KUNJUNGAN PASIEN HARIAN

Klinik : Kecantikan Kusuma Banda Aceh

Tgl 1 s/d 7 OKTOBER 2017

Harga Cream
Tanggal Rsp No Nama Keterangan + Obat Facial Suntikan Total Tunai
1 HAIZA AV3, MD3 GEL Rp 240,000 Rp 240,000
2 IPAH SBKK, SBACN Rp 140,000 Rp 140,000
1-OKT 3 SITI SB* Rp 130,000 Rp 130,000
Rp 510,000

4 META AV1, AHM5, FW Rp 285,000 Rp 285,000

5 MELANI WH3, VITC-250, FC+RX5+OXY Rp 310,000 Rp 250,000 Rp 560,000
6 FIRA MISOFLEK LEHER, TANGAN, KAKI Rp 790,000 Rp 790,000
7 YUSNIDAR KSO, WH3, SBBLUX, MSO1 Rp 620,000 Rp 620,000
8 MUT MAINAH CL GOLD, FW ND, TONER GOLD, MSO2, SB*, AV1 Rp 675,000 Rp 675,000
2-OKT 9 LINDA FW, SBBLUX Rp 275,000 Rp 275,000
10 META DETOK+M.KAPSUL 2, DETOK+M.KAPSUL 2, FC+RX5+FO Rp 465,000 Rp 465,000
11 YUSNIDAR MISOFLEK+M.LG, MISOFLEK+M.LG, FC+RX1+OXY, MISOFLEK +M.LG Rp 710,000 Rp 710,000
12 RAMADINI DETOK+M.KAPSUL 2, DETOK+M.KAPSUL 2, FC+RX5+FO Rp 465,000 Rp 465,000
13 TIKA WH2, CL, RX2 Rp 325,000 Rp 325,000
14 DEVI FC+OXY+RX2+M.LG Rp 220,000 Rp 220,000
Rp 5,390,000

15 NILA DETOK+M.KAPSUL 2, HBSILK Rp 180,000 Rp 170,000 Rp 350,000

16 dr. CUT SANDRA AHM5 > Rp 160,000 Rp 160,000
17 FAUZIAH EX4, C3, SBACN Rp 340,000 Rp 340,000
3-OKT 18 RATNA SBBLUX, CLAO, OXY LG, AHM5 < Rp 530,000 Rp 530,000
19 SABARIAH AV1, PN-02, CL, FW, SBACN Rp 400,000 Rp 400,000
20 MARIANI SBACN, AV2, CL Rp 235,000 Rp 235,000
21 AGUSTINA RX1, SB* Rp 290,000 Rp 290,000
Rp 2,300,000
22 MIS FC+RX2+FO, CLND Rp 80.000 Rp 125.000 Rp 205,000
23 IDA HERFIANTI FC OXY+RX2, CL SILVER, FW FOAM, TONER SILVER, SB*, WH1, RX2 Rp 635,000 Rp 200,000 Rp 835,000
24 HANUM P.SPC, SBACN, CLAO Rp 290,000 Rp 290,000
4-OKT 25 TIKA RX2, CL Rp 215,000 Rp 215,000
26 SULASTRI SBACN, FW Rp 145,000 Rp 145,000
27 MAIDA SBBLUX, MSO2, AC-PP, CL GOLD Rp 590,000 Rp 590,000
28 FAZA FW, AV2 Rp 185,000 Rp 185,000
29 NIAR SB* Rp 130,000 Rp 130,000
Rp 2,595,000
30 ZURAIDA DETOK+M.KAPSUL 2, DETOK+M.KAPSUL 2 Rp 340,000 Rp 340,000
31 DESI FW, VITC-250 Rp 75,000 Rp 250,000 Rp 325,000
32 OVI WH3, AHM1, WH2 Rp 310,000 Rp 310,000
33 LINDA VITC-250 Rp 250,000 Rp 250,000
5-OKT 34 MAYA SBACN Rp 70,000 Rp 70,000
35 TIKA RX2 Rp 160,000 Rp 160,000
36 DIAN LC-200 Rp 200,000 Rp 200,000
37 MAYA VITC-250 Rp 250,000 Rp 250,000
Rp 1,905,000
38 YANTI ROSITA AV3 Rp 110,000 Rp 110,000
39 DINDA FC+OXY+RX2 Rp 200,000 Rp 200,000
6-OKT 40 NILA FW FOAM, SBACN Rp 170,000 Rp 170,000
41 MARTA FW, CL GOLD, TONER SILVER, MSO5, SB*, WH3, RX5 Rp 810,000 Rp 810,000
42 EPI WH3, GLUTION Rp 362,000 Rp 362,000
Rp 1,652,000
43 IDA CLND, TONER SILVER Rp 135,000 Rp 135,000
44 MELANI DETOK+M.KAPSUL 2, DETOK+M.KAPSUL 2, FC+RX5+FO, CUR 10, BGA Rp - Rp 465.000 Rp 685,000
45 NELA TONER GOLD, CUR 10, CLAO, AV3, SBACN Rp 375,000 Rp 375,000
7-OKT 46 TIKA RX2, TONER SILVER Rp 215,000 Rp 215,000
47 DEWI SBKK, FW Rp 145,000 Rp 145,000
48 RARA SBKK, WH1, AHM5 > Rp 470,000 Rp 470,000
Rp 2,025,000
 KUNJUNGAN PASIEN HARIAN
Klinik : Kecantikan Kusuma Banda Aceh
Tgl : 8 s/d 14 OKTEBER 2017

Harga Cream
Tanggal Rsp No Nama Keterangan + Obat Facial Suntikan Total Tunai
49 IRMA WH2, SBACN Rp 180,000 S
50 SULASTRI WH2, SBACN Rp 180,000 Rp 180,000
8-OKT 51 SANTI AV3, WH2, SBBLUX Rp 420,000 Rp 420,000
52 FIRA AV1, C-02 Rp 200,000 Rp 200,000
Rp 980,000
53 ERNI RX1, AV1, SBACN Rp 340,000 Rp 340,000
54 ATUN WH3, FW Rp 185,000 Rp 185,000
9-OKT 55 SAIDA AV3, KSO Rp 220,000 Rp 220,000
56 RINA WH4, C.GL1 Rp 220,000 Rp 220,000
57 NANA DETOK+M.KAPSUL 2, DETOK+M.KAPSUL 2 Rp 340,000 Rp 340,000
Rp 1,305,000
58 WAHYUNI KSO, AHM-1 Rp. 270.000 Rp 270.000
59 SARI Fc. Oxy + Rx-5 + M. AC Rp. 220.000 Rp 220.000
60 RATNA SB*, AV3, M.NW, SBB-lux Rp. 200.000 Rp. 250.000 Rp 450.000
61 NAZMI MSO-1 , FW, SB *, Av3 Rp 515.000 Rp 515.000
10-OKT 62 ANE VIT-C 400 Rp. 400.000 Rp. 400.000
63 SITY FC OXY + RX-2, WH3,AHM-1, BNS Rp. 330.000 Rp. 250.000 Rp 580.000
64 NETA EX-4, ALAS, PP TOTOL Rp. 290.000 Rp. 290.000
65 VIA VIT-C250, WH3 Rp. 110.000 Rp. 250.000 Rp . 360.000
66 ROSLIWA WH4, FACIAL FOAM N/D SB*, TONER GOLD Rp. 395.000 Rp. 395.000
Rp 3.430.000
67 PUTRI SB-B LUX, CLAO Rp. 280.000 Rp. 280.000
68 MELANI FACIAL WASH REVIVING, GLUTION Rp. 327.000 Rp. 327.000
69 RINI FC. OXY+ RX-5, OXY-LG Rp. 150.000 Rp. 200,000 Rp. 350.000
70 LENI WH4, FACIAL WASH REVIVING Rp. 185.000 Rp. 185.000
11-OKT 71 HAYATUL WH2, FACIAL WASH REVIVING , CL SILVER, SB-B LUX, MSO-5 Rp. 665.000 Rp. 665.000
72 FANI EX-4, AV1, SB* Rp. 350.000 Rp. 350.000
73 SAIDAH DETOK + MD CAPSUL 2, DETOK MD KAPSUL 2, DETOK MD CAPSUL 2, FC OXY+RX5, ALAS Rp. 70.000 Rp. 710.000 Rp 780.000
74 RISKA SB-CAN, COMPACT POWDER 02 Rp. 160.000 Rp. 160.000
75 SAIDAH POWDER SPC Rp. 140.000 Rp. 140.000
Rp 3.237.000
76 YUSNI WH3, FW Rp 185,000 Rp 185,000
77 DESY SBKK, BGA Rp 230,000 Rp 230,000
78 RIFQA SBB-LUX Rp 200,000 Rp 200,000
12-OKT 79 SISKA FC+OXY+RX5 Rp. 200,000 Rp -
80 IKA VITC-250 Rp 250,000
81 RENI SBACN,AV1 Rp 180,000
Rp 1,245,000
13-OKT 82 ZAMINDAR DETOK+M.KAPSUL2, DETOK+M.KAPSUL2, DETOK+M.KAPSUL2, DETOK+M.KAPSUL2, FC OXY+RX5+FO, TONER GOLD Rp 55,000 Rp 805,000 Rp 860,000
83 IBU ANI MD+OXY+RX1+RX2 Rp 450,000 Rp 450,000
84 DIAN GLUTION , HB SILK Rp 432.000 Rp 432.000
85 VINA FC + RX-2 + FO , AV-1 Rp 110.000 Rp 125.000 Rp. 225.000
86 MERRY SBACN, FW REVIVING Rp 145.000 Rp 145.000
87 AMI FC + OXY + RX-2 , FW FOAM Rp 100.000 Rp 200.000 Rp 300.000
88 DILA AV-3, SBACN, FW REVIVING Rp 255.000 Rp 255.000
89 NURUL AV-3, TONER GOLD Rp 165.000 Rp 165.000
90 ICUT RX-1, RX-1, FW REVIVING, FW REVIVING Rp 470.000 Rp 470.000
91 DINI FW REVIVING, AV-3, TONER GOLD Rp 240.000 Rp 240.000
Rp 3,552,000
14-OKT 92 DEWI FW REVIVING Rp 75.000 Rp 75.000
93 YULIANA WH-3, SBB LUX Rp 310.000 Rp 310.000
94 RARA FC + RX-5 + MD LG, SBB LUX, CLND, TONER GOLD, MSO 1 Rp 535.000 Rp 125.000
95 DEWI SBKK, WH-3, WH-3 Rp 290.000
96 HASRIAH CLND, TONER GOLD Rp 135.000
97 YUNI FC + RX-5 +FO, CUR 10, TONER SILVER, TONER GOLD Rp 170.000 Rp 125.000
Rp 1, 760,000
TanggalRsp No Nama

15- OKT 98 CUT LUBNA

99 KHADIJAH
100 RARA
101 FEBE
102 LINDA
103 FARAH

16 OKT 104 SURGIATI

105 FRIZAL
106 RINA

107 RISKA
108 YULIA
109 NABILA
110 ITA
111 MELANI

17 OKT 112 DINI

113 YUNI
114 ITA
115 RIKA
116 META
117 PUTRI
118 NANA
119 ELVIA

18 OKT 120 MAIDA

121 RARA
122 DAHLIA
123 LELY
124 SAIDA
125 UYUN
126 TITA
127 NURUL MAULIDA
128 UMI
129 ARFA
 130 FAUZIAH

19 OKT 131 RISKA

132 AYU
133 RIA
134 SITI
135 DERIN
136 WUSRA
137 EPI

20 OKT 138 YUSNIDAR

139 CUT MELDA
140 CUT RINAWATI
141 METHA
142 FAUZIAH
143 ZULFA

21 OKT 144 RINI

145 HANUM
146 RINA
147 RINI
148 MIRA
149 MAYA
150 DIAN
151 RUNI
 KUNJUNGAN PASIEN HARIAN
Klinik : Kecantikan Kusuma Banda Aceh
Tgl : 15 s/d 22 OKT 2017

Keterangan

SB*
DETOK+ MD CAPSUL 2 , SBACN, CL GOLD
DETOK+ MD CAPSUL 2
DETOK + MD CAPSUL 2
FC + RX 2+ F0
FC + OXY +RX 2+ M. COLANGGEN , M. COLANGEN (3)

CLND + SB* + TONER SILVER

KSO + MSO 2 + FW REVIVING + SBSPC
SB* + MSO 2 + TONER SILVER

VIT C 400 5x (PAKET ) + FC OXY

VIT C 400 NO VOUCHER
TONER ASTRIGEN + AV 2 + SBACN
MD + FACIAL OXY + WH 2
DETOX ( PAKET)

SB*
FC OXY RX 1 + RX 2
MESOFLEK M. LG + MESOFLEK M. LG
FC OXY RX 1 + RX 2
FC BIASA + RX5 + MSO2 + CL PUTIH + TONER SILVER
SBAO
AV1
WH4 + CL SILVER

GL + WH 2
BNS + BTMO + FW
TONER SILVER
FC OXY RX 1 + RX 2 = LG
MSO 2
FW REVEVING + MSO 2 + WH 2
SBC
FW ND + SB*
MESOFLEK M. LG + MESOFLEK M. LG
FCOXY + MD + RX 2 + fw N/D + WH2+ MSO-2 +SB*
 FE + RX2 + FO

MASKER COLAGEN LG +
WH2 + SBNW
FC + RX2 + FO
PAKET INJ VIT C 250 ( NOMER VOCHER A0067 - A0072)
FC OXY + RX2 +RX5
WH4 + FWND FOAM + MSO1 + MESO FLEX MLG
FWL = TONER SILVER

MSO 1
CL WHITE + FX OXY + RX 2
SBB-LUX + GL1
FW R
AF 3
SBB + WH2

WH3 + WH2 + RX 2 + FW FOAM

FWR + MD + RX 5 +FO + VIT C 250
WH 3
SBB + AV 1 +MDNO + FWR + CL
FC OXY + RX 5 + SBACN + FW FOAM + CLAO + TONER GOLD + AV 1
AV 3 + SBACN
SBACN + FWR + AV 2
SBB + FW FOAM +BNS (2 BIJIK) + KSO
RIAN
nda Aceh
7

Harga
Cream + Facial Suntikan Total Tunai
Obat
Rp 130.000 Rp 130.000
Rp 180.000 Rp 170.000 Rp 350.000
Rp 170.000 Rp 170.000
Rp 170.000 Rp 170.000
Rp 125.000 Rp 125.000
Rp 60.000 Rp 220.000 Rp 280.000
Rp
265.000
Rp Rp 265.000
455.000
Rp Rp 455.000
385.000 Rp 385.000
Rp
Rp 200.000 2.000.000 Rp 2.200.000
-
Rp 235.000 Rp 235.000
Rp 110.000 Rp 350.000 Rp 460.000
- Rp 4.000.000

Rp 130.000 Rp 130.000
Rp 250.000 Rp 250.000
Rp 340.000 Rp 340.000
Rp 250.000 Rp 250.000
Rp 310.000 Rp 100.000 Rp 410.000
Rp 130.000 Rp 130.000
Rp 60.000 Rp 60.000
Rp 190.000 Rp 190.000
Rp 1.760.000

Rp 220.000 Rp 220.000
Rp 220.000 Rp 220.000
Rp 55.000 Rp 55.000
Rp 270.000 Rp 270.000
Rp 200.000 Rp 200.000
Rp 385.000 Rp 385.000
Rp 70.000 Rp 70.000
Rp 230.000 Rp 230.000
Rp 885.000 Rp 340.000 Rp 1.195.000
Rp 560.000 Rp 350.000 Rp 910.000
Rp 125.000

Rp 3.880.000

RP 20.000 RP 20.000
RP 220.000 RP 220.000
RP 125.000 RP 125.000
RP 1.250.000 RP 1.250.000
RP 250.000 RP 250.000
RP 410.000 RP 170.000 RP 580.000
RP 130.000 RP 130.000

RP 2.575.000

Rp 200.000 Rp 200.000
RP 55.000 RP 200.000 RP 255.000
Rp 310.000 Rp 310.000
Rp 75.000 Rp 75.000
RP 110.000 RP 110.000
RP 240.000 RP 240.000
RP 1.190.000

RP
RP 180.000
180.000
RP 75.000 RP 225.000 RP 250.000 RP 550.000
RP
RP 110.000
110.000
RP
RP 500.000
500.000
RP 415.000 RP 200.000 RP 615.000
RP
RP 180.000
180.000
RP
RP 255.000
255.000
RP
RP 460.000
460.000
RP 3.150.000
 KUNJUNGAN PASIEN HARIAN
Klinik : Kecantikan Kusuma Banda Aceh
Tgl : 22 s/d 28 OKTOBER 2017

Harga
Cream +
TanggalRsp No Nama Keterangan Obat Facial Suntikan Total Tunai
22 OKT 152 HUSNI WH 4 + SBACN RP 180.000 RP 180.000
153 RISNA SBB + HBSILK + FWR RP 385.000 RP 385.000
154 DR CSA CL + ALAS + SABUN HIJAU + TONER G RP 200.000 RP 200.000
155 EMA ASAHI PAKET SUNTIK 5X FREE 1 X VIT C 250 ( NO VOCHER A0073-A0078) RP 1.250.000RP 1.250.000
156 EMA ASAHI VIT C 250 ( NO VOCHER A0075 ) Rp -
RP 2.015.000

23 OKT 157 CUT FRINZI AV 2 + WH 1+ SBB +FWR RP 425.000 RP 425.000

158 RAMADHANI AV 3 RP 110.000 RP 110.000
159 NUR TL + WH 3 + SBB RP 290.000 RP 290.000
160 TIKA RX 2 ( 3 BIJIK ) + TONER SILVER + FWL + BNS RP 670.000 RP 670.000
161 RATNA MSO 1 + WH 2 RP 310.000 RP 310.000
162 MARNI SBACN + TONER GOLD RP 125.000 RP 125.000
163 IRMA DETOX + MD CAPSUL 2 + FWR + AV 3 + MSO 5 +SBACN+ CUR + TONER GOLD
RP 570.000 RP 170.000 RP 740.000
164 BUK CUT WH 4 + WH 2 RP 220.000 RP 220.000
165 OVI SBACN RP 70.000 RP 70.000
166 FIA AV 2 RP 110.000 RP 110.000
167 DINI FC + OXY +RX 1 RP 200.000 RP 200.000
168 RIDHA WH 1 RP 110.000 RP 110.000

24 OKT 169 RISKA FC OXY + RX 2 RP 200.000 RP 200.000

170 ZAHRILA FW FOAM + WH 2 + MSO 1 + SBB LUX RP 610.000 RP 610.000
171 EKA OKTARINA CL GOLD PMO + MSO 1 + WH 2
172 EMA ASAHI VIT C 250 ( NO VOUCHER A0076) RP -
173 RISKA VIT C 400 ( NO VOUCHER A 0062 ) RP -
174 MAISARAH VIT C 250 ( NO VOCHER A0046 ) RP -
175 RISKA VIT C 400 ( NO VOUCHER A 0063 ) RP -

25 OKT 176 SURYANI PEELING + MD CAPSUL 2+ FC OXY + RX 1 + FW FOAM RP 100.000 RP 400.000 RP 500.000
177 EMA FC OXY + RX 1 + RX 2 RP 250.000 RP 250.000
178 IDA INJ SIMING 200 + OSI (10) + FC (10 ) + OBES (10) RP 340.000 RP 200.000RP 540.000
179 NANA INJ ACNE 100 + FC OXY + RX 1 + RX2 + MSO 5 + CL GOLD + FWR RP 355.000 RP 250.000 RP 100.000RP 705.000
180 IDA WH 1 RP 110.000 RP 110.000
181 DARNELIS SBAO + WH 4 + FC OXY + RX 1+ RX 2 RP 240.000 RP 250.000 RP 490.000
182 RATNA FW FOAM + WH 1 RP 210.000 RP 210.000
183 RISKA BIO MASKER KOLAGEN LG (5BIJIK ) + CL SILVER RP 180.000 RP 180.000
184 YUS WH 2 + SBSPC RP 180.000 RP 180.000
185 NO NAME FW R RP 75.000 RP 75.000
186 ITA FC OXY + RX 1 +RX2 + MD RP 400.000 RP 400.000
RP 3.640.000

26 OKT 187 YANTI FC OXY + RX 1 + RX 2 + SBB LUX RP 200.000 RP 250.000 RP 450.000

188 EDRA WH 4 + SB BINTANG RP 240.000 RP 240.000
189 FRIZAL FC OXY + MD +RX 2 RP 350.000 RP 350.000
190 ZAKIR FC OXY + MD +RX 2 + MSO 2 RP 200.000 RP 350.000 RP 550.000
191 SITI VIT C 250 ( NO VOCHER A0068 ) RP - RP -
192 CUT AMELIA MSO 2+ WH 3 + SBAO RP 440.000 RP 440.000
RP 2.030.000

27 OKT 193 ENDAH CLND + SBB LUX RP 280.000 RP 280.000

194 SARI VIT C 400 + FC +RX 2 + FO RP 125.000 RP 400.000RP 525.000
195 RISNA FWR + SBB LUX RP 275.000 RP 275.000
196 CUT S WH 2 + FWR + SB BINTANG + TL + MSO 2 + TONER SILVER RP 620.000 RP 620.000
197 CUT SANDRA AV 3 + WH 2 + WH 4 RP 330.000 RP 330.000
198 RP 2.030.000
 KUNJUNGAN
Klinik : Kecantikan
Tgl : 29 s/d 30 S

Tanggal Rsp No Nama

29-Sep

30-Sep
 KUNJUNGAN PASIEN HARIAN
Klinik : Kecantikan Kusuma Banda Aceh
Tgl : 29 s/d 30 SEPTEMBER 2017

Keterangan
Harga Cream +
Facial Suntikan Total Tunai
Obat