MASTER TABEL kelas III

No

Tanggal
Registr
asi

Umur
Nama
Pasien

Laki
-laki

Pere
mpua
n

Kunjungan
Alamat

Bar
u

Lam
a

Diagno
sa

Tindaka
n

1.

17/10/1
5

Riedho
Kurniawan

9th

Kencur III, No.

215 rt 08 rw
08

2.

17/10/1
5

Abiyyu
Galih N.

9th

Jahe III/313

Calculu
s 16 &
26

Scalling

3.

17/10/1
5

Aditya
Herli
Ramadhan

9th

Jatimulyo 5
No. 113

Calculu
s 16,11
&26

Scalling

4.

17/10/1
5

Afrisal
Muhamma
d A.

9th

Sambiroto XII
rt 1/6

Calculu
s 16,11
&26

Scalling

5.

17/10/1
5

Alica
Azzahra

8th

Dinar Asri Blok

L9 No.3

Calculu
s 16,11
&26

Scalling

6.

17/10/1
5

Alivia
Reydina A.

8th

Jahe III/312

Calculu
s 16 &
26

Scalling

17/10/1
5

Andhika
Bintang P.

7.

9th

Melati No. 87
Sendangmuly

Calculu
s 16 &
26

Scalling

B
L

Calculu
s 16,11

Scalling

Kunjunga
n
Biaya
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=

Operat
or

Manik
Absari

Manik
Absari

Gifari
hafiz

Wibi
Sanis

Manik
Absari
Riski
Amalia
F
Gifari
hafiz

A.

8.

17/10/1
5

Anindya
Oktavia C.
R.

9th

Sambiroto Asri
Barat

9.

17/10/1
5

Annisa
Syafira W.

9th

Taman
Sambiroto Asri
Timur No. 294

10
.

17/10/1
5

Apriliana
Melati S.

8th

Sambiroto XII
rt 2 rw 7

11
.

17/10/1
5

Apriliana
Melati S.

8th

Sambiroto XII
rt 2 rw 7

12
.

17/10/1
5

Arya Dwi
Mahendra

8th

Bukit Cendana
1C 50

13
.

17/10/1
5

Atha Tsani

8th

Bukit Cemara
Sari IV/C1

14
.

17/10/1
5

Athaisyah

8th

Kp. Humpak rt
1/8 Tandang

15
.

17/10/1
5

Bagaskara
Aji W.

8th

Perum Graha
Taman Sari
Mangunharjo

&26
Calculu
s 16 &
26

Scalling

Calculu
s 16 &
26

Scalling

Calculus
16,11
&26

Scalling

Calculu
s 16 &
26

Scalling

Calculu
s 16 &
11

Scalling

Calculu
s 16 &
11

Scalling

Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00

Wibi
Sanis

Manik
Absari
Riski
Amalia
F
Gifari
hafiz

Wibi
Sanis
Riski
Amalia
F
Riski
Amalia
F
Gifari
hafiz

16
.

17/10/1
5

Baihaqi
Raffic A.

8th

Perum
Durenan
Indah 1/24

17
.

17/10/1
5

Calya
Fabina A.

8th

Sambiroto XI
No. 21

18
.

17/10/1
5

Chelsea
Aprilia
Putri

Sambiroto XII
rt 1/6

19
.

17/10/1
5

Daneswara
Juliana A.

Mangunharjo
Raya

20
.

17/10/1
5

Dyah Ayu
S.

9th

Lempuyang
2/503
Sambiroto

21
.

17/10/1
5

Fariska
Faradila

8th

Lempuyang
11/516
Sambiroto

8th

22
.

17/10/1
5

Fitriani Nur
K.

23
.

17/10/1
5

Habib
Putra D.

8th

8th

8th

Calculu
s 16 &
26

Scalling

Calculu
s 16,11
&26

Scalling

Calculu
s26

Scalling

Perum
Durenan
Indah Blok A
No.1

Calculu
s 16
&36

Scalling

Elang Sari
Barat rt 1/5
Mangunharjo

Calculu
s 16 &
26

Scalling

00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00

Wibi
Sanis

Gifari
hafiz

Manik
Absari

Manik

Gifari

Rizki

Wibi

Manik

24
.

17/10/1
5

Haffiyan
Ajriya Faza

8th

25
.

17/10/1
5

Hafizh
Irwansyah

8th

Kunir 1/15
Sambiroto

26
.

17/10/1
5

Kevin
Wijaya P.

8th

Bukit Cendana
1/5 Sambiroto

27
.

17/10/1
5

Muhamma
d Khalil
Shahrizal

8th

Perum Polri
Durenan
Indah Blok No.
5

28
.

17/10/1
5

Muhamma
d Rafi
Saputra

8th

Jl.
Lempuyungan
II No. 514

29
.

17/10/1
5

Nanda
Haikal
Hariansyah

8th

Graha Mulia
Asri 1 No.8
Klipang

30
.

17/10/1
5

Nazaika
Dwi
Takhsahni

8th

Dinar Elok
Blok E.20

31
.

17/10/1
5

Nugraheni
Marsheila

8th

Jl. Jati Mulyo IX

85 Perum
Bangunharjo

32

17/10/1

Nur Fajri

8th

Calculu
s 16

Scalling

Calculu
s 16,11
&26

Scalling

Calculu
s 16,11
&26

Scalling

Calculu
s 16,11
&26

Scalling

Calculu

scalling

Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000

Gifari

Rizki

Wibi

Gifari

Wibi

Manik

Rizki

Gifari
Wibi

Fatahillah

33
.

17/10/1
5

Priska
Athameyla
Widiyanti

34
.

17/10/1
5

Tegar
Waluyo

35
.

17/10/1
5

Tirta Shafa
Susiana
Julie

s 16,11
&26

8th

8th

8th

Jl. Cendana
Utara IV/80

Jl. Kunir III/72

Perum Griya
Elang rt 02 rw
5

Calculu
s 16,11
&26

scalling

Calculu
s 16,11
&26

scalling

Calculu
s 16
&26

scalling

+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00
Rp.5000
+
Rp.70.00
0=
Rp.75.00
00

Manik

Rizki

Gifari