Reg 0904C032300042 - Revisi

NOMOR REGISTER : 0904C032300042
NOMOR FPK PROVIDER : 1025R0110323C0006
BULAN PELAYANAN : 01-2023 (RITL)
NAMA PROVIDER : MAYAPADA HOSPITAL TANGERANG
NOMOR INVOICE PROVIDER : RWI COB JAN 23 (EXCLUDED 1) MHCL2023022184-185-186
No No SJP Noka Pst
1 1025R0110123X000014 1001640965624
2 1025R0110123X000014 1001640965624
3 1025R0110123X000014 1001640965624
4 1025R0110123X000014 1001640965624
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11 1025R0110123X000014 1001640965624
12 1025R0110123X000014 1001640965624
13 1025R0110123X000014 1001640965624
14 1025R0110123X000014 1001640965624
15 1025R0110123X000014 1001640965624
16 1025R0110123X000014 1001640965624
17 1025R0110123X000015 1011464281787
18 1025R0110123X000015 1011464281787
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37 1025R0110123X000015 1011464281787
38 1025R0110123X000015 1011464281787
39 1025R0110123X000015 1011464281787
KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

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67 1025R0110123X000162 1011640945533
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188 1025R0110123X000218 1011640935508
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225 1025R0110123X000218 1011640935508
226 1025R0110123X000323 1011464271191
227 1025R0110123X000323 1011464271191
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229 1025R0110123X000323 1011464271191
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269 1025R0110123X000855 1011640934586
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315 1025R0110123X000980 1001464264372
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463 1025R0110123X001175 1011464265161
464 1025R0110123X001175 1011464265161
465 1025R0110123X001175 1011464265161
466 1025R0110123X001175 1011464265161
467 1025R0110123X001175 1011464265161
468 1025R0110123X001175 1011464265161
469 1025R0110123X001175 1011464265161
470 1025R0110123X001175 1011464265161
471 1025R0110123X001175 1011464265161
472 1025R0110123X001175 1011464265161
473 1025R0110123X001175 1011464265161
474 1025R0110123X001175 1011464265161
475 1025R0110123X001175 1011464265161
476 1025R0110123X001175 1011464265161
477 1025R0110123X001175 1011464265161
478 1025R0110123X001175 1011464265161
479 1025R0110123X001175 1011464265161

480 1025R0110123X001175 1011464265161
481 1025R0110123X001175 1011464265161
482 1025R0110123X001175 1011464265161
483 1025R0110123X001175 1011464265161
484 1025R0110123X001175 1011464265161
485 1025R0110123X001767 1001640963982
486 1025R0110123X001767 1001640963982
487 1025R0110123X001767 1001640963982
488 1025R0110123X001767 1001640963982
489 1025R0110123X001767 1001640963982
490 1025R0110123X001767 1001640963982
491 1025R0110123X001767 1001640963982
492 1025R0110123X001767 1001640963982
493 1025R0110123X001767 1001640963982
494 1025R0110123X001767 1001640963982
495 1025R0110123X001767 1001640963982
496 1025R0110123X001767 1001640963982
497 1025R0110123X001767 1001640963982
498 1025R0110123X001767 1001640963982
499 1025R0110123X001767 1001640963982
500 1025R0110123X001767 1001640963982
501 1025R0110123X001768 1011010812603
502 1025R0110123X001768 1011010812603
503 1025R0110123X001768 1011010812603
504 1025R0110123X001768 1011010812603
505 1025R0110123X001768 1011010812603
506 1025R0110123X001768 1011010812603
507 1025R0110123X001768 1011010812603
508 1025R0110123X001768 1011010812603
509 1025R0110123X001768 1011010812603
510 1025R0110123X001768 1011010812603
511 1025R0110123X001768 1011010812603
512 1025R0110123X001768 1011010812603
513 1025R0110123X001768 1011010812603
514 1025R0110123X001768 1011010812603
515 1025R0110123X001768 1011010812603
516 1025R0110123X001768 1011010812603
517 1025R0110123X001768 1011010812603
518 1025R0110123X001768 1011010812603
519 1025R0110123X001768 1011010812603
520 1025R0110123X001768 1011010812603
521 1025R0110123X001768 1011010812603
522 1025R0110123X001768 1011010812603
523 1025R0110123X001768 1011010812603
524 1025R0110123X001768 1011010812603
525 1025R0110123X001768 1011010812603
526 1025R0110123X001768 1011010812603
527 1025R0110123X001768 1011010812603
528 1025R0110123X001768 1011010812603
529 1025R0110123X001768 1011010812603
530 1025R0110123X001768 1011010812603
531 1025R0110123X001768 1011010812603
532 1025R0110123X001768 1011010812603
533 1025R0110123X001768 1011010812603
534 1025R0110123X001768 1011010812603

535 1025R0110123X001768 1011010812603
536 1025R0110123X001768 1011010812603
537 1025R0110123X001768 1011010812603
538 1025R0110123X001768 1011010812603
539 1025R0110123X001768 1011010812603
540 1025R0110123X001768 1011010812603
541 1025R0110123X001768 1011010812603
542 1025R0110123X001768 1011010812603
543 1025R0110123X001768 1011010812603
544 1025R0110123X001768 1011010812603
545 1025R0110123X001768 1011010812603
546 1025R0110123X001768 1011010812603
547 1025R0110123X001768 1011010812603
548 1025R0110123X001768 1011010812603
549 1025R0110123X001768 1011010812603
550 1025R0110123X001806 1001640940266
551 1025R0110123X001806 1001640940266
552 1025R0110123X001806 1001640940266
553 1025R0110123X001806 1001640940266
554 1025R0110123X001806 1001640940266
555 1025R0110123X001806 1001640940266
556 1025R0110123X001806 1001640940266
557 1025R0110123X001806 1001640940266
558 1025R0110123X001806 1001640940266
559 1025R0110123X001806 1001640940266
560 1025R0110123X001806 1001640940266
561 1025R0110123X001806 1001640940266
562 1025R0110123X001806 1001640940266
563 1025R0110123X001806 1001640940266
564 1025R0110123X001806 1001640940266
565 1025R0110123X001806 1001640940266
566 1025R0110123X001806 1001640940266
567 1025R0110123X001806 1001640940266
568 1025R0110123X001806 1001640940266
569 1025R0110123X001806 1001640940266
570 1025R0110123X001806 1001640940266
571 1025R0110123X001806 1001640940266
572 1025R0110123X001806 1001640940266
573 1025R0110123X001806 1001640940266
574 1025R0110123X001806 1001640940266
575 1025R0110123X001885 1001464269355
576 1025R0110123X001885 1001464269355
577 1025R0110123X001885 1001464269355
578 1025R0110123X001885 1001464269355
579 1025R0110123X001885 1001464269355
580 1025R0110123X001885 1001464269355
581 1025R0110123X001885 1001464269355
582 1025R0110123X001885 1001464269355
583 1025R0110123X001885 1001464269355
584 1025R0110123X001885 1001464269355
585 1025R0110123X001885 1001464269355
586 1025R0110123X001885 1001464269355
587 1025R0110123X001885 1001464269355
588 1025R0110123X001885 1001464269355
589 1025R0110123X001885 1001464269355

590 1025R0110123X001885 1001464269355
591 1025R0110123X001885 1001464269355
592 1025R0110123X001885 1001464269355
593 1025R0110123X001885 1001464269355
594 1025R0110123X001885 1001464269355
595 1025R0110123X001885 1001464269355
596 1025R0110123X001885 1001464269355
597 1025R0110123X001885 1001464269355
598 1025R0110123X001885 1001464269355
599 1025R0110123X001885 1001464269355
600 1025R0110123X001885 1001464269355
601 1025R0110123X001885 1001464269355
602 1025R0110123X001885 1001464269355
603 1025R0110123X001885 1001464269355
604 1025R0110123X001885 1001464269355
605 1025R0110123X001885 1001464269355
606 1025R0110123X001885 1001464269355
607 1025R0110123X001885 1001464269355
608 1025R0110123X001885 1001464269355
609 1025R0110123X001885 1001464269355
610 1025R0110123X001885 1001464269355
611 1025R0110123X001885 1001464269355
612 1025R0110123X001885 1001464269355
613 1025R0110123X001885 1001464269355
614 1025R0110123X001885 1001464269355
615 1025R0110123X001885 1001464269355
616 1025R0110123X001885 1001464269355
617 1025R0110123X001947 1001464258645
618 1025R0110123X001947 1001464258645
619 1025R0110123X001947 1001464258645
620 1025R0110123X001947 1001464258645
621 1025R0110123X001947 1001464258645
622 1025R0110123X001947 1001464258645
623 1025R0110123X001947 1001464258645
624 1025R0110123X001947 1001464258645
625 1025R0110123X001947 1001464258645
626 1025R0110123X001947 1001464258645
627 1025R0110123X001947 1001464258645
628 1025R0110123X001947 1001464258645
629 1025R0110123X001947 1001464258645
630 1025R0110123X001947 1001464258645
631 1025R0110123X001947 1001464258645
632 1025R0110123X001947 1001464258645
633 1025R0110123X001947 1001464258645
634 1025R0110123X001947 1001464258645
635 1025R0110123X001947 1001464258645
636 1025R0110123X001947 1001464258645
637 1025R0110123X001947 1001464258645
638 1025R0110123X001947 1001464258645
639 1025R0110123X001947 1001464258645
640 1025R0110123X001947 1001464258645
641 1025R0110123X001947 1001464258645
642 1025R0110123X001948 1011640966795
643 1025R0110123X001948 1011640966795
644 1025R0110123X001948 1011640966795

645 1025R0110123X001948 1011640966795
646 1025R0110123X001948 1011640966795
647 1025R0110123X001948 1011640966795
648 1025R0110123X001948 1011640966795
649 1025R0110123X001948 1011640966795
650 1025R0110123X001948 1011640966795
651 1025R0110123X001948 1011640966795
652 1025R0110123X001948 1011640966795
653 1025R0110123X001948 1011640966795
654 1025R0110123X001948 1011640966795
655 1025R0110123X001948 1011640966795
656 1025R0110123X001948 1011640966795
657 1025R0110123X001948 1011640966795
658 1025R0110123X001948 1011640966795
659 1025R0110123X001948 1011640966795
660 1025R0110123X001948 1011640966795
661 1025R0110123X001948 1011640966795
662 1025R0110123X001948 1011640966795
663 1025R0110123X001948 1011640966795
664 1025R0110123X001948 1011640966795
665 1025R0110123X001948 1011640966795
666 1025R0110123X001948 1011640966795
667 1025R0110123X001948 1011640966795
668 1025R0110123X001948 1011640966795
669 1025R0110123X001948 1011640966795
670 1025R0111222X002027 1001005298403
671 1025R0111222X002027 1001005298403
672 1025R0111222X002027 1001005298403
673 1025R0111222X002027 1001005298403
674 1025R0111222X002027 1001005298403
675 1025R0111222X002027 1001005298403
676 1025R0111222X002027 1001005298403
677 1025R0111222X002027 1001005298403
678 1025R0111222X002027 1001005298403
679 1025R0111222X002027 1001005298403
680 1025R0111222X002027 1001005298403
681 1025R0111222X002027 1001005298403
682 1025R0111222X002027 1001005298403
683 1025R0111222X002027 1001005298403
684 1025R0111222X002027 1001005298403
685 1025R0111222X002027 1001005298403
686 1025R0111222X002027 1001005298403
687 1025R0111222X002027 1001005298403
688 1025R0111222X002027 1001005298403
689 1025R0111222X002027 1001005298403
690 1025R0111222X002027 1001005298403
691 1025R0111222X002027 1001005298403
692 1025R0111222X002027 1001005298403
693 1025R0111222X002027 1001005298403
694 1025R0111222X002027 1001005298403
695 1025R0111222X002027 1001005298403
696 1025R0111222X002027 1001005298403
697 1025R0111222X002027 1001005298403
698 1025R0111222X002027 1001005298403
699 1025R0111222X002027 1001005298403

700 1025R0111222X002027 1001005298403
701 1025R0111222X002027 1001005298403
702 1025R0111222X002027 1001005298403
703 1025R0111222X002027 1001005298403
704 1025R0111222X002027 1001005298403
705 1025R0111222X002027 1001005298403
706 1025R0111222X002027 1001005298403
707 1025R0111222X002027 1001005298403
708 1025R0111222X002027 1001005298403
709 1025R0111222X002027 1001005298403
710 1025R0111222X002027 1001005298403
711 1025R0111222X002027 1001005298403
712 1025R0111222X002027 1001005298403
713 1025R0111222X002027 1001005298403
714 1025R0111222X002027 1001005298403
715 1025R0111222X002027 1001005298403
716 1025R0111222X002027 1001005298403
717 1025R0111222X002027 1001005298403
718 1025R0111222X002027 1001005298403
719 1025R0111222X002027 1001005298403
720 1025R0111222X002027 1001005298403
721 1025R0111222X002027 1001005298403
722 1025R0111222X002027 1001005298403
723 1025R0111222X002027 1001005298403
724 1025R0111222X002027 1001005298403
725 1025R0111222X002027 1001005298403
726 1025R0111222X002027 1001005298403
727 1025R0111222X002027 1001005298403
728 1025R0111222X002027 1001005298403
729 1025R0111222X002027 1001005298403
730 1025R0111222X002027 1001005298403
731 1025R0111222X002027 1001005298403
732 1025R0111222X002027 1001005298403
733 1025R0111222X002027 1001005298403
734 1025R0111222X002027 1001005298403
735 1025R0111222X002027 1001005298403
736 1025R0111222X002027 1001005298403
737 1025R0111222X002027 1001005298403
738 1025R0111222X002027 1001005298403
739 1025R0111222X002027 1001005298403
740 1025R0111222X002027 1001005298403
741 1025R0111222X002027 1001005298403
742 1025R0111222X002027 1001005298403
743 1025R0111222X002027 1001005298403
744 1025R0111222X002027 1001005298403
745 1025R0111222X002027 1001005298403
746 1025R0111222X002027 1001005298403
747 1025R0111222X002027 1001005298403
748 1025R0111222X002027 1001005298403
749 1025R0111222X002027 1001005298403
750 1025R0111222X002027 1001005298403
751 1025R0111222X002027 1001005298403
752 1025R0111222X002027 1001005298403
753 1025R0111222X002027 1001005298403
754 1025R0111222X002027 1001005298403

755 1025R0111222X002027 1001005298403
756 1025R0111222X002027 1001005298403
757 1025R0111222X002027 1001005298403
758 1025R0111222X002027 1001005298403
759 1025R0111222X002027 1001005298403
760 1025R0111222X002027 1001005298403
761 1025R0111222X002027 1001005298403
762 1025R0111222X002027 1001005298403
763 1025R0111222X002027 1001005298403
764 1025R0111222X002027 1001005298403
765 1025R0111222X002027 1001005298403
766 1025R0111222X002027 1001005298403
767 1025R0111222X002027 1001005298403
768 1025R0111222X002027 1001005298403
769 1025R0111222X002027 1001005298403
770 1025R0111222X002027 1001005298403
771 1025R0111222X002027 1001005298403
772 1025R0111222X002027 1001005298403
773 1025R0111222X002027 1001005298403
774 1025R0111222X002027 1001005298403
775 1025R0111222X002027 1001005298403
776 1025R0111222X002027 1001005298403
777 1025R0111222X002027 1001005298403
778 1025R0111222X002027 1001005298403
779 1025R0111222X002027 1001005298403
780 1025R0111222X002027 1001005298403
781 1025R0111222X002027 1001005298403
782 1025R0111222X002027 1001005298403
783 1025R0111222X002027 1001005298403
784 1025R0111222X002027 1001005298403
785 1025R0111222X002027 1001005298403
786 1025R0111222X002027 1001005298403
787 1025R0111222X002027 1001005298403
788 1025R0111222X002027 1001005298403
789 1025R0111222X002027 1001005298403
790 1025R0111222X002027 1001005298403
791 1025R0111222X002027 1001005298403
792 1025R0111222X002027 1001005298403
793 1025R0111222X002027 1001005298403
794 1025R0111222X002027 1001005298403
795 1025R0111222X002027 1001005298403
796 1025R0111222X002027 1001005298403
797 1025R0111222X002027 1001005298403
798 1025R0111222X002027 1001005298403
799 1025R0111222X002027 1001005298403
800 1025R0111222X002027 1001005298403
801 1025R0111222X002027 1001005298403
802 1025R0111222X002027 1001005298403
803 1025R0111222X002027 1001005298403
804 1025R0111222X002027 1001005298403
805 1025R0111222X002027 1001005298403
806 1025R0111222X002027 1001005298403
807 1025R0111222X002027 1001005298403
808 1025R0111222X002027 1001005298403
809 1025R0111222X002027 1001005298403

810 1025R0111222X002027 1001005298403
811 1025R0111222X002027 1001005298403
812 1025R0111222X002027 1001005298403
813 1025R0111222X002027 1001005298403
814 1025R0111222X002027 1001005298403
815 1025R0111222X002027 1001005298403
816 1025R0111222X002027 1001005298403
817 1025R0111222X002027 1001005298403
818 1025R0111222X002027 1001005298403
819 1025R0111222X002027 1001005298403
820 1025R0111222X002027 1001005298403
821 1025R0111222X002027 1001005298403
822 1025R0111222X002027 1001005298403
823 1025R0111222X002027 1001005298403
824 1025R0111222X002027 1001005298403
825 1025R0111222X002027 1001005298403
826 1025R0111222X002027 1001005298403
827 1025R0111222X002027 1001005298403
828 1025R0111222X002027 1001005298403
829 1025R0111222X002027 1001005298403
830 1025R0111222X002027 1001005298403
831 1025R0111222X002027 1001005298403
832 1025R0111222X002027 1001005298403
833 1025R0111222X002027 1001005298403
834 1025R0111222X002027 1001005298403
835 1025R0111222X002027 1001005298403
836 1025R0111222X002027 1001005298403
837 1025R0111222X002027 1001005298403
838 1025R0111222X002027 1001005298403
839 1025R0111222X002027 1001005298403
840 1025R0111222X002027 1001005298403
841 1025R0111222X002027 1001005298403
842 1025R0111222X002027 1001005298403
843 1025R0111222X002027 1001005298403
844 1025R0111222X002027 1001005298403
845 1025R0111222X002027 1001005298403
846 1025R0111222X002027 1001005298403
847 1025R0111222X002027 1001005298403
848 1025R0111222X002027 1001005298403
849 1025R0111222X002027 1001005298403
850 1025R0111222X002027 1001005298403
851 1025R0111222X002027 1001005298403
852 1025R0111222X002469 1001464279839
853 1025R0111222X002469 1001464279839
854 1025R0111222X002469 1001464279839
855 1025R0111222X002469 1001464279839
856 1025R0111222X002469 1001464279839
857 1025R0111222X002469 1001464279839
858 1025R0111222X002469 1001464279839
859 1025R0111222X002469 1001464279839
860 1025R0111222X002469 1001464279839
861 1025R0111222X002469 1001464279839
862 1025R0111222X002469 1001464279839
863 1025R0111222X002469 1001464279839
864 1025R0111222X002469 1001464279839

865 1025R0111222X002469 1001464279839
866 1025R0111222X002469 1001464279839
867 1025R0111222X002469 1001464279839
868 1025R0111222X002469 1001464279839
869 1025R0111222X002469 1001464279839
870 1025R0111222X002469 1001464279839
871 1025R0111222X002469 1001464279839
872 1025R0111222X002469 1001464279839
873 1025R0111222X002469 1001464279839
874 1025R0111222X002469 1001464279839
875 1025R0111222X002469 1001464279839
876 1025R0111222X002469 1001464279839
877 1025R0111222X002469 1001464279839
878 1025R0111222X002469 1001464279839
879 1025R0111222X002469 1001464279839
880 1025R0111222X002469 1001464279839
881 1025R0111222X002469 1001464279839
882 1025R0111222X002469 1001464279839
883 1025R0111222X002469 1001464279839
884 1025R0111222X002469 1001464279839
885 1025R0111222X002469 1001464279839
886 1025R0111222X002469 1001464279839
887 1025R0111222X002469 1001464279839
888 1025R0111222X002469 1001464279839
889 1025R0111222X002469 1001464279839
890 1025R0111222X002469 1001464279839
891 1025R0111222X002469 1001464279839
892 1025R0111222X002469 1001464279839
893 1025R0111222X002469 1001464279839
894 1025R0111222X002469 1001464279839
895 1025R0111222X002469 1001464279839
896 1025R0111222X002469 1001464279839
897 1025R0111222X002469 1001464279839
898 1025R0111222X002469 1001464279839
899 1025R0111222X002469 1001464279839
900 1025R0111222X002469 1001464279839
901 1025R0111222X002469 1001464279839
902 1025R0111222X002469 1001464279839
903 1025R0111222X002469 1001464279839
904 1025R0111222X002469 1001464279839
905 1025R0111222X002469 1001464279839
906 1025R0111222X002469 1001464279839
907 1025R0111222X002469 1001464279839
908 1025R0111222X002469 1001464279839
909 1025R0111222X002469 1001464279839
910 1025R0111222X002469 1001464279839
911 1025R0111222X002469 1001464279839
912 1025R0111222X002469 1001464279839
913 1025R0111222X002469 1001464279839
914 1025R0111222X002469 1001464279839
915 1025R0111222X002469 1001464279839
916 1025R0111222X002469 1001464279839
917 1025R0111222X002469 1001464279839
918 1025R0111222X002469 1001464279839
919 1025R0111222X002469 1001464279839

920 1025R0111222X002469 1001464279839
921 1025R0111222X002469 1001464279839
922 1025R0111222X002469 1001464279839
923 1025R0111222X002469 1001464279839
924 1025R0111222X002469 1001464279839
925 1025R0111222X002469 1001464279839
926 1025R0111222X002469 1001464279839
927 1025R0111222X002469 1001464279839
928 1025R0111222X002469 1001464279839
929 1025R0111222X002469 1001464279839
930 1025R0111222X002469 1001464279839
931 1025R0111222X002469 1001464279839
932 1025R0111222X002469 1001464279839
933 1025R0111222X002469 1001464279839
934 1025R0111222X002469 1001464279839
935 1025R0111222X002469 1001464279839
936 1025R0111222X002469 1001464279839
937 1025R0111222X002469 1001464279839
938 1025R0111222X002469 1001464279839
939 1025R0111222X002469 1001464279839
940 1025R0111222X002469 1001464279839
941 1025R0111222X002469 1001464279839
942 1025R0111222X002469 1001464279839
943 1025R0111222X002469 1001464279839
944 1025R0111222X002469 1001464279839
945 1025R0111222X002469 1001464279839
946 1025R0111222X002469 1001464279839
947 1025R0111222X002469 1001464279839
948 1025R0111222X002469 1001464279839
949 1025R0111222X002469 1001464279839
950 1025R0111222X002469 1001464279839
951 1025R0111222X002469 1001464279839
952 1025R0111222X002469 1001464279839
953 1025R0111222X002469 1001464279839
954 1025R0111222X002469 1001464279839
955 1025R0111222X002469 1001464279839
956 1025R0111222X002469 1001464279839
957 1025R0111222X002469 1001464279839
958 1025R0111222X002469 1001464279839
959 1025R0111222X002469 1001464279839
960 1025R0111222X002469 1001464279839
961 1025R0111222X002469 1001464279839
962 1025R0111222X002469 1001464279839
963 1025R0111222X002469 1001464279839
964 1025R0111222X002469 1001464279839
965 1025R0111222X002469 1001464279839
966 1025R0111222X002469 1001464279839
967 1025R0111222X002469 1001464279839
968 1025R0111222X002469 1001464279839
969 1025R0111222X002469 1001464279839
970 1025R0111222X002469 1001464279839
971 1025R0111222X002469 1001464279839
972 1025R0111222X002469 1001464279839
973 1025R0111222X002469 1001464279839
974 1025R0111222X002469 1001464279839

975 1025R0111222X002469 1001464279839
976 1025R0111222X002469 1001464279839
977 1025R0111222X002469 1001464279839
978 1025R0111222X002469 1001464279839
979 1025R0111222X002469 1001464279839
980 1025R0111222X002469 1001464279839
981 1025R0111222X002469 1001464279839
982 1025R0111222X002469 1001464279839
983 1025R0111222X002469 1001464279839
984 1025R0111222X002469 1001464279839
985 1025R0111222X002469 1001464279839
986 1025R0111222X002469 1001464279839
987 1025R0111222X002469 1001464279839
988 1025R0111222X002469 1001464279839
989 1025R0111222X002469 1001464279839
990 1025R0111222X002469 1001464279839
991 1025R0111222X002469 1001464279839
992 1025R0111222X002469 1001464279839
993 1025R0111222X002469 1001464279839
994 1025R0111222X002469 1001464279839
995 1025R0111222X002469 1001464279839
996 1025R0111222X002469 1001464279839
997 1025R0111222X002469 1001464279839
998 1025R0111222X002469 1001464279839
999 1025R0111222X002469 1001464279839
1000 1025R0111222X002790 1001464293071
1001 1025R0111222X002790 1001464293071
1002 1025R0111222X002790 1001464293071
1003 1025R0111222X002790 1001464293071
1004 1025R0111222X002790 1001464293071
1005 1025R0111222X002790 1001464293071
1006 1025R0111222X002790 1001464293071
1007 1025R0111222X002790 1001464293071
1008 1025R0111222X002790 1001464293071
1009 1025R0111222X002790 1001464293071
1010 1025R0111222X002790 1001464293071
1011 1025R0111222X002790 1001464293071
1012 1025R0111222X002790 1001464293071
1013 1025R0111222X002790 1001464293071
1014 1025R0111222X002790 1001464293071
1015 1025R0111222X002790 1001464293071
1016 1025R0111222X002790 1001464293071
1017 1025R0111222X002790 1001464293071
1018 1025R0111222X002790 1001464293071
1019 1025R0111222X002790 1001464293071
1020 1025R0111222X002790 1001464293071
1021 1025R0111222X002790 1001464293071
1022 1025R0111222X002790 1001464293071
1023 1025R0111222X002790 1001464293071
1024 1025R0111222X002938 1011640931651
1025 1025R0111222X002938 1011640931651
1026 1025R0111222X002938 1011640931651
1027 1025R0111222X002938 1011640931651
1028 1025R0111222X002938 1011640931651
1029 1025R0111222X002938 1011640931651

1030 1025R0111222X002938 1011640931651
1031 1025R0111222X002938 1011640931651
1032 1025R0111222X002938 1011640931651
1033 1025R0111222X002938 1011640931651
1034 1025R0111222X002938 1011640931651
1035 1025R0111222X002938 1011640931651
1036 1025R0111222X002938 1011640931651
1037 1025R0111222X002938 1011640931651
1038 1025R0111222X002938 1011640931651
1039 1025R0111222X002938 1011640931651
1040 1025R0111222X002938 1011640931651
1041 1025R0111222X002938 1011640931651
1042 1025R0111222X002938 1011640931651
1043 1025R0111222X002938 1011640931651
1044 1025R0111222X002938 1011640931651
1045 1025R0111222X002938 1011640931651
1046 1025R0111222X002938 1011640931651
1047 1025R0111222X002938 1011640931651
1048 1025R0111222X002938 1011640931651
1049 1025R0111222X002938 1011640931651
1050 1025R0111222X002938 1011640931651
1051 1025R0111222X002938 1011640931651
1052 1025R0111222X002938 1011640931651
1053 1025R0111222X002938 1011640931651
1054 1025R0111222X002938 1011640931651
1055 1025R0111222X002938 1011640931651
1056 1025R0111222X002938 1011640931651
1057 1025R0111222X002938 1011640931651
1058 1025R0111222X002938 1011640931651
1059 1025R0111222X002938 1011640931651
1060 1025R0111222X002938 1011640931651
1061 1025R0111222X002938 1011640931651
1062 1025R0111222X002938 1011640931651
1063 1025R0111222X002938 1011640931651
1064 1025R0111222X002938 1011640931651
1065 1025R0111222X002986 1011640936048
1066 1025R0111222X002986 1011640936048
1067 1025R0111222X002986 1011640936048
1068 1025R0111222X002986 1011640936048
1069 1025R0111222X002986 1011640936048
1070 1025R0111222X002986 1011640936048
1071 1025R0111222X002986 1011640936048
1072 1025R0111222X002986 1011640936048
1073 1025R0111222X002986 1011640936048
1074 1025R0111222X002986 1011640936048
1075 1025R0111222X002986 1011640936048
1076 1025R0111222X002986 1011640936048
1077 1025R0111222X002986 1011640936048
1078 1025R0111222X002986 1011640936048
1079 1025R0111222X002986 1011640936048
1080 1025R0111222X002986 1011640936048
1081 1025R0111222X002986 1011640936048
1082 1025R0111222X002986 1011640936048
1083 1025R0111222X002986 1011640936048
1084 1025R0111222X002986 1011640936048

1085 1025R0111222X002986 1011640936048
1086 1025R0111222X002986 1011640936048
1087 1025R0111222X002986 1011640936048
1088 1025R0111222X002986 1011640936048
1089 1025R0111222X002986 1011640936048
1090 1025R0111222X002986 1011640936048
1091 1025R0111222X002986 1011640936048
1092 1025R0111222X002986 1011640936048
1093 1025R0111222X002986 1011640936048
1094 1025R0111222X002986 1011640936048
1095 1025R0111222X002986 1011640936048
............................ , ......... 20.....

Mengetahui,
PT. AJ InHealth Indonesia
( ....................................)

4C032300042
5R0110323C0006
2023 (RITL)
YAPADA HOSPITAL TANGERANG
I COB JAN 23 (EXCLUDED 1) MHCL2023022184-185-186
Nama Peserta No MR Kode BU
CAHYA KURNIA PUTRA MYPD.0000419148 02230033

EVA ROSARI SAMITARIA MYPD.0000375950 02230017

ATHAFARIZ NUR ZAID MYPD.0000441912 02230017
DIAH SEKARSARI RAHMANIATI MYPD.0000349686 02230033

ELY FELIN W.P.T MYPD.0000439800 01140118

SRI HANDAYANI TARIGAN MYPD.0000584975 02230033

SELLY EMILIANA BR. KARO MYPD.0000384870 02230017

NAVIS MEI HERAWATI MYPD.0000378636 02230033

HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
HANAFI MYPD.0000509733 02230017
SHAHIRA AFSHEENA WIBY MYPD.0000411022 02230033

YOLLANDA DWILOVA MYPD.0000386448 02230033

TIRANY IRMADHA JAYANTI MYPD.0000374141 02230017

ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
ROSE EVRINA MYPD.0000263504 02230033
NI MADE ARTINI MYPD.0000426030 01140118

DWI KRISTIYANTO MYPD.0000400605 02230033
ADINDA REZA PAHLAWAN MYPD.0000429331 02230017

AGUNG PRAKOSO SAMANTHA ARYA MYPD.0000595904 02230017
WINDYA ADININGROM MYPD.0000239956 02230033

SOETJIATI RAHARDJO MYPD.0000569689 01140047



MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017

MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017

MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017

MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
MASHADI MYPD.0000404259 02230017
VIONA NAUVALISYA MYPD.0000259257 02230017
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033

RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
RIDHA AULIA MYPD.0000555725 02230033
LILIS SURYANI MYPD.0000412488 02230033


PT. ASURANSI JIWA INHEALTH INDONESIA
LAPORAN KETERANGAN HASIL VERIFIKASI TINDAKAN
Nama BU Tgl SJP Tgl Pulang
PT ANGKASA PURA II (PERSERO) 01 Jan 2023 03 Jan 2023

PT GARUDA MAINTENANCE FACILITY AERO ASIA Tbk 01 Jan 2023 04 Jan 2023


PT GAPURA ANGKASA 03 Jan 2023 10 Jan 2023










BPJS KESEHATAN PENSIUNAN 19 Dec 2022 08 Jan 2023



PT GARUDA MAINTENANCE FACILITY AERO ASIA Tbk 23 Dec 2022 04 Jan 2023



PT ANGKASA PURA II (PERSERO) 29 Dec 2022 01 Jan 2023


TOTAL

NHEALTH INDONESIA
SIL VERIFIKASI TINDAKAN
Tgl Masuk Tgl Pely Jenpel Aju
01 Jan 2023 01 Jan 2023 401025R01125643

01 Jan 2023 01 Jan 2023 401025R01125685
01 Jan 2023 02 Jan 2023 401025R01125643
01 Jan 2023 02 Jan 2023 401025R01125685
01 Jan 2023 03 Jan 2023 401025R01125643
01 Jan 2023 03 Jan 2023 401025R01125685
01 Jan 2023 01 Jan 2023 401025R01123345
01 Jan 2023 01 Jan 2023 401025R01123346
01 Jan 2023 01 Jan 2023 401025R01123360
01 Jan 2023 01 Jan 2023 401025R01123361
01 Jan 2023 01 Jan 2023 401025R01123514
01 Jan 2023 02 Jan 2023 401025R01123243
01 Jan 2023 03 Jan 2023 401025R011015065
01 Jan 2023 03 Jan 2023 401025R011005804
01 Jan 2023 01 Jan 2023 401025R011105831
01 Jan 2023 01 Jan 2023 401025R011105806
01 Jan 2023 01 Jan 2023 401025R011105806
01 Jan 2023 03 Jan 2023 401025R01120015
01 Jan 2023 04 Jan 2023 401025R01125767
01 Jan 2023 02 Jan 2023 401025R01121051
01 Jan 2023 02 Jan 2023 401025R01120015
01 Jan 2023 04 Jan 2023 401025R01123359
01 Jan 2023 02 Jan 2023 401025R01125685
01 Jan 2023 03 Jan 2023 401025R01125685
01 Jan 2023 04 Jan 2023 401025R01125685
01 Jan 2023 02 Jan 2023 401025R01125651
01 Jan 2023 03 Jan 2023 401025R01125651
01 Jan 2023 04 Jan 2023 401025R01125651
01 Jan 2023 02 Jan 2023 401025R01121878
01 Jan 2023 03 Jan 2023 401025R01121623
01 Jan 2023 02 Jan 2023 401025R01121892
01 Jan 2023 02 Jan 2023 401025R01121587
01 Jan 2023 01 Jan 2023 401025R011015065
01 Jan 2023 02 Jan 2023 401025R011005804
01 Jan 2023 04 Jan 2023 401025R011005804
01 Jan 2023 02 Jan 2023 401025R01125608
01 Jan 2023 02 Jan 2023 401025R01125685
01 Jan 2023 01 Jan 2023 401025R01125685
01 Jan 2023 02 Jan 2023 401025R01125629

01 Jan 2023 03 Jan 2023 401025R01125608
01 Jan 2023 03 Jan 2023 401025R01125685
01 Jan 2023 04 Jan 2023 401025R01125608
01 Jan 2023 04 Jan 2023 401025R01125685
01 Jan 2023 02 Jan 2023 401025R01122078
01 Jan 2023 01 Jan 2023 401025R01123243
01 Jan 2023 01 Jan 2023 401025R01123255
01 Jan 2023 01 Jan 2023 401025R01123256
01 Jan 2023 02 Jan 2023 401025R01121465
01 Jan 2023 02 Jan 2023 401025R01121540
01 Jan 2023 02 Jan 2023 401025R01121586
01 Jan 2023 02 Jan 2023 401025R01121586
01 Jan 2023 01 Jan 2023 401025R01121943
01 Jan 2023 02 Jan 2023 401025R01121892
01 Jan 2023 02 Jan 2023 401025R01121701
01 Jan 2023 04 Jan 2023 401025R01121887
01 Jan 2023 04 Jan 2023 401025R011015065
03 Jan 2023 03 Jan 2023 401025R01125628
03 Jan 2023 03 Jan 2023 401025R01125685
03 Jan 2023 03 Jan 2023 401025R01125651
03 Jan 2023 03 Jan 2023 401025R01125649
03 Jan 2023 03 Jan 2023 401025R01121892
03 Jan 2023 03 Jan 2023 401025R01121464
03 Jan 2023 03 Jan 2023 401025R01120510
03 Jan 2023 03 Jan 2023 401025R011015065
03 Jan 2023 03 Jan 2023 401025R011005804
03 Jan 2023 03 Jan 2023 401025R011105807
02 Jan 2023 02 Jan 2023 401025R011105806
02 Jan 2023 03 Jan 2023 401025R01120015
02 Jan 2023 04 Jan 2023 401025R01120015
02 Jan 2023 02 Jan 2023 401025R01123243
02 Jan 2023 02 Jan 2023 401025R01123255
02 Jan 2023 02 Jan 2023 401025R01123256
02 Jan 2023 03 Jan 2023 401025R01125628
02 Jan 2023 02 Jan 2023 401025R01125685
02 Jan 2023 03 Jan 2023 401025R01125685
02 Jan 2023 04 Jan 2023 401025R01125685
02 Jan 2023 05 Jan 2023 401025R01125685
02 Jan 2023 03 Jan 2023 401025R01125608
02 Jan 2023 04 Jan 2023 401025R01125608
02 Jan 2023 05 Jan 2023 401025R01125608
02 Jan 2023 03 Jan 2023 401025R01121701
02 Jan 2023 04 Jan 2023 401025R01121887
02 Jan 2023 02 Jan 2023 401025R01121943
02 Jan 2023 03 Jan 2023 401025R01122078
02 Jan 2023 03 Jan 2023 401025R01121892
02 Jan 2023 03 Jan 2023 401025R01121465
02 Jan 2023 03 Jan 2023 401025R01121051
02 Jan 2023 02 Jan 2023 401025R01121540
02 Jan 2023 02 Jan 2023 401025R01121586
02 Jan 2023 02 Jan 2023 401025R011015065
02 Jan 2023 02 Jan 2023 401025R011005804
02 Jan 2023 02 Jan 2023 401025R011105831
02 Jan 2023 02 Jan 2023 401025R01120015
02 Jan 2023 05 Jan 2023 401025R01123359

02 Jan 2023 03 Jan 2023 401025R01125685
02 Jan 2023 04 Jan 2023 401025R01125685
02 Jan 2023 05 Jan 2023 401025R01125685
02 Jan 2023 03 Jan 2023 401025R01125651
02 Jan 2023 04 Jan 2023 401025R01125651
02 Jan 2023 05 Jan 2023 401025R01125651
02 Jan 2023 03 Jan 2023 401025R01121878
02 Jan 2023 04 Jan 2023 401025R01121623
02 Jan 2023 03 Jan 2023 401025R01121892
02 Jan 2023 02 Jan 2023 401025R01121587
02 Jan 2023 02 Jan 2023 401025R011015065
02 Jan 2023 02 Jan 2023 401025R011005804
03 Jan 2023 10 Jan 2023 401025R011005804
03 Jan 2023 04 Jan 2023 401025R01125743
03 Jan 2023 04 Jan 2023 401025R01125685
03 Jan 2023 03 Jan 2023 401025R01125685
03 Jan 2023 03 Jan 2023 401025R01125666
03 Jan 2023 03 Jan 2023 401025R01125743
03 Jan 2023 04 Jan 2023 401025R01125630
03 Jan 2023 04 Jan 2023 401025R01125604
03 Jan 2023 05 Jan 2023 401025R01125743
03 Jan 2023 05 Jan 2023 401025R01125685
03 Jan 2023 05 Jan 2023 401025R01125604
03 Jan 2023 05 Jan 2023 401025R01125630
03 Jan 2023 06 Jan 2023 401025R01125743
03 Jan 2023 06 Jan 2023 401025R01125685
03 Jan 2023 06 Jan 2023 401025R01125630
03 Jan 2023 07 Jan 2023 401025R01125743
03 Jan 2023 07 Jan 2023 401025R01125685
03 Jan 2023 06 Jan 2023 401025R01125604
03 Jan 2023 06 Jan 2023 401025R01125639
03 Jan 2023 07 Jan 2023 401025R01125630
03 Jan 2023 08 Jan 2023 401025R01125743
03 Jan 2023 08 Jan 2023 401025R01125685
03 Jan 2023 08 Jan 2023 401025R01125604
03 Jan 2023 09 Jan 2023 401025R01125743
03 Jan 2023 09 Jan 2023 401025R01125685
03 Jan 2023 10 Jan 2023 401025R01125685
03 Jan 2023 09 Jan 2023 401025R01125604
03 Jan 2023 07 Jan 2023 401025R01125604
03 Jan 2023 10 Jan 2023 401025R01125072
03 Jan 2023 05 Jan 2023 401025R01122063
03 Jan 2023 05 Jan 2023 401025R01122058
03 Jan 2023 05 Jan 2023 401025R01122058
03 Jan 2023 05 Jan 2023 401025R01122059
03 Jan 2023 05 Jan 2023 401025R01122060
03 Jan 2023 05 Jan 2023 401025R01122060
03 Jan 2023 05 Jan 2023 401025R01122059
03 Jan 2023 05 Jan 2023 401025R01122058
03 Jan 2023 05 Jan 2023 401025R01122058
03 Jan 2023 05 Jan 2023 401025R01122063
03 Jan 2023 05 Jan 2023 401025R01122024
03 Jan 2023 06 Jan 2023 401025R01122063
03 Jan 2023 06 Jan 2023 401025R01122058
03 Jan 2023 06 Jan 2023 401025R01122058

03 Jan 2023 06 Jan 2023 401025R01122059
03 Jan 2023 06 Jan 2023 401025R01122060
03 Jan 2023 06 Jan 2023 401025R01122060
03 Jan 2023 06 Jan 2023 401025R01122059
03 Jan 2023 06 Jan 2023 401025R01122058
03 Jan 2023 06 Jan 2023 401025R01122058
03 Jan 2023 06 Jan 2023 401025R01122063
03 Jan 2023 07 Jan 2023 401025R01122063
03 Jan 2023 07 Jan 2023 401025R01122058
03 Jan 2023 07 Jan 2023 401025R01122058
03 Jan 2023 07 Jan 2023 401025R01122059
03 Jan 2023 07 Jan 2023 401025R01122060
03 Jan 2023 07 Jan 2023 401025R01122060
03 Jan 2023 07 Jan 2023 401025R01122059
03 Jan 2023 07 Jan 2023 401025R01122058
03 Jan 2023 07 Jan 2023 401025R01122058
03 Jan 2023 07 Jan 2023 401025R01122063
03 Jan 2023 10 Jan 2023 401025R01122063
03 Jan 2023 10 Jan 2023 401025R01122058
03 Jan 2023 10 Jan 2023 401025R01122058
03 Jan 2023 10 Jan 2023 401025R01122059
03 Jan 2023 10 Jan 2023 401025R01122060
03 Jan 2023 04 Jan 2023 401025R01123290
03 Jan 2023 04 Jan 2023 401025R01123365
03 Jan 2023 04 Jan 2023 401025R01123366
03 Jan 2023 04 Jan 2023 401025R01123371
03 Jan 2023 04 Jan 2023 401025R01123373
03 Jan 2023 09 Jan 2023 401025R01123257
03 Jan 2023 09 Jan 2023 401025R01123258
03 Jan 2023 09 Jan 2023 401025R01121474
03 Jan 2023 09 Jan 2023 401025R01121523
03 Jan 2023 06 Jan 2023 401025R01121943
03 Jan 2023 09 Jan 2023 401025R01121887
03 Jan 2023 10 Jan 2023 401025R01121943
03 Jan 2023 10 Jan 2023 401025R011015065
03 Jan 2023 03 Jan 2023 401025R01125756
03 Jan 2023 09 Jan 2023 401025R01120460
03 Jan 2023 03 Jan 2023 401025R011105807
03 Jan 2023 03 Jan 2023 401025R011105806
03 Jan 2023 05 Jan 2023 401025R01120015
03 Jan 2023 06 Jan 2023 401025R01120015
03 Jan 2023 04 Jan 2023 401025R01125677
03 Jan 2023 03 Jan 2023 401025R01123243
03 Jan 2023 03 Jan 2023 401025R01123255
03 Jan 2023 03 Jan 2023 401025R01123256
03 Jan 2023 04 Jan 2023 401025R01121465
03 Jan 2023 03 Jan 2023 401025R01121540
03 Jan 2023 03 Jan 2023 401025R01121586
03 Jan 2023 03 Jan 2023 401025R01121943
03 Jan 2023 04 Jan 2023 401025R01121887
03 Jan 2023 04 Jan 2023 401025R01121892
03 Jan 2023 04 Jan 2023 401025R01121701
03 Jan 2023 06 Jan 2023 401025R011015065
03 Jan 2023 04 Jan 2023 401025R01125685
03 Jan 2023 05 Jan 2023 401025R01125685

03 Jan 2023 06 Jan 2023 401025R01125685
03 Jan 2023 04 Jan 2023 401025R01125608
03 Jan 2023 05 Jan 2023 401025R01125608
03 Jan 2023 06 Jan 2023 401025R01125608
03 Jan 2023 06 Jan 2023 401025R011005804
03 Jan 2023 03 Jan 2023 401025R011105831
03 Jan 2023 03 Jan 2023 401025R01121051
03 Jan 2023 04 Jan 2023 401025R01120015
03 Jan 2023 06 Jan 2023 401025R01123359
03 Jan 2023 04 Jan 2023 401025R01125685
03 Jan 2023 05 Jan 2023 401025R01125685
03 Jan 2023 06 Jan 2023 401025R01125685
03 Jan 2023 04 Jan 2023 401025R01125651
03 Jan 2023 05 Jan 2023 401025R01125651
03 Jan 2023 06 Jan 2023 401025R01125651
03 Jan 2023 04 Jan 2023 401025R01121878
03 Jan 2023 05 Jan 2023 401025R01121623
03 Jan 2023 04 Jan 2023 401025R01121892
03 Jan 2023 04 Jan 2023 401025R01121587
03 Jan 2023 04 Jan 2023 401025R011015065
03 Jan 2023 03 Jan 2023 401025R011005804
05 Jan 2023 08 Jan 2023 401025R011005804
05 Jan 2023 07 Jan 2023 401025R01125754
05 Jan 2023 05 Jan 2023 401025R01125759
05 Jan 2023 06 Jan 2023 401025R01120015
05 Jan 2023 07 Jan 2023 401025R01123243
05 Jan 2023 07 Jan 2023 401025R01123359
05 Jan 2023 05 Jan 2023 401025R01125685
05 Jan 2023 06 Jan 2023 401025R01125685
05 Jan 2023 07 Jan 2023 401025R01125685
05 Jan 2023 06 Jan 2023 401025R01125638
05 Jan 2023 07 Jan 2023 401025R01125638
05 Jan 2023 05 Jan 2023 401025R01121876
05 Jan 2023 06 Jan 2023 401025R01121623
05 Jan 2023 05 Jan 2023 401025R01121892
05 Jan 2023 06 Jan 2023 401025R01121587
05 Jan 2023 06 Jan 2023 401025R01121542
05 Jan 2023 05 Jan 2023 401025R011015065
05 Jan 2023 05 Jan 2023 401025R011005804
05 Jan 2023 05 Jan 2023 401025R01121540
05 Jan 2023 05 Jan 2023 401025R01121540
05 Jan 2023 07 Jan 2023 401025R01121586
05 Jan 2023 05 Jan 2023 401025R01125656
05 Jan 2023 05 Jan 2023 401025R01125685
05 Jan 2023 05 Jan 2023 401025R01125685
05 Jan 2023 06 Jan 2023 401025R01125656
05 Jan 2023 06 Jan 2023 401025R01125685
05 Jan 2023 07 Jan 2023 401025R01125656
05 Jan 2023 07 Jan 2023 401025R01125685
05 Jan 2023 05 Jan 2023 401025R01121875
05 Jan 2023 06 Jan 2023 401025R01121943
05 Jan 2023 06 Jan 2023 401025R01122175
05 Jan 2023 06 Jan 2023 401025R01121944
05 Jan 2023 06 Jan 2023 401025R01121614
05 Jan 2023 05 Jan 2023 401025R01123243

05 Jan 2023 05 Jan 2023 401025R01123255
05 Jan 2023 05 Jan 2023 401025R01123256
05 Jan 2023 06 Jan 2023 401025R01123243
05 Jan 2023 07 Jan 2023 401025R01123279
05 Jan 2023 07 Jan 2023 401025R01123882
05 Jan 2023 07 Jan 2023 401025R011015065
05 Jan 2023 07 Jan 2023 401025R01120015
05 Jan 2023 05 Jan 2023 401025R01125764
05 Jan 2023 05 Jan 2023 401025R011105807
09 Jan 2023 09 Jan 2023 401025R011105806
09 Jan 2023 11 Jan 2023 401025R01120015
09 Jan 2023 12 Jan 2023 401025R01120015
09 Jan 2023 09 Jan 2023 401025R011105831
09 Jan 2023 09 Jan 2023 401025R01123243
09 Jan 2023 11 Jan 2023 401025R01123243
09 Jan 2023 09 Jan 2023 401025R01123255
09 Jan 2023 09 Jan 2023 401025R01123256
09 Jan 2023 11 Jan 2023 401025R01123279
09 Jan 2023 11 Jan 2023 401025R01123882
09 Jan 2023 10 Jan 2023 401025R01125628
09 Jan 2023 09 Jan 2023 401025R01125685
09 Jan 2023 10 Jan 2023 401025R01125685
09 Jan 2023 11 Jan 2023 401025R01125685
09 Jan 2023 12 Jan 2023 401025R01125685
09 Jan 2023 10 Jan 2023 401025R01125656
09 Jan 2023 11 Jan 2023 401025R01125656
09 Jan 2023 12 Jan 2023 401025R01125656
09 Jan 2023 10 Jan 2023 401025R01121701
09 Jan 2023 12 Jan 2023 401025R01121887
09 Jan 2023 11 Jan 2023 401025R01122175
09 Jan 2023 10 Jan 2023 401025R01121943
09 Jan 2023 11 Jan 2023 401025R01121944
09 Jan 2023 10 Jan 2023 401025R01121892
09 Jan 2023 10 Jan 2023 401025R01121468
09 Jan 2023 10 Jan 2023 401025R01121051
09 Jan 2023 09 Jan 2023 401025R01121540
09 Jan 2023 10 Jan 2023 401025R01121586
09 Jan 2023 10 Jan 2023 401025R01121586
09 Jan 2023 09 Jan 2023 401025R011015065
09 Jan 2023 09 Jan 2023 401025R011005804
09 Jan 2023 10 Jan 2023 401025R01120015
09 Jan 2023 12 Jan 2023 401025R01123243
09 Jan 2023 12 Jan 2023 401025R01123359
09 Jan 2023 10 Jan 2023 401025R01125685
09 Jan 2023 11 Jan 2023 401025R01125685
09 Jan 2023 12 Jan 2023 401025R01125685
09 Jan 2023 10 Jan 2023 401025R01125638
09 Jan 2023 12 Jan 2023 401025R01125638
09 Jan 2023 10 Jan 2023 401025R01121878
09 Jan 2023 11 Jan 2023 401025R01121623
09 Jan 2023 10 Jan 2023 401025R01121892
09 Jan 2023 10 Jan 2023 401025R01121587
09 Jan 2023 09 Jan 2023 401025R011015065
09 Jan 2023 09 Jan 2023 401025R011005804
09 Jan 2023 12 Jan 2023 401025R01125638

10 Jan 2023 16 Jan 2023 401025R011015065
10 Jan 2023 11 Jan 2023 401025R01121943
10 Jan 2023 13 Jan 2023 401025R01121943
10 Jan 2023 11 Jan 2023 401025R01122065
10 Jan 2023 11 Jan 2023 401025R01122065
10 Jan 2023 11 Jan 2023 401025R01122065
10 Jan 2023 12 Jan 2023 401025R01122065
10 Jan 2023 12 Jan 2023 401025R01122065
10 Jan 2023 12 Jan 2023 401025R01122065
10 Jan 2023 13 Jan 2023 401025R01122065
10 Jan 2023 13 Jan 2023 401025R01122065
10 Jan 2023 14 Jan 2023 401025R01122065
10 Jan 2023 14 Jan 2023 401025R01122065
10 Jan 2023 14 Jan 2023 401025R01122065
10 Jan 2023 12 Jan 2023 401025R01123548
10 Jan 2023 14 Jan 2023 401025R01123243
10 Jan 2023 14 Jan 2023 401025R01123917
10 Jan 2023 16 Jan 2023 401025R01123243
10 Jan 2023 15 Jan 2023 401025R01122065
10 Jan 2023 15 Jan 2023 401025R01122065
10 Jan 2023 15 Jan 2023 401025R01122065
10 Jan 2023 16 Jan 2023 401025R01122065
10 Jan 2023 16 Jan 2023 401025R01122065
10 Jan 2023 16 Jan 2023 401025R01122065
10 Jan 2023 17 Jan 2023 401025R011005804
10 Jan 2023 16 Jan 2023 401025R01125657
10 Jan 2023 16 Jan 2023 401025R01125685
10 Jan 2023 13 Jan 2023 401025R01122065
10 Jan 2023 10 Jan 2023 401025R01125657
10 Jan 2023 10 Jan 2023 401025R01125685
10 Jan 2023 11 Jan 2023 401025R01125657
10 Jan 2023 11 Jan 2023 401025R01125685
10 Jan 2023 12 Jan 2023 401025R01125657
10 Jan 2023 12 Jan 2023 401025R01125685
10 Jan 2023 13 Jan 2023 401025R01125657
10 Jan 2023 13 Jan 2023 401025R01125685
10 Jan 2023 14 Jan 2023 401025R01125657
10 Jan 2023 14 Jan 2023 401025R01125685
10 Jan 2023 15 Jan 2023 401025R01125657
10 Jan 2023 15 Jan 2023 401025R01125685
10 Jan 2023 10 Jan 2023 401025R011105806
10 Jan 2023 10 Jan 2023 401025R011105831
10 Jan 2023 10 Jan 2023 401025R011105806
11 Jan 2023 11 Jan 2023 401025R011105806
10 Jan 2023 10 Jan 2023 401025R01125685
10 Jan 2023 10 Jan 2023 401025R01122065
10 Jan 2023 10 Jan 2023 401025R01123244
10 Jan 2023 10 Jan 2023 401025R01123501
10 Jan 2023 10 Jan 2023 401025R01121893
10 Jan 2023 11 Jan 2023 401025R011015065
11 Jan 2023 11 Jan 2023 401025R01125603
11 Jan 2023 11 Jan 2023 401025R01125685
11 Jan 2023 12 Jan 2023 401025R01125603
11 Jan 2023 12 Jan 2023 401025R01125685
11 Jan 2023 11 Jan 2023 401025R01125604

11 Jan 2023 12 Jan 2023 401025R01125604
11 Jan 2023 13 Jan 2023 401025R01125685
11 Jan 2023 13 Jan 2023 401025R01125603
11 Jan 2023 13 Jan 2023 401025R01125604
11 Jan 2023 11 Jan 2023 401025R01122065
11 Jan 2023 11 Jan 2023 401025R01122065
11 Jan 2023 11 Jan 2023 401025R01122065
11 Jan 2023 12 Jan 2023 401025R01122065
11 Jan 2023 12 Jan 2023 401025R01122065
11 Jan 2023 12 Jan 2023 401025R01122065
11 Jan 2023 12 Jan 2023 401025R01122065
11 Jan 2023 12 Jan 2023 401025R01122070
11 Jan 2023 12 Jan 2023 401025R01122070
11 Jan 2023 12 Jan 2023 401025R01122062
11 Jan 2023 13 Jan 2023 401025R01122065
11 Jan 2023 13 Jan 2023 401025R01122065
11 Jan 2023 13 Jan 2023 401025R01122062
11 Jan 2023 13 Jan 2023 401025R01122070
11 Jan 2023 13 Jan 2023 401025R01122070
11 Jan 2023 13 Jan 2023 401025R01122062
11 Jan 2023 12 Jan 2023 401025R01123919
11 Jan 2023 11 Jan 2023 401025R01121943
11 Jan 2023 12 Jan 2023 401025R01121893
11 Jan 2023 13 Jan 2023 401025R011005804
11 Jan 2023 11 Jan 2023 401025R011105831
12 Jan 2023 12 Jan 2023 401025R011105830
12 Jan 2023 12 Jan 2023 401025R01123243
12 Jan 2023 14 Jan 2023 401025R01123243
12 Jan 2023 12 Jan 2023 401025R01123255
12 Jan 2023 12 Jan 2023 401025R01123256
12 Jan 2023 14 Jan 2023 401025R01123279
12 Jan 2023 14 Jan 2023 401025R01123279
12 Jan 2023 14 Jan 2023 401025R01123882
12 Jan 2023 14 Jan 2023 401025R01123882
12 Jan 2023 13 Jan 2023 401025R01125628
12 Jan 2023 12 Jan 2023 401025R01125685
12 Jan 2023 13 Jan 2023 401025R01125685
12 Jan 2023 14 Jan 2023 401025R01125685
12 Jan 2023 15 Jan 2023 401025R01125685
12 Jan 2023 12 Jan 2023 401025R01125656
12 Jan 2023 13 Jan 2023 401025R01125656
12 Jan 2023 14 Jan 2023 401025R01125656
12 Jan 2023 15 Jan 2023 401025R01125656
12 Jan 2023 13 Jan 2023 401025R01121701
12 Jan 2023 14 Jan 2023 401025R01121887
12 Jan 2023 14 Jan 2023 401025R01122175
12 Jan 2023 14 Jan 2023 401025R01122175
12 Jan 2023 12 Jan 2023 401025R01121943
12 Jan 2023 13 Jan 2023 401025R01121944
12 Jan 2023 13 Jan 2023 401025R01121944
12 Jan 2023 13 Jan 2023 401025R01121892
12 Jan 2023 13 Jan 2023 401025R01121468
12 Jan 2023 13 Jan 2023 401025R01121051
12 Jan 2023 12 Jan 2023 401025R01121540
12 Jan 2023 12 Jan 2023 401025R01121586

12 Jan 2023 12 Jan 2023 401025R011015065
12 Jan 2023 12 Jan 2023 401025R011005804
12 Jan 2023 13 Jan 2023 401025R011105830
12 Jan 2023 15 Jan 2023 401025R01123243
12 Jan 2023 15 Jan 2023 401025R01123359
12 Jan 2023 13 Jan 2023 401025R01125685
12 Jan 2023 14 Jan 2023 401025R01125685
12 Jan 2023 15 Jan 2023 401025R01125685
12 Jan 2023 13 Jan 2023 401025R01125638
12 Jan 2023 14 Jan 2023 401025R01125638
12 Jan 2023 15 Jan 2023 401025R01125638
12 Jan 2023 13 Jan 2023 401025R01121878
12 Jan 2023 14 Jan 2023 401025R01121623
12 Jan 2023 13 Jan 2023 401025R01121892
12 Jan 2023 13 Jan 2023 401025R01121587
12 Jan 2023 12 Jan 2023 401025R011015065
12 Jan 2023 12 Jan 2023 401025R011005804
12 Jan 2023 12 Jan 2023 401025R011105805
12 Jan 2023 12 Jan 2023 401025R011105807
12 Jan 2023 14 Jan 2023 401025R01120015
12 Jan 2023 15 Jan 2023 401025R01120015
12 Jan 2023 12 Jan 2023 401025R01120008
12 Jan 2023 12 Jan 2023 401025R01123243
12 Jan 2023 12 Jan 2023 401025R01123255
12 Jan 2023 12 Jan 2023 401025R01123256
12 Jan 2023 13 Jan 2023 401025R01125628
12 Jan 2023 12 Jan 2023 401025R01125685
12 Jan 2023 13 Jan 2023 401025R01125685
12 Jan 2023 14 Jan 2023 401025R01125685
12 Jan 2023 15 Jan 2023 401025R01125685
12 Jan 2023 12 Jan 2023 401025R01125656
12 Jan 2023 13 Jan 2023 401025R01125656
12 Jan 2023 14 Jan 2023 401025R01125656
12 Jan 2023 15 Jan 2023 401025R01125656
12 Jan 2023 13 Jan 2023 401025R01121701
12 Jan 2023 14 Jan 2023 401025R01121887
12 Jan 2023 12 Jan 2023 401025R01121943
12 Jan 2023 13 Jan 2023 401025R01121892
12 Jan 2023 13 Jan 2023 401025R01121468
12 Jan 2023 13 Jan 2023 401025R01121051
12 Jan 2023 12 Jan 2023 401025R01121540
12 Jan 2023 12 Jan 2023 401025R01121586
12 Jan 2023 12 Jan 2023 401025R011015065
12 Jan 2023 12 Jan 2023 401025R011005804
12 Jan 2023 13 Jan 2023 401025R01120015
12 Jan 2023 15 Jan 2023 401025R01123243
12 Jan 2023 13 Jan 2023 401025R01123290
12 Jan 2023 15 Jan 2023 401025R01123359
12 Jan 2023 13 Jan 2023 401025R01125685
12 Jan 2023 14 Jan 2023 401025R01125685
12 Jan 2023 15 Jan 2023 401025R01125685
12 Jan 2023 13 Jan 2023 401025R01125638
12 Jan 2023 14 Jan 2023 401025R01125638
12 Jan 2023 15 Jan 2023 401025R01125638
12 Jan 2023 13 Jan 2023 401025R01121878

12 Jan 2023 14 Jan 2023 401025R01121623
12 Jan 2023 13 Jan 2023 401025R01121892
12 Jan 2023 13 Jan 2023 401025R01121587
12 Jan 2023 12 Jan 2023 401025R011015065
12 Jan 2023 12 Jan 2023 401025R011005804
17 Jan 2023 21 Jan 2023 401025R011015065
17 Jan 2023 21 Jan 2023 401025R011005804
17 Jan 2023 18 Jan 2023 401025R01125623
17 Jan 2023 18 Jan 2023 401025R01125685
17 Jan 2023 17 Jan 2023 401025R01125716
17 Jan 2023 19 Jan 2023 401025R01125685
17 Jan 2023 20 Jan 2023 401025R01125623
17 Jan 2023 20 Jan 2023 401025R01125685
17 Jan 2023 19 Jan 2023 401025R01125716
17 Jan 2023 21 Jan 2023 401025R01125623
17 Jan 2023 21 Jan 2023 401025R01125685
17 Jan 2023 17 Jan 2023 401025R01125685
17 Jan 2023 17 Jan 2023 401025R01122090
17 Jan 2023 21 Jan 2023 401025R01121943
17 Jan 2023 17 Jan 2023 401025R01122087
17 Jan 2023 17 Jan 2023 401025R011105806
18 Jan 2023 18 Jan 2023 401025R011105806
18 Jan 2023 20 Jan 2023 401025R01120893
18 Jan 2023 20 Jan 2023 401025R01120486
18 Jan 2023 20 Jan 2023 401025R011005804
18 Jan 2023 18 Jan 2023 401025R01125613
18 Jan 2023 18 Jan 2023 401025R01125685
18 Jan 2023 18 Jan 2023 401025R01125592
18 Jan 2023 18 Jan 2023 401025R01125679
18 Jan 2023 19 Jan 2023 401025R01125704
18 Jan 2023 19 Jan 2023 401025R01125607
18 Jan 2023 19 Jan 2023 401025R01125685
18 Jan 2023 20 Jan 2023 401025R01125613
18 Jan 2023 20 Jan 2023 401025R01125685
18 Jan 2023 20 Jan 2023 401025R01125628
18 Jan 2023 21 Jan 2023 401025R01125685
18 Jan 2023 21 Jan 2023 401025R01125704
18 Jan 2023 21 Jan 2023 401025R01125679
18 Jan 2023 22 Jan 2023 401025R01125613
18 Jan 2023 22 Jan 2023 401025R01125685
18 Jan 2023 21 Jan 2023 401025R01125607
18 Jan 2023 22 Jan 2023 401025R01125679
18 Jan 2023 23 Jan 2023 401025R01125613
18 Jan 2023 23 Jan 2023 401025R01125685
18 Jan 2023 20 Jan 2023 401025R01125704
18 Jan 2023 19 Jan 2023 401025R01125679
18 Jan 2023 20 Jan 2023 401025R01125679
18 Jan 2023 18 Jan 2023 401025R01123202
18 Jan 2023 21 Jan 2023 401025R01123013
18 Jan 2023 21 Jan 2023 401025R01123243
18 Jan 2023 20 Jan 2023 401025R01121892
18 Jan 2023 20 Jan 2023 401025R01121508
18 Jan 2023 20 Jan 2023 401025R01121563
18 Jan 2023 18 Jan 2023 401025R01122140
18 Jan 2023 20 Jan 2023 401025R01122175

18 Jan 2023 20 Jan 2023 401025R01121892
18 Jan 2023 20 Jan 2023 401025R01121892
18 Jan 2023 20 Jan 2023 401025R01121701
18 Jan 2023 23 Jan 2023 401025R01121886
18 Jan 2023 18 Jan 2023 401025R01123591
18 Jan 2023 18 Jan 2023 401025R01123397
18 Jan 2023 19 Jan 2023 401025R01123258
18 Jan 2023 19 Jan 2023 401025R01123359
18 Jan 2023 19 Jan 2023 401025R01123361
18 Jan 2023 19 Jan 2023 401025R01123257
18 Jan 2023 20 Jan 2023 401025R01123563
18 Jan 2023 23 Jan 2023 401025R01123279
18 Jan 2023 21 Jan 2023 401025R01121887
18 Jan 2023 23 Jan 2023 401025R011015065
18 Jan 2023 24 Jan 2023 401025R011005804
19 Jan 2023 22 Jan 2023 401025R011005804
19 Jan 2023 22 Jan 2023 401025R011105830
19 Jan 2023 21 Jan 2023 401025R011015065
18 Jan 2023 18 Jan 2023 401025R01125588
18 Jan 2023 18 Jan 2023 401025R01125685
19 Jan 2023 19 Jan 2023 401025R01125588
19 Jan 2023 19 Jan 2023 401025R01125685
19 Jan 2023 20 Jan 2023 401025R01125628
19 Jan 2023 20 Jan 2023 401025R01125588
19 Jan 2023 20 Jan 2023 401025R01125685
19 Jan 2023 21 Jan 2023 401025R01125588
19 Jan 2023 21 Jan 2023 401025R01125685
18 Jan 2023 18 Jan 2023 401025R01123161
19 Jan 2023 19 Jan 2023 401025R01123255
19 Jan 2023 19 Jan 2023 401025R01123256
19 Jan 2023 19 Jan 2023 401025R01123375
19 Jan 2023 21 Jan 2023 401025R01123922
19 Jan 2023 20 Jan 2023 401025R01121489
19 Jan 2023 20 Jan 2023 401025R01121701
19 Jan 2023 20 Jan 2023 401025R01121655
19 Jan 2023 19 Jan 2023 401025R01125756
19 Jan 2023 20 Jan 2023 401025R01121006
18 Jan 2023 21 Jan 2023 401025R011105708
18 Jan 2023 18 Jan 2023 401025R011105806
19 Jan 2023 19 Jan 2023 401025R011105805
18 Jan 2023 18 Jan 2023 401025R011105807
18 Jan 2023 18 Jan 2023 401025R01125657
18 Jan 2023 18 Jan 2023 401025R01125685
18 Jan 2023 19 Jan 2023 401025R01125657
18 Jan 2023 19 Jan 2023 401025R01125685
18 Jan 2023 20 Jan 2023 401025R01125657
18 Jan 2023 20 Jan 2023 401025R01125685
18 Jan 2023 21 Jan 2023 401025R01125657
18 Jan 2023 21 Jan 2023 401025R01125685
18 Jan 2023 22 Jan 2023 401025R01125657
18 Jan 2023 22 Jan 2023 401025R01125685
18 Jan 2023 23 Jan 2023 401025R01125657
18 Jan 2023 23 Jan 2023 401025R01125685
18 Jan 2023 19 Jan 2023 401025R01122065
18 Jan 2023 21 Jan 2023 401025R01122065

18 Jan 2023 18 Jan 2023 401025R01123243
18 Jan 2023 18 Jan 2023 401025R01123365
18 Jan 2023 18 Jan 2023 401025R01123366
18 Jan 2023 18 Jan 2023 401025R01123371
18 Jan 2023 18 Jan 2023 401025R01123373
18 Jan 2023 18 Jan 2023 401025R01123124
18 Jan 2023 19 Jan 2023 401025R01123290
18 Jan 2023 23 Jan 2023 401025R01122065
18 Jan 2023 19 Jan 2023 401025R01122065
18 Jan 2023 19 Jan 2023 401025R01122065
18 Jan 2023 20 Jan 2023 401025R01122065
18 Jan 2023 20 Jan 2023 401025R01122065
18 Jan 2023 20 Jan 2023 401025R01122065
18 Jan 2023 21 Jan 2023 401025R01122065
18 Jan 2023 22 Jan 2023 401025R01122065
18 Jan 2023 22 Jan 2023 401025R01122065
18 Jan 2023 23 Jan 2023 401025R011005804
18 Jan 2023 23 Jan 2023 401025R011015065
18 Jan 2023 23 Jan 2023 401025R011105832
18 Jan 2023 21 Jan 2023 401025R01122065
18 Jan 2023 22 Jan 2023 401025R01122065
18 Jan 2023 23 Jan 2023 401025R01122065
18 Jan 2023 18 Jan 2023 401025R01121943
18 Jan 2023 21 Jan 2023 401025R01121893
18 Jan 2023 19 Jan 2023 401025R01121894
18 Jan 2023 20 Jan 2023 401025R01121894
18 Jan 2023 22 Jan 2023 401025R01121893
19 Jan 2023 19 Jan 2023 401025R011105831
19 Jan 2023 20 Jan 2023 401025R01123243
19 Jan 2023 20 Jan 2023 401025R01123243
19 Jan 2023 21 Jan 2023 401025R01123243
19 Jan 2023 21 Jan 2023 401025R01123243
19 Jan 2023 22 Jan 2023 401025R01123243
19 Jan 2023 23 Jan 2023 401025R01123243
19 Jan 2023 19 Jan 2023 401025R01123365
19 Jan 2023 19 Jan 2023 401025R01123366
19 Jan 2023 19 Jan 2023 401025R01123371
19 Jan 2023 19 Jan 2023 401025R01123373
19 Jan 2023 19 Jan 2023 401025R01123392
19 Jan 2023 20 Jan 2023 401025R01123425
19 Jan 2023 19 Jan 2023 401025R01125685
19 Jan 2023 20 Jan 2023 401025R01125685
19 Jan 2023 21 Jan 2023 401025R01125685
19 Jan 2023 22 Jan 2023 401025R01125685
19 Jan 2023 19 Jan 2023 401025R01125633
19 Jan 2023 20 Jan 2023 401025R01125633
19 Jan 2023 21 Jan 2023 401025R01125633
19 Jan 2023 22 Jan 2023 401025R01125633
19 Jan 2023 21 Jan 2023 401025R01121943
19 Jan 2023 19 Jan 2023 401025R011015065
19 Jan 2023 19 Jan 2023 401025R011005804
19 Jan 2023 19 Jan 2023 401025R011105806
19 Jan 2023 19 Jan 2023 401025R011105806
19 Jan 2023 19 Jan 2023 401025R011105831
19 Jan 2023 20 Jan 2023 401025R01123243

19 Jan 2023 21 Jan 2023 401025R01123243
19 Jan 2023 22 Jan 2023 401025R01123243
19 Jan 2023 23 Jan 2023 401025R01123243
19 Jan 2023 23 Jan 2023 401025R01123243
19 Jan 2023 24 Jan 2023 401025R01123243
19 Jan 2023 20 Jan 2023 401025R01123365
19 Jan 2023 20 Jan 2023 401025R01123366
19 Jan 2023 20 Jan 2023 401025R01123371
19 Jan 2023 20 Jan 2023 401025R01123373
19 Jan 2023 20 Jan 2023 401025R01123631
19 Jan 2023 19 Jan 2023 401025R01125685
19 Jan 2023 20 Jan 2023 401025R01125685
19 Jan 2023 21 Jan 2023 401025R01125685
19 Jan 2023 22 Jan 2023 401025R01125685
19 Jan 2023 23 Jan 2023 401025R01125685
19 Jan 2023 24 Jan 2023 401025R01125685
19 Jan 2023 19 Jan 2023 401025R01125633
19 Jan 2023 20 Jan 2023 401025R01125633
19 Jan 2023 21 Jan 2023 401025R01125633
19 Jan 2023 22 Jan 2023 401025R01125633
19 Jan 2023 23 Jan 2023 401025R01125633
19 Jan 2023 24 Jan 2023 401025R01125633
19 Jan 2023 21 Jan 2023 401025R01121943
19 Jan 2023 19 Jan 2023 401025R011015065
19 Jan 2023 19 Jan 2023 401025R011005804
19 Dec 2022 19 Dec 2022 401025R011105807
31 Dec 2022 31 Dec 2022 401025R011105809
03 Jan 2023 03 Jan 2023 401025R011105807
31 Dec 2022 31 Dec 2022 401025R011105809
31 Dec 2022 01 Jan 2023 401025R01123362
31 Dec 2022 01 Jan 2023 401025R01123392
31 Dec 2022 01 Jan 2023 401025R01125685
31 Dec 2022 02 Jan 2023 401025R01125685
31 Dec 2022 31 Dec 2022 401025R01125715
31 Dec 2022 02 Jan 2023 401025R01125715
31 Dec 2022 31 Dec 2022 401025R01125657
31 Dec 2022 01 Jan 2023 401025R01125657
19 Dec 2022 21 Dec 2022 401025R01123563
19 Dec 2022 25 Dec 2022 401025R01123243
19 Dec 2022 29 Dec 2022 401025R01123243
19 Dec 2022 31 Dec 2022 401025R01123290
19 Dec 2022 31 Dec 2022 401025R01123365
19 Dec 2022 31 Dec 2022 401025R01123366
19 Dec 2022 31 Dec 2022 401025R01123371
19 Dec 2022 31 Dec 2022 401025R01123373
19 Dec 2022 19 Dec 2022 401025R01123385
19 Dec 2022 19 Dec 2022 401025R01123385
19 Dec 2022 22 Dec 2022 401025R01123385
19 Dec 2022 26 Dec 2022 401025R01123385
19 Dec 2022 29 Dec 2022 401025R01123385
19 Dec 2022 19 Dec 2022 401025R01123392
19 Dec 2022 29 Dec 2022 401025R01123392
19 Dec 2022 29 Dec 2022 401025R01123917
19 Dec 2022 23 Dec 2022 401025R01125756
19 Dec 2022 23 Dec 2022 401025R01125614

19 Dec 2022 20 Dec 2022 401025R01125606
19 Dec 2022 19 Dec 2022 401025R01125685
19 Dec 2022 20 Dec 2022 401025R01125685
19 Dec 2022 21 Dec 2022 401025R01125685
19 Dec 2022 22 Dec 2022 401025R01125685
19 Dec 2022 23 Dec 2022 401025R01125685
19 Dec 2022 24 Dec 2022 401025R01125685
19 Dec 2022 25 Dec 2022 401025R01125685
19 Dec 2022 26 Dec 2022 401025R01125685
19 Dec 2022 27 Dec 2022 401025R01125685
19 Dec 2022 28 Dec 2022 401025R01125685
19 Dec 2022 29 Dec 2022 401025R01125685
19 Dec 2022 30 Dec 2022 401025R01125685
19 Dec 2022 31 Dec 2022 401025R01125685
19 Dec 2022 19 Dec 2022 401025R01125643
19 Dec 2022 23 Dec 2022 401025R01125643
19 Dec 2022 19 Dec 2022 401025R01125715
19 Dec 2022 20 Dec 2022 401025R01125715
19 Dec 2022 21 Dec 2022 401025R01125715
19 Dec 2022 22 Dec 2022 401025R01125715
19 Dec 2022 23 Dec 2022 401025R01125715
19 Dec 2022 24 Dec 2022 401025R01125715
19 Dec 2022 25 Dec 2022 401025R01125715
19 Dec 2022 26 Dec 2022 401025R01125715
19 Dec 2022 27 Dec 2022 401025R01125715
19 Dec 2022 28 Dec 2022 401025R01125715
19 Dec 2022 29 Dec 2022 401025R01125715
19 Dec 2022 30 Dec 2022 401025R01125715
19 Dec 2022 31 Dec 2022 401025R01125715
19 Dec 2022 19 Dec 2022 401025R01125657
19 Dec 2022 20 Dec 2022 401025R01125657
19 Dec 2022 21 Dec 2022 401025R01125706
19 Dec 2022 22 Dec 2022 401025R01125706
19 Dec 2022 23 Dec 2022 401025R01125706
19 Dec 2022 24 Dec 2022 401025R01125706
19 Dec 2022 25 Dec 2022 401025R01125657
19 Dec 2022 26 Dec 2022 401025R01125657
19 Dec 2022 27 Dec 2022 401025R01125657
19 Dec 2022 28 Dec 2022 401025R01125657
19 Dec 2022 29 Dec 2022 401025R01125657
19 Dec 2022 30 Dec 2022 401025R01125657
19 Dec 2022 20 Dec 2022 401025R01125692
19 Dec 2022 21 Dec 2022 401025R01121701
19 Dec 2022 28 Dec 2022 401025R01121701
19 Dec 2022 20 Dec 2022 401025R01122140
19 Dec 2022 22 Dec 2022 401025R01121943
19 Dec 2022 25 Dec 2022 401025R01121943
19 Dec 2022 21 Dec 2022 401025R01121894
19 Dec 2022 22 Dec 2022 401025R01121893
19 Dec 2022 23 Dec 2022 401025R01121893
19 Dec 2022 24 Dec 2022 401025R01121893
19 Dec 2022 25 Dec 2022 401025R01121893
19 Dec 2022 26 Dec 2022 401025R01121893
19 Dec 2022 25 Dec 2022 401025R01122065
19 Dec 2022 26 Dec 2022 401025R01122065

19 Dec 2022 26 Dec 2022 401025R01122065
19 Dec 2022 27 Dec 2022 401025R01122065
19 Dec 2022 28 Dec 2022 401025R01122065
19 Dec 2022 29 Dec 2022 401025R01122065
19 Dec 2022 31 Dec 2022 401025R01122065
19 Dec 2022 31 Dec 2022 401025R01122065
19 Dec 2022 21 Dec 2022 401025R01122070
19 Dec 2022 22 Dec 2022 401025R01122070
19 Dec 2022 23 Dec 2022 401025R01122070
19 Dec 2022 26 Dec 2022 401025R01122070
19 Dec 2022 27 Dec 2022 401025R01122070
19 Dec 2022 28 Dec 2022 401025R01122070
19 Dec 2022 29 Dec 2022 401025R01122070
19 Dec 2022 30 Dec 2022 401025R01122070
19 Dec 2022 20 Dec 2022 401025R01122397
19 Dec 2022 20 Dec 2022 401025R01122043
19 Dec 2022 21 Dec 2022 401025R01122043
19 Dec 2022 22 Dec 2022 401025R01122043
19 Dec 2022 23 Dec 2022 401025R01122043
19 Dec 2022 24 Dec 2022 401025R01122043
19 Dec 2022 26 Dec 2022 401025R01122043
19 Dec 2022 27 Dec 2022 401025R01122043
19 Dec 2022 28 Dec 2022 401025R01122043
19 Dec 2022 29 Dec 2022 401025R01122043
19 Dec 2022 30 Dec 2022 401025R01122043
19 Dec 2022 31 Dec 2022 401025R01121544
31 Dec 2022 31 Dec 2022 401025R01123243
31 Dec 2022 31 Dec 2022 401025R01123385
31 Dec 2022 31 Dec 2022 401025R01123108
19 Dec 2022 19 Dec 2022 401025R011015065
03 Jan 2023 03 Jan 2023 401025R01123243
03 Jan 2023 07 Jan 2023 401025R01123362
03 Jan 2023 06 Jan 2023 401025R01123371
03 Jan 2023 06 Jan 2023 401025R01123373
03 Jan 2023 03 Jan 2023 401025R01123385
03 Jan 2023 05 Jan 2023 401025R01123385
03 Jan 2023 06 Jan 2023 401025R01123385
03 Jan 2023 08 Jan 2023 401025R01123385
03 Jan 2023 03 Jan 2023 401025R01123392
03 Jan 2023 05 Jan 2023 401025R01123392
03 Jan 2023 05 Jan 2023 401025R01123392
03 Jan 2023 07 Jan 2023 401025R01123392
03 Jan 2023 04 Jan 2023 401025R01123393
03 Jan 2023 04 Jan 2023 401025R01123532
03 Jan 2023 03 Jan 2023 401025R01125685
03 Jan 2023 04 Jan 2023 401025R01125685
03 Jan 2023 05 Jan 2023 401025R01125685
03 Jan 2023 06 Jan 2023 401025R01125685
03 Jan 2023 07 Jan 2023 401025R01125685
03 Jan 2023 08 Jan 2023 401025R01125685
03 Jan 2023 05 Jan 2023 401025R01125643
03 Jan 2023 06 Jan 2023 401025R01125643
03 Jan 2023 07 Jan 2023 401025R01125643
03 Jan 2023 08 Jan 2023 401025R01125643
03 Jan 2023 03 Jan 2023 401025R01125715

03 Jan 2023 04 Jan 2023 401025R01125715
03 Jan 2023 05 Jan 2023 401025R01125715
03 Jan 2023 06 Jan 2023 401025R01125715
03 Jan 2023 07 Jan 2023 401025R01125715
03 Jan 2023 08 Jan 2023 401025R01125715
03 Jan 2023 03 Jan 2023 401025R01125657
03 Jan 2023 03 Jan 2023 401025R01125657
03 Jan 2023 04 Jan 2023 401025R01125657
03 Jan 2023 05 Jan 2023 401025R01125657
03 Jan 2023 06 Jan 2023 401025R01125657
03 Jan 2023 07 Jan 2023 401025R01125657
03 Jan 2023 08 Jan 2023 401025R01125657
03 Jan 2023 07 Jan 2023 401025R01125692
03 Jan 2023 04 Jan 2023 401025R01121701
03 Jan 2023 07 Jan 2023 401025R01121699
03 Jan 2023 03 Jan 2023 401025R01121943
03 Jan 2023 03 Jan 2023 401025R01122065
03 Jan 2023 04 Jan 2023 401025R01122065
03 Jan 2023 04 Jan 2023 401025R01122065
03 Jan 2023 04 Jan 2023 401025R01122065
03 Jan 2023 05 Jan 2023 401025R01122065
03 Jan 2023 05 Jan 2023 401025R01122065
03 Jan 2023 06 Jan 2023 401025R01122065
03 Jan 2023 06 Jan 2023 401025R01122065
03 Jan 2023 07 Jan 2023 401025R01122065
03 Jan 2023 07 Jan 2023 401025R01122065
03 Jan 2023 08 Jan 2023 401025R01122065
03 Jan 2023 03 Jan 2023 401025R01122070
03 Jan 2023 04 Jan 2023 401025R01122070
03 Jan 2023 05 Jan 2023 401025R01122070
03 Jan 2023 06 Jan 2023 401025R01122070
03 Jan 2023 07 Jan 2023 401025R01122070
03 Jan 2023 04 Jan 2023 401025R01122397
03 Jan 2023 03 Jan 2023 401025R01122043
03 Jan 2023 04 Jan 2023 401025R01122043
03 Jan 2023 05 Jan 2023 401025R01122043
03 Jan 2023 06 Jan 2023 401025R01122043
03 Jan 2023 07 Jan 2023 401025R01122043
03 Jan 2023 03 Jan 2023 401025R011005804
31 Dec 2022 02 Jan 2023 401025R01125755
31 Dec 2022 31 Dec 2022 401025R011005804
03 Jan 2023 03 Jan 2023 401025R011105832
23 Dec 2022 23 Dec 2022 401025R011105834
23 Dec 2022 25 Dec 2022 401025R01123362
23 Dec 2022 25 Dec 2022 401025R01123392
23 Dec 2022 23 Dec 2022 401025R01125700
23 Dec 2022 23 Dec 2022 401025R01125685
23 Dec 2022 24 Dec 2022 401025R01125685
23 Dec 2022 25 Dec 2022 401025R01125685
23 Dec 2022 23 Dec 2022 401025R01125744
23 Dec 2022 24 Dec 2022 401025R01125744
23 Dec 2022 23 Dec 2022 401025R01122140
23 Dec 2022 23 Dec 2022 401025R011015065
26 Dec 2022 26 Dec 2022 401025R011105832
26 Dec 2022 28 Dec 2022 401025R01123243

26 Dec 2022 04 Jan 2023 401025R01123243
26 Dec 2022 28 Dec 2022 401025R01123257
26 Dec 2022 28 Dec 2022 401025R01123258
26 Dec 2022 28 Dec 2022 401025R01123262
26 Dec 2022 28 Dec 2022 401025R01123267
26 Dec 2022 28 Dec 2022 401025R01123392
26 Dec 2022 04 Jan 2023 401025R01123392
26 Dec 2022 03 Jan 2023 401025R01123514
26 Dec 2022 04 Jan 2023 401025R01123146
26 Dec 2022 26 Dec 2022 401025R01125700
26 Dec 2022 29 Dec 2022 401025R01125700
26 Dec 2022 02 Jan 2023 401025R01125700
26 Dec 2022 03 Jan 2023 401025R01125700
26 Dec 2022 04 Jan 2023 401025R01125700
26 Dec 2022 26 Dec 2022 401025R01125685
26 Dec 2022 27 Dec 2022 401025R01125685
26 Dec 2022 28 Dec 2022 401025R01125685
26 Dec 2022 29 Dec 2022 401025R01125685
26 Dec 2022 30 Dec 2022 401025R01125685
26 Dec 2022 31 Dec 2022 401025R01125685
26 Dec 2022 01 Jan 2023 401025R01125685
26 Dec 2022 02 Jan 2023 401025R01125685
26 Dec 2022 03 Jan 2023 401025R01125685
26 Dec 2022 04 Jan 2023 401025R01125685
26 Dec 2022 27 Dec 2022 401025R01125612
26 Dec 2022 28 Dec 2022 401025R01125612
26 Dec 2022 29 Dec 2022 401025R01125612
26 Dec 2022 30 Dec 2022 401025R01125612
26 Dec 2022 30 Dec 2022 401025R01125666
26 Dec 2022 31 Dec 2022 401025R01125612
26 Dec 2022 01 Jan 2023 401025R01125612
26 Dec 2022 26 Dec 2022 401025R01125612
26 Dec 2022 03 Jan 2023 401025R01125612
26 Dec 2022 04 Jan 2023 401025R01125612
26 Dec 2022 26 Dec 2022 401025R01125744
26 Dec 2022 27 Dec 2022 401025R01125744
26 Dec 2022 28 Dec 2022 401025R01125744
26 Dec 2022 29 Dec 2022 401025R01125744
26 Dec 2022 30 Dec 2022 401025R01125744
26 Dec 2022 31 Dec 2022 401025R01125715
26 Dec 2022 01 Jan 2023 401025R01125715
26 Dec 2022 02 Jan 2023 401025R01125715
26 Dec 2022 03 Jan 2023 401025R01125715
26 Dec 2022 04 Jan 2023 401025R01125715
26 Dec 2022 26 Dec 2022 401025R01125604
26 Dec 2022 27 Dec 2022 401025R01125604
26 Dec 2022 29 Dec 2022 401025R01125604
26 Dec 2022 04 Jan 2023 401025R01125604
26 Dec 2022 26 Dec 2022 401025R01122138
26 Dec 2022 30 Dec 2022 401025R01122159
26 Dec 2022 26 Dec 2022 401025R01121892
26 Dec 2022 27 Dec 2022 401025R01121892
26 Dec 2022 28 Dec 2022 401025R01121892
26 Dec 2022 31 Dec 2022 401025R01121892
26 Dec 2022 01 Jan 2023 401025R01121892

26 Dec 2022 02 Jan 2023 401025R01121892
26 Dec 2022 27 Dec 2022 401025R01122058
26 Dec 2022 27 Dec 2022 401025R01122058
26 Dec 2022 28 Dec 2022 401025R01122058
26 Dec 2022 28 Dec 2022 401025R01122058
26 Dec 2022 29 Dec 2022 401025R01122058
26 Dec 2022 29 Dec 2022 401025R01122058
26 Dec 2022 30 Dec 2022 401025R01122058
26 Dec 2022 30 Dec 2022 401025R01122058
26 Dec 2022 31 Dec 2022 401025R01122058
26 Dec 2022 31 Dec 2022 401025R01122058
26 Dec 2022 02 Jan 2023 401025R01122058
26 Dec 2022 26 Dec 2022 401025R01122058
26 Dec 2022 04 Jan 2023 401025R01122058
26 Dec 2022 27 Dec 2022 401025R01122062
26 Dec 2022 27 Dec 2022 401025R01122062
26 Dec 2022 28 Dec 2022 401025R01122062
26 Dec 2022 28 Dec 2022 401025R01122062
26 Dec 2022 29 Dec 2022 401025R01122062
26 Dec 2022 29 Dec 2022 401025R01122062
26 Dec 2022 30 Dec 2022 401025R01122062
26 Dec 2022 30 Dec 2022 401025R01122062
26 Dec 2022 31 Dec 2022 401025R01122062
26 Dec 2022 31 Dec 2022 401025R01122062
26 Dec 2022 02 Jan 2023 401025R01122062
26 Dec 2022 02 Jan 2023 401025R01122062
26 Dec 2022 04 Jan 2023 401025R01122062
26 Dec 2022 27 Dec 2022 401025R01122065
26 Dec 2022 28 Dec 2022 401025R01122065
26 Dec 2022 28 Dec 2022 401025R01122065
26 Dec 2022 02 Jan 2023 401025R01122065
26 Dec 2022 02 Jan 2023 401025R01122065
26 Dec 2022 04 Jan 2023 401025R01122065
26 Dec 2022 04 Jan 2023 401025R01122065
26 Dec 2022 27 Dec 2022 401025R01122070
26 Dec 2022 28 Dec 2022 401025R01122070
26 Dec 2022 29 Dec 2022 401025R01122070
26 Dec 2022 29 Dec 2022 401025R01122070
26 Dec 2022 30 Dec 2022 401025R01122070
26 Dec 2022 30 Dec 2022 401025R01122070
26 Dec 2022 31 Dec 2022 401025R01122070
26 Dec 2022 31 Dec 2022 401025R01122070
26 Dec 2022 02 Jan 2023 401025R01122070
26 Dec 2022 02 Jan 2023 401025R01122070
26 Dec 2022 04 Jan 2023 401025R01122070
26 Dec 2022 30 Dec 2022 401025R01122272
26 Dec 2022 30 Dec 2022 401025R01122272
26 Dec 2022 31 Dec 2022 401025R01122272
26 Dec 2022 31 Dec 2022 401025R01122272
26 Dec 2022 02 Jan 2023 401025R01122272
26 Dec 2022 02 Jan 2023 401025R01122272
26 Dec 2022 04 Jan 2023 401025R01122272
26 Dec 2022 27 Dec 2022 401025R01122033
26 Dec 2022 27 Dec 2022 401025R01122033
26 Dec 2022 28 Dec 2022 401025R01122033

26 Dec 2022 28 Dec 2022 401025R01122033
26 Dec 2022 29 Dec 2022 401025R01122033
26 Dec 2022 29 Dec 2022 401025R01122033
26 Dec 2022 30 Dec 2022 401025R01122033
26 Dec 2022 30 Dec 2022 401025R01122033
26 Dec 2022 31 Dec 2022 401025R01122033
26 Dec 2022 31 Dec 2022 401025R01122033
26 Dec 2022 02 Jan 2023 401025R01122033
26 Dec 2022 02 Jan 2023 401025R01122033
26 Dec 2022 04 Jan 2023 401025R01122033
26 Dec 2022 27 Dec 2022 401025R01122043
26 Dec 2022 28 Dec 2022 401025R01122043
26 Dec 2022 29 Dec 2022 401025R01122043
26 Dec 2022 30 Dec 2022 401025R01122043
26 Dec 2022 31 Dec 2022 401025R01122043
26 Dec 2022 02 Jan 2023 401025R01122043
26 Dec 2022 03 Jan 2023 401025R01122043
26 Dec 2022 04 Jan 2023 401025R01122043
26 Dec 2022 26 Dec 2022 401025R01125755
26 Dec 2022 26 Dec 2022 401025R011005804
26 Dec 2022 26 Dec 2022 401025R011005804
26 Dec 2022 04 Jan 2023 401025R01122070
26 Dec 2022 02 Jan 2023 401025R01122070
23 Dec 2022 23 Dec 2022 401025R011105809
26 Dec 2022 26 Dec 2022 401025R011105807
28 Dec 2022 28 Dec 2022 401025R011105805
28 Dec 2022 28 Dec 2022 401025R01125612
28 Dec 2022 28 Dec 2022 401025R01125685
28 Dec 2022 29 Dec 2022 401025R01125612
28 Dec 2022 29 Dec 2022 401025R01125685
28 Dec 2022 30 Dec 2022 401025R01125612
28 Dec 2022 30 Dec 2022 401025R01125685
28 Dec 2022 31 Dec 2022 401025R01125612
28 Dec 2022 31 Dec 2022 401025R01125685
28 Dec 2022 31 Dec 2022 401025R01125703
28 Dec 2022 01 Jan 2023 401025R01125612
28 Dec 2022 01 Jan 2023 401025R01125685
28 Dec 2022 02 Jan 2023 401025R01125685
28 Dec 2022 30 Dec 2022 401025R01123202
28 Dec 2022 31 Dec 2022 401025R01123174
28 Dec 2022 28 Dec 2022 401025R01123371
28 Dec 2022 28 Dec 2022 401025R01123373
28 Dec 2022 28 Dec 2022 401025R01123514
28 Dec 2022 02 Jan 2023 401025R01123243
28 Dec 2022 02 Jan 2023 401025R01123514
28 Dec 2022 29 Dec 2022 401025R01121943
28 Dec 2022 31 Dec 2022 401025R01121943
28 Dec 2022 02 Jan 2023 401025R011015065
28 Dec 2022 03 Jan 2023 401025R011005804
29 Dec 2022 29 Dec 2022 401025R01123243
29 Dec 2022 29 Dec 2022 401025R01123255
29 Dec 2022 29 Dec 2022 401025R01123256
29 Dec 2022 30 Dec 2022 401025R01121468
31 Dec 2022 31 Dec 2022 401025R01121540
31 Dec 2022 31 Dec 2022 401025R01121586

29 Dec 2022 30 Dec 2022 401025R01121943
31 Dec 2022 31 Dec 2022 401025R01121887
29 Dec 2022 30 Dec 2022 401025R01121892
29 Dec 2022 30 Dec 2022 401025R01121701
29 Dec 2022 29 Dec 2022 401025R01125656
29 Dec 2022 29 Dec 2022 401025R01125685
29 Dec 2022 29 Dec 2022 401025R01125628
29 Dec 2022 30 Dec 2022 401025R01125656
29 Dec 2022 30 Dec 2022 401025R01125685
31 Dec 2022 31 Dec 2022 401025R01125656
31 Dec 2022 31 Dec 2022 401025R01125685
31 Dec 2022 01 Jan 2023 401025R01125737
31 Dec 2022 01 Jan 2023 401025R01125685
29 Dec 2022 31 Dec 2022 401025R011015065
31 Dec 2022 31 Dec 2022 401025R011105831
29 Dec 2022 30 Dec 2022 401025R01121051
29 Dec 2022 30 Dec 2022 401025R01120015
29 Dec 2022 30 Dec 2022 401025R01125685
29 Dec 2022 31 Dec 2022 401025R01125685
29 Dec 2022 30 Dec 2022 401025R01125654
29 Dec 2022 31 Dec 2022 401025R01125654
29 Dec 2022 30 Dec 2022 401025R01121878
29 Dec 2022 31 Dec 2022 401025R01121623
29 Dec 2022 30 Dec 2022 401025R01121892
29 Dec 2022 30 Dec 2022 401025R01121587
29 Dec 2022 29 Dec 2022 401025R011015065
31 Dec 2022 01 Jan 2023 401025R01123369
31 Dec 2022 01 Jan 2023 401025R01125685
31 Dec 2022 01 Jan 2023 401025R01125654
31 Dec 2022 31 Dec 2022 401025R011005804
29 Dec 2022 29 Dec 2022 401025R011105806
31 Dec 2022 31 Dec 2022 401025R011105806
31 Dec 2022 01 Jan 2023 401025R011005804
29 Dec 2022 31 Dec 2022 401025R01120015
29 Dec 2022 01 Jan 2023 401025R01120015
30 Dec 2022 01 Jan 2023 401025R01120015
30 Dec 2022 30 Dec 2022 401025R011105806
30 Dec 2022 30 Dec 2022 401025R011105831
30 Dec 2022 30 Dec 2022 401025R01125764
30 Dec 2022 31 Dec 2022 401025R01120015
30 Dec 2022 30 Dec 2022 401025R01123290
30 Dec 2022 30 Dec 2022 401025R01125685
30 Dec 2022 31 Dec 2022 401025R01125685
30 Dec 2022 01 Jan 2023 401025R01125685
30 Dec 2022 30 Dec 2022 401025R01125654
30 Dec 2022 31 Dec 2022 401025R01125654
30 Dec 2022 30 Dec 2022 401025R01121876
30 Dec 2022 30 Dec 2022 401025R01121892
30 Dec 2022 30 Dec 2022 401025R01121587
30 Dec 2022 31 Dec 2022 401025R01121542
30 Dec 2022 30 Dec 2022 401025R011015065
30 Dec 2022 30 Dec 2022 401025R011005804
30 Dec 2022 30 Dec 2022 401025R01121943
30 Dec 2022 30 Dec 2022 401025R01121875
30 Dec 2022 30 Dec 2022 401025R01121615

30 Dec 2022 30 Dec 2022 401025R01125685
30 Dec 2022 31 Dec 2022 401025R01125685
30 Dec 2022 30 Dec 2022 401025R01125608
30 Dec 2022 31 Dec 2022 401025R01125608
30 Dec 2022 01 Jan 2023 401025R01125608
30 Dec 2022 01 Jan 2023 401025R01125685
30 Dec 2022 30 Dec 2022 401025R01121586
30 Dec 2022 30 Dec 2022 401025R01121540
30 Dec 2022 30 Dec 2022 401025R01121586
30 Dec 2022 01 Jan 2023 401025R011005804
30 Dec 2022 01 Jan 2023 401025R011015065

Nama Jenpel Aju Jenpel Verif
KOENARDI BUDHIHARDJO, Sp.PD - IPD CONSULTATION 401025R01125643

RUANGAN - IPD CONSULTATION 401025R01125685
AMYLASE - ROUTINE 401025R01123345
LYPASE - ROUTINE 401025R01123346
ALKALI PHOSPHATASE - ROUTINE 401025R01123360
GAMMA GT - ROUTINE 401025R01123361
COMPLETE URINALYSIS - ROUTINE 401025R01123514
ROUTINE HEMATOLOGY (HB,E,L, PLT, HT, DIFF) - ROUTINE 401025R01123243
Administrative Charges 401025R011015065
BAHP 401025R011005804
DELUXE - 1/2 Hari 401025R011105831
[Akomodasi] DELUXE 401025R011105806
BABY 401025R01120015
Kamar Baby 1/2 Hari 401025R01125767
SECTIO CAESARIA - Normal 401025R01121051
BABY 401025R01120015
BILIRUBINE (TOTAL + DIRECT / INDIRECT) - ROUTINE 401025R01123359
YOSE MULIAWAN PANGESTU, Sp.A - IPD CONSULTATION 401025R01125651
SECTIO CAESARIA DELIVERY CHARGE (PAEDITRICIAN) - NORMAL 401025R01121878
JASA SUNTIK/INHEALTH - NORMAL 401025R01121623
OKSIGEN 1-60 MENIT (PER JAM) - NORMAL 401025R01121892
INCUBATOR - NORMAL 401025R01121587
BAHP 401025R011005804
BAHP 401025R011005804
NOVIYANTI , SP.OG - IPD CONSULTATION 401025R01125608
RUDY MANALU, Sp.An.KIC - IPD CONSULTATION 401025R01125629

INSERTIO I.U.D - NORMAL 401025R01122078
BLEEDING TIME (BT) - ROUTINE 401025R01123255
CLOTTING TIME (CT) - ROUTINE 401025R01123256
OT ROOM 1 MAJOR - NORMAL 401025R01121465
CTG (FETAL MONITOR COROMETRIC) - NORMAL 401025R01121540
DOPPLER (ATO FERADOPPLER DP 20 FHR) - NORMAL 401025R01121586
INFUSION PROCEDURE - NORMAL 401025R01121943
VESICA URINARY TRANS URETRAL CATHETERIZATION - NORMAL 401025R01121701
WOUND TOILET (MAJOR) - NORMAL 401025R01121887
AGOES FERRYOKO, Sp.An - IPD CONSULTATION 401025R01125628
NUR FEBRIANY NASSER RAS, Sp.BP-RE - IPD CONSULTATION 401025R01125649
OT ROOM 2 MINOR - NORMAL 401025R01121464
SIMPLE LACERATION AND SIMPLE DEBRIDEMENT - Normal 401025R01120510
BAHP 401025R011005804
[Akomodasi] SUPERIOR 401025R011105807
BABY 401025R01120015
BABY 401025R01120015
INSERTIO I.U.D - NORMAL 401025R01122078
BAHP 401025R011005804
DELUXE - 1/2 Hari 401025R011105831
BABY 401025R01120015

BAHP 401025R011005804
BAHP 401025R011005804
RAKA JANITRA , SP.BS - IPD CONSULTATION 401025R01125743
HENDRA NURJADIN Sp.PD-KGEH - IPD CONSULTATION 401025R01125666
JAP MUSTOPO BAKHTIAR, Sp.KJ - IPD CONSULTATION 401025R01125630
VIVI SUMARNA Sp.KFR - IPD CONSULTATION 401025R01125604
ONG AWARUDIN Sp.THT-KL - IPD CONSULTATION 401025R01125639
RAKA JANITRA , SP.BS - IPD CONSULTATION BY PHONE 401025R01125072
CERVICAL TRACTION - NORMAL 401025R01122063
U.K.G/SHORT WAVE DIATHERMY - NORMAL 401025R01122058
ELECTRICAL STIMULATION - NORMAL 401025R01122059
ULTRASONIC THERAPY - NORMAL 401025R01122060
ESWT MODERATE - NORMAL 401025R01122024

GLUCOSE AD RANDOM - ROUTINE 401025R01123290
AST (SGOT) - ROUTINE 401025R01123365
ALT (SGPT) - ROUTINE 401025R01123366
UREUM - ROUTINE 401025R01123371
CREATININE - ROUTINE 401025R01123373
PROTHROMBIN TIME (PT) - ROUTINE 401025R01123257
TROMBOPLASTIN TIME (APTT) - ROUTINE 401025R01123258
OT ROOM 4 MODERATE - NORMAL 401025R01121474
C.ARM (STENOSCOPE) - NORMAL 401025R01121523
PCR Swab test 401025R01125756
MIDDLE BRANCH BLOCK (C/L) - TERAPEUTIK - Normal 401025R01120460
BABY 401025R01120015
BABY 401025R01120015
HANUDJAJA SUBROTO, Sp.An.KIC - IPD CONSULTATION 401025R01125677

BAHP 401025R011005804
DELUXE - 1/2 Hari 401025R011105831
BABY 401025R01120015
BAHP 401025R011005804
BAHP 401025R011005804
RE-SCREENING BLOOD BAG 401025R01125754
PENYULIT 401025R011001855
BABY 401025R01120015
JURITA HARJATI HANDOYO, MSC, Sp.A - IPD CONSULTATION 401025R01125638
NORMAL DELIVERY CHARGE (PAEDITRICIAN) - NORMAL 401025R01121876
MONITOR DRAGGER PM 6020 - NORMAL 401025R01121542
BAHP 401025R011005804
POJIANTO Sp.OG - IPD CONSULTATION 401025R01125656
NORMAL DELIVERY CHARGE (OBSGYN) - NORMAL 401025R01121875
PACKED RED CELL - NORMAL 401025R01122175
TRANSFUSION PROCEDURE - NORMAL 401025R01121944
Inhealth - Delivery Room Charge Class II - NORMAL 401025R01121614

CROSS MATCHING - ROUTINE 401025R01123279
BLOOD TRANSFUSION PACKAGE - ROUTINE 401025R01123882
BABY 401025R01120015
INDUKSI 401025R01125764
BABY 401025R01120015
BABY 401025R01120015
DELUXE - 1/2 Hari 401025R011105831
BAHP 401025R011005804
BABY 401025R01120015
BAHP 401025R011005804

ULTRASONIC NEBULIZER THERAPY - NORMAL 401025R01122065
ACID FAST BACILLI SPUTUM STAINING - ROUTINE 401025R01123548
THORAX A.P / P.A - ROUTINE 401025R01123917
BAHP 401025R011005804
ANDY NAZARUDIN Sp.P - IPD CONSULTATION 401025R01125657
DELUXE - 1/2 Hari 401025R011105831
COMPLETE HEMATOLOGY(HB,E,L,HT,PLT,DIFF,MCV,ESR,RET -
401025R01123244
ROUTINE
CRP QUANTITATIVE - ROUTINE 401025R01123501
OKSIGEN LEBIH DR 6 JAM KURANG 24 JAM - NORMAL 401025R01121893
MARLYN CECILIA MALONDA, Sp.A - IPD CONSULTATION 401025R01125603

BREATHING & POSTURAL DRAINAGE - NORMAL 401025R01122070
INFRA RED RADIATION - NORMAL 401025R01122062
THORAX A.P / P.A + LAT / TOP LORD - ROUTINE 401025R01123919
BAHP 401025R011005804
DELUXE - 1/2 Hari 401025R011105831
JUNIOR SUITE - 1/2 Hari 401025R011105830

BAHP 401025R011005804
BAHP 401025R011005804
[Akomodasi] JUNIOR SUITE 401025R011105805
BABY 401025R01120015
BABY 401025R01120015
SUPERIOR 401025R011005811
BAHP 401025R011005804
BABY 401025R01120015

BAHP 401025R011005804
BAHP 401025R011005804
WENNY NINGSIH HARYADI, SP.OG - IPD CONSULTATION 401025R01125623
SANDHY PRAYUDHANA, SP.OG - IPD CONSULTATION 401025R01125716
SANDHY PRAYUDHANA, SP.OG - IPD CONSULTATION 401025R01125716
USG OBGYN 2D ( WITH PHOTOS ) - NORMAL 401025R01122090
USG DETAIL (FETOMATERNAL) - NORMAL 401025R01122087
ORIF (HUMERUS,FEMUR / TIBIA) - Normal 401025R01120893
LAPAROSCOPIC CHOLECYSTECTOMY - Normal 401025R01120486
BAHP 401025R011005804
RIZAL IRVAN SHIDDIEQY POHAN, Sp.OT(K)Spine - IPD
401025R01125613
CONSULTATION
HERENDA MEDISHITA, Sp.JP (K) - IPD CONSULTATION 401025R01125592
YUDIANTI PANGESTU, Sp.PD - IPD CONSULTATION 401025R01125679
TAUFIK BUDI SATRIO, SP.B(K)BD - IPD CONSULTATION 401025R01125704
YUDISTIRA PRAMA TIRTA, Sp.OT - IPD CONSULTATION 401025R01125607
401025R01125613
CONSULTATION
401025R01125613
CONSULTATION
YUDISTIRA PRAMA TIRTA, Sp.OT - IPD CONSULTATION 401025R01125607
401025R01125613
CONSULTATION
USG WHOLE ABDOMEN - ROUTINE 401025R01123202
HUMERUS 1 SIDE - ROUTINE 401025R01123013
OT ROOM IV SPECIAL 2 - NORMAL 401025R01121508
LAPARASCOPY (CHOLE,KISTA) - NORMAL 401025R01121563
ECHOCARDIOGRAPHY (COM/INS) - NORMAL 401025R01122140

WOUND TOILET (MODERATE) - NORMAL 401025R01121886
PRE OPERATION PACKAGE (III) - ROUTINE 401025R01123591
HBSAG QUALITATIVE - ROUTINE 401025R01123397
GAMMA GT - ROUTINE 401025R01123361
HISTOPATHOLOGY MEDIUM - ROUTINE 401025R01123563
BAHP 401025R011005804
BAHP 401025R011005804
VINNY VERDINI , SP.U - IPD CONSULTATION 401025R01125588
MSCT UROGRAPHY - NON CONTRAST - ROUTINE 401025R01123161
URIC ACID - ROUTINE 401025R01123375
ABDOMEN 1 POSITION PLAIN FOTO (B.N.O) - ROUTINE 401025R01123922
OT ROOM I SPECIAL 1 - NORMAL 401025R01121489
SET URS - NORMAL 401025R01121655
URS & LITHOTRIPSY - Normal 401025R01121006
Implant 401025R011105708

ALBUMIN - ROUTINE 401025R01123124
BAHP 401025R011005804
SUPERIOR - 1/2 Hari 401025R011105832
OKSIGEN 24 JAM - NORMAL 401025R01121894
DELUXE - 1/2 Hari 401025R011105831
ELECTROLYTE (NA, K, CL) - ROUTINE 401025R01123392
DENGUE BLOT (IGG-IGM) - ROUTINE 401025R01123425
BENJAMIN SASTRO Sp.PD - IPD CONSULTATION 401025R01125633
BAHP 401025R011005804
DELUXE - 1/2 Hari 401025R011105831

NS1 - ROUTINE 401025R01123631
BAHP 401025R011005804
[Akomodasi] HCU 401025R011105809
HCU 401025R011105809
PROTEIN TOTAL + ALBUMIN + GLOBULIN - ROUTINE 401025R01123362
CENTERY , SP.BS - IPD CONSULTATION 401025R01125715
HISTOPATHOLOGY MEDIUM - ROUTINE 401025R01123563
CALCIUM - ROUTINE 401025R01123385
THORAX A.P / P.A - ROUTINE 401025R01123917
AJU EVAWANI ALIZZA DEVI, Sp.An - IPD CONSULTATION 401025R01125614

ARON HUSINK Sp.JP, FIHA - IPD CONSULTATION 401025R01125606
AHMAD ARFAN , SP.P - IPD CONSULTATION 401025R01125706
PUTU KARSIANI Sp.KFR - IPD CONSULTATION 401025R01125692

TORAKOSINTESIS PARU DENGAN USG GUIDED - NORMAL 401025R01122397
SPEECH THERAPY (MAJOR) - NORMAL 401025R01122043
CATHETER EQUIPMENT - NORMAL 401025R01121544
MRI BRAIN - CONTRAST - ROUTINE 401025R01123108
URINE ELECTROLYTE (NA, K, CL) - ROUTINE 401025R01123393
OSMOLALITY URINE - ROUTINE 401025R01123532

PUTU KARSIANI Sp.KFR - IPD CONSULTATION 401025R01125692
GASTER CATHETERIZATION (NGT) - NORMAL 401025R01121699
TORAKOSINTESIS PARU DENGAN USG GUIDED - NORMAL 401025R01122397
BAHP 401025R011005804
INFUSION PUMP 401025R01125755
BAHP 401025R011005804
SUPERIOR - 1/2 Hari 401025R011105832
HCU - 1/2 Hari 401025R011008000
AGUNG FABIAN CHANDRANEGARA, SP.JP(K), FIHA - IPD
401025R01125700
CONSULTATION
ERLIANO SUFARNAP , SP.BS - IPD CONSULTATION 401025R01125744
SUPERIOR - 1/2 Hari 401025R011105832

D-DIMER - ROUTINE 401025R01123262
TROMBOTEST OWREN - ROUTINE 401025R01123267
MSCT HEAD - NON CONTRAST - ROUTINE 401025R01123146
401025R01125700
CONSULTATION
401025R01125700
CONSULTATION
401025R01125700
CONSULTATION
401025R01125700
CONSULTATION
401025R01125700
CONSULTATION
IWAN PURNAWAN Sp.PD - IPD CONSULTATION 401025R01125612
HENDRA NURJADIN Sp.PD-KGEH - IPD CONSULTATION 401025R01125666
ECG ( COM/INS ) - NORMAL 401025R01122138
GASTROSCOPY - NORMAL 401025R01122159

TILTING TABLE - NORMAL 401025R01122272
ELECTRICAL STIMULATION MOTOR POINT - NORMAL 401025R01122033

INFUSION PUMP 401025R01125755
BAHP 401025R011005804
BAHP 401025R011005804
[Akomodasi] HCU 401025R011105809
ALVA HANDOKO SENJAYA, SP.B - IPD CONSULTATION 401025R01125703
USG WHOLE ABDOMEN - ROUTINE 401025R01123202
MSCT WHOLE ABDOMEN - CONTRAST - ROUTINE 401025R01123174
BAHP 401025R011005804

IVAN MAURITS SONDAKH, Sp.OG - IPD CONSULTATION 401025R01125737
DELUXE - 1/2 Hari 401025R011105831
BABY 401025R01120015
ANASTASIA MAUREEN Sp.A - IPD CONSULTATION 401025R01125654
BILIRUBINE TOTAL - ROUTINE 401025R01123369
BAHP 401025R011005804
BAHP 401025R011005804
BABY 401025R01120015
BABY 401025R01120015
BABY 401025R01120015
DELUXE - 1/2 Hari 401025R011105831
INDUKSI 401025R01125764
BABY 401025R01120015
NORMAL DELIVERY CHARGE (PAEDITRICIAN) - NORMAL 401025R01121876
MONITOR DRAGGER PM 6020 - NORMAL 401025R01121542
BAHP 401025R011005804
NORMAL DELIVERY CHARGE (OBSGYN) - NORMAL 401025R01121875
Inhealth - Delivery Room Charge Class I - NORMAL 401025R01121615

BAHP 401025R011005804

Nama Jenpel Verif Biaya Aju Biaya Verif Selisih
KOENARDI BUDHIHARDJO, Sp.PD - IPD CONSULTATION 181700 181700 0

RUANGAN - IPD CONSULTATION 27600 27600 0
AMYLASE - ROUTINE 440910 440910 0
LYPASE - ROUTINE 394335 394335 0
ALKALI PHOSPHATASE - ROUTINE 102120 102120 0
GAMMA GT - ROUTINE 152145 152145 0
COMPLETE URINALYSIS - ROUTINE 99705 99705 0
ROUTINE HEMATOLOGY (HB,E,L, PLT, HT, DIFF) - ROUTINE 149730 149730 0
Administrative Charges 94939 71302 23637
BAHP 199840 199840 0
DELUXE - 1/2 Hari 349600 0 349600
[Akomodasi] DELUXE 1398400 1398400 0
BABY 345000 345000 0
Kamar Baby 1/2 Hari 172500 172500 0
SECTIO CAESARIA - Normal 11878116 11878116 0
BABY 345000 345000 0
BILIRUBINE (TOTAL + DIRECT / INDIRECT) - ROUTINE 221030 221030 0
YOSE MULIAWAN PANGESTU, Sp.A - IPD CONSULTATION 181700 181700 0
SECTIO CAESARIA DELIVERY CHARGE (PAEDITRICIAN) - NORMAL 1467400 1467400 0
JASA SUNTIK/INHEALTH - NORMAL 83950 83950 0
OKSIGEN 1-60 MENIT (PER JAM) - NORMAL 87860 87860 0
INCUBATOR - NORMAL 260245 260245 0
BAHP 232932 232932 0
BAHP 3976150 3976150 0
NOVIYANTI , SP.OG - IPD CONSULTATION 181700 181700 0
RUDY MANALU, Sp.An.KIC - IPD CONSULTATION 209300 209300 0

INSERTIO I.U.D - NORMAL 1039715 1039715 0
BLEEDING TIME (BT) - ROUTINE 71300 71300 0
CLOTTING TIME (CT) - ROUTINE 71300 71300 0
OT ROOM 1 MAJOR - NORMAL 2691115 2691115 0
CTG (FETAL MONITOR COROMETRIC) - NORMAL 173420 173420 0
DOPPLER (ATO FERADOPPLER DP 20 FHR) - NORMAL 104535 104535 0
INFUSION PROCEDURE - NORMAL 71300 71300 0
VESICA URINARY TRANS URETRAL CATHETERIZATION - NORMAL 173420 173420 0
WOUND TOILET (MAJOR) - NORMAL 327865 327865 0
AGOES FERRYOKO, Sp.An - IPD CONSULTATION 167900 167900 0
NUR FEBRIANY NASSER RAS, Sp.BP-RE - IPD CONSULTATION 167900 167900 0
OT ROOM 2 MINOR - NORMAL 1503050 1503050 0
SIMPLE LACERATION AND SIMPLE DEBRIDEMENT - Normal 7172550 7172550 0
BAHP 1211896 1211896 0
[Akomodasi] SUPERIOR 488750 488750 0
BABY 345000 345000 0
BABY 345000 345000 0
INSERTIO I.U.D - NORMAL 1039715 1039715 0
Re SC - Inhealth 11878116 11878116 0
BAHP 4351507 4351507 0
DELUXE - 1/2 Hari 349600 0 349600
BABY 345000 345000 0

BAHP 91428 91428 0
BAHP 1942224 1942224 0
RAKA JANITRA , SP.BS - IPD CONSULTATION 167900 167900 0
HENDRA NURJADIN Sp.PD-KGEH - IPD CONSULTATION 195500 195500 0
JAP MUSTOPO BAKHTIAR, Sp.KJ - IPD CONSULTATION 167900 167900 0
VIVI SUMARNA Sp.KFR - IPD CONSULTATION 167900 167900 0
ONG AWARUDIN Sp.THT-KL - IPD CONSULTATION 167900 167900 0
RAKA JANITRA , SP.BS - IPD CONSULTATION BY PHONE 100740 100740 0
CERVICAL TRACTION - NORMAL 111665 111665 0
U.K.G/SHORT WAVE DIATHERMY - NORMAL 104535 104535 0
ELECTRICAL STIMULATION - NORMAL 115230 115230 0
ULTRASONIC THERAPY - NORMAL 104535 104535 0
ESWT MODERATE - NORMAL 474145 474145 0

GLUCOSE AD RANDOM - ROUTINE 51060 51060 0
AST (SGOT) - ROUTINE 78545 78545 0
ALT (SGPT) - ROUTINE 78545 78545 0
UREUM - ROUTINE 85560 85560 0
CREATININE - ROUTINE 85560 85560 0
PROTHROMBIN TIME (PT) - ROUTINE 337410 337410 0
TROMBOPLASTIN TIME (APTT) - ROUTINE 269675 269675 0
OT ROOM 4 MODERATE - NORMAL 1803660 1803660 0
C.ARM (STENOSCOPE) - NORMAL 966000 966000 0
PCR Swab test 275000 275000 0
MIDDLE BRANCH BLOCK (C/L) - TERAPEUTIK - Normal 7272485 7272485 0
BABY 345000 345000 0
BABY 345000 345000 0
HANUDJAJA SUBROTO, Sp.An.KIC - IPD CONSULTATION 209300 209300 0

BAHP 4105317 4105317 0
DELUXE - 1/2 Hari 349600 349600 0
BABY 345000 345000 0
BAHP 358167 201867 156300
BAHP 1134661 1134661 0
RE-SCREENING BLOOD BAG 359950 359950 0
TINDAKAN CITO 753526 452116 301410
BABY 345000 345000 0
JURITA HARJATI HANDOYO, MSC, Sp.A - IPD CONSULTATION 167900 167900 0
NORMAL DELIVERY CHARGE (PAEDITRICIAN) - NORMAL 762795 762795 0
MONITOR DRAGGER PM 6020 - NORMAL 159275 159275 0
BAHP 846217 846217 0
POJIANTO Sp.OG - IPD CONSULTATION 167900 167900 0
NORMAL DELIVERY CHARGE (OBSGYN) - NORMAL 3767630 3767630 0
PACKED RED CELL - NORMAL 414000 414000 0
TRANSFUSION PROCEDURE - NORMAL 65320 65320 0
Inhealth - Delivery Room Charge Class II - NORMAL 908500 908500 0

CROSS MATCHING - ROUTINE 359950 359950 0
BLOOD TRANSFUSION PACKAGE - ROUTINE 72565 72565 0
BABY 345000 345000 0
INDUKSI 941907 941907 0
BABY 345000 345000 0
BABY 345000 345000 0
DELUXE - 1/2 Hari 349600 349600 0
Re Re SC + Steril - Inhealth 15837488 15837488 0
BAHP 3404593 3404593 0
BABY 345000 345000 0
BAHP 261930 261930 0

ULTRASONIC NEBULIZER THERAPY - NORMAL 140185 140185 0
ACID FAST BACILLI SPUTUM STAINING - ROUTINE 188945 188945 0
THORAX A.P / P.A - ROUTINE 260245 260245 0
BAHP 936551 936551 0
ANDY NAZARUDIN Sp.P - IPD CONSULTATION 181700 181700 0
DELUXE - 1/2 Hari 349600 0 349600
COMPLETE HEMATOLOGY(HB,E,L,HT,PLT,DIFF,MCV,ESR,RET -
160310 160310 0
ROUTINE
CRP QUANTITATIVE - ROUTINE 349370 349370 0
OKSIGEN LEBIH DR 6 JAM KURANG 24 JAM - NORMAL 639285 639285 0
MARLYN CECILIA MALONDA, Sp.A - IPD CONSULTATION 181700 181700 0

BREATHING & POSTURAL DRAINAGE - NORMAL 185380 185380 0
INFRA RED RADIATION - NORMAL 103385 103385 0
THORAX A.P / P.A + LAT / TOP LORD - ROUTINE 432515 432515 0
BAHP 818778 818778 0
DELUXE - 1/2 Hari 349600 0 349600
JUNIOR SUITE - 1/2 Hari 629050 629050 0
Re SC - Inhealth 14058584 14058584 0

BAHP 3165863 3165863 0
Kamar Baby 1/2 Hari 172500 172500 0
BAHP 244342 244342 0
[Akomodasi] JUNIOR SUITE 3774300 3774300 0
BABY 345000 345000 0
BABY 345000 345000 0
Bed Rental 1/2 Hari SUPERIOR 488750 244375 244375
BAHP 3867523 3867523 0
BABY 345000 345000 0

BAHP 228529 228529 0
BAHP 73027 73027 0
WENNY NINGSIH HARYADI, SP.OG - IPD CONSULTATION 181700 181700 0
SANDHY PRAYUDHANA, SP.OG - IPD CONSULTATION 181700 181700 0
SANDHY PRAYUDHANA, SP.OG - IPD CONSULTATION 181700 181700 0
USG OBGYN 2D ( WITH PHOTOS ) - NORMAL 524055 524055 0
USG DETAIL (FETOMATERNAL) - NORMAL 1045580 1045580 0
ORIF (HUMERUS,FEMUR / TIBIA) - Normal 25425293 25425293 0
LAPAROSCOPIC CHOLECYSTECTOMY - Normal 19777453 19777453 0
BAHP 10745000 8595800 2149200
209300 209300 0
CONSULTATION
HERENDA MEDISHITA, Sp.JP (K) - IPD CONSULTATION 209300 209300 0
YUDIANTI PANGESTU, Sp.PD - IPD CONSULTATION 181700 181700 0
TAUFIK BUDI SATRIO, SP.B(K)BD - IPD CONSULTATION 209300 209300 0
YUDISTIRA PRAMA TIRTA, Sp.OT - IPD CONSULTATION 181700 181700 0
209300 209300 0
CONSULTATION
209300 209300 0
CONSULTATION
YUDISTIRA PRAMA TIRTA, Sp.OT - IPD CONSULTATION 181700 181700 0
209300 209300 0
CONSULTATION
USG WHOLE ABDOMEN - ROUTINE 932650 932650 0
HUMERUS 1 SIDE - ROUTINE 345690 345690 0
OT ROOM IV SPECIAL 2 - NORMAL 5336045 5336045 0
LAPARASCOPY (CHOLE,KISTA) - NORMAL 5022395 5022395 0
ECHOCARDIOGRAPHY (COM/INS) - NORMAL 1144250 1144250 0

WOUND TOILET (MODERATE) - NORMAL 225860 225860 0
PRE OPERATION PACKAGE (III) - ROUTINE 1676700 1676700 0
HBSAG QUALITATIVE - ROUTINE 253115 253115 0
GAMMA GT - ROUTINE 152145 152145 0
HISTOPATHOLOGY MEDIUM - ROUTINE 990725 0 990725
BAHP 17855411 17855411 0
BAHP 1464813 1464813 0
JUNIOR SUITE - 1/2 Hari 629050 0 629050
VINNY VERDINI , SP.U - IPD CONSULTATION 181700 181700 0
MSCT UROGRAPHY - NON CONTRAST - ROUTINE 3676205 3676205 0
URIC ACID - ROUTINE 101085 101085 0
ABDOMEN 1 POSITION PLAIN FOTO (B.N.O) - ROUTINE 318435 318435 0
OT ROOM I SPECIAL 1 - NORMAL 4660030 4660030 0
SET URS - NORMAL 4675440 4675440 0
PCR Swab test 275000 275000 0
URS & LITHOTRIPSY - Normal 41705279 41705279 0
Implant 2157077 2157077 0

ALBUMIN - ROUTINE 110515 110515 0
BAHP 1067118 1067118 0
SUPERIOR - 1/2 Hari 244375 0 244375
OKSIGEN 24 JAM - NORMAL 601220 601220 0
DELUXE - 1/2 Hari 349600 0 349600
ELECTROLYTE (NA, K, CL) - ROUTINE 588110 588110 0
DENGUE BLOT (IGG-IGM) - ROUTINE 734275 734275 0
BENJAMIN SASTRO Sp.PD - IPD CONSULTATION 181700 181700 0
BAHP 497214 497214 0
DELUXE - 1/2 Hari 349600 349600 0

NS1 - ROUTINE 584660 584660 0
BAHP 601380 601380 0
[Akomodasi] HCU 2898000 2898000 0
HCU 966000 494500 471500
PROTEIN TOTAL + ALBUMIN + GLOBULIN - ROUTINE 199640 199640 0
CENTERY , SP.BS - IPD CONSULTATION 181700 181700 0
HISTOPATHOLOGY MEDIUM - ROUTINE 990725 990725 0
CALCIUM - ROUTINE 122360 122360 0
THORAX A.P / P.A - ROUTINE 238855 238855 0
PCR Swab test 275000 275000 0
AJU EVAWANI ALIZZA DEVI, Sp.An - IPD CONSULTATION 167900 167900 0

ARON HUSINK Sp.JP, FIHA - IPD CONSULTATION 195500 195500 0
AHMAD ARFAN , SP.P - IPD CONSULTATION 167900 167900 0
PUTU KARSIANI Sp.KFR - IPD CONSULTATION 167900 167900 0

TORAKOSINTESIS PARU DENGAN USG GUIDED - NORMAL 2055510 2055510 0
SPEECH THERAPY (MAJOR) - NORMAL 236555 236555 0
CATHETER EQUIPMENT - NORMAL 80730 80730 0
MRI BRAIN - CONTRAST - ROUTINE 5263665 5263665 0
URINE ELECTROLYTE (NA, K, CL) - ROUTINE 384905 384905 0
OSMOLALITY URINE - ROUTINE 284400 284400 0

PUTU KARSIANI Sp.KFR - IPD CONSULTATION 167900 167900 0
GASTER CATHETERIZATION (NGT) - NORMAL 142600 142600 0
TORAKOSINTESIS PARU DENGAN USG GUIDED - NORMAL 2055510 2055510 0
BAHP 7051898 7051898 0
INFUSION PUMP 87860 87860 0
BAHP 34140 0 34140
SUPERIOR - 1/2 Hari 244375 244375 0
SUPERIOR 1/2 Hari 483000 244375 238625
209300 209300 0
CONSULTATION
ERLIANO SUFARNAP , SP.BS - IPD CONSULTATION 181700 181700 0
SUPERIOR - 1/2 Hari 244375 244375 0

D-DIMER - ROUTINE 585810 585810 0
TROMBOTEST OWREN - ROUTINE 395370 395370 0
MSCT HEAD - NON CONTRAST - ROUTINE 1898650 1898650 0
195500 195500 0
CONSULTATION
195500 195500 0
CONSULTATION
195500 195500 0
CONSULTATION
195500 195500 0
CONSULTATION
195500 195500 0
CONSULTATION
IWAN PURNAWAN Sp.PD - IPD CONSULTATION 167900 167900 0
HENDRA NURJADIN Sp.PD-KGEH - IPD CONSULTATION 195500 195500 0
ECG ( COM/INS ) - NORMAL 152145 152145 0
GASTROSCOPY - NORMAL 3465870 3465870 0

TILTING TABLE - NORMAL 238855 238855 0
ELECTRICAL STIMULATION MOTOR POINT - NORMAL 177905 177905 0

INFUSION PUMP 80730 80730 0
BAHP 41270 0 41270
BAHP 4881331 4881331 0
[Akomodasi] HCU 2898000 2898000 0
ALVA HANDOKO SENJAYA, SP.B - IPD CONSULTATION 279450 279450 0
USG WHOLE ABDOMEN - ROUTINE 1011195 1011195 0
MSCT WHOLE ABDOMEN - CONTRAST - ROUTINE 7457980 7457980 0
UREUM - ROUTINE 101085 101085 0
BAHP 545540 545540 0

IVAN MAURITS SONDAKH, Sp.OG - IPD CONSULTATION 181700 181700 0
DELUXE - 1/2 Hari 349600 0 349600
BABY 345000 345000 0
ANASTASIA MAUREEN Sp.A - IPD CONSULTATION 181700 181700 0
BILIRUBINE TOTAL - ROUTINE 173765 173765 0
BAHP 188493 188493 0
BAHP 3848418 3848418 0
BABY 345000 345000 0
BABY 345000 172500 172500
BABY 345000 345000 0
DELUXE - 1/2 Hari 349600 349600 0
INDUKSI 1148677 1148677 0
BABY 345000 345000 0
NORMAL DELIVERY CHARGE (PAEDITRICIAN) - NORMAL 920805 920805 0
MONITOR DRAGGER PM 6020 - NORMAL 173420 173420 0
BAHP 826063 826063 0
NORMAL DELIVERY CHARGE (OBSGYN) - NORMAL 4594710 4594710 0
Inhealth - Delivery Room Charge Class I - NORMAL 908500 908500 0

BAHP 993393 993393 0
618148938 608224854 9924084

POLI Diagnosa Nama Diagnosa
INT K30 DYSPEPSIA

INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
INT K30 DYSPEPSIA
UMU K30 DYSPEPSIA
INT K30 DYSPEPSIA
K30 DYSPEPSIA
O82.9 Delivery by caesarean section, unspecified
ANA O82.9 Delivery by caesarean section, unspecified
OBG O82.9 Delivery by caesarean section, unspecified
UMU O82.9 Delivery by caesarean section, unspecified

BED T30.0 Burn of unspecified body region, unspecified degree
T30.0 Burn of unspecified body region, unspecified degree

UMU M50.9 Cervical disc disorder, unspecified
BDS M50.9 Cervical disc disorder, unspecified

BSY M50.9 Cervical disc disorder, unspecified
BSY M50.9 Cervical disc disorder, unspecified
M50.9 Cervical disc disorder, unspecified

UMU O80.9 Single spontaneous delivery, unspecified
OBG O80.9 Single spontaneous delivery, unspecified
ANA O80.9 Single spontaneous delivery, unspecified

BDN O80.9 Single spontaneous delivery, unspecified
O80.9 Single spontaneous delivery, unspecified

PAR J18.9 Pneumonia, unspecified
UMU J18.9 Pneumonia, unspecified
J18.9 Pneumonia, unspecified
J45 ASTHMA
J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA

ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
ANA J45 ASTHMA
UMU J45 ASTHMA
ANA J45 ASTHMA


OBG O20.0 Threatened abortion
UMU O20.0 Threatened abortion
O20.0 Threatened abortion
S42.2 Fracture of upper end of humerus
ORT S42.2 Fracture of upper end of humerus
BED S42.2 Fracture of upper end of humerus

UMU S42.2 Fracture of upper end of humerus
UMU N13.2 Hydronephrosis with renal and ureteral calculous obstruction
URO N13.2 Hydronephrosis with renal and ureteral calculous obstruction
ORT N13.2 Hydronephrosis with renal and ureteral calculous obstruction
N13.2 Hydronephrosis with renal and ureteral calculous obstruction
N13.2 Hydronephrosis with renal and ureteral calculous obstruction
J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA

PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
UMU J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
PAR J45 ASTHMA
INT A91 DENGUE HAEMORRHAGIC FEVER
UMU A91 DENGUE HAEMORRHAGIC FEVER
A91 DENGUE HAEMORRHAGIC FEVER
A91 DENGUE HAEMORRHAGIC FEVER

C71.99 MALIGNANT NEOPLASM OF BRAIN UNSP
SAR C71.99 MALIGNANT NEOPLASM OF BRAIN UNSP



BSY I61.9 Intracerebral haemorrhage, unspecified



I61.9 Intracerebral haemorrhage, unspecified
I61.9 Intracerebral haemorrhage, unspecified
N10.93 ACUTE PYELONEPHRITIS
INT N10.93 ACUTE PYELONEPHRITIS
UMU N10.93 ACUTE PYELONEPHRITIS

O80.9 Single spontaneous delivery, unspecified

UMU O80.9 Single spontaneous delivery, unspecified

Keterangan
N
N
N
TN
TN
N
Biaya adm 2% dari total klaim
Kelebihan klaim akomodasi kamar
-
-
Re sc penambahan 20% dari tarif sc
-
N

TN
N
N
biaya adm 2% dari total klaim
-
-
TN
N
N
Biaya adm 2% dari total klaim ibu

-
TN

Biaya adm 2% dari total klaim anak

N
N
N
N
N
N
TN

N
-
-
-
TN
N
N

-
N

BAHP sebesar Rp 252.129 - Rp 14.638 = Rp 237.491 diskon 15% = Rp 201.867
tindakan tidak dengan penyulit tapi penambahan cito 12%

-
TN
N
TN

N
N
TN

-
-
-
-
TN
TN
N
N
-
TN
N

TN
TN
TN
TN

TN
TN
N
N

TN
N
-
-
Kelebihan klaim akomodasi kamar 1/2 hari
TN
N
N
Re re sc + penyulit
-
N
N
TN

-
-
Auto transfusi harmonetic set sesuai tarif kesepakatan - proses mapping inhealth
TN
penambahan biaya sewa kamar OT Room sebesar Rp 600.000 dari tarif

kesepakatan

tn
N
N
N
N
N
tidak ada hasil histopatology medium
-
Biaya adm sesuai tarif kesepakatan
-
N
N
TN

TN
N
N
N
TN
N
N

Kelebihan klaim akomodasi klaim

TN
TN
TN
TN
TN
TN
TN
TN
N
TN
TN
TN
TN

TN
TN
TN
TN
TN
TN
TN
N
N
TN

N
TN
TN
TN
N
TN
N
N
TN
TN
TN
TN
TN
TN
sesuai billing tanggal 26-12-2022
TN

-
TN
sesuai billing tanggal 01/01/2023

TN
TN
N
TN
TN
TN
tn
tn
TN
TN
TN
TN
TN

-
Kelebihan klaim tindakan infusion pump - sudah diverifikasi sebesar Rp 87.860

TN
N
TN

TN
N
TN
N
N
N
TN
TN

Kelebihan klaim infusion pump - sudah diverifikasi sebesar Rp 80.730
TN
N
TN
TN
N
TN
n
N


N
-
Kelebihan klaim akomodasi kamar 1/2 hari
-
-
-
N


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NOMOR REGISTER : 0904C032300042

NOMOR FPK PROVIDER : 1025R0110323C0006

BULAN PELAYANAN : 01-2023 (RITL)

NAMA PROVIDER : MAYAPADA HOSPITAL TANGERANG

NOMOR INVOICE PROVIDER : RWI COB JAN 23 (EXCLUDED 1) MHCL2023022184-185-186

No No SJP Noka Pst

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............................ , ......... 20.....

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YAPADA HOSPITAL TANGERANG

I COB JAN 23 (EXCLUDED 1) MHCL2023022184-185-186

Nama Peserta No MR Kode BU

CAHYA KURNIA PUTRA MYPD.0000419148 02230033

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

Nama BU Tgl SJP Tgl Pulang

PT ANGKASA PURA II (PERSERO) 01 Jan 2023 03 Jan 2023

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error

KPJ-Online-v2; printed at 4/12/2023 3:00:29 PM ~ 0904C032300042 ~ Page 1 of #Error