RptVerifikasiLayakAdm

LAPORAN HASIL VERIFIKASI SECARA ADMINISTRASI

RS SYAFIRANama RS:RJTLTingkat Pelayanan:

Tgl.Pelayanan:01-06-2014 s/d 30-06-2014

Status:Layak

NoNo SEPTgl MskTgl PlgNo.KartuNm PstLPKd CBGsNm CbgsBiaya10069R0360614000044707-06-201407-06-20140000002020274ETIKSYARIFAHSAMOSIRPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.0020069R0360614000080519-06-201419-06-20140000002020274NURHAFNIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.0030069R0360614000024707-06-201407-06-20140000013058447MARIDA SAGALAPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.0040069R0360614000039511-06-201411-06-20140000013058447MARIDA SAGALAPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.0050069R0360614000025307-06-201407-06-20140000015724855MUCHNILZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.0060069R0360614000057014-06-201414-06-20140000015724855MUCHNILZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.0070069R0360614000041511-06-201411-06-20140000020355794MILDA GUSTINAPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.0080069R0360614000022606-06-201406-06-20140000020425419yusmanLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.0090069R0360614000043809-06-201409-06-20140000020425419yusmanLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00asneti165,192,535.00100069R0360614000032109-06-201409-06-20140000020451284NURAINIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00110069R0360614000037907-06-201407-06-20140000020489433FITRI YENIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.00120069R0360614000094921-06-201421-06-20140000020490546WIDIASTUTIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00130069R0360614000038307-06-201407-06-20140000020574696ERLIS MIARTI SALEHPQ-5-25-0AMBULATORY VISIT FOR ACUTE GASTROINTESTINAL DISORDER 136,537.00TOTAL165,192,535.00140069R0360614000046812-06-201412-06-20140000020619887RAMADHAN LLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00150069R0360614000021506-06-201406-06-20140000020639755SARIBANUN TANJUNGPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00160069R0360614000035710-06-201410-06-20140000020639755SARIBANUN TANJUNGPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00mery kosasih165,192,535.00170069R0360614000050612-06-201412-06-20140000020639755SARIBANUN TANJUNGPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00180069R0360614000076218-06-201418-06-20140000020639755SARIBANUN TANJUNGPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00190069R0360614000021606-06-201406-06-20140000020639766SAKIRINLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00200069R0360614000035810-06-201410-06-20140000020639766SAKIRINLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00210069R0360614000050812-06-201412-06-20140000020639766SAKIRINLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00220069R0360614000059214-06-201414-06-20140000020639766SAKIRINLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00230069R0360614000076118-06-201418-06-20140000020639766SAKIRINLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00240069R0360614000046712-06-201412-06-20140000020661423NURHASNIDARPQ-5-29-0AMBULATORY VISIT FOR CONGESTIVE HEART FAILURE & OTHER CARDIAC DISORDER 315,371.00TOTAL165,192,535.00250069R0360614000075318-06-201418-06-20140000020661423NURHASNIDARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00260069R0360614000037210-06-201410-06-20140000020661671MAULINASARI OCTARIAPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.00270069R0360614000033009-06-201409-06-20140000020676396R.OKTAVIAR ROESLILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00280069R0360614000045007-06-201407-06-20140000020676396R.OKTAVIAR ROESLILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00290069R0360614000101623-06-201423-06-20140000020676396R.OKTAVIAR ROESLILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00300069R0360614000074918-06-201418-06-20140000020676464YUERNIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00310069R0360614000043509-06-201409-06-20140000020856385SITI AISYAHPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00320069R0360614000016805-06-201405-06-20140000020867995JON HARDI. M, DRSLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00330069R0360614000018005-06-201405-06-20140000020872989DENIEL TURNIPLQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.00340069R0360614000030509-06-201409-06-20140000020872989DENIEL TURNIPLQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.00350069R0360614000036610-06-201410-06-20140000020872989DENIEL TURNIPLQ-5-41-0AMBULATORY VISIT FOR OTHER COMPLEX ACUTE DISORDER 176,606.00TOTAL165,192,535.00360069R0360614000057214-06-201414-06-20140000020873856FAUSIAH HANNUMPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.00370069R0360614000099223-06-201423-06-20140000020903657SUHAIMIPQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.00380069R0360614000098423-06-201423-06-20140000020932762ARIS FATMIATINPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00dede ratna165,192,535.00390069R0360614000079319-06-201419-06-20140000020989315FEBRIADILZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.00400069R0360614000018805-06-201405-06-20140000020999665GUSNELLYPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00410069R0360614000015505-06-201405-06-20140000021006898RINA ROSARIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00420069R0360614000055313-06-201413-06-20140000021006898RINA ROSARIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00430069R0360614000039711-06-201411-06-20140000021006966SYAHRIALLZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.00440069R0360614000058914-06-201414-06-20140000021007383M. AKBAR BINTANG WINDAS RIZALLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00450069R0360614000056814-06-201414-06-20140000021026878SUKEIMILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00460069R0360614000107424-06-201424-06-20140000021028871HERDAWATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00470069R0360614000056714-06-201414-06-20140000021046533ELPA SUSIANTI, SEPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00480069R0360614000106524-06-201424-06-20140000021077662MUHAMMAD IRFANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00490069R0360614000078819-06-201419-06-20140000021114099SUNARILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00500069R0360614000048512-06-201412-06-20140000021117723TUMINAHPQ-5-33-0AMBULATORY VISIT FOR ACUTE HEMATOLOGICAL DISORDER 158,982.00TOTAL165,192,535.00510069R0360614000108724-06-201424-06-20140000021173962ARMIATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00520069R0360614000111025-06-201425-06-20140000021189396ERLIUS SALAM ,SM.HKLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00530069R0360614000030709-06-201409-06-20140000021194188HARTINI UMARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00540069R0360614000062916-06-201416-06-20140000021194188HARTINI UMARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00sri wahyuni0069R0360614000112325-06-201425-06-20140000021194673YULIDARPQ-5-28-0AMBULATORY VISIT FOR CENTRAL NERVOUS SYSTEM INJURY 111,967.00TOTAL165,192,535.00560069R0360614000036110-06-201410-06-20140000021223664MUSTAFALH-3-13-0DIAGNOSTIC & IMAGING EYE INVESTIGATIONS 190,741.00TOTAL165,192,535.00570069R0360614000095321-06-201421-06-20140000021223664MUSTAFALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00580069R0360614000026407-06-201407-06-20140000021270756DWI HANDAYANI IKAPUTRIPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.00590069R0360614000107324-06-201424-06-20140000021328672SUMAINIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00600069R0360614000012604-06-201404-06-20140000021337413ENI SOFIAPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00610069R0360614000048912-06-201412-06-20140000021337413ENI SOFIAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00620069R0360614000107924-06-201424-06-20140000021339753DAHNIARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00630069R0360614000080019-06-201419-06-20140000021371523MARLIS ZPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00640069R0360614000050112-06-201412-06-20140000021375145EMIWASTRIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00650069R0360614000043909-06-201409-06-20140000021384191LISNAWATIPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.00660069R0360614000017205-06-201405-06-20140000021389591HARTINIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00670069R0360614000047012-06-201412-06-20140000021389591HARTINIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00680069R0360614000109424-06-201424-06-20140000021389591HARTINIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00690069R0360614000097022-06-201422-06-20140000021399748YUHANIZARPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00700069R0360614000074518-06-201418-06-20140000021409716NURLIS hasanPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00710069R0360614000108124-06-201424-06-20140000021421754E.HARTAYATI EMAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00720069R0360614000091717-06-201417-06-20140000021438202ACHMAD YANILQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00730069R0360614000066817-06-201417-06-20140000021513014SURIATI.APQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00740069R0360614000043009-06-201409-06-20140000021530349ARFIDAPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00750069R0360614000051506-06-201406-06-20140000021530349ARFIDAPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00760069R0360614000072411-06-201411-06-20140000021530349ARFIDAPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00770069R0360614000073813-06-201413-06-20140000021530349ARFIDAPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.00780069R0360614000109324-06-201424-06-20140000021561884FAHDY PRATAMALQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00790069R0360614000025007-06-201407-06-20140000021564786AZWAR YACOBLZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.00800069R0360614000057814-06-201414-06-20140000021564786AZWAR YACOBLZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.00810069R0360614000073118-06-201418-06-20140000021564786AZWAR YACOBLZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.00820069R0360614000107224-06-201424-06-20140000021564786AZWAR YACOBLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00830069R0360614000016405-06-201405-06-20140000021591022SELLY LASWATI BACPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00840069R0360614000019905-06-201405-06-20140000021615298MALEMUKOR BR PARANGIN ANGINPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00rika novianti0069R0360614000106124-06-201424-06-20140000021625424SRI WAHYUNINGSIHPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00860069R0360614000075618-06-201418-06-20140000021642849VERAWATI,STPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.00870069R0360614000096621-06-201421-06-20140000021642849VERAWATI,STPZ-3-25-0ULTRASOUND FOR GYNAECOLOGY DISORDERS 171,523.00TOTAL165,192,535.00880069R0360614000017905-06-201405-06-20140000021650321ERRIN YANI WIJAYAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00890069R0360614000111825-06-201425-06-20140000021684407JAMILAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00900069R0360614000027107-06-201407-06-20140000021724378MUHAMMAD NASIRLQ-5-32-0AMBULATORY VISIT FOR ACUTE URINARY TRACT DISORDER 151,703.00TOTAL165,192,535.00910069R0360614000021206-06-201406-06-20140000021734155RISESTINA PUTRIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.00920069R0360614000098323-06-201423-06-20140000022144915M. TAUFIK KURRAHMANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00930069R0360614000017405-06-201405-06-20140000023016148ROHIJAMPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00940069R0360614000025707-06-201407-06-20140000028561195JIM GAFURLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00950069R0360614000037807-06-201407-06-20140000037278922NADYA RETNO ANRIYANIPN-3-15-0DIALYSIS 901,358.00TOTAL165,192,535.00960069R0360614000106324-06-201424-06-20140000064979548DONNY IRWANTOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00970069R0360614000097423-06-201423-06-20140000136031949YARNIATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00980069R0360614000026707-06-201407-06-20140000148319921FAUZAN RZ,AMDLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00990069R0360614000067817-06-201417-06-20140000159666941RAMITHA DEWIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001000069R0360614000016505-06-201405-06-20140000164627886NADIA SAFIRA PUTRI ANANDAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001010069R0360614000024907-06-201407-06-20140000173802249TAUFIKLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001020069R0360614000022706-06-201406-06-20140000193896977SHERLY AMRIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001030069R0360614000093021-06-201421-06-20140000194905721JASMIWATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001040069R0360614000042609-06-201409-06-20140000201618808ROHATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001050069R0360614000111425-06-201425-06-20140000201618808ROHATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001060069R0360614000051106-06-201406-06-20140000202652842YAN BENNY AYUSLA,A.MD.KEPLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00veronika0069R0360614000030009-06-201409-06-20140000204417314AZWARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001080069R0360614000057114-06-201414-06-20140000204417314AZWARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001090069R0360614000069912-06-201412-06-20140000208114053SYAFRALZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.001100069R0360614000091417-06-201417-06-20140000208114053SYAFRALZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.001110069R0360614000055413-06-201413-06-20140000208160831ARDHINI KEPRIANA,A.MD.KEBPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001120069R0360614000095021-06-201421-06-20140000210550173ELDO RAHMAT SAPUTRALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001130069R0360614000072111-06-201411-06-20140000210998665UMI DARIYEMPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001140069R0360614000038611-06-201411-06-20140000975887043AHMAD FAHRI MUBARAKLQ-5-26-0AMBULATORY VISIT FOR ACUTE BRONCHIAL DISORDER 193,514.00TOTAL165,192,535.001150069R0360614000108024-06-201424-06-20140000976439889LIZA FEBRIANIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001160069R0360614000043209-06-201409-06-20140000976907417HAFIZ AL RASYIDLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001170069R0360614000073313-06-201413-06-20140001078276678MUTHOHAROHPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001180069R0360614000016905-06-201405-06-20140001078553788NELLI HARAHAPPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001190069R0360614000061716-06-201416-06-20140001078553788NELLI HARAHAPPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001200069R0360614000068317-06-201417-06-20140001080418577TIARA MARDHOTILLAH THPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001210069R0360614000093921-06-201421-06-20140001080418577TIARA MARDHOTILLAH THPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001220069R0360614000088920-06-201420-06-20140001094036319DEfFALMER PANJAITAN, shLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00zulfan iskandar 165,192,535.001230069R0360614000057614-06-201414-06-20140001094530419SUHERMANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001240069R0360614000019605-06-201405-06-20140001094683419DAVIDLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001250069R0360614000048312-06-201412-06-20140001094683419DAVIDLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001260069R0360614000045712-06-201412-06-20140001097494075RIMETPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001270069R0360614000022206-06-201406-06-20140001097494694WAHYUNIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001280069R0360614000097623-06-201423-06-20140001097494694WAHYUNIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001290069R0360614000049512-06-201412-06-20140001097494918HARRY RANGGA Z.LZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.001300069R0360614000038711-06-201411-06-20140001101298162ASMAWATI, S.EPQ-5-26-0AMBULATORY VISIT FOR ACUTE BRONCHIAL DISORDER 193,514.00TOTAL165,192,535.001310069R0360614000062616-06-201416-06-20140001101298162ASMAWATI, S.EPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001320069R0360614000048112-06-201412-06-20140001103760731PURWANTOLQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.001330069R0360614000113825-06-201425-06-20140001106257847NOFI ERNA TRI YUDA BUANAPZ-3-25-0ULTRASOUND FOR GYNAECOLOGY DISORDERS 171,523.00TOTAL165,192,535.001340069R0360614000073718-06-201418-06-20140001126086614DEWI PUSPASARIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001350069R0360614000094821-06-201421-06-20140001132840023SUROTOLZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.001360069R0360614000071109-06-201409-06-20140001132887677ERIZAWATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001370069R0360614000062216-06-201416-06-20140001133757325JEMY SWANTOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001380069R0360614000094721-06-201421-06-20140001133757325JEMY SWANTOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001390069R0360614000019705-06-201405-06-20140001134480071AZWAR ANASLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001400069R0360614000106424-06-201424-06-20140001135654481SUDARWOLQ-5-40-0AMBULATORY VISIT FOR ACUTE URINARY TRACT INFECTION 126,962.00zulfan iskandar 165,192,535.001410069R0360614000090820-06-201420-06-20140001135812508FENI NOLDI ASSALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001420069R0360614000011704-06-201404-06-20140001136529066MARIHOT PASARIBULQ-5-26-0AMBULATORY VISIT FOR ACUTE BRONCHIAL DISORDER 193,514.00TOTAL165,192,535.001430069R0360614000037310-06-201410-06-20140001137530687DWI NUGRAHENIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001440069R0360614000109724-06-201424-06-20140001137544211JUHENDRILQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.001450069R0360614000032309-06-201409-06-20140001138889564DHAMAYANTI MEGA SAGITAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001460069R0360614000039211-06-201411-06-20140001140817972ANITA SARI DEWIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001470069R0360614000002202-06-201402-06-20140001140886034ASMA DESIPQ-5-25-0AMBULATORY VISIT FOR ACUTE GASTROINTESTINAL DISORDER 136,537.00TOTAL165,192,535.001480069R0360614000035310-06-201410-06-20140001140886034ASMA DESIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001490069R0360614000030609-06-201409-06-20140001140886089EGA PUTRALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001500069R0360614000045512-06-201412-06-20140001140886089EGA PUTRALQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.00YULIDAR0069R0360614000079619-06-201419-06-20140001140886089EGA PUTRALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001520069R0360614000071210-06-201410-06-20140001141970747AMELIAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001530069R0360614000054413-06-201413-06-20140001143525958HOTNERLI NADEAKPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001540069R0360614000058414-06-201414-06-20140001143525958HOTNERLI NADEAKPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001550069R0360614000098823-06-201423-06-20140001143525958HOTNERLI NADEAKPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.001560069R0360614000066617-06-201417-06-20140001144204323ARTATYPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001570069R0360614000100423-06-201423-06-20140001144514384IRMAWATI KAHARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001580069R0360614000072718-06-201418-06-20140001145113582RAMA SULI DANUR AMALLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001590069R0360614000078919-06-201419-06-20140001147597997RUDI LAMSIHAR LUMBAN TOBINGLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001600069R0360614000086420-06-201420-06-20140001147771653MULYADILU-3-16-0DENTAL OPERATIONS 172,182.00TOTAL165,192,535.001610069R0360614000040611-06-201411-06-20140001148600507AMIRUDDINLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001620069R0360614000064616-06-201416-06-20140001149552257ANGELA YOMI HAPSARIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.001630069R0360614000043709-06-201409-06-20140001150764153KIKI ANESI WIDIAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001640069R0360614000043309-06-201409-06-20140001151921878NINO OKTARIA SARIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001650069R0360614000115014-06-201414-06-20140001154036024AFDHALLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001660069R0360614000026607-06-201407-06-20140001154285638JAM ROMASDIN SITOPULQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.001670069R0360614000031809-06-201409-06-20140001154285638JAM ROMASDIN SITOPULQ-5-26-0AMBULATORY VISIT FOR ACUTE BRONCHIAL DISORDER 193,514.00TOTAL165,192,535.001680069R0360614000041011-06-201411-06-20140001156205103HENDRIANTOLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.001690069R0360614000025907-06-201407-06-20140001166808262FITRIANISPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.001700069R0360614000032009-06-201409-06-20140001166808262FITRIANISPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.001710069R0360614000040811-06-201411-06-20140001166808262FITRIANISPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.001720069R0360614000053613-06-201413-06-20140001166808262FITRIANISPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.001730069R0360614000063916-06-201416-06-20140001166808262FITRIANISPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.001740069R0360614000098523-06-201423-06-20140001168275082AFRIDAWATIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.001750069R0360614000110825-06-201425-06-20140001170969287MUFIDAH MAHDIYYAHLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001760069R0360614000035410-06-201410-06-20140001171376526FELERANTIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001770069R0360614000075218-06-201418-06-20140001171376526FELERANTIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001780069R0360614000066717-06-201417-06-20140001171683731ALLYAHRASIHFAPUTRIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001790069R0360614000061016-06-201416-06-20140001172065307EDDYCHANDRALZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.001800069R0360614000065413-06-201413-06-20140001176194079SEPTIA NURSYAFITRIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.001810069R0360614000022006-06-201406-06-20140001178115401AZIMARNIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00SYAHRUDDIN165,192,535.001820069R0360614000034710-06-201410-06-20140001178115401AZIMARNIPQ-5-26-0AMBULATORY VISIT FOR ACUTE BRONCHIAL DISORDER 193,514.00TOTAL165,192,535.001830069R0360614000092117-06-201417-06-20140001178115401AZIMARNIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001840069R0360614000055013-06-201413-06-20140001178280189CLARISSA WILIANDRIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001850069R0360614000025407-06-201407-06-20140001178443427RINA AFRIDAPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.001860069R0360614000034310-06-201410-06-20140001178443427RINA AFRIDAPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.00NENNI FARIDA0069R0360614000024507-06-201407-06-20140001180460158DALFITRIPQ-5-25-0AMBULATORY VISIT FOR ACUTE GASTROINTESTINAL DISORDER 136,537.00TOTAL165,192,535.001880069R0360614000033109-06-201409-06-20140001180460158DALFITRIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.001890069R0360614000075518-06-201418-06-20140001181526816MEINIZARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001900069R0360614000072011-06-201411-06-20140001184309493FARHAN SYAHPUTRALQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.001910069R0360614000053513-06-201413-06-20140001184957684NAYLA AZZAKIAPQ-5-31-0AMBULATORY VISIT FOR SIGNIFICANT FRACTURES 131,060.00TOTAL165,192,535.001920069R0360614000055613-06-201413-06-20140001185035861MISNAWATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001930069R0360614000015705-06-201405-06-20140001186237811MISUTYAWAT ININGSIHPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001940069R0360614000070112-06-201412-06-20140001187476784UMAR SAIF ERCI PUTRALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001950069R0360614000089920-06-201420-06-20140001190656034ETIKSYARIFAHSAMOSIRPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001960069R0360614000114225-06-201425-06-20140001190656034ETIKSYARIFAHSAMOSIRPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001970069R0360614000057414-06-201414-06-20140001191663898NAFIWARNINAZIRPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001980069R0360614000094121-06-201421-06-20140001191663898NAFIWARNINAZIRPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.001990069R0360614000085620-06-201420-06-20140001192494025ROSALINAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00TRI SANTOSO0069R0360614000018405-06-201405-06-20140001194412871Christina Julianti ManaluPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002010069R0360614000114325-06-201425-06-20140001194930099AZDI ZMLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002020069R0360614000074313-06-201413-06-20140001196435485TETYINDRIANIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.002030069R0360614000052806-06-201406-06-20140001197081459NELYANA SEMBIRINGPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.002040069R0360614000022506-06-201406-06-20140001197535375ANDINI GIBESTIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002050069R0360614000074718-06-201418-06-20140001203452122ROMAULISIANTURIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002060069R0360614000094321-06-201421-06-20140001246491347SUPARLANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002070069R0360614000089520-06-201420-06-20140001255938276MUTIA YIRDAM RLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002080069R0360614000089220-06-201420-06-20140001255938344YIRDAM RIZALLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002090069R0360614000037510-06-201410-06-20140001255938513ADAM YIRDAM RLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002100069R0360614000095721-06-201421-06-20140001255938546AZZAHRA YIRDAM RPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002110069R0360614000018205-06-201405-06-20140001257036298ROSWIZAR BAKHTARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00DEASY IRMA165,192,535.002120069R0360614000086920-06-201420-06-20140001257036298ROSWIZAR BAKHTARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002130069R0360614000060916-06-201416-06-20140001257840178FITMAWARNISPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002140069R0360614000064816-06-201416-06-20140001261198934FIRMAWATIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002150069R0360614000022806-06-201406-06-20140001261891506YUNIAZIRLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.002160069R0360614000033409-06-201409-06-20140001261891506YUNIAZIRLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.002170069R0360614000042011-06-201411-06-20140001261891506YUNIAZIRLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.002180069R0360614000056213-06-201413-06-20140001261891506YUNIAZIRLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002190069R0360614000070610-06-201410-06-20140001261930239ARJEN AL JAMILLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002200069R0360614000027207-06-201407-06-20140001262526748RUWANTOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002210069R0360614000070012-06-201412-06-20140001262952145DEWI KRISTINAPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002220069R0360614000069712-06-201412-06-20140001263479951DONY ARMINIUSLU-3-16-0DENTAL OPERATIONS 172,182.00TOTAL165,192,535.002230069R0360614000072211-06-201411-06-20140001263480311UPIK DESIREPQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.002240069R0360614000101323-06-201423-06-20140001263480311UPIK DESIREPQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.002250069R0360614000101123-06-201423-06-20140001263480491NADA SALSABILAPQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.002260069R0360614000101223-06-201423-06-20140001263481119FADHLURRAHMIPQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00ERLIUS SALAM165,192,535.002270069R0360614000097823-06-201423-06-20140001264688818ADHIGANA JAGIELKALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002280069R0360614000018105-06-201405-06-20140001266188501FIKRI SYAKIF AZHARLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002290069R0360614000075818-06-201418-06-20140001266756153TYARA SYALSABILAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002300069R0360614000100223-06-201423-06-20140001267084607MERY KOSASIHPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.002310069R0360614000097723-06-201423-06-20140001268970636ZULKIFALLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002320069R0360614000048612-06-201412-06-20140001269021824RAJAB RINALDILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002330069R0360614000061316-06-201416-06-20140001269021824RAJAB RINALDILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002340069R0360614000086720-06-201420-06-20140001269378876ranjana parowungLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002350069R0360614000044409-06-201409-06-20140001272094784TENGKU NURHIDATIPN-3-15-0DIALYSIS 901,358.00TOTAL165,192,535.002360069R0360614000021106-06-201406-06-20140001272201592JANAWAR PURBALZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.002370069R0360614000049107-06-201407-06-20140001272258933M.Ilham DepriadiLQ-5-41-0AMBULATORY VISIT FOR OTHER COMPLEX ACUTE DISORDER 176,606.00TOTAL165,192,535.002380069R0360614000053713-06-201413-06-20140001272372243DWI RATNAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002390069R0360614000109824-06-201424-06-20140001272372243DWI RATNAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002400069R0360614000093321-06-201421-06-20140001272793465ahde gustianLQ-5-41-0AMBULATORY VISIT FOR OTHER COMPLEX ACUTE DISORDER 176,606.00TOTAL165,192,535.002410069R0360614000017805-06-201405-06-20140001272937318RETNA ANITA ANISPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002420069R0360614000051206-06-201406-06-20140001272975377MERY DONNA FITRIAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002430069R0360614000065113-06-201413-06-20140001272975377MERY DONNA FITRIAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002440069R0360614000038811-06-201411-06-20140001273025597SIlVIA NORITAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002450069R0360614000107724-06-201424-06-20140001273087945MARINA.M.ZPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00BURHAN MANALOE165,192,535.002460069R0360614000069412-06-201412-06-20140001275782229SUPARTINAHPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002470069R0360614000079219-06-201419-06-20140001275782229SUPARTINAHPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002480069R0360614000091317-06-201417-06-20140001275852789DINI YANTI OCTIANAPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.002490069R0360614000106924-06-201424-06-20140001276309809ARMEN PUTRALQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002500069R0360614000019205-06-201405-06-20140001276829144RINDA TRIANAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002510069R0360614000044209-06-201409-06-20140001277255351MASITOPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002520069R0360614000092417-06-201417-06-20140001277255351MASITOPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002530069R0360614000061416-06-201416-06-20140001278214075HERIANTOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.0025DEASY MUSNILAWATI0069R0360614000026507-06-201407-06-20140001278261911FAZZA FAHIRAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002550069R0360614000074018-06-201418-06-20140001278261911FAZZA FAHIRAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002560069R0360614000018905-06-201405-06-20140001278336475ROHANIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002570069R0360614000056614-06-201414-06-20140001278631563ELFRIEDA BONUR SIMATUPANGPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002580069R0360614000022306-06-201406-06-20140001278862031ROSTINAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002590069R0360614000067317-06-201417-06-20140001278862031ROSTINAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002600069R0360614000030809-06-201409-06-20140001279295379GUSTIMARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002610069R0360614000061516-06-201416-06-20140001279295379GUSTIMARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002620069R0360614000098623-06-201423-06-20140001279295379GUSTIMARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002630069R0360614000086020-06-201420-06-20140001280189114ZUL PRAMANA.SLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002640069R0360614000067717-06-201417-06-20140001280778502RAHMA BETIPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.002650069R0360614000088120-06-201420-06-20140001280778502RAHMA BETIPZ-3-27-0WOUND CARE 185,079.00TOTDEASY165,192,535.00DEASY MUSNILAWATI0069R0360614000073018-06-201418-06-20140001281513172ROSMIDAR TOBINGPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002670069R0360614000110425-06-201425-06-20140001281727473ERMA YULISLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002680069R0360614000079819-06-201419-06-20140001281816843SUTRISNO SLAMETLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002690069R0360614000042509-06-201409-06-20140001282070024SYAFRILZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.002700069R0360614000063716-06-201416-06-20140001282070024SYAFRILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002710069R0360614000063116-06-201416-06-20140001282315072NENNI FARIDA SIMAREMAREPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002720069R0360614000081619-06-201419-06-20140001282315072NENNI FARIDA SIMAREMAREPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.002730069R0360614000096021-06-201421-06-20140001282315072NENNI FARIDA SIMAREMAREPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.002740069R0360614000100523-06-201423-06-20140001282315072NENNI FARIDA SIMAREMAREPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.002750069R0360614000114125-06-201425-06-20140001282315072NENNI FARIDA SIMAREMAREPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.002760069R0360614000016305-06-201405-06-20140001282542581M MADEYAR DAMANIKLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00BAYI NY SITI MUNAWAROH165,192,535.002770069R0360614000058514-06-201414-06-20140001282542581M MADEYAR DAMANIKLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002780069R0360614000081419-06-201419-06-20140001282542581M MADEYAR DAMANIKLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002790069R0360614000045107-06-201407-06-20140001282937016SYAHRUDDINLN-3-15-0DIALYSIS 901,358.00TOTAL165,192,535.002800069R0360614000045807-06-201407-06-20140001282949302JOHANNES MANIKLN-3-15-0DIALYSIS 901,358.00TOTAL165,192,535.002810069R0360614000057714-06-201414-06-20140001282949302JOHANNES MANIKLN-3-15-0DIALYSIS 901,358.00TOTAL165,192,535.002820069R0360614000072511-06-201411-06-20140001282949302JOHANNES MANIKLN-3-15-0DIALYSIS 901,358.00TOTAL165,192,535.002830069R0360614000100923-06-201423-06-20140001284091716SUTIYANAPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.002840069R0360614000030109-06-201409-06-20140001284289907UTOMO KUSNADILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002850069R0360614000090020-06-201420-06-20140001284443043SALSABILLA FERNANDA AHMADIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002860069R0360614000065614-06-201414-06-20140001284633483NUR`AINI FADIYAH MURTADHOPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002870069R0360614000099923-06-201423-06-20140001284844904SITI SUNDARIPQ-5-25-0AMBULATORY VISIT FOR ACUTE GASTROINTESTINAL DISORDER 136,537.00TOTAL165,192,535.002880069R0360614000071611-06-201411-06-20140001285666503SARIFAH FADLUNPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002890069R0360614000026807-06-201407-06-20140001286572959YUSMANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002900069R0360614000027507-06-201407-06-20140001286575986AMNI HARTIPF-5-14-0ADULT NON ACUTE INDIVIDUAL PSYCHOTHERAPY 147,609.00TOTAL165,192,535.002910069R0360614000018505-06-201405-06-20140001286644814SUWARNOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002920069R0360614000080219-06-201419-06-20140001286680397RIYADUL FAHMI ARIYOGALQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002930069R0360614000024407-06-201407-06-20140001286688025WARNISPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.002940069R0360614000047612-06-201412-06-20140001287219756ABU DAUTLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002950069R0360614000019305-06-201405-06-20140001287882988WINDY ROZALIA INDAHPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.002960069R0360614000019005-06-201405-06-20140001288027293RITA PERMATA SARIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.002970069R0360614000071011-06-201411-06-20140001288342405SISKA ANDESTAPQ-5-25-0AMBULATORY VISIT FOR ACUTE GASTROINTESTINAL DISORDER 136,537.00TOTAL165,192,535.002980069R0360614000042709-06-201409-06-20140001289085445sabarina putri wulandari siallaganPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.002990069R0360614000054313-06-201413-06-20140001290020534YOHANA FITRIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003000069R0360614000032409-06-201409-06-20140001290715604SUPRIYANTO SELQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003010069R0360614000048705-06-201405-06-20140001291176988AULIA DWICAHYUPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00JAMILA165,192,535.003020069R0360614000091117-06-201417-06-20140001291287699TIMBUL PANGGABEANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003030069R0360614000100623-06-201423-06-20140001291319673SALMA CHIARA PUTRIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003040069R0360614000089820-06-201420-06-20140001291672023SONEFIPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003050069R0360614000020606-06-201406-06-20140001291867558LIDA HASMIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003060069R0360614000059414-06-201414-06-20140001293507022YESI NELSONPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003070069R0360614000071411-06-201411-06-20140001293507022YESI NELSONPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003080069R0360614000031609-06-201409-06-20140001294062906AULIA SHABRINA AZ ZAHRAPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003090069R0360614000107024-06-201424-06-20140001294099244PARNOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003100069R0360614000021806-06-201406-06-20140001294164663REHULINA BR TARIGANPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003110069R0360614000026907-06-201407-06-20140001294465116FATIMAHPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003120069R0360614000037110-06-201410-06-20140001295466322SYAMSUDDIN TANJUNGLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003130069R0360614000037010-06-201410-06-20140001295466827RIKA SUSANTIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003140069R0360614000099523-06-201423-06-20140001295771681KASMA BUTETPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003150069R0360614000034810-06-201410-06-20140001295792098ZURIATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003160069R0360614000066417-06-201417-06-20140001295792098ZURIATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003170069R0360614000085720-06-201420-06-20140001295993215ANNUR KHAIRPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00FAUSIAH HANNUM0069R0360614000045607-06-201407-06-20140001296019675BUDI KURNIALJ-3-13-0RESPIRATORY THERAPY OPERATIONS 248,545.00TOTAL165,192,535.003190069R0360614000070710-06-201410-06-20140001296024366IDA BELLINA SITANGGANgPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003200069R0360614000042909-06-201409-06-20140001296140591ZULKIFLI BAHARLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003210069R0360614000055113-06-201413-06-20140001296140591ZULKIFLI BAHARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003220069R0360614000081219-06-201419-06-20140001296140591ZULKIFLI BAHARLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003230069R0360614000036210-06-201410-06-20140001296141939YULIAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003240069R0360614000114914-06-201414-06-20140001296610839LENI MALIANAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003250069R0360614000064316-06-201416-06-20140001296612088NURIJAHPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003260069R0360614000081019-06-201419-06-20140001296972538ellyzaPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003270069R0360614000031009-06-201409-06-20140001297204424SRI WAHYUNIPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003280069R0360614000040511-06-201411-06-20140001297204424SRI WAHYUNIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003290069R0360614000111125-06-201425-06-20140001297257546BURHAN MANALOELQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003300069R0360614000111225-06-201425-06-20140001297259166RAMSI ASNAH SITOMPULPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003310069R0360614000106224-06-201424-06-20140001297809551RIZKA WULANDARILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003320069R0360614000061616-06-201416-06-20140001298197203WINDA YOHANA. PPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003330069R0360614000040011-06-201411-06-20140001298294673ERAWATIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003340069R0360614000088820-06-201420-06-20140001298294673ERAWATIPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003350069R0360614000111525-06-201425-06-20140001298294673ERAWATIPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003360069R0360614000040111-06-201411-06-20140001298754551ASNIMARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003370069R0360614000080319-06-201419-06-20140001298754551ASNIMARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003380069R0360614000035510-06-201410-06-20140001299759783ALI AMRANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003390069R0360614000073618-06-201418-06-20140001300008521TUTI ELIZAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003400069R0360614000031209-06-201409-06-20140001300014898TIAMSAH DALIMUNTHEPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003410069R0360614000036810-06-201410-06-20140001300115867JOLLY BURHAN SIAHAANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003420069R0360614000088520-06-201420-06-20140001300318481GUSMIWATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003430069R0360614000093421-06-201421-06-20140001300463335DARMAWATINPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003440069R0360614000070410-06-201410-06-20140001300481032FEBRIYANTO KURNIAWANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003450069R0360614000016605-06-201405-06-20140001300665835FARAH GINA PUTRI ANANDAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003460069R0360614000114814-06-201414-06-20140001301045411ANITAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003470069R0360614000039411-06-201411-06-20140001302039775TRI NOVI DOHAJJAHPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003480069R0360614000057514-06-201414-06-20140001302039775TRI NOVI DOHAJJAHPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003490069R0360614000038108-06-201408-06-20140001302041902SALVIA NAURA ZENPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003500069R0360614000034610-06-201410-06-20140001302086957DJAMIRUSLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003510069R0360614000026107-06-201407-06-20140001302392035Muhammad Zacky AufarillahLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003520069R0360614000097323-06-201423-06-20140001302678415KHAIRILLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003530069R0360614000094021-06-201421-06-20140001302760258SYAFRUDDINLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003540069R0360614000020405-06-201405-06-20140001302797856HARMENLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003550069R0360614000081519-06-201419-06-20140001303167306ASNELLIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003560069R0360614000087720-06-201420-06-20140001303685943BERLIANAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003570069R0360614000100823-06-201423-06-20140001303685943BERLIANAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003580069R0360614000071811-06-201411-06-20140001304121238DONA LISAPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003590069R0360614000069512-06-201412-06-20140001304135425SAUNAH BINTI ABDULLAH SAIBANIPQ-5-27-0AMBULATORY VISIT FOR ACUTE CENTRAL NERVOUS SYSTEM DISORDER 137,966.00BAYI NY FAUSIAH HANNUM165,192,535.003600069R0360614000055513-06-201413-06-20140001304147957AZIMAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003610069R0360614000065513-06-201413-06-20140001304154527LEONARDO MATURALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003620069R0360614000080619-06-201419-06-20140001304154527LEONARDO MATURALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003630069R0360614000080719-06-201419-06-20140001304157925RINI MUNAFPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003640069R0360614000107624-06-201424-06-20140001304180561FAIZ AULIA RIZALDYLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003650069R0360614000044112-06-201412-06-20140001304350165SYARIFUDDINLQ-5-40-0AMBULATORY VISIT FOR ACUTE URINARY TRACT INFECTION 126,962.00TOTAL165,192,535.003660069R0360614000053006-06-201406-06-20140001304354935MIRNAWATIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003670069R0360614000045307-06-201407-06-20140001304458536RUMONDANG LUBISPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003680069R0360614000091217-06-201417-06-20140001305032995NURBAINIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003690069R0360614000053913-06-201413-06-20140001305050973ASMA YETTIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003700069R0360614000085820-06-201420-06-20140001305050973ASMA YETTIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003710069R0360614000040411-06-201411-06-20140001305136326ARIONT BARONTLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003720069R0360614000040311-06-201411-06-20140001305137013RIA DELITAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00AZRIA ULFA0069R0360614000070510-06-201410-06-20140001305155395yudha andhika pratamaLQ-5-43-0AMBULATORY VISIT FOR OTHER MAJOR CHRONIC DISEASES 198,075.00AZRIA ULPA165,192,535.003740069R0360614000078719-06-201419-06-20140001305737954SEPTIAN KURNIAWANLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003750069R0360614000111725-06-201425-06-20140001305737954SEPTIAN KURNIAWANLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003760069R0360614000067617-06-201417-06-20140001305866755SITI RAHMAHPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003770069R0360614000080419-06-201419-06-20140001305866755SITI RAHMAHPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003780069R0360614000101023-06-201423-06-20140001305866755SITI RAHMAHPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003790069R0360614000032709-06-201409-06-20140001305910653HARSILMANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003800069R0360614000070212-06-201412-06-20140001305910653HARSILMANLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003810069R0360614000104924-06-201424-06-20140001305935752SARIMANLN-3-15-0DIALYSIS 901,358.00TOTAL165,192,535.003820069R0360614000089020-06-201420-06-20140001306319141yulidarPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003830069R0360614000054213-06-201413-06-20140001306412537ELVI SURYAPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003840069R0360614000063416-06-201416-06-20140001306412537ELVI SURYAPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.003850069R0360614000015905-06-201405-06-20140001306416598FENNY EMELIANIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003860069R0360614000099023-06-201423-06-20140001306545985AMRI RUSLILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003870069R0360614000087020-06-201420-06-20140001306889302laila haryaniPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003880069R0360614000095121-06-201421-06-20140001306987121SYARIFAH AINIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003890069R0360614000051606-06-201406-06-20140001307679895Fatiha Haniya AlbannaLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.003900069R0360614000038008-06-201408-06-20140001307953956azizul hakimLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003910069R0360614000078419-06-201419-06-20140001307982262NURHIJA YANTIPZ-3-25-0ULTRASOUND FOR GYNAECOLOGY DISORDERS 171,523.00TOTAL165,192,535.003920069R0360614000027407-06-201407-06-20140001307984106lydiaPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003930069R0360614000029609-06-201409-06-20140001307991036LUSIANA YANIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003940069R0360614000019505-06-201405-06-20140001308478678fithri hsPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003950069R0360614000054613-06-201413-06-20140001308618652yanti noraPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003960069R0360614000081119-06-201419-06-20140001308618652yanti noraPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.003970069R0360614000048812-06-201412-06-20140001308624941WELLA GUSMANPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.003980069R0360614000045407-06-201407-06-20140001308661389AMAIPK-3-10-0OTHER NON COMPLEX GASTROINTESTINAL OPERATIONS 360,851.00TOTAL165,192,535.003990069R0360614000021706-06-201406-06-20140001308681055JASMANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004000069R0360614000068017-06-201417-06-20140001309051956sri monika nababan PZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004010069R0360614000035210-06-201410-06-20140001309243241kosmiati harahapPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004020069R0360614000043412-06-201412-06-20140001309305734SAMUEL A.S. SIAHAANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004030069R0360614000071310-06-201410-06-20140001309330438NOVA EKA SARIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004040069R0360614000061916-06-201416-06-20140001309359003JASMAWATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004050069R0360614000040911-06-201411-06-20140001309964602aminahPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004060069R0360614000027007-06-201407-06-20140001310000321siti mahya PZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004070069R0360614000017705-06-201405-06-20140001310018365farida PQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004080069R0360614000075418-06-201418-06-20140001310037974bayi ny nena ariskaLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004090069R0360614000044506-06-201406-06-20140001310472033norma sariPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004100069R0360614000049712-06-201412-06-20140001310596918ririn anggrianiPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004110069R0360614000080119-06-201419-06-20140001310603499elyarita sPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004120069R0360614000107124-06-201424-06-20140001310823865afridaPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004130069R0360614000044309-06-201409-06-20140001310864106desi istiqomahPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004140069R0360614000031909-06-201409-06-20140001310949461M HAFIZ PRATAMALZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004150069R0360614000021906-06-201406-06-20140001311000467MARDIANISPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004160069R0360614000054913-06-201413-06-20140001311000467MARDIANISPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004170069R0360614000094421-06-201421-06-20140001311291156YANTI DeSWITAPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004180069R0360614000017105-06-201405-06-20140001311406323JULYAWATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004190069R0360614000035910-06-201410-06-20140001311559143DESI RAHMAWATIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004200069R0360614000090720-06-201420-06-20140001311570933EKA PERNANDAPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004210069R0360614000052506-06-201406-06-20140001311803368MARDIATUNPQ-5-43-0AMBULATORY VISIT FOR OTHER MAJOR CHRONIC DISEASES 198,075.00TOTAL165,192,535.004220069R0360614000036010-06-201410-06-20140001312385725KUSNANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004230069R0360614000040711-06-201411-06-20140001312385725KUSNANLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.004240069R0360614000095821-06-201421-06-20140001312385725KUSNANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004250069R0360614000041611-06-201411-06-20140001312514133habibi septiawanLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004260069R0360614000015605-06-201405-06-20140001312603097NENI SUSANTIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004270069R0360614000079919-06-201419-06-20140001312603097NENI SUSANTIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004280069R0360614000068217-06-201417-06-20140001312658739netriwitaPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004290069R0360614000029809-06-201409-06-20140001312679619muhammad zafranLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004300069R0360614000056313-06-201413-06-20140001312679619muhammad zafranLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004310069R0360614000039311-06-201411-06-20140001312687269YAN BASTAMANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004320069R0360614000068417-06-201417-06-20140001312687269YAN BASTAMANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.00NOFI ERNA 0069R0360614000085320-06-201420-06-20140001312687269YAN BASTAMANLZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004340069R0360614000114425-06-201425-06-20140001313018987TRI SANTOSOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004350069R0360614000021306-06-201406-06-20140001313255722LIBER PARMONANGAN NAINGGOLANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004360069R0360614000031709-06-201409-06-20140001313432774DIO ANJANA PURNAMALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004370069R0360614000101423-06-201423-06-20140001313432774DIO ANJANA PURNAMALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004380069R0360614000050906-06-201406-06-20140001313611896RENO RIANTOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004390069R0360614000030209-06-201409-06-20140001313699128m. nasirLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004400069R0360614000062116-06-201416-06-20140001313699128m. nasirLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004410069R0360614000020706-06-201406-06-20140001313704945surya astutiPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004420069R0360614000053413-06-201413-06-20140001313704945surya astutiPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004430069R0360614000047312-06-201412-06-20140001313727052SAIPUL BAHRILQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.004440069R0360614000094221-06-201421-06-20140001313727052SAIPUL BAHRILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004450069R0360614000079719-06-201419-06-20140001313910674YULIARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004460069R0360614000031309-06-201409-06-20140001313931161AMRIZALLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00NOVIDA165,192,535.004470069R0360614000072618-06-201418-06-20140001313977465ELMIZAWATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004480069R0360614000018605-06-201405-06-20140001314374152MARDIANISPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004490069R0360614000092017-06-201417-06-20140001314449807OTIMASTIMAWATI ZALUKHUPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004500069R0360614000022406-06-201406-06-20140001314495303vixty iweandaPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004510069R0360614000046212-06-201412-06-20140001314495303vixty iweandaPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004520069R0360614000043109-06-201409-06-20140001314594235parman simorangkirLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004530069R0360614000109224-06-201424-06-20140001314631372MASITA HARAHAPPQ-5-33-0AMBULATORY VISIT FOR ACUTE HEMATOLOGICAL DISORDER 158,982.00TOTAL165,192,535.004540069R0360614000021006-06-201406-06-20140001314696903YUSRIZAL SYAFDALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004550069R0360614000045212-06-201412-06-20140001314785204osner dolok saribuLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004560069R0360614000060816-06-201416-06-20140001314785204osner dolok saribuLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004570069R0360614000090520-06-201420-06-20140001314785204osner dolok saribuLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004580069R0360614000113225-06-201425-06-20140001315346736KEVIN samuel HUTAPEALQ-5-31-0AMBULATORY VISIT FOR SIGNIFICANT FRACTURES 131,060.00TOTAL165,192,535.004590069R0360614000015805-06-201405-06-20140001315804972RAJA MULAI MANALULQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004600069R0360614000065817-06-201417-06-20140001315840059RAMA YENIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004610069R0360614000016005-06-201405-06-20140001315889155idrisLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004620069R0360614000016105-06-201405-06-20140001315890426kartiniPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004630069R0360614000054113-06-201413-06-20140001315947069ASNAPQ-5-43-0AMBULATORY VISIT FOR OTHER MAJOR CHRONIC DISEASES 198,075.00TOTAL165,192,535.004640069R0360614000051006-06-201406-06-20140001315993026FADILAPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.004650069R0360614000110725-06-201425-06-20140001315997379MARJOHANLZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.004660069R0360614000088320-06-201420-06-20140001316047994RAMLILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004670069R0360614000044912-06-201412-06-20140001316114313HASRILLQ-5-33-0AMBULATORY VISIT FOR ACUTE HEMATOLOGICAL DISORDER 158,982.00TOTAL165,192,535.004680069R0360614000067217-06-201417-06-20140001316114313HASRILLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004690069R0360614000099423-06-201423-06-20140001316114313HASRILLQ-5-32-0AMBULATORY VISIT FOR ACUTE URINARY TRACT DISORDER 151,703.00TOTAL165,192,535.004700069R0360614000017505-06-201405-06-20140001316358674FADIL MUZAKILQ-5-41-0AMBULATORY VISIT FOR OTHER COMPLEX ACUTE DISORDER 176,606.00TOTAL165,192,535.004710069R0360614000098923-06-201423-06-20140001316358674FADIL MUZAKILQ-5-41-0AMBULATORY VISIT FOR OTHER COMPLEX ACUTE DISORDER 176,606.00TOTAL165,192,535.004720069R0360614000026307-06-201407-06-20140001316396024BAYI NY DWI HANDAYANI IKAPUTRIPP-9-17-0NEONATE BIRTHWT >2499 GRAMS 178,179.00TOTAL165,192,535.004730069R0360614000046112-06-201412-06-20140001316396621BAYI NY VIXTY IWEANDAPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.004740069R0360614000044612-06-201412-06-20140001316552848FEBRI PRATAMA DISTA THLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004750069R0360614000029909-06-201409-06-20140001316555651harsoyoLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004760069R0360614000039911-06-201411-06-20140001316555651harsoyoLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.004770069R0360614000044807-06-201407-06-20140001316555651harsoyoLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.004780069R0360614000055713-06-201413-06-20140001316555651harsoyoLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.004790069R0360614000063816-06-201416-06-20140001316555651harsoyoLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.004800069R0360614000075918-06-201418-06-20140001316555651harsoyoLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.004810069R0360614000099823-06-201423-06-20140001316555651harsoyoLM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES 154,061.00TOTAL165,192,535.004820069R0360614000113525-06-201425-06-20140001316555651harsoyoLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004830069R0360614000055813-06-201413-06-20140001316557135nyuk faPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004840069R0360614000074218-06-201418-06-20140001316664595tri suci anggrainiPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004850069R0360614000098023-06-201423-06-20140001316664595tri suci anggrainiPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.00YANTI NORA0069R0360614000035010-06-201410-06-20140001316697671yego kurniawanLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004870069R0360614000053813-06-201413-06-20140001316697671yego kurniawanLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004880069R0360614000025107-06-201407-06-20140001316700325yuli fianaPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004890069R0360614000058314-06-201414-06-20140001316700325yuli fianaPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004900069R0360614000062316-06-201416-06-20140001316792384cahaya muzdalifahPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004910069R0360614000025507-06-201407-06-20140001316830983bayi ny. rina afridaLP-9-17-0NEONATE BIRTHWT >2499 GRAMS 178,179.00TOTAL165,192,535.004920069R0360614000046412-06-201412-06-20140001316978245ROSANTI GULTOMPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.004930069R0360614000039811-06-201411-06-20140001316980001DESI NATALIA PANJAITANPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004940069R0360614000075118-06-201418-06-20140001316980001DESI NATALIA PANJAITANPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.004950069R0360614000030909-06-201409-06-20140001317322067BAYI NY SRI WAHYUNIPP-9-17-0NEONATE BIRTHWT >2499 GRAMS 178,179.00TOTAL165,192,535.004960069R0360614000055213-06-201413-06-20140001317389196KHAIDIRLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.004970069R0360614000024807-06-201407-06-20140001317413463SUPARDI HARUNLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004980069R0360614000058014-06-201414-06-20140001317413463SUPARDI HARUNLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.004990069R0360614000093121-06-201421-06-20140001317413463SUPARDI HARUNLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005000069R0360614000019105-06-201405-06-20140001317495352LORITA GULTOMPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005010069R0360614000081719-06-201419-06-20140001317512553MASDIANTOLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005020069R0360614000098123-06-201423-06-20140001317628214HELMILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005030069R0360614000060216-06-201416-06-20140001317841143ALI BATARA SIREGARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005040069R0360614000079019-06-201419-06-20140001317841143ALI BATARA SIREGARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005050069R0360614000097523-06-201423-06-20140001317841143ALI BATARA SIREGARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005060069R0360614000108524-06-201424-06-20140001317923109NUR ARNIWATIPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.005070069R0360614000049005-06-201405-06-20140001317962283IMAM JASMANILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005080069R0360614000038208-06-201408-06-20140001317972093LUKAS ANDIAn SILUNDUNGLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005090069R0360614000070312-06-201412-06-20140001317972093LUKAS ANDIAn SILUNDUNGLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005100069R0360614000057914-06-201414-06-20140001318082218ALFI YULLIZARLZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.005110069R0360614000095921-06-201421-06-20140001318082218ALFI YULLIZARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005120069R0360614000111625-06-201425-06-20140001318093042ALIZARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005130069R0360614000071511-06-201411-06-20140001318180792ZUARNISPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005140069R0360614000093721-06-201421-06-20140001318180792ZUARNISPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005150069R0360614000067117-06-201417-06-20140001318190769SILVIA SARLY.SPZ-3-22-0OTHER CONTRAST IMAGING STUDIES 188,173.00TOTAL165,192,535.005160069R0360614000081319-06-201419-06-20140001318190769SILVIA SARLY.SPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005170069R0360614000058714-06-201414-06-20140001318196002PRY GUSBERTA. PPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.005180069R0360614000065917-06-201417-06-20140001318196002PRY GUSBERTA. PPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.005190069R0360614000113425-06-201425-06-20140001318238616Deasy Irma AstutiPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005200069R0360614000113725-06-201425-06-20140001318512047WAHYU PRATAMA CANDRALQ-5-26-0AMBULATORY VISIT FOR ACUTE BRONCHIAL DISORDER 193,514.00TOTAL165,192,535.005210069R0360614000043612-06-201412-06-20140001318605974ZULPIA DESWITAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005220069R0360614000114714-06-201414-06-20140001318755115ilmirah yasminLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005230069R0360614000063516-06-201416-06-20140001319160407bayi ny elvi suryaPQ-5-26-0AMBULATORY VISIT FOR ACUTE BRONCHIAL DISORDER 193,514.00TOTAL165,192,535.005240069R0360614000036510-06-201410-06-20140001319260353nurmiPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005250069R0360614000097223-06-201423-06-20140001319263457ermawatiPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005260069R0360614000064116-06-201416-06-20140001319336021sudiaman sitioLZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.005270069R0360614000100023-06-201423-06-20140001319336021sudiaman sitioLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005280069R0360614000042409-06-201409-06-20140001319345807BAYI NY TRI NOVI DOHAJJAHPP-9-16-0NEONATE BIRTHWT >2499 GRAMS WITH CONGENITAL/PERINATAL INFECTIONS 120,323.00TOTAL165,192,535.005290069R0360614000058214-06-201414-06-20140001319345807BAYI NY TRI NOVI DOHAJJAHPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005300069R0360614000070810-06-201410-06-20140001319352265maria ulfaPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.005310069R0360614000072311-06-201411-06-20140001319417403BAYI NY. DONA LISAPP-9-17-0NEONATE BIRTHWT >2499 GRAMS 178,179.00TOTAL165,192,535.005320069R0360614000069612-06-201412-06-20140001319477117BAYI NY. YESI NELSONLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005330069R0360614000062416-06-201416-06-20140001319635361ROLAS MARLIANA S. TAMPUBOLONPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005340069R0360614000112125-06-201425-06-20140001319643213NURHAYATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005350069R0360614000071911-06-201411-06-20140001319791105LUKMANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005360069R0360614000063616-06-201416-06-20140001319926285HERNA SUMERIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.005370069R0360614000074613-06-201413-06-20140001319970442FUJI LEONIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.005380069R0360614000067517-06-201417-06-20140001320119458BAYI NY. SITI RAHMAHPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005390069R0360614000092317-06-201417-06-20140001320120944BAYI NY. OTIMASTI MAWATI ZLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005400069R0360614000067017-06-201417-06-20140001320390753M RIZKY RAMADHANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005410069R0360614000061816-06-201416-06-20140001320546868athia nurindah sariPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005420069R0360614000074813-06-201413-06-20140001320549704SURIYATIPQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005430069R0360614000091917-06-201417-06-20140001320621142trisna waty pasaribuPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.005440069R0360614000091517-06-201417-06-20140001320717273AKBAR SYAHPUTRA NURDINLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005450069R0360614000095221-06-201421-06-20140001320974019RATNA WATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005460069R0360614000093221-06-201421-06-20140001321204498TJUA GONGPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.005470069R0360614000099623-06-201423-06-20140001321257071RISPA NINGSIHPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.005480069R0360614000073513-06-201413-06-20140001321581925HABIBI NANDALQ-5-41-0AMBULATORY VISIT FOR OTHER COMPLEX ACUTE DISORDER 176,606.00TOTAL165,192,535.005490069R0360614000107824-06-201424-06-20140001321813089ASNIMAR HADIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005500069R0360614000064716-06-201416-06-20140001321874111wahyu saputraLJ-3-13-0RESPIRATORY THERAPY OPERATIONS 248,545.00TOTAL165,192,535.005510069R0360614000063316-06-201416-06-20140001322266151MUSLIHUDINLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005520069R0360614000085120-06-201420-06-20140001322266151MUSLIHUDINLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005530069R0360614000068117-06-201417-06-20140001322445791dian purwatiPQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.005540069R0360614000113625-06-201425-06-20140001322445791dian purwatiPQ-5-12-0AMBULATORY VISIT FOR DENTAL CONDITION 125,274.00TOTAL165,192,535.005550069R0360614000093821-06-201421-06-20140001322506315DEKRI WAHYUDILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005560069R0360614000066117-06-201417-06-20140001322672771bayi ny tri suci anggrainiLP-9-17-0NEONATE BIRTHWT >2499 GRAMS 178,179.00TOTAL165,192,535.005570069R0360614000100123-06-201423-06-20140001323086848NURLELAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005580069R0360614000072818-06-201418-06-20140001323107717ELIS MURNIATIPQ-5-40-0AMBULATORY VISIT FOR ACUTE URINARY TRACT INFECTION 126,962.00TOTAL165,192,535.005590069R0360614000088720-06-201420-06-20140001323191441ali unanLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005600069R0360614000088620-06-201420-06-20140001323192284ernawatiPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005610069R0360614000079119-06-201419-06-20140001323278346bayi ny amanah mufthiulianiLZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.005620069R0360614000096421-06-201421-06-20140001324329579DEDE RATNA WATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005630069R0360614000114025-06-201425-06-20140001324329579DEDE RATNA WATIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005640069R0360614000108224-06-201424-06-20140001325252259muhammmad iqbalLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005650069R0360614000112625-06-201425-06-20140001325268707VERONICA TRI VANNY. APQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005660069R0360614000106724-06-201424-06-20140001325360878BACHTIARLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005670069R0360614000112425-06-201425-06-20140001326008856NOVIDA BR SAMOSIRPZ-3-25-0ULTRASOUND FOR GYNAECOLOGY DISORDERS 171,523.00TOTAL165,192,535.005680069R0360614000152923-06-201423-06-20140000017245989ALYA HIDAYAHPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005690069R0360614000166423-06-201423-06-20140000019602437ASMINANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005700069R0360614000130828-06-201428-06-20140000019805422YUNASRILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005710069R0360614000154526-06-201426-06-20140000019843301SYAFRINALLQ-5-42-0AMBULATORY VISIT FOR OTHER MINOR ACUTE DISORDER 138,494.00TOTAL165,192,535.005720069R0360614000161828-06-201428-06-20140000019910902RIKA GUSTINIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.005730069R0360614000118426-06-201426-06-20140000020099147SUMALILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005740069R0360614000129116-06-201416-06-20140000020489433FITRI YENIPZ-3-23-0OTHER ULTRASOUND OPERATIONS 195,999.00TOTAL165,192,535.005750069R0360614000156525-06-201425-06-20140000020592933NURMAINIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005760069R0360614000122526-06-201426-06-20140000020600111SELAMATLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005770069R0360614000163330-06-201430-06-20140000020600111SELAMATLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005780069R0360614000128916-06-201416-06-20140000020676396R.OKTAVIAR ROESLILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005790069R0360614000164730-06-201430-06-20140000020676396R.OKTAVIAR ROESLILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005800069R0360614000136228-06-201428-06-20140000020873856FAUSIAH HANNUMPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005810069R0360614000157625-06-201425-06-20140000020873856FAUSIAH HANNUMPZ-3-27-0WOUND CARE 185,079.00TOTAL165,192,535.005820069R0360614000141530-06-201430-06-20140000020977626RISHA JANELIAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005830069R0360614000129616-06-201416-06-20140000020989315FEBRIADILQ-5-29-0AMBULATORY VISIT FOR CONGESTIVE HEART FAILURE & OTHER CARDIAC DISORDER 315,371.00TOTAL165,192,535.005840069R0360614000153023-06-201423-06-20140000020989315FEBRIADILQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005850069R0360614000155224-06-201424-06-20140000021066208AZULAIDAPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005860069R0360614000143915-06-201415-06-20140000021074422MADYA KRISTIAN MARPAUNGLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005870069R0360614000139730-06-201430-06-20140000021077662MUHAMMAD IRFANLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005880069R0360614000120616-06-201416-06-20140000021168685ALI BAHAR.HLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005890069R0360614000161027-06-201427-06-20140000021168685ALI BAHAR.HLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005900069R0360614000120416-06-201416-06-20140000021168696NURAINI,HJPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005910069R0360614000122026-06-201426-06-20140000021195865HELENA RISMAULI SIPANGKARPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005920069R0360614000147219-06-201419-06-20140000021215518MASRUN MUHAMMAD,DRS.HLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005930069R0360614000119626-06-201426-06-20140000021266291SYAMSIRLQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005940069R0360614000150220-06-201420-06-20140000021371321UJANG ILYASLQ-5-25-0AMBULATORY VISIT FOR ACUTE GASTROINTESTINAL DISORDER 136,537.00TOTAL165,192,535.005950069R0360614000119026-06-201426-06-20140000021449384HENDRI ZULFANDRY PUTRALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005960069R0360614000137830-06-201430-06-20140000021449384HENDRI ZULFANDRY PUTRALQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005970069R0360614000119926-06-201426-06-20140000021508536MURNIPQ-5-44-0AMBULATORY VISIT FOR OTHER MINOR CHRONIC DISEASES 161,918.00TOTAL165,192,535.005980069R0360614000124116-06-201416-06-20140000021530349ARFIDAPM-3-16-0PHYSICAL THERAPY & MINOR MUSCULOSKELE