg hadi wijaya
110a
dx : batu uterknn
kamr : 3.300
dr : 130.2
tb : 21947500

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4. 4:31 PM 6/15/2019
nila
brawijaya
16049058
AN : indri
pt : telkomsel
dx : posty laparasi
kontrol : buka balut
40056201900070
1382b
usg
dres fab
suntik tapros

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

5. 5:21 PM 6/15/2019
niken
rs kia sukma bunda payo
debi
reg : 188

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6. 5:44 PM 6/15/2019
ahmad
17027012
AN : yunizar
pt mcd ind
dx : dm 2 ht hlipid
obat : lukopak 60 taBDM , diamikronDM , bioatpSUP, krestorKOL,
1.4

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

6:05 PM 6/15/2019
ANISA
8000161314892541
RINE TRIYANA
PT. BANK BUMI ARTA TBK

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

DANIS*3122
CAROLUS
reg 1389c
an : caulsius
pt : as b
dx : gea low intake
15
rm. 624610
dr : evelin a
kamar : 2.450
8000161318212712
40117201800169
E : rscaroluspelanggan@gmail.com

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

9:42 PM 6/15/2019
MERI
17669649
an : masayu
caklarwan
pro flukuardi
miozet

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

10:10 PM 6/15/2019
NIKE
8000161313441399
SETTY SAIYA
G4P3
HYPEM GRAD
LAB :

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

10:31 PM 6/15/2019
HERMINA
NETI

ENYESA DAVNI
16170870
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

HOTLINE : 02129189999
MSIG : 50508899

RUMAH SAKIT MINTA FORM RAWAT JALAN


HUB CISCO provider relation
02129189999
18033 - 18035

40120201800067 suryamadis
40056201900001 arburg
40119201800003 gemillang ind mnjm invs
S7117201900003 BRIS
40117201800174 BUMA
40056201900074 TELKOMSEL
40056201800248 ERICSSON
40073201800012 CENTRAL SANTOSAN FIN
40118201900001 WOM
40054201800030 mercedes benzst
40117201800094 CPP
40118201800016 CAPROCK
40117201800123 BI
40117201800170 kalibesar

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3:03 PM 6/16/2019
zahra
yuslia
jih
8000161318514240
post laparatomi
semua pt kecuali biaya k asm sistemnya reimbursmnt

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3:43 PM 6/16/2019
siti
pt
17013400
sitioctariani@gmail.com
email klaim rajal reim

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4:31 PM 6/16/2019
pt
nisa
COVER BARU

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
6:09 PM 6/16/2019
siloam medan
risti
43a

iwayan
elnus
Pass123
denis
8.019.500

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

8:39 PM 6/16/2019
sarah
rs harus sisma med
15986409
an : vivi
pt telkom
Admedika123
ispa hoplemia
tdkn pemrk kalium

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

4.6.19
17.05

5.6.19
19.21

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

10:33 PM 6/16/2019
18244418
yulia
pt :

40056201800131

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

10:52 PM 6/16/2019
amanda
smrinda med
mimin
bsc 1 kali
reg : 6695b

40118201800047

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*

3:05 PM 6/22/2019
mutia
reg : 4250a
an : wahyu
pt telkom
dx : hnp lumbal peld
2
kmar : vv110
dr : 320.1
tb : 143.919.300
pot plas

**********************************

4:31 PM 6/22/2019
B JKT
JOGJA
KLAIM

081328431115

**********************************

4:44 PM 6/22/2019
SILOAM SMGGI
FENI
19a
fitria
pt zurich

**********************************

5:27 PM 6/22/2019
800016136661571
an : iwan
pt : pinus
dx : ispa
fisio di dr

**********************************

7:29 PM 6/22/2019
YULI
COMMN COLD
OBAT : rinos
alkol swab heksasin
80001613

**********************************

7:55 PM 6/22/2019
nini
permt cibu
18112516
m razika
pt telkom
im diare
kontrol + imn infantrik
liprolak, dariazynk sirup, tempra , sup feroka,

**********************************

8:19 PM 6/22/2019
rs dinda
susi
reg : 15843b
an : fitriani
pt : surya

**********************************

9:02 PM 6/22/2019
tanti
16554412
dwi
reventn
dm isk
bioatp, kandesartanHT, sankson, amadiap, glukopage
lab : drh rutin gds

**********************************

9:19 PM 6/22/2019
ROBI
ESVINA
8000161317741620
PEMBATALAN TIDAK ADA REVISI BIAYA, HANYA UNTUK PRINT ULANG BILL RS, DIKARENAKAN
SISTEM EROR, INFO IBU ESVINA, BY RANI CC

**********************************

9:36 PM 6/22/2019
SYIFA
UMUM
DERM ALR
BINTIK KULIT GTAL
APOLAR, ISPRINOL, RIVEL, IMUNOS

10:55 PM 6/22/2019
ayu 1500
rs mita cibuur
reg : 86e
an : afnan prasetyo
surya
dx : meales, without complpikasition
tgl : 22
rm : 145187
dr : yeni a
kamar : iso 1.155.000
e : ctr-ranap.cbb@mitrakeluarga.com

5:18 PM 6/29/2019
sri
18588669
an rani
pt : telkoms
im : ortarik prever
nitekBATUK, optikor salbuvenNAFAS, vit c

**********************

7:10 PM 6/29/2019
KUKUH
13388244
an : siska
pt5 : bris
ab ut ble

**********************

7:40 PM 6/29/2019
18609677
aisya
rince
pt pinnus
infakrik heksa

**********************

8:03 PM 6/29/2019
suratmi
74c
novaldo
pt pendal
dx : rnf
tgl : 2
2.200
1.275
dr : 115
tb : 2.662.063

**********************

8:24 PM 6/29/2019
dwi
18536326
mklia
cron
rotatek

**********************

10:24 PM 6/29/2019
maya*1066
rs tmc
reg 4230d
an : kiara randi
pt telkoms
dx : obs hari ke 3
rm 041621
tgl : 29
dr : panji a
kamar vvip 725
e : admission.rstmc@gmail.com

**********************
6:52 30/06/2019
tisa*110
rs graha bunda

39b
an : didnmi
pt : bukn mn
dx : asma brokf srgan akut
tgl : 30
rm : 00028158
dr : bagoes sppd

850vip a
e : pendaftaran.gb1@gmail.com
40120201900001

*********************************

7:21 30/06/2019
widia
permt jonggol

*********************************

7:32 30/06/2019
ini
02203201701073
brt kiri depan penyok
082110639960 // 081289363750
2nrx134816
mhfz28h35h0028240

*********************************

8:20 30/06/2019
cici
rubiati
kurita ind
84b

*********************************

9:31 30/06/2019
savira
18572263
arizal
en sej

*********************************
*********************************
*********************************
*********************************
*********************************
*********************************
*********************************

lendrik
daihatsu
perpindahn bengkel ke bgkl remi
wandy
no.mhks4gb5jkj006610
3nrh370039
bengkel resmi daihatsu jayakarta
081296643385 // 087885221264

****************************************

4:52 10/07/2019
rustat
11800000032718
08888000870
081513252787
RUSTAN TOBER F O H

DIRECT WALK IN
[hl_budi] says: inova

****************************************

"Jika Bapak/Ibu membutuhkan informasi lebih lanjut mengenai...........(Misalnya


informasi produk/Progress klaim/Data polis / Registrasi klam, di sesuaikan dengan
pertanyaan yang disampaikan oleh nasabah ) dapat juga diakses melalui mobile
application

****************************************

5:55 10/07/2019
mario
mmc
odc
didarahmawati
16022196
pt : telkomsel
pco luki di mmc di gesek 02
dx : anemia pro infus venofer
kamr : 1.000.000
adm : 147.495
luki
silvi admsion luki
****************************************

6:23 10/07/2019
lia
siloam karawaci
reg :
2810a
febriana
pt sumiit
shlv.fo@siliaomhospital.com

****************************************

6:54 10/07/2019
tresna *196
muh bandung
reg : 8112a
an : riki darmawan
pt sumiit otio
tgl : kurang lebih
dx : soft tisu tomor biopsi esturpasi
rm : 795083
akmar :
dr : kiki sp bedah
e : asuransirsmb@gmail.com
40118201800047

****************************************

9:42 10/07/2019
ester
11900000082491

****************************************

10:08 10/07/2019
ening
17651837
an : kirarora
pt : tekosm
anak
kel luka dihidung melepuh dipaha
infeksius
laktasit bebi, laktasid, pibaksin, cerini, racikan trilak avil cefixim

****************************************

11:19 PM 7/10/2019
AGUS
wong siliang
8000161315407950
pt :

****************************************

****************************************
****************************************
****************************************

6:51 13/07/2019
dila
RS. ANNA PEKAYON ~ 0847 | 12380118 ~ IDR
17275280
an : bilsa
pt : wom
gidenta krim , lkana cl sirup tempra forte
inf bekas taruma / jtuh
kel : bernanah bekas luka
lok : TULANG JARI TANGAN

******************************************

7:18 13/07/2019
TARMAN
BORROMEUS BANDUNG, RS
reg : 172b
an : lelia nurul
pt : bri
pasien pulang

******************************************

7:40 13/07/2019
angga
TRIMITRA CIBINONG, RS
reg : 4502a
an : ratna
simas b
kuitasi slisih sk sp
pengieiman email

******************************************

7:46 13/07/2019
dedi
SILOAM HOSPITALS JAMBI
reg : 66a
an : sutrino
pt : tanjung bara utama
pengiriman email

******************************************

8:02 13/07/2019
ujang
pt telkomsel
rembes kaca mata
sis plafon 3199246

******************************************

8:18 13/07/2019
telogo reko
joko *5197
reg : 3796a
an : riski gunawan
pt : buma
dx : ca colon eteorismus small bowl obstrction
tgl : 13
rm : 21472452
dr : vx ardian sp bedah
kamar : vip 790 alsan aps
e : cpm.rstelogorejo@gmail.com
pasien masuk sudah kirim lma sp sk lma tumor

******************************************

8:31 13/07/2019
mari
ISLAM PKU MUHAMMADIYAH PEKAJANGAN, RS
7638a
dwi
csf
weni
tb : 2.070.400
pasien pulang

******************************************

9:16 13/07/2019
rs pr cibubur
angga*1109
pre
reg : 100a
an : vanita
pt : mitsui indo
dx : g1 hmil 39 2 hari cukup bulan
tgl : 14
rm : 008115
dr : tofan sp og
kamar :
e : admission.rspermatacibubur@gmail.com
40118201800033

******************************************

9:32 13/07/2019
fitri
SILOAM HOSPITALS JAMBI
reg : 66a
an : sutrisno
pt : tanjung
minta SJ masih proteksi

******************************************

9:38 13/07/2019
fitri
RS. PERMATA CIBUBUR ~ 1090 | 12390611 ~ IDR
17681073
an : dita kurniawati
pt : mcd bnd
dx : g2p1 hmil 14 mggu
ob : volamil, matofer fol, izikal, vit d3
kl : anc def zat besi

******************************************

10:28 13/07/2019
adi
RS. PONDOK INDAH BINTARO JAYA ~ 5640 | 12395318 ~ IDR
16964009
an : ike
pt : ericson
dx : ces pain
kl : dada berat 30 menit
ob : ekg, friksitas tab

frixitas tdk jmin


acc ka nuy

******************************************

11:19 13/07/2019
desi*1500
mitra timur
124a
an : hani ro
pt : pendar kapital
dx :
2.500
dx : kolik gaster
tgl : 13
rm : 047246
dr : adam sp pd
e : ctr-ranap.bt@mitrakeluarga.com
40175201800008

******************************************
******************************************

kurniawan
pt
kurniawan.isnanto@gmail.com
rawat jalan
igd
rs premier jat

******************************************

4:39 14/07/2019
debora
SILOAM HOSPITALS LIPPO VILLAGE (KARAWACI) ~ 0021 | 12382497 ~ IDR
18294165
an : frengki
pt : pinus
dx : diare
ob : lansoprazol, elbio, miodium, dislatil, asfinford ast
kl : bab muntah
******************************************

5:28 14/07/2019
puji
PONDOK INDAH BINTARO JAYA, RS
reg : 34c
an : sofia
pt : icrc ind
tb : 21.906.506
dx : fraktur radius

******************************************

6:21 14/07/2019
didin*4109
omni pekayon
reg : 274b
an : oktaviana sari
pt : surya madis
dx : hiperemesis gradium
tgl : 14
rm : 00007188
dr : probo og
kamar : 2.450
e : fo.pekayon@omni-hospitals.com
40120201800067

******************************************

7:12 14/07/2019
nurul
rs hermina kemayoran
reg : 32d
ann : ria
pt borneo
pasien pulang

******************************************

7:45 14/07/2019
azra
dea*116
reg : 016483a
an : reina
pt : buma
dx : anemia
tgl : 14
rm : 114264
dr : suryanto pd
kamar : 800.vip
e : cs@rsazra.co.id

******************************************

8:39 14/07/2019
082251453774

******************************************
******************************************
******************************************
******************************************
******************************************

5:12 15/07/2019
dwi
capital
18112201
DWI PUTRI KURNIA
PT. BANK CAPITAL INDONESIA
limit dental

*****************************************************

5:46 15/07/2019
dina
RS. TELOGOREJO ~ 0377 | 12390677 ~ IDR
16006215
an : josep
pt : telkoslm
dx : od kratitis superfisilialis
kl : mta merah, buram
ob : cendo okulenta, cendo protentagenta

*****************************************************

5:54 15/07/2019
nanda
RS. PONDOK INDAH BINTARO JAYA ~ 5640 | 12395318 ~ IDR
8000161316970964
PUSPA DEWIAYU EKAWATI
PT. ERICSSON INDONESIA
dx : screening ekso
b37.3

*****************************************************

7:02 15/07/2019
ester
RS. TRIA DIPA ~ 0110 | 12382618 ~ IDR
18170621
an : laura
pt : ikpp
dx : hemoroid tfa
ob : buroginol salep, ostrin kapsul???, tfa eflagen, plasminek(antiprdrhan),
sporektik

*****************************************************

7:22 15/07/2019
eka
RS. MITRA KELUARGA BEKASI BARAT ~ 0010 | 12382483 ~ IDR
8000161313206479
IDA ASTUTI HIDAYATI
der alerg
qv krim desolek

*****************************************************
7:39 15/07/2019
heru
RS. GRHA KEDOYA ~ 0643 | 12396219 ~ IDR
8000161315688393
CHRISNA RIA NATALIANY
PT. BANK CAPITAL INDONESIA
LBP
foltaren emulgel, lansoprazol, etorfel
rongent vert sacral

*****************************************************

7:43 15/07/2019
lisa
RS. PLUIT ~ 0170 | 12392328 ~ IDR
8000161307348865
BOBBY MILKO
PT. WAHANA OTTOMITRA MULTIART
stomatitis
kel : kpla sakit teng sakit sariawan
kenalok, kumur heksadol, analfik, fioksi

*****************************************************

8:11 PM 7/15/2019
rs urip sumoharjo lampung
jeni
reg : 239c
an : bayu
pt : telkmsel
rujuk pon
pon kamar belum tersedia
2.
batal pulang

*****************************************************

8:20 PM 7/15/2019
reni
RSU. ST CAROLUS SUMMARECON ~ 1682 | 12382040 ~ IDR
8000161315530488
ANDRIE WIBAWA
PT. THE UNIVENUS
obs febris cep mielgia
patra mional,
neurobion ada jaminan suplemen

*****************************************************

8:41 PM 7/15/2019
asni
kemo
cek darah bpjs
leukosi turun
opname tambah darah pake sinarmas
pt compact
rs ibnu sina
8000161317233834
*****************************************************

9:03 PM 7/15/2019
lela
bunda aliyah depok
zibran
pt gren hit
513c
pendaftran.bundaaliyahdepok@gmail.com

*****************************************************
*****************************************************
*****************************************************
*****************************************************

4:14 16/07/2019
rs aisiyah padang

---*****************----****************---

4:26 16/07/2019
tengku
traver insurence sengen visa basic
cover baru

---*****************----****************---

4:55 16/07/2019
hikmah
JAKARTA EYE CENTER KEDOYA, RS
reg : 398a
an : darmawan
pt : telkosel
acc tindakan

---*****************----****************---

5:26 16/07/2019
putri
erik
kristin
391a
smart

---*****************----****************---

5:36 16/07/2019
adel 8222
haji dajat smrinda
reg : 5d
an rainita
pt buma
dx : ob sfeb hari 5 dd dengue ffv typoid
tgl : 16
rm : 118164
dr : khadijah pd
kamar : 1.478.940
e : rshd_smd@yahoo.com

---*****************----****************---

5:39 16/07/2019
pt sma
kristin
abdi waluyo
08119119140
limit sisa 25juta

---*****************----****************---

5:50 16/07/2019
ayu
SILOAM HOSPITALS SURABAYA
reg : 2273a
an : agung
pt : telkoms
lma blm lgkp

---*****************----****************---

7:29 16/07/2019
gladis
RS. ASRI (SILOAM HOSPITAL ASRI) ~ 1488 | 12396213 ~ IDR
17904376
an : tomi
pt : zurich
tht
rinosunisitis
ob : cravit, fluimucil, lancit, medikson??, nasonek nsl spray , eka sol nacl
35 thn

---*****************----****************---

7:45 16/07/2019
yani
multipel stomts

---*****************----****************---

11:13 16/07/2019
raje *400
rs bunda tamrin medan
reg : 2c
an : mimi tris
pt : mitsui leasing capital ind
dx : gea
tgl : 16
rm : 231888
dr : ivan anak
kamr : 1.450
e : rc_bunda@yahoo.com
40056201800237

---*****************----****************---
4:57 PM 7/17/2019
bunda tamrin
rama
18479196
an : arka
pt : compa
dx : ispa
nebu

*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

5:10 PM 7/17/2019
tia
rs montela
surya madistrindo
reg : 16147b
an : devi
pt : surya
plan kamar

*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

5:18 17/07/2019
melati husada malang
gea*116
reg : 11301b
an : dewi samratul
pt : surya
dx : g2p1a0 3839minggu
rm : 87910
dr : maria
kmr : 2.250
e : info@rsiamelatihusada.com
40120201800067

*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

5:40 17/07/2019
megi
PONDOK INDAH, RS
reg : 6198b
an : evi
pt : telkomsel
dx : mioma utri pro sub total histerkestiomi
megi
masuk hari
titin
vip 2.150.000
limit 100.000
800
*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

6:12 PM 7/17/2019
DWI
KLAIM POLIS

*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

6:50 PM 7/17/2019
SRI
17745126
an : frenki
pt : simas
pembatalan pendaftran

*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

7:23 PM 7/17/2019
rs sabrani
parman
jaminan
reg : 18627711
an : ria iswandari
pt : wom

*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

7:57 PM 7/17/2019
17036765
an : opelia
pt : MSD
GINVITI K05

CARIES DENTAL K02

*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

8:19 PM 7/17/2019
SRI
8000161318483347
post tindakn oprasi kista mamae

*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

11:32 PM 7/17/2019
dymas*818
PT smart - jkta
714a
ciamp david maruli
dx : obs feb hr 5
rm 00102667
dr : amri pd
tgl : 17
kamar : 2.425rb
3.200
1.650
e : ranapcarolus@yahoo.com
40056201800241
02154220818
*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*

2:58 PM 7/20/2019
ovi
sambung dea
rawat jalan

***********************************

3:15 PM 7/20/2019
ramlan
KASIH IBU SURAKARTA, RSU
reg : 1381d
an : anastasya
pt : asurasni
JAMINAN AWAL

***********************************

3:52 PM 7/20/2019
TIKA
KEMANG MEDICAL CARE, RS
reg : 3780b
an : sabrina
pt : telkom
post sc
tgl : 3
kmr : vip 1.620
dr : 435 2
tb : 42.731911

***********************************

4:06 PM 7/20/2019
widi
menanyakan klinik ggi jak sel
telkosel ponmdok indah

***********************************

4:20 PM 7/20/2019
andika
wom
buku
16922551
an : ANDIKA RAJA SONANG MUNTHE
PT. WAHANA OTTOMITRA MULTI

***********************************

4:38 PM 7/20/2019
GANDIS
RS MITRA KELUARGA GADING SERPONG ~ 6869 | 12398900 ~ IDR
11114444
AN : DEWI
PT : ASIACROSS
9TH
FARING PIODERMI
ob : bioplasnton????, starmunoxxxxx, acikan erisanbeANTIBIOT, insprinolANTIVIRUS,
cetinalALERGI, trilakINFLASMSI GATAL2, termenzaISPA, salbuvenISPA, esteinISPA,
odipronISPA curcumaSUPLM.
kel : batuk pilek, bentol di wajah
TERPUTUS

***********************************

5:05 PM 7/20/2019
TRAVELOKA
PP
DENPS - JKT
DELAY
RESH DELAY
11900000545408
AN : PANDE KETUT kARTIKA
AN : BISMO PRABOWO
081212354250
wktu penerbngan sharusnya : 19 juli 2019 pukul 23.50wita. rescheful
dt43 pukul 19.30wita. 21.33 wita
reschul : maintan
delay : psawtan terlambt dtg

***********************************

5:20 PM 7/20/2019
SILVANA
RSIA. MUTIARA BUNDA MARTAPURA ~ 1797 | 12392140 ~ IDR
8000161318183152
PUTRI AGUSTINA NINGSIH
PT. BUKIT MAKMUR MANDIRI UTAMA
isk flour flour albus
post melhir kan 21 juni

***********************************

5:33 PM 7/20/2019
nadia
kalim
kendaran
02n01201903761
kerusakan : klaim k pusat
psang stiker yg mau d klaim
saat mngajukan suart pemilihan bengkel, akan dikabari klo spk sudh kluar ke bgkl 1
bulan
bngkl spk
bengkel 2 hari stlh datang k bngkel , bengkel yg tdk aktif
spk keluar 1 bulan
seminggu lalu
081381469377 // 0215268819
nadia febriani

***********************************

7:56 PM 7/20/2019
kris
RS. DELTA SURYA ~ 0249 | 12372235 ~ IDR
17906629
an : purnaning kurniwan
pt : ZURICH
DR UMUM sakit gigi
konsul
bengek nyeri
pupilpitis

***********************************

8:12 PM 7/20/2019
nana
reg : 4586a
an : indri
pt : madistri

***********************************

rudi
rs permata cibubur
rajal 2 2 nya dental

******************************************************

3:27 PM 7/21/2019
via
rs eka hos pekan baru
18627679
an : oktavia
pt : wom
pendaftran

******************************************************

5:17 PM 7/21/2019
mita sambung ke ibu dea
rs awal bkasi

******************************************************

5:31 PM 7/21/2019
debi
12953121
an : cuci cu
capital ind
USIA 36
dx : neil injury plntar pedis destra
kl : tertusuk paku
kros insis itertusuk bnta tajam
oksimetri,
obat : ostu nacl, betadin, dariantule(PLESTER ANTIINFKSI), kasa polos , underped
kecil, pisau bisTuri, hipafik, niddle,
ob : tetagam prefilek, torasikNYERI\
ACC KA NUY

******************************************************
6:56 PM 7/21/2019
LINA
8000161318705525
AN : LINA WIJAYA
PT : STEMA
40056201900178
2b
0819890908

******************************************************

10:33 PM 7/21/2019
IIS
reg : 1639b
an : ratna
pt :

******************************************************

10:49 PM 7/21/2019
reta 22307
siloam karwaci
reg : 345a
an : endra
pt : bisi komer indo
dx : vertigo
tgl : 21
18653261
rm : 871616
dr : anyelir sp saraf
kamar : 2.500
e : shlv.fo@siloamhospitals.com
1.700
40056201900116
0345a

******************************************************

11:20 PM 7/21/2019
FITRI 29309
SILOAM BALIKPAPAN
REG : 6c
an : liliana
pt : buma
dx : app akut
rm : 078905
tgl : 22
dr : haris bdh umum
kamar : st 400
e : billing02.shbp@siloamhospitals.com

******************************************************

11:28 PM 7/21/2019
REY *27501
SILOAM BOGOR
REG : 28a
an : enjirot
pt : gardatama nusnt
dx : obs febris feb ekscusa gea dhrasi sus app
tgl : 21
rm.00023438
dr : slamet sp.pd
kamar : 600 dls
e : info.shbg@siloamhospitals.com
40114201900003

******************************************************

3:17 22/07/2019
lilian
KLINIK PRODIA CIBUBUR ~ 2825 | 12386731 ~ IDR
17031725
ALBY ABRISAM PRANAJA
PT. MERCEDES-BENZ INDONESIA
tgl pngantar 11juli
dx : talasemi
pm : veritin
kel : tdk kluar
acc

**********************************************

3:32 22/07/2019
082145104289

**********************************************

4:01 22/07/2019
sofi
RS. UIN SYARIF HIDAYATULLAH ~ 0007 | 12382461 ~ IDR
an : kariza
pt : bizi
pro vaksin
batuk berulang
infarik ipv
ob : oksopek sirup
40056201900116
085c

**********************************************

4:53 22/07/2019
arfan
smart
08811280286
BOD

**********************************************

5:10 22/07/2019
DWI
17825340
an : bahtiar
pt mrd
517.696

**********************************************

5:18 PM 7/22/2019
handi
travel
trip blnda 10-28 okt polis family
081317989634
premi
jaminan apa saja

**********************************************

6:04 PM 7/22/2019
ari
klaim mbu
081293356494

**********************************************

6:07 PM 7/22/2019
vita
restu blikpapan
saharudin
terputus

**********************************************

6:11 PM 7/22/2019
helvi
18343962
an : erna
pt : erickon
54thn
suplm : osovan , kalgae, metikobal, osopan , vitamn d3 1000ui, otcal kenakord,
zitanid, dalvaron
dx : radial stil;oid tenofenovitis
dalvarol tdk acc
kalgae, metilkobal, oscal, vit d3 piilih salah satu

**********************************************

7:29 PM 7/22/2019
kuswantoro
RS. WAVA HUSADA KEPANJEN ~ 1326 | 12389184 ~ IDR
17921529
an : IIN KHODIJAH
pt : BUKIT MAKMUR MANDIRI UTAMA

**********************************************

8:36 PM 7/22/2019
elva
afifah
18535542
an :
pt : bris
789.500
**********************************************

8:48 PM 7/22/2019
risa
18454330
an : proniso
mitsui leasing
dm arisink in pregnant
rw dm 10mnt, hamil 1
sp pd

**********************************************

9:43 PM 7/22/2019
berto
rs tebet
151118940577

**********************************************

10:19 PM 7/22/2019
ajeng
16501991
an : rian
pt : wom
kumur nyeri askoksia, tantmverde
dx : caries

**********************************************

4:52 23/07/2019
april
RS. PONDOK INDAH PURI INDAH ~ 1479 | 12391370 ~ IDR
14489025
novikaramoi
pt american ex
dx : aku vaginitis
kel : koputhan gatal vagina keruh hijau
lab : hpvdna, tinreppaptes,

***************************************************

tritina
15978737
an : indra
telkm
pw sal akar ganda
penmbalan
konsul
gigi matinekrosis pulpa '
2.833

***************************************************
5:54 23/07/2019
rape *966/999
rs ciputra hos bnjarmasin
reg : 4028b
an : umi kholfah
pt : buma
dx : dijisten + disurinia
rm : 03-00017266
dr : eka yuda uro
tgl : 23
kamar : vip 1100
E: plp.cmhb@ciputrahospital.com

***************************************************

7:21 23/07/2019
EKA
081113504064
sisa limit
8000161318625301
DANENDRA DEVANO ESTIAWAN
PT. WAHANA OTTOMITRA MULTIAR

***************************************************

7:34 23/07/2019
lis
reg : 28a
an :
pt : gardatama
ela
34 lar alat
lapar tnpa alat 24.262

***************************************************

7:47 23/07/2019
15588072
ayu
an : sahroni
pt bris
H82

***************************************************

8:16 23/07/2019
USWAH
RSIA ILANUR ~ 1528 | 12382996 ~ IDR
18427260
an : siti
pt : wom
dx : konsul haid
kel :
p0a0
lab : dr rtn, urin rutin, glu puasa , glu 2 jam, progesteron
preventif

***************************************************
5:16 PM 7/24/2019
hendri
kesehatn
16082141
an : hendri
pt : telkom
1.000.000
kacamata
6.7
40056201900070
003545a

**************************************

6:13 PM 7/24/2019
RS. COLUMBIA ASIA SEMARANG ~ 2822 | 12387987 ~ IDR
dewi
16001018
an : nur
pt asuransi
dx : presbiopia, disorde of eye, enanteksa
kl : kdua mata pedih merah, silau, buram
ob : cendo eye fresh

**************************************

6:52 PM 7/24/2019
rani
PELABUHAN JAKARTA, RS
reg : 479b
an : dewi
pt : kalibesaqr
tgl : 4
kamar : vvip 850
dr : 1.99.3.154
tb : 9.455.987

**************************************

7:08 PM 7/24/2019
senja
reg : 2224b
an : sintia
pt : buma

**************************************

7:21 PM 7/24/2019
iko
an . vitalis
reg b:

**************************************

7:29 PM 7/24/2019
claudia
an : yasbi
pt : cpp
reg ?:507e

**************************************

7:53 PM 7/24/2019
18535716
an evan
pt zurich
mr

18535708
elar
obt : alco, rivel

**************************************

8:28 PM 7/24/2019
nia
17804287
andita
bnk simas
feluntin nebo

pembatalan manual biaya sebesar rp 578.800 dikarenakan salah input biaya info ibu
nia, by rani cc

**************************************

10:06 PM 7/24/2019
SAFIRA TNH BUMBU
IRDA*05122541172
reg. 9657b
an . harani
pt . buma
dx : gerd, vomits, deh gea anreksi
tgl : 24
rm . 15303
dr. riki umum
kmar : 250.vip
e. klinik.safira@gmail.com

**************************************

10:37 PM 7/24/2019
WINDA
MT KEL SURABAY
agus
pd ind puri ind
reg

3:54 30/07/2019
alfredo
18665331
marsya
pt teknik
ggv mrginl , clculu
krgn gigi gusi berdasar
scaling, air flow, orl frolaksis
PT. PRUFTECHNIK CONDITION

4:52 30/07/2019
rian
pnc tasikmalang
18149237
yulia
pt ssf
hari ini
dx :g1 25 26
kontrol hamil
lab : hm rutin, hbsag, vdrl

5:19 PM 7/30/2019
kartika
087878178556
8000161315535016
KARTIKA APRIYANTI
limit rajal

5:40 PM 7/30/2019
andre
1.000.000
6 juli
40056201900070
3545a
08112263714 //

8:02 PM 7/30/2019
lisa
reg :
17345976
an : morjanto
pt :
Passw0rd)(*

8:30 PM 7/30/2019
vina
24
17 AGUSTUS
18579110
an : veri
pt :
dx : stt regio solder deksra
lab : dr rutin, masa pndarahn masa pembukan, sgoppt. glu swt, ureum kreatinin
400
kel : benjolan pundak

9:21 PM 7/30/2019
naya
18665943
an : legi
pt : bank sinamr
273.200
karena
pembatalan manual biaya sebesar Rp 273.200 dikarenakan salah input biaya, info ibu
Naya , by Rani cc
1500811
ALOKER GEL RYVEL PRORIS
KELUHAN :

9:39 PM 7/30/2019
Meilani
18009514
hanasya
pt oto
pembatalan

9:50 PM 7/30/2019
munifa

10:13 PM 7/30/2019
hendru
pt bank sinar mas
besok mcu
18006098
40059201800005
4572a
4:16 PM 7/31/2019
sopyan 1011
rs grha kedoya
reg : 016455b
an : rosminah
pt buma
dx : g2 p1 hml 3940
inpartu f aktif
tgl : 31
rm : 9000094808
dr : adit spog
kamar : vip 1500
e : ins_co@grhakedoya.com
40117201800174

*******************************************************

4:55 PM 7/31/2019
wiwi
ELISABETH PURWOKERTO, RS
reg : 9363b
an : dini
pt : surya
tgl : 3
kmar : 1.400
dr : 90.2
3
1.90
45
45
dx : g2 atm bkas cpd
tb : 13.192.210

*******************************************************

6:47 PM 7/31/2019
feni
13883906
an : dewi
pt : sumit
retinopaty
foto fundus fundus kopi
dg dilatasi
mata buram
40118201800047
7688b

*******************************************************

7:47 PM 7/31/2019
naya

8344a
yosto
pt.

*******************************************************

7:56 PM 7/31/2019
mega
13948518
an : budi
pt : bris
vulnus morsum
kel : ggit ular gatal sluruh tubuh
ob : istrin, sumagesik,. medrol, difenhidrainhacl, dexametason
,

*******************************************************

8:11 PM 7/31/2019
rani
fibril konvultion
vit neusabe plus
omprz
sanmol
nyeri mual pusing

*******************************************************

8:22 PM 7/31/2019
korina
pt : mitracom eka sarana
300a

*******************************************************

8:35 PM 7/31/2019
yuli
\
18644005
an : irvan
pria
headche
adm 30
dr um 80
lab 328.000
obat 32.670
470.670

*******************************************************

9:51 PM 7/31/2019
novi
17899279
an : anatsa
zurich
812.000
3:02 PM 8/3/2019
lida
01123201800127
fire
lightening
explotion
aircraft
smoke
*risiko samapi hangus rata tanah
atau sbgian
*email jika perluasan gempa 1.000 rate 2% dr pertanggungan
*naik uang pertangan
naik 1M PREMI
JATUH TEMPO

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

4:12 03/08/2019
VITA
RSU. HERMINA MEDAN ~ 6482 | 12397847 ~ IDR
16039430
an : ainun
telkomsel
cabut
APIKAL PENETRASI
KEP DASAR

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

4:24 03/08/2019
ANDRI*0265771650
PRTM BUNDA CIAMIS
1112a
YADI
PR SURYA
DX : OBS VMTUS
TGL SKRG
DR : PRIMAHATI SP PD
RM .090205
KAMAR : PARAH A 350
E : rspermatabunda1@gmail.com
/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

4:51 03/08/2019
ADI
MRCCCS SMGGI
REG : 016632b
an : robinhot
pt : buma
plan kamar

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

4:55 03/08/2019
MITA BEKASI BARAT
Riza*1912
reg : 679a
an : tora pulunga
bris
dx : gea
rm : 1013250
dr : dr sugijarto pd
tgl : hari ini
akamr : 2a 500
1 870
e : ctr-ranap.bb@mitrakeluarga.com

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

5:06 03/08/2019
RS. TELOGOREJO ~ 0377 | 12390677 ~ IDR
stevi
16497216
an : malia
pt : simas p
dx : 10mg g1 obat folamin 30, cal 95 , sangobion 30

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

5:22 03/08/2019
LIA
BUDI MULIA PKAN BARU
REG : NENGSI
SURYA
REG : 16103b
SJ

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

5:52 03/08/2019

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

6:12 03/08/2019
PURI
reg : 4105c
an : riu
pt : sumit
dx : inf bct aku
ttl : 3
kamar : 1.400
dr : 100 .3 1.31
tb : 5.664.500

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

9:10 03/08/2019
khusnul
reg : 2287b
an : gusti
pt : bris
dx : anemia defs isk
tgl : 1
kamar vip 475
dtr : 25
tb :

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

10:00 03/08/2019
ferdi
18312702
an : amel
pt : mercd
g2
38 39 kpd
rujuk aps
ambulan
RS EKA HOS BSD
GRHA KEDOYA

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/

10:30 03/08/2019
ARUM
REG : 12655b
an : yurisa
pt : surya
08811070888

/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/*/
*//*//*//*//*//*//*//*//*//*//*//*//*

4:47 PM 8/4/2019
erni
RS. PREMIER BINTARO (d_h RS.INTERNASIONAL BINTARO) ~ 0412 | 12389621 ~ IDR
15865249
an : ranaya
pt sinarmas
dx : cepalgia
seri dhf hb, leukosit , hitung jenis

*//*//*//*//*//*//*//*//*//*//*//*//*

5:01 PM 8/4/2019
tita
reg : 51b
an ": aprisni
pt kaldu
dx : p2a3
kamar : 2.185.000
dr : 70400.2
tb : 13.166.568

*//*//*//*//*//*//*//*//*//*//*//*//*

5:31 PM 8/4/2019
andi
rs kilnk medi senter
irma hirmawati
17373960
pt : oil taking

*//*//*//*//*//*//*//*//*//*//*//*//*

7:05 PM 8/4/2019
putri
RS. BUNDA THAMRIN MEDAN ~ 1651 | 12392020 ~ IDR
14985055
an : akila
pt : bris
nebu masuk fisioterapi

*//*//*//*//*//*//*//*//*//*//*//*//*

7:38 PM 8/4/2019
sri*210
rs bunda palembang
reg : 07270796
an " tumpel
pt : oto
dx : obs kolik abd, ec gerd
rm 150663
dr : erwin sppd
tgl : hari ini
vip b 500
e : admrawatinaprsbundapalembang@yahoo.com
40118201800045
1198a

*//*//*//*//*//*//*//*//*//*//*//*//*

10:37 PM 8/4/2019
arum
RS. MITRA KELUARGA CIBUBUR ~ 1350 | 12383245 ~ IDR
18559484
an : hera
pt : mers
594.700
PEMBATALAN MANUAL BIAYA SEBESAR RP 594.700 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
ARUM, BY RANI CC

*//*//*//*//*//*//*//*//*//*//*//*//*

10:54 PM 8/4/2019
YADI
pt wikaraja sapta utama
april - 2 / 3 bulan
40052201800005
78a
junim op miom hampir 50
juli op kpla 110.
agustus
08569865838

*//*//*//*//*//*//*//*//*//*//*//*//*

*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*

4:18 05/08/2019
frenky
minta sambung 15119
bounding pak putu
mak cab karawng
harus ke cisco terlebih dahulu

*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*

5:02 05/08/2019
sari
RS. PONDOK INDAH ~ 0049 | 12389949 ~ IDR
15996408
an : ari
pt : telkom
dx : pre op ruptur anterior, cruriet, ligamntn lutut kanan

7/8

ft torak , drh lkp. gol resus, pt aptt, el, glu sew, uriem kreta , sotpt,
album,in , urin lkp,

*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*

5:50 05/08/2019
RESI
RSU. BUNDA MEDICAL CENTER (RSU. C-BMC) ~ 0423 | 12372391 ~ IDR
18004812
an : ahmad
pt : telkom
inhanrik , dpt

*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*

7:01 05/08/2019
RIDA
16009722
AN : rahwa
pt : telkomsel
dx : cystitis, sup isk
obat : klaneksi. urispas, nutriflam neo,

*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*

8:12 05/08/2019
anisa
facebook ind
17993577
deri
terputus

*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*

8:31 05/08/2019
pungkas
rs imanuel
reg : 698b
an : widia
pt : borneo

*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*

8:47 05/08/2019
tanh bumbu
siska
buma
emergncy
klinik rujukan
3.232.000
16929234
royano
DOKTER
INFUS GUDEL SUCTION
*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*//*

1. 4:46 PM 8/7/2019
martini
RS. PRIMA MEDIKA ~ 0220 | 12372220 ~ IDR
16186660
ONY SUSANTI
PT. BANK BRISYARIAH
dx : isk , kista ovarium
nyeri perut
urin rutin, kultur urin
obat : monuril granule, ketese tab,
usg tranvaginal
post 30.juli
S7117201900003
5632b

*//*//*//*//*//*//*//*//*//*//*//*

2. 5:14 PM 8/7/2019
nanti konf lagi

*//*//*//*//*//*//*//*//*//*//*//*

3.5:35 PM 8/7/2019
ahmd juliani
terima sms asuransi proteksik keterlambata penembangan
lampung menuju jambi
bank bni , mandiri
travela
pembayran hub traveloka

*//*//*//*//*//*//*//*//*//*//*//*

4. 7:21 PM 8/7/2019
heri
8000161315997430
HERI DARYOGA
PT. TELEKOMUNIKASI SELULAR
limit rawat jalan sudah habis

*//*//*//*//*//*//*//*//*//*//*//*

5. 7:51 PM 8/7/2019
nela
16781866
ervina
pt buma
670.178

*//*//*//*//*//*//*//*//*//*//*//*

6. 7:56 PM 8/7/2019
vera*1800
eksisi piera
rs awal bros
reg : peteregium od or 4 pro eksisi petrgium
masuk :
rm
hafizah sp m
00387585
e : kasir.awalbrosbatam@gmail.com
18684472
meni put

*//*//*//*//*//*//*//*//*//*//*//*

7. 8:04 PM 8/7/2019
halim
restriksi
vestikular septral defect
echo

*//*//*//*//*//*//*//*//*//*//*//*

8. 8:19 PM 8/7/2019
indri
RSIA. BUAH HATI CIPUTAT ~ 1669 | 12398354 ~ IDR
KANA ALESSA ZAHRA
PT. ERICSSON INDONESIA
8000161318111757
ispa mucera maganol ketrizin histrin, ceptik diazepam
sirplus
37.4
diazepam keluarkan

*//*//*//*//*//*//*//*//*//*//*//*

9. 11:21 PM 8/7/2019
dila
reg : 5823a
an : doni
pt : buma

*//*//*//*//*//*//*//*//*//*//*//*

10.

*//*//*//*//*//*//*//*//*//*//*//*

nama :
polis :
no tlp :
email :
pembelian :
terbang dr mana ke mana :
penerbangan pukul :
alasan delay :
*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

1. 2:47 PM 8/10/2019
ardan
mau naik pswat delay
srb k balik papan
jam 15.00 jam 16.00
16.30
traveloka
ardanaliv48@gmail.com
belum tau untuk alsan
08115303001
085347787864
nama : muhamad ardans aliv utama

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

2. 4:20 10/08/2019
mira
TASIK MEDICAL CENTER (TMC), RS
1623b
AJENG INDIAR
PT. SURYA MADISTRINDO
dx : gea
tgl : 1
kamar : vip 590.
dx : 127.2
tb : 3.562
Passw0rd)(*

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

3. 5:18 10/08/2019
leri
8000161318521401
an : leri
pt : buma
limit rawat jalan

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

4. 5:39 10/08/2019
adina
RSU. ST CAROLUS SUMMARECON ~ 1682 | 12382040 ~ IDR
SUSANTI
SUSANTI
8000161315584451
PEMBATALAN MANUAL BIAYA SEBSAR RP DIKARENAKAN SALAH INPUT BIAYA, INFO IBU ADINA, BY
RANI CC

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*
5. 5:52 10/08/2019
ANREAS
RS. BAPTIS KEDIRI ~ 0977 | 12392616 ~ IDR
SRI WAHYUNI
PT. BUKIT MAKMUR MANDIRI UTAMA
8000161317835075
PEMBATALN PNDAFTRAN

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

6. 5:56 10/08/2019
IRMA
RS. MITRA KELUARGA TEGAL ~ 1540 | 12384097 ~ IDR
8000161312416459
BAMBANG RIYANTO
PT. BANK BRISYARIAH
DX : DM DYSLIPI
LAB : GULA
2 KALI PEMERIKSAAN TDK BISA

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

7. 6:49 10/08/2019
LIA
pt bpr kredit mandini ind
edi sukayat
26 7 80
reg 5a
limit kamar 500
*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

8. 7:35 10/08/2019
rini
RS. SAMARINDA MEDIKA CITRA ~ 2453 | 12392256 ~ IDR
LARRY WILLIAM LENGKONG
8000161318521401
PT. BUKIT MAKMUR MANDIRI UTAMA
gigi
saluran akar
scaling
2 kali penggesekan acc

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

9. 7:53 10/08/2019
gita
RB & KLINIK SEJAHTERA CIRACAS ~ 0826 | 12391484 ~ IDR
SANDI SIMATUPANG
ICRC INDONESIA
8000161318690388
PEMBATALAN MANUAL BIAYA SEBESAR RP 125.500 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
GITA, BY RANI CC

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

10. 8:04 10/08/2019


LINA
RSIA. FAMILY ~ 0876 | 12380147 ~ IDR
8000161317843194
SEAN KENNETH IE SAPUTRA
PT. PINUS MERAH ABADI -
DX : PRO IM FLUKUARTRI
40117201900023
04926c
HANYA JAMINAN IMUNISASI DASARR

*//*//*//*//*//*//*//*//*//*//*//*
*//*//*//*//*//*//*//*//*//*//*//*

1. 3:34 PM 8/11/2019
Bayu*187
rs pku muh jog
reg : 1320d
an : fakri
pt : pinus merah
dx : diare cair akut dg dehidrasi , vomis
tgl : hari ini
rm : 670542
dr : jauhar ismail sp a
kamar : 1.150
e : relasipkujogja@gmail.com
40117201900023

++++++++++++++++++++++++++++++

7:41 11/08/2019
sri
RESTU IBU BALIKPAPAN, RS
HERMAN
2772a
PT. BUKIT MAKMUR MANDIRI UTAMA
*siapa yang melakukan
*dr sp apa yang melakukan

**-**-**-**-**-**-**-**-**-**-**

7:57 11/08/2019
Rini*111
PONDOK INDAH, RS
ERSALINA RENATRA
PT. QUALCOMM INTERNATIONAL
15b
dx : g2p0a1 dg febris hmil 13 mnggu
rm : 100108141
dr : ali sp og
kamar : vvi b 2.900
e : Adm.Rawatinap1@rspondokindah.co.id
Adm.Rawatinap3@rspondokindah.co.id
40056201900068

**-**-**-**-**-**-**-**-**-**-**
8:28 11/08/2019
ayu
JOGJA INTERNATIONAL HOSPITAL (JIH) ~ 1229 | 12388193 ~ IDR
15415953
NADIA ILMAYRA
PT. SUMMIT OTO FINANCE
8000161315415953
PEMBATALAN MANUAL BIAYA SEBESAR RP 191.200 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
AYU, BY RANI CC

**-**-**-**-**-**-**-**-**-**-**

**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**

4:35 12/08/2019
linda
RS. HERMINA BOGOR ~ 0133 | 12391374 ~ IDR
8000161317753377
YENNY ANJARSARI
PT. ASIACROSS INVESTINDO
dx : veruka vulgaris
elktrocuter
hanya konsul saja
acc ka geka

**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**

2. 4:51 12/08/2019
haryanto
58thn
0818926882
cover baru

**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**

3. 5:17 PM 8/12/2019
agus
klaim kesehatan
08118232144
PT. WAHANA OTTOMITRA MULTIA
685
68.000
kafi 65.000
kml 90
60
08118232144
31juli 25 24 juli
40118201900001
023875a
untuk tgl 1 juli belum ada reimbursement
**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**

4. 5:28 PM 8/12/2019
riko
RS. SUMBER WARAS CIWARINGIN ~ 1029 | 12388209 ~ IDR
8000161318300145
GHABYANZA DIAH PITALOKA
PT. KALDU SARI NABATI INDONESIA
dx : oma superatife
kel : keular cair dari telingakiri
obat : cetitizin, colma, moxiflosacin

**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**

5. 5:57 PM 8/12/2019
dita
JIH JOGJA
8000161316791865
INDAH WORO ASTRINI
PT. BUKIT MAKMUR MANDIRI UTAMA
dx : drop heart
fisio : diatermi ultra sonik terpi
faradik
kel : nyeri di tangah, tdk bisa
TERPUTUS

**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**

6. 6:22 PM 8/12/2019
ROSI
RS. ROYAL TARUMA ~ 0836 | 12380107 ~ IDR
DX : alergi mkn tegur
obs cas alergy
interhistin , betason
8000161318686261
FERINA SANTOSO
PT. ASURANSI SIMAS JIWA

**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**

7. 6:28 PM 8/12/2019
jamil
RS. HERMINA KEMAYORAN (d/h RSIA HERMINA PODOMORO) ~ 0392 | 12392176 ~ IDR
8000161317382599
KENNARD DJAJAPRANATA
PT. PRALON
dermatitis kontak iritan
kulit merah terkelupas
gatal
ezera, mofacord

**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

1. 5:22 15/08/2019
RITA
PT BANK SIMAS
14981518
40059201900001
KARTU BENEFIT

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

2. 6:04 15/08/2019
JULI
KE EROPA
TRAVELOKA
PMBTALN TIKET
TAWARAN
119T0002387896
HERMAN
KARYUNI
SARI GANDA HERMAN

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

3. 6:49 15/08/2019
DWI
119t0002608128
no paspor
diket asuransi
no polis n nama
apakah tidak ada no.paspor masih bisa diproses nanti jika ingin klaim
kalim yang diperlukan identitas nasabah dan polis jd tdk masalah tdk ada
no,paspor , by galih (call)

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

4. 8:48 15/08/2019
intan
18547123
an : sakera
pt : buma
dx : GASENTERI RINOFARG
PROBIOKIDS, DARIAZINK, RACIKAN KENAKORD, CTM SALBUTAMOL

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

5. 9:14 15/08/2019
ANDRI
RS. LUDIRA HUSADA TAMA ~ 0604 | 12383578 ~ IDR
8000161309986308
IMAM RAUUF
PT. WAHANA OTTOMITRA MULTIART
DX : BAB CAIR 3 HARI
GEA
SANMOL FOTRE, LIKOPRIMA PROBIO KID

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

6. 9:40 15/08/2019
DIAN
1045A
PLAZA INDO
PLAN KAMAR

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

7. 9:45 15/08/2019
LELI
ROYAL TARUMA
hub ke ka ani

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

8. 10:04 15/08/2019
reza
EKA HOSPITAL TANGERANG
CATHARINA YESHA LISTYANTANTA
PT. BANK SINARMAS - A
lapor ps masuk

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

9. 10:20 15/08/2019
indah
maya pda
1045a
an : dian nata
pt : plaza ind

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

10.11:00 15/08/2019
kristin
mrss
robithot sinaga
pt buma
reg : 16632b
tb : 97.838.981

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
3:58 PM 8/17/2019
BARSEL
RS. HERMINA DEPOK ~ 0265 | 12383170 ~ IDR
8000161312419578
DWI ASTUTI KUSUMAWARDANI
PT. BANK BRISYARIAH
PEMBATALAN PENDAFTRAN

4:41 PM 8/17/2019
reza
OPTIK TUNGGAL PRESTIGE ( PI 2 ) ~ 5678 | 12395408 ~ IDR
ANNISA FATHONAH
TELEKOMUNIKASI
8000161316059693

7:55 PM 8/17/2019
Vira*136
BUDIASIH SERANG, RS
454a
NURHAYATI
PT. CAKRAWALA MEGA INDAH
dx : typoid fever
rm : 053935
dr : eka sp pd
tgl :
kamar : 2.330
e : pendaftaran.budiasih@yahoo.co.id
40056201900156

9:22 PM 8/17/2019
wahyu
RS UIN SYAFIR
reg : 10676a
an : rina
pt : bris
plan kamar

10:04 PM 8/17/2019
rs grestalina mksr
desi
reg : 12367b
an : nurhalisah
pt : buma
250.2
1.400
pln kmr
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
.*.*.*.*.*.*.*.*.

3:05 PM 8/19/2019
sri
RS. COLUMBIA ASIA PULOMAS ~ 2826 | 12391251 ~ IDR
8000161318691063
MARIA DIAS IKA SALAMA
BANK INDONESIA
dx artritis
lab semikuantitf RF dan genubilateral
kel : nyeri kdua lulut 1 buln sendi kedua lngn

4:01 19/08/2019
herman
8000161318669267
HERMAN GUNAWAN
PT. BANK CAPITAL INDONESIA
limit & jaminan mater untuk istri
0213863259

4:28 19/08/2019
lili
17934878
an :
pt : bank sinar

5:56 19/08/2019
jojo
RS. TEBET ~ 0003 | 12391472 ~ IDR
8000161318266726
an : mulrevita
MULREVITA
omz, kontrimxazol, polilen, fometa
kel : diare
acc ka nur

8:26 19/08/2019
fitri
RS. RESTU IBU BALIKPAPAN ~ 0632 | 12389623 ~ IDR
8000161317996141
FATHINA SHAKILA KHAIRINA
PT. BUKIT MAKMUR MANDIRI UTAMA -
PEMBATALAN TRANSAKSI SEBESAR 691.920 INFO IBU PUTRI BY SINTHA
8:44 19/08/2019
nur
RS. HERMINA JATINEGARA ~ 0386 | 12391307 ~ IDR
8000161315679459
LASMARIA FETRIANI SIALLAGAN
PT. CENTRAL SANTOSA FINANCE
metroragia
tdk jamin hormonal

9:00 19/08/2019
luci
8000161318334144

9:18 PM 8/19/2019
ani
SILOAM HOSPITALS SURABAYA ~ 0081 | 12392080 ~ IDR
8000161315977333
SAMIRA AZALIA PUTRI
PT. TELEKOMUNIKASI SELULAR
PEMBATALAN MANUAL BIAYA SEBESAR RP 520.500 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
ANI, BY RANI CC

9:33 PM 8/19/2019
SILVI*0335424007
WONOLANGAN (PTPN XI) PROBOLINGGO, RSU
3603a
8000161312466488
ADITYA PRADIPTA
PT. BANK BRISYARIAH
dx : faringitsi
tgl :
rm : 19010710
dr : taufik sp pd
kamar : vvip 485.000
e : vivintri05061995@gmail.com

9:51 PM 8/19/2019
mila
RSIA. BUAH HATI PAMULANG ~ 1619 | 12390068 ~ IDR
8000161318640771
FELICHA QUEEN ZASKIA
PT. SUMMIT OTO FINANCE
PEMBATALAN MANUAL BIAYA SEBESAR RP 453.317 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
MILA, BY RANI CC

4:21 20/08/2019
tandi
02055201628138
kendaran : kaca blkg pcah, bawah kaca penyok pblkgh peyok
kronol : menambah pohon
tgl : barusan
082112434924 // 081288950565
sudah email

4:49 20/08/2019
mispa
11800000057564
refund
yuslia
14
081319876876 //

5:28 20/08/2019
teguh
bukan pembedahan
081311297188 //
sudah email

6:03 20/08/2019
putri
SILOAM HOSPITALS LIPPO KARAWACI
reg : 4075b
an : ariharyono
pt : oto multi
dx : efusi pler non tb
tb : 2
kamaer : standr 500
dr : 160.1 40.2
tb : 11.432.216
pasien pulang
6:40 20/08/2019
olivia
SILOAM HOSPITALS BALIKPAPAN (RS BALIKPAPAN HUSADA) ~ 1374 | 12392068 ~ IDR
8000161310064160
CARERA ALZZERA NUGRAHA
PT. OTO MULTIARTHA
DIARE
SANPRIMA INTERLAK

7:00 20/08/2019
LUCI
RSU. SANTA MARIA PEMALANG ~ 1219 | 12380823 ~ IDR
8000161317656455
DEDE PRIYANTI
8000161317656455
PT. BANK BRISYARIAH
DX : KONT POST ODONTEKTOMI
TD : HETING AFF,
PCT, LAMESON. MINOSEV GARGEL
OBAT KUMUR HANYA UNTUK SARIAWAN, FRINGITIS DAN SCALING

8:21 20/08/2019
RIKA
RS SILOAM SRIWIJAYA
REG : telkomsel
no. 4532d
an : keenandra amani

reg : 3454d
an : R A SHAKILA AZ ZAHRA
pt : bris

8:39 20/08/2019
monik
rs hermina sam
sambung ke bpk arman

8:43 20/08/2019
FAJAR
BMC MAYAPADA HOSPITAL D/H RS. BOGOR MEDICAL CENTER ~ 0992 | 12391376 ~ IDR
18365627
an : diandra
pt : erikson
dx : ispa hrb
suplm likurmin syup fentolin nebu

18535674
an : danes
pt : PT. ERICSSON INDONESIA -
dx : ispa
sup starmuno kids sir

8:53 20/08/2019
deni
RSIA. CAHAYA BUNDA ~ 3882 | 12389393 ~ IDR
tian
8000161318162115
PT. BANK BRISYARIAH
toramin. prolik kaplet, monuril granul,

10:02 20/08/2019
HENDRI
ANTAM MEDIKA, RS
2990a
ERI ARDHIYANTO
PT. SURYA MADISTRINDO
kls 2
vip 1.150.000
pindah ruangan

10:36 20/08/2019
cinta*5500
RS. MITRA KELUARGA KELAPA GADING ~ 0186 | 12397077 ~ IDR
18677914
an : hana
pt : zurik
snnt LEHER
biopsi : pa
6.252.000
351a
40056201800252
DX :
RM : 517293
dr : dante sp pd
kamar :
e : polibedah.kg@mitrakeluarga.com
6:04 PM 8/24/2019
febri
BRAWIJAYA WOMEN & CHILDREN HOSPITAL ~ 0842 | 12382632 ~ IDR
8000161316093882
AFRITALIA
PT. TELEKOMUNIKASI SELULAR
3.837.000
PEMBATALAN MANUAL BIAYA SEBESAR RP 3.837.000 DIKARENAKAN SALAH INPUT BIAYA, INFO
IBU FEBRI, BY RANI CC

6:18 PM 8/24/2019
REFI
R/ MHKS4DA1JKJ018279
M/ 1KRA508687
NANYA POLIS

6:59 PM 8/24/2019
IIS
RS. ISLAM HARAPAN ANDA ~ 0753 | 12387568 ~ IDR
8000161312001418
APRILIANI ASRI FAUZIAH
PT. SUMMIT OTO FINANCE
POLIMENORETRORAGI
tdk jamin hormonal

7:19 PM 8/24/2019
arifin
terputus
082153828633

7:50 PM 8/24/2019
riska
BUDI RAHAYU PEKALONGAN, RS
2817e
MOHAMMAD ELDRICK SYAH APRILLIANO
PT. WAHANA OTTOMITRA MULTIARTHA TBK
acc info ka wisnu
8:10 PM 8/24/2019
herlina
8000161318373910
HERLINA
PT. PINDO DELI PULP & PAPER
limit rajal

8:29 PM 8/24/2019
erik
PONDOK INDAH, RS
200a
CORNELIS INDARTO
KOMPAK GOVERNANCE FOR GROWTH
0217657525
tindakan

9:14 PM 8/24/2019
Dani*124
BMC MAYAPADA HOSPITAL ( EX BOGOR MEDICAL CENTER)
525c
FEDORA UGAMA YUZA
PT. OTO MULTIARTHA
dx : typoid
rm : 200413
dr : erwin sp pd
kamar : v b 750
e : cs_rsbmc@yahoo.com
40118201800045

9:52 PM 8/24/2019
Dewi*154
BINA HUSADA CIBINONG, RS
342c
MUHAMMAD DAFFA HERNANDA
PT. MERCEDES-BENZ INDONESIA
dx : vomit
rm : 190017187
dr : mahdi sp a
kamar : 1.550.000
lma : adminri@binahusada.com
admin@binahusada.com
40054201800029
02187918822
0218751045

**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
4:25 25/08/2019
doni
MAYAPADA HOSPITAL JAKARTA SELATAN (MHJS) ~ 2356 | 12388205 ~ IDR
RAHMI TRIANI
PT. MERCEDES-BENZ INDONESIA
8000161318245332
ekses ke sinarmas
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
8:20 25/08/2019
risya
RS. ST. ELISABETH - BEKASI ~ 1053 | 12383813 ~ IDR
8000161315212509
ERWIN ABHIBHAWA
PT. ASURANSI SINAR MAS - B
dx : rnfrgts
obat : odipron (narkotika)
acc ka reno
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
9:44 25/08/2019
karti
HARAPAN BUNDA JAKARTA, RS
AGNESTIE LEONA DEWI
PT. PENDAR KAPITAL SEJAHTERA
reg : 226a
penolakan
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
10:30 25/08/2019
ana *112
JASA KARTINI, RS
reg : 12302a
an : islaim slaam
surya madis
gea vom
tgl : 25
dr : Dnedi sp pd
294201
kamar : 320 2
e : admisijk@gmail.com
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**-**
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-
08816817644
3:03 PM 8/26/2019
firdo
02020201801960
kerusakan bp depan sdkit belkg bagasi penyok baret sedikit
081372974811
sudah email
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-
4:37 26/08/2019
benden
02130448080
simasnet
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-
5:32 26/08/2019
yusi
RS. PERMATA CIBUBUR ~ 1090 | 12390611 ~ IDR
8000161318653238
MARLON KEINTJEM
PT. BIZZY COMMERCE INDONESIA
gingivts.
gengiler gengival gel
scaling
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-
6:39 26/08/2019
risa
RS. PONDOK INDAH BINTARO JAYA ~ 5640 | 12395318 ~ IDR
8000161316970964
PUSPA DEWIAYU EKAWATI
PT. ERICSSON INDONESIA
kontrasepsi mng
iud
kon usg pemsg plepasasn
novate iud glo
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-
9:11 26/08/2019
dodi
8000161316156556
DODDY SETYAWAN
PT. PINUS MERAH ABADI
limit rajal
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-
9:51 26/08/2019
debi
PONDOK INDAH, RS
200a
CORNELIS INDARTO
KOMPAK GOVERNANCE FOR GROWTH
66.100
40120201800066
200a
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-
10:18 26/08/2019
acan *1541
PONDOK INDAH BINTARO JAYA, RS
2817c
BRINIA QARIELLA TALIYAHADYA
PT TELEKOMUNIKASI SELULAR
dx : obs feb h3 ispa deh ring sedg
rm : 100327111
tgl :
dr : putu sp A
kamr : vip 2.000 aps
e : adm.rawatinapbintaro1@rspondokindah.co.id
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-
11:18 26/08/2019
dian
rs restu balik
eci
sambung ke tian
**-**-**-**-**-**-**-**-**-**-
**-**-**-**-**-**-**-**-**-**-

@@@@@@@@@@@@@@@@@@@@@@@@@
@@@@@@@@@@@@@@@@@@@@@@@@@
4:45 27/08/2019
Rahma*1500
MITRA KELUARGA KENJERAN, RS
15382286
GAVRIIL ALBIRUNI ELLENIK
PT. OTO MULTIARTHA
dx : obs febris pro long fever
rm : 01776
dr : nur santi sp a
tgl : ini
kamar : 2.579
e : ctr-ranap.kjr@mitrakeluarga.com
40118201800045
5018c
[1] Dx/ Obs febris Prolong Fever, usia 4th, RM.01776 (Rahma*1500) E.ctr-
ranap.kjr@mitrakeluarga.com
sudah email
@@@@@@@@@@@@@@@@@@@@@@@@@
@@@@@@@@@@@@@@@@@@@@@@@@@
5:08 27/08/2019
guntur
miss caliage
02157991038
8000161315266471
GUNTUR MUKTI WIRANJAYA
PT. KOHLER INDONESIA
@@@@@@@@@@@@@@@@@@@@@@@@@
@@@@@@@@@@@@@@@@@@@@@@@@@
5:30 27/08/2019
putri
RSU. ST CAROLUS SUMMARECON ~ 1682 | 12385643 ~ IDR
8000161317779075
PT. MITSUI INDONESIA
g1 7-8
obat : ultragestan
lan : drh rutin, gol dsrsh, gldswt, hbsag antitokso igg igm anti ebu igg igm
8000161317779075
@@@@@@@@@@@@@@@@@@@@@@@@@
@@@@@@@@@@@@@@@@@@@@@@@@@
7:03 27/08/2019
ganes
BETHSAIDA HOSPITAL ~ 1968 | 12391798 ~ IDR
8000161318010504
ERMA YULIS
PT. BANK SINARMAS - A
typoid
levosin formuno isstenol(batuk) nalitik batuik liproki sup probiostin sus pencernaa

@@@@@@@@@@@@@@@@@@@@@@@@@
@@@@@@@@@@@@@@@@@@@@@@@@@
7:14 27/08/2019
andria
PERMATA CIBUBUR, RS
8000161316078065
4254b
FATIMAH
PT TELEKOMUNIKASI SELULAR
odc baru
indikasi nyeri perut ,
dx : rektosigmoid disi berat
kamar : 1.900 aps
@@@@@@@@@@@@@@@@@@@@@@@@@
@@@@@@@@@@@@@@@@@@@@@@@@@
10:02 27/08/2019
AQIDAH TANGERANG, RSIA
nanda
123b
ANDRIYANI LESTARI
PT. BPRS HIK CILEDUG
putriagustianti7@gmail.com
claim@rsaqidah.com
@@@@@@@@@@@@@@@@@@@@@@@@@
@@@@@@@@@@@@@@@@@@@@@@@@@

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*4:38 PM 8/28/2019
indah
8000161317913963
PT. IKPP - A (LOKAL)
40056201900165
1796a
40056201800117
limit kacamata
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
5:19 PM 8/28/2019
esa
8000161318672345
ESA KURNIA MUHARMIS
KOMPAK GOVERNANCE FOR GROWTH
sisa limit
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
7:04 PM 8/28/2019
adin
8000161316094872
TEGUH PIDEKSO ADHINOTO
telkomsel
panti rapih jogja
800
3670a
teguh wijokso
650.
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
7:32 PM 8/28/2019
tina
RS. PUSAT PERTAMINA ~ 0795 | 12380066 ~ IDR
8000161318464792
MUHAMMAD ATHALLA MUNTAZ
PT. MITSUI LEASING CAPITAL IND
ISPA
starsep syr ANTIBI, sterimer bab NASAL SPRAY, isoprinazil sy???? , apialis SUPL
baktoerm krim
555.000
kel : dermatitis demam
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
7:44 PM 8/28/2019
ESTER
PT TRANS FASILGIK
3e
mngg rawat
slsa kluar
kamis kontrol
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
9:25 PM 8/28/2019
yasmi
RS. MITRA KELUARGA DEPOK ~ 1485 | 12381497 ~ IDR
epitaksis
mimisan
nasalinsiwater
8000161316138919
YEHEZKIEL EVAN TANDITIANSAH
PT. ASURANSI SIMAS JIWA
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
9:37 PM 8/28/2019
novran
40056201900070
707a
NOPRANDA DIRZAN
PT. TELEKOMUNIKASI SELULAR
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
10:12 PM 8/28/2019
RS. HUSADA ~ 1054 | 12392502 ~ IDR
8000161313927306
SYNDI
PT. ASURANSI SINAR MAS - B
tdk ada keluhan
tdk menjamin tksoplasma
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
10:38 PM 8/28/2019
Bayu*0291599192
GRAHA HUSADA JEPARA, RS
6691c
YAISY SAID ABDULLAH
PT. BUKIT MAKMUR MANDIRI UTAMA
dx : vom deh ring sd
tgl : 28
rm : 162544
dr : gurnardi sp.a
kamar : paviluin 425
aps
e : rsgrahahusada.adm@gmail.com
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
10:53 PM 8/28/2019
SIAGA AL MUNAWWARAH SAMARINDA (EX SIAGA RAMANIA)RS
kliven
13190c
ANINDYA ALESHA
PT. BUKIT MAKMUR MANDIRI UTAMA
igg igm dll
360
23:25
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

14.53

2:29 31/08/2019
tri
8000161318493056
PUTRI CANIA
BANK SINARMAS - B
40059201800005
5244a
limit rajal

3:03 31/08/2019
NITA
SILOAM HOSPITALS KEBON JERUK ~ 0101 | 12383273 ~ IDR
8000161318039636
REGINA
PT. ASURANSI SINAR MAS - B
miopia
astgm
refrasi
01735a
rembes

3:32 31/08/2019
leni
RS. MITRA PLUMBON ~ 1316 | 12388181 ~ IDR
8000161315979925
SUGENG DINDA WINANJUAR
PT. TELEKOMUNIKASI SELULAR
dx : ulukus absae
kel : sariawan terus , sikat gigi
obat : aloker gargekl
k12
acc ka geka
4:52 31/08/2019
selfi
RSU. EVASARI ~ 0029 | 12387657 ~ IDR
8000161318451617
MUMTAZ QUTHBIE ZAYYAN
PT. BUKIT MAKMUR MANDIRI UTAMA
dx : tonsilo faringitsis
lab : darah lengkap

5:04 31/08/2019
DR. OEN SURAKARTA (KANDANG SAPI), RS
ria
8845a
ROYYANUL MUNTAHANNAWAA
PT. BUKIT MAKMUR MANDIRI UTAMA
17.40
tdk : pem albumin
masih mneungu konf

6:24 31/08/2019
CITRA INSANI, RSIA
andini
reg : 8000161315863673
KHALILA AZZALEA KHANZA
PT. SUMMIT OTO FINANCE
dx : gea akut
tgl : 2
480.000 1
dr : 159. 2 89
tb : 4.012.500

7:59 31/08/2019
febri
BRAWIJAYA WOMEN & CHILDREN HOSPITAL ~ 0842 | 12382632 ~ IDR
8000161318741793
RISKHA MURTI DJUNAEDI
PT. WALT DISNEY INDONESIA
gea kolik
lab leuko kondiferential, h2tl, random blood glukos, elktr, crp.
obat : pumpisel inj, narfos, dinastat
mual . diare , ntyerio

8:09 31/08/2019
rina
JASA KARTINI, RS
RADITHYA SAPUTRA
PT. WAHANA OTTOMITRA MULTIARTHA TBK
1158c
batal rawat inap
ayah nya psien blm pulang

8:47 31/08/2019
KOKOM
RS. PERMATA DEPOK ~ 2722 | 12386378 ~ IDR
8000161318088005
MUHAMMAD ZEIN KHAIRUL GAZAN
PT. MERCEDES-BENZ DISTRIBUTION
limit rajal habis, masih ditalangi '

9:10 31/08/2019
dina
119t0002862762
polis keterlambatan
081224947903

9:24 31/08/2019
mahdi
EMC TANGERANG (EX USADA INSANI), RS
14a
PT. SUTERA AGUNG PROPERTI
TUNJUNG SEKAR WULAN
tindakan

3:26 PM 9/2/2019
rini*8198
mayadapa tang
reg 3954a
an : hermansya
surya
dx : efusa plu kiri ec tb
tgl : kamar : 2.400
dr : andi sp p
rm : 382024
e : corporate clientmayapadahospital.com
40120201800067
corporateclient@mayapadahospital.com
3:57 PM 9/2/2019
Beti*1912
MITRA KELUARGA BEKASI BARAT, RS
reg : 271b
an : riska
pt : surya
dx : dhf slmonela inf
tgl : ini
rm : 956865
dr : sugijarto sp pd
kamar : 2.500 aps
e : kas-ranap.bb@mitrakeluarga.com

4:58 PM 9/2/2019
WILI
RS. HERMINA BANYUMANIK ~ 2969 | 12396106 ~ IDR
16782153
MAHMUDAH
PT. BUKIT MAKMUR MANDIRI UTAMA
dx : pulpiti reversibel
minosep gargel
TALANGI

5:20 PM 9/2/2019
suharianti
RS. MITRA KELUARGA CIBUBUR ~ 1350 | 12386147 ~ IDR
18449504
CLEMIRA THALIHAH ALMAHYRA
PT. BUKIT MAKMUR MANDIRI UTAMA
VAKSIN VARISELA

5:56 PM 9/2/2019
YANTI
RS. SIAGA RAYA ~ 0794 | 12380065 ~ IDR
8000161313081518
SRI NURUL FERINIAFITRI
PT. BANK CAPITAL INDONESIA
DISLIPID
dolonurobion , trombo, simfas,
vit sbg obat utama

6:24 PM 9/2/2019
Sindi *1510
SANTOSA BANDUNG, RS
1050a
DODI KOSWARA
PT. BANK CAPITAL INDONESIA
dx : dm 2
rm : 386836
dr : fifi sp pd
kmr : 1.490 titip 2x
e : shbc.bill@gmail.com
kontraktor.ri@santosa-hospital.com
junior swe 950
penuh
40070201900006
Note : Pasien menempati kamar Junior Suite Room dengan harga kelas 1 Rp 490.000
dengan ketentuan RS : kamar yang sesuai hak (kelas 1 Rp490.000) penuh dan selama 2
x 24 jam. Untuk hari ke-3 pasien ditarifkan harga kamar Junior Suite Room jika
masih menempati kamar tsb. Info Ibu Sindi, By Rani cc

7:09 PM 9/2/2019
ALVI
MAYAPADA HOSPITAL TANGERANG ~ 0091 | 12372090 ~ IDR
8000161317871401
SYAKIRA ALMANISA
PT. WAHANA OTTOMITRA MULTIA
dx : refraksi

8500
16500
49000

74000

7:52 PM 9/2/2019
Zailani*22111
SILOAM HOSPITALS KEBON JERUK
148b
FITRA SONY
KOMPAK GOVERNANCE FOR GROWTH
dx : hnp lumbal
rm : 10343226
dr : frandi sp srf
kamar : 1.750
tgl : ini
e : rwi1.shkj@siloamhospitals.com
40120201800066

10000-1500
8500

9:16 PM 9/2/2019
risma
HEMTOM DIJITI 3 MANUSINISTRA TRAUMA
FOTO MANUSA SINISTR 262.500
8000161309633470
AN : karim
pt : oto

10:02 PM 9/2/2019
jamel
PONDOK INDAH PURI INDAH, RS
160a
MELANI ELYSABET PARDEDE
SINAR MAS MULTIFINANCE - DIREKSI
pasien pulang

4:50 PM 9/3/2019
lina
tagihan
pt estika jasa tama
11900000090739
11500001103722
sinarmas
info tomas

/////////////////////////////////////

5:22 PM 9/3/2019
087782417507
nur isnaini
asuransi sinarmas
surya
cover lhiran sesar
pmotongan perbulan
dibayarkan diluar gaji

/////////////////////////////////////

6:18 PM 9/3/2019
alif
31/8
119t0002860744
proses klaim email 2hari
clearing 7 hari kerja
/////////////////////////////////////

6:38 PM 9/3/2019
ahmad
RS. MEDIKA PERMATA HIJAU ~ 0204 | 12396177 ~ IDR
8000161318148916
SURYATINI NURUL JANAH
PT. BANK BRISYARIAH -
pembatalan pendaftran

/////////////////////////////////////

7:06 PM 9/3/2019
yesika
RS. MITRA KELUARGA CIBUBUR ~ 1350 | 12386147 ~ IDR
8000161317025297
PT. MERCEDES-BENZ INDONESIA
BOB
bppv
H81.1
vertigo
inj lignofel dan kortidek
tinitus vertg kulit kebas

8000161317028788
RS. MITRA KELUARGA CIBUBUR ~ 1350 | 12386147 ~ IDR
PT. MERCEDES-BENZ INDONESIA
RUDI
lbp M54.5
inj lokal 1
tms

/////////////////////////////////////

7:30 PM 9/3/2019
ROGAYA
RS. MITRA KELUARGA CIBUBUR ~ 1350 | 12386147 ~ IDR
EDI SAPUTRA
PT. BUKIT MAKMUR MANDIRI UTAMA
DX : tonsilitis akut
myalgia sakit tenggotran
obat : alsik, aerius , klaneksi , tantum verde
tantum verde ditalangi

/////////////////////////////////////

7:40 PM 9/3/2019
rs kasih ibu tabanan
sugi
reg : 025391d
an : panda made
pt : wom
plan kmr

/////////////////////////////////////

7:50 PM 9/3/2019
asep
hermina ciputat
8000161316972887
oma ade
tht
demam telingan 22 sakit infeksi
sirplus, klaneksi forte ANTI BI,nasonek nasal spray
rac SUMAGESIK NYERI, RINOFET, LORIS

/////////////////////////////////////

8:04 PM 9/3/2019
ALFA
MBU
KLAIM DAQTANG LANGSUNG KE CABANG

/////////////////////////////////////

8:10 PM 9/3/2019
RAHMAN
rs pelita insani
reg : 7194b
buma
an : karlina
dx :

/////////////////////////////////////

8:14 PM 9/3/2019
aron
klaim
pnc1156

/////////////////////////////////////

8:19 PM 9/3/2019
astri
571d
an :
pt : telkosm
23118

/////////////////////////////////////

8:57 PM 9/3/2019
dona
RS. PERMATA PAMULANG ~ 2347 | 12392584 ~ IDR
8000161315701030
gea
orezink ranifel

8000161315701048
lodia pumpitor vometa
inj invomit, esola
dyspepsia

/////////////////////////////////////

9:42 PM 9/3/2019
evi
12975405
an : adiyta
pt : bris
389.776
PEMBATALAN MANUAL

3:34 PM 9/4/2019
hafid
02.180.0000.21286
pintu kiri penyok
blkg penyok
depan penyok
081219456558//081211648080

4:34 PM 9/4/2019
bengkulu
081368108244
simasnet
komplain email

5:02 PM 9/4/2019
raras
RS. AZRA ~ 0411 | 12391400 ~ IDR
HANIFA AMALIA PUTRI DARMAWAN
8000161315985823
PT. TELEKOMUNIKASI SELULAR
prigo
alori
sebamed krim bar
racikan elokirim, pirosop

5:30 PM 9/4/2019
ulfa
RS. RESTU IBU BALIKPAPAN ~ 0632 | 12389623 ~ IDR
CARLES SINAGA
PT. BUKIT MAKMUR MANDIRI UTAMA
8000161318077743
dx : suntik hep
kontrol rutin suntik
ditalangi (rutin)

5:43 PM 9/4/2019
gandes
RS MITRA KELUARGA GADING SERPONG ~ 6869 | 12398900 ~ IDR
8000161316032138
labio
skalsting sindrom
sakit d rahang

6:20 PM 9/4/2019
vero
re
panda
pt : pinus
reg :
8000161316652406

6:48 PM 9/4/2019
yati
RSIA. BUNDA ALIYAH ~ 1490 | 12394640 ~ IDR
8000161317716853
GILLIAN NATASHA SIMANUNGKALIT
PT. TELEKOMUNIKASI SELULAR -
dx : caries dentin dalam
tambal dan poles
k02
dasar

7:22 PM 9/4/2019
gilang
RS. HERMINA MEKARSARI ~ 2116 | 12395580 ~ IDR
8000161317027202
ARTISAH
PT. MERCEDES-BENZ INDONESIA
40054201800029
post odontek

7:38 PM 9/4/2019
vita
rs colurus
reg : 315b
an : sreli
pt : pralon

7:55 PM 9/4/2019
ruli
RS. HERMINA GALAXY ~ 0891 | 12397583 ~ IDR
17150871
LUVENA KARIZA
PT. PELITA SAMUDERA SHIPPING
menoragia
hormonal tdk jamin

8:06 PM 9/4/2019
rina
BRAWIJAYA WOMEN & CHILDREN HOSPITAL ~ 0842 | 12382632 ~ IDR
AFIFA TAJRIATUL MUAWANAH
8000161318628263
PT. ARTHA KREASI UTAMA
def besi
prc feritin

10:39 PM 9/4/2019
ade
BRIS
5711b
8000161314208219
LIMIT KAMAR
4:40 PM 9/8/2019
mikel
119t0002901947
terputus
delay

5:52 PM 9/8/2019
sarah
18139915
an : kiki
pt : wom
dx :
lab : hbsag,
teputus

081219503600

~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3:36 09/09/2019
lidia
reg : 800015111
MSIG
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4:04 09/09/2019
DEKO
02012201801430
kerusakn : spion kiri dicuri
085747197462 // 082112059345
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5:14 09/09/2019
liana
SILOAM HOSPITALS JAMBI (D/H RS. ASIA MEDIKA) ~ 0894 | 12392386 ~ IDR
8000161315836224
RIZWANA VIDYA NAFEEZA
PT. BUCKMAN INDONESIA
dx : miopa
mata kabur jauh
asenof eyevit
pngeualian polis
terputus
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6:45 09/09/2019
novi
SILOAM HOSPITALS BALI ~ 1909 | 12395564 ~ IDR
8000161314737779
AGNES WIDYA HAPSARI
PT. LODGING PARTNER SERVICES IND
scaling
ging marginalis
kumur kingmos gangler
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6:56 09/09/2019
ENDAH
DX : seminomatestis
keluhan : kontrol opst op
40056201900070
3670a
8000161316094872
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7:08 PM 9/9/2019
yuli
RS. PONDOK INDAH PURI INDAH ~ 1479 | 12391370 ~ IDR
FEBY SOECEKNO
8000161318561449
PT. BANK SINARMAS - A
dx : dishidrosis
obat : intrizin, racikn krim digenta, interbi
kel : bintil cairan tlpk tngn 2
L30.1
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7:22 PM 9/9/2019
RESI
ROYAL TARUMA
REG : 89a
an : diah
pt : bismar a
lanjutan
tindakan konsul
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8:30 PM 9/9/2019
dini
RSIA. ANDHIKA ~ 4210 | 12390445 ~ IDR
16100968
8000161316100968
PT. TELEKOMUNIKASI SELULAR
HISOM
dx : kolik renal
kel :
suntik ketrolak inj,
kurkuma tab , ketoprofen, batugin eliksir
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8:46 PM 9/9/2019
linda
8000161316027054
HIPERPLASIA
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9:06 PM 9/9/2019
MARIA
RS. ST.THERESIA ~ 0550 | 12372518 ~ IDR
8000161316491573
HERU PATRA JAYA
PT. BANK BRISYARIAH -
GP
DX : JARI TUNJUK KENA PAKU
1960
DOKTER : JAHITIN : 52.500
JASA LAYANAN DOKTER 100.000
PERBAN : 100.000
OBAT : LIDOKAIN, SRG TGN SPRF, SILK 3.0. SPET 3ML, NIDLE 1, ALKOHOL SWAB ,
JITEROLIN , MEFINAL,
376.475
TOTAL : 628.975
252.500
PENDAFTARAN MANUAL DIKARENAKAN SISTEM EROR, INFO IBU MARIA, BY RANI CC
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
10:08 PM 9/9/2019
salim
visa
skengen basic jminn kclkkn
cover
traveloka
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
10:48 PM 9/9/2019
ika
17021106
an : junadi
ian
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
3:13 10/09/2019
erna
PONDOK INDAH, RS
1512d
SYIFA FAUZIAH
PT. BANK BRISYARIAH
dx : hipertonusinus
tgl : 2. 5hari 750
dr : 275.3
tb : 64.101.774
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
5:13 10/09/2019
tito
RSU. BHAKTI ASIH ~ 1168 | 12380719 ~ IDR
8000161317116617
ANANDA SASKIYA ANIENDEITA
PT. MERCEDES-BENZ DISTRIBUTION
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
5:50 10/09/2019
tina
RS. MITRA KELUARGA CIBUBUR ~ 1350 | 12383245 ~ IDR
8000161317094996
ANASTASIA ALYSA WIDYAPUTRI
PT. MERCEDES-BENZ INDONESIA
an-anasti
dx : obs cepAlgia
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
6:10 10/09/2019
alvin
pt sorabel ind
reg :
429a
lince
2
5
109.698.087
ruang bedah pnggunaan
pemakaian bedah alagt bedah
dr bedah servise alat, ? 11.200
oprasi 13.21 =
anastesi pmd khusus 19.200
diagn rad pa paklik al kes umum farmasi
51.
adm ???
biaya kep perketidkmmpuan
081283926585
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
7:26 10/09/2019
devi
RS. HUSADA ~ 1054 | 12392502 ~ IDR
15524655
CLINTON MAXWELL LIE
PT. INTERCIPTA KIMIA PRATAMA
oklutyotuba
rino

abotik, rac sarox, elfas??, aerius, kenakort, ambrox, nalgeltan


swd telinga
kel : pil kupg demngung
web
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
7:43 10/09/2019
intan
RS. INSAN PERMATA ~ 2774 | 12393000 ~ IDR
DEANDRA FAYYADH DIYARS
8000161315987506
PT. TELEKOMUNIKASI SELULAR
dx : gang pulp
deandra gigi
cabut gigi
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
7:59 10/09/2019
yulis
post sc
obat moloko
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
8:05 10/09/2019
gloria
8000161317881889
cepalgia
tggung te
miobat, zaldior, neurobion
lab ht dis hipokalseiumia

lab, hema 2, sgotpt, trigli, kol tol dhl, glu puasa, 2 jm , urum , asm urat kalsium

*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
8:38 10/09/2019
Rani*438189
PADU SERASI, KLINIK & RB
186b
8000161318573253
typoifd
rm : 033176
kamar : 360.padu
40056201900077
186b
dr herman
e : paduserasi.klinik@yahoo.co.id
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
9:28 10/09/2019
riska
dian
reg : dian kusuma pelita sari
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
10:05 10/09/2019
gratlin mksr
Desi*8034
6439b
an : juniar
pt : sumiit ot
dysp tb on tetmn
rm 358431
dr irawati spp
1.400
e : admrawatinaprsg@ gmail.com
40118201800047
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.
10:21 10/09/2019
anis
17082579
eris
pt bris
adut gastrs
td infus omeprazol prinperan nacl vasofix tederm srg nn str spuit nidle 3 10 ,
pasti kaopas alkohol,
akran, impeksa,
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
16:13 11/09/2019
ibrahaim
rumah
55115201800223
perpanjnagn
081210471041
hrga pertnggujngan
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
16:53 11/09/2019
Leni*176
MUHAMMADIYAH AHMAD DAHLAN KEDIRI, RS
8084b
WIRDA NUR MEISYAHRINA
PT. SURYA MADISTRINDO
dx : dhf
rm : 050040
dr : pd
kmr : delux 500
e : rsm.kedirikota@yahoo.co.id
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
17:13 11/09/2019
rini
BETHSAIDA HOSPITAL ~ 1968 | 12391798 ~ IDR
12015616
an : maria
pt : kalisar
gravisdisis
pemsar kel tiroid
meomerkazol, astaplus, metipred

18297721
ZAKIR
ISPA
PT TELKOM
IMUNOS, SANMOL, MUKOPECT
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
18:54 11/09/2019
NUR
RS. HERMINA DEPOK ~ 0265 | 12383170 ~ IDR
8000161317693383
AFINA VIYUNNUR RACHMAWATI
PT. MERCEDES-BENZ INDONESIA -
sIMLINE1
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:15 PM 9/11/2019
SEVEN
TERPUTUS
085242248370
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:22 PM 9/11/2019
RUKMONO
kalim mobil
bgkle mnolak alasan polis simas insurte
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:36 PM 9/11/2019
suci
RS. OMNI ALAM SUTERA ~ 0733 | 12395258 ~ IDR
8000161318554915
LIE JESSICA NOVIA PRIBADI
PT. IKPP - A (LOKAL)
fisio rutin
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:40 PM 9/11/2019
suryo
smile medika
habe suryo santoso
mitra kel cibubur
pindah
retno wahyu
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:46 PM 9/11/2019
taufik
RSIA. BUNDA SEMARANG ~ 5913 | 12395944 ~ IDR
8000161317250754
MUHAMMAD ARKADIUSZ MALIQ
PT. CAKRAWALA MEGA INDAH
pembatalan rawat jalan
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:49 PM 9/11/2019
ayu
RS. GADING PLUIT ~ 0748 | 12398538 ~ IDR
8000161318163485
MORRIS REVINO JORDAN SIAGIAN
PT. KOHLER INDONESIA
diaperas
ruam popok
mikozet, hidrokolti seradon
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
8:21 PM 9/11/2019
riris
RS. BUNDA MARGONDA ~ 1056 | 12398040 ~ IDR
PURWORINI
8000161318653311
PT. BIZZY COMMERCE INDONESIA -
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
8:57 PM 9/11/2019
YUZIM
HERMINA CIPUTAT, RS
4911c
NURAISHA AZZAHRA RIZKY
PT TELEKOMUNIKASI SELULAR
dx : diare akut
3
1.746
dr : 190.2
tb : 4.988.402
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
9:38 PM 9/11/2019
INDRA
PERMATA BUNDA CIAMIS, RS
5892b
TINA WARTINA
PT. PINUS MERAH ABADI
dx : typoi dhf
4
utama300
dr : 110.3
tb : 8.894.450
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
10:04 PM 9/11/2019
dian
RS. MITRA KELUARGA CIKARANG ~ 1462 | 12383873 ~ IDR
8000161317844200
GHANI RASYID AUSTIN
PT. MERCEDES-BENZ INDONESIA
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
10:28 PM 9/11/2019
RS SARI ASIH CILEDUG
SRI
REH : 2989B
AN : CINTIA
PT : TELKOM
PLAN KAMAR DAN LIMIT SESAR
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
12:46 PM 9/13/2019
eka
8000161317960287
FIRMAN LENDRA PUTRA
PT. ARTHA KREASI UTAMA
penjelasan limit
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
1:01 PM 9/13/2019
lukman
tarvel
miskonektion
119t0002532727
jak bal bal jak
14
13 hongkong demo
cancel
TERPUTUS
mohon tunggu 2 hari kerja, masih dalam proses
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
1:15 PM 9/13/2019
darma
RSU. KERTHA USADA ~ 0870 | 12393019 ~ IDR
8000161318688770
KADEK ARTINI
PT. PINUS MERAH ABADI
ht stasium
amlodipin
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
1:39 PM 9/13/2019
sini
sunjaya
klaim
kuitasi asli lab
up
klaim rembes
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
1:57 PM 9/13/2019
rima
pendrahn salu cerna bawah sus tumor kolon
TERPUTUS
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
2:31 PM 9/13/2019
yuan
scalling ke pencegahan
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
3:59 PM 9/13/2019
nuriman
11900000010303
klaim mbu
9596ujc
mbu
0214404788
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
5:06 PM 9/13/2019
santo boromeos
seno
4210b
an : nurani
pt : oto mul
40118201800045
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
5:13 PM 9/13/2019
floren
KRAKATAU MEDIKA, RS
508c
AREND PANJI FAUZAN
PT. CENTRAL PROTEINAPRIMA TBK
dx : limfopa
tb : 2.710.062
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
6:31 PM 9/13/2019
steli
SILOAM HOSPITALS BALIKPAPAN
3997b
FITHRIYANI
PT. BUKIT MAKMUR MANDIRI UTAMA
odon
17.30
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:06 PM 9/13/2019
ragil
RS. AWAL BROS BATAM ~ 0584 | 12384403 ~ IDR
8000161317287871
WAYAN AGUS SUDIATMIKA
PT. TELEKOMUNIKASI SELULAR
dx : verikokel sin ip
ob : naturoksi 90
TERPUTUS
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:34 PM 9/13/2019
RARAS
RS. COLUMBIA ASIA SEMARANG ~ 2822 | 12387987 ~ IDR
8000161317275801
ANINDITA SHAQUEENA AZ ZAHRA
PT. TELEKOMUNIKASI SELULAR
DX : ispa malnutrinis
batuk demam sejak 2 hari gizi kurang
mukopek, imunpek, selestamin, ventolin, friksotip
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
8:10 PM 9/13/2019
salamah
RS. HARAPAN BUNDA ~ 0060 | 12390525 ~ IDR
8000161315530561
MEDY FEBRIANA
pt univenus
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
8:15 PM 9/13/2019
riris
8000161318741884
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
8:56 PM 9/13/2019
silvi
RSU. FIKRI MEDIKA ~ 1022 | 12383931 ~ IDR
8000161318279117
RIZKIA JULFA JUNAEDI
PT. WISMA KARAWANG
256.000
PEMBATALAN MANUAL BIAYA SEBESAR RP 256.006 DIKARENAKAN SALAH INPUT BIAYA, INFO INU
SILVY, BY RANI CC
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*

*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
3:30 PM 9/14/2019
DANNY
PT. LODGING PARTNER SERVICES IND
DANNY WILSON PERAJI
8000161318723445
mater provider
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
3:43 PM 9/14/2019
lasda
800015111
msig
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
4:09 PM 9/14/2019
wilsen
travela
jk- perps austrilia
ketrlambatan
cancel 1 hari 9 sep
119t0002574295
wilsonaldridge@gmail.com
1/9 2/9
keslahan teknik pesawat
081210241632
sudah email
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
4:35 PM 9/14/2019
novi
MITRA KELUARGA BEKASI TIMUR, RS
2746a
DONI HIDAYAT
PT. TELEKOMUNIKASI SELULAR
odontek
(NABILAH)PENDING LMA ODON - LIMIT ODON Rp. 13.750.000/keluarga/thn - DIAGNOSA
CARIES TIDAK DIJAMIN
terputus
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
4:49 PM 9/14/2019
11900000040856
kerusajkan baret peyok
08121031864 //
susanti
sudah email
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
5:17 PM 9/14/2019
dian
16033516
an : naura
pt : telkom
40056201900070
001549d

yudi pramudiana
naufal hawari
4.115.251
51.871.967

SISA 44.012.782
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
5:42 PM 9/14/2019
EVI
BRAWIJAYA WOMEN & CHILDREN HOSPITAL ~ 0842 | 12391145 ~ IDR
FAUZIAH INTAN PERTIWI
PT. TELEKOMUNIKASI SELULAR
8000161316653917
INFUS VENOFER
DX : HML 23 MGG HASIL VERITIN 5
FAUZIAH INTAN PERTIWI
8000161316653917
INFUS VENOFER MASUK RAWAT JALAN
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
6:14 PM 9/14/2019
FIRMAN
REG : 10309a
AN : DELIA
BRIS
DX : tubaovari ab se perbaikan
4
1.300
dr : 130.5
tb : 11.171.980
17.32
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
8:23 PM 9/14/2019
hermina
ica
sambung dg yg terputus
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
8:43 PM 9/14/2019
ica
ergekolin
kel melihat jauh berair
choline
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*

3:00 PM 9/15/2019
hendri
susana
119T0002878195
lisaloka
119T0002878756
7,30
8.30
tdk bs mndarat d pontianak namun mndarat batam
082112967266 0816954066
traveloka
jak-pontianak
asep jarak pandang pendek
hendriirawan25@gmail.com
susannafthen@gmail.com
ihendri@hotmail.com
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
3:32 PM 9/15/2019
muli
BETHSAIDA HOSPITAL ~ 1968 | 12391798 ~ IDR
8000161310292118
TRININGSIH
PT. WAHANA OTTOMITRA MULTIARTH
sakit gigi diare pusing radang
obat : analsik , heksilon, sanmol, nudiatab
pulpitis gerd
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
7:04 PM 9/15/2019
lisda
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
9:08 PM 9/15/2019
irda
KLINIK SAFIRA ~ 5531 | 12394996 ~ IDR
8000161318334078
ARI SETYAWATI
PT. BUKIT MAKMUR MANDIRI UTAMA
pembatalan pndaftran
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
10:32 PM 9/15/2019
fredi
RSIA. BUNDA ALIYAH ~ 1490 | 12394640 ~ IDR
003482b
DEA ADITYA NURASIYATI
PT. TELEKOMUNIKASI SELULAR
dx : g2p1 34 gea
rm : 077376
dr : sri og
kamar :
16060527
terputus
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
11:18 PM 9/15/2019
ari
reg : 15666d
an : kadek . wisnu
pt : surya
6 lab ktp sp sk lma
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////4:41 PM 9/18/2019
cindi*101
PERKEBUNAN JEMBER KLINIK, RS
11319c
MUHAMMAD AZRIL RAFFASYA
PT. SURYA MADISTRINDO
dx : vomiting
rm : 274246
dr : ramzi anak
kmr : ext 650
e : rsperkebunan@gmail.com
0331487226
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
5:13 PM 9/18/2019
isna
RS. ISLAM HARAPAN ANDA ~ 0753 | 12387568 ~ IDR
8000161318535518
AISYAH BANAFSAH AZZAHRA
PT. BANK BRISYARIAH -
PEMBATALAN RAWAT JALAN
8000161318535534
MANDASARI LAYANG SEKAR
PT. BANK BRISYARIAH -
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
6:40 PM 9/18/2019
ANISA
RS. COLUMBIA ASIA SEMARANG ~ 2822 | 12387987 ~ IDR
8000161316005027
TANI DWI SANJAYA
PT TELK
PT. TELEKOMUNIKASI SELULAR
pendaftran pembatalan
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
7:06 PM 9/18/2019
desi
RS. ERA MEDIKA ~ 3826 | 12389267 ~ IDR
NAJAMUDDIN UMAR AL FARUQ
8000161316186686
PT. BANK BRISYARIAH
pendaftran saja
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
7:30 PM 9/18/2019
marina
RS. COLUMBIA ASIA SEMARANG ~ 2822 | 12387987 ~ IDR
8000161316005001
LEMMONS MARINE SANJAYA
PT. TELEKOMUNIKASI SELULAR
dx : ispa
obat : rinofet, prospan

8000161316980096
TIGER LILY SANDJAYA
PT. TELEKOMUNIKASI SELULAR
dx : ispa
obat : prospan Clabat Forte Syrup adalah antibiotik yang digunakan untuk mengobati
infeksi saluran pernafasan rinosdrop, ventolin 4, tiris flektopit
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
8:02 PM 9/18/2019
dewi sri
sarah*1121
2114c
an : atarika
pt : surya
dx : tipoid fv
rm : 329385
dr :
kamar : 2.380
e : admission.dewisri@gmail.com
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
////////////////////////////////////////////////////
-------------------*---**---*----------------------
1. 3:01 PM 9/24/2019
ria
RS. PERTAMINA BALIKPAPAN ~ 0633 | 12389711 ~ IDR
8000161316861890
BUNDUK
PT. BUKIT MAKMUR MANDIRI UTAMA
dx : adjustment disorder
kode diagnosa
-------------------*---**---*----------------------
2. 4:32 PM 9/24/2019
suara terputus2 dan tiba2 tidak ada suara
08881581501
-------------------*---**---*----------------------
3. 4:48 PM 9/24/2019
KARYA MEDIKA II TAMBUN, RS
Ifa*122
88e
DIFA YAZIDHA SAFITRI
PT. PLAZA INDONESIA REALTY, TBK
dx : app kr edkausa akut pro appdiktom
tgl : besok
rm : 707337
dr : alvin sp b
akamr : 2.345.000
e. ppm.rskm2@karyamedika.com
40117201800140
sudah email n input
-------------------*---**---*----------------------
4. 5:59 PM 9/24/2019
restu ib balikpapan
deta
reg :
18184424
an : nur asma
pt : buma
pendaftran post rawat inap
-------------------*---**---*----------------------
5. 6:15 PM 9/24/2019
nova
AWAL BROS PANAM, RS
4841a
ARIF RACHMAN
PT. SURYA MADISTRINDO
surat tindakan acc
-------------------*---**---*----------------------
6. 6:39 PM 9/24/2019
nia
OMNI ALAM SUTERA, RS
5d
SAKHA IBRAHIM BANI AFKAR
PT. BPRS HIK CILEDUG
cil
dx : fever typoid, low int , hiperki
tgl : 2
kmr : 3.180.
dr : 250.3
tb : 7.041.610
19.04
-------------------*---**---*----------------------
7. 8:22 PM 9/24/2019
pipit
RS. MITRA KELUARGA KEMAYORAN ~ 0011 | 12382328 ~ IDR
8000161316909228
PT. BUKIT MAKMUR MANDIRI UTAMA
6/9 obat kosong
-------------------*---**---*----------------------
8. 8:28 PM 9/24/2019
mike
-------------------*---**---*----------------------
9. 9:38 PM 9/24/2019
sansan
11800000069737
kerusakan : belok kiri sblh
spion
lecet
081219910888//085775935888
sudah email
-------------------*---**---*----------------------
10. 10:18 24/09/2019
Ria*29511
siloam asri
reg : 4917a
an : mifta
pt : bris
dx : kolik uretra
rm : 86933
dr : nur roshyd sp u
kamar : 1.700
e : fo.shasri@siloamhospitals.com \
S7117201900003
sudah email
-------------------*---**---*----------------------
/////////////////////////////////////
/////////////////////////////////////
1.4:30 PM 9/25/2019
rika
alhuda banyuwangi
8000161316691388
RUSIDA
PT. BUKIT MAKMUR MANDIRI UTAMA
mau pembatalan tapi sudah dibatalkan
/////////////////////////////////////
/////////////////////////////////////
2. 4:58 PM 9/25/2019
harto
11 sep
119T0002994601
yuni
12
sudah sejauh mana dan akan menelpon besok dijam kerja
/////////////////////////////////////
/////////////////////////////////////
3. 5:48 PM 9/25/2019
dewi
HERMINA JATINEGARA, RS
DAMAR ATHALLA RAZQA
PT. CYTEC INDONESIA
14483804
dx : veruka plntra pedis destra
pro eltekrokaute bedh listrik
dr : jadaru sp kulit
rm : A291394
e :
1.502.946
kasirjatinegara85@gmail.com
/////////////////////////////////////
/////////////////////////////////////
4. 6:12 PM 9/25/2019
mega
ADVENT BANDAR LAMPUNG, RS
1776a
ROLY ROCHMAN
PT. BANK SINARMAS - A
chf
4
8.425.800
500 vip
150.4
pasien pulang
/////////////////////////////////////
/////////////////////////////////////
5. 6:34 PM 9/25/2019
sila
119T0003861414
transit 9 pp 18 jam
1 negara
salah isi data n tidak bisa unuk transit
/////////////////////////////////////
/////////////////////////////////////
6. 7:00 PM 9/25/2019
REISYA
/////////////////////////////////////
/////////////////////////////////////
7. 7:22 PM 9/25/2019
/////////////////////////////////////
/////////////////////////////////////
8. 7:27 PM 9/25/2019
eko
buma
EKO SUNARMI
8000161316879710
dr oun kadang sapi
tulang blkg
rujuk ke bedah tulang spine
rs solo baru solo baru dx tulang blkg tdk nyambung, dirujuk ke pertamina jkt,
pku penolakan 2x
16879710
buma latih
janah dan ira
/////////////////////////////////////
/////////////////////////////////////
9. 10:26 PM 9/25/2019
Aris*29531
SILOAM HOSPITALS DHIRGA SURYA MEDAN
287b
SRI ARMAYA
PT TELEKOMUNIKASI SELULAR
dx : admnimal pain
rm : 027612
dr : sunny sp pd
kamar : vip 700
e : shmd.fo@siloamhospitals.com
sudah input dan email udh ada
/////////////////////////////////////
/////////////////////////////////////
10.
/////////////////////////////////////
/////////////////////////////////////
4:25 PM 9/28/2019
DINA
800015111
MSIG

5:49 PM 9/28/2019
FAIKA
KEHAMILAN
PT CPP
1317942236
LIMIT DAN PEM LAB

6:16 PM 9/28/2019
VEKA
trvloka
padang-jkt
17.00
20.00
michaelcupan@gmail.com
085272640218//08126735135
alasan : delay
119T0003917011

6:46 PM 9/28/2019
tcm
arum
reg
16026619
an : redi
pt tel
dsppsia
dm dispid
2.
vvip 725
dr : 127
tb : 9.736.
6.22

7:01 PM 9/28/2019
moko
RSU. ST CAROLUS SUMMARECON ~ 1682 | 12385643 ~ IDR
prefenar
gea ringan
ispa laktobi n tempra
8000161318637611
7:42 PM 9/28/2019
kiki
02034201900426
alamt tertanggu salah
yang benar
rt 004rw1
(toko leo)
08123461358//085743198045
polis pertama hidup ditimpa yg kedua
dari jember
nomr rumah 146B
TOKO LEO
KESLAAHN ALAMAT

8:53 PM 9/28/2019
TIA
15407984
AN : SULUH
PT : SINARMS
JNTUNG
CEST PAIN INSOMNIA
NYERI DDA 2 KALI DLM 1 MNGG
DRH LKP, PLATETR AGREGARSI , LIPIT PANEL, ELKROKT, G PUASA HBA1C, URUM KRE URIC ACI

9:07 PM 9/28/2019
AYU
AZELIA CELINA TD PULANG
KIRIM BILIING
14.985.979
14.899.867

9:55 PM 9/28/2019
HERI
reg : gaza
41c
pt unggul brata
billinghga@gmail.com
belum ada jawban dokter ed

10:28 PM 9/28/2019
heri
4:23 PM 9/29/2019
dea
RS. KURNIA CILEGON ~ 0985 | 12389743 ~ IDR
18938258
an : anan lia
pt ikkp
479.
PEMBATALAN MANUAL BIAYA SEBESAR RP 479.600 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
DEA, BY RANI CC

4:47 PM 9/29/2019
SIANLI
UNTUK PERIHAL JUAL MOBIL
KEMBALI
MINTA SAMBUNG KE YG TD TERPUTUS

7:07 PM 9/29/2019
SARAS
COLUMBIA ASIA SEMARANG, RS
REG : 3669b
an : mestika
pt : surya
lab radiol
08811070888
LML SUDAH DIKIRIM

8:06 PM 9/29/2019
KLINIK KUSAMA CENTER
ANIS*0821
REG : 1762d
an : maldef
pt buma
dx : onemobnia
tgl : ini
rm : 032337
dr : aslam
kamar : 2.325.000
e : frontofficekmc.bkj01@gmail.com
40117201800174
sudah input
9:46 PM 9/29/2019
fadli
16015653
40056201900070
1758b
40056201800064
40056201800045 43
17 82

10:52 PM 9/29/2019

##################################
4:01 PM 10/2/2019
indra
INDRIATI SUKOHARJO, RS
2564b
ANGGIT ANGGARAWATI
PT. TELEKOMUNIKASI SELULAR
konf pngirm email
################################
4:16 PM 10/2/2019
alfian
tahun lalu beli mobil aldo
11800000050165
exp
perpnjangan polis perihal premi
################################
6:07 PM 10/2/2019
ADRI FERNANDO
KELUAR ISTRI
REG : 13a
an : nurerika
pt : oriente
################################
6:57 PM 10/2/2019
aulia
16164279
an : siska
pt : pinus
PARONIKIA
KUKU KANAN
DESIKLA ANTIBIO, CELOKSIsulmpm, RAC SALEP AVUCITantibi, PIROTOP
################################
7:36 PM 10/2/2019
el
rs siaga
12438628
AN : M RASKA
PT : BRIS
d16
################################
7:59 PM 10/2/2019
fitri
bris
8000161315522618
FITRI ANGGOROWATI
PT. BANK BRISYARIAH
################################
8:14 PM 10/2/2019
beti
SILOAM HOSPITALS TB SIMATUPANG
53a
BREA ADI SARSA
PT. MERCEDES-BENZ DISTRIBUTION INDONESIA
hcu ke vip 1.500
perpa
################################
9:09 PM 10/2/2019
budi
RS. OMNI MEDICAL CENTER ~ 0289 | 12397137 ~ IDR
18565119
an : hani
ACC
H06
OTOMIKOS
H62.2
################################
4:45 PM 10/5/2019
keri
OMNI ALAM SUTERA, RS
1026a
ANDI RAHMAT HIA
PT. IKPP - A (LOKAL)
keriagustian@gmail.com
email pasien pulang
sudah clear

5:10 PM 10/5/2019
feri
RS. CIPUTRA CITRA GARDEN CITY ~ 4686 | 12392030 ~ IDR
OCTARAWAN HENY
PT. MITSUI LEASING CAPITAL IND
8000161318456095
48 CARIES
46 15
KON DOKTER
CALGIORNOMEN
TAMBAL GIGI
DASAR

6:33 PM 10/5/2019
RETNO
642b
an : retno
borneo indobara
melahirkan selisih dibiaya kamar saja

10:02 PM 10/5/2019
dani
delay 3 jam
trvlok
pdg - bdg
13.20
hlim k bdg 20.00
soeta
acara
asdan.rachman@yahoo.co.id
085221197247
batik
wing
119T0003926862
asep dani rahmat
surat keterlambatan dr bandara
10:36 PM 10/5/2019
Wulan*106
chya bunda cibron
1467d
an : alexa
pt : bris
dx : hipersia
rm : 016826
dr : ludy sp.a
tgl : 5
kmr : 1.500
e : adm.rsiacahayabunda@gmail.com
sudah input

11:27 PM 10/5/2019
indri
EKA HOSPITAL TANGERANG
213a
FX HERTANTO
PT. SMART - JAKARTA
dx : kolelitiasis simtomatik pro 45.000
rm : 496039
dr : jorgina sp bd
tgl : 5
kamar : 1.800
53.160.000
beda hari ebda harga
masih di tunggu surat tindakannya
atau revisinya

3:56 06/10/2019
hub ke awan
aris
simasnet

4:39 06/10/2019
eka
KUSUMA MEDICAL CENTER BATUKAJANG ~ 1767 | 12382244 ~ IDR
8000161316848293
SAHRUJI
PT. BUKIT MAKMUR MANDIRI UTAMA
pembatalan pendftran

8:55 06/10/2019
pradana
delay lion air
denpasar - jkt
22.30
00.15
diakrenakan kurang tau
119T0004426037
E : rmpradanaputrajb@gmail.com
08111805755
r. m.

9:42 06/10/2019
oklin
hub ke ibu demsi

10:38 06/10/2019
farid
SIMAS MOBIL
a. ktp berbeda domisili
beli polis online alamt yg di masukan domosili ktp
b. surat kerangan domilisi depok n jkt
c. cabang depok
harga kendraan un
d. proses klaim
e . kejadian kehialangan spion gabungan
f. buat domilsi proes klaim
5:00 PM 10/7/2019
siti
RSIA GUNUNG SAWO ~ 4457 | 12391243 ~ IDR
8000161317294075
PURWANTI
PT. BUKIT MAKMUR MANDIRI UTAMA
pengesahan diulang kmbali

6:59 PM 10/7/2019
dini
jumat
7.30 kbrgktan
9.50
mingu sblm reschelu
DINI ANGRAINI
dinianggrainihs@gmail.com
082233060242
tjung pandan ke pangkal pinang
alasan :
N551 NAM AIR
19.07
KODE BOOKING : no e tiket
539777254 : EURESN
081369770124

7:30 PM 10/7/2019
SISKA
KLINIK KUSUMA MEDIKA ~ 5530 | 12394994 ~ IDR
8000161317877911
HENDRA HERASKA
PT. BUKIT MAKMUR MANDIRI UTAMA
PEMBATALAN MANUAL BIAYA SEBESAR RP 160.000 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
SISKA, BY RANI CC

7:49 PM 10/7/2019
AGUNG
119T0003420113
muhammad agung
halim - denpasar
18.30
20.00
20.30
torikazizi12@gmail.com
masalah penerbangan
081908450202
082144900524

8:00 PM 10/7/2019
rijali
KASIH IBU SATUI, KLINIK
10887a
TURBO WALUYO
PT. BUKIT MAKMUR MANDIRI UTAMA
dx : paratipoid etrombositopenia
3hr
utama 300
1.80.6
tb : 2.116.000
5menit

8:23 PM 10/7/2019
iis
RS. AWAL BROS TANGERANG (D/H RS. GLOBAL MEDIKA ~ 1116 | 12391187 ~ IDR
8000161315768138
TIMOTHY BAIN
BANK SINARMAS - B
dx : feb cepaldgia
sanmol forte bdgard, analsik
suplmn adm tdk acc

8:31 PM 10/7/2019
ayu
RS. HERMINA ARCAMANIK ~ 1578 | 12391480 ~ IDR
8000161315413818
ANGGITA MUSTIKARINI
PT. BANK BRISYARIAH
kematian mudigah
bayi tdk berkembang

11:08 PM 10/7/2019
putri
RSIA. BRAWIJAYA HOSPITAL SAWANGAN ~ 6563 | 12398077 ~ IDR
8000161318720664
ATHIRA QURRATU AINI
GREEN GOLD TECHNOLOGY
igd
dx : gea obs vomut terdehidrasi rgn sdg
konsul lab : feses
infus rl inj odr inj
pulang LZINK, ODR SYUR, LAKTOBI SASCT,
ALKES INFUS SET, SURFLO 4, TEGADERM, ALLKOHL SWAB, SRING 3 GRLOVES
11:35 PM 10/7/2019
SATRI
18447912
an : indah
pt : buma
dx : dys

5:55 PM 10/8/2019
YARIN
SILOAM HOSPITALS LIPPO CIKARANG ~ 0391 | 12383058 ~ IDR
8000161316136087
SEAN MISAEL LIM
PT. PINDO DELI PULP & PAPER
MALOKLUFSI
KEL : gigi brantakan
konsul
TIDAK JAMIN

6:09 PM 10/8/2019
KARIM
RS. PONDOK INDAH PURI INDAH ~ 1479 | 12391370 ~ IDR
8000161315500127
40056201900165
342a
MERLISA KIRANA
PT. IKPP - A (LOKAL)
s82.4
Fraktur Fibula

6:25 PM 10/8/2019
ezi
RS. BAKTI TIMAH KARIMUN ~ 1271 | 12391884 ~ IDR
66a
SAMSUL BAHRI
PT. OILTANKING KARIMUN
40056201900127
66a
pejlasan post ranap

6:52 PM 10/8/2019
eha
sangen
jerman
muncen berlin fencfurt
singapu airline
singapurair
jkt - luar BOLEH
luar - jkt TDK ACC

7:42 PM 10/8/2019
ALIN
16084519
AN : FIKI
pt : telkoms
prospan rinitis alrg
MASIH BISA

7:48 PM 10/8/2019
FEBI
reg : 56a
an : in fauzia
pt : bpr btn
dx : bp : anemia
3
1.500
dr : 110.000
tb : 4.392.000
1.
tito

8:14 PM 10/8/2019
ririn

8:21 PM 10/8/2019
RAFLI
8000161317119439
isk
obat : batugin elixir, lepocin,
8:56 PM 10/8/2019
meli
EKA HOSPITAL BSD ~ 1223 | 12383419 ~ IDR
8000161316041394
NIZAR FUADI
PT. TELEKOMUNIKASI SELULAR
dx : piul refersibal
onlie metal
tambel
4.000.000

9:05 PM 10/8/2019
nurul
RSIA. BUAH HATI CIPUTAT ~ 1669 | 12398354 ~ IDR
8000161318391706

9:21 PM 10/8/2019
ANIS*05435230262
KUSUMA BATUKAJANG
REG : 4792D
an : firginia
pt : buma
dx : fungsional dire + nouse + vomiteus
rm 035076
dr : aslam
kamar : vip.550 aps
e : fronrofficekmc.bkj01@gmail.com

reg : 691e
an : fadli
pt : buma
dx : fever wil chil varisela
rm : 000864
dr : aslam
kamar : 2.275

MOHAMMAD FARHAN ALKAFF


160a
upgade ip provider
MAYAPADA JAKARTA SELATAN HOSPITAL
02129217777
'02129536541

Aji*7170
7182

rm : 0000122408
dr : nirmala sp pd
dx : susp gangguan fugsi hati
kamar : 2.600
e : corprwi.mhjs@gmail.com

7 feb 88

edi

10:57 PM 10/8/2019
ali
8000161318972471
ALI REZA SABAHA KURNIAWAN
JO COLAS RAIL - IRODA MITRA
40056201800188
143a
081574281636
cek kartu

6:22 PM 10/9/2019
Anita*2626
HERMINA TANGKUBANPRAHU, RS
reg : 3310b
VIRGINIA NUR RAHMANTI
PT TELEKOMUNIKASI SELULAR
dx : heg g3p2 8mggu
rm : I073747
dr maya og
kamar : ex a
1439.000
e : herminarwi@yhaoo.com

6:43 PM 10/9/2019
ida
RSIA. GRHA BUNDA ~ 4237 | 12390539 ~ IDR
8000161316007650
DIDAH NURSAIDAH
PT. TELEKOMUNIKASI SELULAR
amneo sek sus mioma uteri
transvaginal , bph ruangan

6:55 PM 10/9/2019
mega
anis
j45
dx : asma

7:03 PM 10/9/2019
farid
11900000140031
rek yg di tf
081319771942
minta no.rek

7:57 PM 10/9/2019
rini
RS. PONDOK INDAH ~ 0049 | 12392612 ~ IDR
8000161318654574
SAKYA PUTRA RAHARDJA
PT. BIZZY COMMERCE INDONESIA
nyweeri bgkak lutut
ideopatik gout
dr er, esr, krea urem, as urat crp remtoid faktr

9:46 PM 10/9/2019
RARAS
RSU. ANANDA PURWOKERTO ~ 1447 | 12381393 ~ IDR
8000161316895195
SUSANA
PT. BUKIT MAKMUR MANDIRI UTAMA
PEMBATALAN MANUAL BIAYA SEBESAR RP 264.300 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
RARAS, BY RANI CC

10:42 PM 10/9/2019
BELA
REG : 11354c
an : alvino
pt : surya
255.1
475.vip
plan kmar rs

3:31 PM 10/12/2019
dewi
RATIKA DEWI
8000161314809412
BANK SINARMAS - B
limit gigi

3:42 PM 10/12/2019
beni
cwo hub
trvloka
ontime protektion
delay
ternate jk trans ujung pandang
11.00
14.00
krusakan pewatan
e : bennymerry9999@gmail.com
119T0004767423
Benny Jaya
lion
081223949999

4:14 PM 10/12/2019
PKU MUHAMMADIYAH TEGAL, RSIA
ANTO
377b
YAN FRANSISKA HERAWATI
PT. BORNEO INDOBARA
dx : melahirkan sesar
3
kmar : pv 765.000
dr pervit : 2.160.500
tb : 12.931.221
1.787.585
sp
terputus
02833448131
02833448184

5:04 PM 10/12/2019
endah
mark cab farm
awal bros bkasi utara
bsi grup ind
081281236216
18604686
ANDI ARDHAM ZHAFRAN KENZIE
8000161318604686
PT. BSI GROUP INDONESIA

5:53 PM 10/12/2019
hardi
nesa
11/10
plm - pngkal pinang
081373547799

7:13 PM 10/12/2019
yuli
ABDI WALUYO, RS
reg : 16693b
MAGDALENA SURIDA ILONA
pt : buma
dx : g1 37 kontksi bleed per ver vagina
1 hari
1.800
dr : 300
tb : 4.648.400
19.16

9:17 PM 10/12/2019
PUTRI
50508899
26508300
msig

10:09 PM 10/12/2019
aprilia
16691776
an : kartina
buma
igd ambulan

10:21 PM 10/12/2019
HARTINA KAMAL
8000161316691776
PT. BUKIT MAKMUR MANDIRI UTAMA
menunggu acc

10:24 PM 10/12/2019
Debi*102//160
rs yosudarma
18824c
dx : ge dengan deh
637292
an : habibi
pt : surya
dr : elida sp a
kamar : 330.1
e : rsyos_akri@yahoo.com
2:29 13/10/2019
putu
ARVA RAVINDRA
PT. TELEKOMUNIKASI SELULAR
8000161316001646
plafon gigi dan rajal

riri
8000161317619685
PT. BANK CAPITAL INDONESIA -
40070201900006
919a
limit melahirkan tdk ada

3:27 13/10/2019
sela
11900000130651
jminn thun 1 2 gbungan

5:47 13/10/2019
dwi
2015a
an : ftri
pt :

indikasi antivirus
5.40

7:57 13/10/2019
saepi
8000161318298836
NESSYA MEGASARI PUTRI SULISTYA
PT. DUTA INTI DAYA
40056201900056
159a
limit
10:25 13/10/2019
medistra
Joy*133
reg : 42b
an : ratih
pt : facebook cons ind
dx : g1 hmil 27 pndarahan
rm : 00400454
dr : budi og
kamar : vip 1950.00 stn
e : billing@medistra.com
40056201900132

p
4:32 15/10/2019
081222281970
SimasNet
terputus

4:50 15/10/2019
novia
RS. MEDIKA PERMATA HIJAU ~ 0204 | 12396177 ~ IDR
18148908
M YAFI ARRAHMAN
PT. BANK BRISYARIAH
batal berobat besok saja info pasien

5:16 15/10/2019
085367800310
CC Non Perawat
lgsg mati

5:30 15/10/2019
nurman
15999618
pt : telkomsel
40056201900070
2854a
08111255999
sisa limit rajal

6:17 15/10/2019
jaya
RS EMC TANGERANG d/h RS. USADA INSANI ~ 0737 | 12383337 ~ IDR
8000161316054785
NIDA ALVI KHAIRANI
PT. TELEKOMUNIKASI SELULAR
dx : pulpitis tambal
perawatan dasar

6:48 15/10/2019
rais
8000161318936625
MUHAMMAD EZAR KIANO
PT. BUKIT MAKMUR MANDIRI UTAMA
900.
vaksin oleh dr umum acc

6:57 15/10/2019
Febi*22307
reg : 9908c
an : blesmora
pt : buma
dx : tumor perianal pro cranmiotomi
rm : 649056
tgl : msih
dr : eka neuro
kamar : 2.500
e : shlv.fo@siloamhospitals.com
02180646900
RENCANA MASUK [1] Bila pasien pulang SEMUA BIAYA KE ASM DAHULU dan pasien dapat di
pulangkan tanpa konfirmasi ke ASM dahulu. [2] Dx/ Tumor perianal Pro Craniotomy,
usia 6th, RM.649056 (Febi*22307) E.shlv.fo@siloamhospitals.com [3] Mohon hasil LAB,
PA, Dll dilampirkan saat penagihan. [4] Mohon perincian di-fax ke ASM (Rani)

7:37 15/10/2019
ASTRI
AMIRA PURWAKARTA, RS
810a
WAWAN HERMAWAN
PT. SURYA MADISTRINDO
dx : kolik renal
3.
1.381150
dr : 58
114
tb : 3597558
proses ka alvin

7:48 15/10/2019
andre
8000161317264888
ANDRE HERMANSYAH
BANK SINARMAS - B
dr obat
reg : 003754a
pt : bank simar b
40059201800005
17264888
sisa limit

8:05 15/10/2019
nirwan
clm asia s
8:33 15/10/2019
astri
RS. MITRA KELUARGA BEKASI BARAT ~ 0010 | 12382487 ~ IDR
16955833
ADAM BARINGIN OMPUSUNGGU
PT. ERICSSON INDONESIA -
8000161316955833
1 hari lebih dr sp boleh

8:36 15/10/2019
lela
RSU. EVASARI ~ 0029 | 12387657 ~ IDR
8000161317093956
FAATHIMAH ARSYILA ZAYN
PT. TELEKOMUNIKASI SELULAR
dx : kolelitis konstp kronik
bab susah 3 hari]
ob : elbio, laksadin

10:04 15/10/2019
rsia kendang saris surabaya
Novi*201
reg :
17651829
an L: hana
telkm
rm
590815
dx : rfa
dr : rulix sp.a
kamar : 1.600
e : billing@rsia.kendangsari.com
40056201900070
3755c

3:33 PM 10/19/2019
maria
RS. SANTO BORROMEUS BANDUNG ~ 0761 | 12387233 ~ IDR
AJENG RINA
8000161318598045
PT. KALDU SARI NABATI INDONESIA
150.000

3:55 PM 10/19/2019
NATALIS
SILOAM HOSPITALS JAMBI
97b
KHAFIDHATUL KHOEROH
PT. KUANSING INTI MAKMUR
G2p1a0 Hamil 39-40 mgg Infartu Fasalaten
i2 b1,5
kamar : 950.vip
dr : 150.000.i
100.0001
tb : 10.635.441

4:33 PM 10/19/2019
prasetya bunda tasik
ica
reg :
rsprasetyabunda@gmail.com
sudah di kirimkan lma

4:47 PM 10/19/2019
eni
17085895
an : pasca
pt : rotap
imnusi prevenar
obat : ispa
flamikord, lasal, eppsol, lapibek????, tempra
40056201900071
23c

5:01 PM 10/19/2019
papat
RS. PERMATA CIBUBUR ~ 1090 | 12390611 ~ IDR
AINAYYA MUHFADELLA
PT. BARTEC SERVICES & ENGINEERI
8000161317609496
vaksin
hep , tipus
menjamin semua jenis imunissi

5:31 PM 10/19/2019
mulyani
RS. TRIA DIPA ~ 0110 | 12372109 ~ IDR
8000161316068363
INDRA GUSTAMAM
RS. TRIA DIPA ~ 0110 | 12372109 ~ IDR
dx : dm hiperlidid
obat : galvusmeed, sanmol, atafar
6068308
8363

5:42 PM 10/19/2019
sri
MAYAPADA TANGERANG HOSPITAL
32b
LOKITA ELISABETH CECILIA
PT. BSH HOME APPLIANCES
dx : diare dispepsia
3.1250
dr : 350.4
tb : 16.441.000
17.51

6:41 PM 10/19/2019
diana
RSIA. PERMATA HATI MATARAM ~ 1957 | 12388447 ~ IDR
PT. BANK BRISYARIAH
16361420
dx : g1 30 mggu
obat : nulaktaplus,
acc

6:54 PM 10/19/2019
dian
SILOAM HOSPITALS LIPPO KARAWACI
5f
SYDNEY ABYGAIL INDRAJAYA
PT. PUSAKA MARMER INDAHRAYA
18.35
terputus

8:29 PM 10/19/2019
tio
TIO YU TJENG
MITRA KELUARGA KEMAYORAN, RS
PT. CORELAB INDONESIA
52b
11881695
Mohon dapat melampirkan LMA beserta penunjang medis pasien (Lab, R'O, dll) lengkap
dengan list obat yang sudah diberikan.

9:53 PM 10/19/2019
Janah*966
CIPUTRA MITRA HOSPITAL BANJARMASIN
reg : 1538b
an : eti wiyani
pt : buma
dx : hydronefrosis sinistra, batu utere sisnr pro urs, + insersi dgisten sinistra
tgl : 20
rm : 03-00028018
dr : eka sp u
kamar : 200.3
lma : plp.cmhb@ciputrahospital.com
40117201800174

2:46 PM 10/20/2019
intan
RS. SARI ASIH KARAWACI ~ 0022 | 12392022 ~ IDR
pelangi
PELANGI DEVI KAMAYANTI T
PT. PRALON
dx : gout
lab : asm urat total. kol tot
kel : sakit kaki

3:50 PM 10/20/2019
Rendi*144
RS. ISLAM SURABAYA ~ 0980 | 12394848 ~ IDR
8064a
TOMMI WAHYU SUSANTO
PT. BANK BRISYARIAH
dx : batu uter destr
tgl : hjari ini
rm : 385392
dr : wisnu u
kamar :
250.3
e : rsirekammedis@gmail.com
812097

7:41 PM 10/20/2019
Siti*0271592192
rs nirmalasuri sukoharjo
reg : 18956730
an : dandi
pt : zurich topas
dx : abs insipien
rm :
dr : yuniar sp og
vvip 600
e :
40056201800253
416a

9:14 PM 10/20/2019
iin
RS. PANTI WALUYO SURAKARTA ~ 1483 | 12384083 ~ IDR
ZEA ABIGAIL PUTRI KRISTIONO
8000161314523625
PT. WAHANA OTTOMITRA MULTIARTHA
apialis
dx : asma

9:49 PM 10/20/2019
rifki
082360750007
pdg mdan
lion
no.polis : 119T0004275924
an : m rifki
15.40 19.10
085374320182 (1)
082360750007
e : muhammadrifki2112@gmail.com
sudh email

iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
1. 3:14 PM 10/21/2019
danil
0214757420
terputus
berisik karena suara angin info terkait
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
2. 4:53 PM 10/21/2019
narti
RS. PREMIER JATINEGARA ( RS MITRA INTERNASIONAL) ~ 0012 | 12372011 ~ IDR
8000161316746422
MUYANTO
PT. BUKIT MAKMUR MANDIRI UTAMA
post ranap
dx :
15.10
40117201800174
6349a
i25.1
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
3. 5:08 PM 10/21/2019
andri
lahiran anak
13127154
40118201900001
011829a
anak kedua blm ada di medicare
mohon konf perusahan
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
4. 5:35 PM 10/21/2019
tri
sirkumsisi
fimosis
3 th
08112034532
164c
40056201800237
000164c
RASENDRIYA AGASTYA DIRGANTARA
kembali ke lma
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
5. 6:25 PM 10/21/2019
082148129696
terputus
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
6. 6:35 PM 10/21/2019
08812340080
meluisa
grup pld
eks
reg : 51a
an : hendra
pt : honornis ind
40114201900022
3644
terputus
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
7. 7:29 PM 10/21/2019
eka
azhar kamil
reg :
151111918321
15111
msig
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
8. 7:33 PM 10/21/2019
indah
18249326
an : husnul
pt : teklkosm
sterimar nasal spary
kel :
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
9. 7:35 PM 10/21/2019
okta
dental car
8000161317251059

tambal
8000161317251067
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
10. 7:41 PM 10/21/2019
tias
RS. MITRA KELUARGA TEGAL ~ 1540 | 12384097 ~ IDR
8000161316576274
PEMBATALAN MANUAL BIAYA SEBESAR RP 226.400 DIKARENAKAN SALAH INPUT BIAYA, INFO IBU
TIAS, BY RANI CC
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
11. 7:44 PM 10/21/2019
BUNGA
NO.RANG
MM6DE10Y1D0223944
NO,MENIS
ZYB39077
OSNI GATOT
OSWIN BUSTARI PRIAMBUDI
GATOT HE
PINTU KIRI PANEL PENYOK
085719375570 //
H GATOT HERLIYANTO
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
9:59 PM 10/21/2019
nuraini
087784475375
sambung ke nanda
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!
10:10 PM 10/21/2019
bren
bmc bogor
reg :
17035213
an : nunung
pt : mcd
dx : gea
rm : 057423
dr : satrio sp pd
kamar : 1b.500
e : cs_rsbmc@gmail.com
40054201800029
130b
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!!!!!

5:17 PM 10/22/2019
aris
MAYAPADA JAKARTA SELATAN HOSPITAL
2958c
ALTHAF ZAIN YUKIHIRO
PT TELEKOMUNIKASI SELULAR
dx : edma pa trauma okuli
1
kamar : 1.900
dr : 350.1
tb : 2.360.100
16.34
kasir

6:01 PM 10/22/2019
Novia*085763056951
rs sundari medan
reg : 184b
an : indivia
pt : energi sejgt ms
hipermes g2p1 8mgg
rm : 042946
dr : chaidir sp.og
kmr : 1.350
e : rsusundari@yahoo.com
40056201900077
ps masuk

7:06 PM 10/22/2019
dana
18374887
an : ana kalan
pt : batu bara
hep a
40868201800014
hny dsr

7:37 PM 10/22/2019
12534a
an : yoshua
PT. WAHANA OTTOMITRA MULTIARTHA TBK
pasien pulang susah kirim

8:01 PM 10/22/2019
RS. KHARITAS BHAKTI ~ 1036 | 12395600 ~ IDR
ami // roni
JUAN VARREL CHRISTIAN18427815
PT. BANK BRISYARIAH
8000161318427815
penutupan pendftrn

8:24 PM 10/22/2019
endira
mri lumbal
8000161316012767
PT. TELEKOMUNIKASI SELULAR
tindakan sesuai dx n indikasi

8:39 PM 10/22/2019
fani
RS. PERMATA PAMULANG ~ 2347 | 12392584 ~ IDR
tb paru
ph doksin 16 bioatp, rifam tb , sanazet
8:58 PM 10/22/2019
galih
RS. BUNDA MARGONDA ~ 1056 | 12398040 ~ IDR
8000161318942664
fa
obat : munarin, askavit food sup, rac kodein penenang, obh, lameson,
nirsp ntibio

marlin
14811160
an : batara
pt : b
515.300

5:56 PM 10/23/2019
tria
15984412
diki
17.5
esingal zolmia algana

7:09 PM 10/23/2019
nurul
reg : 270d
an : gina
pt : mcd
dx : fb ty hrb
3
650
dr : 270.3
tb : 8.251.215
8:00 PM 10/23/2019
riska
mr
17367555
haiva
pt buma

8:06 PM 10/23/2019
hamdi
8000161314429849
gigui
ompksi 182838
klindmsn, btdin obt kumur

8:34 PM 10/23/2019
gata
8000161315571342
dx : btu kronis berjnut serum pump
btuk demm 2
obt : kodipron, vorumen ear drop, serumpump, rinopad, tempra trmpulmin

()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()
15:25 28/10/2019
ivan
rs pondok indah
erikson
16970303
an : noval
dx : kulit dyshidrosis
kel : tlp kaki gatal bbrp mnggu
obat : rac krim voldelma oint ikg oitmen, karmetkrim
pelembab tdk bisa
penjaminan pelembab sampai usia 5thn
()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()
15:40 28/10/2019
vincent
17718750
an : putri
telkomsel
dx : laktasi
haid tdk teratur
supl : volamin genenio tdk ada obat utama
()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()
18:02 28/10/2019
uli
18162024
ananda
pt : bris
anak
kon PD
2 dr sp tdk bisa, hanya bisa 1 saja
()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()
19:26 28/10/2019
FANI
18960757
an : fani
pt : pendal
gigi
bunda depok
081292680757
rs rekanan dan ada bnefit gigi
()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()
mila
riviroh
reg : 12792c
pt : surya
dx : brokeitis
4
2.300
152.3
tb : 3.528.500
()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()()
20:13 28/10/2019
anton
18694968
an : paulus
pt : job
chf, dyslp
ob : concor, lasix, cpg, alupurinol, restor, rinos, uperium
kel : kontrol

20:27 28/10/2019
putri
17254335
sn : yulpi
ekrk
8001250

20:54 28/10/2019
hesti
rsia ang sem
17828203
sepira
buma
obat
priksa
inj
eks k asm

21:11 28/10/2019
reno
g2 5mg
pnguap

21:12 28/10/2019
sandi

21:14 28/10/2019
Ria*112
brawawija hos
reg : 18a
FIKA DAMAYANTI
PT. UNTARA WIDYA SEJAHTERA
dx : cepalga brat sus deft tungkai kanan hiperkoahgulasi
rm : 014294
dr : rebekka sp pd
kamar : 1750vip
e : insurancebwch@gmail.com
40175201900008
sudah ada LMA

21:03 28/10/2019
windi

rs
22:05 28/10/2019
EWI
REG : 1953c
AN : lufti
lufti
echo

21.16

widal 1/320

9794b
HENY ALFIYAH
suryamas
obat
13.01

22:54 28/10/2019
fajar
reg : 426a
nurul
pt : itsui
dx : diare + b i
4
1b.500
5.195
243.
tb : 11.096.004
22.25

22:39 28/10/2019
vivi
14429849
an : erlita
pt : wom
odon
;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;[;[;[;;[;[;[;[;[;[;[;[;[;

4:30 PM 10/30/2019
eni
HARAPAN ANDA TEGAL, RSU
25850a
INTAN MELYA RATNA SARI
PT. WAHANA OTTOMITRA MULTIARTHA TBK
dx : g1 hamil 8 heg
2
1.280
55.2
1.843.143
25850a

;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;

7:12 PM 10/30/2019
ika
RS. FAMILY MEDICAL CENTRE BOGOR ~ 0835 | 12388217 ~ IDR
8000161317023961
AGUN SUMARNA
PT. MERCEDES-BENZ DISTRIBUTION
ekses ke asm dahulu

;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;

7:27 PM 10/30/2019
dewi
ANANDA PURWOKERTO, RSU
25226b
AJENG RATNA SRIKANDI
PT. WAHANA OTTOMITRA MULTIARTHA TBK
dx : dys ispa
1.3.
vip 450
125.500.2
1.823.471
19.41

;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;

7:47 PM 10/30/2019
ratna
BETHSAIDA HOSPITAL ~ 1968 | 12391798 ~ IDR
8000161317749771
INDRIATI FITRI UTAMI
PT. TELEKOMUNIKASI SELULAR
dm gesta
obat : novorapid, pendenled, aspilet interkod

;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;

9:20 PM 10/30/2019
sinta*0721
rs anugrah medika
reg : 15739b
an : nidia
pt : surya
dx : g1 hmil 39 inptu kl 1 fs akf , jth preskep
rm : G2002878
dr : ratna og
kamar : 925.500 eks
e : foanugerah@gmail.com
rsb.anugerahmedika@yahoo.com
0721240488

[1] Dx/ G1P0A0 Hml 39 mngg Inpartu kala 1 Fase aktif, usia 28th, RM.G2002878
(Sinta*0721) E.foanugerah@gmail.com//rsb.anugerahmedika@yahoo.com [2] Mohon hasil
LAB, PA, Dll dilampirkan saat penagihan. [3] Bila pasien pulang SEMUA BIAYA KE ASM
DAHULU [4] Mohon perincian di-fax ke ASM (Rani)

dr. Ratna Sp.OG

40120201800067

NINGTYAS PRATIWI
PT SURYA MADISTRINDO

;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;[;[;[;;[;[;[;[;[;[;[;[;[;[;

16.10
27.10

9:52 PM 10/30/2019
RSIA. STELLA MARIS MEDAN ~ 1592 | 12401379 ~ IDR
WIDIA
AZZIDHAN MAHMOUD ALBY
8000161316941908
PT. SUMMIT OTO FINANCE
proris promedek, promag tab, prolpenon, odrmual sirp azomak dry siry
dx : obs feb ispa

10:10 PM 10/30/2019
ina
3489d
an : abdul
pt : telksom
4.34

2:23 02/11/2019
Iskandar*199
RSU. HERMINA PASTEUR ~ 0044 | 12389731 ~ IDR
8000161316475907
MANGGALA UTOMO ILYASA PURWANA
PT. TELEKOMUNIKASI SELULAR
dx : fr radius ulna
konsul ke orto
pasang gift
944.000
obat : pct gipsona alkes , sofben alkes, tensokrep alkes, elkana sirup arm slip
dr : alvin o
rm : G170932
e : admrwi.herminapst@gmail.com
40056201900070

ODC [1] Dx/ Fraktur Radius Ulna pro ORIF, usia 3th, RM.G170932 (Iskandar*199)
E.admrwi.herminapst@gmail.com [2] Mohon hasil LAB, PA, Dll dilampirkan saat
penagihan. [3] Mohon perincian di-fax ke ASM, selisih dibayar di RS.(Rani)

dr. Alvin Sp.O

3:08 02/11/2019
ADRIAN
MESIN RANGKA
B35TO
NANTI MAU KONF LAGI

4:13 02/11/2019
PONDOK INDAH BINTARO JAYA, RS
PETRUS BAYU NANGGOLO
8a
PT. SURYA MADISTRINDO
PONDOK INDAH BINTARO JAYA, RS
CKD ON HD (ODC),
proses pulang ka danil

4:40 02/11/2019
dendi
telkomsel
8000161316075616
DENDI WIJAYATULLAH
PT. TELEKOMUNIKASI SELULAR
plafon kaca mata anak

5:00 02/11/2019
nura
8000161318507988
NAILAH ADZRA QURRATUAINI R
PT. TELEKOMUNIKASI SELULAR
kartu keaktifan
5:20 02/11/2019
vani
mgdep mau masuk bngkel
kendl rusak di kaki2 bmpeer depan
cek bengkel depan
senin
menanyakan mobil pengganti,
tidak ada

5:51 02/11/2019
risma
RS. INDRIATI SOLO ~ 5911 | 12395938 ~ IDR
8000161318112482
SITI INDAH DISATYA HARYANTI
PT. TELEKOMUNIKASI SELULAR
2leukositosis dyspesia obf feb
lab hema lengkap,
cefila, episan suspensi, lapras,
rac pct lameson

6:19 02/11/2019
siti
12470829
an : sri aari
pt : bris
dx : psoriasis
rac musidin ceram, flodermaa,
seloksi 15, notoid
pelembab : berdiri sendri sampe 5 tahun
kalo racikan tdk aa batasan umur

6:38 PM 11/2/2019
mike
pengesahan admedika eror

6:57 PM 11/2/2019
yalin
multaza medika
17959941
rhmn
artha
pendaftran tdk bisa
info dr ina di rembeskan semua terlebih dahulu
7:02 PM 11/2/2019
komang
16361420
dewi
simas card
pengesashan eroer

7:06 PM 11/2/2019
vira

8:04 PM 11/2/2019
anto

8:21 PM 11/2/2019
tata

8:32 PM 11/2/2019
ayu
rs hrpn bunda
18446781
016577c
fatin buma
dx : serumen
tnd : end teng print 143, paper print20625, air toilet171
forumen 34238
35238
664101
dr 235
adm 25
obt 35238
td
40117201800174

9:18 02/11/2019
dedi
dx : cegah

9:29 02/11/2019
ika
16960544
an tambunan
erkson
klnjr adelonin
adeoid
5:10 09/11/2019
02153121344
susi
renita
RS. INSAN PERMATA ~ 2774 | 12393000 ~ IDR
SORAYA KAMISLIA
8000161318416479
PT. IKPP - A (LOKAL) -
dx : bp parenikcia
tindakan : eks kuku , wp sedang prawatan luka kuku , pnangan asma akut
obat : cefixim samnol osfein rinosneu
kode : L03,0

6:03 09/11/2019
DEWI*205
RS PERMT BUNDA CIMIS
REG : 14489a
AN : andang setiawan
suryamasing
fa ispa dm
rm : 092550
dr : prima pd
kamar : 300.utama b
e : rspermatabunda1@gmail.com
sudah email sudah input

9:04 09/11/2019
Imam*118
rs pare2 fatima
reg : 17264c
an : m dava
pt : surya m
dx : hiperpireksian
rm : 077066
dr : gina dr igd
kamr :
40120201800067
vip b 600
e : rsfatimaysi@yahoo.co.id
SUDAH INPUT SUDAH EMAIL
11:24 09/11/2019
TIAS
RS HERMINA CIPUTANP
REG:
16072704
AN : ina
pt : telkomsel
dx :

4:52 PM 11/10/2019
Yeni*148
bunda prabumuli
reg : 14314660
an : m.raka
pt : bris
dx : vomitus
febis
rm : 13002638
dr : julamri sp a
tgl : hari ini
kamar : vip 400
e : rsarbundahumas@yahoo.co.id
S7117201900003
004096c
SUDAH INPUT SUDAH EMAIL

6:26 PM 11/10/2019
IZUL*1190
REG : 271b
an : siti latifa
pt :
19017995
40119201900044
rs eva sari
dx : g2 p1 39 bsc 1 x
rm : 067131
dr : ridwan og
akmar : kls 3 275
e : admission.evasari@awalbros.com
sudah email sudah input

8:25 PM 11/10/2019
ici
RS. SUMBER KASIH ~ 1174 | 12391978 ~ IDR
8000161316071102
ABYAKTA SANTANA AJI
PT. TELEKOMUNIKASI SELULAR
kamar

9:43 PM 11/10/2019
Reza*3207
eka hos bsd
reg : 17472a
an : sauman
pt : buma
isk
rm : 507287
dr : ratna spd
kmr : 1.800
e : admission_ip@ekahospital.com
sudah email sudah input

11:18 PM 11/10/2019
made
BALI ROYAL HOSPITAL (BROS) ~ 1309 | 12388682 ~ IDR
I GEDE AUXEN ENZO REGIG
8000161317283383
PT. PINUS MERAH ABADI
PEMBATALAN MANUAL BIAYA SEBESAR RP 352.751 DIKARENAKAN SALAH INPUT BIAYA, INFO BPK
MADE, BY RANI CC

3:02 13/11/2019
081291755155
tdk ada suara
*
*
3:10 13/11/2019
ST. ELISABETH BEKASI, RS
Made*102
reg : 16a
an : hiwarni
pt : farkowindo bina jaya
dx : cepalgia dm
rm : 097280
dr : nelson sp pd
kmr : 2.385.000
1.715
e : tpprse@gmail.com
40114201900016
sudah input dan lma sudah ada d rs
*
*
4:19 13/11/2019
dela
HAJI DARJAD, RS
15696a
PURWANTO
PT. BUKIT MAKMUR MANDIRI UTAMA
MINTA ACC DAQN SUDAH D KIRIMKAN
*
*
4:57 13/11/2019
085332890089
DAWNI
8000161317797564
PT : nurahm
buma
29884
40117201800174
010945b
klaim rembes sudah 14 hari kerja
*
*
5:13 13/11/2019
rut
8000161318092619
RUTH CHRISTINA S
PT. WAHANA OTTOMITRA MULTIART
karang gigi sisa limit
*
*
5:37 13/11/2019
didah
8000161316007650
DIDAH NURSAIDAH
2.519.643
40056201900070
752a
0811210404
klaim reimbursement
*
*
5:55 13/11/2019
gika
RS. SARI ASIH CILEDUG ~ 0936 | 12382640 ~ IDR
ADSKHAN ZAFRAN RYANDA KAUSAR
8000161318745208
PT. BANK BRISYARIAH
viral interi
lb : fese rutin darah samar
kel : diare 1 mnggu
*
*
siska
odinovasi
kel : nyeri tengg
*
*
7:25 13/11/2019
elis
RS. ICHSAN MEDICAL CENTER (IMC) ~ 0291 | 12372277 ~ IDR
16056798
AN : erna
pt : telkom
rfa
rinos, imboost sporetik
*
*
7:27 13/11/2019
peni
8000161318368084
RS. PANTI WILASA CITARUM ~ 0379 | 12387995 ~ IDR
varisela
varil rik
*
*
7:31 13/11/2019
eka
konj
8000161316976441
mata kiri metarah
sliplam tono metri visus
hialid aiy d, cravit, cendovital
alertgi
40056201900165
1446b
*
*
7:42 13/11/2019
elis
1237a
an : SIMANSIUS NANGA
pt : buma
cs scan cardiac
*
*
7:48 13/11/2019
peni
RS. COLUMBIA ASIA SEMARANG ~ 2822 | 12387987 ~ IDR
ANISA AYU TUSSIANA
8000161318639351
PT. TELEKOMUNIKASI SELULAR
dx : irreg men
obat
*
*
7:53 13/11/2019
vika
8000161317026998
rfa
obat rac rinofet, ketrizim fetrin sirplus
infimisin 2 botol, imbos 2 fo, tarnsfum 1
*
*
7:57 13/11/2019
oca
8000161318978460
dx : ispa dem ato
demam bapil ruam gatal punggung
rac motilium renofed,
amoxan, ezigrad, flimusil, rinos, atopil ckalir
*
*
8:10 13/11/2019
anisa
KLINIK SPESIALIS BUNDA ~ 0418 | 12372386 ~ IDR
8000161317360827
PT. CENTRAL PROTEINAPRIMA TBK
biostrat
hipertiroid
*
*
8:40 13/11/2019
yosua
RS. ST.VINCENTIUS A.PAULO (RS. RKZ) ~ 0544 | 12389369 ~ IDR
HENRY WEOL
8000161318529800
PT. BANK SINARMAS - A
revisi harus ada kartu dan pasien d rs
*
*
8:58 13/11/2019
serly
RSIA. YPK MANDIRI ~ 1358 | 12398292 ~ IDR
YULIANA FITRIA
8000161318965756
PT. PENDAR KAPITAL SEJAHTERA
obd feb
sernevit
40175201900006
174b
tdk jamin suplemen
*
*
9:25 13/11/2019
ika
RS. PREMIER BINTARO (d_h RS.INTERNASIONAL BINTARO) ~ 0412 | 12389621 ~ IDR
FAIQAH ZIHNI AYUDIA
8000161316969594
PT. ERICSSON INDONESIA
derm cebor
asik sali, gliserin, elokon lotion, alkohol
racik
cairan
*
*

3:35 PM 11/23/2019
felik
11900000059331
mbu : terkna bdn jln
knn pnyok
085215885589
083190974967
silangit sumtra utara
TRYVO VELIX SIANTURI

4:29 PM 11/23/2019
sofi//desi
RS. UIN SYARIF HIDAYATULLAH ~ 0007 | 12382461 ~ IDR
DIAN ARFIANI
8000161318452425
PT. SUMMIT OTO FINANCE -
DX : mvp post rf
mitralfast
konkor askardia

5:00 PM 11/23/2019
Putri*8213
ATMA JAYA, RS
3667b
VIRGINIA NINA YUNIFER
PT. TELEKOMUNIKASI SELULAR
dx : g1 37 38
seca
rm : 315450
dr : sigit ob
akamr : superior 600
e : rawatinap.rsaj@gmail.com
appatmajayahospital@gmail.com
40056201900074
[1] Dx/ G1P0A0 hml 37 Pro SC, usia 30th, RM.315450 (Putri*8213)
E.rawatinap.rsaj@gmail.com//appatmajayahospital@gmail.com[2] Mohon hasil LAB, PA,
Dll dilampirkan saat penagihan. [3] Mohon perincian di-fax ke ASM, selisih dibayar
di RS.(Rani)

5:28 PM 11/23/2019
IRWAN PRASETYO
8000161319027408
PT. ERICSSON INDONESIA
693a
40056201800248
JAMINAN GL ADA

5:43 PM 11/23/2019
HEMA
RSIA. ASIH ~ 1424 | 12381339 ~ IDR
ATIKKA THANIOKA
8000161318983783
PT. TELEKOMUNIKASI SELULAR
dx : g1 10 11
konusg 2d
tromboaspilet, volamil, osoral, utrogestan
hidrosi progeatron suntikna
anti tokso igc, rubela igm, anti cmv igm, hsv 1 2 igm
spuit alhom swab
kel : -

6:24 PM 11/23/2019
Yanti*106
PERTAMINA TANJUNG, RS
4838b
MIRNA WATI
PT. BUKIT MAKMUR MANDIRI UTAMA
dx : abus
rm :J13030265
dr : ketut og
kamar : vvip 800
e : ugdrspt.pertamedika@gmail.com
40117201800174
sudah input dan lma sudah ada d rs

6:48 PM 11/23/2019
PUJI
RS. PREMIER JATINEGARA ( RS MITRA INTERNASIONAL) ~ 0012 | 12372011 ~ IDR
FITRIYANI KURNIA ENDAH
8000161316962219
PT. ERICSSON INDONESIA -
ginekologi pak
aff bneda asing tertinggal alat kontrasepsi
usg intip abdomen pemkain alkes eksamination sarung tangan dan kasa
web
acc kaka op
semua ke limit kb

7:18 PM 11/23/2019
firman
RS. SARI ASIH CILEDUG ~ 0936 | 12382644 ~ IDR
AQILLA NAZIFA ANNURZEN
8000161318930123
PT. MOORES ROWLAND INDONESIA
pembatalan pendaftran

19,22,29

8:40 PM 11/23/2019
FENDY
RS. LAVALETTE ~ 0708 | 12372675 ~ IDR
8000161317994351
KHUROTUL MUFIDAH
PT. WAHANA OTTOMITRA MULTIAR
dx :
amenoria
post kuret
obat : ovaker 20 tab
kel :
haid hhari ke 2
sup tdk bisa, acc kaka op

11:22 PM 11/23/2019
nurul*120
aistal bojo negoro
reg : 11035a
an : eko sus
pt : surya
dx : obs febris
rm : 174314
kamar : vip 490.500
rekammedis06@gmail.com
sudah input email sudah ada

=======================================
1. 3:15 PM 11/24/2019
adil
8000161318331124
PT. TELEKOMUNIKASI SELULAR
TEUKU ISMAIL FADHIL
limit gigi dan kacamata
=======================================
2.5:12 PM 11/24/2019
dani
RS. EMC SENTUL (D/H RS. PERTAMEDIKA SENTUL CITY) ~ 2388 | 12385621 ~ IDR
8000161309298282
PRASETYA RACHMAD DHANY
SUMMIT AUTO GROUP
HEPATITIS
=======================================
3. 5:31 PM 11/24/2019
06180101070
RATNA
RS. SILOAM DHIRGA SURYA ~ 3779 | 12389611 ~ IDR
RS. SILOAM DHIRGA SURYA ~ 3779 | 12389611 ~ IDR
8000161318331538
PT. TELEKOMUNIKASI SELULAR
URTIVCARIA
GATAL2 DIS ELRTUH TUBUH S
MEDIKSON INTERIZIN
KODE L50
=======================================
4. 7:33 PM 11/24/2019
dea
RS. HERMINA PALEMBANG ~ 1622 | 12391101 ~ IDR
M ARKHAN AL AYYUBI
8000161316317463
PT. BANK BRISYARIAH
88302307 Rp 304.800 REVISI (PIC:IBU DEA) BY RANI
=======================================
5. 8:07 PM 11/24/2019
simatupang
087885898366
keluar konf
reg : 1292a
an : jujung
PT. BANK SINARMAS - A
proses
=======================================
6. 11:56 PM 11/24/2019
irwan
bengkel
kord dg pihak surveyor
=======================================
7.
=======================================
8.
=======================================
9.
=======================================
10.
=======================================

4:15 30/11/2019
fani
RS. GRHA PERMATA IBU ~ 1098 | 12389579 ~ IDR
8000161315396963
AISYAH NURKUMALA
RS. GRHA PERMATA IBU ~ 1098 | 12389579 ~ IDR
otts med akt
telinga kurang pndengan pndgran
obat : tarivit otik, h2o0

4:23 30/11/2019
sari
RS. HERMINA DEPOK ~ 0265 | 12383170 ~ IDR
8000161316965485
MALIYA SULASTRI
PT. ERICSSON INDONESIA
hml 5,6
obat : profensis, devit, emineton tab

4:38 30/11/2019
ardin
BHAYANGKARA POLDA BENGKULU, RS
akila
010842d
minta lma sp sk

5:03 30/11/2019
tari
18727115
m namira
telkms

5:17 PM 11/30/2019
17250242
an : karisa
pt : ikkp
kolik abd
probio kid

5:41 PM 11/30/2019
VITNO
RS.MITRA KELUARGA WARU ~ 1040 | 12396593 ~ IDR
17363722
8000161317363722
DX : HEPATOMA HBC
lansit, forsmd, hepamax, hiperin , urdafak, pironolakton
kel : nyeri ulu

6:48 PM 11/30/2019
samuel
rangka : MHKM1BA3JEJ065510
MD73621
KERUSAKAN : KECELAKANA HANCUR TOTAL
CUP DEPAN HANCUR
085921559314
TOL MERUYA
NUNGGU POLISI
02N01201904372
SIMASNET
7:17 PM 11/30/2019
SENTRA MEDIKA CIBINONG, RS
TIARA
REG : 232a
KRISTIANI ZEBUA
PT. PENDAR KAPITAL SEJAHTERA
7.200.000
14.500.000
bekas khusus
intermemdit

7:53 PM 11/30/2019
mike
RS. HERMINA GALAXY ~ 0891 | 12383488 ~ IDR
8000161318637512
KHALISA ALEA NUGROHO
PT. BUKIT MAKMUR MANDIRI UTAMA
IMUN 07

8:22 PM 11/30/2019
TIKA
RS. MITRA KELUARGA WARU ~ 1040 | 12396593 ~ IDR
LUSY VINA ASMARANI
USG TRANS
ABORNMNTAS
KEL : KLUHSN SR

9:43 PM 11/30/2019
sri*161
insani siantar
reg : 6825c
lija
pt : surya
dx : abd pain
rm : 267198
kmr : 450 1 aps
e : adm.rsvi@gmail.com

[1] Dx/ Abdominal Pain + GE Akut, Usia 43 thn, RM: 72389 (Bapak Aljabar*135/136),
E. admission.medan@columbiaasia.com. [2] Mohon hasil LAB, RESUME MEDIS, Dll
dilampirkan saat penagihan. [3] Mohon perincian di-fax ke ASM, selisih dibayar di
RS.(Reni)

[1] Dx/ Abdominal Pain, Usia 10 thn, RM: 267198 (Ibu Sri*161), E.
adm.rsvi@gmail.com. [2] Mohon hasil LAB, RESUME MEDIS, Dll dilampirkan saat
penagihan. [3] Bila pasien pulang SEMUA BIAYA KE ASM DAHULU [4] Mohon perincian di-
fax ke ASM. (Rani)
4:16 PM 12/2/2019
hariyanti
RATULANGI MEDICAL CENTRE ~ 1388 | 12381223 ~ IDR
IRMAYANI HARIS SE
8000161318326595
PT. WAHANA OTTOMITRA MULTIART
khmiln ke 4
40118201900001
025712b
anak ke 3 meninggal 1.

4:39 PM 12/2/2019
13nov
helmiyah
josevin
195.000
40056201900116
000331b
progres klaim

5:06 PM 12/2/2019
sarah
BIDAKARA MEDICAL CENTER (BIMC) ~ 1408 | 12384750 ~ IDR
CHATARINA KANIRARAS PRABANDARU
8000161317612953
PT. CENTRAL PROTEINAPRIMA TBK
88562380 Revisi Rp 452.100 (Info : Ibu Sarah) By.Rani cc

6:48 PM 12/2/2019
dio
329a
WAHYU MAULANA
FOUR SEASONS HOTEL
blm ada pelaporan pulang by email/by phone

7:09 PM 12/2/2019
LUKI
SILOAM HOSPITALS BALIKPAPAN (RS BALIKPAPAN HUSADA) ~ 1374 | 12384357 ~ IDR
RIA RESTIANA
8000161318447482
PT. BUKIT MAKMUR MANDIRI UTAMA
post melahirkanm
40117201800174
016611b

7:19 PM 12/2/2019
nisvi
RS HERMINA SAMARINDA ~ 6801 | 12398734 ~ IDR
ZABRAN ALKHALIFI ILAHUDE
8000161319005289
PT. BUKIT MAKMUR MANDIRI UTAMA
pendaftran imunisasi

7:28 PM 12/2/2019
udin
ROYAL PROGRESS INTERNATIONAL HOSPITAL ~ 1422 | 12392668 ~ IDR
SITI NUR HASANAH
8000161318651307
PT. BIZZY COMMERCE INDONESIA -
dx : obs feb ispa n dysp
kel : dm bapil mual,
onbat : sumagesik, viksasep, valmakord foret, ondancet, ambroksol, tremenza,
kordidek,
racik kertas puyer

7:34 PM 12/2/2019
widia
tomas

7:41 PM 12/2/2019
ramlan
KASIH IBU SURAKARTA, RSU
GALIH RAHAYU
1731a
PT. BUKIT MAKMUR MANDIRI UTAMA
jawaban defekasi by papaer

7:48 PM 12/2/2019
dita
MARDI RAHAYU KUDUS,RS
8952b
ANIK NOFIANA
PT. SURYA MADISTRINDO
dx : toksoplasm okulopati
4
vip 400
120.4
tb : 7.207.589
19.53
ka alvin
7:59 PM 12/2/2019
tika
RS. DR.HAFIZ (RSDH) CIANJUR ~ 4107 | 12390517 ~ IDR
AISHA RAHMA ANINDYA
8000161316279549
PT. SUMMIT OTO FINANCE
aviklofir salep avikolr , praksion
dx : varisela

8:15 PM 12/2/2019
WIDIA
HUB KE TOMAS

8:40 PM 12/2/2019
ANI
RS. MEDISTRA ~ 0797 | 12382926 ~ IDR
ANNISA FITRIASTI
8000161317993593
PT. FACEBOOK CONSULTING INDON
psoriasis
daktarin krim, flagistatin supos vaginal, diflukan, interdoksin, setapil body
lotion
rac: cloderma lot, as, salis, resalfin, vaelin, lcd
kel : gatal area genital internal, gatal bercak dikulit kepala plak
resalfin,tambahan buat bikin salep
keluarkan : setapil body lotion
vaelin,

9:54 PM 12/2/2019
tifa
RSIA. KEMANG MEDICAL CARE ~ 0228 | 12390785 ~ IDR
18437335
ANNISA NABILA PUTRI DILIHARTO
SARULLA OPERATIONS LTD
8000161318437335
VIRAL INF
6HARI DEMAM
lab hema rutin ,hitung jenis leuk, tubek tipoid,
sporetik
rac: kodein, metilprdnsl, gliseril, loratadin

10:02 PM 12/2/2019
Ana*05322070777
citra husada
reg :
5760b
an : lucisa
pt : buma
dx : ht post partum, cepalgi, sus preelklm
hari ke 12
rm : 012254
dr : yudi spog
kamar : 1.500
e : cc.rschpbun@gmail.com
10:24 PM 12/2/2019
ratih
RS. HASANAH GRAHA AFIAH ~ 1194 | 12392880 ~ IDR
RIKKY RIZALDI
8000161313955059
tunasPT. TUNAS SUKSES MANDIRI
cLOBAzAM
DIS FATY
40.000
40118201900017
24a
tdk acc karena sulit tdr, alasannya

10:49 PM 12/2/2019
ketut
PELNI PETAMBURAN, RS
189c
MARHAMAH AL KARIIMAH
ZURICH INSURANCE INDONESIA
dx : typoid
rm : 479714
dr : ketut a
kamar : 1.490.000
e : adventrspelni@gmail.com
terputus

10:56 PM 12/2/2019
heri
RS. PONDOK INDAH ~ 0049 | 12391368 ~ IDR
8000161316023699
FRIEDRICH ALVARO HARATUA H
PT. TELEKOMUNIKASI SELULAR
dr gigi
oral profilaksis
dx : dislocatikol of toot
kons , ekstratif anterior, oralprofilak
kel : jatuh , kena kursi goyang berdarah
aloklair spray dijaminkan jika ada sariawan

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