No_Inv Tgl_Inv Dokter_Nm Nomor_CmNamaPasieKeterangaI-INV-15401 ### Abraham, dr. SpU 317875 RISWAN SUVisite dr. SI-INV-15401 ### Abraham, dr. SpU 317875 RISWAN SUVisite dr. SI-INV-15602 ### Abraham, dr. SpU 243159 RUDY LEN Visite dr.

JM_Dokter DiskonPers DiskonRp Pot_JM_Jaminan salah_bayar POT_LAIN 110,000 - - 22,000 - - 110,000 - - 22,000 - - 180,000 - - 36,000 36,000 -

29,361,400 6,086,775

total No_Byr_Dok Nm_Jaminan 88,000 I0150616/150628/001 RELIANCE INDONESIA INSURANCE, PT 88,000 I0150616/150628/001 RELIANCE INDONESIA INSURANCE, PT 144,000 I0150616/150628/001