Rekapan Perhari

TOTAL KLAIM TANGGAL 01 MARET 2018
RATA2 1 KASUS JASA SISA UTK

NO POLIKLINIK JLH RESEP HARGA OBAT
160,000 50% OPERASIONAL
1 POLI DALAM WANITA 76 4,862,423 12,160,000 6,080,000 1,217,577
2 POLI DALAM PRIA 38 3,602,186 6,080,000 3,040,000 (562,186)
3 POLI PARU - - -
4 POLI BEDAH 18 869,899 2,880,000 1,440,000 570,101
5 POLI ANAK 60 1,518,010 9,600,000 4,800,000 3,281,990
6 POLI KEBIDANAN 25 1,036,445 4,000,000 2,000,000 963,555
7 POLI MATA 25 1,208,537 4,000,000 2,000,000 791,464
8 POLI HD 7 364,221 1,120,000 560,000 195,779
9 POLI CARDIO - - -
10 POLI FISIOTERAPI - - -
11 POLI SARAF 26 3,538,529 4,160,000 2,080,000 (1,458,529)
12 POLI GIGI 2 13,028 320,000 160,000 146,972
13 POLI JIWA 43 2,536,726 6,880,000 3,440,000 903,274
14 POLI STAF RS - -
TOTAL 320 19,550,004 51,200,000 25,600,000 6,049,996

1 POLI DALAM WANITA 27 2,547,827 4,320,000 2,160,000 (387,827)
2 POLI DALAM PRIA 38 4,100,298 6,080,000 3,040,000 (1,060,298)
3 POLI PARU - - -
4 POLI BEDAH 10 487,562 1,600,000 800,000 312,438
5 POLI ANAK 61 1,446,993 9,760,000 4,880,000 3,433,007
6 POLI KEBIDANAN 14 819,827 2,240,000 1,120,000 300,173
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
10 POLI FISIOTERAPI 3 52,164 480,000 240,000 187,836
11 POLI SARAF 29 4,919,117 4,640,000 2,320,000 (2,599,117)
12 POLI GIGI 4 45,494 640,000 320,000 274,506
13 POLI JIWA 3 89,104 480,000 240,000 150,896
14 POLI STAF RS 1 42,154 - (42,154)
TOTAL 190 14,550,541 30,240,000 15,120,000 569,459

2 POLI DALAM PRIA 41 4,007,855 6,560,000 3,280,000 (727,855)
3 POLI PARU 35 3,127,049 5,600,000 2,800,000 (327,049)
4 POLI BEDAH 15 476,605 2,400,000 1,200,000 723,395
5 POLI ANAK 26 636,625 4,160,000 2,080,000 1,443,375
6 POLI KEBIDANAN 12 599,530 1,920,000 960,000 360,470
7 POLI MATA 21 1,065,096 3,360,000 1,680,000 614,904
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF 2 386,332 320,000 160,000 (226,332)
12 POLI GIGI 6 62,887 960,000 480,000 417,113
13 POLI JIWA 6 722,134 960,000 480,000 (242,134)
14 POLI STAF RS - -
TOTAL 198 14,242,220 31,680,000 15,840,000 1,597,780

1 POLI DALAM WANITA 56 4,278,645 8,960,000 4,480,000 201,356
2 POLI DALAM PRIA 54 4,700,082 8,640,000 4,320,000 (380,082)
3 POLI PARU 65 5,644,406 10,400,000 5,200,000 (444,406)
4 POLI BEDAH 20 721,070 3,200,000 1,600,000 878,930
5 POLI ANAK 25 641,804 4,000,000 2,000,000 1,358,196
6 POLI KEBIDANAN 32 1,568,577 5,120,000 2,560,000 991,423
7 POLI MATA 13 612,801 2,080,000 1,040,000 427,199
8 POLI HD 3 100,589 480,000 240,000 139,411
9 POLI CARDIO - - -
11 POLI SARAF 58 7,188,518 9,280,000 4,640,000 (2,548,518)
12 POLI GIGI 3 18,877 480,000 240,000 221,123
13 POLI JIWA 4 227,696 640,000 320,000 92,304
14 POLI STAF RS - -
TOTAL 333 25,703,065 53,280,000 26,640,000 936,935

2 POLI DALAM PRIA 34 3,095,185 5,440,000 2,720,000 (375,185)
3 POLI PARU - - -
4 POLI BEDAH 25 959,405 4,000,000 2,000,000 1,040,595
5 POLI ANAK 31 782,800 4,960,000 2,480,000 1,697,200
6 POLI KEBIDANAN 17 1,005,539 2,720,000 1,360,000 354,461
7 POLI MATA 8 400,505 1,280,000 640,000 239,495
8 POLI HD 1 74,263 160,000 80,000 5,737
9 POLI CARDIO - - -
11 POLI SARAF 48 7,003,142 7,680,000 3,840,000 (3,163,142)
12 POLI GIGI 4 38,106 640,000 320,000 281,894
13 POLI JIWA 7 338,858 1,120,000 560,000 221,142
14 POLI STAF RS - -
TOTAL 237 18,668,636 37,920,000 18,960,000 291,364

2 POLI DALAM PRIA 34 2,560,013 5,440,000 2,720,000 159,987
3 POLI PARU - - -
4 POLI BEDAH 21 1,023,021 3,360,000 1,680,000 656,979
5 POLI ANAK 58 1,466,897 9,280,000 4,640,000 3,173,103
6 POLI KEBIDANAN 27 1,088,792 4,320,000 2,160,000 1,071,208
7 POLI MATA 7 383,048 1,120,000 560,000 176,952
8 POLI HD 6 385,404 960,000 480,000 94,596
9 POLI CARDIO - - -
11 POLI SARAF 43 6,224,447 6,880,000 3,440,000 (2,784,447)
12 POLI GIGI 3 20,636 480,000 240,000 219,364
13 POLI JIWA 45 2,337,405 7,200,000 3,600,000 1,262,595
14 POLI STAF RS - -
TOTAL 324 19,997,770 51,840,000 25,920,000 5,922,230

2 POLI DALAM PRIA 33 3,899,293 5,280,000 2,640,000 (1,259,293)
3 POLI PARU - - -
4 POLI BEDAH 12 665,339 1,920,000 960,000 294,661
5 POLI ANAK 63 1,793,551 10,080,000 5,040,000 3,246,449
6 POLI KEBIDANAN 15 452,560 2,400,000 1,200,000 747,440
7 POLI MATA - - -
8 POLI HD 9 344,864 1,440,000 720,000 375,136
9 POLI CARDIO - - -
11 POLI SARAF 24 3,275,362 3,840,000 1,920,000 (1,355,362)
12 POLI GIGI 3 45,257 480,000 240,000 194,743
13 POLI JIWA 8 393,414 1,280,000 640,000 246,586
14 POLI STAF RS - -
TOTAL 206 14,135,745 32,960,000 16,480,000 2,344,255

2 POLI DALAM PRIA 31 2,897,605 4,960,000 2,480,000 (417,605)
3 POLI PARU 42 3,862,276 6,720,000 3,360,000 (502,276)
4 POLI BEDAH 19 527,132 3,040,000 1,520,000 992,868
5 POLI ANAK 29 859,392 4,640,000 2,320,000 1,460,608
6 POLI KEBIDANAN 20 1,084,650 3,200,000 1,600,000 515,350
7 POLI MATA 7 445,020 1,120,000 560,000 114,980
8 POLI HD 5 265,362 800,000 400,000 134,638
9 POLI CARDIO - - -
11 POLI SARAF 33 4,700,001 5,280,000 2,640,000 (2,060,001)
12 POLI GIGI 2 20,237 320,000 160,000 139,763
13 POLI JIWA 5 304,612 800,000 400,000 95,388
14 POLI STAF RS - -
TOTAL 230 17,766,831 36,800,000 18,400,000 633,169

2 POLI DALAM PRIA 57 3,708,513 9,120,000 4,560,000 851,487
3 POLI PARU 63 6,998,384 10,080,000 5,040,000 (1,958,384)
4 POLI BEDAH 25 927,163 4,000,000 2,000,000 1,072,837
5 POLI ANAK 29 775,852 4,640,000 2,320,000 1,544,148
6 POLI KEBIDANAN 18 813,327 2,880,000 1,440,000 626,673
7 POLI MATA 35 2,017,692 5,600,000 2,800,000 782,308
8 POLI HD 3 169,667 480,000 240,000 70,333
9 POLI CARDIO - - -
11 POLI SARAF 43 6,245,541 6,880,000 3,440,000 (2,805,541)
12 POLI GIGI 7 59,544 1,120,000 560,000 500,456
13 POLI JIWA 2 113,512 320,000 160,000 46,488
14 POLI STAF RS - -
TOTAL 341 27,241,916 54,560,000 27,280,000 38,084

2 POLI DALAM PRIA 40 3,403,851 6,400,000 3,200,000 (203,851)
3 POLI PARU - - -
4 POLI BEDAH 21 1,021,248 3,360,000 1,680,000 658,752
5 POLI ANAK 27 778,308 4,320,000 2,160,000 1,381,692
6 POLI KEBIDANAN 17 912,094 2,720,000 1,360,000 447,906
7 POLI MATA 42 2,464,811 6,720,000 3,360,000 895,189
8 POLI HD 2 127,337 320,000 160,000 32,663
9 POLI CARDIO - - -
11 POLI SARAF 48 6,722,463 7,680,000 3,840,000 (2,882,463)
12 POLI GIGI 6 55,340 960,000 480,000 424,660
13 POLI JIWA 11 612,291 1,760,000 880,000 267,709
14 POLI STAF RS 21,241,599 - (21,241,599)
TOTAL 289 42,483,198 46,240,000 23,120,000 (19,363,198)

2 POLI DALAM PRIA 45 3,832,643 7,200,000 3,600,000 (232,643)
3 POLI PARU - - -
4 POLI BEDAH 18 959,976 2,880,000 1,440,000 480,024
5 POLI ANAK 56 1,460,859 8,960,000 4,480,000 3,019,141
6 POLI KEBIDANAN 35 1,703,400 5,600,000 2,800,000 1,096,600
7 POLI MATA 41 2,428,891 6,560,000 3,280,000 851,110
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF 30 4,275,605 4,800,000 2,400,000 (1,875,605)
12 POLI GIGI 1 5,859 160,000 80,000 74,141
13 POLI JIWA 37 1,708,651 5,920,000 2,960,000 1,251,349
14 POLI STAF RS - -
TOTAL 343 20,874,648 54,880,000 27,440,000 6,565,352

2 POLI DALAM PRIA 40 4,604,251 6,400,000 3,200,000 (1,404,251)
3 POLI PARU - - -
4 POLI BEDAH 12 453,716 1,920,000 960,000 506,284
5 POLI ANAK 71 1,861,004 11,360,000 5,680,000 3,818,996
6 POLI KEBIDANAN 19 996,925 3,040,000 1,520,000 523,075
7 POLI MATA - - -
8 POLI HD 3 106,098 480,000 240,000 133,902
9 POLI CARDIO - - -
11 POLI SARAF 30 3,858,856 4,800,000 2,400,000 (1,458,856)
12 POLI GIGI 4 43,772 640,000 320,000 276,228
13 POLI JIWA 13 601,631 2,080,000 1,040,000 438,369
14 POLI STAF RS - -
TOTAL 243 17,381,441 38,880,000 19,440,000 2,058,559

2 POLI DALAM PRIA 32 3,046,404 5,120,000 2,560,000 (486,404)
3 POLI PARU 24 3,855,247 3,840,000 1,920,000 (1,935,247)
4 POLI BEDAH 21 788,162 3,360,000 1,680,000 891,838
5 POLI ANAK 30 729,504 4,800,000 2,400,000 1,670,496
6 POLI KEBIDANAN 16 1,010,602 2,560,000 1,280,000 269,398
7 POLI MATA 20 1,790,014 3,200,000 1,600,000 (190,014)
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF 32 4,152,642 5,120,000 2,560,000 (1,592,642)
12 POLI GIGI 6 65,794 960,000 480,000 414,206
13 POLI JIWA 8 458,103 1,280,000 640,000 181,897
14 POLI STAF RS 8 249,799 - (249,799)
TOTAL 220 18,347,747 33,920,000 16,960,000 (1,387,747)

2 POLI DALAM PRIA 63 4,768,206 10,080,000 5,040,000 271,794
3 POLI PARU 62 5,550,132 9,920,000 4,960,000 (590,132)
4 POLI BEDAH 15 565,437 2,400,000 1,200,000 634,563
5 POLI ANAK 25 723,286 4,000,000 2,000,000 1,276,714
6 POLI KEBIDANAN 18 882,967 2,880,000 1,440,000 557,033
7 POLI MATA 28 1,663,548 4,480,000 2,240,000 576,452
8 POLI HD 3 147,224 480,000 240,000 92,776
9 POLI CARDIO - - -
11 POLI SARAF 25 3,135,818 4,000,000 2,000,000 (1,135,818)
12 POLI GIGI 1 6,762 160,000 80,000 73,238
13 POLI JIWA 3 185,087 480,000 240,000 54,913
14 POLI STAF RS - -
TOTAL 295 21,841,182 47,200,000 23,600,000 1,758,818

2 POLI DALAM PRIA 45 3,671,316 7,200,000 3,600,000 (71,316)
3 POLI PARU - - -
4 POLI BEDAH 12 595,074 1,920,000 960,000 364,926
5 POLI ANAK 35 930,198 5,600,000 2,800,000 1,869,802
6 POLI KEBIDANAN 8 392,759 1,280,000 640,000 247,241
7 POLI MATA 21 1,427,902 3,360,000 1,680,000 252,098
8 POLI HD 3 185,556 480,000 240,000 54,444
9 POLI CARDIO - - -
11 POLI SARAF 44 6,529,168 7,040,000 3,520,000 (3,009,168)
12 POLI GIGI 2 19,526 320,000 160,000 140,474
13 POLI JIWA 7 296,877 1,120,000 560,000 263,123
14 POLI STAF RS - -
TOTAL 241 19,133,145 38,560,000 19,280,000 146,855

2 POLI DALAM PRIA 25 1,753,315 4,000,000 2,000,000 246,685
3 POLI PARU 62 9,378,875 9,920,000 4,960,000 (4,418,875)
4 POLI BEDAH 22 1,075,402 3,520,000 1,760,000 684,598
5 POLI ANAK 44 1,268,574 7,040,000 3,520,000 2,251,426
6 POLI KEBIDANAN 15 750,790 2,400,000 1,200,000 449,210
7 POLI MATA 19 874,597 3,040,000 1,520,000 645,403
8 POLI HD 3 110,928 480,000 240,000 129,072
9 POLI CARDIO - - -
11 POLI SARAF 40 6,104,749 6,400,000 3,200,000 (2,904,749)
12 POLI GIGI 4 35,055 640,000 320,000 284,945
13 POLI JIWA 5 172,924 800,000 400,000 227,076
14 POLI STAF RS - -
TOTAL 306 25,574,155 48,960,000 24,480,000 (1,094,155)

2 POLI DALAM PRIA 19 1,525,461 3,040,000 1,520,000 (5,461)
3 POLI PARU 19 1,194,527 3,040,000 1,520,000 325,473
4 POLI BEDAH 8 352,761 1,280,000 640,000 287,239
5 POLI ANAK 71 1,666,267 11,360,000 5,680,000 4,013,733
6 POLI KEBIDANAN 16 791,609 2,560,000 1,280,000 488,391
7 POLI MATA - - -
8 POLI HD 3 42,459 480,000 240,000 197,541
9 POLI CARDIO - - -
11 POLI SARAF 22 2,349,856 3,520,000 1,760,000 (589,856)
12 POLI GIGI 8 65,533 1,280,000 640,000 574,467
13 POLI JIWA 11 571,925 1,760,000 880,000 308,075
14 POLI STAF RS - -
TOTAL 208 10,673,292 33,280,000 16,640,000 5,966,708

2 POLI DALAM PRIA 25 2,313,724 4,000,000 2,000,000 (313,724)
3 POLI PARU 6 438,054 960,000 480,000 41,946
4 POLI BEDAH 10 289,309 1,600,000 800,000 510,691
5 POLI ANAK 28 556,008 4,480,000 2,240,000 1,683,992
6 POLI KEBIDANAN 14 556,008 2,240,000 1,120,000 563,992
7 POLI MATA 17 496,853 2,720,000 1,360,000 863,147
8 POLI HD 2 93,613 320,000 160,000 66,387
9 POLI CARDIO - - -
11 POLI SARAF 36 3,109,662 5,760,000 2,880,000 (229,662)
12 POLI GIGI 6 45,980 960,000 480,000 434,020
13 POLI JIWA 5 255,300 800,000 400,000 144,700
14 POLI STAF RS - -
TOTAL 191 11,024,375 30,560,000 15,280,000 4,255,625

2 POLI DALAM PRIA 51 4,653,523 8,160,000 4,080,000 (573,523)
3 POLI PARU 71 6,543,442 11,360,000 5,680,000 (863,442)
4 POLI BEDAH 20 751,615 3,200,000 1,600,000 848,385
5 POLI ANAK 22 584,452 3,520,000 1,760,000 1,175,548
6 POLI KEBIDANAN 16 410,987 2,560,000 1,280,000 869,013
7 POLI MATA 27 1,199,204 4,320,000 2,160,000 960,796
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF 32 3,811,740 5,120,000 2,560,000 (1,251,740)
12 POLI GIGI - - -
13 POLI JIWA 6 187,187 960,000 480,000 292,813
14 POLI STAF RS - -
TOTAL 296 22,475,975 47,360,000 23,680,000 1,204,026

2 POLI DALAM PRIA 38 3,150,175 6,080,000 3,040,000 (110,175)
3 POLI PARU - - -
4 POLI BEDAH 12 448,743 1,920,000 960,000 511,257
5 POLI ANAK 32 721,138 5,120,000 2,560,000 1,838,862
6 POLI KEBIDANAN 17 911,660 2,720,000 1,360,000 448,340
7 POLI MATA 24 1,014,177 3,840,000 1,920,000 905,823
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF 33 4,821,426 5,280,000 2,640,000 (2,181,426)
12 POLI GIGI 1 21,374 160,000 80,000 58,626
13 POLI JIWA 8 295,639 1,280,000 640,000 344,361
14 POLI STAF RS 0 - -
TOTAL 235 16,615,936 37,600,000 18,800,000 2,184,064

2 POLI DALAM PRIA 38 2,979,844 6,080,000 3,040,000 60,156
3 POLI PARU 4 285,099 640,000 320,000 34,901
4 POLI BEDAH 33 1,708,999 5,280,000 2,640,000 931,001
5 POLI ANAK 66 1,356,924 10,560,000 5,280,000 3,923,076
6 POLI KEBIDANAN 16 624,928 2,560,000 1,280,000 655,072
7 POLI MATA 27 1,442,268 4,320,000 2,160,000 717,732
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF 34 4,157,077 5,440,000 2,720,000 (1,437,077)
12 POLI GIGI 4 23,761 640,000 320,000 296,239
13 POLI JIWA 44 2,248,432 7,040,000 3,520,000 1,271,568
14 POLI STAF RS - -
TOTAL 333 18,336,049 53,280,000 26,640,000 8,303,951
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
TOTAL KLAIM TANGGAL 01 FEBRUARI 2018
1 POLI DALAM WANITA 61 3,369,942

2 POLI DALAM PRIA 23 1,809,522
3 POLI PARU
4 POLI BEDAH 27 1,234,210
5 POLI ANAK 52 1,094,080
6 POLI KEBIDANAN 18 805,998
7 POLI MATA 24 1,190,969
8 POLI HD 3 91,776
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 44 5,693,986
12 POLI GIGI 9 71,011
13 POLI JIWA 43 2,432,418
14 POLI STAF RS
TOTAL 304 17,793,912

3 POLI PARU 19 1,208,656
4 POLI BEDAH 8 352,761
5 POLI ANAK 71 1,666,267
7 POLI MATA
8 POLI HD 3 42,459
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 22 2,349,856
12 POLI GIGI 8 71,763
13 POLI JIWA 11 571,925
14 POLI STAF RS
TOTAL 208 10,693,651

3 POLI PARU 24 3,855,247
4 POLI BEDAH 21 788,162
5 POLI ANAK 30 729,504
6 POLI KEBIDANAN 16 1,010,602
7 POLI MATA 20 1,790,014
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 32 4,152,642
12 POLI GIGI 6 65,794
13 POLI JIWA 8 458,103
14 POLI STAF RS 8 249,799
TOTAL 220 18,347,747

3 POLI PARU 63 11,230,187
4 POLI BEDAH 13 458,449
5 POLI ANAK 20 506,834
7 POLI MATA 19 1,041,312
8 POLI HD 3 181,516
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 44 4,870,698
12 POLI GIGI 6 51,189
13 POLI JIWA 6 338,132
14 POLI STAF RS
TOTAL 305 27,733,317

3 POLI PARU
4 POLI BEDAH 12 448,743
5 POLI ANAK 32 721,138
7 POLI MATA 24 1,014,177
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 33 4,821,426
12 POLI GIGI 1 21,374
13 POLI JIWA 8 295,639
TOTAL 236 16,626,596

3 POLI PARU 4 285,099
4 POLI BEDAH 33 1,708,999
5 POLI ANAK 66 1,356,924
7 POLI MATA 27 1,442,268
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 34 4,157,077
12 POLI GIGI 4 23,761
13 POLI JIWA 44 2,248,432
14 POLI STAF RS
TOTAL 333 18,336,049

3 POLI PARU 14 1,495,489
4 POLI BEDAH 11 424,344
5 POLI ANAK 71 1,811,398
7 POLI MATA
8 POLI HD 2 107,496
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 17 1,559,573
12 POLI GIGI 4 32,095
13 POLI JIWA 6 382,548
14 POLI STAF RS
TOTAL 191 11,254,670

3 POLI PARU 6 438,054
4 POLI BEDAH 10 289,309
5 POLI ANAK 28 936,786
7 POLI MATA 17 518,028
8 POLI HD 2 93,613
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 36 3,109,662
12 POLI GIGI 6 45,980
13 POLI JIWA 5 255,300
14 POLI STAF RS
TOTAL 191 11,464,968


3 POLI PARU 71 6,543,442
4 POLI BEDAH 20 751,615
5 POLI ANAK 22 584,452
7 POLI MATA 27 1,199,204
8 POLI HD 4 306,875
9 POLI THT
10 POLI FISIOTERAPI
11 POLI SARAF 32 3,811,740
12 POLI GIGI 0
13 POLI JIWA 6 187,187
14 POLI STAF RS
TOTAL 300 22,782,850

3 POLI PARU
4 POLI BEDAH 25 1,364,354
5 POLI ANAK 47 1,085,045
7 POLI MATA 25 1,247,042
8 POLI HD 2 31,332
9 POLI CARDIO
10 POLI FISIOTERAPI 1 18,770
11 POLI SARAF 38 5,154,381
12 POLI GIGI 3 30,385
13 POLI JIWA 7 225,496
14 POLI STAF RS
TOTAL 283 18,284,339

3 POLI PARU 62 9,378,875
4 POLI BEDAH 22 1,075,402
5 POLI ANAK 44 1,268,574
7 POLI MATA 19 874,597
8 POLI HD 3 110,928
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 40 6,104,749
12 POLI GIGI 4 35,055
13 POLI JIWA 5 172,924
14 POLI STAF RS
TOTAL 306 25,574,155

3 POLI PARU
4 POLI BEDAH 36 1,752,390
5 POLI ANAK 71 1,317,752
7 POLI MATA 23 1,037,578
8 POLI HD 2 72,675
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 47 5,042,042
12 POLI GIGI 6 42,195
13 POLI JIWA 42 2,004,774
14 POLI STAF RS
TOTAL 380 20,396,214

3 POLI PARU 32 4,751,820
4 POLI BEDAH 19 730,984
5 POLI ANAK 25 856,914
7 POLI MATA 21 1,061,626
8 POLI HD 2 51,030
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 36 3,610,928
12 POLI GIGI 9 82,663
13 POLI JIWA 5 204,407
14 POLI STAF RS
TOTAL 260 19,982,676

3 POLI PARU 36 2,579,775
4 POLI BEDAH 37 1,840,382
5 POLI ANAK 35 1,180,313
7 POLI MATA 21 700,490
8 POLI HD 2 33,104
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 36 4,466,336
12 POLI GIGI 1 4,660
13 POLI JIWA 8 428,970
14 POLI STAF RS
TOTAL 256 17,901,579

3 POLI PARU
4 POLI BEDAH 17 688,637
5 POLI ANAK 30 664,723
7 POLI MATA 29 1,172,833
8 POLI HD 2 135,688
9 POLI CARDIO
11 POLI SARAF 46 5,342,109
12 POLI GIGI 6 57,295
13 POLI JIWA 7 364,608
14 POLI STAF RS
TOTAL 252 16,439,211

3 POLI PARU
4 POLI BEDAH 11 428,297
5 POLI ANAK 71 1,638,723
7 POLI MATA 3 135,062
8 POLI HD 6 196,119
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 16 1,424,442
12 POLI GIGI 2 36,612
13 POLI JIWA 7 379,786
14 POLI STAF RS
TOTAL 179 10,270,786


3 POLI PARU 36 3,439,179
4 POLI BEDAH 20 750,530
5 POLI ANAK 29 703,586
7 POLI MATA 26 955,368
8 POLI HD 1 90,126
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 35 5,323,489
12 POLI GIGI 4 17,450
13 POLI JIWA 9 463,978
14 POLI STAF RS
TOTAL 241 17,589,310

3 POLI PARU 65 6,535,203
4 POLI BEDAH 18 615,396
5 POLI ANAK 22 635,419
7 POLI MATA 20 1,166,231
8 POLI HD 5 405,961
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 40 5,763,833
12 POLI GIGI 2 11,440
13 POLI JIWA 5 214,214
14 POLI STAF RS
TOTAL 321 26,868,581

3 POLI PARU
4 POLI BEDAH 15 832,710
5 POLI ANAK 31 827,392
7 POLI MATA 22 1,180,376
8 POLI HD 2 37,457
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 43 6,914,698
12 POLI GIGI 3 25,710
13 POLI JIWA 10 575,065
14 POLI STAF RS
TOTAL 241 19,331,030
20
21
GAL 01 FEBRUARI 2018

9,760,000 4,880,000 1,510,058
3,680,000 1,840,000 30,478
- - -
4,320,000 2,160,000 925,790
8,320,000 4,160,000 3,065,920
2,880,000 1,440,000 634,002 1
3,840,000 1,920,000 729,031
480,000 240,000 148,224
- - -
- - -
7,040,000 3,520,000 (2,173,986)
1,440,000 720,000 648,989
6,880,000 3,440,000 1,007,582
- -
48,640,000 24,320,000 6,526,088

4,960,000 2,480,000 367,106
3,040,000 1,520,000 (5,461)
3,040,000 1,520,000 311,344
1,280,000 640,000 287,239
11,360,000 5,680,000 4,013,733
2,560,000 1,280,000 488,391 2
- - -
480,000 240,000 197,541
- - -
- - -
3,520,000 1,760,000 (589,856)
1,280,000 640,000 568,237
1,760,000 880,000 308,075
- -
33,280,000 16,640,000 5,946,349

3,680,000 1,840,000 (361,476)
5,120,000 2,560,000 (486,404)
3,840,000 1,920,000 (1,935,247)
3,360,000 1,680,000 891,838
4,800,000 2,400,000 1,670,496
2,560,000 1,280,000 269,398 3
3,200,000 1,600,000 (190,014)
- - -
- - -
- - -
5,120,000 2,560,000 (1,592,642)
960,000 480,000 414,206
1,280,000 640,000 181,897
- (249,799)
33,920,000 16,960,000 (1,387,747)

7,520,000 3,760,000 (282,603)
8,480,000 4,240,000 582,794
10,080,000 5,040,000 (6,190,187)
2,080,000 1,040,000 581,551
3,200,000 1,600,000 1,093,166 4
4,960,000 2,480,000 1,124,808
3,040,000 1,520,000 478,688
480,000 240,000 58,484
- - -
- - -
7,040,000 3,520,000 (1,350,698)
960,000 480,000 428,811
960,000 480,000 141,868
- -
48,800,000 24,400,000 (3,333,317)

11,200,000 5,600,000 368,397
6,080,000 3,040,000 (110,175)
- - -
1,920,000 960,000 511,257
5,120,000 2,560,000 1,838,862 5
2,720,000 1,360,000 448,340
3,840,000 1,920,000 905,823
- - -
- - -
- - -
5,280,000 2,640,000 (2,181,426)
160,000 80,000 58,626
1,280,000 640,000 344,361
- (10,660)
37,600,000 18,800,000 2,173,404

10,720,000 5,360,000 1,851,284
6,080,000 3,040,000 60,156
640,000 320,000 34,901
5,280,000 2,640,000 931,001
10,560,000 5,280,000 3,923,076 6
2,560,000 1,280,000 655,072
4,320,000 2,160,000 717,732
- - -
- - -
- - -
5,440,000 2,720,000 (1,437,077)
640,000 320,000 296,239
7,040,000 3,520,000 1,271,568
- -
53,280,000 26,640,000 8,303,951

5,120,000 2,560,000 (390,936)
3,360,000 1,680,000 (291,132)
2,240,000 1,120,000 (375,489)
1,760,000 880,000 455,656
11,360,000 5,680,000 3,868,602 7
2,080,000 1,040,000 520,340
- - -
320,000 160,000 52,504
- - -
- - -
2,720,000 1,360,000 (199,573)
640,000 320,000 287,905
960,000 480,000 97,452
- -
30,560,000 15,280,000 4,025,330

6,720,000 3,360,000 451,497
4,000,000 2,000,000 (313,724)
960,000 480,000 41,946
1,600,000 800,000 510,691
4,480,000 2,240,000 1,303,214 8
2,240,000 1,120,000 563,992
2,720,000 1,360,000 841,972
320,000 160,000 66,387
- - -
- - -
5,760,000 2,880,000 (229,662)
960,000 480,000 434,020
800,000 400,000 144,700
- -
30,560,000 15,280,000 3,815,032

8,160,000 4,080,000 (253,824)
8,160,000 4,080,000 (573,523)
11,360,000 5,680,000 (863,442)
3,200,000 1,600,000 848,385
3,520,000 1,760,000 1,175,548
2,560,000 1,280,000 869,013 9
4,320,000 2,160,000 960,796
640,000 320,000 13,125
- - -
- - -
5,120,000 2,560,000 (1,251,740)
- - -
960,000 480,000 292,813
- -
48,000,000 24,000,000 1,217,150

11,680,000 5,840,000 1,414,983
7,520,000 3,760,000 (14,372)
- - -
4,000,000 2,000,000 635,646
7,520,000 3,760,000 2,674,955 10
2,400,000 1,200,000 271,854
4,000,000 2,000,000 752,958
320,000 160,000 128,668
- - -
160,000 80,000 61,230
6,080,000 3,040,000 (2,114,381)
480,000 240,000 209,615
1,120,000 560,000 334,504
- -
45,280,000 22,640,000 4,355,661

10,720,000 5,360,000 1,311,054
4,000,000 2,000,000 246,685
9,920,000 4,960,000 (4,418,875)
3,520,000 1,760,000 684,598
7,040,000 3,520,000 2,251,426
2,400,000 1,200,000 449,210
3,040,000 1,520,000 645,403 11
480,000 240,000 129,072
- - -
- - -
6,400,000 3,200,000 (2,904,749)
640,000 320,000 284,945
800,000 400,000 227,076
- -
48,960,000 24,480,000 (1,094,155)

13,600,000 6,800,000 2,731,272
8,480,000 4,240,000 152,180
- - -
5,760,000 2,880,000 1,127,610
11,360,000 5,680,000 4,362,248
2,400,000 1,200,000 229,740 12
3,680,000 1,840,000 802,422
320,000 160,000 87,325
- - -
- - -
7,520,000 3,760,000 (1,282,042)
960,000 480,000 437,805
6,720,000 3,360,000 1,355,226
- -
60,800,000 30,400,000 10,003,786

7,360,000 3,680,000 (400,162)
7,520,000 3,760,000 (62,462)
5,120,000 2,560,000 (2,191,820)
3,040,000 1,520,000 789,016
4,000,000 2,000,000 1,143,086 13
2,880,000 1,440,000 710,320
3,360,000 1,680,000 618,374
320,000 160,000 108,970
- - -
- - -
5,760,000 2,880,000 (730,928)
1,440,000 720,000 637,337
800,000 400,000 195,593
- -
41,600,000 20,800,000 817,325

6,080,000 3,040,000 (399,037)
5,280,000 2,640,000 (39,427)
5,760,000 2,880,000 300,225
5,920,000 2,960,000 1,119,618
5,600,000 2,800,000 1,619,687
1,440,000 720,000 170,915 14
3,360,000 1,680,000 979,510
320,000 160,000 126,896
- - -
- - -
5,760,000 2,880,000 (1,586,336)
160,000 80,000 75,340
1,280,000 640,000 211,030
- -
40,960,000 20,480,000 2,578,421

11,200,000 5,600,000 900,866
6,880,000 3,440,000 227,807
- - -
2,720,000 1,360,000 671,363
4,800,000 2,400,000 1,735,277
160,000 80,000 47,360 15
4,640,000 2,320,000 1,147,167
320,000 160,000 24,312
- - -
160,000 80,000 10,650
7,360,000 3,680,000 (1,662,109)
960,000 480,000 422,705
1,120,000 560,000 195,392
- -
40,320,000 20,160,000 3,720,789

5,120,000 2,560,000 (842,854)
4,640,000 2,320,000 (243,431)
- - -
1,760,000 880,000 451,703
11,360,000 5,680,000 4,041,277 16
320,000 160,000 94,540
480,000 240,000 104,939
960,000 480,000 283,881
- - -
- - -
2,560,000 1,280,000 (144,442)
320,000 160,000 123,388
1,120,000 560,000 180,214
- -
28,640,000 14,320,000 4,049,214

3,040,000 1,520,000 (110,078)
5,120,000 2,560,000 (338,708)
5,760,000 2,880,000 (559,179)
3,200,000 1,600,000 849,470
4,640,000 2,320,000 1,616,414
4,800,000 2,400,000 1,083,183 17
4,160,000 2,080,000 1,124,632
160,000 80,000 (10,126)
- - -
- - -
5,600,000 2,800,000 (2,523,489)
640,000 320,000 302,550
1,440,000 720,000 256,022
- -
38,560,000 19,280,000 1,690,690

8,800,000 4,400,000 (645,968)
8,640,000 4,320,000 (706,365)
10,400,000 5,200,000 (1,335,203)
2,880,000 1,440,000 824,604
3,520,000 1,760,000 1,124,581 18
5,600,000 2,800,000 1,351,449
3,200,000 1,600,000 433,769
800,000 400,000 (5,961)
- - -
- - -
6,400,000 3,200,000 (2,563,833)
320,000 160,000 148,560
800,000 400,000 185,786
- -
51,360,000 25,680,000 (1,188,581)

11,040,000 5,520,000 (38,212)
6,400,000 3,200,000 151,119
- - -
2,400,000 1,200,000 367,290
4,960,000 2,480,000 1,652,608
960,000 480,000 149,472
3,520,000 1,760,000 579,624 19
320,000 160,000 122,543
- - -
- - -
6,880,000 3,440,000 (3,474,698)
480,000 240,000 214,290
1,600,000 800,000 224,935
- -
38,560,000 19,280,000 (51,030)
TOTAL KLAIM TANGGAL 02 JANUARI 2018

3 POLI PARU 17 1,585,987
4 POLI BEDAH 11 657,641
5 POLI ANAK 19 667,928
7 POLI MATA
8 POLI HD 3 124,827
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 26 2,157,462
12 POLI GIGI 4 14,645
13 POLI JIWA 9 483,056
14 POLI STAF RS
TOTAL 184 12,576,745

3 POLI PARU 40 3,303,638
4 POLI BEDAH 33 1,598,397
5 POLI ANAK 35 917,459
7 POLI MATA
8 POLI HD 1 6,571
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 45 3,853,947
12 POLI GIGI 2 12,089
13 POLI JIWA 14 638,545
TOTAL 267 16,641,455

3 POLI PARU 47 4,400,773
4 POLI BEDAH 25 1,183,155
5 POLI ANAK 71 1,890,824
7 POLI MATA
8 POLI HD 5 190,468
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 40 3,226,595
12 POLI GIGI 4 43,985
13 POLI JIWA 56 3,081,599
14 POLI STAF RS
TOTAL 356 19,769,627

3 POLI PARU 19 1,208,656
5 POLI ANAK 71 1,666,267
7 POLI MATA
8 POLI HD 3 42,459
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 22 2,349,856
12 POLI GIGI 8 71,763
13 POLI JIWA 11 571,925
14 POLI STAF RS
TOTAL 208 10,693,651

3 POLI PARU 8 913,494
5 POLI ANAK 6 187,787
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 11 925,390
12 POLI GIGI 5 33,616
13 POLI JIWA 6 383,439
14 POLI STAF RS
TOTAL 108 8,201,985

3 POLI PARU 31 2,645,549
4 POLI BEDAH 13 1,072,776
5 POLI ANAK 31 942,392
7 POLI MATA 11 358,832
8 POLI HD 2 101,065
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 28 2,700,418
12 POLI GIGI 4 15,290
13 POLI JIWA 7 286,146
14 POLI STAF RS
TOTAL 248 16,941,009

3 POLI PARU 46 4,090,160
4 POLI BEDAH 31 1,365,803
5 POLI ANAK 38 1,007,524
7 POLI MATA 6 208,089
8 POLI HD 5 243,472
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 37 4,537,369
12 POLI GIGI 4 32,284
13 POLI JIWA 11 410,652
14 POLI STAF RS
TOTAL 273 18,368,800

3 POLI PARU 37 2,728,342
4 POLI BEDAH 26 1,303,381
5 POLI ANAK 60 1,398,127
7 POLI MATA 14 428,041
8 POLI HD 3 103,851
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 36 3,246,185
12 POLI GIGI 6 44,056
13 POLI JIWA 43 2,266,224
14 POLI STAF RS
TOTAL 347 19,932,336


3 POLI PARU 19 2,062,168
4 POLI BEDAH 11 486,801
5 POLI ANAK 69 1,705,602
7 POLI MATA 20 537,681
8 POLI HD 4 214,697
9 POLI CARDIO
11 POLI SARAF 35 2,939,946
12 POLI GIGI 5 45,475
13 POLI JIWA 16 844,980
14 POLI STAF RS
TOTAL 265 15,788,797

3 POLI PARU 6 438,054
4 POLI BEDAH 10 289,309
5 POLI ANAK 28 936,786
7 POLI MATA 17 518,028
8 POLI HD 2 93,613
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 36 3,109,662
12 POLI GIGI 6 45,980
13 POLI JIWA 5 255,300
14 POLI STAF RS
TOTAL 191 11,464,968

3 POLI PARU 37 4,806,367
5 POLI ANAK 34 810,696
7 POLI MATA
8 POLI HD 3 162,383
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 39 3,294,613
12 POLI GIGI 5 39,910
13 POLI JIWA 6 320,759
14 POLI STAF RS
TOTAL 260 19,388,388

3 POLI PARU 36 2,579,775
4 POLI BEDAH 37 1,840,382
5 POLI ANAK 35 1,180,313
7 POLI MATA 21 700,490
8 POLI HD 2 33,104
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 36 4,466,336
13 POLI JIWA 8 428,970
14 POLI STAF RS
TOTAL 268 17,901,579

3 POLI PARU 33 3,424,904
4 POLI BEDAH 31 1,370,788
5 POLI ANAK 40 1,047,104
7 POLI MATA
8 POLI HD 3 139,062
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 37 3,755,700
12 POLI GIGI 4 43,461
13 POLI JIWA 62 3,000,937
14 POLI STAF RS
TOTAL 320 20,907,108

3 POLI PARU 14 1,495,489
4 POLI BEDAH 11 424,344
5 POLI ANAK 71 1,811,398
7 POLI MATA
8 POLI HD 2 107,496
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 17 1,559,573
12 POLI GIGI 4 32,095
13 POLI JIWA 6 382,548
14 POLI STAF RS
TOTAL 191 11,254,670

3 POLI PARU 9 871,218
4 POLI BEDAH 11 503,524
5 POLI ANAK 21 510,162
7 POLI MATA 18 610,111
8 POLI HD 4 82,196
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 29 3,506,989
12 POLI GIGI 10 137,691
13 POLI JIWA 4 187,782
14 POLI STAF RS
TOTAL 175 12,070,711

3 POLI PARU 23 2,214,739
4 POLI BEDAH 15 589,314
5 POLI ANAK 17 472,781
7 POLI MATA 32 1,352,590
8 POLI HD 2 80,261
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 38 3,255,638
12 POLI GIGI 7 71,803
13 POLI JIWA 6 310,205
14 POLI STAF RS
TOTAL 255 17,310,298


3 POLI PARU 40 3,776,546
4 POLI BEDAH 44 2,164,884
5 POLI ANAK 36 944,418
7 POLI MATA 24 978,802
8 POLI THT 2 168,297
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 46 7,495,109
12 POLI GIGI 4 16,074
13 POLI JIWA 7 277,837
14 POLI STAF RS
TOTAL 287 23,985,772

3 POLI PARU 43 4,951,377
4 POLI BEDAH 20 1,096,297
5 POLI ANAK 52 1,037,449
7 POLI MATA 30 1,343,832
8 POLI HD 3 62,365
9 POLI CARDIO
11 POLI SARAF 37 5,213,014
12 POLI GIGI 6 56,601
13 POLI JIWA 42 2,192,775
14 POLI STAF RS
TOTAL 327 22,637,852

3 POLI PARU 21 2,132,867
4 POLI BEDAH 11 548,912
5 POLI ANAK 60 1,330,709
7 POLI MATA 25 1,170,690
8 POLI HD 2 112,311
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 33 3,823,219
12 POLI GIGI 2 10,605
13 POLI JIWA 10 596,295
14 POLI STAF RS
TOTAL 259 16,961,189

3 POLI PARU 15 1,491,064
4 POLI BEDAH 22 917,598
5 POLI ANAK 27 448,971
7 POLI MATA 28 1,333,482
8 POLI HD 6 110,364
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 29 3,527,873
12 POLI GIGI 3 29,779
13 POLI JIWA 5 234,045
TOTAL 204 13,392,974
TOTAL KLAIM TANGGAL 30 DESEMBER 2016

3 POLI PARU 32 4,751,820
4 POLI BEDAH 19 730,984
5 POLI ANAK 25 856,914
7 POLI MATA 21 1,061,626
8 POLI HD 2 51,030
9 POLI CARDIO
11 POLI SARAF 36 3,610,928
12 POLI GIGI 9 82,663
13 POLI JIWA 5 204,407
14 POLI STAF RS
TOTAL 261 19,989,738

3 POLI PARU 62 9,378,875
4 POLI BEDAH 22 1,075,402
5 POLI ANAK 44 1,268,574
7 POLI MATA 19 874,597
8 POLI HD 3 110,928
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 40 6,104,749
12 POLI GIGI 4 35,055
13 POLI JIWA 5 172,924
14 POLI STAF RS 78,344
TOTAL 306 25,652,499
GGAL 02 JANUARI 2018

6,400,000 3,200,000 73,949
5,600,000 2,800,000 (53,667)
2,720,000 1,360,000 (225,987)
1,760,000 880,000 222,359
3,040,000 1,520,000 852,072
3,200,000 1,600,000 694,519 1
- - -
480,000 240,000 115,173
- - -
- - -
4,160,000 2,080,000 (77,462)
640,000 320,000 305,355
1,440,000 720,000 236,944
- -
29,440,000 14,720,000 2,143,255

8,960,000 4,480,000 947,927
5,280,000 2,640,000 362,924
6,400,000 3,200,000 (103,638)
5,280,000 2,640,000 1,041,603
5,600,000 2,800,000 1,882,541
1,120,000 560,000 250,739 2
- - -
160,000 80,000 73,429
- - -
- - -
7,200,000 3,600,000 (253,947)
320,000 160,000 147,911
2,240,000 1,120,000 481,455
- (192,400)
42,560,000 21,280,000 4,638,545

10,560,000 5,280,000 1,707,773
4,160,000 2,080,000 596,434
7,520,000 3,760,000 (640,773)
4,000,000 2,000,000 816,845
11,360,000 5,680,000 3,789,176
2,560,000 1,280,000 583,566 3
- - -
800,000 400,000 209,532
- - -
- - -
6,400,000 3,200,000 (26,595)
640,000 320,000 276,015
8,960,000 4,480,000 1,398,401
- -
56,960,000 28,480,000 8,710,373

4,960,000 2,480,000 367,106
3,040,000 1,520,000 (5,461)
3,040,000 1,520,000 311,344
1,280,000 640,000 287,239
11,360,000 5,680,000 4,013,733 4
2,560,000 1,280,000 488,391
- - -
480,000 240,000 197,541
- - -
- - -
3,520,000 1,760,000 (589,856)
1,280,000 640,000 568,237
1,760,000 880,000 308,075
- -
33,280,000 16,640,000 5,946,349

3,680,000 1,840,000 (32,203)
4,640,000 2,320,000 (718,307)
1,280,000 640,000 (273,494)
640,000 320,000 205,719
960,000 480,000 292,213 5
2,560,000 1,280,000 546,532
- - -
- - -
- - -
- - -
1,760,000 880,000 (45,390)
800,000 400,000 366,384
960,000 480,000 96,561
- -
17,280,000 8,640,000 438,015

7,360,000 3,680,000 275,039
6,080,000 3,040,000 (724,405)
4,960,000 2,480,000 (165,549)
2,080,000 1,040,000 (32,776)
4,960,000 2,480,000 1,537,608 6
5,920,000 2,960,000 1,310,824
1,760,000 880,000 521,168
320,000 160,000 58,935
- - -
- - -
4,480,000 2,240,000 (460,418)
640,000 320,000 304,710
1,120,000 560,000 273,854
- -
39,680,000 19,840,000 2,898,991

8,160,000 4,080,000 451,820
4,640,000 2,320,000 183,593
7,360,000 3,680,000 (410,160)
4,960,000 2,480,000 1,114,197
6,080,000 3,040,000 2,032,476 7
2,400,000 1,200,000 491,140
960,000 480,000 271,911
800,000 400,000 156,528
- - -
- - -
5,920,000 2,960,000 (1,577,369)
640,000 320,000 287,716
1,760,000 880,000 469,348
- -
43,680,000 21,840,000 3,471,200

11,200,000 5,600,000 429,610
4,960,000 2,480,000 251,030
5,920,000 2,960,000 231,658
4,160,000 2,080,000 776,619
9,600,000 4,800,000 3,401,873 8
3,360,000 1,680,000 665,231
2,240,000 1,120,000 691,959
480,000 240,000 136,149
- - -
- - -
5,760,000 2,880,000 (366,185)
960,000 480,000 435,944
6,880,000 3,440,000 1,173,776
- -
55,520,000 27,760,000 7,827,664

5,600,000 2,800,000 (422,672)
5,920,000 2,960,000 (218,554)
3,040,000 1,520,000 (542,168)
1,760,000 880,000 393,199
11,040,000 5,520,000 3,814,398
2,080,000 1,040,000 502,319 9
3,200,000 1,600,000 1,062,319
640,000 320,000 105,303
- - -
160,000 80,000 67,460
5,600,000 2,800,000 (139,946)
800,000 400,000 354,525
2,560,000 1,280,000 435,020
- -
42,400,000 21,200,000 5,411,203

6,720,000 3,360,000 451,497
4,000,000 2,000,000 (313,724)
960,000 480,000 41,946
1,600,000 800,000 510,691
4,480,000 2,240,000 1,303,214 10
2,240,000 1,120,000 563,992
2,720,000 1,360,000 841,972
320,000 160,000 66,387
- - -
- - -
5,760,000 2,880,000 (229,662)
960,000 480,000 434,020
800,000 400,000 144,700
- -
30,560,000 15,280,000 3,815,032

9,600,000 4,800,000 (482,520)
5,920,000 2,960,000 (383,663)
5,920,000 2,960,000 (1,846,367)
1,440,000 720,000 383,328
5,440,000 2,720,000 1,909,304
4,800,000 2,400,000 1,409,195
- - - 11
480,000 240,000 77,617
- - -
- - -
6,240,000 3,120,000 (174,613)
800,000 400,000 360,090
960,000 480,000 159,241
- -
41,600,000 20,800,000 1,411,612

6,080,000 3,040,000 (399,037)
5,280,000 2,640,000 (39,427)
5,760,000 2,880,000 300,225
5,920,000 2,960,000 1,119,618
5,600,000 2,800,000 1,619,687
3,360,000 1,680,000 1,130,915 12
3,360,000 1,680,000 979,510
320,000 160,000 126,896
- - -
- - -
5,760,000 2,880,000 (1,586,336)
160,000 80,000 75,340
1,280,000 640,000 211,030
- -
42,880,000 21,440,000 3,538,421

8,320,000 4,160,000 (637,181)
5,120,000 2,560,000 351,671
5,280,000 2,640,000 (784,904)
4,960,000 2,480,000 1,109,212
6,400,000 3,200,000 2,152,896 13
4,160,000 2,080,000 960,358
- - -
480,000 240,000 100,938
- - -
- - -
5,920,000 2,960,000 (795,700)
640,000 320,000 276,539
9,920,000 4,960,000 1,959,063
- -
51,200,000 25,600,000 4,692,892

5,120,000 2,560,000 (390,936)
3,360,000 1,680,000 (291,132)
2,240,000 1,120,000 (375,489)
1,760,000 880,000 455,656
11,360,000 5,680,000 3,868,602
2,080,000 1,040,000 520,340 14
- - -
320,000 160,000 52,504
- - -
- - -
2,720,000 1,360,000 (199,573)
640,000 320,000 287,905
960,000 480,000 97,452
- -
30,560,000 15,280,000 4,025,330

3,840,000 1,920,000 5,665
5,120,000 2,560,000 (622,164)
1,440,000 720,000 (151,218)
1,760,000 880,000 376,476
3,360,000 1,680,000 1,169,838
2,080,000 1,040,000 475,461 15
2,880,000 1,440,000 829,889
640,000 320,000 237,804
- - -
- - -
4,640,000 2,320,000 (1,186,989)
1,600,000 800,000 662,309
640,000 320,000 132,218
- -
28,000,000 14,000,000 1,929,289

7,360,000 3,680,000 (292,784)
5,920,000 2,960,000 (363,405)
3,680,000 1,840,000 (374,739)
2,400,000 1,200,000 610,686
2,720,000 1,360,000 887,219 16
5,120,000 2,560,000 893,222
5,120,000 2,560,000 1,207,410
320,000 160,000 79,739
- - -
- - -
6,080,000 3,040,000 (215,638)
1,120,000 560,000 488,197
960,000 480,000 169,795
- -
40,800,000 20,400,000 3,089,702

7,840,000 3,920,000 (1,236,229)
4,640,000 2,320,000 (436,675)
6,400,000 3,200,000 (576,546)
7,040,000 3,520,000 1,355,116
5,760,000 2,880,000 1,935,582
960,000 480,000 229,098 17
3,840,000 1,920,000 941,198
320,000 160,000 (8,297)
- - -
- - -
7,360,000 3,680,000 (3,815,109)
640,000 320,000 303,926
1,120,000 560,000 282,163
- -
45,920,000 22,960,000 (1,025,772)

7,840,000 3,920,000 (237,564)
4,160,000 2,080,000 233,629
6,880,000 3,440,000 (1,511,377)
3,200,000 1,600,000 503,703
8,320,000 4,160,000 3,122,551 18
2,880,000 1,440,000 772,753
4,800,000 2,400,000 1,056,168
480,000 240,000 177,635
- - -
160,000 80,000 67,040
5,920,000 2,960,000 (2,253,014)
960,000 480,000 423,399
6,720,000 3,360,000 1,167,225
- -
52,320,000 26,160,000 3,522,148

5,120,000 2,560,000 (431,957)
5,440,000 2,720,000 (238,833)
3,360,000 1,680,000 (452,867)
1,760,000 880,000 331,088
9,600,000 4,800,000 3,469,291
4,640,000 2,320,000 1,035,210
4,000,000 2,000,000 829,310 19
320,000 160,000 47,689
- - -
- - -
5,280,000 2,640,000 (1,183,219)
320,000 160,000 149,395
1,600,000 800,000 203,705
- -
41,440,000 20,720,000 3,758,811

4,640,000 2,320,000 (73,432)
4,480,000 2,240,000 (64,164)
2,400,000 1,200,000 (291,064)
3,520,000 1,760,000 842,402
4,320,000 2,160,000 1,711,029 20
1,600,000 800,000 276,142
4,480,000 2,240,000 906,518
960,000 480,000 369,636
- - -
- - -
4,640,000 2,320,000 (1,207,873)
480,000 240,000 210,221
800,000 400,000 165,955
- (78,344)
32,320,000 16,160,000 2,767,026
GAL 30 DESEMBER 2016

7,360,000 3,680,000 (400,162)
7,520,000 3,760,000 (62,462)
5,120,000 2,560,000 (2,191,820)
3,040,000 1,520,000 789,016
4,000,000 2,000,000 1,143,086 21
2,880,000 1,440,000 710,320
3,360,000 1,680,000 618,374
320,000 160,000 108,970
- - -
160,000 80,000 72,938
5,760,000 2,880,000 (730,928)
1,440,000 720,000 637,337
800,000 400,000 195,593
- -
41,760,000 20,880,000 890,263

10,720,000 5,360,000 1,311,054
4,000,000 2,000,000 246,685
9,920,000 4,960,000 (4,418,875)
3,520,000 1,760,000 684,598
7,040,000 3,520,000 2,251,426
2,400,000 1,200,000 449,210
3,040,000 1,520,000 645,403
480,000 240,000 129,072
- - -
- - -
6,400,000 3,200,000 (2,904,749)
640,000 320,000 284,945
800,000 400,000 227,076
- (78,344)
48,960,000 24,480,000 (1,172,499)
TOTAL KLAIM TANGGAL 04 SEPTEMBER 2017
JLH HARGA OBAT RATA2 1 KASUS JASA SISA UTK
NO POLIKLINIK RESEP 160,000 50% OPERASIONAL
2 POLI DALAM PRIA 48 3,433,589 7,680,000 3,840,000 406,411
3 POLI PARU 19 1,563,345 3,040,000 1,520,000 (43,345)
4 POLI BEDAH 14 572,290 2,240,000 1,120,000 547,710
5 POLI ANAK 22 571,215 3,520,000 1,760,000 1,188,785
6 POLI KEBIDANAN 14 799,413 2,240,000 1,120,000 320,587
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 5 33,471 800,000 400,000 366,529
13 POLI JIWA 3 140,028 480,000 240,000 99,972
14 POLI STAF RS - -
TOTAL 162 9,915,313 25,920,000 12,960,000 3,044,687

NO POLIKLINIK JLH RESEPHARGA OBAT
2 POLI DALAM PRIA 66 4,417,779 10,560,000 5,280,000 862,221
3 POLI PARU 18 1,062,067 2,880,000 1,440,000 377,933
4 POLI BEDAH 12 357,876 1,920,000 960,000 602,124
5 POLI ANAK 19 590,009 3,040,000 1,520,000 929,991
6 POLI KEBIDANAN 19 829,189 3,040,000 1,520,000 690,811
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 2 16,785 320,000 160,000 143,215
13 POLI JIWA 8 338,272 1,280,000 640,000 301,728
14 POLI STAF RS - -
TOTAL 221 11,932,611 35,360,000 17,680,000 5,747,389

2 POLI DALAM PRIA 60 3,756,127 9,600,000 4,800,000 1,043,873
3 POLI PARU 21 1,005,092 3,360,000 1,680,000 674,908
4 POLI BEDAH 33 1,448,915 5,280,000 2,640,000 1,191,085
5 POLI ANAK 30 696,762 4,800,000 2,400,000 1,703,238
6 POLI KEBIDANAN 24 1,088,790 3,840,000 1,920,000 831,210
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 7 59,279 1,120,000 560,000 500,721
13 POLI JIWA 15 859,906 2,400,000 1,200,000 340,094
14 POLI STAF RS - -
TOTAL 272 13,840,781 43,520,000 21,760,000 7,919,219

2 POLI DALAM PRIA 43 3,211,820 6,880,000 3,440,000 228,180
3 POLI PARU 20 1,456,031 3,200,000 1,600,000 143,969
4 POLI BEDAH 19 867,762 3,040,000 1,520,000 652,238
5 POLI ANAK 31 821,947 4,960,000 2,480,000 1,658,053
6 POLI KEBIDANAN 28 1,404,547 4,480,000 2,240,000 835,453
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 6 32,471 960,000 480,000 447,529
13 POLI JIWA 37 1,960,184 5,920,000 2,960,000 999,816
14 POLI STAF RS - -
TOTAL 250 14,362,487 40,000,000 20,000,000 5,637,513

2 POLI DALAM PRIA 47 3,621,025 7,520,000 3,760,000 138,975
3 POLI PARU 16 1,483,274 2,560,000 1,280,000 (203,274)
4 POLI BEDAH 11 532,531 1,760,000 880,000 347,469
5 POLI ANAK 51 1,537,177 8,160,000 4,080,000 2,542,823
6 POLI KEBIDANAN 16 513,285 2,560,000 1,280,000 766,715
7 POLI MATA 92 1,822,417 14,720,000 7,360,000 5,537,583
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 2 49,677 320,000 160,000 110,323
13 POLI JIWA 11 691,016 1,760,000 880,000 188,984
14 POLI STAF RS 1 63,910 - (63,910)
TOTAL 294 14,150,802 46,880,000 23,440,000 9,289,198

2 POLI DALAM PRIA 56 4,432,380 8,960,000 4,480,000 47,620
3 POLI PARU 20 1,846,297 3,200,000 1,600,000 (246,297)
4 POLI BEDAH 12 437,160 1,920,000 960,000 522,840
5 POLI ANAK 19 424,284 3,040,000 1,520,000 1,095,716
6 POLI KEBIDANAN 18 902,980 2,880,000 1,440,000 537,020
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI - - -
13 POLI JIWA 4 192,584 640,000 320,000 127,416
14 POLI STAF RS - -
TOTAL 173 11,802,247 27,680,000 13,840,000 2,037,753

2 POLI DALAM PRIA 57 3,782,797 9,120,000 4,560,000 777,203
3 POLI PARU 21 1,790,650 3,360,000 1,680,000 (110,650)
4 POLI BEDAH 13 534,394 2,080,000 1,040,000 505,606
5 POLI ANAK 31 1,008,008 4,960,000 2,480,000 1,471,992
6 POLI KEBIDANAN 39 1,613,445 6,240,000 3,120,000 1,506,555
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 3 28,869 480,000 240,000 211,131
13 POLI JIWA 8 213,222 1,280,000 640,000 426,778
14 POLI STAF RS 1 39,556 - (39,556)
TOTAL 240 13,551,999 38,240,000 19,120,000 5,568,001

2 POLI DALAM PRIA 61 3,951,384 9,760,000 4,880,000 928,617
3 POLI PARU 29 2,090,417 4,640,000 2,320,000 229,583
4 POLI BEDAH 29 1,411,758 4,640,000 2,320,000 908,242
5 POLI ANAK 31 730,172 4,960,000 2,480,000 1,749,828
6 POLI KEBIDANAN 15 797,829 2,400,000 1,200,000 402,171
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 5 51,370 800,000 400,000 348,630
13 POLI JIWA 13 900,061 2,080,000 1,040,000 139,939
14 POLI STAF RS - -
TOTAL 258 13,915,334 41,280,000 20,640,000 6,724,666

2 POLI DALAM PRIA 49 4,253,628 7,840,000 3,920,000 (333,628)
3 POLI PARU 20 2,334,405 3,200,000 1,600,000 (734,405)
4 POLI BEDAH 31 1,359,740 4,960,000 2,480,000 1,120,260
5 POLI ANAK 34 983,563 5,440,000 2,720,000 1,736,437
6 POLI KEBIDANAN 20 604,157 3,200,000 1,600,000 995,843
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 2 13,190 320,000 160,000 146,810
13 POLI JIWA 37 2,382,759 5,920,000 2,960,000 577,241
14 POLI STAF RS - -
TOTAL 283 17,502,600 45,280,000 22,640,000 5,137,400

2 POLI DALAM PRIA 41 3,737,844 6,560,000 3,280,000 (457,844)
3 POLI PARU 8 985,052 1,280,000 640,000 (345,052)
4 POLI BEDAH 12 572,147 1,920,000 960,000 387,853
5 POLI ANAK 35 1,028,546 5,600,000 2,800,000 1,771,454
6 POLI KEBIDANAN 12 563,112 1,920,000 960,000 396,888
7 POLI MATA 111 2,231,083 17,760,000 8,880,000 6,648,917
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 2 14,625 320,000 160,000 145,375
13 POLI JIWA 12 940,968 1,920,000 960,000 19,032
14 POLI STAF RS 3 104,658 - (104,658)
TOTAL 281 12,747,499 44,480,000 22,240,000 9,492,501

2 POLI DALAM PRIA 40 3,266,006 6,400,000 3,200,000 (66,006)
3 POLI PARU 21 1,553,894 3,360,000 1,680,000 126,106
4 POLI BEDAH 17 624,374 2,720,000 1,360,000 735,626
5 POLI ANAK 25 761,553 4,000,000 2,000,000 1,238,447
6 POLI KEBIDANAN 19 795,528 3,040,000 1,520,000 724,472
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 2 11,175 320,000 160,000 148,825
13 POLI JIWA 6 251,751 960,000 480,000 228,249
14 POLI STAF RS - -
TOTAL 187 11,854,405 29,920,000 14,960,000 3,105,595

2 POLI DALAM PRIA 62 4,401,590 9,920,000 4,960,000 558,410
3 POLI PARU 25 1,900,945 4,000,000 2,000,000 99,055
4 POLI BEDAH 16 564,966 2,560,000 1,280,000 715,034
5 POLI ANAK 33 748,748 5,280,000 2,640,000 1,891,252
6 POLI KEBIDANAN 31 1,251,105 4,960,000 2,480,000 1,228,895
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 5 44,628 800,000 400,000 355,372
13 POLI JIWA 10 303,983 1,600,000 800,000 496,017
14 POLI STAF RS - -
TOTAL 258 14,829,539 41,280,000 20,640,000 5,810,461

2 POLI DALAM PRIA 68 5,538,189 10,880,000 5,440,000 (98,189)
3 POLI PARU 36 2,873,853 5,760,000 2,880,000 6,147
4 POLI BEDAH 47 2,018,816 7,520,000 3,760,000 1,741,184
5 POLI ANAK 47 1,013,131 7,520,000 3,760,000 2,746,869
6 POLI KEBIDANAN 13 363,010 2,080,000 1,040,000 676,990
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 5 25,803 800,000 400,000 374,197
13 POLI JIWA 25 1,273,568 4,000,000 2,000,000 726,432
14 POLI STAF RS - -
TOTAL 339 18,161,320 54,240,000 27,120,000 8,958,680

2 POLI DALAM PRIA 50 3,959,205 8,000,000 4,000,000 40,795
3 POLI PARU 14 903,598 2,240,000 1,120,000 216,402
4 POLI BEDAH 14 613,286 2,240,000 1,120,000 506,714
5 POLI ANAK 48 1,448,145 7,680,000 3,840,000 2,391,855
6 POLI KEBIDANAN 21 849,220 3,360,000 1,680,000 830,780
7 POLI MATA 84 1,861,205 13,440,000 6,720,000 4,858,795
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 4 30,186 640,000 320,000 289,814
13 POLI JIWA 20 1,224,126 3,200,000 1,600,000 375,874
14 POLI STAF RS - -
TOTAL 326 15,604,136 52,160,000 26,080,000 10,475,864

2 POLI DALAM PRIA 66 5,476,725 10,560,000 5,280,000 (196,725)
3 POLI PARU 29 2,460,818 4,640,000 2,320,000 (140,818)
4 POLI BEDAH 10 345,372 1,600,000 800,000 454,628
5 POLI ANAK 21 535,487 3,360,000 1,680,000 1,144,513
6 POLI KEBIDANAN 15 847,661 2,400,000 1,200,000 352,339
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 4 39,889 640,000 320,000 280,111
13 POLI JIWA 7 344,555 1,120,000 560,000 215,445
14 POLI STAF RS 1 4,750 - (4,750)
TOTAL 201 13,691,216 32,000,000 16,000,000 2,308,784

2 POLI DALAM PRIA 54 4,211,676 8,640,000 4,320,000 108,324
3 POLI PARU 28 2,191,944 4,480,000 2,240,000 48,056
4 POLI BEDAH 8 299,405 1,280,000 640,000 340,595
5 POLI ANAK 28 690,086 4,480,000 2,240,000 1,549,915
6 POLI KEBIDANAN 27 1,011,979 4,320,000 2,160,000 1,148,021
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 4 46,755 640,000 320,000 273,245
13 POLI JIWA 10 247,794 1,600,000 800,000 552,206
14 POLI STAF RS 1 73,420 - (73,420)
TOTAL 254 14,935,245 40,480,000 20,240,000 5,304,755

2 POLI DALAM PRIA 68 4,789,004 10,880,000 5,440,000 650,996
3 POLI PARU 21 1,290,403 3,360,000 1,680,000 389,597
4 POLI BEDAH 30 1,459,006 4,800,000 2,400,000 940,994
5 POLI ANAK 41 984,944 6,560,000 3,280,000 2,295,056
6 POLI KEBIDANAN 12 588,261 1,920,000 960,000 371,739
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 2 9,680 320,000 160,000 150,320
13 POLI JIWA 15 783,314 2,400,000 1,200,000 416,686
14 POLI STAF RS 2 47,980 - (47,980)
TOTAL 275 14,779,819 43,680,000 21,840,000 7,060,181

2 POLI DALAM PRIA 35 2,418,354 5,600,000 2,800,000 381,646
3 POLI PARU 16 1,508,180 2,560,000 1,280,000 (228,180)
4 POLI BEDAH 25 953,086 4,000,000 2,000,000 1,046,914
5 POLI ANAK 32 489,859 5,120,000 2,560,000 2,070,141
6 POLI KEBIDANAN 24 1,168,689 3,840,000 1,920,000 751,311
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 1 6,230 160,000 80,000 73,770
13 POLI JIWA 44 2,234,629 7,040,000 3,520,000 1,285,371
14 POLI STAF RS 1 268,550 - (268,550)
TOTAL 240 13,750,878 38,240,000 19,120,000 5,369,122

2 POLI DALAM PRIA 55 4,883,045 8,800,000 4,400,000 (483,045)
3 POLI PARU - - -
4 POLI BEDAH 11 437,813 1,760,000 880,000 442,187
5 POLI ANAK 27 810,961 4,320,000 2,160,000 1,349,039
6 POLI KEBIDANAN 20 1,107,744 3,200,000 1,600,000 492,256
7 POLI MATA - - -
8 POLI THT - - -
9 POLI CARDIO - - -
11 POLI SARAF - - -
12 POLI GIGI 3 17,014 480,000 240,000 222,986
13 POLI JIWA 6 316,080 960,000 480,000 163,920
14 POLI STAF RS - -
TOTAL 164 10,924,916 26,240,000 13,120,000 2,195,084
1
2
3
4
5
7
8
9
10
11
12
13
14
15
16
17
18
19
TOTAL KLAIM TANGGAL 02 OKTOBER 2017

3 POLI PARU 28 1,810,157
4 POLI BEDAH 14 537,432
5 POLI ANAK 30 584,184
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 3 18,900
13 POLI JIWA 7 350,396
14 POLI STAF RS
TOTAL 204 14,182,396

3 POLI PARU 34 2,894,184
5 POLI ANAK 27 772,618
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 7 100,426
13 POLI JIWA 8 231,661
14 POLI STAF RS
TOTAL 260 15,333,538

3 POLI PARU 35 2,391,483
4 POLI BEDAH 32 1,426,416
5 POLI ANAK 38 1,016,139
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 7 75,554
13 POLI JIWA 17 787,739
TOTAL 302 16,325,120

3 POLI PARU 15 1,611,113
4 POLI BEDAH 21 956,204
5 POLI ANAK 23 505,458
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 1 475
13 POLI JIWA 39 2,444,714
14 POLI STAF RS
TOTAL 220 12,939,388

3 POLI PARU 30 2,557,365
5 POLI ANAK 50 1,576,388
7 POLI MATA 86 1,842,645
8 POLI THT
9 POLI CARDIO
11 POLI SARAF
13 POLI JIWA 10 653,144
14 POLI STAF RS
TOTAL 311 16,748,090

3 POLI PARU 32 3,232,377
4 POLI BEDAH 23 853,798
5 POLI ANAK 24 554,396
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 5 54,016
13 POLI JIWA 6 278,753
14 POLI STAF RS
TOTAL 216 14,941,447

3 POLI PARU 25 1,941,032
5 POLI ANAK 35 914,396
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 4 25,791
13 POLI JIWA 6 197,237
14 POLI STAF RS
TOTAL 261 13,458,973

3 POLI PARU 27 1,972,859
4 POLI BEDAH 58 2,028,006
5 POLI ANAK 31 726,844
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 3 44,347
13 POLI JIWA 11 470,826
14 POLI STAF RS
TOTAL 308 13,519,565


3 POLI PARU 22 2,652,710
4 POLI BEDAH 22 749,620
5 POLI ANAK 34 856,480
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 8 65,865
13 POLI JIWA 41 2,947,776
14 POLI STAF RS
TOTAL 282 16,394,059
TOTAL KLAIM TANGGAL 15 DESEMBER 2016

3 POLI PARU 26 2,235,541
5 POLI ANAK 54 1,498,026
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 1 11,960
13 POLI JIWA 7 296,240
14 POLI STAF RS
TOTAL 206 12,272,227

3 POLI PARU 24 1,581,439
4 POLI BEDAH 13 599,188
5 POLI ANAK 29 848,326
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 4 17,755
13 POLI JIWA 7 324,710
14 POLI STAF RS
TOTAL 189 12,628,344

3 POLI PARU 22 1,649,791
4 POLI BEDAH 13 547,461
5 POLI ANAK 30 758,181
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 4 21,935
13 POLI JIWA 6 207,504
TOTAL 261 13,730,008

3 POLI PARU 37 3,576,699
4 POLI BEDAH 51 2,275,806
5 POLI ANAK 34 920,983
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 6 57,143
13 POLI JIWA 11 490,323
14 POLI STAF RS
TOTAL 326 16,117,948

3 POLI PARU 24 1,590,881
4 POLI BEDAH 20 871,484
5 POLI ANAK 31 852,346
7 POLI MATA
8 POLI THT
9 POLI CARDIO
11 POLI SARAF
12 POLI GIGI 4 30,595
13 POLI JIWA 43 2,503,485
14 POLI STAF RS
TOTAL 276 13,078,071

3 POLI PARU 27 1,998,831
4 POLI BEDAH 10 383,502
5 POLI ANAK 68 1,748,651
7 POLI MATA 136 3,981,310
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 5 28,195
13 POLI JIWA 9 564,780
14 POLI STAF RS
TOTAL 366 16,071,367

3 POLI PARU 23 1,789,239
4 POLI BEDAH 12 464,979
5 POLI ANAK 21 443,502
7 POLI MATA
8 POLI HD 3 184,300
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF 16 1,544,398
12 POLI GIGI 8 70,875
13 POLI JIWA 10 609,123
TOTAL 182 11,155,049


3 POLI PARU 18 1,062,067
4 POLI BEDAH 12 357,876
5 POLI ANAK 19 590,009
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 2 16,785
13 POLI JIWA 8 338,272
14 POLI STAF RS
TOTAL 221 11,932,611

3 POLI PARU 32 3,044,904
4 POLI BEDAH 52 2,425,419
5 POLI ANAK 45 1,070,408
7 POLI MATA
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 4 47,389
13 POLI JIWA 10 353,948
14 POLI STAF RS
TOTAL 319 15,480,909

3 POLI PARU 8 985,052
4 POLI BEDAH 12 572,147
5 POLI ANAK 35 1,028,546
7 POLI MATA 111 2,231,083
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 2 14,625
13 POLI JIWA 12 940,968
TOTAL 281 12,747,499

3 POLI PARU 26 1,825,925
4 POLI BEDAH 11 376,859
5 POLI ANAK 57 1,667,340
7 POLI MATA 136 5,417,735
8 POLI THT
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 4 32,661
13 POLI JIWA 10 501,676
TOTAL 346 17,255,356

3 POLI PARU 27 2,471,146
4 POLI BEDAH 14 477,427
5 POLI ANAK 20 515,136
7 POLI MATA
8 POLI THT
9 POLI CARDIO
11 POLI SARAF
12 POLI GIGI 4 48,555
13 POLI JIWA 7 229,722
14 POLI STAF RS
TOTAL 186 12,131,349

3 POLI PARU 28 2,367,185
4 POLI BEDAH 13 503,366
5 POLI ANAK 36 793,470
7 POLI MATA
8 POLI HD 1 32,777
9 POLI CARDIO
10 POLI FISIOTERAPI
11 POLI SARAF
12 POLI GIGI 6 45,870
13 POLI JIWA 8 313,383
TOTAL 226 12,931,055
GAL 02 OKTOBER 2017

7,840,000 3,920,000 (513,651)
9,440,000 4,720,000 (1,040,561)
4,480,000 2,240,000 429,843
2,240,000 1,120,000 582,568
4,800,000 2,400,000 1,815,816
2,240,000 1,120,000 432,885 1
- - -
- - -
- - -
- - -
- - -
480,000 240,000 221,100
1,120,000 560,000 209,604
- -
32,640,000 16,320,000 2,137,604
GAL 03 OKTOBER 2017

12,640,000 6,320,000 1,588,095
10,560,000 5,280,000 295,513
5,440,000 2,720,000 (174,184)
1,440,000 720,000 445,624
4,320,000 2,160,000 1,387,382
4,800,000 2,400,000 1,056,119 2
- - -
- - -
- - -
- - -
- - -
1,120,000 560,000 459,574
1,280,000 640,000 408,339
- -
41,600,000 20,800,000 5,466,462
GAL 04 OKTOBER 2017

14,400,000 7,200,000 2,271,816
10,080,000 5,040,000 243,766
5,600,000 2,800,000 408,517
5,120,000 2,560,000 1,133,584
6,080,000 3,040,000 2,023,861
2,880,000 1,440,000 571,103 3
- - -
- - -
- - -
- - -
- - -
1,120,000 560,000 484,446
2,720,000 1,360,000 572,261
- (34,474)
48,000,000 24,000,000 7,674,880
GAL 05 OKTOBER 2017

10,240,000 5,120,000 1,682,776
5,440,000 2,720,000 (203,230)
2,400,000 1,200,000 (411,113)
3,360,000 1,680,000 723,796
3,680,000 1,840,000 1,334,542 4
3,680,000 1,840,000 779,029
- - -
- - -
- - -
- - -
- - -
160,000 80,000 79,525
6,240,000 3,120,000 675,286
- -
35,200,000 17,600,000 4,660,612
GAL 06 OKTOBER 2017

9,600,000 4,800,000 201,915
9,280,000 4,640,000 (192,603)
4,800,000 2,400,000 (157,365)
1,280,000 640,000 293,267
8,000,000 4,000,000 2,423,612 5
960,000 480,000 174,475
13,760,000 6,880,000 5,037,355
- - -
- - -
320,000 160,000 132,264
- - -
160,000 80,000 72,135
1,600,000 800,000 146,856
- -
49,760,000 24,880,000 8,131,910
GAL 09 OKTOBER 2017

7,520,000 3,760,000 (261,663)
9,760,000 4,880,000 (4,812)
5,120,000 2,560,000 (672,377)
3,680,000 1,840,000 986,202
3,840,000 1,920,000 1,365,604 6
2,880,000 1,440,000 378,368
- - -
- - -
- - -
- - -
- - -
800,000 400,000 345,984
960,000 480,000 201,247
- -
34,560,000 17,280,000 2,338,553
GAL 10 OKTOBER 2017

13,280,000 6,640,000 2,244,621
12,320,000 6,160,000 1,653,437
4,000,000 2,000,000 58,968
1,280,000 640,000 332,955
5,600,000 2,800,000 1,885,604 7
3,680,000 1,840,000 668,471
- - -
- - -
- - -
- - -
- - -
640,000 320,000 294,209
960,000 480,000 282,763
- -
41,760,000 20,880,000 7,421,027
GAL 11 OKTOBER 2017

16,480,000 8,240,000 4,367,550
9,600,000 4,800,000 1,041,216
4,320,000 2,160,000 187,141
9,280,000 4,640,000 2,611,994
4,960,000 2,480,000 1,753,156 8
2,400,000 1,200,000 554,551
- - -
- - -
- - -
- - -
- - -
480,000 240,000 195,653
1,760,000 880,000 409,174
- -
49,280,000 24,640,000 11,120,435
GAL 13 OKTOBER 2017

15,040,000 7,520,000 3,437,938
7,040,000 3,520,000 (652,871)
3,520,000 1,760,000 (892,710)
3,520,000 1,760,000 1,010,380
5,440,000 2,720,000 1,863,520
2,720,000 1,360,000 493,324 9
- - -
- - -
- - -
- - -
- - -
1,280,000 640,000 574,135
6,560,000 3,280,000 332,224
- -
45,120,000 22,560,000 6,165,941
GAL 15 DESEMBER 2016

8,960,000 4,480,000 424,018
5,440,000 2,720,000 (86,582)
4,160,000 2,080,000 (155,541)
1,440,000 720,000 229,400
8,640,000 4,320,000 2,821,974 10
3,040,000 1,520,000 642,705
- - -
- - -
- - -
- - -
- - -
160,000 80,000 68,040
1,120,000 560,000 263,760
- -
32,960,000 16,480,000 4,207,773
GAL 16 OKTOBER 2017

7,520,000 3,760,000 660,917
8,000,000 4,000,000 (1,301,612)
3,840,000 1,920,000 338,561
2,080,000 1,040,000 440,812
4,640,000 2,320,000 1,471,674
2,400,000 1,200,000 343,769
- - - 11
- - -
- - -
- - -
- - -
640,000 320,000 302,245
1,120,000 560,000 235,290
- -
30,240,000 15,120,000 2,491,656
GAL 17 OKTOBER 2017

13,120,000 6,560,000 1,291,074
12,800,000 6,400,000 2,241,246
3,520,000 1,760,000 110,209
2,080,000 1,040,000 492,539
4,800,000 2,400,000 1,641,819
3,680,000 1,840,000 749,074 12
- - -
- - -
- - -
- - -
- - -
640,000 320,000 298,065
960,000 480,000 272,496
- (26,530)
41,600,000 20,800,000 7,069,992
GAL 18 OKTOBER 2017

17,760,000 8,880,000 5,121,963
10,720,000 5,360,000 683,555
5,920,000 2,960,000 (616,699)
8,160,000 4,080,000 1,804,194
5,440,000 2,720,000 1,799,017 13
1,440,000 720,000 357,487
- - -
- - -
- - -
- - -
- - -
960,000 480,000 422,857
1,760,000 880,000 389,677
- -
52,160,000 26,080,000 9,962,052
GAL 19 OKTOBER 2017

15,040,000 7,520,000 4,118,097
7,040,000 3,520,000 286,350
3,840,000 1,920,000 329,119
3,200,000 1,600,000 728,516
4,960,000 2,480,000 1,627,654
2,240,000 1,120,000 546,146 14
- - -
- - -
- - -
320,000 160,000 140,126
- - -
640,000 320,000 289,405
6,880,000 3,440,000 936,515
- -
44,160,000 22,080,000 9,001,929
GAL 20 OKTOBER 2017

8,960,000 4,480,000 585,771
6,400,000 3,200,000 458,925
4,320,000 2,160,000 161,169
1,600,000 800,000 416,498
10,880,000 5,440,000 3,691,349
2,400,000 1,200,000 469,206 15
21,760,000 10,880,000 6,898,690
- - -
- - -
- - -
- - -
800,000 400,000 371,805
1,440,000 720,000 155,220
- -
58,560,000 29,280,000 13,208,633
GAL 23 OKTOBER 2017

5,440,000 2,720,000 469,845
5,280,000 2,640,000 (175,887)
3,680,000 1,840,000 50,761
1,920,000 960,000 495,021
3,360,000 1,680,000 1,236,498 16
3,200,000 1,600,000 696,749
- - -
480,000 240,000 55,700
- - -
- - -
2,560,000 1,280,000 (264,398)
1,280,000 640,000 569,125
1,600,000 800,000 190,877
- (79,340)
28,800,000 14,400,000 3,244,951
GAL 24 OKTOBER 2017

12,320,000 6,160,000 1,839,366
10,560,000 5,280,000 862,221
2,880,000 1,440,000 377,933
1,920,000 960,000 602,124
3,040,000 1,520,000 929,991
3,040,000 1,520,000 690,811 17
- - -
- - -
- - -
- - -
- - -
320,000 160,000 143,215
1,280,000 640,000 301,728
- -
35,360,000 17,680,000 5,747,389
GAL 25 OKTOBER 2017

17,440,000 8,720,000 5,177,724
9,440,000 4,720,000 162,893
5,120,000 2,560,000 (484,904)
8,320,000 4,160,000 1,734,581
7,200,000 3,600,000 2,529,592 18
1,280,000 640,000 200,542
- - -
- - -
- - -
- - -
- - -
640,000 320,000 272,611
1,600,000 800,000 446,052
- -
51,040,000 25,520,000 10,039,091
GAL 26 OKTOBER 2017

7,200,000 3,600,000 1,030,536
6,560,000 3,280,000 (457,844)
1,280,000 640,000 (345,052)
1,920,000 960,000 387,853
5,600,000 2,800,000 1,771,454
1,920,000 960,000 396,888
17,760,000 8,880,000 6,648,917 19
- - -
- - -
- - -
- - -
320,000 160,000 145,375
1,920,000 960,000 19,032
- (104,658)
44,480,000 22,240,000 9,492,501
GAL 27 OKTOBER 2017

7,680,000 3,840,000 370,183
6,560,000 3,280,000 (195,542)
4,160,000 2,080,000 254,075
1,760,000 880,000 503,141
9,120,000 4,560,000 2,892,660 20
1,760,000 880,000 453,330
21,760,000 10,880,000 5,462,265
- - -
- - -
- - -
- - -
640,000 320,000 287,339
1,600,000 800,000 298,324
- (61,131)
55,040,000 27,520,000 10,264,644
GAL 30 OKTOBER 2017

7,200,000 3,600,000 (26,402)
7,520,000 3,760,000 67,152
4,320,000 2,160,000 (311,146)
2,240,000 1,120,000 642,573
3,200,000 1,600,000 1,084,864 21
3,360,000 1,680,000 649,235
- - -
- - -
- - -
160,000 80,000 40,653
- - -
640,000 320,000 271,445
1,120,000 560,000 330,278
- -
29,760,000 14,880,000 2,748,651
GAL 31 OKTOBER 2017

8,000,000 4,000,000 550,379
11,680,000 5,840,000 923,260
4,480,000 2,240,000 (127,185)
2,080,000 1,040,000 536,634
5,760,000 2,880,000 2,086,530
1,600,000 800,000 345,356
- - -
160,000 80,000 47,223
- - -
- - -
- - -
960,000 480,000 434,130
1,280,000 640,000 326,617
- (54,000)
36,000,000 18,000,000 5,068,945

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TOTAL KLAIM TANGGAL 01 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 02 MARET 2018

TOTAL KLAIM TANGGAL 05 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 06 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 07 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 08 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 09 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 12 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 13 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 14 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 15 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 16 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 19 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 20 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 21 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 22 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 23 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 26 MARET 2018

RATA2 1 KASUS JASA SISA UTK

TOTAL KLAIM TANGGAL 27 MARET 2018

RATA2 1 KASUS JASA SISA UTK

RATA2 1 KASUS JASA SISA UTK

RATA2 1 KASUS JASA SISA UTK

NO POLIKLINIK JLH RESEP HARGA OBAT

1 POLI DALAM WANITA 61 3,369,942

TOTAL KLAIM TANGGAL 02 FEBRUARI 2018

NO POLIKLINIK JLH RESEP HARGA OBAT

1 POLI DALAM WANITA 31 2,112,894

TOTAL KLAIM TANGGAL 05 FEBRUARI 2018

NO POLIKLINIK JLH RESEP HARGA OBAT

1 POLI DALAM WANITA 23 2,201,476

TOTAL KLAIM TANGGAL 06 FEBRUARI 2018

NO POLIKLINIK JLH RESEP HARGA OBAT

TOTAL KLAIM TANGGAL 07 FEBRUARI 2018

NO POLIKLINIK JLH RESEP HARGA OBAT

1 POLI DALAM WANITA 70 5,231,603

TOTAL KLAIM TANGGAL 08 FEBRUARI 2018

NO POLIKLINIK JLH RESEP HARGA OBAT

1 POLI DALAM WANITA 67 3,508,716

TOTAL KLAIM TANGGAL 09 FEBRUARI 2018

NO POLIKLINIK JLH RESEP HARGA OBAT

1 POLI DALAM WANITA 32 2,950,936

TOTAL KLAIM TANGGAL 12 FEBRUARI 2018

NO POLIKLINIK JLH RESEP HARGA OBAT

1 POLI DALAM WANITA 42 2,908,503

TOTAL KLAIM TANGGAL 13 FEBRUARI 2018

1 POLI DALAM WANITA 51 4,333,824